防已茯苓汤
里水,一身面目黄肿,其脉沉,小便不利,甘草麻黄汤主之;越婢加术汤亦主之。
右二味,以水五升,先煮麻黄,去上沫,纳甘草,煮取三升,去滓,温服一升,复令汗出,不汗再服。
右六味,以水六升,先煮麻黄,去上沫,纳诸药,煮取三升,分温三服。
问曰:黄汗之为病,身体肿,若重汗出而发热口渴,状如风水,汗沾衣,色正黄如柏汁,脉自沉,从何得之?师曰:以汗出入水中浴,水从汗孔入得之,宜黄芪芍药桂枝汤。
右三味,以苦酒一升,水七升,相合,煮取三升,去滓,温服一升,当心烦,服至六七日乃解;若心烦不止者,以苦酒阻故也,以美酒醢易之。
黄汗之病,两胫自冷,假令发热,此属历节,食已汗出,暮常盗汗,此荣气热也;若汗出已,反发热者,久久身必甲错;若发热不止者,久久必生恶疮;若身重,汗出已辙,轻者,久久身必(目闰),(目闰)即胸痛;又从腰以上汗出,以下无汗,腰臗弛痛,如有物在皮中状,剧则不能食,身疼重,烦躁,小便不利,此为黄汗,桂枝加黄芪汤主之。
桂枝三两芍药三两甘草二两(炙)生姜三两(切)大枣十五枚黄芪二两
寸口脉沉而弱,沉即主骨,弱即主筋,沉即为肾,弱即为肝,汗出入水中,如水伤心,历节痛,黄汗出,故曰历节。
味酸则伤筋,筋伤则缓,名日泄,咸则伤骨,骨伤则痿,名日枯,枯泄相搏,名日断泄。荣气不通,卫不独行,荣卫俱微,三焦无御,四属断绝,身体赢瘦,独足肿大,黄汗出,两胫热,便为历节。
少阴,脉浮而弱,弱则血不足,浮则为风,风血相搏,即疼痛如掣。
肥盛之人,脉涩小,短气,自汗出,历节疼,不可屈伸,此皆饮酒汗出当风所致也。
诸肢节疼痛,身体赢瘦,脚肿如脱,头眩短气,温温欲吐者,桂枝芍药知母甘草汤主之。
病历节,疼痛,不可屈伸,脉沉弱者,乌头麻黄黄芪芍药甘草汤主之。
右五味,先以蜜二升煮乌头,取一升,去滓,别以水三升煮四味,取一升,去滓,纳蜜再煮一二沸,服七合,不知尽服之。
病历节,疼痛,两足肿,大小便不利,脉沉紧者,甘草麻黄汤主之;脉沉而细数者,越婶加白术汤主之。(二方俱见前)
师曰:寸口脉迟而涩,迟则为寒,涩为血不足,趺阳脉微而迟,微则为气,迟则为寒,胃气不足,则手足逆冷,荣卫不利,则腹满肠鸣相逐,气转膀胱,荣卫俱劳。阳气不通即身冷,阴气不通即骨疼,阳前通则恶寒,阴前通则痹不仁,阴阳相得,其气乃行,大气一转,寒气乃散,实则失气,虚则遗溺,名曰气分。
气分,心下坚,大如盘,边如旋杯,桂枝甘草麻黄生姜大枣细辛附子汤主之。
桂枝三两甘草二两(炙)麻黄二两生姜二两(切)大枣十二枚细辛三两附子一枚(炮)
右七味,以水七升,先煮麻黄去沫,纳诸药,煮取三升,分温三服,汗出即愈。
右五味,末之,炼蜜为丸,如梧桐子大,饮服二丸,日三服,不知可增至七八丸,以小便利,腹中温为知。
小便不利,其人有水气在血分者,滑石乱发白鱼散主之;茯苓白术戎盐汤亦主之。
右三味杵为散,饮服方寸匙,日三服。
右三味,先以水一斗,煮二味,取三升,去滓,纳戎盐,更上微火一二沸化之,分温三服。
伤寒杂病论卷第十五
病人胸满、唇痿、舌青、口燥,但欲嗽水,不欲咽,无寒热,脉微大来迟,腹不满,其言我满,此为有瘀血。
病人如有热状,烦满,口干燥而渴,其脉反无热,此为阴伏,是瘀血也,当下之,宜下瘀血汤。
下瘀血汤方
右三味,末之,炼蜜和丸,以酒一升,水一升,煮取八合,顿服之,血下如豚肝愈。
桔梗汤方
右二味,以水三升,煮取一升,去津,温分再服。
柏叶汤方
右三味,以水五升,取马通汁一升,合煮取一升,去滓,分温再服。
黄主汤方
灶中黄土半斤甘草三两地黄三两白术三两附子三两(炮)阿胶三两黄芩三两
泻心汤方一
下血,先便而后血者,此远血也,黄土汤主之。(方见前)
下血,先血而便者,此近血也,赤豆当归散主之。
右二味,杵为散,浆水和服方寸匙,日三服。
师曰:病人面无色,无寒热,脉沉弦者,必衄血;脉浮而弱,按之则绝者,必下血,烦而咳者,必吐血。
从春至夏衄血者,属太阳也;从秋至冬衄血者,属阳明也。
问曰:寸口脉微浮而涩,法当亡血,若汗出,设不汗出者云何?师曰:若身有疮,被刀斧所伤,亡血故也,此名金疮;无脓者,王不留行散主之;有脓者,排脓散主之,排脓汤亦主之。
王不留行十分(烧)蒴藿细叶十分(烧)桑根白皮十分(烧)甘草十八分黄芩二分蜀椒三分(去目)厚朴二分干姜二分芍药
二分
右九味,为散,饮服方寸匙,小疮即粉之,大疮但服之,产后亦可服。
排脓散方
右三味,杵为散,取鸡子黄一枚,以药散与鸡黄相等,揉和令相得,饮和服之,日一服。
排脓汤方
浸淫疮,从口流向四肢者,可治,从四肢流来入口者,不可治。
黄连粉方
右二味,捣为末,饮服方寸匙,并粉其疮上。
师曰:诸痈肿者,欲知有脓无脓?以手掩肿上,热者,为有脓;不热者,为无脓也。
肠痈之为病,其身甲错,腹皮急,按之濡,如肿状,腹无积聚,身无热,脉数,此为肠内有痈也,薏苡附子败酱散主之。
右三味,杵为末,取方寸匙,以水二升,煮减半,去滓,顿眼,小便当下血。
少腹肿痞,按之即痛如淋,小便自调,时时发热,自汗出,复恶寒,此为肠外有痈也;其脉沉紧者,脓未成也,下之当有血;脉洪数者,脓已成也,可下之,大黄牡丹汤主之。
右五味,以水六升,煮取一升,去滓,顿服之,有脓者当下脓,无脓者当下血。
辨胸痹病脉证并治
师曰:夫脉当取太过不及,阳微阴弦,即胸痹而痛;所以然者,责其极虚也,今阳虚,知在上焦,胸痹而痛者,以其脉弦故也。
胸痹,喘、息、咳、唾,胸背痛,寸脉沉迟,关上小紧数者,括萎薤白白酒汤主之。
括蒌薤白白酒汤方
括萎实一枚(捣)薤白半斤白酒七升
右三味,同煮取二升,分温再服。
胸痹,心中痞,留气结在胸,胸满,胁下逆抢心者,枳实薤白桂枝厚朴括蒌汤主之;桂枝人参汤亦主之。
右五味,以水五升,先煮枳实、厚朴取二升,去滓,纳诸药,煮数沸,分温三服。
右五味,以水一斗,先煮四昧,取五升,纳桂枝,更煮取三升,去滓,温服一升,日三服。
胸痹,胸中气塞,或短气者,此胸中有水气也,茯苓杏仁甘草汤主之;橘皮枳实生姜汤亦主之。
右三味,以水一斗,煮取五升,去滓,温服一升,日三服,不差更服。
右二昧,杵为散,白饮服方寸匙,日三服。
右五味,末之,蜜为丸,如梧桐子大,先食,服一丸,日三服,不知稍增,以知为度。
胸痹,其人常欲蹈,其胸上先未苦时,但欲饮热者,旋覆花汤主之。
旋覆花汤方
右二味,末之,炼蜜和丸,如小豆大,饮服三丸,日三服。
九痛丸方
附子三两狼毒四两巴豆一两(去皮心熬研如脂)人参一两干姜一两吴茱萸一两
右六味,末之,蜜丸如梧桐子大,酒下,强人初服三丸,日三服,弱者二二丸。
兼治卒中恶,腹胀痛,口不能言,又治连年积冷,流注,心胸痛,冷气上冲,落马,坠车,血疾等,皆主之;忌口如常法。
伤寒杂病论卷第十六
辨妇人各病脉证并治
师曰:妇人得平脉,阴脉小弱,其人呕,不能食,无寒热,此为妊娠,桂枝汤主之;于法六十日当有此证;设有医治逆者,却一月;加吐下者,则绝之。
桂枝汤方
桂枝三两(去皮)芍药三两甘草二两(炙)生姜三两(切)大枣十二枚(劈)
妇人宿有症病,经断未及三月,而得漏下不止,胎动在脐上者,此为症痼害;妊娠六月动者,前三月经水利时胎也;下血者,断后三月衄也;所以血不止者,其症不去故也,当下其症,桂枝茯苓丸主之。
右五味,末之,炼蜜为丸,如兔屎大,每日食前服一丸,不知可渐加至三丸。
妇人怀孕六七月,脉弦,发热,其胎愈胀,腹痛,恶寒,少腹如扇,所以然者,子藏开故也,当以附子汤温之。
附子汤方
师曰:妇人有漏下者;有半产后续下血都不绝者;假令妊娠腹中痛者,此为胞阻,胶艾汤主之。
胶艾汤方
右七味,以水五升,清酒三升,煮六味,取三升,去滓,纳胶烊消,温服一升,日三服。
右六味,杵为散,取方寸匙,温酒和,日三服。
右三味,末之,以生姜汁糊为丸,如梧桐子大,每服五丸,日三服,饮下。
皮水病,表现为四肢浮肿,水气停留在皮肤之中,四肢肌肉轻微跳动者,用防己茯苓汤治疗。
以上五味药,用水六升,煮取三升药液,分三次温服。
里水病,表现为全身及面目黄肿,脉象沉,小便不通利,用甘草麻黄汤治疗;越婢加术汤也可以治疗。
以上两味药,用水五升,先煮麻黄,去掉上浮的泡沫,再加入甘草,煮取三升药液,去渣,温服一升,使患者微微出汗,若不出汗则再服一次。
麻黄六两 石膏半斤 甘草二两(炙) 生姜三两 大枣十五枚 白术四两
以上六味药,用水六升,先煮麻黄,去掉上浮的泡沫,再加入其他药物,煮取三升药液,分三次温服。
问:黄汗病的症状是身体浮肿,沉重感明显,出汗且发热口渴,状似风水病,汗水沾湿衣服,颜色正黄如柏树汁液,脉象自沉,这种病是如何得的?老师说:因为出汗时进入水中沐浴,水气从汗孔侵入而得此病,宜用黄芪芍药桂枝汤治疗。
以上三味药,用苦酒(醋)一升,水七升,混合在一起,煮取三升药液,去渣,温服一升,服药后应当出现心烦的症状,服用到六七天才会缓解;如果心烦不止,是因为苦酒阻滞的缘故,可以用美酒酿成的醋代替苦酒。
黄汗病,双小腿自觉发冷,假如发热,这属于历节病;饭后出汗,傍晚时常盗汗,这是营气有热;如果出汗后反而发热,时间久了身体必然会出现肌肤甲错(皮肤干燥粗糙如鳞甲);如果发热不止,时间久了必然生恶疮;如果身体沉重,出汗后随即减轻,病情轻的,时间久了身体必然出现目闰(此处指眼睑或面部浮肿),目闰即伴有胸痛;又如有腰部以上出汗,腰部以下无汗,腰髋弛缓疼痛,感觉像有东西在皮肤中,严重的不能进食,身体疼痛沉重,烦躁,小便不利,这是黄汗病,用桂枝加黄芪汤治疗。
桂枝三两 芍药三两 甘草二两(炙) 生姜三两(切) 大枣十五枚 黄芪二两
以上六味药,用水八升,煮取三升药液,去渣,温服一升,每日三次服用。
寸口脉沉而弱,沉脉主骨,弱脉主筋,沉脉对应肾,弱脉对应肝,出汗时入水沐浴,如水邪伤心,导致历节痛,黄汗出,所以称为历节。
味酸则伤筋,筋受伤则松弛,名为泄;味咸则伤骨,骨受伤则痿软,名为枯;枯和泄相互搏结,名为断泄。营气运行不通,卫气不能独行,营卫俱虚,三焦失去护卫,四肢营养断绝,身体消瘦,唯独足部肿大,黄汗出,双小腿发热,这就成为历节病。
少阴病,脉浮而弱,弱则血不足,浮则为风邪,风与血相搏结,即产生牵引样疼痛。
肥胖之人,脉象涩小,短气,自汗出,历节疼痛,不可屈伸,这都是饮酒后出汗当风所致。
各种肢节疼痛,身体消瘦,脚肿得像要脱落一样,头晕目眩,短气,心中温温欲吐者,用桂枝芍药知母甘草汤治疗。
以上四味药,用水六升,煮取三升药液,去渣,温服一升,每日三次服用。
患历节病,疼痛剧烈,不可屈伸,脉象沉弱者,用乌头麻黄黄芪芍药甘草汤治疗。
以上五味药,先用蜂蜜二升煮乌头,取一升药液,去渣,另外用水三升煮其余四味药,取一升药液,去渣,将蜜汁倒入再煮一二沸,服七合,若无效则全部服下。
患历节病,疼痛,双足肿胀,大小便不利,脉象沉紧者,用甘草麻黄汤治疗;脉象沉而细数者,用越婢加术汤治疗。(这两个方剂在前面已列出)
老师说:寸口脉迟而涩,迟则主寒,涩为血不足;趺阳脉微而迟,微则为气虚,迟则为寒。胃气不足,则手足逆冷;营卫不利,则腹满肠鸣互相追逐,气转至膀胱,营卫俱劳损。阳气不通则身体寒冷,阴气不通则骨骼疼痛,阳气前通则恶寒,阴气前通则麻木不仁。阴阳调和,气机才能运行,大气一转,寒气乃散,实证则失气(放屁),虚证则遗尿,名为气分病。
气分病,心下坚硬,大如盘子,边缘如旋转的杯子,用桂枝甘草麻黄生姜大枣细辛附子汤治疗。
桂枝三两 甘草二两(炙) 麻黄二两 生姜二两(切) 大枣十二枚 细辛三两 附子一枚(炮)
以上七味药,用水七升,先煮麻黄去沫,加入其他药物,煮取三升药液,分三次温服,出汗即愈。
水饮病,心下坚硬,大如盘子,边缘如旋转的杯子,用枳实白术汤治疗。
以上两味药,用水五升,煮取三升药液,去渣,分三次温服。
以上五味药,研成末,炼蜜为丸,如梧桐子大,温水送服二丸,每日三次,若无效可增至七八丸,以小便通利,腹部温暖为见效。
小便不利,体内有水气且在血分者,用滑石乱发白鱼散治疗;茯苓白术戎盐汤也可以治疗。
以上三味药,捣为散剂,每次服一方寸匙,每日三次。
以上三味药,先用水一斗,煮前两种药,取三升药液,去渣,加入戎盐,再用微火煮一二沸使其融化,分三次温服。
伤寒杂病论卷第十五
病人胸满、嘴唇枯萎、舌色青紫、口燥,只想漱水而不想咽下,无寒热症状,脉象微大来迟,腹部并不胀满,但病人自称胀满,这是有瘀血的表现。
病人如有发热之状,烦闷,口干燥而渴,但脉象反而没有热象,这是阴分伏热,属于瘀血,当下之,宜用下瘀血汤。
下瘀血汤方
以上三味药,研成末,炼蜜和丸,用酒一升,水一升,煮取八合,一次性服下,若排出如猪肝样的瘀血则愈。
桔梗汤方
以上两味药,用水三升,煮取一升药液,去渣,分两次温服。
柏叶汤方
以上三味药,用水五升,取马通汁一升,混合煮取一升药液,去渣,分两次温服。
黄土汤方
灶中黄土半斤 甘草三两 地黄三两 白术三两 附子三两(炮) 阿胶三两 黄芩三两
以上七味药,用水八升,煮取三升药液,去渣,分三次温服。
泻心汤方一
以上两味药,用水三升,煮取一升药液,去渣,一次性服下。
下血,先排便后出血者,此为远血,用黄土汤治疗。(方剂见前)
下血,先出血后排便者,此为近血,用赤豆当归散治疗。
以上两味药,捣为散剂,用浆水和服一方寸匙,每日三次。
老师说:病人面色苍白无华,无寒热症状,脉象沉弦者,必流鼻血;脉浮而弱,按之则绝者,必下血;烦闷而咳嗽者,必吐血。
从春季到夏季流鼻血者,属太阳经;从秋季到冬季流鼻血者,属阳明经。
尺脉浮,眼睛昏花晕黄者,鼻血未止;黄色消退,眼睛清明者,知道鼻血已止。
问:寸口脉微浮而涩,按法应当亡血,或者汗出,假设不出汗是怎么回事?老师说:如果身上有疮,被刀斧所伤,因失血故也,此名金疮;没有脓液的,用王不留行散治疗;有脓液的,用排脓散治疗,排脓汤也可以治疗。
王不留行十分(烧) 蒴藿细叶十分(烧) 桑根白皮十分(烧) 甘草十八分 黄芩二分 蜀椒三分(去目) 厚朴二分 干姜二分 芍药二分
以上九味药,研为散剂,温水送服一方寸匙,小疮可直接敷粉,大疮仅内服,产后也可服用。
排脓散方
以上三味药,捣为散剂,取鸡蛋黄一枚,用药散与鸡黄相等,揉和令其相得,温水送服,每日一次。
排脓汤方
以上四味药,用水三升,煮取一升药液,去渣,温服五合,每日两次。
浸淫疮,从口流向四肢者,可治;从四肢流来入口者,不可治。
黄连粉方
以上两味药,捣为末,温水送服一方寸匙,并外敷于疮上。
诸脉浮数,按法应当发热,却反而洒浙恶寒,若有疼痛之处,应当发生痈肿。
老师说:对于各种痈肿,如何知道有脓无脓?用手按压肿处,发热者,为有脓;不发热者,为无脓。
肠痈病,身体肌肤甲错,腹部皮肤紧张,按之柔软,如肿状,腹部无积聚,身体无热,脉数,这是肠内有痈,用薏苡附子败酱散治疗。
以上三味药,捣为末,取一方寸匙,用水二升,煮减半,去渣,一次性服下,小便当下血。
小腹肿痞,按之即痛如淋证,小便自调,时时发热,自汗出,复恶寒,这是肠外有痈;其脉沉紧者,脓未成,攻下当有血;脉洪数者,脓已成,可攻下,用大黄牡丹汤治疗。
以上五味药,用水六升,煮取一升药液,去渣,一次性服下,有脓者当下脓,无脓者当下血。
辨胸痹病脉证并治
老师说:脉当取太过不及,阳微阴弦,即胸痹而痛;之所以如此,责在于极虚,今阳虚,知病在上焦,胸痹而痛者,因其脉弦故也。
胸痹,喘、息、咳、唾,胸背痛,寸脉沉迟,关上小紧数者,用括萎薤白白酒汤治疗。
括蒌薤白白酒汤方
括萎实一枚(捣) 薤白半斤 白酒七升
以上三味药,同煮取二升药液,分两次温服。
以上四味药,同煮取四升药液,去渣,温服一升,每日三次。
胸痹,心中痞,留气结在胸,胸满,胁下逆抢心者,用枳实薤白桂枝厚朴括萎汤治疗;桂枝人参汤也可以治疗。
以上五味药,用水五升,先煮枳实、厚朴取二升药液,去渣,纳诸药,煮数沸,分三次温服。
以上五味药,用水一斗,先煮四味,取五升药液,纳桂枝,再煮取三升药液,去渣,温服一升,每日三次。
胸痹,胸中气塞,或短气者,此胸中有水气也,用茯苓杏仁甘草汤治疗;橘皮枳实生姜汤也可以治疗。
以上三味药,用水一斗,煮取五升药液,去渣,温服一升,每日三次,若不愈再服。
以上三味药,用水五升,煮取二升药液,去渣,分两次温服。
以上两味药,捣为散剂,白饮送服一方寸匙,每日三次。
以上三味药,用水六升,煮取三升药液,去渣,分三次温服。
以上五味药,研为末,蜜为丸,如梧桐子大,饭前服一丸,每日三次,若无效稍增量,以见效为度。
胸痹,其人常欲蹈(一种按摩疗法),其胸上先未苦时,但欲饮热者,用旋覆花汤治疗。
旋覆花汤方
以上三味药,用水三升,煮取一升,一次性服下。
以上两味药,研为末,炼蜜和丸,如小豆大,温水送服三丸,每日三次。
九痛丸方
附子三两 狼毒四两 巴豆一两(去皮心熬研如脂) 人参一两 干姜一两 吴茱萸一两
以上六味药,研为末,蜜丸如梧桐子大,酒送下,强人初服三丸,每日三次,弱者服二丸。
兼治卒中恶,腹胀痛,口不能言,又治连年积冷,流注,心胸痛,冷气上冲,落马,坠车,血疾等,皆主之;忌口如常法。
伤寒杂病论卷第十六
辨妇人各病脉证并治
老师说:妇人得平脉,阴脉小弱,其人呕,不能食,无寒热,此为妊娠,用桂枝汤治疗;按法六十日当有此证;假设有医治逆者,却一月;加吐下者,则绝之(停止之前的错误治疗)。
桂枝汤方
桂枝三两(去皮) 芍药三两 甘草二两(炙) 生姜三两(切) 大枣十二枚(劈)
以上五味药,用水七升,煮取三升药液,去渣,分三次温服。
妇人宿有症病,经断未及三月,而得漏下不止,胎动在脐上者,此为症痼害;妊娠六月动者,前三月经水利时胎也;下血者,断后三月衄也;所以血不止者,其症不去故也,当下其症,用桂枝茯苓丸治疗。
以上五味药,研为末,炼蜜为丸,如兔屎大,每日食前服一丸,若无效可渐加至三丸。
妇人怀孕六七月,脉弦,发热,其胎愈胀,腹痛,恶寒,少腹如扇,之所以如此,是子宫开故也,当以附子汤温之。
附子汤方
附子二枚(炮去皮破八片) 茯苓三两 人参二两 白术四两 芍药三两
以上五味药,用水八升,煮取三升药液,去渣,温服一升,每日三次。
老师说:妇人有漏下者;有半产后续下血都不绝者;假令妊娠腹中痛者,此为胞阻,用胶艾汤治疗。
胶艾汤方
地黄六两 川芎二两 阿胶二两 艾叶三两 当归三两 芍药四两 甘草二两
以上七味药,用水五升,清酒三升,煮六味(除阿胶外),取三升药液,去渣,纳胶烊消,温服一升,每日三次。
以上六味药,捣为散剂,取一方寸匙,温酒和服,每日三次。
以上三味药,研为末,以生姜汁糊为丸,如梧桐子大,每服五丸,每日三次,温水送下。
Pi Shui (Edema of the Skin), characterized by swelling of the four limbs, with water qi retained in the skin and slight tremors of the muscles in the four limbs, is primarily treated with Fangji Fuling Tang (Stephania and Poria Decoction).
Fangji Fuling Tang (Stephania and Poria Decoction)
Fangji (Stephiae Radix) 3 liang, Huangqi (Astragali Radix) 3 liang, Guizhi (Cinnamomi Ramulus) 3 liang, Fuling (Poria) 6 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted).
The above five herbs are decocted in 6 sheng of water to obtain 3 sheng of liquid, which is divided into three warm doses.
Li Shui (Internal Water Retention), characterized by generalized yellowish edema of the body and face, a deep pulse, and difficulty in urination, is primarily treated with Gancao Mahuang Tang (Licorice and Ephedra Decoction); Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction) is also applicable.
Gancao Mahuang Tang (Licorice and Ephedra Decoction)
Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang, Mahuang (Ephedrae Herba) 4 liang.
The above two herbs are decocted in 5 sheng of water. First, boil Mahuang (Ephedrae Herba), remove the foam on the surface, then add Gancao (Glycyrrhizae Radix et Rhizoma), and boil to obtain 3 sheng of liquid. Strain and take 1 sheng warm. This should induce mild sweating. If sweating does not occur, administer another dose.
Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction)
Mahuang (Ephedrae Herba) 6 liang, Shigao (Gypsum Fibrosum) half jin, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang, Dazao (Jujubae Fructus) 15 pieces, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang.
The above six herbs are decocted in 6 sheng of water. First, boil Mahuang (Ephedrae Herba), remove the foam, then add the remaining herbs, and boil to obtain 3 sheng of liquid. Divide into three warm doses.
Question: The disease of Huang Han (Yellow Sweat) presents with body swelling and heaviness, sweating accompanied by fever and thirst, resembling Feng Shui (Wind-Water Edema). The sweat stains clothes yellow like cypress juice, and the pulse is naturally deep. How is this disease acquired? The Master said: It is acquired when one enters water for bathing while sweating, allowing water qi to enter through the sweat pores. It should be treated with Huangqi Shaoyao Guizhi Tang (Astragalus, Peony, and Cinnamon Twig Decoction).
Huangqi Shaoyao Guizhi Tang (Astragalus, Peony, and Cinnamon Twig Decoction)
Huangqi (Astragali Radix) 5 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Guizhi (Cinnamomi Ramulus) 3 liang.
The above three herbs are combined with 1 sheng of Ku Jiu (bitter wine/vinegar) and 7 sheng of water, boiled to obtain 3 sheng of liquid. Strain and take 1 sheng warm. One should experience mental restlessness after taking it, which resolves after 6-7 days. If mental restlessness persists, it is due to the obstruction by Ku Jiu; replace it with Mei Jiu Zao (wine lees from fine wine).
In the disease of Huang Han (Yellow Sweat), the calves feel cold. If they feel hot instead, it belongs to Li Jie (Joint Bi Syndrome). Sweating after eating and night sweats in the evening indicate heat in Ying Qi (Nutritive Qi). If fever persists after sweating, the body will eventually develop Jia Cuo (rough, scaly skin). If fever continues indefinitely, malignant sores will eventually develop. If the body feels heavy and lightens after sweating, but eventually leads to eyelid edema (Yun Yan) associated with chest pain, or if there is sweating above the waist and no sweating below, with flaccid pain in the loins and hips as if something is trapped in the skin, severe cases may involve inability to eat, body pain and heaviness, irritability, and difficulty in urination. This is Huang Han (Yellow Sweat), treated with Guizhi Jia Huangqi Tang (Cinnamon Twig Plus Astragalus Decoction).
Guizhi Jia Huangqi Tang (Cinnamon Twig Plus Astragalus Decoction)
Guizhi (Cinnamomi Ramulus) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Dazao (Jujubae Fructus) 15 pieces, Huangqi (Astragali Radix) 2 liang.
The above six herbs are decocted in 8 sheng of water to obtain 3 sheng of liquid. Strain and take 1 sheng warm, three times daily.
The Cun Kou (Radial) pulse is deep and weak. Deep indicates bone pathology, weak indicates tendon pathology. Deep corresponds to the Kidney, and weak corresponds to the Liver. Entering water while sweating allows water pathogen to damage the Heart, leading to Li Jie (Joint Bi Syndrome) pain and Huang Han (Yellow Sweat), hence named Li Jie.
Sour taste damages tendons; tendon damage leads to laxity, named Xie (Leakage). Salty taste damages bones; bone damage leads to atrophy, named Ku (Withered). The combination of Ku and Xie is named Duan Xie (Severed Leakage). When Ying Qi (Nutritive Qi) circulation is blocked and Wei Qi (Defensive Qi) cannot move independently, both Ying and Wei become deficient, the San Jiao (Triple Burner) loses its defense, and the four extremities are cut off from nourishment. The body becomes emaciated, while only the feet swell. With Huang Han (Yellow Sweat) and heat in the calves, it becomes Li Jie (Joint Bi Syndrome).
In Shao Yin (Lesser Yin) disease, the pulse is floating and weak. Weakness indicates blood deficiency, and floating indicates wind. Wind and blood fighting each other causes pulling pain.
In obese individuals, the pulse is choppy and small, accompanied by shortness of breath, spontaneous sweating, Li Jie (Joint Bi Syndrome) pain, and inability to flex or extend the joints. These are all caused by sweating after drinking alcohol and exposing oneself to wind.
For various joint pains, emaciation, swollen feet as if detached, dizziness, shortness of breath, and a feeling of warmth with nausea, Gui Zhi Shao Yao Zhi Mu Gan Cao Tang (Cinnamon Twig, Peony, Anemarrhena, and Licorice Decoction) is indicated.
Gui Zhi Shao Yao Zhi Mu Gan Cao Tang (Cinnamon Twig, Peony, Anemarrhena, and Licorice Decoction)
Guizhi (Cinnamomi Ramulus) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Zhi Mu (Anemarrhenae Rhizoma) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.
The above four herbs are decocted in 6 sheng of water to obtain 3 sheng of liquid. Strain and take 1 sheng warm, three times daily.
For Li Jie (Joint Bi Syndrome) with severe pain and inability to flex/extend, and a deep, weak pulse, Wu Tou Ma Huang Huang Qi Shao Yao Gan Cao Tang (Aconite, Ephedra, Astragalus, Peony, and Licorice Decoction) is indicated.
Wu Tou Ma Huang Huang Qi Shao Yao Gan Cao Tang (Aconite, Ephedra, Astragalus, Peony, and Licorice Decoction)
Wutou (Aconiti Lateralis Radix Preparata) 5 pieces (sliced), Mahuang (Ephedrae Herba) 3 liang, Huangqi (Astragali Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang.
First, boil Wutou (Aconiti Lateralis Radix Preparata) in 2 sheng of honey to obtain 1 sheng, strain. Separately, decoct the other four herbs in 3 sheng of water to obtain 1 sheng, strain. Combine the honey liquid and boil for 1-2 boils. Take 7 ge. If ineffective, take the entire dose.
For Li Jie (Joint Bi Syndrome) with pain, swollen feet, difficulty in urination and defecation, and a deep, tight pulse, Gancao Mahuang Tang (Licorice and Ephedra Decoction) is indicated. For a deep, thin, and rapid pulse, Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction) is indicated. (Both formulas are seen previously).
The Master said: The Cun Kou (Radial) pulse is slow and choppy. Slow indicates cold, choppy indicates blood deficiency. The Zu Yang (Dorsalis Pedis) pulse is faint and slow. Faint indicates Qi deficiency, slow indicates cold. Insufficient Stomach Qi leads to cold hands and feet. Disharmony of Ying and Wei leads to abdominal fullness and borborygmus, with Qi moving to the Bladder, causing exhaustion of Ying and Wei. Obstruction of Yang Qi causes body coldness; obstruction of Yin Qi causes bone pain. Anterior unblocking of Yang causes aversion to cold; anterior unblocking of Yin causes numbness and insensitivity. When Yin and Yang harmonize, Qi flows. When the Great Qi rotates, cold dissipates. Excess manifests as flatulence; deficiency manifests as urinary incontinence. This is named Qi Fen (Qi Division/Disease).
Qi Fen (Qi Disease) presents with hardness under the heart, large as a plate, with edges like a rotating cup. It is treated with Guizhi Gancao Mahuang Shengjiang Dazao Xixin Fuzi Tang (Cinnamon Twig, Licorice, Ephedra, Ginger, Jujube, Asarum, and Prepared Aconite Decoction).
Guizhi Gancao Mahuang Shengjiang Dazao Xixin Fuzi Tang (Cinnamon Twig, Licorice, Ephedra, Ginger, Jujube, Asarum, and Prepared Aconite Decoction)
Guizhi (Cinnamomi Ramulus) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Mahuang (Ephedrae Herba) 2 liang, Shengjiang (Zingiberis Rhizoma Recens) 2 liang (sliced), Dazao (Jujubae Fructus) 12 pieces, Xixin (Asari Radix et Rhizoma) 3 liang, Fuzi (Aconiti Lateralis Radix Preparata) 1 piece (prepared).
The above seven herbs are decocted in 7 sheng of water. First, boil Mahuang (Ephedrae Herba) to remove foam, then add other herbs, and boil to obtain 3 sheng of liquid. Divide into three warm doses. Recovery occurs with sweating.
Shui Yin (Water Fluid Retention) presents with hardness under the heart, large as a plate, with edges like a rotating cup. It is treated with Zhishi Baizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction).
Zhishi Baizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction)
Zhishi (Aurantii Fructus Immaturus) 7 pieces, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang.
The above two herbs are decocted in 5 sheng of water to obtain 3 sheng of liquid. Strain and divide into three warm doses.
For difficulty in urination with water retention and thirst, Gualou Qumei Shuyu Wan (Trichosanthes Root, Epimedium, and Dioscorea Pill) is indicated.
Gualou Qumei Shuyu Wan (Trichosanthes Root, Epimedium, and Dioscorea Pill)
Gualougen (Trichosanthis Radix) 2 liang, Qumei (Epimedii Folium) 1 liang, Shuyu (Dioscoreae Rhizoma) 2 liang, Fuzi (Aconiti Lateralis Radix Preparata) 1 piece (prepared), Fuling (Poria) 3 liang.
The above five herbs are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 2 pills with water, three times daily. If ineffective, increase to 7-8 pills. Effectiveness is confirmed by free urination and warmth in the abdomen.
For difficulty in urination with water retention in the Blood aspect, Huashi Luafa Baiyu San (Talc, Human Hair, and White Fish Powder) is indicated. Fuling Baizhu Rongyan Tang (Poria, Atractylodes Macrocephala, and Rock Salt Decoction) is also applicable.
Huashi Luafa Baiyu San (Talc, Human Hair, and White Fish Powder)
Huashi (Talcum) 1 jin, Luafa (Capilli Humani Carbonisatus) 1 jin (burned), Baiyu (Pis Holostei) 1 jin.
The above three herbs are pounded into powder. Take 1 cun chi spoonful with water, three times daily.
Fuling Baizhu Rongyan Tang (Poria, Atractylodes Macrocephala, and Rock Salt Decoction)
Fuling (Poria) half jin, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Rongyan (Sal Rupis) 2 pieces (bullet-sized).
First, decoct the first two herbs in 10 sheng of water to obtain 3 sheng, strain. Add Rongyan (Sal Rupis) and simmer gently until dissolved. Divide into three warm doses.
Chapter 15 of Shanghan Zabing Lun: Differentiation of Pulse, Symptoms, and Treatment for Blood Stasis, Hematemesis, Epistaxis, Hematochezia, and Carbuncles and Sores.
Patients with chest fullness, withered lips, blue tongue, dry mouth, desire to rinse mouth without swallowing, no chills or fever, and a pulse that is slightly large and delayed, yet claims abdominal fullness despite no visible distension, have Blood Stasis.
Patients presenting with symptoms resembling heat, irritability, dry mouth, and thirst, but with a pulse lacking heat signs, have hidden Yin heat due to Blood Stasis. They should be purged using Xiayu Xue Tang (Drain Below Blood Stasis Decoction).
Xiayu Xue Tang (Drain Below Blood Stasis Decoction)
Dahuang (Rhei Radix et Rhizoma) 3 liang, Taoren (Persicae Semen) 20 pieces, E Chong (Eupolyphaga Steleophaga) 20 pieces (legs removed).
The above three herbs are powdered, mixed with refined honey to form pills. Decoct in 1 sheng of wine and 1 sheng of water to obtain 8 he. Take in one dose. Recovery is indicated by the discharge of blood resembling pig liver.
For blood stasis retained in the diaphragm area, presenting with black vomited blood, Jiegeng Tang (Platycodon Decoction) is indicated.
Jiegeng Tang (Platycodon Decoction)
Jiegeng (Platycodonis Radix) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.
The above two herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and divide into two warm doses.
For continuous hematemesis, Baiye Tang (Cupressus Leaf Decoction) is indicated; Huangtu Tang (Yellow Earth Decoction) is also applicable.
Baiye Tang (Cupressus Leaf Decoction)
Baiye (Cupressi Cacumen) 3 liang, Ganjiang (Zingiberis Rhizoma) 3 liang, Aiye (Artemisiae Argyi Folium) 3 bundles.
Decoct the above three herbs in 5 sheng of water with 1 sheng of Matong Zhi (horse dung juice) to obtain 1 sheng. Strain and divide into two warm doses.
Huangtu Tang (Yellow Earth Decoction)
Zaozhong Huangtu (Caulis Fornacis) half jin, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang, Dihuang (Rehmanniae Radix) 3 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang, Fuzi (Aconiti Lateralis Radix Preparata) 3 liang (prepared), Ejiao (Colla Corii Asini) 3 liang, Huangqin (Scutellariae Radix) 3 liang.
The above seven herbs are decocted in 8 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.
For insufficient Heart Qi causing hematemesis or epistaxis, Xie Xin Tang (Drain the Epigastrium Decoction) is indicated.
Xie Xin Tang (Drain the Epigastrium Decoction) Formula 1
Dahuang (Rhei Radix et Rhizoma) 2 liang, Huanglian (Coptidis Rhizoma) 1 liang.
The above two herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and take in one dose.
For hematochezia where stool precedes blood, this is distant bleeding, treated with Huangtu Tang (Yellow Earth Decoction). (Formula seen previously).
For hematochezia where blood precedes stool, this is proximal bleeding, treated Chidou Danggui San (Red Bean and Angelica Sinensis Powder).
Chidou Danggui San (Red Bean and Angelica Sinensis Powder)
Chixiaodou (Phaseoli Semen Rubrum) 3 sheng (soaked until sprouts appear, then dried), Danggui (Angelicae Sinensis Radix) 10 liang.
The above two herbs are pounded into powder. Take 1 cun chi spoonful mixed with Jiangshui (fermented grain wash), three times daily.
The Master said: Patients with pale complexion, no chills or fever, and a deep, string-taut pulse will likely suffer epistaxis. Those with a floating, weak pulse that disappears upon pressure will likely suffer lower bleeding. Those with irritability and cough will likely suffer hematemesis.
Epistaxis from spring to summer belongs to Tai Yang (Greater Yang). Epistaxis from autumn to winter belongs to Yang Ming (Bright Yang).
Floating Chi (Cubit) pulse and blurred vision with yellow tint indicate ongoing epistaxis. When the yellow tint disappears and vision clears, epistaxis has stopped.
Question: Cun Kou (Radial) pulse is slightly floating and choppy, indicating blood loss or sweating. If sweating does not occur, what is the cause? The Master said: If there is a wound from knives or axes, it is due to blood loss, named Jin Chuang (Metal Wound). Without pus, Wangbuliuxing San (Lycium Barbarum Seed Powder) is indicated. With pus, Painong San (Drain Pus Powder) is indicated, and Painong Tang (Drain Pus Decoction) is also applicable.
Wangbuliuxing San (Lycium Barbarum Seed Powder)
Wangbuliuxing (Vaccariae Semen) 10 parts (burned), Huoxi (Commelinae Herba) 10 parts (burned), Sangbaipipi (Mori Cortex) 10 parts (burned), Gancao (Glycyrrhizae Radix et Rhizoma) 18 parts, Huangqin (Scutellariae Radix) 2 parts, Shujiao (Zanthoxyli Pericarpium) 3 parts (eyes removed), Houpo (Magnoliae Officinalis Cortex) 2 parts, Ganjiang (Zingiberis Rhizoma) 2 parts, Shaoyao (Paeoniae Radix Alba) 2 parts.
The above nine herbs are powdered. Take 1 cun chi spoonful with water. For small wounds, apply powder externally; for large wounds, take internally. Also applicable postpartum.
Painong San (Drain Pus Powder)
Zhishi (Aurantii Fructus Immaturus) 16 pieces, Shaoyao (Paeoniae Radix Alba) 6 parts, Jiegeng (Platycodonis Radix) 2 parts.
The above three herbs are powdered. Mix with one egg yolk, kneading until uniform. Take mixed with water, once daily.
Painong Tang (Drain Pus Decoction)
Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang, Jiegeng (Platycodonis Radix) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) 1 liang, Dazao (Jujubae Fructus) 10 pieces.
The above four herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and take 5 he warm, twice daily.
Jinyin Chuang (Spreading Sore) flowing from the mouth to the four limbs is treatable; flowing from the limbs back to the mouth is untreatable.
Jinyin Chuang (Spreading Sore) is treated with Huanglian Fen (Coptis Powder).
Huanglian Fen (Coptis Powder)
Huanglian (Coptidis Rhizoma) 10 parts, Gancao (Glycyrrhizae Radix et Rhizoma) 10 parts.
The above two herbs are powdered. Take 1 cun chi spoonful with water and apply powder topically to the sore.
When all pulses are floating and rapid, fever is expected, but if there is chills and pain in a specific area, a carbuncle is about to erupt.
The Master said: To determine if a carbuncle has pus, press the swollen area. Heat indicates pus; lack of heat indicates no pus.
Chang Yong (Intestinal Carbuncle) presents with rough skin, tense abdominal wall, soft upon pressure, resembling swelling, no abdominal mass, no body fever, and a rapid pulse. This is an intestinal carbuncle, treated with Yiyi Fuzi Baijiang San (Coix Seed, Aconite, and Patrinia Powder).
Yiyi Fuzi Baijiang San (Coix Seed, Aconite, and Patrinia Powder)
Yiyiren (Coicis Semen) 10 parts, Fuzi (Aconiti Lateralis Radix Preparata) 2 parts, Baijiangcao (Patriniae Herba) 5 parts.
The above three herbs are powdered. Take 1 cun chi spoonful, decoct in 2 sheng of water until reduced by half. Strain and take in one dose. Blood should pass in urine.
Swelling and hardness in the lower abdomen, painful upon pressure resembling strangury, normal urination, intermittent fever, spontaneous sweating, and aversion to cold indicate an extraintestinal carbuncle. A deep, tight pulse means pus is not yet formed; purging should yield blood. A surging, rapid pulse means pus is formed; purging is indicated using Dahuang Mudan Tang (Rhubarb and Moutan Decoction).
Dahuang Mudan Tang (Rhubarb and Moutan Decoction)
Dahuang (Rhei Radix et Rhizoma) 4 liang, Mudanpi (Moutan Cortex) 1 liang, Taoren (Persicae Semen) 50 pieces, Dongguazi (Benincasae Semen) half sheng, Mangxiao (Natrii Sulfas) 3 he.
The above five herbs are decocted in 6 sheng of water to obtain 1 sheng. Strain and take in one dose. Pus is discharged if present; blood if not.
Differentiation of Pulse, Symptoms, and Treatment for Chest Bi Syndrome.
The Master said: Pulses should be assessed for excess and deficiency. Yang deficiency and Yin tension result in Chest Bi pain. This is due to extreme deficiency. Current Yang deficiency indicates pathology in the Upper Jiao. Chest Bi pain with a string-taut pulse confirms this.
In healthy individuals without chills or fever, Chest Bi with shortness of breath indicates excess.
Chest Bi with wheezing, sighing, coughing, spitting, chest and back pain, deep-slow Cun pulse, and slightly tight-rapid Guan pulse is treated with Gualou Xiebai Baijiu Tang (Trichosanthes Rhizome, Macrostemon Stem, and White Wine Decoction).
Gualou Xiebai Baijiu Tang (Trichosanthes Rhizome, Macrostemon Stem, and White Wine Decoction)
Gualoushi (Trichosanthis Fructus) 1 piece (crushed), Xiebai (Allii Macrostemonis Bulbus) half jin, Baijiu (White Wine) 7 sheng.
The above three herbs are boiled together to obtain 2 sheng. Divide into two warm doses.
Chest Bi preventing lying down, with heart pain radiating to the back, is treated with Gualou Xiebai Banxia Tang (Trichosanthes Rhizome, Macrostemon Stem, and Pinellia Decoction).
Xiebai Gualou Banxia Tang (Macrostemon Stem, Trichosanthes Rhizome, and Pinellia Decoction)
Gualoushi (Trichosanthis Fructus) 1 piece (crushed), Xiebai (Allii Macrostemonis Bulbus) 3 liang, Banxia (Pinelliae Rhizoma Preparatum) half sheng, Baijiu (White Wine) 1 dou.
The above four herbs are boiled together to obtain 4 sheng. Strain and take 1 sheng warm, three times daily.
Chest Bi with epigastric stagnation, Qi knotting in the chest, chest fullness, and rebellious Qi rushing from the hypochondrium to the heart is treated with Zhishi Xiebai Guizhi Houpo Gualou Tang (Immature Bitter Orange, Macrostemon, Cinnamon Twig, Magnolia Bark, and Trichosanthes Decoction). Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) is also applicable.
Zhishi Xiebai Guizhi Houpo Gualou Tang (Immature Bitter Orange, Macrostemon, Cinnamon Twig, Magnolia Bark, and Trichosanthes Decoction)
Zhishi (Aurantii Fructus Immaturus) 4 pieces, Xiebai (Allii Macrostemonis Bulbus) half jin, Guizhi (Cinnamomi Ramulus) 1 liang, Houpo (Magnoliae Officinalis Cortex) 4 liang, Gualou (Trichosanthis Fructus) 1 piece (crushed).
Boil Zhishi and Houpo in 5 sheng of water to obtain 2 sheng, strain. Add other herbs, boil briefly, and divide into three warm doses.
Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction)
Guizhi (Cinnamomi Ramulus) 4 liang, Renshen (Ginseng Radix) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang, Ganjiang (Zingiberis Rhizoma) 3 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang.
Decoct the first four herbs in 1 dou of water to obtain 5 sheng. Add Guizhi, boil to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.
Chest Bi with chest oppression or shortness of breath indicates water Qi in the chest. Fuling Xingren Gancao Tang (Poria, Apricot Kernel, and Licorice Decoction) is indicated. Chupi Zhishi Shengjiang Tang (Tangerine Peel, Immature Bitter Orange, and Ginger Decoction) is also applicable.
Fuling Xingren Gancao Tang (Poria, Apricot Kernel, and Licorice Decoction)
Fuling (Poria) 2 liang, Xingren (Armeniacae Semen Amarum) 50 pieces, Gancao (Glycyrrhizae Radix et Rhizoma) 1 liang (roasted).
Decoct in 1 dou of water to obtain 5 sheng. Strain and take 1 sheng warm, three times daily. Repeat if necessary.
Chupi Zhishi Shengjiang Tang (Tangerine Peel, Immature Bitter Orange, and Ginger Decoction)
Chupi (Citri Reticulatae Pericarpium) 1 jin, Zhishi (Aurantii Fructus Immaturus) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) half jin.
Decoct in 5 sheng of water to obtain 2 sheng. Strain and divide into two warm doses.
Chest Bi with alternating relaxation and tension is treated with Yiyi Fuzi San (Coix Seed and Aconite Powder).
Yiyi Fuzi San (Coix Seed and Aconite Powder)
Yiyiren (Coicis Semen) 15 liang, Da Fuzi (Aconiti Lateralis Radix Preparata) 10 pieces (prepared).
Powder the above two herbs. Take 1 cun chi spoonful with white rice drink, three times daily.
Chest Bi with hanging pain in the heart is treated with Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Ginger, and Immature Bitter Orange Decoction).
Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Ginger, and Immature Bitter Orange Decoction)
Guizhi (Cinnamomi Ramulus) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) 3 liang, Zhishi (Aurantii Fructus Immaturus) 5 pieces.
Decoct in 6 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.
Chest Bi with chest pain radiating to the back and back pain radiating to the chest is treated with Wutou Chishizhi Wan (Aconite and Halloysit Rubrum Pill).
Wutou Chishizhi Wan (Aconite and Halloysit Rubrum Pill)
Wutou (Aconiti Lateralis Radix Preparata) 1 liang, Shujiao (Zanthoxyli Pericarpium) 1 liang, Fuzi (Aconiti Lateralis Radix Preparata) 5 qian, Ganjiang (Zingiberis Rhizoma) 1 liang, Chishizhi (Halloysit Rubrum) 1 liang.
Powder the above five herbs, mix with honey to form pills the size of Sophora seeds. Take 1 pill before meals, three times daily. Increase slightly if ineffective, stopping when effective.
Chest Bi where the patient desires to tread on the chest, initially without pain but desiring hot drinks, is treated with Xuanfuhua Tang (Inula Flower Decoction).
Xuanfuhua Tang (Inula Flower Decoction)
Xuanfuhua (Inulae Flos) 3 liang, Congbai (Allii Fistulosi Bulbus) 14 stems, Xinjiang (Safflower Stamen) a little.
Decoct in 3 sheng of water to obtain 1 sheng. Take in one dose.
Chest Bi with palpitations under the heart is attributed to Phlegm. Banxia Mahuang Wan (Pinellia and Ephedra Pill) is indicated.
Banxia Mahuang Wan (Pinellia and Ephedra Pill)
Banxia (Pinelliae Rhizoma Preparatum) and Mahuang (Ephedrae Herba) in equal proportions.
Powder the above two herbs, mix with refined honey to form pills the size of soybeans. Take 3 pills with water, three times daily.
Chest Bi with pain under the heart, possibly due to evil blood and accumulated cold, is treated with Jiutong Wan (Nine-Pain Pill).
Jiutong Wan (Nine-Pain Pill)
Fuzi (Aconiti Lateralis Radix Preparata) 3 liang, Langdu (Stellerae Radix) 4 liang, Badou (Crotonis Fructus) 1 liang (skin and heart removed, fried and ground to paste), Renshen (Ginseng Radix) 1 liang, Ganjiang (Zingiberis Rhizoma) 1 liang, Wuzhuyu (Evodiae Fructus) 1 liang.
Powder the above six herbs, mix with honey to form pills the size of Sophora seeds. Take with wine. Strong individuals take 3 pills initially, three times daily; weak individuals take 2 pills.
Also treats sudden stroke with evil Qi, abdominal distension and pain, inability to speak, chronic accumulated cold, migrating pain, chest and heart pain, rising cold Qi, falls from horses, carriage accidents, and blood disorders. Follow usual dietary restrictions.
Chapter 16 of Shanghan Zabing Lun: Differentiation of Pulse, Symptoms, and Treatment for Various Women's Diseases.
The Master said: In women, a normal pulse with slightly weak Yin pulse, vomiting, inability to eat, and no chills or fever indicates pregnancy. Guizhi Tang (Cinnamon Twig Decoction) is indicated. According to method, these symptoms appear around 60 days. If improper treatment causes vomiting or purging after one month, stop such treatments.
Guizhi Tang (Cinnamon Twig Decoction)
Guizhi (Cinnamomi Ramulus) 3 liang (skin removed), Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Dazao (Jujubae Fructus) 12 pieces (split).
Decoct in 7 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.
If a woman has a pre-existing mass (Zheng), stops menstruating for less than three months, and experiences continuous leakage bleeding with fetal movement above the umbilicus, this is Zheng Gu Hai (Mass Hindrance). Fetal movement at six months indicates normal pregnancy during previous regular menstruation. Bleeding after three months of amenorrhea resembles epistaxis. Continuous bleeding is due to the persistent mass. The mass should be resolved using Guizhi Fuling Wan (Cinnamon Twig and Poria Pill).
Guizhi Fuling Wan (Cinnamon Twig and Poria Pill)
Guizhi (Cinnamomi Ramulus), Fuling (Poria), Mudanpi (Moutan Cortex), Taoren (Persicae Semen), Shaoyao (Paeoniae Radix Alba) in equal proportions.
Powder the above five herbs, mix with refined honey to form pills the size of rabbit feces. Take 1 pill before meals daily. Increase to 3 pills if ineffective.
In pregnant women at 6-7 months, a string-taut pulse, fever, increased abdominal distension, abdominal pain, aversion to cold, and a sensation of wind in the lower abdomen indicate uterine opening. Treat with Fuzi Tang (Aconite Decoction) to warm.
Fuzi Tang (Aconite Decoction)
Fuzi (Aconiti Lateralis Radix Preparata) 2 pieces (prepared, skin removed, broken into 8 pieces), Fuling (Poria) 3 liang, Renshen (Ginseng Radix) 2 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Shaoyao (Paeoniae Radix Alba) 3 liang.
Decoct in 8 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.
The Master said: Women with leakage bleeding, continuous bleeding after miscarriage, or abdominal pain during pregnancy (Baomu/Zi Zu obstruction) are treated with Jiao'ai Tang (Donkey-hide Gelatin and Mugwort Decoction).
Jiao'ai Tang (Donkey-hide Gelatin and Mugwort Decoction)
Dihuang (Rehmanniae Radix) 6 liang, Chuanxiong (Ligustici Chuanxiong Rhizoma) 2 liang, Ejiao (Colla Corii Asini) 2 liang, Aiye (Artemisiae Argyi Folium) 3 liang, Danggui (Angelicae Sinensis Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 4 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.
Decoct the first six herbs in 5 sheng of water and 3 sheng of clear wine to obtain 3 sheng. Strain, dissolve Ejiao (Colla Corii Asini) in the hot liquid, and take 1 sheng warm, three times daily.
For abdominal pain during pregnancy, Danggui Shaoyao San (Angelica Sinensis and Peony Powder) is indicated.
Danggui Shaoyao San (Angelica Sinensis and Peony Powder)
Danggui (Angelicae Sinensis Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 1 jin, Fuling (Poria) 4 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Zexie (Alismatis Rhizoma) half jin, Chuanxiong (Ligustici Chuanxiong Rhizoma) 3 liang.
Powder the above six herbs. Take 1 cun chi spoonful mixed with warm wine, three times daily.
For incessant vomiting during pregnancy, Ganjiang Renshen Banxia Wan (Ginger, Ginseng, and Pinellia Pill) is indicated.
Ganjiang Renshen Banxia Wan (Ginger, Ginseng, and Pinellia Pill)
Ganjiang (Zingiberis Rhizoma) 1 liang, Renshen (Ginseng Radix) 1 liang, Banxia (Pinelliae Rhizoma Preparatum) 2 liang.
Powder the above three herbs, mix with fresh ginger juice to form pills the size of Sophora seeds. Take 5 pills with water, three times daily.
For difficulty in urination during pregnancy with normal diet, Danggui Beimu Kushen Wan (Angelica Sinensis, fritillaria, and Sophora Pill) is indicated.
Danggui Beimu Kushen Wan (Angelica Sinensis, Fritillaria, and Sophora Pill)