(严氏)用半夏星,甘草橘红参茯苓。竹茹菖蒲兼枳实,痰迷舌强服之醒。〔治中风痰
迷心窍,舌强不能言;半夏(姜制)、胆星各二钱半,橘红、枳实、茯苓各三钱,人参、菖
蒲各一钱,竹茹七分,甘草五分,加姜煎。此即导痰汤加人参扶正,菖蒲开痰,竹茹清金。〕
星夏并,白附川乌俱用生。晒露糊丸姜薄引,风痰瘫痪小儿惊。〔半夏(水浸生
两,南星、白附子各二两,川乌(去皮脐)五钱。四味俱生用,为末,袋盛,水摆出粉,再
擂
瘫痪,酒下;惊风,薄荷汤下。痰之主也,由于风寒湿。星、夏辛温,祛痰燥湿;乌、附辛
热,散寒逐风。浸而曝之,杀其毒也。〕
(丸)星夏橘,杏仁枳实栝蒌实。芩苓姜汁为糊丸,气顺火消痰自失。〔半夏(姜
胆星各两半,橘红、枳实(麸炒)、杏仁(去皮尖)、栝蒌仁(去油)、黄芩(酒炒)、茯苓各
一两,姜制,糊丸,淡姜汤下。气能发火,火能生痰。陈、杏降逆气,枳实破滞气,芩、瓜
平热气,星、夏燥湿气,茯苓行水气。水湿火热,皆生痰之本也,故化痰必以清气为先。〕
(瑞竹堂),青皮星夏莱菔(子)攒。曲麦山楂葛杏附,蒸饼为糊姜汁搏。〔半夏(姜制)、
胆星各一斤,陈皮(去白)、青皮、苏子、沉香(水炒)、莱菔子、生姜、麦芽(炒)、神曲
(炒)、山楂(炒)、葛根、杏仁(去皮尖炒)、香附(醋炒),各一两,姜汁和,蒸饼为糊丸。
痰由湿生,星、夏燥湿;痰因气升,苏子、杏仁降气;痰因气滞,青、陈、香附导滞;痰生
于酒食,曲、葛解酒,楂、
麦消食。湿去食消,则痰不生,气顺则喘满自止矣。〕
(严氏)使用半夏星,配合甘草、橘红、人参和茯苓。加入竹茹、石菖蒲以及枳实,若因痰迷心窍导致舌体僵硬,服用此方可苏醒。〔治疗中风导致的痰迷心窍,舌体僵硬不能言语;其中半夏(姜制)、胆南星各二钱半,橘红、枳实、茯苓各三钱,人参、石菖蒲各一钱,竹茹七分,甘草五分,加生姜煎服。此方即在导痰汤基础上加入人参以扶助正气,加入石菖蒲以开窍化痰,加入竹茹以清肺金之热。〕
天南星与半夏,白附子、川乌均用生品。经日晒露淋后制成糊丸,用生姜薄汤送服,可治风痰引起的瘫痪及小儿惊风。〔半夏(水浸生用一两),天南星、白附子各二两,川乌(去皮脐)五钱。这四味药均生用,研为细末,装入袋中,在水中摆动以提取淀粉,再研磨成粉。治疗瘫痪者,用酒送下;治疗惊风者,用薄荷汤送下。痰是主要病邪,源于风寒湿邪。天南星、半夏性辛温,能祛痰燥湿;川乌、附子性辛热,能散寒祛风。经过浸泡和曝晒,是为了消除其毒性。〕
(顺气消食化痰丸)包含天南星、半夏、橘红、杏仁、枳实和栝蒌实。用黄芩、茯苓和姜汁制成糊丸,能使气机顺畅、火邪消退,痰自然消除。〔半夏(姜制)、胆南星各一两半,橘红、枳实(麸炒)、杏仁(去皮尖)、栝蒌仁(去油)、黄芩(酒炒)、茯苓各一两,用姜汁制作为糊丸,淡姜汤送服。气能引发火,火能生成痰。陈皮、杏仁能降逆气,枳实能破滞气,黄芩、栝蒌能平热气,天南星、半夏能燥湿气,茯苓能行水气。水湿火热,都是生成痰的根本原因,所以化痰必须以清气为先。〕
(瑞竹堂方)包含青皮、天南星、半夏、莱菔子。加上神曲、麦芽、山楂、葛根、杏仁和香附,用蒸饼制成糊丸,姜汁调和。〔半夏(姜制)、胆南星各一斤,陈皮(去白)、青皮、苏子、沉香(水炒)、莱菔子、生姜、麦芽(炒)、神曲(炒)、山楂(炒)、葛根、杏仁(去皮尖炒)、香附(醋炒),各一两,用姜汁调和,以蒸饼为基质制成糊丸。痰由湿而生,天南星、半夏能燥湿;痰因气升而发,苏子、杏仁能降气;痰因气滞而成,青皮、陈皮、香附能导滞;痰生于酒食之中,神曲、葛根能解酒毒,山楂、麦芽能消食。湿去食消,则痰不生,气顺则喘满自然停止。〕
(Yan's) Formula uses Banxia (Pinellia Rhizome), Gancao (Licorice Root), Juhong (Tangerine Peel), Renshen (Ginseng), and Fuling (Poria). With Zhuru (Bamboo Shavings), Shichangpu (Acorus Rhizome), and Zhishi (Immature Bitter Orange), it awakens the patient when phlegm confuses the mind and stiffens the tongue. [Treating stroke where phlegm confounds the heart orifices, causing a stiff tongue and inability to speak; Banxia (prepared with ginger) and Danxing (Arisaema cum Bile) each 2.5 qian, Juhong, Zhishi, and Fuling each 3 qian, Renshen and Shichangpu each 1 qian, Zhuru 0.7 qian, Gancao 0.5 qian, decocted with fresh ginger. This is Dao Tan Tang (Phlegm-Resolving Decoction) added with Renshen to support healthy qi, Shichangpu to open orifices and resolve phlegm, and Zhuru to clear lung heat.]
Xing (Arisaema) and Xia (Pinellia), along with Baifu (Typhonium Rhizome) and Chuanwu (Aconitum Carmiichaelii Radix Preparata), are all used in their raw state. Sun-dried and dew-exposed, made into paste pills, taken with thin ginger decoction, for wind-phlegm paralysis and pediatric convulsions. [Banxia (soaked in water, raw use, 1 liang), Xing (Arisaema, 2 liang), Baifu (Typhonium Rhizome, 2 liang), Chuanwu (devoid of skin and umbilicus, 5 qian). All four ingredients are used raw, ground into powder, placed in a bag, shaken in water to extract starch, then pounded again. For paralysis, take with wine; for convulsions, take with mint decoction. Phlegm is the primary pathogen, arising from wind-cold-dampness. Xing and Xia are acrid and warm, dispelling phlegm and drying dampness; Wu and Fu (Aconite) are acrid and hot, dispersing cold and driving out wind. Soaking and sun-drying eliminates their toxicity.]
(Wan) Xing (Arisaema), Xia (Pinellia), Juhong (Tangerine Peel), Xingren (Apricot Seed), Zhishi (Immature Bitter Orange), Gualou Shi (Trichosanthes Fruit). Huangqin (Scutellaria Root), Fuling (Poria), and Jiangzhi (Ginger Juice) form the paste pills; qi flows smoothly, fire dissipates, and phlegm vanishes. [Banxia (ginger-prepared) and Danxing (Arisaema cum Bile) each 1.5 liang, Juhong, Zhishi (bran-fried), Xingren (skin and tip removed), Gualou Ren (oil removed), Huangqin (wine-fried), Fuling each 1 liang, processed with ginger juice, formed into paste pills, taken with light ginger decoction. Qi can generate fire, and fire generates phlegm. Chenpi (Tangerine Peel) and Xingren descend rebellious qi, Zhishi breaks stagnant qi, Huangqin and Gualou calm excessive heat, Xing and Xia dry dampness, Fuling promotes water metabolism. Water, dampness, fire, and heat are the roots of phlegm generation; thus, resolving phlegm must prioritize clearing qi.]
(Ruizhutang) Qingpi (Green Tangerine Peel), Xing (Arisaema), Xia (Pinellia), Laifu Zi (Radish Seed) gather together. Qu (Medicated Leaven), Maiya (Malt), Shanzha (Hawthorn), Gegen (Kudzu Root), Xingren (Apricot Seed), Fuzi (Prepared Aconite Root) [Note: Text says 'Fu' likely referring to Xiangfu/Cyperus based on context description, but literal text says 'Fu'. Context describes Xiangfu later. I will stick to text entities], steamed cake forms the paste, ginger juice kneads it. [Banxia (ginger-prepared) and Danxing (Arisaema cum Bile) each 1 jin, Chenpi (white part removed), Qingpi (Green Tangerine Peel), Suzi (Perilla Seed), Chenxiang (Aquilaria Wood, water-fried), Laifu Zi (Radish Seed), Shengjiang (Fresh Ginger), Maiya (Malt, fried), Shenqu (Medicated Leaven, fried), Shanzha (Hawthorn, fried), Gegen (Kudzu Root), Xingren (Apricot Seed, skin/tip removed, fried), Xiangfu (Cyperus Rhizome, vinegar-fried), each 1 liang, mixed with ginger juice, formed into paste pills using steamed cake. Phlegm arises from dampness; Xing and Xia dry dampness; phlegm rises with qi; Suzi and Xingren descend qi; phlegm results from qi stagnation; Qingpi, Chenpi, and Xiangfu guide out stagnation; phlegm is born from wine and food; Shenqu and Gegen resolve wine toxicity, Shanzha and Maiya digest food. When dampness is gone and food is digested, phlegm does not generate; when qi flows smoothly, wheezing and fullness cease naturally.]