治肾消,花粉黄连萆 调。二参熟地覆盆子,石斛蛇床 要。( ,音皮鸱,即鸡
肫皮也。茯苓、花粉、黄连、萆 、人参、玄参、熟地黄、覆盆子各一两,石斛、蛇床子各
七钱半,鸡肫皮三十具(微炒),蜜丸,磁石汤下。黄连降心火,石斛平胃热,熟地、玄参
生肾水,覆盆、蛇床固肾精,人参补气,花粉生津,茯苓交心肾,萆 利湿热, 治膈消
,磁石色黑属水,假之入肾也。)
(《千金》)参茯神,知芩葛草石膏因。磁石天花同黑豆,强中消渴此方珍。〔下消之证,
茎长兴盛,不交精出,名强中。缘服邪术热药而毒盛也。猪肾一具,大豆一升,荠 、人参、
石膏各三两,磁石(绵裹)、茯神、知母、黄芩、葛根、甘草、花粉各二两,先煮豆、肾,
去滓,以药分三服。知、苓、石膏以泻邪火,人参、甘草以固正气,葛根、花粉以生津,荠
、黑豆最能解毒,磁石、猪肾引之人肾也。〕
(《易简》)参 草,二地二冬枇斛参。泽泻枳实疏二腑,躁烦消渴血枯含。〔人参、黄
、甘草(炙)、天冬、麦冬、生地、枇杷叶(蜜炙)、石斛、泽泻、枳实(麸炒),每服二
钱。参、 、甘草以补其气,气能生水,二地、二冬以润其燥,润能益血,石斛平胃,枇杷
补气,泽泻泻膀胱之火,枳实宣大肠之滞,使二腑清,则心、肺二脏之气得以下降,而渴自
止。〕
【白茯苓丸】治疗肾消证,用药包括天花粉、黄连和萆薢来调理。还需加入人参、玄参、熟地黄和覆盆子,以及石斛和蛇床子。(“䳺”音同“皮鸱”,即鸡肫皮。配方为:茯苓、天花粉、黄连、萆薢、人参、玄参、熟地黄、覆盆子各一两,石斛、蛇床子各七钱半,鸡肫皮三十具(微炒),制成蜜丸,用磁石汤送服。方中黄连能降心火,石斛能清胃热,熟地黄和玄参能滋补肾阴,覆盆子和蛇床子能固摄肾精,人参补气,天花粉生津,茯苓交通心肾,萆薢利湿清热,䳺皮治疗膈消,磁石色黑属水,借其性引药入肾。)
【猪肾荠汤】出自《千金方》,包含人参、茯神、知母、黄芩、葛根、甘草、石膏。配合磁石、天花粉和黑豆,是治疗强中和消渴的珍贵方剂。(下消证的表现为阴茎持续勃起,未行房事却精液自出,称为“强中”。这是因为服用邪术热药导致毒盛所致。处方用猪肾一具,大豆一升,荠苨、人参、石膏各三两,磁石(绵裹)、茯神、知母、黄芩、葛根、甘草、天花粉各二两。先煮大豆和猪肾,去渣后,将药物分三次服用。知母、黄芩、石膏用于泻除邪火,人参、甘草用于固护正气,葛根、天花粉用于生津,荠苨和黑豆最能解毒,磁石和猪肾引导药力入肾。)
【地黄饮子】出自《易简方》,包含人参、黄芪、甘草,以及生地、熟地、天冬、麦冬、枇杷叶、石斛、人参、泽泻、枳实等,可缓解烦躁、消渴和血枯症状。(处方为人参、黄芪、炙甘草、天冬、麦冬、生地黄、蜜炙枇杷叶、石斛、泽泻、麸炒枳实,每服二钱。人参、黄芪、甘草用于补气,气能生水;生地黄、熟地黄、天冬、麦冬用于润燥,润能益血;石斛平抑胃热,枇杷叶补肺气,泽泻泻膀胱之火,枳实宣通大肠之滞,使大小肠二腑清净,则心肺之气得以下降,口渴自然停止。)
[White Poria Pill] Treats Kidney Xiao (Kidney Diabetes), regulating with Trichosanthis Radix (Tianhuafen), Coptidis Rhizoma (Huanglian), and Dioscoreae Hypoglaucae Rhizoma (Bixie). Also includes Ginseng Radix et Rhizoma (Renshen), Scrophulariae Radix (Xuanshen), Rehmanniae Radix Preparata (Shudihuang), and Rubi Fructus (Fupenzi), along with Dendrobii Caulis (Shihu) and Cnidii Fructus (Shechuangzi). ("Zhi", pronounced "pi chi", refers to the gizzard lining of a chicken. The formula consists of Poria (Fuling), Trichosanthis Radix (Tianhuafen), Coptidis Rhizoma (Huanglian), Dioscoreae Hypoglaucae Rhizoma (Bixie), Ginseng Radix et Rhizoma (Renshen), Scrophulariae Radix (Xuanshen), Rehmanniae Radix Preparata (Shudihuang), and Rubi Fructus (Fupenzi), each 1 liang; Dendrobii Caulis (Shihu) and Cnidii Fructus (Shechuangzi), each 7.5 qian; Chicken Gizzard Lining (Jizhupi) 30 pieces (lightly stir-fried). Made into honey pills, taken with Magnetitum (Cishi) decoction. Huanglian descends Heart Fire, Shihu clears Stomach Heat, Shudihuang and Xuanshen generate Kidney Yin, Fupenzi and Shechuangzi secure Kidney Essence, Renshen tonifies Qi, Tianhuafen generates fluids, Fuling communicates between Heart and Kidney, Bixie promotes urination to drain damp-heat, Zhi treats Ge Xiao (Diabetes of the Diaphragm), and Magnetitum (Cishi), being black and belonging to Water, guides the medicine into the Kidney.)
[Zhu Shen Qi Tang] From *Qianjin Fang*, it contains Ginseng Radix et Rhizoma (Renshen), Polyporus (Fushen), Anemarrhenae Rhizoma (Zhimu), Scutellariae Radix (Huangqin), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma (Gancao), and Gypsum Fibrosum (Shigao). Combined with Magnetitum (Cishi), Trichosanthis Radix (Tianhuafen), and Sojae Semen Nigrum (Heidou), this is a precious formula for treating Qiangzhong (Strong Middle) and Xiao (Wasting-Thirst). (The syndrome of Lower Xiao presents with persistent erection of the penis and spontaneous emission of essence without intercourse, named Qiangzhong. This arises from toxic heat caused by taking illicit hot medicines. The prescription uses one Pig Kidney (Zhushen), one sheng of Soybean (Dadou), Sanliang each of Arisaematis Rhizoma (Qinie), Ginseng Radix et Rhizoma (Renshen), and Gypsum Fibrosum (Shigao); two liang each of Magnetitum (Cishi, wrapped in silk), Polyporus (Fushen), Anemarrhenae Rhizoma (Zhimu), Scutellariae Radix (Huangqin), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma (Gancao), and Trichosanthis Radix (Tianhuafen). First boil the soybeans and kidney, remove dregs, then divide the medicine into three doses. Zhimu, Huangqin, and Shigao clear pathogenic fire; Renshen and Gancao consolidate healthy Qi; Gegen and Tianhuafen generate fluids; Qinie and Heidou are best at detoxifying; Cishi and Zhushen guide the action into the Kidney.)
[Dihuang Yinzi] From *Yijian Fang*, it contains Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix (Shengdi), Rehmanniae Radix Preparata (Shudi), Asparagi Radix (Tian Dong), Ophiopogonis Radix (Mai Dong), Loquat Leaf (Pipa Ye), Dendrobii Caulis (Shihu), Alisma Rhizoma (Zexie), and Aurantii Fructus Immaturus (Zhishi). It alleviates irritability, wasting-thirst, and blood dryness. (The prescription consists of Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Gancao), Asparagi Radix (Tian Dong), Ophiopogonis Radix (Mai Dong), Rehmanniae Radix (Shengdi), Honey-fried Loquat Leaf (Mi Zhi Pipa Ye), Dendrobii Caulis (Shihu), Alisma Rhizoma (Zexie), and Bran-fried Aurantii Fructus Immaturus (Fu Chao Zhishi), two qian per dose. Renshen, Huangqi, and Gancao tonify Qi, and Qi can generate Water; Shengdi, Shudi, Tian Dong, and Mai Dong moisten dryness, and moistening benefits Blood; Shihu calms Stomach Heat, Pipa Ye supplements Lung Qi, Zexie drains Bladder Fire, and Zhishi unblocks Large Intestine stagnation. When the Two Fu organs (Small and Large Intestines/Bladder) are cleared, the Qi of the Heart and Lung can descend, and thirst will naturally cease.)