机要白术芍药汤
白术汤
茯苓汤
东垣升阳除湿汤
升阳除湿防风汤
方并见泄泻门
导滞通经汤治脾湿有余气不宣通面目手足肿注闷而痛陈五苓内减猪苓桂加木香陈皮
上 咀每服五钱水煎
局方五苓散
白术 猪苓 茯苓(各两半) 桂(一两) 泽泻(二两半)
上为末每服三二钱热汤调下
按以上诸方并太阳例药宜随症选用
平胃散
苍术(八两) 陈皮(五两) 甘草(炒三两) 浓朴(五两)
上为末每三钱姜枣煎或盐汤点服
对金饮子治脾胃受湿腹胀米谷不化饮食不进身体沉重肢节酸疼皮肤微肿
平胃散(一两) 桑白皮(炒一两)
上为末每三二钱入姜煎服
按此二方足太阴阳明手太阴药也
丹溪越鞠丸治湿郁
苍术 抚芎 白芷
诸涩枯涸干劲皴揭皆属于燥
按此河间论治已详然当分大便 结或消渴之类为里证皮肤燥涩干疥爪枯之类为表证而于
阳结阴结气盛血少痰郁风热可得而悉
原病式云经曰风热火同阳也寒燥湿同阴也又燥湿小异也然燥金虽属秋阴而异于寒湿故反
同其
风热也故火热胜金衰而风生则风能胜湿热能耗液而反寒阳实阴虚则风热胜于水湿而为燥也凡
人
风病多因热甚而风燥者为其兼化以热为其主也然阳实阴虚而风热太甚以胜水湿因而成燥肝主
于筋而风气自甚又燥热加之液还聚于胸膈则筋太燥也燥金主于收敛劲切紧涩故为病筋脉劲强
紧急而口噤也或病燥热太甚而脾胃干涸成消渴者或风热燥甚怫郁在表而里气平者善伸数欠筋
脉
拘急或时恶寒或筋惕而搐脉浮数而弦也风热燥并郁甚于里故烦满而或 结也及风痫之发作者
由热甚而风燥为其兼化涎溢胸膈燥烁而螈 昏冒僵仆也凡此诸证皆由热甚而生风燥各有异者
由风热燥各微甚不等故也所谓中风或筋缓者因其风热胜湿而为燥乃燥之甚也然筋缓不收而痿
痹故诸 郁病痿皆属金肺乃燥之化也如秋深燥甚则草木痿落而不收病之象也是以手得血而能
握足得血而能步夫燥之为病者血液衰少也而又气血不能通畅故病然也
【机要白术芍药汤】
【白术汤】
【茯苓汤】
【东垣升阳除湿汤】
【升阳除湿防风汤】
以上方剂均见“泄泻门”章节。
【导滞通经汤】治疗脾湿有余、气机不宣通，导致面目手足肿胀、胀闷疼痛。处方：在五苓散（Wuling San, Five-Ingredient Powder with Poria）基础上减去猪苓和桂枝，加入木香和陈皮。
上药切碎，每次服用五钱，水煎服。
【局方五苓散】
白术、猪苓、茯苓（各一两半），桂枝（一两），泽泻（二两半）。
上药研为细末，每次服用二三钱，用热开水调服。
按语：以上各方均属于太阳病（Taiyang disease, diseases of the Taiyang channel）的用药范畴，适宜随证选用。
【平胃散】
苍术（八两），陈皮（五两），甘草（炒，三两），厚朴（五两）。
上药研为细末，每次取三钱，加生姜、大枣煎服；或用盐汤送服。
【对金饮子】治疗脾胃受湿，腹胀，米谷不化，饮食不进，身体沉重，肢节酸疼，皮肤微肿。
处方：平胃散（一两），桑白皮（炒，一两）。
上药研为细末，每次取二三钱，加生姜煎服。
按语：此二方分别是足太阴脾经（Foot-Taiyin Spleen meridian）、足阳明胃经（Foot-Yangming Stomach meridian）及手太阴肺经（Hand-Taiyin Lung meridian）的药物。
诸涩枯涸、干劲皴揭皆属于燥。
按语：此乃河间（刘完素）论治已详，然而应当区分：大便结或消渴之类属里证（Interior syndrome），皮肤燥涩、干疥、爪枯之类属表证（Exterior syndrome）。而在阳结、阴结、气盛、血少、痰郁、风热等情况下，可以详尽辨析。
《原病式》云：“经曰：风、火、热同属阳也；寒、燥、湿同属阴也。又燥与湿小异也。”然而燥金虽属秋阴，却异于寒湿，故反而同其风热。因此，火热胜而金衰则风生，风能胜湿；热能耗液而反寒，阳实阴虚则风热胜于水湿而为燥。凡人之风病，多因热甚而生风燥者，为其兼化以热为主也。然阳实阴虚而风热太甚，以胜水湿因而成燥。肝主筋，而风气自甚，又燥热加之，液还聚于胸膈，则筋太燥也。燥金主于收敛、劲切、紧涩，故为病筋脉劲强、紧急而口噤也。或病燥热太甚，而脾胃干涸成消渴者；或风热燥甚，怫郁在表而里气平者，善伸数欠，筋脉拘急，或时恶寒，或筋惕而搐，脉浮数而弦也。风热燥并郁甚于里，故烦满而或结也。及风痫之发作者，由热甚而风燥为其兼化，涎溢胸膈，燥烁而螈疭、昏冒、僵仆也。凡此诸证，皆由热甚而生风燥，各有异者，由风热燥各微甚不等故也。所谓中风或筋缓者，因其风热胜湿而为燥，乃燥之甚也。然筋缓不收而痿痹，故诸郁病痿皆属金肺，乃燥之化也。如秋深燥甚，则草木痿落而不收，病之象也。是以手得血而能握，足得血而能步。夫燥之为病者，血液衰少也，而又气血不能通畅，故病然也。
[Jiyao Baizhu Shaoyao Tang]
[Baizhu Tang]
[Fuling Tang]
[Dong Yuan Shengyang Chushi Tang (Shengyang Dampness-Resolving Decoction)]
[Shengyang Chushi Fangfeng Tang (Shengyang Dampness-Resolving Saposhnikovia Decoction)]
The above formulas are all listed in the "Diarrhea Section".
[Daozhi Tongjing Tang (Stagnation-Expelling and Meridian-Unblocking Decoction)] treats spleen dampness excess with qi mechanism obstruction, leading to swelling of the face, eyes, hands, and feet, along with distension, fullness, and pain. Prescription: Based on Wuling San (Five-Ingredient Powder with Poria), remove Zhu Ling (Polyporus) and Guizhi (Cinnamon Twig), add Muxiang (Aucklandia Root) and Chenpi (Tangerine Peel).
Crush the herbs. Take 5 qian per dose, decoct in water and take orally.
[Jufang Wuling San (Standard Bureau's Five-Ingredient Powder with Poria)]
Baizhu (Atractylodis Rhizoma), Zhuling (Polypori Parietis), Fuling (Poria), each 1.5 liang; Guizhi (Cinnamomi Ramulus) 1 liang; Zexie (Alismatis Rhizoma) 2.5 liang.
Grind into powder. Take 2–3 qian per dose, mix with hot boiled water and take orally.
Note: The above formulas belong to the category of Taiyang disease medications and should be selected according to the specific syndrome.
[Pingwei San (Peaceful Stomach Powder)]
Cangzhu (Atractylodis Rhizoma) 8 liang; Chenpi (Citri Reticulatae Pericarpium) 5 liang; Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) 3 liang; Houpo (Magnoliae Officinalis Cortex) 5 liang.
Grind into powder. Take 3 qian per dose, decoct with fresh ginger and jujube; or take with salted water.
[Duijin Yinzi (Golden-Matching Infusion)] treats spleen and stomach affected by dampness, abdominal distension, indigestion of rice and grain, loss of appetite, heavy body, soreness and pain in limbs and joints, and slight skin swelling.
Prescription: Pingwei San (1 liang), Sangbaipi (Mori Cortex) stir-fried (1 liang).
Grind into powder. Take 2–3 qian per dose, decoct with fresh ginger and take orally.
Note: These two formulas consist of herbs from the Foot-Taiyin Spleen meridian, Foot-Yangming Stomach meridian, and Hand-Taiyin Lung meridian.
[Danjia Yueju Wan (Danxi Resolving Six-Stagnations Pill)] treats dampness stagnation.
Cangzhu (Atractylodis Rhizoma), Fuxiong (Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix).
All cases of astringency, withering, drying, stiffness, roughness, and cracking belong to Dryness.
Note: Hejian (Liu Wansu) has detailed the treatment principles herein. However, one must distinguish: constipation or thirst syndromes belong to Interior syndromes; dry, rough skin, dry scabies, and brittle nails belong to Exterior syndromes. In cases of Yang binding, Yin binding, qi excess, blood deficiency, phlegm stagnation, and wind-heat, these can be comprehensively analyzed.
*Yuanbingshi* states: "The Classics say: Wind, Fire, and Heat belong to Yang; Cold, Dryness, and Dampness belong to Yin. Furthermore, Dryness and Dampness differ slightly." Although Dryness Metal belongs to Autumn Yin, it differs from Cold and Dampness, thus resembling Wind and Heat. Therefore, when Fire-Heat prevails and Metal declines, Wind arises; Wind can overcome Dampness; Heat consumes fluids and counteracts Cold; Yang excess and Yin deficiency cause Wind-Heat to overcome Water-Dampness, resulting in Dryness. Most wind diseases in humans arise from excessive heat generating Wind-Dryness, where Heat is the primary factor. When Yang is excess and Yin is deficient, and Wind-Heat is too severe, overcoming Water-Dampness, Dryness results. The Liver governs the sinews, and when Wind Qi is excessive, combined with Dryness-Heat, fluids gather in the chest and diaphragm, causing excessive dryness of the sinews. Dryness Metal governs contraction, firmness, tightness, and astringency; thus, pathology manifests as stiff, tense sinews and meridians, and lockjaw. If Dryness-Heat is excessive, causing the Spleen and Stomach to become dry, Thirst syndrome may develop. If Wind-Heat-Dryness is severe, constrained at the Exterior while the Interior Qi is calm, the patient may frequently stretch and yawn, experience tendon spasms, occasional aversion to cold, muscle twitching and convulsions, with a floating, rapid, and wiry pulse. If Wind-Heat-Dryness is deeply constrained within the Interior, irritability, fullness, and binding occur. In the onset of wind-phrenzy, excessive heat generates Wind-Dryness as a secondary transformation; saliva overflows in the chest and diaphragm, dryness scorches, leading to convulsions, unconsciousness, and sudden collapse. All these syndromes arise from excessive heat generating Wind-Dryness; their differences stem from varying degrees of severity among Wind, Heat, and Dryness. Cases of stroke or flaccid sinews occur because Wind-Heat overcomes Dampness to create Dryness, which is extreme Dryness. However, flaccid sinews that do not contract lead to atrophy and bi-syndrome; thus, various stagnation and atrophy diseases belong to Metal and the Lung, representing the transformation of Dryness. Just as late autumn extreme Dryness causes grass and trees to wither and fall without gathering, this is the image of pathology. Hence, the hand grasps when it receives Blood, and the foot walks when it receives Blood. The pathology of Dryness involves the depletion of Blood and fluids, coupled with the inability of Qi and Blood to circulate smoothly, thus causing disease.