机要白术芍药汤治太阴脾经受湿水泄注下体重微满困弱无力不欲饮食暴泄无数水谷不化
宜此汤和之身重暴下是大势来亦宜和也
白术 芍药(各一两) 甘草(五钱)
上锉每服一两水煎
治湿泻茯苓汤又治食泻湿热
白术 茯苓(各七钱半)
上咀每服一两水煎食前服 一方有芍药三味等分名白术散
按以上三方和中除湿足太阴阳明经药也白术之甘入胃而除脾胃之湿芍药之酸涩除胃中之
湿热四肢困茯苓利水道而除湿此三味泄痢须用之药也
苍术芍药汤如前证
苍术(二两) 芍药(一两) 黄芩(半两)
上锉每服一两加淡味桂半钱煎服清
按此解散湿热上中二焦之剂太阴经的药也
良方胃苓汤治夏秋之间脾胃伤冷水谷不分泄泻不止
五苓散 平胃散
上和合姜枣煎空心服
按此乃表里除湿之剂东垣所谓上下分消其湿是也太阳太阴经药也出阳明饮痞例
仲景五苓散
宣明益元散(方并见湿剂)
按以上二方除湿利小便之剂太阳经的药也
机要防风芍药汤治泄痢飧泄身热脉弦腹痛而得及头痛微汗
防风 芍药 黄芩(各一两)
上咀每服半两水煎服清
按此治风辛凉之剂太阴太阳经药也
苍术防风汤治泄痢脉弦头微痛
苍术(二两) 防风(一两)
一方苍术四两麻黄一两防风五钱姜七片煎
按此足太阴阳明经药也
良方神术散治春伤于风夏必飧泄
苍术(一斤) 本 川芎(各六两) 羌活(四两) 粉草 细辛(一两六钱)
上粗末每服三钱姜三片煎要出汗加葱白
按以上三方治风胜湿辛温之剂此则太阳经药也局方胃气汤治大人小儿风冷乘虚入客肠胃
水谷不化泄泻注下(方见滞下门)
按此方名曰治风具实和血之药也
【机要白术芍药汤】治疗太阴脾经受湿邪导致的泄泻,表现为水样便直下、身体沉重、轻微胀满、疲倦乏力、不想进食、突然发作的频繁泄泻且完谷不化。适宜用此汤剂调和。身体沉重和突然暴下的泄泻属于大势所趋,也适宜用调和的方法。
白术、芍药(各一两),甘草(五钱)。
以上药物切碎,每次服用一两,加水煎煮。
【治湿泻茯苓汤】又治疗食积泄泻及湿热证。
白术、茯苓(各七钱半)。
以上药物捣碎,每次服用一两,加水煎煮,饭前服用。另一版本方中有芍药三味药等分,名为白术散。
按语:以上三方均为中和脾胃、祛除湿邪的方剂,涉及足太阴脾经和足阳明胃经的药物。白术味甘入胃,能祛除脾胃之湿;芍药味酸涩,能清除胃中之湿热;茯苓能通利水道以祛除湿邪。这三味药是治疗泄痢必须使用的药物。
【苍术芍药汤】症状如前所述。
苍术(二两),芍药(一两),黄芩(半两)。
以上药物切碎,每次服用一两,加入淡味桂枝半钱,加水煎服,取清液。
按语:此为解散上中二焦湿热的方剂,属于太阴经的药物。
【良方胃苓汤】治疗夏秋季节因脾胃受冷水损伤,导致水谷不分、泄泻不止。
五苓散、平胃散。
将两方合在一起,加生姜、大枣煎煮,空腹服用。
按语:此为表里双解、祛除湿邪的方剂,即李东垣所说的“上下分消其湿”,涉及太阳经和太阴经的药物,出自《伤寒论》阳明饮痞例。
【仲景五苓散】
【宣明益元散】(方剂详情并见湿剂章节)
按语:以上两个方剂均为祛除湿邪、通利小便的方剂,属于太阳经的药物。
【机要防风芍药汤】治疗泄痢、飧泄(完谷不化的泄泻),伴有身体发热、脉弦、腹痛以及头痛,并有微微出汗的症状。
防风、芍药、黄芩(各一两)。
以上药物捣碎,每次服用半两,加水煎煮,取清液服用。
按语:此为治疗风邪的辛凉方剂,涉及太阴经和太阳经的药物。
【苍术防风汤】治疗泄痢,脉弦,头部轻微疼痛。
苍术(二两),防风(一两)。
另一版本方中:苍术四两,麻黄一两,防风五钱,生姜七片,加水煎煮。
按语:此为足太阴脾经和足阳明胃经的药物。
【良方神术散】治疗春季感受风邪,夏季必然发生飧泄。
苍术(一斤),藁本、川芎(各六两),羌活(四两),粉草(甘草)、细辛(一两六钱)。
以上制成粗末,每次服用三钱,加生姜三片煎煮。若要发汗,可加入葱白。
按语:以上三个方剂均为治疗风邪胜湿的辛温方剂,属于太阳经的药物。
【局方胃气汤】治疗大人小儿因风冷乘虚侵入肠胃,导致水谷不化、泄泻注下。(方剂详情见滞下门)
按语:此方名为治风,实则具有调和气血的作用。
[Jiyao Baizhu Shaoyao Tang] Treats diarrhea caused by dampness invading the Taiyin Spleen Meridian, characterized by watery stools flowing down heavily, body heaviness, slight fullness, fatigue and weakness, loss of appetite, sudden onset of frequent diarrhea with undigested food. This decoction is suitable for harmonizing. Body heaviness and sudden violent diarrhea indicate a major pathological trend, which also requires harmonization.
Baizhu (Atractylodis Rhizoma), Shaoyao (Paeoniae Radix Alba) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (5 qian).
The above herbs are cut into pieces; each dose of 1 liang is boiled in water.
[Zhi Shi Xie Fuling Tang] Also treats food stagnation diarrhea and damp-heat syndromes.
Baizhu (Atractylodis Rhizoma), Fuling (Poria) (each 7.5 qian).
The above herbs are crushed; each dose of 1 liang is boiled in water and taken before meals. Another version includes Shaoyao (Paeoniae Radix Alba) with three ingredients in equal proportions, named Baizhu San.
Commentary: The above three formulas are harmonizing and damp-draining agents involving the Foot-Taiyin Splein Meridian and Foot-Yangming Stomach Meridian. Baizhu (Atractylodis Rhizoma) is sweet and enters the stomach to remove dampness from the spleen and stomach; Shaoyao (Paeoniae Radix Alba) is sour and astringent, clearing damp-heat in the stomach; Fuling (Poria) promotes water metabolism to drain dampness. These three herbs are essential for treating dysentery and diarrhea.
[Cangzhu Shaoyao Tang] Symptoms as described above.
Cangzhu (Atractylodis Rhizoma) (2 liang), Shaoyao (Paeoniae Radix Alba) (1 liang), Huangqin (Scutellariae Radix) (0.5 liang).
The above herbs are cut into pieces; each dose of 1 liang is boiled in water with Danwei Guizhi (Ramulus Cinnamomi) (0.5 qian), and the clear liquid is taken.
Commentary: This is a formula to dissipate damp-heat in the Upper and Middle Jiao, belonging to the Taiyin Meridian drugs.
[Liangfang Weiling Tang] Treats diarrhea where water and grain are indistinguishable due to cold water damaging the spleen and stomach during summer and autumn, resulting in incessant diarrhea.
Wuling San (Five-Ingredient Powder with Poria), Pingwei San (Powder to Maintain Uprightness).
Combine the two formulas, boil with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus), and take on an empty stomach.
Commentary: This is a formula that drains dampness from both the exterior and interior, corresponding to Li Dongyuan’s concept of "draining dampness from above and below." It involves the Taiyang and Taiyin meridians and originates from the Yangming Yin-Pi example in Zhang Zhongjing's works.
[Zhang Zhongjing Wuling San]
[Xuanming Yiyuan San] (Formula details see Dampness Agents section)
Commentary: The above two formulas are damp-draining and diuretic agents, belonging to the Taiyang Meridian drugs.
[Jiyao Fangfeng Shaoyao Tang] Treats dysentery, Sun-Xie (diarrhea with undigested food), accompanied by fever, wiry pulse, abdominal pain, headache, and slight sweating.
Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix) (each 1 liang).
The above herbs are crushed; each dose of 0.5 liang is boiled in water, and the clear liquid is taken.
Commentary: This is a pungent-cool formula for treating wind, involving the Taiyin and Taiyang meridians.
[Cangzhu Fangfeng Tang] Treats dysentery, wiry pulse, and slight headache.
Cangzhu (Atractylodis Rhizoma) (2 liang), Fangfeng (Saposhnikoviae Radix) (1 liang).
Another version: Cangzhu (Atractylodis Rhizoma) (4 liang), Mahuang (Ephedrae Herba) (1 liang), Fangfeng (Saposhnikoviae Radix) (0.5 qian), Shengjiang (Zingiberis Rhizoma Recens) (7 slices), boiled in water.
Commentary: These are drugs of the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian.
[Liangfang Shenzhu San] Treats wind injury in spring leading to Sun-Xie (diarrhea with undigested food) in summer.
Cangzhu (Atractylodis Rhizoma) (1 jin), Ben Cao (Ligustici Rhizoma et Radix), Chuanxiong (Chuanxiong Rhizoma) (each 6 liang), Qianghuo (Notopterygii Rhizoma et Radix) (4 liang), Fencao (Glycyrrhizae Radix et Rhizoma), Xixin (Asari Radix et Rhizoma) (1.6 qian).
The above are made into coarse powder; each dose of 3 qian is boiled with Shengjiang (Zingiberis Rhizoma Recens) (3 slices). To induce sweating, add Congbai (Allii Fistulosi Bulbus).
Commentary: The above three formulas are pungent-warm agents for treating wind overcoming dampness, belonging to the Taiyang Meridian drugs.
[Jufang Weiqi Tang] Treats adults and children whose intestines and stomach are invaded by wind-cold due to deficiency, causing indigestion of water and grain and profuse watery diarrhea. (Formula details see Dysentery Section)
Commentary: Although named for treating wind, this formula actually possesses blood-harmonizing properties.