芦荟 胡黄连 龙胆草 芎 芜荑(各六钱) 当归 白芍(各两半) 木香(八钱) 甘草(五钱)
上方以木香、甘草、芍药和气疏土,当归芎 养血营肌,胡连、龙胆疗骨蒸痨热,芦荟、白芜荑杀有形疳虫。
除疳积外,并治久染风热,以致目生云翳,肌体消瘦,发热作渴,暨口牙耳项疮蚀瘰结等症。
诗曰∶胆草非木香,芎 尽芜荑,连黄芍药白,甘草合当归。
白术 石膏( ) 滑石 芎 防风 桔梗 荆芥 前胡 柴胡 甘草 薄荷 黄芩 知母 芍药 栀仁 当归
大黄(制) 芒硝
膏粱过味,病发酷烈,此方主之。
膏粱本卫生急需,过味则气血随变。再禀受素浓,胃阳亢害,自尔目暴赤肿,如怀如蛤,继而凝脂,花白层
见错出,不得不处此寒方,权行威令。所谓逆则攻之,急治其标者也。然寒药多伤气,故以白术甘扶其胃,胃气
宁,则芎 、防风、薄荷、荆芥、柴胡可以升而散之。以当归、芍药顾其阴,阴血固则前胡、桔梗、山栀、黄芩、
滑石可以清而导之。石膏、知母荡其热,速其去也。大黄、芒硝洁净府,善其后也。非膏粱致变,非气血素浓,
进此不合,恐阴盛逼阳上亢。须问切详明,不可见症医症。
诗曰∶栀人膏石炼硝黄,术廪荆柴户恰当,知母曷防风作梗,芎芩芍草薄前厢。
芦荟、胡黄连、龙胆草、川芎(Xiongqiong, 即川芎)、芜荑(各六钱),当归、白芍(各一两半),木香(八钱),甘草(五钱)。
上方中,木香、甘草、芍药用于调和肝气、疏理脾气;当归、川芎用于养血以滋养肌肉;胡黄连、龙胆草用于治疗骨蒸劳热;芦荟、白芜荑用于杀灭有形的疳虫。
此方除治疗疳积外,还兼治长期感染风热,导致眼睛生出云翳,身体消瘦,发热且口渴,以及口腔、牙齿、耳朵、颈部出现疮疡溃烂、瘰疬结块等症状。
诗曰:胆草非木香,川芎尽配芜荑,黄连黄芩芍药白,甘草合当归。
白术、石膏(用量未注明)、滑石、川芎、防风、桔梗、荆芥、前胡、柴胡、甘草、薄荷、黄芩、知母、芍药、栀子仁、当归、大黄(炮制过的)、芒硝。
饮食过于肥甘厚味,引发的病势猛烈酷烈,此方主治之。
膏粱厚味本是养生急需之物,但过度食用则会导致气血随之发生变异。再加上禀赋素来浓厚,胃阳亢盛为害,自然导致眼睛突然红肿,像怀孕或蛤蟆一样肿胀,继而出现凝脂,花白之色层层错出,不得不使用这种寒凉方剂,暂行使威严的攻伐之法。这就是所谓的“逆则攻之”,紧急治疗其标症。然而寒凉药物多会损伤正气,所以用白术的甘味来扶助胃气,胃气安宁,那么川芎、防风、薄荷、荆芥、柴胡就可以升发而疏散邪气。用当归、芍药来顾护阴液,阴血稳固,那么前胡、桔梗、山栀、黄芩、滑石就可以清利而导引邪热下行。石膏、知母荡涤热邪,加速其离去。大黄、芒硝洁净下焦(膀胱/肠道),善后处理。如果不是因为膏粱厚味导致病变,不是由于气血素来浓厚,进服此方不合宜,恐怕会导致阴盛逼阳上亢。必须问诊切脉详细明确,不可见症医症(仅针对症状治疗而不究病因)。
诗曰:栀子仁、石膏、炼硝、大黄,白术、廪米(指脾胃)、荆芥、柴胡、户(指腠理)恰当,知母、曷(何)、防风、作梗(桔梗),川芎、黄芩、芍药、甘草、薄荷、前胡在厢(辅助位置)。
Aloe vera (Luhui), Picrorhiza rhizome (Huhuanglian), Gentian root (Longdancao), Ligusticum chuanxiong rhizome (Chuanxiong), Pyrus pyrifolia seed (Wuyi) (each 6 qian), Angelica sinensis (Danggui), White peony root (Baishao) (each 1.5 liang), Aucklandia root (Muxiang) (8 qian), Licorice root (Gancao) (5 qian).
In the above formula, Muxiang, Gancao, and Baishao harmonize Liver Qi and soothe Spleen Earth; Danggui and Chuanxiong nourish Blood to benefit muscle tissue; Huhuanglian and Longdancao treat bone-steaming consumptive fever; Luhui and Bai Wuyi kill tangible pinworms (Ganchong).
Besides treating abdominal masses due to malnutrition (Ganji), this formula also treats conditions caused by long-term wind-heat invasion, resulting in corneal opacity (Yunyi), emaciation, fever with thirst, as well as sores and ulcerations in the mouth, teeth, ears, and neck, and scrofula (Luojie).
Poem says: Gentian is not Muxiang, Chuanxiong pairs fully with Wuyi, Huanglian, Huangqin, Baishao, Gancao combines with Danggui.
Atractylodes macrocephala rhizome (Baizhu), Gypsum fibrosum (Shigao) (dosage unspecified), Talcum (Huashi), Ligusticum chuanxiong rhizome (Chuanxiong), Saposhnikovia root (Fangfeng), Platycodon root (Jiegeng), Schizonepeta spike (Jingjie), Peucedanum root (Qianhu), Bupleurum root (Chaihu), Licorice root (Gancao), Mint herb (Bohe), Scutellaria root (Huangqin), Anemarrhena rhizome (Zhimu), White peony root (Shaoyao), Gardenia fruit (Zhiren), Angelica sinensis (Danggui), Rhubarb rhizome (Dahuang, processed), Mirabilite (Mangxiao).
Excessive consumption of rich and sweet foods leads to severe and violent pathogenesis; this formula governs such cases.
Rich and sweet foods are originally necessary for health maintenance, but overindulgence causes Qi and Blood to undergo pathological changes. Combined with a constitution that is inherently robust, leading to hyperactive Stomach Yang, the eyes suddenly become red and swollen, resembling pregnancy or a toad, followed by the appearance of purulent membranes (Ningzhi) and white-yellow layers emerging in disorder. It becomes necessary to employ this cold-natured formula to temporarily exert vigorous purgative authority. This is what is meant by "when the pathogen is contrary, attack it," urgently treating the branch symptoms. However, cold medicines often damage Qi; therefore, the sweetness of Baizhu is used to support Stomach Qi. Once Stomach Qi is tranquil, Chuanxiong, Fangfeng, Bohe, Jingjie, and Chaihu can ascend and disperse the pathogen. Danggui and Shaoyao are used to protect Yin; once Yin and Blood are solidified, Qianjie, Jiegeng, Zhizi, Huangqin, and Huashi can clear and guide the heat downward. Shigao and Zhimu sweep away heat, accelerating its departure. Dahuang and Mangxiao cleanse the Lower Jiao (Bladder/Intestines) and handle the aftermath. If the pathology is not caused by rich foods, nor is the constitution inherently robust, administering this formula is inappropriate, as it may cause Yin excess to force Yang to hyperactivity on top. One must inquire and palpate thoroughly; one must not merely treat symptoms without addressing the root cause.
Poem says: Zhiren, Shigao, refined Mangxiao, Dahuang; Baizhu, Pi (Spleen/Stomach), Jingjie, Chaihu, Li (Defense); Zhimu, He (Why/How), Fangfeng, Zuo geng (Jiegeng); Chuanxiong, Huangqin, Shaoyao, Gancao, Bohe, Qianhu in auxiliary positions.