地黄 大黄 当归 红花 麻仁 郁李仁 桃仁(各五钱) 荆芥穗 赤芍药(各三钱)
肠结睛痛,此方主之。
肠结便黑而坚,盖血燥也。今曰睛痛,则久燥变热,风欲动矣。燥者润之,归、地、三仁润物也。热者寒之,
大黄、红花寒物也。少入荆、芍者,正防其风为厉耳。
诗曰∶虻蛭桃黄汤异样,对症理宜无抵当,通幽当归熟地将,仍用桃仁制大黄,麻仁郁李荆穗芍,因性相从
丸合作,制黄一味力相侔,利中还有白牵牛。
大黄(八两) 芍药(四两) 大元地 甘草(各三两) 黄芩 干漆 桃仁 杏仁(各二两) 蛴螬 虻虫 水
蛭 虫(各半斤)
五劳病极,内有干血,致肌肤甲错,两目黑暗,此方主之。
吴鹤皋曰∶浊阴不降,则清阳不升,天地之道也。小人不退,则君子不进,家国之道也。干血不去,则新血
不生,人身之道也。干漆、桃仁、虻虫、水蛭、蛴螬、 虫,去血之品,君以大黄,是听令于将军矣。乃芩、芍、
地黄,去车火而存杯水。杏仁、甘草,泽焦土而培枯木。仲景为医方宗匠,良有特识。今世一遇劳伤羸瘦,用滋
阴清热不愈,则坐以待毙。呜呼!术岂止于此耶。
诗曰∶腐草蛴螬水田蛭, 虫虻虫干地漆,大黄芩芍杏桃仁,法制蜜丸疗瘵疾。
(紫苏子、白芥子、莱菔子煎浓汁,和蜜丸)
大黄(四两) 黄芩(二两) 礞石(硝煮,飞,一两) 沉香(五钱)
实热老痰,见诸怪症,此方主之。
痰之实也由于气,气动则痰行,故用沉香、三子以降气。痰之老也由于火,火盛则痰结,故用礞石、二黄以
泻火。
诗曰∶滚痰丸,大黄芩,金礞石,海南沉。
【通幽丸】
药材:地黄、大黄、当归、红花、火麻仁、郁李仁、桃仁(各五钱);荆芥穗、赤芍药(各三钱)。
主治:肠道结滞且眼睛疼痛,此方主治。
解析:肠道结滞导致大便黑而坚硬,这是因为血燥所致。现在提到眼睛疼痛,说明久燥化热,风邪欲动。对于燥证应当滋润,当归、地黄及三种仁类(火麻仁、郁李仁、桃仁)是润燥的药物。对于热证应当寒凉清热,大黄、红花是寒凉性质的药物。少量加入荆芥穗、赤芍药,正是为了防止风邪肆虐。
诗曰:虻虫、水蛭、桃仁、大黄的汤剂性质各异,对症施治理应不用抵当汤。通幽丸用当归和熟地黄,仍使用桃仁制约大黄,加上火麻仁、郁李仁、荆芥穗和赤芍药,因药性相合制成丸剂。单味制大黄的效力相当,利下之中还含有白牵牛。
【瘵疾丸】
药材:大黄(八两)、芍药(四两)、大元地(即地黄)、甘草(各三两)、黄芩、干漆、桃仁、杏仁(各二两)、蛴螬、虻虫、水蛭、䗪虫(各半斤)。
主治:五种劳损病发展到极点,体内有干血,导致肌肤粗糙如鳞甲交错,两眼昏暗无神,此方主治。
吴鹤皋说:浊阴之气不下降,清阳之气就不能上升,这是天地的规律。小人不得退让,君子就不能进用,这是家国的规律。干血不去除,新血就不能生成,这是人体的规律。干漆、桃仁、虻虫、水蛭、蛴螬、䗪虫,都是祛除瘀血的药物,以大黄为君药,就像听命于将军一样。至于黄芩、芍药、地黄,是为了去除车薪之火而保存杯水之阴。杏仁、甘草,是为了润泽焦土而培育枯木。张仲景是医方宗师,确实有独到的见识。当今世人一遇到劳伤导致的身体消瘦,如果使用滋阴清热法无效,就坐以待毙。唉!医术难道只有这些吗?
诗曰:腐草化为蛴螬,水田中有水蛭,䗪虫、虻虫、干地黄、干漆,配合大黄、黄芩、芍药、杏仁、桃仁,依法制作蜜丸治疗痨瘵疾病。
【滚痰丸】
辅料:紫苏子、白芥子、莱菔子煎取浓汁,与蜂蜜混合制丸。
药材:大黄(四两)、黄芩(二两)、礞石(用硝砂煮过,飞研,一两)、沉香(五钱)。
主治:实热老痰,表现出各种怪异症状,此方主治。
解析:痰的实证是由于气机阻滞,气机运动则痰随之运行,所以用沉香和三子(紫苏子、白芥子、莱菔子)来降气。痰的老结是由于火邪炽盛,火势旺盛则痰液凝结,所以用礞石和大黄、黄芩(二黄)来泻火。
诗曰:滚痰丸,由大黄、黄芩、金礞石、海南沉香组成。
[Tongyou Wan]
Ingredients: Dihuang (Rehmanniae Radix Preparata), Dahuang (Rhei Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Honghua (Carthami Flos), Mahren (Semen Cannabis), Yuliren (Semen Pruni), Taoren (Semen Persicae) (each 5 qian); Jingjiesui (Herba Schizonepetae), Chishao (Paeoniae Radix Rubra) (each 3 qian).
Indications: Intestinal constipation accompanied by eye pain; this formula is indicated.
Analysis: Intestinal constipation resulting in hard, black stools is due to blood dryness. The mention of eye pain indicates that prolonged dryness has transformed into heat, and wind pathogen is about to stir. For dryness, moistening is required; Danggui, Dihuang, and the three types of seeds (Mahern, Yuliren, Taoren) are moistening agents. For heat, cooling is required; Dahuang and Honghua are cooling substances. A small amount of Jingjiesui and Chishao is added precisely to prevent the wind pathogen from becoming severe.
Poem states: The decoctions of Mengchong (Leech), Shizhi (Water Leech), Taoren, and Dahuang have different properties; treating according to syndrome should avoid using Didang Tang. Tongyou Wan uses Danggui and prepared Dihuang, still employing Taoren to moderate Dahuang, along with Mahren, Yuliren, Jingjiesui, and Chishao; combined due to compatible properties into pills. The efficacy of processed Dahuang alone is comparable; within the purgative action, Baiqianniu (Radix Stemonae) is also included.
[Zhaiji Wan]
Ingredients: Dahuang (8 liang), Shaoyao (Paeoniae Radix), Dayuandi (Dihuang, Rehmanniae Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang); Huangqin (Scutellariae Radix), Ganqi (Resina Taxodi), Taoren (Semen Persicae), Xingren (Semen Armeniacae Amarum) (each 2 liang); Qicao (Melandrya Larva), Mengchong (Hirudo), Shizhi (Whitmania Pigra), Bichong (Eupolyphaga Seu Steleophaga) (each 0.5 jin).
Indications: In advanced stages of the five kinds of consumptive diseases, with dried blood retained internally, causing skin roughness resembling fish scales and darkened vision; this formula is indicated.
Wu Hegao said: When turbid yin does not descend, clear yang cannot ascend; this is the way of heaven and earth. When petty persons do not withdraw, virtuous men cannot advance; this is the way of family and state. When dried blood is not expelled, new blood cannot be generated; this is the way of the human body. Ganqi, Taoren, Mengchong, Shizhi, Qicao, and Bichong are herbs that remove blood stasis. With Dahuang as the sovereign herb, they obey orders like generals. Huangqin, Shaoyao, and Dihuang extinguish the fire of a burning cart while preserving the water in a cup. Xingren and Gancao moisten scorched earth and nurture withered wood. Zhang Zhongjing was the master of medical formulas, possessing unique insight. Nowadays, when people encounter emaciation due to consumptive injury, if nourishing yin and clearing heat fails, they sit and wait for death. Alas! Is medicine limited to only this?
Poem states: Qicao transforms from decaying grass, Shizhi dwells in paddy fields; Bichong, Mengchong, Gan Di Huang, and Ganqi, combined with Dahuang, Huangqin, Shaoyao, Xingren, and Taoren, are made into honeyed pills according to method to treat zhaiji (consumptive disease).
[Gun Tan Wan]
Adjuvant: Decoct Zisuzi (Perillae Fructus), Baijiezi (Semen Sinapis Albae), and Laifuzi (Radix Raphani) to make a thick juice, mix with honey to form pills.
Ingredients: Dahuang (4 liang), Huangqin (2 liang), Mengshi (Calcareous Schist, boiled with Natrii Sulfas, levigated, 1 liang), Chenxiang (Aquilariae Lignum Resinatum) (5 qian).
Indications: Excess heat and old phlegm manifesting as various bizarre symptoms; this formula is indicated.
Analysis: The excess nature of phlegm stems from qi stagnation; when qi moves, phlegm follows. Therefore, Chenxiang and the three seeds (Zisuzi, Baijiezi, Laifuzi) are used to direct qi downward. The aged nature of phlegm stems from fire; when fire is excessive, phlegm knots. Therefore, Mengshi and Erhuang (Dahuang and Huangqin) are used to purge fire.
Poem states: Gun Tan Wan consists of Dahuang, Huangqin, Jinmengshi (Gold Mengshi), and Hainan Chenxiang.