川乌(一两) 白附子(二两) 南星(三两) 半夏(七两)
上四生物作一家,碾极细,绢袋盛,置瓷盆,泉水摆出粉,粉尽俟澄,则换水漂,相天寒热,露晒三五七日,
阴干,糯米煮稀糊,丸如绿豆大,每服二十丸,姜汤下,兼风薄荷酒,尤佳。
风盛则痰壅、痰壅则气升,或寒或热,发为呕吐泄泻口眼 斜,手足瘫痪,小儿惊风。故用半夏、南星之辛,
以散寒 湿,川乌、白附之热,以温经逐风。浸而暴之,杀其毒也。喻嘉言曰∶此治风痰之上药,然热痰迷窍者
非宜。青州范公亭,井泉清冽,浣物迥洁白,拟以名方,盖美之也。
诗曰∶青州丸子,川乌白附,半夏南星,四合生做。
橘皮(一两) 青皮(三钱) 丁香(二钱) 诃黎勒 甘草(五钱)
小儿面黄睛黄,食不化,及滑肠颐滞,主此方。
胃主受纳,脾主消磨,今能纳而不能化,责脾虚。滑肠者,肠滑而飧泄也。颐滞者,颐颌之下多涎滞也。面
黄睛黄,皆土弱不能摄水之象。火能生土,故用丁香;甘能补土,故用甘草;涩能止滑,故用诃子;及青橘二皮,
取渠快膈平肝,能抑其所不胜尔。
诗曰∶益黄青陈橘,丁香诃黎勒,小儿脾气亏,甘草同调燮。
上症还须理中等方,此散恐不合式,学人审诸。
人参 白术 茯苓 甘草 橘皮 半夏 黄 羌活 独活 防风 柴胡 黄连 白芍 泽泻
风热不制之证,当从凉散。服之反体重节痛,口干无味,二便失常,饮食不化,洒淅恶寒。此盖脾胃虚衰,
不能
鼓荡阳气,荣渥水木。致湿淫于内,体重节痛,饱闷不嗜食,而食亦无味。甚则阴胜湿愈盛,故洒淅恶寒,大便
泻下。久湿乃生热,故口苦舌干,小便秘结。是方异攻散,中虚湿淫之主药也,羌、防、柴、独除湿痛而升清,
半夏、连、泽 湿热而降浊,更有黄 之助阳,芍药之理阴,则散中有补,发中带收,脾胃互益矣。如中病,除
连、泽、羌、独活,加砂仁、当归为妙。
诗曰∶升阳益胃只参 ,术草柴苓夏橘皮,白芍黄连防有碍,独羌活泽用何为。
川乌(一两) 白附子(二两) 天南星(三两) 半夏(七两)
以上四味药材均使用生品,一同研磨成极细粉末,装入丝绢袋中,放入瓷盆内,用泉水反复漂洗出粉。待粉末完全析出后,等待沉淀,然后更换清水继续漂洗。根据天气的寒热情况,露天晾晒三至七天,阴干后,用糯米煮成的稀薄米糊作为粘合剂,制成如绿豆大小的药丸。每次服用二十丸,用姜汤送服;若兼有风邪,可用薄荷酒送服,效果更佳。
风气过盛则导致痰液壅塞,痰液壅塞则导致气机上逆,无论感受寒邪还是热邪,都可能引发呕吐、泄泻、口眼歪斜、手足瘫痪以及小儿惊风等症状。因此,使用半夏、天南星的辛温之性,以散除寒湿;使用川乌、白附子的热性,以温通经络、驱逐风邪。经过浸泡和暴晒处理,是为了消除其毒性。喻嘉言说:这是治疗风痰的上等药物,但对于热痰迷窍的患者并不适宜。青州范公亭的井水清澈凛冽,洗涤物品格外洁白,以此命名此方,是赞美之意。
诗曰:青州丸子,由川乌、白附子、半夏、天南星四味生药合制而成。
橘皮(一两) 青皮(三钱) 丁香(二钱) 诃黎勒 甘草(五钱)
主治小儿面色发黄、眼珠发黄、食物不消化,以及肠滑腹泻、下颌部位涎液停滞的症状。
胃主受纳食物,脾主消磨运化。现在能够受纳但不能运化,责任在于脾虚。所谓“滑肠”,是指肠道松弛导致的完谷不化的泄泻。所谓“颐滞”,是指下颌部位有多余的涎液停滞。面色黄、眼珠黄,都是土气虚弱不能制约水湿的表现。火能生土,所以使用丁香;甘味能补益脾气,所以使用甘草;涩味能止住滑脱,所以使用诃子;再加上青皮和陈皮,取它们宽胸快膈、平抑肝气的功效,能够抑制肝木对脾土的克制。
诗曰:益黄散由青皮、陈皮、橘皮组成,配以丁香、诃黎勒,针对小儿脾气亏损,再用甘草共同调和燮理。
上述症状还需要配合理中汤等方剂治疗,此散剂恐怕不完全符合规范,学习的人请仔细审察。
人参 白术 茯苓 甘草 橘皮 半夏 黄芪 羌活 独活 防风 柴胡 黄连 白芍 泽泻
对于风热不受制约的病证,应当采用清凉发散的方法治疗。如果服药后反而出现身体沉重、关节疼痛、口干无味、大小便失常、饮食不消化的症状,甚至出现战栗恶寒,这是因为脾胃虚弱衰败,不能鼓动阳气,滋养水木二脏。导致湿气在体内泛滥,出现身体沉重、关节疼痛、饱胀闷痛、食欲不振且食之无味。严重时阴气胜而湿气更盛,所以出现战栗恶寒、大便泄泻。久湿而生热,所以出现口苦舌干、小便短赤便秘。这个方子是异攻散的变方,是针对中焦虚弱、湿气泛滥的主药。其中羌活、防风、柴胡、独活能除湿止痛并升发清阳;半夏、黄连、泽泻能清除湿热并降泄浊阴;更有黄芪辅助阳气,白芍调理阴血,这样使得发散之中带有补益,发汗之中带有收敛,脾胃相互受益。如果病情好转,去掉黄连、泽泻、羌活、独活,加入砂仁、当归更为巧妙。
诗曰:升阳益胃汤只用人参、黄芪、白术、甘草、柴胡、茯苓、半夏、橘皮,白芍、黄连、防风若有妨碍,独活、羌活、泽泻又作何用?
Chuanwu (Radix Aconiti Lateralis Preparata, 1 liang), Baifuzi (Rhizoma Typhonii, 2 liang), Nanting (Rhizoma Arisaematis, 3 liang), Banxia (Rhizoma Pinelliae, 7 liang).
The above four herbs are used in their raw state, ground together into an extremely fine powder, placed in a silk bag, and set in a porcelain basin. Rinse with spring water to extract the starch. Once the powder is fully extracted, allow it to settle, then change the water and rinse again. Depending on the seasonal temperature, expose to the air for three to seven days, then dry in the shade. Use a thin paste made from boiled glutinous rice as a binder to form pills the size of mung beans. Take twenty pills per dose, washed down with ginger decoction; if wind pathogen is present, mint wine is especially effective.
Excessive wind leads to phlegm obstruction; phlegm obstruction leads to qi rebellion. Whether due to cold or heat, this may manifest as vomiting, diarrhea, deviation of the mouth and eyes, paralysis of the limbs, and pediatric convulsions. Therefore, the pungent nature of Banxia and Nanting is used to disperse cold-dampness; the hot nature of Chuanwu and Baifuzi is used to warm the meridians and expel wind. The processes of soaking and sun-drying serve to reduce their toxicity. Yu Jiayan stated: "This is a superior remedy for treating wind-phlegm, but it is not suitable for patients with heat-phlegm clouding the orifices." The well water at Fan Gong Ting in Qingzhou is clear and crisp, washing objects exceptionally white; the formula is named after this place out of admiration.
Poem: Qingzhou Pills, composed of Chuanwu, Baifuzi, Banxia, and Nanting, prepared together from raw materials.
Jupi (Pericarpium Citri Reticulatae, 1 liang), Qingpi (Pericarpium Citri Reticulatae Viride, 3 qian), Dingxiang (Flos Caryophylli, 2 qian), Helile (Fructus Terminaliae Chebulae), Gancao (Radix Glycyrrhizae Uralensis, 5 qian).
Indicated for pediatric cases presenting with yellow complexion, yellow sclera, indigestion, intestinal slippage with diarrhea, and stagnation of saliva below the jaw.
The Stomach governs reception, while the Spleen governs digestion and transformation. The current condition of receiving but failing to transform indicates Spleen deficiency. "Intestinal slippage" refers to diarrhea with undigested food due to lax intestines. "Yi zhi" (jaw stagnation) refers to the accumulation of saliva below the mandible. Yellow complexion and yellow sclera are signs of weak Earth failing to control Water. Fire generates Earth, hence Dingxiang is used; Sweet flavor tonifies Earth, hence Gancao is used; Astringent flavor stops slippage, hence Helile is used; along with Qingpi and Chenpi (aged tangerine peel), chosen for their ability to promote chest qi, calm Liver, and suppress the element that overacts upon Earth (Wood).
Poem: Yihuang San consists of Qingpi, Chenpi, and Jupi, combined with Dingxiang and Helile; for pediatric Spleen Qi deficiency, Gancao is added to harmonize and regulate.
For the aforementioned symptoms, formulas regulating the Middle Jiao (such as Lizhong Tang) should also be considered; this powder may not be entirely appropriate. Practitioners should exercise careful judgment.
Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae Uralensis), Jupi (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae), Huangqi (Radix Astragali Membranacei), Qianghuo (Rhizoma et Radix Notopterygii), Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae), Chaihu (Radix Bupleuri), Huanglian (Rhizoma Coptidis), Baishao (Radix Paeoniae Rubra), Zexie (Rhizoma Alismatis).
For conditions where Wind-Heat is uncontrolled, cooling dispersal methods should be employed. If administration results instead in heavy body sensation, joint pain, dry mouth, loss of taste, abnormal urination and defecation, and indigestion, accompanied by aversion to cold with shivering, this indicates Spleen-Stomach deficiency and decline. The organs fail to stir Yang Qi to nourish Water and Wood. This leads to internal dampness flooding, causing heaviness, joint pain, fullness, poor appetite, and lack of taste. In severe cases, Yin dominance exacerbates dampness, leading to shivering aversion to cold and loose stools. Prolonged dampness generates Heat, resulting in bitter taste, dry tongue, and scanty, constipated urine. This formula is a variation of Yigong San, the primary prescription for Middle Jiao deficiency with dampness flooding. Qianghuo, Fangfeng, Chaihu, and Duhuo dispel dampness, relieve pain, and ascend Clear Qi; Banxia, Huanglian, and Zexie clear damp-heat and descend Turbid Yin; Huangqi assists Yang Qi, and Baishao regulates Yin. Thus, dispersal contains tonification, and sweating includes retention, mutually benefiting the Spleen and Stomach. If the disease responds, remove Huanglian, Zexie, Qianghuo, and Duhuo, and add Renchen (Amomi Fructus Rotundus) and Danggui (Radix Angelicae Sinensis) for optimal effect.
Poem: Shengyang Yiwang Tang uses only Renshen, Huangqi, Baizhu, Gancao, Chaihu, Fuling, Banxia, and Jupi; if Baishao, Huanglian, and Fangfeng cause hindrance, what is the purpose of Duhuo, Qianghuo, and Zexie?