即四物汤去地黄芍药一名芎归汤一名当归汤一名佛手散一名琥珀散一名验胎散治月
调心腹病痛又治血虚头痛产后并一切去血过多烦晕
即四物汤去芎归加犀角牡丹皮治伤寒阳明病口燥漱水不欲咽者必衄服之又治衄
又治衄而头汗出或身上有汗不至足者乃难治加京墨三匙又治伤寒吐血又治伤寒及瘟
不发内有瘀血吐衄面黄大便黑者又治风热太甚眼目赤肿喉闭口疮丹毒又治虚劳火动
热移于肺咳嗽吐血
即犀角地黄丸料 咀水煎服治畜血上焦或呕或衄或吐胸中手不可近热多加黄芩
腹不满自言满者无热也不必加之原云如无犀角以升麻代之升麻与犀角性味主治不同
之者以是知引入阳也治疮疹大盛一方去芍药加朱砂黄连白茯苓甘草治心经邪热言语
心惕恍惚惑忘
即四物汤去当归加生地黄熟地黄白芍药秦艽黄芩(各一钱五分)防风(一钱)甘草
分)治皮肤皴揭筋燥爪干
即四物汤去地黄芍药加精羊肉(一两)治虚损羸乏腹中疼痛往来寒热呼吸少气不能支
头晕自汗
即羊肉汤去川芎加生姜(五两)以水八升煮取三升温服七合日三服治寒疝腹
里急若寒多者加生姜成(一斤)痛多而呕者加橘皮(二两)白术(一两)加生姜者亦加
升)煮取三升二合服之
这就是四物汤去掉地黄和芍药,又名芎归汤、又名当归汤、又名佛手散、又名琥珀散、又名验胎散。主治月经失调引起的心腹疼痛,又治疗血虚引起的头痛、产后病以及一切因失血过多导致的烦闷眩晕。
这就是四物汤去掉川芎和当归,加入犀角和牡丹皮。主治伤寒阳明病出现口干想漱口但不想咽下,必然发生鼻衄(鼻出血)的情况,服用此方;又治疗鼻衄;又治疗鼻衄且头部出汗,或者身上有汗但不到足部的情况,这属于难治之症,可加入京墨三匙;又治疗伤寒吐血;又治疗伤寒及瘟疫,体内有瘀血,出现吐衄、面色黄、大便黑的情况;又治疗风热太甚导致的眼目红肿、喉闭、口疮、丹毒;又治疗虚劳火动,热邪移于肺脏,导致咳嗽吐血。
这就是犀角地黄丸的药料,切碎后用水煎服。主治蓄血在上焦,或者呕吐,或者鼻衄,或者吐出胸中之物,手不可触碰,感觉灼热;如果热象加重,多加黄芩;腹部不胀满但病人自述胀满的,没有实热,也不必加黄芩。原书说如果没有犀角可以用升麻代替,但升麻与犀角的性味和主治不同,之所以用升麻代替,是因为它是为了引入阳气。治疗疮疹盛大的一方,去掉芍药,加入朱砂、黄连、白茯苓、甘草。治疗心经邪热导致的言语错乱、心中惊惕、恍惚、迷惑健忘。
这就是四物汤去掉地黄和芍药,只用当归,将川芎研成粉末,用艾叶汤调服。用于安胎。
这就是四物汤去掉当归,加入生地黄、熟地黄、白芍药、秦艽、黄芩(各一钱五分)、防风(一钱)、甘草(一钱五分)。治疗皮肤皲裂揭起、筋脉干燥、指甲干枯。
这就是四物汤去掉地黄和芍药,加入精羊肉(一两)。治疗虚损羸弱乏力、腹中疼痛、往来寒热、呼吸短气不能支撑、头晕、自汗。
这就是羊肉汤去掉川芎,加入生姜(五两),用水八升煮取三升,温服七合,每日三次。治疗寒疝腹痛、里急后重。如果寒气多者,加入生姜(一斤);疼痛多且呕吐者,加入橘皮(二两)、白术(一两)。加入生姜的,也加入生姜(具体剂量原文此处似有缺漏或重复,依文意理解为加量或特定比例,此处按原文“升”字推测可能为剂量单位缺失或笔误,但忠实翻译原文结构)。煮取三升二合,服用。
这就是四物汤去掉地黄,加入半夏、甘草、黄芩、生葛根、生姜、李根白皮,用水二斗煮取五升,温服一升,每日三次。治疗奔豚气上冲胸腹,腹痛,往来寒热。
This is Siwu Tang (Four Substances Decoction) with Dihuang (Rehmanniae Radix Preparata) and Shaoyao (Paeoniae Radix Alba) removed. It is also known as Xionggui Tang, Danggui Tang, Foshou San, Hupo San, or Yantai San. It treats heart and abdominal pain caused by menstrual irregularities; it also treats headache due to blood deficiency, postpartum conditions, and all cases of dizziness and irritability resulting from excessive blood loss.
This is Siwu Tang (Four Substances Decoction) with Xiongnu (Ligustici Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix) removed, plus Xijiao (Rhinocerotis Cornu) and Mudanpi (Moutan Cortex). It treats Yangming disease in Shanghan (Cold Damage) where the mouth is dry and the patient desires to rinse but not swallow, indicating an impending nosebleed (epistaxis); it is taken for this purpose. It also treats epistaxis; it treats epistaxis accompanied by sweating on the head or sweating on the body that does not reach the feet, which is difficult to treat; Jingsha (Chinese Inkstone Powder) can be added. It also treats hematemesis due to Shanghan; it treats Shanghan and warm diseases where internal blood stasis causes hematemesis or epistaxis, yellowish complexion, and black stool; it treats severe wind-heat causing red and swollen eyes, throat obstruction, oral ulcers, and erysipelas; it treats deficiency consumption with fire agitation, where heat transfers to the Lung, causing cough and hemoptysis.
This consists of the ingredients of Xijiao Dihuang Wan (Rhino Horn and Rehmannia Pill), chopped and decocted in water. It treats blood stasis in the upper jiao, manifesting as vomiting, epistaxis, or regurgitation of material from the chest that cannot be touched due to heat; if heat is severe, add Huangqin (Scutellariae Radix). If the abdomen is not distended but the patient feels full, there is no excess heat, so Huangqin need not be added. The original text states that if Xijiao is unavailable, Shengma (Cimicifugae Rhizoma) may be used as a substitute. However, Shengma differs from Xijiao in nature, flavor, and action; its use here is to guide qi into the yang aspect. For treating severe skin eruptions, remove Shaoyao and add Zhusha (Cinnabar), Huanglian (Coptidis Rhizoma), Baifuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma). It treats evil heat in the Heart channel causing disordered speech, palpitations, mental confusion, and forgetfulness.
This is Siwu Tang (Four Substances Decoction) with Dihuang and Shaoyao removed; only Danggui is retained, and Xiongnu is ground into powder and taken with Mugua Tang (Artemisia argyi leaf decoction). It is used for calming the fetus.
This is Siwu Tang (Four Substances Decoction) with Danggui removed, adding Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata), Baishaoyao (Paeoniae Radix Alba), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix) [each 1.5 qian], Fangfeng (Saposhnikoviae Radix) [1 qian], and Gancao (Glycyrrhizae Radix et Rhizoma) [1.5 qian]. It treats cracked and peeling skin, dry sinews, and dry nails.
This is Siwu Tang (Four Substances Decoction) with Dihuang and Shaoyao removed, adding lean mutton (1 liang). It treats deficiency and emaciation, fatigue, abdominal pain, alternating chills and fever, shortness of breath, inability to support oneself, dizziness, and spontaneous sweating.
This is Yangrou Tang (Mutton Decoction) with Xiongnu removed, adding Shengjiang (Zingiberis Rhizoma Recens) [5 liang]. Boil in 8 sheng of water until 3 sheng remain. Take 7 ge warm, three times daily. It treats cold hernia with abdominal pain and urgency. If cold is predominant, add Shengjiang [1 jin]; if pain is severe with vomiting, add Jupi (Citri Reticulatae Pericarpium) [2 liang] and Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang]. When adding Shengjiang, adjust accordingly. Boil until 3 sheng 2 ge remain and take.
This is Siwu Tang (Four Substances Decoction) with Dihuang removed, adding Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Shengge (Puerariae Radix), Shengjiang (Zingiberis Rhizoma Recens), and Ligenbaipi (Pruni Mume Cortex). Boil in 2 dou of water until 5 sheng remain. Take 1 sheng warm, three times daily. It treats Ben Tun (Rushing Pig) syndrome with qi rushing upward to the chest and abdomen, abdominal pain, and alternating chills and fever.