治呕吐而病在膈上后思水者解急与之思水者此方主之
猪苓 茯苓 白术(各等分)
上三味杵为散饮服方寸匕日三服
治伤寒温热病表里未解头痛发热口燥咽干烦渴饮水或水入即吐或小便不利及
渴不止者宜服之又治霍乱吐利躁渴引饮并治瘦人脐下有动悸吐涎沫而巅眩此水也
茯苓(十八铢去皮甘平) 猪苓(十八铢去皮甘平) 白术(十八铢甘平) 泽泻(一
两六铢半酸
上五味捣为散以白饮和服方寸匕日三服多饮暖水汗出愈如法将息成无己云苓令也通行津
液克伐肾邪专为号令者苓之功也又曰甘字从口从一淡者一也甘甚而反
(味俱甘平润虚燥而利津液咸味下泄为阴泽泻之咸以泄伏水辛甘发散
表
利大便曰攻下利小便曰渗泄此太阳膀胱经下药也太阳病高则汗而发
胱出也)
即五苓散加茵陈一方去肉桂加茵陈名加减五苓散治伤寒发黄小便不利
治疗呕吐且病位在膈上,之后想喝水的,说明病情已解,此时应迅速给予饮水;若仍想喝水,则用此方主治。
猪苓、茯苓、白术(各取等量)
以上三味药捣碎成散剂,用饮服用一方寸匕,每日三次。
即猪苓散去猪苓,增加茯苓至三倍,加入一枚如弹丸大小的戎盐,用于治疗小便不利。
治疗伤寒或温热病,表证与里证均未解除,出现头痛、发热、口燥咽干、烦躁口渴想喝水,或者水喝进去就吐出来,以及小便不利和口渴不止的情况,适宜服用。又治疗霍乱引起的呕吐腹泻、躁动口渴、引饮不止,并治疗瘦人脐下有跳动感、吐出涎沫且头晕目眩,这是水饮为患。
茯苓(十八铢,去皮,味甘性平)、猪苓(十八铢,去皮,味甘性平)、白术(十八铢,味甘性平)、泽泻(一两六铢半,味酸)。
以上五味药捣碎成散剂,用米汤调和服用一方寸匕,每日三次,多喝暖水以助出汗而痊愈,按此法调养。成无己说:“苓”意为命令,通行津液,克制肾邪,专门作为号令者,是“苓”的功效。又说,“甘”字由“口”和“一”组成,淡就是“一”,甘味极甚反而……(味道都甘平,滋润虚燥而利津液;咸味向下泄出属阴,泽泻的咸味用以泄伏留之水;辛甘发散于表,利大便叫攻下,利小便叫渗泄,这是太阳膀胱经的下行药。太阳病,病位高则通过发汗使邪气从体表排出。)
(即五苓散去肉桂,用于治疗湿邪生于体内引起的水泻和小便不利。)
即五苓散加茵陈,一方去掉肉桂加茵陈,名为加减五苓散,治疗伤寒发黄、小便不利。
即四苓散去白术加阿胶、滑石,治疗脉浮、发热、想喝水、小便不利。
Treats vomiting with the pathology located above the diaphragm; if the patient subsequently desires water, it indicates resolution, and water should be provided promptly. If the desire for water persists, this formula is indicated.
Zhu Ling (Polypori Sclerotium), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (equal parts).
Crush the above three herbs into a powder. Administer one Fang Cun Bi (a traditional Chinese measuring spoon, approx. 2-3 grams) with drink, three times daily.
This is Zhu Ling San (Polyporus Powder) with Zhu Ling removed and Fu Ling increased to three times the amount, plus one piece of Rong Yan (Halitum, rock salt) the size of a bean, used to treat difficulty in urination.
Used for Tai Yang disease (Exterior syndrome of the Tai Yang channel) or warm diseases where both exterior and interior patterns remain unresolved, presenting with headache, fever, dry mouth and throat, irritability, thirst, desire to drink, or vomiting immediately after drinking water, as well as difficulty in urination and unquenchable thirst. It is also indicated for Huo Luan (Cholera-like syndrome) with vomiting and diarrhea, restlessness, intense thirst, and excessive drinking. Furthermore, it treats thin individuals who experience palpitations below the umbilicus, salivation, dizziness, and vertigo due to fluid retention.
Fu Ling (Poria) (18 zhu, peeled, sweet, neutral), Zhu Ling (Polypori Sclerotium) (18 zhu, peeled, sweet, neutral), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (18 zhu, sweet, neutral), Ze Xie (Alismatis Rhizoma) (1 liang 6 zhu half, sour).
Crush the above five herbs into a powder. Mix with rice water and administer one Fang Cun Bi, three times daily. Drink plenty of warm water to induce sweating for recovery, and follow these care instructions. Cheng Wuji stated: "Ling" means command; it circulates body fluids and subdues kidney pathogens, acting specifically as a commander, which is the merit of Ling. He further said: The character "Gan" (Sweet) consists of "mouth" and "one"; Dan (Bland) is equivalent to "one". Extreme sweetness turns into... (The flavors are all sweet and neutral, moistening deficiency and dryness while promoting fluid metabolism. Salty flavor drains downward and belongs to Yin; the saltness of Ze Xie drains retained water. Pungent and sweet flavors disperse from the exterior. Promoting bowel movement is called purging; promoting urination is called渗泄 (leaching out dampness). These are descending drugs for the Tai Yang Bladder channel. In Tai Yang disease, when the pathology is high, the pathogen is expelled through sweating.)
(This is Wu Ling San (Five-Ingredient Powder with Poria) without Rou Gui (Cinnamon Twig), used to treat watery diarrhea and difficulty in urination caused by internal dampness.)
This is Wu Ling San (Five-Ingredient Powder with Poria) with Yin Chen (Artemisiae Scopariae Herba) added. One variation removes Rou Gui (Cinnamon Twig) and adds Yin Chen (Artemisiae Scopariae Herba), named Jia Jian Wu Ling San (Modified Five-Ingredient Powder with Poria), treating jaundice due to Tai Yang disease with difficulty in urination.
This is Si Ling San (Four-Ingredient Powder with Poria) without Bai Zhu (Atractylodis Macrocephalae Rhizoma), adding E Jiao (Asini Corii Colla) and Hua Shi (Talcum), treating floating pulse, fever, thirst, and difficulty in urination.
This is Wu Ling San (Five-Ingredient Powder with Poria) without Zhu Ling (Polypori Sclerotium), adding Sheng Jiang (Zingiberis Rhizoma Recens) and Gan Cao (Glycyrrhizae Radix et Rhizoma), treating gastric reflux vomiting with thirst and desire to drink.
This is Wu Ling San (Five-Ingredient Powder with Poria) with Che Qian Zi (Plantaginis Semen), Sheng Jiang (Zingiberis Rhizoma Recens), and Deng Xin Cao (Junci Medulla) added, treating counterflow vomiting, damp-type diarrhea, and profuse discharge due to latent summerheat, accompanied by irritability, thirst, or urinary obstruction and strangury.
This is the base formula with Shan Zhi Zi (Gardeniae Fructus) added, treating infantile umbilical hernia, mixed with honey water and Deng Xin Cao (Junci Medulla) for administration.
This is the base formula with Hai Jin Sha (Lygodii Spora), Shao Yao (Paeoniae Radix Alba/Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma), Hua Shi (Talcum), and Shi Wei (Pyri Folium) added, treating the five types of Lin syndrome (Strangury).