杏仁一斤(去皮尖,捣,熬作酪) 白蜜五合 酥油五合(以牛乳煎成者) 生姜汁三
合
上四味,以水三升,纳杏仁酪煎搅可减半,纳姜汁煎如稀糖,纳酥蜜煎令如稠糖。每服
一匙
七小
杏仁煎,润剂也。治劳役表 ,寒袭于肺,上气干咳,肺痿声哑,群复滑润之品,仍无
肠泄
同气
地黄
桂枝一两五钱 生干姜 五味子 人参 白术 赤茯苓 炙甘草 当归各一两
上为末,每服三钱,水一盏,煎八分,温服去渣,夜再服。
一阳发病,少阴嗽泄,三焦不利,上咳下泻,心火不宁,其动若掣,明是咳泻,属三焦
不利
守真
佐以
高出
硝石(芒硝之底,沉凝者准) 矾石(烧)等分
上二味为散,以大麦粥汁和服方寸匕,日三服,病随大小便去,小便正黄,大便正黑是
候也
硝石矾石散,悍剂也。女劳黑疸腹满者,死证也。读仲景原文,当急夺下焦之瘀血,庶
可斡
迨
不
于
直
除
匮》另有酒疸之黑,乃是湿热瘀而不行,营血腐惫之色,又非硝石散之所治矣。
猪膏半斤 乱发(如鸡子大,洗洁)三枚
上二味,和膏中煎之,发消药成,分再服,病从小便出。
《金匮》云∶诸黄,猪膏发煎主之。时珍曰∶释者为膏。《礼·内则》云∶以水润释而
煎之
之实
因使
虚胃
妇
吹
杏仁一斤(去皮尖,捣碎,熬制成酪状) 白蜜五合 酥油五合(用牛乳煎制而成) 生姜汁三合
以上四味药,用水三升,放入杏仁酪煎煮并搅拌至水量减半,加入姜汁继续煎煮至如稀糖般稠度,再加入酥油和蜂蜜煎煮至如稠糖般状态。每次服用一匙。
杏仁煎,属于润燥剂。治疗因劳役导致体表受邪,寒气侵袭肺部,引起气逆干咳、肺痿声音嘶哑等症状,配合其他滑润药物,仍然没有导致肠泄。
桂枝一两五钱 生干姜 五味子 人参 白术 赤茯苓 炙甘草 当归各一两
以上药物研为细末,每次服用三钱,用水一盏,煎至八分,温服去渣,夜间再服一次。
一阳发病,少阴出现咳嗽和泄泻,三焦气化不利,上见咳嗽下见泄泻,心火不宁,其脉动若掣,明确是咳泻症状,属于三焦不利。
佐以(辅助治疗)
高出(超出常规)
以上两味药研为散剂,用大麦粥汁调和服用方寸匕,每日三次服药,病邪随大小便排出,小便正黄,大便正黑是病情好转的征候。
硝石矾石散,属于峻猛之剂。女劳疸伴有腹满者,属于死证。研读仲景原文,应当急夺下焦的瘀血,或许可以扭转局面。
等到(时间推移)
不(否定词)
于(介词)
直(直接)
除(去除)
《金匮要略》另有酒疸之黑,乃是湿热瘀滞不行,营血腐败疲惫的颜色,又不是硝石散所能治疗的。
以上两味药,在膏中煎煮,头发消融药成就成,分两次服用,病邪从小便排出。
《金匮要略》说:各种黄疸,猪膏发煎主治。时珍(李时珍)说:解释为膏。《礼记·内则》说:用水润湿后煎煮。
的果实(指麦实)
因此使用(因果连接)
妇人(女性患者)
吹(吹入/吸入,此处语境不明,可能指给药方式或症状描述不全)
Almond Decoction (Xingren Jian)
One jin of Almonds (remove skin and tips, pound, and cook into a paste-like consistency), five he of White Honey, five he of Butter Oil (made by boiling cow's milk), three he of Fresh Ginger Juice.
Take the above four ingredients, add three sheng of water, put in the almond paste, boil and stir until the volume is reduced by half, add ginger juice and boil until it resembles thin syrup, then add butter and honey and boil until it resembles thick syrup. Take one spoonful each time.
Xingren Jian is a moistening agent. It treats dry cough with qi rebellion and hoarseness due to lung wasting (Fei Wei), caused by cold invading the lungs after labor-induced exterior deficiency. Combined with other slippery/moistening substances, it does not cause intestinal diarrhea.
Guizhi Tang Variation
Five qian of Guizhi (Cinnamon Twig), Sheng Ganjiang (Raw Dried Ginger), Wuweizi (Schisandra Fruit), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Chifuling (Poria with Red Core), Zhi Gancao (Honey-fried Licorice Root), Danggui (Angelica Sinensis Root), each one liang.
Grind all into powder. Take three qian each time, decoct with one zhan of water until reduced to eight fen, take warm, discard dregs, and take again at night.
When Yangming disease occurs, Shaoyin presents with cough and diarrhea, Sanjiao (Triple Burner) function is obstructed, presenting with upper cough and lower diarrhea, Heart Fire is restless, pulsation feels like pulling (che). This clearly indicates cough and diarrhea belonging to Sanjiao obstruction.
Shouzhen (Liu Wansu, courtesy name Shouzhen)
Zuo yi (To assist/supplement)
Gao chu (Outstanding/Superior)
Xiaoshi Fanci San (Niter and Alum Powder)
Equal parts of Xiaoshi (Niter, specifically the precipitate of Mangxiao/Natrii Sulfas, using the dense sediment as standard) and Fanshi (Alumen, calcined).
Grind the two ingredients into a powder. Mix with barley porridge juice and take one fangcun bi (a measure roughly the size of a square inch cube) per dose, three times daily. The pathogen will be expelled through stool and urine; yellow urine and black stool indicate the expected therapeutic effect.
Xiaoshi Fanci San is a potent/harsh agent. For female labor jaundice (Nulao Hei Dan) accompanied by abdominal fullness, it is a critical/deadly condition. Reading Zhang Zhongjing's original text, one must urgently purge blood stasis from the Lower Jiao to potentially reverse the situation.
Dai (Until/When)
Bu (Not)
Yu (In/At)
Zhi (Direct)
Chu (Remove)
The "Jinkui Yaolue" mentions another type of black jaundice from wine jaundice (Jiu Dan), which is due to damp-heat stagnation causing Ying Blood (Nutritive Blood) to become corrupt and exhausted in color; this is not treatable with Xiaoshi San.
Zhugao (Pig Fat) half jin, Luankou (Tangle Hair, about the size of a chicken egg, washed clean) three pieces.
Boil the two ingredients together in the fat. When the hair dissolves, the medicine is ready. Divide into two doses. The disease will exit via urination.
The "Jinkui Yaolue" states: For various types of jaundice, Zhugao Fa Jian (Pig Fat and Hair Decoction) is the primary treatment. Shizhen (Li Shizhen) explains that "gao" refers to melting/fat. The "Rituals of Zhou - Neize" states: To melt it, use water to moisten and then boil.
Shi (Fruit/Seed - referring to barley)
Yin shi (Therefore use)
Xu Wei (Deficient Stomach)
Fu ren (Woman/Patient)
Chui (Blow/Inhale - context unclear, possibly incomplete text regarding administration or symptom)