宋董汲撰 裘吉生刊行
独活寄生汤路治腰背痛夫腰背痛者皆由肾气虚弱卧冷湿地当风所得不
为速治气流入脚膝为偏枯冷痹缓弱疼重或腰?痛脚气挛重宜急服此
汤
独活三两一本作二两桑上寄生(如无以续断代之)杜仲(锉炒令丝
断)牛膝酒浸细辛秦艽白茯苓去皮桂去皮防风川芎人葠甘草炙当归
白芍药熟干地黄各二两
右为散每服三钱水一大盏煎至六分去滓温日二服讫温身勿令冷也气
虚下利者除干地黄服汤取蒴藋叶火燎厚安席上及热脱上冷复燎之冬
月取根春取茎熬卧之佳其余薄熨不及蒴藋蒸也诸处风湿亦用此法妇
人新产竟便患腹痛不得转动及腰脚痛挛不得屈身痹弱者尤宜服之除
风消血也
薏苡汤 治风湿毒气攻两脚痛重或即浮肿或皮焦毛悴肉色紫破筋骨抽
痛心闷气胀头旋多睡眼暗
薏苡仁微炒八两白茯苓去皮五分防风五分牛膝酒浸桂去皮五加皮各
六分独活五分玄葠五两石膏五两枳壳四两?炒去瓤升麻六两羚羊角
四两汉防已十两麻黄去节五两
右为粗散每服三钱水一盏半先浸一宿平旦煎至八分去滓温服不以时
月
独活寄生汤:治疗腰背疼痛。凡是腰背疼痛,都是由于肾气虚弱,卧于寒冷潮湿之地并受风邪侵袭所致。如果不迅速治疗,病气就会流入脚膝部位,导致偏枯、冷痹、肢体缓弱沉重疼痛,或者腰痛、脚气、筋脉拘挛沉重,应当立即服用此汤剂。
处方组成:独活三两(有的版本作二两),桑上寄生(如果没有可用续断代替),杜仲(切碎炒至丝断),牛膝(用酒浸泡),细辛,秦艽,白茯苓(去皮),桂枝(去皮),防风,川芎,人参,甘草(炙),当归,白芍药,熟干地黄,以上各二两。
制法与用法:将上述药材捣碎成粗散。每次服用三钱,加水一大盏,煎煮至剩余六分,去渣后温服。服药后需保持身体温暖,不要受凉。对于气虚且伴有下利者,去掉干地黄。另外,服用汤剂时,可取蒴藋叶用火烤热厚铺在坐席上,趁热脱衣坐上去,凉了再烤热重复使用,冬季取根茎春季取茎熬热坐之效果更佳。其余地方的风湿也可用此法,但薄熨法不如蒴藋蒸法好。其他部位的风湿也可用这种方法。妇女新产后如果立即出现腹痛不能转动以及腰脚疼痛拘挛不能屈身,属于痹症虚弱者,尤其适宜服用此方,以祛风消血瘀。
薏苡汤:治疗风湿毒气攻注两脚,感觉沉重,或者随即出现浮肿,或者皮肤干枯毛发憔悴,肌肉颜色紫暗破损,筋骨抽掣疼痛,心中烦闷,气息胀满,头晕目眩,嗜睡,眼睛昏暗。
处方组成:薏苡仁微炒八两,白茯苓(去皮)五分,防风五分,牛膝(酒浸),桂枝(去皮),五加皮各六分,独活五分,玄参五两,石膏五两,枳壳四两(麸炒去瓤),升麻六两,羚羊角四两,汉防己十两,麻黄(去节)五两。
制法与用法:将上述药材捣碎成粗散。每次服用三钱,加水一盏半,先浸泡一夜,清晨煎煮至剩余八分,去渣后温服,不拘泥于固定时间。
制法与用法:将上述药材研成细末,炼蜜为丸,如梧桐子大小。每次服用三十丸,温水送下。
处方组成:赤小豆半升,桑白皮二两(切碎),紫苏一握(切碎),生姜半两。
制法与用法:用水三升,煎煮至豆子煮熟,取出豆子食用,滤去药渣,饮用剩余的汤汁。
Written by Dong Ji of the Song Dynasty, published by Qiu Jisheng.
Duhuo Jisheng Decoction (Sanguisorba and Taxillus Decoction): Treats lower back and back pain. Lower back and back pain are all caused by deficiency of Kidney Qi, lying on cold and damp ground, and exposure to wind pathogen. If not treated promptly, the pathogenic qi will flow into the feet and knees, causing hemiplegia, cold bi syndrome (painful obstruction due to cold), flaccidity, heaviness, and severe pain, or lower back pain, jiaoqi (gouty arthritis/foot swelling), and tendon cramping with heaviness. It is advisable to take this decoction immediately.
Ingredients: Duhuo Radix (Radix Angelicae Pubescentis) 3 liang (some versions say 2 liang); Sangshang Jisheng Herba (Herba Taxilli) (if unavailable, Xu Duan Radix can be used as a substitute); Duzhu Cortex Eucommiae (Cortex Eucommiae) (chopped and stir-fried until fibers break); Niuxi Radix Achyranthis Bidentatae (steeped in wine); Xixin Radix Asari (Asarum Root); Qinjiao Radix Gentianae Macrophyllae (Gentian Root); Baifuling Poria (Poria); Guizhi Ramulus Cinnamomi (Cinnamon Twig); Fangfeng Radix Saposhnikoviae (Saposhnikovia Root); Chuanxiong Rhizoma Chuanxiong (Chuanxiong Rhizome); Renshen Radix Ginseng (Ginseng Root); Gancao Radix Glycyrrhizae Preparata (Prepared Licorice Root); Danggui Radix Angelicae Sinensis (Angelica Root); Baishaoyao Radix Paeoniae Alba (White Peony Root); Shugan Dihuang Radix Rehmanniae Preparata (Prepared Rehmannia Root). All the above ingredients are 2 liang each.
Preparation and Administration: Grind the above herbs into a coarse powder. Take 3 qian per dose, add one da zhan (approx. 400ml) of water, decoct until only 6 fen (approx. 240ml) remains, remove the dregs, and take warm. After taking the medicine, keep the body warm and avoid getting cold. For those with Qi deficiency accompanied by diarrhea, remove Gan Dihuang (Raw Rehmannia Root). Additionally, when taking the decoction, one may take Shuobo Folium (Folium Polygoni Multiflori), roast it over fire until thick and hot, place it thickly on a mat, sit on it while undressed while it is hot, and repeat cooling and roasting. In winter, use the root; in spring, use the stem, roasted and sat upon for best results. Other locations affected by wind-dampness can also use this method, but thin moxibustion/warming is inferior to the Shuobo steaming method. Wind-dampness in other parts of the body can also be treated with this method. Women who suffer from abdominal pain preventing movement, as well as lower back and leg pain, cramping preventing bending, and weakness/bi syndrome immediately after childbirth, are especially suitable for taking this formula to dispel wind and eliminate blood stasis.
Yiyi Tang (Coix Seed Decoction): Treats wind-damp-toxic qi attacking both feet, causing heaviness, or immediate edema, or dry skin with withered hair, purple and broken flesh, drawing pain in bones and tendons, chest oppression, qi distension, vertigo, excessive sleepiness, and dim vision.
Ingredients: Yiyiren Semen Coicis (Coix Seed) lightly stir-fried 8 liang; Baifuling Poria (Poria) 5 fen; Fangfeng Radix Saposhnikoviae (Saposhnikovia Root) 5 fen; Niuxi Radix Achyranthis Bidentatae (steeped in wine); Guizhi Ramulus Cinnamomi (Cinnamon Twig); Wujia Pi Cortex Acanthopanacis (Acanthopanax Bark). Each is 6 fen; Duhuo Radix Angelicae Pubescentis (Radix Angelicae Pubescentis) 5 fen; Xuanshen Radix Scrophulariae (Scrophularia Root) 5 liang; Shigypsum Fibrosum (Gypsum Fibrosum) 5 liang; Zhike Fructus Citri Reticulatae (Citrus Fruit) 4 liang (bran-fried, remove seeds); Shengma Rhizoma Cimicifugae (Cimicifuga Rhizome) 6 liang; Lingyangjiao Cornu Saigae Tataricae (Saiga Horn); Hanfangji Radix Stephaniae Tetrandrae (Stephania Root); Mahuang Herba Ephedrae (Ephedra Herb) de-stemmed 5 liang.
Preparation and Administration: Grind the above herbs into a coarse powder. Take 3 qian per dose, add one zhan and a half (approx. 600ml) of water, soak overnight, decoct at dawn until only 8 fen (approx. 480ml) remains, remove the dregs, and take warm. Do not restrict the time of administration.
Treats heat in the Heart Meridian causing strangury (dysuria) with涩 (astringency/stagnation) and blockage, as well as various types of strangury:
Ingredients: Shengdihuang Radix Rehmanniae Recens (Fresh Rehmannia Root) 4 liang; Mutong Caulis Akebiae (Akebia Stem); Huangqin Radix Scutellariae (Scutellaria Root). Each is 2 liang.
Preparation and Administration: Grind the above herbs into a fine powder, mix with refined honey to make pills the size of wutong seeds. Take 30 pills per dose with warm water.
Treats jiaoqi (gouty arthritis/foot swelling) causing涩 (astringency/stagnation) of urination, swelling of both feet, and qi distension:
Ingredients: Chixiaodou Semen Phaseoli Angularis (Angular Bean Seed) half sheng; Sangbaipi Cortex Mori Radicis (Mulberry Root Bark) 2 liang (chopped); Zisu Ye Folium Perillae (Perilla Leaf) one握 (handful, chopped); Shengjiang Rhizoma Zingiberis Recens (Fresh Ginger Rhizome) half liang.
Preparation and Administration: Add three sheng (approx. 600-700ml) of water, decoct until the beans are cooked. Remove and eat the beans, filter out the dregs, and drink the remaining liquid.