除湿汤(《百一》) 治寒湿所伤,身体重着,腰脚酸疼,大便溏泄,小便或涩或利。
半夏曲(炒) 浓朴(姜制) 苍术(米泔制,各二两) 藿香叶 陈皮(去白) 白茯苓(去皮,各一两)
甘草(炙,七钱) 白术(生用,一两)
上 咀,每服四钱,水一盏,姜七片,枣一枚,煎七分,食前温服。
白术酒(《三因》) 治中湿骨节疼痛。
上用白术一两,酒三盏,煎一盏,不拘时频服。不能饮酒,以水代之。
苏合香丸(见卒中。)
八味顺气散(《济生》) 凡中风人,先服此药顺气,次进治风药。
白术 白茯苓 青皮(去白) 香白芷 陈皮(去白) 天台乌药 人参(各一两) 炙甘草(半两)
上为细末,每服三钱,水一盏,煎七分,温服。
木香调气散(《和剂》) 治气滞胸膈,虚痞恶心,宿冷不消,心腹刺痛。
白豆蔻仁 丁香 檀香 木香(各二两) 藿香叶 炙甘草(各八两) 缩砂仁(四两)
上为细末,每服二钱,入盐少许,沸汤不拘时点服。
四七汤(见气。) 星香散(见中风。)
三和丹 即养正丹、黑锡丹、来复丹。
藿香正气散(见中风。) 八味顺气散(见中气。)
加减平胃散(东垣) 治脾胃不和,不思饮食,心腹胁肋胀满刺痛,口苦无味,胸满短
气,呕哕恶心,噫气吞酸,面色痿黄,肌体瘦弱,怠惰嗜卧,体重节痛,常多自利,或发霍乱,及五噎八
痞,膈气反胃等证。
浓朴(去粗皮,姜制炒,三斤二两) 苍术(去粗皮,米泔浸五斤) 陈皮(三斤二两,去白) 甘草
(锉,炒,三十两)
上为细末,每服二钱,水一盏,姜三片,枣二枚,同煎至七分,去滓温服;或去姜、枣,带热服,
空心食前;入盐一捻,沸汤点服亦得。常服调气暖胃,化宿食,消痰饮,辟风寒冷湿四时非常之气。如小
便赤涩,加白茯苓、泽泻。米谷不化,饮食伤,多加枳实。胸中气不快,心下痞气,加枳壳、木香。脾胃
困弱,不思饮食,加人参、黄 。心下痞闷腹胀者,加浓朴,甘草减半。遇夏加炒黄芩。遇雨水湿润时加
茯苓、泽泻。如有痰涎,加半夏、陈皮。凡加时,除苍术浓朴根据例加之,如一服五钱,有痰用半夏一两。
咳嗽饮食减少,脉弦细,加归身、黄 。脉洪大缓,加黄芩、黄连。大便硬,加大黄三钱,芒硝二钱,先
嚼麸炒桃仁烂,以药送下。
海藏加减少平胃散例∶若泄泻脾湿,加茯苓、丁香、白术,为调胃散。一法加藿香、
半夏。加干姜为浓朴汤。若温疫时气,二毒伤寒,头痛壮热,加连须葱白五寸,豆豉三十粒,煎二三沸,取
微汗出愈。若五劳七伤,脚手心热,烦躁不安,百节酸疼,加柴胡。若痰嗽疟痢加姜制半夏,若小肠气痛加
茴香。若水气肿满加桑白皮,若妇人赤白带下加黄 ,若酒伤加丁香,若饮冷伤加高良姜,若滑脱泄泻加
肉豆蔻,若风痰四肢沉困加荆芥,若腿膝冷痛加牛膝,若浑身虚肿拘急加地骨皮,若腿膝湿痹加菟丝子,
若白痢加吴茱萸,赤痢加黄连,若头风加 本,若转筋霍乱加樟木皮。若七邪六极,耳鸣梦泄,盗汗,四肢
沉重,腿膝痿弱,妇人宫脏久冷,月事不调者,加桂枝。若胃寒呕吐,多加生姜。一法加茯苓、丁香各三
两。若气不舒快,中脘痞塞,加砂仁、香附各三两,生姜煎服。若与五苓散相半,为对金饮子。若与六一散
相合,为黄白散。若与钱氏异功散相合,为调胃散。若饮食进退,加神曲、麦芽。冬月加吴茱萸、川椒、干
姜、桂,为吴茱萸汤。若加 本、桔梗,为和解散,治伤寒吐痢。若加藿香、半夏为不换金正气散。若疟寒
热者加柴胡,若小肠气痛者加苦楝、茴香。
除湿汤(出自《百一选方》):治疗因寒湿邪气所伤,表现为身体沉重困倦,腰部和脚部酸痛,大便稀溏,小便时而涩滞不畅、时而通利的症状。
药材组成:半夏曲(炒制)、厚朴(姜汁炮制)、苍术(米泔水炮制,各二两)、藿香叶、陈皮(去除白色内层)、白茯苓(去皮,各一两)、甘草(蜜炙,七钱)、白术(生用,一两)。
制作与服用方法:将上述药材切碎(咀),每次服用四钱,加水一盏,生姜七片,大枣一枚,煎煮至剩余七分药液,饭前温服。
白术酒(出自《三因极一病证方论》):治疗中湿证引起的骨节疼痛。
制作方法与服用方法:取白术一两,酒三盏,煎煮至剩余一盏药液,不拘泥于固定时间频繁服用。不能饮酒者,可用水代替酒。
苏合香丸(参见“卒中”章节)。
八味顺气散(出自《济生方》):凡是中风患者,先服用此药以理顺气机,随后再进服治疗风邪的药物。
药材组成:白术、白茯苓、青皮(去除白色内层)、香白芷、陈皮(去除白色内层)、天台乌药、人参(各一两)、炙甘草(半两)。
制作与服用方法:将上述药材研为细末,每次服用三钱,加水一盏,煎煮至剩余七分药液,温服。
木香调气散(出自《太平惠民和剂局方》):治疗气机阻滞于胸膈,导致虚性痞满、恶心,宿食寒冷不消化,心腹部刺痛的症状。
药材组成:白豆蔻仁、丁香、檀香、木香(各二两)、藿香叶、炙甘草(各八两)、缩砂仁(四两)。
制作与服用方法:将上述药材研为细末,每次服用二钱,加入少许盐,用沸水冲服,不拘泥于固定时间。
藿香正气散(参见“中风”章节)。八味顺气散(参见“中气”章节)。
加减平胃散(李东垣方):治疗脾胃不和,不思饮食,心腹胁肋部位胀满且伴有刺痛,口苦无味,胸部满闷、呼吸短促,呕吐呃逆、恶心,嗳气吞酸,面色萎黄,肌体瘦弱,倦怠嗜卧,身体沉重关节疼痛,经常自发性腹泻,或突发霍乱,以及五噎、八痞、膈气、反胃等证候。
药材组成:厚朴(去除粗皮,姜汁炮制后炒制,三斤二两)、苍术(去除粗皮,米泔水浸泡,五斤)、陈皮(三斤二两,去除白色内层)、甘草(锉碎,炒制,三十两)。
制作与服用方法:将上述药材研为细末,每次服用二钱,加水一盏,生姜三片,大枣二枚,共同煎煮至剩余七分药液,去渣温服;或者去掉生姜、大枣,趁热服用,空腹或饭前服用;也可加入一撮盐,用沸水冲服亦可。长期服用可调理气机、温暖胃部,化解宿食,消除痰饮,抵御风、冷、寒、湿四种非时之气。如果小便赤色且涩滞,加白茯苓、泽泻。如果米谷不化、饮食受伤,多加枳实。如果胸中气机不畅、心下痞塞,加枳壳、木香。如果脾胃困倦虚弱、不思饮食,加人参、黄芪。如果心下痞闷腹胀,加厚朴,甘草减半。夏季加炒黄芩。遇雨水湿润时节加茯苓、泽泻。如果有痰涎,加半夏、陈皮。凡是在加减药物时,除苍术、厚朴按照原例添加外,例如一次服用五钱,若有痰则用一两半夏。如果咳嗽且饮食减少,脉象弦细,加当归身、黄芪。如果脉象洪大缓,加黄芩、黄连。如果大便干硬,加大黄三钱,芒硝二钱,先嚼烂麸炒桃仁,用药汤送下。
海藏加减平胃散的示例∶如果是泄泻脾湿,加茯苓、丁香、白术,称为调胃散。另一种方法加藿香、半夏。加干姜称为厚朴汤。如果是瘟疫时气,二毒伤寒,头痛高热,加连须葱白五寸,豆豉三十粒,煎煮二三沸,取微汗出即可痊愈。如果是五劳七伤,手脚心发热,烦躁不安,全身关节酸痛,加柴胡。如果是痰嗽疟疾痢疾,加姜制半夏;如果是小肠气痛,加茴香。如果是水气肿满,加桑白皮;如果是妇人赤白带下,加黄芪;如果是酒伤,加丁香;如果是冷饮损伤,加高良姜;如果是滑脱不禁的泄泻,加肉豆蔻;如果是风痰导致四肢沉困,加荆芥;如果是腿膝冷痛,加牛膝;如果是浑身虚肿拘急,加地骨皮;如果是腿膝湿痹,加菟丝子;如果是白痢,加吴茱萸;如果是赤痢,加黄连;如果是头风,加藁本;如果是转筋霍乱,加樟木皮。如果是七邪六极,耳鸣梦遗,盗汗,四肢沉重,腿膝痿弱,妇人子宫久冷,月经不调者,加桂枝。如果是胃寒呕吐,多加生姜。另一种方法加茯苓、丁香各三两。如果是气机不舒畅,中脘痞塞,加砂仁、香附各三两,生姜煎服。如果是与五苓散各半合用,称为对金饮子。如果是与六一散相合,称为黄白散。如果是与钱氏异功散相合,称为调胃散。如果是饮食进退不定,加神曲、麦芽。冬季加吴茱萸、川椒、干姜、桂,称为吴茱萸汤。如果是加藁本、桔梗,称为和解散,治疗伤寒吐痢。如果是加藿香、半夏,称为不换金正气散。如果是疟疾寒热往来,加柴胡;如果是小肠气痛,加苦楝、茴香。
Chu Shi Tang (Dampness-Expelling Decoction, from *Bai Yi Xuan Fang*): Treats injuries caused by cold-dampness, manifesting as a heavy and burdensome sensation in the body, soreness and pain in the waist and feet, loose stools, and urine that is either obstructed or free-flowing.
Ingredients: Banxia Qu (Fermented Pinellia Paste, stir-fried), Houpo (Magnolia Bark, processed with ginger juice), Cangzhu (Atractylodis Rhizoma, soaked in rice bran water, each 2 liang), Huoxiang Ye (Patchouli Leaf), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Baifuling (Poria, peeled, each 1 liang), Gancao (Licorice Root, honey-fried, 7 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, raw, 1 liang).
Preparation and Administration: Cut the herbs into small pieces. Take 4 qian per dose, add one zhan of water, 7 slices of fresh ginger, and one jujube. Decoct until three-tenths remain. Take warm before meals.
Baizhu Jiu (Atractylodis Macrocephalae Rhizoma Wine, from *San Yin Ji Yi Bing Zheng Fang Lun*): Treats bone and joint pain caused by dampness invasion.
Preparation and Administration: Take 1 liang of Baizhu and 3 zhan of wine. Decoct until one zhan remains. Take frequently without fixed timing. For those who cannot consume alcohol, substitute with water.
Suhe Xiang Wan (Styrax Pill) (See "Stroke").
Ba Wei Shun Qi San (Eight-Ingredient Qi-Smoothing Powder, from *Ji Sheng Fang*): For patients with wind-stroke, administer this formula first to smooth the qi, followed by formulas treating wind.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Qingpi (Citri Reticulatae Pericarpium Viride, white pith removed), Xiangbaizhi (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Tiantai Wuyao (Linderae Radix), Renshen (Ginseng Radix et Rhizoma, each 1 liang), Zhigancao (Licorice Root, honey-fried, 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose, add one zhan of water, decoct until three-tenths remain. Take warm.
Muxiang Tiaoqi San (Costus Qi-Regulating Powder, from *Tai Ping Hui Min He Ji Ju Fang*): Treats qi stagnation in the chest and diaphragm, resulting in deficiency-type fullness, nausea, indigestion of cold retained food, and stabbing pain in the heart and abdomen.
Ingredients: Baidoukou Ren (Amomi Fructus Seed), Dingxiang (Caryophylli Flos), Tanxiang (Santalum Album Lignum), Muxiang (Aucklandiae Radix, each 2 liang), Huoxiang Ye (Patchouli Leaf), Zhigancao (Licorice Root, honey-fried, each 8 liang), Suosharen (Amomi Fructus, 4 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, add a pinch of salt, and take with boiling water at any time.
Si Qi Tang (Four-Seven Decoction) (See "Qi"). Xingxiang San (Star-Anise and Costus Powder) (See "Wind-Stroke").
San He Dan (Three-Harmony Pill): Refers to Yangzheng Dan, Heixi Dan, and Laifu Dan.
Huoxiang Zhengqi San (Patchouli Qi-Correcting Powder) (See "Wind-Stroke"). Ba Wei Shun Qi San (See "Middle-Qi").
Jiajian Pingwei San (Modified Pingwei Powder, by Li Dongyuan): Treats disharmony of the spleen and stomach, loss of appetite, distending and stabbing pain in the heart, abdomen, hypochondrium, bitter taste in the mouth, lack of flavor, chest fullness, shortness of breath, vomiting, hiccups, nausea, belching with acid regurgitation, sallow complexion, emaciation, lethargy and desire to lie down, heaviness of the body and joint pain, frequent spontaneous diarrhea, acute cholera-like symptoms, as well as syndromes such as Five Obstructions, Eight Stagnations, Diaphragmatic Qi, and Reverse Qi.
Ingredients: Houpo (Magnolia Bark, coarse skin removed, processed with ginger juice and stir-fried, 3 jin 2 liang), Cangzhu (Atractylodis Rhizoma, coarse skin removed, soaked in rice bran water, 5 jin), Chenpi (Citri Reticulatae Pericarpium, 3 jin 2 liang, white pith removed), Gancao (Licorice Root, cut, stir-fried, 30 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, add one zhan of water, 3 slices of fresh ginger, and two jujubes. Decoct together until three-tenths remain. Remove dregs and take warm; or remove ginger and jujube, take hot, on an empty stomach or before meals; or add a pinch of salt and take with boiling water. Regular use regulates qi, warms the stomach, resolves retained food, eliminates phlegm-fluids, and wards off abnormal seasonal pathogens of wind, cold, chill, and dampness. If urine is red and obstructed, add Baifuling (Poria) and Zexie (Alisma Rhizoma). If grains are undigested due to dietary injury, increase Zhishi (Immature Bitter Orange). If qi feels unsmooth in the chest and there is epigastric stuffiness, add Zhike (Aurantii Fructus) and Muxiang (Aucklandiae Radix). If spleen and stomach are weak and confused with no appetite, add Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). If there is epigastric stuffiness and abdominal distension, add Houpo (Magnolia Bark) and reduce Gancao (Licorice Root) by half. In summer, add Chao Huangqin (Scutellariae Radix, stir-fried). During rainy and humid seasons, add Fuling (Poria) and Zexie (Alisma Rhizoma). If there is phlegm-saliva, add Banxia (Pinelliae Rhizoma) and Chenpi (Citri Reticulatae Pericarpium). When adding herbs, except for Cangzhu and Houpo which follow the standard example, e.g., if taking 5 qian per dose and there is phlegm, use 1 liang of Banxia. If coughing with reduced diet and pulse is wiry and thin, add Guishen (Angelicae Sinensis Radix) and Huangqi (Astragali Radix). If pulse is surging, large, and slow, add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma). If stool is hard, add Dahuang (Rhei Radix et Rhizoma, 3 qian) and Mangxiao (Natrii Sulfas, 2 qian); first chew Bran-fried Taoren (Persicae Semen) thoroughly and swallow with the decoction.
Haizang's examples for modifying Pingwei San: For diarrhea due to spleen dampness, add Fuling (Poria), Dingxiang (Caryophylli Flos), and Baizhu (Atractylodis Macrocephalae Rhizoma) to create Tiaowei San (Stomach-Regulating Powder). Another method adds Huoxiang (Patchouli) and Banxia (Pinelliae Rhizoma). Adding Ganjiang (Zingiberis Rhizoma) creates Houpo Tang (Magnolia Bark Decoction). For plague and seasonal miasma, or Er Du Shang Han (Two-Toxin Cold Damage) with headache and high fever, add 5 cun of Lianxu Congbai (Allii Fistulosi Bulbus with roots) and 30 Douchi (Sojae Seminis Praeparatum), boil for two or three boils, and cure by inducing slight sweating. For Wu Lao Qi Shang (Five Exhaustions and Seven Injuries) with heat in palms and soles, restlessness, and generalized joint soreness, add Chaihu (Bupleuri Radix). For phlegm-cough, malaria, or dysentery, add Jiangzhi Banxia (Pinelliae Rhizoma, ginger-processed); for Xiao Chang Qi Tong (Small Intestine Qi Pain), add Huixiang (Foeniculi Fructus). For fluid retention and edema, add Sangbaipi (Mori Cortex); for red and white leukorrhea in women, add Huangqi (Astragali Radix); for alcohol injury, add Dingxiang (Caryophylli Flos); for cold drink injury, add Gaoliangjiang (Galangal Rhizome); for slippery incontinence diarrhea, add Roudoukou (Myristicae Semen); for wind-phlegm causing heaviness and fatigue in limbs, add Jingjie (Schizonepetae Herba); for cold pain in legs and knees, add Niuxi (Achyranthis Bidentatae Radix); for generalized deficiency swelling and spasms, add Digupi (Lycii Cortex); for damp-bi in legs and knees, add Tusizi (Cuscutae Semen); for white dysentery, add Wuzhuyu (Evodiae Fructus); for red dysentery, add Huanglian (Coptidis Rhizoma); for head wind, add Gaben (Ligustici Wallichii Rhizoma et Radix); for muscle spasms and cholera, add Zhangmupi (Cinnamomi Cortex); for Qi and Six Extremities syndromes with tinnitus, nocturnal emission, night sweats, heavy limbs, weak legs and knees, chronic cold uterus in women, and irregular menstruation, add Guizhi (Cinnamomi Ramulus). For stomach-cold vomiting, add more Shengjiang (Zingiberis Rhizoma Recens). Another method adds Fuling (Poria) and Dingxiang (Caryophylli Flos), each 3 liang. If qi is not smooth and epigastrium is blocked, add Sharen (Amomi Fructus) and Xiangfu (Cyperi Rhizoma), each 3 liang, decoct with fresh ginger. Combined equally with Wuling San (Five-Poria Powder), it becomes Duijin Yinzi (Gold-Matching Drink). Combined with Liuyi San (Six-One Powder), it becomes Huangbai San (Yellow-White Powder). Combined with Qian Shi Yigong San (Master Qian’s Extra-Efficacy Powder), it becomes Tiaowei San (Stomach-Regulating Powder). For fluctuating appetite, add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus). In winter, add Wuzhuyu (Evodiae Fructus), Chuanjiao (Zanthoxylli Fructus), Ganjiang (Zingiberis Rhizoma), and Gui (Cinnamomi Ramulus) to form Wuzhuyu Tang (Evodia Decoction). If added with Gaben (Ligustici Wallichii Rhizoma et Radix) and Jiegeng (Platycodonis Radix), it becomes Hejie San (Harmonizing Powder), treating cold damage with vomiting and dysentery. If added with Huoxiang (Patchouli) and Banxia (Pinelliae Rhizoma), it becomes Buhuanjin Zhengqi San (Unchanging-Gold Qi-Correcting Powder). For alternating chills and fever in malaria, add Chaihu (Bupleuri Radix); for small intestine qi pain, add Kulian (Meliae Cortex) and Huixiang (Foeniculi Fructus).