大渴之症有真有假真渴者饮水至一斗不止舌如芒刺眼赤如火喉中吐火星者真热也热极而
渴非
真渴而何此等之症不用石膏知母白虎之汤大剂煎饮不可人亦见症自能用药不必余之多辨也虽
是假渴之症亦饮水而无休而大便不见燥实口中虽起白胎而无芒刺胸前虽觉热而两目未见红肿
时时烦躁而饮之热水亦宜上部脉洪大而下部又觉微细欲绝上身以上有汗而下体寒冷而无汗此
皆
假渴之症也余定一方与此症实有相宜方名甘露饮一剂而渴减半二剂而渴止然后以六味地黄汤
加麦冬五味肉桂为丸每日早晚各吞下一两服三月不再发此方神异而实平常盖大渴之症半是肾
虚而胃火沸腾胃为肾之关关门不闭肾火随胃火而上升燎原之势非水不能救所以必得水而解渴
而杯水何能止之故大渴之症亦宜以此等大剂与之雨沛滂沱而漫山遍野之火始无余焰矣
甘露饮
玄参(四两) 熟地(四两) 麦冬(四两) 山茱萸(四两) 生地(四两) 肉桂(五钱) 北五味(
一两) 牛膝(四两) 车前子(二两)水煎服
狐疝之有真假也人知之乎疝不同原无真假而狐疝独有之人有日间有疝上升夜间乖下者此
狐疝
无疑矣然而以狐疝之药治之有效有不效何也正未辨明其真假耳真者若何日隐而夜垂其势必翘
然而举者也盖狐性善战而此病似狐则其阳亦必似狐古人象物命名必非无意真正狐疝予以一方
治之甚效甚速方用逐狐汤一剂而病全愈神方也此方用沙参以补阴用杜若以祛邪已操必胜之
道又加群品无非消痰逐秽之味更有肉桂以引入膀胱之路直捣中坚所以奏功如响也此治真正狐
疝者如此若假者若何亦日隐而夜坠而势则终夜不起即随起而随痿遇寒更痛或有经年累月而体
木
者日间缩入全无痛楚此则狐疝之假者也吾亦有一方治之最妙一剂轻二剂又轻三剂全愈此方利
腰脐而兼逐邪消痰不必治狐疝而疝症全愈者也以此分别以治疝又何疝之不可治哉
逐狐汤
沙参(一两) 橘核(三钱) 陈皮(一钱) 甘草(一钱) 槟榔(一钱) 天花粉(三钱) 肉桂(五
分) 野杜若花根(五钱生者用二两捣碎)水煎服
后方
白术(一两) 肉桂(三钱) 白芥子(五钱) 橘核(二钱) 小茴香(二钱) 枳壳(一钱) 茯苓(
三钱) 野杜若花根(生者一两)水煎服
大渴的症状有真证和假证。真渴者,饮水多达一斗仍不止,舌面如芒刺般粗糙,眼睛红得像火,喉咙中仿佛吐出火星,这是真正的热证。热极而导致的口渴,难道不是真渴吗?这类病症若不用石膏、知母组成的白虎汤大剂量煎服,是无法治愈的。患者见到这些症状自然知道用药,不必由我来过多辨析。
即使是假渴的症状,也会不停地饮水,但大便并不干燥结实,口中虽然出现白色苔垢却没有芒刺感,胸前虽然感觉发热,但双眼并未见红肿,时常烦躁,且饮用热水也适宜;脉象上部洪大,下部却微细欲绝;上身有汗而下身寒冷无汗。这些都是假渴的症状。我制定一方与此症非常相宜,方名甘露饮。服用一剂后口渴减半,两剂后口渴停止,然后用六味地黄汤加入麦冬、五味子、肉桂制成丸药,每日早晚各吞服一两,连续服用三个月不再复发。此方看似神异实则平常。因为大渴之症,一半是肾虚而胃火沸腾。胃为肾之关,关门不闭,肾火随胃火上炎,形成燎原之势,非水不能救,所以必须得水才能解渴。而杯水车薪怎能止住火势?因此大渴之症也宜用这种大剂量药物来治疗,就像大雨滂沱漫山遍野,才能使大火余烬熄灭。
甘露饮:玄参(四两)、熟地黄(四两)、麦冬(四两)、山茱萸(四两)、生地黄(四两)、肉桂(五钱)、北五味子(一两)、牛膝(四两)、车前子(二两)。水煎服。
狐疝有真假之分,有人知道吗?疝气本无真假之分,唯独狐疝独有真假。有的人白天疝气上升,夜间下垂,这无疑是狐疝。然而用治狐疝的药治疗,有的有效,有的无效,原因正是没有辨明其真假。什么是真证呢?白天隐没,夜间下垂,势必要翘起高举。因为狐狸本性善于争斗,此病似狐,那么其阳气也必像狐狸一样。古人取象比类命名,必定不是无意之举。真正狐疝我用一方治疗,效果甚好且迅速,方用逐狐汤,一剂病全愈,真是神方。此方用沙参以补阴,用杜若以祛邪,已掌握必胜之道,又加入其他药物,无非是消痰逐秽的味道,更有肉桂引导药力进入膀胱之路,直捣中坚,所以奏效如响。治疗真正狐疝就是这样。那假证又如何呢?也是白天隐没夜间下垂,但势态整夜不起,即使起来也随即痿软,遇寒更痛,或者经年累月导致身体麻木,白天缩回完全无痛楚,这就是狐疝的假证。我也有一方治疗,最为奇妙,一剂减轻,两剂更轻,三剂全愈。此方利腰脐兼逐邪消痰,不必专门治狐疝而疝症全愈。以此分别来治疗疝气,又有什么疝气不可治的呢?
逐狐汤:沙参(一两)、橘核(三钱)、陈皮(一钱)、甘草(一钱)、槟榔(一钱)、天花粉(三钱)、肉桂(五分)、野杜若花根(五钱,生者用二两捣碎)。水煎服。
后方:白术(一两)、肉桂(三钱)、白芥子(五钱)、橘核(二钱)、小茴香(二钱)、枳壳(一钱)、茯苓(三钱)、野杜若花根(生者一两)。水煎服。
The symptom of excessive thirst (Dake) has true and false manifestations. In true thirst, the patient drinks up to one *dou* (a unit of volume) yet remains unquenched; the tongue feels like it is covered with thorns, the eyes are red as fire, and sparks seem to emanate from the throat. This indicates true heat (Zhen Re). Thirst caused by extreme heat is indeed true thirst. For such cases, if a large dose of Baihu Tang (White Tiger Decoction), containing Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma), is not decocted and administered, recovery is impossible. Patients presenting these symptoms will naturally know how to medicate themselves; there is no need for me to elaborate excessively.
Even in cases of false thirst, the patient may drink incessantly, but the stool is not dry or solid. Although white coating appears in the mouth, there is no sensation of thorns. Although heat is felt in the chest, the eyes show no redness or swelling. The patient experiences frequent irritability, and drinking hot water is acceptable. The pulse is surging (Hongda) at the upper position but faint and nearly imperceptible (Weixi Jue) at the lower position. There is sweat on the upper body, while the lower body is cold and anhidrotic. These are all signs of false thirst. I have formulated a prescription suitable for this condition, named Ganlu Yin (Sweet Dew Decoction). After one dose, thirst is halved; after two doses, thirst ceases. Subsequently, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is modified with Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Rougui (Cinnamomi Cortex), processed into pills. One qian (approx. 3-5g) is swallowed twice daily, morning and evening. After three months of administration, recurrence does not happen. This prescription seems miraculous but is actually ordinary. Excessive thirst often involves Kidney deficiency accompanied by boiling Stomach fire. The Stomach serves as the gate for the Kidney; if the gate is not closed, Kidney fire rises with Stomach fire, creating a prairie-fire momentum that can only be extinguished by water. Thus, water is required to quench thirst. How can a cup of water stop such a blaze? Therefore, excessive thirst requires large-dose prescriptions, akin to heavy rain soaking the mountains and fields, to extinguish all remaining embers.
**Ganlu Yin**: Xuanshen (Scrophulariae Radix, 4 liang), Shudi (Rehmanniae Radix Praeparata, 4 liang), Maidong (Ophiopogonis Radix, 4 liang), Shanzhuyu (Corni Fructus, 4 liang), Shengdi (Rehmanniae Radix, 4 liang), Rougui (Cinnamomi Cortex, 5 qian), Bei Wuwei (Schisandrae Fructus, 1 liang), Niuxi (Achyranthis Bidentatae Radix, 4 liang), Cheqianzi (Plantaginis Semen, 2 liang). Decoct in water and take orally.
Regarding Hu Shan (Fox Hernia), do people know its true and false distinctions? Hernias generally do not have true/false distinctions, but Fox Hernia uniquely does. If hernia ascends during the day and descends at night, it is undoubtedly Fox Hernia. However, treatments for Fox Hernia yield varying results—some effective, some not. The reason lies in failing to distinguish between true and false forms. What constitutes the true form? It disappears during the day and descends at night, rising high and erect. Since foxes are combative by nature, and this disease resembles a fox, its Yang energy also mimics the fox. Ancient naming based on analogy was not arbitrary. For true Fox Hernia, I use a prescription called Zhu Hu Tang (Fox-Chasing Decoction), which cures the disease completely in one dose—a miraculous formula. It uses Shashen (Glehniae Radix) to nourish Yin and Du Ruo (Polygalae Tenuifoliae Radix) to dispel pathogens, securing victory. Other ingredients aim to resolve phlegm and purge turbidity. Rougui guides the medicine into the Bladder channel, striking the core directly, ensuring rapid efficacy. This is how true Fox Hernia is treated.
What about the false form? It also disappears by day and descends by night, but remains low throughout the night, or rises only to become flaccid immediately. Pain worsens with cold. Over years, it may cause numbness in the limb. When retracted during the day, there is no pain. This is false Fox Hernia. I also have a highly effective prescription: lightened in one dose, further improved in two, and cured in three. This prescription benefits the waist and umbilicus while dispelling pathogens and resolving phlegm. It cures hernia without specifically targeting "fox" characteristics. By distinguishing these types, what hernia cannot be cured?
**Zhu Hu Tang**: Shashen (Glehniae Radix, 1 liang), Juhe (Citri Reticulatae Viride Fructus, 3 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Binglang (Arecae Semen, 1 qian), Tianhuafen (Trichosanthis Radix, 3 qian), Rougui (Cinnamomi Cortex, 5 fen), Ye Dueruo Hua Gen (Radix et Rhizoma Polygalae Tenuifoliae Wild, 5 qian; use 2 liang fresh, crushed). Decoct in water and take orally.
**Subsequent Formula**: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Rougui (Cinnamomi Cortex, 3 qian), Baijiezi (Sinapis Semen, 5 qian), Juhe (Citri Reticulatae Viride Fructus, 2 qian), Xiaohuixiang (Foeniculi Fructus, 2 qian), Zhiqiao (Aurantii Fructus, 1 qian), Fuling (Poria, 3 qian), Ye Dueruo Hua Gen (Radix et Rhizoma Polygalae Tenuifoliae Wild Fresh, 1 liang). Decoct in water and take orally.