(《太平惠民和剂局方》) 治冷积泻痢之良方。
木香(二两半) 肉豆蔻(二十个) 丁香(一两半) 干姜(炮一两) 百草霜(细
研二两) 杏仁(一百四十粒去皮尖别研极烂如膏) 巴豆(七十粒去心皮膜研如脂出油) 除
巴豆粉、百草霜、杏仁外,余四味捣为细末,共和合研令细,用好蜡匮和。先将黄蜡六两溶
化,重绢滤去渣,以好酒一升于砂锅内煮数沸,候酒冷蜡浮,取蜡秤用。凡春夏修合,用清
油一两,入铫熬熟,取蜡四两,同化成汁,就铫内和前药末,乘热拌匀,丸如豆大,每服三
十丸,空心姜汤下。 感应(丸)肉蔻丁木香,巴杏干姜百草霜。(肉豆蔻逐冷消食,丁香、
木香暖胃和脾,杏仁消肉积而降气,干姜逐痼冷而散痞,巴豆善破沉寒,夺门宣壅,寒积深
痼,非此莫攻,百草霜和中温散,亦能消积,统计诸药,同成温下之法。)蜡丸空腹姜汤下,
(用黄蜡之义最精。凡治积,新病宜急下,久病宜缓下。此治久积痼冷,乃缓下法也。)冷
积泻痢真奇方。(赵献可《医贯》曰∶“此方妙不可言,虽有巴豆,不令人泻,其积自然消化。
”李时珍《本草纲目》曰∶“一老妇年六十余,病溏泻已五年,肉食油物生冷犯之即作痛,
服调脾升提止涩诸药,入腹则泻反甚。延余诊之。脉沉而滑,此乃脾胃久伤,冷积凝滞所致,
王太仆所谓‘大寒凝内,久利溏泄,愈而复发,绵历数年'者,法当以热下之,则寒去痢止。
遂以蜡匮巴豆丸药五十丸与服,二日大便不通,亦不利,其泄遂愈。自是每用治泄痢积滞诸
病,皆不泄。”)
(出自《太平惠民和剂局方》)这是治疗冷积泻痢的良方。
木香(二两半)、肉豆蔻(二十个)、丁香(一两半)、干姜(炮制一两)、百草霜(细研二两)、杏仁(一百四十粒,去皮尖后单独研磨至极烂如膏状)、巴豆(七十粒,去心、皮膜,研磨如脂并去除油分)。除巴豆粉、百草霜、杏仁外,其余四味药捣成细末,混合均匀并再次研磨至细腻,用好蜡调和。先将黄蜡六两熔化,用双层丝绢过滤去渣,取好酒一升在砂锅内煮沸数次,待酒冷却后蜡浮起,取出蜡并称量使用。凡是春夏季节配制,用清油一两,放入铫中熬熟,取蜡四两,同化成汁,就在铫内与前药末混合,趁热搅拌均匀,制成如豆大小的丸药。每次服用三十丸,空腹时用姜汤送服。
感应丸歌诀:肉蔻丁木香,巴杏干姜百草霜。(肉豆蔻驱散寒冷、消除食积;丁香、木香温暖胃腑、调和脾脏;杏仁消除肉食积滞并降气;干姜驱除久寒、消散痞块;巴豆善于破除深层寒气,开通闭塞,对于深伏顽固的寒积,非此药不能攻逐;百草霜和中温散,也能消积。统计诸药功效,共同构成温下之法。)蜡丸空腹姜汤下。(使用黄蜡的意义最为精妙。凡是治疗积滞,新病适宜急下,久病适宜缓下。此方治疗久积痼冷,属于缓下法。)冷积泻痢真是奇方。(赵献可在《医贯》中说:“此方妙不可言,虽有巴豆,却不令人腹泻,其积自然消化。”李时珍在《本草纲目》中说:“一位六十多岁的老妇人,患溏泄五年,吃肉、油腻及生冷食物就会疼痛,服用调脾、升提、止涩等各种药物,入腹后反而腹泻更甚。请我诊治,脉象沉而滑,这是脾胃久伤,冷积凝滞所致,正如王太仆所说‘大寒凝于体内,久利溏泄,痊愈后复发,绵延数年’的情况,治法应当用热药下之,则寒去痢止。于是将蜡封巴豆丸药五十丸给她服用,两天后大便不通,也不腹泻,她的泄泻随即痊愈。从此以后,每用此法治泄痢积滞诸病,都不会导致腹泻。”)
(From *Taiping Huimin Heji Jufang*) This is an excellent prescription for treating cold accumulation diarrhea and dysentery.
Muxiang (Boswelliae Fructus, 2.5 liang), Roudoukou (Myristicae Semen, 20 pieces), Dingxiang (Caryophylli Flos, 1.5 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 1 liang processed), Baicaoshuang (Carbonized Bamboo Charcoal Powder, 2 liang finely ground), Xingren (Armeniacae Semen Amarum, 140 grains, skin and tip removed, separately ground to a paste-like consistency), Badou (Crotonis Fructus, 70 grains, heart, skin, and membrane removed, ground to a fatty consistency with oil expressed). Except for the Badou powder, Baicaoshuang, and Xingren, the remaining four herbs are pounded into fine powder, mixed thoroughly, and ground again until smooth. They are then combined and kneaded with high-quality beeswax. First, melt 6 liang of yellow beeswax, filter it through double-layered silk to remove dregs, boil one sheng of good wine in a clay pot for several boils, wait for the wine to cool so the wax floats, retrieve the wax, and weigh it. For compounding in spring and summer, use one liang of refined sesame oil, heat it in a ding until cooked, take four liang of wax, melt them together into liquid, and mix with the herbal powder in the ding while hot. Stir evenly, form pills the size of beans. Take thirty pills per dose, administered on an empty stomach with ginger decoction.
Ganying Wan Formula Song: Roudoukou, Dingxiang, Muxiang; Badou, Xingren, Ganjiang, Baicaoshuang. (Roudoukou dispels cold and resolves food stagnation; Dingxiang and Muxiang warm the Stomach and harmonize the Spleen; Xingren resolves meat stagnation and directs Qi downward; Ganjiang dispels entrenched cold and dissipates glomus; Badou excels at breaking deep-seated cold and opening blockages; for deep and stubborn cold accumulation, no other herb can attack it as effectively; Baicaoshuang harmonizes the middle, warms and disperses, and also resolves stagnation. Collectively, these herbs constitute a method of warming purgation.) Wax pills taken on an empty stomach with ginger decoction. (The rationale for using yellow beeswax is most profound. Generally, for treating accumulation, new conditions should be purged urgently, while chronic conditions require gentle purgation. This formula treats long-standing entrenched cold accumulation, representing a gentle purgative method.) Cold accumulation diarrhea and dysentery: truly a miraculous formula. (Zhao Xianke in *Yi Guan* stated: "This formula's efficacy is beyond words; although it contains Badou, it does not cause diarrhea, and the accumulation naturally dissolves." Li Shizhen in *Bencao Gangmu* recorded: "An elderly woman over sixty years old suffered from loose stools for five years. Consuming meat, oily foods, or cold items would immediately cause pain. She had taken various medicines to regulate the Spleen, lift Qi, and astringe, but upon ingestion, her diarrhea worsened. I examined her pulse, which was deep and slippery. This indicated long-term injury to the Spleen and Stomach, caused by cold accumulation and stagnation, exactly as Wang Tai put it: 'Severe cold congeals within, causing chronic loose stools that recur after remission, lasting for years.' The treatment principle should be to purge with hot-natured herbs, thereby eliminating cold and stopping dysentery. I gave her fifty wax-coated Badou pills. After two days, her bowels were unobstructed, yet she did not experience diarrhea, and her leakage ceased. Since then, whenever this formula has been used to treat diarrhea, dysentery, and other stagnation diseases, it has never caused diarrhea.")