(李东垣《内外伤辨惑论》) 治伤湿热之物,不得施化,痞闷不舒,腹中硬痛,积滞
泄泻等证。
大黄(一两) 枳实(麸炒) 神曲(炒各五钱) 黄芩(酒炒) 黄连(酒炒) 白
术(土炒) 茯苓(各三钱) 泽泻(二钱) 研细末,汤浸蒸饼为丸,量服。(程 《松
崖医径》加槟榔、木香,名木香导滞丸,治同。)
枳实导滞(丸)首大黄,芩连曲枳术苓 ,泽泻蒸饼糊丸服,湿热积滞力能攘。(大黄、
枳实荡涤实热,芩、连燥湿清热,苓、泻利湿泄热,神曲消食和中,白术补脾,湿热积滞自
化。)若还后重兼气滞,木香导滞(丸)加槟榔。(汪 庵《医方集解》引滑伯仁曰∶“肠胃,
阳明
(《太平惠民和剂局方》) 治心火上盛,中焦燥实,烦躁口渴,目赤头眩,口
疮唇裂,吐血衄血,大小便秘,诸风螈 ,胃热发斑发狂;及小儿急惊,痘疮黑陷。
连翘(四两) 大黄(酒浸) 芒硝 甘草(各二两) 黑山栀 黄芩(酒炒) 薄荷
(各一两) 为
(李梃《医学入门》) 治中风舌强不语。
即凉膈散加菖蒲、远志各一两。
凉膈(散)硝黄栀子翘,黄芩甘草薄荷饶,竹叶蜜煎疗膈上,中焦燥实服之消。(此上
中二焦泻火药也。热淫于内,治以咸寒,佐以苦甘,故以连翘、黄芩、竹叶、薄荷升散于上,
而以大黄、芒硝推荡其中,使邪热上散下行,而膈自清矣。用甘草、白蜜者,病在膈,甘以
缓之也。)温邪吐衄斑狂要,幼稚惊风痘陷邀。(皆上中二焦之火为患)减去硝黄加桔梗,上
焦风热总堪调。(李东垣曰∶“易老减硝、黄,加桔梗上浮之药,以治胸膈与六经之热。”)
中风不语加菖远,此又名为转舌膏。(喻嘉言曰∶“中风证大势风木合君相二火主病,古方用
凉膈散居多。盖风火上炎,胸膈正燎原之地,所以转舌膏、活命丹皆从而加味,不可以宣通
肠胃轻訾之也。”汪 庵《医方集解》曰∶“转舌膏散心经之蕴热也,活命丹散肝经之郁火也
。”)
(出自李东垣《内外伤辨惑论》)治疗因食用湿热之物导致的气机阻滞、运化失常,出现胸脘痞闷不适、腹部硬痛、积滞泄泻等症状。
大黄(一两) 枳实(麸皮炒) 神曲(炒制,各五钱) 黄芩(酒炒) 黄连(酒炒) 白术(土炒) 茯苓(各三钱) 泽泻(二钱)。将上述药材研成细末,用米汤浸泡蒸饼制成丸剂,根据病情适量服用。(程国彭《松崖医径》中加入槟榔、木香,命名为木香导滞丸,主治相同。)
枳实导滞丸以大黄为君药,辅以黄芩、黄连、神曲、枳实、白术、茯苓,泽泻,用蒸饼糊作为粘合剂制成丸剂服用,能强力清除湿热积滞。(解析:大黄、枳实荡涤实热,黄芩、黄连燥湿清热,茯苓、泽泻利湿泄热,神曲消食和中,白术健脾,湿热积滞自然化解。)如果还有里急后重兼有气滞症状,可在原方基础上加入木香,即为木香导滞丸。(汪昂《医方集解》引用滑伯仁的话说:“肠胃属于阳明经……”)
(出自《太平惠民和剂局方》)治疗心火亢盛于上,中焦燥结实证,出现烦躁口渴、眼睛红赤、头晕目眩、口腔溃疡、嘴唇干裂、吐血、鼻出血、大小便不通、各种风证引起的抽搐痉挛、胃热导致的发斑发狂;以及小儿急惊风、痘疮黑陷等症。
连翘(四两) 大黄(酒浸) 芒硝 甘草(各二两) 黑山栀 黄芩(酒炒) 薄荷(各一两)。将这些药材……(原文此处中断,通常后续为“为粗末,加竹叶、蜜煎服”或类似制法,但根据任务要求不增添内容,故仅翻译现有部分)
(出自李梃《医学入门》)治疗中风导致的舌体僵硬、不能言语。
即在凉膈散的基础上加入石菖蒲、远志各一两。
凉膈散由芒硝、大黄、栀子、连翘组成,配以黄芩、甘草、薄荷,用竹叶和蜂蜜煎煮,可治疗膈上之热,使中焦燥实得以消除。(解析:这是清泻上、中二焦火的药物。热气蕴结于内,用咸寒之品为主治,佐以苦甘之品,因此用连翘、黄芩、竹叶、薄荷升散于上,用大黄、芒硝推荡于中,使邪热向上发散、向下排泄,膈部自然清凉。使用甘草、白蜜是因为病位在膈,甘味可以缓急。)温热病邪导致的吐血、衄血、发斑、发狂,以及小儿惊风、痘疮内陷,都是上中二焦之火为患所致。(解析:减去芒硝、大黄,加入桔梗,可用于调理上焦风热总纲。(李东垣说:“易老减去芒硝、大黄,加入桔梗等上浮的药物,用来治疗胸膈与六经的热邪。”)中风不语者加入石菖蒲、远志,此方又名为转舌膏。(喻嘉言说:“中风证的病势主要是风木与君相二火共同致病,古方中多用凉膈散。因为风火上炎,胸膈正是燎原之地,所以转舌膏、活命丹都在此基础上加味,不可以因为宣通肠胃而轻视它。”汪昂《医方集解》说:“转舌膏疏散心经的蕴热,活命丹疏散肝经的郁火。”)
(From Li Dongyuan's *Nei Wai Shang Bian Huo Lun*) Treats conditions caused by consuming damp-heat-inducing substances, leading to impaired transformation and transportation, resulting in epigastric fullness and discomfort, abdominal hardness and pain, accumulation with diarrhea, and other syndromes.
Dahuang (Rhei Radix et Rhizoma) (1 liang), Zhishi (Immature Bitter Orange Fruit, stir-bran fried), Shenqu (Medicated Leaven, stir-fried, each 5 qian), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Fuling (Poria, each 3 qian), Zexie (Alismatis Rhizoma) (2 qian). Grind into fine powder, mix with steamed wheat cake soaked in water decoction to form pills, take appropriate dosage according to condition. (Cheng Guopeng's *Songya Yijing* adds Binglang (Arecae Semen) and Muxiang (Aucklandiae Radix), named Muxiang Daozhi Wan, with the same indications.)
Zhishi Daozhi Wan takes Dahuang as the sovereign herb, accompanied by Huangqin, Huanglian, Shenqu, Zhishi, Baizhu, Fuling, and Zexie; formed into pills using steamed cake paste, it has the power to expel damp-heat and accumulation. (Analysis: Dahuang and Zhishi purge excess heat; Huangqin and Huanglian dry dampness and clear heat; Fuling and Zexie promote diuresis to drain dampness and heat; Shenqu aids digestion and harmonizes the middle; Baizhu tonifies the spleen; thus damp-heat and accumulation are naturally resolved.) If tenesmus is present along with qi stagnation, add Muxiang to form Muxiang Daozhi Wan. (Wang Ang's *Yifang Jijie* cites Hua Borén saying: "The intestines and stomach belong to the Yangming meridian...")
(From *Taiping Huimin Heji Jufang*) Treats excessive heart fire at the upper level, dryness and excess in the middle jiao, manifesting as irritability, thirst, red eyes, dizziness, oral ulcers, cracked lips, hematemesis, epistaxis, constipation of both stool and urine, various wind-induced spasms, gastric heat causing macules and mania; also pediatric acute convulsion and black depression of smallpox lesions.
Lianqiao (Forsythiae Fructus) (4 liang), Dahuang (Rhei Radix et Rhizoma, wine-soaked), Mangxiao (Natrii Sulfas), Gancao (Licorice Root, each 2 liang), Heishanzhi (Gardeniae Fructus, charred), Huangqin (Scutellariae Radix, wine-fried), Bohe (Menthae Haplocalycis Herba) (each 1 liang). Process these herbs... (Original text breaks here; typically followed by processing instructions, but per task constraints, no content is added.)
(Li Ting's *Yixue Rumen*) Treats stroke-induced tongue stiffness and aphasia.
It is Liangge San plus Shichangpu (Acori Tatarinowii Rhizoma) and Yuanzhi (Polygalae Radix), each 1 liang.
Liangge San consists of Mangxiao, Dahuang, Zhizi (Gardeniae Fructus), Lianqiao, supplemented with Huangqin, Gancao, and Bohe; decocted with Zhuye (Bambusae Folium) and honey, it treats heat above the diaphragm, resolving dryness and excess in the middle jiao. (Analysis: These are herbs for purging fire from the upper and middle jiao. When heat invades internally, treat with salty-cold substances, assisted by bitter-sweet ones. Thus, Lianqiao, Huangqin, Zhuye, and Bohe disperse upward; Dahuang and Mangxiao purge downward, allowing pathogenic heat to scatter upwards and descend downwards, clearing the diaphragm. Gancao and white honey are used because the disease is located at the diaphragm, and sweet flavors can moderate urgency.) Warm pathogenic factors causing hematemesis, epistaxis, macules, and mania, as well as pediatric convulsions and smallpox depression, are all caused by fire in the upper and middle jiao. (Analysis: Remove Mangxiao and Dahuang, add Jiegeng (Platycodonis Radix) to regulate wind-heat in the upper jiao generally. (Li Dongyuan said: "Yi Lao removed Mangxiao and Dahuang, adding floating herbs like Jiegeng to treat heat in the chest-diaphragm and the six meridians.") For stroke with aphasia, add Shichangpu and Yuanzhi; this formula is also called Zhanshe Gao. (Yu Jiayan said: "The major trend of stroke syndrome involves wind wood combining with ministerial and sovereign fire as the primary pathology. Ancient formulas frequently use Liangge San. Since wind-fire flares upward, the chest-diaphragm becomes a land on fire. Therefore, Zhanshe Gao and Huoming Dan are modified additions to this base, and should not be disparaged merely for promoting intestinal circulation." Wang Ang's *Yifang Jijie* states: "Zhanshe Gao dissipates stagnant heat in the Heart meridian, while Huoming Dan dissipates depressed fire in the Liver meridian.")