诃黎勒(十枚。)
上一味为散。粥饮和。顿服。
歌曰 诃黎勒散涩肠便。气利还须固后天。十个诃黎煨研末。调和米饮不须煎。
男元犀按。气利者。肺气下脱。胃肠俱虚。气陷屎下。急用诃黎勒涩肠胃以固脱。又用
粥饮
治干呕下利者。
黄芩 人参 干姜(各三两。) 桂枝(一两。) 大枣(十二枚。) 半夏(半升。)
上六味。以水七升。煮取三升。温分三服。
歌曰 干呕利兮责二阳。(太阳阳明递相传也。)参芩三两等干姜。桂枝一两半升夏。枣
十二
男元犀按。此即小柴胡汤变法。方中以桂枝易柴胡。以干姜易生姜。去甘草是也。太阳
病不
分阴
以和
治肠痈之为病。其身甲错。腹皮急。按之濡如肿状。腹无积聚。身无热。
内有痈脓。此散主之。
薏苡仁(十分。) 附子(二分。) 败酱(五分。)
上三味。杵为散。取方寸匕。以水二升。煎减半。顿服。小盒饭下。
歌曰 气血凝(内)痈阻外肤。(气血为内痈所夺。不荣于外。其身甲错。言如鳞甲之
交错也。)腹皮虽急按之濡。附宜二分苡仁十。败酱还须五分驱。
王晋三云。心气抑郁不舒。则气结于小肠之头。阻传道之去路而为痈肿。即内经所谓脏
不容
以附子。一开手太阳小肠之结。一化足太阳膀胱之气。务令所化之毒。仍从水道而出。精微
之奥。岂庸浅者所能推测耶。
诃黎勒(十枚)。
将以上一味药研成散剂。用米粥汤送服,一次性服用。
歌诀说:诃黎勒散能涩肠止泻。治疗气利还需要固护后天之本。十个诃黎勒煨熟后研成粉末,调和米饮即可,不需要煎煮。
男元犀按语:所谓气利,是肺气下脱,胃肠都虚弱,气陷导致大便随气排出,急需使用诃黎勒涩肠固脱以收敛正气。又用
粥饮(见上文)。治疗大便不通,呃逆频繁,胡言乱语。
治疗干呕伴下利的病症。
黄芩、人参、干姜(各三两),桂枝(一两),大枣(十二枚),半夏(半升)。
以上六味药,用水七升,煮取三升,分三次温服。
歌诀说:干呕下利要责之于二阳经。(太阳病与阳明病依次相传。)人参、黄芩各三两,干姜也是三两。桂枝一两,半夏半升,大枣十二枚。
男元犀按语:这就是小柴胡汤的变法。方中用桂枝代替柴胡,用干姜代替生姜,去掉甘草。这是太阳病不分阴阳
以调和……
治疗肠痈这种病症。患者身体皮肤粗糙如鳞甲交错,腹部皮肤紧张,但按压时感觉柔软像肿胀状,腹部没有积块,身体没有发热。
这是内有痈脓,此散剂主治。
薏苡仁(十分),附子(二分),败酱草(五分)。
以上三味药,捣碎研成散剂。取一方寸匕的药量,用水二升,煎至减半,一次性服用。不久应当排出脓血。
歌诀说:气血凝滞在内,痈阻于外肤。(气血被内痈所夺,不能荣养于外,所以身体皮肤粗糙,像鳞甲交错一样。)腹部皮肤虽然紧张,但按压时柔软。附子宜用二分,薏苡仁十分,败酱草还需五分来驱除。
王晋三说:心气抑郁不舒,则气结于小肠头部,阻碍传导的去路而形成痈肿。这正是《内经》所说的脏腑不容纳邪气
而用附子,一是开通手太阳小肠经的气结,一是化足太阳膀胱经的气机。务必使所化的毒邪,仍然从水道排出。其中的精微奥妙,难道是平庸浅薄的人所能推测的吗?
Heqile (Ten seeds).
Grind the above single herb into a powder. Mix with rice gruel and take in one dose.
Song says: Heqile San astringes the intestines to stop diarrhea. To treat Qi Li (diarrhea accompanied by flatus), it is necessary to secure the Post-Heaven root. Ten Heqile fruits are roasted, ground into powder, mixed with rice drink, and no need for decoction.
Nan Yuanxi notes: Qi Li refers to the downward collapse of Lung Qi, with both stomach and intestines deficient. Qi sinks causing stool to pass out with gas. It is urgent to use Heqile to astringe the intestines and bowels to secure against collapse. Also use
rice gruel
(see above). Treats constipation, frequent hiccups, and delirious speech.
Treats dry vomiting accompanied by diarrhea.
Huangqin (3 liang each), Renshen (3 liang each), Ganjiang (3 liang each), Guizhi (1 liang), Dazao (12 pieces), Banxia (0.5 sheng).
The above six herbs. Add seven sheng of water, boil to obtain three sheng. Take warm, divided into three doses.
Song says: Dry vomiting and diarrhea are attributed to the Two Yang meridians. (Transmission occurs sequentially from Taiyang to Yangming.) Renshen and Huangqin are 3 liang each, equal to Ganjiang. Guizhi is 1 liang, Banxia is half a sheng, Dazao is twelve pieces.
Nan Yuanxi notes: This is a modified formula of Xiaochaihu Tang. In the formula, Guizhi replaces Chaihu, Ganjiang replaces Shengjiang, and Gancao is removed. This is for Taiyang disease without distinguishing Yin and Yang
to harmonize...
Treats intestinal abscess. The patient's body skin is rough like armor scales (Jiacuo). The abdominal wall is tense, but feels soft upon pressure as if swollen. There are no accumulations in the abdomen, and the body has no fever.
There is pus within the intestines. This San (powder) treats it.
Yiyiren (10 parts), Fuzi (2 parts), Baijiangcao (5 parts).
The above three herbs. Pound into a powder. Take one Fangcunbi (a square-inch measure) of the powder. Add two sheng of water, boil until reduced by half. Take in one dose. Small amounts of feces/pus should be passed soon.
Song says: Qi and blood stagnation internally, abscess obstructing the external skin. (Qi and blood are depleted by the internal abscess and fail to nourish the exterior; thus the body skin is rough, resembling interlacing scales.) Although the abdominal skin is tense, it feels soft upon pressure. Fuzi should be 2 parts, Yiyiren 10 parts, and Baijiangcao 5 parts to drive it out.
Wang Jinsan said: If Heart Qi is depressed and not free-flowing, Qi knots at the head of the Small Intestine, blocking the pathway of transmission and forming an abscess. This is what the Neijing refers to as the organs failing to accommodate [pathogens].
Using Fuzi, one opens the knot of the Hand-Taiyang Small Intestine meridian, and one transforms the Qi of the Foot-Taiyang Bladder meridian. One must ensure that the transformed toxins exit through the water passages. The profound essence of this cannot be speculated upon by mediocre and shallow individuals.