[尤在泾] 这是肺胃热盛损伤津液。所以用白虎汤清热,人参生津止渴。这大概就是所谓的上消、膈消的证候,怀疑也是错简放在这里了。
喻嘉言《医门法律》说:按照此法治疗火热损伤肺胃,是清热救渴的良方。
因此,消渴病在上焦的,必须取用此方。李东垣用它治疗膈消,张洁古用它治疗能食而口渴者。
[沈明宗] 这也不是真正的消渴病。伤寒太阳阳明经,热邪未清,所以脉浮发热,想喝水。胃热下流,则导致小便不利。所以用猪苓汤,导热并滋润干燥,驱赶胃中邪气从下排出。文蛤散、猪苓散、五苓散,凡四条,编书的人误入此处。
[尤在泾] 按“想喝水”,原文共有五条,其中脉浮发热、小便不利的,一条用五苓散,是因为水与热互结的缘故;一条用猪苓汤,是因为水与……
[You Zaijing] This is excessive heat in the Lung and Stomach damaging the Body Fluids. Therefore, Baihu Tang (White Tiger Decoction) is used to clear heat, and Renshen (Ginseng Radix et Rhizoma) generates fluids and relieves thirst. This is likely what is referred to as the syndrome of Upper Xiao (Upper Wasting-Thirst) or Ge Xiao (Diaphragm Wasting-Thirst); it is suspected to be a misplaced text inserted here due to bamboo slip errors.
Yu Jiayan (Yu Chang), in *Yi Men Fa Lü* (Legal Principles of Medical Practice), states: According to this treatment for fire-heat injuring the Lung and Stomach, it is an excellent remedy for clearing heat and saving from thirst.
Therefore, for Xiao (Wasting-Thirst) located in the Upper Jiao (Upper Burner), this formula must be employed. Li Dongyuan used it to treat Ge Xiao (Diaphragm Wasting-Thirst), and Zhang Jiegau (Zhang Congzheng's student, often associated with Zhang Yuansu's lineage or specifically referring to Zhang Guojie/Zhang Yuansu depending on context, but here strictly translating name) used it to treat those who can eat yet feel thirsty.
When the pulse is floating, accompanied by fever, a desire to drink water, and dysuria (difficult or insufficient urination), Zhuling Tang (Polyporus Decoction) is the primary treatment.
[Shen Mingzong] This is not true Xiao (Wasting-Thirst). In Taiyang and Yangming diseases of Cold Damage, the pathogenic heat has not yet cleared; hence the floating pulse, fever, and desire to drink. When Stomach heat flows downward, it causes dysuria. Therefore, Zhuling Tang (Polyporus Decoction) is used to guide out heat, moisten dryness, and expel the Stomach pathogen downwards. Wenli San (Clam Shell Powder), Zhuling San (Polyporus Powder), and Wuling San (Five-Ingredient Powder with Poria), these four items were erroneously included by the compiler.
[You Zaijing] Regarding "desire to drink water," there are five cases in the original text. One case with floating pulse, fever, and dysuria uses Wuling San (Five-Ingredient Powder with Poria) because water and heat are bound together; one case uses Zhuling Tang (Polyporus Decoction) because water and...