舟车神佑丸 治水肿水胀,形气俱实者。
甘遂 芫花 大戟(各一两,并醋炒) 大黄(二两,酒浸) 青皮 陈皮 木香
槟榔(各半两) 黑牵牛(头末,四两) 轻粉(一钱) 取虫加芜荑(半两)
上为末,水丸,空心服。(治法服法详载《准绳·痰饮门》。)
青木香丸(方见疝症。)
除湿汤(《百一》) 治伤湿,发热恶寒,身重自汗,骨节疼痛,小便闭,大便溏
,腰脚痹冷。皆因坐卧卑湿,或冒雨露,或着湿衣所致。
生白术 藿香叶 橘红 白茯苓(各一两) 炙甘草(七钱) 半夏曲(炒) 浓朴
(姜刺) 苍术(米泔浸,炒,各二两)
上 咀,每服四钱,姜七片,枣一枚,水煎食前温服。
升阳除湿汤 治伤湿,肿泻,肠鸣腹痛。
升麻 柴胡 羌活 防风 半夏 益智仁 神曲 泽泻(各五分) 麦 面
陈皮 猪苓 甘草(各三分) 苍术(一钱)
上作一服,生姜三片,枣二枚,水煎去滓,空心服。
东垣云∶虽有治湿必利小便之说,若湿从外来而入里,用渗利之剂以除之,是降之又降
竭其阳,而复益其阴也。故用升阳风药即瘥。大法云∶湿淫所胜,必助风以平之也。愚谓湿
病用风药者,是助升浮之气,以行沉滞之湿,非以风胜之之谓也。又湿在上在表者,多挟风
气,非汗不能去也,荆、防、羌、麻,祛风之品,岂能行湿之事哉。
舟车神佑丸:治疗水肿和水胀,且形体与正气都充实的患者。
甘遂、芫花、大戟(各一两,均用醋炒制)、大黄(二两,用酒浸泡)、青皮、陈皮、木香、槟榔(各半两)、黑牵牛(取头末,四两)、轻粉(一钱)。如果体内有虫,可加芜荑(半两)。
以上药物研为细末,用水泛丸,空腹服用。(具体的治法和服法详细记载在《准绳·痰饮门》中。)
青木香丸(方剂见疝症章节)。
除湿汤(出自《百一选方》):治疗因伤湿引起的发热恶寒、身体沉重、自汗、骨节疼痛、小便闭塞、大便溏泄、腰脚痹冷等症状。这些症状都是由于坐卧于低洼潮湿之处,或冒犯雨露,或穿着湿衣所致。
生白术、藿香叶、橘红、白茯苓(各一两)、炙甘草(七钱)、半夏曲(炒制)、浓朴(用姜刺)、苍术(用米泔水浸泡后炒制,各二两)。
以上药物切碎,每次服用四钱,加生姜七片、大枣一枚,用水煎煮,饭前温服。
升阳除湿汤:治疗因伤湿引起的肿胀、腹泻、肠鸣腹痛。
升麻、柴胡、羌活、防风、半夏、益智仁、神曲、泽泻(各五分)、麦面、陈皮、猪苓、甘草(各三分)、苍术(一钱)。
以上药物作为一服的量,加生姜三片、大枣二枚,用水煎煮去渣,空腹服用。
李东垣说:虽然有治疗湿病必须通利小便的说法,但如果湿气从外部侵入体内,使用渗湿利尿的药物来清除它,这是在下行基础上再次下行,耗竭阳气,反而增加阴气。所以使用升阳的风药即可痊愈。大法云:“湿气过盛,必须借助风药来平抑它。”我认为湿病使用风药,是借助升浮之气,来运行沉滞的湿气,并不是用风药来战胜湿气。另外,湿气在上部或在表层的,多夹杂风气,不用发汗的方法不能去除。荆芥、防风、羌活、麻黄等祛风的药物,难道能执行祛湿的任务吗?
Zhouché Shényòu Wán (Boat Vehicle Divine Blessing Pill): Treats edema and water distension in patients with both substantial physical constitution and robust vital energy.
Gansui (Kansui Root), Yuanhua (Genkwa Flower), Daji (Euphorbiae Pekinensis Radix) (each 1 liang, all stir-fried with vinegar), Dahuang (Rhubarb Rhizome) (2 liang, soaked in wine), Qingpi (Aurantii Fructus Immaturus Pericarpium), Chenpi (Aurantii Fructus Pericarpium), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) (each 0.5 liang), Hei Qianniu (Black Morning Glory Seed) (head powder, 4 liang), Qingfen (Calomel) (1 qian). If parasites are present, add Wuyi (Chenopodii Semen) (0.5 liang).
Grind the above ingredients into fine powder, form pills with water, and take on an empty stomach. (Detailed treatment methods and administration instructions are recorded in *Zhunsheng: Phlegm-Fluids Section*.)
Qingmuxiang Wan (Green Muskwood Pill) (Formula see Hernia Syndrome section).
Chushi Tang (Dampness-Removing Decoction) (from *Baiyi Xuanfang*): Treats injury by dampness manifesting as fever and aversion to cold, heavy body, spontaneous sweating, pain in bone joints, closure of urination, loose stools, and bi-cold in the waist and legs. These symptoms are caused by sitting or lying in low, damp places, exposure to rain and dew, or wearing wet clothes.
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Huoxiang Ye (Agastachis Folium), Juhong (Citri Reticulatae Pericarpium Rubrum), Bai Fuling (Poria) (each 1 liang), Zhi Gancao (Honey-fried Licorice Root) (7 qian), Banxia Qu (Pinelliae Fermented Paste) (stir-fried), Nongpu (Magnoliae Officinalis Cortex) (pricked with ginger), Cangzhu (Atractylodis Rhizoma) (soaked in rice wash water, stir-fried, each 2 liang).
Cut the above ingredients finely. For each dose, use 4 qian of the powder, add 7 slices of fresh ginger and 1 jujube, decoct in water, and take warm before meals.
Shengyang Chushi Tang (Yang-Raising Dampness-Removing Decoction): Treats swelling and diarrhea due to injury by dampness, accompanied by borborygmus and abdominal pain.
Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Tuber), Yizhiren (Alpiniae Oxyphyllae Semen), Shenqu (Massa Medicata Fermentata), Zexie (Alismatis Rhizoma) (each 5 fen), Mai Mian (Wheat Flour), Chenpi (Aurantii Fructus Pericarpium), Zhuling (Polyporus) (each 3 fen), Cangzhu (Atractylodis Rhizoma) (1 qian).
Take the above ingredients as one dose. Add 3 slices of fresh ginger and 2 jujubes. Decoct in water, remove the dregs, and take on an empty stomach.
Li Dongyuan stated: Although there is a saying that treating dampness requires promoting diuresis, if dampness enters from the exterior into the interior, using moist-draining and diuretic agents to eliminate it is lowering again after having lowered, exhausting yang qi, and thereby increasing yin. Therefore, using wind herbs that raise yang will lead to recovery. The general principle states: "When dampness prevails excessively, one must assist with wind herbs to pacify it." I believe that using wind herbs for dampness disease is to assist ascending and floating qi to move stagnant dampness, not to defeat dampness with wind. Furthermore, when dampness is located in the upper part or on the exterior, it often accompanies wind qi; only sweating can remove it. Are Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Mahuang (Ephedrae Herba) wind-dispelling substances capable of performing the task of moving dampness?