丹溪白螺壳丸
白螺壳(火 ) 滑石 苍术 山栀子 红曲(炒) 香附(童便浸) 南星(炮制,各一两)
青皮 枳壳(麸炒黄) 木香 半夏 砂仁(各半两) 桃仁(炒,去皮尖,三十粒)
上为末,春加川芎;夏加黄连;秋加吴茱萸,用生姜汁浸蒸饼为丸,绿豆大,每服五十
丸。
海蛤丸(丹溪) 治痰饮心痛。
海蛤(烧灰,研极细,过数日火毒散用之) 栝蒌仁(带穣,同研)
上以海蛤粉入栝蒌内干湿得所为丸,每服五十丸。
加味二陈汤 治痰饮食积,胃脘作痛,或胀或痞。
陈皮 半夏 茯苓 炙草 枳实 川连 滑石 木通 山楂 干葛
此中焦湿痰蕴热,痞滞不通,以二陈加连、枳、山楂,清涤中宫,妙在干葛升引清气,
滑石、木通蠲除浊气,清升浊降,痛胀自除。
(新定)吴茱萸汤 治胃脘痛不能食,食则呕,其脉弦。
人参(一钱) 吴茱萸(三分,炮淡) 川连(六分) 茯苓(二钱) 半夏(一钱半) 宣州木
瓜(七分)
上作一服,水姜煎。
(新定)桂苓汤
桂(一钱) 茯苓(三钱) 人参(一钱) 甘草(五分) 芍药(一钱) 生姜(五分)
一作一服,水煎空心服。
按∶古法有生韭汁和五苓散为丸,空心茴香汤下。盖亦取泄水气,益土气之意。愚谓白
滞,不如人参之益胃,韭汁之辛,不如生姜之散逆,且猪、泽亦过伤肾气,不如芍药之摄水下行也。
丹溪白螺壳丸
白螺壳(煅烧)一两,滑石一两,苍术一两,山栀子一两,红曲(炒制)一两,香附(用童子尿浸泡)一两,南星(炮制)一两。
青皮半两,枳壳(麸皮炒至黄色)半两,木香半两,半夏半两,砂仁(各半两)。桃仁(炒制,去皮和尖,三十粒)。
以上药物研为细末,春季加川芎;夏季加黄连;秋季加吴茱萸。用生姜汁浸透蒸饼制作成丸药,大小如绿豆,每次服用五十丸。
海蛤丸(出自朱丹溪) 治疗痰饮引起的心痛。
海蛤(烧成灰,研磨至极细,放置数日待火毒消散后使用),栝蒌仁(带瓤,一同研磨)。
以上将海蛤粉加入栝蒌中,调节干湿程度适宜制成丸药,每次服用五十丸。
加味二陈汤 治疗因痰食积滞导致的胃脘疼痛,或者出现胀满或痞塞感。
陈皮,半夏,茯苓,炙甘草,枳实,川黄连,滑石,木通,山楂,干葛根。
此证属于中焦湿痰蕴结化热,气机痞塞阻滞不通。使用二陈汤加上黄连、枳实、山楂,以清涤中焦脾胃之邪。妙在干葛根升引清气,滑石、木通祛除浊气,使清气上升、浊气下降,疼痛和胀满自然消除。
(新定)吴茱萸汤 治疗胃脘痛且不能进食,进食则呕吐,脉象弦。
人参(一钱),吴茱萸(三分,炮制后漂淡),川黄连(六分),茯苓(二钱),半夏(一钱半),宣州木瓜(七分)。
以上为一服的量,加水、生姜煎煮。
(新定)桂苓汤
桂枝(一钱),茯苓(三钱),人参(一钱),甘草(五分),芍药(一钱),生姜(五分)。
以上为一服的量,加水煎煮,空腹服用。
按语:古法中有将生韭菜汁与五苓散混合制成丸药,空腹时用茴香汤送服的方法。这大概是取泄除水气、补益土气(脾胃)的意思。我认为对于白色滞涩之症,不如用人参来补益胃气;韭菜汁的辛散,不如生姜来散降逆气;而且猪苓、泽泻也会过度损伤肾气,不如芍药能收敛引导水液下行。
Danxi Bailuo Shell Pill (Cocculus Pill of Danxi)
Haliotidis Concha (Bai Luoke, White Abalone Shell) [calcined], one tael; Talcum (Huashi), one tael; Atractylodis Rhizoma (Cangzhu), one tael; Gardeniae Fructus (Shanzhizi), one tael; Monascus Rice (Hongqu) [stir-fried], one tael; Cyperi Rhizoma (Xiangfu) [soaked in urine of a young boy], one tael; Pinelliae Rhizoma Preparatum (Nanxing) [processed], one tael.
Citri Reticulatae Pericarpium Viride (Qingpi), half tael; Aurantii Fructus (Zhiqiao) [stir-fried with bran until yellow], half tael; Aucklandiae Radix (Muxiang), half tael; Pinelliae Rhizoma (Banxia), half tael; Amomi Fructus (Sharen), half tael each. Persicam Semen (Taoren) [stir-fried, skin and tip removed], thirty grains.
Grind the above into powder. In spring, add Ligusticum Chuanxiong Rhizoma (Chuanxiong); in summer, add Coptidis Rhizoma (Huanglian); in autumn, add Evodiae Fructus (Wuzhuyu). Use ginger juice to moisten steamed wheat cake dough to form pills, sized like mung beans. Take fifty pills per dose.
Haige Pill (by Danxi) Treats heart pain caused by phlegm-fluid retention.
Concha Meretricis et Cyclinae (Haige) [burned to ash, ground extremely fine, left for several days to dissipate fire toxicity before use]; Trichosanthis Semen (Gualouren) [with rind, ground together].
Mix Haige powder into Gualou, adjust moisture content appropriately to form pills. Take fifty pills per dose.
Jiawei Erchen Decoction Modified (Modified Two-Chen Decoction) Treats stomach epigastric pain due to phlegm-food accumulation, or distension and stuffiness.
Citri Reticulatae Pericarpium (Chenpi); Pinelliae Rhizoma (Banxia); Poria (Fuling); Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao); Aurantii Fructus Immaturus (Zhishi); Coptidis Rhizoma (Chuanlian); Talcum (Huashi); Akebiae Caulis (Mutong); Crataegi Fructus (Shanzha); Puerariae Radix (Gange).
This syndrome involves damp-phlegm stagnating and generating heat in the middle jiao, causing qi obstruction and blockage. Using Erchen Decoction plus Huanglian, Zhishi, and Shanzha clears and purges the middle palace (spleen and stomach). The brilliance lies in Gange lifting and guiding clear qi upward, while Huashi and Mutong eliminate turbid qi downward. With clear qi ascending and turbid qi descending, pain and distension are naturally resolved.
(Xin Ding) Wuzhuyu Decoction (Newly Formulated Wuzhuyu Soup) Treats epigastric pain with inability to eat; vomiting occurs upon eating; pulse is wiry.
Ginseng Radix (Renshen), one qian; Evodiae Fructus (Wuzhuyu) [three fen, processed and rinsed to remove pungency]; Coptidis Rhizoma (Chuanlian), six fen; Poria (Fuling), two qian; Pinelliae Rhizoma (Banxia), one and a half qian; Chaenomelis Fructus (Mu Gua from Xuanzhou), seven fen.
Take as one dose. Decoct with water and fresh ginger.
(Xin Ding) Guiling Decoction (Newly Formulated Guiling Soup)
Cinnamomi Ramulus (Gui), one qian; Poria (Fuling), three qian; Ginseng Radix (Renshen), one qian; Glycyrrhizae Radix et Rhizoma (Gancao), five fen; Paeoniae Radix (Shaoyao), one qian; Zingiberis Rhizoma Recens (Shengjiang), five fen.
Take as one dose. Decoct with water and take on an empty stomach.
Commentary: Ancient methods involved mixing raw Chinese chive juice with Wuling San (Five-Ingredient Powder with Poria) to form pills, taken on an empty stomach with Foeniculum Vulgare (Huixiang) decoction. This likely aims to drain fluid retention and strengthen earth (spleen/stomach) qi. I believe that for white stagnation, Renshen is superior for benefiting stomach qi; the acridity of Chinese chive juice is inferior to Shengjiang in dispersing rebellious qi; moreover, Polyporus (Zhu Ling) and Alisma Rhizoma (Zexie) may overly damage kidney qi, whereas Shaoyao is better at restraining and guiding water downward.