当归(半两) 丁香枝杖(半两) 浓朴(一两,姜制) 细辛(一钱) 人参(三钱) 甘草(
半两,炙) 干姜(半两,炮)
上为末,炼蜜为丸,弹子大。每服一丸,水一盏,煎至六分,和滓热服。三服后脉尚细
,及寸脉尚细无力,每服加葱白三寸,同煎服。
此一条言寸脉小者,阳不及九天也,加葱以通经。
白术 半夏 当归 浓朴 制干生姜(以上各半两) 丁香(三钱)
上为末,每服三钱,水一盏,姜一枣大,打破同煎,至七分,去滓热服。三五服后脉
未有力,寸脉尚小,加细辛半两,每服加葱白三寸,同煎服之。寸口小,加细辛散阴升阳。
橘叶(半两) 藿香(三钱) 葛根(三钱) 半夏(半两) 浓朴(姜制)
上为末,每服三钱,水一盏,生姜一如枣大,同煎至七分,去滓热服。三五服后脉尚小
,手足逆冷,加细辛三钱。
病患胸膈满闷,时时呕逆,肢节疼,两胁下痛,腹中鸣。此是有停饮,宜二苓汤。
赤茯苓 木猪苓 白术(各半两) 滑石(一两) 通草(一钱) 白豆蔻(一钱) 丁皮(三
钱) 陈皮(二钱) 桂枝(半两)
上为末,每服三钱,水一盏,煎至七分,去滓热服。小便未快,加瞿麦三钱。呕未止,
加半夏半两。淅淅恶寒甚,每服加葱白三寸。
上此一条,举李思训调小便例同。
当归(半两) 丁香枝杖(半两) 浓朴(一两,姜制) 细辛(一钱) 人参(三钱) 甘草(半两,炙) 干姜(半两,炮)
以上药材研为细末,用炼蜜制成丸药,大小如弹子。每次服用一丸,加水一盏,煎煮至六分,连同药渣一起热服。服药三次后,如果脉象仍然细弱,以及寸口脉仍然细弱无力,每次服用时加入葱白三寸,一同煎煮服用。
这一条论述的是寸口脉小的情况,这是阳气不及天部(上焦)的表现,加入葱白以疏通经络。
白术 半夏 当归 浓朴 制干生姜(以上各半两) 丁香(三钱)
以上药材研为细末,每次服用三钱,加水一盏,取一块枣大的生姜,打破后一同煎煮,煎至七分,去药渣热服。服用三到五次后,如果脉象仍未有力,寸口脉仍然小,加入细辛半两,每次服用时加入葱白三寸,一同煎煮服用。寸口脉小,加入细辛以散阴寒、升阳气。
橘叶(半两) 藿香(三钱) 葛根(三钱) 半夏(半两) 浓朴(姜制)
以上药材研为细末,每次服用三钱,加水一盏,取一块如枣大的生姜,一同煎煮至七分,去药渣热服。服用三到五次后,如果脉象仍然小,手足逆冷,加入细辛三钱。
患者胸膈满闷,时时呕吐逆气,肢节疼痛,两胁下疼痛,腹中鸣响。这是有停饮(水液停滞),适宜使用二苓汤。
赤茯苓 木猪苓 白术(各半两) 滑石(一两) 通草(一钱) 白豆蔻(一钱) 丁皮(三钱) 陈皮(二钱) 桂枝(半两)
以上药材研为细末,每次服用三钱,加水一盏,煎煮至七分,去药渣热服。小便不通畅,加入瞿麦三钱。呕吐未止,加入半夏半两。恶寒严重,每次服用时加入葱白三寸。
Radix Angelicae Sinensis (Danggui, 当归) (half liang), Ramulus Eugeniae Caryophyllati (Dingxiang Zhizhang, 丁香枝杖) (half liang), Cortex Magnoliae Officinalis (Houpo, 浓朴) (one liang, prepared with ginger), Radix Asari (Xixin, 细辛) (one qian), Radix Ginseng (Renshen, 人参) (three qian), Radix Glycyrrhizae Preparata (Zhigancao, 甘草) (half liang, honey-fried), Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) (half liang, roasted).
Grind the above ingredients into fine powder. Form pills using refined honey, with each pill being the size of a bullet. Take one pill per dose. Add one zhan of water, decoct until reduced to six-tenths, and take hot together with the dregs. After three doses, if the pulse remains thin, or if the cun (inch) pulse is still thin and weak, add three cun lengths of Scallion White (Congbai, 葱白) to each dose and decoct together for administration.
This passage discusses the condition where the cun pulse is small, indicating that Yang Qi fails to reach the upper jiao (Heavenly region). Adding Congbai serves to unblock the meridians.
Rhizoma Atractylodis Macrocephalae (Baizhu, 白术), Rhizoma Pinelliae Preparatum (Banxia, 半夏), Radix Angelicae Sinensis (Danggui, 当归), Cortex Magnoliae Officinalis (Houpo, 浓朴), Rhizoma Zingiberis Preparatum (Zhi Ganjiang, 制干生姜) (each half liang), Flos Caryophylli (Dingxiang, 丁香) (three qian).
Grind the above ingredients into fine powder. Take three qian per dose. Add one zhan of water and a piece of fresh ginger the size of a date, crushed, and decoct together until reduced to seven-tenths. Strain and take hot. After three to five doses, if the pulse has not yet gained strength and the cun pulse remains small, add half liang of Radix Asari (Xixin, 细辛). Add three cun lengths of Scallion White (Congbai, 葱白) to each dose and decoct together for administration. When the cunkou pulse is small, adding Xixin disperses Yin Cold and raises Yang Qi.
Folium Citri Reticulatae (Juye, 橘叶) (half liang), Herba Agastaches (Huoxiang, 藿香) (three qian), Radix Puerariae Lobatae (Gegen, 葛根) (three qian), Rhizoma Pinelliae Preparatum (Banxia, 半夏) (half liang), Cortex Magnoliae Officinalis (Houpo, 浓朴) (prepared with ginger).
Grind the above ingredients into fine powder. Take three qian per dose. Add one zhan of water and a piece of fresh ginger the size of a date, and decoct together until reduced to seven-tenths. Strain and take hot. After three to five doses, if the pulse remains small and there is cold extremities (Ni Leng, 逆冷), add three qian of Radix Asari (Xixin, 细辛).
The patient experiences fullness and oppression in the chest and diaphragm, frequent regurgitation and vomiting, pain in the limbs and joints, pain under both hypochondria, and borborygmus in the abdomen. This indicates the presence of retained fluid retention (Ting Yin, 停饮), and Er Ling Tang (Two-Poria Decoction, 二苓汤) is appropriate.
Polyporus (Chifuling, 赤茯苓), Polyporus (Muzhuling, 木猪苓), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) (each half liang), Talcum (Huashi, 滑石) (one liang), Herba Tecticornii (Tongcao, 通草) (one qian), Semen Cardamomi Alb (Baidoukou, 白豆蔻) (one qian), Pericarpium Zanthoxyli (Dingpi, 丁皮) (three qian), Pericarpium Citri Reticulatae (Chenpi, 陈皮) (two qian), Ramulus Cinnamomi (Guizhi, 桂枝) (half liang).
Grind the above ingredients into fine powder. Take three qian per dose. Add one zhan of water and decoct until reduced to seven-tenths. Strain and take hot. If urination is not smooth, add three qian of Herba Dianthi (Qumai, 瞿麦). If vomiting does not cease, add half liang of Rhizoma Pinelliae Preparatum (Banxia, 半夏). If aversion to cold is severe, add three cun lengths of Scallion White (Congbai, 葱白) to each dose.
This passage cites the example of Li Sixun regulating urination, which is similar.