十枣汤
治饮水流在胁下,咳唾引痛,一岁不愈者。
芫花(微炒) 甘遂 大戟(炒)
上等分,锉散。水一盏半,枣十枚,煎八分,去枣调药,壮人一钱,羸人半钱。平旦温
服。
不下者,次日更加半钱,下后糜粥自养。若以下,不可服。
五苓散
治流行水饮。每服二钱,沸汤调。小便更不利,加防己佐之。(方见伤暑类。)
防己桂枝汤
治膈间支饮,其人喘满,心下痞坚,面色黧黑,其脉沉紧。得之数十日,医吐
汉防己(三两) 桂心(二两) 人参(四两) 石膏(六两)
上锉散。每服四大钱,水一盏半,煎七分,去滓温服。虚者即愈,实者二日复发。再服
不愈
茯苓五味子汤
治支饮,手足冷,多唾口燥,气从小腹上冲胸咽,手足痹,面热翕然如醉。
股,小便难,时复眩冒,呕,肿。
茯苓(四两) 桂心 甘草(炙。各三两) 五味子(二两半)
上锉散。每服四钱,水一盏半,煎七分,去滓,空腹服。服之冲气即低,反更咳满者,
去桂
遂渴
呕则
加减
大青龙汤
治溢饮,身体疼重,汗不出,拘急痛。
麻黄(去节,汤洗,七钱半) 桂心 甘草(炙。各二钱半) 石膏(鸡子大) 杏仁
(四十个,
上锉散。每服四大钱,水一盏半,姜五片,枣二枚,煎七分,去滓。空腹,温覆。一服
汗者
复服,汗出多,亡阳,虚逆恶风,烦躁不得眠也。
小青龙汤
治溢饮、支饮,倚息不得卧,及喘满者。
麻黄(去节,汤洗) 芍药 细辛 桂心 干姜(炮) 甘草(炙。各三钱三字) 五
味子(二钱)
上锉散。每服四钱,水一盏半,煎七分,去滓,空腹服。渴者,去半夏,加栝蒌根三钱
三字
去麻
水气
十枣汤
治疗水饮停聚在胁下,咳嗽吐痰时牵引作痛,病程长达一年不愈的患者。
芫花(微炒) 甘遂 大戟(炒)
以上药物等分,切碎成散剂。用水一盏半,大枣十枚,煎至八分,去掉大枣,用此药液调服药散。体质强壮者服一钱,体弱者服半钱。清晨空腹温服。
如果服药后没有腹泻,第二天增加半钱;服药泻下后,喝稀粥自行调养。如果已经腹泻,则不可再服用。
五苓散
治疗流动的水饮病。每次服用二钱,用沸水冲调。如果小便更加不通利,加防己辅助治疗。(方剂见伤暑类。)
防己桂枝汤
治疗胸膈间有水饮支撑,患者气喘胸闷,心下部痞塞坚硬,面色黑如漆,脉象沉紧。得病数十日,医生误用吐法或汗法。
汉防己(三两) 桂心(二两) 人参(四两) 石膏(六两)
以上药物切碎成散剂。每次服用四大钱,用水一盏半,煎至七分,去渣温服。虚证患者即愈,实证患者两天后复发。再次服用仍不愈……(原文此处似有残缺或错简,通常指需加减或换方,但依原文仅译出可见部分)
茯苓五味子汤
治疗支饮,手足寒冷,多唾且口干燥,气从小腹上冲至胸咽,手足麻木,面部发热红赤如同醉酒状,大腿内侧不适,小便困难,时常头晕目眩,呕吐,浮肿。
茯苓(四两) 桂心 甘草(炙。各三两) 五味子(二两半)
以上药物切碎成散剂。每次服用四钱,用水一盏半,煎至七分,去渣,空腹服用。服药后冲逆之气即降低,反而出现咳嗽胀满的,去掉桂枝……(原文此处似有残缺,通常后续为加干姜、细辛等,依原文仅译出可见部分)
大青龙汤
治疗溢饮,身体疼痛沉重,无汗,拘挛急痛。
麻黄(去节,汤洗,七钱半) 桂心 甘草(炙。各二钱半) 石膏(鸡蛋大小) 杏仁(四十个,去皮尖)
以上药物切碎成散剂。每次服用四大钱,用水一盏半,生姜五片,大枣二枚,煎至七分,去渣。空腹服用,服药后覆盖衣被以取汗。一次服药出汗的……(原文此处似有残缺,通常指若不出汗可再服,但忌过汗)
若再服用,汗出过多,导致亡阳,出现虚弱逆冷、怕风、烦躁不得睡眠的症状。
小青龙汤
治疗溢饮、支饮,倚靠呼吸不能平卧,以及气喘胸闷的患者。
麻黄(去节,汤洗) 芍药 细辛 桂心 干姜(炮) 甘草(炙。各三钱三字) 五味子(二钱)
以上药物切碎成散剂。每次服用四钱,用水一盏半,煎至七分,去渣,空腹服用。口渴的,去掉半夏,加栝蒌根三钱三字……(原文此处似有残缺,通常指其他兼证的加减法,依原文仅译出可见部分)
Shizao Tang (Ten-Date Decoction)
Treats water-fluid retention in the hypochondriac region, characterized by pain radiating during coughing and expectoration, persisting for a year without resolution.
Genkwa Flos (Yuanhua, processed with slight frying)
Evodiae Fructus (Gansui)
Knoxiae Radix (Daji, fried)
The above herbs are taken in equal proportions, ground into powder. Use one and a half "zhen" of water and ten dates. Decoct until reduced to eight-tenths. Remove the dates and use the liquid to mix with the herbal powder. For robust individuals, administer one "qian"; for frail individuals, administer half a "qian". Take warm on an empty stomach at dawn.
If there is no purgation, increase the dose by half a "qian" the next day. After purgation, nourish the body with millet porridge. If purgation has already occurred, do not take further doses.
Wuling San (Five-Ingredient Powder with Poria)
Treats circulating water-fluid pathology. Administer two "qian" per dose, mixed with boiling water. If urination remains difficult or becomes more obstructed, add Stephaniae Tetrandrae Radix (Fangji) as an adjuvant. (Formula see category of Heatstroke.)
Fangji Guizhi Tang (Stephania and Cinnamon Twig Decoction)
Treats fluid retention supporting in the chest and diaphragm, manifesting as wheezing and fullness, epigastric hardness and stuffiness, dark complexion, and a deep, tight pulse. Onset after several decades of illness, where physicians erroneously used emetic or sweating methods.
Stephaniae Tetrandrae Radix (Hanfangji, three liang)
Cinnamomi Cortex (Guixin, two liang)
Ginseng Radix et Rhizoma (Renshen, four liang)
Gypsum Fibrosum (Shigao, six liang)
The above herbs are ground into powder. Administer four large "qian" per dose with one and a half "zhen" of water, decoct to seven-tenths, remove dregs, and take warm. Deficiency patterns resolve immediately; excess patterns may recur after two days. Re-administration if unresolved... [Text fragment]
Fuling Wuweizi Tang (Poria and Schisandra Decoction)
Treats fluid retention supporting (Zhiyin), cold extremities, excessive salivation with dry mouth, Qi rushing from the lower abdomen up to the chest and throat, numbness of hands and feet, facial heat and flushing resembling drunkenness, discomfort in the thighs, difficult urination, occasional vertigo, vomiting, and edema.
Poria (Fuling, four liang)
Cinnamomi Cortex (Guixin)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted. Three liang each)
Schisandrae Fructus (Wuweizi, two and a half liang)
The above herbs are ground into powder. Administer four "qian" per dose with one and a half "zhen" of water, decoct to seven-tenths, remove dregs, and take on an empty stomach. After administration, the rushing Qi subsides. If cough and fullness worsen instead, remove Cinnamomi Cortex... [Text fragment]
Daqinglong Tang (Great Blue Dragon Decoction)
Treats overflowing fluid (Yiyin), characterized by heavy body pain, absence of sweat, and spasmodic pain.
Ephedrae Herba (Mahuang, nodes removed, washed in boiling water, seven qian half)
Cinnamomi Cortex (Guixin)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted. Two qian half each)
Gypsum Fibrosum (Shigao, size of a chicken egg)
Armeniacae Semen Amarum (Xingren, forty seeds, skin and tips removed)
The above herbs are ground into powder. Administer four large "qian" per dose with one and a half "zhen" of water, five slices of Zingiberis Rhizoma Recens (Shengjiang), and two dates. Decoct to seven-tenths, remove dregs. Take on an empty stomach and cover with blankets to induce sweat. If sweating occurs after one dose... [Text fragment]
Re-administration leading to excessive sweating causes Yang exhaustion, resulting in deficiency, counterflow cold, aversion to wind, irritability, and insomnia.
Xiaoqinglong Tang (Lesser Blue Dragon Decoction)
Treats overflowing fluid (Yiyin) and supporting fluid (Zhiyin), characterized by inability to lie flat due to breathing difficulties, and wheezing with fullness.
Ephedrae Herba (Mahuang, nodes removed, washed in boiling water)
Paeoniae Radix Alba (Shaoyao)
Asari Radix et Rhizoma (Xixin)
Cinnamomi Cortex (Guixin)
Zingiberis Rhizoma (Ganjiang, processed)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted. Three qian three zhu each)
Schisandrae Fructus (Wuweizi, two qian)
The above herbs are ground into powder. Administer four "qian" per dose with one and a half "zhen" of water, decoct to seven-tenths, remove dregs, and take on an empty stomach. In cases of thirst, remove Pinelliae Rhizoma (Banxia) and add Trichosanthis Radix (Gualougen) three qian three zhu... [Text fragment]