吴茱萸(一升洗) 人参(三两) 生姜(六两) 大枣(十二枚)
上四味。以水七升。煮取二升。去滓。温服七合。日三服。
此本温胃之方。而亦以通治厥少二阴吐利垂绝之证。盖阳明居中土。食谷欲呕。土受木
克。
胃气垂败。按吴萸本厥阴药。兹以人参甘草大枣。奠安中土。而主吴萸温中散寒。以泄土中
之木。则呕吐而谷可纳。至少阴病吐利。手足逆冷。烦躁欲死。此因上下交征。胃气随吐利
而将败。而厥阴更得侮其所不胜。病本在肾。病机在肺。而主治则在胃。得此剂补火生土。
而浊阴自退矣。
黄连(四两) 黄芩(一两) 芍药(二两) 阿胶(三两) 鸡子黄(二枚生用)
上四味。以水五升。先煮三物。取二升。去滓。内胶烊尽。小冷。内鸡子黄。搅令相得
。温服七合。日三服。
少阴病得之二三日以上。心中烦。不得卧。此真阴为邪热煎熬。故以育阴清热为治。芩
连泻热也。胶黄养阴也。再佐以芍药敛阴复液。则热清而烦自除。
按此条之不得卧。乃热伤阴而心肾不交也。鸡子黄入心。阿胶入肾。病本少阴。自宜心
肾同治。
赤石脂(一升一半全用一半筛末) 干姜(一两) 粳米(一升)
上三味。以水七升。煮米令熟。去滓。纳赤石脂末。方寸匕。温服七合。日三服。若一
服愈。余勿服。
少阴便脓血。是感君火热化。奔迫太过。闭藏失职。关闸尽撤。不急治则亡阴。故取石
脂干
姜之辛涩。以散邪固脱。加梗米以益中虚。先使中气不下坠。而复以一半石脂末调服。俾粘
着大肠。拦截谷道。方以桃花名者。非特色相似。亦取 谷春回之意也。
吴茱萸(一升,洗净) 人参(三两) 生姜(六两) 大枣(十二枚)
以上四味药。用水七升。煮取二升药液。滤去药渣。温服七合。每日服用三次。
这原本是温补胃气的方剂,但也用来通治厥阴经和少阴经出现的呕吐、下利且病情垂危的证候。因为阳明胃土居中,进食后想要呕吐,是脾土受到肝木克制。
胃气即将败绝。按吴茱萸本是治疗厥阴经的药物,这里用人参、甘草、大枣来稳固中焦脾胃之气,而以吴茱萸为主药温中散寒,以疏泄脾土中的肝木郁气,那么呕吐停止而食物可以纳入。至于少阴病出现的呕吐下利,手足逆冷,烦躁痛苦欲死,这是因为上下交争,胃气随着呕吐下利而将要败绝,同时厥阴肝木更会欺侮它所不能胜的脾土。病本在肾,病机涉及肺,而主治重点在胃。得到此方补火生土,那么阴寒浊气自然消退。
黄连(四两) 黄芩(一两) 芍药(二两) 阿胶(三两) 鸡子黄(两个,生用)
以上五味药。用水五升,先煮前三味药。取二升药液。滤去药渣。加入阿胶使其完全溶化。稍冷却后。加入鸡子黄。搅拌使药液均匀。温服七合。每日服用三次。
少阴病得病两三天以上,心中烦乱,无法安卧,这是真阴被邪热煎熬所致,所以采用滋养阴液、清泻热邪的方法治疗。黄芩、黄连用于泻热。阿胶、鸡子黄用于养阴。再辅以芍药收敛阴液、恢复津液,那么热邪清除而烦乱自然消除。
按此条所述的无法安卧,是由于热邪损伤阴液导致心肾不交。鸡子黄入心经,阿胶入肾经。病本在少阴,自然应当心肾同治。
赤石脂(一升,一半整块使用,一半研成细末) 干姜(一两) 粳米(一升)
以上三味药。用水七升,煮米至熟烂。滤去药渣。加入赤石脂细末。每次服用一方寸匕的药量。温服七合。每日服用三次。如果一次服药后痊愈,剩余的不要服用。
少阴病出现便脓血,是感受君火热化之邪,奔迫太过,导致肾脏闭藏功能失职,关闸完全失守。如果不紧急治疗则会亡阴。所以选取赤石脂、干姜的辛涩之性,以疏散邪气、固脱止利。加入粳米以补益中焦虚损。首先使中气不下陷,然后再用一半赤石脂细末调服,使其粘着在大肠,拦截谷道。方名桃花,不仅仅是因为颜色相似,也是取谷类春天回归、生机复苏之意。
Wuzhuyu (Evodiae Fructus, one sheng, washed) Renshen (Ginseng Radix et Rhizoma, three liang) Shengjiang (Zingiberis Rhizoma Recens, six liang) Dazao (Jujubae Fructus, twelve pieces)
The above four ingredients. Use seven sheng of water. Boil to obtain two sheng of decoction. Remove the dregs. Take seven ge warm. Administer three times daily.
This is originally a formula for warming the stomach, but it is also used to generally treat conditions of vomiting and diarrhea in Jueyin and Shaoyin meridians that are critical. Since Yangming Earth resides in the center, desire to vomit after eating indicates that Earth is overcome by Wood.
Stomach Qi is on the verge of collapse. According to theory, Wuzhuyu is primarily a herb for Jueyin. Here, Renshen, Gancao, and Dazao are used to stabilize the Middle Earth, while Wuzhuyu serves as the chief herb to warm the middle and dispel cold, thereby venting the Wood within the Earth. Thus, vomiting ceases and food can be retained. Regarding Shaoyin disease with vomiting and diarrhea, cold extremities, and extreme irritability wishing to die, this occurs because upper and lower aspects attack each other, and Stomach Qi is about to fail due to vomiting and diarrhea. Meanwhile, Jueyin Liver Wood further insults what it cannot conquer. The root of the disease lies in the Kidney, the pathogenesis involves the Lung, but the treatment focus is on the Stomach. With this formula to tonify Fire and generate Earth, turbid Yin will naturally recede.
Huanglian (Coptidis Rhizoma, four liang) Huangqin (Scutellariae Radix, one liang) Shaoyao (Paeoniae Radix Alba, two liang) Ejiao (Colla Corii Asini, three liang) Jizihuang (Ovi Gallus Albumen, two raw eggs)
The above five ingredients. Use five sheng of water. First boil the first three ingredients. Obtain two sheng of decoction. Remove the dregs. Add Ejiao and melt it completely. Let it cool slightly. Add Jizihuang. Stir until well mixed. Take seven ge warm. Administer three times daily.
In Shaoyin disease, after two or three days, if there is mental restlessness and inability to sleep, this is caused by True Yin being scorched by pathogenic heat. Therefore, the treatment is to nourish Yin and clear heat. Huangqin and Huanglian purge heat. Ejiao and Jizihuang nourish Yin. Assisted by Shaoyao to astringe Yin and restore fluids, the heat clears and restlessness is eliminated.
Regarding the inability to sleep in this clause, it is due to heat damaging Yin, resulting in non-interaction between Heart and Kidney. Jizihuang enters the Heart meridian, and Ejiao enters the Kidney meridian. Since the disease root is in Shaoyin, it is appropriate to treat both Heart and Kidney simultaneously.
Chishizhi (Kaolinitum, one sheng, half used whole, half sifted into powder) Ganjiang (Zingiberis Rhizoma, one liang) Jingmi (Oryza Sativa Japonica Group Semen, one sheng)
The above three ingredients. Use seven sheng of water. Cook the rice until soft. Remove the dregs. Add Chishizhi powder. Each dose is one fangcun bi. Take seven ge warm. Administer three times daily. If cured after one dose, do not take the remainder.
Shaoyin disease presenting with pus and blood in stool is due to excessive rushing from receiving Ministerial Fire transformation, leading to failure of the Kidney's storage function and complete loss of closure control. If not treated urgently, Yin will perish. Therefore, the acrid and astringent properties of Shizhi and Ganjiang are selected to disperse pathogens and secure collapse. Jingmi is added to benefit Middle Deficiency. First, ensure Middle Qi does not sink, then use half of the Chishizhi powder mixed for administration, allowing it to adhere to the large intestine and block the anal passage. The formula is named Taohua (Peach Blossom Decoction), not only because of color similarity, but also to symbolize the return of spring grain vitality.