照原方加猪胆汁汤合服。
主吐已下断。汗出而厥。四肢拘急不解。 按仲景法。既吐且利。小便复利。大汗出。
下
脉微欲绝者。此汤主之。夫吐下虽止。津液已亡。况加汗出。则津液益枯。中寒转甚。故筋脉
挛急。非四逆温经。何以救乎。加猪胆者。用为引经之助。恐人参亦必不可缺也。
取妇人中 近隐处。剪烧灰。以水和服方寸匕。日三服。小便即利。阴头微肿则愈。妇
人病。取男子 裆烧灰。
主阴阳易病。身重少气。少腹里急。引阴中拘挛。热上冲。头重。眼花。膝胫拘急者。
按阴阳
惟裆近隐。则气之所熏袭者。仍以治交媾之恙。而经所谓竹破须将竹补宜之意。
枳实 栀子 豉
大病瘥后。劳复。此汤主之。有宿食者。加大黄少许。 按大病之后。无有不虚。况因
劳而复。则虚而且伤矣。古人以一味人参助正。多煎顿服而愈。予屡试而屡验者。此方寒凉峻伐
。惟禀壮而脉有力者宜之。若脉虚神倦者而误投之。能无犯虚虚之戒耶。
牡蛎 泽泻 蜀漆 栝蒌根 葶苈子 商陆根 海藻
主大病瘥后。腰以下有水气者。 大病瘥后。脾胃气虚。不能制水。归于队道。故下焦
发肿。法当洁净府。牡蛎泽泻海藻之咸。以泄水气。蜀漆葶苈栝蒌商陆之酸辛。以导肿湿。
竹叶 石膏 半夏 人参 甘草 粳米 麦门冬
主伤寒解后。虚羸少气。气逆欲吐者。宜与此汤。 竹叶石膏甘草之甘辛。以发散余热
。麦冬人参粳米之甘平。以培益真元半夏辛平。善散气逆而止吐。
按照原方加入猪胆汁汤,混合后服用。
主治呕吐和腹泻停止后,出现汗出且四肢厥冷,四肢拘急痉挛不能缓解的情况。按照张仲景的医法,如果既呕吐又腹泻,小便反而通利,大汗出,脉象微弱几乎摸不到,此汤为主治方剂。虽然吐泻已经停止,但津液已经耗亡,再加上汗出,津液更加枯竭,中寒之邪转重,所以筋脉挛缩拘急。如果不是用四逆汤温经回阳,怎么能救得回来呢?加入猪胆汁,是作为引经药的辅助。恐怕人参也不可缺少。
取妇女阴部附近的衣物,剪下烧成灰,用水调和,服用一方寸匕的药量,每天服三次,小便通畅即愈。如果阴头轻微肿胀也是痊愈的表现。如果是男子患病,取男子内裤裆部烧成灰服用。
主治阴阳易病,症状为身体沉重、气短少气,小腹部里急疼痛,牵引阴部拘挛紧缩,热气上冲头部,头晕眼花,膝盖和小腿拘急。
按阴阳易病的机理,只有内裤裆部靠近隐蔽部位,是精气熏蒸之处,因此仍用来治疗房事相关的疾病,这符合“竹破须将竹补”的道理。
主治大病初愈后因劳累而复发的情况,此汤为主治方剂。如果有宿食停滞,可加入少许大黄。按大病之后,人体没有不虚弱的,何况是因为劳累而复发,则是既虚又伤。古人用一味人参助正气,多煎煮后一次顿服即可痊愈。我多次尝试都验证有效。此方药性寒凉峻猛,只适合体质强壮、脉象有力的人适用。如果脉象虚弱、精神疲倦的人误用,难道不违背“虚虚”(使虚者更虚)的禁忌吗?
主治大病初愈后,腰部以下有水气停留的情况。大病初愈后,脾胃气虚,不能制约水湿,水湿归于下焦,所以下肢浮肿。治法应当洁净府(利小便)。牡蛎、泽泻、海藻的咸味,可以泄除水气;蜀漆、葶苈、瓜蒌、商陆的酸辛味,可以疏导肿湿。
主治伤寒病解除后,身体虚弱消瘦、气短,气逆想呕吐的情况,适宜给予此汤。竹叶、石膏、甘草的甘辛味,可以发散余热;麦冬、人参、粳米的甘平味,可以培补真元;半夏辛平,善于散气逆而止呕吐。
Take the original formula, add Pig Bile Decoction (Zhu Danzhi Tang), and mix them to take together.
It is indicated for cases where vomiting and diarrhea have ceased, but sweating occurs accompanied by cold limbs (Jue), and the stiffness and cramping of the four limbs cannot be relieved. According to the method of Zhang Zhongjing, if there was both vomiting and diarrhea, followed by free urination, profuse sweating, and a pulse that is faint and nearly imperceptible, this decoction is the primary treatment. Although vomiting and diarrhea have stopped, the body fluids (Jinye) have already been depleted. Furthermore, with the addition of sweating, the fluids become even more exhausted, and the internal cold becomes severe, causing the sinews and vessels to contract and cramp. Without using Sini Tang (Frigid Extremities Decoction) to warm the meridians and restore yang, how can life be saved? The addition of pig bile serves as an aid in guiding the medicine to the affected area. It is likely that Ginseng Ren Shen is also indispensable.
Obtain the crotch part of a woman's undergarment near the genitalia, cut it off, burn it to ash, mix with water, and administer one fangcun bi (a measure equivalent to about 2-3 grams or a spoonful) per dose. Take three times a day. When urination becomes smooth, the patient will recover. If slight swelling of the glans penis occurs, it also indicates recovery. For men suffering from this condition, obtain the crotch part of a man's undergarment, burn it to ash, and administer.
It is indicated for Yin-Yang Yi Disease (Exchange of Yin and Yang), characterized by heavy body, shortness of breath, urgency and pain in the lower abdomen radiating to the genitalia with cramping, sensation of heat rushing upward, heaviness of the head, blurred vision, and stiffness/cramping of the knees and calves.
Regarding the mechanism of Yin-Yang Yi disease, only the crotch of the undergarment is close to the hidden areas, where the qi has been熏蒸 (fumigated/permeated). Therefore, it is still used to treat ailments related to sexual intercourse, reflecting the principle that "if bamboo is broken, it must be repaired with bamboo."
Zhi Shi (Immature Bitter Orange), Zhi Zi (Gardenia Fruit), Chi Xiao Dou (Fermented Soybean)
It is indicated for recurrence due to overexertion after a major illness has healed; this decoction is the primary treatment. If there is retained food (Su Shi), add a small amount of Da Huang (Rhubarb Root). After a major illness, the body is invariably deficient. Moreover, if recurrence is caused by overexertion, the deficiency is compounded by injury. In ancient times, using a single herb of Ginseng Ren Shen to support the healthy qi (Zheng Qi), decocted heavily and taken in one dose, could cure the condition. I have tested this repeatedly with consistent results. However, this formula is harshly cold and draining; it is suitable only for those with strong constitution and forceful pulse. If mistakenly administered to those with weak pulse and mental fatigue, does it not violate the prohibition against making the deficient even more deficient (Xu Xu)?
Mu Li (Oyster Shell), Ze Xie (Alisma Rhizome), Shu Qi (Euphorbia Humifusa Whole Plant), Gua Lou Gen (Trichosanthes Root), Ting Li Zi (Descurainia Seed), Shang Lu Gen (Phytolacca Root), Hai Zao (Sargassum Thallus)
It is indicated for water retention (Shui Qi) below the waist after a major illness has healed. After a major illness, the spleen and stomach qi are deficient and unable to control water metabolism, causing water to accumulate in the lower jiao (Lower Burner), resulting in edema of the lower extremities. The treatment method should be to purify the bladder (Jing Ji Fu). The salty nature of Mu Li, Ze Xie, and Hai Zai helps to drain water qi; the sour and pungent nature of Shu Qi, Ting Li Zi, Gua Lou, and Shang Lu helps to guide out swelling and dampness.
Zhu Ye (Bamboo Leaf), Shi Gao (Gypsum Fibrosum), Ban Xia (Pinellia Tuber), Ren Shen (Ginseng Root), Gan Cao (Licorice Root), Jing Mi (Rice), Mai Men Dong (Ophiopogon Tuber)
It is indicated for cases after the resolution of Cold Damage (Shang Han), characterized by emaciation and weakness, shortness of breath, and rebellious qi leading to nausea/vomiting. This decoction is appropriate. The sweet and pungent nature of Zhu Ye, Shi Gao, and Gan Cao helps to dissipate residual heat; the sweet and neutral nature of Mai Men Dong, Ren Shen, and Jing Mi helps to nourish the true yuan (True Origin); Ban Xia, being pungent and neutral, is good at dispersing rebellious qi and stopping vomiting.