黄连 甘草(炙) 干姜 桂枝(各三两) 人参(二两) 半夏(半升洗) 大枣(十二枚擘)
上七味以水一斗。煮取六升。去滓温服一升。日三夜二服。
葛根(半斤) 黄芩(二两) 黄连(三两) 甘草(二两炙)
上四味。以水八升。先煮葛根减二升。纳诸药煮取二升。去滓分温酒服。
浓朴(半斤去皮炙) 生姜(半斤切) 甘草(二两炙) 半夏(半升洗) 人参(一两)
上五味以水一斗。煮取三升。去滓。温服一升。日三服。
干姜 黄连 黄芩 人参(各三两)
上四味以水六升。煮取二升去滓。分温再服。
吴茱萸(一升洗) 人参(三两) 生姜(六两切) 大枣(十二枚擘)
上四味以水七升煮取二升去滓温服七合日三服。
旋覆花(三两) 代赭石(一两 ) 人参(二两) 甘草(三两炙) 半夏(半斤洗) 生姜(五两切) 大枣
(十二枚擘)
上七味以水一斗。煮取六升。去滓。再煎取三升。温服一升。日三服。
方中用代赭领。人参甘草下行以镇胃中之逆气固已奇矣。更用旋覆领半夏姜枣。而涤膈上之风痰尤不可测。设非此
法承领上下。何能转否为泰于反掌耶。
赤石脂(一两碎) 禹余粮(一斤碎)
以上二味。以水六升。煮取二升。去滓三服。
赤石脂(一斤一半全用一半筛末) 干姜 粳米(一升)
上三味以水七升。煮水令熟。去滓。温服七合。纳赤石脂末方寸匕。日三服。若一服愈。余勿服。
石脂之涩。以固下焦滑脱。必稍加干姜粳米。以理中气之虚。虚能受热。故虽热邪下利。不妨仍用干姜之辛。以佐
石脂之涩。汤中用石脂半斤。不为少矣。服时又必加末方寸匕。取留滓。以沽肠胃也。盖少阴主禁固二便肾水为火所灼。
不能济火。火克大肠金。故下痢便血脓所以用干姜从治之法犹白通汤之用人尿猪胆彼假其寒。此假其热耳。
黄连、甘草(炙)、干姜、桂枝(各三两)、人参(二两)、半夏(半升,洗净)、大枣(十二枚,掰开)。
以上七味药,用水一斗,煎煮至剩余六升,滤去药渣,每次温服一升,白天服三次,夜间服两次。
葛根(半斤)、黄芩(二两)、黄连(三两)、甘草(二两,炙)。
以上四味药,用水八升,先单独煎煮葛根,水量减少二升后,加入其余药物,煎煮至剩余二升,滤去药渣,分次温服,服药时可佐以少量酒。
厚朴(半斤,去皮,炙)、生姜(半斤,切片)、甘草(二两,炙)、半夏(半升,洗净)、人参(一两)。
以上五味药,用水一斗,煎煮至剩余三升,滤去药渣,每次温服一升,每日服三次。
干姜、黄连、黄芩、人参(各三两)。
以上四味药,用水六升,煎煮至剩余二升,滤去药渣,分两次温服。
吴茱萸(一升,洗净)、人参(三两)、生姜(六两,切片)、大枣(十二枚,掰开)。
以上四味药,用水七升,煎煮至剩余二升,滤去药渣,每次温服七合,每日服三次。
旋覆花(三两)、代赭石(一两)、人参(二两)、甘草(三两,炙)、半夏(半斤,洗净)、生姜(五两,切片)、大枣(十二枚,掰开)。
以上七味药,用水一斗,煎煮至剩余六升,滤去药渣,再次煎煮浓缩至三升,每次温服一升,每日服三次。
方中用代赭石引领人参、甘草下行,以镇降胃中的逆气,这已经很奇妙了;更用旋覆花引领半夏、生姜、大枣,来涤除膈上的风痰,其疗效更是不可估量。如果不是这种上下承接的方法,怎么能像翻手掌一样迅速将坏运转为好运呢?
赤石脂(一两,捣碎)、禹余粮(一斤,捣碎)。
以上两味药,用水六升,煎煮至剩余二升,滤去药渣,分三次服用。
赤石脂(一斤,一半整块使用,一半筛成粉末)、干姜、粳米(一升)。
以上三味药,用水七升,先煮水至米熟,滤去药渣,每次温服七合,服用时加入赤石脂粉末一方寸匕。每日服三次。如果一次服药后病愈,剩下的药不要服用。
赤石脂的涩性,用来固摄下焦的滑脱不禁;必须稍加干姜、粳米,来调理中气的虚弱。因为虚证容易受热邪影响,所以即使是热邪导致的下利,也不妨仍用干姜的辛热之性,来辅助赤石脂的涩性。汤剂中使用半斤赤石脂,用量不算少。服用时又必须加入一方寸匕的药末,目的是让药渣留在肠胃中发挥作用。大概是因为少阴肾主司二便的固摄,肾水被火邪灼伤,不能制约心火,导致火克肺金(大肠属金),所以下痢便血脓。因此使用干姜属于“从治”之法,就像白通汤中使用人尿、猪胆汁一样,那是假借寒凉之性,这里是假借温热之性罢了。
Huanglian (Coptidis Rhizoma), Gancao (Licorice Root, prepared with honey), Ganjiang (Dried Ginger), Guizhi (Cinnamon Twig) each 3 liang; Renshen (Ginseng Radix et Rhizoma) 2 liang; Banxia (Pinelliae Tuber, half sheng, washed); Dazao (Jujubae Fructus) 12 pieces, split open.
The above seven ingredients are boiled in 10 dou of water until reduced to 6 sheng. The dregs are removed, and the decoction is taken warm, 1 sheng per dose, three times during the day and twice at night.
Gegen (Puerariae Lobatae Radix) 8 liang; Huangqin (Scutellariae Radix) 2 liang; Huanglian (Coptidis Rhizoma) 3 liang; Gancao (Licorice Root, prepared with honey) 2 liang.
The above four ingredients are boiled in 8 sheng of water. Gegen is first boiled until the water volume decreases by 2 sheng, then the other herbs are added. The mixture is boiled until reduced to 2 sheng. The dregs are removed, and the decoction is divided into doses and taken warm, optionally accompanied by a small amount of wine.
Houpo (Magnoliae Officinalis Cortex, peeled and prepared with honey) 8 liang; Shengjiang (Zingiberis Rhizoma Recens, sliced) 8 liang; Gancao (Licorice Root, prepared with honey) 2 liang; Banxia (Pinelliae Tuber, half sheng, washed); Renshen (Ginseng Radix et Rhizoma) 1 liang.
The above five ingredients are boiled in 10 dou of water until reduced to 3 sheng. The dregs are removed, and the decoction is taken warm, 1 sheng per dose, three times daily.
Ganjiang (Dried Ginger), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma) each 3 liang.
The above four ingredients are boiled in 6 sheng of water until reduced to 2 sheng. The dregs are removed, and the decoction is divided into two doses and taken warm.
Wuzhuyu (Evodiae Fructus, washed) 1 sheng; Renshen (Ginseng Radix et Rhizoma) 3 liang; Shengjiang (Zingiberis Rhizoma Recens, sliced) 6 liang; Dazao (Jujubae Fructus) 12 pieces, split open.
The above four ingredients are boiled in 7 sheng of water until reduced to 2 sheng. The dregs are removed, and the decoction is taken warm, 7 ge per dose, three times daily.
Xuanfuhua (Inulae Flos) 3 liang; Daizheshi (Haematitum) 1 liang; Renshen (Ginseng Radix et Rhizoma) 2 liang; Gancao (Licorice Root, prepared with honey) 3 liang; Banxia (Pinelliae Tuber, half jin, washed); Shengjiang (Zingiberis Rhizoma Recens, sliced) 5 liang; Dazao (Jujubae Fructus) 12 pieces, split open.
The above seven ingredients are boiled in 10 dou of water until reduced to 6 sheng. The dregs are removed, and the liquid is re-boiled until reduced to 3 sheng. The decoction is taken warm, 1 sheng per dose, three times daily.
In this formula, Daizheshi (Haematitum) guides Renshen and Gancao downward to suppress rebellious Qi in the stomach, which is already ingenious. Furthermore, Xuanfuhua (Inulae Flos) guides Banxia, Shengjiang, and Dazao to clear wind-phlegm from the diaphragm, an effect that is particularly profound. Without this method of coordinating upper and lower aspects, how could one turn misfortune into fortune as easily as flipping a hand?
Chishizhi (Kaolinitum, 1 liang, crushed) and Yuyuliang (Pyritum, 1 jin, crushed).
The above two ingredients are boiled in 6 sheng of water until reduced to 2 sheng. The dregs are removed, and the decoction is divided into three doses.
Chishizhi (Kaolinitum, 1 jin: half used whole, half sifted into powder), Ganjiang (Dried Ginger), Jingmi (Oryza Sativa Germen) 1 sheng.
The above three ingredients are boiled in 7 sheng of water until the rice is cooked. The dregs are removed, and the decoction is taken warm, 7 ge per dose. At the time of administration, add 1 fangcunbi (a square-inch measure) of Chishizhi powder. Take three times daily. If symptoms resolve after one dose, do not take the remaining medicine.
The astringent property of Chishizhi (Kaolinitum) is used to secure the sliding and uncontrolled discharge of the Lower Jiao. It is necessary to add a little Ganjiang and Jingmi to regulate the deficiency of Middle Qi. Since deficiency conditions are susceptible to heat, even if there is diarrhea caused by pathogenic heat, it is still appropriate to use the pungent-warm nature of Ganjiang to assist the astringency of Chishizhi. Using half a jin of Chishizhi in the decoction is not a small amount. Adding the powder when taking the medicine ensures that the residue remains in the intestines and stomach to exert its effect. This is because Shaoyin (Kidney) governs the retention of urine and feces. When Kidney Water is scorched by Fire and cannot control Heart Fire, Fire overacts on Lung Metal (Large Intestine belongs to Metal), leading to dysentery with blood and pus. Therefore, the use of Ganjiang follows the principle of "treating according to the apparent syndrome" (Cong Zhi). This is similar to the use of Human Urine and Pig Gallbladder in Baitong Tang; that approach borrows cold properties, whereas this approach borrows warm properties.