以代大承气、小承气、调胃承气、大柴胡、三乙承气汤、大陷胸等汤,真神药也。
治伤寒热邪传里,大便结实,口燥咽干,怕热谵语,揭衣狂妄,扬手掷足,斑黄阳厥,
潮热自汗,胸腹满硬,绕脐疼痛等症。
大黄 枳实 浓朴 甘草 黄芩 柴胡 芒硝 芍药 先将水二钟,滚三沸,后
入药,煎至八分,临服时入铁锈水三匙调服,立效。取铁性沉重之义,最能坠热开结
如神。此不传之秘也。
治热邪传里,热蓄膀胱,其人如狂,小水自利,大便黑,小腹满痛,身目黄,谵语
燥渴,为蓄血证,脉沉有力,宜此汤下尽黑物即愈。未服前而血自下者,为欲愈,不宜服。
桃仁 桂枝 芒硝 大黄 芍药 柴胡 青皮 当归 甘草 枳实 姜水煎好,
入苏木煎汁三匙服。
治蓄血中焦,腹中急结,下利脓血。
桃仁(五十个,去皮尖) 桂心 芒硝 甘草(各二两) 大黄(四两) 水二碗,煎一
碗,去渣,内芒硝,待沸温服。
腹中急结,缓以桃仁之甘,中焦蓄血,散以官桂之辛,盖甘以缓之,辛以散之也。
热甚血凝,或干闭,或下脓血,非硝黄不足以彻其藩篱,入甘草者欲其委曲搜剔,不欲
其一往而尽耳。按∶犀角地黄汤,治上焦之血,抵当汤,治下焦之血,此治中焦之血。
《准绳》曰∶宜用桂心。旧本作桂枝者误也。喻嘉言曰∶用桃仁以达血,所加桂枝以解外
邪,大抵因外邪者,用桂枝专治蓄血者,则桂心可也。
用代大承气汤、小承气汤、调胃承气汤、大柴胡汤、三乙承气汤、大陷胸汤等方剂,真是神效的药物。
治疗伤寒热邪传入体内,大便干结坚硬,口燥咽干,怕热说胡话,掀开衣服狂妄乱动,举手投足躁动不安,发斑发黄及阳气厥逆,定时发热自汗,胸腹部胀满硬痛,绕脐疼痛等症状。
大黄、枳实、浓朴(厚朴)、甘草、黄芩、柴胡、芒硝、芍药。先将两钟水煮沸三次,然后放入药材,煎至八分满,服用前加入三匙铁锈水调和服用,立即见效。取铁性沉重的含义,最能坠降热邪、开通结滞,效果如神。这是不轻易外传的秘诀。
治疗热邪传入体内,热邪蓄积在膀胱,病人神情恍惚像发狂一样,小便自利通畅,大便颜色黑,小腹胀满疼痛,身体和眼睛发黄,说胡话、口干渴,这是蓄血证,脉象沉而有力,适宜用此汤剂攻下,直到排出黑色瘀血物即可痊愈。如果在服药前瘀血自行排出,说明病将要好,不宜再服用。
桃仁、桂枝、芒硝、大黄、芍药、柴胡、青皮、当归、甘草、枳实。用姜水煎煮好,加入苏木煎出的汁液三匙服用。
治疗蓄血在中焦,腹中拘急结聚,腹泻排出脓血。
桃仁(五十个,去皮和尖)、桂心、芒硝、甘草(各二两)、大黄(四两)。用水两碗,煎至一碗,去掉药渣,加入芒硝,待温热时服用。
腹中拘急结聚,用桃仁的甘缓之性来缓解;中焦蓄血,用官桂(肉桂)的辛散之性来消散,大概是因为甘味能缓和病情,辛味能发散瘀结。热势严重导致血液凝滞,或者大便干结不通,或者下痢脓血,不用芒硝和大黄不足以攻破其藩篱(病邪屏障),加入甘草是希望它能曲折细致地搜剔病邪,不希望它一味猛攻而尽除。按:犀角地黄汤,治疗上焦的血分病变,抵当汤,治疗下焦的血分病变,此方治疗中焦的血分病变。《准绳》说:适宜用桂心。旧版本作桂枝是错误的。喻嘉言说:使用桃仁以通达血脉,所加的桂枝是为了解除外部邪气,大体上如果是因外部邪气引起的,用桂枝专门治疗蓄血的,则用桂心也可以。
Using Daichengqi Decoction (Great Order the Qi Decoction), Xiao Chengqi Decoction (Minor Order the Qi Decoction), Tiaowei Chengqi Decoction (Regulate the Stomach Order the Qi Decoction), Dachaihu Decoction (Major Bupleurum Decoction), Sanyi Chengqi Decoction, and Daxiexiong Decoction (Major Chest-Trap Decoction) as substitutes are truly miraculous medicines.
It treats conditions where pathogenic heat from Cold Damage (Shanghan) has transmitted to the interior, resulting in hard and dry stools, dry mouth and throat, aversion to heat, delirium, restlessness such as pulling off clothes and acting wildly, flailing hands and feet, appearance of macules and jaundice, Yang collapse (Yang Jue), tidal fever with spontaneous sweating, fullness and hardness in the chest and abdomen, and pain around the umbilicus.
Ingredients: Radix et Rhizoma Rhei (Dahuang, 大黄), Fructus Aurantii Immaturus (Zhishi, 枳实), Cortex Magnoliae Officinalis (Nongpu, 浓朴/厚朴), Radix Glycyrrhizae Preparata (Gancao, 甘草), Radix Scutellariae (Huangqin, 黄芩), Radix Bupleuri (Chaihu, 柴胡), Natrii Sulfas (Mangxiao, 芒硝), Radix Paeoniae Alba (Shaoyao, 芍药). First, boil two zhong (a traditional unit of volume) of water for three rolling boils, then add the herbs. Decoct until eight-tenths remains. Before administration, mix in three spoons of rusted iron water. It takes effect immediately. This utilizes the heavy nature of iron, which is most effective in descending heat and resolving stagnation like a miracle. This is an unshared secret.
It treats conditions where pathogenic heat transmits to the interior and accumulates in the Bladder. The patient appears manic, urination is free and clear, stool is black, the lower abdomen is full and painful, the body and eyes are yellowish, accompanied by delirium and dry thirst. This is Blood Accumulation Syndrome (Xuxue Zheng). The pulse is deep and forceful. It is suitable to use this decoction to purge until black material is expelled, at which point the patient will recover. If blood discharges spontaneously before taking the medicine, it indicates recovery is imminent, and the medicine should not be taken.
Ingredients: Semen Persicae (Taoren, 桃仁), Ramulus Cinnamomi (Guizhi, 桂枝), Natrii Sulfas (Mangxiao, 芒硝), Radix et Rhizoma Rhei (Dahuang, 大黄), Radix Paeoniae Alba (Shaoyao, 芍药), Radix Bupleuri (Chaihu, Pericarpium Citri Reticulatae Viride (Qingpi, 青皮), Radix Angelicae Sinensis (Danggui, 当归), Radix Glycyrrhizae Preparata (Gancao, 甘草), Fructus Aurantii Immaturus (Zhishi, 枳实). Decoct with ginger water. After preparation, add three spoons of juice extracted from Sappan Wood (Sumu, 苏木) and take orally.
It treats Blood Accumulation in the Middle Jiao, characterized by urgent binding in the abdomen and dysentery with pus and blood.
Ingredients: Semen Persicae (50 seeds, skin and tips removed), Cinnamon Bark (Guixin, 桂心), Natrii Sulfas (Mangxiao, 芒硝), Radix Glycyrrhizae Preparata (2 liang each), Radix et Rhizoma Rhei (4 liang). Use two bowls of water, decoct to one bowl. Remove dregs, add Mangxiao, and take when warm.
The urgent binding in the abdomen is relieved by the sweet and緩 (gentle/moderating) nature of Taoren; Blood Accumulation in the Middle Jiao is dispersed by the acrid and dispersing nature of Guixin. Essentially, sweetness moderates, and acridity disperses. When heat is severe causing blood coagulation, leading either to dry constipation or dysentery with pus and blood, only Mangxiao and Dahuang are sufficient to break through the barriers. Gancao is added to allow for a thorough and gradual search and elimination of pathogens, rather than a single aggressive purge that clears everything at once. Note: Xijiao Dihuang Decoction (Rhinoceros Horn and Rehmannia Decoction) treats blood disorders in the Upper Jiao; Didang Decoction treats blood disorders in the Lower Jiao; this formula treats blood disorders in the Middle Jiao. "Zhuansheng" states: Guixin should be used. The old version using Guizhi is incorrect. Yu Jiayan stated: Taoren is used to promote blood flow; the added Guizhi is to resolve external pathogens. Generally, if caused by external pathogens, Guizhi is used; if specifically treating Blood Accumulation, Guixin is appropriate.