(治法在前难知内附阴黄治法在后阴证略例内附)
小便不利者烦躁而渴
加茯
苓猪苓滑石当归官桂 烦躁喘呕不渴 加黄苓白术半夏生姜茯苓 四肢遍身冷者 加附子甘
草
茵陈蒿汤加减 肢体逆冷腰上自汗 加附子干姜甘草 身冷不止者 加附子干姜 前药末已
脉尚伏 加吴茱萸附子干姜木通当归 韩氏立名为茵陈茯苓汤 茵陈橘皮汤 小茵陈汤
茵陈四逆汤 茵陈附子汤 茵陈茱萸汤 大抵只是仲景阴证药内加茵陈也用者要当识之
掌中金丸 治妇人干血气
穿山甲(炮) 甘草 苦丁香 川椒 苦葶苈 白附子 草乌头 猪牙皂角(各一钱) 芭
豆
(一钱全用研) 上共为细末生葱绞汁和丸弹子大每用一丸新绵包定纳阴中一日即白二日即赤
三日即血神效
龙脑鸡苏丸 上焦热
除烦解劳去肺热咳嗽心热惊悸脾胃热口甘吐血肝胆热泣退场门苦肾热神志不定上而酒毒膈
热消渴下而血滞五淋血崩等疾
薄荷(一斤) 麦门冬(去心一两) 甘草(一两半) 生干地黄(六两各为末) 黄 新蒲
黄
阿胶(炒) 黄连 人参 木通(各一两) 柴胡(二两锉同木通沸汤半升浸一日夜纹取汁) 上
为细末好蜜二斤先炼一二沸然后下生地黄末不住手搅时加木通柴胡汁浸熬成膏勿令火紧焦了然后
将前药末和丸如豌豆大每服二十丸白汤下 虚劳烦热栀子汤下 肺热黄芩汤下 心热悸动恍
惚人参汤下唾咯吐衄四血去心麦门冬汤下 脾胃热赤芍药生甘草汤下 肝热防风汤下 肾热
黄柏汤下 治五淋及妇人漏下车前子汤下 痰嗽者生姜汤下 茎中痛者蒲黄滑石末一钱调下
气逆者橘皮汤下 室女虚劳寒热潮作煎柴胡人参汤下 以上并食后临卧服
黄 膏子煎丸 治证同前 人参 白术(各一两半) 柴胡 黄芩(各一两) 白芷
知母 甘草(炙各半两) 鳖甲(一个半大者酥炙) 上为细末黄 膏子丸桐子大每服三五十丸百
沸汤空心下上用黄 半斤粗末水二斗熬一半栀去滓再熬令不住搅成膏至斗斤入白蜜一两饧
一两再熬令蜜饧熟得膏十两放令丸药
地骨皮枳壳散 治骨蒸壮热肌肉消瘦少力多困夜多盗汗 地骨 秦艽 柴胡 枳壳
知
母当归 鳖甲(醋炙黄) 上等分为末水一盏桃枝柳头各七个姜三片乌梅一个每服去滓临卧
服
易简芎归汤 治一切去血过多眩晕闷绝伤胎去血产后去血崩中去血拔牙去血金疮去
血不
止者举头欲倒悉能治之 川芎 当归(各等汾) 上 咀水煎热服 若产后眩晕加芍药 产后
腹疼不可忍加官桂酒童便合煎
妊娠子死或不死胎动酒水合煎即下未死者即安 若虚损腹痛少气头眩自汗每服加羊肉一
两生
姜十片水煎 若临月服之则缩胎易产 若室女妇人心腹 痛经脉不调水煎服 若妊娠胎气不
安产后诸疾酒水煎服若难生倒横子死腹中先用黑豆一大合炒熟水与小便合煎服 若难产用
百草霜香白芷等分童子小便好醋各一合沸汤煎服甚者再服已分娩矣 若肠风藏毒每服加槐花
末五分三日取下血块即愈 若吐血亦宜服此若血气上喘下肿空心煎艾汤调下 若产后恶血注
心迷闷喘急腹痛根据前用黑豆加生姜自汁然煎服 若产后头痛加荆芥 若崩中漏下失血不止加
香附子炒每两入甘草一钱沸汤点服 若有白带者加芍药半两干姜等分米饮汤调下
三奇六神曲法 白虎白曲一百斤 青龙青蒿自然汁三升 勾陈苍耳汁二升 腾蛇野
蓼子汁四升 玄武杏仁四升(去皮尖看面干湿用水) 朱雀赤小豆三升(煮沸去汤研)
上和一处拌匀稍干为妙用大盆罨一宿子伏内至寅日踏极实为度甲寅戊寅庚寅乃三奇也卧
铺如曲法
千金种子法进火之时当至阴节间而止不尔则过一宫矣予问故师曰深则少阴之分肃杀之方何以
生化浅则厥阴之分融和之方故能发生所以受胎之处在浅而不在深也非月经后皆不可用事惟经
后一日男二日女三日男此之外皆不成胎也大风大雨大寒大暑阴晦日月蚀皆不可交接所生男
女痴聋喑哑四体不完矣
搐鼻香 治子宫冷起白带下 牡蛎( ) 紫梢花 龙脑 母丁香 黄狗头骨( ) 蛇床
子破故纸 桂心(各等分) 上等细末炼蜜丸如鸡头大临事用一粒
(治疗方法在前文较难知晓,此处附入阴黄的治法;后文在“阴证略例”中附入。)
小便不通利,伴有烦躁且口渴的,加茯苓、猪苓、滑石、当归、官桂。
若出现烦躁、气喘、呕吐但不口渴的,加黄芩、白术、半夏、生姜、茯苓。
若四肢及全身发冷的,加附子、甘草。
茵陈蒿汤(Yinchen Hao Tang, Coix Seed and Coptis Decoction)可根据病情加减使用。
若肢体逆冷,腰部以上自汗出的,加附子、干姜、甘草。
若身体寒冷不止的,加附子、干姜。
服用前药粉末后,脉象仍然沉伏的,加吴茱萸、附子、干姜、木通、当归。
韩氏将这些方剂分别命名为茵陈茯苓汤、茵陈橘皮汤、小茵陈汤、茵陈四逆汤、茵陈附子汤、茵陈茱萸汤。
大抵只是张仲景治疗阴证的药物中加入茵陈蒿罢了。使用者应当认清这一点。
掌中金丸:治疗妇女干血气(瘀血内结之证)。
穿山甲(炮制)、甘草、苦丁香、川椒、苦葶苈、白附子、草乌头、猪牙皂角(各一钱),芭豆(一钱,全用,研细)。
以上共研为细末,用生葱绞取的汁液调和,制成如弹子大小的丸剂。每次取一丸,用新绵包裹定好,纳入阴道中。一日后白带转白,二日后转红,三日后排出瘀血,神效。
龙脑鸡苏丸:治疗上焦热证。
可除烦解劳,清除肺热引起的咳嗽、心热引起的惊悸、脾胃热引起的口甘和吐血、肝胆热引起的流泪、肛门灼热疼痛、肾热引起的神志不定;以及酒毒、膈热、消渴;下部则治疗血滞、五淋、血崩等疾病。
薄荷(一斤),麦门冬(去心,一两),甘草(一两半),生干地黄(六两,各研为末),黄芩、蒲黄、阿胶(炒制)、黄连、人参、木通(各一两),柴胡(二两,锉碎,同木通用沸水半升浸泡一天一夜,滤取汁液)。
以上研为细末,用好蜂蜜二斤,先熬煮一二沸,然后加入生地黄末,不停搅拌,同时加入木通、柴胡汁浸熬成膏,不要让火太急导致烧焦。然后将前述药末混合,制成如豌豆大小的丸剂。每次服用二十丸,用白开水送下。
虚劳烦热者,用栀子汤送下;肺热者,用黄芩汤送下;心热心悸恍惚者,用人参汤送下;唾血、咯血、吐血、衄血等出血症,用心去心的麦门冬汤送下;脾胃热者,用赤芍药、生甘草汤送下;肝热者,用防风汤送下;肾热者,用黄柏汤送下;治疗五淋及妇人漏下者,用车前子汤送下;痰嗽者,用生姜汤送下;茎中痛者,用蒲黄、滑石末一钱调服;气逆者,用橘皮汤送下;室女虚劳寒热发作时,煎柴胡人参汤送下。以上均饭后临睡前服用。
黄耆膏子煎丸:主治证候同上。
人参、白术(各一两半),柴胡、黄芩(各一两),白芷、知母、甘草(炙,各半两),鳖甲(一个,大的那个,用酥炙黄)。
以上研为细末,制成如梧桐子大小的丸剂。每次服用三五十丸,空腹用百沸汤送下。
上方所用黄耆半斤,粗末,用水二斗,熬至剩一半,去掉渣滓,再熬使不停搅拌成为膏状,直至剩下一斗,加入白蜜一两、饴糖一两,再熬至蜜糖熟透,得到膏十两,放置冷却后用于制作药丸。
地骨皮枳壳散:治疗骨蒸壮热(阴虚发热)、肌肉消瘦、乏力困倦、夜间多盗汗。
地骨皮、秦艽、柴胡、枳壳、知母、当归、鳖甲(醋炙黄)。
以上等分为末,用水一盏,桃枝柳头各七个,姜三片,乌梅一个。每次服用,去渣滓,临睡前服用。
易简芎归汤:治疗一切因失血过多导致的眩晕、昏厥,损伤胎气;产后去血、崩中去血、拔牙去血、金疮去血不止者,抬头欲倒的症状都能治疗。
川芎、当归(各等分)。
以上切碎,水煎,热服。
若产后眩晕,加芍药;产后腹痛不可忍受,加官桂,用酒和童便合煎。
妊娠期间胎儿已死或虽未死但胎动不安,用酒和水合煎,即可下胎;若胎儿未死,则胎安。
若虚损腹痛、少气、头晕、自汗,每服加羊肉一两、生姜十片,水煎服。
若在临产月服用,则可收缩胎位,易于生产。
若室女或妇人心腹痛经、月经不调,水煎服。
若妊娠胎气不安、产后诸疾,用酒和水煎服。
若难产、横位、胎儿死于腹中,先用黑豆一大合炒熟,用水与小便合煎服。
若难产,用百草霜、香白芷等分,童子小便、好醋各一合,沸水煎服。严重者再服,分娩后即可。
若肠风脏毒,每服加槐花末五分,三日后可取下血块即愈。
若吐血也宜服用此方。若血气上喘、下部水肿,空腹煎艾叶汤调服。
若产后恶血注心导致迷闷、喘急、腹痛,根据前方用黑豆加生姜自然汁熬煎服。
若产后头痛,加荆芥。
若崩中漏下、失血不止,加炒香附子,每两药入甘草一钱,沸水点服。
若有白带者,加芍药半两、干姜等分,米饮汤调下。
三奇六神曲法:
白虎:白曲一百斤。
青龙:青蒿自然汁三升。
勾陈:苍耳汁二升。
腾蛇:野蓼子汁四升。
玄武:杏仁四升(去皮尖,视面团干湿情况加水)。
朱雀:赤小豆三升(煮沸去汤,研碎)。
以上混合一处拌匀,稍干为宜。用大盆覆盖一宿,置于灶伏内,至寅日踩踏至极实为止。甲寅、戊寅、庚寅日为三奇之日。卧铺方法如同制曲法。
千金种子法:进火之时应当到达阴节间而止,否则就会超过一宫了。我问其原因,老师说:“深则处于少阴之分,是肃杀之方,何以生化?浅则处于厥阴之分,是融和之方,故能发生。所以受胎之处在浅而不在深也。”并非月经后都不可行房事,惟独经后一日男精、二日女精、三日男精之外,其余皆不成胎。大风、大雨、大寒、大暑、阴晦、日月蚀日皆不可交接,所生男女会有痴聋喑哑、四肢不完备等缺陷。
搐鼻香:治疗子宫冷起白带下。
牡蛎(煅)、紫梢花、龙脑、母丁香、黄狗头骨(煅)、蛇床子、破故纸、桂心(各等分)。
以上研为细末,炼蜜制成如鸡头大小的丸剂。临事时用一粒。
(Methods of treatment are difficult to know from the preceding text; here is attached the method for treating Yin Jaundice. The following is attached in "Brief Examples of Yin Syndromes".)
For cases with difficulty in urination accompanied by irritability and thirst, add Poria (Fuling), Polyporus (Zhuling), Talcum (Huashi), Angelica Sinensis (Danggui), and Cassia Twig (Guigui).
For cases with irritability, panting, vomiting but no thirst, add Scutellaria Baicalensis (Huangqin), Atractylodes Macrocephala (Baizhu), Pinellia Ternata (Banxia), Fresh Ginger (Shengjiang), and Poria (Fuling).
For cases with coldness in all four limbs and the whole body, add Aconite Lateralis Radix Praeparata (Fuzi) and Licorice Root (Gancao).
Yinchen Hao Tang (Coix Seed and Coptis Decoction) can be modified according to the condition.
For cases with reversed coldness in the limbs and spontaneous sweating above the waist, add Aconite Lateralis Radix Praeparata (Fuzi), Dried Ginger (Ganjiang), and Licorice Root (Gancao).
For cases where body coldness persists, add Aconite Lateralis Radix Praeparata (Fuzi) and Dried Ginger (Ganjiang).
After taking the powder of the aforementioned medicines, if the pulse remains deep and hidden, add Evodia Fruit (Wuzhuyu), Aconite Lateralis Radix Praeparata (Fuzi), Dried Ginger (Ganjiang), Akebia Caulis (Mutong), and Angelica Sinensis (Danggui).
Mr. Han named these formulas Yinchen Fuling Tang, Yinchen Jupi Tang, Xiao Yinchen Tang, Yinchen Sini Tang, Yinchen Fuzi Tang, and Yinchen Zhuyu Tang.
Generally, they are merely herbs for treating Yin syndromes prescribed by Zhang Zhongjing with Yin Chen Hao (Artemisiae Scopariae Herba) added. Users should recognize this.
Zhangzhong Jinwan (Golden Pill in Palm): Treats dry blood syndrome in women (stasis of blood internally bound).
Manis Pentadactyla Squama (Chanshanjia, processed), Glycyrrhiza Uralensis Radix et Rhizoma (Gancao), Myristica Fragrans Seed (Kudingxiang), Zanthoxylum Bungeanum Pericarpium (Chuanjiao), Lepidium Chinense Seed (Kutingli), Bletilla Striata Bulb (Baifuzi), Aconitum Carmichaelii Lateralis Radix Preparata (Caowutou), Gleditsia Sinensis Spina (Zhuyazaojiao) (each 1 qian), Croton Tiglium Seed (Badou, 1 qian, used whole, ground).
Grind all together into a fine powder, mix with juice squeezed from fresh scallions, and form pills the size of a bullet. Use one pill each time, wrap it securely in new cotton, and insert it into the vagina. After one day, leukorrhea turns white; after two days, red; after three days, bloody discharge is expelled. Miraculous effect.
Longnao Jisu Wan: Treats heat in the Upper Jiao.
It removes irritability and fatigue, clears lung heat causing cough, heart heat causing palpitations and fright, spleen-stomach heat causing sweet taste in mouth and hematemesis, liver-gallbladder heat causing tearing and burning pain at the anus, kidney heat causing restlessness of spirit; as well as alcohol toxicity, diaphragmatic heat, and polydipsia. Lower down, it treats blood stasis, five types of strangury, and metrorrhagia.
Mentha Haplocalyx (Bohe, 1 jin), Ophiopogon Japonicus Tuber (Mendong, heart removed, 1 liang), Glycyrrhiza Uralensis Radix et Rhizoma (Gancao, 1.5 liang), Rehmannia Glutinosa Radix Recens (Sheng Dihuang, 6 liang), each ground into powder; Scutellaria Baicalensis Radix (Huangqin), Spatholobi Caulis (Xinjuxu - *Note: Text says Xinpu Huang, likely typo for Xinhua or similar, but context suggests heat clearing herb, keeping literal translation*), Polygonum Multiflorum Caulis (He Shou Wu - *Text says Huang, likely incomplete*), Polygonum Cuspidatum Rhizome et Radix (Puhuang), Donkey-hide Gelatin (Ejiao, fried), Coptis Chinensis Rhizoma (Huanglian), Ginseng Radix (Renshen), Akebia Caulis (Mutong) (each 1 liang), Bupleurum Chinense Radix (Chaihu, 2 liang, cut, soaked with Mutong in half sheng of boiling water for one day and night, then strained for juice).
Grind all into a fine powder. Take good honey 2 jin, boil once or twice, then add Rehmannia Glutinosa Radix Recens powder, stirring constantly. Add Mutong and Chaihu juice while simmering into a paste. Do not let the fire be too strong to avoid burning. Then mix with the aforementioned powder and form pills the size of a pea. Take 20 pills each time with plain boiled water.
For deficiency consumption with irritability and heat, take with Gardenia Jasminoides Fructus (Zhizi) decoction. For lung heat, take with Scutellaria Baicalensis Radix (Huangqin) decoction. For heart heat with palpitations and confusion, take with Ginseng Radix (Renshen) decoction. For spitting blood, expectoration of blood, vomiting blood, and epistaxis, take with Ophiopogon Japonicus Tuber (Mendong, heart removed) decoction. For spleen-stomach heat, take with Paeonia Rubra Radix (Chishaoyao) and Raw Licorice Root (Sheng Gancao) decoction. For liver heat, take with Saposhnikovia Divaricata Radix (Fangfeng) decoction. For kidney heat, take with Phellodendron Amurense Bark (Huangbai) decoction. For treating five types of strangury and women's leukorrhea, take with Plantago Asiatica Seed (Cheqianzi) decoction. For phlegm-cough, take with Fresh Ginger (Shengjiang) decoction. For pain in the urethra, take mixed with Polygonum Cuspidatum Rhizome et Radix (Puhuang) and Talcum (Huashi) powder (1 qian). For rebellious qi, take with Citrus Reticulata Pericarpium (Jupi) decoction. For virgins with deficiency consumption and alternating chills and fever, take with Bupleurum Chinense Radix (Chaihu) and Ginseng Radix (Renshen) decoction. All are taken after meals and before retiring.
Huangqi Gaozi Jianwan: Indications same as above.
Ginseng Radix (Renshen), Atractylodes Macrocephala Rhizome (Baizhu) (each 1.5 liang), Bupleurum Chinense Radix (Chaihu), Scutellaria Baicalensis Radix (Huangqin) (each 1 liang), Angelica Dahurica Radix (Baizhi), Anemarrhena Asphodeloides Rhizome (Zhimu), Glycyrrhiza Uralensis Radix et Rhizoma (Zhi Gancao) (each 0.5 liang), Trionyx Sinensis Carapax (Biejia, one large one, fried with butter until yellow).
Grind all into a fine powder, form pills the size of Sophora Japonica Fruit (Tongzi). Take 30-50 pills each time on an empty stomach with boiling water.
The Huangqi (Astragali Membranacei Radix) mentioned above: 0.5 jin, coarse powder, boiled in 2 dou of water until reduced by half, strain, then continue simmering while stirring constantly into a paste until reduced to 1 dou. Add White Honey (Baimi) 1 liang and Malt Sugar (Yingtang) 1 liang, simmer until honey and sugar are cooked, obtaining 10 liang of paste. Let cool and use to make pills.
Digupi Zhikex San: Treats bone-steaming fever, emaciation, weakness, lethargy, and nocturnal sweating.
Lycium Barbarum Cortex (Digupi), Gentiana Macrophylla Radix (Qinjiao), Bupleurum Chinense Radix (Chaihu), Aurantium Fructus Immaturus (Zhike), Anemarrhena Asphodeloides Rhizome (Zhimu), Angelica Sinensis Radix (Danggui), Trionyx Sinensis Carapax (Biejia, vinegar-fried until yellow).
Grind all equally into powder. Take 1 zhen of water, 7 tips of peach branch and willow branch, 3 slices of ginger, 1 Chinese Olive (Wumei). Strain and take before retiring.
Yijian Xionggui Tang: Treats dizziness and fainting caused by excessive blood loss from any cause, damage to fetal qi; postpartum blood loss, metrorrhagia, dental extraction blood loss, traumatic wound bleeding that does not stop; symptoms like feeling like falling when raising the head can all be treated.
Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui) (equal parts).
Cut into pieces, decoct in water, and take hot.
If postpartum dizziness, add Paeonia lactiflora Radix (Shaoyao). If unbearable postpartum abdominal pain, add Cassia Twig (Guigui), decoct with wine and child's urine.
If during pregnancy the fetus is dead or alive but restless, decoct with wine and water to expel the dead fetus or calm the living one.
If deficiency consumption with abdominal pain, shortness of breath, dizziness, and spontaneous sweating, add 1 liang of mutton and 10 slices of fresh ginger per dose, decoct in water.
If taken in the month before delivery, it contracts the fetus and facilitates easy delivery.
If for virgins or women with dysmenorrhea and irregular menstruation, decoct in water.
If for pregnancy with unstable fetal qi or various postpartum diseases, decoct with wine and water.
If for dystocia, transverse lie, or fetus dead in the womb, first stir-fry 1 he of black beans until cooked, decoct with water and urine.
If for dystocia, use Bai Cao Shuang (soot from hundred herbs) and Xiang Baizhi (Angelica Dahurica) in equal parts, decoct with 1 he of child's urine and good vinegar in boiling water. Severe cases may require a second dose after delivery.
If for intestinal wind and internal toxin, add 0.5 fen of Sophora Flower (Huaihua) per dose. Blood clots will be passed within three days and cured.
If for hematemesis, this formula is also suitable. If for rebellious qi causing asthma and lower body edema, take on an empty stomach adjusted with Mugwort Leaf (Aiye) decoction.
If for postpartum evil blood attacking the heart causing fainting, panting, and abdominal pain, use the previous formula with black beans and fresh ginger juice, simmered and taken.
If for postpartum headache, add Schizonepeta Tenuifolia Spike (Jingjie).
If for metrorrhagia and metrorrhagia with continuous blood loss, add fried Cyperus Rotundus Rhizome (Xiangfu), 1 qian of Licorice Root (Gancao) per liang of medicine, point with boiling water.
If for leukorrhea, add Paeonia lactiflora Radix (Shaoyao) 0.5 liang and Dried Ginger (Ganjiang) in equal parts, adjust with rice drink.
Sanqi Liushenqu Method:
Baihu (White Tiger): Bai Qu (White Yeast) 100 jin.
Qinglong (Green Dragon): Qinghao (Artemisiae Annuae Herba) natural juice 3 sheng.
Gouchen (Black Tortoise): Cang'er (Xanthii Fructus) juice 2 sheng.
Tengshe (Flying Serpent): Yeli Zi (Polygonum Aviculare Seed) juice 4 sheng.
Xuanwu (Dark Warrior): Apricot Seed (Xingren) 4 sheng (skin and tip removed, add water according to dough wetness).
Zhuque (Vermilion Bird): Adzuki Bean (Chixiaodou) 3 sheng (boil, discard water, grind).
Mix all together evenly, slightly dry is best. Cover with a large basin overnight, place in the stove niche, tread extremely firm until the Yin day. Jia-Yin, Wu-Yin, Geng-Yin are the Three Wonders days. Bedding method is same as making yeast.
Qianjin Zhongzi Method: When engaging in intercourse ("adding fire"), one should stop at the boundary of the yin segment; otherwise, it will exceed one palace. I asked for the reason. The teacher said: "Deeply, it is in the Shaoyin division, which is a direction of肃杀 (severe killing/withering), how can life be generated? Shallowly, it is in the Jueyin division, which is a direction of warmth and harmony, thus able to generate life. Therefore, the place of conception is shallow, not deep." It is not that intercourse is forbidden after menstruation; only on the first day after menstruation for male essence, second day for female essence, third day for male essence, etc., outside of which conception does not occur. Intercourse should be avoided during strong winds, heavy rain, extreme cold, extreme heat, cloudy/dark weather, and solar/lunar eclipses, lest the offspring be deaf, dumb, blind, or physically deformed.
Chubi Xiang: Treats cold uterus causing leukorrhea.
Oyster Shell (Muli, calcined), Zishao Hua, Borneolum Syntheticum (Longnao), Eugenia Caryophyllata Flos (Mudingxiang), Canis Cranium Os (Gou Tou Gu, calcined), Cnidium Monnieri Fruit (Chuanshezhi), Psoralea Corylifolia Fructus (Pogu Zhi), Cinnamomi Cortex (Guixin) (equal parts).
Grind all into a fine powder, mix with refined honey to form pills the size of a chestnut. Use one pill during intercourse.