二术二陈汤 治诸湿及痰饮。
白术(三钱) 苍术(二钱) 茯苓 半夏(各二钱) 陈皮 炙草(各一钱
加生姜三片,大枣二枚煎。
五皮饮 治一切气肿水肿。
茯苓皮 大腹皮 桑白皮 陈皮(各一钱半) 生姜皮(七分
水煎服。
此药以皮治皮,不动脏腑,勿以平易而忽之。
四君子汤
人参 白术 茯苓(各二钱) 炙草(一钱
加生姜、大枣煎服。
小青龙汤 真武汤(俱见《伤寒》
导水茯苓汤 治水肿,头面手足,遍身如烂瓜之状,按而塌陷,胸腹喘满,不能转侧
安睡,饮食不下,小便秘涩,溺出如割,或如豆汁而绝少,服喘嗽气逆诸药不效者,用此即
渐利而愈。
泽泻 赤茯苓 麦冬 白术(各三两) 桑白皮 紫苏 槟榔 木瓜(各一两) 大腹皮 陈皮
砂仁 木香(各七钱五分
每服一、二两,水二杯,灯草三十根,煎八分,食远服。病重者可用五两浓煎,五更服
。
麻黄甘草汤(《金匮》
麻黄(三钱) 甘草(一钱
水二杯,先煮麻黄至一杯半,去滓,入甘草,煎八分服。
此方上宣肺气,中助土气,外行水气,其功居于济生肾气丸之上。且肿症与伤寒症不同
,伤寒症恐过汗亡阳,肿症以汗愈多而愈妙。水从汗泄,时医谓须“开鬼门”,并无亡阳之
说。
麻黄附子甘草汤 即前方加附子一钱五分。
此与《伤寒论》之分数略异,即以温经散寒之法,变为温经利水之方。
济生肾气丸 治水肿,小便短少,气喘者。
熟地(四两) 茯苓(三两) 山茱萸 怀山药 丹皮 泽泻 牛膝 车前子 肉桂(各一两) 附
子(五钱,泡
上为末,炼蜜丸如梧子大,灯草汤送下三钱,一日两服。
神仙九气汤(神仙,言药之灵验也。九气,怒、喜、悲、恐、寒、暑、惊、劳、思是也。
《经》曰∶怒则风上,喜则气缓,悲则气消,恐则气下,寒则气收,暑则气泄,劳则气耗,
思则气结,惊则气乱。故云然。)
姜黄 香附(炒
上各为细末,每服五、六钱,空心淡盐汤调服。愚治肤胀,用温酒下。
壶隐子曰∶不佞用之以治肤胀,其效如神。
二术二陈汤,治疗各种湿邪以及痰饮病证。
白术(三钱) 苍术(二钱) 茯苓 半夏(各二钱) 陈皮 炙甘草(各一钱),加生姜三片,大枣二枚煎煮服用。
五皮饮,治疗一切气肿和水肿。
茯苓皮 大腹皮 桑白皮 陈皮(各一钱半) 生姜皮(七分),用水煎服。
此药以皮治皮,不扰动脏腑,不要因为药方平易而轻视它。
四君子汤
人参 白术 茯苓(各二钱) 炙甘草(一钱),加生姜、大枣煎服。
导水茯苓汤,治疗水肿,头面手足及遍身肿胀如烂瓜状,按压后塌陷不起,胸腹部喘满,不能转身侧卧安睡,饮食难下,小便短少涩滞,排尿时感觉如刀割,或者尿色如豆汁且极少,服用治疗喘嗽气逆的各种药物无效者,使用此方即可逐渐通利而痊愈。
泽泻 赤茯苓 麦冬 白术(各三两) 桑白皮 紫苏 槟榔 木瓜(各一两) 大腹皮 陈皮 砂仁 木香(各七钱五分),每次服用一两或二两,用水二杯,灯心草三十根,煎至八分,在饭后服用。病情重者可用五两浓煎,于五更天服用。
麻黄甘草汤(出自《金匮要略》)
麻黄(三钱) 甘草(一钱),用水二杯,先煮麻黄至一杯半,滤去药渣,加入甘草,煎至八分服用。
此方上宣发肺气,中助益脾气,外行散水气,其功效位于济生肾气丸之上。而且水肿病与伤寒病不同,伤寒病恐怕因过汗导致亡阳,水肿病则以出汗越多越好。水液从汗孔泄出,当时的医生认为必须“开鬼门”(发汗法),并没有亡阳的说法。
麻黄附子甘草汤,即前方加上附子一钱五分。
此方与《伤寒论》中的剂量略有差异,即将温经散寒的方法,变为温经利水的方法。
济生肾气丸,治疗水肿,小便短少,气喘的患者。
熟地黄(四两) 茯苓(三两) 山茱萸 怀山药 牡丹皮 泽泻 牛膝 车前子 肉桂(各一两) 附子(五钱,炮制),以上药材研为细末,用炼蜜制成梧桐子大小的丸剂,用灯心草汤送服三钱,一日两次服用。
神仙九气汤(“神仙”指药效灵验,“九气”指怒、喜、悲、恐、寒、暑、惊、劳、思这九种气机变化。《内经》说:怒则气机上逆,喜则气机缓散,悲则气机消减,恐则气机下陷,寒则气机收敛,暑则气机外泄,劳则气机耗损,思则气机郁结,惊则气机紊乱。所以这样说。)
姜黄 香附(炒制),以上各药研为细末,每次服用五、六钱,空腹时用淡盐汤调服。我治疗肤胀病,用温酒送服。
Ershu Erchen Decoction (Two-Atractylodes and Two-Chen Decoction) treats various dampness pathogens and phlegm-fluid retention.
Atractylodis Rhizoma Albae (Baizhu, 白术) (3 qian), Atractylodis Rhizoma (Cangzhu, 苍术) (2 qian), Poria (Fuling, 茯苓), Pinelliae Rhizoma (Banxia, 半夏) (each 2 qian), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (each 1 qian). Add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and two dates (Dazao, 大枣), decoct and take.
Wupi Yin (Five-Peeled Drink) treats all types of Qi edema and water edema.
Poriae Cortex (Fulingpi, 茯苓皮), Arecae Pericarpium (Dafuppi, 大腹皮), Mori Cortex (Sangbaipi, 桑白皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 1.5 qian), Zingiberis Pericarpium (Shengjiangpi, 生姜皮) (0.7 fen). Decoct in water and take.
This medicine uses peels to treat the skin, without disturbing the Zang-Fu organs. Do not disregard it because it is simple and common.
Sijunzi Tang (Four Gentlemen Decoction)
Ren Shen (Ginseng Radix, 人参), Atractylodis Rhizoma Albae (Baizhu, 白术), Poria (Fuling, 茯苓) (each 2 qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (1 qian). Add Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Dazao (Jujubae Fructus, 大枣), decoct and take.
Xiao Qinglong Tang (Minor Blue Dragon Decoction) and Zhenwu Tang (True Warrior Decoction) (both seen in *Shanghan Lun*).
Daoshui Fuling Tang (Water-Guiding Poria Decoction) treats edema where the head, face, hands, feet, and entire body swell like rotting melons; pressing leaves a depression that does not immediately rise back up. The chest and abdomen are distended and full with panting, making it impossible to turn over or sleep soundly. Food intake is difficult, urination is scanty and obstructed, feeling as if cutting with a knife during voiding, or urine resembles bean dregs and is extremely scarce. For those who have taken various medicines for panting, coughing, and rebellious Qi without effect, using this decoction will gradually promote diuresis and lead to recovery.
Alismatis Rhizoma (Zexie, 泽泻), Red Poria (Chifuling, 赤茯苓), Ophiopogonis Radix (Maidong, 麦冬), Atractylodis Rhizoma Albae (Baizhu, 白术) (each 3 liang), Mori Cortex (Sangbaipi, 桑白皮), Perillae Folium (Zisu, 紫苏), Areca Seed (Binglang, 槟榔), Chaenomelis Fructus (Mugua, 木瓜) (each 1 liang), Arecae Pericarpium (Dafuppi, 大腹皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Amomi Fructus Rotundus (Sharen, 砂仁), Aucklandiae Radix (Muxiang, 木香) (each 0.75 qian 5 fen). Each dose takes 1-2 liang, with two cups of water and thirty stalks of Junci Medulla (Dengcao, 灯草), decoct until reduced to 0.8 cup, take after meals. For severe cases, use 5 liang, decoct strongly, and take at Wugeng (early morning, 3-5 AM).
Mahuang Gancao Tang (Ephedra and Licorice Decoction) (from *Jingui Yaolue*)
Ephedrae Herba (Mahuang, 麻黄) (3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian). With two cups of water, first decoct Ephedrae Herba (Mahuang, 麻黄) until one and a half cups remain, strain off the dregs, add Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), decoct until reduced to 0.8 cup, and take.
This formula disperses Lung Qi upwards, assists Spleen Qi in the middle, and circulates Water Qi outwards. Its efficacy surpasses that of Jisheng Shenqi Wan. Furthermore, edema differs from Shanghan (Cold Damage) syndrome. In Shanghan syndrome, one fears excessive sweating leading to Yang collapse; in edema, more sweating is better. Water is excreted through sweat pores. Contemporary physicians say one must "open the ghost gate" (induce sweating), but there is no concept of Yang collapse here.
Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction) is the previous formula plus Aconiti Lateralis Radix Praeparata (Fuzi, 附子) 1.5 qian.
The dosage differs slightly from that in *Shanghan Lun*, transforming the method of warming meridians and dispelling cold into a formula for warming meridians and promoting diuresis.
Jisheng Shenqi Wan (Jisheng Kidney Qi Pill) treats edema with scanty urination and panting.
Rehmanniae Radix Praeparata (Shudihuang, 熟地黄) (4 liang), Poria (Fuling, 茯苓) (3 liang), Corni Fructus (Shanzhuyu, 山茱萸), Dioscoreae Rhizoma Huai (Huaishanyao, 怀山药), Moutan Cortex (Danpi, 丹皮), Alismatis Rhizoma (Zexie, 泽泻), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Plantaginis Semen (Cheqianzi, 车前子), Cinnamomi Cortex (Rougui, 肉桂) (each 1 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (5 qian, processed). Grind the above into fine powder, make pills with refined honey the size of wheat seeds. Take 3 qian sent down with Dengcao Tang (Junci Medulla Decoction), twice a day.
Shenxian Jiuqi Tang (Immortal Nine-Qi Decoction) ("Immortal" refers to the efficacy of the medicine; "Nine Qi" refers to the nine emotional/physiological states: anger, joy, sorrow, fear, cold, heat, shock, fatigue, and thought. The *Classic* says: Anger causes Qi to rise upward; Joy causes Qi to slacken; Sorrow causes Qi to dissipate; Fear causes Qi to sink downward; Cold causes Qi to contract; Heat causes Qi to leak outward; Fatigue causes Qi to be consumed; Thought causes Qi to knot; Shock causes Qi to become chaotic. Hence the name.)
Curcumae Longae Rhizoma (Jianghuang, 姜黄), Cyperi Rhizoma (Xiangfu, 香附) (stir-fried). Grind each into fine powder. Take 5-6 qian each time, mixed with light salt water on an empty stomach. I treat abdominal distension by administering it with warm wine.
Hu Yinzi said: I used this to treat abdominal distension, and its effect was miraculous.