泻白散 治肺受燥气咳嗽不已,火移大肠作泻等症。
桑白皮(三钱,生) 地骨皮(一钱) 黄芩 甘草(各一钱
加粳米二钱,水煎服。
李时珍云∶“此泻肺诸方之准绳也。”
竹叶石膏汤
石膏(八钱,生研) 麦冬(四钱) 半夏(三钱) 人参(二钱) 炙草(一钱) 鲜竹叶(八十一片) 粳米
(三钱
水三杯半,煎二杯,入粳米,煎至米熟,量八分服。
回元汤
人参 炙草 当归(各二钱) 大枣(二枚) 炙 (四钱) 煨姜 水煎服。
六味地黄丸 白虎汤 麻黄汤(加减详本论
四生丸 治热甚逼血妄行,此方止血兼能行瘀,所以为妙。
生地黄 生艾叶 生侧柏 生荷叶(各服二钱)
捣为丸,如鸡子大,每服一丸,(以沸汤冲服。
理中汤(方见吐泻) 上、中、下之血不止,得此便能归经,真神剂也。
黄土汤 治吐血、衄血、下血,妇人血崩之神剂。
灶心黄土(八钱) 怀生地 黄芩 白术 阿胶 炙草 附子(炮、各一钱五分
水煎服。
余每用去附子,加炮姜八分。
甘草干姜汤 血症服凉药不止者,得此如神。
干姜(二钱,炮制) 生甘草(四钱
水煎服。
断红丸 治下血久不止。
侧柏叶(炒香) 续断(酒炒,各三钱) 鹿茸(一具,酥炙
醋煮阿胶为丸,每服四、五十丸,乌梅汤米汤随意下。
当归补血汤(见头痛
旱莲丸(《种福堂》) 治大便下血虚弱者。
旱莲草阴干为末,以槐花煎汤,调炒米粉糊丸,如梧子大,每日服五钱,以人参五分煎
汤下,二服即愈。
牛膝酒煎(《种福堂》) 治男子茎中痛及妇人血结少腹痛
牛膝一大握,酒煮饮之。
旱莲车前汁(《种福堂》) 治小便下血。
旱莲草 车前子(各等分)
将二味捣自然汁,每日空心服一茶杯。
桂扁猪脏饮(《种福堂》) 治大便下脓血,即日夜数次,数年久病,服之立愈。
雄猪脏(一条,洗净) 桂圆肉(二两) 扁豆花(鲜,白,四两
将二味捣烂,用白糯米拌和,装入猪脏内,两头扎住。砂锅内烧烂,忌见铁器。然后将
人中白炙脆,研末蘸吃,或酱油蘸吃亦可。不论吃粥吃饭,空口皆可吃,吃四、五条即愈。
小青龙汤(见咳嗽
小半夏加茯苓汤 治水饮,咳逆欲呕,眩晕等症。
半夏(四钱) 生姜(五钱) 茯苓(八钱
水煎服。
葶苈大枣泻肺汤 治支饮阻隔气道,呼吸不利。
大枣(十一枚) 葶苈子(二钱,研
水二杯,先煮大枣至一杯,分入葶苈煎八分服。
越婢加半夏汤 治气盛痰壅,肺胀上气,目如脱,脉浮大者。
麻黄(三钱) 半夏(二钱) 生石膏(四钱,研) 甘草(一钱) 大枣(二枚半) 生姜(钱半
水二杯半,先煮麻黄,吹去沫,入诸药,煎八分服,日再。
黑锡丹 治脾肾虚冷,上实下虚,胸中痰饮,或上攻头目,及奔豚上气,两胁膨胀,并
阴阳气不升降,五种香港脚,水气上攻,或卒暴中风,痰潮上膈等症。
黑铅 硫黄(各三两,同炒结砂,研至无声为度) 沉香 胡芦巴 熟附子 肉桂(各五钱)
茴香 破故纸 肉豆蔻 木香 金铃子(去核,各一两
上共为末,酒煮,面糊丸,梧子大,阴干以布袋擦令光莹,每服四十丸,姜汤下。
真武汤(见上噎嗝) 桂苓甘术汤 肾气丸(即桂附八味丸。俱见上痰饮
四磨饮 治诸喘。
人参 沉香 乌药 槟榔(各等分
四味磨浓汁,煎沸服。
方用人参泻壮火以扶正气,沉香纳之于肾,而后以槟榔,乌药从而导之,所谓∶“实必
顾虚,泻必先补也。”四品气味俱浓,磨则取其味之全,煎则取其气之达,气味齐到,效如
桴鼓矣。原注云∶送下养正丹甚妙者,以养正丹能缓肾也。安肾丸、八味地黄丸,可代此丹
,镇摄归根,喘急遄已矣。
苏子降气汤 治上实下虚,痰喘及吐泻等症。
紫苏子(二钱,研) 前胡 半夏 茯苓 当归 炙草 沉香 浓朴(各五分
加生姜二片,水煎服。
全真一气汤\x(《冯氏锦囊》) 治上焦虚热下焦虚冷,此方清肃在上,填实在下之法。
熟地(一两) 人参(一、二、三钱或一两,另煎另服) 麦冬 牛膝(各二钱) 冬白术(炒三钱
五味(七分) 附子(一钱,须重用
水煎服。
泻白散:治疗肺受燥气侵袭导致咳嗽不止,以及火热之邪移于大肠引起腹泻等症状。
桑白皮(三钱,生用) 地骨皮(一钱) 黄芩 甘草(各一钱)
加粳米二钱,水煎服。
李时珍说:“这是治疗泻肺各类方剂的准则。”
竹叶石膏汤
石膏(八钱,生研碎) 麦冬(四钱) 半夏(三钱) 人参(二钱) 炙甘草(一钱) 鲜竹叶(八十一片) 粳米(三钱)
用水三杯半,煎煮至两杯,加入粳米,继续煎至米熟,取药液八分服用。
回元汤
人参 炙甘草 当归(各二钱) 大枣(两枚) 炙黄芪(四钱) 煨姜
水煎服。
四生丸:治疗热邪极盛逼迫血液妄行,此方既能止血又能化瘀,因此非常巧妙。
生地黄 生艾叶 生侧柏叶 生荷叶(各二钱)
捣碎制成丸药,大小如鸡蛋,每次服用一丸(用沸水冲服)。
理中汤(方剂见吐泻章节):上、中、下三焦出血不止,服用此方能使其血归经脉,真是神效的药剂。
黄土汤:治疗吐血、鼻衄、便血,以及妇女血崩的神效药剂。
灶心黄土(八钱) 怀生地 黄芩 白术 阿胶 炙甘草 附子(炮制,各一钱五分)
水煎服。
我每次使用时去掉附子,加入炮姜八分。
甘草干姜汤:血证患者服用凉药无效者,服用此方如神助。
干姜(二钱,炮制) 生甘草(四钱)
水煎服。
断红丸:治疗下血日久不止。
侧柏叶(炒香) 续断(酒炒,各三钱) 鹿茸(一具,酥炙)
用醋煮阿胶为丸,每次服用四五十丸,用乌梅汤或米汤随意送服。
当归补血汤(见头痛章节)
旱莲丸(出自《种福堂》):治疗大便下血且体质虚弱者。
将旱莲草阴干研末,用槐花煎汤,调和炒米粉制成糊丸,大小如梧桐子,每日服用五钱,用人参五分煎汤送服,服用两次即可痊愈。
牛膝酒煎(出自《种福堂》):治疗男子尿道疼痛及妇人血结少腹疼痛。
取一大把牛膝,用酒煮后饮用。
旱莲车前汁(出自《种福堂》):治疗小便下血。
旱莲草 车前子(各等分)
将这两味药捣烂取自然汁,每日空腹服用一杯茶量。
桂扁猪脏饮(出自《种福堂》):治疗大便排出脓血,即使每天发作数次,或是数年久病,服用后立即痊愈。
雄猪肠(一条,洗净) 桂圆肉(二两) 扁豆花(新鲜白色,四两)
将桂圆肉和扁豆花捣烂,用白糯米拌和,装入猪肠内,两头扎紧。在砂锅中烧烂,忌讳接触铁器。然后将人中白炙脆,研成粉末蘸着吃,或者用酱油蘸着吃也可以。不论喝粥还是吃饭,空腹都可以吃,吃四五条即可痊愈。
小半夏加茯苓汤:治疗水饮停聚,咳逆欲呕,眩晕等症状。
半夏(四钱) 生姜(五钱) 茯苓(八钱)
水煎服。
葶苈大枣泻肺汤:治疗支饮阻隔气道,呼吸不畅。
大枣(十一枚) 葶苈子(二钱,研碎)
用水二杯,先煮大枣至一杯,分入葶苈子煎至八分服用。
越婢加半夏汤:治疗气盛痰壅,肺胀气喘,眼睛突出感,脉象浮大者。
麻黄(三钱) 半夏(二钱) 生石膏(四钱,研碎) 甘草(一钱) 大枣(二枚半) 生姜(钱半)
用水二杯半,先煮麻黄,撇去浮沫,加入其他药物,煎至八分服用,每日两次。
黑锡丹:治疗脾肾虚冷,上实下虚,胸中痰饮,或上攻头目,以及奔豚气上冲,两胁膨胀,并阴阳之气不升降,五种脚气病,水气上攻,或突然中风,痰涎上涌阻塞膈部等症状。
黑铅 硫黄(各三两,同炒结成砂状,研磨至无声音为止) 沉香 胡芦巴 熟附子 肉桂(各五钱) 小茴香 破故纸 肉豆蔻 木香 金铃子(去核,各一两)
以上共为细末,用酒煮,面粉糊制成丸药,大小如梧桐子,阴干后用布袋摩擦使其光亮,每次服用四十丸,姜汤送服。
真武汤(见上噎嗝章节) 桂苓甘术汤 肾气丸(即桂附八味丸。均见上痰饮章节)
四磨饮:治疗各种喘息。
人参 沉香 乌药 槟榔(各等分)
将这四味药磨成浓汁,煮沸后服用。
方中使用人参泻除壮火以扶持正气,沉香纳气归于肾,然后用槟榔、乌药引导下行,这就是所说的:“实证必须顾护虚证,泻法必须先补益。”四种药材气味都浓厚,磨取其味的全面,煎煮取其气的通达,气味齐到,疗效如槌击鼓般迅速。原注说:送服养正丹非常妙,因为养正丹能缓和肾脏。安肾丸、八味地黄丸,可以代替此丹,镇摄归根,喘息急促便能迅速停止。
苏子降气汤:治疗上实下虚,痰喘以及吐泻等症状。
紫苏子(二钱,研碎) 前胡 半夏 茯苓 当归 炙甘草 沉香 厚朴(各五分)
加生姜两片,水煎服。
全真一气汤(出自《冯氏锦囊》):治疗上焦虚热下焦虚冷,此方是清肃在上、填实在下的方法。
熟地黄(一两) 人参(一、二、三钱或一两,另煎另服) 麦冬 牛膝(各二钱) 冬白术(炒三钱) 五味子(七分) 附子(一钱,须重用)
水煎服。
Xiebai San (Draining the Lung Powder): Treats conditions where the Lung is affected by dryness, resulting in persistent coughing, and fire transferring to the Large Intestine causing diarrhea.
Sangbaipi (Cortex Mori Radicis), raw, 3 qian; Digupi (Cortex Lycii Radicis), 1 qian; Huangqin (Radix Scutellariae), 1 qian; Gancao (Radix Glycyrrhizae), 1 qian.
Add Jingmi (Semen Oryzae Sativae), 2 qian; decoct with water and take orally.
Li Shizhen said: "This is the standard for all formulas that drain the Lung."
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Shigao (Gypsum Fibrosum), raw and ground, 8 qian; Maidong (Radix Ophiopogonis), 4 qian; Banxia (Rhizoma Pinelliae), 3 qian; Renshen (Radix Ginseng), 2 qian; Zhigancao (Radix Glycyrrhizae Preparata), 1 qian; Xianzhuye (Folium Bambusae), 81 leaves; Jingmi (Semen Oryzae Sativae), 3 qian.
Use 3.5 cups of water, decoct until 2 cups remain, add Jingmi, continue decocting until the rice is cooked, take 0.8 cup.
Huiyuan Tang (Restoring the Origin Decoction)
Renshen (Radix Ginseng); Zhigancao (Radix Glycyrrhizae Preparata); Danggui (Radix Angelicae Sinensis), each 2 qian; Dazao (Fructus Jujubae), 2 pieces; Zhi Huangqi (Radix Astragali Preparata), 4 qian; Weijiang (Zingiberis Rhizoma Preparatum).
Decoct with water and take orally.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); Baihu Tang (White Tiger Decoction); Mahuang Tang (Ephedra Decoction) (for modifications, see this treatise).
Sisheng Wan (Four Raw Herbs Pill): Treats severe heat forcing blood to move recklessly. This formula stops bleeding while also resolving stasis, which makes it excellent.
Shengdihuang (Radix Rehmanniae Recens); Sheng Aye (Folium Artemisiae Argyi); Sheng Cebaiye (Cacumen Platycladi); Sheng Heye (Folium Nelumbinis). Each dose uses 2 qian.
Pound into pills the size of a chicken egg. Take one pill per dose (dissolve in boiling water).
Lizhong Tang (Regulate the Middle Decoction) (formula see section on vomiting and diarrhea): For bleeding from the upper, middle, or lower jiao that does not stop, taking this allows the blood to return to its vessels; it is truly a miraculous agent.
Huangtu Tang (Yellow Earth Decoction): A miraculous agent for treating hematemesis, epistaxis, hematochezia, and metrorrhagia in women.
Zaoxin Huangtu (Caudex Illitis), 8 qian; Huaishengdi (Radix Rehmanniae); Huangqin (Radix Scutellariae); Baizhu (Rhizoma Atractylodis Macrocephalae); Ejiao (Colla Corii Asini); Zhigancao (Radix Glycyrrhizae Preparata); Fuzi (Radix Aconiti Lateralis Preparata), each 1.5 qian (prepared).
Decoct with water and take orally.
I usually remove Fuzi and add Paojiang (Zingiberis Rhizoma Preparatum), 0.8 qian.
Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction): For blood disorders where cooling herbs have failed, this acts like magic.
Ganjiang (Zingiberis Rhizoma), 2 qian (prepared); Sheng Gancao (Radix Glycyrrhizae), 4 qian.
Decoct with water and take orally.
Duanhong Wan (Stop Redness Pill): Treats chronic hematochezia.
Cebaiye (Cacumen Platycladi), fried until fragrant; Xuduan (Radix Dipsaci), wine-fried, each 3 qian; Lurong (Cornu Cervi Pantotrichum), one piece, roasted with butter.
Make pills using Ejiao (Colla Corii Asini) boiled in vinegar. Take 40-50 pills per dose, washed down with Wumei Tang (Mume Decoction) or Mitan (Rice Decoction) as desired.
Danggui Buxue Tang (Angelica Tonifying Blood Decoction) (see headache section).
Hanlian Wan (Eclipta Pill) (from *Zhongfutang*): Treats hematochezia in patients with deficiency and weakness.
Dry Hanliancao (Herba Ecliptae) in the shade and grind into powder. Use Huaihua (Flos Sophorae) decoction to mix with fried rice flour paste to make pills the size of sophora seeds. Take 5 qian daily, washed down with Renshen (Radix Ginseng), 0.5 qian decoction. Two doses will cure it.
Niuxi Jiujian (Knee-Cap Wine Decoction) (from *Zhongfutang*): Treats pain in the urethra in men and blood stasis causing lower abdominal pain in women.
Take a large handful of Niuxi (Radix Achyranthis Bidentatae), boil in wine and drink.
Hanlian Cheqian Zhi (Eclipta and Plantago Juice) (from *Zhongfutang*): Treats hematuria.
Hanliancao (Herba Ecliptae); Cheqianzi (Semen Plantaginis), equal parts.
Pound these two ingredients to extract natural juice. Take one teacupful on an empty stomach daily.
Guibian Zhuzang Yin (Cassia, Coix Seed, and Pig Intestine Drink) (from *Zhongfutang*): Treats passing pus and blood in stool, even if occurring several times a day or lasting for years; it cures immediately upon taking.
Xiongzhu zang (Porcine Intestine), one strip, cleaned; Guiyuanrou (Arillus Longanae), 2 liang; Biandouhua (Flos Dolichoris Lablabis), fresh white, 4 liang.
Pound the longan flesh and bean flowers until pasty, mix with white glutinous rice, stuff into the pig intestine, and tie both ends. Cook thoroughly in a clay pot; avoid contact with iron. Then roast Renzhongbai (Calcinatus Urea) until crisp, grind into powder, and eat by dipping, or dip in soy sauce. It can be eaten on an empty stomach whether having porridge or rice. Eating four or five strips will cure it.
Xiaoqinglong Tang (Minor Green Dragon Decoction) (see cough section).
Xiao Banxia Jia Fuling Tang (Minor Pinellia plus Poria Decoction): Treats fluid retention, coughing with urge to vomit, and vertigo.
Banxia (Rhizoma Pinelliae), 4 qian; Shengjiang (Rhizoma Zingiberis Recens), 5 qian; Fuling (Sclerotium Poriae), 8 qian.
Decoct with water and take orally.
Tingli Dazao Xiefei Tang (Descurainia Seed and Jujube Decoction to Drain the Lung): Treats obstructive fluid blocking the airway, causing difficulty breathing.
Dazao (Fructus Jujubae), 11 pieces; Tinglizi (Semen Descurainiae), 2 qian, ground.
Use 2 cups of water, first decoct the jujubes until 1 cup remains, then add Tinglizi and decoct until 0.8 cup remains. Take orally.
Yueshiba Jia Banxia Tang (Yuebi plus Pinellia Decoction): Treats excessive qi and phlegm congestion, lung distension with upward rushing qi, sensation of eyes protruding, and floating-large pulse.
Mahuang (Herba Ephedrae), 3 qian; Banxia (Rhizoma Pinelliae), 2 qian; Sheng Shigao (Gypsum Fibrosum), 4 qian, ground; Gancao (Radix Glycyrrhizae), 1 qian; Dazao (Fructus Jujubae), 2.5 pieces; Shengjiang (Rhizoma Zingiberis Recens), 0.5 qian.
Use 2.5 cups of water, first decoct Mahuang, skim off the foam, add other herbs, decoct until 0.8 cup remains. Take twice daily.
Heixi Dan (Black Tin Pill): Treats spleen and kidney deficiency-cold, excess above and deficiency below, phlegm-fluid in the chest, or attacking the head and eyes; Ben Tun (running piglet) with upward rushing qi, distension of both hypochondria, failure of yin and yang qi to ascend and descend, five types of Hongjiao (gout/foot disease), water qi attacking upward, sudden apoplexy, or phlegm tide blocking the diaphragm.
Heiqian (Plumbum Metallicum); Huang (Sulfur), each 3 liang, stir-fried together until granular, ground until no sound is heard; Chenxiang (Lignum Aquilariae Resinatum); Huluba (Semen Trigonellae); Shu Fuzi (Radix Aconiti Lateralis Preparata); Rougui (Cortex Cinnamomi), each 5 qian; Huixiang (Fructus Foeniculi); Pozhuzi (Semen Crotalariae); Roudoukou (Nucis Arecae Kathe); Muxiang (Radix Aucklandiae); Jinlingzi (Fructus Meliae Toosendan), pitted, each 1 liang.
Grind all into powder, boil in wine, use wheat paste to make pills the size of sophora seeds. Dry in shade, rub with a cloth bag to make smooth. Take 40 pills per dose, washed down with ginger tea.
Zhenwu Tang (True Warrior Decoction) (see dysphagia section); Guiling Gan Zhu Tang (Cinnamon, Polyporus, Licorice, and Atractylodes Decoction); Shenqi Wan (Kidney Qi Pill) (i.e., Guifu Bawei Wan) (see phlegm-fluid section).
Simoin (Four-Garble Drink): Treats various forms of asthma/wheezing.
Renshen (Radix Ginseng); Chenxiang (Lignum Aquilariae Resinatum); Wuyao (Lignum Styracis); Binglang (Semen Arecae), equal parts.
Grind the four ingredients into thick juice, boil, and take.
The formula uses Renshen to drain vigorous fire and support righteous qi, Chenxiang to guide qi back to the Kidney, followed by Binglang and Wuyao to guide it downward. This is what is meant by: "In excess conditions, one must attend to deficiency; when draining, one must first tonify." The four herbs are rich in flavor and aroma; grinding extracts their full flavor, decocting extracts their aromatic qi. When flavor and qi arrive together, efficacy is immediate as a drumstick striking a drum. The original note says: sending down with Yangzheng Dan (Tonify Righteous Pill) is very good, because Yangzheng Dan can soothe the Kidney. Anshen Wan (Peace the Kidney Pill) and Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) can substitute for this pill, anchoring and returning to the root, so that urgent wheezing ceases quickly.
Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction): Treats excess above and deficiency below, phlegmatic wheezing, and vomiting/diarrhea.
Zisuzi (Fructus Perillae), 2 qian, ground; Qianhu (Radix Peucedani); Banxia (Rhizoma Pinelliae); Fuling (Sclerotium Poriae); Danggui (Radix Angelicae Sinensis); Zhigancao (Radix Glycyrrhizae Preparata); Chenxiang (Lignum Aquilariae Resinatum); Houpo (Cortex Magnoliae Officinalis), each 0.5 fen.
Add 2 slices of Shengjiang (Rhizoma Zingiberis Recens), decoct with water and take orally.
Quanzhen Yiqi Tang (Complete True One-Energy Decoction) (from *Fengshi Jinnang*): Treats deficiency-heat in the Upper Jiao and deficiency-cold in the Lower Jiao. This formula clears and purifies above and fills and solidifies below.
Shudi (Radix Rehmanniae Preparata), 1 liang; Renshen (Radix Ginseng), 1-3 qian or 1 liang (decoct separately and take separately); Maidong (Radix Ophiopogonis); Niuxi (Radix Achyranthis Bidentatae), each 2 qian; Dong Baizhu (Rhizoma Atractylodis Macrocephalae), stir-fried, 3 qian; Wuweizi (Fructus Schisandrae), 0.7 fen; Fuzi (Radix Aconiti Lateralis Preparata), 1 qian (must use a heavy dose).
Decoct with water and take orally.