治泄泻久,而肠滑不固者。
即前薯蓣粥,加熟鸡子黄三枚。
一人,年近五旬。泄泻半载不愈,羸弱已甚。遣人来询方,言屡次延医服药,皆分毫无效。授以薯蓣粥方,
数日又来言,服之虽有效验,泻仍不止。遂俾用鸡子数枚煮熟,取其黄捏碎,调粥中服之,两次而愈。盖鸡子
黄,有固涩大肠之功,且较鸡子白,易消化也。以后此方用过数次,皆随手奏效。
附录∶
直隶青县张××来函∶
河间刘××,年五十余岁。漏疮甚剧,屡治不痊,后兼泄泻不止,盖肠滑不固,故医药无灵。诊其脉甚小弱,
渐已成痨。嘱其用薯蓣鸡子黄粥。一剂泻止。三服,精神焕发。十数日后,身体撤消。此后凡遇虚泻久不愈者,
用之屡收特效。
治阴虚肾燥,小便不利,大便滑泻,兼治虚劳有痰作嗽。
生山药(一两,轧细) 生车前子(四钱)
上二味,同煮作稠粥服之,一日连服三次,小便自利,大便自固。盖山药能固大便,而阴虚小便不利者服
之,又能利小便。车前子能利小便,而性兼滋阴,可为补肾药之佐使(五子衍宗丸中用之),又能助山药以止
大便。况二药皆汁浆稠粘,同作粥服之,大能留恋肠胃,是以效也。治虚劳痰嗽者,车前宜减半。盖用车前者,
以其能利水,即能利痰,且性兼滋阴,于阴虚有痰者尤宜。而仍不敢多用者,恐水道过利,亦能伤阴分也。
按∶车前子能利小便,而骤用之亦无显然功效。惟将车前子炒熟(此药须买生者自家经手炒,以微熟为度,
过熟则无力),嚼服少许,须臾又服,约六点钟服尽一两,小便必陡然利下,连连不止。此愚实验而得之方也。
又∶单用车前子两半,煮稠粥,顿服之,治大便滑泻亦甚效验。黄姓媪,大便滑泻,百药不效。或语以此
方,一服即愈。然必用生者煮之,始能成粥,若炒熟者,则不能成粥矣。
治疗久泻不止,且大肠滑脱无法固摄的病症。
即使用前面的山药粥方,加入煮熟的鸡蛋黄三个。
有一人,年龄接近五十岁。腹泻持续半年未愈,身体极度消瘦虚弱。派人来咨询药方,说多次请医生服药,都毫无效果。授予他山药粥方,
几天后又来说,服用后虽然有效验,但腹泻仍未停止。于是让他将几个鸡蛋煮熟,取出蛋黄捏碎,调入粥中服用,两次之后痊愈。因为鸡蛋
黄,有固涩大肠的功效,而且相比鸡蛋清,更容易消化。此后这个方子用过几次,都立刻见效。
附录∶
直隶青县张××来信∶
河间刘××,年龄五十多岁。漏疮(一种慢性化脓性疾患)非常严重,多次治疗未能痊愈,后来兼有腹泻不止,这是因为大肠滑脱不固,所以医药无效。诊察他的脉象非常细小微弱,逐渐已成虚劳之证。嘱咐他用山药鸡蛋黄粥。一剂药后腹泻停止。服用三剂,精神焕发。十数日后,身体消瘦的症状消除。此后凡是遇到虚证腹泻久治不愈者,
使用此方屡次收到特效。
治疗阴虚肾燥,小便不通畅,大便滑泻,兼治虚劳伴有痰液咳嗽。
生山药(一两,轧成细粉) 生车前子(四钱)
以上两味药,一起煮成稠粥服用,一天连续服用三次,小便自然通畅,大便自然固摄。因为山药能固摄大便,而阴虚导致小便不利的人服用
它,又能通利小便。车前子能通利小便,而性质兼有滋阴作用,可以作为补肾药的辅助药(五子衍宗丸中使用它),又能帮助山药来止住
大便。况且这两种药汁液浓稠粘腻,一起煮成粥服用,大能留恋于肠胃之中,因此有效。治疗虚劳痰嗽的患者,车前子的用量应减半。因为用车前子,是因为它能利水,即能利痰,且性质兼有滋阴,对于阴虚有痰的患者尤其适宜。而仍然不敢多用它的原因,是担心水道过度通利,也会损伤阴分。
按语∶车前子能通利小便,但如果突然大量使用也没有明显的功效。只有将车前子炒熟(这种药必须买生的自己亲手炒,以微熟为限度,
炒过熟则药效减弱),嚼服少量,一会儿再服,大约六小时内服完一两,小便必定陡然通利,连连不止。这是我通过实验得出的方子。
又∶单用车前子半两,煮成稠粥,一次性服用,治疗大便滑泻也非常有效。黄姓老妇人,大便滑泻,百药无效。有人告诉她这
个方子,服用一次即痊愈。但是必须用生的煮,才能成粥,如果炒熟的,就不能成粥了。
Treats chronic diarrhea with intestinal slipping and failure of retention.
Use the previously mentioned Shan Yao Porridge, adding three cooked egg yolks.
A patient, nearly fifty years old, had suffered from diarrhea for half a year without recovery, becoming extremely emaciated and weak. He sent someone to inquire about a prescription, stating that multiple consultations with doctors and administrations of medicine had yielded no effect whatsoever. I prescribed the Shan Yao Porridge formula.
A few days later, he reported again that although there was some efficacy, the diarrhea persisted. I then instructed him to boil several eggs, take out the yolks, crush them, and mix them into the porridge for consumption. After two doses, he recovered. This is because the egg yolk has the function of astringing the large intestine, and compared to the egg white, it is easier to digest. This formula has been used several times since, always yielding immediate results.
Appendix:
Letter from Zhang XX of Qing County, Zhili Province:
Liu XX of Hejian, over fifty years old, suffered severely from a fistula (a chronic suppurative disease), which failed to heal after repeated treatments. Later, he developed persistent diarrhea due to intestinal slipping and failure of retention, rendering medical treatment ineffective. His pulse was very fine and weak, indicating a gradual progression into consumptive disease (Xu Lao). I advised him to use the Shan Yao and Egg Yolk Porridge. One dose stopped the diarrhea. After three doses, his spirit revived. More than ten days later, his emaciation resolved. Since then, whenever encountering chronic diarrhea due to deficiency that fails to heal, this formula has repeatedly proven highly effective.
Treats Yin deficiency with kidney dryness, difficult urination, and loose stools; also treats consumptive disease with phlegm-induced cough.
Raw Dioscoreae Rhizoma (Shan Yao) (1 liang, finely ground) Raw Plantaginis Semen (Che Qian Zi) (4 qian)
Boil these two ingredients together to make a thick porridge and consume it. Take three times a day. Urination will naturally become free, and stools will naturally become firm. This is because Shan Yao can consolidate the stool, while for those with Yin deficiency causing difficult urination, it can promote urination. Che Qian Zi promotes urination and possesses properties that nourish Yin, serving as an adjuvant (used in Wu Zi Yan Zong Wan), and assists Shan Yao in stopping diarrhea. Moreover, both herbs have viscous juices; when boiled together as porridge, they adhere well to the gastrointestinal tract, thereby enhancing efficacy. For treating consumptive disease with phlegm cough, reduce the dosage of Che Qian Zi by half. The reason for using Che Qian Zi is its ability to promote water metabolism, thereby resolving phlegm, and its Yin-nourishing property makes it particularly suitable for patients with Yin deficiency and phlegm. However, one dares not use it in large amounts, fearing that excessive promotion of water metabolism might damage the Yin aspect.
Note: Che Qian Zi promotes urination, but sudden heavy use yields no obvious effect. Only when Che Qian Zi is stir-fried until slightly cooked (one must buy raw seeds and fry them personally oneself, stopping at slight cooking; overcooking reduces potency), chewed in small amounts, and taken repeatedly over approximately six hours until one liang is consumed, will urination suddenly become profuse and continuous. This is a method derived from my own experimental practice.
Furthermore: Using only half a liang of Che Qian Zi, boiled into a thick porridge and taken in one sitting, is also highly effective for treating loose stools. An elderly woman surnamed Huang suffered from loose stools unresponsive to various medicines. Upon being told of this formula, she recovered after one dose. However, raw seeds must be used to form the porridge; if fried beforehand, the porridge cannot be formed.