1.浊病精窍溺自清, 秽物如脓阴内疼, 赤热精竭不及化, 白寒湿热
败精成.
【注】赤多属热, 亦有浊带日久, 精竭阳虚, 不及化白而属寒者. 白
多属寒, 亦有败精湿热酿成腐化, 变白而属热者. 是则不可概以寒热
论赤白也.
清心莲子饮 萆薢分清饮 珍珠粉丸
2.浊热清心莲子饮, 寒萆菖乌益草苓, 湿热珍珠炒姜柏, 滑黛神麴
椿蛤同.
【注】赤浊带下属热者, 宜用清心莲子饮, 方在淋门. 白浊带下属寒
者, 宜用萆薢分清饮, 即萆薢, 菖蒲, 乌药, 益智, 甘草, 茯苓也.
赤白浊带下属湿热者, 宜用珍珠粉丸, 即炒黑姜, 炒黄柏, 滑石, 青
黛,炒神麴, 炒椿皮, 蛤粉也.
黑锡丹
3.黑锡上盛下虚冷, 精竭阳虚火上攻, 上壅头痛痰气逆, 下漏浊带
白淫精, 骨脂茴香葫芦巴, 肉蔻桂附木金樱, 沉香阳起巴戟肉, 硫铅
法结要研明.
【注】赤白带下属虚寒者, 及虚阳上攻, 头痛喘嗽, 痰壅气逆, 俱宜
黑锡丹. 即补骨脂, 小茴香, 葫芦巴, 肉蔻, 附子, 肉桂, 木香, 金
樱子, 沉香, 阳起石, 巴戟, 硫黄, 黑铅也.
1.阴盛为饮阳盛痰, 稠浊是热沫清寒, 燥少粘连咯不易, 湿多易出
风掉胘, 膈满呕吐为伏饮, 支饮喘咳肿卧难, 饮流四肢身痛溢, 嗽引
胁痛谓之悬, 痰饮素盛今暴瘦, 漉漉声水走肠间, 饮留肺胸喘短渴,
在心下悸背心寒.
【注】饮则清稀, 故为阴盛. 痰则稠浊, 故为阳盛. 稠浊, 是热痰属
心也. 沫清, 是寒痰属肾也. 少而粘连咯不易出, 是燥痰属肺也. 多
而易出, 是湿痰属脾也. 搐搦眩晕, 是风痰属肝也. 膈上痰满, 呕吐
痰涎, 此饮留于膈间, 名曰伏饮也. 喘咳面肿不得卧, 此饮留于肺,
名曰支饮也. 饮流四肢, 身体重痛, 此饮留行于体, 名曰溢饮也. 咳
嗽引胁疼痛, 此饮留于胁下, 名曰悬饮也. 素盛今瘦, 漉漉有声, 水
走肠间, 此饮留于肠胃, 名曰痰饮也. 凡饮留于胸肺, 则喘满短气而
渴.饮留于膈下, 则心下悸或背心寒冷也.
二陈汤 燥痰汤
2.诸痰橘半茯苓草, 惟有燥者不相当, 风加南星白附子, 热加芩连
寒桂姜, 气合四七郁香附, 虚入参术湿入苍; 燥芩旋海天冬橘, 风消
枳桔贝蒌霜.
【注】诸痰, 谓一切痰, 皆宜二陈汤治之. 即橘红, 半夏, 茯苓, 甘
草也. 因有苓, 半, 性过渗燥, 故与燥痰不相当也. 根据本方风痰加南
星,白附子. 热痰加黄芩, 黄连. 寒痰加干姜, 肉桂. 气痰加厚朴,
苏叶, 即是合四七汤也. 因郁生痰加香附. 气虚有痰加人参, 白术即
六君子汤也. 湿痰加苍术. 燥痰宜用燥痰汤, 即枯黄芩, 旋覆花, 海
石,天冬, 橘红, 风化芒硝, 枳壳, 桔梗, 贝母, 枯蒌霜也.
茯苓指迷丸
3.茯苓风消枳壳半, 痰饮平剂指迷丸, 寒实瓜蒂透罗治, 热实大陷
小胃丹.
【注】指迷丸, 治一切痰饮平和之剂, 即茯苓, 风化芒硝, 枳壳, 半
夏也. 痰饮寒实者, 用瓜蒂散吐之, 或用透罗丹下之. 热实者, 在膈
上用大陷汤, 丸, 在三焦用小胃丹攻之.
半夏茯苓汤加丁香汤 越婢加术汤
4.流饮控涎苓桂治, 伏饮神佑半苓丁, 支饮葶苈悬十枣, 溢饮越术
小青龙.
【注】留饮者, 谓一切饮留于上下, 内外也. 实者用控涎丹攻之, 虚
者用苓桂术甘汤温之. 伏饮实者用神佑丸, 虚者用半夏三钱, 茯苓二
钱,丁香一钱, 生姜三钱, 煎服治之, 即半夏茯苓汤加丁香也. 支饮
用葶苈大枣汤. 悬饮用十枣汤治之. 溢饮有热者用越婢加术汤, 即黄
麻,石膏, 甘草, 生姜, 大枣, 加苍术也. 有寒者用小青龙汤治之.
1. 浊病(指小便浑浊或白浊等病症)病变在精窍,而溺道(排尿通道)自是清亮的;阴部内有疼痛感,排出物秽浊如脓。若排出物色赤、伴有热象且精液枯竭不能正常化生,多属热证;若排出物色白、伴有寒象及湿热之邪,则多为败精凝聚而成。
【注】色赤多属于热证,但也有因浊带日久,导致精血枯竭、阳气虚弱,无法将浊液化为白色而表现为寒证的情况。色白多属于寒证,但也有因败精与湿热交织酿成腐败转化,变白而表现为热证的情况。因此,不能一概而论地以寒热来区分赤白浊带。
推荐方剂:清心莲子饮、萆薢分清饮、珍珠粉丸。
2. 治疗浊热证宜用清心莲子饮;治疗寒证宜用萆薢、石菖蒲、乌药、益智仁、甘草、茯苓组成的方剂;治疗湿热证宜用珍珠粉丸,由炒黑干姜、炒黄柏、滑石、青黛、炒神曲、炒椿皮、蛤粉组成。
【注】赤浊带下属热证者,适宜使用清心莲子饮,该方记载于淋证门中。白浊带下属寒证者,适宜使用萆薢分清饮,即由萆薢、石菖蒲、乌药、益智仁、甘草、茯苓组成。赤白浊带下属湿热证者,适宜使用珍珠粉丸,即由炒黑干姜、炒黄柏、滑石、青黛、炒神曲、炒椿皮、蛤粉组成。
另有黑锡丹。
3. 黑锡丹适用于上盛下虚之冷证,以及精竭阳虚导致虚火上攻的病证。症状包括上部壅滞引起的头痛、痰气上逆,下部漏泄导致的浊带、白淫及遗精。方中含有补骨脂、小茴香、葫芦巴、肉豆蔻、肉桂、附子、木香、金樱子、沉香、阳起石、巴戟天、硫黄、黑铅,其炮制和结合方法需仔细研究明确。
【注】赤白带下属虚寒证者,以及虚阳上攻引起的头痛、喘咳、痰壅气逆等症状,均适宜使用黑锡丹。该方由补骨脂、小茴香、葫芦巴、肉豆蔻、附子、肉桂、木香、金樱子、沉香、阳起石、巴戟天、硫黄、黑铅组成。
1. 阴气偏盛则为饮,阳气偏盛则为痰;痰液稠浊属热,泡沫清稀属寒。燥痰量少且粘连难咯出,湿痰量多易出,风痰可引起抽搐眩晕。痰饮停聚膈间引起胸满呕吐的称为伏饮;痰饮停留肺部引起喘咳、浮肿、难以平卧的称为支饮;水饮流注四肢引起身体疼痛溢出的称为溢饮;咳嗽牵引胁肋疼痛的称为悬饮;素日形体丰盛而今突然消瘦,肠间有水声漉漉作响的称为痰饮;水饮停留于肺胸部位引起气喘短促、口渴的,或停留于心下引起心悸、背心寒冷的,均为饮邪致病。
【注】饮邪性质清稀,故归属于阴盛。痰邪性质稠浊,故归属于阳盛。稠浊之痰,属于热痰,关联心脏。泡沫清稀之痰,属于寒痰,关联肾脏。量少且粘连、不易咯出,属于燥痰,关联肺脏。量多且容易咯出,属于湿痰,关联脾脏。抽搐眩晕,属于风痰,关联肝脏。膈上痰满,呕吐痰涎,这是饮邪停留在膈间,名为伏饮。喘咳面肿、不能平卧,这是饮邪停留在肺,名为支饮。水饮流注四肢,身体沉重疼痛,这是饮邪流行于体表,名为溢饮。咳嗽牵引胁肋疼痛,这是饮邪停留在胁下,名为悬饮。素日丰盛而今消瘦,肠间漉漉有声,水走肠间,这是饮邪停留在肠胃,名为痰饮。凡饮邪停留在胸肺,则出现气喘、胸闷、短气而渴。饮邪停留在膈下,则出现心下悸动或背心寒冷。
推荐方剂:二陈汤、燥痰汤。
2. 各种痰证多用橘红、半夏、茯苓、甘草(即二陈汤)治疗,唯独燥痰证不适用此方。风痰加入南星、白附子;热痰加入黄芩、黄连;寒痰加入干姜、肉桂;气痰配合四七汤(厚朴、苏叶等);因郁结生痰加入香附;气虚有痰加入人参、白术(即六君子汤);湿痰加入苍术。燥痰适宜使用燥痰汤,由枯黄芩、旋覆花、海浮石、天冬、橘红、风化芒硝、枳壳、桔梗、贝母、枯瓜蒌霜组成。
【注】所谓“诸痰”,指一切痰证,都适宜用二陈汤治疗,即由橘红、半夏、茯苓、甘草组成。因为含有茯苓、半夏,药性过于渗利燥湿,所以与燥痰证不相适宜。根据本方,风痰加入南星、白附子;热痰加入黄芩、黄连;寒痰加入干姜、肉桂;气痰加厚朴、苏叶,即是合用四七汤。因郁结生痰加入香附。气虚有痰加入人参、白术,即六君子汤。湿痰加入苍术。燥痰适宜使用燥痰汤,即由枯黄芩、旋覆花、海浮石、天冬、橘红、风化芒硝、枳壳、桔梗、贝母、枯瓜蒌霜组成。
另有茯苓指迷丸。
3. 茯苓、防风、枳壳、半夏组成的方剂是治疗痰饮的平和之剂,名为指迷丸。痰饮寒实证,可用瓜蒂散涌吐,或用透罗丹攻下。热实证,在膈上用大陷胸汤或丸,在三焦用小胃丹攻逐。
【注】指迷丸,是治疗一切痰饮的平和方剂,由茯苓、风化芒硝、枳壳、半夏组成。痰饮寒实证,用瓜蒂散催吐,或用透罗丹泻下。热实证,在膈上部用大陷胸汤或丸,在三焦用小胃丹攻逐。
另有半夏茯苓汤加丁香汤、越婢加术汤。
4. 留饮(泛指各类水饮停留)用控涎丹、苓桂术甘汤治疗;伏饮用神佑丸、半夏茯苓汤加丁香治疗;支饮用葶苈大枣汤,悬饮用十枣汤治疗;溢饮有热者用越婢加术汤(即麻黄、石膏、甘草、生姜、大枣加苍术),有寒者用小青龙汤治疗。
【注】留饮,是指一切水饮停留在上下内外各处。实证用控涎丹攻逐,虚证用苓桂术甘汤温化。伏饮实证用神佑丸,虚证用半夏三钱、茯苓二钱、丁香一钱、生姜三钱煎服治疗,即半夏茯苓汤加丁香。支饮用葶苈大枣汤。悬饮用十枣汤治疗。溢饮有热者用越婢加术汤,即麻黄、石膏、甘草、生姜、大枣加苍术。有寒者用小青龙汤治疗。
1. In turbid diseases (referring to conditions such as cloudy urine or white turbidity), the pathology lies in the essence aperture, while the urinary passage remains clear; there is pain within the yin region, and the discharged material is foul and purulent like pus. If the discharge is red, accompanied by heat signs and exhaustion of essence that fails to transform properly, it mostly belongs to a Heat syndrome; if the discharge is white, accompanied by cold signs and damp-heat pathogens, it is mostly formed by the coagulation of spoiled essence.
[Annotation] Red color mostly indicates Heat, but there are cases where prolonged turbid leukorrhea leads to exhaustion of essence and deficiency of Yang, failing to transform turbidity into white, thus presenting as Cold. White color mostly indicates Cold, but there are cases where spoiled essence interacts with damp-heat to ferment and rot, turning white and presenting as Heat. Therefore, one cannot generally categorize red and white turbidity solely based on Cold or Heat.
Recommended Formulas: Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction), Bixie Fenqing Yin (Dioscorea Hypoglauca Decoction to Separate the Turbid), Zhenzhu Fen Wan (Pearl Powder Pill).
2. For turbid Heat syndromes, use Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction); for Cold syndromes, use a formula composed of Bixie (Dioscorea Hypoglauca Rhizome), Shichangpu (Acori Tatarinowii Rhizoma), Wuyao (Linderae Radix), Yizhi (Alpiniae Oxyphyllae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), and Fuling (Poria). For damp-Heat syndromes, use Zhenzhu Fen Wan (Pearl Powder Pill), composed of Chao Heijiang (Stir-fried Black Zingiberis Rhizoma), Chao Huangbai (Stir-fried Phellodendri Cortex), Huashi (Talcum), Qingdai (Indici Folium), Chao Shenqu (Stir-fried Mass Medicamentii Fermentati), Chao Chunpi (Stir-fried Toosendanii Cortex), and Gafen (Concha Tridacnitis).
[Annotation] For red turbid leukorrhea belonging to Heat, Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction) is suitable, recorded in the Lin Syndrome section. For white turbid leukorrhea belonging to Cold, Bixie Fenqing Yin (Dioscorea Hypoglauca Decoction to Separate the Turbid) is suitable, consisting of Bixie (Dioscorea Hypoglauca Rhizome), Shichangpu (Acori Tatarinowii Rhizoma), Wuyao (Linderae Radix), Yizhi (Alpiniae Oxyphyllae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), and Fuling (Poria). For red and white turbid leukorrhea belonging to damp-Heat, Zhenzhu Fen Wan (Pearl Powder Pill) is suitable, consisting of Chao Heijiang (Stir-fried Black Zingiberis Rhizoma), Chao Huangbai (Stir-fried Phellodendri Cortex), Huashi (Talcum), Qingdai (Indici Folium), Chao Shenqu (Stir-fried Mass Medicamentii Fermentati), Chao Chunpi (Stir-fried Toosendanii Cortex), and Gafen (Concha Tridacnitis).
Additionally, Heixi Dan (Black Tin Pill).
3. Heixi Dan (Black Tin Pill) applies to Cold syndromes of excess above and deficiency below, as well as conditions where exhaustion of essence and deficiency of Yang cause deficient Fire to attack upwards. Symptoms include headache caused by upper congestion, rebellious Qi and phlegm, and leakage below manifesting as turbid leukorrhea, Baiyin (white seminal emission), and spermatorrhea. The formula contains Boguzhi (Psoraleae Fructus), Xiaohuixiang (Foeniculi Fructus), Huluba (Trigonellae Semen), Roukou (Myristicae Semen), Fuzi (Aconiti Lateralis Radix Praeparata), Rougui (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Jinyingzi (Rosae Laevigatae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Yangqishi (Actinoliti Fibrosus et Asbesti Fibra), Bajitian (Morindae Officinalis Radix), Liuhuang (Sulfur), and Heiqian (Plumbum). Its preparation and combination methods must be carefully studied and clarified.
[Annotation] For red and white leukorrhea belonging to deficiency-Cold, as well as symptoms caused by attacking deficient Yang such as headache, wheezing and coughing, phlegm congestion, and rebellious Qi, Heixi Dan (Black Tin Pill) is suitable. It consists of Boguzhi (Psoraleae Fructus), Xiaohuixiang (Foeniculi Fructus), Huluba (Trigonellae Semen), Roukou (Myristicae Semen), Fuzi (Aconiti Lateralis Radix Praeparata), Rougui (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Jinyingzi (Rosaes Laevigatae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Yangqishi (Actinoliti Fibrosus et Asbesti Fibra), Bajitian (Morindae Officinalis Radix), Liuhuang (Sulfur), and Heiqian (Plumbum).
1. When Yin Qi is excessive, it forms Yin (fluid retention); when Yang Qi is excessive, it forms Tan (phlegm). Thick and turbid Tan indicates Heat; clear and frothy Tan indicates Cold. Dry Tan is scanty, sticky, and difficult to expectorate; Damp Tan is abundant and easy to expectorate; Wind Tan can cause convulsions and dizziness. Tan-Yin stagnating in the diaphragm causing chest fullness and vomiting is called Fu Yin (Hidden Yin); Tan-Yin remaining in the lungs causing wheezing, coughing, edema, and difficulty lying flat is called Zhi Yin (Supporting Yin); Water-Yin flowing into the limbs causing body pain and overflow is called Yi Yin (Overflowing Yin); Coughing drawing pain to the hypochondrium is called Xuan Yin (Hanging Yin); Sudden emaciation despite previous robustness, with gurgling sounds of water moving in the intestines, is called Tan Yin (Phlegm-Yin); Water-Yin remaining in the chest and lungs causing wheezing, shortness of breath, and thirst, or remaining below the diaphragm causing palpitations and coldness in the back, are all manifestations of Yin pathogenic factors.
[Annotation] Yin fluid is clear and thin, thus attributed to Excess Yin. Tan phlegm is thick and turbid, thus attributed to Excess Yang. Thick and turbid Tan belongs to Heat Tan, associated with the Heart. Frothy and clear Tan belongs to Cold Tan, associated with the Kidney. Scanty, sticky, and difficult to expectorate Tan belongs to Dry Tan, associated with the Lung. Abundant and easy-to-expectorate Tan belongs to Damp Tan, associated with the Spleen. Convulsions and vertigo belong to Wind Tan, associated with the Liver. Fullness of phlegm above the diaphragm and vomiting of phlegm-saliva indicate Yin remaining in the diaphragm, named Fu Yin (Hidden Yin). Wheezing, coughing, facial edema, and inability to lie flat indicate Yin remaining in the Lung, named Zhi Yin (Supporting Yin). Water-Yin flowing into the limbs with heavy and painful body indicates Yin circulating in the body surface, named Yi Yin (Overflowing Yin). Coughing pulling pain to the hypochondrium indicates Yin remaining under the hypochondrium, named Xuan Yin (Hanging Yin). Previous robustness followed by sudden emaciation, with gurgling sounds and water moving in the intestines, indicates Yin remaining in the stomach and intestines, named Tan Yin (Phlegm-Yin). Generally, if Yin remains in the chest and lungs, it causes wheezing, fullness, shortness of breath, and thirst. If Yin remains below the diaphragm, it causes palpitations below the heart or coldness in the back.
Recommended Formulas: Erchen Tang (Two-Aged Decoction), Zaotan Tang (Dry Phlegm Decoction).
2. Various Tan syndromes are mostly treated with Juhong (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma) [Erchen Tang], except for Dry Tan which is not suitable for this formula. For Wind Tan, add Nanxing (Arisaematis Cum Bile) and Baifuzi (Typhonii Rhizoma); for Heat Tan, add Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma); for Cold Tan, add Ganjiang (Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex); for Qi Tan, combine with Siqi Tang (Four-Seven Decoction) [Houpo (Magnoliae Officinalis Cortex), Ziye (Perillae Folium)]; for Tan generated by depression, add Xiangfu (Cyperi Rhizoma); for Qi deficiency with Tan, add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) [Liujunzi Tang (Six-Gentlemen Decoction)]; for Damp Tan, add Cangzhu (Atractylodis Rhizoma). Dry Tan should use Zaotan Tang (Dry Phlegm Decoction), composed of Ku Huangqin (Withered Scutellariae Radix), Xuanfuhua (Inulae Flos), Haishi (Concha Meretricis et Arcae), Tiandong (Asparagi Radix), Juhong (Citri Reticulatae Pericarpium), Fenghua Mangxiao (Weathered Mirabilitum), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Cirrhosae Bulbus), and Kuluashuang (Withered Benincasae Semen Exsiccatum).
[Annotation] "Various Tan" refers to all types of Tan, which are generally suitable for treatment with Erchen Tang (Two-Aged Decoction), consisting of Juhong (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma). Because it contains Fuling (Poria) and Banxia (Pinelliae Rhizoma), its nature is overly penetrating and drying, making it unsuitable for Dry Tan. Based on this formula, for Wind Tan, add Nanxing (Arisaematis Cum Bile) and Baifuzi (Typhonii Rhizoma); for Heat Tan, add Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma); for Cold Tan, add Ganjiang (Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex); for Qi Tan, add Houpo (Magnoliae Officinalis Cortex) and Ziye (Perillae Folium), which constitutes combining with Siqi Tang (Four-Seven Decoction). For Tan due to depression, add Xiangfu (Cyperi Rhizoma). For Qi deficiency with Tan, add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma), which is Liujunzi Tang (Six-Gentlemen Decoction). For Damp Tan, add Cangzhu (Atractylodis Rhizoma). Dry Tan should use Zaotan Tang (Dry Phlegm Decoction), consisting of Ku Huangqin (Withered Scutellariae Radix), Xuanfuhua (Inulae Flos), Haishi (Concha Meretricis et Arcae), Tiandong (Asparagi Radix), Juhong (Citri Reticulatae Pericarpium), Fenghua Mangxiao (Weathered Mirabilitum), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Cirrhosae Bulbus), and Kuluashuang (Withered Benincasae Semen Exsiccatum).
Additionally, Fuling Zhimi Wan (Poria Guiding Away from Confusion Pill).
3. A formula containing Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Zhike (Aurantii Fructus Immaturus), and Banxia (Pinelliae Rhizoma) is a mild agent for treating Tan-Yin, named Zhimi Wan (Guiding Away from Confusion Pill). For Cold-Excess Tan-Yin, use Genti San (Melon Stalk Powder) to induce vomiting, or Touluo Dan to purge downwards. For Heat-Excess, use Daxian Xiong Tang/Wan (Major Draining the Chest Decoction/Pill) for the diaphragm, and Xiaoweidan (Minor Stomach Pill) for the Triple Burner to attack.
[Annotation] Zhimi Wan (Guiding Away from Confusion Pill) is a mild formula for treating all kinds of Tan-Yin, consisting of Fuling (Poria), Fenghua Mangxiao (Weathered Mirabilitum), Zhike (Aurantii Fructus Immaturus), and Banxia (Pinelliae Rhizoma). For Cold-Excess Tan-Yin, use Genti San (Melon Stalk Powder) to vomit, or Touluo Dan to purge. For Heat-Excess, use Daxian Xiong Tang/Wan (Major Draining the Chest Decoction/Pill) in the upper diaphragm, and Xiaoweidan (Minor Stomach Pill) in the Triple Burner to attack.
Additionally, Banxia Fuling Tang plus Dingxiang Tang (Pinellia and Poria Decoction plus Clove Decoction), Yebibo Jia Zhu Tang (Yarbilla Decoction plus Atractylodes Decoction).
4. Liu Yin (retained Yin/fluid) is treated with Kongyan Dan (Control Saliva Pill) and Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction); Fu Yin (Hidden Yin) is treated with Shenyao Wan (Divine Protection Pill) and Banxia Fuling Tang plus Dingxiang (Pinellia and Poria Decoction plus Clove); Zhi Yin (Supporting Yin) is treated with Tingli Dazao Tang (Semen Lepidii et Zizyphi Decoction); Xuan Yin (Hanging Yin) is treated with Shizao Tang (Ten Dates Decoction); Yi Yin (Overflowing Yin) with Heat is treated with Yebibo Jia Zhu Tang (Yarbilla Decoction plus Atractylodes Decoction, i.e., Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus) plus Cangzhu (Atractylodis Rhizoma)); Yi Yin with Cold is treated with Xiao Qinglong Tang (Minor Green Dragon Decoction).
[Annotation] Liu Yin refers to all fluid retention remaining in the upper/lower and internal/external areas. For Excess patterns, use Kongyan Dan (Control Saliva Pill) to attack; for Deficiency patterns, use Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) to warm. For Excess Fu Yin, use Shenyao Wan (Divine Protection Pill); for Deficiency Fu Yin, treat with Banxia (Pinelliae Rhizoma) 3 qian, Fuling (Poria) 2 qian, Dingxiang (Caryophylli Flos) 1 qian, and Shengjiang (Zingiberis Rhizoma Recens) 3 qian decocted and taken orally, which is Banxia Fuling Tang plus Dingxiang (Pinellia and Poria Decoction plus Clove). Use Tingli Dazao Tang (Semen Lepidii et Zizyphi Decoction) for Zhi Yin. Use Shizao Tang (Ten Dates Decoction) for Xuan Yin. For Yi Yin with Heat, use Yebibo Jia Zhu Tang (Yarbilla Decoction plus Atractylodes Decoction), i.e., Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus) plus Cangzhu (Atractylodis Rhizoma). For Yi Yin with Cold, use Xiao Qinglong Tang (Minor Green Dragon Decoction).