火者。南方之气也。有内外虚实。阴阳表里之判。五脏为内。六腑为外。内伤之火属虚。
外
之
泻
用
惟
(自酌)
治五脏六腑。内伤外感。一切火症。宜随症加减。亦临症之要也。
生地(八钱) 丹皮(四钱) 茯苓(四钱) 泽泻(四钱) 怀山药(二钱) 山萸
肉(八分)
水煎。○如欲补水。加知母黄柏。○补金。加百合桔梗。○补肝木。加柴胡巨胜子。○补心
。加石菖蒲远志肉。○脾虚者加白术。○如欲熄肾火。加知母川柏肉桂(各八分)○泄肺火。
加桑白皮知母羚羊角(镑各一钱)○泻心火。加川连(八分)泄肝火。加龙胆草桑叶各一钱。
○
泻脾火。加黄芩(二钱炒)又如虚火。加龟板(六钱)如实火。加犀角羚羊之属。其余之火。
酌
而用之可也。
(即黄连解毒汤)
治三焦实火。
黄连(一钱) 黄柏(一钱五分) 黄芩(一钱五分) 栀子(炒三钱)
水煎。○本方加麻黄(五分去根节)淡豆豉(二钱)石膏(三钱)名三黄石膏汤。治伤
寒温毒。○
治肺胃之火。属实火者。
煨石膏(三钱) 知母(一钱) 生甘草(八分)加粳米(一撮) 水煎。○加人参(一
钱)名人参白虎汤。○加桂枝(五分)名桂枝白虎汤。
火,是南方的气候特征。火证有内火与外火、虚火与实火、阴火与阳火、表火与里火的区分。五脏的病位在内,六腑的病位在外。内伤引起的火证属于虚火。
(自行斟酌)治疗五脏和六腑的内伤或外感引起的一切火证,应当根据具体症状进行加减调整,这也是临床诊治的关键要点。
生地黄(八钱) 牡丹皮(四钱) 茯苓(四钱) 泽泻(四钱) 怀山药(二钱) 山茱萸肉(八分)
用水煎煮。○如果希望滋补肾水,加入知母、黄柏。○如果希望补益肺金,加入百合、桔梗。○如果希望补益肝木,加入柴胡、巨胜子(即菟丝子)。○如果希望补益心气,加入石菖蒲、远志肉。○脾虚者加入白术。○如果想要熄灭肾火,加入知母、川柏、肉桂(各八分)。○如果要清泄肺火,加入桑白皮、知母、羚羊角(镑碎,各一钱)。○如果要清泄心火,加入川黄连(八分);清泄肝火,加入龙胆草、桑叶(各一钱)。○清泄脾火,加入黄芩(二钱,炒制)。又如遇到虚火,加入龟板(六钱);如果遇到实火,加入犀角、羚羊角之类的药物。其余类型的火证,酌情使用即可。
(即黄连解毒汤)
治疗三焦实火。
黄连(一钱) 黄柏(一钱五分) 黄芩(一钱五分) 栀子(炒,三钱)
用水煎煮。○本方加入麻黄(五分,去根节)、淡豆豉(二钱)、石膏(三钱),名为三黄石膏汤。治疗伤寒温毒。○
治疗肺胃之火,属于实火的。
煅石膏(三钱) 知母(一钱) 生甘草(八分) 加粳米(一撮)
用水煎煮。○加入人参(一钱),名为人参白虎汤。○加入桂枝(五分),名为桂枝白虎汤。
Fire is the qi characteristic of the South. Fire syndromes are distinguished into internal and external, deficiency and excess, yin and yang, and exterior and interior. The Zang organs are located internally, while the Fu organs are located externally. Fire caused by internal injury belongs to deficiency fire.
(Self-determination) For all fire syndromes arising from internal injury or external contraction affecting the five Zang and six Fu organs, modifications should be made according to specific symptoms; this is a crucial aspect of clinical practice.
Shengdi Huang (Rehmanniae Radix, 8 qian) Mudan Pi (Moutan Cortex, 4 qian) Fuling (Poria, 4 qian) Zexie (Alismatis Rhizoma, 4 qian) Huai Shanyao (Dioscoreae Hypoglaucae Rhizoma, 2 qian) Shanzhuyu Rou (Corni Fructus, 8 fen)
Decoct in water. ○ If the intention is to tonify Kidney Water, add Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex). ○ If the intention is to tonify Lung Metal, add Baihe (Lilii Bulbus) and Jiegeng (Platycodonis Radix). ○ If the intention is to tonify Liver Wood, add Chaihu (Bupleuri Radix) and Jushengzi (Cuscutae Semen, also known as Tusizi). ○ If the intention is to tonify Heart Qi, add Shichangpu (Acori Tatarinowii Rhizoma) and Yuanzhi Rou (Polygalae Radix). ○ For Spleen deficiency, add Baizhu (Atractylodis Macrocephalae Rhizoma). ○ To extinguish Kidney fire, add Zhimu (Anemarrhenae Rhizoma), Chuanbai (Phellodendri Amurense Cortex), and Rougui (Cinnamomi Cortex), each 8 fen. ○ To drain Lung fire, add Sangbaipi (Mori Cortex), Zhimu (Anemarrhenae Rhizoma), and Lingyangjiao (Saigae Tataricae Cornu, sliced), each 1 qian. ○ To drain Heart fire, add Chuanlian (Coptidis Rhizoma, 8 fen); to drain Liver fire, add Longdancao (Gentianae Radix) and Sangye (Mori Folium), each 1 qian. ○ To drain Spleen fire, add Huangqin (Scutellariae Radix, 2 qian, stir-fried). Furthermore, for deficiency fire, add Guiban (Testudinis Carapax et Plastrum, 6 qian); for excess fire, add Xijiao (Rhinocerotis Cornu) or Lingyangjiao (Saigae Tataricae Cornu). For other types of fire, use discretion.
(Ji Huanglian Jiedu Tang / Coptis Decoction for Relieving Toxicity)
Treats excess fire of the Sanjiao (Triple Burner).
Huanglian (Coptidis Rhizoma, 1 qian) Huangbai (Phellodendri Cortex, 1.5 qian) Huangqin (Scutellariae Radix, 1.5 qian) Zhizi (Gardeniae Fructus, stir-fried, 3 qian)
Decoct in water. ○ Adding Mahuang (Ephedrae Herba, 5 fen, remove root and joints), Danshizi (Sojae Semens Praeparatum, 2 qian), and Shigao (Gypsum Fibrosum, 3 qian) to this formula creates Sanhuang Shigao Tang (Three Yellows and Gypsum Decoction). It treats Shanghan Wendu (Cold Damage and Warm Toxins). ○
Treats fire of the Lung and Stomach, specifically excess fire.
Wei Shigao (Calcined Gypsum Fibrosum, 3 qian) Zhimu (Anemarrhenae Rhizoma, 1 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 8 fen) Add Jingmi (Oryza Sativa, a pinch)
Decoct in water. ○ Adding Renshen (Ginseng Radix, 1 qian) creates Ren Shen Baihu Tang (Ginseng White Tiger Decoction). ○ Adding Guizhi (Cinnamon Twig, 5 fen) creates Guizhi Baihu Tang (Cinnamon Twig White Tiger Decoction).
Treats deficiency fire of the Lung and Stomach.
Renshen (Ginseng Radix, 2 qian) Dan Zhuye (Lophatheri Folium, 2 qian) Sheng Shigao (Raw Gypsum Fibrosum, 2 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian) Maidong (Ophiopogonis Radix, heart removed, 3 qian) Jiang Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 1 qian...)