熟地(八钱) 茯苓(四钱) 泽泻(四钱) 丹皮(三钱) 山萸肉(一钱) 怀山
药(二钱) 淡附
骷髅(二两即莱菔壳)煎汤代水。
(自制)
治湿症之总方。加减之法在后。
白术(二钱) 苍术(一钱) 白茯苓(三钱) 赤茯苓(三钱) 陈皮(一钱) 天
仙藤(二钱) 通
水煎服。
如湿邪上受而为外湿者。加羌活独活防己(各一钱五分)如湿自下受而为内湿者。加木
瓜淡附
夏(一
己生黄 (各二钱)
三片。淡附片二
脉候 湿邪之脉。必是沉迟。洪为阳水。涩乃病危。弦则木旺。细为阴衰。初病见洪。
微汗可推。久病见洪。其象非悲。阴见阳脉。治疗必佳。阴见阴脉。
燥气之症。有内伤外感之分。更有上下之殊。内伤之燥。必肾液内耗。精血早夺。治以
滋肾
胃
后
以
通
治阴虚内燥。舌赤口渴。舌痛溺赤。
熟地(六钱) 麦冬(去心四钱) 知母(一钱) 怀牛膝(三钱) 生石膏(三钱)
水煎。
(方见伤寒)
不论病后病先。无邪热者宜之。
炙甘草(八分) 麻仁(二钱) 阿胶(一钱) 生地(五钱) 麦冬(去心三钱) 桂
枝(五分) 东
(自制)
总治燥症。不拘内伤外感。上燥下燥诸症。加减之法。例于左。
生地黄 鲜生地 天冬 麦冬(去心各一两) 菊花 淡竹叶 霜桑叶 佩兰叶(各三
钱) 生
加青果五枚。水五大碗。煎至一大碗。去渣频频而饮。切勿大口而服。故曰饮子。如嗽
咳者
和
匀而
(苇
脉候 燥火之脉。两寸必洪。洪而兼数。外火为怀。洪而如弱。虚阳之 。两尺小搏。
阴病之阶。有力则重。芤微乃差。表病之脉。宜浮为佳。有神者吉。
【自制肾气汤】
熟地黄(八钱) 茯苓(四钱) 泽泻(四钱) 牡丹皮(三钱) 山茱萸肉(一钱) 怀山药(二钱) 淡附子与萝卜壳(二两,即莱菔壳,煎汤代替水)。
【自制方】
治疗湿证的通用基础方。加减方法在后面。
白术(二钱) 苍术(一钱) 白茯苓(三钱) 赤茯苓(三钱) 陈皮(一钱) 天仙藤(二钱) 通草(适量)。
水煎服。
如果湿邪从上部感受而成为外湿的,加羌活、独活、防己(各一钱五分);如果湿邪从下部感受而成为内湿的,加木瓜、淡附片、生黄芪(各二钱)、半夏(三片)。
【脉候】
湿邪的脉象,必定是沉迟脉。洪大脉属于阳水证,涩脉表示病情危重,弦脉表示肝木旺盛,细脉表示阴气衰微。初病见到洪脉,可以推断通过微汗法治疗;久病见到洪脉,其征象并不吉利。阴证见到阳脉,治疗必然良好;阴证见到阴脉,则……(原文此处中断)。
燥气引起的病症,有内伤和外感之分,更有上部和下部的区别。内伤导致的燥证,必然是肾中津液内部消耗,精血过早亏损,治疗应当以滋润肾脏为主。(原文此处结构混乱,夹杂“胃”、“后”、“以”、“通”等单字,疑似排版错误或残句,暂按语境理解为强调滋肾或涉及脾胃调理)。
治疗阴虚内燥:症状为舌质红赤、口渴、舌痛、小便色赤。
处方:熟地黄(六钱) 麦冬(去心四钱) 知母(一钱) 怀牛膝(三钱) 生石膏(三钱)。
水煎服。
(此方见于《伤寒论》相关论述)
无论疾病是在病后还是病前出现,只要没有实热邪气的,适宜使用此方。
炙甘草(八分) 火麻仁(二钱) 阿胶(一钱) 生地黄(五钱) 麦冬(去心三钱) 桂枝(五分) 天冬(三钱) 生地黄(八钱) 东洋参(二钱)。
水煎服。
【自制方】
总治燥症,不拘泥于是内伤还是外感,也不分上燥还是下燥等各种燥症。加减方法举例如下。
生地黄、鲜生地、天冬、麦冬(去心,各一两) 菊花、淡竹叶、霜桑叶、佩兰叶(各三钱) 生甘草(适量)。
加青果五枚,水五大碗,煎至一大碗,去药渣,频频饮用。切勿大口服用,所以称为“饮子”。如果有咳嗽症状的,加入……(原文此处中断,似指加入润肺止咳之品如芦根等,原文仅存“和匀而”及“苇”字片段)。
【脉候】
燥火病的脉象,两手寸脉必定洪大。洪大兼数脉,表示外火炽盛;洪大但感觉虚弱,是虚阳浮越的表现。两手尺脉小搏动,是阴病发展的阶梯。脉有力则病情较重,芤脉或微脉则表示稍差。表病的脉象,以浮脉为佳,脉有神气者为吉兆。
[Self-made Shenqi Decoction]
Prepared Rehmanniae Radix (Shu Di Huang) - 8 qian; Poria (Fu Ling) - 4 qian; Alisma Rhizoma (Ze Xie) - 4 qian; Moutan Cortex (Dan Pi) - 3 qian; Cornus Officinalis Fruit (Shan Yu Rou) - 1 qian; Chinese Yam Huai Shan Yao (Huai Shan Yao) - 2 qian; Lightly Processed Aconite Root (Dan Fu Zi) and Radish Husk (Lai Fu Ke, i.e., Raphani Semen/Caulis context implies husk here, specifically Luobo Qiao) - 2 liang (decocted in soup to replace water).
[Self-made Formula]
A general formula for treating Dampness Syndrome (Shi Zheng). Methods for modification are described later.
Atractylodis Macrocephalae Rhizoma (Bai Zhu) - 2 qian; Atractylodis Rhizoma (Cang Zhu) - 1 qian; White Poria (Bai Fu Ling) - 3 qian; Red Poria (Chi Fu Ling) - 3 qian; Tangerine Peel (Chen Pi) - 1 qian; Aristolochia Vine (Tian Xian Teng) - 2 qian; Tong Cao (Tong Cao) - appropriate amount.
Decoct in water and take orally.
If the pathogenic dampness is contracted from the upper body resulting in external dampness, add Notopterygii Rhizoma et Radix (Qiang Huo), Angelicae Pubescentis Radix (Du Huo), and Stephaniae Tetrandrae Rhizoma (Fang Ji) - each 1.5 qian. If the pathogenic dampness is contracted from the lower body resulting in internal dampness, add Chaenomelis Fructus (Mu Gua), lightly processed Aconite Root slices (Dan Fu Pian), Raw Astragali Radix (Sheng Huang Qi) - each 2 qian, and Pinelliae Tuber (Ban Xia) - 3 slices.
[Pulse Diagnosis]
The pulse of pathogenic dampness must be Deep and Slow (Chen Chi). a Full/Forceful pulse (Hong) indicates Yang Water syndrome; a Choppy pulse (Se) signifies critical illness; a Wiry pulse (Xian) indicates hyperactive Liver Wood; a Fine pulse (Xi) indicates deficiency of Yin. In early-stage disease, if a Full pulse is seen, it can be inferred that mild sweating therapy is applicable. In chronic disease, if a Full pulse is seen, the prognosis is not auspicious. If a Yin syndrome presents with a Yang pulse, treatment will surely be effective; if a Yin syndrome presents with a Yin pulse... [text cuts off].
Diseases caused by Dryness Qi are divided into Internal Injury (Nei Shang) and External Contraction (Wai Gan), and further distinguished by Upper and Lower locations. Dryness due to internal injury necessarily involves consumption of Kidney fluids internally and premature depletion of Essence and Blood. Treatment should focus on nourishing the Kidney. [Text fragments "Stomach", "After", "To", "Through" appear disjointedly, likely indicating structural errors or references to Spleen/Stomach regulation in dryness contexts].
For treating Yin Deficiency with Internal Dryness: Symptoms include red tongue, thirst, tongue pain, and dark urine.
Formula: Prepared Rehmanniae Radix (Shu Di Huang) - 6 qian; Ophiopogon Tuber (Mai Dong, heart removed) - 4 qian; Anemarrhenae Rhizoma (Zhi Mu) - 1 qian; Achyranthes Bidentata Root (Huai Niu Xi) - 3 qian; Raw Gypsum (Sheng Shi Gao) - 3 qian.
Decoct in water.
(This formula is referenced in Treatments of Cold Damage/Shang Han Lun).
Regardless of whether the condition occurs before or after an illness, this is suitable for cases without excess heat pathogens.
Honey-fried Licorice Root (Zhi Gan Cao) - 8 fen; Hemp Seed (Ma Ren) - 2 qian; Donkey-hide Gelatin (E Jiao) - 1 qian; Raw Rehmanniae Radix (Sheng Di Huang) - 5 qian; Ophiopogon Tuber (Mai Dong, heart removed) - 3 qian; Cinnamon Twig (Gui Zhi) - 5 fen; Asparagus Tuber (Tian Dong) - 3 qian; Raw Rehmanniae Radix (Sheng Di Huang) - 8 qian; Oriental Ginseng (Dong Yang Shen) - 2 qian.
Decoct in water.
[Self-made Formula]
Generally treats Dryness Syndromes, regardless of internal injury or external contraction, and applies to various dryness syndromes such as Upper Dryness or Lower Dryness. Examples of modifications are listed below.
Raw Rehmanniae Radix (Sheng Di Huang), Fresh Rehmanniae Radix (Xian Sheng Di Huang), Asparagus Tuber (Tian Dong), Ophiopogon Tuber (Mai Dong, heart removed) - each 1 liang; Chrysanthemi Flos (Ju Hua), Light Bamboo Leaves (Dan Zhu Ye), Frost-treated Mulberry Leaf (Shuang Sang Ye), Pogostemon Herba (Pei Lan Ye) - each 3 qian; Raw Licorice Root (Sheng Gan Cao) - appropriate amount.
Add five Green Olives (Qing Guo), five large bowls of water, decoct until one large bowl remains. Remove dregs and drink frequently. Do not consume in large gulps, hence it is called "Yin Zi" (Drink). If cough is present... [text cuts off, implying addition of lung-moistening herbs like Reed Rhizome/Lu Gen based on fragment "Wei"].
[Pulse Diagnosis]
The pulse of Dryness-Fire shows a Full/Forceful pulse (Hong) in both Cun positions. A Full and Rapid pulse indicates exuberant external fire; a Full but weak feeling indicates floating of deficient Yang. Small and pulsating pulses in both Chi positions indicate the progression of Yin disease. A forceful pulse indicates severe condition; a Hollow (Kou) or Minute (Wei) pulse indicates slight improvement. For exterior diseases, a Floating (Fu) pulse is ideal; a pulse with Spirit (Shen) is auspicious.