瓜蒂 赤小豆 淡豆豉(各五分)
疸证腹满欲吐,鼻燥,脉浮者,宜以此方吐之。酒疸欲吐者同。
腹满欲吐,邪在上也。鼻燥者,邪在气分也。脉浮者,邪未尽入于里也。吐中有发散之
义,故吐于浮脉正宜。瓜蒂苦而善涌,赤小豆平而解热,淡豆豉腐而胜燥,此古人之宣剂也。
如
桂枝 芍药 生姜(各三两) 甘草 黄 (各二两) 大枣(十一枚)
黄汗,身体疼重,发热,两胫自冷,此方主之。
黄汗者,汗出皆黄,沾衣有色也。得之汗出时,入水取浴,水从汗孔入。湿郁于表,故
病黄。邪伤其卫,故自汗。湿热相搏,故身体疼重而发热。病原寒水所伤,寒气属阴,水性
就下,故两胫自冷。客者除之,故用桂枝之辛甘以解肌表之邪。泄者收之,故用芍药之酸寒
以敛荣中之液。虚以受邪,故用黄 之甘温以实在表之气。辛甘发散为阳,故生姜、甘草可
以为桂枝之佐。乃大枣者,和脾益胃之物也。
茵陈 猪苓 茯苓 泽泻 白术(等分) 桂(少许)
发黄,小便不利者,此方主之。
热病小便不利,湿热内蓄,势必发黄。茵陈,黄家神良之品也,故诸方多用之。猪苓、
泽泻、茯苓、白术、味平而淡,故可以导利小水。官桂之加,取有辛热,能引诸药直达热邪
蓄结之处。经曰∶甚者从治。此之谓也。
黄疸病证见腹部胀满、想呕吐、鼻干燥、脉象浮的,适宜用此方催吐。酒疸(因饮酒过度导致的黄疸)出现想呕吐症状的,也用此法。
腹部胀满且想呕吐,说明邪气位于上焦。鼻干燥,说明邪气在气分。脉象浮,说明邪气尚未完全入里。催吐之中含有发散的含义,所以对于脉浮的情况正适合使用催吐法。瓜蒂味苦善于涌吐,赤小豆性平能解热,淡豆豉气味腐熟能胜燥,这是古人使用的宣剂。
桂枝、芍药、生姜(各三两)、甘草、黄芪(各二两)、大枣(十一枚)
所谓黄汗,是指出汗颜色发黄,沾湿衣物留有黄色痕迹。这是因为出汗时进入水中洗浴,水从汗孔侵入体内。湿气郁结在体表,所以患病呈现黄色。邪气损伤了卫气,所以自汗出。湿热相互搏结,所以身体疼痛沉重且发热。病因是寒水所伤,寒气属于阴,水性向下流,所以两小腿自然发冷。对于客邪应当去除,所以用桂枝的辛甘之性来解除肌表的邪气。对于泄泻应当收敛,所以用芍药的酸寒之性来收敛营血中的津液。因为正气虚弱而受邪,所以用黄芪的甘温之性来充实体表的正气。辛甘发散属于阳,所以生姜、甘草可以作为桂枝的辅助。至于大枣,是和脾益胃的药物。
热病导致小便不利,湿热内蓄积,势必会导致发黄。茵陈,是治疗黄疸病的极佳药物,所以许多方剂中都常用它。猪苓、泽泻、茯苓、白术,味道平和而淡,所以可以引导利导小便。加入官桂,是取其辛热的性质,能够引导诸药直达热邪蓄积凝结的地方。医经说:病情严重的,采用顺从病势的方法治疗。说的就是这个道理。
Geng Geng Tang (Capparis Seed Decoction) [Note: Text says 瓜蒂散 but ingredients listed are 瓜蒂, 赤小豆, 淡豆豉. Standard name is likely Di Tan San or similar emetic formula. I will translate based on ingredients provided.]
*Correction*: The text lists "Gua Di" (Momordicae Fructus), "Chi Xiao Dou" (Vigna Semen Rubrum), and "Dan Dou Chi" (Sojae Semens Praeparatum). This is typically referred to as **Di Tan San** (Emetic Powder) or simply described by its function. I will use the literal translation of the components for accuracy in the English section as per WHO standards where specific formula names might vary, but here I will stick to the description.
[Ingredients]
Momordicae Fructus (Gua Di), Vigna Semen Rubrum (Chi Xiao Dou), Sojae Semens Praeparatum (Dan Dou Chi) (each 5 fen).
For jaundice presenting with abdominal fullness, desire to vomit, dry nose, and a floating pulse, this formula should be used to induce vomiting. The same applies to wine-induced jaundice (Jiu Dan) when there is a desire to vomit.
Abdominal fullness and desire to vomit indicate that the pathogenic factor is located in the upper jiao. Dry nose indicates that the pathogenic factor is in the qi level. A floating pulse indicates that the pathogenic factor has not yet fully entered the interior. Inducing vomiting contains the meaning of dispersing and diffusing; therefore, it is appropriate for cases with a floating pulse. Momordicae Fructus (Gua Di) is bitter and effective at inducing vomiting; Vigna Semen Rubrum (Chi Xiao Dou) is neutral and clears heat; Sojae Semens Praeparatum (Dan Dou Chi) is fermented and overcomes dryness. This is an "Xuan" (dispersing/venting) formula from the ancients.
Guizhi Tang (Cinnamon Twig Decoction) variant with Huangqi:
Cinnamomi Ramulus (Gui Zhi), Paeoniae Radix Alba (Shao Yao), Zingiberis Rhizoma Recens (Sheng Jiang) (each 3 liang); Glycyrrhizae Radix et Rhizoma (Gan Cao), Astragali Radix (Huang Qi) (each 2 liang); Jujubae Fructus (Da Zao) (11 pieces).
This formula governs Yellow Sweat (Huang Han), characterized by body pain and heaviness, fever, and naturally cold lower legs.
Yellow Sweat refers to sweat that is yellow in color, staining clothes with a yellow hue. It occurs when one enters water for bathing while sweating, allowing water to enter through the pores. Dampness stagnates in the exterior, causing the yellow discoloration. The pathogen damages the Wei (Defensive) Qi, leading to spontaneous sweating. Damp-heat clashing causes body pain, heaviness, and fever. The origin of the disease is injury by cold water; Cold Qi belongs to Yin, and Water nature flows downward, hence the natural coldness of the lower legs. For external pathogens, they must be expelled; thus, the acrid-sweet nature of Cinnamomi Ramulus (Gui Zhi) is used to resolve exterior muscle-layer pathogens. For leakage, it must be astringed; thus, the sour-cold nature of Paeoniae Radix Alba (Shao Yao) is used to consolidate fluids within the Ying (Nutritive) level. Because deficiency allows the pathogen to enter, the sweet-warm nature of Astragali Radix (Huang Qi) is used to strengthen the Qi at the exterior. Acrid and sweet dispersing belongs to Yang; thus, Zingiberis Rhizoma Recens (Sheng Jiang) and Glycyrrhizae Radix et Rhizoma (Gan Cao) serve as assistants to Cinnamomi Ramulus (Gui Zhi). As for Jujubae Fructus (Da Zao), it is a substance that harmonizes the Spleen and benefits the Stomach.
Yinchen Wuling San (Artemisiae Scopariae Five-Ingredient Powder):
Artemisiae Scopariae Herba (Yin Chen), Polypori Poria (Zhu Ling), Polypori Parabatella (Fu Ling), Alismatis Rhizoma (Ze Xie), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (equal parts); Cinnamomi Cortex (Gui Zhi) (a small amount).
This formula governs jaundice accompanied by difficult urination.
In febrile diseases, difficult urination results from internal accumulation of damp-heat, inevitably leading to jaundice. Artemisiae Scopariae Herba (Yin Chen) is a divine and excellent herb for treating jaundice; therefore, it is frequently used in various formulas. Polypori Poria (Zhu Ling), Alismatis Rhizoma (Ze Xiang), Polypori Parabatella (Fu Ling), and Atractylodis Macrocephalae Rhizoma (Bai Zhu) have mild and bland flavors, enabling them to guide and promote diuresis. The addition of Cinnamomi Cortex (Gui Zhi) utilizes its acrid-hot property to guide the other herbs directly to the site where heat and pathogens accumulate and knot. The Classics state: "For severe conditions, treat according to the nature of the disease." This refers to such methods.