黄连(一两,酒炒) 黄芩(酒炒) 吴茱萸(煮少时,晒干) 陈皮(各五钱) 苍
术(七钱
五分,泔浸七日)
胃中湿热,抑遏肝火,令人吞酸者,此方主之。
湿郁则热,热郁则酸,故夏月饮食之类,以物覆冒之,其味必酸。曰肝火者,《洪范》
曰∶木曰曲直,曲直作酸,故责之肝。是方也,连、芩治热,热去则不吐酸。苍术燥湿,湿
除则不生热。陈皮理气,气行则湿不郁。吴茱萸辛热而气臊,辛热可使就燥,气臊可使就肝,
故能引连、芩入肝而泻肝火,此从治之义也。他如火门左金丸亦良!
苍术(泔浸七日) 陈皮(去白) 浓朴(姜汁炒) 甘草(炙) 神曲(炒) 麦芽
宿食不化,吞酸呃臭,右关脉滑,此方主之。
食经宿而不化,有热则令人吞酸,无热则但呃臭而已。右关主脾胃,脉滑主停食。治此
者,宜宽中下气,健脾消食。辛者可宽中,故用苍术、陈皮。苦者可下气,故用浓朴。甘者
可健脾,故用甘草。 造变化者能消食,故用神曲、麦芽。
山栀(炒黑) 青黛(飞) 香附(童便浸五日) 抚芎 神曲(炒) 苍术(米泔浸
七日)
七情拂郁,吞酸,小便赤,脉来沉数者,此方主之。
一念动处便是火,故七情拂郁,皆能令人内热吞酸。小便赤为火。脉沉为郁,数为热。
是方也,山栀,青黛之苦寒,可以导热。香附、苍术、抚芎之辛芳,可使解郁。神曲之陈腐,
可
【茱连丸】
黄连(一两,用酒炒制) 黄芩(用酒炒制) 吴茱萸(煮片刻后晒干) 陈皮(各五钱) 苍术(七钱五分,用淘米水浸泡七日)
胃中有湿热,压抑遏制肝火,导致人出现吞酸症状的,此方主治。
湿气郁结则生热,热气郁结则变酸,所以夏季的饮食之类,如果用物体覆盖遮盖它,其味道必定变酸。称为肝火的,《洪范》说:木的特性是曲直,曲直产生酸味,所以要归责于肝。这个方子中,黄连、黄芩治疗热证,热去除了就不会吐酸水。苍术燥湿,湿气除去了就不会再生热。陈皮调理气机,气行通畅则湿气不郁结。吴茱萸辛热且有臊味,辛热可以使药性趋向干燥,臊味可以使药性趋向肝脏,所以能引导黄连、黄芩进入肝脏而泻除肝火,这是从治(顺从病势而治)的意义。其他如火门左金丸也很好!
【加味平胃散】
苍术(用淘米水浸泡七日) 陈皮(去掉白色内层) 浓朴(用姜汁炒制) 甘草(炙烤) 神曲(炒制) 麦芽
宿食不消化,吞酸打嗝有臭味,右关脉滑,此方主治。
食物经过一夜还不消化,有热邪就会让人吞酸,没有热邪就只是打嗝有臭味而已。右关脉主脾胃,脉滑主停积的食物。治疗这个病症,应该宽中下气,健脾消食。辛味的药可以宽中,所以用苍术、陈皮。苦味的药可以下气,所以用浓朴。甘味的药可以健脾,所以用甘草。能够造化变化的药能消食,所以用神曲、麦芽。
【火郁越鞠丸】
山栀(炒黑) 青黛(飞研) 香附(童便浸泡五日) 抚芎 神曲(炒制) 苍术(用米泔水浸泡七日)
七情拂郁,吞酸,小便赤红,脉象沉数,此方主治。
念头动起的地方就是火,所以七情拂郁,都能让人内热吞酸。小便赤红是因为火。脉沉表示郁结,脉数表示热。这个方子中,山栀、青黛的苦寒之性,可以引导热邪外出。香附、苍术、抚芎的辛芳之气,可以解除郁结。神曲的陈腐之性,可……
[Zhulian Pill]
Coptidis Rhizoma (Huanglian) (one tael, stir-fried with wine), Scutellariae Radix (Huangqin) (stir-fried with wine), Evodiae Fructus (Wuzhuyu) (boiled for a short time and dried), Citri Reticulatae Pericarpium (Chenpi) (each five qian), Atractylodis Macrocephalae Rhizoma (Cangzhu) (seven qian and five fen, soaked in rice wash water for seven days).
For cases where damp-heat in the stomach suppresses liver fire, causing acid regurgitation, this formula is indicated.
Dampness stagnation leads to heat; heat stagnation leads to sourness. Thus, food and drinks in summer, if covered by objects, will inevitably become sour. The term "liver fire" refers to the *Hongfan* stating: "Wood is characterized by bending and straightening; bending and straightening produces sourness," hence it is attributed to the Liver. In this formula, Huanglian and Huangqin treat heat; once heat is removed, acid regurgitation ceases. Cangzhu dries dampness; once dampness is eliminated, heat does not generate. Chenpi regulates qi; when qi flows freely, dampness does not stagnate. Wuzhuyu is acrid and hot with a fishy odor; its acridity and heat facilitate dryness, and its fishy odor directs it to the Liver. Therefore, it guides Huanglian and Huangqin into the Liver to drain liver fire, embodying the principle of treating according to the disease's nature (cong zhi). Another excellent formula from the Fire section is Zuojin Wan.
[Jiawei Pingwei San]
Atractylodis Macrocephalae Rhizoma (Cangzhu) (soaked in rice wash water for seven days), Citri Reticulatae Pericarpium (Chenpi) (white pith removed), Magnoliae Officinalis Cortex (Noupu), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Melli Fermentum (Shenqu) (stir-fried), Hordeum Vulgare Sprout (Maiya).
For cases of undigested retained food, acid regurgitation, foul belching, and a slippery pulse at the right Guan position, this formula is indicated.
Food remaining undigested overnight: if accompanied by heat, it causes acid regurgitation; without heat, it merely causes foul belching. The right Guan position governs the Spleen and Stomach; a slippery pulse indicates retained food. Treatment should involve relaxing the middle and descending rebellious qi, strengthening the Spleen and promoting digestion. Acrid substances relax the middle, hence Cangzhu and Chenpi are used. Bitter substances descend qi, hence Noupu is used. Sweet substances strengthen the Spleen, hence Gancao is used. Substances capable of transformation and change promote digestion, hence Shenqu and Maiya are used.
[Huo Yu Yueju Wan]
Gardeniae Fructus (Shanzhi) (stir-fried until black), Indigo Naturalis (Qingdai) (levigated), Cyperi Rhizoma (Xiangfu) (soaked in child's urine for five days), Ligusticum Chuanxiong Rhizoma (Fuxiong), Melli Fermentum (Shenqu) (stir-fried), Atractylodis Macrocephalae Rhizoma (Cangzhu) (soaked in rice wash water for seven days).
For cases of emotional stagnation, acid regurgitation, dark red urine, and a deep, rapid pulse, this formula is indicated.
Wherever a thought arises, there is fire; thus, emotional stagnation can all cause internal heat and acid regurgitation. Dark red urine indicates fire. A deep pulse indicates stagnation; a rapid pulse indicates heat. In this formula, the bitter-cold properties of Shanzhi and Qingdai can guide heat outwards. The acrid-aromatic qualities of Xiangfu, Cangzhu, and Fuxiong can resolve stagnation. The aged and fermented nature of Shenqu can...