富贵之人,饮酒必多置酢酱、海味,酒能灼人真阴,咸能丧人真液,故每每病致消渴。
然酒以酿而浓,以水而淡,咸以燥而坚,以湿而化。故食北梨、甘蔗可以解酒,亦可以解咸。
冬
凡汗、吐、下后渴者,皆胃液不足,宜以人参补之,盖气能蒸溽故耳!
叙曰∶水由地中行,顺道也。怀山襄陵,逆道也。治之者行其所无事,则智大矣。故治
水肿者,亦因其势而利导之,宜汗、宜下、宜渗、宜清、宜燥,而药惟宜焉,则医之大智也。
考
羌活 防风 苍术 细辛 川芎 白芷 生 黄芩 甘草
水病,腰以上肿者,此方微汗之,即愈。
腰以上皆肿,谓头面俱病也。《内经》曰∶上盛为风,下盛为湿。故腰以上皆肿,必兼
风治。盖无风则湿不能自上于高巅清阳之分也。是方也,羌活、防风、苍术、细辛、川芎、
白芷,皆辛甘之品,可以疏风,亦可以除热,所谓辛药能疏风,风药能胜湿也。风湿相搏,
必有内热,故用生 。黄芩之凉。而甘草者,所以调和营卫,使其相协而无相争也。
五加皮 地骨皮 生姜皮 大腹皮 茯苓皮 姜黄 木瓜
水病腰以下肿者,此方主之。
腰以下肿者,水性就下之象也。药之为道,辛者、轻者可使走表。枯者、淡者可使渗利
。苦者、寒者可使去热。味质浓重者可使走下,是方七味,或各一其性,或兼而有之,故可
以渗利皮肤中之水,而调其气血也。
夏季出现消渴症状的,多是暑邪侵入心包络,适宜以香薷作为君药。
富贵之人,饮酒时必定搭配大量的醋酱和海鲜美味,酒能灼烧人的真阴,咸味食物能损耗人的真液,因此常常导致消渴病。
然而酒经过酿造变得浓烈,加水则变淡;咸味食物干燥时坚硬,遇湿则化解。所以吃北方的梨、甘蔗可以解酒毒,也可以化解咸味的危害。
凡是经过发汗、催吐或泻下治疗后出现口渴的,都是胃中津液不足,适宜用人参来补益,因为气能够蒸腾湿润的缘故!
序言说:水在地中顺流而行,这是顺应自然之道;山洪暴发淹没丘陵,这是违背常道。治疗者若能顺应事物规律而不妄加干预,智慧就大了。所以治疗水肿病,也是顺着病势进行引导,适宜用发汗法、攻下法、渗利法、清热法、燥湿法,而用药只要适宜得当,就是医者的最高智慧了。
羌活、防风、苍术、细辛、川芎、白芷、生地黄、黄芩、甘草。
治疗水气病,腰部以上肿胀的,服用此方微微发汗,即可痊愈。
腰部以上都肿胀,是指头面部都患病。《内经》说:上部邪气盛为风邪所致,下部邪气盛为湿邪所致。所以腰部以上都肿胀,必须兼治风邪。大概没有风邪,湿气就不能从高处清阳的部位自上而下侵袭。这个方子中,羌活、防风、苍术、细辛、川芎、白芷,都是辛甘性质的药物,可以疏散风邪,也可以清除热邪,所谓辛味药能疏风,风药能胜湿。风湿相互搏结,必然产生内热,所以使用生地黄和黄芩的凉性来清热。而甘草的作用,是调和营卫,使它们协调而没有冲突。
五加皮、地骨皮、生姜皮、大腹皮、茯苓皮、姜黄、木瓜。
治疗水气病腰部以下肿胀的,以此方为主治。
腰部以下肿胀,是水气向下流动的现象。药物的作用原理是:辛味、轻扬的药物可以使药力走表;枯涩、淡味的药物可以渗利小便;苦味、寒性的药物可以去除热邪;味道厚重、质地沉重的药物可以使药力下行。这个方子中的七味药,有的各自具有单一特性,有的兼具多种特性,所以可以渗利皮肤中的水湿,并调理气血。
In summer, polydipsia (excessive thirst) is mostly caused by Summerheat pathogen invading the Pericardium Collateral (Xin Bao Luo), and it is appropriate to use Moslae Herba (Xiangru) as the sovereign drug.
People of wealth and status often consume large amounts of vinegar sauces and seafood with alcohol. Alcohol can scorch the True Yin, and salty flavors can deplete the True Fluids, thus frequently leading to Polydipsia.
However, wine becomes strong through fermentation and dilute when mixed with water; saltiness becomes hard when dry and dissolves when wet. Therefore, eating northern pears and sugarcane can relieve alcohol intoxication and also neutralize the effects of excessive saltiness.
Thirst occurring after sweating, vomiting, or purging treatments is due to insufficiency of Stomach fluids, and it is appropriate to tonify with Ginseng Radix et Rhizoma (Renshen), because Qi has the function of steaming and moistening.
Preface: Water flowing within the earth follows its natural course, which is compliant. Floodwaters surmounting hills represent a deviation from the norm. The healer who manages affairs by following natural principles without unnecessary interference demonstrates great wisdom. Thus, treating Edema (Shuizhong) also involves guiding the pathological trend appropriately, whether through diaphoresis (sweating), catharsis (purging), diuresis (seeping/draining), clearing heat, or drying dampness. Using medicines that are suitable for the condition represents the highest wisdom in medicine.
Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Atractylodis Rhizoma (Cangzhu), Asari Radix et Rhizoma (Xixin), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Rehmanniae Radix Recens (Sheng Dihuang), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao).
For Water Disease (Shuibing) characterized by edema above the waist, this formula induces mild sweating, leading to recovery.
Edema affecting the entire area above the waist refers to involvement of the head and face. The *Neijing* states: "Excess in the upper region is Wind; excess in the lower region is Damp." Therefore, edema above the waist must be treated by addressing Wind. Without Wind, Dampness cannot descend from the high, clear Yang regions. In this formula, Qianghuo, Fangfeng, Cangzhu, Xixin, Chuanxiong, and Baizhi are all acrid and sweet substances that can disperse Wind and clear Heat. It is said that acrid herbs disperse Wind, and Wind-dispersing herbs overcome Dampness. When Wind and Dampness struggle together, internal Heat inevitably arises; thus, the cooling properties of Sheng Dihuang and Huangqin are used. Gancao serves to harmonize Ying (Nutritive) and Wei (Defensive) Qi, ensuring their coordination without conflict.
Acanthopanacis Cortex (Wujia Pi), Lycii Cortex (Diguo Pi), Zingiberis Recens Cortex (Shengjiang Pi), Arecae Pericarpium (Dafupi), Poria (Fuling Pi), Curcumae Longae Rhizoma (Jianghuang), Chaenomelis Fructus (Mugua).
This formula is the primary treatment for Water Disease presenting with edema below the waist.
Edema below the waist reflects the nature of Water flowing downward. The principle of herbal medicine is: Acrid and light substances can travel to the exterior; dry and bland substances can promote seepage and urination; bitter and cold substances can eliminate Heat; heavy and dense substances can travel downward. The seven ingredients in this formula possess either individual or combined properties, allowing them to drain water from the skin and regulate Qi and Blood.