五加皮 地骨皮 茯苓皮 大腹皮 生姜皮
此亦为水邪客于皮肤而设。以其病不在上,故不用发汗逐水之法,而但利小便也。
麦门冬五十枚(姜炒) 粳米五十粒
麦门冬汤,解之者多谈玄理,予则谓初起便见喘满,则明是清肃之令不能下行,故水溢
高原也。拟以桑白皮、栝蒌皮、苡仁米等代之,亦未为不可。
羌活 独活一钱 川芎 本 防风 甘草(炙)五分 蔓荆子三分
此为治在表之湿,故独用风药。关节利则湿除矣,且属外来之浅恙,本不在健运分消之
例。
浓朴(炒)一两 枳实(炒) 黄连(炒) 黄芩(炒) 半夏(姜制)五钱 陈皮 知
母(炒)四钱 泽泻三钱 茯苓 砂仁二钱 干姜二钱 姜黄 人参 白术(炒) 甘草(炙)
猪苓一钱
蒸饼丸,焙热服。
中满分消丸,解者谓治热胀,此不过脾胃失职,积湿所化之热耳,并非实火也。若有实
火,则水气安得横行,浊阴岂得复盛乎?惟其寓补脾胃之法于分消解散之中,不伤元气,极
为正法。
川乌 干姜 生姜 黄连 人参 当归 泽泻 青皮 麻黄 荜澄茄 柴胡二钱 吴茱
萸草蔻仁 浓朴 黄 黄柏五分 益智仁 木香 半夏 茯苓 升麻三分
热服。
此方于大队温补中,用黄连、黄 ,所谓从权以寒热药下之也。于中又升散,又分利,
虽属开鬼门,洁净府之法,究竟歧路太多矣。
五加皮、地骨皮、茯苓皮、大腹皮、生姜皮。
这是为了治疗水湿邪气客居在皮肤之间而设立的方剂。因为病位不在上部,所以不使用发汗和逐水的方法,只是通过利小便来治疗。
麦门冬五十枚(用姜炒)、粳米五十粒。
关于麦门冬汤的解释,很多人谈论玄虚的道理,我认为如果初起就出现气喘和胸满,这明显是肺的清肃功能不能下行,导致水液泛滥于高位(肺部)。打算用桑白皮、栝蒌皮、薏苡仁等药物来代替,也未尝不可。
羌活、独活一钱、川芎、藁本、防风、甘草(炙)五分、蔓荆子三分。
这是治疗在表的湿邪,所以单独使用风药。关节通畅则湿邪自除,况且这属于外来的轻微病症,本来就不属于健脾运化、分消湿浊的治疗范畴。
厚朴(炒)一两、枳实(炒)、黄连(炒)、黄芩(炒)、半夏(姜制)五钱、陈皮、知母(炒)四钱、泽泻三钱、茯苓、砂仁二钱、干姜二钱、姜黄、人参、白术(炒)、甘草(炙)、猪苓一钱。
制成蒸饼丸,焙热后服用。
中满分消丸,解释的人说它是治疗热胀的,这不过是脾胃功能失职,积滞的湿邪所化生的热罢了,并不是实火。如果有实火,水气怎么能横行霸道,浊阴之气又怎么会重新旺盛呢?正因为此方在分消解散之中寓含了补益脾胃的方法,不损伤元气,这才是极正确的治法。
川乌、干姜、生姜、黄连、人参、当归、泽泻、青皮、麻黄、荜澄茄、柴胡二钱、吴茱萸、草豆蔻仁、厚朴、黄芪、黄柏五分、益智仁、木香、半夏、茯苓、升麻三分。
热服。
这个方子在大队温补药物中,使用了黄连、黄柏,这就是所谓的权宜之计,用寒凉药物配合使用。其中既有升散,又有分利,虽然属于“开鬼门”(发汗)、“洁净府”(利小便)的方法,但终究路子太多,不够专一。
Wujiapi (Acanthopanacis Cortex), Digupi (Lycii Cortex), Fulingpi (Poria Sclerotium with Hostwood), Dafupi (Arecae Pericarpium), Shengjiangpi (Zingiberis Rhizoma Cum Scapo).
This formula is established for treating water-dampness pathogenic factors lodging in the skin. Since the pathology is not located in the upper jiao, methods of inducing sweating to expel pathogens and purging water are not employed; instead, only promoting urination is used.
Maimendong (Ophiopogonis Radix) 50 pieces (stir-fried with ginger), Jingmi (Oryza Sativa Semen).
Regarding explanations of Maimendong Tang (Ophiopogon Decoction), many discuss abstract principles. I believe that if panting and fullness appear at the onset, it clearly indicates that the descending function of Lung's clear and pure qi fails, causing water overflow in the high position (the lungs). It would be acceptable to substitute with Sangbaipi (Mori Cortex), Gualoupi (Trichosanthis Pericarpium), and Yiyiren (Coicis Semen).
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) 1 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma), Bencao (Ligustici Rhizoma), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 5 fen, Manjingzi (Vitalbae Fructus) 3 fen.
This treats dampness located in the exterior, hence wind-dispelling herbs are used exclusively. Once the joints are unobstructed, dampness is eliminated. Moreover, this belongs to a superficial ailment caused by external pathogens, which originally does not fall under the category of strengthening the spleen and transporting/diffusing dampness.
Houpo (Magnoliae Officinalis Cortex, stir-fried) 1 liang, Zhishi (Aurantii Fructus Immaturus, stir-fried), Huanglian (Coptidis Rhizoma, stir-fried), Huangqin (Scutellariae Radix, stir-fried), Banxia (Pinelliae Rhizoma, processed with ginger) 5 qian, Chenpi (Citri Reticulatae Pericarpium), Zhimu (Anemarrhenae Rhizoma, stir-fried) 4 qian, Zexie (Alismatis Rhizoma) 3 qian, Fuling (Poria), Sharen (Amomi Fructus Rotundus) 2 qian, Ganjiang (Zingiberis Rhizoma) 2 qian, Jianghuang (Curcumae Longae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhuling (Polyporus) 1 qian.
Made into pills using steamed wheat cake, taken warm after roasting.
Zhongman Fenxiao Wan (Middle Fullness Dispersing Pill): Explainers state it treats heat distension. This is merely heat generated from accumulated dampness due to spleen-stomach dysfunction, not excess fire. If there were excess fire, how could water qi run rampant, and how could turbid yin flourish? Precisely because this formula incorporates methods of tonifying the spleen and stomach within dispersing and resolving actions, without damaging primordial qi, it is an extremely correct method.
Chuanwu (Aconiti Radix Lateralis Preparata), Ganjiang (Zingiberis Rhizoma), Shengjiang (Zingiberis Rhizoma), Huanglian (Coptidis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Mahuang (Ephedrae Herba), Bichengqa (Schizonepetae Fructus), Chaihu (Bupleuri Radix) 2 qian, Wuzhuyu (Evodiae Fructus), Caokouren (Amomi Fructus), Houpo (Magnoliae Officinalis Cortex), Huangqi (Astragali Radix), Huangbai (Phellodendri Cortex) 5 fen, Yizhiren (Alpiniae Oxyphyllae Fructus), Muxiang (Aucklandiae Radix), Banxia (Pinelliae Rhizoma), Fuling (Poria), Shengma (Cimicifugae Rhizoma) 3 fen.
Take warm.
In this formula, amidst a large group of warming and tonifying herbs, Huanglian (Coptidis Rhizoma) and Huangbai (Phellodendri Cortex) are used. This is what is meant as a provisional measure, administering cold and hot herbs together. Within this, there is both ascending and dispersing action, as well as separating and draining action. Although it belongs to the methods of "opening the ghost gate" (inducing sweating) and "cleaning the residence" (promoting urination), ultimately, the therapeutic pathways are too numerous and scattered.