秦艽 白术 归尾(酒洗) 桃仁(研)一两 枳实(面炒) 皂角子(烧,存性) 泽
泻五钱 地榆三钱
面糊丸。
凡痔漏之疾,多起于湿热下注,然又有本体阴虚者。一味去风燥湿,反致劫阴。况服皂
角子者,令人每发眩晕。此方立意虽佳,然阴虚者,未可轻投也。
芍药一两 归尾 黄芩 黄连五钱 大黄三钱 木香 槟榔 甘草(炙)二钱 桂一钱
五分
此即通因通用之法。湿热郁蒸,气血瘀壅,故下利而后重。行血理气,则血止而后重自
除矣。
苍术(泔浸炒)三两 地榆(炒黑)一两
每一两煎。
一燥湿,一凉血,亦治下利之正法。然止此二味,尚未足以扶土和营也。
小蓟 蒲黄(炒黑) 藕节 滑石 木通 当归 生地黄 栀子(炒) 淡竹叶 甘草
各五分
清心与小肠之热,滋肾水而通膀胱,自可以治淋而止痛。
柴胡五钱 当归 栝蒌根 穿山甲(炮)二钱 甘草 红花二钱 桃仁五十(去皮尖,
研) 大黄一两(酒浸)
每服一两,加酒煎。
治跌扑损伤之法,破瘀第一,行气次之,活血生新又次之。此方再加一、二味行气之药
更佳
防风一钱二分 桂枝 麻黄 杏仁(去皮尖,炒研) 芎 (酒洗) 白芍(酒炒) 人
参甘草(炙) 黄芩(酒炒) 防己八分 附子四分
每服三钱,加姜、枣煎。
天地之气,郁而必宣。风也者,乃大块噫气,鼓荡万物者也。然有和风,有烈风,有怪
厉之风,有微柔之风。和风,则不疾不徐,人纵感之,不为大害;烈风,则咸知畏避,受者
反少;怪厉之风本不常有;惟微柔之风,最易中人,微则难防,柔则善入。虚人腠理不密,
外风乘隙而投,由表及里,病亦由浅入深。前于《医醇剩义》中已将中络、中经、中腑、中
脏之症,缕析条分,兹不复赘。但于各方后,窃附管见。小续命汤,乃治六经中风之通剂,
方中补气血,去风寒,清湿热之药俱备,非各分门类之专方。易老加减法,亦不过示人以用
药之大凡。至于入腑、入脏之症,则固未尝议及也。
秦艽、白术、归尾(用酒清洗)、桃仁(研磨)各一两,枳实(用面粉炒)、皂角子(烧制,保留药性)各五钱,泽泻三钱,地榆三钱。
以上药物制成面糊丸。
凡是痔漏这类疾病,大多起因于湿热下注,然而患者又有体质阴虚的情况。如果单纯使用祛风燥湿的药物,反而会导致耗伤阴液。况且服用皂角子,会使人经常发生眩晕。这个方子的立意虽然很好,但对于阴虚体质的患者,不可轻易投用。
芍药一两,归尾、黄芩、黄连各五钱,大黄三钱,木香、槟榔、甘草(炙烤)各二钱,桂枝一钱五分。
这是“通因通用”的治疗方法。湿热郁结蒸腾,导致气血瘀滞壅塞,所以出现腹泻且伴有里急后重感。通过行血理气,血液运行通畅,则出血停止且里急后重自然消除。
苍术(用淘米水浸泡后炒制)三两,地榆(炒黑)一两。
每取一两煎服。
一方燥湿,一方凉血,这也是治疗下利的正法。然而仅凭这两味药,还不足以健脾扶土和调和营血。
小蓟、蒲黄(炒黑)、藕节、滑石、木通、当归、生地黄、栀子(炒)、淡竹叶、甘草各五分。
清泄心与小肠的热邪,滋养肾水并通利膀胱,自然可以治疗淋证并缓解疼痛。
柴胡五钱,当归、栝蒌根、穿山甲(炮制)各二钱,甘草、红花各二钱,桃仁五十个(去皮尖,研磨),大黄一两(用酒浸泡)。
每次服用一两,加酒煎煮。
治疗跌打损伤的方法,以破瘀为首要,行气为次要,活血生新又为其次。此方再加上一两味行气的药物效果更佳。
防风一钱二分,桂枝、麻黄、杏仁(去皮尖,炒后研磨)、川芎(酒洗)、白芍(酒炒)、人参、甘草(炙烤)、黄芩(酒炒)、防己八分、附子四分。
每次服用三钱,加生姜、大枣煎煮。
天地之气,郁结必然需要宣发。风,是大自然中鼓荡万物的气息。然而风有和风、烈风、怪厉之风、微柔之风的区别。和风,不疾不徐,人即使感受了,也不会造成大害;烈风,人们都知道畏惧躲避,受邪的人反而少;怪厉之风本来不常有;只有微柔之风,最容易侵袭人体,轻微难以防范,柔和善于侵入。虚损之人腠理不紧密,外风乘隙而入,由表及里,病症也由浅入深。此前在《医醇剩义》中已经将中络、中经、中腑、中脏的症状,详细分析列举,这里不再赘述。只是在各个方剂之后,私下附上我的见解。小续命汤,是治疗六经中风病的通用方剂,方中补气血、去风寒、清湿热的药物都具备,不是针对某一类专门分类的专方。易老(张元素)的加减法,也不过是向人们展示用药的大致常规。至于涉及入腑、入脏的症状,那么原本就没有讨论过。
Qinjiao (Gentianae Macrophyllae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guiwei (Angelicae Sinensis Radix, tail part) [washed with wine], Taoren (Persicae Semen) [ground] each 1 liang; Zhishi (Aurantii Fructus Immaturus) [stir-fried with flour], Zaojiaozizi (Gleditsiae Sinensis Spina) [burned, retaining its nature] each 5 qian; Zexie (Alismatis Rhizoma) 3 qian; Diyu (Sanguisorbae Radix) 3 qian.
These herbs are processed into pills using wheat paste.
Any disease of hemorrhoids and fistulas (Zhilou) mostly originates from damp-heat pouring downward. However, patients may also have a constitution of Yin deficiency. If one solely uses wind-dispelling and dryness-resolving herbs, it will instead deplete the Yin. Moreover, taking Zaojiaozizi often causes dizziness and vertigo. Although the intention behind this formula is good, it should not be administered lightly to those with Yin deficiency.
Shaoyao (Paeoniae Radix Alba) 1 liang; Guiwei (Angelicae Sinensis Radix, tail part), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) each 5 qian; Dahuang (Rhei Radix et Rhizoma) 3 qian; Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) [roasted] each 2 qian; Guizhi (Cinnamomi Ramulus) 1 qian 5 fen.
This employs the method of "treating obstruction with unblocking agents" (Tong Yin Tong Yong). When damp-heat stagnates and steams, causing Qi and Blood stasis and congestion, diarrhea accompanied by tenesmus occurs. By promoting blood circulation and regulating Qi, bleeding stops and tenesmus naturally resolves.
Cangzhu (Atractylodis Rhizoma) [soaked in rice water and stir-fried] 3 liang; Diyu (Sanguisorbae Radix) [charred] 1 liang.
Decoct 1 liang per dose.
One herb dries dampness, while the other cools blood; this is also a standard method for treating dysentery/diarrhea. However, relying on only these two herbs is insufficient to strengthen the Spleen (Earth) and harmonize the Ying (Nutritive) level.
Xiaoji (Cirsii Herba), Puhuang (Typhae Pollen) [charred], Oujie (Nelumbinis Node), Huashi (Talcum), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Zhizi (Gardeniae Fructus) [stir-fried], Danzhuye (Lophatheri Herba), Gancao (Glycyrrhizae Radix et Rhizoma) each 5 fen.
Clearing the heat of the Heart and Small Intestine, nourishing Kidney Water, and unblocking the Bladder can naturally treat strangury (Lin syndrome) and relieve pain.
Chaihu (Bupleuri Radix) 5 qian; Danggui (Angelicae Sinensis Radix), Gualougen (Trichosanthis Radix), Chuanshanjia (Manis Squama) [processed] each 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma), Honghua (Carthami Flos) each 2 qian; Taoren (Persicae Semen) 50 pieces [skin and tips removed, ground]; Dahuang (Rhei Radix et Rhizoma) 1 liang [soaked in wine].
Take 1 liang per dose, decocted with wine.
The treatment of traumatic injuries prioritizes breaking blood stasis first, regulating Qi secondarily, and promoting blood circulation to generate new tissue thirdarily. This formula would be even more effective if one or two Qi-regulating herbs were added.
Fangfeng (Saposhnikoviae Radix) 1 qian 2 fen; Guizhi (Cinnamomi Ramulus), Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum) [skin and tips removed, stir-fried and ground], Chuanxiong (Ligustici Chuanxiong Rhizoma) [washed with wine], Baishao (Paeoniae Radix Alba) [stir-fried with wine], Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [roasted], Huangqin (Scutellariae Radix) [stir-fried with wine], Fangji (Stephaniae Tetrandrae Radix) 8 fen; Fuzi (Aconiti Lateralis Radix Praeparata) 4 fen.
Take 3 qian per dose, decocted with fresh ginger and Chinese jujube.
The Qi of Heaven and Earth, when stagnant, must be vented. Wind is the breath of the great void that agitates all things. However, there are gentle winds, fierce winds, strange/malignant winds, and subtle/soft winds. Gentle winds are neither fast nor slow; even if humans are exposed to them, they cause little harm. With fierce winds, people know to fear and avoid them, so fewer get affected. Strange/malignant winds are rare. Only subtle/soft winds easily invade humans; their subtlety makes them hard to guard against, and their softness allows them to penetrate deeply. In deficient individuals, the interstices (Couli) are not tight; external wind takes advantage of gaps to enter, moving from the exterior to the interior, and the disease progresses from superficial to deep levels. Previously, in *Yi Chun Sheng Yi*, I have analyzed and listed the symptoms of wind-stroke affecting the collaterals, meridians, fu-organs, and zang-organs in detail, so I will not repeat them here. I merely append my humble opinions after each formula. Xiao Xuming Tang (Minor Continuation Life Decoction) is a general formula for treating wind-stroke across the Six Channels. It contains herbs to tonify Qi and Blood, dispel wind-cold, and clear damp-heat; it is not a specialized formula for specific categories. The modification methods by Yilao (Zhang Yuansu) merely demonstrate the general principles of medication. As for symptoms involving invasion of the fu-organs and zang-organs, they were indeed not discussed.