鳖甲(醋炙) 白术(土炒) 黄 芎 白芍(酒炒) 槟榔 草果(面煨) 浓
朴陈皮 甘草
等分,姜三片、枣一枚、乌梅少许煎。
此亦攻补并行之剂。但欲去疟母,故以鳖甲为君耳。
赤石脂 禹余粮
等分 杵碎煎。
利在下焦者,小肠之水不从膀胱化出也。故仲景有“服此汤,复利不止,当利其小便”
之训。
赤石脂一斤 干姜一两 粳米一升
病在下焦,肾藏虚寒。下利脓血,不由传经,亦非协热。故用收涩而兼甘温,乃仲景之
变例也。
御米(去蒂,蜜炒)五分 诃子(去核)七分 干姜(炮)六分 橘红五分
上末,空心服。
粟壳、诃子,性皆寒涩,故用干姜、橘皮以通阳。此从桃花汤化出。
罂粟壳(去蒂,炙)三两六钱 诃子(面裹,煨)一两三钱 木香二两四钱 肉豆蔻(面
裹,煨)五两 肉桂八钱 人参 白术(炒) 当归六钱 白芍(炒) 一两六钱 生甘草
一两八钱
每服四钱。
此亦涩中寓温之法,加入补气补血之药,于久病正虚者尤宜。
鳖甲(用醋炙制) 白术(用土炒制) 黄芩 川芎 白芍(用酒炒制) 槟榔 草果(用面粉煨制) 厚朴 陈皮 甘草
以上药材各取等量,加入生姜三片、大枣一枚、乌梅少许,共同煎煮服用。
这也是攻邪与补虚并行的方剂。但为了消除疟疾形成的痞块(疟母),所以以鳖甲作为君药。
赤石脂 禹余粮
以上药材各取等量,捣碎后煎煮服用。
腹泻部位在下焦的,是因为小肠的水液不能从膀胱正常气化排出。所以张仲景有“服用此汤后,如果腹泻不止,应当通利小便”的教诲。
赤石脂一斤 干姜一两 粳米一升
病位在下焦,肾脏藏气虚寒。下利脓血,不是由经络传变所致,也不是伴随热邪。所以使用具有收敛固涩作用且兼有甘温性质的药物,这是张仲景的变法。
罂粟壳(去掉蒂部,用蜂蜜炒制)五分 诃子(去掉核)七分 干姜(炮制)六分 橘红五分
以上药材研成细末,空腹服用。
粟壳(罂粟壳)、诃子,药性都是寒凉而涩滞的,所以使用干姜、橘皮来通达阳气。此方是从桃花汤变化而来。
罂粟壳(去掉蒂部,炙制)三两六钱 诃子(用面粉包裹,煨制)一两三钱 木香二两四钱 肉豆蔻(用面粉包裹,煨制)五两 肉桂八钱 人参 白术(炒制) 当归六钱 白芍(炒制) 一两六钱 生甘草一两八钱
每次服用四钱。
这也是在涩敛中蕴含温补的方法,加入了补气补血的药物,对于久病正气虚弱的人尤其适宜。
当归 生地 熟地 黄芩 黄柏 黄连
以上药材各取等量,黄芩加倍用量。
这是气血平补,并且兼有泻火作用的方剂。并没有使用收敛固涩的药物,不适宜收录在涩剂门类中。
Bie Jia (Turtle Shell, vinegar-fried) Baizhu (Atractylodis Rhizoma, earth-fried) Huangqin (Scutellariae Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, wine-fried) Binglang (Arecae Semen) Caoguo (Tsao-ko Fruit, flour-roasted) Houpo (Magnoliae Officinalis Cortex) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma)
Take equal parts of the above herbs. Decoct with three slices of Shengjiang (Zingiberis Rhizoma Recens), one Zao (Jujubae Fructus), and a small amount of Wumei (Mume Fructus).
This is also a formula that combines attacking pathogenic factors and tonifying deficiency. However, since the aim is to eliminate the mass associated with malaria (Nuomu), Bie Jia is used as the sovereign drug.
Shizhi (Halloysitum Rubrum) Yuyuliang (Haematitum)
Take equal parts. Pound into fragments and decoct.
When diarrhea occurs in the lower jiao, it is because the water from the small intestine does not transform and exit through the bladder. Therefore, Zhang Zhongjing gave the instruction: "If after taking this decoction, diarrhea persists, one should promote urination."
Shizhi (Halloysitum Rubrum) one jin Ganjiang (Zingiberis Rhizoma) one liang Jingmi (Oryzae Fructus Glutinosa) one sheng
The disease is located in the lower jiao, characterized by deficiency-cold of the Kidney storing qi. Diarrhea with pus and blood, which does not result from transmission between meridians nor from combined heat, requires the use of astringent herbs with sweet-warm properties. This represents a modified example from Zhang Zhongjing.
Yumiku (Papaveris Pericarpium, remove pedicel, honey-fried) five fen Hezi (Chebulae Fructus, remove pit) seven fen Ganjiang (Zingiberis Rhizoma, processed) six fen Juhong (Citri Reticulatae Pericarpium Rubrum) five fen
Grind the above into powder. Take on an empty stomach.
Yumiku and Hezi have cold and astringent properties; therefore, Ganjiang and Jupi are used to unblock yang qi. This formula is derived from Taohua Tang.
Yumiku (Papaveris Pericarpium, remove pedicel, fried) three liang six qian Hezi (Chebulae Fructus, wrapped in flour, roasted) one liang three qian Muxiang (Aucklandiae Radix) two liang four qian Roudoukou (Myristicae Semen, wrapped in flour, roasted) five liang Rougui (Cinnamomi Cortex) eight qian Renshen (Ginseng Radix) Baizhu (Atractylodis Rhizoma, fried) Danggui (Angelicae Sinensis Radix) six qian Baishao (Paeoniae Radix Alba, fried) one liang six qian Shenggancao (Glycyrrhizae Radix et Rhizoma) one liang eight qian
Take four qian per dose.
This is also a method of incorporating warmth within astringency. By adding herbs that tonify qi and blood, it is particularly suitable for patients with chronic illness and deficient righteous qi.
Danggui (Angelicae Sinensis Radix) Shengdi (Rehmanniae Radix) Shudi (Rehmanniae Radix Praeparata) Huangqin (Scutellariae Radix) Huangbai (Phellodendri Cortex) Huanglian (Coptidis Rhizoma)
Take equal parts. Double the dosage of Huangqin.
This is a formula that equally tonifies qi and blood while simultaneously clearing fire. It contains no astringent herbs and is unsuitable for inclusion in the category of astringent formulas.
Muli (Ostreae Concha, crushed) Huangqi (Astragali Radix) Mahuanggen (Ephedrae Herba Caulisque Radix) one qian Fuxiaomai (Tritici Levis Fructus) one hundred grains
Decoct and take orally.
To secure the exterior and clear irritability, thereby stopping sweating, this is the correct approach.