乌头 山栀子(各等分)
为末用长流水同姜汁调服
一方治阴囊肿痛大小便不通
白牵牛(二两) 桑皮 白术 木通 陈皮(各五钱)
上为末每服二钱空心姜汁调服
橘核 栀子(炒) 山楂 吴茱萸 荔枝核(炒) 川楝子肉
上为末空心长流水调服
枇杷叶 野紫苏叶 椒叶 苍耳子叶 水晶蒲桃叶
上五味不拘多少量水煎浴洗
治狐疝
真川椒(一斤去梗除闭口者炒令人出汗) 白茯苓(十斤去皮)
共为末蜜和千杵丸如桐子大每服五六十丸空心盐汤酒任下
方见中湿门
夫痰者湿土所生津液所化痰之在身如水之流贵乎顺则流通而肢节活利随气往来或为风寒
湿热所感或因七情饮食所伤以致气逆津化成痰或留结于胸或凝滞于经络随气升降无处不到为
害百端丹溪云诸病生痰火痰火生异症若留于脏腑为饮为嗽为胀为呕为眩晕为癫痫为吞酸为嘈
杂为怔忡滞于经络为疼痛为麻木为结核为肿块为寒热皆是物也嗟夫痰本生于脾胃治当以调脾
胃燥湿为先以治之大略言热痰则清之湿痰则燥之风痰则散之郁痰则开之顽痰则软之食痰则消
之又有五饮一曰悬饮饮水流于胁下咳唾则痛二曰溢饮饮水流于四肢当汗不汗身体肿痛三曰支
饮KT 逆倚息短气难卧其形如肿四曰痰饮其人素虚肠间沥沥有声五曰留饮背恶寒或短气而
渴四肢历节痛胁下痛引缺盆咳嗽转甚此五饮为病之不同也或有中痰若风症者手足瘫 口眼歪
斜不能言语一边身不遂或手足身中一点钓痛多睡口中流涎亦痰候也不可误用风药临此者尚宜
斟酌行之
另一方治疗阴囊肿痛及大小便不通:
白牵牛(二两)、桑白皮、白术、木通、陈皮(各五钱)。
以上药物研为细末,每次服用二钱,空腹时用姜汁调和服用。
橘核、栀子(炒制)、山楂、吴茱萸、荔枝核(炒制)、川楝子肉。
以上药物研为细末,空腹时用长流水调和服用。
枇杷叶、野紫苏叶、花椒叶、苍耳子叶、水晶蒲桃叶。
以上五味药不拘多少用量,加水煎煮后洗浴患处。
治疗狐疝(一种腹股沟疝气,时上时下如狐之出入):
真川椒(一斤,去除梗及闭口者,炒至出汗)、白茯苓(十斤,去皮)。
共同研为细末,用蜂蜜调和并捣千下制成丸药,大小如梧桐子大。每次服用五六十丸,空腹时用盐汤或酒送服。
此方见“中湿”门类。
所谓痰,是湿土所生,由津液凝聚而成。痰存在于体内,如同水流,贵在顺畅流通,则肢体关节灵活便利,随气机往来。或因感受风寒湿热,或因七情饮食所伤,导致气逆津液凝结成痰。或留结于胸中,或凝滞于经络,随气机升降无处不到,造成各种危害。丹溪说:“诸病生痰,火痰生异症。”若痰留于脏腑,表现为饮、咳、胀、呕、眩晕、癫痫、吞酸、嘈杂、怔忡;若滞留于经络,表现为疼痛、麻木、结核、肿块、寒热,这些都是痰邪所致。唉!痰本生于脾胃,治疗应当以调理脾胃、燥湿为先。大致而言,热痰则清化,湿痰则燥湿,风痰则疏散,郁痰则开郁,顽痰则软坚,食痰则消导。又有五饮之说:一曰悬饮,饮水流注于胁下,咳嗽吐唾则疼痛;二曰溢饮,饮水流注于四肢,本当发汗却无汗,身体肿痛;三曰支饮,气逆倚靠呼吸,短气难以平卧,形体浮肿;四曰痰饮,其人素体虚弱,肠间沥沥有声;五曰留饮,背部恶寒,或短气而渴,四肢历节疼痛,胁下痛牵引缺盆,咳嗽加剧。这五种饮证致病各不相同。或者有人患中痰证,类似风症,手足瘫痪,口眼歪斜,不能言语,半身不遂;或者手足身体某处一点拘挛疼痛,多睡,口中流涎,这也是痰的征候。不可误用治风药物,遇到此类情况尚需斟酌施行。
Aconiti Lateralis Radix Praeparata (Wutou) and Gardeniae Fructus (Shanzhizi), in equal parts.
Pulverized, taken with long-flowing water and ginger juice mixed together.
Another prescription for treating scrotal swelling and pain, along with obstruction of urination and defecation:
Pharbitidis Semen (Baiqianniu) (two liang), Morus Cortex (Sangpi), Atractodis Rhizoma Albae (Baizhu), Akebia Caulis (Mutong), and Citri Reticulatae Pericarpium (Chenpi), each five qian.
The above are pulverized; take two qian per dose, mixed with ginger juice on an empty stomach.
Aurantii Fructus Immaturus (Juhe), Gardeniae Fructus (Zhizi, stir-fried), Crataegi Fructus (Shanzha), Evodiae Fructus (Wuzhuyu), Litchi Semen (Lizhihe, stir-fried), and Toosendan Fructus (Chuanshanli).
The above are pulverized; take on an empty stomach, mixed with long-flowing water.
Loquat Leaf (Pipaye), Wild Perilla Leaf (Yezisu Ye), Zanthoxyli Pericarpium (Jiaoye), Xanthii Fructus (Cangerzi Ye), and Syzygium aromaticum Leaf (Shuijingputao Ye).
Take any amount of the above five herbs, decoct in water, and use for bathing/washing.
Treating Hu Hernia (a type of inguinal hernia):
Zanthoxyli Pericarpium (Chuanjiao) (one jin, remove stems and closed-mouth grains, stir-fry until sweat appears), Poria (Fuling) (ten jin, remove skin).
Grind into powder, mix with honey, pound a thousand times to make pills the size of tung tree seeds. Take 50-60 pills per dose, washed down with salt water or wine on an empty stomach.
This formula is found in the "Dampness" section.
As for Phlegm (Tan), it is generated from damp earth and condensed fluids. When phlegm resides in the body, like flowing water, it must be smooth and unobstructed so that limbs and joints move freely, following the Qi's circulation. It may arise from contraction of Wind-Cold-Damp-Heat, or from injury by Seven Emotions or diet, causing Qi rebellion and fluid condensation into phlegm. It may remain knotted in the chest or stagnate in meridians, ascending and descending with Qi, reaching nowhere without causing harm. Danxi said: "Various diseases generate phlegm; Fire-Phlegm generates strange symptoms." If phlegm remains in the Zang-Fu organs, it manifests as Fluid retention (Yin), cough, distension, vomiting, vertigo, epilepsy, acid regurgitation, heartburn, palpitations; if stagnant in meridians, it manifests as pain, numbness, nodules, masses, chills and fever. These are all manifestations of pathogenic phlegm. Alas! Phlegm originates from the Spleen and Stomach; treatment should prioritize regulating the Spleen and Stomach and drying dampness. Generally speaking, Heat-Phlegm is cleared, Damp-Phlegm is dried, Wind-Phlegm is dispersed, Stagnant-Phlegm is opened, Stubborn-Phlegm is softened, Food-Phlegm is digested. There are also Five Types of Fluid Retention (Wu Yin): First, Xuan-Yin (Hanging Fluid), where drinking water flows to the hypochondrium, causing pain upon coughing and spitting; Second, Yi-Yin (Overflowing Fluid), where drinking water flows to the four limbs, failing to sweat when it should, causing body swelling and pain; Third, Zhi-Yin (Supporting Fluid), characterized by Qi rebellion requiring leaning to breathe, shortness of breath, difficulty lying flat, and a swollen appearance; Fourth, Tan-Yin (Phlegm-Fluid), where the person is constitutionally weak, with gurgling sounds in the intestines; Fifth, Liu-Yin (Retained Fluid), characterized by aversion to cold on the back, shortness of breath with thirst, pain in the four limbs and joints, pain in the hypochondrium radiating to the clavicle, and worsened coughing. These five types of fluid retention present differently. Alternatively, some suffer from Zhong-Tan (Central Phlegm), resembling wind syndrome, with flaccid paralysis of limbs, deviation of mouth and eyes, inability to speak, hemiplegia; or localized cramping pain in limbs or body, excessive sleepiness, drooling in the mouth. This is also a sign of phlegm. One must not mistakenly use Wind-dispelling drugs; such cases require careful consideration and administration.