(东垣)
治虚寒泄泻,米谷不化,肠鸣腹痛,脱肛,及作脓血,日夜无度。
御米壳(去蒂,蜜炒,五分,)诃子(煨,去核,七分)干姜(炮,六分)橘红(五
分。)上末。
此手足阳明药也。御米壳酸涩微寒,固肾涩肠;诃子酸涩苦温,收脱住泻;炮姜辛热,
能逐冷补阳;陈皮辛温,能升阳调气,以固气脱,亦可收形脱也(泄泻为气脱,脱肛为形脱)。
河间诃子散∶诃子(一两,半生半煨) 木香(五钱) 甘草(二钱)黄连(三钱)。
为末。每服二钱,用白术、芍药汤调下。治泻久腹痛渐已,泻下渐少,以此止之。如不止,
加浓朴一两,竭其余邪(木香、黄连,香连丸也,行气清火,止痢浓肠;甘草、芍药,甘芍
汤也,甘缓酸收,和中止痛;加诃子涩以收脱;加白术补以强脾;浓朴除湿散满,平胃调中,
故更
(谦甫)
治泻痢日久,赤白已尽,虚寒脱肛(肛门为大肠之使,大肠受热、受寒,皆能脱肛。大
肠
故脱
罂粟壳(去蒂,蜜炙,三两六钱)诃子(面裹煨,一两三钱)肉豆蔻(面裹煨,五钱)
木
生甘草(一两
此手足阳明药也。脱肛由于虚寒,故用参、术、甘草以补其虚,肉桂、肉蔻以祛其寒;
木香
宜大
柏,
附∶丹溪脱肛方∶人参黄 当归川芎升麻(此治气血两虚而脱肛者)。
(李东垣)
治疗虚寒性泄泻,食物不消化,肠鸣腹痛,脱肛,以及大便带有脓血,日夜无节制。
御米壳(去掉蒂头,用蜂蜜炒制,五分),诃子(煨制,去核,七分),干姜(炮制,六分),橘红(五分)。
将上述药物研为细末。
这是手足阳明经的药物。御米壳味酸涩、微寒,能固肾涩肠;诃子味酸涩、苦温,能收敛脱垂、止住泄泻;炮姜味辛热,能驱散寒冷、补益阳气;陈皮味辛温,能升发阳气、调理气机,以固摄气的脱失,也能收摄形的脱失(泄泻属于气的脱失,脱肛属于形的脱失)。
河间诃子散:诃子(一两,一半生用、一半煨用),木香(五钱),甘草(二钱),黄连(三钱)。
研为细末。每次服用二钱,用白术汤或芍药汤调服。治疗泄泻日久腹痛逐渐缓解,腹泻次数逐渐减少时,用此方以止泻。如果仍然不止,加入浓朴一两,以清除剩余的病邪(木香与黄连组成香连丸,行气清火,止痢厚肠;甘草与芍药组成甘芍汤,甘缓酸收,调和脾胃、止痛;加入诃子以酸涩收敛脱垂;加入白术以补益强健脾脏;浓朴除湿消胀,平胃调中,因此更……
(谦甫)
治疗泄痢日久,赤白便已排尽,虚寒性脱肛(肛门是大肠的使道,大肠受热或受寒,都能导致脱肛。大肠故脱……)
罂粟壳(去掉蒂头,用蜜炙制,三两六钱),诃子(面粉包裹煨制,一两三钱),肉豆蔻(面粉包裹煨制,五钱),木香(未注明剂量,原文此处可能有缺漏或排版问题,依上下文推测为常用量或与前文呼应,但严格按原文提取实体即可,此处仅列出名称),生甘草(一两)。
这是手足阳明经的药物。脱肛由于虚寒所致,所以用人参、白术、甘草来补益其虚损,用肉桂、肉豆蔻来祛除其寒冷;木香……宜大……柏……
附注:丹溪脱肛方:人参、黄芪、当归、川芎、升麻(这是治疗气血两虚而导致脱肛的方剂)。
(Li Dongyuan)
Treats deficiency-cold diarrhea (Xu Han Xie Xie), where food is undigested, accompanied by borborygmus (Chang Ming), abdominal pain, rectal prolapse (Tuo Gang), and stools containing pus and blood, occurring day and night without restraint.
Yumiqiao (Papaveris Pericarpium, remove pedicel, honey-fried, 5 fen), Hezi (Chebulae Fructus, roasted, remove seed, 7 fen), Ganjiang (Zingiberis Rhizoma Preparatum, processed, 6 fen), Juhong (Citri Reticulatae Pericarpium Rubrum, 5 fen).
Grind into fine powder.
These are herbs for the Foot-Yangming and Hand-Yangming meridians. Yumiqiao is sour, astringent, and slightly cold, consolidating the Kidney and astringing the Intestines; Hezi is sour, astringent, bitter, and warm, arresting prolapse and stopping diarrhea; Pao Jiang is acrid and hot, dispelling cold and tonifying Yang; Chenpi is acrid and warm, raising Yang and regulating Qi to secure Qi collapse, and also can arrest form collapse (Diarrhea is Qi collapse, rectal prolapse is form collapse).
Hejian's Hezi San: Hezi (1 liang, half raw, half roasted), Muxiang (Aucklandiae Radix, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Huanglian (Coptidis Rhizoma, 3 qian).
Grind into powder. Take 2 qian each time, mixed with Baizhu Tang or Shaoyao Tang. Treats prolonged diarrhea where abdominal pain has gradually subsided and stool frequency has decreased, using this formula to stop diarrhea. If it does not stop, add Houpo (Magnoliae Officinalis Cortex) 1 liang to exhaust remaining pathogenic factors (Muxiang and Huanglian constitute Xianglian Wan, moving Qi and clearing fire, stopping dysentery and thickening the intestines; Gancao and Shaoyao constitute Ganshao Tang, sweet-slowing and sour-astringing, harmonizing the Middle and stopping pain; adding Hezi to astringe and arrest prolapse; adding Baizhu to tonify and strengthen the Spleen; Houpo removes dampness and dissipates fullness, calming the Stomach and regulating the Middle, therefore more...)
(Qianfu)
Treats prolonged diarrhea and dysentery, where red and white discharge has completely ceased, and deficiency-cold rectal prolapse (The anus is the envoy of the Large Intestine; heat or cold in the Large Intestine can both cause prolapse. The Large Intestine thus prolapses...)
Yangsukeqiao (Papaveris Pericarpium, remove pedicel, honey-roasted, 3 liang 6 qian), Hezi (Chebulae Fructus, wrapped in flour and roasted, 1 liang 3 qian), Roudoukou (Myristicae Semen, wrapped in flour and roasted, 5 qian), Muxiang (Aucklandiae Radix...), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 liang).
These are herbs for the Foot-Yangming and Hand-Yangming meridians. Rectal prolapse is due to deficiency-cold, so use Renshen, Baizhu, and Gancao to tonify deficiency, and Rougui and Roudoukou to dispel cold; Muxiang... should be Da... Bo...
Appendix: Danxi's Tuo Gang Fang: Renshen (Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma) (This treats rectal prolapse caused by dual deficiency of Qi and Blood).