(东垣)
治大便不通,小便赤涩,身面俱肿,色黄,麻木,身重如山,喘促无力,吐痰唾沫,发
热时躁,躁已振寒,项额如冰,目中溜火,鼻不闻香,脐有动气,小腹急痛(东垣曰∶此宿
有湿热伏于荣血之中,木火乘于阳道,为上盛,短气喘促,为阴火伤气,四肢痿弱,为肾水
不足,
青皮 陈皮 黄连(酒炒) 黄柏(酒炒) 甘草(炙) 升麻(二分) 柴胡 桂枝 人
参
分) 白豆蔻
此足三阳、三阴通治之剂也。前证盖因表里俱伤,阳气抑不得升,故风火湿热郁而为病
也。桂枝、麻黄解表祛风,升麻、柴胡升阳散火,黄连、黄柏燥湿清热,而黄柏又能补肾滋
阴,
吴萸
尝有
吴萸
与五
(《元戎》)
治外感内伤,发热头痛,呕逆咳嗽,痰塞中焦,眩运嘈烦,伤风泄泻;及伤寒已汗发热
不止(发热头痛,外感也;咳嗽痰壅、呕逆泄泻,内伤也;已汗而热不止,阴虚也)。
人参 紫苏 干葛 前胡 半夏(姜汁炒) 茯苓(七钱半) 陈皮(去白) 甘草 枳
壳(
火,去人
此手足太阴药也。风寒宜解表,故用苏、葛、前胡;劳伤宜补中,故用参、苓、甘草;
橘半除痰止呕,枳桔利膈宽肠,木香行气破滞。使内外俱和则邪散矣(溢饮身重注痛者,亦
宜此方和解之。刘宗浓曰∶此出少阳柴胡例药,治感冒异气挟痰饮之病。本方云前胡葛根自
能解肌
谓参
合四物,名茯苓补心汤,尤能治虚热及吐衄便血,乃虚实表里兼治之剂,然不可过)。
本方去人参、前胡,加川芎、柴胡,姜枣煎,名芎苏饮《澹疗》∶治伤风寒,外有发热
头痛恶寒,内有咳嗽吐痰气涌(此或肺有实热,故去人参,加川芎,为通阴阳血气之使也)。
(李东垣)
治疗大便秘结不通,小便短赤涩痛,身体和面部都浮肿,肤色发黄,肢体麻木沉重如裹铅块,气喘急促且气息微弱,呕吐痰涎沫子,发热时伴有烦躁,烦躁过后又出现畏寒战栗,颈项和前额感觉冰冷,眼睛中似有火光闪烁,鼻子闻不到香味,肚脐周围有跳动感,小腹部急迫疼痛。(李东垣说:这些症状大概是因为体内原本就有湿热潜伏在营血之中,肝木心火侵犯阳经,导致上部邪气盛实,呼吸短促气喘,这是阴火损伤了正气;四肢痿软无力,这是因为肾水不足。)
青皮、陈皮、黄连(用酒炒)、黄柏(用酒炒)、甘草(炙烤)、升麻(二分)、柴胡、桂枝、人参、白豆蔻。
这是足三阳经和足三阴经通治的方剂。上述病症大概是因为表里两伤,阳气被抑制而不能上升,所以风、火、湿、热郁结而致病。桂枝、麻黄(注:原文此处虽列方但正文未提麻黄,仅提桂枝解表,然方名及下文提及麻黄,故保留语境逻辑,此处依原文“桂枝、麻黄解表”理解,尽管方剂列表中无麻黄,可能是文本脱漏或特指桂枝为主,但根据后文“桂枝、麻黄解表祛风”,翻译需忠实原文描述)解除表邪祛除风邪,升麻、柴胡提升阳气疏散火热,黄连、黄柏燥湿清热,而黄柏又能补肾滋阴。
(《元戎》)
治疗外感内伤,发热头痛,恶心呕吐咳嗽,痰液阻塞中焦,眩晕嘈杂心烦,伤风泄泻;以及伤寒已经发汗后发热仍不止。(发热头痛,属于外感;咳嗽痰多、呕吐泄泻,属于内伤;已经发汗但热势不退,属于阴虚。)
人参、紫苏、干葛(葛根)、前胡、半夏(姜汁炒)、茯苓(七钱半)、陈皮(去白)、甘草、枳壳...(原文此处残缺,提到“火,去人”等字样,疑似方剂组成说明中断)
这是手足太阴经的药物。风寒适宜解表,所以用紫苏、葛根、前胡;劳倦内伤适宜补益中气,所以用人参、茯苓、甘草;橘红、半夏去除痰浊止住呕吐,枳壳、桔梗(原文作枳桔)利膈宽肠,木香行气破除滞塞。使得内外调和则邪气消散。(溢饮导致身体沉重、肌肉酸痛者,也适宜用此方和解。刘宗浓说:此方出自少阳柴胡类的药方,治疗感冒异气挟带痰饮的疾病。本方中说前胡、葛根本身就能解肌... 谓人参... 合四物汤,名为茯苓补心汤,尤其能治疗虚热及吐血衄血便血,是虚实表里兼治的方剂,然而不可过量服用)。
本方去掉人参、前胡,加入川芎、柴胡,用生姜、大枣煎服,名为芎苏饮(《澹疗》):治疗伤风寒,外有发热头痛恶寒,内有咳嗽吐痰气逆上涌(这可能是因为肺中有实热,所以去掉人参,加入川芎,作为通达阴阳血气的使者)。
(Li Dongyuan)
Treats constipation (大便不通), scanty and dark painful urination (小便赤涩), generalized edema of the body and face (身面俱肿), yellowish complexion (色黄), numbness (麻木), heaviness of the body as if weighted down (身重如山), panting with weak breath (喘促无力), vomiting of phlegm and saliva (吐痰唾沫), fever accompanied by restlessness (发热时躁), followed by chills after restlessness subsides (躁已振寒), cold sensation in the neck and forehead (项额如冰), sensation of fire in the eyes (目中溜火), loss of smell (鼻不闻香), pulsation around the umbilicus (脐有动气), and acute pain in the lower abdomen (小腹急痛). (Li Dongyuan stated: These symptoms are likely due to latent damp-heat (湿热) in the Ying blood (荣血), with Wood-Fire (木火) attacking the Yang channels, causing excess in the upper jiao. Shortness of breath and panting indicate Yin fire (阴火) damaging Qi. Flaccidity and weakness of the four limbs indicate insufficiency of Kidney water.)
Qingpi (Green Tangerine Peel), Chenpi (Aged Tangerine Peel), Huanglian (Coptis Rhizome, stir-fried with wine), Huangbai (Phellodendron Bark, stir-fried with wine), Gancao (Licorice Root, honey-fried), Shengma (Cimicifugae Rhizoma, 2 fen), Chaihu (Bupleuri Radix), Guizhi (Cinnamon Twig), Renshen (Ginseng Radix et Rhizoma), Baiddoukou (Cardamomi Fructus).
This is a formula treating all three Yang and all three Yin meridians of the foot. The aforementioned conditions are generally caused by injury to both exterior and interior, where Yang Qi is suppressed and cannot ascend, leading to stagnation of Wind, Fire, Dampness, and Heat. Guizhi and Mahuang (Ephedrae Herba - *Note: Text mentions Mahuang in explanation though not in ingredient list provided in snippet*) release the exterior and dispel Wind; Shengma and Chaihu raise Yang and dissipate Fire; Huanglian and Huangbai dry Dampness and clear Heat, while Huangbai also tonifies the Kidney and nourishes Yin.
Wuzhuyu (Evodiae Fructus) was once used with Wuweizi... (Text fragmentary)
(Yuan Rong)
Treats external contraction combined with internal injury, fever and headache, nausea, vomiting, cough, phlegm obstructing the middle Jiao, dizziness, epigastric discomfort and irritability, wind-cold diarrhea; as well as persistent fever after sweating in Shanghan (Cold Damage). (Fever and headache indicate external contraction; cough, copious phlegm, vomiting, and diarrhea indicate internal injury; persistent fever after sweating indicates Yin deficiency.)
Renshen (Ginseng Radix et Rhizoma), Zisu (Perillae Folium), Gengegen (Puerariae Radix), Qianhu (Peucedani Radix), Banxia (Pinelliae Rhizoma, stir-fried with ginger juice), Fuling (Poria), Chenpi (Aged Tangerine Peel, pith removed), Gancao (Licorice Root), Zhike (Aurantii Fructus Immaturus)... (Text fragmentary regarding "Fire, remove Ren...")
These are herbs for the Hand and Foot Taiyin meridians. For Wind-Cold, it is appropriate to release the exterior, hence using Zisu, Gengegen, and Qianhu; for labor-induced internal injury, it is appropriate to tonify the Middle, hence using Renshen, Fuling, and Gancao; Chenpi and Banxia eliminate phlegm and stop vomiting; Zhike and Jiegeng (Platycodonis Radix & Aurantii Fructus Immaturus) benefit the diaphragm and widen the intestines; Muxiang (Costi Radix) promotes Qi movement and breaks stagnation. When interior and exterior are harmonized, pathogenic factors disperse. (For Yi Yin [Overflowing Drink] presenting with body heaviness and muscle pain, this formula can also be used to harmonize. Liu Zongnong said: This formula derives from Shaoyang Bupleurum-type prescriptions, treating diseases where abnormal pathogens combine with phlegm-fluid retention. The original text states that Qianhu and Gengegen can naturally resolve the muscle layer... Combining with Siwu Tang creates Fuling Buxin Tang, which is especially effective for deficient heat, hematemesis, epistaxis, and hematochezia. It is a formula treating both deficiency/excess and interior/exterior simultaneously, but should not be overused.)
Removing Renshen and Qianhu from this formula, adding Chuanxiong (Ligustici Chuanxiong Rhizoma) and Chaihu (Bupleuri Radix), decocted with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus), is named Xiongsu Yin (Cowpea and Perilla Decoction) (*Dan Liao*): Treats wind-cold injury, with exterior symptoms of fever, headache, and aversion to cold, and interior symptoms of cough, expectoration, and qi rushing upward. (This may be due to excess heat in the Lung, hence Renshen is removed and Chuanxiong added to serve as an agent for unblocking Yin and Yang and circulating Qi and Blood.)