主五种饮,一曰留饮,停水在心下;二曰 饮,水 在两胁下;三曰痰饮,水在胃中;
四曰溢饮,水溢在膈上,五脏间;五曰流饮,水在肠间,动摇有声。夫五饮者,皆由饮酒后
伤寒,饮冷水过多所致方。
远志(去心) 苦参 藜芦 白术 乌贼骨 甘遂 大黄 石膏 半夏(洗) 紫菀 桔
梗
药
大戟 葶苈(熬) 黄芩(各一两) 附子(炮,去皮) 常山 浓朴(炙) 细辛 薯预 甘
草(
炙,各三分) 巴豆(三十枚,去心皮,熬)
上三十三味,捣筛为末,炼蜜和丸,如梧桐子大。酒服三丸,日三,稍加之。以知为度。
主胸中久寒, 实宿痰隔塞,胸痛,气不通利,三焦冷热不调,食饮减少无味,或寒热
体重,卧不欲起方。
前胡 人参 大黄 当归 甘草(炙,各二两) 黄芩 防风 麦门冬(去心) 吴茱
萸(
各一两) 半夏(三两,洗) 生姜(四两,切) 杏仁(三十枚,去皮尖、两仁)
上一十二味, 咀以水一斗,煮取三升,分三服,日三。
主胸中结痰,饮 结脐下,弦满,呕逆不得食,亦主风水方。
白术 茯苓 橘皮 当归(各三两) 附子(炮,去皮,二两) 半夏(洗) 生姜(切)
桂
心(各四两)
上八味, 咀。以水一斗二升,煮取三升,分为三服,日三服,三剂佳。(《深师方》
有细辛一味,一作人参)
主治五种饮证:第一种叫留饮,水液停滞在心下部位;第二种叫悬饮(原文缺字,据《金匮要略》补为“悬”),水液停留在两胁之下;第三种叫痰饮,水液在胃中;第四种叫溢饮,水液溢出在膈膜之上、五脏之间;第五种叫流饮,水液在肠间,流动时发出声响。这五种饮证,都是由饮酒后感受伤寒,或者饮用过多冷水所导致的方剂。
远志(去除心部) 苦参 藜芦 白术 乌贼骨 甘遂 大黄 石膏 半夏(洗净) 紫菀 桔梗
大戟 葶苈子(炒制) 黄芩(以上各一两) 附子(炮制,去皮) 常山 厚朴(炙烤) 细辛 薯蓣 甘草(炙烤,以上各三分) 巴豆(三十枚,去除心部和外皮,炒制)
以上三十三味药,捣碎并过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次用酒送服三丸,每日三次,逐渐增加剂量。以见效为度。
主治胸中久寒,实邪宿痰阻隔堵塞,胸痛,气机不通利,三焦冷热不调,饮食减少且无味,或伴有寒热往来、身体沉重,卧床不想起身等症状的方剂。
前胡 人参 大黄 当归 甘草(炙烤,以上各二两) 黄芩 防风 麦门冬(去除心部) 吴茱萸(以上各一两) 半夏(三两,洗净) 生姜(四两,切片) 杏仁(三十枚,去除皮尖及双仁部分)
以上十二味药,切碎,用水一斗,煎煮取汁三升,分三次服用,每日三次。
主治胸中凝结之痰,饮邪结聚于脐下,脉弦且腹部胀满,呕吐逆气不能进食,也主治风水病的方剂。
白术 茯苓 橘皮 当归(以上各三两) 附子(炮制,去皮,二两) 半夏(洗净) 生姜(切片) 桂心(以上各四两)
以上八味药,切碎。用水一斗二升,煎煮取汁三升,分三次服用,每日三次,服用三剂为佳。(《深师方》中有细辛一味,另一种版本作人参)
Indicated for five types of Yin (Fluid Retention): The first is called Liuyin (Retention Fluid), where water stagnates below the heart; the second is called Xuanyin (Hanging Fluid), where water stays in the hypochondriac region; the third is called Tanyin (Phlegm-Fluid), where water is in the stomach; the fourth is called Yiyin (Overflowing Fluid), where water overflows above the diaphragm and among the five zang organs; the fifth is called Liuyin (Flowing Fluid), where water is between the intestines, making sounds when moved. These five types of Yin are all caused by contracting Cold Damage after drinking alcohol, or by consuming excessive amounts of cold water. This is the formula.
Yuanzhi (Polygalae Radix, remove the heart) Kushen (Sophorae Flavescentis Radix) Lili (Veratris Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Ouzeigu (Sepiae Endoconcha) Gansui (Kansui Radix) Dahuang (Rhei Radix et Rhizoma) Shigao (Gypsum Fibrosum) Banxia (Pinelliae Rhizoma, washed) Ziwan (Asternatis Radix) Jiegeng (Platycodonis Radix)
Daji (Euphorbiae Pekinensis Radix) Tingli (Lepidii Semen, stir-fried) Huangqin (Scutellariae Radix) [each one tael] Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin) Changshan (Dichroae Radix) Houpo (Magnoliae Officinalis Cortex, honey-fried) Xixin (Asari Radix et Rhizoma) Shuyu (Dioscoreae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [each three fen] Badou (Crotonis Fructus, thirty seeds, remove heart and skin, stir-fried)
The above thirty-three medicinal materials are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take three pills with wine, three times a day, gradually increasing the dose. Stop when the desired effect is achieved.
Indicated for chronic cold in the chest, retention of phlegm causing obstruction, chest pain, impaired qi flow, disharmony of cold and heat in the Sanjiao (Triple Burner), reduced appetite with loss of taste, or accompanied by alternating chills and fever, heaviness of the body, and reluctance to rise from bed. This is the formula.
Qianhu (Peucedani Radix) Renshen (Ginseng Radix) Dahuang (Rhei Radix et Rhizoma) Danggui (Angelicae Sinensis Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [each two taels] Huangqin (Scutellariae Radix) Fangfeng (Saposhnikoviae Radix) Maimendong (Ophiopogonis Radix, remove the heart) Wuzhuyu (Evodiae Fructus) [each one tael] Banxia (Pinelliae Rhizoma, three taels, washed) Shengjiang (Zingiberis Rhizoma Recens, four taels, sliced) Xingren (Armeniacae Semen, thirty seeds, remove skin and tips, discard double-kernel ones)
The above twelve medicinal materials are cut into pieces, decocted in ten dou of water until three sheng remain, divided into three doses, taken three times a day.
Indicated for condensed phlegm in the chest, fluid accumulation below the umbilicus, wiry pulse and abdominal fullness, vomiting and inability to eat. It is also indicated for Fengshui (Wind-Water Edema). This is the formula.
Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Jupi (Citri Reticulatae Pericarpium) Danggui (Angelicae Sinensis Radix) [each three taels] Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin, two taels) Banxia (Pinelliae Rhizoma, washed) Shengjiang (Zingiberis Rhizoma Recens, sliced) Guixin (Cinnamomi Ramulus) [each four taels]
The above eight medicinal materials are cut into pieces. Decoct in twelve dou of water until three sheng remain, divided into three doses, taken three times a day. Three courses of treatment are optimal. (Note: *Shenshi Fang* includes Xixin (Asari Radix et Rhizoma); another version uses Renshen (Ginseng Radix)).