胁热下利。脐下热。大便赤黄。或有肠垢者。治用仲景黄芩汤。
黄芩(三两) 芍药(二两) 甘草(二两)
上锉。每服五钱。水二盏。枣子三枚。煎至八分。服。如呕。加半夏、生姜。
热毒入胃。下利脓血。治用仲景黄连阿胶汤。
黄连(四两) 黄芩(一两) 芍药(二两) 阿胶(三两)
鸡子黄(二个)
水五升。先煮三物取二升。去滓。入胶炀尽小冷。纳鸡黄令相得。温服七合。日三服。一方无
芍药、鸡子黄。有栀子仁半两。
寒毒下利。脐下寒。腹胀满。大便或黄白。或清黑、或有青谷。治用理中汤。或四逆汤。或白
通汤。(二方见前)
【仲景理中汤】
人参 干姜 甘草(炙) 白术(各等分)
上锉。每服五钱。水一盏半。煎八分。去渣。稍热服。空心食前。病重者加附子。
应汗不汗。内有瘀血。故鼻衄。治用活人书犀角地黄汤主之。
芍药(三钱) 生地黄(半两) 犀角(一两。如无。以升麻代之)
牡丹皮(一两)
上锉。每服五钱。水一盏半。煎至八分。有热狂。加黄芩二两。
藏寒蛔上入膈。吐蛔。此胃寒乃胃虚寒。非实寒也。治用仲景理中丸。
人参 干姜 甘草(炙) 白术(各三两)
上四味细末。蜜丸。每服一两作四丸。以沸汤研一丸温服。日三四服。夜二服。
【仲景乌梅丸】
乌梅(三百个) 细辛 附子(炮) 官桂
人参 黄柏(各六两) 当归 蜀椒(各四两。炒出汗)
干姜(十两) 黄连(十六两)
上用苦酒浸乌梅一宿。去核。蒸捣成泥。余药为细末。和匀。入熟蜜。杵二千下。丸如桐子大
。米汤送下十丸。日三服。稍加至二十丸。
呕吐且手足寒冷,或者出现烦躁不安。治疗使用四逆汤。(方剂见前文)
胁肋部发热并伴有腹泻,脐下感觉发热,大便颜色赤黄,或者夹杂有肠道黏液脓血。治疗使用张仲景的黄芩汤。
黄芩(三两) 芍药(二两) 甘草(二两)
以上药材切碎。每次服用五钱,加水两盏,大枣三枚,煎煮至剩余八分药液时服用。如果伴有呕吐,加入半夏、生姜。
热毒侵入胃部,导致腹泻排出脓血。治疗使用张仲景的黄连阿胶汤。
黄连(四两) 黄芩(一两) 芍药(二两) 阿胶(三两)
鸡蛋黄(两个)
加水五升,先煎煮前三味药,取药液二升,滤去药渣。加入阿胶,加热使其完全溶化,稍冷却后,纳入鸡蛋黄搅拌均匀。温服七合,每日三次。另一版本没有芍药、鸡蛋黄,而是含有半两栀子仁。
寒邪导致的腹泻,脐下感觉寒冷,腹部胀满,大便颜色或黄白,或清稀黑色,或者含有未消化的青色谷物。治疗使用理中汤。或者使用四逆汤。或者使用白通汤。(后两个方剂见前文)
【张仲景的理中汤】
人参 干姜 甘草(炙烤) 白术(各等量)
以上药材切碎。每次服用五钱,加水一盏半,煎煮至八分药液,滤去药渣。趁稍热时服用。空腹或在进食前服用。病情严重者加入附子。
应当发汗却没有发汗,体内有瘀血,因此导致鼻出血。治疗使用《活人书》中的犀角地黄汤为主治方。
芍药(三钱) 生地黄(半两) 犀角(一两。如果没有,可以用升麻代替)
牡丹皮(一两)
以上药材切碎。每次服用五钱,加水一盏半,煎煮至八分药液。如果有热盛狂躁的症状,加入黄芩二两。
脏腑寒冷,蛔虫向上进入膈部,吐出蛔虫。这是胃寒,也就是胃虚寒,并非实寒。治疗使用张仲景的理中丸。
人参 干姜 甘草(炙烤) 白术(各三两)
以上四味药研成细末,用蜂蜜制成丸剂。每次服用一两,分为四丸。用沸水将一丸化开,温服。每日三四次,夜间两次。
【张仲景的乌梅丸】
乌梅(三百个) 细辛 附子(炮制) 官桂
人参 黄柏(各六两) 当归 蜀椒(各四两,炒至出汗)
干姜(十两) 黄连(十六两)
以上药材用苦酒浸泡乌梅一夜,去核,蒸熟捣烂成泥状。其余药物研成细末,混合均匀,加入熟蜂蜜,杵捣两千下,制成如梧桐子大小的丸剂。用米汤送服十丸,每日三次,逐渐增加至二十丸。
Vomiting accompanied by cold hands and feet, or irritability. Treatment utilizes Sini Tang (Four Reversal Decoction). (Formula seen previously)
Hypochondriac heat with diarrhea, heat in the umbilical region, reddish-yellow stools, or presence of intestinal mucus/pus. Treatment utilizes Zhang Zhongjing's Huangqin Tang (Scutellaria Decoction).
Huangqin (Scutellariae Radix) (3 liang) Shaoyao (Paeoniae Radix) (2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, prepared) (2 liang)
The above herbs are sliced. Each dose is 5 qian, boiled with 2 zhan of water and 3 dates, until reduced to 8/10 volume. Take orally. If vomiting occurs, add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens).
Heat-toxin entering the stomach causing diarrhea with pus and blood in stool. Treatment utilizes Zhang Zhongjing's Huanglian Ejiao Tang (Coptis and Donkey-hide Gelatin Decoction).
Huanglian (Coptidis Rhizoma) (4 liang) Huangqin (Scutellariae Radix) (1 liang) Shaoyao (Paeoniae Radix) (2 liang) Ejiao (Colla Corii Asini) (3 liang)
Jizi Huang (Ovi Galli Albumen) (2 yolks)
Add 5 sheng of water. First boil the first three ingredients to obtain 2 sheng of liquid. Strain. Add gelatin and melt completely over heat, then cool slightly. Incorporate egg yolks and mix well. Take 7 ge warm, three times daily. Another version excludes Shaoyao and Jizi Huang, but includes Banliang of Zhizi Ren (Gardeniae Semen).
Cold-toxin causing diarrhea, cold sensation below the umbilicus, abdominal distension and fullness, stools may be yellow-white, clear-black, or contain undigested green grains. Treatment utilizes Lizhong Tang (Regulate the Middle Decoction). Or Sini Tang (Four Reversal Decoction). Or Baitong Tang (White Through Decoction). (The latter two formulas seen previously)
[Zhang Zhongjing's Lizhong Tang]
Renshen (Ginseng Radix et Rhizoma) Ganjiang (Zingiberis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma) (equal parts each)
The above herbs are sliced. Each dose is 5 qian, boiled with 1.5 zhan of water until reduced to 8/10 volume. Strain. Take while slightly warm. On an empty stomach or before meals. For severe cases, add Fuzi (Aconiti Lateralis Radix Praeparata).
Failure to sweat when sweating is indicated, leading to internal blood stasis, resulting in epistaxis. Treatment utilizes Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) from Huoren Shu as the primary formula.
Shaoyao (Paeoniae Radix) (3 qian) Shengdihuang (Rehmanniae Radix) (0.5 liang) Xijiao (Rhinocerotis Cornu) (1 liang. If unavailable, substitute with Shengma [Cimicifugae Rhizoma])
Mudanpi (Moutan Cortex) (1 liang)
The above herbs are sliced. Each dose is 5 qian, boiled with 1.5 zhan of water until reduced to 8/10 volume. If there is heat-induced mania, add Huangqin (Scutellariae Radix) 2 liang.
Visceral cold causes roundworms to ascend into the diaphragm, resulting in vomiting of worms. This is Stomach Cold, specifically Deficiency-Cold of the Stomach, not Excess-Cold. Treatment utilizes Zhang Zhongjing's Lizhong Wan (Regulate the Middle Pill).
Renshen (Ginseng Radix et Rhizoma) Ganjiang (Zingiberis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma) (each 3 liang)
The above four ingredients are ground into fine powder. Form pills with honey. Each dose is 1 liang, divided into four pills. Dissolve one pill in boiling water and take warm. Three to four times daily, twice at night.
[Zhang Zhongjing's Wumei Wan]
Wumei (Mume Fructus) (300 pieces) Xixin (Asari Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Guigui (Cinnamomi Ramulus)
Renshen (Ginseng Radix et Rhizoma) Huangbai (Phellodendri Cortex) (each 6 liang) Danggui (Angelicae Sinensis Radix) Shujiao (Zanthoxyli Pericarpium) (each 4 liang, stir-fried until "sweat" appears)
Ganjiang (Zingiberis Rhizoma) (10 liang) Huanglian (Coptidis Rhizoma) (16 liang)
Soak Wumei in Kujiu (bitter wine) overnight. Remove pits. Steam and pound into a paste. Grind remaining herbs into fine powder, mix evenly, add cooked honey, and pound for 2000 strikes. Form pills the size of tung seeds. Take 10 pills with rice soup, three times daily. Gradually increase to 20 pills.