肝心气实,风血相搏,大府结涩,口苦舌粗,甚则口干胶,小府赤,头痛眼昏,六脉洪
大而实,宜用柴胡汤。
柴胡 前胡 防风 杏仁(去皮尖)
心,一分) 干地黄(八铢) 半夏(二铢)
上为粗散,食后并非时,水一盏,葱白一根,同煎三四钱匕,取八分,去滓服。
肺气上实,其气上蒸,不能传送,大府秘热,其脉浮而疾,尺泽脉短,寸口脉大,宜用
柴胡汤,加紫菀,麻黄各一分,良。
寒湿之胜,大府反秘,经言阴气不用,便坚,以土不用事,脾胃不动,无传送耳,其阴
具水土之证,脉亦如之,宜用大腹皮散。
陈橘皮(一两) 青橘皮 大芎 五味子
豆蔻(各半两) 木香 槟榔(各四铢)
上为细末,每服三钱匕,非时,水一盏,煎八分,和滓服。
元气虚弱,肾水空虚,胃无津液,大府涩迟,六脉微而虚,宜用苁蓉粥。
肉苁蓉一分,米一掬,先洗苁蓉令净,切令极细,同米,用水两碗以上,煮作稀粥,既
熟,入少许葱,并薄入盐酱调和,空心,投三四盏。
小府之秘,其状难识,有淋、有癃、有涩、或疼、不疼、肝心之气,盛实而热,小肠气
虚,热气流入膀胱,遂成小府赤涩之病,其脉数而轻弦,尺泽弦而长,又微紧,或心脉长,
皆主此病,宜用此方。
茯苓(半两) 麦门冬(去心) 芍药 前胡
荆芥(三铢)
上为细末,食后,以水一盏,葱白一支,同煎三钱匕,和滓服。
又方,宜服此五苓散。
肝经之热,小府赤痛,六脉弦急而长,又发寒栗,宜用蔓荆汤方。
蔓荆子 羌活 独活 麻黄
上等分,前法煎,食后服。
湿气寒气之胜,同犯于心,心气上行,不得小便,小府不快,宜服削术草豆蔻散,又服
此大芎汤。
大芎(一两) 蓬莪术(半两) 木香(四钱) 茯苓(半两)
上为细末,空心,水一盏,入盐少许,同煎三钱匕,和滓服。
元气虚弱,肾气不足,膀胱气虚,冲任脉虚,丈夫 疝。妇人 闭,宜服此方,其脉
,六脉皆动,细数而轻弦,肾脉小击而沉,膀胱涩而短。
五味子(一两) 血茸 萆 牛膝 芎 (各半两) 干熟地黄(一两) 蓬莪术 青
盐(各一分)
上青盐一味,自为细末,余七味为细末,蒸饼,丸如梧桐子大,空心,清汤下五七十丸
肝气与心气亢盛,风邪与血分相互搏结,导致大肠传导功能阻滞涩滞,出现口苦、舌苔粗糙的症状,严重时口干且有胶着感,小便颜色红赤,头痛且眼睛昏花,六部脉象洪大且充实有力,适宜使用柴胡汤。
柴胡、前胡、防风、杏仁(去皮和尖端)、干地黄(八铢)、半夏(二铢)。
以上药物研为粗散,饭后或随时服用,取水一盏,葱白一根,同煎至剩余八分药液,滤去药渣后服用。
肺气上逆而壅实,气机上蒸,不能正常向下传导,导致大肠燥结发热,脉象浮而快速,尺泽脉短促,寸口脉大,适宜使用柴胡汤,并加入紫菀、麻黄各一分,效果良好。
寒湿之邪偏胜,大肠反而闭塞不通,医经中说阴气不能发挥作用,大便坚硬,这是因为土气不主事,脾胃运化停滞,无法传导所致,其症状兼具水土之证的表现,脉象也是如此,适宜使用大腹皮散。
陈皮(一两)、青陈皮、川芎、五味子、豆蔻(各半两)、木香、槟榔(各四铢)。
以上药物研为细末,每次服用三钱匕,随时服用,取水一盏,煎至八分,连同药渣一起服用。
元气虚弱,肾水空虚,胃中缺乏津液,导致大肠涩滞且排便迟缓,六部脉象微弱而虚软,适宜使用肉苁蓉粥。
肉苁蓉一分,米一掬,先将肉苁蓉洗净,切成极细的碎末,与米一同用水两碗以上,煮成稀粥,煮熟后,加入少许葱,并少量调入盐酱调和,空腹时,连服三四盏。
小便闭塞不通的症状难以辨识,有的表现为淋证,有的表现为癃闭,有的排尿涩痛,有的疼痛,有的不痛,这是由于肝心之气盛实而热,小肠气虚,热气流入膀胱,从而形成小便赤涩的疾病,脉象数而轻弦,尺泽脉弦而长,又微紧,或者心脉长,都主此病,适宜使用此方。
茯苓(半两)、麦门冬(去心)、芍药、前胡、荆芥(三铢)。
以上药物研为细末,饭后,取水一盏,葱白一支,同煎三钱匕的药量,连同药渣一起服用。
另一个方剂,适宜服用五苓散。
肝经有热,导致小便赤痛,六部脉象弦急而长,又伴有发冷战栗,适宜使用蔓荆汤方。
蔓荆子、羌活、独活、麻黄。
以上药物等分,按前述方法煎煮,饭后服用。
湿气寒气偏胜,共同侵犯心脏,心气上行,导致不能小便,小便不畅,适宜服用削术草豆蔻散,同时服用此大芎汤。
川芎(一两)、蓬莪术(半两)、木香(四钱)、茯苓(半两)。
以上药物研为细末,空腹时,取水一盏,加入少许盐,同煎三钱匕的药量,连同药渣一起服用。
元气虚弱,肾气不足,膀胱气虚,冲脉和任脉虚损,男子患疝气,女子患尿闭,适宜服用此方,其脉象六部皆动,细数而轻弦,肾脉小击而沉,膀胱脉涩而短。
五味子(一两)、血茸(鹿茸)、萆薢、牛膝、川芎(各半两)、干熟地黄(一两)、蓬莪术、青盐(各一分)。
将青盐一味单独研为细末,其余七味药研为细末,用蒸饼做粘合剂,制成梧桐子大小的丸药,空腹时,用清汤送服五七十丸。
When Liver Qi and Heart Qi are excessive, Wind pathogen and Blood collide with each other, leading to obstruction and astringency in the Large Intestine (Large Intestine). Symptoms include bitter taste in the mouth, rough tongue coating, and in severe cases, dry mouth with a sticky sensation. Urine is red, accompanied by headache and blurred vision. The pulse at all six positions is flooding, large, and excess. Chaihu Tang (Bupleurum Decoction) is indicated.
Ingredients: Bupleuri Radix (Chaihu), Peucedani Radix (Qianhu), Saposhnikoviae Radix (Fangfeng), Armeniacae Semen Amarum (Xingren, peeled and tip removed), Rehmanniae Radix Preparata (Shu Dihuang, 8 zhu), Pinelliae Rhizoma Preparatum (Banxia, 2 zhu).
Grind the above into a coarse powder. Take after meals or at any time. Decoct with one cup of water and one stalk of scallion white until reduced to eight-tenths. Strain and take the decoction.
When Lung Qi is hyperactive and obstructed upwards, Qi steams upward and fails to transmit downwards, causing heat accumulation and constipation in the Large Intestine (Large Intestine). The pulse is floating and rapid; the Chi Ze position pulse is short, and the Cun Kou position pulse is large. Chaihu Tang (Bupleurum Decoction) is indicated, added with Astagali Herba (Ziwan) and Ephedrae Herba (Mahuang), each one fen, which yields good results.
When Cold-Dampness prevails, the Large Intestine (Large Intestine) may paradoxically become obstructed. Classical texts state that when Yin Qi fails to function, feces become hard. This occurs because Earth Qi does not govern its functions, causing Spleen and Stomach transport to stagnate, resulting in failure of transmission. The symptoms present characteristics of both Water and Earth, and the pulse reflects this as well. Dafupi San (Areca Peel Powder) is indicated.
Ingredients: Citri Reticulatae Pericarpium (Chenpi, 1 liang), Citri Reticulatae Pericarpium Viride (Qingpi), Ligustici Chuanxiong Rhizoma (Dongxiong), Schisandrae Fructus (Wuweizi), Alpiniae Katsumadai Semen (Doukou, each half liang), Costi Rhizoma (Muxiang), Arecae Semen (Binglang, each 4 zhu).
Grind the above into a fine powder. Take three qianbi per dose, at any time. Decoct with one cup of water until reduced to eight-tenths. Take the decoction including the dregs.
When Yuan Qi (Primal Qi) is deficient, Kidney Water is empty, and the Stomach lacks fluids, the Large Intestine (Large Intestine) becomes astringent and slow. The pulse at all six positions is faint and deficient. Congrong Zhou (Cistanche Porridge) is indicated.
Ingredients: Cistanches Herba (Roucongrou, 1 fen), Rice (one handful). First wash the Cistanche thoroughly, cut it into very fine pieces, and cook it with rice using more than two bowls of water until a thin porridge is formed. After cooking, add a little scallion and mix with a small amount of salt and soy sauce. Take three to four bowls on an empty stomach.
The condition of Small Urinary Organ (Small Bladder) obstruction is difficult to identify. It may manifest as Lin syndrome (strangury), Long syndrome (difficulty in urination), or astringency. There may be pain or no pain. When Liver and Heart Qi are abundant, excess, and hot, and Small Intestine Qi is deficient, heat qi flows into the Bladder, resulting in the disease of red and astringent urine in the Small Urinary Organ (Small Bladder). The pulse is rapid and lightly wiry; the Chi Ze position pulse is wiry and long, slightly tight; or the Heart pulse is long. All these indicate this disease. This prescription is indicated.
Ingredients: Poria (Fuling, half liang), Ophiopogonis Tuber (Mendong, heart removed), Paeoniae Radix (Shaoyao), Peucedani Radix (Qianhu), Schizonepetae Spica (Jingjie, 3 zhu).
Grind the above into a fine powder. Take after meals. Decoct three qianbi with one cup of water and one stalk of scallion white. Take the decoction including the dregs.
Another formula: Wuling San (Five-Ingredient Powder with Poria) is indicated.
When Heat in the Liver Channel causes red and painful urination in the Small Urinary Organ (Small Bladder), and the pulse at all six positions is wiry, urgent, and long, accompanied by chills and shivering, Mandzing Tang (Vitex Decoction) is indicated.
Ingredients: Viticis Fructus (Manjingzi), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Ephedrae Herba (Mahuang).
Divide the above ingredients equally. Decoct according to the previous method. Take after meals.
When Dampness and Cold prevail and jointly invade the Heart, Heart Qi moves upward, preventing urination. The Small Urinary Organ (Small Bladder) feels uncomfortable. Xiaozhu Caodoukou San (Atractylodes and Cardamom Powder) is indicated, along with Dachong Tang (Large Ligustici Decoction).
Ingredients: Ligustici Chuanxiong Rhizoma (Dachong, 1 liang), Curcumae Rhizoma (Peng'ezhu, half liang), Costi Rhizoma (Muxiang, 4 qian), Poria (Fuling, half liang).
Grind the above into a fine powder. On an empty stomach, decoct three qianbi with one cup of water and a little salt. Take the decoction including the dregs.
When Yuan Qi (Primal Qi) is weak, Kidney Qi is insufficient, Bladder Qi is deficient, and the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are deficient, men suffer from Hernia (Shan), and women suffer from Urinary Retention (Bi). This formula is indicated. The pulse shows movement at all six positions, being fine, rapid, and lightly wiry. the Kidney pulse is small, striking, and deep; the Bladder pulse is astringent and short.
Ingredients: Schisandrae Fructus (Wuweizi, 1 liang), Cornu Cervi Pantotrichum (Xuerong), Dioscoreae Hypoglaucae Rhizoma (Bixie), Achyranthis Bidentatae Radix (Niuxi), Ligustici Chuanxiong Rhizoma (Xiong, each half liang), Prepared Rehmanniae Radix (Shu Dihuang, 1 liang), Curcumae Rhizoma (Peng'ezhu), Halitum (Qingyan, each 1 fen).
Grind the Halitum (Qingyan) alone into a fine powder. Grind the remaining seven herbs into a fine powder. Use steamed dough as a binder to make pills the size of paulownia seeds. Take 50–70 pills on an empty stomach with clear soup.