论曰大肠者,传导之官,变化出焉,今虚劳之人,重亡津液,肠胃干燥,风邪热气入客
肠间,津液销铄,所以传导苦难,令人胃气虚胀,腹胁满实,饮食迟化也。
治虚劳不足,饮食不生肌肤,三焦不调,大便秘涩,并疗癖饮百病,五柔丸方
大黄(锉炒) 前胡(去芦头各二两) 赤茯苓(去黑皮) 细辛(去苗叶) 肉苁蓉
(酒浸切
上九味,捣罗为末,炼蜜丸如梧桐子大,每服十丸,至二十丸,温酒下,食前服。
治虚劳羸瘦不足,调血气,利大小便,生地黄汤方
生干地黄(三两) 石膏(碎) 大黄(锉炒) 芍药 甘草(炙各半两)
上五味,锉如麻豆大,每服五钱匕,用水一盏半,枣二枚去核,生姜三片,煎至一盏,
去滓温服,未利再服。
治虚劳三焦不和,脏腑结滞,胸膈痞闷大便秘涩,麻仁丸方
麻仁(细研) 大黄(各四两二两蒸二两生用) 槟榔(生锉) 羌活(去芦头各一两
半) 菟
防风(去叉
上一十三味,除别研外,捣罗为末,合研匀,炼蜜丸如梧桐子大,每服十五丸,至二十
丸,温水下,空心日午临卧服。
治虚劳咳嗽气喘,两胁胀满,不思饮食,大便秘难,心躁恍惚不安,鳖甲丸方
鳖甲(去裙 醋炙) 天灵盖(酥炙各一两) 青蒿 葶苈(纸上炒) 大黄(蒸各一
分) 虎
李仁(汤去皮别
上一十味,除桃仁郁李仁外,捣罗为末和匀,炼蜜丸如梧桐子大,每服二十丸,煎橘皮
汤下。
治虚劳骨蒸,心神烦躁,大小便难,四肢疼痛,大黄丸方
大黄(锉炒) 黄芩(去黑心) 黄连(去须) 当归(切焙) 赤茯苓(去黑皮) 黄
(锉)
上一十味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温水下,不计时候。
治虚劳、口内生疮,大小便苦难,心满痛,泄热汤方
大黄(锉炒) 泽泻(锉) 黄芩(去黑心) 栀子仁 芒硝(别研) 桂(去粗皮各
一两半)
上八味粗捣筛,和匀,每服三钱匕,枣二枚劈破,水一盏,煎至七分,去滓空心日午夜
卧温服。
论述说:大肠是负责传导的器官,食物的变化由此产生。如今虚劳病患者,严重耗伤津液,导致肠胃干燥,风邪和热气侵入肠道之间,进一步销蚀津液,所以传导功能艰难,使人胃气虚弱胀满,腹部和胁部胀满坚实,饮食难以消化。
治疗虚劳不足,饮食不能滋养肌肤,三焦不调,大便秘结涩滞,并治疗癖积、饮邪等百病,五柔丸方:
大黄(切碎炒制) 前胡(去除芦头,各二两) 赤茯苓(去除黑皮) 细辛(去除苗叶) 肉苁蓉(酒浸后切片)
以上九味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的丸剂,每次服用十丸到二十丸,用温酒送服,饭前服用。
治疗虚劳羸瘦不足,调和血气,通利大小便,生地黄汤方:
生干地黄(三两) 石膏(打碎) 大黄(切碎炒制) 芍药 甘草(炙制,各半两)
以上五味药,切碎如麻豆大小,每次取五钱匕的药量,用水一盏半,红枣二枚去核,生姜三片,煎煮至一盏水,去渣温服,若未通便可再服。
治疗虚劳三焦不和,脏腑结滞,胸膈痞闷,大便秘结涩滞,麻仁丸方:
麻仁(细细研磨) 大黄(共四两,其中二两蒸制,二两生用) 槟榔(生切碎) 羌活(去除芦头,各一两半) 菟丝子(酒浸) 防风(去除叉枝)
以上十三味药,除分别研磨的外,其余捣碎过筛成粉末,混合研磨均匀,用炼蜜制成如梧桐子大小的丸剂,每次服用十五丸到二十丸,温水送服,空腹、中午及临睡前服用。
治疗虚劳咳嗽气喘,两胁胀满,不思饮食,大便秘难,心中烦躁恍惚不安,鳖甲丸方:
鳖甲(去除裙边,醋炙) 天灵盖(酥炙,各一两) 青蒿 葶苈子(在纸上炒制) 大黄(蒸制,各一分) 虎胫骨(酥炙) 枳实(麸炒) 桃仁(汤去皮,另研) 郁李仁(汤去皮,另研) 李仁(汤去皮,另研)
以上十味药,除桃仁、郁李仁外,其余捣碎过筛成粉末并混合均匀,用炼蜜制成如梧桐子大小的丸剂,每次服用二十丸,用煎好的橘皮汤送服。
治疗虚劳骨蒸,心神烦躁,大小便困难,四肢疼痛,大黄丸方:
大黄(切碎炒制) 黄芩(去除黑心) 黄连(去除须根) 当归(切片焙干) 赤茯苓(去除黑皮) 黄柏(切碎)
以上十味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的丸剂,每次服用二十丸,温水送服,不限时候。
治疗虚劳、口内生疮,大小便困难痛苦,心下满痛,泄热汤方:
大黄(切碎炒制) 泽泻(切碎) 黄芩(去除黑心) 栀子仁 芒硝(另外研磨) 桂枝(去除粗皮,各一两半)
以上八味药粗捣筛匀,混合均匀,每次取三钱匕的药量,红枣二枚劈破,用水一盏,煎煮至七分,去渣,空腹、中午及临睡前温服。
It is discussed that the Large Intestine is the official responsible for conduction, from which transformation occurs. Now, in patients with Xu Lao (Deficiency Consumption), severe loss of Jin Ye (Body Fluids) leads to dryness of the stomach and intestines. Wind pathogenic factors and heat qi invade between the intestines, further consuming Jin Ye (Body Fluids). Consequently, conduction becomes difficult, causing deficiency and distension of Stomach Qi, fullness and solidity in the abdomen and hypochondrium, and delayed digestion of food.
To treat Xu Lao (Deficiency Consumption) insufficiency, where diet fails to nourish muscles and flesh, San Jiao (Triple Burner) dysfunction, and constipation with difficulty in defecation, as well as to treat various diseases such as Pi Ji (Masses/Accumulations) and Yin Xie (Fluid Retention), the Wu Rou Wan (Five Softness Pill) formula is prescribed:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Qian Hu (Peucedani Radix, removed rhizome head, each 2 liang) Chi Fu Ling (Poria Cocos with Rosea Skin, removed black skin) Xi Xin (Asari Radix et Rhizoma, removed seedlings and leaves) Rou Cong Rong (Cistanche Deserticola Stem, soaked in wine and sliced)
The above nine ingredients are pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 10 to 20 pills, taken with warm wine before meals.
To treat Xu Lao (Deficiency Consumption) emaciation and insufficiency, regulate Blood and Qi, and promote urination and defecation, the Sheng Di Huang Tang (Rehmannia Root Decoction) formula is prescribed:
Sheng Gan Di Huang (Dried Rehmanniae Radix, 3 liang) Shi Gao (Gypsum Fibrosum, crushed) Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Shao Yao (Paeoniae Radix) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, each 0.5 liang)
The above five ingredients are chopped like hemp or bean seeds. Each dose is 5 qian bi (approx. 15-20g depending on era/measurement context, literally "five money scoops"), boiled in 1.5 zhan (approx. 300ml) of water with 2 jujubes (pitted) and 3 slices of fresh ginger, until reduced to 1 zhan. Strain and take warm. If bowel movement is not achieved, take again.
To treat Xu Lao (Deficiency Consumption) San Jiao (Triple Burner) disharmony, organ stagnation, chest and diaphragm stuffiness, and constipation with difficulty in defecation, the Ma Ren Wan (Hemp Seed Pill) formula is prescribed:
Ma Ren (Cannabis Fructus, finely ground) Da Huang (Rhei Radix et Rhizoma, total 4 liang: 2 liang steamed, 2 liang raw) Bing Lang (Arecae Semen, raw and chopped) Qiang Huo (Notopterygii Rhizoma et Radix, removed rhizome head, each 1.5 liang) Tu Si Zi (Cuscutae Semen, wine-soaked) Fang Feng (Saposhnikoviae Radix, removed forked branches)
The above thirteen ingredients, except those separately ground, are pounded, sifted into powder, mixed evenly, and formed into pills the size of Sophora japonica seeds with refined honey. Each dose is 15 to 20 pills, taken with warm water on an empty stomach, at noon, and before sleep.
To treat Xu Lao (Deficiency Consumption) cough and asthma, distension and fullness of both hypochondria, loss of appetite, severe constipation, and mental restlessness with恍惚 (faltering/unsettled mind), the Bie Jia Wan (Tartar Turtle Shell Pill) formula is prescribed:
Bie Jia (Testudinis Carapax et Plastrum, removed skirt edge, vinegar-fried) Tian Ling Gai (Human Cranium, fried with butter) Qing Hao (Artemisiae Annuae Herba) Ting Li Zi (Lepidii Semen, stir-fried on paper) Da Huang (Rhei Radix et Rhizoma, steamed, each 1 fen) Hu Jia (Panther Bone, fried with butter - *Note: Modern usage substitutes this*) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Tao Ren (Persicae Semen, blanched, skin removed, separately ground) Yu Li Ren (Pruni Semen, blanched, skin removed, separately ground) Li Ren (Prunus Armeniaca Seed, blanched, skin removed, separately ground)
The above ten ingredients, except Tao Ren (Persicae Semen) and Yu Li Ren (Pruni Semen), are pounded, sifted into powder, and mixed evenly. Formed into pills the size of Sophora japonica seeds with refined honey. Each dose is 20 pills, taken with decocted Chen Pi (Citri Reticulatae Pericarpium) soup.
To treat Xu Lao (Deficiency Consumption) bone-steaming fever, mental restlessness, difficulty in urination and defecation, and pain in the four limbs, the Da Huang Wan (Rhubarb Pill) formula is prescribed:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Huang Qin (Scutellariae Radix, removed black heart) Huang Lian (Coptidis Rhizoma, removed roots) Dang Gui (Angelicae Sinensis Radix, sliced and baked) Chi Fu Ling (Poria Cocos with Rosea Skin, removed black skin) Huang Bo (Phellodendri Cortex, chopped)
The above ten ingredients are pounded, sifted into powder, and formed into pills the size of Sophora japonica seeds with refined honey. Each dose is 20 pills, taken with warm water, at any time.
To treat Xu Lao (Deficiency Consumption), mouth sores, painful difficulty in urination and defecation, and fullness/pain in the heart region, the Xie Re Tang (Draining Heat Decoction) formula is prescribed:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Ze Xie (Alismatis Rhizoma, chopped) Huang Qin (Scutellariae Radix, removed black heart) Zhi Zi Ren (Gardeniae Fructus, kernel) Mang Xiao (Natrii Sulfas, separately ground) Gui Zhi (Cinnamomi Ramulus, removed rough bark, each 1.5 liang)
The above eight ingredients are coarsely pounded and sifted, mixed evenly. Each dose is 3 qian bi, boiled with 2 cracked jujubes in 1 zhan of water until reduced to 70%. Strain and take warm on an empty stomach, at noon, and before sleep.