大黄 麻黄 黄芩(各四两) 杏仁 赤茯苓 甘草 橘皮 芒硝 泽泻
上九味 咀,以水九升煮取三升,绞去滓,纳大黄,煮两沸去滓,下芒硝,分三服。
治脾脉厥逆大腹中热切痛,舌强腹胀,身重食不下,心注脾急痛方。
大黄(切,水一升半,渍一宿) 甘草(各三两) 泽泻 茯苓 黄芩 细辛 芒硝 橘
皮
(各
上八味 咀,以水七升煮取三升三合,去滓,下大黄更煎二沸,去滓,下芒硝,分三
服。
治脾热胁痛,热满不歇,目赤不止,口唇干裂方∶
石膏(一斤,碎) 生地黄汁 赤蜜(各一升) 竹叶(切、五升)
上四味先以水一斗二升煮竹叶,取七升,去滓,澄清,下石膏,煮取一升五合,去滓,
下地黄汁煮两沸,次下蜜煎取三升,细细服之。
治脾热偏一边痛,胸满胁偏胀方∶
茯苓 橘皮 泽泻(各三两) 芍药 白术(各四两) 桂心 人参(各三两) 石膏
(八两) 半夏(六两) 生姜(切) 桑根白皮(各一升)
上十一味 咀,以水一斗二升煮取三升,去滓,分三服。若须利下,加芒硝二两佳。
脾虚冷
右手关上脉阴虚者,足太阴经也。病苦泄注,腹满气逆,霍乱、呕吐、黄胆,心烦不得
卧,肠鸣,名曰脾虚冷也。
治虚胀胁痛肩息有时发作悉补之方∶
五加根皮 丹参 橘皮(各一斤) 地骨皮 干姜 白术(各八两) 干地黄 芎 附
子
(各五两) 猪椒根皮(二斤) 桂心 桔梗(各四两) 甘草(三两) 大枣(五十枚)
上十四味 咀,以酒四斗渍五七日,服七八合加至一升,日再服。
三黄泻热汤方:
大黄、麻黄、黄芩(各四两)、杏仁、赤茯苓、甘草、橘皮、芒硝、泽泻。
以上九味药,切碎,用九升水煎煮至三升,过滤去渣,加入大黄,煮沸两次后去渣,再加入芒硝,分三次服用。
大黄泻热汤方:
治疗脾脉气机逆乱,腹部胀大且内部灼热剧痛,舌体僵硬、腹部胀满,身体沉重、饮食难下,心部牵引脾部急迫疼痛的方剂。
大黄(切片,用一升半水浸泡一夜)、甘草(各三两)、泽泻、茯苓、黄芩、细辛、芒硝、橘皮(各三两)。
以上八味药,切碎,用七升水煎煮至三升三合,过滤去渣,加入大黄再煎煮两次沸腾,过滤去渣,加入芒硝,分三次服用。
治疗脾热导致胁肋疼痛,热感胀满不止,眼睛发红不退,口唇干裂的方剂:
石膏(一斤,捣碎)、生地黄汁、赤蜜(各一升)、竹叶(切碎,五升)。
以上四味药,先用一斗二升水煮竹叶,取七升汁液,过滤去渣并澄清,加入石膏,煎煮至一升五合,过滤去渣,加入生地黄汁煮沸两次,随后加入蜂蜜煎煮至三升,细细服用。
治疗脾热导致身体一侧偏痛的方剂:
茯苓、橘皮、泽泻(各三两)、芍药、白术(各四两)、桂心、人参(各三两)、石膏(八两)、半夏(六两)、生姜(切碎)、桑根白皮(各一升)。
以上十一味药,切碎,用一斗二升水煎煮至三升,过滤去渣,分三次服用。如果需要通便泄下,加芒硝二两效果更佳。
脾虚冷证:
右手关部脉象呈现阴虚特征的是足太阴脾经。病症表现为腹泻如水、腹部胀满、气机上逆,霍乱、呕吐、黄疸,心烦意乱无法安卧,肠鸣音亢进,这被称为脾虚冷证。
治疗虚性腹胀、胁肋疼痛、呼吸时耸肩、有时发作,全面补益的方剂:
五加根皮、丹参、橘皮(各一斤)、地骨皮、干姜、白术(各八两)、干地黄、川芎、附子(各五两)、猪椒根皮(二斤)、桂心、桔梗(各四两)、甘草(三两)、大枣(五十枚)。
以上十四味药,切碎,用四斗酒浸泡五到七天,每次服用七八合,逐渐增加至一升,每日服用两次。
Sanhuang Xiere Tang Formula (Three-Yellow Decoction for Draining Heat):
Dahuang (Rhei Radix et Rhizoma), Mahuang (Ephedrae Herba), Huangqin (Scutellariae Radix) (each 4 liang), Xingren (Armeniacae Semen Amarum), Chifuling (Poria cum Ligno), Gancao (Glycyrrhizae Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium), Mangxiao (Natrii Sulfas), Zexie (Alismatis Rhizoma).
The above nine ingredients are cut into pieces, decocted in 9 sheng of water until reduced to 3 sheng, strained to remove dregs, then Dahuang is added and boiled for two boils before straining again. Mangxiao is then added, and the mixture is divided into three doses for administration.
Dahuang Xiere Tang (Major Rhubarb Decoction for Draining Heat):
A formula treating spleen pulse reversal with abdominal distension, intense internal burning pain, stiff tongue, abdominal fullness, heavy body, inability to eat, and acute pain radiating from the heart to the spleen.
Dahuang (sliced, soaked overnight in 1.5 sheng of water), Gancao (each 3 liang), Zexie, Fuling (Poria), Huangqin, Xixin (Asari Radix et Rhizoma), Mangxiao, Jupi (each 3 liang).
The above eight ingredients are cut into pieces, decocted in 7 sheng of water until reduced to 3 sheng and 3 he, strained to remove dregs, then Dahuang is added and boiled for two more boils before straining. Mangxiao is then added, and the mixture is divided into three doses for administration.
Formula for treating spleen heat causing flank pain, persistent heat and fullness, continuous redness of the eyes, and dry cracked lips:
Shigao (Gypsum Fibrosum, 1 jin, crushed), Shengdihuang Zhi (Jus Radicis Rehmanniae Recens), Chi Mi (Red Honey) (each 1 sheng), Zhuye (Bambusae Folium, 5 sheng, cut).
The above four ingredients are first decocted in 12 dou of water using Zhuye, yielding 7 sheng of liquid. The dregs are removed, and the liquid is clarified. Shigao is added and decocted until reduced to 1.5 he. The dregs are removed, Shengdihuang Zhi is added and boiled for two boils, followed by the addition of honey, which is decocted until reduced to 3 sheng. It should be taken slowly in small sips.
Formula for treating spleen heat causing pain on one side of the body:
Fuling, Jupi, Zexie (each 3 liang), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 liang), Guixin (Cinnamomi Ramulus), Ren Shen (Ginseng Radix) (each 3 liang), Shigao (8 liang), Banxia (Pinelliae Rhizoma Praeparatum) (6 liang), Shengjiang (Zingiberis Rhizoma Recens, cut), Sanggenbaipi (Mori Cortex) (each 1 sheng).
The above eleven ingredients are cut into pieces, decocted in 12 dou of water until reduced to 3 sheng, strained to remove dregs, and divided into three doses. If purgation is desired, adding 2 liang of Mangxiao is recommended.
Spleen Deficiency Cold Syndrome:
When the pulse at the right guan position indicates yin deficiency, it pertains to the Foot-Taiyin Spleen Meridian. Symptoms include watery diarrhea, abdominal fullness with qi rebellion, cholera-like vomiting, jaundice, irritability with insomnia, and borborygmus. This is termed Spleen Deficiency Cold.
Comprehensive Tonification Formula for treating vacuity-type abdominal distension, flank pain, shoulder-lifting respiration, and intermittent attacks:
Wujia Genpi (Acanthopanacis Cortex), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Jupi (each 1 jin), Digupi (Lycii Cortex), Ganjiang (Zingiberis Rhizoma), Baizhu (each 8 liang), Ganyedi Huang (Rehmanniae Radix Preparata), Xiong (Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata) (each 5 liang), Zhu Jiaogenpi (Phytolaccae Radix), Guixin, Jiegeng (Platycodonis Radix) (each 4 liang), Gancao (3 liang), Dazao (Jujubae Fructus, 50 pieces).
The above fourteen ingredients are cut into pieces, macerated in 4 dou of wine for five to seven days. Take 0.7-0.8 he per dose, gradually increasing to 1 sheng, administered twice daily.