治脉热极则血色脱色白干燥不泽,饮食不为肌肤,消热止极强胃气方。
生地黄汁 生麦门冬 赤蜜(各一升) 心(一作豉) 远志(各二升) 人参 白
术茯
苓芍药 干地黄(各三两) 甘草(二两) 石膏(六两) 生葳蕤(四两)
上十三味,十一味 咀,以水一斗二升煮取二升七合,去滓,下地黄汁及蜜,更煎取三
升半,分四服。
胸中痛引腰背心下呕逆面无滋润,灸上门,随年壮,穴在挟巨阙两边相去各半寸(一云
一寸)。颜色焦枯,劳气失精,肩臂痛不得上头,灸肩 百壮,穴在肩外头近后,以手按之
有解宛宛中。
(论一首 方三首 针灸法二首)
论曰∶凡脉虚者好惊跳不定,脉实者洪满。凡脉虚实之应主于心小肠。若其腑脏有病,
从热生则应脏,寒则应腑也。
补虚调中,治脉虚惊跳不定,乍来乍去,主小肠腑寒方。
防风 桂心 通草 茯神 远志 麦门冬 甘草 人参 白石英(各三两)
上九味为末,白蜜和丸,如梧子大,酒服三十丸,日再,加至四十丸。
治脉实洪满,主心热病方。
升麻 子芩 泽泻 栀子仁 淡竹叶 芒硝(各三两) 生地黄(切,一升)
上七味 咀,以水九升煮取三升,去滓,下芒硝,分三服。
调心泄热,治心脉厥大,寸口小肠热,齿龋嗌痛方。
麻黄 生姜(各四两) 细辛 子芩 茯苓 芍药(各五两) 白术(二两) 桂心(一
两)
生地黄(切一升)
上九味 咀,以水九升煮取三升,去滓,分三服,须利加芒硝三两。
治疗脉象热极导致血色脱失、面色苍白干燥无光泽,饮食无法转化为肌肤营养,具有清热止渴、强健胃气功效的方剂。
生地黄汁 生麦门冬(麦冬) 赤蜜(各一升) 心(一作豉,即豆豉) 远志(各二升) 人参 白术 茯苓 芍药 干地黄(各三两) 甘草(二两) 石膏(六两) 生葳蕤(玉竹,四两)
以上十三味药,其中十一味切碎,用水一斗二升煎煮,取药液二升七合,滤去药渣,加入生地黄汁和蜂蜜,再次煎煮至三升半,分四次服用。
胸中疼痛牵引腰背,心下呕吐逆气,面色缺乏滋润,灸上述穴位,壮数随患者年龄而定,穴位位于巨阙穴两旁,距离各半寸(一说一寸)。面色焦枯,劳损之气导致的遗精,肩臂疼痛不能上举过头,灸肩髃穴一百壮,穴位在肩峰外端后方,用手按压时有凹陷处。
(论述一首 方剂三首 针灸法二首)
论述说:凡是脉象虚弱的,容易受惊且跳动不定;脉象实的,表现为洪大满盛。凡是脉象虚实的变化主要反映于心和小肠。如果腑脏有病,热证对应脏,寒证对应腑。
补益虚弱、调理中焦,治疗脉象虚弱、惊恐跳动不定、忽来忽去,主治小肠腑寒证的方剂。
防风 桂心 通草 茯神 远志 麦门冬 甘草 人参 白石英(各三两)
以上九味药研为细末,用白蜜调和制成丸药,如梧桐子大小,酒送服三十丸,每日两次,可加量至四十丸。
治疗脉象实而洪大满盛,主治心热病的方剂。
升麻 黄芩 泽泻 栀子仁 淡竹叶 芒硝(各三两) 生地黄(切片,一升)
以上七味药切碎,用水九升煎煮至三升,滤去药渣,加入芒硝,分三次服用。
调理心脏、泄除热邪,治疗心脉厥逆粗大,寸口脉及小肠有热,牙齿龋痛咽喉痛的方剂。
麻黄 生姜(各四两) 细辛 黄芩 茯苓 芍药(各五两) 白术(二两) 桂心(一两)
生地黄(切片,一升)
以上九味药切碎,用水九升煎煮至三升,滤去药渣,分三次服用,若需要通便则加芒硝三两。
Treats the condition where extreme heat in the pulse leads to loss of blood color, resulting in a pale, dry, and lusterless complexion; food intake fails to nourish the muscles and skin. This formula clears heat, stops thirst, and strengthens stomach qi.
Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice), Sheng Maidong (Fresh Ophiopogonis Tuber), Chi Mi (Red Honey) (each 1 sheng); Xin (Heart, alternatively described as Chi/Douchi - Fermented Soybean), Yuanzhi (Polygalae Radix) (each 2 sheng); Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix), Gan Dihuang (Prepared Rehmanniae Radix) (each 3 liang); Gancao (Licorice Root) (2 liang); Shigao (Gypsum Fibrosum) (6 liang); Sheng Weirui (Polygonati Odorati Rhizoma) (4 liang).
Take the above thirteen ingredients. Chop eleven of them, decoct with 12 sheng of water until reduced to 2.7 sheng, strain, then add Sheng Dihuang Zhi and Chi Mi, and decoct again until 3.5 sheng remains. Divide into four doses.
Chest pain radiating to the lower back, epigastric vomiting and regurgitation, complexion lacking moisture. Moxibustion at the aforementioned acupoint, number of moxa cones (Zhuang) according to the patient's age. The acupoint is located on both sides of Juque (CV14), half cun apart (some texts say one cun). For scorched and withered complexion, seminal emission due to laboring qi, shoulder and arm pain preventing overhead movement. Moxibustion at Jianliao (SI14) for 100 Zhuang. The acupoint is located posterior to the lateral end of the shoulder, identified by a depression when pressed with the hand.
(One Treatise, Three Formulas, Two Acupuncture Methods)
The treatise states: Whenever the pulse is deficient, there is a tendency toward fright and irregular palpitations; when the pulse is excess, it appears surging and full. The manifestation of pulse deficiency or excess primarily relates to the Heart and Small Intestine. If there is disease in the zang-fu organs, heat conditions correspond to the zang organs, while cold conditions correspond to the fu organs.
Tonifies deficiency and regulates the middle jiao, treating deficient pulse with fright and irregular palpitations, coming and going intermittently, primarily addressing Cold of the Small Intestine Fu organ.
Fangfeng (Saposhnikoviae Radix), Guixin (Cinnamomi Ramulus), Tongcao (Tetrapanacis Medulla), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Tuber), Gancao (Licorice Root), Renshen (Ginseng Radix), Bai Shiying (Quartz) (each 3 liang).
Grind the above nine ingredients into powder, mix with white honey to make pills the size of wutong seeds. Take 30 pills with wine, twice daily, increasing to 40 pills if necessary.
Treats excess pulse that is surging and full, primarily addressing Heat Disease of the Heart.
Shengma (Bupleuri Radix), Ziqin (Scutellariae Radix), Zexie (Alismatis Rhizoma), Zhizi Ren (Gardeniae Fructus), Dan Zhuye (Lophatheri Herba), Mangxiao (Natrii Sulfas) (each 3 liang); Sheng Dihuang (Fresh Rehmanniae Radix) (cut, 1 sheng).
Chop the above seven ingredients, decoct with 9 sheng of water until reduced to 3 sheng, strain, add Mangxiao, and divide into three doses.
Regulates the Heart and drains heat, treating Jue (reversal/cold extremities) with a coarse Heart pulse, heat in the Cun Kou (radial artery) and Small Intestine, dental caries, and throat pain.
Mahuang (Ephedrae Herba), Shengjiang (Zingiberis Rhizoma Recens) (each 4 liang); Xixin (Asari Radix et Rhizoma), Ziqin (Scutellariae Radix), Fuling (Poria), Shaoyao (Paeoniae Radix) (each 5 liang); Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang); Guixin (Cinnamomi Ramulus) (1 liang); Sheng Dihuang (Fresh Rehmanniae Radix) (cut, 1 sheng).
Chop the above nine ingredients, decoct with 9 sheng of water until reduced to 3 sheng, strain, and divide into three doses. Add Mangxiao (Natrii Sulfas) 3 liang if purgation is required.