《千金》∶凡右手寸口气口以前脉阳虚者,手阳明经也。病苦胸中喘,肠鸣,虚渴唇干
,目急善惊,泄白,名曰大肠虚寒也。
又疗大肠虚寒,痢下青白,肠中雷鸣相逐。黄连补汤方。
黄连(四两) 茯苓(四两) 芎 (三两) 醋石榴皮(四枚) 地榆(五两) 伏
龙肝(如鸡
子大一枚)
上六味,切,以水七升,煮五味,取二升五合,去滓,下伏龙肝屑搅调,分三服。忌猪
肉、冷水、大醋。(出第十八卷中)
《删繁》疗大肠虚寒,欠 咳气短,少腹中痛。款冬花丸方。
款冬花(七分) 桂心 五味子(各六分) 干姜 芎 甘草(炙各五分) 附子(四
分炮) 桔梗(四分) 苏子(五合熬) 蜀椒(一升) 百部汁(七合) 白蜜(一升) 干
枣(五十枚去
皮) 姜汁(一升)
上十四味,细捣为末,将姜、蜜汁和,微火上煎,取为丸如梧子。每服温酒下三十丸,
加至四十丸,日再。忌海藻、菘菜、猪肉、冷水、生葱。(出第二卷中)
《删繁》论曰∶夫五脏六腑者,内应骨髓,外合皮毛肤肉。若病从外生,则皮毛肤肉关
格强急,若病从内发,则骨髓疼痛。然阴阳表里,外皮内髓,其病源不可不详之也。皮虚者
寒,皮实者热,凡皮虚实之应,主于肺大肠,其病发于皮毛,热即应脏,寒即应腑。(《千
金》同,出第三卷中)
《千金》疗皮虚,主大肠病,寒气关格。蒴 蒸汤方。
蒴 根叶(切三升) 桃皮叶(锉三升) 菖蒲叶(锉三升) 细糠(一斗) 秫米(五
升)
上五味,以水一石五斗,煮取米熟为度,大盆器贮于上,作小竹床子罩盆,人身坐床中
,四面周回将席荐障风,身上以衣被盖覆。若气急时开孔对口泄气,取通身接汗,可作两食
久许,如此三日。若盆里不过热,盆下安炭火也。非惟疗寒,但是皮肤下一切劳冷,并皆疗
之。忌羊肉、饧。(《删繁》同)
又疗皮实,主肺病热气。栀子煎方。
栀子 枳实(炙) 大青 杏仁(去两仁、尖、皮) 柴胡 芒硝(各三两) 生地黄
(切一
升) 石膏(八两) 淡竹叶(切一升) 生玄参(五两)
上十味,切,以水九升,煮取三升,下芒硝,分三服。忌芜荑。(《删繁》同,并出第
十八卷中)
《千金方》记载:凡是右手寸口脉在关前(阳部)出现阳虚脉象的,属于手阳明大肠经的病证。患者痛苦于胸中气喘、肠鸣、因虚而渴且嘴唇干燥、眼睛拘急易受惊吓、排泄物色白,这被称为大肠虚寒证。
又有一方治疗大肠虚寒,症见痢下青色或白色粪便,肠中雷鸣般作响并相继发作。方名为黄连补汤。
药材组成:黄连(四两)、茯苓(四两)、川芎(三两)、醋浸过的石榴皮(四枚)、地榆(五两)、伏龙肝(如鸡蛋大小的一块)。
以上六味药,切碎,用七升水,先煮除伏龙肝外的五味药,取汁二升五合,滤去药渣,加入伏龙肝的细末搅拌调和,分三次服用。忌食猪肉、冷水、大量醋。(出自第十八卷)
《删繁方》记载治疗大肠虚寒,症见打哈欠、咳嗽、气短、小腹部疼痛。方名为款冬花丸。
药材组成:款冬花(七分)、桂心、五味子(各六分)、干姜、川芎、炙甘草(各五分)、炮附子(四分)、桔梗(四分)、熬制过的苏子(五合)、蜀椒(一升)、百部汁(七合)、白蜜(一升)、去皮的大枣(五十枚)、姜汁(一升)。
以上十四味药,细细捣碎成粉末,用姜汁和蜂蜜汁调和,在微火上煎煮,制成梧桐子大小的药丸。每次用温酒送服三十丸,可加至四十丸,每日两次。忌食海藻、白菜、猪肉、冷水、生葱。(出自第二卷)
《删繁方》论述道:五脏六腑,内部对应骨髓,外部连接皮毛肌肉。如果病邪从外部侵入,则会导致皮毛肌肉闭塞强直;如果病邪从内部发生,则会导致骨髓疼痛。然而阴阳表里关系,外皮与内髓的联系,其发病根源不可不详细探究。皮虚则表现为寒,皮实则表现为热。凡皮虚实的变化,主要与肺和大肠有关,病发于皮毛,热证会应及内脏(脏),寒证会应及腑(腑)。(《千金方》观点相同,出自第三卷)
《千金方》记载治疗皮虚,主治大肠病,寒气闭塞不通。方名为蒴藋蒸汤。
药材组成:蒴藋根叶(切三升)、桃树皮叶(锉碎三升)、菖蒲叶(锉碎三升)、细糠(一斗)、秫米(五升)。
以上五味药,用水一石五斗,煮至米粒熟透为止。准备一个大盆放在上面,制作一个小竹床罩在盆上,人坐在竹床中,四周用席子遮挡防风,身上用衣被覆盖。如果感到气急,可以打开孔洞对着口泄气,目的是让全身出汗,大约持续两个顿饭的时间,连续三天如此。如果盆不够热,可以在盆下放置炭火。此法不仅治疗寒证,凡是皮肤下面的一切劳损寒冷之症,都一并治疗。忌食羊肉、饴糖。(《删繁方》观点相同)
又有一方治疗皮实,主治肺病热气。方名为栀子煎。
药材组成:栀子、炙枳实、大青、杏仁(去掉双仁、尖端、皮)、柴胡、芒硝(各三两)、切开的生地黄(一升)、石膏(八两)、切开的淡竹叶(一升)、生玄参(五两)。
以上十味药,切碎,用九升水,煮取三升药汁,加入芒硝,分三次服用。忌食芜荑。(《删繁方》观点相同,均出自第十八卷)
According to the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold): In cases where the pulse at the Cun Kou position on the right hand, specifically anterior to the Guan position (Yang region), exhibits Yang deficiency, it indicates a disease of the Hand-Yangming Large Intestine Meridian. The patient suffers from wheezing in the chest, borborygmus (intestinal rumbling), thirst due to deficiency with dry lips, eye stiffness and susceptibility to fright, and white stools. This is termed "Large Intestine Deficiency-Cold" (Da Chang Xu Han).
Another prescription treats Large Intestine Deficiency-Cold, characterized by dysentery with green or white discharge and loud borborygmus following one another. The formula is named Huanglian Bu Tang (Coptis Decoction for Tonification).
Ingredients: Huanglian (Rhizoma Coptidis, 4 liang), Fuling (Poria, 4 liang), Xiong (Radix Chuanxiong, 3 liang), Vinegar-treated Pomegranate Peel (Pericarpium Granati, 4 pieces), Diyu (Herba Sanguisorbae, 5 liang), Fulonggan (Ligni Calcinalis, one piece the size of a chicken egg).
The above six herbs are chopped. Using seven sheng of water, boil the five herbs excluding Fulonggan until two sheng and five he remain. Strain out the dregs, add the powder of Fulonggan, stir well, and divide into three doses. Avoid pork, cold water, and excessive vinegar. (From Volume 18)
The *Shanfan Fang* records a treatment for Large Intestine Deficiency-Cold, presenting with yawning, cough, shortness of breath, and pain in the lower abdomen. The formula is named Kundonghua Wan (Saururus Pill).
Ingredients: Kundonghua (Flos Tussilaginis, 7 fen), Guixin (Cortex Cinnamomi, 6 fen), Wuweizi (Fructus Schisandrae, 6 fen), Ganjiang (Rhizoma Zingiberis, 5 fen), Xiong (Radix Chuanxiong, 5 fen), Zhigancao (Radix Glycyrrhizae Preparata, 5 fen), Fuzi (Radix Aconiti Lateralis Preparata, 4 fen), Jiegeng (Radix Platycodi, 4 fen), Su Zi (Fructus Perillae, roasted, 5 he), Shujiao (Pericarpium Zanthoxyli, 1 sheng), Baibu Zhi (Succus Stemona, 7 he), Baimi (Mell, 1 sheng), Gancou Dazao (Fructus Jujubae, peeled, 50 pieces), Jiangzhi (Succus Zingiberis, 1 sheng).
The above fourteen herbs are finely pounded into powder. Mix with Jiangzhi and Baimi, and simmer over a mild fire to form pills the size of Sophora seeds. Take thirty pills per dose with warm wine, increasing to forty pills if necessary. Administer twice daily. Avoid Algae (Haizao), Brassica vegetables (Songcai), pork, cold water, and raw scallions. (From Volume 2)
The *Shanfan Fang* states: The Five Zang and Six Fu organs internally correspond to bone marrow and externally connect to the skin, hair, and flesh. If pathology arises from the exterior, it causes obstruction and stiffness in the skin, hair, and flesh; if pathology originates from the interior, it causes pain in the bone marrow. Therefore, regarding Yin-Yang, Exterior-Interior relationships, and the connection between outer skin and inner marrow, the sources of disease must be investigated in detail. Skin deficiency manifests as Cold, while Skin excess manifests as Heat. Generally, the indications of Skin deficiency and excess are governed by the Lung and Large Intestine. When disease manifests in the skin/hair, Heat corresponds to the Zang organs, and Cold corresponds to the Fu organs. (Consistent with *Qianjin Fang*, From Volume 3)
The *Qianjin Fang* records a treatment for Skin Deficiency, primarily addressing Large Intestine disease caused by Cold Qi obstruction. The formula is named Shuoduo Zheng Tang (Dioscorea Hypoglauca Steam Bath Decoction).
Ingredients: Shuoduo Genye (Herba et Radix Dioscoreae Hypoglauciae, chopped, 3 sheng), Taopiye (Cortex et Folium Persicae, crushed, 3 sheng), Changpu Ye (Folium Acori Tatarinowii, crushed, 3 sheng), Xifang (Fine Bran, 1 dou), Shumi (Frumentum Glutinosum Milii, 5 sheng).
The above five ingredients are boiled in fifteen dan of water until the rice is cooked. Place a large basin over the pot, set a small bamboo bed over the basin, and have the person sit on the bed. Shield the surroundings with mats to block wind, and cover the body with clothes and blankets. If shortness of breath occurs, open the vent to exhale. The goal is to induce sweating throughout the body, lasting approximately the time it takes to eat two meals, for three consecutive days. If the basin is not hot enough, place charcoal fire beneath it. This method not only treats Cold but also addresses all types of chronic cold conditions beneath the skin. Avoid mutton and malt sugar (Yitang). (Consistent with *Shanfan Fang*)
Another prescription treats Skin Excess, primarily addressing Lung disease caused by Heat Qi. The formula is named Zhizi Jian (Gardenia Decoction).
Ingredients: Zhizi (Fructus Gardeniae), Zhishi (Fructus Aurantii Immaturus, prepared), Daqing (Radix Isatidis), Xingren (Semen Armeniacae Amarum, remove double kernels, tips, and skins), Chaihu (Radix Bupleuri), Mangxiao (Natrii Sulfas, 3 liang each), Shengdihuang (Radix Rehmanniae Recens, chopped, 1 sheng), Shigao (Gypsum Fibrosum, 8 liang), Danzhuye (Folium Phyllostachydis Viridis, chopped, 1 sheng), Sheng Xuanshen (Radix Scrophulariae, 5 liang).
The above ten herbs are chopped. Boil in nine sheng of water until three sheng remain. Add Mangxiao, strain, and divide into three doses. Avoid Elaeagnus fruit (Wuyi). (Consistent with *Shanfan Fang*, both from Volume 18)