病源悬饮,谓饮水过多,留在胁下,令胁间悬痛,咳唾引胁痛,故云悬饮。(出第二十
二卷中)
范汪大甘遂丸,疗久 留水 饮方。
芫花(熬) 甘遂 葶苈子(熬) 大黄 苦参 大戟 芒硝 贝母 桂心(各一两) 杏
仁
(三十枚) 巴豆(三十枚去心皮熬) 乌喙(三分炮令折)
上十二味捣筛,其巴豆杏仁捣如膏,合以蜜和丸,如大豆许。服二丸,日三服,不知稍
加,以意将息之,大佳,疗大水饮病。忌食芦笋猪肉生葱等。(出第十六卷中)
千金疗悬饮十枣汤方。
芫花 甘遂 大戟
上三味等分捣筛,以水一升五合,煮大枣十枚,取八合,绞去滓,纳药末,强人取一钱
匕,羸人半钱匕,顿服之,平旦不下者,益药半钱,下后以糜粥自养。(此本仲景伤寒论方
出第十八卷中)
病源溢饮,谓因大渴而暴饮水,水气溢于肠胃之外,在于皮肤之间,故言溢饮,令人身
体疼重而多汗,是其候也。(出第二十卷中)
范汪溢饮者当发其汗,大青龙汤主之方。
麻黄(六两去节) 桂心(二两) 甘草(炙二两) 生姜(三两) 石膏(如鸡子一
枚) 杏仁
(四十枚去尖皮) 大枣(十枚)
上七味 咀,以水九升,先煮麻黄减二升,乃纳诸药,煮取三升,绞去滓,适寒温,
服一升,温覆令汗,汗出多者,温粉粉之,一服汗出者,勿复服,汗出多亡阳,逆虚恶风,
烦躁不得眠,脉微弱,汗出恶风不可服,服之则厥逆,筋惕肉 ,此为逆也。忌海藻菘菜生
葱。(
千金溢饮者当发其汗,宜青龙汤方。
麻黄(去节) 芍药 细辛 桂心 干姜 甘草(炙各三两) 五味子(半升) 半夏
(半升)
上八味切,以水一斗,先煮麻黄减二升,乃纳余药煮三升,去滓,温服一升。忌海藻
菘菜羊肉饧生菜生葱。(此仲景伤寒论小青龙汤也出第十八卷中)
千金翼大五饮丸,主五种饮,一曰留饮,停水在心下,二曰 饮,水 在两胁下,三曰
痰饮水在胃中,四曰溢饮,水溢在膈上五脏间,五曰流饮,水在肠间,动摇有声,夫五饮者,
由
远志(去心) 苦参 乌贼鱼骨 藜芦 白术 甘遂 五味子 大黄 石膏 桔梗 半
夏
(洗) 紫菀 前胡 芒硝 栝蒌 桂心 苁蓉 贝母 芫花 当归 人参 茯苓 芍药
大
戟葶苈 黄芩(各一两) 常山 甘草(炙) 山药 浓朴 细辛(各三分) 附子(三
分炮)
巴豆(三
上三十三味捣筛,蜜和为丸,如梧子大。酒服三丸,日三,稍加之。忌狸肉桃李雀肉猪
肉羊肉饧生葱酢物生菜野猪肉芦笋等。(胡洽同出第十九卷中)
【病源】所谓悬饮,是指饮水过多,水液停留在胁下,导致胁肋间悬挂样疼痛,咳嗽吐痰时牵引胁部作痛,因此称为悬饮。(出自第二十卷中)
范汪大甘遂丸,治疗久留的水饮病方。
芫花(炒制)、甘遂、葶苈子(炒制)、大黄、苦参、大戟、芒硝、贝母、桂心(各一两)、杏仁(三十枚)、巴豆(三十枚,去心皮后炒制)、乌喙(三分,炮制至折断)。
以上十二味药捣碎过筛,其中巴豆和杏仁捣成膏状,与蜂蜜混合制成丸剂,大小如大豆。每次服用两丸,每日三次,若无效则酌情稍加剂量,根据情况调养,效果极佳,用于治疗严重的水饮病。忌食芦笋、猪肉、生葱等。(出自第十六卷中)
《千金方》治疗悬饮的十枣汤方。
芫花、甘遂、大戟。
以上三味药等量捣碎过筛,用水一升五合,煮大枣十枚,取汁八合,过滤去渣,加入药末,体质强壮者服一钱匕,体质虚弱者服半钱匕,一次性顿服。若清晨服药后未通便,则增加药量半钱匕;通便后以米粥自我调养。(此方本出自张仲景《伤寒论》,见于第十八卷中)
【病源】所谓溢饮,是指因极度口渴而突然大量饮水,水气溢出肠胃之外,滞留于皮肤之间,因此称为溢饮,其症状表现为身体沉重疼痛且多汗。(出自第二十卷中)
范汪认为溢饮应当发汗,主方为大青龙汤。
麻黄(六两,去节)、桂心(二两)、甘草(炙,二两)、生姜(三两)、石膏(如鸡蛋一枚大小)、杏仁(四十枚,去尖皮)、大枣(十枚)。
以上七味药切碎,用水九升,先煮麻黄减少二升,然后加入其他药物,煮取三升,过滤去渣,温度适宜时服用一升,服药后覆盖衣被令其出汗。若出汗过多,用温粉扑身止汗。若服用一次即出汗,则不要再服,否则会导致汗出过多而亡阳,出现逆乱、虚损、恶风、烦躁不得眠、脉微弱、汗出恶风等症状,此时不可服用,否则会导致四肢厥冷、筋肉跳动,这是误治的后果。忌食海藻、菘菜、生葱。(出自第十六卷中)
《千金方》认为溢饮应当发汗,宜用青龙汤方。
麻黄(去节)、芍药、细辛、桂心、干姜、甘草(炙,各三两)、五味子(半升)、半夏(半升)。
以上八味药切碎,用水一斗,先煮麻黄减少二升,然后加入其余药物煮取三升,过滤去渣,温热服用一升。忌食海藻、菘菜、羊肉、饴糖、生菜、生葱。(此方为张仲景《伤寒论》中的小青龙汤,见于第十八卷中)
《千金翼方》的大五饮丸,主治五种饮邪:一是留饮,水停在心下;二是伏饮,水停在两胁下;三是痰饮,水停在胃中;四是溢饮,水溢出在膈上五脏之间;五是流饮,水在肠间,动摇时有声响。这五种饮邪,由……(原文此处似有脱漏或语意未完,接药材列表)
远志(去心)、苦参、乌贼鱼骨、藜芦、白术、甘遂、五味子、大黄、石膏、桔梗、半夏(洗)、紫菀、前胡、芒硝、栝蒌、桂心、肉苁蓉、贝母、芫花、当归、人参、茯苓、芍药、大戟、葶苈子、黄芩(各一两)、常山、甘草(炙)、山药、厚朴、细辛(各三分)、附子(三分,炮制)、巴豆(三……(原文此处截断,推测为数量单位,后续为“上三十三味”)
以上三十三味药捣碎过筛,用蜂蜜调和制成丸剂,大小如梧桐子。用酒送服三丸,每日三次,可酌情增加剂量。忌食狸肉、李子、桃子、雀肉、猪肉、羊肉、饴糖、生葱、醋物、生菜、野猪肉、芦笋等。(胡洽方相同,出自第十九卷中)
[Pathogenesis] The term "Xuan Yin" (Hanging Fluid Retention) refers to a condition where excessive water intake leads to fluid accumulation in the hypochondriac region, causing hanging-like pain in the intercostal spaces. Coughing and expectoration pull on the hypochondrium, inducing pain; hence it is called Xuan Yin. (From Volume 20)
Fan Wang's Da Gansui Wan (Great Kansui Pill), a formula for treating long-standing retained fluid.
Daphne Genkwa Flower (Yuanhua, processed), Kansui Root (Gansui), Lepidium Seed (Tinglizi, processed), Rhubarb (Dahuang), Sophora Root (Kushen), Euphorbia Root (Daji), Mirabilite (Mangxiao), Fritillaria Bulb (Beimu), Cinnamon Twig (Guixin) (each 1 liang), Apricot Seed (Xingren) (30 seeds), Croton Seed (Badou) (30 seeds, remove heart and skin, process), Aconitum Lateralis Radicae Preparata (Wuhui) (3 fen, process until brittle).
The above twelve herbs are crushed and sifted. The Badou and Xingren are pounded into a paste, then mixed with honey to form pills the size of soybeans. Take two pills per dose, three times daily. If ineffective, slightly increase the dosage according to judgment and adjust accordingly for optimal results. This treats severe fluid retention diseases. Avoid eating Asparagus cochinchinensis (Lusun), pork, raw green onions, etc. (From Volume 16)
Qianjin Fang's Shizao Tang (Ten Jujube Decoction) for treating Xuan Yin.
Daphne Genkwa Flower (Yuanhua), Kansui Root (Gansui), Euphorbia Root (Daji).
The above three herbs are equal parts, crushed and sifted. Boil ten large jujubes (Dazao) in 1 sheng 5 he of water, reduce to 8 he, strain to remove dregs, add the herbal powder. Strong individuals take one qian bi (a spoonful measure), weak individuals take half a qian bi. Take as a single dose in the morning. If no bowel movement occurs by dawn, increase the dose by half a qian bi. After evacuation, nourish oneself with millet porridge. (This formula originally comes from Zhang Zhongjing's Shanghan Lun, found in Volume 18)
[Pathogenesis] The term "Yi Yin" (Overflowing Fluid Retention) refers to a condition caused by sudden excessive drinking due to extreme thirst. The water qi overflows beyond the stomach and intestines, remaining between the skin and muscles. Hence it is called Yi Yin. Its symptoms include heavy body pain and profuse sweating. (From Volume 20)
Fan Wang states that Yi Yin should be treated by inducing sweating, primarily using Da Qinglong Tang (Major Blue-Green Dragon Decoction).
Ephedra Stem (Mahuang, 6 liang, remove joints), Cinnamon Twig (Guixin, 2 liang), Licorice Root (Gancao, roasted, 2 liang), Fresh Ginger (Shengjiang, 3 liang), Gypsum (Shigao, size of one chicken egg), Apricot Seed (Xingren, 40 seeds, remove tips and skins), Large Jujube (Dazao, 10 pieces).
The above seven herbs are cut. Boil in 9 sheng of water. First boil Mahuang to reduce by 2 sheng, then add the other herbs. Boil to obtain 3 sheng, strain to remove dregs. Drink 1 sheng when warm. Cover with blankets to induce sweating. If sweating is excessive, apply warm powder to the body. If sweating occurs after one dose, do not take another, as excessive sweating may lead to Yang collapse, resulting in reversal, deficiency, aversion to wind, restlessness, insomnia, weak pulse, and aversion to wind with sweating. In such cases, do not administer this formula; otherwise, it will cause cold limbs and muscle twitching, which constitutes a therapeutic error. Avoid consuming Seaweed (Haizao), Chinese Cabbage (Songcai), raw green onions. (From Volume 16)
Qianjin Fang states that Yi Yin should be treated by inducing sweating, preferably using Qinglong Tang (Blue-Green Dragon Decoction).
Ephedra Stem (Mahuang, remove joints), Peony Root (Shaoyao), Asarum Root (Xixin), Cinnamon Twig (Guixin), Dried Ginger (Ganjiang), Licorice Root (Gancao, roasted, each 3 liang), Schisandra Berry (Wuweizi, 0.5 sheng), Pinellia Tuber (Banxia, 0.5 sheng).
The above eight herbs are cut. Boil in 1 dou of water. First boil Mahuang to reduce by 2 sheng, then add the remaining herbs. Boil to obtain 3 sheng, strain to remove dregs. Drink 1 sheng warm. Avoid consuming Seaweed (Haizao), Chinese Cabbage (Songcai), mutton, malt sugar (Yitang), raw vegetables, raw green onions. (This is Zhang Zhongjing's Xiao Qinglong Tang from Shanghan Lun, found in Volume 18)
Qianjin Yifang's Da Wuyin Wan (Great Five Fluids Pill) treats five types of fluid retention: 1. Liu Yin (Retained Fluid): water stagnates below the heart; 2. Fu Yin (Hidden Fluid): water stagnates in the hypochondrium; 3. Tan Yin (Phlegm-Fluid): water stagnates in the stomach; 4. Yi Yin (Overflowing Fluid): water overflows between the diaphragm and the five zang organs; 5. Liu Yin (Flowing Fluid): water is in the intestines, making noise when moved. These five fluids arise from...
Polygala Root (Yuanzhi, remove heart), Sophora Root (Kushen), Cuttlefish Bone (Wuzheiyu), Veratrum Rhizome (Lilu), Atractylodes Rhizome (Baizhu), Kansui Root (Gansui), Schisandra Berry (Wuweizi), Rhubarb (Dahuang), Gypsum (Shigao), Platycodon Root (Jiegeng), Pinellia Tuber (Banxia, washed), Aster Root (Ziwan), Peucedanum Root (Qianhu), Mirabilite (Mangxiao), Trichosanthes Fruit (Gualou), Cinnamon Twig (Guixin), Cistanche Stem (Rongsheng), Fritillaria Bulb (Beimu), Daphne Genkwa Flower (Yuanhua), Angelica Root (Danggui), Ginseng Root (Renshen), Poria Sclerotium (Fuling), Peony Root (Shaoyao), Euphorbia Root (Daji), Lepidium Seed (Tinglizi), Scutellaria Root (Huangqin) (each 1 liang), Dichroa Root (Changshan), Licorice Root (Gancao, roasted), Yam Rhizome (Shanyao), Magnolia Bark (Houpo), Asarum Root (Xixin, each 3 fen), Prepared Aconite Root (Fuzi, 3 fen, processed), Croton Seed (Badou, 3...) [Text cuts off here, implies quantity].
The above thirty-three herbs are crushed and sifted, mixed with honey to form pills the size of wetapod fruit seeds. Take three pills with wine, three times daily, increasing dosage slightly if necessary. Avoid eating fox meat, plums, peaches, sparrow meat, pork, mutton, malt sugar, raw green onions, vinegar foods, raw vegetables, wild boar meat, asparagus, etc. (Hu Qia's version is identical, from Volume 19)