病源五脏六腑皆有津液。若腑脏因虚实而生热者。热气在内。则津液竭少。故渴也。夫
渴数饮。其人必眩。背寒而呕者。因利虚故也。诊其脉。心脉滑甚为善渴。其久病变。或发
痈疽。或为水病。(出第五卷中)
近效渴后数饮。呕逆虚羸。恐成痈疽水病方。
茯苓(五分) 栝蒌(六分) 升麻(四分) 麦门冬(六分去心) 桑根白皮(八分)
橘皮(
三分)
上六味捣为散。清水服一方寸匕。日再服。忌酢物。
又方
人参(三分) 猪苓(三分) 通草(五分) 黄连(六分) 麦门冬(八分去心) 栝
蒌(八分)
上六味捣为散。浆水送方寸匕。日再服。以瘥为度。忌猪肉冷水生冷等物。
又若已觉津液竭。身浮。气如水病者方。
汉防己(六分) 猪苓(六分) 栝蒌(八分) 茯苓(四分) 桑根白皮(十二分) 白
术(三
分) 杏仁(六分去皮尖熬) 郁李仁(六分) 葶苈子(十二分熬紫色)
上九味捣筛。蜜和丸如梧子。空腹浆水服三十丸。日一服。肿消小便快下为度。忌酢物
桃李雀肉等。
又 苈丸。疗消渴。成水病浮肿方。
甜葶苈(隔纸炒) 栝蒌仁 杏仁(去皮尖双仁麸炒黄) 汉防己(各一两)
上四味为末蜜丸。捣二三百杵。如梧子大。服三十丸。食前。茯苓煎汤送下。日三四服
又瞿麦汤。疗消渴。欲成水气。面目并足胫浮肿。小便不利方。
瞿麦穗 泽泻 滑石(各两半) 防己(三分) 黄芩 大黄(各一分) 桑螵蛸(炒
十四枚)
上七味切。每服三钱匕。水三升。煮一升。去滓。空心温服。良久再服。
病源:五脏六腑都有津液。如果脏腑因为虚或实而产生热邪,热气在体内,就会导致津液枯竭减少,所以出现口渴的症状。凡是频繁饮水的人,必然会出现头晕目眩;如果伴有背部发冷和呕吐,是因为利尿过度导致正气虚弱所致。诊察其脉象,心脉滑利且强劲者,容易患严重口渴症。这种病症日久变化,可能会引发痈疽(皮肤肌肉化脓性感染),或者发展为水病(水肿类疾病)。(出自第五卷中)
近效方:治疗口渴后多次饮水,出现呕吐逆气、身体虚弱消瘦,担心发展成痈疽或水病的方剂。
茯苓(五分) 栝蒌(六分) 升麻(四分) 麦门冬(六分,去心) 桑根白皮(八分) 橘皮(三分)
以上六味药捣碎成散剂。用清水送服一方寸匕的药量,每日服用两次。忌食醋类食物。
又一方:
人参(三分) 猪苓(三分) 通草(五分) 黄连(六分) 麦门冬(八分,去心) 栝蒌(八分)
以上六味药捣碎成散剂。用浆水(发酵的米汤)送服一方寸匕的药量,每日服用两次,以病愈为度。忌食猪肉、冷水及生冷食物。
又如已经感觉津液枯竭,身体浮肿,气息如同水病患者一样的方剂:
汉防己(六分) 猪苓(六分) 栝蒌(八分) 茯苓(四分) 桑根白皮(十二分) 白术(三分) 杏仁(六分,去皮尖并炒制) 郁李仁(六分) 葶苈子(十二分,炒至紫色)
以上九味药捣碎过筛,用蜂蜜调和制成梧桐子大小的丸剂。空腹时用浆水送服三十丸,每日一次。待肿胀消退、小便通畅排出后停止服药。忌食醋类食物以及桃李、雀肉等。
又一种:葶苈丸。治疗消渴症,转化为水病引起浮肿的方剂。
甜葶苈(隔纸炒) 栝蒌仁 杏仁(去皮尖,双仁,用麸皮炒黄) 汉防己(各一两)
以上四味药研成粉末,用蜂蜜制成丸剂,捣击二三百下,制成梧桐子大小的丸剂。每次服用三十丸,饭前服用,用茯苓煎汤送下,每日三到四次。
又一种:瞿麦汤。治疗消渴症,即将形成水气,导致面目及足胫浮肿,小便不利的方剂。
瞿麦穗 泽泻 滑石(各一两半) 防己(三分) 黄芩 大黄(各一分) 桑螵蛸(炒十四枚)
以上七味药切碎。每次服用三钱匕的药量,加水三升,煮取一升药液,滤去药渣。空腹温服,过一段时间后再服。
Source of Disease: The five zang organs and six fu organs all possess Jin Ye (Body Fluids). If the zang or fu organs generate Heat due to deficiency or excess, the internal Heat will cause the depletion and reduction of Jin Ye, resulting in thirst. Individuals who frequently drink water are likely to experience dizziness; if accompanied by coldness in the back and vomiting, it is due to weakness caused by excessive diuresis. Upon pulse diagnosis, a heart pulse that is slippery and excessive indicates a predisposition to severe thirst. If this condition persists and changes, it may develop into Yong Ju (abscesses and sores) or Shui Bing (water disease/edema). (From Volume 5)
Formula for Recent Effectiveness: A prescription for treating thirst followed by frequent drinking, leading to vomiting, regurgitation, emaciation, and weakness, with the fear of developing abscesses or water disease.
Fuling (Poria, 5 fen) Gualua (Trichosanthes Fruit, 6 fen) Shengma (Cimicifugae Rhizoma, 4 fen) Maimendong (Ophiopogonis Radix, 6 fen, heart removed) Sanggenbaipi (Morus Alba Root Bark, 8 fen) Jupi (Citri Reticulatae Pericarpium, 3 fen)
Crush the above six herbs into a powder. Take one fangcun bi (a square-inch measure) with clear water, twice daily. Avoid vinegar products.
Another Formula:
Renshen (Ginseng Radix et Rhizoma, 3 fen) Zhuling (Polyporus, 3 fen) Tongcao (Tetrapanacis Medulla, 5 fen) Huanglian (Coptidis Rhizoma, 6 fen) Maimendong (Ophiopogonis Radix, 8 fen, heart removed) Gualua (Trichosanthes Fruit, 8 fen)
Crush the above six herbs into a powder. Take one fangcun bi with Jiangshui (fermented rice liquid), twice daily. Continue until recovery. Avoid pork, cold water, and raw/cold foods.
Furthermore, for cases where one already feels the depletion of Jin Ye, bodily swelling, and breath resembling that of a water disease patient:
Han Fangji (Stephaniae Tetrandrae Radix, 6 fen) Zhuling (Polyporus, 6 fen) Gualua (Trichosanthes Fruit, 8 fen) Fuling (Poria, 4 fen) Sanggenbaipi (Morus Alba Root Bark, 12 fen) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen) Xingren (Pruni Semen, 6 fen, skin and tips removed, roasted) Yuliren (Prunus Semen, 6 fen) Tinglizi (Descurainiae Semen seu Lepidii Semen, 12 fen, roasted until purple)
Sift the above nine herbs. Mix with honey to form pills the size of wutong seeds. Take thirty pills on an empty stomach with Jiangshui, once daily. Stop when swelling subsides and urination becomes smooth. Avoid vinegar, plums, peaches, and sparrow meat.
Another: Tingli Wan. For treating Xiao Ke (Wasting and Thirsting Syndrome) transforming into Shui Bing causing edema.
Tian Tingli (Descurainiae Semen seu Lepidii Semen, stir-fried between papers) Gualou Ren (Trichosanthis Semen) Xingren (Pruni Semen, skin and tips removed, double-kernel, stir-fried with bran until yellow) Han Fangji (Stephaniae Tetrandrae Radix) (each 1 liang)
Grind the above four herbs into powder. Mix with honey to form pills, pounding two or three hundred times, shaping them like wutong seeds. Take thirty pills before meals, delivered with decoction of Fuling (Poria), three to four times daily.
Another: Qumai Tang. For treating Xiao Ke (Wasting and Thirsting Syndrome) about to become Shui Qi (Water Qi), causing edema of the face, eyes, and lower legs, with difficult urination.
Qumai Sui (Herba Dianthi Spike) Zexie (Alismatis Rhizoma) Huashi (Talcum) (each 1.5 liang) Fangji (Stephaniae Tetrandrae Radix, 3 fen) Huangqin (Scutellariae Radix) Dahuang (Rhei Radix et Rhizoma) (each 1 fen) Sangpiaoxiao (Ovi Mantidis, stir-fried, 14 pieces)
Cut the above seven herbs. For each dose, take three qianbi measures, add three sheng of water, boil down to one sheng. Strain the dregs. Take warm on an empty stomach, and repeat after some time.