论曰∶凡人阳处其表,阴处其里,则非纯阴在其下,复非纯阳在其上,皆须阴阳通于,
阴阳通平,则五气不乏,五气不乏,则人无病,只如服石之人,多为阴虚而服,摄之过温,
则经脉凑溢,或遭阳时亦发其证也,正阳本自浮升,石力更藏阳气,客主两阳,并蒸肺肝,
故患渴也,或脏实腑虚而生发背亦渴,不独两阳为祸也,且肺是庚辛,庚辛畏火,即告其子,
其子肾,肾为壬癸,虽子投而性恶寒,阳虽得水暂寒,而水潜流于下,客水正水足为滂沱,
渴
疗解散失度,饮食冷热不消,虚胀,吐清水而渴闷欲死方。
人参 栝蒌 枳实(炙) 甘草(炙) 白术(各一两) 大枣(二十枚擘)
上六味切,以水六升,煮取二升半,分温二服瘥止。
又疗发痈,虚热大渴方
生地黄(八两) 竹叶(切三升) 小麦(二升) 黄 黄芩 通草 前胡(各三两)
栝蒌
(四两) 芍药 升麻 甘草(炙) 大黄(别浸) 知母 茯苓(各二两) 人参 当归
(各一
两)
上十六味切,以水二斗煮竹叶小麦,取一斗,去滓内余药煮,取四升,去滓分服之,小
便利除通草,大热者去人参当归,忌如常法。
又疗客虚,热冲上焦胸中,口干燥,头面热赤,并渴方。
生葛汁 生地黄 生麦门冬汁 白蜜(各一升) 枣膏(八合) 生姜汁(二合)
上六味和煎之,内蜜候如稀饧,食后渐渐含之,其功甚妙。
又疗消渴,止小便方。
黄连(一斤金色者) 麦门冬(八两去心) 生地黄汁 羊乳 栝蒌汁(各三两)
上五味,捣上二味为末,以汁相和药末,众手一时丸如梧子,食后以饮服二十丸,忌如
常法。
又疗热渴,竹叶汤方。
淡竹叶(切五升) 茯苓 石膏(各三两碎) 小麦(三升) 栝蒌(二两)
上五味切,以水二斗煮竹叶,取八升,下诸药煮,取四升,去滓分温服,忌如常法。
又疗发痈盛,患渴口干,排脓止渴方。
黄 栀子仁 栝蒌 生干地黄 升麻(各二两) 麦门冬(去心) 芍药(各二两) 黄
芩
(一两半)
上八味切,以水一斗,煮取三升服之,瘥止,忌如常法。
又疗消渴方。
取螺(二升)
上一味,以一石江水浸养之,倾澄取汁饮之,经日放却,更取新者渍之,准前服。
又方
竹根浓煮汁饮之。
又方
煮青粱米汁饮之。
又方
捣冬瓜汁饮之。
又方
冬麻子(二升)
上一味捣,以水煮三四沸饮之。
又方
以水浸鸡子,取清生服甚良。
又方
黄柏(一斤)
上一味切,以水一斗煮汁饮之。
又方
桃仁(五升去尖熬) 研白米(三升)
上二味,以水一斛,煮取三升,渴即饮之良。
又方
石膏(碎) 枳实(炙) 茯苓(各三两)
上三味切,以水九升,煮取四升,分服之。
又方
茯苓(半斤) 泽泻(四两) 白术 干姜 桂心(各三两) 小麦(三升) 甘草(二
两炙)
上七味切,以水一斗煮小麦,取八升,入药煎,取五升分服之。
论述说:大凡人在阳处则体表受邪,在阴处则体内受损,这就不是单纯的阴气在下,也不是单纯的阳气在上,都必须使阴阳之气通畅。阴阳通畅平和,则五脏之气不匮乏;五脏之气不匮乏,人就不会生病。就像服用石药(矿物类丹药)的人,大多是因为阴虚而服药,调养时过于温补,导致经脉气血壅滞溢出;或者遇到阳热之时,也会引发这些证候。原本阳气就自然浮升,石药之力更潜藏阳气,客邪之阳与主令之阳两阳并蒸,熏灼肺肝,所以患口渴症。或者是脏实腑虚而生发背痈,也会出现口渴,并不仅仅是因为两阳为祸。况且肺属庚辛金,庚辛金畏惧火,火会告知其子(根据五行相生,火生土,此处原文逻辑似有特指或传抄差异,通常火克金,但文中言“告其子”,结合下文肾水,可能指火盛耗伤津液进而影响肾水,或依特定医理),其子是肾,肾属壬癸水,虽然儿子(肾水)本性厌恶寒冷,阳气虽然得到水暂时变寒,但水潜流于下,客水与正水充足便如滂沱大雨般泛滥,导致口渴。
治疗因解散(发汗解表)失度,饮食冷热不消,出现虚胀,呕吐清水且口渴胸闷欲死的方剂。
人参、栝蒌、枳实(炙)、甘草(炙)、白术(各一两)、大枣(二十枚,掰开)。
以上六味药切碎,用水六升,煮取二升半,分两次温服,病愈即停服。
又治疗发痈疽,虚热大渴的方剂。
生地黄(八两)、竹叶(切,三升)、小麦(二升)、黄芪、黄芩、通草、前胡(各三两)、栝蒌(四两)、芍药、升麻、甘草(炙)、大黄(另浸泡)、知母、茯苓(各二两)、人参、当归(各一两)。
以上十六味药切碎,用水二斗先煮竹叶和小麦,取汁一斗,去渣后加入其余药物再煮,取汁四升,去渣分次服用。若小便通利则去掉通草,大热者去掉人参和当归,忌口如常规方法。
又治疗客邪虚热冲犯上焦胸中,口干燥,头面热赤,并伴有口渴的方剂。
生葛汁、生地黄、生麦门冬汁、白蜜(各一升)、枣膏(八合)、生姜汁(二合)。
以上六味药混合煎煮,加入蜂蜜,等到像稀糖一样稠度时,饭后慢慢含咽,功效非常奇妙。
又治疗消渴,止小便频数的方剂。
黄连(一斤,金色者佳)、麦门冬(八两,去心)、生地黄汁、羊乳、栝蒌汁(各三两)。
以上五味药,将前两味捣成粉末,用后三种汁液调和药末,众人同时用手搓丸如梧桐子大小,饭后用温水送服二十丸,忌口如常规方法。
又治疗热渴的竹叶汤方剂。
淡竹叶(切,五升)、茯苓、石膏(各三两,打碎)、小麦(三升)、栝蒌(二两)。
以上五味药切碎,用水二斗煮竹叶,取汁八升,放入其他药物再煮,取汁四升,去渣分次温服,忌口如常规方法。
又治疗发痈疽严重,患口渴口干,排脓止渴的方剂。
黄芪、栀子仁、栝蒌、生干地黄、升麻(各二两)、麦门冬(去心)、芍药(各二两)、黄芩(一两半)。
以上八味药切碎,用水一斗,煮取三升服用,病愈即停服,忌口如常规方法。
又治疗消渴的方剂。
取螺蛳(二升)。
以上一味药,用一石江水浸养它,澄清后取汁饮用,过一天后再放掉,重新取新的螺蛳浸泡,按照前面的方法服用。
又一方。
冬麻子(二升)。
以上一味药捣碎,用水煮三四沸后饮用。
又一方。
用水浸泡鸡蛋,取蛋清生服,效果很好。
又一方。
桃仁(五升,去尖并炒熟)、研碎的白米(三升)。
以上两味药,用水一斛,煮取三升,口渴时饮用效果好。
又一方。
石膏(打碎)、枳实(炙)、茯苓(各三两)。
以上三味药切碎,用水九升,煮取四升,分次服用。
又一方。
茯苓(半斤)、泽泻(四两)、白术、干姜、桂心(各三两)、小麦(三升)、甘草(二两,炙)。
以上七味药切碎,用水一斗煮小麦,取汁八升,加入药物煎煮,取汁五升分次服用。
Discourse states: Generally, when a person is in Yang areas, the exterior is affected; when in Yin areas, the interior is damaged. This implies that it is not purely Yin residing below, nor purely Yang residing above. It is necessary for Yin and Yang to be unobstructed. When Yin and Yang are unobstructed and balanced, the Qi of the Five Zang organs will not be deficient. If the Qi of the Five Zang organs is not deficient, the person will not fall ill. Consider those who take mineral drugs (Shi Yao): they mostly do so due to Yin deficiency. If their regulation is overly warm, the meridians and collaterals become congested and overflow. Or, encountering Yang times (seasons/conditions), these symptoms may manifest. Originally, Yang Qi naturally floats and rises. The power of mineral drugs further hides Yang Qi. With both pathogenic Yang and ruling Yang steaming together, they scorch the Lung and Liver, thus causing thirst. Alternatively, if there is excess in the Zang and deficiency in the Fu, leading to back carbuncles, thirst also occurs; this is not solely caused by the dual Yang. Furthermore, the Lung belongs to Geng-Xin Metal. Geng-Xin Metal fears Fire. Fire informs its child [Note: Textual logic varies, often implying Fire melts Metal or affects Water via Earth, here linked to Kidney]. Its child is the Kidney. The Kidney belongs to Ren-Gui Water. Although the child (Kidney Water) inherently dislikes cold, although Yang obtains water and temporarily becomes cold, the water flows secretly downwards. When pathogenic water and normal water are sufficient, it floods like heavy rain, leading to thirst.
Formula for treating thirst, chest oppression, and near-death sensation caused by vomiting clear fluid and abdominal distension due to improper dispersing (sweating) and indigestion of hot/cold food.
Ren Shen (Ginseng Radix et Rhizoma), Gua Lou (Trichosanthis Fructus), Zhi Shi (Immature Bitter Orange Fruit, prepared with bran), Gan Cao (Licorice Root, prepared), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Da Zao (Jujubae Fructus) (20 pieces, split).
Cut the above six herbs. Decoct in 6 sheng of water to obtain 2.5 sheng. Divide into two warm doses. Stop when cured.
Another formula for treating carbuncles with deficiency-heat and severe thirst.
Sheng Di Huang (Rehmanniae Radix), Zhu Ye (Bambusae Folium, cut), Xiao Mai (Tritici Fructus) (3 sheng), Huang Qi (Astragali Radix), Huang Qin (Scutellariae Radix), Tong Cao (Tetrapanacis Medulla), Qian Hu (Peucedani Radix) (each 3 liang), Gua Lou (4 liang), Shao Yao (Paeoniae Radix), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Licorice Root, prepared), Da Huang (Rhei Radix et Rhizoma, soaked separately), Zhi Mu (Anemarrhenae Rhizoma), Fu Ling (Poria) (each 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each 1 liang).
Cut the above sixteen herbs. Decoct Zhu Ye and Xiao Mai in 2 dou of water to obtain 1 dou. Remove dregs, add remaining herbs, and decoct to obtain 4 sheng. Remove dregs and divide for administration. If urination is smooth, remove Tong Cao. If heat is severe, remove Ren Shen and Dang Gui. Observe usual dietary restrictions.
Another formula for treating pathogenic deficiency-heat rushing to the Upper Jiao and chest, causing dry mouth, redness and heat of the head and face, accompanied by thirst.
Sheng Ge Zhi (Puerariae Radix Juice), Sheng Di Huang (Rehmanniae Radix Juice), Sheng Mai Men Dong Zhi (Ophiopogonis Radix Juice), Bai Mi (Apis Mellifera Melle), Zao Gao (Jujubae Fructus Paste), Sheng Jiang Zhi (Zingiberis Rhizoma Fresh Juice) (each 1 sheng), Zao Gao (8 he), Sheng Jiang Zhi (2 he).
Mix and decoct the above six ingredients. Add honey and cook until consistency resembles thin syrup. Slowly hold in the mouth after meals. The effect is excellent.
Another formula for treating Xiao Ke (Wasting-Thirst Syndrome) and stopping frequent urination.
Huang Lian (Coptidis Rhizoma, 1 jin, golden color preferred), Mai Men Dong (Ophiopogonis Radix, 8 liang, heart removed), Sheng Di Huang Zhi (Rehmanniae Radix Juice), Yang Ru (Caprae Hircus Lac), Gua Lou Zhi (Trichosanthis Fructus Juice) (each 3 liang).
Pulverize the first two herbs. Mix the powder with the three juices. Roll pills the size of wu zi (Chinese quince seeds) by hand. Take 20 pills after meals with water. Observe usual dietary restrictions.
Another formula for heat-thirst, Zhuye Tang (Bamboo Leaf Decoction).
Dan Zhu Ye (Lophatheri Herba, cut, 5 sheng), Fu Ling (Poria), Shi Gao (Gypsum Fibrosum, each 3 liang, crushed), Xiao Mai (Tritici Fructus, 3 sheng), Gua Lou (Trichosanthis Fructus, 2 liang).
Cut the above five herbs. Decoct Zhu Ye in 2 dou of water to obtain 8 sheng. Add other herbs and decoct to obtain 4 sheng. Remove dregs and divide for warm administration. Observe usual dietary restrictions.
Another formula for severe carbuncles with thirst and dry mouth, promoting pus discharge and relieving thirst.
Huang Qi (Astragali Radix), Zhi Zi Ren (Gardeniae Semen, 2 liang), Gua Lou (Trichosanthis Fructus), Sheng Gan Di Huang (Dried Rehmanniae Radix), Sheng Ma (Cimicifugae Rhizoma) (each 2 liang), Mai Men Dong (Ophiopogonis Radix, heart removed), Shao Yao (Paeoniae Radix) (each 2 liang), Huang Qin (Scutellariae Radix, 1.5 liang).
Cut the above eight herbs. Decoct in 1 dou of water to obtain 3 sheng. Take when cured, stop. Observe usual dietary restrictions.
Another formula for Xiao Ke (Wasting-Thirst Syndrome).
Qu Luo (Snail, 2 sheng).
Soak one shi of snails in river water. Clarify and drink the juice. After a day, discard and soak new snails. Follow previous dosage.
Another prescription.
Drink thick decoction of Bamboo Root (Zhu Gen).
Another prescription.
Drink decoction of Qing Liang Mi (Green Millet).
Another prescription.
Drink juice of Dong Gua (Winter Melon).
Another prescription.
Dong Ma Zi (Ricini Semen, 2 sheng).
Pulverize and decoct in water for three or four boils. Drink.
Another prescription.
Soak chicken eggs in water, take the raw egg white. Very effective.
Another prescription.
Huang Bo (Phellodendri Cortex, 1 jin).
Cut and decoct in 1 dou of water. Drink the juice.
Another prescription.
Tao Ren (Persicae Semen, 5 sheng, tips removed, roasted), Yan Bai Mi (Ground White Rice, 3 sheng).
Decoct in 1 hu to obtain 3 sheng. Drink when thirsty. Excellent.
Another prescription.
Shi Gao (Gypsum Fibrosum, crushed), Zhi Shi (Immature Bitter Orange Fruit, prepared), Fu Ling (Poria) (each 3 liang).
Cut and decoct in 9 sheng of water to obtain 4 sheng. Divide for administration.
Another prescription.
Fu Ling (Poria, 0.5 jin), Ze Xie (Alismatis Rhizoma, 4 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gui Xin (Cinnamomi Ramulus), Xiao Mai (Tritici Fructus, 3 sheng), Gan Cao (Licorice Root, prepared, 2 liang).
Cut and decoct Xiao Mai in 1 dou of water to obtain 8 sheng. Add herbs and decoct to obtain 5 sheng. Divide for administration.