文仲瓜饮,疗香港脚,呕逆不得食方。
生瓜(一枚四破水九升煮取五升去滓) 白术(四两) 甘草(一两炙) 生姜(二两)
上四味切三物,纳瓜汁中,煮取二升,去滓,温分三服,忌桃李雀肉海藻菘菜。(生瓜
恐是木瓜出第九卷中)
延年茯苓饮,主香港脚肿气急上气,心闷热烦,呕逆不下食方。
茯苓(三两) 紫苏叶(三两) 杏仁(三两) 橘皮(三两) 升麻(三两) 柴胡
(三两) 生
姜(四两) 犀角(二两屑) 槟榔(十二枚并皮子碎)
上九味切。以水八升,煮取二升五合,去滓,分温三服,如一人行八里久。忌醋物。(
出第十九卷中)
病源,此由风湿毒瓦斯与血气相搏,正气与邪气交击,而正气不宜散,故疼痛,邪在肤腠
,血气则涩,隔则皮肤浓,搔之如隔衣物,不觉知,名为不仁也。(出第十三卷中)
苏恭疗初患脚足皮肤舒缓足上不仁,膝下疼痛,眉眼动,左胁下气,每饱食即发,隔上
热,脐下冷,心虚阴汗且疼,兼补煮散方。
黄 人参 独活 芎 防风 当归 桂心 萆 防己(各六两) 茯苓 白术 丹
参(各八两) 附子(生用) 甘草(炙各四两) 杏仁(去皮尖) 生地黄 生姜 磁石
(二十分
碎如小豆)
上十八味并切。分之为三十服,服别以生姜(二两)生地黄(一两)杏仁(十四枚碎)
以水二升,煮
取七合,布绞去滓,一服之。常以日晚,或夜中服之,不妨公事。如逆呕者,加半夏一两,
如前
又侧子酒,主香港脚,春夏发,入秋肿消气定,但苦脚弱,不能屈伸,足上不仁,手指胀
闷,不得屈伸,四肢腰颈背皆废者,服此酒方。
侧子(生用) 干姜(各五两生者良) 丹参 牛膝(各六两) 金牙(碎绵裹) 磁
石(如上)
地黄(各十两干
者用八两) 防风
汗) 桂
心天雄(生用) 人参 芎 当归 白术 细辛(各二两)
上二十五味切。绢袋贮,清酒六七斗,渍之七日,成一服,一小盏日二三服,量性多少
稍加
服
第
文仲瓜饮,治疗香港脚(脚气病),呕吐逆气、无法进食的方剂。
生瓜(一枚,剖为四块,用水九升煮取五升,滤去药渣) 白术(四两) 甘草(一两,炙过) 生姜(二两)
以上四味药,将除生瓜外的三味切碎,放入生瓜汁中,煮取二升,滤去药渣,温服,分三次服用。忌食桃李、雀肉、海藻、菘菜。(生瓜恐怕是指木瓜,见第九卷)
延年茯苓饮,主治香港脚(脚气病)引起的肿胀、气急上冲,心胸闷热烦躁,呕吐逆气、无法进食的方剂。
茯苓(三两) 紫苏叶(三两) 杏仁(三两) 橘皮(三两) 升麻(三两) 柴胡(三两) 生姜(四两) 犀角(二两,锉成屑) 槟榔(十二枚,连同皮和子一起捣碎)
以上九味药切碎。用水八升,煮取二升五合,滤去药渣,分三次温服,服药后如人行走八里路的时间间隔。忌食醋制食物。(出自第十九卷)
《病源》认为,这是由于风湿毒气与血气相互搏结,正气与邪气交击,而正气不能宣散,所以产生疼痛;邪气在皮肤腠理之间,血气运行涩滞,导致皮肤增厚,搔抓时感觉像隔着衣物,没有知觉,这叫做“不仁”。(出自第十三卷)
苏恭治疗初患脚足皮肤松弛、足部麻木不仁,膝下疼痛,眉眼跳动,左胁下有气感,每次饱食后即发作,膈上发热,脐下寒冷,心虚且阴部出汗并伴有疼痛,兼用补益煮散方。
黄芪 人参 独活 川芎 防风 当归 桂心 萆薢 防己(各六两) 茯苓 白术 丹参(各八两) 附子(生用) 甘草(炙,各四两) 杏仁(去皮尖) 生地黄 生姜 磁石(二十份,捣碎如小豆大小)
以上十八味药一并切碎。分为三十服,每服用生姜(二两)、生地黄(一两)、杏仁(十四枚,捣碎),用水二升,煮取七合,布绞去药渣,一次服下。常在傍晚或夜间服用,不影响公务。如果发生呕吐逆气,加半夏一两,照前法煎服。
另外有侧子酒,主治香港脚(脚气病),春夏季节发作,入秋后肿胀消退、气平定,但苦于脚弱,不能屈伸,足部麻木不仁,手指胀闷,不能屈伸,四肢、腰、颈、背部皆废用者,服用此酒方。
侧子(生用) 干姜(各五两,鲜品较好) 丹参 牛膝(各六两) 金牙(捣碎,用绵包裹) 磁石(如上法处理) 地黄(各十两,干品用八两) 防风 桂心 天雄(生用) 人参 川芎 当归 白术 细辛(各二两)
以上二十五味药切碎。用绢袋装好,浸入清酒六七斗中,浸泡七日。每次一小盏,每日服二至三次,根据体质适量稍加服用。
Wenzhong's Melon Decoction (Wenzhong Gua Yin), a formula for treating Hongxiangjiao (Foot Qi disease) with vomiting, regurgitation, and inability to eat.
Fresh Melon (one melon, cut into four pieces, boiled in nine sheng of water until five sheng remain, strained) Baizhu (Atractylodis Rhizoma, four liang) Gancao (Glycyrrhizae Radix et Rhizoma, one liang, honey-fried) Shengjiang (Zingiberis Rhizoma Recens, two liang)
The above four herbs: chop the three herbs other than the fresh melon, add them to the juice of the fresh melon, boil until two sheng remain, strain, and take warm, divided into three doses. Avoid eating plums, peaches, sparrow meat, seaweed, and Songcai (Chinese cabbage). (Note: "Fresh melon" likely refers to Mugua [Chaenomeles Fruit], see Volume 9.)
Yannian's Poria Decoction (Yannian Fuling Yin), a formula primarily for Hongxiangjiao (Foot Qi disease) presenting with swelling, shortness of breath, rebellious qi ascending, stuffy heat and irritability in the heart and chest, vomiting, regurgitation, and inability to eat.
Fuling (Poria, three liang) Zisuye (Perillae Folium, three liang) Xingren (Prunus Semen, three liang) Jupi (Citri Reticulatae Pericarpium, three liang) Shengma (Cimicifugae Rhizoma, three liang) Chaihu (Bupleuri Radix, three liang) Shengjiang (Zingiberis Rhizoma Recens, four liang) Xijiao (Rhinocerotis Cornu, two liang, shaved) Binglang (Arecae Semen, twelve pieces, crushed including peel and seed)
The above nine herbs are chopped. Boil in eight sheng of water until two sheng and five he remain, strain, and take warm, divided into three doses. The interval between doses should be equivalent to the time it takes a person to walk eight li. Avoid vinegar-preserved foods. (From Volume 19.)
According to the *Bingyuan* (Source of Diseases), this condition arises from wind-damp toxic qi battling with blood and qi. When righteous qi clashes with pathogenic qi, but the righteous qi cannot disperse freely, pain results. When pathogens reside in the skin and cou-li (pores and interstices), blood and qi flow sluggishly, causing the skin to thicken. Scratching feels like touching fabric through clothing, with no sensation perceived; this is termed "Bu Ren" (loss of sensation/anesthesia). (From Volume 13.)
Su Gong's treatment for early-stage Hongxiangjiao characterized by loose skin on the feet and legs, numbness and loss of sensation in the feet, pain below the knees, twitching of the eyebrows and eyes, qi sensation under the left hypochondrium, exacerbation after full meals, heat above the diaphragm, cold below the umbilicus, deficiency of the heart with sweating in the yin regions accompanied by pain. This includes a supplementary decoction powder formula.
Huangqi (Astragali Radix) Renshen (Ginseng Radix) Duhuo (Angelicae Pubescentis Radix) Xiong (Ligustici Chuanxiong Rhizoma) Fangfeng (Saposhnikoviae Radix) Danggui (Angelicae Sinensis Radix) Guixin (Cinnamomi Ramulus) Bixie (Dioscoreae Hypoglaucae Rhizoma) Fangji (Stephaniae Tetrandrae Radix) (each six liang) Fuling (Poria) Baizhu (Atractylodis Rhizoma) Danshen (Salviae Miltiorrhizae Radix) (each eight liang) Fuzi (Aconiti Lateralis Radix Preparata, raw use) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each four liang) Xingren (Prunus Semen, peeled and core removed) Shengdihuang (Rehmanniae Radix Recens) Shengjiang (Zingiberis Rhizoma Recens) Cishi (Magnetitum) (twenty fen, crushed to the size of small beans)
The above eighteen herbs are all chopped. Divide into thirty doses. For each dose, use Shengjiang (two liang), Shengdihuang (one liang), and Xingren (fourteen pieces, crushed). Boil in two sheng of water until seven he remain, strain through cloth, and take at once. Take usually in the evening or at night; this will not interfere with official duties. If vomiting occurs, add Banxia (Pinelliae Rhizoma, one liang) and follow the previous method.
Additionally, there is Cezizi Wine, primarily for Hongxiangjiao (Foot Qi disease). It is indicated when symptoms flare in spring and summer, subsiding in autumn with reduced swelling and stabilized qi, but leaving weakness in the legs, inability to flex and extend, numbness in the feet, distension and stuffiness in the fingers preventing movement, and paralysis of the limbs, waist, neck, and back.
Cezizi (Aconiti Lateralis Radix Preparata, raw use) Ganjiang (Zingiberis Rhizoma, five liang each; fresh is better) Danshen (Salviae Miltiorrhizae Radix) Niuxi (Achyranthis Bidentatae Radix) (six liang each) Jinya (Chalcanthitum, crushed and wrapped in silk) Cishi (Magnetitum, as above) Dihuang (Rehmanniae Radix, ten liang each; use eight liang if dried) Fangfeng (Saposhnikoviae Radix) Guixin (Cinnamomi Ramulus) Tianxiong (Aconiti Kusnezoffii Radix, raw use) Renshen (Ginseng Radix) Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Baizhu (Atractylodis Rhizoma) Xixin (Asari Radix et Rhizoma) (two liang each)
The above twenty-five herbs are chopped. Store in a silk bag, soak in six or seven dou of clear wine for seven days. One serving is one small cup, taken two to three times daily, adjusting the amount slightly according to individual tolerance.