七味地黄丸∶
茯苓(二钱) 肉桂(一钱) 熟地(一两) 山萸(四钱) 泽泻(一钱) 丹皮(一
钱) 山药(一钱) 车前子(一钱) 水煎服
此方妙在不去通小便,而专治肾水,肾中有水,而膀胱之气自然行矣。〔盖膀胱之开合,
肾司其权也〕。
方用∶
油头发烧灰研末,用三指一捻,入半樽热水中。饮之立通。
又一方用∶
蜜(一盅) 皮硝(一盅,两) 大黄(一钱) 黄酒(一盅)
煎至一处,温服甚效。此一方最简。
此辨痢症之血色也。如火邪之血,色必鲜红,脉必洪缓,口必渴而饮冷水,小便必涩而
赤浊
喜饮
后又附记“治痢神方”∶
罂粟壳(七颗) 陈桔皮(七片) 乌梅(七个)
皆如常法,而甘草(七寸,炙其半) 生 姜(七片,煨其半)
黑豆(四十九粒,炒其半)用井水一大碗,加小罐内,文武火熟煮而饮,一服痛止,
再服
有一日泻五、六十行者,倾肠而出,完谷不化,粪门肿痛,如火之热,苟无以救之,必
致立亡,〔方〕宜截泻汤∶
薏仁(二两) 泽泻(二钱) 人参(三钱) 白芍(二两) 车前子(一两) 黄
连(五
白术(一两) 车前子(五钱) 水煎服
此方补肾健脾,利水去湿,〔治泄〕神效。
火泻,完谷不化,饮食下喉即出,昼夜有泻数十次者,甚至有百次者,人皆知为热也。
然而
出也
论其势之急迫,似乎宜治其标;然治其标,不能使火之骤降,必须急补肾中之水,使火
有可居之地,而后不至于上腾,方宜用∶
熟地(三两) 山萸(一两) 甘草(一两) 茯苓(一两) 车前子(一两) 白芍
(三
此方乃补肾之药,非止泻之药;然而止泻之妙,捷于桴鼓矣。神妙方。
七味地黄丸:
茯苓(二钱) 肉桂(一钱) 熟地黄(一两) 山茱萸(四钱) 泽泻(一钱) 牡丹皮(一钱) 山药(一钱) 车前子(一钱) 用水煎服。
这个方子的妙处在于不通过通利小便来治疗,而是专门滋补肾水,肾中有了水,膀胱的气化功能自然就能运行了。(因为膀胱的开合功能,是由肾脏主宰的)。
另一个方子用:
油头发烧成灰研成末,取三指能捏住的一量,放入半樽热水中。喝下去立刻通畅。
又有一个方子用:
蜂蜜(一盅) 皮硝(一盅,即一两) 大黄(一钱) 黄酒(一盅)
煎煮到混合在一起,温服效果很好。这个方子最简单。
这是辨别痢疾症状中血色。如果是火邪导致的血,颜色必定鲜红,脉象必定洪大缓急,口必定渴且想喝冷水,小便必定涩痛且红浊。
后来又附记“治痢神方”:
罂粟壳(七颗) 陈皮(七片) 乌梅(七个)
都按常规方法处理,另外甘草(七寸,一半炙过) 生姜(七片,一半煨过)
黑豆(四十九粒,一半炒过)用一大碗井水,加入小罐内,用文火和武火煮熟后饮用,服一次疼痛停止,再服……
有一类腹泻一天五、六十次的,肠道倾泻而出,完谷不化,肛门肿痛,像火一样热,如果没有办法救治,必定导致立即死亡,〔方剂〕适宜用截泻汤:
薏苡仁(二两) 泽泻(二钱) 人参(三钱) 白芍(二两) 车前子(一两) 黄连(五钱)
白术(一两) 车前子(五钱) 用水煎服。
这个方子补肾健脾,利水祛湿,〔治疗泄泻〕神效。
火泻,完谷不化,饮食刚下喉就排出,昼夜腹泻数十次,甚至有上百次的人,众人都知道这是热证。然而……
论述其病势的急迫,似乎适宜治标;但是治标,不能使火邪骤然下降,必须紧急补肾中的水,使火有可居住的地方,然后才不至于向上腾越,方剂适宜用:
熟地黄(三两) 山茱萸(一两) 甘草(一两) 茯苓(一两) 车前子(一两) 白芍(三两)
这个方子是补肾的药物,不是止泻的药物;然而止泻的奇妙效果,比敲鼓应声还要快啊。真是神妙的方子。
Qiwei Dihuang Wan (Seven-Ingredient Rehmannia Pill):
Fuling (Poria, 2 qian) Rougui (Cinnamon Twig, 1 qian) Shudi (Prepared Rehmannia Root, 1 liang) Shanzhuyu (Cornus Fruit, 4 qian) Zexie (Alisma Rhizome, 1 qian) Danpi (Moutan Bark, 1 qian) Shanyao (Dioscorea Rhizome, 1 qian) Cheqianzi (Plantago Seed, 1 qian). Decoct in water and take orally.
The brilliance of this formula lies not in promoting urination to treat the condition, but in specifically nourishing Kidney Water (Yin fluids of the Kidney). When there is sufficient water in the Kidney, the Qi transformation of the Bladder naturally proceeds. [This is because the opening and closing functions of the Bladder are governed by the Kidney.]
Another formula uses:
Oily human hair burned to ash and ground into powder. Take an amount that can be pinched between three fingers, add it to half a jar of hot water. Drink it; patency will be achieved immediately.
Yet another formula uses:
Fengmi (Honey, 1 zhong) Pinxiao (Mirabilite/Niter, 1 zhong, equivalent to 1 liang) Dahuang (Rhubarb Root, 1 qian) Huangjiu (Yellow Wine, 1 zhong).
Decoct until mixed together, take warm; very effective. This formula is the simplest.
This section distinguishes the color of blood in dysentery symptoms. If the blood is caused by Fire Evil (Pathogenic Heat), the color must be bright red, the pulse must be surging and rapid, the mouth must be thirsty with a desire to drink cold water, and urination must be difficult, painful, red, and turbid.
Later, a "Divine Formula for Treating Dysentery" was appended:
Yangsuke Qiao (Poppy Shell, 7 pieces) Chenjupi (Aged Tangerine Peel, 7 slices) Wumei (Mume Fruit, 7 pieces).
Process all as usual, additionally Gancao (Licorice Root, 7 cun, half roasted/shengzhi) Shengjiang (Fresh Ginger, 7 slices, half baked/wei).
Heidou (Black Soybean, 49 grains, half stir-fried/chao). Use one large bowl of well water, add to a small pot, cook thoroughly using alternating mild and strong heat, then drink. One dose stops pain; a second dose...
For cases of diarrhea occurring fifty or sixty times a day, where the intestines seem to pour out contents, undigested food passes through, the anus is swollen and painful, and the sensation is like fire heat, if no remedy is applied, death will ensue immediately. The appropriate formula is Jiexie Tang (Diarrhea-Cutting Decoction):
Yiren (Coix Seed, 2 liang) Zexie (Alisma Rhizome, 2 qian) Renshen (Ginseng Root, 3 qian) Baishao (White Peony Root, 2 liang) Cheqianzi (Plantago Seed, 1 liang) Huanglian (Coptis Rhizome, 5 qian).
Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Cheqianzi (Plantago Seed, 5 qian). Decoct in water and take orally.
This formula tonifies the Kidney and strengthens the Spleen, promotes urination to remove dampness, and is miraculously effective for treating diarrhea.
Fire Diarrhea (Huo Xie) involves undigested food passing through; food and drink are expelled immediately after entering the throat. Patients may have dozens of bowel movements daily, even up to a hundred. Everyone knows this is a Heat syndrome. However...
Regarding the urgency of the condition, it might seem appropriate to treat the branch (symptoms); yet treating the branch cannot suddenly subdue the Fire. It is necessary to urgently tonify the Water in the Kidney, providing a dwelling place for the Fire, so that it does not ascend uncontrollably. The appropriate formula is:
Shudi (Prepared Rehmannia Root, 3 liang) Shanzhuyu (Cornus Fruit, 1 liang) Gancao (Licorice Root, 1 liang) Fuling (Poria, 1 liang) Cheqianzi (Plantago Seed, 1 liang) Baishao (White Peony Root, 3 liang).
This formula consists of herbs that tonify the Kidney, not those that directly stop diarrhea; however, its miraculous effect in stopping diarrhea is as swift as a drumstick striking a drum. A truly divine and subtle formula.