猪肤(一斤味甘寒)
上一味。以水一斗。煮取五升。去滓。加白蜜一升。白粉五合。熬香。和相得。温、
分六服。
猪、水畜也。其气先入肾。少阴客热。是以猪肤解之。加白蜜以润燥除烦。白粉以
益气断利。
少阴病。二三日。咽痛者。可与甘草汤。不瘥者。与桔梗汤。
阳邪搏于少阴。邪热为咽痛。服甘草汤则瘥。若寒热相搏为咽痛者。服甘草汤。若
不瘥。与桔梗汤。以和少阴之气。
甘草(二两)
上一味。以水三升。煮取一升半。去滓。温、服七合。日一服。
桔梗(一两味辛甘微温) 甘草(二两味甘平)
上二味。以水三升。煮取一升。去滓。分温。再服。
桔梗辛温以散寒。甘草味甘平以除热。甘梗相合。以调寒热。
少阴病。咽中伤。生疮。不能语言。声不出者。苦酒汤主之。
热伤于络。则经络干燥。使咽中生疮。不能言语。声不出者。与苦酒汤。以解络热。
愈咽疮。
半夏(洗破如枣核大十四枚味辛温) 鸡子(一枚去黄内上苦酒着鸡子壳中甘微寒)
上二味。内半夏。着苦酒中。以鸡子壳。置刀环中。安火上。令三沸。去滓。少少
含咽之。不瘥。更作三剂服之。
辛以散之。半夏之辛。以后音声。甘以缓之。鸡子之甘。以缓咽痛。酸以收之。苦
酒之酸。以敛咽疮。
王宇泰云。按苦酒。本草注曰醯。而成氏复云苦酒之酸。余则以为名义俱乖。安知
酒之味苦者。不可以已咽痛耶。若嫌苦酒性热。则半夏汤更辛。况此味苦哉。下文发字。
与敛字目相反。
少阴病。咽中痛。半夏散及汤主之。
甘草汤。主少阴客热咽痛。桔梗汤。主少阴寒热相搏咽痛。半夏散及汤。主少阴客
寒咽痛也。
猪肤(一斤,味甘、性寒)
以上一味药。用水一斗。煮至剩余五升。滤去药渣。加入白蜜一升。白粉五合。熬至香气溢出。搅拌均匀。温热服用。分六次服完。
猪是水畜。其气首先入肾。少阴经受客热侵袭。所以用猪肤来解除它。加入白蜜以滋润燥邪、消除烦闷。加入白粉以益气、止泻。
少阴病。发病两三天。出现咽喉疼痛的。可以给予甘草汤。如果未痊愈。给予桔梗汤。
阳邪搏结于少阴经。邪热导致咽喉疼痛。服用甘草汤则痊愈。如果是寒热之气相互搏结导致咽喉疼痛的。服用甘草汤。如果未痊愈。给予桔梗汤。用以调和少阴经的气机。
甘草(二两)
以上一味药。用水三升。煮至剩余一升半。滤去药渣。温热服用七合。每日服用一次。
以上两味药。用水三升。煮至剩余一升。滤去药渣。分两次温热服用。
桔梗味辛温以发散寒邪。甘草味甘平以清除热邪。甘味与桔梗相配合。用以调和寒热。
少阴病。咽喉受伤。生疮。不能说话。声音发不出来的。苦酒汤主治。
热邪损伤络脉。导致经络干燥。使咽喉中生疮。不能言语。声音发不出来的。给予苦酒汤。以解除络脉之热。治愈咽疮。
半夏(洗破,如枣核大小,十四枚,味辛、温) 鸡蛋(一枚,去黄,将上述药末放入蛋壳中,加苦酒,味甘、微寒)
以上两味药。放入半夏。置于苦酒中。用鸡蛋壳盛装。放在刀环中。置于火上。煮至沸腾三次。滤去药渣。少量含咽。如果未痊愈。再制作三剂服用。
辛味药物以发散邪气。半夏的辛味。能开音利喉。甘味药物以缓急止痛。鸡蛋的甘味。能缓解咽喉疼痛。酸味药物以收敛固涩。苦酒的酸味。能敛合咽疮。
王宇泰说:查阅苦酒。《本草》注释说是醋。而成无己又说苦酒之酸。我认为名实都不相符。怎么知道味道苦的酒。不可以治疗咽喉疼痛呢?如果嫌弃苦酒性热。那么半夏汤更辛。何况这味道苦呢?下文“发”字。与“敛”字意思相反。
甘草汤。主治少阴经受客热导致的咽喉疼痛。桔梗汤。主治少阴经寒热相互搏结导致的咽喉疼痛。半夏散及汤。主治少阴经受客寒导致的咽喉疼痛。
Zhu Fu (One jin, sweet in flavor, cold in nature)
The above single ingredient. Boil with ten dou of water. Reduce to five sheng. Remove the dregs. Add one sheng of white honey and five he of white powder. Cook until fragrant. Mix well. Take warm. Divide into six doses.
Pigs are aquatic animals. Their qi enters the Kidney first. Shaoyin channel receiving exogenous heat is thus resolved by Zhu Fu. White honey is added to moisten dryness and relieve irritability. White powder is added to boost Qi and stop diarrhea.
Shaoyin disease. After two or three days, if there is sore throat, Gancao Tang may be administered. If not cured, Jiegeng Tang is given.
Yang pathogen combats at the Shaoyin channel. Pathogenic heat causes sore throat. Taking Gancao Tang leads to cure. If pain in the throat is caused by the combat between cold and heat, after taking Gancao Tang, if not cured, Jiegeng Tang is given to harmonize the Qi of the Shaoyin channel.
Gancao (Two liang)
The above single ingredient. Boil with three sheng of water. Reduce to one and a half sheng. Remove the dregs. Take warm, seven she per dose. Once daily.
Jiegeng (One liang, pungent and sweet, slightly warm) Gancao (Two liang, sweet and neutral)
The above two ingredients. Boil with three sheng of water. Reduce to one sheng. Remove the dregs. Divide into two warm doses.
Jiegeng is pungent and warm to disperse cold. Gancao is sweet and neutral to clear heat. The combination of sweet flavor and Jiegeng harmonizes cold and heat.
In Shaoyin disease, if the throat is injured, sores form, speech is impaired, and voice is lost, Kujiu Tang is the primary treatment.
Heat damages the collaterals, causing dryness in the meridians and collaterals, leading to sores in the throat, inability to speak, and loss of voice. Kujiu Tang is administered to resolve collateral heat and heal throat sores.
Banxia (Washed and broken, size of a jujube pit, fourteen pieces, pungent and warm) Ji Zi (One egg, yolk removed, place Banxia in the shell, add Kujiu, sweet and slightly cold)
Place Banxia into Kujiu. Use the eggshell as a container. Place it in a knife ring. Set over fire. Bring to boil three times. Remove dregs. Sip slowly and swallow. If not cured, prepare three more doses.
Pungency disperses; the pungency of Banxia opens the voice. Sweetness moderates; the sweetness of Ji Zi relieves throat pain. Acidity astringes; the acidity of Kujiu consolidates throat sores.
Wang Yutai stated: According to Bencao notes, Kujiu refers to vinegar. Cheng Wuji further mentioned the acidity of Kujiu. I believe both name and reality are inconsistent. How do we know that wine with a bitter taste cannot treat sore throat? If one dislikes the hot nature of Kujiu, Banxia Tang is even more pungent, let alone this bitter taste. The character "fa" (disperse/open) in the following text is opposite to "lian" (astringe/consolidate).
In Shaoyin disease, with throat pain, Banxia San and Tang is the primary treatment.
Gancao Tang treats sore throat due to exogenous heat in Shaoyin. Jiegeng Tang treats sore throat due to combat between cold and heat in Shaoyin. Banxia San and Tang treats sore throat due to exogenous cold in Shaoyin.