(易简) 治消渴烦躁,咽干面赤,肾火上炎。
人参 黄 (蜜炙) 甘草(炙) 生地黄 熟地黄 天冬 麦冬 枇杷叶(蜜炙) 石
斛泽泻
此方生津补血,润燥止渴,佐以泽泻枳壳,疏导二腑。
(泽泻泻膀胱之火,枳壳宽大肠之气。)使小腑清利,则心火下降。(心与小肠相为表里。
经
其渴自止矣。(喻嘉言曰∶人参白虎汤,专治气分燥热,此汤专治血分燥热。竹叶黄 汤,
兼治气血燥热,宜辨证而择用之。附竹叶黄 汤,淡竹叶生地黄各二钱。当归川芎芍药麦冬
炒黄芩人参黄 甘草半夏 石膏各一钱。治消渴气血两虚,兼有胃火者。)
(千金) 润肺散寒。(白蜜滑能润肺,生姜辛能散寒。)
白蜜(一斤) 生姜(二斤取汁) 先秤铜铫知斤两讫,纳蜜姜汁,微火熬令姜汁尽,
唯有蜜斤
知母止嗽
时嚼服,
(申先生) 治干咳嗽。(有声无痰,谓之干咳,缘肺肾津枯所致。若火郁其痰而干咳
者,当用升发之药,如逍遥散之类,随用滋阴之剂收功。)
地黄(四斤) 茯苓(十二两) 人参(六两) 白蜜(二斤) 先将地黄熬汁去渣,
入蜜炼稠,再
地黄滋阴生水。水能制火。白蜜甘凉性润。润能去燥。气为水母。土为金母。故用参苓
补土
(本事方) 治老人风秘。(许叔微曰∶一妇年八十四,忽腹痛头痛,恶心不食。
议补脾治风,清利头目。服药难愈,全不进食,其家忧惶。予辨前药皆误,此是老人风
脏腑壅滞,聚于胸中,则腹胀恶心,不思饮食,上至于巅,则头痛不青也。令作此粥,
而气泄,不结烘如椒者十余枚,渐得通利,不药而愈矣。)及产后大便不通。(妇人产后
种疾,郁冒则多汗,多汗则大便不通,故难于用药。)
大麻仁 紫苏子 等分。洗净合研,再用水研,取汁煮粥。
麻仁阳明正药,滑阳润燥,利便除风。苏子兼走太阴,润肺通肠,和血下气。行而不峻,
缓
(出自《易简方》)治疗消渴病引起的烦躁、咽干、面色发红,以及肾火上炎的症状。
人参、黄耆(蜜炙)、甘草(炙)、生地黄、熟地黄、天冬、麦冬、枇杷叶(蜜炙)、石斛、泽泻。
此方具有生津补血、润燥止渴的功效,辅以泽泻和枳壳,以疏导膀胱和大肠二腑。
(泽泻能泻除膀胱之火,枳壳能宽理大肠之气。)使下焦清利,则心火自然下降。(因为心与小肠互为表里关系。)这样口渴自然就会停止。(喻嘉言说:人参白虎汤专门治疗气分的燥热,此方专门治疗血分的燥热。竹叶黄耆汤,兼治气血两虚的燥热,应当辨证后选择使用。附上竹叶黄耆汤的组成:淡竹叶、生地黄各二钱;当归、川芎、芍药、麦冬、炒黄芩、人参、黄耆、甘草、半夏、石膏各一钱。用于治疗消渴病导致的气血两虚,兼有胃火的情况。)
(出自《千金方》)润肺散寒。(白蜜质地滑利能润肺,生姜味辛能散寒。)
白蜜(一斤)、生姜(二斤取汁)。先称量铜锅的重量并记录,放入蜂蜜和姜汁,用微火熬煮直到姜汁完全蒸发,只剩下蜂蜜一斤。
知母止嗽(注:此处原文可能有误或为特定用法,按字面翻译),时常嚼服。
(申先生方)治疗干咳。(有声无痰,称为干咳,这是由于肺肾津液枯竭所致。如果是火郁结导致痰阻而干咳的,应当使用升发类药物,如逍遥散之类,随后再用滋阴剂收功。)
地黄(四斤)、茯苓(十二两)、人参(六两)、白蜜(二斤)。先将地黄熬汁去渣,加入蜂蜜炼至浓稠,再加入……
地黄能滋阴生水。水能制约火。白蜜味甘性凉且滋润。滋润能去除燥邪。气是水的母亲(指气能化水/行水)。土是金的母亲(指脾土生肺金)。所以用人参、茯苓补益脾土。
(出自《本事方》)治疗老年人风秘。(许叔微说:有一位八十四岁的妇女,突然腹痛头痛,恶心不想吃东西。建议补脾祛风,清利头目。服药后难以痊愈,完全无法进食,家属非常担忧。我辨析之前的药物都错了,这是老人因风邪导致脏腑壅滞,积聚在胸中,就会导致腹胀恶心,不思饮食;邪气上至于头顶,就会头痛。让他服用这种粥,随着气机泄降,大便逐渐通畅,没有像胡椒那样干燥坚硬的粪便十余枚,最终不药而愈。)以及产后大便不通。(妇人产后多种疾病,郁冒会导致多汗,多汗则导致大便不通,所以用药比较困难。)
大麻仁、紫苏子,等分。洗净后一起研磨,再加水研磨,取汁煮粥。
麻仁是阳明经的正药,质滑能润燥,利便除风。苏子兼走太阴经,润肺通肠,和血下气。药性行而不猛烈,缓和。
(From *Yijian Fang*) Treats thirst-quenching disease (Xiao Ke) accompanied by irritability, dry throat, flushed face, and flaming fire of the Kidney ascending.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix) [honey-fried], Gan Cao (Licorice Radix et Rhizoma) [roasted], Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Pi Pa Ye (Loquat Leaf) [honey-fried], Shi Hu (Dendrobii Caulis), Ze Xie (Alismatis Rhizoma).
This formula generates fluids, nourishes blood, moistens dryness, and quenches thirst. It is assisted by Ze Xie and Zhi Qiao to dredge the Bladder and Large Intestine.
(Ze Xie drains fire from the Bladder; Zhi Qiao expands qi in the Large Intestine.) By clearing and promoting urination in the lower jiao, Heart Fire descends naturally. (The Heart and Small Intestine are exterior-interior related.) Thus, thirst will cease spontaneously. (Yu Jiayan stated: Ren Shen Bai Hu Tang specifically treats燥热 (dry-heat) in the Qi level; this formula specifically treats dry-heat in the Blood level. Zhu Ye Huang Qi Tang treats dry-heat involving both Qi and Blood, and should be selected based on syndrome differentiation. Attached is the composition of Zhu Ye Huang Qi Tang: Dan Zhu Ye (Lophatheri Herba) and Sheng Di Huang each 2 qian; Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Mai Dong, Chao Huang Qin (Scutellariae Radix) [stir-fried], Ren Shen, Huang Qi, Gan Cao, Ban Xia (Pinelliae Rhizoma), Shi Gypsum each 1 qian. It treats thirst-quenching disease with deficiency of both Qi and Blood, complicated by Stomach Fire.)
(From *Qianjin Fang*) Moistens the Lung and disperses Cold. (Bai Mi [White Honey] is slippery and moistens the Lung; Sheng Jiang [Fresh Ginger Rhizome] is pungent and disperses Cold.)
Bai Mi (1 jin), Sheng Jiang (2 jin, juice extracted). First weigh the copper pot and record its weight. Add honey and ginger juice, simmer over low heat until the ginger juice is completely evaporated, leaving only 1 jin of honey.
Zhi Mu (Anemarrhenae Rhizoma) stops coughing. Chew and swallow occasionally.
(Mr. Shen's Formula) Treats dry cough. (Cough with sound but no sputum is called dry cough, caused by depletion of fluids in the Lung and Kidney. If dry cough is due to constrained Fire obstructing phlegm, lifting and dispersing herbs such as those in Xiao Yao San should be used first, followed by yin-nourishing agents to conclude treatment.)
Di Huang (Rehmanniae Radix) (4 jin), Fu Ling (Poria) (12 liang), Ren Shen (6 liang), Bai Mi (2 jin). First decoct Di Huang to extract juice and remove dregs. Add honey and refine until thick. Then...
Di Huang nourishes Yin and generates Water. Water controls Fire. Bai Mi is sweet, cool, and moistening. Moisture removes dryness. Qi is the mother of Water. Earth is the mother of Metal. Therefore, Ren Shen and Fu Ling are used to tonify Earth (Spleen/Stomach).
(From *Ben Shi Fang*) Treats wind constipation in the elderly. (Xu Shuwei said: An eighty-four-year-old woman suddenly suffered abdominal pain, headache, nausea, and loss of appetite. The proposal was to tonify the Spleen, dispel Wind, and clear the head and eyes. Medication failed to cure her; she ate nothing, causing great worry among her family. I analyzed that previous medications were incorrect. This case involves Wind pathogen causing stagnation of Zang-Fu organs, accumulating in the chest, leading to abdominal distension, nausea, and anorexia. When pathogenic factors ascend to the vertex, headache occurs. I prescribed this porridge. As Qi descended and vented, bowel movements gradually became unobstructed. More than ten stools resembling dried peppercorns were passed, and she recovered without further medication.) Also treats postpartum constipation. (Postpartum women suffer from various ailments; Yu Mao [depression and vertigo] leads to excessive sweating, which causes constipation, making medication difficult.)
Da Ma Ren (Cannabis Fructus) and Zi Su Zi (Perillae Fructus) in equal parts. Wash clean, grind together, add water, grind again, extract juice, and cook into porridge.
Ma Ren (Cannabis Fructus) is the principal herb for the Yangming channel; its slipperiness moistens dryness, promotes bowel movement, and dispels Wind. Zi Su Zi also enters the Taiyin channel, moistens the Lung, unblocks the intestines, harmonizes Blood, and directs Qi downward. Its action is gentle and not harsh.