(严氏) 治肢体浮肿,色悴声短,口中不渴,二便通利。(脾胃虚寒,土不能制水,
故水妄行而浮肿。以无郁热,故口不渴,而便不秘,此为阴水。严氏曰∶治阴水发肿,用此
先实脾土。)
白术(土炒) 茯苓 甘草(炙) 浓朴(姜炒) 大腹子 草豆蔻 木香 木瓜 附
子黑姜
脾虚故以白术甘草补之,脾寒故以姜附草蔻温之,脾湿故以大腹茯苓利之,脾滞故以木
香浓
为平
运,
以脾
不可
喻
泛
治水溢高原,肢体皆肿。(经曰∶三焦者,决渎之官,水道出焉。上焦不治,水
中焦不治,水停中脘。下焦不治,水蓄膀胱。)
麦门冬(五十枚姜炒) 粳米(五十粒)
吴鹤皋曰∶肺非无为也。饮食入胃,游溢精气,上输于脾,脾气散精,上归于肺,通调
水道
实脾
求其
(澹寮) 治水病肿满,上气喘急,或腰以下肿。
五加皮 地骨皮 茯苓皮 大腹皮 生姜皮 一方五加易陈皮,罗氏五加易桑白皮,治
病后
五加祛风胜湿,地骨退热补虚,生姜辛散助阳。水为阴邪,大腹下气行水,茯苓渗湿健
脾,
治积热秘结,小水不利,或致腰腹下部极痛,或湿热不利。黄胆,溺血,邪热蓄
痛淋闭等证。
茯苓 泽泻 木通(二钱) 猪苓 栀子 枳壳 车前子(一钱) 如内热甚者,加黄
芩黄柏龙
钱。如邪
(严氏)治疗肢体浮肿,面色憔悴,声音短促,口中不渴,大小便通畅。(这是脾胃虚寒,脾土不能制约水湿,导致水气妄行而引发浮肿。因为没有郁热,所以口不渴,大便也不秘结,这属于阴水。严氏说:治疗阴水引起的浮肿,用此方先充实脾土。)
白术(土炒) 茯苓 甘草(炙) 厚朴(姜炒) 大腹子 草豆蔻 木香 木瓜 附子 黑姜
脾虚所以用白术、甘草来补益;脾寒所以用干姜、附子、草豆蔻来温中;脾湿所以用大腹子、茯苓来利水渗湿;脾滞所以用木香、厚朴来平调运化。因为脾脏的功能不可用泛泛之理来比喻(意指需具体辨证施治)。
治疗水气泛滥如高原之水,肢体全部浮肿。(《内经》说:三焦是决渎之官,水道由此而出。上焦功能失常,水气停聚;中焦功能失常,水气停滞在中脘;下焦功能失常,水气蓄积在膀胱。)
吴鹤皋说:肺并非无所作为。饮食进入胃中,游溢精气,向上输送给脾,脾气散布精微物质,向上归于肺,通调水道。
(澹寮方)治疗水病肿胀满闷,呼吸急促上喘,或者腰部以下浮肿。
五加皮 地骨皮 茯苓皮 大腹皮 生姜皮 (一方中五加皮换为陈皮,罗氏方中五加皮换为桑白皮,用于治疗病后……)
五加皮祛风胜湿,地骨皮退热补虚,生姜辛散助阳。水属于阴邪,大腹子下气行水,茯苓渗湿健脾。
(Yan's Formula) Treats limb edema, with a sallow complexion and shortness of voice, no thirst in the mouth, and free passage of both stool and urine. (This is due to deficiency-cold of the Spleen and Stomach, where Earth fails to control Water, causing Water to act recklessly and result in edema. Because there is no stagnant heat, there is no thirst, and the stool is not constipated; this is classified as Yin Water. Yan said: To treat swelling caused by Yin Water, use this formula first to strengthen the Spleen Earth.)
Bai Zhu (Stir-fried with soil) Fu Ling Gan Cao (Honey-fried) Hou Po (Stir-fried with ginger juice) Da Fu Zi Cao Dou Kou Mu Xiang Mu Gua Fu Zi Hei Jiang
Since the Spleen is deficient, Bai Zhu and Gan Cao are used to tonify it; since the Spleen is cold, Sheng Jiang, Fu Zi, and Cao Dou Kou are used to warm it; since the Spleen is damp, Da Fu Zi and Fu Ling are used to promote urination and leach out dampness; since the Spleen is stagnant, Mu Xiang and Hou Po are used to regulate and transport. The functions of the Spleen cannot be explained by general principles alone.
Treats water overflowing like water at a high altitude, with edema throughout the limbs. (The Classic states: The San Jiao is the official responsible for irrigation, and the water passages emerge from it. If the Upper Jiao is dysfunctional, water stops; if the Middle Jiao is dysfunctional, water stagnates in the Zhong Wan region; if the Lower Jiao is dysfunctional, water accumulates in the Bladder.)
Mai Men Dong (50 seeds, stir-fried with ginger) Jing Mi (50 grains)
Wu Hegao said: The Lung is not without function. When food enters the Stomach, its essence floats and overflows, transporting upwards to the Spleen. The Spleen scatters the essence, sending it upwards to return to the Lung, which regulates the water passages.
(Dan Liao Formula) Treats water disease with swelling and fullness, wheezing and rapid breathing, or edema below the waist.
Wu Jia Pi Di Gu Pi Fu Ling Pi Da Fu Pi Sheng Jiang Pi (In one prescription, Wu Jia Pi is replaced by Chen Pi; in Luo's prescription, Wu Jia Pi is replaced by Sang Bai Pi, to treat post-illness...)
Wu Jia Pi dispels wind and overcomes dampness; Di Gu Pi clears heat and tonifies deficiency; Sheng Jiang is pungent and dispersing, assisting Yang. Water is a Yin pathogen; Da Fu Zi directs Qi downward and moves Water; Fu Ling leaches out dampness and strengthens the Spleen.
Treats constipation due to accumulated heat, difficult urination, or severe pain in the lower part of the waist and abdomen, or damp-heat obstruction. Jaundice, hematuria, and syndromes such as strangury and retention caused by accumulation of evil heat.
Fu Ling Ze Xie Mu Tong (2 qian) Zhu Ling Zhi Zi Zhi Ke Che Qian Zi (1 qian) If internal heat is severe, add Huang Qin and Huang Bo... qian. If evil...