治小水不利,湿滞胀肿,不能受补等证。
茯苓 泽泻 猪苓(二三钱) 米仁(二钱) 枳壳 浓朴(一钱) 如阴虚,水不能
达,加生地
治阳虚白浊,小便频数,漩白如油,名曰膏淋。(肾气虚,不能管束,而小便
有热,则水道涩,而清浊不分。或败精渗入胞中,及服热药饮食,痰积渗入,皆成
川萆 石菖蒲 乌药 益智仁(等分) 甘草梢(减半) 入盐服。一方加茯苓。
萆 能解阳明厥阴湿热,去浊而厘清。(史国信曰∶若欲兴阳,先滋筋力。若欲便清,
先分
药,
石菖
以疏
治气淋,血淋,膏淋,砂淋。(心肾气郁,清浊相干。热蓄膀胱,溺涩而痛曰淋。
便涩余沥。血淋,尿血而痛。膏淋,便出如膏。砂淋,精结成石。劳淋,遇劳即发。
寒战后溲。大抵多属于热,热甚生湿,则水液混浊而为淋。若冷气滞于膀胱而作淋者
一二也。)
滑石(二钱) 琥珀 木通 蓄 木香 当归 郁金(炒一钱) 为末服。
滑石滑可去着,利窍行水。 蓄苦能下降,利便通淋。琥珀能降肺气,通于膀胱。木通
能泻
经
香
青
滋
(仲景) 治伤寒阳明病,但头汗出,腹满口渴,二便不利,湿热发黄,脉沉实者。
曰∶阳明病发热汗出,此为热越,则不发黄。若但头汗,身无汗,小便不利,渴引水浆
为瘀热在里,必发黄。黄者,脾胃之色也。热甚者,身如橘色,汗如柏汁。头为诸阳之
热蒸于头,故但头汗,而身无汗。夫热外越则不里郁,下渗则不内存。今便既不利,身
汗,故郁而为黄。内有实热,故渴。热甚则津液内竭,故小便不利。凡瘀热在里,热入
及水结胸,皆有头汗之证。乃伤寒传变,故与杂病不同。湿在经,则日晡发热鼻塞。
则身痛。在脏腑,则濡泄,小便反涩,腹或胀满。湿热相搏,则发黄。热胜,色明
湿胜,色晦而便溏。又黄病与湿病相似,但湿病在表,一身尽痛,黄病在里,一身
茵陈(六两) 大黄(二两) 栀子(十四枚炒)
茵陈发汗利水,以泄太阴阳明之湿热,故为治黄主药。栀子为臣,大黄为佐,分泄前后,
则
大黄易黄连,名茵陈三物汤,治同。加浓朴枳实黄芩甘草,入生姜灯草煎,名茵陈将军
汤(
为阴
或
喘
中
治疗小便不利、湿气停滞导致的腹胀水肿,以及身体虚弱无法承受补益等证候。
茯苓、泽泻、猪苓(各二三钱)、薏苡仁(二钱)、枳壳、厚朴(各一钱)。如果属于阴虚,导致水液不能正常输布,加入生地黄。
治疗阳虚引起的白浊,小便频数,尿液浑浊如油脂,称为膏淋。(这是由于肾气虚弱,不能固摄约束,且小便有热,导致水道涩滞,清浊不分。或者是败精渗入膀胱,以及服用热性药物或饮食后,痰积渗入,都会形成此症。)
川萆薢、石菖蒲、乌药、益智仁(等分),甘草梢(减半),服药时加盐。另一配方中加入茯苓。
川萆薢能解除阳明经和厥阴经的湿热,去除浊邪而澄清清液。(史国信说:如果想要振奋阳气,先要滋养筋力;如果想要小便清澈,先要分清泌浊。)
治疗气淋、血淋、膏淋、砂淋。(心肾之气郁结,清浊相互干扰。热邪蓄积在膀胱,排尿涩滞且疼痛称为淋证。尿后余沥不尽。血淋,是尿血且疼痛。膏淋,是尿液排出如膏脂。砂淋,是精微物质凝结成结石。劳淋,是遇劳累即发作。寒战之后才排尿。大抵多属于热证,热盛则生湿,导致水液混浊而形成淋证。如果是冷气阻滞于膀胱而引发淋证的,只占一二成。)
滑石(二钱)、琥珀、木通、瞿麦、木香、当归、郁金(炒一钱),研为末服用。
滑石质地滑利可以去除黏着之邪,通利窍道行水。瞿麦味苦能下降,通利小便治疗淋证。琥珀能降肺气,通达膀胱。木通能泻……(原文此处有缺漏)……经……(原文此处有缺漏)……香……(原文此处有缺漏)……青……(原文此处有缺漏)……滋……(原文此处有缺漏)
(张仲景)治疗伤寒阳明病,仅头部出汗,腹部胀满口渴,大小便不利,湿热发黄,脉象沉实的证候。
说:阳明病发热汗出,这是热邪向外发散,就不会发黄。如果仅头部出汗,身上无汗,小便不利,口渴想喝水浆,这是瘀热在体内,必定发黄。黄色是脾胃的颜色。热势严重的,身体像橘子皮的颜色,汗液像柏树汁一样黄。头是诸阳之会,热邪蒸腾于头部,所以仅头部出汗而身上无汗。如果热邪向外发散则不会郁结在里,向下渗透则不会内停。现在小便既不利,身体又无汗,所以郁结而发黄。内有实热,所以口渴。热盛则津液在内枯竭,所以小便不利。凡是瘀热在里,以及水饮结胸,都有头部出汗的证候。这是伤寒传变所致,所以与杂病不同。湿邪在经络,则下午申酉时发热鼻塞。……(原文此处有缺漏)……则身体疼痛。在脏腑,则大便溏泄,小便反而涩滞,腹部或胀满。湿热相搏结,则发黄。热胜,颜色鲜明;湿胜,颜色晦暗且大便溏薄。另外黄疸病与湿病相似,但湿病在表,全身都痛;黄疸病在里,全身……(原文此处有缺漏)
茵陈(六两)、大黄(二两)、栀子(十四枚,炒)
茵陈能发汗利水,以宣泄太阴脾经和阳明胃经的湿热,所以是治疗黄疸的主药。栀子作为臣药,大黄作为佐药,分别从前阴和后阴泄热,则……(原文此处有缺漏)
将大黄换成黄连,名为茵陈三物汤,主治相同。加入厚朴、枳实、黄芩、甘草,用生姜、灯心草煎煮,名为茵陈将军汤(……(原文此处有缺漏)……为阴……(原文此处有缺漏)……或……(原文此处有缺漏)……喘……(原文此处有缺漏)……中……(原文此处有缺漏)
Treats conditions such as difficult urination, abdominal distension and edema caused by dampness stagnation, and patterns where the body cannot tolerate tonification.
Fuling (Poria), Zexie (Alisma Rhizome), Zhuling (Polyporus) (2-3 qian each), Yiren (Coix Seed) (2 qian), Zhike (Aurantium Fructus Immaturus), Houpo (Magnolia Bark) (1 qian each). If it is Yin deficiency causing water fluids to fail to reach their destination, add Shengdi Huang (Rehmannia Root).
Treats white turbidity due to Yang deficiency, frequent urination, urine turbid like oil, known as Gao Lin (Gum Strangury). (This occurs because Kidney Qi is deficient and fails to control and secure, while heat in the urinary tract causes obstruction, leading to a failure to distinguish between clear and turbid fluids. It may also result from residual essence penetrating into the bladder, or from phlegm accumulation penetrating in after taking hot medicines or foods.)
Chuan Bi Xie (Dioscorea Hypoglauca Rhizome), Shichangpu (Acori Tatarinowii Rhizoma), Wuyao (Lindera Root), Yizhi Ren (Alpinia Oxyphylla Fruit) (equal parts), Gancao Shao (Licorice Tip) (half dose), taken with salt. Another formula adds Fuling (Poria).
Chuan Bi Xie (Dioscorea Hypoglauca Rhizome) can resolve damp-heat in the Yangming and Jueyin meridians, removing turbidity and clarifying clarity. (Shi Guoxin said: If one wishes to stimulate Yang, first nourish the sinews; if one wishes for clear urination, first separate clear from turbid.)
Treats Qi Lin (Qi Strangury), Xue Lin (Blood Strangury), Gao Lin (Gum Strangury), Sha Lin (Gravel Strangury). (Stagnation of Heart and Kidney Qi causes clear and turbid fluids to interfere with each other. Heat accumulating in the Bladder causes painful and difficult urination, termed Lin syndrome. Residual dripping after urination. Xue Lin involves hematuria with pain. Gao Lin involves urine discharging like gum. Sha Lin involves concretion of essence into stones. Lao Lin (Fatigue Strangury) occurs upon exertion. Chills followed by urination. Generally, these belong to heat patterns; excessive heat generates dampness, causing fluid turbidity and resulting in Lin syndrome. Cases where cold qi stagnates in the Bladder causing Lin constitute only one or two percent.)
Huashi (Talcum) (2 qian), Hupo (Amber), Mutong (Akebia Stem), Qumai (Polygonum Aviculare Herb), Muxiang (Aucklandia Root), Danggui (Angelica Sinensis Root), Yujin (Curcuma Longa Rhizome) (stir-fried 1 qian), ground into powder and taken.
Huashi (Talcum) is slippery and removes adhesion, benefiting orifices and promoting water movement. Qumai (Polygonum Aviculare Herb) is bitter and descends, benefiting urination and treating strangury. Hupo (Amber) descends Lung Qi and connects to the Bladder. Mutong (Akebia Stem) drains... [text missing] ...meridian... [text missing] ...Xiang... [text missing] ...Qing... [text missing] ...nourish... [text missing]
(Zhang Zhongjing) Treats Taiyang disease transmitting to Yangming disease, characterized by sweating only on the head, abdominal fullness, thirst, difficulty in urination and defecation, jaundice due to damp-heat, and a deep, solid pulse.
It says: In Yangming disease, fever and sweating indicate that heat is venting outward, so jaundice will not develop. If there is sweating only on the head, no sweating on the body, and difficult urination, along with thirst prompting intake of fluids, this indicates stagnant heat in the interior, inevitably leading to jaundice. Yellow is the color of the Spleen and Stomach. With severe heat, the body appears orange-yellow, and sweat resembles cypress juice. The head is the meeting point of all Yang meridians; heat steaming upward causes sweating only on the head and none on the body. If heat vents outward, it does not stagnate internally; if it渗 (seeps) downward, it does not accumulate inside. Now, since urination is difficult and sweating is absent, heat stagnates and causes yellowing. Internal excess heat causes thirst. Severe heat depletes internal body fluids, causing difficult urination. Any condition with stagnant heat in the interior, or water-phlegm binding in the chest, presents with head sweating. This results from the transmission of Cold Damage, thus differing from miscellaneous diseases. Dampness in the meridians causes afternoon fever and nasal congestion... [text missing] ...then body pain. In the Zang-Fu organs, it causes loose stools, paradoxical difficulty in urination, and abdominal distension. When dampness and heat struggle, jaundice develops. If heat predominates, the color is bright; if dampness predominates, the color is dull and stools are loose. Furthermore, Jaundice disease resembles Dampness disease, but Dampness is at the exterior with whole-body pain, whereas Jaundice is in the interior... [text missing]
Yin Chen Hao (Artemisiae Scopariae Herba) (6 liang), Da Huang (Rhei Radix et Rhizoma) (2 liang), Zhi Zi (Gardeniae Fructus) (14 pieces, stir-fried).
Yin Chen Hao (Artemisiae Scopariae Herba) induces sweating and promotes diuresis to drain damp-heat from the Taiyin Spleen and Yangming Stomach, making it the principal herb for treating jaundice. Zhi Zi (Gardeniae Fructus) serves as the Deputy minister, and Da Huang (Rhei Radix et Rhizoma) as the Assistant, draining heat via the anterior and posterior outlets respectively, then... [text missing]
Replacing Da Huang (Rhei Radix et Rhizoma) with Lian Xin (Nelumbinis Plumula) creates Yin Chen San Wu Tang (Three-Ingredient Decoction of Artemisia for Jaundice), with identical indications. Adding Houpo (Magnolia Bark), Zhishi (Bitter Orange Fruit), Huang Qin (Scutellaria Root), Gancao (Licorice Root), decocted with Shengjiang (Fresh Ginger) and Dengcao (Juncus Effusus), creates Yin Chen Jiang Jun Tang (Artemisia General Decoction)... [text missing] ...as Yin... [text missing] ...or... [text missing] ...wheezing... [text missing] ...middle... [text missing]