治诸凡火盛而不宜补者。
黄芩 石斛 木通 栀子(炒) 黄柏(五钱) 枳壳(钱半) 细甘草(三分) 煎
成。食远温服
如热在经络肌肤者,加连翘天花粉以解之。热在血分大小肠者,加槐蕊黄连以清之。热
在阳
之。
以通
治三焦气火,一切内热,渐觉而未甚者。先宜清以此剂,其甚者,宜抽薪饮。
黄芩(二钱) 麦冬 芍药 黄柏 茯苓 丹皮(钱半) 陈皮(八分) 如多郁气逆
伤肝胁,肋疼痛,或致动血者,加青皮栀子。
(局方) 治肝胆经实火湿热。胁痛耳聋,胆溢口苦,筋痿阴汗,阴肿阴痛,白浊
(胁者,肝胆之部也,火盛故作痛。胆脉络于耳,故聋。肝者,将军之官也,谋虑出焉
者,中正之官也,决断出焉。胆虚,数虑而不决。胆气上溢,故口为之苦。肝主筋,湿
故筋痿。肝脉络于阴器,故或汗或肿或痛,白浊溲血,皆肝火也。)龙胆草(酒炒)
(炒) 栀子(酒炒) 泽泻 木通 车前子 当归(酒洗) 生地黄(酒炒) 柴胡 生
甘草
龙胆泻厥阴之热,(肝)柴胡平少阳之热,(胆)黄芩栀子,清肺与三焦之热以佐之。泽
泻泻肾
肝,用
东垣无黄芩栀子甘草,亦名龙胆泻肝汤,治前阴热痒臊臭。(此因饮酒,风湿热合于下
焦为
因而
通泽
治前
连知
治疗各种火气旺盛且不适宜进补的情况。
黄芩、石斛、木通、栀子(炒制)、黄柏(各五钱)、枳壳(一钱半)、细甘草(三分),煎煮成汤剂。在饭后较远的时候温服。
如果热邪在经络和肌肤,加入连翘、天花粉来解除它。如果热邪在血分以及大小肠,加入槐蕊、黄连来清解它。如果热邪在阳分……(原文此处有缺漏或错乱,“以通”二字位置不当,结合上下文推测为“热在阳分之……以通之”,但依原文忠实翻译)……以通。
治疗三焦的气火,一切内热,刚开始感觉轻微尚未严重的情况。先宜用此方剂清热,如果病情严重的,宜用抽薪饮。
黄芩(二钱)、麦冬、芍药、黄柏、茯苓、丹皮(各一钱半)、陈皮(八分)。如果因郁结之气上逆损伤肝胁,导致胁肋疼痛,或者导致动血的情况,加入青皮、栀子。
(出自《局方》)治疗肝胆经的实火湿热。症状包括胁痛、耳聋、胆气上溢口苦、筋痿、阴汗、阴肿、阴痛、白浊。(注释:胁部是肝胆的部位,火气旺盛所以作痛。胆的脉络连接耳朵,所以耳聋。肝是将军之官,谋虑由此产生;胆是中正之官,决断由此产生。胆虚,多思虑而不能决断。胆气上溢,所以口中发苦。肝主筋,湿气重所以筋痿。肝的脉络连接阴器,所以出现出汗、肿胀或疼痛,白浊、尿血,都是肝火所致。)龙胆草(酒炒)、[原文此处似有缺字,结合后文及常规方义推测可能指代某药或排版错误,暂略]、栀子(酒炒)、泽泻、木通、车前子、当归(酒洗)、生地黄(酒炒)、柴胡、生甘草。
龙胆草泻厥阴肝经的热邪,柴胡平少阳胆经的热邪,黄芩、栀子清肺与三焦的热邪以辅助它们。泽泻泻肾……(原文此处语句破碎,“肝,用 东垣无黄芩栀子甘草,亦名龙胆泻肝汤,治前阴热痒臊臭。(此因饮酒,风湿热合于下焦为 因而 通泽 治前 连知” 部分文字顺序混乱且语义不全,按现有文字直译)……肝,使用李东垣的方子没有黄芩、栀子、甘草,也叫龙胆泻肝汤,治疗前阴热痒臊臭。(这是因为饮酒,风湿热结合在下焦为……因而……通泽……治疗前……连知……)
Treats various conditions where fire is excessive and tonification is inappropriate.
Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Mutong (Akebiae Caulis), Zhizi (Gardeniae Fructus, stir-fried), Huangbai (Phellodendri Cortex) (each 5 qian), Zhiqiao (Aurantii Fructus, 1.5 qian), Xi Gancao (Fine Glycyrrhizae Radix et Rhizoma, 3 fen). Decoct and take warm after meals at a considerable distance from eating.
If heat is in the meridians and skin/muscle, add Lianqiao (Forsythiae Fructus) and Tianhuafen (Trichosanthis Radix) to resolve it. If heat is in the blood level and the large/small intestines, add Huairui (Stemonae Radix? *Note: Huairui usually refers to Sophorae Flos or similar, but context suggests clearing heat in blood/intestines*) and Huanglian (Coptidis Rhizoma) to clear it. If heat is in the yang... [Text fragmentary] ...to unblock.
Treats qi-fire of the Sanjiao (Triple Burner) and all internal heat that has just begun to feel mild and not yet severe. Initially, this formula should be used to clear heat; if the condition is severe, Chou Xin Yin (Pulling Out the Fire Decoction) is appropriate.
Huangqin (2 qian), Maidong (Ophiopogonis Tuber), Shaoyao (Paeoniae Radix), Huangbai (Phellodendri Cortex), Fuling (Poria), Danpi (Moutan Cortex) (each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 8 fen). If rebellious qi due to stagnation injures the liver and hypochondrium, causing hypochondriac pain, or leading to bleeding, add Qingpi (Aurantii Fructus Immaturus) and Zhizi (Gardeniae Fructus).
(From *Ju Fang* / Standard Prescriptions) Treats excess fire and damp-heat in the Liver and Gallbladder meridians. Symptoms include hypochondriac pain, deafness, bitter taste in the mouth due to gallbladder qi reflux, flaccidity of tendons, sweating in the genital area, swelling and pain of the genitals, and white turbid discharge. (Commentary: The hypochondrium is the region of the Liver and Gallbladder; excess fire causes pain. The Gallbladder meridian connects to the ear, hence deafness. The Liver is the General Officer, where strategy originates; the Gallbladder is the Official of Justice, where decision-making originates. Gallbladder deficiency leads to overthinking without decisiveness. Gallbladder qi refluxes upward, causing bitterness in the mouth. The Liver governs the tendons; dampness causes tendon flaccidity. The Liver meridian connects to the genital organs, hence sweating, swelling, or pain. White turbid discharge and bloody urine are all due to Liver fire.) Longdancao (Gentianae Radix, wine-fried), [Text missing/fragmented], Zhizi (Gardeniae Fructus, wine-fried), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Danggui (Angelicae Sinensis Radix, wine-washed), Shengdihuang (Rehmanniae Radix, wine-fried), Chaihu (Bupleuri Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma).
Longdancao drains heat from the Jueyin (Liver); Chaihu calms heat from the Shaoyang (Gallbladder); Huangqin and Zhizi clear heat from the Lung and Sanjiao to assist them. Zexie drains Kidney... [Text fragmented] ...Liver. Li Dongyuan's version lacks Huangqin, Zhizi, and Gancao, but is also named Longdan Xiegan Tang, treating itching and foul odor in the anterior yin. (This is caused by drinking alcohol, where wind-damp-heat combines in the Lower Jiao to cause... thereby... unblocking Zexie... treating anterior... Lianzhi...)