(仲景) 治少阴病,二三日至四五日,腹痛,小便不利,下利不止,便脓血者。(喻
嘉言曰∶腹痛,小便不利,少阴热邪也。而下利不止,便脓血,则下焦滑脱矣。滑脱即不可
用寒药,故取干姜石脂之辛涩,以温经固脱,而加粳米之甘以益中州。盖治下利,必先中气
不下坠,则滑脱无源而自止也。)
赤石脂(一斤一半全用一半筛末。) 干姜(一两) 粳米(一升) 水七升,煮米熟,
去渣,纳
此少阴传经热邪也,阴经循行于里,故腹痛下利。仲景反用石脂干姜之温涩何意,盖下
利至
误
所
涩
全
(东垣) 治虚寒泄泻,水谷不化,肠鸣腹痛,脱肛,及便脓血,日夜无度。
御米壳(去蒂蜜炒五分) 诃子(煨去核七分。) 干姜(炮六分) 橘红(五分) 上
末,空心服
御米壳酸涩微寒,固肾涩肠。诃子酸涩苦温,收脱住泻。炮姜辛热,能逐冷补阳。陈皮
辛温
河间诃子散。诃子(一两半生半煨) 木香(五钱) 甘草(二钱) 黄连(三钱) 为
末。每服三
浓朴一两,
治膀胱不藏,水泉不止,命门水衰,小水不禁等证。
熟地 菟丝(酒制) 白术(炒二两) 韭子(炒) 破故纸(酒炒) 益智仁(酒炒)
北五味 熟
下。如气虚,
(张仲景)治疗少阴病,经过两三天到四五天,出现腹痛,小便不通畅,腹泻不止,大便带有脓血的情况。(喻嘉言说:腹痛、小便不通畅,是少阴经的热邪所致。但腹泻不止、大便带脓血,则是下焦滑脱不固的表现。滑脱证不能使用寒凉药物,因此选用干姜和赤石脂的辛温涩敛之性,来温通经脉、固摄滑脱,再加入粳米的甘味以补益中焦脾胃。大概治疗腹泻,必须先使中气不下陷,那么滑脱就没有源头,自然就会停止。)
赤石脂(一斤,一半整块使用,一半研成细末) 干姜(一两) 粳米(一升) 用水七升,煮至米熟,去掉药渣,纳入赤石脂细末……这是少阴经传经而来的热邪,阴经循行于体内,所以出现腹痛和下利。张仲景反而使用赤石脂、干姜的温涩之性,这是什么意思?大概是因为下利到了……误用……所……涩……全用……
(李东垣)治疗虚寒性泄泻,水谷不消化,肠鸣腹痛,脱肛,以及大便带脓血,日夜无节制。
罂粟壳(去掉蒂,用蜜炒制五分) 诃子(煨制后去核七分) 干姜(炮制六分) 橘红(五分) 以上药材研为细末,空腹服用。
罂粟壳酸涩微寒,能固肾涩肠。诃子酸涩苦温,能收敛固脱、止泻。炮姜辛热,能驱散寒冷、补益阳气。陈皮辛温……
河间(刘完素)诃子散。诃子(一两半,生用和煨制各半) 木香(五钱) 甘草(二钱) 黄连(三钱) 研为细末。每次服用三……
厚朴一两,
熟地黄 菟丝子(酒制) 白术(炒制二两) 韭菜子(炒制) 破故纸(即补骨脂,酒炒) 益智仁(酒炒) 北五味子 熟地……煎服。如果气虚,……
(Zhang Zhongjing) Treats Shaoyin disease (disease of the Lesser Yin channel). After two to three days up to four or five days, symptoms include abdominal pain, difficulty in urination, unremitting diarrhea, and passage of pus and blood in the stool. (Yu Jia Yan stated: Abdominal pain and difficulty in urination indicate heat pathogenic factors in the Shaoyin channel. However, unremitting diarrhea and passage of pus and blood indicate slipping and unconsolidation in the Lower Jiao (Lower Burner). When there is slipping and unconsolidation, cold-natured medicines cannot be used. Therefore, the acrid and astringent properties of Ganjiang (Dried Ginger, *Zingiberis Rhizoma*) and Chishizhi (Red Halloysite) are employed to warm the channels and consolidate the slipping, while Jingmi (Rice, *Oryzae Fructus Glutinosus*) is added for its sweet nature to benefit the Middle Jiao (Middle Burner). Generally, when treating diarrhea, one must first ensure that the Middle Qi does not sink; otherwise, the source of slipping remains, and it will not stop naturally.)
Chishizhi (Red Halloysite, *Halloysitum Rubrum*): One jin (500g), half used whole, half sifted into fine powder. Ganjiang (Dried Ginger, *Zingiberis Rhizoma*): One liang (30g). Jingmi (Glutinous Rice, *Oryzae Fructus Glutinosus*): One sheng (approx. 200ml volume). Add seven sheng (approx. 1400ml) of water, boil until the rice is cooked, remove the dregs, and add the fine powder of Chishizhi... This is heat pathogenic factors transmitted through the channels in Shaoyin. The Yin channels circulate internally, hence abdominal pain and diarrhea. Why did Zhang Zhongjing use the warming and astringent properties of Shizhi (Alum Stone/Chishizhi) and Ganjiang? Presumably because when diarrhea reaches... [text fragment] ...error... ...astringent... ...whole use...
(Li Dong Yuan) Treats deficiency-cold diarrhea, where food and water are not digested, borborygmus (intestinal rumbling), abdominal pain, rectal prolapse, as well as passage of pus and blood in the stool, occurring day and night without restraint.
Yumiqiao (Pericarpium Papaveris / Poppy Shell): Remove the calyx, stir-fry with honey, 5 fen (approx. 1.5g). Hezi (Chebula Fruit, *Terminaliae Chebulae Fructus*): Stew, remove the core, 7 fen (approx. 2.1g). Ganjiang (Dried Ginger, *Zingiberis Rhizoma*): Pao (processed by stir-frying with sand or salt), 6 fen (approx. 1.8g). Juhong (Exocarpium Citri Reticulatae Viride): 5 fen (approx. 1.5g). Grind the above ingredients into fine powder, take on an empty stomach.
Yumiqiao is sour, astringent, and slightly cold, capable of consolidating the Kidney and astringing the Intestines. Hezi is sour, astringent, bitter, and warm, capable of collecting collapse and stopping diarrhea. Pao Jiang (Processed Dried Ginger) is acrid and hot, capable of driving out cold and tonifying Yang. Chenpi (Aged Tangerine Peel) is acrid and warm...
Hezi San (Chebula Powder) from He Jian (Liu Wansu). Hezi (Chebula Fruit, *Terminaliae Chebulae Fructus*): One and a half liang (45g), half raw and half stewed. Muxiang (Costus Root, *Aucklandiae Radix*): Five qian (15g). Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*): Two qian (6g). Huanglian (Coptis Rhizome, *Coptidis Rhizoma*): Three qian (9g). Grind into fine powder. Take three [qian/liang] per dose...
Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*): One liang (30g),
Treats conditions such as the Bladder failing to store, continuous dripping of urine (Shuiquan), decline of Water in the Mingmen (Gate of Life), and involuntary urination.
Shudi (Prepared Rehmannia Root, *Rehmanniae Radix Preparata*). Tusisi (Dodder Seed, *Cuscutae Semen*): Processed with wine. Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*): Stir-fried, two liang (60g). Jiuizi (Leek Seed, *Allii Tuberosi Semen*): Stir-fried. Poguzhi (Kochia Seed/Burman Codonopsis? Note: Traditionally refers to Psoraleae Fructus / Bu Gu Zhi): Wine-fried. Yizhiren (Alpinia Oxyphylla Fruit, *Alpiniae Oxyphyllae Fructus*): Wine-fried. Bei Wuwei Zi (Schisandra Berry, *Schisandrae Chinensis Fructus*). Shudi [repeated]... Decoct and take. If there is Qi deficiency,...