(东垣) 治肺金受湿热之邪。痿 喘促,胸满少食,色白毛败,头眩体重,身痛肢倦
,口渴便秘。(经曰∶肺者,相传之官,治节出焉。火盛克金,则肺热叶焦,气无所主,而
失其治节。故肢体或纵或缩,而成痿 也。火上逆肺,故喘促。肺主皮毛,故色白毛败。湿
热填于膈中,故胸满。壅于阳明,则食少。上升于头,则眩。注于身,则体重。流于关节
,则身痛。肺受火伤,天气不能下降,膀胱绝其化源,故口渴便赤。)
黄 (钱半) 苍术(炒一钱) 白术(炒) 陈皮 泽泻(五分) 人参 茯苓 升
麻(三分) 当
苓(二分) 黄连(一分)
肺属辛金而主气,大肠属庚金而主津。燥金受湿热之邪,则寒水(膀胱)生化之源绝,
源绝则
益元气
者,金
(黄柏
泻,所
(朱丹
风病外
证。其
痰涎有
宁免实
大意。金
水失所养
侮所不胜
泻南方
故阳明
(河间) 治伤寒中暑,表里俱热,烦躁口渴,小便不通,泻痢热疟,霍乱吐泻,下乳
,滑胎,解酒热毒,偏主石淋。(暑热皆阳邪,在表则发热,在里则泻痢霍乱,在上则烦渴
,在下则便秘,或热泻。火气煎灼,精结成石,则为石淋。)
滑石(六两) 甘草(一两) 为末,冷水或灯心汤调下。(丹溪曰∶泄泻及呕吐,生
姜汤下。)
降而下通膀
实,而泻自
地六成之之
湿热也。然
反耗其津液
暑驱湿,反
加辰砂少许,名益元散。镇心神,而泻丙丁之邪热也。(小肠为丙火,心为丁火。)加薄
荷少
痢。(
伤。干
烦不得
枣煎,
吞忍冬
(李东垣)治疗肺金受到湿热邪气的侵袭。出现痿证、气喘急促,胸部胀满、食欲减退,面色苍白、毛发枯败,头晕目眩、身体沉重,全身疼痛、四肢倦怠,口渴、大便秘结。(《内经》说:肺是传布的官职,治理和调节的功能由此产生。火气过盛克制肺金,导致肺热叶焦,气机失去主宰,从而丧失其治理调节功能。因此肢体或松弛或收缩,形成痿证。火气上逆侵犯肺脏,所以气喘急促。肺主管皮毛,所以面色白、毛发败坏。湿热填塞于膈中,所以胸部胀满。壅滞于阳明经,则饮食减少。湿热上升头部,则头晕。注于身体,则身体沉重。流注于关节,则全身疼痛。肺受火邪损伤,天气不能下降,膀胱失去了化生之源,所以口渴、小便黄赤。)
黄芪(一钱半) 苍术(炒制一钱) 白术(炒制) 陈皮 泽泻(五分) 人参 茯苓 升麻(三分) 当归(二分) 黄连(一分)
肺属辛金而主司气,大肠属庚金而主司津液。燥金受到湿热邪气的侵袭,则寒水(膀胱)化生的源头断绝,源头断绝则……(此处原文有脱漏/错简,推测意为元气受损)。补益元气者,用……(此处原文有脱漏/错简)。黄柏泻……(此处原文有脱漏/错简)。(朱丹溪认为……风病外……证。其痰涎有……宁免实……大意。金水失所养,侮所不胜,泻南方……故阳明……)
(刘河间)治疗伤寒中暑,表里俱热,烦躁口渴,小便不通,泻痢热疟,霍乱吐泻,催乳,滑胎,解酒热毒,主要治疗石淋。(暑热都是阳邪,在体表则发热,在体内则泻痢霍乱,在上部则烦渴,在下部则便秘,或热性腹泻。火气煎灼,精气凝结成石,就形成石淋。)
滑石(六两) 甘草(一两) 研为细末,用冷水或灯心草汤调服。(朱丹溪说:治疗泄泻及呕吐,用生姜汤送下。)
降而下通膀……实,而泻自……地六成之之……湿热也。然……反耗其津液……暑驱湿,反……加辰砂少许,名为益元散。镇安心神,以泻丙丁之火邪热毒。(小肠为丙火,心为丁火。)加薄荷少许……痢。(……伤。干……烦不得……枣煎,……吞忍冬……)
(Li Dongyuan) Treats the condition where Lung Metal is invaded by Damp-Heat pathogenic factors. Symptoms include flaccidity syndrome (Wei Syndrome), panting and shortness of breath, chest fullness, poor appetite, pale complexion with brittle hair, dizziness, heavy body, generalized body pain, limb fatigue, thirst, and constipation. (The Classic says: The Lung is the official of transmission, from which governance and regulation arise. When Fire is excessive and overacts on Metal, it causes Lung Heat and scorched leaves; Qi loses its master, thereby losing its governance and regulation. Thus, limbs may become either flaccid or contracted, resulting in Wei Syndrome. When Fire qi rebels upward to invade the Lung, there is panting and shortness of breath. The Lung governs the skin and hair, hence the pale complexion and brittle hair. When Damp-Heat fills the diaphragm, there is chest fullness. When it obstructs the Yangming channel, food intake decreases. When it rises to the head, there is dizziness. When it pours into the body, there is heaviness. When it flows into the joints, there is generalized body pain. When the Lung is injured by Fire, Heaven Qi cannot descend, and the Bladder loses its source of transformation, leading to thirst and dark urine.)
Huangqi (Astragali Radix, 1.5 qian) Cangzhu (Atractylodis Rhizoma, stir-fried, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Chenpi (Citri Reticulatae Pericarpium) Zexie (Alismatis Rhizoma, 0.5 qian) Renshen (Ginseng Radix) Fuling (Poria) Shengma (Cimicifugae Rhizoma, 0.3 qian) Danggui (Angelicae Sinensis Radix, 0.2 qian) Huanglian (Coptidis Rhizoma, 0.1 qian)
The Lung belongs to Xin Metal and governs Qi; the Large Intestine belongs to Geng Metal and governs Jin Ye (Body Fluids). When Dry Metal is invaded by Damp-Heat, the source of transformation for Cold Water (Bladder) is cut off. [Text contains lacunae/scribal errors here, likely referring to the depletion of Yuan Qi.] To tonify Yuan Qi... [Lacunae]. Huangbai (Phellodendri Cortex) clears... [Lacunae]. (Zhu Danxi stated... Wind disease exterior... symptoms. Its phlegm-saliva has... how can it avoid excess... general idea. Metal and Water lose nourishment, insulting the unconquerable, clearing the South... thus Yangming...)
(Liu Hejian) Treats cold damage complicated by summerheat, heat in both interior and exterior, irritability, thirst, dysuria, dysentery, hot malaria, cholera with vomiting and diarrhea, promoting lactation, inducing abortion, resolving alcohol heat and toxins, primarily treating Stone Lin (calculi). (Summerheat and Heat are all Yang pathogens. In the exterior, they cause fever; in the interior, dysentery and cholera; in the upper jiao, irritability and thirst; in the lower jiao, constipation or hot diarrhea. Fire qi scalds and boils, condensing essence into stones, thus forming Stone Lin.)
Huashi (Talcum, 6 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang) Grind into powder, take with cold water or Jiaxin Tang (Nymphaeae Semen decoction). (Zhu Danxi said: For diarrhea and vomiting, take with Shengjiang Tang (Zingiberis Rhizoma decoction).)
Descends and unblocks the Bladder... excess, and diarrhea naturally... Earth completes six... Damp-Heat. However... conversely consumes Body Fluids... Summerheat drives out Dampness, conversely... Add a small amount of Zhensha (Cinnabar), named Yiyuan San (Benefit the Origin Powder). Calms the Heart Spirit and clears Bing-Ding Fire pathogenic heat. (Small Intestine is Bing Fire, Heart is Ding Fire.) Add a little Bohe (Menthae Haplocalycis Herba)... dysentery. (...injury. Dry... irritability unable to... boil with Zao (Jujubae Fructus), ... swallow Ren Dong (Lonicerae Japonicae Flos)... )