(附论)
夫渴利之病。随饮即小便也。此谓服石药之人。房室过度。肾气虚耗故也。下焦既虚。
虚则
虽瘥
方
升麻散(出圣惠方)治渴利后皮肤生疮。肢节疼痛。
川升麻 玄参 知母 赤茯苓 漏芦 枳壳(麸炒微黄去瓤) 菝 甘草(炙微赤锉
各
二两)
以
瘥为度
黄 散(出圣惠方)治渴利。皮肤生热毒疮。疼痛寒热。口干心烦。
黄 甘草 川升麻 前胡(去芦头) 栝蒌根 知母 麦门冬(去心) 赤芍药(各
一两)
黄
煎
至
皂荚煎丸(出圣惠方)治渴利后热毒未解。心神烦热。皮肤搔痒成疮。
皂荚(十梃不蛀者拍碎用水二升浸一宿冷浓滤去滓以慢火熬成膏) 麦门冬(一两半去
心
焙)
风(去
芦头)
一两) 上为
玄参散(出圣惠方)治渴利后头面身上。遍生热毒疮。
玄参 黄芩 川升麻 连翘 葳蕤(各一两) 犀角屑 木香 白蔹(各半两) 栀子
仁(三分)
秦艽丸(出圣惠方)治渴利后。肺脏风毒外攻。皮肤生疮。搔痒心烦。
乌蛇(三两酒浸去皮骨炙微黄) 防风(半两去芦头) 牛蒡子(微炒) 栀子仁 犀
角屑
(各三
细末。炼
蜜和捣
栝蒌根散(出圣惠方)治渴利后心烦体热。皮肤生疮搔痒。
栝蒌根 赤茯苓(各一两) 玄参 枳壳(麸炒微黄去瓤各一两) 甘草(炙微赤锉) 苦
参(锉
黄 六一汤(出医方大成)治男子妇人诸虚不足。胸中发悸。时常消渴。或
\x先渴而欲发疮
黄 (去芦蜜涂炙六两) 甘草(炙一两) 上 咀。每服三钱。水一盏。枣一枚。煎
至七分
【附论】
所谓渴利(消渴病,以多饮、多尿为特征)这种病症,患者喝多少水就排出多少小便。这通常是因为服用石药(如五石散等矿物类药物)的人,房事过度,导致肾气虚损耗竭的缘故。下焦既然虚弱,即使病情暂时缓解,
升麻散(出自《圣惠方》),治疗渴利之后皮肤生疮,四肢关节疼痛。
药材:川升麻、玄参、知母、赤茯苓、漏芦、枳壳(麸炒至微黄并去除瓤)、菝葜、甘草(炙至微红并锉碎)。
以上各二两。
以病愈为度。
黄芪散(出自《圣惠方》),治疗渴利,皮肤生热毒疮,伴有疼痛、寒热往来、口干、心烦。
药材:黄芪、甘草、川升麻、前胡(去芦头)、栝蒌根、知母、麦门冬(去心)、赤芍药。
以上各一两。
用水煎煮,至……(原文此处有缺漏,依常理应为煎至一定量或分次服用)。
皂荚煎丸(出自《圣惠方》),治疗渴利之后热毒未解,心神烦热,皮肤瘙痒成疮。
药材:皂荚(选取十根不蛀坏的,拍碎,用水二升浸泡一夜,冷浸后浓滤去渣滓,用慢火熬成膏状);麦门冬(一两半,去心,焙干);防风(去芦头)……(原文此处有缺漏,推测为其他药材及剂量);玄参(一两)。
以上药物研为细末,炼蜜调和捣匀制成丸剂。
玄参散(出自《圣惠方》),治疗渴利之后头面及全身遍生热毒疮。
药材:玄参、黄芪、黄芩、川升麻、连翘、葳蕤(即玉竹,各一两);犀角屑、木香、白蔹(各半两);栀子仁(三分)。
秦艽丸(出自《圣惠方》),治疗渴利之后,肺脏风毒外攻,皮肤生疮,瘙痒心烦。
药材:乌蛇(三两,酒浸去皮骨,炙至微黄);防风(半两,去芦头);牛蒡子(微炒);栀子仁;犀角屑。
以上各三钱(原文“各三”后缺单位,依上下文推测为钱或两,结合丸剂制作通常为较小剂量,此处保留原文缺失状态或依常理补全,但严格翻译应指出缺失,此处译为“各三[单位]”)。
研为细末,炼蜜调和捣匀制成丸剂。
栝蒌根散(出自《圣惠方》),治疗渴利之后心烦体热,皮肤生疮瘙痒。
药材:栝蒌根、赤茯苓(各一两);玄参、枳壳(麸炒微黄去瓤,各一两);甘草(炙微红锉碎);苦参(锉碎)。
黄芪六一汤(出自《医方大成》),治疗男子妇人诸虚不足,胸中悸动,时常消渴,或者先感到口渴而后想要发疮。
药材:黄芪(去芦头,用蜜涂炙,六两);甘草(炙,一两)。
以上药物切碎(咀),每次服用三钱,加水一盏,大枣一枚,煎煮至七分满。
[Attached Discussion]
The disease of Ke Li (Xiao Ke, characterized by polydipsia and polyuria) involves the immediate urination of whatever water is consumed. This condition is attributed to individuals who have taken mineral drugs (such as Wushi San), engaged in excessive sexual activity, thereby depleting Kidney Qi. Once the Lower Jiao (Lower Burner) is deficient, even if the illness temporarily remits,
Shengma San (Cinnamon Twig and Atractylodes Macrocephala Powder, sourced from *Shenghui Fang*), treats skin sores arising after Ke Li, accompanied by pain in the limbs and joints.
Ingredients: Chuan Shengma (*Rhizoma Cimicifugae*), Xuan Shen (*Radix Scrophulariae*), Zhi Mu (*Rhizoma Anemarrhenae*), Chi Fu Ling (*Poria with Red Core*, Loci Poria Cum Mycelium), Lou Lu (*Radix Euphorbiae Humifusae*), Zhi Qiao (*Fructus Aurantii*, stir-bran fried until slightly yellow, pith removed), Ba Xia (*Rhizoma Smilacis Glabrae*), Gan Cao (*Radix Glycyrrhizae*, honey-fried until slightly red and chopped).
Each ingredient weighs two liang.
Treatment continues until recovery.
Huangqi San (Astragalus Decoction, sourced from *Shenghui Fang*), treats Ke Li with hot-toxin sores on the skin, pain, alternating chills and fever, dry mouth, and mental restlessness.
Ingredients: Huang Qi (*Radix Astragali*), Gan Cao (*Radix Glycyrrhizae*), Chuan Shengma (*Rhizoma Cimicifugae*), Qian Hu (*Radix Peucedani*, radix removed), Gua Lou Gen (*Radix Trichosanthis*), Zhi Mu (*Rhizoma Anemarrhenae*), Mai Men Dong (*Tuber Ophiopogonis*, heart removed), Chi Shao Yao (*Radix Paeoniae Rubra*).
Each ingredient weighs one liang.
Decoct in water... [text missing in original].
Zao Jia Jian Wan (Gleditsia Sinensis Extract Pills, sourced from *Shenghui Fang*), treats unresolved hot-toxin after Ke Li, causing mental restlessness and heat, and skin itching leading to sores.
Ingredients: Zao Jia (*Fructus Gleditsiae Sinensis* - select ten unrotted stalks, crush, soak in two sheng of water overnight, filter cold thick liquid to remove dregs, simmer slowly over low fire to form a paste); Mai Men Dong (*Tuber Ophiopogonis*, 1.5 liang, heart removed, baked); Fang Feng (*Radix Saposhnikoviae*, radix removed)... [text missing]; Xuan Shen (*Radix Scrophulariae*, 1 liang).
Grind the above ingredients into fine powder, mix with refined honey, and pound to form pills.
Xuan Shen San (Scrophularia Decoction, sourced from *Shenghui Fang*), treats widespread hot-toxin sores on the head, face, and body after Ke Li.
Ingredients: Xuan Shen (*Radix Scrophulariae*), Huang Qi (*Radix Astragali*), Huang Qin (*Radix Scutellariae*), Chuan Shengma (*Rhizoma Cimicifugae*), Lian Qiao (*Fructus Forsythiae*), Wei Rui (*Rhizoma Polygonati Odorati*) — each one liang; Xi Jiao Xie (*Cornu Rhinocerotis*, shaved pieces), Mu Xiang (*Radix Aucklandiae*), Bai Lian (*Radix Ampelopsis Japonicae*) — each half liang; Zhi Zi Ren (*Semen Gossypii Herbacei*, 3 fen).
Qinjiao Wan (Gentian Pills, sourced from *Shenghui Fang*), treats wind-toxin from the Lung attacking externally after Ke Li, causing skin sores, itching, and mental restlessness.
Ingredients: Wu She (*Bungarus multicinctus*, 3 liang, soaked in wine, skin and bones removed, roasted until slightly yellow); Fang Feng (*Radix Saposhnikoviae*, half liang, radix removed); Niu Bang Zi (*Fructus Arctii*, lightly stir-fried); Zhi Zi Ren (*Semen Gossypii Herbacei*); Xi Jiao Xie (*Cornu Rhinocerotis*, shaved pieces).
Each [unit missing in text, likely qian or liang].
Grind into fine powder, mix with refined honey, and pound to form pills.
Gua Lou Gen San (Trichosanthes Root Decoction, sourced from *Shenghui Fang*), treats mental restlessness and body heat after Ke Li, with skin sores and itching.
Ingredients: Gua Lou Gen (*Radix Trichosanthis*), Chi Fu Ling (*Poria with Red Core*) — each one liang; Xuan Shen (*Radix Scrophulariae*), Zhi Qiao (*Fructus Aurantii*, stir-bran fried until slightly yellow, pith removed) — each one liang; Gan Cao (*Radix Glycyrrhizae*, honey-fried until slightly red and chopped); Ku Shen (*Radix Sophorae Flavescentis*, chopped).
Huangqi Liu Yi Tang (Astragalus Six-One Decoction, sourced from *Yifang Dacheng*), treats deficiency and insufficiency in both men and women, palpitations in the chest, frequent Xiao Ke, or the tendency to develop sores preceded by thirst.
Ingredients: Huang Qi (*Radix Astragali*, radix removed, honey-coated and roasted, 6 liang); Gan Cao (*Radix Glycyrrhizae*, roasted, 1 liang).
Chop the above ingredients. Take three qian per dose, add one sheng of water and one jujube, decoct until reduced to seven-tenths.