论曰。风疸者由风气在于脏腑。与热相搏。便发于黄。小便或赤或黄。好卧而心振。面
虚黑
方
犀角散(圣惠方)治风疸脏腑风热相搏。心神不安。多卧少起。小便赤涩。
犀角屑(一两) 黄连(一两) 赤芍药(三分) 茵陈(一两) 白藓皮(三分) 栀
子仁 柴
胡(
烧令赤细
研)
牛黄散(圣惠方)治风疸心脾风热。面色虚黑。身体皆黄。小便赤涩。
牛黄(一分细研) 犀角屑(三分) 防风(三分去芦) 栝蒌根(一两) 大黄(炒
一两) 甘
草(
杏仁(三分
金银
花汤亦
艾煎丸(千金丸)治因伤风瘀热不解。发于风疸。举身皆黄。小便或黄或白。
\x寒热好卧。不
生艾(三月内采取束捣取汁铜器煎如膏) 大黄(蒸) 黄连(炒) 栝蒌根 凝水石 葶
苈(隔
至二
十丸
加大
论曰。已食如饥者。胃疸也。夫胃热则能消谷。今已食如饥者。以胃气但热而无阴也。
然胃
而身
方
泻热汤(圣济总录)治胃中有热。食已如饥。不生肌肉。面色萎黄。
大黄(生锉) 麻黄(去根节) 黄芩(去心各四两) 杏仁(去皮尖) 赤茯苓(去
皮) 甘草
陈
滓。
食
大黄泻热汤(圣济总录)治胃中热。食已即饥。舌强腹胀。身重节疼。
大黄(锉水浸一宿) 甘草(各三两) 泽泻 赤茯苓(去皮) 黄芩(去心) 细辛
(去苗叶)
陈
后温
服
茯苓汤(宣明论)治胃中积热。食已即饥。面黄肌瘦。胸满胁胀。小便闷赤。
赤茯苓(去皮) 陈皮(去白焙) 泽泻(各三分) 芍药 白术(各四两) 人参 桂
(去皮
各二
水一
盏半
黄芩汤(圣济总录)治胃中热盛。食已即饥。唇燥口干。
黄芩 石膏(各三分) 赤茯苓(去皮) 甘草 葛根 五加皮 麻黄(去根节各半两)
柴
胡(去苗一两) 上粗捣筛。每服三钱。水一盏。入生姜半分。煎至八分。去滓。食后温服。
栀子汤(圣济总录)治胃中热盛。食已复饥。面黄肌瘦。唇燥口干。泻热。
栀子仁 赤芍药 犀角屑 赤茯苓(去皮) 黄芩(去心) 射干 大黄(炒各一两) 上
为
散。
分
芦根散(圣济总录)治胃中热盛。食已如饥。常渴引饮。涤热。
芦根 栝蒌根 麦门冬(去心各一两) 知母 甘草(各半两) 赤茯苓(去皮三分) 上
捣
粗筛
去
黄连丸(圣济总录)治胃中热盛。食已如饥。多渴心烦。肌肉羸瘦。
黄连(去须) 栝蒌根(各一两) 麦门冬(去心焙一两半) 知母(焙) 茯神(去
木各三分)
犀角汤(圣济总录)治胃实热。呕逆不下食。
犀角屑 葛根(各三分) 枇杷叶(拭去毛炙黄) 麦门冬(去心各一两) 上为散。
每服三
钱。
论述说:风疸是由于风气停留在脏腑之中,与热邪相互搏结,从而引发黄疸。患者小便颜色或红或黄,喜欢躺卧且心中震颤不安,面色虚浮发黑。
方剂:
犀角散(出自《圣惠方》):治疗风疸因脏腑风热相互搏结所致的心神不安、嗜睡少起、小便赤涩等症状。
药材:犀角屑(一两)、黄连(一两)、赤芍药(三分)、茵陈(一两)、白藓皮(三分)、栀子仁、柴胡(烧至通红研细)。
牛黄散(出自《圣惠方》):治疗风疸因心脾风热所致的面色虚黑、全身发黄、小便赤涩等症状。
药材:牛黄(一分,细研)、犀角屑(三分)、防风(三分,去芦头)、栝蒌根(一两)、大黄(炒,一两)、甘草、杏仁(三分)、金银花。
艾煎丸(出自《千金方》):治疗因伤风导致瘀热不解,进而发展为风疸,表现为全身发黄、小便或黄或白、寒热交替、嗜睡等症状。
药材:生艾草(三月内采集,束捣取汁,在铜器中煎煮成膏状)、大黄(蒸制)、黄连(炒制)、栝蒌根、凝水石、葶苈子等。制成二十丸大小的药丸,加大剂量服用。
论述说:进食后感觉像饥饿一样,这是胃疸。因为胃中有热就能消化食物,现在进食后仍感饥饿,是因为胃气只有热而没有阴液制约。
方剂:
泻热汤(出自《圣济总录》):治疗胃中有热,进食后如饥,肌肉不生,面色萎黄的症状。
药材:大黄(生锉)、麻黄(去根节)、黄芩(去心,各四两)、杏仁(去皮尖)、赤茯苓(去皮)、甘草等。煎煮去滓,温服。
大黄泻热汤(出自《圣济总录》):治疗胃中热盛,进食后立即感到饥饿,舌体僵硬腹胀,身体沉重关节疼痛的症状。
药材:大黄(锉碎,用水浸泡一夜)、甘草(各三两)、泽泻、赤茯苓(去皮)、黄芩(去心)、细辛(去苗叶)、陈皮等。煎煮后温服。
茯苓汤(出自《宣明论》):治疗胃中积热,进食后立即感到饥饿,面黄肌瘦,胸满胁胀,小便短赤闷痛的症状。
药材:赤茯苓(去皮)、陈皮(去白焙干,各三分)、泽泻(各三分)、芍药、白术(各四两)、人参、桂枝(去皮,各二两)。用水一盏半煎煮。
黄芩汤(出自《圣济总录》):治疗胃中热盛,进食后立即感到饥饿,嘴唇干燥口干的症状。
药材:黄芩、石膏(各三分)、赤茯苓(去皮)、甘草、葛根、五加皮、麻黄(去根节,各半两)、柴胡(去苗,一两)。粗捣筛匀,每次服用三钱,加水一盏,放入生姜半分,煎至八分,去滓,饭后温服。
栀子汤(出自《圣济总录》):治疗胃中热盛,进食后又感饥饿,面黄肌瘦,唇燥口干,具有清热功效。
药材:栀子仁、赤芍药、犀角屑、赤茯苓(去皮)、黄芩(去心)、射干、大黄(炒,各一两)。制成散剂,分次服用。
芦根散(出自《圣济总录》):治疗胃中热盛,进食后如饥,经常口渴想喝水,具有涤除热邪的功效。
药材:芦根、栝蒌根、麦门冬(去心,各一两)、知母、甘草(各半两)、赤茯苓(去皮,三分)。粗捣筛匀,去滓服用。
黄连丸(出自《圣济总录》):治疗胃中热盛,进食后如饥,多渴心烦,肌肉消瘦的症状。
药材:黄连(去须)、栝蒌根(各一两)、麦门冬(去心焙干,一两半)、知母(焙干)、茯神(去木,各三分)。
犀角汤(出自《圣济总录》):治疗胃实热,呕吐逆气不能进食的症状。
药材:犀角屑、葛根(各三分)、枇杷叶(拭去毛炙黄)、麦门冬(去心,各一两)。制成散剂,每次服用三钱。
Discussion states: Fengdan (Wind Jaundice) arises from wind pathogens residing within the zang-fu organs, clashing with heat pathogens, thereby inducing jaundice. The urine may be red or yellow; the patient prefers lying down and experiences mental palpitations/tremors, with a pale black complexion.
Formulas:
Xijiao San (Rhinoceros Horn Powder) [from *Shenghui Fang*]: Treats Fengdan caused by the clash of wind-heat in the zang-fu organs, manifesting as restlessness of the heart-mind, excessive sleepiness with little rising, and dark, difficult urination.
Ingredients: Rhinoceros Horn Shavings (1 liang), Coptis Rhizome (1 liang), Red Peony Root (3 fen), Yinchen (1 liang), Dictamnus Bark (3 fen), Gardenia Seed, Bupleurum Root (burned until red and finely ground).
Niuhuang San (Calculus Bovis Powder) [from *Shenghui Fang*]: Treats Fengdan due to wind-heat in the heart and spleen, manifesting as a pale black complexion, generalized yellowing of the body, and dark, difficult urination.
Ingredients: Calculus Bovis (1 fen, finely ground), Rhinoceros Horn Shavings (3 fen), Saposhnikovia Root (3 fen, removed radix part), Trichosanthes Root (1 liang), Rheum Palmatum Rhizome (stir-fried, 1 liang), Licorice Root, Apricot Seed (3 fen), Honeysuckle Flower.
Ai Jian Wan (Mugwort Decoction Pill) [from *Qianjin Fang*]: Treats wind-dan resulting from unresolved stasis-heat due to wind injury, manifesting as generalized yellowing of the body, urine that is either yellow or white, alternating chills and fever, and lethargy.
Ingredients: Fresh Mugwort Herb (collected within March, bundled and pounded to extract juice, decocted in a copper vessel into a paste), steamed Rheum Palmatum Rhizome, stir-fried Coptis Rhizome, Trichosanthes Root, Natrii Sulfas, Lepidium Seed, etc. Formed into pills the size of twenty grains, taken in increased doses.
Discussion states: Feeling hungry shortly after eating is Wei Dan (Stomach Jaundice). Heat in the stomach promotes digestion; feeling hungry after eating indicates that the stomach qi possesses heat but lacks yin fluid to restrain it.
Formulas:
Xiere Tang (Drain Heat Decoction) [from *Shengji Zonglu*]: Treats heat in the stomach causing hunger sensations after eating, failure to generate muscle tissue, and sallow complexion.
Ingredients: Raw and crushed Rheum Palmatum Rhizome, Ephedra Stem (removed roots and nodes), Scutellaria Root (removed core, each 4 liang), Apricot Seed (peeled and cored), Red Poria (peeled), Licorice Root, etc. Decocted, dregs removed, taken warm.
Dahuang Xiere Tang (Rhubarb Drain Heat Decoction) [from *Shengji Zonglu*]: Treats excess heat in the stomach causing immediate hunger after eating, stiff tongue with abdominal distension, heavy body, and joint pain.
Ingredients: Rhubarb (crushed, soaked in water overnight), Licorice Root (each 3 liang), Alisma Tuber, Red Poria (peeled), Scutellaria Root (removed core), Asarum Root (removed seedlings and leaves), Tangerine Peel, etc. Taken warm after decoction.
Fuling Tang (Poria Decoction) [from *Xuanming Lun*]: Treats accumulated heat in the stomach causing immediate hunger after eating, sallow complexion with emaciation, chest fullness and hypochondriac distension, and dark, stifling urination.
Ingredients: Red Poria (peeled), Tangerine Peel (white pith removed, dried, each 3 fen), Alisma Tuber (each 3 fen), Peony Root, Atractylodes Macrocephala Rhizome (each 4 liang), Ginseng, Cinnamon Twig (removed bark, each 2 liang). Decocted with 1.5 bowls of water.
Huangqin Tang (Scutellaria Decoction) [from *Shengji Zonglu*]: Treats excess heat in the stomach causing immediate hunger after eating, dry lips and mouth.
Ingredients: Scutellaria Root, Gypsum Fibrosum (each 3 fen), Red Poria (peeled), Licorice Root, Kudzu Root, Fiveleaf Acanthopanax Bark, Ephedra Stem (removed roots and nodes, each half liang), Bupleurum Root (removed seedlings, 1 liang). Coarsely crushed and sifted. Take 3 qian per dose, with 1 bowl of water and half a piece of fresh ginger, decocted to 0.8 bowl, dregs removed, taken warm after meals.
Zhizi Tang (Gardenia Decoction) [from *Shengji Zonglu*]: Treats excess heat in the stomach causing hunger again after eating, sallow complexion with emaciation, dry lips and mouth; has heat-draining properties.
Ingredients: Gardenia Seed, Red Peony Root, Rhinoceros Horn Shavings, Red Poria (peeled), Scutellaria Root (removed core), Belamcanda Rhizome, Rheum Palmatum Rhizome (stir-fried, each 1 liang). Made into powder, taken in divided doses.
Lugen San (Reed Rhizome Powder) [from *Shengji Zonglu*]: Treats excess heat in the stomach causing hunger sensations like before eating, frequent thirst and desire to drink; has heat-purging properties.
Ingredients: Reed Rhizome, Trichosanthes Root, Ophiopogon Tuber (removed core, each 1 liang), Anemarrhena Rhizome, Licorice Root (each half liang), Red Poria (peeled, 3 fen). Coarsely crushed and sifted, dregs removed, taken.
Huanglian Wan (Coptis Pill) [from *Shengji Zonglu*]: Treats excess heat in the stomach causing hunger sensations like before eating, excessive thirst, mental restlessness, and emaciation.
Ingredients: Coptis Rhizome (removed whiskers), Trichosanthes Root (each 1 liang), Ophiopogon Tuber (removed core, dried, 1.5 liang), Anemarrhena Rhizome (dried), Spirit of Poria (removed wood, each 3 fen).
Xijiao Tang (Rhinoceros Horn Decoction) [from *Shengji Zonglu*]: Treats excess heat in the stomach manifesting as vomiting, regurgitation, and inability to eat.
Ingredients: Rhinoceros Horn Shavings, Kudzu Root (each 3 fen), Loquat Leaf (brushed clean, roasted until yellow), Ophiopogon Tuber (removed core, each 1 liang). Made into powder. Take 3 qian per dose.