各种曲附
近日诸医皆用之。药肆亦多制备。相传制法系仙人所传,故名仙半夏。能化痰如神,若
不信
,将半夏七八粒研入痰碗内,即化为清水。其法∶用大半夏一斤,锻石一斤,滚水七八碗,
入盆内搅凉,澄清去渣,将半夏入盆内手搅之,日晒夜露七日足,捞出控干。用井华水洗净
三四次,泡三日,每日换水三次,捞起控干。用白矾八两,皮硝一斤,滚水七八碗,将矾硝
共入盆内搅晾温,将半夏入内浸七日,日晒夜露足。取出清水洗三四次,泡三日,每日换水
三次,取出控干。入后药,甘草、南薄荷、各四两,丁香五钱、白豆蔻三钱、沉香一钱、枳
实、木香、川芎、肉桂各三钱,陈皮、枳壳、五味子、青皮、砂仁各五钱。上共十四味,切
片,滚水十五碗晾温,将半夏同药入盆内,泡二七日足,日晒夜露。搅之,将药取出,与半
夏同白布包住,放在热炕,用器皿扣住,三炷香时,药与半夏分胎,半夏干收用。有痰火者
服之,一日大便出似鱼胶,一宿尽除痰根,永不生也。纲目半夏条附方∶载法制半夏,其制
法与此不同,今药肆所售仙半夏,惟将半夏浸泡,尽去其汁味,然后以甘草浸晒,入口淡而
微甘,全失本性,名曰仙半夏。并非照方制法,医家亦视虚人有痰者用之。以为性平和而不
伤于燥烈,是无异食半夏渣滓,何益之有。
清痰、开郁、行气、理痹痰疾、中风不语、研七八粒,同井华水送下,以手摩运腹上,
一炷
香时,即醒能语。
敏按∶龚云林云∶仙方制半夏,化痰成水,皆治壮人痰火有余之症,服之有效。虚人痰
火忌
各种半夏曲∶纲目半夏修治条∶引韩飞霞医通造半夏曲,云能专治各病,又不载其制法,
特
生姜曲∶姜汁浸造,治浅近诸痰。
矾曲∶矾水煮透,兼姜和造,最能却水,治清水痰也。
皂角曲∶煮皂角汁炼膏,和半夏末为曲,或加南星,稍加麝香,治风痰,开经络。
竹沥曲∶用白芥子等分,或三分之一,竹沥和成,略加曲和,治皮里膜外结核隐显之痰。
麻油曲∶麻油浸半夏,浸五日,炒干为末,曲和造成,油以润燥,治虚咳内热之痰。
牛胆曲∶腊月黄牛胆汁略加熟蜜和造,治癞痫风痰。
开郁曲∶香附、苍术、抚芎等分,熬膏。和半夏末造成,治郁痰。
硝黄曲∶用芒硝十分之三,同曲煮透,为末,煎大黄膏和成,治中风卒厥伤寒宜下,由
于痰
海粉曲∶海粉雄黄居半夏之半,炼蜜和造,治积痰沉痼。
霞天曲∶用黄牛肉煎汁炼膏,名霞天膏。将膏和半夏末为曲,治沉 痼痰。以上诸曲,
并照造曲法,草庵七日,待
生黄衣,悬挂风处,愈久愈佳。
各种半夏曲的附注
近来各位医生都使用这种药。药店也大多制备它。相传其制作方法是由仙人传授,所以命名为“仙半夏”。它能像神一样化痰,如果不相信,可以将七八粒半夏研碎放入痰碗中,痰液立刻化为清水。其制作方法是:取大半夏一斤,锻石(煅烧过的石灰)一斤,滚水七八碗,倒入盆中搅拌至凉,澄清后去掉渣滓,将半夏放入盆中用手搅拌,经过七天的日晒夜露,捞出控干水分。用井华水(清晨汲取的井水)清洗三四次,浸泡三天,每天换水三次,捞出控干。再用白矾八两、皮硝(芒硝)一斤、滚水七八碗,将矾和硝共同放入盆中搅拌至温热,将半夏放入其中浸泡七天,同样经过日晒夜露。取出后用清水清洗三四次,浸泡三天,每天换水三次,取出控干。加入以下药物:甘草、南薄荷各四两,丁香五钱,白豆蔻三钱,沉香一钱,枳实、木香、川芎、肉桂各三钱,陈皮、枳壳、五味子、青皮、砂仁各五钱。以上共十四味药材,切片,用滚水十五碗晾温,将半夏与这些药一起放入盆中,浸泡两个七天(十四天),进行日晒夜露。搅拌后,将药取出,与半夏一同用白布包裹,放在热炕上,用器皿扣住,燃烧三炷香的时间后,药与半夏分离,半夏干燥后备用。有痰火证的患者服用此药,一天后大便排出类似鱼胶的物质,一夜之间就能除尽痰根,永不再生。《本草纲目》半夏条下的附方中记载了法制半夏,其制法与此不同。如今药店所售的“仙半夏”,只是将半夏浸泡,完全去除其汁液味道,然后用甘草浸泡晒干,入口淡而微甘,完全失去了本性,虽然名为“仙半夏”,但并非按照上述方剂的方法制作。医生们也将这种药用于体虚且有痰的患者,认为其药性平和而不伤于燥烈,这无异于食用半夏的渣滓,有什么益处呢?
清痰、开郁(疏通气机郁结)、行气、理痹(调理气机阻滞)、治疗痰疾、中风不语,取七八粒研碎,同井华水送服,同时用手按摩腹部,燃烧一炷香的时间,患者即可苏醒并能说话。
赵学敏按语:龚云林说:仙方制作的半夏,能将痰化为水,都是治疗壮年人痰火有余的病症,服用有效。体虚之人患有痰火者忌用。
各种半夏曲:
《本草纲目》半夏修治条:引用韩飞霞《医通》中关于制造半夏曲的方法,说能专门治疗各种疾病,但没有记载其制作方法。
矾曲:用矾水煮透,兼加生姜调和制造,最能消除水饮,治疗清水样痰证。
皂角曲:煮皂角汁炼成膏,与半夏末混合制成曲,或者加入天南星,稍加麝香,治疗风痰,疏通经络。
竹沥曲:用白芥子等分,或三分之一,与竹沥混合,略加曲粉调和,治疗潜伏在皮里膜外的结核隐显之痰。
麻油曲:用麻油浸泡半夏,浸泡五天,炒干后研为粉末,与曲粉调和制造,利用油的润燥作用,治疗虚咳内热之痰。
开郁曲:香附、苍术、抚芎(川芎的一种)等分,熬成膏。与半夏末混合制造,治疗郁结之痰。
硝黄曲:用芒硝十分之三,同曲粉煮透,研为粉末,煎大黄膏调和而成,治疗中风卒厥、伤寒宜用下法的病症,由于痰浊阻滞所致。
海粉曲:海粉、雄黄居半夏的一半用量,炼蜜调和制造,治疗积久难愈的沉痼之痰。
霞天曲:用黄牛肉煎汁炼成膏,名叫霞天膏。将膏与半夏末混合制成曲,治疗沉痼之痰。以上各种曲,都按照造曲的方法,在草庵中放置七天,等待生出黄色菌衣,悬挂在通风处,存放越久越好。
Various Remarks on Pinellia Pastes (Banxia Qu)
Recently, all physicians have been using this medicine. Pharmacies also prepare it in large quantities. It is said that the preparation method was transmitted by immortals, hence the name "Immortal Pinellia" (Xian Banxia). It can resolve phlegm miraculously. If you do not believe it, grind seven or eight grains of Pinellia Rhizoma (Banxia) and put them into a bowl of phlegm; the phlegm will immediately turn into clear water. The method is as follows: Take one jin (approx. 500g) of large Pinellia Rhizoma (Banxia) and one jin of Calcined Lime (Duanshi). Add seven or eight bowls of boiling water to a basin, stir until cool, let it settle, and remove the dregs. Put the Pinellia Rhizoma (Banxia) into the basin and stir by hand. Expose it to sun during the day and dew at night for seven days. Remove it and drain well. Wash it three or four times with Well Water (Jinghua Shui - drawn from a well early in the morning), soak for three days, changing the water three times daily. Remove and drain well. Then take eight liang of Alum (Baifan) and one jin of Mirabilite (Pinxiao/Mangxiao). Add seven or eight bowls of boiling water to a basin, mix the alum and mirabilite, stir until warm, and immerse the Pinellia Rhizoma (Banxia) for seven days, again exposing it to sun and dew. Remove, wash with clean water three or four times, soak for three days, changing the water three times daily, then remove and drain well. Add the following herbs: Licorice Root (Gancao) and Southern Mint Herb (Nan Bohe), each four liang; Clove Flower Bud (Dingxiang), five qian; White Cardamom Seed (Baidoukou), three qian; Agarwood Wood (Chenxiang), one qian; Immature Bitter Orange Fruit (Zhishi), Costus Root (Muxiang), Szechwan Lovage Rhizome (Chuanxiong), and Cinnamon Twig (Rougui), each three qian; Tangerine Peel (Chenpi), Immature Bitter Orange Fruit (Zhiqiao), Schisandra Berry (Wuweizi), Green Tangerine Peel (Qingpi), and Amomum Fruit (Sharen), each five qian. These fourteen ingredients are sliced. Add fifteen bowls of boiling water and let cool to warm temperature. Soak the Pinellia Rhizoma (Banxia) together with the herbs in the basin for two periods of seven days (fourteen days), exposing to sun and dew. Stir, then remove the herbs. Wrap the Pinellia Rhizoma (Banxia) together with the herbs in white cloth, place on a hot kang (heated brick bed), cover with a vessel, and wait for the time it takes to burn three incense sticks. The herbs and Pinellia Rhizoma (Banxia) will separate. Dry the Pinellia Rhizoma (Banxia) for use. Patients with Phlegm-Fire syndrome should take this; within one day, fish-jelly-like substance will be excreted in stool, and within one night, the root of phlegm will be completely eliminated, never to return. In the *Compendium of Materia Medica* (*Bencao Gangmu*), under the section on Pinellia Rhizoma (Banxia), an attached formula describes Processed Pinellia Rhizoma (Fazhi Banxia), whose preparation method differs from this. Currently, the "Immortal Pinellia" sold in pharmacies is merely soaked Pinellia Rhizoma (Banxia) with its juice and flavor completely removed, then soaked in Licorice Root (Gancao) and dried. It tastes bland and slightly sweet upon entry, having completely lost its original nature. Although named "Immortal Pinellia," it is not prepared according to the aforementioned formula. Physicians also use this for deficient patients with phlegm, believing its nature is mild and non-desiccating. This is no different from eating Pinellia Rhizoma (Banxia) dregs; what benefit does it offer?
For clearing phlegm, opening depression (resolving Qi stagnation), moving Qi, treating obstruction due to phlegm, managing phlegmatic diseases, and aphasia due to Stroke (Zhongfeng): Grind seven or eight grains, administer with Well Water (Jinghua Shui), and simultaneously massage the abdomen. After burning one incense stick, the patient will awaken and be able to speak.
Note by Zhao Xuemin: Gong Yunlin stated: The Pinellia prepared by the Immortal Formula, which transforms phlegm into water, is effective for treating conditions of excess Phlegm-Fire in robust individuals. It is contraindicated for deficient individuals with Phlegm-Fire.
Various Pinellia Pastes (Banxia Qu):
*Bencao Gangmu*, section on Processing Pinellia Rhizoma (Banxia Xiuzhi): Cites Han Feixia's *Yitong* regarding the manufacture of Pinellia Paste (Banxia Qu), stating it can specifically treat various diseases, but does not record the preparation method.
Ginger Paste (Shengjiang Qu): Prepared by soaking in Ginger Juice (Jiangzhi); treats superficial and mild phlegm conditions.
Alum Paste (Fan Qu): Boiled thoroughly with Alum solution, mixed with Ginger; most effective for eliminating fluid retention, treating watery phlegm.
Soap Pod Paste (Zaojiao Qu): Soap pod juice is boiled down to a paste, mixed with Pinellia Rhizoma (Banxia) powder to form the paste, or added with Aconite Lateral Root (Tian Nanxing) and a small amount of Musk (Shexiang); treats Wind-Phlegm and opens collaterals.
Bamboo Sap Paste (Zhuli Qu): Equal parts of White Mustard Seed (Baijiezi) or one-third, mixed with Bamboo Sap (Zhuli), slightly blended with paste starter; treats latent phlegm nodules located between the skin and fascia.
Hemp Seed Oil Paste (Mayou Qu): Pinellia Rhizoma (Banxia) is soaked in Hemp Seed Oil (Mayou) for five days, fried dry, ground to powder, and formed into paste with starter; the oil moistens dryness, treating phlegm from deficiency cough and internal heat.
Ox Gallbladder Paste (Niudan Qu): Prepared in the twelfth lunar month using Ox Gallbladder (Niudan Dan) mixed with cooked honey; treats epilepsy and Wind-Phlegm.
Depression-Opening Paste (Kaiyu Qu): Equal parts of Cyperus Rhizome (Xiangfu), Atractylodes Rhizome (Cangzhu), and Chuanxiong, boiled into a paste, mixed with Pinellia Rhizoma (Banxia) powder; treats stagnant phlegm.
Mirabilite and Rhubarb Paste (Xiaohuang Qu): Uses three-tenths Mirabilite (Mangxiao), boiled thoroughly with paste starter, ground to powder, and mixed with Rhubarb Decoction (Dahuang Gao); treats sudden stroke syncope or cold damage requiring purgation due to phlegm obstruction.
Sea Powder Paste (Haifen Qu): Contains half the amount of Sea Powder (Haifen) and Realgar (Xionghuang) relative to Pinellia Rhizoma (Banxia), mixed with refined honey; treats chronic, entrenched phlegm accumulation.
Rosy Sky Paste (Xiatian Qu): Beef broth from yellow ox is boiled down to a paste named Rosy Sky Paste (Xiatian Gao). Mixed with Pinellia Rhizoma (Banxia) powder to form the paste; treats chronic, entrenched phlegm. All the above pastes are prepared according to the standard paste-making method: placed in a thatched hut for seven days until yellow mold grows, then hung in a ventilated place; the longer they age, the better.