(丸)故纸吴茱萸,肉蔻五味四般须。大枣百枚姜八两,〔破故纸四两(酒浸炒),吴
茱萸一两(盐水炒),肉豆蔻三两(面里煨),五味子三两(炒),枣、生姜同煎。枣烂即去
姜,捣枣肉为丸,临卧盐汤下,若早服,不能敌一夜之阴寒也。〕五更肾泻火衰扶。(由肾命
火衰,不能生脾土,故五更将交阳分,阳虚不能键闭而泄泻,不可专责脾胃也。破故纸辛温,
能补相火,以通君火,火盛乃能生土;肉豆蔻暖胃固阳,吴茱萸燥脾去湿,五味子补肾涩精,
生姜温中,大枣补土,亦以防水也。)
(汤)陈草苓,干姜草蔻木香停。煎服加姜治腹痛,虚寒胀满用皆灵。(浓朴、陈皮各
一钱,甘草、茯苓、草豆蔻、木香各五分,干姜三分,加姜煎。干姜、草蔻辛热以散其寒,
陈皮、广木香辛温以调其气,浓朴辛温以散满,茯苓甘淡以利湿,甘草甘平以和中。寒散气
行,痛胀自已矣。)
川楝茴香与木香。吴茱煎以长流水,散寒通气利小肠。(疝,亦名小肠气。川楝四钱,
木香二钱,茴香二钱,吴茱萸一钱,汤泡同煎。川楝苦寒,入肝舒筋,能导小肠、膀胱之热
从小水下行,为治疝君药。茴香暖胃散寒,吴茱萸温肝燥湿,木香行三焦通气。)
(丹溪)用荔枝核,栀子山楂枳壳益。(荔枝双结,状类睾丸,能入肚肾,辟寒散滞。
栀子泻火利水,枳壳行气破症,山楂散瘀 积。睾,音皋,肾子也。)再入吴茱暖厥阴,(疝
乃厥阴肝邪,非肾病,以肝脉络阴器也。)长流水煎疝痛释。(等分,或为末,空心服。)
(丸剂)故纸、吴茱萸、肉豆蔻、五味子,这四味药是必须的。大枣一百枚,生姜八两。(破故纸四两,用酒浸泡后炒制;吴茱萸一两,用盐水炒制;肉豆蔻三两,用面粉包裹煨熟;五味子三两,炒制;大枣和生姜一起煎煮。枣肉烂熟后去掉生姜,捣碎枣肉制成丸药,睡前用盐开水送服。如果早上服用,就不能抵御一夜的阴寒。)这是为了扶持五更时分因肾火衰微导致的腹泻。(因为肾命门之火衰微,不能温煦脾土,所以在五更天即将进入阳气时段时,阳虚不能固摄而导致泄泻,不能只责怪脾胃。破故纸辛温,能补益相火,以通达君火,火气旺盛才能生养脾土;肉豆蔻暖胃固阳,吴茱萸燥脾祛湿,五味子补肾涩精,生姜温中散寒,大枣补益脾土,也是为了防止水湿泛滥。)
(汤剂)陈皮、甘草、茯苓,加上干姜、草豆蔻、木香。煎服时加入生姜治疗腹痛,对于虚寒引起的胀满都有效。(厚朴、陈皮各一钱,甘草、茯苓、草豆蔻、木香各五分,干姜三分,加生姜煎煮。干姜、草豆蔻辛热以驱散寒气,陈皮、广木香辛温以调理气机,厚朴辛温以消除胀满,茯苓甘淡以利水渗湿,甘草甘平以调和脾胃。寒气消散,气机运行,疼痛和胀满自然停止。)
川楝子、茴香与木香。用吴茱萸配合长流水煎煮,可以散寒通气,利导小肠。(疝气,也叫小肠气。川楝子四钱,木香二钱,茴香二钱,吴茱萸一钱,用水浸泡后同煎。川楝子苦寒,入肝经舒缓筋脉,能引导小肠、膀胱的热邪从小便下行,是治疗疝气的君药。茴香暖胃散寒,吴茱萸温肝燥湿,木香通行三焦之气。)
(朱丹溪主张)使用荔枝核,辅以栀子、山楂、枳壳来增强疗效。(荔枝双结,形状类似睾丸,能入肚肾,辟除寒邪,消散滞气。栀子泻火利水,枳壳行气破积,山楂散瘀消积。睾,音皋,指肾子。)再加入吴茱萸温暖厥阴肝经,(疝气乃是厥阴肝经的邪气作祟,并非肾病,因为肝经络循经过阴器。)用长流水煎煮,疝痛即可缓解。(各等分,或者研为粉末,空腹服用。)
(Pill) Gu Zhi (B Semen, 补骨脂), Wu Zhu Yu (Evodiae Fructus, 吴茱萸), Rou Dou Kou (Myristicae Semen, 肉豆蔻), and Wu Wei Zi (Schisandrae Fructus, 五味子); these four ingredients are essential. One hundred large dates (Ziziphi Jujubae Fructus, 大枣) and eight liang of fresh ginger (Zingiberis Rhizoma Recens, 生姜). [Gu Po Zhi (B Semen, 补骨脂) four liang, soaked in wine and stir-fried; Wu Zhu Yu (Evodiae Fructus, 吴茱萸) one liang, stir-fried with salt water; Rou Dou Kou (Myristicae Semen, 肉豆蔻) three liang, baked in flour; Wu Wei Zi (Schisandrae Fructus, 五味子) three liang, stir-fried; cook together with dates and ginger. Once the dates are soft, remove the ginger, mash the date pulp to form pills. Take with salted water before going to bed. If taken in the morning, it cannot withstand the yin-cold of the night.] This supports the five-dawn kidney-deficiency diarrhea by strengthening fire. [Because the fire of the Ming Men (Gate of Life, 命门) in the kidney is deficient and cannot generate spleen earth, at dawn when yang energy is about to rise, yang deficiency fails to secure closure, leading to diarrhea. One cannot solely blame the spleen and stomach. Gu Po Zhi is acrid and warm, capable of tonifying Minister Fire (Xiang Huo, 相火) to communicate with Sovereign Fire (Jun Huo, 君火); when fire is abundant, it generates earth; Rou Dou Kou warms the stomach and secures yang; Wu Zhu Yu dries the spleen and removes dampness; Wu Wei Zi tonifies the kidney and astringes essence; fresh ginger warms the middle; large dates tonify earth, also to prevent water flooding.]
(Decoction) Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草), Fu Ling (Poria, 茯苓), Gan Jiang (Zingiberis Rhizoma, 干姜), Cao Dou Kou (Alpiniae Katsumadai Semen, 草豆蔻), and Mu Xiang (Aucklandiae Radix, 木香). Decoct and take with added fresh ginger to treat abdominal pain; effective for both deficiency-cold and distension-fullness. [Nou Pu (Magnoliae Officinalis Cortex, 厚朴) and Chen Pi each one qian; Gan Cao, Fu Ling, Cao Dou Kou, and Mu Xiang each five fen; Gan Jiang three fen; decoct with fresh ginger. Gan Jiang and Cao Dou Kou are acrid and hot to disperse cold; Chen Pi and Guang Mu Xiang are acrid and warm to regulate qi; Nou Pu is acrid and warm to dissipate fullness; Fu Ling is sweet and bland to promote urination and drain dampness; Gan Cao is sweet and neutral to harmonize the middle. When cold disperses and qi moves, pain and distension cease naturally.]
Chuan Lian Zi (Toosendan Fructus, 川楝子), Hui Xiang (Foeniculi Fructus, 小茴香), and Mu Xiang. Decoct with Wu Zhu Yu in long-flowing water to disperse cold, move qi, and benefit the small intestine. [Shan Qi (Hernia, 疝), also known as Small Intestine Qi. Chuan Lian Zi four qian, Mu Xiang two qian, Hui Xiang two qian, Wu Zhu Yu one qian; soak in water and decoct together. Chuan Lian Zi is bitter and cold, enters the Liver channel to relax sinews, and can guide heat from the Small Intestine and Bladder downward through urine; it is the Sovereign herb for treating hernia. Hui Xiang warms the stomach and disperses cold; Wu Zhu Yu warms the Liver and dries dampness; Mu Xiang moves qi through the Triple Burner.]
(Danxi) uses Li Zhi He (Litchi Seed, 荔枝核), supplemented by Zhi Zi (Gardeniae Fructus, 栀子), Shan Zha (Crataegi Fructus, 山楂), and Zhi Ke (Aurantii Fructus, 枳壳). [Li Zhi He has double knots, resembling testicles, enters the abdomen and kidneys, dispels cold and stagnation. Zhi Zi drains fire and promotes urination; Zhi Ke moves qi and breaks masses; Shan Zha disperses blood stasis and accumulations. Gao (Testis, 睾), pronounced 'gao', refers to the kidney child.] Add Wu Zhu Yu to warm the Jueyin (Liver Channel, 厥阴肝经). [Shan Qi is pathogenic factors of the Jueyin Liver channel, not a Kidney disease, because the Liver channel connects with the genital organs.] Decoct in long-flowing water to relieve hernia pain. [Equal parts, or powdered, taken on an empty stomach.]