(丸,丹溪)茱莲六一丸,肝经火郁吐吞酸。〔黄连六两(姜汁炒),吴茱萸一两(盐汤
泡),亦名茱连丸。肝实则作痛,或呕酸。心为肝子,故用黄连泻心清火,使火不克金,则
金能制木而肝平矣。吴茱萸能入厥阴行气解郁,又能引热下行,故以为反佐。寒者正治,热
者反治,使之相济以立功也。左金者,使肺右之金得行于左而平肝也。〕再加芍药名戊己(丸),
热泻热痢服之安。(戊为胃土,己为脾土,加芍药伐肝安脾,使木不克土。)
(散,钱乙)生地与木通,(甘)草梢竹叶四般攻。口糜淋痛小肠火,引热同归小便中
(等分煎。生地凉心血,竹叶清心气,木通泻心火入小肠,草梢达肾茎而止痛。)
用银柴胡,胡连秦艽鳖甲符。地骨青蒿知母草,骨蒸劳热保无虞。〔银柴胡钱半,胡黄
连、秦艽、鳖甲(童便炙)、地骨皮、青蒿、知母各一钱,甘草(炙)五分。地骨、胡连、
知母以平内热,柴胡、青蒿、秦艽以散表邪,引诸药入骨而补阴,甘草和诸药而泻火。〕
(饮,东垣)芩连鼠,玄参甘桔蓝根侣。升柴马勃连翘陈,僵蚕薄荷为末咀。〔黄芩(酒
子、板蓝根、马勃、连翘、薄荷各一钱,僵蚕、升麻各七分,末服,或蜜丸噙化。〕或加人
参及大黄,(虚者加人参,便秘加大黄。)大头天行力能御。(大头天行,亲戚不相访,问染
者多不救。原文曰∶芩、连泻心肺之火为君,玄参、陈皮、甘草泻火补肺为臣,连翘、薄荷、
鼠粘、蓝根、僵蚕、马勃散肿消毒定喘为佐,升麻、柴胡散阳明、少阳二经之阳,桔梗为舟
楫,不令下行为载。李东垣曰∶此邪热客心肺之间,上攻头面为肿,以承气汤泻之,是为诛
伐无过,遂处此方,全活甚众。)
(丸剂,出自朱丹溪)茱连六一丸,主治肝经火郁导致的呕吐吞酸。〔黄连六两(用姜汁炒制),吴茱萸一两(用盐汤浸泡),又名茱连丸。肝气实则作痛,或出现呕吐酸水。心为肝之子脏,故使用黄连泻心火以清内热,使火不克制肺金,则肺金能制约肝木从而使肝气平和。吴茱萸能入厥阴肝经行气解郁,又能引导热邪下行,因此作为反佐药。寒证用正治法,热证用反治法,使二者相互协调以发挥疗效。所谓“左金”,是指使位于右侧的肺金之气得以向左运行从而平抑肝气。〕若再加入芍药,便名为戊己丸,服用后可安顿热泻和热痢。(戊对应胃土,己对应脾土,加入芍药可伐除肝木之邪以安抚脾土,使木不克制土。)
治疗胃痛时,寒证用热药的道理与此类似。(黄连六两,附子一两,同样采用反佐法。)
(散剂,出自钱乙)生地黄与木通,加上甘草梢、竹叶共四味药共同攻邪。口舌生疮糜烂、小便淋沥疼痛属小肠火盛,引导热邪一同从小便排出。(各等分煎煮。生地黄凉血养心血,竹叶清心气,木通泻心火并导入小肠,甘草梢通达肾茎而止痛。)
使用银柴胡,配合胡黄连、秦艽、鳖甲相符合。地骨皮、青蒿、知母、甘草,可确保骨蒸劳热无忧虑。〔银柴胡一钱半,胡黄连、秦艽、鳖甲(用童子尿炙制)、地骨皮、青蒿、知母各一钱,甘草(炙)五分。地骨皮、胡黄连、知母用于平抑内热,柴胡、青蒿、秦艽用于疏散表邪,引导诸药进入骨骼以补阴,甘草调和诸药并泻火。〕
(饮剂,出自李东垣)黄芩、黄连、鼠粘子(牛蒡子),玄参、甘草、桔梗、板蓝根是伴侣。升麻、柴胡、马勃、连翘、陈皮,僵蚕、薄荷研成细末咀嚼服用。〔黄芩(酒浸)、黄连、鼠粘子、板蓝根、马勃、连翘、薄荷各一钱,僵蚕、升麻各七分,研末服用,或制成蜜丸含化。〕或者加入人参及大黄,(虚证加人参,便秘加大黄。)能够抵御大头天行病。(大头天行病,亲戚间不相往来探视,被传染者大多无法救治。原文说:黄芩、黄连泻心肺之火作为君药,玄参、陈皮、甘草泻火补肺作为臣药,连翘、薄荷、鼠粘子、板蓝根、僵蚕、马勃消散肿毒消毒定喘作为佐药,升麻、柴胡疏散阳明、少阳二经的阳气,桔梗作为舟楫之药,防止药力下行。李东垣说:这是邪热客居在心肺之间,向上攻冲头面导致肿胀,如果用承气汤泻下,属于诛伐无辜,于是创立此方,保全了很多人命。)
(Wan, from Zhu Danxi) Zhulian Liuyi Wan (Coptis and Evodia Six-to-One Pill), indicated for vomiting and acid regurgitation caused by Fire stagnation in the Liver channel. [Huanglian (Coptidis Rhizoma) 6 liang (stir-fried with ginger juice), Wuzhuyu (Evodiae Fructus) 1 liang (soaked in salt water), also known as Zhulian Wan. When Liver Qi is Excess, pain occurs, or acid vomit appears. Heart is the Son of Liver; thus, Huanglian is used to drain Heart Fire and clear heat, ensuring that Fire does not overact on Lung Metal, so that Metal can control Wood and pacify the Liver. Wuzhuyu enters the Jueyin Liver channel to move Qi and resolve depression, and can also guide Heat downward; therefore, it serves as a counter-agent (Fan Zuo). Cold conditions are treated with direct methods, while Heat conditions are treated with counter-methods, allowing them to complement each other to achieve efficacy. "Zuojin" (Left Metal) means enabling the Metal of the Lung, which resides on the right, to flow to the left thereby pacifying the Liver.] If Shaoyao (Paeoniae Radix Alba) is added, it is named Wuji Wan (Wu-Ji Pill), which brings peace when taken for Heat diarrhea and Heat dysentery. (Wu corresponds to Stomach Earth, Ji corresponds to Spleen Earth; adding Shaoyao attacks the Liver to soothe the Spleen, preventing Wood from overacting on Earth.)
For treating Stomachache, the principle of using hot medicine for cold conditions is similar. [Huanglian 6 liang, Fuzi (Aconiti Lateralis Radix Praeparata) 1 liang, also employing counter-agents.]
(San, from Qian Yi) Shengdi (Rehmanniae Radix) and Mutong (Akebiae Caulis), along with Gancao Gao (Glycyrrhizae Radix et Rhizoma tip) and Zhuye (Phyllostachydis Folium), these four items attack together. Mouth ulcers and painful dribbling urine due to Small Intestine Fire, guiding Heat out together through urination. [Equal parts decocted. Shengdi cools Blood and nourishes Heart Blood, Zhuye clears Heart Qi, Mutong drains Heart Fire into the Small Intestine, Gancao Gao reaches the Kidney meridian and penis to relieve pain.]
Use Yin Chaihu (Stellariae Radix), Hu Lian (Coptidis Rhizoma - note: context implies specific usage here, likely referring to Coptis or related bitter-cold herbs, but text says Hu Lian which usually refers to Coptis, however standard formula often uses Coptis/Huanglian. Text says "Hu Lian", I will translate as Hu Lian/Coptis based on text, though typically Huanglian is used. Wait, text says "Hu Lian Qin Jiao Bie Jia". In Qing Hao Bie Jia Tang variants, sometimes Coptis is used. I will stick to text: Hu Lian). Qin Jiao (Gentianae Macrophyllae Radix) and Bie Jia (Testudinis Carapax et Plastrum) correspond. Digupi (Lycii Cortex), Qinghao (Artemisiae Annuae Herba), Zhimu (Anemarrhenae Rhizoma), and Gancao ensure no worry for Bone-steaming Consumption Fever. [Yin Chaihu 1.5 qian, Hu Lian (Coptidis Rhizoma), Qin Jiao, Bie Jia (scalded with urine of young boy), Digupi, Qinghao, Zhimu each 1 qian, Gancao (roasted) 0.5 qian. Digupi, Hu Lian, and Zhimu calm internal Heat; Chaihu, Qinghao, and Qin Jiao scatter exterior pathogens, guiding the herbs into the bones to tonify Yin; Gancao harmonizes the herbs and drains Fire.]
(Yin, from Li Dongyuan) Huangqin (Scutellariae Radix), Lian (Huanglian/Coptidis Rhizoma), Shuniu (Arnebiae/Radix Arnebiae? No, Shuniu Zi is Niubangzi/Burdock Fruit. Text says "Shuniu", likely short for Shiniu/Niubangzi), Xuan Shen (Scrophulariae Radix), Gancao, Jiegeng (Platycodonis Radix), and Lan Gen (Isatidis Radix) are companions. Shengma (Cimicifugae Rhizoma), Chaihu, Mabo (Mopans Spora), Lianqiao (Forsythiae Fructus), Chenpi (Citri Reticulatae Pericarpium), Jiangcan (Bombyx Batryticatus), and Bohe (Menthae Haplocalycis Herba) are ground into powder for chewing. [Huangqin (wine-processed), Huanglian, Shiniu (Niubangzi/Arctii Fructus), Lan Gen, Mabo, Lianqiao, Bohe each 1 qian, Jiangcan, Shengma each 0.7 qian, taken as powder, or made into honey pills for holding in mouth. ] Alternatively, add Renshen (Ginseng Radix et Rhizoma) and Dahuang (Rhei Radix et Rhizoma), (for deficiency add Renshen, for constipation add Dahuang). It can defend against Datou Tianxing (Big Head Plague). (Datou Tianxing: relatives do not visit each other; those infected often cannot be saved. Original text states: Huangqin and Huanglian drain Heart and Lung Fire as Sovereign (Jun) herbs; Xuan Shen, Chenpi, and Gancao drain fire and tonify Lung as Minister (Chen) herbs; Lianqiao, Bohe, Shiniu, Lan Gen, Jiangcan, and Mabo dissipate swelling, detoxify, and calm wheezing as Assistant (Zuo) herbs; Shengma and Chaihu disperse Yang of the Yangming and Shaoyang channels; Jiegeng acts as a boat and oar, preventing downward movement. Li Dongyuan said: This is pathogenic heat lodging between the Heart and Lung, attacking upward to cause swelling in the head and face. Using Chengqi Tang to purge would be punishing the innocent. Thus, this formula was created, saving many lives.)