(东垣)用治寒泻,炮姜粟壳橘红也。〔诃子(煨)七分,炮姜六分,罂粟壳(去蒂蜜
炙)、橘红各五分,末服。粟壳固肾涩肠,诃子收脱住泻,炮姜逐冷补阳,陈皮升阳调气。〕
河间(诃子散)木香诃草连,仍用术芍煎汤下。〔诃子一两半(生煨),木香五钱,黄连三钱,
甘草二钱,为末煎,白术白芍汤调服。久泻,以此止之,不止者,加入浓朴二钱。〕二方药
异治略同,亦
(寇宗 )治便数,参苓龙骨同龟壳。菖蒲远志及当归,补肾宁心健忘觉。〔桑螵蛸(盐
水炒)、茯苓(一用茯神)、龙骨( )、龟板(酥炙)、菖蒲(盐炒)、远志、当归等分,为
末,临卧服二钱,人参汤下。治小便数而欠,补心虚,安神。虚则便数,故以人参、螵蛸补
之;热则便欠,故以龟板滋之,当归润之。菖蒲、茯苓、远志,并能清心热而通心肾,使心
行,则小肠之腑自宁也。〕真人养脏(汤,罗谦甫)诃粟壳,肉蔻当归桂木香。术芍参甘为
涩剂,脱肛久痢早煎尝。〔诃子(面里裹煨)一两二钱,罂粟壳(去蒂蜜炙)三两六钱,肉
豆蔻(面里裹煨)五钱,当归、白术(炒)、白芍(酒炒)、人参各六钱,木香二两四钱,桂
八钱,生甘草一两八钱,每服四钱。脏寒甚加附子,一方无当归,一方有干姜。脱肛由于虚
寒,参、术、甘草以补其虚,官桂、豆蔻以温其寒。木香调气,当归和血,芍药酸以收敛,
诃子、粟壳涩以止脱。〕
(李东垣)使用此方治疗寒性腹泻,药物包括炮姜、罂粟壳和橘红。〔诃子(煨制)七分,炮姜六分,罂粟壳(去除蒂部,用蜂蜜炙烤)、橘红各五分,研为细末服用。罂粟壳能固肾涩肠,诃子能收敛固脱止泻,炮姜能驱散寒气补益阳气,陈皮能升发阳气调理气机。〕
河间刘完素(的诃子散)包含木香、诃子、甘草和黄连,仍需用白术和白芍煎煮的汤剂送服。〔诃子一两半(生用与煨制各半),木香五钱,黄连三钱,甘草二钱,研为细末煎煮,用白术和白芍汤调服。对于久泻,以此方止泻,若无效,加入浓朴二钱。〕这两个方剂药物不同但治疗原理大致相同,也是……
(寇宗奭)治疗小便频数,使用人参、茯苓、龙骨同龟板。还有石菖蒲、远志及当归,补肾宁心改善健忘睡眠。〔桑螵蛸(盐水炒制)、茯苓(有的用茯神)、龙骨(未注明具体处理,通常指生用或煅用)、龟板(酥炙)、石菖蒲(盐水炒制)、远志、当归等量,研为细末,临睡前服用二钱,用人参汤送下。治疗小便频数且伴有尿意不尽感,补益心虚,安神定志。虚证导致小便频数,所以用人参、桑螵蛸补益;热证导致尿意不尽,所以用龟板滋阴,当归润燥。石菖蒲、茯苓、远志,都能清心热而交通心肾,使心气运行通畅,则小肠腑自然安宁。〕真人养脏汤(罗谦甫)含有诃子和罂粟壳,还有肉豆蔻、当归、桂枝和木香。白术、白芍、人参、甘草组成涩剂,脱肛久痢应尽早煎服。〔诃子(面粉裹煨)一两二钱,罂粟壳(去除蒂部,用蜂蜜炙烤)三两六钱,肉豆蔻(面粉裹煨)五钱,当归、白术(炒制)、白芍(酒炒制)、人参各六钱,木香二两四钱,桂枝八钱,生甘草一两八钱,每次服用四钱。脏寒严重加附子,一方无当归,一方有干姜。脱肛由于虚寒,人参、白术、甘草以补其虚,官桂、肉豆蔻以温其寒。木香调理气机,当归调和血液,芍药味酸以收敛,诃子、罂粟壳涩以止脱。〕
(Li Dongyuan) uses this formula to treat cold diarrhea, with ingredients including Paojiang (Prepared Zingiberis Rhizoma), Ying Sus Ke (Pericarpium Papaveris), and Juhong (Exocarpium Citri Reticulatae). [Hezi (Stir-baked with bran) 7 fen, Paojiang 6 fen, Ying Sus Ke (remove calyx, stir-fry with honey) and Juhong each 5 fen, grind into powder and take. Ying Sus Ke consolidates the kidney and astringes the intestines; Hezi collects leakage and stops diarrhea; Paojiang dispels cold and tonifies yang; Chenpi (Citri Reticulatae Pericarpium) raises yang and regulates qi.]
Liu Wanhe of Hejian (Hezi San) contains Muxiang, Hezi, Gancao, and Huanglian, still taken with a decoction of Baizhu and Baishao. [Hezi 1 liang 5 qian (raw and stir-baked), Muxiang 5 qian, Huanglian 3 qian, Gancao 2 qian, grind into powder and decoct; mix with decoction of Baizhu and Baishao to take. For chronic diarrhea, use this to stop it; if ineffective, add Houpo 2 qian.] The two formulas have different herbs but similar therapeutic principles, also...
(Kou Zongshi) treats frequent urination using Renshen, Fuling, Longgu, and Guiban. Also Shichangpu, Yuanzhi, and Danggui, tonify kidney, calm heart, and improve forgetfulness and sleep. [Sangpiaoxiao (stir-fry with salt water), Fuling (some use Fushen), Longgu (calcined or raw), Guiban (roasted until crisp), Shichangpu (stir-fry with salt water), Yuanzhi, Danggui in equal parts, grind into powder, take 2 qian before bed, wash down with Renshen decoction. Treats frequent urination with incomplete emptying, tonifies heart deficiency, calms spirit. Deficiency causes frequent urination, so Renshen and Sangpiaoxiao are used to tonify; heat causes incomplete emptying, so Guiban is used to nourish yin, and Danggui to moisten. Shichangpu, Fuling, and Yuanzhi can all clear heart heat and connect heart and kidney, allowing heart qi to flow smoothly, thus the small intestine fu organ becomes tranquil.] Zhenren Yangzang Tang (Luo Qianfu) contains Hezi and Ying Sus Ke, plus Rou Doukou, Danggui, Guizhi, and Muxiang. Baizhu, Baishao, Renshen, and Gancao form an astringent agent; for rectal prolapse and chronic dysentery, decoct and take early. [Hezi (wrap in flour and stir-bake) 1 liang 2 qian, Ying Sus Ke (remove calyx, stir-fry with honey) 3 liang 6 qian, Rou Doukou (wrap in flour and stir-bake) 5 qian, Danggui, Baizhu (stir-fry), Baishao (wine-stir-fry), Renshen each 6 qian, Muxiang 2 liang 4 qian, Guizhi 8 qian, Sheng Gancao 1 liang 8 qian, take 4 qian per dose. If internal cold is severe, add Fuzi; one variation lacks Danggui, another includes Ganjiang. Rectal prolapse is due to deficiency-cold; Renshen, Baizhu, and Gancao tonify deficiency; Guizhi and Rou Doukou warm cold. Muxiang regulates qi, Danggui harmonizes blood, Baishao is sour to astringe, Hezi and Ying Sus Ke are astringent to stop prolapse.]