(严氏)里 (本)防风,白芷升麻与木通。芎细(川芎、细辛)甘草茶调服,鼻生息
肉此方攻。(肺经湿热,上蒸于脑,入鼻而生息肉,犹湿地得热而生芝菌也。诸药等分,末
服三钱。辛夷、升麻、白芷能引胃中清阳上行头脑,防风、 本能入巅顶燥湿祛风,细辛散
热通窍,川
(陈无择)中用薄荷,辛夷白芷四般和。葱茶调服疏肝肺,清升浊降鼻渊瘥。〔苍耳子
(炒)二钱半,薄荷、辛夷各五钱,白芷一两,末服。凡头面之疾,皆由清阳不升,浊阴逆
上所致。浊气上烁于脑,则鼻流浊涕为渊。数药升阳通窍,除湿散风,故治之也。〕
(散,王荆公)山药与参 ,甘桔二茯远志随。少佐辰砂木香麝,惊悸郁结梦中遗。〔山
药二两(乳汁炒),人参、黄 (蜜炙)、茯苓、茯神、远志(炒)各一两,桔梗、甘草各三
钱,辰砂二钱,木香二钱半,麝香一钱,为末,每服二钱,酒下。山药固精,参、 补气,
远志、二茯清心宁神,桔梗、木香疏肝清肺,丹、麝镇心,散郁辟邪,甘草补中,协和诸药,
使精、气、神相根据,邪火自退。不用固涩之药,为泄遗良剂,以其安神利气,故亦治惊悸郁
结。〕
十首、附方五
(《局方》)用半夏陈,益以茯苓甘草臣。〔半夏(姜制)二钱,陈皮(去白)、茯苓
各一钱,甘草五分,加姜煎。〕利气调中兼去湿,一切痰饮此为珍。(陈皮利气,甘草和中,
苓、夏除湿,气顺湿除,痰饮自散。)导痰汤内加星枳,顽痰胶固力能驯。(加胆星以助半夏,
加枳实以成冲墙倒壁之功。)若加竹茹与枳实,汤名温胆可宁神。(二陈汤加竹茹、枳实,名
温胆汤,治胆虚不眠。)润下丸(丹溪)仅陈皮草,利气祛痰妙绝伦。〔陈皮(去白)八两,
盐五两(水浸洗),甘草二两,蜜炙,蒸饼糊丸,姜汤下,或将陈皮盐水煮晒,同甘草为末,
名二肾散,不可多服,
(严氏)里,(本方用)防风、白芷、升麻和木通。川芎、细辛、甘草用茶调服,此方能攻治鼻内生息肉。(肺经湿热,上蒸于脑,进入鼻腔而生息肉,就像湿地受热后生长出芝菌一样。诸药等分,研末,每次服用三钱。辛夷、升麻、白芷能引导胃中清阳上行至头脑,防风、藁本能入巅顶燥湿祛风,细辛散热通窍,川芎……)
(陈无择)中用薄荷,辛夷、白芷四味调和。葱茶调服以疏肝肺,清阳上升浊阴下降,鼻渊病痊愈。〔苍耳子(炒)二钱半,薄荷、辛夷各五钱,白芷一两,研末服用。凡是头面部的疾病,都是由清阳不升、浊阴逆上所致。浊气上灼于脑,则鼻流浊涕形成鼻渊。这几味药能升阳通窍,除湿散风,所以能治疗此病。〕
(散,王荆公),山药与人参,甘草、桔梗、茯苓、茯神、远志相随。稍加辰砂、木香、麝香,可治惊悸郁结导致的梦中遗精。〔山药二两(乳汁炒),人参、黄芪(蜜炙)、茯苓、茯神、远志(炒)各一两,桔梗、甘草各三钱,辰砂二钱,木香二钱半,麝香一钱,研为末,每次服用二钱,酒送下。山药固精,人参、黄芪补气,远志、茯苓、茯神清心宁神,桔梗、木香疏肝清肺,辰砂、麝香镇心安神、疏散郁结辟除邪气,甘草补益中气,协调诸药,使精、气、神相互依托,邪火自然消退。不用固涩的药物,是治疗遗精的良剂,因其安神利气,所以也能治疗惊悸郁结。〕
十首、附方五
(《局方》)用半夏和陈皮,辅以茯苓、甘草为臣药。〔半夏(姜制)二钱,陈皮(去白)、茯苓各一钱,甘草五分,加生姜煎煮。〕能利气调中兼去湿气,一切痰饮以此为珍贵。(陈皮利气,甘草和中,茯苓、半夏除湿,气顺湿除,痰饮自然消散。)导痰汤内加入南星、枳实,顽痰胶固之力能被驯服。(加入胆南星以助半夏,加入枳实以成就冲墙倒壁之功。)若加入竹茹与枳实,汤名温胆汤可宁心安神。(二陈汤加入竹茹、枳实,名为温胆汤,治疗胆虚失眠。)润下丸(丹溪)仅用陈皮、甘草,利气祛痰妙不可言。〔陈皮(去白)八两,盐五两(水浸洗),甘草二两,蜜炙,蒸饼糊丸,姜汤送下,或将陈皮盐水煮晒,同甘草研为末,名为二肾散,不可多服,
(Yan's) Li, (the formula uses) Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Shengma (Cimicifugae Rhizoma), and Mutong (Akebiae Caulis). Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) are taken with tea; this formula attacks nasal polyps. [Damp-heat in the Lung Meridian steams upward to the brain, enters the nose, and generates polyps, similar to how fungi grow on damp land when heated. All herbs are in equal parts, powdered, three qian per dose. Xinyi (Magnoliae Flos), Shengma, and Baizhi can guide the clear Yang of the Stomach upward to the head; Fangfeng and Gaoben (Ligustici Sinensis Rhizoma) enter the vertex to dry dampness and dispel wind; Xixin disperses heat and unblocks orifices; Chuanxiong...]
(Chen Wuyue)'s version includes Bohe (Menthae Haplocalycis Herba); Xinyi, Baizhi, and these four are harmonized. Taken with scallion and tea to soothe the Liver and Lung; as clear Yang ascends and turbid Yin descends, Biyuan (nasal sinusitis) heals. [Cang'erzi (Xanthii Fructus, stir-fried) 2.5 qian, Bohe and Xinyi each 5 qian, Baizhi 1 liang, powdered for administration. All diseases of the head and face are caused by the failure of clear Yang to ascend and the counterflow of turbid Yin. When turbid Qi scorches the brain upward, it causes profuse turbid nasal discharge, forming Biyuan. These herbs raise Yang, unblock orifices, eliminate dampness, and dispel wind, thus treating the condition.]
(San, Wang Jinggong), Shanyao (Dioscoreae Rhizoma) and Renshen (Ginseng Radix), along with Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Fuling (Poria), Fushen (Poria with Hostwood), and Yuanzhi (Polygalae Radix) follow. A small addition of Chencha (Cinnabaris), Muxiang (Aucklandiae Radix), and Shexiang (Moschus) treats nocturnal emission due to palpitations and depression. [Shanyao 2 liang (stir-fried with milk), Renshen, Huangqi (Astragali Radix, honey-fried), Fuling, Fushen, Yuanzhi (stir-fried) each 1 liang, Jiegeng and Gancao each 3 qian, Chencha 2 qian, Muxiang 2.5 qian, Shexiang 1 qian, powdered. Take 2 qian per dose with wine. Shanyao secures essence; Renshen and Huangqi tonify Qi; Yuanzhi, Fuling, and Fushen clear the Heart and calm the Spirit; Jiegeng and Muxiang soothe the Liver and clear the Lung; Chencha and Shexiang settle the Heart, dissipate stagnation, and ward off evil; Gancao tonifies the Middle and harmonizes all herbs, allowing Essence, Qi, and Spirit to rely on each other, so that pathogenic fire naturally recedes. Without using astringent herbs, it is an excellent formula for treating emission, because it calms the Spirit and benefits Qi, thus also treating palpitations and depression.]
Ten formulas, five attached formulas.
(The Bureau Formula) uses Banxia (Pinelliae Rhizoma) and Chenpi (Citri Reticulatae Pericarpium), assisted by Fuling (Poria) and Gancao (Glycyrrhizae Radix et Rhizoma) as ministers. [Banxia (prepared with ginger juice) 2 qian, Chenpi (pith removed) and Fuling each 1 qian, Gancao 0.5 qian, decocted with fresh ginger.] It promotes Qi circulation, regulates the Middle, and eliminates dampness; it is precious for all phlegm-fluid retention. [Chenpi promotes Qi, Gancao harmonizes the Middle, Fuling and Banxia eliminate dampness; with smooth Qi and eliminated dampness, phlegm-fluid naturally disperses.] Dao Tan Tang (Phlegm-Expelling Decoction) added with Nanxing (Arisaematis Cum Bile) and Zhishi (Aurantii Fructus Immaturus) can tame stubborn, congealed phlegm. [Adding Danxing (Bile-treated Arisaema) assists Banxia; adding Zhishi achieves the power of breaking through walls and toppling battlements.] If Zhuru (Bambusae Caulis in Taenia) and Zhishi are added, the decoction is named Wendan Tang (Warm the Gallbladder Decoction), which can calm the Spirit. [Erxun Tang (Two-Aged Phlegm Decoction) plus Zhuru and Zhishi is named Wendan Tang, treating insomnia due to Gallbladder deficiency.] Run Xia Wan (Moisten and Purge Pill, by Danxi) uses only Chenpi (Citri Reticulatae Pericarpium) and Gancao (Glycyrrhizae Radix et Rhizoma); promoting Qi and expelling phlegm, its efficacy is unparalleled. [Chenpi (pith removed) 8 liang, Salt 5 liang (soaked and washed in water), Gancao 2 liang, honey-fried, made into pills with fermented steamed bun paste, taken with ginger soup. Alternatively, boil Chenpi in salt water, dry it, and powder it together with Gancao, named Ershen San (Two Kidneys Powder); do not take excessively,]