椒仁丸 治先因经水断绝,后至四肢浮肿,小便不通,血化为水,名曰血分。(血既化
而为水,则以利水为先,而行血温血,开结破气,又不可少者,然非峻利气悍之物不可?故
又佐之以大毒之药)
椒仁 续随子(去皮研) 甘遂 附子(炮) 郁李仁 黑牵牛 五灵脂(研碎) 当归 吴茱
萸玄胡索(各五钱) 芫花(醋浸) 石膏(各二钱) 胆矾 信砒(各一钱) 芫青(糯米炒黄,去
头翅足) 斑蝥(糯米炒黄,各十个)
上为末,面糊丸,如豌豆大,每服一丸,橘皮汤下。此方药虽峻利,所用不多,若畏而
不服,有养病害身之患。常治虚弱之人,亦未见其有误也。(此必已试有成验者,读之令人胆壮)
葶苈丸 治先因小便不利,后至身面浮肿,经水不通,水化为血,名曰水分。
甜葶苈(炒,另研) 续随子(去壳另研,各五钱) 干笋末(一两)
上为末,枣肉丸,如桐子大,每服七丸,煎扁竹汤下。如大便利者,减续随子、葶苈各
一钱,加白术五钱。(先水病,故先利水,而又佐以白术者,助土以防水也)
人参丸(一名葶苈丸) 治经脉不利,血化为水,流走四肢,悉皆肿满,名曰血分。其候与水
相类,若作水治之,非也,宜用此方。
人参 当归 大黄(湿纸裹饭上蒸熟,切炒) 桂心 瞿麦穗 赤芍药 白茯苓(各半两) 葶
苈(炒,另研,一钱)
上为末,炼蜜丸,如桐子大,每服十五丸,至二三十丸,空心米饮下。
小调经散 治败血停积五脏日久,腐烂成水,变为浮肿,忌用利水之药(此重在败血,
故曰忌用利水,所谓调经水自消也),产后浮肿亦宜。
当归 赤芍药 桂心(各一两) 没药 琥珀 甘草(各一钱) 细辛 麝香(各五分)
上为末,每服五分,温酒入姜汁调服。
桑白皮散 治香港脚感发两足浮肿,小便赤涩,腹胁胀满,气急坐卧不得。(此系香港脚方借用也)
桑白皮(炒一钱) 郁李仁(炒一钱) 赤茯苓(二钱) 木香 防己(酒洗) 大腹皮(各五钱)
苏子(炒) 木通 槟榔 青皮(各七分半)
上锉一服,加生姜三片,水煎服。
正脘散 治中焦虚痞,两胁气痛,面目手足浮肿,大便秘涩,兼治香港脚。(脾虚不能制
水,而气不降者宜之)
白术 川芎 木香 槟榔 甘草(各七钱半) 大腹皮 紫苏 木瓜 陈皮 沉香 独活(各一两)
上 咀,每服三钱,水煎,食后服。
大调经散 治荣卫不调,阴阳相乘,憎寒发热,自汗肿满。(此开鬼门、洁净府法,皆在
气分,而不在血不调,憎寒自汗;乃邪在表也)
大豆(炒去皮,一两半) 茯苓(一两) 真琥珀(一钱)
上为末,每服一钱,浓煎乌豆、紫苏汤下。
大腹皮饮 治妇人血婴,单单腹肿。
大腹皮 防己 木通 浓朴 栝蒌 黄 枳壳 桑白皮 大黄 陈皮 五味子(各等分)
上锉,每服一两,水煎去滓,入酒少许服。(血婴之名甚新,谓单腹胀如抱婴瘤之状也,
然皆用行气药也,黄 、五味、大黄,又可以补气而行血)
大黄甘遂汤 治妇人小腹满如敦敦状,(敦敦何状)小便微微而不竭。产后者,惟水与
血并结血室也。
大黄(半两) 甘遂(炮)(甘遂峻药也,恐太多) 阿胶(炒,各一两)
上锉,每服二钱,水一盏,煎七分,其血当下。
椒仁丸:治疗先因月经断绝,随后出现四肢浮肿、小便不通的症状,这是血液转化为水液所致,称为“血分”。(既然血液已经化为水液,治疗应以利水为先;但行血、温血、开结、破气的药物也不可缺少。然而,非峻烈气悍的药物不可胜任,因此又辅以大毒之药。)
药材:椒仁、续随子(去皮研碎)、甘遂、附子(炮制)、郁李仁、黑牵牛、五灵脂(研碎)、当归、吴茱萸、玄胡索(各五钱)、芫花(醋浸)、石膏(各二钱)、胆矾、信砒(各一钱)、芫青(用糯米炒至变黄,去掉头、翅、足)、斑蝥(用糯米炒至变黄,各十个)。
将上述药物研为细末,用面糊制成丸剂,大小如豌豆。每次服用一丸,用橘皮汤送服。此方药物虽然峻烈,但用量不多。如果因为畏惧而不服用,会有养虎为患损害身体的隐患。即使是常治虚弱之人,也未曾见其有误。(这一定是经过验证确有疗效的方子,读来令人胆壮。)
葶苈丸:治疗先因小便不利,随后出现身面和肢体浮肿、月经不通的症状,这是水液转化为血液所致,称为“水分”。
药材:甜葶苈(炒制,另研)、续随子(去壳另研,各五钱)、干笋末(一两)。
将上述药物研为细末,用枣肉制成丸剂,大小如梧桐子。每次服用七丸,用煎好的扁竹汤送服。如果大便通畅者,减少续随子和葶苈各一钱,增加白术五钱。(先是水病,所以先利水,而又辅助以白术,是为了健脾土以防止水湿泛滥。)
人参丸(又名葶苈丸):治疗经脉不畅,血液化为水液,流注于四肢,全部肿胀满闷,称为“血分”。其症状表现与水病相似,若按水病治疗是错误的,适宜使用此方。
药材:人参、当归、大黄(用湿纸包裹,在饭上蒸熟后切片炒制)、桂心、瞿麦穗、赤芍药、白茯苓(各半两)、葶苈(炒制,另研,一钱)。
将上述药物研为细末,用炼蜜制成丸剂,大小如梧桐子。每次服用十五丸,最多至二三十丸,空腹时用米饮送服。
小调经散:治疗败血停滞积聚在五脏日久,腐烂成水,变为浮肿,忌用利水药物(此方重在调理败血,所以说忌用利水药,所谓调理好经血,水肿自然消除),产后浮肿也适宜使用。
药材:当归、赤芍药、桂心(各一两)、没药、琥珀、甘草(各一钱)、细辛、麝香(各五分)。
将上述药物研为细末,每次服用五分,用温酒加入姜汁调匀后服用。
桑白皮散:治疗香港脚(脚气病)发作导致的双足浮肿,小便红赤涩痛,腹部和胁肋胀满,气急无法坐卧(此方是借用治疗香港脚的方剂)。
药材:桑白皮(炒制一钱)、郁李仁(炒制一钱)、赤茯苓(二钱)、木香、防己(酒洗)、大腹皮(各五钱)、苏子(炒制)、木通、槟榔、青皮(各七分半)。
将上述药物锉碎为一剂的量,加生姜三片,用水煎煮后服用。
正脘散:治疗中焦虚痞塞,两胁气痛,面目手足浮肿,大便秘结涩滞,兼治香港脚(脾虚不能制约水湿,且气机不降者适宜使用)。
药材:白术、川芎、木香、槟榔、甘草(各七钱半)、大腹皮、紫苏、木瓜、陈皮、沉香、独活(各一两)。
将上述药物切碎,每次服用三钱,用水煎煮,饭后服用。
大调经散:治疗营卫不调,阴阳相乘,憎寒发热,自汗肿满(此方采用“开鬼门”发汗、“洁净府”利水的治法,作用都在气分,而非血分不调。憎寒自汗,说明邪气在表)。
药材:大豆(炒制去皮,一两半)、茯苓(一两)、真琥珀(一钱)。
将上述药物研为细末,每次服用一钱,用浓煎的黑豆、紫苏汤送服。
大腹皮饮:治疗妇人血婴(指单腹胀大如抱婴儿状),仅腹部肿胀。
药材:大腹皮、防己、木通、厚朴、栝蒌、黄芪、枳壳、桑白皮、大黄、陈皮、五味子(各等分)。
将上述药物锉碎,每次服用一两,用水煎煮去渣,加入少许酒服用。(“血婴”这个名称很新,指的是单腹胀大如同抱着婴儿肿瘤的样子,但都使用行气药物,其中黄芪、五味子、大黄,又可以补气而行血。)
大黄甘遂汤:治疗妇人小腹满硬如敦(古代盛食物的器具)状,小便微微排出但不枯竭。产后患者,是水与血同时结聚在血室所致。
药材:大黄(半两)、甘遂(炮制,甘遂是峻烈药物,恐怕用量太多)、阿胶(炒制,各一两)。
将上述药物锉碎,每次服用二钱,用水一盏,煎至七分,瘀血应当下行。
Jiaoren Wan (Pepper Kernel Pill): Treats conditions where amenorrhea occurs first, followed by edema of the four limbs and obstruction of urination. This is caused by blood transforming into water, named "Blood Division" (Xuefen). (Since blood has transformed into water, treatment should prioritize promoting diuresis; however, herbs that promote blood circulation, warm blood, resolve stagnation, and break qi accumulation are indispensable. Yet, only harsh and potent drugs can suffice, hence toxic medicines are added as assistants.)
Ingredients: Jiaoren (Pepper Kernel), Xuisui Zi (Euphorbiae Lathyridis Semen, peeled and ground), Gansui (Kansui Root), Fuzi (Prepared Aconite Caralis Lateralis Radix), Yuliren (Prunus Armeniacae Semen Amarum), Hei Qianniu (Black Pharbitis Seed), Wulingzhi (Trogopteri Dung), Danggui (Angelicae Sinensis Radix), Wu Zhuyu (Evodiae Fructus), Yanhusuo (Corydalis Rhizoma) (each 5 qian), Yuanhua (Genkwa Flos, soaked in vinegar), Shigao (Gypsum Fibrosum) (each 2 qian), Danfan (Alumen), Xinpi (Realgar mixed with Arsenic Trioxide) (each 1 qian), Yuanqing (Mylabris, stir-fried with glutinous rice until yellow, remove head, wings, and feet), Banmao (Mylabris, stir-fried with glutinous rice until yellow, each 10 pieces).
Grind the above ingredients into fine powder, mix with wheat paste to form pills the size of pea seeds. Take one pill per dose, washed down with Tangerine Peel Decoction (Chenpi Tang). Although the drugs in this formula are harsh and potent, the dosage is small. If one hesitates due to fear and does not take it, there is a risk of nurturing disease and harming the body. Even when commonly treating weak individuals, no errors have been observed. (This must be a formula verified to be effective; reading it instills courage.)
Tingli Wan (Descurainiae Semen Pill): Treats conditions where difficulty in urination occurs first, followed by edema of the face, body, and limbs, and obstruction of menstruation. This is caused by water transforming into blood, named "Water Division" (Shuifen).
Ingredients: Tian Tingli (Descurainiae Semen, fried, ground separately), Xuisui Zi (Euphorbiae Lathyridis Semen, shelled and ground separately, each 5 qian), Gan Sun Mo (Dried Bamboo Shoot Powder) (1 liang).
Grind the above ingredients into fine powder, mix with jujube flesh to form pills the size of sophora seeds. Take seven pills per dose, washed down with decoction of Bianzhu (Bamboo leaves/stems). If bowel movements are free, reduce Xuisui Zi and Tingli by 1 qian each, and add Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian. (Since it is primarily a water disease, diuresis is prioritized first; adding Baizhu assists the Spleen Earth to control water overflow.)
Renshen Wan (Ginseng Pill, also known as Tingli Wan): Treats irregular menstruation where blood transforms into water, flowing to the four limbs, causing generalized swelling and fullness, named "Blood Division". The symptoms resemble those of water diseases; treating it as a water disease is incorrect. This formula is appropriate.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and steamed over rice, sliced and stir-fried), Guixin (Cinnamomi Cortex), Qumai Sui (Polygoni Avicularis Herba), Chishao Yao (Paeoniae Radix Rubra), Baifuling (Poria) (each half liang), Tingli (Descurainiae Semen, fried, ground separately, 1 qian).
Grind the above ingredients into fine powder, mix with refined honey to form pills the size of sophora seeds. Take 15 to 30 pills per dose, washed down with rice drink on an empty stomach.
Xiao Tiaojing San (Minor Regulation of Menstruation Powder): Treats stagnant and decomposed blood accumulating in the five zang organs for a long time, rotting into water and causing edema. Diuretic drugs should be avoided (this formula focuses on regulating stagnant blood, hence diuretics are forbidden; regulating the menses will cause the edema to subside naturally). It is also suitable for postpartum edema.
Ingredients: Danggui (Angelicae Sinensis Radix), Chishao Yao (Paeoniae Radix Rubra), Guixin (Cinnamomi Cortex) (each 1 liang), Moyao (Myrrha), Hupo (Succinum), Gancao (Licorice Radix et Rhizoma) (each 1 qian), Xixin (Asari Radix et Rhizoma), Shexiang (Moschus) (each 5 fen).
Grind the above ingredients into fine powder. Take 5 fen per dose, mixed with warm wine and ginger juice.
Sangbaipi San (Mulberry Bark Powder): Treats Hongjiaojiao (Foot Qi/Jock itch syndrome) attack causing bilateral foot edema, red and scanty urine, abdominal and hypochondriac distension, and shortness of breath preventing sitting or lying down. (This is a borrowed formula from the treatment of Foot Qi.)
Ingredients: Sangbaipi (Mori Cortex, fried, 1 qian), Yuliren (Prunus Armeniacae Semen Amarum, fried, 1 qian), Chifuling (Red Poria, 2 qian), Muxiang (Aucklandiae Radix), Fangji (Stephaniae Tetrandrae Radix, washed with wine), Dafupi (Arecae Pericarpium) (each 5 qian), Suzi (Perillae Fructus, fried), Mutong (Akebiae Caulis), Binglang (Areca Seed), Qingpi (Citri Reticulatae Pericarpium Viride) (each 7.5 fen).
Cut the above ingredients into one dose, add three slices of fresh ginger, decoct with water, and take orally.
Zhengwan San (Upright Epigastrium Powder): Treats deficiency-type epigastric fullness and obstruction, qi pain in both hypochondria, edema of the face, eyes, hands, and feet, and constipation with dry stools. Also treats Hongjiaojiao. (Suitable for Spleen deficiency failing to control water and descending qi failure.)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Gancao (Licorice Radix et Rhizoma) (each 7.5 qian), Dafupi (Arecae Pericarpium), Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), Chenpi (Citri Reticulatae Pericarpium), Chenxiang (Aquilariae Lignum Resinatum), Duohuo (Angelicae Pubescentis Radix) (each 1 liang).
Cut the above ingredients. Take 3 qian per dose, decoct with water, and take after meals.
Da Tiaojing San (Major Regulation of Menstruation Powder): Treats disharmony of Ying and Wei, mutual invasion of Yin and Yang, aversion to cold with fever, spontaneous sweating, and edema/fullness. (This employs the methods of "opening the ghost gate" [diaphoresis] and "cleansing the bladder" [diuresis], acting on the Qi level rather than blood disharmony. Aversion to cold and spontaneous sweating indicate pathogenic factors at the exterior.)
Ingredients: Dadou (Soybean, fried and skin removed, 1.5 liang), Fuling (Poria, 1 liang), Zhen Hupo (Authentic Succinum, 1 qian).
Grind the above ingredients into fine powder. Take 1 qian per dose, washed down with strong decoction of black soybeans and Perilla Folium.
Dafupi Yin (Arecae Pericarpium Decoction): Treats "Xueying" (Blood Infant) in women, characterized by isolated abdominal swelling.
Ingredients: Dafupi (Arecae Pericarpium), Fangji (Stephaniae Tetrandrae Radix), Mutong (Akebiae Caulis), Houpo (Magnoliae Officinalis Cortex), Gualou (Trichosanthis Fructus), Huangqi (Astragali Radix), Zhike (Citri Aurantii Fructus), Sangbaipi (Mori Cortex), Dahuang (Rhei Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Wuweizi (Schisandrae Chinensis Fructus) (equal parts).
Cut the above ingredients. Take 1 liang per dose, decoct with water, strain, and take with a small amount of wine. (The term "Xueying" is new, referring to isolated abdominal distension resembling holding an infant tumor. However, all ingredients are qi-moving drugs; Huangqi, Wuweizi, and Dahuang can also tonify qi and move blood.)
Dahuang Gansui Tang (Rhubarb and Kansui Decoction): Treats women with lower abdominal fullness hard like a Dun (ancient vessel), with slight but continuous urination. In postpartum cases, this is due to water and blood binding together in the Blood Chamber.
Ingredients: Dahuang (Rhei Radix et Rhizoma, half liang), Gansui (Kansui Root, prepared - Gansui is a harsh drug, caution against excessive dosage), Ejiao (Donkey-hide Gelatin, fried, each 1 liang).
Cut the above ingredients. Take 2 qian per dose, decoct with one cup of water until reduced to 0.7 cups. The blood stasis should then pass downwards.