泻相火 黄柏 知母 牡丹皮 地骨皮 生地黄 茯苓 玄参 寒水石
益阳 附子 肉桂 益智 破故纸 沉香 角回香 川乌 硫黄 天雄 乌药 阳起石
胡桃 巴戟天 丹砂 当归 蛤蚧 覆盆子
涩滑 牡蛎 芡实 金樱子 五味子 远志 蛤粉 山茱萸肉
三焦为相火之用,分布命门元气,主升降出入,游行天地之间,总驭五脏六腑,营卫
经络,内外上下左右之气,号中清之府,上主纳,中主化,下主出。
本病∶诸瞀 ,暴病、暴死、暴喑、躁扰、狂越、谵妄、惊骇,诸血溢、血泄,诸气逆
冲上,诸疮、疡、痘、疹、瘤、核。
上热则喘满,诸呕吐酸,胸痞胁痛,饮食不消,头上出汗。
中热则善饥而瘦,解 中满,诸胀腹大,诸病有声,鼓之如鼓,上下关格不通,霍乱吐
下热则暴注下迫,水液混浊,下部肿满,小便淋沥或不通,大便闭结或下利。
上寒则吐饮食痰水,胸痹前后引痛,食已还出。
中寒则饮食不化,寒胀反胃吐水,湿泻不渴。
下寒则二便不禁,脐腹冷,疝痛。
标病∶恶寒战栗,如丧神守,耳鸣耳聋,嗌肿喉痹诸病, 肿疼酸,惊骇,手小指次指
泻相火(清泄命门之火):黄柏、知母、牡丹皮、地骨皮、生地黄、茯苓、玄参、寒水石。
益阳(温补阳气):附子、肉桂、益智仁、破故纸(补骨脂)、沉香、角茴香、川乌、硫黄、天雄、乌药、阳起石、胡桃、巴戟天、丹砂、当归、蛤蚧、覆盆子。
涩滑(固涩滑脱):牡蛎、芡实、金樱子、五味子、远志、蛤粉、山茱萸肉。
三焦是相火的功用所在,分布着命门的元气,主管升降出入的气机运行,游行于天地之间,统率五脏六腑以及营卫经络、内外上下左右之气,被称为中清之府。其上部主受纳,中部主消化,下部主排泄。
本病(根本病症):各种目眩昏花,突发疾病、突然死亡、突然失音、烦躁扰乱、狂乱超越、胡言乱语、惊恐骇怕,各种血液溢出、便血漏下,各种气机上逆冲撞向上,各种疮疡、痘疹、肿瘤、结节。
上部有热则气喘胸闷,各种呕吐酸水,胸膈痞闷胁肋疼痛,饮食不消化,头部出汗。
中部有热则容易饥饿但身体消瘦,腹部胀满,各种腹部肿胀膨大,各种病证伴有肠鸣声,叩击腹部如鼓声,上下关格不通,霍乱吐泻。
下部有热则急迫腹泻,粪水混浊,下部肿胀满闷,小便淋漓不尽或不通畅,大便闭结或下利。
上部有寒则呕吐饮食痰水,胸痹痛牵引前后部位,食物吃下后又吐出。
中部有寒则饮食不能消化,寒性胀满反胃吐清水,湿邪腹泻口不渴。
下部有寒则大小便失禁,脐腹寒冷,疝气疼痛。
标病(表象病症):恶寒战栗,如同丧失神志主宰,耳鸣耳聋,咽喉肿痛喉痹等各种病证,肢体浮肿疼痛酸楚,惊恐骇怕,手小指及次指(无名指)……
发汗(解表散邪):麻黄、柴胡、葛根、荆芥、升麻、薄荷、羌活、石膏。
涌吐(催吐祛邪):上部用瓜蒂、沧盐、韭汁;下部用大黄、芒硝。
温补(温里补虚):上部用人参、天雄、桂心;中部用人参、黄芪、丁香、木香、草果;下部用附子、桂心、硫黄、人参、沉香、乌梅、破故纸。
Clearing Ministerial Fire: Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Mudanpi (Moutan Cortex), Digupi (Lycii Cortex), Shengdihuang (Rehmanniae Radix), Fuling (Poria), Xuanshen (Scrophulariae Radix), Hanshuishi (Calcitum).
Benefiting Yang: Fuzi (Aconiti Lateralis Radix Praeparata), Rougui (Cinnamomi Cortex), Yizhi (Alpiniae Officinarum Fructus), Poguzhi (Psoraleae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Jiaohuixiang (Foeniculi Fructus), Chuanwu (Aconiti Radix), Liuhuang (Sulfur), Tianxiong (Aconiti Radix), Wuyao (Linderae Radix), Yangqishi (Leucogynii Os), Hetao (Juglandis Semen), Bajitian (Morindae Officinalis Radix), Dansha (Cinnabaris), Danggui (Angelicae Sinensis Radix), Gejie (Gekko), Fupenzi (Rubigeniculati Fructus).
Astringing Slippery Discharges: Muli (Concha Ostreae), Qianshi (Euryales Semen), Jinyingzi (Chrysanthemi Fructus), Wuweizi (Schisandrae Chinensis Fructus), Yuanzhi (Polygalae Radix), Haifen (Concha Meretricis), Shanzhuyu Rou (Corni Fructus Pericarpium).
The Sanjiao (Triple Burner) is the functional manifestation of Ministerial Fire; it distributes the Primordial Qi from the Mingmen (Gate of Life), governs the ascending, descending, exiting, and entering movements, travels between heaven and earth, and commands the Qi of the Five Zang and Six Fu organs, Ying and Wei (Nutritive and Defensive) levels, meridians, and the Qi inside and outside, above and below, left and right. It is called the "Middle Clear Mansion." Its upper part governs reception, its middle part governs transformation, and its lower part governs excretion.
Root Disease (Fundamental Pathology): Various forms of visual confusion and dizziness, sudden illnesses, sudden death, sudden aphonia, restlessness and agitation, mania and unruliness, delirium, fright and terror, various hemorrhages such as blood extravasation or bleeding from the bowels, various rebellious upward surges of Qi, various sores, ulcers, smallpox, rashes, tumors, and nodules.
Heat in the Upper Jiao manifests as panting and chest fullness, various vomiting of sour fluids, chest oppression and hypochondriac pain, indigestion, and sweating on the head.
Heat in the Middle Jiao manifests as excessive hunger with emaciation, abdominal distension, various cases of abdominal swelling and enlargement, borborygmus (bowel sounds) where percussion yields a drum-like sound, obstruction at the upper and lower gates preventing free flow, cholera with vomiting and diarrhea.
Heat in the Lower Jiao manifests as urgent, tenesmic diarrhea with turbid fluids, swelling and fullness in the lower body, dribbling dysuria or urinary retention, constipation or loose stools.
Cold in the Upper Jiao manifests as vomiting of food, phlegm, and water, chest bi-syndrome with pain radiating to the front and back, and regurgitation of food after eating.
Cold in the Middle Jiao manifests as inability to digest food, cold-type abdominal distension with regurgitation of clear fluid, damp-type diarrhea without thirst.
Cold in the Lower Jiao manifests as incontinence of urine and feces, coldness of the umbilical and abdominal region, and hernia pain.
Branch Disease (Manifestation/Symptomatic Pathology): Aversion to cold with shivering, loss of spiritual control, tinnitus and deafness, throat swelling and bi-syndrome, various limb swelling, pain, and soreness, fright and terror, sweating in the little finger and the next finger (ring finger)...
Inducing Sweating (Releasing the Exterior): Mahuang (Ephedrae Herba), Chaihu (Bupleuri Radix), Gegen (Puerariae Lobatae Radix), Jingjie (Schizonepetae Spica), Shengma (Cimicifugae Rhizoma), Bohe (Menthae Haplocalycis Herba), Qianghuo (Notopterygii Rhizoma et Radix), Shigao (Gypsum Fibrosum).
Inducing Vomiting (Expelling Phlegm/Toxins): For the Upper Jiao: Gadi (Citrulli Semen), Cangyan (Halitum), Jiuzhi (Allii Fistulosi Juice); For the Lower Jiao: Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas).
Warming and Tonifying: For the Upper Jiao: Renshen (Ginseng Radix), Tianxiong (Aconiti Radix), Guixin (Cinnamomi Ramulus); For the Middle Jiao: Renshen (Ginseng Radix), Huangqi (Astragali Radix), Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Caoguo (Tsaoko Fructus); For the Lower Jiao: Fuzi (Aconiti Lateralis Radix Praeparata), Guixin (Cinnamomi Ramulus), Liuhuang (Sulfur), Renshen (Ginseng Radix), Chenxiang (Aquilariae Lignum Resinatum), Wumei (Mume Fructus), Poguzhi (Psoraleae Fructus).