(酒水为丸。由少至多,快利则止)
甘遂 大戟 芫花(各两半) 白牵牛(二两) 大黄(一两) 轻粉(一钱)
肢体麻痹,走注疼痛,或肿满翻胃,此积痰郁热,气血壅塞,不得宣通。以平剂调理,则经年不效。故聚六
物峻厉之品下之,此守真治火之长技也。然曰三花神 ,恐今人无古人之福,闽地河间之浓,虽有好汉,不敢拜
倾一二,神将焉 。丹溪加黄柏名小胃丹,自注∶小者消也。只怕消得干净。外如子和木香槟榔丸之类,名为化
滞,实伸足也,伸则不可复屈,故未敢录其方。
前方加青皮 橘皮 木香(各一两) 酒水丸。
面目肿满,徐徐身亦浮大,知病体两实,此方主之。
通可以去塞,欲通之利,无过前方。辛可以行滞,欲行之速,更须加味。酒水下咽之后,水陆俱行,上下左
右无所不至,故曰舟车。
诗曰∶芫花大戟偕甘遂,十枣煎投事乃济;牵牛大黄轻粉增,三花神 名堪味;再入木香青陈皮,舟车竞逐
疾徐去。
天冬 麦冬 黄连 黄芩 木通 车前子 怀牛膝 红花 苏木 紫草 蒲黄 丹皮 槐花 生地黄 甘草梢
瘀血灌睛,此方主之。
血行于气,无地不周。无形可见曰瘀;火邪上逆,明现于外而不散,曰灌睛。故以天冬、麦冬、黄连、黄芩、
车前子、牛膝、木通、甘草清其毒,毒清则气治;以红花、苏木、紫草、蒲黄、槐花、生地、丹皮逐其瘀,瘀逐
则血舒,气血周行,睛平如故。然虚人须量情增减,毋执。
诗曰∶天麦门,苏槐地,丹皮紫草红花聚,牛车载通甘蒲州,恰好连芩开药市。
(用酒和蜂蜜制成丸药。剂量由少逐渐增加,大便通畅迅速后即刻停药。)
甘遂、大戟、芫花(各一两半)、白牵牛(二两)、大黄(一两)、轻粉(一钱)。
肢体麻木不仁,疼痛游走不定,或者腹部肿胀满闷、呕吐翻胃,这是由于痰饮积聚、郁热内蕴,导致气血壅塞阻滞,不能宣通所致。使用平和的药剂进行调理,往往经年累月也无效。因此聚集这六种药性峻烈猛悍的药物来攻下积滞,这是朱丹溪治疗火热病证的特长技艺。然而名为“三花神丸”,恐怕现代人没有古人的福分,福建地区河间学派的用药浓重,虽然有好汉,也不敢轻易尝试服用一二剂,神灵又怎么会保佑呢?朱丹溪加入黄柏,命名为小胃丹,自己注解道:“小”的意思是消除。只怕身体被消损得过于干净。另外如张子和的木香槟榔丸之类,名义上是化除积滞,实际上是伸展足部(比喻损伤正气),伸展了就不能再弯曲,所以不敢收录其方剂。
前方(指三花神丸)中加入青皮、橘皮、木香(各一两),用酒和蜂蜜制丸。
面目浮肿胀满,随后全身也逐渐浮大,知道病人体质属于邪气盛实的“两实”状态,此方主治。
“通”法可以去除闭塞,想要达到通利效果,没有比上方更好的了。“辛”味可以行散滞气,想要行散速度更快,必须添加药物。酒液吞服之后,水湿与气机在体内上下左右无处不到,所以称为“舟车”。
诗曰:芫花、大戟协同甘遂,十枣汤投用才能济事;加上牵牛、大黄、轻粉,三花神丸之名值得品味;再加入木香、青皮、陈皮,舟车丸竞逐疾病,使其徐疾而去。
天冬、麦冬、黄连、黄芩、木通、车前子、怀牛膝、红花、苏木、紫草、蒲黄、丹皮、槐花、生地黄、甘草梢。
瘀血灌睛,此方主治。
血液运行依赖于气,无处不到。无形体可见的称为瘀;火邪上逆,明显显现于眼部外部而不消散,称为灌睛。因此用天冬、麦冬、黄连、黄芩、车前子、牛膝、木通、甘草来清除毒热,毒热清除则气机调顺;用红花、苏木、紫草、蒲黄、槐花、生地、丹皮来驱逐瘀血,瘀血驱逐则血脉舒展,气血周流运行,眼睛恢复平静如初。然而体质虚弱的人必须根据具体情况增减药量,不要固执拘泥。
诗曰:天冬、麦冬,苏木、槐花、生地,丹皮、紫草、红花汇聚,牛膝、车前、木通、甘草、蒲黄、州(指某地或泛指)产药材,恰好连翘、黄芩开启药市。(注:此处诗句为押韵概括药名,非严格药理描述)
(To be made into pills with wine and honey. Start with a small dose and increase gradually; stop immediately when rapid bowel evacuation occurs.)
Kansui Root (Radix Kansui), Great Euphorbia Root (Radix Euphorbiae Pekinensis), Genkwa Flower (Flos Genkwa) (each 1.5 liang), White Morning Glory Seed (Semen Pharbitidis), Rhubarb (Radix et Rhizoma Rhei) (1 liang), Calomelas (Calomelas).
Numbness and paralysis of the limbs, pain that wanders and shifts, or abdominal swelling and fullness accompanied by vomiting and regurgitation, are caused by the accumulation of phlegm-fluids and stagnant heat, leading to congestion and obstruction of Qi and Blood, preventing their free circulation. Using mild formulas for regulation often yields no effect even after years. Therefore, gathering these six harsh and potent substances to purge the accumulation is a master technique of Zhu Danxi in treating fire syndromes. However, naming it "San Hua Shen Wan" (Three Flowers Divine Pill), one fears modern people lack the fortune of ancients. In Fujian, where He Jian's school uses heavy medications, even robust individuals dare not risk taking even one or two doses; how could divine protection be expected? Zhu Danxi added Phellodendron Bark (Cortex Phellodendri) and named it Xiao Wei Dan (Small Stomach Pill), annotating: "Xiao" means to eliminate. One only worries about eliminating too much of the body's essence. Furthermore, formulas like Zhang Hezi's Mugong Xiangling Wan (Musk and Bitter Orange Pill), ostensibly for resolving stagnation, actually extend the foot (a metaphor for damaging righteous Qi); once extended, it cannot bend again, so its formula is not recorded here.
To the above formula, add Green Tangerine Peel (Pericarpium Citri Reticulatae), Tangerine Peel (Pericarpium Citri Reticulatae), and Costus Root (Radix Aucklandoniae) (each 1 liang), made into pills with wine and honey.
Swelling and fullness of the face and eyes, followed by gradual general bodily edema, indicates a condition of "double excess" (excess pathogen and strong constitution); this formula is indicated.
The method of "Unblocking" removes obstruction; for achieving unblocking and promoting fluid metabolism, nothing surpasses the preceding formula. The "Acrid" flavor moves stagnation; to accelerate this movement, additional ingredients are required. After swallowing with wine, water and Qi circulate freely throughout the upper and lower, left and right, hence the name Zhou Che (Boat and Chariot).
Poem reads: Genkwa Flower, Great Euphorbia Root, and Kansui Root together; Ten Jujube Decoction (Shi Zao Tang) must be used for efficacy; Add Morning Glory Seed, Rhubarb, and Calomelas, the name San Hua Shen Wan deserves contemplation; Further add Costus Root, Green Tangerine Peel, and Tangerine Peel, Zhou Che pill chases away disease swiftly or slowly.
Asparagus Root (Radix Asparagi), Ophiopogon Tuber (Tuber Ophiopogonis), Coptis Rhizome (Rhizoma Coptidis), Scutellaria Root (Radix Scutellariae), Akebia Stem (Caulis Aristolochiae), Plantago Seed (Semen Plantaginis), Achyranthes Root (Radix Achyranthis Bidentatae), Safflower (Flos Carthami), Broom Cypress Twig (Ramulus Cytisi), Arnebia Root (Radix Lithospermi), Typha Pollen (Pollen Typhae), Moutan Cortex (Cortex Moutan), Sophora Flower (Flos Sophorae), Rehmannia Root (Radix Rehmanniae), Licorice Root Tip (Radix Glycyrrhizae cum Melle).
Blood stasis flooding the eye (Yuxue Guan Jing); this formula is indicated.
Blood circulates following Qi, reaching every part of the body. What is invisible is termed "Stasis"; when Fire Evil ascends counterflow and manifests visibly externally without dissipating, it is termed "Flooding the Eye." Therefore, Asparagus Root, Ophiopogon Tuber, Coptis Rhizome, Scutellaria Root, Plantago Seed, Achyranthes Root, Akebia Stem, and Licorice Root are used to clear toxicity; once toxicity is cleared, Qi becomes regulated. Safflower, Broom Cypress Twig, Arnebia Root, Typha Pollen, Sophora Flower, Rehmannia Root, and Moutan Cortex are used to drive out blood stasis; once stasis is driven out, blood vessels relax, Qi and Blood circulate uniformly, and the eye returns to calm as before. However, for patients with deficiency constitutions, dosages must be adjusted according to their condition; do not adhere rigidly.
Poem reads: Asparagus Root and Ophiopogon Tuber, Broom Cypress Twig, Sophora Flower, and Rehmannia Root; Moutan Cortex, Arnebia Root, and Safflower gather; Achyranthes Root, Plantago Seed, Akebia Stem, Licorice, Typha Pollen, and regional herbs;恰好 (Just right) Lonicera and Scutellaria open the medicine market.