桑皮 全地(各一两) 甘草(五钱) 糯米(一勺) 或加芩、连各三钱。
肺金正色曰白。肺虚火燥,目红不退,贼邪犯矣。桑白皮、地骨皮,质轻性微寒,轻可上达华盖,寒则直逼
气海。甘草、糯米,味甘性纯浓,甘可补土生金,纯浓则化邪匡正。李时珍曰∶此泻肺诸方之准绳。愚谓气分虚
热,得此散一清,自可见效。若血分实火,必加芩连或下方乃的。
元参 桑皮 枳壳 黄连 杏仁 旋复花 防风 黄芩
白菊 葶苈子
白睛肿胀,日夜疼痛,此方主之。
白睛肿胀,肺气中塞也。日夜疼痛,肺火上攻也。中寒者,须散而决,故用枳壳、杏仁、旋复花、防风、白
菊。上攻者,当寒而下,故用桑皮、黄连、元参、黄芩、葶苈。
诗曰∶泻白桑白地骨皮,甘草粳米药须知,参连芩麦及知母,睛红喘咳可加之;有用元桑杏仁枳,旋复防风
葶苈子,黄连黄芩白菊花,别名治金还详记。
竹叶 石膏 人参 麦冬 半夏 甘草 粳米
伤寒瘥后,虚羸少气,气逆欲吐,目病骤作,此方主之。
伤寒由汗吐下而瘥,自然虚羸少气。气虚不能生津,则燥火上干,故逆而欲吐,目病骤做。石膏、竹叶、麦
冬,所以解肌而清有余,半夏、人参、甘草,所以散逆而补不足。乃粳米者,恐竹、石过凉损胃,用以和中气尔。
一方除参、麦、半夏,用桔梗、木通、薄荷,治胃实口渴。李土材曰∶阳明外实,则用柴葛以解肌。内实则用承
气以攻下。此云胃实,非有停滞,但阳盾胜耳。火旺则金囚,故以竹叶泻火,以桔梗清金,薄荷散于上,木通泄
于下,甘草、石膏直入戊土而靖其中。夫如是,则炎蒸退而津液随生。土疡睑肿,治亦得。虚入冒暑,目暴赤肿,
合前药增量一二。
诗曰∶竹叶石膏汤,粳米法半夏,参草麦门冬,燥热饮能罢。
桑白皮、地骨皮(各一两)、甘草(五钱)、糯米(一勺),或者加入黄芩、黄连各三钱。
肺在五色中对应的正色是白色。肺虚导致火燥,眼睛发红不退,这是贼邪侵犯所致。桑白皮和地骨皮,质地轻而性微寒,轻能上行到达作为华盖的肺部,寒能直入气海。甘草和糯米,味道甘甜且性质纯厚,甘味可以补益脾土以生肺金,纯厚的性质能够化解邪气匡扶正气。李时珍说:这是治疗肺脏诸方剂的准则。我认为对于气分的虚热,服用此散剂一清,自然可以看到疗效。如果是血分的实火,必须加入黄芩、黄连或者使用下方的方剂才确切有效。
玄参、桑白皮、枳壳、黄连、杏仁、旋复花、防风、黄芩、白菊花、葶苈子。
白睛肿胀,日夜疼痛,此方主治。
白睛肿胀,是肺气壅塞所致。日夜疼痛,是肺火上攻所致。属于中寒者,需要发散并决断疏通,所以使用枳壳、杏仁、旋复花、防风、白菊花。属于上攻者,应当用寒凉药下行,所以使用桑白皮、黄连、玄参、黄芩、葶苈子。
诗曰:泻白散由桑白皮、地骨皮组成,甘草、粳米用药须知;若加玄参、黄连、黄芩、麦冬及知母,眼睛红赤、气喘咳嗽可随之缓解;若有用到玄参、桑白皮、杏仁、枳壳、旋复花、防风、葶苈子、黄连、黄芩、白菊花,别名“治金煎”还需详细记住。
竹叶、石膏、人参、麦冬、半夏、甘草、粳米。
伤寒病愈后,身体虚弱消瘦、气短,气逆想要呕吐,眼病突然发作,此方主治。
伤寒通过发汗、催吐、泻下等方法治愈后,自然会身体虚弱消瘦、气短。气虚不能生津液,则燥火上炎,所以气逆想要呕吐,眼病突然发作。石膏、竹叶、麦冬,是用来解除肌表之邪并清除有余之热的;半夏、人参、甘草,是用来降逆气并补益不足的。至于粳米,是担心竹叶、石膏过于寒凉损伤胃气,用它来调和胃气罢了。另一版本除去人参、麦冬、半夏,改用桔梗、木通、薄荷,治疗胃实口渴。李士材说:阳明经外实,就用柴胡、葛根来解肌;内实则用承气汤来攻下。这里说的胃实,并非有积滞停滞,只是阳气偏胜而已。火旺则金被囚困,所以用竹叶泻火,用桔梗清金,薄荷疏散于上,木通泄利于下,甘草、石膏直接入戊土(胃)而安定其中。像这样,那么炎热蒸腾之气退去,津液随之而生。眼睑肿胀如疮疡,治疗也适宜。如果是虚人感受暑邪,眼睛突然红赤肿胀,合用前面的药物增加一到二倍剂量。
诗曰:竹叶石膏汤,包含粳米、法半夏,人参、甘草、麦门冬,燥热之症饮用后可罢除。
Sangbaipi (Cortex Mori Radicis), Digupi (Cortex Lycii Radicis) (each 1 liang), Gancao (Radix Glycyrrhizae Preparata) (5 qian), Nuomi (Oryza Sativa Glutinosa) (1 spoon), or add Huangqin (Radix Scutellariae) and Lianlian (Rhizoma Coptidis) each 3 qian.
The correct color of the Lung Metal is white. When Lung deficiency leads to fire dryness, causing persistent redness of the eyes, it indicates invasion by a thief pathogen. Sangbaipi (Cortex Mori Radicis) and Digupi (Cortex Lycii Radicis) are light in quality and slightly cold in nature; their lightness allows them to reach the upper Jiao (the Lung, metaphorically the canopy), and their coldness directly targets the Qi Sea. Gancao (Radix Glycyrrhizae Preparata) and Nuomi (Oryza Sativa Glutinosa) are sweet in taste and pure/thick in nature; sweetness tonifies Spleen Earth to generate Lung Metal, and purity/thickness helps resolve pathogens and support righteous Qi. Li Shizhen stated: "This is the standard for all formulas treating the Lung." I believe that for deficient heat in the Qi level, taking this powder once will clear the condition, and effectiveness will naturally be seen. If it is excess fire in the Blood level, one must add Huangqin (Radix Scutellariae) and Lianlian (Rhizoma Coptidis) or use the following formula for precise treatment.
Xuanshen (Radix Scrophulariae), Sangbaipi (Cortex Mori Radicis), Zhike (Fructus Aurantii Immaturus), Huanglian (Rhizoma Coptidis), Xingren (Semen Armeniacae Amarum), Xuanfuhua (Capitium Inulae), Fangfeng (Radix Saposhnikoviae), Huangqin (Radix Scutellariae), Baijuhua (Flos Chrysanthemi Indici), Tinglizi (Semen Lepidii seu Descurainiae).
For swelling of the sclera with pain day and night, this formula is indicated.
Swelling of the sclera is due to obstruction of Lung Qi. Pain day and night is due to attacking Lung Fire. For cases involving interior cold, dispersion and resolution are required; thus, Zhike (Fructus Aurantii Immaturus), Xingren (Semen Armeniacae Amarum), Xuanfuhua (Capitium Inulae), Fangfeng (Radix Saposhnikoviae), and Baijuhua (Flos Chrysanthemi Indici) are used. For cases involving upward attack, cold herbs that descend are needed; thus, Sangbaipi (Cortex Mori Radicis), Huanglian (Rhizoma Coptidis), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae), and Tinglizi (Semen Lepidii seu Descurainiae) are used.
Poem states: Xiebai San consists of Sangbaipi (Cortex Mori Radicis) and Digupi (Cortex Lycii Radicis); remember Gancao (Radix Glycyrrhizae Preparata) and Jingmi (Semen Oryzae Sativae). Add Xuanshen (Radix Scrophulariae), Lianlian (Rhizoma Coptidis), Huangqin (Radix Scutellariae), Maidong (Radix Ophiopogonis), and Zhimu (Rhizoma Anemarrhenae); red eyes, wheezing, and cough can be added to [for treatment]. If using Xuanshen (Radix Scrophulariae), Sangbaipi (Cortex Mori Radicis), Xingren (Semen Armeniacae Amarum), Zhike (Fructus Aurantii Immaturus), Xuanfuhua (Capitium Inulae), Fangfeng (Radix Saposhnikoviae), Tinglizi (Semen Lepidii seu Descurainiae), Huanglian (Rhizoma Coptidis), Huangqin (Radix Scutellariae), and Baijuhua (Flos Chrysanthemi Indici), remember the alias Zhi Jin Jian in detail.
Zhuye (Folium Bambusae), Shigao (Gypsum Fibrosum), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis), Banxia (Rhizoma Pinelliae Preparata), Gancao (Radix Glycyrrhizae Preparata), Jingmi (Semen Oryzae Sativae).
After recovery from Shanghan (Cold Damage), with emaciation, shortness of breath, rebellious Qi with desire to vomit, and sudden onset of eye disease, this formula is indicated.
Shanghan (Cold Damage) recovers through sweating, vomiting, or purging, naturally leading to emaciation and shortness of breath. Qi deficiency fails to generate body fluids, so dryness-fire attacks upward, causing rebellious Qi and desire to vomit, and sudden onset of eye disease. Shigao (Gypsum Fibrosum), Zhuye (Folium Bambusae), and Maidong (Radix Ophiopogonis) are used to release the muscle layer and clear excess heat; Banxia (Rhizoma Pinelliae Preparata), Renshen (Radix Ginseng), and Gancao (Radix Glycyrrhizae Preparata) are used to scatter rebellion and tonify deficiency. As for Jingmi (Semen Oryzae Sativae), it is feared that Zhuye (Folium Bambusae) and Shigao (Gypsum Fibrosum) are too cold and damage the Stomach, so it is used to harmonize the Middle Qi. Another prescription removes Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis), and Banxia (Rhizoma Pinelliae Preparata), using Jiegeng (Radix Platycodi), Mutong (Caulis Akebiae), and Bohe (Herba Menthae) to treat Stomach excess with thirst. Li Shicai said: For Yangming exterior excess, use Chaihu (Radix Bupleuri) and Gegen (Radix Puerariae) to release the muscle layer; for interior excess, use Chengqi Tang (Harmonizing the Lower Jiao Decoction) to purge downward. The "Stomach excess" mentioned here does not imply stagnation, but merely excessive Yang dominance. When Fire is prosperous, Metal is imprisoned; thus, Zhuye (Folium Bambusae) clears Fire, Jiegeng (Radix Platycodi) clears Metal, Bohe (Herba Menthae) disperses above, Mutong (Caulis Akebiae) drains below, and Gancao (Radix Glycyrrhizae Preparata) and Shigao (Gypsum Fibrosum) enter Wu Tu (Stomach Earth) directly to pacify the center. In this way, the steaming heat retreats, and body fluids are generated accordingly. Eyelid swelling resembling an ulcer is also treated effectively. For deficiency patients contracting summerheat, with sudden red and swollen eyes, combine with the previous medicine and increase the dose by one or two times.
Poem states: Zhuye Shigao Tang contains Jingmi (Semen Oryzae Sativae) and Fa Banxia (Prepared Rhizoma Pinelliae), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae Preparata), and Maidong (Radix Ophiopogonis); drinking this can eliminate dryness-heat.