羌活 秦艽 商陆 槟榔 泽泻 木通 花椒目 大腹皮 茯苓皮 赤小豆 姜皮佐煎。
遍身水肿,喘呼烦渴,大小便秘,目赤痛,此方主之。
外而一身尽痛,内而喘渴便秘,再目赤痛,此上下表里俱病,务必厘清其势乃瘥。羌活、秦艽,疏表药也。
水邪之在表者,触之由汗而泄。泽泻、腹皮、苓皮,渗利药也。水邪之在里者,触之由溺而泄。水毒壅塞,商陆、
槟榔以攻之。水气蒸溽,椒目、赤豆以 之。如此立法,非神禹疏江凿河之理乎。于以名方,未为过实。
诗曰∶疏凿槟榔合商陆,苓皮姜皮花椒目,赤豆羌艽大腹毛,水泽何愁泻不速。
甘草 杏仁 干姜 肉桂
此方非治暑,乃治暑日受伤之脾胃尔。夫脾胃喜燥恶湿,喜温恶寒。时虽夏月,引饮餐凉,过于寒湿,则阴
阳互逆,必致霍乱吐泻。乃用干姜、肉桂之爽利以顺性;甘草、杏仁之温腻而顺气,故曰大顺。
诗曰∶散名大顺,药止四味,四味维何,杏草姜桂。
五苓散加滑石 石膏 寒水石 仍斟酌分两,作散为妙。
夏月引饮过多,太阳受伤,致小便不利,湿热上攻眼目。亟用三石以清热,五苓以利湿。河间此方,诚为甘
露。张子和加人参、甘草,因脉虚而补气。加木香、干葛,欲化湿以除烦。
诗曰∶寒水流滑石,猪术沾膏泽,桂苓活火煎,甘露清炎热。
羌活、秦艽、商陆、槟榔、泽泻、木通、花椒目、大腹皮、茯苓皮、赤小豆,煎药时加入姜皮辅助。
全身水肿,气喘呼叫,烦躁口渴,大小便不通畅,此方主治。
体表一身疼痛,体内气喘口渴且便秘,再加上眼睛红肿疼痛,这是表里上下都患病,务必理清病势才能痊愈。羌活、秦艽,是疏解表邪的药物。
停留在体表的湿邪,触动它通过汗液排出。泽泻、大腹皮、茯苓皮,是渗湿利水的药物。停留在体内的水邪,触动它通过尿液排出。水毒壅塞阻滞,用商陆、槟榔来攻逐。水气蒸腾潮湿,用花椒目、赤小豆来利水。如此制定法则,难道不是像大禹疏导江河开凿河道的道理吗?以此命名方剂,并不为过实。
诗曰:疏凿饮中槟榔配商陆,茯苓皮生姜皮花椒目,赤小豆羌活秦艽大腹皮,水湿之患何愁排泄不迅速。
甘草、杏仁、干姜、肉桂。
此方并非治疗暑热证,而是治疗在暑天受损的脾胃。脾胃喜欢干燥厌恶潮湿,喜欢温暖厌恶寒冷。虽然时值夏季,但如果引水饮用过多或进食生冷,导致寒湿过重,则阴阳之气相互逆乱,必然导致霍乱吐泻。于是使用干姜、肉桂的辛热之性以顺应脾胃本性;使用甘草、杏仁的温润之性以顺调气机,所以称为“大顺”。
诗曰:方名大顺散,药物仅有四味,哪四味呢?杏仁、甘草、干姜、肉桂。
五苓散(Wuling San)中加入滑石、石膏、寒水石,仍然需要斟酌剂量,制成散剂效果更佳。
夏季饮水过多,损伤太阳经(Taiyang Channel),导致小便不利,湿热上攻眼目。急需使用三石(滑石、石膏、寒水石)来清热,五苓散来利湿。刘河间(Liu Hejian)的这个方剂,确实堪称甘露。张子和(Zhang Zihe)加入人参、甘草,是因为脉象虚弱而补气。加入木香、干葛(Gegen, 葛根),是想化湿以消除烦闷。
诗曰:寒水石与滑石流动,猪苓白术沾膏泽,桂枝茯苓羌活用火煎,甘露汤清除炎热。
Qianghuo (Notopterygii Rhizoma et Radix), Qinjiao (Gentianae Macrophyllae Radix), Shanglu (Phytolaccae Radix), Binglang (Arecae Semen), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), HuaJiaomu (Zanthoxyli Fructus Seed), Dafupi (Citri Reticulatae Pericarpium Viride), Fulingpi (Poria Cum Ligno Cortex), Chixiaodou (Phaseoli Radiatus Semen), with Jiangpi (Zingiberis Recens Cortex) added as an adjunct during decoction.
For generalized edema of the whole body, panting and shouting, irritability and thirst, and constipation of both stool and urine, this formula is indicated.
When there is pain throughout the body on the exterior, and internally panting, thirst, and constipation, accompanied by red and painful eyes, this indicates that both the interior and exterior, upper and lower parts are affected. It is essential to clarify the pathological trend for recovery. Qianghuo and Qinjiao are herbs that release the exterior.
Water pathogenic factors residing in the exterior are expelled through sweat when stimulated. Zexie, Dafupi, and Fulingpi are herbs that promote diuresis and leach out dampness. Water pathogenic factors residing in the interior are expelled through urination when stimulated. When water toxicity is congested and blocked, Shanglu and Binglang are used to purge it. When water qi steams and humidifies, HuaJiaomu and Chixiaodou are used to drain water. Such a legislative principle is not akin to the logic of Yu the Great channeling rivers and dredging canals? Naming the formula thus is not an exaggeration.
Poem states: In Shuzao Yin, Arecae Semen combines with Phytolaccae Radix; Poria Cum Ligno Cortex, Ginger Peel, and Zanthoxyli Fructus Seed; Phaseoli Radiatus Semen, Notopterygii Rhizoma et Radix, and Gentianae Macrophyllae Radix; why worry that water dampness will not be drained rapidly?
Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex).
This formula does not treat Summerheat, but rather treats the Spleen and Stomach injured during summer days. The Spleen and Stomach prefer dryness and dislike dampness, prefer warmth and dislike cold. Although it is midsummer, if excessive drinking or consumption of cold foods leads to excessive cold-dampness, then Yin and Yang mutually reverse, inevitably leading to Huoluan (Cholera-like syndrome) with vomiting and diarrhea. Therefore, Ganjiang and Rougui's pungent-warm nature is used to accord with their nature; Gancao and Xingren's warm-moistening nature is used to harmonize Qi, hence named "Da Shun" (Great Harmony/Smoothness).
Poem states: Named Da Shun San, the medicine consists of only four ingredients. What are these four? Armeniacae Semen Amarum, Glycyrrhizae Radix et Rhizoma, Zingiberis Rhizoma, and Cinnamomi Cortex.
Wuling San (Five-Ingredient Powder with Poria) plus Huashi (Talcum), Shigao (Gypsum Fibrosum), Hanshuishi (Calcitum). Dosages should still be carefully considered; making it into a powder is advisable.
Excessive drinking in summer injures the Taiyang Channel (Solar Meridian), causing difficult urination, with Damp-Heat attacking upward to the eyes. Urgently use the Three Stones (Huashi, Shigao, Hanshuishi) to clear Heat, and Wuling San to promote diuresis. Liu Hejian's formula is indeed truly like Sweet Dew. Zhang Zihe added Renshen (Ginseng Radix) and Gancao because of the deficient pulse to tonify Qi. Added Muxiang (Aucklandiae Radix) and Gange (Puerariae Lobatae Radix) to transform dampness and remove irritability.
Poem states: Calcitum and Talcum flow smoothly, Polyporus and Atractylodes Macrocephalae Rhizoma moistened by Gypsum Fibrosum and moisture; Cinnamon Twig and Poria boiled with fire, Sweet Dew clears heat and fever.