黄柏(二两) 知母(一两) 肉桂(五钱) 蜜丸。
肾火起于涌泉者,主此方。
热自足心直冲股内,而入少腹,便秘不渴,阴汗遗精,均谓火起涌泉。知、柏苦寒,水之流也,用以折其过
逆。肉桂辛温,火之亚也,假以暂为反佐。然虽对症,必脉形两实,素无损伤,方许议治。
诗曰∶黄相通秦关,肉桂来交趾,知母蜜丸吞,涌泉火不起。
大黄(去黑皮,取鲜黄锦纹者,剂片一斤,好酒 熟,候干,再用烧酒拌,蒸晒杵融,丸如绿豆火,瓷罐收贮
听用。)
大黄苦寒泄利,得烧酒无窍不入,无实不泻。然必久蒸晒者,欲味醇而气微香,第去邪不损其正,庶不失为
久练之将军云。
拣大香附子一斤,杵去皮,以童便浸软,剂片。初用生姜扭汁渍湿晒干,继用冬酒,继陈米醋,继生紫苏汁,
继生艾汁,继生薄荷汁,次第渍晒毕,碾末,百合粉糊丸,赤豆大,瓷罐封固听用。
妇人一切风热不制,改目淡红微翳,眵泪 ,频年不瘥。此盖忧思郁怒,潜伤肝脾,致春升之气不能上营,
虽治易愈,未几复来。一回重一回,药遂罔应。香附气芬味苦辛,专入肝脾而平蕴结,今渍以七物,非制其悍,
实助其能,用疗上症,尤为合式。
人参 白术 干姜 甘草
太阴自利不渴,寒多而呕,腹痛溏泄,脉沉无力,或厥冷拘急,或结胸吐蛔,及感寒霍乱,此方主之。
太阴,脾也。自利腹痛为脾病,利而不渴为寒。寒彻于外则四肢厥冷拘急。寒凝于中则结胸溏泄,喜吐蛔出。
霍乱者,或呕或泄,阴阳不和而挥霍撩乱也。凡此皆虚而致寒。故用干姜、白术之辛温,人参、甘草之冲和,散
其寒而补其虚,则中气治,太阴脾土遂其初矣。故曰理中。
人身阳气,有如天日,稍西则凉,凉极则寒肃至矣。是故病在三阴,须以此汤为主。桂、附、丁、砂、花椒、
乌梅、归、 ,随症增一二无害。今人明欲理中,加上许多非类,责以收效得乎。
蛔虫乃湿土所化,非胃中固有之物。胃寒无容身之地,遂逐气逆上而吐,胃治则腐,或随粪便下。盲医咸谓
消食养脏之虫,作丸作散,安保不已,为之喷饭。
霍乱亦有阳症,不可不辨明用药。
诗曰∶理中参术干姜草,附桂丁 出入好,唯有景岳理
阴煎,草姜桂地归仍妙。
黄柏(二两) 知母(一两) 肉桂(五钱) 炼蜜为丸。
肾火起于涌泉穴的,主治此方。
热感从足心直冲大腿内侧,并进入少腹部,大便秘结但不口渴,阴部出汗、遗精,都称为“火起涌泉”。知母、黄柏味苦性寒,属水之流,用来折服过逆之火。肉桂味辛性温,属火之次品,借其暂时作为反佐之用。然而虽然对症,必须脉象充实有力,体质素来没有损伤,才允许讨论治疗。
诗云:黄柏通达秦关,肉桂来自交趾,知母与蜜制成丸药吞服,涌泉之火便不再升起。
大黄(去除黑皮,选取鲜黄色锦纹者,切片一斤,用优质酒浸泡至熟,待干后,再用烧酒拌匀,蒸晒捣融,制成如绿豆大小的丸药,用瓷罐收藏备用。)
大黄苦寒,具有泄下通利的作用,得到烧酒的帮助则无处不到,有实邪必能泻下。但必须经过长时间蒸晒,是为了使药味醇厚而气味微香,这样既能祛除邪气又不损伤正气,这才不失为经过久练的“将军”之称。
挑选大香附子一斤,捣碎去皮,用童子尿浸泡至软,切片。初次用生姜扭汁浸湿晒干,继用冬酿酒,继用陈米醋,继用生紫苏汁,继用生艾叶汁,继用生薄荷汁,依次浸渍晒干完毕后,碾成粉末,用百合粉调糊制成丸药,如赤豆大小,用瓷罐密封保存备用。
妇人一切风热不受制约,导致眼睛淡红微有翳障,眼屎流泪,多年不愈。这大概是忧思郁怒,暗中损伤肝脾,致使春季升发之气不能上达滋养头目,虽然容易治愈,但不久又复发。一次比一次严重,药物于是无效。香附气味芬芳,味道苦辛,专门入肝脾经而平解郁结,现在用七种辅料浸制,不是抑制它的猛烈,实际上是增强它的能力,用来治疗上述症状,尤为合适。
阴风凛冽,阳气沉埋,想要收敛寒威,必须借助太阳之火。汇热方:
人参 白术 干姜 甘草
太阴病自发性腹泻且不口渴,寒气多且呕吐,腹痛、大便稀溏,脉象沉而无力,或者四肢厥冷拘急,或者结胸吐蛔虫,以及感受寒邪导致的霍乱,此方主治。
太阴,指脾脏。自发性腹泻伴腹痛是脾病,腹泻而不口渴说明是寒证。寒气彻骨于外则四肢厥冷拘急。寒气凝结于中则导致结胸、大便稀溏,喜欢吐出蛔虫。霍乱,是指或呕吐或腹泻,阴阳不和而挥霍撩乱。凡此种种皆因虚而导致寒。所以使用干姜、白术的辛温,人参、甘草的平和,散除寒气并补益虚弱,那么中气得以调理,太阴脾土恢复其本来状态。所以叫作“理中”。
人身阳气,就像天上的太阳,稍微偏西就变凉,凉到极点则寒肃之气降临。因此病在三阴经,必须以这个汤剂为主。桂枝、附子、丁香、砂仁、花椒、乌梅、当归、[此处原文缺字,推测为某药],根据症状增加一二味无害。今人明明想理中,加上许多不相干的药物,要求见效,可能吗?
蛔虫是由湿土所化生,并非胃中固有的东西。胃寒没有容身之地,于是随着气逆向上而吐出,胃功能恢复则腐熟消化,或者随粪便排出。盲医都说这是消食养脏的虫子,做成丸药或散剂,怎么保证不发作,真是令人喷饭。
霍乱也有阳证,不可不辨明用药。
诗云:理中汤由人参、白术、干姜、甘草组成,附子、桂枝、丁香等出入加减效果好,唯有张景岳的理阴煎,甘草、干姜、肉桂、地黄、当归仍然精妙。
Huangbai (Cortex Phellodendri, two taels) Zhimu (Rhizoma Anemarrhenae, one tael) Rougui (Cortex Cinnamomi, five qian) Honey pills.
For Kidney fire originating from Yongquan (Kidney 1), this formula is indicated.
Heat sensation rushing directly from the sole of the foot into the inner thigh and entering the lower abdomen, accompanied by constipation without thirst, sweating in the genital area, and seminal emission, are all termed "fire originating from Yongquan." Zhimu and Huangbai are bitter and cold, belonging to the flow of Water, used to subdue excessive rebellious fire. Rougui is acrid and warm, a secondary form of Fire, temporarily employed as an adverse adjuvant. However, although it matches the syndrome, treatment is only permissible if the pulse is both forceful and substantial, and the constitution has no prior damage.
The poem states: Huangbai reaches Qin Pass, Rougui comes from Jiaozhi, swallow Zhimu honey pills, and the fire at Yongquan will not rise.
Dahuang (Rhei Radix et Rhizoma) (Remove black skin, select fresh yellow with brocade patterns, slice one jin, soak in good wine until cooked, dry, then mix with distilled liquor, steam, sun-dry, pound and melt, make into pills the size of mung beans, store in porcelain jars for use.)
Dahuang is bitter and cold, having purgative and draining properties; aided by distilled liquor, it penetrates everywhere and drains all excesses. However, it must be steamed and sun-dried for a long time to make the flavor mellow and the aroma slight, so that it removes pathogenic factors without damaging healthy Qi, thus living up to its title as the seasoned "General."
Select one jin of Daxiangfu (Rhizoma Cyperi), pound to remove skin, soak in urine of a young boy until soft, slice. Initially soak in juice twisted from fresh ginger, dry in the sun; then soak in winter wine; then aged rice vinegar; then juice of fresh Perilla frutescens leaves; then juice of fresh Artemisia argyi leaves; then juice of fresh Mentha haplocalyx; after completing the sequence of soaking and drying, grind into powder, make into pills using Polygonatum odoratum starch paste, the size of red beans, seal in porcelain jars for use.
In women, all conditions where wind-heat is uncontrolled, causing the eyes to appear pale red with slight nebula, discharge and tearing, persisting for years without cure. This is likely due to worry, thought, depression, and anger secretly injuring Liver and Spleen, causing the ascending Qi of Spring to fail to nourish the upper body. Although easy to cure, it recurs shortly. Each recurrence is more severe than the last, rendering medicines ineffective. Xiangfu has a fragrant aroma and bitter-acrid taste, specifically entering the Liver and Spleen meridians to resolve stagnation. Now soaked in seven substances, not to suppress its vigor, but actually to enhance its capability, making it particularly suitable for treating the above symptoms.
Yin wind is biting, Yang Qi is buried deep; to restrain the power of cold, one must rely on the Sun's fire. Hui Re Formula:
Renshen (Radix Ginseng) Baizhu (Rhizoma Atractylodis Macrocephalae) Ganjiang (Rhizoma Zingiberis Recens) Gancao (Radix Glycyrrhizae)
Taiyin spontaneous diarrhea without thirst, abundant cold with vomiting, abdominal pain, loose stools, pulse deep and weak, or cold limbs with cramping, or chest binding with expulsion of roundworms, and cholera-like disorder caused by cold invasion, are primarily treated with this formula.
Taiyin refers to the Spleen. Spontaneous diarrhea with abdominal pain indicates Spleen disease; diarrhea without thirst indicates Cold. When cold pervades externally, limbs become cold and cramped. When cold coagulates internally, it causes chest binding and loose stools, and preference for expelling roundworms. Cholera-like disorder involves vomiting or diarrhea, where Yin and Yang are disharmonious, causing chaotic turmoil. All these result from deficiency leading to cold. Therefore, use the acrid-warm nature of Ganjiang and Baizhu, and the balanced nature of Renshen and Gancao to scatter cold and tonify deficiency. Then Middle Qi is regulated, and Taiyin Spleen Earth returns to its original state. Hence it is called "Regulating the Middle."
Human Yang Qi is like the sun in the sky; slightly westward brings coolness, extreme coolness brings chilling severity. Thus, when disease is in the Three Yin stages, this decoction should be the mainstay. Guizhi (Ramulus Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), Dingxiang (Flos Caryophylli), Sharen (Fructus Amomi), Huajiao (Pericarpium Zanthoxyli), Wumei (Fructus Mume), Danggui (Radix Angelicae Sinensis), [missing character], adding one or two according to symptoms is harmless. Nowadays, people clearly want to regulate the Middle but add many unrelated herbs, yet expect efficacy? How can this work?
Roundworms are transformed from damp earth, not inherent to the Stomach. When Stomach cold offers no place for them to reside, they follow rebellious Qi upward and are vomited out; when Stomach function recovers, they are digested or expelled with feces. Blind physicians claim these are worms that aid digestion and nourish organs, made into pills or powders, how can one guarantee they won't recur? It is laughable.
Cholera-like disorders also have Yang syndromes; medication must not be prescribed without clear differentiation.
The poem states: Lizhong contains Renshen, Baizhu, Ganjiang, and Gancao; adding/subtracting Fuzi, Guizhi, Dingxiang yields good results; only Zhang Jingyue's Liyin Decoction, with Gancao, Ganjiang, Rougui, Dihuang, and Danggui, remains exquisite.