即五苓散去猪苓加生姜硝半夏陈皮糊丸又加黄连黄柏为坚中丸治烦渴复方
即五苓散合平胃散治水泻及夏月感冒暑气或啖饮日中所晒之物或坐日中热处而泻
即五苓散合四君子汤治无病而渴与病后渴及汗下及霍乱吐泻津液去多五内枯燥而烦
即五苓散合益元散去猪苓加石膏寒水石治暑若甘露饮不去猪苓不加石膏名桂苓甘露饮
治暑热二气湿泻注下或烦渴或小便闭涩
治邪客脏腑
阳盛阴虚目不能瞑
秫米(一升) 半夏(五合)
用千里外来流水八升扬之万遍取其清五升入二味炊以苇薪徐炊令竭为一升半去其滓饮汁
一小
平秫米味甘微寒内经曰以辛散之以甘缓之难经曰阳跷为病阳缓而阴急阳盛
以甘缓之流水取其动而不居苇薪取其空而不窒正经所谓决渎壅塞经络大通
治胃反呕吐者
半夏(二升) 人参(三两) 白蜜(一升)
上三味以水一斗二升和蜜扬之二百四十遍煮药取二升半温服一升余分再服
呕家本渴渴者为欲解今反不渴心下有支饮故也此方主之
半夏(一升) 生姜(半斤)
上二味以水七升煮取一升半分温再服活人名半夏生姜汤治呕欲绝
这就是本方(五苓散)加入辰砂,用于治疗中暑引起的烦渴、身热、头痛、霍乱吐泻、小便短赤以及精神恍惚。
这就是五苓散去猪苓,加入生姜和硝半夏,用陈皮调糊制成丸剂;又加入黄连和黄柏,称为坚中丸,用于治疗烦渴的复方。
这就是五苓散合平胃散,用于治疗水样腹泻,以及夏季感受暑气,或者食用白天暴晒过的食物或饮料,或坐在烈日下受热而导致的腹泻。
这就是五苓散合四君子汤,用于治疗无病而口渴、病后口渴,以及经过发汗、攻下治疗后,或因霍乱吐泻导致津液大量流失,五脏内部干燥而烦躁的情况。
这就是五苓散合益元散去猪苓,加入石膏和寒水石,用于治疗暑热。如果去掉桂苓甘露饮中的猪苓且不加入石膏,则名为甘露饮。用于治疗暑热二气交蒸、湿邪腹泻、注下不止,或者出现烦渴、小便闭塞涩痛的症状。
这就是五苓散合益元散,加入寒水石和石膏,用于治疗冒受暑湿湿热导致的呕吐、腹泻、转筋和腹痛,出自《灵枢》。
治疗邪气侵犯脏腑:
阳气盛而阴气虚,导致眼睛无法闭合入睡。
秫米(一升),半夏(五合)。
取千里之外的流水八升,反复扬洒万遍,取其清澈部分,取五升放入两味药中,用芦苇做燃料慢慢煎煮,直到药液浓缩为一升半,滤去药渣,每次服用一小杯汁液。
秫米味甘性微寒。《内经》说要用辛味发散它,用甘味缓和它。《难经》说阳跷脉发病时,阳侧弛缓而阴侧紧急,阳气过盛。用甘味来缓和它。流水取其流动而不滞留的特性,芦苇薪柴取其中空而不窒塞的特性,这正是经典所说的疏通壅塞,使经络通畅。
治疗胃反呕吐者:
半夏(二升),人参(三两),白蜜(一升)。
以上三味药,用水一斗二升,混合蜂蜜并扬洒二百四十遍,煎煮药物取得二升半,温服一升,剩余的药液分两次服用。
呕吐的人本来应该口渴,口渴说明病情将要解除;现在反而不渴,是因为心下有支饮停留的缘故,此方主治。
半夏(一升),生姜(半斤)。
以上两味药,用水七升,煎煮取得一升半,分两次温服。活人书称之为半夏生姜汤,治疗剧烈呕吐欲绝的症状。
This is the original formula (Wuling San) with Cinnabar added, used to treat heatstroke causing irritability and thirst, fever, headache, cholera-like vomiting and diarrhea, scanty dark urine, and mental confusion.
This is Wuling San without Polyporus, with Fresh Ginger and Processed Pinellia Rhizome added, made into pills using dried tangerine peel paste; further adding Coptis Rhizome and Phellodendron Bark, it is called Jianzhong Wan, a compound formula used to treat irritability and thirst.
This is Wuling San combined with Pingwei San, used to treat watery diarrhea, as well as summerheat invasion in summer, or diarrhea caused by consuming food or drink exposed to the sun during the day, or sitting in hot places under the sun.
This is Wuling San combined with Sijunzi Tang, used to treat thirst without disease, thirst after illness, and thirst accompanied by internal dryness and irritability due to excessive loss of body fluids following sweating or purging therapies, or due to cholera-like vomiting and diarrhea.
This is Wuling San combined with Yiyuan San, without Polyporus, plus Gypsum Fibrosum and Halloysitum Rubrum, used to treat summerheat. If Polyporus is removed from Guiling Ganlu Yin and Gypsum Fibrosum is not added, it is named Ganlu Yin. It treats conditions where summerheat and dampness interact, causing profuse watery diarrhea, irritability and thirst, or urinary retention and dysuria.
This is Wuling San combined with Yiyuan San, plus Halloysitum Rubrum and Gypsum Fibrosum, used to treat vomiting, diarrhea, muscle cramps, and abdominal pain caused by exposure to summerheat and damp-heat, cited from *Ling Shu*.
Treating pathogenic factors invading the Zang-Fu organs:
Excess Yang and deficiency Yin lead to inability to close the eyes for sleep.
Setaria Italica Seed (one sheng), Pinellia Tuber (five he).
Take flowing water from a thousand li away, splash it ten thousand times, take the clear portion, use five sheng to cook the two ingredients with reed firewood. Cook slowly until reduced to one and a half sheng, remove the dregs, and drink a small amount of the juice at a time.
Setaria Italica Seed is sweet and slightly cold. The *Nei Jing* states that pungent flavors disperse it and sweet flavors moderate it. The *Nan Jing* states that when the Yang Qiao vessel is diseased, the Yang side is flaccid and the Yin side is tight, with excess Yang. Sweet flavors are used to moderate it. Flowing water is chosen for its moving and non-stagnant nature; reed firewood is chosen for its hollow and non-obstructive nature. This corresponds to the classic saying of resolving blockages and unblocking the meridians.
Treating gastric reversal and vomiting:
Pinellia Tuber (two sheng), Ginseng Radix (three liang), White Honey (one sheng).
Take the above three ingredients, mix with twelve dou of water and honey, splash two hundred and forty times, decoct to obtain two and a half sheng. Take one sheng warm, and divide the remainder into two doses.
Those who vomit should naturally feel thirsty; if they feel thirsty, it indicates the condition is about to resolve. Now that they do not feel thirsty, it is because there is retained fluid (Zhi Yin) in the heart region. This formula governs this condition.
Pinellia Tuber (one sheng), Fresh Ginger (half jin).
Take the above two ingredients, decoct with seven sheng of water to obtain one and a half sheng. Divide into two warm doses. In the *Huoren Shu*, it is called Banxia Shengjiang Tang, treating severe vomiting approaching exhaustion.
Pinellia Tuber, Cinnamon Twig, and Licorice Root in equal parts, used to treat Shaoyin disease with sore throat.