即平胃合二陈汤加白术藿香治风湿所伤身体重着腰脚酸疼大便溏泄小便或涩或利
治伤寒静而时烦者为脏寒蛔上入其膈故烦得食而呕吐蛔者
乌梅(三百枚) 细辛(六两) 干姜(十两) 当归(四两) 黄连(一斤) 附子
(六两炮去皮)
上十味异捣筛合治之以苦酒浸乌梅一宿去核蒸之五升米下饭熟捣成泥和药令相得内臼中
与蜜
按成无己云肺主气肺欲收急食酸以收之乌梅之酸以收肺气脾欲缓急食甘以缓之人参之甘以缓
脾气寒淫于内以辛润之以苦坚之当归桂椒细辛之辛以润内寒寒淫所胜平以辛热姜附之辛热以
胜寒蛔得甘则动得苦则安黄连黄柏之苦以安蛔
用乌梅肉黄连当归附子炮熟艾(各七钱半)阿胶炒肉豆蔻赤石脂(各一两)甘草(半两)
上
细末不拘时粥饮调下(二钱)治霍乱呕吐
治胸痹缓急者
薏苡仁(十五两) 大附子(十枚炮)
上二味杵为散服方寸匕日三服
用薏苡仁(十分)附子(二分)败酱(五分)杵为末取方寸匕以水二升煎减半顿
痈之为病其身甲错腹皮急按之濡如肿状腹无积聚身无热脉数此为肠内有痈脓服之小便
这就是平胃散合二陈汤,加入白术、藿香,用来治疗风湿邪气所伤导致身体沉重、腰脚酸痛、大便稀溏、小便或涩滞或通利的病证。
治疗伤寒症中安静时偶尔烦躁的,这是因为内脏寒冷,蛔虫上行进入膈部,所以感到烦躁;进食后呕吐并吐出蛔虫的:
乌梅(三百枚) 细辛(六两) 干姜(十两) 当归(四两) 黄连(一斤) 附子
(六两,炮制,去皮)
以上十味药分别捣碎过筛混合均匀,用醋浸泡乌梅一夜,去核后蒸熟,在五升米下蒸煮至饭熟,取出捣成泥状,与药物混合使其均匀,放入臼中,再加入蜂蜜。
按照成无己的说法:肺主气,肺气欲收敛,急需食用酸味药以收敛之,乌梅的酸味可以收敛肺气;脾欲舒缓,急需食用甘味药以缓和之,人参的甘味可以缓和脾气;寒邪淫溢于内,需用辛味药润泽它,用苦味药坚固它,当归、桂枝、花椒、细辛的辛味可以润泽内寒;寒邪强盛,需用辛热药来平抑它,生姜、附子的辛热可以战胜寒邪;蛔虫得甘味则躁动,得苦味则安定,黄连、黄柏的苦味可以安定蛔虫。
用乌梅肉、黄连、当归、附子(炮制熟)、艾叶(各七钱半)、阿胶(炒)、肉豆蔻、赤石脂(各一两)、甘草(半两)
以上药物研成细末,不限时间,用米粥水或饮水调服(二钱),用来治疗霍乱引起的呕吐。
治疗胸痹病发作有时缓解有时紧急的:
薏苡仁(十五两) 大附子(十枚,炮制)
以上两味药捣碎成散剂,每次服用一方寸匕,每日三次。
用薏苡仁(十分)、附子(二分)、败酱草(五分),捣成末,取一方寸匕,用水二升煎煮至减半,一次性服用。
痈肿这类疾病,患者皮肤干枯如鳞甲交错,腹部皮肤紧张,按压时柔软,看似肿胀但腹内无积聚物,身体无发热,脉象数,这是肠内有痈脓,服用此药后小便通畅。
This is Pingwei San (Calm the Stomach Powder) combined with Erchen Tang (Two-Aged Decoction), added with Baizhu (Atractylodis Rhizoma) and Huoxiang (Pogostemonis Herba), used to treat conditions caused by wind-dampness injury, characterized by a heavy sensation in the body, soreness and pain in the waist and legs, loose stools, and urination that is either obstructed or normal.
This is Huoxiang Zhengqi San (Patchouli Powder for Rectifying the Qi) combined with Huanglian Xiangru Yin (Coptis and Elsholtzia Decoction), used to treat summerheat-dampness disorders.
This is Huoxiang Zhengqi San (Patchouli Powder for Rectifying the Qi) combined with Liuhe Tang (Six-Harmonies Decoction), used to treat dysentery.
To treat Taiyang disease (Exterior Syndrome of the Taiyang Channel) where the patient is quiet but occasionally irritable, this is due to cold in the zang organs causing roundworms to ascend into the diaphragm, thus causing irritability; if food intake leads to vomiting and expulsion of roundworms:
Wumei (Mume Fructus) (300 pieces) Xixin (Asari Radix et Rhizoma) (6 liang) Ganjiang (Zingiberis Rhizoma) (10 liang) Danggui (Angelicae Sinensis Radix) (4 liang) Huanglian (Coptidis Rhizoma) (1 jin) Fuzi (Aconiti Lateralis Radix Praeparata)
(6 liang, processed, skin removed)
The above ten ingredients are separately pounded and sifted, then mixed. Soak Wumei (Mume Fructus) in vinegar overnight, remove the pits, steam it, place it under five sheng of rice until the rice is cooked, remove and pound into a paste, mix thoroughly with the other medicines, place in a mortar, and add honey.
According to Cheng Wuji: The Lung governs qi; Lung qi desires to consolidate, so urgently consume sour substances to consolidate it; the sourness of Wumei (Mume Fructus) consolidates Lung qi. The Spleen desires to relax, so urgently consume sweet substances to moderate it; the sweetness of Renshen (Ginseng Radix et Rhizoma) moderates Spleen qi. When cold pathogen overflows within, moisten it with pungent substances and firm it with bitter substances; the pungency of Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Huajiao (Zanthoxyli Pericarpium), and Xixin (Asari Radix et Rhizoma) moistens internal cold. When cold pathogen prevails strongly, level it with pungent-hot substances; the pungent-hot nature of Shengjiang (Zingiberis Rhizoma Recens) and Fuzi (Aconiti Lateralis Radix Praeparata) overcomes cold. Roundworms become active with sweetness and are calmed by bitterness; the bitterness of Huanglian (Coptidis Rhizoma) and Huangbai (Phellodendri Cortex) calms roundworms.
Use Wumei Rou (flesh of Mume Fructus), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Fuzi (Aconiti Lateralis Radix Praeparata, fully processed), Aiye (Artemisiae Argyi Folium) (each 7.5 qian), Ejiao (Colla Corii Asini, stir-fried), Roudoukou (Myristicae Semen), Chishizhi (Halloysit Rubrum) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang).
Pound the above into fine powder. Take 2 qian at any time, mixed with congee water or plain water, to treat vomiting caused by Huoluan (Cholera-like disorder).
To treat Xiongbi (Chest Bi Syndrome) characterized by alternating remission and exacerbation:
Yiyiren (Coicis Semen) (15 liang) Dafuzi (Aconiti Lateralis Radix Praeparata) (10 pieces, processed).
Pound the above two ingredients into a powder. Take one fangcun bi (a measure equivalent to the area of a square inch) per dose, three times daily.
Use Yiyiren (Coicis Semen) (ten parts), Fuzi (Aconiti Lateralis Radix Praeparata) (two parts), Baijiangcao (Patriniae Herba) (five parts). Pound into powder. Take one fangcun bi, decoct in two sheng of water until reduced by half, and take in one dose.
When suffering from Yongzhong (abscesses), the patient's skin is dry and scaly like fish scales, the abdominal wall is tense, but soft upon palpation, appearing swollen yet without accumulation masses inside, the body has no fever, and the pulse is rapid. This indicates intestinal abscess with pus. After taking this medicine, urination will become smooth.
Use Weijing (Ecliptae Herba) (2 sheng), Yiyiren (Coicis Semen) (0.5 sheng), Taoren (Persicae Semen) (50 pieces), Gua ban (Benincasae Semen / Trichosanthis Semen) (0.5 sheng). Use one dou of water. First decoct Weijing (Ecliptae Herba) until five sheng remain, then strain off the dregs.