嘉庆二年，秋七月，望日。余降机于凝碧西轩。因前鹤亭所刊济世良方，未经全备，此
番
择其最善者而加减之，又择其议论之高妙者反复辩论，必求精详。故令鹤等抄写刊刻，传以
济
见
切
王鹤鸣
弟子 柏鹤亭 敬刊
张鹤举
奥妙独辟，表率女仙，居西池之圣地，实参化于九天。蟠桃熟而开宴，玉液成而最鲜。
并非
泥像
（吕岩谨识）
吕祖择，天师论病将愈。饮食难消，胸膈不快，或吐酸，或溏泄，或夜卧不宁，或日间
潮热
方用∶人参一钱 茯苓二钱 白术二钱 甘草五分 陈皮五分 制半夏七分，此六君子
汤
觉胸中少痛，加枳壳五分、山楂十粒；有痰加白芥子一钱；咳嗽加桔梗一钱；下
一钱；腹中痛甚加肉桂五分、白芍一钱；头晕加蔓荆子一钱、川芎一钱；上吐酸
钱、倍加茯苓；饱满加枳壳五分。
昴日星君曰∶看之平淡，用之其妙莫测也。
吕祖选并加减，如遇大吐泻渴满发背痈肿之类，死亡顷刻，若不用大剂去邪去毒之药，
单刀
之。
方用
服则
肉桂
大泻者乃火挟邪势，将膀胱脾中水谷尽驱而出，腹必大痛，手不可按，完谷不化，饮食
下喉
乘
参五钱 黄连三钱 车前子三钱 甘草八分。水煎服，一剂愈。
华真人曰∶此方之奇，全在用大黄以利之也。然用大黄不多用参，有攻无补，致伤真气，
又
议。
大满，此邪壅住上焦而不得散也。方用∶枳壳二钱 栀子二钱 栝蒌一个 天花粉二钱
甘
昴日星君曰∶此方之妙，全在用栝蒌去胸膈之食，消上焦之痰，又佐枳壳、天花消中焦
之胜
散而
发背痈肿前已定方，俱可通观，故不再悉耳。奇谈畅论无不入妙入神，又何能赞一辞。
然大
寒
在夏秋之间，将何以辨之？予辨之热与痛耳，火热者，口必渴，舌必燥，甚则生刺也，舌苔
必黄灰黑色，腹必痛而手不可按也。寒泻口不渴，亦不喜十分饮水，舌苔白滑而燥，腹痛喜
手按是也。方当用补气之药，生其胃气，佐以分消之品。方用∶人参、白术、附子、茯苓、
泽泻、猪苓、肉桂。水煎服。此五苓散加参者也。用时看病之轻重定其分两可也。
葛真人曰∶论妙用人参始能挽回垂绝之地，佐茯苓、白术以去水湿之气，又有附子、肉
桂以
而寒
【背景信息】
书名：《神仙济世良方》 章节：金母娘娘序 / 论病已将愈 / 论大吐泻渴满发背痈肿之类 类别：方剂
【待处理原文】
嘉庆二年，秋七月，望日（农历十五）。我降神于凝碧西轩。因为此前鹤亭刊印的《济世良方》，内容不够完备，这次从中挑选最精妙的方剂进行加减调整，又对其中议论高妙之处反复辩论，力求精确详尽。因此让鹤鸣等人抄写并刊刻，以流传于世救济世人。
奥妙独辟，表率女仙，居西池之圣地，实参化于九天。蟠桃熟而开宴，玉液成而最鲜。
并非泥像
（吕岩谨识）
吕祖（吕洞宾）择，天师论病将愈。饮食难消，胸膈不快，或吐酸水，或大便溏泄，或夜间睡眠不宁，或日间出现潮热。
方用∶人参一钱、茯苓二钱、白术二钱、甘草五分、陈皮五分、制半夏七分，此为六君子汤。
若觉胸中稍痛，加枳壳五分、山楂十粒；有痰加白芥子一钱；咳嗽加桔梗一钱；下利加诃子一钱；腹中疼痛剧烈加肉桂五分、白芍一钱；头晕加蔓荆子一钱、川芎一钱；上吐酸水加吴茱萸一钱、倍加茯苓；饱胀加枳壳五分。
昴日星君曰∶看似平淡，用之其妙不可测度。
吕祖选并加减，如遇大吐泻、口渴、腹胀、发背痈肿等症，死亡只在顷刻之间，若不用大剂量祛邪解毒的药物，难以挽回。
方用∶大黄五钱、人参五钱、黄连三钱、车前子三钱、甘草八分。水煎服，一剂可愈。
华真人曰∶此方之奇，全在于用大黄来通利攻下。然而只用大黄而不多用人参，只有攻伐没有补益，会损伤真气，这是需要商议的。
大满，这是邪气壅滞在上焦而不能发散。方用∶枳壳二钱、栀子二钱、栝蒌一个、天花粉二钱、甘草五分。
昴日星君曰∶此方之妙，全在于用栝蒌去除胸膈间的食积，消除上焦的痰浊，又佐以枳壳、天花粉消散中焦的郁结。
发背痈肿之前已定方，均可通观，故不再详细赘述。奇谈畅论无不入妙入神，又何能赞一词。
然大寒在夏秋之间，将何以辨之？我辨别的是热与痛。火热者，口必渴，舌必燥，甚则生刺也，舌苔必黄灰黑色，腹必痛而手不可按也。寒泻口不渴，亦不喜十分饮水，舌苔白滑而燥，腹痛喜手按是也。方当用补气之药，生其胃气，佐以分消之品。方用∶人参、白术、附子、茯苓、泽泻、猪苓、肉桂。水煎服。此为五苓散加人参。用时看病之轻重定其分两可也。
葛真人曰∶论妙用人参始能挽回垂绝之地，佐茯苓、白术以去水湿之气，又有附子、肉桂以温阳散寒。
[Background Information]
Book: *Shenxian Jishi Liangfang* (Excellent Prescriptions from Immortals to Save the World)
Chapter: Preface by Queen Mother of the West / On Diseases About to Heal / On Severe Vomiting and Diarrhea, Thirst, Fullness, Carbuncles on the Back, etc.
Category: Formulas
[Jiaqing Year 2, Autumn, Seventh Month, Full Moon Day.] I descended in spirit at the Ningbi West Pavilion. Because the previously published *Jishi Liangfang* by Heting was incomplete, this time I selected the most excellent prescriptions and modified them, repeatedly debating the profound discussions within to ensure precision and detail. Therefore, I ordered Heming and others to copy and print them for dissemination to save people.
Wang Heming
Disciple Bo Heting respectfully printed
Zhe Heju
Profound and unique, leading the female immortals, residing in the sacred place of the West Pool, truly participating in transformation from the Nine Heavens. When the peaches of immortality ripen, a banquet is held; when jade nectar is formed, it is the freshest.
Not merely a clay statue.
(Recorded with respect by Lü Yan [Lü Dongbin])
Lü Zu (Lü Dongbin) selects, Heavenly Master discusses diseases about to heal. Difficulty in digesting food, discomfort in the chest and diaphragm, possibly vomiting acid water, loose stools, restless sleep at night, or tidal fever during the day.
Prescription: Ren Shen (Ginseng Radix) 1 qian, Fu Ling (Poria) 2 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Gan Cao (Licorice Root) 5 fen, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, Zhi Ban Xia (Pinelliae Rhizoma Preparatum) 7 fen. This is Liu Jun Zi Tang (Six Gentlemen Decoction).
If feeling slight pain in the chest, add Zhi Ke (Aurantii Fructus) 5 fen, Shan Zha (Crataegi Fructus) 10 grains; if there is phlegm, add Bai Jie Zi (Sinapis Semen) 1 qian; if coughing, add Jie Geng (Platycodonis Radix) 1 qian; if diarrhea, add He Zi (Terminalia Chebulae Fructus) 1 qian; if severe abdominal pain, add Rou Gui (Cinnamomi Cortex) 5 fen, Bai Shao (Paeoniae Radix Alba) 1 qian; if dizziness, add Man Jing Zi (Viticis Fructus) 1 qian, Chuan Xiong (Chuanxiong Rhizoma) 1 qian; if vomiting acid water, add Wu Zhu Yu (Evodiae Fructus) 1 qian, double the amount of Fu Ling; if fullness, add Zhi Ke 5 fen.
Mao Ri Xing Jun (Star Lord of Mao) says: It appears plain, but its efficacy is unfathomable.
Lü Zu selects and modifies. In cases of severe vomiting and diarrhea, thirst, abdominal distension, carbuncles on the back, etc., where death can occur in an instant, without using large doses of drugs to expel pathogens and detoxify, it is difficult to recover.
Prescription: Da Huang (Rhei Radix et Rhizoma) 5 qian, Ren Shen (Ginseng Radix) 5 qian, Huang Lian (Coptidis Rhizoma) 3 qian, Che Qian Zi (Plantaginis Semen) 3 qian, Gan Cao (Licorice Root) 8 fen. Decoct in water and take orally. One dose cures.
Hua Zhen Ren (Immortal Hua) says: The wonder of this prescription lies entirely in using Da Huang to promote purgation. However, using Da Huang without sufficient Ren Shen means only attacking without tonifying, which damages true qi; this requires discussion.
Severe fullness indicates pathogenic factors stagnating in the Upper Jiao (Upper Burner) and unable to disperse.
Prescription: Zhi Ke (Aurantii Fructus) 2 qian, Zhi Zi (Gardeniae Fructus) 2 qian, Gua Lou (Trichosanthis Fructus) 1 whole, Tian Hua Fen (Trichosanthis Radix) 2 qian, Gan Cao (Licorice Root) 5 fen.
Mao Ri Xing Jun says: The妙 (wonder) of this prescription lies in using Gua Lou to remove food retention in the chest and diaphragm, eliminate phlegm in the Upper Jiao, and assist Zhi Ke and Tian Hua Fen to dissipate constraints in the Middle Jiao (Middle Burner).
For carbuncles on the back, prescriptions have already been determined and can be viewed collectively, so they are not detailed here. These extraordinary discussions enter into subtlety and spirit; how could one add a word?
However, regarding great cold occurring between summer and autumn, how to distinguish it? I distinguish by heat and pain. In heat-fire conditions, the mouth must be thirsty, the tongue dry, even prickly; the tongue coating must be yellow, gray, or black; abdominal pain is severe and cannot be pressed upon. In cold diarrhea, there is no thirst, nor a strong desire to drink water; the tongue coating is white, slippery, and dry; abdominal pain is relieved by pressure. The prescription should use Qi-tonifying herbs to generate Stomach Qi, assisted by herbs that separate and transform turbidity.
Prescription: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Rou Gui (Cinnamomi Cortex). Decoct in water and take orally. This is Wu Ling San (Five-Ingredient Powder with Poria) added with Ren Shen. Dosage should be adjusted according to the severity of the disease.
Ge Zhen Ren (Immortal Ge) says: Discussing the wonder, using Ren Shen is essential to rescue a critical condition, assisting Fu Ling and Bai Zhu to remove dampness, and having Fu Zi and Rou Gui to warm yang and dispel cold.