脾脉沉数,下连于尺,为阳结。尺脉沉细虚迟,为阴结。右尺脉浮,为风结。
〔痰气〕二陈汤 见一卷中风。
〔胃实〕小承气汤 见一卷温。
〔热结〕大厘清饮 见四卷泄泻。
〔火盛〕凉膈散 见一卷中风。
〔气痹〕小温中丸 见三卷肿胀。
〔火府〕更衣丸 朱砂(五钱) 芦荟(七钱) 各研,酒和丸。每服一钱二分。
〔厥阴〕龙荟丸 见一卷火。
〔通阳〕玉壶丹 硫黄(八两) 配麻油八两。微火熬,以桑条搅,候溶尽,即倾入水。去油面再溶,
倾入豆腐内煮,糯米粉为丸。
〔通阳〕半硫丸 制半夏 硫黄 等分,蒸饼姜汁和丸。治老人虚秘、冷秘。
〔液燥〕通幽汤 见一卷燥。
〔虚热〕人参固本丸 见一卷中风。
〔囊肿〕三白散 白牵牛(头末,一两) 桑白皮 白术 木通 陈皮(各二钱半) 研末,姜汤下一钱。
〔利溺〕五苓散 见一卷温。
〔胃实〕七宣丸 大黄 木香 槟榔 诃子皮 桃仁 研末,蜜丸。
〔胃虚〕浓朴汤 朴 陈 术 草 枳实 半夏曲 姜 枣
〔热秘〕四顺清凉饮 见一卷火。
〔热秘〕润肠丸 麻仁 羌活 大黄 归尾 桃仁 蜜丸,加防风、皂角,名疏风润肠丸。
〔冷秘〕正气散 见一卷中风。
〔冷秘〕木香顺气散 木香 草蔻 益智 苍术(各三分) 浓朴(四分) 陈皮 青皮 半夏 吴萸
升麻 柴胡(各五分) 茯苓(八分)
〔风秘〕大麻仁丸 麻仁 熟大黄(各三钱) 木香 枳壳 槟榔(各五钱) 蜜丸。
〔气秘〕苏子降气汤 见二卷失音。
〔气秘〕搜风顺气丸 大黄 麻仁 郁李仁 山药 山萸 车前 牛膝 菟丝 防风 独活 槟榔 枳壳
蜜丸。
〔实秘〕麻仁丸 见一卷燥。
〔液虚〕六味丸 见一卷中风。
〔血秘〕润燥汤 见一卷燥。
〔气血〕润麻丸 麻仁 桃仁 生地 当归 枳壳(各一两) 蜜丸。
〔血虚〕益血润肠丸 归 地 荆 枳 麻仁 杏仁 苁蓉 苏子 蜜丸。
〔津少〕苁蓉丸 苁蓉(二两) 沉香(一两) 麻仁汁糊丸,米饮下。
〔津枯〕五仁丸 桃仁 杏仁(各一两) 柏子仁(五钱) 郁李仁 松子仁(各三钱三分) 橘红(四钱)
蜜丸。
〔风秘〕皂角丸 羌 防 杏 枳 陈 芷 桑皮 槟榔 麻仁 牙皂 蜜丸。
〔气血〕八珍丸 见一卷中风。
〔气虚〕补中益气汤 见一卷中风。
〔气秘〕橘杏丸 橘皮 杏仁 等分,蜜丸。
〔气秘〕三仁丸 杏仁 麻仁 枳壳 诃子肉 等分,蜜丸。
〔血秘〕苏麻粥 苏子 麻仁(水浸研汁)和粳米煮粥。
〔血秘〕三仁粥 桃仁 松子仁 郁李仁 捣汁和粳米煮粥。
〔伤寒〕脾约丸 酒蒸大黄 枳实 浓朴 赤芍 麻仁 杏仁 蜜丸。
〔虚寒〕理中丸 见一卷中风。
〔清润〕生脉散 见一卷暑。
〔清降〕导赤散 见一卷温。
〔分利〕四苓散 见一卷暑。
〔宣通〕六一散 见一卷温。
〔阳亢〕化阴煎 二地 牛膝 猪苓 泽泻 黄柏 知母 绿豆 龙胆草 车前 水煎。
〔阴阳〕滋肾丸 见一卷火。
〔气化〕肾气丸 见二卷虚损。
〔喘急〕八味丸 见一卷中风。
〔血结〕牛膝汤 牛膝 桃仁 当归 黄芩 水煎。
〔痰盛〕导痰汤 见一卷中风。
〔火闭〕七正散 车前 赤苓 山栀 木通 胆草 甘草梢 蓄 竹叶 灯心
脾脉呈现沉而数的特征,且向下延伸至尺部,这是阳结。尺脉呈现沉、细、虚、迟的特征,这是阴结。右尺脉呈现浮象,这是风结。
〔痰气阻滞〕使用二陈汤(见第一卷中风章节)。
〔胃实热〕使用小承气汤(见第一卷温病章节)。
〔热结〕使用大厘清饮(见第四卷泄泻章节)。
〔火盛〕使用凉膈散(见第一卷中风章节)。
〔气机痹阻〕使用小温中丸(见第三卷肿胀章节)。
〔火府证〕使用更衣丸:朱砂(五钱)、芦荟(七钱),分别研磨成粉,用酒调和制成丸剂。每次服用一钱二分。
〔厥阴证〕使用龙荟丸(见第一卷火证章节)。
〔通阳〕使用玉壶丹:硫黄(八两)配麻油八两。用微火熬制,用桑条搅拌,待完全溶化后,立即倒入水中。去除表面的油层后再行熔化,倒入豆腐内煮制,最后用糯米粉制成丸剂。
〔通阳〕使用半硫丸:制半夏与硫黄等分,用蒸饼和姜汁调和制成丸剂。治疗老年人虚秘、冷秘。
〔津液干燥〕使用通幽汤(见第一卷燥证章节)。
〔虚热〕使用人参固本丸(见第一卷中风章节)。
〔囊肿〕使用三白散:白牵牛(取头末,一两)、桑白皮、白术、木通、陈皮(各二钱半),研成粉末,用姜汤送服一钱。
〔利溺〕使用五苓散(见第一卷温病章节)。
〔胃实〕使用七宣丸:大黄、木香、槟榔、诃子皮、桃仁,研成粉末,用蜂蜜制成丸剂。
〔胃虚〕使用浓朴汤:厚朴、陈皮、白术、甘草、枳实、半夏曲、生姜、大枣。
〔热秘〕使用四顺清凉饮(见第一卷火证章节)。
〔热秘〕使用润肠丸:麻仁、羌活、大黄、当归尾、桃仁,用蜂蜜制成丸剂;若加入防风、皂角,则名为疏风润肠丸。
〔冷秘〕使用正气散(见第一卷中风章节)。
〔冷秘〕使用木香顺气散:木香、草蔻、益智、苍术(各三分)、厚朴(四分)、陈皮、青皮、半夏、吴茱萸、升麻、柴胡(各五分)、茯苓(八分)。
〔风秘〕使用大麻仁丸:麻仁、熟大黄(各三钱)、木香、枳壳、槟榔(各五钱),用蜂蜜制成丸剂。
〔气秘〕使用苏子降气汤(见第二卷失音章节)。
〔气秘〕使用搜风顺气丸:大黄、麻仁、郁李仁、山药、山茱萸、车前子、牛膝、菟丝子、防风、独活、槟榔、枳壳,用蜂蜜制成丸剂。
〔实秘〕使用麻仁丸(见第一卷燥证章节)。
〔津液虚〕使用六味丸(见第一卷中风章节)。
〔血秘〕使用润燥汤(见第一卷燥证章节)。
〔气血同病〕使用润麻丸:麻仁、桃仁、生地、当归、枳壳(各一两),用蜂蜜制成丸剂。
〔血虚〕使用益血润肠丸:当归、地黄、荆芥、枳壳、麻仁、杏仁、肉苁蓉、苏子,用蜂蜜制成丸剂。
〔津少〕使用苁蓉丸:肉苁蓉(二两)、沉香(一两),用麻仁汁糊制成丸剂,用米饮送服。
〔津枯〕使用五仁丸:桃仁、杏仁(各一两)、柏子仁(五钱)、郁李仁、松子仁(各三钱三分)、橘红(四钱),用蜂蜜制成丸剂。
〔风秘〕使用皂角丸:羌活、防风、杏仁、枳壳、陈皮、白芷、桑白皮、槟榔、麻仁、牙皂,用蜂蜜制成丸剂。
〔气血同病〕使用八珍丸(见第一卷中风章节)。
〔气虚〕使用补中益气汤(见第一卷中风章节)。
〔气秘〕使用橘杏丸:橘皮、杏仁等分,用蜂蜜制成丸剂。
〔气秘〕使用三仁丸:杏仁、麻仁、枳壳、诃子肉等分,用蜂蜜制成丸剂。
〔血秘〕使用苏麻粥:苏子、麻仁(用水浸泡后研磨取汁)与粳米一起煮粥。
〔血秘〕使用三仁粥:桃仁、松子仁、郁李仁,捣碎取汁与粳米一起煮粥。
〔伤寒〕使用脾约丸:酒蒸大黄、枳实、厚朴、赤芍、麻仁、杏仁,用蜂蜜制成丸剂。
〔虚寒〕使用理中丸(见第一卷中风章节)。
〔清润〕使用生脉散(见第一卷暑证章节)。
〔清降〕使用导赤散(见第一卷温病章节)。
〔分利〕使用四苓散(见第一卷暑证章节)。
〔宣通〕使用六一散(见第一卷温病章节)。
〔阳亢〕使用化阴煎:生地、熟地、牛膝、猪苓、泽泻、黄柏、知母、绿豆、龙胆草、车前子,水煎服。
〔阴阳失调〕使用滋肾丸(见第一卷火证章节)。
〔气化不利〕使用肾气丸(见第二卷虚损章节)。
〔喘急〕使用八味丸(见第一卷中风章节)。
〔血结〕使用牛膝汤:牛膝、桃仁、当归、黄芩,水煎服。
〔痰盛〕使用导痰汤(见第一卷中风章节)。
〔火闭〕使用七正散:车前子、赤茯苓、山栀、木通、胆草、甘草梢、蓄、竹叶、灯心草。
If the Spleen pulse is deep and rapid, extending down to the Chi position, it indicates Yang Jie (Yang Constipation). If the Chi pulse is deep, fine, deficient, and slow, it indicates Yin Jie (Yin Constipation). If the Right Chi pulse is floating, it indicates Feng Jie (Wind Constipation).
[Phlegm-Qi Obstruction] Use Er Chen Tang (Two-Aged Decoction) (see Vol. 1, Stroke).
[Stomach Excess Heat] Use Xiao Cheng Qi Tang (Minor Order the Qi Decoction) (see Vol. 1, Warm Disease).
[Heat Accumulation] Use Da Li Qing Yin (Great Clearing Decoction) (see Vol. 4, Diarrhea).
[Excessive Fire] Use Liang Ge San (Cool the Diaphragm Powder) (see Vol. 1, Stroke).
[Qi Bi (Obstruction)] Use Xiao Wen Zhong Wan (Minor Warming the Middle Pill) (see Vol. 3, Swelling).
[Fire Fu Syndrome] Use Geng Yi Wan (Changing Clothes Pill): Cinnabar (Wushi, 5 qian) and Aloe (Luhui, 7 qian), each ground into powder, mixed with wine to form pills. Take 1.2 qian per dose.
[Jueyin Syndrome] Use Long Hui Wan (Dragon Gallbladder Pill) (see Vol. 1, Fire Syndrome).
[Unblocking Yang] Use Yu Hu Dan (Jade Pot Elixir): Sulfur (Huangshi, 8 liang) mixed with 8 liang of sesame oil. Simmer over low heat, stirring with a mulberry twig until fully dissolved, then pour immediately into water. Remove the oil layer from the surface, melt again, pour into tofu, boil, and finally form pills using glutinous rice flour.
[Unblocking Yang] Use Ban Liu Wan (Pinellia-Sulfur Pill): Prepared Pinelliae Rhizoma (Banxia) and Sulfur (Huangshi) in equal parts, mixed with steamed bread dough and ginger juice to form pills. Treats deficiency constipation and cold constipation in the elderly.
[Fluid Dryness] Use Tong You Tang (Penetrating the Dark Decoction) (see Vol. 1, Dryness Syndrome).
[Deficiency Heat] Use Ren Shen Gu Ben Wan (Ginseng Solidifying the Root Pill) (see Vol. 1, Stroke).
[Cyst] Use San Bai San (Three Whites Powder): White Morning Glory Seed (Baiqianniu, head powder, 1 liang), Mulberry Root Bark (Sangbaipi), Atractylodes Macrocephala Rhizome (Baizhu), Akebia Caulis (Mutong), and Tangerine Peel (Chenpi) (each 2.5 qian), ground into powder, taken with ginger decoction, 1 qian per dose.
[Promoting Urination] Use Wu Ling San (Five-Ling Powder) (see Vol. 1, Warm Disease).
[Stomach Excess] Use Qi Xuan Wan (Seven-Opening Pill): Rhubarb (Dahuang), Aucklandia Root (Muxiang), Areca Seed (Binglang), Pericarpium Tetraspidii (Hezipi), and Peach Kernel (Taoren), ground into powder, formed into pills with honey.
[Stomach Deficiency] Use Houpo Tang (Magnolia Bark Decoction): Magnolia Bark (Houpo), Tangerine Peel (Chenpi), Atractylodes Macrocephala Rhizome (Baizhu), Licorice Root (Gancao), Immature Bitter Orange (Zhishi), Fermented Pinellia (Banxiaqu), Ginger (Shengjiang), and Jujube (Dazao).
[Heat Constipation] Use Si Shun Qing Liang Yin (Four-Obedient Cooling Decoction) (see Vol. 1, Fire Syndrome).
[Heat Constipation] Use Run Chang Wan (Moisten Intestines Pill): Cassia Seed (Huomaren), Notopterygium Rhizome (Qianghuo), Rhubarb (Dahuang), Angelica Sinensis Radix Tail (Guiwei), and Peach Kernel (Taoren), formed into pills with honey; if added with Saposhnikovia Root (Fangfeng) and Gleditsia Sinensis Fruit (Zaojiao), it is named Shu Feng Run Chang Wan (Dispel Wind Moisten Intestines Pill).
[Cold Constipation] Use Zheng Qi San (Upright Qi Powder) (see Vol. 1, Stroke).
[Cold Constipation] Use Mu Xiang Shun Qi San (Aucklandia Regulating Qi Powder): Aucklandia Root (Muxiang), Cardamom (Caokou), Alpinia Oxyphylla Fruit (Yizhi), Atractylodes Lancea Rhizome (Cangzhu) (each 3 fen), Magnolia Bark (Houpo) (4 fen), Tangerine Peel (Chenpi), Green Tangerine Peel (Qingpi), Pinellia Ternata Rhizome (Banxia), Evodia Fruit (Wuyu), Cimicifuga Rhizome (Shengma), and Bupleurum Root (Chaihu) (each 5 fen), Poria (Fuling) (8 fen).
[Wind Constipation] Use Da Ma Ren Wan (Large Hemp Seed Pill): Cassia Seed (Huomaren) and Prepared Rhubarb (Shu Dahuang) (each 3 qian), Aucklandia Root (Muxiang), Aurantium Fructus Immaturus (Zhiqiao), and Areca Seed (Binglang) (each 5 qian), formed into pills with honey.
[Qi Constipation] Use Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) (see Vol. 2, Aphonia).
[Qi Constipation] Use Sou Feng Shun Qi Wan (Search Wind Smooth Qi Pill): Rhubarb (Dahuang), Cassia Seed (Huomaren), Prunus Armeniaca Seed (Yuliren), Chinese Yam (Shanyao), Cornus Officinalis Fruit (Shanzhuyu), Plantago Seed (Cheqian), Achyranthes Bidentata Root (Niuxi), Dodder Seed (Tusizi), Saposhnikovia Root (Fangfeng), Notopterygium Rhizome (Duohuo), Areca Seed (Binglang), Aurantium Fructus Immaturus (Zhiqiao), formed into pills with honey.
[Excess Constipation] Use Ma Ren Wan (Hemp Seed Pill) (see Vol. 1, Dryness Syndrome).
[Fluid Deficiency] Use Liu Wei Wan (Six-Ingredient Pill) (see Vol. 1, Stroke).
[Blood Constipation] Use Run Zao Tang (Moisten Dryness Decoction) (see Vol. 1, Dryness Syndrome).
[Qi and Blood Disorder] Use Run Ma Wan (Moisten Hemp Pill): Cassia Seed (Huomaren), Peach Kernel (Taoren), Rehmannia Glutinosa Root (Shengdi), Angelica Sinensis Radix (Danggui), and Aurantium Fructus Immaturus (Zhiqiao) (each 1 liang), formed into pills with honey.
[Blood Deficiency] Use Yi Xue Run Chang Wan (Nourish Blood Moisten Intestines Pill): Angelica Sinensis Radix (Danggui), Rehmannia Glutinosa Root (Dihuang), Schizonepeta Spike (Jingjie), Aurantium Fructus Immaturus (Zhichi), Cassia Seed (Huomaren), Apricot Seed (Xingren), Cistanche Deserticola Stem (Rongrong), Perilla Leaf (Suzi), formed into pills with honey.
[Scant Fluids] Use Rongrong Wan (Cistanche Pill): Cistanche Deserticola Stem (Rongrong) (2 liang), Agarwood (Chenxiang) (1 liang), formed into pills with paste made from Cassia Seed juice, taken with rice drink.
[Withered Fluids] Use Wu Ren Wan (Five Seeds Pill): Peach Kernel (Taoren) and Apricot Seed (Xingren) (each 1 liang), Biota Seed (Baiziren) (5 qian), Prunus Armeniaca Seed (Yuliren) and Pine Nut (Songziren) (each 3.3 qian), Tangerine Peel (Juhong) (4 qian), formed into pills with honey.
[Wind Constipation] Use Zaog Wan (Gleditsia Pill): Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng), Apricot Seed (Xingren), Aurantium Fructus Immaturus (Zhichi), Tangerine Peel (Chenpi), Angelica Dahurica Root (Baizhi), Mulberry Root Bark (Sangpi), Areca Seed (Binglang), Cassia Seed (Huomaren), Gleditsia Sinensis Fruit (Yaog), formed into pills with honey.
[Qi and Blood Disorder] Use Ba Zhen Wan (Eight-Treasure Pill) (see Vol. 1, Stroke).
[Qi Deficiency] Use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (see Vol. 1, Stroke).
[Qi Constipation] Use Ju Xing Wan (Tangerine-Apricot Pill): Tangerine Peel (Jupi) and Apricot Seed (Xingren) in equal parts, formed into pills with honey.
[Qi Constipation] Use San Ren Wan (Three Seeds Pill): Apricot Seed (Xingren), Cassia Seed (Huomaren), Aurantium Fructus Immaturus (Zhiqiao), and Pericarpium Tetraspidii Flesh (Hezirou) in equal parts, formed into pills with honey.
[Blood Constipation] Use Su Ma Zhou (Perilla-Hemp Porridge): Perilla Seed (Suzi) and Cassia Seed (Huomaren) (soaked in water and ground for juice), cooked with Japonica Rice (Jingmi) as porridge.
[Blood Constipation] Use San Ren Zhou (Three Seeds Porridge): Peach Kernel (Taoren), Pine Nut (Songziren), and Prunus Armeniaca Seed (Yuliren), crushed for juice, cooked with Japonica Rice (Jingmi) as porridge.
[Shanghan (Cold Damage)] Use Pi Yue Wan (Spleen Restriction Pill): Wine-steamed Rhubarb (Dahuang), Immature Bitter Orange (Zhishi), Magnolia Bark (Houpo), Red Peony Root (Chishao), Cassia Seed (Huomaren), and Apricot Seed (Xingren), formed into pills with honey.
[Deficiency Cold] Use Li Zhong Wan (Regulate the Middle Pill) (see Vol. 1, Stroke).
[Clearing and Moistening] Use Sheng Mai San (Generate the Pulse Powder) (see Vol. 1, Summerheat Syndrome).
[Clearing and Descending] Use Dao Chi San (Guide Out the Red Powder) (see Vol. 1, Warm Disease).
[Separating and Benefiting] Use Si Ling San (Four-Ling Powder) (see Vol. 1, Summerheat Syndrome).
[Dispersing and Unblocking] Use Liu Yi San (Six-to-One Powder) (see Vol. 1, Warm Disease).
[Yang Hyperactivity] Use Hua Yin Jian (Transform Yin Decoction): Rehmannia Glutinosa Root (Di Huang - implying both Sheng and Shu based on context "Er Di"), Achyranthes Bidentata Root (Niuxiu), Polyporus (Zhuling), Alisma Rhizome (Zexie), Phellodendron Bark (Huangbai), Anemarrhena Rhizome (Zhimu), Mung Bean (Lv dou), Gentiana Scabra Root (Longdancao), Plantago Seed (Cheqian), decocted in water.
[Yin-Yang Imbalance] Use Zi Shen Wan (Nourish Kidney Pill) (see Vol. 1, Fire Syndrome).
[Qi Transformation] Use Shen Qi Wan (Kidney Qi Pill) (see Vol. 2, Deficiency and Damage).
[Asthma and Urgency] Use Ba Wei Wan (Eight-Ingredient Pill) (see Vol. 1, Stroke).
[Blood Stasis] Use Niuxi Tang (Achyranthes Decoction): Achyranthes Bidentata Root (Niuxi), Peach Kernel (Taoren), Angelica Sinensis Radix (Danggui), Scutellaria Baicalensis Root (Huangqin), decocted in water.
[Excessive Phlegm] Use Dao Tan Tang (Guide Out Phlegm Decoction) (see Vol. 1, Stroke).
[Fire Closure] Use Qi Zheng San (Seven Uprights Powder): Plantago Seed (Cheqian), Red Poria (Chiling), Gardenia Fruit (Shanzhi), Akebia Caulis (Mutong), Gentiana Scabra Root (Danc ao), Licorice Root Tip (Gancaoshao), Polygonum Aviculare Herb (Jimiliu), Bamboo Leaf (Zhuye), and Juncus Effusus (Dengxin).