生石膏每剂用二三两,黄芩每剂用五六钱,此二味终不可
少,不怕寒凉过度。手足指尖不到,勿论回者误降者,须更用笋鞭芽十个,荷鼻五个,可同煎服。脾病困倦,
昏沉多卧,口乃脾窍,故口燥唇干不食,是亦胃火不清之故,肺病则嗽,一切鼻
煤、鼻煽、鼻干、鼻疮、呕吐,皆胃火也。至若眼红涩是肝病,须伐木清金,兼去风胆病,多烦而不眠,重
用石膏,即四五两一帖亦不妨。若喘息,生芩作主,石膏次之。力子桑皮葶兜铃,知
桔苏麻与条芩,天冬杏贝生石膏,引加芦根与茅根。
猪泻车前栀木通,滑石芩柏石地冬,
石苇一金麦葶苈,通草顺引膀胱中。
大黄复花翘桔梗,枳荷力子连条芩,
银花槐栀栝蒌杏,荆芥升麻与苦参。
凉大肠利小便,盖小便愈长则大便愈结,然亦不可强止。《经》云∶毒以利泄,若利止则不能出而腹痛也。
干桔升荷枳木通,石蒲芩连胡天冬,
知母豆根苓槐骨,滑石人中柏杏仁。
《经》曰∶胃火抑郁,肺火上冲而为逆重,用生石膏、生黄芩。次之又方∶
柴前蝉桔曲二冬,茯苓石膏芩蒌仁。
甘桔复花前玄参,射干荆防枳豆根,
冬花芩薄生大黄,蒌仁木通与苦参。
生石膏每剂用量二三两,黄芩每剂用量五六钱,这两味药始终不可省略,不必担心寒凉过度。如果手足指尖发冷(阳气不能达于四末),无论属于阳气回复过程中的误判还是邪气下降导致的逆证,都必须加用笋鞭芽十个、荷鼻五个,可以一同煎煮服用。脾病会导致困倦、昏沉嗜睡;口是脾的外窍,所以口燥、唇干、不进食,这也是胃火不清的缘故;肺病则引起咳嗽;一切鼻煤(鼻孔黑垢)、鼻煽(呼吸时鼻孔张缩)、鼻干、鼻疮、呕吐,都是胃火所致。至于眼睛红涩,这是肝病,需要采用伐木清金(清肝泻肺)的方法,兼去风胆病多烦躁且失眠,重用石膏,即使一帖用四五两也无妨。如果出现喘息,以生黄芩为主药,石膏为辅药。还有桑白皮、葶苈子、知母、桔梗、苏子、麻黄与条芩,天冬、杏仁、贝母与生石膏,可加芦根与茅根作为引经药。
猪苓、车前子、栀子、木通、滑石、黄芩、黄柏、地黄、天冬,石韦、金钱草、麦冬、葶苈子,通草引导药力进入膀胱。
大黄、红花、连翘、桔梗、枳实、荷叶、大力子(牛蒡子)、黄连、条芩,金银花、槐花、栀子、瓜蒌、杏仁,荆芥、升麻与苦参。凉大肠并利小便,因为小便通畅则大便趋于干燥结硬,但也不宜强行止泻。《内经》说:毒邪通过利便排出,如果腹泻停止,毒邪就不能排出而导致腹痛。干姜、桔梗、升麻、荷叶、枳实、木通,石菖蒲、黄芩、黄连、胡黄连、天冬,知母、豆根(地骨皮或银柴胡,此处指清热药)、茯苓、槐花、龙骨、滑石、人中白、黄柏、杏仁。
《内经》说:胃火郁结,肺火上冲导致病情加重,使用生石膏、生黄芩。其次的方剂:柴胡、前胡、蝉蜕、桔梗、神曲、天冬、麦冬,茯苓、石膏、黄芩、瓜蒌仁。
甘草、桔梗、红花、车前子、玄参,射干、荆芥、防风、枳实、豆根,冬花(款冬花)、黄芩、薄荷、生大黄,瓜蒌仁、木通与苦参。
石菖蒲、桔梗、大力子、天冬,黄芩、花粉(天花粉)、甘草、木通,通草、薄荷、玄参入药,前胡、麻黄、贝母、槐花、知母同用。
大力子(牛蒡子)、兜铃(马兜铃/紫苏子混称,此处结合上下文多为降气化痰药,疑为紫苏子或马兜铃,依古籍习惯常指代特定降气药,此处保留原意或译为Semen Arctii及Fructus Aristolochiae等,但根据后文“三冬”及“二母”,此处更可能指代一组药物,暂按原文提取实体,翻译时意译为相关药材),以及三种冬天生长的药材(天冬、麦冬、百部或类似),骨碎补、葶苈子、知母、贝母同用,瓜蒌仁、黄芩、枳实、石膏,苏子、百部与橘红。
Sheng Shigao (Raw Gypsum Fibrosum) is used in doses of two to three taels per prescription, and Huangqin (Scutellariae Radix) in doses of five to six qian per prescription. These two herbs are indispensable; one need not fear excessive coldness. If the fingertips of the hands and feet are cold (Yang qi failing to reach the extremities), regardless of whether it is a misjudgment during the recovery phase or a reversal syndrome due to pathogen descent, ten Sunbianya (Bamboo Shoot Tip) and five Henabi (Lotus Nasal Part) must be added and decocted together for administration. Spleen disease causes fatigue, lethargy, and excessive sleepiness. The mouth is the external orifice of the spleen; therefore, dry mouth, dry lips, and anorexia are also caused by unclear Stomach fire. Lung disease causes coughing. Conditions such as black soot in the nostrils, flaring of the nostrils during breathing, dry nostrils, nasal ulcers, and vomiting are all attributed to Stomach fire. Redness and grittiness of the eyes indicate Liver disease, requiring the method of subduing Wood and clearing Metal (clearing Liver and purging Lung) along with dispelling wind. Gallbladder disease often presents with irritability and insomnia; heavy use of Shigao (Gypsum Fibrosum), even four to five taels per dose, is acceptable. If wheezing occurs, Sheng Huangqin (Raw Scutellariae Radix) serves as the principal herb, with Shigao (Gypsum Fibrosum) as the secondary herb. Other combinations include Sangbaipi (Mori Cortex), Tinglizi (Semen Lepidii), Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Suzi (Perillae Fructus), Mahuang (Ephedrae Herba), and Tiaohuangqin (Scutellariae Radix); Tiandong (Asparagi Radix), Xingren (Armeniacae Semen Amarum), Beimu (Fritillariae Bulbus), and Sheng Shigao (Raw Gypsum Fibrosum); Lu Gen (Phragmitis Rhizoma) and Mao Gen (Imperatae Rhizoma) can be added as guiding herbs.
Zhuling (Polyporus), Cheqianzi (Plantaginis Semen), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Huashi (Talcum), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Dihuang (Rehmanniae Radix), and Tiandong (Asparagi Radix); Shiwei (Pyrosiae Folium), Jin Qiancao (Lysimachiae Herba), Maidong (Ophiopogonis Radix), and Tinglizi (Semen Lepidii); Tongcao (Tetrapanacis Medulla) guides the therapeutic effect into the Bladder.
Dahuang (Rhei Radix et Rhizoma), Honghua (Carthami Flos), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix), Zhishi (Aurantii Fructus Immaturus), He Ye (Nelumbinis Folium), Dali Zi (Arctii Fructus), Lianhuang (Coptidis Rhizoma), and Tiaohuangqin (Scutellariae Radix); Yinhua (Lonicerae Japonicae Flos), Huai Hua (Sophorae Flos), Zhizi (Gardeniae Fructus), Gualou (Trichosanthis Fructus), Xingren (Armeniacae Semen Amarum), Jingjie (Schizonepetae Herba), Shengma (Cimicifugae Rhizoma), and Kushen (Sophorae Flavescentis Radix). Cooling the Large Intestine and promoting urination: since clear urination leads to firmer stools, one should not forcibly stop diarrhea. As stated in the *Classic*: "Toxins are discharged through purgation; if purgation stops, toxins cannot exit, leading to abdominal pain." Ganjiang (Zingiberis Rhizoma), Jiegeng (Platycodonis Radix), Shengma (Cimicifugae Rhizoma), He Ye (Nelumbinis Folium), Zhishi (Aurantii Fructus Immaturus), Mutong (Akebiae Caulis); Shipu (Acori Tatarinowii Rhizoma), Huangqin (Scutellariae Radix), Lianhuang (Coptidis Rhizoma), Huhuanglian (Isodontiae Radix), Tiandong (Asparagi Radix); Zhimu (Anemarrhenae Rhizoma), Dougen (Bupleuri Radix or similar heat-clearing root), Ling (Poria), Huai Hua (Sophorae Flos), Gu (Dragon Bone/Ostreae Concha), Huashi (Talcum), Renzhongbai (Urinae Humanus Depuratus), Huangbai (Phellodendri Cortex), and Xingren (Armeniacae Semen Amarum).
The *Classic* states: "Stomach fire stagnates, and Lung fire rushes upward causing severe reversal; use Sheng Shigao (Raw Gypsum Fibrosum) and Sheng Huangqin (Raw Scutellariae Radix)." Another subsequent formula: Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Chan Tui (Cicadae Periostracum), Jiegeng (Platycodonis Radix), Shenqu (Massa Medicata Fermentata), Tiandong (Asparagi Radix), and Maidong (Ophiopogonis Radix); Fuling (Poria), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), and Gualou Ren (Trichosanthis Semen).
Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Honghua (Carthami Flos), Cheqianzi (Plantaginis Semen), Xuanshen (Scrophulariae Radix); Shegan (Belamcandae Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus), Dougen (Root of Soybean or similar); Donghua (Adenophorae Radix or Kuan Dong Hua), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Sheng Dahuang (Raw Rhei Radix et Rhizoma), Gualou Ren (Trichosanthis Semen), Mutong (Akebiae Caulis), and Kushen (Sophorae Flavescentis Radix).
Shipu (Acori Tatarinowii Rhizoma), Jiegeng (Platycodonis Radix), Dali Zi (Arctii Fructus), Tiandong (Asparagi Radix); Huangqin (Scutellariae Radix), Huafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis); Tongcao (Tetrapanacis Medulla), Bohe (Menthae Haplocalycis Herba), Xuanshen (Scrophulariae Radix); Qianhu (Peucedani Radix), Mahuang (Ephedrae Herba), Beimu (Fritillariae Bulbus), Huai Hua (Sophorae Flos), and Zhimu (Anemarrhenae Rhizoma) are used together.
Dali Zi (Arctii Fructus), Doulng (Aristolochiae Fructus or Perillae Fructus contextually), and San Dong (Three Winter Herbs, likely Tiandong, Maidong, etc.); Gugu (Guigu Pi/Bark or similar), Tinglizi (Semen Lepidii), Er Mu (Zhimu and Beimu) are used together; Gualou Ren (Trichosanthis Semen), Huangqin (Scutellariae Radix), Zhishi (Aurantii Fructus Immaturus), Shigao (Gypsum Fibrosum); Suzi (Perillae Fructus), Baibu (Stemonae Radix), and Juhong (Citri Reticulatae Pericarpium Rubrum).