紫河车一具(用米泔水浸,超时轻轻摆开,换水洗洁,净白如杨妃色者佳,用竹器盛于
长流
汁入
绢袋
清
水浸
苁
蓉七
净) 生
杜
上法制为末,河车捣为丸,量加炼蜜,每服三钱,侵晨百滚汤送。
大造者,其功之大,有如再造,故名。括苍吴球宗丹溪之旨,创立大造丸,世咸遵之。
第药
潜阴
九,
归、
肺,
量宏
鹿茸一具 鹿角霜(分两同茸) 阳起石五钱 韭菜子一两 淡肉苁蓉一两 五味子五
钱
茯
上为细末,酒煮糊为丸,如梧子大,每服七十丸,空心盐汤送下。
固精丸,治无梦之滑精。夫房劳过度,则精竭阳虚,阳虚则无气以制其精,故寐则阳陷
而精
独用
去淫
行阳
而成
葶苈(隔纸炒) 杏仁(麸炒,去皮尖) 桑根白皮(锉) 猪苓(去黑皮) 泽泻 椒
目以
上各五钱
上捣罗为末,炼蜜为丸,如桐子大,每服二十丸,葱白汤下,病不知,加至三十丸。
《圣济
葶苈丸治涌水。涌或作涌。按《经》义,肺移寒于肾为涌水者,无形之邪移于肺之子也。
按
郁
下
目
之
槟榔(锉) 大黄(锉炒) 枳壳(去瓤,麸炒)各二两 桃仁(去皮尖,麸炒) 大
麻仁(炒)
木香各一两
《圣济方》有青皮(汤浸,去白)一两,蜜丸,每服十丸,温酒下。
槟榔丸,与润肠、通幽二方同义,和剂也。治小肠移热于大肠之 瘕证。夫大肠为传导
之腑
伏
麻仁润下大肠之热,治在腑者,宣而通之,病在下者,因而夺之。河间减去青皮,勿杂肝胆
之药也。
紫河车一具(用米泔水浸泡,时间稍长后轻轻掰开,换水洗净,以洁净洁白如杨贵妃肤色者为佳,用竹器盛装),肉苁蓉七两(洗净)。以上药材按此法制成细末,将紫河车捣烂制成丸剂,适量加入炼蜜,每次服用三钱,清晨用百滚汤送服。
所谓“大造”,意指其功效巨大,犹如再造生命,因此得名。括苍人吴球遵循朱丹溪的宗旨,创立了大造丸,世人皆遵从其法。然而该方药力潜藏于阴分,涵盖归经至肺,药量宏大。
鹿茸一具,鹿角霜(分量与鹿茸相同),阳起石五钱,韭菜子一两,淡肉苁蓉一两,五味子五钱,茯苓(此处原文似有缺漏或排版错误,结合上下文及常见配伍,通常指茯苓,但原文仅见“茯”字,依原文提取实体时需注意,此处翻译暂略具体药名缺失部分,仅译可见部分)……以上药材研为细末,用酒煮糊作为粘合剂制成丸剂,大小如梧桐子,每次服用七十丸,空腹时用盐汤送下。
固精丸,治疗无梦而遗精的症状。房事过度会导致精气枯竭、阳气虚弱,阳气虚弱则没有足够的力量来制约精液,因此在睡眠时阳气下陷而精液外泄。此方独用……去除淫邪……通行阳气……而成。
葶苈子(隔纸炒制),杏仁(麸皮炒制,去皮尖),桑根白皮(锉碎),猪苓(去掉黑色外皮),泽泻,椒目……以上各五钱。以上药材捣碎过筛成细末,用炼蜜制成丸剂,大小如桐树种子,每次服用二十丸,用葱白汤送服,若病未愈,加量至三十丸。
《圣济总录》记载:葶苈丸治疗涌水证。“涌”有时写作“涌”。按照《内经》的义理,肺将寒邪转移给肾称为涌水,这是无形的邪气转移到了肺的子脏(肾)。
槟榔(锉碎),大黄(锉碎并炒制),枳壳(去掉瓤,麸皮炒制)各二两,桃仁(去皮尖,麸皮炒制),火麻仁(炒制),木香各一两。
《圣济总录》中有青皮(热水浸泡,去掉白色内层)一两,制成蜜丸,每次服用十丸,温酒送服。
槟榔丸,与润肠丸、通幽汤两个方剂意义相同,属于调和之剂。治疗小肠的热邪转移到大肠形成的瘕积证。大肠是传导之腑……伏邪……火麻仁润下以清除大肠的热邪,治疗在腑的病证,应当宣散并通导;病位在下焦,应当顺势攻夺。刘河间去掉了青皮,避免混杂肝胆的药物。
Ziheche (Human Placenta) one piece (soak in rice washing water, gently separate after a prolonged period, wash with fresh water until clean and white like the complexion of Yang Fei, preferably; store in a bamboo vessel), Roushouyu (Cistanche Deserticola) seven liang (cleaned). Process the above herbs into fine powder as described. Mash the Ziheche to form pills, add an appropriate amount of refined honey. Take three qian per dose, administered in the early morning with boiling water.
The term "Da Zao" (Great Creation) implies that its efficacy is profound, akin to recreating life, hence the name. Wu Qiu from Kuocang, following the principles of Zhu Danxi, established Da Zao Wan (Great Creation Pill), which has been widely followed by the world. However, the medicinal power of this formula acts deeply within the Yin aspect, targeting the Lung meridian, with a substantial dosage.
Lurong (Deer Antler Velvet) one piece, Lu Jiao Shuang (Deer Horn Frost) (same weight as Lurong), Yangqishi (Leucogynite) five qian, Jiuzi (Leek Seed) one liang, Danshirou Roushouyu (Cistanche Deserticola) one liang, Wuweizi (Schisandra Berry) five qian, Fuling (Poria)... The above are ground into a fine powder, mixed with a paste made by boiling in wine to form pills the size of wutong seeds. Take seventy pills per dose on an empty stomach, washed down with salt water.
Gu Jing Wan (Solidify Essence Pill) treats spontaneous seminal emission without dreams. Excessive sexual activity leads to essence depletion and yang deficiency. When yang is deficient, there is insufficient qi to control the essence, causing it to leak during sleep when yang sinks inward. This formula exclusively uses... to remove pathogenic factors... and promote the movement of yang... to achieve its effect.
Tingli (Descurainia Seed) (stir-fried between papers), Xingren (Apricot Kernel) (stir-fried with bran, skin and tips removed), Sangbaipí (Morus Root Bark) (chopped), Zhuling (Polyporus) (black skin removed), Zexie (Alisma), Jiaomu (Capsicum Fruit) ... each five qian. The above are pounded and sifted into powder, formed into pills with refined honey, sized like tung seeds. Take twenty pills per dose, washed down with scallion white decoction. If the condition does not improve, increase the dose to thirty pills.
*Shengji Zonglu* records: Tingli Wan (Descurainia Pill) treats Yongshui (Surging Water edema). "Yong" is sometimes written as "Yong". According to the *Neijing*, when lung cold transfers to the kidney, it is called Yongshui; this refers to formless pathogenic factors transferring to the child organ of the lung (the kidney).
Binglang (Areca Seed) (chopped), Dahuang (Rhubarb Root) (chopped and stir-fried), Zhike (Aurantii Fructus) (pith removed, stir-fried with bran) each two liang, Taoren (Peach Kernel) (skin and tips removed, stir-fried with bran), Hama Ren (Hemp Seed) (stir-fried), Muxiang (Costus Root) each one liang.
*Shengji Fang* includes Qingpi (Aurantii Fructus Immaturus) (soaked in water, white pith removed) one liang, formed into honey pills. Take ten pills per dose, washed down with warm wine.
Binglang Wan (Areca Seed Pill) shares the same principle as Run Chang Tang (Moisten Intestines Decoction) and Tong You Tang (Open Obstruction Decoction); it is a harmonizing formula. It treats zhang masses caused by heat transferring from the Small Intestine to the Large Intestine. The Large Intestine is the fu-organ of conduction... latent pathogens... Hama Ren moistens and purges to clear heat in the Large Intestine. For diseases in the fu-organs, one should disperse and unblock; for diseases located in the lower jiao, one should exploit the situation to purge. Liu Hejian removed Qingpi to avoid mixing liver and gallbladder herbs.