桃仁三两 桂心三两 柏子仁三两 山萸肉三两 茯苓三两 甘草一两二钱 细辛八钱
防
上 咀,水九升,煮五升,去滓,分三服。
《举痛论》厥痛计一十三条,只有二条为热,余皆为寒。其寒热厥气犯胃而痛,惟肝藏
为最
以辛
曰∶
肝邪
胃,
导之
茅山苍术(生用) 川黄柏(炒焦)
上为末,捣生姜煎沸汤调服。即《集要方》二神汤各钱五分,水煎,空心服。
二妙散,偶方之小制也。苍术生用入阳明经,能发二阳之汗,黄柏炒黑入太阴经,能除
至阴
人参三钱 紫衣胡桃肉一两(连皮鬲)
上为末,每服三钱,水一盏,煎八分,食远服。
《日华子本草》云∶食酸齿 ,细嚼胡桃即解。病有多食梅子,敛痰饮于膈,酸寒之性
搏激
散之气
授以此
乌头三钱 附子三钱 虎掌三钱 木香八分
上水二钟,煎一钟,或温服,或冷服。
三生者,一本而用其三,不炮不制,故名。即《肘后方》名三建汤者是也。《大明本草》
云
力
泄
直上直下,为斩关夺门之剂。苟非寒痰气厥,昏不知人,证偏于实者,不可轻用。但后人方
中,虎掌皆用南星,以南星亦名虎掌,乃相沿之误,实非南星也。
人参一两 益智仁一两 五花龙骨一两 茯神五钱(去木) 茯苓五钱 远志肉五钱(甘
草制)
上为末,每服二钱,空心温酒调服。水煎服亦可。《良方》加木香二钱五分,麝香一钱。
妙香散,治有梦之遗精,经言手、足少阴之厥,令人妄梦。《良方》加以木香、麝香,
通其神明,使人不梦淫邪泮释,自无精泄之患。其妙在于二香,而荆公之方,无此二味,亦
名妙香,其意何居?抑或传流日久而脱文耳。夫精之藏蓄在肾,统摄在脾,至疏泄之时,则
惟听命于心,故用茯苓、远志通肾以泄邪火,人参、益智固脾以摄真精。茯神安神,朱砂定
气,龙骨秘精,三者皆安镇心经之药,炙甘草调和阴阳,则心有所主而精不摇矣。二香能清
梦寐,
桃仁三两,桂心三两,柏子仁三两,山茱萸肉三两,茯苓三两,甘草一两二钱,细辛八钱。
以上药物切碎,加水九升,煎煮至五升,滤去药渣,分三次服用。
《素问·举痛论》中记载的厥心痛共有十三条,其中只有两条属于热证,其余都属于寒证。那些因寒热厥气侵犯胃部而导致的疼痛,以肝脏受邪最为常见。因为肝属木,胃属土,木能克土,所以肝邪容易侵犯胃,应当用辛味药物来疏导它。
茅山苍术(生用),川黄柏(炒焦)。
以上药物研成粉末,捣碎生姜,用沸水冲调服用。这即是《济生方》中的二神汤,每味药各取五分,加水煎煮,空腹服用。
二妙散,是偶方中的小制方剂。苍术生用入阳明经,能够发汗以解两阳之邪;黄柏炒黑入太阴经,能够清除至阴之处的湿热。
人参三钱,紫衣胡桃肉一两(连皮和隔膜)。
以上药物研成粉末,每次服用三钱,用水一盏,煎煮至八分,饭后服用。
《日华子本草》说:吃酸的东西导致牙齿不适,细细咀嚼核桃即可缓解。有的人多吃梅子,导致痰饮收敛停滞在膈间,这是酸寒之性相互搏结激荡所致,核桃具有发散之气,可以化解这种凝滞。
乌头三钱,附子三钱,虎掌三钱,木香八分。
以上药物加水二钟,煎煮至一钟,可以温服,也可以冷服。
所谓“三生”,是指同一来源的药物使用其三个部分,不经过炮制和加工,所以得名。这就是《肘后备急方》中称为三建汤的方子。《大明本草》说它……力猛,泄……直上直下,是像斩关夺门一样的猛烈药剂。如果不是寒痰气厥、昏迷不醒、证候偏于实证的病人,不可轻易使用。但是后人在方剂中,都用天南星代替虎掌,因为天南星也叫虎掌,这是沿袭下来的错误,实际上并不是天南星。
人参一两,益智仁一两,五花龙骨一两,茯神五钱(去掉木质部),茯苓五钱,远志肉五钱(用甘草炮制)。
以上药物研成粉末,每次服用二钱,空腹时用温酒调服。用水煎服也可以。《良方》中加入木香二钱五分,麝香一钱。
妙香散,治疗有梦遗精。经文说手少阴心和足少阴肾的厥逆,会导致人做妄梦。《良方》加入木香和麝香,是为了通利神明,使人不做淫邪之梦,从而自然没有精液外泄的祸患。它的妙处在于这两味香药,而王荆公的方子中没有这两味药,也叫做妙香散,其中的用意何在?或者是流传日久出现了文字脱漏吧。精气的藏蓄在肾,统摄在脾,到了疏泄的时候,则只听命于心,所以用茯苓、远志通利肾气以泻邪火,用人参、益智仁固护脾气以摄持真精。茯神安神,朱砂定气,龙骨秘精,这三者都是安镇心经的药物,炙甘草调和阴阳,这样心有所主而精气就不会摇动。两味香药能清静梦寐,……
Peach Kernel (Tao Ren) 3 liang, Cinnamon Heart (Gui Xin) 3 liang, Biota Seed (Bai Zi Ren) 3 liang, Cornus Fruit (Shan Yu Rou) 3 liang, Poria (Fu Ling) 3 liang, Licorice Root (Gan Cao) 1 liang 2 qian, Asarum (Xi Xin) 8 qian.
The above herbs are chopped, boiled in 9 sheng of water until reduced to 5 sheng, the dregs are removed, and the decoction is divided into three doses for administration.
In the *Jutong Lun* chapter of the *Suwen*, there are thirteen types of Jue pain (pain due to rebellious Qi), only two of which are heat patterns, while the rest are cold patterns. Among those pains caused by cold-heat Jue Qi invading the Stomach, the Liver organ is most frequently involved. Since the Liver belongs to Wood and the Stomach to Earth, Wood overacts on Earth; thus, Liver pathogenic factors easily invade the Stomach, and acrid-flavor herbs should be used to guide and disperse them.
Maoshan Atractylodes Rhizome (Cang Zhu) (used raw), Chuan Banxia Phellodendron Bark (Huang Bo) (stir-fried until charred).
The above herbs are ground into powder. Fresh ginger is crushed, and the powder is taken with boiling water. This corresponds to the Er Shen Tang (Two Divine Decoction) from the *Jisheng Fang*, using 5 qian of each herb, decocted in water and taken on an empty stomach.
Er Miao San (Two Marvels Powder) is a small formulation within the category of Ou Fang (even-numbered formulas). Raw Cang Zhu enters the Yangming Meridian and can induce sweating to resolve the pathogens of the Two Yangs; stir-fried Huang Bo enters the Taiyin Meridian and can clear damp-heat from the extreme Yin.
Ginseng Root (Ren Shen) 3 qian, Purple-skin Walnut Meat (Hu Tao Rou) 1 liang (including skin and septum).
The above herbs are ground into powder. Each dose consists of 3 qian, decocted in one zhan of water until reduced to 8 fen, and taken after meals.
*Ri Hua Zi Bencao* states: "If eating sour foods causes tooth discomfort, chewing walnuts thoroughly will relieve it." Some people eat too many plums, causing phlegm-fluids to condense in the diaphragm due to the astringent-cold nature clashing and agitating. The dispersing Qi of walnuts can resolve this stagnation.
Aconite Root (Wu Tou) 3 qian, Prepared Aconite Child Root (Fu Zi) 3 qian, Tiger Palm (Hu Zhang) 3 qian, Costus Root (Mu Xiang) 8 fen.
Add 2 zhong of water, decoct to 1 zhong. It may be taken warm or cold.
"San Sheng" (Three Raw) refers to using three parts from the same source without processing or preparation, hence the name. This is the formula known as San Jian Tang (Three Establishments Decoction) in the *Zhouhou Beiji Fang*. *Da Ming Bencao* states that its power... is forceful, draining... moving straight up and down, acting like a battering ram breaking through gates. It should not be used lightly unless the patient suffers from cold-phlegm and Qi Jue, unconsciousness, and a pattern leaning towards excess. However, later practitioners substituted Arisaema Cum Bile (Nan Xing) for Hu Zhang because Nan Xing is also called Hu Zhang; this is a long-standing error, as they are not the same substance.
Ginseng Root (Ren Shen) 1 liang, Alpinia Oxyphylla Fruit (Yi Zhi Ren) 1 liang, Five-flower Dragon Bone (Wu Hua Long Gu) 1 liang, Fuling Spirit (Fu Shen) 5 qian (woody core removed), Poria (Fu Ling) 5 qian, Polygala Root (Yuan Zhi Rou) 5 qian (prepared with Licorice).
The above herbs are ground into powder. Each dose is 2 qian, taken on an empty stomach mixed with warm wine. Decocting in water is also acceptable. The *Liang Fang* adds Costus Root (Mu Xiang) 2.5 qian and Musk (She Xiang) 1 qian.
Miao Xiang San (Wonderful Fragrance Powder) treats nocturnal emission with dreams. The classics state that Jue of the Hand-Shaoyin (Heart) and Foot-Shaoyin (Kidney) meridians causes delirious dreaming. The *Liang Fang* adds Mu Xiang and She Xiang to unblock the Shen (Spirit), preventing dreams of lewdness, thereby avoiding the loss of essence. Its efficacy lies in these two fragrant herbs. Wang Jinggong's formula lacks these two ingredients yet is still named Miao Xiang San; what is the rationale? Or perhaps textual omission occurred during transmission. Essence is stored in the Kidney, controlled by the Spleen, but during the time of discharge, it obeys the Heart. Therefore, Fu Ling and Yuan Zhi are used to unblock the Kidney and drain pathogenic fire; Ren Shen and Yi Zhi Ren are used to secure the Spleen and retain true essence. Fu Shen calms the spirit, Cinnabar (Zhu Sha) stabilizes Qi, and Dragon Bone (Long Gu) secures essence; these three are herbs that calm and anchor the Heart Meridian. Roasted Licorice (Zhi Gan Cao) harmonizes Yin and Yang, so that the Heart has mastery and essence does not fluctuate. The two fragrant herbs can purify dream states...