治复气乘冬,足太阳寒气,足少阴肾水之旺。子能令母实,手太阴肺实,反来侮土,火
木受邪。腰背胸膈闭塞,疼痛,善嚏,口中涎,目中泣,鼻中流浊涕不止,或如 肉,不闻
香臭,咳嗽痰沫,上热如火,下寒如冰。头作阵痛,目中流火,视物KT KT ,耳鸣耳
聋,头并口鼻,或恶风寒,喜日阳,夜卧不安,常觉痰塞,膈咽不通,口失味,两胁缩急而
痛,牙齿动摇,不能嚼物,阴汗出,前阴冷,行步欹侧,起居艰难,掌中寒,风痹麻木,
小便数而昼多夜频,而欠,气短喘喝,少气不足以息,卒遗失无度。妇人白带,阴户中大痛
,牵心而痛,黧黑失色;男子控睾牵心腹,阴阴而痛,面如赭色,食少,大小便不调,烦心
霍乱,逆气里急而腹,皮色白,后出余气,腹不能努,或肠鸣,膝下筋急,肩胛大痛,此
皆寒水来复,火土之杂也。
黑附子(炮裹,去皮脐) 干姜(炮,为末,以上各三分) 防风(锉如豆大) 郁李仁(汤浸
去皮尖,另研如泥) 人参(以上各五分) 当归身(酒洗,六分) 半夏(汤泡七次) 升麻(锉,以
上各七分) 甘草(锉) 本(以上各八分) 柴胡(锉如豆大) 羌活(锉如豆大,以上各一钱) 白
葵花(五朵,去心细剪入)
上件药都一服,水五盏,煎至二盏,入∶
橘皮(五分) 草豆蔻仁(面裹烧熟,去皮) 黄 (以上各一钱)
上件入在内,再煎至一盏,再入下项药∶
生地黄(二分酒洗) 黄柏(酒浸) 黄连(酒浸) 枳壳(以上各三分)
以上四味,预一日另用新水浸,又以∶
细辛(二分) 川芎(细末) 蔓荆子(以上各三分)
预一日用新水半大盏,分作二处浸。此三味并黄柏等煎正药作一大盏,不去渣,入
此浸者药,再上火煎至一大盏,去渣,稍热服,空心。又能治啮颊、啮唇、啮舌,舌根
强硬等证,如神。忌肉汤,宜食肉,不助经络中火邪也。大抵肾并膀胱经中有寒,元气不足
者,皆宜服之。
治疗复气(指寒水之气反侮)乘袭冬季,足太阳膀胱经寒气盛,足少阴肾水旺。子脏能令母脏实盛,导致手太阴肺脏实盛,反过来欺侮脾土,致使心火与肝木受邪。症状表现为腰背胸膈闭塞、疼痛,容易打喷嚏,口中流涎,眼中流泪,鼻中流出浑浊鼻涕不止,或者像息肉一样堵塞,嗅觉失灵,咳嗽伴有痰沫,上部发热如火,下部寒冷如冰。头部阵发性疼痛,眼中感觉有火,视物模糊不清,耳鸣耳聋,头及口鼻部位,有的怕风怕冷,喜欢阳光,夜间睡眠不安稳,常觉得痰液阻塞,膈部和咽喉不通畅,口部失去味觉,两胁收缩紧急而疼痛,牙齿松动,不能咀嚼食物,阴部出汗,前阴寒冷,行走时身体倾斜侧歪,起居困难,手掌中发凉,风痹麻木,小便次数多且白天多夜间频,经常打哈欠,气短喘促,气力不足呼吸微弱,突然发生遗尿失禁无节制。妇女白带增多,阴道内剧烈疼痛,牵引心脏疼痛,面色黧黑失色;男子睾丸牵引心腹,隐隐作痛,面色像红土色,饮食减少,大小便不调,心烦意乱霍乱,气逆里急腹部胀满,皮肤颜色苍白,排气后余气未尽,腹部无力努责,或者肠鸣,膝下筋脉拘急,肩胛部剧烈疼痛,这些都是寒水之气来复,火土之气混杂所致。
黑附子(炮制后用布包裹,去皮和脐)三分,干姜(炮制研末)三分,防风(锉成豆粒大小),郁李仁(热水浸泡去皮尖,单独研磨如泥状),人参五分,当归身(酒洗)六分,半夏(热水泡七次),升麻(锉碎),以上各七分,甘草(锉碎),藁本(以上各八分),柴胡(锉成豆粒大小),羌活(锉成豆粒大小,以上各一钱),白葵花(五朵,去心剪细加入)。
以上药物为一服量,用水五盏,煎煮至二盏,加入:
橘皮五分,草豆蔻仁(面粉包裹烧熟,去皮),黄芪一钱。
将上述药物加入锅内,再煎煮至一盏,再加入以下药物:
生地黄(二分,酒洗),黄柏(酒浸),黄连(酒浸),枳壳(以上各三分)。
以上四味药,提前一天另用新水浸泡,另外准备:
细辛二分,川芎(研细末),蔓荆子(以上各三分)。
提前一天用新水半大盏,分成两处浸泡。这三味药以及黄柏等煎煮好的正药合并为一大盏,不去药渣,加入这些预先浸泡的药液,再次上火煎煮至一大盏,去药渣,稍热服用,空腹时服用。此方还能治疗咬颊、咬唇、咬舌,舌根强硬等症状,效果如神。忌食肉汤,宜吃肉,因为肉不助长经络中的火邪。大抵肾经和膀胱经中有寒,元气不足的人,都适宜服用此方。
Treats the recurrence of pathogenic cold-water qi in winter, characterized by excess cold qi in the Foot-Taiyang Bladder channel and hyperactivity of Water in the Foot-Shaoyin Kidney. Following the principle that "the child can cause the mother to become full," the Hand-Taiyin Lung becomes excessive, which in turn insults Earth (Spleen/Stomach), causing Fire (Heart) and Wood (Liver) to suffer from pathogenic factors. Symptoms include obstruction and pain in the lower back, upper back, chest, and diaphragm; frequent sneezing; salivation; tearing from the eyes; continuous flow of turbid nasal discharge or polyp-like blockage leading to loss of smell; cough with frothy sputum; upper body heat like fire and lower body cold like ice; paroxysmal headache; sensation of fire in the eyes; blurred vision; tinnitus and deafness; aversion to wind and cold or preference for sunlight at the head, nose, and mouth; restlessness at night; sensation of phlegm obstruction in the diaphragm and throat; loss of taste; contraction, urgency, and pain in both hypochondria; loose teeth and inability to chew; sweating in the genital area; coldness of the anterior yin; staggering gait and difficulty in daily activities; cold palms; numbness due to wind-bi; frequent urination with polyuria during the day and nocturia; frequent yawning; shortness of breath and panting; insufficient qi and weak respiration; sudden and uncontrollable urinary incontinence. In women: leukorrhea, severe pain in the vagina radiating to the heart, and darkened complexion. In men: testicular pain radiating to the heart and abdomen, dull pain, reddish-brown facial color, poor appetite, irregular bowel movements, irritability, cholera-like symptoms, rebellious qi with abdominal urgency and distension, pale skin, incomplete expulsion of flatus, inability to strain due to abdominal weakness, borborygmus, tendon tension below the knees, severe scapular pain. These are all caused by the recurrence of cold-water qi and the mixture of Fire and Earth qi.
Prepared Aconite Root (Radix Aconiti Lateralis Preparata), wrapped in cloth, peeled and de-navelled, 3 fen; Dried Ginger (Rhizoma Zingiberis Preparatum), prepared and powdered, 3 fen; Saposhnikovia Root (Radix Saposhnikoviae), chopped into bean-sized pieces; Apricot Seed (Semen Pruni Armeniacae), soaked in hot water, peeled and pitted, ground separately into a paste; Ginseng Root (Radix Ginseng), 5 fen; Angelica Sinensis Root (Radix Angelicae Sinensis), wine-washed, 6 fen; Pinellia Tuber (Rhizoma Pinelliae), soaked in hot water seven times; Cimicifuga Rhizome (Rhizoma Cimicifugae), chopped, each 7 fen; Licorice Root (Radix Glycyrrhizae), chopped; Ligusticum Rhizome (Rhizoma Ligustici Chuanxiong), each 8 fen; Bupleurum Root (Radix Bupleuri), chopped into bean-sized pieces; Notopterygium Rhizome (Rhizoma et Radix Notopterygii), chopped into bean-sized pieces, each 1 qian; White Sunflower Head (Capitulum Helianthi Anni), five flowers, center removed and finely cut.
Combine the above herbs as one dose. Add five cups of water and decoct until two cups remain. Then add:
Tangerine Peel (Pericarpium Citri Reticulatae), 5 fen; Cardamom Seed (Fructus Amomi Rotundus), roasted in flour, peeled, 1 qian; Astragalus Root (Radix Astragali), 1 qian.
Add these to the pot and decoct again until one cup remains. Then add the following:
Rehmannia Root (Radix Rehmanniae Recens), 2 fen, wine-washed; Phellodendron Bark (Cortex Phellodendri), wine-soaked; Coptis Rhizome (Rhizoma Coptidis), wine-soaked; Bitter Orange Fruit (Fructus Aurantii), each 3 fen.
These four ingredients should be soaked separately in fresh water for one day in advance. Additionally, prepare:
Asarum Root (Radix Heterotrichii), 2 fen; Szechwan Lovage Rhizome (Rhizoma Chuanxiong), finely powdered; Vitex Fruit (Fructus Viticis Negundo), each 3 fen.
Soak these three ingredients separately in half a large cup of fresh water for one day. Combine the decoction of the main herbs (including Huangbo etc.) to make one large cup. Do not filter the dregs. Add the pre-soaked liquid to the main decoction. Decoct over fire again until one large cup remains. Strain and take warm on an empty stomach. This formula is also effective for treating biting of cheeks, lips, and tongue, and stiffness of the tongue root. Avoid meat broth; eating meat is permissible as it does not aggravate the fire pathogen in the channels. Generally, this formula is suitable for those with cold in the Kidney and Bladder channels and deficiency of Yuan Qi (Original Qi).