发寒热头痛,即是寒邪犯心。寒气犯心,水火相战,故初病时,先发寒热,水火相犯,血
变于中,所以多下赤痢,如紫草水,如苋菜水,无色泽者,寒邪犯心之重也。先发寒热,
而所下之痢止白色者,寒邪犯心之未动也。先下白痢,而后有赤痢之变者,寒邪犯心,其
势渐加也。先下赤痢,而后变成白痢者,寒邪犯心,其势渐减也。赤白相等者,水火相
犯,其气相等,寒湿之气相搏也。忽有赤多而白少,忽有赤少而白多,此寒邪之势有多
少,毒痢之病有重轻,以白多为轻,赤多为重。治之之法,先夺其寒,则其所下之药一
也。以太岁分之,则丙子、丙午、甲子、甲午、庚子、庚午年,丙寅、丙申年,甲寅、甲
申年,庚寅、庚申并辰戌之年,运遇丙甲及庚运所临,其害尤甚。及丑未之年,宜有此
候,又兼无问太岁,盖天地变化,其候多端,难可穷尽。今此但世人亦不必撞定太岁,但
看一年中春夏之内,多有寒肃之化,阳光少见,忽寒热二气更相交争,忽于夏月多寒湿
之化,寒邪犯心所受之痢,先发寒热,忽头痛,忽先转数行,后有赤痢,忽赤白相杂,忽
止下痢,并宜吃此通神散,吃后取壮热便退。若两三盏后,壮热不退,更不吃此方,自别
有方论在下。
麻黄(去根节) 官桂(去粗皮,各七钱半) 大川芎 白术(各二两) 本 独活 桔梗 防
风芍药 白芷(各半两) 牡丹皮(去心) 甘草(各二钱半) 细辛(三钱三分羡) 牵牛(一钱七分)
上为细末,每服二钱,非时熟汤调下,和滓热吃。若吃两三盏后,寒热不退,更不请
吃,自别有方论在下。
若吃此药后,寒热已退,赤痢已消减,便修合第二方、第三方药吃,取安效。若寒热
已退,赤痢未消减,更服两三盏,然不可多吃,一日只两盏。后赤痢消减,忽变成白痢,
旋次修合第二方吃,候出后度数减少,便修合第三方吃,取平安。但六甲之年,六庚之
岁,春夏之内,时气多寒,人得痢疾,此药通神。若是六甲之年,丑未之岁,湿化偏多,
人得痢疾,先发寒热,即于方内添草豆蔻一两,同修合也。又不问太岁,但一年间,春
夏之内多寒,人有痢疾,先发寒热,并宜此方。
治毒痢初得时,先发寒热,吃前方寒热已退,赤痢已消减,宜进此还真散。若吃前
方药,寒热未退,赤痢未消减,更不宜进此药。但天地变化,其候非常,痢疾证候多端,
此不得不尽其仔细。
诃子(五枚,用面裹火煨熟,不要生,亦不要焦,去面不用,就热咬破诃子,擎去核不用,只用皮,焙干)
上捣罗为细末,每服二钱匕,以米汤一盏半,同药煎取一盏,空心和滓吃,若吐出
一两口涎更佳。如此吃经数盏,大腑渐安,出后减少,修合第三方药吃,以牢固大肠。若
吃前方药,壮热未退,血痢未减,不可进此药。
治疫毒痢吃前面两方药,病势已减,所下之痢,止余些小,或下清粪,或如鸭粪,或
如茶汤,或如烛油,或只余些小红色,宜吃此方,以牢固大肠,还复真气,舶上硫黄丸。
舶上硫黄(二两,去砂石,细研为末) 薏苡仁(二两,炒,杵为末)
上二味相和令匀,滴熟水和为丸,如桐子大。每服五十丸,空心米汤下。
黄 散 治热痢下赤黄脓,腹疼心烦。
黄 (锉) 龙骨 当归(各七钱半) 生干地黄(五钱) 黄连(去须,微炒,一两) 黄柏 黄芩
犀角屑 地榆(各半两)
上为细末,每服二钱,不拘时,粥饮调下。
秘传斗门散 治八种毒痢,脏腑撮痛,脓血赤白,或下瘀血,或成片子,或五色相杂,
日夜频并。兼治禁口恶痢,里急后重,渴不止,全不进食,他药不能治者,立见神效。
黑豆(炒,去皮,十二两) 干姜(炮,四两) 罂粟壳(蜜炒,半斤) 地榆(炒) 甘草(炙。各六两) 白
芍药(三两)
上 咀,每服三钱,水一盏,煎七分,温服。
栝蒌根汤 治下痢冷热相冲,气不和顺,本因下虚,津液耗少,口干咽燥,常思饮水,
毒瓦斯更增,烦躁转甚,宜服此药救之。
栝蒌根 白茯苓 甘草(炙。各半两) 麦门冬(去心,二钱半)
上 咀,每服五钱,水一盏半,枣二枚擘破,煎至七分,去滓服,不拘时。
陈米汤 治吐痢后大渴,饮水不止。
上用陈仓米二合,水淘净,以水二盏,煎至一盏,去滓,空心温服,晚食前再煎服。
治痢后渴
上用糯米二合,以水一盏半同煮,研绞汁,空心顿服之。
泽漆汤 治痢后肿满,气急喘嗽,小便如血。
泽漆叶(微炒,五两) 桑根白皮(炙黄) 郁李仁(汤浸,去皮尖,炒熟。各三两) 陈皮(去白) 白术
(炒) 杏仁(汤浸,去皮尖双仁,炒。各一两) 人参(一两半)
上 咀,每服五钱,水二盏,生姜三片,煎取八分,去滓温服,候半时辰再服。取下
黄水数升,或小便利为度。
茯苓汤 治痢后遍身浮肿。
赤茯苓(去黑皮) 泽漆叶(微炒) 白术(微炒。各一两) 桑根白皮(炙黄) 黄芩 射干 防己
泽泻(各三两)
上 咀,每服五钱匕,先以水三盏,煮大豆一合,取二盏,去滓内药,煎取一盏,分
为二服,未瘥,频服两料。
上二方,须以《济生》肾气丸佐之,后方虚者禁用。
出现恶寒发热、头痛的症状,即是寒邪侵犯心脏。寒气侵犯心脏,导致水火二气相互交战,所以在疾病初期,先出现恶寒发热的症状。水火之气相互冲犯,血液在体内发生变质,因此多排出红色痢疾,颜色像紫草水或苋菜水一样;如果痢疾没有血色,说明是寒邪严重侵犯心脏。如果先出现恶寒发热,而排出的痢疾只有白色,说明寒邪侵犯心脏但尚未扰动血分。如果先排出白色痢疾,后来转变为红色痢疾,说明寒邪侵犯心脏,病势逐渐加重。如果先排出红色痢疾,后来转变为白色痢疾,说明寒邪侵犯心脏,病势逐渐减轻。如果红白痢疾比例相等,说明水火之气相犯,两者力量相当,寒湿之气相互搏结。有时赤多白少,有时赤少白多,这取决于寒邪势力的强弱以及毒痢病的轻重程度,以白多者为轻症,赤多者为重症。治疗的方法,首先要消除寒邪,那么所用的药物就一种。根据天干地支纪年法来划分,丙子、丙午、甲子、甲午、庚子、庚午年,丙寅、丙申年,甲寅、甲申年,庚寅、庚申年以及辰戌之年,遇到丙、甲及庚运所主之时,危害尤其严重。到了丑未之年,也应当出现这种证候。此外,不论太岁如何,因为天地变化,其征候多种多样,难以穷尽。现在世人也不必死板地拘泥于太岁年份,只需看一年中春夏季节内,多有寒冷肃杀的气候变化,阳光少见,忽而寒热二气更替交争,忽而在夏季出现多寒湿的气候变化。对于寒邪侵犯心脏所致的痢疾,先出现恶寒发热,忽而头痛,忽而先腹泻数次,随后出现红色痢疾,忽而赤白相间,忽而只下痢疾,都适宜服用通神散,服药后若出现壮热,随即退去。如果服用两三剂后,壮热仍未退去,就不再服用此方,另有方论在下面。
麻黄(去除根和节)七钱半,官桂(去除粗皮)七钱半,大川芎二两,白术二两,藁本半两,独活半两,桔梗半两,防风半两,芍药半两,白芷半两,牡丹皮(去心)二钱半,甘草二钱半,细辛三钱三分余,牵牛一钱七分。以上药材研成细末,每次服用二钱,不拘时候,用熟汤调服,连同药渣一起趁热喝下。如果服用两三剂后,寒热症状仍未退去,不要再请医生开此方,另有方论在下面。
如果服用此药后,寒热已退,红色痢疾已减少,便配制第二方、第三方的药物服用,以求取效。如果寒热已退,红色痢疾未减少,再服用两三剂,但不要多吃,一天只喝两剂。之后红色痢疾减少,忽然变成白色痢疾,接着配制第二方服用,等到排便次数减少后,再配制第三方服用,以求平安。但在六甲之年、六庚之岁,春夏季节内,时气多寒,人患痢疾,此药“通神”有效。如果是六甲之年、丑未之岁,湿气偏多,人患痢疾,先出现恶寒发热,就在方剂中加入草豆蔻一两,一同配制服用。也不论太岁,只要一年间,春夏季节内多寒,人患痢疾,先出现恶寒发热,都适宜使用此方。
治疗毒痢初起时,先出现恶寒发热,服用前方后寒热已退,红色痢疾已减少,适宜进服此“还真散”。如果服用前方药后,寒热未退,红色痢疾未减少,更不宜进服此药。只是天地变化,其征候无常,痢疾的证候多种多样,这里不得不详尽细致地说明。
诃子五枚,用面粉包裹在火中煨熟,不要生,也不要焦,去掉面粉不用,趁热咬破诃子,取出核不用,只用皮,焙干。以上药材捣碎过筛为细末,每次服用二钱匕,用米汤一盏半,同药煎取一盏,空腹连药渣一起吃,如果能吐出一两口涎沫更佳。这样服用经过数剂,大便逐渐安稳,排便次数减少,再配制第三方药物服用,以巩固大肠功能。如果服用前方药后,壮热未退,血痢未减,不可进服此药。
治疗疫毒痢,服用前面两个方药后,病势已减,所下的痢疾只剩少量,或者排出清稀粪便,或者像鸭粪,或者像茶汤,或者像烛油,或者只剩余少量红色,适宜服用此方,以巩固大肠,恢复真气,即“舶上硫黄丸”。
舶上硫黄二两,去除砂石,研细为末;薏苡仁二两,炒制,杵为末。以上两味药混合均匀,滴入熟水调和制成丸药,如梧桐子大小。每次服用五十丸,空腹时用米汤送下。
黄芩散:治疗热痢下赤黄色脓液,腹痛心烦。
黄芩(锉碎),龙骨,当归(各七钱半),生干地黄(五钱),黄连(去须,微炒,一两),黄柏,黄芩,犀角屑,地榆(各半两)。以上药材研成细末,每次服用二钱,不拘时候,用粥饮调服。
秘传斗门散:治疗八种毒痢,脏腑撮痛,脓血赤白,或者排出瘀血,或者成片状,或者五色混杂,日夜频繁发作。兼治禁口恶痢,里急后重,口渴不止,完全不能进食,其他药物无法治愈者,立见神效。
黑豆(炒,去皮,十二两),干姜(炮制,四两),罂粟壳(蜜炒,半斤),地榆(炒),甘草(炙。各六两),白芍药(三两)。以上药材切碎,每次服用三钱,用水一盏,煎至七分,温服。
栝蒌根汤:治疗下痢冷热相冲,气机不和顺,本因下焦虚损,津液耗少,口干咽燥,常想饮水,毒瓦斯更增,烦躁转甚,适宜服用此药救治。
栝蒌根,白茯苓,甘草(炙。各半两),麦门冬(去心,二钱半)。以上药材切碎,每次服用五钱,用水一盏半,枣二枚掰破,煎至七分,去滓服,不拘时候。
陈米汤:治疗呕吐腹泻后大渴,饮水不止。
以上用陈仓米二合,用水淘净,以水二盏,煎至一盏,去滓,空腹温服,晚食前再煎服一次。
治疗痢后口渴:
以上用糯米二合,以水一盏半同煮,研磨绞汁,空腹顿服。
泽漆汤:治疗痢后肿满,气急喘嗽,小便如血。
泽漆叶(微炒,五两),桑根白皮(炙黄),郁李仁(汤浸,去皮尖,炒熟。各三两),陈皮(去白),白术(炒),杏仁(汤浸,去皮尖双仁,炒。各一两),人参(一两半)。以上药材切碎,每次服用五钱,用水二盏,生姜三片,煎取八分,去滓温服,等候半个时辰再服。以下出黄水数升,或小便利为度。
茯苓汤:治疗痢后遍身浮肿。
赤茯苓(去黑皮),泽漆叶(微炒),白术(微炒。各一两),桑根白皮(炙黄),黄芩,射干,防己,泽泻(各三两)。以上药材切碎,每次服用五钱匕,先以水三盏,煮大豆一合,取二盏,去滓内药,煎取一盏,分为二服,未痊愈,频服两料。
以上两个方剂,必须配合《济生》肾气丸辅助治疗,后方虚者禁用。
If chills, fever, and headache occur, it indicates that cold pathogenic factors are invading the Heart. When cold qi invades the Heart, Water and Fire elements battle each other; thus, at the onset of the disease, chills and fever appear first. The conflict between Water and Fire causes blood to alter within the middle jiao, resulting in dysentery with red discharge resembling water infused with *Arnebiae Radix et Rhizoma* (Zicao) or *Amaranthi Tricoloris Herba* (Xiancai). If the discharge lacks color, it signifies severe invasion of the Heart by cold pathogenic factors. If chills and fever appear first, but the discharged dysentery is purely white, it indicates that the cold pathogenic factor has invaded the Heart but has not yet disturbed the blood. If white dysentery appears first and later transforms into red dysentery, it means the invasion of the Heart by cold pathogenic factors is gradually intensifying. If red dysentery appears first and later transforms into white dysentery, it means the invasion of the Heart by cold pathogenic factors is gradually subsiding. If red and white discharges are equal, it indicates that Water and Fire are conflicting with equal strength, and cold-damp qi is battling. Sometimes there is more red and less white, sometimes less red and more white; this depends on the magnitude of the cold pathogenic force and the severity of the toxic dysentery. White predominance indicates a mild condition, while red predominance indicates a severe condition. The treatment method is to first eliminate the cold; thus, the prescribed medicine remains the same. According to the sexagenary cycle, in Bingzi, Bingwu, Jiazi, Jiawu, Gengzi, Gengwu years, Bingyin, Bingshen years, Jiayin, Jiashen years, Gengyin, Gengshen years, and Chenxu years, when the movement encounters Bing, Jia, and Geng influences, the harm is particularly severe. In Chouwei years, this syndrome should also appear. Furthermore, regardless of the Tai Sui (Grand Duke Jupiter), because heaven and earth undergo changes, the manifestations are diverse and cannot be fully exhausted. Today, people need not rigidly adhere to the Tai Sui year; one only needs to observe if, during spring and summer of a given year, there is much cold and austere transformation with little sunlight, and if cold and heat energies alternatively contend, or if there is much cold-damp transformation in summer. For dysentery caused by cold pathogenic factors invading the Heart, presenting initially with chills and fever, followed by sudden headache, or initial frequent bowel movements followed by red dysentery, or mixed red and white discharge, or pure dysentery, all are suitable for treating with Tongshen San (Miraculous Spirit Powder). After ingestion, if intense heat occurs, it will subsequently subside. If after two or three doses the intense heat does not subside, do not continue this prescription; see the separate formula discussion below.
*Ephedrae Herba* (Mahuang, 麻黄) (remove roots and nodes) 7.5 qian, *Cinnamomi Ramulus* (Guizhi, 官桂) (remove rough bark) 7.5 qian, *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 川芎) 2 liang, *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) 2 liang, *Ligustici Wallichii Rhizoma* (Gaoben, 本) 0.5 liang, *Angelicae Pubescentis Radix* (Duhuo, 独活) 0.5 liang, *Platycodonis Radix* (Jiegeng, 桔梗) 0.5 liang, *Saposhnikoviae Radix* (Fangfeng, 防风) 0.5 liang, *Paeoniae Radix Alba* (Shaoyao, 芍药) 0.5 liang, *Angelicae Dahuricae Radix* (Baizhi, 白芷) 0.5 liang, *Moutan Cortex* (Mudanpi, 牡丹皮) (remove heart) 2.5 qian, *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) 2.5 qian, *Asari Radix et Rhizoma* (Xixin, 细辛) 3.3 qian plus, *Semen Kochiae* (Qianniu, 牵牛) 1.7 qian. Grind the above into fine powder. Take 2 qian per dose, at any time, mixed with boiled water, and drink warm including the dregs. If after two or three doses the chills and fever do not subside, do not request this prescription again; see the separate formula discussion below.
If after taking this medicine the chills and fever have subsided and the red dysentery has decreased, prepare and take the second and third formulas to achieve efficacy. If the chills and fever have subsided but the red dysentery has not decreased, take two or three more doses, but do not consume too much; limit to two doses per day. Later, when the red dysentery decreases and suddenly turns into white dysentery, sequentially prepare and take the second formula. When the frequency of defecation decreases, then prepare and take the third formula to ensure safety. However, in Liujia years and Liugeng years, during spring and summer, the seasonal qi is often cold. When people suffer from dysentery, this "Tongshen" (Miraculous Spirit) medicine is effective. If it is a Liujia year or Chouwei year, where dampness predominates, and people suffer from dysentery starting with chills and fever, add 1 liang of *Cardamomi Fructus Rotundus* (Roudoukou, 草豆蔻) to the formula and prepare together. Regardless of the Tai Sui, as long as during the year, especially in spring and summer, the climate is cold, and people suffer from dysentery starting with chills and fever, this formula is suitable.
When treating toxic dysentery at the onset, presenting initially with chills and fever, and after taking the previous formula the chills and fever have subsided and the red dysentery has decreased, it is appropriate to advance to Zhenhai San (Restore True Powder). If after taking the previous formula the chills and fever have not subsided and the red dysentery has not decreased, do not administer this medicine. Heaven and earth change, and symptoms are unpredictable; dysentery syndromes are manifold, so detailed explanation is necessary here.
*Terminalia chebula* (Hezi, 诃子) 5 fruits, wrapped in flour and roasted in fire until cooked, not raw, not burnt. Remove flour. Bite open while hot, remove seeds, use only the peel, and dry by baking. Grind and sieve into fine powder. Take 2 qian-bi (spoonfuls) per dose. Mix with 1.5 zhan of rice soup, decoct together to obtain 1 zhan. Consume warm with dregs on an empty stomach. Vomiting one or two mouthfuls of saliva is even better. After consuming several doses in this manner, the large intestine will gradually stabilize, and defecation frequency will decrease. Then prepare and take the third formula to consolidate the large intestine. If after taking the previous formula the intense heat has not subsided and bloody dysentery has not decreased, do not administer this medicine.
To treat epidemic toxic dysentery: after taking the previous two formulas, if the disease trend has subsided, and the discharged dysentery is minimal, or resembles clear feces, duck feces, tea soup, candle oil, or leaves only a small amount of red residue, it is appropriate to take this formula to consolidate the large intestine and restore true qi: Bo Shang Liu Huang Wan (Shipborne Sulfur Pill).
*Flumen Sulfur* (Liuhuang, 硫黄) (Bo Shang variety) 2 liang, remove sand and stones, grind finely into powder. *Coicis Semen* (Yiyiren, 薏苡仁) 2 liang, stir-fry, pound into powder. Mix the above two ingredients evenly, add boiled water to form pills the size of *Koelreuteriae Fructus* (Wutongzi, 桐子). Take 50 pills per dose, with rice soup on an empty stomach.
Huang Qin San (Scutellaria Powder): Treats heat dysentery with red-yellow pus discharge, abdominal pain, and restlessness.
*Scutellariae Radix* (Huangqin, 黄芩) (cut), *Os Draconis* (Longgu, 龙骨), *Angelicae Sinensis Radix* (Danggui, 当归) (each 7.5 qian), *Rehmanniae Radix Recens* (Shengdihuang, 生干地黄) (5 qian), *Coptidis Rhizoma* (Huanglian, 黄连) (remove stamens, slightly stir-fry, 1 liang), *Phellodendri Cortex* (Huangbai, 黄柏), *Scutellariae Radix* (Huangqin, 黄芩), *Rhino Cerios Cornu* (Xijiao, 犀角屑), *Sanguisorbae Radix* (Diyu, 地榆) (each 0.5 liang). Grind into fine powder. Take 2 qian per dose, at any time, mixed with gruel drink.
Secretly Transmitted Doumen San: Treats eight types of toxic dysentery, organ cramping pain, pus and blood discharge (red and white), or expulsion of blood clots, membrane-like pieces, or mixed colors, occurring frequently day and night. Also treats anorexic malignant dysentery with tenesmus, unquenchable thirst, inability to eat, and cases refractory to other medicines, showing miraculous effects immediately.
*Sojae Semen Nigrum* (Heidou, 黑豆) (stir-fried, skin removed, 12 liang), *Zingiberis Rhizoma* (Ganjiang, 干姜) (processed, 4 liang), *Papaveris Capsula* (Yingsuke, 罂粟壳) (honey-fried, 0.5 jin), *Sanguisorbae Radix* (Diyu, 地榆) (stir-fried), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) (roasted. Each 6 liang), *Paeoniae Radix Alba* (Baishaoyao, 白芍药) (3 liang). Cut into pieces. Take 3 qian per dose, with 1 zhan of water, decoct to 0.7 zhan, take warm.
Gualou Gen Tang (Trichosanthes Root Decoction): Treats dysentery with conflicting cold and heat, disharmonious qi flow, originally due to lower deficiency and consumption of fluids, causing dry mouth and throat, constant desire to drink, increased toxic vapors, and worsening restlessness. This medicine is suitable for rescue.
*Trichosanthis Radix* (Gualougen, 栝蒌根), *Poria* (Fuling, 白茯苓), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) (roasted. Each 0.5 liang), *Ophiopogonis Tuber* (Maidong, 麦门冬) (remove heart, 2.5 qian). Cut into pieces. Take 5 qian per dose, with 1.5 zhan of water and 2 dates split open, decoct to 0.7 zhan, remove dregs and take, at any time.
Chen Mi Tang (Aged Rice Soup): Treats extreme thirst after vomiting and dysentery, with incessant drinking.
Take 2 he of aged stored rice, wash clean. With 2 zhan of water, decoct to 1 zhan. Remove dregs, take warm on an empty stomach, and decoct again before evening meal.
Treating Thirst after Dysentery:
Take 2 he of glutinous rice, cook with 1.5 zhan of water, grind and squeeze juice. Take in one dose on an empty stomach.
Ze Qi Tang (Euphorbia Lathyris Decoction): Treats swelling and fullness after dysentery, shortness of breath and wheezing cough, urine resembling blood.
*Euphorbiae Lathyridis Folium* (Zeqiye, 泽漆叶) (slightly stir-fried, 5 liang), *Mori Cortex Radicis* (Sangbaipipi, 桑根白皮) (roasted yellow), *Pruni Semen* (Yuliren, 郁李仁) (soaked in water, remove skin and tips, stir-fried. Each 3 liang), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮) (remove white pith), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (stir-fried), *Prunus Armeniaca Seed* (Xingren, 杏仁) (soaked in water, remove skin and tips, stir-fried. Each 1 liang), *Ginseng Radix* (Renshen, 人参) (1.5 liang). Cut into pieces. Take 5 qian per dose, with 2 zhan of water and 3 slices of fresh ginger, decoct to 0.8 zhan. Remove dregs and take warm. Re-administer after half a shichen (one hour). Continue until several sheng of yellow fluid are discharged, or until urination becomes free.
Fuling Tang (Poria Decoction): Treats generalized edema after dysentery.
*Poria Cocos* (Chifuling, 赤茯苓) (remove black skin), *Euphorbiae Lathyridis Folium* (Zeqiye, 泽漆叶) (slightly stir-fried), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (slightly stir-fried. Each 1 liang), *Mori Cortex Radicis* (Sangbaipipi, 桑根白皮) (roasted yellow), *Scutellariae Radix* (Huangqin, 黄芩), *Belamcandae Rhizoma* (Shegan, 射干), *Stephaniae Tetrandrae Radix* (Fangji, 防己), *Alismatis Rhizoma* (Zexie, 泽泻) (each 3 liang). Cut into pieces. Take 5 qian-bi per dose. First, boil 1 he of soybeans in 3 zhan of water to obtain 2 zhan. Remove dregs, add herbs, decoct to 1 zhan. Divide into two doses. If not cured, take two courses frequently.
For the above two formulas, they must be assisted by Shenqi Wan (Kidney Qi Pill) from *Jisheng Fang*. The latter formula is contraindicated for those with deficiency.