汤下三四十丸,常服于申未间,温酒下。
半夏有利性,而猪苓导水,盖肾闭,导气使通之意也。
四七汤(见气。) 白丸子(中风。)
威喜丸(《和剂》) 治丈夫元阳虚惫,精气不固,余沥常流,小便浊,梦寐频泄。及妇
人血海久冷,白带、白漏、白淫,下部常湿,小便如米泔,或无子息。
黄蜡(四两) 白茯苓(去皮,四两,作块,用猪苓二钱半,同于瓷器内煮二十余沸,出,日干,不用猪苓)
上以茯苓为末,熔黄蜡搜为丸,如弹子大。空心细嚼,满口生津,徐徐咽服,以小
便清为度。忌米醋,尤忌使性气,只吃糠醋。
厘清饮(白浊。)
三仙丸 治梦泄。
益智仁(二两,用盐二两炒,去盐) 乌药(一两半,炒) 山药(一两,为末打糊)
上为细末,用山药末煮糊和丸,如梧桐子大。每服五十丸,用朱砂末为衣,空心临
卧以盐汤送下。凡病精泄不禁,自汗头眩虚极,或寒或热,用补涩之药不效,其脉浮软
而散,盖非虚也,亦非房室过度,此无他,因有所睹,心有所慕,意有所乐,欲想方兴,
不遂所欲,而致斯疾。既以药补,且固不效,将何治之?缘心有爱则神不归,意有想则志
不宁。当先和荣卫,荣卫和则心安;次调其脾,脾气和则志舍定。心肾交媾,精神内守,
其病自愈。其法用人参三钱,当归一钱,洗焙为末,作三服,糯米饮调服,服毕自汗止
而寒热退。头眩未除,川芎三钱,人参一钱,焙为末,作三服,沸汤调服。头眩遂瘥,精
不禁者,用白芍药半两,丁香三钱,木香三钱,锉散,每服用生姜五片,枣二枚,以水
同煎,空心服。即心安神定,精固神悦。
紫雪(见发热。) 沉香和中丸(即滚痰丸,见痰饮。) 导赤散(见发热。) 温胆汤(见惊。) 神芎
丸(头痛。) 倒仓法(积聚。) 二陈汤(痰饮。)
乌金散 疗虚梦泄,遗精不禁。
上用九肋鳖甲,不以多少,去裙 ,净洗过,烧灰存性,研为细末,每服一字,用
清酒小半盏,童便小半盏,陈葱白七八寸,同煎至七分,去葱白和滓,日西时服,须臾得
粘臭汗为度,次日进粟米粥,忌食他物。
治男子梦与鬼交,心神恍惚。
刮鹿角屑三指撮,日二服,酒下。《食疗》同。(本草云∶鹿角屑逐恶气、恶血。)
〔治心〕
定志丸(见惊。) 辰砂妙香散(心痛。) 交感汤(未考。) 灵砂丹(呕吐。)
远志丸(《济生》)
茯神(去木) 白茯苓(去皮) 人参 龙齿(各一两) 远志(去心,姜汁浸) 石菖蒲(各一两)
上为末,蜜丸桐子大,以辰砂为衣。每服七十丸,空心热姜汤下。
茯神汤 治欲心太炽,思想太过,梦泄不禁,夜卧不宁,心悸。
茯神(去皮。一钱半) 远志(去心) 酸枣仁(炒。各一钱二分) 石菖蒲 人参 白茯苓(各一钱)
黄连 生地黄(各八分) 当归(一钱,酒洗) 甘草(四分)
水二盅,莲子七枚,捶碎,煎八分,食前服。
每次用汤剂送服三四十丸,常在申时(下午3-5点)或未时(下午1-3点)之间服用,用温酒送下。
半夏具有通利之性,猪苓能引导水湿下行,这大概是针对肾气闭塞,通过引导气机使其通畅的意思。
威喜丸(出自《太平惠民和剂局方》)。治疗男子元阳虚衰疲惫,精气不固摄,尿后余沥常流,小便浑浊,睡梦中频繁遗精。以及妇女血海长期寒冷,白带、白浊、白淫(非经期阴道流出白色分泌物),下部经常潮湿,小便像米泔水一样,或者导致不孕。
黄蜡(四两)。白茯苓(去皮,四两,切成块,用猪苓二钱半,一同在瓷器内煮沸二十多次,取出,晒干,不再使用猪苓)。
以上将茯苓研为细末,熔化黄蜡调和制成丸药,大小如弹子。空腹细细咀嚼,满口生津液后,慢慢咽下,以小便清澈作为停药标准。忌食米醋,尤其忌讳动怒生气,只可食用糠醋。
三仙丸。治疗梦遗泄精。
益智仁(二两,用盐二两炒制,去掉盐)。乌药(一两半,炒制)。山药(一两,研为细末并打糊)。
以上研为细末,用山药末煮成的糊状物调和制成丸药,大小如梧桐子大。每次服用五十丸,用朱砂细末作为外衣,空腹及睡前用盐汤送下。凡是患有精液滑泄不禁,自汗、头晕、极度虚弱,或忽冷忽热,使用补益固涩的药物无效,其脉象浮软而散,这并非真正的虚证,也不是因为房事过度所致,这没有别的原因,是因为看到了什么,心中有所爱慕,意念有所快乐,欲望刚刚兴起,未能遂愿,从而导致此病。既然用药补益且固涩无效,那该如何治疗呢?原因在于心中有爱则神志不能归位,意念有想则意志不能安宁。应当先调和营卫,营卫调和则心安;其次调理脾胃,脾气调和则志舍安定。心肾相交媾,精神内守,疾病自然痊愈。具体方法:用人参三钱,当归一钱,洗净焙干研为细末,分为三次服用,用糯米饮调服,服完后自汗停止而寒热退去。如果头晕仍未消除,用川芎三钱,人参一钱,焙干研为细末,分为三次服用,用沸水调服。如果头晕随即好转,但精液仍不禁,用白芍药半两,丁香三钱,木香三钱,锉成散剂,每次服用时用生姜五片,大枣二枚,加水同煎,空腹服用。这样就能使心安神定,精液固摄,神气愉悦。
紫雪(参见“发热”证章节)。沉香和中丸(即滚痰丸,参见“痰饮”证章节)。导赤散(参见“发热”证章节)。温胆汤(参见“惊悸”证章节)。神芎丸(参见“头痛”证章节)。倒仓法(参见“积聚”证章节)。二陈汤(参见“痰饮”证章节)。
以上取九肋鳖甲,数量不限,去掉裙边,清洗干净,烧成灰保留药性,研为细末。每次服用一字量,用清酒小半盏,童便小半盏,陈年葱白七八寸长,一同煎至七分,去掉葱白和药渣,在日落时分服用,不久后出粘臭汗为止,第二天喝小米粥,忌食其他食物。
治疗男子梦见与鬼交合,心神恍惚不定。
刮取鹿角屑三指撮的量,每日服用两次,用酒送下。《食疗本草》记载相同。(《本草纲目》说:鹿角屑能驱逐恶气、恶血。)
〔治疗心脏相关病症〕
定志丸(参见“惊悸”证章节)。辰砂妙香散(参见“心痛”证章节)。交感汤(未考证出处)。灵砂丹(参见“呕吐”证章节)。
远志丸(出自《济生方》)。
茯神(去除木质部分)。白茯苓(去皮)。人参。龙齿(各一两)。远志(去除心,用姜汁浸泡)。石菖蒲(各一两)。
以上研为细末,用蜂蜜制成如梧桐子大小的丸药,以辰砂为外衣。每次服用七十丸,空腹用热姜汤送下。
茯神汤。治疗欲念太盛,思虑过多,梦遗不禁,夜间卧不安宁,心悸。
茯神(去皮,一钱半)。远志(去除心)。酸枣仁(炒制,各一钱二分)。石菖蒲。人参。白茯苓(各一钱)。黄连。生地黄(各八分)。当归(一钱,用酒清洗)。甘草(四分)。
用水两盅,莲子七枚,捣碎,煎至八分,饭前服用。
Take 30–40 pills with decoction, usually administered between the Shen (15:00–17:00) and Wei (13:00–15:00) hours, washed down with warm wine.
Banxia (Pinelliae Rhizoma) has a draining property, and Zhuling (Polyporus) guides water downward; this is likely intended to address Kidney Qi obstruction by guiding the Qi mechanism to achieve unobstruction.
Siqi Tang (See "Qi" disorders). Bai Wanzi (See "Wind-Stroke" disorders).
Weixi Wan (from *Taiping Huimin Heji Jufang*). Treats men with deficiency-cold of the Original Yang, insecurity of Essence and Qi, constant post-urination dribbling, turbid urine, and frequent nocturnal emission during dreams. It also treats women with long-standing cold in the Blood Sea, leukorrhea (Baidai), white discharge (Bailou), non-menstrual white vaginal discharge (Baiyin), chronic dampness in the lower jiao, urine resembling rice washings, or infertility.
Huangla (Beeswax, 4 liang). Baifuling (Poria, peeled, 4 liang, cut into blocks, boiled together with 2.5 qian of Zhuling in a porcelain vessel for over twenty boils, then removed and dried; Zhuling is not reused).
Grind the Poria into fine powder, melt the Beeswax, and knead to form pills the size of marbles. Chew slowly on an empty stomach until saliva fills the mouth, then swallow gradually. Discontinue when the urine becomes clear. Avoid rice vinegar, and especially avoid anger; only consume bran vinegar.
Liqing Yin (See "White Turbidity" disorders).
Sanxian Wan. Treats nocturnal emission.
Yizhiren (Bitter Apricot Seed of *Alpinia oxyphylla*, 2 liang, stir-fried with 2 liang of salt, discard salt). Wuyao (Lindera Root, 1.5 liang, stir-fried). Shanyao (Chinese Yam, 1 liang, ground into powder to make paste).
Grind all ingredients into fine powder. Use the Chinese Yam paste to bind and form pills the size of Sophora seeds. Take 50 pills per dose, coated with Cinnabar powder, taken on an empty stomach and before bed with salted water. For cases of involuntary seminal emission, spontaneous sweating, dizziness, extreme deficiency, alternating chills and fever, where tonifying and astringent herbs are ineffective, and the pulse is floating, soft, and scattered, this is not true deficiency, nor caused by excessive sexual activity. The cause lies in visual stimuli, mental attachment, and unfulfilled desires leading to this condition. Since tonification and astringency have failed, how should it be treated? When the Heart has affection, the Spirit does not return; when the Yi (Intellect) has fixation, the Zhi (Will) is unsettled. First, harmonize Ying and Wei; when Ying and Wei are harmonized, the Heart calms. Second, regulate the Spleen; when Spleen Qi is harmonized, the residence of the Will stabilizes. When Heart and Kidney interact and Essence and Spirit remain within, the disease heals spontaneously. Method: Use Renshen (Ginseng Radix et Rhizoma) 3 qian, Danggui (Angelicae Sinensis Radix) 1 qian, wash, dry, and grind into powder. Divide into three doses, taken with glutinous rice drink. After completion, spontaneous sweating stops and chills/fever recede. If dizziness persists, use Chuanxiong (Ligustici Chuanxiong Rhizoma) 3 qian, Renshen 1 qian, dry and grind into powder. Divide into three doses, taken with boiling water. If dizziness resolves but seminal emission continues, use Baishao (Paeoniae Radix Alba) 0.5 liang, Dingxiang (Caryophylli Flos) 3 qian, Muxiang (Aucklandiae Radix) 3 qian, cut into pieces. Each dose is decocted with 5 slices of Shengjiang (Zingiberis Rhizoma Recens) and 2 dates (Dazao) in water, taken on an empty stomach. This will calm the Heart, stabilize the Spirit, secure the Essence, and bring joy to the Spirit.
Zixue (See "Fever" disorders). Chenxiang Hezhong Wan (identical to Tantan Wan, See "Phlegm-Fluids" disorders). Daochi San (See "Fever" disorders). Wendan Tang (See "Palpitations/Fright" disorders). Shenxiong Wan (See "Headache" disorders). Dao Cang Fa (See "Accumulation-Masses" disorders). Erchen Tang (See "Phlegm-Fluids" disorders).
Wujin San. Treats deficiency-induced nocturnal emission and involuntary seminal discharge.
Use the plastron of a nine-rib softshell turtle (*Trionyx sinensis*), quantity as needed. Remove the skirt-like edge, clean thoroughly, burn to ash while preserving its medicinal nature, and grind into fine powder. Take one "yi" (approx. 2-3 grams) per dose. Decoct with half a small cup of clear wine, half a small cup of children's urine, and 7-8 cun of aged scallion white (Congbai). Boil down to 70% volume. Remove scallions and dregs. Administer at dusk. The treatment is complete when sticky, foul-smelling sweat appears shortly after ingestion. On the following day, consume millet porridge and avoid other foods.
Treats men who dream of intercourse with spirits, resulting in mental confusion and fluctuation.
Scrape Lu Jiao Xie (Deer Antler Shavings) equivalent to three finger-pinches. Take twice daily with wine. Same record in *Shiliao*. (*Bencao* states: Deer Antler Shavings expel evil Qi and evil Blood.)
[Treating Heart-related Conditions]
Dingzhi Wan (See "Palpitations/Fright" disorders). Chensha Miaoxiang San (See "Heart Pain" disorders). Jiaogan Tang (Source unverified). Lingsha Dan (See "Vomiting" disorders).
Yuanzhi Wan (from *Jisheng Fang*).
Fushen (Poria with Hostwood, remove wood). Baifuling (Poria, peeled). Renshen (Ginseng Radix et Rhizoma). Longchi (Dragon Bone, each 1 liang). Yuanzhi (Polygalae Radix, remove heart, soak in Ginger Juice). Shichangpu (Acori Tatarinowii Rhizoma, each 1 liang).
Grind into powder, form pills the size of Sophora seeds using honey, coat with Chensha (Cinnabaris). Take 70 pills per dose on an empty stomach with hot Ginger Tea.
Fushen Tang. Treats excessive lust, excessive thinking, involuntary nocturnal emission, restless sleep, and palpitations.
Fushen (Poria with Hostwood, remove skin, 1.5 qian). Yuanzhi (Polygalae Radix, remove heart). Suanzaoren (Ziziphi Spinosae Semen, stir-fried, each 1.2 qian). Shichangpu (Acori Tatarinowii Rhizoma). Renshen (Ginseng Radix et Rhizoma). Baifuling (Poria, each 1 qian). Huanglian (Coptidis Rhizoma). Shengdihuang (Rehmanniae Radix, each 0.8 qian). Danggui (Angelicae Sinensis Radix, 1 qian, washed with wine). Gancao (Licorice Root, 0.4 qian).
Decoct with 2 cups of water and 7 crushed lotus seeds (Lianzi). Reduce to 0.8 cups. Take before meals.