泻症多虚亦未尝无实泻也实泻之症腹痛多不可手按完谷不化倾肠而出粪门之边觉火毒烧
焚
里急后重与痢疾正复相似但无鱼冻瘀血而已此乃火势借水横行土随水转翻江破海而来其势难
于止抑投之茶水立时俱下投之米食即速传出仍如故物似乎膀胱不化而脾胃无权大小肠尽行失
令苟不治之得宜三昼夜必然归阴此等之症万中见一原不必细辨然世既有此病之一种吾又何可
置而不论世人用脾约丸亦佳而终非一定不可移易之方吾今特传一方以治此症神验之极方名收
脾
汤先服未有止势再服之无不止者神方也其虚症之泻或脾泻或肠泻或肾泻三症大约可包而治之
法
亦不相远惟是肾经之泻不特不可止水而兼且必须补水以止泻人实难知非补水可以止泻盖水必
得火而后能生补水者又不可不补火也补火者补命门之火也火在水之中徒补火则火且飞扬不能
止泻必于水中补火则火得水而生而水得火而止其中实有至理非漫然好辨也但脾泻肠泻与
肾泻从何以辨其虚实哉脾泻之虚腹喜温而不喜冷冻饮料食能食而不能化面色痿黄手足懒惰此脾泻
之虚症也方用燥脾止流汤方中纯是健脾去湿之品投脾之所好土旺而水自归元也肠虚之泻腹中
时时雷鸣或作水声大便不实小便清长者是此等之病亦要健脾助气为妙而佐之实肠之品则泻可
除而肠之气又旺可以传导水谷也方用补肠至圣丹此方之妙妙在鹿角霜下行而固脱然不佐之人
参健脾之药虽用鹿角霜仍是徒然止脱而终不能生气于绝续之时挽回于狂澜无砥柱之地也肾虚
之泻必于夜半子时或五更前后痛泻三四次五六次不等日间仍然如病患者此是肾泻名为大瘕泻
也倘徒以脾胃药止之断不能愈必须用热药以温其命门为妙方用温肾止泻汤此方虽补肾而仍兼
补脾补肾以生其火补脾以生其土火土之气生寒水之势散自然不止泻而泻自止也
收脾汤
黄连(五钱) 山药(一两) 薏仁(五钱) 车前子(五钱) 茯苓(五钱) 人参(五钱) 肉桂(五
分)水煎好用米糕粉炒熟调服之
燥脾止流汤
人参(五钱) 山药(一两) 芡实(一两) 泽泻(二钱) 吴茱萸(五分) 炒干姜(五分) 茯苓(
五钱)神曲(五分)水煎服
补肠至圣汤
人参(三钱) 茯苓(五钱) 薏仁(一两) 芡实(五钱) 肉桂(一钱) 山药(一两) 鹿角霜末(
五钱)水煎汤调服
温肾止泻汤
白术(三钱) 茯苓(三钱) 熟地(八钱) 附子(二钱) 肉桂(二钱) 车前子(二钱) 北五味(
三钱) 山茱萸(五钱) 山药(一两) 薏仁(五钱) 巴戟天(五钱)水煎服
泄泻病症多属虚证,但也不排除有实证泄泻。实证泄泻的症状是腹部疼痛且拒按(不可用手按压),大便中含有未消化的食物,呈倾泻状排出,肛门周围感觉如火毒烧灼。其里急后重感与痢疾非常相似,只是没有痢疾那样的鱼冻样黏液和瘀血罢了。这是由于火势借水势横行,土随水转,如翻江破海般袭来,其势头难以遏制。此时若饮用茶水,会立即全部排出;若进食米食,也会迅速传出,仍像原来的食物一样。这似乎是因为膀胱气化功能失常,而脾胃失去统摄权,大小肠完全失去了正常的传导命令。如果不进行恰当的治疗,经过三昼夜必然转为阴证(危重证候)。这种病症万中无一,原本不必细细辨别,但世间既然存在这类疾病,我又怎能置之不理?世人使用脾约丸效果也不错,但这终究不是固定不变、不可更改的方剂。我现在特别传授一个方子来治疗此症,疗效神验,方名“收脾汤”。先服用一次,如果止泻趋势不明显,再服用第二次,就没有不止住的,这是神方。至于虚证引起的泄泻,或者是脾虚泄泻,或者是肠虚泄泻,或者是肾虚泄泻,这三种病症的大致治疗方法也相差不远。唯独肾经引起的泄泻,不仅不能单纯止泻,而且必须通过补水来止泻,这一点人们很难理解。并非补水就能直接止泻,因为水必须得到火的温煦才能生化。所谓补水,又不可不补火。补火,就是补命门之火。火存在于水中,如果只补火,火就会飞扬散失,不能止泻;必须在水之中补火,这样火得水而生,水得火而止,其中确实蕴含至理,不是随意胡乱辩说的。但是,脾虚泄泻、肠虚泄泻与肾虚泄泻,如何辨别其虚实呢?脾虚泄泻的特点是腹部喜欢温暖而不喜欢寒冷,饮食能进但不能消化,面色萎黄,手足倦怠无力,这是脾虚泄泻的虚证表现。方剂用“燥脾止流汤”,方中全是健脾祛湿的药物,顺应脾脏的喜好,脾气健旺则水湿自然归元。肠虚泄泻表现为腹中时常发出雷鸣声或水声,大便不成形,小便清长。这类疾病也要以健脾益气为妙,并佐以固涩肠道药物,则泄泻可除,且肠道之气旺盛,可以正常传导水谷。方剂用“补肠至圣丹”。此方的妙处在于鹿角霜下行而固脱,但如果不用人参等健脾药物辅助,虽然用了鹿角霜也是徒劳,只能在绝续之时挽回狂澜于既倒,起到砥柱中流的作用。肾虚泄泻必定在半夜子时或五更前后发生腹痛泄泻,次数不等,三四次或五六次,白天仍然像正常人一样。这是肾泻,名为“大瘕泻”。如果仅仅用调理脾胃的药物来止泻,绝对不能痊愈,必须用热药温补命门才为妙。方剂用“温肾止泻汤”。此方虽补肾,但仍兼补脾,补肾以生火,补脾以生土,火土之气相生,寒水之势自散,自然不需要刻意止泻,泄泻自止。
收脾汤:黄连(五钱)、山药(一两)、薏苡仁(五钱)、车前子(五钱)、茯苓(五钱)、人参(五钱)、肉桂(五分)。水煎好,用米糕粉炒熟调服。
燥脾止流汤:人参(五钱)、山药(一两)、芡实(一两)、泽泻(二钱)、吴茱萸(五分)、炒干姜(五分)、茯苓(五钱)、神曲(五分)。水煎服。
补肠至圣汤:人参(三钱)、茯苓(五钱)、薏苡仁(一两)、芡实(五钱)、肉桂(一钱)、山药(一两)、鹿角霜末(五钱)。水煎汤调服。
温肾止泻汤:白术(三钱)、茯苓(三钱)、熟地黄(八钱)、附子(二钱)、肉桂(二钱)、车前子(二钱)、北五味子(三钱)、山茱萸(五钱)、山药(一两)、薏苡仁(五钱)、巴戟天(五钱)。水煎服。
Diarrhea (Xie Zheng) is mostly due to deficiency (Xu), but there are also cases of excess (Shi) diarrhea. The symptoms of excess diarrhea include abdominal pain that cannot be pressed by hand, undigested food in the stool, sudden and profuse expulsion from the intestines, and a sensation of burning fire toxin around the anus. The urgency and tenesmus (Li Ji Hou Zhong) are very similar to dysentery (Li Ji), except for the absence of fish-mucus-like discharge and blood stasis. This condition arises when fire pathogen rides on water pathogen to rampage horizontally, with earth following water, coming like a overturning river and breaking sea; its momentum is difficult to suppress. If tea or water is consumed, it is immediately expelled; if rice food is eaten, it is quickly passed through, remaining unchanged as ingested. This seems to indicate failure of bladder Qi transformation (Pang Guang Hua Qi) and loss of control by the Spleen and Stomach (Pi Wei), with the large and small intestines completely losing their normal commands. If not treated appropriately, it will inevitably turn into a Yin syndrome (critical/cold condition) within three days and nights. Such cases are rare, one in ten thousand, and originally do not require detailed differentiation. However, since this disease exists in the world, how can I ignore it? People using Pi Yue Wan (Spleen Restriction Pill) also have good results, but it is ultimately not a fixed, unchangeable formula. I now specially transmit a formula to treat this condition, which is extremely effective, named Shou Pi Tang (Spleen Receiving Decoction). Take it once; if the stopping trend is not evident, take it again, and there will be no case that does not stop. It is a miraculous formula. As for diarrhea caused by deficiency syndromes, whether it is Spleen Deficiency Diarrhea, Intestine Deficiency Diarrhea, or Kidney Deficiency Diarrhea, the general treatment methods are roughly similar. Only for diarrhea originating from the Kidney Meridian, one must not only stop diarrhea but also tonify Water (Kidney Yin/Fluids) to stop diarrhea, which is difficult for people to understand. It is not that simply tonifying Water stops diarrhea directly; rather, Water must obtain Fire to generate. Therefore, tonifying Water requires tonifying Fire. Tonifying Fire means tonifying the Fire of the Ming Men (Gate of Life). Fire exists within Water; if only Fire is tonified, Fire will fly and scatter, failing to stop diarrhea. One must tonify Fire within Water so that Fire generates from Water, and Water stops due to Fire; this contains profound truth and is not arbitrary speculation. But how to differentiate the deficiency/excess nature of Spleen Deficiency Diarrhea, Intestine Deficiency Diarrhea, and Kidney Deficiency Diarrhea? Spleen Deficiency Diarrhea is characterized by an abdomen that prefers warmth and dislikes cold, ability to eat but inability to digest, sallow complexion, and lazy/tired limbs. This is the deficiency pattern of Spleen Deficiency Diarrhea. Use Zao Pi Zhi Liu Tang (Spleen Drying and Flow-Stopping Decoction); the formula consists purely of herbs that strengthen the Spleen and remove dampness, pleasing the Spleen's preference, so when Earth (Spleen) prospers, Water returns to its source. Intestine Deficiency Diarrhea presents with frequent rumbling or watery sounds in the abdomen, loose stools, and clear, long urination. For such diseases, it is also excellent to strengthen the Spleen and assist Qi, supplemented with herbs that solidify the Intestines, so diarrhea can be eliminated and Intestine Qi becomes prosperous enough to transport fluids and grains. Use Bu Chang Zhi Sheng Dan (Intestine Tonifying Supreme Pill). The brilliance of this formula lies in Lu Jiao Shuang (Deer Antler Glue Frost) descending to secure collapse; however, without assisting Ren Shen (Ginseng) to strengthen the Spleen, even using Lu Jiao Shuang is futile, merely securing collapse temporarily but unable to generate Qi at the critical moment of near-death, acting as a pillar in turbulent waters. Kidney Deficiency Diarrhea necessarily occurs with painful diarrhea two to five times between midnight (Zi hour) or early morning (Wu Geng), while the patient remains normal during the day. This is Kidney Diarrhea, named Da Xia Xie (Great Mass Diarrhea). If one merely uses Spleen/Stomach herbs to stop diarrhea, it will definitely not cure; one must use hot herbs to warm the Ming Men (Gate of Life). Use Wen Shen Zhi Xie Tang (Kidney Warming and Diarrhea-Stopping Decoction). Although this formula tonifies the Kidney, it also tonifies the Spleen; tonifying the Kidney generates Fire, tonifying the Spleen generates Earth. The Qi of Fire and Earth generates, and the trend of Cold Water dissipates naturally; thus, without deliberate effort to stop diarrhea, the diarrhea stops itself.
Shou Pi Tang (Spleen Receiving Decoction): Huang Lian (Coptidis Rhizoma, 5 qian), Shan Yao (Dioscoreae Rhizoma, 1 liang), Yi Ren (Coicis Semen, 5 qian), Che Qian Zi (Plantaginis Semen, 5 qian), Fu Ling (Poria, 5 qian), Ren Shen (Ginseng Radix et Rhizoma, 5 qian), Rou Gui (Cinnamomi Cortex, 5 fen). Decoct in water, take with cooked rice cake powder mixed in.
Zao Pi Zhi Liu Tang (Spleen Drying and Flow-Stopping Decoction): Ren Shen (Ginseng Radix et Rhizoma, 5 qian), Shan Yao (Dioscoreae Rhizoma, 1 liang), Qian Shi (Euryales Semen, 1 liang), Ze Xie (Alismatis Rhizoma, 2 qian), Wu Zhu Yu (Evodiae Fructus, 5 fen), Chao Gan Jiang (Zingiberis Rhizoma Recens, stir-fried, 5 fen), Fu Ling (Poria, 5 qian), Shen Qu (Massae Fermentatae Medicamentosa, 5 fen). Decoct in water and take.
Bu Chang Zhi Sheng Dan (Intestine Tonifying Supreme Pill): Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Fu Ling (Poria, 5 qian), Yi Ren (Coicis Semen, 1 liang), Qian Shi (Euryales Semen, 5 qian), Rou Gui (Cinnamomi Cortex, 1 qian), Shan Yao (Dioscoreae Rhizoma, 1 liang), Lu Jiao Shuang (Cervi Cornus Colla Pulvis, 5 qian). Decoct in water and take with the decoction.
Wen Shen Zhi Xie Tang (Kidney Warming and Diarrhea-Stopping Decoction): Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Fu Ling (Poria, 3 qian), Shu Di Huang (Rehmanniae Radix Praeparata, 8 qian), Fu Zi (Aconiti Lateralis Radix Praeparata, 2 qian), Rou Gui (Cinnamomi Cortex, 2 qian), Che Qian Zi (Plantaginis Semen, 2 qian), Bei Wu Wei Zi (Schisandrae Chinensis Fructus, 3 qian), Shan Zhu Yu (Corni Fructus, 5 qian), Shan Yao (Dioscoreae Rhizoma, 1 liang), Yi Ren (Coicis Semen, 5 qian), Ba Ji Tian (Morindae Officinalis Radix, 5 qian). Decoct in water and take.