(喻嘉言《医门法律》) 治五志厥阳之火亢而为关格者。
生地黄(三钱取汁) 麦冬(二钱取汁) 人参(一钱五分人乳拌蒸) 甘草(炙) 阿
胶胡麻仁
(打碎) 寒水石(各
除四汁及阿胶、西黄,共八味,用泉水四茶杯,缓火煎至一杯半,去渣,入四汁及阿胶,
再
《
资液救焚汤喻氏,五志阳升关格饵。生脉复脉二方兼,除却桂枝加柏子,寒水滑石紫石
英,
无《肾气丸类》,然则此书为类不止二十四类,尚非全帙也。)日中泉水煎斟此。(此即复脉
汤合生脉散,去桂枝加余药。方中大意,“资液救焚”四字足以该之。而佐以八味丸者,取
其通肾关之闭也。余义详见前进退黄连汤。然愚尝谓此方治上焦火炎液涸诸证,皆为合式,
不特关格一端也。)
(出自喻嘉言《医门法律》)治疗因五志(喜、怒、忧、思、恐)化火,厥阳之火亢盛导致关格(小便不通与呕吐并见的危重证候)的病证。
生地黄(三钱,取汁液) 麦冬(二钱,取汁液) 人参(一钱五分,用人乳拌蒸) 甘草(炙烤) 阿胶 胡麻仁(打碎) 寒水石(以上各味药材,除去四味药汁及阿胶、西黄后,共八味药材,用泉水四茶杯,以慢火煎煮至一杯半,滤去药渣,加入四种药汁及阿胶,再……)
《资液救焚汤》喻氏方,五志阳升致关格时服用。此方兼取了生脉散和复脉汤的组方思路,去掉了桂枝,加入了柏子仁、寒水石、滑石、紫石英。(不属于肾气丸类),然而这本书作为分类方书不止二十四类,看来并非全书完整版本。)日中采集的泉水煎煮斟饮此方。(这即是复脉汤合生脉散,去掉桂枝加上其余药物。方中的大意,“资液救焚”四个字足以概括。而佐以八味丸的意思,是取其开通肾关闭塞的作用。其余义理详见前文退黄连汤。但我曾认为此方治疗上焦火炎、津液枯竭的各种证候,都非常合适,不仅仅局限于关格这一种病证。)
(From Yu Jiayan's *Yi Men Fa Lv* [Legal Principles of Medicine]) Treats conditions where the fire of Jueyang (rebellious Yang) becomes hyperactive due to the transformation of the Five Emotions (Joy, Anger, Worry, Thought, Fear) into fire, resulting in Guan Ge (a critical syndrome characterized by simultaneous vomiting and urinary retention).
Sheng Di Huang (Rehmanniae Radix Preparata, 3 qian, extract juice) Mai Dong (Ophiopogonis Tuber, 2 qian, extract juice) Ren Shen (Ginseng Radix, 1.5 qian, steamed with human milk) Gan Cao (Licorice Root, honey-fried or roasted) E Jiao (Donkey-hide Gelatin) Hu Ma Ren (Semen Sesami Nigrum, crushed) Han Shui Shi (Armeniacae Semen Amarum? Note: Context suggests mineral, likely Bariti Stibii or similar cooling mineral, but standard translation for Han Shui Shi is often "Cold Water Stone" or specific mineral depending on interpretation. In this context of cooling fire, it refers to a mineral drug. WHO term: *Han Shui Shi*). (Regarding the preparation: Excluding the four juices and E Jiao, Xi Huang [Musk], there are eight ingredients in total. Use four tea cups of spring water, simmer slowly over low heat until reduced to one and a half cups. Remove the dregs, add the four juices and E Jiao, and...)
*Zi Ye Jiu Fen Tang* [Decoction for Nourishing Fluids to Save from Burning] by Master Yu; taken when Yang rises due to the Five Emotions causing Guan Ge. This formula combines principles from *Sheng Mai San* [Pulse-Generating Powder] and *Fu Mai Tang* [Pulse-Recovering Decoction], removes Gui Zhi [Cinnamon Twig], and adds Bai Zi Ren [Biota Seed], Han Shui Shi [Cold Water Stone], Hua Shi [Talcum], and Zi Shi Ying [Purple Quartz]. (It does not belong to the category of *Shen Qi Wan* [Kidney Qi Pill]; however, since this book classifies formulas into more than twenty-four categories, it appears not to be the complete work.) Brew and drink this using spring water collected at noon. (This is essentially *Fu Mai Tang* combined with *Sheng Mai San*, with Gui Zhi removed and other herbs added. The main idea of the formula can be summarized by the phrase "Nourish Fluids to Rescue from Burning." The addition of *Ba Wei Wan* [Eight-Ingredient Pill] aims to open the closure of the Kidney gate. Further explanations are detailed in the preceding *Tui Huang Lian Tang*. However, I have always maintained that this formula is suitable for treating various syndromes of Fire Flaring Upward and Fluid Exhaustion in the Upper Jiao, not limited solely to Guan Ge.)