枳实(十六枚。) 芍药(六分。) 桔梗(二分。)
上三味。杵为散。取鸡子黄一枚。以药散与鸡黄相等。揉和令相得。饮和服之。日一服。
歌曰 排脓散药本灵台。(内经谓先师歃血而盟者是。)枳实为君十六枚。六分芍兮桔二
分。鸡黄一个简而该。
元犀按。枳、桔行气滞。芍药通血滞。从气血以排之。人所易知也。妙在揉入鸡子黄一
枚。取有情之物以养心脾之阴。则排之之法独得其本也。
甘草(二两。) 桔梗(三两。) 生姜(一两。) 大枣(十枚。)
上四味。以水三升。煮取一升。温服五合。日再服。
歌曰 排脓汤与散悬殊。一两生姜二草俱。大枣十枚桔三两。通行营卫是良图。
元犀按。方中取桔梗、生姜之辛。又取大枣、甘草之甘。辛甘发散为阳。令毒从阳化
而出。排之之妙也。
(方未见。) 治浸淫疮。从口起流向四肢者。可治。从四肢流来入口者。不可治。浸
淫疮。此粉主之。
歌曰 浸淫疮药末黄连。从口流肢顺自然。若起四肢流入口。半生常苦毒牵缠。
元犀按。浸淫疮系传染之疾也。从口起流向四肢者。毒瓦斯外出也。故曰可治。从四肢起
流来
为末
(方未见。) 治病患常以手指臂肿动。此人身体 。此汤主之。
歌曰 体 臂肿主藜芦。痫痹风痰俱可驱。芦性升提草甘缓。症详跌蹶遍寻无。
男元犀按。痰涎为湿气所生。留滞胸膈之间。久则变生无定。云病患常以手指臂肿动身
体 者。是气被痰阻。湿无去路。或加邪风。风行气亦行。引动积痰毒瓦斯。此所以群动并
发。
藜
其
枳实(十六枚)。芍药(六分)。桔梗(二分)。
以上三味药。捣碎研成散剂。取鸡蛋黄一个。将药散与蛋黄等量。揉和均匀。用温水送服。每日服用一次。
歌诀说:排脓散的药效本自灵台。(《内经》称先师歃血而盟的地方是灵台。)君药是枳实十六枚。芍药六分、桔梗二分。用一个鸡蛋黄简单而全面地概括了配伍。
元犀按语:枳实、桔梗行气滞,芍药通血滞。从气血两方面来排除脓毒,这是人们容易知道的。妙处在于揉入一枚鸡蛋黄,取有情之品来滋养心脾之阴,那么排脓的方法就独得其根本了。
甘草(二两)。桔梗(三两)。生姜(一两)。大枣(十枚)。
以上四味药。用水三升。煮取一升。温服五合。每日服用两次。
歌诀说:排脓汤与排脓散悬殊很大。生姜一两、甘草二两都具备。大枣十枚、桔梗三两。通行营卫是良策。
元犀按语:方中取桔梗、生姜的辛味,又取大枣、甘草的甘味。辛甘发散为阳,令毒邪从阳化而出。这就是排脓的奥妙所在。
(此方未见记载。)治疗浸淫疮(一种皮肤糜烂流水的疮疡)。从口部开始流向四肢的,可治。从四肢流来入口部的,不可治。浸淫疮,此黄连粉主之。
歌诀说:浸淫疮的药末用黄连。从口流向四肢顺应自然。如果从四肢起流入口中,半生半熟常苦于毒邪牵缠。
元犀按语:浸淫疮属于传染性疾病。从口部开始流向四肢的,是毒气向外排出。所以说可治。从四肢开始流来进入口中……
(此方未见记载。)治疗患者经常手指和手臂肿胀跳动,此人身体……此藜芦甘草汤主之。
歌诀说:身体……手臂肿胀主治用藜芦。痫证痹症风痰都可以驱除。藜芦性升提,甘草性缓。病症详细见于跌蹶,遍寻无果。
男元犀按语:痰涎由湿气所生,留滞于胸膈之间,久了则变生不定。说患者经常手指和手臂肿胀跳动身体……这是因为气被痰阻滞,湿没有去路,或者加上邪风,风性善行数变,气也随之而行,引动积存的痰毒之气,这就是各种症状并发出现的原因。
藜芦……
Zhi Shi (Radix Aurantii Fructus, 16 pieces). Shaoyao (Radix Paeoniae Alba, 6 fen). Jiegeng (Radix Platycodonis, 2 fen).
The above three herbs. Pound into a powder. Take one egg yolk. Mix the herb powder with an equal amount of egg yolk. Knead and mix until uniform. Take with warm water. Once daily.
Song says: The efficacy of Painong San originates from the Spirit Platform. (The *Neijing* refers to the place where the ancient masters swore blood oaths as the Spirit Platform.) Zhi Shi is the sovereign herb, 16 pieces. Shaoyao 6 fen, Jiegeng 2 fen. One egg yolk simplifies and encompasses the formula.
Yu Xi's commentary: Zhi Shi and Jiegeng move Qi stagnation; Shaoyao unblocks Blood stagnation. Expelling pus through Qi and Blood is what people easily understand. The subtlety lies in kneading in one egg yolk, taking a substance with emotional affinity to nourish the Yin of the Heart and Spleen, thus making the method of expelling pus attain its root.
Gancao (Radix Glycyrrhizae Preparata, 2 liang). Jiegeng (Radix Platycodonis, 3 liang). Shengjiang (Rhizoma Zingiberis Recens, 1 liang). Dazao (Fructus Jujubae, 10 pieces).
The above four herbs. Add three sheng of water. Boil to obtain one sheng. Take five he of warm decoction. Twice daily.
Song says: Painong Tang differs greatly from Painong San. One liang of Shengjiang and two liang of Gancao are both present. Ten pieces of Dazao and three liang of Jiegeng. Unblocking Ying and Wei is a good plan.
Yu Xi's commentary: In the formula, the pungency of Jiegeng and Shengjiang is taken, and the sweetness of Dazao and Gancao is also taken. Pungent and sweet disperse to generate Yang, allowing toxins to transform and exit via Yang. This is the wonder of expelling pus.
(This formula is not recorded.) Treats Jin Yin Chuang (a type of skin ulcer with erosion and exudate). If it starts from the mouth and flows to the limbs, it is treatable. If it starts from the limbs and flows into the mouth, it is untreatable. For Jin Yin Chuang, this Huanglian powder governs it.
Song says: The powder for Jin Yin Chuang uses Huanglian. Flowing from mouth to limbs follows nature. If starting from limbs and flowing into the mouth, half-raw half-cooked often suffers from toxin entanglement.
Yu Xi's commentary: Jin Yin Chuang is an infectious disease. Starting from the mouth and flowing to the limbs means toxins are exiting outward. Thus, it is said to be treatable. Starting from the limbs and flowing into the mouth...
(This formula is not recorded.) Treats patients who frequently have swelling and twitching of fingers and arms, and whose bodies... This Lili Ganc Tang governs it.
Song says: Body... arm swelling is treated with Lili. Epileptic bi-syndrome and wind-phlegm can all be driven out. Lili has ascending properties, Gancao has moderating properties. The symptoms are detailed in Die Jue, searched everywhere without finding [a match].
Male Yu Xi's commentary: Phlegm-saliva is generated by dampness, lingering between the chest and diaphragm, eventually transforming unpredictably. Saying that patients frequently have swelling and twitching of fingers and arms and bodies... is because Qi is blocked by phlegm, dampness has no outlet, or evil wind is added. Wind moves, so Qi moves with it, stirring up accumulated phlegm-toxin qi. This is why various movements occur simultaneously.
Lili...