(主水病。出《素问·气厥论》)
肺移寒于肾,名曰涌水,其证如溢囊里裹浆,或遍身肿满,按腹不坚,疾行则濯濯有
声,或咳喘不定。
葶苈丸 主之∶治涌水,腹满不坚,溢如囊裹浆,疾行则濯濯有声。
葶苈(纸炒) 泽泻 椒目 桑白皮(锉) 杏仁(去皮,麸炒) 木猪苓(去黑皮。各半两)
上为细末,炼蜜和丸,如桐子大,每服二十丸,葱白汤下,不计时候,以利为度。
(主肺。出《素问·气厥论》)
心移热于肺,名曰膈消,二者心膈有热,久则引饮,为消渴耳。
麦门冬饮子 主之∶治膈消,胸满烦心,津液燥少,短气,久为消渴。
麦门冬(二两,去心) 栝蒌实 知母 甘草(炙) 五味子 生地黄 人参 葛根
茯神(各一两)
上为末,每服五钱,水二盏,竹叶数片,同煎至一盏,去滓,温服,食后。
(主口。出《素问·气厥论》)
膀胱移热于小肠,膈肠不便,上为口糜,心肺壅热,水谷不化,转下小肠。
柴胡地骨皮汤 主之∶治口糜生疮损烂,小肠有热,胀满不便,宜服之。
柴胡(去苗) 地骨皮(各等分)
上为末,每服三钱,水一大盏,煎至八分,去滓,食后。如有病患大段实者,加大黄、
朴硝,可泻热甚。
(主女病。出《素问·气厥论》)
小肠移热于大肠,名 瘕,津液耗散,不能滑利,菀结而大肠 涩。
槟榔丸 主之∶治大肠有移热,津液壅滞,腹痛 涩,名曰 瘕证。
槟榔 大黄(锉,炒) 枳壳(麸炒,去穣。各二两) 木香桃仁(去皮尖,炒)
大麻仁(另研。各一两)
上为末,炼蜜和丸,如桐子大,每服十丸至十五丸,温酒下,不计时候。汤亦得。
(主治水液代谢异常疾病。出自《素问·气厥论》)
肺气将寒邪转移至肾脏,这种病称为涌水(因水气上涌而得名)。其症状表现为体内积液如同囊袋包裹着浆液,或者全身浮肿胀满,按压腹部并不坚硬,快速行走时腹部发出濯濯的水声,或者咳嗽气喘发作无常。
葶苈丸 主治此病:治疗涌水,腹部胀满但按之柔软,感觉像囊袋裹着浆液,快跑时腹部有濯濯的水声。
药材组成:葶苈(用纸炒制)、泽泻、椒目、桑白皮(锉碎)、杏仁(去皮,用麦麸炒制)、木猪苓(去掉黑色外皮,以上五味药各半两)。
将上述药物研成细末,用炼过的蜂蜜调和制成丸药,大小如梧桐子大。每次服用二十丸,用葱白汤送服,不限定时间,以大便通畅为度。
(主治肺系相关疾病。出自《素问·气厥论》)
心火将热邪转移至肺部,这种病称为膈消(热郁胸膈引起的消渴),这是心和胸膈部位有热邪,时间久了会导致大量饮水,演变为消渴病。
麦门冬饮子 主治此病:治疗膈消,胸部胀满、心烦,津液干燥稀少,气短,日久发展为消渴。
药材组成:麦门冬(二两,去心)、栝蒌实、知母、甘草(炙烤)、五味子、生地黄、人参、葛根、茯神(以上九味药各一两)。
将上述药物研成粉末。每次服用五钱,加水两盏,放入几片竹叶,一同煎煮至一盏量,滤去药渣,温服,饭后服用。
(主治口腔相关疾病。出自《素问·气厥论》)
膀胱的热邪转移至小肠,导致肠道隔阂不通畅,热气上蒸引起口腔糜烂,心肺壅滞热邪,导致饮食水谷无法消化,向下传导至小肠。
柴胡地骨皮汤 主治此病:治疗口腔糜烂生疮、溃烂损伤,小肠有热,腹胀满且排便不畅,适宜服用此方。
药材组成:柴胡(去除苗头)、地骨皮(以上两味药等分)。
将上述药物研成粉末。每次服用三钱,加水一大盏,煎煮至八分量,滤去药渣,饭后服用。如果患者病情属实证且较重,可加入大黄、朴硝,以增强泻热的作用。
(主治妇科或女性相关疾病。出自《素问·气厥论》)
小肠的热邪转移至大肠,这种病称为瘕(指腹内结块,聚散无常),津液耗散流失,不能润滑肠道,郁结阻滞导致大肠传导涩滞。
槟榔丸 主治此病:治疗大肠受热邪侵袭,津液壅滞,腹痛且排便涩滞,这种病症称为瘕证。
药材组成:槟榔、大黄(锉碎,炒制)、枳壳(用麦麸炒制,去掉瓤,以上两味药各二两)、木香、桃仁(去皮尖,炒制)、大麻仁(单独研磨,以上三味药各一两)。
将上述药物研成粉末,用炼过的蜂蜜调和制成丸药,大小如梧桐子大。每次服用十丸至十五丸,用温酒送服,不限定时间。用汤剂送服也可以。
(Indicated for disorders of water metabolism. Originating from *Suwen: Qi Jue Lun* [Treatise on the Transfer of Qi in the Yellow Emperor's Inner Canon])
When Lung Qi transfers cold to the Kidney, it is named Yongshui (Water Gushing Disease). Its manifestations include fluid accumulation within the abdomen resembling a sac filled with serum, or generalized edema and distension where palpation of the abdomen reveals softness rather than hardness. Rapid walking may produce a gurgling sound in the abdomen, accompanied by irregular coughing and wheezing.
**Tingli Wan** (Descurainia Seed Pill) is indicated: It treats Yongshui characterized by abdominal fullness that is not hard upon pressure, a sensation akin to a sac containing serum, and gurgling sounds upon brisk movement.
Ingredients: Tingli (*Descurainiae Semen seu Fructus*, stir-fried on paper), Zexie (*Alismatis Rhizoma*), Jiaomu (*Zanthoxyli Fructus*), Sangbaipi (*Mori Cortex*), Xingren (*Armeniacae Semen Amarum*, peeled and stir-fried with bran), Muzhuling (*Polyporus cum Pinodia*, black skin removed). Each of the above five herbs is used in the amount of half liang.
Grind the above herbs into a fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take twenty pills per dose, administered with decoction of scallion white (*Congbai*). There are no restrictions on timing; discontinue when bowel movements become unobstructed.
(Indicated for Lung-related disorders. Originating from *Suwen: Qi Jue Lun*)
When Heart Heat transfers to the Lung, it is named Ge Xiao (Diaphragmatic Wasting-Thirst). This indicates heat in the Heart and diaphragm; if prolonged, it leads to excessive drinking, evolving into Xiaoke (Wasting-Thirst Syndrome).
**Maimendong Yinzi** (Ophiopogon Decoction) is indicated: It treats Ge Xiao characterized by chest fullness, vexation, dryness and scarcity of body fluids, shortness of breath, which may persistently develop into Xiaoke.
Ingredients: Maimendong (*Ophiopogonis Radix*, two liang, heart removed), Gualou Shi (*Trichosanthis Fructus*), Zhimu (*Anemarrhenae Rhizoma*), Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-fried), Wuweizi (*Schisandrae Fructus*), Shengdihuang (*Rehmanniae Radix*, raw), Renshen (*Ginseng Radix*), Gegen (*Puerariae Lobatae Radix*), Fushen (*Poria cum Pinodia*). Each of the above nine herbs is used in the amount of one liang.
Grind the above herbs into powder. Take five qian per dose. Add two zhan of water and several leaves of Zhuye (*Bambusae Folium*). Simmer together until one zhan remains. Strain the dregs and take warm after meals.
(Indicated for oral disorders. Originating from *Suwen: Qi Jue Lun*)
When Bladder Heat transfers to the Small Intestine, it causes obstruction in the intestines. The heat steams upward causing Koumi (oral mucosal erosion). With heat stagnation in the Heart and Lungs, food and drink fail to digest and transmit downward to the Small Intestine.
**Chaihu Digupi Tang** (Bupleurum and Bark of Ground Pine Root Decoction) is indicated: It treats oral erosion with ulceration and damage, heat in the Small Intestine, abdominal distension, and difficulty in defecation.
Ingredients: Chaihu (*Bupleuri Radix*, stems removed), Digupi (*Lycii Cortex*). Use equal parts of each.
Grind the above herbs into powder. Take three qian per dose. Add one large zhan of water. Simmer until eight-tenths remain. Strain the dregs and take after meals. If the patient presents with severe excess syndrome, add Dahuang (*Rhei Radix et Rhizoma*) and Puxiao (*Natrii Sulfas*) to strongly purge heat.
(Indicated for female disorders. Originating from *Suwen: Qi Jue Lun*)
When Small Intestine Heat transfers to the Large Intestine, it is named Jia (Masses/Clumps). Body fluids are consumed and dispersed, losing their lubricating function. Stagnation and knotting occur, leading to sluggishness in the Large Intestine.
**Binglang Wan** (Areca Seed Pill) is indicated: It treats heat transferred to the Large Intestine, stagnation of body fluids, abdominal pain with sluggish defecation, known as Jia Zheng (Syndrome of Masses).
Ingredients: Binglang (*Arecae Semen*), Dahuang (*Rhei Radix et Rhizoma*, cut and stir-fried), Zhike (*Aurantii Fructus*, stir-fried with bran, pith removed). These three herbs are each two liang. Muxiang (*Aucklandiae Radix*), Taoren (*Persicae Semen*, peel and tips removed, stir-fried), Damaren (*Cannabis Fructus*, ground separately). These three herbs are each one liang.
Grind the above herbs into powder. Mix with refined honey to form pills the size of tung tree seeds. Take ten to fifteen pills per dose, administered with warm wine. There are no restrictions on timing. Administration with water decoction is also acceptable.