(主膀胱。出《素问·痹论》)
小腹膀胱按之内痛,若沃以汤,涩于小便,上为清涕。太阳直行,从巅入循于脑,气
下灌于鼻,时出清涕不止。
肾着汤 主之∶治胞痹,小便不利,鼻出清涕者。
赤茯苓(去皮) 白术(各四两) 甘草(三两,炙) 干姜(二两,炮)
上为末,每服五钱,水二盏,煎至盏,去滓,温服,日三服。
(主痹。出《素问·痹论》)
虽多饮,不得溲,不成大便,糟粕不化,故气喘急而飧泄。
木香丸 主之∶治肠痹,腹 痛,时发飧泄,气不消化,小便秘涩。
木香 白术 官桂 芜荑 良姜 诃子皮(各一两) 附子(炮,去皮) 浓朴(生姜制)
肉豆蔻(各二两) 干姜(三分) 甘草(半两)
上为末,曲面糊为丸,如桐子大,每服二十丸,姜汤下,空心。
(主痹。出《素问·痹论》)
阳气多,阴气少,阳热遭其阴寒,故痹。脏腑热,煽然而闷也。
升麻汤 主之∶治热痹,肌肉热极,体上如鼠走,唇口反纵,皮色变,兼诸风皆治。
升麻(三两) 茯神(去皮) 人参 防风 犀角(镑) 羚羊角(镑) 羌活(各一两)
官桂(半两)
上为末,每服四钱,水二盏,生姜二块(碎)、竹沥小许,同煎至一盏,温服,不计时候。
(主虚劳。出《素问·痿论》)
思想无穷,所愿不得,意淫于外,入房太甚, 纵,发为 痿,及为白淫。太过者,
白物为淫,随溲而下,故为劳弱。
秘真丸 主之∶治白淫,小便不止,精气不固,及有余沥,或梦寐阴人通泄耳。
龙骨(一两,另研) 诃子皮(五个,用大者) 缩砂仁(半两,去皮) 朱砂(一两,研细,
一分为衣)
上为末,面糊为丸,如绿豆大,每服一丸,空心,温酒下,冷水亦得。不可多服。
大便秘,葱白汤、茶下。
(病位主要在膀胱。出自《素问·痹论》)
小腹部膀胱部位按压时内部疼痛,感觉像被热水浇灌一样灼热,小便排尿涩滞不畅,向上表现为流出清稀鼻涕。足太阳膀胱经直行经脉,从头顶进入并循行于脑部,气机向下灌注于鼻窍,导致时常流出清涕不止。
肾着汤主治:治疗胞痹证,症状为小便不利,鼻腔流出清涕。
药材及剂量:赤茯苓(去皮)、白术(各四两),甘草(三两,炙烤),干姜(二两,炮制)。
制法与用法:将上述药物研为细末,每次服用五钱,加水二盏,煎煮至一盏,滤去药渣,温服,每日服用三次。
(病位主要在痹证。出自《素问·痹论》)
虽然大量饮水,但无法排尿,大便不成形,食物糟粕不能消化,因此出现气喘急促和完谷不化的泄泻。
木香丸主治:治疗肠痹证,症状为腹部疼痛,时常发作完谷不化的泄泻,气机停滞导致食物不消化,小便便秘涩滞。
药材及剂量:木香、白术、官桂、芜荑、良姜、诃子皮(各一两),附子(炮制,去皮),浓朴(生姜炮制),肉豆蔻(各二两),干姜(三分),甘草(半两)。
制法与用法:将上述药物研为细末,用面粉糊制作成丸剂,大小如梧桐子,每次服用二十丸,空腹时用姜汤送服。
(病位主要在痹证。出自《素问·痹论》)
阳气多而阴气少,阳热遭受阴寒侵袭,从而导致痹证。脏腑有热,身体感到烦闷燥热。
升麻汤主治:治疗热痹证,症状为肌肉极度发热,体表感觉像老鼠在皮肤下窜动,嘴唇口角反张松弛,皮肤颜色改变,兼治各种风邪病症。
药材及剂量:升麻(三两),茯神(去皮)、人参、防风、犀角(镑片)、羚羊角(镑片)、羌活(各一两),官桂(半两)。
制法与用法:将上述药物研为细末,每次服用四钱,加水二盏,加入生姜两块(捣碎)、少许竹沥,共同煎煮至一盏,不拘时候温服。
(病位主要在虚劳。出自《素问·痿论》)
思虑无穷,愿望不得实现,意念淫逸于外,房事过度,纵欲无度,引发痿证,以及白淫证。精气太过耗散,白色精液随小便排出即为白淫,因此导致劳损虚弱。
秘真丸主治:治疗白淫证,症状为小便不止,精气不固摄,以及排尿后有余沥不尽,或梦中与异性交合而泄精。
药材及剂量:龙骨(一两,单独研磨),诃子皮(五个,选用大的),缩砂仁(半两,去皮),朱砂(一两,研磨极细,取其中一份作为丸衣)。
制法与用法:将上述药物研为细末,用面粉糊制作成丸剂,大小如绿豆,每次服用一丸,空腹时用温酒送服,用冷水送服也可以。不可过量服用。若大便秘结,可用葱白汤或茶送服。
(Primary location is the Bladder. Originates from *Suwen: Bi Lun* [Treatise on Bi Syndrome in the Yellow Emperor's Inner Classic].)
Pressing the lower abdomen at the Bladder region causes internal pain, with a sensation as if scalded by hot water. Urination is difficult and astringent, extending upwards to manifest as clear nasal discharge. The direct pathway of the Foot-Taiyang (Bladder) meridian enters from the vertex, circulates through the brain, and its Qi descends to irrigate the nose, causing persistent clear nasal discharge.
Shenzhuo Tang (Kidney-Attaching Decoction) is indicated for: treating Bao Bi syndrome (Bladder Bi syndrome), characterized by difficulty in urination and clear nasal discharge.
Ingredients: Chifufu Ling (Red Poria, peeled) and Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 liang); Gancao (Licorice Root, honey-fried) (3 liang); Ganjiang (Dried Ginger) (2 liang, processed).
Preparation and Administration: Grind the above ingredients into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, and take warm. Administer three times daily.
(Primary location is Bi syndrome. Originates from *Suwen: Bi Lun*.)
Despite drinking large amounts, urination is impossible; stool is unformed, undigested food residue passes through, leading to panting and diarrhea with undigested food (Sunxie).
Muxiang Wan (Costus Pill) is indicated for: treating Chang Bi syndrome (Intestinal Bi syndrome), characterized by abdominal pain, intermittent diarrhea with undigested food, stagnant Qi failing to digest food, and constipation with difficult urination.
Ingredients: Muxiang (Costi Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guangui (Cinnamon Twig), Wuyi (Chaulmoogra Seed), Liangjiang (Galangal Rhizome), Hezipi (Pericarpium Terminaliae Chebulae) (each 1 liang); Fuzi (Processed Aconiti Lateralis Radix, peeled), Houpo (Magnolia Bark, processed with fresh ginger) (each 2 liang); Ganjiang (Dried Ginger) (3 fen); Gancao (Licorice Root) (0.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Form pills using wheat paste, sized like tung tree seeds. Take 20 pills per dose, administered with ginger soup on an empty stomach.
(Primary location is Bi syndrome. Originates from *Suwen: Bi Lun*.)
Yang Qi is abundant while Yin Qi is deficient. Yang heat encounters Yin cold, resulting in Bi syndrome. Internal organ heat causes a feeling of stifling oppression and restlessness.
Shengma Tang (Cimicifugae Decoction) is indicated for: treating Re Bi syndrome (Heat Bi syndrome), characterized by extreme heat in muscles, a sensation of insects crawling under the skin, inverted relaxation of the lips and mouth, changes in skin color, and also treats various wind disorders.
Ingredients: Shengma (Cimicifugae Rhizoma) (3 liang); Fushen (Poria with Hostwood, peeled), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Xijiao (Rhinoceros Horn, shaved), Lingyangjiao (Saiga Antelope Horn, shaved), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 liang); Guangui (Cinnamon Twig) (0.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 4 qian per dose, add 2 zhan of water, 2 pieces of fresh ginger (crushed), and a small amount of Zhuli (Bamboo Sap). Decoct together until 1 zhan remains. Take warm, regardless of timing.
(Primary location is Xu Lao syndrome [Deficiency Consumption]. Originates from *Suwen: Wei Lun* [Treatise on Flaccidity Syndromes].)
Endless thoughts, unfulfilled desires, mental indulgence in external stimuli, and excessive sexual activity lead to Wei syndrome (Flaccidity syndrome) and Baiyin syndrome (White Turbidity). Excessive loss results in white essence flowing out with urine, termed Baiyin, thereby causing deficiency and weakness.
Shizhen Wan (Secretifying True Essence Pill) is indicated for: treating Baiyin syndrome, characterized by continuous urination, insecure essence retention, post-micturition dribbling, or nocturnal emission during dreams of sexual intercourse.
Ingredients: Longgu (Fossilized Bones, 1 liang, separately ground); Hezipi (Pericarpium Terminaliae Chebulae, 5 large fruits); Suosharen (Amomi Fructus Rotundus, 0.5 liang, peeled); Zhusha (Cinnabar, 1 liang, finely ground, used as coating for one portion).
Preparation and Administration: Grind the above ingredients into powder. Form pills using wheat paste, sized like mung beans. Take 1 pill per dose, administered with warm wine on an empty stomach; cold water may also be used. Do not overdose. If constipation occurs, administer with Scallion White Decoction or tea.