菊叶汤(添加。) 治一切风,头目昏眩,呕吐,面目浮肿者。
菊花(去梗) 羌活 独活 旋复花 牛蒡子 甘草(各等分)
上为末,每服二钱,水一盏半,生姜三片,同煎至七分,去滓,温服,食后。
黄帝曰∶病热当何禁之?岐伯曰∶病热少愈,食肉则复,多食则遗,此其禁也。
因热少愈,犹未尽除,不戒饮食劳动,情欲扰乱,奈脾胃气虚,未能消化坚食,故热复生。
五脏者,皆热。夫热病者,伤寒之类也。人之伤于寒,则为病热。寒毒藏于肌肤,阳气不行
散发,而内为怫结,故伤寒者反病为热。热虽甚,不死,奈巨阳为首。巨阳者,诸阳之属
也。诸阳为热以气,诸阳为寒以血。热病已愈,其有复作,谓病已衰而热有作所藏,因其谷
气相薄,两热相合,故有所遗,缘热也。虽邪气而不尽,遗热在,故当复作。
五脏俱热者,皆视之。肝热左颊先赤,心热颜先赤,脾热鼻先赤,肺热右颊先赤,
肾热颐先赤。肝热者,小便黄,腹痛,多卧,身热。热争则狂惊胁满痛,手足躁而不得安
卧。心热者,不乐,数日乃热。热争则心卒痛,烦闷善呕,头痛面赤无汗。脾热者,头重,
颊痛,烦心,颜青,欲吐,身热。热争则腰痛不可仰,腹满泄,两颔痛。肺热者,
淅然厥起毫毛,恶风寒,舌上黄,身热。热争则喘咳,痛走胸背,不得太息,头痛不堪,
汗出而寒。肾热者,腰痛 酸,苦渴数饮,食热。热争则项痛而强, 寒且酸,足下热,
不欲言。
经曰∶汗出脉躁盛,一死。脉不与汗相应,其病二死。狂言失志者,三死。皆
是怫热郁结,不能解散,以致危殆。
《素问》∶诸热瞀螈,暴喑,冒昧躁扰,狂言骂詈,惊骇, 肿疼酸,气逆,皆手
少阳相火心胞络三焦之气也。
夫肾水真阴本虚,心火狂阳积热以甚,以致风热壅滞,头面昏眩,肢体麻痹,皮肤
瘙痒,筋脉拘卷,胸膈痞满,时或痛闷,或鼻窒鼽衄,口舌生疮,咽喉不利,牙齿疳蚀,
或遍身生疮癣疥,或睡语切牙,惊惕虚汗,或健妄心松,烦躁多睡,或大小便涩滞,或烦热
腹满,或酒过积毒。劳役过度,中外一切劳损神气,心志不宁,口苦咽干,饮食减少,变
生风热诸病,虚羸困倦。或酒病瘦悴,及老弱虚人。或脾肾经虚,风热燥郁,色黑齿宣,
身瘦焦痿。或热中烦满,饥不饮食。或瘅或消中,善食而瘦。或消渴多虚,头面肿,小
便数。或服甘辛热药过度,变成三消,上则消渴,中则消中,下则消肾,小便白膏也。
神芎丸 治一切热证,常服保养。除痰饮,消酒食,清头目,利咽膈,能令遍身结
滞宣通,气利而愈。神强体健,耐伤省病。并妇人经病,及产后血滞,腰脚重痛,小儿
积热,惊风潮搐。脏用丸,亦日显仁丸。加黄连、薄荷、川芎各半两,名曰神芎丸。
大黄 黄芩(各二两) 牵牛 滑石(各四两)
上为细末,滴水为丸,如小豆大,温水下十丸至十五丸,每服加十丸,日三服,
冷水下亦得。或炼蜜丸,愈佳。或久病热郁,无问瘦悴老弱,并一切证,可下者,始自十丸,
每服加十丸,以利为度。如常服此药,但除肠垢积滞,不伤和气,推陈致新,得利便快,
并无药燥搔扰,亦不困倦虚损,颇遂病患心意。或热甚必须急下者,便服四五十丸。未利再
服,以意消息。三五岁孩儿,丸如麻子大。
凡此一法,此药至善,常服二三十丸,以利脏腑,但有益无损。
或妇人血下恶物,加桂枝半两。病微者常服,病重者亦取利,因而结滞开通,恶物日下
也。
此方除脏腑滑泄者,或中寒脉迟者,或妇人经病、产后血下不止者,及孕妇等,则不
宜服。除此以外,一切风热杂病闷壅塞,神气不和,或平人保养,常服自显其功。
若以效验观其药味,则非明《本草》造化之理者,不可得而知其然也。犹孔子赞《易》
道明显,应化万仁之善,而不见其大道之功用,故曰显诸仁,藏诸用,因以云藏用丸,亦其
意也。兼以世讹之久矣,而反不喜此等妙方,不肯服之。每有久获大效,而诚恳求其方,
不得已而授之。既见其方,反生疑惧,不复用焉。亦有效而志信,求其方务以广传救疾,
因而众议百端,拟疑妄生谤说,致使俗医皆畏之,致道不能神,但有妨病者。后之君子,但
行其药,明显诸人,勿示其方,而密藏诸用耳。
或以一法加黄连、川芎、薄荷等各半两,治一切头目昏眩者,愈佳。
柴胡饮子 治解一切肌热体骨蒸,积热作发,寒热往来,(表热里寒则发寒,里热表和
则发热,邪热半在表,半在里,出入进退无
和,即寒热往来,阴阳相胜也。)蓄热寒战,(表之阳和,正气与邪热并蓄于里,脉道不行,
故身冷脉绝,寒战而反烦渴也。)及伤寒发汗不解,或中外诸邪热,口干烦渴,或下后热未
愈,汗后劳复,或骨蒸肺痿喘嗽,妇人余疾,产后经病。
柴胡 人参 黄芩 甘草 大黄 当归 芍药(各半两)
上为末,每服抄三钱,水一盏,生姜三片,煎至七分,温服,日三服。病热甚者,加减之。
崔宣武柴胡饮子,加半夏、五味子、桔梗各三钱。刘庭瑞柴胡饮子,与前分用
不同,故以录之。柴胡、甘草各二两,黄芩、当归、芍药、大黄各一两,人参半两,半
夏半两。右为大劳热病,五七钱,以利为度。未利更加,使病不再发也。
木香万安丸 治一切风热怫郁,气血壅滞,头目昏眩,鼻塞耳鸣,筋脉拘卷,肢体
焦痿,咽嗌不利,胸膈痞塞,腹胁痛闷,肠胃燥涩,淋 不通,腰脚重痛,疝瘕急结,
癖坚积,肠滞胃满,久不了绝,走注疼痛,喑俳痫病,湿病腹胀水肿。
木香 桂 甘遂(各一分) 牵牛(二两) 大戟(半两) 大黄 红皮 槟榔(各一两)
皂角(二两,要得肥好者,洗净,水三盏,煮三二沸,取出,槌碎,揉取汁,再熬成
稠膏,下蜜,熬二沸,便取出) 半夏 蜜(各一两)
上膏,丸小豆大,每服十丸至十五丸,生姜汤下。小儿丸如麻子大。水肿、痫病、
诸积,快利为度。
玉芝徐老丸 治一切风壅,胸胁痞闷,消痰利膈,美饮食,调五味。(徐老,缓慢迟老。)
天南星 干姜(各半两) 黄柏(一两半) 牵牛(四两) 半夏 白矾 大黄(各一两) 蛤粉(二两)
上为末,滴水和丸,如小豆大,每服十丸至二十丸,温水下,食后,日三服。常服顺
气调血,令人徐老。或已衰,大便结者,除肠垢积物,可渐加至三五十丸。孕妇、滑泄病,
忌服。滑泄畏牵牛、大黄,孕妇畏南星、半夏。
消痞丸 治积湿毒热甚者,身体面目黄,心胁腹满呕吐,不能饮食,痿弱难以运动,咽
嗌不利,肢体焦 ,眩悸膈热,坐卧不宁,心火有余而妄行,上为咳血衄血,下为大小便
血,肠风痔 ,三焦壅滞, 瘅热中消渴,传化失常,小儿疳积热。
黄连 甘葛(各一两) 黄芩 大黄 黄柏 栀子 薄荷 藿香 浓朴 茴香(炒。各半两)
木香 辣桂(各一分) 青黛(一两,研) 牵牛(二两)
上为细末,滴水丸如小豆大,每服十丸,新水下,温水亦得。小儿丸如麻子大。
病本湿热内甚。本自利者,去大黄、牵牛。忌发热诸物。
和中丸 治口燥舌干,咽嗌不利,胸胁痞满,心腹痛闷,小便赤涩,大便结滞,风气
怫郁,头目昏眩,筋脉拘急,肢体疼倦,一切风壅。常服宽膈美食,消痰止逆。
牵牛(一两) 官桂(一分) 大黄 红皮 黄芩 茴香(各半两) 木香(一分) 滑石(二两)
上为末,滴水丸如小豆大,每服二十九,煎生姜汤下,温水亦得,日三服。
崔宣武和中丸,大黄一两、茴香炒,外七味同。
龙脑丸 治大小人一切蕴积热,毒瓦斯不散,及失喑瘾疹。
龙脑 朱砂 鹏砂 牛黄(各等分)
上为末,熔黄蜡为丸,如米粒大,每服三五丸,炙甘草、人参汤下,不计时候。
大金花丸 治中外诸热,寝汗切牙,睡语惊悸,溺血淋 ,咳衄血,瘦弱头痛,并骨蒸肺
痿喘嗽。(去大黄,加栀子,名曰栀子金花丸,又名既济解毒丸。)
黄连 黄柏 黄芩 大黄(各半两)
上为末,滴水丸如小豆大,每服三二十丸,新汲水下。自利去大黄,加栀子。小儿丸
如麻子大,三五丸。
当归龙胆丸 治肾水阴虚,风热蕴积,时发惊悸,筋惕搐搦,神志不宁,营卫壅滞,头
目昏眩,肌肉 螈,胸膈痞塞,咽嗌不利,肠胃燥涩,小便溺 ,筋脉拘奇,(奇犹急也,
重也。)肢体痿弱,喑风痫病,小儿急慢惊风。常服宣通血气,调顺阴阳,病无再作。
当归(焙) 龙胆草 大栀子 黄连 黄柏 黄芩(各一两) 大黄 芦荟 青黛(各半两)
木香(一分) 麝香(半钱,另研)
上为末,炼蜜和丸,如小豆大,小儿如麻子大,生姜汤下,每服二十丸。忌发热诸物。
兼服防风通圣散。
软金丸 治一切热疾。常服润肌肤,HT 老。诸热证皆可服。
大黄 牵牛 皂角(各二两) 朴硝(半两)
上为末,滴水和丸,如桐子大,每服三十丸,白汤下,(自十丸,用至三十丸。)食后。
妙香丸 治一切久远沉积,伤寒结胸,太阳厥证,燥郁攻不开者,皆可服此药。
(亦名大圣丸。)
巴豆(去皮,不出油) 腻粉 KT 砂 龙脑 麝香 中黄(少许) 朱砂(各分)
水银(锡结砂子。各一钱)
上为末,炼蜜和丸,又一方,用蜡丸如皂子大,用药时,急要动一丸,分作二丸,
扎作眼子,冷水浸,煎大黄汤下,然后服热茶一碗,便行也。
《局方》内无KT 砂,加金薄。
妙功藏用丸(新补。亦名显仁丸,又名神芎丸。) 治呕哕不食,痿弱难运,血溢
血泄,淋 不通,或泄利,三焦壅滞,传化失常,
并宜服之,功不可述。
大黄 黄芩 黄连(各半两) 黑牵牛(一两) 滑石(二分) 荆芥穗(二两) 防风(一分)
川芎(一两) 木香(二分) 官桂(三分,去皮)
上为末,滴水为丸,如小豆大,每服二十丸、三十丸,生姜汤下,日三服,温水亦得。
菊叶汤(新增方剂)。治疗各种风邪引起的疾病,症状包括头目昏眩、呕吐、面目浮肿。
菊花(去除花梗)、羌活、独活、旋覆花、牛蒡子、甘草(以上各等分)。
将上述药物研为细末,每次服用二钱,加水一盏半,生姜三片,共同煎煮至七分水量,滤去药渣,饭后温服。
黄帝问道:患热病时应当禁忌什么?岐伯回答说:热病稍有好转时,如果吃肉就会复发,吃得过多就会遗留余热,这就是需要禁忌的原因。
因为热病刚见好转,病邪尚未完全清除,如果不节制饮食和劳动,加之情欲扰乱,导致脾胃气虚,不能消化坚硬的食物,所以热气再次产生。
五脏都有热象。所谓热病,属于伤寒一类。人受寒邪侵袭,就会发生热病。寒毒潜伏在肌肤之间,阳气运行受阻,无法散发,而在体内郁结,所以患伤寒的人反而表现为热病。热势虽然严重,但不会致死,然而巨阳经(足太阳膀胱经)位于头部,最为关键。巨阳经是诸阳经的统领。诸阳经以气为主而主热,以血为主而主寒。热病虽然痊愈,但如果再次发作,是因为病势虽衰但余热潜藏,与谷气相互搏结,两热相合,所以会有余热遗留,这是因为热邪的缘故。即使邪气未尽,余热仍在,所以会再次发作。
五脏俱热的情况,都要观察面部色泽变化。肝热则左颊先发红,心热则颜面中央先发红,脾热则鼻部先发红,肺热则右颊先发红,肾热则下颌先发红。肝热者,小便黄,腹痛,嗜睡,身体发热。热邪与正气相争,则出现狂乱惊悸、胁肋胀满疼痛,手足躁动不安,无法安卧。心热者,心情不乐,数日后才发热。热邪与正气相争,则心脏突然疼痛,烦闷,容易呕吐,头痛,面色红赤,无汗。脾热者,头重,脸颊痛,心烦,面色发青,想吐,身体发热。热邪与正气相争,则腰痛不能仰卧,腹部胀满腹泻,两侧下颌疼痛。肺热者,皮肤粟起毫毛耸立,怕风怕冷,舌苔黄,身体发热。热邪与正气相争,则气喘咳嗽,疼痛游走于胸背部,呼吸不畅,头痛剧烈,出汗后感到寒冷。肾热者,腰部酸痛,口苦口渴多饮,进食后感觉不适。热邪与正气相争,则颈部疼痛且僵硬,恶寒且酸楚,足心发热,不想说话。
医经说:出汗而脉搏躁动盛大,是一死证。脉象与汗出情况不相适应,是二死证。胡言乱语、神志丧失,是三死证。这些都是由于热邪郁结,不能解散,从而导致危殆局面。
《素问》说:各种热病导致的视物模糊、抽搐、突然失音、昏迷、烦躁扰攘、胡言乱语、骂詈叫喊、惊恐骇异、肿胀疼痛酸楚、气逆上冲,都属于手少阳三焦经相火及心包络的气机病变。
肾中真阴本已虚弱,心火亢盛积热严重,导致风热壅滞,出现头面昏眩、肢体麻木、皮肤瘙痒、筋脉拘挛卷曲、胸膈痞满、时而疼痛闷塞,或鼻塞流涕、鼻出血、口舌生疮、咽喉不利、牙齿蛀蚀,或全身生疮癣疥,或睡眠中说梦话、磨牙、惊惕、虚汗,或健忘心神不宁、烦躁多睡,或大小便涩滞,或烦热腹满,或因饮酒过度积累毒素。劳役过度,内外一切劳损神气,心志不宁,口苦咽干,饮食减少,变生风热等各种疾病,身体虚弱困倦。或因酒病消瘦憔悴,以及年老体弱之人。或因脾肾经虚,风热燥郁,面色黑、牙齿松动,身体瘦削干枯痿软。或因内热烦满,饥饿但不欲饮食。或因消渴病,善食而瘦。或因消渴多虚,头面浮肿,小便频数。或因服用甘辛热药过度,变成三消症,上消表现为口渴,中消表现为多食易饥,下消表现为肾虚,小便如脂膏状。
神芎丸。治疗各种热证,常服可保养身体。能除痰饮,消酒食,清头目,利咽喉胸膈,能使遍身结滞宣通,气机通畅而痊愈。使人精神强健,身体健壮,耐受伤病,减少患病几率。并治疗妇人月经病,以及产后血滞、腰脚重痛,小儿积热、惊风抽搐。脏用丸,也叫显仁丸。加入黄连、薄荷、川芎各半两,名叫神芎丸。
大黄、黄芩(各二两)、牵牛子、滑石(各四两)。
将上述药物研为细末,滴水泛丸,如小豆大,温水送服十丸至十五丸,每次可增加十丸,每日三次,用冷水送服也可以。或者炼蜜为丸,效果更好。如果是久病热郁,不论身体瘦弱还是年老体弱,以及一切适宜攻下的证候,开始从十丸服起,每次增加十丸,以大便通畅为度。如果常服此药,只清除肠道垢腻积滞,不伤和气,推陈出新,得利后感觉轻快,并无药物燥烈骚扰,也不会导致困倦虚损,很符合病患的心意。如果热势极盛必须急下,就服用四五十丸。未通便再服,根据病情斟酌。三五岁的小孩,丸药如麻子大。
这一法,这一药非常好,常服二三十丸,可以调理脏腑,只有益处没有损害。
如果是妇人血下有恶露,加桂枝半两。病轻者常服,病重者也能取效,从而使结滞开通,恶露每日排出。
此方除了脏腑滑泄者,或中寒脉迟者,或妇人月经病、产后血下不止者,以及孕妇等,不宜服用。除此以外,一切风热杂病导致的闷塞壅滞,神气不和,或者普通人保养,常服自然显现功效。
如果从药效来推测药味,那么不是精通《本草》造化之理的人,是不可能知道其中的奥妙的。就像孔子赞颂《易经》道理明显,应化万物之善,却看不见大道的功用,所以说“显诸仁,藏诸用”,因此命名为藏用丸,也是这个意思。加上世间讹传已久,反而不喜欢这些妙方,不肯服用。每每有人长期获得大效,诚恳求取药方,不得已才传授给他。见到药方后,反而产生怀疑恐惧,不再使用。也有因有效而立志相信,力求广泛传播以救疾苦的,因而众议纷纷,猜疑妄生谤说,致使俗医都畏惧它,导致道术不能显神,反而妨碍治病。后来的君子,只要实行这种药,向众人显示其仁德,不要公开其方,而是秘密收藏其用法罢了。
或者在一法基础上加入黄连、川芎、薄荷各半两,治疗各种头目昏眩,效果更好。
柴胡饮子。治疗解除各种肌热、骨蒸,积热发作,寒热往来。(表热里寒则发寒,里热表和解则发热,邪热一半在表,一半在里,出入进退不和,即寒热往来,阴阳相胜。)蓄热寒战,(表之阳气与正气和邪热并蓄于里,脉道不行,所以身冷脉绝,寒战反而烦渴。)以及伤寒发汗后病不解,或内外各种邪热,口干烦渴,或泻下后热未愈,汗后劳复,或骨蒸肺痿喘嗽,妇人余疾,产后月经病。
柴胡、人参、黄芩、甘草、大黄、当归、芍药(各半两)。
将上述药物研为末,每次取三钱,加水一盏,生姜三片,煎至七分,温服,每日三次。热病严重的,加减用量。
崔宣武柴胡饮子,加半夏、五味子、桔梗各三钱。刘庭瑞柴胡饮子,与前方的分量不同,所以记录下来。柴胡、甘草各二两,黄芩、当归、芍药、大黄各一两,人参半两,半夏半两。右边这方用于大劳热病,五七钱,以利为度。未通便再加量,使病不再发作。
木香万安丸。治疗各种风热郁结,气血壅滞,头目昏眩,鼻塞耳鸣,筋脉拘挛卷曲,肢体干枯痿软,咽喉不利,胸膈痞塞,腹胁痛闷,肠胃干燥涩滞,淋浊不通,腰脚重痛,疝瘕急结,癖块坚积,肠滞胃满,久不痊愈,走注疼痛,失音瘫痪癫痫,湿病腹胀水肿。
木香、桂枝、甘遂(各一分)、牵牛子(二两)、大戟(半两)、大黄、红皮、槟榔(各一两)、皂角(二两,要选肥好的,洗净,水三盏,煮二三沸,取出,捣碎,揉取汁,再熬成稠膏,下蜂蜜,熬二三沸,便取出)、半夏、蜂蜜(各一两)。
以上制成膏,丸如小豆大,每次十丸至十五丸,生姜汤送下。小儿丸如麻子大。水肿、癫痫、各种积滞,以大便通畅为度。
玉芝徐老丸。治疗各种风壅,胸胁痞闷,消痰利膈,增进食欲,调和五味。(徐老,指缓慢迟老之人。)
天南星、干姜(各半两)、黄柏(一两半)、牵牛子(四两)、半夏、白矾、大黄(各一两)、蛤粉(二两)。
将上述药物研为末,滴水泛丸,如小豆大,每次十丸至二十丸,温水送下,饭后服,每日三次。常服顺气调血,使人缓慢衰老。如果已经衰弱,大便结者,清除肠道垢腻积物,可逐渐加至三五十丸。孕妇、滑泄病患者,忌服。滑泄病畏牵牛、大黄,孕妇畏南星、半夏。
消痞丸。治疗积湿毒热严重者,身体面目发黄,心胁腹满呕吐,不能饮食,痿弱难以运动,咽喉不利,肢体干枯,眩晕心悸膈热,坐卧不宁,心火有余而妄行,上为咳血衄血,下为大小便血,肠风痔漏,三焦壅滞,消渴热中,传化失常,小儿疳积热。
黄连、甘葛根(各一两)、黄芩、大黄、黄柏、栀子、薄荷、藿香、浓朴、茴香(炒。各半两)、木香、辣桂(各一分)、青黛(一两,研)、牵牛子(二两)。
将上述药物研为细末,滴水泛丸如小豆大,每次十丸,新汲水下,温水也可以。小儿丸如麻子大。
病本是湿热内盛。原本自利的,去掉大黄、牵牛。忌食发热之物。
和中丸。治疗口燥舌干,咽喉不利,胸胁痞满,心腹痛闷,小便赤涩,大便结滞,风气郁结,头目昏眩,筋脉拘急,肢体疼倦,各种风壅。常服宽膈美食,消痰止逆。
牵牛子(一两)、官桂(一分)、大黄、红皮、黄芩、茴香(各半两)、木香(一分)、滑石(二两)。
将上述药物研为末,滴水泛丸如小豆大,每次二十九丸,煎生姜汤送下,温水也可以,每日三次。
崔宣武和中丸,大黄一两、茴香炒,其余七味相同。
龙脑丸。治疗大人小孩各种蕴积热,毒瓦斯不散,以及失音瘾疹。
龙脑、朱砂、鹏砂、牛黄(各等分)。
将上述药物研为末,熔黄蜡为丸,如米粒大,每次三五丸,炙甘草、人参汤送下,不限时候。
大金花丸。治疗内外各种热证,盗汗磨牙,睡中说梦话惊悸,尿血淋浊,咳血衄血,瘦弱头痛,以及骨蒸肺痿喘嗽。(去掉大黄,加栀子,名叫栀子金花丸,又名既济解毒丸。)
黄连、黄柏、黄芩、大黄(各半两)。
将上述药物研为末,滴水泛丸如小豆大,每次三二十丸,新汲水下。自利者去大黄,加栀子。小儿丸如麻子大,三五丸。
当归龙胆丸。治疗肾水阴虚,风热蕴积,时常发作惊悸,筋惕搐搦,神志不宁,营卫壅滞,头目昏眩,肌肉抽搐,胸膈痞塞,咽喉不利,肠胃干燥涩滞,小便溺痛,筋脉拘急(奇犹急也,重也),肢体痿弱,失音风痫病,小儿急慢惊风。常服宣通血气,调顺阴阳,病不再发作。
当归(焙)、龙胆草、大栀子、黄连、黄柏、黄芩(各一两)、大黄、芦荟、青黛(各半两)、木香(一分)、麝香(半钱,另研)。
将上述药物研为末,炼蜜和丸,如小豆大,小儿如麻子大,生姜汤送下,每次二十丸。忌食发热之物。兼服防风通圣散。
软金丸。治疗各种热疾。常服润肌肤,延缓衰老。各种热证皆可服。
大黄、牵牛子、皂角(各二两)、朴硝(半两)。
将上述药物研为末,滴水泛丸,如桐子大,每次三十丸,白开水送下,(从十丸用到三十丸),饭后服。
妙香丸。治疗各种久远沉积,伤寒结胸,太阳厥证,燥郁攻不开者,皆可服此药。(也叫大圣丸。)
巴豆(去皮,不出油)、腻粉、砒霜、龙脑、麝香、中黄(少许)、朱砂(各一分)、水银(锡结砂子。各一钱)。
将上述药物研为末,炼蜜和丸,另一方法,用蜡丸如皂子大,用药时,急需动一丸,分成两丸,扎作眼子,冷水浸,煎大黄汤送下,然后服热茶一碗,便行也。
《局方》内无砒霜,加金薄。
妙功藏用丸(新补。也叫显仁丸,也叫神芎丸。)治疗呕哕不食,痿弱难运,血溢血泄,淋浊不通,或泄利,三焦壅滞,传化失常,
都适宜服用,功效不可尽述。
大黄、黄芩、黄连(各半两)、黑牵牛(一两)、滑石(二分)、荆芥穗(二两)、防风(一分)、川芎(一两)、木香(二分)、官桂(三分,去皮)。
将上述药物研为末,滴水泛丸,如小豆大,每次二十丸、三十丸,生姜汤送下,每日三次,温水也可以。
Ju Ye Tang (Chrysanthemum Leaf Decoction) [Added Formula]. Treats all types of wind diseases, characterized by dizziness and vertigo of the head and eyes, vomiting, and edema of the face and eyes.
Chrysanthemi Flos (remove peduncle), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Xuan Fu Hua (Inulae Flos), Niu Bang Zi (Arctii Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma) [equal parts].
Grind the above into powder. Take 2 qian per dose, add 1.5 zhan of water and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct together until 0.7 zhan remains, filter out the dregs, and take warm after meals.
Huangdi asked: What should be forbidden in febrile diseases? Qibo replied: When a febrile disease has slightly improved, eating meat will cause recurrence, and overeating will leave residual heat; this is what must be forbidden.
Because the febrile disease has just slightly improved and pathogens are not yet completely cleared, if one does not regulate diet and labor, and is disturbed by emotional desires, leading to deficiency of Spleen and Stomach Qi, which cannot digest solid food, heat will regenerate.
The Five Zang organs all have heat manifestations. Febrile diseases belong to the category of Shang Han (Cold Damage). When humans are injured by cold pathogens, they develop febrile diseases. Cold toxins hide in the skin and muscles, Yang Qi fails to circulate and dissipate, causing internal stagnation and knotting; thus, those with Shang Han instead present with heat. Although the heat may be severe, it is not fatal, but Ju Yang (Foot-Taiyang Bladder Meridian) is at the head and is crucial. Ju Yang is the leader of all Yang meridians. All Yang meridians govern heat through Qi and cold through Blood. Even if a febrile disease has healed, if it recurs, it is because although the pathogenic factor has declined, residual heat remains hidden. It clashes with the Qi of grain, and the two heats combine, leaving residual heat due to the presence of heat. Even if pathogens are not fully exhausted and residual heat remains, it will recur.
When all Five Zang organs have heat, observe the facial complexion. Liver heat causes redness on the left cheek first; Heart heat causes redness on the center of the face first; Spleen heat causes redness on the nose first; Lung heat causes redness on the right cheek first; Kidney heat causes redness on the chin first. In Liver heat, urine is yellow, abdomen hurts, there is excessive sleepiness, and the body is hot. When heat struggles with healthy Qi, there is mania,惊悸 (palpitations/fright), distension and pain in the hypochondrium, restlessness of hands and feet, and inability to lie down peacefully. In Heart heat, there is unhappiness, and fever appears after several days. When heat struggles with healthy Qi, there is sudden heart pain, vexation and oppression, frequent vomiting, headache, red face, and anhidrosis. In Spleen heat, the head feels heavy, cheeks hurt, there is mental vexation, blueish complexion, desire to vomit, and body heat. When heat struggles with healthy Qi, there is lower back pain preventing lying supine, abdominal fullness and diarrhea, and pain in both mandibles. In Lung heat, there is piloerection, aversion to wind and cold, yellow tongue coating, and body heat. When heat struggles with healthy Qi, there is wheezing and cough, pain moving across the chest and back, difficulty taking deep breaths, unbearable headache, sweating followed by chills. In Kidney heat, there is soreness and pain in the lower back, bitter taste in mouth, thirst with frequent drinking, and discomfort after eating. When heat struggles with healthy Qi, there is neck pain and stiffness, aversion to cold with soreness, heat in the soles of feet, and reluctance to speak.
The Classics state: Sweating with a rapid and forceful pulse is a death sign. A pulse that does not correspond with sweating is a second death sign. Delirious speech and loss of spirit are a third death sign. These are all caused by stagnant and knotted heat that cannot disperse, leading to critical danger.
Su Wen states: Various heat diseases causing visual obscuration, convulsions, sudden aphonia, coma, agitation, mania, cursing, fright, swelling, pain, soreness, Qi rebellion, all belong to the Qi of the Hand-Shaoyang San Jiao (Triple Burner) Ministerial Fire and Pericardium Collateral.
The True Yin of Kidney Water is originally deficient, while Heart Fire hyperactive Yang accumulates heat severely, causing wind-heat congestion. Symptoms include dizziness and vertigo of the head and face, numbness of limbs, pruritus, tendon contraction and curling, chest and diaphragm stuffiness, occasional pain and oppression, nasal obstruction with rhinorrhea or epistaxis, oral and lingual ulcers, throat discomfort, dental caries, or generalized skin sores, tinea, and scabies. There may be somniloquy, bruxism, fright, and spontaneous sweating, or forgetfulness, mental unrest, irritability, and excessive sleepiness, or dysuria and constipation, or irritability with abdominal fullness, or toxin accumulation from excessive alcohol consumption. Excessive labor damages Shen (Spirit) and Qi internally and externally, causing mental unrest, bitter taste in mouth, dry throat, reduced appetite, and transformation into various wind-heat diseases, resulting in emaciation and fatigue. This applies to those emaciated from alcohol disease, or the elderly and weak. Due to deficiency in Spleen and Kidney meridians, wind-heat dryness and stagnation cause dark complexion, loose teeth, emaciation, and flaccidity. Internal heat with vexation and fullness, hunger without desire to eat, diabetes mellitus (Xiao Ke), polyphagia with emaciation, or Xiao Ke with deficiency, facial edema, and polyuria. Overuse of sweet, acrid, and hot medicines transforms into the Three Xiaos (Three Consumptions): Upper Xiao presents as thirst, Middle Xiao as polyphagia, Lower Xiao as Kidney deficiency with urine resembling grease.
Shen Xiong Wan (Divine Ligusticum Pill). Treats all heat syndromes; regular use maintains health. It resolves phlegm-fluid retention, eliminates wine-food stagnation, clears the head and eyes, benefits the throat and diaphragm, unblocks systemic stagnation, promotes Qi circulation, and restores health. It strengthens spirit and body, increases resistance to injury and illness. It treats women's menstrual disorders, postpartum blood stasis, heavy and painful loins and legs, pediatric accumulated heat, and convulsive wind. Zang Yong Wan is also called Xian Ren Wan. Adding Huang Lian (Coptidis Rhizoma), Bo He (Menthae Haplocalycis Herba), and Chuan Xiong (Ligustici Chuanxiong Rhizoma) each half liang is named Shen Xiong Wan.
Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix) [each 2 liang]; Qian Niu (Pharbitidis Semen), Hua Shi (Talcum) [each 4 liang].
Grind into fine powder, make pills with water drops, size of small beans. Take 10-15 pills with warm water, increasing by 10 pills per dose, three times daily. Taking with cold water is also acceptable. Making pills with refined honey is better. For chronic heat stagnation, regardless of emaciation or old age/weakness, and for all conditions suitable for purging, start with 10 pills, increasing by 10 pills per dose, stopping when bowel movement occurs. Regular use only clears intestinal filth and stagnation without damaging harmonious Qi, pushing out the old and generating the new. Bowel movements become smooth without harsh irritation or fatigue/deficiency, satisfying the patient. If heat is extreme requiring urgent purging, take 40-50 pills. If no effect, take again, adjusting according to judgment. For children aged 3-5 years, make pills the size of sesame seeds.
This method and medicine are excellent. Regularly taking 20-30 pills benefits the Zang-Fu organs, offering benefit without harm.
For women with foul discharge from blood stasis, add Gui Zhi (Cinnamomi Ramulus) half liang. For mild cases, regular use suffices; for severe cases, purging achieves the result, opening stagnation and allowing foul matter to discharge daily.
This formula is contraindicated for those with Spleen-Stomach sliding diarrhea, cold patterns with slow pulse, women with menstrual disorders or continuous postpartum bleeding, and pregnant women. Except for these, it treats all wind-heat mixed diseases causing stuffiness and congestion, disharmony of Shen Qi, or serves as maintenance for healthy individuals, showing efficacy with regular use.
Inferring the medicinal properties from clinical effects requires mastery of the principles of creation in Ben Cao (Materia Medica); otherwise, it is unknowable. Just as Confucius praised the Yi Jing (Book of Changes) for its clear principles and benevolent transformations, yet the great Dao's function remains unseen, saying "Manifesting Benevolence, Hiding Usage," hence named Cang Yong Wan (Hidden Usage Pill), reflecting this intent. Given long-standing errors in the world, people dislike such wonderful formulas and refuse to take them. Often, those who achieve great effects sincerely request the formula, and reluctantly, it is given. Upon seeing the formula, suspicion and fear arise, and it is not used. Some, believing in its efficacy, seek to spread it widely to save lives, but public debate breeds suspicion and slander, causing vulgar physicians to fear it, hindering the divine Dao and obstructing treatment. Future gentlemen should practice this medicine, manifest its benevolence to others, but keep the formula secret and hide its usage.
Alternatively, adding Huang Lian, Chuan Xiong, and Bo He each half liang to a method treats all dizziness and vertigo of the head and eyes more effectively.
Chai Hu Yin Zi (Bupleurum Decoction). Treats resolving all muscular heat, bone-steaming fever, accumulated heat attacks, alternating chills and fever. (External heat with internal cold causes chills; internal heat with external harmony causes fever; pathogenic heat half in exterior and half in interior, with disorderly entry and exit, causes alternating chills and fever, representing Yin-Yang contention.) Accumulated heat with shivering. (Yang Qi of the exterior and healthy Qi accumulate with pathogenic heat internally, blocking vessel flow, causing cold body and absent pulse, shivering with vexation and thirst.) Also treats Shang Han where sweating fails to resolve the disease, or various internal/external pathogenic heat causing dry mouth and vexation/thirst, or unresolved heat after purgation, relapse after sweating, bone-steaming lung萎 (flaccidity) with wheezing/cough, women's residual diseases, and postpartum menstrual disorders.
Chai Hu (Bupleuri Radix), Ren Shen (Ginseng Radix), Huang Qin, Gan Cao, Da Huang, Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix) [each half liang].
Grind into powder. Take 3 qian per dose, add 1 zhan of water and 3 slices of Sheng Jiang. Decoct to 0.7 zhan, take warm, three times daily. Adjust dosage for severe heat.
Cui Xuanwu's Chai Hu Yin Zi adds Ban Xia (Pinelliae Rhizoma), Wu Wei Zi (Schisandrae Fructus), and Jie Geng (Platycodonis Radix) each 3 qian. Liu Tingrui's Chai Hu Yin Zi differs in proportions, so it is recorded here. Chai Hu and Gan Cao each 2 liang; Huang Qin, Dang Gui, Shao Yao, Da Huang each 1 liang; Ren Shen half liang; Ban Xia half liang. This is for severe labor-induced heat disease. Take 5-7 qian, regulating by bowel movement. Increase if no effect to prevent recurrence.
Mu Xiang Wan An Wan (Aromatic Musk Ten-Thousand-Safety Pill). Treats all wind-heat stagnation, Qi and Blood congestion, dizziness, nasal congestion and tinnitus, tendon contraction, limb emaciation and flaccidity, throat discomfort, chest/diaphragm stuffiness, abdominal/hypochondriac pain, dry/intestinal constipation, stranguria, heavy/painful loins and legs, acute hernia masses, hard accumulations, intestinal stagnation and gastric fullness, chronic unresolved conditions, migrating pain, aphonia, paralysis, epilepsy, dampness with abdominal distension and edema.
Mu Xiang (Aucklandiae Radix), Gui (Cinnamon Bark), Gan Sui (Kansui Radix) [each 1 fen]; Qian Niu (2 liang); Da Ji (Euphorbiae Pekinensis Radix) (half liang); Da Huang, Hong Pi (Pericarpium Citri Reticulatae), Bing Lang (Arecae Semen) [each 1 liang]; Zao Jiao (Gleditsiae Fructus) (2 liang, select plump ones, wash clean, boil in 3 zhan water for 2-3 boils, remove, crush, rub to extract juice, re-boil into thick paste, add honey, boil 2 boils, remove); Ban Xia, Mi (Honey) [each 1 liang].
Make paste, pill size of small beans. Take 10-15 pills with Sheng Jiang Tang. Children: size of sesame seeds. Edema, epilepsy, various accumulations: stop when bowels move freely.
Yu Zhi Xu Lao Wan (Jade Mushroom Old-Man Slow-Aging Pill). Treats all wind congestion, chest/hypochondriac stuffiness, resolving phlegm and benefiting diaphragm, improving appetite, harmonizing flavors. (Xu Lao refers to slow aging.)
Tian Nan Xing (Arisaematis Rhizoma), Gan Jiang (Zingiberis Rhizoma) [each half liang]; Huang Bai (Phellodendri Cortex) (1.5 liang); Qian Niu (4 liang); Ban Xia, Bai Fan (Alumen), Da Huang [each 1 liang]; Ha Fen (Concha Meretricis et Cyprinae) (2 liang).
Grind into powder, make pills with water drops, size of small beans. Take 10-20 pills with warm water after meals, three times daily. Regular use regulates Qi and Blood, promoting slow aging. If already weakened with constipation, clearing intestinal filth allows gradual increase to 30-50 pills. Contraindicated in pregnancy and sliding diarrhea. Sliding diarrhea fears Qian Niu and Da Huang; pregnancy fears Tian Nan Xing and Ban Xia.
Xiao Pi Wan (Eliminate Lump Pill). Treats severe accumulated damp-toxin heat causing jaundice of body and face, chest/hypochondriac/abdominal fullness with vomiting, inability to eat, flaccidity and difficulty moving, throat discomfort, limb emaciation, dizziness/palpitations with diaphragmatic heat, restlessness, excess Heart Fire acting recklessly causing hemoptysis/epistaxis above, and hematochezia/hematuria below, intestinal wind and hemorrhoids, San Jiao congestion, Xiao Ke (Diabetes) with middle heat, abnormal digestion, and pediatric malnutrition heat.
Huang Lian, Gan Ge (Puerariae Radix) [each 1 liang]; Huang Qin, Da Huang, Huang Bai, Zhi Zi (Gardeniae Fructus), Bo He, Huo Xiang (Agastaches Herba), Hou Po (Magnoliae Officinalis Cortex), Hui Xiang (Foeniculi Fructus) (stir-fried) [each half liang]; Mu Xiang, La Gui (Cassiae Cortex) [each 1 fen]; Qing Dai (Indigo Naturalis) (1 liang, ground); Qian Niu (2 liang).
Grind into fine powder, make pills with water drops, size of small beans. Take 10 pills with fresh well water; warm water is also acceptable. Children: size of sesame seeds. The root pathology is severe internal damp-heat. If there is spontaneous diarrhea, remove Da Huang and Qian Niu. Avoid heating foods.
He Zhong Wan (Harmonize the Middle Pill). Treats dry mouth and tongue, throat discomfort, chest/hypochondriac fullness, heart/abdominal pain and oppression, red/scanty urination, constipation, wind-Qi stagnation, dizziness, tendon spasm, limb pain/fatigue, all wind congestion. Regular use widens the diaphragm, improves appetite, resolves phlegm, and stops rebellion.
Qian Niu (1 liang), Guan Gui (Cinnamon Bark) (1 fen); Da Huang, Hong Pi, Huang Qin, Hui Xiang [each half liang]; Mu Xiang (1 fen), Hua Shi (2 liang).
Grind into powder, make pills with water drops, size of small beans. Take 29 pills with decocted Sheng Jiang Tang; warm water is also acceptable, three times daily.
Cui Xuanwu's He Zhong Wan uses 1 liang Da Huang, stir-fried Hui Xiang, and the other seven ingredients are the same.
Long Nao Wan (Borneol Pill). Treats all accumulated heat and toxic vapors in adults and children that do not disperse, as well as aphonia and urticaria.
Long Nao (Borneolum Syntheticum), Zhu Sha (Cinnabaris), Peng Sha (Realgar), Niu Huang (Calculus Bovis) [equal parts].
Grind into powder, melt yellow beeswax to make pills, size of rice grains. Take 3-5 pills with Zhi Gan Cao (Prepared Licorice) and Ren Shen decoction, at any time.
Da Jin Hua Wan (Great Golden Flower Pill). Treats internal and external heat, night sweats, bruxism, somniloquy with palpitations, hematuria/stranguria, hemoptysis/epistaxis, emaciation/headache, and bone-steaming lung flaccidity with wheezing/cough. (Remove Da Huang, add Zhi Zi, named Zhi Zi Jin Hua Wan, also known as Ji Ji Jie Du Wan.)
Huang Lian, Huang Bai, Huang Qin, Da Huang [each half liang].
Grind into powder, make pills with water drops, size of small beans. Take 30-20 pills with fresh well water. For spontaneous diarrhea, remove Da Huang and add Zhi Zi. Children: size of sesame seeds, 3-5 pills.
Dang Gui Long Dan Wan (Angelica Gentian Pill). Treats Kidney Water Yin deficiency, wind-heat accumulation, frequent palpitations, muscle twitching/convulsions, mental unrest, Ying-Wei congestion, dizziness, muscle fasciculation, chest/diaphragm stuffiness, throat discomfort, dry intestines/constipation, painful urination, tendon spasm (Qi implies urgency/heaviness), limb flaccidity, aphonic wind-epilepsy, pediatric acute/chronic convulsive wind. Regular use unblocks Qi and Blood, harmonizes Yin-Yang, and prevents recurrence.
Dang Gui (baked), Long Dan Cao (Gentianae Radix), Da Zhi Zi, Huang Lian, Huang Bai, Huang Qin [each 1 liang]; Da Huang, Lu Hui (Aloe), Qing Dai [each half liang]; Mu Xiang (1 fen), She Xiang (Moschus) (half qian, separately ground).
Grind into powder, mix with refined honey to make pills, size of small beans (children: sesame seeds). Take 20 pills with Sheng Jiang Tang. Avoid heating foods. Combine with Fang Feng Tong Sheng San.
Ruan Jin Wan (Soft Gold Pill). Treats all heat diseases. Regular use moistens skin and slows aging. Suitable for all heat syndromes.
Da Huang, Qian Niu, Zao Jiao [each 2 liang]; Po Xiao (Natrii Sulfas) (half liang).
Grind into powder, make pills with water drops, size of tung tree seeds. Take 30 pills with white boiled water (start from 10 up to 30), after meals.
Miao Xiang Wan (Miraculous Fragrance Pill). Treats all long-standing deposits, Shang Han Jie Xiong (chest binding), Tai Yang Jue syndrome, and stubborn dry-stagnation that resists attack. (Also named Da Sheng Wan.)
Ba Dou (Crotonis Fructus, peeled, oil-free), Ni Fen (Calomel), Pi Shuang (Arsenic Trioxide), Long Nao, She Xiang, Zhong Huang (small amount), Zhu Sha [each 1 fen]; Shui Yin (Mercurius, tin-bound cinnabar) [each 1 qian].
Grind into powder, mix with refined honey to make pills. Another method: wax pills size of soap pods. When using, quickly take one pill, divide into two, pierce holes, soak in cold water, decoct Da Huang soup to take, then drink a bowl of hot tea to induce evacuation.
Ju Fang lacks Pi Shuang, adds Jin Bo (Gold Foil).
Miao Gong Cang Yong Wan (New Supplement. Also named Xian Ren Wan, also Shen Xiong Wan.). Treats vomiting/refusal to eat, flaccidity/difficulty moving, blood extravasation/bleeding, stranguria/unblocking, or diarrhea, San Jiao congestion, abnormal digestion.
All are suitable for taking, efficacy is indescribable.
Da Huang, Huang Qin, Huang Lian [each half liang]; Hei Qian Niu (1 liang), Hua Shi (2 fen), Jing Jie Sui (Schizonepetae Spica) (2 liang), Fang Feng (Saposhnikoviae Radix) (1 fen), Chuan Xiong (1 liang), Mu Xiang (2 fen), Guan Gui (Cinnamon Bark) (3 fen, peeled).
Grind into powder, make pills with water drops, size of small beans. Take 20-30 pills with Sheng Jiang Tang, three times daily; warm water is also acceptable.