制法 : 上二味,杵為散。
功能主治 : 通竅利水。治妊娠水腫,身重(zhong),小便不利,灑淅惡寒,起即(ji)頭眩。
用法用量 : 用米(mi)飲調(diao)服(fu)3克,一(yi)日三服(fu)。小便(bian)利則愈(yu)。
備注 : 方中(zhong)冬葵子滑(hua)利竅(qiao)道,配以茯苓健脾利水,而且以米飲(yin)調服(fu),既可養胃(wei)抉正(zheng),亦可防(fang)冬葵子之(zhi)過(guo)于滑(hua)利。
摘錄 : 《金匱要略》卷下
處方 : 葵子(zi)1斤,茯苓3兩。
制法 : 上為散。
功能主治 : 通(tong)竅利(li)水。主(zhu)妊娠有水氣,身重(zhong),小便不利(li)。灑(sa)淅惡寒,起則頭(tou)眩。
用法用量 : 茯(fu)苓散(san)(《圣(sheng)濟(ji)總(zong)錄》卷一五七(qi))、茯(fu)苓湯(《雞峰》卷十六(liu))、葵子(zi)散(san)(《宣明論(lun)》卷十五)、葵苓散(san)(《女科指掌》卷三)、葵茯(fu)湯(《產科心(xin)法》上集(ji))。
各家論述 : 《金匱要略心典》:葵子、茯苓滑竅行水,水氣(qi)既行,不(bu)淫肌(ji)膚,身體不(bu)重矣;不(bu)侵衛陽(yang),不(bu)惡寒矣;不(bu)犯清道,不(bu)頭眩矣。
摘錄 : 《金匱》卷下
【本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)語錄(lu)】 1、《本(ben)(ben)(ben)(ben)經(jing)(jing)》:“主(zhu)(zhu)胸脅(xie)逆(ni)(ni)(ni)氣(qi)(qi)(qi)(qi)(qi)(qi),憂恚驚(jing)邪(xie)(xie)(xie)(xie)恐(kong)(kong)悸,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)(xia)結(jie)痛(tong),寒(han)熱(re)(re)(re)(re)煩滿(man),咳(ke)(ke)逆(ni)(ni)(ni),口(kou)(kou)(kou)(kou)焦(jiao)舌(she)(she)(she)干,利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)。” 2、《別錄(lu)》:“止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)消(xiao)渴(ke),好睡,大(da)腹(fu),淋瀝(li),膈中(zhong)(zhong)(zhong)(zhong)痰(tan)(tan)(tan)(tan)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)腫(zhong)(zhong)(zhong)淋結(jie)。開(kai)胸腑,調(diao)(diao)臟氣(qi)(qi)(qi)(qi)(qi)(qi),伐(fa)(fa)腎(shen)(shen)邪(xie)(xie)(xie)(xie),長陰(yin)(yin)(yin),益(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)力,保(bao)神(shen)守中(zhong)(zhong)(zhong)(zhong)。” 3、《藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)性論(lun)》:“開(kai)胃,止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)嘔逆(ni)(ni)(ni),善(shan)安心(xin)(xin)(xin)(xin)(xin)(xin)(xin)神(shen)。主(zhu)(zhu)肺(fei)痿(wei)痰(tan)(tan)(tan)(tan)壅。治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)小(xiao)(xiao)(xiao)(xiao)兒驚(jing)癇,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)腹(fu)脹(zhang)(zhang)滿(man),婦人(ren)熱(re)(re)(re)(re)淋。” 4、《日(ri)華子(zi)本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)》:“補(bu)(bu)(bu)(bu)(bu)(bu)(bu)五(wu)(wu)勞七傷(shang)(shang)(shang),安胎(tai),暖腰膝,開(kai)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)益(yi)(yi)(yi)智(zhi),止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)健(jian)忘。” 5、《傷(shang)(shang)(shang)寒(han)明(ming)理(li)(li)論(lun)》:“滲(shen)(shen)(shen)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)緩脾(pi)(pi)(pi)(pi)(pi)。” 6、《醫學啟(qi)源(yuan)》:“除(chu)濕(shi)(shi)(shi)(shi)(shi),利(li)(li)(li)(li)(li)腰臍(qi)間(jian)(jian)血,和(he)中(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)主(zhu)(zhu)。治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)溺(ni)黃或赤(chi)而(er)(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)利(li)(li)(li)(li)(li)。《主(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)秘(mi)訣》云,止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)瀉(xie)(xie)(xie),除(chu)虛(xu)(xu)熱(re)(re)(re)(re),開(kai)腠理(li)(li),生(sheng)津(jin)液(ye)(ye)。” 7、王好古:“瀉(xie)(xie)(xie)膀(bang)(bang)胱(guang),益(yi)(yi)(yi)脾(pi)(pi)(pi)(pi)(pi)胃。治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)腎(shen)(shen)積奔豚。” 8、《藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)征》:“主(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)悸及(ji)肉瞤筋惕,旁治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)頭眩煩躁(zao)。” 9、陶弘景:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),白(bai)色(se)者(zhe)(zhe)(zhe)補(bu)(bu)(bu)(bu)(bu)(bu)(bu),赤(chi)色(se)者(zhe)(zhe)(zhe)利(li)(li)(li)(li)(li)。” 10、《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)衍義(yi)》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)神(shen),行(xing)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)多(duo)(duo),益(yi)(yi)(yi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)可(ke)闕也(ye)(ye)(ye)(ye)(ye)(ye)。” 11、《用(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)法(fa)》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),淡(dan)(dan)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)利(li)(li)(li)(li)(li)竅(qiao),甘(gan)(gan)(gan)以(yi)(yi)(yi)助(zhu)(zhu)陽(yang)(yang)(yang)(yang),除(chu)濕(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)圣(sheng)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)也(ye)(ye)(ye)(ye)(ye)(ye)。味(wei)(wei)甘(gan)(gan)(gan)平補(bu)(bu)(bu)(bu)(bu)(bu)(bu)陽(yang)(yang)(yang)(yang),益(yi)(yi)(yi)脾(pi)(pi)(pi)(pi)(pi)逐(zhu)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),生(sheng)津(jin)導氣(qi)(qi)(qi)(qi)(qi)(qi)。” 12、《湯(tang)液(ye)(ye)本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),伐(fa)(fa)腎(shen)(shen)邪(xie)(xie)(xie)(xie),小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)澀(se)(se)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)利(li)(li)(li)(li)(li)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),與車前子(zi)相(xiang)(xiang)似,雖利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)而(er)(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)走氣(qi)(qi)(qi)(qi)(qi)(qi)。酒(jiu)浸與光明(ming)朱(zhu)砂同(tong)用(yong)(yong)(yong)(yong)(yong),能(neng)(neng)(neng)(neng)(neng)(neng)(neng)秘(mi)真(zhen)(zhen)。” 13、《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)衍義(yi)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)遺》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),仲(zhong)景利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)用(yong)(yong)(yong)(yong)(yong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),此(ci)(ci)(ci)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)暴新(xin)病(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)要藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)也(ye)(ye)(ye)(ye)(ye)(ye),若陰(yin)(yin)(yin)虛(xu)(xu)者(zhe)(zhe)(zhe),恐(kong)(kong)未為(wei)(wei)(wei)(wei)宜(yi)(yi)。” 14、《綱目》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)》又(you)(you)言(yan)利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian),伐(fa)(fa)腎(shen)(shen)邪(xie)(xie)(xie)(xie),至(zhi)東(dong)垣、王海藏(zang)乃(nai)言(yan)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)者(zhe)(zhe)(zhe)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),澀(se)(se)者(zhe)(zhe)(zhe)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)通(tong)(tong),同(tong)朱(zhu)砂能(neng)(neng)(neng)(neng)(neng)(neng)(neng)秘(mi)真(zhen)(zhen)元。而(er)(er)(er)(er)(er)(er)(er)(er)(er)朱(zhu)丹(dan)溪又(you)(you)言(yan)陰(yin)(yin)(yin)虛(xu)(xu)者(zhe)(zhe)(zhe)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)宜(yi)(yi)用(yong)(yong)(yong)(yong)(yong),義(yi)似相(xiang)(xiang)反(fan),何(he)(he)哉?茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)氣(qi)(qi)(qi)(qi)(qi)(qi)味(wei)(wei)淡(dan)(dan)而(er)(er)(er)(er)(er)(er)(er)(er)(er)滲(shen)(shen)(shen),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)性上(shang)(shang)行(xing),生(sheng)津(jin)液(ye)(ye),開(kai)胺理(li)(li),滋水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)源(yuan)而(er)(er)(er)(er)(er)(er)(er)(er)(er)下(xia)(xia)(xia)(xia)降(jiang)(jiang),利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian),故(gu)(gu)張潔古謂(wei)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)屬(shu)陽(yang)(yang)(yang)(yang),浮(fu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)升,言(yan)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)性也(ye)(ye)(ye)(ye)(ye)(ye);東(dong)垣謂(wei)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)陽(yang)(yang)(yang)(yang)中(zhong)(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陰(yin)(yin)(yin),降(jiang)(jiang)而(er)(er)(er)(er)(er)(er)(er)(er)(er)下(xia)(xia)(xia)(xia),言(yan)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)功(gong)(gong)也(ye)(ye)(ye)(ye)(ye)(ye)。《素問(wen)》云,飲食入(ru)(ru)(ru)胃,游(you)溢精(jing)氣(qi)(qi)(qi)(qi)(qi)(qi),上(shang)(shang)輸(shu)于(yu)(yu)(yu)(yu)(yu)(yu)肺(fei),通(tong)(tong)調(diao)(diao)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)道(dao),下(xia)(xia)(xia)(xia)輸(shu)膀(bang)(bang)胱(guang)。觀此(ci)(ci)(ci),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)知(zhi)淡(dan)(dan)滲(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao),俱皆(jie)(jie)上(shang)(shang)行(xing)而(er)(er)(er)(er)(er)(er)(er)(er)(er)后(hou)下(xia)(xia)(xia)(xia)降(jiang)(jiang),非直下(xia)(xia)(xia)(xia)行(xing)也(ye)(ye)(ye)(ye)(ye)(ye)。小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)源(yuan)亦(yi)(yi)(yi)(yi)異。《素問(wen)》云,肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)盛(sheng)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)便(bian)(bian)(bian)(bian)數而(er)(er)(er)(er)(er)(er)(er)(er)(er)欠,虛(xu)(xu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)欠咳(ke)(ke)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)遺數,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)虛(xu)(xu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)少(shao)氣(qi)(qi)(qi)(qi)(qi)(qi)遺溺(ni),下(xia)(xia)(xia)(xia)焦(jiao)虛(xu)(xu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)遺溺(ni),胞(bao)移熱(re)(re)(re)(re)于(yu)(yu)(yu)(yu)(yu)(yu)膀(bang)(bang)胱(guang)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)遺溺(ni),膀(bang)(bang)胱(guang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)利(li)(li)(li)(li)(li)為(wei)(wei)(wei)(wei)癃,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)約為(wei)(wei)(wei)(wei)遺,厥陰(yin)(yin)(yin)病(bing)(bing)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)遺溺(ni)閉癃。所(suo)(suo)(suo)謂(wei)肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)盛(sheng)者(zhe)(zhe)(zhe),實(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)也(ye)(ye)(ye)(ye)(ye)(ye),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)人(ren)必氣(qi)(qi)(qi)(qi)(qi)(qi)壯脈(mo)(mo)(mo)強(qiang),宜(yi)(yi)用(yong)(yong)(yong)(yong)(yong)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)甘(gan)(gan)(gan)淡(dan)(dan)以(yi)(yi)(yi)滲(shen)(shen)(shen)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)熱(re)(re)(re)(re),故(gu)(gu)曰(yue),小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)者(zhe)(zhe)(zhe)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)也(ye)(ye)(ye)(ye)(ye)(ye)。若夫(fu)肺(fei)虛(xu)(xu)、心(xin)(xin)(xin)(xin)(xin)(xin)(xin)虛(xu)(xu)、胞(bao)熱(re)(re)(re)(re)、厥陰(yin)(yin)(yin)病(bing)(bing)者(zhe)(zhe)(zhe),皆(jie)(jie)虛(xu)(xu)熱(re)(re)(re)(re)也(ye)(ye)(ye)(ye)(ye)(ye),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)人(ren)必上(shang)(shang)熱(re)(re)(re)(re)下(xia)(xia)(xia)(xia)寒(han),脈(mo)(mo)(mo)虛(xu)(xu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)弱(ruo)(ruo),法(fa)當(dang)用(yong)(yong)(yong)(yong)(yong)升陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao),以(yi)(yi)(yi)升水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)降(jiang)(jiang)火(huo)。膀(bang)(bang)胱(guang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)約,下(xia)(xia)(xia)(xia)焦(jiao)虛(xu)(xu)者(zhe)(zhe)(zhe),乃(nai)火(huo)投(tou)于(yu)(yu)(yu)(yu)(yu)(yu)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)泉不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)藏(zang),脫陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)癥(zheng),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)人(ren)必肢冷脈(mo)(mo)(mo)遲,法(fa)當(dang)用(yong)(yong)(yong)(yong)(yong)溫熱(re)(re)(re)(re)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao),峻(jun)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)下(xia)(xia)(xia)(xia),交濟坎離,二證(zheng)皆(jie)(jie)非茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)輩淡(dan)(dan)滲(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)所(suo)(suo)(suo)可(ke)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),故(gu)(gu)曰(yue)陰(yin)(yin)(yin)虛(xu)(xu)者(zhe)(zhe)(zhe)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)宜(yi)(yi)用(yong)(yong)(yong)(yong)(yong)也(ye)(ye)(ye)(ye)(ye)(ye)。陶弘景始言(yan)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)赤(chi)瀉(xie)(xie)(xie)、白(bai)補(bu)(bu)(bu)(bu)(bu)(bu)(bu),李杲復(fu)分(fen)赤(chi)入(ru)(ru)(ru)丙(bing)丁(ding),白(bai)入(ru)(ru)(ru)壬癸,此(ci)(ci)(ci)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)發前入(ru)(ru)(ru)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)秘(mi)者(zhe)(zhe)(zhe);時珍則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)謂(wei)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)神(shen),只當(dang)云赤(chi)入(ru)(ru)(ru)血分(fen),白(bai)入(ru)(ru)(ru)氣(qi)(qi)(qi)(qi)(qi)(qi)分(fen),各從(cong)(cong)(cong)(cong)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)類,如牡丹(dan)、芍藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)義(yi),不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)當(dang)以(yi)(yi)(yi)丙(bing)丁(ding)、壬癸分(fen)也(ye)(ye)(ye)(ye)(ye)(ye),若以(yi)(yi)(yi)丙(bing)丁(ding),壬癸分(fen),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)白(bai)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)神(shen)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)病(bing)(bing),赤(chi)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)入(ru)(ru)(ru)膀(bang)(bang)胱(guang)矣。張元素不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)分(fen)赤(chi)白(bai)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說,于(yu)(yu)(yu)(yu)(yu)(yu)理(li)(li)欠通(tong)(tong)。” 15、《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)經(jing)(jing)疏》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)味(wei)(wei)甘(gan)(gan)(gan)平,性則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)無(wu)毒(du),入(ru)(ru)(ru)手(shou)(shou)足(zu)(zu)少(shao)陰(yin)(yin)(yin),手(shou)(shou)大(da)陽(yang)(yang)(yang)(yang),足(zu)(zu)太陰(yin)(yin)(yin)、陽(yang)(yang)(yang)(yang)明(ming)經(jing)(jing),陽(yang)(yang)(yang)(yang)中(zhong)(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陰(yin)(yin)(yin)也(ye)(ye)(ye)(ye)(ye)(ye)。胸脅(xie)逆(ni)(ni)(ni)氣(qi)(qi)(qi)(qi)(qi)(qi),邪(xie)(xie)(xie)(xie)在(zai)(zai)(zai)(zai)手(shou)(shou)少(shao)陰(yin)(yin)(yin)也(ye)(ye)(ye)(ye)(ye)(ye);憂恚驚(jing)邪(xie)(xie)(xie)(xie),皆(jie)(jie)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)氣(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)足(zu)(zu)也(ye)(ye)(ye)(ye)(ye)(ye);恐(kong)(kong)悸者(zhe)(zhe)(zhe),腎(shen)(shen)志不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)足(zu)(zu)也(ye)(ye)(ye)(ye)(ye)(ye);心(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)(xia)結(jie)痛(tong),寒(han)熱(re)(re)(re)(re)煩滿(man),咳(ke)(ke)逆(ni)(ni)(ni),口(kou)(kou)(kou)(kou)焦(jiao)舌(she)(she)(she)干,亦(yi)(yi)(yi)(yi)手(shou)(shou)少(shao)陰(yin)(yin)(yin)受(shou)邪(xie)(xie)(xie)(xie)也(ye)(ye)(ye)(ye)(ye)(ye)。甘(gan)(gan)(gan)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong),淡(dan)(dan)而(er)(er)(er)(er)(er)(er)(er)(er)(er)利(li)(li)(li)(li)(li)竅(qiao),補(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)實(shi)(shi)(shi)(shi),利(li)(li)(li)(li)(li)竅(qiao)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)邪(xie)(xie)(xie)(xie)熱(re)(re)(re)(re)解(jie),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)實(shi)(shi)(shi)(shi)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)憂恚驚(jing)邪(xie)(xie)(xie)(xie)自(zi)(zi)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),邪(xie)(xie)(xie)(xie)熱(re)(re)(re)(re)解(jie)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)(xia)結(jie)痛(tong)、寒(han)熱(re)(re)(re)(re)煩滿(man),咳(ke)(ke)逆(ni)(ni)(ni)、口(kou)(kou)(kou)(kou)焦(jiao)舌(she)(she)(she)干自(zi)(zi)除(chu),中(zhong)(zhong)(zhong)(zhong)焦(jiao)受(shou)濕(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)口(kou)(kou)(kou)(kou)發渴(ke),濕(shi)(shi)(shi)(shi)(shi)在(zai)(zai)(zai)(zai)脾(pi)(pi)(pi)(pi)(pi),脾(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)弱(ruo)(ruo)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)好睡,大(da)腹(fu)者(zhe)(zhe)(zhe),脾(pi)(pi)(pi)(pi)(pi)土(tu)(tu)虛(xu)(xu)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),故(gu)(gu)腹(fu)脹(zhang)(zhang)大(da)也(ye)(ye)(ye)(ye)(ye)(ye)。淋瀝(li)者(zhe)(zhe)(zhe),脾(pi)(pi)(pi)(pi)(pi)受(shou)濕(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)(xie)(xie),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)道(dao)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)利(li)(li)(li)(li)(li)也(ye)(ye)(ye)(ye)(ye)(ye)。膈中(zhong)(zhong)(zhong)(zhong)痰(tan)(tan)(tan)(tan)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)腫(zhong)(zhong)(zhong),皆(jie)(jie)緣脾(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)所(suo)(suo)(suo)致,中(zhong)(zhong)(zhong)(zhong)焦(jiao)者(zhe)(zhe)(zhe),脾(pi)(pi)(pi)(pi)(pi)土(tu)(tu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)(suo)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)也(ye)(ye)(ye)(ye)(ye)(ye),中(zhong)(zhong)(zhong)(zhong)焦(jiao)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),故(gu)(gu)見(jian)斯病(bing)(bing),利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)實(shi)(shi)(shi)(shi)脾(pi)(pi)(pi)(pi)(pi),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)證(zheng)自(zi)(zi)退(tui)(tui)矣。開(kai)胸腑,調(diao)(diao)臟氣(qi)(qi)(qi)(qi)(qi)(qi),伐(fa)(fa)腎(shen)(shen)邪(xie)(xie)(xie)(xie)者(zhe)(zhe)(zhe),何(he)(he)莫非利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)除(chu)濕(shi)(shi)(shi)(shi)(shi),解(jie)熱(re)(re)(re)(re)散結(jie)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)也(ye)(ye)(ye)(ye)(ye)(ye)。白(bai)者(zhe)(zhe)(zhe)入(ru)(ru)(ru)氣(qi)(qi)(qi)(qi)(qi)(qi)分(fen),赤(chi)者(zhe)(zhe)(zhe)入(ru)(ru)(ru)血分(fen),補(bu)(bu)(bu)(bu)(bu)(bu)(bu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)益(yi)(yi)(yi)脾(pi)(pi)(pi)(pi)(pi),白(bai)優(you)于(yu)(yu)(yu)(yu)(yu)(yu)赤(chi),通(tong)(tong)利(li)(li)(li)(li)(li)小(xiao)(xiao)(xiao)(xiao)腸(chang),專除(chu)濕(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re),赤(chi)亦(yi)(yi)(yi)(yi)勝白(bai)。” 16、《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)正(zheng)(zheng)》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),能(neng)(neng)(neng)(neng)(neng)(neng)(neng)利(li)(li)(li)(li)(li)竅(qiao)去(qu)(qu)濕(shi)(shi)(shi)(shi)(shi),利(li)(li)(li)(li)(li)竅(qiao)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)開(kai)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)益(yi)(yi)(yi)智(zhi),導濁(zhuo)生(sheng)津(jin);去(qu)(qu)濕(shi)(shi)(shi)(shi)(shi)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)逐(zhu)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)燥脾(pi)(pi)(pi)(pi)(pi),補(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)健(jian)胃;祛驚(jing)癇,厚腸(chang)藏(zang),治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)(ben),助(zhu)(zhu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)降(jiang)(jiang)。以(yi)(yi)(yi)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)味(wei)(wei)有(you)(you)微甘(gan)(gan)(gan),故(gu)(gu)曰(yue)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)陽(yang)(yang)(yang)(yang)。但(dan)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)少(shao)利(li)(li)(li)(li)(li)多(duo)(duo),故(gu)(gu)多(duo)(duo)服最能(neng)(neng)(neng)(neng)(neng)(neng)(neng)損目,久弱(ruo)(ruo)極(ji)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)相(xiang)(xiang)宜(yi)(yi)。若以(yi)(yi)(yi)人(ren)乳拌曬,乳粉既(ji)多(duo)(duo),補(bu)(bu)(bu)(bu)(bu)(bu)(bu)陰(yin)(yin)(yin)亦(yi)(yi)(yi)(yi)妙。” 17、《藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)品(pin)化義(yi)》:“白(bai)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),味(wei)(wei)獨甘(gan)(gan)(gan)淡(dan)(dan),甘(gan)(gan)(gan)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)補(bu)(bu)(bu)(bu)(bu)(bu)(bu),淡(dan)(dan)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)滲(shen)(shen)(shen),甘(gan)(gan)(gan)淡(dan)(dan)屬(shu)土(tu)(tu),用(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)脾(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)(yin),土(tu)(tu)旺生(sheng)金,兼益(yi)(yi)(yi)肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)。主(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)胃不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)和(he),泄(xie)瀉(xie)(xie)(xie)腹(fu)脹(zhang)(zhang),胸脅(xie)逆(ni)(ni)(ni)氣(qi)(qi)(qi)(qi)(qi)(qi),憂思煩滿(man),胎(tai)氣(qi)(qi)(qi)(qi)(qi)(qi)少(shao)安,魂(hun)魄驚(jing)跳(tiao),膈間(jian)(jian)痰(tan)(tan)(tan)(tan)氣(qi)(qi)(qi)(qi)(qi)(qi)。蓋甘(gan)(gan)(gan)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)脾(pi)(pi)(pi)(pi)(pi)臟受(shou)益(yi)(yi)(yi),中(zhong)(zhong)(zhong)(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)既(ji)和(he),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)津(jin)液(ye)(ye)自(zi)(zi)生(sheng),口(kou)(kou)(kou)(kou)焦(jiao)舌(she)(she)(she)于(yu)(yu)(yu)(yu)(yu)(yu)煩渴(ke)亦(yi)(yi)(yi)(yi)解(jie)。又(you)(you)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)下(xia)(xia)(xia)(xia)部(bu)濕(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re),淋瀝(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)腫(zhong)(zhong)(zhong)。便(bian)(bian)(bian)(bian)溺(ni)黃赤(chi),腰臍(qi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)利(li)(li)(li)(li)(li),停(ting)蓄(xu)邪(xie)(xie)(xie)(xie)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)。蓋淡(dan)(dan)滲(shen)(shen)(shen)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)膀(bang)(bang)胱(guang)得養(yang),腎(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)既(ji)旺,則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)腰臍(qi)間(jian)(jian)血自(zi)(zi)利(li)(li)(li)(li)(li),津(jin)道(dao)流行(xing),益(yi)(yi)(yi)肺(fei)于(yu)(yu)(yu)(yu)(yu)(yu)上(shang)(shang)源(yuan),補(bu)(bu)(bu)(bu)(bu)(bu)(bu)脾(pi)(pi)(pi)(pi)(pi)于(yu)(yu)(yu)(yu)(yu)(yu)中(zhong)(zhong)(zhong)(zhong)部(bu),令脾(pi)(pi)(pi)(pi)(pi)肺(fei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)從(cong)(cong)(cong)(cong)上(shang)(shang)順下(xia)(xia)(xia)(xia),通(tong)(tong)調(diao)(diao)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)道(dao),以(yi)(yi)(yi)輸(shu)膀(bang)(bang)胱(guang),故(gu)(gu)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)而(er)(er)(er)(er)(er)(er)(er)(er)(er)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),澀(se)(se)而(er)(er)(er)(er)(er)(er)(er)(er)(er)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)利(li)(li)(li)(li)(li)。” 18、《本(ben)(ben)(ben)(ben)草(cao)(cao)(cao)求真(zhen)(zhen)》:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)入(ru)(ru)(ru)四(si)君,則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)佐參術(shu)(shu)以(yi)(yi)(yi)滲(shen)(shen)(shen)脾(pi)(pi)(pi)(pi)(pi)家之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)濕(shi)(shi)(shi)(shi)(shi),入(ru)(ru)(ru)六(liu)味(wei)(wei),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)使澤瀉(xie)(xie)(xie)以(yi)(yi)(yi)行(xing)腎(shen)(shen)邪(xie)(xie)(xie)(xie)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)余(yu),最為(wei)(wei)(wei)(wei)利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)除(chu)濕(shi)(shi)(shi)(shi)(shi)要藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)。書曰(yue)健(jian)脾(pi)(pi)(pi)(pi)(pi),即水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)去(qu)(qu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)脾(pi)(pi)(pi)(pi)(pi)自(zi)(zi)健(jian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)謂(wei)也(ye)(ye)(ye)(ye)(ye)(ye)。……且水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)既(ji)去(qu)(qu),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)自(zi)(zi)開(kai),安有(you)(you)癃閉之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)慮(lv)(lv)乎,水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)去(qu)(qu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)內(nei)濕(shi)(shi)(shi)(shi)(shi)已消(xiao),安有(you)(you)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)多(duo)(duo)見(jian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)謂(wei)乎。故(gu)(gu)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)去(qu)(qu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)胸膈自(zi)(zi)寬而(er)(er)(er)(er)(er)(er)(er)(er)(er)結(jie)痛(tong)煩滿(man)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)作,水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)去(qu)(qu)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)津(jin)液(ye)(ye)自(zi)(zi)生(sheng)而(er)(er)(er)(er)(er)(er)(er)(er)(er)口(kou)(kou)(kou)(kou)苦舌(she)(she)(she)干悉去(qu)(qu)。” 19、《本(ben)(ben)(ben)(ben)經(jing)(jing)疏證(zheng)》:“夫(fu)氣(qi)(qi)(qi)(qi)(qi)(qi)以(yi)(yi)(yi)潤而(er)(er)(er)(er)(er)(er)(er)(er)(er)行(xing),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)以(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)(er)(er)(er)(er)運,水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)停(ting)即氣(qi)(qi)(qi)(qi)(qi)(qi)阻,氣(qi)(qi)(qi)(qi)(qi)(qi)阻則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)淤。茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)者(zhe)(zhe)(zhe),純以(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)用(yong)(yong)(yong)(yong)(yong),故(gu)(gu)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)咸以(yi)(yi)(yi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)為(wei)(wei)(wei)(wei)事,觀于(yu)(yu)(yu)(yu)(yu)(yu)仲(zhong)景書,其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)顯然可(ke)識者(zhe)(zhe)(zhe),如隨(sui)氣(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)阻而(er)(er)(er)(er)(er)(er)(er)(er)(er)宣水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)(茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)甘(gan)(gan)(gan)草(cao)(cao)(cao)湯(tang));隨(sui)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)淤而(er)(er)(er)(er)(er)(er)(er)(er)(er)化氣(qi)(qi)(qi)(qi)(qi)(qi)(五(wu)(wu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)散);氣(qi)(qi)(qi)(qi)(qi)(qi)以(yi)(yi)(yi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)而(er)(er)(er)(er)(er)(er)(er)(er)(er)逆(ni)(ni)(ni),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)冠以(yi)(yi)(yi)導水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)而(er)(er)(er)(er)(er)(er)(er)(er)(er)下(xia)(xia)(xia)(xia)氣(qi)(qi)(qi)(qi)(qi)(qi)隨(sui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)桂枝甘(gan)(gan)(gan)草(cao)(cao)(cao)大(da)棗湯(tang)、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)桂枝白(bai)術(shu)(shu)甘(gan)(gan)(gan)草(cao)(cao)(cao)湯(tang));水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)以(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)(er)(er)(er)(er)涌(yong),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)首以(yi)(yi)(yi)下(xia)(xia)(xia)(xia)氣(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)(er)(er)(er)(er)導水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)為(wei)(wei)(wei)(wei)佐(桂枝五(wu)(wu)味(wei)(wei)甘(gan)(gan)(gan)草(cao)(cao)(cao)及(ji)諸加(jia)減湯(tang));水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)與氣(qi)(qi)(qi)(qi)(qi)(qi)并壅于(yu)(yu)(yu)(yu)(yu)(yu)上(shang)(shang),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)從(cong)(cong)(cong)(cong)旁泄(xie)而(er)(er)(er)(er)(er)(er)(er)(er)(er)慮(lv)(lv)傷(shang)(shang)(shang)無(wu)過(茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)杏(xing)仁甘(gan)(gan)(gan)草(cao)(cao)(cao)湯(tang)、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)戎鹽(yan)湯(tang)、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)澤瀉(xie)(xie)(xie)湯(tang));氣(qi)(qi)(qi)(qi)(qi)(qi)與水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)偕溢于(yu)(yu)(yu)(yu)(yu)(yu)外,則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)從(cong)(cong)(cong)(cong)內(nei)挽而(er)(er)(er)(er)(er)(er)(er)(er)(er)防脫其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)陽(yang)(yang)(yang)(yang)(防己茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)湯(tang));氣(qi)(qi)(qi)(qi)(qi)(qi)外耗(hao)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)內(nei)迫(po),故(gu)(gu)為(wei)(wei)(wei)(wei)君于(yu)(yu)(yu)(yu)(yu)(yu)啟(qi)陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)劑(茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)四(si)逆(ni)(ni)(ni)湯(tang));氣(qi)(qi)(qi)(qi)(qi)(qi)下(xia)(xia)(xia)(xia)阻則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)中(zhong)(zhong)(zhong)(zhong)停(ting),故(gu)(gu)見(jian)功(gong)(gong)于(yu)(yu)(yu)(yu)(yu)(yu)妊(ren)娠之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)疴(桂枝茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)丸、葵(kui)子(zi)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)散)。凡此(ci)(ci)(ci)皆(jie)(jie)起(qi)陰(yin)(yin)(yin)以(yi)(yi)(yi)從(cong)(cong)(cong)(cong)陽(yang)(yang)(yang)(yang),布(bu)陽(yang)(yang)(yang)(yang)以(yi)(yi)(yi)化陰(yin)(yin)(yin),使請者(zhe)(zhe)(zhe)條鬯,濁(zhuo)者(zhe)(zhe)(zhe)自(zi)(zi)然退(tui)(tui)聽,或從(cong)(cong)(cong)(cong)下(xia)(xia)(xia)(xia)行(xing),或從(cong)(cong)(cong)(cong)外達,是用(yong)(yong)(yong)(yong)(yong)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)旨,在(zai)(zai)(zai)(zai)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)在(zai)(zai)(zai)(zai)泄(xie),茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)(yong)(yong),在(zai)(zai)(zai)(zai)泄(xie)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)在(zai)(zai)(zai)(zai)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)矣也(ye)(ye)(ye)(ye)(ye)(ye)。”[1] 20、《醫學衷中(zhong)(zhong)(zhong)(zhong)參西錄(lu)》:友人(ren)竹芷(zhi)熙(xi)曰(yue):“嵊(sheng)(sheng)縣地固多(duo)(duo)山(shan),有(you)(you)葛溪口(kou)(kou)(kou)(kou),嵊(sheng)(sheng)東(dong)山(shan)名(ming)也(ye)(ye)(ye)(ye)(ye)(ye)。本(ben)(ben)(ben)(ben)層(ceng)巒(luan)迭嶂(zhang),峰回水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)繞之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)(suo),吳氏聚族而(er)(er)(er)(er)(er)(er)(er)(er)(er)居,約四(si)五(wu)(wu)十家,以(yi)(yi)(yi)種苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)為(wei)(wei)(wei)(wei)業(ye),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)種苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa),秘(mi)而(er)(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)宣,雖親戚不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)告焉。新(xin)嵊(sheng)(sheng)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)肆(si)間(jian)(jian),茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)皆(jie)(jie)出(chu)于(yu)(yu)(yu)(yu)(yu)(yu)是。春間(jian)(jian)吳氏之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)媳病(bing)(bing),蓋產后(hou)月余(yu),壯熱(re)(re)(re)(re)口(kou)(kou)(kou)(kou)渴(ke)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)引飲,汗出(chu)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)寐(mei),延(yan)余(yu)往治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),病(bing)(bing)人(ren)面現紅色(se),脈(mo)(mo)(mo)有(you)(you)滑(hua)象(xiang),急用(yong)(yong)(yong)(yong)(yong)甘(gan)(gan)(gan)草(cao)(cao)(cao)、麥(mai)冬、竹葉(xie)、柏(bo)子(zi)仁、浮(fu)小(xiao)(xiao)(xiao)(xiao)麥(mai)、大(da)棗煎飲不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)效;繼用(yong)(yong)(yong)(yong)(yong)酸(suan)棗仁湯(tang),減川(chuan)芎加(jia)浮(fu)小(xiao)(xiao)(xiao)(xiao)麥(mai)大(da)棗,亦(yi)(yi)(yi)(yi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)效;又(you)(you)用(yong)(yong)(yong)(yong)(yong)歸脾(pi)(pi)(pi)(pi)(pi)湯(tang)加(jia)龍骨、牡蠣、萸肉則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)仍然如故(gu)(gu)。當(dang)此(ci)(ci)(ci)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)時,余(yu)束(shu)手(shou)(shou)無(wu)策,忽一人(ren)進(jin)而(er)(er)(er)(er)(er)(er)(er)(er)(er)言(yan)曰(yue):‘何(he)(he)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)用(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)以(yi)(yi)(yi)緩之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)’,余(yu)思此(ci)(ci)(ci)無(wu)稽之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)談,所(suo)(suo)(suo)云補(bu)(bu)(bu)(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)者(zhe)(zhe)(zhe),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)無(wu)見(jian)識也(ye)(ye)(ye)(ye)(ye)(ye),姑漫應之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi).時已屆晚寢之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)時,至(zhi)次日(ri)早起(qi),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)翁奔告曰(yue):‘予媳之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)昨(zuo)夜(ye)用(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)醫痊矣。’余(yu)將信將疑,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)識補(bu)(bu)(bu)(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)究(jiu)系(xi)何(he)(he)物(wu),乃(nai)翁持渣來(lai)(lai)見(jian),缽(bo)中(zhong)(zhong)(zhong)(zhong)有(you)(you)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)四(si)五(wu)(wu)兩(liang).噫,茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)焉,胡(hu)為(wei)(wei)(wei)(wei)云補(bu)(bu)(bu)(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)哉?余(yu)半晌不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)言(yan).危坐思之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),凡病(bing)(bing)有(you)(you)一線生(sheng)機,皆(jie)(jie)可(ke)醫治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi).茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)固治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)要藥(yao)(yao)(yao)(yao)(yao)(yao)(yao),亦(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)汗出(chu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)主(zhu)(zhu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)。仲(zhong)景治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)傷(shang)(shang)(shang)寒(han)汗出(chu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)渴(ke)者(zhe)(zhe)(zhe)五(wu)(wu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)散,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)渴(ke)者(zhe)(zhe)(zhe)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)甘(gan)(gan)(gan)草(cao)(cao)(cao)湯(tang)。傷(shang)(shang)(shang)寒(han)厥而(er)(er)(er)(er)(er)(er)(er)(er)(er)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)(xia)悸者(zhe)(zhe)(zhe)宜(yi)(yi)先治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),當(dang)服茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)甘(gan)(gan)(gan)草(cao)(cao)(cao)湯(tang)。可(ke)知(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸者(zhe)(zhe)(zhe)汗出(chu)過多(duo)(duo),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)液(ye)(ye)內(nei)涸,腎(shen)(shen)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)上(shang)(shang)救入(ru)(ru)(ru)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)悸,余(yu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),故(gu)(gu)用(yong)(yong)(yong)(yong)(yong)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)以(yi)(yi)(yi)鎮之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。是證(zheng)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)寐(mei),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)寐(mei)由心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸而(er)(er)(er)(er)(er)(er)(er)(er)(er)來(lai)(lai),即心(xin)(xin)(xin)(xin)(xin)(xin)(xin)悸亦(yi)(yi)(yi)(yi)從(cong)(cong)(cong)(cong)汗出(chu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)來(lai)(lai),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)壯熱(re)(re)(re)(re)口(kou)(kou)(kou)(kou)渴(ke)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)引飲,脈(mo)(mo)(mo)滑(hua),皆(jie)(jie)有(you)(you)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)氣(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)象(xiang),今幸遇種苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)家,否則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)汗出(chu)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),終當(dang)亡陽(yang)(yang)(yang)(yang),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)氣(qi)(qi)(qi)(qi)(qi)(qi)凌(ling)心(xin)(xin)(xin)(xin)(xin)(xin)(xin),必當(dang)滅火(huo),是誰之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)過歟(yu)?余(yu)引咎(jiu)而(er)(er)(er)(er)(er)(er)(er)(er)(er)退(tui)(tui)。” 【醫家名(ming)錄(lu)】 1、凡用(yong)(yong)(yong)(yong)(yong)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling),其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)目的(de)在(zai)(zai)(zai)(zai)于(yu)(yu)(yu)(yu)(yu)(yu)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)在(zai)(zai)(zai)(zai)于(yu)(yu)(yu)(yu)(yu)(yu)泄(xie),茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)作用(yong)(yong)(yong)(yong)(yong),在(zai)(zai)(zai)(zai)于(yu)(yu)(yu)(yu)(yu)(yu)泄(xie)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)在(zai)(zai)(zai)(zai)于(yu)(yu)(yu)(yu)(yu)(yu)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)。蓋氣(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)(suo)至(zhi),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)亦(yi)(yi)(yi)(yi)無(wu)所(suo)(suo)(suo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)至(zhi),氣(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)(suo)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)亦(yi)(yi)(yi)(yi)無(wu)所(suo)(suo)(suo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),利(li)(li)(li)(li)(li)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)所(suo)(suo)(suo)以(yi)(yi)(yi)行(xing)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)氣(qi)(qi)(qi)(qi)(qi)(qi)也(ye)(ye)(ye)(ye)(ye)(ye)。茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)寧心(xin)(xin)(xin)(xin)(xin)(xin)(xin)益(yi)(yi)(yi)脾(pi)(pi)(pi)(pi)(pi)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)腎(shen)(shen),以(yi)(yi)(yi)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)行(xing)有(you)(you)形之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui),布(bu)無(wu)形之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)也(ye)(ye)(ye)(ye)(ye)(ye)。 2、利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)行(xing)氣(qi)(qi)(qi)(qi)(qi)(qi),起(qi)陰(yin)(yin)(yin)以(yi)(yi)(yi)從(cong)(cong)(cong)(cong)陽(yang)(yang)(yang)(yang),布(bu)陽(yang)(yang)(yang)(yang)以(yi)(yi)(yi)化陰(yin)(yin)(yin),俾清生(sheng)濁(zhuo)降(jiang)(jiang),外達下(xia)(xia)(xia)(xia)行(xing),而(er)(er)(er)(er)(er)(er)(er)(er)(er)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)腎(shen)(shen)三(san)臟得以(yi)(yi)(yi)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)益(yi)(yi)(yi)也(ye)(ye)(ye)(ye)(ye)(ye)。 3、茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)淡(dan)(dan)而(er)(er)(er)(er)(er)(er)(er)(er)(er)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)滲(shen)(shen)(shen),甘(gan)(gan)(gan)而(er)(er)(er)(er)(er)(er)(er)(er)(er)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)補(bu)(bu)(bu)(bu)(bu)(bu)(bu),能(neng)(neng)(neng)(neng)(neng)(neng)(neng)瀉(xie)(xie)(xie)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)補(bu)(bu)(bu)(bu)(bu)(bu)(bu),兩(liang)得其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)宜(yi)(yi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)也(ye)(ye)(ye)(ye)(ye)(ye)。利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)濕(shi)(shi)(shi)(shi)(shi)以(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)腫(zhong)(zhong)(zhong)小(xiao)(xiao)(xiao)(xiao)便(bian)(bian)(bian)(bian)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)利(li)(li)(li)(li)(li),化痰(tan)(tan)(tan)(tan)飲以(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)咳(ke)(ke)咳(ke)(ke)嗽、痰(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)入(ru)(ru)(ru)絡之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)癥(zheng),健(jian)脾(pi)(pi)(pi)(pi)(pi)胃而(er)(er)(er)(er)(er)(er)(er)(er)(er)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)瀉(xie)(xie)(xie)止(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)帶,寧心(xin)(xin)(xin)(xin)(xin)(xin)(xin)神(shen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)驚(jing)悸失眠。藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)性平和(he),無(wu)傷(shang)(shang)(shang)正(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)弊,以(yi)(yi)(yi)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)既(ji)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)扶正(zheng)(zheng),又(you)(you)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)祛邪(xie)(xie)(xie)(xie),故(gu)(gu)脾(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)濕(shi)(shi)(shi)(shi)(shi)盛(sheng),正(zheng)(zheng)虛(xu)(xu)邪(xie)(xie)(xie)(xie)實(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)癥(zheng)尤為(wei)(wei)(wei)(wei)適宜(yi)(yi)。 4、世補(bu)(bu)(bu)(bu)(bu)(bu)(bu)齋醫書有(you)(you)云:“茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)一味(wei)(wei)為(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)主(zhu)(zhu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)。痰(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)(ben),水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)也(ye)(ye)(ye)(ye)(ye)(ye),茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)可(ke)以(yi)(yi)(yi)利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui);痰(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)動,濕(shi)(shi)(shi)(shi)(shi)也(ye)(ye)(ye)(ye)(ye)(ye),茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)有(you)(you)可(ke)行(xing)濕(shi)(shi)(shi)(shi)(shi)。”以(yi)(yi)(yi)為(wei)(wei)(wei)(wei)其(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)化痰(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)實(shi)(shi)(shi)(shi)與利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)滲(shen)(shen)(shen)濕(shi)(shi)(shi)(shi)(shi)攸關,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)無(wu)道(dao)理(li)(li)。然則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)利(li)(li)(li)(li)(li)水(shui)(shui)(shui)(shui)(shui)(shui)(shui)(shui)滲(shen)(shen)(shen)濕(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品(pin),并非均能(neng)(neng)(neng)(neng)(neng)(neng)(neng)化痰(tan)(tan)(tan)(tan),則(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)(ze)茯(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)苓(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)(ling)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)(yong)(yong),亦(yi)(yi)(yi)(yi)有(you)(you)所(suo)(suo)(suo)特殊者(zhe)(zhe)(zhe)。
應該是冬葵子,如:
妊娠有水氣,身重,小便不利,灑淅惡寒,起即頭眩,葵子茯苓散主之。(二十,8)
葵子茯苓散方
葵子(一斤) 茯苓(三兩)
右二味,杵為散,飲服方寸匕。日三服,小便利則愈。
冬葵子(zi)(zi)(zi)又(you)名葵子(zi)(zi)(zi)、葵菜子(zi)(zi)(zi)。為錦葵科一年生草(cao)本(ben)植物冬葵的(de)成(cheng)熟(shu)種(zhong)子(zi)(zi)(zi)。中國(guo)各(ge)地(di)均(jun)產。夏秋季種(zhong)子(zi)(zi)(zi)成(cheng)熟(shu)時采收。曬干(gan),生用,搗碎入藥。本(ben)品甘寒(han)滑利,既能利水(shui)通淋,又(you)能下(xia)乳、潤腸(chang),二便不利者均(jun)宜。
目錄(lu)(lu)1拼音(yin)2《金(jin)匱要略》卷中:栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸 2.1處方(fang)2.2制法(fa)2.3功能主(zhu)治(zhi)2.4栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸的(de)用(yong)(yong)法(fa)用(yong)(yong)量(liang)2.5備注2.6摘錄(lu)(lu) 3《金(jin)匱》卷中 3.1方(fang)名(ming)3.2栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸的(de)別名(ming)3.3組(zu)成3.4功效3.5主(zhu)治(zhi)3.6栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸的(de)用(yong)(yong)法(fa)用(yong)(yong)量(liang)3.7制備方(fang)法(fa)3.8栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸的(de)臨床(chuang)應用(yong)(yong)3.9各家論(lun)述3.10附(fu)注 附(fu):1古籍中的(de)栝(gua)(gua)樓(lou)瞿(ju)麥(mai)丸 1拼音(yin) guā lóu qú mài wán
2《金匱要(yao)略》卷中:栝樓瞿麥(mai)丸
3《金匱》卷中
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《藥征續編》:[卷(juan)下]瞿(ju)麥 栝蔞瞿(ju)麥丸。上一方(fang)。《藥征續編》...
《傷寒溯(su)源集》:[卷之十厥陰篇]瘥后(hou)諸證證治第二十二
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體內有水(shui)(shui)(shui)(shui)濕,可(ke)導致(zhi)多種病證。祛除體內水(shui)(shui)(shui)(shui)濕,一個(ge)重要的方法(fa)是利水(shui)(shui)(shui)(shui)滲濕,該法(fa)可(ke)通(tong)利水(shui)(shui)(shui)(shui)道、滲泄水(shui)(shui)(shui)(shui)濕,適(shi)用(yong)于水(shui)(shui)(shui)(shui)濕壅(yong)盛所致(zhi)水(shui)(shui)(shui)(shui)腫、小(xiao)便(bian)不利、痰飲、淋證等水(shui)(shui)(shui)(shui)濕病證。臨床(chuang)如(ru)何(he)應(ying)用(yong)此(ci)法(fa)呢?具體表現在(zai)以下10個(ge)方面。
(一)化氣行水,兼以解表
該法用于表邪未解之蓄水證、水濕內停及痰飲證 :①外有表證,內停水濕者。癥見頭痛發熱,煩渴欲飲或水入即吐,舌質淡,苔白或薄白而水滑,脈浮。②水濕內停者。癥見水腫,泄瀉,小便不利以及霍亂吐瀉等癥。③痰飲者。癥見臍下動悸,吐涎沫而頭眩,或短氣而咳。代表方五苓散。五苓散方具有健脾、滲濕、利水、溫通、解表等功效 。
本法(fa)重在利(li)水(shui)(shui)滲濕(shi)(shi),故又可用(yong)(yong)于水(shui)(shui)濕(shi)(shi)內盛之(zhi)水(shui)(shui)腫、小便不利(li)。濕(shi)(shi)盛之(zhi)泄瀉,以此(ci)(ci)分利(li)小便,濕(shi)(shi)去(qu)瀉必止。痰(tan)飲,臍(qi)下動悸(ji)而頭眩(xuan)者(zhe),為飲停下焦,用(yong)(yong)本法(fa)利(li)水(shui)(shui),則飲去(qu)悸(ji)眩(xuan)自愈。霍亂屬濕(shi)(shi)濁(zhuo)而兼表邪者(zhe),亦可以此(ci)(ci)法(fa)利(li)濕(shi)(shi)解表而治之(zhi)。
該法(fa)用于腎炎(yan)(yan)(yan)水(shui)腫(zhong)(zhong)(zhong),泌尿系感(gan)染,黃疸性(xing)肝炎(yan)(yan)(yan),慢性(xing)充(chong)血(xue)性(xing)心力衰(shuai)竭,滲出性(xing)胸(xiong)膜(mo)炎(yan)(yan)(yan)(包括(kuo)結核(he)性(xing)),急慢性(xing)腸(chang)炎(yan)(yan)(yan),單純性(xing)肥胖癥(zheng),尿潴留,腦積(ji)水(shui),多種眼疾如青光眼、眼瞼非炎(yan)(yan)(yan)癥(zheng)性(xing)水(shui)腫(zhong)(zhong)(zhong)、球結膜(mo)淋巴液(ye)潴留、虹膜(mo)睫狀(zhuang)體炎(yan)(yan)(yan)和視(shi)網膜(mo)水(shui)腫(zhong)(zhong)(zhong)等以及(ji)治療嬰幼兒輪狀(zhuang)病毒腸(chang)炎(yan)(yan)(yan)。此(ci)外,還可(ke)用本方(fang)(fang)治療慢性(xing)胃(wei)炎(yan)(yan)(yan)、胃(wei)腸(chang)型(xing)感(gan)冒(mao)、原發(fa)性(xing)血(xue)小板減(jian)少性(xing)紫癜、汗(han)證、肝硬化腹(fu)水(shui),以及(ji)本方(fang)(fang)加減(jian)用于睪丸鞘膜(mo)積(ji)液(ye)、結扎(zha)術(shu)后并發(fa)陰(yin)囊(nang)血(xue)腫(zhong)(zhong)(zhong)、卵(luan)巢囊(nang)腫(zhong)(zhong)(zhong)、乳腺(xian)小葉增生(sheng)癥(zheng)、閉經、帶下(xia)、老(lao)年性(xing)陰(yin)道炎(yan)(yan)(yan)等,均獲滿(man)意療效。
(二)健脾利濕,益腎利尿
該法用于勞淋或膏淋證 。癥見尿后余瀝不盡,小便不黃,刺痛不顯,飲食減少,身體瘦弱,心下悸,腰膝酸軟,四肢無力,舌淡苔白等。代表方茯苓戎鹽湯 。
該方(fang)合用(yong)(yong)蒲灰(hui)散治療急性腎盂腎炎、急性泌尿系感(gan)染等病(bing),取(qu)得較好療效(xiao)。此外,有人用(yong)(yong)該方(fang)合用(yong)(yong)滑石(shi)白魚散治療膀胱結石(shi)取(qu)得了較好的療效(xiao)。
(三)滑利通竅,淡滲利水
該法用于妊娠水氣(即子腫)病 。 癥見身重,小便不利,灑淅惡寒,起即頭眩,全身浮腫等。代表方葵子茯苓散 。
本(ben)(ben)方(fang)乃(nai)治標權宜之法,不(bu)可(ke)長期服(fu)用,一旦(dan)小便(bian)通(tong)利(li)(li),則應停(ting)服(fu)。由(you)于該病(bing)主要(yao)為氣(qi)化(hua)受阻,小便(bian)不(bu)利(li)(li),故應利(li)(li)水(shui)(shui)通(tong)陽(yang)為治,使小便(bian)通(tong)利(li)(li)而(er)水(shui)(shui)濕去,水(shui)(shui)有去路而(er)氣(qi)化(hua)陽(yang)通(tong),則諸(zhu)癥(zheng)自(zi)除。本(ben)(ben)方(fang)證(zheng)若(ruo)兼脹(zhang)滿者(zhe),加(jia)紫蘇、砂仁(ren);頭面四肢皆腫,加(jia)澤(ze)瀉(xie)、豬苓;喘者(zhe)加(jia)葶藶子(zi)、桑白皮;婦(fu)人妊娠水(shui)(shui)腫兼喘咳者(zhe),合甘草麻黃湯;泌尿系結石,加(jia)海金(jin)沙、金(jin)錢草、雞內金(jin)、龍膽(dan)。
該法除用妊娠水腫(zhong)(有氣虛或滑胎史者(zhe)不宜用本(ben)方)外(wai),還可(ke)治療腎(shen)炎(yan)水腫(zhong),或心源性浮(fu)腫(zhong)效(xiao)果(guo)亦著。
(四)宣肺化飲
該法用于飲邪阻肺之胸痹輕證 。 癥見胸中氣塞,短氣,咳逆,吐涎沫,痰液稀淡,小便不利等。代表方茯苓杏仁甘草湯 。
若(ruo)水飲(yin)重者可與葶藶大(da)棗(zao)瀉肺湯合(he)用,兼(jian)胸(xiong)中悶痛者,酌加瓜蔞、半夏;若(ruo)水飲(yin)致氣滯(zhi),可合(he)用橘枳姜湯,亦可與瓜蔞、薤白配(pei)伍運用。
該法臨床(chuang)上除治(zhi)胸痹(冠(guan)心病(bing)心絞痛(tong)、風濕性心臟病(bing))兼證外(wai),并可用于(yu)呼吸系(xi)統如支(zhi)氣管炎、支(zhi)氣管哮喘、肺氣腫(zhong)、肺源性心臟病(bing)等。有人用本方(fang)合(he)利膈湯治(zhi)療吞咽困難,有一定(ding)療效。
(五)健脾利水
該法用于停飲致嘔證 。 癥見嘔吐,口渴喜飲,小便不利等。代表方豬苓散 。
該方的主要作用在于健脾利濕 ,臨床用于(yu)治療小(xiao)兒(er)脾虛泄瀉有(you)(you)效(xiao),有(you)(you)人用該方加半(ban)枝蓮治療小(xiao)兒(er)單純性(xing)消化(hua)不良(liang),療效(xiao)滿意(yi)。
(六)補脾制水,利水除飲
該法用于痰飲之輕證 。 該證為飲停心下,心陽被遏,脾胃陽氣升降受阻,清陽不能上走于頭目,濁陰不能下行為小便,故水飲上泛,即脾虛飲泛,蒙蔽清陽而癥見頭目沉重,眩暈,雙目緊閉,不欲視物,動則嘔吐清水,若濁陰上干清竅,尚可見頭痛、鼻塞、耳鳴、面色黧黑;脾陽失運或濕濁困脾者,可見大便素溏和多寐,舌體胖大寬厚,苔白膩,脈象沉滑。代表方澤瀉湯 。
該法(fa)廣泛應用于(yu)梅尼埃病、突發(fa)性耳聾等(deng)屬水(shui)飲所致者(zhe)(zhe)(zhe)效佳(jia),可配茯(fu)苓以(yi)減輕(qing)迷路(lu)水(shui)腫(zhong),石(shi)菖蒲通(tong)九竅(qiao),對耳部悶脹不(bu)適(shi)、耳鳴(ming)、聽力下降者(zhe)(zhe)(zhe)效佳(jia)。痰熱者(zhe)(zhe)(zhe)加黃芩、龍膽;氣虛(xu)者(zhe)(zhe)(zhe)加黨參、炙黃芪;陰虛(xu)者(zhe)(zhe)(zhe)加生地黃、石(shi)斛、麥(mai)冬等(deng)。
(七)利水通陽
該法用于水氣內停兼太陽經氣不利證 。癥見小便不利,頭項強痛,翕翕發熱,無汗,心下滿微痛等。代表方桂枝去桂加茯苓白術湯 。
該(gai)法多(duo)用(yong)以(yi)治療某些(xie)癲(dian)癇伴有(you)心下(xia)悸,按(an)之較小便不利(li)而澀者。某些(xie)癲(dian)癇患者心下(xia)有(you)宿(su)痰水飲,可能是(shi)癲(dian)癇發作的觸媒,故用(yong)本法有(you)效(xiao)。
(八)益氣祛風,健脾利水
該法用于風濕兼氣虛證 。癥見脈浮身重,汗出惡風,小便不利,但下重,從腰以上為和,腰以下當腫及陰部,難以屈伸,舌淡苔白脈浮等。代表方防己黃芪湯 。本方作用偏于滲利,而欲其陽氣達表,微汗祛濕,還必須加被溫覆,促使衛陽振奮。所以服本方后,必須加被溫覆 ,始能兼有(you)微汗作用,這種(zhong)護理方法亦不可忽(hu)視。在配伍劑量方面(mian),防己、黃芪、白術能補(bu)肺脾之氣,溫煦衛陽,除(chu)表(biao)祛濕,宜重用;至于(yu)甘草一味,外感(gan)苔(tai)白膩者(zhe)宜減量或不用。
本方(fang)(fang)還可用(yong)于風濕痹(bi)病、水腫、喘咳、臌脹等(deng)多種(zhong)疾病,對(dui)脾(pi)肺氣虛(xu),肌腠關節濕滯的一切證候,不論外感、內傷皆可應用(yong)。此(ci)外,本方(fang)(fang)加金櫻子、黃精、芡實(shi)、山藥等(deng)治療(liao)慢性(xing)腎炎蛋白尿(niao),有(you)一定療(liao)效。本方(fang)(fang)還可治心源性(xing)水腫。
(九)益氣通陽利水
該法用于陽氣失宣、水氣不行的皮水表虛證 。癥見四肢浮腫,按之沒指,不惡風,其腹如鼓,不渴,水氣在皮膚,四肢聶聶動(四肢肌肉有輕微跳動),脈浮等。代表方防己茯苓湯 。
該法可用于(yu)腎炎(yan)、尿毒(du)癥、關節炎(yan)、營養不良(liang)性(xing)(xing)浮(fu)腫、心源性(xing)(xing)水腫等證屬(shu)陽(yang)氣不宣,水氣泛于(yu)皮膚者(zhe)。
(十)行氣散結,健脾利水
該法用于脾虛氣滯水停之氣分病 。癥見心下堅,大如盤,邊如旋盤等。代表方枳術湯 。
該方常用于治療內臟弛緩無(wu)力(包括(kuo)胃下(xia)垂(chui)、子(zi)宮(gong)脫(tuo)垂(chui)、脫(tuo)肛等(deng))、慢性胃炎、消化不良、胃石(shi)癥、膽結(jie)石(shi)等(deng)病,有一(yi)定的(de)療效。
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