治胃虚湿热, 饮食壅滞, 心下痞闷.
白术 ( 土炒 ) 二两 枳实 ( 麸炒 ) 一两, 右为细末, 荷叶煨陈米
饭为丸, 如椒目大, 白汤下.
【集注】李杲曰: 白术苦甘温, 其苦味除胃中之湿热, 其甘温补脾家
之元气. 多于枳实一倍. 枳实味苦温, 泄心下痞闷, 消胃中所伤. 此
药下胃所伤不能即去, 须一, 二时许, 食乃消化. 先补虚, 而后化所
伤,则不峻厉矣. 荷叶状如仰盂, 于卦为震, 正少阳甲胆之气, 饮食
入胃, 营气上行, 即此气也, 取之以生胃气. 更以煨饭和药, 与术协
力,滋养谷气而补脾胃, 其利大矣. 若用峻厉之药下之, 传变诸证 ,
不可胜数.
治妇人妊娠三月, 脾虚呕吐, 或胎滑不固. 兼丈夫调中
养胃, 饥能使饱, 饱能使饥, 神妙难述.
人参三两 茯苓二两 白术三两 山药二两 薏苡仁两半 莲肉二两
芡实两半 陈皮二两 麦蘖二两 神麴二两 白豆蔻八钱 桔梗一
两 藿香一两 川黄连四钱 砂仁两半 白扁豆两半 山查两半, 右
十八味, 为细末, 炼蜜丸, 弹子大, 每服二丸, 米饮下.
【集注】罗谦甫曰: 此方始于缪仲醇, 以治妊娠脾虚及胎滑. 盖胎资
始于足少阴, 资生于足阳明. 故阳明为胎生之本, 一有不足, 则元气
不足以养胎, 又不足以自养, 故当三月正阳明养胎之候, 而见呕逆.
又其甚者. 或三月, 或五月而堕, 此皆阳明气虚不能固耳. 古方安胎
,类用芎, 归, 不知此正不免于滑. 是方以参, 术, 茯, 草, 莲, 芡
,山药, 扁豆, 薏苡之甘平, 以补脾元; 陈皮, 麴, 柏, 砂, 蔻, 藿
,桔之香辛, 以调胃气, 其有湿热, 以黄连清之, 燥之. 既无参苓白
术散之补滞, 又无香砂枳术丸之消燥, 能补能运, 臻于至和, 于以固
胎,永无滑堕. 丈夫服之, 调中养胃. 名之资生, 信不虚矣.
Treats deficiency of the Stomach with damp-heat, food stagnation, and a sensation of fullness and oppression in the epigastrium (heart below).
Baizhu (Earth-fried) 2 liang, Zhishi (Bran-fried) 1 liang. The two herbs are ground into fine powder. Lotus leaf is used to wrap and roast old rice flour as the binder, formed into pills the size of pepper seeds. Take with warm water.
[Collected Notes] Li Guo stated: Baizhu is bitter, sweet, and warm. Its bitterness eliminates damp-heat in the Stomach, while its sweet-warm nature tonifies the primordial Qi of the Spleen. The dosage is double that of Zhishi. Zhishi is bitter and warm; it dissipates epigastric fullness and resolves food injury in the Stomach. This medicine enters the Stomach but cannot immediately remove the injury; it requires about one to two hours for the food to digest. By first tonifying deficiency and then resolving the injury, the action is not harsh or severe. The lotus leaf resembles an inverted bowl; in the Bagua (Eight Trigrams), it corresponds to Zhen (Thunder), representing the Qi of the Shaoyang Gallbladder. When food enters the Stomach, Ying-Qi (Nutritive Qi) ascends, which is this very Qi. Using it generates Stomach Qi. Furthermore, mixing the medicine with roasted rice cooperates with Baizhu to nourish Grain Qi and tonify the Spleen and Stomach, yielding great benefit. If harsh purgatives were used, the resulting transmitted syndromes would be countless.
Treats women during the third month of pregnancy suffering from vomiting due to Spleen deficiency, or unstable fetus prone to slipping. It also benefits men in regulating the Middle Jiao and nourishing Stomach Qi, creating a state where hunger induces satiety and satiety induces hunger; its miraculous effects are hard to describe.
Renshen 3 liang, Fuling 2 liang, Baizhu 3 liang, Shanyao 2 liang, Yiyiren 1.5 liang, Lianrou 2 liang, Qianshi 1.5 liang, Chenpi 2 liang, Maimaiye 2 liang, Shenqu 2 liang, Baidoukou 8 qian, Jiegeng 1 liang, Huoxiang 1 liang, Chuan Huanglian 4 qian, Sharen 1.5 liang, Baibian Dou 1.5 liang, Shanzha 1.5 liang. These eighteen ingredients are ground into fine powder. Honey is refined to form pills the size of bullet seeds. Take two pills per dose with rice drink.
[Collected Notes] Luo Qianfu stated: This formula originated from Miao Zhongchun, used to treat Spleen deficiency and fetal instability during pregnancy. Generally, the formation of the fetus begins with the Foot-Shaoyin Kidney Meridian, while its nourishment relies on the Foot-Yangming Stomach Meridian. Thus, the Yangming is the root of fetal generation. If there is any insufficiency, the Primordial Qi will be insufficient to nourish the fetus and also insufficient to nourish the mother herself. Therefore, at the third month of pregnancy, when the Yangming meridian nourishes the fetus, symptoms such as vomiting and regurgitation appear. In more severe cases, miscarriage may occur at three or five months. All these result from Qi deficiency in the Yangming meridian failing to secure the fetus. Ancient formulas for calming the fetus mostly use Xiong (Chuanxiong) and Gui (Danggui), unaware that this may inadvertently lead to fetal slipping. This formula uses the sweet and neutral properties of Renshen, Baizhu, Fuling, Gancao, Lianzi, Qianshi, Shanyao, Baibian Dou, and Yiyiren to tonify the Spleen's Yuan Qi; the aromatic and pungent properties of Chenpi, Shenqu, [Bai], Sharen, Baidoukou, Huoxiang, and Jiegeng to regulate Stomach Qi; and if there is damp-heat, Huanglian is used to clear and dry it. It lacks the cloying stagnation of Shenling Baizhu San and the drying dispersion of Xiangsha Zhizhu Wan. It can both tonify and transport, reaching perfect harmony, thereby securing the fetus and preventing slipping or miscarriage forever. Men taking it regulate the Middle and nourish Stomach Qi. Named "Zisheng" (Nourishing Life), the name is indeed well-deserved.