二方皆阴阳并用之方也,然其间有轻重之别,在乎分量之多寡以别之。如损处重在阳,
则血药多用,气药次之;重在阴,则气药多用,血药次之。血为阴,气为阳,盈虚消息之理,后
至者成功也。伊芳尹十全大补汤,用四君以补气,加木香不使上焦气滞也;用四物以补血,加
沉香不使下焦气滞也。盖上古气血俱浓,故用二香,补而兼之以行。若叔季之人,气血俱虚
,故东垣以黄 代木香,兼益上焦之气,以肉桂代沉香,温暖阴血,血得温而生,气得温而
长。经云∶虚者十补勿一泄。此类是矣。
归脾,味味皆滞,故用木香以疏肝,肝疏得归身、枣仁,肝血润矣。肝血能润,则脾血
能藏,脾既能藏,而后能为胃行其津液,使周身皆利也。盖参、 、术、草之补脾,当归之补肝
,茯神、枣仁、远志之补心,各守一经,性皆滞碍,得木香之疏通,破上焦之滞,醒动脾气
,而后脾能淫气于心,心始生血,散精于肝,肝始藏血,心肝既足,而后脾得以统血,血足
则火不郁,三焦通达而无捍格之患矣。今之用归脾而去木香者,能不为之慨叹哉!
补中者,补中气也。参、 、术、草所以补脾,五行相制则生化,广皮以疏肝气,归身
以养肝血,清气升则阴阳皆长,故用柴胡、升麻以升提清气,清气既升则阳生,阳生而阴自长矣
Both formulas are those that combine yin and yang tonification. However, there is a distinction in their emphasis, which is determined by the relative dosages of the ingredients. If the deficiency primarily involves yang, blood-nourishing herbs are used in greater quantity, while qi-tonifying herbs are secondary; if the deficiency primarily involves yin, qi-tonifying herbs are used in greater quantity, while blood-nourishing herbs are secondary. Blood belongs to yin, and qi belongs to yang. The principle of waxing and waning dictates that the herb arriving last achieves the therapeutic effect.
In the Shiquan Dabu Decoction (Ten Ingredients Great Tonifying Decoction) attributed to Yi Fangyin, Si Jun Zi Tang (Four Gentlemen Decoction) is used to tonify qi, with added Mu Xiang (Aucklandiae Radix) to prevent stagnation of qi in the upper jiao (upper burner); Si Wu Tang (Four Substances Decoction) is used to nourish blood, with added Chen Xiang (Aquilariae Lignum Resinatum) to prevent stagnation of qi in the lower jiao (lower burner). Generally, in ancient times, people's qi and blood were robust, so two aromatic herbs were used to promote movement alongside tonification. In later eras, however, people's qi and blood are both deficient. Therefore, Li Dongyuan substituted Huang Qi (Astragali Radix) for Mu Xiang to additionally tonify qi in the upper jiao, and substituted Rou Gui (Cinnamomi Cortex) for Chen Xiang to warm the yin-blood. Blood is generated when warmed, and qi grows when warmed. The Classics state: "For deficiency patterns, tonify ten times without purging once." Such cases exemplify this principle.
Regarding Guipi Decoction (Restore the Spleen Decoction), every ingredient tends to be cloying or stagnant. Therefore, Mu Xiang is used to soothe the Liver. Once the Liver qi is unblocked, combined with Dang Gui Shen (Angelicae Sinensis Radix) and Suan Zao Ren (Ziziphi Spinosae Semen), the Liver blood becomes moistened. When Liver blood is moistened, Spleen blood can be stored properly. Once the Spleen can store blood, it can then transport fluids for the Stomach, ensuring smooth circulation throughout the body. Specifically, Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma) tonify the Spleen; Dang Gui tonifies the Liver; Fu Shen (Poria with Hostwood), Suan Zao Ren, and Yuan Zhi (Polygalae Radix) tonify the Heart. Each acts on its respective meridian, but their nature is inherently stagnant. With the unblocking action of Mu Xiang, upper jiao stagnation is broken, and Spleen qi is awakened. Only then can the Spleen transmit essence to the Heart, allowing the Heart to generate blood, distribute essences to the Liver, and enabling the Liver to store blood. Once the Heart and Liver are sufficient, the Spleen can control blood. When blood is abundant, fire does not become constrained, and the three jiao remain unobstructed without risk of rebellion. Today, some use Guipi Decoction but omit Mu Xiang; one cannot help but sigh at this!
Bu Zhong Yi Qi Decoction (Tonify the Middle and Augment the Qi Decoction) tonifies middle qi. Ren Shen, Bai Zhu, and Gan Cao are used to tonify the Spleen. Through the mutual restriction of the Five Elements, transformation and generation occur endlessly. Chen Pi (Citri Reticulatae Pericarpium) soothes Liver qi, and Dang Gui Shen nourishes Liver blood. When clear qi ascends, both yin and yang grow. Therefore, Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) are used to lift clear qi. Once clear qi ascends, yang is generated; once yang is generated, yin naturally grows.