夫肾气不化。则二阴不通。故小便不利。胃气不足。则肌肉开疏。故皮肤浮肿。脾者土
也。
方
人参汤 治虚劳。四肢发肿。饮食不进。百节无力。多卧少起。
人参 赤茯苓(去黑皮) 桑根白皮(炒锉) 芍药 秦艽(去苗土) 半夏(汤浸去
滑七次
各一两) 鳖甲(去裙 醋炙三两) 柴胡(去苗) 大腹皮(炮) 木香(各一两) 京
三棱(醋浸
炮捣碎二两) 甘草(炙锉三分) 枳壳(去瓤麸炒一分) 上粗捣筛。每服三钱。水一盏
入生
姜三片枣二枚。同煎。至五分。去滓。温服不拘时候。
郁李仁散(出圣惠方)治虚劳通体洪满。腹坚胀。喘急。不能饮食。
郁李仁(汤浸去白皮尖微炒) 川大黄(各一两锉碎微炒) 柴胡(去苗) 泽泻 赤
芍药
猪苓(各三分去黑皮) 杏仁(汤浸五钱去皮尖双仁麸炒微黄) 桑根白皮(三分锉) 鳖
甲(一
两涂醋炙令黄去裙 ) 赤茯苓(五钱) 桔梗(去芦头) 麻黄(各三分去节) 上为散。
每服
三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候温服。
五味子汤 治虚劳。四肢浮肿。气急。大小便不利。坐卧不安。
五味子(炒) 黄 (锉) 枳壳(去瓤麸炒) 大腹皮(微煨锉) 桑根白皮(炙锉)
桂(去
粗皮)槟榔(煨) 白术 陈橘皮(各一两汤浸去白炒) 浓朴(去粗皮生姜汁炙熟) 防
己(各一
两五钱) 上粗捣筛。每服三钱。水一盏半。煎至七分。去滓。空心温服。日晚再服。微利
即止
汉防己散(出圣惠方)治虚劳四肢浮肿。喘息促。小便不利。坐卧不安。
汉防己 猪苓(各三分去黑皮) 海蛤 木通(各一两锉) 陈橘皮(一两汤浸去白瓤
焙)
木香 白术(各五钱) 桑根白皮(锉) 赤茯苓(各三分) 紫苏茎叶 槟榔(各一两) 上
为
散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候温服。
前胡丸(出圣惠方)治虚劳四肢浮肿。心胸满闷。不欲饮食。
前胡(一两去芦头) 旋复花(五钱) 人参(三分去芦头) 槟榔(一两) 木香 陈
橘皮
(各五钱汤浸去白瓤焙) 诃黎勒皮(一两) 赤茯苓 桑根白皮(各三分锉) 桂心(五
钱) 郁
李仁(一两汤浸去皮尖微炒) 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服煎姜汤枣
下
三十丸。日三服。
大腹皮汤 治虚劳身体浮肿。上气喘促。小便不利。
大腹皮(锉) 槟榔(煨锉) 前胡(去芦头) 赤茯苓(去黑皮) 防己 陈橘皮(汤
浸去白
焙) 赤芍药(各一两) 甘草(五钱炙锉) 桑根白皮(锉) 木通(各二两锉) 上粗
捣筛。每
服三钱。水一盏煎至五分。去滓。温服。日二。
桑白皮汤 治虚劳。脾肾气弱。水液妄行。四肢浮肿。小便不利。
桑根白皮(炙锉) 猪苓(去黑皮) 滑石(碎) 木通(锉) 郁李仁(汤浸去皮尖
炒) 赤茯
苓(去黑皮各一两五钱) 陈橘皮(汤浸去白五钱) 槟榔(煨微锉三枚) 泽泻(三分) 上
粗捣
筛。每服五钱。水一盏半。煎至一盏。去滓温服。
细辛散(出圣惠方)治虚劳心胸壅闷。喘促四肢肿。
细辛(五钱) 枳壳(三分麸炒微黄去瓤) 汉防己 桂心(各五钱) 黄 (一两锉)
白术
赤茯苓 赤芍药(各三分) 当归(五钱) 上为散。每服三钱。以水一中盏。入生姜半分。
煎
至六分。去滓。不计时候温服。
木香散(出圣惠方)治虚劳脐下痛。抽肾入腹。四肢浮肿。
木香 五加皮(各一两) 松节(二两锉) 桑根白皮(一两锉) 薏苡仁(三分) 槟
榔桃
仁(各一两汤浸去皮尖双仁麸微炒) 陈橘皮(三分汤浸去白瓤微炒) 郁李仁(一两汤浸
去皮
尖微炒) 上为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候稍热服。
陈橘皮丸(出圣惠方)治虚劳心胸壅闷。喘促。大小便不利。四肢浮肿。
陈橘皮(二两汤浸去白瓤焙) 紫苏子(三分微炒) 汉防己 甘遂(各五钱煨微黄) 桑
根
白皮(锉) 甜葶苈(隔纸炒令紫黄) 赤茯苓 木通(各一两锉) 郁李仁(一两汤浸去
皮尖微
炒) 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空心及晚食前以姜枣汤下二十丸。
赤茯苓汤 治虚劳遍身浮肿。心腹气胀。大小便涩。
赤茯苓(去黑皮) 防己 槟榔(煨锉) 桑根白皮(锉) 甜葶苈(隔纸炒令紫色) 木
通
(锉) 陈橘皮(汤浸去白瓤焙干) 郁李仁(汤浸去皮炒各一两) 上粗捣筛。每服三钱。
水一
盏半煎至七分。去滓。食前温服。以大小便利为度。
人参饮 治虚劳香港脚。脐腹及面目浮肿。
人参(一两) 鳖甲(醋浸去裙 炙黄二两) 柴胡(去苗) 当归(切焙) 枳壳(去
瓤麸炒
用) 甘草(炙锉各一两) 白槟榔(一枚锉) 桃仁(七十枚汤浸去皮尖别研) 上粗捣
筛。每
服三钱。童子小便一盏浸一宿。平旦煎至七分。去滓。空心温服。若女人病加牛膝一两。
防己丸 治虚劳脾肾不足。身面浮肿。卧即胀满。喘急痰嗽。胸膈痞闷。大小便不
利。渐
防己(一两五钱) 杏仁(去皮尖双仁麸炒三分) 赤茯苓(去黑皮) 郁李仁(汤浸
去皮尖
麸炒)紫苏叶(各一两) 甜葶苈(炒香三两一分) 陈橘皮(汤浸去白焙一两) 上为末。
炼蜜
和丸。如梧桐子大。空心食前。温酒下三十丸。
麻仁散(出圣惠方)治虚劳四肢浮肿。\x
大麻仁 商陆 防风(去芦头) 附子(炮裂去皮脐) 陈橘皮(汤浸去白瓤焙) 汉
防己
(各一两) 上为散。每服五钱。以水一大盏。入赤小豆一百粒。煎至五分。去滓。食前温
服。
The Kidney Qi fails to transform normally, resulting in obstruction of the two yin openings (urethra and anus), thus causing difficult urination. The Stomach Qi is insufficient, leading to loose muscle pores, thus causing edema of the skin. The Spleen belongs to Earth in the Five Elements.
Formula: Renshen Tang (Ginseng Decoction)
Indications: Treats consumptive disease (Xu Lao). Symptoms include swelling of the four limbs, loss of appetite, weakness in all joints, excessive sleeping with little rising.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Chi Fuling (Poria with Red Bark, remove black skin), Sanggen Baipi (Mulberry Root Bark, stir-fry and cut into pieces), Shaoyao (Peony Root), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Banxia (Pinelliae Rhizoma, soak in hot water to remove slipperiness seven times), each 1 liang; Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried, 3 liang); Chaihu (Bupleuri Radix, remove seedlings); Dafupi (Arecae Pericarpium, processed); Muxiang (Aucklandiae Radix), each 1 liang; Jingsanleng (Sparganii Rhizoma, soak in vinegar, process, crush, 2 liang); Gancao (Licorice Root, honey-fried and cut into pieces, 3 fen); Zhike (Aurantii Fructus Immaturus, remove pith, bran-fried, 1 fen).
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water, three slices of fresh ginger, and two jujubes. Simmer together until five fen of liquid remains. Strain and take warm at any time.
Yuliren San (Prunus Seed Powder, from *Shenghui Fang*)
Indications: Treats consumptive disease with severe generalized fullness, hard and distended abdomen, rapid breathing, and inability to eat.
Ingredients: Yuliren (Pruni Semen, soak in hot water, remove white skin and tips, slightly stir-fry), Chuan Dahuang (Rhei Radix et Rhizoma, each 1 liang, cut into pieces, slightly stir-fry); Chaihu (Bupleuri Radix, remove seedlings); Zexie (Alismatis Rhizoma); Chi Shaoyao (Red Peony Root); Zhuling (Polyporus, each 3 fen, remove black skin); Xingren (Armeniacae Semen, soak in hot water, 5 qian, remove skin and tips, twin kernels, bran-fried until slightly yellow); Sanggen Baipi (Mulberry Root Bark, 3 fen, cut into pieces); Biejia (Testudinis Carapax et Plastrum, 1 liang, coat with vinegar, fry until yellow, remove skirt); Chi Fuling (Poria with Red Bark, 5 qian); Jiegeng (Platycodonis Radix, remove rhizome); Mahuang (Ephedrae Herba, each 3 fen, remove joints).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water and half a qian of fresh ginger. Simmer until six fen of liquid remains. Strain and take warm at any time.
Wuweizi Tang (Schisandra Decoction)
Indications: Treats consumptive disease. Symptoms include edema of the four limbs, shortness of breath, difficulty in urination and defecation, and restlessness in sitting or lying.
Ingredients: Wuweizi (Schisandrae Fructus, stir-fry); Huangqi (Astragali Radix, cut into pieces); Zhike (Aurantii Fructus Immaturus, remove pith, bran-fried); Dafupi (Arecae Pericarpium, slightly baked, cut into pieces); Sanggen Baipi (Mulberry Root Bark, baked and cut into pieces); Guizhi (Cinnamomi Ramulus, remove rough bark); Binglang (Arecae Semen, baked); Baizhu (Atractylodis Macrocephalae Rhizoma); Chenjupi (Citri Reticulatae Pericarpium, each 1 liang, soak in hot water, remove white pith, stir-fry); Houpo (Magnoliae Officinalis Cortex, remove rough bark, bake熟 with ginger juice); Fangji (Stephaniae Tetrandrae Radix, each 1 liang 5 qian).
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 3 qian per dose. Add one and a half zhan of water. Simmer until seven fen of liquid remains. Strain and take warm on an empty stomach. Take again in the evening. Stop if mild diarrhea occurs.
Hanfangji San (Stephania Powder, from *Shenghui Fang*)
Indications: Treats consumptive disease with edema of the four limbs, rapid breathing, difficult urination, and restlessness in sitting or lying.
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix); Zhuling (Polyporus, each 3 fen, remove black skin); Hai Ge (Concha Arcae); Mutong (Akebiae Caulis, each 1 liang, cut into pieces); Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soak in hot water, remove white pith, bake dry); Muxiang (Aucklandiae Radix); Baizhu (Atractylodis Macrocephalae Rhizoma, each 5 qian); Sanggen Baipi (Mulberry Root Bark, cut into pieces); Chi Fuling (Poria with Red Bark, each 3 fen); Zisu Jingye (Perillae Caulis et Folium); Binglang (Arecae Semen, each 1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water and half a qian of fresh ginger. Simmer until six fen of liquid remains. Strain and take warm at any time.
Qianhu Wan (Peucedani Pill, from *Shenghui Fang*)
Indications: Treats consumptive disease with edema of the four limbs, chest and heart fullness, and lack of appetite.
Ingredients: Qianhu (Peucedani Radix, 1 liang, remove rhizome); Xuanjinhua (Inulae Flos, 5 qian); Renshen (Ginseng Radix et Rhizoma, 3 fen, remove rhizome); Binglang (Arecae Semen, 1 liang); Muxiang (Aucklandiae Radix); Chenjupi (Citri Reticulatae Pericarpium, each 5 qian, soak in hot water, remove white pith, bake dry); Helilepi (Terminaliae Chebulae Pericarpium, 1 liang); Chi Fuling (Poria with Red Bark); Sanggen Baipi (Mulberry Root Bark, each 3 fen, cut into pieces); Guixin (Cinnamomi Ramulus, 5 qian); Yuliren (Pruni Semen, 1 liang, soak in hot water, remove skin and tips, slightly stir-fry).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 30 pills per dose with ginger and jujube decoction. Take three times daily.
Dafupi Tang (Areca Peel Decoction)
Indications: Treats consumptive disease with body edema, upper body rapid breathing, and difficult urination.
Ingredients: Dafupi (Arecae Pericarpium, cut into pieces); Binglang (Arecae Semen, baked and cut into pieces); Qianhu (Peucedani Radix, remove rhizome); Chi Fuling (Poria with Red Bark, remove black skin); Fangji (Stephaniae Tetrandrae Radix); Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake dry); Chi Shaoyao (Red Peony Root), each 1 liang; Gancao (Licorice Root, 5 qian, honey-fried and cut into pieces); Sanggen Baipi (Mulberry Root Bark, cut into pieces); Mutong (Akebiae Caulis), each 2 liang, cut into pieces.
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water. Simmer until five fen of liquid remains. Strain and take warm. Take twice daily.
Sangbaipi Tang (Mulberry Root Bark Decoction)
Indications: Treats consumptive disease due to weak Spleen and Kidney Qi, where fluid metabolism goes awry, causing edema of the four limbs and difficult urination.
Ingredients: Sanggen Baipi (Mulberry Root Bark, baked and cut into pieces); Zhuling (Polyporus, remove black skin); Huashi (Talcum, crushed); Mutong (Akebiae Caulis, cut into pieces); Yuliren (Pruni Semen, soak in hot water, remove skin and tips, stir-fry); Chi Fuling (Poria with Red Bark, remove black skin, each 1 liang 5 qian); Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, 5 qian); Binglang (Arecae Semen, baked, slightly cut into pieces, 3 pieces); Zexie (Alismatis Rhizoma, 3 fen).
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 5 qian per dose. Add one and a half zhan of water. Simmer until one zhan of liquid remains. Strain and take warm.
Xixin San (Asari Powder, from *Shenghui Fang*)
Indications: Treats consumptive disease with chest and heart congestion, rapid breathing, and limb swelling.
Ingredients: Xixin (Asari Radix et Rhizoma, 5 qian); Zhike (Aurantii Fructus Immaturus, 3 fen, bran-fried until slightly yellow, remove pith); Hanfangji (Stephaniae Tetrandrae Radix); Guixin (Cinnamomi Ramulus, each 5 qian); Huangqi (Astragali Radix, 1 liang, cut into pieces); Baizhu (Atractylodis Macrocephalae Rhizoma); Chi Fuling (Poria with Red Bark); Chi Shaoyao (Red Peony Root), each 3 fen); Danggui (Angelicae Sinensis Radix, 5 qian).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water and half a qian of fresh ginger. Simmer until six fen of liquid remains. Strain and take warm at any time.
Muxiang San (Aucklandia Powder, from *Shenghui Fang*)
Indications: Treats consumptive disease with pain below the umbilicus, pulling sensation of the Kidney into the abdomen, and edema of the four limbs.
Ingredients: Muxiang (Aucklandiae Radix); Wujia Pi (Acanthopanacis Cortex), each 1 liang; Songjie (Pinus Node, 2 liang, cut into pieces); Sanggen Baipi (Mulberry Root Bark, 1 liang, cut into pieces); Yiyiren (Coicis Semen, 3 fen); Binglang (Arecae Semen); Taoren (Persicae Semen, each 1 liang, soak in hot water, remove skin and tips, twin kernels, bran-fried until slightly yellow); Chenjupi (Citri Reticulatae Pericarpium, 3 fen, soak in hot water, remove white pith, slightly stir-fry); Yuliren (Pruni Semen, 1 liang, soak in hot water, remove skin and tips, slightly stir-fry).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water. Simmer until six fen of liquid remains. Strain and take warm while slightly hot at any time.
Chenjupi Wan (Citrus Peel Pill, from *Shenghui Fang*)
Indications: Treats consumptive disease with chest and heart congestion, rapid breathing, difficulty in urination and defecation, and edema of the four limbs.
Ingredients: Chenjupi (Citri Reticulatae Pericarpium, 2 liang, soak in hot water, remove white pith, bake dry); Zisuzi (Perillae Fructus, 3 fen, slightly stir-fry); Hanfangji (Stephaniae Tetrandrae Radix); Gansui (Kansui Radix, each 5 qian, baked until slightly yellow); Sanggen Baipi (Mulberry Root Bark, cut into pieces); Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fry between papers until purple-yellow); Chi Fuling (Poria with Red Bark); Mutong (Akebiae Caulis), each 1 liang, cut into pieces); Yuliren (Pruni Semen, 1 liang, soak in hot water, remove skin and tips, slightly stir-fry).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 20 pills on an empty stomach and before dinner with ginger and jujube decoction.
Chifuling Tang (Red Poria Decoction)
Indications: Treats consumptive disease with generalized body edema, abdominal qi distension, and sluggish urination and defecation.
Ingredients: Chi Fuling (Poria with Red Bark, remove black skin); Fangji (Stephaniae Tetrandrae Radix); Binglang (Arecae Semen, baked and cut into pieces); Sanggen Baipi (Mulberry Root Bark, cut into pieces); Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fry between papers until purple); Mutong (Akebiae Caulis, cut into pieces); Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake dry); Yuliren (Pruni Semen, soak in hot water, remove skin, stir-fry, each 1 liang).
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 3 qian per dose. Add one and a half zhan of water. Simmer until seven fen of liquid remains. Strain and take warm before meals. Continue until urination and defecation are smooth.
Renshen Yin (Ginseng Drink)
Indications: Treats consumptive disease, Hong Kong Foot (Jiaqi/Foot Qi), and edema of the umbilical/abdominal region and face.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 1 liang); Biejia (Testudinis Carapax et Plastrum, soak in vinegar, remove skirt, bake yellow, 2 liang); Chaihu (Bupleuri Radix, remove seedlings); Danggui (Angelicae Sinensis Radix, slice and bake dry); Zhike (Aurantii Fructus Immaturus, remove pith, bran-fried); Gancao (Licorice Root, honey-fried and cut into pieces, each 1 liang); Bai Binglang (White Areca Seed, 1 piece, cut into pieces); Taoren (Persicae Semen, 70 pieces, soak in hot water, remove skin and tips, separately ground).
Preparation and Administration: Coarsely grind and sieve the above ingredients into a powder. Take 3 qian per dose. Soak overnight in one zhan of urine from a young boy. Simmer in the morning until seven fen of liquid remains. Strain and take warm on an empty stomach. If the patient is female, add Niuxi (Achyranthis Bidentatae Radix) 1 liang.
Fangji Wan (Stephania Pill)
Indications: Treats consumptive disease due to Spleen and Kidney deficiency, causing facial and body edema, abdominal distension when lying down, rapid breathing, phlegm cough, chest oppression, difficulty in urination and defecation, progressing gradually.
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix, 1 liang 5 qian); Xingren (Armeniacae Semen, remove skin and tips, twin kernels, bran-fried, 3 fen); Chi Fuling (Poria with Red Bark, remove black skin); Yuliren (Pruni Semen, soak in hot water, remove skin and tips, bran-fried); Zisu Ye (Perillae Folium), each 1 liang; Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fry until fragrant, 3 liang 1 fen); Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake dry, 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey and form pills the size of paulownia seeds. Take 30 pills on an empty stomach before meals with warm wine.
Maren San (Hemp Seed Powder, from *Shenghui Fang*)
Indications: Treats consumptive disease with edema of the four limbs.
Ingredients: Dama Ren (Cannabis Semen), Shangling (Phytolaccae Radix), Fangfeng (Saposhnikoviae Radix, remove rhizome), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and navel), Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake dry), Hanfangji (Stephaniae Tetrandrae Radix), each 1 liang.
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Add one large zhan of water and 100 Chi Xiaodou (Vigna Angularis Seeds). Simmer until five fen of liquid remains. Strain and take warm before meals.