海常亏者最多此证,宜急用此饮以济之,缓之,敢云神剂。凡诊此证,脉必微细无神,若微
而兼紧,尤为可畏。倘庸众不知,妄云痰逆气滞,用牛黄、苏合及青、陈、枳壳破气等剂,则速其危矣。
熟地黄(七、八钱,甚者一、二两) 炙甘草(一、二、三钱) 当归(二、三钱)
水二钟,煎八分,温服。如兼呕恶或恶寒者,加煨姜三、五片;如气虚脉微至极者,急
加人参随宜;如肝肾阴虚,手足厥冷,加肉桂一钱。
当归地黄饮 治肾虚腰膝疼痛等证。
当归(二、三钱) 熟地(三、五钱) 山药(二钱) 杜仲(二钱) 牛膝(一钱半) 山茱萸(一钱) 炙甘
草(八分)
水二钟,煎八分,食远服。如下部虚寒,加肉桂一、二钱,甚者仍加附子;如多带浊,
去牛膝,加金樱子二钱,或加故纸一钱;如气虚者,加人参一、二钱,枸杞二、三钱。
济川煎 凡病涉虚损,而大便闭结不通,则硝、黄攻击等剂必不可用;若势有不得不通
者,宜此主之。此用通于补之剂也,最妙最妙。
当归(三、五钱) 牛膝(二钱) 肉苁蓉(酒洗去咸,二、三钱) 泽泻(一钱半) 升麻(五、七分或
Deficiency of Kidney Yin is the most common presentation in this syndrome. It is imperative to urgently employ this decoction to support and gently alleviate the condition; it can be regarded as a miraculous formula. In diagnosing this syndrome, the pulse must be faint, thin, and devoid of spirit. If the pulse is faint and additionally tight, it is particularly alarming. Should unskilled physicians fail to recognize this and erroneously attribute the symptoms to phlegm rebellion or qi stagnation, prescribing agents such as Niuhuang Wan (Calculus Bovis Pill), Suhe Xiang Wan (Styrax Pill), or qi-breaking formulas containing Qingpi (Exocarpium Citri Reticulatae Viride), Chenpi (Exocarpium Citri Reticulatae), and Zhike (Fructus Aurantii), they would hasten the patient's deterioration.
Shu Dihuang (Rehmanniae Radix Praeparata) [7-8 qian, up to 1-2 liang for severe cases] Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) [1-3 qian] Danggui (Angelicae Sinensis Radix) [2-3 qian].
Add two zhong of water, decoct until eight-tenths remains, and take warm. If accompanied by vomiting, nausea, or aversion to cold, add San Wujiang (Prepared Fresh Zingiberis Rhizoma) [3-5 slices]. If qi deficiency and faint pulse are extreme, urgently add Renshen (Ginseng Radix) according to circumstances. If there is Liver-Kidney yin deficiency with cold extremities, add Rougui (Cinnamomi Cortex) [1 qian].
Danggui Dihuang Yin (Angelica and Rehmannia Decoction) Treats syndromes such as lower back and knee pain due to Kidney deficiency.
Danggui (Angelicae Sinensis Radix) [2-3 qian] Shudi (Rehmanniae Radix Praeparata) [3-5 qian] Shanyao (Dioscoreae Rhizoma) [2 qian] Duzhong (Eucommiae Cortex) [2 qian] Niuxi (Achyranthis Bidentatae Radix) [1.5 qian] Shanzhuyu (Corni Fructus) [1 qian] Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) [8 fen].
Add two zhong of water, decoct until eight-tenths remains, and take well after meals. If there is deficiency-cold in the lower jiao, add Rougui (Cinnamomi Cortex) [1-2 qian]; for severe cases, still add Fuzi (Aconiti Lateralis Radix Praeparata). If there is excessive turbid leukorrhea, remove Niuxi (Achyranthis Bidentatae Radix), add Jinyingzi (Chrysosplenii Fructus) [2 qian], or add Gubuzi (Psoraleae Fructus) [1 qian]. If there is qi deficiency, add Renshen (Ginseng Radix) [1-2 qian] and Gouqi (Lycii Fructus) [2-3 qian].
Jichuan Jian (Decoction for Aiding the River) For diseases involving deficiency and damage, if constipation occurs, attacking purgatives such as Xiaoshi (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) must absolutely not be used. If the situation necessitates unblocking, this formula should be used as the primary treatment. This is a formula that achieves unblocking through tonification, which is most excellent, most excellent.
Danggui (Angelicae Sinensis Radix) [3-5 qian] Niuxi (Achyranthis Bidentatae Radix) [2 qian] Roubingrong (Cistanches Herba) [washed with wine to remove saltiness, 2-3 qian] Zexie (Alismatis Rhizoma) [1.5 qian] Shengma (Cimicifugae Rhizoma) [5-7 fen or