药不执方,合宜而用,此方之不必有也。方以立法,法以制宜,此方之不可无也。夫方
之善者,得其宜也。得其宜者,可为法也。方之不善者,失其宜也。失其宜者,可为鉴也。
第法有善不善,人有知不知,必善于知方者,斯可以执方,亦可以不执方,能执方能不执方
者,非随时之人不能也。此方之所不可废者,正欲以启发其人耳。余因选古方之得宜者共若
干首,列为八阵,已不为不多矣。第以余观之,若夫犹有未尽,因复制新方八阵,此其中有
心得焉,有经验焉,有补古之未备焉。凡各方之下,多附加减等法,及分两之数,俱有出入
不一者,正以见方之不可执也。八阵之中,如攻方、寒方之不多及者,以古法既多,不必更
为添足也。大都方宜从简,而余复冗之,不尤鄙乎?正意在冗中求简耳,此制方之意也。然
用方之意,则犹有说焉∶夫意贵圆通,用嫌执滞,则其要也。若但圆无主,则杂乱生而无不
可矣,不知疑似间自有一定不易之道,此圆通中不可无执持也;若执一不反,则偏
生而动相左矣。不知倏忽间每多三因难测之变,此执持中不可无圆活也。圆活宜从三思,执
持须有定见,既能执持,又能圆活,其能方能圆之人乎,而人其为谁哉!
一、补方之制,补其虚也。凡气虚者,宜补其上,人参、黄 之属是也。精虚者,宜补
其下,熟地、枸杞之属是也。阳虚者,宜补而兼暖,桂、附、干姜之属是也。阴虚者,宜补
而兼清,门冬、芍药、生地之属是也。此固阴阳之治辨也。其有气因精而虚者,自当补精以
化气;精因气而虚者,自当补气以生精。又有阳失阴而离者,不补阴何以收散亡之气?水失
火而败者,不补火何以苏垂寂之阴?此又阴阳相济之妙用也。故善补阳者,必于阴中求阳,
则阳得阴助,而生化无穷;善补阴者,必于阳中求阴,则阴得阳升,而源泉不竭。余故曰∶
以精气分阴阳,则阴阳不可离;以寒热分阴阳,则阴阳不可混,此又阴阳邪正之离合也。故
凡阳虚多寒者,宜补以甘温,而清润之品非所宜;阴虚多热者,宜补以甘凉,而辛燥之类不
可用。知宜知避,则不惟用补,而八方之制,皆可得而贯通矣。
Medicines are not bound by fixed prescriptions; they should be used when appropriate. This implies that prescriptions need not be rigidly adhered to. Prescriptions are established through therapeutic principles, and principles are adapted to specific circumstances; this implies that prescriptions are indispensable. A good prescription is one that is applied appropriately. One that is applied appropriately can serve as a model. A poor prescription is one that is misapplied. One that is misapplied can serve as a warning. However, since principles vary in quality and people differ in their understanding, only those skilled in comprehending the rationale of prescriptions can both utilize them flexibly and know when to deviate from them. Only those who adapt to changing conditions can master the art of both following and transcending prescriptions. The purpose of establishing prescriptions is precisely to inspire such insight. Therefore, I have selected several ancient prescriptions that were well-applied and categorized them into Eight Arrays (Ba Zhen), which is already a considerable number. Yet, in my view, there remain areas not fully covered. Thus, I created new formulations within the Eight Arrays, incorporating personal insights, clinical experience, and supplements to the inadequacies of ancient formulas. Beneath each prescription, various modifications and dosage variations are often listed, demonstrating that prescriptions should not be rigidly followed. Within the Eight Arrays, for instance, the number of attacking (Gong) or cooling (Han) prescriptions is not extensive because ancient methods are already plentiful and do not require artificial supplementation. Generally, prescriptions should be simple, yet I have elaborated extensively, which might seem pedantic. However, the true intent is to seek simplicity within complexity; this is the philosophy behind formulating prescriptions. Nevertheless, regarding the application of prescriptions, further explanation is needed: The key lies in being flexible and comprehensive while avoiding rigidity. If one is flexible without a core principle, chaos ensues, leading to confusion. It must be understood that amidst ambiguity, there are unchanging truths; thus, flexibility must be grounded in firm principles. Conversely, if one sticks rigidly to one approach without adaptation, bias arises, causing treatments to contradict the pathology. One must recognize that sudden changes due to the Three Causes (San Yin - internal, external, and non-internal/external factors) are unpredictable; therefore, adherence to principles must allow for flexibility. Flexibility requires careful consideration, while adherence requires definite judgment. One who can both adhere to principles and act flexibly is truly a master of prescription application. Who could such a person be?
I. The formulation of Tonifying Formulas (Bu Fang) aims to replenish deficiency. For Qi deficiency, tonification should focus on the upper body, using herbs such as Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). For Essence (Jing) deficiency, tonification should focus on the lower body, using herbs such as Shudi (Rehmanniae Radix Praeparata) and Gouqi (Lycii Fructus). For Yang deficiency, tonification should include warming properties, using herbs such as Rougui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), and Ganjiang (Zingiberis Rhizoma). For Yin deficiency, tonification should include clearing and moistening properties, using herbs such as Maidong (Ophiopogonis Radix), Shaoyao (Paeoniae Radix Alba), and Shengdi (Rehmanniae Radix). These represent the fundamental distinction in treating Yin and Yang. If Qi deficiency stems from Essence depletion, one must tonify Essence to generate Qi. If Essence deficiency stems from Qi weakness, one must tonify Qi to nourish Essence. Furthermore, if Yang becomes detached due to lack of Yin support, how can scattered Yang Qi be gathered without tonifying Yin? If Kidney Water fails due to lack of Fire warmth, how can nearly extinguished Yin essence revive without tonifying Fire? This illustrates the subtle interaction where Yin and Yang mutually support each other. Therefore, those skilled in tonifying Yang must seek Yang within Yin, so that Yang receives assistance from Yin, resulting in endless generation. Those skilled in tonifying Yin must seek Yin within Yang, so that Yin benefits from Yang's ascent, ensuring an inexhaustible source. Hence, I say: When distinguishing Yin and Yang based on Essence and Qi, Yin and Yang are inseparable; when distinguishing them based on Cold and Heat, they must not be confused. This refers to the separation and union of pathogenic and righteous factors. Thus, for cases of Yang deficiency with cold predominance, sweet-warm tonics are appropriate, while cooling-moistening agents are unsuitable. For cases of Yin deficiency with heat predominance, sweet-cool tonics are appropriate, while acrid-dry agents are contraindicated. Knowing what is suitable and what to avoid allows one not only to apply tonification correctly but also to comprehend the principles underlying all Eight Arrays.