人参 黄 白术 枸杞 当归 鹿茸 枣仁 肉桂(各等分) 附子 丁香减半 姜酒调。
损虚成瘠,阴凑为寒,眩惕暴盲,此方主之。
寒,阴气也。寒中阳经,犹能抗阴,其病易愈。寒中阴经,两阴相遇,如胶投漆。故病太阴、少阴,必重且
危,病厥阴者死。今曰损虚曰阴凑,则非外因而作。盖工贾之人,曰既劳役,汗尽津亡,夜复花酒,髓枯血竭,
恹恹哑病,瘦减腰围。尤自风餐水宿,冻馁交并,致脏气萧索,阴寒骤起。血得寒而凝结,寒遇凝而深入,似疟
非厥,眩惕失明。不用桂、附、归、杞、枣仁、姜汁温其经,参、 、术、茸、丁香、醇酒益其元,身虽健在,
瞳子其不兴欤。
诗曰∶温经参 术,元益归杞茸,丁桂枣仁附,阴寒力自穷。
(新菊花烹雨前茶,尤妙)
人参 黄 当归 僵蚕 肉桂 甘草(各一两) 附子 干姜 芎 五味 天麻 白附(各七钱) 细辛 防
风
薄荷(各五钱)
头风时痛时止,散表无汗反甚,此方主之。
外感头痛,手不可近,多实邪。今作止无时,喜打喜热为内伤。既表无汗,元气大虚,从外从实而治,安不
加甚。故以参、 、附、草、姜助其阳,芎、归、五味、桂调其阴,阴阳和则天麻、细辛诸风药可行升散之令矣。
再有菊、茶清芬上行,以为引导,是盖痛风之劲敌也。于以承弊,无凶不服。
诗曰∶草参细味胜归 ,姜桂芎防附亦输,唯有薄荷及白附,天蚕微物略相如。
Ginseng Radix (Renshen), Astragali Membranacei Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), Lycii Fructus (Gouqi), Angelicae Sinensis Radix (Danggui), Cervi Cornu Pantotrichum (Lurong), Ziziphi Spinosae Semen (Suanzaoren), Cinnamomi Cortex (Rougui) (equal parts each), Aconiti Lateralis Radix Preparata (Fuzi), and Eugeniae Flos (Dingxiang) used in half the amount, mixed with Ginger Juice (Jiangzhi) and Wine (Jiu).
For deficiency and wasting leading to emaciation, where Yin-cold gathers causing coldness, dizziness, palpitations/fright, and sudden blindness, this formula is indicated.
Cold is a Yin pathogen. When Cold invades Yang meridians, Yang Qi can still resist Yin, so the disease is easy to cure. When Cold invades Yin meridians, two Yins meet, like glue mixing with lacquer. Therefore, diseases of the Taiyin and Shaoyin meridians must be severe and critical; diseases of the Jueyin meridian lead to death. The terms "deficiency/wasting" and "Yin gathering" here indicate that the cause is not external pathogens. It likely affects artisans or merchants who, after laborious work, have exhausted sweat and body fluids, and at night indulge in wine and women, leading to depleted marrow and exhausted blood, presenting as a lethargic chronic illness with reduced waist circumference. Furthermore, exposure to wind and rain, combined with freezing and hunger, causes the Qi of the Zang-fu organs to become desolate, and sudden onset of Yin-cold occurs. Blood coagulates when encountering Cold, and Cold penetrates deeply when meeting stagnation. The symptoms resemble malaria but are not limb coldness (Jue), featuring dizziness, fright, and loss of vision. Without using Cinnamon Twig (Guizhi/Rougui), Prepared Aconite Root (Fuzi), Dong Quai (Danggui), Goji Berry (Gouqi), Sour Jujube Seed (Suanzaoren), and Ginger Juice to warm the meridians, and without using Ginseng (Renshen), Atractylodes (Baizhu), Deer Antler (Lurong), Clove (Dingxiang), and strong wine to benefit the Primordial Qi (Yuan Qi), although the body may survive, will the pupil function not fail?
The poem states: Warm the meridians with Ginseng and Atractylodes, benefit the Primordial Qi with Angelica, Goji, and Deer Antler; use Clove, Cinnamon, Sour Jujube Seed, and Prepared Aconite, so the power of Yin-Cold naturally exhausts itself.
(Brewing fresh Chrysanthemum flowers with Pre-Rain Tea is especially effective.)
Ginseng Radix (Renshen), Astragali Membranacei Radix (Huangqi), Angelicae Sinensis Radix (Danggui), Bombyx Batryticatus (Jiangcan), Cinnamomi Cortex (Rougui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang), Prepared Aconite Root (Fuzi), Zingiberis Rhizoma (Ganjiang), Ligustici Chuanxiong Rhizoma (Xiong), Schisandrae Fructus (Wuweizi), Gastrodiae Rhizoma (Tianma), Typhonii Rhizoma (Baifu) (each 7 qian), Asari Radix et Rhizoma (Xixin), Saposhnikoviae Radix (Fangfeng), Menthae Haplocalycis Herba (Bohe) (each 5 qian).
For Head Wind (Touteng) characterized by intermittent pain, which worsens when attempting to disperse exterior pathogens due to lack of sweating, this formula is indicated.
Headaches caused by external contraction, where the head cannot bear touch, are mostly due to excess pathogens. Now, since the pain has no fixed time and the patient prefers beating the head and applying heat, it is an internal injury. Since there is no sweating on the exterior and the Primordial Qi is greatly deficient, treating it from the perspective of exterior excess will inevitably aggravate the condition. Therefore, Ginseng, Astragalus, Prepared Aconite, Licorice, and Dried Ginger are used to assist Yang Qi; Ligusticum, Angelica, Schisandra, and Cinnamon are used to harmonize Yin blood. Once Yin and Yang are harmonized, Wind-dispersing herbs such as Gastrodia and Asarum can then perform their ascending and dispersing functions. Additionally, the clear fragrance of Chrysanthemum and tea ascends to guide the medicinal action, making them formidable enemies against Wind-Pain (Tongfeng - referring to severe headache resembling wind attack). With this approach, no fierce pathology remains unconquered.
The poem states: Licorice, Ginseng, Asarum, and Schisandra surpass Angelica and Astragalus; Dried Ginger, Cinnamon, Ligusticum, Saposhnikovia, and Prepared Aconite also yield precedence; only Mint and Typhonium, along with Gastrodia and Silkworm, these minor substances, are roughly comparable.