秦艽 鳖甲 知母 当归 乌梅 青蒿 柴胡 地骨皮(各等分)
风劳,骨蒸壮热,肌肉消瘦,干咳目赤,此方主之。
风,阳邪也。在表表热,在里里热,附骨骨蒸壮热。久蒸血枯,肌乃瘦。热邪上逼,肺不纳,抑而干咳。咳
久宜目赤。柴胡、秦艽,风药也。风药速行,得乌梅之酸涩则逗留,能驱骨蒸之风。全地、知母,寒药也。寒药
凝聚,得青蒿之苦辛则散降,能疗肌肉之热。鳖,阴类而甲骨属。佐以当归,非惟养血,总邀前药。而除热于阴
尔。
诗曰∶风劳蒸骨夜如年,艽甲青蒿饮万千,见说柴桑梅子熟,煎汤奉母病当痊。
荷叶 艾叶 柏叶 地黄(等分) 生捣,融鸡子清调服。
阳乘于阴,见诸血症,法当泻火,火退则血自归经。统而论之,生之则寒,四生皆能泻火。拆而论之,荷、
艾清香,散火于气,柏、地重腻,降火于血,蛋清之调,正以凉其热。而生其阴耳。
陈牛粪 兔粪 伏翼鼠粪 人溺 驴子溺
虚劳之人,血脉空洞,燥火内燔。以辛香之物投之,虽曰滋阴,其实燥血。以苦寒之品攻之,虽曰降火,切
恐增气。故主以腐化之粪溺,既可胜焦,又不损胃,是盖虚火之知契也。或者恶其秽而薄之,此未升药师之堂。
诗曰∶四生饮,荷艾柏,与地黄,蛋调讫;导阴煎,人驴溺,牛兔鼠,陈粪列。
Qin Jiao (Gentianae Rhizoma), Bie Jia (Testudinis Carapax et Plastrum), Zhi Mu (Anemarrhenae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Wu Mei (Mume Fructus), Qing Hao (Artemisiae Annuae Herba), Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex) (equal parts).
It is the principal formula for Feng Lao (Wind-induced Consumptive Disease), characterized by bone-steaming fever, emaciation, dry cough, and red eyes.
Wind is a Yang pathogen. When in the exterior, it causes exterior heat; when in the interior, it causes interior heat; when adhering to the bones, it causes bone-steaming high fever. Prolonged steaming consumes blood, leading to muscle emaciation. Heat pathogens forcing upward impair Lung Qi's descending function, resulting in dry cough. Chronic cough may lead to red eyes. Chai Hu and Qin Jiao are wind-dispelling herbs. Wind herbs move rapidly; combined with the astringent nature of Wu Mei, they linger and can expel wind from the bones. Di Gu Pi (full dose) and Zhi Mu are cold-natured herbs. Cold herbs tend to condense; combined with the bitter-pungent-aromatic nature of Qing Hao, they disperse and descend, treating heat in the muscles. Bie Jia belongs to the Yin category and has a hard shell. Assisted by Dang Gui, it not only nourishes blood but also commands the preceding herbs to clear heat within the Yin level.
Poem: "Wind consumption steams the bones, nights feel like years; Qin Jiao, Bie Jia, Qing Hao, and Wu Mei decoction, taken countless times; Hearing that the plums in Chaishang are ripe, decoct soup to offer to mother, illness shall be cured."
He Ye (Nelumbinis Folium), Ai Ye (Artemisiae Argyi Folium), Bai Ye (Platycladi Cacumen), Di Huang (Rehmanniae Radix) (equal parts).
Freshly crush and grind, blend with egg white, and take orally.
Yang invading Yin manifests as various bleeding disorders. The method should be to purge fire; once fire recedes, blood naturally returns to its vessels. Generally speaking, fresh herbs are cold; all four raw herbs can purge fire. Specifically analyzed, He Ye and Ai Ye have clear fragrances, dispersing fire at the Qi level; Bai Ye and Di Huang are heavy and cloying, descending fire at the Blood level; blending with egg white serves to cool heat and generate Yin.
Chen Niu Fen (Bovis Faeces aged), Tu Fen (Leporis Faeces), Fu Yi Shu Fen (Vespertilionis Faeces), Ren Niao (Urine Humana), Lv Zi Niao (Asini Urine).
Patients with Xu Lao (Deficiency Consumption) have empty blood vessels and internal burning due to dryness-fire. If one administers acrid-aromatic substances, although claimed to nourish Yin, it actually dries the blood. If one attacks with bitter-cold substances, although claimed to descend fire, it risks obstructing Qi. Therefore, fermented feces and urine are advocated; they can overcome scorching without damaging Stomach Qi, representing a precise match for deficiency-fire. Some disdain them for their filth and despise them; this indicates they have not entered the hall of the Pharmacist.
Poem: "Si Sheng Yin consists of He Ye, Ai Ye, Bai Ye, and Di Huang, finished with egg blending; Dao Yin Jian consists of Ren Niao, Lv Zi Niao, Niu Fen, Tu Fen, Fu Yi Shu Fen, and Chen Niu Fen listed."