论肾寒吐泻 论心寒胃弱
天师曰∶热治寒也。寒症不同，举一二症言之，如呕吐不已，食久而出是也；或下利不已，五更
时分，痛泻四五次是也。此等之症，人皆以为脾胃之寒，治其胃，则呕吐可止，治其脾，则下利可遏。
然而终岁经年，服胃脾药而不愈者何也？不得其故耳。盖胃为肾之关，而脾为肾之海。胃气不补命门之
火，则心包寒甚，何以生胃土而消其谷食；脾气不补命门之火，则下焦虚冷，何以化其糟粕而生精微。
故补胃必宜补肾，而补脾亦宜补肾也。方用熟地三两，山茱萸二两，茯苓三两，人参三两，肉桂一两，附
子一两，北五味一两。吴茱萸五钱，山药四两，各为末，蜜为丸。饥服一两。此方之妙，全在用肾药居
多，而脾胃药居少，尤妙用热温之药于补肾补土之中，则火足而土健。谁知水足而火生也，此种议论，举
世未闻。然岂徒托空言以示奇乎，实有至理存焉。试之无不效奏顷刻，愿世人加意之。此热治之妙法，一
方可兼治之。凡如此等之病，无不可统而兼治也。
张公曰∶真妙绝之论，快心之语。天师言补肾之法，而余更有论，乃言补心方也。胃与脾虽同是属土，
而补胃，补脾宜辨。凡人能食而食之不化者，乃胃不病而脾病也，当以
补脾，而补脾尤宜补肾中之火，盖肾火能生脾土也。有人不能食，食之而反安然者，乃胃病而非脾
病，不可补肾中之火，当补心中之火，盖心火能生胃土也。世人一见人不能饮食，动曰脾胃之病，而不
知分胃之寒、虚责之心，分脾之虚、寒而责之肾也。天师之法，心肾兼补，予可不必更立奇方。然
而治脾胃两虚者，用之神效。若单是胃虚胃寒者，自宜独治心之为妙。余所以更定一方，以佐天师之未
及。方用人参一两，白术三两，茯神三两，菖蒲五钱，良姜五钱，莲肉三两，山药四两，半夏三钱，白
芥子三钱，附子三钱，远志二两，炒枣仁五钱，白芍三两，各为末，蜜为丸。每日白滚水送下三钱，饭
后服。此方专补心火，并疏肝气。专生心火，内加附子、良姜，以助火热之气。心火足，自然生胃土，
胃土足，而饮食自然能进而无害矣。此方实可济大师之未及也。
华君曰∶治法与余相同，无可言。
[Methods of Treating Heat] On Vomiting and Diarrhea Caused by Kidney Cold, on Heart Cold and Weak Stomach Qi
The Heavenly Master said: Using hot-natured medicines to treat cold syndromes. Cold syndromes vary; let us discuss one or two symptoms as examples. For instance, persistent vomiting where food is expelled long after ingestion; or persistent diarrhea occurring around the fifth watch (early morning), with abdominal pain and diarrhea four or five times. People generally consider such symptoms to be cold in the Spleen and Stomach. Treating the Stomach stops vomiting, and treating the Spleen halts diarrhea. However, why do patients fail to recover despite taking Spleen and Stomach-regulating medicines throughout the year? It is because the root cause has not been identified. The Stomach serves as the gate for the Kidney, and the Spleen acts as the sea for the Kidney. If Stomach Qi does not supplement the Fire of the Mingmen (Gate of Life), the Pericardium becomes extremely cold; how can it then generate Stomach Earth and digest grain and food? If Spleen Qi does not supplement the Fire of the Mingmen, the Lower Jiao (Lower Burner) becomes deficient and cold; how can it then transform waste into essence and nutrients? Therefore, tonifying the Stomach must involve tonifying the Kidney, and tonifying the Spleen must also involve tonifying the Kidney. The prescription consists of Shu Di Huang (Prepared Rehmannia Root) 3 liang, Shan Zhu Yu (Cornus Fruit) 2 liang, Fu Ling (Poria) 3 liang, Ren Shen (Ginseng) 3 liang, Rou Gui (Cinnamon Bark) 1 liang, Fu Zi (Aconite Lateral Root) 1 liang, Bei Wu Wei Zi (Schisandra Berry) 1 liang, Wu Zhu Yu (Evodia Fruit) 5 qian, and Shan Yao (Dioscorea Rhizome) 4 liang. These are ground into powder and formed into pills with honey. Take 1 liang when hungry. The brilliance of this formula lies primarily in using a majority of Kidney-tonifying herbs and a minority of Spleen/Stomach-regulating herbs. Moreover, it skillfully incorporates warming-hot herbs within the context of tonifying the Kidney and strengthening Earth, thereby ensuring sufficient Fire and robust Earth. Who would have thought that sufficient Water generates Fire? This theory is unheard of in the world. Yet, is it merely empty talk to show off? No, profound principles exist within it. Trials show immediate efficacy without exception. I urge people to pay attention to this. This is the subtle method of treating heat (using hot medicine for cold); one formula can address these conditions simultaneously. Any disease of this nature can be treated comprehensively with this approach.
Master Zhang said: Truly an exquisite argument and refreshing words. The Heavenly Master discussed methods for tonifying the Kidney, but I have further observations regarding formulas for tonifying the Heart. Although both the Stomach and Spleen belong to Earth, tonifying them requires differentiation. If a person can eat but fails to digest, the Stomach is healthy while the Spleen is diseased; one should tonify the Spleen, which particularly requires supplementing the Fire within the Kidney, as Kidney Fire generates Spleen Earth. If a person cannot eat, yet feels fine after eating, the disease lies in the Stomach, not the Spleen; one should not supplement Kidney Fire but rather tonify Heart Fire, as Heart Fire generates Stomach Earth. When people see someone unable to eat or drink, they immediately attribute it to Spleen and Stomach disorders, failing to distinguish that Stomach cold and deficiency should be traced to the Heart, while Spleen deficiency and cold should be traced to the Kidney. The Heavenly Master’s method tonifies both Heart and Kidney, so I need not create another unique formula. However, for treating dual deficiency of the Spleen and Stomach, this formula yields miraculous results. For cases of isolated Stomach deficiency and cold, it is best to treat the Heart exclusively. Therefore, I have formulated another prescription to complement the Heavenly Master’s omissions. The prescription includes Ren Shen (Ginseng) 1 liang, Bai Zhu (Atractylodes Macrocephala Rhizome) 3 liang, Fu Shen (Poria with Hostwood) 3 liang, Shi Chang Pu (Acorus Tatarinowii Rhizome) 5 qian, Liang Jiang (Galangal Rhizome) 5 qian, Lian Rou (Lotus Seed Flesh) 3 liang, Shan Yao (Dioscorea Rhizome) 4 liang, Ban Xia (Pinellia Tuber) 3 qian, Bai Jie Zi (Mustard Seed) 3 qian, Fu Zi (Aconite Lateral Root) 3 qian, Yuan Zhi (Polygala Root) 2 liang, Chao Zao Ren (Fried Ziziphus Seed) 5 qian, and Bai Shao (White Peony Root) 3 liang. These are ground into powder and formed into pills with honey. Take 3 qian daily with plain boiled water, administered after meals. This formula specifically tonifies Heart Fire and soothes Liver Qi. To specifically generate Heart Fire, Fu Zi (Aconite Lateral Root) and Liang Jiang (Galangal Rhizome) are added internally to assist the fiery energy. When Heart Fire is sufficient, it naturally generates Stomach Earth; when Stomach Earth is robust, dietary intake naturally improves without harm. This formula indeed complements what the Great Master omitted.
Master Hua said: The treatment method aligns with mine; there is nothing more to add.