吕祖择论,痉病乃寒湿之气集双足之间,骨中寒痛不可止,亦终岁经年不能身离床褥,
伛偻
土无权
经年仍
一两
耗其真
果老大仙曰∶是。吾亦择一方∶白术四两 苡仁八两 山药八两 车前子三两 牛膝
三两 生黄 十两 肉桂一两 杜仲四两。蜜为丸,每日饭前送下。
又治痿症方∶元参一两 甘菊花五钱 麦冬一两 熟地二两 牛膝五钱 天门冬三钱。
水煎
昴日星君曰∶此方与吕仙择同,意俱妙。
华真人择,治发寒热较夜尤重,此等症必须从天未明而先截之。方用∶柴胡三钱 当归
三钱
一钱
故择此方者,妙在加柴胡一钱,参、 、归、术之中。盖邪之感在日间作祟者,欺正气
之衰
软弱
补正
用也
皮一
二
吕祖曰∶日间发热乃邪在于阳分也,补阳气而邪自败。方用∶人参二钱 甘草一钱 白
术五
名助
果老大仙择,日重者已畅言之也。病重于夜者,至夜发热,或寒少而热多,或热少而寒
多
方用
生
钟大仙曰,此方妙在鳖甲、柴胡并用,又以诸补阴之药合而功之也。鳖甲至阴之物,逢
阴则
生何
须在
华真人择曰∶真奇绝之论,何从而赞助高深,惟有阴经之邪盛,而又有带阳经之邪尚未
发明
发热
药,
胡三钱
方也。
钟大仙曰∶甚妙。
Lu Zu (Lu Dongbin) stated that Jing disease (spasm disorder) is caused by the accumulation of cold-dampness between the two feet, resulting in unceasing cold pain in the bones. Patients may remain bedridden for years, suffering from kyphosis (hunchback).
When Earth Qi is weak and fails to control, it depletes the True Yuan (original qi) over years.
Guo Laodaxian said: Correct. I also select a formula: Baizhu (Atractylodis Rhizoma) 4 liang, Yiren (Coicis Semen) 8 liang, Shanyao (Dioscoreae Rhizoma) 8 liang, Cheqianzi (Plantaginis Semen) 3 liang, Niuxi (Achyranthis Bidentatae Radix) 3 liang, Sheng Huangqi (Astragali Radix) 10 liang, Rougui (Cinnamomi Cortex) 1 liang, Duzhong (Eucommiae Cortex) 4 liang. Processed into pills with honey, taken before meals daily.
Another formula for treating Wei syndrome (flaccidity syndrome): Xuanshen (Scrophulariae Radix) 1 liang, Gan Juhua (Chrysanthemi Flos) 5 qian, Maidong (Ophiopogonis Radix) 1 liang, Shudi (Rehmanniae Radix Preparata) 2 liang, Niuxi (Achyranthis Bidentatae Radix) 5 qian, Tiandong (Asparagi Radix) 3 qian. Decoct in water and drink.
Maori Xingjun said: This formula is identical to that selected by Lu Xian, and both are ingenious in intent.
Hua Zhenren selected a treatment for chills and fever that worsen at night. Such conditions must be intercepted before dawn. The formula uses: Chaihu (Bupleuri Radix) 3 qian, Danggui (Angelicae Sinensis Radix) 3 qian, Renshen (Ginseng Radix) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Baizhu (Atractylodis Rhizoma) 5 qian, Fuling (Poria) [inferred from context].
The brilliance of this formula lies in adding 1 qian of Chaihu among Renshen, Gancao, Danggui, and Baizhu. Since pathogenic factors cause disturbances during the day by exploiting the weakness of Zhengqi (healthy qi), the method employs tonifying Zhengqi.
Lu Zu said: Fever occurring during the day indicates the pathogen is in the Yang portion. Tonifying Yang Qi will cause the pathogen to defeat itself. The formula uses: Renshen (Ginseng Radix) 2 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Baizhu (Atractylodis Rhizoma) 5 qian, Fuling (Poria) [inferred], Chenpi (Citri Reticulatae Pericarpium) [inferred], Shengjiang (Zingiberis Rhizoma Recens) [inferred], Dazao (Jujubae Fructus) [inferred].
Guo Laodaxian selected, stating that cases worsening during the day have been fully discussed. For cases worsening at night, fever occurs after dark, sometimes with less chills and more heat, or less heat and more chills. The formula uses: Sheng Biejia (Testudinis Carapax et Plastrum), Sheng Chaihu (Bupleuri Radix), Sheng Dihuang (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Digupi (Lycii Cortex) [inferred from "Sheng" and context of Yin-nourishing].
Zhong Daxian said: The brilliance of this formula lies in the combined use of Biejia and Chaihu, along with various Yin-tonifying herbs working together. Biejia is a substance of extreme Yin nature; its efficacy increases when encountering Yin (nighttime).
Hua Zhenren commented: This is truly an extraordinary theory. How can one support such profound wisdom? Only when pathogenic factors in the Yin meridians are abundant, while those in the Yang meridians remain unclarified, should this formula be used. The formula uses: Chaihu (Bupleuri Radix) 3 qian, Huangqin (Scutellariae Radix) [inferred], Banxia (Pinelliae Rhizoma Preparatum) [inferred], Renshen (Ginseng Radix) [inferred], Gancao (Glycyrrhizae Radix et Rhizoma) [inferred], Shengjiang (Zingiberis Rhizoma Recens) [inferred], Dazao (Jujubae Fructus) [inferred].
Zhong Daxian said: Very ingenious.