脾脉缓甚为痿厥。(《内经》)诊痿 ,脉虚者生,紧急疾者死。(《脉经》)尺脉虚弱,缓涩而紧,
病为足痛,或为痿病。(《脉诀》)痿脉多浮而大。(子和)
〔肺痿〕犀角桔梗汤 黄 石斛 天冬 麦冬 百合 山药 犀角 通草 桔梗 黄芩 杏仁 秦艽
〔心痿〕铁粉丸 铁粉 银箔 黄连 苦参 石蜜 龙胆 龙齿 牛黄 秦艽 丹皮 白藓皮 地骨皮
雷丸 犀角
〔肝痿〕紫葳汤 紫葳 天冬 百合 杜仲 黄芩 黄连 萆 牛膝 防风 菟丝子 白蒺藜
〔脾痿〕二陈汤 陈 苓 夏 草
〔肾痿〕金刚丸 见二卷虚损
〔胃虚〕藿香养胃汤 参 术 苓 草 苡仁 藿香 半夏曲 乌药 神曲 砂仁 毕澄茄 姜 枣
〔脾虚〕补中益气汤 见一卷中风。
〔通治〕二妙丸 见一卷湿。
〔湿热〕加味二妙丸 见本卷痹。
〔湿热〕三妙丸 二妙丸加酒蒸牛膝二两。
〔阴虚〕滋阴大补丸 熟地 山药 萸肉 茯苓 牛膝 杜仲 五味 巴戟 小茴香 肉苁蓉 远志
石菖蒲 杞子 红枣 蜜丸。
〔阳虚〕鹿角胶丸 鹿角胶 鹿角霜 熟地 人参 当归 牛膝 茯苓 菟丝子 白术 杜仲 虎骨
龟板
〔壮筋〕四斤丸 虎胫骨(一两) 牛膝 苁蓉(各两半) 川乌 天麻(各一两) 木瓜(一斤) 为末,
以苁蓉捣膏,酒糊丸。加乳香、没药,名加味四斤丸。
〔督虚〕香茸丸 鹿茸(三两) 生当归(二两) 麝香(一钱) 生川乌(五钱)
雄羊肾三对,酒煮捣烂为丸。
〔阴伤〕六味汤 见一卷中风。
〔温理〕牛膝丸 见二卷虚损。
〔益阳〕煨肾丸 见二卷虚损。
〔益阳〕五兽三匮丹 鹿茸(酥炙) 血竭 虎胫骨(酥炙) 牛膝(酒浸) 狗脊(烧去毛。各一两)
共为末,此五兽也。附子(一个,去皮脐去中心入) 辰砂(末,一两,填满) 木瓜(一个,去皮去中心入附子于内,
以附子末盖口) 此三匮也。却以三匮正坐于瓷缸内,重汤蒸烂,和五兽末捣丸,木瓜酒下。
〔痿厥〕虎潜丸 见一卷中风。
〔暑痿〕清暑益气汤 见一卷暑。
〔肺燥〕清燥汤 (钱半) 苍术(一钱) 陈 术 泽泻(各五分) 五味子(六粒) 参 苓 升麻(各
三分)
麦冬 归 地 草 神曲 黄柏 猪苓(各二分) 柴胡 黄连(各一分) 水煎。
〔湿热〕神龟滋阴丸 龟板(酥炙,四两) 黄柏 知母(各盐酒炒,二两) 杞子 五味 锁阳(酒炙。各一
两)
干姜(五钱) 为末,以猪脊髓和丸,每服五钱,盐汤下。
〔滋燥〕大补地黄丸 见一卷燥。
〔筋痿〕补血荣筋丸 苁蓉(酒制) 菟丝子(酒煮,焙) 天麻(煨。各二两) 牛膝(酒煮,四两)
鹿茸(酥炙,一对) 熟地(六两) 木瓜(姜汁炒) 五味子(焙。各一两) 为末,蜜丸,温酒下。
〔气虚〕四君子汤 见一卷中风。
〔气血〕十全大补汤 见一卷中风。
〔阳衰〕安肾丸 见本卷痹。
〔湿痰〕二术二陈汤 见二卷痰饮。
〔食滞〕木香槟榔丸 木 槟 术 枳 陈 香附 神曲糊丸。
〔瘀血〕四物汤 见一卷中风。
〔热积〕大承气汤 见一卷温。
〔血虚〕二妙四物汤 二妙合四物。
〔气虚〕二妙六君汤 二妙合六君。
Spleen pulse (pulse of the Spleen channel) that is extremely slow indicates Wei-Jue syndrome (limb weakness accompanied by cold extremities). (*Huangdi Neijing*) When diagnosing Wei disease, a deficient pulse suggests survival, whereas an urgent and rapid pulse indicates death. (*Maijing*) A weak pulse at the Chi position, combined with slow, choppy, and tight qualities, manifests as foot pain or develops into Wei disease. (*Maijue*) The pulse in Wei disease is often floating and large. (Liu Wansu/Zihehe)
[Wei of Lung] Xijiao Jiegeng Decoction: Rhizoma Polygonati Odorati (Jingwei), Dendrobii Caulis (Shihu), Asparagi Radix (Tian Dong), Ophiopogonis Radix (Mai Dong), Bulbus Lilii (Bai He), Dioscoreae Rhizoma (Shan Yao), Cornus Rhinocerotis Cornu (Xijiao), Tectonae Herba (Tong Cao), Platycodonis Radix (Jie Geng), Scutellariae Radix (Huang Qin), Armeniacae Semen Amarum (Xing Ren), Gentianae Macrophyllae Radix et Rhizoma (Qin Jiao).
[Wei of Heart] Tiefen Pill: Ferrum (Tiefen), Folium Argenti (Yinbo), Coptidis Rhizoma (Huang Lian), Sophorae Flavescentis Radix (Kushen), Melli Mel (Shimi), Gentianae Radix (Longdan), Ossis Mastodi (Longchi), Calculus Bovis (Niuhuang), Gentianae Macrophyllae Radix et Rhizoma (Qin Jiao), Moutan Cortex (Dan Pi), Phellodendri Amurensis Cortex (Baixianpi), Lycii Cortex (Digupi), Omiae Fructus (Leiwan), Cornus Rhinocerotis Cornu (Xijiao).
[Wei of Liver] Ziwei Decoction: Bignoniae Caulis (Ziwei), Asparagi Radix (Tian Dong), Bulbus Lilii (Bai He), Eucommiae Cortex (Duzhong), Scutellariae Radix (Huang Qin), Coptidis Rhizoma (Huang Lian), Smilacis Glabrae Rhizoma (Bixie), Achyranthis Bidentatae Radix (Niuxi), Saposhnikoviae Radix (Fangfeng), Dodder Seed (Tusizi), Tribuli Fructus (Bajili).
[Wei of Spleen] Erchen Decoction: Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling), Pinelliae Rhizoma Preparatum (Banxia), Glycyrrhizae Radix et Rhizoma (Gancao).
[Wei of Kidney] Jingang Pill: See Volume 2, "Deficiency and Damage" chapter.
[Stomach Deficiency] Huoxiang Yangwei Decoction: Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Coicis Semen (Yiren), Agastaches Herba (Huoxiang), Pinelliae Fermentatae Rhizoma (Banxiaqu), Linderae Radix (Wuyao), Massae Medicatae Fermentatae (Shenqu), Amomi Fructus (Sharen), Galangal Fruit (Bichengqie), Zingiberis Rhizoma Recens (Shengjiang), Jujubae Fructus (Dazao).
[Spleen Deficiency] Buzhong Yiqi Decoction: See Volume 1, "Wind-Stroke" chapter.
[General Treatment] Ermiao Pill: See Volume 1, "Dampness" chapter.
[Damp-Heat] Jiawei Ermiao Pill: See this volume, "Bi Syndrome" chapter.
[Damp-Heat] Sanmiao Pill: Ermiao Pill plus two liang of Niuxi steamed with wine.
[Yin Deficiency] Ziyin Dabu Pill: Rehmanniae Radix Preparata (Shudi), Dioscoreae Rhizoma (Shanyao), Corni Fructus (Yurou), Poria (Fuling), Achyranthis Bidentatae Radix (Niuxi), Eucommiae Cortex (Duzhong), Schisandrae Fructus (Wuweizi), Morinda Officinalis Radix (Baji), Foeniculum Vulgare (Xiaohuixiang), Cynomorii Herba (Rongrong), Polygalae Radix (Yuanzhi), Sagittariae Sagittifoliae Rhizoma (Shichangpu), Lycii Fructus (Qizi), Jujubae Fructus (Hongzao), processed with honey to form pills.
[Yang Deficiency] Lu'anjiao Pill: Cornu Cervi Corium (Lu'anjiao), Cornu Cervi Degelatinatum (Lu'jianshuang), Rehmanniae Radix Preparata (Shudi), Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui), Achyranthis Bidentatae Radix (Niuxi), Poria (Fuling), Dodder Seed (Tusizi), Atractylodis Macrocephalae Rhizoma (Baizhu), Eucommiae Cortex (Duzhong), Pantheris Os (Hugu), Testudinis et Plastrum (Guiban).
[Tendon Strengthening] Sijin Pill: Pantheris Tibia (one qianliang), Achyranthis Bidentatae Radix (half qianliang), Cynomorii Herba (half qianliang), Aconiti Lateralis Radix Preparata (Chuanwu), Gastrodiae Rhizoma (Tianma) (each one qianliang), Papaveris Fructus (Mugua) (one jin), ground into powder. Use Cynomorii Herba mashed into paste and wine glue to form pills. Adding Frankincense and Myrrh creates Jiawei Sijin Pill.
[Du Mai Deficiency] Xiangrong Pill: Antler of Sika Deer (San qianliang), Raw Angelicae Sinensis Radix (Er qianliang), Moschus (Yi qian), Raw Aconiti Lateralis Radix (Wu qian), three pairs of male sheep kidneys, boiled in wine, mashed, and formed into pills.
[Yin Injury] Liuwei Decoction: See Volume 1, "Wind-Stroke" chapter.
[Warming and Regulating] Niuxi Pill: See Volume 2, "Deficiency and Damage" chapter.
[Benefiting Yang] Weishen Pill: See Volume 2, "Deficiency and Damage" chapter.
[Benefiting Yang] Wushou Sankui Dan: Antler of Sika Deer (prepared with酥), Dragon's Blood (Xuejie), Pantheris Tibia (prepared with酥), Achyranthis Bidentatae Radix (soaked in wine), Dogspine (burned to remove hair, each one qianliang), ground together; this constitutes the "Five Beasts." Aconitum Carleolicum (one piece, skin and navel removed, center hollowed out), Cinnabar (powdered, one qianliang, filled into the Aconite); Papaveris Fructus (one piece, skin and center removed, Aconite placed inside, sealed with Aconite powder); this constitutes the "Three Vessels." Place the three vessels upright in a porcelain jar, steam thoroughly over boiling water, mix with the "Five Beasts" powder, mash into pills, and take with Papaveris Fructus wine.
[Wei-Jue] Hujian Pill: See Volume 1, "Wind-Stroke" chapter.
[Summerheat Wei] Qingshu Yiqi Decoction: See Volume 1, "Summerheat" chapter.
[Lung Dryness] Qingzao Decoction: Ginseng Radix et Rhizoma (ban qian), Atractylodis Rhizoma (Cangzhu) (yi qian), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Macrocephalae Rhizoma (Baizhu), Alismatis Rhizoma (Zexie) (each wu fen), Schisandrae Fructus (six grains), Poria (Fuling), Bupleuri Radix (Shengma) (each san fen), Ophiopogonis Radix (Maidong), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Dihuang), Glycyrrhizae Radix et Rhizoma (Gancao), Massae Medicatae Fermentatae (Shenqu), Phellodendri Amurensis Cortex (Huangbai), Polypori Umbellati (Zhuling) (each er fen), Bupleuri Radix (Chaihu), Coptidis Rhizoma (Huanglian) (each yi fen), decocted in water.
[Damp-Heat] Shengui Ziyin Pill: Testudinis et Plastrum (prepared with酥, four qianliang), Phellodendri Amurensis Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu) (each two qianliang, stir-fried with salt and wine), Lycii Fructus (Qizi), Schisandrae Fructus (Wuweizi), Cynomorii Herba (Suoyang) (each one qianliang, prepared with wine), Zingiberis Rhizoma (Ganjiang) (five qian), ground into powder, mixed with pig spinal cord to form pills. Take five qian per dose, washed down with salt water.
[Nourishing Dryness] Dabu Dihuang Wan: See Volume 1, "Dryness" chapter.
[Tendon Wei] Buxue Rongjin Pill: Cynomorii Herba (prepared with wine), Dodder Seed (boiled in wine, dried), Gastrodiae Rhizoma (roasted, each two qianliang), Achyranthis Bidentatae Radix (boiled in wine, four qianliang), Antler of Sika Deer (prepared with酥, one pair), Rehmanniae Radix Preparata (Liulang), Papaveris Fructus (stir-fried with ginger juice), Schisandrae Fructus (dried, each one qianliang), ground into powder, formed with honey into pills, taken with warm wine.
[Qi Deficiency] Sijunzi Decoction: See Volume 1, "Wind-Stroke" chapter.
[Qi and Blood] Shiquan Dabu Decoction: See Volume 1, "Wind-Stroke" chapter.
[Yang Decline] Anshen Pill: See this volume, "Bi Syndrome" chapter.
[Damp-Phlegm] Eru Erchen Decoction: See Volume 2, "Phlegm-Fluids" chapter.
[Food Stagnation] Muxiang Binglang Pill: Costi Rhizoma (Muxiang), Arecae Semen (Binglang), Atractylodis Macrocephalae Rhizoma (Baizhu), Aurantii Fructus Immaturus (Zhishi), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Massae Medicatae Fermentatae (Shenqu), formed with paste into pills.
[Blood Stasis) Siwu Decoction: See Volume 1, "Wind-Stroke" chapter.
[Heat Accumulation] Dachengqi Decoction: See Volume 1, "Warm Disease" chapter.
[Blood Deficiency) Ermiao Siwu Tang: Combination of Ermiao Pill and Siwu Decoction.
[Qi Deficiency] Ermiao Liujun Tang: Combination of Ermiao Pill and Liujunzi Decoction.