如往性温和,素无痰者,责其血虚少。
八物汤主之,加姜枣。
当归 川芎 生地(酒炒) 白芍 人参 白术 茯苓 甘草(各等分)
如性躁急,多怒多妒者,责其气逆血少气,前方加
香附(便浸炒) 青皮(等分)
水煎,兼服苍莎丸以调之。
苍莎丸 和中开郁。
苍术 香附(各三两,便浸一日夜) 条芩(一两五钱)
共为末,汤浸,蒸饼丸。
如形疲,素无他疾者,责其气血俱不足也,十全大补汤主之。
十全大补汤 专治气血两虚,脾胃不足。
人参(一钱) 黄 (一钱) 白术(一钱) 茯苓(一钱) 炙草(一钱) 当归(一钱) 川芎
(一钱) 白芍(一钱) 生地(一钱) 肉桂(五分)
加姜枣。
如形疲食少,责其脾胃虚弱,气血衰少也。用异功散,加当归川芎汤主之。
人参 茯苓 白术 陈皮 甘草(各等分。此五味名异功散)
加归、芎、姜、枣,兼服地黄丸。
如形肥及饮食过多之人,责其湿痰壅滞,躯肢迫塞也。六君子加芎归汤主之。
参 术 陈皮 苓 甘 半夏
加川芎、当归、香附(各一两,便浸)。
兼服苍莎丸。
如素多痰者,责其脾胃虚弱,气血失养也。用参术大补,即参 白术散加芎、归。
人参(五钱) 白术(七钱) 茯苓(七钱) 甘草(三钱) 陈皮(五钱) 莲肉(七钱) 山
药(一两) 砂仁(五钱) 石菖蒲(五钱)
加归身(七钱) 川芎(五钱)
共为末,用荷叶包米,煮饭为丸,米饮下,兼服地黄丸。
If the patient's temperament is generally mild and there is no phlegm constitution, the cause should be attributed to blood deficiency and insufficiency.
The primary treatment is Bawu Tang (Eight-Ingredient Decoction), with added Shengjiang (Fresh Ginger) and Dazao (Jujube).
Ingredients: Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Shengdi (Radix Rehmanniae Preparata, stir-fried with wine), Baishao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae Preparata) in equal proportions.
If the patient has an irritable temperament, prone to anger and jealousy, the cause should be attributed to qi rebellion and blood deficiency. Add to the previous formula:
Xiangfu (Rhizoma Cyperi Preparata, soaked in urine and stir-fried) and Qingpi (Pericarpium Citri Reticulatae Viride) in equal proportions to the main ingredients.
Decoct in water, and concurrently administer Cangsha Wan (Cangzhu and Xiangfu Pill) for regulation.
Cangsha Wan functions to harmonize the middle jiao and relieve depression.
Ingredients: Cangzhu (Rhizoma Atractylodis), Xiangfu (Rhizoma Cyperi Preparata, each 3 liang, soaked in urine for one day and night), Tiaohuang Qin (Radix Scutellariae, 1.5 liang).
Grind into powder, moisten with rice decoction, and form pills using steamed bread dough.
If the patient presents with physical fatigue and no other chronic diseases, the cause should be attributed to insufficiency of both qi and blood.
The primary treatment is Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction).
Shiquan Dabu Tang is specifically indicated for dual deficiency of qi and blood, and insufficiency of the spleen and stomach.
Ingredients: Renshen (Radix Ginseng, 1 qian), Huangqi (Radix Astragali Preparata, 1 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 qian), Fuling (Poria, 1 qian), Zhigancao (Radix Glycyrrhizae Preparata, 1 qian), Danggui (Radix Angelicae Sinensis, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Baishao (Radix Paeoniae Alba, 1 qian), Shengdi (Radix Rehmanniae Preparata, 1 qian), Rougui (Cortex Cinnamomi, 0.5 qian).
Add Shengjiang (Fresh Ginger) and Dazao (Jujube).
If the patient presents with physical fatigue and poor appetite, the cause should be attributed to spleen-stomach weakness leading to decline in qi and blood.
Use Yigong San (Yigong Powder) modified with Danggui (Radix Angelicae Sinensis) and Chuanxiong (Rhizoma Chuanxiong) as the primary treatment.
Ingredients: Renshen (Radix Ginseng), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae) in equal proportions. (These five herbs constitute Yigong San).
Add Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Shengjiang (Fresh Ginger), and Dazao (Jujube), and concurrently administer Dihuang Wan (Rehmannia Pill).
If the patient is obese and consumes excessive food, the cause should be attributed to stagnation of damp-phlegm causing obstruction in the limbs and torso.
The primary treatment is Liujunzi Tang (Six-Gentlemen Decoction) modified with Chuanxiong (Rhizoma Chuanxiong) and Danggui (Radix Angelicae Sinensis).
Ingredients: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenpi (Pericarpium Citri Reticulatae), Fuling (Poria), Gancao (Radix Glycyrrhizae), Banxia (Rhizoma Pinelliae Preparata).
Add Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), and Xiangfu (Rhizoma Cyperi Preparata, each 1 liang, soaked in urine).
Concurrently administer Cangsha Wan (Cangzhu and Xiangfu Pill).
If the patient has a phlegm-prone constitution, the cause should be attributed to spleen-stomach weakness leading to loss of nourishment by qi and blood.
Use the method of tonifying qi and strengthening the spleen with Shenbai Zhu San (Ginseng and Atractylodes Powder) modified with Chuanxiong (Rhizoma Chuanxiong) and Danggui (Radix Angelicae Sinensis).
Ingredients: Renshen (Radix Ginseng, 5 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, 7 qian), Fuling (Poria, 7 qian), Gancao (Radix Glycyrrhizae, 3 qian), Chenpi (Pericarpium Citri Reticulatae, 5 qian), Lianrou (Endocarpium Nelumbinis, 7 qian), Shanyao (Rhizoma Dioscoreae, 1 liang), Sharen (Fructus Amomi, 5 qian), Shichangpu (Rhizoma Acori Tatarinowii, 5 qian).
Add Dangguishen (Radix Angelicae Sinensis root body, 7 qian) and Chuanxiong (Rhizoma Chuanxiong, 5 qian).
Grind into powder, wrap in lotus leaves with rice flour, cook into rice to form pills, and take with rice gruel. Concurrently administer Dihuang Wan (Rehmannia Pill).