人有好食肥甘烹炙之物,遂至积于胸胃久而不化,少遇风邪,便觉气塞不通,人以为伤
风之外感也,谁知是内伤于食,因而外感乎。凡人胃气若强,则土能生金,肺气必旺,外邪
不能从皮毛而深入也。惟胃气之虚,则肺金亦虚,邪始能乘虚而入。然胃不能自强,必假饮
食之助,故胃气开则食易消,胃气闭则食难化,食易消则胃强,食难化则胃弱。世人多食,
本欲助胃也,谁知多食反以损胃乎。胃损则胃弱,胃弱则肺何能强以外卫夫皮毛乎。是邪因
内伤而入,非邪无引而直入也。治法乌可纯治外感哉。
方用护内汤∶
白术(三钱) 茯苓(三钱) 麦芽(一钱) 山楂(五钱) 甘草(一钱) 柴胡(一钱) 半夏(一钱) 枳
壳(五分) 神曲(八分) 肉桂(二分)
水煎服。一剂气塞通,二剂全愈。
此方乃消食神剂,又能祛逐外邪,且不伤胃气,真治内伤感邪初起之良法也,所以二剂
此症用参茯甘桔汤亦效。
山楂(十粒) 麦芽 人参 桔梗(各一钱) 枳壳 甘草(各五分) 茯苓(三钱)
水煎服。
人有饥饱劳役,伤损津液,以致口渴舌干,又感风邪,头痛发热,人以为外感也,谁知
是内伤于阴乎。夫人身非血不养,血足而津液自润,伤血而津液自少,血少则皮肤无养,毛
窍空虚,风尤易入。然风虽入于皮肤,而不能骤进于经络,以阴虚而阳未衰也。阳与邪战而
发热,故头痛耳。治法不必补阳,补其阴血之虚少,佐之祛风之味,则阴阳和合,邪安能久
留哉?
方用养阴辟邪丹∶
当归(五钱) 白芍(五钱) 柴胡(一钱) 甘草(一钱) 蔓荆子(五分) 川芎(三钱) 天花粉(一钱) 茯
苓(三钱)
水煎服。一剂邪解,二剂全愈。
此方补血以养阴,则津液自生,原因津液之亏而邪入,津液足而邪有不出者乎。况川芎
、蔓荆子能祛头上之邪,柴胡,炙甘草更善解纷之妙,天花粉与茯苓善消痰利湿,引邪尽从
膀胱而去。治阴虚内伤感邪,莫良于此。倘用攻于补阳之中,则阳旺阴消,邪转炽矣,乌能
此症养津汤亦可用。
柴胡 半夏 甘草 蔓荆子(各一钱) 丹皮 麦冬(各三钱) 玄参(四钱) 神曲(五分)
水煎服。
人有饥饱劳役,又感冰雪之气,或犯霜露之感,遂至腹痛畏寒,身热不解,人以为外感
之症也,谁知是阳气之内伤乎。凡人阳气壮盛者,虽受冰雪霜露而亦不惧,惟饥饱损其脾胃
,劳役困其体肤,则脏腑经络自先虚冷,此邪之所以易入也,虽有外邪,俱作正虚治之。况
腹痛畏寒,尤是虚冷之验,外身虽热,内寒又何疑乎。
方用加味六君子汤治之。
人参(一钱) 白术(五钱) 茯苓(三钱) 陈皮(五分) 甘草(一钱) 半夏(五分) 肉桂(一钱) 柴
胡(一钱)
水煎服。一剂痛止,而荡其内寒也。
倘疑身热而外邪之盛,纯用祛风利湿之剂则损伤阳气,不啻下石,势必变症蜂起,成不
可治之症矣。
此症用双桂汤亦效。
白术(五钱) 茯苓(三钱) 肉桂 甘草(各一钱) 桂枝 羌活(各五分)
水煎服。
人有怀抱素郁,闷闷昏昏,忽然感冒风寒,身热咳嗽,吐痰不已,虽似外感,谁知是肝
气不舒,因召外感邪。夫肝气最喜条达,一遇忧郁之事,则涩滞而不可解,正喜外风之吹动
,则内郁可舒。无如内郁之甚,则木中生火,风火相合,而热乃炽也,故感冒风寒,所以作
热。风火作威,肝不畏金之克,反去侮肺,肺气不甘,两相战斗,肺又惧火刑,呼救于肾子
,而咳嗽生矣。虽有津液,又为肝中风火所耗,而津液变为痰涎。治法自宜急散肺中之风,
然风虽散,而火尤存,则火以引风,非救本之道也。尤宜舒肝之郁,则火息而风尤易散也。
方用逍遥散加味治之。
柴胡(一钱) 白芍(三钱) 当归(三钱) 甘草(一钱) 白术(一钱) 陈皮(五分) 茯苓(二钱) 炒
栀子
(一钱) 半夏(一钱)
水煎服。一剂身热解,二剂咳嗽除,三剂全愈。
此方解郁之圣药,亦祛风之神剂也,直入肝中,舒泄其湮郁之气,郁解而风自难留。加
入半夏以消痰,栀子以退火,更能相助为理,所以奏功益捷也。
此症用舒解散亦效。
白芍 当归(各二钱) 天花粉 香附(各一钱五分) 青皮 神曲(各五分) 甘草(一钱)
水煎服。
人有忍饥受饿,腹中空虚,时遇天气不正,时寒时热,遂至胸膈闷塞,宛如结胸,人以
为外邪相侵,谁知是内伤其胃气乎。夫胃为水谷之海,虽多气多血,然亦因能受水谷而气血
始旺。故水谷多受而胃强,水谷少受而胃弱。今既饥饿强忍,则胃无水谷,胃火沸腾,遏抑
之而不舒,则胃气消亡,天时不正之寒热,自易相感,乘虚入于胃中而不散,因现闷塞之状
。治法必须助胃弱而使之强,则邪不战而自退也。
方用加味四君子汤∶
人参(三钱) 白术(五钱) 茯苓(三钱) 甘草(一分) 柴胡(一钱) 枳壳(五分)
水煎服。一剂轻,二剂全愈。
论理既感寒热,自宜用热药以祛寒,用寒药以散热。然而用寒用热之药,必皆先入于胃
,胃既空虚,寒热相战,必以胃为战场矣,胃弱何能堪乎。故寒热两有所不用,惟以健胃为
主,佐之和解之味于补中散之也。
此症用和腹汤亦效。
人参 柴胡 甘草 神曲 浓朴(各一钱) 白术(二钱) 陈皮(五分)
水煎服。
人有素耽曲 ,日在醉乡,忽感寒疾,不可以风,人以为外伤于风也,谁知内伤于酒
乎。夫酒醉之时,热性可以敌寒,酒醒之时,邪风易于浸正。盖酒能散气,气散则阳虚,而
腠理、营卫无不空虚,邪所以易入也。故好饮之人,无不气虚,气虚而邪入,助其气而邪自
出矣。
方用补中益气汤∶
人参(二钱) 黄 (三钱) 当归(三钱) 白术(五钱) 甘草(三分) 陈皮(五分) 升麻(三分) 柴
胡(一钱)
水煎服。一剂气旺,不畏风矣,二剂全愈。
东垣先生制此方,以治内伤而兼外感实神,以之治伤酒而感冒风邪者,尤为相宜。使不
用此方以升提阳气,而专用祛风逐邪之味则散尽真气,风邪转不肯出,必至轻变重,而重变
死也,何不慎欤。
人有贪恋房帏,纵情色欲,遂至感冒外邪伤风咳嗽,睡卧不宁,人以为外感于风也,谁
知内伤于肾乎。夫肾为肺子,泄精过多,必取给于肺母,肾虚而肺亦虚,肺气不能充于毛窍
,邪即乘虚而入。倘以为外邪之盛,日用散风之剂,则肺气益虚,肾水又来取资,是内外盗
肺之气,肺金安得不困乎,肺气既困,不特不能生肾中之水,且反耗肾中之气,遂至变劳、
变怯者比比也。治宜补其肺金,更补其肾水,使肾不盗母气,则肺自得子援,子母两旺,外邪
自衰
,不战而遁矣。
方用金水两滋汤∶
麦冬(一两) 天门冬(三钱) 桔梗(一钱) 甘草(一钱) 熟地(一两) 茯苓(三钱) 山药(五钱) 肉
桂(三分) 白术(三钱) 紫菀(一钱) 白芥子(二钱)
水煎服。二剂睡卧安,四剂咳嗽除,十剂全愈。
肾虚感邪最难愈之病也,以散邪之药,不能直入于肾经耳。讵知肾虚感邪,邪不遽入于
肾,仍在肺乎。散肺经之邪,仍补其肾中之水,肾得其益,肺又无损,正善于散邪也。
此症用增减六君汤亦效。
人参 熟地 白术(各五钱) 甘草 陈皮 神曲(各五分) 柴胡(一钱) 茯苓(三钱) 肉桂(三分)
水煎服。
人有防危虑患,日凛恐惧之怀,遂至感冒风邪,畏寒作颤,人以为外感于风也,谁知内
伤于心胆乎。夫恐起于胆,惧起于心,过于恐则胆气先寒,过于惧则心气先丧。胆寒则精移
,心丧则精耗,精移精耗,心与胆不愈虚乎。心胆气虚,邪易中矣。夫胆属少阳,胆气既怯
,则邪入少阳,胆不胜任,故畏寒而作颤。倘再用祛风之药,则耗损胆气,胆耗而心气更耗
矣。心胆二经之气耗,邪又何所畏,肯轻出于表里之外乎。治法自宜急助其胆气之壮,胆不
寒而心亦不丧,则协力同心,祛除外邪,自易易耳。
方用加减小柴胡汤∶
柴胡(一钱) 白芍(一两) 茯神(五钱) 麦冬(三钱) 甘草(一钱) 陈皮(五分)
水煎服。一剂胆气壮,二剂心气安,三剂风邪尽散。
此方用柴胡以和解胆中之邪,实佐白芍、茯神、麦冬补胆气之弱,而即补心气之虚也。
二经得补而气旺,恐惧且不畏,又何惧于外邪哉。
此症用攸利汤亦可治。
白芍(五钱) 茯神(三钱) 甘草 半夏 人参(各一钱) 青皮(五分) 柴胡(一钱)
水煎服。
人有处得意之境,过于欢娱,尽情喜笑,遂至感寒畏风,口干舌苦,人以为外感也,谁
知内伤于心包乎。夫心包乃膻中也,膻中者,臣使之官,喜乐出焉。是欢娱者,正心包之职
掌,喜乐何至相伤,惟喜乐太过,大笑不止,未免津干液燥耳。夫心包护君以出治者也。心
包干燥,必盗心之气以自肥,将内府空虚,则宵小之辈,乘机窃发,而邪易入矣。治法自宜
急补心中之气,心气既旺,心包亦必同旺。盖国富而家自不贫,自然协力同心以御外,何至
有四郊之多垒哉。
方用卫君汤∶
人参(二钱) 白术(五钱) 茯苓(三钱) 甘草(一钱) 菖蒲(一钱) 苏叶(一钱) 半夏(一钱) 桔
梗(一钱) 丹参(一钱)
水煎服。一剂津液生,二剂风邪散,三剂全愈。
此方心与膻中均补之药也,心与心包原不可分,治内宁何愁外扰乎。
此症用滋生汤亦效。
人参 柴胡 天花粉(各一钱) 巴戟天 茯神 白术(各二钱) 甘草 神曲(各五分) 肉桂(三
分) 麦冬(三钱)
水煎服。
人有终日思虑忧愁,致面黄体瘦,感冒风邪,人以为外感之病,谁知是内伤于脾肾乎。
夫人后天脾胃,先天肾也,二经最不宜病,然最易病也。天下无不思之人,亦少无愁之客,
但过于思虑,则脾土之气不升,胃土之气不降,食乃停积于中州而不化,何能生津生液,以
灌注于五脏乎。甚矣,思虑之伤人也,而忧愁更甚。盖思则伤脾,忧则伤肾。肾伤则肾水不
能滋肝,而肝无水养,仍克脾胃之土,故忧思二者相合,则脾肾两伤,而外邪尤易深入,欺
先后二天之皆虚也。人至先后二天皆虚,其元虚之弱,为何如乎。治法乌可散邪,而不扶正
方用脾肾双益丹∶
人参(一两) 白术(一两) 巴戟天(一两) 山药(一两) 茯苓(五钱) 柴胡(一钱) 甘草(一钱) 肉
桂(五分) 山茱萸(三钱)
水煎服。二剂风邪全散,十剂全愈。
此方补土之中,有补水之味,补水之内,有散邪之剂。有补之益,而无散之伤,实乃治
忧思内损之神方,非止治忧思外感之妙药也。
此症用复正汤亦妙。
熟地 白术(各五钱) 柴胡 山茱萸 茯苓 丹皮(各二钱) 甘草(一钱) 山药(三钱) 神曲(五
分) 贝母(五分)
水煎服。
人有动多气恼,大声骂詈,觉饮食坐卧居处晋接,无非可怒之场,遂至感触风邪,身热
胸满,两胁作胀,人以为风邪外感,谁知是肝经内伤乎。夫肝性急,气恼则肝叶开张,气愈
急矣。急则气不能顺而逆作,血不能藏,逆则气不能舒而胀生,血亦不畅。木郁不泄,木乃
生火,火郁不宣,火乃生风。内风与外风齐动,则内火与外火同焚,此风邪之所以易入,不
可徒祛于外也。
方用风火两消汤∶
白芍(一两) 炒栀子(三钱) 柴胡(二钱) 天花粉(二钱) 甘草(一钱) 车前子(二钱) 丹皮(五钱)
水煎服。一剂轻,二剂全愈。
此方治肝经之内火,内风也。然而外来风火,未常不可兼治,故两治之而奏功也。倘不
用白芍为君,单用柴胡、栀子之类,虽风火亦能两平,肝中气血之虚,未能骤补,风火散后
,肝木仍燥,怒气终不能解,何如多加白芍,既能补肝,又能泻风火之得哉。
此症用却忿散亦妙。
柴胡 半夏 甘草 薄荷 黄芩 神曲(各一钱) 当归 茯苓(各三钱) 白芍(四钱) 炒栀子
水煎服。
人有昼夜诵读不辍,眠思梦想,俱在功名,劳瘁不自知,饥饿不自觉,遂至感入风邪,
咳嗽身热,人以为外感之症,谁知内伤于肺乎,夫诵读伤气,气伤则肺虚,而腠理亦虚,邪
即随虚而入于肺。肺虚不能敌邪,呼肾子以相救,肾水亦正无多力难上灌于肺,而肺气往来
于肺肾之间,故咳嗽而不自安也。治法急补其肺气可也,然肺为邪所侮,补肺则邪更旺,
而肺愈难安。必兼补胃土之气,以生肺气,则邪不能夺,然补胃而不佐以散邪之品,则肺畏
邪侵,未必能受胃气之益,惟于胃中散邪,则邪畏土气之旺,听肺气自生,而邪乃遁矣。
方用助功汤∶
人参(二钱) 茯苓(三钱) 麦冬(五钱) 甘草(一钱) 桔梗(一钱) 半夏(一钱) 黄芩(五分)
Some people enjoy eating rich, sweet, fried, and roasted foods, causing these foods to accumulate in the chest and stomach for a long time without being digested. Upon encountering even a slight wind pathogen, they feel Qi blockage and obstruction. People assume this is an external contraction caused by catching a cold, but who would know that it is actually internal injury due to food stagnation, thereby inviting external pathogens? Whenever a person's Stomach Qi is strong, then Earth (Spleen) can generate Metal (Lung), Lung Qi will be robust, and external pathogens cannot penetrate deeply from the skin and hair. Only when Stomach Qi is deficient does Lung Metal also become weak, allowing pathogens to enter through the deficiency. However, Stomach Qi cannot strengthen itself; it must rely on dietary assistance. Therefore, if Stomach Qi is open, food digests easily; if Stomach Qi is closed, food is hard to transform. Easy digestion indicates strong Stomach Qi, while difficult digestion indicates weak Stomach Qi. The world eats more, intending to help the Stomach, but who knows that overeating actually damages the Stomach? When the Stomach is damaged, it becomes weak; when the Stomach is weak, how can the Lung be strong enough to protect the skin and hair? Thus, pathogens enter due to internal injury, not because they invade directly without guidance. How can the treatment method focus solely on external contractions?
Prescribe Hu Nei Tang (Protect the Interior Decoction):
Bai Zhu (Atractylodis Rhizoma, 3 qian), Fu Ling (Poria, 3 qian), Mai Ya (Hordei Fructus Germinatus, 1 qian), Shan Zha (Crataegi Fructus, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Zhi Ke (Aurantii Fructus Immaturus, 5 fen), Shen Qu (Massa Medicata Fermentata, 8 fen), Rou Gui (Cinnamomi Cortex, 2 fen).
Decoct in water and take orally. After one dose, Qi blockage resolves; after two doses, full recovery occurs.
This prescription is a divine agent for resolving food stagnation, capable of expelling external pathogens without damaging Stomach Qi. It is truly an excellent method for treating early-stage internal injury complicated by external contraction. Additionally, using Shen Fu Gan Jie Tang (Ginseng, Poria, Licorice, and Platycodon Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Fu Ling (Poria, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Shan Zha (Crataegi Fructus, 10 grains), Mai Ya (Hordei Fructus Germinatus), Zhi Ke (Aurantii Fructus Immaturus, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Fu Ling (Poria, 3 qian).
Decoct in water and take orally.
Some individuals suffer from uneven meals or excessive labor, damaging body fluids, leading to thirst and dry tongue, followed by wind pathogen invasion, causing headache and fever. People assume this is an external contraction, but who knows it is actually internal injury to Yin? The human body requires blood for nourishment; when blood is sufficient, body fluids are naturally moist. Damaging blood reduces body fluids; when blood is scarce, skin loses nourishment, pores become empty, and wind pathogens easily enter. Although wind enters the skin, it cannot rapidly penetrate the meridians because Yin is deficient but Yang is not yet exhausted. Yang battles with the pathogen, causing fever and thus headache. The treatment need not tonify Yang; instead, it should tonify the deficiency of Yin and Blood, assisted by wind-dispelling herbs. Then Yin and Yang harmonize, and how can the pathogen remain?
Prescribe Yang Yin Pi Xie Dan (Nourish Yin and Repel Pathogens Pill):
Dang Gui (Angelicae Sinensis Radix, 5 qian), Bai Shao (Paeoniae Radix Alba, 5 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Man Jing Zi (Viticis Fructus, 5 fen), Chuan Xiong (Chuanxiong Rhizoma, 3 qian), Tian Hua Fen (Trichosanthis Radix, 1 qian), Fu Ling (Poria, 3 qian).
Decoct in water and take orally. After one dose, pathogens resolve; after two doses, full recovery occurs.
This prescription tonifies Blood to nourish Yin, generating body fluids naturally. Originally, pathogens entered due to fluid deficiency; once fluids are sufficient, pathogens have no reason to stay. Moreover, Chuan Xiong and Man Jing Zi dispel pathogens from the head; Chai Hu and Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) excel at resolving conflict; Tian Hua Fen and Fu Ling eliminate phlegm and dampness, guiding pathogens out via the Bladder. For treating internal injury due to Yin deficiency complicated by external contraction, nothing is better than this. If one uses attacking methods within Yang-tonification, Yang becomes excessive and Yin diminishes, causing pathogens to flare up, making cure impossible. Additionally, using Yang Jin Tang (Nourish Fluids Decoction) for this condition is also viable.
Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Man Jing Zi (Viticis Fructus, 1 qian), Dan Pi (Moutan Cortex, 3 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Xuan Shen (Scrophulariae Radix, 4 qian), Shen Qu (Massa Medicata Fermentata, 5 fen).
Decoct in water and take orally.
Some individuals suffer from uneven meals and excessive labor, then contract ice/snow cold qi or frost/dew exposure, leading to abdominal pain, aversion to cold, and persistent fever. People assume this is an external contraction syndrome, but who knows it is internal injury to Yang? Those with robust Yang are not afraid of ice/snow/frost/dew. Only when uneven meals damage the Spleen/Stomach and labor exhausts the body do the Zang-Fu organs and meridians become deficient and cold first, making pathogen entry easy. Even with external pathogens, treat them as righteous Qi deficiency. Abdominal pain and aversion to cold are signs of interior cold; although the exterior feels hot, interior cold is undeniable.
Treat with Jia Wei Liu Jun Zi Tang (Modified Six Gentlemen Decoction).
Ren Shen (Panacis Ginseng Radix, 1 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 5 fen), Rou Gui (Cinnamomi Cortex, 1 qian), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally. After one dose, pain stops and interior cold is cleared.
If one suspects high fever indicates severe external pathogens and uses purely wind-dispelling and damp-draining agents, Yang Qi will be damaged, akin to kicking someone when they are down. This will inevitably cause numerous complications, becoming incurable. Additionally, using Shuang Gui Tang (Double Cinnamon Decoction) for this condition is also effective.
Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Rou Gui (Cinnamomi Cortex, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Gui Zhi (Cinnamomi Ramulus, 5 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 5 fen).
Decoct in water and take orally.
Some people have chronic depression and gloominess, suddenly contracting wind-cold, resulting in fever, cough, and incessant expectoration. Although it seems like an external contraction, who knows it is Liver Qi stagnation inviting external pathogens? Liver Qi prefers free flow; upon encountering depression, it becomes stagnant and unresolved. It welcomes external wind to blow away internal stagnation. However, extreme internal stagnation generates Fire from Wood; Wind and Fire combine, causing intense heat, so wind-cold contraction leads to fever. Wind and Fire act tyrannically; the Liver disregards Metal (Lung) control and insults the Lung. Lung Qi resists, fighting back, but fearing Fire punishment, it calls on Kidney Water (its child organ), causing cough. Body fluids are consumed by Liver Wind-Fire, turning into phlegm-saliva. Treatment should urgently disperse Wind in the Lung. However, dispersing Wind alone leaves Fire, which rekindles Wind; this is not treating the root. One must soothe Liver stagnation; then Fire extinguishes and Wind disperses easily.
Treat with Xiao Yao San (Free and Easy Wanderer Powder) modified.
Chai Hu (Bupleuri Radix, 1 qian), Bai Shao (Paeoniae Radix Alba, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Fu Ling (Poria, 2 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian).
Decoct in water and take orally. After one dose, fever resolves; after two doses, cough ceases; after three doses, full recovery.
This prescription is a holy medicine for resolving stagnation and a divine agent for dispelling wind, entering directly into the Liver to vent accumulated Qi. Once stagnation resolves, Wind has difficulty staying. Adding Ban Xia eliminates phlegm; Zhi Zi clears Heat, assisting each other for rapid effect. Additionally, using Shu Jie San (Relieve Stagnation Powder) for this condition is also effective.
Bai Shao (Paeoniae Radix Alba, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Tian Hua Fen (Trichosanthis Radix, 1.5 qian), Xiang Fu (Cyperi Rhizoma, 1.5 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Decoct in water and take orally.
Some people endure hunger, leaving the abdomen empty, encountering abnormal weather (alternating cold/heat), leading to chest/diaphragm stuffiness resembling Jie Xiong (Chest Binding) syndrome. People assume external pathogen invasion, but who knows it is internal injury to Stomach Qi? The Stomach is the sea of water and grain. Though abundant in Qi and Blood, it relies on receiving water/grain to make Qi/Blood robust. Receiving much makes Stomach strong; receiving little makes it weak. Enduring hunger means no water/grain in Stomach; Stomach Fire boils, suppressed and unable to舒展 (spread), causing Stomach Qi to perish. Abnormal weather cold/heat easily induces, entering the Stomach via deficiency and lingering, causing stuffiness. Treatment must strengthen weak Stomach Qi; then pathogens retreat without battle.
Prescribe Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction):
Ren Shen (Panacis Ginseng Radix, 3 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen), Chai Hu (Bupleuri Radix, 1 qian), Zhi Ke (Aurantii Fructus Immaturus, 5 fen).
Decoct in water and take orally. After one dose, symptoms lighten; after two doses, full recovery.
Logically, upon contracting cold/heat, one should use Hot herbs to dispel cold and Cold herbs to clear heat. However, all herbs enter the Stomach first. With an empty Stomach, cold and heat battle there, using the Stomach as a battlefield. A weak Stomach cannot bear this. Thus, neither Cold nor Hot herbs are used; instead, strengthening the Stomach is primary, assisted by harmonizing herbs to tonify the Middle and disperse. Additionally, using He Fu Tang (Harmonize Abdomen Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian), Hou Po (Magnoliae Officinalis Cortex, 1 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen).
Decoct in water and take orally.
Some people indulge in alcohol daily, suddenly contracting cold disease and fear of wind. People assume external wind injury, but who knows it is internal injury from wine? While drunk, wine’s heat counters cold; upon sobering, wind pathogens easily invade righteous Qi. Wine scatters Qi; scattered Qi leads to Yang deficiency, leaving Cou Li (pores), Ying (Nutritive), and Wei (Defensive) Qi empty, making pathogen entry easy. Alcohol lovers are invariably Qi deficient. When Qi is deficient and pathogens enter, tonifying Qi causes pathogens to exit.
Prescribe Bu Zhong Yi Qi Tang (Tonify the Middle and Augment Qi Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Huang Qi (Astragali Radix, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Sheng Ma (Cimicifugae Rhizoma, 3 fen), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally. After one dose, Qi becomes robust, fear of wind disappears; after two doses, full recovery.
Mr. Dongyuan (Li Dongyuan) created this formula to treat internal injury with external contraction effectively. Using it for alcohol-induced wind contraction is particularly suitable. If one does not use this formula to lift Yang Qi, but solely uses wind-dispelling agents, True Qi will scatter, and wind pathogens will refuse to exit, turning mild cases severe and severe cases fatal. How cautious must one be?
Some people indulge in sexual activity, contracting external wind-pathogen, causing wind-cold cough and restless sleep. People assume external wind contraction, but who knows it is internal injury to the Kidney? The Kidney is the Child of the Lung. Excessive essence loss draws from the Mother (Lung). Kidney deficiency leads to Lung deficiency. Lung Qi cannot fill the pores, allowing pathogens to enter via deficiency. If treated as severe external pathogens with daily wind-dispersing agents, Lung Qi becomes weaker, and Kidney Water seeks resources again. This is internal and external theft of Lung Qi. How can Lung Metal not be distressed? Distressed Lung Qi cannot generate Kidney Water and consumes Kidney Qi, leading to consumption and weakness syndromes frequently. Treatment should tonify Lung Metal and Kidney Water, preventing Kidney from stealing Mother Qi, so Lung receives Child support. Mother and Child both robust, external pathogens decline and flee without battle.
Prescribe Jin Shui Liang Zi Tang (Metal and Water Dual-Nourishing Decoction):
Mai Dong (Ophiopogonis Radix, 1 liang), Tian Men Dong (Asparagi Radix, 3 qian), Jie Geng (Platycodonis Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shu Di Huang (Rehmanniae Radix Preparata, 1 liang), Fu Ling (Poria, 3 qian), Shan Yao (Dioscoreae Rhizoma, 5 qian), Rou Gui (Cinnamomi Cortex, 3 fen), Bai Zhu (Atractylodis Rhizoma, 3 qian), Zi Wan (Asteris Radix, 1 qian), Bai Jie Zi (Sinapis Semen, 2 qian).
Decoct in water and take orally. After two doses, sleep stabilizes; after four doses, cough ceases; after ten doses, full recovery.
Kidney deficiency with pathogen invasion is the hardest to cure because pathogen-dispersing herbs cannot directly enter the Kidney Meridian. Who knows that in Kidney deficiency with pathogen invasion, pathogens do not immediately enter the Kidney but remain in the Lung? Dispersing Lung pathogens while tonifying Kidney Water benefits the Kidney without harming the Lung, excellently dispersing pathogens. Additionally, using Zeng Jian Liu Jun Tang (Modified Six Gentlemen Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 5 qian), Shu Di Huang (Rehmanniae Radix Preparata, 5 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Chai Hu (Bupleuri Radix, 1 qian), Fu Ling (Poria, 3 qian), Rou Gui (Cinnamomi Cortex, 3 fen).
Decoct in water and take orally.
Some people worry about danger and disaster, harboring constant fear, contracting wind pathogens, feeling cold and trembling. People assume external wind contraction, but who knows it is internal injury to Heart and Gallbladder? Fear originates in the Gallbladder; dread originates in the Heart. Excessive fear chills Gallbladder Qi first; excessive dread dissipates Heart Qi first. Gallbladder chill moves Essence; Heart loss耗 (consumes) Essence. Essence movement and consumption make Heart and Gallbladder more deficient. Heart-Gallbladder Qi deficiency allows pathogens to strike easily. Gallbladder belongs to Shaoyang. If Gallbladder Qi is timid, pathogens enter Shaoyang, overwhelming it, causing cold and trembling. Using wind-dispersing drugs further depletes Gallbladder Qi, which depletes Heart Qi. With Heart-Gallbladder Qi depleted, what fears pathogens? They won’t leave the exterior-interior boundary. Treatment must urgently strengthen Gallbladder Qi. If Gallbladder is not cold and Heart is not lost, they cooperate to expel external pathogens easily.
Prescribe Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction):
Chai Hu (Bupleuri Radix, 1 qian), Bai Shao (Paeoniae Radix Alba, 1 liang), Fu Shen (Poria with Hostwood, 5 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen).
Decoct in water and take orally. After one dose, Gallbladder Qi strengthens; after two doses, Heart Qi calms; after three doses, wind pathogens fully disperse.
This formula uses Chai Hu to harmonize Gallbladder pathogens, assisting Bai Shao, Fu Shen, and Mai Dong to tonify weak Gallbladder Qi and deficient Heart Qi. Both meridians tonified, Qi robust, fear disappears, let alone external pathogens. Additionally, using You Li Tang (Youli Decoction) can also treat this condition.
Bai Shao (Paeoniae Radix Alba, 5 qian), Fu Shen (Poria with Hostwood, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Ren Shen (Panacis Ginseng Radix, 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 5 fen), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally.
Some people in favorable situations indulge in joy, laughing excessively, contracting cold and fear of wind, with dry mouth and bitter tongue. People assume external contraction, but who knows it is internal injury to the Pericardium? The Pericardium is the Tan Zhong (Chest Center), the official of the envoy, where joy and pleasure emerge. Joy is the Pericardium’s function; why harm itself? Only excessive joy and endless laughter dry fluids. The Pericardium protects the Monarch (Heart) to govern externally. Dry Pericardium steals Heart Qi to fatten itself, emptying the inner palace, allowing petty thieves (pathogens) to strike opportunistically. Treatment must urgently tonify Heart Qi. Robust Heart Qi makes Pericardium robust too. Just as a rich country ensures wealthy families, they cooperate to defend externally, avoiding multiple fortresses on the outskirts.
Prescribe Wei Jun Tang (Guard the Monarch Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 qian), Su Ye (Perillae Folium, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 1 qian).
Decoct in water and take orally. After one dose, fluids generate; after two doses, wind pathogens disperse; after three doses, full recovery.
This formula tonifies both Heart and Tan Zhong. Heart and Pericardium are inseparable; treating internal peace worries not about external disturbance. Additionally, using Zi Sheng Tang (Nourish Life Decoction) is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Tian Hua Fen (Trichosanthis Radix, 1 qian), Ba Ji Tian (Morindae Officinalis Radix, 2 qian), Fu Shen (Poria with Hostwood, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Rou Gui (Cinnamomi Cortex, 3 fen), Mai Dong (Ophiopogonis Radix, 3 qian).
Decoct in water and take orally.
Some people ponder and worry all day, resulting in sallow complexion and emaciation, contracting wind pathogens. People assume external contraction, but who knows it is internal injury to Spleen and Kidney? The post-heaven Spleen/Stomach relies on pre-heaven Kidney. These two meridians should not be diseased but are most prone to disease. Everyone thinks; few are without sorrow. Excessive thinking prevents Spleen Earth Qi from ascending and Stomach Earth Qi from descending, causing food stagnation in the Middle Jiao without digestion. How can it generate fluids to irrigate the Five Zang? Thinking harms people greatly, and sorrow harms even more. Thinking injures Spleen; sorrow injures Kidney. Kidney injury prevents Kidney Water from nourishing Liver; Liver, lacking water, attacks Spleen/Stomach Earth. Thus, sorrow and thinking combined injure both Spleen and Kidney, making external pathogens easily penetrate deep, bullying the deficiency of pre- and post-heaven. When both are deficient, how weak is the Yuan Qi? How can treatment only disperse pathogens without supporting righteousness?
Prescribe Pi Shen Shuang Yi Dan (Spleen-Kidney Dual-Benefit Pill):
Ren Shen (Panacis Ginseng Radix, 1 liang), Bai Zhu (Atractylodis Rhizoma, 1 liang), Ba Ji Tian (Morindae Officinalis Radix, 1 liang), Shan Yao (Dioscoreae Rhizoma, 1 liang), Fu Ling (Poria, 5 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Rou Gui (Cinnamomi Cortex, 5 fen), Shan Zhu Yu (Corni Fructus, 3 qian).
Decoct in water and take orally. After two doses, wind pathogens fully disperse; after ten doses, full recovery.
This formula contains water-nourishing herbs within earth-tonifying ones, and pathogen-dispersing agents within water-nourishing ones. It offers tonification benefits without dispersion damage, truly a divine formula for sorrow-thought internal damage, not just a妙药 (wonder drug) for sorrow-thought external contraction. Additionally, using Fu Zheng Tang (Restore Righteousness Decoction) is also exquisite.
Shu Di Huang (Rehmanniae Radix Preparata, 5 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Chai Hu (Bupleuri Radix, 2 qian), Shan Zhu Yu (Corni Fructus, 2 qian), Fu Ling (Poria, 2 qian), Dan Pi (Moutan Cortex, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shan Yao (Dioscoreae Rhizoma, 3 qian), Shen Qu (Massa Medicata Fermentata, 5 fen), Bei Mu (Fritillariae Cirrhosae Bulbus, 5 fen).
Decoct in water and take orally.
Some people get angry easily, cursing loudly, finding everything in diet, rest, residence, and social interaction anger-inducing, contracting wind pathogens, resulting in fever, chest fullness, and distension in both hypochondria. People assume external wind contraction, but who knows it is internal injury to the Liver Meridian? Liver nature is urgent; anger opens Liver lobes, increasing urgency. Urgency prevents smooth Qi flow, causing rebellious Qi; Blood fails to store. Rebellion prevents Qi relaxation, causing distension; Blood circulation is poor. Wood stagnation not vented generates Fire; Fire stagnation not dispersed generates Wind. Internal Wind and External Wind move together; Internal Fire and External Fire burn together. This is why wind pathogens enter easily; they cannot be merely dispelled externally.
Prescribe Feng Huo Liang Xiao Tang (Wind-Fire Dual-Eliminating Decoction):
Bai Shao (Paeoniae Radix Alba, 1 liang), Chao Zhi Zi (Gardeniae Fructus, stir-fried, 3 qian), Chai Hu (Bupleuri Radix, 2 qian), Tian Hua Fen (Trichosanthis Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Che Qian Zi (Plantaginis Semen, 2 qian), Dan Pi (Moutan Cortex, 5 qian).
Decoct in water and take orally. After one dose, symptoms lighten; after two doses, full recovery.
This formula treats Liver Meridian internal Fire and internal Wind. However, external Wind-Fire can also be treated simultaneously, hence dual treatment achieves results. If Bai Shao is not used as the sovereign herb, relying solely on Chai Hu and Zhi Zi, although Wind-Fire may be balanced, Liver Qi-Blood deficiency cannot be quickly tonified. After Wind-Fire disperses, Liver Wood remains dry, anger remains unresolved. Why not add more Bai Shao to tonify Liver and drain Wind-Fire? Additionally, using Que Fen San (Eliminate Anger Powder) is also exquisite.
Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bo He (Menthae Haplocalycis Herba, 1 qian), Huang Qin (Scutellariae Radix, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Fu Ling (Poria, 3 qian), Bai Shao (Paeoniae Radix Alba, 4 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried).
Decoct in water and take orally.
Some people read day and night without stopping, dreaming of fame and success, unaware of exhaustion and hunger, contracting wind pathogens, causing cough and fever. People assume external contraction, but who knows it is internal injury to the Lung? Reading damages Qi; Qi damage leads to Lung deficiency and empty Cou Li (pores), allowing pathogens to enter the Lung via deficiency. Lung deficiency cannot resist pathogens, calling Kidney Child for help. Kidney Water lacks strength to irrigate Lung upward. Lung Qi moves between Lung and Kidney, causing restless cough. Treatment urgently tonifies Lung Qi. However, Lung insulted by pathogens: tonifying Lung makes pathogens stronger, making Lung less secure. Must simultaneously tonify Stomach Earth Qi to generate Lung Qi, so pathogens cannot steal. But tonifying Stomach without dispersing herbs, Lung fears pathogen invasion and may not accept Stomach Qi benefits. Only dispersing pathogens in the Stomach makes pathogens fear robust Earth Qi, allowing Lung Qi to grow naturally, and pathogens flee.
Prescribe Zhu Gong Tang (Assist Merit Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Fu Ling (Poria, 3 qian), Mai Dong (Ophiopogonis Radix, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Huang Qin (Scutellariae Radix, 5 fen).