水煎服。一剂轻，二剂又轻，三剂全愈。
此方肺胃同治也。助胃中之气，即助肺中之气，泻肺中之火，即泻胃中之火，祛肺中之
邪，即祛胃中之邪。邪入肺中，未有不入阳明者也。肺中邪散，宁有遁入阳明者乎。
此症亦可用来复汤。
人参 茯苓 白术 天花粉（各三钱） 远志 甘草（各一钱） 黄连（三分） 麦冬（一两） 陈皮（三
分） 苏叶（一钱五分）
水煎服。
人有终日高谈，连宵聚语，口干舌渴，精神倦怠，因而感冒风寒，头痛鼻塞，气急作喘
，人以为风邪外感，谁知是气血内伤乎。夫多言伤气，而血生于气，气伤而血未有不伤者。
况多言则津液尽耗，津液亦阴血之余。气属肺，血属肝，气血两伤，即肺肝之两伤也，往往
邪入之而最易。惟是邪既乘肺肝之虚，深入于二经之中，使气逆于下，而上不通，将何以治
之。仍治其肺肝之虚，少佐散邪之药则得矣。
方用两治汤∶
白芍（五钱） 当归（三钱） 麦冬（五钱） 人参（一钱） 甘草（一钱） 桔梗（二钱） 苏叶（八分） 天
花粉（一钱）
水煎服。
此方入肝、入肺，补气、补血、消痰、消火各各分治。二剂便可奏功，正不必多也。
此症用加减补中汤亦妙。
生地 人参 茯苓（各三钱） 白术 当归（各五钱） 甘草 半夏（各一钱） 黄 （一两） 川芎（一
钱） 柴胡（一钱）
水煎服。
人有贪眠乐卧，终日倘徉枕席之上，遂至风邪袭之，身痛背疼，发热恶风，人以为风邪
外感，谁知脾气之内伤乎。夫脾主四肢，四肢倦怠，多欲睡眠，以脾气之不能运动也。略为
睡卧，亦足养脾气之困，然过于睡卧，则脾气不醒，转足伤气，已虚益虚，安得不招外风之
入乎。专治其风，必至损伤脾气，脾气因虚而招风，祛风而重伤脾气，邪且欺脾气之虚而不
肯出。人不知用补脾之法，往往变证蜂起也。
方用补中益气汤加味治之。
人参（三钱） 黄 （五钱） 白术（五钱） 当归（二钱） 陈皮（五分） 甘草（一钱） 升麻（三分） 柴
胡（一钱） 半夏（一钱） 神曲（一钱）
水煎服。一剂轻，二剂又轻，三剂全愈。
补中益气汤正益脾圣药，况睡卧既久，脾气下陷，正宜用之以升提下陷之气。加半夏、
神曲者，以久睡脾气不醒者，饮食多致生痰，二味最善醒脾，故用之也。
此症用加味益气汤亦妙。
人参（二钱） 白术（五钱） 甘草（一钱） 茯苓（三钱） 陈皮（五分） 半夏（一钱） 柴胡（一钱）
水煎服。
人有终日呼卢，长夜斗叶，筋酸背痛，足重腹饥，以至感冒风邪，遍身皆痛，身发寒热
，人以为风邪外感，谁知血气内伤乎。凡人日用寻常，原易损伤气血，况呼卢斗叶，劳其心
神，损伤气血为尤甚。无奈，世人借此为消闲适意之具，以致耗散气血，邪已入身，犹然不
悟。为之医者，复昧其内伤之因，惟治其外感之病，正气益亏，邪气愈旺，非变为痨瘵之
，必成为怯弱之疾矣。故治法须大补气血，少加以和解之品，则正气足以祛邪，而邪自外遁
方用十全大补汤加减治之。
人参（三钱） 黄 （五钱） 川芎（一钱） 当归（三钱） 茯苓（三钱） 甘草（一钱） 白术（三钱） 陈
皮（五分） 白芍（三钱） 熟地（三钱） 柴胡（一钱）
水煎服。一剂汗解，二剂热退，连服数剂全愈。
此方乃气血兼补之方，气血不足，舍此原无第二之剂。原方有肉桂以补命门之火，但呼
卢斗叶之人，未免火有余而水不足，故去肉桂，易之柴胡，于补中和之，则邪尤易散也。
此症用两治汤亦效。
生地 人参（各三钱） 白术（五钱） 茯苓（三钱） 甘草 半夏 川芎 柴胡（各一钱） 黄 （一两）
当归（五钱）
水煎服。
人有争强好斗，或赤身罔顾，或流血不知，以致风入皮肤，畏寒发热，头疼胁痛，人以
为风邪外感，谁知筋骨之内伤乎。夫筋属肝，骨属肾，肝血足而筋舒，肾水满而骨健，是筋
骨必得髓血之充也。世人之耗髓血者，无过泄精，人尽知之。斗殴以耗髓血，人未尽知也。
盖斗殴之时，必多动怒，怒起而肝叶开张，血多不藏而血自耗，肝血既耗，必取给于肾水，
肾水供肝，木火内焚，又易干烁。肾且资肝血之不足，何能分润于骨中之髓乎，血与髓两无
有余，筋安得舒，骨又安得健乎?人至筋骨两无旺气，风邪乘虚而侵，不能拒绝。治法宜急
救其虚。
方用四物汤加味治之。
熟地（一两） 当归（五钱） 川芎（一钱） 白芍（五钱） 柴胡（一钱） 牛膝（三钱） 金钗石斛（二钱） 丹
皮（二钱） 白芥子（一钱）
水煎服。
四物汤补血之药，亦补髓之药也。原因髓血虚而入邪，补髓血而邪自易出，故少加柴胡
和解风邪，随手即散。彼专治风邪，不补髓血者，尚昧于治内伤之法也。
此症用护骨散效。
牛膝 丹皮（各三钱） 金钗石斛 山萸（各二钱） 熟地 白芍 当归（各五钱） 柴胡 天花粉
（各一钱）
水煎服。
人有终日捕鱼，身入水中，时而发热，畏寒恶冷，人以为风湿之外感也，谁知是肺气之
闭塞乎。夫肺本主气，气旺则周流一身，从皮毛外泄，虽有外邪之感，不能损伤。倘肺气少
虚，则气有停住之虞矣。身入水中，遏抑皮毛，则虚气难以舒转，湿且中之。夫湿本外受，
今从皮毛旁入，致使一身之气闭塞不通，此畏寒恶冷之所以起也。肺气既虚，则皮毛不能外
卫，水冷金寒，肺气与湿邪相战，则身热生矣。此热乃肺气之虚，不能敌邪而身热也。治法
补其肺气为主，兼带利水之味，则正旺而邪自易散。
方用利肺汤∶
紫苏（一钱） 人参（二钱） 白术（三钱） 茯苓（五钱） 甘草（一钱） 桔梗（一钱） 半夏（一钱） 神
曲（三分） 附子（一分）
水煎服。一剂热解，二剂寒冷俱不畏矣，三剂全愈。
此方补肺气之不足，不见利水，水自从膀胱而去。惟其内伤以致邪入，故不必治外感耳
此症用宣闭汤亦效。
黄 茯苓（各五钱） 人参 猪苓（各三钱） 泽泻（二钱） 半夏 肉桂 羌活（各一钱）
水煎服。
人有忧思不已，加之饮食失节，脾胃有伤，面色黧黑不泽，环唇尤甚，心中如饥，然见
食则恶，气短而促，人以为内伤之病，谁知是阴阳之相逆乎。夫心肺居于上焦，行荣卫而光
泽于外，肾肝居于下焦，养筋骨而强壮于内，脾胃居于中焦，运化精微，灌注四脏，是四脏
之所仰望者，全在脾胃之气也。倘脾胃一伤，则四脏无所取资，脾胃病而四脏俱病矣。若忧
思不已，则脾胃之气结，饮食不节，则脾胃之气损。口者，脾气出入之路，唇为口之门户，
脾气通于口而华于唇，金水反侮土，故黑色着于唇，非阴阳相反而成逆乎。不惟阳明胃脉之
衰而面焦已也，是脾胃阴阳之气两有所亏，乌可不急救其中州之土乎。
方用和顺汤∶
升麻（五分） 防风（三分） 白芷（三分） 黄 （三钱） 人参（二钱） 甘草（三分） 白芍（三钱） 白
术（五钱） 茯神（三钱） 炮姜（五分）
午前服。连服十剂，黑色尽除，再服十剂，诸病全愈。
此方乃补中益气之变方，升阳气以散阴气之治法也。凡阳气下陷于阴中，则用补中益气
之方升提阳气。倘阴气上浮于阳中，则用此方升散其阴气，皆能奏功之甚速也。
此症用调逆汤亦效。
人参 茯苓 白芍 生地 沙参（各三钱） 白术（五钱） 甘草（五分） 苏子 神曲（各一钱） 荆
芥（二钱）
水煎服。
人有怔忡善忘，口淡舌燥，多汗，四肢疲软，发热，小便白而浊，脉虚大而数，人以为
内伤之病也。谁知是由思虑过度而成之者乎。夫君火者，心火也，相火者，膻中之火也。膻
中手厥阴之经，性属阴而主热，古人以厥阳名之，以其火起之不可遏也。越人云∶忧愁思虑
则伤心。心气一伤，心血自耗，心血既耗，心气遂不能自主，每欲寄其权于相火，而相火欺
君火之弱，即夺心之权而恣肆矣。治法宜以水济火。然见火势之炽张，用寒凉以济之，则心
气益虚，愈激动其焦焚之害矣。宜亟补其心气之虚，大滋其肾水之涸，则心火宁静，相火不
安而自安矣。
方用坎离两补汤∶
人参（五钱） 熟地（一两） 菟丝子（三钱） 生地（五钱） 麦冬（五钱） 丹皮（二钱） 炒枣仁（三钱） 北
五味子（一钱） 茯苓（三钱） 桑叶（十四片） 山药（五钱） 白术（三钱）
水煎服。连服数十剂而愈。
此方心肾两补，肾水上济于心，水足而火无亢炎之祸，自然火息而有滋润之乐也。心中
清净而外有转输，则心包何敢窃柄，势必相合而得生也。
此症用镇神汤亦效。
人参 炒枣仁 茯苓 山药（各五钱） 远志（一钱） 巴戟天（三钱） 甘草（五分） 黄连（三分）
水煎服。
人有劳倦中暑，服香薷饮反加虚火炎上，面赤身热，六脉疾数无力，人以为暑火之未消
也，谁知是内伤于中气乎。凡人中气充足，则暑邪不能相犯，暑气之侵，皆气虚招之也。然
则内虚发热，乌可不治虚而治邪哉。况夏月伏阴在内，重寒相合，反激动虚火之升上，此阴
盛隔阳之症也。治法宜补阳退阴，然而阴盛阳微之际，骤用阳药，以入于众阴之中，未必不
格而不相入，必热因寒用，始能不违阴寒之性，以奏其助阳之功也。
方用顺阴汤∶
人参（三钱） 白术（五钱） 茯苓（三钱） 附子（二钱） 干姜（一钱） 青蒿（二钱） 白扁豆（三钱）
水煎，探冰冷服之，必出微汗而愈。
此方用姜、附入于参、术之中，未免太热，与阴气不相合，乃益之青蒿之寒散，投其所
喜，且又热药冷服，使上热得寒，不至相激，及到中焦，寒性除而热性发，不特不相格，及
至相宜耳。
此症用参术二香汤亦效。
人参（三钱） 香薷（一钱） 甘草（一钱） 砂仁（一粒） 神曲（五分） 白术（二钱） 陈皮（五分） 藿
香（五
水煎服。
人有形体素虚，忽感风邪，遍身淫淫，循行如虫，或从左脚腿起，渐次而上至头，复下
行于右脚，自觉身痒有声，人以为奇病也，谁知内伤而气不足乎。夫气血自行，周流不息，
何至生病，惟气血止而不行，皮毛之间，即有淫痒之病生矣，此气血之衰也。气血大衰而皮
毛焦，气血少衰而皮毛脱。气血既衰，又少有微邪，身欲自汗，邪又留而不去，两相争斗，
拂抑皮肤之间，因而作痒，不啻如虫之行，非真有虫也。伤寒症中，汗多亡阳，亦有身如虫
行之病。夫伤寒本是外感，然至于亡阳，则外感变为内伤矣。今非伤寒，亦现虫行之象，非
内伤而何?治法大补气血，气血行而身痒自愈也。
方用补中益气汤∶
人参（一两） 黄 （一两） 当归（五钱） 白术（五钱） 陈皮（五分） 甘草（一钱） 升麻（五分） 柴
胡
（一
钱） 玄参（三钱） 桑叶（二十片）
水煎服。十剂全愈。
补中益气汤原是大补气血之神剂，多用参 尤为补气，气旺而血自旺，更能流行也。方
中加玄参、桑叶者，身痒多属于火，能退浮游之火也，桑叶善能止汗，汗多者发痒，止其汗
而痒自止也。
此症用蚕蝎归 汤亦效。
当归 黄 （各五钱） 茯苓（三钱） 僵蚕 半夏（各一钱） 全蝎（一个） 陈皮（五分）
水煎服。
人有色白神怯，秋间发热头痛，吐泻食少，两目喜闭，喉哑昏昧，不省人事，粥饮有碍
，手常 住阴囊，人以为伤风重症也，谁知是劳倦伤脾之故乎。夫气本阳和，身劳则阳和
之气变为邪热，不必有外风袭之而身始热也。诸阳皆会于头，阳气一虚，则清阳之气不能上
升，而邪热遂乘之，熏蒸于头而作痛，不必有外风犯之，头始痛也。清气不升，则浊气不降
，上下拂乱，安得不吐泻哉。人身之脉，皆属于目，眼眶属脾，脾气既伤，目无所养，欲不
闭而不可得也。脾之络连于舌本，散布于舌下，脾伤则舌之络失养，此言语之难也。咽喉虽
通于肺，然脾虚则五脏皆虚，肺虚而咽喉难司出入，心之神明亦因之昏瞀矣。阴囊属肝，脾
虚则肝欲来侵，频按其囊者，惟恐肝木之旺，土亏之极，反现风木之象也，治法大健其脾土
，则风木之象自消矣。
方用补中益气汤∶
人参（三钱） 白术（五钱） 黄 （五钱） 当归（三钱） 茯苓（三钱） 陈皮（三分） 甘草（五分） 柴
胡（一钱） 升麻（三分） 制附子（三分）
水煎服。二剂轻，十剂全愈。
病本内伤，用补中益气汤自中病情。方中加入附子者，盖参、 、归、术非得附子则其
功不大，建功亦不甚神。况用止三分，亦无太热之虞，转有反正之速也。
此症用加减归脾汤亦效。
人参 当归 茯苓 白术 白芍（各三钱） 甘草 半夏（各五分） 川芎（二钱） 白豆蔻（一粒）
Decoct with water and take orally. After one dose, symptoms alleviate; after two doses, symptoms further alleviate; after three doses, complete recovery occurs.
This formula treats both the Lung and Stomach simultaneously. Tonifying Qi in the Stomach is equivalent to tonifying Qi in the Lung; clearing Fire from the Lung is equivalent to clearing Fire from the Stomach; dispelling pathogenic factors from the Lung is equivalent to dispelling pathogenic factors from the Stomach. When pathogenic factors invade the Lung, they invariably enter the Yangming channel (Yangming Meridian). Once pathogenic factors in the Lung are dispersed, how could they escape into the Yangming channel?
This condition can also be treated with Laifu Tang (Reviving Decoction).
Renshen (Ginseng Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Tianhuafen (Trichosanthis Radix) (each 3 qian), Yuanzhi (Polygalae Radix), Gancao (Licorice Root) (each 1 qian), Huanglian (Coptidis Rhizoma) (0.3 qian), Maidong (Ophiopogonis Radix) (1 liang), Chenpi (Citri Reticulatae Pericarpium) (0.3 qian), Zisu Ye (Perilla Leaf) (1.5 qian).
Decoct with water and take orally.
Some individuals talk loudly all day long and gather to converse throughout the night, leading to dry mouth and tongue, and mental fatigue. Consequently, they contract wind-cold, presenting with headache, nasal congestion, rapid breathing, and wheezing. People assume this is an external contraction of wind pathogen, little knowing it is actually an internal injury of Qi and Blood. Excessive speech damages Qi, and since Blood is generated by Qi, when Qi is damaged, Blood is inevitably damaged as well. Moreover, excessive speech depletes Body Fluids, which are also considered remnants of Yin Blood. Qi belongs to the Lung, and Blood belongs to the Liver; injury to both Qi and Blood implies injury to both the Lung and Liver, making them most susceptible to invasion by pathogenic factors. Since the pathogen has taken advantage of the deficiency of the Lung and Liver to penetrate deeply into these two meridians, causing Qi to rebel downward while failing to ascend upward, how should it be treated? The treatment should still focus on correcting the deficiency of the Lung and Liver, supplemented slightly with herbs that disperse pathogenic factors.
Prescribe Liangzhi Tang (Dual-Treatment Decoction):
Baishao (White Peony Root) (5 qian), Danggui (Angelicae Sinensis Radix) (3 qian), Maidong (Ophiopogonis Radix) (5 qian), Renshen (Ginseng Radix) (1 qian), Gancao (Licorice Root) (1 qian), Jiegeng (Platycodon Root) (2 qian), Zisu Ye (Perilla Leaf) (0.8 fen), Tianhuafen (Trichosanthis Radix) (1 qian).
Decoct with water and take orally.
This formula enters the Liver and Lung, treating Qi tonification, Blood tonification, phlegm resolution, and fire clearance separately. Efficacy can be achieved in two doses; there is no need for excessive use.
This condition can also be effectively treated with Jiabuzhong Tang (Modified Bu Zhong Yi Qi Decoction).
Shengdi (Rehmanniae Radix), Renshen (Ginseng Radix), Fuling (Poria) (each 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 qian), Gancao (Licorice Root), Banxia (Pinelliae Tuber) (each 1 qian), Huangqin (Scutellariae Radix) (1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Chaihu (Bupleuri Radix) (1 qian).
Decoct with water and take orally.
Some individuals indulge in sleep and lying down, wandering in bed all day, thereby allowing wind pathogen to invade. They present with body pain, backache, fever, and aversion to wind. People assume this is an external contraction of wind, little knowing it is an internal injury of Spleen Qi. The Spleen governs the four limbs; limb fatigue and excessive desire for sleep occur because Spleen Qi fails to move and transform. Slight rest can nourish the exhaustion of Spleen Qi, but excessive sleeping prevents Spleen Qi from awakening, thereby damaging Qi. Already deficient becoming more deficient, how can it not invite external wind? Treating only the wind will inevitably damage Spleen Qi; since Spleen Qi is weak and invites wind, dispelling wind further injures Spleen Qi, and the pathogen, bullying the weakness of Spleen Qi, refuses to exit. People do not know to use methods to tonify the Spleen, often resulting in a swarm of complicated syndromes.
Treat with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with modifications.
Renshen (Ginseng Radix) (3 qian), Huangqi (Astragali Radix) (5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Danggui (Angelicae Sinensis Radix) (2 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen), Gancao (Licorice Root) (1 qian), Shengma (Cimicifugae Rhizoma) (0.3 fen), Chaihu (Bupleuri Radix) (1 qian), Banxia (Pinelliae Tuber) (1 qian), Shenqu (Massa Medicata Fermentata) (1 qian).
Decoct with water and take orally. After one dose, symptoms alleviate; after two doses, symptoms further alleviate; after three doses, complete recovery occurs.
Bu Zhong Yi Qi Tang is the sacred medicine for tonifying the Spleen. Given prolonged sleep leading to sinking of Spleen Qi, it is precisely suitable for using this formula to lift the sinking Qi. Banxia and Shenqu are added because prolonged sleep causes Spleen Qi to remain unawakened, leading to phlegm generation from diet; these two herbs are best at awakening the Spleen.
This condition can also be effectively treated with Jiawei Yiqi Tang (Modified Yiqi Decoction).
Renshen (Ginseng Radix) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Gancao (Licorice Root) (1 qian), Fuling (Poria) (3 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen), Banxia (Pinelliae Tuber) (1 qian), Chaihu (Bupleuri Radix) (1 qian).
Decoct with water and take orally.
Some individuals gamble all day and play cards late into the night, resulting in soreness and pain of sinews and bones, heavy legs, and abdominal hunger. This leads to contracting wind pathogen, generalized body pain, and alternating chills and fever. People assume this is an external contraction of wind, little knowing it is an internal injury of Blood and Qi. In daily life, Qi and Blood are easily damaged; gambling and card-playing exhaust the Mind (Shen), causing even greater damage to Qi and Blood. Regrettably, people use this for leisure, dissipating Qi and Blood. Even after pathogens have entered the body, they remain unaware. If physicians ignore the cause of internal injury and treat only external contraction, Righteous Qi becomes more deficient while Pathogenic factors become stronger, leading either to consumption disease (Lao Zhai) or chronic debility. Therefore, the treatment must greatly tonify Qi and Blood, adding slight harmonizing agents, so that Righteous Qi is sufficient to expel pathogens, which will naturally scatter outward.
Treat with Shiquan Dabu Tang (Complete Great Tonification Decoction) with modifications.
Renshen (Ginseng Radix) (3 qian), Huangqi (Astragali Radix) (5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Danggui (Angelicae Sinensis Radix) (3 qian), Fuling (Poria) (3 qian), Gancao (Licorice Root) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen), Baishao (White Peony Root) (3 qian), Shudi (Prepared Rehmanniae Radix) (3 qian), Chaihu (Bupleuri Radix) (1 qian).
Decoct with water and take orally. After one dose, sweating resolves the exterior; after two doses, fever subsides; continuous administration for several doses leads to complete recovery.
This formula tonifies both Qi and Blood. For Qi and Blood deficiency, there is no second prescription like this. The original formula contains Rougui (Cinnamon Bark) to tonify Mingmen Fire, but gamblers tend to have excess Fire and insufficient Water. Thus, Rougui is removed and replaced with Chaihu (Bupleuri Radix), harmonizing and supplementing, making pathogen dispersion easier.
This condition can also be effectively treated with Liangzhi Tang (Dual-Treatment Decoction).
Shengdi (Rehmanniae Radix), Renshen (Ginseng Radix) (each 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Fuling (Poria) (3 qian), Gancao (Licorice Root), Banxia (Pinelliae Tuber), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chaihu (Bupleuri Radix) (each 1 qian), Huangqi (Astragali Radix) (1 liang), Danggui (Angelicae Sinensis Radix) (5 qian).
Decoct with water and take orally.
Some individuals compete fiercely and fight, sometimes exposing themselves naked or bleeding without feeling pain, allowing wind pathogen to invade the skin. They present with aversion to cold, fever, headache, and hypochondriac pain. People assume this is an external contraction of wind, little knowing it is an internal injury of sinews and bones. Sinews belong to the Liver, and bones belong to the Kidney. When Liver Blood is sufficient, sinews relax; when Kidney Water is full, bones are strong. Thus, sinews and bones must be filled with Marrow and Blood. Among those who deplete Marrow and Blood, none exceed those who leak Essence, which everyone knows. However, fighting depletes Marrow and Blood, which is not fully known. During fights, anger arises, causing the Liver lobes to expand, blood fails to store, and blood is consumed. Once Liver Blood is depleted, it draws upon Kidney Water. Kidney Water nourishes the Liver, leading to internal burning of Wood and Fire, which easily dries up. If the Kidney cannot supply the insufficiency of Liver Blood, how can it distribute to the Marrow in the bones? With neither Blood nor Marrow in surplus, how can sinews relax and bones be strong? When sinews and bones lack vigorous Qi, wind pathogen invades due to deficiency, unable to resist. The treatment should urgently rescue the deficiency.
Treat with Siwu Tang (Four Substances Decoction) with modifications.
Shudi (Prepared Rehmanniae Radix) (1 liang), Danggui (Angelicae Sinensis Radix) (5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Baishao (White Peony Root) (5 qian), Chaihu (Bupleuri Radix) (1 qian), Niuxi (Achyranthis Bidentatae Radix) (3 qian), Jincha Shihu (Dendrobii Nobile Caulis) (2 qian), Danpi (Moutan Cortex) (2 qian), Baijiezi (Sinapis Semen) (1 qian).
Decoct with water and take orally.
Siwu Tang is a blood-tonifying herb, but also a marrow-tonifying herb. Originally, because Marrow and Blood were deficient, pathogens invaded; tonifying Marrow and Blood makes pathogen expulsion easy. Thus, slight Chaihu is added to harmonize and resolve wind pathogen, scattering it immediately. Those who treat only wind without tonifying Marrow and Blood are ignorant of treating internal injuries.
This condition can also be effectively treated with Hugusan (Bone-Protecting Powder).
Niuxi (Achyranthis Bidentatae Radix), Danpi (Moutan Cortex) (each 3 qian), Jincha Shihu (Dendrobii Nobile Caulis), Shanzhuyu (Corni Fructus) (each 2 qian), Shudi (Prepared Rehmanniae Radix), Baishao (White Peony Root), Danggui (Angelicae Sinensis Radix) (each 5 qian), Chaihu (Bupleuri Radix), Tianhuafen (Trichosanthis Radix) (each 1 qian).
Decoct with water and take orally.
Some individuals fish all day, immersing their bodies in water, experiencing intermittent fever, aversion to cold, and chilling. People assume this is an external contraction of wind-dampness, little knowing it is obstruction of Lung Qi. The Lung governs Qi; when Qi is vigorous, it circulates throughout the body and escapes through the skin and hair. Even with external pathogens, damage does not occur. If Lung Qi is slightly deficient, Qi stagnation may occur. Immersion in water restricts the skin and hair, making it difficult for deficient Qi to circulate, and dampness invades. Dampness is externally acquired, now entering via the skin, causing obstruction of Qi throughout the body, leading to aversion to cold and chilling. Since Lung Qi is deficient, the skin and hair cannot defend externally; cold water chills Metal, and Lung Qi battles dampness, generating fever. This fever results from Lung Qi deficiency failing to resist pathogens. The treatment should primarily tonify Lung Qi, accompanied by diuretic herbs, so that Righteous Qi becomes vigorous and pathogens disperse easily.
Prescribe Lilu Tang (Benefit Lung Decoction):
Zisu Ye (Perilla Leaf) (1 qian), Renshen (Ginseng Radix) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian), Fuling (Poria) (5 qian), Gancao (Licorice Root) (1 qian), Jiegeng (Platycodon Root) (1 qian), Banxia (Pinelliae Tuber) (1 qian), Shenqu (Massa Medicata Fermentata) (0.3 fen), Fuzi (Prepared Aconiti Lateralis Radix) (0.1 fen).
Decoct with water and take orally. After one dose, fever resolves; after two doses, aversion to cold disappears; after three doses, complete recovery occurs.
This formula tonifies insufficient Lung Qi. Although no explicit diuretics are seen, water naturally exits via the Bladder. Because internal injury led to pathogen invasion, there is no need to treat external contraction.
This condition can also be effectively treated with Xuanbi Tang (Open Obstruction Decoction).
Huangqi (Astragali Radix), Fuling (Poria) (each 5 qian), Renshen (Ginseng Radix), Zhuling (Polyporus) (each 3 qian), Zexie (Alismatis Rhizoma) (2 qian), Banxia (Pinelliae Tuber), Rougui (Cinnamon Bark), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 qian).
Decoct with water and take orally.
Some individuals suffer from endless worry and thought, compounded by irregular diet, injuring the Spleen and Stomach. Their complexion is dark and lusterless, especially around the lips. They feel hungry but dislike food, experience shortness of breath, and rapid respiration. People assume this is an internal injury, little knowing it is reversal of Yin and Yang. The Heart and Lung reside in the Upper Jiao, circulating Ying and Wei and providing luster externally. The Kidney and Liver reside in the Lower Jiao, nourishing sinews and bones internally. The Spleen and Stomach reside in the Middle Jiao, transforming and transporting essences, irrigating the four Zang organs. The four Zang rely entirely on Spleen and Stomach Qi. If the Spleen and Stomach are injured, the four Zang lose their source; Spleen and Stomach disease leads to disease in all four Zang. Endless worry knots Spleen and Stomach Qi; irregular diet damages Spleen and Stomach Qi. The mouth is the pathway for Spleen Qi; lips are the gate of the mouth. Spleen Qi connects to the mouth and manifests in the lips. Metal and Water insult Earth, so black color appears on the lips. Is this not Yin-Yang reversal? It is not merely decline of the Yangming Stomach meridian causing facial withering; both Yin and Yang Qi of the Spleen and Stomach are deficient. How can we not urgently rescue the Earth of the Central State?
Preshe Hesun Tang (Harmonious and Smooth Decoction):
Shengma (Cimicifugae Rhizoma) (0.5 fen), Fangfeng (Saposhnikoviae Radix) (0.3 fen), Baizhi (Angelicae Dahuricae Radix) (0.3 fen), Huangqi (Astragali Radix) (3 qian), Renshen (Ginseng Radix) (2 qian), Gancao (Licorice Root) (0.3 fen), Baishao (White Peony Root) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Fushen (Poria with Hostwood) (3 qian), Paojiang (Prepared Ginger) (0.5 fen).
Take before noon. Continuous administration for ten doses removes black color completely; another ten doses cure all diseases.
This formula is a variation of Bu Zhong Yi Qi Tang, lifting Yang Qi to disperse Yin Qi. When Yang Qi sinks into Yin, Bu Zhong Yi Qi Tang lifts Yang Qi. When Yin Qi floats up into Yang, this formula lifts and disperses Yin Qi, both achieving rapid efficacy.
This condition can also be effectively treated with Niaozhi Tang (Regulate Reversal Decoction).
Renshen (Ginseng Radix), Fuling (Poria), Baishao (White Peony Root), Shengdi (Rehmanniae Radix), Shashen (Glehniae Radix) (each 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Gancao (Licorice Root) (0.5 fen), Suzi (Perillae Fructus), Shenqu (Massa Medicata Fermentata) (each 1 qian), Jingjie (Schizonepetae Spica) (2 qian).
Decoct with water and take orally.
Some individuals suffer from palpitations and forgetfulness, bland taste, dry tongue, excessive sweating, flaccid limbs, fever, white and turbid urine, and a large, empty, and rapid pulse. People assume this is an internal injury. Little do they know it results from excessive thinking. Jun Huo (Monarch Fire) is Heart Fire; Xiang Huo (Minister Fire) is Fire in the Shaofu (Pericardium). The Shaofu Hand-Jueyin meridian is Yin in nature but governs Heat. Ancients called it Jueyang because its Fire rises uncontrollably. Yue Ren said: Worry and thought injure the Heart. Once Heart Qi is injured, Heart Blood is consumed. Once Heart Blood is consumed, Heart Qi loses autonomy and tends to delegate authority to Minister Fire. Minister Fire, bullying the weakness of Monarch Fire, seizes Heart authority and acts recklessly. The treatment should use Water to balance Fire. However, seeing fierce Fire, using cold-cooling herbs to balance it further weakens Heart Qi, exacerbating scorching harm. One should urgently tonify deficient Heart Qi and greatly nourish dried-up Kidney Water. Then Heart Fire calms, Minister Fire settles, and finds peace.
Prescribe Kanli Liangbu Tang (Kan-Li Dual Tonification Decoction):
Renshen (Ginseng Radix) (5 qian), Shudi (Prepared Rehmanniae Radix) (1 liang), Tusizi (Cuscutae Semen) (3 qian), Shengdi (Rehmanniae Radix) (5 qian), Maidong (Ophiopogonis Radix) (5 qian), Danpi (Moutan Cortex) (2 qian), Chao Zaoren (Fried Ziziphus Seed) (3 qian), Bei Wuweizi (Schisandrae Chinensis Fructus) (1 qian), Fuling (Poria) (3 qian), Sangye (Mori Folium) (14 leaves), Shanyao (Dioscoreae Rhizoma) (5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian).
Decoct with water and take orally. Continuous administration for dozens of doses leads to recovery.
This formula tonifies both Heart and Kidney. Kidney Water ascends to nourish the Heart; with sufficient Water, Fire has no danger of hyperactivity, naturally extinguishing and bringing moistening joy. The Heart remains pure with external transmission, so the Pericardium dares not usurp power, inevitably cooperating for survival.
This condition can also be effectively treated with Zhenshen Tang (Spirit-Calming Decoction).
Renshen (Ginseng Radix), Chao Zaoren (Fried Ziziphus Seed), Fuling (Poria), Shanyao (Dioscoreae Rhizoma) (each 5 qian), Yuanzhi (Polygalae Radix) (1 qian), Bajitian (Morindae Officinalis Radix) (3 qian), Gancao (Licorice Root) (0.5 fen), Huanglian (Coptidis Rhizoma) (0.3 fen).
Decoct with water and take orally.
Some individuals suffer from fatigue and summerheat stroke. Taking Xiangru Yin (Elsholtzia Decoction) instead aggravates floating Deficient Fire, causing red face, body heat, and rapid, forceless pulses in all six positions. People assume summer-heat fire persists, little knowing it is internal injury of Middle Qi. When Middle Qi is sufficient, summer-heat pathogen cannot invade; summer-heat invasion is always invited by Qi deficiency. Internal deficiency fever requires treating deficiency, not pathogen. Moreover, in summer, Yin hides internally; combined with severe cold, it agitates rising Deficient Fire, constituting a syndrome of Yin excess blocking Yang. The treatment should tonify Yang and retreat Yin. However, during Yin excess and Yang deficiency, sudden use of Yang herbs among Yin may be rejected. One must use hot herbs with cold administration to comply with Yin-cold nature and achieve Yang-tonifying effects.
Prescribe Shunyin Tang (Comply with Yin Decoction):
Renshen (Ginseng Radix) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Fuling (Poria) (3 qian), Fuzi (Prepared Aconiti Lateralis Radix) (2 qian), Jiangtang (Dried Ginger) (1 qian), Qinghao (Artemisiae Annuae Herba) (2 qian), Bian Dou (Vigna Radiata Semen) (3 qian).
Decoct, cool until ice-cold, then take orally. Mild sweating will occur, leading to recovery.
This formula uses Ginger and Aconite within Ginseng and Atractylodes, which is too hot and incompatible with Yin. Adding cold-dispersing Qinghao appeals to its preference. Hot herbs taken cold prevent upper heat from clashing; by the time it reaches the Middle Jiao, cold nature dissipates and hot nature activates, ensuring compatibility rather than rejection.
This condition can also be effectively treated with Renshen Zhuer Xiang Tang (Ginseng, Atractylodes, and Two Fragrant Herbs Decoction).
Renshen (Ginseng Radix) (3 qian), Xiangru (Elsholtziae Herba) (1 qian), Gancao (Licorice Root) (1 qian), Sharen (Amomi Fructus) (1 grain), Shenqu (Massa Medicata Fermentata) (0.5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen), Huoxiang (Agastaches Herba) (5 qian).
Decoct with water and take orally.
Some individuals with constitutionally weak physique suddenly contract wind pathogen. The whole body feels tingling, moving like insects crawling, starting from the left leg, ascending to the head, descending to the right leg, with audible itching sensations. People consider it a strange disease, little knowing it is internal injury with insufficient Qi. Qi and Blood flow continuously; why would illness arise? Only when Qi and Blood stop flowing does itching appear between skin and hair, indicating Qi and Blood decline. Severe decline scorches skin and hair; mild decline causes shedding. With declined Qi and Blood and slight pathogen retention, the body attempts spontaneous sweating, but pathogen stays, battling in the skin, causing itching resembling insect movement, though no real insects exist. In Shanghan (Cold Damage) cases, excessive sweating leading to Yang collapse also presents with body sensation like crawling insects. Although Shanghan is external, Yang collapse transforms it into internal injury. Now, without Shanghan, yet showing crawling insect signs, it must be internal injury. The treatment should greatly tonify Qi and Blood; once Qi and Blood flow, itching self-resolves.
Prescribe Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction):
Renshen (Ginseng Radix) (1 liang), Huangqi (Astragali Radix) (1 liang), Danggui (Angelicae Sinensis Radix) (5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen), Gancao (Licorice Root) (1 qian), Shengma (Cimicifugae Rhizoma) (0.5 fen), Chaihu (Bupleuri Radix) (1 qian), Xuanshen (Scrophulariae Radix) (3 qian), Sangye (Mori Folium) (20 leaves).
Decoct with water and take orally. Ten doses lead to complete recovery.
Bu Zhong Yi Qi Tang is a divine agent for greatly tonifying Qi and Blood. Using more Renshen and Huangqi particularly tonifies Qi; vigorous Qi makes Blood vigorous and promotes circulation. Xuanshen and Sangye are added because itching often relates to Fire; they clear floating Fire. Sangye stops sweating; since excessive sweating causes itching, stopping sweat stops itching.
This condition can also be effectively treated with Canxie Guiqi Tang (Silkworm, Scorpion, Angelica, and Astragalus Decoction).
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix) (each 5 qian), Fuling (Poria) (3 qian), Jiangcan (Bombyx Batryticatus), Banxia (Pinelliae Tuber) (each 1 qian), Quanxie (Scorpio) (1 unit), Chenpi (Citri Reticulatae Pericarpium) (0.5 fen).
Decoct with water and take orally.
Some individuals with pale complexion and timid spirit experience autumn fever, headache, vomiting, diarrhea, poor appetite, frequent eye closing, hoarse voice, confusion, loss of consciousness, difficulty swallowing porridge and drinks, and constant rubbing of the scrotum. People assume it is severe wind-cold, little knowing it is spleen injury from fatigue. Qi is originally harmonious Yang; bodily fatigue transforms harmonious Yang into pathogenic heat, without needing external wind for fever. All Yang meridians converge at the head; once Yang Qi is deficient, Clear Yang fails to ascend, and pathogenic heat takes over, steaming the head causing pain, without needing external wind. If Clear Yang fails to ascend, Turbid Qi fails to descend, disrupting upper and lower, causing vomiting and diarrhea. Vessels relate to eyes; eye sockets belong to Spleen. With Spleen Qi injured, eyes lack nourishment and must close. Spleen collaterals connect to the tongue base; Spleen injury causes tongue collateral malnourishment, leading to speech difficulty. Although throat connects to Lung, Spleen deficiency causes all five Zang deficiency; Lung deficiency impairs throat function, and Heart Spirit becomes confused. The scrotum belongs to the Liver; Spleen deficiency allows Liver to invade. Frequent scrotal rubbing fears Liver Wood excess. Extreme Earth deficiency manifests Wind-Wood imagery. The treatment should strongly strengthen Spleen Earth, eliminating Wind-Wood imagery.
Prescribe Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction):
Renshen (Ginseng Radix) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Huangqi (Astragali Radix) (5 qian), Danggui (Angelicae Sinensis Radix) (3 qian), Fuling (Poria) (3 qian), Chenpi (Citri Reticulatae Pericarpium) (0.3 fen), Gancao (Licorice Root) (0.5 fen), Chaihu (Bupleuri Radix) (1 qian), Shengma (Cimicifugae Rhizoma) (0.3 fen), Zhi Fuzi (Prepared Aconiti Lateralis Radix) (0.3 fen).
Decoct with water and take orally. Two doses alleviate symptoms; ten doses lead to complete recovery.
The disease is fundamentally internal injury; Bu Zhong Yi Qi Tang fits the pathology. Adding Fuzi is because Renshen, Huangqi, Danggui, and Baizhu require Fuzi for significant efficacy and miraculous action. Using only 0.3 fen avoids excessive heat, accelerating correction.
This condition can also be effectively treated with Jiawei Guipi Tang (Modified Guipi Decoction).
Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (White Peony Root) (each 3 qian), Gancao (Licorice Root), Banxia (Pinelliae Tuber) (each 0.5 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian), Baidoukou (Amomi Fructus Rotundus) (1 grain).