天雄（三两。） 白术（八两。） 桂枝（六两。） 龙骨（三两。）
上四味。杵为散。酒服半钱匕。日三服。不知。稍增之。（尤在泾云。此疑后人所附。
为补
歌曰 阴精不固本之阳。龙骨天雄三两匡。六两桂枝八两术。酒调钱匕日三尝。
元犀按。此方虽系后人采取。然却认出春之脚。阳之家。而施以大温大补大镇纳之剂。
可谓
龙骨
经所
主下之分。
（歌见长沙方歌括。） 治虚劳里急。悸衄。腹中痛。梦失精。四肢酸疼。手足烦热。
咽干口燥者主之。
桂枝 甘草 大枣 芍药 生姜 胶饴
张心在云。肺损之病。多由五志生火。销铄金脏。咳嗽发热。渐至气喘。侧眠。消瘦
羸瘠
效。其故何欤。窃尝观于炉中之火而得之。炊饭者始用武火。将熟则掩之以灰。饭徐透而
不焦黑。则知以灰养火。得火之用而无火之害。断断如也。五志之火内燃。温脾之土以养之。
而焰自息。方用小建中汤。虚甚加黄 。火得所养而不燃。金自清肃。又况饴糖为君。治嗽
妙品。且能补土以生金。肺损虽难着手。不患其不可治也。然不独治肺损。凡五劳七伤。皆
可以
治虚劳里急。诸不足者主之。
即小建中汤加黄 一两五钱。气短胸满者。加生姜。腹中满者。去枣加茯苓一两半。及
疗肺虚损不足。补气。加半夏三两。
歌曰 小建汤加两半 。诸虚里急治无遗。急当甘缓虚当补。愈信长沙百世师。
加减歌曰 气短胸满生姜好。三两相加六两讨。如逢腹满胀难消。加茯两半除去枣。及
疗肺
元犀按。虚劳里急者。里虚脉急也。诸不足者。五脏阴精阳气俱不足也。经云。阴阳俱
不足
小建
是也
于中
虚劳
Tianxiong (Sanliang, 3 liang). Baizhu (Baliang, 8 liang). Guizhi (Liuliang, 6 liang). Longgu (Sanliang, 3 liang).
The above four herbs. Pound into a powder. Take half a Qianbi (a small measuring spoon shape) with wine. Three doses per day. If there is no effect, gradually increase the dosage. (You Zaijing said: This formula is suspected to be an addition by later generations.
To supplement
Song (Verse): When Yin essence is unsecured due to deficiency of the root Yang, Longgu and Tianxiong each at Sanliang (3 liang) assist it. Guizhi at Liuliang (6 liang) and Baizhu at Baliang (8 liang), mixed with wine and taken as one Qianbi per dose, three times daily.
Yu Xi's commentary: Although this formula was adopted by later generations, it correctly identifies the beginning of Spring generation and the home of Yang, employing great warming, great tonifying, and great anchoring/astringing agents.
It can be said that
Longgu
Meridian governs
the lower portion.
(The verse appears in *Changsha Fang Ge Kua*.) It is the main formula for treating Xu Lao (Deficiency Consumption) presenting with Li Ji (abdominal urgency/tightness), Ji (palpitations), Nu (epistaxis), Fuzhong Tong (abdominal pain), Meng Shi Jing (nocturnal emission in dreams), Sizhi Suan Teng (soreness and pain in the four limbs), Shouzhu Fanre (heat sensation in hands and feet), Yangan Kouzao (dry throat and dry mouth).
Guizhi Gancao Dazhao Shaoyao Shengjiang Jiaoyi
Zhang Xinzi said: Diseases of Lung damage often arise from Fire generated by the Five Emotions, which consumes the Metal organ. Cough and fever gradually progress to asthma, sleeping on the side, emaciation, and extreme thinness.
Efficacy. What is the reason? I once observed the fire in a stove and gained insight. When cooking rice, one starts with Wu Huo (vigorous fire); when nearly cooked, one covers it with ash. The rice cooks slowly without burning or turning black. Thus, we know that using ash to nurture fire allows one to utilize the function of fire without its harmful effects. This is absolutely certain. The Fire of the Five Emotions burns internally; by warming and tonifying the Spleen Earth to nourish it, the flame naturally subsides. One uses Xiao Jianzhong Tang (Minor Construct the Middle Decoction). For severe deficiency, add Huangqi (Astragalus Root). When Fire is nourished, it does not flare up recklessly; Lung Metal becomes clear and肃 (descending/clear). Moreover, since Yi Tang (Maltose) is the Sovereign herb, it is a wonderful product for treating coughs, and it can tonify Earth to generate Metal. Although Lung damage is difficult to treat, one need not worry about incurability. However, it treats not only Lung damage; all cases of Wu Lao Qi Shang (Five Exhaustions and Seven Injuries) can also be
treated.
It is the main formula for treating Xu Lao (Deficiency Consumption) presenting with Li Ji (abdominal urgency/tightness) and Zhu Bu Zu (various deficiencies).
This is Xiao Jianzhong Tang plus Huangqi (Astragalus Root) at Liang Wu Qian (1.5 liang). For those with shortness of breath and chest fullness, add Shengjiang (Fresh Ginger). For abdominal fullness, remove Dazao (Jujube) and add Fuling (Poria) at Liang Ban (1.5 liang). And
to treat Lung deficiency and insufficiency, to tonify Qi, add Banxia (Pinellia Tuber) at Sanliang (3 liang).
Song (Verse): Xiao Jian Tang plus Huangqi at Liang Ban (1.5 liang) treats all deficiencies and Li Ji without omission. Urgency requires sweet and緩 (relaxing/pacifying) methods, and deficiency requires tonification; this confirms Changsha (Zhang Zhongjing) as the teacher for a hundred generations.
Addition and Subtraction Song (Verse): For shortness of breath and chest fullness, Shengjiang is good; add three liang to make six liang total. If encountering abdominal fullness and bloating that is hard to resolve, add Fuling at Liang Ban (1.5 liang) and remove Dazao. And
treating Lung
Yu Xi's commentary: Xu Lao Li Ji refers to interior deficiency with urgent pulse characteristics. Zhu Bu Zu refers to the insufficiency of Yin Essence and Yang Qi in the Five Zang Organs. The Classic states: Both Yin and Yang are
insufficient
Xiao Jian
is exactly
in the middle
Xu Lao