治右肾虚寒,小便数,腰胁引痛,短气咳逆,四肢烦疼,耳鸣面黑,骨间热,
梦遗白浊,目眩,诸虚困乏。
鹿茸(酥涂炙,去毛尽) 巴戟(去心) 熟干地黄(酒浸) 枸杞子 苁蓉(酒浸) 牛膝(
酒浸) 附子(炮去皮脐) 桂心(不焙) 山茱萸 白芍药 防风(去叉) 甘草(炙,各等分)
上锉散。每服四大钱,水盏半,姜五片,盐少许,煎七分,去滓,食前服。
治三焦虚寒,短气不续,腹不安食,随即洞下,小便赤浊,精泄不禁,脚胫酸
疼,小腹胀满。
熟地黄 巴戟天(去心) 龙骨(各二两半) 远志(去心炒) 茯苓(各三两) 天雄(炮去皮脐)
五味子 山药(各三两半) 苁蓉(酒浸) 续断(各四两) 蛇床子(略炒) 菟丝子(酒浸,各四两半)
上为细末。每服二钱匕,温酒调下。夫三焦属精腑,藏精以养身,系累于心脾肾三经,
人多以醉饱心虚而合阴阳,故此病作,唯谨之为得。
古人谓左肾为肾脏,其腑膀胱;右肾为命门,其腑三焦。三焦者,有脂膜如手大,正
与膀胱相对,有二白脉自中出夹脊而上贯于脑。所以《经》云∶丈夫藏精,女子系胞。以
理推之,三焦当如上说,有形可见为是。扁鹊乃云∶三焦有位无形,其意以为上中二焦,如
沤如雾,下焦如渎,不可遍见,故曰有位无形。而王叔和辈,失其旨意,遽云无状空有名,
俾后辈承缪不已。且名以名实,无实奚名,果其无形,尚何以藏精系胞为哉。其所谓三焦者
何也?上焦在膻中,内应心;中焦在中脘,内应脾;下焦在脐下,即肾间动气,分布人身,
有上中下之异。方人湛寂,欲想不兴,则精气散在三焦,荣华百脉;及其想念一起,欲火炽
然,翕撮三焦精气流溢,并命门输泻而去,故号此腑为三焦耳。学人不悟,可为长太息。
治疗右肾虚寒,小便频数,腰胁部牵引疼痛,气短咳嗽气逆,四肢烦扰疼痛,耳鸣面色发黑,骨骼间发热,梦遗及白浊,头晕目眩,各种虚损导致的困倦乏力。
鹿茸(用酥油涂抹后炙烤,去尽毛) 巴戟天(去心) 熟干地黄(用酒浸泡) 枸杞子 肉苁蓉(用酒浸泡) 牛膝(用酒浸泡) 附子(炮制后去皮和脐) 桂心(不烘焙) 山茱萸 白芍药 防风(去叉枝) 甘草(炙,以上各等分)
将上述药物捣碎成散剂。每次服用四大钱,用水一盏半,生姜五片,少许盐,煎至七分满,滤去药渣,饭前服用。
治疗三焦虚寒,气短接续不上,腹部不适不能进食,随即发生腹泻,小便赤色浑浊,精液滑泄不禁,小腿酸痛,小腹胀满。
熟地黄 巴戟天(去心) 龙骨(以上各二两半) 远志(去心炒) 茯苓(以上各三两) 天雄(炮制后去皮和脐) 五味子 山药(以上各三两半) 肉苁蓉(用酒浸泡) 续断(以上各四两) 蛇床子(略炒) 菟丝子(用酒浸泡,以上各四两半)
将上述药物研成细末。每次服用二钱匕,用温酒调服。三焦属于精腑,贮藏精气以滋养身体,与心、脾、肾三经相连系,人们多因醉饱后心虚而进行房事,因此此病发作,只有谨慎节制才是正确的做法。
古人称左肾为肾脏,其腑为膀胱;右肾为命门,其腑为三焦。三焦,有一块脂膜大小如手,正与膀胱相对,有两条白色脉络从中生出,夹着脊柱向上贯穿到脑部。所以《内经》说:“男子藏精,女子系胞。”按道理推断,三焦应当像上面所说的那样,是有形可见的。扁鹊却说:三焦只有位置而没有形体,他的意思是认为上焦和中焦,像沤泡和雾气一样,下焦像沟渠,无法全部看见,所以说只有位置没有形体。而王叔和等人,误解了原意,匆忙地说它没有形状空有名号,使后辈不断沿袭谬误。况且名是用来指代实体的,没有实体哪里来的名?如果真的无形,又怎么能贮藏精气、维系胞宫呢?那所谓的三焦是什么呢?上焦在膻中,内部对应心脏;中焦在中脘,内部对应脾脏;下焦在脐下,即肾间的动气,分布于全身,有上、中、下的区别。当人清静寂寥,欲望不起时,精气散布在三焦,荣华百脉;等到念头一起,欲火炽盛,收敛三焦的精气使其流溢,并随着命门输泻而去,所以称这个腑为三焦。求学的人如果不明白这些,真可让人长叹。
Treats deficiency-cold of the right kidney (Right Kidney), frequent urination, pulling pain in the waist and hypochondrium, shortness of breath with cough and rebellious qi, vexatious pain in the four limbs, tinnitus, black complexion, heat between the bones, nocturnal emission with white turbidity, dizziness, and general exhaustion due to various deficiencies.
Lu Rong (Deer Antler Velvet) [prepared with butter, roasted until hair is removed] Bajitian (Morinda officinalis Root) [heart removed] Shu Dihuang (Prepared Rehmannia Root) [soaked in wine] Gouqizi (Goji Berry) Congrong (Cistanche Stem) [soaked in wine] Niuxi (Achyranthes Root) [soaked in wine] Fuzi (Prepared Aconite Lateral Root) [roasted, skin and umbilicus removed] Guixin (Cinnamon Twig Bark) [not baked] Shanzhuyu (Cornus Fruit) Baishao (White Peony Root) Fangfeng (Saposhnikovia Root) [forks removed] Gancao (Licorice Root) [roasted, equal parts of each].
Crush into a powder. Take four qian per dose, with one and a half bowls of water, five slices of ginger, and a little salt. Decoct to seven-tenths volume, strain, and take before meals.
Treats deficiency-cold of the Sanjiao (Triple Burner), shortness of breath that cannot be sustained, abdominal discomfort preventing eating, followed immediately by diarrhea, red and turbid urine, involuntary seminal emission, soreness and pain in the calves, and fullness and distension in the lower abdomen.
Shu Dihuang (Prepared Rehmannia Root) Bajitian (Morinda officinalis Root) [heart removed] Longgu (Fossilized Bones) [each two liang and half] Yuanzhi (Polygala Root) [heart removed, stir-fried] Fuling (Poria) [each three liang] Tianxiong (Prepared Aconite Lateral Root) [roasted, skin and umbilicus removed] Wuweizi (Schisandra Fruit) Shanyao (Dioscorea Rhizome) [each three liang and half] Congrong (Cistanche Stem) [soaked in wine] Xuduan (Dipsacus Root) [each four liang] Shechuangzi (Cnidium Fruit) [lightly stir-fried] Tusizi (Cuscuta Seed) [soaked in wine, each four liang and half].
Grind into a fine powder. Take two qianbi per dose, mixed with warm wine. The Sanjiao (Triple Burner) belongs to the Jing Fu (Essence Bowel), storing essence to nourish the body, and is connected to the Heart, Spleen, and Kidney meridians. People often contract this illness by engaging in sexual intercourse when the Heart is deficient after overeating or drinking; thus, caution is the proper approach.
The ancients stated that the left kidney is the Kidney organ, with its paired fu organ being the Bladder; the right kidney is the Mingmen (Gate of Life), with its paired fu organ being the Sanjiao (Triple Burner). The Sanjiao has a fatty membrane roughly the size of a hand, directly opposite the Bladder, with two white vessels emerging from the center, flanking the spine and penetrating upwards to the brain. Therefore, the Classics state: "Men store essence, women connect to the uterus." Reasoning from principles, the Sanjiao should be as described above, having form and being visible. Bian Que, however, claimed: "The Sanjiao has position but no form." His intent was that the Upper and Middle Jiao are like fermentation and mist, while the Lower Jiao is like a ditch, which cannot be fully seen, hence "position without form." Wang Shuhe and others misunderstood this intent, hastily stating it has no shape and is merely an empty name, causing later generations to perpetuate this error. Moreover, names designate realities; without reality, what is there to name? If it were truly formless, how could it store essence and connect to the uterus? So, what is this so-called Sanjiao? The Upper Jiao is at Danzhong (Conception Vessel 17), internally corresponding to the Heart; the Middle Jiao is at Zhongwan (Conception Vessel 12), internally corresponding to the Spleen; the Lower Jiao is below the navel, i.e., the moving qi between the kidneys, distributed throughout the body, differing in upper, middle, and lower aspects. When a person is tranquil and desires do not arise, essence and qi scatter within the Sanjiao, flourishing the hundred vessels; once thoughts arise and desire-fire blazes, the essence and qi of the Sanjiao are gathered and overflow, flowing out through the Mingmen, hence this fu organ is called the Sanjiao. Scholars who fail to comprehend this deserve deep sighs.