佞布之人多嗜,积郁之人多火,久而久之,怫郁之性, 发波掀,若狂若魅,药石既不
能与,先与丹药焚于室中,以辟易其狂悖可也。
如意丹七丸
须眉自落,皮毛淖泽,脉来浮涩,此风也,非衰白也。三十六种,同出异名,非浅可之
疾,夏月宜食香风蛇,即俗名黑风蛇也,与鸡煮食之。
白归身 白麻 赤芍 生地 旱莲草 僵蚕 银花 茺蔚子 夏枯花
头痛, 不见人为一忌。肝风,呕吐胆汁为一忌。相与有年,知己惟此一人,岂宜坐视
!条得挽回为妙,然固有数存焉者矣。
温胆汤去枳实,加天麻、钩藤、桑叶。
是证究属肝风,则厥阴一经,未易制也。在古法,有镇摄一法,有培土御之一法,所以
东垣
人参 焦术 茯苓 柏子仁 半夏 陈皮 熟地 白归身 炙草 鳖甲
久咳移邪犯胃,因咳而肺肃无权,故气升逆,勿用泻损肺气之药。
水梨去心带皮捣烂,丝绵滤清,慢火熬成膏,收入瓷缸内,蜡封口,每日开水送五钱。
阳明脉实,气急而喘,壮火食气,消烁真阴,夏气开张而剧,剥枣时坦境也。此刻不能
他图,姑与温胆汤,少衰其热,以保伤金。
体盛之人气必弱,寒热乍起,即现小便短数,头项 动,舌干齿燥,气促,脉左弦右弱
,渴
天花粉 卷竹叶 浓橘红 青蒿梗 麦冬 六一散
脉数,五六日不更衣,舌黄唇焦,胃热炽矣。况前服之药,皆辛温耗阴之品,今非寒凉
不可,然宜小心保护为主,因热邪深入阴中,而阳气独亢故耳。
川黄连 枳实 栝蒌 赤芍 生甘草 陈皮 杏仁 木通
病之原,由食柿过多,得寒而起,于兹二十余年矣。要知柿为西方之木,其实禀秋金之
气而
成,其与肺金为同气相求,可知其邪入肺,发为气哮,久则肾水无本,虚而上泛为痰。胃为
贮痰之器,所以降气汤、六君子,由肺及胃,皆得小效,而不除要莒,与即墨不拔,齐地终
非燕有,况脉象尚悍,当深入病所为是。拟仲景方法。
甜葶苈 苦葶苈 大枣
嗽而失血,已逾三载,缠绵不已,色黯脉弦,嗽益甚,环口色黄,由于肝脾,及于肾,
上藏为其所取,给而不能应矣。饮亦从而为患,逐之不得,滋之无功,迁延日损,莫可弥缝,当
取其中以冀流布,庶几近之。拟宗建中法,加以涤饮之品,俟阳明升而继以大补太阴,然后
渐入纯阴之法,否则非治也。
小建中汤去姜。加茯苓、姜皮。
古人造字,两火着力为劳,故为君相二火而说。温补中州,以静痰之源,补下焦以益水
之源。但病势已深,恐非一击可破也。
熟地 枸杞子 元参 牛膝 茯苓 紫石英
横则为 坎,竖则为串水,中间一点真阳,水亏则露,为龙火。KT 为震,震下之阳,与
之同源
当用一元丹,久服愈矣。
澹秋石五六斤,红枣浆为丸,早服五六钱,晚服二三钱,以阳秋石少许点汤送下。
脉弦数,尺独大,咳而喉痛失音,乃数载失红之后,其阴亏火炎,不言可喻矣。唯有至
静之
品,引阳潜入阴中,庶近内经之旨。然须作静摄工夫,使阴秘阳密,得坎离相交之力为妙。
熟地(海石粉捣烂) 金石斛 北沙参 茯苓 麦门冬 生白芍 龟腹板 山药
形忽渐瘦,脉虚极,气怯偶咳,目黑微眩,忽忽不乐,补气补血,人所知也。宜将阴兽
,引
入阴中,药犹得力。早晚捕獭一头,取肝阴干用鹿角胶,各于木器杵碎,早服鹿角胶末一钱
,晚服獭肝末一钱,皆开水送下。此常用百日之法,今拟煎方先服。
人参 茯苓 菟丝饼 南枣 焦冬术炙 枸杞子
左关搏指急疾,右关弦大,无胃气不归元,充海无根,右关如是,当剧于春,右关如是
,当折于秋。恐左关为应,勉拟古人乙癸同源之治。
大生地 女贞子 枸杞子 茯神 元参 杯山药 紫石英
此病起于费心劳碌,风寒不切,遂致咳嗽吐痰,久则内伤。内伤者,内中之藏气伤也,
即古
人所谓虚劳证总不得愈,必须绝去费心劳碌之事,一毫凡念不起,助之以药,或可延年。
麦冬 阿胶 桔梗 炙草 沙参 米仁 茯苓
此痧劳也,由于太阴伤损,日传至足少阴,脾气少溏,则入下藏也,百无一治,速宜返
棹。闭关静养,方一首奉赠,日饮可也。
熟地 阿胶 百合 枸杞子
花甲之人,两尺独大,二脏已衰之际,岂宜如此!急进乙癸同源之法可矣。
熟地 女贞子 菟丝饼 茯苓 元参 旱莲草 枸杞子
蜜丸
此真阴亏证,俗名百日劳也。稍有伏暑,所以寒热愈甚,惜乎治之不早尔。
熟地 茜草 青蒿 元参 滑石 丹皮
坎中一画,真阳孤飞于上,一交巳午之月,神水金丹,亦奈之何。
老生姜 天冬 怀牛膝 甘草 川石斛 元参 女贞子
禀性好食辛,医书云∶多食辛,令暴卒。今诊得色脉,形骸俱惫,不须暴卒,亦不长生
。自宜持其病,今先服三生饮。
生地黄 赤茯苓 麦冬 粉甘草 生米仁 红枣
此一损证也,从上损之下者,一损肺,肺再传心,传肝,传脾,脾损便溏,传至肾,则
骨痿不能于床,断不可再投理肺药,以速其提,惟猪肚丸可服。
那些谄媚逢迎的人往往多有嗜欲,积郁不解的人体内多生内火。久而久之,这种怫郁的性情发作起来,如波涛汹涌,神志恍惚,似狂似魅,此时药物已难以直接施治,应先在家中焚烧丹药,以驱除其狂悖之气。
如意丹七丸
胡须眉毛自行脱落,皮肤润泽但脉象浮涩,这是风邪为患,并非单纯的衰老白发。三十六种风病,同出一源而异名,不是浅显轻微的疾病。夏季适宜食用香风蛇(即俗名黑风蛇),与鸡一起煮食。
头痛且不能见人是禁忌之一。肝风内动伴呕吐胆汁也是禁忌之一。相处多年,知己仅此一人,岂能坐视不管!若能挽回病情方为妙策,然而命运自有定数。
此证究属肝风,则厥阴一经的病证不易控制。按照古法,有镇摄一法,有培土御风一法,所以用东垣法的:人参、焦术、茯苓、柏子仁、半夏、陈皮、熟地、白归身、炙甘草、鳖甲。
久咳导致邪气移犯胃腑,因咳嗽致使肺肃降功能无权,故气机上逆,不可使用泻损肺气之药。
水梨去心带皮捣烂,用丝绵过滤取清汁,慢火熬成膏,收入瓷缸内,蜡封口,每日开水送服五钱。
阳明脉实,气急而喘,壮火食气,消烁真阴,夏季阳气开张时病情加剧,剥枣时节心境坦荡。此刻不能图谋其他治疗,暂予温胆汤,稍减其热,以保护受损的金脏(肺)。
形体丰盛之人正气必弱,寒热乍起,随即出现小便短少频数,头项动摇,舌干齿燥,气促,脉左弦右弱,口渴。
脉数,五六日不大便,舌苔黄唇焦,胃热炽盛。况且之前服用的药物,都是辛温耗伤阴液的品种,现在非用寒凉药不可,但仍应以小心保护为主,因为热邪深入阴分,而阳气独亢的缘故。
病的起因,是由于吃柿子过多,受寒而起,至今二十余年了。要知道柿子是西方之木,其果实禀受秋金之气而成,它与肺金是同气相求的关系,可知邪气入肺,发为气哮,久了则肾水无本,虚火上泛为痰。胃是贮痰之器,所以降气汤、六君子汤,由肺及胃,都得到小效,但不能根除要害,就像即墨不拔,齐地终究不属于燕国一样。况且脉象尚悍,应当深入病所进行治疗。拟用仲景的方法。
咳嗽并失血,已超过三年,缠绵不已,面色黯黑脉弦,咳嗽更加严重,口周色黄,病由于肝脾,波及肾脏,上焦藏精之所被其占据,供给不足而不能应答。饮邪也随之为患,驱逐不得,滋补无功,拖延日久损耗,无法弥补,当取中焦冀望流通,庶几接近治愈。拟宗建中法,加上涤除饮邪的药物,等待阳明气升之后继以大补太阴,然后渐入纯阴之法,否则就不是正确的治疗。
古人造字,“劳”字由两个“火”着力组成,因此从君相二火来解说。温补中州,以静息痰之源,补下焦以益水之源。但病势已深,恐怕不是一击就能破除的。
横看则为坎卦,竖看则为串水,中间一点真阳,水亏则露出,为龙火。震卦为震,震下的阳,与之同源。
应当用一元丹,久服可愈。
澹秋石五六斤,红枣浆制丸,早服五六钱,晚服二三钱,用少许阳秋石点汤送下。
脉弦数,尺脉独大,咳嗽喉痛失音,这是数年失血之后,阴亏火炎,不言自明。唯有至静之品,引阳潜入阴中,庶几接近内经的宗旨。但须做静摄工夫,使阴秘阳密,得坎离相交之力为妙。
熟地(海石粉捣烂)、金石斛、北沙参、茯苓、麦门冬、生白芍、龟腹板、山药
身形忽然逐渐消瘦,脉虚极,气怯偶有咳嗽,目黑微眩,忽忽不乐,补气补血是人所熟知的。宜将阴兽引入阴中,药犹得力。早晚捕獭一头,取肝阴干用鹿角胶,各于木器杵碎,早服鹿角胶末一钱,晚服獭肝末一钱,皆开水送下。此为常用百日之法,现拟煎方先服。
左关脉搏指急疾,右关弦大,无胃气不归元,充海无根,右关如此,当剧于春,右关如此,当折于秋。恐左关为应,勉拟古人乙癸同源的治法。
此病起于费心劳碌,风寒不切,遂致咳嗽吐痰,久了则内伤。内伤者,内中之藏气伤也,即古人所谓虚劳证总不得愈,必须绝去费心劳碌之事,一毫凡念不起,助之以药,或可延年。
此痧劳也,由于太阴伤损,日传至足少阴,脾气少溏,则入下藏也,百无一治,速宜返棹。闭关静养,方一首奉赠,日饮可也。
花甲之人,两尺独大,二脏已衰之际,岂宜如此!急进乙癸同源之法可矣。
蜜丸
此真阴亏证,俗名百日劳也。稍有伏暑,所以寒热愈甚,惜乎治之不早尔。
禀性好食辛,医书云:多食辛,令暴卒。今诊得色脉,形骸俱惫,不须暴卒,亦不长生。自宜持其病,今先服三生饮。
此一损证也,从上损之下者,一损肺,肺再传心,传肝,传脾,脾损便溏,传至肾,则骨痿不能于床,断不可再投理肺药,以速其提,惟猪肚丸可服。
Those who are sycophantic often have many desires, and those with accumulated depression often generate internal fire. Over time, this suppressed nature erupts like surging waves; the mind becomes trance-like, resembling madness or possession. At this stage, medicinal herbs cannot be directly administered. One should first burn elixirs in the room to dispel their rebellious and manic state.
Ruyi Dan (如意丹) - Seven pills.
Eyebrows and beard fall out spontaneously; skin is moist but the pulse is floating and choppy. This indicates Wind pathogen, not merely premature graying due to aging. The thirty-six types of Wind diseases share the same origin but have different names; they are not superficial ailments. In summer, it is advisable to consume Xiangfeng Snake (香风蛇), commonly known as Heifeng Snake (黑风蛇), boiled with chicken.
Baiguishen (Radix Angelicae Sinensis, White Part), Baisha (White Hemp Seed), Chishao (Radix Paeoniae Rubra), Shengdi (Radix Rehmanniae Preparata), Hanliancao (Herba Ecliptae), Jiangcan (Bombyx Batryticatus), Yinhua (Flos Lonicerae), Chongweizi (Fructus Chorisporae).
Headache and inability to see people are contraindications. Liver Wind stirring internally accompanied by vomiting of bile is also a contraindication. Having known each other for years, you are my only confidant; how can I sit idle! It would be wonderful if the condition could be reversed, yet destiny has its own course.
Wendan Tang (温胆汤, Phlegm-Heat Resolving Decoction) without Zhishi (Fructus Aurantii Immaturus), added with Tianma (Rhizoma Gastrodiae), Gouteng (Uncariae Ramulus cum Uncis), and Sangye (Folium Mori).
This syndrome ultimately belongs to Liver Wind; thus, the Jueyin channel disease is difficult to control. According to ancient methods, there is a method of calming and subduing, and a method of strengthening Earth to resist Wind. Therefore, using Dongyuan's method: Renshen (Radix Ginseng), Jiaozhu (Fried Atractylodis Rhizoma), Fuling (Poria), Baiziren (Semen Ziziphi Spinosae), Banxia (Rhizoma Pinelliae), Chenpi (Pericarpium Citri Reticulatae), Shudi (Radix Rehmanniae Preparata), Baiguishen (Radix Angelicae Sinensis, White Part), Zhigancao (Prepared Licorice Root), Biejia (Carapax et Plastrum Testudinis).
Chronic cough allowing pathogens to shift to the Stomach, where coughing causes the Lung's descending function to fail, leading to rebellious Qi ascent. Do not use herbs that drain and damage Lung Qi.
Water pear, cored but with skin, mashed thoroughly, filtered through silk cotton to extract clear juice, slowly boiled into an ointment, stored in a porcelain jar sealed with wax. Take five qian daily with warm water.
Yangming pulse is excess; shortness of breath with wheezing. Vigorous Fire consumes Qi, melting away True Yin. The condition worsens in summer when Yang Qi expands. At the time of harvesting jujubes, the mental state is calm. At this moment, no other treatment can be planned; temporarily administer Wendan Tang to slightly reduce heat and protect the injured Metal organ (Lung).
Individuals with robust physique often have weak Zheng Qi. When chills and fever suddenly appear, urine becomes scanty and frequent, head and neck tremble, tongue is dry, teeth parched, breathing is rapid, left pulse is wiry and right pulse is weak, accompanied by thirst.
Tianhuafen (Radix Trichosanthis), Juanzhuye (Leaf of Bambusa Tuldoides), Nongjuhong (Concentrated Tangerine Peel), Qinghaogeng (Stem of Artemisia Annua), Maidong (Radix Ophiopogonis), Liuyisan (Six-to-One Powder).
Pulse is rapid; no bowel movement for five to six days; yellow tongue coating and scorched lips indicate blazing Stomach Heat. Moreover, previously administered medicines were acrid-warm substances that consumed Yin. Now, cold-cooling herbs are indispensable, yet caution and protection remain paramount because Heat pathogens have penetrated deeply into Yin, while Yang Qi stands alone in hyperactivity.
Chuanlianhuang (Coptidis Rhizoma), Zhishi (Fructus Aurantii Immaturus), Gualou (Fructus Trichosanthis), Chishao (Radix Paeoniae Rubra), Shenggancao (Raw Licorice Root), Chenpi (Pericarpium Citri Reticulatae), Xingren (Semen Armeniacae Amarum), Mutong (Caulis Akebiae).
The root cause of the illness stems from excessive consumption of persimmons combined with Cold invasion, persisting for over twenty years. Persimmons belong to Wood of the West; their fruit embodies the Qi of Autumn Metal. Since they share the same affinity with Lung Metal, it is evident that pathogens enter the Lung, manifesting as Qi asthma. Over time, Kidney Water lacks its root, causing deficiency Fire to float upward and transform into Phlegm. The Stomach is the vessel storing Phlegm. Thus, Jiangqi Tang (Qi-Descending Decoction) and Liu Junzi Tang (Six Gentlemen Decoction), acting from Lung to Stomach, yield minor effects but do not eradicate the core issue. Just as Jiemo remains unconquered, Qi territory never truly belongs to Yan. Given the fierce pulse quality, treatment must penetrate deep into the disease site. We propose utilizing Zhang Zhongjing's methods.
Tiantingli (Semen Lepidii), Kutingli (Semen Descurainiae), Dazao (Fructus Jujubae).
Coughing with hemoptysis has persisted for over three years, lingering without resolution. Complexion is dark, pulse is wiry, cough intensifies, perioral area is yellow. The pathology originates in Liver and Spleen, affecting Kidney, and depleting the Upper Jiao storage. Supply fails to meet demand. Fluid retention further complicates matters; draining yields no result, nourishing proves ineffective. Delay leads to daily deterioration, irreparable. We must target the Middle Jiao to promote circulation, hoping for improvement. We adopt Jianzhong method, adding phlegm-resolving agents. After Yangming Qi ascends, we will subsequently tonify Taiyin, then gradually transition to pure Yin-nourishing methods; otherwise, it is not proper treatment.
Xiao Jianzhong Tang (Minor Construct the Middle Decoction) without Shengjiang (Fresh Ginger). Added Fuling (Poria) and Jiangpi (Pericarpium Zingiberis Recens).
Ancient character creation: "Lao" (Consumption/Fatigue) consists of two "Huo" (Fire) characters exerting force together. Hence, explanation involves Ministerial and Sovereign Fires. Warm-tonify the Middle Jiao to still the source of Phlegm; tonify Lower Jiao to benefit the source of Water. However, the disease depth is profound; fear it cannot be broken in one strike.
Shudi (Radix Rehmanniae Preparata), Gouqizi (Fructus Lycii), Yuanshen (Radix Scrophulariae), Niuxi (Radix Achyranthis Bidentatae), Fuling (Poria), Zi Shiyin (Fluorite).
Horizontal view forms Kan trigram; vertical view resembles flowing water. The single line of True Yang in the center, when Water is deficient, exposes itself as Dragon Fire. Zhen trigram represents Thunder; the Yang below Zhen shares the same origin.
Yiyuan Dan (One-Origin Pill) should be used; long-term administration leads to cure.
Dan Qushi (Processed Urinary Stone) 5-6 jin, formed into pills with red date paste. Take 5-6 qian in morning, 2-3 qian in evening, taken down with soup pointed by a small amount of Yang Qushi.
Pulse is wiry and rapid; Chi position is exclusively enlarged. Cough, sore throat, and loss of voice follow years of blood loss. Yin deficiency with Fire flaming up is self-evident. Only extremely quiet/nourishing substances can guide Yang to潜藏 (submerge) into Yin, approximating the principles of Neijing. However, one must practice quietude preservation, ensuring Yin is secure and Yang is dense, achieving the power of Kan-Li interaction for best results.
Shudi (Radix Rehmanniae Preparata, pounded with Haishi powder), Jinshihu (Dendrobii Caulis), Beishashen (Radix Glehniae), Fuling (Poria), Maimendong (Radix Ophiopogonis), Shengbaishao (Raw Radix Paeoniae Alba), Gui Fu Ban (Plastrum Testudinis), Shanyao (Rhizoma Dioscoreae).
Body shape suddenly thins; pulse is extremely deficient. Qi is timid with occasional cough; vision darkens with slight dizziness, mood is despondent. Tonifying Qi and Blood is common knowledge. It is advisable to introduce Yin beasts into Yin; medication will still be effective. Catch one otter morning and night, dry the liver, use Lu Jiao Jiao (Deer Antler Glue). Pound separately in wooden vessels. Take 1 qian Lu Jiao Jiao powder in morning, 1 qian Otter Liver powder in evening, both with warm water. This is a hundred-day routine method; now prescribing decoction for initial intake.
Renshen (Radix Ginseng), Fuling (Poria), Tusibing (Fermented Soybean Product), Nanzao (Southern Red Dates), Jiaodongzhu (Fried Winter Atractylodes), Gouqizi (Fructus Lycii).
Left Guan pulse beats urgently and rapidly; Right Guan is wiry and large. Without Stomach Qi returning to origin, Chong Sea lacks root. If Right Guan is so, severity peaks in Spring; if Right Guan is so, decline occurs in Autumn. Fear Left Guan responds. Reluctantly adopting ancient Yi-Gui Same Source treatment.
Da Shengdi (Large Raw Rehmannia), Nuzhenzi (Fructus Ligustri Lucidi), Gouqizi (Fructus Lycii), Fushen (Poria with Hostwood), Yuanshen (Radix Scrophulariae), Bei Shanyao (Northern Yam), Zi Shiyin (Fluorite).
Illness originated from mental exhaustion and overwork, compounded by Wind-Cold exposure, leading to cough and expectoration. Long-term internal injury ensues. Internal injury means damage to internal Zang organs' Qi. As ancients said, Xu Lao (Deficiency Consumption) rarely resolves completely. One must abandon mental toil and overwork, eliminate all mundane thoughts, assist with medicine, perhaps extending life.
Maidong (Radix Ophiopogonis), Ejiao (Colla Corii Asini), Jiegeng (Radix Platycodonis), Zhigancao (Prepared Licorice Root), Shashen (Radix Glehniae), Yiyiren (Semen Coicis), Fuling (Poria).
This is Sha Lao (Sha Consumption), caused by Taiyin damage, transmitting daily to Foot Shaoyin. Spleen Qi deficiency causes loose stools, entering Lower Zang. Hundred treatments fail; speedily retreat. Close doors, rest quietly. One formula gifted for daily drinking.
Shudi (Radix Rehmanniae Preparata), Ejiao (Colla Corii Asini), Baihe (Bulbus Lilii), Gouqizi (Fructus Lycii).
For a person of sixty years old, both Chi pulses are exclusively enlarged. With two Zang organs already declining, how can this be tolerated! Urgently apply Yi-Gui Same Source method.
Shudi (Radix Rehmanniae Preparata), Nuzhenzi (Fructus Ligustri Lucidi), Tusibing (Fermented Soybean Product), Fuling (Poria), Yuanshen (Radix Scrophulariae), Hanliancao (Herba Ecliptae), Gouqizi (Fructus Lycii).
Honey pills.
This is True Yin deficiency syndrome, commonly called Hundred-Day Consumption. Even slight latent Summer-Heat makes chills and fever worse. Regretfully, treatment was delayed.
Shudi (Radix Rehmanniae Preparata), Qiancao (Radix Rubiae Cordifoliae), Qinghao (Herba Artemisiae Annuae), Yuanshen (Radix Scrophulariae), Huashi (Talcum), Danpi (Cortex Moutan).
The single line in Kan, True Yang flies alone upwards. Upon reaching Si-Wu months, Shen Shui Jin Dan (Divine Water Golden Pill) is powerless.
Lao Shengjiang (Old Ginger), Tiandong (Asparagi Caulis), Huainiu (Achyranthes Bidentata), Gancao (Licorice), Chuanshihu (Dendrobium Officinale), Yuanshen (Radix Scrophulariae), Nuzhenzi (Fructus Ligustri Lucidi).
Disposition favors pungent foods. Medical texts say: excessive pungent food causes sudden death. Current diagnosis shows complexion and pulse indicate exhausted form and body. Sudden death is avoided, nor is longevity promised. Self-care is needed. First, take Sansheng Yin.
Shengdihuang (Raw Rehmannia Root), Chi Fuling (Red Poria), Maidong (Radix Ophiopogonis), Fen Gancao (Powdered Licorice), Sheng Yiyiren (Raw Coix Seed), Hong Zao (Red Date).
This is a Sun (Damage) syndrome. From upper damage descending: first damages Lung, then transmits to Heart, Liver, Spleen. Spleen damage causes loose stools. Transmission to Kidney results in bone atrophy, unable to rise from bed. Absolutely do not administer Lung-regulating drugs to hasten decline. Only Zhu Du Wan (Pig Stomach Pill) is suitable.