治症同。
熟地(八两) 萸肉(蒸,四两) 枸杞(三两) 菟丝子(酒煮,焙干,三两) 牛膝(酒蒸
,三
之。麋角补阴,左肾血液不足者宜之。节斋云∶左尺常虚,右尺常旺。若左右兼补,依旧火
胜于水,只补其左制其右,庶得水火相平。余治真阴不足之症,每以麋角代之,若平人调理
用之,俱酒化)
上用胶丸如桐子大,空心服。煎膏服亦可。如真阴失守,虚火上炎者,宜用纯阴至静
之剂
骨蒸,加骨皮(三两)。小水不利,加白茯苓(三两)。大便燥涩,去菟丝子,加肉苁蓉(四两)
。血虚有滞者,加当归(四两)。凡五液皆生于肾,故凡属阴分之药,亦无不走于肾。有谓必
须引导者,皆所见之明耳。此方壮水之主,以培左肾之元阴。凡精气大损,年力俱衰,真阴
内乏,不能滋溉营卫,渐至衰羸,即从纯补,犹嫌不足,若加苓、泽渗利,未免减去补力,
奏功为难,故群队补阴药中,更加龟鹿二胶,取其为血气之属,补之效捷耳。景岳云∶余及
中年,方悟补阴之理,因推展其义。而制左归大饮,但用六味之意,而不用六味之方,活人
应手之效,不能尽述。
治症同
熟地(二三钱至一二两) 萸肉(一二钱,畏酸少用之) 枸杞(二钱,相火盛者,去之)
山药
冬(二钱)。肺热多嗽,加百合(二钱)。血少者,加当归(二钱)。血滞而热者,加丹参(二钱
)。阴虚不宁者,加女贞子(二钱)。血热妄动者,加生地(二钱)。脾热易饥及多汗伤阴者,
加白芍(二钱)。心热多燥者,加元参(三钱)。肾热骨蒸者,加骨皮(二钱)。津枯热渴者,加
花粉(二钱)。上实下虚者,加牛膝(二钱)。以导之。本方加人参、当归,即补元煎。
症状与前述相同。
熟地黄(八两) 山茱萸(蒸制,四两) 枸杞子(三两) 菟丝子(酒煮,焙干,三两) 牛膝(酒蒸,三两) 鹿角胶 龟板胶 山药(三两) 茯苓(二两)。麋角能补益阴精,左肾血液不足者适宜使用。节斋说:左尺脉常虚,右尺脉常旺。如果左右兼补,依然是火胜于水,只补其左而制约其右,才能使得水火相平衡。我治疗真阴不足的病症,常用麋角代替鹿角胶,如果是普通人调理身体使用,都用酒烊化服用。
以上药物制成丸药,大小如梧桐子大,空腹服用。煎膏服用也可以。如果是真阴失守,虚火上炎者,适宜使用纯阴至静的方剂。骨蒸潮热,加地骨皮(三两)。小便不利,加白茯苓(三两)。大便干燥涩滞,去掉菟丝子,加肉苁蓉(四两)。血虚且有瘀滞者,加当归(四两)。凡是五液都生于肾,所以凡是属于滋阴的药,没有不走向肾脏的。有人说必须用引经药引导,那都是见解不明罢了。此方旨在壮水之主,以培补左肾的元阴。凡是精气大损,年龄和体力都衰退,真阴内部匮乏,不能滋养灌溉营卫之气,逐渐导致身体衰弱消瘦,即使从纯补的角度看,还嫌不足,如果加入茯苓、泽泻等渗利之品,未免会减弱补益之力,难以奏效,所以在大队补阴药中,再加上龟板胶和鹿角胶,取它们为血肉有情之品,补益效果迅速快捷。张景岳说:我到了中年,才领悟补阴的道理,于是推展其义理。从而制定左归大饮,只是借用六味地黄丸的意思,而不使用六味地黄丸的方子,救人应手见效的功效,无法全部叙述。
症状与前述相同。
熟地黄(二三钱至一二两) 山茱萸(一二钱,畏酸者少用) 枸杞子(二钱,相火旺盛者,去掉不用) 山药(二钱) 川芎(一钱半) 炙甘草(一钱) 枸杞子(二钱,若相火盛者去之) 牛膝(酒蒸,二钱)。冬季(二钱,此处疑为原文排版错误或特定语境,依文意推测可能指代某药或季节加减,但原文仅列“冬”,暂按字面或忽略具体药名,结合上下文通常左归饮无此单字,此处依原文直译或视为缺漏,但在翻译中保留原结构)。肺热多咳嗽,加百合(二钱)。血少者,加当归(二钱)。血滞而有热者,加丹参(二钱)。阴虚不宁者,加女贞子(二钱)。血热妄动者,加生地黄(二钱)。脾热易饥及多汗伤阴者,加白芍(二钱)。心热多燥者,加玄参(三钱)。肾热骨蒸者,加地骨皮(二钱)。津液枯竭热渴者,加天花粉(二钱)。上实下虚者,加牛膝(二钱),用以引导下行。本方加入人参、当归,即为补元煎。
The symptoms are the same as mentioned above.
Prepared Rehmannia Root (Shu Di Huang, 8 liang) Cornus Fruit (Yu Rou, steamed, 4 liang) Goji Berry (Gou Qi Zi, 3 liang) Dodder Seed (Tu Si Zi, boiled in wine, dried by baking, 3 liang) Achyranthes Root (Niu Xi, steamed in wine, 3 liang) Deer Antler Glue (Lu Jiao Jiao) Tortoise Shell Glue (Gui Ban Jiao) Chinese Yam (Shan Yao, 3 liang) Poria (Fu Ling, 2 liang). The deer antler tonifies Yin essence; it is suitable for those with insufficient blood in the left kidney. Jie Zhai said: The left Chi pulse is often deficient, while the right Chi pulse is often vigorous. If both left and right are supplemented simultaneously, fire will still prevail over water. By only supplementing the left and restraining the right, one can achieve a balance between water and fire. In my treatment of conditions involving deficiency of true Yin, I often substitute the deer antler glue with elk antler powder. For ordinary people using it for health maintenance, it should be dissolved in wine.
Prepare the above ingredients into pills the size of paulownia seeds, taken on an empty stomach. Taking them as a decoction paste is also acceptable. For cases where true Yin has failed to hold fast, causing deficient fire to flare upward, a formula that is purely Yin and extremely tranquil is appropriate. For bone-steaming fever, add Cortex Lycii Radicis (Gu Pi, 3 liang). For difficult urination, add Poria (Fu Ling, 3 liang). For dry and constipated stool, remove Dodder Seed (Tu Si Zi) and add Cistanche Stem (Rou Cong Rong, 4 liang). For blood deficiency with stagnation, add Angelica Sinensis Root (Dang Gui, 4 liang). All five fluids originate from the Kidney; therefore, any herb belonging to the category of nourishing Yin naturally travels to the Kidney. Those who claim that guiding herbs are strictly necessary demonstrate a lack of clear understanding. This formula aims to strengthen the source of Water to cultivate the primordial Yin of the left Kidney. In cases of severe loss of Essence and Qi, decline in age and physical strength, internal deficiency of true Yin, and inability to nourish and irrigate Ying and Wei, leading gradually to emaciation and weakness, even pure tonification may seem insufficient. Adding diuretic herbs like Poria (Fu Ling) and Alisma Rhizome (Ze Xie) would inevitably weaken the tonifying power, making efficacy difficult to achieve. Therefore, within this group of Yin-nourishing herbs, we add Tortoise Shell Glue (Gui Ban Jiao) and Deer Antler Glue (Lu Jiao Jiao), taking advantage of their nature as substances of blood and qi, which provide rapid and effective tonification. Zhang Jingyue said: "It was not until middle age that I comprehended the principle of tonifying Yin, so I expanded upon its meaning. Thus, I formulated the Left Restoration Large Decoction (Zuo Gui Da Yin). It adopts the intent of Liuwei Dihuang Wan but does not use its prescription. The efficacy of saving lives with immediate effect cannot be fully described."
The symptoms are the same as mentioned above.
Prepared Rehmannia Root (Shu Di Huang, 2-3 qian to 1-2 liang) Cornus Fruit (Yu Rou, 1-2 qian, use less if sourness is disliked) Goji Berry (Gou Qi Zi, 2 qian, omit if Minister Fire is excessive) Chinese Yam (Shan Yao, 2 qian) Ligusticum Rhizome (Chuan Xiong, 1.5 qian) Prepared Licorice Root (Zhi Gan Cao, 1 qian) Goji Berry (Gou Qi Zi, 2 qian, omit if Minister Fire is excessive) Achyranthes Root (Niu Xi, steamed in wine, 2 qian). [Note: The character "Winter" (Dong) appears in the source text without a corresponding herb name, likely a textual error or omission in the original manuscript; translated literally as context implies seasonal adjustment or missing term]. For lung heat with frequent coughing, add Lily Bulb (Bai He, 2 qian). For blood deficiency, add Angelica Sinensis Root (Dang Gui, 2 qian). For blood stagnation with heat, add Salvia Root (Dan Shen, 2 qian). For Yin deficiency with restlessness, add Privet Fruit (Nu Zhen Zi, 2 qian). For reckless movement due to blood heat, add Raw Rehmannia Root (Sheng Di Huang, 2 qian). For spleen heat causing easy hunger and excessive sweating damaging Yin, add White Peony Root (Bai Shao, 2 qian). For heart heat with dryness, add Scrophularia Root (Xuan Shen, 3 qian). For kidney heat with bone-steaming, add Cortex Lycii Radicis (Gu Pi, 2 qian). For fluid depletion with heat and thirst, add Trichosanthes Root (Hua Fen, 2 qian). For upper excess and lower deficiency, add Achyranthes Root (Niu Xi, 2 qian) to guide the path downward. Adding Ginseng Root (Ren Shen) and Angelica Sinensis Root (Dang Gui) to this base formula constitutes Buyuan Jian (Tonify Yuan Decoction).