治劳风,心脾壅滞,痰涎盛多,喉中不利,涕唾稠粘,咽塞吐逆,不思饮食,或时昏愦。
皂角(木白皮酥炙) 白附子(炮) 半夏(汤洗七次) 天南星(炮) 白矾(枯) 赤茯苓(去皮)
人参(以上各一两) 枳壳(炒,二两)
上为细末,生姜汁面糊为丸,如梧桐子大,每服三十丸,温水送下,食后。
治病久厌厌不能食,而脏腑或结或溏,此胃气虚弱也。常服则和中理气,消痰去湿,和脾胃,进饮食。
白术(一两二钱) 半夏(汤洗七次) 浓朴(姜制,以上各一两) 陈皮(去白,八钱) 人参
(七钱) 甘草(炙,三钱) 枳实(麸炒) 槟榔(以上各二钱五分) 木香(一钱)
上件为细末,生姜汁浸蒸饼为丸,如梧桐子大,每服三十丸,温开水送下,食远。
脾胃虚则怠惰嗜卧,四肢不收,时值秋HT 令行,湿热少退,体重节痛,口干舌干,饮食无味,大便不
调,小便频数,不欲食,食不消;兼见肺病,洒淅恶寒,惨惨不乐,面色恶而不和,乃阳气不伸故也。当
升阳益气,名之曰升阳益胃汤。
黄 (二两) 半夏(洗,此一味脉涩者用) 人芦(去芦) 甘草(炙,以上各一两) 独活 防风
(以秋旺,故以辛温泻之) 白芍药(何故秋旺用人参白术芍药之类反补肺,为脾胃虚则肺最受邪,故因时
而补,易为力也。) 羌活(以上各五钱) 橘皮(四钱) 茯苓(小便利不渴者勿用) 柴胡
泽泻(不淋勿用) 白术(以上各三钱) 黄连(一钱)
上 咀,每服秤三钱,水三盏,生姜五片,枣二枚,煎至一盏,去渣,温服,早饭后。或加至五钱。
服药后如小便罢而病加增剧,是不宜利小便,当少去茯苓、泽泻。
若喜食,一二日不可饱食,恐胃再伤,以药力尚少,胃气不得转运升发也,须薄味之食或美食助其
药力,益升浮之气而滋其胃气,慎不可淡食以损药力,而助邪气之降沉也。
可以小役形体,使胃与药得转运升发;慎勿太劳役,使气复伤,若脾胃得安静尤佳。若胃气稍强,少
食果以助谷药之力。经云∶“五谷为养,五果为助”者也。
治疗劳风,心脾壅滞,痰涎盛多,喉中不利,涕唾稠粘,咽塞吐逆,不思饮食,或时昏愦。
皂角(刮去木皮,用酥炙) 白附子(炮制) 半夏(汤洗七次) 天南星(炮制) 白矾(枯矾) 赤茯苓(去皮)
人参(以上各一两) 枳壳(炒,二两)
将上述药材研为细末,用生姜汁和面糊制作成丸药,大小如梧桐子,每次服用三十丸,饭后用温水送服。
治疗病程长久,精神萎靡不能进食,而脏腑或结滞或溏泄,这是胃气虚弱所致。常服此方可调和脾胃、理顺气机、消除痰湿、和养胃脾、增进饮食。
白术(一两二钱) 半夏(汤洗七次) 浓朴(姜制,以上各一两) 陈皮(去白,八钱) 人参
(七钱) 甘草(炙,三钱) 枳实(麸炒) 槟榔(以上各二钱五分) 木香(一钱)
将上述药材研为细末,用生姜汁浸泡蒸饼制作成丸药,大小如梧桐子,每次服用三十丸,饭后较长时间用温开水送服。
脾胃虚弱则倦怠嗜卧,四肢无力收持,正值秋季令行,湿热稍退,身体沉重关节疼痛,口干舌干,饮食无味,大便不调,小便频数,不想吃东西,吃了不消化;兼见肺病症状,洒淅恶寒,心情凄惨不乐,面色晦暗不和,这是因为阳气不能伸展的缘故。应当升发阳气、补益元气,命名为升阳益胃汤。
黄芪(二两) 半夏(洗,脉涩者用此一味) 人参(去芦头) 甘草(炙,以上各一两) 独活 防风
(因秋季金旺,故用辛温之品泻肺气) 白芍药(为何秋季金旺用人参白术芍药之类反而补肺?因为脾胃虚则肺最受邪,所以因时而补,容易见效。) 羌活(以上各五钱) 橘皮(四钱) 茯苓(小便利且不渴者勿用) 柴胡
泽泻(无淋证勿用) 白术(以上各三钱) 黄连(一钱)
将上述药材切碎,每次称取三钱,加水三盏,生姜五片,大枣二枚,煎煮至一盏,去渣,温服,早饭后服用。也可加至五钱。
服药后如果小便通利但病情加重,说明不宜利小便,应减少茯苓、泽泻的用量。
如果喜欢进食,一二日内不可饱食,恐怕再次损伤胃气,因为药力尚少,胃气不得转运升发,需用清淡美味的食物辅助药力,提升浮越之气以滋养胃气,千万不要吃淡而无味的食物以损害药力,从而助长邪气的降沉。
可以进行轻微的身体活动,使胃与药物得以转运升发;千万不要过度劳累,使气再次受伤,若脾胃得到安静尤其好。如果胃气稍强,可少量食用水果以辅助谷物和药物的力量。经云:“五谷为养,五果为助”。
Treats *Laofeng* (Labor-induced Wind), stagnation of the Heart and Spleen, excessive phlegm and saliva, discomfort in the throat, thick and sticky nasal discharge and sputum, throat obstruction with vomiting and regurgitation, loss of appetite, or occasional confusion.
*Zaojiao* (Gleditsiae Fructus Spina, scraped of woody bark and fried with butter) *Baifuzi* (Aconiti Kusnezoffii Rhizoma, processed) *Banxia* (Pinelliae Rhizoma, washed seven times in decoction) *Tiannanxing* (Arisaematis Rhizoma, processed) *Baijian* (Alumen, calcined) *Chifuling* (Poria cum Ligno Rubrum, peeled)
*Renshen* (All above, each 1 liang) *Zhiqiao* (Aurantii Fructus, stir-fried, 2 liang)
Grind the above into a fine powder, make pills using ginger juice and wheat paste, size like Sophora seeds. Take 30 pills per dose, swallow with warm water after meals.
Treats prolonged illness with listlessness and inability to eat, while internal organs may be either constipated or loose; this is due to deficiency of Stomach Qi. Regular use harmonizes the middle, regulates Qi, eliminates phlegm and dampness, harmonizes the Spleen and Stomach, and promotes appetite.
*Bai Zhu* (Atractylodis Macrocephalae Rhizoma, 1 liang 2 qian) *Banxia* (Pinelliae Rhizoma, washed seven times in decoction) *Houpo* (Magnoliae Officinalis Cortex, ginger-processed, each 1 liang above) *Chenpi* (Citri Reticulatae Pericarpium, pith removed, 8 qian) *Renshen* (Ginseng Radix et Rhizoma, 7 qian) *Gancao* (Licorice Radix et Rhizoma, honey-fried, 3 qian) *Zhishi* (Aurantii Fructus Immaturus, bran-fried) *Binglang* (Arecae Semen, each 2 qian 5 fen above) *Muxiang* (Aucklandiae Radix, 1 qian)
Grind the above ingredients into a fine powder, make pills by soaking steamed bread cakes in ginger juice, size like Sophora seeds. Take 30 pills per dose, swallow with warm boiled water at a considerable time after meals.
Spleen and Stomach deficiency leads to lethargy and desire to lie down, flaccidity of the four limbs. When the Autumn command prevails, damp-heat slightly recedes, body weight increases, joints ache, mouth and tongue are dry, food tastes bland, bowel movements are irregular, urination is frequent, there is no desire to eat, and digestion is poor. Accompanied by Lung disease symptoms: chills (*Shaxie*), depression and unhappiness, dark and discordant complexion, all because Yang Qi cannot extend. One should raise Yang and benefit Qi, named *Shengyang Yiewei Tang* (Yang-Raising and Stomach-Benefiting Decoction).
*Huangqi* (Astragali Membranacei Radix, 2 liang) *Banxia* (Pinelliae Rhizoma, washed; used for this single ingredient when pulse is choppy) *Renshen* (Ginseng Radix et Rhizoma, remove rhizome) *Gancao* (Licorice Radix et Rhizoma, honey-fried, each 1 liang above) *Duhuo* (Angelicae Pubescentis Radix) *Fangfeng* (Saposhnikoviae Radix)
(Because Metal prospers in Autumn, pungent-warm herbs are used to drain Lung Qi) *Baishao* (Paeoniae Radix Alba) (Why use Renshen, Baizhu, Shaoyao etc., which tonify the Lung, when Metal prospers in Autumn? Because when Spleen and Stomach are deficient, the Lung suffers evil most easily; thus, tonifying according to the season makes it easier to achieve results.) *Qianghuo* (Notopterygii Rhizoma et Radix, each 5 qian above) *Jupi* (Citri Reticulatae Pericarpium, 4 qian) *Fuling* (Poria, do not use if urination is free and thirst is absent) *Chaihu* (Bupleuri Radix)
*Xiezhe* (Alismatis Rhizoma, do not use if no strangury) *Baizhu* (Atractylodis Macrocephalae Rhizoma, each 3 qian above) *Huanglian* (Coptidis Rhizoma, 1 qian)
Cut the above into pieces. Weigh 3 qian per dose, add 3 cups of water, 5 slices of fresh ginger, 2 dates. Decoct until 1 cup remains, strain, take warm after morning breakfast. May increase to 5 qian.
If after taking the medicine urination ceases but the condition worsens, diuresis is inappropriate; reduce the dosage of Fuling and Xiezhe.
If one desires to eat, avoid overeating for one or two days, lest the Stomach be injured again, as the medicinal power is still weak and Stomach Qi cannot transport and ascend. Use light and delicious foods to assist the medicinal power, raising floating Qi to nourish Stomach Qi. Do not consume bland foods that damage medicinal power and aid the sinking of pathogenic factors.
Engage in mild physical activity to allow the Stomach and medicine to transport and ascend. Avoid excessive labor that injures Qi again; tranquility for the Spleen and Stomach is especially good. If Stomach Qi is slightly strong, eat small amounts of fruit to assist grain and medicine. The Classics say: "Five grains for nourishment, five fruits for assistance."