治自汗不止,气衰表弱,易感风。
黄 (炙) 白术(炒,各二两) 防风(一两。)
黄 补气专固肌表,故以为君;白术益脾,脾主肌肉,故以为臣;防风去风,为风
药卒徒而黄 畏之,故以为使。以其益卫固表,故曰玉屏风。黄 得防风而功益大,取
其相畏而相使也。卒中偏枯之症,未有不因真气不周而病者,故黄 为必用之君药,防
风为必用之臣药,黄 助真气者也。防风载黄 助真气以周于身者也,且有治风之功
焉,许胤宗治王太后中风口噤,煎二药熏之而愈,况服之乎?
治劳伤元气,肢体倦怠,脾肺虚弱,自汗盗汗,内热作渴等症。
黄 (一钱) 人参 甘草(炙) 当归 白术(各五分) 白芍药 柴胡 升麻(各三分)
陈皮(二分) 五味子(十五粒) 水煎温服。
此方即补中益气加白芍、五味而已。补中益气,纯用甘温,但行春升之令,此加酸
敛兼持秋肃之权,气虚多散,汗而不收,如夏气之蒸溽也。金商一奏而炎 如失矣。
盖有升有降,能发能收,则天地交通菀 生遂,此东垣先生别行一路,以广补中之妙者乎!
治自汗虚弱。
黄 (蜜炙) 防风 川芎 山茱萸 当归 白术(炒) 肉桂 甘草(炙) 五
味子 人参(各一两) 白茯苓(一两五钱) 熟 (二两) 肉苁蓉(一两) 每服五钱,枣水煎温服。
治疗自汗不止,气虚衰微、体表虚弱,容易感受风邪。
黄芪(炙) 白术(炒,各二两) 防风(一两)。
黄芪补气,专门巩固肌表,所以作为君药;白术健脾,脾主肌肉,所以作为臣药;防风祛风,是风药的卒徒而黄芪畏惧它,所以作为使药。因为它能益卫固表,所以叫玉屏风散。黄芪得到防风的配合功效更大,取它们相互制约又相互促进的意思。中风偏枯的病症,没有不是因为真气不能周流全身而发病的,所以黄芪是必用的君药,防风是必用的臣药,黄芪帮助真气。防风承载黄芪帮助真气周流于身体,并且有治疗风邪的功效。许胤宗治疗王太后中风口噤,煎煮这两味药熏蒸而痊愈,何况是内服呢?
治疗劳损伤及元气,肢体倦怠,脾肺虚弱,自汗盗汗,内热口渴等症状。
黄芪(一钱) 人参 甘草(炙) 当归 白术(各五分) 白芍药 柴胡 升麻(各三分)
陈皮(二分) 五味子(十五粒) 水煎温服。
这个方子就是补中益气汤加上白芍、五味子罢了。补中益气汤纯用甘温之品,只是施行春季升发之气的作用,这里加入酸敛之品兼持秋季肃降之权,气虚容易耗散,出汗而不收敛,就像夏季气候湿热蒸腾一样。金商之气一奏响(指秋气肃降),炎热就消失了。大概是有升有降,能发散能收敛,那么天地之气交通,万物郁结得以生遂,这是东垣先生另辟蹊径,以扩充补中益气法妙用的吧!
治疗自汗且体质虚弱。
黄芪(蜜炙) 防风 川芎 山茱萸 当归 白术(炒) 肉桂 甘草(炙) 五味子 人参(各一两) 白茯苓(一两五钱) 熟地黄(二两) 肉苁蓉(一两) 每次服用五钱,大枣水煎温服。
Treats continuous spontaneous sweating, deficiency of Qi and weakness of the exterior, susceptibility to wind pathogens.
Huangqi (Zizhi Huangqi, Prepared Astragali Radix) [2 liang], Baizhu (Chao Baizhu, Stir-fried Atractylodis Macrocephalae Rhizoma) [2 liang], Fangfeng (Fangfeng, Saposhnikoviae Radix) [1 liang].
Huangqi tonifies Qi and specifically consolidates the muscular exterior, thus serving as the Sovereign herb; Baizhu benefits the Spleen, and the Spleen governs the muscles, thus serving as the Minister herb; Fangfeng dispels wind, acting as an attendant to wind-pathogens yet feared by Huangqi, thus serving as the Envoy herb. Because it benefits Wei-Qi and consolidates the exterior, it is named Yupingfeng San (Jade Windscreen Powder). The efficacy of Huangqi is greatly enhanced when combined with Fangfeng, utilizing their mutual inhibition and mutual facilitation. In cases of stroke-induced hemiplegia, there is no condition not caused by the failure of True Qi to circulate throughout the body; therefore, Huangqi is an indispensable Sovereign herb, and Fangfeng is an indispensable Minister herb. Huangqi assists True Qi, while Fangfeng carries Huangqi to assist True Qi in circulating throughout the body, and also possesses the merit of treating wind disorders. Xu Yinzong treated Empress Dowager Wang's stroke with mouth lock by fumigating her with a decoction of these two herbs, resulting in recovery; how much more so if taken orally?
Treats damage to Yuan Qi due to overexertion, limb fatigue, Spleen and Lung deficiency, spontaneous sweating, night sweats, internal heat, and thirst.
Huangqi (Zizhi Huangqi, Prepared Astragali Radix) [1 qian], Renshen (Renshen, Ginseng Radix et Rhizoma), Gancao (Zhi Gancao, Prepared Glycyrrhizae Radix et Rhizoma), Danggui (Danggui, Angelicae Sinensis Radix), Baizhu (Chao Baizhu, Stir-fried Atractylodis Macrocephalae Rhizoma) [each 5 fen], Shaoyao (Baishao, White Peony Root), Chaihu (Chaihu, Bupleuri Radix), Shengma (Shengma, Cimicifugae Rhizoma) [each 3 fen], Chenpi (Chenpi, Citri Reticulatae Pericarpium) [2 fen], Wuweizi (Wuweizi, Schisandrae Chinensis Fructus) [15 berries]. Decoct in water and take warm.
This formula is essentially Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Baishao and Wuweizi. Buzhong Yiqi Tang uses purely sweet and warm herbs to merely execute the ascending function of Spring Qi. Here, sour and astringent herbs are added to concurrently hold the descending authority of Autumn Qi. Qi deficiency leads to excessive dispersion, and sweating that does not stop is like the humid steaming of Summer Qi. Once the Metal/Shang energy sounds (referring to the descending nature of Autumn), the intense heat disappears. Generally, having both ascending and descending, being able to disperse and collect, allows Heaven and Earth Qi to communicate and all things to flourish smoothly. This represents Mr. Dongyuan's alternative path, expanding the subtleties of tonifying the middle!
Treats spontaneous sweating accompanied by physical weakness.
Huangqi (Mi Zhi Huangqi, Honey-fried Prepared Astragali Radix), Fangfeng (Fangfeng, Saposhnikoviae Radix), Chuanxiong (Chuanxiong, Ligustici Chuanxiong Rhizoma), Shanzhuyu (Shanzhuyu, Corni Fructus), Danggui (Danggui, Angelicae Sinensis Radix), Baizhu (Chao Baizhu, Stir-fried Atractylodis Macrocephalae Rhizoma), Rougui (Rougui, Cinnamomi Cortex), Gancao (Zhi Gancao, Prepared Glycyrrhizae Radix et Rhizoma), Wuweizi (Wuweizi, Schisandrae Chinensis Fructus), Renshen (Renshen, Ginseng Radix et Rhizoma) [each 1 liang], Baifuling (Baifuling, Poria), Shudihuang (Shudihuang, Prepared Rehmanniae Radix) [2 liang], Rongzhrong (Rongzhrong, Cistanche Deserticolae Herba) [1 liang]. Take 5 qian per dose, decoct with Jujube water and take warm.