用药之妙，如将用兵。兵不在多，独选其能，药不贵繁，惟取其效，要知黄连清心经之客火。黄柏降相火之游行。黄芩泻肺火而最妙。栀子清胃热而如神(炒黑止血)。芒硝通大便之结燥。大黄乃荡涤之将军①。犀角解乎心热。牛黄定其胆惊。连翘泻六经之火。菊花明两目之昏。滑石利小便之结滞②。石膏泻胃火之炎蒸。山豆根解热毒而治喉痹。桑白皮泻肺邪而利水停。龙胆治肝家之热。瞿麦利膀胱之淋。鳖甲治疟而治癖。龟板补阴而补心。茵陈治黄疽而利水。香薷治霍乱以清襟。柴胡退往来之寒热。前胡治咳嗽之痰升。元参治结毒痈疽，清利咽膈。沙参补阴虚嗽，保定肺经。竹叶、竹茹治虚烦而有效。茅根、藕节止吐衄而多灵。苦参治发狂痈肿。地榆止血痢血崩。车前子利水以止泻。瓜蒌仁降痰以清襟。秦艽去骨蒸之劳热。丹皮破积血以行经。熟地补血而疗损。生地凉血以滋阴。白芍药治腹疼--补而收--而烦热上除。赤芍药通血瘀--散而泻--而小腹可利。麦冬生脉以清心，上而止嗽。天冬消痰而润肺，下走肾经。地骨皮治夜热之劳蒸。知母退肾经之火沸。葛根止渴而解肌。泽泻补阴而渗利。兹乃药性之寒，投剂须当酌意。
又闻热药可以温经：麻黄表寒邪之汗。官桂治冷气之侵。木香调气治腹痛。沉香降气治腰疼。丁香止呕，暖胃家之冷。藿香止吐，壮胃脘以温。吴茱萸走小腹疗寒疼。山茱萸壮腰肾以涩精。豆蔻、砂仁理胸中之气食。腹皮、厚朴治腹内之胀膨。白豆蔻开胃口而去滞。元胡索治气血而亦调经。附子回阳，救阴寒之药。干姜治冷，转脏腑以温。草果消溶宿食。槟榔去积推陈。苁蓉壮阳而固本。鹿茸益肾而生精。锁阳子最止精漏。菟丝子偏固天真。没药、乳香散血凝之痛。二丑、巴豆(二位相反)攻便闭之屯。紫苏散风寒，子能降气。川椒退蛔厥，核治喘升。五灵脂治心腹之血痛；大茴香治小肠之气痛。此热药之主治，分佐使与君臣。
论及温药，各称其能。甘草为和中之国老。人参乃补气之元神。葶苈降肺喘而利水，苦甜有别③。茯苓补脾虚而利渗，赤白须分④。黄芪补卫而止汗。山药益肾而开心。莪术、三棱消积坚之痞块。麦芽、神曲消饮食而宽膨。顺气化痰陈皮可用。宽中快膈枳壳当行。白术健脾而去湿。当归补血以调经。半夏治痰燥胃。枳实去积推陈。川芎治头疼之要药。桃仁破瘀血之佳珍。艾叶安胎而治崩漏。香附顺气而亦调经。杏仁止风寒之嗽。五味敛肺气之升。防风乃诸风之必用。荆芥清头目而疗崩。山楂消肉食之积。细辛止少阴头疼。紫薇花通经而堕胎。酸枣仁敛汗而安神。藁本止头疼于巅顶之上。桔梗载药物有舟楫之能。杜仲壮腰膝而补肾。红花苏血晕而通经。兹温药之性气，学者必由是而遵循。
既已明于三者⑤，岂不悉举其平。常山使之截疟。阿魏用之消□（病去丙换征）。防己、木瓜除下焦之湿肿。菖蒲、远志通心腹之神明。壮腰膝莫如虎骨。定惊悸当用获神。阿胶止嗽而止血。牡蛎涩汗而涩精。羌活散风，除骨节之疼。冬花止咳，降肺火之升。独活、寄生理脚膝之风湿。薄荷、白芷散头额之风疼。木贼、蒺藜退眼睛之浮翳。元明、海粉降痰火之升腾。青皮伐木。紫菀克金。五加皮消肿而活血。天花粉止渴而生津。牛蒡子清咽喉之不利。薏苡仁理脚气之难行。琥珀安神而利水。朱砂镇心而定惊。贝母开心胸之郁，而治结痰。百合理虚劳之嗽，更医蛊毒。升麻提气而散风。牛膝下行而壮骨。利水须用猪苓。燥湿必当苍术。枸杞子明目以生精。鹿角胶补虚而大益。天麻治诸风之掉眩。木通治小便之秘涩。天南星最治风痰。莱菔子偏医面食。此乃药性之提纲，用作传心之秘术。
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①言大黄涤除肠道积滞，好象猛将一样。
②结滞：指湿热蓄于下焦以致小便不利。
③葶苈性寒，有苦、甜两种。苦的下泄性急，甜的下泄之性缓。
④茯苓甘平淡，气味俱薄，白的偏于补；赤的偏于利。
⑤三者：指寒、热、温三性。
治病主药诀
头疼必须用川芎，不愈各加引经药：太阳羌活少柴胡，阳明白芷还须着，太阴苍术少细辛，厥阴吴茱用无错。巅顶之痛人不同，藁本须用去川芎。肢节之疼用羌活，去风去湿亦其功。小腹痛用青皮治。心（下）痞黄连枳实从。腹痛须用白芍药，因寒加桂热黄柏。腹中窄狭苍术宜。胀膨厚朴姜制法。腹中实热何所施，大黄芒硝功有力。虚热虚汗用黄芪。肌肤浮热黄芩宜。胁下疼痛往来热，日晡⑴潮热柴胡宜。脾胃受湿身无力，怠惰嗜卧用白术。下焦湿肿兼火邪，知母防（己）龙（胆草）并酒（黄）柏。上焦湿热用黄芩。中焦湿热黄连释。渴用干葛天花粉。半夏燥脾斯时禁②。嗽用五味喘阿胶。枳实黄连治宿食。胸中烦热栀子仁。水泻芍药（茯）苓白术。调气必当用木香，若然气盛又非良。补气必须用人参，肺经有热不相应。痰涎为病须半夏，热加黄芩风南星，胸中寒痰多痞塞，白术陈皮两件增。胃脘痛用草豆蔻，若然挟热（黄）芩（黄）连凑。眼痛黄连当归根。惊悸恍惚用茯神。小便黄时用黄柏，涩者泽泻加之灵。气刺痛时须枳壳。血痛当归上下分。痢疾当归白芍药。疟疾柴胡为之君。血痛桃仁与苏木。气滞青皮与枳壳。枳壳青皮若用多，反泻元气宜改作。凡用纯寒纯热药，必用甘草缓其力，寒热相杂亦用之，调和其性无攻击，惟有中满不食甘，临症还须究端的。
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①晡：（bu1)(布、阴平)。下午三点到五点的时候叫日晡。
四君汤加减歌
四君（人）参（白）术茯苓（甘）草，补中益气诚如宝。加入陈皮名异功（散），气虚自汗黄芪好。方加橘（皮）半（夏）六君汤，健脾和胃无如此。香砂①配对食能消，呕吐胃寒丁（香）藿（香）使。十全②四物四君兼，芪桂生姜大枣煎，滋血气令脾胃壮，劳伤虚弱最为先。养荣汤③与十全同，五味远陈要去芎。倦瘦少颜潮有汗，梦遗龙骨（牡）蛎（莲）须逢。潮热无汗当归（白）芍，半夏柴胡葛粉着。自汗陈（皮）（黄）芪熟地当（归），牡蛎乌梅酸枣（白）芍。心窝有汗别处无，生地陈（皮）（当）归酸枣（仁）扶，麦冬白芍黄连炒，辰砂（乌）梅（大）枣四君（汤）符。劳倦辛苦身无热，麦（冬）（五）味陈（皮）（黄）芪除茯（苓）歇。痞满气壅正气虚，陈（皮）（当）归木香砂仁列。健忘（黄）芪远（志）木香菖（蒲），龙眼（肉）当归酸枣（仁）良。头疼吐水六君汤，（当）归（黄）芪木香与炮姜。气虚短促喘无痰，（人）参橘（红）砂仁苏子添，桑皮当归姜（大）枣化，沉香磨水木香兼。霍乱止后头身痛，口干发热肢虚缠，五味当归柴（胡）白芍，乌梅栀子麦冬陈（皮）。体重酸疼兼嗜卧，口（淡）恶寒小便数，六君（汤）加上（白）芍（黄）连（黄）芪，泽泻柴胡羌（活）独（活）。肥人眩晕六君（汤）加，川芎（当）归（黄）芪桔（梗）（白）芷天麻。遗浊四君（汤）加益智（仁），陈（皮）（黄）芪熟地（当）归升麻。痞满槟榔枳实黄连．目赤血壅龙胆（草）添。头疼川芎蔓荆子。泻加（白）芍泽（泻）茯苓煎。汗多（黄）芪（白）术（当）归身好，以后加添俱不少，脑疼藁本细辛加，额疼升麻（白）芷葛（根）（甘）草。口渴咽干葛（根）（花）粉寻，有痰贝母最为尊，嗽加五味（子）桑皮是，不寐宜加酸枣仁。食伤食少加神曲，麦芽枳实山查炒。虚火上炎知（母）（黄）柏添，玄参加入服之好。内热（黄）芩（黄）连花粉施，下身无力（杜）仲牛膝。脚弱木瓜防己加，身热地黄生用之。惊悸怔仲远（志）茯神，石菖（蒲）柏子（仁）并煎吞，麦冬五味（子）同酸枣（仁），山药山萸总可寻。六君（汤）远志薏米（当）归，莲肉山查山药辉，桔（梗）（黄）连扁豆（黄）芪神曲，壮健元阳助脾胃。阴虚劳嗽去（人）参煎，小便如常白茯（苓）嫌，饮食恶餐宜服此，内伤劳役效通仙。脾为后天之本，又为万物之母，方之加减，多利于脾也。
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①四君汤：人参、茯苓、白术、甘草四药组成。加陈皮名异功散。加橘皮、半夏名六君汤。加香附、砂仁名香砂六君汤。
②十全：十全大补汤。即四君汤和四物汤(当归、生地、白芍、川芎)再加黄芪、肉桂、生姜、大枣。
③养荣汤：十全大补汤去川芎加五味子、远志、陈皮名人参养荣汤。
四物汤加减歌
四物芎归芍地黄，女科诸症最为良，调经养血医虚损，胎产无如用此方。参术茯甘号八珍，气虚血弱称功捷，十全加入桂黄芪，大补真元与血虚。弱加参苏（饮）号补心（汤）①，心虚血少梦中惊，产后感寒宜服此，不须加减妙如神。晡时发热本阴虚，方加知柏可全除②。骨蒸劳热柴（胡）（黄）芪鳖（甲），知母仍须地骨皮。妇人经水适然来，似疟原汤对小柴③。妊娠月水时时下，胶艾添之止漏胎④。经水过期为血少，倍加熟地酒黄芩。经因气阻先为疼，香附莪（术）（三）棱复自行。月经紫黑及先期，方入（黄）芩（黄）连共丹皮。受寒经瘀小腹痛，桃仁乌（药）（香）附莫迟疑。瘦人血枯经水闭，桃仁增入本方治。肥人色谈属瘀痰，配合二陈（汤）为一剂。经水行来太去多，柴胡（黄）芩（黄）连（黄）柏可同科，尤加荆芥（炒黑）升（麻）羌（活）独（活），升提其气自安和。方加（人）参（白）术能安胎，胎痛砂（仁）（紫）苏郁自开。腹大异常胎水病，心胸气逆如鼓硬，鲤鱼汤⑤煎术茯苓，减地芎加姜橘应。胎气不安胸膈胀，枳壳砂（仁）（紫）苏即宣畅。孕妇心烦称子烦，腹（皮）甘（草）栀（子）（黄）柏添为上。川芎（当）归二味佛手散，临产煎服可保生，若是难产生不下，草霜白芷一同行。姜炭善治产后热，辛甘大能补心血，汗多方内减川芎，急服（人）参（黄）芪防风捷。产后血迷成血晕，恶露过多精神困，泽兰（川）芎（人）参（当）归（荆）芥甘（草），散号清魂定血晕。黑神（散）减（川）芎入（官）桂（黑）姜，炙甘（草）炒（黑）豆生蒲黄，净露下胞除腹痛，酒煎童便效非常。产后如何恶露少，若无别病精神好，忽然寒热腹中痛，选用黑神（散）真个巧。产后须当四物汤，大凡初产备焦姜，产后用（白）芍伤生气，腻膈犹嫌熟地黄。肠滑地（黄）（当）归皆可忌，汗多须将川芎去。血虚腹痛（白）芍还加，加减四物（汤）深藏秘。
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①四物汤合参苏饮(人参、紫苏、葛根、前胡、半夏、赤苓、枳壳、苦桔梗、陈皮、甘草)名补心汤。
二陈汤加减歌
二陈橘半茯苓草①，清气化痰为至宝。膈上不宽加枳（实）桔（梗），火旺生痰（黄）芩（黄）连好。（人）参（白）术加名六君汤，健脾和胃无如此。
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中寒痰去了（人）参，香（附）砂（仁）炒用皆能止。饮食过飡①不克消，麦（芽）（神）曲山查厚朴调，再加枳实黄岑炒，何愁体虚胃脾弱。咳嗽生痰分寒热，热加（黄）岑（黄）连并枳（壳）桔（梗），寒痰枳（壳）砂（仁）配原方，化气胸中痰自灭。风寒外感嗽何辜，二陈（汤）枳（壳）桔（梗）与前胡，苏（梗叶）葛（根）杏（仁）桑（皮）能清肺，木香调气号参苏（饮）。二陈半夏性本燥，血虚发渴皆不要，四物汤中不必加②，贝母代之专夺效。又有风痰疾病生，天麻白附（子）皂（角子）南星③。湿痰在胃身多软，二术仍须配二陈（汤）。火郁胸中老痰结，滞在喉中咯不绝，瓜萎香附桔（梗）（黄）连（枳）壳，少佐元明（粉）痰自灭。痰在经络及四肢，姜汁还将竹沥施。胁间白芥（子）痰自除，脾胃有痰须枳实。温胆汤加竹茹（枳）实④，宁神豁痰为第一。若加枳实共南星，汤号导痰⑤能利膈。去（甘）草陈皮七气汤⑥，加添（紫）苏（厚）朴与（大）枣（生）姜，散郁消痰兼理气，
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①飡：与餐同。
②四句是说：血虚咳嗽，虽然有痰．但因口渴。不宜用辛燥药。用二陈汤去半夏，加贝母，合四物汤。
用药的奥妙，就像将领用兵打仗。士兵不在于数量多，而在于精选其有才能者；药物不在于种类繁杂，而在于取其疗效。要知道：黄连能清心经的客火（外来的火热邪气）。黄柏能降相火（寄居于肾中的虚火）的游行妄动。黄芩泻肺火最为巧妙。栀子清胃热效果如神（炒黑后可止血）。芒硝能通大便的结燥。大黄是荡涤肠胃积滞的“将军”①。犀角能解心热。牛黄能定胆惊。连翘泻六经之火。菊花能明两目之昏花。滑石利小便之结滞②。石膏泻胃火之炎蒸。山豆根解热毒而治喉痹。桑白皮泻肺邪而利水停。龙胆治肝家之热。瞿麦利膀胱之淋证。鳖甲治疟疾和癖块。龟板补阴而补心。茵陈治黄疸而利水。香薷治霍乱以清襟（指清除胸中郁热）。柴胡退往来之寒热。前胡治咳嗽之痰升。元参治结毒痈疽，清利咽膈。沙参补阴虚嗽，保定肺经。竹叶、竹茹治虚烦而有效。茅根、藕节止吐衄而多灵验。苦参治发狂痈肿。地榆止血痢血崩。车前子利水以止泻。瓜蒌仁降痰以清襟。秦艽去骨蒸之劳热。丹皮破积血以行经。熟地补血而疗损。生地凉血以滋阴。白芍药治腹疼——补而收——而烦热上除。赤芍药通血瘀——散而泻——而小腹可利。麦冬生脉以清心，上而止嗽。天冬消痰而润肺，下走肾经。地骨皮治夜热之劳蒸。知母退肾经之火沸。葛根止渴而解肌。泽泻补阴而渗利。这乃是药性之寒，投剂须当酌意。
又听说热药可以温经：麻黄表寒邪之汗。官桂治冷气之侵。木香调气治腹痛。沉香降气治腰疼。丁香止呕，暖胃家之冷。藿香止吐，壮胃脘以温。吴茱萸走小腹疗寒疼。山茱萸壮腰肾以涩精。豆蔻、砂仁理胸中之气食。腹皮、厚朴治腹内之胀膨。白豆蔻开胃口而去滞。元胡索治气血而亦调经。附子回阳，救阴寒之药。干姜治冷，转脏腑以温。草果消溶宿食。槟榔去积推陈。苁蓉壮阳而固本。鹿茸益肾而生精。锁阳子最止精漏。菟丝子偏固天真。没药、乳香散血凝之痛。二丑、巴豆（二位相反）攻便闭之屯。紫苏散风寒，子能降气。川椒退蛔厥，核治喘升。五灵脂治心腹之血痛；大茴香治小肠之气痛。此热药之主治，分佐使与君臣。
论及温药，各称其能。甘草为和中之国老。人参乃补气之元神。葶苈降肺喘而利水，苦甜有别③。茯苓补脾虚而利渗，赤白须分④。黄芪补卫而止汗。山药益肾而开心。莪术、三棱消积坚之痞块。麦芽、神曲消饮食而宽膨。顺气化痰陈皮可用。宽中快膈枳壳当行。白术健脾而去湿。当归补血以调经。半夏治痰燥胃。枳实去积推陈。川芎治头疼之要药。桃仁破瘀血之佳珍。艾叶安胎而治崩漏。香附顺气而亦调经。杏仁止风寒之嗽。五味敛肺气之升。防风乃诸风之必用。荆芥清头目而疗崩。山楂消肉食之积。细辛止少阴头疼。紫薇花通经而堕胎。酸枣仁敛汗而安神。藁本止头疼于巅顶之上。桔梗载药物有舟楫之能。杜仲壮腰膝而补肾。红花苏血晕而通经。兹温药之性气，学者必由是而遵循。
既已明于三者⑤，岂不悉举其平。常山使之截疟。阿魏用之消□（病去丙换征）。防己、木瓜除下焦之湿肿。菖蒲、远志通心腹之神明。壮腰膝莫如虎骨。定惊悸当用获神。阿胶止嗽而止血。牡蛎涩汗而涩精。羌活散风，除骨节之疼。冬花止咳，降肺火之升。独活、寄生理脚膝之风湿。薄荷、白芷散头额之风疼。木贼、蒺藜退眼睛之浮翳。元明、海粉降痰火之升腾。青皮伐木。紫菀克金。五加皮消肿而活血。天花粉止渴而生津。牛蒡子清咽喉之不利。薏苡仁理脚气之难行。琥珀安神而利水。朱砂镇心而定惊。贝母开心胸之郁，而治结痰。百合理虚劳之嗽，更医蛊毒。升麻提气而散风。牛膝下行而壮骨。利水须用猪苓。燥湿必当苍术。枸杞子明目以生精。鹿角胶补虚而大益。天麻治诸风之掉眩。木通治小便之秘涩。天南星最治风痰。莱菔子偏医面食。此乃药性之提纲，用作传心之秘术。
治病主药诀
头疼必须用川芎，不愈各加引经药：太阳羌活少柴胡，阳明白芷还须着，太阴苍术少细辛，厥阴吴茱用无错。巅顶之痛人不同，藁本须用去川芎。肢节之疼用羌活，去风去湿亦其功。小腹痛用青皮治。心（下）痞黄连枳实从。腹痛须用白芍药，因寒加桂热黄柏。腹中窄狭苍术宜。胀膨厚朴姜制法。腹中实热何所施，大黄芒硝功有力。虚热虚汗用黄芪。肌肤浮热黄芩宜。胁下疼痛往来热，日晡⑴潮热柴胡宜。脾胃受湿身无力，怠惰嗜卧用白术。下焦湿肿兼火邪，知母防（己）龙（胆草）并酒（黄）柏。上焦湿热用黄芩。中焦湿热黄连释。渴用干葛天花粉。半夏燥脾斯时禁②。嗽用五味喘阿胶。枳实黄连治宿食。胸中烦热栀子仁。水泻芍药（茯）苓白术。调气必当用木香，若然气盛又非良。补气必须用人参，肺经有热不相应。痰涎为病须半夏，热加黄芩风南星，胸中寒痰多痞塞，白术陈皮两件增。胃脘痛用草豆蔻，若然挟热（黄）芩（黄）连凑。眼痛黄连当归根。惊悸恍惚用茯神。小便黄时用黄柏，涩者泽泻加之灵。气刺痛时须枳壳。血痛当归上下分。痢疾当归白芍药。疟疾柴胡为之君。血痛桃仁与苏木。气滞青皮与枳壳。枳壳青皮若用多，反泻元气宜改作。凡用纯寒纯热药，必用甘草缓其力，寒热相杂亦用之，调和其性无攻击，惟有中满不食甘，临症还须究端的。
四君汤加减歌
四君（人）参（白）术茯苓（甘）草，补中益气诚如宝。加入陈皮名异功（散），气虚自汗黄芪好。方加橘（皮）半（夏）六君汤，健脾和胃无如此。香砂①配对食能消，呕吐胃寒丁（香）藿（香）使。十全②四物四君兼，芪桂生姜大枣煎，滋血气令脾胃壮，劳伤虚弱最为先。养荣汤③与十全同，五味远陈要去芎。倦瘦少颜潮有汗，梦遗龙骨（牡）蛎（莲）须逢。潮热无汗当归（白）芍，半夏柴胡葛粉着。自汗陈（皮）（黄）芪熟地当（归），牡蛎乌梅酸枣（白）芍。心窝有汗别处无，生地陈（皮）（当）归酸枣（仁）扶，麦冬白芍黄连炒，辰砂（乌）梅（大）枣四君（汤）符。劳倦辛苦身无热，麦（冬）（五）味陈（皮）（黄）芪除茯（苓）歇。痞满气壅正气虚，陈（皮）（当）归木香砂仁列。健忘（黄）芪远（志）木香菖（蒲），龙眼（肉）当归酸枣（仁）良。头疼吐水六君汤，（当）归（黄）芪木香与炮姜。气虚短促喘无痰，（人）参橘（红）砂仁苏子添，桑皮当归姜（大）枣化，沉香磨水木香兼。霍乱止后头身痛，口干发热肢虚缠，五味当归柴（胡）白芍，乌梅栀子麦冬陈（皮）。体重酸疼兼嗜卧，口（淡）恶寒小便数，六君（汤）加上（白）芍（黄）连（黄）芪，泽泻柴胡羌（活）独（活）。肥人眩晕六君（汤）加，川芎（当）归（黄）芪桔（梗）（白）芷天麻。遗浊四君（汤）加益智（仁），陈（皮）（黄）芪熟地（当）归升麻。痞满槟榔枳实黄连．目赤血壅龙胆（草）添。头疼川芎蔓荆子。泻加（白）芍泽（泻）茯苓煎。汗多（黄）芪（白）术（当）归身好，以后加添俱不少，脑疼藁本细辛加，额疼升麻（白）芷葛（根）（甘）草。口渴咽干葛（根）（花）粉寻，有痰贝母最为尊，嗽加五味（子）桑皮是，不寐宜加酸枣仁。食伤食少加神曲，麦芽枳实山查炒。虚火上炎知（母）（黄）柏添，玄参加入服之好。内热（黄）芩（黄）连花粉施，下身无力（杜）仲牛膝。脚弱木瓜防己加，身热地黄生用之。惊悸怔仲远（志）茯神，石菖（蒲）柏子（仁）并煎吞，麦冬五味（子）同酸枣（仁），山药山萸总可寻。六君（汤）远志薏米（当）归，莲肉山查山药辉，桔（梗）（黄）连扁豆（黄）芪神曲，壮健元阳助脾胃。阴虚劳嗽去（人）参煎，小便如常白茯（苓）嫌，饮食恶餐宜服此，内伤劳役效通仙。脾为后天之本，又为万物之母，方之加减，多利于脾也。
四物汤加减歌
四物芎归芍地黄，女科诸症最为良，调经养血医虚损，胎产无如用此方。参术茯甘号八珍，气虚血弱称功捷，十全加入桂黄芪，大补真元与血虚。弱加参苏（饮）号补心（汤）①，心虚血少梦中惊，产后感寒宜服此，不须加减妙如神。晡时发热本阴虚，方加知柏可全除②。骨蒸劳热柴（胡）（黄）芪鳖（甲），知母仍须地骨皮。妇人经水适然来，似疟原汤对小柴③。妊娠月水时时下，胶艾添之止漏胎④。经水过期为血少，倍加熟地酒黄芩。经因气阻先为疼，香附莪（术）（三）棱复自行。月经紫黑及先期，方入（黄）芩（黄）连共丹皮。受寒经瘀小腹痛，桃仁乌（药）（香）附莫迟疑。瘦人血枯经水闭，桃仁增入本方治。肥人色谈属瘀痰，配合二陈（汤）为一剂。经水行来太去多，柴胡（黄）芩（黄）连（黄）柏可同科，尤加荆芥（炒黑）升（麻）羌（活）独（活），升提其气自安和。方加（人）参（白）术能安胎，胎痛砂（仁）（紫）苏郁自开。腹大异常胎水病，心胸气逆如鼓硬，鲤鱼汤⑤煎术茯苓，减地芎加姜橘应。胎气不安胸膈胀，枳壳砂（仁）（紫）苏即宣畅。孕妇心烦称子烦，腹（皮）甘（草）栀（子）（黄）柏添为上。川芎（当）归二味佛手散，临产煎服可保生，若是难产生不下，草霜白芷一同行。姜炭善治产后热，辛甘大能补心血，汗多方内减川芎，急服（人）参（黄）芪防风捷。产后血迷成血晕，恶露过多精神困，泽兰（川）芎（人）参（当）归（荆）芥甘（草），散号清魂定血晕。黑神（散）减（川）芎入（官）桂（黑）姜，炙甘（草）炒（黑）豆生蒲黄，净露下胞除腹痛，酒煎童便效非常。产后如何恶露少，若无别病精神好，忽然寒热腹中痛，选用黑神（散）真个巧。产后须当四物汤，大凡初产备焦姜，产后用（白）芍伤生气，腻膈犹嫌熟地黄。肠滑地（黄）（当）归皆可忌，汗多须将川芎去。血虚腹痛（白）芍还加，加减四物（汤）深藏秘。
二陈汤加减歌
二陈橘半茯苓草①，清气化痰为至宝。膈上不宽加枳（实）桔（梗），火旺生痰（黄）芩（黄）连好。（人）参（白）术加名六君汤，健脾和胃无如此。
中寒痰去了（人）参，香（附）砂（仁）炒用皆能止。饮食过飡①不克消，麦（芽）（神）曲山查厚朴调，再加枳实黄岑炒，何愁体虚胃脾弱。咳嗽生痰分寒热，热加（黄）岑（黄）连并枳（壳）桔（梗），寒痰枳（壳）砂（仁）配原方，化气胸中痰自灭。风寒外感嗽何辜，二陈（汤）枳（壳）桔（梗）与前胡，苏（梗叶）葛（根）杏（仁）桑（皮）能清肺，木香调气号参苏（饮）。二陈半夏性本燥，血虚发渴皆不要，四物汤中不必加②，贝母代之专夺效。又有风痰疾病生，天麻白附（子）皂（角子）南星③。湿痰在胃身多软，二术仍须配二陈（汤）。火郁胸中老痰结，滞在喉中咯不绝，瓜萎香附桔（梗）（黄）连（枳）壳，少佐元明（粉）痰自灭。痰在经络及四肢，姜汁还将竹沥施。胁间白芥（子）痰自除，脾胃有痰须枳实。温胆汤加竹茹（枳）实④，宁神豁痰为第一。若加枳实共南星，汤号导痰⑤能利膈。去（甘）草陈皮七气汤⑥，加添（紫）苏（厚）朴与（大）枣（生）姜，散郁消痰兼理气，
The subtlety of using medicines is like a general employing troops. Soldiers are not valued for their quantity, but for selecting those with ability; medicines are not valued for their complexity, but for their efficacy. One must know: Huanglian (Coptidis Rhizoma) clears the guest fire (external pathogenic heat) of the Heart Meridian. Huangbai (Phellodendri Cortex) descends the wandering Xiang Fire (deficiency fire residing in the Kidney). Huangqin (Scutellariae Radix) purges Lung fire and is most exquisite. Zhizi (Gardeniae Fructus) clears Stomach heat with divine effect (charred black to stop bleeding). Mangxiao (Natrii Sulfas) unblocks constipation due to dryness. Dahuang (Rhei Radix et Rhizoma) is the "General" that sweeps away intestinal stagnation①. Xijiao (Rhinocerotis Cornu) resolves Heart heat. Niuhuang (Bovis Calculus) calms Gallbladder fright. Lianqiao (Forsythiae Fructus) purges fire of the Six Meridians. Juhua (Chrysanthemi Flos) brightens dim vision. Huashi (Talcum) promotes urination to resolve stagnation②. Shigao (Gypsum Fibrosum) purges Stomach fire inflammation. Shandougen (Sophorae Tonkinensis Radix) resolves heat toxicity and treats throat obstruction. Sangbaipi (Mori Cortex) purges Lung pathogens and promotes water metabolism. Longdan (Gentianae Radix) treats Liver heat. Qumai (Dianthi Herba) promotes urination for stranguria. Biejia (Testudinis Carapax et Plastrum) treats malaria and masses. Guiban (Testudinis Carapax et Plastrum) tonifies Yin and nourishes the Heart. Yichen (Artemisiae Scopariae Herba) treats jaundice and promotes urination. Xiangru (Moslae Herba) treats cholera-like disorder to clear the chest. Chaihu (Bupleuri Radix) relieves alternating chills and fever. Qianhu (Peucedani Radix) treats cough with ascending phlegm. Xuanshen (Scrophulariae Radix) treats toxic sores and abscesses, clearing and benefiting the throat and diaphragm. Shashen (Glehniae Radix or Adenophorae Radix) tonifies Yin deficiency cough and stabilizes the Lung Meridian. Zhuye (Bambusae Folium) and Zhuru (Bambusae Caulis in Taenia) treat deficiency vexation effectively. Maogen (Imperatae Rhizoma) and Oujie (Nelumbinis Nodus) stop vomiting and epistaxis with great efficacy. Kushen (Sophorae Flavescentis Radix) treats mania and carbuncles. Diyu (Sanguisorbae Radix) stops bloody dysentery and metrorrhagia. Cheqianzi (Plantaginis Semen) promotes urination to stop diarrhea. Gualouren (Trichosanthis Semen) descends phlegm to clear the chest. Qinjiao (Gentianae Macrophyllae Radix) eliminates bone-steaving劳热 (chronic low-grade fever). Danpi (Moutan Cortex) breaks up accumulated blood to promote menstruation. Shudi (Rehmanniae Radix Preparata) tonifies blood and treats damage. Shengdi (Rehmanniae Radix) cools blood and nourishes Yin. Baishao (Paeoniae Radix Alba) treats abdominal pain—tonifies and astringes—and removes upper body vexation and heat. Chishao (Paeoniae Radix Rubra) unblocks blood stasis—disperses and purges—and benefits the lower abdomen. Maidong (Ophiopogonis Tuber) generates fluids and pulse, clears the Heart, and stops cough from above. Tiandong (Asparagi Tuber) eliminates phlegm and moistens the Lung, descending to the Kidney Meridian. Digupi (Lycii Cortex) treats night-time bone-steaving fever. Zhimu (Anemarrhenae Rhizoma) retreats boiling fire of the Kidney Meridian. Gegen (Puerariae Lobatae Radix) stops thirst and releases the muscles. Zexie (Alismatis Rhizoma) tonifies Yin and promotes leaching out. These are the cold-natured properties of medicines; dosage must be considered carefully.
It is also heard that hot medicines can warm the meridians: Mahuang (Ephedrae Herba) induces sweating to release exterior cold pathogens. Guigui (Cinnamomi Ramulus) treats invasion by cold qi. Muxiang (Aucklandiae Radix) regulates Qi and treats abdominal pain. Chenxiang (Aquilariae Lignum Resinatum) descends Qi and treats lower back pain. Dingxiang (Caryophylli Flos) stops vomiting and warms the cold Stomach. Huoxiang (Agastaches Herba) stops vomiting and strengthens the stomach region with warmth. Wuzhuyu (Evodiae Fructus) travels to the lower abdomen to treat cold pain. Shanzhuyu (Corni Fructus) strengthens the waist and kidneys and astringes essence. Doukou (Amomi Fructus Rotundus) and Sharen (Amomi Fructus) regulate Qi and food stagnation in the chest. Fupi (Citri Reticulatae Pericarpium) and Houpo (Magnoliae Officinalis Cortex) treat abdominal distension. Bai Doukou (Amomi Fructus) opens the stomach appetite and removes stagnation. Yuanhusuo (Corydalis Rhizoma) regulates Qi and Blood and also regulates menstruation. Fuzi (Aconiti Lateralis Radix Preparata) restores Yang, saving from severe Yin-cold. Ganjiang (Zingiberis Rhizoma) treats cold, warming the Zang-Fu organs. Caoguo (Tsao-ko Fructus) dissolves retained food. Binglang (Arecae Semen) removes accumulation and pushes out the old. Congrong (Cynomorchii Herba) strengthens Yang and consolidates the root. Lurong (Cervi Cornu Pantotrichum) benefits the Kidneys and generates essence. Suoyang (Cynomorchii Herba) best stops essence leakage. Tusizi (Cuscutae Semen) particularly consolidates innate truth. Moyao (Myrrha) and Rushi (Olibanum) disperse pain from blood coagulation. Erchou (Crotonis Fructus) and Badou (Crotonis Fructus)—two opposing agents—attack fecal impaction. Zisu (Perillae Folium) disperses wind-cold, and its seeds descend Qi. Chuanjiao (Zanthoxyli Pericarpium) repels ascariasis convulsion, and its pits treat wheezing. Wulingzhi (Trogopterori Faeces) treats blood pain in the heart and abdomen; Dachuixiang (Foeniculi Fructus) treats Qi pain in the small intestine. These are the main indications of hot medicines, divided into sovereign, minister, assistant, and courier roles.
Discussing warm medicines, each has its unique function. Gancao (Glycyrrhizae Radix et Rhizoma) is the elder harmonizing the middle. Renshen (Ginseng Radix) is the primordial spirit of Qi tonification. Tingli (Descurainiae Semen or Lepidii Semen) descends Lung wheezing and promotes urination, with differences between bitter and sweet③. Fuling (Poria) tonifies Spleen deficiency and promotes leaching, distinguishing between white and red④. Huangqi (Astragali Radix) tonifies Wei Qi and stops sweating. Shanyao (Dioscoreae Rhizoma) benefits the Kidneys and opens the Heart. Ezhu (Curcumae Rhizoma) and Sanleng (Sparganii Rhizoma) eliminate hard accumulations and masses. Maiya (Hordei Fructus Germinatus) and Shenqu (Massa Medicata Fermentata) digest food and relieve distension. Chenpi (Citri Reticulatae Pericarpium) is useful for regulating Qi and resolving phlegm. Zhike (Aurantii Fructus Immaturus) should be used to broaden the middle and relieve the diaphragm. Baizhu (Atractylodis Macrocephalae Rhizoma) strengthens the Spleen and removes dampness. Danggui (Angelicae Sinensis Radix) tonifies blood and regulates menstruation. Banxia (Pinelliae Rhizoma) treats phlegm and dries the Stomach. Zhishi (Aurantii Fructus Immaturus) removes accumulation and pushes out the old. Chuanxiong (Ligustici Chuanxiong Rhizoma) is an essential medicine for treating headache. Taoren (Persicae Semen) is a fine treasure for breaking blood stasis. Aye (Asini Corii Colla) calms the fetus and treats metrorrhagia. Xiangfu (Cyperi Rhizoma) regulates Qi and also regulates menstruation. Xingren (Armeniacae Semen Amarum) stops wind-cold cough. Wuweizi (Schisandrae Fructus) astringes ascending Lung Qi. Fangfeng (Saposhnikoviae Radix) is indispensable for various winds. Jingjie (Schizonepetae Herba) clears the head and eyes and treats metrorrhagia. Shanzha (Crataegi Fructus) digests meat accumulation. Xixin (Asari Radix et Rhizoma) stops Shaoyin headaches. Ziwei Hua (Cercidiphylli Flos) unblocks menstruation and induces abortion. Szaoren (Ziziphi Spinosae Semen) stops sweating and calms the Spirit. Gaoben (Ligustici Wallichii Rhizoma et Radix) stops headache at the vertex. Jiegeng (Platycodonis Radix) carries drugs like a boat. Duzhong (Eucommiae Cortex) strengthens the waist and knees and tonifies the Kidneys. Honghua (Carthami Flos) rescues blood syncope and unblocks menstruation. These are the nature and Qi of warm medicines; scholars must follow them.
Having clarified these three⑤, how could one not fully understand their balance? Changshan (Polygalae Radix) is used to arrest malaria. Awei (Ferulae Resina) is used to eliminate masses. Fangji (Stephaniae Tetrandrae Radix) and Mugua (Chaenomelis Fructus) remove damp swelling of the lower Jiao. Changpu (Acori Tatarinowii Rhizoma) and Yuanzhi (Polygalae Radix) clarify the spirit of the heart and abdomen. Nothing strengthens the waist and knees better than Hugu (Tigris Os). To calm palpitations and fright, Fushen (Poria cum Radix Pinelli) should be used. Ejiao (Asini Corii Colla) stops cough and bleeds. Muli (Concha Ostreae) astringes sweat and essence. Qianghuo (Notopterygii Rhizoma et Radix) disperses wind and removes joint pain. Donghua (Daphne Genkwa Flos) stops cough and descends Lung fire. Duhuo (Angelicae Pubescentis Radix) and Jine (Taxilli Herba) treat wind-dampness of the legs and knees. Bohe (Menthae Haplocalycis Herba) and Baizhi (Angelicae Dahuricae Radix) disperse wind-pain of the forehead. Muzei (Equiseti Hiemalis Herba) and Jili (Tribuli Fructus) reduce floating nebulae of the eyes. Yuanming (Natrii Sulfas) and Haifen (Calcar Conchae) descend rising phlegm-fire. Qingpi (Citri Reticulatae Pericarpium) attacks Wood. Ziwan (Adenophorae Radix) controls Metal. Wujia Pi (Acanthopanacis Cortex) reduces swelling and invigorates blood. Tianhuafen (Trichosanthis Radix) stops thirst and generates fluids. Niubangzi (Arctii Fructus) clears throat discomfort. Yiyiren (Coicis Semen) manages difficult walking due to leg qi. Hupo (Electrum) calms the Spirit and promotes urination. Zhusha (Cinnabaris) settles the Heart and calms fright. Beimu (Fritillariae Cirrhosae Bulbus) opens chest depression and treats condensed phlegm. Bailian (Lilii Bulbus) treats consumptive cough and even heals gu poison. Shengma (Cimicifugae Rhizoma) lifts Qi and disperses wind. Niuxi (Achyranthis Bidentatae Radix) descends and strengthens bones. Zhuling (Polyporus) is required for promoting urination. Cangzhu (Atractylodis Rhizoma) is necessary for drying dampness. Gouqi Zi (Lycii Fructus) brightens the eyes and generates essence. Lujiao Jiao (Cervi Cornus Colla) tonifies deficiency and greatly benefits. Tianma (Gastrodiae Rhizoma) treats various wind-induced tremors and vertigo. Mutong (Akebiae Caulis) treats urinary retention. Tiannanxing (Arisaematis Rhizoma) best treats wind-phlegm. Laifuzi (Radish Seed) specifically treats wheat-food injury. This is the outline of medicinal properties, used as secret techniques for transmitting the mind.
Prescription for Main Medicines in Treating Diseases
Headache requires Chuanxiong; if unresolved, add guiding herbs: Taiyang uses Qianghuo, Shaoyang uses Chaihu, Yangming uses Baizhi, Taiyin uses Baizhu, Shaoyin uses Xixin, Jueyin uses Wuzhuyu without error. Headache at the vertex differs among people; Gaoben is required, removing Chuanxiong. Pain in limbs and joints uses Qianghuo, which also dispels wind and dampness. Lower abdominal pain is treated with Qingpi. Chest/epigastric fullness follows Huanglian and Zhishi. Abdominal pain requires Baishao; add Guizhi for cold, Huangbai for heat. Narrowness in the abdomen suits Baizhu. Distension is treated with Houpo prepared with ginger. For solid heat in the abdomen, Dahuang and Mangxiao have powerful effects. Deficient heat and deficient sweating use Huangqi. Floating heat on skin and muscles suits Huangqin. Hypochondriac pain with alternating fever and tidal fever at dusk suits Chaihu. Body weakness due to Spleen-Stomach dampness, lethargy and desire to lie down use Baizhu. Lower Jiao damp swelling combined with fire pathogens: Zhimu, Fangji, Longdancao, and Jiuhuangbai. Upper Jiao damp-heat uses Huangqin. Middle Jiao damp-heat is resolved by Huanglian. Thirst uses Gegen and Tianhuafen. Banxia is forbidden when the Spleen is dry and thirsty②. Cough uses Wuweizi; wheezing uses Ejiao. Zhishi and Huanglian treat retained food. Vexation in the chest uses Zhizi Ren. Watery diarrhea uses Baishao, Fuling, and Baizhu. Regulating Qi must use Muxiang; if Qi is excessive, it is not good. Tonifying Qi must use Renshen; if the Lung Meridian has heat, it is not appropriate. Phlegm-saliva diseases require Banxia; add Huangqin for heat, Fengxin Xing for wind. Cold phlegm in the chest causing fullness adds Baizhu and Chenpi. Epigastric pain uses Caodoukou; if accompanied by heat, add Huangqin and Huanglian. Eye pain uses Huanglian and Danggui. Palpitations and confusion use Fushen. Yellow urine uses Huangbai; if difficult urination, add Ze xie. Qi-stabbing pain requires Zhike. Blood pain divides Danggui by upper and lower parts. Dysentery uses Danggui and Baishao. Malaria uses Chaihu as sovereign. Blood pain uses Taoren and Sumu. Qi stagnation uses Qingpi and Zhike. If Zhike and Qingpi are used excessively, they may drain Yuan Qi, so change them. When using purely cold or purely hot medicines, Gancao must be used to moderate their force. When mixing cold and hot, it is also used to harmonize their nature without attack. Only in cases of fullness in the middle and inability to eat sweets, Gancao is avoided; clinical judgment is required.
Four Gentlemen Decoction Modification Song
Si Jun Tang (Renshen, Baizhu, Fuling, Gancao) tonifies the middle and boosts Qi, truly like a treasure. Adding Chenpi makes Yi Gong San; for Qi deficiency and spontaneous sweating, Huangqi is good. Adding Ju Pi and Banxia makes Liu Jun Tang, nothing beats it for strengthening the Spleen and harmonizing the Stomach. Pairing Xiang Fu and Sha ren digests food; for vomiting and Stomach cold, Ding Xiang and Huo Xiang are used. Shi Quan Da Bu Tang combines Si Wu Tang and Si Jun Tang, decocted with Huangqi, Rou Gui, Sheng Jiang, and Da Zao, nourishing Blood and Qi to strengthen the Spleen and Stomach, best for fatigue and weakness. Yang Rong Tang is the same as Shi Quan, but remove Chuanxiong and add Wuweizi, Yuanzhi, and Chenpi. For fatigue, thinness, lack of luster, tidal fever with sweat, and nocturnal emission, Longgu, Muli, and Lianxu are encountered. For tidal fever without sweat, add Danggui, Baishao, Banxia, Chaihu, and Gufen. For spontaneous sweating, add Chenpi, Huangqi, Shudi, and Danggui; Muli, Wumei, and Szaoren are added. Sweat only in the heart pit: add Shengdi, Chenpi, Danggui, and Szaoren; Maidong, Baishao, and fried Huanglian, along with Zhusha, Wumei, Da Zao, and Si Jun Tang match. Fatigue and hardship without body heat: Maidong, Wuweizi, Chenpi, and Huangqi are removed, leaving Fuling to rest. Fullness and Qi congestion due to righteous Qi deficiency: list Chenpi, Danggui, Muxiang, and Sharen. Forgetfulness: Huangqi, Yuanzhi, Muxiang, and Changpu; Longyan Rou, Danggui, and Szaoren are good. Headache with vomiting water: Liu Jun Tang plus Danggui, Huangqi, Muxiang, and Pao Jiang. Qi deficiency with shortness of breath and wheezing without phlegm: add Renshen, Juhong, Sharen, and Suzi; Sangpi, Danggui, Da Zao, and Hua transform; Chenxiang ground in water with Muxiang accompanies. After cholera stops, headache and body pain, dry mouth, fever, and weak limbs: Wuweizi, Danggui, Chaihu, Baishao, Wumei, Zhizi, Maidong, and Chenpi. Heavy body, soreness, and desire to lie down, bland taste, aversion to cold, frequent urination: Liu Jun Tang plus Baishao, Huanglian, Huangqi, Zexie, Chaihu, Qianghuo, and Duhuo. Dizziness in fat people: Liu Jun Tang plus Chuanxiong, Danggui, Huangqi, Jiegeng, Baizhi, and Tianma. Turbid discharge: Si Jun Tang plus Yizhiren, Chenpi, Huangqi, Shudi, Danggui, and Shengma. Fullness: Binglang, Zhishi, and Huanglian; red eyes and blood congestion add Longdancao. Headache: Chuanxiong and Manjingzi. Diarrhea adds Baishao, Zexie, and Fuling decoction. Excessive sweating: Huangqi, Baizhu, and Danggui Shen are good; additions thereafter are numerous. Brainache adds Gaoben and Xixin; forehead pain adds Shengma, Baizhi, Gegen, and Gancao. Thirst and dry throat: seek Gegen and Tianhuafen. With phlegm, Beimu is most respected. Cough adds Wuweizi and Sangpi. Insomnia should add Szaoren. Food injury and poor appetite: add Shenqu, Maiya, Zhishi, and fried Shanzha. Deficient fire flaming upward: add Zhimu and Huangbai; adding Xuanshen is good for taking. Internal heat: Huangqin, Huanglian, and Huafen are applied; weakness in the lower body: Duzhong and Niuxi. Weak legs: add Mugua and Fangji. Body heat: use raw Dihuang. Palpitations and anxiety: Yuanzhi and Fushen; Shichangpu and Baizi Ren decocted together. Maidong and Wuweizi with Szaoren; Shanyao and Shanzhuyu can always be found. Liu Jun Tang with Yuanzhi, Yimi, Danggui, Lianrou, Shanzha, and Shanyao shine; Jiegeng, Huanglian, Bidou, Huangqi, and Shenqu strengthen primal Yang and assist the Spleen and Stomach. Yin deficiency consumptive cough: decoct without Renshen; if urination is normal, avoid Baifuling. This is suitable for poor diet; internal injury from labor has immortal efficacy. The Spleen is the foundation of acquired constitution and mother of all things; modifications of formulas mostly benefit the Spleen.
Four Substances Decoction Modification Song
Si Wu Tang (Chuanxiong, Danggui, Baishao, Dihuang) is best for gynecological disorders, regulating menstruation, nourishing blood, and treating deficiency. It is unparalleled for pregnancy and childbirth. Shenzhu Fugan (Renshen, Baizhu, Fuling, Gancao) is called Bazhen Tang, swift in merit for Qi deficiency and blood weakness. Adding Rou Gui and Huangqi to Shi Quan greatly tonifies true Yuan and blood deficiency. Adding Renshen and Suye Yin makes Buxin Tang①; for Heart deficiency and blood scarcity causing dreams and fright, suitable after childbirth catching cold, no modification needed, miraculous as gods. Fever at dusk is originally Yin deficiency; adding Zhi Mu and Huangquan completely removes it②. Bone-steaving fever: Chaihu, Huangqi, and Biejia; Zhi Mu still requires Digupi. When a woman's menstruation arrives suddenly, resembling malaria, use the original formula against Xiao Chai Hu Tang③. During pregnancy, if menstrual blood flows frequently, add Ejiao and Ai Ye to stop leaking fetus④. Menstruation overdue indicates blood deficiency; double Shudi and add Jiuhuangqin. Menstruation pain due to Qi obstruction first occurs; Xiangfu, Ezhu, and Sanleng restore self-flow. Menstrual blood purple-black and early: add Huangqin, Huanglian, and Danpi. Cold-induced menstrual stasis with lower abdominal pain: do not hesitate with Taoren, E Zhu, and Xiangfu. Thin people with blood exhaustion and amenorrhea: add Taoren to this formula. Fat people with pale complexion belong to stasis-phlegm; combine with Er Chen Tang as one dose. Menstruation flowing too much: Chaihu, Huangqin, Huanglian, and Huangbai can be used together; especially add Chao Hei Jingjie, Shengma, Qianghuo, and Duhuo to lift Qi and ensure harmony. Adding Renshen and Baizhu to the formula can calm the fetus; fetal pain: Sharen, Zisu, and Ziyu open naturally. Abnormal abdominal enlargement due to fetal water disease, chest and diaphragm Qi reversal like a drum: decoct Li Yu Tang with Baizhu and Fuling, reduce Dihuang and Chuanxiong, add Sheng Jiang and Ju Pi. Fetal Qi insecurity with chest and diaphragm distension: Zhike, Sharen, and Zisu promptly diffuse and smooth. Pregnant woman's vexation called Zi Fan: add Fupi, Gancao, Zhizi, and Huangbai as superior. Chuanxiong and Danggui, two ingredients of Fo Shou San, decocted and taken before delivery can ensure birth. If difficult labor and fetus cannot come down, Cao Shuang and Baizhi go together. Jiang Tan treats postpartum heat well; pungent and sweet greatly tonify Heart blood; if sweating is excessive, reduce Chuanxiong in the formula; urgently take Renshen, Huangqi, and Fangfeng for quick results. Postpartum blood confusion leading to syncope, excessive lochia causing mental fatigue: Zelan, Chuanxiong, Renshen, Danggui, Jingjie, and Gancao; the powder is named Qing Hun San to stabilize blood syncope. Hei Shen San reduces Chuanxiong, adds Guigui, Hei Jiang, Zhi Gancao, Chao Hei Dou, and Sheng Puhuang; cleanly expelling the placenta removes abdominal pain; decocted with wine and child's urine, efficacy is extraordinary. How to handle little lochia postpartum? If no other illness and spirit is good, sudden chills, fever, and abdominal pain: selecting Hei Shen San is truly clever. Postpartum must use Si Wu Tang; generally, prepare Jiao Jiang for initial birth. Using Baishao postpartury damages Sheng Qi; rich and cloying, Shudi is disliked. Intestinal slipping: Dihuang and Danggui are both taboo. Excessive sweating: remove Chuanxiong. Blood deficiency abdominal pain: add Baishao. Modified Si Wu Tang secrets are deeply hidden.
Er Chen Tang Modification Song
Er Chen Tang (Chenpi, Banxia, Fuling, Gancao)① clears Qi and transforms phlegm, the ultimate treasure. If the diaphragm is not wide, add Zhishi and Jiegeng; if fire is prosperous generating phlegm, Huangqin and Huanglian are good. Adding Renshen and Baizhu makes Liu Jun Tang, nothing beats it for strengthening the Spleen and harmonizing the Stomach.
For cold phlegm, remove Renshen; fried Xiangfu and Sharen can stop it. Overeating and indigestion: Maiya, Shenqu, Shanzha, and Houpo regulate; add fried Zhishi and Huangqin, why worry about weak body, Stomach, and Spleen? Cough generating phlegm distinguishes cold and heat: for heat, add Huangqin, Huanglian, Zhike, and Jiegeng; for cold phlegm, pair Zhike and Sharen with the original formula, transforming Qi and extinguishing chest phlegm. Wind-cold external contraction cough: Er Chen Tang with Zhike, Jiegeng, and Qianhu; Sugenye, Gegen, Xingren, and Sangpi can clear the Lung; Muxiang regulates Qi, named Shen Su Yin. Er Chen Banxia nature is originally dry; blood deficiency with thirst should not use it; no need to add to Si Wu Tang②; replace with Beimu for specific efficacy. There are also wind-phlegm diseases: Tianma, Baifu Zi, Zhao Jiao Zi, and Nanxing③. Damp-phlegm in the Stomach causes soft body; Er Zhu must still pair with Er Chen Tang. Fire depression in the chest with old phlegm condensation, stuck in the throat and never stopping: Gualou, Xiangfu, Jiegeng, Huanglian, and Zhike; with a little Yuanming Fen, phlegm extinguishes itself. Phlegm in meridians and limbs: apply Jiang Zhi and Zhu Li. White Jie Zi between ribs removes phlegm; Stomach and Spleen phlegm require Zhishi. Wen Dan Tang adds Zhuru and Zhishi④, calming the Spirit and resolving phlegm is number one. If adding Zhishi and Nanxing, the soup is named Dao Tan⑤ to benefit the diaphragm. Removing Gancao and Chenpi makes Qi Qi Tang⑥; adding Zisu, Houpo, Da Zao, and Sheng Jiang, dispersing depression, eliminating phlegm, and regulating Qi,