黄连(君) 石膏(佐) 芍药(佐) 知母(佐) 黄柏(臣) 甘草(使) 生地(臣) 黄芩(佐)
肝木妄行,胸胁痛,口苦舌干,往来寒热而呕,多怒,四肢满闭,淋溲便难,转筋腹中
急痛,此所不胜乘之也。
柴胡(君) 防风(臣) 白术(佐) 羌活(佐) 独活(佐) 芍药(臣) 甘草(臣) 升麻(使) 茯苓(佐)
猪苓 泽泻(佐) 肉桂(臣) 本 川芎 细辛 蔓荆子 白芷 石膏 黄柏 知母 滑石
肺金受邪,由脾胃虚弱不能生肺,乃所生受病也。故咳嗽气短气上,皮毛不能御寒,精
神少而渴,情惨惨不乐。皆阳气不足,阴气有余,是体有余而用不足也。
人参(君) 白术(佐) 白芍药(佐) 橘皮(臣) 青皮(破滞气) 黄 (臣) 桂枝(佐)
桔梗(引用) 桑白皮(佐) 甘草 木香(佐) 槟榔 五味(佐,此三味除客气)
肾水反来侮土,所胜者妄行也。作涎及清涕,唾多溺多,而恶寒者是也。土火复之,及
三脉为邪,则足不任身,足下痛不能践地,骨乏无力,喜睡,两丸冷,腹阴阴而痛,妄闻妄
见,腰脊背胁皆痛。
干姜(君) 苍术(佐) 川乌(臣,炒,少许) 白术(臣) 肉桂(佐) 茯苓 泽泻(使)
猪苓(佐) 附子(佐,炮)
〔孙〕按虞部郎中汪奉老疾革,有子可升,当遗表奏荫,召孙至,曰∶郎中亡矣,不可治
。可升告孙曰∶生且固难,如何可延三日,以待奏回。孙曰∶郎中之患,肝气将绝,脾土反
胜,当后脾土火旺,肝气乃绝。方今日辰巳间,当略泻脾土,使不能胜肝,则木且未绝。三
日后,早奏下,当日气绝。孙尚药精究五脏盛衰,类此。
天地之气,内淫而胜为病药方,六气乘虚为病相胜药方,六气之复为病药方,并见运气类注。
黄连(君药) 石膏(佐药) 芍药(佐药) 知母(佐药) 黄柏(臣药) 甘草(使药) 生地(臣药) 黄芩(佐药)
肝木之气妄行,出现胸胁疼痛、口苦舌干、寒热往来且呕吐、易怒、四肢胀满闭塞、小便淋涩或大便困难、筋脉拘挛及腹部急痛等症状,这是“所不胜”(即金克木,此处指肺金乘肝木,或泛指克制关系失衡)之邪相乘所致。
柴胡(君药) 防风(臣药) 白术(佐药) 羌活(佐药) 独活(佐药) 芍药(臣药) 甘草(臣药) 升麻(使药) 茯苓(佐药)
猪苓 泽泻(佐药) 肉桂(臣药) 藁本 川芎 细辛 蔓荆子 白芷 石膏 黄柏 知母 滑石
肺金受到邪气侵袭,原因是脾胃虚弱不能生养肺金,这是“所生”(即脾土生肺金,此处指母病及子)一方受病。因此出现咳嗽、气短、气逆上冲、皮毛不能抵御寒冷、精神萎靡且口渴、神情凄惨不快乐等症状。这都是阳气不足、阴气有余的表现,属于形体(阴/物质基础)有余而功能(阳/气化作用)不足。
人参(君药) 白术(佐药) 白芍药(佐药) 橘皮(臣药) 青皮(破滞气) 黄芪(臣药) 桂枝(佐药)
桔梗(引经药) 桑白皮(佐药) 甘草 木香(佐药) 槟榔 五味子(佐药,这三味药用于祛除客气/外邪)
肾水反常来侮害脾土,这是“所胜”(即土克水,此处指水反侮土)一方妄行。表现为流涎和清涕、唾液多、小便多且怕冷。若脾土之火复气来制约,以及三条经脉被邪气侵犯,则会出现双脚无法支撑身体、足底疼痛不能踏地、骨骼乏力无力、嗜睡、两睾丸发冷、腹部隐隐作痛、幻觉妄闻妄见、腰脊背胁部皆痛等症状。
干姜(君药) 苍术(佐药) 川乌(臣药,炒,少许) 白术(臣药) 肉桂(佐药) 茯苓 泽泻(使药)
猪苓(佐药) 附子(佐药,炮制)
〔孙思邈〕按:虞部郎中汪奉年老病危重,其子可升应当上遗表请求恩荫封赏,召请孙思邈前来。孙思邈说:“郎中已经去世,无法救治。”可升告诉孙思邈说:“病人确实难以挽救,但能否拖延三天,以等待奏折批复回来?”孙思邈说:“郎中的病症,是肝气即将断绝,脾土之气反而偏胜。应当等到脾土火旺之时,肝气才会真正断绝。就在今天辰时巳时之间,应当稍微泻除脾土之气,使其不能克制肝木,那么肝气暂时还不会断绝。三天后,如果早上的奏折下达,当天就会气绝身亡。”孙尚药对五脏盛衰的研究精微深究,类似这样的案例。
Huanglian (Coptidis Rhizoma, Sovereign Herb) Shigao (Gypsum Fibrosum, Assistant Herb) Shaoyao (Paeoniae Radix, Assistant Herb) Zhimu (Anemarrhenae Rhizoma, Assistant Herb) Huangbai (Phellodendri Cortex, Minister Herb) Gancao (Glycyrrhizae Radix et Rhizoma, Envoy Herb) Shengdi (Rehmanniae Radix, Minister Herb) Huangqin (Scutellariae Radix, Assistant Herb)
When Liver Wood Qi acts recklessly, symptoms such as pain in the chest and hypochondrium, bitter taste in the mouth with dry tongue, alternating chills and fever accompanied by vomiting, irritability, fullness and obstruction of the four limbs, dysuria or difficult defecation, tendon spasm, and acute abdominal pain occur. This is caused by the invasion of the "unconquered" element (Metal overcoming Wood).
Chaihu (Bupleuri Radix, Sovereign Herb) Fangfeng (Saposhnikoviae Radix, Minister Herb) Baizhu (Atractylodis Macrocephalae Rhizoma, Assistant Herb) Qianghuo (Notopterygii Rhizoma et Radix, Assistant Herb) Duhuo (Angelicae Pubescentis Radix, Assistant Herb) Shaoyao (Paeoniae Radix, Minister Herb) Gancao (Glycyrrhizae Radix et Rhizoma, Minister Herb) Shengma ( Cimicifugae Rhizoma, Envoy Herb) Fuling (Poria, Assistant Herb)
Zhuling (Polyporus) Zexie (Alismatis Rhizoma, Assistant Herb) Rougui (Cinnamomi Cortex, Minister Herb) Gaoben (Ligustici Wallichii Rhizoma et Radix) Chuanxiong (Chuanxiong Rhizoma) Xixin (Asari Radix et Rhizoma) Manjingzi (Vittagiae Fructus) Baizhi (Angelicae Dahuricae Radix) Shigao (Gypsum Fibrosum) Huangbai (Phellodendri Cortex) Zhimu (Anemarrhenae Rhizoma) Huashi (Talcum)
When Lung Metal is affected by pathogenic factors, it is due to the deficiency of Spleen and Stomach failing to generate Lung Metal; this is a disease affecting the "generated" element (Mother affecting Child). Consequently, there are cough, shortness of breath, rebellious Qi rising, inability of the skin and hair to resist cold, mental fatigue with thirst, and a sorrowful, unhappy demeanor. These are all manifestations of insufficient Yang Qi and excess Yin Qi, representing an excess of substance (Yin) but insufficiency of function (Yang).
Renshen (Ginseng Radix et Rhizoma, Sovereign Herb) Baizhu (Atractylodis Macrocephalae Rhizoma, Assistant Herb) Baishaoyao (Paeoniae Radix Alba, Assistant Herb) Jupi (Citri Reticulatae Pericarpium, Minister Herb) Qingpi (Citri Reticulatae Pericarpium Viride, breaks Qi stagnation) Huangqi (Astragali Radix, Minister Herb) Guizhi (Cinnamomi Ramulus, Assistant Herb)
Jiegeng (Platycodonis Radix, guiding herb) Sangbaipi (Mori Cortex, Assistant Herb) Gancao (Glycyrrhizae Radix et Rhizoma) Muxiang (Aucklandiae Radix, Assistant Herb) Binglang (Arecae Semen) Wuweizi (Schisandrae Chinensis Fructus, Assistant Herb; these three herbs expel external pathogens)
Kidney Water counteracts and insults Spleen Earth, which is the "conquered" element acting recklessly. Symptoms include saliva production and clear nasal discharge, excessive sputum, polyuria, and aversion to cold. If the Fire of Spleen Earth retaliates, and the three meridians are invaded by pathogens, one may experience inability of the feet to support the body, pain in the soles preventing walking, bone weakness and lack of strength, somnolence, coldness in both testicles, dull abdominal pain, hallucinations (hearing and seeing things that are not there), and pain throughout the waist, spine, back, and hypochondrium.
Ganjiang (Zingiberis Rhizoma, Sovereign Herb) Cangzhu (Atractylodis Rhizoma, Assistant Herb) Chuanwu (Aconiti Radix Lateralis Preparata, Minister Herb, stir-fried, small amount) Baizhu (Atractylodis Macrocephalae Rhizoma, Minister Herb) Rougui (Cinnamomi Cortex, Assistant Herb) Fuling (Poria) Zexie (Alismatis Rhizoma, Envoy Herb)
Zhuling (Polyporus, Assistant Herb) Fuzi (Aconiti Lateralis Radix Preparata, Assistant Herb, processed)
[Sun Simiao] Commentary: Wang Fenglao, Vice Director of the Bureau of Palaces, was critically ill. His son, Kesheng, should have submitted a memorial posthumously requesting hereditary privilege. Sun Simiao was summoned and stated, "The Vice Director has passed away; he cannot be treated." Kesheng told Sun Simiao, "Although recovery is difficult, can we delay for three days to await the return of the imperial decree?" Sun Simiao replied, "The Vice Director's condition indicates that Liver Qi is about to cease, while Spleen Earth Qi is relatively excessive. When Spleen Earth and Fire become vigorous, Liver Qi will truly cease. Between Chen and Si hours today, if we slightly drain Spleen Earth Qi to prevent it from overcoming Liver Wood, Liver Qi will not yet cease. Three days later, if the morning decree arrives, he will die of Qi exhaustion on that day." Physician Sun's profound investigation into the waxing and waning of the five zang organs is exemplified by such cases.
Formulas for diseases caused by internal flooding and dominance of Heaven and Earth Qi, formulas for diseases caused by the six qi taking advantage of deficiency and mutual overcoming, and formulas for diseases caused by the retaliation of the six qi, are all detailed in the annotations on the Category of Luck (Yunqi).