《本草》云∶昔有人患症瘕死，遗言开腹取之。如其言，得块干硬如石，文理有五色，
人谓异物，私取削成刀柄，后因以刀刈三棱，柄消成水，乃知此可疗症瘕也。
叙曰∶痿、痹，二病也。今详《内经》，亦有称痹为痿者。故合而为一。考方八首，举
其略耳，尽其变化，则在医之方寸焉。
羚羊角 玄参 射干 薄荷 芍药 升麻 柏皮（各三钱） 生地黄（一合） 栀子仁
（四钱） 竹茹（二钱）
肺鸣叶焦，令人色白毛败，发为痿 ，脉来短数者，宜此方主之。
痿，犹萎也。痿 者，手足不用之义。肺鸣者，火来乘金，不得其平而自鸣，今之喘急
是也。叶焦者，火盛金衰，故叶焦也。色白者，肺病而色自见也。毛败者，肺主皮毛，病故
折败也。发为痿 者，肺主气，气者万物之父，肺者五脏之天，所以出纳天地冲和之气，而
百骸资始者也。肺病则百骸失其天，而无以资始矣，故令人手足痿 。脉来短者，肺之真脏
脉也。脉来数者，火来乘金也。斯证也，持于冬，死于夏，十有九危。然而主是方者，冀其
为十中之一尔。羚羊、玄参、射干，凉膈之品也。肺居膈上，故能清肺热。薄荷、升麻者，
辛凉之品也。金郁则泄之，故用其辛凉以解肺中郁热。柏皮能益肾水，肾水益，则子可以救
母。生地能凉心血，心君凉，则火不之乘金。栀子、竹茹，能泄肝肾中相火，相火熄，则肺
金可清。芍药味酸，和肝之品也，肝和则不至于侮肺。侮肺者，谓金本以制木，今肺金自病，
肝
《本草》记载：从前有个人患有症瘕（腹内结块病）而死，临终前嘱咐家人打开他的腹部取出病灶。按照他的遗言开腹后，发现一块干硬如石的肿块，纹理呈现五色，人们认为这是异物，私下取来削成刀柄，后来用这把刀割三棱草时，刀柄竟然融化成了水，这才知道这种药可以治疗症瘕。
序言说：痿证和痹证，是两种疾病。现在详细考察《黄帝内经》，也有将痹证称为痿证的。所以将它们合为一门讨论。考证了八个方剂，只是列举其大略罢了，至于尽数的变化运用，则在于医生心中的权衡与变通。
羚羊角、玄参、射干、薄荷、芍药、升麻、黄柏皮（各三钱）、生地黄（一合）、栀子仁（四钱）、竹茹（二钱）。
肺热叶焦，使人面色苍白、毛发枯败，发展为痿躄（肢体萎软无力），脉象短而数疾的，适宜用此方主治。
痿，就是萎的意思。痿躄，是指手足不能随意运动的意义。所谓“肺鸣”，是火邪乘袭肺金，肺气不平而自鸣，就是现在的喘急症状。所谓“叶焦”，是火盛金衰，所以肺部像叶子一样焦枯。所谓“色白”，是肺病而本色外露。所谓“毛败”，是肺主皮毛，生病故导致毛发折损败坏。之所以发展为痿躄，是因为肺主气，气是万物的根本，肺是五脏的天盖，负责出纳天地冲和之气，使全身骨骼得以滋养起始。肺病则全身骨骼失去了天盖，无法得到滋养起始，所以使人手足痿软无力。脉象短，是肺的真脏脉。脉象数，是火邪乘袭肺金。这种病症，如果在冬季持重，在夏季死亡，十个人中有九个危险。然而使用这个方子的人，希望能在十人中救活一个罢了。羚羊角、玄参、射干，是清泄膈热的药物。肺位于膈上，所以能清肺热。薄荷、升麻，是辛凉性质的药物。金气郁结则应疏泄，所以用它们的辛凉之性来解除肺中的郁热。黄柏皮能益肾水，肾水充足，则子（肾）可以救母（肺）。生地黄能凉心血，心火清凉，则火不乘袭肺金。栀子、竹茹，能泄肝肾中的相火，相火熄灭，则肺金可清。芍药味酸，是和缓肝气的药物，肝气调和则不至于侮肺。所谓侮肺，是说金本来应该制木，现在肺金自身有病，肝……
According to the *Bencao* (Materia Medica): In the past, a person suffered from Zhengjia (abdominal masses) and died. Before his death, he instructed that his abdomen be opened to remove the lesion. Following his instructions, upon opening the abdomen, a dry, hard mass like stone was found, with five-colored textures. People considered it an abnormal object and privately took it to carve into a knife handle. Later, when using this knife to cut Sanleng (Sparganii Rhizoma), the handle melted into water. Thus, it was known that this herb could treat Zhengjia.
Preface: Wei syndrome (flaccidity syndrome) and Bi syndrome (obstruction syndrome) are two distinct diseases. However, a detailed examination of the *Neijing* (Inner Canon of the Yellow Emperor) reveals that Bi is sometimes referred to as Wei. Therefore, they are combined into one section. Eight formulas are examined here, presenting only their general outlines; the full scope of variations lies in the physician's mental discernment.
Lingyang Jiao (Antelope Horn), Xuanshen (Scrophulariae Radix), Shegan (Belamcandae Rhizoma), Bohe (Menthae Haplocalycis Herba), Shaoyao (Paeoniae Radix Alba), Shengma (Cimicifugae Rhizoma), Baipi (Phellodendri Cortex) (each 3 qian), Shengdihuang (Rehmanniae Radix Recens) (1 he), Zhizi Ren (Gardeniae Semen) (4 qian), Zhuru (Bambusae Caulis in Taeniam) (2 qian).
When Lung heat scorches the leaves, causing pale complexion and withered hair, leading to Weibi (limb flaccidity), and the pulse is short and rapid, this formula is appropriate for treatment.
Wei implies withering. Weibi refers to the inability of the hands and feet to function. "Lung ringing" signifies fire invading Metal (Lung), causing imbalance and self-sounding, manifesting today as panting and urgency. "Leaf scorching" indicates excessive fire and deficient Metal, resulting in pulmonary scorching. "Pale color" occurs because the disease of the Lung reveals its corresponding color. "Withered hair" happens because the Lung governs skin and hair; disease leads to their deterioration. The development of Weibi occurs because the Lung governs Qi. Qi is the father of all things, and the Lung is the heaven of the five Zang organs, responsible for receiving and excreting the harmonious Qi of Heaven and Earth, thereby nourishing the skeletal structure. When the Lung is diseased, the skeletal structure loses its "heaven" and cannot be nourished or initiated, thus causing limb flaccidity. A short pulse represents the true organ pulse of the Lung. A rapid pulse indicates fire invading Metal. This condition, if persistent in winter, may lead to death in summer, with nine out of ten cases being critical. However, those who administer this formula hope to save one out of ten. Lingyang Jiao, Xuanshen, and Shegan are agents that cool the diaphragm. Since the Lung resides above the diaphragm, they can clear Lung heat. Bohe and Shengma are acrid-cool agents. When Metal is constrained, it should be dispersed; thus, their acrid-cool nature is used to resolve constrained heat in the Lung. Baipi benefits Kidney Water. When Kidney Water is sufficient, the child (Kidney) can rescue the mother (Lung). Shengdihuang cools Heart blood. When the Heart monarch is cooled, fire does not invade Metal. Zhizi and Zhuru drain the ministerial fire of the Liver and Kidney. When ministerial fire is extinguished, Lung Metal can be cleared. Shaoyao has a sour taste and harmonizes the Liver. When the Liver is harmonized, it will not insult the Lung. Insulting the Lung means that although Metal should control Wood, now that Lung Metal itself is diseased, the Liver...