伏龙肝者,灶中之土也。土性可以益脾,久于薪火,可以温中,脾胃虚弱者,药内宜加
入之。
叙曰∶食以养生,夫人之所急也。食以伤生,夫人之所失也。炎帝教民耒KT ,为养
生也。既而品尝百药,惧伤生也。养生之中,而有伤生之患,此君子所以慎口体之奉也。今
考方药十九首,卫生者其小补哉!
升麻 柴胡 当归 草豆蔻 陈皮(各一钱) 黄 (四钱) 半夏 人参(各三钱) 甘
草
(炙) 柏皮(炒,各五分) 神曲(炒,各一钱五分)
食饮胸膈饱胀,大便溏泄者,此方主之。
《内经》曰∶清气在下,则生飧泄;浊气在上,则生 胀。此由饮食伤脾,不能运化,
失其升清降浊之令故耳。是方也,用升麻、柴胡以升其清阳之气,用柏皮以降其浊阴之 ,
用半夏、陈皮以利其膈,用豆蔻、神曲以消其食,用人参、黄 、当归、甘草以益其脾。如
此则清气升,浊气降,
山楂肉(二两) 神曲 半夏 茯苓(各一两) 萝卜子 陈皮 连翘(各五钱)
饮食内伤,令人恶食者,此丸主之。
伤于饮食,故令恶食,诸方以厉药攻之,是伤而复伤也。是方药味平良,补剂之例也。
故曰保和。山楂甘而酸,酸胜甘,故能去肥甘之积。神曲甘而腐,腐胜焦,故能化炮炙之腻。
卜子辛而苦,苦下气,故能化面物之滞。陈皮辛而香,香胜腐,故能消陈腐之气。连翘辛而
苦,苦泻火,故能去积滞之热。半夏辛而燥,燥胜湿,故能消水谷之气。茯苓甘而淡,淡能
渗,故能利湿伤之滞。
伏龙肝,就是灶膛里的土。土性能够补益脾脏,经过长时间薪火的煅烧,具有温中散寒的作用,脾胃虚弱的人,在药方中适宜加入它。
叙述说:饮食用来滋养生命,这是人们急切需要的;饮食用来伤害生命,这是人们所失误的。炎帝教导百姓使用农具耕作,是为了养生。随后他亲自品尝各种药物,是担心伤害生命。在养生的过程中,却存在伤害生命的隐患,这就是君子之所以谨慎对待口腹之欲的原因。现在考证这十九首方药,对于卫生(保养生命)的人来说,大概是有小小的补益吧!
升麻、柴胡、当归、草豆蔻、陈皮(各一钱),黄芪(四钱),半夏、人参(各三钱),甘草(炙)、黄柏(炒,各五分),神曲(炒,各一钱五分)。
主治饮食停滞导致胸膈饱胀,大便溏泄的患者,此方为主治方。
《黄帝内经》说:清气在下,就会产生完谷不化的泄泻;浊气在上,就会产生胀满。这是由于饮食损伤了脾脏,不能正常运化,失去了升清降浊的功能所致。这个方子,用升麻、柴胡来升发清阳之气,用黄柏来降泄浊阴之气,用半夏、陈皮来疏通胸膈气机,用草豆蔻、神曲来消食导滞,用人参、黄芪、当归、甘草来补益脾气。像这样,则清气上升,浊气下降,
山楂肉(二两),神曲、半夏、茯苓(各一两),莱菔子、陈皮、连翘(各五钱)。
主治饮食内伤,使人厌恶进食的患者,此丸剂为主治方。
因为伤了饮食,所以让人厌恶食物,其他方子用猛烈的药物攻伐,这是受伤之后再次受伤。这个方子的药性平和优良,属于补剂的法则。所以叫“保和”。山楂味甘酸,酸味胜过甘味,所以能消除肥腻甘甜食物的积滞。神曲味甘且发酵腐熟,腐味胜过焦味,所以能化解煎炸烤炙食物的油腻。莱菔子味辛苦,苦味能下气,所以能化解面食类的停滞。陈皮味辛香,香气胜过腐味,所以能消除陈腐之气。连翘味辛苦,苦味能泻火,所以能去除积滞产生的热邪。半夏味辛燥,燥性能胜湿,所以能消除水谷停聚之气。茯苓味甘淡,淡味能渗利,所以能利湿以解除因湿邪导致的停滞。
Fulonggan (Dragon's House Liver, calcined soil from the hearth) is simply the earth found within the stove. The nature of earth can tonify the Spleen; having been subjected to firewood and flames for a long time, it possesses the ability to warm the Middle Jiao. For individuals with Spleen and Stomach deficiency, it is appropriate to add this substance to herbal prescriptions.
Narrative: Food and drink are used to nourish life, which is an urgent need for everyone. However, food and drink can also harm life, representing a mistake made by people. Yan Di (the Divine Farmer) taught the people to use farming tools for cultivation in order to nourish life. Subsequently, he tasted hundreds of medicinal substances out of fear of harming life. Within the practice of nourishing life, there exist hazards that harm life; this is why the gentleman exercises caution regarding his dietary and bodily needs. Now, examining these nineteen prescriptions, they offer a minor benefit to those who seek to preserve health!
Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Danggui (Angelicae Sinensis Radix), Caodoukou (Amomi Fructus Rotundus), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Huangqi (Astragali Radix) (4 qian); Banxia (Pinelliae Rhizoma), Renshen (Ginseng Radix) (each 3 qian); Gancao (Licorice Radix et Rhizoma) (roasted); Huangbai (Phellodendri Cortex) (stir-fried) (each 5 fen); Shenqu (Massa Medicata Fermentata) (stir-fried) (1.5 qian).
This formula is indicated for cases where food and drink stagnation causes fullness and distension in the chest and diaphragm, accompanied by loose stools.
The *Neijing* (Inner Canon of the Yellow Emperor) states: "When clear qi descends below, it generates sun-xie (diarrhea with undigested food); when turbid qi ascends above, it generates distension." This arises because dietary injury damages the Spleen, impairing its transportation and transformation functions, thereby losing the command to ascend the clear and descend the turbid. In this prescription, Shengma and Chaihu are used to ascend the clear Yang qi; Huangbai is used to descend the turbid Yin qi; Banxia and Chenpi are used to facilitate the flow of Qi in the diaphragm; Caodoukou and Shenqu are used to digest food stagnation; and Renshen, Huangqi, Danggui, and Gancao are used to tonify the Spleen. In this manner, the clear qi ascends and the turbid qi descends,
Shanzhare (Crataegi Fructus) (2 liang); Shenqu (Massa Medicata Fermentata), Banxia (Pinelliae Rhizoma), Fuling (Poria) (each 1 liang); Boluozhi (Raphani Semen), Chenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus) (each 5 qian).
This pill is indicated for internal injury caused by diet, resulting in aversion to food.
Because the diet has been injured, it causes an aversion to eating. Other formulas use harsh medicines to attack the stagnation, which constitutes injuring the body again after it has already been injured. The ingredients in this formula are mild and beneficial, following the principle of tonic prescriptions. Hence, it is named "Baohe" (Preserving Harmony). Shanzha is sweet and sour; since sour overcomes sweet, it can eliminate accumulations of rich and sweet foods. Shenqu is sweet and fermented; since fermented properties overcome charred ones, it can resolve the greasiness of fried and roasted foods. Boluozhi (Radish Seed) is pungent and bitter; since bitter directs Qi downward, it can resolve stagnation caused by wheat-based foods. Chenpi is pungent and aromatic; since aroma overcomes staleness, it can dissipate stale Qi. Lianqiao is pungent and bitter; since bitter drains Fire, it can remove heat generated by stagnation. Banxia is pungent and drying; since dryness overcomes dampness, it can resolve the accumulation of fluids and food. Fuling is sweet and bland; since blandness promotes leaching, it can promote urination to resolve stagnation caused by dampness.