治心虚血少,神气不宁,怔忡惊悸(心主血而藏神,经曰∶静则神藏,躁则消亡。心血
虚
黄 (蜜炙) 茯苓 茯神 当归(酒洗) 川芎 半夏曲(一两) 甘草(炙。一钱)
柏子
服五钱。
此手少阴药也。人参、黄 以补心气,川芎、当归以养心血,二茯、远志、柏仁、酸枣
以泄
以入
治脾肺气虚,荣血不足,惊悸健忘,寝汗发热,食少无味,身倦肌瘦,色枯气短,毛发
脱落,小便赤涩(经曰∶脾气散精,上输于肺,此地气上升也;肺主治节,通调水道,下输
膀胱,此天气下降也;脾肺虚则上下不交而为否,荣血无所借以生。肺虚故气短;脾虚故食
少;心主脉,脉属荣,荣虚血少,则心失其养,故惊悸健忘,寝汗发热;肺主皮毛,脾主肌
肉,血虚火盛,故肌瘦色枯,毛发脱落也);亦治发汗过多,身振脉摇,筋惕肉 (汗为心
液,汗即血
人参 白术 黄 (蜜炙) 甘草(炙) 陈皮 桂心 当归(酒拌。一钱) 熟地黄 五
味
此手少阴、手足太阴气血药也。熟地、归芍养血之品,参、 、苓、术、甘草、陈皮补
气之品,血不足而补其气,此阳生则阴长之义。且参 五味,所以补肺(肺主气,气能生血)
,甘、陈、苓、术,所以健脾(脾统血,归芍所以养肝肝藏血),熟地所以滋肾(肾藏精,
精血相生)。远志能通肾气上达于心,桂心能导诸药入营生血,五脏交养互益,故能统治诸
病,而其要则归于养荣也(薛立斋曰∶气血两虚,而变现诸证,莫能名状。勿论其病,勿论
其脉,但用此汤,诸证悉退。喻嘉言曰∶方内皆心脾之药,而注肺虚,误也,养荣原不及肺。
昂按∶肺主气,凡补气药,皆是补肺,气旺自能生血,即此便是养荣,便是补心补脾,理实
一贯,古方补血汤,黄 五倍于当归,而云补血,岂非明证乎。况五脏互相灌溉,传精布化,
专赖傅相之功,焉得谓养荣不及于肺也哉。又按∶生脉散,保肺药也,而云生脉者,脉即血
也)。
治疗心气虚弱、血液不足,导致神志不宁,出现心慌(怔忡)和惊悸的症状。(中医理论认为:心主司血液运行并藏纳神志,《内经》说:心神安静则得以潜藏,躁动不安则神气消亡。心血虚少……)
[药物组成]:人参、黄芪(用蜂蜜炙烤)、茯苓、茯神、当归(用酒清洗)、川芎、半夏曲(各一两)、甘草(炙过,一钱)、柏子仁、远志、酸枣仁等。
服用方法:每次服用五钱。
此方属于调理手少阴心经的药物。其中,人参、黄芪用来补益心气;川芎、当归用来滋养心血;茯苓、茯神、远志、柏子仁、酸枣仁用来宁心安神……使药力入心。
治疗脾肺两脏气虚,营血不足,表现为惊悸、健忘,夜间盗汗、发热,食欲减退、口中无味,身体疲倦、肌肉消瘦,面色枯槁、气短,毛发脱落,小便颜色深黄且排尿涩痛。(《内经》说:脾气将水谷精微散布,向上输送给肺,这是地气上升的作用;肺主治节,疏通调节水道,向下输送到膀胱,这是天气下降的作用;如果脾肺虚弱,则上下气机不能交通而形成“否”塞不通的状态,营血就失去了生成的来源。肺气虚所以气短;脾气虚所以食少;心主血脉,脉隶属于营血,营血虚弱、血液不足,则心脏失去濡养,所以出现惊悸、健忘,夜间出汗、发热;肺主管皮毛,脾主管肌肉,血虚而火旺,所以肌肉消瘦、面色枯槁、毛发脱落);同时也治疗因发汗过多,导致身体震颤、脉搏动摇、筋肉跳动抽搐的症状(汗液是心的津液,汗出过多即耗伤血液……)。
[药物组成]:人参、白术、黄芪(蜜炙)、甘草(炙)、陈皮、桂心、当归(酒拌,一钱)、熟地黄、五味子等。
此方是调理手少阴心经以及手太阴肺经、足太阴脾经的气血的药物。熟地黄、当归、芍药是养血的药物;人参、黄芪、茯苓、白术、甘草、陈皮是补气的药物。血不足而通过补气来治疗,这体现了“阳生则阴长”的道理。而且,人参、黄芪、五味子,是用来补益肺气的(肺主气,气能生血);甘草、陈皮、茯苓、白术,是用来健脾的(脾统摄血液,当归、芍药用来养肝,肝藏血);熟地黄是用来滋补肾阴的(肾藏精,精与血相互化生)。远志能够引导肾气上达于心,桂心能够引导诸药进入营分以生血。五脏之间互相滋养、互相受益,所以能够统管各种疾病,而其关键要点在于“养荣”(薛立斋说:气血两虚,表现出各种症状,难以一一命名。不论是什么病,不论脉象如何,只要使用这个汤剂,各种症状都会消退。喻嘉言说:方中的药物都是针对心脾的,却注释说涉及肺虚,这是错误的,养荣汤原本不涉及肺。汪昂按语:肺主气,凡是补气的药物,都是在补肺,气旺盛自然能生血,这就是养荣,也就是补心补脾,道理其实是一贯的。古方补血汤中,黄芪用量是当归的五倍,却称之为补血,这难道不是明证吗?况且五脏之间互相灌溉,传递精微物质,专门依赖脾胃的转输之功,怎么能说养荣不及于肺呢?另外按语:生脉散,是保护肺脏的药物,但称为“生脉”,因为脉就是血)。
Treats deficiency of Heart Qi and Blood, resulting in restless spirit, palpitations (Zhengchong), and frightful palpitations (Jingji). (TCM theory holds: The Heart governs blood and houses the Shen. The Classic states: When calm, the Shen is stored; when agitated, it dissipates. Deficiency of Heart Blood...)
[Ingredients]: Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-fried), Fuling (Poria), Fushen (Poria with Hostwood), Danggui (Angelicae Sinensis Radix, wine-washed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxiaqu (Pinelliae Fermentatum), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian), Baiziren (Biota Semen), Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), etc.
Dosage: Take 5 qian per dose.
This formula belongs to the herbs acting on the Hand-Shaoyin Heart Meridian. Renshen and Huangqi tonify Heart Qi; Chuanxiong and Danggui nourish Heart Blood; Fuling, Fushen, Yuanzhi, Baiziren, and Suanzaoren calm the mind and spirit... guiding the medicinal action into the Heart.
Treats deficiency of Qi in the Spleen and Lung, and insufficiency of Ying-Blood, manifesting as palpitations, amnesia, night sweats, fever, poor appetite, lack of taste, fatigue, emaciation, sallow complexion, shortness of breath, hair loss, and dark, scanty or painful urination. (The Classic states: The Spleen scatters essences, transporting them upward to the Lung; this is the ascending of Earth Qi. The Lung governs regulation, unblocking and regulating water passages, transporting them downward to the Bladder; this is the descending of Heaven Qi. If Spleen and Lung are deficient, the upper and lower do not interact, leading to obstruction [Pi], and Ying-Blood loses its source. Lung deficiency causes shortness of breath; Spleen deficiency causes poor appetite. The Heart governs vessels, which belong to Ying-Blood. Insufficiency of Ying-Blood means the Heart lacks nourishment, causing palpitations and amnesia, night sweats and fever. The Lung governs skin and hair, the Spleen governs muscles. Blood deficiency with flourishing fire leads to emaciation, sallow complexion, and hair loss.) It also treats symptoms caused by excessive sweating, such as body tremors, pulsation disturbances, muscle twitching, and spasms (Sweat is the fluid of the Heart; excessive sweating consumes Blood...).
[Ingredients]: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Chenpi (Citri Reticulatae Pericarpium), Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix, mixed with wine, 1 qian), Shudihuang (Rehmanniae Radix Praeparata), Wuweizi (Schisandrae Chinensis Fructus), etc.
This formula regulates Qi and Blood of the Hand-Shaoyin Heart Meridian and the Hand-Taiyin Lung and Foot-Taiyin Spleen Meridians. Shudihuang, Danggui, and Shaoyao are blood-nourishing herbs; Renshen, Huangqi, Fuling, Baizhu, Gancao, and Chenpi are Qi-tonifying herbs. Tonifying Qi to treat blood insufficiency embodies the principle that "Yang generation leads to Yin growth." Furthermore, Renshen, Huangqi, and Wuweizi tonify the Lung (The Lung governs Qi, and Qi generates Blood); Gancao, Chenpi, Fuling, and Baizhu strengthen the Spleen (The Spleen controls Blood, Danggui and Shaoyao nourish the Liver, which stores Blood); Shudihuang nourishes the Kidney (The Kidney stores Essence, and Essence and Blood mutually generate). Yuanzhi guides Kidney Qi upward to reach the Heart; Guixin guides other herbs into the Ying level to generate Blood. The Five Zang organs mutually nourish and benefit each other, thus governing various diseases, with the key point lying in "Nourishing Ying" (Xue Lizhai said: In cases of dual deficiency of Qi and Blood, presenting various indescribable symptoms, regardless of the disease or pulse, using this decoction will cause all symptoms to recede. Yu Jiayan said: The herbs in this formula act on the Heart and Spleen, yet annotating it as treating Lung deficiency is incorrect; Nourishing Ying originally does not involve the Lung. Wang Ang's note: The Lung governs Qi; any Qi-tonifying herb is essentially tonifying the Lung. When Qi is vigorous, it naturally generates Blood. This is precisely Nourishing Ying, which is also tonifying the Heart and Spleen. The logic is consistent. In the ancient Blood-Nourishing Decoction, Huangqi is used five times the amount of Danggui, yet it is called Blood-Nourishing. Is this not clear evidence? Moreover, the Five Zang organs irrigate each other, transmitting essence and distributing transformations, relying heavily on the transportive function of the Middle Jiao. How can one say Nourishing Ying does not extend to the Lung? Another note: Shengmai San is a Lung-protecting formula, yet it is called "Generating Pulse," because the Pulse is Blood).