(例一首 方七首)
例曰∶大法春秋宜服散。
治风虚面青黑土色不见日月光。香港脚痹弱准经面青黑主肾,不见日月光主肝,宜补肾
治肝方。
菊花(三两) 石斛 天雄(各一两半) 人参 附子 甘草(各一两六铢) 钟乳 山
药
川断 黄 泽泻 麦冬 远志 细辛 龙胆 秦艽 石苇 菟丝子 牛膝 菖蒲 杜仲
茯苓 干地黄 柏子仁 蛇床子 防风 白术 干姜 萆 山茱萸(各一两) 五味子 乌
头
上三十三味治下筛,酒服方寸匕,日三,不效加至二匕。
治诸缓风湿痹脚弱方
巴戟肉 黄 桂心 细辛 天雄 萆 肉苁蓉 牡荆子 山药 菊花 葳蕤 山
萸秦艽 黄芩 石斛 白术 矾石 浓朴 龙胆 人参 蜀椒(各半两) 附子 五味子
(各
十八铢) 菖蒲 茯苓 牛膝(千金翼作干姜) 乌喙 远志(各一两) 桔梗(三十铢) 川
芎
白蔹 芍药(各六铢)
上三十二味治下筛,酒服半寸匕,日三。未验,稍增令微觉。(胡洽无桔梗)
治风虚脚弱,手足拘挛,疼痹不能行。脚趺肿上膝,小腹坚如绳约,气息常如忧恚,
不能食饮,皆由五劳七伤,肾气不足,受风湿故也,此方悉主之。
石斛 附子 天雄 桂心 独活 天冬(各一两) 秦艽 乌头 人参 干姜 当归 防
风杜仲(各三十铢) 山萸 莽草 桔梗 细辛 麻黄 前胡 五味子(各十八铢) 川
椒
白芷 白术(各半两)
上二十三味治下筛,酒服方寸匕,日再服,不知稍增至二匕,虚人三建皆炮,实人亦可
生用。风气者本因肾虚,既得病后,毒瓦斯外满则灸泄其气,内满则药驰之,当其救急,理必
如是。至于风消退,四肢虚弱,余毒未除,不可便止,宜服此散。推陈致新,极为良妙,此
既人情可解,无可疑焉(三建皆炮者天雄附子乌头,若虚人干姜亦宜)
(一例,附方七首)
举例说明:大凡治疗原则是春秋季节适宜服用散剂。
治疗风虚证导致面色青黑如土色,不见日月光辉的方子。脚气病痹弱症中,面色青黑主肾经病变,不见日月光辉主肝经病变,适宜采用补肾治肝的方剂。
菊花(三两)、石斛、天雄(各一两半)、人参、附子、甘草(各一两六铢)、钟乳石、山药、川断、黄芩、泽泻、麦冬、远志、细辛、龙胆草、秦艽、石韦、菟丝子、牛膝、石菖蒲、杜仲、茯苓、干地黄、柏子仁、蛇床子、防风、白术、干姜、萆薢、山茱萸(各一两)、五味子、乌头。
以上三十三味药,处理后筛成细粉,用酒送服一方寸匕,每日三次,若无效可加至两方寸匕。
治疗各种缓风湿痹、脚部无力的方子。
巴戟天肉、黄芩、桂心、细辛、天雄、萆薢、肉苁蓉、牡荆子、山药、菊花、葳蕤(玉竹)、山茱萸、秦艽、黄芩、石斛、白术、矾石、厚朴、龙胆草、人参、蜀椒(各半两)、附子、五味子(各十八铢)、石菖蒲、茯苓、牛膝(《千金翼方》作干姜)、乌喙、远志(各一两)、桔梗(三十铢)、川芎、白蔹、芍药(各六铢)。
以上三十二味药,处理后筛成细粉,用酒送服半寸匕,每日三次。若未见效,稍微增加剂量,以身体微微感觉有效为度。(胡洽方的此方中没有桔梗)
治疗风虚导致的脚部无力,手足拘挛,疼痛痹阻不能行走。足背肿胀上延至膝盖,小腹坚硬如同绳索约束,气息常像忧愁愤恨一样不畅,不能饮食,这都是由于五劳七伤,肾气不足,感受风湿所致,这个方子完全主治这些症状。
石斛、附子、天雄、桂心、独活、天冬(各一两)、秦艽、乌头、人参、干姜、当归、防风、杜仲(各三十铢)、山茱萸、莽草、桔梗、细辛、麻黄、前胡、五味子(各十八铢)、川椒、白芷、白术(各半两)。
以上二十三味药,处理后筛成细粉,用酒送服一方寸匕,每日两次,若不见效,稍增加至两方寸匕。体虚的人,“三建”(天雄、附子、乌头)都要炮制;体质壮实的人也可以生用。风气之病,原本是因为肾虚,患病之后,毒邪外满则通过灸法泄出其气,内满则用药驱除它,在急救之时,道理必定是这样。等到风邪消退,四肢虚弱,余毒未除时,不可立即停药,适宜服用这种散剂。推陈出新,极为良妙,这既符合人情事理可以理解,没有什么可怀疑的。(所谓“三建”都要炮制,指的是天雄、附子、乌头;若是体虚之人,干姜也宜炮制)
(One example, with seven formulas)
Example: The general principle is that it is suitable to take powders in spring and autumn.
Formula for treating wind-deficiency syndrome manifesting as a cyanotic-black complexion resembling earth color, lacking luster of sun and moon. In the context of "Jiaogong" (foot-leg weakness/numbness), a cyanotic-black complexion indicates Kidney channel pathology, while lack of luster of sun and moon indicates Liver channel pathology. It is appropriate to use a formula for tonifying the Kidney and treating the Liver.
Chrysanthemi Flos (Ju Hua, 菊花) [3 liang], Dendrobii Caulis (Shi Hu, 石斛), Aconiti Lateralis Radix Praeparata (Tian Xiong, 天雄) [each 1.5 liang], Ginseng Radix et Rhizoma (Ren Shen, 人参), Aconiti Radix Praeparata (Fu Zi, 附子), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) [each 1 liang 6 zhu], Gypsum Fibrosum (Zhong Ru, 钟乳), Dioscoreae Rhizoma (Shan Yao, 山药), Achyranthis Bidentatae Radix (Chuan Duan, 川断), Scutellariae Radix (Huang Qin, 黄芩), Alismatis Rhizoma (Ze Xie, 泽泻), Ophiopogonis Radix (Mai Dong, 麦冬), Polygalae Radix (Yuan Zhi, 远志), Asari Radix et Rhizoma (Xi Xin, 细辛), Gentianae Radix et Rhizoma (Long Dan, 龙胆), Gentianae Macrophyllae Radix (Qin Jiao, 秦艽), Pyrosiae Herba (Shi Wei, 石苇), Cuscutae Semen (Tu Si Zi, 菟丝子), Achyranthis Bidentatae Radix (Niu Xi, 牛膝), Acori Tatarinowii Rhizoma (Chang Pu, 菖蒲), Eucommiae Cortex (Du Zhong, 杜仲), Poria (Fu Ling, 茯苓), Rehmanniae Radix (Gan Di Huang, 干地黄), Platycodi Semen (Bai Zi Ren, 柏子仁), Cnidii Fructus (She Chuang Zi, 蛇床子), Saposhnikoviae Radix (Fang Feng, 防风), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 白术), Zingiberis Rhizoma (Gan Jiang, 干姜), Dioscoreae Hypoglaucae Rhizoma (Bi Xie, 萆薢), Corni Fructus (Shan Zhu Yu, 山茱萸) [each 1 liang], Schisandrae Fructus (Wu Wei Zi, 五味子), Aconiti Radix (Wu Tou, 乌头).
Process the above thirty-three herbs, sift into fine powder. Take one fangcun bi (a square-inch measure) with wine, three times daily. If ineffective, increase to two fangcun bi.
Formula for treating various slow wind-damp bi syndrome and foot weakness.
Morindae Officinalis Radix (Ba Ji Rou, 巴戟肉), Scutellariae Radix (Huang Qin, 黄芩), Cinnamomi Ramulus (Gui Xin, 桂心), Asari Radix et Rhizoma (Xi Xin, 细辛), Aconiti Lateralis Radix Praeparata (Tian Xiong, 天雄), Dioscoreae Hypoglaucae Rhizoma (Bi Xie, 萆薢), Cistanches Herba (Rou Cong Rong, 肉苁蓉), Viticis Fructus (Mu Jing Zi, 牡荆子), Dioscoreae Rhizoma (Shan Yao, 山药), Chrysanthemi Flos (Ju Hua, 菊花), Polygonati Rhizoma (Wei Rui, 葳蕤), Corni Fructus (Shan Yu, 山萸), Gentianae Macrophyllae Radix (Qin Jiao, 秦艽), Scutellariae Radix (Huang Qin, 黄芩), Dendrobii Caulis (Shi Hu, 石斛), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 白术), Alum (Fan Shi, 矾石), Magnoliae Officinalis Cortex (Nong Po, 浓朴), Gentianae Radix et Rhizoma (Long Dan, 龙胆), Ginseng Radix et Rhizoma (Ren Shen, 人参), Zanthoxyli Fructus (Shu Jiao, 蜀椒) [each half liang], Aconiti Radix Praeparata (Fu Zi, 附子), Schisandrae Fructus (Wu Wei Zi, 五味子) [each 18 zhu], Acori Tatarinowii Rhizoma (Chang Pu, 菖蒲), Poria (Fu Ling, 茯苓), Achyranthis Bidentatae Radix (Niu Xi, 牛膝; *Qianjin Yi* uses Zingiberis Rhizoma/Gan Jiang), Aconiti Radix (Wu Hui, 乌喙), Polygalae Radix (Yuan Zhi, 远志) [each 1 liang], Platycodonis Radix (Jie Geng, 桔梗) [30 zhu], Ligustici Chuanxiong Rhizoma (Chuan Xiong, 川芎), Ampelopsis Radix (Bai Lian, 白蔹), Paeoniae Radix Alba (Shao Yao, 芍药) [each 6 zhu].
Process the above thirty-two herbs, sift into fine powder. Take half cun bi with wine, three times daily. If not verified/effective, slightly increase until slight efficacy is felt. (*Hu Qia* formula omits Platycodonis Radix/Jie Geng).
Formula for treating wind-deficiency causing foot weakness, spasm and contracture of hands and feet, painful bi preventing walking. Swelling of the dorsum of the foot extending up to the knee, hardness of the lower abdomen as if bound by a rope, breath often feeling like sorrow or resentment, inability to eat or drink. All these are due to five labors and seven injuries, insufficiency of Kidney Qi, and contraction of wind-damp. This formula addresses all of them.
Dendrobii Caulis (Shi Hu, 石斛), Aconiti Radix Praeparata (Fu Zi, 附子), Aconiti Lateralis Radix Praeparata (Tian Xiong, 天雄), Cinnamomi Ramulus (Gui Xin, 桂心), Angelicae Pubescentis Radix (Du Huo, 独活), Asparagi Radix (Tian Dong, 天冬) [each 1 liang], Gentianae Macrophyllae Radix (Qin Jiao, 秦艽), Aconiti Radix (Wu Tou, 乌头), Ginseng Radix et Rhizoma (Ren Shen, 人参), Zingiberis Rhizoma (Gan Jiang, 干姜), Angelicae Sinensis Radix (Dang Gui, 当归), Saposhnikoviae Radix (Fang Feng, 防风), Eucommiae Cortex (Du Zhong, 杜仲) [each 30 zhu], Corni Fructus (Shan Yu, 山萸), Illicii Arillatus Pericarpium (Mang Cao, 莽草), Platycodonis Radix (Jie Geng, 桔梗), Asari Radix et Rhizoma (Xi Xin, 细辛), Ephedrae Herba (Ma Huang, 麻黄), Peucedani Radix (Qian Hu, 前胡), Schisandrae Fructus (Wu Wei Zi, 五味子) [each 18 zhu], Zanthoxyli Fructus (Chuan Jiao, 川椒), Angelicae Dahuricae Radix (Bai Zhi, 白芷), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 白术) [each half liang].
Process the above twenty-three herbs, sift into fine powder. Take one fangcun bi with wine, twice daily. If not effective, slightly increase to two fangcun bi. For deficient persons, the "Three Jian" (Tian Xiong, Fu Zi, Wu Tou) must be processed/pounded; for robust persons, they may be used raw. Wind diseases originally stem from Kidney deficiency. After contracting the disease, if toxic qi fills the exterior, moxibustion should be used to vent the qi; if it fills the interior, medicine should be used to drive it out. In emergency rescue, this is the necessary principle. Once the wind pathogen subsides, but limbs remain weak and residual toxins remain, one should not stop medication immediately. It is appropriate to take this powder. Pushing out the old and generating the new, it is extremely excellent. This is understandable according to human reason, leaving no room for doubt. (The "Three Jian" being pounded refers to Tian Xiong, Fu Zi, and Wu Tou; if the person is deficient, Gan Jiang should also be processed).