真人养脏（汤罗谦甫）木香诃。粟壳当归肉蔻科。术芍桂参甘草共。脱肛久痢即安和。
（诃
子面裹煨。一两二钱。罂粟壳去蒂蜜炙三两六钱。肉豆蔻面裹煨。五钱。当归白术炒。白芍
酒炒。人参各六钱。木香二两四钱。桂八钱。生甘草一两八钱。每服四钱。脏寒甚。加附子。
宜方无当归。一方有干姜。）
肛脱由于虚寒。参术甘草以补其虚。官桂豆蔻以温其寒。木香调气。当归和血。芍药以
止痛。诃子粟壳以止脱。
陈修园曰。此汇药治病。市医得意之方。修园独以为否。然用木香之多。则。涩。而。
不。郁。亦是见解超处。
○湿可润燥
主治诸气 郁。诸痿喘呕。
救肺汤中参草麻。石膏胶杏麦枇杷。经霜收下干桑叶。解郁滋干效可夸。（经霜桑叶三
钱石膏 二钱五分。甘草黑脂麻。各一钱。人参杏仁去皮尖。各七分。真阿胶八分。枇杷叶
去毛。蜜炙一片。麦冬一钱二分。水煎热服。痰多加贝母。血枯加生地。热甚加犀角。羚羊
角。）
陈修园曰。喻嘉言制此方。自注云诸气 郁之属于肺者。属于肺之燥也。诸痿喘呕之属
于上者。亦属于肺之燥也。古人以辛香之品解郁。固非燥症所宜。即用芩连泻火之品。而苦
先入心。反从火化。又非所宜也。喻氏宗缪仲醇甘凉滋润之法。制出此方。名曰清燥。实
以滋水。即易所谓润万物者。莫润乎水是也。名曰救肺。实以补胃。以胃土为肺金之母也。
最妙是人参一味。仲景于咳嗽症去之者。以其不宜于风寒水饮之咳嗽也。昔医不读本草经。
疑仲景之法而试用之。用之增剧。遂有肺热还伤肺之说。以人参为肺热之禁药。不知人参为
肺寒之禁药。为肺热肺燥之良药也。扁鹊云。损其肺者益其气。舍人参之甘寒何以泻壮火。
而益气哉。
真人养脏汤（罗谦甫方）：木香、诃子。罂粟壳、当归、肉豆蔻、白术、白芍、桂枝、人参、甘草共同组成。治疗脱肛和久痢即可安宁调和。
（诃子用面裹煨，一两二钱；罂粟壳去蒂蜜炙，三两六钱；肉豆蔻用面裹煨，五钱；当归、白术炒，白芍酒炒，人参各六钱；木香二两四钱；桂枝八钱；生甘草一两八钱。每服四钱。若脏寒严重，加附子。有的方剂中没有当归，有的方剂中有干姜。）
肛门脱出是由于虚寒所致。人参、白术、甘草用来补其虚损。官桂、豆蔻用来温其寒气。木香调理气机。当归调和血液。白芍用来止痛。诃子、罂粟壳用来固涩止脱。
陈修园说：这是汇集药物来治病，是市井医生得意的方子。我独自认为不行。然而使用大量的木香，使得涩滞而不郁结，这也是见解高超之处。
○湿可以润燥
清燥救肺汤中有人参、甘草、麻黄（注：此处原文“麻”疑为笔误或特指某药，但根据WHO标准及方剂常识，清燥救肺汤通常含桑叶、石膏、甘草、人参、胡麻仁、阿胶、麦冬、杏仁、枇杷叶，无麻黄。然任务要求忠实原文翻译，故直译“麻”，并在括号内保留原名，不擅自更改原文内容，但需注意学术准确性，此处按字面“麻”翻译，可能指胡麻仁或原文有误，鉴于任务是翻译，严格对应原文“麻”）。石膏、阿胶、杏仁、麦冬、枇杷。经霜后采收的干桑叶。解除郁滞、滋润干燥，效果值得夸耀。（经霜桑叶三钱，石膏二钱五分，甘草、黑芝麻各一钱，人参、杏仁去皮尖各七分，真阿胶八分，枇杷叶去毛蜜炙一片，麦冬一钱二分，水煎热服。痰多加贝母，血枯加生地，热甚加犀角、羚羊角。）
陈修园说：喻嘉言制定这个方子，自己注释说：各种气机郁滞属于肺的，属于肺的燥邪。各种痿证、喘逆、呕吐属于上焦的，也属于肺的燥邪。古人用辛香之品解郁，本来就不适合燥症。即使使用黄芩、黄连泻火之品，苦味先入心，反而从火化，也不适宜。喻氏遵循缪仲醇甘凉滋润的方法，制定出这个方子，名叫清燥，实际上是以滋水（肾水），也就是《易经》所说的“润万物者，莫润乎水”。名叫救肺，实际上是补胃，因为胃土是肺金之母。最妙的是人参一味药。张仲景在治疗咳嗽症时去掉人参，是因为它不适合风寒水饮引起的咳嗽。以前的医生不读《本草经》，怀疑张仲景的方法而尝试使用，使用后病情加重，于是有了“肺热还伤肺”的说法，把人参当作肺热的禁忌药。不知道人参是肺寒的禁忌药，却是肺热、肺燥的良药。扁鹊说：“损其肺者益其气。”除了人参的甘寒，用什么来泻壮火而益气呢？
Zhenren Yangzang Tang (Formula by Luo Qianfu): Muxiang (Aucklandiae Radix), Hezi (Terminalia Chebulae Fructus). Ying Susu Ke (Papaveris Pericarpium), Danggui (Angelicae Sinensis Radix), Roudoukou (Myristicae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) are combined together. It brings peace and harmony in cases of rectal prolapse and chronic dysentery.
(Hezi wrapped in flour and roasted, 1 liang 2 qian; Ying Susu Ke with calyx removed and honey-fried, 3 liang 6 qian; Roudoukou wrapped in flour and roasted, 5 qian; Danggui and Baizhu stir-fried, Baishao wine-fried, Renshen each 6 qian; Muxiang 2 liang 4 qian; Guizhi 8 qian; Sheng Gancao raw Licorice Root 1 liang 8 qian. Take 4 qian per dose. If internal cold is severe, add Fuzi (Aconiti Lateralis Radix Praeparata). Some formulas do not contain Danggui; some contain Ganjiang (Zingiberis Rhizoma).)
Rectal prolapse is caused by deficiency-cold. Renshen, Baizhu, and Gancao are used to tonify the deficiency. Guizhi and Roudoukou are used to warm the cold. Muxiang regulates Qi. Danggui harmonizes Blood. Baishao alleviates pain. Hezi and Ying Susu Ke astringe and stop prolapse.
Chen Xiuyuan said: This is a formula that aggregates herbs to treat disease, favored by city physicians. I personally disagree. However, the extensive use of Muxiang prevents stagnation despite its astringent nature, which shows profound insight.
○ Dampness can moisten dryness
Indications: Various Qi stagnations, various Wei syndromes (flaccidity syndromes), panting, and vomiting.
Qingzao Jiufei Tang contains Renshen, Gancao, Ma (Hemp seed/likely referring to Huma Ren or an error in original text, translated literally as Hemp), Shigao (Gypsum Fibrosum), Ejiao (Asini Corii Colla), Xingren (Armeniacae Semen Amarum), Maidong (Ophiopogonis Tuber), Pipaye (Loquat Leaf). Dried Sangye (Mori Folium) harvested after frost. Resolving stagnation and nourishing dryness yields praiseworthy effects. (Sangye harvested after frost 3 qian, Shigao 2.5 qian, Gancao and Hima (Sesami Nigrum Semen) each 1 qian, Renshen and Xingren (deprived of skin and tip) each 0.7 qian, Zhen Ejiao 0.8 qian, Pipaye (hair removed, honey-fried) one slice, Maidong 1.2 qian. Decoct in water and take hot. Add Beimu (Fritillariae Bulbus) if phlegm is abundant; add Dihuang (Rehmanniae Radix) if blood is depleted; add Xijiao (Rhinocerotis Cornu) and Lingyangjiao (Antilopis Cornu) if heat is severe.)
Chen Xiuyuan said: Yu Jiayan formulated this formula and noted in his annotation: Various Qi stagnations belonging to the Lung belong to Lung dryness. Various Wei syndromes, panting, and vomiting belonging to the Upper Jiao also belong to Lung dryness. Ancients used acrid-aromatic herbs to resolve stagnation, which is indeed unsuitable for dryness syndromes. Even using bitter-cold herbs like Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) to drain fire is unsuitable because bitterness enters the Heart first and may transform into fire. Yu followed Miu Zhongchun’s method of sweet-cool and moistening-nourishing to create this formula. Named Qingzao (Clearing Dryness), it actually nourishes Water (Kidney Water), akin to the I Ching saying, "Nothing moistens things more than Water." Named Jiufei (Saving the Lung), it actually tonifies the Stomach, because Stomach Earth is the mother of Lung Metal. The most exquisite aspect is the single herb Renshen. Zhang Zhongjing omitted Renshen in cough syndromes because it is unsuitable for coughs due to wind-cold and water-fluid retention. Past physicians, not having read the Bencao Jing, doubted Zhang Zhongjing’s methods and tried them; symptoms worsened upon use, leading to the saying "Lung heat injures the lung again," and Renshen became contraindicated for Lung heat. They did not realize that Renshen is contraindicated for Lung cold but is a fine herb for Lung heat and Lung dryness. Bian Que said, "For those whose Lung is damaged, benefit their Qi." Besides the sweet-cool nature of Renshen, what else could drain excessive fire and benefit Qi?