见涩剂。
阴盛阳虚汗自流。肾阳脱汗附参求。（人参一两。熟附子五钱。水煎服。名参附汤。）脾
阳遏郁术和附。（白术一两。熟附子五钱。名术附汤。）若是卫阳 附投。（黄 一两。熟附
子五钱。名 附汤。）
喻嘉言曰。卫外之阳。不固而自汗。则用 附。脾中之阳。遏郁而自汗。则用术附。肾
中之阳。浮游而自汗。则用参附。凡属阳虚自汗。不能舍三方为治。三方之用大矣。然 附
可以治虚风。术附可以治寒湿。参附可以壮元神。三者亦交相为用。若用所当用。功效若神。
诚足贵也。
即术附汤减半。加炙甘草一钱五分。生姜三片。红枣二枚。水煎服。治风虚头重眩。苦
极不知食味。暖肌补中。益精气。喻嘉言曰。此方治肾气空虚之人。外风入肾。恰似鸟洞之
中。阴风惨惨。昼夜不息。风挟肾中浊阴之气。致逆上攻。其头间重眩之苦。至极难耐。兼
以胃气亦虚。不知食味。故方中全不用风门药。但用附子暖其水藏。白术甘草暖其土藏。水
土一暖。则浊阴之气。尽趋于下。而头苦重眩。及不知食味之证除矣。试观冬月井中水暖。
土中气暖。其浊阴之气。其不能出于地。岂更能加于天乎。制方之义。可谓精矣。此所以用
之而获近效也。
陈修园曰。喻嘉言之解甚超。但于益精气三字而略之。犹未识制方之神妙也。盖精者。
天一所生之水也。一。即阳也。阳。即气也。气。即火也。气为水母。阳为阴根。川流不息。
水之行。即火之用也。故方中君以附子。脾肾中有火以致水。水自不穷。俗医以熟地枸杞之
类。滋润为补。譬之无源之水。久停则污秽不堪矣。况本方中又有白术甘草。暖其土藏。脾
纳谷多。则津液旺。充血生精。以复其真阴之不足。难经所谓损其肾者益其精。内经所谓精
不足者补之以味。此方深得圣经之旨矣。故分而言之。经云。两神相搏。合而成形。尝先身
生。是谓精。附子补肾中之神。所以益精。经又云。上焦开发。宣五谷味。熏肤充身泽毛。
若雾露之溉。是谓气。白术甘草。入脾而宣布其气。所以益气。合而言之。精由气化。气由
精生。非一。亦非两也。悟得此方之妙。便知六味丸退热则有余。补水则不足。六味丸化气
行水则有余。补火致水则不足。他若张景岳自制大补元煎等汤。竟云补血补精。以熟地黄为
主。少则二三钱。多则一二两。无知妄作。误人匪少。何陈远公之石室秘 辨症奇闻。冯楚
瞻之锦囊。专宗此说。众盲为一盲所引。是可慨也。
见涩剂。
阴盛阳虚，汗液自然流出。肾阳虚脱导致的汗出，需寻求人参和附子。（人参一两，熟附子五钱，水煎服，名为参附汤。）脾阳被遏郁阻滞导致的汗出，需用白术和附子。（白术一两，熟附子五钱，名为术附汤。）若是卫阳虚弱导致的汗出，则投用黄芪和附子。（黄芪一两，熟附子五钱，名为芪附汤。）
喻嘉言说：卫外的阳气不固而自汗，则使用芪附汤；脾中的阳气被遏郁而自汗，则使用术附汤；肾中的阳气浮游无根而自汗，则使用参附汤。凡是属于阳虚自汗，不能离开这三方来治疗。这三方的作用很大啊。然而，芪附汤可以治疗虚风，术附汤可以治疗寒湿，参附汤可以壮元神。三者也可以互相配合使用。如果用在恰当的地方，功效神奇。确实值得珍视。
即术附汤减半用量，加入炙甘草一钱五分，生姜三片，红枣二枚，水煎服。治疗风虚引起的头重眩晕，痛苦至极，不知道食物味道。温暖肌肉，补益中气，增加精气。喻嘉言说：此方治疗肾气空虚的人，外风侵入肾脏，恰似鸟洞之中，阴风凄惨，昼夜不停。风挟带肾中浊阴之气，导致逆上攻冲，其头部沉重眩晕的痛苦，到了极难忍受的程度。兼有胃气也虚弱，不知道食物味道，所以方中完全不用治风的药物。只用附子温暖其水脏（肾），白术、甘草温暖其土脏（脾）。水土一旦温暖，那么浊阴之气，全部趋向于下，而头部苦于沉重眩晕，以及不知道食物味道的症状就消除了。试看冬天井中的水温暖，土中的气温暖，那浊阴之气，不能出于地面，难道更能加于天空吗？制定方剂的义理，可以说是精妙了。这就是之所以使用它而获得近效的原因。
陈修园说：喻嘉言的解释非常高超。但在“益精气”这三个字上略微忽略了，还是没有识得制方的神妙之处。大概精，是天一所生的水。一，就是阳。阳，就是气。气，就是火。气是水的母亲，阳是阴的根基。川流不息，水的运行，就是火的作用。所以方中以附子为君药，在脾肾中有火以致生水，水自然不会穷尽。俗医以熟地黄、枸杞之类，滋润作为补益，譬如同没有源头的水，久停则会污秽不堪。况且本方中又有白术、甘草，温暖其土脏。脾接纳谷物多，那么津液旺盛，充血生精，以恢复其真阴的不足。《难经》所谓损伤肾的，要益其精。《内经》所谓精不足的，要用味来补。此方深得经典的本旨啊。所以分开来说，《内经》云：两神相搏，合而成形，尝先身生，是谓精。附子补肾中的神，所以益精。《内经》又云：上焦开发，宣五谷味，熏肤充身泽毛，若雾露之溉，是谓气。白术、甘草，入脾而宣布其气，所以益气。合起来说，精由气化生，气由精生成。不是单一，也不是两个。悟得此方的妙处，便知道六味丸退热则有余，补水则不足；六味丸化气行水则有余，补火致水则不足。其他如张景岳自制的大补元煎等汤剂，竟说补血补精，以熟地黄为主，少则二三钱，多则一二两，无知妄作，误人不少。为何陈远公的《石室秘录》、《辨证奇闻》，冯楚瞻的《冯氏锦囊》，专门宗奉这种说法，众盲为一盲所引，真是可叹啊。
See Astringent Formulas.
When Yin is excessive and Yang is deficient, sweat flows spontaneously. For spontaneous sweating due to the collapse of Kidney Yang, seek Ginseng Radix et Rhizoma Rubra (Renshen) and Prepared Aconite Lateralis Radix (Fuzi). (Ginseng Radix et Rhizoma Rubra 1 liang, Prepared Aconite Lateralis Radix 5 qian, decocted in water, named Shenfu Decoction.) For spontaneous sweating due to the stagnation and depression of Spleen Yang, use Atractylodis Macrocephalae Rhizoma (Baizhu) and Prepared Aconite Lateralis Radix. (Atractylodis Macrocephalae Rhizoma 1 liang, Prepared Aconite Lateralis Radix 5 qian, named Zhufu Decoction.) If it is spontaneous sweating due to the deficiency of Defensive Yang, then administer Astragali Membranacei Radix (Huangqi) and Prepared Aconite Lateralis Radix. (Astragali Membranacei Radix 1 liang, Prepared Aconite Lateralis Radix 5 qian, named Qifu Decoction.)
Yu Jiayan said: When the Yang defending the exterior is not secure and causes spontaneous sweating, use Qifu Decoction; when the Yang within the Spleen is stagnant and depressed causing spontaneous sweating, use Zhufu Decoction; when the Yang within the Kidney is floating and rootless causing spontaneous sweating, use Shenfu Decoction. For all cases of spontaneous sweating belonging to Yang deficiency, one cannot abandon these three formulas for treatment. The utility of these three formulas is great indeed. However, Qifu Decoction can treat deficiency wind, Zhufu Decoction can treat cold-dampness, and Shenfu Decoction can strengthen the Yuan Spirit. The three can also be used interchangeably. If applied where appropriate, their efficacy is miraculous. They are truly worthy of value.
Take Zhufu Decoction but halve the dosage, add Honey-fried Glycyrrhizae Radix et Rhizoma (Zhigancao) 1 qian 5 fen, Fresh Zingiberis Rhizoma (Shengjiang) 3 slices, and Jujubae Fructus (Dazao) 2 pieces, decocted in water. It treats dizziness and heaviness of the head caused by wind-deficiency, suffering to the extreme, with loss of taste sensation. It warms the muscles and flesh, tonifies the Middle Jiao, and benefits essence and qi. Yu Jiayan said: This formula treats individuals with empty Kidney Qi, where external wind enters the Kidneys, resembling the chill inside a bird's hole, with cold winds ceaseless day and night. The wind carries the turbid Yin Qi of the Kidneys, causing it to rebel and attack upwards. The suffering of heavy dizziness in the head reaches an unbearable extreme. Accompanied by weak Stomach Qi leading to loss of taste, this formula completely avoids using wind-dispelling herbs. It only uses Prepared Aconite Lateralis Radix to warm the Water Organ (Kidney), and Atractylodis Macrocephalae Rhizoma and Honey-fried Glycyrrhizae Radix et Rhizoma to warm the Earth Organ (Spleen). Once the Water and Earth organs are warmed, the turbid Yin Qi will all descend downwards, and the symptoms of heavy dizziness in the head and loss of taste will be eliminated. Observe how in winter, the water in wells is warm, and the Qi in the soil is warm; the turbid Yin Qi cannot emerge from the ground, let alone affect the heavens. The principle of formulating this prescription can be called exquisite. This is why its use yields near-immediate effects.
Chen Xiuyuan said: Yu Jiayan's explanation is very profound. However, he slightly overlooked the phrase "benefits essence and qi," failing to fully recognize the divine subtlety of prescribing. Essence is essentially the Water generated by Tianyi (One). One is Yang. Yang is Qi. Qi is Fire. Qi is the mother of Water, and Yang is the root of Yin. Flowing endlessly, the movement of Water is the function of Fire. Therefore, the formula employs Prepared Aconite Lateralis Radix as the sovereign herb. By having Fire in the Spleen and Kidneys to generate Water, Water will naturally not be exhausted. Quack doctors use moistening tonics like Prepared Rehmanniae Radix (Shudihuang) and Lycii Fructus (Gouqi), which is like water without a source; if left stagnant for long, it becomes foul. Moreover, this formula contains Atractylodis Macrocephalae Rhizoma and Honey-fried Glycyrrhizae Radix et Rhizoma to warm the Earth Organ. When the Spleen processes more grain, Jin-Ye (Body Fluids) become abundant, blood fills, and essence is generated, thereby restoring the insufficiency of True Yin. As stated in the *Nan Jing* (Classic of Difficult Issues): "To treat damage to the Kidney, benefit its essence." As stated in the *Nei Jing* (Inner Canon): "For insufficiency of essence, tonify with flavor." This formula deeply captures the purport of the classics. Thus, speaking separately: The *Jing* (Classics) says, "Two spirits interact, combining to form shape, born before the body, this is called Essence." Prepared Aconite Lateralis Radix tonifies the Spirit within the Kidney, thus benefiting Essence. The *Jing* also says, "The Upper Jiao opens and develops, distributing the flavors of grain and food, steaming the skin, filling the body, and moistening hair, like mist and dew irrigating, this is called Qi." Atractylodis Macrocephalae Rhizoma and Honey-fried Glycyrrhizae Radix et Rhizoma enter the Spleen to distribute Qi, thus benefiting Qi. Speaking together, Essence is transformed by Qi, and Qi is generated by Essence. It is neither one nor two. Understanding the wonder of this formula reveals that Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) has excess in clearing heat but insufficiency in nourishing Water; it has excess in transforming Qi and promoting water metabolism but insufficiency in tonifying Fire to generate Water. Others, such as Zhang Jingyue's self-made Dabu Yuanjian (Great Tonification of the Origin Decoction) and other formulas, claim to tonify Blood and Essence, relying primarily on Prepared Rehmanniae Radix, using small doses of 2-3 qian or large doses of 1-2 liang. This is ignorant and reckless, misleading many people. Why do Chen Yuangong's *Shishi Milu* (Secret Records of the Stone Chamber) and *Bianzheng Qiwen* (Strange Questions on Syndrome Differentiation), as well as Feng Chuzhan's *Jinnang Xinyuan* (Silk Pouch New Source), exclusively follow this theory? Many blind men led by one blind man is truly lamentable.