(附论)
素问云。形不足者温之以气。精不足者补之以味。大抵病疮毒后。 热痛楚。心气烦壅。
胸膈妨闷。不能饮食。所以患疮毒人。须藉饮食滋味。以养其精。以助其真。不日可补安全。
经云。牌为仓廪之官。胃为水谷之海。主养四旁。须用调理进食为上。不然则真元虚耗。
形体 羸。恶气内攻。最难调护。可服茯苓开胃散。人参内补散。嘉禾散。仍兼服五香加犀
角人参黄 汤。排脓内补十宣散之类是也。参苓顺气散亦宜服之。
方
加味十全汤 老人痈疽后。补气血。进饮食不美用。
黄 (去叉芦锉令二寸长捶匾以冷盐汤温润蒸三次焙干锉) 大地黄(先洗焙干以酒洒
饭
上蒸十次锉焙干二味各一两) 人参(去芦切焙) 川芎(微焙) 大当归(去芦酒洗切去
头尾留
中焙干) 白茯苓(去皮切焙) 粉草(炙) 白芍药(拣有皮者直刮去皮切焙) 桂心(去
粗皮
淡者不见火切) 天台乌药(隆兴者可) 橘红(去白) 白术(米泔浸半日切焙麸炒黄) 北
五
味子(去梗微炒以上十一味各半两) 上 咀。每服一两。用水一碗。生姜五片。枣二枚。
同
煎至八分碗。去滓取清汁。分作二服。留滓晒干。碾为细末。后常服再用姜枣煎服。
人参内补散
芍药 黄芩(去心) 茯苓(去皮各三两) 粉草(一两半炙) 桂心(不见火) 人
参(去芦
各一两) 麦门冬(去心) 当归(酒浸去芦焙) 熟地黄(洗净焙) 木香(不见火各二
两) 上
为细末。每服二钱。水一盏。姜三片。枣一枚。煎至八分。无时温服。
蔷薇丸 治风湿体痛。不能饮食。兼痈疽后补虚羸。
蔷薇根 枸杞根(各一百斤) 食蜜 生地黄(各十斤) 上 咀。先以水煮二根令味
浓。
取二斛去滓。次内地黄煮令烂。绞去滓。微火煎令如粥。次内蜜搅令相得。每食后服。如弹
丸许。
(附论)
《素问》说:形体虚弱的人,用补气的方法温养;精气不足的人,用滋味的药物补益。大抵疮毒病后,患者感到热痛苦楚,心气烦闷壅滞,胸膈部妨碍胀闷,不能进食。所以患疮毒的人,必须依靠饮食的滋味,来滋养其精血,以助益其真气,不久即可补益而痊愈。
经典说:脾是仓廪之官,胃是水谷之海,主要滋养四肢百骸。必须采用调理脾胃、促进进食为上策。否则就会真元虚耗,形体瘦弱,恶邪之气内攻,最难调护。可以服用茯苓开胃散、人参内补散、嘉禾散。同时兼服五香加犀角人参黄芪汤、排脓内补十宣散之类的方剂。参苓顺气散也适宜服用。
方剂
加味十全汤 用于老人痈疽病后,补益气血,增进饮食不佳的情况。
黄芪(去除叉芦,锉成二寸长,捶扁,用冷盐汤温润蒸三次,焙干后再锉);生地黄(先洗净焙干,洒上酒,放在饭上蒸十次,锉碎焙干。这两味药各一两);人参(去芦头,切片焙干);川芎(微焙);当归(去芦头,酒洗,切片,去掉头尾,保留中间部分焙干);白茯苓(去皮,切片焙干);甘草(炙);白芍药(挑选有皮的,直刮去皮,切片焙干);桂心(去掉粗皮,淡色的不经过火烤,切片);天台乌药(隆兴产的质量好);橘红(去掉白色内瓤);白术(米泔水浸泡半天,切片焙干,麸炒至黄色);北五味子(去梗,微炒。以上十一味药各半两)。以上药材捣碎。每次服用一两,用水一碗,生姜五片,大枣二枚,同煎至八分满,去渣取清汁,分两次服用。留下的药渣晒干,碾为细末,以后常服时再用姜枣煎汤送服。
人参内补散
芍药、黄芩(去心)、茯苓(去皮,各三两);甘草(一两半,炙);桂心(不经过火烤);人参(去芦头,各一两);麦门冬(去心);当归(酒浸,去芦头,焙干);熟地黄(洗净焙干);木香(不经过火烤,各二两)。以上药材研为细末。每次服用二钱,用水一盏,生姜三片,大枣一枚,煎至八分满,随时温服。
蔷薇丸 治疗风湿引起的身体疼痛,不能进食,兼治痈疽病后补益虚弱的症状。
蔷薇根、枸杞根(各一百斤);食蜜、生地黄(各十斤)。以上药材捣碎。先用清水煮两根,使味道浓厚。取二斛药液,去渣。然后放入地黄煮烂,绞去渣。用微火煎至如粥状。再放入蜂蜜,搅拌使其融合。每次饭后服用,如弹丸大小。
(Attached Discussion)
The *Suwen* (Basic Questions) states: For those with deficiency of form, warm them with Qi-tonifying methods; for those with deficiency of essence, tonify them with flavorful substances. Generally, after a disease of sores and toxins, patients suffer from heat, pain, and distress, with vexation and stagnation of Heart Qi, and oppression and fullness in the chest and diaphragm, leading to an inability to eat. Therefore, patients suffering from sores and toxins must rely on the flavors of food and drink to nourish their essence and assist their true Qi, so that they may be replenished and recover soon.
The classics state: The Spleen is the official of the granaries, and the Stomach is the sea of water and grain, primarily responsible for nourishing the four extremities. It is essential to regulate the Spleen and Stomach and promote appetite as the primary strategy. Otherwise, the True Yuan will be depleted, the body will become emaciated, and pathogenic evil qi will attack internally, making it extremely difficult to manage. One may take Fuling KaWei San (Poria Appetite-Opening Powder), Renshen Neibu San (Ginseng Internal-Tonification Powder), or Jiahe San (Harvesting Grain Powder). Additionally, one may concurrently take Wuxiang Jia Xijiao Renshen Huangqi Tang (Five-Spice Decoction with Rhinoceros Horn, Ginseng, and Astragalus) or Paiong Neibu Shixuan San (Draining Pus and Internal-Tonification Ten-Auspicious Powder), among others. Shenling Shunqi San (Ginseng and Poria Regulating-Qi Powder) is also suitable.
Prescriptions
Jiawei Shiquan Tang (Modified Perfect Ten Decoction) Used for elderly patients after carbuncles and ulcers, to tonify Qi and Blood, and improve poor appetite.
Huangqi (Astragali Radix) (Remove the forked rootlets, cut into two-cun lengths, beat flat, moisten with cold salt water, steam three times, dry-roast, then cut); Dihuang (Rehmanniae Radix) (First wash and dry-roast, sprinkle with wine, steam ten times over rice, cut, and dry-roast. These two herbs are each used in 1 liang); Renshen (Ginseng Radix) (Remove rhizome, slice, dry-roast); Chuanxiong (Ligustici Chuanxiong Rhizoma) (Lightly dry-roast); Danggui (Angelicae Sinensis Radix) (Remove rhizome, wash with wine, slice, remove head and tail, keep the middle part, and dry-roast); Baifuling (Poria) (Remove bark, slice, dry-roast); Gancao (Glycyrrhizae Radix et Rhizoma) (Honey-fried or roasted); Baishaoyao (Paeoniae Radix Alba) (Select those with bark, scrape off bark vertically, slice, and dry-roast); Guixin (Cinnamomi Ramulus) (Remove rough bark, select pale ones not exposed to direct fire, slice); Tiantai Yutiao (Illicii Fructus) (Those from Longxing are preferable); Juhong (Citri Reticulatae Pericarpium Rubrum) (Remove white pith); Baizhu (Atractylodis Macrocephalae Rhizoma) (Soak in rice washing water for half a day, slice, dry-roast, stir-fry with bran until yellow); Bei Wuweizi (Schisandrae Chinensis Fructus) (Remove stems, lightly stir-fry. The above eleven herbs are each used in 0.5 liang). Coarsely crush the herbs. Take 1 liang per dose, add one bowl of water, five slices of fresh ginger, and two jujubes. Decoct together until reduced to 0.8 bowl. Strain and retain the clear liquid. Divide into two doses. Reserve the dregs, dry them in the sun, grind into fine powder, and use for subsequent daily maintenance by decocting with ginger and jujube.
Renshen Neibu San (Ginseng Internal-Tonification Powder)
Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix) (Remove heart), Fuling (Poria) (Remove bark, each 3 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 liang, roasted); Guixin (Cinnamomi Ramulus) (Not exposed to direct fire); Renshen (Ginseng Radix) (Remove rhizome, each 1 liang); Maimendong (Ophiopogonis Radix) (Remove heart); Danggui (Angelicae Sinensis Radix) (Soak in wine, remove rhizome, dry-roast); Shudihuang (Rehmanniae Radix Preparata) (Wash clean and dry-roast); Muxiang (Aucklandiae Radix) (Not exposed to direct fire, each 2 liang). Grind all into fine powder. Take 2 qian per dose, add one cup of water, three slices of fresh ginger, and one jujube. Decoct until reduced to 0.8 cup. Take warm at any time.
Qiangwei Wan (Rose Pill) Treats body pain due to wind-dampness, inability to eat, and additionally tonifies deficiency and emaciation after carbuncles and ulcers.
Qiangwei Gen (Rosae Root) and Gouqigen (Lycii Radix) (each 100 jin); Shimie (Edible Honey) and Shengdihuang (Rehmanniae Radix Recens) (each 10 jin). Coarsely crush the herbs. First, boil the two roots in water until the flavor is strong. Obtain two hu of liquid, strain out the dregs. Then add the Dahuang, boil until soft, squeeze out the dregs. Simmer over low heat until thick like porridge. Then add honey and stir until well combined. Take after each meal, in pills the size of a bullet.