夫虚劳之人。阳气不足。水饮下咽。入于胃府。不能流传。致多痰饮。其候胸膈痞闷。
倚息短气。怠惰嗜卧。心下悸动。咳嗽痰水。不欲饮食。是也。治法宜调顺三焦。升降阴阳。
使气道通流。则痰饮自消。
方
枇杷叶汤 治虚劳气逆。呕吐。痰饮。兼治脾胃不和。
枇杷叶(刷去毛生姜汁浸炙) 前胡(去芦头) 桔梗(炒各三分) 藿香叶 人参 白
术
(各一两一分) 白茯苓(去黑皮) 五味子 木香 京三棱(煨锉) 木通(锉) 鳖甲
(去裙 醋
炙黄) 甘草(炙) 白芷 防风(去叉) 浓朴(去皮生姜汁浸各五钱) 当归 芍药 牡
丹皮
知母(焙) 枳壳(去瓤麸炒各一两) 半夏(一两汤浸洗七遍去滑) 泽泻 大腹皮(锉)
诃黎
勒皮(各三分) 上粗捣筛。每服五钱。水一盏半。生姜一分。拍碎。枣二枚擘破。同煎至
八
分
木香汤 治脾胃虚冷。痰饮不消。心腹时痛。
木香 半夏(汤洗七遍去滑) 人参 赤茯苓(去黑皮) 白术(各一分) 干姜(炮)
甘草
(炙锉) 桂皮(去粗皮) 浓朴(去粗皮涂姜汁炙) 枳壳(去瓤麸炒各五钱) 陈橘皮
(汤浸去
白焙一两) 草豆蔻(去皮二个) 槟榔(鸡心大者一个锉) 诃黎勒(五个煨去核) 上
粗捣
筛。每服五钱。水一盏半。枣二枚擘破。生姜一分拍碎同煎。取八分。去滓热服。不计时候。
五补汤 治虚劳痰饮。脾胃不和。四肢乏力。不思饮食。
五味子 黄 (锉) 白术(各一两) 桂(去粗皮) 人参 浓朴(去粗皮涂姜汁炙
熟) 白
茯苓(去黑皮) 当归(切焙) 甘草(炙锉) 沉香(锉) 熟干地黄(焙) 陈橘皮(汤
浸去白焙)
半夏(汤洗七遍去滑各五钱) 上粗捣筛。每服三钱。水一盏。生姜一小块拍碎。枣二枚同
煎
至七分。去滓温服食前。
黄 汤(出千金方)治虚劳不足。四肢烦疼。脾胃虚冷。痰饮停积。不欲食。
食即胀汗出。
黄 (锉焙) 甘草(炙锉) 当归(切焙) 细辛(去苗叶) 人参 五味子(去茎
叶) 桂
(去粗皮各五钱) 芍药(三分) 前胡(去芦头一分) 白茯苓(去黑皮一两) 半夏(汤
浸去滑
焙干) 麦门冬(去心焙各二两) 上粗捣筛。每服五钱。水一盏半。生姜半分拍碎。枣三
枚去
核。煎至一盏去滓。分温二服。空心一服。如人行三五里再服。深师方治虚乏。四肢沉重。
或口干吸吸少气。小便利。诸不足者。无麦门冬、五味子、细辛、前胡。有桑螵蛸一十枚。
治丈夫虚劳风冷。少损或大病后未平复。而早牵劳。腰背强直。脚中疼弱。补诸不足者。无
五味子、细辛。有远志、橘皮各二两。蜀椒一两。乌头三枚。短剧方。治虚劳少气。小便过
多者。无五味子、细辛、人参、前胡、茯苓、半夏。有黄芩一两。地黄二两。以水九升。
煮取三升。治虚劳。胸中客气。塞冷癖痞。宿食不消。吐噫胁间水气。或流饮肠鸣。食不生
肌肉。头疼上重下轻。目KT KT 忽忽。去来躁热。卧不得安。小腹急。小便赤。余沥。
临事不起。阴下湿。或小便白浊。伤多者。无麦门冬、五味子、当归、细辛、前胡、茯苓、
半夏。有浓朴二两。胡洽方。治五脏内伤者。无麦门冬、五味子、当归、细辛、前胡、茯苓。
名大黄 汤。延年秘录方。主补虚损。强肾气者。无麦门冬、五味子、细辛、前胡。有防风
芎各三两。
半夏散(出圣惠方)治虚劳痰饮。心腹烦满。不欲饮食。
半夏(汤洗七遍去滑二两) 防风(五钱去芦头) 大腹皮(三分锉) 麦门冬(三分
去心焙)
枇杷叶(五钱拭去毛炙微黄) 白茯苓 白术 桔梗(去芦头) 青橘皮(汤浸去白瓤焙) 前
胡
(
每服
四钱。以水一中盏。入生姜半分同煎至六分。去滓。不计时候稍热服。
桔梗散(出圣惠方)治虚劳痰饮。胸胁气不利。
桔梗(去芦头) 柴胡(各一两去苗) 赤芍药 赤茯苓(各三分) 旋复花(五钱) 五
味子
(三分) 人参(一两去芦头) 鳖甲(涂醋炙微黄去裙 ) 陈橘皮(各一两汤浸去白瓤
焙) 白
术槟榔(各三分) 甘草(一分炙微赤锉) 上为散。每服三钱。以水一中盏。入生姜半
分。
枣
草豆蔻丸(出圣惠方)治虚劳脾胃气弱。痰饮不散。呕逆不下食。
草豆蔻(去皮) 桂心(各五钱) 丁香(一分) 高良姜(五钱锉) 附子(炮裂去
皮脐) 半
夏(汤洗七遍去滑) 人参(各五钱去芦头) 白茯苓 诃黎勒(各三分煨用皮) 白豆蔻
(五钱
去皮) 陈橘皮(三两汤浸去白瓤焙) 浓朴(一两去粗皮涂生姜汁炙令香熟) 上为末。
酒煮
面糊为丸。如梧桐子大。每服食前以姜枣汤下二十丸。
白术汤 治虚劳痰饮。心胸烦满。气逆呕吐。补暖水脏。和益脾胃。
白术 木香 白茯苓(去黑皮) 草豆蔻(去皮) 人参 陈橘皮(汤浸去白焙) 桂
(去粗
皮) 枳壳(去瓤麸炒) 细辛(去苗叶) 神曲末(各五钱) 诃黎勒(三枚煨取皮用) 上
粗捣
筛。每服三钱。水一中盏。入盐少许。生姜五片。煎至七分。去滓空心热服。
枇杷叶散(出圣惠方)治虚劳。消痰饮。顺气思食宜服。
枇杷叶(五钱刷去毛炙微黄) 前胡(一两去芦头) 半夏(汤洗七遍去滑) 人参(去
芦头
各二分) 大腹皮(锉) 桂心(各五钱) 白茯苓 白术(各一两) 陈橘皮(三分汤浸
去白瓤
焙) 木香 甘草(炙微赤锉各五钱) 上为散。每服三钱。以水一中盏。入生姜半分。煎
至六分。去滓。不计时候稍热服。
人参半夏汤(出王氏博济方)治虚劳脾胃不调。痰饮留滞。心胸烦闷。不思饮
食。呕逆头眩
人参 半夏(汤洗七遍去滑) 赤茯苓(去黑皮各一两) 大腹皮(二枚) 前胡(去
芦头)
陈橘皮(汤洗去白焙) 枇杷叶(去毛炙) 鳖甲(去裙 醋炙黄) 柴胡(去苗各三分) 芍
药
(五钱)上粗捣筛。每服三钱。水一盏生姜三片。同煎至七分。去滓温服。食后。一方用白
茯苓加枣煎。
茯苓汤 治五劳七伤。脾胃气弱。痰饮不消。胸满气逆。呕吐减食。
赤茯苓(去黑皮) 前胡(去芦头) 人参 附子(炮裂去皮脐各五钱) 黄 (锉) 鳖
甲
(去裙 醋浸炙黄) 半夏(汤洗七遍去滑炒干各一两) 陈橘皮(汤浸去白焙) 木香(各
一分)
上粗捣筛。每服三钱。水一盏。生姜半分拍碎。枣二枚去核。煎至六分。去滓空腹温服。日
午临卧再服之。
旋复花丸(出圣惠方)治虚劳。胸膈积聚痰饮。不思食。
旋复花(五钱) 细辛(三分) 前胡(一两去芦头) 桂心(三分) 赤茯苓(一两)
半夏
(汤洗七遍去滑三分) 枳实(三分麸炒微黄) 枇杷叶(二分拭去毛炙令黄) 诃黎勒皮
(一两)
上
半夏汤 治虚劳寒热进退。痰饮不消。四肢拘急。手足时冷。
半夏(汤浸去滑焙干) 槟榔(各五钱) 柴胡(去苗) 桔梗(炒) 人参 赤茯苓
(去黑皮)
白术(各三两) 陈橘皮(去白三分) 上粗捣每服五钱。水一盏半。生姜一分拍碎。煎至
一盏。
去滓空腹分温二服。
橘皮汤 治虚劳痰饮。不思饮食。胸满气逆。
陈橘皮(汤浸去白焙三分) 半夏(汤洗七遍去滑麸炒黄色) 大腹皮(锉) 赤茯苓
(去黑
皮) 芍药(各五钱) 前胡(去芦头) 枇杷叶(去毛炙各三分) 上粗捣筛。每服三钱。
水一
盏。生姜半分拍破。煎至六分。去滓。不拘时候温服。
前胡散(出圣惠方)治虚劳心胸痰饮不散。少欲饮食。
前胡(一两五钱去芦头) 旋复花(五钱) 桑根白皮(一两锉) 陈橘皮(一两汤浸
去白
焙) 枇杷叶(一两拭去毛炙微黄) 白术(一两) 上为散。每服三钱。水一中盏。入生
姜半
分。煎至六分。去滓。不计时候稍热服。
桂心散(出圣惠方)治虚劳痰饮。呕吐涎沫。\x
桂心(一两) 甘草(五钱炙微赤锉) 皂荚(三寸去皮涂醋炙微黄焦去子) 白术(三
分)
陈橘皮(一两汤浸去白焙) 前胡(三分去芦头) 上为散。每服三钱。以水一中盏。入生
姜半
分
虚劳病患者,阳气不足。水饮进入胃腑后,无法正常输布流传,从而产生大量痰饮。其症状表现为胸膈部痞塞闷胀,呼吸急促需倚靠物体支撑,气短乏力,精神倦怠嗜睡,心下悸动不安,咳嗽伴有痰水,食欲不振。治疗原则应当调理三焦(人体上、中、下三个脏腑功能区域),调节阴阳升降,使气道通畅流利,则痰饮自然消除。
方剂:
枇杷叶汤:治疗虚劳导致的气机上逆、呕吐、痰饮,兼治脾胃不和。
药材:枇杷叶(刷去毛,用生姜汁浸泡后炙烤)、前胡(去芦头)、桔梗(炒制,各三分)、藿香叶、人参、白术(各一两一分)、白茯苓(去黑皮)、五味子、木香、京三棱(煨制锉碎)、木通(锉碎)、鳖甲(去裙边,醋炙至黄)、甘草(炙烤)、白芷、防风(去叉枝)、浓朴(去皮,用生姜汁浸泡,各五钱)、当归、芍药、牡丹皮、知母(焙干)、枳壳(去瓤,麸炒,各一两)、半夏(一两,用水浸泡清洗七遍去滑腻)、泽泻、大腹皮(锉碎)、诃黎勒皮(各三分)。以上药材粗捣筛过。每次服用五钱,加水一盏半,生姜一分拍碎,大枣二枚掰开,同煎至八分,去渣温服。
木香汤:治疗脾胃虚冷,痰饮不消,心腹部时常疼痛。
药材:木香、半夏(用水清洗七遍去滑腻)、人参、赤茯苓(去黑皮)、白术(各一分)、干姜(炮制)、甘草(炙烤锉碎)、桂皮(去粗皮)、浓朴(去粗皮,涂姜汁炙烤)、枳壳(去瓤,麸炒,各五钱)、陈橘皮(用水浸泡去白瓤焙干,一两)、草豆蔻(去皮,两个)、槟榔(鸡心大小者一个,锉碎)、诃黎勒(五个,煨制去核)。以上药材粗捣筛过。每次服用五钱,加水一盏半,大枣二枚掰开,生姜一分拍碎,同煎取八分,去渣热服,不限时候。
五补汤:治疗虚劳痰饮,脾胃不和,四肢乏力,不思饮食。
药材:五味子、黄芪(锉碎)、白术(各一两)、桂(去粗皮)、人参、浓朴(去粗皮,涂姜汁炙熟)、白茯苓(去黑皮)、当归(切块焙干)、甘草(炙烤锉碎)、沉香(锉碎)、熟干地黄(焙干)、陈橘皮(用水浸泡去白瓤焙干)、半夏(用水清洗七遍去滑腻,各五钱)。以上药材粗捣筛过。每次服用三钱,加水一盏,生姜一小块拍碎,大枣二枚,同煎至七分,去渣饭前温服。
黄芪汤(出自《千金方》):治疗虚劳不足,四肢烦疼,脾胃虚冷,痰饮停积,不欲饮食,进食即腹胀出汗。
药材:黄芪(锉碎焙干)、甘草(炙烤锉碎)、当归(切块焙干)、细辛(去苗叶)、人参、五味子(去茎叶)、桂(去粗皮,各五钱)、芍药(三分)、前胡(去芦头,一分)、白茯苓(去黑皮,一两)、半夏(用水浸泡去滑腻焙干)、麦门冬(去心焙干,各二两)。以上药材粗捣筛过。每次服用五钱,加水一盏半,生姜半分拍碎,大枣三枚去核,煎至一盏,去渣,分两次温服。空腹服一次,如人行走三五里后再服一次。《深师方》治疗虚乏,四肢沉重,或口干吸气少气,小便频多,诸般不足者,此方去麦门冬、五味子、细辛、前胡,加桑螵蛸十枚。治疗男子虚劳风冷,房事过度或大病后未恢复而早作劳累,腰背强直,脚中疼痛软弱,补益诸不足者,去五味子、细辛,加远志、橘皮各二两,蜀椒一两,乌头三枚。《短剧方》治疗虚劳少气,小便过多者,去五味子、细辛、人参、前胡、茯苓、半夏,加黄芩一两,地黄二两,用水九升,煮取三升。治疗虚劳,胸中客气,寒癖痞块,宿食不消,吐噫胁间水气,或流饮肠鸣,饮食不生肌肉,头疼上重下轻,目眩忽忽,往来躁热,卧不得安,小腹急,小便赤,余沥不尽,临事不起,阴下湿,或小便白浊。伤重者,去麦门冬、五味子、当归、细辛、前胡、茯苓、半夏,加浓朴二两。《胡洽方》治疗五脏内伤者,去麦门冬、五味子、当归、细辛、前胡、茯苓,名为大黄汤。《延年秘录方》主补虚损,强肾气者,去麦门冬、五味子、细辛、前胡,加防风、川芎各三两。
半夏散(出自《圣惠方》):治疗虚劳痰饮,心腹烦满,不欲饮食。
药材:半夏(用水清洗七遍去滑腻,二两)、防风(五钱,去芦头)、大腹皮(三分,锉碎)、麦门冬(三分,去心焙干)、枇杷叶(五钱,拭去毛炙微黄)、白茯苓、白术、桔梗(去芦头)、青橘皮(用水浸泡去白瓤焙干)、前胡(去芦头)。每服四钱,以水一中盏,入生姜半分,同煎至六分,去渣,不限时候稍热服。
桔梗散(出自《圣惠方》):治疗虚劳痰饮,胸胁气机不利。
药材:桔梗(去芦头)、柴胡(各一两,去苗)、赤芍药、赤茯苓(各三分)、旋复花(五钱)、五味子(三分)、人参(一两,去芦头)、鳖甲(涂醋炙微黄,去裙边)、陈橘皮(各一两,用水浸泡去白瓤焙干)、白术、槟榔(各三分)、甘草(一分,炙微赤锉碎)。以上研为散。每次服用三钱,以水一中盏,入生姜半分,大枣二枚,同煎至六分,去渣温服。
草豆蔻丸(出自《圣惠方》):治疗虚劳脾胃气弱,痰饮不散,呕逆不下食。
药材:草豆蔻(去皮)、桂心(各五钱)、丁香(一分)、高良姜(五钱,锉碎)、附子(炮裂去皮脐)、半夏(用水清洗七遍去滑腻)、人参(各五钱,去芦头)、白茯苓、诃黎勒(各三分,煨用皮)、白豆蔻(五钱,去皮)、陈橘皮(三两,用水浸泡去白瓤焙干)、浓朴(一两,去粗皮涂生姜汁炙令香熟)。以上研为末,酒煮面糊为丸,如梧桐子大。每次饭前以姜枣汤送下二十丸。
白术汤:治疗虚劳痰饮,心胸烦满,气逆呕吐,补暖水脏,和益脾胃。
药材:白术、木香、白茯苓(去黑皮)、草豆蔻(去皮)、人参、陈橘皮(用水浸泡去白瓤焙干)、桂(去粗皮)、枳壳(去瓤,麸炒)、细辛(去苗叶)、神曲末(各五钱)、诃黎勒(三枚,煨取皮用)。以上粗捣筛过。每次服用三钱,加水一中盏,入盐少许,生姜五片,煎至七分,去渣空腹热服。
枇杷叶散(出自《圣惠方》):治疗虚劳,消痰饮,顺气思食宜服。
药材:枇杷叶(五钱,刷去毛炙微黄)、前胡(一两,去芦头)、半夏(用水清洗七遍去滑腻)、人参(去芦头,各二分)、大腹皮(锉碎)、桂心(各五钱)、白茯苓、白术(各一两)、陈橘皮(三分,用水浸泡去白瓤焙干)、木香、甘草(炙微赤锉碎,各五钱)。以上研为散。每次服用三钱,以水一中盏,入生姜半分,煎至六分,去渣,不限时候稍热服。
人参半夏汤(出自《王氏博济方》):治疗虚劳脾胃不调,痰饮留滞,心胸烦闷,不思饮食,呕逆头眩。
药材:人参、半夏(用水清洗七遍去滑腻)、赤茯苓(去黑皮,各一两)、大腹皮(二枚)、前胡(去芦头)、陈橘皮(用水清洗去白瓤焙干)、枇杷叶(去毛炙)、鳖甲(去裙边,醋炙黄)、柴胡(去苗,各三分)、芍药(五钱)。以上粗捣筛过。每次服用三钱,加水一盏,生姜三片,同煎至七分,去渣饭后温服。一方用白茯苓加枣煎。
茯苓汤:治疗五劳七伤,脾胃气弱,痰饮不消,胸满气逆,呕吐减食。
药材:赤茯苓(去黑皮)、前胡(去芦头)、人参、附子(炮裂去皮脐,各五钱)、黄芪(锉碎)、鳖甲(去裙边,醋浸炙黄)、半夏(用水清洗七遍去滑腻炒干,各一两)、陈橘皮(用水浸泡去白瓤焙干)、木香(各一分)。以上粗捣筛过。每次服用三钱,加水一盏,生姜半分拍碎,大枣二枚去核,煎至六分,去渣空腹温服,日午及临卧时再服。
旋复花丸(出自《圣惠方》):治疗虚劳,胸膈积聚痰饮,不思食。
药材:旋复花(五钱)、细辛(三分)、前胡(一两,去芦头)、桂心(三分)、赤茯苓(一两)、半夏(用水清洗七遍去滑腻,三分)、枳实(三分,麸炒微黄)、枇杷叶(二分,拭去毛炙令黄)、诃黎勒皮(一两)。以上研为末,炼蜜为丸,如梧桐子大。每次服用二十丸,姜汤送下。
半夏汤:治疗虚劳寒热进退,痰饮不消,四肢拘急,手足时冷。
药材:半夏(用水浸泡去滑腻焙干)、槟榔(各五钱)、柴胡(去苗)、桔梗(炒)、人参、赤茯苓(去黑皮)、白术(各三两)、陈橘皮(去白,三分)。以上粗捣,每次服用五钱,加水一盏半,生姜一分拍碎,煎至一盏,去渣空腹分两次温服。
橘皮汤:治疗虚劳痰饮,不思饮食,胸满气逆。
药材:陈橘皮(用水浸泡去白瓤焙干,三分)、半夏(用水清洗七遍去滑腻,麸炒黄色)、大腹皮(锉碎)、赤茯苓(去黑皮)、芍药(各五钱)、前胡(去芦头)、枇杷叶(去毛炙,各三分)。以上粗捣筛过。每次服用三钱,加水一盏,生姜半分拍破,煎至六分,去渣,不拘时候温服。
前胡散(出自《圣惠方》):治疗虚劳心胸痰饮不散,少欲饮食。
药材:前胡(一两五钱,去芦头)、旋复花(五钱)、桑根白皮(一两,锉碎)、陈橘皮(一两,用水浸泡去白瓤焙干)、枇杷叶(一两,拭去毛炙微黄)、白术(一两)。以上研为散。每次服用三钱,加水一中盏,入生姜半分,煎至六分,去渣,不限时候稍热服。
桂心散(出自《圣惠方》):治疗虚劳痰饮,呕吐涎沫。
药材:桂心(一两)、甘草(五钱,炙微赤锉碎)、皂荚(三寸,去皮涂醋炙微黄焦,去子)、白术(三分)、陈橘皮(一两,用水浸泡去白瓤焙干)、前胡(三分,去芦头)。以上研为散。每次服用三钱,以水一中盏,入生姜半分,煎至六分,去渣温服。
In patients with deficiency consumptive disease (Xu Lao), yang qi is insufficient. When water and fluids enter the stomach, they fail to circulate properly, leading to the accumulation of excessive phlegm-fluids (Tan Yin). The manifestations include chest and diaphragm stuffiness and oppression, orthopnea (relying on objects to breathe) with shortness of breath, lethargy and drowsiness, palpitations in the epigastrium, coughing with sputum and fluid retention, and anorexia. The treatment principle should be to regulate the San Jiao (Triple Burner), ascend and descend yin and yang, and ensure the smooth flow of the air passages, so that the phlegm-fluids will naturally dissipate.
Formulas:
Pipaye Tang (Loquat Leaf Decoction): Treats qi rebellion due to deficiency consumptive disease, vomiting, and phlegm-fluids; also treats spleen-stomach disharmony.
Ingredients: Loquat Leaf (Eriobotryae Folium, brushed clean of hairs, soaked in fresh ginger juice and roasted), Peucedani Radix (Qian Hu, de-radicle), Platycodonis Radix (Jie Geng, stir-fried, each 3 fen), Agastache Herba (Huoxiang Ye), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 liang 1 fen), Poria (Fuling, black skin removed), Schisandrae Fructus (Wuweizi), Aucklandiae Radix (Muxiang), Bupleuri Radix (Jingsanleng, roasted and crushed), Akebia Caulis (Mutong, crushed), Testudinis et Chelonis Carapax et Plastrum (Biejia, skirt removed, vinegar-roasted until yellow), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng, forked parts removed), Magnoliae Officinalis Cortex (Noupu, bark removed, soaked in ginger juice, each 5 qian), Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Moutan Cortex (Mudanpi), Anemarrhenae Rhizoma (Zhimu, baked), Aurantii Fructus Immaturus (Zhike, pith removed, bran-roasted, each 1 liang), Pinelliae Rhizoma (Banxia, 1 liang, soaked in water, washed seven times to remove slipperiness), Alismatis Rhizoma (Zexie), Arecae Pericarpium (Dafupi, crushed), Terminalia Chebulae Fructus (Helile Pi, each 3 fen). Coarsely grind and sieve. Take 5 qian per dose, add 1.5 zhan of water, 1 fen of fresh ginger (smashed), and 2 jujubes (split). Decoct until 0.8 zhan remains.
Muxiang Tang (Aucklandia Decoction): Treats cold-deficiency of the spleen and stomach, undissipated phlegm-fluids, and intermittent pain in the heart and abdomen.
Ingredients: Aucklandiae Radix (Muxiang), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness), Ginseng Radix et Rhizoma (Renshen), Polyporus (Chifuling, black skin removed), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 fen), Zingiberis Rhizoma Recens (Ganjiang, processed), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and crushed), Cinnamomi Cortex (Guipi, coarse bark removed), Magnoliae Officinalis Cortex (Noupu, coarse bark removed, coated with ginger juice and roasted), Aurantii Fructus Immaturus (Zhike, pith removed, bran-roasted, each 5 qian), Citri Reticulatae Pericarpium (Chenju Pi, soaked in water, white pith removed, baked, 1 liang), Cardamomi Rotundae Fructus (Caodoukou, peeled, 2 fruits), Areca Semen (Binglang, one chicken-heart sized fruit, crushed), Terminalia Chebulae Fructus (Helile, 5 fruits, roasted and pitted). Coarsely grind and sieve. Take 5 qian per dose, add 1.5 zhan of water, 2 jujubes (split), and 1 fen of fresh ginger (smashed). Decoct until 0.8 zhan remains. Strain and take hot, at any time.
Wubu Tang (Five-Tonics Decoction): Treats deficiency consumptive disease with phlegm-fluids, spleen-stomach disharmony, limb weakness, and anorexia.
Ingredients: Schisandrae Fructus (Wuweizi), Astragali Radix (Huangqi, crushed), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 liang), Cinnamomi Ramulus (Gui, coarse bark removed), Ginseng Radix et Rhizoma (Renshen), Magnoliae Officinalis Cortex (Noupu, coarse bark removed, coated with ginger juice and cooked), Poria (Fuling, black skin removed), Angelicae Sinensis Radix (Danggui, sliced and baked), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and crushed), Aquilariae Lignum Resinatum (Chenxiang, crushed), Rehmanniae Radix Praeparata (Shudihuang, baked), Citri Reticulatae Pericarpium (Chenju Pi, soaked in water, white pith removed, baked), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness, each 5 qian). Coarsely grind and sieve. Take 3 qian per dose, add 1 zhan of water, a small piece of fresh ginger (smashed), and 2 jujubes. Decoct until 0.7 zhan remains. Strain and take warm before meals.
Huangqi Tang (Astragalus Decoction) [from Qianjin Fang]: Treats insufficiency from deficiency consumptive disease, vexatious pain in limbs, cold-deficiency of spleen and stomach, stagnation of phlegm-fluids, anorexia, abdominal distension and sweating upon eating.
Ingredients: Astragali Radix (Huangqi, crushed and baked), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and crushed), Angelicae Sinensis Radix (Danggui, sliced and baked), Asari Radix et Rhizoma (Xixin, seedlings and leaves removed), Ginseng Radix et Rhizoma (Renshen), Schisandrae Fructus (Wuweizi, stems and leaves removed), Cinnamomi Ramulus (Gui, coarse bark removed, each 5 qian), Paeoniae Radix (Shaoyao, 3 fen), Peucedani Radix (Qianhu, de-radicle, 1 fen), Poria (Fuling, black skin removed, 1 liang), Pinelliae Rhizoma (Banxia, soaked in water to remove slipperiness and baked dry), Ophiopogonis Radix (Maimendong, core removed and baked, each 2 liang). Coarsely grind and sieve. Take 5 qian per dose, add 1.5 zhan of water, 0.5 fen of fresh ginger (smashed), and 3 jujubes (pitted). Decoct until 1 zhan remains. Strain and divide into two warm doses. Take one dose on an empty stomach; take the second dose after walking for three to five li.
*Modifications from other texts:*
- *Shenshi Fang*: For deficiency fatigue, heavy limbs, dry mouth with shallow breathing, frequent urination, and general insufficiency. Remove Ophiopogonis Radix, Schisandrae Fructus, Asari Radix et Rhizoma, Peucedani Radix. Add Mantidis Oötheca (Sangpiaoxiao) 10 pieces.
- For men with deficiency consumptive disease due to wind-cold, excessive sexual activity, or premature labor after severe illness, resulting in stiff back/waist and weak/painful legs. Remove Schisandrae Fructus, Asari Radix et Rhizoma. Add Polygalae Radix (Yuanzhi) and Citri Reticulatae Pericarpium (2 liang each), Sichuan Pepper (Shujiao, 1 liang), Aconiti Lateralis Radix Praeparata (Wutou, 3 pieces).
- *Duanju Fang*: For deficiency consumptive disease with shortness of breath and excessive urination. Remove Schisandrae Fructus, Asari Radix et Rhizoma, Ginseng Radix et Rhizoma, Peucedani Radix, Poria, Pinelliae Rhizoma. Add Scutellariae Radix (Huangqin, 1 liang) and Rehmanniae Radix (Dihuang, 2 liang). Boil 9 sheng of water down to 3 sheng.
- For deficiency consumptive disease with guest qi in the chest, cold masses, indigestion, belching with subcostal fluid sensation, intestinal borborygmus, failure to gain muscle mass, headache with heaviness above and lightness below, dizziness, alternating irritability/heat, insomnia, lower abdominal urgency, red urine, dribbling, erectile dysfunction, damp scrotum, or turbid white urine. For severe cases, remove Ophiopogonis Radix, Schisandrae Fructus, Angelicae Sinensis Radix, Asari Radix et Rhizoma, Peucedani Radix, Poria, Pinelliae Rhizoma. Add Magnoliae Officinalis Cortex (2 liang).
- *Huhua Fang*: For internal injury of the five zang organs. Remove Ophiopogonis Radix, Schisandrae Fructus, Angelicae Sinensis Radix, Asari Radix et Rhizoma, Peucedani Radix, Poria. Named Dahuang Tang.
- *Yannian Milu Fang*: For tonifying deficiency and strengthening kidney qi. Remove Ophiopogonis Radix, Schisandrae Fructus, Asari Radix et Rhizoma, Peucedani Radix. Add Saposhnikoviae Radix and Ligustici Chuanxiong Rhizoma (each 3 liang).
Banxia San (Pinellia Powder) [from Shenghui Fang]: Treats deficiency consumptive disease with phlegm-fluids, epigastric fullness/vexation, and anorexia.
Ingredients: Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness, 2 liang), Saposhnikoviae Radix (Fangfeng, 5 qian, de-radicle), Arecae Pericarpium (Dafupi, 3 fen, crushed), Ophiopogonis Radix (Maimendong, 3 fen, core removed and baked), Loquat Leaf (Pipaye, 5 qian, wiped clean of hairs and roasted slightly yellow), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu), Platycodonis Radix (Jie Geng, de-radicle), Citri Reticulatae Pericarpium Qingpi (Qingju Pi, soaked in water, white pith removed and baked), Peucedani Radix (Qianhu, de-radicle). Take 4 qian per dose, add 1 zhan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhan remains. Strain and take slightly warm at any time.
Jiegeng San (Platycodon Powder) [from Shenghui Fang]: Treats deficiency consumptive disease with phlegm-fluids and obstructed qi in the chest and hypochondrium.
Ingredients: Platycodonis Radix (Jie Geng, de-radicle), Bupleuri Radix (Chaihu, each 1 liang, seedlings removed), Paezia Radix Rubra (Chishaoyao), Polyporus (Chifuling, each 3 fen), Inulae Flos (Xuanjinfhua, 5 qian), Schisandrae Fructus (Wuweizi, 3 fen), Ginseng Radix et Rhizoma (Renshen, 1 liang, de-radicle), Testudinis et Chelonis Carapax et Plastrum (Biejia, coated with vinegar, roasted slightly yellow, skirt removed), Citri Reticulatae Pericarpium (Chenju Pi, each 1 liang, soaked in water, white pith removed and baked), Atractylodis Macrocephalae Rhizoma (Baizhu), Areca Semen (Binglang, each 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 1 fen, roasted slightly red and crushed). Grind into powder. Take 3 qian per dose, add 1 zhan of water, 0.5 fen of fresh ginger, and 2 jujubes. Decoct until 0.6 zhan remains. Strain and take warm.
Caodoukou Wan (Cardamom Pill) [from Shenghui Fang]: Treats deficiency consumptive disease with weak spleen-stomach qi, undissipated phlegm-fluids, vomiting, and inability to eat.
Ingredients: Cardamomi Rotundae Fructus (Caodoukou, peeled), Cinnamon Heart (Guixin, each 5 qian), Caryophylli Flos (Dingxiang, 1 fen), Alpiniae Officinarum Rhizoma (Gaoliangjiang, 5 qian, crushed), Aconiti Lateralis Radix Praeparata (Fuzi, processed, skin and umbilicus removed), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness), Ginseng Radix et Rhizoma (Renshen, each 5 qian, de-radicle), Poria (Fuling), Terminalia Chebulae Fructus (Helile, each 3 fen, roasted using peel), Cardamomi Fructus (Baidoukou, 5 qian, peeled), Citri Reticulatae Pericarpium (Chenju Pi, 3 liang, soaked in water, white pith removed and baked), Magnoliae Officinalis Cortex (Noupu, 1 liang, coarse bark removed, coated with ginger juice and roasted until fragrant). Grind into powder. Make pills with wine-boiled wheat paste, size of Sophora japonica seeds. Take 20 pills before meals with ginger-jujube decoction.
Baizhu Tang (Atractylodes Decoction): Treats deficiency consumptive disease with phlegm-fluids, chest/epigastric vexation, qi rebellion with vomiting. Warms the water organ (kidney/bladder), harmonizes and benefits the spleen and stomach.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Aucklandiae Radix (Muxiang), Poria (Fuling, black skin removed), Cardamomi Rotundae Fructus (Caodoukou, peeled), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium (Chenju Pi, soaked in water, white pith removed and baked), Cinnamomi Ramulus (Gui, coarse bark removed), Aurantii Fructus Immaturus (Zhike, pith removed, bran-roasted), Asari Radix et Rhizoma (Xixin, seedlings and leaves removed), Massae Fermentatae Medicamentosa (Shenqu, powdered, each 5 qian), Terminalia Chebulae Fructus (Helile, 3 fruits, roasted using peel). Coarsely grind and sieve. Take 3 qian per dose, add 1 zhan of water, a little salt, and 5 slices of fresh ginger. Decoct until 0.7 zhan remains. Strain and take hot on an empty stomach.
Pipaye San (Loquat Leaf Powder) [from Shenghui Fang]: Treats deficiency consumptive disease, dissipates phlegm-fluids, regulates qi to stimulate appetite.
Ingredients: Loquat Leaf (Pipaye, 5 qian, brushed clean of hairs and roasted slightly yellow), Peucedani Radix (Qianhu, 1 liang, de-radicle), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness), Ginseng Radix et Rhizoma (Renshen, de-radicle, each 2 fen), Arecae Pericarpium (Dafupi, crushed), Cinnamon Heart (Guixin, each 5 qian), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 liang), Citri Reticulatae Pericarpium (Chenju Pi, 3 fen, soaked in water, white pith removed and baked), Aucklandiae Radix (Muxiang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted slightly red and crushed, each 5 qian). Grind into powder. Take 3 qian per dose, add 1 zhan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhan remains. Strain and take slightly warm at any time.
Renshen Banxia Tang (Ginseng and Pinellia Decoction) [from Wangshi Boji Fang]: Treats deficiency consumptive disease with spleen-stomach dysfunction, retained phlegm-fluids, chest/epigastric vexation, anorexia, vomiting, and vertigo.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness), Polyporus (Chifuling, black skin removed, each 1 liang), Arecae Pericarpium (Dafupi, 2 fruits), Peucedani Radix (Qianhu, de-radicle), Citri Reticulatae Pericarpium (Chenju Pi, washed in water, white pith removed and baked), Loquat Leaf (Pipaye, de-hairs and roasted), Testudinis et Chelonis Carapax et Plastrum (Biejia, skirt removed, vinegar-roasted yellow), Bupleuri Radix (Chaihu, de-seedlings, each 3 fen), Paeoniae Radix (Shaoyao, 5 qian). Coarsely grind and sieve. Take 3 qian per dose, add 1 zhan of water and 3 slices of fresh ginger. Decoct until 0.7 zhan remains. Strain and take warm after meals. Another version uses Poria and jujubes.
Fuling Tang (Poria Decoction): Treats five labors and seven injuries, weak spleen-stomach qi, undissipated phlegm-fluids, chest fullness with qi rebellion, vomiting, and reduced food intake.
Ingredients: Polyporus (Chifuling, black skin removed), Peucedani Radix (Qianhu, de-radicle), Ginseng Radix et Rhizoma (Renshen), Aconiti Lateralis Radix Praeparata (Fuzi, processed, skin and umbilicus removed, each 5 qian), Astragali Radix (Huangqi, crushed), Testudinis et Chelonis Carapax et Plastrum (Biejia, skirt removed, vinegar-soaked and roasted yellow), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness and stir-fried dry, each 1 liang), Citri Reticulatae Pericarpium (Chenju Pi, soaked in water, white pith removed and baked), Aucklandiae Radix (Muxiang, each 1 fen). Coarsely grind and sieve. Take 3 qian per dose, add 1 zhan of water, 0.5 fen of fresh ginger (smashed), and 2 jujubes (pitted). Decoct until 0.6 zhan remains. Strain and take warm on an empty stomach. Take again at noon and before bed.
Xuanjinfhua Wan (Inula Flower Pill) [from Shenghui Fang]: Treats deficiency consumptive disease, accumulation of phlegm-fluids in the chest/diaphragm, and anorexia.
Ingredients: Inulae Flos (Xuanjinfhua, 5 qian), Asari Radix et Rhizoma (Xixin, 3 fen), Peucedani Radix (Qianhu, 1 liang, de-radicle), Cinnamon Heart (Guixin, 3 fen), Polyporus (Chifuling, 1 liang), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness, 3 fen), Aurantii Fructus (Zhishi, 3 fen, bran-roasted slightly yellow), Loquat Leaf (Pipaye, 2 fen, wiped clean of hairs and roasted yellow), Terminalia Chebulae Fructus Peel (Helile Pi, 1 liang). Grind into powder, make pills with honey, size of Sophora japonica seeds. Take 20 pills with ginger decoction.
Banxia Tang (Pinellia Decoction): Treats deficiency consumptive disease with alternating chills and fever, undissipated phlegm-fluids, limb stiffness/tethering, and intermittent cold hands/feet.
Ingredients: Pinelliae Rhizoma (Banxia, soaked in water to remove slipperiness and baked dry), Areca Semen (Binglang, each 5 qian), Bupleuri Radix (Chaihu, de-seedlings), Platycodonis Radix (Jie Geng, stir-fried), Ginseng Radix et Rhizoma (Renshen), Polyporus (Chifuling, black skin removed), Atractylodis Macrocephalae Rhizoma (Baizhu, each 3 liang), Citri Reticulatae Pericarpium (Chenju Pi, de-white pith, 3 fen). Coarsely grind. Take 5 qian per dose, add 1.5 zhan of water and 1 fen of fresh ginger (smashed). Decoct until 1 zhan remains. Strain and divide into two warm doses on an empty stomach.
Jupi Tang (Tangerine Peel Decoction): Treats deficiency consumptive disease with phlegm-fluids, anorexia, chest fullness, and qi rebellion.
Ingredients: Citri Reticulatae Pericarpium (Chenju Pi, soaked in water, white pith removed and baked, 3 fen), Pinelliae Rhizoma (Banxia, washed seven times in water to remove slipperiness, bran-roasted yellow), Arecae Pericarpium (Dafupi, crushed), Polyporus (Chifuling, black skin removed), Paeoniae Radix (Shaoyao, each 5 qian), Peucedani Radix (Qianhu, de-radicle), Loquat Leaf (Pipaye, de-hairs and roasted, each 3 fen). Coarsely grind and sieve. Take 3 qian per dose, add 1 zhan of water and 0.5 fen of fresh ginger (smashed). Decoct until 0.6 zhan remains. Strain and take warm at any time.
Qianhu San (Peucedani Powder) [from Shenghui Fang]: Treats deficiency consumptive disease with undissipated phlegm-fluids in the chest/heart, and reduced desire for food.
Ingredients: Peucedani Radix (Qianhu, 1 liang 5 qian, de-radicle), Inulae Flos (Xuanjinfhua, 5 qian), Morus Albae Radix Cortex (Sangbaipí, 1 liang, crushed), Citri Reticulatae Pericarpium (Chenju Pi, 1 liang, soaked in water, white pith removed and baked), Loquat Leaf (Pipaye, 1 liang, wiped clean of hairs and roasted slightly yellow), Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang). Grind into powder. Take 3 qian per dose, add 1 zhan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhan remains. Strain and take slightly warm at any time.
Guixin San (Cinnamon Heart Powder) [from Shenghui Fang]: Treats deficiency consumptive disease with phlegm-fluids and vomiting of saliva/froth.
Ingredients: Cinnamon Heart (Guixin, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 5 qian, roasted slightly red and crushed), Gleditsiae Sinensis Spina (Zaojiao, 3 cun, skin removed, coated with vinegar, roasted slightly yellow and charred, seeds removed), Atractylodis Macrocephalae Rhizoma (Baizhu, 3 fen), Citri Reticulatae Pericarpium (Chenju Pi, 1 liang, soaked in water, white pith removed and baked), Peucedani Radix (Qianhu, 3 fen, de-radicle). Grind into powder. Take 3 qian per dose, add 1 zhan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhan remains. Strain and take warm.