清胃饮(寒五六) 清胃散(寒五四) 补中益气汤(补三十) 抽薪饮(新寒三) 冰玉散(
新因四六、四七) 羌活附子汤(散五九) 太清饮(新寒十三) 三仙散(因一五四) 六君子
汤(补五) 绿豆饮(新寒十四) 藜芦散(因一五一) 瑞竹堂方(因一四九) 归脾汤(补三二)
三香散(新因四九) 韭子汤(因一四八) 麝矾散(因一五五) 六味丸(补百二十) 玉女煎
(新寒十二) 丁香散(因一四二) 八味丸(补一二一) 镇阴煎(新热十三) 姜黄散(因一六
四) 左归丸(新补四) 细辛煎(因百四十) 赴筵散(因一四五) 右归丸(新补五) 二辛煎
(新因四五) 越鞠丸(和一五四) 十补丸(热一七三) 北枣丹(因一五二) 巴豆丸(因百五
十) 安肾丸(因一三八)
《良方》芦荟丸(寒一六八 疳虫) 齿牙诸方(详因阵,一三五至一七四止)
《上古天真论》曰∶上古有真人者,提挈天地,把握阴阳,呼吸精气,独立守神,肌肉
若一。故能寿敝天地,无有终时。中古有至人者,淳德全道,和于阴阳,调于四时,去世离
俗,积精全神,游行天地之间,视听八达之外。此盖益其寿命而强者也,亦归于真人。其次
有圣人者,处天地之和,从八风之理,适嗜欲于世俗之间,无恚嗔之心,行不欲离于世,举
不欲观于俗,外不劳形于事,内无思想之患,以恬愉为务,以自得为功,形体不敝,精神不
散,亦可以百数。今时之人不然也,以酒为浆,以妄为常,醉以入房,以欲竭其精,以耗散
其真,不知持满,不时御神,务快其心,逆于生乐,起居无节,故半百而衰也。夫上古圣人
之教下也,皆谓之虚邪贼风,避之有时,恬 虚无,真气从之,精神内守,病安从来。
肾者主水,受五脏六腑之精而藏之,故五脏盛,乃能泻。
《生气通天论》曰∶苍天之气,清净则志意治,顺之则阳气固,虽有贼邪,弗能害也,
此因时之序。故圣人传精神,服天气,而通神明。失之则内闭九窍,外壅肌肉,卫气解散,
此谓自伤,气之削也。阴者,藏精而起亟也;阳者,卫外而为固也。凡阴阳之要,阳密乃固
,两者不和,若春无秋,若冬无夏,因而和之,是谓圣度。故阳强不能密,阴气乃绝,阴平
阳秘,精神乃治,阴阳离决,精气乃绝。阴之所生,本在五味,阴之五宫,伤在五味。味过
于辛,筋脉沮弛,精神乃央。
《金匮真言论》曰∶夫精者,身之本也。故藏于精者,春不病温。
《本神篇》曰∶天之在我者德也,地之在我者气也,德流气薄而生者也。故生之来谓之
精,两精相搏谓之神,随神往来谓之魂,并精而出入者谓之魄。是故怵惕思虑者则伤神,神
伤则恐惧流淫而不止。恐惧而不解则伤精,精伤则骨酸痿厥,精时自下,是故五脏主藏精者
也,不可伤,伤则失守而阴虚,阴虚则无气,无气则死矣。
《本藏篇》曰∶人之血气精神者,所以奉生而周于性命者也。志意者,所以御精神,收
魂魄,适寒温,和喜怒者也。志意和则精神专直,魂魄不散,悔怒不起,五脏不受邪矣。
《经脉篇》曰∶人始生,先成精,精成而脑髓生。
《邪客篇》曰∶心者,五脏六腑之大主也,精神之所舍也,其脏坚固,邪弗能容也。容
之则心伤,心伤则神去,神去则死矣。
《平人绝谷篇》曰∶血脉和则精神乃居。故神者,水谷之精气也。
《调经》、《本神》等论曰∶心藏神,肺藏气,肝藏血,脾藏肉,肾藏经,而成此形。
志意通,内连骨髓,而成身形五脏。
《六节脏象论》曰∶心者,生之本,神之变也。肾者主蛰,封藏之本,精之处也。
《痿论》曰∶肺主身之皮毛,心主身之血脉,肝主身之筋膜,脾主身之肌肉,肾主身之
骨髓。
《卫气篇》曰∶五脏者,所以藏精神魂魄者也;六腑者,所以受水谷而行化物者也。其
气内干五脏,而外络肢节。其浮气之不循经者为卫气,其精气之行于经者为营气。阴阳相随
,外内相贯,如环之无端。
《疏五过论》曰∶尝贵后贱,虽不中邪,病从内生,名曰脱营。尝富后贫,名曰失精,
五气流连,病有所并。暴乐暴苦,始乐后苦,皆伤精神,精气竭绝,形体毁沮。故贵脱势,
虽不中邪,精神内伤,身必败亡。
清胃饮(寒证类方第五至第六首) 清胃散(寒证类方第五十四首) 补中益气汤(补益类方第三十首) 抽薪饮(新感寒邪类方第三首) 冰玉散(新感病因类方第四十六、四十七首) 羌活附子汤(散寒类方第五十九首) 太清饮(新感寒邪类方第十三首) 三仙散(病因类方第一百五十四首) 六君子汤(补益类方第五首) 绿豆饮(新感寒邪类方第十四首) 藜芦散(病因类方第一百五十一首) 瑞竹堂方(病因类方第一百四十九首) 归脾汤(补益类方第三十二首) 三香散(新感病因类方第四十九首) 韭子汤(病因类方第一百四十八首) 麝矾散(病因类方第一百五十五首) 六味丸(补益类方第一百二十首) 玉女煎(新感寒邪类方第十二首) 丁香散(病因类方第一百四十二首) 八味丸(补益类方第一百二十一首) 镇阴煎(新感热证类方第十三首) 姜黄散(病因类方第一百六十四首) 左归丸(新补益类方第四首) 细辛煎(病因类方第一百四十首) 赴筵散(病因类方第一百四十五首) 右归丸(新补益类方第五首) 二辛煎(新感病因类方第四十五首) 越鞠丸(和解类方第一百五十四首) 十补丸(热证类方第一百七十三首) 北枣丹(病因类方第一百五十二首) 巴豆丸(病因类方第一百五十首) 安肾丸(病因类方第一百三十八首)
《良方》中的芦荟丸(寒证类方第一百六十八首,主治疳积虫积) 治疗牙齿疾病的各类方剂(详见病因章节,从第一百五十三首至第一百七十四首止)
《上古天真论》说:上古时代有被称为“真人”的人,他们能够掌握天地自然的规律,把握阴阳变化的法则,呼吸精气以滋养身体,精神独立守持而不外驰,肌肉筋骨协调统一。因此他们的寿命与天地同久,没有终结的时候。中古时代有被称为“至人”的人,他们品德淳厚,完全遵循大道,顺应阴阳变化,调和四季气候,超脱世俗生活,积聚精气以保全神志,遨游于天地之间,视听范围通达八方之外。这些人通过修养增加了寿命并增强了体质,也归属于真人的范畴。其次是有被称为“圣人”的人,他们处于天地和谐的环境中,顺从八方风气的规律,在世俗生活中适当满足自己的嗜欲,没有愤怒怨恨的心理,行为不脱离社会,举止不追求怪诞俗套,对外不使形体因事务而劳累,对内没有思虑过度的忧患,以恬淡愉悦为追求,以自得其乐为功效,形体不衰老,精神不散失,也可以活到百岁。现在的人却不是这样,把酒当作浆液饮用,把妄动作为常态,醉酒后行房事,纵欲耗竭精气,消耗散失真气,不知道保持精气的充盈,不按时调节神志,只求一时的心意畅快,违背了生命的乐趣,起居没有节制,所以不到五十岁就衰老了。上古的圣人教导下属百姓,都说虚邪贼风(致病的外邪),要适时地避开它们,保持心境恬淡虚无,真气就会顺从体内运行,精神内守,疾病从哪里产生呢?
肾脏主管水液代谢,接受五脏六腑的精气并加以贮藏,所以只有当五脏精气充盛时,才能向肾脏排泄多余的精气。
《生气通天论》说:上天的清气,如果清净则人的意志就能安定,顺应这种规律则阳气固密,即使有贼邪之气,也不能伤害人体,这是顺应时序的结果。所以圣人能够传守精神,服受天气,从而通晓神明。如果不顺应,就会导致内部九窍闭塞,外部肌肉壅滞,卫气解散,这叫做自我损伤,是元气的削弱。阴的功能,是贮藏精气并随时响应阳的需求;阳的功能,是护卫体表并使机体坚固。大凡阴阳的关键,在于阳气致密然后阴气才能固守,两者不协调,就像春天没有秋天,冬天没有夏天一样,因此要调和它们,这称为圣人的法度。所以如果阳气过强而不能致密,阴气就会枯竭;只有阴气平和、阳气秘固,精神才能正常;如果阴阳分离决裂,精气就会耗尽。阴精的产生,根本在于五味,但阴的五脏,损伤也在于五味。味道过于辛辣,会导致筋脉松弛无力,精神受损。
《金匮真言论》说:精,是身体的根本。所以善于藏精的人,春季就不会患温病。
《本神篇》说:天赋予我们的是德,地赋予我们的是气,德流布、气交薄而生命由此产生。所以生命的来源叫做精,两精结合产生神,随神往来活动叫做魂,伴随精而出入的叫魄。因此,惊恐思虑会损伤神,神受伤则会出现恐惧、滑泄不止的症状。恐惧不解则会损伤精,精受伤则会出现骨酸、痿弱厥冷、精液自行滑出的症状。所以五脏是贮藏精气的器官,不可损伤,损伤了就会失去守藏功能而导致阴虚,阴虚就没有气,没有气就会死亡。
《本藏篇》说:人的血气精神,是用来奉养生命并周流于性命之中的。志意,是用来驾驭精神,收摄魂魄,适应寒温,调和喜怒的。志意调和则精神专注正直,魂魄不散乱,悔恨愤怒不起,五脏就不受邪气侵犯。
《经脉篇》说:人刚开始形成生命时,先形成精,精形成后脑髓随之产生。
《邪客篇》说:心,是五脏六腑的大主宰,是精神居住的地方,它的脏器坚固,邪气不能容纳。如果邪气容纳其中,就会损伤心脏,心脏受伤则神气离去,神气离去就会死亡。
《平人绝谷篇》说:血脉调和则精神得以安居。所以神,是水谷化生的精气。
《调经》、《本神》等篇章说:心藏神,肺藏气,肝藏血,脾藏肉,肾藏经(此处原文可能有误,通常指肾藏志或主骨生髓,依原文直译),从而构成人的形体。志意通畅,内连骨髓,从而形成身形和五脏。
《六节脏象论》说:心,是生命的根本,是神的变化所在。肾,主管蛰伏封藏,是封藏的根本,是精气的处所。
《痿论》说:肺主管身体的皮毛,心主管身体的血脉,肝主管身体的筋膜,脾主管身体的肌肉,肾主管身体的骨髓。
《卫气篇》说:五脏,是用来贮藏精神魂魄的;六腑,是用来接受水谷并运化食物的。它们的经络内连五脏,外络肢节。其中浮行于体表不循行于经脉的气叫卫气,行于经脉中的精气叫营气。阴阳相互跟随,内外贯通,像圆环一样没有端点。
《疏五过论》说:曾经显贵后来卑贱,虽然没被外邪侵袭,病从内生,名叫脱营。曾经富有后来贫穷,名叫失精,五脏之气流连不畅,病症会合并发生。突然快乐突然痛苦,开始快乐后来痛苦,都会损伤精神,导致精气竭绝,形体毁坏沮丧。所以权贵失去权势,虽然没被外邪侵袭,精神内伤,身体必然败亡。
Qingwei Yin (Decoction for Clearing the Stomach) [Formula No. 5-6 in Cold Category] Qingwei San (Powder for Clearing the Stomach) [No. 54] Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Boosting Qi) [No. 30 in Tonification Category] Chouxin Yin (Decoction for Drawing Down Fire) [No. 3 in New Cold Category] Bingyu San (Powder of Ice and Jade) [No. 46-47 in New Etiology Category] Qianghuo Fuzi Tang (Decoction with Notopterygium and Aconite) [No. 59 in Dispersing Category] Taiqing Yin (Decoction for Supreme Purity) [No. 13 in New Cold Category] Sanxian San (Three Immortals Powder) [No. 154 in Etiology Category] Liujunzi Tang (Decoction of Six Gentlemen) [No. 5] Lüdou Yin (Mung Bean Drink) [No. 14] Lülü San (Veratrum Powder) [No. 151] Ruizhutang Fang (Prescription from Ruizhu Hall) [No. 149] Guipi Tang (Decoction for Restoring the Spleen) [No. 32] Sanxiang San (Three Fragrances Powder) [No. 49] Jiuizi Tang (Decoction with Allium Tuberosum Seed) [No. 148] Shefan San (Musk and Alum Powder) [No. 155] Liuwei Wan (Six-Ingredient Pill) [No. 120] Yvü Jian (Frying Pan Decoction) [No. 12] Dingxiang San (Clove Powder) [No. 142] Bawei Wan (Eight-Ingredient Pill) [No. 121] Zhenyin Jian (Decoction for Suppressing Yin) [No. 13 in New Heat Category] Jianghuang San (Turmeric Powder) [No. 164] Zuogui Wan (Pill for Left Return) [No. 4 in New Tonification Category] Xixin Jian (Decoction with Asarum) [No. 140] Fuyan San (Banquet-Attending Powder) [No. 145] Yougui Wan (Pill for Right Return) [No. 5] Erxin Jian (Two Acrids Decoction) [No. 45] Yueju Wan (Pill for Resolving Depression) [No. 154] Shibu Wan (Ten Tonics Pill) [No. 173 in Heat Category] Beizao Dan (Northern Date Elixir) [No. 152] Badou Wan (Croton Seed Pill) [No. 150] Anshen Wan (Kidney-Anchoring Pill) [No. 138]
Ailuo Wan (Pill with Aloe) from *Liangfang* [No. 168, treating Pinworms/Childhood Malnutrition]; Various Formulas for Teeth and Gums (Detailed in Etiology Section, Nos. 135-174).
The *Suwen: Shanggu Tianzhen Lun* states: In ancient times, there were individuals known as "Zhenren" (True Persons), who could grasp the principles of Heaven and Earth, control Yin and Yang, breathe in essence and qi, stand alone guarding their spirit, and maintain their muscles and tendons in unity. Thus, their lifespan was as long as Heaven and Earth, without end. In middle antiquity, there were individuals known as "Zhiren" (Perfect Persons), whose virtue was pure and their Way complete; they harmonized with Yin and Yang, adjusted to the four seasons, left behind worldly customs, accumulated essence to preserve spirit, and roamed between Heaven and Earth, seeing and hearing beyond the eight directions. These people extended their lives and strengthened their constitutions, returning to the state of Zhenren. Next were those known as "Shengren" (Sages), who dwelled in the harmony of Heaven and Earth, followed the patterns of the Eight Winds, satisfied their desires within secular life, harbored no resentment or anger, acted without departing from society, and behaved without seeking eccentricity. Externally, they did not exhaust their bodies with affairs; internally, they had no worries of thought. They pursued tranquility and joy, achieved self-contentment, kept their forms from decaying, and prevented their spirits from dissipating, thus living to a hundred years. People today are different: they treat wine as water, make recklessness a habit, engage in intercourse while drunk, exhaust their essence through desire, and dissipate their true qi. They do not know how to maintain fullness, fail to regulate their spirit timely, seek only momentary pleasure, go against the joys of life, and have irregular daily routines; therefore, they decline before fifty. The sages of antiquity taught their subordinates to avoid xu xie zei feng (deficient evils and thieving winds) at appropriate times, to remain tranquil and empty-minded, so that zhen qi (true qi) would follow them, and if jing shen (spirit and vitality) were guarded inwardly, how could disease arise?
The Kidneys govern water and receive the essence of the five zang and six fu organs to store it. Therefore, only when the five zang organs are abundant can they discharge excess essence.
The *Suwen: Shengqi Tongtian Lun* states: The qi of the clear Heaven, if pure and calm, brings order to one's will and intentions. Following this pattern consolidates yang qi; even if thieving evils exist, they cannot harm the body. This is due to following the sequence of time. Thus, sages transmit their spirit and accept the weather of Heaven, thereby connecting with divine illumination. Deviating from this leads to internal blockage of the nine orifices, external stagnation of muscles, and dispersion of wei qi (defensive qi); this is called self-injury and the weakening of qi. Yin stores essence and responds urgently; Yang guards the exterior and maintains firmness. The key to Yin and Yang lies in the density of Yang, which ensures solidity. If the two are not in harmony, it is like spring without autumn or winter without summer. Therefore, they must be harmonized, which is the standard of the sages. If Yang becomes excessive and fails to be dense, Yin qi will be exhausted. When Yin is level and Yang is secreted, spirit and vitality are regulated. If Yin and Yang separate and rupture, essence and qi will be exhausted. The generation of Yin originates from the five flavors, but the five palaces of Yin are damaged by the five flavors. Excessive pungency causes sinews and vessels to become flaccid, and spirit is impaired.
The *Suwen: Jin Gui Zhen Yan Lun* states: Essence is the root of the body. Those who store essence well will not suffer from warm diseases in spring.
The *Suwen: Ben Shen Pian* states: What Heaven gives us is De (virtue/principle), and what Earth gives us is Qi. Life arises from the flow of De and the interaction of Qi. The origin of life is called Jing (essence); the interaction of two essences creates Shen (spirit); what follows Shen and moves about is Hun (ethereal soul); what emerges and enters with Jing is Po (corporeal soul). Therefore, fright, alarm, and overthinking injure Shen. When Shen is injured, fear flows and seminal emission occurs uncontrollably. Unresolved fear injures Jing. When Jing is injured, there is soreness of bones, flaccidity, and coldness of the extremities, and spontaneous seminal loss. Thus, the five zang organs store essence and must not be injured. Injury leads to loss of storage and yin deficiency. Yin deficiency leads to lack of qi, and lack of qi leads to death.
The *Suwen: Ben Cang Pian* states: The blood, qi, spirit, and vitality of humans are used to nourish life and circulate throughout existence. Zhi yi (will and intention) controls spirit, gathers hun and po, adapts to cold and heat, and harmonizes joy and anger. When zhi yi is harmonious, spirit is focused and upright, hun and po do not scatter, regret and anger do not arise, and the five zang organs are not invaded by evil.
The *Suwen: Jing Mai Pian* states: At the beginning of human formation, Jing is formed first. When Jing is formed, brain and marrow are generated.
The *Suwen: Xie Ke Pian* states: The Heart is the great master of the five zang and six fu organs and the residence of spirit. Its organ is solid, so evil cannot enter. If evil enters, the Heart is injured; if the Heart is injured, spirit departs; if spirit departs, death ensues.
The *Suwen: Ping Ren Jue Gu Pian* states: When blood vessels are harmonious, spirit resides. Thus, spirit is the refined essence of water and grain.
The *Suwen: Tiao Jing* and *Ben Shen* chapters state: The Heart stores Shen, the Lungs store Qi, the Liver stores Blood, the Spleen stores flesh, and the Kidneys store Jing (note: text says 'Jing' here, traditionally 'Zhi' or related to bone/marrow), forming this physical shape. Zhi yi connects internally to bone marrow, forming the body shape and five zang organs.
The *Suwen: Liu Jie Zang Xiang Lun* states: The Heart is the root of life and the manifestation of spirit. The Kidneys govern hibernation/storage, are the root of sealing and storing, and are the dwelling place of essence.
The *Suwen: Wei Lun* states: The Lungs govern the skin and hair of the body; the Heart governs blood vessels; the Liver governs sinews and fascia; the Spleen governs muscles; the Kidneys govern bone marrow.
The *Suwen: Wei Qi Pian* states: The five zang organs store spirit, hun, and po; the six fu organs receive water and grain and transform them. Their qi penetrates internally to the five zang and externally connects to limbs and joints. The floating qi that does not follow the meridians is called Wei Qi; the refined qi that travels within the meridians is called Ying Qi (Nutritive Qi). Yin and Yang follow each other, penetrating inside and outside, like a circle without end.
The *Suwen: Shu Wu Guo Lun* states: One who was once noble but became lowly, though not attacked by pathogens, develops disease from within, named Tuo Ying (Depletion of Ying). One who was once rich but became poor, named Shi Jing (Loss of Jing). The qi of the five organs lingers and stagnates, and diseases combine. Sudden joy followed by sudden sorrow, or initial joy turning to bitterness, all injure spirit and cause exhaustion of essence and qi, leading to the destruction of the physical form. Thus, when a noble person loses power, although not attacked by external pathogens, internal spiritual injury occurs, and the body must perish.