四物汤滋荣血不足
方见妇人门
当归补血汤
方见热门
按此二方滋荣气药也
丹溪大补丸降阴火补肾水
黄柏(炒褐色) 知母(酒浸炒各四两) 熟地黄(酒蒸) 败龟板(酥炙黄为末各六两)
上为末猪脊髓和炼蜜丸如桐子大每七十丸空心淡盐汤送下
补阴丸
黄柏(半斤盐酒炒) 知母(酒浸炒) 熟地黄(各三两) 败龟板(四两酒浸炙) 白芍(炒)
陈皮 牛膝(各二两) 锁阳 当归(各一两半) 虎骨(一两酒浸酥炙)
上为末酒煮羊肉丸如桐子大每五六十丸盐汤下冬加干姜半两
按此二方滋阳之药也
局方十全大补汤治心肺损及胃损饮食不为肌肤
方见热门
十四味建中汤治荣卫失调血气不足劳损形体瘦弱短气嗜卧
当归 白芍 白术 麦门冬 黄 甘草(炙) 苁蓉 人参 川芎 官桂 半夏 熟地
黄茯苓(各半钱) 附子(三分)
上 咀作一服入姜枣煎食前服
按此并手足三阴药也
养气丹治诸虚百损真阳不固上实下虚气不升降一切体弱气虚之人
禹余粮石 紫石英 赤石脂 代赭石 磁石 以上各 法见局方
附子(二两) 肉苁蓉(一两半) 当归 茴香 破故纸 木香 肉桂 巴戟 肉豆蔻 丁
香
山药 鹿茸 白茯苓 沉香 远志(并制) 乳香 五灵脂 没药 朱砂 阳起石( ) 钟乳
粉(并别研各一两)
上同碾为细末糯米粉糊为丸
按此固滑脱镇虚逆复阳助阴药也出太阳例古方类此者甚多姑存此一法如真气结薄气不升
降阴
寒湿胜胃冷肝虚者非此药不可盖宜重剂劫之是也然有阴阳两虚湿热自甚元气下陷津液涸竭气
血无所滋养浊阴下溜虚火上乘惟宜调之补之以轻清之剂者此方安能尽其变乎用者自宜详审
金匮肾气丸治形体瘦弱无力多困肾气久虚久新憔悴寝汗发热五脏齐损瘦弱下血
干山药 山茱萸肉(各四两) 泽泻 牡丹皮 白茯苓(各三两) 熟地黄(八两)
上为末炼蜜丸如梧子大每五六十丸空心温水下拔萃三才封髓丹降心火益肾水
天门冬 熟地黄 人参(各半两) 黄柏(炒三两) 砂仁(一两半) 甘草(七钱半炙一方
无)
上为细末水糊丸梧子大每五十丸用苁蓉半两切作片子酒一大盏浸一宿次日煎三四沸去滓
空心送丸下 除前三味五脏治要作凤髓丹
按此二方足少阴手太阴药也
机要八物汤治心肺虚损皮聚而毛落血脉虚损妇人月水愆期宜益气和血
四君子合四物汤
按此手足太阴少阴药也
当归补血汤。
方剂记载于热门章节。
按语:这两首方剂是滋养荣气的药物。
丹溪大补丸用于降阴火、补肾水。
黄柏(炒至褐色)、知母(酒浸后炒,各四两)、熟地黄(酒蒸)、败龟板(酥炙至黄后研为细末,各六两)。
以上药材研为细末,用猪脊髓和炼蜜制成梧桐子大小的丸药,每次七十丸,空腹时用淡盐汤送服。
补阴丸。
黄柏(半斤,用盐和酒炒)、知母(酒浸后炒)、熟地黄(各三两)、败龟板(四两,酒浸后炙)、白芍(炒)、陈皮、牛膝(各二两)、锁阳、当归(各一两半)、虎骨(一两,酒浸后酥炙)。
以上药材研为细末,用酒煮羊肉汁泛丸,制成梧桐子大小,每次五六十丸,用盐汤送服;冬季加干姜半两。
按语:这两首方剂是滋养阴液的药物。
局方十全大补汤用于治疗心肺受损及胃损导致饮食不能化为肌肤的情况。
方剂记载于热门章节。
十四味建中汤用于治疗营卫失调、气血不足导致的形体劳损、身体瘦弱、气短、嗜睡。
当归、白芍、白术、麦门冬、黄芪、甘草(炙)、肉苁蓉、人参、川芎、官桂、半夏、熟地黄、茯苓(各半钱)、附子(三分)。
以上药材切碎作为一剂,加入生姜、大枣煎煮,饭前服用。
按语:这些方剂均涉及手足三阴经的药物。
养气丹用于治疗各种虚损、真阳不固、上实下虚、气机升降失常,以及所有体质虚弱、气虚之人。
禹余粮石、紫石英、赤石脂、代赭石、磁石(以上各药的具体炮制方法见《局方》)、附子(二两)、肉苁蓉(一两半)、当归、茴香、破故纸(补骨脂)、木香、肉桂、巴戟天、肉豆蔻、丁香、山药、鹿茸、白茯苓、沉香、远志(均经过炮制)、乳香、五灵脂、没药、朱砂、阳起石、钟乳粉(均单独研磨,各一两)。
以上药材共同碾成细末,用糯米粉糊制作成丸药。
按语:这是固涩滑脱、镇摄虚逆、恢复阳气、辅助阴液的药物。此法出自太阳例,古代类似方剂很多,暂存这一种方法。如果是真气结聚、气机不升降、阴寒湿胜、胃冷肝虚的情况,非此药不可,因为适宜用重剂来劫夺病邪。然而,如果有阴阳两虚、湿热自盛、元气下陷、津液枯竭、气血无法滋养、浊阴下流、虚火上炎的情况,只适宜调理和补益,使用轻清之剂,此方怎能穷尽其变化呢?使用者应当仔细审察。
金匮肾气丸用于治疗形体瘦弱无力、多困倦、肾气久虚、新旧憔悴、盗汗发热、五脏俱损、身体瘦弱、下部出血。
干山药、山茱萸肉(各四两)、泽泻、牡丹皮、白茯苓(各三两)、熟地黄(八两)。
以上药材研为细末,炼蜜制成梧桐子大小的丸药,每次五六十丸,空腹时用温水送服。
拔萃三才封髓丹用于降心火、益肾水。
天门冬、熟地黄、人参(各半两)、黄柏(炒三两)、砂仁(一两半)、甘草(七钱半,炙;一方无此药)。
以上药材研为细末,用水糊制作梧桐子大小的丸药,每次五十丸,用肉苁蓉半两切片,用一大盏酒浸泡一夜,次日煎煮三四沸,去渣滓,空腹送服丸药。
除前三味药外,五脏治疗的关键还在于凤髓丹。
按语:这两首方剂涉及足少阴经和手太阴经的药物。
机要八物汤用于治疗心肺虚损、皮毛枯槁脱落、血脉虚损、妇女月经延期,适宜益气调和血液。
即四君子汤合四物汤。
按语:这是手足太阴经和少阴经的药物。
Siwu Tang (Four Substances Decoction) is used to nourish Ying-Blood deficiency.
The formula is recorded in the Women's Diseases section.
Danggui Buxue Tang (Angelica Sinensis Decoction for Tonifying Blood).
The formula is recorded in the Fever section.
Note: These two formulas are herbs that nourish Ying-Qi.
Danxi Dabu Wan (Danxi Great Tonification Pill) is used to descend Yin-Fire and tonify Kidney-Water.
Huangbai (Phellodendri Cortex, stir-fried until brown), Zhimu (Anemarrhenae Rhizoma, soaked in wine and stir-fried, each 4 liang), Shudihuang (Rehmanniae Radix Praeparata, steamed with wine), Baiguiban (Testudinis et Carapacis et Plastrum, roasted with butter until yellow and ground into powder, each 6 liang).
Grind the above ingredients into powder, mix with pig spinal cord and refined honey to make pills the size of paulownia seeds. Take 70 pills per dose, on an empty stomach, with light salt water.
Buyin Wan (Nourish Yin Pill).
Huangbai (Phellodendri Cortex, 8 liang, stir-fried with salt and wine), Zhimu (Anemarrhenae Rhizoma, soaked in wine and stir-fried), Shudihuang (Rehmanniae Radix Praeparata, each 3 liang), Baiguiban (Testudinis et Carapacis et Plastrum, 4 liang, soaked in wine and roasted), Baishao (Paeoniae Radix Alba, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Niuxi (Achyranthis Bidentatae Radix, each 2 liang), Suoyang (Cynomorii Herba), Danggui (Angelicae Sinensis Radix, each 1.5 liang), Hugujia (Pantheris Os, 1 liang, soaked in wine and roasted with butter).
Grind the above ingredients into powder, use wine-boiled mutton juice to form pills the size of paulownia seeds. Take 50-60 pills per dose, with salt water. In winter, add Ganjiang (Zingiberis Rhizoma, half a liang).
Note: These two formulas are herbs that nourish Yin fluids.
Jufang Shiquan Dabu Tang (Complete Tenfold Great Tonification Decoction from the Bureau Formulary) treats damage to Heart and Lung, and Stomach damage where food cannot transform into flesh and skin.
The formula is recorded in the Fever section.
Shisiwei Jianzhong Tang (Fourteen Ingredients Decoction to Establish the Middle) treats disharmony of Ying and Wei, deficiency of Blood and Qi, leading to physical exhaustion, emaciation, shortness of breath, and lethargy.
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Maimendong (Ophiopogonis Radix), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Rongrong (Cynomorii Herba), Renshen (Ginseng Radix), Chuanxiong (Chuanxiong Rhizoma), Guigui (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma), Shudihuang (Rehmanniae Radix Praeparata), Fuling (Poria, each half qian), Fuzi (Aconiti Lateralis Radix Praeparata, 3 fen).
Cut the above ingredients as one dose, add Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus), decoct, and take before meals.
Note: These formulas involve herbs of the Hand and Foot Three Yin meridians.
Yangqi Dan (Tonify Qi Pill) treats various deficiencies and damages, insecurity of True-Yang, excess above and deficiency below, dysfunction of Qi ascending and descending, and applies to all persons with weak constitution and Qi deficiency.
Yuyuliangshi (Halloysitum Rubrum), Zhi Shiyuan (Quartzum Roseum), Chishizhi (Halloysitum Rubrum), Daizheshi (Haematitum), Cishi (Magnetitum) (For preparation methods of the above, see Jufang), Fuzi (Aconiti Lateralis Radix Praeparata, 2 liang), Rongrong (Cynomorii Herba, 1.5 liang), Danggui (Angelicae Sinensis Radix), Huixiang (Foeniculi Fructus), Poguzhi (Psoraleae Fructus), Muxiang (Aucklandiae Radix), Rougui (Cinnamomi Cortex), Bajitian (Morindae Officinalis Radix), Roudoukou (Myristicae Semen), Dingxiang (Caryophylli Flos), Shanyao (Dioscoreae Rhizoma), Lurong (Cornu Cervi Pantotrichum), Bai Fuling (Poria, prepared), Chenxiang (Aquilariae Lignum Resinatum), Yuanzhi (Polygalae Radix, prepared), Ruxiang (Olibanum), Wulingzhi (Trogopterori Faeces), Moyao (Myrrha), Zhusha (Cinnabaris), Yangqishi (Pyrospermatis Semen), Zhongrufen (Stalactitum Pulvis) (All separately ground, each 1 liang).
Grind all together into fine powder, use glutinous rice paste to form pills.
Note: This is a formula for securing leakage, calming rebellious Qi, restoring Yang, and assisting Yin. This method originates from the Taiyang category; there are many ancient formulas like this, so only one is retained here. For conditions such as accumulation of True Qi, failure of Qi to ascend and descend, dominance of Yin-Cold and Dampness, Cold Stomach, and Liver Deficiency, this medicine is indispensable because heavy agents are suitable to subdue the pathogen. However, in cases of simultaneous deficiency of Yin and Yang, excessive self-generated Damp-Heat, sinking of Yuan-Qi, depletion of Body Fluids, inability of Blood and Qi to nourish, downward flow of Turbid-Yin, and upward surging of Empty-Fire, it is appropriate only to regulate and tonify using light and clear agents. How can this formula exhaust its variations? Users must examine carefully.
Jinkui Shenqi Wan (Kidney Qi Pill from the Golden Cabinet) treats emaciation, weakness, fatigue, long-term deficiency of Kidney-Qi, chronic or acute deterioration, night sweats, fever, damage to all five Zang organs, emaciation, and lower body bleeding.
Gan Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus, each 4 liang), Zexie (Alismatis Rhizoma), Mudanpi (Moutan Cortex), Bai Fuling (Poria, each 3 liang), Shudihuang (Rehmanniae Radix Praeparata, 8 liang).
Grind into powder, refine honey to make pills the size of wu zi (paulownia seeds). Take 50-60 pills per dose, on an empty stomach, with warm water.
Bacui Sancai Fengsui Dan (Extraction Three Powers Sealing Marrow Pill) descends Heart-Fire and benefits Kidney-Water.
Tianmendong (Asparagi Radix), Shudihuang (Rehmanniae Radix Praeparata), Renshen (Ginseng Radix, each half liang), Huangbai (Phellodendri Cortex, stir-fried, 3 liang), Sharen (Amomi Fructus Rotundus, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 7.5 qian; one version omits this).
Grind into fine powder, use water paste to make pills the size of wu zi. Take 50 pills per dose. Slice half a liang of Rongrong (Cynomorii Herba), soak in one large cup of wine overnight. Next day, boil three or four times, remove dregs, and take pills on an empty stomach.
Apart from the first three formulas, the key to treating the Five Zang organs also includes Fengsui Dan.
Note: These two formulas involve herbs of the Foot-Shaoyin and Hand-Taiyin meridians.
Jiyao Babao Tang (Eight Ingredients Decoction from Essentials) treats deficiency and damage to Heart and Lung, withering and loss of skin and hair, deficiency and damage to blood vessels, and delayed menstruation in women. It is suitable for benefiting Qi and harmonizing Blood.
This refers to Sijunzi Tang (Four Gentlemen Decoction) combined with Siwu Tang (Four Substances Decoction).
Note: These are herbs of the Hand and Foot Taiyin and Shaoyin meridians.