谚有少无风瘫,老无痨瘵之说。故中年以后人,往往有劳嗽、吐血、咳血症,不肯自认
为怯
愈
为其相火易衰,色心已淡,性气已灰,怒气少动故也。若二者不戒,死期更促耳。至于治法
,则从同也。
归养心脾汤(治梦遗滑精。)
人参 黄 白术 芡实 北五味 甘草 熟地 枣仁 茯神 山药 当归身
参固气,气固则精有摄而不遗。生地滋阴,阴滋则火有制而不浮越。当归养血。芡实固
肾。茯神、枣仁安神宁志。 、术、药、草补气调中,气旺神昌,则精固而病自愈。遗甚加
萸肉、莲须。思虑过度加莲肉。不禁加石莲、金樱膏。足痿加牛膝、杜仲、龟板胶。
归养心肾丸
生地 熟地 黄 白术 山药 芡实 茯神 枣仁 归身 萸肉 五味 甘草
炼蜜丸,空心白汤送下三钱。
二地滋阴。当归养血。茯神、枣仁补心。 、术、药、草调气补中。五味、芡实固精滋
肾。
茸、沙苑、菟丝。泄泻加泽泻、莲肉。腰膝软弱,艰于步履,加牛膝、杜仲、龟鹿胶。
养心固本丸
元武胶(红曲炒珠) 鹿角胶(红曲炒珠) 萸肉 杞子 人参 黄 石莲肉 白术 甘
草枣仁 地黄 淮牛膝
内石莲将肉桂一钱同煮一日,去肉桂,用炼蜜丸。收功固本药也。
养心固肾丸(治漏精。)
生地 当归 茯神 山药 芡实 萸肉 陈皮 甘草 五味 石莲肉
河水煎,空心服。
桑螵蛸散(治遗精漏不止。)
桑螵蛸一味,焙为末,酒浆调服一钱。三四服即止。
补元汤(治肾痹。)
生地 杞子 黄 白术 杜仲 牛膝 山药 茯苓 当归 甘草
不拘时服。
清热养荣汤(治虚劳内热骨蒸。)
柴胡 丹皮 地骨皮 生地 当归 白芍 元参 茯苓 麦冬肉 生甘草
灯芯三十寸,河水煎服。
加味固本胶
生地 熟地 桔梗 茯苓 天冬肉 元参 川贝 百合 阿胶 紫菀 麦冬肉 甘草
白蜜二斤,收胶。
集灵胶
天冬 麦冬 生地 熟地 元参 桔梗 甘草
白蜜五斤,收胶。
清金养荣丸
生地 麦冬肉 花粉 川贝 元参 白芍 茯苓 地骨皮 丹皮 甘草
内生地将薄荷汤煮烂,捣胶,同蜜为丸。
清金甘桔汤(治干咳。)
桔梗 川贝 麦冬肉 花粉 生地 元参 白芍 丹皮 粉甘草 灯芯
河水煎。
清金百部汤(治虚劳久嗽。)
桔梗 元参 川贝 百部 生地 麦冬 丹皮 白芍 生甘草 地骨皮 灯芯
喘急,加白前、海粉、竹茹。如痰吐稠粘,脾肺火盛,加清金散、竹茹、花粉。
清金加减百合固金汤
百合 桔梗 川贝 桑皮 杏仁 花粉 麦冬 茯苓 陈皮 生甘草
大圣药
春加佛耳草,即面兼头,立夏日采取为饼。夏加苎麻根。秋加金沸草。冬加款冬花。发
热加柴胡、前胡。咽痛,元参、射干。素有血症,生地、丹皮。
固金养荣汤
桔梗 桑皮 川贝 茯苓 百合 杏仁 陈皮 甘草
生地四两,荷叶汤煮烂捣膏为蜜丸。此方与百合固金汤,为治血虚痰火主药。
清金甘桔汤(治咳嗽痰中带血丝血珠。)
桔梗 生地 白芍 丹皮 麦冬 元参 川贝 茯苓 阿胶 甘草
此方加紫菀、犀角,名胶菀清金汤,治咳嗽痰中夹血。为丸,治咳嗽痰中夹血珠、血丝
、血片。去生地、桔梗,加地骨皮、百部,名胶菀犀角汤,治劳嗽吐血。
加味犀角地黄汤
犀角 生地 赤芍 丹皮 蒲黄
灯芯三十寸,荷叶一大张,煎汤代水。
琼玉胶
生地 茯苓 人参
各等分,蜜收。
固本肾气丸(治阳虚。)
人参 黄 白术 茯苓 当归 生地 炙草 枣仁 煨姜 鹿角胶
还元丹(亦治阳虚。)
远志 杜仲 牛膝 补骨脂 山药 茯神 锁阳 五味 杞子 山萸肉 熟地 菖蒲
炼蜜为丸,淡盐汤下。
獭爪丸(治传尸劳。)
獭爪(醋炙为末) 獭肝(阴干) 败龟板 银柴胡 百部 沙参 生地 桔梗 地骨皮
丹皮 麦冬 甘草
共为末,每以五分或至七分,投入煎剂,或丸或胶加入,潜使服,勿令病者知觉。
百部清金汤(治传尸劳)
百部 骨皮 人参 麦冬 桔梗 生地 丹皮 芍药 茯苓 甘草
谚语有“年少无风瘫,年老无痨瘵”的说法。所以中年以后的人,往往出现劳嗽、吐血、咳血等症状,却不肯自认为患有怯症(虚劳病),是因为他们的相火(肾中寄寓的命门之火)容易衰退,色欲之心已经淡薄,性情意气已经灰暗,怒气很少发作的缘故。如果这两方面(指色欲和怒气)不能戒除,死亡的日子就会更加临近罢了。至于治疗方法,则与一般情况相同。
归养心脾汤(治疗梦遗滑精。)
人参、黄耆、白术、芡实、北五味子、甘草、熟地黄、枣仁、茯神、山药、当归身
人参和黄耆固护元气,气固摄则精液有约束而不遗泄。生地黄滋阴,阴滋长则相火有制约而不浮越上炎。当归养血。芡实固肾。茯神、枣仁安神宁志。黄耆、白术、山药、甘草补气调中,气旺盛则精神昌隆,那么精液固摄而疾病自然痊愈。遗精严重加山茱萸肉、莲须。思虑过度加莲肉。滑脱不禁加石莲子、金樱膏。足部痿弱加牛膝、杜仲、龟板胶。
归养心肾丸
生地黄、熟地黄、黄耆、白术、山药、芡实、茯神、枣仁、当归身、山茱萸肉、五味子、甘草
炼蜜为丸,空腹时用白开水送服三钱。
生地黄和熟地黄滋阴。当归养血。茯神、枣仁补益心气。黄耆、白术、山药、甘草调理气机补益中焦。五味子、芡实固精滋肾。鹿茸、沙苑子、菟丝子(此处原文似有缺漏或排版问题,依文意推测为补肾药,但原文仅列前几味后直接接功效描述,此处按原文结构翻译,注:原文“茸、沙苑、菟丝”前应有主语或为列举,结合上下文及常见配伍,此处暂译为相关药材)。若泄泻加泽泻、莲肉。腰膝软弱,行走困难,加牛膝、杜仲、龟鹿角胶。
养心固本丸
元武胶(用红曲炒至成珠状)、鹿角胶(用红曲炒至成珠状)、山茱萸肉、枸杞子、人参、黄耆、石莲肉、白术、甘草、枣仁、地黄、淮牛膝
将石莲肉与一钱肉桂同煮一天,去掉肉桂,用炼蜜制成丸剂。这是收功固本的药剂。
养心固肾丸(治疗漏精。)
生地黄、当归、茯神、山药、芡实、山茱萸肉、陈皮、甘草、五味子、石莲肉
用河水煎煮,空腹服用。
桑螵蛸散(治疗遗精漏泄不止。)
单用桑螵蛸一味,焙干研为细末,用酒浆调服一钱。服用三四次即可停止。
补元汤(治疗肾痹。)
生地黄、枸杞子、黄耆、白术、杜仲、牛膝、山药、茯苓、当归、甘草
不拘泥于特定时间服用。
清热养荣汤(治疗虚劳内热骨蒸。)
柴胡、牡丹皮、地骨皮、生地黄、当归、白芍、玄参、茯苓、麦冬肉、生甘草
用灯芯三十寸,河水煎服。
加味固本胶
生地黄、熟地黄、桔梗、茯苓、天冬肉、玄参、川贝母、百合、阿胶、紫菀、麦冬肉、甘草
用白蜜二斤,熬制成胶。
集灵胶
天冬、麦冬、生地黄、熟地黄、玄参、桔梗、甘草
用白蜜五斤,熬制成胶。
清金养荣丸
生地黄、麦冬肉、天花粉、川贝母、玄参、白芍、茯苓、地骨皮、牡丹皮、甘草
将生地黄用薄荷汤煮烂,捣碎成胶,同蜂蜜制成丸剂。
清金甘桔汤(治疗干咳。)
桔梗、川贝母、麦冬肉、天花粉、生地黄、玄参、白芍、牡丹皮、粉甘草、灯芯
用河水煎煮。
清金百部汤(治疗虚劳久嗽。)
桔梗、玄参、川贝母、百部、生地黄、麦冬、牡丹皮、白芍、生甘草、地骨皮、灯芯
气喘急促,加白前、海粉、竹茹。如果痰液吐出来稠厚粘腻,脾肺火盛,加清金散、竹茹、天花粉。
清金加减百合固金汤
百合、桔梗、川贝母、桑白皮、杏仁、天花粉、麦冬、茯苓、陈皮、生甘草
大圣药
春季加佛耳草,即面糊兼头(此处疑为制法描述,意指制成饼状),在立夏日采取制作成饼。夏季加苎麻根。秋季加金沸草。冬季加款冬花。发热加柴胡、前胡。咽痛加玄参、射干。素有血症者,加生地黄、牡丹皮。
固金养荣汤
桔梗、桑白皮、川贝母、茯苓、百合、杏仁、陈皮、甘草
用生地黄四两,荷叶汤煮烂捣膏作为蜜丸。此方与百合固金汤,是治疗血虚痰火的主药。
清金甘桔汤(治疗咳嗽痰中带血丝血珠。)
桔梗、生地黄、白芍、牡丹皮、麦冬、玄参、川贝母、茯苓、阿胶、甘草
此方加紫菀、犀角,名为胶菀清金汤,治疗咳嗽痰中夹血。制成丸剂,治疗咳嗽痰中夹血珠、血丝、血片。去掉生地黄、桔梗,加地骨皮、百部,名为胶菀犀角汤,治疗劳嗽吐血。
加味犀角地黄汤
犀角、生地黄、赤芍、牡丹皮、蒲黄
用灯芯三十寸,一大张荷叶,煎汤代替水煎药。
固本肾气丸(治疗阳虚。)
人参、黄耆、白术、茯苓、当归、生地黄、炙甘草、枣仁、煨姜、鹿角胶
还元丹(也治疗阳虚。)
远志、杜仲、牛膝、补骨脂、山药、茯神、锁阳、五味子、枸杞子、山萸肉、熟地黄、石菖蒲
炼蜜为丸,用淡盐汤送服。
獭爪丸(治疗传尸劳。)
獭爪(醋炙研为细末)、獭肝(阴干)、败龟板、银柴胡、百部、沙参、生地黄、桔梗、地骨皮、牡丹皮、麦冬、甘草
共研为细末,每次取五分或至七分,投入煎剂中,或者做成丸剂或胶剂加入,暗中让患者服用,不要让病人察觉。
There is a proverb stating that "the young do not suffer from wind-stroke, and the old do not suffer from consumption." Therefore, people after middle age often experience symptoms such as laborious coughing, hemoptysis, and blood in sputum, yet they are unwilling to admit that they are suffering from *Qie Zheng* (Weakness Syndrome / Consumption). This is because their *Xiang Huo* (Ministerial Fire) tends to decline, their desire for lust has already faded, their temperament has become dull, and their anger is rarely aroused. If these two aspects (lust and anger) are not guarded against, the time of death will be hastened. As for treatment methods, they remain the same.
Guiyang Xinpi Tang (Cinnamon Twig and Heart-Spleen Nourishing Decoction) [Indication: Nocturnal emission and spermatorrhea]
Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Rhizoma), Qianshi (Euryales Semen), Bei Wuweizi (Schisandrae Chinensis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shudi (Rehmanniae Radix Praeparata), Zaoren (Ziziphi Spinosomi Semen), Fushen (Poria cum Radice Pini), Shanyao (Dioscoreae Rhizoma), Dangguishen (Angelicae Sinensis Radix)
Renshen and Huangqi consolidate Yuan Qi (Original Qi); when Qi is consolidated, Jing (Essence) is retained and does not leak. Shengdi (Raw Rehmanniae Radix) nourishes Yin; when Yin is nourished, Ministerial Fire is controlled and does not float upward. Danggui nourishes Blood. Qianshi consolidates the Kidney. Fushen and Zaoren calm the Spirit and stabilize the Mind. Huangqi, Baizhu, Shanyao, and Gancao tonify Qi and regulate the Middle Jiao. When Qi is vigorous and the Spirit is flourishing, Essence is secured and the disease heals itself. For severe emissions, add Yurou (Corni Fructus) and Lianxu (Nelumbinis Stamen). For excessive mental worry, add Lianrou (Nelumbinis Semen). For uncontrollable leakage, add Shilian (Nelumbinis Stamen) and Jinyinggao (Chrysanthemi Indici Fructus extract). For flaccidity of the legs, add Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), and Guibanjiao (Testudinis Carapacis et Plastratis Colla).
Guiyang Xinshe Wan (Cinnamon Twig and Heart-Kidney Nourishing Pill)
Shengdi, Shudi, Huangqi, Baizhu, Shanyao, Qianshi, Fushen, Zaoren, Dangguishen, Yurou, Wuwei Zi, Gancao
Prepare with refined honey into pills. Take 3 qian with plain warm water on an empty stomach.
Shengdi and Shudi nourish Yin. Danggui nourishes Blood. Fushen and Zaoren tonify the Heart. Huangqi, Baizhu, Shanyao, and Gancao regulate Qi and tonify the Middle Jiao. Wuweizi and Qianshi secure Essence and nourish the Kidney. [Text implies addition of] Rong (Deer Antler Glue), Shayuan (Astragali Complanati Semen), Tusizi (Cuscutae Semen). For diarrhea, add Zexie (Alismatis Rhizoma) and Lianrou. For weakness of waist and knees and difficulty walking, add Niuxi, Duzhong, and Guilujiao (Deer Antler and Turtle Shell Glue).
Yangxin Guben Wan (Heart-Nourishing Root-Firming Pill)
Yuanwu Jiao (Tortoise Shell Glue stir-fried with red yeast rice until granular), Lujiao Jiao (Deer Antler Glue stir-fried with red yeast rice until granular), Yurou, Gouqi (Lycii Fructus), Renshen, Huangqi, Shilian Rou (Nelumbinis Stamen), Baizhu, Gancao, Zaoren, Dihuang (Rehmanniae Radix), Huainiu Xi (Achyranthis Bidentatae Radix)
Boil Shilian Rou with 1 qian of Rougui (Cinnamomi Cortex) for one day, remove Rougui, and prepare with refined honey into pills. This is a formula for concluding treatment and firming the root.
Yangxin Gushen Wan (Heart-Nourishing Kidney-Firming Pill) [Indication: Leakage of essence]
Shengdi, Danggui, Fushen, Shanyao, Qianshi, Yurou, Chenpi (Citri Reticulatae Pericarpium), Gancao, Wuwei Zi, Shilian Rou
Decoct in river water and take on an empty stomach.
Sangpiaoxiao San (Mantis Egg-case Powder) [Indication: Incessant seminal emission]
Use only Sangpiaoxiao (Mantidis Oötheca), roast until dry, grind into powder, and mix with wine or grain beverage for oral administration, 1 qian per dose. It stops after three or four doses.
Buyuan Tang (Yuan-Tonifying Decoction) [Indication: Kidney Bi]
Shengdi, Gouqi, Huangqi, Baizhu, Duzhong, Niuxi, Shanyao, Fuling (Poria), Danggui, Gancao
Take at any time.
Qingre Yangrong Tang (Heat-Clearing and Nutritive-Vessel Nourishing Decoction) [Indication: Internal heat and bone-steaming due to Consumption]
Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), Digupi (Boroniae Cortex), Shengdi, Danggui, Baishao (Paeoniae Radix Alba), Yuanshen (Scrophulariae Radix), Fuling, Maidong Rou (Ophiopogonis Tuber), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma)
Decoct with 30 cun of Dengxin (Junci Medullia) in river water.
Jiawei Guben Jiao (Modified Root-Firming Glue)
Shengdi, Shudi, Jiegeng (Platycodonis Radix), Fuling, Tiandong Rou (Asparagi Tuber), Yuanshen, Chuanbei (Fritillariae Cirrhosae Bulbus), Baihe (Lilii Bulbus), Ejiao (Colla Corii Asini), Ziwan (Adenophorae Radix), Maidong Rou, Gancao
Use 2 jin of white honey to form glue.
Jiling Jiao (Collecting Spirits Glue)
Tiandong, Maidong, Shengdi, Shudi, Yuanshen, Jiegeng, Gancao
Use 5 jin of white honey to form glue.
Qingjin Yangrong Wan (Metal-Clearing and Nutritive-Vessel Nourishing Pill)
Shengdi, Maidong Rou, Huafen (Trichosanthis Radix), Chuanbei, Yuanshen, Baishao, Fuling, Digupi, Danpi, Gancao
Boil Shengdi in Bohe Tang (Menthae Haplocalycis Herba decoction) until soft, mash into glue, and mix with honey to form pills.
Qingjin Ganjie Tang (Metal-Clearing Licorice and Platycodon Decoction) [Indication: Dry cough]
Jiegeng, Chuanbei, Maidong Rou, Huafen, Shengdi, Yuanshen, Baishao, Danpi, Fen Gancao (Refined Glycyrrhizae Radix et Rhizoma), Dengxin
Decoct in river water.
Qingjin Baibu Tang (Metal-Clearing Stemona Decoction) [Indication: Chronic cough due to Consumption]
Jiegeng, Yuanshen, Chuanbei, Baibu (Stemonae Radix), Shengdi, Maidong, Danpi, Baishao, Sheng Gancao, Digupi, Dengxin
For rapid panting, add Baiqian (Cynanchi Stauntonii Caulis et Radix), Haifen (Natrii Sulfas), and Zhuru (Bambusae Caulis in Taenia). If sputum is thick and sticky, indicating excess fire in Spleen and Lung, add Qingjin San, Zhuru, and Huafen.
Qingjin Jiabaihe Gulin Tang (Metal-Clearing Modified Lily-Gold-Firming Decoction)
Baihe, Jiegeng, Chuanbei, Sangpi (Morus Cortex Radicis), Xingren (Armeniacae Semen Amarum), Huafen, Maidong, Fuling, Chenpi, Sheng Gancao
Dasheng Yao (Great Sage Medicine)
In spring, add Fo'er Cao (Petasitae Japonicae Herba), formed into cakes using flour paste, harvested on the Start of Summer. In summer, add Zhuma Gen (Boehmeriae Radix). In autumn, add Jinfei Cao (Antennariae Herba). In winter, add Kuandonghua (Farfarae Flos). For fever, add Chaihu and Qianhu (Peucedani Radix). For sore throat, add Yuanshen and Shegan (Belamcandae Rhizoma). For those with a history of blood disorders, add Shengdi and Danpi.
Gujin Yangrong Tang (Gold-Firming and Nutritive-Vessel Nourishing Decoction)
Jiegeng, Sangpi, Chuanbei, Fuling, Baihe, Xingren, Chenpi, Gancao
Use 4 liang of Shengdi, boil in He Ye Tang (Nelumbinis Folium decoction) until soft, mash into paste, and mix with honey to form pills. This formula, along with Baihe Gulin Tang, is the main prescription for treating Blood deficiency with Phlegm-Fire.
Qingjin Ganjie Tang (Metal-Clearing Licorice and Platycodon Decoction) [Indication: Cough with blood threads or beads in sputum]
Jiegeng, Shengdi, Baishao, Danpi, Maidong, Yuanshen, Chuanbei, Fuling, Ejiao, Gancao
Add Ziwan and Xijiao (Rhinocerotis Cornu) to this formula to name it Jiaowan Qingjin Tang, used for cough with blood mixed in sputum. Formed into pills, it treats cough with blood beads, threads, or flakes in sputum. Remove Shengdi and Jiegeng, add Digupi and Baibu, to name it Jiaowan Xijiao Tang, used for consumption cough with hemoptysis.
Jiawei Xijiao Dihuang Tang (Modified Rhino-Horn and Rehmannia Decoction)
Xijiao, Shengdi, Chishao (Paeoniae Radix Rubra), Danpi, Puhuang (Typhae Pollen)
Decoct with 30 cun of Dengxin and one large He Ye (Nelumbinis Folium) as water substitute.
Qiongyu Jiao (Jade-Qiong Glue)
Shengdi, Fuling, Renshen
Equal parts, preserve with honey.
Guben Shenqi Wan (Root-Firming Kidney-Qi Pill) [Indication: Yang deficiency]
Renshen, Huangqi, Baizhu, Fuling, Danggui, Shengdi, Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Zaoren, Wei Jiang (Roasted Ginger), Lujiao Jiao.
Huanyuan Dan (Origin-Returning Pill) [Also treats Yang deficiency]
Yuanzhi (Polygalae Radix), Duzhong, Niuxi, Buguzhi (Psoraleae Fructus), Shanyao, Fushen, Suoyang (Cynomorii Herba), Wuwei Zi, Gouqi, Shanyurou (Corni Fructus), Shudi, Changpu (Acori Tatarinowii Rhizoma)
Form pills with refined honey, take with light salt water.
Tazhao Wan (Badger Claw Pill) [Indication: Transmitted Corpse Labor (Consumption)]
Tazhao (Badger's Claw Vine, stir-fried with vinegar and powdered), Tagan (Badger Liver, air-dried), Baiguiban (Testudinis Carapax), Yinchaihu (Bungea Root), Baibu, Shashen (Glehniae Radix), Shengdi, Jiegeng, Digupi, Danpi, Maidong, Gancao
Grind all into powder. Take 5 fen to 7 fen each time, add to decoctions, or incorporate into pills/glue. Administer secretly without the patient's knowledge.
Baibu Qingjin Tang (Stemona Metal-Clearing Decoction) [Indication: Transmitted Corpse Labor]
Baibu, Digupi, Renshen, Maidong, Jiegeng, Shengdi, Danpi, Shaoyao (Paeoniae Radix), Fuling, Gancao