治肺痿骨蒸,已成劳咳,或寒或热,声不出,体虚自汗,四肢倦怠。
秦艽(一钱) 鳖甲(醋炒,一钱) 人参(五分) 当归(身,一钱) 柴胡(一钱) 紫菀
(茸,八分) 甘草(炙,八分) 地骨皮(一钱)
上八味作一剂,用生姜五片,梅、枣各一枚,水煎,食后服。
按∶方意以秦艽治虚劳发热,传尸骨蒸,日晡潮热。以鳖甲治劳瘦骨蒸,补阴补气。以
人参去心肺脾胃间火邪,补五劳七伤,虚损痰弱。以当归治虚劳寒热,一切血虚。以紫菀疗
咳血唾脓,尸疰虚劳,百邪鬼疰。以甘草泻火益脾。以地骨皮退骨蒸烦热。以柴胡治劳热,
骨节烦痛羸瘦,补五劳七伤。观是方八味,括上症无遗矣。
治心肾俱虚,劳嗽时复三四声,潮热过即有盗汗,四肢倦怠,肌体羸瘦,恍
惚异梦,喉中有血,名肺痿。
白芍(煨,一钱) 黄 (蜜炙,一钱) 人参(五分) 当归(身,一钱) 白茯苓(去皮,
一钱) 熟地黄(一钱) 五味子(十五粒) 半夏曲(八分) 阿胶(炒成珠,一钱) 甘草(炙,
八分)
上十味作一剂,姜、枣引,水煎服。
按∶方曰劫劳者,以其药力专而效之捷也。方意以白芍补劳退热,除烦益气,制肝而
益脾胃。以黄 补虚劳自汗,益肺气而泻肺火。以人参泻心肺脾胃中火邪,止咳唾吐衄诸血
,所谓血脱而益其气也。以白茯苓利窍除湿,治痰之本也。以熟地黄填骨髓,长肌肉,补五
劳七伤,虚羸不足也。以当归补一切血虚,一切血病,去旧生新也。以五味子治劳伤不足,
暖水脏,壮筋骨,喘嗽燥咳,壮水以镇阳光也。以阿胶补虚损,止诸血,补益肺脏。以甘草
泻火补脾,以半夏曲燥湿,冷痰之标也。药固十味,皆精专之品,奚啻孙吴之十万耶?
治疗肺痿骨蒸,已经形成劳咳,或者怕冷或者发热,声音发不出,身体虚弱自汗,四肢倦怠无力。
秦艽(一钱) 鳖甲(醋炒,一钱) 人参(五分) 当归(归身,一钱) 柴胡(一钱) 紫菀(茸,八分) 甘草(炙,八分) 地骨皮(一钱)
以上八味药作为一剂,用生姜五片,梅子、大枣各一枚,加水煎煮,饭后服用。
按语:方义以秦艽治疗虚劳发热,传尸骨蒸,日晡潮热。以鳖甲治疗劳瘦骨蒸,补阴补气。以人参去除心肺脾胃间的火邪,补五劳七伤,虚损痰弱。以当归治疗虚劳寒热,一切血虚。以紫菀治疗咳血唾脓,尸疰虚劳,百邪鬼疰。以甘草泻火益脾。以地骨皮退骨蒸烦热。以柴胡治疗劳热,骨节烦痛羸瘦,补五劳七伤。看这个方子的八味药,概括了上述症状没有遗漏了。
治疗心肾俱虚,劳嗽时常反复三四声,潮热过后就有盗汗,四肢倦怠,肌体消瘦,恍惚异梦,喉中有血,名为肺痿。
白芍(煨,一钱) 黄芪(蜜炙,一钱) 人参(五分) 当归(归身,一钱) 白茯苓(去皮,一钱) 熟地黄(一钱) 五味子(十五粒) 半夏曲(八分) 阿胶(炒成珠,一钱) 甘草(炙,八分)
以上十味药作为一剂,姜、枣为引,加水煎服。
按语:方名劫劳,是因为药力专一而疗效迅速。方义以白芍补劳退热,除烦益气,制肝而益脾胃。以黄芪补虚劳自汗,益肺气而泻肺火。以人参泻心肺脾胃中火邪,止咳唾吐衄诸血,所谓血脱而益其气也。以白茯苓利窍除湿,治痰之本也。以熟地黄填骨髓,长肌肉,补五劳七伤,虚羸不足也。以当归补一切血虚,一切血病,去旧生新也。以五味子治劳伤不足,暖水脏,壮筋骨,喘嗽燥咳,壮水以镇阳光也。以阿胶补虚损,止诸血,补益肺脏。以甘草泻火补脾,以半夏曲燥湿,冷痰之标也。药固十味,皆精专之品,何止孙吴之十万耶?
Treats fei wei (Lung Withering) and gu zheng (Bone-steaming Fever), where lao ke (Consumption Cough) has already formed, presenting with alternating chills and fever, inability to speak, body deficiency with spontaneous sweating, and fatigue in the four limbs.
Qinjiao (Gentianae Radix, 1 qian) Biejia (Testudinis Carapax et Plastrum, stir-fried with vinegar, 1 qian) Renshen (Ginseng Radix, 0.5 qian) Danggui (Angelicae Sinensis Radix, root body, 1 qian) Chaihu (Bupleuri Radix, 1 qian) Ziwan (Asteris Radix, 0.8 qian) Gancao (Licorice Radix, honey-roasted, 0.8 qian) Digupi (Lycii Cortex, 1 qian)
These eight herbs constitute one dose. Add five slices of Shengjiang (Zingiberis Rhizoma), one Meizi (Prunus mume fruit), and one Dazao (Jujubae Fructus). Decoct in water and take after meals.
Commentary: The formula's intent is to use Qinjiao to treat xu lao (Deficiency Consumption) fever, chuan shi (Transmitting Corpse) bone-steaming, and ri bu chao re (Afternoon tidal fever). Biejia treats lao shou (Consumption Emaciation) bone-steaming, nourishing Yin and Qi. Renshen clears fire pathogens from the Heart, Lungs, Spleen, and Stomach, and tonifies the Five Exhaustions and Seven Injuries, addressing deficiency, damage, phlegm, and weakness. Danggui treats xu lao chaine (Deficiency Consumption chills and fever) and all forms of Xue Xu (Blood Deficiency). Ziwan treats coughing blood and spitting pus, shi zhu (Corpse Insinuation) xu lao, and various evil ghost insinuations. Gancao drains fire and benefits the Spleen. Digupi reduces bone-steaming and vexatious heat. Chaihu treats lao re (Consumption Heat), painful and vexed joints, emaciation, and tonifies the Five Exhaustions and Seven Injuries. Observing these eight herbs in the formula, they comprehensively cover the aforementioned symptoms without omission.
Treats simultaneous deficiency of the Heart and Kidneys, where lao sou (Consumption Cough) occurs repeatedly three or four times, followed by dao han (Night Sweating) after tidal fever passes, fatigue in the four limbs, emaciated body, vague dreams, and blood in the throat, named fei wei (Lung Withering).
Baishao (Paeoniae Radix Alba, baked, 1 qian) Huangqi (Astragali Radix, honey-roasted, 1 qian) Renshen (Ginseng Radix, 0.5 qian) Danggui (Angelicae Sinensis Radix, root body, 1 qian) Baifuling (Poria, peeled, 1 qian) Shudihuang (Rehmanniae Radix Praeparata, 1 qian) Wuweizi (Schisandrae Fructus, 15 grains) Banxiaqu (Pinelliae Fermentatum, 0.8 qian) Ejiao (Asini Corii Colla, stir-fried into beads, 1 qian) Gancao (Licorice Radix, honey-roasted, 0.8 qian)
These ten herbs constitute one dose. Use Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus) as guides, decoct in water, and take orally.
Commentary: The formula is named Jie Lao (Seizing Consumption) because its medicinal power is specialized and its effect is swift. The formula's intent is to use Baishao to tonify consumption, reduce fever, relieve vexation, benefit Qi, restrain the Liver, and benefit the Spleen and Stomach. Huangqi tonifies deficiency consumption and spontaneous sweating, benefits Lung Qi, and drains Lung Fire. Renshen drains fire pathogens in the Heart, Lungs, Spleen, and Stomach, stops cough and expectoration, and treats hematemesis, epistaxis, and other bleeding; this is known as benefiting Qi when Blood is depleted. Baifuling opens orifices, removes dampness, and treats the root of Phlegm. Shudihuang fills the marrow, grows muscles, tonifies the Five Exhaustions and Seven Injuries, and addresses deficiency and insufficiency. Danggui tonifies all Blood Deficiency and all Blood diseases, removing the old to generate the new. Wuweizi treats deficiency due to consumption injury, warms the Water Organ (Kidney), strengthens sinews and bones, treats wheezing, coughing, and dry cough, strengthening Water to suppress Yang Fire. Ejiao tonifies deficiency and damage, stops various bleedings, and benefits the Lung. Gancao drains fire and tonifies the Spleen. Banxiaqu dries dampness, treating the branch of Cold-Phlegm. Although there are ten herbs, they are all refined and specialized substances; how could they not be comparable to the hundred thousand troops of Sun Wu and Wu Qi?