人参 白术 茯苓 当归 芎 芍药 肉桂
风湿居停肠胃,上胀白睛,下泄鲜血,或便如豆汁淤泥,此方主之。
风,阳邪也,血得之则善走,故下鲜血。湿,阴毒也,血得之则败坏,故便如豆汁淤泥。肺经连于大肠,故
白睛胀起,看似有形积热,其实土金素亏。治法,补其虚而行其滞,风湿顿除。爰用十全去 、草、地黄,盖
草甘缓,地黄濡腻,均不合式。易老审证处方,大都如是。能餐而泄,睑 及虚肿亦有效。
诗曰∶胃风十全物,过补草 出,地黄胡不收,濡滞行不疾。
磁石(八两) 朱砂(四两) 沉香(二两) 六神曲(一斤)
将雄磁石置巨火中, 极红,醋淬,不拘次数,
总以手拈即碎为则。水飞过。朱砂亦飞。沉香细碾。神曲取净粉,分一半,水和作饼,蒸熟入药捣匀。摊略爽,然后搀
蜜为丸。梧子大,晒干勿焙,瓷 收贮。初起内障,每晨与服五钱。如此数十日,俯视不明,仰视渐睹星月,即其效也。
亦治心火乘金,水衰反制,昏惑妄见之病。宿病时复者,进此一料,永不再作。素沉寒及虚肥之人不相投。
心肾,眼目之锁钥也。心劳则视惑,肾劳则视昏,心肾交劳则视而不见,故主是方。以磁石咸寒镇肾,令神
水不外移也。朱砂甘凉镇心,令邪火不上炎也。火水未济,先调脾胃,故两用神曲,生者发其生气,熟者敛其暴
气也。水火既济,须资传导,故独选沉香,盖味微苦能降,气微辛能升也。又磁石法水入肾,古人于肾虚及种子
多见采。近代泥于金石不可常服一说,视为仇药。不知磁石性能吸铁,本科专尚之者,非独取而滋水,并假渠引
肺金夜气入肾。俾子母相生,水得金而清,则相火不攻自去。呜呼,神医之妙,在于幽微,可为知者道,难与俗
人言也。
诗曰∶磁石专滋肾,朱砂独镇心,二经分水火,制化曲犹沉。
风湿之邪停留于肠胃,上则导致白睛(眼球表面的白色部分)肿胀,下则排泄鲜血,或者大便如同豆汁或淤泥般浑浊,此方主治此类病症。
风,属于阳邪,血液遇到它则容易妄行,所以出现下部排泄鲜血的症状。湿,属于阴毒之邪,血液遇到它则会败坏变质,所以大便像豆汁和淤泥一样。肺经与大肠相表里,因此白睛肿胀突起,看起来像是由于有形积热所致,但实际上是脾土和肺金素来亏虚。治疗原则是补益其虚损并疏通其滞涩,风湿之邪即可顿除。因此选用十全大补汤去掉甘草、地黄,因为甘草味甘性缓,地黄质地濡腻,均不符合此证的治疗要求。李东垣审察病证处方,大多都是这样。如果患者能进食但伴有腹泻,眼睑浮肿及虚肿也有疗效。
诗曰:胃风汤由十全大补汤的药物组成,去掉甘草和地黄,如果不除去这两味药,药物滋腻滞涩,运行就不迅速。
将雄性的磁石放在大火中烧至极红,用醋淬炼,不限次数,直到用手一捏就碎为标准。然后用水飞法研磨。朱砂也用水飞法处理。沉香细细碾碎。神曲取纯净粉末,分出一半,用水调和做成饼状,蒸熟后入药捣匀。摊开晾得稍微干爽一些,然后掺入蜂蜜制成丸剂。大小如梧桐子,晒干不要烘焙,用瓷器密封收藏。初起内障眼病,每晨服用五钱。如此服用数十日,原本俯视看不清,现在仰视逐渐能看见星月,这就是药效。
此方也治疗心火乘袭肺金,肾水衰弱反被制约,导致昏乱迷惑、产生幻觉妄见的病症。旧病时常复发的,服用这一料药,永远不再发作。但是素体沉寒以及身体虚胖的人不适合服用。
心和肾,是眼睛的锁钥。心劳则视觉惑乱,肾劳则视觉昏花,心肾同时劳损则视而不见,所以以此方为主治。用磁石的咸寒之性镇摄肾脏,使神水不向外流失。用朱砂的甘凉之性镇摄心脏,使邪火不上炎。水火未能既济,先调理脾胃,所以重用神曲,生神曲发散其生气,熟神曲收敛其暴气。水火既济之后,需要资助传导功能,所以单独选用沉香,因为它的味道微苦能降,气味微辛能升。另外,磁石引导水气进入肾脏,古人在治疗肾虚及生育方面多见采用。近代人拘泥于金石类药物不可常服的说法,将其视为仇敌般的药物。不知道磁石的性质能够吸引铁,本类药物专门崇尚使用它的原因,不仅仅是为了摄取它来滋补肾水,更是借助它引导肺金的夜气进入肾脏。使得子母相生,水得到金的清肃之气而变得清澈,那么相火就会不攻自去。唉,神医的奥妙,在于幽深微妙之处,只能对懂的人说,难以跟世俗之人言谈。
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Xiong (Chuanxiong Rhizome), Shao Yao (Paeoniae Radix), Rou Gui (Cinnamomi Cortex).
When Wind-Dampness lingers in the intestines and stomach, it causes swelling of the white sclera (Bai Jing) upwards and bleeding downwards, or stools resembling bean curd dregs or silt. This formula is indicated for such conditions.
Wind is a Yang pathogen; when blood encounters it, it tends to move recklessly, hence the symptom of lower bleeding. Dampness is a Yin toxic pathogen; when blood encounters it, it becomes corrupted, hence the stool resembles bean curd dregs and silt. The Lung Meridian connects with the Large Intestine, thus causing the white sclera to swell and protrude. Although it appears as if there is accumulated heat with tangible form, it is actually due to a congenital deficiency of Earth (Spleen) and Metal (Lung). The treatment principle is to tonify deficiency and promote stagnation, thereby eliminating Wind-Dampness abruptly. Therefore, Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) is used, excluding Gan Cao (Licorice Root) and Di Huang (Rehmanniae Radix), because Gan Cao is sweet and slow-acting, and Di Huang is moistening and cloying, neither of which fits this pattern. Li Dongyuan's approach to examining syndromes and prescribing formulas was largely like this. It is also effective for patients who can eat but suffer from diarrhea, as well as for eyelid edema and general flaccid swelling.
The poem states: "Wei Feng Wan consists of ingredients from Shi Quan Da Bu Tang; removing Gan Cao and Di Huang prevents excessive tonification. If not removed, their moistening and stagnating nature hinders rapid circulation."
Ci Shi (Magnetitum, eight taels), Zhu Sha (Cinnabaris, four taels), Chen Xiang (Aquilariae Lignum Resinatum, two taels), Liu Shen Qu (Medicated Leaven, one jin).
Place male Ci Shi (Magnetite) in a fierce fire until it glows red, then quench it in vinegar. Repeat this process without limit until it crumbles easily when pinched by hand. Then, process it using the water-triturating method (Shui Fei). Zhu Sha (Cinnabar) is also processed by water-triturating. Chen Xiang (Agarwood) is finely ground. Take pure powder of Liu Shen Qu (Medicated Leaven), divide it in half. Mix half with water to make cakes, steam them until cooked, then mix into the medicine and pound evenly. Spread them out to dry slightly, then mix with honey to form pills. Make them the size of Sophora seeds (Wu Zi Da), dry them in the sun without roasting, and store them in porcelain containers. For early-stage internal cataracts, take five qian every morning. After taking this for dozens of days, if one previously could not see clearly when looking down, now they can gradually see stars and the moon when looking up; this indicates efficacy.
This formula also treats diseases where Heart Fire overacts on Lung Metal, and Kidney Water is weak and counter-restricted, leading to confusion, delirium, and visual hallucinations. For chronic diseases that recur periodically, taking one dose will prevent recurrence forever. However, it is unsuitable for individuals with chronic cold patterns or those who are constitutionally deficient and obese.
The Heart and Kidney are the lock and key of the eyes. Heart fatigue leads to visual confusion; Kidney fatigue leads to visual dimness; simultaneous fatigue of Heart and Kidney leads to seeing without perceiving. Hence, this formula is primary. Ci Shi (Magnetite), being salty and cold, anchors the Kidney, preventing the Divine Water (Jing fluid of the eye) from leaking outward. Zhu Sha (Cinnabar), being sweet and cool, anchors the Heart, preventing pathological Fire from flaming upward. Since Water and Fire have not yet achieved mutual interaction (Ji Ji), the Spleen and Stomach must be regulated first; thus, Liu Shen Qu (Medicated Leaven) is used in double amounts: raw Qu disperses its vital energy, while cooked Qu restrains its violent energy. Once Water and Fire achieve Ji Ji (mutual interaction), transmission and transformation require support; thus, Chen Xiang (Agarwood) is selected exclusively, as its bitter taste promotes descending and its acrid aroma promotes ascending. Furthermore, Ci Shi (Magnetite) guides Water into the Kidney. In ancient times, it was frequently cited for treating Kidney deficiency and fertility issues. Modern practitioners, adhering to the notion that mineral drugs cannot be taken long-term, regard them as enemy medicines. They fail to realize that Ci Shi (Magnetite) has the property of attracting iron. The reason this class of drugs is specifically valued is not only to nourish Kidney Water through extraction but also to borrow its channel to guide the Night Qi of Lung Metal into the Kidney. This allows the mother and child organs to generate each other; Water, clarified by Metal, causes Ministerial Fire to dissipate spontaneously. Alas, the wonder of divine physicians lies in subtleties that can only be discussed with the knowledgeable, not with the vulgar.
The poem states: "Ci Shi (Magnetite) specifically nourishes the Kidney; Zhu Sha (Cinnabar) alone anchors the Heart. These two meridians divide Water and Fire; the regulation and transformation rely on Qu (Leaven) and Chen Xiang (Agarwood)."