都气丸量加紫河车、羊肝、苁蓉、当归。
阴精生气生神,苟一亏损,则壮火食气,神无以生,令人昏惑妄见。乃取古都气法,一体肝肾之药水木同治。
肝肾足,而明照之灵依然流露于两睛之窠,有若造化阴为斡旋者。老年人及久病病愈,皆可制服。
诗曰∶益阴丸子,都气加味,河车苁蓉,肝当急备。
大地黄(三两) 当归 枸杞 麦冬 人参 苁蓉(各一两五钱) 天门冬 五味 白芍 女贞(各一两)
瞳子散动,视物不清,此方主之。
瞳子本水轮,于廓为巽。瞳子散动,水风相搏,浪涛汹涌之象也。且瞳子静敛则能鉴,今而散动,宜其视物
不清矣。法当女贞、芍药、天冬、麦冬平其风实,参、归、苁
蓉、五味、枸杞,补其风虚,虚实调则巽地自善。倍地黄以镇火,又以资水木之源,再不致风威所撼。乃特表其
能而名方云。
诗曰∶滋阴地黄天麦冬,人参五味肉苁蓉,女贞枸杞当归芍,十物为丸定水风。
一方熟地黄、山药、人参、当归、五味、天冬、地骨皮、枳壳、黄连、柴胡、甘草、黄芩,治木火侮金,白
睛赤痛。不效,去五味、枳壳,用桑白皮、百合亦佳。因附于此。
诗曰∶怀地天冬寒令早,人归山骨无柴草,芩连枳壳拾为薪,五味烹调分饷好。
人参养荣汤去白芍、远志,入羌活、防风。
阳不胜其阴则目翳生,或陷下久久不退,乃朝雾障日之象也。合主以人参养荣汤益阴而补阳,去白芍药、远
志者,既补不欲泻;加羌活、防风者,非取泄表,实去夫郁腐之气,使不助其壮火耳。是亦所以补阳也,故名。
诗曰∶补厥虚阳合养荣,妙无远志益精明,再删芍药舒肝木,羌尚防风活不成。
都气丸(由六味地黄丸加五味子组成)的剂量基础上,加入紫河车、羊肝、肉苁蓉、当归。
阴精能化生元气和神志,如果一旦亏损,就会导致壮火(亢盛的病理之火)消耗元气,神志无法生成,使人出现昏乱迷惑、产生幻觉妄见等症状。因此采用古代都气丸的方法,整体调理肝肾,因为肝肾同源,属水木相生关系,故同治。
若肝肾充足,那么视觉清明之灵便会自然流露于双眼之中,仿佛有造化之力在暗中调和运转。老年人以及久病初愈者,都可以服用此方。
诗云:益阴丸子,是在都气丸基础上加减,需急备紫河车、肉苁蓉、羊肝、当归。
大熟地黄(三两)、当归、枸杞子、麦冬、人参、肉苁蓉(各一两五钱)、天门冬、五味子、白芍、女贞子(各一两)。
瞳孔散大且动摇不定,视物模糊不清,此方主治。
瞳孔本属水轮,在八卦中对应巽卦(代表风)。瞳孔散动,是水邪与风邪相互搏结,如同浪涛汹涌的景象。况且瞳孔静止收敛时才能像镜子一样照物,如今却散动不安,所以视物不清。治法应当用女贞子、白芍药、天门冬、麦冬来平息风实;用人参、当归、肉苁蓉、五味子、枸杞子来补益风虚。虚实调和,则巽位(眼部风气)自会安善。重用熟地黄以镇压虚火,同时资助水木之源,使不再受风邪撼动。特此表彰其功效并以此命名方剂。
诗云:滋阴地黄汤含天冬麦冬,人参五味子配肉苁蓉,女贞子枸杞子合当归白芍,十味药制成丸剂以安定水风。
另一首方剂包含熟地黄、山药、人参、当归、五味子、天门冬、地骨皮、枳壳、黄连、柴胡、甘草、黄芩,用于治疗木火侮金(肝火犯肺)导致的白睛红赤疼痛。若无效,去掉五味子、枳壳,改用桑白皮、百合也效果良好。因此附记于此。
诗云:怀地黄、天门冬、寒水石、令箭荷花(注:此处“寒令早”疑为音译或通假,结合上下文及常见眼科用药,可能指代清热凉血之品,但依原文直译),人参、当归、山药、地骨皮、无柴草(注:此处诗句为藏头或谐音谜,实际药物见前文列表),黄芩、黄连、枳壳拾起作为薪柴,五味子烹调后分食美好。(注:此诗多为记忆口诀,字面意思较晦涩,主要对应前文列出的十二味药)。
人参养荣汤去掉白芍、远志,加入羌活、防风。
阳气不能胜过阴气,则会导致目翳生成,或者凹陷久久不退,这就像早晨雾气遮蔽太阳的景象。综合治疗应以人参养荣汤来益阴而补阳。去掉白芍药、远志,是因为既已补益就不宜再泻;加入羌活、防风,并非为了发散表邪,实在是为了去除郁积腐败之气,使其不助长壮火罢了。这也是补阳的一种方法,因此得名。
诗云:补厥逆之虚阳配合养荣汤,妙在无远志以益精明,再删去白芍药以舒缓肝木,羌活尚需防风以防生机不成。
Duzi Wan (a modification of Liuwei Dihuang Wan with added Wuweizi) is prepared by adding Ziheche (Placenta Hominis), Yanggan (Sheep Liver), Rongrong (Cistanche Deserticola), and Danggui (Angelica Sinensis) to the dosage of Duzi Wan.
Yin essence generates Yuan Qi (Original Qi) and Shen (Spirit). If Yin essence is deficient, Zhuang Huo (Hyperactive Pathogenic Fire) will consume Qi, causing Shen to fail in generation, leading to symptoms such as confusion, delirium, and visual hallucinations. Therefore, the ancient method of Duzi Wan is adopted to treat the Liver and Kidney as a whole, since they share the same source and belong to Water and Wood, which generate each other; thus, they are treated simultaneously.
When the Liver and Kidney are sufficient, the spiritual clarity of vision naturally manifests in the eyes, as if orchestrated by the creative forces of nature. This formula can be taken by the elderly and those recovering from prolonged illness.
The poem states: Yi Yin Wan Zi is a modified Duzi Wan; Ziheche, Rongrong, Yanggan, and Danggui should be prepared urgently.
Da Dihuang (Shu Dihuang, 3 liang), Danggui, Gouqi, Maidong, Renshen, Rongrong (each 1.5 liang), Tiandong, Wuwei, Baishao, Nvzhen (each 1 liang).
For dilated and trembling pupils with blurred vision, this formula is indicated.
The pupil belongs to the Water Wheel and corresponds to the Xun trigram (representing Wind) in the Bagua. A dilated and trembling pupil indicates a struggle between Water pathogen and Wind pathogen, resembling surging waves. Since a still and gathered pupil can reflect like a mirror, its current trembling state causes blurred vision. The treatment method should employ Nvzhen, Baishao, Tiandong, and Maidong to calm Wind excess; and Renshen, Danggui, Rongrong, Wuwei, and Gouqi to tonify Wind deficiency. When deficiency and excess are harmonized, the Xun position (wind in the eye) will naturally become stable. Doubling the dose of Dihuang suppresses Fire and nourishes the source of Water and Wood, preventing further disturbance by Wind. This efficacy is highlighted, hence the name of the formula.
The poem states: Ziyin Dihuang contains Tiandong and Maidong; Renshen, Wuwei, and Roucongrou; Nvzhen, Gouqi, Danggui, and Baishao; ten herbs made into pills to stabilize Water and Wind.
Another formula consists of Shu Dihuang, Shanyao, Renshen, Danggui, Wuwei, Tiandong, Digupi, Zhike, Huanglian, Chaihu, Gancao, and Huangqin, treating redness and pain of the white sclera caused by Wood Fire insulting Metal (Liver Fire invading Lung). If ineffective, remove Wuwei and Zhike, and use Sangbaipi and Baihe, which is also effective. It is appended here for reference.
The poem states: Huai Dihuang, Tiandong, Hanlingzao [Note: Likely a mnemonic or variant term], Renshen, Danggui, Shanyao, Digupi, without Chaihu or Cao, Huangqin, Huanglian, Zhike gathered as firewood, cooked with Wuwei for good distribution. [Note: This poem serves as a mnemonic for the twelve herbs listed above].
Renshen Yangrong Tang with Baishao and Yuanzhi removed, and Qianghuo and Fangfeng added.
When Yang cannot overcome Yin, eye nebula (cataract/opacity) may form, or remain sunken and unresolved for a long time, resembling morning fog obscuring the sun. The comprehensive treatment should use Renshen Yangrong Tang to nourish Yin and tonify Yang. Baishao and Yuanzhi are removed because, after tonification, one should avoid purgative actions; Qianghuo and Fangfeng are added not to release the exterior, but to eliminate stagnant and corrupt Qi, preventing it from aiding Zhuang Huo. This is also a method of tonifying Yang, hence the name.
The poem states: Tonifying the deflected deficient Yang combines with Yangrong Tang; removing Yuanzhi benefits clarity of vision; deleting Baishao soothes Liver Wood; Qianghuo requires Fangfeng to ensure vitality is sustained.