景岳参附理阴煎，实系良方，用之得当，每见大效，误用则伤人，予既已详辨之矣。更
有金
匮肾气汤，为仲景先师之良方，用六味地黄加车前、牛膝、肉桂、附子，治水蛊最效，治肾
气上冲，亦甚有效。
乃有某医者，素习叶氏《临症指南》。叶氏初学幼科，后学方脉，与薛一瓢同时，而其
道不
及，惟其人灵机活泼，治病颇有聪明，但究非儒医，所传医案平常，虚字亦多不顺，迥非喻
嘉言《寓意草》可比。乃某医奉为家传，治病往往仿之，偶闻王九峰先生治李姓气冲于上，
用金匮肾气汤一药而愈，以为得有秘法，每遇气逆上冲治之不愈，即投以肾气汤，往往一药
而死。后李姓有妇人吐血，气逆不下，伊芳连用肾气汤七剂，致狂吐不止，血尽而亡。又有刘
颂芬之夫人气逆不下，伊芳久治无效，亦用肾气汤一服而亡。此何以故?盖方名肾气汤，并非
肝气汤。肾为至阴之脏，阴不潜阳，虚阳上冲，故用归、附引火归原，用六味纳气归肾，自
有奇效。至某医所治者，皆肝气也。肝为阴中之阳脏，气至上中不下，其火必甚，非滋水养
肝以平之不可，而反投以桂、附，火上添油，有不伤人性命者哉?嗟乎!以圣医之方，亦为害
人之方，皆由于古方立名之义未之能辨耳!予非敢揭人之短，唯一方之误，关人性命，不得
不明辨之，以示我后人凡用先师之方，不可罔顾名思义也。
张景岳的参附理阴煎，确实是良方，使用得当，常能取得显著疗效；但若误用则会伤害人体，我已经详细辨析过这个问题了。另外还有金匮肾气汤，这是张仲景先师的良方，由六味地黄丸加上车前子、牛膝、肉桂、附子组成，治疗水蛊（腹水积聚）最为有效，治疗肾气上冲证，也非常有效。
然而有一位医生，平时学习叶天士的《临症指南》。叶天士起初学习儿科，后来学习内科脉诊，与薛一瓢同时代，但他的医术水平不及薛一瓢，只是此人思维灵活，治病颇有聪明才智，但终究算不上儒医（精通儒家经典且医术精湛的医生），他所流传的医案水平平常，虚词也多有不通顺之处，完全不能与喻嘉言的《寓意草》相提并论。然而这位医生却将其奉为家传秘法，治病往往模仿叶氏的风格。偶然听说王九峰先生治疗一位李姓患者的气逆上冲证，只用了一剂金匮肾气汤就治愈了，便以为得到了秘方秘诀。每当遇到气逆上冲治不好的病例，就投用肾气汤，结果往往导致患者服药后死亡。后来有一位李姓妇女吐血，气逆不降，该医生连续用了七剂肾气汤，导致患者疯狂呕吐不止，血流尽而死。又有刘颂芬的妻子气逆不降，该医生久治无效，也使用一剂肾气汤而导致其死亡。这是什么原因呢？因为方名叫肾气汤，并不是肝气汤。肾是至阴之脏，如果阴液不足不能潜藏阳气，导致虚阳上冲，所以用当归、附子引火归原，用六味地黄丸纳气归肾，自然会有奇效。至于那位医生所治疗的病例，都是肝气上逆。肝是阴中之阳脏，气机逆乱至上中焦而不能下行，其火势必然很盛，必须通过滋水养肝来平息它，反而投以肉桂、附子等温热药，无异于火上浇油，难道有不伤害人性命的吗？唉！即使是圣人的方子，如果被误用也会成为害人的方子，这都是由于不能辨别古方命名含义的缘故啊！我并非敢揭露别人的短处，只是一方的误用关乎人性命，不得不明确辨析，以此告诫后人：凡是使用先师的方剂，不可盲目地根据字面意思去理解应用。
Zhang Jingyue’s Shenfu Liyin Decoction (Cinnamon Twig and Aconite Decoction to Regulate the Yin) is indeed an excellent prescription. When used appropriately, it often yields remarkable results; however, if misused, it can harm the body. I have already analyzed this in detail. Additionally, there is Jinkui Shenqi Tang (Golden Cabinet Kidney Qi Pill), a fine prescription from our master Zhang Zhongjing. It consists of Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) supplemented with Cheqianzi (Plantago Seed), Niuxi (Achyranthes Root), Rougui (Cinnamon Bark), and Fuzi (Prepared Aconite Root). It is most effective for treating Shuigu (Ascites/Water Distension) and is also highly effective for treating Shangchong de Shenqi (Kidney Qi Rushing Upward).
However, there was a certain physician who habitually studied Ye Tianshi’s *Linzheng Zhinan* (Guide to Clinical Practice). Ye initially specialized in pediatrics and later in internal medicine pulse diagnosis. He lived at the same time as Xue Yipiao, yet his medical skills were inferior to Xue’s. Ye was merely agile-minded and demonstrated considerable cleverness in treating diseases, but he was ultimately not a Ru Yi (Confucian Physician). The medical cases he transmitted were mediocre, and his use of connective particles was often ungrammatical, making them incomparable to Yu Jiayan’s *Yuyicao* (Meanings Grass). Nevertheless, this physician regarded Ye’s work as a family secret tradition and frequently imitated his style in treatment. Once, upon hearing that Mr. Wang Jiufeng cured a patient surnamed Li of Qi Rushing Upward using a single dose of Jinkui Shenqi Tang, he believed he had obtained a secret method. Consequently, whenever he encountered cases of Qi Reversal and Upward Rushing that failed to respond to other treatments, he would administer Shenqi Tang, often resulting in the patient’s death after just one dose. Later, a woman surnamed Li suffered from hematemesis (vomiting blood) with rebellious Qi failing to descend. This physician administered seven doses of Shenqi Tang consecutively, causing the patient to vomit blood uncontrollably until she died from blood loss. Similarly, the wife of Liu Songfen suffered from rebellious Qi failing to descend. After prolonged ineffective treatment by this physician, he administered one dose of Shenqi Tang, which also resulted in her death.
Why is this? Because the prescription is named Shenqi Tang (Kidney Qi Pill), not Ganqi Tang (Liver Qi Pill). The Kidney is the Zhiyin (Supreme Yin) organ. If Yin fails to anchor Yang, leading to the upward rush of Deficient Yang, then using Danggui (Angelica Sinensis Root) and Fuzi (Prepared Aconite Root) to guide Fire back to its source, combined with Liuwei Dihuang Wan to draw Qi back into the Kidney, will naturally yield miraculous effects. However, the cases treated by this physician all involved Ganqi (Liver Qi) rebellion. The Liver is a Yang organ within Yin. When Qi rebels to the Upper and Middle Jiao and fails to descend, the Fire must be severe. Such conditions require nourishing Water and nurturing the Liver to pacify the rebellion. Instead, administering Rougui (Cinnamon Bark) and Fuzi (Prepared Aconite Root)—hot and acrid substances—is akin to adding oil to a fire. How could such actions fail to endanger human life? Alas! Even prescriptions from sage physicians can become harmful tools when misused. This stems entirely from the failure to discern the true meaning behind the nomenclature of ancient prescriptions. I do not dare to expose others’ faults; rather, because a single prescription error concerns human life, I must clarify this distinction to warn future generations: when using prescriptions from our masters, one must not blindly interpret them based solely on their literal names.