即补中益气汤加苍术茯苓猪苓泽泻麦门冬五味子生地黄黄连黄柏神曲治六七月间湿
行子能令母实而热旺湿热相合必刑庚大肠寒冷以救之燥金受湿热之邪绝寒水生化之源源
肾亏痿厥之病大作腰以下痿软瘫痪不能动行步不正一两足欹侧此方主之
即补中益气汤去人参白术陈皮加羌活苍术(各一钱五分)防风 本(各一钱)蔓荆
分)
独活(五分)治水疝者肾囊肿大阴汗不绝
治妇人病饮食如故烦热不得卧而反倚息者此名转胞不得溺也以胞系了戾故致此
便则愈崔氏名八味丸治香港脚上入少腹不仁千金用治虚劳不足渴欲饮水腰痛小腹拘急
后人用治命门火衰不能生土以致脾胃虚弱饮食少思大便不实脐腹疼痛夜多漩溺等证
干地黄(八两) 山茱萸肉 薯蓣(各四两) 泽泻 白茯苓 牡丹皮(各三两) 桂
枝附
子(
上八味末之炼蜜丸如梧子大酒下十五丸加至二十丸日再服洁古治肾消大病加减法方内桂
附(
仲景云常服去附子加五味子姚公云加五味子(三两)苁蓉(四两)张文仲云五味子
(各
四两)肘后方云地黄(四两)附子泽泻(各一两)余各二两薛新甫用治肾水不足虚火上炎
热作
渴口舌生疮或牙龈溃烂咽喉作痛形体憔悴寝汗等证用五味子(四两)王宇恭用五味子(
这就是补中益气汤加入当归尾、苍术,再加白芍药、熟地黄、苏木,用来治疗咳血和吐血。
这就是补中益气汤加入苍术、茯苓、猪苓、泽泻、麦门冬、五味子、生地黄、黄连、黄柏、神曲,用来治疗六七月间湿气盛行时的病症。
五行理论认为,子(水)能令母(金)实,导致热势旺盛;湿热相合,必然克制庚金(大肠),使其寒冷,从而救助燥金。如果燥金受到湿热邪气的侵害,就会断绝寒水生化之源。
肾气亏虚导致的痿证和厥逆病发作严重,表现为腰部以下痿软瘫痪,不能行动,走路姿势不正,双脚歪斜。此方主治此类病症。
这就是补中益气汤去掉人参、白术、陈皮,加入羌活、苍术(各一钱五分)、防风、本(各一钱)、蔓荆子(若干分)、独活(五分),用来治疗水疝,即肾囊肿大、阴部出汗不止的病症。
治疗妇人患病,饮食正常,但烦热不得卧睡,反而需要倚靠呼吸,这名叫“转胞”,导致小便不通。这是因为胞系扭转所致,因此导致这种情况。服用此方后小便通畅则病愈。崔氏将此方命名为八味丸,用于治疗香港脚(脚气病)上行至小腹感觉麻木不仁的情况。《千金方》用此方治疗虚劳不足、口渴想喝水、腰痛、小腹拘急等症状。后人用此方治疗命门火衰不能温煦脾土,以致脾胃虚弱、饮食减少、大便不成形、脐腹疼痛、夜间多尿等证候。
药材组成:干地黄(八两)、山茱萸肉、薯蓣(各四两)、泽泻、白茯苓、牡丹皮(各三两)、桂枝、附子(各若干)。
以上八味药研成细末,用炼蜜制成梧桐子大小的丸剂,酒送服十五丸,加量至二十丸,每日两次服用。洁古老人治疗肾消大病时,在加减法方中加入桂枝和附子。
张仲景说常服此方应去掉附子,加入五味子。姚公说加入五味子(三两)、肉苁蓉(四两)。张文仲说五味子(各四两)。《肘后方》说地黄(四两)、附子、泽泻(各一两),其余药材各二两。薛新甫用此方治疗肾水不足、虚火上炎、发热作渴、口舌生疮或牙龈溃烂、咽喉疼痛、形体憔悴、盗汗等证候,此时使用五味子(四两)。王宇恭使用五味子(……
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Dangguiwe (Tail of Angelica Sinensis Root), Cangzhu (Atractylodis Rhizoma), plus Baishao (White Peony Root), Shudi (Prepared Rehmannia Root), and Sumu (Sappan Wood), used to treat hemoptysis (coughing up blood) and hematemesis (vomiting blood).
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Zhuling (Polyporus), Zexie (Alisma Rhizome), Maidong (Ophiopogon Tuber), Wuweizi (Schisandra Fruit), Shengdihuang (Rehmannia Root), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), and Shenqu (Massa Medicata Fermentata), used to treat conditions arising from dampness prevalent in the seventh and eighth lunar months.
According to Five Elements theory, the child element (Water) can strengthen the mother element (Metal), leading to excessive heat; when damp-heat combines, it inevitably overacts upon Geng Metal (Large Intestine), causing coldness, thereby rescuing Dry Metal. If Dry Metal is invaded by damp-heat pathogens, it severs the source of Cold Water's generation.
Kidney deficiency leading to severe exacerbation of Wei syndrome (flaccidity syndrome) and Jue syndrome (cold extremities/counterflow qi) manifests as flaccidity and paralysis below the waist, inability to move, abnormal gait, and tilting of both feet. This formula is indicated for such conditions.
It treats women suffering from illness where diet remains normal, yet they experience vexatious heat, inability to lie down, and instead must lean forward to breathe. This condition is named "Zhuanbao" (displacement of the bladder), resulting in urinary retention. This occurs because the bladder ligaments are twisted, thus causing this situation. Urination becoming smooth indicates recovery. Cui Shi named this formula Bawei Wan (Eight-Ingredient Pill with Rehmannia), treating Hongxiangjiao (foot-leg qi disease/gouty arthritis) ascending to the lower abdomen with numbness. Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) uses it to treat deficiency-fatigue insufficiency, thirst with desire to drink, lumbar pain, and hypogastric tension. Later practitioners use it to treat Mingmen fire decline failing to warm Earth (Spleen/Stomach), resulting in Spleen-Stomach weakness, poor appetite, loose stools, umbilical and abdominal pain, and frequent nocturia.
Ingredients: Dihuang (Radix Rehmanniae Preparata) (eight liang), Shanzhuyu (Fructus Corni), Shuyu (Dioscoreae Rhizoma) (each four liang), Zexie (Rhizoma Alismatis), Fuling (Sclerotium Poriae), Mudanpi (Cortex Moutan) (each three liang), Guizhi (Ramulus Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata) (quantities unspecified).
The above eight ingredients are powdered, mixed with refined honey to form pills the size of mulberry seeds. Take fifteen pills with wine, increasing to twenty pills, taken twice daily. Jiegu treated severe Shenxiao (Kidney Wasting-Thirst) using modified formulas adding Guizhi (Ramulus Cinnamomi) and Fuzi (Radix Aconiti Lateralis Preparata).
Zhang Zhongjing stated that for long-term use, remove Fuzi (Radix Aconiti Lateralis Preparata) and add Wuweizi (Fructus Schisandrae). Yao Gong stated to add Wuweizi (three liang) and Rongrong (Cibotii Rhizoma) (four liang). Zhang Wenzhong stated Wuweizi (each four liang). Zhouhou Fang (Handbook of Prescriptions for Emergencies) stated Dihuang (Radix Rehmanniae Preparata) (four liang), Fuzi (Radix Aconiti Lateralis Preparata) and Zexie (Rhizoma Alismatis) (each one liang), and the remaining ingredients each two liang. Xue Xinpu used this formula to treat Kidney Water insufficiency with deficient fire flaming upward, manifesting as fever with thirst, sores on the mouth and tongue, or gum ulceration, sore throat, emaciation, and night sweats; in these cases, Wuweizi (Fructus Schisandrae) (four liang) was used. Wang Yugong used Wuweizi (Fructus Schisandrae) (...