治症如前,而火之甚者,宜用此方。
生地(二钱) 熟地(三五钱) 芍药(二钱) 麦冬(二钱) 炙甘草(五七分) 知母 地
骨皮(各一钱)
水二盅,煎服。 如躁烦热甚便结者,加石膏二三钱。小水热涩者,加栀子一二钱。
如火浮于上者,加泽泻一二钱,或黄芩一钱。如血燥血少者,加当归一二钱。
此治心经有热,水不制火之病,故曰二阴。凡惊狂失志,多言多笑,或疡疹
烦热失血等症,宜此主之。
生地(二三钱) 麦冬(二三钱) 枣仁(二钱) 甘草(一钱,生) 元参(一钱半) 黄连(
或一二钱) 茯苓(钱半) 木通(一钱半)
水二盅,加灯草二十根,或竹叶亦可,煎七分,食远服。如痰胜热甚者,加九制胆星
一钱,或天花粉一钱五分。
此治肝脾虚损,精血不足,及营虚失血等症,故曰三阴。微有火者,宜一阴
煎,无火者宜此主之。
当归(二三钱) 熟地(三五钱) 甘草(一钱,炙) 枣仁(二钱) 芍药(三钱,酒炒)
人参(随宜)
水二盅,煎七分,食远服。如呕恶者,加生姜三五片。汗多烦躁者,加五味子十四粒
气虚者,加黄 一二钱。小腹阴痛,加枸杞二三钱。如有胀闷,加陈皮一钱。如腰膝筋骨无
力,加杜仲、牛膝。
此保肺清金之剂,故曰四阴。治阴虚劳损,相火炽盛,津枯烦渴,咳嗽吐衄
多热等症。
生地(二三钱) 麦冬 芍药 百合 沙参(各二钱) 甘草(一钱,生) 茯苓(一钱五分
水二盅,煎七分,食远服。如夜热盗汗,加地骨皮一二钱。如痰多气盛,加贝母二三
胶一二钱,天花粉亦可。如金水不能相滋,而干燥喘嗽者,加熟地三五钱。如多汗不眠,神
魂不宁,加枣仁二钱。如汗多兼渴,加北味十四粒。如热甚者,加黄柏(如易知母,更见针
线,)一二钱,盐水炒用,或元参亦可,但分上下用之。如血燥经迟,枯涩不至者,加牛膝二
钱。如血热吐衄,加茜根二钱。如多火便燥,或肺干咳咯者,加天门冬二钱,加童便亦可。
如火载血上者,去甘草,加炒栀子一二钱。
症状表现与前述相同,但火热之邪较重的,适宜使用此方。
生地黄(二钱) 熟地黄(三至五钱) 白芍药(二钱) 麦冬(二钱) 炙甘草(五分至七分) 知母 地骨皮(各一钱)
加水两盅,煎煮后服用。如果烦躁不安、热势严重且大便干结的,加石膏二至三钱。小便灼热涩痛的,加栀子一至二钱。
如果虚火浮越于上部的,加泽泻一至二钱,或者黄芩一钱。如果血燥血少的,加当归一至二钱。
此方治疗心经有热,肾水不能制约心火的病证,所以称为“二阴”。凡是惊悸狂乱、神志失常、多言多笑,或疮疡疹块、烦热失血等症状,适宜以此方为主治。
生地黄(二至三钱) 麦冬(二至三钱) 酸枣仁(二钱) 甘草(一钱,生用) 玄参(一钱半) 黄连(一至二钱) 茯苓(一钱半) 木通(一钱半)
加水两盅,加入灯心草二十根,或者竹叶也可以,煎至七分,在饭后远时服用。如果痰盛热重的,加九制胆南星一钱,或者天花粉一钱五分。
此方治疗肝脾虚损,精血不足,以及营气虚弱导致的失血等症状,所以称为“三阴”。如果有轻微火气的,适宜用一阴煎;没有火气的,适宜以此方为主治。
当归(二至三钱) 熟地黄(三至五钱) 甘草(一钱,炙用) 酸枣仁(二钱) 白芍药(三钱,酒炒) 人参(根据情况适量添加)
加水两盅,煎至七分,在饭后远时服用。如果出现呕吐恶心的,加生姜三至五片。出汗多且烦躁的,加五味子十四粒。气虚的,加黄芪一至二钱。小腹部阴冷疼痛的,加枸杞子二至三钱。如果有胀闷感,加陈皮一钱。如果腰膝筋骨无力,加杜仲、牛膝。
此方是保养肺脏、清肃金气的药剂,所以称为“四阴”。治疗阴虚劳损,相火炽盛,津液枯竭导致烦渴,咳嗽吐衄(吐血、鼻出血)多热等症状。
生地黄(二至三钱) 麦冬 白芍药 百合 沙参(各二钱) 甘草(一钱,生用) 茯苓(一钱半)
加水两盅,煎至七分,在饭后远时服用。如果是夜间发热盗汗的,加地骨皮一至二钱。如果痰多气盛的,加贝母二至三钱,阿胶一至二钱,天花粉也可以。如果肺金与肾水不能相互滋助,而干燥喘咳的,加熟地黄三至五钱。如果出汗多不眠,神魂不宁的,加酸枣仁二钱。如果汗多兼有口渴的,加北五味子十四粒。如果热势严重的,加黄柏(如果使用知母,更显细致周到),一至二钱,用盐水炒制,或者玄参也可以,但要分上下部使用。如果血燥月经推迟,枯涩不来的,加牛膝二钱。如果血热导致吐衄的,加茜草根二钱。如果火旺大便干燥,或者肺干咳咯血的,加天门冬二钱,加童便也可以。如果火载血上行(吐血等),去掉甘草,加炒栀子一至二钱。
The symptoms are the same as mentioned above, but for those with severe fire-heat, this formula is appropriate.
Shengdi Huang (Rehmanniae Radix) (2 qian), Shudi Huang (Prepared Rehmanniae Radix) (3–5 qian), Shaoyao (Paeoniae Radix Alba) (2 qian), Maidong (Ophiopogonis Tuber) (2 qian), Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.5–0.7 qian), Zhimu (Anemarrhenae Rhizoma), Digupi (Borealis Cortex Phellodendri) (each 1 qian).
Add two zhong of water, decoct and take orally. If there is restlessness, severe heat, and constipation, add Shigao (Gypsum Fibrosum) 2–3 qian. If urination is hot and difficult, add Zhizi (Gardeniae Fructus) 1–2 qian.
If floating fire rises to the upper part, add Zexie (Alismatis Rhizoma) 1–2 qian, or Huangqin (Scutellariae Radix) 1 qian. If there is blood dryness and deficiency, add Danggui (Angelicae Sinensis Radix) 1–2 qian.
This formula treats diseases where the Heart channel has heat and Kidney Water fails to control Heart Fire, hence it is called "Er Yin" (Two Yins). It is suitable for conditions such as palpitations, mania, loss of willpower, excessive talking and laughing, or sores, rashes,烦热 (restless heat), and hemorrhage.
Shengdi Huang (Rehmanniae Radix) (2–3 qian), Maidong (Ophiopogonis Tuber) (2–3 qian), Zaoren (Ziziphi Spinosae Semen) (2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian, raw), Xuanshen (Scrophulariae Radix) (1.5 qian), Huanglian (Coptidis Rhizoma) (1–2 qian), Fuling (Poria) (1.5 qian), Mutong (Akebiae Caulis) (1.5 qian).
Add two zhong of water, plus twenty stalks of Dengcao (Junci Medulla), or Zhu Ye (Bambusae Folium) may also be used. Decoct until reduced to seven-tenths, and take well after meals. If phlegm is abundant and heat is severe, add Jiuzhi Danning (Processed Arisaema cum Bile) 1 qian, or Tianhuafen (Trichosanthis Radix) 1.5 qian.
This formula treats Liver and Spleen deficiency and damage, insufficiency of essence and blood, and hemorrhage due to Ying-nutritive Qi deficiency, hence it is called "San Yin" (Three Yins). If there is slight fire, Yi Yin Jian (One Yin Decoction) is appropriate; if there is no fire, this formula is appropriate.
Danggui (Angelicae Sinensis Radix) (2–3 qian), Shudi Huang (Prepared Rehmanniae Radix) (3–5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian, honey-fried), Zaoren (Ziziphi Spinosae Semen) (2 qian), Shaoyao (Paeoniae Radix Alba) (3 qian, wine-fried), Renshen (Ginseng Radix) (as appropriate).
Add two zhong of water, decoct until reduced to seven-tenths, and take well after meals. If there is vomiting and nausea, add Shengjiang (Zingiberis Rhizoma Recens) 3–5 slices. If sweating is profuse and there is restlessness, add Wuweizi (Schisandrae Fructus) 14 grains. If there is Qi deficiency, add Huangqi (Astragali Radix) 1–2 qian. If there is cold pain in the lower abdomen, add Gouqi Zi (Lycii Fructus) 2–3 qian. If there is distension and fullness, add Chenpi (Citri Reticulatae Pericarpium) 1 qian. If there is weakness in the waist, knees, sinews, and bones, add Duzhong (Eucommiae Cortex) and Niuxi (Achyranthis Bidentatae Radix).
This is a preparation to nourish the Lung and clear Metal, hence it is called "Si Yin" (Four Yins). It treats Yin-deficiency consumptive disease, hyperactivity of Ministerial Fire, exhaustion of body fluids leading to restless thirst, cough, hematemesis, epistaxis, and other heat-related conditions.
Shengdi Huang (Rehmanniae Radix) (2–3 qian), Maidong (Ophiopogonis Tuber), Shaoyao (Paeoniae Radix Alba), Baihe (Lilii Bulbus), Shashen (Glehniae Radix) (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian, raw), Fuling (Poria) (1.5 qian).
Add two zhong of water, decoct until reduced to seven-tenths, and take well after meals. If there is night fever and nocturnal sweating, add Digupi (Borealis Cortex Phellodendri) 1–2 qian. If there is abundant phlegm and excess Qi, add Beimu (Fritillariae Cirrhosae Bulbus) 2–3 qian, Ejiao (Colla Corii Asini) 1–2 qian, or Tianhuafen (Trichosanthis Radix) may also be used. If Lung Metal and Kidney Water fail to mutually nourish, resulting in dryness, wheezing, and cough, add Shudi Huang (Prepared Rehmanniae Radix) 3–5 qian. If there is profuse sweating, insomnia, and unsettled spirit, add Zaoren (Ziziphi Spinosae Semen) 2 qian. If there is profuse sweating accompanied by thirst, add Beiwei (Schisandrae Fructus) 14 grains. If the heat is severe, add Huangbai (Phellodendri Cortex) (using Zhimu instead shows greater meticulousness) 1–2 qian, stir-fried with salt water; or Xuanshen (Scrophulariae Radix) may also be used, but applied according to upper or lower locations. If there is blood dryness and delayed menstruation with scantiness, add Niuxi (Achyranthis Bidentatae Radix) 2 qian. If there is blood heat causing hematemesis or epistaxis, add Qianggen (Rubiae Radix) 2 qian. If there is excessive fire and dry stool, or dry cough with expectoration of blood, add Tiandong (Asparagi Tuber) 2 qian; Tongbian (Human Urine) may also be added. If fire carries blood upward (hematemesis), remove Gancao (Glycyrrhizae Radix et Rhizoma) and add Chao Zhizi (Stir-fried Gardeniae Fructus) 1–2 qian.