治元阳不足,或先天禀衰,或劳伤过度,以致命门火衰,不能生土,而为脾
,饮食少进。或呕恶膨胀,或翻胃噎膈,或怯寒畏冷,或脐腹多痛,或大便不实,泻痢频作
,或小水自遗,虚淋寒疝,或寒侵溪谷,而肢节痹痛,或寒在下焦,而水邪浮肿。总之,真
阳不足者,必神疲气怯,或心跳不宁,或四体不收,或眼见邪祟,或阳衰无子等症,俱速宜
益火之源,以培右肾之元阳,而神气自强矣,此方主之。
大怀熟(八两) 山药(四两,炒) 山萸肉(四两,微炒) 鹿角胶(四两,炒珠) 枸杞(
四两
渐可加至四两) 制附子(自二两渐可加至五六两)
上丸法如前,或丸如弹子大,每嚼服二三丸,以滚白汤送下,其效尤速。
如阳衰气虚,必加人参以为之主,或二三两,或五六两,随人虚实,以为增减。盖人
,随阳药则入阳分,随阴药则入阴分,欲补命门之阳,非人参不能捷效。如阳虚精滑,或带
浊便溏,加补骨脂酒炒三两。如飧泄肾泄不止,加北五味三两,肉豆蔻三两,面炒去油用。
如饮食减少,或不易化,或呕恶吞酸,皆脾胃虚寒之症,加干姜三四两,炒黄用。如腹痛不
止,加吴茱萸二两,汤炮半日炒用。如腰膝酸痛,加胡桃肉连皮四两。如阴虚阳痿,加巴戟
肉四两,肉苁蓉三两,或加黄狗外肾一二副,以酒煮烂捣入之。
治疗元阳不足,或先天禀赋衰弱,或劳伤过度,导致命门火衰,不能温煦脾土,从而出现脾胃虚弱、饮食减少。或者呕吐恶心、腹部胀满,或者反胃噎膈,或者畏寒怕冷,或者脐腹多痛,或者大便不成形、频繁腹泻痢疾,或者小便自遗、虚淋寒疝,或者寒气侵袭溪谷,导致肢节痹痛,或者寒气在下焦,导致水邪浮肿。总之,真阳不足的人,必定精神疲倦、气短怯弱,或者心跳不宁,或者四肢无力收摄,或者眼前出现幻觉(眼见邪祟),或者因阳衰而无子等病症,都应当迅速采用益火之源的方法,以培补右肾的元阳,从而使神气自强,此方主治这些症状。
大怀熟地黄(八两)、山药(四两,炒制)、山茱萸肉(四两,微炒)、鹿角胶(四两,炒成珠状)、枸杞子(四两,逐渐可加至四两)、制附子(从二两逐渐可加至五六两)。
以上药物按前述方法制成丸剂,或者制成如弹子大小的丸药,每次嚼服二三丸,用滚开的白开水送下,其疗效尤其迅速。
如果阳气衰微且气虚,必须加入人参作为主药,用量为二三两或五六两,根据病人的虚实情况来增减。因为人参随阳药则进入阳分,随阴药则进入阴分,想要补益命门的阳气,非人参不能取得迅速疗效。如果出现阳虚精关不固而滑精,或者白带浑浊、大便溏薄,加入酒炒补骨脂三两。如果是完谷不化的飧泄或肾虚泄泻不止,加入北五味子三两、肉豆蔻三两,用面粉炒制去油后使用。如果饮食减少,或者不易消化,或者呕吐恶心吞酸,这些都是脾胃虚寒的症状,加入干姜三四两,炒黄后使用。如果腹痛不止,加入吴茱萸二两,用水浸泡半天后炒制使用。如果腰膝酸痛,加入带皮的胡桃肉四两。如果是阴虚导致的阳痿,加入巴戟天肉四两、肉苁蓉三两,或者加入黄狗的睾丸一二副,用酒煮烂后捣入药中。
Indicated for deficiency of primal yang, or congenital constitution weakness, or excessive labor injury, leading to decline of the fire of the Gate of Vitality (Mingmen), inability to warm and transform Spleen Earth, resulting in Spleen deficiency with poor appetite. Or vomiting and nausea, abdominal distension, regurgitation and dysphagia, aversion to cold and fear of cold, frequent pain in the umbilical and abdominal regions, loose stools with frequent diarrhea and dysentery, spontaneous urination, deficiency strangury and cold hernia, cold invading the muscle spaces causing bi-syndrome pain in limbs and joints, or cold in the Lower Jiao causing edema due to water retention. In summary, those with deficiency of true yang must exhibit mental fatigue and qi timidity, palpitations and restlessness, flaccidity of the four limbs, visual hallucinations, infertility due to yang decline, and other such symptoms. All should promptly adopt the method of benefiting the source of fire to nourish the primal yang of the right Kidney, thereby strengthening the spirit and qi; this formula is indicated for these conditions.
Prepared Rehmanniae Radix (Ba Ji Liang), Yam Rhizome (Si Liang, stir-fried), Cornus Officinalis Fruit (Si Liang, slightly stir-fried), Deer Antler Glue (Si Liang, stir-fried into beads), Lycium Berry (Si Liang, gradually increaseable to Si Liang), Prepared Aconite Lateralis Radix (from Er Liang gradually increaseable to Wu Liu Liang).
Process the above into pills as described previously, or form them into pills the size of a bullet. Chew two or three pills each time and swallow with boiling plain water; the effect will be particularly rapid.
If yang is declined and qi is deficient, Ginseng Root must be added as the principal herb, in a dosage of Er San Liang or Wu Liu Liang, increased or decreased according to the patient's deficiency or excess. This is because Ginseng Root enters the Yang aspect when taken with yang-tonifying herbs, and the Yin aspect when taken with yin-nourishing herbs; to rapidly benefit the yang of the Gate of Vitality, no herb can achieve swift efficacy like Ginseng Root. If there is seminal emission due to yang deficiency and insecurity of the essence, or leukorrhea with turbidity and loose stools, add Alcohol-processed Psoralea Fructus (San Liang). If stool contains undigested food (Sun-xie) or renal diarrhea persists without cessation, add Schisandrae Fructus (San Liang) and Myristica Seed (San Liang, stir-fried with flour and oil removed). If food intake decreases, digestion is difficult, or vomiting, nausea, and acid regurgitation occur, these are all symptoms of Spleen-Stomach deficiency-cold; add Dried Ginger (San Si Liang, stir-fried until yellow). If abdominal pain persists without stopping, add Evodiae Fructus (Er Liang, soaked in water for half a day then stir-fried). If lower back and knee soreness and pain occur, add Walnut Kernel with skin (Si Liang). If impotence occurs due to yin deficiency, add Morinda Officinalis Root Bark (Si Liang) and Cistanche Stem (San Liang), or add one or two pairs of Yellow Dog Testis, boiled in wine until soft and mashed into the mixture.