诸治痿法,当养阳明与冲脉。阳明主胃,乃五脏六腑之海,主润宗筋,束骨以利机关。
冲脉者,诸经之海,主渗灌溪谷与阳明,合养于宗筋,会于气街,属于带脉,络于督脉。故
阳明虚,则宗筋纵,带脉不引,故足痿不用也。治之,各补其荣而通其输,调其虚实,和其
逆顺,至筋脉骨肉各得其旺时,病乃已矣。
治肝肾脏虚,热淫于内,致筋骨痿弱,不自胜持。起居须人,足不任地,
惊恐战掉,潮热时作,饮食无味,不生气力,诸虚不足。
苁蓉(酒浸) 牛膝(酒浸) 天麻 木瓜干 鹿茸(燎去毛,切,酥炙) 熟地黄 菟丝子
(酒浸通软,别研细) 五味子(酒浸,各等分)
上为末,蜜丸,如梧子大。每服五十丸,温酒、米汤食前下。一法,不用五味子,有杜仲。
治五痿皮缓毛瘁,血脉枯槁,肌肉薄着,筋骨羸弱,饮食不滋,庶事不兴,四
肢无力,爪枯发落,眼昏唇燥,疲惫不能支持。
麋角(镑,一斤,酒浸一宿) 熟地黄(四两) 大附子(生去皮脐,一两半)
上用大麦米二升,以一半藉底,一半在上,以二布巾隔覆,炊一日,取出药与麦,别焙
干为末,以浸药酒,添清酒煮麦粉为糊,搜和得所,杵三千下,丸如梧子大。每服五十丸,
温酒、米汤任下,食前服。
王启玄传玄珠先生耘苗丹三方。序曰∶张长沙戒人妄服燥烈之药,谓药势偏有所助,胜
克流变,则真病生焉,犹悯苗不长而揠之者也。若禀气受血不强,合服此而不服,反忽略之
,是不耘苗者也。
治疗痿证的方法,应当调养阳明经与冲脉。阳明经主管胃腑,是五脏六腑气血汇聚的大海,主要滋润宗筋(指前阴部位的筋脉),约束骨骼以利于关节运动。
冲脉,是各条经脉的气血汇聚之海,主要渗透灌溉肌肉纹理间隙并与阳明经相合,共同滋养宗筋;它汇聚于气街穴部位,归属于带脉,联络于督脉。因此,如果阳明经虚弱,就会导致宗筋松弛,带脉失去牵引力,从而出现下肢痿软、无法使用的症状。治疗时,应当分别补益各经的荣穴(五输穴之一,主血)并疏通其输穴(五输穴之一,主体重节痛),调节虚实状态,调和气血运行的逆顺规律,等到筋、脉、骨、肉在其旺盛的时节得到恢复,疾病自然痊愈。
针对肝肾亏虚,内热炽盛,导致筋骨痿弱,身体无力支撑的情况。(患者表现为)起居需要他人照料,双脚无法承受体重站立,因惊恐而颤抖动摇,潮热定时发作,饮食没有味道,缺乏生气与体力,各种虚损不足的症状。
药材:肉苁蓉(用酒浸泡)、牛膝(用酒浸泡)、天麻、木瓜干、鹿茸(燎去毛,切片,用酥油炙烤)、熟地黄、菟丝子(用酒浸泡至通软,单独研细)、五味子(用酒浸泡,以上各药分量相等)。
将上述药物研磨成粉末,用蜂蜜制成丸剂,大小如梧桐子。每次服用五十丸,在饭前用温酒或米汤送服。另一种方法,不用五味子,改用杜仲。
针对五种痿证中皮肤松弛、毛发枯焦,血脉干枯,肌肉消瘦紧贴骨骼,筋骨瘦弱,饮食不能滋养身体,万事提不起精神,四肢无力,指甲枯槁、头发脱落,眼睛昏花、嘴唇干燥,极度疲惫无法支撑身体的情况。
药材:麋角(镑碎,一斤,用酒浸泡一夜)、熟地黄(四两)、大附子(生用,去皮和脐,一两半)。
取大麦米二升,一半铺在锅底,一半盖在上面,用两块布巾隔开覆盖,蒸煮一天后,取出药物与大麦,分别焙干并研磨成粉末。用浸泡药物的酒,加入清酒煮大麦粉成糊状,用来调和药粉,揉搓均匀,捣击三千下,制成如梧桐子大小的丸剂。每次服用五十丸,饭前服用,可用温酒或米汤任意送服。
王启玄传承了玄珠先生耘苗丹的三个方子。序言中说:张长沙(张仲景)告诫人们不要妄自服用燥烈性质的药物,认为药性偏颇会助长邪气,克制正气导致流变,从而产生真正的疾病,这就像怜悯禾苗不长而去拔高它们一样。如果禀受的气血不强,应当服用此药却不服用,反而忽略它,这就是不除草培苗的行为。
The methods for treating Wei syndrome (flaccidity syndrome) should focus on nourishing the Yangming Meridian and the Chong Mai (Penetrating Vessel). The Yangming Meridian governs the Stomach, which is the sea of the five zang and six fu organs, primarily moistening the Zong Jin (major sinews/genital region), binding the bones to facilitate joint movement.
The Chong Mai is the sea of all meridians, primarily permeating and irrigating the muscle valleys and combining with the Yangming to jointly nourish the Zong Jin; it converges at the Qijie (gas street) area, belongs to the Dai Mai (Girdle Vessel), and connects with the Du Mai (Governor Vessel). Therefore, if the Yangming is deficient, the Zong Jin will become lax, and the Dai Mai will lose its traction, resulting in lower limb flaccidity and inability to use them. Treatment involves tonifying the Ying acupoints (Shu-stream points associated with blood) and unblocking the Shu acupoints (Shu-stream points associated with body weight and joint pain) of each meridian, regulating deficiency and excess, and harmonizing the reverse and smooth flow of Qi and Blood. When the sinews, vessels, bones, and flesh reach their peak vitality, the disease will subside.
For cases of Liver and Kidney deficiency with internal heat flourishing, leading to weak sinews and bones that cannot support the body: (symptoms include) needing assistance for daily activities, feet unable to bear weight, trembling due to fright, tidal fever occurring intermittently, loss of taste in food, lack of vital energy and strength, and various signs of deficiency.
Ingredients: Cong Rong (Cibotii Rhizoma, soaked in wine), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Tian Ma (Gastrodiae Rhizoma), Mugua Gany (Chaenomelis Fructus dried), Lu Rong (Cervi Cornu Pantotrichum, scorched to remove hair, sliced, roasted with butter), Shu Di Huang (Rehmanniae Radix Praeparata), Tu Si Zi (Cuscutae Semen, soaked in wine until soft, separately ground fine), Wu Wei Zi (Schisandrae Chinensis Fructus, soaked in wine, equal parts of each).
Grind the above ingredients into powder, mix with honey to make pills the size of wutong seeds. Take 50 pills per dose, administered before meals with warm wine or rice gruel. Another method excludes Wu Wei Zi and uses Du Zhong instead.
For the five types of Wei syndrome presenting with loose skin and brittle hair, withered blood vessels, emaciated muscles adhering to bones, weak sinews and bones, poor nutritional absorption from diet, lethargy, weakness in the four limbs, brittle nails, hair loss, blurred vision, dry lips, and extreme fatigue preventing support:
Ingredients: Mi Jiao (Cervi Elaphi Cornu, shaved, one jin, soaked in wine overnight), Shu Di Huang (Rehmanniae Radix Praeparata, four liang), Da Fu Zi (Aconiti Lateralis Radix Preparata raw, peeled and navel removed, one and a half liang).
Take two sheng of barley grains; place half at the bottom and half on top of the pot. Cover with two cloth towels to separate. Steam for one day. Remove the medicine and barley, dry them separately by roasting, and grind into powder. Use the wine used to soak the medicine, add clear wine, and boil the barley flour into a paste. Mix this paste with the medicinal powder, knead thoroughly, and pound three thousand times. Make pills the size of wutong seeds. Take 50 pills per dose, before meals, with warm wine or rice gruel as desired.
Wang Qixuan transmitted three formulas of Xunmiao Dan (Weeding Seedling Pill) from Master Xuanzhu. The preface states: Zhang Changsha (Zhang Zhongjing) warned against recklessly using drying and hot-natured medicines, stating that biased drug potency aids pathogenic factors, suppresses healthy Qi, causes pathological changes, and generates true disease, similar to pulling seedlings to help them grow out of pity that they are not growing faster. If one's innate Qi and Blood are weak, and one fails to take this prescribed medicine while ignoring it, that is equivalent to failing to weed and cultivate the seedlings.