干葛(二钱) 木香(五分) 藿香(一钱) 人参(钱半) 白术(二钱
半) 茯苓(钱半) 甘草(一钱炙) 半夏(一钱半) 大枣(三枚) 煨姜(一钱)
按∶上方主治脾虚,肌热泄泻,虚热作渴。如去干葛、木香、藿香,加陈皮,则治脾胃气虚,饮食不
进,致成痰癖,不能咳唾。或胃气虚寒,动成呕恶。凡虚及诸病后,皆可以此调之。
凡舌见黄色而滑润,属脾气亏损者,五味异功散加白芍主之。
陈皮(一钱) 人参(一钱) 白术(二钱半) 茯苓(一钱) 炙草(一钱)
白术(一钱酒炒) 煨姜(一钱) 大枣(三枚去核)
按∶上方主治脾胃不和,饮食不进,泄利虚饱。
凡舌见黄色干燥,而形质反见胖嫩者,脾胃气血两虚也,参 八珍汤主之。
人参(钱半) 茯苓(钱半) 炙草(钱半) 白术(二钱半米泔洗蒸土炒) 川
芎(一钱) 当归(三钱) 白芍(二钱酒炒) 熟地(四钱) 煨姜(钱半) 大枣(五枚)
按∶上方主治心脾肺胃气血俱虚,以致恶寒发热,嘈杂健忘,怔
忡不寐,懈怠不卧,四肢酸倦等症。
凡舌见黄色滑润,而形质又兼胖嫩者,脾胃中气虚寒也,姜桂养荣汤主之。
白芍(三钱酒炒) 远志(一钱去心) 当归(二钱酒洗) 五味(钱半) 熟地
(四钱) 肉桂(一钱) 白术(三钱) 陈皮(钱半) 人参(多少随宜) 黄 (五钱蜜炙) 茯苓(钱
半) 炙草(钱半) 炮姜(钱半) 大枣(五枚)
按∶上方主治,已悉肝胆病本方条下。凡舌见红色而坚敛苍老者,心与小肠邪气盛也,泻心汤主之。
干葛(二钱) 木香(五分) 藿香(一钱) 人参(一钱半) 白术(二钱半) 茯苓(一钱半) 甘草(一钱,炙用) 半夏(一钱半) 大枣(三枚) 煨姜(一钱)
按语:上方主治脾虚导致的肌热泄泻、因虚热引起的口渴。如果去掉干葛、木香、藿香,加入陈皮,则用于治疗脾胃气虚、饮食不进,进而形成痰癖,无法咳吐痰涎的情况。或者是胃气虚寒,动不动就引发呕吐恶心。凡是身体虚弱以及大病初愈后的各种病症,都可以用此方来调理。
凡是舌苔呈现黄色且滑润的,属于脾气亏损,以五味异功散加白芍为主治方。
陈皮(一钱) 人参(一钱) 白术(二钱半) 茯苓(一钱) 炙甘草(一钱) 白术(一钱,酒炒) 煨姜(一钱) 大枣(三枚,去核)
凡是舌苔呈现黄色且干燥,但舌体形态反而显得胖嫩的,是脾胃气血两虚的表现,以参八珍汤为主治方。
人参(一钱半) 茯苓(一钱半) 炙甘草(一钱半) 白术(二钱半,米泔水洗净后蒸,土炒) 川芎(一钱) 当归(三钱) 白芍(二钱,酒炒) 熟地黄(四钱) 煨姜(一钱半) 大枣(五枚)
按语:上方主治心、脾、肺、胃气血俱虚,从而导致恶寒发热、胃中嘈杂、健忘、心悸失眠、倦怠无力不愿卧床、四肢酸软疲倦等症状。
凡是舌苔呈现黄色滑润,且舌体形态兼有胖嫩的,是脾胃中气虚寒的表现,以姜桂养荣汤为主治方。
白芍(三钱,酒炒) 远志(一钱,去心) 当归(二钱,酒洗) 五味子(一钱半) 熟地黄(四钱) 肉桂(一钱) 白术(三钱) 陈皮(一钱半) 人参(用量随宜) 黄芪(五钱,蜜炙) 茯苓(一钱半) 炙甘草(一钱半) 炮姜(一钱半) 大枣(五枚)
按语:上方的主治功效,已在肝胆病本方条目下详细说明。凡是舌色红赤且质地坚敛苍老的,是心与小肠邪气亢盛的表现,以泻心汤为主治方。
Kudzu Root (Qian Ge, 2 qian) / Aromatic Peiery's Costus Root (Muxiang, 0.5 fen) / Patchouli Leaf (Huoxiang, 1 qian) / Ginseng Radix et Rhizoma (Renshen, 1.5 qian) / Atractylodis Macrocephalae Rhizoma (Baizhu, 2.5 qian) / Poria (Fuling, 1.5 qian) / Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian, honey-fried) / Pinelliae Tuber (Banxia, 1.5 qian) / Jujube Fruit (Dazao, 3 pieces) / Prepared Ginger (Weijiang, 1 qian).
Note: The above prescription primarily treats spleen deficiency manifesting as muscular heat with diarrhea, and thirst caused by deficient heat. If Kudzu Root, Aromatic Peiery's Costus Root, and Patchouli Leaf are removed, and Tangerine Peel (Chenpi) is added, it then treats spleen and stomach qi deficiency leading to loss of appetite, resulting in phlegm accumulation (Tanpi) and inability to expectorate sputum. Or it treats stomach qi deficiency and cold, which easily triggers vomiting and nausea. For various conditions following debility or major illness, this formula can be used for regulation.
Whenever the tongue coating appears yellow and slippery, indicating Spleen Qi Deficiency (Pi Qi Sun Sun), Wuwei Yigong San (Five-Ingredient Powder to Enrich the Work of the Spleen) plus White Peony Root (Baishao) should be used as the primary treatment.
Tangerine Peel (Chenpi, 1 qian) / Ginseng Radix et Rhizoma (Renshen, 1 qian) / Atractylodis Macrocephalae Rhizoma (Baizhu, 2.5 qian) / Poria (Fuling, 1 qian) / Honey-fried Licorice Root (Zhicao, 1 qian) / Atractylodis Macrocephalae Rhizoma (Baizhu, 1 qian, wine-fried) / Prepared Ginger (Weijiang, 1 qian) / Jujube Fruit (Dazao, 3 pieces, pitted).
Note: The above prescription primarily treats disharmony between the spleen and stomach, loss of appetite, diarrhea, and distension due to deficiency.
Whenever the tongue coating appears yellow and dry, yet the tongue body appears swollen and tender, it indicates a dual deficiency of Qi and Blood in the Spleen and Stomach. Shenzha Zhen Tang (Ginseng-Augmented Eight-Treasure Decoction) should be used as the primary treatment.
Ginseng Radix et Rhizoma (Renshen, 1.5 qian) / Poria (Fuling, 1.5 qian) / Honey-fried Licorice Root (Zhicao, 1.5 qian) / Atractylodis Macrocephalae Rhizoma (Baizhu, 2.5 qian, washed with rice water, steamed, and stir-fried with soil) / Szechuan Lovage Rhizome (Chuanxiong, 1 qian) / Angelica Sinensis Radix (Danggui, 3 qian) / White Peony Root (Baishao, 2 qian, wine-fried) / Prepared Rehmannia Root (Shudi, 4 qian) / Prepared Ginger (Weijiang, 1.5 qian) / Jujube Fruit (Dazao, 5 pieces).
Note: The above prescription primarily treats a combined deficiency of Qi and Blood in the Heart, Spleen, Lung, and Stomach, leading to aversion to cold and fever, epigastric discomfort (Zaocao), forgetfulness, palpitations (Zhongchong), insomnia, lethargy and unwillingness to lie down, and soreness and fatigue in the four limbs.
Whenever the tongue coating appears yellow and slippery, and the tongue body is also swollen and tender, it indicates deficiency-cold of the Middle Qi in the Spleen and Stomach. Jianggui Yangrong Tang (Ginger and Cinnamon Nourishing Harmony Decoction) should be used as the primary treatment.
White Peony Root (Baishao, 3 qian, wine-fried) / Polygala Root (Yuanzhi, 1 qian, heart removed) / Angelica Sinensis Radix (Danggui, 2 qian, wine-washed) / Schisandra Berry (Wuweizi, 1.5 qian) / Prepared Rehmannia Root (Shudi, 4 qian) / Cinnamon Twig (Rougui, 1 qian) / Atractylodis Macrocephalae Rhizoma (Baizhu, 3 qian) / Tangerine Peel (Chenpi, 1.5 qian) / Ginseng Radix et Rhizoma (Renshen, dosage as appropriate) / Astragalus Root (Huangqi, 5 qian, honey-fried) / Poria (Fuling, 1.5 qian) / Honey-fried Licorice Root (Zhicao, 1.5 qian) / Roasted Ginger (Paojiang, 1.5 qian) / Jujube Fruit (Dazao, 5 pieces).
Note: The therapeutic indications for the above prescription have been fully detailed under the section for Liver and Gallbladder diseases. Whenever the tongue color is red and the texture is firm, tight, and aged, it indicates an excess of pathogenic factors in the Heart and Small Intestine. Xiexin Tang (Drain the Heart Decoction) should be used as the primary treatment.