久虚之人,气息奄奄,无不曰宜急治矣。不知气血大虚,骤加大补之剂,力量难任,必致胃口转膨胀,不如缓
缓清补之也。方用:
当归(一钱) 白芍(二钱) 茯苓(一钱) 白术(五分) 人参(三分) 山药(一钱) 陈皮(三分)
麦芽(三分) 炮姜(三分) 枣仁(五分) 甘草(三分)
水煎服。
此方妙在以白芍为君,引参术入肝为佐,小小使令,徐徐奏功,使脾气渐实,胃口渐开,然后再用纯补之剂,
先宜缓补之也。
右手脉大,气分之伤也。用补气丸∶
人参(三两) 黄 (三两) 茯苓(四两) 白术(八两) 白芍(三两) 陈皮(一两) 炙草(八钱)
麦冬(三两) 五味子(一两) 远志(一两) 白芥子(一两)
蜜丸,早服五钱,白水下。
左手脉大,血分之劳也。方用补血丸∶
熟地(八两) 白芍(八两) 当归(四两) 山萸(四两) 麦冬(三两) 五味子(一两) 砂仁(五钱)
生枣仁(一两) 白芥子(一两) 肉桂(五钱)
蜜丸,晚服一两,白水下。
如血热者,去肉桂加地骨皮五钱。
出汗盗汗,夜卧常醒,不能润色以养筋是也。血虚自当补血,舍四物汤又何求耶?今不用四物汤,用∶
熟地(一两) 麦冬(三钱) 当归(五钱) 桑叶(十片) 枸杞(三钱) 茜草(一钱)
水煎服。
此方妙在用桑叶补阴而生血,又妙在加茜草血得活而益生,况又济之归、地、麦、杞大剂以共生之,〔则血足
而色润筋舒也。〕
对于长期虚弱的人,气息微弱,人们无不认为应当紧急治疗。却不知道气血极度亏虚时,如果突然使用大补的药剂,身体难以承受,必然导致胃口更加胀满不适,不如采用缓慢而清淡的补益方法。方剂如下:
当归(一钱) 白芍(二钱) 茯苓(一钱) 白术(五分) 人参(三分) 山药(一钱) 陈皮(三分)
麦芽(三分) 炮姜(三分) 枣仁(五分) 甘草(三分)
用水煎服。
这个方剂的妙处在于以白芍为君药,引导人参、白术进入肝脏作为佐助,轻微地发挥作用,徐徐见效,使脾气逐渐充实,胃口逐渐开放,然后再使用纯补的药剂,起初应当缓慢进补。
右手脉象宏大,是气分的损伤。使用补气丸:
人参(三两) 黄芪(三两) 茯苓(四两) 白术(八两) 白芍(三两) 陈皮(一两) 炙甘草(八钱)
麦冬(三两) 五味子(一两) 远志(一两) 白芥子(一两)
炼蜜为丸,早晨服用五钱,用白开水送下。
左手脉象宏大,是血分的劳损。方剂使用补血丸:
熟地黄(八两) 白芍(八两) 当归(四两) 山茱萸(四两) 麦冬(三两) 五味子(一两) 砂仁(五钱)
生枣仁(一两) 白芥子(一两) 肉桂(五钱)
炼蜜为丸,晚上服用一两,用白开水送下。
如果是血热者,去掉肉桂,加入地骨皮五钱。
出汗或盗汗,夜间睡眠经常醒来,这是因为不能滋润面色以滋养筋脉。血虚自然应当补血,除了四物汤还能寻求什么呢?如今不使用四物汤,而是使用:
熟地黄(一两) 麦冬(三钱) 当归(五钱) 桑叶(十片) 枸杞(三钱) 茜草(一钱)
用水煎服。
这个方剂的妙处在于使用桑叶滋补阴液而生血,又妙在加入茜草使血液流通而更有益处,况且又有当归、地黄、麦冬、枸杞的大剂量来共同滋生血液,那么血液充足而面色润泽、筋脉舒展。
For individuals with chronic deficiency, whose breath is faint, it is universally believed that urgent treatment is required. However, one must not realize that when Qi and Blood are severely deficient, suddenly administering potent tonifying agents may exceed the body's capacity to bear them, inevitably leading to increased gastric distension and discomfort. It is preferable to employ a slow and mild tonification method. The prescription is as follows:
Danggui (Radix Angelicae Sinensis) - 1 qian; Baishao (Radix Paeoniae Alba) - 2 qian; Fuling (Poria) - 1 qian; Baizhu (Rhizoma Atractylodis Macrocephalae) - 5 fen; Renshen (Radix Ginseng) - 3 fen; Shanyao (Rhizoma Dioscoreae) - 1 qian; Chenpi (Pericarpium Citri Reticulatae) - 3 fen; Maiya (Fructus Hordei Germinatus) - 3 fen; Paojiang (Rhizoma Zingiberis Preparatum) - 3 fen; Zaoren (Semen Ziziphi Spinosae) - 5 fen; Gancao (Radix Glycyrrhizae) - 3 fen.
Decoct in water and take orally.
The brilliance of this formula lies in using Baishao (Radix Paeoniae Alba) as the sovereign drug, guiding Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae) into the Liver channel as assisting drugs. Through gentle action, it gradually achieves its effect, allowing Spleen Qi to become solid and the stomach appetite to open. Only then should pure tonifying agents be used; initially, slow tonification is appropriate.
A large pulse on the right hand indicates injury to the Qi aspect. Use Buqi Wan (Qi-Tonifying Pill):
Renshen (Radix Ginseng) - 3 liang; Huangqi (Radix Astragali) - 3 liang; Fuling (Poria) - 4 liang; Baizhu (Rhizoma Atractylodis Macrocephalae) - 8 liang; Baishao (Radix Paeoniae Alba) - 3 liang; Chenpi (Pericarpium Citri Reticulatae) - 1 liang; Zhigancao (Radix Glycyrrhizae Preparata) - 8 qian; Maimai Dong (Tuber Ophiopogonis) - 3 liang; Wuweizi (Fructus Schisandrae Chinensis) - 1 liang; Yuanzhi (Radix Polygalae) - 1 liang; Baijiezi (Semen Brassicae) - 1 liang.
Make pills with honey; take 5 qian in the morning, washed down with plain water.
A large pulse on the left hand indicates exhaustion in the Blood aspect. Use Buxue Wan (Blood-Tonifying Pill):
Shudihuang (Radix Rehmanniae Preparata) - 8 liang; Baishao (Radix Paeoniae Alba) - 8 liang; Danggui (Radix Angelicae Sinensis) - 4 liang; Shanzhuyu (Fructus Corni) - 4 liang; Maimai Dong (Tuber Ophiopogonis) - 3 liang; Wuweizi (Fructus Schisandrae Chinensis) - 1 liang; Sharen (Fructus Amomi Rotundus) - 5 qian; Shengzaoren (Semen Ziziphi Spinosae) - 1 liang; Baijiezi (Semen Brassicae) - 1 liang; Rougui (Cortex Cinnamomi) - 5 qian.
Make pills with honey; take 1 liang in the evening, washed down with plain water.
If there is blood heat, remove Rougui (Cortex Cinnamomi) and add Gudupi (Cortex Lycii Radicis), 5 qian.
Sweating or night sweating, frequent waking during sleep at night, indicates an inability to nourish the complexion and tendons. For blood deficiency, one should naturally tonify blood; what else could one seek besides Siwu Tang (Four Substances Decoction)? However, Siwu Tang (Four Substances Decoction) is not used here. Instead, use:
Shudihuang (Radix Rehmanniae Preparata) - 1 liang; Maimai Dong (Tuber Ophiopogonis) - 3 qian; Danggui (Radix Angelicae Sinensis) - 5 qian; Sangye (Folium Mori) - 10 leaves; Gouqi (Fructus Lycii) - 3 qian; Qiancao (Radix Rubiae Cordifoliae) - 1 qian.
Decoct in water and take orally.
The brilliance of this formula lies in using Sangye (Folium Mori) to nourish Yin and generate blood. Its further brilliance lies in adding Qiancao (Radix Rubiae Cordifoliae) to promote blood circulation, thereby enhancing benefits. Moreover, it is supported by large doses of Danggui (Radix Angelicae Sinensis), Shudihuang (Radix Rehmanniae Preparata), Maimai Dong (Tuber Ophiopogonis), and Gouqi (Fructus Lycii) to jointly generate blood, resulting in sufficient blood, lustrous complexion, and relaxed tendons.