二症外相似,而治法实不同。虚损者,阴阳两虚也。劳症者,阴虚阳亢也。故虚损可用温补;若劳症则忌温补
而用清补也。
两症辨法,不必凭脉,但看人着复衣,此着单衣者,为劳症。人着单衣,此着复衣者,为虚损。劳症,骨蒸而
热;虚损,荣卫虚而热也。
凡人过劳,脉必浮大不伦,〔按之无力〕,若不安闲作息,必有吐血之症。法当滋补,方用∶
人参(三两) 白术(五两) 茯苓(三两) 熟地(五两) 山萸(四两) 当归(八两) 白芍(五两)
黄(五两) 麦冬(三两) 五味子(三两) 砂仁(五钱) 陈皮(五钱) 神曲(一两)
共为末,炼蜜为丸,每日早晚各服五钱。
〔此方乃补气、补血、补精之妙品也。有斡旋之力,可以久服滋人,不致有偏胜之祸也。〕
〔人有虚劳,未成劳瘵之症,〕而将成劳者,方用∶
熟地(一两) 地骨皮(五钱) 人参(五钱) 麦冬(五钱) 白术(一钱) 山药(三钱)
白芥子(三钱) 五味子(三分)
水煎服。
凡人右寸脉大于左寸脉,即内伤之症。不论左右关尺脉如何,以此方投之效验。
劳病既成,最难治者,盖必有劳虫生之,以食人之气血也。若徒补其气血,而不入杀虫之品,则饮食入胃,
只荫虫而不生气血也。若但只杀虫而不补气血,则五脏尽伤,又何有生理哉?惟于大补之中,加入杀虫之药,则元
气既全,真阳未散,虫死而身安矣。方用∶
人参(三两) 熟地(八两) 何首乌(八两) 地栗粉(八两) 鳖甲(一斤) 神曲(五两) 麦冬(五两)
桑叶(八两) 白薇(三两) 山药(一斤)
为末,将山药末打成糊,为丸,每日白滚水送下五钱,半年,虫俱从大便中出矣。
这两类病症外表相似,但治疗方法实际上不同。虚损病,是阴阳两虚的病症。劳症,是阴虚而阳气亢盛的病症。所以虚损病可以使用温补法;如果是劳症,则忌讳使用温补,而应该采用清补的方法。
辨别这两种病症的方法,不必依赖脉诊,只要看患者穿衣的情况:如果别人穿着厚衣(复衣),而他只穿单衣,这是劳症。如果别人穿着单衣,他却要穿厚衣,这是虚损病。劳症的特点是骨蒸潮热;虚损病则是由于营卫虚弱而产生的发热。
凡是人过度劳累,脉象必然浮大而无条理,〔按下去感觉无力〕,如果不注意休息和作息规律,必定会出现吐血的病症。治疗法则应当滋补,方剂如下:
人参(三两) 白术(五两) 茯苓(三两) 熟地黄(五两) 山茱萸(四两) 当归(八两) 白芍(五两) 黄芪(五两) 麦冬(三两) 五味子(三两) 砂仁(五钱) 陈皮(五钱) 神曲(一两)
以上药物共研为细末,用炼蜜制成丸药,每天早晚各服用五钱。
〔这个方子是补气、补血、补精的妙品。具有斡旋调和之力,可以长期服用滋养人体,不会导致偏胜的危害。〕
〔人有虚劳之症,尚未发展成劳瘵(肺结核等慢性消耗性疾病),〕但即将形成劳症时,方剂如下:
熟地黄(一两) 地骨皮(五钱) 人参(五钱) 麦冬(五钱) 白术(一钱) 山药(三钱)
白芥子(三钱) 五味子(三分)
用水煎服。
凡是人的右寸脉大于左寸脉,就是内伤类的病症。不论左右关尺脉如何变化,使用这个方剂投治都会有效。
劳病一旦形成,最难治疗,大概是因为一定有“劳虫”滋生,以吸食人的气血。如果只是单纯地补益气血,而不加入杀虫的药物,那么饮食进入胃中,只会滋养虫子而不能生成气血。如果只杀虫而不补益气血,那么五脏都会受到损伤,哪里还有生机呢?只有在大力补益之中,加入杀虫的药物,那么元气既已完备,真阳未散,虫子死了身体也就安泰了。方剂如下:
人参(三两) 熟地黄(八两) 何首乌(八两) 荸荠粉(八两) 鳖甲(一斤) 神曲(五两) 麦冬(五两) 桑叶(八两) 白薇(三两) 山药(一斤)
以上药物研为细末,将山药末打成糊状,作为粘合剂制成丸药,每天用白开水送服五钱,半年后,虫子都会从大便中排出。
These two syndromes appear similar externally, but their treatment methods are actually different. Xu Sun (Deficiency and Damage) refers to a syndrome of deficiency in both Yin and Yang. Lao Zheng (Chronic Exhaustion Syndrome) refers to a syndrome of Yin deficiency with hyperactive Yang. Therefore, Xu Sun can be treated with warming tonification; however, for Lao Zheng, warming tonification is contraindicated, and clear tonification should be used instead.
To differentiate between these two syndromes, pulse diagnosis is not necessary; one only needs to observe the patient's clothing habits. If others wear thick clothes while the patient wears thin clothes, it indicates Lao Zheng. If others wear thin clothes while the patient wears thick clothes, it indicates Xu Sun. Lao Zheng is characterized by bone-steaming fever; Xu Sun involves heat arising from deficiency of Ying (Nutrient Qi) and Wei (Defensive Qi).
Whenever a person overexerts themselves, the pulse will inevitably be floating, large, and irregular, [feeling powerless upon deep pressure]. If they do not rest properly, hemoptysis (coughing up blood) will certainly occur. The treatment principle should be tonification. The prescription is as follows:
Renshen (Ginseng Radix et Rhizoma, 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Fuling (Poria, 3 liang), Shudi (Rehmanniae Radix Praeparata, 5 liang), Shanzhuyu (Corni Fructus, 4 liang), Danggui (Angelicae Sinensis Radix, 8 liang), Baishao (Paeoniae Radix Alba, 5 liang), Huangqi (Astragali Radix, 5 liang), Maidong (Ophiopogonis Radix, 3 liang), Wuweizi (Schisandrae Fructus, 3 liang), Sharen (Amomi Fructus Rotundus, 5 qian), Chenpi (Citri Reticulatae Pericarpium, 5 qian), Shenqu (Massa Medicata Fermentata, 1 liang).
Grind all ingredients into fine powder, mix with refined honey to make pills. Take 5 qian each morning and evening.
[This formula is an excellent product for tonifying Qi, Blood, and Essence. It has the power to harmonize and regulate, allowing for long-term use to nourish the body without causing harm due to excess.]
[For individuals with Xu Lao (Deficiency Exhaustion) who have not yet developed Lao Zhai (Consumption Disease/Tuberculosis),] but are on the verge of developing Lao Zheng, the prescription is as follows:
Shudi (Rehmanniae Radix Praeparata, 1 liang), Digupi (Bark of Lycii Cortex, 5 qian), Renshen (Ginseng Radix et Rhizoma, 5 qian), Maidong (Ophiopogonis Radix, 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Shanyao (Dioscoreae Rhizoma, 3 qian), Baijiezi (Sinapis Semen, 3 qian), Wuweizi (Schisandrae Fructus, 3 fen).
Decoct in water and take orally.
If the Right Cun pulse is larger than the Left Cun pulse, it indicates an internal injury syndrome. Regardless of the condition of the Guan and Chi pulses on either side, this formula will yield effective results when administered.
Once Lao Bing (Lao Disease) has fully formed, it is the most difficult to treat, largely because "Lao Chong" (parasitic worms associated with chronic exhaustion) must have arisen to consume the body's Qi and Blood. If one merely tonifies Qi and Blood without adding anti-parasitic herbs, the food entering the stomach will only nourish the parasites rather than generate Qi and Blood. If one only kills parasites without tonifying Qi and Blood, the Five Zang organs will be severely damaged, leaving no room for life. Therefore, within a major tonifying regimen, anti-parasitic herbs must be added. This way, Yuan Qi (Original Qi) will be complete, True Yang will not dissipate, the parasites will die, and the body will be safe. The prescription is as follows:
Renshen (Ginseng Radix et Rhizoma, 3 liang), Shudi (Rehmanniae Radix Praeparata, 8 liang), Heshouwu (Polygoni Multiflori Radix, 8 liang), Dili Fen (Dioscoreae Hypoglaucae Amylum/Bamboo Rice Powder, 8 liang), Biejia (Testudinis Carapax et Plastrum, 1 jin), Shenqu (Massa Medicata Fermentata, 5 liang), Maidong (Ophiopogonis Radix, 5 liang), Sangye (Mori Folium, 8 liang), Baiwei (Cynanchi Atrati Radix, 3 liang), Shanyao (Dioscoreae Rhizoma, 1 jin).
Grind all ingredients into fine powder. Use Shanyao powder mixed with water to form a paste as a binder to make pills. Take 5 qian daily with plain boiled water. After half a year, the parasites will be expelled through the stool.