饮食不进,形容枯槁,补其气而血益燥;补其血而气益馁;助胃气而盗汗难止,补血脉而胸膈阻滞。法当气血
同治,方用∶
人参(一钱) 白术(一钱) 茯苓(二钱) 甘草(八分) 陈皮(五分) 当归(二钱) 熟地(三钱)
川芎(一钱) 白芍(三钱) 神曲(五分) 麦冬(五钱) 谷芽(一钱)
水煎服。
此方气血双补,与八珍汤同功,而胜于八珍汤者,妙在补中有调和之法耳。
凡人因饥饱劳役,内伤正气,以致气乃下行,脾胃不能克化,饮食不能运化,往往变成劳瘵。
若疑饮食不进,为脾胃之火,肉黍之积,轻则砂仁,枳壳、山楂、麦芽之类,重则大黄、芒硝、牵牛、巴豆之
品,纷然杂进,必致膨闷而渐成劳矣。倘先以提升之药治之,何至于成劳?方用∶
人参(一钱) 柴胡(一钱) 陈皮(一钱) 甘草(一钱) 黄 (三钱) 当归(三钱) 白术(三钱)
升麻(五分)
水煎服。
凡人右手寸脉,大于左手寸脉,即内伤之症,不论左、右关、尺脉如何,以此方投之,无不神效。
〔此方即补中益气汤,而增定其轻重也。此方之妙,妙在用柴胡、升麻二味,杂于参、 、归、术之中,以
提升其至阳之气,不使下陷阴分之间。尤妙在加甘草、陈皮于补中解纷,则补者不致另补,而升者不致偏隋,
所以下口安然,奏功如响耳。〕
饮食无法进入,形体消瘦枯槁,补气则血液更加燥热;补血则元气更加虚弱;助益胃气则盗汗难以停止,补养血脉则胸膈部位产生阻滞。治疗方法应当气血同时调理,方剂如下:
人参(一钱) 白术(一钱) 茯苓(二钱) 甘草(八分) 陈皮(五分) 当归(二钱) 熟地黄(三钱)
川芎(一钱) 白芍(三钱) 神曲(五分) 麦冬(五钱) 谷芽(一钱)
用水煎煮后服用。
此方气血双补,功效与八珍汤相同,但优于八珍汤之处在于,其妙处在于补益之中蕴含调和的方法。
大凡人们因为饥饱不均、劳累过度,导致内伤正气,致使气机下行,脾胃不能运化腐熟水谷,饮食不能正常传输转化,往往演变为虚劳痨瘵之证。
如果怀疑饮食不进是因为脾胃有火,或是肉黍等食物积滞,轻症使用砂仁、枳壳、山楂、麦芽之类的药物,重症使用大黄、芒硝、牵牛子、巴豆之类的药物,杂乱地混合进服,必然导致腹部胀满痞闷,进而逐渐形成虚劳病。倘若先用提升气机的药物治疗,怎么会发展到变成虚劳呢?方剂如下:
人参(一钱) 柴胡(一钱) 陈皮(一钱) 甘草(一钱) 黄芪(三钱) 当归(三钱) 白术(三钱)
升麻(五分)
用水煎煮后服用。
凡是人的右手寸口脉,大于左手寸口脉的,就是内伤的病症,不论左、右关部、尺部脉象如何,用此方投药治疗,没有不神效的。
〔此方即补中益气汤,只是对其药物剂量轻重进行了增定。此方的妙处,妙在将柴胡、升麻两味药,混杂于人参、黄芪、当归、白术之中,用以提升至阳之气,不让其下陷于阴分之间。尤其妙在加入甘草、陈皮在补益之中解纷纠偏,使得补益的药物不至于重复滋腻,而升提的药物不至于偏颇随顺,所以下药后安然无恙,见效迅速如回声响应一般。〕
Diet fails to enter, the physique becomes withered and emaciated; tonifying Qi causes Blood to become drier; tonifying Blood causes Qi to become more deficient; assisting Stomach Qi makes night sweats difficult to stop; nourishing blood vessels causes obstruction in the chest and diaphragm. The method should be to treat Qi and Blood simultaneously. The prescription is as follows:
Ren Shen (Ginseng Radix) (1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Fu Ling (Poria) (2 qian), Gan Cao (Licorice Root) (8 fen), Chen Pi (Citri Reticulatae Pericarpium) (5 fen), Dang Gui (Angelicae Sinensis Radix) (2 qian), Shu Di Huang (Rehmanniae Radix Praeparata) (3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 qian), Bai Shao (Paeoniae Radix Alba) (3 qian), Shen Qu (Massa Medicata Fermentata) (5 fen), Mai Dong (Ophiopogonis Radix) (5 qian), Gu Ya (Hordei Fructus Germinatus) (1 qian).
Decoct in water and take orally.
This formula tonifies both Qi and Blood, having the same efficacy as Ba Zhen Tang (Eight Treasure Decoction), but surpassing it because its brilliance lies in the method of harmonization within tonification.
Generally, people suffer from internal injury to Zheng Qi (Upright Qi) due to irregular eating and overwork, causing Qi to descend. The Spleen and Stomach fail to transform and transport, and dietary intake fails to be distributed and transformed, often evolving into Lao Zhai (Consumption/Chronic Deficiency Syndrome).
If one suspects that poor appetite is due to Fire in the Spleen and Stomach or accumulation of meat and grains, and lightly administers herbs such as Sha Ren (Amomi Fructus), Zhi Ke (Aurantii Fructus Immaturus), Shan Zha (Crataegi Fructus), and Mai Ya (Hordei Fructus Germinatus), or heavily administers Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas), Qian Niu (Pharbitidis Semen), and Ba Dou (Crotonis Fructus), mixing them indiscriminately, it will inevitably lead to abdominal distension and fullness, gradually forming a chronic deficiency syndrome. If one had first used herbs to lift and raise, how could it have developed into consumption? The prescription is as follows:
Ren Shen (Ginseng Radix) (1 qian), Chai Hu (Bupleuri Radix) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Gan Cao (Licorice Root) (1 qian), Huang Qi (Astragali Radix) (3 qian), Dang Gui (Angelicae Sinensis Radix) (3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (3 qian), Sheng Ma (Cimicifugae Rhizoma) (5 fen).
Decoct in water and take orally.
Whenever the Cun (Inch) pulse on the right hand is larger than the Cun pulse on the left hand, it indicates an internal injury syndrome. Regardless of how the Guan (Bar) and Chi (Cubit) pulses on the left or right are, administering this formula yields miraculous effects without exception.
[This formula is essentially Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), with adjustments made to the dosages. The brilliance of this formula lies in mixing Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) among Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), and Bai Zhu (Atractylodis Macrocephalae Rhizoma) to lift the Supreme Yang Qi, preventing it from sinking into the Yin compartments. Particularly brilliant is the addition of Gan Cao (Licorice Root) and Chen Pi (Citri Reticulatae Pericarpium) to resolve conflicts within the tonification, ensuring that tonifying agents do not become overly cloying and lifting agents do not deviate excessively. Thus, upon ingestion, the patient remains comfortable, and the therapeutic effect is achieved swiftly like an echo.]