麻黄 升麻(去黑皮) 防风(各二钱) 羌活(去皮) 当归身 白芨 白檀(各一钱)
上用小油半斤以银器中熬绵包定前药于油中熬之得所澄净去渣入黄蜡一两再熬之为度
外物惊宜镇心以黄连安神丸若气动所惊宜寒水石安神丸大忌防风丸治风辛温之药必杀人
何也
辛散浮温热者火也能令母实助风之气盛皆杀人也因惊而泄青色先镇肝以朱砂之类勿用寒凉之
气大禁凉惊丸风木旺必克脾胃当先实其土后泻其子阎孝忠编集钱氏方以益黄补土误矣其药
有
丁香辛热助火火旺土愈虚矣青橘皮泻肺金丁香辛热大泻肺与大肠脾实当泻子今脾胃虚反更泻
子而助火重虚其土杀人无疑矣其风木旺证右关派洪大掌中热腹皮热岂可以助火泻金如寒水来
乘脾土其病呕吐腹痛泻痢青白益黄散圣药也今立一方先泻火补金大补其土是为神治之法
黄 (二钱) 人参(一钱) 炙甘草(五分)
上 咀作一服水一大盏煎至半盏去渣食远服加白芍药尤妙
此三味皆甘温能补元气甘能泻火内经云热淫于内以甘泻之以酸收之白芍药酸寒寒能泻火
酸味能泻肝而大补肺金所补得金土之位金旺火虚风木何由而来克土然后泻风之邪
夫益黄散理中丸养神丸之类皆治脾胃寒湿大盛神品之药也若得脾胃中伏热火劳役不足之
证及
服热药巴豆之类胃虚而成慢惊之证用之必伤人命夫慢惊风者皆由久泻脾胃虚而生也钱氏以羌
活膏疗慢惊风误矣脾虚者由火邪乘其土位故曰从后来者为虚邪火旺能实其木木旺故来克土当
于心经中以甘温补土之源更于脾土中泻火以甘寒更于脾土中补金以酸凉致脾土中金旺火衰风
木自虚矣损食多进药愈前药是也
麻黄、升麻(去除黑皮)、防风(各二钱)、羌活(去皮)、当归身、白芨、白檀(各一钱)。
以上药材用半斤小油,在银器中熬制。将上述药物用绵布包裹固定,放入油中熬煮,待火候适当后,澄清药液,滤去药渣,加入一两黄蜡,再熬至适宜程度即可。
因外界事物惊吓所致者,宜镇心安神,使用黄连安神丸;因气机逆乱所致之惊,宜使用寒水石安神丸。严禁使用防风丸等治疗风邪的辛温药物,否则必致人死亡。
为什么呢?辛味发散,性浮温热,属于火性,能使母脏(肝)实证,助长风邪之气旺盛,皆会致人死地。因受惊而腹泻,大便呈青色,应先镇肝,使用朱砂之类药物。切勿使用寒凉性质的药物。大禁使用凉惊丸。风木之气过旺,必然克制脾胃,应当先充实脾土,然后泻其子脏(心)。阎孝忠编集的钱乙方剂中的益黄散,旨在补土,这是错误的。该方中的丁香辛热,助长火势,火旺则脾土更加虚弱。青橘皮泻肺金,丁香辛热,大泻肺与大肠。脾实当泻其子,如今脾胃虚弱,反而更泻其子以助火,使脾土双重虚损,杀人无疑。若见风木过旺之证,右关脉洪大,掌中热,腹皮热,岂可用助火泻金之法?如寒水来乘脾土,其病表现为呕吐、腹痛、泻痢且大便青白,此时益黄散才是圣药。如今我立一方,先泻火、补金,大补脾土,这才是神妙的治疗方法。
以上药材切碎,作一服,用水一大盏,煎至半盏,滤去药渣,饭后服用。加白芍药尤为妙处。
这三味药皆属甘温,能补元气。甘味能泻火,《内经》云:“热淫于内,以甘泻之,以酸收之。”白芍药酸寒,寒能泻火,酸味能泻肝而大补肺金。所补得金土之位,金旺则火虚,风木从何而来克土?然后才能泻除风邪。
至于益黄散、理中丸、养神丸之类,都是治疗脾胃寒湿大盛的神品药物。如果患有脾胃中伏火、劳役不足之证,以及服用热药、巴豆之类导致胃虚而成慢惊风的证候,使用这些药物必定伤人生命。夫慢惊风,皆由久泻导致脾胃虚弱而生。钱乙用羌活膏治疗慢惊风是错误的。脾虚者,是由火邪乘袭脾土之位,故曰“从后来者为虚邪”。火旺能使其母(肝)实证,木旺故来克土。应当在心经中以甘温之药补土之源,更于脾土中用甘寒之药泻火,更于脾土中用酸凉之药补金,致使脾土中金旺火衰,风木自虚。损伤饮食却多进药,是前述药物的弊端。
Ephedrae Herba (Mahuang, 麻黄), Cimicifugae Rhizoma (Shengma, 升麻) [deprived of black skin], Saposhnikoviae Radix (Fangfeng, 防风) (each 2 qian), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [deprived of skin], Angelicae Sinensis Radix (Dangguishen, 当归身), Bletillae Rhizoma (Baiji, 白芨), Santalum Album Lignum (Baitan, 白檀) (each 1 qian).
Take half a jin (approx. 500g) of small sesame oil, and decoct the aforementioned herbs wrapped in cotton within a silver vessel immersed in the oil. When properly decocted, clarify the liquid, filter out the dregs, add one liang (approx. 37.5g) of yellow beeswax, and continue decocting until ready.
For palpitations or fright caused by external objects, it is appropriate to calm the heart and spirit using Huanglian Anshen Wan (Coptis Calming Decoction). For fright caused by qi disturbance, Hanshui Shi Anshen Wan (Halloysite Calming Decoction) should be used. It is strictly forbidden to use Fangfeng Wan (Saposhnikovia Pill) or other acrid-warm medicines for treating wind, as they will certainly cause death.
Why? Acrid flavors disperse, are floating, warm, and hot; they belong to the Fire element. They can cause excess in the mother organ (Liver), assisting the proliferation of Wind Qi, all leading to death. If diarrhea occurs due to fright with green stool, the Liver should first be calmed using substances like Cinnabar (Zhusha, 朱砂). Cold-cooling agents must not be used. Liangjing Wan (Cooling Fright Pill) is strictly prohibited. When Wood (Wind) is excessive, it inevitably overacts on Spleen and Stomach. One must first strengthen Earth (Spleen/Stomach), then drain its child organ (Heart). Yan Xiaozhong’s compilation of Qian Yi’s formulas, specifically Yihuang San (Benefit Yellow Powder), aims to tonify Earth but is erroneous. The Zanthoxyli Fructus (Dingxiang, 丁香) in this formula is acrid and hot, aiding Fire; when Fire is excessive, Earth becomes even more deficient. Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) drains Lung Metal. Dingxiang is acrid and hot, greatly draining Lung and Large Intestine. When Spleen is full/excess, one should drain its child; however, here Spleen is deficient, yet one drains the child to aid Fire, causing double deficiency of Earth, undoubtedly fatal. In cases of excessive Wood syndrome, if the Right Guan pulse is surging and large, palms are hot, and abdominal skin is hot, how can one use methods that aid Fire and drain Metal? If Cold Water overacts on Spleen Earth, presenting with vomiting, abdominal pain, dysentery/diarrhea with green-white stool, Yihuang San is indeed the sacred medicine. However, I establish a new formula: first drain Fire, tonify Metal, and greatly tonify Spleen Earth. This is the divine treatment method.
Astragali Membranacei Radix (Huangqi, 黄芪) (2 qian), Ginseng Radix (Renshen, 人参) (1 qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao, 炙甘草) (0.5 qian).
Cut these herbs into pieces for one dose. Decoct in one large cup (approx. 200ml) of water until reduced to half a cup. Filter and take after meals. Adding Paeoniae Radix Alba (Baishaoyao, 白芍药) is particularly excellent.
These three herbs are sweet and warm, capable of tonifying Yuan Qi. Sweet flavor can drain Fire. As stated in the *Neijing*: "When heat dominates internally, drain it with sweet flavor and astringe with sour flavor." Baishaoyao is sour and cold; cold can drain Fire, and sour flavor can drain Liver Wood while greatly tonifying Lung Metal. By tonifying Metal and Earth positions, Metal becomes strong and Fire weak, preventing Wood from attacking Earth, thereby allowing the expulsion of Wind pathogens.
Formulas such as Yihuang San, Lizhong Wan (Regulate the Middle Pill), and Yangshen Wan (Nourish Spirit Pill) are divine medicines for treating severe Cold-Dampness in Spleen and Stomach. However, if one suffers from latent Fire in Spleen/Stomach, exhaustion from overwork, or chronic convulsions (Man Jing Feng, Slow Convulsion) resulting from stomach deficiency after taking hot medicines or Euphorbiae Pekinensis Radix (Badou, 巴豆), using these medicines will certainly harm life. Chronic convulsions arise from prolonged diarrhea causing Spleen/Stomach deficiency. Qian Yi’s use of Qianghuo Gao (Notopterygium Paste) for chronic convulsions was erroneous. In Spleen deficiency, Fire pathogen attacks the Earth position; thus, it is called "deficient evil coming from behind" (mother affecting child). Excessive Fire causes excess in its mother (Wood); excessive Wood attacks Earth. Therefore, one should tonify the source of Earth with sweet-warm herbs at the Heart meridian, drain Fire in Spleen Earth with sweet-cold herbs, and tonify Metal in Spleen Earth with sour-cool herbs. This results in strong Metal and weak Fire in Spleen Earth, causing Wood to become deficient naturally. Consuming food but taking excessive medicine exacerbates the condition described above.