治脾肺气虚,发热恶寒,面黄肌瘦,倦怠短气,食少作泻。
白芍(一钱五分,酒炒) 人参 陈皮 黄 (蜜炙) 当归(酒炒) 白术(土
炒) 甘革(炙) 桂心(各一钱) 熟地(姜汁炒) 茯苓(各七分半) 五味子(炒,杵)
远志(去木,各五分) 姜枣水煎服。
阳春至而物荣,肃杀行而物槁,脾为坤土,肺属干金。《经》曰∶脾气散精,上输
于肺,此地气上升也。肺主治节,通调水通,下输膀胱,此天气下降也。于象为泰,
脾肺气虚,则上下不交,阴阳否隔,故面黄肌瘦,亦犹夫物之槁也。人参、五味温其
肺, 术甘苓,温其脾,陈皮、芍药温其肝,地黄、桂心温其肾,当归、远志温其
心,五脏互相灌溉,脏脏气血自生,脏脏之
邪气难匿。温者阳春之气也,春气荣而一身之中,有不欣欣向荣者乎?故曰荣养汤。薛
立斋曰∶气血虚而变现诸证,莫能名状勿论其病,勿论其脉,但用此汤,诸证悉退,可
谓有回春之识矣。
治瘵捷法,取癸亥日,二更后,六神皆聚时,解下衣,衣直身平立,以墨点记腰上
两旁陷处,谓之腰眼穴。然后上床合面卧,每穴灸七壮,痨虫或吐、或泻而出,取后用
火焚之,弃于江河恐害人故也。灸后宜将军丸服之。
治传尸痨瘵,追虫取积。
锦纹大黄(九蒸晒焙) 麝香(一钱,研) 贯众 牙皂(去皮,醋炙) 桃仁
(去皮,尖,炒) 槟榔 雷丸(各一两) 芜荑(五钱) 鳖甲(醋炙黄,一两) 为末,先
将蒿叶二两,东边桃柳李桑叶各七片,水煎至七分,入蜜一大盏,再熬至成膏,入前药
末,及麝香、安息香,捣丸,桐子大,每服三十丸,食前,枣汤下。
治疗脾肺之气虚弱,出现发热、怕冷,面色萎黄、身体消瘦,疲倦乏力、气短,食欲减退且容易腹泻的症状。
白芍(一钱五分,用酒炒制)、人参、陈皮、黄芪(用蜜炙)、当归(用酒炒制)、白术(用土炒制)、甘草(炙)、桂心(以上各一钱)、熟地黄(用姜汁炒制)、茯苓(以上各七分半)、五味子(炒后捣碎)、远志(去木质心,以上各五分)。用生姜和大枣煎水送服。
从阳春时节万物繁荣,到肃杀之秋万物枯槁,脾脏属坤土,肺脏属干金。《黄帝内经》说:脾气将精微物质散布,向上输送给肺,这是地气上升的表现。肺主治节,疏通调节水道,向下输送至膀胱,这是天气下降的表现。在卦象上对应为“泰”卦。如果脾肺之气虚弱,则上下气机不交,阴阳阻隔不通,所以会出现面色萎黄、身体消瘦,这也就像万物枯萎一样。用人参和五味子温补肺气,用白术、甘草和茯苓温补脾气,用陈皮和白芍温养肝气,用地黄和桂心温补肾气,用当归和远志温养心气。五脏之间互相滋养灌溉,脏腑的气血自然生成,脏腑的邪气也难以藏匿。所谓“温”,就是阳春之气,春气使万物繁荣,全身之中,难道会有不欣欣向荣的吗?所以称为“荣养汤”。薛立斋说:气血虚弱而表现出各种症状,无法一一描述,不论是什么病,不论脉象如何,只要使用这个方剂,各种症状都会消退,可以说具有起死回生的见识了。
治疗痨病(肺结核)的简便方法,选取癸亥日,二更之后,六神汇聚之时,解开下身衣物,直立身体,用墨点在腰部两侧凹陷处做标记,这叫做腰眼穴。然后上床俯卧,每个穴位灸七壮,体内的痨虫有的通过呕吐排出,有的通过腹泻排出,取出来后用火焚烧,丢弃在江河中,恐怕直接丢弃会危害他人。灸完后适宜服用将军丸。
锦纹大黄(经过九次蒸晒焙干)、麝香(一钱,研成粉末)、贯众、牙皂(去皮,用醋炙)、桃仁(去皮尖,炒制)、槟榔、雷丸(以上各一两)、芜荑(五钱)、鳖甲(用醋炙至黄色,一两)。将上述药材研成细末。先将蒿叶二两,东边的桃树、柳树、李树、桑树的叶子各七片,用水煎煮至剩余七分药液,加入一大盏蜂蜜,再熬制成膏状,加入前面的药末以及麝香、安息香,捣匀做成丸子,大小如梧桐子大。每次服用三十丸,饭前用红枣汤送服。
Treats deficiency of Qi in the Spleen and Lung, presenting with fever and aversion to cold, sallow complexion and emaciation, fatigue and shortness of breath, poor appetite and loose stools.
Bai Shao (Radix Paeoniae Alba) [1.5 qian, stir-fried with wine], Ren Shen (Radix Ginseng), Chen Pi (Pericarpium Citri Reticulatae), Huang Qi (Radix Astragali) [honey-roasted], Dang Gui (Radix Angelicae Sinensis) [stir-fried with wine], Bai Zhu (Rhizoma Atractylodis Macrocephalae) [soil-stir-fried], Gan Cao (Radix Glycyrrhizae) [roasted], Gui Xin (Cortex Cinnamomi) [each 1 qian], Shu Di Huang (Radix Rehmanniae Preparata) [stir-fried with ginger juice], Fu Ling (Poria) [each 0.75 qian], Wu Wei Zi (Fructus Schisandrae) [stir-fried and pounded], Yuan Zhi (Radix Polygalae) [woody core removed, each 0.5 qian]. Decoct with fresh ginger and jujube for administration.
From the spring season when all things flourish, to the autumn of desolation when all things wither, the Spleen belongs to Kun Earth, and the Lung belongs to Qian Metal. The *Classic* states: "The Spleen Qi scatters essence and transports it upward to the Lung; this is the rising of Earth Qi." The Lung governs regulation and unblocks the water passages, transporting downward to the Bladder; this is the descending of Heaven Qi. In hexagram imagery, this corresponds to Tai (Peace). If Spleen and Lung Qi are deficient, the upper and lower do not interact, and Yin and Yang are blocked. Thus, one presents with a sallow complexion and emaciation, similar to withered plants. Ren Shen and Wu Wei Zi warm the Lung; Bai Zhu, Gan Cao, and Fu Ling warm the Spleen; Chen Pi and Bai Shao warm the Liver; Di Huang and Gui Xin warm the Kidney; Dang Gui and Yuan Zhi warm the Heart. The five Zang organs irrigate each other, generating Qi and Blood within the organs, making it difficult for pathogenic factors to hide within them. "Warming" refers to the energy of spring sunshine. With the spring energy causing flourishing, can there be any part of the body that does not thrive? Hence, it is called the Ying Yang Tang (Nourishing Decoction). Xue Lizhai stated: "When Qi and Blood are deficient and manifest various symptoms that are indescribable, regardless of the disease or pulse, simply using this decoction will cause all symptoms to recede. This demonstrates the insight capable of restoring life."
A simple method for treating Lao Disease (consumptive tuberculosis): Select a Gui Hai day, after the second watch, when the Six Spirits gather. Remove lower garments, stand upright, and mark the depressions on both sides of the waist with ink; these are called Yao Yan acupoints (Waist Eye points). Then lie prone on the bed. Moxa-burn each point seven moxa cones (Zhuang). The "Lao worms" may be expelled through vomiting or diarrhea. Collect them and burn them with fire; discard them in rivers to prevent harm to others. After moxibustion, it is advisable to take Jiang Jun Wan (General Pill).
Treats Chuan Shi Lao Zhai (infectious consumptive tuberculosis), expelling parasites and resolving accumulations.
Jin Wen Da Huang (Rhei Radix et Rhizoma) [steamed, dried, and roasted nine times], She Xiang (Moschus) [1 qian, powdered], Guan Zhong (Rhizoma Cyrtomii), Ya Zao (Fructus Gleditsiae Sinensis) [skin removed, vinegar-roasted], Tao Ren (Semen Persicae) [skin and tip removed, stir-fried], Bing Lang (Areca Seed), Lei Wan (Helminthospermum Seeds) [each 1 liang], Wu Yi (Fructus Trogopterori) [5 qian], Bie Jia (Carapax et Plastrum Testudinis) [vinegar-roasted until yellow, 1 liang]. Grind into powder. First, decoct Er Hao Ye (Artemisia Annua Leaves) [2 liang] along with seven leaves each from peach, willow, plum, and mulberry trees grown on the east side in water, reducing to 0.7 parts of the liquid. Add one large cup of honey and continue boiling until a paste forms. Add the aforementioned powders, as well as She Xiang (Moschus) and An Xi Xiang (Benzoin Resin), and pound into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with red date decoction.