治传尸痨瘵,去鬼杀虫。出《医宗必读》。
室女顶门(生发一小团,皂角汤洗净,醋浸一宿,晒干,纸然火烧,存性) 川芎(五
钱) 当归(三钱) 木香 桃仁(去皮,炒,各二钱) 安息香 雄黄(各一钱) 全蝎(二枚)
江上大鲤鱼(生取头,醋炙) 上为末,分四服,每服井水一大碗,净室中煎七分,入
红硬降真香末五分,烧北斗符入药,月初五更,空心向北,仰天咒曰∶瘵神瘵神,害我
生人,吾奉帝敕,服药保身。急急如律令咒五遍,面北服药毕,南面吸生气入口腹中,
烧降香,置床下,午时又如前服药。
\r北斗符式图\ps98a18.bmp\r
用黄纸一方,新笔净水研透明,朱砂书此符,书时念前北斗咒。
《经》曰∶浊中浊者,坚强骨髓;又曰∶精不足者,补之以味,非地黄性禀地道之至
阴,重浊味浓者,其能补阴乎?但色黄而得土之正气,故走心脾。蒸晒至黑,则减寒性
而专温补肝肾矣。但肾阴既亏,则木失所养,而肝血定难有余,故虚则补其母,使母
能生子,即熟地是也。更虚则复补其子,恐子虚而窍母气,故用山茱以益肝,且精欲固
而畏脱,茱味酸涩,更可为收固精髓之用,以助肾家闭藏之职也。山药甘咸,既补脾而
入肾,从化源也。茯苓淡渗,搬运下趋,精华既可入肾,而无泽泻久服伤阴之弊,但肾
最居下,非牛膝之猛力下行者,其能达之乎?况同杜仲,则坚强筋骨,以为熟地之佐
使。然万物生于阳,而不生于阴,如春夏发生长养而秋冬肃杀闭藏,故用地茱一队阴
药,更兼肉桂之甘辛,以补命门之真火,附子之健悍,以嘘既槁之阳和,使阴从阳长,
盖无阳则阴无以生也。但虑草木无情,更借异类,与精血有情之品。其鹿茸乎,鹿禀纯
阳之质,茸含生发之气,助草木而峻补,令无情而俱变有情。然补此火也,而得安其
位,则木也,便得归其源,乃成一阳,陷于二阴之坎象,万病俱无,长生之兆,奈人
在气交之中,多动少静,动则化火,诚恐辛温之药,乘势僭越于上,再入酸以敛之,咸
以降之,之五味子乎?况敛肺金而滋水,生津液而强阴,功专纳气藏源之用。《经》曰∶
五脏者,神明之脏,故脏无泻法。至于肾者,藏精之所,至阴之处,有虚无实,有补
无泻,书曰∶十补勿一泻之,此方之谓欤。
(张)常用。无鹿茸者,以治大人小儿肾元不足,脾胃虚弱者,较之八味获效尤胜。)
治疗传尸痨瘵(一种具有传染性、消耗性的慢性虚损性疾病,古称“鬼疰”),驱除邪祟,杀灭寄生虫。出自《医宗必读》。
配方:室女顶门发(即处女头顶生长的一小团头发,用皂角汤洗净,醋浸泡一夜,晒干,用纸包裹烧成炭,保留药性)五钱,川芎五钱,当归三钱,木香二钱,桃仁(去皮,炒制,各二钱),安息香一钱,雄黄一钱,全蝎两枚,江上大鲤鱼头(活取鱼头,用醋炙烤)。以上药物研为细末,分为四份服用。每次服用时,取井水一大碗,在洁净的房间中煎煮至七分满,加入红硬降真香末五分,将北斗符烧入药液中。于农历月初五更时分,空腹面向北方,仰天念咒曰:“瘵神瘵神,害我生人,吾奉帝敕,服药保身。急急如律令。”连念五遍,面北服下药液,服药完毕后,转向南方,吸气入口腹中,燃烧降香置于床下,午时再按前述方法服药。
北斗符样式图见原书插图。使用一方黄纸,新笔蘸净水研磨透明,用朱砂书写此符,书写时需默念前述北斗咒。
《内经》说:“浊中之浊者,坚强骨髓”;又说:“精不足者,补之以味”。如果不是地黄禀受大地阴气之至阴性质,质地重浊、味道浓厚,它怎么能补益阴精呢?但地黄色黄而得土之正气,所以能走心脾经。经过蒸晒变黑后,则减少了寒性,专门温补肝肾了。但是肾阴既然亏损,肝木就失去滋养,肝血必然难以有余,所以根据“虚则补其母”的原则,使母能生子,这就是熟地黄的作用。如果更加虚弱,则再补其子(肝),恐怕子虚会盗泄母气,所以用山茱萸来益肝,且精气想要固摄却害怕脱失,山茱萸味酸涩,更可用于收固精髓,以辅助肾脏闭藏的功能。山药味甘咸,既补脾又入肾,是从化源上着手。茯苓味甘淡而渗利,引导药力向下趋行,精华既可入肾,又没有泽泻久服伤阴的弊端。但是肾脏位置最在下部,如果不是牛膝这种猛力下行的药物,怎么能到达那里呢?况且配合杜仲,就能坚强筋骨,作为熟地黄的佐使药。然而万物生于阳,而不生于阴,如同春夏发生长养而秋冬肃杀闭藏,所以在用地黄、山茱萸这一队阴药的同时,再加上肉桂的甘辛,以补命门的真火;附子的健悍,以吹嘘已经枯萎的阳气,使阴随阳长,因为无阳则阴无法生成。但考虑到草木无情,更借用异类有情之品,与精血有情之品相配。那就是鹿茸吧,鹿禀赋纯阳之质,鹿茸含有生发之气,协助草木之药峻补,让无情的草木也变成有情之品。然而补益此火,使其安守其位,则肝木便得归其源,乃成一阳陷于二阴的坎卦象,万病俱无,这是长生之兆。无奈人在气交之中,多动少静,动则化火,诚恐辛温之药乘势僭越于上,所以再加入五味子以收敛肺气,咸味以降气。五味子敛肺金而滋肾水,生津液而强阴,功效专在于纳气藏源。《内经》说:“五脏是神明之脏,所以五脏没有泻法。”至于肾脏,是藏精之所,至阴之处,有虚无实,有补无泻,书上说:“十补勿一泻”,说的就是这个方子吧。
Treats *Chuan Shi Lao Zhai* (a contagious, consumptive chronic deficiency disease, historically referred to as "Ghost Tethering"), expels evil spirits, and kills parasites. Originates from *Yi Zong Bi Du*.
Prescription: Hair from the vertex of an unmarried maiden (a small tuft of hair growing at the top of the head; wash with Sophora Flavescens soup, soak in vinegar overnight, dry, wrap in paper, burn to charcoal retaining its properties) 5 qian, Chuanxiong Rhizoma (Rhizoma Chuanxiong) 5 qian, Dang Gui Radix Angelicae Sinensis (Radix Angelicae Sinensis) 3 qian, Muxiang Aucklandiae Radix (Radix Aucklandiae) 2 qian, Taoren Prunus Persica Seed (Semen Persicae) (dehulled, stir-fried, each 2 qian), Anshixiang Benzoin Resina (Resina Benzoini) 1 qian, Xionghuang Realgar Mineral (Mineral Realgaris) 1 qian, Quanxie Scorpio (Scorpio) 2 pieces, Jiang Shang Da Li Yu River Carp Head (freshly taken carp head, roasted with vinegar). Grind the above ingredients into fine powder, divide into four doses. For each dose, take one large bowl of well water, decoct in a clean room until reduced to seven-tenths volume, add 5 fen of Hong Ying Jiang Zhuang Xiang resin powder, and burn the Beidou Talisman into the medicinal liquid. At the fifth watch of the early morning on the fifth day of the lunar month, while fasting, face north, look up to the sky, and chant the incantation: "Zhai God, Zhai God, harming living beings, I obey the Emperor's decree, taking medicine to protect the body. Swiftly as the law commands." Repeat five times. After chanting, face north and take the medicine. Upon finishing, turn south, inhale fresh air into the mouth and abdomen, burn Agarwood, place it under the bed, and repeat the medication process at noon.
[Image: Beidou Talisman Diagram] Use a square of yellow paper, grind transparent ink with a new brush and clean water, write this talisman with Cinnabar. While writing, recite the aforementioned Beidou incantation.
The *Classic* states: "The turbid within the turbid strengthens the bone marrow"; and again: "For insufficiency of essence, tonify with flavor." If not for the fact that Di Huang (Rehmannia Root) possesses the extreme Yin nature of the earth, with heavy, turbid quality and rich flavor, how could it tonify Yin? However, because its color is yellow and it obtains the upright Qi of Earth, it enters the Heart and Spleen meridians. After steaming and sun-drying until black, its cold property is reduced, and it specializes in warming and tonifying the Liver and Kidney. But since Kidney Yin is deficient, Wood loses nourishment, and Liver Blood is inevitably insufficient. Therefore, according to the principle "when deficient, tonify the mother," allowing the mother to generate the child, this refers to Shu Di Huang (Prepared Rehmannia Root). If even more deficient, then additionally tonify the child (Liver), fearing that child deficiency might drain the mother's Qi. Thus, Shan Zhu Yu (Cornus Fruit) is used to benefit the Liver. Furthermore, Essence desires consolidation but fears leakage; Shan Zhu Yu has a sour and astringent taste, making it suitable for consolidating Essence and Marrow, assisting the Kidney's function of storing and closing. Shan Yao (Dioscorea Rhizome) is sweet and salty, tonifying the Spleen and entering the Kidney, addressing the source of transformation. Fu Ling (Poria) is light and leaching, guiding downward; thus, essence can enter the Kidney without the drawback of Ze Xie (Alisma Rhizome) damaging Yin with long-term use. However, the Kidney resides lowest; without the strong descending action of Niu Xi (Achyranthes Root), how could the medicine reach there? Moreover, combined with Du Zhong (Eucommia Bark), it strengthens sinews and bones, serving as an assistant to Shu Di Huang.
However, all things are born from Yang, not Yin, just as Spring and Summer promote growth while Autumn and Winter bring肃杀 (desolation) and storage. Therefore, alongside the Yin herbs Di Huang and Shan Zhu Yu, Rou Gui (Cinnamon Bark) with its sweet and pungent nature is added to tonify the True Fire of the Ming Men (Gate of Life); Fu Zi (Aconite Lateral Root) with its vigorous and fierce nature is used to revive dried-out Yang, so that Yin grows with Yang, for without Yang, Yin cannot be generated. Yet, considering that plants and trees are emotionless, we borrow from different species—emotionally connected substances—to pair with the emotionally connected products of Essence and Blood. This refers to Lu Rong (Deer Antler Velvet). Deer possess pure Yang constitution, and antler contains vitalizing Qi, assisting the herbal medicines in vigorous tonification, transforming emotionless materials into emotionally potent ones. By tonifying this Fire and stabilizing its position, Wood returns to its source, forming one Yang trapped between two Yins (the Kan trigram image), eliminating all diseases, signaling longevity. Alas, humans exist in the intersection of Qi, moving more than still; movement generates Fire. There is genuine fear that pungent-warm medicines will ascend uncontrollably. Therefore, Wu Wei Zi (Schisandra Fruit) is added to astringe Lung Metal and moisten Water, generate fluids, strengthen Yin, specializing in gathering Qi and storing the source. The *Classic* says: "The Five Zang organs are the houses of Spirit and Mind, therefore there is no purgative method for them." As for the Kidney, it is the repository of Essence, the place of extreme Yin, characterized by emptiness rather than fullness, having only tonification and no purgation. The text states: "Ten parts tonification, never one part purgation," which describes this formula.
(Used frequently by Zhang. In the absence of Lu Rong, it can also treat adults and children with insufficient Kidney Yuan and weak Spleen-Stomach, showing superior efficacy compared to Ba Wei Wan.)