(真武四逆等汤在活人姜附方七道在保命集内)
八物定志丸 补益心神安定魂魄治痰去胸中邪热理肺肾
人参(一两半) 菖蒲 远志(去心) 茯神(去心) 茯苓(去皮各一两) 朱砂(一钱) 白
术麦门冬(去心各
五钱) 牛黄(二钱另研细) 上为细末炼蜜丸桐子大米饮汤下三十丸无时 若髓竭不足加生
地黄 当归 若肺气不足加天冬 麦门冬 五味子 若心气不足加上党参 茯神 菖蒲 若
脾
气不足加白术 白芍药 益志 若肝气不足加天麻 川芎 若肾气不足加熟地黄 远志 牡
丹皮 若胆气不足加细辛 酸枣仁 地榆 若神昏不足朱砂 预知子 茯神
仲景八味丸 熟地黄补肾水真血 肉桂补肾水真火 牡丹皮补神志不足 附子
能行
诸经而不止兼益火 白茯苓能伐肾邪湿滞 泽泻去胞中留垢及遗溺 山茱萸治精滑不禁 干
山药能治毛中燥酸涩 上八味皆君主之药若不根据易老加减服之终不得效若加五味子为肾气丸
述类象形之剂也益火之源以消阴翳壮水之主以制阳光钱氏地黄丸减桂附
洁古老人天麻丸 治证见活法机要 天麻(六两酒浸三日焙干秤) 除风痹 牛膝
(六
两酒浸三日焙干秤) 强筋 玄参(六两) 枢机管领 萆 (六两另为末) 壮骨 杜仲(六两
挫炒去须) 使筋骨相着 当归(十两全用)和养血 羌活(十或十五两)去骨节间风 生地黄(
一斤) 益真血 附子(一两炮) 行诸经不止 独活(五两) 去肾间风邪 上为细末炼蜜为
丸如桐子大每服五七十丸病大至百丸空心食前温酒白汤下服药忌壅塞宜于通利故服半月稍觉
壅塞微以七宣丸轻疏之使药再为用也
大效牡丹皮散 治血藏虚风及头目不利不思饮食手足烦热肢节拘急疼痛胸膈不利
大肠
不调阴阳相干心惊忪悸或时旋运 牡丹皮 川芎 枳壳(麸炒各一两) 陈皮(炙) 玄胡 甘
草羌活半夏(汤洗) 三棱(制) 干姜(炮) 肉桂(各半两) 木香 柯子肉 白术(炒各三分) 芍药
(三钱) 当归(一两半) 上为细末每服二钱水一盏半煎五七沸食前温服益血海退血风劳攻注
消寒痰实痹胃理血气攻刺及气虚恶寒潮热证至妙
海藏大五补丸同三才丸例 天门冬 麦门冬 菖蒲 茯神 人参 益志 枸杞
地骨皮 远志 熟地黄
上为末炼蜜丸如桐子大空心酒下三十丸 本方数服以七宣丸泄之
清心丸治热 黄柏(二两生) 天门冬(一两) 黄连(半两) 龙脑(一钱) 麦门冬
(去心一两) 上为细末炼蜜丸如桐子大每服十丸临卧门冬酒下薄荷汤亦得
火府丹丙丁俱泻 黄芩 黄连(一) 生地黄(二) 木通(三) 上研末炼蜜丸桐
子大每服二三十丸临卧温水下
海藏调胃白术泽泻散 治痰病化为水气传变水鼓不能食 白术 泽泻 芍药 陈
皮茯苓 生姜 木香 槟榔 上为末一法加白术本药各半治腹脐上肿如神若心下痞者加枳实
若下盛者加牵牛
(真武汤、四逆汤等方剂,以及《活人书》中的姜附七方,详见《保命集》。)
八物定志丸:具有补益心神、安定魂魄、治疗痰证、清除胸中邪热、调理肺肾的功效。
配方:人参(一两半)、石菖蒲、远志(去心)、茯神(去心)、茯苓(去皮,各一两)、朱砂(一钱)、白术、麦门冬(去心,各五钱)、牛黄(二钱,另研细)。
制法与用法:以上药材研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用三十丸,不限时间,用大米汤送服。
加减法:若髓海枯竭不足,加生地黄、当归;若肺气不足,加天冬、麦门冬、五味子;若心气不足,加上党参、茯神、石菖蒲;若脾气不足,加白术、白芍药、益智仁;若肝气不足,加天麻、川芎;若肾气不足,加熟地黄、远志、牡丹皮;若胆气不足,加细辛、酸枣仁、地榆;若神志昏蒙不足,加朱砂、预知子、茯神。
仲景八味丸(金匮肾气丸):熟地黄补肾水之真血,肉桂补肾水之真火,牡丹皮补神志之不足,附子能通行诸经而不止,兼有益火之功,白茯苓能祛除肾邪湿滞,泽泻去除胞宫中留存的垢浊及遗尿,山茱萸治疗精滑不禁,干山药能治疗毛发中的燥涩感。以上八味药均为君药。如果不依据易老(张元素)的加减法服用,终究不能见效。若加入五味子,即为肾气丸,这是遵循“述类象形”原则的方剂。“益火之源,以消阴翳;壮水之主,以制阳光。”
洁古老人天麻丸:主治证候见《活法机要》。
配方:天麻(六两,酒浸三日,焙干称重)、牛膝(六两,酒浸三日,焙干称重)、玄参(六两)、萆薢(六两,另研为末)、杜仲(六两,锉碎炒制,去须)、当归(十两,全用)、羌活(十两或十五两)、生地黄(一斤)、附子(一两,炮制)、独活(五两)。
功效解析:天麻除风痹,牛膝强筋骨,玄参枢机管领,萆薢壮骨,杜仲使筋骨相连,当归和养血,羌活去除骨节间的风邪,生地黄益真血,附子通行诸经不止,独活去除肾间的风邪。
制法与用法:以上药材研为细末,炼蜜为丸,如梧桐子大。每次服用五七十丸,病重者至一百丸。空腹、食前用温酒或白开水送服。服药期间忌讳壅塞,宜保持通利,因此服用半月后若稍觉壅塞,可轻微使用七宣丸轻疏之,以使药物再次发挥作用。
大效牡丹皮散:治疗血藏虚风及头目不利、不思饮食、手足烦热、肢节拘急疼痛、胸膈不利、大肠不调、阴阳相干、心惊忪悸、有时眩晕。
配方:牡丹皮、川芎、枳壳(麸炒,各一两)、陈皮(炙)、玄胡索、甘草、羌活、半夏(汤洗)、三棱(制)、干姜(炮)、肉桂(各半两)、木香、柯子肉、白术(炒,各三分)、芍药(三钱)、当归(一两半)。
制法与用法:以上药材研为细末。每次服用二钱,加水一盏半,煎煮五七沸,食前温服。此方能益血海、退血风、劳攻注、消寒痰、实痹胃、理血气,对于攻刺及气虚恶寒潮热证极为有效。
海藏大五补丸:同三才丸的例法。
配方:天门冬、麦门冬、石菖蒲、茯神、人参、益智仁、枸杞、地骨皮、远志、熟地黄。
制法与用法:以上药材研为细末,炼蜜为丸,如梧桐子大。空腹用酒送服三十丸。本方服用数次后,需用七宣丸泄之。
清心丸:治疗热证。
配方:黄柏(二两,生用)、天门冬(一两)、黄连(半两)、龙脑(一钱)、麦门冬(去心,一两)。
制法与用法:以上药材研为细末,炼蜜为丸,如梧桐子大。每次服用十丸,临睡前用天门冬酒送服,薄荷汤送服亦可。
火府丹:丙丁俱泻(指清心与小肠之火)。
配方:黄芩、黄连(一份)、生地黄(两份)、木通(三份)。
制法与用法:以上药材研为细末,炼蜜为丸,如梧桐子大。每次服用二三十丸,临睡前用温水送服。
海藏调胃白术泽泻散:治疗痰病化为水气,传变为水鼓,不能进食。
配方:白术、泽泻、芍药、陈皮、茯苓、生姜、木香、槟榔。
制法与用法:以上药材研为细末。另一种方法:加白术与本药各半,治疗腹脐上肿,效果如神。若心下痞满者,加枳实;若下部盛满者,加牵牛子。
(See *Baoming Ji* for Zhenwu Tang, Sini Tang, and other formulas, as well as the seven Ginger and Aconite formulas in *Huoren Shu*.)
Bayue Dingzhi Wan (Eight-Ingredient Calming Spirit Pill): Tonifies the heart spirit, stabilizes the soul, treats phlegm, clears pathogenic heat from the chest, and regulates the Lung and Kidney.
Ingredients: Ren Shen (Ginseng Radix) [1.5 liang], Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix) [decocted heart removed], Fushen (Poria with Hostwood) [decocted heart removed], Fuling (Poria) [peeled, 1 liang each], Zhusha (Cinnabar) [1 qian], Baizhu (Atractylodis Macrocephalae Rhizoma), Maimendong (Ophiopogonis Radix) [decocted heart removed, 5 qian each], Niuhuang (Bovis Calculus) [2 qian, separately ground fine].
Preparation and Administration: Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 30 pills at any time, washed down with rice soup.
Modifications: If Marrow Sea is depleted, add Sheng Dihuang (Rehmanniae Radix) and Danggui (Angelicae Sinensis Radix); if Lung Qi is deficient, add Tiandong (Asparagi Radix), Maimendong, and Wuweizi (Schisandrae Chinensis Fructus); if Heart Qi is deficient, add Shangdangshen (Codonopsis Radix), Fushen, and Shichangpu; if Spleen Qi is deficient, add Baizhu, Baishaoyao (Paeoniae Radix Alba), and Yizhiren (Alpiniae Oxyphyllae Semen); if Liver Qi is deficient, add Tianma (Gastrodiae Rhizoma) and Chuanxiong (Ligustici Chuanxiong Rhizoma); if Kidney Qi is deficient, add Shudihuang (Rehmanniae Radix Preparata), Yuanzhi, and Mudanpi (Moutan Cortex); if Gallbladder Qi is deficient, add Xixin (Asari Radix et Rhizoma), Suanzaoren (Ziziphi Spinosae Semen), and Diyu (Sanguisorbae Radix); if Spirit is confused and deficient, add Zhusha, Yuzhizi (Gardeniae Fructus), and Fushen.
Zhongjing Bawei Wan (Jinkui Shenqi Wan): Shudihuang tonifies the true blood of Kidney Water; Rougui (Cinnamomi Cortex) tonifies the true fire of Kidney Water; Mudanpi supplements deficiency of spirit; Fuzi (Aconiti Lateralis Radix Preparata) circulates through all meridians without stopping and additionally benefits Fire; Bai Fuling (Poria) can drain Kidney pathogenic dampness stagnation; Zexie (Alismatis Rhizoma) removes retained filth in the bladder and enuresis; Shanzhuyu (Corni Fructus) treats seminal emission and involuntary discharge; Ganshan Yao (Dioscoreae Rhizoma) treats dryness and astringency in hair and skin. The above eight herbs are all Sovereign drugs. If one does not follow the modifications by Yilao (Zhang Yuansu), efficacy will ultimately be lacking. If Wuweizi is added, it becomes Shenqi Wan, a formula following the principle of "describing categories and imitating forms." "Benefit the source of Fire to dissipate Yin shadows; strengthen the master of Water to control Yang brightness."
Qianshi Dihuang Wan: This is Bawei Wan minus Rougui and Fuzi.
Jiegu Laoren Tianma Wan (Elder Jiegu's Gastrodia Pill): Indications are seen in *Huofa Jiyao*.
Ingredients: Tianma (Gastrodiae Rhizoma) [6 liang, soaked in wine for three days, dried and weighed], Niuxi (Achyranthis Bidentatae Radix) [6 liang, soaked in wine for three days, dried and weighed], Xuanshen (Scrophulariae Radix) [6 liang], Bibing (Dioscoreae Hypoglaucae Rhizoma) [6 liang, separately ground into powder], Duzhong (Eucommiae Cortex) [6 liang, cut, stir-fried, tendons removed], Danggui (Angelicae Sinensis Radix) [10 liang, whole], Qianghuo (Notopterygii Rhizoma et Radix) [10 or 15 liang], Sheng Dihuang (Rehmanniae Radix) [1 jin], Fuzi (Aconiti Lateralis Radix Preparata) [1 liang, processed], Duhuo (Angelicae Pubescentis Radix) [5 liang].
Efficacy Analysis: Tianma eliminates wind-bi; Niuxi strengthens sinews and bones; Xuanshen governs the pivot mechanism; Bibing strengthens bones; Duzhong connects sinews and bones; Danggui harmonizes and nourishes blood; Qianghuo removes wind from between joints; Sheng Dihuang benefits true blood; Fuzi circulates through all meridians without stopping; Duhuo removes wind-pathogens from between the Kidneys.
Preparation and Administration: Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 50-70 pills per dose, up to 100 pills for severe cases. Take on an empty stomach before meals, washed down with warm wine or plain water. During medication, avoid stagnation and maintain free flow. Therefore, after half a month of use, if slight stagnation is felt, lightly administer Qixuan Wan to gently disperse it, allowing the medicine to function again.
Da Xiao Mudanpi San (Greatly Effective Moutan Powder): Treats deficiency-wind in the Blood Store, visual and ocular obstruction, loss of appetite, vexing heat in hands and feet, stiffness and pain in limbs and joints, oppression in chest and diaphragm, irregular bowel movements, conflict between Yin and Yang, palpitations and fright, occasional vertigo.
Ingredients: Mudanpi (Moutan Cortex), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus) [bran-fried, 1 liang each], Chenpi (Citri Reticulatae Pericarpium) [stir-fried], Yanhusuo (Corydalis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Banxia (Pinelliae Rhizoma) [washed with decoction], Sanleng (Sparganii Rhizoma) [processed], Ganjiang (Zingiberis Rhizoma) [processed], Rougui (Cinnamomi Cortex) [0.5 liang each], Muxiang (Aucklandiae Radix), Kezirou (Myristicae Semen Endocarpum), Baizhu (Atractylodis Macrocephalae Rhizoma) [stir-fried, 3 fen each], Shaoyao (Paeoniae Radix) [3 qian], Danggui (Angelicae Sinensis Radix) [1.5 liang].
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 1.5 cups of water, boil for 5-7 boils, take warm before meals. This formula benefits the Sea of Blood, dispels Wind-Blood, treats laborious attacks and injections, eliminates cold-phlegm, solidifies Bi syndrome in the Stomach, regulates Blood and Qi, and is extremely effective for stabbing sensations and conditions of Qi deficiency with aversion to cold and tidal fever.
Haizang Da Wubu Wan (Sea-Hoard Great Five-Tonic Pill): Follows the example of Santang Wan.
Ingredients: Tianmendong (Asparagi Radix), Maimendong (Ophiopogonis Radix), Shichangpu (Acori Tatarinowii Rhizoma), Fushen (Poria with Hostwood), Renshen (Ginseng Radix), Yizhiren (Alpiniae Oxyphyllae Semen), Gouqi (Lycii Fructus), Digupi (Lycii Cortex Radicis), Yuanzhi (Polygalae Radix), Shudihuang (Rehmanniae Radix Preparata).
Preparation and Administration: Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 30 pills on an empty stomach with wine. After several doses of this formula, administer Qixuan Wan to purge.
Qingxin Wan (Clear Heart Pill): Treats Heat syndromes.
Ingredients: Huangbai (Phellodendri Cortex) [2 liang, raw], Tianmendong (Asparagi Radix) [1 liang], Huanglian (Coptidis Rhizoma) [0.5 liang], Longnao (Borneolum Syntheticum) [1 qian], Maimendong (Ophiopogonis Radix) [decocted heart removed, 1 liang].
Preparation and Administration: Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 10 pills per dose, wash down with Tianmendong wine before sleep; Bohe Tang (Mint Decoction) is also acceptable.
Huofu Dan (Fire Mansion Pill): Purges both Bing and Ding (Heart and Small Intestine Fire).
Ingredients: Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) [1 part], Sheng Dihuang (Rehmanniae Radix) [2 parts], Mutong (Akebiae Caulis) [3 parts].
Preparation and Administration: Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 20-30 pills per dose, wash down with warm water before sleep.
Haizang Tiaowei Baizhu Zexie San (Sea-Hoard Regulating Stomach Atractylodes and Alisma Powder): Treats Phlegm transforming into Water-Qi, progressing to Water Drum (ascites), with inability to eat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Zexie (Alismatis Rhizoma), Shaoyao (Paeoniae Radix), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Shengjiang (Zingiberis Rhizoma Recens), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen).
Preparation and Administration: Grind the above ingredients into a fine powder. Alternative method: Add Baizhu and the base medicine in equal halves to treat swelling above the abdomen and navel, with miraculous effect. If there is fullness below the heart, add Zhishi (Aurantii Fructus); if there is excess in the lower body, add Qianniu (Pharbitidis Semen).