补中益气汤 治形神劳役,饮食失节,虚损身热而烦,脉大而虚,颈痛或恶寒而渴,自汗无力,气高而
喘。兼治妇人室女经候不调。血脱益气之大法也。
黄 (一钱,劳役甚者加五分) 人参(久嗽肺有火者去之) 甘
草(各一钱,三味除肌热燥热圣药,) 当归(和血) 白术(助脾) 陈皮(导气,又能同诸甘药益元气,独用泻脾)
柴胡(引少阳清气左升,大除劳热)
升麻(引胃气右升,而复其本位。同柴胡,须用酒各炒三遍。如咳嗽及有汗者,用蜜炒敛而降之。五件各五分,
虚甚升、柴只用一分,汗多者全去之。参、 、术有用至一两一服者,甘草有用二三钱一服者,水煎,巳未午初时
温服。伤之重者连进二服,如得微汗即愈。忌多言劳役,静养一二时辰久方进美膳以助之。常服去升、柴,加黄
柏三分以滋肾水,红花二分入心养血,多用破血。)
加味黄 汤 又名保元汤。治阳虚背恶寒。即前方去升、柴、陈、归,加肉桂,甚者加附子。
升阳顺气汤 治春月口淡无味,夏月虽热犹寒,饥饱失常,以致腹胁满闷短气,喜怒不节,以致忧思气结,
恐惧气下等证。即补中益气汤去白术,加黄柏、草豆蔻、神曲、半夏。
黄 人参汤 治夏天气热,精神不足,两脚痿软,烦热呕哕,自汗头痛痰嗽,心胁腹痛,胸中闭塞,小便
频数,大便难而闭结,皆热伤肺之所致也,宜常服之。即补中益气汤去柴胡,加苍术、神曲、五味子,黄柏。
清暑益气汤 治长夏湿热蒸人,四肢困倦,精神少,懒于动作,胸满气促,支节痛,或气高而喘,身热
而烦,心下膨闭,小便黄而数,大便溏而频,或痢,或渴,不思饮食,自汗体重等证。即补中益气汤去柴胡,
用黄 一钱止汗除热;人参五分,当归、甘草各三分,补中益气;苍术一钱,白术、泽泻各五分,渗利除湿;
升麻一钱,干葛二分,善解肌热;又以风胜湿也,湿胜则食不消而作痞满,故炒神曲五分,青皮二分,陈皮五
分以消食快气;肾恶燥,故以黄柏三分,借甘味泻热补水;虚者滋其化源,以五味子九粒,麦门冬三分,救暑
伤肺金。中 ,忌汗下温针。
升阳补胃汤 治长夏湿热,阳明、少阳下血。即补中益气汤去陈皮,加桂、芍、羌、防、干葛、独活、
生地、牡丹皮。
升阳益胃汤 治秋燥令行,湿热少退,体重节痛,口干舌干,饮食无味,大便不调,小便频数,食不消。
兼见肺病洒淅恶寒,惨惨不乐,面色恶而不和,乃阳气不伸故也。黄 二钱,人参、甘草各一钱,白术三分,
陈皮四分,柴胡三分,加羌活、独活,防风各五分,以秋旺故用辛温泻之;白茯、泽泻各三分,渴者勿用;半夏
一钱,黄连一分,白芍五分,姜、枣煎服。后如小便罢而病加剧,去茯苓、泽泻。何故秋旺反用参、术、芍药之
类补之?脾胃虚则肺俱受邪,故因时而补易为力也。若喜食不可饱食,恐胃再伤,忌不可啖食以损药力,
宜安静少后形体,使胃与药得转运升发,胃气稍强,少食果物以助之。经云∶五谷为养,五果为助者也。
神圣复气汤 治气乘冬足太阳寒气、足少阴肾水,子能令母实,手太阴肺实,反来侮土,火木受邪。腰背
胸膈闭塞,疼痛善嚏,口中涎,目中泣,鼻流浊涕不止或 肉不闻香臭,咳嗽痰沫,上热如火,下寒如冰,头
作阵痛,目中流火,视物KT KT ,耳鸣耳韵,头并口臭;或恶风寒,喜日阳,夜卧不安,常觉痰塞咽膈不通,口
失味,两胁缩急而痛,牙齿动摇不能嚼物,阴汗,前阴冷,行步欲侧,起居艰难,掌中寒,风痹麻木,小便数
而昼多夜频,欠气短喘作渴,少气不足以息,遗矢无度,妇人白带,阴户中痛,牵心而痛,面如赭色,食少大
便不调,烦心霍乱逆气,里急而腹皮色白,后出余气复不能努;或肠鸣,膝下筋急,肩胛大痛,此皆寒水木复火
土之仇也。干姜(炮)三分,半夏六分,柴胡一钱, 本八分,防风、人参、郁李仁各五分,升麻七分,附子
二分,当归六分,羌活一钱,甘草八分,白葵花五朵(去心),水五钟,煎至二钟;入黄 、草豆蔻各一钱,
陈皮五分,再煎至一钟;入黄连、黄柏(酒洗)、枳壳、生地各三分。以上四味,先一日水浸,又以细辛二分,
川芎、蔓荆子各三分,先一日用水半钟,分作二处浸此三味,并黄柏等,煎正药作一钟,不去渣,入此浸药,
再煎至一大钟,去渣空心稍热服。又治咬颊、咬舌、咬唇、舌强等证。宜食肉汁不宜食肉,不助经络中火邪也。
大抵肾与膀胱经中有寒,元气不足者,皆宜服之,神效。于月生月满时,隔三五日一服,如急病不拘时分。
沉香温胃丸 治中焦气弱,脾胃受寒,饮食不美,气不调和,脏腑积冷,心腹疼痛,大便滑泄,腹中雷鸣,
霍乱吐泻,手足厥冷,大便利无度。又治下焦阳虚,脐腹冷痛,一切寒中,及疗伤寒阴湿,形气沉困,自汗等
证。沉香、甘草、良姜、当归、吴萸、人参、木香、茯苓、白术、芍药各五钱,附子、巴戟、干姜、茴香各一
两,官桂七钱,丁香二钱,为末,醋糊丸梧子大。每五十丸,空心热米饮下,忌一切生冷物。
补中益气汤:治疗因形体和精神过度劳累、饮食不节制导致的虚损性身热且烦躁,脉象大而虚弱,颈部疼痛或怕冷且口渴,自汗且乏力,气逆而喘息。兼治妇女及未婚女子月经不调。这是“血脱益气”(血液严重亏损时通过补气来固摄血液)的大法。
黄芪(一钱,若劳役极重者加五分) 人参(久咳且肺中有火者去除) 甘草(各一钱,这三味药是清除肌表和体内燥热的圣药) 当归(调和血液) 白术(辅助脾脏功能) 陈皮(疏导气机,又能配合各种甘味药物补益元气,单独使用则泻脾土之气) 柴胡(引导少阳经的清气向左上升,大幅消除劳倦发热) 升麻(引导胃气向右上升,使其恢复原本位置。与柴胡同用时,需用酒各炒三遍。如果有咳嗽及出汗的情况,用蜜炒以收敛并降气。这五味药各用五分,若极度虚弱,升麻和柴胡只用一分,出汗多者完全去掉。人参、黄芪、白术有用到一两一服的,甘草有用到二三钱一服的,水煎,在巳时、未时或午初时分温服。病情较重者连续服用两剂,如果得到微微出汗即痊愈。禁忌多说话和过度劳累,静养一两个时辰后,再进用美味膳食以辅助恢复。常服此方需去掉升麻、柴胡,加黄柏三分以滋补肾水,加红花二分入心养血,但红花多用会破血。)
加味黄芪汤:又名保元汤。治疗阳气虚弱导致的背部怕冷。即在前方基础上去掉升麻、柴胡、陈皮、当归,加入肉桂,病情严重者再加附子。
升阳顺气汤:治疗春季口中淡而无味,夏季虽然天气热却感觉寒冷,饥饱失常导致腹部和胁部胀满闷痛、呼吸短促;喜怒无常导致忧思气结,恐惧导致气机下陷等证候。即在补中益气汤基础上去掉白术,加入黄柏、草豆蔻、神曲、半夏。
黄芪人参汤:治疗夏季天气炎热,精神不足,双腿痿软无力,烦热呕吐呃逆,自汗头痛痰嗽,心胁腹痛,胸中闭塞,小便频数,大便困难且闭结,这些都是热邪损伤肺脏所致,适宜常服。即在补中益气汤基础上去掉柴胡,加入苍术、神曲、五味子、黄柏。
清暑益气汤:治疗长夏季节湿热蒸腾人体,四肢困倦,精神萎靡,懒于动作,胸满气促,肢体关节疼痛,或者气逆而喘息,身热且烦躁,心下膨闷闭塞,小便黄且频数,大便溏薄且次数多,或者痢疾,或者口渴,不思饮食,自汗体重等证候。即在补中益气汤基础上去掉柴胡,用黄芪一钱止汗除热;人参五分,当归、甘草各三分,补中益气;苍术一钱,白术、泽泻各五分,渗湿利水除湿;升麻一钱,干葛二分,善于解除肌表之热;因为风能胜湿,湿胜则食物不消化而产生痞满,所以用炒神曲五分,青皮二分,陈皮五分以消食快气;肾恶燥,所以用黄柏三分,借甘味泻热补水;虚者滋养其化源,用五味子九粒,麦门冬三分,救治暑邪伤肺金。病在中焦,禁忌发汗、攻下和温针疗法。
升阳补胃汤:治疗长夏季节湿热,以及阳明经、少阳经的下血证。即在补中益气汤基础上去掉陈皮,加入桂枝、芍药、羌活、防风、干葛、独活、生地、牡丹皮。
升阳益胃汤:治疗秋季燥气盛行,湿热稍退,身体沉重关节疼痛,口干舌干,饮食无味,大便不调,小便频数,食物不消化。兼见肺病引起的洒淅恶寒,心情惨淡不乐,面色不和,这是因为阳气不能伸展所致。黄芪二钱,人参、甘草各一钱,白术三分,陈皮四分,柴胡三分,加入羌活、独活、防风各五分,因为秋季金旺,所以用辛温药物泻之;白茯苓、泽泻各三分,口渴者勿用;半夏一钱,黄连一分,白芍五分,加生姜、大枣煎服。之后如果小便通畅但病情加剧,去掉茯苓、泽泻。为什么秋季金旺反而用人参、白术、芍药之类来补益?因为脾胃虚弱则肺脏也会受邪,所以因时制宜进行补益容易见效。如果喜欢进食不可吃太饱,恐怕再次损伤胃气,禁忌食用损害药效的食物,宜保持安静,减少形体活动,使胃气和药物得以转运升发,胃气稍微强壮后,少量食用果物以辅助。经文说:“五谷为养,五果为助。”
神圣复气汤:治疗寒气乘袭冬季足太阳膀胱经寒气、足少阴肾水,由于子能令母实,导致手太阴肺脏实证,反过来侮犯脾土,火、木二脏受邪。症状包括腰背胸膈闭塞,疼痛,容易打喷嚏,口中流涎,眼中流泪,鼻流浊涕不止或息肉阻塞闻不到香臭,咳嗽痰沫,上身热如火,下身寒如冰,头部阵发性疼痛,眼中似有火光,视物模糊不清,耳鸣耳聋,头昏口臭;或者怕风怕冷,喜欢阳光,夜间睡眠不安,常觉得痰塞咽喉膈膜不通,口失味觉,两胁收缩紧急而痛,牙齿动摇不能咀嚼,阴部出汗,前阴寒冷,行走时身体倾斜,起居艰难,手掌寒冷,风痹麻木,小便频数且白天多夜间频繁,哈欠气短喘息作渴,少气不足以呼吸,遗屎无度,妇人白带,阴户中痛,牵引心脏疼痛,面色如赭石色,食少大便不调,心烦霍乱逆气,里急腹皮色白,排气后仍不能用力排便;或者肠鸣,膝下筋脉拘急,肩胛部剧烈疼痛,这都是寒水木复克火土之仇敌的表现。干姜(炮制)三分,半夏六分,柴胡一钱,藁本八分,防风、人参、郁李仁各五分,升麻七分,附子二分,当归六分,羌活一钱,甘草八分,白葵花五朵(去心),水五钟,煎至二钟;加入黄芪、草豆蔻各一钱,陈皮五分,再煎至一钟;加入黄连、黄柏(酒洗)、枳壳、生地各三分。以上四味药,提前一天用水浸泡,另外取细辛二分,川芎、蔓荆子各三分,提前一天用半钟水分作两处浸泡这三味药,并与黄柏等药混合,煎煮主药成一钟,不去渣,加入这些浸泡的药液,再煎至一大钟,去渣,空腹稍热服用。又治疗咬颊、咬舌、咬唇、舌强等证候。适宜吃肉汁而不宜吃肉,以免助长经络中的火邪。大抵肾与膀胱经中有寒,元气不足者,都适宜服用,效果神奇。在月亮生长期和满月时,每隔三五日服用一次,如果是急病不拘时间。
沉香温胃丸:治疗中焦气弱,脾胃受寒,饮食不佳,气机不调和,脏腑积冷,心腹疼痛,大便滑泄,腹中雷鸣,霍乱吐泻,手足厥冷,大便失禁无度。又治疗下焦阳虚,脐腹冷痛,一切寒邪中伤,以及治疗伤寒阴湿,形气沉困,自汗等证候。沉香、甘草、良姜、当归、吴茱萸、人参、木香、茯苓、白术、芍药各五钱,附子、巴戟天、干姜、茴香各一两,官桂七钱,丁香二钱,研为末,醋糊制作梧桐子大小的丸药。每次五十丸,空腹用热米饮送下,禁忌一切生冷食物。
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction): Treats deficiency-induced fever with irritability, a large and empty pulse, neck pain or aversion to cold with thirst, spontaneous sweating with weakness, and qi rebellion with asthma caused by physical and mental overexertion and irregular diet. It also treats irregular menstruation in women and unmarried girls. This is the major principle of "tonifying qi when blood is depleted" (bu xue tuo yi qi).
Huangqi (Astragali Radix) (1 qian; add 0.5 qian if overexertion is severe), Renshen (Ginseng Radix et Rhizoma) (remove if chronic cough with fire in the lung), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian; these three herbs are sacred remedies for clearing heat from the muscle layer and dryness-heat), Danggui (Angelicae Sinensis Radix) (harmonizes blood), Baizhu (Atractylodis Macrocephalae Rhizoma) (assists the spleen), Chenpi (Citri Reticulatae Pericarpium) (directs qi, and when combined with sweet herbs tonifies primordial qi; used alone it drains spleen qi), Chaihu (Bupleuri Radix) (guides the clear qi of Shaoyang to ascend leftward, greatly eliminating fatigue-related heat), Shengma (Cimicifugae Rhizoma) (guides stomach qi to ascend rightward and return to its original position. When used with Chaihu, stir-fry each with wine three times. If there is cough and sweating, stir-fry with honey to astringe and descend qi. Each of these five herbs uses 0.5 qian; if extremely deficient, use only 0.1 qian of Shengma and Chaihu; if sweating is profuse, remove them completely. Renshen, Huangqi, and Baizhu may be used up to 1 liang per dose; Gancao up to 2-3 qian per dose. Decoct in water and take warm at Si, Wei, or early Wu hours. For severe cases, administer two doses consecutively; recovery occurs with slight sweating. Avoid excessive talking and overexertion; rest quietly for 1-2 shichen before consuming nutritious food to assist recovery. For long-term use, remove Shengma and Chaihu, add Huangbai (Phellodendri Cortex) 0.3 qian to nourish kidney water, and Honghua (Carthami Flos) 0.2 qian to nourish heart blood; excessive use breaks blood.)
Jiawei Huangqi Tang (Modified Astragalus Decoction): Also known as Baoyuan Tang (Preserve the Origin Decoction). Treats aversion to cold on the back due to yang deficiency. It is the previous formula minus Shengma, Chaihu, Chenpi, and Danggui, plus Rougui (Cinnamomi Cortex) and, in severe cases, Fuzi (Aconiti Lateralis Radix Praeparata).
Sheng Yang Shun Qi Tang (Raise Yang and Smooth Qi Decoction): Treats tastelessness in spring, feeling cold despite heat in summer, abdominal and hypochondriac fullness/stuffiness with shortness of breath due to irregular eating, qi stagnation from excessive worry/thought, and qi sinking from fear. It is Bu Zhong Yi Qi Tang minus Baizhu, plus Huangbai, Caodoukou (Amomi Fructus Rotundus), Shenqu (Massa Medicata Fermentata), and Banxia (Pinelliae Rhizoma).
Huangqi Renshen Tang (Astragalus and Ginseng Decoction): Treats insufficient spirit and flaccidity of both legs, irritability, vomiting/hiccups, spontaneous sweating, headache, phlegm-cough, heart/hypochondriac pain, chest oppression, frequent urination, and difficult/constipated stool during hot summers, all caused by heat injuring the lung. Suitable for regular use. It is Bu Zhong Yi Qi Tang minus Chaihu, plus Cangzhu (Atractylodis Rhizoma), Shenqu, Wuweizi (Schisandrae Fructus), and Huangbai.
Qing Shu Yi Qi Tang (Clear Summerheat and Augment Qi Decoction): Treats lethargy of limbs, low spirit, reluctance to move, chest fullness, shortness of breath, joint pain, qi rebellion with asthma, fever with irritability, epigastric distension/oppression, yellow/frequent urine, loose/frequent stool, dysentery, thirst, anorexia, spontaneous sweating, and heavy body caused by damp-heat steaming during late summer. It is Bu Zhong Yi Qi Tang minus Chaihu; Huangqi (1 qian) stops sweat and clears heat; Renshen (0.5 qian), Danggui and Gancao (each 0.3 qian) tonify middle and augment qi; Cangzhu (1 qian), Baizhu and Zexie (Alismatis Rhizoma, each 0.5 qian) promote urination to drain dampness; Shengma (1 qian), Gegen (Puerariae Lobatae Radix) (0.2 qian) resolve muscle-layer heat; wind overcomes dampness, and dampness causes indigestion and fullness, so Chao Shenqu (0.5 qian), Qingpi (Tangerine Green Peel, 0.2 qian), and Chenpi (0.5 qian) digest food and move qi; the kidney dislikes dryness, so Huangbai (0.3 qian) uses sweet flavor to drain heat and replenish fluids; for deficiency, nourish the source using Wuweizi (9 grains) and Maidong (Ophiopogonis Radix) (0.3 qian) to rescue lung metal injured by summerheat. The disease is in the middle jiao; sweating, purging, and warm needling are contraindicated.
Sheng Yang Bu Wei Tang (Raise Yang and Tonify Stomach Decoction): Treats damp-heat in late summer and bleeding from the Yangming and Shaoyang channels. It is Bu Zhong Yi Qi Tang minus Chenpi, plus Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gegen, Duhuo (Angelicae Pubescentis Radix), Shengdi (Rehmanniae Radix), and Mudanpi (Moutan Cortex).
Sheng Yang Yi Wei Tang (Raise Yang and Benefit Stomach Decoction): Treats dryness in autumn with declining damp-heat, heavy body and joint pain, dry mouth/tongue, tasteless food, irregular stool, frequent urination, and indigestion. Accompanied by lung disease symptoms: chills, depression, and disharmonious complexion due to unextended yang. Huangqi (2 qian), Renshen and Gancao (each 1 qian), Baizhu (0.3 qian), Chenpi (0.4 qian), Chaihu (0.3 qian), plus Qianghuo, Duhuo, and Fangfeng (each 0.5 qian); since metal is prosperous in autumn, use pungent-warm herbs to drain it; Baifu Ling (Poria) and Zexie (each 0.3 qian), omit if thirsty; Banxia (1 qian), Huanglian (Coptidis Rhizoma) (0.1 qian), Baishao (Paeoniae Radix Alba) (0.5 qian), decoct with Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus). If urination ceases but illness worsens, remove Fuling and Zexie. Why tonify with Renshen, Baizhu, and Shaoyao when metal is prosperous? Spleen/stomach deficiency allows pathogen to affect the lung, so seasonal tonification is effective. Do not overeat; avoid foods that damage medicinal efficacy. Remain quiet, reduce physical activity to allow stomach qi and medicine to transform and ascend. Once stomach qi strengthens, eat small amounts of fruit to assist. The Classic states: "Five grains nourish, five fruits assist."
Shenjing Fuqi Tang (Divine Holy Replenishing Qi Decoction): Treats cold invading Winter Taiyang bladder and Shaoyin kidney waters. Since the child makes the mother full, Taiyin lung becomes excess and insults Earth, affecting Fire and Wood. Symptoms include blockage/pain in lower back/chest/diaphragm, sneezing, salivation, tearing, turbid nasal discharge or loss of smell due to polyps, cough with sputum, upper body heat like fire, lower body cold like ice, paroxysmal headache, eyes flowing fire, blurred vision, tinnitus/deafness, dizziness/bad breath; aversion to wind/cold, preference for sunlight, restless sleep, sensation of phlegm blocking throat, loss of taste, tight/painful hypochondrium, loose teeth unable to chew, genital sweating/cold, walking difficulty, palm cold, wind-bi numbness, frequent urination (day/night), yawning/shortness of breath/thirst, insufficient qi, incontinence, leukorrhea, vaginal pain radiating to heart, reddish face, poor appetite/irregular stool, irritability/vomiting/rebellious qi, tenesmus with white abdominal skin, inability to strain after passing gas; borborygmus, tight tendons below knees, severe scapular pain. These are cold/water/wood retaliating against fire/earth. Ganjiang (Zingiberis Rhizoma, processed) (0.3 qian), Banxia (0.6 qian), Chaihu (1 qian), Gaoben (Ligustici Wallichii Rhizoma) (0.8 qian), Fangfeng, Renshen, Yuliren (Pruni Semen) (each 0.5 qian), Shengma (0.7 qian), Fuzi (0.2 qian), Danggui (0.6 qian), Qianghuo (1 qian), Gancao (0.8 qian), Bai Kuihua (White Chrysanthemum Flower) (5 flowers, remove center), decoct 5 zhong water to 2 zhong; add Huangqi and Caodoukou (each 1 qian), Chenpi (0.5 qian), decoct to 1 zhong; add Huanglian, Huangbai (wine-washed), Zhike (Aurantii Fructus Immaturus), Shengdi (each 0.3 qian). So these four herbs one day prior in water. Separately soak Xixin (Asari Radix et Rhizoma) (0.2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), and Manjingzi (Viticis Semen) (each 0.3 qian) in half zhong water for one day. Combine with Huangbai etc., decoct main medicine to 1 zhong, do not filter, add soaked liquid, decoct to 1 large zhong, filter, take warm on empty stomach. Also treats biting cheek/tongue/lip, stiff tongue. Eat meat broth, not meat, to avoid aiding fire in meridians. Generally suitable for cold in Kidney/Bladder meridians with insufficient primordial qi; highly effective. Take every 3-5 days during waxing/waning moon; urgent cases不拘 time.
Chenxiang Wenwei Wan (Agarwood Warming Stomach Pill): Treats weak middle jiao qi, cold invasion of spleen/stomach, poor diet, disharmonious qi, internal cold accumulation, heart/abdominal pain, slippery diarrhea, borborygmus, cholera/vomiting/diarrhea, cold extremities, uncontrolled loose stools. Also treats lower jiao yang deficiency, umbilical/abdominal cold pain, all cold invasions, and cold-damp typhoid with sinking qi, lethargy, spontaneous sweating. Chenxiang (Aquilariae Resina), Gancao, Liangjiang (Galangalis Rhizoma), Danggui, Wuyu (Evodiae Fructus), Renshen, Muxiang (Aucklandiae Radix), Fuling, Baizhu, Shaoyao (each 5 qian), Fuzi, Bajitian (Morindae Officinalis Radix), Ganjiang, Huixiang (Foeniculi Fructus) (each 1 liang), Guanzi Gui (Cinnamomi Cortex) (7 qian), Dingxiang (Caryophylli Flos) (2 qian). Powder, pill with vinegar paste to size of wu zi. 50 pills each time, taken warm with rice drink on empty stomach. Avoid all raw/cold foods.