治脾肺阴分亏损,饮食懒进,虚热劳嗽,并治一切阴虚之证。
生山药(二两) 生薏米(二两) 柿霜饼(八钱)
上三味,先将山药、薏米捣成粗渣,煮至烂熟,再将柿霜饼切碎,调入融化,随
意服之。山药、薏米皆清补脾肺之药。然单用山药,久则失于粘腻;单用薏米,久则失于淡
渗,惟等分并用,乃可久服无弊。又用柿霜之凉可润肺、甘能归脾者,以为之佐使。病患服
之不但疗病,并可充饥,不但充饥,更可适口。用之对证,病自渐愈,即不对证,亦无他患
。柿霜饼,即柿霜熬成者,为柿霜白而净者甚少,故用其熬成饼者。然熬此饼时恒有掺以薄荷水
者,其性即不纯良。遇阴虚汗多之证用之即有不宜,若果有白净柿霜尤胜于饼。
一少年,因感冒懒于饮食,犹勤稼穑,枵腹力作,遂成劳嗽。过午发热,彻夜咳吐痰涎。医
者因其年少,多用滋阴补肾之药,间有少加参、 者。调治两月不效,饮食减少,痰涎转增
,渐至不起,脉虚数兼有弦象,知其肺脾皆有伤损也。授以此方,俾一日两次服之,半月全愈
或问∶脉现弦象,何以即知其脾肺伤损?答曰∶脉虽分部位,而其大致实不分部位,今此证
左右之脉皆弦,夫弦为肝脉,肝盛必然侮脾,因肝属木脾属土也。且五行之中,惟土可以包
括四行,即脾气可以包括四脏。故六部脉中,皆以和缓为贵,以其饶有脾土之气也。今其脉
不和缓而弦硬,其脾气受伤,不能包括四脏可知。又肺属金,所以镇肝木者也,故肺金清肃
之气下行,肝木必不至恣横,即脉象不至于弦。今其脉既现如此弦象,则肺金受伤,不能镇
肝木更可知也。
治疗脾肺阴分亏损,导致饮食减少、虚热劳嗽,以及一切阴虚证候。
以上三味药,先将山药和薏米捣成粗渣,煮至烂熟,再将柿霜饼切碎,调入锅中融化,随意服用。山药和薏米都是清补脾肺的药物。然而单用山药,久服则失于粘腻;单用薏米,久服则失于淡渗,只有等分并用,才可以长期服用而无弊端。又用柿霜的凉性可以润肺、甘味能归脾的特性,作为佐使药。患者服用此方,不仅能治病,还可以充饥;不仅充饥,更合口味。如果用药对证,病自然会逐渐痊愈;即使不对证,也没有其他祸患。柿霜饼,就是由柿霜熬制而成的。因为纯净洁白的柿霜很少见,所以使用熬成的饼。然而在熬制这种饼时,常常掺入薄荷水,其药性就不纯正良善了。遇到阴虚汗多的证候使用它就不适宜,如果有真正白净的柿霜,尤其优于饼剂。
有一位少年,因感冒而懒得进食,却仍勤于农活,空腹用力劳作,于是形成了劳嗽。午后发热,整夜咳嗽吐痰涎。医生因为他年轻,多用滋阴补肾的药物,偶尔有少量加入人参、麦冬的。调理两个月没有效果,饮食减少,痰涎反而增多,渐渐到了无法起床的地步,脉象虚数兼有弦象,知道他的肺脾都有伤损。授予此方,让他一天服用两次,半个月完全痊愈。
有人问:脉象出现弦象,为什么就能知道是脾肺伤损?回答说:脉象虽然分部位,但大致上其实不分部位,现在这个证候左右手的脉都呈弦象。弦脉属于肝脉,肝气盛必然克制脾土,因为肝属木、脾属土。而且五行之中,只有土可以包括四行,即脾气可以包括四脏。所以在六部脉中,都以和缓为贵,因为它富含脾土之气。现在他的脉不和缓而弦硬,可知脾气受伤,不能包括四脏。另外肺属金,是用来镇伏肝木的,所以肺金清肃之气下行,肝木必定不至于恣意横逆,即脉象不至于呈现弦象。现在他的脉既呈现如此弦象,那么肺金受伤,不能镇伏肝木也就更可以知道了。
Treats deficiency of Yin in the Spleen and Lungs, resulting in poor appetite, deficiency-heat with chronic cough, and all types of Yin-deficiency syndromes.
Raw Dioscoreae Rhizoma (2 liang) Raw Coicis Semen (2 liang) Persimmon Frost Cake (8 qian)
Take the above three ingredients. First, crush the Dioscoreae Rhizoma and Coicis Semen into coarse fragments, boil until soft and cooked. Then, chop the Persimmon Frost Cake into small pieces, stir into the decoction to melt, and take as desired. Both Dioscoreae Rhizoma and Coicis Semen are herbs that clear and tonify the Spleen and Lungs. However, using Dioscoreae Rhizoma alone for a long time becomes too cloying; using Coicis Semen alone for a long time becomes too bland and leaching. Only when used in equal proportions can they be taken for a long time without adverse effects. Furthermore, Persimmon Frost is used as an assistant and guide herb because its cool nature moistens the Lungs and its sweet flavor enters the Spleen. Patients taking this prescription not only treat the disease but also satisfy hunger; not only satisfying hunger, it is also palatable. If the prescription matches the syndrome, the illness will gradually heal; even if it does not match, there will be no other harm. Persimmon Frost Cake is made by boiling down Persimmon Frost. Since pure white and clean Persimmon Frost is rare, the boiled cake form is used. However, during the preparation of this cake, mint water is often added, making its nature impure. It is unsuitable for use in cases of Yin deficiency with excessive sweating. If genuine white and clean Persimmon Frost is available, it is superior to the cake form.
A young man, due to a common cold, lost his appetite but continued to work diligently in agriculture. He exerted himself physically on an empty stomach, eventually developing a chronic cough due to overwork. He experienced fever after noon and coughed up phlegm and saliva throughout the night. The physician, noting his youth, frequently prescribed herbs to nourish Yin and tonify the Kidney, occasionally adding small amounts of Ginseng Radix et Rhizoma (Renshen) and Ophiopogonis Radix (Maidong). After two months of treatment with no effect, his food intake decreased, and phlegm production increased, leading to severe debility where he could barely get out of bed. His pulse was deficient, rapid, and wiry. This indicated damage to both the Lungs and the Spleen. This prescription was given, to be taken twice daily. He recovered completely within half a month.
Someone asked: "The pulse presents a wiry quality; how do you know immediately that the Spleen and Lungs are damaged?" I replied: "Although pulse positions are differentiated, generally speaking, they do not strictly separate locations. In this case, the pulses on both the left and right sides are wiry. A wiry pulse belongs to the Liver. When Liver Qi is exuberant, it inevitably overacts upon the Spleen, because the Liver belongs to Wood and the Spleen belongs to Earth. Moreover, among the Five Elements, only Earth encompasses the other four elements; that is, Spleen Qi encompasses the Four Zang Organs. Therefore, among the six pulse positions, a harmonious and moderate quality is most valued, as it indicates abundant Spleen-Earth Qi. Now, his pulse is not harmonious and moderate but wiry and stiff, indicating that Spleen Qi is injured and cannot encompass the Four Zang Organs. Additionally, the Lung belongs to Metal, which suppresses Liver Wood. Thus, when the clear and descending Qi of Lung Metal goes downward, Liver Wood will not act recklessly, and the pulse will not appear wiry. Since his pulse now shows such a wiry quality, it is evident that Lung Metal is injured and unable to suppress Liver Wood."