逍遥散
治肝胆两经郁火。以致胁痛头眩。或胃脘当心而痛。或肩胛绊痛。或时眼赤痛。连及太阳。
无论六经伤寒。但见阳症。悉用此方。妇人郁怒伤肝。致血妄行。赤白淫闭。沙淋崩浊等症。俱
宜此方加减治之。易曰。
风以散之。此方是也。
柴胡 白芍 归身 白术 茯苓 甘草 姜枣引。
上方加熟地名黑逍遥散。加丹皮山栀名加味逍遥散。加人参名柴芍参苓散。加大力子川芎丹
皮山栀名栀子清肝散。加蔓荆子川芎丹皮山栀名当归川芎散。加熟地川芎丹皮钩藤秦艽名秦艽地
黄汤加木瓜米仁熟地川芎山栀胆草名清肝养荣汤。
七味饮
治肝经气虚。筋无所养。变为寒症。以致筋骨疼痛。脚软懒行及伤寒服凉药过多。木中无火
。手足牵引。
肝经血虚。以致火燥筋挛。变为结核瘰 等症。经曰。辛以润之。此方是也。
熟地 山药 萸肉 丹皮 茯苓 泽泻 肉桂
上方加五味名加减八味饮。
小柴胡汤
治少阳经伤寒症。凡耳聋胁痛。口苦眼赤。及夏秋六经疟疾。随症加减。
柴胡 黄芩 人参 半夏 甘草 姜枣引。
上方加丹皮山栀名加味小柴胡汤。去半夏加山栀连翘川芎桔梗名柴胡清肝散。
左金丸
治肝胆郁火。胸胁痛不可忍。酒湿发黄。每食吞酸吐酸。如醋浸心。酸水嗳退场门中齿不可合
者。
黄连 茱萸
上方一名四金丸。为末粥丸。白术陈皮汤下。
滋肾生肝饮
治肝火郁于胃中。以致倦怠嗜卧。饮食不思。口渴咽燥。及妇人小便自遗。频数无度。凡伤
寒后热已退而见口渴者用之。
熟地 山药 萸肉 丹皮 茯苓 泽泻 柴胡
当归 五味 白术 甘草
上方去柴胡白术甘草加生地名益阴地黄汤。去柴胡泽泻加人参黄 麦冬广皮名人参补肺汤。
上五方治木之五症。
归脾汤
治心火衰甚。不能生土。以致土困金败。外兼咳嗽吐痰。寒热往来。盗汗。急以此方去木香
加白芍以治之。凡见脾胃衰弱。饮食不思。大便泄泻。总属君火不旺所致。此补本法也。凡各种
虚症。补中益气汤所不效者。投以此方。若加酒炒白芍北五味子以敛其心气。奏效更神也。
归身 远志 枣仁（炒研） 茯神 木香 人参 黄 （蜜炙）
白术（土炒） 甘草 圆眼（去核） 姜枣引。
上方加丹皮山栀名加味归脾汤。
远志饮子
治风入大肠。传为风痢。脓血并见。但里急后重而腹不痛者。此方主之。或加桔梗。
远志 当归 防风 黄 白术 甘草
龙骨丸
治肾气不足。不能上交心火。
龙骨（ ） 骨脂（炒研） 蚕蛾 五味 苁蓉（酒洗去鳞膜）蜜丸。
导赤散
治心火亢甚。小肠郁结。不能通利。此方治之。白浊沙淋等症。合逍遥散。
生地 木通 黄芩（或用黄连或用甘草）
养荣汤
凡属大虚症。勿论其脉与病。但服此方。诸症悉退。此十全大补汤对子也。十全大补。但分
气血。此则五脏皆补。无乎不到。虚寒甚者。当加附子以治之。三阴疟更妙。（一作阴虚更妙。）
白芍 当归 远志 熟地 五味 肉桂 人参
黄 茯苓 白术 陈皮 甘草 姜枣为引。
上方去远志五味陈皮加川芎名十全大补汤。
上五方。治火之五症。
六君子汤
治脾胃气虚。饮食不进。致成痰癖。不时咳唾。或胃气虚寒。动成呕恶。凡虚疟及诸病后痢
后。俱当以此方调之。
人参 白术 广皮 半夏 茯苓 甘草
上方去人参白术名二陈汤。去半夏茯苓加白芍名益黄散。去茯苓白术加山药熟地名金水六君
煎。
四君子汤
治脾胃不和。饮食不进。泄痢虚饱。
人参 白术 茯苓 甘草
上方加川芎当归名加味四君子汤。加川芎当归黄 柴胡丹皮名益脾清肝散。
理中汤
治虚寒胃痛。呕吐不绝。泄泻完谷不化。此太阴阳明两经药也。
人参 白术（炒） 干姜 甘草
上方加附子名附子理中汤。
建中汤
治肝虚不能生火。以致火不能生土。用白芍之酸。甘草之甘。此甲己化土也。再加肉桂补肝
之子。益土之母。以培其生化之原。凡脾胃不和。饮食不进。其外见症。两胁寒痛。泄痢小腹痛
。用此治之。
白芍 肉桂 甘草 （谦按。此方当加饴糖。庶合仲圣之旨。）
上方加黄 名黄 建中汤。
香连丸
治脾胃两经中湿火。传变大肠。泄痢无度。里急后重。
黄连 木香（不宜见火）水丸。
晚村批医贯云。近日香连丸。绝非旧法。杂用消克泻下之药。人自为政。亦名香连。杀人如
麻。真可痛恨。
上五方。治土之五症。
泻白散
凡属肺热咳嗽。皆当加减用之。咳加桔梗百合。痰加贝母。渴加知母。有食加枳实。
桑皮（蜜炙） 骨皮 甘草
上方加人参茯苓青皮陈皮五味知母天冬名人参平肺散。
生脉散
治暑伤元气。汗出过度。倦怠嗜卧。如有虚热口渴。不思饮食。轻者合四君子汤。重者合补
中益气汤。
人参 麦冬 五味
上方如无人参。以枸杞代之。
生金滋水饮
凡伤寒热退后。有易补之阴。有难动之阳。皆当以此养之。其见症或汗后烦躁未除。口渴微
热大便艰涩。小便短赤即是。又有一种少阳阳明症。手足肿痛。皆火燥生风。风淫末疾。不必俟
其汗后。当即以此方。加柴芩与之。无不效也。
生地 丹皮 当归 白芍 人参 麦冬 白术（生用）
甘草 枣姜引。
上方去丹皮麦冬加川芎茯苓名八珍汤。
黄 汤
治肺气大虚。腠理不固。寒症至矣。或小腹隐痛。大便不实。小便频数无度。经夜不寐。盗
汗不止。命门火衰。精滑梦遗。此方通治之。其盗汗自汗。尤为紧要。
黄 （蜜炙） 白术 当归 远志（蜜炙） 枣仁（炒研） 骨脂 姜枣引。
上方去黄 骨脂加人参熟地甘草名七福饮。
补中益气汤
凡六经内伤外感。及暑月劳倦发热。或汗出不止。但用本方。加白芍一钱。痢疾腹痛已除。
泻犹未止。是脾气下陷也。加酒炒白芍三钱。疟疾发久。形体 羸。无论六经。皆当加半夏一钱
。（合六君意也） 即有外感。不过加黄芩一钱。（则又合小柴胡矣）凡妇女胎前气虚。以致胎
动不安。小产崩漏。或产后血虚发热。但加酒炒白芍二钱。此方凡属中宫虚损。病后失调。无不
相宜。倪氏曰。七情内伤。脾胃先病。治先补土。此方是也。
人参 黄 （蜜炙） 白术（土炒） 当归 陈皮 柴胡 升麻
甘草 姜枣引。 （谦按。此方当以参 为君。归术为臣。陈草为佐。升柴为使。而分两君臣但
以钱计。佐使以分计。庶与东垣立方之旨合。盖上中之宣剂也。
上方加白芍五味名调中益气汤。去当归白术陈皮加白芍五味名人参益气汤去柴胡加茯苓五味
名参 补脾汤。
上五方。治金之五症。
六味饮
治肾水不足。虚火上升。消烁真阴。变为潮热咳嗽消渴虚劳等症。易曰。雨以润之。此方是
也。
熟地 山药 萸肉 丹皮 茯苓 泽泻
上方加五味名都气饮。加五味生地柴胡名抑阴地黄丸。加五味生地柴胡归尾去萸肉名滋阴肾
气丸。去茯苓泽泻加川芎当归川楝子使君子赤茯苓名九味地黄丸。
疏肝益肾汤
凡胃脘痛大便燥结者。肝血虚也。此方主之。逍遥散所不能愈者。此方妙。
柴胡 白芍 熟地 山药 萸肉 丹皮 茯苓
泽泻
上方加归身枣仁山栀名滋肾清肝饮。
八味丸
治命门三焦火衰。元阳虚惫。变为泄泻腹胀。阳痿精寒不育。两膝酸痛。腰软无力。两目昏
花。悉以此方治之。易曰。日以 之。此方是也。
附子 肉桂 熟地 山药 萸肉 丹皮 茯苓
泽泻 （谦按。方中加牛膝车前名济生肾气丸。肾寒肝热者最宜。）
上方加五味鹿茸名十补丸。去山药萸肉丹皮茯苓加牛膝甘草名镇阴煎。
右归饮
凡命门虚寒等症。八味丸治之不愈者。宜服此方。见症已详八味丸下。
附子 肉桂 熟地 枸杞 山药 萸肉 杜仲
甘草
上方去甘草加当归鹿胶菟丝即右归丸。
左归饮
治肾水干枯。虚火上蒸脾胃。阴土受亏。以致饮食不进。大使燥结。甚至三阳癃闭。变成噎
鬲。治之于早。无不愈也。尝以此方加归芍。治伤寒舌黑唇焦。大渴引饮。此必服攻伐寒凉之药
过多也。此方救之。治疟疾而兼燥症。热重寒轻者。此方更妙。
熟地 枸杞 山药 萸肉 茯苓 甘草
上方去茯苓甘草加龟胶鹿胶菟丝牛膝即左归丸
上五方。治水之五症。
逍遥散
治疗肝胆两经郁结之火。导致胁痛、头晕目眩，或者胃脘部当心而痛，或者肩胛部牵掣作痛，或者时而眼睛红痛，牵连到太阳经。
无论是六经伤寒中的哪一种，只要见到阳证，都使用此方。妇女因郁怒伤肝，导致血液妄行，出现赤白带下、闭经、沙淋、崩漏、浊带等症状，都适宜用此方加减治疗。《易经》说：“风以散之”，此方正是如此。
药材：柴胡、白芍、当归身、白术、茯苓、甘草，用生姜和大枣作为引药。
上方加入熟地黄，名为黑逍遥散；加入牡丹皮、山栀子，名为加味逍遥散；加入人参，名为柴芍参苓散；加入牛蒡子、川芎、牡丹皮、山栀子，名为栀子清肝散；加入蔓荆子、川芎、牡丹皮、山栀子，名为当归川芎散；加入熟地黄、川芎、牡丹皮、钩藤、秦艽，名为秦艽地黄汤；加入木瓜、薏苡仁、熟地黄、川芎、山栀子、龙胆草，名为清肝养荣汤。
七味饮
治疗肝经气虚，筋脉失去滋养，转变为寒证，导致筋骨疼痛、脚软无力懒于行走，以及伤寒服用凉药过多，导致肝木中无火，手足牵引拘挛。
肝经血虚，导致火热燥烈，筋脉拘挛，转变为结核、瘰疬等症状。《内经》说：“辛以润之”，此方正是如此。
药材：熟地黄、山药、山茱萸、牡丹皮、茯苓、泽泻、肉桂。
上方加入五味子，名为加减八味饮。
小柴胡汤
治疗少阳经伤寒症。凡是耳聋、胁痛、口苦、眼红，以及夏秋季节六经疟疾，随症状加减用药。
药材：柴胡、黄芩、人参、半夏、甘草，用生姜和大枣作为引药。
上方加入牡丹皮、山栀子，名为加味小柴胡汤；去掉半夏，加入山栀子、连翘、川芎、桔梗，名为柴胡清肝散。
左金丸
治疗肝胆郁火，胸胁疼痛难以忍受，酒湿导致的发黄，每次进食时吞酸吐酸，像醋浸在心间，酸水嗳气后肛门牙齿紧闭无法合拢者。
药材：黄连、吴茱萸。
上方一名为四金丸，研成粉末，用粥做成丸剂，用白术陈皮汤送服。
滋肾生肝饮
治疗肝火郁结在胃中，导致倦怠嗜睡、不想饮食、口渴咽干，以及妇人小便失禁、频数无度。凡伤寒后热已退却出现口渴者，使用此方。
药材：熟地黄、山药、山茱萸、牡丹皮、茯苓、泽泻、柴胡、当归、五味子、白术、甘草。
上方去掉柴胡、白术、甘草，加入生地黄，名为益阴地黄汤；去掉柴胡、泽泻，加入人参、黄芪、麦冬、广陈皮，名为人参补肺汤。
以上五方，治疗木（肝）的五种病症。
归脾汤
治疗心火衰微严重，不能生助脾土，导致脾土困顿、肺气败坏，外兼咳嗽吐痰、寒热往来、盗汗，紧急时用此方去掉木香，加入白芍来治疗。凡是见到脾胃衰弱、不想饮食、大便泄泻，总属于君火不旺盛所致，这是补本的方法。凡是各种虚证，补中益气汤无效时，投以此方。如果加入酒炒白芍、北五味子来收敛心气，疗效更神奇。
药材：当归身、远志、酸枣仁（炒后研碎）、茯神、木香、人参、黄芪（蜜炙）、白术（土炒）、甘草、桂圆肉（去核），用生姜和大枣作为引药。
上方加入牡丹皮、山栀子，名为加味归脾汤。
远志饮子
治疗风邪侵入大肠，传变为风痢，脓血并见，只有里急后重而腹部不痛的，此方主治。或者加入桔梗。
药材：远志、当归、防风、黄芪、白术、甘草。
龙骨丸
治疗肾气不足，不能上交于心火。
药材：龙骨（煅）、骨脂（炒后研碎）、蚕蛾、五味子、肉苁蓉（酒洗去鳞膜），蜂蜜和丸。
导赤散
治疗心火亢盛严重，小肠郁结，不能通利。此方治疗此症。白浊、沙淋等症状，配合逍遥散使用。
药材：生地黄、木通、黄芩（或者用黄连，或者用甘草）。
养荣汤
凡是属于大虚证，不论其脉象与病症，只要服用此方，诸症悉退。这是十全大补汤的对等方剂。十全大补汤只区分气血，此方则五脏皆补，无所不到。虚寒严重的，应当加入附子来治疗。三阴疟疾更是妙用。（另一种说法是阴虚更妙。）
药材：白芍、当归、远志、熟地黄、五味子、肉桂、人参、黄芪、茯苓、白术、陈皮、甘草，用生姜和大枣作为引药。
上方去掉远志、五味子、陈皮，加入川芎，名为十全大补汤。
以上五方，治疗火（心）的五种病症。
六君子汤
治疗脾胃气虚，饮食不进，导致形成痰癖，不时咳嗽吐唾沫。或者胃气虚寒，动不动就呕吐恶心。凡是虚疟以及诸病后、痢疾后，都应当用此方调理。
药材：人参、白术、广陈皮、半夏、茯苓、甘草。
上方去掉人参、白术，名为二陈汤；去掉半夏、茯苓，加入白芍，名为益黄散；去掉茯苓、白术，加入山药、熟地黄，名为金水六君煎。
四君子汤
治疗脾胃不和，饮食不进，泄泻痢疾、虚胀饱闷。
药材：人参、白术、茯苓、甘草。
上方加入川芎、当归，名为加味四君子汤；加入川芎、当归、黄芪、柴胡、牡丹皮，名为益脾清肝散。
理中汤
治疗虚寒胃痛，呕吐不止，泄泻完谷不化。这是太阴、阳明两经的药物。
药材：人参、白术（炒）、干姜、甘草。
上方加入附子，名为附子理中汤。
建中汤
治疗肝虚不能生火，导致火不能生土。用白芍的酸味，甘草的甘味，这是甲己化土的道理。再加肉桂补肝之子，益土之母，以培养其生化之源。凡是脾胃不和，饮食不进，外在表现为两胁寒痛、泄痢小腹痛，用此方治疗。
药材：白芍、肉桂、甘草。（谦按：此方应当加入饴糖，才符合张仲圣的旨意。）
上方加入黄芪，名为黄芪建中汤。
香连丸
治疗脾胃两经中的湿火，传变大肠，泄痢无度，里急后重。
药材：黄连、木香（不宜见火），用水泛丸。
晚村批注《医贯》说：近日的香连丸，绝非旧法，杂用消克泻下的药物，各自为政，也名叫香连，杀人如麻，真可痛恨。
以上五方，治疗土（脾）的五种病症。
泻白散
凡是属于肺热咳嗽，都应当加减使用。咳嗽加入桔梗、百合；痰多加贝母；口渴加入知母；有食积加入枳实。
药材：桑白皮（蜜炙）、地骨皮、甘草。
上方加入人参、茯苓、青皮、陈皮、五味子、知母、天冬，名为人参平肺散。
生脉散
治疗暑气损伤元气，出汗过度，倦怠嗜睡。如果有虚热口渴，不想饮食，轻者配合四君子汤，重者配合补中益气汤。
药材：人参、麦冬、五味子。
上方如果无人参，以枸杞代替。
生金滋水饮
凡是伤寒热退后，有容易补养的阴液，有难以调动的阳气，都应当用此方滋养。其表现症状或者是汗后烦躁未除，口渴微热，大便艰涩，小便短赤即是。又有一种少阳阳明症，手足肿痛，都是火燥生风，风淫末疾，不必等待汗后，当即用此方，加入柴胡、黄芩与之，无不有效。
药材：生地黄、牡丹皮、当归、白芍、人参、麦冬、白术（生用）、甘草，用大枣、生姜作为引药。
上方去掉牡丹皮、麦冬，加入川芎、茯苓，名为八珍汤。
黄芪汤
治疗肺气大虚，腠理不固，寒邪至矣。或者小腹隐痛，大便不实，小便频数无度，整夜不眠，盗汗不止，命门火衰，精滑梦遗，此方通治这些症状。其中盗汗自汗，尤为紧要。
药材：黄芪（蜜炙）、白术、当归、远志（蜜炙）、酸枣仁（炒后研碎）、骨脂，用生姜和大枣作为引药。
上方去掉黄芪、骨脂，加入人参、熟地黄、甘草，名为七福饮。
补中益气汤
凡是六经内伤外感，以及暑月劳倦发热，或者出汗不止，只用本方，加入白芍一钱，痢疾腹痛已除，腹泻仍未止，这是脾气下陷。加入酒炒白芍三钱。疟疾发作日久，形体羸弱，无论六经，都应当加入半夏一钱。（含有六君子汤之意）即使有外感，不过加入黄芩一钱。（这就又结合了小柴胡汤）凡是妇女胎前气虚，导致胎动不安、小产、崩漏，或者产后血虚发热，只加入酒炒白芍二钱。此方凡是属于中宫虚损，病后失调，无不适宜。倪氏说：七情内伤，脾胃先病，治疗先补土，此方就是。
药材：人参、黄芪（蜜炙）、白术（土炒）、当归、陈皮、柴胡、升麻、甘草，用生姜和大枣作为引药。（谦按：此方应当以人参、黄芪为君药，当归、白术为臣药，陈皮、甘草为佐药，升麻、柴胡为使药，而且分量的君臣只用钱计算，佐使只用分计算，这才符合李东垣立方的旨意。因为这是上中之宣剂。）
上方加入白芍、五味子，名为调中益气汤；去掉当归、白术、陈皮，加入白芍、五味子，名为人参益气汤；去掉柴胡，加入茯苓、五味子，名为参芪补脾汤。
以上五方，治疗金（肺）的五种病症。
六味饮
治疗肾水不足，虚火上升，消烁真阴，转变为潮热、咳嗽、消渴、虚劳等症状。《易经》说：“雨以润之”，此方正是如此。
药材：熟地黄、山药、山茱萸、牡丹皮、茯苓、泽泻。
上方加入五味子，名为都气饮；加入五味子、生地黄、柴胡，名为抑阴地黄丸；加入五味子、生地黄、柴胡、当归尾，去掉山茱萸，名为滋阴肾气丸；去掉茯苓、泽泻，加入川芎、当归、川楝子、使君子、赤茯苓，名为九味地黄丸。
疏肝益肾汤
凡是胃脘痛、大便燥结的，是肝血虚。此方主治。逍遥散所不能治愈的，此方很妙。
药材：柴胡、白芍、熟地黄、山药、山茱萸、牡丹皮、茯苓、泽泻。
上方加入当归身、酸枣仁、山栀子，名为滋肾清肝饮。
八味丸
治疗命门、三焦火衰，元阳虚惫，转变为泄泻、腹胀、阳痿、精寒不育、两膝酸痛、腰软无力、两目昏花，都用此方治疗。《易经》说：“日以暐之”（此处原文可能有误，通常指温煦之意，或依版本而定，此处直译），此方正是如此。
药材：附子、肉桂、熟地黄、山药、山茱萸、牡丹皮、茯苓、泽泻。（谦按：方中加入牛膝、车前子，名为济生肾气丸，肾寒肝热者最宜。）
上方加入五味子、鹿茸，名为十补丸；去掉山药、山茱萸、牡丹皮、茯苓，加入牛膝、甘草，名为镇阴煎。
右归饮
凡是命门虚寒等症，八味丸治疗不愈的，宜服用此方。见症已在八味丸下详述。
药材：附子、肉桂、熟地黄、枸杞、山药、山茱萸、杜仲、甘草。
上方去掉甘草，加入当归、鹿角胶、菟丝子，即右归丸。
左归饮
治疗肾水干枯，虚火上蒸脾胃，阴土受亏，导致饮食不进，大便燥结，甚至三阳癃闭，变成噎膈。治疗得早，无不痊愈。曾经用此方加入当归、白芍，治疗伤寒舌黑唇焦、大渴引饮，这一定是服用攻伐寒凉药物过多的结果。此方可以救之。治疗疟疾兼燥症，热重寒轻的，此方更妙。
药材：熟地黄、枸杞、山药、山茱萸、茯苓、甘草。
上方去掉茯苓、甘草，加入龟板胶、鹿角胶、菟丝子、牛膝，即左归丸。
以上五方，治疗水（肾）的五种病症。
Xiaoyao San (Free and Easy Wanderer Powder)
Treats stagnant fire in the Liver and Gallbladder meridians, leading to hypochondriac pain, dizziness, or epigastric pain directly behind the heart, or pulling pain in the shoulder blades, or intermittent redness and pain of the eyes extending to the Taiyang (Greater Yang) meridian.
Regardless of which of the Six Meridians' Shanghan (Cold Damage) pattern it is, as long as Yang patterns are seen, this formula should be used. For women injured by depression and anger damaging the Liver, causing reckless bleeding, leukorrhea with blood or white discharge, amenorrhea, sand-like dysuria, metrorrhagia, and turbid discharge, all these symptoms are suitable for treatment with modifications of this formula. The *I Ching* states: "Wind disperses it." This formula does exactly that.
Herbs: Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba), Dang Gui Shen (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhzae Radix et Rhizoma). Use Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus) as guides.
Adding Shu Di Huang (Rehmanniae Radix Preparata) to the above formula creates Hei Xiaoyao San (Black Free and Easy Wanderer Powder). Adding Mu Dan Pi (Moutan Cortex) and Shan Zhi Zi (Gardeniae Fructus) creates Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). Adding Ren Shen (Ginseng Radix) creates Chaishao Shenling San (Bupleurum and Peony with Ginseng and Poria Powder). Adding Niu Bang Zi (Arctii Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Dan Pi, and Shan Zhi Zi creates Zhizi Qinggan San (Gardenia Clearing Liver Powder). Adding Man Jing Zi (Vittariae Spora), Chuan Xiong, Mu Dan Pi, and Shan Zhi Zi creates Danggui Chuanxiong San (Angelica and Ligusticum Powder). Adding Shu Di Huang, Chuan Xiong, Mu Dan Pi, Gou Teng (Uncariae Ramulus cum Uncis), and Qin Jiao (Gentianae Macrophyllae Radix) creates Qinjiao Dihuang Tang (Gentian and Rehmannia Decoction). Adding Mu Gua (Chaenomelis Fructus), Yi Yi Ren (Coicis Semen), Shu Di Huang, Chuan Xiong, Shan Zhi Zi, and Long Dan Cao (Gentianae Radix) creates Qingyang Rongying Tang (Clearing Liver Nourishing Nutrient Decoction).
Qiwu Yin (Seven-Ingredient Drink)
Treats Qi deficiency in the Liver meridian, where sinews lack nourishment, transforming into Cold patterns, leading to bone and sinew pain, weak legs unwilling to walk, and after excessive use of cooling medicines for Shanghan, resulting in no fire within Wood, causing traction and spasms of hands and feet.
Blood deficiency in the Liver meridian leads to Fire dryness and sinew contraction, transforming into nodules and scrofula. The *Neijing* states: "Acridity moistens it." This formula does exactly that.
Herbs: Shu Di Huang, Shan Yao (Dioscoreae Rhizoma), Yu Rou (Corni Fructus), Mu Dan Pi, Fu Ling, Ze Xie (Alismatis Rhizoma), Rou Gui (Cinnamomi Cortex).
Adding Wu Wei Zi (Schisandrae Fructus) to the above formula creates Jiabian Qiwu Yin (Modified Seven-Ingredient Drink).
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Treats Shaoyang (Lesser Yang) meridian Shanghan patterns. Whenever there is deafness, hypochondriac pain, bitter taste in the mouth, red eyes, and malaria of the Six Meridians in summer and autumn, modify according to symptoms.
Herbs: Chai Hu, Huang Qin (Scutellariae Radix), Ren Shen, Ban Xia (Pinelliae Rhizoma), Gan Cao. Use Sheng Jiang and Da Zao as guides.
Adding Mu Dan Pi and Shan Zhi Zi to the above formula creates Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction). Removing Ban Xia and adding Shan Zhi Zi, Lian Qiao (Forsythiae Fructus), Chuan Xiong, and Jie Geng (Platycodonis Radix) creates Chaihu Qinggan San (Bupleurum Clearing Liver Powder).
Zuojin Wan (Left Metal Pill)
Treats stagnant Fire in the Liver and Gallbladder, unbearable chest and hypochondriac pain, yellowing due to alcohol dampness, swallowing acid and vomiting acid with every meal, feeling like vinegar soaking the heart, and when acid belching causes the teeth to clamp shut tightly at the anus.
Herbs: Huang Lian (Coptidis Rhizoma), Zhu Yu (Evodiae Fructus).
One name for the above formula is Sijin Wan (Four Metals Pill), ground into powder, made into pills with congee, taken down with Baizhu Chenpi Tang (Atractylodes and Tangerine Peel Decoction).
Zishen Shenggan Yin (Nourish Kidney Generate Liver Drink)
Treats Liver Fire stagnating in the Stomach, leading to fatigue and desire to lie down, lack of appetite, dry mouth and throat, and in women, involuntary urination with frequent urgency. Use this for patients after Shanghan where fever has subsided but thirst remains.
Herbs: Shu Di Huang, Shan Yao, Yu Rou, Mu Dan Pi, Fu Ling, Ze Xie, Chai Hu, Dang Gui (Angelicae Sinensis Radix), Wu Wei Zi, Bai Zhu, Gan Cao.
Removing Chai Hu, Bai Zhu, and Gan Cao from the above formula and adding Sheng Di Huang (Rehmanniae Radix) creates Yiyin Dihuang Tang (Yin-Nourishing Rehmannia Decoction). Removing Chai Hu and Ze Xie and adding Ren Shen, Huang Qi (Astragali Radix), Mai Dong (Ophiopogonis Tuber), and Guang Chen Pi (Citri Reticulatae Pericarpium) creates Renshen Bufei Tang (Ginseng Tonifying Lung Decoction).
The above five formulas treat the five syndromes of Wood (Liver).
Guipi Tang (Restore the Spleen Decoction)
Treats severe decline of Heart Fire, unable to generate Earth, leading to Earth's distress and Metal's failure, externally accompanied by cough with phlegm, alternating chills and fever, and night sweats. Urgently treat this by removing Mu Xiang (Aucklandiae Radix) from this formula and adding Bai Shao. Whenever Spleen and Stomach weakness, lack of appetite, and loose stools are seen, it generally belongs to the insufficiency of Sovereign Fire; this is tonifying the root method. For any deficiency syndrome ineffective against Buzhong Yiqi Tang, administer this formula. If added with wine-fried Bai Shao and Northern Wu Wei Zi to astringe Heart Qi, the effect is even more miraculous.
Herbs: Dang Gui Shen, Yuan Zhi (Polygalae Radix), Zao Ren (Ziziphi Spinosae Semen, fried and ground), Fu Shen (Poria with Hostwood), Mu Xiang, Ren Shen, Huang Qi (honey-fried), Bai Zhu (earth-fried), Gan Cao, Yuanyuan (Longan Aril, pitted). Use Sheng Jiang and Da Zao as guides.
Adding Mu Dan Pi and Shan Zhi Zi to the above formula creates Jiawei Guipi Tang (Modified Restore the Spleen Decoction).
Yuanzhi Yinzi (Polygala Drink)
Treats Wind entering the Large Intestine, transmitting into Wind Dysentery, with pus and blood appearing together, characterized only by tenesmus without abdominal pain. This formula is primary. Or add Jie Geng.
Herbs: Yuan Zhi, Dang Gui, Fang Feng (Saposhnikoviae Radix), Huang Qi, Bai Zhu, Gan Cao.
Longgu Wan (Dragon Bone Pill)
Treats Kidney Qi insufficiency, unable to ascend and communicate with Heart Fire.
Herbs: Longgu (Fossilia Ossis Mastodi, calcined), Guzhi (Cannidae Os, fried and ground), Can E (Bombyx Batryticatus), Wu Wei Zi, Cong Rong (Cynomorii Herba, wine-washed to remove scales). Honey-made pills.
Dao Chi San (Directing Red Powder)
Treats hyperactive Heart Fire and stagnation in the Small Intestine, unable to flow freely. This formula treats this. For white turbidity and sand-like dysuria, combine with Xiaoyao San.
Herbs: Sheng Di Huang, Mu Tong (Akebiae Caulis), Huang Qin (or Huang Lian, or Gan Cao).
Yangrong Tang (Nourish Nutrient Decoction)
For any major deficiency syndrome, regardless of pulse or disease, simply taking this formula will make all symptoms recede. This is the counterpart to Shiquan Dabu Tang (Perfect Ten Great Tonification Decoction). Shiquan Dabu Tang distinguishes only Qi and Blood; this formula tonifies all Five Zang organs, reaching everywhere. For severe deficiency-cold, add Fu Zi (Aconiti Lateralis Radix Preparata) to treat. It is particularly excellent for Three-Yin Malaria. (Another version says especially good for Yin deficiency.)
Herbs: Bai Shao, Dang Gui, Yuan Zhi, Shu Di Huang, Wu Wei Zi, Rou Gui, Ren Shen, Huang Qi, Fu Ling, Bai Zhu, Chen Pi, Gan Cao. Use Sheng Jiang and Da Zao as guides.
Removing Yuan Zhi, Wu Wei Zi, and Chen Pi from the above formula and adding Chuan Xiong creates Shiquan Dabu Tang.
The above five formulas treat the five syndromes of Fire (Heart).
Liujunzi Tang (Six Gentlemen Decoction)
Treats Spleen and Stomach Qi deficiency, inability to eat, leading to Phlegm-Stagnation, occasional coughing and spitting saliva. Or Stomach Qi deficiency-cold, easily causing nausea and vomiting. For deficiency malaria and post-illness dysentery, all should be regulated with this formula.
Herbs: Ren Shen, Bai Zhu, Guang Chen Pi, Ban Xia, Fu Ling, Gan Cao.
Removing Ren Shen and Bai Zhu from the above formula creates Erchen Tang (Two Aged Ingredients Decoction). Removing Ban Xia and Fu Ling and adding Bai Shao creates Yihuang San (Benefit Yellow Powder). Removing Fu Ling and Bai Zhu and adding Shan Yao and Shu Di Jin creates Jinshui Liu Jun Jian (Metal-Water Six Gentlemen Decoction).
Sijunzi Tang (Four Gentlemen Decoction)
Treats Spleen and Stomach disharmony, inability to eat, dysentery, diarrhea, fullness from deficiency.
Herbs: Ren Shen, Bai Zhu, Fu Ling, Gan Cao.
Adding Chuan Xiong and Dang Gui to the above formula creates Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction). Adding Chuan Xiong, Dang Gui, Huang Qi, Chai Hu, and Mu Dan Pi creates Yipi Qinggan San (Benefit Spleen Clear Liver Powder).
Lizhong Tang (Regulate the Middle Decoction)
Treats deficiency-cold stomach pain, incessant vomiting, diarrhea with undigested food. This is medicine for the Taiyin and Yangming meridians.
Herbs: Ren Shen, Bai Zhu (fried), Gan Jiang (Zingiberis Rhizoma), Gan Cao.
Adding Fu Zi to the above formula creates Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction).
Jianzhong Tang (Establish the Middle Decoction)
Treats Liver deficiency unable to generate Fire, leading to Fire unable to generate Earth. Using the sourness of Bai Shao and the sweetness of Gan Cao, this represents Jia-Ji transforming into Earth. Add Rou Gui to tonify the child of Liver and benefit the mother of Earth, cultivating the source of generation. For Spleen and Stomach disharmony, inability to eat, with external symptoms of cold pain in both hypochondria, dysentery with lower abdominal pain, use this to treat.
Herbs: Bai Shao, Rou Gui, Gan Cao. (Note: This formula should add Yi Tang (Maltose) to align with Zhang Zhongjing's intent.)
Adding Huang Qi to the above formula creates Huangqi Jianzhong Tang (Astragalus Establish the Middle Decoction).
Xianglian Wan (Costus and Coptis Pill)
Treats Damp-Fire in the Spleen and Stomach meridians, transmitting to the Large Intestine, causing endless diarrhea and tenesmus.
Herbs: Huang Lian, Mu Xiang (should not be exposed to fire). Water-made pills.
Wancun commented on *Yiguan*: Recent Xianglian Wan is absolutely not the old method, mixing in drugs that dissipate, attack, and purge. Everyone acts independently, yet still names it Xianglian, killing people like grass. Truly hateful.
The above five formulas treat the five syndromes of Earth (Spleen).
Xiebai San (Drain White Powder)
For any lung-heat cough, it should be modified and used. Add Jie Geng and Bai He (Lilii Bulbus) for cough; add Bei Mu (Fritillariae Bulbus) for phlegm; add Zhi Mu (Anemarrhenae Rhizoma) for thirst; add Zhi Shi (Aurantii Fructus Immaturus) for food retention.
Herbs: Sang Bai Pi (Mori Cortex, honey-fried), Gu Pi (Lycii Cortex), Gan Cao.
Adding Ren Shen, Fu Ling, Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi, Wu Wei Zi, Zhi Mu, and Tian Dong (Asparagi Tuber) to the above formula creates Ren Shen Pingfei San (Ginseng Calming Lung Powder).
Shengmai San (Generate Pulse Powder)
Treats Summerheat injuring Original Qi, excessive sweating, fatigue, and desire to lie down. If there is deficient heat and thirst with no appetite, mild cases combine with Sijunzi Tang, severe cases combine with Buzhong Yiqi Tang.
Herbs: Ren Shen, Mai Dong, Wu Wei Zi.
If there is no Ren Shen in the above formula, replace with Gou Qi (Lycii Fructus).
Shengjin Zishui Yin (Generate Metal Nourish Water Drink)
After Shanghan fever subsides, there is Yin easy to tonify and Yang difficult to move; all should be nourished with this. Symptoms include restlessness remaining after sweating, thirst, slight fever, hard stool, and short dark urine. There is also a type of Shaoyang-Yangming pattern with swollen and painful hands and feet, caused by Fire dryness generating Wind, Wind invading extremities. Do not wait for sweating; immediately use this formula, adding Chai Hu and Huang Qin, with no ineffectiveness.
Herbs: Sheng Di Huang, Mu Dan Pi, Dang Gui, Bai Shao, Ren Shen, Mai Dong, Bai Zhu (raw), Gan Cao. Use Da Zao and Sheng Jiang as guides.
Removing Mu Dan Pi and Mai Dong from the above formula and adding Chuan Xiong and Fu Ling creates Bazhen Tang (Eight Treasures Decoction).
Huangqi Tang (Astragalus Decoction)
Treats severe Lung Qi deficiency, insecure pores, arrival of Cold patterns. Or dull pain in the lower abdomen, loose stools, frequent and endless urination, insomnia all night, incessant night sweats, decline of Mingmen Fire, seminal emission during dreams. This formula treats all these. Night sweats and spontaneous sweating are particularly critical.
Herbs: Huang Qi (honey-fried), Bai Zhu, Dang Gui, Yuan Zhi (honey-fried), Zao Ren (fried and ground), Guzhi, Sheng Jiang and Da Zao as guides.
Removing Huang Qi and Guzhi from the above formula and adding Ren Shen, Shu Di Huang, and Gan Cao creates Qifu Yin (Seven Blessings Drink).
Buzhong Yiqi Tang (Tonify the Middle and Benefit Qi Decoction)
For internal injury and external contraction of the Six Meridians, as well as summer heat and fatigue fever, or incessant sweating, use this base formula. Add 1 qian of Bai Shao; if dysentery abdominal pain is resolved but diarrhea persists, this is Spleen Qi sinking. Add 3 qian of wine-fried Bai Shao. For long-standing malaria with emaciation, regardless of the Six Meridians, add 1 qian of Ban Xia. (Contains the intent of Liujunzi Tang.) Even with external contraction, add no more than 1 qian of Huang Qin. (Then it combines with Xiao Chaihu Tang.) For women before pregnancy with Qi deficiency causing fetal movement insecurity, miscarriage, or metrorrhagia, or postpartum blood deficiency fever, add 2 qian of wine-fried Bai Shao. This formula is suitable for any middle-jiao deficiency damage and post-illness maladjustment. Ni said: Internal injury from Seven Emotions first damages the Spleen and Stomach; treatment first tonifies Earth; this formula is it.
Herbs: Ren Shen, Huang Qi (honey-fried), Bai Zhu (earth-fried), Dang Gui, Chen Pi, Chai Hu, Sheng Ma (Cimicifugae Rhizoma), Gan Cao. Use Sheng Jiang and Da Zao as guides. (Note: In this formula, Ren Shen and Huang Qi should be Sovereign, Dang Gui and Bai Zhu Ministers, Chen Pi and Gan Cao Assistants, Sheng Ma and Chai Hu Envoys. The dosage of Sovereign and Minister uses qian, while Assistants and Envoys use fen, to align with Li Dongyuan's formula intent. This is an ascending agent for the Upper and Middle Jiao.)
Adding Bai Shao and Wu Wei Zi to the above formula creates Tiaozhong Yiqi Tang (Regulate Middle Benefit Qi Decoction). Removing Dang Gui, Bai Zhu, and Chen Pi and adding Bai Shao and Wu Wei Zi creates Renshen Yiqi Tang (Ginseng Benefit Qi Decoction). Removing Chai Hu and adding Fu Ling and Wu Wei Zi creates Shenqi Tupi Tang (Ginseng and Qi Tonify Spleen Decoction).
The above five formulas treat the five syndromes of Metal (Lung).
Liuyin Yin (Six-Ingredient Drink)
Treats Kidney Water insufficiency, rising Deficient Fire, consuming True Yin, transforming into tidal fever, cough, Xiao Ke (Wasting and Thirsting), Xu Lao (Deficiency Consumption), etc. The *I Ching* states: "Rain moistens it." This formula does exactly that.
Herbs: Shu Di Huang, Shan Yao, Yu Rou, Mu Dan Pi, Fu Ling, Ze Xie.
Adding Wu Wei Zi to the above formula creates Duqi Yin (Duqi Drink). Adding Wu Wei Zi, Sheng Di Huang, and Chai Hu creates Yinyin Dihuang Wan (Suppress Yin Rehmannia Pill). Adding Wu Wei Zi, Sheng Di Huang, Chai Hu, and Dang Gui Wei (Angelicae Sinensis Radix Tail), removing Yu Rou, creates Ziyin Shenqi Wan (Nourish Yin Kidney Qi Pill). Removing Fu Ling and Ze Xie and adding Chuan Xiong, Dang Gui, Chuan Lian Zi (Toosendan Fructus), Shi Jun Zi (Quisqualis Fructus), and Chi Fu Ling (Red Poria) creates Jiwei Dihuang Wan (Nine-Flavor Rehmannia Pill).
Shugan Yishen Tang (Soothe Liver Benefit Kidney Decoction)
For epigastric pain and dry, hard stools, it is Liver Blood deficiency. This formula is primary. Where Xiaoyao San fails, this formula is wonderful.
Herbs: Chai Hu, Bai Shao, Shu Di Huang, Shan Yao, Yu Rou, Mu Dan Pi, Fu Ling, Ze Xie.
Adding Dang Gui Shen, Zao Ren, and Shan Zhi Zi to the above formula creates Zishen Qinggan Yin (Nourish Kidney Clear Liver Drink).
Bawei Wan (Eight-Ingredient Pill)
Treats decline of Fire in Mingmen and Sanjiao, exhaustion of Yuan Yang, transforming into diarrhea, abdominal distension, impotence, cold semen and infertility, soreness and pain in both knees, soft and weak waist, blurred vision. Treat all with this formula. The *I Ching* states: "The sun warms it." This formula does exactly that.
Herbs: Fu Zi, Rou Gui, Shu Di Huang, Shan Yao, Yu Rou, Mu Dan Pi, Fu Ling, Ze Xie. (Note: Adding Niuxi (Achyranthis Bidentatae Radix) and Cheqian Zi (Plantaginis Semen) to the formula creates Jisheng Shenqi Wan (Living Generation Kidney Qi Pill), most suitable for Kidney Cold and Liver Heat.)
Adding Wu Wei Zi and Lu Rong (Cervi Cornu Degelatinatum) to the above formula creates Shibai Wan (Ten Supplements Pill). Removing Shan Yao, Yu Rou, Mu Dan Pi, and Fu Ling and adding Niuxi and Gan Cao creates Zhenyin Jian (Settle Yin Decoction).
Yougui Yin (Right Return Drink)
For Mingmen deficiency-cold and other patterns where Bawei Wan fails, take this formula. Symptoms are detailed under Bawei Wan.
Herbs: Fu Zi, Rou Gui, Shu Di Huang, Gou Qi, Shan Yao, Yu Rou, Du Zhong (Eucommiae Cortex), Gan Cao.
Removing Gan Cao and adding Dang Gui, Ejiao (Asini Corii Colla), and Tusizi (Cuscutae Semen) from the above formula creates Yougui Wan (Right Return Pill).
Zuogui Yin (Left Return Drink)
Treats dryness of Kidney Water, rising Deficient Fire steaming Spleen and Stomach,亏损 of Yin Earth, leading to inability to eat, dry and hard stools, even obstruction of the Three Yang meridians, transforming into Ye Ge (Dysphagia). Treated early, all heal. Once treated Shanghan with black tongue and scorched lips, extreme thirst desiring drink, by adding Dang Gui and Bai Shao to this formula; this was certainly due to excessive use of attacking and cold-cooling drugs. This formula saves them. For malaria combined with dryness patterns, where heat is heavy and chills are light, this formula is even more wonderful.
Herbs: Shu Di Huang, Gou Qi, Shan Yao, Yu Rou, Fu Ling, Gan Cao.
Removing Fu Ling and Gan Cao and adding Guiban (Testudinis Carapax et Plastrum), Ejiao, Tusizi, and Niuxi from the above formula creates Zuogui Wan (Left Return Pill).
The above five formulas treat the five syndromes of Water (Kidney).