面白气逆时欬嗽，毛发焦枯皮粟干，发热憎寒流清涕，鼻颊生疮号肺疳，
□散生地清肺效，清热甘露饮为先，肺虚补肺散最妙，随证加减莫迟延。
【注】
肺属金，色白主皮毛，
故肺疳则见面白气逆，欬嗽，毛发焦枯，皮上生粟，肌肤干燥，憎寒发热，
常流清涕，鼻颊生疮也，
先用生地清肺饮以□解之，继用甘露饮凊之，
日久肺虚者，当以补肺散主之。
(生地清肺散) 桑皮炒 生地黄 天冬 前胡 枯梗 苏叶 防风 黄芩
生甘草 当归 连翘去心 赤苓 引用生姜红枣水煎服。
(方歌)
生地清肺用桑皮，生地天冬前枯齐，苏叶防风黄芩草，当归连翘赤苓宜。
(甘露饮) 生地黄 熟地黄 天冬 麦冬去心 枳壳麸炒 枯梗 黄芩
枇杷叶蜜炙 茵陈蒿 石斛 引用红枣肉煎服。
(方歌)
甘露饮治肺火壅，生熟地黄二门冬，枳桔黄芩枇杷叶，茵陈石斛共煎成。
(补肺散) 白茯苓 阿胶蛤粉炒 糯米 马兜钤 炙甘草 杏仁炒去皮尖 水煎服。
(方歌)
肺虚补肺散通仙，茯苓阿胶糯米攒，马兜铃配炙甘草，杏仁微炒去皮尖。
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疳证门
解颅鹤膝齿行迟，骨瘦如柴面黑黧，齿龈出血口臭气，足冷腹痛泻哭啼，
肾疳先用金蟾治，九味地黄继进宜，若逢禀赋气虚弱，调元散进莫迟疑。
[注]
肾属水，色黑主骨，患此疳者，
初必有解颅鹤膝齿迟行迟肾气不足等证，
更因甘肥失节，久则渐成肾疳，故见面色黧黑，齿龈出血，
口中气臭，足冷如冰，腹痛泄泻，啼哭不已之证，
先用金蟾丸治其疳，
继以九味地黄丸调补之，
若禀赋不足者，调元散主之。
(金蟾丸) 干虾蟆五个煆 胡黄连 黄连各三钱 鹤虱二钱 肉豆蔻煨
苦楝根 白皮 雷丸 芦荟生 芜荑各三钱 以上为末，麴糊为丸，
菉豆大，雄黄为衣，每服十五丸，米汤化下。
(九味地黄丸) 熟地 茱萸肉各五钱 赤茯苓 泽泻 牡丹皮 山药炒
当归 川楝子 史君子各三钱肉 以上为细末，炼白蜜为丸，如芡实大，
用滚白水研化，食前服。
(调元散) 人参 茯苓 白术土炒 山药炒 川芎 当归 熟地黄
茯神 黄耆炙 甘草炙 白芍炒 引用姜枣水煎服。
(方歌)
调元散治禀赋弱，参苓白术干山药，芎归熟地共茯神，黄耆甘草同白芍。
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疳证门
面色苍白，气机上逆，时常咳嗽，毛发焦枯，皮肤干燥如粟粒状，发热且怕冷，流清鼻涕，鼻部和面颊生疮，这被称为肺疳。
生地清肺散能清肺热而见效，清热甘露饮为首选方剂，若肺气虚则补肺散最为巧妙，应根据证候加减用药，不要拖延。
【注释】
肺在五行中属金，其色为白，主司皮毛，
所以肺疳患者会出现面色苍白、气机上逆、咳嗽、毛发焦枯、皮肤生粟、肌肤干燥、怕冷发热、
经常流清鼻涕、鼻颊生疮等症状，
先用生地清肺饮来解表清热，继用甘露饮来清润，
如果日久导致肺气虚弱，应当以补肺散为主治方。
（生地清肺散）炒桑白皮、生地黄、天冬、前胡、桔梗、苏叶、防风、黄芩、
生甘草、当归、去心连翘、赤茯苓，引用生姜、红枣水煎服。
（方歌）
使用生地清肺散要用桑白皮，生地黄与天冬、前胡、桔梗齐备，
苏叶、防风、黄芩、甘草，当归、连翘、赤茯苓适宜。
（甘露饮）生地黄、熟地黄、天冬、去心麦冬、麸炒枳壳、桔梗、黄芩、
蜜炙枇杷叶、茵陈蒿、石斛，引用红枣肉煎服。
（方歌）
甘露饮治疗肺火壅盛，生地黄与熟地黄、天门冬、麦门冬，
枳壳、桔梗、黄芩、枇杷叶，茵陈与石斛共同煎煮而成。
（补肺散）白茯苓、阿胶（蛤粉炒）、糯米、马兜铃、炙甘草、炒杏仁（去皮尖），水煎服。
（方歌）
补肺散治疗肺虚通灵如仙，茯苓、阿胶、糯米汇聚，
马兜铃配伍炙甘草，杏仁微炒后去皮尖。
疳证门
囟门迟闭（解颅）、膝部肿大（鹤膝）、牙齿生长迟缓、行走迟缓，身体消瘦如柴，面色黑晦，齿龈出血，口臭气粗，足部寒冷，腹痛，腹泻，啼哭不止，
这是肾疳。肾疳先用金蟾丸治疗，随后进服九味地黄丸为宜，如果遇到先天禀赋气虚虚弱者，服用调元散不要迟疑。
[注释]
肾在五行中属水，其色为黑，主司骨骼，患此疳症的患者，
起初必然有囟门迟闭、膝部肿大、牙齿和行走发育迟缓、肾气不足等证候，
再加上甘肥饮食失于节制，久而久之逐渐形成肾疳，所以见面色黑晦，齿龈出血，
口中气味臭秽，足冷如冰，腹痛泄泻，不停啼哭的证候，
先用金蟾丸治疗疳积，
继以九味地黄丸调理补益，
如果是先天禀赋不足者，以调元散为主治方。
（金蟾丸）干虾蟆五个煅制、胡黄连、黄连各三钱、鹤虱二钱、煨肉豆蔻、
苦楝根白皮、雷丸、生芦荟、芜荑各三钱，以上研为细末，用神曲糊制成丸药，
大小如绿豆，雄黄为衣，每次服用十五丸，米汤化开送下。
（九味地黄丸）熟地黄、山茱萸肉各五钱、赤茯苓、泽泻、牡丹皮、炒山药、
当归、川楝子、使君子仁各三钱，以上研为细末，炼白蜜为丸，大小如芡实，
用滚开水研化，饭前服用。
（调元散）人参、茯苓、土炒白术、炒山药、川芎、当归、熟地黄、
茯神、炙黄芪、炙甘草、炒白芍，引用姜枣水煎服。
（方歌）
调元散治疗先天禀赋虚弱，人参、茯苓、白术、干山药，
川芎、当归、熟地黄共配茯神，黄芪、甘草同白芍。
%
疳证门
The complexion is pale, Qi rebels upward with frequent coughing, hair is dry and brittle, skin is dry with millet-like bumps, accompanied by fever and aversion to cold, clear nasal discharge, and sores on the nose and cheeks; this is called Lung Gan (Lung Malnutrition).
Shengdi Qingfei San (Rehmannia Root Decoction for Clearing the Lung) is effective in clearing Lung heat; Qingre Ganlu Yin (Clear Heat Sweet Dew Decoction) is the primary choice. For Lung deficiency, Bufeisan (Decoction for Tonifying the Lung) is most excellent. Adjust the prescription according to the syndrome without delay.
[Annotation]
The Lung belongs to Metal, its color is white, and it governs the skin and hair.
Therefore, patients with Lung Gan present with a pale complexion, rebellious Qi, coughing, dry and brittle hair, millet-like bumps on the skin, dry skin, aversion to cold and fever,
frequent clear nasal discharge, and sores on the nose and cheeks.
First, use Shengdi Qingfei Yin (Rehmannia Root Decoction for Clearing the Lung) to resolve the exterior and clear heat, followed by Ganlu Yin (Sweet Dew Decoction) to moisten and clear.
If the condition persists leading to Lung deficiency, Bufeisan (Decoction for Tonifying the Lung) should be used as the main treatment.
(Shengdi Qingfei San) Fried Bai Sang Bai Pi (Mori Cortex), Sheng Di Huang (Rehmanniae Radix), Tian Dong (Asparagi Radix), Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Su Ye (Perillae Folium), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix),
Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Lian Qiao (Forsythiae Fructus, heart removed), Chi Fu Ling (Poria with Red Core). Decoct with fresh Ginger and Red Dates water.
(Fang Ge - Prescription Verse)
For Shengdi Qingfei San, use Mori Cortex; combine Rehmanniae Radix, Asparagi Radix, Peucedani Radix, and Platycodonis Radix.
Perillae Folium, Saposhnikoviae Radix, Scutellariae Radix, and Glycyrrhizae Radix are suitable, along with Angelicae Sinensis Radix, Forsythiae Fructus, and Poria with Red Core.
(Ganlu Yin) Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix, heart removed), Zhi Ke (Aurantii Fructus, bran-fried), Jie Geng (Platycodonis Radix), Huang Qin (Scutellariae Radix),
Mi Zhi Pi Pa Ye (Loquat Leaf, honey-fried), Yin Chen Hao (Artemisiae Scopariae Herba), Shi Hu (Dendrobii Caulis). Decoct with Red Date flesh.
(Fang Ge - Prescription Verse)
Ganlu Yin treats Lung Fire congestion; combine Rehmanniae Radix and Rehmanniae Radix Preparata with Ophiopogonis Radix and Asparagi Radix.
Aurantii Fructus, Platycodonis Radix, Scutellariae Radix, and Loquat Leaf, together with Artemisiae Scopariae Herba and Dendrobii Caulis, are decocted together.
(Bufeisan) Bai Fu Ling (Poria), E Jiao (Colla Corii Asini, fried with Arsenic Calcitum powder), Nuomi (Glutinous Rice), Ma Dou Ling (Aristolochiae Fructus), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xing Ren (Prunus Armeniacae Semen, fried, skin and tip removed). Decoct in water.
(Fang Ge - Prescription Verse)
Bufeisan for Lung deficiency is miraculous; combine Poria, Colla Corii Asini, and Glutinous Rice.
Aristolochiae Fructus pairs with Glycyrrhizae Radix et Rhizoma, honey-fried; Prunus Armeniacae Semen is lightly fried and skin and tip removed.
Section: Gan Syndrome
Delayed fontanelle closure (Jie Lu), knee swelling resembling crane's knee (He Xi), delayed tooth eruption, delayed walking, emaciation like firewood, dark and dull complexion, bleeding gums, foul breath, cold feet, abdominal pain, diarrhea, and incessant crying indicate Kidney Gan.
Treat Kidney Gan initially with Jin Chan Wan (Toad Pill), followed by Jiwei Dihuang Wan (Nine-Ingredient Rehmannia Pill). If congenital constitution is weak, use Tiaoyuan San (Decoction for Regulating Origin) without hesitation.
[Annotation]
The Kidney belongs to Water, its color is black, and it governs the bones. Patients suffering from this Gan syndrome
initially exhibit symptoms such as delayed fontanelle closure, knee swelling, delayed tooth and walking development, and insufficient Kidney Qi.
Due to excessive consumption of sweet and fatty foods over time, Kidney Gan gradually develops, presenting with a dark and dull complexion, bleeding gums,
foul breath, cold feet like ice, abdominal pain and diarrhea, and incessant crying.
First, treat the Gan accumulation with Jin Chan Wan (Toad Pill),
followed by Jiwei Dihuang Wan (Nine-Ingredient Rehmannia Pill) for regulation and tonification.
For those with congenital insufficiency, Tiaoyuan San (Decoction for Regulating Origin) is the main treatment.
(Jin Chan Wan) Five dried Bufo bufo gargarizans (Gan Xia Ma), three qian each of Hu Huang Lian (Coptidis Rhizoma) and Huang Lian (Coptidis Rhizoma), two qian of He Shi (Carthami Fructus), roasted Rou Dou Kou (Myristicae Semen),
Ku Lian Gen Bai Pi (Meliae Cortex), Lei Wan (Wanrosiae Semen), raw Lu Hui (Aloe), three qian each of Wu Yi (Chloranthi Fructus). Grind all into fine powder, bind with Shen Qu paste into pills,
size of mung beans, coated with Xiong Huang (Realgar). Take fifteen pills per dose, dissolved in rice soup.
(Jiwei Dihuang Wan) Five qian each of Shu Di Huang (Rehmanniae Radix Preparata) and Shan Zhu Yu (Corni Fructus), three qian each of Chi Fu Ling (Poria with Red Core), Ze Xie (Alismatis Rhizoma), Mu Dan Pi (Moutan Cortex), fried Shan Yao (Dioscoreae Rhizoma),
Dang Gui (Angelicae Sinensis Radix), Chuan Lian Zi (Toosendan Fructus), Shi Jun Zi (Quisqualis Fructus). Grind all into fine powder, bind with refined white honey into pills, size of Euryale Seed.
Dissolve in boiling water and take before meals.
(Tiaoyuan San) Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Tu Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Chao Shan Yao (Dioscoreae Rhizoma, fried), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Preparata),
Fu Shen (Poria with Hostwood), Zhi Huang Qi (Astragali Radix, honey-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chao Bai Shao (Paeoniae Radix Alba, fried). Decoct with Ginger and Red Dates water.
(Fang Ge - Prescription Verse)
Tiaoyuan San treats weak congenital constitution; combine Ginseng Radix et Rhizoma, Poria, Atractylodis Macrocephalae Rhizoma, and Dioscoreae Rhizoma.
Chuanxiong Rhizoma, Angelicae Sinensis Radix, Rehmanniae Radix Preparata, and Poria with Hostwood are combined; Astragali Radix, Glycyrrhizae Radix et Rhizoma, and Paeoniae Radix Alba are added.
%
Section: Gan Syndrome