黄连(一两五钱,酒润) 朱砂(一两水飞) 当归(酒洗) 生地黄(酒洗) 炙甘
草(各五
钱)
二曰∶忧愁思虑伤心。心伤则苦惊喜忘,夜不能寐,此方主之。
忧愁思虑,则火起于心,心伤则神不安,故苦惊。心主血,心伤则血不足,故喜忘。心
愈
生地凉心,当归养血。炙甘草者,所以益脾。脾是心之子,用之欲其不食气于母故尔。
人参 白茯苓 龙眼肉 酸枣仁 黄 白术(各二钱) 远志(一钱) 木香 炙甘
草
当归(各五分)
三曰∶饮食太饱伤脾。脾伤则面黄善卧,宜此方主之。
脾者,仓廪之官,故饮食太饱则伤之。中央土色,入通于脾,脾伤则其本色自见,故面
黄。神者,中气之所生,脾伤则神亦倦,故善卧。《内经》曰∶五味入口,甘先入脾。参、
、苓、术、甘草,皆甘物也,故用之以补脾。虚则补其母,龙眼肉、酸枣仁、远志,所以
养心而补母。脾气喜快,故用木香。脾苦亡血,故用当归。此主食去脾伤之方也,若停食之
方,则以消磨之剂主之,而不专于补益矣。
人参 甘草(炙) 附子(制) 干姜(炒) 白术
四曰∶形寒饮冷伤肺。肺伤则短气咳嗽,脉来微迟者,宜此方主之。
形寒者,形气虚寒也。饮冷者,复饮冷物也。热则气壮,寒则气怯,今肺为寒冷所伤,
故令气短;水寒射肺,肺不能容,故令咳嗽。脉来微者为虚,迟者为寒。损其肺者益其气,
故用参、术、甘草。寒者温之,故用附子、干姜。
黄连(一两五钱,用酒浸润) 朱砂(一两,水飞法研磨) 当归(用酒清洗) 生地黄(用酒清洗) 炙甘草(各五钱)
第二种情况:忧愁和思虑过度损伤心脏。心脏受损则容易因惊恐而恍惚、记忆力减退,夜间无法入睡,此方主治此类病症。
忧愁思虑,会导致心火内生;心脏受损则心神不安,所以容易惊恐。心主血脉,心脏受损则血液不足,所以容易遗忘。心火亢盛,用地黄清心凉血,当归养血补血。使用炙甘草,是为了补益脾气。脾是心的子脏,使用它希望它能不从母脏(心)那里吸取元气,从而保护心脏。
人参 白茯苓 龙眼肉 酸枣仁 黄芪 白术(各二钱) 远志(一钱) 木香 炙甘草 当归(各五分)
第三种情况:饮食过饱损伤脾胃。脾胃受损则面色发黄、嗜睡,适宜用此方主治。
脾是负责仓储管理的器官,所以饮食过饱会损伤它。脾属中央土,其色为黄,内通于脾,脾受损则本色外露,所以面色发黄。神气是由中焦之气所化生的,脾受损则神气疲倦,所以喜欢睡觉。《内经》说:五味入口,甘味先入脾。人参、茯苓、白术、甘草,都是味甘的药物,所以用来补脾。虚证应当补其母脏,龙眼肉、酸枣仁、远志,是用来养心以补脾之母(心)。脾气喜欢舒畅快意,所以使用木香。脾苦于失血,所以使用当归。这是专门针对饮食积滞导致脾伤的治疗方剂,如果是治疗食积停滞的方剂,则以消食导滞的药物为主,而不单纯是补益。
第四种情况:形体受寒、饮用冷物损伤肺脏。肺脏受损则呼吸短促、咳嗽,脉象微细且迟缓的,适宜用此方主治。
形体受寒,是指形体之气虚寒。饮用冷物,是指又喝了冷的东西。热则气壮,寒则气怯,现在肺脏被寒冷所伤,所以导致气短;寒水之气上射于肺,肺不能容纳,所以导致咳嗽。脉象微细表示虚,迟缓表示寒。损伤肺脏应当补益其气,所以用人参、白术、甘草。寒证应当温散,所以用附子、干姜。
Coptidis Rhizoma (50 g, moistened with wine) Cinnabaris (30 g, prepared by water levigation) Angelicae Sinensis Radix (washed with wine) Rehmanniae Radix Recens (washed with wine) Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (each 15 g)
Second scenario: Worry and overthinking damage the Heart. When the Heart is damaged, one suffers from startle and forgetfulness, and cannot sleep at night; this formula treats such conditions.
Worry and overthinking cause fire to arise in the Heart. When the Heart is damaged, the Shen (Spirit) becomes unsettled, hence prone to startle. The Heart governs Blood; when damaged, Blood becomes insufficient, hence prone to forgetfulness. Rehmanniae Radix Recens cools the Heart, while Angelicae Sinensis Radix nourishes Blood. Glycyrrhizae Radix et Rhizoma Praeparata cum Melle is used to benefit the Spleen. The Spleen is the Child organ of the Heart; it is used so that it does not consume Qi from its Mother organ (the Heart).
Ginseng Radix et Rhizoma Poria cocos Longan Arillus Ziziphi Spinosae Semen Astragali Radix Atractylodis Macrocephalae Rhizoma (each 6 g) Polygalae Radix (3 g) Aucklandiae Radix Glycyrrhizae Radix et Rhizoma Praeparata cum Melle Angelicae Sinensis Radix (each 1.5 g)
Third scenario: Eating until too full damages the Spleen and Stomach. When the Spleen is damaged, the face appears yellow and there is a tendency to sleep; this formula is suitable for treating such conditions.
The Spleen is the official responsible for granaries; thus, eating until overly full damages it. The Spleen belongs to Central Earth, its color is yellow, and it communicates internally with the Spleen. When the Spleen is damaged, its true color manifests externally, hence the yellow complexion. Shen (Spirit) is generated by Middle Jiao Qi; when the Spleen is damaged, Shen also becomes fatigued, hence the tendency to sleep. The *Neijing* states: "When five flavors enter the mouth, sweet flavor enters the Spleen first." Ginseng Radix et Rhizoma, Poria cocos, Atractylodis Macrocephalae Rhizoma, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle are all sweet substances, hence used to tonify the Spleen. In deficiency patterns, one should tonify the Mother organ. Longan Arillus, Ziziphi Spinosae Semen, and Polygalae Radix are used to nourish the Heart to tonify the Mother of the Spleen (Heart). The Spleen's Qi likes to be smooth and free; hence Aucklandiae Radix is used. The Spleen suffers from blood loss; hence Angelicae Sinensis Radix is used. This is a formula specifically for Spleen injury caused by food stagnation. If the condition is food retention, formulas with digestive and resolving agents are used, rather than purely tonifying ones.
Ginseng Radix et Rhizoma Glycyrrhizae Radix et Rhizoma Praeparata cum Melle Aconiti Lateralis Radix Preparata Zingiberis Rhizoma Praeparatum Atractylodis Macrocephalae Rhizoma
Fourth scenario: Cold exposure of the body and consumption of cold drinks damage the Lung. When the Lung is damaged, there is shortness of breath and coughing, and the pulse is faint and slow; this formula is suitable for treating such conditions.
"Body exposed to cold" refers to deficiency-cold of the Body Qi. "Consumption of cold drinks" refers to drinking cold substances. Heat makes Qi vigorous; cold makes Qi timid. Now, the Lung is damaged by cold, hence causing shortness of breath. Cold water qi shoots up to the Lung, which cannot accommodate it, hence causing coughing. A faint pulse indicates deficiency; a slow pulse indicates cold. To treat Lung damage, one benefits Qi; hence Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle are used. For cold patterns, one warms them; hence Aconiti Lateralis Radix Preparata and Zingiberis Rhizoma Praeparatum are used.