一、是编专为初学而设,但取《医方集解》所选之方,逐一评论,其余概不旁及。
一、是编但载一方一论,与原书对看自明,其主治与注释,一概不录,以归简便。
一、学医而不读《灵》、《素》,则不明经络,无以知致病之由;不读《伤寒》、《金匮》
,则无以知立方之法而无从施治;不读金、元四大家,则无以通补泻温凉之用,而不知变化
。《集解》所选之方,原以仲景及四家为宗。其余所收者,不过张、王、许、钱、严、陶数
人而已,本未尝博采群书也。然于此而得其醇,化其偏,触类引伸,亦可以无大过。有志之
士,欲求更上一层,则自有由博返约之法在。
一、雄以驽骀下质,何敢以管窥之见妄议古人。然欲为初学折衷一是,则僭妄之罪所不
敢辞!
地黄(砂仁酒拌、九蒸九晒)八两 山茱肉(酒润)山药四两 茯苓(乳拌) 丹皮 泽
泻三两
蜜丸。
此方非但治肝肾不足,实三阴并治之剂。有熟地之腻补肾水,即有泽泻之宣泄肾浊以济
之;有萸肉之温涩肝经,即有丹皮之清泻肝火以佐之;有山药收摄脾经,即有茯苓之淡渗脾
湿以和之。药止六味,而大开大合,三阴并治,洵补方之正鹄也。
熟地八两 山茱肉四两 山药四两 茯苓三两 丹皮三两 泽泻三两 附子一两 肉桂
一两
蜜丸。
附桂八味为治命肾虚寒之正药,亦导龙归海之妙法。然虚阳上浮,火无所附者,必于脉
象细参,或脉洪大,而重按甚弱;或寸关洪大,而两尺独虚细者宜之。否则抱薪救火,必成
燎原之势矣。
一、这部著作是专门为初学者编写的,只选取《医方集解》中收录的方剂,逐一进行评论,其余内容一概不涉及。
一、本书仅记载一个方剂及其论述,与原著对照阅读自然明了,其主治功效和注释内容一律不收录,以归于简便。
一、学医如果不读《灵枢》、《素问》,就不明白经络,无法知晓致病的原因;如果不读《伤寒论》、《金匮要略》,就无法了解立方的法则,从而无从实施治疗;如果不读金元四大家(指金元时期四位著名医家:刘完素、张从正、李杲、朱震亨)的著作,就无法通晓补泻温凉药物的运用,而不懂得变化之道。《医方集解》所选的方剂,原本是以张仲景及金元四大家为宗。其余所收录的,不过是张元素、王好古、许叔微、钱乙、严用和、陶华这几位医家而已,本来就没有广泛采集群书。然而在此书中若能得其精纯,化除偏颇,触类旁通,引申发挥,也可以没有大的过失。有志之士,想要再进一步,则自有由博返约的方法在其中。
一、费伯雄自谦资质愚钝,怎敢以管窥之见妄议古人。然而想要为初学者折衷是非,确立标准,那么僭越狂妄的罪责我是不敢推辞的!
地黄(用砂仁酒拌制,经过九次蒸制和九次晾晒)八两 山茱萸肉(用酒润湿)山药四两 茯苓(用乳汁拌制) 牡丹皮 泽泻三两
炼蜜为丸。
此方不仅治疗肝肾不足,实际上是足三阴经(肝、脾、肾)并治的方剂。有熟地黄的滋腻补肾水,就有泽泻的宣泄肾浊来济助它;有山茱萸的温涩肝经,就有牡丹皮的清泻肝火来佐助它;有山药收摄脾经,就有茯苓的淡渗脾湿来调和它。药物只有六味,却大开大合,三阴经并治,确实是补益方剂的典范。
熟地黄八两 山茱萸四两 山药四两 茯苓三两 牡丹皮三两 泽泻三两 附子一两 肉桂一两
炼蜜为丸。
附桂八味丸(即金匮肾气丸/桂附地黄丸)是治疗命门肾虚寒的正药,也是导龙归海(引浮阳下行)的妙法。然而对于虚阳上浮、火无所依附的情况,必须仔细参详脉象,如果是脉象洪大,但重按非常虚弱;或者寸关部脉象洪大,而两尺部唯独虚细的,适宜使用此方。否则如同抱柴救火,必然形成燎原之势(加重病情)。
1. This compilation is specifically designed for beginners, selecting only the prescriptions from *Yi Fang Ji Jie* (Collection of Medical Prescriptions) for individual commentary, while excluding all other content.
2. This book records only one prescription with its discussion; comparing it with the original text makes the meaning clear. The indications and annotations are not recorded to maintain simplicity.
3. If one studies medicine without reading *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions), one will not understand the meridians and cannot know the causes of disease; if one does not read *Shang Han Lun* (Treatise on Cold Damage) and *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), one cannot understand the principles of formulating prescriptions and thus has no basis for treatment; if one does not study the works of the Four Great Masters of Jin and Yuan, one cannot master the applications of tonifying, purging, warming, and cooling methods, and will fail to grasp flexibility in practice. The prescriptions selected in *Yi Fang Ji Jie* originally take Zhang Zhongjing and the Four Masters as their foundation. The remaining collected prescriptions are merely those of a few physicians such as Zhang Yuansu, Wang Haogu, Xu Shuci, Qian Yi, Yan Yonghe, and Tao Hua, and were not extensively gathered from various books. However, by mastering the purity of these and eliminating bias, one can extend knowledge through analogy and avoid major errors. Those with ambition who wish to advance further will find their own method of returning to simplicity after broad learning.
4. Fe Boxiong, acknowledging his inferior aptitude, dares not rashly discuss ancient masters with limited insight. Yet, to provide a balanced standard for beginners, I dare not shirk the blame for overstepping my bounds!
Rehmanniae Radix Praeparata (prepared with Amomum fruit-infused wine, steamed nine times and sun-dried nine times) 8 liang; Corni Fructus (moistened with wine) 4 liang; Dioscoreae Rhizoma 4 liang; Poria 3 liang; Moutan Cortex 3 liang; Alismatis Rhizoma 3 liang.
Pill with honey.
This prescription treats not only Liver and Kidney deficiency but is actually a formula that simultaneously treats the three Yin meridians (Liver, Spleen, Kidney). The cloying nature of Prepared Rehmannia Root tonifies Kidney Water, assisted by Alisma Rhizoma which drains turbid dampness from the Kidney; the warm and astringent properties of Cornus Fruit nourish the Liver Meridian, assisted by Moutan Cortex which clears and drains Liver Fire; the consolidating action of Dioscorea Rhizoma secures the Spleen Meridian, harmonized by Poria which leaches out Dampness from the Spleen. With only six herbs, it opens and closes broadly, treating the three Yin meridians simultaneously, truly serving as the model for tonifying formulas.
Prepared Rehmannia Root 8 liang; Cornus Fructus 4 liang; Dioscoreae Rhizoma 4 liang; Poria 3 liang; Moutan Cortex 3 liang; Alismatis Rhizoma 3 liang; Aconiti Lateralis Radix Preparata 1 liang; Cinnamomi Cortex 1 liang.
Pill with honey.
Fugui Bawei Wan (Eight-Ingredient Pill with Cinnamon and Aconite) is the correct medicine for treating Mingmen (Gate of Life) Deficiency-Cold, and also an excellent method for "Guiding Dragon back to the Sea" (directing floating Yang downward). However, for conditions where deficient Yang floats upward and fire has no root, the pulse must be carefully examined: if the pulse is surging (Hong) but weak upon deep pressure; or if the Cun and Guan positions are surging while both Chi positions are distinctly deficient and fine, this formula is suitable. Otherwise, it is like carrying firewood to save a fire, inevitably leading to an uncontrollable blaze.