（东垣）
治伤于劳役，肌热面赤，烦渴引饮，脉大而虚（血实则身凉，血虚则身热。此以饥饱、
劳役，伤其阴血，虚阳独胜，故肌热烦渴，与阳明白虎证无异，但白虎证得之外感，实热内
盛，故脉大而长，按之有力；此证得之内伤，血虚发热，脉洪大而无力，《内经》所谓脉虚
血虚是也
黄 （炙。一两） 当归（酒洗。二钱。） 空心服。
此足太阴、厥阴药也。当归气味俱浓，为阴中之阴，故能滋阴养血；黄 乃补气之药，
何以五倍于当归，而又云补血汤乎。盖有形之血，生于无形之气，又有当归为引，则从之而
生血
二药
（《济生》）
治思虑过度，劳伤心脾，怔忡健忘，惊悸盗汗，发热体倦，食少不眠；或脾虚不能摄血
，致血妄行，及妇人经带（心藏神而生血，心伤则不能生血而血少，故怔忡健忘，惊悸盗汗；
汗者
故
无惊而自动曰悸，即怔仲也。上气不足，下气有余，肠胃实而心气虚，故善忘）。
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（二钱） 黄 （炙。钱半） 当归
（酒洗）
此手少阴、足太阴药也。血不归脾则妄行，参、术、黄 、甘草之甘温，所以补脾；茯
神、远志、枣仁、龙眼之甘温酸苦，所以补心（远志、苦泄心热，枣仁酸敛心气），心者脾
之母也；当归滋阴而养血，木香行气而舒脾，既以行血中之滞，又以助参 而补气（汪机曰∶
木香与补药为佐则补，与泄药为君则泄，气壮则能摄血，血自归经，而诸证悉除矣治实火之
血，顺气为先，气行则血自归经；治虚火之血，养正为先，气壮则自能摄血。《医贯》曰∶
心生血，脾统血，肝藏血，凡治血证，须按三经用药。远志、枣仁补肝以生心火；茯神补心
以生脾土
本方去白术、木香、龙眼，加茯苓、陈皮，入莲肉、姜枣煎，名酸枣仁汤；治虚烦不眠
（《金匮》酸枣仁汤，亦治不眠，与此不同，见和解门）。
（李东垣）
治疗因过度劳累和体力劳动导致的肌表发热、面色发红、心烦口渴且大量饮水，脉象大而虚弱。（血液充足则身体凉爽，血液亏虚则身体发热。此病证是由于饥饱失常、劳役过度，损伤了阴血，导致虚阳独自亢盛，所以出现肌表发热、心烦口渴，症状与阳明经白虎汤证相似，但白虎汤证是外感病邪所致，实热内盛，所以脉象大而长，重按有力；此病证是内伤所致，血虚发热，脉象洪大但无力，《内经》所说的“脉虚”即指血虚。）
黄芪（炙。一两） 当归（酒洗。二钱。） 空腹服用。
这是足太阴脾经、足厥阴肝经的药物。当归气味浓厚，属于阴中之阴，所以能滋阴养血；黄芪是补气的药物，为什么用量是当归的五倍，却又称为补血汤呢？大概是因为有形的血液，生于无形的元气之中，又有当归作为引经药，从而促进生血。
（《济生方》）
治疗思虑过度，劳伤心脾，导致的心悸健忘、惊悸盗汗、发热身体疲倦、食欲不振失眠；或者因脾虚不能统摄血液，导致血液妄行溢出，以及妇女月经不调、带下病等症。（心藏神并生成血液，心受伤则不能生血而致血少，所以出现心悸健忘、惊悸盗汗；汗为心之液，故见盗汗。没有惊恐而自动跳动称为悸，也就是怔忡。上气不足，下气有余，肠胃充实而心气虚弱，所以容易健忘。）
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（二钱） 黄芪（炙。一钱半） 当归（酒洗）
这是手少阴心经、足太阴脾经的药物。血液不回归脾脏统摄则妄行，人参、白术、黄芪、甘草的甘温之性，用来补益脾气；茯神、远志、枣仁、龙眼的甘温酸苦之性，用来补益心气（远志苦泄以清心热，枣仁酸敛以收心气），心是脾的母亲；当归滋阴而养血，木香行气而舒缓脾气，既能够运行血液中的瘀滞，又能够辅助参、芪来补气（汪机说：木香与补药配合做佐使药则起补益作用，与泻药配合做君药则起泻下作用，气壮则能统摄血液，血液自然回归经脉，各种病症都消除了）。治疗实火引起的出血，以顺气为先，气行则血自然回归经脉；治疗虚火引起的出血，以扶正养正为先，气壮则自然能统摄血液。《医贯》说：心生成血液，脾统摄血液，肝贮藏血液，凡是治疗血证，必须按照这三经用药。远志、枣仁补肝以生心火；茯神补心以生脾土。
本方去掉白术、木香、龙眼，加入茯苓、陈皮，放入莲肉、生姜、大枣煎服，名为酸枣仁汤；治疗虚烦不眠。（《金匮要略》中的酸枣仁汤也治疗不眠，与此方不同，见和解门章节）。
(Li Dongyuan)
Treats conditions caused by excessive labor and physical exertion, characterized by feverish sensation in the muscles, flushed face, irritability, thirst with a desire to drink, and a pulse that is large but empty (When blood is sufficient, the body feels cool; when blood is deficient, the body feels hot. This condition results from irregular diet and overexertion damaging Yin-blood, leading to the solitary hyperactivity of deficient Yang, thus causing muscle fever, irritability, and thirst. The symptoms are similar to the Baihu Tang syndrome of the Yangming channel, but the Baihu Tang syndrome arises from external pathogens with excess heat internally abundant, resulting in a pulse that is large, long, and forceful upon deep pressure; this condition arises from internal injury with blood-deficiency fever, presenting a flooding pulse that is large but weak, as described in the *Neijing* as "pulse deficiency indicating blood deficiency").
Huangqi (Astragali Radix, honey-fried. 1 liang) Danggui (Angelicae Sinensis Radix, wine-washed. 2 qian). Take on an empty stomach.
These are herbs acting on the Foot-Taiyin Spleen and Foot-Jueyin Liver channels. Danggui has strong flavor and aroma, belonging to Yin within Yin, thus it can nourish Yin and tonify blood; Huangqi is a Qi-tonifying herb. Why is its dosage five times that of Danggui, yet it is called "Blood-Nourishing Decoction"? It is because tangible blood is generated from intangible Qi, and with Danggui as a guiding herb, blood generation is promoted.
(*Jisheng Fang*)
Treats excessive mental worry injuring the Heart and Spleen due to overwork, leading to palpitations, amnesia, startled palpitations, night sweats, feverish sensation, fatigue, poor appetite, and insomnia; or spleen deficiency failing to control blood, causing reckless bleeding, as well as menstrual disorders and leukorrhea in women. (The Heart houses the Spirit and generates blood; if the Heart is injured, it cannot generate blood, leading to blood deficiency, hence palpitations, amnesia, startled palpitations, and night sweats; sweat is the fluid of the Heart, hence night sweats occur. Palpitations without fright are called Ji, which is essentially Zhengchong. Upper Qi is insufficient, Lower Qi is excessive; the intestines and stomach are full while Heart Qi is deficient, hence prone to forgetfulness.)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil) Fushen (Poria with Hostwood) Zao Ren (Ziziphi Spinosomi Semen, stir-fried) Longyan Rou (Longan Aril. 2 qian) Huangqi (Astragali Radix, honey-fried. 1.5 qian) Danggui (Angelicae Sinensis Radix, wine-washed).
These are herbs acting on the Hand-Shaoyin Heart and Foot-Taiyin Spleen channels. When blood fails to return to the Spleen for control, it acts recklessly. The sweet and warm nature of Renshen, Baizhu, Huangqi, and Gancao serves to tonify Spleen Qi; the sweet, warm, sour, and bitter nature of Fushen, Yuanzhi, Zao Ren, and Longyan serves to tonify Heart Qi (Yuanzhi clears Heart heat through bitter drainage; Zao Ren astringes Heart Qi through sourness). The Heart is the mother of the Spleen; Danggui nourishes Yin and tonifies blood, Muxiang moves Qi and soothes the Spleen, thereby moving stagnation in the blood and assisting Renshen and Huangqi to tonify Qi (Wang Ji stated: Muxiang combined with tonifying herbs as assistant herbs provides tonification, while combined with purgative herbs as chief herbs provides purgation. When Qi is strong, it can control blood, allowing blood to return to its vessels, and all symptoms resolve). To treat bleeding caused by Excess Fire, regulating Qi is paramount; when Qi moves, blood returns to its vessels. To treat bleeding caused by Deficient Fire, supporting Righteousness is paramount; when Qi is strong, it naturally controls blood. The *Yiguan* states: The Heart generates blood, the Spleen controls blood, the Liver stores blood. In treating blood disorders, one must medicate according to these three organs. Yuanzhi and Zao Ren tonify the Liver to generate Heart Fire; Fushen tonifies the Heart to generate Spleen Earth.
Removing Baizhu, Muxiang, and Longyan from this formula, adding Fuling, Chenpi, Lotus Seeds, Ginger, and Jujube, and decocting, yields the name Suanzaoren Tang; it treats vexatious insomnia due to deficiency. (The Suanzaoren Tang in the *Jingui Yaolue* also treats insomnia but differs from this formula; see the Harmonizing Chapter).