(胡僧)
除风湿,起羸 ,驻容颜,乌髭发,却病延年。
嫩桑叶(去蒂洗净,暴干。一斤。为末) 巨胜子(即黑脂麻,淘净。四两) 白蜜(一
斤。)将脂麻擂碎熬浓汁,和蜜炼至滴水成珠,入桑叶末为丸。一方桑叶为末,脂麻蒸捣,
等
此足少阴、手足阳明药也。桑乃箕星之精,其木利关节,养津液(故凡熬药,俱用桑柴;
其叶
弘景
歌曰
如漆
可
治脾胃虚弱,饮食不消,或吐或(泻土为万物之母,脾土受伤,则失其健运之职,故饮
食不消;兼寒则呕吐,兼湿则濡泄也。饮食既少,众脏无以禀气,则虚羸日甚,诸疾丛生矣。)
人参 白术(土炒) 茯苓 甘草(炙) 山药(炒) 扁豆(炒) 薏仁(炒) 莲
肉(去心,
此足太阴、阳明药也。治脾胃者,补其虚、除其湿、行其滞、调其气而已。人参、白术
、茯
湿;砂仁、陈皮调气行滞之品也,然合参、术、苓、草,暖胃而又能补中(陈皮、砂仁,入
补药则补;)桔梗苦甘入肺,能载诸药上浮,又能通天气于地道(肺和则天气下降,)使气得
升降而益和
(王荆公)
治梦遗失精,惊悸郁结(肾主藏精,心主藏神,邪火妄行,心肾不交,上实下虚,则梦
中
山药(二两。姜汁炒) 人参 黄 远志(炒) 茯苓 茯神(一两) 桔梗(三钱)
甘草(二钱) 木香(二钱五分) 麝香(一钱) 辰砂(二钱,另研为末。)每服二钱,
酒下。
此手足少阴药也。心,君火也,君火一动,相火随之,相火寄于肝胆,肾之阴虚则精不
藏,肝之阳强,则气不固(阳即邪火也,)故精脱而成梦矣(《准绳》曰∶病之初起,亦有不
在肝肾而在心肺脾胃之不足者,然必传于肝肾而精乃走也。又曰∶心肾乃水火之脏,法天地,
施生化成之道,故藏精神,为五脏之宗主,若由他脏而致肾之泄者,必察四属以求其治。大
抵精自心而泄者,则血脉空虚,本纵不收;自肺而泄者,则皮槁毛焦,喘急不利;自脾而泄
者,色黄肉消,四肢懈怠;自肝而泄者,筋痿色青;自肾而泄者,色黑髓空而骨坠。即脉亦
可辨也。朱丹溪曰∶主闭藏者肾也,司疏泄者肝也,二脏皆有相火,而其系上属于心。心,
君火也,为物所感,则易于动,心动则相火翕然随之,虽不交会,精亦暗流而渗漏矣。所以
圣贤只是教人收心养性,其旨深矣。)山药益阴清热,兼能涩精,故以为君;人参、黄 所
以固其气,远志、二茯所以宁其神,神宁气固,则精自守其位矣;且二茯下行利水,又以泄
肾中之邪火也;桔梗清肺散滞,木香疏肝和脾(行气故疏肝,肝疏则木不克土而脾和,)丹
砂镇心安神麝香通窍解郁,二药又能辟邪,亦所以治其邪感也。加甘草者,用以交和乎中,
犹黄婆之媒婴 也黄婆脾也;婴儿 女,心肾也。)是方不用固涩之剂,但安神正气,使精
与神气相根据而自固矣。以其安神利气,故亦治惊悸郁结(楼全善曰∶详古治梦遗方,属郁滞
者居大半,庸医
(胡僧方)
能够祛除风湿,治疗身体消瘦虚弱,保持容颜不老,使胡须头发变黑,预防疾病并延长寿命。
嫩桑叶(去除蒂头洗净,晒干。用量一斤。研成粉末) 巨胜子(即黑芝麻,淘洗干净。用量四两) 白蜜(用量一斤。)将黑芝麻捣碎熬制成浓汁,与蜂蜜一起炼制至滴水成珠的程度,加入桑叶粉末制成丸药。另一种做法是将桑叶研末,黑芝麻蒸熟后捣烂,两者等量混合。
这是足少阴肾经和手足阳明经的药物。桑树是箕星精气所化,其木材能通利关节,滋养津液(所以凡是煎煮药物,都使用桑木作为燃料;桑叶……弘景歌诀说……如漆……可……)。
(参苓白术散)
治疗脾胃虚弱,饮食不消化,或者呕吐或者腹泻。(脾土为万物之母,脾土受伤,就失去了健运的功能,所以饮食不消化;兼有寒邪则呕吐,兼有湿邪则泄泻。饮食摄入减少,各脏腑无法获得气机禀受,那么虚损消瘦日益加重,各种疾病便丛生。)
人参 白术(土炒) 茯苓 甘草(炙) 山药(炒) 扁豆(炒) 薏苡仁(炒) 莲子肉(去心,……)
这是足太阴脾经和足阳明胃经的药物。治疗脾胃病,不过是补益其虚损、祛除湿气、疏通滞涩、调顺气机罢了。人参、白术、茯苓、甘草(此处原文似有缺漏,结合上下文应为补气健脾之品),砂仁、陈皮是调气行滞的药物,然而配合人参、白术、茯苓、甘草,既能温暖胃腑又能补益中焦(陈皮、砂仁,进入补药中则起到补益作用);桔梗味苦甘入肺经,能载引诸药上浮,又能沟通天气于地道(肺气调和则天气下降),使气机升降更加和谐。
(王荆公方/扶桑丸或类似安神固精方)
治疗梦中遗精、惊悸郁结。(肾主藏精,心主藏神,邪火妄动,心肾不交,上实下虚,则在梦中……)
山药(二两,姜汁炒) 人参 黄芪 远志(炒) 茯苓 茯神(一两) 桔梗(三钱) 甘草(二钱) 木香(二钱五分) 麝香(一钱) 辰砂(二钱,单独研成粉末。)每次服用二钱,用酒送服。
这是手少阴心经和足少阴肾经的药物。心,属于君火,君火一动,相火随之而动,相火寄居于肝胆,肾阴不足则精不能固藏,肝阳过亢则气不能固摄(阳即指邪火),所以精液脱失而成为梦遗(《准绳》说:疾病初起时,也有不在肝肾而在心肺脾胃不足的情况,但必然传变到肝肾导致精液外泄。又说:心和肾是水火的脏器,效法天地,施行生化成就的道理,所以储藏精神,是五脏的宗主,如果由其他脏腑导致肾脏泄精,必须考察四肢百骸以求治法。大抵精从心而泄者,血脉空虚,根本松弛不收;从肺而泄者,皮肤干枯毛发焦枯,气喘急促不利;从脾而泄者,面色黄肌肉消瘦,四肢懈怠;从肝而泄者,筋脉痿软面色青;从肾而泄者,面色黑骨髓空虚骨骼坠落。即使脉象也可以辨别。朱丹溪说:主管闭藏的是肾,主管疏泄的是肝,这两脏都有相火,而其联系上部归属于心。心,是君火,被事物感应,就容易动摇,心动则相火随之翕然兴起,虽然不发生性交,精液也会暗中流动渗漏。所以圣贤只是教导人收心养性,旨意深远啊。)山药能益阴清热,兼能涩精,所以作为君药;人参、黄芪用来固护气机,远志、二茯(茯苓、茯神)用来宁心安神,神安宁气固守,则精自然守住其位;而且二茯下行利水,以排泄肾中的邪火;桔梗清肺散滞,木香疏肝和脾(行气故能疏肝,肝气疏泄则木不克土而脾气和合),丹砂镇心安神,麝香通窍解郁,这两种药又能辟除邪气,也是用来治疗邪气感应的。加甘草的原因,是用来调和其中焦,犹如黄婆(脾)媒合婴儿(肾)与女婴(心)一样(黄婆指脾;婴儿指肾,女婴指心)。这个方子不用固涩的药物,只是安养心神正气,使精与神气相互依托而自然固守。因为它能安神利气,所以也能治疗惊悸郁结(楼全善说:详细考察古代治疗梦遗的方剂,属于郁滞的大占一半,庸医……)
(From the Hu Monk Prescription)
It can dispel wind-dampness, treat emaciation and weakness, preserve youthful appearance, darken beard and hair, prevent illness, and prolong life.
Tender Mulberry Leaf (remove stems, wash clean, dry in sun. One jin. Grind into powder) Giant Victory Seed (i.e., Black Sesame, wash clean. Four liang) White Honey (One jin.) Crush the sesame seeds, boil to make a thick juice, combine with honey, refine until it forms beads when dropped in water, add mulberry leaf powder to form pills. Another method: grind mulberry leaves into powder, steam and pound black sesame seeds, mix them in equal proportions.
This is a prescription for the Foot-Shaoyin Kidney channel and Hand-Foot Yangming channels. The mulberry tree is the essence of the Ji Star; its wood benefits joints and nourishes body fluids (therefore, when decocting medicines, mulberry wood is always used as fuel; regarding mulberry leaves... Hongjing's song says... like lacquer... can...).
(Shenling Baizhu San / Ginseng, Poria, and Atractylodes Macrocephala Powder)
It treats Spleen-Stomach deficiency, indigestion, vomiting, or diarrhea. (Spleen Earth is the mother of all things; when Spleen Earth is injured, it loses its function of healthy transportation and transformation, leading to indigestion; if accompanied by Cold, there is vomiting; if accompanied by Dampness, there is loose stool. With reduced food intake, the Zang organs cannot receive Qi, leading to increasing deficiency and emaciation, and various diseases arise.)
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Rhizome stir-fried with soil) Fu Ling (Poria) Gan Cao (Licorice Root roasted) Shan Yao (Chinese Yam stir-fried) Bian Dou (Hyacinth Bean stir-fried) Yi Ren (Coix Seed stir-fried) Lian Rou (Lotus Seed flesh, heart removed...)
This is a prescription for the Foot-Taiyin Spleen channel and Foot-Yangming Stomach channel. To treat Spleen-Stomach disorders, one merely tonifies deficiency, removes dampness, moves stagnation, and regulates Qi. Ren Shen, Bai Zhu, Fu Ling, Gan Cao [implied context: tonify Qi and strengthen Spleen]; Sha Ren (Amomum Fruit) and Chen Pi (Tangerine Peel) are agents that regulate Qi and move stagnation. However, combined with Ren Shen, Bai Zhu, Fu Ling, and Gan Cao, they warm the Stomach and tonify the Middle Jiao (Chen Pi and Sha Ren act as tonics when combined with tonic herbs); Jie Geng (Platycodon Root), bitter and sweet, enters the Lung channel, carries other herbs upward, and connects Heavenly Qi with Earthly Dao (when Lung Qi harmonizes, Heavenly Qi descends), facilitating the ascending and descending of Qi for greater harmony.
(Wang Jinggong's Prescription)
It treats nocturnal emission during dreams, palpitations, and depression/stagnation. (The Kidney stores Essence; the Heart houses the Spirit. When pathogenic fire acts recklessly, Heart and Kidney fail to interact, resulting in excess above and deficiency below, leading to...)
Shan Yao (Chinese Yam two liang, stir-fried with ginger juice) Ren Shen (Ginseng Root) Huang Qi (Astragalus Root) Yuan Zhi (Polygala Root stir-fried) Fu Ling (Poria) Fu Shen (Poria with Hostwood one liang) Jie Geng (Platycodon Root three qian) Gan Cao (Licorice Root two qian) Mu Xiang (Costus Root two qian five fen) She Xiang (Musk one qian) Chen Sha (Cinnabar two qian, separately ground into powder.) Take two qian per dose, swallow with wine.
This is a prescription for the Hand-Shaoyin Heart channel and Foot-Shaoyin Kidney channel. The Heart belongs to Ministerial Fire (Jun Huo). When Ministerial Fire moves, Adjunct Fire (Xiang Huo) follows. Adjunct Fire resides in the Liver and Gallbladder. If Kidney Yin is deficient, Essence is not stored; if Liver Yang is hyperactive, Qi is not secured (Yang here refers to pathogenic fire), causing Essence to escape and resulting in nocturnal emission. (*Zhunsheng* states: At the onset of disease, insufficiency may lie in the Heart, Lung, Spleen, or Stomach rather than the Liver or Kidney, but it must transmit to the Liver and Kidney for Essence to leak. It further states: Heart and Kidney are the organs of Water and Fire, modeling Heaven and Earth, executing the way of generation and completion, thus storing Spirit and serving as the masters of the Five Zang organs. If leakage originates from other Zang affecting the Kidney, one must examine the four extremities to find the treatment. Generally, if Essence leaks from the Heart, blood vessels are empty and roots are lax; from the Lung, skin is dry, hair is brittle, and breathing is rapid and difficult; from the Spleen, complexion is yellow, muscles waste away, and limbs are flaccid; from the Liver, sinews are flaccid and complexion is green; from the Kidney, complexion is black, marrow is empty, and bones feel heavy. Pulse diagnosis can also distinguish these. Zhu Danxi said: The Kidney governs closure and storage; the Liver governs dispersion and flow. Both contain Adjunct Fire, which connects superiorly to the Heart. The Heart is Ministerial Fire; easily stirred by external stimuli, when the Heart moves, Adjunct Fire rises vigorously. Even without sexual intercourse, Essence may secretly flow and leak. Thus, sages only teach people to gather the mind and nourish nature, a profound intent.) Shan Yao nourishes Yin and clears heat, while astringing Essence, hence it serves as the Sovereign herb; Ren Shen and Huang Qi secure Qi; Yuan Zhi and the two Fuls (Fu Ling, Fu Shen) calm the Spirit. When Spirit is calm and Qi is secure, Essence naturally remains in its place. Moreover, the two Fuls descend to promote urination, thereby draining pathogenic fire from the Kidney; Jie Geng clears the Lung and disperses stagnation; Mu Xiang soothes the Liver and harmonizes the Spleen (moving Qi soothes the Liver; when Liver Qi flows, Wood does not overact on Earth, so Spleen harmonizes); Dan Sha (Cinnabar) calms the Heart and settles the Spirit; She Xiang opens orifices and resolves depression. These two herbs also ward off evil, addressing the influence of pathogenic factors. Gan Cao is added to harmonize the Middle Jiao, acting like the Yellow Matriarch (Pi/Spleen) matchmaking between the Infant (Kidney/Yin) and the Maiden (Heart/Yang). This formula uses no astringent agents; instead, it calms the Spirit and strengthens righteous Qi, allowing Essence and Spirit-Qi to rely on each other and naturally secure themselves. Because it calms the Spirit and benefits Qi, it also treats palpitations and depression/stagnation. (Lou Quanshan stated: Examining ancient prescriptions for nocturnal emission, more than half belong to cases of stagnation/depression. Quack doctors...)