紫苏茎、叶(三两) 半夏(制) 枳壳(制,各一两半) 青皮(去白) 陈橘红 大腹皮 桑
白皮(炒) 木通(去节) 赤茯苓 南木香 槟榔 蓬莪术(煨) 麦门冬(去心) 桔梗 辣桂 香
附藿香(各一两) 甘草(炙,一两二钱半) 上锉散,每服三钱,水一大盏,生姜三片,枣二
枚,灯心十茎,煎七分,不拘时服。
黄 (一钱) 当归 人参 炙甘草 陈皮 升麻 柴胡 白术 此方东垣所制,
止有黄 一钱,其余各三分。薛立斋常用参、 各钱半,白术一钱,当归一钱,陈
皮七分,升麻、柴胡各五分,(东垣取清轻上升,故分数少。立斋每用以济危急,故随证加多,然
亦相所主以为轻重。)进退加减,神应无穷。如病甚者,参、 或三钱、五钱,随证加用。
凡脾胃(此方本主脾肺,脾运则阳明之气上达而胃开,然不得肺药之力,则不能亲上也。)喜甘而恶苦,喜补
而恶攻,喜温而恶寒,喜通而恶滞,喜升而恶降,喜燥而恶湿,此方得之。(东垣此方,
原为感证中有内伤一种,故立此方,以补伤寒书之所未及,非补虚方也。今感证家多不敢用,而以为调理补虚服食
之药,则谬矣。调理补虚,乃通其义而转用者耳。)
白豆蔻仁 丁香 檀香 木香(各二两) 藿香叶 炙甘草(各八两) 缩砂仁(四两) 上为
细末,每服二钱,入盐少许,沸汤不拘时点服。
紫苏茎、叶(三两) 半夏(经过炮制的) 枳壳(经过炮制的,各一两半) 青皮(去除白色内层) 陈橘红 大腹皮 桑白皮(炒制) 木通(去除节段) 赤茯苓 南木香 槟榔 蓬莪术(煨制) 麦门冬(去除心部) 桔梗 辣桂 香附 藿香(各一两) 甘草(炙烤,一两二钱半) 以上药材切碎成散剂,每次服用三钱,加水一大盏,生姜三片,大枣二枚,灯心草十茎,煎煮至七分满,不限时间服用。
黄芪(一钱) 当归 人参 炙甘草 陈皮 升麻 柴胡 白术 此方由李东垣所创制,原方中仅黄芪用量为一钱,其余药材各三分。薛立斋常用人参、黄芪各一钱半,白术一钱,当归一钱,陈皮七分,升麻、柴胡各五分。(李东垣取药性清轻上升之意,故用量较少。薛立斋常用来救治危急重症,因此随证候增加用量,但也根据主治侧重来调整轻重。)灵活进退加减,神妙灵验无穷。如果病情严重,人参、黄芪可用到三钱、五钱,随证候加用。
凡是脾胃(此方原本主要调理脾肺,脾运化正常则阳明之气上达而胃气开启,然而如果没有肺药的助力,则不能亲达上部。)喜欢甘味而厌恶苦味,喜欢补益而厌恶攻伐,喜欢温性而厌恶寒性,喜欢通畅而厌恶停滞,喜欢升提而厌恶下降,喜欢干燥而厌恶潮湿,此方符合这些特性。(李东垣此方,原本是为感受外邪证候中包含内伤这一种情况而设立,因此创立此方,以补充伤寒书籍所未涉及的内容,并非单纯的补虚方剂。如今治疗外感证的医生多不敢使用,而将其视为调理补虚服食的药物,这是错误的。调理补虚,是通晓其义理后转而使用的功效罢了。)
白豆蔻仁 丁香 檀香 木香(各二两) 藿香叶 炙甘草(各八两) 缩砂仁(四两) 以上药材研为细末,每次服用二钱,加入少许盐,用沸水冲泡,不限时间点服。
Perilla Stem and Leaf (San Liang, approx. 90g) Pinellia Rhizoma Preparatum (Banxia, processed), Zhi Ke (processed, each Yi Liang Ban, approx. 45g), Qing Pi (deprived of albedo), Chen Ju Hong (aged tangerine peel), Da Fu Pi, Sang Bai Pi (chao, stir-fried), Mu Tong (deprived of nodes), Chi Fu Ling (red poria), Nan Mu Xiang, Arecae Semen, Curcuma Zedoaria Rhizoma (wei, baked), Ophiopogonis Radix (deprived of heart), Platycodonis Radix, La Gui (Cinnamomi Ramulus), Xiang Fu, Huo Xiang (each Yi Liang, approx. 30g), Gan Cao (zhi, roasted, Yi Liang Er Qian Ban, approx. 42.5g). The above are cut into pieces to make a powder. Each dose is San Qian (approx. 9g), decocted with Yi Da Zhan (approx. 200ml) of water, Sheng Jiang (three slices), Zao (two fruits), Deng Xin Cao (ten stems), until reduced to seven parts. Take at any time.
Huang Qi (Yi Qian, approx. 3g), Dang Gui, Ren Shen, Zhi Gan Cao, Chen Pi, Sheng Ma, Chai Hu, Bai Zhu. This formula was created by Dong Yuan (Li Dongyuan). Originally, only Huang Qi was used in the amount of Yi Qian, and the rest were each Fen San (approx. 1g). Xue Lizhai commonly used Ren Shen and Huang Qi each as Qian Ban (approx. 4.5g), Bai Zhu as Yi Qian (approx. 3g), Dang Gui as Yi Qian (approx. 3g), Chen Pi as Qi Fen (approx. 2.1g), Sheng Ma and Chai Hu each as Wu Fen (approx. 1.5g). (Dong Yuan took advantage of the clear and light ascending nature of the herbs, hence the small dosage. Lizhai often used it to rescue critical conditions, thus increasing the dosage according to the syndrome, but also adjusting the weight based on the main indication.) Advancing and retreating with additions and subtractions yields infinite divine efficacy. If the disease is severe, Ren Shen and Huang Qi may be increased to San Qian or Wu Qian, added according to the syndrome.
Generally, Spleen and Stomach (this formula originally governs Spleen and Lung; when Spleen transports normally, Yangming Qi ascends and Stomach opens, yet without the power of Lung herbs, it cannot reach the upper part closely.) prefers sweet and dislikes bitter, prefers tonification and dislikes attack, prefers warm and dislikes cold, prefers unobstructed flow and dislikes stagnation, prefers ascending and dislikes descending, prefers dryness and dislikes dampness. This formula aligns with these characteristics. (Dong Yuan's formula was originally established for internal injury within exogenous pathogen syndromes, thus creating this formula to supplement what Shang Han books did not cover; it is not merely a deficiency-tonifying formula. Nowadays, practitioners treating exogenous syndromes often dare not use it, regarding it as a medicine for conditioning and tonifying deficiency, which is erroneous. Conditioning and tonifying deficiency is merely a derived application after understanding its principles.)
Bai Dou Kou Ren, Ding Xiang, Tan Xiang, Mu Xiang (each Er Liang, approx. 60g), Huo Xiang Ye, Zhi Gan Cao (each Ba Liang, approx. 240g), Su Sha Ren (Si Liang, approx. 120g). The above are ground into fine powder. Each dose is Er Qian (approx. 6g), add a little salt, and take with boiling water at any time.