滋燥养荣汤 治皮肤皴揭,筋燥,爪干。 当归(酒洗二钱) 生地黄 熟地黄 白芍药 秦艽 黄芩(各一
钱半) 防风(一钱) 甘草(五分) 水煎服。
大补地黄丸 治精血枯涸,燥热。 黄柏(盐水炒二钱) 熟地黄(酒蒸四两) 当归(酒洗) 山药 枸杞
子(甘州佳各三两) 知母(盐水炒) 山茱肉 白芍药(各二两) 生地黄(二两五钱) 肉苁蓉(酒浸) 元参(各
一两半) 上为细末,炼蜜丸如桐子大。每服七八十丸,空心淡盐汤送下。
东垣润肠丸 治脾胃中伏火,大便秘涩,或干燥闭塞不通,全不思食,乃风结秘,皆令闭塞也。以润燥和血疏
风,自然通矣。 麻子仁(另研) 桃仁(另研) 羌活 当归尾 大黄(煨各半两) 皂角仁 秦艽(各五钱) 上
除另研外,为细末,五上火,炼蜜丸,如桐子大。每三五十丸,食前白汤下。又有润燥丸一方,本方加郁李仁、防风。
东垣导滞通幽汤 治大便难,幽门不通,上冲,吸门不开,噎塞不便。燥秘气不得下,治在幽门,以辛润之。
当归 升麻 桃仁(另研各一钱) 生地黄 熟地黄(各五分) 红花 甘草(炙各三分) 上作一服,水煎,调槟榔
末五分服,加大黄名当归润燥汤。
清凉饮子(一名生液甘露饮。) 治上焦积热,口舌咽鼻干燥。 黄芩 黄连(各二钱) 薄荷 元参 当归 芍
药(各一钱五分) 甘草(一钱) 水二钟,煎八分,不拘时服。大便秘结,加大黄二钱。
大秦艽汤 治血弱,阴虚不能养筋,筋燥而手足不能运动,指爪干燥,属风热甚者。方见三卷中风门。
元戎四物汤 治脏结秘涩者。 当归 熟地黄 川芎 白芍药 大黄(煨) 桃仁(各等分) 水煎,或丸。
丹溪大补丸 降阴火,补肾水,治阴虚燥热。 黄柏(炒褐色) 知母(酒浸炒各四两) 熟地黄(酒蒸) 败
龟板(酥炙黄各六两) 上为末,猪脊髓和炼蜜丸,如桐子大。每七十丸,空心淡盐汤送下。
六味地黄丸 治下焦燥热,小便涩而数。又治肾气虚,身体憔悴,寝汗发热,五脏齐损,瘦弱虚烦,骨蒸下血,
自汗盗汗,水泛为痰,咽燥口渴,眼花耳聋等证。功效不能尽述。 怀熟地(八两杵膏) 山茱萸肉 干山药(各四两)
牡丹皮 白茯苓 泽泻(各三两) 上各另为末,和地黄膏,加炼蜜,丸桐子大。每服七八十丸,空心食前滚汤下。
自制清燥救肺汤 治诸气 郁,诸痿喘呕。 桑叶(经霜者得金气而柔润不凋取之为君去枝梗净叶三钱) 石
膏( 禀清肃之气极清肺热二钱五分) 甘草(和胃生金一钱) 人参(生胃之津养肺之气七分) 胡麻仁(炒研一钱)
真阿胶(八分) 麦门冬(去心一钱二分) 杏仁(泡去皮尖炒黄七分) 枇杷叶(一片刷去毛蜜涂炙黄) 水一碗,
煎六分,频频二三次滚热服。痰多加贝母、栝蒌。血枯加生地黄。热甚加犀角、羚羊角,或加牛黄。 昌按∶诸气 郁
之属于肺者,属于肺之燥也。而古今治气郁之方,用辛香行气,绝无一方治肺之燥者。诸痿喘呕之属于上者,亦属于肺
之燥也。而古今治法,以痿呕属阳明,以喘属肺,是则呕与痿属之中下,而惟喘属之上矣。所以千百方中,亦无一方及
于肺之燥也。即喘之属于肺者,非表即下,非行气即泻气,间有一二用润剂者,又不得其旨矣。总之《内经》六气,脱
误秋伤于燥一气,指长夏之湿,为秋之燥。后人不敢更端其说,置此一气于不理,即或明知理燥,而用药夹杂。如弋获
飞虫,茫无定法示人也。今拟此方,命名清燥救肺汤,大约以胃气为主,胃土为肺金之母也。其天门冬,虽能保肺,然
味苦而气滞,恐反伤胃阻痰,故不用也。其知母能滋肾水、清肺金,亦以苦而不用。至如苦寒降火,正治之药,尤在所
忌。盖肺金自至于燥,所存阴气,不过一线耳。倘更以苦寒下其气,伤其胃,其人尚有生理乎?诚仿此增损以救肺燥变
生诸证,如沃焦救焚,不厌其频,庶克有济耳。
滋燥养荣汤,治疗皮肤粗糙开裂、筋脉干燥、指甲干枯。
当归(用酒洗,二钱) 生地黄 熟地黄 白芍药 秦艽 黄芩(各一钱半) 防风(一钱) 甘草(五分),用水煎服。
大补地黄丸,治疗精血枯竭干涸、燥热内盛。
黄柏(用盐水炒,二钱) 熟地黄(用酒蒸,四两) 当归(用酒洗) 山药 枸杞子(以甘肃产为佳,各三两) 知母(用盐水炒) 山茱萸肉 白芍药(各二两) 生地黄(二两五钱) 肉苁蓉(用酒浸) 玄参(各一两半)。以上药物研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用七八十丸,空腹时用淡盐汤送服。
东垣润肠丸,治疗脾胃中有潜伏之火,大便干结涩滞,或者干燥闭塞不通,完全不想进食,这是风邪结聚导致的便秘,都会造成闭塞不通。通过润燥、和血、疏风的方法,自然就能通畅。
麻子仁(单独研磨) 桃仁(单独研磨) 羌活 当归尾 大黄(煨制,各半两) 皂角仁 秦艽(各五钱)。除了单独研磨的药物外,其余研成细末,加水五碗,用炼蜜制成如梧桐子大小的丸剂。每次服用三五十丸,饭前用白开水送服。还有一个润燥丸的方子,是在本方基础上加入郁李仁、防风。
东垣导滞通幽汤,治疗大便困难,幽门不通,气机上冲,吸门不开,噎塞不便。燥秘之气不能下行,治疗重点在幽门,用辛味药物来润燥。
当归 升麻 桃仁(单独研磨,各一钱) 生地黄 熟地黄(各五分) 红花 甘草(炙制,各三分)。以上作为一服的量,用水煎煮,调入槟榔末五分服用;如果加大黄,则名为当归润燥汤。
清凉饮子(又名生液甘露饮),治疗上焦积热,口、舌、咽、鼻干燥。
黄芩 黄连(各二钱) 薄荷 玄参 当归 芍药(各一钱五分) 甘草(一钱)。水两钟,煎至八分,不拘时间服用。如果大便秘结,加大黄二钱。
大秦艽汤,治疗血虚,阴虚不能滋养筋脉,导致筋脉干燥而手足不能运动,指爪干燥,属于风热严重的情况。此方见第三卷中风门。
元戎四物汤,治疗脏腑结滞、便秘涩滞者。
当归 熟地黄 川芎 白芍药 大黄(煨制) 桃仁(各等分)。用水煎煮,或者制成丸剂。
丹溪大补丸,降阴火,补肾水,治疗阴虚燥热。
黄柏(炒至褐色) 知母(酒浸后炒,各四两) 熟地黄(酒蒸) 败龟板(酥炙至黄色,各六两)。以上研成粉末,用猪脊髓和炼蜜制成如梧桐子大小的丸剂。每次服用七十丸,空腹时用淡盐汤送服。
六味地黄丸,治疗下焦燥热,小便涩滞且频数。又治疗肾气虚,身体憔悴,睡着出汗发热,五脏同时受损,消瘦虚弱心烦,骨蒸潮热伴下部出血,自汗盗汗,水湿泛滥形成痰饮,咽燥口渴,眼花耳聋等症状。功效无法一一列举。
怀熟地(八两捣成膏状) 山茱萸肉 干山药(各四两) 牡丹皮 白茯苓 泽泻(各三两)。以上各药分别研成粉末,与地黄膏混合,加入炼蜜,制成如梧桐子大小的丸剂。每次服用七八十丸,空腹饭前用滚开水送服。
自制清燥救肺汤,治疗各种气机郁滞,各种痿证、喘证、呕吐。
桑叶(经霜的,得金气而柔润不凋,取净叶去枝梗三钱为君药) 石膏(禀受清肃之气,极清肺热二钱五分) 甘草(调和胃气,生化肺金一钱) 人参(滋生胃津,滋养肺气七分) 胡麻仁(炒后研磨一钱) 真阿胶(八分) 麦门冬(去心一钱二分) 杏仁(泡后去皮尖,炒黄七分) 枇杷叶(一片,刷去毛,涂蜜炙黄)。水一碗,煎至六分,频频分两三次温服。痰多加贝母、栝蒌。血枯加生地黄。热甚加犀角、羚羊角,或者加牛黄。
喻昌按语:各种气机郁滞属于肺的,是肺燥引起的。而古今治疗气郁的方子,多用辛香行气的药物,绝无一方治疗肺燥的。各种痿证、喘证、呕吐属于上部的,也是肺燥引起的。而古今治疗方法,认为痿证、呕吐属于阳明,喘证属于肺,这样看来,呕吐与痿证属于中下部,只有喘证属于上部了。所以在千百个方子中,也没有一个涉及到肺燥的。即使喘证属于肺的,不是解表就是攻下,不是行气就是泻气,偶尔有一两个用润剂的,又没有得其宗旨。总之,《内经》六气中,脱漏误写了“秋伤于燥”这一气,将长夏的湿,当作秋天的燥。后人不敢更改这一说法,置这一气于不理,即使有人明知应治燥,但用药杂乱无章。如同捕获飞虫一样,茫无定法示人。如今拟定此方,命名为清燥救肺汤,大约以胃气为主,因为胃土是肺金之母。天门冬虽然能保肺,但味道苦且气滞,恐怕反而伤胃阻痰,所以不用。知母能滋肾水、清肺金,也因为味苦而不用。至于苦寒降火的正治药物,更是所忌讳的。因为肺金至于燥,所存的阴气,不过一线罢了。如果再以苦寒药下其气,伤其胃,那人还有生机吗?确实仿照此方增减变化以救治肺燥变生的各种证候,就像浇灌焦土、拯救火灾一样,不厌其烦地频繁使用,才可能有所救助。
Zao Yang Rong Tang (Moisturizing and Nourishing Blood Decoction) treats rough and cracked skin, dry tendons, and dry fingernails.
Dang Gui (Radix Angelicae Sinensis, washed with wine, 2 qian), Sheng Di Huang (Rhizoma Rehmanniae Recens), Shu Di Huang (Rhizoma Rehmanniae Praeparata), Bai Shao Yao (Radix Paeoniae Alba), Qin Jiao (Radix Gentianae Macrophyllae), Huang Qin (Radix Scutellariae, each 1.5 qian), Fang Feng (Radix Saposhnikoviae, 1 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 0.5 qian). Decoct in water and take orally.
Da Bu Di Huang Wan (Great Tonification of Earth Pill) treats exhaustion of essence and blood, dryness-heat.
Huang Bo (Cortex Phellodendri, stir-fried with salt water, 2 qian), Shu Di Huang (Rhizoma Rehmanniae Praeparata, steamed with wine, 4 liang), Dang Gui (Radix Angelicae Sinensis, washed with wine), Shan Yao (Rhizoma Dioscoreae), Gou Qi Zi (Fructus Lycii, preferably from Gansu, each 3 liang), Zhi Mu (Rhizoma Anemarrhenae, stir-fried with salt water), Shan Zhu Rou (Fructus Corni), Bai Shao Yao (Radix Paeoniae Alba, each 2 liang), Sheng Di Huang (Rhizoma Rehmanniae Recens, 2.5 liang), Rou Cong Rong (Herba Cistanche, soaked in wine), Yuan Shen (Radix Scrophulariae, each 1.5 liang). Grind into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 70–80 pills per dose, swallowed with light salt water on an empty stomach.
Dong Yuan Run Chang Wan (East Slope Moistening Intestine Pill) treats latent fire in the spleen and stomach, constipation with dryness and stiffness, or complete obstruction due to dryness, loss of appetite. This is wind-induced constipation causing obstruction. By moistening dryness, harmonizing blood, and dispersing wind, natural unblocking will occur.
Ma Zi Ren (Semen Cannabis, ground separately), Tao Ren (Semen Persicae, ground separately), Qiang Huo (Rhizoma et Radix Notopterygii), Dang Gui Wei (Cauda Radicis Angelicae Sinensis), Da Huang (Radix et Rhizoma Rhei, baked, each 0.5 liang), Zao Jiao Ren (Semen Gleditsiae Sinensis), Qin Jiao (Radix Gentianae Macrophyllae, each 5 qian). Except for those ground separately, grind into fine powder. Add five bowls of water, boil, mix with refined honey to make pills the size of paulownia seeds. Take 30–50 pills per dose before meals with plain hot water. There is another formula called Run Zao Wan (Moisturizing Dryness Pill), which adds Yu Li Ren (Semen Pruni Armeniacae Amarum) and Fang Feng (Radix Saposhnikoviae) to this base formula.
Dong Yuan Dao Zhi Tong You Tang (East Slope Guiding Stasis Through Obstruction Decoction) treats difficulty in defecation, obstruction of the pylorus, upward rushing of qi, inability to open the glottis, dysphagia and inconvenience. Dryness-induced constipation prevents qi from descending; treatment focuses on the pylorus using acrid substances to moisten.
Dang Gui (Radix Angelicae Sinensis), Sheng Ma (Rhizoma Cimicifugae), Tao Ren (Semen Persicae, ground separately, each 1 qian), Sheng Di Huang (Rhizoma Rehmanniae Recens), Shu Di Huang (Rhizoma Rehmanniae Praeparata, each 0.5 fen), Hong Hua (Flos Carthami), Gan Cao (Radix Glycyrrhizae Uralensis, honey-fried, each 0.3 fen). Prepare as one dose, decoct in water, and administer mixed with 0.5 fen of Bing Lang (Arecae Semen) powder. If Da Huang (Radix et Rhizoma Rhei) is added, it is named Dang Gui Run Zao Tang (Angelica Moisturizing Dryness Decoction).
Qing Liang Yin Zi (Cooling Drink, also known as Sheng Ye Gan Lu Yin) treats accumulated heat in the upper jiao, causing dryness of the mouth, tongue, throat, and nose.
Huang Qin (Radix Scutellariae), Huang Lian (Rhizoma Coptidis, each 2 qian), Bo He (Herba Menthae), Yuan Shen (Radix Scrophulariae), Dang Gui (Radix Angelicae Sinensis), Shao Yao (Radix Paeoniae, each 1.5 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 1 qian). Use two zhong of water, decoct until eight parts remain, take at any time. If there is severe constipation, add Da Huang (Radix et Rhizoma Rhei, 2 qian).
Da Qin Jiao Tang (Great Gentian Decoction) treats blood deficiency and yin deficiency failing to nourish tendons, resulting in dry tendons and immobility of hands and feet, with dry fingernails. It belongs to severe wind-heat. See Volume III, Stroke Chapter.
Yuan Rong Si Wu Tang (Yuan Rong Four Substances Decoction) treats organ knotting and constipation with stiffness.
Dang Gui (Radix Angelicae Sinensis), Shu Di Huang (Rhizoma Rehmanniae Praeparata), Chuan Xiong (Rhizoma Chuanxiong), Bai Shao Yao (Radix Paeoniae Alba), Da Huang (Radix et Rhizoma Rhei, baked), Tao Ren (Semen Persicae, each equal parts). Decoct in water or make into pills.
Dan Xi Da Bu Wan (Danxi Great Tonification Pill) descends ministerial fire, tonifies kidney water, and treats yin deficiency with dryness-heat.
Huang Bo (Cortex Phellodendri, stir-fried until brown), Zhi Mu (Rhizoma Anemarrhenae, soaked in wine and stir-fried, each 4 liang), Shu Di Huang (Rhizoma Rehmanniae Praeparata, steamed with wine), Bai Gui Ban (Carapax et Plastrum Testudinis, fried with butter until yellow, each 6 liang). Grind into powder, mix with pig spinal cord and refined honey to make pills the size of paulownia seeds. Take 70 pills per dose, swallowed with light salt water on an empty stomach.
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) treats lower jiao dryness-heat, astringent and frequent urination. It also treats kidney qi deficiency, emaciation, night sweats with fever, simultaneous damage to the five zang organs, thinness, weakness, vexation, bone-steaming fever with lower bleeding, spontaneous sweating, nocturnal sweating, water flooding transforming into phlegm, dry throat and thirst, blurred vision, and deafness. The efficacy cannot be fully described.
Huai Shu Di (Prepared Rhizoma Rehmanniae, 8 liang, pounded into paste), Shan Zhu Yu (Fructus Corni), Gan Shan Yao (Dried Rhizoma Dioscoreae, each 4 liang), Mu Dan Pi (Cortex Moutan), Bai Fu Ling (Poria), Ze Xie (Rhizoma Alismatis, each 3 liang). Grind each into powder separately, mix with the rehmannia paste, add refined honey, and make pills the size of paulownia seeds. Take 70–80 pills per dose before meals on an empty stomach with boiling water.
Self-made Qing Zao Jiu Fei Tang (Clearing Dryness and Saving Lung Decoction) treats various qi stagnations, flaccidity syndromes, wheezing, and vomiting.
Sang Ye (Folium Mori, frosted, obtaining metal energy to be soft and moist without withering, take clean leaves removing stems and branches, 3 qian as sovereign herb), Shi Gao (Gypsum Fibrosum, possessing pure and肃 energy, extremely clearing lung heat, 2.5 qian), Gan Cao (Radix Glycyrrhizae Uralensis, harmonizing stomach qi and generating metal, 1 qian), Ren Shen (Radix Ginseng, generating stomach fluids and nourishing lung qi, 0.7 qian), Hu Ma Ren (Semen Sesami Nigrum, stir-fried and ground, 1 qian), Zhen E Jiao (Colla Corii Asini, 0.8 fen), Mai Men Dong (Radix Ophiopogonis, heart removed, 1.2 qian), Xing Ren (Semen Pruni Armeniacae, soaked, skin and tips removed, stir-fried until yellow, 0.7 qian), Pi Pa Ye (Folium Eriobotryae, one leaf, brushed to remove hairs, coated with honey and stir-fried until yellow). Use one bowl of water, decoct until six parts remain, take frequently in two or three doses while hot. If phlegm increases, add Bei Mu (Bulbus Fritillariae Cirrhosae) and Gua Lou (Fructus Trichosanthis). If blood exhaustion occurs, add Sheng Di Huang (Rhizoma Rehmanniae Recens). If heat is severe, add Xi Jiao (Cornu Rhinocerotis), Ling Yang Jiao (Cornu Saigae Tataricae), or add Niu Huang (Calculus Bovis).
Yu Chang’s Note: Various qi stagnations belonging to the lung are due to lung dryness. However, ancient and modern formulas for treating qi stagnation use acrid and aromatic qi-moving herbs, with not a single formula treating lung dryness. Various flaccidity, wheezing, and vomiting syndromes belonging to the upper jiao are also due to lung dryness. Yet, ancient and modern treatments attribute flaccidity and vomiting to the Yangming channel, and wheezing to the lung; thus, vomiting and flaccidity belong to the middle and lower jiao, while only wheezing belongs to the upper jiao. Therefore, among thousands of formulas, none address lung dryness. Even when wheezing belongs to the lung, treatment is either exterior-releasing or purging, either moving qi or draining qi. Occasionally, one or two use moistening agents, but they do not grasp the principle. In summary, the Six Qi in *Neijing* missed "Autumn injury by dryness," mistaking late summer dampness for autumn dryness. Later generations dared not change this view, ignoring this qi. Even if some knew to treat dryness, their medication was chaotic. Like catching flying insects, there was no fixed method shown to people. Now I propose this formula, naming it Qing Zao Jiu Fei Tang (Clearing Dryness and Saving Lung Decoction), primarily focusing on stomach qi, as stomach earth is the mother of lung metal. Tian Men Dong (Radix Asparagi), although able to protect the lung, is bitter and causes qi stagnation, potentially harming the stomach and obstructing phlegm, so it is not used. Zhi Mu (Rhizoma Anemarrhenae) can nourish kidney water and clear lung metal, but is also not used due to its bitterness. Bitter-cold fire-descending drugs, which are standard treatments, are especially contraindicated. When lung metal reaches dryness, the remaining yin qi is merely a thread. If one further uses bitter-cold drugs to drain qi and harm the stomach, can the person still have vitality? Indeed, by imitating and modifying this formula to save lung dryness and transform various syndromes, like watering scorched earth or extinguishing a fire, without tiring of frequency, relief may be achieved.