方九首
主五脏内虚竭,短气咳逆伤损,郁郁不足,下气复通津液方∶
麦门冬(去心) 小麦(各一升) 粳米(三合) 地骨皮 薤白(各一斤) 人参 五
味子
上一十味, 咀,以水一斗二升,煮取三升,分三服。口干先煮竹叶一把减一升,去滓
,纳药煮之。
主男子五劳七伤,胸中逆满,害食乏气,呕逆,两胁下胀,少腹急痛,宛转欲死,调中
平脏气理伤绝方∶
人参 茯苓 芍药 当归 白糖 桂心 甘草(炙,各二两) 蜀椒(去目及闭口汗) 生
姜前胡 橘皮 五味子(各一两) 枳实(三分,炙) 麦门冬(三合,去心) 大枣(十
五枚,
擘)
上一十五味, 咀,以东流水一斗五升渍药半日,以三岁陈芦微微煮取四升,去滓,纳
糖令消。二十以上六十以下服一升,二十以下六十以上服七八合,久羸者服七合,日三夜一。
治手足厥寒,脉为之细绝,其人有寒者,当归茱萸四逆汤方∶
当归 芍药 桂心(各三两) 吴茱萸(二升) 生姜(半斤,切) 细辛 通草 甘
草(各
二两,炙) 大枣(二十五枚,擘)
上九味, 咀,以酒水各四升,煮取三升,分四服。
治下痢清谷,内寒外热,手足厥逆,脉微欲绝,身反恶寒,其人面赤,或腹痛干呕,或
咽痛,或痢止,脉不出,通脉四逆汤方∶
甘草(一两,炙) 大附子(一枚,生去皮破八片) 干姜(三两,强人可四两)
上三味, 咀二味,以水三升,煮取一升二合,分再服,脉即出也。面赤者,加葱白九
茎;腹痛者,去葱白,加芍药二两;呕者,加生姜二两;咽痛者,去芍药,加桔梗一两;痢
止脉不出者,去桔梗,加人参二两。
【方剂九首】
主治五脏内部虚损衰竭,气短、咳嗽气逆及身体损伤,情绪抑郁、精神不足,旨在使下焦之气通畅并恢复津液的方剂:
麦门冬(去除心部) 小麦(各一升) 粳米(三合) 地骨皮 薤白(各一斤) 人参 五味子
以上十味药,切碎,用水一斗二升,煎煮至剩余三升,分三次服用。若口干,先煮一把竹叶,水量减少一升,滤去药渣后,加入其他药物继续煎煮。
主治男子五劳七伤,胸中气逆胀满,饮食受损、气息乏力,呕吐气逆,两胁下胀满,小腹部拘急疼痛,痛苦翻滚欲死,旨在调和中焦、平复脏腑之气、调理损伤的方剂:
人参 茯苓 芍药 当归 白糖 桂心 甘草(炙,各二两) 蜀椒(去除目状突起及闭口者,并去除汗出部分) 生姜 前胡 橘皮 五味子(各一两) 枳实(三分,炙) 麦门冬(三合,去除心部) 大枣(十五枚,掰开)
以上十五味药,切碎,用东流水一斗五升浸泡药物半天,用三年陈旧的芦苇微微煎煮至剩余四升,滤去药渣,加入白糖使其溶解。二十岁以上六十岁以下的人服用一升,二十岁以下或六十岁以上的人服用七八合,长期消瘦虚弱的人服用七合,每日三次,夜间一次。
治疗手足厥冷,脉搏细微几乎摸不到,患者体内有寒邪的方剂,名为当归茱萸四逆汤:
当归 芍药 桂心(各三两) 吴茱萸(二升) 生姜(半斤,切片) 细辛 通草 甘草(各二两,炙) 大枣(二十五枚,掰开)
以上九味药,切碎,用水和酒各四升,煎煮至剩余三升,分四次服用。
治疗下利清谷(腹泻排出未消化的食物),内寒外热,手足厥冷,脉搏微弱几乎摸不到,身体反而恶寒,患者面部发红,或者腹痛干呕,或者咽痛,或者痢疾停止但脉搏不出,方剂名为通脉四逆汤:
甘草(一两,炙) 大附子(一枚,生用,去皮破成八片) 干姜(三两,体质强壮者可增至四两)
以上三味药,切碎,用水三升,煎煮至剩余一升二合,分两次服用,脉搏即可恢复。若面部发红,加葱白九茎;若腹痛,去掉葱白,加芍药二两;若呕吐,加生姜二两;若咽痛,去掉芍药,加桔梗一两;若痢疾停止但脉搏不出,去掉桔梗,加人参二两。
[Nine Formulas]
Formula for treating internal deficiency and exhaustion of the Five Zang organs, shortness of breath, cough with counterflow qi, physical damage, depression, insufficiency, aiming to unblock the descending qi and restore body fluids:
Ophiopogonis Radix (remove the heart) Tritici Semen (one sheng each) Oryza Sativa (three ge) Lycii Cortex (one jin each) Allii Macrostemonis Bulbus Ginseng Radix et Rhizoma Schisandrae Fructus
The above ten herbs are coarsely crushed. Decoct in twelve sheng of water until three sheng remain. Divide into three doses. If there is dry mouth, first decoct a handful of Bambusa Leaves (Zhuye), reducing the water volume by one sheng. Strain, then add the remaining herbs and decoct.
Formula for treating five labors and seven injuries in men, fullness and counterflow in the chest, impaired digestion, lack of qi, vomiting and belching, distension under both hypochondria, acute pain in the lower abdomen, rolling in agony, aiming to harmonize the middle, regulate the zang organs, and repair severed vitality:
Ginseng Radix et Rhizoma Poria Cocos Paeoniae Radix Alba Angelicae Sinensis Radix Saccharum Cinnamomi Ramulus Glycyrrhizae Radix et Rhizoma (roasted, two liang each) Zanthoxyli Pericarpium (remove eyes and closed-mouth varieties, remove sweat) Zingiberis Rhizoma Recens Peucedani Radix Citri Reticulatae Pericarpium Schisandrae Fructus (one liang each) Aurantii Fructus Immaturus (three fen, roasted) Ophiopogonis Radix (three ge, remove the heart) Jujubae Fructus (fifteen pieces, split)
The above fifteen herbs are coarsely crushed. Soak in fifteen sheng of east-flowing water for half a day. Gently decoct using reeds aged three years until four sheng remain. Strain, then add sugar and dissolve. For those aged twenty to sixty, take one sheng; for those under twenty or over sixty, take seven to eight he; for those chronically emaciated, take seven he. Take three times daily and once at night.
Danggui Zhuyu Sini Tang (Angelica and Evodia Four Reversal Decoction) for treating cold extremities, fine and nearly imperceptible pulse, and internal cold in the patient:
Angelicae Sinensis Radix Paeoniae Radix Alba Cinnamomi Ramulus Evodiae Fructus Zingiberis Rhizoma (half a jin, sliced) Asari Radix et Rhizoma Tetrapanacis Medulla Glycyrrhizae Radix et Rhizoma (roasted, two liang each) Jujubae Fructus (twenty-five pieces, split)
The above nine herbs are coarsely crushed. Decoct in four sheng of water and four sheng of wine until three sheng remain. Divide into four doses.
Tongmai Sini Tang (Pulse-Restoring Four Reversal Decoction) for treating diarrhea with undigested food, interior cold with exterior heat, cold extremities, faint and nearly imperceptible pulse, aversion to cold despite the condition, red face, abdominal pain with dry heaving, sore throat, cessation of dysentery with absent pulse:
Glycyrrhizae Radix et Rhizoma (roasted, one liang) Aconiti Lateralis Radix Praeparata (one raw piece, peeled, broken into eight slices) Zingiberis Rhizoma (three liang; four liang for robust individuals)
The above three herbs are coarsely crushed. Decoct in three sheng of water until one sheng and two he remain. Divide into two doses; the pulse will emerge. If the face is red, add nine stems of Allii Tuberosi Bulbus. If there is abdominal pain, remove Allii Tuberosi Bulbus and add two liang of Paeoniae Radix Alba. If there is vomiting, add two liang of Zingiberis Rhizoma Recens. If there is a sore throat, remove Paeoniae Radix Alba and add one liang of Platycodonis Radix. If dysentery has ceased but the pulse is absent, remove Platycodonis Radix and add two liang of Ginseng Radix et Rhizoma.