主虚劳不足,汗出而闷,脉结,心悸,行动如常,不出百日,危急者二十一日
生地黄(一斤,细切) 生姜(三两,切) 麦门冬(去心) 麻子仁(各三两) 阿
胶(三两
,炙) 大枣(三十枚,擘) 人参 桂心(各二两) 甘草(四两,炙)
上九味, 咀,以水一斗煮取六升,去滓,分六服,日三夜三。若脉未复,隔日又服一
剂,力弱者三日一剂,乃至五剂十剂,以脉复为度,宜取汗,越公杨素因患失脉,七日服五
剂而复(仲景名炙甘草汤,一方以酒七升,水八
主五劳七伤,小肠急,脐下彭亨,两胁胀满,腰脊相引,鼻口干燥,目暗 ,愦愦不
乐,胸中气逆,不下食饮,茎中策然痛,小便赤黄,尿有余沥,梦与鬼神交通失精,惊恐虚
乏方∶
人参 龙骨 泽泻 黄 (各三两) 大枣(二十枚) 芍药(四两) 远志(去心) 甘
草(炙
,各二两) 生姜(切) 饴糖(各八两)
上一十味, 咀,以水一斗,煮取二升半,去滓,纳饴糖令消,一服八合。相去如行十
里久(《千金》有当归三两。)
所主与前方同。
芍药(六两) 桂心(三两) 生姜(三两,切) 饴糖(一升) 甘草(二两,炙) 大
枣(二
十枚,擘)
上六味, 咀,以水七升,煮取三升,去滓,纳饴糖,一服一升,日三服。已载伤寒中
,此再见之。
主治虚劳不足,出汗且胸闷,脉搏有间歇结代,心悸,日常行动如常者,不出百日;病情危急者,二十一日内可能致死。
生地黄(一斤,切碎) 生姜(三两,切片) 麦门冬(去心) 麻子仁(各三两) 阿胶(三两,炙烤) 大枣(三十枚,掰开) 人参 桂心(各二两) 甘草(四两,炙烤)
以上九味药,捣碎,用水一斗煎煮至六升,滤去药渣,分六次服用,白天服三次,夜间服三次。如果脉搏仍未恢复,隔日再服一剂,体质虚弱者三日服一剂,甚至服五剂、十剂,以脉搏恢复正常为度,服药后宜取汗。越国公杨素曾因患失脉症,七日服用五剂而痊愈(此方在张仲景著作中名为炙甘草汤,另一版本用酒七升,水八升)。
主治五劳七伤,小肠拘急,脐下胀满,两胁胀满,腰脊相互牵引疼痛,鼻口干燥,视力昏暗,精神烦闷不乐,胸中气逆,无法进食饮水,尿道刺痛,小便赤黄,尿有余沥,梦中与鬼神交合而遗精,惊恐虚乏。
方剂组成:
人参 龙骨 泽泻 黄芩(各三两) 大枣(二十枚) 芍药(四两) 远志(去心) 甘草(炙,各二两) 生姜(切片) 饴糖(各八两)
以上十味药,捣碎,用水一斗,煎煮至二升半,滤去药渣,加入饴糖使其溶化,每次服用八合。(《千金要方》中有当归三两。)
本方所主病症与前一方相同。
芍药(六两) 桂心(三两) 生姜(三两,切片) 饴糖(一升) 甘草(二两,炙烤) 大枣(二十枚,掰开)
以上六味药,捣碎,用水七升,煎煮至三升,滤去药渣,加入饴糖,每次服用一升,每日服用三次。此方已记载于《伤寒论》中,此处再次列出。
Indicated for deficiency and exhaustion (Xu Lao), sweating accompanied by chest oppression, knotted pulse (Jie Mai) with intermittent beats, palpitations. If the patient's daily activities remain normal, death will not occur within one hundred days; in critical cases, death may occur within twenty-one days.
Shengdi Huang (Rehmanniae Radix Preparata, 1 jin, finely sliced) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang, sliced) Maidong (Ophiopogonis Radix, heart removed) Huoziren (Cannabis Semen, 3 liang each) Ejiao (Asini Corii Colla, 3 liang, roasted) Dazao (Jujubae Fructus, 30 pieces, broken apart) Renshen (Ginseng Radix et Rhizoma) Guixin (Cinnamomi Ramulus, 2 liang each) Gancao (Glycyrrhizae Radix et Rhizoma, 4 liang, roasted)
The above nine ingredients are crushed, decocted in 1 dou of water until reduced to 6 sheng, filtered to remove dregs, and divided into six doses. Taken three times during the day and three times at night. If the pulse has not recovered, administer another dose every other day. For those with weak constitution, administer one dose every three days, up to five or ten doses, until the pulse recovers. Sweating is desired after administration. Yang Su, Duke of Yue, suffered from lost pulse syndrome and was cured after taking five doses over seven days (This formula is named Zhigancao Tang [Decoction of Roasted Licorice] by Zhang Zhongjing; an alternative version uses 7 sheng of wine and 8 sheng of water).
Indicated for Five Exhaustions and Seven Injuries (Wu Lao Qi Shang), urgency of the Small Intestine, distension below the umbilicus, fullness and distension of both hypochondria, pulling pain between the waist and spine, dryness of the nose and mouth, dim vision, mental restlessness and unhappiness, rebellious Qi in the chest, inability to eat or drink, stinging pain in the urethra, red and yellow urine, dribbling after urination, seminal emission due to dreams of intercourse with spirits, and fright-induced deficiency and fatigue.
Formula:
Renshen (Ginseng Radix et Rhizoma) Longgu (Fossilia Ossis Mastodi et Femoris, 3 liang each) Zexie (Alismatis Rhizoma) Huangqin (Scutellariae Radix, 3 liang each) Dazao (Jujubae Fructus, 20 pieces) Shaoyao (Paeoniae Radix Alba, 4 liang) Yuanzhi (Polygalae Radix, heart removed) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 liang each) Sheng Jiang (Zingiberis Rhizoma Recens, sliced) Yitang (Malt Sugar, 8 liang each)
The above ten ingredients are crushed, decocted in 1 dou of water until reduced to 2.5 sheng, filtered to remove dregs, Malt Sugar added and dissolved. Each dose is 8 he. (Danggui [Angelicae Sinensis Radix], 3 liang, is included in *Qianjin Yaofang*).
The indications are the same as the preceding formula.
Shaoyao (Paeoniae Radix Alba, 6 liang) Guixin (Cinnamomi Ramulus, 3 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang, sliced) Yitang (Malt Sugar, 1 sheng) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 liang) Dazao (Jujubae Fructus, 20 pieces, broken apart)
The above six ingredients are crushed, decocted in 7 sheng of water until reduced to 3 sheng, filtered to remove dregs, Malt Sugar added. Each dose is 1 sheng, taken three times a day. This formula has already been recorded in *Shanghan Lun*; it is repeated here.