治一切失血,或血虚烦渴燥热,睡卧不宁,五心烦热,作渴等症。
四物汤加人参、黄 。一方去芍药。
上水煎服。
柯韵伯曰∶经曰∶“阴在内,阳之守也;阳在外,阴之使也。”故阳中无阴,谓之孤阳;
阴
柏,久服便能绝孕,谓其嫌于无阳耳!此方取参、 配四物,以治阴虚、血脱等症。盖阴阳
互为其根,阴虚则阳无所附,所以烦热燥渴,而阳亦亡;气血相为表里,血脱则气无所归,
所以睡卧不宁,而气亦脱。然阴虚无骤补之法,计在存阳;血脱有生血之机,必先补气。此
阳生阴长,血随气行之理也。故曰阴虚则无气,无气则死矣。此方得仲景白虎加人参之义而
扩充者乎!前辈治阴虚,用八珍、十全,卒不获效者,因甘草之甘,不达下焦;白术之燥,
不利脾肾;茯苓渗泄,碍乎生升;肉桂辛热,动其虚火。此六味,皆醇浓和平而滋润,服之
则气血疏通,内外调和,合于圣度矣。
治男妇肌热,面赤,烦渴引饮,脉来洪大而虚,重按全无。
当归(二钱) 黄 (一两)
水煎服。
吴鹤皋曰∶血实则身凉,血虚则身热。或以饥困劳役,虚其阴血,则阳独治,故诸症生
焉。
为
不能自生,生于无形之气故也。《内经》云阳生阴长,是之谓耳!
治虚劳虚烦不得眠。
酸枣仁(二升) 甘草(一两) 知母(二两) 茯苓(二两) 川芎(二两)
上五味,以水八升,煮枣仁得六升,纳药煮取三升,分温三服。
罗东逸曰∶经曰∶“肝藏魂”,“人卧则血归于肝”。又曰∶“肝者,罢极之本。”又曰∶
“阳气者,烦劳则张,精绝。”故罢极必伤肝,烦劳则精绝,肝伤、精绝则虚劳虚烦不
得卧
肝血,
所谓以
极,则
而魂自
治疗各种失血病症,或者因血虚导致的烦躁口渴、皮肤干燥发热,睡眠不安稳,手足心及心胸烦热,以及感到口渴等症状。
使用四物汤加入人参、黄芪。另一种方子去掉芍药。
以上药材加水煎煮后服用。
柯韵伯说:医经中说:“阴气居于内,是阳气的守备;阳气居于外,是阴气的役使。”所以如果阳中没有阴,就称为孤阳;
阴(此处原文似有缺漏或排版错误,结合下文“柏”字推测可能涉及黄柏等苦寒药,但根据上下文逻辑,此处主要论述阴阳互根)……黄柏,长期服用就能导致绝育,这是因为它嫌恶没有阳气啊!这个方子取用人参、黄芪配合四物汤,来治疗阴虚、血脱等病症。大概因为阴阳互为根本,阴虚则阳气无处依附,所以出现烦躁发热、干燥口渴,进而阳气也会消亡;气血互为表里,血脱则气无处归附,所以出现睡眠不安稳,进而气也会耗脱。然而对于阴虚没有急于进补的方法,计策在于保存阳气;对于血脱有生血的机会,必须先补气。这是“阳生阴长,血随气行”的道理。所以说阴虚就没有气,没有气就会死亡。这个方子是不是得到了张仲景白虎加人参汤的意义而加以扩充呢!前辈们治疗阴虚,使用八珍汤、十全大补汤,最终没有获得疗效的原因,是因为甘草的甘味,不能到达下焦;白术的燥性,不利于脾肾;茯苓的渗利泄浊作用,妨碍了生发之气;肉桂的辛热性质,会扰动虚火。这六味药(指八珍/十全中的部分药物),都是醇厚浓烈、平和滋润的,服用之后气血疏通,内外调和,符合圣人的法度。
治疗男女肌肤发热,面色发红,烦躁口渴想喝水,脉象洪大但按之空虚,重按时完全感觉不到脉搏跳动。
当归(二钱) 黄芪(一两)
加水煎煮后服用。
吴鹤皋说:血实身体就凉快,血虚身体就发热。有的人因为饥饿困顿、劳累过度,使阴血亏虚,那么阳气就独自亢盛,所以各种症状产生了。
(此处原文似有缺漏,结合语境应为“血”)不能自己生成,而是生于无形的元气啊。《内经》说“阳生阴长”,说的就是这个道理!
治疗虚劳引起的虚烦、无法入睡。
酸枣仁(二升) 甘草(一两) 知母(二两) 茯苓(二两) 川芎(二两)
以上五味药,用八升水,先煮酸枣仁得到六升水,再加入其他药物,煮取三升药液,分三次温服。
罗东逸说:医经中说:“肝藏魂”,“人躺下睡觉时血液就回归到肝脏”。又说:“肝是疲劳的根本。”又说:“阳气,如果烦劳过度就会张狂耗散,精气就会枯竭。”所以过度疲劳必然损伤肝脏,烦劳过度则精气枯竭,肝脏受伤、精气枯竭就会导致虚劳、虚烦、无法入睡。
肝血,
所谓以(此处原文截断,语意未尽)
极,则(此处原文截断,语意未尽)
而魂自(此处原文截断,语意未尽)
Treats all types of hemorrhage, or symptoms caused by blood deficiency such as irritability, thirst, dryness and heat, restless sleep, five-palm heat (heat sensation in the palms, soles, and chest), and thirst.
Si Wu Tang (Four Substances Decoction) with added Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). Another prescription removes Shaoyao (Peony Root).
Decoct the above ingredients in water and take orally.
Ke Yunbo stated: The Classic of Acupuncture states: "Yin resides within, serving as the guard for Yang; Yang resides outside, serving as the envoy for Yin." Therefore, if Yang exists without Yin, it is called "Lone Yang";
[Text fragment] ...Huangbai (Phellodendri Cortex), long-term use can lead to sterility, because it is considered detrimental to the absence of Yang! This prescription utilizes Renshen and Huangqi combined with Si Wu Tang to treat conditions such as Yin deficiency and blood collapse. Essentially, Yin and Yang are mutually rooted. When Yin is deficient, Yang has no place to attach itself, resulting in irritability, heat, dryness, and thirst, leading to the loss of Yang; Qi and Blood are exterior-interior partners. When Blood collapses, Qi has no place to return, resulting in restless sleep, leading to the depletion of Qi. However, there is no method for rapid tonification of Yin; the strategy lies in preserving Yang. For blood collapse, there is a mechanism for generating blood, which must begin with tonifying Qi. This follows the principle that "Yang generates and Yin grows, and Blood follows the movement of Qi." Thus it is said that Yin deficiency leads to lack of Qi, and lack of Qi leads to death. Did this prescription derive its meaning from Zhang Zhongjing's Baihu Jia Renshen Tang (White Tiger Plus Ginseng Decoction) and expand upon it? The reason why predecessors failed to achieve efficacy when treating Yin deficiency using Bazhen Tang (Eight Treasures Decoction) or Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) is that Gancao (Licorice Root)'s sweet nature does not reach the Lower Jiao (Lower Burner); Baizhu (Atractylodis Macrocephalae Rhizoma)'s dryness is unfavorable to the Spleen and Kidney; Fuling (Poria) promotes diuresis and leaching out dampness, hindering the generation and ascent of Qi; Rougui (Cinnamon Bark)'s pungent and hot nature stirs up deficient fire. These six herbs [referring to components within Bazhen/Shiquan] are mellow, rich, peaceful, and moistening. Upon consumption, Qi and Blood become unobstructed, interior and exterior harmonize, conforming to the Sage's standard.
Treats men and women with muscle heat, flushed face, irritability, thirst with desire to drink, and a pulse that is flooding yet empty, completely vanishing upon heavy pressure.
Danggui (Angelicae Sinensis Radix) (2 qian)
Huangqi (Astragali Radix) (1 liang)
Decoct in water and take orally.
Wu Hegao stated: When Blood is excess, the body feels cool; when Blood is deficient, the body feels hot. If one suffers from hunger, fatigue, and overwork, depleting Yin-Blood, then Yang acts alone and unchecked, thus giving rise to various symptoms.
[Blood] cannot generate itself; it is generated from formless Qi. The *Neijing* (Classic of Internal Medicine) says, "Yang generates and Yin grows," which is precisely what this refers to!
Treats deficiency exhaustion (Xu Lao) characterized by deficiency irritability and inability to sleep.
Suanzaoren (Ziziphi Spinosae Semen) (2 sheng)
Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang)
Zhimu (Anemarrhenae Rhizoma) (2 liang)
Fuling (Poria) (2 liang)
Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 liang)
Take the above five herbs, add eight sheng of water, boil Suanzaoren until reduced to six sheng, then add the other herbs and boil to obtain three sheng. Divide into three warm doses.
Luo Dongyi stated: The Classics say: "The Liver stores the Hun (Ethereal Soul)," and "When a person lies down to sleep, Blood returns to the Liver." It also says: "The Liver is the root of endurance/fatigue." And again: "Yang Qi, if subjected to excessive irritability and labor, will flare up and disperse, causing Essence to be exhausted." Therefore, extreme fatigue inevitably injures the Liver; excessive irritability leads to Essence exhaustion. When the Liver is injured and Essence is exhausted, it results in Xu Lao (deficiency exhaustion), deficiency irritability, and insomnia.
Liver Blood,
So-called by... [Text cuts off]
Extreme..., then... [Text cuts off]
And the Hun naturally... [Text cuts off]