治中气不运,腹中不实,口失滋味,病久不食,脏腑不调,与伤寒直中太阴,自利不渴,
寒
人参 白术 干姜(炮) 甘草(炙,各一钱五分)
水煎服。加附子,即名附子理中汤。
程郊倩曰∶阳之动,始于温,温气得而谷精运,谷气升而中气赡,故名曰理中。实以燮
理之功,予中焦之阳也。若胃阳虚,即中气失宰,膻中无发宣之用,六腑无洒陈之功,犹如
釜薪
干
五脏六腑皆以受气矣。此理中之旨也。若水寒互胜,即当脾肾双温,附子之加而命门益,土
母温矣。
治阳虚自汗,寒湿沉痼,阳虚阴盛。
黄 (一两) 附子(五钱) 名 附汤。
白术(一两) 附子(五钱) 名术附汤。
人参(一两) 附子(五钱) 名参附汤。
水煎,分三服。
喻嘉言曰∶卫外之阳不固而自汗,则用 附;脾中之阳遏郁而自汗,则用术附;肾中之
阳浮
虚风
足贵
阴盛
以治
急中
长夏湿热蒸炎,四肢困倦,精神减少,身热,气高,烦心,便黄,渴而自汗,脉虚者,
此方
人参 黄 甘草 白术 苍术(一钱五分) 神曲 青皮 升麻 干葛 麦冬 五味
当归 黄柏 泽泻
吴鹤皋曰∶暑令行于夏,至长夏则兼湿令矣。此方兼而治之。炎暑则表气易泄,兼湿则
中气
麦
津液亡则口渴,故以当归、干葛生其胃液;清气不升,升麻可升;浊气不降,二皮可理;苍
术之用,为兼长夏湿也。
程郊倩曰∶人知清暑,我兼益气,以暑伤气也。益气不独金能敌火,凡气之上腾,而为
津为
治疗中气不运转,腹部感觉空虚不实,口中失去滋味,患病日久不能进食,脏腑功能不调和,以及伤寒邪气直接侵入太阴经,出现自发性腹泻且不口渴的症状。
人参、白术、干姜(炮制)、甘草(炙烤,各一钱五分)。
用水煎煮后服用。加入附子,就命名为附子理中汤。
程郊倩说:阳气的发动,始于温暖,温热的阳气得到舒展,则水谷的精微得以运化,水谷之气上升则中气充足,所以名叫“理中”。实际上是运用燮理调和的功效,给予中焦的阳气。如果胃阳虚弱,那么中气就失去了主宰,膻中就没有宣发肃降的作用,六腑也没有洒陈布散的功能,就像锅灶里没有柴火一样。五脏六腑都依靠它来接受水谷精微之气了。这就是理中汤的宗旨。如果水寒之气互相胜复,就应当脾肾双温,加入附子以益命门之火,使土母温暖。
治疗阳气虚弱导致的自汗,寒湿深重顽固,阳气虚弱而阴气盛实。
黄芪(一两)、附子(五钱),名为芪附汤。
白术(一两)、附子(五钱),名为术附汤。
人参(一两)、附子(五钱),名为参附汤。
用水煎煮,分三次服用。
喻嘉言说:卫外的阳气不固密而导致自汗,就用芪附汤;脾中的阳气被遏郁阻滞而导致自汗,就用术附汤;肾中的阳气浮越……(原文此处有缺漏,结合语境推测为虚阳外越或类似病机)……虚风……足贵……阴盛……以治急中……(原文此处语句破碎,依文意整理如下):针对阴盛格阳等急症进行治疗。
长夏季节湿热蒸腾炎热,四肢困倦乏力,精神减少,身体发热,呼吸急促(气高),心烦,小便黄,口渴且自汗,脉象虚弱的,使用此方。
人参、黄芪、甘草、白术、苍术(一钱五分)、神曲、青皮、升麻、干葛(葛根)、麦冬、五味子、当归、黄柏、泽泻。
吴鹤皋说:暑气在夏季盛行,到了长夏就兼夹湿气了。此方兼治暑湿。炎热暑气导致体表之气容易泄脱,兼夹湿气则……(原文此处有缺漏,依文意整理)……中气受损……麦……津液亡失则口渴,所以用当归、干葛来生养胃液;清气不升,升麻可以提升;浊气不降,青皮和陈皮(原文作二皮,通常指陈皮、青皮或泛指理气药,此处依原文保留二皮概念或指代具体理气药,鉴于前文列了青皮,此处可能指陈皮,但原文仅写二皮,故译为二皮/理气之品)可以调理;苍术的使用,是为了兼治长夏的湿气。
程郊倩说:人们只知道清解暑热,我兼补气,因为暑气伤气。补气不仅仅是金能克火,凡是气向上腾涌,化为津液……(原文此处截断)
Treats the failure of Middle Qi to circulate, a sensation of emptiness and lack of solidity in the abdomen, loss of taste in the mouth, prolonged illness with inability to eat, disharmony of the Zang-Fu organs, as well as conditions where Cold pathogen directly invades the Taiyin channel (Taiyin Meridian Syndrome), presenting with spontaneous diarrhea without thirst.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Licorice Radix et Rhizoma Praeparatum Cum Melle) (each 1.5 qian).
Decoct in water and take orally. Adding Fuzi (Aconiti Lateralis Radix Praeparata) changes the name to Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle).
Cheng Jiaoqian stated: The movement of Yang Qi begins with warmth. When warm Qi is liberated, the essence of grains is transported; when grain Qi ascends, Middle Qi is nourished. Hence it is named "Lizhong" (Regulating the Middle). It actually employs the function of harmonizing and regulating to bestow Yang Qi upon the Middle Jiao. If Stomach Yang is deficient, Middle Qi loses its control; the Danzhong (Sea of Qi) lacks the function of dispersing and descending; the Six Fu organs lack the function of distributing and arranging fluids. It is like a cooking pot without firewood. The Five Zang organs and Six Fu organs all rely on it to receive Qi. This is the purport of Lizhong Tang. If Water and Cold compete with each other, one should warm both the Spleen and Kidney. The addition of Fuzi benefits the Mingmen (Gate of Life), warming the Mother of Earth (Spleen).
Treats spontaneous sweating due to Yang deficiency, deep-seated and stubborn Cold-Dampness, and Yang deficiency with Yin excess.
Huangqi (Astragali Radix) (1 liang) and Fuzi (Aconiti Lateralis Radix Praeparata) (5 qian) are named Qifu Tang (Astragalus and Aconite Decoction).
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang) and Fuzi (Aconiti Lateralis Radix Praeparata) (5 qian) are named Shufu Tang (Atractylodes and Aconite Decoction).
Renshen (Ginseng Radix) (1 liang) and Fuzi (Aconiti Lateralis Radix Praeparata) (5 qian) are named Shenfu Tang (Ginseng and Aconite Decoction).
Decoct in water, divide into three doses.
Yu Jiayan stated: When the defensive Yang Qi outside the body is not secure, leading to spontaneous sweating, use Qifu Tang; when the Yang Qi within the Spleen is constrained and depressed, leading to spontaneous sweating, use Shufu Tang; [the text here is fragmented, implying treatment for] floating Yang from the Kidney... [treating] sudden internal collapse due to Yin excess.
During the late summer season, when Damp-Heat steams and blazes, causing fatigue and heaviness in the four limbs, reduced spirit, feverish sensation, rapid breathing (Qi Gao), vexation, yellow urine, thirst with spontaneous sweating, and a deficient pulse, this formula is used.
Renshen (Ginseng Radix), Huangqi (Astragali Radix), Gancao (Licorice Radix et Rhizoma Praeparatum Cum Melle), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Shenqu (Massa Medicata Fermentata), Qingpi (Citri Reticulatae Pericarpium Viride), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix), Huangbai (Phellodendri Cortex), Zexie (Alismatis Rhizoma).
Wu Hegao stated: The Summer-Heat pathogen prevails in Summer, but by Late Summer, it combines with the Dampness pathogen. This formula treats both. Blazing heat causes the exterior Qi to easily leak; combined with Dampness, it affects the Middle Qi... [text fragment] ...When Jin-Ye (Body Fluids) are lost, thirst occurs; thus, Danggui and Gegen are used to generate Stomach fluids. When Clear Qi does not ascend, Shengma can lift it; when Turbid Qi does not descend, Er Pi (Two Peels, referring to Citrus peels like Qingpi and Chenpi) can regulate it. The use of Cangzhu is to address the Dampness of Late Summer.
Cheng Jiaoqian stated: People know only to clear Summer-Heat, but I also tonify Qi, because Summer-Heat injures Qi. Tonifying Qi is not merely about Metal overcoming Fire; whenever Qi rises upward, transforming into... [text cuts off]