论曰诸气皆属于肺,肺处膈上,主行阳气而通呼吸,虚劳之人,内伤于肺,阳气亏虚,
故呼吸微弱,少气不足以息,治宜补益肺脏,以通阳气。
治虚劳骨肉酸疼,吸吸少气,少腹拘急,腰背强痛,心中惊悸,咽干唇燥,面无颜色,
饮食减少,忧愁嗜卧,枸杞汤方
枸杞根(锉) 黄 (锉各三分) 甘草(炙锉) 麦门冬(去心焙) 桂(去粗皮各
半两) 粳
米(一两)
上六味,粗捣筛,每服五钱匕,水一盏半,生姜一分拍碎,煎至一盏,去滓空腹服,夜
卧再服。
治虚劳少气,胁下妨闷,腹中拘急,少腹 痛,唇干口燥,不能食饮,芍药汤方
芍药 黄 (锉) 桂(去粗皮各一两) 甘草(炙) 干姜(炮各半两) 熟干地黄
(一两焙)
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓下饴糖少许,再煎一沸,食
后分温二服,夜卧再服。
治虚劳少气,骨节热痛,麻仁汤方
大麻仁(五两) 枸杞叶(五两) 干姜(炮一两) 桂(去粗皮半两) 甘草(炙锉
二两)
上五味,粗捣筛,每服三钱匕,以水一盏,煎取半盏,去滓空腹温服。
治虚劳少气,行动喘促,小便过多,地黄汤方
熟干地黄(二两) 黄 (锉) 桂(去粗皮) 甘草(炙) 当归(切焙各三两) 芍
药黄精
(焙干) 黄芩(去黑心各一两) 麦门冬(去心焙五两)
上九味,粗捣筛,每服三钱匕,水一盏,生姜半分拍碎,枣两枚去核,煎至六分,去滓
空腹温服,日午夜卧再服。
治虚劳少气,喉咽不利,唾如稠胶,茯苓汤方
白茯苓(去黑皮) 麦门冬(去心焙各一两) 熟干地黄(焙) 人参 前胡(去苗) 桂
(去
粗皮各半两) 芍药 甘草(炙各一两)
上八味,粗捣筛,每服五钱匕,水一盏半,枣二枚去核,煎至一盏,去滓分温二服,
如人行十里再服。
治虚劳少气,咳逆伤损,郁郁不足,降气通津液,五补麦门冬汤方
麦门冬(去心焙二两) 五味子 人参 桂(去粗皮) 甘草(炙各半两) 地骨皮(一
两)
小麦(二合) 粳米(一合)
上八味,粗捣筛,每服五钱匕,水一盏半,入薤白三寸切,同煎至一盏,去滓空腹温服,
若口干、加竹叶一两切。
治虚劳少气,羸困无力,小便频数,不能饮食,黄 汤方
黄 (锉二两) 白芍药(去心焙) 桂(去粗皮) 当归(切焙各一两) 麦门冬(去
心焙一
上八味,粗捣筛,每服三钱匕,水一盏,生姜半分拍碎,枣二枚劈破,同煎至六分,去
滓食前温服。
治虚劳少气,四肢无力,山芋丸方
山芋(二两) 黄 (一两) 远志(去心) 五味子 牛膝(去苗酒浸切焙各半两) 柏
子仁
上九味,捣罗为末,炼蜜和杵三五百下,丸如梧桐子大,每服食前,温酒下三十丸。
论述说:各种气病都归属于肺。肺位于膈肌之上,主管运行阳气并贯通呼吸功能。患有虚劳病的人,肺部受到内伤,导致阳气亏虚,因此出现呼吸微弱、气息短促不足以接续的症状。治疗应当以补益肺脏为主,以疏通阳气。
治疗虚劳引起的骨肉酸痛、呼吸浅促(吸吸少气)、小腹部拘挛急迫、腰背部僵硬疼痛、心中惊恐悸动、咽喉干燥、嘴唇燥裂、面色无华、饮食减少、忧愁嗜睡等症状的枸杞汤方:
枸杞根(切碎)三分,黄芪(锉碎)三分,甘草(炙烤后切碎),麦门冬(去除心部后焙干),桂枝(去除粗皮)各半两,粳米一两。
以上六味药,粗捣筛碎,每次服用五钱匕,加水一盏半,生姜一分拍碎,煎煮至一盏,去渣滓,空腹服用,夜间卧床时再服一次。
治疗虚劳少气,胁肋下方胀闷不适,腹中拘挛急迫,小腹部疼痛,嘴唇干燥口舌燥渴,无法进食饮水的芍药汤方:
芍药一两,黄芪(锉碎)一两,桂枝(去除粗皮)一两,甘草(炙烤),干姜(炮制)各半两,熟干地黄(焙干)一两。
以上七味药,粗捣筛碎,每次服用五钱匕,加水一盏半,煎煮至一盏,去渣滓,加入少许饴糖,再煮沸一次,饭后分两次温服,夜间卧床时再服一次。
治疗虚劳少气,骨节发热疼痛的麻仁汤方:
大麻仁五两,枸杞叶五两,干姜(炮制)一两,桂枝(去除粗皮)半两,甘草(炙烤后切碎)二两。
以上五味药,粗捣筛碎,每次服用三钱匕,加水一盏,煎取半盏,去渣滓,空腹温服。
治疗虚劳少气,行动时气喘急促,小便过多,地黄汤方:
熟干地黄二两,黄芪(锉碎)三两,桂枝(去除粗皮),甘草(炙烤),当归(切后焙干)三两,芍药一两,黄精(焙干)一两,黄芩(去除黑心)一两,麦门冬(去除心部后焙干)五两。
以上九味药,粗捣筛碎,每次服用三钱匕,加水一盏,生姜半分拍碎,大枣两枚去核,煎煮至六分,去渣滓,空腹温服,日中和夜间卧床时再服。
治疗虚劳少气,喉咽不利,唾液如稠胶状,茯苓汤方:
白茯苓(去除黑皮)一两,麦门冬(去除心部后焙干)一两,熟干地黄(焙干),人参,前胡(去除苗头),桂枝(去除粗皮)各半两,芍药一两,甘草(炙烤)一两。
以上八味药,粗捣筛碎,每次服用五钱匕,加水一盏半,大枣两枚去核,煎煮至一盏,去渣滓,分两次温服,如人行走十里路后再服第二次。
治疗虚劳少气,咳嗽气逆损伤,情绪抑郁不足,降气并通利津液的五补麦门冬汤方:
麦门冬(去除心部后焙干)二两,五味子半两,人参半两,桂枝(去除粗皮)半两,甘草(炙烤)半两,地骨皮一两,小麦二合,粳米一合。
以上八味药,粗捣筛碎,每次服用五钱匕,加水一盏半,加入切碎的薤白三寸,同煎至一盏,去渣滓,空腹温服。如果口干,可加切碎的竹叶一两。
治疗虚劳少气,身体瘦弱困倦无力,小便频数,不能饮食的黄耆汤方(注:原文此处方名似缺字或为黄耆汤/黄芪汤,依药材推测):
黄芪(锉碎)二两,白芍药(去心焙干),桂枝(去除粗皮),当归(切后焙干)各一两,麦门冬(去心焙干)一两(注:原文此处剂量显示不全,依常规补全语境理解,实际提取仅保留原文可见部分)。
以上八味药,粗捣筛碎,每次服用三钱匕,加水一盏,生姜半分拍碎,大枣两枚劈破,同煎至六分,去渣滓,饭前温服。
治疗虚劳少气,四肢无力的山芋丸方:
山芋(山药)二两,黄芪一两,远志(去心),五味子,牛膝(去苗,酒浸后切焙干)各半两,柏子仁。
以上九味药,捣罗成粉末,用炼蜜调和,杵捣三五百下,制成梧桐子大小的丸剂。每次在食前,用温酒送服三十丸。
Discussion: All Qi disorders are attributed to the Lung. The Lung is located above the diaphragm, governs the movement of Yang Qi, and facilitates respiration. In individuals suffering from Xu Lao (Deficiency Consumption), internal injury to the Lung leads to a deficiency of Yang Qi, resulting in weak respiration and shortness of breath where one cannot catch their breath. Treatment should focus on tonifying the Lung organ to unblock Yang Qi.
Gouqi Tang (Goji Root Decoction) for treating Xu Lao with soreness and pain in muscles and bones, shallow breathing (Xi Xi Shao Qi), urgency and tension in the lower abdomen, stiffness and pain in the waist and back, palpitations and fright in the heart, dry throat and lips, lack of luster in the complexion, reduced appetite, worry, and propensity to sleep:
Gouqigen (Root of Lycium chinense, chopped) 3 fen; Huangqi (Astragali Radix, crushed) 3 fen; Gancao (Licorice Root, roasted and chopped); Maidong (Ophiopogonis Tuber, core removed and dried); Guizhi (Cinnamomi Ramulus, coarse bark removed) each 0.5 liang; Jingmi (Oryza sativa var. japonica, rice) 1 liang.
The above six herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add 1.5 zhan of water and 1 fen of crushed fresh ginger, decoct until 1 zhan remains, strain, and take on an empty stomach. Take again before bedtime.
Shaoyao Tang (Peony Decoction) for treating Xu Lao with shortness of breath, oppression and stuffiness under the hypochondrium, abdominal tension and urgency, lower abdominal pain, dry lips and mouth, and inability to eat or drink:
Shaoyao (Paeoniae Radix) 1 liang; Huangqi (Astragali Radix, crushed) 1 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed) 1 liang; Gancao (Licorice Root, roasted); Ganjiang (Zingiberis Rhizoma, processed) each 0.5 liang; Shudihuang (Rehmanniae Radix Praeparata, dried) 1 liang.
The above seven herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add 1.5 zhan of water, decoct until 1 zhan remains, strain, add a small amount of Yitang (Maltose), boil once more, and take warm in two divided doses after meals. Take again before bedtime.
Maren Tang (Hemp Seed Decoction) for treating Xu Lao with shortness of breath and heat-pain in bone joints:
Damaoren (Cannabis Fructus) 5 liang; Gouqiye (Lycii Folium) 5 liang; Ganjiang (Zingiberis Rhizoma, processed) 1 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed) 0.5 liang; Gancao (Licorice Root, roasted and chopped) 2 liang.
The above five herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add 1 zhan of water, decoct until 0.5 zhan remains, strain, and take warm on an empty stomach.
Dihuang Tang (Rehmannia Decoction) for treating Xu Lao with shortness of breath, panting upon exertion, and frequent urination:
Shudihuang (Rehmanniae Radix Praeparata) 2 liang; Huangqi (Astragali Radix, crushed) 3 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed); Gancao (Licorice Root, roasted); Danggui (Angelicae Sinensis Radix, sliced and dried) 3 liang; Shaoyao (Paeoniae Radix) 1 liang; Huangjing (Polygonati Rhizoma, dried) 1 liang; Huangqin (Scutellariae Radix, black heart removed) 1 liang; Maidong (Ophiopogonis Tuber, core removed and dried) 5 liang.
The above nine herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add 1 zhan of water, 0.5 fen of crushed fresh ginger, and 2 jujubes pitted, decoct until 0.6 zhan remains, strain, and take warm on an empty stomach. Take again at noon and before bedtime.
Fuling Tang (Poria Decoction) for treating Xu Lao with shortness of breath, difficulty in the throat and pharynx, and saliva resembling thick glue:
Baifuling (Poria, black skin removed) 1 liang; Maidong (Ophiopogonis Tuber, core removed and dried) 1 liang; Shudihuang (Rehmanniae Radix Praeparata, dried); Renshen (Ginseng Radix et Rhizoma); Qianhu (Peucedani Radix, radix removed); Guizhi (Cinnamomi Ramulus, coarse bark removed) each 0.5 liang; Shaoyao (Paeoniae Radix) 1 liang; Gancao (Licorice Root, roasted) 1 liang.
The above eight herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add 1.5 zhan of water and 2 jujubes pitted, decoct until 1 zhan remains, strain, and take warm in two divided doses. Take the second dose after walking the distance of ten li.
Wubu Maidong Tang (Five-Tonics Ophiopogon Decoction) for treating Xu Lao with shortness of breath, coughing with counterflow qi and damage, depression and insufficiency, descending Qi, and promoting fluid circulation:
Maidong (Ophiopogonis Tuber, core removed and dried) 2 liang; Wuweizi (Schisandrae Fructus) 0.5 liang; Renshen (Ginseng Radix et Rhizoma) 0.5 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed) 0.5 liang; Gancao (Licorice Root, roasted) 0.5 liang; Digupi (Lycii Cortex, root bark) 1 liang; Xiaomai (Tritici Fructus) 2 he; Jingmi (Oryza sativa var. japonica, rice) 1 he.
The above eight herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add 1.5 zhan of water and 3 cun of sliced Xiebai (Allii Macrostemonis Bulbus), decoct together until 1 zhan remains, strain, and take warm on an empty stomach. If there is dry mouth, add 1 liang of sliced Zhuye (Bambusae Folium).
Huangqi Tang (Astragalus Decoction) for treating Xu Lao with shortness of breath, emaciation and weakness, frequent urination, and inability to eat:
Huangqi (Astragali Radix, crushed) 2 liang; Baishaoyao (White Peony Root, core removed and dried); Guizhi (Cinnamomi Ramulus, coarse bark removed); Danggui (Angelicae Sinensis Radix, sliced and dried) each 1 liang; Maidong (Ophiopogonis Tuber, core removed and dried) 1 liang [Note: Original text quantity incomplete].
The above eight herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add 1 zhan of water, 0.5 fen of crushed fresh ginger, and 2 jujubes split open, decoct together until 0.6 zhan remains, strain, and take warm before meals.
Shanyu Wan (Dioscorea Pills) for treating Xu Lao with shortness of breath and weakness in the four limbs:
Shanyu (Dioscoreae Rhizoma) 2 liang; Huangqi (Astragali Radix) 1 liang; Yuanzhi (Polygalae Radix, core removed); Wuweizi (Schisandrae Fructus); Niuxi (Achyranthis Bidentatae Radix, radix removed, soaked in wine, sliced and dried) each 0.5 liang; Baiziren (Platycladi Semen).
The above nine herbs are pounded into powder, mixed with refined honey, and pounded three to five hundred times. Form pills the size of paulownia seeds. Take 30 pills with warm wine before meals.