论曰虚劳之人,阳气不足,水饮下咽,入于胃腑,不能流传,致多痰饮,其候胸膈痞闷,
倚息短气,怠惰嗜卧,心下悸动,咳嗽痰水,不欲饮食是也,治法宜调顺三焦,升降阴阳,
使气道通流,即痰饮自消。
治虚劳不足,四肢羸瘦,脾胃虚冷,痰饮停积,不欲饮食,食即汗出,黄 汤方
黄 (锉焙) 甘草(炙锉) 当归(切焙) 细辛(去苗叶) 五味子(去茎叶) 人
参桂(
夏(汤浸去滑焙
上一十二味,粗捣筛,每服五钱匕,水一盏半,生姜半分拍碎,枣三枚去核,煎至一盏,
去滓分温二服,空心一服,如人行三五里再服。
治虚劳寒热进退,痰饮不消,四肢拘急,手足时冷,半夏汤方
半夏(汤洗去滑焙干) 槟榔(各半两) 柴胡(去苗) 桔梗(炒) 人参 赤茯苓
(去黑皮)
上八味,粗捣筛,每服五钱匕,水一盏半,生姜一分拍碎,煎至一盏,去滓空腹分温二
服。
治虚劳气逆,呕吐痰涎,枇杷叶汤方
枇杷叶(刷去毛生姜汁浸炙) 前胡(去芦头) 桔梗(炒各三分) 藿香叶 人参 白
术(
甲(去裙 醋
当归(切焙) 芍
滑七遍) 泽泻 大腹皮
上二十五味,粗捣筛,每服五钱匕,水一盏半,生姜一分拍碎,枣二枚劈破,同煎至
八分,去滓带热、空心日午近夜服。
治五劳七伤,脾胃气弱,痰饮不消,胸满气逆,呕吐减食,茯苓汤方
赤茯苓(去黑皮) 前胡(去芦头) 人参 附子(炮裂去皮脐各半两) 黄 (锉) 鳖
甲(去裙 醋浸炙黄) 半夏(汤洗七遍去滑炒干各一两) 陈橘皮(汤浸去白焙) 木香
(各一分)
空腹温服,日午临卧再服。
治虚劳脾胃不调,痰饮留滞,心胸烦闷,不思饮食,呕逆头眩,人参半夏汤方
人参 半夏(汤洗二七遍去滑) 赤茯苓(去黑皮各一两) 大腹皮(二枚) 前胡(去
芦头)
各三分) 芍药
上一十味,粗捣筛,每服三钱匕,水一盏,生姜三片,同煎至七分,去滓温服食后。
治虚劳痰饮,不思饮食,胸满气逆,橘皮汤方
陈橘皮(汤浸去白焙三两) 半夏(汤洗七遍去滑麸炒黄色) 大腹皮(锉) 赤茯苓
(去黑皮) 芍药(各半两) 前胡(去芦头) 枇杷叶(去毛炙各三分)
上七味,粗捣筛,每服三钱匕,水一盏,生姜半分拍破,煎至六分,去滓不拘时温服。
治脾胃虚冷,痰饮不消,心腹时痛,木香汤方
木香 半夏(汤洗七遍去滑) 人参 赤茯苓(去黑皮) 白术(各一分) 干姜(炮)
甘草
橘皮(汤浸去
煨去核)
上一十四味,粗捣筛,每服五钱匕,水一盏半,枣两枚劈破,生姜一分拍碎,同煎取八
分,去滓热服,不拘时候。
治虚劳痰饮,脾胃不和,四肢乏力,不思饮食,五补汤方
五味子 黄 (锉) 白术(各一两) 桂(去粗皮) 人参 浓朴(去粗皮涂姜汁炙
熟) 白茯苓(去黑皮) 当归(切焙) 甘草(炙锉) 沉香(锉) 熟干地黄(焙) 陈
橘皮(汤浸去白焙) 半夏
上一十三味,粗捣筛,每服三钱匕,水一盏,生姜一小块拍破,枣二枚,同煎至七分,
去滓温服食前。
治虚劳痰饮,心胸烦满,气逆呕吐,补暖水脏,和益脾胃,白术汤方
白术 木香 人参 白茯苓(去粗皮) 草豆蔻(去皮) 陈橘皮(汤浸去白焙) 桂
(去粗皮) 枳壳(去瓤麸炒) 细辛(去苗叶) 陈曲末(各半两) 诃黎勒(三枚煨取
皮用)
上一十一味,粗捣筛,每服三钱匕,水一盏,入盐少许,生姜五片,煎至七分,去滓空
心热服。
论述说:虚劳病的人,阳气不足,水饮进入胃腑后,不能正常输布流传,从而导致产生大量的痰饮。其症状表现为胸膈部痞塞闷胀,呼吸急促且气息短浅,精神倦怠、嗜睡,心下部悸动不安,咳嗽并伴有痰水,不想进食。治疗方法应当调理顺达三焦(人体上中下三个部位的气机通道),调节阴阳升降,使气道通畅流利,那么痰饮自然就会消除。
治疗虚劳导致的身体亏虚,四肢消瘦,脾胃虚寒冷痛,痰饮停滞积聚,不想进食,吃东西就出汗,用黄汤方。
药材包括:黄(锉碎后焙干)、甘草(炙烤后锉碎)、当归(切开后焙干)、细辛(去掉苗和叶)、五味子(去掉茎和叶)、人参、桂枝、半夏(用汤浸泡去掉滑腻感后焙干)。以上十二味药,粗捣筛过,每次服用五钱匕,加水一盏半,生姜半块拍碎,大枣三枚去核,煎煮至一盏量,滤去药渣,分两次温服,空腹时服一次,如人行走三五里路后再服第二次。
治疗虚劳引起的寒热往来交替,痰饮不消,四肢拘挛紧急,手足时常发冷,用半夏汤方。
药材包括:半夏(用汤洗去滑腻感后焙干)、槟榔、柴胡(去掉苗)、桔梗(炒制)、人参、赤茯苓(去掉黑皮)。以上八味药,粗捣筛过,每次服用五钱匕,加水一盏半,生姜一分拍碎,煎煮至一盏量,滤去药渣,空腹时分两次温服。
治疗虚劳引起的气逆,呕吐痰涎,用枇杷叶汤方。
药材包括:枇杷叶(刷去毛后用生姜汁浸泡并炙烤)、前胡(去掉芦头)、桔梗(炒制,各三分)、藿香叶、人参、白术、甲鱼(去掉裙边,醋浸后炙烤)、当归(切开后焙干)、芍药、滑石(研七遍)、泽泻、大腹皮。以上二十五味药,粗捣筛过,每次服用五钱匕,加水一盏半,生姜一分拍碎,大枣二枚劈破,一同煎煮至八分满,滤去药渣,带热服用,分别在空腹、中午、傍晚近夜时服用。
治疗五劳七伤,脾胃气弱,痰饮不消,胸部胀满气逆,呕吐减少食欲,用茯苓汤方。
药材包括:赤茯苓(去掉黑皮)、前胡(去掉芦头)、人参、附子(炮裂后去皮脐,各半两)、黄(锉碎)、鳖甲(去掉裙边,醋浸后炙黄)、半夏(用汤洗七遍去滑腻后炒干,各一两)、陈橘皮(用汤浸泡去白瓤后焙干)、木香(各一分)。空腹温服,中午和临睡前再服。
治疗虚劳导致脾胃不调,痰饮留滞,心胸烦闷,不思饮食,呕逆头晕,用人参半夏汤方。
药材包括:人参、半夏(用汤洗十四遍去滑腻)、赤茯苓(去掉黑皮,各一两)、大腹皮(二枚)、前胡(去掉芦头)、芍药。以上十味药,粗捣筛过,每次服用三钱匕,加水一盏,生姜三片,一同煎煮至七分满,滤去药渣,饭后温服。
治疗虚劳痰饮,不思饮食,胸部胀满气逆,用橘皮汤方。
药材包括:陈橘皮(用汤浸泡去白瓤后焙干三两)、半夏(用汤洗七遍去滑腻后麸炒至黄色)、大腹皮(锉碎)、赤茯苓(去掉黑皮)、芍药(各半两)、前胡(去掉芦头)、枇杷叶(去毛炙烤,各三分)。以上七味药,粗捣筛过,每次服用三钱匕,加水一盏,生姜半块拍破,煎煮至六分满,滤去药渣,不拘时候温服。
治疗脾胃虚寒冷痛,痰饮不消,心腹部时常疼痛,用木香汤方。
药材包括:木香、半夏(用汤洗七遍去滑腻)、人参、赤茯苓(去掉黑皮)、白术(各一分)、干姜(炮制)、甘草、橘皮(用汤浸泡去白瓤)、枣(煨烤去核)。以上十四味药,粗捣筛过,每次服用五钱匕,加水一盏半,大枣两枚劈破,生姜一分拍碎,一同煎取八分满,滤去药渣热服,不拘时候。
治疗虚劳痰饮,脾胃不和,四肢乏力,不思饮食,用五补汤方。
药材包括:五味子、黄(锉碎)、白术(各一两)、桂枝(去掉粗皮)、人参、浓朴(去掉粗皮涂姜汁炙熟)、白茯苓(去掉黑皮)、当归(切开后焙干)、甘草(炙烤锉碎)、沉香(锉碎)、熟干地黄(焙干)、陈橘皮(用汤浸泡去白瓤后焙干)、半夏。以上十三味药,粗捣筛过,每次服用三钱匕,加水一盏,生姜一小块拍破,大枣二枚,一同煎煮至七分满,滤去药渣,饭前温服。
治疗虚劳痰饮,心胸烦闷胀满,气逆呕吐,通过补暖水脏(肾),调和益补脾胃,用白术汤方。
药材包括:白术、木香、人参、白茯苓(去掉粗皮)、草豆蔻(去皮)、陈橘皮(用汤浸泡去白瓤后焙干)、桂枝(去掉粗皮)、枳壳(去瓤麸炒)、细辛(去掉苗叶)、陈曲末(各半两)、诃黎勒(三枚煨烤取皮使用)。以上十一味药,粗捣筛过,每次服用三钱匕,加水一盏,放入少许盐,生姜五片,煎煮至七分满,滤去药渣,空腹热服。
Discourse states: In patients with deficiency consumptive disease (Xu Lao), yang qi is insufficient. When water and fluid intake enter the stomach, they fail to circulate and distribute normally, leading to the accumulation of excessive phlegm-fluids (Tan Yin). The clinical manifestations include a sensation of fullness and oppression in the chest and diaphragm, difficulty breathing with shortness of breath, lethargy and drowsiness, palpitations in the epigastrium, coughing with expectoration of phlegm-fluids, and anorexia. The treatment principle should focus on regulating and smoothing the San Jiao (Triple Burner, the pathways for Qi and fluids in the upper, middle, and lower body), adjusting the ascending and descending of Yin and Yang, ensuring the smooth flow of the air passages, so that the phlegm-fluids will naturally dissipate.
For treating deficiency consumptive disease characterized by bodily insufficiency, emaciation of the four limbs, deficiency-cold of the Spleen and Stomach, stagnation of phlegm-fluids, anorexia, and sweating immediately after eating, use Huang Tang Decoction.
Ingredients: Huang Qin (Scutellariae Radix, sliced and roasted); Gan Cao (Licorice Root, honey-fried and sliced); Dang Gui (Angelicae Sinensis Radix, sliced and roasted); Xi Xin (Asari Radix, roots and leaves removed); Wu Wei Zi (Schisandrae Fructus, stems and leaves removed); Ren Shen (Ginseng Radix et Rhizoma); Gui Zhi (Cinnamomi Ramulus; Xiang Mu was likely intended or a specific variant, but text says "Ren Shen Gui", assuming Gui Zhi/Cinnamon Twig based on context or potentially missing character, sticking to literal "Ren Shen, Cinnamon Twig"); Ban Xia (Pinelliae Rhizoma, soaked in decoction to remove slipperiness and roasted).
The above twelve ingredients are coarsely crushed and sifted. Each dose consists of 5 Qian Bi (approx. 15-20g depending on era measure), boiled with 1.5 Liang of water, half a piece of fresh ginger smashed, and three dates pitted. Boil until reduced to one Liang, strain, and take warm in two divided doses. Take one dose on an empty stomach, and the second dose after walking for about three to five Li (approx. 1.5-2.5 km).
For treating deficiency consumptive disease with alternating chills and fever, unresolved phlegm-fluids, stiffness and tension of the four limbs, and cold hands and feet, use Ban Xia Tang Decoction.
Ingredients: Ban Xia (Pinelliae Rhizoma, washed in decoction to remove slipperiness and dried/roasted); Bing Lang (Arecae Semen); Chai Hu (Bupleuri Radix, roots removed); Jie Geng (Platycodonis Radix, stir-fried); Ren Shen (Ginseng Radix et Rhizoma); Chi Fu Ling (Poria with Red Cortex, black skin removed).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Liang of water and one fen of fresh ginger smashed. Boil until reduced to one Liang, strain, and take warm in two divided doses on an empty stomach.
For treating deficiency consumptive disease with rebellious Qi, vomiting of phlegm-saliva, use Pi Pa Ye Tang Decoction.
Ingredients: Pi Pa Ye (Loquat Leaf, brushed to remove hairs, soaked in fresh ginger juice and roasted); Qian Hu (Peucedani Radix, rhizome removed); Jie Geng (Platycodonis Radix, stir-fried, each 3 Fen); Huo Xiang Ye (Agastaches Herba); Ren Shen (Ginseng Radix et Rhizoma); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Jia Yu (Testudinis et Chelonis Carapax et Plastrum, skirt removed, soaked in vinegar and roasted); Dang Gui (Angelicae Sinensis Radix, sliced and roasted); Shao Yao (Paeoniae Radix); Hua Shi (Talcum, ground seven times); Ze Xie (Alismatis Rhizoma); Da Fu Pi (Arecae Pericarpium).
The above twenty-five ingredients are coarsely crushed and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Liang of water, one fen of fresh ginger smashed, and two dates split open. Boil until reduced to 80%, strain, and take hot. Doses are taken on an empty stomach, at noon, and near nightfall.
For treating Five Exhaustions and Seven Injuries, weak Qi of the Spleen and Stomach, unresolved phlegm-fluids, chest fullness with rebellious Qi, vomiting, and reduced appetite, use Fu Ling Tang Decoction.
Ingredients: Chi Fu Ling (Poria with Red Cortex, black skin removed); Qian Hu (Peucedani Radix, rhizome removed); Ren Shen (Ginseng Radix et Rhizoma); Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and navel removed, each 0.5 Liang); Huang Qin (Scutellariae Radix, sliced); Bie Jia (Testudinis Carapax et Plastrum, skirt removed, soaked in vinegar and roasted until yellow); Ban Xia (Pinelliae Rhizoma, washed in decoction seven times to remove slipperiness and stir-fried dry, each 1 Liang); Chen Pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed and roasted); Mu Xiang (Aucklandiae Radix, each 1 Fen).
Take warm on an empty stomach, and again at noon and before bedtime.
For treating deficiency consumptive disease with dysfunction of the Spleen and Stomach, retention of phlegm-fluids, vexation and oppression in the chest and heart, anorexia, retching, and vertigo, use Ren Shen Ban Xia Tang Decoction.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma); Ban Xia (Pinelliae Rhizoma, washed in decoction fourteen times to remove slipperiness); Chi Fu Ling (Poria with Red Cortex, black skin removed, each 1 Liang); Da Fu Pi (Arecae Pericarpium, 2 pieces); Qian Hu (Peucedani Radix, rhizome removed); Shao Yao (Paeoniae Radix).
The above ten ingredients are coarsely crushed and sifted. Each dose consists of 3 Qian Bi, boiled with 1 Liang of water and three slices of fresh ginger. Boil until reduced to 70%, strain, and take warm after meals.
For treating deficiency consumptive disease with phlegm-fluids, anorexia, chest fullness, and rebellious Qi, use Ju Pi Tang Decoction.
Ingredients: Chen Pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed and roasted, 3 Liang); Ban Xia (Pinelliae Rhizoma, washed in decoction seven times to remove slipperiness and stir-fried with bran until yellow); Da Fu Pi (Arecae Pericarpium, sliced); Chi Fu Ling (Poria with Red Cortex, black skin removed); Shao Yao (Paeoniae Radix, each 0.5 Liang); Qian Hu (Peucedani Radix, rhizome removed); Pi Pa Ye (Loquat Leaf, hairs removed and roasted, each 3 Fen).
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 3 Qian Bi, boiled with 1 Liang of water and half a piece of fresh ginger smashed. Boil until reduced to 60%, strain, and take warm at any time.
For treating deficiency-cold of the Spleen and Stomach, unresolved phlegm-fluids, and intermittent pain in the heart and abdomen, use Mu Xiang Tang Decoction.
Ingredients: Mu Xiang (Aucklandiae Radix); Ban Xia (Pinelliae Rhizoma, washed in decoction seven times to remove slipperiness); Ren Shen (Ginseng Radix et Rhizoma); Chi Fu Ling (Poria with Red Cortex, black skin removed); Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 Fen); Gan Jiang (Zingiberis Rhizoma, processed); Gan Cao (Licorice Root); Chen Pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed); Zao (Jujubae Fructus, baked and pitted).
The above fourteen ingredients are coarsely crushed and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Liang of water, two dates split open, and one fen of fresh ginger smashed. Boil until reduced to 80%, strain, and take hot. Take at any time.
For treating deficiency consumptive disease with phlegm-fluids, disharmony of the Spleen and Stomach, weakness of the four limbs, and anorexia, use Wu Bu Tang Decoction.
Ingredients: Wu Wei Zi (Schisandrae Fructus); Huang Qin (Scutellariae Radix, sliced); Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 Liang); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Ren Shen (Ginseng Radix et Rhizoma); Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, coated with ginger juice and roasted熟); Bai Fu Ling (Poria, black skin removed); Dang Gui (Angelicae Sinensis Radix, sliced and roasted); Gan Cao (Licorice Root, honey-fried and sliced); Chen Xiang (Aquilariae Lignum Resinatum, sliced); Shu Di Huang (Rehmanniae Radix Praeparata, roasted); Chen Pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed and roasted); Ban Xia (Pinelliae Rhizoma).
The above thirteen ingredients are coarsely crushed and sifted. Each dose consists of 3 Qian Bi, boiled with 1 Liang of water, a small piece of fresh ginger smashed, and two dates. Boil until reduced to 70%, strain, and take warm before meals.
For treating deficiency consumptive disease with phlegm-fluids, vexation and fullness in the chest and heart, rebellious Qi, and vomiting, which tonifies and warms the Water Organ (Kidney) and harmonizes and benefits the Spleen and Stomach, use Bai Zhu Tang Decoction.
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma); Mu Xiang (Aucklandiae Radix); Ren Shen (Ginseng Radix et Rhizoma); Bai Fu Ling (Poria, coarse skin removed); Dou Kou (Amomi Fructus Rotundus, skin removed); Chen Pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed and roasted); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Zhi Ke (Aurantii Fructus, pith removed and stir-fried with bran); Xi Xin (Asari Radix, roots and leaves removed); Chen Qu Mo (Endothelium Macrogynii Fermentatum, each 0.5 Liang); He Le Li (Chebulae Fructus, three pieces, baked to extract the skin).
The above eleven ingredients are coarsely crushed and sifted. Each dose consists of 3 Qian Bi, boiled with 1 Liang of water, a small amount of salt, and five slices of fresh ginger. Boil until reduced to 70%, strain, and take hot on an empty stomach.