(论一首 方五首)
论曰∶凡肾劳病者,补肝气以益之,肝旺则感于肾矣。人逆冬气,则足少阴不藏。肾气
沉浊,顺之则生,逆之则死;顺之则治,逆之则乱;反顺为逆,是为关格,病则生矣。
治肾劳实热,小腹胀满,小便黄赤,未有余沥,数而少,茎中痛,阴囊生疮
栀子仁 芍药 通草 石苇(各三两) 石膏(五两) 滑石(八两) 子芩(四两) 生
地
榆白皮 淡竹叶(切各一升)
上十味 咀,以水一斗,煮取三升,去滓,分三服。
治肾劳热,阴囊生疮方。
麻黄根 石硫黄(各三两) 米粉(五合)
上三味治下筛,安絮如常用粉法搭疮上,粉湿更搭之。
治肾劳热妄怒,腰脊不可俯仰,屈伸煮散方∶
丹参 牛膝 葛根 杜仲 干地黄 甘草 猪苓(各二两半) 茯苓 远志 子芩(各
一
两十八铢) 五加皮 石膏(各三两) 羚羊角 生姜 橘皮(各一两) 淡竹茹(鸡子大)
上十六味治下筛为粗散,以水三升,煮两方寸匕,绵裹之时时动,取八合为一服,日二
治虚劳,阴阳失度,伤筋损脉,嘘吸短气,漏溢泻下,小便赤黄,阴下湿痒,腰脊如折
,颜色随落方(随一作堕)∶
萆 麦冬 生地 桂心 杜仲 枣肉(各一升
上六味 咀,以酒一斗五升,渍三宿,出曝干复渍,候酒尽取干治下筛,食后酒服方寸
匕,日二。
治肾劳虚冷,干枯忧恚内伤,久坐湿地则损肾方∶
秦艽 牛膝 川芎 防风 桂心 独活 茯苓(各四两) 干姜(一作干地黄) 麦冬 地
骨皮(各三两) 侧子 杜仲(各五两) 石斛(六两) 丹参(八两) 五加皮(十两) 薏
苡仁
(一两) 大麻子(二升)
上十七味 咀,以酒二斗渍七日,每服七合,日三服
(论述一篇,方剂五首)
论述说:凡是患有肾劳病的人,应当通过补益肝气来滋养肾脏,因为肝气旺盛就能感应并滋养肾脏。如果人违背了冬季闭藏的自然规律,就会导致足少阴肾经的气机不能固藏。肾气变得沉滞浑浊,顺应它就能生存,违背它就会死亡;顺应它就能治愈,违背它就会导致混乱;将顺应变为违背,这就形成了关格(阴阳隔绝的危重病症),疾病由此产生。
治疗肾劳实热证,表现为小腹胀满,小便黄赤,排尿不尽且次数多但量少,尿道疼痛,阴囊生疮的方剂:
栀子仁、芍药、通草、石苇(各三两)、石膏(五两)、滑石(八两)、子芩(即黄芩,四两)、生地黄、榆白皮、淡竹叶(切碎,各一升)。
以上十味药,捣碎,用水一斗,煎煮至三升,滤去药渣,分三次服用。
治疗肾劳热证,阴囊生疮的方剂:
麻黄根、石硫黄(各三两)、米粉(五合)。
以上三味药研细过筛,按照平时扑粉的方法,将药粉敷在疮口上,如果药粉湿了,就再次更换敷上。
治疗肾劳热证导致妄怒,腰脊僵硬无法俯仰,屈伸困难的煮散方剂:
丹参、牛膝、葛根、杜仲、干地黄、甘草、猪苓(各二两半)、茯苓、远志、子芩(各一两十八铢)、五加皮、石膏(各三两)、羚羊角、生姜、橘皮(各一两)、淡竹茹(如鸡蛋大小)。
以上十六味药研细过筛制成粗散,用水三升,每次取一方寸匕的药量,用绵布包裹药包在水中时时晃动煎煮,取汁八合作为一次剂量,每日服用两次。
治疗虚劳病,阴阳失调,损伤筋脉,呼吸短促,遗精滑泄或腹泻,小便赤黄,阴部潮湿瘙痒,腰脊疼痛如折断感,面色萎黄的方剂(“随落”一作“堕”,指面色堕落/萎黄):
萆薢、麦冬、生地黄、桂心、杜仲、枣肉(各一升)。
以上六味药,捣碎,用酒一斗五升浸泡三个夜晚,取出晒干后再浸泡,直到酒被吸尽,取出药物研细过筛,饭后用酒送服一方寸匕,每日两次。
治疗肾劳虚冷证,因干枯忧恚内伤,久坐湿地则损伤肾脏的方剂:
秦艽、牛膝、川芎、防风、桂心、独活、茯苓(各四两)、干姜(一说为干地黄)、麦冬、地骨皮(各三两)、侧子(附子的一种)、杜仲(各五两)、石斛(六两)、丹参(八两)、五加皮(十两)、薏苡仁、大麻子(二升)。
以上十七味药,捣碎,用酒二斗浸泡七天,每次服用七合,每日三次。
(One Treatise, Five Prescriptions)
The treatise states: For those suffering from Kidney Labor Disease (Shen Lao Bing), one should tonify Liver Qi to benefit the Kidneys; when Liver Qi is robust, it can resonate with and nourish the Kidneys. If a person goes against the Qi of winter storage, the Foot-Shaoyin [Kidney] channel will fail to store essence. Kidney Qi becomes stagnant and turbid; following this natural order leads to life, while opposing it leads to death; following it leads to cure, while opposing it leads to chaos. Reversing compliance into opposition results in Guan Ge (a critical condition characterized by the separation of Yin and Yang), and disease arises.
Prescription for treating Kidney Labor with Excess-Heat, manifesting as distension and fullness in the lower abdomen, yellow and red urine, incomplete emptying with frequent but scanty voiding, pain in the urethra, and sores on the scrotum:
Zhi Zi Ren (Gardenia Seed), Shao Yao (Peony Root), Tong Cao (Tetrapanax Pith), Shi Wei (Pyrrosiae Folium) (each 3 liang), Shi Gao (Gypsum Fibrosum) (5 liang), Hua Shi (Talcum) (8 liang), Zi Qin (Scutellariae Radix, i.e., Huang Qin) (4 liang), Sheng Di Huang (Rehmanniae Radix), Yu Bai Pi (Ulmus Rubra Bark), Dan Zhu Ye (Lophatheri Herba) (chopped, each 1 sheng).
These ten ingredients are crushed, boiled in 1 dou of water until reduced to 3 sheng, filtered to remove dregs, and divided into three doses.
Prescription for treating Kidney Labor Heat with sores on the scrotum:
Ma Huang Gen (Ephedrae Radicis Caulis), Shi Liu Huang (Realgar), Mi Fen (Rice Flour) (each 3 liang); Rice Flour (5 he).
These three ingredients are ground and sifted finely. Apply the powder to the sores using the usual method for dusting powder. If the powder becomes wet, reapply fresh powder.
Decoction powder prescription for treating Kidney Labor Heat causing irrational anger, stiffness of the waist and spine preventing flexion and extension:
Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), Ge Gen (Puerariae Lobatae Radix), Du Zhong (Eucommiae Cortex), Gan Di Huang (Rehmanniae Radix Preparata), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ling (Polyporus), Yuan Zhi (Polygalae Radix), Zi Qin (Scutellariae Radix) (each 2.5 liang); Fu Ling (Poria), Wu Jia Pi (Acanthopanacis Cortex), Shi Gao (Gypsum Fibrosum) (each 3 liang); Ling Yang Jiao (Saiga Tataricae Cornu), Sheng Jiang (Zingiberis Rhizoma Recens), Ju Pi (Citri Reticulatae Pericarpium) (each 1 liang); Dan Zhu Ru (Bambusae Caulis in Taeniam) (size of a chicken egg).
These sixteen ingredients are ground and sifted to make a coarse powder. Boil 3 sheng of water, add one fang cun bi (a square inch measure) of the powder, wrap in silk cloth, and simmer with occasional agitation. Extract 0.8 sheng as one dose, taken twice daily.
Prescription for treating Deficiency-Labor where Yin and Yang are imbalanced, damaging sinews and vessels, causing shortness of breath, leakage (seminal emission or diarrhea), red and yellow urine, dampness and itching in the genital area, waist and spine pain feeling like breaking, and sallow complexion ("Sui Luo" variant "Duo" refers to sallow/withered appearance):
Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Mai Dong (Ophiopogonis Radix), Sheng Di Huang (Rehmanniae Radix), Gui Xin (Cinnamomi Ramulus), Du Zhong (Eucommiae Cortex), Zao Rou (Jujubae Mesocarp) (each 1 sheng).
These six ingredients are crushed, soaked in 1.5 dou of wine for three nights, removed, dried in the sun, and soaked again until the wine is absorbed. The herbs are then ground and sifted. Take one fang cun bi after meals with wine, twice daily.
Prescription for treating Kidney Labor with Deficiency-Cold, internal injury due to dryness and sorrow, and kidney damage from sitting long on damp ground:
Qin Jiao (Gentianae Macrophyllae Radix), Niu Xi (Achyranthis Bidentatae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Gui Xin (Cinnamomi Ramulus), Du Huo (Angelicae Pubescentis Radix), Fu Ling (Poria) (each 4 liang); Gan Jiang (Zingiberis Rhizoma) (or Gan Di Huang per variant), Mai Dong (Ophiopogonis Radix), Di Gu Pi (Lycii Cortex) (each 3 liang); Ce Zi (Aconiti Lateralis Radix Preparata), Du Zhong (Eucommiae Cortex) (each 5 liang); Shi Hu (Dendrobii Caulis) (6 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) (8 liang), Wu Jia Pi (Acanthopanacis Cortex) (10 liang), Yi Yi Ren (Coicis Semen), Da Ma Zi (Cannabis Fructus) (2 sheng).
These seventeen ingredients are crushed, soaked in 2 dou of wine for seven days. Take 7 he per dose, three times daily.