千金疗肉极虚为脾风。阴动伤寒体重怠堕。四肢不欲举。关节疼痛。不嗜饮食。虚极所
致。大黄 酒方。
黄 巴戟天(去心) 桂心 石斛 蜀椒(汗) 泽泻 茯苓 柏子仁 干姜(各三
两)
防风 人参
芋栝蒌
半夏(洗)
上二十三味 咀。绢澄贮。以清酒三斗渍之。秋冬七日春夏三日。初服三合。渐渐加。
微痹为度。日再。忌猪羊肉桃李雀肉生菜生葱酢物(删繁同出第十五卷中)
删繁疗肉极虚寒则脾咳。其状右胁下痛。阴阴引肩背痛。不可以动。动则咳。腹胀满。
留饮痰癖。大小便不利。少腹切痛。膈上寒。大半夏汤方。
半夏(一升洗) 白术 茯苓 人参 甘草(炙) 附子(炮) 橘皮(各二两) 生
姜(八两) 桂心(三两)
上九味切。以水一斗。煮取三升。去滓。分为四服。忌羊肉饧桃李雀肉生葱海藻菘菜猪
肉冷水。
又疗肉极虚寒。则皮肤不通。外不得泄。名曰厉风。内虚外实。腰脚疼弱。大风引汤方
独活(四两) 当归 茯苓(各二两) 干姜 甘草(炙) 人参 黄 防风(各二
两)
桂心 附子(炮各一两) 大豆(二升熬去皮)
上十一味切。以水一斗。酒三升。煮取四升去滓。分为四服。昼三夜一。忌海藻菘菜猪
肉生葱酢等物。
又疗肉极寒。肌肉变。舌痿。名曰恶风。腰脚疼弱。小风引汤方。
独活 防风 茯苓 甘草(炙) 人参(各三两) 当归 干姜(各二两) 附子(一
枚炮)
大豆(二升熬去皮)
上九味切。以水一斗。酒三升。煮取二升。去滓。分为四服。日三夜一。忌猪肉冷水海
藻菘菜酢等物。
又疗肉极虚寒。四肢怠堕或咳。胁下坚满痛。饮食不嗜欲举不能。手足厥冷。忧恚思虑
五膈丸方。
人参(十分) 附子(炮) 干姜(各三分) 远志(二分去心) 桂心 椒汗 麦门
冬(去心) 甘草(炙各五分) 细辛(四分)
上九味捣筛。蜜和丸如弹子大。取一丸着喉中。稍稍咽之。觉胸中热药势尽又服。日三
夜一。亦可丸如梧子十丸酒服。忌猪肉冷水海藻菘菜生葱生菜。(并出第八卷中)
《千金方》治疗肉极虚证,表现为脾风。阴气发动引发伤寒,身体沉重、倦怠乏力。四肢不想抬起。关节疼痛。不喜欢进食。这是极度虚弱所致的大黄酒方。
大黄(用酒处理过的方剂)。
黄耆、巴戟天(去除心部)、桂心、石斛、蜀椒(出汗/炒制)、泽泻、茯苓、柏子仁、干姜(各三两)
防风、人参
芋头、栝蒌
半夏(清洗)
以上二十三味药,切碎。用绢布过滤后贮存。用清酒三斗浸泡。秋冬季节浸泡七日,春夏季节浸泡三日。初次服用三合,逐渐增加剂量。以出现轻微麻木感为度。每日两次。忌食猪羊肉、桃李、雀肉、生菜、生葱、醋类食物(此条与第十五卷中删繁内容相同)。
删繁方治疗肉极虚寒证,则出现脾咳。症状表现为右胁下疼痛,隐隐作痛牵引至肩背部。不能活动,一动就咳嗽。腹部胀满。体内留饮、痰癖。大小便不通畅。小腹部剧烈疼痛。膈上寒冷。大半夏汤方。
半夏(一升,清洗)、白术、茯苓、人参、甘草(炙烤)、附子(炮制)、橘皮(各二两)、生姜(八两)、桂心(三两)
以上九味药切碎。用水一斗,煮取三升。去掉药渣。分为四份服用。忌食羊肉、饴糖、桃李、雀肉、生葱、海藻、菘菜(白菜)、猪肉、冷水。
又治疗肉极虚寒证,则皮肤闭塞不通,邪气外不得宣泄。名为厉风。内里虚弱而外表实证。腰脚疼痛软弱。大风引汤方。
独活(四两)、当归、茯苓(各二两)、干姜、甘草(炙烤)、人参、黄耆、防风(各二两)
桂心、附子(炮制,各一两)
大豆(二升,熬制去皮)
以上十一味药切碎。用水一斗,酒三升,煮取四升,去掉药渣。分为四份服用。白天三次,夜间一次。忌食海藻、菘菜、猪肉、生葱、醋等物。
又治疗肉极寒证,肌肉变形,舌体痿软。名为恶风。腰脚疼痛软弱。小风引汤方。
独活、防风、茯苓、甘草(炙烤)、人参(各三两)、当归、干姜(各二两)、附子(一枚,炮制)
大豆(二升,熬制去皮)
以上九味药切碎。用水一斗,酒三升,煮取二升,去掉药渣。分为四份服用。白天三次,夜间一次。忌食猪肉、冷水、海藻、菘菜、醋等物。
又治疗肉极虚寒证,四肢倦怠乏力或咳嗽,胁下坚硬胀满疼痛,饮食没有欲望,想举手却无力。手足厥冷。忧恚思虑五膈丸方。
人参(十分)、附子(炮制)、干姜(各三分)、远志(二分,去心)、桂心、椒汗(花椒汁/炒椒)、麦门冬(去心)、甘草(炙烤,各五分)、细辛(四分)
以上九味药捣碎过筛。用蜂蜜调和制成如弹子大小的丸药。取一丸含在喉咙中,慢慢咽下。感觉胸中发热,药效尽后再服。每日三次,夜间一次。也可以制成梧桐子大小的丸药,每次十丸,用酒送服。忌食猪肉、冷水、海藻、菘菜、生葱、生菜。(均出自第八卷)
*Qianjin Fang* treats "Rou Ji" (Extreme Muscle Disorder) deficiency, manifesting as Pi Feng (Spleen Wind). When Yin Qi moves and triggers Shang Han (Cold Damage), the body feels heavy and lethargic. The limbs are unwilling to lift. There is joint pain. There is a lack of appetite for food. This is caused by extreme deficiency. Da Huang Jiu (Rhubarb Wine Decoction):
Da Huang (Rhei Radix et Rhizoma, processed with wine).
Huangqi (Astragali Radix), Baji Tian (Morindae Officinalis Radix, heart removed), Guixin (Cinnamomi Cortex), Shihu (Dendrobii Caulis), Shujiao (Zanthoxyli Pericarpium, stir-fried/sweated), Zexie (Alismatis Rhizoma), Fuling (Poria), Baizi Ren (Platycladi Semen), Ganjiang (Zingiberis Rhizoma) — each 3 liang.
Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix).
Yutou (Dioscoreae Rhizoma), Gualou (Trichosanthis Fructus).
Banxia (Pinelliae Rhizoma, washed).
The above twenty-three ingredients are chopped. Filtered through silk cloth and stored. Soaked in 3 dou of clear wine. In autumn and winter, soak for seven days; in spring and summer, soak for three days. Initially take 3 he. Gradually increase the dosage. Stop when mild numbness (Bi) is felt. Take twice daily. Avoid pork, mutton, peaches, plums, sparrow meat, raw vegetables, raw green onions, and vinegar (This entry corresponds to the abridged content in Volume 15).
The abridged formula treats Rou Ji deficiency-cold, resulting in Pi Ke (Spleen Cough). The condition presents as pain under the right hypochondrium, dull pain radiating to the shoulder and back. Movement is restricted; moving induces coughing. Abdominal distension and fullness. Retained fluids and phlegm masses. Difficulty in urination and defecation. Severe pain in the lower abdomen. Coldness above the diaphragm. Da Banxia Tang (Major Pinellia Decoction):
Banxia (Pinelliae Rhizoma, 1 sheng, washed), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fuzi (Aconiti Lateralis Radix Praeparata, processed), JuPi (Citri Reticulatae Pericarpium) — each 2 liang.
Shengjiang (Zingiberis Rhizoma Recens, 8 liang), Guixin (Cinnamomi Cortex, 3 liang).
The above nine ingredients are chopped. Boil in 1 dou of water until 3 sheng remains. Remove the dregs. Divide into four doses. Avoid mutton, malt sugar, peaches, plums, sparrow meat, raw green onions, seaweed, Songcai (Brassica rapa var. pekinensis/pak choi), pork, and cold water.
Another formula treats Rou Ji deficiency-cold, where skin pores are blocked, preventing external release. This is named Li Feng (Severe Wind). It involves internal deficiency and external excess. Symptoms include painful weakness in the waist and legs. Dafeng Yin Tang (Great Wind Infusion Decoction):
Duhuo (Angelicae Pubescentis Radix, 4 liang), Danggui (Angelicae Sinensis Radix), Fuling (Poria) — each 2 liang.
Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Fangfeng (Saposhnikoviae Radix) — each 2 liang.
Guixin (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata, processed) — each 1 liang.
Dadou (Sojae Semen Preparatum, 2 sheng, roasted and peeled).
The above eleven ingredients are chopped. Boil in 1 dou of water and 3 sheng of wine until 4 sheng remains. Remove the dregs. Divide into four doses. Take three times during the day and once at night. Avoid seaweed, Songcai, pork, raw green onions, and vinegar.
Another formula treats Rou Ji cold, characterized by muscle deformation and tongue flaccidity. This is named E Feng (Fear of Wind). Symptoms include painful weakness in the waist and legs. Xiaofeng Yin Tang (Minor Wind Infusion Decoction):
Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Renshen (Ginseng Radix) — each 3 liang.
Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma) — each 2 liang.
Fuzi (Aconiti Lateralis Radix Praeparata, processed, one piece).
Dadou (Sojae Semen Preparatum, 2 sheng, roasted and peeled).
The above nine ingredients are chopped. Boil in 1 dou of water and 3 sheng of wine until 2 sheng remains. Remove the dregs. Divide into four doses. Take three times during the day and once at night. Avoid pork, cold water, seaweed, Songcai, and vinegar.
Another formula treats Rou Ji deficiency-cold, presenting with lethargy in the four limbs or coughing, hardness, fullness, and pain in the hypochondrium, loss of appetite, inability to raise the arms due to weakness, and cold extremities. Youhui Silü Wuge Wan (Five Diaphragms Pill for Sorrow and Anger).
Renshen (Ginseng Radix, 10 fen), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Ganjiang (Zingiberis Rhizoma) — each 3 fen.
Yuanzhi (Polygalae Radix, 2 fen, heart removed), Guixin (Cinnamomi Cortex), Jiaohan (Zanthoxyli Pericarpium juice/stir-fried pepper), Maimendong (Ophiopogonis Tuber, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) — each 5 fen.
Xixin (Asari Radix et Rhizoma, 4 fen).
The above nine ingredients are pounded and sifted. Mix with honey to form pills the size of quail eggs. Place one pill in the throat and swallow slowly. When heat is felt in the chest and the medicinal effect subsides, take another dose. Take three times during the day and once at night. Alternatively, make pills the size of sophora seeds, ten pills per dose, taken with wine. Avoid pork, cold water, seaweed, Songcai, raw green onions, and raw vegetables. (All extracted from Volume 8).