病源虚劳则肾气不足。伤于冲脉。冲脉为阴脉之海。起于关元。(穴在脐下)随腹直上
至
咽喉
口脉
少腹
后。
干呕
第
深师黄 汤。疗大虚不足。少腹里急。劳寒拘引。脐气上冲胸。短气。言语谬误。不能
食。吸吸气乏闷乱者方。
黄 (三两) 半夏(一升洗) 大枣(二十枚擘) 生姜(四两) 桂心(四两) 芍
药(四两) 人参(二两) 甘草(二两炙)
上八味切。以水一斗二升。煮取四升。分四服。日夜再。若手足冷加附子一两。忌生葱
海藻菘菜羊肉饧。
又大建中汤。疗内虚绝。里急少气。手足厥逆。少腹挛急。或腹满弦急不能食。起即微
汗出。阴缩。或腹中寒痛。不堪劳苦。唇口舌干。精自出。或手足乍寒乍热。而烦苦酸疼。
不
黄 (四两) 人参(二两) 大枣(二十枚擘) 当归(二两) 桂心(六两) 生
姜(一斤)
半夏(一升洗) 芍药(四两) 附子(一两炮) 甘草(二两炙)
上十味切。以水一斗二升。煮取四升。分四服。先服后食。忌海藻菘菜生葱猪羊肉饧冷
水等。
又乐令黄 汤。疗虚劳少气。胸心痰冷。时惊惕心中悸动。手足逆冷。体常自汗。补诸
不足。五脏六腑虚损。肠鸣风湿。荣卫不调百病。又治风里急方。
黄 (二两) 当归(三两) 乌头(三两炮去皮尖四片入蜜炙之令黄色) 桂心(三
两) 生
姜(四两) 蜀椒(二两汗) 人参(二两) 芍药(二两) 大枣(二十枚擘) 茯苓(二
两) 远志(二两去心)
上十二味切。以水一斗五升。煮取四升。分服八合。日三夜再。忌生葱羊肉饧猪肉冷水
大酢。(千金有橘皮细辛前胡甘草麦门冬无乌头蜀椒远志为十四味)
集验疗虚劳里急诸不足。黄 建中汤方。
黄 (三两) 桂心(三两) 甘草(三两炙) 芍药(二两) 生姜(四两) 大枣
(十二枚擘)饴糖(一斤)
上七味切。以水一斗二升。煮取六升。去滓。纳饴糖。令消。适寒温。服一升。间日可
作。
恐是
古今录验黄 汤。主虚劳里急。引少腹绞痛。极挛。卵肿缩疼痛方。
黄 (三两) 甘草(三两炙) 桂心(二两) 芍药(六两) 生姜(一斤) 大枣
(十二枚擘) 饴糖(半斤)
上七味切。以水一斗二升。煮取三升。去滓。纳糖令消。分服一升。呕即除饴糖。忌海
藻菘菜生葱。
又黄 汤。疗虚劳里急。少腹痛。气引胸胁痛。或心痛短气方。
芍药(六两) 黄 (四两) 甘草(二两炙) 桂心(二两) 干姜(四两) 当归
(四两) 大
枣(十二枚) 饴糖(六两)
上八味切。以水一斗。煮取三升。去滓。下饴糖令消。分三服。忌海藻生葱菘菜。(并
出第二十三卷中)
病因源于虚劳导致肾气不足。损伤了冲脉。冲脉是阴经之海。(穴位在脐下)沿腹部直上至咽喉、口、脉、少腹后方。出现干呕等症状。
《深师方》中的黄汤。治疗大虚不足。少腹内部拘急疼痛。因劳累受寒引起的牵引痛。脐部之气上冲至胸部。呼吸短促。言语错乱。无法进食。吸气时感到憋闷混乱的病症。
药材:黄(三两)、半夏(一升,洗净)、大枣(二十枚,掰开)、生姜(四两)、桂心(四两)、芍药(四两)、人参(二两)、甘草(二两,炙烤)。
以上八味药切碎。用水一斗二升,煮取四升药液。分四次服用,白天和晚上各两次。如果手脚冰冷,加附子一两。忌食生葱、海藻、菘菜(白菜类)、羊肉、饴糖。
又方:大建中汤。治疗内脏极度虚弱。里急少气。手脚冰凉。少腹肌肉挛急。或者腹部胀满弦急不能进食。起身即微微出汗。阴器收缩。或者腹中寒冷疼痛。不堪忍受劳苦。嘴唇、口腔、舌头干燥。精液自出。或者手脚忽冷忽热,且烦躁痛苦酸痛。
药材:黄(四两)、人参(二两)、大枣(二十枚,掰开)、当归(二两)、桂心(六两)、生姜(一斤)、半夏(一升,洗净)、芍药(四两)、附子(一两,炮制)、甘草(二两,炙烤)。
以上十味药切碎。用水一斗二升,煮取四升药液。分四次服用。先服药后吃饭。忌食海藻、菘菜、生葱、猪羊肉、饴糖、冷水等。
又方:乐令黄汤。治疗虚劳少气。胸心部位痰湿寒冷。时常惊恐惕动,心中悸动。手脚逆冷。身体经常自汗。补益各种不足。五脏六腑虚损。肠鸣风湿。营卫不调百病。又治疗风邪引起的里急症。
药材:黄(二两)、当归(三两)、乌头(三两,炮制,去皮尖,切成四片,入蜜炙烤至黄色)、桂心(三两)、生姜(四两)、蜀椒(二两,出汗/炒去汗)、人参(二两)、芍药(二两)、大枣(二十枚,掰开)、茯苓(二两)、远志(二两,去心)。
以上十二味药切碎。用水一斗五升,煮取四升药液。每次服用八合。白天三次,晚上两次。忌食生葱、羊肉、饴糖、猪肉、冷水、大醋。(《千金方》中有橘皮、细辛、前胡、甘草、麦门冬,无乌头、蜀椒、远志,共十四味)。
药材:黄(三两)、桂心(三两)、甘草(三两,炙烤)、芍药(二两)、生姜(四两)、大枣(十二枚,掰开)、饴糖(一斤)。
以上七味药切碎。用水一斗二升,煮取六升药液。滤去药渣。加入饴糖,使其融化。温度适宜时,服用一升。可以隔日制作服用。
可能是《古今录验》中的黄汤。主治虚劳里急。牵引少腹绞痛。极度挛急。睾丸肿胀收缩疼痛。
药材:黄(三两)、甘草(三两,炙烤)、桂心(二两)、芍药(六两)、生姜(一斤)、大枣(十二枚,掰开)、饴糖(半斤)。
以上七味药切碎。用水一斗二升,煮取三升药液。滤去药渣。加入糖使其融化。分次服用一升。如果出现呕吐,则去除饴糖。忌食海藻、菘菜、生葱。
又方:黄汤。治疗虚劳里急。少腹痛。气机牵引胸胁痛。或者心痛、短气。
药材:芍药(六两)、黄(四两)、甘草(二两,炙烤)、桂心(二两)、干姜(四两)、当归(四两)、大枣(十二枚)、饴糖(六两)。
以上八味药切碎。用水一斗,煮取三升药液。滤去药渣。加入饴糖使其融化。分三次服用。忌食海藻、生葱、菘菜。(均出自第二十三卷中)
The etiology stems from deficiency-lao (consumptive disease) leading to insufficiency of Kidney Qi. This injures the Chong Mai (Penetrating Vessel). The Chong Mai is the sea of Yin vessels. It originates at Guan Yuan (CV4, an acupoint located below the umbilicus) and ascends straight up along the abdomen to the throat, mouth, pulse, and lower abdomen posteriorly. Symptoms include dry heaving.
Shen Shi Huang Tang (Deep Master Cinnamon Twig Decoction) from *Shen Shi Fang*. Treats severe deficiency and insufficiency. Lower abdominal internal urgency and tension. Cramping and pulling pain caused by labor and cold. Qi rushing from the navel up to the chest. Shortness of breath. Erratic speech. Inability to eat. Sensation of stifling and confusion upon inhalation.
Ingredients: Huangqi (Astragali Radix, 3 liang), Banxia (Pinelliae Rhizoma, 1 sheng, washed), Dazao (Ziziphi Jujubae Fructus, 20 pieces, split), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Guixin (Cinnamomi Cortex, 4 liang), Shaoyao (Paeoniae Radix Alba, 4 liang), Renshen (Ginseng Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried).
Cut the above eight herbs. Boil in 12 dou of water until 4 sheng remains. Divide into four doses. Take twice during the day and twice at night. If hands and feet are cold, add Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang). Avoid raw green onions, Algae (Seaweed), Songcai (Brassica vegetables), mutton, and Yitang (malt sugar).
Another formula: Da Jian Zhong Tang (Great Construct the Middle Decoction). Treats extreme internal deficiency, internal urgency with shortness of breath. Cold extremities. Cramping and tension in the lower abdomen. Or abdominal fullness with stringy tension, inability to eat. Slight sweating upon rising. Contraction of the genitalia. Or cold pain in the abdomen, intolerance to fatigue. Dry lips, mouth, and tongue. Spontaneous emission of essence. Or alternating cold and heat in hands and feet, accompanied by irritability, bitterness, soreness, and pain.
Ingredients: Huangqi (Astragali Radix, 4 liang), Renshen (Ginseng Radix, 2 liang), Dazao (Ziziphi Jujubae Fructus, 20 pieces, split), Danggui (Angelicae Sinensis Radix, 2 liang), Guixin (Cinnamomi Cortex, 6 liang), Shengjiang (Zingiberis Rhizoma Recens, 1 jin), Banxia (Pinelliae Rhizoma, 1 sheng, washed), Shaoyao (Paeoniae Radix Alba, 4 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried).
Cut the above ten herbs. Boil in 12 dou of water until 4 sheng remains. Divide into four doses. Take medicine before food. Avoid algae, Songcai (Brassica vegetables), raw green onions, pork, mutton, Yitang (malt sugar), and cold water.
Another formula: Ling Ling Huangqi Tang (Minister Ling's Astragalus Decoction). Treats deficiency-lao with shortness of breath. Phlegm-cold in the chest and heart. Frequent fright and palpitations. Cold extremities. Spontaneous sweating. Tonifies various deficiencies. Deficiency and damage of the five Zang and six Fu organs. Intestinal murmuring due to wind-damp. Disharmony of Ying and Wei causing hundred diseases. Also treats interior urgency caused by wind pathogen.
Ingredients: Huangqi (Astragali Radix, 2 liang), Danggui (Angelicae Sinensis Radix, 3 liang), Wutou (Aconiti Radix, 3 liang, processed, skin and tip removed, cut into four slices, honey-fried until yellow), Guixin (Cinnamomi Cortex, 3 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Shujiao (Zanthoxyli Pericarpium, 2 liang, sweat removed/roasted), Renshen (Ginseng Radix, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Dazao (Ziziphi Jujubae Fructus, 20 pieces, split), Fuling (Poria, 2 liang), Yuanzhi (Polygalae Radix, 2 liang, heart removed).
Cut the above twelve herbs. Boil in 15 dou of water until 4 sheng remains. Take 8 ge per dose. Three times during the day, twice at night. Avoid raw green onions, mutton, Yitang (malt sugar), pork, cold water, and strong vinegar. (*Qian Jin Fang* contains Chenpi (Citri Reticulatae Pericarpium), Xixin (Asari Radix et Rhizoma), Qianhu (Peucedani Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Maimendong (Ophiopogonis Radix); lacks Wutou, Shujiao, Yuanzhi; total fourteen ingredients).
Ji Yan Fang treats deficiency-lao, interior urgency, and various deficiencies: Huangqi Jianzhong Tang (Astragalus Construct the Middle Decoction).
Ingredients: Huangqi (Astragali Radix, 3 liang), Guixin (Cinnamomi Cortex, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried), Shaoyao (Paeoniae Radix Alba, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Dazao (Ziziphi Jujubae Fructus, 12 pieces, split), Yitang (Malt Sugar, 1 jin).
Cut the above seven herbs. Boil in 12 dou of water until 6 sheng remains. Strain. Add Yitang (malt sugar) and dissolve. Take 1 sheng when temperature is suitable. Can be prepared every other day.
This may be Huangqi Tang (Astragalus Decoction) from *Gu Jin Lu Yan*. Mainly treats deficiency-lao with interior urgency. Pulling绞痛 (colicky pain) in the lower abdomen. Extreme cramping. Swelling and contraction of the testes with pain.
Ingredients: Huangqi (Astragali Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried), Guixin (Cinnamomi Cortex, 2 liang), Shaoyao (Paeoniae Radix Alba, 6 liang), Shengjiang (Zingiberis Rhizoma Recens, 1 jin), Dazao (Ziziphi Jujubae Fructus, 12 pieces, split), Yitang (Malt Sugar, 0.5 jin).
Cut the above seven herbs. Boil in 12 dou of water until 3 sheng remains. Strain. Add sugar and dissolve. Divide into doses of 1 sheng. If vomiting occurs, remove Yitang (malt sugar). Avoid algae, Songcai (Brassica vegetables), raw green onions.
Another formula: Huangqi Tang (Astragalus Decoction). Treats deficiency-lao with interior urgency. Lower abdominal pain. Qi pulling causing chest and hypochondriac pain. Or heart pain and shortness of breath.
Ingredients: Shaoyao (Paeoniae Radix Alba, 6 liang), Huangqi (Astragali Radix, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried), Guixin (Cinnamomi Cortex, 2 liang), Jiangtang (Dried Ginger, 4 liang), Danggui (Angelicae Sinensis Radix, 4 liang), Dazao (Ziziphi Jujubae Fructus, 12 pieces), Yitang (Malt Sugar, 6 liang).
Cut the above eight herbs. Boil in 1 dou of water until 3 sheng remains. Strain. Add Yitang (malt sugar) and dissolve. Divide into three doses. Avoid algae, raw green onions, Songcai (Brassica vegetables). (All extracted from Volume 23).