遗精,下病也。健忘,上病也。何以分(合)治之而咸当乎?方用∶
人参(三两) 莲须(二两) 芡实(三两) 熟地(五两) 五味子(一两) 山药
(四
柏子仁(一两
此症遗精,是肾水之虚;而实本是君火之弱。今补其心君,则玉关不必闭而自闭矣。〔所
谓
泄泻者,寒也。吞酸者,火也。似乎寒热殊而治法变矣。不知吞酸虽热,由于肝气之郁
结;
矣。不若一方而两治之为愈也。方用∶
柴胡(一钱) 白芍(五钱) 茯苓(三钱) 陈皮(五分) 车前子(一钱) 神曲
(五分) 甘草(
此方妙在白芍善舒肝木之郁,木郁一舒,上不克胃而下不克脾。方中又有茯苓、车前,
以分
中气、中痰,虽若中之异,而实皆中于气之虚也。气虚自然多痰,痰多必然耗气,虽分
而实合耳。〔方用〕
人参(一两) 半夏(三钱) 南星(三钱) 茯苓(三钱) 附子(一钱) 甘草(一
钱) 水煎服
盖人参原是气分之神剂,而亦消痰之妙药;半夏、南星虽是逐痰之神品,而亦可扶气之
正药;附子、甘草,一仁一勇,相济而成。
人以为肾之虚也,〔岂知〕不独肾病也,〔亦〕心病也。宜心肾兼治,方用∶
熟地(五两) 山药(四两) 山萸(四两) 茯苓(三两) 北五味(一两) 肉桂
(一
苁
两)
上共为末,炼蜜为丸,〔早、晚白水送下各五钱〕。
此方用熟地、山药、山萸之类,补肾也;巴戟、苁蓉、附子、鹿茸,补肾中之火也,可
以已矣,而又必加人参、茯苓、柏子仁、麦冬、远志、枣仁者,何也?盖肾中之火虚,由于
心中之火虚也;使补肾火,心火不益,则反增上焦枯竭。欲补肾火,则必须补心火,则水火
相济矣。
又一说,方内加白芍三两。
遗精,属于下部的病证;健忘,属于上部的病证。为什么可以合并治疗而都恰当呢?方剂用:人参(三两)、莲须(二两)、芡实(三两)、熟地黄(五两)、五味子(一两)、山药(四两)、柏子仁(一两)。
此症出现遗精,是肾水亏虚;而其根本原因是心君之火虚弱。现在补益心君,那么玉关(指精关)不必刻意关闭而自然闭合了。〔所谓……〕
泄泻,属于寒证;吞酸,属于热证。似乎寒热性质不同,治疗方法也就变了。不知道吞酸虽然表现为热,是由于肝气郁结所致;〔治法应疏肝理气〕。不如用一方同时治疗两种病症更为妥当。方剂用:柴胡(一钱)、白芍(五钱)、茯苓(三钱)、陈皮(五分)、车前子(一钱)、神曲(五分)、甘草(一钱)。
此方妙处在于白芍善于舒展肝木的郁结,肝木郁结一旦舒展,向上就不克制胃,向下就不克制脾。方中又有茯苓、车前子,以分消〔湿浊〕。
中气不足与中痰阻滞,虽然看似中焦的病证不同,但实际上都是因为中气虚弱所致。气虚自然容易产生痰,痰多必然耗伤正气,虽然分开论述,实则合为一体。〔方剂用〕人参(一两)、半夏(三钱)、天南星(三钱)、茯苓(三钱)、附子(一钱)、甘草(一钱),水煎服。
因为人参原本是补气分的特效药,同时也是消除痰浊的妙药;半夏、天南星虽然是驱逐痰浊的神品,但也可以作为扶助正气的药物;附子、甘草,一个仁爱温和,一个刚勇迅猛,相互济助而成效。
人们认为这是肾脏的虚损,〔哪里知道〕不仅仅是肾病,也是心病。应当心肾兼治,方剂用:熟地黄(五两)、山药(四两)、山茱萸(四两)、茯苓(三两)、北五味子(一两)、肉桂(一钱)、巴戟天(一两)、肉苁蓉(一两)、附子(一钱)、鹿茸(一两)。
以上药物共同研为细末,用炼蜜制成丸药,〔早晚用白开水送服,每次五钱〕。
此方使用熟地黄、山药、山茱萸之类,是为了补肾;使用巴戟天、肉苁蓉、附子、鹿茸,是为了补肾中的命门之火,这就可以了,但又必须加入人参、茯苓、柏子仁、麦冬、远志、酸枣仁,为什么呢?因为肾中的火虚,是由于心中的火虚造成的;如果只补肾火,不补益心火,反而会增加上焦的枯竭。想要补肾火,就必须补心火,这样水火就能相互济助了。
另一种说法,方剂内加入白芍三两。
Spermatorrhea is a disease of the lower part; forgetfulness is a disease of the upper part. How can they be treated together and be appropriate? The prescription is: Ren Shen (Ginseng Radix et Rhizoma, 3 liang), Lian Xu (Lotus Stamen, 2 liang), Qian Shi (Euryale Seed, 3 liang), Shu Di Huang (Prepared Rehmannia Root, 5 liang), Wu Wei Zi (Schisandra Fruit, 1 liang), Shan Yao (Dioscorea Rhizome, 4 liang), Bai Zi Ren (Biota Seed, 1 liang).
This condition of spermatorrhea is due to the deficiency of Kidney Water; its root cause is actually the weakness of the Heart Fire (Ministerial Fire/Heart Yang). By tonifying the Heart Monarch now, the Jade Gate (Jing Guan, gate of essence) will close naturally without being forcibly closed. [So-called...]
Diarrhea is a cold syndrome; acid regurgitation is a heat syndrome. It seems that cold and heat are distinct and treatment methods differ. However, one does not realize that although acid regurgitation manifests as heat, it arises from the stagnation of Liver Qi. [The treatment should soothe the Liver.] It is better to treat both conditions with one prescription for superior results. The prescription is: Chai Hu (Bupleurum Root, 1 qian), Bai Shao (White Peony Root, 5 qian), Fu Ling (Poria, 3 qian), Chen Pi (Citrus Reticulata Peel, 5 fen), Che Qian Zi (Plantago Seed, 1 qian), Shen Qu (Medicated Leaven, 5 fen), Gan Cao (Licorice Root, 1 qian).
The brilliance of this prescription lies in Bai Shao's ability to soothe the stagnation of Liver Wood. Once the stagnation of Liver Wood is relieved, it no longer overacts on the Stomach above nor on the Spleen below. The prescription also contains Fu Ling and Che Qian Zi to drain [dampness].
Deficiency of Middle Qi and phlegm obstruction in the Middle Jiao, although seemingly different diseases of the middle, are essentially both caused by the deficiency of Middle Qi. Qi deficiency naturally leads to more phlegm production, and excessive phlegm inevitably consumes Qi. Although discussed separately, they are essentially united. [Prescription:] Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Ban Xia (Pinellia Tuber, 3 qian), Nan Xing (Arisaema Cum Bile, 3 qian), Fu Ling (Poria, 3 qian), Fu Zi (Aconite Lateralis Radix Praeparata, 1 qian), Gan Cao (Licorice Root, 1 qian), decocted in water and taken orally.
Ren Shen is originally a divine agent for tonifying Qi and also a wonderful medicine for eliminating phlegm; Ban Xia and Nan Xing, although divine products for expelling phlegm, can also serve as correct medicines for supporting Qi; Fu Zi and Gan Cao, one benevolent and gentle, the other brave and vigorous, complement each other to achieve efficacy.
People consider this to be a deficiency of the Kidney, [but who knows] it is not only a Kidney disease but also a Heart disease. One should treat both the Heart and Kidney simultaneously. The prescription is: Shu Di Huang (Prepared Rehmannia Root, 5 liang), Shan Yao (Dioscorea Rhizome, 4 liang), Shan Yu Rou (Cornus Fruit, 4 liang), Fu Ling (Poria, 3 liang), Bei Wu Wei Zi (Schisandra Fruit, 1 liang), Rou Gui (Cinnamon Bark, 1 qian), Ba Ji Tian (Morinda Officinalis Root, 1 liang), Rou Cong Rong (Cistanche Stem, 1 liang), Fu Zi (Aconite Lateralis Radix Praeparata, 1 qian), Lu Rong (Deer Antler, 1 liang).
Grind all the above into fine powder, form pills with refined honey, [take 5 qian each morning and evening, washed down with plain water].
This prescription uses Shu Di Huang, Shan Yao, Shan Yu Rou, etc., to tonify the Kidney; Ba Ji Tian, Rou Cong Rong, Fu Zi, Lu Rong to tonify the Fire within the Kidney (Ming Men Fire); this would suffice. But why must one additionally add Ren Shen, Fu Ling, Bai Zi Ren, Mai Dong (Ophiopogon Tuber), Yuan Zhi (Polygala Root), Suan Zao Ren (Ziziphus Seed)? Because the deficiency of Fire in the Kidney stems from the deficiency of Fire in the Heart; if one tonifies Kidney Fire without benefiting Heart Fire, it will instead increase the dryness and depletion of the Upper Jiao. To tonify Kidney Fire, one must necessarily tonify Heart Fire, so that Water and Fire will mutually support each other.
Another view adds Bai Shao (White Peony Root) at 3 liang to the prescription.