治湿热成痿,以燥金受湿热之邪,绝寒水生化之源。绝则肾亏,痿厥之病大作,腰以下
痿软瘫痪,不能动履者,宜服。
方见湿门
治胃虚不食,四肢痿弱,行立不能,皆由阳明虚,宗筋无所养,遂成痿 。
藿香 白术 神曲(炒) 白茯苓 乌药 缩砂 半夏曲 薏苡仁 人参(以上各一钱
半) 荜澄茄 甘草(炒,各一钱)
上作一服,水二盅,生姜五片,枣二枚,煎至一盅,不拘时服。
治前阴如冰冷,并阴汗,两脚痿软无力。
黄 (去芦,一钱半) 人参(去芦) 干葛 白茯苓(去皮) 猪苓 升麻(以上各
一钱) 柴胡(去芦) 当归身 羌活 连翘 黄柏(炒) 泽泻 苍术 神曲 知母 防
风陈皮 甘草(炙,各半钱)
上作一服,水二盅,煎至一盅,空心热服,忌酒湿面。
治面色痿黄,脚痿弱无力,阴汗出。
麻黄 柴胡(各六分) 白术 酒黄柏 猪苓 白茯苓(去皮) 升麻(以上各一钱) 防
风(去芦) 苍术(各一钱半) 泽泻(二钱)
上作一服,水二盅,煎至一盅,食前热服,候一时才饮食。
治四肢疼痛软弱,行步不便。
川芎(一两半) 桂心 干姜(炮) 甘草(炙,以上各一两) 川乌头(八两,切作
片,水浸一宿,切作算子条,更以米泔浸一宿,不洗,日干,麸炒微赤为度,干了秤)
上为细末,每服二钱,温盐酒调下,日进三服。
治疗因湿热导致的痿证,这是由于燥金(肺)受到湿热邪气的侵袭,断绝了寒水(肾)生化之源。源头断绝则肾脏亏虚,导致严重的痿厥病,表现为腰部以下肢体痿软瘫痪,无法行走活动者,适宜服用此方。
方剂见“湿门”章节。
治疗胃气虚弱导致的不思饮食、四肢痿弱无力、站立和行走困难,这些症状皆因阳明经(胃与大肠)虚弱,宗筋(泛指生殖器及周围筋膜,主束骨而利关节)得不到滋养,从而形成痿证。
药材:藿香、白术、神曲(炒制)、白茯苓、乌药、缩砂仁、半夏曲、薏苡仁、人参(以上各一钱半);荜澄茄、甘草(炒制,各一钱)。
以上药材作为一剂,加水两盅,生姜五片,大枣二枚,煎煮至一盅,不拘泥于固定时间服用。
治疗前阴部感觉如冰冷般,伴有阴汗,双脚痿软无力。
药材:黄芪(去芦头,一钱半)、人参(去芦头)、干葛根、白茯苓(去皮)、猪苓、升麻(以上各一钱);柴胡(去芦头)、当归身、羌活、连翘、黄柏(炒制)、泽泻、苍术、神曲、知母、防风、陈皮、甘草(炙制,各半钱)。
以上药材作为一剂,加水两盅,煎煮至一盅,空腹时热服,忌食酒、湿面及生冷食物。
治疗面色萎黄,脚部痿弱无力,伴有阴汗流出。
药材:麻黄、柴胡(各六分);白术、酒制黄柏、猪苓、白茯苓(去皮)、升麻(以上各一钱);防风(去芦头)、苍术(各一钱半);泽泻(二钱)。
以上药材作为一剂,加水两盅,煎煮至一盅,饭前热服,服药后等待一个时辰(约两小时)再进食。
治疗四肢疼痛且软弱无力,行走不便。
药材:川芎(一两半)、桂心、干姜(炮制)、甘草(炙制,以上各一两);川乌头(八两,切成片,用水浸泡一夜,再切成算盘珠大小的条状,再用米泔水浸泡一夜,不清洗,晒干后,用麦麸炒至微红色为度,干燥后称重)。
将上述药材研成细末,每次服用二钱,用温热的盐水酒调服,每日服用三次。
To treat flaccidity syndrome (Wei Syndrome) caused by damp-heat, where the Metal element (Lung) is affected by damp-heat pathogens, severing the source of generation for Water (Kidney). When the source is severed, Kidney deficiency occurs, leading to severe Wei-Jue syndrome, characterized by flaccid paralysis and weakness below the waist, inability to move or walk. The following prescription is suitable.
See the "Dampness Section" for the formula.
To treat loss of appetite due to Stomach Qi deficiency, flaccidity and weakness of the four limbs, and inability to stand or walk. These conditions arise from deficiency in the Yangming channel (Stomach and Large Intestine), resulting in the Zongjin (tendons/membranes that bind bones and facilitate joint movement) lacking nourishment, thereby forming flaccidity syndrome.
Herbs: Huoxiang (Agastache Herba), Baizhu (Atractylodis Rhizoma), Shenqu (Massa Medicata Fermentata, stir-fried), Bai Fuling (Poria), Wuyao (Linderae Radix), Suosha (Amomi Fructus), Banxia Qu (Pinelliae Fermented Powder), Yiyiren (Coicis Semen), Renshen (Ginseng Radix et Rhizoma) (each 1.5 qian above); Bichengqie (Schaefferia Fruit), Gancao (Licorice Root, stir-fried) (each 1 qian).
Take all as one dose, add two zhong of water, five slices of Shengjiang (Zingiberis Rhizoma Recens), and two dates (Jujubae Fructus). Decoct until one zhong remains. Take at any time without restriction.
To treat a sensation of cold in the anterior yin region, accompanied by sweating in the genital area, and flaccidity and weakness in both feet.
Herbs: Huangqi (Astragali Radix, remove radicle, 1.5 qian), Renshen (Ginseng Radix et Rhizoma, remove radicle), Gange (Puerariae Radix), Bai Fuling (Poria, remove bark), Zhuling (Polyporus), Shengma (Cimicifugae Rhizoma) (each 1 qian above); Chaihu (Bupleuri Radix, remove radicle), Danggui Shen (Angelicae Sinensis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Lianqiao (Forsythiae Fructus), Huangbai (Phellodendri Cortex, stir-fried), Zexie (Alismatis Rhizoma), Cangzhu (Atractylodis Rhizoma), Shenqu (Massa Medicata Fermentata), Zhiimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Licorice Root, honey-fried) (each 0.5 qian).
Take all as one dose, add two zhong of water. Decoct until one zhong remains. Take hot on an empty stomach. Avoid alcohol, damp-producing foods, and wheat products.
To treat sallow complexion, flaccidity and weakness in the legs, and sweating in the genital area.
Herbs: Mahuang (Ephedrae Herba), Chaihu (Bupleuri Radix) (each 6 fen); Baizhu (Atractylodis Rhizoma), Jiu Huangbai (Phellodendri Cortex processed with wine), Zhuling (Polyporus), Bai Fuling (Poria, remove bark), Shengma (Cimicifugae Rhizoma) (each 1 qian above); Fangfeng (Saposhnikoviae Radix, remove radicle), Cangzhu (Atractylodis Rhizoma) (each 1.5 qian); Zexie (Alismatis Rhizoma) (2 qian).
Take all as one dose, add two zhong of water. Decoct until one zhong remains. Take hot before meals. Wait one shichen (approx. 2 hours) before eating.
To treat pain and weakness in the four limbs, making walking difficult.
Herbs: Chuanxiong (Ligustici Chuanxiong Rhizoma) (1.5 liang), Guixin (Cinnamomi Ramulus), Jiangjiang (Zingiberis Rhizoma, processed), Gancao (Licorice Root, honey-fried) (each 1 liang above); Chuan Wutou (Aconiti Radix Preparata) (8 liang, sliced, soaked in water overnight, cut into strips like abacus beads, soaked again in rice wash water overnight, do not wash, dry in sun, stir-fry with bran until slightly red, then dry and weigh).
Grind into fine powder. Take 2 qian per dose, mixed with warm salted wine. Take three times daily.