治肺胃燥热。痰涩咳嗽。
天门冬(去心。) 麦门冬(去心等分)
上二味。熬膏。炼白蜜收。不时噙热咽之。
固本丸 治老人津血俱亏。咳逆便秘。
二冬膏加生熟地黄。与本方二冬各八两。人参四两。蜜丸。酒下四钱。熬膏尤宜。食少便滑
禁用。固本丸虽主扶
阴抑阳。然四味纯阴之性。仅用少许人参。已觉味胜于气矣。而世本此方二冬二地各用八两。
人参二两。几几乎群阴剥阳之象。况复举世医流。往往削去人参。盍知阴柔之味。不得阳和之力。
每致夺食作泻。内经所谓无阳则阴无以化。安望其有补益之验欤。或问近世病家吝惜多金。医家
迎合鄙性。往往用参汤服丸。此法可否。曰。此曲突徙薪之法也。鄙夫但知人参珍贵。以为入口便补。
不知配合之妙。全在佐使得宜。若用参汤送丸。则参力先行。至丸化时参力相去已远。非若膏剂
之用参汤调服。仍得并力奏功也。
集灵膏 治久嗽气血俱虚。不能送痰而出。
固本丸中二冬、二地各十两。人参六两。加枸杞六两。熬膏蜜收。如血虚便难。加归身。脾弱便溏。
加白术。以糖霜代蜜收之。
三才丸 治气血俱虚。精神不固。元阳失合者宜之。
二冬膏去麦门冬。加人参、熟地。等分。蜜丸服之。加黄柏、甘草、砂仁。名三才封髓丹。
甘露饮(局方) 治胃中客热烦躁。口鼻咽疮。牙宣口臭。
二冬膏加生地黄、熟地黄、茵陈、枳壳、黄芩、石斛、甘草、枇杷叶。
治疗肺胃燥热。痰液黏稠导致咳嗽不畅。
天门冬(去除中心木质部分)。麦门冬(去除心,与天门冬等量)
以上两味药。熬制成膏。用炼过的白蜜收膏。随时含服,温热后咽下。
固本丸 治疗老年人津液和血液都亏损。咳嗽气逆、大便秘结。
二冬膏中加入生地黄和熟地黄。与本方中的天门冬、麦门冬各八两。人参四两。制成蜜丸。用酒送服四钱。熬成膏剂更为适宜。如果饮食减少且大便稀溏,则禁用。固本丸虽然主要作用是扶持阴气、抑制阳气,然而这四味药都是纯阴性质的,仅使用少量人参,就已经觉得味道胜过补气之力了。而世间流传的这个方子,天门冬、麦门冬、生地黄、熟地黄各用八两,人参只用二两,几乎呈现出群阴剥蚀阳气的景象。况且当今世间的医生们,往往去掉人参。怎知道阴柔的药物,得不到阳气和煦的力量,常常导致损伤食欲、引起腹泻。《内经》所说的“没有阳气,阴精就无法化生”,哪里能指望它有补益的效果呢?有人问:近代病人吝啬钱财,医生迎合这种卑下的习性,往往用人参汤送服丸药。这种方法可以吗?回答说:这是曲突徙薪的方法啊。浅薄的人只知道人参珍贵,认为吃进去就是补益。不知道配伍的奥妙,全在于佐使药的配合得当。如果用人参汤送服丸药,那么人参的药力先发挥作用,等到丸药消化时,人参的药力已经消散得很远了,不像膏剂用人参汤调服,还能合力奏效。
集灵膏 治疗久咳导致气血都虚弱。不能推动痰液排出。
固本丸中,天门冬、麦门冬、生地黄、熟地黄各十两。人参六两。加入枸杞六两。熬成膏,用蜜收。如果血虚导致大便困难,加入当归身。脾弱导致大便稀溏,加入白术。用糖霜代替蜜来收膏。
三才丸 治疗气血都虚弱,精神不稳固,元阳失去契合的人适宜服用。
二冬膏去掉麦门冬。加入人参、熟地黄。等分。制成蜜丸服用。加入黄柏、甘草、砂仁,名叫三才封髓丹。
甘露饮(出自《局方》) 治疗胃中有客热烦躁。口、鼻、咽喉生疮。牙龈出血口臭。
二冬膏加入生地黄、熟地黄、茵陈、枳壳、黄芩、石斛、甘草、枇杷叶。
Treats dryness-heat in the Lung and Stomach. Phlegm obstruction with coughing.
Tianmendong (Asparagi Radix, remove the heart). Maimendong (Ophiopogonis Radix, remove the heart, equal parts)
The above two herbs. Decoct into a paste. Collect with refined white honey. Hold in the mouth as needed, swallow warm.
Guben Wan (Solidify the Root Pill) Treats elderly patients with deficiency of both Jin-Ye (body fluids) and Blood. Cough with counterflow qi, constipation.
Add Shengdihuang (Rehmanniae Radix) and Shudihuang (Rehmanniae Radix Preparata) to Erdong Gao (Two Winter Melon Paste). In this formula, Tianmendong and Maimendong are each used in 8 liang. Renshen (Ginseng Radix et Rhizoma) 4 liang. Make into honeyed pills. Administer 4 qian with wine. Making into a paste is even more suitable. Contraindicated for those with poor appetite and loose stools. Although Guben Wan mainly aims to support Yin and suppress Yang, the four ingredients are purely Yin in nature. With only a small amount of Renshen, it is already felt that the flavor outweighs the Qi-tonifying power. However, in the version circulating among people today, Tianmendong, Maimendong, Shengdihuang, and Shudihuang are each used in 8 liang, while Renshen is only 2 liang. This almost presents a scenario where a group of Yin ingredients peels away Yang. Moreover, many physicians of the world often remove Renshen from this prescription. How can one know that Yin-soft flavors, without the warming power of Yang, often lead to loss of appetite and diarrhea? The *Neijing* states, "Without Yang, Yin cannot be transformed." How can one expect any tonifying effect? Someone asks: In recent times, patients are stingy with money, and physicians cater to this base nature, often using Renshen decoction to wash down the pills. Is this method acceptable? I reply: This is like bending the chimney and moving the firewood (a metaphor for preventive treatment or addressing the root cause improperly). The vulgar person only knows Renshen is precious and thinks swallowing it directly is tonifying. They do not understand the subtlety of compatibility, which lies entirely in the appropriate use of assistant and guide drugs. If Renshen decoction is used to wash down the pills, the power of Renshen acts first; by the time the pill dissolves, the power of Renshen has long dissipated. This is not like using Renshen decoction to mix with the paste, where they can work together to achieve efficacy.
Jiling Gao (Collecting Spirit Paste) Treats chronic cough leading to deficiency of both Qi and Blood. Inability to expel phlegm.
In Guben Wan, Tianmendong, Maimendong, Shengdihuang, and Shudihuang are each 10 liang. Renshen 6 liang. Add Gouqi (Lycii Fructus) 6 liang. Decoct into a paste, collect with honey. If Blood deficiency causes difficulty in defecation, add Danggui Shen (Angelicae Sinensis Radix). If Spleen weakness causes loose stools, add Baizhu (Atractylodis Macrocephalae Rhizoma). Use rock sugar instead of honey to collect the paste.
Sancai Wan (Three Talents Pill) Suitable for those with deficiency of both Qi and Blood, unstable spirit, and mismatched Yuan-Yang (Primordial Yang).
Remove Maimendong from Erdong Gao. Add Renshen and Shudihuang in equal parts. Make into honeyed pills. Adding Huangbai (Phellodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), and Sharen (Amomi Fructus) is named Sancai Fengsui Dan (Three Talents Sealing the Marrow Pill).
Ganlu Yin (Sweet Dew Decoction, from *Ju Fang*) Treats guest-heat in the Stomach causing irritability. Sores in the mouth, nose, and throat. Bleeding gums and foul breath.
Erdong Gao plus Shengdihuang, Shudihuang, Yincheng (Artemisiae Scopariae Herba), Zhike (Aurantii Fructus Immaturus), Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Gancao, and Pipaye (Loquat Leaf).