麻黄复煎汤 治风湿倦怠。常微汗出。
麻黄(去节。一钱)
用水三盏。先煎令沸。去上沫。至二盏。入下项药。
黄 (二钱) 白术 人参(各半钱) 柴胡 防风 羌活 黄柏(姜汁炒褐色。)
生地黄(各一钱) 甘草(生。二分。炙。三分) 杏仁(五个。去皮尖。研)
上十味。入麻黄汤中。煎至一盏。卧时半饥热服。不可饱。服后微汗为度。不可过汗。过汗则
热不止而烦扰不宁也。桅子豉汤解之。
甘草附子汤(术附汤下) 补中益气汤(保元汤下) 当归拈痛汤(湿门) 小续命汤(续
命汤下) 逍遥散(虚损门)
六和汤(暑门) 十全大补汤(保元汤下) 五苓散(方祖) 二妙散(大补丸下) 防己
黄汤(方祖)
浓朴七物汤(小承气汤下)
金匮乌头汤 治病历节痛。不可屈伸。及香港脚疼痛。
麻黄(去节。六钱) 黄 (姜汁和蜜炙) 芍药(酒炒。各三钱) 甘草(炙。一钱) 川
乌头(一枚。 咀。以蜜一升煎取五合。即出乌头)
上除乌头。 咀四味。以水三升。煮取一升。去滓。纳蜜煎中更煎之。分二服。不知。尽服之
。
千金附子汤 治湿痹缓风。身体疼痛如欲折。肉如锥刺刀割。
附子(一枚) 芍药 桂心 甘草 茯苓 人参(各一两) 白术(一两二钱)
上七味 咀。以水八升。煮取三升。分二服。
除湿蠲痛汤 治身体沉重酸疼。天阴即发。
苍术(泔浸。去皮。切) 白术(同苍术炒。各二钱) 羌活 茯苓 泽泻(各半钱
)陈皮(一钱) 甘草(炙。五分)
水煎。入姜汁、竹沥各数匕。热服。取微汗效。
摩风膏 治风毒攻注。筋骨疼痛。
蓖麻子(去壳。一两。研) 川乌头(生。去皮。半两) 乳香(一钱半。研)
上以猪脂研成膏。烘热涂患处。以手心摩之。觉热如火效。
千金犀角散 治热毒流入四肢。历节肿痛。
犀角(镑。二两) 羚羊角(镑。一两) 前胡 黄芩 栀子仁 大黄 升麻(五味并
姜汁拌炒) 射干(酒炒黑。各四两) 豉(一升)
上九味。为散。每服五钱。水煎。食后热服。
通痹散 治风寒湿三气袭于足三阴经。腰以下至足冷如冰。不能自举。
天麻(三两) 独活 本 当归 川芎 白术(各二两)
为散。每服二三钱。热酒调。晨昏各一服。 上编用川乌一两。酒煎制天麻中。苍术一两。黄
柏半两。酒煎制白术中。深得三气袭于阴经之旨。
羚羊角散 治筋痹肢节束痛。
羚羊角(镑。一两) 肉桂(世本。作薄荷误) 附子(炮。各半两) 白芍(一两五钱)
独活 防风(各七钱半) 川芎(一两) 当归(一两五钱)
为散。每服四五钱。入生姜三片。水煎。食远热服。
人参丸 治脉痹大热。经脉不利。
人参 麦门冬(去心) 茯神 龙齿( ) 石菖蒲 远志肉 黄 (各一两)
当归(半两。世本。作赤石脂) 地黄(二两)
为末。炼白蜜丸。梧子大。每服五七十丸。食前清米饮、醇酒任下。
吴茱萸散 治肠痹寒湿内搏。腹痛胀急。大便飧泻。
吴茱萸(取开口者。汤泡七次) 肉豆蔻(煨) 干姜(炮黑) 甘草(炙。各五钱)
砂仁(炒) 神曲(炒) 白术(炒。各一两) 浓朴(姜汁炒) 陈皮 良姜(各三钱)
为散。每服三钱。食前临卧各一服。米汤送下。
肾沥汤 治胞痹溺涩不通。蕴积为热。小腹急痛。
麦门冬(去心。) 桑白皮(蜜酒。炙) 犀角(镑。各一钱) 杜仲(盐酒。炒) 桔梗
赤芍药 木通(各钱半)
桑螵蛸(二个。炙)
水二盏。入羊肾二枚。去脂膜。竹刀切片。入竹沥少许。同煎至一盏。空心顿服。留二导。临
卧服之。 上编无赤芍药。多赤茯苓。详芍药酸收。不若茯苓清心利小便之为愈也。 按此名肾
沥者。形容胞中之气。痹而不化。水道滴沥不出。甚则结块阻塞溺孔。艰苦异常。乃虚热壅滞。膀
胱气化不行所致。桑皮、螵蛸。咸为治肺而设。不可误认肾气虚寒而用温补之剂。若淋沥而静坐频
数。临事相忘。睡则遗出不知者。方是肾气虚寒之候。又非此汤可治也。
茯苓丸 治胞痹小腹膀胱。按之内痛。若沃以汤。涩于小便。上为清涕。
赤茯苓(一两) 细辛(五钱) 泽泻(五钱) 肉桂(五钱) 紫菀茸(一两) 附子(炮
。三钱) 生地黄(一两)
牛膝(酒浸。一两) 山茱萸肉(五钱) 干山药(一两)
为末。蜜丸。梧子大。每服五七十丸。食前米饮。临卧温酒送下。 按此方。虽以茯苓通利
为名。全赖牛膝、地黄、山茱山药调补津液为主。更需桂、附之辛以行牛膝、地黄之滞。深得若沃
以汤。涩于小便之旨。其用紫菀者。上滋化源。
下利膀胱也。妙用更在细辛一味。开发上窍。专主上为清涕而设。九味相配成方。更无遗议。
世本尚多黄 、白术、甘草、芍药、花粉、半夏、防风、独活等。味不特滋繁。而且滞气耗阴。因从上编削去。
巴戟丸 治胞痹虚寒。脐腹痛。溲数不利。睡则遗尿。
巴戟(去骨) 生地黄(酒焙。各两半) 桑螵蛸(切破。炙) 肉苁蓉(酒浸。切焙) 山
药山茱萸肉 菟丝子(酒煮。各一两)
附子(炮) 肉桂(勿见火。各五钱) 远志(甘草汤泡。去骨。四钱) 石斛(去根
。八钱) 鹿茸(一对。酥炙)
为末。炼白蜜丸。梧子大。每服三五十丸。空心卧时米饮、温酒任下。羊肾汤亦佳。黄丝汤尤
妙。 按巴戟丸。治胞痹虚寒之候。详溲数不利。当是膀胱热壅。何以见其虚寒而用桂、附、巴戟
、苁蓉、鹿茸等大热之剂。当知其人肾气久虚。寒气乘虚而入。所以脐腹痛。巨阳之气化不行。纵
溺积郁化为热。非温补不能蒸动气化。因仿佛地黄饮子之制。稍兼生地、石斛为假热之使。不必更
用利水药也。上编止十二味。世本尚多杜仲、续断、龙骨、五味子等药。得无转助酸收之患乎。
巴戟天汤 治冷痹脚膝疼痛。行步艰难。
巴戟天(二钱。去心) 附子(炮) 五加皮(酒洗) 石斛 甘草(炙) 茯苓 当归(各
一钱) 牛膝(酒炒) 川萆 (盐酒炒。各钱半) 肉桂 防风 防己(酒洗。各五分) 生姜(
三片)
水煎。空心温服。
黄 桂枝五物汤(桂枝汤下) 甘姜苓术汤(即肾着汤理中汤下) 桂枝芍药知母汤(桂枝汤
下) 越婢加术附汤(麻黄汤下) 神效黄 汤(保元汤下)
指迷茯苓丸(二陈汤下) 二陈汤(方祖) 导痰汤(二陈汤下) 桂枝附子汤(桂枝汤下)
乌药顺气散(中风门)
防己黄 汤(方祖) 活络丹(膝痛门) 五苓散(方祖) 当归拈痛汤(湿门) 附子丸(
膝痛门)
三痹汤(腰痛门) 蠲痹汤(臂痛门) 虎骨散(腰痛门) 补中益气汤(保元汤下) 安肾丸
(虚损门)
越婢汤(麻黄汤下
麻黄复煎汤:治疗风湿引起的倦怠乏力,常伴有微微出汗。
处方组成:麻黄(去除节段,一钱)
煎服方法:用水三盏,先煮沸麻黄,撇去上浮的泡沫,煮至二盏水量时,加入以下药物。
药材:黄芪(二钱)、白术、人参(各半钱)、柴胡、防风、羌活、黄柏(用姜汁炒至褐色)、生地黄(各一钱)、甘草(生用二分,炙用三分)、杏仁(五个,去皮尖,研碎)。
以上十味药,放入麻黄汤中,煎至一盏药液,在睡前半饥半饱状态下热服。服药后不可吃得过饱。服药以微微出汗为度,不可大汗淋漓。如果发汗过多,则热势不退且出现烦躁不安。此时可用栀子豉汤来解除这种状况。
其他相关方剂参考:甘草附子汤(见“术附汤”条下)、补中益气汤(见“保元汤”条下)、当归拈痛汤(见“湿门”条下)、小续命汤(见“续命汤”条下)、逍遥散(见“虚损门”条下)、六和汤(见“暑门”条下)、十全大补汤(见“保元汤”条下)、五苓散(见“方祖”条下)、二妙散(见“大补丸”条下)、防己黄芪汤(见“方祖”条下)、浓朴七物汤(见“小承气汤”条下)。
金匮乌头汤:治疗历节病疼痛,关节不可屈伸,以及香港脚(足部肿痛)疼痛。
处方组成:麻黄(去除节段,六钱)、黄芪(用姜汁和蜂蜜炙烤)、芍药(酒炒,各三钱)、甘草(炙,一钱)、川乌头(一枚,捣碎,用蜂蜜一升煎取五合,取出乌头)。
煎服方法:除乌头外,将另外四味药捣碎,用水三升,煮取一升药液,滤去药渣,将蜜煎中的乌头倒入药液中再煎。分两次服用。若无效,则全部服完。
千金附子汤:治疗湿痹兼受风邪,身体疼痛如要折断,肌肉感觉像被锥刺刀割一样。
处方组成:附子(一枚)、芍药、桂心、甘草、茯苓、人参(各一两)、白术(一两二钱)。
煎服方法:以上七味药捣碎,用水八升,煮取三升药液,分两次服用。
除湿蠲痛汤:治疗身体沉重酸痛,遇阴天即发作。
处方组成:苍术(用淘米水浸泡,去皮,切片)、白术(与苍术同炒,各二钱)、羌活、茯苓、泽泻(各半钱)、陈皮(一钱)、甘草(炙,五分)。
煎服方法:水煎,加入姜汁、竹沥各数匙,热服。以微微出汗为有效。
摩风膏:治疗风毒攻注导致的筋骨疼痛。
处方组成:蓖麻子(去壳,一两,研碎)、川乌头(生用,去皮,半两)、乳香(一钱半,研碎)。
使用方法:以上药物用猪脂研磨成膏,加热后涂抹于患处,用手掌按摩。感到发热如火般的热感即为有效。
千金犀角散:治疗热毒流入四肢,导致历节肿痛。
处方组成:犀角(镑片,二两)、羚羊角(镑片,一两)、前胡、黄芩、栀子仁、大黄、升麻(五味药均用姜汁拌炒)、射干(酒炒至黑,各四两)、豆豉(一升)。
煎服方法:以上九味药研为散剂,每次服用五钱,水煎,饭后热服。
通痹散:治疗风寒湿三气侵袭足三阴经,腰部以下至足部冷如冰,无法自行抬起。
处方组成:天麻(三两)、独活、藁本、当归、川芎、白术(各二两)。
煎服方法:研为散剂,每次服用二三钱,用热酒调服,早晚各一次。上方编写者使用川乌一两,酒煎制天麻;苍术一两,黄柏半两,酒煎制白术。深得风寒湿三气侵袭阴经的要旨。
羚羊角散:治疗筋痹,肢体关节束痛。
处方组成:羚羊角(镑片,一两)、肉桂(世传版本误作薄荷)、附子(炮制,各半两)、白芍(一两五钱)、独活、防风(各七钱半)、川芎(一两)、当归(一两五钱)。
煎服方法:研为散剂,每次服用四五钱,加入生姜三片,水煎,饭后较远时间热服。
人参丸:治疗脉痹大热,经脉不利。
处方组成:人参、麦门冬(去心)、茯神、龙齿(原文缺字,推测为煅或研)、石菖蒲、远志肉、黄芪(各一两)、当归(半两,世传版本作赤石脂)、地黄(二两)。
煎服方法:研为细末,炼白蜜为丸,如梧桐子大。每次服用五七十丸,饭前用清米饮或醇酒送服均可。
吴茱萸散:治疗肠痹寒湿内搏,腹痛胀急,大便完谷不化之泄泻。
处方组成:吴茱萸(选取开口者,用开水泡七次)、肉豆蔻(煨)、干姜(炮黑)、甘草(炙,各五钱)、砂仁(炒)、神曲(炒)、白术(炒,各一两)、浓朴(姜汁炒)、陈皮、良姜(各三钱)。
煎服方法:研为散剂,每次服用三钱,饭前及临睡前各服一次,米汤送下。
肾沥汤:治疗胞痹,小便涩滞不通,蕴积化为热,小腹急痛。
处方组成:麦门冬(去心)、桑白皮(蜜酒炙)、犀角(镑片,各一钱)、杜仲(盐酒炒)、桔梗、赤芍药、木通(各钱半)、桑螵蛸(二个,炙)。
煎服方法:用水二盏,加入羊肾二枚,去除脂膜,用竹刀切片,加入少许竹沥,同煎至一盏药液,空腹顿服。留下药渣作为第二次引导(此处指药渣再利用或后续处理,原文意指煎煮过程),临卧时再服。上方编写者认为原方无赤芍药,多赤茯苓。详细分析认为芍药酸收,不如茯苓清心利小便效果好。按语:此方名为“肾沥”,是形容膀胱之气痹阻而不化,水道滴沥不出,甚则结块阻塞溺孔,痛苦异常。这是由于虚热壅滞,膀胱气化不行所致。桑白皮、桑螵蛸均为治肺而设,不可误认为是肾气虚寒而使用温补之剂。如果是淋沥不尽且静坐时频数,行房事时遗忘,睡着后遗尿不知者,这才是肾气虚寒的表现,又不是此汤所能治疗的。
茯苓丸:治疗胞痹小腹膀胱部位,按压内部疼痛,感觉像灌了热水一样,小便涩滞,上部流出清涕。
处方组成:赤茯苓(一两)、细辛(五钱)、泽泻(五钱)、肉桂(五钱)、紫菀茸(一两)、附子(炮制,三钱)、生地黄(一两)、牛膝(酒浸,一两)、山茱萸肉(五钱)、干山药(一两)。
煎服方法:研为细末,蜜丸,如梧桐子大。每次服用五七十丸,饭前用米饮送服,临睡前用温酒送下。按语:此方虽以茯苓通利为名,但全赖牛膝、地黄、山药调补津液为主。更需要桂、附的辛热之性来运行牛膝、地黄的滞涩。深得“若沃以汤,涩于小便”的要旨。使用紫菀的原因,是为了上滋化源,下利膀胱。妙用更在于细辛一味,开发上窍,专门针对上部流清涕而设。九味药配合成方,再无遗漏议论。世传版本尚有多余的黄芪、白术、甘草、芍药、花粉、半夏、防风、独活等药,味道不仅繁杂,而且滞气耗阴,因此从上编中删去。
巴戟丸:治疗胞痹虚寒,脐腹疼痛,尿频但不利,睡着后遗尿。
处方组成:巴戟天(去骨)、生地黄(酒焙,各两半)、桑螵蛸(切破,炙)、肉苁蓉(酒浸,切焙)、山药、山茱萸肉、菟丝子(酒煮,各一两)、附子(炮制)、肉桂(勿见火,各五钱)、远志(甘草汤泡,去骨,四钱)、石斛(去根,八钱)、鹿茸(一对,酥炙)。
煎服方法:研为细末,炼白蜜为丸,如梧桐子大。每次服用三五十丸,空腹及卧时可用米饮或温酒送服。羊肾汤送服也很好,黄丝汤送服尤其妙。按语:巴戟丸治疗胞痹虚寒之候。详细分析“溲数不利”,应当是膀胱热壅,为何见其虚寒而使用桂、附、巴戟、苁蓉、鹿茸等大热之剂?应当知道其人肾气久虚,寒气乘虚而入,所以脐腹疼痛,巨阳之气化不行,纵然溺积郁化为热,非温补不能蒸动气化。因此仿照地黄饮子的制法,稍加生地、石斛作为假热的使药,不必再用利水药。上编只有十二味,世传版本尚多杜仲、续断、龙骨、五味子等药,难道不会转而助长酸收的弊端吗?
巴戟天汤:治疗冷痹,脚膝疼痛,行走艰难。
处方组成:巴戟天(二钱,去心)、附子(炮制)、五加皮(酒洗)、石斛、甘草(炙)、茯苓、当归(各一钱)、牛膝(酒炒)、川萆薢(盐酒炒,各钱半)、肉桂、防风、防己(酒洗,各五分)、生姜(三片)。
煎服方法:水煎,空腹温服。
其他相关方剂参考:黄芪桂枝五物汤(见“桂枝汤”条下)、甘姜苓术汤(即肾着汤,见“理中汤”条下)、桂枝芍药知母汤(见“桂枝汤”条下)、越婢加术附汤(见“麻黄汤”条下)、神效黄芪汤(见“保元汤”条下)、指迷茯苓丸(见“二陈汤”条下)、二陈汤(见“方祖”条下)、导痰汤(见“二陈汤”条下)、桂枝附子汤(见“桂枝汤”条下)、乌药顺气散(见“中风门”条下)、防己黄芪汤(见“方祖”条下)、活络丹(见“膝痛门”条下)、五苓散(见“方祖”条下)、当归拈痛汤(见“湿门”条下)、附子丸(见“膝痛门”条下)、三痹汤(见“腰痛门”条下)、蠲痹汤(见“臂痛门”条下)、虎骨散(见“腰痛门”条下)、补中益气汤(见“保元汤”条下)、安肾丸(见“虚损门”条下)、越婢汤(见“麻黄汤”条下)。
Mahuang Fujian Decoction: Treats fatigue and lassitude caused by wind-dampness, often accompanied by slight sweating.
Prescription Composition: Ephedrae Herba (Mahuang, 麻黄) (remove nodes, 1 qian).
Decoction Method: Use three cups of water, boil Mahuang first until boiling, skim off the foam on the surface, reduce to two cups of liquid, then add the following herbs.
Herbs: Astragali Radix (Huangqi, 黄芪) (2 qian), Atractylodis Rhizoma (Baizhu, 白术), Ginseng Radix et Rhizoma (Renshen, 人参) (each 0.5 qian), Bupleuri Radix (Chaihu, 柴胡), Saposhnikoviae Radix (Fangfeng, 防风), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Phellodendri Cortex (Huangbai, 黄柏) (stir-fried with ginger juice until brown), Rehmanniae Radix Recens (Shengdihuang, 生地黄) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw 0.2 qian, honey-fried 0.3 qian), Armeniacae Semen Amarum (Xingren, 杏仁) (5 seeds, remove skin and tips, crush).
The above ten herbs are added to the Mahuang decoction, boiled down to one cup of liquid. Take hot while half-hungry before sleep. Do not eat too full after taking. Slight sweating is the goal; do not induce excessive sweating. Excessive sweating will cause heat to persist and lead to restlessness and irritability. In such cases, Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) can be used to resolve it.
Reference for other related formulas: Gancao Fuzi Tang (see "Shu Fu Tang" section), Buzhong Yiqi Tang (see "Baoyuan Tang" section), Danggui Niangtong Tang (see "Dampness Section"), Xiao Xuming Tang (see "Xuming Tang" section), Xiaoyao San (see "Deficiency Damage Section"), Liuhe Tang (see "Summerheat Section"), Shiquan Dabu Tang (see "Baoyuan Tang" section), Wuling San (see "Formula Ancestry Section"), Ermiao San (see "Dabu Wan" section), Fangji Huangqi Tang (see "Formula Ancestry Section"), Houpo Qi Wu Tang (see "Xiao Chengqi Tang" section).
Jinkui Wutou Tang: Treats Lijie pain (painful joint syndrome), where joints cannot flex or extend, as well as Hongxiangjiao (podagra/foot swelling) pain.
Prescription Composition: Ephedrae Herba (Mahuang, 麻黄) (remove nodes, 6 qian), Astragali Radix (Huangqi, 黄芪) (stir-fried with ginger juice and honey), Paeoniae Radix Alba (Shaoyao, 芍药) (wine-stir-fried, each 3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried, 1 qian), Aconiti Radix Lateralis Preparata (Chuanwutou, 川乌头) (one piece, crushed, boiled with one sheng of honey to obtain five he, then remove the Wutou).
Decoction Method: Except for Wutou, crush the other four herbs. Boil in three sheng of water to obtain one sheng of liquid, filter out the dregs. Add the Wutou from the honey decoction into the herbal liquid and boil again. Divide into two doses. If ineffective, take the entire remaining amount.
Qianjin Fuzi Tang: Treats wet-bi combined with wind pathogen, body pain as if bones were breaking, muscles feeling like pierced by awls or cut by knives.
Prescription Composition: Aconiti Radix Preparata (Fuzi, 附子) (one piece), Paeoniae Radix Alba (Shaoyao, 芍药), Cinnamomi Ramulum (Guixin, 桂心), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Poria (Fuling, 茯苓), Ginseng Radix et Rhizoma (Renshen, 人参) (each 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (1.2 liang).
Decoction Method: Crush the above seven herbs. Boil in eight sheng of water to obtain three sheng of liquid. Divide into two doses.
Chushi Juan Tong Tang: Treats heavy and sore body pain that worsens on cloudy days.
Prescription Composition: Atractylodis Rhizoma (Cangzhu, 苍术) (soaked in rice water, peel, slice), Atractylodis Rhizoma (Baizhu, 白术) (stir-fried with Cangzhu, each 2 qian), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Poria (Fuling, 茯苓), Alismatis Rhizoma (Zexie, 泽泻) (each 0.5 qian), Chenpi (Tangerine Peel, 陈皮) (1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried, 0.5 fen).
Decoction Method: Boil in water, add a few spoons of Zhi Jiang (Ginger Juice, 姜汁) and Zhu Li (Bamboo Sap, 竹沥). Take hot. Effective when slight sweating occurs.
Mofeng Gao: Treats bone and tendon pain caused by wind-toxin attacking and penetrating.
Prescription Composition: Ricini Semen (Bimazi, 蓖麻子) (shelled, 1 liang, crushed), Aconiti Radix (Chuanwutou, 川乌头) (raw, peeled, 0.5 liang), Boswelliae Resina (Ruxiang, 乳香) (1.5 qian, crushed).
Usage: Grind the above herbs into a paste using pig fat. Heat the paste and apply to the affected area, massaging with the palm of the hand. Effective when a burning hot sensation is felt.
Qianjin Xijiao San: Treats heat-toxin flowing into the four limbs, causing Lijie swelling and pain.
Prescription Composition: Rhinocerotis Cornu (Xijiao, 犀角) (sliced, 2 liang), Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) (sliced, 1 liang), Peucedani Radix (Qianhu, 前胡), Scutellariae Radix (Huangqin, 黄芩), Gardeniae Fructus (Zhizi Ren, 栀子仁), Rhei Radix et Rhizoma (Dahuang, 大黄), Cimicifugae Rhizoma (Shengma, 升麻) (these five herbs stir-fried with ginger juice), Belamcandae Rhizoma (Shegan, 射干) (wine-stir-fried until black, each 4 liang), Sojae Seminis Preparatum (Chi, 豉) (1 sheng).
Decoction Method: Grind the above nine herbs into powder. Take 5 qian per dose, boil in water, take hot after meals.
Tongbi San: Treats invasion of wind-cold-dampness into the three Yin meridians of the foot, resulting in coldness below the waist down to the feet like ice, inability to lift oneself.
Prescription Composition: Gastrodiae Rhizoma (Tianma, 天麻) (3 liang), Actaeaes Rhizoma (Duhuo, 独活), Ligustici Rhizoma et Radix (Ben, 本), Angelicae Sinensis Radix (Danggui, 当归), Chuanxiong Rhizoma (Chuanxiong, 川芎), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each 2 liang).
Decoction Method: Grind into powder. Take 2-3 qian per dose, mix with hot wine. Take once in the morning and once at night. The original editor processed Tianma with 1 liang of Chuanwu boiled in wine, and processed Baizhu with 1 liang of Cangzhu and 0.5 liang of Huangbai boiled in wine. This deeply grasps the principle of the three pathogens invading the Yin meridians.
Lingyangjiao San: Treats Jinbi (sinew bi) with binding pain in limbs and joints.
Prescription Composition: Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) (sliced, 1 liang), Cinnamomi Cortex (Rougui, 肉桂) (World version mistakenly says Bohe/Mint), Aconiti Radix Preparata (Fuzi, 附子) (prepared, each 0.5 liang), Paeoniae Radix Alba (Baishao, 白芍) (1.5 liang), Actaeaes Rhizoma (Duhuo, 独活), Saposhnikoviae Radix (Fangfeng, 防风) (each 0.75 liang), Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 liang), Angelicae Sinensis Radix (Danggui, 当归) (1.5 liang).
Decoction Method: Grind into powder. Take 4-5 qian per dose, add three slices of fresh ginger, boil in water. Take hot long after meals.
Renshen Wan: Treats Mai Bi (pulse bi) with severe heat and obstruction of meridians.
Prescription Composition: Ginseng Radix et Rhizoma (Renshen, 人参), Ophiopogonis Radix (Maidong, 麦门冬) (remove heart), Poria cum Pinelli Rhizoma (Fushen, 茯神), Dragon Bone (Longgu, 龙齿) [text missing], Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), Polygalae Radix (Yuanzhi Rou, 远志肉), Astragali Radix (Huangqi, 黄芪) (each 1 liang), Angelicae Sinensis Radix (Danggui, 当归) (0.5 liang, World version says Chishizhi/Red Halloysite), Rehmanniae Radix (Dihuang, 地黄) (2 liang).
Decoction Method: Grind into fine powder, make pills with refined white honey, size of Sophora japonica seeds. Take 50-70 pills per dose before meals, washed down with clear rice drink or strong wine as preferred.
Wuzhuyu San: Treats Chang Bi (intestinal bi) with internal collision of cold-dampness, abdominal pain and distension, diarrhea with undigested food.
Prescription Composition: Evodiae Fructus (Wuzhuyu, 吴茱萸) (select open ones, soak in boiling water seven times), Myristicae Semen (Roudoukou, 肉豆蔻) (baked), Zingiberis Rhizoma (Ganjiang, 干姜) (charred), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried, each 5 qian), Amomi Fructus Rotundus (Sharen, 砂仁) (stir-fried), Schisandrae Fructus (Shenqu, 神曲) [Note: Shenqu is Schisandrae Fructus? No, Shenqu is Mass Medicamentum] (stir-fried), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (stir-fried, each 1 liang), Magnoliae Officinalis Cortex (Houpo, 浓朴) (stir-fried with ginger juice), Chenpi (Tangerine Peel, 陈皮), Alpiniae Officinarum Rhizoma (Liangjiang, 良姜) (each 3 qian).
Decoction Method: Grind into powder. Take 3 qian per dose before meals and before bed, washed down with rice soup.
Shenli Tang: Treats Bao Bi (bladder bi) with difficult and obstructed urination, accumulation turning into heat, urgent lower abdominal pain.
Prescription Composition: Ophiopogonis Radix (Maidong, 麦门冬) (remove heart), Mori Cortex (Sangbaipi, 桑白皮) (honey-wine fried), Rhinocerotis Cornu (Xijiao, 犀角) (sliced, each 1 qian), Eucommiae Cortex (Duzhong, 杜仲) (salt-wine fried), Platycodonis Radix (Jiegeng, 桔梗), Rubi Cordifolii Folium [Note: Text says Chishaoyao/Paeoniae Radix Rubra] (Chishaoyao, 赤芍药), Akebiae Caulis (Mutong, 木通) (each 1.5 qian), Stalkers Ootheca (Sangpiaoxiao, 桑螵蛸) (two pieces, fried).
Decoction Method: Use two cups of water, add two sheep kidneys, remove fat membrane, slice with bamboo knife, add a little bamboo sap. Boil together to one cup. Take in one gulp on an empty stomach. Retain the dregs for guidance/treatment, take before bed. The original editor notes the absence of Chishaoyao and presence of Chifuling in earlier versions. Detailed analysis suggests Shaoyao's sour astringency is less effective than Fulings' ability to clear the heart and promote urination. Commentary: The name "Shenli" describes the qi of the bladder being blocked and not transforming, leading to dripping urine, or even blockage by stones. This is due to deficiency-heat stagnation and failure of bladder qi transformation. Sangbaipi and Sangpiaoxiao target the Lung, not Kidney deficiency-cold, so warming tonics should not be used. If symptoms include frequent small amounts of urine, forgetting during intercourse, or enuresis during sleep, this indicates Kidney deficiency-cold, which this formula does not treat.
Fuling Wan: Treats Bao Bi affecting the lower abdomen and bladder, internal pain upon pressure, feeling like hot water poured inside, difficult urination, and clear nasal discharge above.
Prescription Composition: Polyporus (Chifuling, 赤茯苓) (1 liang), Asari Radix et Rhizoma (Xixin, 细辛) (5 qian), Alismatis Rhizoma (Zexie, 泽泻) (5 qian), Cinnamomi Cortex (Rougui, 肉桂) (5 qian), Asteris Radix (Ziwan Rong, 紫菀茸) (1 liang), Aconiti Radix Preparata (Fuzi, 附子) (prepared, 3 qian), Rehmanniae Radix Recens (Shengdihuang, 生地黄) (1 liang), Achyranthis Bidentatae Radix (Niuxi, 牛膝) (wine-soaked, 1 liang), Corni Fructus (Shanzhuyu Rou, 山茱萸肉) (5 qian), Dioscoreae Rhizoma (Ganshashen, 干山药) (1 liang).
Decoction Method: Grind into powder, make pills with honey, size of Sophora japonica seeds. Take 50-70 pills per dose before meals with rice drink, and before bed with warm wine. Commentary: Although named for Fulings' diuretic action, the main function relies on Niuxi, Dihuang, and Shanyao to nourish fluids. Rougui and Fuzi provide acrid warmth to move the stagnation of Niuxi and Dihuang. This captures the essence of "feeling like hot water, difficult urination." Ziwan moistens the source above and benefits the bladder below. Xixin is key for opening upper orifices to treat clear nasal discharge. The nine herbs form a complete prescription without omission. Later editions added Huangqi, Baizhu, Gancao, Shaoyao, Huafen, Banxia, Fangfeng, Duhuo, etc., which are cloying and consume yin, hence removed from this edition.
Baji Wan: Treats Bao Bi deficiency-cold, umbilical and abdominal pain, frequent but difficult urination, nocturnal enuresis.
Prescription Composition: Morindae Officinalis Radix (Baji, 巴戟) (remove core), Rehmanniae Radix Recens (Shengdihuang, 生地黄) (wine-baked, each 1.5 liang), Stalkers Ootheca (Sangpiaoxiao, 桑螵蛸) (cut and fried), Cynomorii Herba (Roucongrou, 肉苁蓉) (wine-soaked, cut and baked), Dioscoreae Rhizoma (Shanyao, 山药), Corni Fructus (Shanzhuyu Rou, 山茱萸肉), Cuscutae Semen (Tusizi, 菟丝子) (wine-boiled, each 1 liang), Aconiti Radix Preparata (Fuzi, 附子) (prepared), Cinnamomi Cortex (Rougui, 肉桂) (do not expose to fire, each 5 qian), Polygalae Radix (Yuanzhi, 远志) (soaked in Licorice decoction, remove core, 4 qian), Dendrobii Caulis (Shihu, 石斛) (remove roots, 8 qian), Cervi Cornu Pantotrichum (Lurong, 鹿茸) (one pair, roasted with butter).
Decoction Method: Grind into powder, make pills with refined white honey, size of Sophora japonica seeds. Take 30-50 pills per dose on empty stomach and before bed, washed down with rice drink or warm wine. Sheep kidney soup is also good; yellow silk soup is excellent. Commentary: Baji Wan treats deficiency-cold of Bao Bi. Frequent but difficult urination usually indicates bladder heat-stagnation. Why use large doses of hot herbs like Rougui, Fuzi, Baji, Roucongrou, Lurong? Because the patient has long-term Kidney Qi deficiency allowing cold pathogens to enter, causing umbilical pain and failure of Juyang (Taiyang) qi transformation. Even if stagnant urine turns to heat, only warming tonification can vaporize qi transformation. It mimics Dihuang Yinzi, adding Dihuang and Shihu to address false heat, avoiding diuretics. Earlier editions had 12 herbs; later editions added Duzhong, Xuduan, Longgu, Wuweizi, which may exacerbate astringency issues.
Bajitian Tang: Treats Cold Bi with pain in legs and knees, difficulty walking.
Prescription Composition: Morindae Officinalis Radix (Bajitian, 巴戟天) (2 qian, remove heart), Aconiti Radix Preparata (Fuzi, 附子) (prepared), Acanthopanacis Senticosi Cortex (Wujia Pi, 五加皮) (wine-washed), Dendrobii Caulis (Shihu, 石斛), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried), Poria (Fuling, 茯苓), Angelicae Sinensis Radix (Danggui, 当归) (each 1 qian), Achyranthis Bidentatae Radix (Niuxi, 牛膝) (wine-stir-fried), Dioscoreae Hypoglaucae Rhizoma (Chuanbixie, 川萆薢) (salt-wine fried, each 1.5 qian), Cinnamomi Cortex (Rougui, 肉桂), Saposhnikoviae Radix (Fangfeng, 防风), Stephaniae Tetrandrae Radix (Fangji, 防己) (wine-washed, each 0.5 fen), Fresh Ginger (Shengjiang, 生姜) (3 slices).
Decoction Method: Boil in water, take warm on an empty stomach.
Reference for other related formulas: Huangqi Guizhi Wuwu Tang (see "Guizhi Tang" section), Ganjiang Lingzhu Tang (also known as Shenzhuo Tang, see "Lizhong Tang" section), Guizhi Shaoyao Zhimu Tang (see "Guizhi Tang" section), Yebio Jiazhufu Tang (see "Mahuang Tang" section), Shenxiao Huangqi Tang (see "Baoyuan Tang" section), Zhimi Fuling Wan (see "Erchen Tang" section), Erchen Tang (see "Formula Ancestry Section"), Daotan Tang (see "Erchen Tang" section), Guizhi Fuzi Tang (see "Guizhi Tang" section), Wuyao Shunqi San (see "Stroke Section"), Fangji Huangqi Tang (see "Formula Ancestry Section"), Huoluo Dan (see "Knee Pain Section"), Wuling San (see "Formula Ancestry Section"), Danggui Niangtong Tang (see "Dampness Section"), Fuzi Wan (see "Knee Pain Section"), Sanbi Tang (see "Lower Back Pain Section"), Juanbi Tang (see "Arm Pain Section"), Hugu San (see "Lower Back Pain Section"), Buzhong Yiqi Tang (see "Baoyuan Tang" section), Anshen Wan (see "Deficiency Damage Section"), Yebio Tang (see "Mahuang Tang" section).