(景岳) 凡真阴亏损,脾虚失血等证,或见溏泄未甚者,所重在脾,故曰五阴。忌用
润滑,宜此主之。
熟地(五七钱) 芍药(炒黄) 山药(炒二钱) 扁豆(二三钱炒) 茯苓(钱半) 甘
草(炙一二
(邵应节) 治精血不足,羸弱周痹,肾虚无子,消渴淋沥,遗精崩带,痈疮痔肿
等证。(周痹周身痿痹也,由气血不足。无子,由肾冷精衰。消渴淋沥,由水不制火。遗精,
由心肾不交。崩带疮痔,由营血不调。)
何首乌(大者) 赤白(各一斤) (去皮切片) (黑大豆拌九蒸九晒) 白茯苓(乳
拌) 牛膝(酒浸。同首乌第七次蒸至第九次) 当归(酒洗) 枸杞(酒浸) 菟丝子(酒
浸蒸。各半斤) 破故纸(黑芝麻拌炒。四两净。)蜜丸,盐汤或酒下,并忌铁器。
何首乌涩精固气,补肝坚肾为君。茯苓交心肾而渗脾湿,牛膝强筋骨而益下焦。当归辛
温以养血,枸杞甘润而补水。菟丝子益三阴而强卫气,补骨脂助命火而暖丹田。此皆固本之
药,使营卫调适,水火相交,则气血太和,而诸疾自已也。(何首乌流传虽久,服者尚寡。
明嘉靖间方士邵应节进此方,世宗服之,连生皇子,遂盛行于世。)
(景岳) 治男妇气血大坏,精神失守,急剧等证。此回天赞化,救本培原,第一要
方。本方与前右归饮,出入互用。
人参(补气补阳,以此为主,少则用一二钱,多则用一二两。) 熟地(补精补阴,以
此为主
若泄泻者去之
如元阳不足多寒
滞者,不必用。
(张景岳)凡是真阴亏损、脾虚导致失血等证候,或者出现尚未严重的溏泄(大便稀薄不成形),治疗的重点在于调理脾胃,所以方名叫做“五阴”。禁忌使用润滑性质的药物,适宜用此方主治。
熟地黄(用量五至七钱) 白芍药(炒至微黄) 山药(炒制二钱) 扁豆(二三钱,炒制) 茯苓(一钱半) 甘草(炙制一二钱)
(邵应节)治疗精血不足、身体消瘦虚弱且周身痹痛、肾虚导致无子嗣、消渴病伴淋沥不尽、遗精、崩漏带下、痈疮痔疮肿胀等证候。(注:周痹指周身痿弱痹痛,由气血不足引起;无子嗣,由肾冷精衰引起;消渴淋沥,由水不制火引起;遗精,由心肾不交引起;崩漏带下及疮痔,由营血不调引起。)
何首乌(选用大的) 赤芍与白芍(各一斤) (去皮切片) (用黑大豆拌和,经过九次蒸制和九次晾晒) 白茯苓(用乳汁拌制) 牛膝(酒浸渍。与何首乌一起从第七次蒸制进行到第九次) 当归(酒洗) 枸杞子(酒浸渍) 菟丝子(酒浸渍后蒸制。各半斤) 破故纸(即补骨脂,用黑芝麻拌炒。净重四两)。制成蜜丸,用盐汤或酒送服,并禁止接触铁器。
何首乌能涩精固气,补肝坚肾,作为君药。茯苓能交通心肾并渗除脾湿,牛膝能强健筋骨并补益下焦。当归辛温以养血,枸杞甘润以补水。菟丝子能补益三阴经并强盛卫气,补骨脂能助长命门之火并温暖丹田。这些都是固本培元的药物,能使营卫调和,水火既济,从而使气血达到太和状态,各种疾病自然痊愈。(何首乌流传虽然很久,但服用的人尚少。明代嘉靖年间,方士邵应节进献此方,明世宗服用后,接连生下皇子,于是此方在世间盛行。)
(张景岳)治疗男女气血严重受损、精神失守、病情急剧等证候。这是回天赞化、救本培原的第一要方。本方与前文提到的右归饮相比,有出入互用的关系。
人参(补气补阳,以此为主,少则用一二钱,多则用一二两。) 熟地黄(补精补阴,以此为主)
如果患者有泄泻症状,则去掉熟地黄。
如果是元阳不足且多寒滞者,不必使用。
(Jingyue) In cases of deficiency of true Yin, bleeding due to Spleen deficiency, or even mild loose stools (loose stools), the focus is on the Spleen; hence the name "Wuyin" (Five Yin Decoction). Lubricating agents are contraindicated; this formula is suitable for such conditions.
Shudi (Prepared Rehmanniae Radix) [5-7 qian], Shaoyao (Stir-fried White Peony Root) [fried until yellow], Shanyao (Stir-fried Dioscoreae Rhizoma) [2 qian, stir-fried], Bian Dou (Stir-fried Lablab Seed) [2-3 qian, stir-fried], Fuling (Poria) [1.5 qian], Gancao (Honey-fried Licorice Root) [1-2 qian, honey-fried].
(Shao Yingjie) Treats conditions of insufficient essence and blood, emaciation with generalized bi-syndrome (generalized flaccidity and obstruction), infertility due to Kidney emptiness, Xiao Ke (wasting-thirst syndrome) with dribbling, spermatorrhea, metrorrhagia and leukorrhea, as well as sores, ulcers, and hemorrhoidal swelling. (Note: Zhou Bi refers to generalized flaccidity and obstruction caused by insufficiency of Qi and Blood; infertility is caused by Cold in the Kidney and decline of essence; Xiao Ke with dribbling is caused by Water failing to control Fire; spermatorrhea is caused by non-interaction between Heart and Kidney; metrorrhagia, leukorrhea, sores, and hemorrhoids are caused by disharmony of Ying and Blood.)
Heshouwu (Polygoni Multiflori Radix Praeparata) [large ones], Chi Shao (Red Peony Root) and Bai Shao (White Peony Root) [each 1 jin], peeled and sliced, steamed nine times and sun-dried nine times mixed with Black Soybeans (Glycine Max Seeds), Baifuling (Poria mixed with milk), Niuxi (Achyranthis Bidentatae Radix) [soaked in wine, steamed together with Heshouwu from the 7th to the 9th time], Danggui (Angelicae Sinensis Radix) [washed in wine], Gouqi (Lycii Fructus) [soaked in wine], Tusizi (Cuscutae Semen) [soaked in wine and steamed, each 0.5 jin], Pogu Zhi (Psoraleae Fructus) [stir-fried with Black Sesame Seeds, net weight 4 liang]. Make into honey pills, take with salt water or wine, and avoid iron vessels.
Heshouwu astringes essence and consolidates Qi, tonifies the Liver and strengthens the Kidneys, serving as the Sovereign herb. Fuling facilitates communication between Heart and Kidney and drains dampness from the Spleen; Niuxi strengthens sinews and bones and benefits the Lower Jiao. Danggui is acrid and warm to nourish Blood; Gouqi is sweet and moistening to replenish Yin. Tusizi benefits the Three Yin meridians and strengthens Wei Qi (Defensive Qi); Pogu Zhi assists Mingmen Fire (Gate of Vitality) and warms the Dantian. These are all herbs that consolidate the root, ensuring harmony of Ying and Wei, interaction of Water and Fire, leading to supreme harmony of Qi and Blood, whereby various diseases resolve spontaneously. (Although Heshouwu has been circulated for a long time, few have taken it. During the Jiajing reign of the Ming Dynasty, the alchemist Shao Yingjie presented this formula. Emperor Shizong took it and subsequently fathered multiple princes, causing the formula to become popular.)
(Jingyue) Treats severe depletion of Qi and Blood in men and women, loss of spiritual mastery, and acute conditions. This is the premier formula for reversing critical conditions, supporting transformation, saving the root, and cultivating the origin. It shares mutual usage with the preceding Yougui Yin (Right Restoring Decoction).
Renshen (Ginseng Radix et Rhizoma) [tonifies Qi and Yang, serves as the main ingredient, use 1-2 qian for small doses, up to 1-2 liang for large doses]. Shudi (Prepared Rehmanniae Radix) [tonifies Essence and Yin, serves as the main ingredient]. If diarrhea is present, remove Shudi. If there is insufficiency of Yuan Yang (Primal Yang) with excessive cold stagnation, it need not be used.