(景岳) 培补脾肾,功力最胜。
白术(味甘者佳。苦者勿用,米泔浸一宿,切片炒,) 大怀熟(蒸捣二味等分) 何
首乌(九
四丸。饥时
治自汗不止,气虚表弱,易感风寒。(阳也者,卫外而为固也。阳虚则不能卫外
液不固而易泄,且畏风也。此与伤风自汗不同,彼责之邪实,此责之表虚,故补泻各
黄 (炙) 防风(一两) 白术(炒二两) 为末。每服三钱。
黄 补气,专固肌表,故以为君。白术益脾,脾主肌肉,故以为臣。防风去风,为风药
卒徒
益大
用之
风之功
前药等分煎,名黄 汤。洁古用代桂枝汤,治春夏发热有汗,脉微弱,恶风寒者。恶风
甚,
恶
(王荆公) 治梦遗失精,惊悸郁结。(肾主藏精,心主藏神。邪火妄行,心肾不交。
上实下虚,则梦中遗失。心虚神扰,故多惊悸。忧思气滞,则成郁结。)
山药(姜汁炒二两) 人参 黄 远志(炒) 茯苓 茯神(一两) 桔梗(三钱) 木
香(二钱
心,君火也。君火一动,相火随之。相火寄于肝胆,肾之阴虚,则精不固。肝之阳强,
则气
参黄
水,
而脾
用以
剂,
曰∶
治脾胃虚弱,饮食不消,或吐或泻。(土为万物之母,脾土受伤,则失其健运
饮食不消。兼寒则呕吐,兼湿则濡泄也。饮食既少,众脏无以禀气,则虚羸日甚,
矣。)
人参 白术(土炒) 茯苓 甘草(炙) 山药 扁豆 薏仁 莲肉(去心) 陈皮 砂
仁桔梗
治脾胃者,补其虚,除其湿,行其滞,调其气而已。参术苓草,山药薏仁,扁豆莲肉,
皆补
草,
通天
(张景岳)此方培补脾肾,功效最为显著。
白术(以味甘者为佳。味苦的不要用,用米泔水浸泡一夜,切片后炒制。)大怀熟地黄(蒸透捣烂,这两味药等分)何首乌(九蒸九晒制成丸剂。在饥饿时服用)。
治疗自汗不止,气虚导致体表虚弱,容易感受风寒。(阳气的作用,是护卫体表并使其固密。阳气虚弱则不能卫外,津液不固而容易外泄,并且怕风。这与伤风引起的自汗不同,伤风自汗责之于邪气实盛,此证责之于表虚,所以补法和泻法各不相同。)黄芪(炙)一两,防风一两,白术(炒)二两,研为细末。每次服用三钱。
黄芪补气,专门固护肌表,所以作为君药。白术健脾,脾主肌肉,所以作为臣药。防风祛风,作为风药的卒徒(辅助药物),发挥其祛风之功。
前方药物等量煎煮,名为黄芪汤。洁古(张元素)用它代替桂枝汤,治疗春夏季节发热有汗、脉象微弱、恶风寒者。如果恶风严重……
(王荆公/王安石)治疗梦遗失精,惊悸郁结。(肾主藏精,心主藏神。邪火妄行,导致心肾不交。上实下虚,则在梦中遗精。心虚神扰,所以多惊悸。忧思导致气机阻滞,从而形成郁结。)山药(姜汁炒二两),人参,黄芪,远志(炒),茯苓,茯神(一两),桔梗(三钱),木香(二钱)。
心,属于君火。君火一动,相火随之。相火寄居于肝胆,肾之阴虚,则精不固。肝之阳强,则气……参、黄……水,而脾……用以……剂,曰:
治疗脾胃虚弱,饮食不消化,或者呕吐或者腹泻。(土是万物的母亲,脾土受伤,就失去了健运的功能,导致饮食不消。兼夹寒邪则呕吐,兼夹湿邪则濡泄。饮食摄入减少,各脏腑无法禀受气血,就会日益虚弱消瘦。)人参,白术(土炒),茯苓,甘草(炙),山药,扁豆,薏苡仁,莲肉(去心),陈皮,砂仁,桔梗。
治疗脾胃病,就是补其虚,除其湿,行其滞,调其气而已。人参、白术、茯苓、甘草,山药、薏苡仁,扁豆、莲肉,都是补益……草,通天……
(Zhang Jingyue) This formula is most effective in nourishing and tonifying the Spleen and Kidney.
Baizhu (Atractylodis Macrocephalae Rhizoma, those with a sweet taste are preferred. Those with a bitter taste should not be used. Soak in rice-washing water overnight, slice, and stir-fry.) Dahuaishu (Prepared Rehmanniae Radix, steamed and mashed; these two herbs are used in equal parts) Heshouwu (Polygoni Multiflori Radix Praeparata, processed by nine steamings and nine sun-dryings to make pills. Take when hungry).
Treats spontaneous sweating that does not stop, Qi deficiency leading to exterior weakness, and susceptibility to wind-cold pathogens. (The function of Yang Qi is to protect the exterior and maintain its firmness. When Yang Qi is deficient, it cannot defend the exterior, body fluids fail to consolidate and leak easily, and there is aversion to wind. This differs from spontaneous sweating caused by common cold; the latter is attributed to excess pathogenic factors, whereas this condition is attributed to exterior deficiency. Therefore, tonification and purgation methods differ accordingly.) Huangqi (Honey-fried Astragali Radix), 1 liang; Fangfeng (Saposhnikoviae Radix), 1 liang; Baizhu (Stir-fried Atractylodis Macrocephalae Rhizoma), 2 liang. Grind into fine powder. Take 3 qian per dose.
Huangqi tonifies Qi and specifically consolidates the muscular exterior, thus serving as the Sovereign herb. Baizhu benefits the Spleen, and the Spleen governs the muscles, thus serving as the Minister herb. Fangfeng dispels wind and acts as an attendant to wind-dispelling herbs, exerting its wind-dispelling effect.
Decocting the aforementioned herbs in equal proportions yields the name Huangqi Tang. Jiegu (Zhang Yuansu) used it to replace Guizhi Tang to treat fever with sweating, weak pulse, and aversion to wind and cold during spring and summer. If aversion to wind is severe...
(Wang Jinggong / Wang Anshi) Treats seminal emission during dreams, palpitations, and depression/stagnation. (The Kidney stores Essence, and the Heart stores Spirit. Errant fire moves recklessly, causing a lack of communication between the Heart and Kidney. Upper excess and lower deficiency lead to seminal emission in dreams. Heart deficiency and spirit disturbance cause frequent palpitations. Worry and thought cause Qi stagnation, resulting in depression/stagnation.) Shanyao (Ginger-juice stir-fried Achyranthis Bidentatae Radix? *Note: Context implies Dioscoreae Rhizoma*, 2 liang); Renshen (Ginseng Radix); Huangqi (Astragali Radix); Yuanzhi (Polygalae Radix, stir-fried); Fuling (Poria); Fushen (Poria with Hostwood, 1 liang); Jiegeng (Platycodonis Radix, 3 qian); Muxiang (Aucklandiae Radix, 2 qian).
The Heart belongs to Minister Fire (Ruler Fire). When Ruler Fire moves, Minister Fire follows. Minister Fire resides in the Liver and Gallbladder. When Kidney Yin is deficient, Essence fails to consolidate. When Liver Yang is strong, Qi... Renshen, Huangqi... Water, and Spleen... Used as... Formula, saying:
Treats Spleen and Stomach deficiency, indigestion, vomiting, or diarrhea. (Earth is the mother of all things. When Spleen Earth is injured, it loses its function of healthy transportation and transformation, leading to indigestion. Accompanied by Cold, it causes vomiting; accompanied by Dampness, it causes loose stools. As food intake decreases, the Zang-Fu organs cannot receive Qi, leading to increasing emaciation and weakness.) Renshen (Ginseng Radix); Baizhu (Soil-stir-fried Atractylodis Macrocephalae Rhizoma); Fuling (Poria); Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma); Shanyao (Dioscoreae Rhizoma); BianDou (Faba Seed); Yiren (Coicis Semen); Lianrou (Lotus Seed Embryo, heart removed); Chenpi (Citri Reticulatae Pericarpium); Sharen (Amomi Fructus); Jiegeng (Platycodonis Radix).
Treating Spleen and Stomach disorders involves tonifying deficiency, eliminating dampness, promoting circulation of stagnation, and regulating Qi. Renshen, Baizhu, Fuling, Gancao, Shanyao, Yiren, BianDou, Lianrou are all tonifying... Gancao, connecting to heaven...