心劳者,营血日亏,心烦神倦,口燥咽干,宜调补营卫,安养心神,宅中汤主之。
宅中汤(自制)
天冬(二钱) 紫河车(二钱切) 人参(二钱) 茯神(二钱) 黄 (二钱) 当归
(二钱) 白芍(一钱) 丹参(二钱) 柏仁(二钱) 远志(五分甘草水炒) 莲子(二十粒去心)
先生此方根据《难经》损其心者调其营卫,以参、 、神、志补心气,卫即是气,气能生神。以丹
参、柏仁、归、芍补心血,营即是血,血能养神。补气血不但是调营卫,亦且是安心神。莲子以安
脾,心脾为母子;天冬以滋肾,心肾在既济。用河车者,乃生人造命之原,有补先天元气之奇功也。
祖怡注。
肺劳者,肺气大虚,身热气短,口燥咽干,甚则咳嗽吐血,益气补肺汤主之。
益气补肺汤(自制)
阿胶(二钱蛤粉炒) 五味子(五分) 地骨皮(二钱) 麦冬(二钱) 人参(二钱)
天冬(二钱) 百合(三钱) 贝母(二钱) 茯苓(二钱) 苡仁(四钱) 糯米(一撮煎汤代水)
先生此方根据《难经》损其肺者益其气,以人参、麦冬、五味之生脉法,以阿胶、百合、天冬
之补肺阴,因气即是水,水能化气也。以糯米、茯苓和脾肺,以贝母、地骨、苡仁退虚热而止咳血
,肺润则气治,而金水相生矣。祖怡注。
心劳,是指营血日渐亏损,出现心烦、精神疲倦、口燥咽干等症状,适宜采用调和补益营卫、安养心神的方法治疗,主方为宅中汤。
宅中汤(自制方)
天冬(二钱) 紫河车(二钱,切片) 人参(二钱) 茯神(二钱) 黄芪(二钱) 当归(二钱) 白芍(一钱) 丹参(二钱) 柏子仁(二钱) 远志(五分,用甘草水炒制) 莲子(二十粒,去心)
先生制定此方依据《难经》中“损其心者,调其营卫”的理论,用人参、黄芪、茯神、远志来补益心气,卫气即属于气,气能够化生神志。用丹参、柏子仁、当归、白芍来补益心血,营血即属于血,血能够滋养神志。补益气血不仅是调和营卫,同时也是安养心神。莲子用来安定脾气,因为心与脾是母子关系;天冬用来滋润肾阴,因为心与肾处于既济的状态。使用紫河车,是因为它是人生造命之本源,具有补益先天元气的奇特功效。祖怡注。
肺劳,是指肺气严重虚弱,出现身体发热、气息短促、口燥咽干,严重时甚至咳嗽、吐血,主方为益气补肺汤。
益气补肺汤(自制方)
阿胶(二钱,用蛤粉炒制) 五味子(五分) 地骨皮(二钱) 麦冬(二钱) 人参(二钱)
天冬(二钱) 百合(三钱) 贝母(二钱) 茯苓(二钱) 薏苡仁(四钱) 糯米(一撮,煎汤代替水)
先生制定此方依据《难经》中“损其肺者,益其气”的理论,用人参、麦冬、五味子组成的生脉散法,以及阿胶、百合、天冬来补益肺阴,因为气即是水,水能够化生气。用糯米、茯苓来调和脾肺,用贝母、地骨皮、薏苡仁来退除虚热并止咳血,肺脏滋润则肺气得以治理,从而形成金水相生的良性循环。祖怡注。
Heart Labor refers to a condition where Ying Blood (nutritive blood) is gradually depleted, manifesting as mental restlessness, spiritual fatigue, dry mouth and throat. The appropriate treatment is to harmonize and tonify Ying and Wei (defensive) Qi, and to calm and nourish the Shen (spirit). The principal formula is Zhai Zhong Tang.
Zhai Zhong Tang (Self-made Formula)
Asparagi Radix (Tian Dong, 2 qian)
Placenta Humana (Zi He Che, 2 qian, sliced)
Ginseng Radix et Rhizoma (Ren Shen, 2 qian)
Poria Cum Radix Xylomi (Fu Shen, 2 qian)
Astragali Membranacei Radix (Huang Qi, 2 qian)
Angelicae Sinensis Radix (Dang Gui, 2 qian)
Paeoniae Radix Alba (Bai Shao, 1 qian)
Salviae Miltiorrhizae Radix (Dan Shen, 2 qian)
Biota Semen (Bai Ren, 2 qian)
Polygalae Radix (Yuan Zhi, 5 fen, stir-fried with Licorice water)
Nelumbinis Semen (Lian Zi, 20 grains, heart removed)
The author formulated this prescription based on the principle from *Nan Jing* (Classic of Difficult Issues): "For damage to the Heart, regulate its Ying and Wei." Ginseng, Astragalus, Poria with Pine Wood, and Polygala are used to tonify Heart Qi. Wei Qi belongs to Qi, and Qi can generate Shen. Salvia, Biota Seed, Angelica, and White Peony Root are used to tonify Heart Blood. Ying Blood belongs to Blood, and Blood can nourish Shen. Tonifying Qi and Blood not only harmonizes Ying and Wei but also calms the Shen. Lotus seed is used to stabilize Spleen Qi, as Heart and Spleen share a mother-son relationship; Asparagus root is used to nourish Kidney Yin, as Heart and Kidney exist in a state of mutual interaction (Ji Ji). Placenta Humana is used because it is the origin of human life creation, possessing unique efficacy in tonifying congenital Yuan Qi. Annotated by Zu Yi.
Lung Labor refers to a condition of severe deficiency of Lung Qi, manifesting as low-grade fever, shortness of breath, dry mouth and throat, and in severe cases, coughing up blood. The principal formula is Yi Qi Bu Fei Tang.
Yi Qi Bu Fei Tang (Self-made Formula)
Columba Colla (E Jiao, 2 qian, stir-fried with Arcae Concha powder)
Schisandrae Fructus (Wu Wei Zi, 5 fen)
Lyceii Cortex (Di Gu Pi, 2 qian)
Ophiopogonis Radix (Mai Dong, 2 qian)
Ginseng Radix et Rhizoma (Ren Shen, 2 qian)
Asparagi Radix (Tian Dong, 2 qian)
Lilii Bulbus (Bai He, 3 qian)
Fritillariae Cirrhosae Bulbus (Bei Mu, 2 qian)
Poria (Fu Ling, 2 qian)
Coicis Semen (Yi Yi Ren, 4 qian)
Oriza Sativa Grain (Nuomi, one pinch, decocted in water to replace cooking water)
The author formulated this prescription based on the principle from *Nan Jing*: "For damage to the Lung, benefit its Qi." The combination of Ginseng, Ophiopogon, and Schisandra follows the method of Sheng Mai San (Generate the Pulse Decoction), while Columba Colla, Lilium Bulb, and Asparagus root are used to tonify Lung Yin, because Qi is essentially Water, and Water can transform into Qi. Coix seed and Poria are used to harmonize Spleen and Lung, while Fritillaria, Lycium Bark, and Coix seed are used to clear deficient heat and stop hemoptysis. When the Lung is moistened, Lung Qi becomes regulated, thereby establishing the generative cycle of Metal and Water (Jin Shui Xiang Sheng). Annotated by Zu Yi.