肝劳者,阳气拂逆,阴气亏损,身热胁痛,头眩耳鸣,筋节弛纵,加味扶桑饮主之。
加味扶桑饮(自制)
熟地(五钱) 当归(二钱) 白芍(一钱五分) 川芎(八分) 木瓜(一钱酒炒)
枣仁(二钱炒研) 牡蛎(四钱 炒) 茯苓(二钱) 广皮(一钱) 甘草(五分) 金毛
狗脊(二钱去毛切片) 续断(二钱) 嫩桑枝(二两煎汤代水)
先生此方根据《难经》损其肝者缓其中。肝,血脏也,主筋者也。以四物加枣仁补血,以牡
蛎、木瓜、甘草,柔之敛之缓之。以续断、毛脊、桑枝舒筋节,以茯苓、陈皮和脾而调气,肝之不
足在其血,肝之失调在其
气也。祖怡注。
脾劳者,或饮食不调,或行役劳倦,积久脾败,四肢倦怠,食少身热,行健汤主之。
行健汤(自制)
黄 (二钱) 人参(二钱) 茯苓(二钱) 白术(一钱) 甘草(五
分) 当归(二钱) 白芍(一钱酒炒) 青蒿梗(一钱五分) 广皮(一钱) 砂仁(一钱
)料豆(三钱) 木香(五分) 大枣(二枚) 姜(三片)
先生此方根据《难经》损其脾者调其饮食,适其寒温。从本来无方中,自出手眼立一方。用四
君加黄 ,四物去芎、地,加料豆、蒿梗以佐归、芍,加香砂、陈皮以佐参、 、术、苓、草、姜、枣
,调其营卫,亦所以调其饮食,适其寒温也。祖怡注。
肝劳,是指阳气拂逆(气机不畅、郁滞),阴气亏损,出现身体发热、胁肋疼痛、头晕目眩、耳鸣、筋脉关节松弛无力等症状,主治方剂为加味扶桑饮。
加味扶桑饮(自制方)
熟地黄(五钱) 当归(二钱) 白芍(一钱五分) 川芎(八分) 木瓜(一钱,酒炒)
酸枣仁(二钱,炒后研碎) 牡蛎(四钱,炒) 茯苓(二钱) 广陈皮(一钱) 甘草(五分) 金毛狗脊(二钱,去毛切片) 续断(二钱) 嫩桑枝(二两,煎汤代替水煎药)
先生创制此方依据《难经》中“损伤肝脏者,应缓急其中”的理论。肝是藏血的脏器,主管筋脉。用四物汤加酸枣仁来补血,用牡蛎、木瓜、甘草来柔润、收敛、缓和肝气。用续断、金毛狗脊、桑枝来舒展筋脉关节,用茯苓、陈皮来调和脾胃以调理气机。肝的不足在于血虚,肝的失调在于气乱。祖怡注。
脾劳,有的是因为饮食不调,有的是因为劳作过度,日久导致脾脏衰败,出现四肢倦怠乏力、食欲不振、身体发热等症状,主治方剂为行健汤。
行健汤(自制方)
黄芪(二钱) 人参(二钱) 茯苓(二钱) 白术(一钱) 甘草(五分) 当归(二钱) 白芍(一钱,酒炒) 青蒿梗(一钱五分) 广陈皮(一钱) 砂仁(一钱) 料豆(三钱) 木香(五分) 大枣(两枚) 生姜(三片)
先生创制此方依据《难经》中“损伤脾脏者,应调理饮食,适应寒温”的理论。从原本没有现成方剂的情况出发,独自构思创立一方。使用四君子汤加黄芪,四物汤去掉川芎和熟地黄,加入料豆、青蒿梗来辅助当归、白芍,加入木香、砂仁、陈皮来辅助人参、黄芪、白术、茯苓、甘草、生姜、大枣,以此调和营卫,这也是调理饮食、适应寒温的方法。祖怡注。
Liver Exhaustion (Gan Lao) refers to a condition characterized by the rebellion of Yang Qi (the active, warming energy) and the deficiency of Yin Qi (the cooling, nourishing energy), presenting with symptoms such as fever, hypochondriac pain, dizziness, tinnitus, and flaccidity of tendons and joints. The primary formula for treatment is Jiawei Fusang Yin (Modified Mulberry Twig Decoction).
Jiawei Fusang Yin (Self-formulated)
Shu Di Huang (Prepared Rehmannia Root, 5 qian)
Dang Gui (Chinese Angelica Root, 2 qian)
Bai Shao (White Peony Root, 1.5 qian)
Chuan Xiong (Sichuan Lovage Rhizome, 0.8 fen)
Mu Gua (Chaenomeles Fruit, 1 qian, stir-fried with wine)
Zao Ren (Spina Date Seed, 2 qian, stir-fried and crushed)
Mu Li (Oyster Shell, 4 qian, stir-fried)
Fu Ling (Poria, 2 qian)
Guang Pi (Aged Tangerine Peel, 1 qian)
Gan Cao (Licorice Root, 0.5 qian)
Jinmao Gouji (Cibotium Barometz Rhizome, 2 qian, de-haired and sliced)
Xu Duan (Dipsacus Root, 2 qian)
Nen Sang Zhi (Young Mulberry Twig, 2 liang, decocted to replace water for cooking other herbs)
The author formulated this prescription based on the principle from *Nan Jing* (Classic of Difficult Issues): "For damage to the Liver, soothe the interior." The Liver is the organ that stores Blood and governs the Tendons. Si Wu Tang (Four Substances Decoction) combined with Zao Ren is used to nourish Blood; Mu Li, Mu Gua, and Gan Cao are used to soften, astringe, and soothe the Liver. Xu Duan, Jinmao Gouji, and Sang Zhi are used to relax the tendons and joints; Fu Ling and Guang Pi are used to harmonize the Spleen and regulate Qi. The insufficiency of the Liver lies in Blood deficiency, while its dysfunction lies in Qi disorder. Annotated by Zuyi.
Spleen Exhaustion (Pi Lao) may result from irregular diet or physical overexertion. Over time, this leads to Spleen failure, manifesting as fatigue and weakness of the four limbs, poor appetite, and low-grade fever. The primary formula for treatment is Xingjian Tang (Invigorating Movement Decoction).
Xingjian Tang (Self-formulated)
Huang Qi (Astragalus Root, 2 qian)
Ren Shen (Ginseng Root, 2 qian)
Fu Ling (Poria, 2 qian)
Bai Zhu (Atractylodes Macrocephala Rhizome, 1 qian)
Gan Cao (Licorice Root, 0.5 qian)
Dang Gui (Chinese Angelica Root, 2 qian)
Bai Shao (White Peony Root, 1 qian, stir-fried with wine)
Qing Hao Geng (Artemisia Annua Stem, 1.5 qian)
Guang Pi (Aged Tangerine Peel, 1 qian)
Sha Ren (Amomum Fruit, 1 qian)
Liao Dou (Black Soybean, 3 qian)
Mu Xiang (Costus Root, 0.5 qian)
Da Zao (Jujube Fruit, 2 pieces)
Sheng Jiang (Fresh Ginger, 3 slices)
The author formulated this prescription based on the principle from *Nan Jing*: "For damage to the Spleen, regulate the diet and adapt to cold and warmth." Since there was no existing standard formula, the author independently created one. It uses Si Jun Zi Tang (Four Gentlemen Decoction) supplemented with Huang Qi, and Si Wu Tang (Four Substances Decoction) modified by removing Chuan Xiong and Shu Di Huang. Liao Dou and Qing Hao Geng are added to assist Dang Gui and Bai Shao; Mu Xiang, Sha Ren, and Guang Pi are added to assist Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Gan Cao, Sheng Jiang, and Da Zao. This combination harmonizes Ying Wei (Nutritive and Defensive Qi), thereby regulating diet and adapting to environmental temperature changes. Annotated by Zuyi.