肝受燥热,则血分枯槁,筋缩爪干,涵木养营汤主之。
涵木养营汤(自制)
生地(三钱) 熟地(三钱) 人参(一钱) 白芍(一钱) 枣仁(一钱五分炒研) 秦艽(一钱) 麦冬(一
钱五分) 木瓜(一钱) 五味子(五分) 当归(二钱) 红枣(十枚) 桑枝(一尺)
此方以二地滋水涵木;以归、芍润燥养营;以枣仁合生脉,酸甘化阴,制丙火而收散失之气液。重用红
枣以缓肝之急;木瓜以收胃气之散失;合秦艽、桑枝舒筋,以肝主筋也。祖怡注。
肝受燥凉,血涩不行,筋短胁痛,当归润燥汤主之。
当归润燥汤(自制)
归身(二钱) 白芍(一钱五分) 红花(五分) 木瓜(一钱) 秦艽(一钱)
丹参(二钱) 牛膝(二钱) 川断(二钱) 独活(一钱) 橘饼(四钱) 红枣(十枚)
归、芍、枣养营,秦艽、木瓜舒筋,用法与前第五方意同。再加丹参、红花养血活血。筋缩必先见于足,故用
中风证中之川断、独活、牛膝,而以橘饼调和肝胃。此方重在肝受燥凉而血行涩滞,故重用养营活血
以畅通之。祖怡注。
脾本喜燥,但燥热太过,则为焦土,而生机将息,令人体疲便硬,反不思食,此正如亢旱之时,赤地千里,禾
稼不生也,泽下汤主之。
泽下汤(自制)
人参(一钱) 当归(二钱) 白芍(一钱) 生地(六钱) 白苏子(三钱)
大麻仁(三钱) 石斛(三钱) 山药(三钱) 料豆(三钱) 红枣(十枚)
参、枣、归、芍,脾家血分药,与涵木养营汤同。以肝藏血,脾统血也。生地与山药、料豆同用,有补脾及肾之
意,所以命名泽下。石斛有咸味者,亦能滋肾,因脾燥必吸肾阴。气血虚之便硬,反不思食,无攻泻之可
进,麻仁、苏子油多润肠,不妨气血,最为稳着。祖怡注。
肝脏受到燥热之邪侵袭,会导致血分枯竭干枯,出现筋脉拘挛收缩、爪甲干枯等症状,治疗以涵木养营汤为主。
涵木养营汤(自制方)
生地黄(三钱) 熟地黄(三钱) 人参(一钱) 白芍(一钱) 酸枣仁(一钱五分,炒后研碎) 秦艽(一钱) 麦冬(一钱五分) 木瓜(一钱) 五味子(五分) 当归(二钱) 红枣(十枚) 桑枝(一尺)
此方用生地黄和熟地黄滋养肾水以涵养肝木;用当归、白芍润燥以滋养营血;用酸枣仁配合生脉散之意,通过酸甘化阴的方法,制约心火(丙火)并收敛耗散的气液。重用红枣来缓解肝气的急迫;用木瓜来收摄胃气的耗散;配合秦艽、桑枝舒筋活络,因为肝主司筋脉。祖怡注。
肝脏受到燥凉之邪侵袭,导致血液涩滞不行,出现筋脉短缩、胁肋疼痛等症状,治疗以当归润燥汤为主。
当归润燥汤(自制方)
当归身(二钱) 白芍(一钱五分) 红花(五分) 木瓜(一钱) 秦艽(一钱)
丹参(二钱) 牛膝(二钱) 川断(杜仲科植物川续断的根,二钱) 独活(一钱) 橘饼(四钱) 红枣(十枚)
当归、白芍、红枣滋养营血,秦艽、木瓜舒筋活络,用法与前文第五方(涵木养营汤)意旨相同。再加丹参、红花以养血活血。筋脉拘缩的症状必定先表现在足部,因此使用治疗中风证中的川断、独活、牛膝,并用橘饼调和肝胃之气。此方的重点在于肝脏受燥凉之邪导致血液运行涩滞,因此重用滋养营血、活血化瘀的药物以畅通血脉。祖怡注。
脾脏本性喜燥,但如果燥热太过,就会像焦土一样,生机将息,使人身体疲乏、大便干硬,反而不想进食,这正如大旱之时,千里赤地,庄稼无法生长一样,治疗以泽下汤为主。
泽下汤(自制方)
人参(一钱) 当归(二钱) 白芍(一钱) 生地黄(六钱) 白苏子(紫苏的种子,三钱)
大麻仁(火麻仁,三钱) 石斛(三钱) 山药(三钱) 料豆(黑大豆,三钱) 红枣(十枚)
人参、红枣、当归、白芍是调理脾脏血分的药物,与涵木养营汤相同。因为肝藏血,脾统血。生地黄与山药、料豆同用,有补益脾肾的意思,所以命名为“泽下”(滋润下方)。味道咸的石斛也能滋补肾阴,因为脾燥必然吸收肾阴。气血虚弱导致的大便干硬,反而不想进食,此时不能用攻下泻下的方法,火麻仁、紫苏子油脂多能润肠通便,且不损伤气血,是最为稳妥的办法。祖怡注。
When the Liver is affected by dryness-heat, the blood aspect becomes withered and exhausted, leading to contraction of the sinews and dryness of the nails. Hanmu Yangying Tang (Nourishing Wood and Nourishing Blood Decoction) is the primary formula.
Hanmu Yangying Tang (Self-made Formula)
Sheng Di Huang (Rehmanniae Radix Preparata, 3 qian)
Shu Di Huang (Rehmanniae Radix Praeparata, 3 qian)
Ren Shen (Ginseng Radix et Rhizoma, 1 qian)
Bai Shao (Paeoniae Radix Alba, 1 qian)
Zao Ren (Ziziphi Spinosae Semen, 1.5 qian, stir-fried and crushed)
Qin Jiao (Gentianae Macrophyllae Radix, 1 qian)
Mai Dong (Ophiopogonis Radix, 1.5 qian)
Mu Gua (Chaenomelis Fructus, 1 qian)
Wu Wei Zi (Schisandrae Chinensis Fructus, 0.5 qian)
Dang Gui (Angelicae Sinensis Radix, 2 qian)
Hong Zao (Jujubae Fructus, 10 pieces)
Sang Zhi (Mori Ramulus, 1 chi)
This formula uses Sheng Di Huang and Shu Di Huang to nourish Kidney Water to support Liver Wood; Dang Gui and Bai Shao moisten dryness and nourish Ying Blood; Zao Ren combined with the principle of Sheng Mai San transforms sour and sweet into Yin, restraining Heart Fire (Bing Huo) and gathering dispersed Qi and fluids. Heavy use of Hong Zao relieves the urgency of the Liver; Mu Gua gathers the dispersion of Stomach Qi; combined with Qin Jiao and Sang Zhi to relax the sinews, as the Liver governs the sinews. Note by Zuyi.
When the Liver is affected by dryness-cold, blood flow becomes stagnant and obstructed, leading to shortening of the sinews and hypochondriac pain. Danggui Runzao Tang (Angelica Moistening Dryness Decoction) is the primary formula.
Danggui Runzao Tang (Self-made Formula)
Dang Gui Shen (Radix Angelicae Sinensis, 2 qian)
Bai Shao (Paeoniae Radix Alba, 1.5 qian)
Hong Hua (Carthami Flos, 0.5 qian)
Mu Gua (Chaenomelis Fructus, 1 qian)
Qin Jiao (Gentianae Macrophyllae Radix, 1 qian)
Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian)
Niu Xi (Achyranthis Bidentatae Radix, 2 qian)
Chuan Duan (Dipsaci Radix, 2 qian)
Du Huo (Angelicae Pubescentis Radix, 1 qian)
Ju Bing (Citri Reticulatae Pericarpium Conservatum, 4 qian)
Hong Zao (Jujubae Fructus, 10 pieces)
Dang Gui, Bai Shao, and Hong Zao nourish Ying Blood; Qin Jiao and Mu Gua relax the sinews. The usage aligns with the intent of the previous fifth formula (Hanmu Yangying Tang). Additionally, Dan Shen and Hong Hua are added to nourish and invigorate blood circulation. Since tendon contraction must first manifest in the feet, Chuan Duan, Du Huo, and Niu Xi, typically used in stroke syndromes, are employed, while Ju Bing harmonizes the Liver and Stomach. This formula focuses on the stagnation of blood flow due to the Liver being affected by dryness-cold; thus, it heavily employs formulas that nourish Ying Blood and invigorate blood to unblock the channels. Note by Zuyi.
The Spleen naturally prefers dryness; however, if dryness-heat is excessive, it becomes like scorched earth, causing vitality to cease, resulting in bodily fatigue, hard stools, and loss of appetite. This is akin to a severe drought where the land is barren for thousands of miles and crops fail to grow. Zexia Tang (Moistening Lower Decoction) is the primary formula.
Zexia Tang (Self-made Formula)
Ren Shen (Ginseng Radix et Rhizoma, 1 qian)
Dang Gui (Angelicae Sinensis Radix, 2 qian)
Bai Shao (Paeoniae Radix Alba, 1 qian)
Sheng Di Huang (Rehmanniae Radix Preparata, 6 qian)
Bai Su Zi (Perillae Fructus, 3 qian)
Da Ma Ren (Cannabis Fructus, 3 qian)
Shi Hu (Dendrobii Caulis, 3 qian)
Shan Yao (Dioscoreae Rhizoma, 3 qian)
Liao Dou (Sojae Glycines Semen Nigrum, 3 qian)
Hong Zao (Jujubae Fructus, 10 pieces)
Ren Shen, Hong Zao, Dang Gui, and Bai Shao are herbs for regulating the blood aspect of the Spleen, identical to Hanmu Yangying Tang. This is because the Liver stores blood and the Spleen controls blood. Sheng Di Huang combined with Shan Yao and Liao Dou has the intention of tonifying the Spleen and Kidney, hence the name "Zexia" (Moistening the Lower). Shi Hu with a salty taste can also nourish Kidney Yin, as Spleen dryness inevitably draws from Kidney Yin. For hard stools caused by Qi and Blood deficiency accompanied by loss of appetite, purgative methods are contraindicated. Da Ma Ren and Bai Su Zi, rich in oils, moisten the intestines without damaging Qi and Blood, making them the most prudent choice. Note by Zuyi.