所欲不遂,郁极火生,心烦虑乱,身热而躁,解郁合欢汤主之。
解郁合欢汤(自制)
合欢花(二钱) 郁金(二钱) 沉香(五分) 当归(二钱) 白芍(一钱) 丹参(二钱) 柏仁(二钱) 山
栀(一钱五分) 柴胡(一钱) 薄荷(一钱) 茯神(二钱) 红枣(五枚) 橘饼(四钱)
此方用柴胡、当归、白芍、薄荷,逍遥散之半,去茯苓、白术、甘草、煨姜,而用合欢、郁金
沉香、山栀、橘饼,舒郁顺气,清火达木,即所以安胃。又用丹参、柏仁、茯神、红枣,则所以养
心脾而缓肝急,使君火与相火俱安,而脾胃亦得太和矣。识得郁火与肝胆之火之分别,而后知两方
各有其合处。祖怡注。
酒色太过,下元伤损,腰膝无力,身热心烦,甚则强阳不痿,加味三才汤主之。
加味三才汤(自制)
天冬(二钱) 地黄(五钱) 人参(二钱) 龟版(八钱) 女贞子(一钱
)旱莲(一钱) 茯苓(二钱) 丹皮(二钱) 泽泻(一钱五分) 黄柏(一钱) 杜
仲(二钱) 牛膝(一钱五分) 红枣(五枚)
此方以三才合二至,加黄柏、丹皮、茯苓、泽泻,得知柏八味之半而强。红枣与参合用,而解
苦顾胃;龟版、杜仲与牛膝合用,而潜虚阳,引虚火下行,以固其肾气,则水火可以既济,而邪火
可望不动矣。祖怡注。
因欲望得不到满足,郁结至极而生火,出现心烦意乱、身体发热且烦躁不安的症状,主用解郁合欢汤治疗。
解郁合欢汤(自制方)
合欢花(二钱) 郁金(二钱) 沉香(五分) 当归(二钱) 白芍(一钱) 丹参(二钱) 柏子仁(二钱) 山栀(一钱五分) 柴胡(一钱) 薄荷(一钱) 茯神(二钱) 红枣(五枚) 橘饼(四钱)
此方使用柴胡、当归、白芍、薄荷,取逍遥散(调和肝脾的经典方剂)的一半药味,去掉茯苓、白术、甘草、煨姜,而加入合欢花、郁金、沉香、山栀、橘饼,以舒展郁结、顺气降逆、清泻肝火,这就是所谓的“安胃”之法。又使用丹参、柏子仁、茯神、红枣,以此来滋养心脾并缓解肝急,使君火与相火(生理之火)都得以安宁,从而使脾胃达到平和的状态。只有认清了郁火与肝胆之火的区别,才能知道这两个方剂各自适用的契合之处。祖怡注。
酒色过度,导致下元(肾精元气)受损,出现腰膝酸软无力、身体发热、心烦等症状,严重时甚至出现阳强不倒(阴茎异常勃起),主用加味三才汤治疗。
加味三才汤(自制方)
天冬(二钱) 地黄(五钱) 人参(二钱) 龟版(八钱) 女贞子(一钱) 旱莲草(一钱) 茯苓(二钱) 丹皮(二钱) 泽泻(一钱五分) 黄柏(一钱) 杜仲(二钱) 牛膝(一钱五分) 红枣(五枚)
此方将三才汤(补气养阴方)与二至丸(补益肝肾方)合并,加入黄柏、丹皮、茯苓、泽泻,得知柏八味(即知柏地黄丸,滋阴降火方)的一半功效从而增强疗效。红枣与人参合用,可以解除苦寒药物对胃气的损伤;龟版、杜仲与牛膝合用,可以潜降虚阳,引导虚火下行,以固护肾气,这样水火即可既济(心肾相交),邪火有望不再妄动。祖怡注。
When desires are unfulfilled, depression reaches its extreme and generates fire, resulting in symptoms of vexation, mental chaos, body heat, and restlessness. The primary treatment is Jieyu Hehuan Tang (Soothing Depression and Alleviating Agitation Decoction).
Jieyu Hehuan Tang (Self-made Formula)
Albiziae Flos (Hehuan Hua, 2 qian) Curcuma Aromatica Rhizoma (Yujin, 2 qian) Aquilaria Lignum Resinatum (Chenxiang, 5 fen) Angelicae Sinensis Radix (Danggui, 2 qian) Paeoniae Radix Alba (Baishao, 1 qian) Salviae Miltiorrhizae Radix et Rhizoma (Danshen, 2 qian) Ziziphi Spinosomi Semen (Bairen, 2 qian) Gardeniae Fructus (Shanzhi, 1.5 qian) Bupleuri Radix (Chaihu, 1 qian) Menthae Haplocalycis Herba (Bohe, 1 qian) Poria (Fushen, 2 qian) Jujubae Fructus (Hongzao, 5 pieces) Citri Reticulatae Pericarpium Viride (Jubing, 4 qian)
This formula utilizes Chaihu, Danggui, Baishao, and Bohe, taking half the composition of Xiaoyao San (Free and Easy Wanderer Powder), while removing Fuling, Baizhu, Gancao, and Wei Jiang (Ginger roasted with bran). Instead, it incorporates Hehuanhua, Yujin, Chenxiang, Shanzhi, and Jubing to soothe depression, regulate qi, clear liver fire, and thus "calm the stomach." Furthermore, Danshen, Bairen, Fushen, and Hongzao are used to nourish the Heart and Spleen and alleviate Liver tension, ensuring that both Jun Fire (Monarch Fire) and Xiang Fire (Minister Fire) remain tranquil, thereby bringing the Spleen and Stomach to a state of harmony. Only by distinguishing between Yu Huo (Depression-generated Fire) and Huo Dan Zhi Huo (Liver and Gallbladder Fire) can one understand the specific indications for each formula. Annotated by Zuyi.
Excessive indulgence in alcohol and sexual activity damages the Lower Yuan (Kidney Essence and Vital Qi), leading to weakness in the lower back and knees, body heat, and vexation. In severe cases, it may manifest as persistent erection without flaccidity (Qiang Yang Bu Wei). The primary treatment is Jiawei Sancai Tang (Modified Three Powers Decoction).
Jiawei Sancai Tang (Modified Three Powers Decoction)
Asparagi Radix (Tian Dong, 2 qian) Rehmanniae Radix Preparata (Dihuang, 5 qian) Ginseng Radix et Rhizoma (Renshen, 2 qian) Testudinis Carapax et Plastrum (Guiban, 8 qian) Ligustri Lucidi Fructus (Nvzhenzi, 1 qian) Ecliptae Herba (Hanlian, 1 qian) Poria (Fuling, 2 qian) Moutan Cortex (Danpi, 2 qian) Alismatis Rhizoma (Zexie, 1.5 qian) Phellodendri Cortex (Huangbai, 1 qian) Eucommiae Cortex (Duzhong, 2 qian) Achyranthis Bidentatae Radix (Niuxi, 1.5 qian) Jujubae Fructus (Hongzao, 5 pieces)
This formula combines Sancai Tang (Three Powers Decoction) with Erzhi Wan (Two Solstices Pill), adding Huangbai, Danpi, Fuling, and Zexie, thereby incorporating half the efficacy of Zhibai Dihuang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) to strengthen the effect. Hongzao combined with Renshen mitigates the potential damage to Stomach Qi caused by bitter-cold herbs. Guiban, Duzhong, and Niuxi work together to subdue deficient Yang and guide deficient Fire downward, consolidating Kidney Qi. This facilitates the mutual interaction of Water and Fire (Heart-Kidney intersection), allowing pathogenic Fire to be stabilized and cease its reckless movement. Annotated by Zuyi.