(汤)治呕呃,参甘半夏陈皮麦。赤茯再加姜枣煎,方由金匮此加辟。(《金匮》方,橘
皮、竹茹各二升,人参一两,甘草五两,生姜半斤,枣三十枚,名橘皮竹茹汤,治哕逆,即
呃逆也。后人加半夏、麦冬、赤茯苓、枇杷叶。呃逆由胃火上冲,肝胆之火助之,肺金之气
不得下降也。竹茹、麦冬、枇杷叶清肺和胃而降气,肺金清则肝木自平矣。二陈降痰逆,赤
茯苓泻心火,生姜呕家圣药,久病虚赢,故以参、甘、大枣扶其胃气。)
(汤,《严氏》)人参姜,呃逆因寒中气戕。(丁香、柿蒂各二钱,人参一钱,
。)济生香蒂仅二味,(亦名丁香柿蒂汤,加姜煎。古方单用柿蒂,取其苦温降气;《济生》
加丁香、生姜,取其开郁散痰;加参者,扶其胃气也。)或加竹橘用皆良。(加竹茹、橘红,
各丁香柿蒂竹茹汤,治同。)
(汤)白果与麻黄,款冬半夏白皮桑。苏杏黄芩兼甘草,肺寒膈热哮喘尝。〔白果三十
枚(炒黄),麻黄、半夏(姜制)、款冬各三钱,桑皮(蜜炙)、苏子各二钱,杏仁、黄芩各
钱半,甘草一钱,加姜煎。麻黄、杏仁、桑皮、甘草散表寒而清肺气,款冬温润,白果收涩,
定喘而
十三首、附方六
(汤)地芍与归芎,血家百病此方通。〔当归(酒洗)、生地各三钱,白芍二钱,川芎
钱半。当归辛、苦、甘温,入心脾,生血为君;生地甘寒,入心肾,滋血为臣;芍药酸寒,
入肝脾,敛阴为佐;川芎辛温,通行血中之气为使。〕八珍(汤)合入四君子(参、术、苓、
草,)气血双疗功独崇。(四君补气,四物补血。)再加黄 与肉桂,(加黄 助阳固卫,加肉
桂引火归元。)十全大补(汤)补方雄。(补方之首。)十全除却 地草,(除生地、黄 、甘
草。)加粟(米百粒)煎之名胃风(汤。张元素治风客肠胃,飧泄完谷及 牙闭。)
(橘皮竹茹汤)治疗呕吐呃逆,方中有人参、甘草、半夏、陈皮、麦冬。加入赤茯苓,再加生姜和大枣煎煮,此方源自《金匮要略》,是在原方基础上加减化裁而来。(《金匮要略》中的方剂,由橘皮、竹茹各二升,人参一两,甘草五两,生姜半斤,大枣三十枚组成,名为橘皮竹茹汤,治疗哕逆,也就是呃逆。后人加入了半夏、麦冬、赤茯苓、枇杷叶。呃逆是由于胃火上冲,肝胆之火助长火势,导致肺金之气不能下降。竹茹、麦冬、枇杷叶能清肺和胃并降气,肺金清肃则肝木自然平和。二陈汤用于降痰逆,赤茯苓泻心火,生姜是治疗呕吐的圣药,对于久病体虚羸弱之人,故用人参、甘草、大枣来扶持胃气。)
(丁香柿蒂汤,《济生方》记载)含有人参、生姜,呃逆是因为寒邪中阻损伤了正气。(丁香、柿蒂各二钱,人参一钱,[原文此处缺味,通常指生姜]。)《济生方》的香蒂汤仅有两味药,(也叫做丁香柿蒂汤,加生姜煎服。古方单用柿蒂,取其苦温以降气;《济生方》加入丁香、生姜,取其开郁散痰的作用;加入人参,是为了扶持胃气。)或者加入竹茹、橘红使用也都很好。(加入竹茹、橘红,即丁香柿蒂竹茹汤,主治相同。)
(定喘汤)含有白果与麻黄,款冬花、半夏、桑白皮。加上苏子、杏仁、黄芩兼甘草,用于治疗肺寒膈热引起的哮喘。〔白果三十枚(炒至微黄),麻黄、半夏(姜制)、款冬花各三钱,桑白皮(蜜炙)、苏子各二钱,杏仁、黄芩各一钱半,甘草一钱,加生姜煎煮。麻黄、杏仁、桑白皮、甘草发散表寒而清肃肺气,款冬花温润,白果收敛固涩,具有定喘功效……〕
(四物汤)由地黄、芍药、当归、川芎组成,血分疾病百病皆可由此方通治。〔当归(酒洗)、生地黄各三钱,白芍二钱,川芎一钱半。当归辛、苦、甘、温,入心脾经,生血为君药;生地黄甘寒,入心肾经,滋血为臣药;芍药酸寒,入肝脾经,敛阴为佐药;川芎辛温,通行血中之气为使药。〕八珍汤合入四君子汤(人参、白术、茯苓、甘草),气血双补的功效独尊。(四君子汤补气,四物汤补血。)再加入黄芪与肉桂,(加入黄芪助阳固卫,加入肉桂引火归元。)十全大补汤成为补方中的雄冠。(补方之首。)十全大补汤去掉地黄、黄芪、甘草,(除去生地黄、黄芪、甘草。)加粟米一百粒煎煮,名为胃风汤。(张元素治疗风邪客于肠胃,导致完谷不化的飧泄及牙齿紧闭之症。)
(Ju Pi Zhu Ru Tang) Treats vomiting and hiccups. The formula contains Renshen (Ginseng Radix), Gancao (Licorice Root), Banxia (Pinellia Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Maidong (Ophiopogonis Radix). Add Chifuling (Poria with Red Core), along with Shengjiang (Fresh Ginger Rhizome) and Dazao (Jujube Fructus), and decoct. This formula originates from *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) and is a modification of the original prescription. (The formula in *Jin Gui Yao Lue* consists of Chenpi and Zhuru (Bambusa Textilis Caulis in Succo) each two sheng, Renshen one liang, Gancao five liang, Shengjiang half jin, and Dazao thirty pieces. It is named Ju Pi Zhu Ru Tang and treats yue ni (hiccups/belching), which is equivalent to e ni (hiccups). Later generations added Banxia, Maidong, Chifuling, and Pipaye (Loquat Leaf). Hiccups are caused by stomach fire rushing upward, assisted by liver-gallbladder fire, preventing lung metal qi from descending. Zhuru, Maidong, and Pipaye clear the lungs, harmonize the stomach, and direct qi downward; when lung metal is clear, liver wood naturally becomes balanced. Er Chen Tang (Two-Aged Decoction) directs phlegm downward; Chifuling drains heart fire; Shengjiang is the sacred medicine for treating vomiting; for chronic illness with deficiency and emaciation, Renshen, Gancao, and Dazao are used to support stomach qi.)
(Ding Xiang Shi Di Tang, recorded in *Ji Sheng Fang*) Contains Renshen and Shengjiang. Hiccups occur due to cold pathogen obstructing the middle and damaging healthy qi. (Dingxiang (Caryophylli Flos) and Shidi (Diospyri Fructus) each two qian, Renshen one qian, [text missing, usually implies Shengjiang].) The Xiang Di Tang from *Ji Sheng Fang* has only two ingredients, (also known as Ding Xiang Shi Di Tang, decocted with ginger. Ancient formulas used only Shidi, taking advantage of its bitter-warm property to direct qi downward; *Ji Sheng Fang* adds Dingxiang and Shengjiang to open depression and scatter phlegm; adding Renshen is to support stomach qi.) Alternatively, adding Zhuru and Juhong (Citri Reticulatae Pericarpium Rubrum) is also effective. (Adding Zhuru and Juhong forms Ding Xiang Shi Di Zhu Ru Tang, with the same indications.)
(Ding Chuan Tang) Contains Baiguo (Ginkgo Seed) and Mahuang (Ephedrae Herba), Kuaodonghua (Adenophorae Radix et Rhizoma), Banxia, and Sangbaipi (Mori Cortex). Combined with Suzi (Perillae Fructus), Xingren (Armeniacae Semen Amarum), Huangqin (Scutellariae Radix), and Gancao, it is used to treat asthma caused by lung cold and diaphragm heat. [Baiguo thirty pieces (stir-fried until yellow), Mahuang, Banxia (processed with ginger), and Kuaodonghua each three qian, Sangbaipi (honey-fried) and Suzi each two qian, Xingren and Huangqin each one-and-a-half qian, Gancao one qian, add ginger and decoct. Mahuang, Xingren, Sangbaipi, and Gancao disperse exterior cold and clear lung qi; Kuaodonghua is warm and moistening; Baiguo is astringent and consolidating, having the effect of calming wheezing...]
(Si Wu Tang) Composed of Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), and Chuanxiong (Chuanxiong Rhizoma). This formula is versatile for all blood-related diseases. [Danggui (washed with wine) and Shengdihuang (Raw Rehmanniae Radix) each three qian, Baishao (White Peony Root) two qian, Chuanxiong one-and-a-half qian. Danggui is pungent, bitter, sweet, and warm, entering the Heart and Spleen meridians; it generates blood and serves as the Sovereign herb; Shengdihuang is sweet and cold, entering the Heart and Kidney meridians; it nourishes blood and serves as the Minister herb; Shaoyao is sour and cold, entering the Liver and Spleen meridians; it astringes yin and serves as the Assistant herb; Chuanxiong is pungent and warm, circulating qi within the blood and serving as the Guide herb.] Ba Zhen Tang (Eight-Treasure Decoction) combined with Si Jun Zi Tang (Four-Gentlemen Decoction: Renshen, Baizhu, Fuling, Gancao) achieves unique merit in dual tonification of qi and blood. (Si Jun Zi Tang tonifies qi; Si Wu Tang tonifies blood.) Adding Huangqi (Astragali Radix) and Rougui (Cinnamomi Cortex) creates Shi Quan Da Bu Tang (Ten-Substance Great Tonifying Decoction), which aids yang and secures the exterior, while guiding fire back to its source. (Shi Quan Da Bu Tang is the premier among tonifying formulas.) Removing Dihuang, Huangqi, and Gancao from Shi Quan Da Bu Tang, and adding one hundred grains of Sumi (Millet) for decoction yields Wei Feng Tang (Stomach Wind Decoction). (Zhang Yuansu treated wind pathogens invading the intestines and stomach, causing unsolidified stool diarrhea and lockjaw.)