人参荆芥散 治妇人血风发热,身体疼痛,头昏目涩,心忪烦倦,寒热盗汗,颊赤口
干,痰嗽胸满,精神不爽。(血风劳者,若血虚肝热生风而成劳者,乃内热劳症,其有外邪乘
者,又为外致之病,当两分看)
人参 荆芥穗 生地黄 北柴胡 鳖甲(醋炙) 酸枣仁(炒) 枳壳(制) 羚羊角(别镑) 白术
(各七钱半) 当归 川芎 防风 桂心 甘草(各半两)
上为粗末,每服五钱,生姜三片,水煎热服。(此方以十全大补去黄 、白芍,而加荆
芥、防风,盖荆芥乃行散肝中结血,即火郁发之之意,而桂心之用,乃古方之常,当自斟酌)
地骨皮散 治妇人血风,气体虚弱,寒热发渴。
地骨皮 桑白皮 枳壳 前胡 黄 (各一钱半) 人参 白茯苓 白芍药 五加皮(各一钱)
柴胡(二钱) 官桂 甘草(各五分)
上作一服,水二盅,生姜三片,煎至一盅,不拘时服。(前方兼治心,此方兼治肺。而官
桂之用,意非气热所宜,于血风二字,不知将何以解)
大效油煎散 治血风劳气,攻注四肢,腰背疼痛,呕逆醋心,不思饮食,日渐羸瘦,面色
萎黄,手足麻痹,血海冷败,神效。
五加皮 川乌(炮) 芍药 海桐皮 牡丹皮(各一两) 川芎 桂心 干姜(各半两)
上为细末,每服二钱,水一盏,生麻油浸钱一文,同煎至六分,温服,常服以油浸二钱,
煎药时不可搅,吃药时不可吹。(此方以川乌、姜、桂等药为主,是真治血中有风也,故其出
症皆属膈之风冷攻注等病也。其煎法以生麻油浸钱,岂非入肝润燥欤?若谓煎不可搅,吃
不可吹,又不知其深意也)
治血风劳方(此又治在风热清而血自旺也,可为良法,第恐人不自悟耳)
荆芥穗(二两) 白芍药 牡丹皮 防风 地骨皮 白芷 黑豆 甘草(各一两) 川芎(二钱半)
上为细末,每服二钱,水一中盏,姜三片,枣一枚,葱白一寸,煎至八分,温服无时。
万全逍遥散 治血风劳,五心烦躁,心多怔忡,恍惚忧惧,头目昏重,夜多盗汗。
人参 黄 白术 白茯苓(去皮) 柴胡(去苗,各等分)
上为散,每服三钱,入甘草一寸同煎,温服。(既治血风,何为尽用气药?况以气药而
欲治以下诸症,似亦不能。愚谓此方非治血风劳,乃治气虚症也。用者审之)
熟干地黄散 治妇人血风劳,冷气攻心,心腹疼痛,四肢不和,饮食减少,日渐羸瘦。
熟干地黄 柴胡 黄 苍术 牛膝(各一两) 鳖甲(醋炙黄,二两) 白芍药 当归 姜黄
琥珀 浓朴(姜汁涂,炙) 川芎 陈皮(去白,各七钱半) 木香 羌活 桂心(各半两)
上为散,每服四钱,加生姜半分,水煎热服。(既治冷气,当同前方入无虚热各条内,然
以风名而有风药,以冷名而有热药,以劳名而治劳药,以血药补血散血,以气药补气行气,
用平胃以和脾胃,而除心腹之疼,用羌桂以能经,而除四肢之病。盖以错杂之邪,而用错杂
之药,今之所谓良医,概如此)
人参荆芥散:治疗妇女血风引起的发热,身体疼痛,头晕眼花、眼睛干涩,心悸烦躁疲倦,忽冷忽热并伴有盗汗,两颊发红、口干,咳嗽有痰且胸部胀满,精神不振。(所谓“血风劳”,如果是因血虚导致肝热生风而形成的劳损,属于内热型的劳症;如果有外邪侵袭的情况,则属于外感疾病,应当区分看待。)
药材组成:人参、荆芥穗、生地黄、北柴胡、鳖甲(用醋炙)、酸枣仁(炒制)、枳壳(炮制)、羚羊角(另片),各七钱半;当归、川芎、防风、桂心、甘草,各半两。
制法与用法:将上述药材捣成粗末,每次服用五钱,加生姜三片,用水煎煮后热服。(此方是在十全大补汤的基础上去掉黄芪、白芍,加入荆芥和防风。因为荆芥能疏散肝中郁结的血气,体现了“火郁发之”的治疗原则;而使用桂心则是古方中的常规做法,具体应用时需自行斟酌。)
药材组成:地骨皮、桑白皮、枳壳、前胡、黄芩,各一钱半;人参、白茯苓、白芍药、五加皮,各一钱;柴胡,二钱;官桂、甘草,各五分。
制法与用法:以上药材为一剂用量,加水两盅,生姜三片,煎至一盅,不拘时间服用。(前方兼治心脏病症,此方兼治肺脏病症。然而使用官桂之意,似乎并不适合气热证,对于“血风”这一病名,不知如何解释其合理性。)
大效油煎散:治疗血风劳气,邪气攻注四肢,腰背疼痛,呕吐反酸,不思饮食,日渐消瘦,面色萎黄,手足麻木,血海寒冷败坏,疗效神奇。
药材组成:五加皮、川乌(炮制)、芍药、海桐皮、牡丹皮,各一两;川芎、桂心、干姜,各半两。
制法与用法:将上述药材研为细末,每次服用二钱,加水一盏,取一枚铜钱浸泡在生麻油中,一同煎煮至六分量的药液,温服。长期服用时可用油浸过的二钱药粉,煎药时不可搅拌,服药时不可吹气。(此方以川乌、干姜、桂心等药物为主,是真正治疗血中之风的方剂,所以其主治症状都属于膈间的风冷攻注等疾病。其煎法中使用生麻油浸泡铜钱,难道不是为了让药性入肝并润燥吗?至于说煎药时不可搅拌,服药时不可吹气,又不知其中的深意何在。)
治血风劳方:(此方又是通过清除风热使血液自然旺盛的方法,可算是良法,只是担心人们不能领悟罢了。)
药材组成:荆芥穗,二两;白芍药、牡丹皮、防风、地骨皮、白芷、黑豆、甘草,各一两;川芎,二钱半。
制法与用法:将上述药材研为细末,每次服用二钱,加水一中盏,生姜三片,大枣一枚,葱白一寸,煎至八分量,随时温服。
万全逍遥散:治疗血风劳,五心烦热,心中多悸动不安,神情恍惚、忧愁恐惧,头目昏沉沉重,夜间多盗汗。
药材组成:人参、黄芪、白术、白茯苓(去皮)、柴胡(去苗),各等分。
制法与用法:将上述药材研为散剂,每次服用三钱,加入一寸长的甘草一同煎煮,温服。(既然治疗血风,为何全部使用补气药物?况且用补气药来治疗以下这些症状,似乎也难以奏效。我认为此方并非治疗血风劳,而是治疗气虚症。使用者请仔细审察。)
熟干地黄散:治疗妇女血风劳,冷气攻心,心腹疼痛,四肢不适,饮食减少,日渐消瘦。
药材组成:熟干地黄、柴胡、黄芪、苍术、牛膝,各一两;鳖甲(醋炙至黄色),二两;白芍药、当归、姜黄、琥珀、浓朴(用姜汁涂后炙)、川芎、陈皮(去白),各七钱半;木香、羌活、桂心,各半两。
制法与用法:将上述药材研为散剂,每次服用四钱,加生姜半分,用水煎煮后热服。(既然治疗冷气,应当将其归入前面提到的无虚热的各类条目中。然而,名为“风”却用风药,名为“冷”却用热药,名为“劳”却用治劳药,用补血药来补血散血,用补气药来补气行气,使用平胃散来调和脾胃从而消除心腹疼痛,使用羌活和桂心来通达经络从而消除四肢疾病。面对错综复杂的邪气,使用错综复杂的药物,这就是当今所谓的良医的做法。)
Ren Shen Jing Ji San (Ginseng and Schizonepeta Decoction): Treats women suffering from fever due to Blood Wind, body pain, dizziness with dry eyes, palpitations accompanied by irritability and fatigue, alternating chills and fever with night sweats, flushed cheeks and dry mouth, cough with phlegm and chest fullness, and mental listlessness. ("Blood Wind Lao" refers to a consumptive disease caused by blood deficiency leading to liver heat generating wind, which is an internal heat-type consumption; if there is an invasion of external pathogens, it is considered an exogenous disease, and the two should be distinguished.)
Ingredients: Ren Shen (Panax ginseng Radix et Rhizoma), Jing Ji Sui (Schizonepetae Spica), Sheng Di Huang (Rehmanniae Radix), Bei Chai Hu (Bupleuri Radix), Bie Jia (Testudinis Carapax et Plastrum, vinegar-processed), Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried), Zhi Ke (Aurantii Fructus, processed), Ling Yang Jiao (Saigae Tataricae Cornu, sliced separately), each 7.5 qian; Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Gui Xin (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), each half liang.
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 5 qian per dose, add 3 slices of fresh ginger, decoct in water, and take hot. (This formula is derived from Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) by removing Huang Qi (Astragali Radix) and Bai Shao (Paeoniae Radix Alba), and adding Jing Ji and Fang Feng. Since Jing Ji can disperse stagnant blood in the Liver, it embodies the principle of "releasing fire stagnation." The use of Gui Xin is a common practice in ancient formulas and should be used with discretion.)
Di Gu Pi San (Morinda Root Bark Decoction): Treats women with Blood Wind, weak constitution, alternating chills and fever with thirst.
Ingredients: Di Gu Pi (Lycii Cortex), Sang Bai Pi (Mori Cortex), Zhi Ke, Qian Hu (Peucedani Radix), Huang Qin (Scutellariae Radix), each 1.5 qian; Ren Shen, Bai Fu Ling (Poria), Bai Shao Yao (Paeoniae Radix Alba), Wu Jia Pi (Acanthopanacis Cortex), each 1 qian; Chai Hu, 2 qian; Guan Gui (Cinnamomi Ramulus), Gan Cao, each 0.5 fen.
Preparation and Administration: These ingredients constitute one dose. Add 2 zhong of water and 3 slices of fresh ginger, decoct until 1 zhong remains, and take at any time. (The previous formula also treats Heart conditions, while this formula also treats Lung conditions. However, the use of Guan Gui seems inappropriate for Qi-heat syndromes; it is unclear how this aligns with the concept of "Blood Wind.")
Da Xiao You Jian San (Great Efficacy Oil-Fried Decoction): Treats Blood Wind Lao Qi, where pathogenic factors attack the four limbs, causing lower back and back pain, vomiting with acid regurgitation, loss of appetite, progressive emaciation, sallow complexion, numbness of hands and feet, and cold degeneration of the Blood Sea. It has miraculous effects.
Ingredients: Wu Jia Pi, Chuan Wu (Aconiti Radix, processed), Shao Yao (Paeoniae Radix), Hai Tong Pi (Sarcandae Cortex), Mu Dan Pi (Moutan Cortex), each 1 liang; Chuan Xiong, Gui Xin, Gan Jiang (Zingiberis Rhizoma), each half liang.
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 1 deng of water, soak a copper coin in raw sesame oil, and decoct together until 6 fen of liquid remains. Take warm. For long-term use, use 2 qian of oil-soaked powder. Do not stir during decoction, and do not blow on the medicine when taking it. (This formula relies mainly on Chuan Wu, Gan Jiang, and Gui Xin, truly treating wind within the blood. Thus, its symptoms belong to wind-cold attacking the diaphragm. The use of raw sesame oil to soak the coin implies entering the Liver and moistening dryness. The instructions to not stir or blow are obscure in their deeper meaning.)
Formula for Treating Blood Wind Lao: (This method works by clearing wind-heat so that blood naturally flourishes. It is a good method, though people may fail to understand it.)
Ingredients: Jing Ji Sui, 2 liang; Bai Shao Yao, Mu Dan Pi, Fang Feng, Di Gu Pi, Bai Zhi (Angelicae Dahuricae Radix), Hei Dou (Sojae Semen Nigrum), Gan Cao, each 1 liang; Chuan Xiong, 2.5 qian.
Preparation and Administration: Grind into a fine powder. Take 2 qian per dose, add 1 zhong of water, 3 slices of ginger, 1 jujube, and 1 cun of scallion white. Decoct until 8 fen remains, and take warm at any time.
Wan Quan Xiao Yao San (Perfect Wandering Powder): Treats Blood Wind Lao, five-palm heat and irritability, frequent palpitations, mental confusion with worry and fear, heavy dizziness, and night sweats.
Ingredients: Ren Shen, Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Chai Hu (Bupleuri Radix, removed seedlings), each in equal proportions.
Preparation and Administration: Grind into a powder. Take 3 qian per dose, add 1 cun of Gan Cao, decoct together, and take warm. (Since it treats Blood Wind, why does it exclusively use Qi-tonifying herbs? Moreover, using Qi herbs to treat the aforementioned symptoms seems ineffective. I believe this formula treats Qi deficiency rather than Blood Wind Lao. Users should examine this carefully.)
Shu Gan Di Huang San (Prepared Rehmannia Root Decoction): Treats women with Blood Wind Lao, cold Qi attacking the Heart, heart and abdominal pain, discomfort in the four limbs, reduced food intake, and progressive emaciation.
Ingredients: Shu Gan Di Huang (Rehmanniae Radix Praeparata), Chai Hu, Huang Qi, Cang Zhu (Atractylodis Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), each 1 liang; Bie Jia (vinegar-processed until yellow), 2 liang; Bai Shao Yao, Dang Gui, Jiang Huang (Curcumae Longae Rhizoma), Hu Po (Electrum), Nong Po (Magnoliae Officinalis Cortex, coated with ginger juice and processed), Chuan Xiong, Chen Pi (Citri Reticulatae Pericarpium, pith removed), each 7.5 qian; Mu Xiang (Aucklandiae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Gui Xin, each half liang.
Preparation and Administration: Grind into a powder. Take 4 qian per dose, add half a qian of fresh ginger, decoct in water, and take hot. (Since it treats cold Qi, it should be grouped with the previous sections on non-deficiency heat. However, named "Wind" yet using wind-dispersing herbs, named "Cold" yet using heat-warming herbs, named "Lao" yet using anti-consumption herbs, using blood herbs to tonify and dispel blood, using Qi herbs to tonify and move Qi, using Ping Wei San to harmonize the Spleen and Stomach to relieve heart/abdominal pain, and using Qiang Huo and Gui Xin to unblock meridians to relieve limb ailments. Facing complex pathogens, complex medications are used. This is what contemporary physicians call good medical practice.)