东垣神效黄 汤治浑身麻木不仁或头面或手或腿脚麻木不仁两目紧急缩小及羞明畏日或
视物无力
黄 (二两) 人参(八钱) 炙甘草(一两) 蔓荆子(三钱) 白芍(一两) 陈皮(半两)
上 咀每五钱水煎临卧热服
盖气聪明汤治饮食不节劳役形体脾胃不足得内障耳鸣或多年目昏暗视物不能此药能令人
目广大久服无内外障耳鸣耳聋之患
黄 甘草 人参(各半两) 升麻 葛根(各三钱) 蔓荆子(一钱半) 芍药 黄柏(酒
炒各一钱)
上 咀每服三钱水煎临睡热服近五更再服之得肿更妙如烦闷或有热渐加黄柏春夏加之盛
暑夏月倍之若此一味多则不效
人参补胃汤治劳役所伤饮食不节内障昏暗
前黄 汤减陈皮 再减半加黄柏(一两酒拌透)
上 咀每服三四钱水煎食远稍热服后两目广大视物如童时觉两脚踏地不知高下盖冬天多
服升阳药故也病减住服
按以上手足太阴少阴药也
东垣连柏益阴丸
羌活 独活 甘草 当归尾(制) 防风 五味子(各半两) 石决明(烧三钱) 草决明
细黄芩 黄柏 知母 黄连(酒拌炒各一两)
上件为细末炼蜜为丸如绿豆大每服五十丸渐加至百丸食远茶清送下常多服补阳汤少服此
丸
滋阴肾气丸此壮水之主以镇阳光
熟地黄(三两) 牡丹皮(半两) 生地黄(四两) 泽泻 茯苓(各二两半) 当归尾 山茱
萸柴胡 五味子 干山药(各半两)
上件于石臼中杵为细末炼蜜丸如桐子大每服五七十丸盐汤空心服
按以上并少阴药也
李东垣的神效黄芪汤,用于治疗全身麻木不仁,或者头面部、手部、腿脚麻木不仁,以及两眼拘急缩小、畏光怕日,或者视物无力。
黄芪(二两)、人参(八钱)、炙甘草(一两)、蔓荆子(三钱)、白芍(一两)、陈皮(半两)。
以上药材切碎,每取五钱,加水煎煮,临睡前热服。
盖气聪明汤,用于治疗饮食不节制、形体劳役过度导致脾胃不足,从而出现内障、耳鸣,或者多年眼睛昏暗、视物不清。此药能使人目力开阔,久服可无内外障及耳鸣耳聋的病患。
黄芪、甘草、人参(各半两)、升麻、葛根(各三钱)、蔓荆子(一钱半)、芍药、黄柏(酒炒,各一钱)。
以上药材切碎,每次服用三钱,加水煎煮,临睡时热服,接近五更时再服一次。服药后身体微肿更佳;如果感到烦闷或有热象,逐渐增加黄柏用量,春夏季节加入,盛夏夏季加倍使用。如果这一味药过多则无效。
人参补胃汤,用于治疗因劳役损伤、饮食不节制导致的内障昏暗。
即前方神效黄芪汤减去陈皮,再减半量,并加入黄柏(一两,用酒拌匀透)。(注:此处原文表述较简略,意指在神效黄芪汤基础上调整剂量并加味,具体配伍需结合上下文理解,通常指人参补胃汤的基础组成或变方)。
以上药材切碎,每次服用三四钱,加水煎煮,饭后稍热服。服后两眼开阔,视物如孩童般清晰,感觉双脚踩在地上不知高低。这是因为冬天多服用升阳药物所致。病情减轻后停药。
按语:以上属于手足太阴经和少阴经的药物。
李东垣的连柏益阴丸
羌活、独活、甘草、当归尾(制)、防风、五味子(各半两)、石决明(烧过,三钱)、草决明、细黄芩、黄柏、知母、黄连(酒拌炒,各一两)。
以上药材研为细末,炼蜜制成梧桐子大小的丸剂。每次服用五十丸,逐渐增加到一百丸,饭后用茶汁送服。常多服用补阳汤,少服用此丸。
滋阴肾气丸,这是壮水之主以制约阳光(即滋补肾阴以抑制虚火)。
熟地黄(三两)、牡丹皮(半两)、生地黄(四两)、泽泻、茯苓(各二两半)、当归尾、山茱萸、柴胡、五味子、干山药(各半两)。
以上药材在石臼中捣碎研为细末,炼蜜制成桐子大小的丸剂。每次服用五七十丸,空腹时用盐汤送服。
按语:以上均属于少阴经的药物。
Dongyuan's Shenxiao Huangqi Decoction (Miraculous Effect Astragalus Decoction) treats generalized numbness and insensibility, or numbness and insensibility in the head and face, hands, or legs and feet; it also treats eyes that are tight and constricted, aversion to light and sun, or weakness in vision.
Huangqi (Astragali Radix, 2 liang), Renshen (Ginseng Radix, 8 qian), Zhi Gancao (Prepared Licorice Root, 1 liang), Manjingzi (Vitex Fruit, 3 qian), Baishao (White Peony Root, 1 liang), Chenpi (Tangerine Peel, 0.5 liang).
The above herbs are cut into small pieces. Take 5 qian per dose, decoct with water, and take hot before retiring.
Gaiqi Congming Tang (Qi-Enhancing Brightening Decoction) treats internal cataracts, tinnitus, or long-standing dim vision and inability to see clearly, caused by irregular diet and physical overexertion leading to Spleen-Stomach deficiency. This medicine can improve visual field clarity; long-term use prevents internal/external cataracts and tinnitus/deafness.
Huangqi (Astragali Radix), Gancao (Licorice Root), Renshen (Ginseng Radix) (each 0.5 liang), Shengma (Cimicifugae Rhizoma, 3 qian), Gegen (Puerariae Radix, 3 qian), Manjingzi (Vitex Fruit, 1.5 qian), Shaoyao (Peony Root), Huangbai (Phellodendri Cortex, wine-fried, each 1 qian).
The above herbs are cut into small pieces. Take 3 qian per dose, decoct with water, take hot at bedtime, and take again near Wugeng (approx. 3-5 AM). Mild swelling after taking is desirable. If there is irritability or heat, gradually increase the dosage of Huangbai; add it in Spring and Summer, and double it in midsummer. If this single herb is used in excess, it will be ineffective.
Renshen Bugwei Tang (Ginseng Stomach-Nourishing Decoction) treats internal cataracts and dim vision caused by physical injury and irregular diet.
This formula is based on Shenxiao Huangqi Tang: remove Chenpi (Tangerine Peel), reduce other dosages by half, and add Huangbai (Phellodendri Cortex, 1 liang, soaked thoroughly in wine).
The above herbs are cut into small pieces. Take 3-4 qian per dose, decoct with water, and take slightly hot after meals. After taking, the eyes become clear, vision becomes sharp like in childhood, and one may feel as if walking on ground without knowing height differences. This is because Yang-raising herbs are often taken in winter. Discontinue use when symptoms subside.
Note: The above belong to the Hand-Foot Taiyin and Shaoyin meridians.
Dongyuan's Lianbai Yiyin Wan (Coptis-Phellodendron Yin-Nourishing Pills)
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Gancao (Licorice Root), Danggui Wei (Angelicae Sinensis Radix Tail, processed), Fangfeng (Saposhnikoviae Radix), Wuweizi (Schisandrae Fructus) (each 0.5 liang), Shijueming (Concha Argo, calcined, 3 qian), Caojueming (Cassiae Semen), Xi Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Huanglian (Coptidis Rhizoma, wine-fried, each 1 liang).
Grind the above ingredients into a fine powder, mix with refined honey, and make pills the size of mung beans. Take 50 pills per dose, gradually increasing to 100 pills, taken after meals with clear tea. Generally, take more Buyang Tang (Yang-Supplementing Decoction) and less of these pills.
Ziyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pills): This strengthens the master of Water to suppress excessive Fire (Yang).
Shudihuang (Rehmanniae Radix Preparata, 3 liang), Mudanpi (Moutan Cortex, 0.5 liang), Shengdihuang (Rehmanniae Radix, 4 liang), Zexie (Alismatis Rhizoma), Fuling (Poria, each 2.5 liang), Danggui Wei (Angelicae Sinensis Radix Tail), Shanzhuyu (Corni Fructus), Chaihu (Bupleuri Radix), Wuweizi (Schisandrae Fructus), Ganshan Yao (Dioscoreae Rhizoma, dried) (each 0.5 liang).
Pound the above ingredients in a stone mortar into a fine powder, mix with refined honey, and make pills the size of paulownia seeds. Take 50-70 pills per dose, on an empty stomach with salted water.
Note: The above all belong to the Shaoyin meridian.