治男妇、童子、室女、诸虚百损,五劳七伤,骨蒸潮热,腰腹俱急,百节
酸痛,夜多盗汗,心常惊悸,烦躁唇焦,嗜卧少力,肌肤瘦瘁,咳嗽多痰,咯唾血丝,往
来寒热,颊赤神昏,不思饮食,服药热者则燥,冲满上焦,凉者则胸满而腹痛,及治火病
,营卫不调,妇人产后血气不复,并宜服之。
黄 (蜜炒,一钱) 当归(身,一钱) 人参(五分) 石斛(去梗,一钱) 白术(土炒,
八分) 白茯苓(一钱) 白芍(煨,一钱) 山药(一钱) 甘草(炙,八分) 牡丹皮(八分)
麦门冬(去心,一钱) 五味子(十五粒)
上十三味作一剂,姜、枣引,水煎服。
按∶方曰∶益损者以诸药益人之损多矣。方意以黄 补虚益损,养气生精,健脾而润
也。以人参补劳伤虚损,益气而生阴也。以石斛治五脏虚痨羸瘦,长肌肉,壮筋骨,消痰,
涩丈夫元阳也。以白术生津止渴,益胃而补肝也。以当归补血,去旧生新也。以茯苓利窍,
除湿益气、和中,治湿之本也。以白芍散恶逐瘀,平肝以助脾也。以川芎治吐衄诸血,为血
之气药也。以熟地黄补血填精,益肾而补真阴也。以山药补肝而益肾也。以牡丹皮为和血、
生血、凉血之品也。以麦门冬止虚劳客热,心烦燥渴,滋化源之要药也。以五味子滋水清
而治诸血也。以甘草泻火热而补脾气也。是方治症固多,而其药品亦多且锐,是亦攻守并备
者也。原有肉桂、半夏,余亦去之。
治疗男性、女性、儿童及未婚女子,因各种虚损和百种损伤,以及五劳七伤(指久视伤血、久卧伤气、久坐伤肉、久立伤骨、久行伤筋),出现的骨蒸潮热(感觉热量从骨头里透出来,定时发热)、腰部和腹部拘急紧绷、全身关节酸痛、夜间多盗汗、心中经常惊悸不安、烦躁且嘴唇焦干、嗜睡且乏力、肌肤消瘦憔悴、咳嗽多痰、咯吐带血丝的唾液、寒热往来(忽冷忽热)、脸颊发红且神志昏沉、不想进食。若服用热性药物则导致燥热,出现上焦胀满;服用凉性药物则导致胸满且腹痛。同时也用于治疗火病(由火热邪气引起的疾病),营卫不调(营气和卫气功能失调),以及妇女产后气血未能恢复的情况,均适宜服用此方。
黄芪(用蜂蜜炒制,一钱) 当归(使用归身部分,一钱) 人参(五分) 石斛(去除梗部,一钱) 白术(用土炒制,八分) 白茯苓(一钱) 白芍(煨制,一钱) 山药(一钱) 甘草(炙烤,八分) 牡丹皮(八分) 麦门冬(去除心部,一钱) 五味子(十五粒)
以上十三味药作为一剂,加入生姜和大枣作为药引,用水煎煮后服用。
按语:方名叫做“益损”,是因为众多药物都在补益人体的亏损。方义在于:用黄芪来补虚损,滋养气息并生成精气,健脾且滋润;用人参来补劳伤虚损,益气并滋生阴液;用石斛来治疗五脏虚劳导致的羸瘦,促进肌肉生长,强壮筋骨,消除痰浊,固涩男子的元阳;用白术生津止渴,益胃并补肝;用当归补血,祛除旧血而生新血;用茯苓通利孔窍,除湿益气、调和脾胃,是治疗湿邪的根本药物;用白芍驱散恶邪并逐瘀,平抑肝气以助脾运;用川芎治疗吐血、衄血等各种出血症,它是血中的气药;用熟地黄补血填精,益肾并补真阴;用山药补肝并益肾;用牡丹皮是和血、生血、凉血的药材;用麦门冬止住虚劳产生的客热,缓解心烦燥渴,是滋生化之源的重要药物;用五味子滋水清源并治疗各种血症;用甘草泻除火热并补益脾气。这个方子治疗的病症固然很多,而且药物种类也多且作用敏锐,这也是攻邪与守正兼备的方剂。原方中有肉桂、半夏,我也将其去除了。
Treats men, women, children, and unmarried girls suffering from various deficiencies and hundred types of damage, as well as the Five Labors and Seven Injuries (injuries caused by prolonged looking damaging blood, prolonged lying damaging qi, prolonged sitting damaging flesh, prolonged standing damaging bones, and prolonged walking damaging tendons). Symptoms include bone-steaming tidal fever (a sensation of heat emanating from the bones with periodic fever), stiffness and urgency in the waist and abdomen, soreness and pain in all joints, frequent night sweats during sleep, constant palpitations and fright, irritability with dry lips, lethargy and lack of strength, emaciated and withered skin and muscles, cough with profuse phlegm, expectoration of saliva streaked with blood, alternating chills and fever, flushed cheeks with mental confusion, loss of appetite. If hot-natured medicines are taken, it leads to dryness and fullness in the Upper Jiao; if cold-natured medicines are taken, it leads to chest fullness and abdominal pain. It is also indicated for treating Fire Diseases (illnesses caused by pathogenic fire-heat), disharmony between Ying (Nutrient) and Wei (Defensive) Qi, and for restoring Qi and Blood after childbirth in women. This formula is suitable for all these conditions.
Huangqi (Astragali Radix, honey-fried, 1 qian) Danggui (Angelicae Sinensis Radix, using the root body, 1 qian) Renshen (Ginseng Radix, 0.5 qian) Shihu (Dendrobii Caulis, stem removed, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried, 0.8 qian) Baifuling (Poria, 1 qian) Baishao (Paeoniae Radix Alba, stir-baked, 1 qian) Shanyao (Dioscoreae Rhizoma, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 0.8 qian) Mudanpi (Moutan Cortex, 0.8 qian) Maimendong (Ophiopogonis Radix, heart removed, 1 qian) Wuweizi (Schisandrae Fructus, 15 berries)
The above thirteen ingredients constitute one dose. Add fresh ginger and Chinese jujube as guides, decoct with water, and take orally.
Commentary: The formula is named "Yi Sun" (Benefiting Loss) because the various herbs aim to benefit the human body's losses. The therapeutic intent is as follows: Huangqi tonifies deficiency and benefits loss, nourishes Qi, generates essence, strengthens the Spleen, and moistens; Renshen tonifies labor-induced injuries and deficiency, benefits Qi, and generates Yin; Shihu treats wasting-thirst syndrome due to deficiency-labor of the Five Zang Organs, promotes muscle growth, strengthens sinews and bones, eliminates phlegm, and secures the Yuan Yang (Primordial Yang) in men; Baizhu generates fluids, stops thirst, benefits the Stomach, and tonifies the Liver; Danggui tonifies Blood, removes old blood, and generates new blood; Fuling unblocks orifices, expels dampness, benefits Qi, harmonizes the Middle Jiao, and addresses the root of dampness; Baishao disperses evil pathogens and drives out stasis, soothes the Liver to assist the Spleen; Chuanxiong (Ligustici Chuanxiong Rhizoma) treats hematemesis, epistaxis, and other bleeding disorders, serving as the Qi herb within the Blood category; Shudihuang (Rehmanniae Radix Praeparata) tonifies Blood, fills essence, benefits the Kidney, and tonifies True Yin; Shanyao tonifies the Liver and benefits the Kidney; Mudanpi is a substance that harmonizes, generates, and cools Blood; Maimendong stops exogenous heat from deficiency-labor, relieves mental restlessness and dry thirst, and is a key herb for nourishing the source of transformation; Wuweizi nourishes Water to clear heat and treats various blood disorders; Gancao drains fire-heat and tonifies Spleen Qi. Although this formula treats many symptoms, its ingredients are numerous and potent, representing a combination of attacking pathogens and supporting healthy Qi. Originally, Rougui (Cinnamomi Cortex) and Banxia (Pinelliae Rhizoma) were included, but I have removed them.