天麻(姜制) 黄 人参 白术 茯苓 橘皮 半夏 神曲 麦芽 黄柏(盐、酒炒) 干姜 泽泻 苍术
痰重饮食之人,常发头痛,头旋眼喑睑黑,恶心气促,心神颠倒,身重而倦,四肢厥冷,脉大、缓或伏,症
与风牵 斜大异,而致病则一。是故痰厥发冷,湿胜寒也,非橘皮半夏不能疗。眼黑头旋,风虚内作也,非干姜
天麻不能除。人参、黄 ,益气实表,且能止热蒸之自汗。二术、曲、麦,补中消食,又可荡中州之滞气。用泽、
苓者,湿不即除,导归小便,所以安退步也。用柏皮者,寒被阴胜,恐水兼火化所以防未然也。此方药味本庸,
而功力甚速,善用之者,靡
有不验。
诗曰∶苍黄术麦已芽生,半夏看看曲 成,好与姜陈同一醉,天麻泽畔采参苓。
薄荷 甘草 天麻 荆芥 防风 白菊花 当归 连翘 枸杞 青葙子 白芷 密蒙花
木不胜其土,则虚风内作,发为痒泪。土反胜其木,则湿热上溢,发为赤烂。荆、芷、防风、荷、菊,疏表
邪也。监以当归、枸杞正所以和肝,肝平则虚风息,而痒泪止矣。天麻、青葙、连翘, 湿热也,佐以甘草、密
蒙,又兼能理脾,脾治则肌肤实,而赤烂愈矣。肉轮一切溃漏,久而不痊者,此方主之。
诗曰∶杞菊饮,汇天麻,青葙荆薄密蒙花,防翘归芷粉甘草,风热循皮赤烂瘥。
天麻(姜汁炮制)、黄耆、人参、白术、茯苓、橘皮、半夏、神曲、麦芽、黄柏(盐水、酒炒)、干姜、泽泻、苍术。
患有痰湿且饮食不节的人,经常发作头痛、头晕眼花、眼睑发黑、恶心、气短急促、心神错乱、身体沉重而疲倦、四肢冰冷、脉象宏大、迟缓或沉伏。这些症状与风邪牵引导致的面部歪斜(口眼歪斜)大不相同,但致病的机理却是一样的。因此,对于因痰厥引起的发冷,这是湿气胜则寒的表现,非橘皮和半夏不能治疗;对于眼睛发黑、头晕,这是风虚在体内作祟,非干姜和天麻不能消除。人参和黄耆,能够补益元气、充实肌表,并且能止住因热蒸而引起的自汗。苍术和白术、神曲、麦芽,能够补益中焦、消食导滞,又可以清除中焦脾胃的停滞之气。使用泽泻和茯苓,是因为湿气如果不立即去除,就引导它从小便排出,这是为了稳固退路(防止湿邪留恋)。使用黄柏,是因为寒气被阴邪所胜,担心水气兼杂火化(湿热互结),所以是为了预防未然之患。这个方子的药味本来很平常,但功效非常迅速,善于使用它的人,没有不灵验的。
诗曰:苍术、黄耆、白术、麦芽已经萌芽生长,半夏眼看就要制成,最好能与干姜、陈皮一同沉醉其中,在天麻和泽泻畔采摘人参和茯苓。
薄荷、甘草、天麻、荆芥、防风、白菊花、当归、连翘、枸杞、青葙子、白芷、密蒙花。
如果土气不胜木气,则虚风在体内产生,发作起来表现为眼痒流泪。如果土气反胜木气,则湿热上溢,发作起来表现为眼睑红肿溃烂。荆芥、白芷、防风、薄荷、菊花,是用来疏散体表邪气的。用当归、枸杞来监制,正是为了调和肝脏,肝气平和则虚风平息,眼痒流泪也就停止了。天麻、青葙子、连翘,用来清除湿热,佐以甘草、密蒙花,又兼能调理脾脏,脾脏功能正常则肌肤坚实,眼睑红肿溃烂也就痊愈了。凡属肉轮(眼睑)一切溃烂漏脓,久治不愈的,以此方为主治。
诗曰:杞菊饮,汇聚了天麻、青葙子、荆芥、薄荷、密蒙花,还有防风、连翘、当归、白芷、粉甘草,风热循行于皮肤导致的赤烂即可痊愈。
Gastrodiae Rhizoma (prepared with ginger juice), Astragali Radix, Ginseng Radix, Atractylodis Macrocephalae Rhizoma, Poria, Citri Reticulatae Pericarpium, Pinelliae Rhizoma, Maltum Fermentatum, Hordei Fructus Germinatus, Phellodendri Cortex (stir-fried with salt water and wine), Zingiberis Rhizoma, Alismatis Rhizoma, Atractylodis Rhizoma.
Individuals with excessive phlegm-dampness and irregular diet often suffer from headache, vertigo, darkening of the eyelids, nausea, shortness of breath, mental confusion, heaviness of the body, fatigue, cold limbs, and a pulse that is large, slow, or deep. These symptoms are markedly different from facial paralysis (facial deviation caused by wind pathogen), yet the underlying pathological mechanism is similar. Therefore, for chills caused by phlegm-jue (syncope due to phlegm obstruction), which results from dampness prevailing leading to cold, only Citri Reticulatae Pericarpium and Pinelliae Rhizoma can treat it. For darkening of vision and vertigo, caused by internal deficiency-wind, only Zingiberis Rhizoma and Gastrodiae Rhizoma can eliminate it. Ginseng Radix and Astragali Radix tonify qi and secure the exterior, and can also stop spontaneous sweating caused by heat steaming. Atractylodis Rhizoma (both varieties), Maltum Fermentatum, and Hordei Fructus Germinatum tonify the middle jiao and digest food, while also clearing stagnant qi in the spleen and stomach. Alismatis Rhizoma and Poria are used because if dampness is not immediately resolved, guiding it out through urination serves as a strategic retreat to prevent dampness from lingering. Phellodendri Cortex is used because when cold is overcome by yin pathogens, there is a fear that water qi may transform into fire (damp-heat interaction), thus serving as a preventive measure. Although the ingredients of this formula are ordinary, its efficacy is rapid; those who use it skillfully will find it invariably effective.
Poem: Cangzhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Maiya (Hordei Fructus Germinatum) have sprouted; Banxia (Pinelliae Rhizoma) is nearly ready; it is best to indulge together with Jiang (Zingiberis Rhizoma) and Chenpi (Citri Reticulatae Pericarpium); gather Renshen (Ginseng Radix) and Fuling (Poria) near the banks of Zexie (Alismatis Rhizoma).
Menthae Haplocalycis Herba, Glycyrrhizae Radix et Rhizoma, Gastrodiae Rhizoma, Schizonepetae Spica, Saposhnikoviae Radix, Chrysanthemi Flos, Angelicae Sinensis Radix, Forsythiae Fructus, Lycii Fructus, Celosiae Semen, Angelicae Dahuricae Radix, Primulae Flos.
When earth qi fails to control wood qi, deficiency-wind arises internally, manifesting as itchy and tearing eyes. When earth qi overcomes wood qi, damp-heat overflows upward, manifesting as redness and ulceration of the eyelids. Schizonepetae Spica, Angelicae Dahuricae Radix, Saposhnikoviae Radix, Menthae Haplocalycis Herba, and Chrysanthemi Flos are used to disperse exterior pathogens. Angelicae Sinensis Radix and Lycii Fructus are used to harmonize the Liver; when the Liver is balanced, deficiency-wind subsides, and itching and tearing cease. Gastrodiae Rhizoma, Celosiae Semen, and Forsythiae Fructus clear damp-heat; assisted by Glycyrrhizae Radix et Rhizoma and Primulae Flos, they also regulate the Spleen; when the Spleen is treated, the skin and muscles become firm, and redness and ulceration heal. This formula is the primary treatment for any ulceration or suppuration of the "flesh wheel" (eyelids) that persists without healing over time.
Poem: Qiju Yin (Lycium and Chrysanthemum Decoction) gathers Gastrodiae Rhizoma, Celosiae Semen, Schizonepetae Spica, Menthae Haplocalycis Herba, and Primulae Flos; combined with Saposhnikoviae Radix, Forsythiae Fructus, Angelicae Sinensis Radix, Angelicae Dahuricae Radica, and refined Glycyrrhizae Radix et Rhizoma, the redness and ulceration caused by wind-heat traversing the skin will recover.