人参 黄 白术 枸杞 当归 鹿茸 枣仁 肉桂(各等分) 附子 丁香减半 姜酒调。
损虚成瘠,阴凑为寒,眩惕暴盲,此方主之。
寒,阴气也。寒中阳经,犹能抗阴,其病易愈。寒中阴经,两阴相遇,如胶投漆。故病太阴、少阴,必重且
危,病厥阴者死。今曰损虚曰阴凑,则非外因而作。盖工贾之人,曰既劳役,汗尽津亡,夜复花酒,髓枯血竭,
恹恹哑病,瘦减腰围。尤自风餐水宿,冻馁交并,致脏气萧索,阴寒骤起。血得寒而凝结,寒遇凝而深入,似疟
非厥,眩惕失明。不用桂、附、归、杞、枣仁、姜汁温其经,参、 、术、茸、丁香、醇酒益其元,身虽健在,
瞳子其不兴欤。
诗曰∶温经参 术,元益归杞茸,丁桂枣仁附,阴寒力自穷。
(新菊花烹雨前茶,尤妙)
人参 黄 当归 僵蚕 肉桂 甘草(各一两) 附子 干姜 芎 五味 天麻 白附(各七钱) 细辛 防
风
薄荷(各五钱)
头风时痛时止,散表无汗反甚,此方主之。
外感头痛,手不可近,多实邪。今作止无时,喜打喜热为内伤。既表无汗,元气大虚,从外从实而治,安不
加甚。故以参、 、附、草、姜助其阳,芎、归、五味、桂调其阴,阴阳和则天麻、细辛诸风药可行升散之令矣。
再有菊、茶清芬上行,以为引导,是盖痛风之劲敌也。于以承弊,无凶不服。
诗曰∶草参细味胜归 ,姜桂芎防附亦输,唯有薄荷及白附,天蚕微物略相如。
人参、黄芪、白术、枸杞子、当归、鹿茸、酸枣仁、肉桂(各取等量),附子、丁香减半使用,用姜汁和酒调服。
身体亏损虚弱导致消瘦,阴寒之气聚集引发寒冷感、眩晕惊恐及突然失明,此方主治。
寒,属于阴气。寒邪侵入阳经,阳气尚能抵抗阴邪,病情容易治愈。寒邪侵入阴经,两股阴气相遇,如同胶漆相合般难以分离。因此,病在太阴经、少阴经的,必定严重且危险;病在厥阴经的则会导致死亡。现在所说的“损虚”和“阴凑”,说明并非由外感邪气引起。大概是从事工匠或经商的人,既已劳累役使,汗出津液枯竭,夜晚又纵情花酒,导致骨髓枯槁、血液枯竭,呈现出萎靡不振的慢性病症,腰围瘦减。再加上风餐露宿,受冻挨饿同时发生,致使脏腑之气萧条索然,阴寒之气骤然兴起。血液遇到寒邪而凝结,寒邪遇到凝滞而深入体内,症状似疟疾而非四肢厥冷,出现眩晕惊恐、视力丧失。如果不使用桂枝、附子、当归、枸杞子、酸枣仁、姜汁来温通经脉,不使用人参、白术、鹿茸、丁香、醇酒来补益元气,身体虽然存活,但瞳孔功能难道还能恢复吗?
诗云:温经依靠参、术,补益元气靠归、杞、鹿茸,丁香、肉桂、酸枣仁、附子并用,阴寒之力自然穷尽。
(用新采摘的菊花冲泡雨前茶,效果尤其奇妙)
人参、黄芪、当归、僵蚕、肉桂、甘草(各一两),附子、干姜、川芎、五味子、天麻、白附子(各七钱),细辛、防风、薄荷(各五钱)。
头风病发作时疼痛、时止,散发表邪后无汗反而加重,此方主治。
外感引起的头痛,手不能触碰,多属实证邪气。如今疼痛发作没有定时,喜欢拍打、喜热敷,属于内伤。既然体表无汗,元气大虚,若从外表实证的角度去治疗,怎能不使病情加重呢?因此用人参、黄芪、附子、甘草、干姜来扶助阳气,用川芎、当归、五味子、肉桂来调和阴血,阴阳调和之后,天麻、细辛等祛风药才能发挥升散的作用。再加上菊花、茶的清香上行,作为引导药力,这是治疗痛风(此处指剧烈头痛如风气攻冲之痛)的强大对手。以此承接弊端,没有不征服的凶险病症。
诗云:甘草、人参、细辛、五味子胜过当归、黄芪,干姜、肉桂、川芎、防风、附子也需让步,唯有薄荷和白附子,以及天麻、僵蚕这些微小之物,勉强与之相当。
Ginseng Radix (Renshen), Astragali Membranacei Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), Lycii Fructus (Gouqi), Angelicae Sinensis Radix (Danggui), Cervi Cornu Pantotrichum (Lurong), Ziziphi Spinosae Semen (Suanzaoren), Cinnamomi Cortex (Rougui) (equal parts each), Aconiti Lateralis Radix Preparata (Fuzi), and Eugeniae Flos (Dingxiang) used in half the amount, mixed with Ginger Juice (Jiangzhi) and Wine (Jiu).
For deficiency and wasting leading to emaciation, where Yin-cold gathers causing coldness, dizziness, palpitations/fright, and sudden blindness, this formula is indicated.
Cold is a Yin pathogen. When Cold invades Yang meridians, Yang Qi can still resist Yin, so the disease is easy to cure. When Cold invades Yin meridians, two Yins meet, like glue mixing with lacquer. Therefore, diseases of the Taiyin and Shaoyin meridians must be severe and critical; diseases of the Jueyin meridian lead to death. The terms "deficiency/wasting" and "Yin gathering" here indicate that the cause is not external pathogens. It likely affects artisans or merchants who, after laborious work, have exhausted sweat and body fluids, and at night indulge in wine and women, leading to depleted marrow and exhausted blood, presenting as a lethargic chronic illness with reduced waist circumference. Furthermore, exposure to wind and rain, combined with freezing and hunger, causes the Qi of the Zang-fu organs to become desolate, and sudden onset of Yin-cold occurs. Blood coagulates when encountering Cold, and Cold penetrates deeply when meeting stagnation. The symptoms resemble malaria but are not limb coldness (Jue), featuring dizziness, fright, and loss of vision. Without using Cinnamon Twig (Guizhi/Rougui), Prepared Aconite Root (Fuzi), Dong Quai (Danggui), Goji Berry (Gouqi), Sour Jujube Seed (Suanzaoren), and Ginger Juice to warm the meridians, and without using Ginseng (Renshen), Atractylodes (Baizhu), Deer Antler (Lurong), Clove (Dingxiang), and strong wine to benefit the Primordial Qi (Yuan Qi), although the body may survive, will the pupil function not fail?
The poem states: Warm the meridians with Ginseng and Atractylodes, benefit the Primordial Qi with Angelica, Goji, and Deer Antler; use Clove, Cinnamon, Sour Jujube Seed, and Prepared Aconite, so the power of Yin-Cold naturally exhausts itself.
(Brewing fresh Chrysanthemum flowers with Pre-Rain Tea is especially effective.)
Ginseng Radix (Renshen), Astragali Membranacei Radix (Huangqi), Angelicae Sinensis Radix (Danggui), Bombyx Batryticatus (Jiangcan), Cinnamomi Cortex (Rougui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang), Prepared Aconite Root (Fuzi), Zingiberis Rhizoma (Ganjiang), Ligustici Chuanxiong Rhizoma (Xiong), Schisandrae Fructus (Wuweizi), Gastrodiae Rhizoma (Tianma), Typhonii Rhizoma (Baifu) (each 7 qian), Asari Radix et Rhizoma (Xixin), Saposhnikoviae Radix (Fangfeng), Menthae Haplocalycis Herba (Bohe) (each 5 qian).
For Head Wind (Touteng) characterized by intermittent pain, which worsens when attempting to disperse exterior pathogens due to lack of sweating, this formula is indicated.
Headaches caused by external contraction, where the head cannot bear touch, are mostly due to excess pathogens. Now, since the pain has no fixed time and the patient prefers beating the head and applying heat, it is an internal injury. Since there is no sweating on the exterior and the Primordial Qi is greatly deficient, treating it from the perspective of exterior excess will inevitably aggravate the condition. Therefore, Ginseng, Astragalus, Prepared Aconite, Licorice, and Dried Ginger are used to assist Yang Qi; Ligusticum, Angelica, Schisandra, and Cinnamon are used to harmonize Yin blood. Once Yin and Yang are harmonized, Wind-dispersing herbs such as Gastrodia and Asarum can then perform their ascending and dispersing functions. Additionally, the clear fragrance of Chrysanthemum and tea ascends to guide the medicinal action, making them formidable enemies against Wind-Pain (Tongfeng - referring to severe headache resembling wind attack). With this approach, no fierce pathology remains unconquered.
The poem states: Licorice, Ginseng, Asarum, and Schisandra surpass Angelica and Astragalus; Dried Ginger, Cinnamon, Ligusticum, Saposhnikovia, and Prepared Aconite also yield precedence; only Mint and Typhonium, along with Gastrodia and Silkworm, these minor substances, are roughly comparable.