论便血与溺血分治 论腰痛与头痛分治 论遗精与健忘分治 论吞酸与泄泻分治 论中气与中痰
分治
天师曰∶分治者，症犯艰难，不可作一症治之，乃用分治之法。如人便血矣，又溺血；腰痛
矣，又头痛∶遗精矣，又健忘∶吞酸矣，又泄泻。症既纷出，药难一般，不得不分之以相治也。或治其上，
或治其下，或治其有余，或治其不足，止正可以混同一例。然而得其道，则分中可合∶不得其道，则
合处仍分。如便血与溺血不可同论也，然总之出血于下，用生地一两，地榆三钱治之，则二症自愈。（〔
批〕两地丹。）盖大小便虽各有经络，而其源同，因膀胱之热而来也。生地清膀胱之火，地榆亦能清膀
胱。一方而两用之，分之中又有合也。
腰痛与头痛，上下相殊也。然而肾气上通于脑，而脑气下达于肾，上下虽殊，气实相通。法当用温补
之药，以大益其肾中之阴，则上下之气自通。方用熟地一两，杜仲五钱，麦冬五钱，北五味二钱，水煎服
即愈。（〔批〕上下兼养丹。）盖熟地、杜仲，肾中之药也，止腰中痛是其专功。今并头痛而亦愈者何也？
盖熟地虽是补肾之剂，然补肾则上荫于脑，背脊骨梁辘轳上升，是其直路，肾一足则气即腾奔而不可止，故
一补肾气，腰不疼而脑即不痛也。合中有分，而分中实合，不信然乎。
遗精，下病也；健忘，上病也。何以分治之而咸当乎。方用人参三两，莲须二两，芡实二两，山药
四两，麦冬三两，五味子一两，生枣仁三两，远志一两，菖蒲一两，当归三两，柏子仁去油一两，熟地五
两，山茱萸三两，各为末，蜜为丸。每日早晚各用白滚水送下五钱。（〔批〕遗忘双治丹。）半料两症俱全。
此方乃治健忘之方也，何以遗精而亦效？盖遗精虽是肾水之虚，而实本于君火之弱，今补其心君，则玉关
不必闭而自闭矣。此合中之分，实有殊功也。
吞酸，火也；泄泻，寒也。似乎寒热殊而治法宜变，不知吞酸虽热，由于肝气之郁结，泄泻虽寒，由
于肝木之克脾。然必一方以治木郁，又一方以培脾土，则土必大崩，而木必大凋矣。不若于一方之中而两
治之。方用柴胡一钱，白芍五钱，茯苓三钱，陈皮五分，甘草五分，车前子一钱，神曲五分，水煎
服。（〔批〕两舒散。）。二症皆愈，此方之奇绝，在白芍之妙，盖白芍乃肝经之药，最善舒木气之郁，木
郁一舒，上不克胃而下不克脾。方中又有茯苓、车前，以分消水湿之气，水尽从小便出，何有余水以吞
酸，剩汁以泄泻。况又有半夏、神曲之消痰化粕哉。此一治而有分治之功，世人未尽知也。
张公曰∶何奇之多如此，我是无可再言。远公请益，我有一症增入可也。中气而又中痰，虽若中之
异，而实皆中于气之虚也。气虚自然多痰，痰多必然耗气，虽分而实合耳。方用人参一两，半夏三钱，南
星三钱，附子一钱，茯苓三钱，甘草一钱，水煎服。（〔批〕仁勇汤。）中气，中痰之症俱悉矣。盖人参
原是气分之神剂，而亦消痰之妙药。半夏、南星虽是逐痰之神品，而亦扶气之正神。附子、甘草，一仁一
勇，相济而成大敌，用之于三味之中，扶正必致祛邪，荡痰必然益气，分合而无分合之形，奇绝而有神化
之妙，又不可不知。
华君曰∶与余同，无可讲。
论便血与溺血分治 论腰痛与头痛分治 论遗精与健忘分治 论吞酸与泄泻分治 论中气与中痰分治
陈士铎（字远公，号石室居士）说：所谓“分治”，是指病症表现复杂艰难，不能当作一种病证来治疗，而是采用分别治疗的方法。例如有人出现便血（大便带血），又有溺血（小便带血）；腰痛了，又头痛；遗精（不因性交而精液自行泄出）了，又健忘（记忆力减退）；吞酸（胃中泛酸，感觉有酸水向上涌至咽喉）了，又泄泻（大便稀薄）。既然症状纷繁出现，药物难以一概而论，不得不分开来分别治疗。有的治疗上部，有的治疗下部，有的治疗邪气有余，有的治疗正气不足，但这并不意味着可以混同为一例处理。然而，如果掌握了其中的道理，那么在分治之中可以实现统一；如果没有掌握道理，即使在合治之处仍然会分离。比如便血和溺血不可混为一谈，但总之都是下部出血，使用生地一两、地榆三钱来治疗，这两种症状自然痊愈。（批注：两地丹。）大概大小便虽然各有其经络，但其源头相同，都因膀胱之热所致。生地能清膀胱之火，地榆也能清膀胱之热。一方两用，在分治之中又有合治之意。
腰痛与头痛，部位上下不同。然而肾气上通于脑，脑气下达于肾，上下虽殊，气机实则相通。治疗方法应当使用温补药物，大益肾中之阴，那么上下之气自然通畅。方用熟地黄一两、杜仲五钱、麦冬五钱、北五味子二钱，水煎服即愈。（批注：上下兼养丹。）大概熟地黄、杜仲是补肾中的药物，止腰中痛是其专长。如今连头痛也治愈了，为什么呢？大概熟地黄虽是补肾之剂，但补肾则上荫于脑，背脊骨如辘轳般上升，这是直路，肾气一充足，气机即腾奔而上不可止，所以一旦补肾气，腰不疼而脑也不痛了。这是合中有分，而在分治中实则相合，难道不是这样吗？
遗精，是下部的病；健忘，是上部的病。为什么分别治疗都能得当呢？方用人参三两、莲须二两、芡实二两、山药四两、麦冬三两、五味子一两、生枣仁三两、远志一两、石菖蒲一两、当归三两、柏子仁（去油）一两、熟地黄五两、山茱萸三两，各研为末，蜂蜜为丸。每日早晚各用白开水送下五钱。（批注：遗忘双治丹。）服用半料药，两种症状全部痊愈。此方本是治疗健忘的方子，为什么对遗精也有效？大概遗精虽然是肾水之虚，但根本在于君火（心火）之弱，现在补益心君，那么玉关（指精关）不必刻意闭锁而自然闭合了。这是合治之中的分治，实在有特殊的功效。
吞酸，属于火证；泄泻，属于寒证。似乎寒热性质不同，治疗方法应该改变，不知道吞酸虽属热，是由于肝气郁结所致；泄泻虽属寒，是由于肝木克制脾土所致。然而如果必用一方来治木郁，又用另一方来培补脾土，那么脾土必然大崩，肝木必然大凋败。不如在一方之中同时治疗两者。方用柴胡一钱、白芍五钱、茯苓三钱、陈皮五分、甘草五分、车前子一钱、神曲五分，水煎服。（批注：两舒散。）两种症状都痊愈，此方的奇妙绝妙之处在于白芍的妙用，大概白芍是肝经的药物，最善于舒展肝木之气，肝木之气一舒展，上不克胃而下不克脾。方中又有茯苓、车前子，来分消水湿之气，水湿尽从小便排出，哪还有多余的水湿来导致吞酸，剩下来的汁液来导致泄泻呢？况且方中还有半夏、神曲来消痰化食积啊。这是一种治疗而具有分治的功效，世人尚未完全知晓。
张公说：怎么如此多奇妙之处，我已经无话可说了。远公（陈士铎）请教，我增加一个症候也可以。中气（中气下陷或气机阻滞）而又中痰（痰浊阻滞气机），虽然看似病在中焦有所不同，但实则都是因为中气虚弱所致。气虚自然多生痰，痰多必然耗伤气，虽然分开看实则合一罢了。方用人参一两、半夏三钱、天南星三钱、附子一钱、茯苓三钱、甘草一钱，水煎服。（批注：仁勇汤。）中气和中痰的症状都包括了。大概人参原是补气的神剂，也是消痰的妙药。半夏、天南星虽然是逐痰的神品，也是扶正气的正神。附子、甘草，一仁一勇，相辅相成成为强大的力量，用在这三味药之中，扶助正气必然祛除邪气，荡涤痰浊必然益气，分合之间没有分合的形迹，奇妙绝伦而有神化之妙，这也是不可不知的。
华君说：与我相同，无可讲论。
On the Separate Treatment of Hematochezia and Hematuria, Lumbar Pain and Headache, Spermatorrhea and Amnesia, Acid Regurgitation and Diarrhea, and Qi Collapse and Phlegm Obstruction
Chen Shiduo (courtesy name Yuangong, pseudonym Shishijushi) said: The method of "separate treatment" refers to situations where symptoms are complex and difficult, making it impossible to treat them as a single syndrome; instead, a method of separate treatment is employed. For instance, if a person presents with hematochezia (blood in stool) and also hematuria (blood in urine); lumbar pain accompanied by headache; spermatorrhea (involuntary emission of semen without sexual intercourse) accompanied by amnesia (memory impairment); acid regurgitation (sensation of sour fluid rising from the stomach to the throat) accompanied by diarrhea (loose stools). Since symptoms appear纷繁ly, medications cannot be applied uniformly, necessitating separate treatments. One may treat the upper part, or the lower part; one may treat excess pathogens, or treat deficiency of righteous qi. However, this does not imply that all cases can be treated indiscriminately. Nevertheless, if the underlying principle is grasped, unity can be achieved within separation; if the principle is not grasped, even when treating together, separation persists. For example, hematochezia and hematuria should not be conflated, yet both involve bleeding from the lower orifices. Using Shengdi Huang (Rehmanniae Radix Preparata) 1 liang and Diyú (Sanguisorbae Radix) 3 qian will naturally cure both syndromes. (Commentary: Liangdi Dan.) Although the large and small intestines have their respective meridians, their source is the same, originating from heat in the Bladder meridian. Shengdi Huang clears the fire of the Bladder, and Diyú also clears Bladder heat. Using one formula for two purposes demonstrates unity within separation.
Lumbar pain and headache differ in location (upper vs. lower). However, Kidney qi connects upward to the Brain, and Brain qi descends downward to the Kidneys. Although upper and lower are distinct, their qi mechanisms are actually interconnected. The treatment method should employ warming and tonifying herbs to greatly benefit the Yin within the Kidneys, thereby allowing the qi of the upper and lower parts to flow freely. The formula uses Shu Di Huang (Rehmanniae Radix Preparata) 1 liang, Duzhong (Eucommiae Cortex) 5 qian, Maidong (Ophiopogonis Radix) 5 qian, and Bei Wuweizi (Schisandrae Fructus) 2 qian, decocted in water and taken orally, resulting in immediate recovery. (Commentary: Shangxia Jianyang Dan.) Generally, Shu Di Huang and Duzhong are herbs for tonifying the Kidneys, and stopping lumbar pain is their specific function. Why does the headache also heal? Although Shu Di Huang is a Kidney-tonifying agent, tonifying the Kidneys nourishes the Brain upwards. The spine rises like a pulley, which is the direct path. Once Kidney qi is sufficient, qi surges upward uncontrollably. Thus, once Kidney qi is tonified, the waist ceases to hurt and the head ceases to ache. This is unity containing separation, and separation containing unity. Is this not true?
Spermatorrhea is a disease of the lower part; amnesia is a disease of the upper part. Why does separate treatment work for both? The formula uses Renshen (Ginseng Radix et Rhizoma) 3 liang, Lianxu (Nelumbinis Stamen) 2 liang, Qianshi (Euryales Semen) 2 liang, Shanyao (Dioscoreae Rhizoma) 4 liang, Maidong (Ophiopogonis Radix) 3 liang, Wuweizi (Schisandrae Fructus) 1 liang, Sheng Zao Ren (Ziziphi Spinosae Semen) 3 liang, Yuanzhi (Polygalae Radix) 1 liang, Changpu (Acori Tatarinowii Rhizoma) 1 liang, Danggui (Angelicae Sinensis Radix) 3 liang, Baiziren (Platycladi Semen) 1 liang (oil removed), Shu Di Huang (Rehmanniae Radix Preparata) 5 liang, and Shanzhuyu (Corni Fructus) 3 liang. Each is powdered, and honey is used to form pills. Take 5 qian with plain boiled water morning and evening. (Commentary: Yiwang Shuangzhi Dan.) Half a dose cures both syndromes completely. This formula is originally for treating amnesia; why is it effective for spermatorrhea? Although spermatorrhea is due to deficiency of Kidney water, its root lies in the weakness of Ministerial Fire (Heart Fire). By tonifying the Heart Monarch, the Jade Gate (referring to the essence gate) closes naturally without deliberate constriction. This is separation within unity, possessing special efficacy.
Acid regurgitation is a Fire syndrome; diarrhea is a Cold syndrome. It seems that cold and heat are different, so treatment methods should vary. However, although acid regurgitation is hot, it stems from Liver qi stagnation; although diarrhea is cold, it stems from Liver Wood overacting on Spleen Earth. If one must use one formula to treat Wood stagnation and another to tonify Spleen Earth, the Spleen Earth will collapse and Liver Wood will wither. It is better to treat both within one formula. The formula uses Chaihu (Bupleuri Radix) 1 qian, Baishao (Paeoniae Radix Alba) 5 qian, Fuling (Poria) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 5 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen, Cheqianzi (Plantaginis Semen) 1 qian, and Shenqu (Massa Medicata Fermentata) 5 fen, decocted in water and taken orally. (Commentary: Liangshu San.) Both syndromes are cured. The marvel of this formula lies in the exquisite action of Baishao. Baishao is an herb of the Liver meridian, best at soothing Liver Wood qi. Once Liver Wood qi is soothed, it no longer overacts on the Stomach above nor on the Spleen below. The formula also contains Fuling and Cheqianzi to dissipate dampness and turbidity. When dampness exits via urination, there is no surplus water to cause acid regurgitation, nor leftover fluids to cause diarrhea. Moreover, Banxia (Pinelliae Rhizoma) and Shenqu dissolve phlegm and digest food accumulation. This is one treatment achieving the effect of separate treatment, a fact not fully known to the world.
Master Zhang said: How can there be so many marvels? I have nothing more to say. Master Yuangong asked for further instruction. I can add one syndrome. Qi collapse (Zhongqi) and Phlegm obstruction (Zhongtan) seem different in the middle jiao, but essentially both arise from deficiency of Middle Qi. Qi deficiency naturally generates phlegm; excessive phlegm inevitably consumes Qi. Although separated, they are fundamentally united. The formula uses Renshen (Ginseng Radix et Rhizoma) 1 liang, Banxia (Pinelliae Rhizoma) 3 qian, Nanxing (Arisaematis Rhizoma) 3 qian, Fuzi (Aconiti Lateralis Radix Preparata) 1 qian, Fuling (Poria) 3 qian, and Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, decocted in water and taken orally. (Commentary: Renyong Tang.) This covers both Qi collapse and Phlegm obstruction. Renshen is originally a divine agent for tonifying Qi and also a wonderful drug for eliminating phlegm. Banxia and Nanxing are divine products for expelling phlegm and also orthodox spirits for supporting Qi. Fuzi and Gancao, one benevolent and one courageous, complement each other to form a formidable force. Used among these three ingredients, supporting righteousness necessarily expels evil, and sweeping away phlegm necessarily benefits Qi. There is separation and unity without the form of separation and unity, marvellous beyond measure and possessing spiritual transformation. This too must be understood.
Master Hua said: It is the same as mine; there is nothing more to discuss.