论诸痛治肝 论吐泻各症治胃
天师曰∶单治者，各经有病，而单治一病也。如人病身痛，又双手痛。又两足痛，腹痛，心痛者
是。此等症，如单治其一经，是此病先愈，而后一症一症治之也。论此症满身上下中央俱病矣，当先治肝
为主，肝气一舒，则诸症自愈，不可头痛救头，脚痛救脚也。方用柴胡一钱，白芍五钱，茯苓五钱，甘
草一钱，陈皮一钱，当归二钱，苍术二钱，薏仁五钱，栀子一钱，水煎服。（〔批〕加减逍遥散。）此方逍
遥散之变方也，单治肝经之郁，而又加去湿之品。盖诸痛皆属于火，而两足之痛又兼有湿气作祟。方中
用栀子以清火，用薏仁以去湿，故虽治肝经之一经，而诸经无不奏效也。此单治之神，更妙于兼治，人知
之乎。
张公曰∶更有或泻或吐，或饱闷，或头晕眼花之症，当先治其胃气，则诸症俱安。方用人参三钱，
茯苓三钱，甘草三分，陈皮一钱，白芍三钱，神曲一钱，砂仁三粒，薏仁五钱，水煎服。此方乃治胃之方
也。胃气一生，则吐泻各症自
愈。此亦单治之一法也，附于天师之方后可耳。
华君曰，未传。
论心痛治肝 论胃吐治脾 论肺燥治肾
天师曰∶双治者，一经有疾，单治一经不足，而双治二经始能奏效，故曰双治。如人病心痛，不可止
治心痛，必须兼治肝；如人胃吐，不可单治胃，而兼治脾；如人肺嗽，不可单治肺，而兼治肾是也。病心致
痛，理宜治心，而今不治心者何也？盖心气之伤，由于肝气之不足，补其肝，而心君安其位矣。方用白
芍五钱，当归五钱，有火加栀子三钱，无火加肉桂二钱，水煎服。（〔批〕心肝双解饮。）疼立止。盖
芍药平肝又能生肝之血，与当归同用，更有奇功。栀子、肉桂皆是清肝助肝之神品，肝气既平，则心气亦
定。子母有关切之谊，母安而子未有不安者。此心肝两治之妙法也。
胃吐由于脾虚，脾气不下行，自必上反而吐，补其脾气，则胃气自安。方用人参三钱，茯苓三钱，白术
五钱，甘草一钱，肉桂一钱，神曲一钱，半夏一钱，砂仁三粒，水煎服。（〔批〕脾胃双治饮。）此方
乃治脾之药居多，何以用之于胃吐之病反宜也，盖胃为脾之关，关门之沸腾，由于关中之溃乱，然则
欲关外安静，必先关内敉宁。方中全用补脾之药，则脾气得令，又何患胃口之吐哉。况方中又有砂仁、半
夏、神曲等类，全是止吐之品，有不奏功如神者乎。此又脾胃双治之妙法也。
肺嗽之症，本是肺虚，肺虚必宜补肺明矣，奈何兼治肾
也？盖肺金之气，夜卧必归诸肾之中，譬如母子之间，母虽外游，夜间必返于子家，以安其身。今肺金
为心火所伤，必求救于己子，以御外侮。倘其子贫寒，何以号多人以报母仇哉。今有一方治之，用
熟地一两，山茱萸四钱，麦冬一两，元参五钱，苏子一钱，甘草一钱，牛膝一钱，沙参三钱，天门冬一
钱，紫菀五分，水煎服。此方之妙，全在峻补肾水，而少清肺金，则子盛于母，而母仇可报。方中又有
祛邪之品，用之得宜，全不耗散肺金。譬如子率友朋，尽是同心之助，声言攻击，全不费老母之资，则
子之仇虽在未复，而外侮闻风退舍，不敢重犯于母家。此又肺肾相治之妙法也。
张公曰∶双治之法甚多，然有此三法，无不可触类而治之矣。盖诸病非心肝之病，即脾胃与肺肾
之病也。今天师既各有双治之法，且药味入神，宁不可据之以为枕中秘乎。余所以赞叹，而不敢再为参
赞也。
华君曰∶未传。
天师说：所谓“单治”，是指某一经络有病，只针对这一病进行治疗。比如有人身体疼痛，又双手疼痛，两足疼痛，腹痛，心痛，就是这样。这类病症，如果只治疗其中一经，那就是这个病先痊愈，然后一个一个症状地治疗。论述这种病症，满身上下中央都病了，应当以先治疗肝脏为主，肝气一旦舒畅，那么各种症状自然痊愈，不可头痛医头，脚痛医脚。方剂用柴胡一钱，白芍五钱，茯苓五钱，甘草一钱，陈皮一钱，当归二钱，苍术二钱，薏仁五钱，栀子一钱，水煎服。（〔批注〕加减逍遥散。）此方是逍遥散的变方，专门治疗肝经的郁结，而又加入祛湿的药物。大概各种疼痛都属于火邪，而两足的疼痛又兼有湿气作祟。方中用栀子来清火，用薏仁来去湿，所以虽然只治疗肝经这一经，但其他经络没有不奏效的。这单治的神妙之处，更胜过兼治，人们知道吗？
张公说：更有或者腹泻或者呕吐，或者饱闷，或者头晕眼花的症状，应当先治疗其胃气，那么各种症状都能安定。方剂用人参三钱，茯苓三钱，甘草三分，陈皮一钱，白芍三钱，神曲一钱，砂仁三粒，薏仁五钱，水煎服。此方是治疗胃的方子。胃气一旦恢复，那么呕吐腹泻各症自然痊愈。这也是单治的一种方法，附在天师的方子后面即可。
华君说：未传授。
天师说：所谓“双治”，是指一经有病，单治这一经不足以见效，必须双治两经才能奏效，所以叫双治。比如有人患心痛，不能只治疗心痛，必须兼治肝脏；比如有人胃吐，不能单治胃，而兼治脾脏；比如有人肺咳嗽，不能单治肺，而兼治肾脏。病在心导致疼痛，按理应该治心，而现在不治心为什么呢？因为心气的受伤，是由于肝气的不足，补益肝脏，那么心气就能安守其位了。方剂用白芍五钱，当归五钱，有火加栀子三钱，无火加肉桂二钱，水煎服。（〔批注〕心肝双解饮。）疼痛立刻停止。大概芍药能平抑肝气又能生养肝血，与当归同用，更有奇功。栀子、肉桂都是清肝助肝的神妙药物，肝气既已平和，那么心气也安定。母子之间有关切的情谊，母亲安好，儿子没有不安的。这是心肝两治的妙法。
胃吐由于脾虚，脾气不下行，自然会上逆而呕吐，补益脾气，那么胃气自然安定。方剂用人参三钱，茯苓三钱，白术五钱，甘草一钱，肉桂一钱，神曲一钱，半夏一钱，砂仁三粒，水煎服。（〔批注〕脾胃双治饮。）此方乃是治疗脾脏的药物居多，为什么用在胃吐的病反而适宜呢？大概胃是脾脏的关口，关门的沸腾，是由于关中的溃乱，然而想要关外安静，必须先让关中安宁。方中全用补脾的药物，那么脾气得到命令，又有什么担心胃口呕吐的呢？况且方中又有砂仁、半夏、神曲等类，全是止吐的药物，没有不奏效如神的。这又是脾胃双治的妙法。
肺咳嗽的症状，本是肺虚，肺虚必然应该补肺是明显的，为什么要兼治肾脏呢？大概肺金之气，夜间睡觉时必定归于肾中，譬如母子之间，母亲虽然外出游历，夜间必定返回儿子家，以安顿自身。现在肺金被心火所伤，必定求救于自己的儿子，以抵御外侮。如果他的儿子贫穷寒微，怎么能号召多人来报母亲的仇呢？现在有一个方子治疗它，用熟地黄一两，山茱萸四钱，麦冬一两，玄参五钱，苏子一钱，甘草一钱，牛膝一钱，沙参三钱，天门冬一钱，紫菀五分，水煎服。此方的妙处，全在于峻补肾水，而稍微清泻肺金，那么儿子强盛于母亲，而母亲的仇可以报复。方中又有祛除邪气的药物，使用得当，完全不耗散肺金。譬如儿子率领朋友，尽是同心协力的帮助，声言攻击，完全不费老母亲的资财，那么儿子的仇虽未完全报复，但外敌闻风退避，不敢再次侵犯母家。这又是肺肾相治的妙法。
张公说：双治的方法很多，然而有了这三种方法，没有不可以触类旁通治疗的。大概各种病不是心肝的病，就是脾胃与肺肾的病。今天师既然各有双治的方法，而且药味入神，难道不值得依据它作为枕中秘宝吗？我因此赞叹，而不敢再参与建议。
华君说：未传授。
On Treating Various Pains by the Liver, and Vomiting/Diarrhea Symptoms by the Stomach
The Heavenly Master said: "Single treatment" refers to a condition where a disease resides in one meridian, and only that specific disease is treated. For instance, when a person suffers from body pain, hand pain, foot pain, abdominal pain, and heart pain simultaneously, this is the case. In such conditions, if one treats only one meridian, that particular ailment heals first, followed by treating each symptom one by one. Regarding these conditions, since the entire upper and lower body and center are affected, one should prioritize treating the Liver. Once the Liver Qi (Liver Energy) is unblocked, all symptoms will naturally resolve; one must not treat the head for headache or the foot for foot pain. The prescription uses Chai Hu (Bupleurum Root) 1 qian, Bai Shao (White Peony Root) 5 qian, Fu Ling (Poria) 5 qian, Gan Cao (Licorice Root) 1 qian, Chen Pi (Tangerine Peel) 1 qian, Dang Gui (Angelica Sinensis) 2 qian, Cang Zhu (Atractylodes Rhizome) 2 qian, Yi Yi Ren (Coix Seed) 5 qian, Zhi Zi (Gardenia Fruit) 1 qian, decocted in water and taken orally. ([Commentary] Modified Xiao Yao San). This formula is a variation of Xiao Yao San (Free and Easy Wanderer Powder), specifically treating stagnation in the Liver meridian while adding dampness-dispelling herbs. Generally, various pains are attributed to Fire pathogenic factors, while pain in both feet is complicated by Dampness. Zhi Zi clears Heat/Fire, and Yi Yi Ren dispels Dampness; thus, although it treats only the Liver meridian, it is effective for other meridians as well. The subtlety of single treatment surpasses combined treatment; do people understand this?
Lord Zhang said: "Furthermore, there are symptoms such as diarrhea or vomiting, fullness and oppression, dizziness, and blurred vision. One should first treat the Stomach Qi (Stomach Energy), after which all symptoms will stabilize. The prescription uses Ren Shen (Ginseng Root) 3 qian, Fu Ling (Poria) 3 qian, Gan Cao (Licorice Root) 3 fen, Chen Pi (Tangerine Peel) 1 qian, Bai Shao (White Peony Root) 3 qian, Shen Qu (Medicated Leaven) 1 qian, Sha Ren (Amomum Fruit) 3 grains, Yi Yi Ren (Coix Seed) 5 qian, decocted in water and taken orally. This is a formula for treating the Stomach. Once Stomach Qi recovers, vomiting and diarrhea symptoms heal naturally. This is also a method of single treatment, appended here following the Heavenly Master's formulas."
Lord Hua said: "Not transmitted."
On Treating Heart Pain by the Liver, Stomach Vomiting by the Spleen, and Lung Dryness/Cough by the Kidney
The Heavenly Master said: "Double treatment" means that when one meridian is diseased, treating only that meridian is insufficient for efficacy; one must treat two meridians together to achieve results, hence the term 'double treatment.' For example, if a person suffers from heart pain, one cannot treat only the heart but must concurrently treat the Liver; if a person has stomach vomiting, one cannot treat only the stomach but must concurrently treat the Spleen; if a person has lung cough, one cannot treat only the lungs but must concurrently treat the Kidneys. Although heart disease causes pain and logically suggests treating the heart, why is the heart not treated directly? Because injury to Heart Qi stems from insufficiency of Liver Qi. By tonifying the Liver, Heart Qi can remain in its proper position. The prescription uses Bai Shao (White Peony Root) 5 qian, Dang Gui (Angelica Sinensis) 5 qian. If there is Fire, add Zhi Zi (Gardenia Fruit) 3 qian; if no Fire, add Rou Gui (Cinnamon Bark) 2 qian, decocted in water and taken orally. ([Commentary] Xin Gan Shuang Jie Yin [Heart-Liver Dual Resolution Decoction]). Pain stops immediately. Bai Shao pacifies the Liver and generates Liver Blood; used with Dang Gui, it yields miraculous effects. Zhi Zi and Rou Gui are divine agents for clearing and assisting the Liver. Once Liver Qi is balanced, Heart Qi stabilizes. There is a close mother-son relationship between them; when the mother is at peace, the son is secure. This is the exquisite method of dual treatment of Heart and Liver.
Stomach vomiting arises from Spleen deficiency. When Spleen Qi fails to descend, it inevitably rebels upward causing vomiting. Tonifying Spleen Qi ensures Stomach Qi stabilizes. The prescription uses Ren Shen (Ginseng Root) 3 qian, Fu Ling (Poria) 3 qian, Bai Zhu (Atractylodes Macrocephala Rhizome) 5 qian, Gan Cao (Licorice Root) 1 qian, Rou Gui (Cinnamon Bark) 1 qian, Shen Qu (Medicated Leaven) 1 qian, Ban Xia (Pinellia Tuber) 1 qian, Sha Ren (Amomum Fruit) 3 grains, decocted in water and taken orally. ([Commentary] Pi Wei Shuang Zhi Yin [Spleen-Stomach Dual Treatment Decoction]). This formula contains mostly herbs for treating the Spleen. Why is it suitable for stomach vomiting? The Stomach is the gate of the Spleen. Turmoil at the gate results from chaos within the pass. To ensure tranquility outside the gate, one must first pacify the interior. Since the formula entirely uses Spleen-tonifying herbs, Spleen Qi receives its command; what worry is there regarding stomach vomiting? Moreover, Sha Ren, Ban Xia, and Shen Qu are all anti-emetic agents. Without miraculous efficacy, who would believe it? This is another exquisite method of dual treatment of Spleen and Stomach.
Lung cough symptoms stem from Lung deficiency; clearly, Lung deficiency requires tonifying the Lung. Why treat the Kidney concurrently? Lung Metal Qi returns to the Kidneys during sleep. Like a mother and son, even if the mother travels abroad, she returns to her son's home at night to rest. Now, Lung Metal is injured by Heart Fire and seeks refuge in its 'son' (Kidney Water) to repel external aggression. If the son is poor and weak, how can he gather allies to avenge the mother? Here is a prescription: Shu Di Huang (Prepared Rehmannia Root) 1 liang, Shan Zhu Yu (Cornus Fruit) 4 qian, Mai Dong (Ophiopogon Tuber) 1 liang, Xuan Shen (Scrophularia Root) 5 qian, Su Zi (Perilla Fruit) 1 qian, Gan Cao (Licorice Root) 1 qian, Niu Xi (Achyranthes Root) 1 qian, Sha Shen (Glehnia or Adenophora Root) 3 qian, Tian Men Dong (Asparagus Tuber) 1 qian, Zi Wan (Aster Root) 0.5 fen, decocted in water and taken orally. The brilliance of this formula lies in vigorously tonifying Kidney Water while slightly clearing Lung Metal, making the 'son' stronger than the 'mother,' allowing revenge on the aggressor. It also contains anti-pathogenic herbs used appropriately so as not to deplete Lung Metal. It is like a son leading friends, all united in assistance, declaring attack without costing the old mother any resources. Even if the vengeance is not fully realized, the external invaders retreat upon hearing the news and dare not re-infiltrate the maternal home. This is the exquisite method of mutual treatment of Lung and Kidney.
Lord Zhang said: "There are many methods of double treatment, but with these three, one can apply them by analogy to all cases. Generally, diseases are either of the Heart and Liver, or the Spleen and Stomach, or the Lungs and Kidneys. Since the Heavenly Master has provided double treatment methods for each, and the herbal combinations are divine, is it not worthy of being kept as a secret treasure? I therefore praise it and dare not add further commentary."
Lord Hua said: "Not transmitted."