论小便闭塞 大便闭结 论治胆怯 论肾虚吐呕
天师曰∶腑治法甚多，我举其一二症，取以为法，余可推展。发人病小便不通，大便甚结者是也。小
便不通，乃膀胱之病。膀胱之气化不行，小便即不能出。小便闭塞，治膀胱之经而已矣，然而治法全不在
治膀胱也，方用人参三钱，莲子三钱，白果二十个，茯苓三钱，甘草一钱，车前子三钱。肉桂三分，王不
留行三钱，水煎服。（〔批〕通水至奇丹。）一剂即如注。此方之奇妙，全在用人参，其次则用肉桂三
分。盖膀胱必得气化而始出。气化者何？心包络之气也。膀胱必得心包络之气下行，而水路能出。尤妙用
白果二十个，人多不识此意。白果通任督之脉，又走膀胱，引参、桂之气，直奔于膀胱之中，而车前、王不
留行尽是泄走之物，各随之趋出于阴气之口也。此治腑之妙法，人知之乎。
大便闭结者，人以为大肠燥甚，谁知是肺气燥乎。肺燥则清肃之气不能下行于大肠，而肾经之水仅足以
自顾，又何能旁流以润溪涧矣。方用熟地三两，元参三两，火麻子一钱，升麻二钱，牛乳一碗，水二钟，
煎六分，将牛乳同调一碗服之。（〔批〕润燥至神汤，）一剂不解，二剂必大便矣，此方之妙，全在不润大
肠而补肾，尤妙不止补肾而且补肺，更妙不止补肺而且升肺。盖大肠居于下流，最难独治，必须从肾经以
润之，
从肺经以清之。气既下行，沉于海底，非用升提之法，则水注闭塞而不通。启其上孔，则下孔自然流
通。此下病治上之法，亦腑病治脏之法也。其余治腑之法，可即此以悟。
张公曰∶天师太略，余当增广之。凡人胆怯不敢见人者，少阳胆经虚也。而所以致少阳胆经之虚
者，肝木之衰也。而肝木之衰，又因肾水之不足。法当补肾以生肝木。方用熟地一两，山茱萸四钱，芍药
五钱，当归五钱，柴胡一钱，茯神五钱，白芥子一钱，生枣仁一钱，肉桂一钱，水煎服。（〔批〕助
勇丹。）此方之妙，补肾之中用补肝之品，尤妙再去补心，使心不取给于肝胆之血，则胆之汁有余，而怯
形可去。又妙在用肉桂以入肝，如人得勇往之人，自然顷刻胆壮矣。此治腑实有妙理，人知之乎。
吐呕之症，人以为胃虚，谁知由于肾虚。无论食入即出，是肾之衰，凡有吐症，无非肾虚之故。故治吐
不治肾，未窥见病之根也。方用人参三钱，白术五钱，薏仁五钱，芡实五钱，砂仁三粒，吴茱萸五分，水
煎服。（〔批〕转胃丹。）此方似乎治脾胃之药，不知皆治肾之法，方中除人参救胃之外，其余药品俱入
肾经，而不止留在脾也。肾火生脾，脾土始能生胃，胃气一转，呕吐始平。此治胃而用治肾之药，人知之
乎。
华君曰∶亦无。
孙真君传治小便闭塞方∶用车前子五钱，肉桂三分，水煎服即通。
天师说：治疗六腑的方法很多，我列举其中一两个病症作为示范，其余的可以由此推演。比如有人患小便不通、大便极度干结的病证。小便不通，是膀胱的病变。膀胱的气化功能失常，小便就无法排出。治疗小便闭塞，看似只需治疗膀胱经，然而治疗方法的关键并不在于直接治疗膀胱。方剂用人参三钱，莲子三钱，白果二十个，茯苓三钱，甘草一钱，车前子三钱，肉桂三分，王不留行三钱，加水煎服。（批注：通水至奇丹。）服用一剂后，小便即如注般通畅。此方的奇妙之处，全在于使用人参，其次则是使用三分肉桂。因为膀胱必须依赖气化作用才能排出尿液。所谓气化，指的是心包络之气。膀胱必须得到心包络之气的下行引导，水道才能通畅。尤其妙在使用了二十个白果，世人大多不理解其中的用意。白果能疏通任脉和督脉，又能通达膀胱，引导人参、肉桂的药气，直冲入膀胱之中；而车前子、王不留行都是具有泄利走窜作用的药物，它们跟随药势，从阴窍排出体外。这是治疗六腑的奥妙方法，人们知道吗？
大便闭结，人们通常认为是大肠过于干燥，殊不知这是由于肺气干燥所致。肺燥则清肃下降之气不能下行至大肠，而肾经中的水分仅够维持自身需求，又怎能旁流滋润肠道呢？方剂用熟地黄三两，玄参三两，火麻仁一钱，升麻二钱，牛乳一碗，水两碗，煎至六成，将牛乳混合调匀，一次服用一碗。（批注：润燥至神汤。）服用一剂若未通便，服用两剂必定能大便通畅。此方的妙处，全在于不直接润肠而是补肾，更妙的是不仅补肾而且补肺，再妙的是不仅补肺而且提升肺气。因为大肠位于身体下部，很难单独治疗，必须通过补肾经来滋润它，通过补肺经来清肃它。气机既然下行沉于海底（下焦），如果不使用升提的方法，水流就会闭塞不通。开启上部的孔窍（肺主皮毛，为水之上源），下部的孔窍自然流通。这是“下病治上”的方法，也是“腑病治脏”的方法。其余治疗六腑的方法，可以由此领悟。
张公说：天师讲得太简略，我来补充扩展。凡是人胆怯不敢见人的，是少阳胆经虚损所致。而导致少阳胆经虚损的原因，是肝木衰弱。而肝木衰弱，又是因为肾水不足。治法应当补肾以滋生肝木。方剂用熟地黄一两，山茱萸四钱，白芍五钱，当归五钱，柴胡一钱，茯神五钱，白芥子一钱，生酸枣仁一钱，肉桂一钱，加水煎服。（批注：助勇丹。）此方的妙处，是在补肾的同时使用补肝的药物，更妙的是再去补心，使心脏不向肝胆索取血液，那么胆汁就有余，胆怯的症状就可以去除。又妙在使用肉桂以入肝经，就像人得到了勇敢者的帮助，自然顷刻间胆气就壮了。这是治疗六腑确实含有奥妙的道理，人们知道吗？
呕吐的症状，人们以为是胃虚，殊不知是由于肾虚。无论是吃下去立刻吐出，还是其他任何呕吐症状，无非都是肾虚的缘故。所以治疗呕吐而不治肾，就没有窥见到疾病的根本。方剂用人参三钱，白术五钱，薏苡仁五钱，芡实五钱，砂仁三粒，吴茱萸五分，加水煎服。（批注：转胃丹。）此方看起来像是治疗脾胃的药物，不知道其实都是治疗肾的方法。方中除了人参救胃之外，其余的药物都进入肾经，而不只是停留在脾。肾火生脾土，脾土才能生胃气，胃气一转，呕吐才能平息。这是治疗胃却使用治肾的药物，人们知道吗？
华君说：也没有别的了。
Tian Shi (Heavenly Master) said: There are many methods for treating the fu organs (hollow viscera). I will cite one or two symptoms to serve as a model, from which the rest can be deduced. For instance, a person suffering from urinary retention and severe constipation. Urinary retention is a disease of the Bladder (Bladder organ). When the Qi transformation (functional activity of transforming fluids) of the Bladder fails, urine cannot be discharged. Although treating urinary obstruction seems to require only treating the Bladder Meridian, the key to treatment does not lie in directly treating the Bladder itself. The prescription uses Ren Shen (Ginseng Root) 3 qian, Lian Zi (Lotus Seed) 3 qian, Bai Guo (Ginkgo Nut) 20 pieces, Fu Ling (Poria) 3 qian, Gan Cao (Licorice Root) 1 qian, Che Qian Zi (Plantago Seed) 3 qian, Rou Gui (Cinnamon Bark) 3 fen, Wang Bu Liu Xing (Vaccaria Seed) 3 qian. Decoct with water and take orally. (Annotation: Tong Shui Zhi Qi Dan [Extraordinary Pill for Unblocking Water].) After one dose, urination flows freely like a stream. The wonder of this formula lies entirely in the use of Ren Shen, followed by the use of 3 fen of Rou Gui. This is because the Bladder must rely on Qi transformation to discharge urine. What is Qi transformation? It is the Qi of the Pericardium (Pericardium organ). The Bladder must receive the descending guidance of the Pericardium's Qi for the water pathway to become patent. Especially wonderful is the use of 20 Bai Guo, the meaning of which most people do not understand. Bai Guo unblocks the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), and also reaches the Bladder, guiding the Qi of Ren Shen and Rou Gui straight into the Bladder; whereas Che Qian Zi and Wang Bu Liu Xing are substances that drain and circulate downwards. They follow the medicinal momentum and exit through the yin orifice. This is a subtle method for treating the fu organs. Do people know it?
Constipation is often thought to be caused by excessive dryness of the Large Intestine, but who knows that it is actually due to dryness of the Lung? When the Lung is dry, its clear and descending Qi cannot flow down to the Large Intestine, and the water in the Kidney Meridian is barely sufficient to sustain itself, let alone flow sideways to moisten the intestinal "streams." The prescription uses Shu Di Huang (Prepared Rehmannia Root) 3 liang, Yuan Shen (Scrophularia Root) 3 liang, Huo Ma Zi (Hemp Seed) 1 qian, Sheng Ma (Cimicifuga Rhizome) 2 qian, Niu Nai (Cow's Milk) 1 bowl, and water 2 zhong. Decoct until reduced to 6 fen, mix with cow's milk, and take 1 bowl at a time. (Annotation: Run Zao Zhi Shen Tang [Divine Decoction for Moistening Dryness].) If bowel movement is not achieved after one dose, it will certainly occur after two doses. The brilliance of this formula lies in nourishing the Kidney rather than directly moistening the Large Intestine. Even more brilliant is that it not only tonifies the Kidney but also tonifies the Lung. Most brilliantly, it not only tonifies the Lung but also raises Lung Qi. Since the Large Intestine resides in the lower part of the body, it is difficult to treat independently. One must moisten it via the Kidney Meridian and clear it via the Lung Meridian. Once the Qi descends and sinks to the "sea bottom" (lower jiao), if lifting methods are not used, the water flow will remain blocked. By opening the upper orifices (the Lung governs the skin and hair and is the upper source of water), the lower orifices naturally flow. This is the method of "treating the lower by addressing the upper," and also "treating the fu organs by addressing the zang organs." The remaining methods for treating the fu organs can be understood through this principle.
Zhang Gong said: Tian Shi was too brief; I shall expand upon it. Anyone who is timid and afraid to see others suffers from deficiency of the Shaoyang Gallbladder Meridian. The cause of this Shaoyang Gallbladder deficiency is the decline of Liver Wood. And the decline of Liver Wood is due to insufficiency of Kidney Water. The treatment should tonify the Kidney to generate Liver Wood. The prescription uses Shu Di Huang 1 liang, Shan Zhu Yu (Cornus Fruit) 4 qian, Shao Yao (White Peony Root) 5 qian, Dang Gui (Angelica Sinensis Root) 5 qian, Chai Hu (Bupleurum Root) 1 qian, Fu Shen (Poria with Hostwood) 5 qian, Bai Jie Zi (Mustard Seed) 1 qian, Sheng Zao Ren (Raw Sour Jujube Seed) 1 qian, Rou Gui 1 qian. Decoct with water and take orally. (Annotation: Zhu Yong Dan [Pill to Assist Courage].) The subtlety of this formula lies in using herbs that tonify the Liver while tonifying the Kidney. Even more subtly, it tonifies the Heart so that the Heart does not draw blood from the Liver and Gallbladder. Consequently, there is surplus gallbladder juice, and timidity can be dispelled. Furthermore, the use of Rou Gui to enter the Liver meridian is ingenious; it is like a person gaining the aid of a brave individual, causing courage to strengthen instantly. This contains profound principles for treating the fu organs. Do people know it?
The symptom of vomiting and regurgitation is commonly attributed to Stomach deficiency, but who knows it stems from Kidney deficiency? Whether food is vomited immediately after ingestion or in any other form of vomiting, it is invariably due to Kidney deficiency. Therefore, treating vomiting without addressing the Kidney means one has not perceived the root of the disease. The prescription uses Ren Shen 3 qian, Bai Zhu (Atractylodes Macrocephala Rhizome) 5 qian, Yi Ren (Coix Seed) 5 qian, Qian Shi (Euryale Seed) 5 qian, Sha Ren (Amomum Fruit) 3 grains, Wu Zhu Yu (Evodia Fruit) 5 fen. Decoct with water and take orally. (Annotation: Zhuan Wei Dan [Pill to Transform the Stomach].) This formula appears to treat the Spleen and Stomach, but it is actually a method for treating the Kidney. Except for Ren Shen which saves the Stomach, all other herbs enter the Kidney Meridian and do not merely stay in the Spleen. Kidney Fire generates Spleen Earth, and only then can Spleen Earth generate Stomach Qi. Once Stomach Qi rotates, vomiting subsides. This is treating the Stomach by using herbs for the Kidney. Do people know it?
Hua Jun said: There is nothing else.
Sun Taoren (Sun Simiao) transmitted a formula for treating urinary retention: Use Che Qian Zi 5 qian, Rou Gui 3 fen. Decoct with water and take orally; urination will immediately become patent.