用黄柏盐酒炒龟板酥炙各四两杜仲姜汁炒牛膝陈皮(各二两)夏加五味子(一两)炒冬
用黄柏炒知母炒各一钱五分甘草炙五分水煎服治阴虚有火令人盗汗之方也
用黄柏盐酒炒知母盐酒炒熟地黄(各三两)白芍药酒炒陈皮盐水润晒干牛膝(各二两)
龟板(四两)酥炙锁阳酒润晒干当归(各一两半)酒洗虎胫骨(一两)酥炙上为细末羊肉为
丸每服
治热伤元气肢体倦怠气短懒言口干作渴汗出不止或湿热大行金为火制绝寒水生化之
肢体痿软脚欹眼黑及肺虚气弱汗出息短而脉数或散代者
人参(五钱) 麦门冬(三钱) 五味子(三钱)
上三味水煎服千金加黄柏东垣云夏月服生脉散加黄 令人气力涌出
愚按内经曰肺热伤气肺主气故君以人参之甘寒泻火而补元气臣以麦门冬之苦甘寒清金而
湿水
用五味子(十个)麦门冬去心半钱人参当归身(各五分)黄 (一钱)生地黄(五钱)
水二钟煎至(一钟)去渣稍热服不拘时治吐血久不愈或肺气虚而短气不足以息或肾虚
痰
皮毛焦燥一方有芍药紫菀无生地一方无当归黄 有栝蒌实干葛知母茯神
这就是在三补丸的基础上加入香附(用醋浸泡五日)、苍术(用米泔水浸泡七日),然后用水煎服,用于治疗郁火。
使用黄柏(用盐和酒炒制)、龟板(用酥油炙烤)各四两,杜仲(用姜汁炒制)、牛膝、陈皮(各二两),夏季加五味子(一两,炒制),冬季加黄柏(炒制)、知母(炒制)各一钱五分,甘草(炙制)五分,用水煎服。这是治疗阴虚有火导致盗汗的方剂。
使用黄柏(用盐和酒炒制)、知母(用盐和酒炒制)、熟地黄(各三两),白芍药(酒炒制)、陈皮(用盐水润湿后晒干)、牛膝(各二两),龟板(四两,酥油炙烤),锁阳(酒润湿后晒干),当归(各一两半,酒洗),虎胫骨(一两,酥油炙烤)。将上述药材研成细末,用羊肉制成丸药,每次服用适量。
用于治疗热邪损伤元气导致的肢体倦怠、气短懒言、口干口渴、出汗不止;或者湿热盛行,肺金被火克制,导致寒水生化绝源引起的肢体痿软、脚歪眼黑;以及肺气虚弱气短而脉搏数或散乱代止的情况。
人参(五钱) 麦门冬(三钱) 五味子(三钱)
以上三味药用水煎服。千金方中加入黄柏。东垣说:夏季服用生脉散加黄柏,能让人气力涌现。
我按:《内经》说肺热伤气,肺主气,所以用人参的甘寒来泻火并补益元气,用麦门冬的苦甘寒来清金并滋润水源。
使用五味子(十个)、麦门冬(去心半钱)、人参、当归身(各五分),黄芪(一钱),生地黄(五钱),水两钟煎至一钟,去渣稍热服用,不拘时间。用于治疗吐血久不愈,或者肺气虚导致气短呼吸不足,或者肾虚痰多。
皮毛焦燥。一方中有芍药、紫菀,无生地黄;一方中无当归、黄芪,有栝蒌实、干葛、知母、茯神。
使用生脉散加杏仁、陈皮、生姜,用水煎服,用于治疗肺虚作喘且脉搏大的情况。
使用生脉散合黄连解毒汤,去掉黄柏,加入柴胡、龙胆草、天门冬、甘草、知母,用水煎服。用于治疗肝经湿热涩滞或寒热胁胀、痰咳等症状。凡是肝经有余的症状都适宜服用。
This is Sanbu Wan (Three Tonics Pill) with the addition of Cyperi Rhizoma (Xiangfu, 香附) soaked in vinegar for five days and Atractylodis Rhizoma (Cangzhu, 苍术) soaked in rice washing water for seven days, decocted in water to treat stagnant fire.
Use Phellodendri Cortex (Huangbai, 黄柏) stir-fried with salt and wine, and Testudinis et Carapacis et Plastrum (Guiban, 龟板) roasted with lard, each 4 liang; Eucommiae Cortex (Duzhong, 杜仲) stir-fried with ginger juice, Achyranthis Bidentatae Radix (Niuxi, 牛膝), and Citri Reticulatae Pericarpium (Chenpi, 陈皮), each 2 liang; add Schisandrae Fructus (Wuweizi, 五味子) 1 liang (stir-fried) in summer; or use Phellodendri Cortex (Huangbai, 黄柏) stir-fried and Anemarrhenae Rhizoma (Zhimu, 知母) stir-fried, each 1.5 qian, and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) roasted 0.5 qian, decocted in water. This is a formula for treating night sweats caused by yin deficiency with fire.
Use Phellodendri Cortex (Huangbai, 黄柏) stir-fried with salt and wine, Anemarrhenae Rhizoma (Zhimu, 知母) stir-fried with salt and wine, and Rehmanniae Radix Praeparata (Shudihuang, 熟地黄), each 3 liang; Paeoniae Radix Alba (Baishao, 白芍药) stir-fried with wine, Citri Reticulatae Pericarpium (Chenpi, 陈皮) moistened with salt water and dried, Achyranthis Bidentatae Radix (Niuxi, 牛膝), each 2 liang; Testudinis et Carapacis et Plastrum (Guiban, 龟板) 4 liang (roasted with lard), Cynomorii Herba (Suoyang, 锁阳) moistened with wine and dried, Angelicae Sinensis Radix (Danggui, 当归), each 1.5 liang (washed with wine), and Tigris Ossis (Hujinggu, 虎胫骨) 1 liang (roasted with lard). Grind these into fine powder and make pills using mutton meat. Take an appropriate amount each time.
Treats limb fatigue, shortness of breath and reluctance to speak, dry mouth and thirst, and continuous sweating caused by heat damaging yuan qi; or limbs flaccidity, foot deformity, and blurred vision caused by damp-heat prevailing, where lung metal is controlled by fire, cutting off the generation of cold water; as well as shortness of breath due to lung qi deficiency with rapid, scattered, or intermittent pulse.
Ginseng Radix (Renshen, 人参) 5 qian, Ophiopogonis Radix (Maidong, 麦门冬) 3 qian, Schisandrae Fructus (Wuweizi, 五味子) 3 qian.
Decoct the above three herbs in water and take. Qianjin Fang adds Phellodendri Cortex (Huangbai, 黄柏). Dongyuan stated: Taking Shengmai San (Generating the Pulse Powder) with Phellodendri Cortex (Huangbai, 黄柏) in summer can涌出 (surge forth) qi strength.
I note: The Neijing states that lung heat damages qi, and the lung governs qi. Therefore, Ginseng Radix (Renshen, 人参) with its sweet and cold nature is used as sovereign herb to clear fire and tonify yuan qi; Ophiopogonis Radix (Maidong, 麦门冬) with its bitter, sweet, and cold nature is used as minister herb to clear lung metal and moisten water sources.
Schisandrae Fructus (Wuweizi, 五味子) 10 fruits, Ophiopogonis Radix (Maidong, 麦门冬) dehearted 0.5 qian, Ginseng Radix (Renshen, 人参), and Angelicae Sinensis Radix (Danggui, 当归) body, each 0.5 qian; Astragali Membranacei Radix (Huangqi, 黄芪) 1 qian, Rehmanniae Radix (Shengdihuang, 生地黄) 5 qian. Decoct in two zhong of water until one zhong remains, strain, and take slightly warm at any time. Treats persistent hematemesis, or shortness of breath and insufficient respiration due to lung qi deficiency, or kidney deficiency with phlegm.
Dry and scorched skin and hair. One prescription contains Paeoniae Radix Alba (Baishao, 白芍药) and Asteris Tatarici Radix (Ziwan, 紫菀), without Rehmanniae Radix (Shengdihuang, 生地黄); another prescription lacks Angelicae Sinensis Radix (Danggui, 当归) and Astragali Membranacei Radix (Huangqi, 黄芪), but includes Trichosanthis Radix (Gualouren, 栝蒌实), Kudzu Root (Gegen, 干葛), Anemarrhenae Rhizoma (Zhimu, 知母), and Poria (Fushen, 茯神).
Take Shengmai San (Generating the Pulse Powder) with Apricot Seed (Xingren, 杏仁), Citri Reticulatae Pericarpium (Chenpi, 陈皮), and Zingiberis Rhizoma Recens (Shengjiang, 生姜), decocted in water, to treat panting due to lung deficiency with a large pulse.
Take Shengmai San (Generating the Pulse Powder) with Astragali Membranacei Radix (Huangqi, 黄芪), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Angelicae Sinensis Radix (Danggui, 当归), and Paeoniae Radix Alba (Baishao, 白芍药) to treat epistaxis during the hot season.
Combine Shengmai San (Generating the Pulse Powder) with Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity), remove Phellodendri Cortex (Huangbai, 黄柏), and add Bupleuri Radix (Chaihu, 柴胡), Gentianae Radix (Longdancao, 龙胆草), Asparagi Radix (Tiandong, 天门冬), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and Anemarrhenae Rhizoma (Zhimu, 知母), decocted in water. Treats symptoms such as damp-heat stagnation in the liver channel, alternating chills and fever, distension in the hypochondrium, and cough with phlegm. It is suitable for all conditions of excess in the liver channel.