即补中益气汤去当归白术加苍术木香治因饥饱劳役损伤脾胃脾胃虚弱四肢满闭
难以屈伸身体沉重心烦口中无味不思饮食大小便不调或飧泄米谷不化胸满短气咽膈
无力
即补中益气汤去柴胡加麦门冬五味子苍术炒曲黄柏治脾胃虚弱上焦之气不足遇
盛损伤元气怠惰嗜卧四肢不收精神不足两脚痿软早晚寒厥日高复热如火气血俱不足
即黄 人参汤加泽泻青皮葛根治长夏湿热蒸人人感之四肢困倦精神短少懒于动
促肢节疼痛或气高而喘身热而烦心下膨闷小便赤而数大便溏而频或利或渴不思饮食
即补中益气汤加神曲生黄芩治妇人经候凝结黑血成块脐左有血瘕水泻不止谷不
块暴下并水俱作
即补中益气汤加益智黄芩半夏苍术红花治头烦动即微痛不喜饮食四肢怠惰躁热
知味腹鸣大便微溏身体昏闷竟渴不喜冷物
即补中益气汤去白术加半夏草豆蔻神曲黄柏治饮食不节劳役所伤腹胁满闷短气
淡无味遇夏虽热犹自恶寒饥则常如饱不喜食冷物
即补中益气汤去升麻加生地川芎细辛羌活防风治头疼身热恶寒微渴 然汗出遍
腿酸疼无力沉倦脉虚无力庸工不识因作正伤寒大发其汗致轻变重殊不知劳力内伤气
邪宜少用辛温之剂则愈名曰劳力感寒经曰劳者温之损者温之甘温能除大热此之谓也
这就是补中益气汤去掉当归、白术,加入苍术、木香,用于治疗因饥饱失调和劳役过度损伤脾胃,导致脾胃虚弱,四肢胀满闭塞,难以屈伸,身体沉重,心烦,口中无味,不思饮食,大小便不调,或者完谷不化的飧泄,胸满短气,咽膈无力的病症。
这就是补中益气汤去掉柴胡,加入麦门冬、五味子、苍术、炒神曲、黄柏,用于治疗脾胃虚弱,上焦之气不足,遇到盛暑损伤元气,导致倦怠嗜睡,四肢不收,精神不足,两脚痿软,早晚手脚厥冷,太阳升高后发热如火,气血俱不足的病症。
这就是人参汤(原文“黄”字疑为衍文或指黄芪,结合语境及方名习惯,此处依原文直译为人参汤,若指黄芪则需根据具体版本调整,但通常此类加减方多指人参汤类,此处暂按原文“黄 人参汤”理解为含黄芪与人参的汤剂,或仅指人参汤加味,鉴于原文断句模糊,译为“人参汤”并保留原意)加入泽泻、青皮、葛根,用于治疗长夏季节湿热蒸腾,人感受此邪气,导致四肢困倦,精神短少,懒于动作,肢节疼痛,或者气逆而喘,身热而烦,心下痞闷,小便赤涩频数,大便溏薄频急,或者腹泻或者口渴,不思饮食的病症。
这就是补中益气汤加入神曲、生黄芩,用于治疗妇女月经凝结,黑血成块,脐左侧有血瘕,水泻不止,谷物不化,暴注下迫,并伴有水液一同泻出的病症。
这就是补中益气汤加入益智仁、黄芩、半夏、苍术、红花,用于治疗头昏烦动即轻微头痛,不喜欢饮食,四肢倦怠,躁热,知味(味觉异常或口苦),腹鸣,大便微溏,身体昏闷,极度口渴但不喜欢冷物的病症。
这就是补中益气汤去掉白术,加入半夏、草豆蔻、神曲、黄柏,用于治疗饮食不节、劳役所伤导致的腹胁满闷,短气,口淡无味,遇到夏天虽然炎热却仍然怕冷,饥饿时常常感觉像吃饱了一样不想吃东西,不喜欢冷物的病症。
这就是补中益气汤去掉升麻,加入生地、川芎、细辛、羌活、防风,用于治疗头疼,身热,恶寒,微渴,濈然汗出,遍身腿酸疼无力,沉倦,脉虚无力。庸医不认识这是因劳累用力内伤兼感气邪,误当作正伤寒大发其汗,导致轻病变重病。殊不知劳力内伤兼感寒邪,宜少用辛温之剂即可痊愈,名为劳力感寒。经曰:劳者温之,损者温之,甘温能除大热,说的就是这个道理。
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Danggui (Angelicae Sinensis Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) removed, and Cangzhu (Atractylodis Rhizoma) and Muxiang (Aucklandiae Radix) added. It is used to treat conditions caused by damage to the Spleen and Stomach due to irregular diet and overexertion, resulting in Spleen and Stomach deficiency, fullness and obstruction in the four limbs making flexion and extension difficult, heaviness of the body, vexation, tastelessness in the mouth, anorexia, irregular urination and defecation, or unsifted diarrhea (Sunxie, diarrhea with undigested food), chest fullness, shortness of breath, and weakness in the pharynx and diaphragm.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Chaihu (Bupleuri Radix) removed, and Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Cangzhu (Atractylodis Rhizoma), Chao Shenqu (Fermented Wheat Mass, stir-fried), and Huangbo (Phellodendri Cortex) added. It is used to treat Spleen and Stomach deficiency, insufficiency of Qi in the Upper Jiao, damage to Yuan Qi (Original Qi) encountered during peak summer heat, leading to lethargy and desire to sleep, inability to gather the four limbs, insufficiency of spirit, flaccidity and weakness in both legs, cold extremities in the morning and evening, and fever like fire when the sun rises high, indicating insufficiency of both Qi and Blood.
This is Renshen Tang (Ginseng Decoction, note: original text "Huang Renshen Tang" likely implies a decoction containing Huangqi and/or Renshen, translated here as Ginseng Decoction based on standard naming conventions for such modifications unless specified otherwise) with Zexie (Alismatis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), and Gegen (Puerariae Lobatae Radix) added. It is used to treat damp-heat steaming during late summer, where one contracts this pathogen, leading to fatigue and weariness in the four limbs, shortness of spirit, reluctance to move, pain in the joints, or rapid breathing with panting, feverish sensation with vexation, distension and stuffiness below the heart, red and frequent urination, loose and frequent stools, or diarrhea or thirst, and anorexia.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Shenqu (Massa Medicata Fermentata) and Sheng Huangqin (Scutellariae Radix, raw) added. It is used to treat women with menstrual stagnation, black blood forming clots, blood masses (Xuejia) on the left side of the umbilicus, incessant watery diarrhea, undigested food in stool, sudden violent diarrhea with water rushing down together.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Yizhi (Alpiniae Oxyphyllae Fructus), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), Cangzhu (Atractylodis Rhizoma), and Honghua (Carthami Flos) added. It is used to treat dizziness and irritability with slight headache, dislike of food, lethargy in the four limbs, restlessness and heat, abnormal taste perception, borborygmus, slightly loose stools, heavy and muggy sensation in the body, extreme thirst but dislike of cold substances.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Baizhu (Atractylodis Macrocephalae Rhizoma) removed, and Banxia (Pinelliae Rhizoma), Caodoukou (Cardamomi Fructus), Shenqu (Massa Medicata Fermentata), and Huangbo (Phellodendri Cortex) added. It is used to treat abdominal and hypochondriac fullness and stuffiness, shortness of breath, tastelessness in the mouth, aversion to cold despite summer heat, feeling full even when hungry and thus disliking food, and dislike of cold substances, all caused by irregular diet and damage from overexertion.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Shengma (Cimicifugae Rhizoma) removed, and Shengdi (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) added. It is used to treat headache, feverish sensation, aversion to wind/cold, slight thirst, continuous sweating, soreness and pain throughout the legs, heaviness and fatigue, and weak pulse. Unskilled physicians fail to recognize this as internal injury from labor combined with Qi pathogen contraction, mistakenly treating it as standard Cold Damage (Zheng Shanghan) and inducing severe sweating, thereby worsening a mild condition into a severe one. They do not realize that internal injury from labor combined with cold pathogen should be treated with a small amount of acrid-warm agents to achieve cure. This is named Labor-induced Cold Contraction. The Classic states: "For exhaustion, use warming methods; for deficiency, use warming methods." Sweet-warm herbs can eliminate great heat; this is what is meant.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), and Shengma (Cimicifugae Rhizoma) removed, and Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus) added. If Yang deficiency is present, Fuzi (Aconiti Lateralis Radix Praeparata) is added. It is used to treat Qi deficiency with Yang collapse (Yang Jue), hidden pulse, and cold extremities.