人有好食肥甘烹炙之物,遂至积于胸胃久而不化,少遇风邪,便觉气塞不通,人以为伤
风之外感也,谁知是内伤于食,因而外感乎。凡人胃气若强,则土能生金,肺气必旺,外邪
不能从皮毛而深入也。惟胃气之虚,则肺金亦虚,邪始能乘虚而入。然胃不能自强,必假饮
食之助,故胃气开则食易消,胃气闭则食难化,食易消则胃强,食难化则胃弱。世人多食,
本欲助胃也,谁知多食反以损胃乎。胃损则胃弱,胃弱则肺何能强以外卫夫皮毛乎。是邪因
内伤而入,非邪无引而直入也。治法乌可纯治外感哉。
方用护内汤∶
白术(三钱) 茯苓(三钱) 麦芽(一钱) 山楂(五钱) 甘草(一钱) 柴胡(一钱) 半夏(一钱) 枳
壳(五分) 神曲(八分) 肉桂(二分)
水煎服。一剂气塞通,二剂全愈。
此方乃消食神剂,又能祛逐外邪,且不伤胃气,真治内伤感邪初起之良法也,所以二剂
此症用参茯甘桔汤亦效。
山楂(十粒) 麦芽 人参 桔梗(各一钱) 枳壳 甘草(各五分) 茯苓(三钱)
水煎服。
人有饥饱劳役,伤损津液,以致口渴舌干,又感风邪,头痛发热,人以为外感也,谁知
是内伤于阴乎。夫人身非血不养,血足而津液自润,伤血而津液自少,血少则皮肤无养,毛
窍空虚,风尤易入。然风虽入于皮肤,而不能骤进于经络,以阴虚而阳未衰也。阳与邪战而
发热,故头痛耳。治法不必补阳,补其阴血之虚少,佐之祛风之味,则阴阳和合,邪安能久
留哉?
方用养阴辟邪丹∶
当归(五钱) 白芍(五钱) 柴胡(一钱) 甘草(一钱) 蔓荆子(五分) 川芎(三钱) 天花粉(一钱) 茯
苓(三钱)
水煎服。一剂邪解,二剂全愈。
此方补血以养阴,则津液自生,原因津液之亏而邪入,津液足而邪有不出者乎。况川芎
、蔓荆子能祛头上之邪,柴胡,炙甘草更善解纷之妙,天花粉与茯苓善消痰利湿,引邪尽从
膀胱而去。治阴虚内伤感邪,莫良于此。倘用攻于补阳之中,则阳旺阴消,邪转炽矣,乌能
此症养津汤亦可用。
柴胡 半夏 甘草 蔓荆子(各一钱) 丹皮 麦冬(各三钱) 玄参(四钱) 神曲(五分)
水煎服。
人有饥饱劳役,又感冰雪之气,或犯霜露之感,遂至腹痛畏寒,身热不解,人以为外感
之症也,谁知是阳气之内伤乎。凡人阳气壮盛者,虽受冰雪霜露而亦不惧,惟饥饱损其脾胃
,劳役困其体肤,则脏腑经络自先虚冷,此邪之所以易入也,虽有外邪,俱作正虚治之。况
腹痛畏寒,尤是虚冷之验,外身虽热,内寒又何疑乎。
方用加味六君子汤治之。
人参(一钱) 白术(五钱) 茯苓(三钱) 陈皮(五分) 甘草(一钱) 半夏(五分) 肉桂(一钱) 柴
胡(一钱)
水煎服。一剂痛止,而荡其内寒也。
倘疑身热而外邪之盛,纯用祛风利湿之剂则损伤阳气,不啻下石,势必变症蜂起,成不
可治之症矣。
此症用双桂汤亦效。
白术(五钱) 茯苓(三钱) 肉桂 甘草(各一钱) 桂枝 羌活(各五分)
水煎服。
人有怀抱素郁,闷闷昏昏,忽然感冒风寒,身热咳嗽,吐痰不已,虽似外感,谁知是肝
气不舒,因召外感邪。夫肝气最喜条达,一遇忧郁之事,则涩滞而不可解,正喜外风之吹动
,则内郁可舒。无如内郁之甚,则木中生火,风火相合,而热乃炽也,故感冒风寒,所以作
热。风火作威,肝不畏金之克,反去侮肺,肺气不甘,两相战斗,肺又惧火刑,呼救于肾子
,而咳嗽生矣。虽有津液,又为肝中风火所耗,而津液变为痰涎。治法自宜急散肺中之风,
然风虽散,而火尤存,则火以引风,非救本之道也。尤宜舒肝之郁,则火息而风尤易散也。
方用逍遥散加味治之。
柴胡(一钱) 白芍(三钱) 当归(三钱) 甘草(一钱) 白术(一钱) 陈皮(五分) 茯苓(二钱) 炒
栀子
(一钱) 半夏(一钱)
水煎服。一剂身热解,二剂咳嗽除,三剂全愈。
此方解郁之圣药,亦祛风之神剂也,直入肝中,舒泄其湮郁之气,郁解而风自难留。加
入半夏以消痰,栀子以退火,更能相助为理,所以奏功益捷也。
此症用舒解散亦效。
白芍 当归(各二钱) 天花粉 香附(各一钱五分) 青皮 神曲(各五分) 甘草(一钱)
水煎服。
人有忍饥受饿,腹中空虚,时遇天气不正,时寒时热,遂至胸膈闷塞,宛如结胸,人以
为外邪相侵,谁知是内伤其胃气乎。夫胃为水谷之海,虽多气多血,然亦因能受水谷而气血
始旺。故水谷多受而胃强,水谷少受而胃弱。今既饥饿强忍,则胃无水谷,胃火沸腾,遏抑
之而不舒,则胃气消亡,天时不正之寒热,自易相感,乘虚入于胃中而不散,因现闷塞之状
。治法必须助胃弱而使之强,则邪不战而自退也。
方用加味四君子汤∶
人参(三钱) 白术(五钱) 茯苓(三钱) 甘草(一分) 柴胡(一钱) 枳壳(五分)
水煎服。一剂轻,二剂全愈。
论理既感寒热,自宜用热药以祛寒,用寒药以散热。然而用寒用热之药,必皆先入于胃
,胃既空虚,寒热相战,必以胃为战场矣,胃弱何能堪乎。故寒热两有所不用,惟以健胃为
主,佐之和解之味于补中散之也。
此症用和腹汤亦效。
人参 柴胡 甘草 神曲 浓朴(各一钱) 白术(二钱) 陈皮(五分)
水煎服。
人有素耽曲 ,日在醉乡,忽感寒疾,不可以风,人以为外伤于风也,谁知内伤于酒
乎。夫酒醉之时,热性可以敌寒,酒醒之时,邪风易于浸正。盖酒能散气,气散则阳虚,而
腠理、营卫无不空虚,邪所以易入也。故好饮之人,无不气虚,气虚而邪入,助其气而邪自
出矣。
方用补中益气汤∶
人参(二钱) 黄 (三钱) 当归(三钱) 白术(五钱) 甘草(三分) 陈皮(五分) 升麻(三分) 柴
胡(一钱)
水煎服。一剂气旺,不畏风矣,二剂全愈。
东垣先生制此方,以治内伤而兼外感实神,以之治伤酒而感冒风邪者,尤为相宜。使不
用此方以升提阳气,而专用祛风逐邪之味则散尽真气,风邪转不肯出,必至轻变重,而重变
死也,何不慎欤。
人有贪恋房帏,纵情色欲,遂至感冒外邪伤风咳嗽,睡卧不宁,人以为外感于风也,谁
知内伤于肾乎。夫肾为肺子,泄精过多,必取给于肺母,肾虚而肺亦虚,肺气不能充于毛窍
,邪即乘虚而入。倘以为外邪之盛,日用散风之剂,则肺气益虚,肾水又来取资,是内外盗
肺之气,肺金安得不困乎,肺气既困,不特不能生肾中之水,且反耗肾中之气,遂至变劳、
变怯者比比也。治宜补其肺金,更补其肾水,使肾不盗母气,则肺自得子援,子母两旺,外邪
自衰
,不战而遁矣。
方用金水两滋汤∶
麦冬(一两) 天门冬(三钱) 桔梗(一钱) 甘草(一钱) 熟地(一两) 茯苓(三钱) 山药(五钱) 肉
桂(三分) 白术(三钱) 紫菀(一钱) 白芥子(二钱)
水煎服。二剂睡卧安,四剂咳嗽除,十剂全愈。
肾虚感邪最难愈之病也,以散邪之药,不能直入于肾经耳。讵知肾虚感邪,邪不遽入于
肾,仍在肺乎。散肺经之邪,仍补其肾中之水,肾得其益,肺又无损,正善于散邪也。
此症用增减六君汤亦效。
人参 熟地 白术(各五钱) 甘草 陈皮 神曲(各五分) 柴胡(一钱) 茯苓(三钱) 肉桂(三分)
水煎服。
人有防危虑患,日凛恐惧之怀,遂至感冒风邪,畏寒作颤,人以为外感于风也,谁知内
伤于心胆乎。夫恐起于胆,惧起于心,过于恐则胆气先寒,过于惧则心气先丧。胆寒则精移
,心丧则精耗,精移精耗,心与胆不愈虚乎。心胆气虚,邪易中矣。夫胆属少阳,胆气既怯
,则邪入少阳,胆不胜任,故畏寒而作颤。倘再用祛风之药,则耗损胆气,胆耗而心气更耗
矣。心胆二经之气耗,邪又何所畏,肯轻出于表里之外乎。治法自宜急助其胆气之壮,胆不
寒而心亦不丧,则协力同心,祛除外邪,自易易耳。
方用加减小柴胡汤∶
柴胡(一钱) 白芍(一两) 茯神(五钱) 麦冬(三钱) 甘草(一钱) 陈皮(五分)
水煎服。一剂胆气壮,二剂心气安,三剂风邪尽散。
此方用柴胡以和解胆中之邪,实佐白芍、茯神、麦冬补胆气之弱,而即补心气之虚也。
二经得补而气旺,恐惧且不畏,又何惧于外邪哉。
此症用攸利汤亦可治。
白芍(五钱) 茯神(三钱) 甘草 半夏 人参(各一钱) 青皮(五分) 柴胡(一钱)
水煎服。
人有处得意之境,过于欢娱,尽情喜笑,遂至感寒畏风,口干舌苦,人以为外感也,谁
知内伤于心包乎。夫心包乃膻中也,膻中者,臣使之官,喜乐出焉。是欢娱者,正心包之职
掌,喜乐何至相伤,惟喜乐太过,大笑不止,未免津干液燥耳。夫心包护君以出治者也。心
包干燥,必盗心之气以自肥,将内府空虚,则宵小之辈,乘机窃发,而邪易入矣。治法自宜
急补心中之气,心气既旺,心包亦必同旺。盖国富而家自不贫,自然协力同心以御外,何至
有四郊之多垒哉。
方用卫君汤∶
人参(二钱) 白术(五钱) 茯苓(三钱) 甘草(一钱) 菖蒲(一钱) 苏叶(一钱) 半夏(一钱) 桔
梗(一钱) 丹参(一钱)
水煎服。一剂津液生,二剂风邪散,三剂全愈。
此方心与膻中均补之药也,心与心包原不可分,治内宁何愁外扰乎。
此症用滋生汤亦效。
人参 柴胡 天花粉(各一钱) 巴戟天 茯神 白术(各二钱) 甘草 神曲(各五分) 肉桂(三
分) 麦冬(三钱)
水煎服。
人有终日思虑忧愁,致面黄体瘦,感冒风邪,人以为外感之病,谁知是内伤于脾肾乎。
夫人后天脾胃,先天肾也,二经最不宜病,然最易病也。天下无不思之人,亦少无愁之客,
但过于思虑,则脾土之气不升,胃土之气不降,食乃停积于中州而不化,何能生津生液,以
灌注于五脏乎。甚矣,思虑之伤人也,而忧愁更甚。盖思则伤脾,忧则伤肾。肾伤则肾水不
能滋肝,而肝无水养,仍克脾胃之土,故忧思二者相合,则脾肾两伤,而外邪尤易深入,欺
先后二天之皆虚也。人至先后二天皆虚,其元虚之弱,为何如乎。治法乌可散邪,而不扶正
方用脾肾双益丹∶
人参(一两) 白术(一两) 巴戟天(一两) 山药(一两) 茯苓(五钱) 柴胡(一钱) 甘草(一钱) 肉
桂(五分) 山茱萸(三钱)
水煎服。二剂风邪全散,十剂全愈。
此方补土之中,有补水之味,补水之内,有散邪之剂。有补之益,而无散之伤,实乃治
忧思内损之神方,非止治忧思外感之妙药也。
此症用复正汤亦妙。
熟地 白术(各五钱) 柴胡 山茱萸 茯苓 丹皮(各二钱) 甘草(一钱) 山药(三钱) 神曲(五
分) 贝母(五分)
水煎服。
人有动多气恼,大声骂詈,觉饮食坐卧居处晋接,无非可怒之场,遂至感触风邪,身热
胸满,两胁作胀,人以为风邪外感,谁知是肝经内伤乎。夫肝性急,气恼则肝叶开张,气愈
急矣。急则气不能顺而逆作,血不能藏,逆则气不能舒而胀生,血亦不畅。木郁不泄,木乃
生火,火郁不宣,火乃生风。内风与外风齐动,则内火与外火同焚,此风邪之所以易入,不
可徒祛于外也。
方用风火两消汤∶
白芍(一两) 炒栀子(三钱) 柴胡(二钱) 天花粉(二钱) 甘草(一钱) 车前子(二钱) 丹皮(五钱)
水煎服。一剂轻,二剂全愈。
此方治肝经之内火,内风也。然而外来风火,未常不可兼治,故两治之而奏功也。倘不
用白芍为君,单用柴胡、栀子之类,虽风火亦能两平,肝中气血之虚,未能骤补,风火散后
,肝木仍燥,怒气终不能解,何如多加白芍,既能补肝,又能泻风火之得哉。
此症用却忿散亦妙。
柴胡 半夏 甘草 薄荷 黄芩 神曲(各一钱) 当归 茯苓(各三钱) 白芍(四钱) 炒栀子
水煎服。
人有昼夜诵读不辍,眠思梦想,俱在功名,劳瘁不自知,饥饿不自觉,遂至感入风邪,
咳嗽身热,人以为外感之症,谁知内伤于肺乎,夫诵读伤气,气伤则肺虚,而腠理亦虚,邪
即随虚而入于肺。肺虚不能敌邪,呼肾子以相救,肾水亦正无多力难上灌于肺,而肺气往来
于肺肾之间,故咳嗽而不自安也。治法急补其肺气可也,然肺为邪所侮,补肺则邪更旺,
而肺愈难安。必兼补胃土之气,以生肺气,则邪不能夺,然补胃而不佐以散邪之品,则肺畏
邪侵,未必能受胃气之益,惟于胃中散邪,则邪畏土气之旺,听肺气自生,而邪乃遁矣。
方用助功汤∶
人参(二钱) 茯苓(三钱) 麦冬(五钱) 甘草(一钱) 桔梗(一钱) 半夏(一钱) 黄芩(五分)
有些人喜爱食用肥腻甘甜、煎炸烤制的食物,导致这些食物积滞在胸胃中久久不能消化。稍微遇到一点风邪侵袭,就感觉气机堵塞不通畅。人们以为是伤风引起的外感病,哪里知道这是内伤于饮食,进而招致外感呢?凡是人的胃气如果强健,那么脾土就能生肺金,肺气必然旺盛,外邪就不能从皮毛深入体内。只有当胃气虚弱时,肺金也随之虚弱,邪气才能乘虚而入。然而胃气不能自我增强,必须借助饮食的辅助,所以胃气通畅则食物容易消化,胃气闭塞则食物难以化除。食物容易消化说明胃强,食物难以化除说明胃弱。世人多吃东西,本意是想帮助胃气,哪里知道多吃反而损伤了胃气呢?胃受损则胃气变弱,胃气弱则肺又怎么能强盛来护卫皮毛呢?因此邪气是因为内伤而进入体内的,并非邪气没有引导就直接侵入。治疗的方法怎么可以单纯治疗外感呢?
方用护内汤:
白术(三钱) 茯苓(三钱) 麦芽(一钱) 山楂(五钱) 甘草(一钱) 柴胡(一钱) 半夏(一钱) 枳壳(五分) 神曲(八分) 肉桂(二分)
用水煎服。服用一剂后气塞通畅,两剂后完全痊愈。
这个方子是消食的神效药剂,又能祛除驱逐外邪,且不损伤胃气,真是治疗内伤后感邪初起的良好方法。此外,此症使用参茯甘桔汤也有效。
人参 茯苓 甘草 桔梗(各一钱) 山楂(十粒) 麦芽 枳壳 甘草(各五分) 茯苓(三钱)
用水煎服。
有人因饥饱不均或过度劳累,损伤了津液,导致口渴舌干,又感染了风邪,出现头痛发热,人们以为是外感病,哪里知道这是内伤于阴血呢?人体如果没有血液滋养就无法生存,血液充足则津液自然滋润,损伤血液则津液自然减少,血少则皮肤失去滋养,毛孔空虚,风邪尤其容易侵入。虽然风邪进入了皮肤,但不能迅速进入经络,因为阴虚而阳气尚未衰败。阳气与邪气交战而发热,所以头痛。治疗方法不必补阳,只需补益阴血的亏虚,辅以祛风的药物,那么阴阳调和,邪气怎么能久留呢?
方用养阴辟邪丹:
当归(五钱) 白芍(五钱) 柴胡(一钱) 甘草(一钱) 蔓荆子(五分) 川芎(三钱) 天花粉(一钱) 茯苓(三钱)
用水煎服。服用一剂后邪气解除,两剂后完全痊愈。
这个方子补血以养阴,则津液自然生成。原本是因为津液亏损而导致邪气入侵,津液充足了,邪气哪有不出去的道理呢?况且川芎、蔓荆子能祛除头部的邪气,柴胡、炙甘草更善于解纷乱之妙,天花粉与茯苓善于消除痰湿,引导邪气全部从膀胱排出。治疗阴虚内伤感邪,没有比这更好的了。如果在补阳之中使用攻伐之法,则阳气旺盛而阴液消退,邪气反而炽盛,怎么能治愈呢?此外,此症使用养津汤也可以。
柴胡 半夏 甘草 蔓荆子(各一钱) 丹皮 麦冬(各三钱) 玄参(四钱) 神曲(五分)
用水煎服。
有人因饥饱不均和过度劳累,又感受了冰雪寒气,或者遭受霜露侵袭,导致腹痛畏寒,身体发热不退,人们以为是外感病症,哪里知道这是阳气内伤呢?凡是人体阳气壮盛的人,即使受到冰雪霜露的侵袭也不害怕,只有因饥饱损伤脾胃,因劳累困顿体肤,脏腑经络自然会先变得虚冷,这就是邪气容易侵入的原因。虽然有外邪,都当作正气虚弱来治疗。况且腹痛畏寒,更是虚冷的验证,外表虽然发热,内在寒冷又有什么可疑的呢?
方用加味六君子汤治疗。
人参(一钱) 白术(五钱) 茯苓(三钱) 陈皮(五分) 甘草(一钱) 半夏(五分) 肉桂(一钱) 柴胡(一钱)
用水煎服。服用一剂后疼痛停止,并荡涤内部寒气。
如果怀疑身体发热是外邪盛极,纯粹使用祛风利湿的药物,则会损伤阳气,无异于落井下石,势必导致各种变证蜂拥而起,成为不可治疗的病症。此外,此症使用双桂汤也有效。
白术(五钱) 茯苓(三钱) 肉桂 甘草(各一钱) 桂枝 羌活(各五分)
用水煎服。
有人平素心怀抑郁,闷闷不乐,忽然感冒风寒,出现身体发热咳嗽,吐痰不止,虽然看似外感,哪里知道是肝气不舒畅,因而招致外感邪气呢?肝气最喜欢条达舒展,一旦遇到忧郁的事情,就会涩滞而无法解开,正喜欢外风的吹动,则内部的郁结可以舒缓。无奈内部郁结太甚,则木中生火,风火相合,热势于是炽盛,所以感冒风寒会导致发热。风火作威,肝不畏肺金的克制,反而去侮害肺脏,肺气不甘心,两者相互战斗,肺又畏惧火的刑克,向肾水求救,于是咳嗽产生。虽然有津液,又被肝中的风火所消耗,津液变为痰涎。治疗方法自然应当紧急疏散肺中的风邪,然而风虽散,火依然存在,火会引动风,这不是治本之道。尤其应当疏解肝气的郁结,则火熄灭而风更容易消散。
方用逍遥散加味治疗。
柴胡(一钱) 白芍(三钱) 当归(三钱) 甘草(一钱) 白术(一钱) 陈皮(五分) 茯苓(二钱) 炒栀子(一钱) 半夏(一钱)
用水煎服。服用一剂后身热解除,两剂后咳嗽消除,三剂后完全痊愈。
这个方子是解郁的圣药,也是祛风的神效药剂,直接入肝经,疏泄其中淤积郁结之气,郁结解开而风邪自然难留。加入半夏以消除痰浊,栀子以退去火热,更能相助为理,所以见效更加快捷。此外,此症使用舒解散也有效。
白芍 当归(各二钱) 天花粉 香附(各一钱五分) 青皮 神曲(各五分) 甘草(一钱)
用水煎服。
有人忍受饥饿,腹部中空空虚,时常遇到天气不正,时冷时热,导致胸膈闷塞,宛如结胸证,人们以为是被外邪侵犯,哪里知道是内伤了胃气呢?胃是水谷的海港,虽然多气多血,但也因为能受纳水谷,气血才开始旺盛。所以水谷受纳多则胃强,水谷受纳少则胃弱。现在既然饥饿强忍,则胃中没有水谷,胃火沸腾,被遏抑而不能舒展,则胃气消亡,天时不正的寒热之气,自然容易感应,乘虚进入胃中而不消散,因而出现闷塞的症状。治疗方法必须帮助胃气变弱使之变强,则邪气不战而自退。
方用加味四君子汤:
人参(三钱) 白术(五钱) 茯苓(三钱) 甘草(一分) 柴胡(一钱) 枳壳(五分)
用水煎服。服用一剂后症状减轻,两剂后完全痊愈。
按理说既然感受了寒热,自然应该用热药来祛寒,用寒药来散热。然而使用寒药热药,都必须先进入胃中,胃既然空虚,寒热在胃中交战,必定以胃为战场,胃气虚弱怎么能承受得住呢?所以寒热两方面的药物都不使用,只以健胃为主,辅以和解的药物来补中发散。此外,此症使用和腹汤也有效。
人参 柴胡 甘草 神曲 浓朴(各一钱) 白术(二钱) 陈皮(五分)
用水煎服。
有人平素沉迷于酿酒饮酒,日日处于醉乡,忽然感染寒疾,怕风,人们以为是外伤于风,哪里知道是内伤于酒呢?醉酒之时,酒的熱性可以抵御寒气,酒醒之时,邪风容易浸淫正气。大概酒能耗散气,气散则阳虚,而腠理、营卫无不空虚,邪气所以容易侵入。所以喜好饮酒的人,没有不气虚的,气虚而邪气侵入,扶助其气则邪气自然排出。
方用补中益气汤:
人参(二钱) 黄芪(三钱) 当归(三钱) 白术(五钱) 甘草(三分) 陈皮(五分) 升麻(三分) 柴胡(一钱)
用水煎服。服用一剂后气旺,不怕风了,两剂后完全痊愈。
李东垣先生制定此方,用来治疗内伤兼外感确实神奇,用它来治疗伤酒而感冒风邪的人,尤为适宜。如果不使用此方来提升阳气,而专门使用祛风逐邪的药物,则会散尽真气,风邪反而不肯排出,必定导致轻病变重,重病致死,怎么不谨慎呢?
有人贪恋房事,纵情色欲,导致感冒外邪伤风咳嗽,睡卧不安宁,人们以为是外感于风,哪里知道是内伤于肾呢?肾是肺的子脏,泄精过多,必然向肺母索取补给,肾虚而肺也虚,肺气不能充实于毛窍,邪气即乘虚而入。如果认为是外邪盛极,每天使用散风的药剂,则肺气更加虚弱,肾水又来取资,这是内外盗贼窃取肺的气,肺金怎么能不困乏呢?肺气既已困乏,不仅不能生肾中之水,反而耗损肾中之气,于是导致变成劳病、变成怯弱的比比皆是。治疗应当补益肺金,再补益肾水,使肾不盗取母气,则肺自然得到子的援助,子母两旺,外邪自然衰退,不战而逃。
方用金水两滋汤:
麦冬(一两) 天门冬(三钱) 桔梗(一钱) 甘草(一钱) 熟地黄(一两) 茯苓(三钱) 山药(五钱) 肉桂(三分) 白术(三钱) 紫菀(一钱) 白芥子(二钱)
用水煎服。服用两剂后睡卧安宁,四剂后咳嗽消除,十剂后完全痊愈。
肾虚感邪是最难治愈的病,因为散邪的药物不能直接进入肾经。哪里知道肾虚感邪,邪气不立即进入肾,仍在肺呢?疏散肺经的邪气,同时补益肾中之水,肾得到益处,肺又没有损伤,正是善于散邪的方法。此外,此症使用增减六君汤也有效。
人参 熟地黄 白术(各五钱) 甘草 陈皮 神曲(各五分) 柴胡(一钱) 茯苓(三钱) 肉桂(三分)
用水煎服。
有人防备危险忧虑祸患,终日怀着恐惧的心情,导致感冒风邪,畏寒发抖,人们以为是外感于风,哪里知道是内伤于心胆呢?恐惧起源于胆,惊惧起源于心,过于恐惧则胆气先寒,过于惊惧则心气先丧。胆寒则精气移散,心丧则精气耗损,精气移散精气耗损,心和胆不是更加虚弱吗?心胆气虚,邪气容易击中。胆属少阳,胆气既然怯弱,则邪气进入少阳,胆不胜任,所以畏寒而发抖。如果再使用祛风的药物,则会耗损胆气,胆气耗损而心气更加耗损。心胆二经的气耗损,邪气还有什么可畏惧的,肯轻易出于表里之外吗?治疗方法自然应当紧急助长胆气,胆不寒而心也不丧,则协力同心,祛除外邪,自然非常容易。
方用加减小柴胡汤:
柴胡(一钱) 白芍(一两) 茯神(五钱) 麦冬(三钱) 甘草(一钱) 陈皮(五分)
用水煎服。服用一剂后胆气壮实,两剂后心气安宁,三剂后风邪尽散。
这个方子用柴胡来和解胆中的邪气,实则辅助白芍、茯神、麦冬补益胆气的虚弱,也就是补益心气的虚损。二经得到补益而气旺,连恐惧都不畏惧,又何惧于外邪呢?此外,此症使用攸利汤也可以治疗。
白芍(五钱) 茯神(三钱) 甘草 半夏 人参(各一钱) 青皮(五分) 柴胡(一钱)
用水煎服。
有人处在得意的境地,过于欢娱,尽情喜笑,导致感受寒冷怕风,口干舌苦,人们以为是外感,哪里知道是内伤于心包呢?心包就是膻中,膻中是臣使之官,喜乐由此发出。所以欢娱正是心包的职掌,喜乐怎么会互相伤害呢?只是喜乐太过,大笑不止,难免津干液燥罢了。心包保护君主而出外治理。心包干燥,必然盗取心的气来使自己肥满,将内府空虚,则宵小之辈,乘机窃发,而邪气容易侵入。治疗方法自然应当紧急补益心中的气,心气既旺,心包也必然同旺。大概国家富裕而家庭自然不贫穷,自然协力同心以御敌,何至于有四郊之多垒呢?
方用卫君汤:
人参(二钱) 白术(五钱) 茯苓(三钱) 甘草(一钱) 石菖蒲(一钱) 苏叶(一钱) 半夏(一钱) 桔梗(一钱) 丹参(一钱)
用水煎服。服用一剂后津液生成,两剂后风邪散除,三剂后完全痊愈。
这个方子是心与膻中均补的药物,心和心包原本不可分开,治疗内伤安宁,何必愁外部骚扰呢?此外,此症使用滋生汤也有效。
人参 柴胡 天花粉(各一钱) 巴戟天 茯神 白术(各二钱) 甘草 神曲(各五分) 肉桂(三分) 麦冬(三钱)
用水煎服。
有人终日思虑忧愁,导致面色黄形体瘦,感冒风邪,人们以为是外感病,哪里知道是内伤于脾肾呢?
人的后天脾胃,先天肾也,这两经最不宜生病,然而却最容易生病。天下没有不思考的人,也少有无忧愁的客人,只是过于思虑,则脾土之气不升,胃土之气不降,食物便停积在中焦而不消化,怎么能生津生液,以灌注于五脏呢?思虑对人的伤害太大了,而忧愁更甚。大概思则伤脾,忧则伤肾。肾受伤则肾水不能滋养肝,而肝无水滋养,仍然克制脾胃之土,所以忧思二者相结合,则脾肾两伤,而外邪尤其容易深入,欺辱先后二天的皆虚。人到了先后二天皆虚,其元气虚弱的程度,该是怎样的呢?治疗方法怎么能只散邪,而不扶正呢?
方用脾肾双益丹:
人参(一两) 白术(一两) 巴戟天(一两) 山药(一两) 茯苓(五钱) 柴胡(一钱) 甘草(一钱) 肉桂(五分) 山茱萸(三钱)
用水煎服。服用两剂后风邪全散,十剂后完全痊愈。
这个方子在补土之中,有补水的味道,补水之内,有散邪的药剂。有补益的好处,而没有散邪的伤害,实在是治疗忧思内损的神方,不仅仅是治疗忧思外感的妙药。此外,此症使用复正汤也奇妙。
熟地黄 白术(各五钱) 柴胡 山茱萸 茯苓 丹皮(各二钱) 甘草(一钱) 山药(三钱) 神曲(五分) 贝母(五分)
用水煎服。
有人动不动就生气恼怒,大声骂詈,觉得饮食坐卧居处人际交往,无非是可怒的场所,导致感触风邪,身体发热胸满,两胁胀满,人们以为是风邪外感,哪里知道是肝经内伤呢?肝性急,气恼则肝叶开张,气更加急迫。急则气不能顺而逆作,血不能藏,逆则气不能舒而胀生,血也不通畅。木郁结不得发泄,木乃生火,火郁结不得宣散,火乃生风。内风与外风齐动,则内火与外火同焚,这就是风邪之所以容易侵入,不可以仅仅在外祛除。
方用风火两消汤:
白芍(一两) 炒栀子(三钱) 柴胡(二钱) 天花粉(二钱) 甘草(一钱) 车前子(二钱) 丹皮(五钱)
用水煎服。服用一剂后症状减轻,两剂后完全痊愈。
这个方子治疗肝经的内火、内风。然而外来的风火,未尝不可以兼治,所以两治而奏效。如果不使用白芍为君药,单用柴胡、栀子之类,虽然风火也能两平,但肝中气血的虚损,未能骤然补益,风火散后,肝木仍然燥,怒气终究不能解,何如多加白芍,既能补肝,又能泻风火之得呢?此外,此症使用却忿散也奇妙。
柴胡 半夏 甘草 薄荷 黄芩 神曲(各一钱) 当归 茯苓(各三钱) 白芍(四钱) 炒栀子
用水煎服。
有人昼夜诵读不停,眠思梦想,都在功名上,劳瘁自己不知道,饥饿自己没察觉,导致感入风邪,咳嗽身热,人们以为是外感病症,哪里知道是内伤于肺呢?诵读伤气,气伤则肺虚,而腠理也虚,邪气随即随虚而入于肺。肺虚不能抵御邪气,呼救肾子以相救,肾水也正无多力难以上灌于肺,而肺气往来于肺肾之间,所以咳嗽而不自安。治疗方法紧急补益肺气即可,然而肺被邪气欺侮,补肺则邪气更旺,而肺更加难安。必须兼补胃土之气,以生肺气,则邪气不能夺取,然而补胃而不佐以散邪的物品,则肺畏惧邪气侵扰,未必能接受胃气的益处,只有在胃中散邪,则邪气畏惧土气的旺盛,听任肺气自然生长,而邪气乃遁走。
Some people enjoy eating rich, sweet, fried, and roasted foods, causing these foods to accumulate in the chest and stomach for a long time without being digested. Upon encountering even a slight wind pathogen, they feel Qi blockage and obstruction. People assume this is an external contraction caused by catching a cold, but who would know that it is actually internal injury due to food stagnation, thereby inviting external pathogens? Whenever a person's Stomach Qi is strong, then Earth (Spleen) can generate Metal (Lung), Lung Qi will be robust, and external pathogens cannot penetrate deeply from the skin and hair. Only when Stomach Qi is deficient does Lung Metal also become weak, allowing pathogens to enter through the deficiency. However, Stomach Qi cannot strengthen itself; it must rely on dietary assistance. Therefore, if Stomach Qi is open, food digests easily; if Stomach Qi is closed, food is hard to transform. Easy digestion indicates strong Stomach Qi, while difficult digestion indicates weak Stomach Qi. The world eats more, intending to help the Stomach, but who knows that overeating actually damages the Stomach? When the Stomach is damaged, it becomes weak; when the Stomach is weak, how can the Lung be strong enough to protect the skin and hair? Thus, pathogens enter due to internal injury, not because they invade directly without guidance. How can the treatment method focus solely on external contractions?
Prescribe Hu Nei Tang (Protect the Interior Decoction):
Bai Zhu (Atractylodis Rhizoma, 3 qian), Fu Ling (Poria, 3 qian), Mai Ya (Hordei Fructus Germinatus, 1 qian), Shan Zha (Crataegi Fructus, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Zhi Ke (Aurantii Fructus Immaturus, 5 fen), Shen Qu (Massa Medicata Fermentata, 8 fen), Rou Gui (Cinnamomi Cortex, 2 fen).
Decoct in water and take orally. After one dose, Qi blockage resolves; after two doses, full recovery occurs.
This prescription is a divine agent for resolving food stagnation, capable of expelling external pathogens without damaging Stomach Qi. It is truly an excellent method for treating early-stage internal injury complicated by external contraction. Additionally, using Shen Fu Gan Jie Tang (Ginseng, Poria, Licorice, and Platycodon Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Fu Ling (Poria, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Shan Zha (Crataegi Fructus, 10 grains), Mai Ya (Hordei Fructus Germinatus), Zhi Ke (Aurantii Fructus Immaturus, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Fu Ling (Poria, 3 qian).
Decoct in water and take orally.
Some individuals suffer from uneven meals or excessive labor, damaging body fluids, leading to thirst and dry tongue, followed by wind pathogen invasion, causing headache and fever. People assume this is an external contraction, but who knows it is actually internal injury to Yin? The human body requires blood for nourishment; when blood is sufficient, body fluids are naturally moist. Damaging blood reduces body fluids; when blood is scarce, skin loses nourishment, pores become empty, and wind pathogens easily enter. Although wind enters the skin, it cannot rapidly penetrate the meridians because Yin is deficient but Yang is not yet exhausted. Yang battles with the pathogen, causing fever and thus headache. The treatment need not tonify Yang; instead, it should tonify the deficiency of Yin and Blood, assisted by wind-dispelling herbs. Then Yin and Yang harmonize, and how can the pathogen remain?
Prescribe Yang Yin Pi Xie Dan (Nourish Yin and Repel Pathogens Pill):
Dang Gui (Angelicae Sinensis Radix, 5 qian), Bai Shao (Paeoniae Radix Alba, 5 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Man Jing Zi (Viticis Fructus, 5 fen), Chuan Xiong (Chuanxiong Rhizoma, 3 qian), Tian Hua Fen (Trichosanthis Radix, 1 qian), Fu Ling (Poria, 3 qian).
Decoct in water and take orally. After one dose, pathogens resolve; after two doses, full recovery occurs.
This prescription tonifies Blood to nourish Yin, generating body fluids naturally. Originally, pathogens entered due to fluid deficiency; once fluids are sufficient, pathogens have no reason to stay. Moreover, Chuan Xiong and Man Jing Zi dispel pathogens from the head; Chai Hu and Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) excel at resolving conflict; Tian Hua Fen and Fu Ling eliminate phlegm and dampness, guiding pathogens out via the Bladder. For treating internal injury due to Yin deficiency complicated by external contraction, nothing is better than this. If one uses attacking methods within Yang-tonification, Yang becomes excessive and Yin diminishes, causing pathogens to flare up, making cure impossible. Additionally, using Yang Jin Tang (Nourish Fluids Decoction) for this condition is also viable.
Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Man Jing Zi (Viticis Fructus, 1 qian), Dan Pi (Moutan Cortex, 3 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Xuan Shen (Scrophulariae Radix, 4 qian), Shen Qu (Massa Medicata Fermentata, 5 fen).
Decoct in water and take orally.
Some individuals suffer from uneven meals and excessive labor, then contract ice/snow cold qi or frost/dew exposure, leading to abdominal pain, aversion to cold, and persistent fever. People assume this is an external contraction syndrome, but who knows it is internal injury to Yang? Those with robust Yang are not afraid of ice/snow/frost/dew. Only when uneven meals damage the Spleen/Stomach and labor exhausts the body do the Zang-Fu organs and meridians become deficient and cold first, making pathogen entry easy. Even with external pathogens, treat them as righteous Qi deficiency. Abdominal pain and aversion to cold are signs of interior cold; although the exterior feels hot, interior cold is undeniable.
Treat with Jia Wei Liu Jun Zi Tang (Modified Six Gentlemen Decoction).
Ren Shen (Panacis Ginseng Radix, 1 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 5 fen), Rou Gui (Cinnamomi Cortex, 1 qian), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally. After one dose, pain stops and interior cold is cleared.
If one suspects high fever indicates severe external pathogens and uses purely wind-dispelling and damp-draining agents, Yang Qi will be damaged, akin to kicking someone when they are down. This will inevitably cause numerous complications, becoming incurable. Additionally, using Shuang Gui Tang (Double Cinnamon Decoction) for this condition is also effective.
Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Rou Gui (Cinnamomi Cortex, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Gui Zhi (Cinnamomi Ramulus, 5 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 5 fen).
Decoct in water and take orally.
Some people have chronic depression and gloominess, suddenly contracting wind-cold, resulting in fever, cough, and incessant expectoration. Although it seems like an external contraction, who knows it is Liver Qi stagnation inviting external pathogens? Liver Qi prefers free flow; upon encountering depression, it becomes stagnant and unresolved. It welcomes external wind to blow away internal stagnation. However, extreme internal stagnation generates Fire from Wood; Wind and Fire combine, causing intense heat, so wind-cold contraction leads to fever. Wind and Fire act tyrannically; the Liver disregards Metal (Lung) control and insults the Lung. Lung Qi resists, fighting back, but fearing Fire punishment, it calls on Kidney Water (its child organ), causing cough. Body fluids are consumed by Liver Wind-Fire, turning into phlegm-saliva. Treatment should urgently disperse Wind in the Lung. However, dispersing Wind alone leaves Fire, which rekindles Wind; this is not treating the root. One must soothe Liver stagnation; then Fire extinguishes and Wind disperses easily.
Treat with Xiao Yao San (Free and Easy Wanderer Powder) modified.
Chai Hu (Bupleuri Radix, 1 qian), Bai Shao (Paeoniae Radix Alba, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Fu Ling (Poria, 2 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian).
Decoct in water and take orally. After one dose, fever resolves; after two doses, cough ceases; after three doses, full recovery.
This prescription is a holy medicine for resolving stagnation and a divine agent for dispelling wind, entering directly into the Liver to vent accumulated Qi. Once stagnation resolves, Wind has difficulty staying. Adding Ban Xia eliminates phlegm; Zhi Zi clears Heat, assisting each other for rapid effect. Additionally, using Shu Jie San (Relieve Stagnation Powder) for this condition is also effective.
Bai Shao (Paeoniae Radix Alba, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Tian Hua Fen (Trichosanthis Radix, 1.5 qian), Xiang Fu (Cyperi Rhizoma, 1.5 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Decoct in water and take orally.
Some people endure hunger, leaving the abdomen empty, encountering abnormal weather (alternating cold/heat), leading to chest/diaphragm stuffiness resembling Jie Xiong (Chest Binding) syndrome. People assume external pathogen invasion, but who knows it is internal injury to Stomach Qi? The Stomach is the sea of water and grain. Though abundant in Qi and Blood, it relies on receiving water/grain to make Qi/Blood robust. Receiving much makes Stomach strong; receiving little makes it weak. Enduring hunger means no water/grain in Stomach; Stomach Fire boils, suppressed and unable to舒展 (spread), causing Stomach Qi to perish. Abnormal weather cold/heat easily induces, entering the Stomach via deficiency and lingering, causing stuffiness. Treatment must strengthen weak Stomach Qi; then pathogens retreat without battle.
Prescribe Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction):
Ren Shen (Panacis Ginseng Radix, 3 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen), Chai Hu (Bupleuri Radix, 1 qian), Zhi Ke (Aurantii Fructus Immaturus, 5 fen).
Decoct in water and take orally. After one dose, symptoms lighten; after two doses, full recovery.
Logically, upon contracting cold/heat, one should use Hot herbs to dispel cold and Cold herbs to clear heat. However, all herbs enter the Stomach first. With an empty Stomach, cold and heat battle there, using the Stomach as a battlefield. A weak Stomach cannot bear this. Thus, neither Cold nor Hot herbs are used; instead, strengthening the Stomach is primary, assisted by harmonizing herbs to tonify the Middle and disperse. Additionally, using He Fu Tang (Harmonize Abdomen Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian), Hou Po (Magnoliae Officinalis Cortex, 1 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen).
Decoct in water and take orally.
Some people indulge in alcohol daily, suddenly contracting cold disease and fear of wind. People assume external wind injury, but who knows it is internal injury from wine? While drunk, wine’s heat counters cold; upon sobering, wind pathogens easily invade righteous Qi. Wine scatters Qi; scattered Qi leads to Yang deficiency, leaving Cou Li (pores), Ying (Nutritive), and Wei (Defensive) Qi empty, making pathogen entry easy. Alcohol lovers are invariably Qi deficient. When Qi is deficient and pathogens enter, tonifying Qi causes pathogens to exit.
Prescribe Bu Zhong Yi Qi Tang (Tonify the Middle and Augment Qi Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Huang Qi (Astragali Radix, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Sheng Ma (Cimicifugae Rhizoma, 3 fen), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally. After one dose, Qi becomes robust, fear of wind disappears; after two doses, full recovery.
Mr. Dongyuan (Li Dongyuan) created this formula to treat internal injury with external contraction effectively. Using it for alcohol-induced wind contraction is particularly suitable. If one does not use this formula to lift Yang Qi, but solely uses wind-dispelling agents, True Qi will scatter, and wind pathogens will refuse to exit, turning mild cases severe and severe cases fatal. How cautious must one be?
Some people indulge in sexual activity, contracting external wind-pathogen, causing wind-cold cough and restless sleep. People assume external wind contraction, but who knows it is internal injury to the Kidney? The Kidney is the Child of the Lung. Excessive essence loss draws from the Mother (Lung). Kidney deficiency leads to Lung deficiency. Lung Qi cannot fill the pores, allowing pathogens to enter via deficiency. If treated as severe external pathogens with daily wind-dispersing agents, Lung Qi becomes weaker, and Kidney Water seeks resources again. This is internal and external theft of Lung Qi. How can Lung Metal not be distressed? Distressed Lung Qi cannot generate Kidney Water and consumes Kidney Qi, leading to consumption and weakness syndromes frequently. Treatment should tonify Lung Metal and Kidney Water, preventing Kidney from stealing Mother Qi, so Lung receives Child support. Mother and Child both robust, external pathogens decline and flee without battle.
Prescribe Jin Shui Liang Zi Tang (Metal and Water Dual-Nourishing Decoction):
Mai Dong (Ophiopogonis Radix, 1 liang), Tian Men Dong (Asparagi Radix, 3 qian), Jie Geng (Platycodonis Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shu Di Huang (Rehmanniae Radix Preparata, 1 liang), Fu Ling (Poria, 3 qian), Shan Yao (Dioscoreae Rhizoma, 5 qian), Rou Gui (Cinnamomi Cortex, 3 fen), Bai Zhu (Atractylodis Rhizoma, 3 qian), Zi Wan (Asteris Radix, 1 qian), Bai Jie Zi (Sinapis Semen, 2 qian).
Decoct in water and take orally. After two doses, sleep stabilizes; after four doses, cough ceases; after ten doses, full recovery.
Kidney deficiency with pathogen invasion is the hardest to cure because pathogen-dispersing herbs cannot directly enter the Kidney Meridian. Who knows that in Kidney deficiency with pathogen invasion, pathogens do not immediately enter the Kidney but remain in the Lung? Dispersing Lung pathogens while tonifying Kidney Water benefits the Kidney without harming the Lung, excellently dispersing pathogens. Additionally, using Zeng Jian Liu Jun Tang (Modified Six Gentlemen Decoction) for this condition is also effective.
Ren Shen (Panacis Ginseng Radix, 5 qian), Shu Di Huang (Rehmanniae Radix Preparata, 5 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Chai Hu (Bupleuri Radix, 1 qian), Fu Ling (Poria, 3 qian), Rou Gui (Cinnamomi Cortex, 3 fen).
Decoct in water and take orally.
Some people worry about danger and disaster, harboring constant fear, contracting wind pathogens, feeling cold and trembling. People assume external wind contraction, but who knows it is internal injury to Heart and Gallbladder? Fear originates in the Gallbladder; dread originates in the Heart. Excessive fear chills Gallbladder Qi first; excessive dread dissipates Heart Qi first. Gallbladder chill moves Essence; Heart loss耗 (consumes) Essence. Essence movement and consumption make Heart and Gallbladder more deficient. Heart-Gallbladder Qi deficiency allows pathogens to strike easily. Gallbladder belongs to Shaoyang. If Gallbladder Qi is timid, pathogens enter Shaoyang, overwhelming it, causing cold and trembling. Using wind-dispersing drugs further depletes Gallbladder Qi, which depletes Heart Qi. With Heart-Gallbladder Qi depleted, what fears pathogens? They won’t leave the exterior-interior boundary. Treatment must urgently strengthen Gallbladder Qi. If Gallbladder is not cold and Heart is not lost, they cooperate to expel external pathogens easily.
Prescribe Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction):
Chai Hu (Bupleuri Radix, 1 qian), Bai Shao (Paeoniae Radix Alba, 1 liang), Fu Shen (Poria with Hostwood, 5 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 fen).
Decoct in water and take orally. After one dose, Gallbladder Qi strengthens; after two doses, Heart Qi calms; after three doses, wind pathogens fully disperse.
This formula uses Chai Hu to harmonize Gallbladder pathogens, assisting Bai Shao, Fu Shen, and Mai Dong to tonify weak Gallbladder Qi and deficient Heart Qi. Both meridians tonified, Qi robust, fear disappears, let alone external pathogens. Additionally, using You Li Tang (Youli Decoction) can also treat this condition.
Bai Shao (Paeoniae Radix Alba, 5 qian), Fu Shen (Poria with Hostwood, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Ren Shen (Panacis Ginseng Radix, 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 5 fen), Chai Hu (Bupleuri Radix, 1 qian).
Decoct in water and take orally.
Some people in favorable situations indulge in joy, laughing excessively, contracting cold and fear of wind, with dry mouth and bitter tongue. People assume external contraction, but who knows it is internal injury to the Pericardium? The Pericardium is the Tan Zhong (Chest Center), the official of the envoy, where joy and pleasure emerge. Joy is the Pericardium’s function; why harm itself? Only excessive joy and endless laughter dry fluids. The Pericardium protects the Monarch (Heart) to govern externally. Dry Pericardium steals Heart Qi to fatten itself, emptying the inner palace, allowing petty thieves (pathogens) to strike opportunistically. Treatment must urgently tonify Heart Qi. Robust Heart Qi makes Pericardium robust too. Just as a rich country ensures wealthy families, they cooperate to defend externally, avoiding multiple fortresses on the outskirts.
Prescribe Wei Jun Tang (Guard the Monarch Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Fu Ling (Poria, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 qian), Su Ye (Perillae Folium, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 1 qian).
Decoct in water and take orally. After one dose, fluids generate; after two doses, wind pathogens disperse; after three doses, full recovery.
This formula tonifies both Heart and Tan Zhong. Heart and Pericardium are inseparable; treating internal peace worries not about external disturbance. Additionally, using Zi Sheng Tang (Nourish Life Decoction) is also effective.
Ren Shen (Panacis Ginseng Radix, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Tian Hua Fen (Trichosanthis Radix, 1 qian), Ba Ji Tian (Morindae Officinalis Radix, 2 qian), Fu Shen (Poria with Hostwood, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Shen Qu (Massa Medicata Fermentata, 5 fen), Rou Gui (Cinnamomi Cortex, 3 fen), Mai Dong (Ophiopogonis Radix, 3 qian).
Decoct in water and take orally.
Some people ponder and worry all day, resulting in sallow complexion and emaciation, contracting wind pathogens. People assume external contraction, but who knows it is internal injury to Spleen and Kidney? The post-heaven Spleen/Stomach relies on pre-heaven Kidney. These two meridians should not be diseased but are most prone to disease. Everyone thinks; few are without sorrow. Excessive thinking prevents Spleen Earth Qi from ascending and Stomach Earth Qi from descending, causing food stagnation in the Middle Jiao without digestion. How can it generate fluids to irrigate the Five Zang? Thinking harms people greatly, and sorrow harms even more. Thinking injures Spleen; sorrow injures Kidney. Kidney injury prevents Kidney Water from nourishing Liver; Liver, lacking water, attacks Spleen/Stomach Earth. Thus, sorrow and thinking combined injure both Spleen and Kidney, making external pathogens easily penetrate deep, bullying the deficiency of pre- and post-heaven. When both are deficient, how weak is the Yuan Qi? How can treatment only disperse pathogens without supporting righteousness?
Prescribe Pi Shen Shuang Yi Dan (Spleen-Kidney Dual-Benefit Pill):
Ren Shen (Panacis Ginseng Radix, 1 liang), Bai Zhu (Atractylodis Rhizoma, 1 liang), Ba Ji Tian (Morindae Officinalis Radix, 1 liang), Shan Yao (Dioscoreae Rhizoma, 1 liang), Fu Ling (Poria, 5 qian), Chai Hu (Bupleuri Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Rou Gui (Cinnamomi Cortex, 5 fen), Shan Zhu Yu (Corni Fructus, 3 qian).
Decoct in water and take orally. After two doses, wind pathogens fully disperse; after ten doses, full recovery.
This formula contains water-nourishing herbs within earth-tonifying ones, and pathogen-dispersing agents within water-nourishing ones. It offers tonification benefits without dispersion damage, truly a divine formula for sorrow-thought internal damage, not just a妙药 (wonder drug) for sorrow-thought external contraction. Additionally, using Fu Zheng Tang (Restore Righteousness Decoction) is also exquisite.
Shu Di Huang (Rehmanniae Radix Preparata, 5 qian), Bai Zhu (Atractylodis Rhizoma, 5 qian), Chai Hu (Bupleuri Radix, 2 qian), Shan Zhu Yu (Corni Fructus, 2 qian), Fu Ling (Poria, 2 qian), Dan Pi (Moutan Cortex, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shan Yao (Dioscoreae Rhizoma, 3 qian), Shen Qu (Massa Medicata Fermentata, 5 fen), Bei Mu (Fritillariae Cirrhosae Bulbus, 5 fen).
Decoct in water and take orally.
Some people get angry easily, cursing loudly, finding everything in diet, rest, residence, and social interaction anger-inducing, contracting wind pathogens, resulting in fever, chest fullness, and distension in both hypochondria. People assume external wind contraction, but who knows it is internal injury to the Liver Meridian? Liver nature is urgent; anger opens Liver lobes, increasing urgency. Urgency prevents smooth Qi flow, causing rebellious Qi; Blood fails to store. Rebellion prevents Qi relaxation, causing distension; Blood circulation is poor. Wood stagnation not vented generates Fire; Fire stagnation not dispersed generates Wind. Internal Wind and External Wind move together; Internal Fire and External Fire burn together. This is why wind pathogens enter easily; they cannot be merely dispelled externally.
Prescribe Feng Huo Liang Xiao Tang (Wind-Fire Dual-Eliminating Decoction):
Bai Shao (Paeoniae Radix Alba, 1 liang), Chao Zhi Zi (Gardeniae Fructus, stir-fried, 3 qian), Chai Hu (Bupleuri Radix, 2 qian), Tian Hua Fen (Trichosanthis Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Che Qian Zi (Plantaginis Semen, 2 qian), Dan Pi (Moutan Cortex, 5 qian).
Decoct in water and take orally. After one dose, symptoms lighten; after two doses, full recovery.
This formula treats Liver Meridian internal Fire and internal Wind. However, external Wind-Fire can also be treated simultaneously, hence dual treatment achieves results. If Bai Shao is not used as the sovereign herb, relying solely on Chai Hu and Zhi Zi, although Wind-Fire may be balanced, Liver Qi-Blood deficiency cannot be quickly tonified. After Wind-Fire disperses, Liver Wood remains dry, anger remains unresolved. Why not add more Bai Shao to tonify Liver and drain Wind-Fire? Additionally, using Que Fen San (Eliminate Anger Powder) is also exquisite.
Chai Hu (Bupleuri Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bo He (Menthae Haplocalycis Herba, 1 qian), Huang Qin (Scutellariae Radix, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Fu Ling (Poria, 3 qian), Bai Shao (Paeoniae Radix Alba, 4 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried).
Decoct in water and take orally.
Some people read day and night without stopping, dreaming of fame and success, unaware of exhaustion and hunger, contracting wind pathogens, causing cough and fever. People assume external contraction, but who knows it is internal injury to the Lung? Reading damages Qi; Qi damage leads to Lung deficiency and empty Cou Li (pores), allowing pathogens to enter the Lung via deficiency. Lung deficiency cannot resist pathogens, calling Kidney Child for help. Kidney Water lacks strength to irrigate Lung upward. Lung Qi moves between Lung and Kidney, causing restless cough. Treatment urgently tonifies Lung Qi. However, Lung insulted by pathogens: tonifying Lung makes pathogens stronger, making Lung less secure. Must simultaneously tonify Stomach Earth Qi to generate Lung Qi, so pathogens cannot steal. But tonifying Stomach without dispersing herbs, Lung fears pathogen invasion and may not accept Stomach Qi benefits. Only dispersing pathogens in the Stomach makes pathogens fear robust Earth Qi, allowing Lung Qi to grow naturally, and pathogens flee.
Prescribe Zhu Gong Tang (Assist Merit Decoction):
Ren Shen (Panacis Ginseng Radix, 2 qian), Fu Ling (Poria, 3 qian), Mai Dong (Ophiopogonis Radix, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Jie Geng (Platycodonis Radix, 1 qian), Ban Xia (Pinelliae Rhizoma Praeparatum cum Gingeri et Alumine, 1 qian), Huang Qin (Scutellariae Radix, 5 fen).