麻黄配桂枝。重剂发汗。苏叶合葱豉。轻剂发汗。柴胡配黄芩。固为和解。麻黄合石膏。亦为和解。蝉蚕配
生军。为升
降和解。茹橘合苏枝。是旁达和解。元明粉配白蜜。急性润下。陈海蛇合地栗。慢性润下。楂曲配制军。是下食滞。桃、
红合醋军。是下瘀积。礞、沉配制军。是下痰火。遂戟合制军。是下水积。黄 配当归、苁蓉。是润下老人气
秘。桃仁合
松柏二仁。是润下产妇血秘。莱卜汁配瓜蒂。是急吐痰涎。淡盐汤合橘红。是缓吐痰涎。杜牛膝汁。吐喉闭毒涎。制
净胆矾。吐脘中毒食。杏、蔻、配姜、橘。是辛温开上。香、砂、合二陈。是辛温和中。附桂配丁、沉。是辛温暖
下。葱、豉、配栀、芩。
是辛凉解肌。杏、橘合栀、翘。是轻清宣上。芩、连配姜、半。是苦辛清中。五苓合三石。是质重导下。芦笋配灯
芯。是轻清宣气。桑叶合丹皮。是轻清凉血。知母配石、甘。是甘寒清气。犀、羚、合鲜地。是咸寒清血。橘、半、配
茯苓。则消湿痰。蒌、贝、合竹沥。则消燥痰。姜、附、配荆沥。则消寒痰。海粉合梨汁。则消火痰。神曲配谷
芽、麦芽。
则消谷食。山楂合卜子。则消肉食。乌梅配蔗浆、葛花。则消酒积。商陆合千金霜。则消水积。参 配术草。是补气
虚。归地合芍芎。是补血虚。燕窝配冰糖。是补津液。枣仁合茯神。是补心神。熟地配杞子。是补肾精。桂仲合川
断。是补
筋节。枳壳配桔梗。善开胸膈以疏气。桃仁合红花。善通血脉以消瘀。此皆配制之要略。足开后学之悟机。
麻黄配合桂枝,属于重剂发汗法。紫苏叶合用葱白和豆豉,属于轻剂发汗法。柴胡配伍黄芩,固然是和解之法。麻黄合用石膏,也属于和解之法。蝉蜕、僵蚕配伍生大黄,起到升降调和的和解作用。竹茹、橘皮合用苏梗,是向旁侧透达的和解法。元明粉(芒硝)配伍白蜜,用于急性润下通便。陈海蛇(海鳗鱼干)合用地栗(荸荠),用于慢性润下通便。山楂、神曲配伍制大黄,用于攻下食积。桃仁、红花合用醋制大黄,用于攻下瘀血积滞。礞石、沉香配伍制大黄,用于攻下痰火。遂心、大戟合用制大黄,用于攻下水饮积滞。黄芪配伍当归、肉苁蓉,用于滋润通便以治疗老年人气虚便秘。桃仁合用柏子仁、松子仁,用于滋润通便以治疗产妇血虚便秘。莱菔汁配伍瓜蒂,用于急吐痰涎。淡盐汤合用橘红,用于缓吐痰涎。杜牛膝汁,用于催吐喉闭毒涎。制净胆矾,用于催吐胃脘中毒物或宿食。杏仁、白蔻仁配伍生姜、陈皮,属于辛温开宣上焦。香附、砂仁合用二陈汤,属于辛温调和中焦。附子、肉桂配伍丁香、沉香,属于辛温暖补下焦。葱白、豆豉配伍栀子、黄芩,属于辛凉解肌。杏仁、陈皮合用栀子、连翘,属于轻清宣通上焦。黄芩、黄连配伍生姜、半夏,属于苦辛清热调中。五苓散合三石汤,利用质地重坠引导邪气下行。芦笋配伍灯芯草,属于轻清宣通气机。桑叶合用牡丹皮,属于轻清凉血。知母配伍石斛、甘草,属于甘寒清气分热。犀角、羚羊角合用鲜地黄,属于咸寒清血分热。陈皮、半夏配伍茯苓,则能消除湿痰。瓜蒌、贝母合用竹沥,则能消除燥痰。生姜、附子配伍荆沥,则能消除寒痰。海浮石合用梨汁,则能消除火痰。神曲配伍谷芽、麦芽,则能消解谷物食积。山楂合用萝卜子(莱菔子),则能消解肉食积滞。乌梅配伍蔗浆、葛花,则能消解酒积。商陆合用千金霜,则能消解水饮积滞。人参配伍白术、甘草,用于补气虚。当归、熟地合用白芍、川芎,用于补血虚。燕窝配伍冰糖,用于补充津液。酸枣仁合用茯神,用于补养心神。熟地黄配伍枸杞子,用于补肾精。桂枝合用续断,用于补益筋节。枳壳配伍桔梗,善于开宣胸膈以疏理气机。桃仁合用红花,善于疏通血脉以消除瘀血。这些都是药物配伍的要略,足以启发后学者的悟性。
Ephedrae Herba (Mahuang, 麻黄) combined with Cinnamon Twig (Guizhi, 桂枝) constitutes a heavy sweating method. Perilla Leaf (Suye, 苏叶) combined with Scallion and Fermented Soybean (Congchi, 葱豉) constitutes a light sweating method. Bupleuri Radix (Chaihu, 柴hu) paired with Scutellariae Radix (Huangqin, 黄芩) is indeed a harmonizing method. Ephedrae Herba (Mahuang, 麻黄) combined with Gypsum (Shigao, 石膏) is also a harmonizing method. Cicada Slough (Chantui, 蝉蜕) and僵蚕 (Jiangcan, 僵蚕) paired with raw Rhubarb (Shengjun, 生军) achieves harmonization through ascending and descending actions. Pinelliae Preparata (Ruju, 茹 - likely referring to Zhu Ru/Bamboo Shavings given context of harmonizing side channels, but text says Ru Ju) wait, text says "Ru Ju" which usually means Pinellia and Citrus, but here it says "Ru Ju he Su Zhi". Let's stick to literal: Pinellia (Ru, 茹 - often Zhu Ru) and Tangerine Peel (Ju, 橘) combined with Perilla Stem (Su Zhi, 苏枝) is a harmonizing method reaching laterally. Mirabilite (Yuanmingfen, 元明粉) paired with White Honey (Baimi, 白蜜) is for acute moist purgation. Dried Eel (Chen Haishe, 陈海蛇) combined with Water Chestnut (Dili, 地栗) is for chronic moist purgation. Hawthorn Fruit (Zhale, 楂) and Medicated Leaven (Qu, 曲) prepared with processed Rhubarb (Zhi Jun, 制军) is for purging food stagnation. Peach Kernel (Taoren, 桃仁) and Safflower (Honghua, 红花) combined with Vinegar-processed Rhubarb (Cu Jun, 醋军) is for purging blood stasis. Qingdai or Lingsha? Text says "Meng Chen" -> Lingsha (Qingpiao Mengshi, 礞石) and Aucklandiae Radix (Chenxiang, 沉香) prepared with processed Rhubarb (Zhi Jun, 制军) is for purging phlegm-fire. Yuan Hua (Sui, 遂) and Kansui (Da Ji, 戟) combined with processed Rhubarb (Zhi Jun, 制军) is for purging water accumulation. Astragalus (Huangqi, 黄 - missing character in source but implied by context of Qi deficiency later, actually text says "Huang Pei Dang Gui", likely Huangqi) paired with Angelica Sinensis (Danggui, 当归) and Cistanche (Rongrong, 苁蓉) is for moist purgation in elderly with Qi constipation. Peach Kernel (Taoren, 桃仁) combined with Biota Seed (Songbai Er Ren, 松柏二仁 - specifically Taizi Ren and Songren) is for moist purgation in postpartum women with Blood constipation. Radish Juice (Laibo Zhi, 莱卜汁 - typo for Laifu) paired with Thladianta Fruit (Gua Di, 瓜蒂) is for urgent vomiting of phlegm-saliva. Light salt water combined with Tangerine Peel (Juhong, 橘红) is for slow vomiting of phlegm-saliva. Achyranthes Bidentata Juice (Du Niuxi Zhi, 杜牛膝汁) is for vomiting toxic phlegm-saliva in throat obstruction. Purified Alum (Zhi Jing Danfan, 制净胆矾) is for vomiting poisoned food in the epigastrium. Apricot Seed (Xing, 杏) and White Cardamom (Kou, 蔻) combined with Ginger (Jiang, 姜) and Tangerine Peel (Ju, 橘) is acrid-warm opening of the upper jiao. Cyperus (Xiang, 香) and Amomum (Sha, 砂) combined with Er Chen Tang (Two-Cured Decoction) is acrid-warm harmonizing the middle jiao. Aconite (Fuzi, 附) and Cinnamon Bark (Guizhi, 桂) combined with Clove (Ding, 丁) and Agarwood (Chenxiang, 沉) is acrid-warm warming the lower jiao. Scallion (Cong, 葱) and Fermented Soybean (Chi, 豉) combined with Gardenia (Zhi, 栀) and Scutellaria (Qin, 芩) is acrid-cool releasing the muscle layer. Apricot Seed (Xing, 杏) and Tangerine Peel (Ju, 橘) combined with Gardenia (Zhi, 栀) and Forsythia (Qiao, 翘) is light-clear dispersing the upper jiao. Scutellaria (Qin, 芩) and Coptis (Lian, 连) combined with Ginger (Jiang, 姜) and Pinellia (Banxia, 半) is bitter-acrid clearing the middle jiao. Wuling San (Five-Ling Powder) combined with Sanshi Tang (Three-Stone Decoction) uses heavy substances to guide downwards. Reed Shoot (Lusu, 芦笋) combined with Rush Pith (Dengxin, 灯芯) is light-clear dispersing Qi. Mulberry Leaf (Sangye, 桑叶) combined with Moutan Cortex (Danpi, 丹皮) is light-cooling cooling blood. Anemarrhenae Rhizome (Zhimu, 知母) paired with Dendrobium (Shi, 石 - likely Shibei Shi or similar, text says Shi Gan, maybe Shihu?) and Licorice (Gancao, 甘) is sweet-cold clearing Qi heat. Rhinoceros Horn (Xi, 犀 - now prohibited, use substitute conceptually or keep term) and Antelope Horn (Lingyang, 羚) combined with fresh Rehmannia Root (Xian Di, 鲜地) is salty-cold cooling blood. Tangerine Peel (Ju, 橘) and Pinellia (Banxia, 半) paired with Poria (Fuling, 茯苓) eliminates damp-phlegm. Trichosanthes Fruit (Lou, 蒌) and Fritillaria (Beimu, 贝) combined with Bamboo Sap (Zhuli, 竹沥) eliminates dry-phlegm. Ginger (Jiang, 姜) and Aconite (Fuzi, 附) combined with Arrowhead Sap (Jingli, 荆沥) eliminates cold-phlegm. Floating Stone (Haifen, 海粉) combined with Pear Juice (Lizhi, 梨汁) eliminates fire-phlegm. Medicated Leaven (Shenqu, 神曲) paired with Rice Sprout (Guya, 谷芽) and Barley Sprout (Maiya, 麦芽) eliminates grain food stagnation. Hawthorn Fruit (Shanzha, 山楂) combined with Radish Seed (Bozi, 卜子 - Laifuzi) eliminates meat food stagnation. Dark Plum (Wumei, 乌梅) paired with Sugarcane Juice (Zheshuang, 蔗浆) and Kudzu Flower (Ge Hua, 葛花) eliminates alcohol accumulation. Phytolacca Root (Shanglu, 商陆) combined with Qianjin Shuang (Thlaspi seeds/oil) eliminates water accumulation. Ginseng (Shen, 参) paired with Atractylodes (Baizhu, 术) and Licorice (Caog, 草) tonifies Qi deficiency. Angelica Sinensis (Guib, 归) and Rehmannia (Di, 地) combined with White Peony (Shaoyao, 芍) and Ligusticum (Chuanxiong, 芎) tonifies Blood deficiency. Bird's Nest (Yanwo, 燕窝) paired with Rock Sugar (Bingtang, 冰糖) tonifies Body Fluids. Sour Jujube Seed (Suanzaoren, 枣仁) combined with Poria Spirit (Fushen, 茯神) tonifies Heart Spirit. Prepared Rehmannia (Shudi, 熟地) paired with Lycium Berry (Qizi, 杞子) tonifies Kidney Essence. Cinnamon Twig (Guizhi, 桂) combined with Teasel Root (Chuduan, 川断 - Xu Duan) tonifies tendons and joints. Aurantium Fructus (Zhiqiao, 枳壳) paired with Platycodon Root (Jiegeng, 桔梗) excellently opens the chest and diaphragm to disperse Qi. Peach Kernel (Taoren, 桃仁) combined with Safflower (Honghua, 红花) excellently unblocks blood vessels to eliminate stasis. These are all the essentials of drug pairing, sufficient to open the understanding of students.