(歌见长沙方歌括) 治虚劳不足。汗出而闷。脉结悸。行动如常。不出百日危急者。
十一日死。
甘草 桂枝 生姜 人参 阿胶 大枣 麻仁 麦冬 生地
徐云。此虚劳中润燥复脉之神方。今人喜用胶、麦等而畏用姜、桂。岂知阴凝燥气。非
阳不
治冷劳。又主鬼疰。一门相染。
獭肝一具。炙干末之。水服方寸匕。日三服。
歌曰 獭肝变化少人知。一月能生一叶奇。鬼疰冷劳宜此物。传尸虫蛊是专司。
王晋三云。獭肝散。奇方也。葛稚川治尸疰鬼疰。仲景治冷痨。皆取用之。按獭肝性温。
能
善变
象。而獭肝一月生一叶。又有一退叶。是其性亦能消长出入以杀隐见变幻之虫。真神品也。
治肺痿吐涎沫而不咳者。其人不渴。必遗尿。小便数。所以然者。以上虚不能
此为肺中冷。必眩。多涎唾。以此方温之。若服汤已渴者。属消渴。
甘草(四两。炙。) 干姜(二两。炮。)
上 咀。以水三升。煮取一升五合。去滓。分温再服。
歌曰 二两干姜四炙甘。姜须炮透旨须探。(伤寒。金匮各方中。只此一方用炮。)肺中
津涸
蔚按。肺痿皆为热证。然热有虚实之不同。实热宜用寒剂。而此则亡津液而致虚。以虚
而生
甘为主。佐以炮透之干姜。变其辛温之性而为苦温之用。于甘温除大热成法中。又参以活法。
面
(相关歌诀见《长沙方歌括》)治疗虚劳不足。汗出且胸闷。脉象结代、心悸。行动如常人。若不出百日即出现危急情况者,十一日死亡。
徐灵胎说:这是治疗虚劳中润燥复脉的神奇方剂。现在的人喜欢用胶、麦冬等药而畏惧使用姜、桂枝。哪里知道阴凝燥气,非阳不……(原文此处似有缺漏,依文意推测为“非阳不治”或类似含义,但根据后文“治冷劳”,此处应指阳气的作用)。治疗冷劳。又主治鬼疰(一种具有传染性的慢性消耗性疾病)。一家之中相互传染。
獭肝一具,炙干后研成粉末。用水送服一方寸匕。每日三次服用。
歌诀说:獭肝的变化很少有人知道,一个月能长出一片新叶很奇特。鬼疰和冷劳适宜用此物,传尸虫蛊是它专门主管的。
王晋三说:獭肝散是奇方。葛洪治疗尸疰、鬼疰,张仲景治疗冷痨,都取用此方。按獭肝性温,善于变化。而獭肝一个月生出一片新叶,又有一片旧叶脱落,说明它的性质也能通过消长出入来杀灭隐现变幻的虫邪。真是神品啊。
治疗肺痿吐涎沫而不咳嗽的。病人不口渴,必定遗尿,小便频数。之所以这样,是因为上焦虚寒不能制约下焦……(原文此处似有缺漏,依文意推测为“制下”或“摄津”)。这是肺中寒冷,必然头晕,多涎唾。用此方温之。如果服药后感到口渴的,属于消渴病。
将药材切碎。用水三升,煮取一升五合。去渣,分两次温服。
歌诀说:二两干姜四两炙甘草。干姜必须炮透旨意需探求。(在《伤寒论》、《金匮要略》各方中,只有这一个方子用炮姜。)肺中……(原文此处似有缺漏,结合下文应为“津液枯竭”之意)。
蔚按(尤在泾按语):肺痿都是热证,然而热有虚实不同。实热宜用寒凉药剂,而此证则是亡失津液导致虚损,因虚而生……(原文此处似有缺漏,结合下文应为“内热”或“虚热”)。以甘草为主,佐以炮透的干姜,改变其辛温的性质而为苦温的作用。在甘温除大热的成法中,又参灵活用法。面……(原文此处似有缺漏,可能指面色或面部症状,或为排版错误截断)。
(See the song in *Changsha Fang Ge Kuo*) Treats deficiency of consumptive disease (Xu Lao). Sweating with chest stuffiness. Pulse with intermittent beats (Jie) and palpitations. Physical activity remains normal. If critical conditions do not arise within one hundred days, death occurs on the eleventh day.
Gancao (Licorice Root), Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger), Renshen (Ginseng Root), Ejiao (Donkey-Hide Gelatin), Dazao (Jujube Fruit), Mahren (Hemp Seed), Maidong (Ophiopogon Tuber), Shengdi (Rehmannia Root).
Xu Lingtai stated: This is a miraculous formula for moistening dryness and restoring the pulse in consumptive disease. Nowadays, people prefer using Ejiao and Maidong but fear using Jiang (Ginger) and Guizhi (Cinnamon Twig). How can they know that yin coagulation and dry qi cannot be treated without yang... [text incomplete] treats cold consumption (Leng Lao). It also governs Gui Zhu (Ghost Affliction, a contagious chronic wasting disease). Transmission occurs among family members.
One liver of a water badger (Ta Gan), dried by roasting and powdered. Take one cun bi (a square-inch measure) with water. Administer three times daily.
The song states: The changes of Ta Gan are known to few; it grows a new leaf monthly, which is wondrous. It is suitable for Gui Zhu and Leng Lao; it exclusively manages Chuan Shi (Corpse Transmission) and insect-gu poisoning.
Wang Jinsan stated: Ta Gan San is an extraordinary formula. Ge Hong used it for Shi Zhu and Gui Zhu; Zhang Zhongjing used it for Leng Lao. According to records, Ta Gan has a warm nature and is good at transformation. Since Ta Gan grows one new leaf per month while shedding one old leaf, its nature can also eliminate hidden and变幻 (changing) parasites through growth and decline. It is truly a divine product.
Treats Fei Wei (Lung Withering) characterized by spitting saliva and froth without coughing. The patient is not thirsty, inevitably suffers from enuresis (bedwetting) and frequent urination. The reason for this is upper jiao deficiency failing to control... [text incomplete]. This is cold in the lungs, inevitably causing dizziness and excessive salivation. Warm it with this formula. If thirst arises after taking the decoction, it belongs to Xiao Ke (Wasting-Thirst Disease).
Gancao (4 liang, roasted/stewed), Ganjiang (Dried Ginger, 2 liang, processed/pao).
Cut the herbs into small pieces. Boil in 3 sheng of water until reduced to 1.5 sheng. Strain. Divide into two doses and take warm.
The song states: Two liang of Ganjiang and four liang of roasted Gancao. The ginger must be thoroughly processed; the intent requires exploration. (Among formulas in *Shanghan Lun* and *Jingui Yaolue*, only this formula uses pao ginger.) Lung middle... [text incomplete] fluid depletion.
You Zaijing commented: Fei Wei are all heat syndromes, yet heat differs in excess and deficiency. Excess heat should use cold agents, whereas this condition results from deficiency due to loss of body fluids, generating... [text incomplete]. Gancao serves as the chief herb, assisted by thoroughly processed Ganjiang, transforming its acrid-warm nature into bitter-warm utility. Within the established method of sweet-warm removing great heat, a flexible method is incorporated. Face... [text incomplete].