治亡津液虚秘大便不通结燥后重饮食不生肌肉补虚损调三焦
大黄(二两) 前胡 半夏 苁蓉 苦葶苈 赤芍药 白茯苓 细辛 当归(各一两)
上为细末炼蜜为丸如梧桐子大温水下二十丸以通为度渐渐加之(重校定此方大黄一味无
分两
益真气补虚惫治下焦伤竭脐腹绞痛两胁胀满饮食减少肢节烦疼手足麻痹腰腿沉重行步艰
难目
并宜
鹿茸(七两) 附子(四百枚) 苁蓉(三斤) 熟干地黄(十斤) 干山药(四斤) 五
味子(三斤) 牛膝(一斤四两) 杜仲(三斤半)
上为细末炼蜜为丸如梧桐子大用麝香为衣每服二十丸温酒下盐汤亦可食前
治肝肾气虚肢体疼痛
鹿茸 破故纸 山药(各二两) 桂(一两半) 附子 牛膝 泽泻 熟地黄 山茱萸 茯
神
香(一钱)
上为细末蜜和为丸如梧桐子大每服三十丸空心温酒下
治肾脏积冷气攻心腹疼痛两胁胀满不思饮食
白豆蔻 茴香子 槟榔子 木香 青橘皮(各半两) 干姜 吴茱萸(各一分) 硫黄
(半两)
上为细末每服一钱以热酒调下不以时
治肾脏积冷气攻心腹疼痛发歇不定
木香 桃仁 附子 青橘皮 桂(各一两) 阿魏 干蝎(各半两)
上为细末用童子小便二大盏煎药成膏收 器中每服不计时候生姜酒调下一茶匙
【方名】五柔丸
第一方:治疗因津液耗伤导致的虚性便秘,症见大便不通、干结燥硬、排便后有重坠感、饮食不进、肌肉消瘦。此方可补益虚损、调理三焦。
处方组成:大黄(二两)、前胡、半夏、肉苁蓉、苦葶苈、赤芍药、白茯苓、细辛、当归(各一两)。
制法与用法:将上述药材研为细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,以温水送服,以大便通畅为度,随后逐渐增加剂量。(校订者注:此方中仅大黄一味未注明分量。)
第二方:补益真气,治疗极度虚弱衰竭之证。症状包括下焦精气枯竭、脐腹部绞痛、两胁胀满、饮食减少、肢体关节烦痛、手足麻木、腰腿沉重、行走困难、视力模糊等。以上诸症均适用此方。
处方组成:鹿茸(七两)、附子(四百枚)、肉苁蓉(三斤)、熟干地黄(十斤)、干山药(四斤)、五味子(三斤)、牛膝(一斤四两)、杜仲(三斤半)。
制法与用法:将上述药材研为细末,用炼蜜制成如梧桐子大小的丸剂,外用麝香包裹作为衣层。每次服用二十丸,用温酒送服,也可用盐汤送服,建议在饭前服用。
第三方:治疗肝肾气虚引起的肢体疼痛。
处方组成:鹿茸、破故纸(补骨脂)、山药(各二两)、桂枝(一两半)、附子、牛膝、泽泻、熟地黄、山茱萸、茯神、麝香(一钱)。
制法与用法:将上述药材研为细末,用蜂蜜调和制成如梧桐子大小的丸剂。每次服用三十丸,空腹时用温酒送服。
第四方:治疗肾脏积冷之气攻冲心腹,引起疼痛,伴有两胁胀满、不思饮食。
处方组成:白豆蔻、茴香子、槟榔子、木香、青橘皮(各半两)、干姜、吴茱萸(各一分)、硫黄(半两)。
制法与用法:将上述药材研为细末。每次服用一钱,用热酒调服,不限具体时间。
第五方:治疗肾脏积冷之气攻冲心腹,疼痛发作无定时。
处方组成:木香、桃仁、附子、青橘皮、桂枝(各一两)、阿魏、干蝎(各半两)。
制法与用法:将上述药材研为细末,用童子小便两大盏煎煮药物成膏状,装入容器中保存。每次服用时不拘时间,用生姜酒调服一茶匙。
[Formula Name] Wuro Wan (Five Softness Pills)
First Formula: Treats deficiency constipation caused by the depletion of body fluids, characterized by unpassable stool, dry and hard feces, a sensation of heaviness or tenesmus after defecation, loss of appetite, emaciation, and muscle wasting. This formula tonifies deficiency and regulates the Triple Burner.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 2 liang), Qianhu (Peucedani Radix), Banxia (Pinelliae Rhizoma Preparatum), Rongrong (Cistanches Herba), Ku Tingli (Descurainiae Semen seu Lepidii Semen), Chishao Yao (Paeoniae Radix Rubra), Bai Fuling (Poria), Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills each time with warm water. The dosage should be adjusted until bowel movement is unobstructed, then gradually increased. (Note by the reviser: In this formula, only the dosage for Dahuang is unspecified.)
Second Formula: Tonifies true Qi and treats extreme deficiency and exhaustion. Symptoms include depletion of essence in the Lower Jiao, colicky pain in the umbilical and abdominal regions, distension and fullness in the hypochondrium, reduced food intake, vexing pain in the limbs and joints, numbness in the hands and feet, heaviness in the waist and legs, difficulty walking, and blurred vision. This formula is suitable for all the aforementioned symptoms.
Ingredients: Lurong (Cervi Cornu Degelatinatum, 7 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 400 pieces), Rongrong (Cistanches Herba, 3 jin), Shu Gan Di Huang (Rehmanniae Radix Preparata, 10 jin), Gan Shan Yao (Dioscoreae Rhizoma, 4 jin), Wuweizi (Schisandrae Chinensis Fructus, 3 jin), Niuxi (Achyranthis Bidentatae Radix, 1 jin 4 liang), Duzhong (Eucommiae Cortex, 3.5 jin).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Coat with Moschus (She Xiang). Take 20 pills each time with warm wine; salt water may also be used. It is recommended to take the pills before meals.
Third Formula: Treats limb pain caused by Qi deficiency of the Liver and Kidney.
Ingredients: Lurong (Cervi Cornu Degelatinatum), Poguzhi (Kopziae Fructus / Buchn. Dioscoreae Rhizoma), Shan Yao (Dioscoreae Rhizoma) (each 2 liang), Gui Zhi (Cinnamomi Ramulus, 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata), Niuxi (Achyranthis Bidentatae Radix), Zexie (Alismatis Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Shan Zhu Yu (Corni Fructus), Fu Shen (Poria cum Radice), She Xiang (Moschus, 1 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with honey to form pills the size of Sophora japonica seeds. Take 30 pills each time on an empty stomach with warm wine.
Fourth Formula: Treats cold accumulation in the Kidney attacking the heart and abdomen, causing pain, accompanied by distension and fullness in the hypochondrium and lack of desire for food.
Ingredients: Bai Dou Kou (Amomi Fructus Rotundus), Huixiang Zi (Foeniculi Fructus), Bing Lang Zi (Arecae Semen), Muxiang (Aucklandiae Radix), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (each 0.5 liang), Gan Jiang (Zingiberis Rhizoma), Wu Zhu Yu (Evodiae Fructus) (each 1 fen), Liu Huang (Sulfur, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian each time, mixed with hot wine. Administer at any time without restriction.
Fifth Formula: Treats cold accumulation in the Kidney attacking the heart and abdomen, causing intermittent and unpredictable pain.
Ingredients: Muxiang (Aucklandiae Radix), Tao Ren (Persicae Semen), Fuzi (Aconiti Lateralis Radix Praeparata), Qing Ju Pi (Citri Reticulatae Pericarpium Viride), Gui Zhi (Cinnamomi Ramulus) (each 1 liang), A Wei (Asafoetida), Gan Xie (Scorpio, dried) (each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Decoct with two large cups of urine from an uncircumcised boy until a paste is formed. Store in a container. Take one tea spoon each time, mixed with ginger-infused wine, without restriction on timing.