“真武汤”主治心悸头眩、身振振动、水气凌心、小便不利等证。贫道认为此方的作用，主要是反运左侧的三阴经，而正运右侧的三阴经。
(1)如“治太阳汗出不解、仍发热”。病在足太阳经，其治法当以发汗祛邪。通过发汗治疗后还发热——经发汗其风邪当祛而湿邪在故“仍发热”：此患者平时必肾阳衰弱，体内寒湿素盛。所以用“真武汤”利水除湿。
(2)“如治心悸头眩、身动、振振欲僻地者。”贫道常见肾阳衰弱的患者，则化气行水之功能不足，故而阴寒水盛。水气太盛则克火以凌心，即导致心悸头昏、嗜卧，行动时则筋惕而肉动，甚则全身皆振振战栗而动。舌质淡红苔白润，面部微肿色白鲜明。脉波较弱，左脉口浮象；右脉口沉象。左人迎有浮脉亦有沉脉；右人迎有沉脉亦有浮脉。“真武汤”中之芍药，入左侧面反运足厥阴肝经，使凌心之水气就下；附子温足少阴肾经之阳，使肾阳振奋有化气行水之功能；白术人右侧而正运足太阳脾经，以助燥湿行气上达右肺；茯苓入左侧而反运手少阴心经，使凌心之水下达由小便而出。即形成一个左降右升、圆周旋转化水行气之方。更兼一味生姜辛散温通，能散内寒温水气以协助四味药物旋转左、右之正、负运动。故能疗以上水气凌心诸症。
(3)如“治少阴至四、五日，小便不利，四肢沉重疼痛自下痢”等症，亦由肾阳虚弱无能化水，即导致水气阻滞“小便不利”；脾土衰弱则燥湿无能，脾失健运故“自下痢”；脾主四肢，因脾脏燥湿的功能衰弱，故引起“四肢沉重疼痛”。所以亦需要用“真武汤方”以化水气行寒湿治疗。
以上三类疾病，全属阴寒水盛湿盛之症，故当用“真武汤”以治之。真武乃北方水神，善于治水，故仲景圣医特以此善于治人身之水气之方名之。真武祖师于武当山修真得道，是贫道最崇拜之尊神，故而对“真武汤”详细剖析。
(12)大分清饮《成方切用景岳方》：治积热秘结。小便不利。或致腰腹下部极痛。或湿热不利。黄疸。溺血。邪热蓄血。腹痛淋闭等证。茯苓、泽泻、木通各二钱。猪苓、栀子、枳壳车前子各一钱。如内热甚者。加黄芩、黄柏、龙胆之属。如大便坚硬胀痛者、加大黄二三钱。如黄疸小便不利、热甚者、加茵陈二钱。如邪热蓄血腹痛者。加红花、青皮各一钱五分。
(13)小分清饮《成方切用景岳方》：治小水不利。湿滞胀肿。不能受补等证。获苓、泽泻、猪苓各二至三钱。苡米仁二钱。枳壳、厚朴各一钱。如阴虚、水不能达，加生地、牛膝各二钱。如黄疸者，加茵陈二钱。无内热而寒滞不行者，加肉桂一钱。
“大分清饮”主治上焦积热温结、湿热黄疸小便淋闭不利等证。贫道认为此方的药物作用，主要是正运下降通利足太阳膀脱经。
方中获苓、泽泻、猪苓、木通、车前子皆是由上焦下降通利小便之药，佐以破气消积滞之枳壳而导湿下行，以栀子苦寒清降，并善能除上焦湿热郁结，以导湿热下行。共同起着消上焦的积热温结、黄疸与小便淋闭不利等症。
“小分清饮”的药物作用与“大分清饮”同理，皆是正运下达通利小便之方，但有所不同的是：大分清饮是治上焦湿热温结之重证；小分清饮是治上焦湿热温结之轻证。
以上景岳之大、小分清饮的立方，乃是从仲景医圣之“五苓散”方中化出。五苓散乃化湿行水利小便之圣方。如属脾土虚无能正运上达，或属足太阳经化气不足而引起小便不利者，还当采用“五苓散”方以培土通膀胱水道。
(14)平胃散《兰台轨范东垣方》：治湿淫於内，脾胃不能克制，有积饮痞隔中满者。苍术五斤米泔浸七日。陈皮去白，厚朴各三斤姜汁炒。甘草三十两炙。
上为未，每眼二钱，姜汤下，日三眼。或水煎，每服五钱。如小便赤涩，加茯苓、泽泻。米谷不化，饮食伤多，加枳壳。胃中气不快，心下痞气，加枳壳、木香。心下痞闷腹胀者，加厚朴、甘草减半。遇夏加炒黄芩。遇雨水湿润时加茯苓、泽泻。如有痰诞，加半夏、陈皮。咳嗽，饮食减少，脉细，加当归、黄芪。脉洪大缓，加黄芩、黄连。大便硬，加大黄三钱、芒硝三钱。先嚼炒桃仁烂，以药送下。本方加皂矾，即皂矾平胃丸。(徐灵胎曰：“消食积虫痞”。)
“平胃散”主治胃腑积饮积食、痞嗝中满、脾受湿困、右寸口脉沉，正运脉波不能达到寸部。贫道认为此方的药物作用，主要是正运上升右侧足太阴脾经，并正运下降以消导足阳明胃经、手太阳小肠经、手阳明大肠经，乃消除胃肠道积极聚之方。
方中苍术味辛性温、芳香气烈，善能除湿发散，为燥湿健脾之良药，因配合甘草，便有辛甘化阳除湿之功；厚朴性温芳香，能化湿、温中、宽肠、理气、散满，并兼有陈皮之芳香药能理气、和中、健胃、化痰湿，故能化湿、理气散满和中。
其甘草佐苍术能促进右侧之脾经而升清于上；陈皮辅厚朴能协助胃腑浊而下达大、小肠。因此云：脾宜升则健；胃宜降则安。所以，胃肠道的湿浊邪气或饮食积滞，能随着脾胃的阴阳健运而平熄，故名之日“平胃散。
再者：对与之有关的其它症状表现，还当参考此方中的“对症加药”。
(15)大承气汤《兰台轨范伤寒方》：治伤寒十余日。吐下后不解。晡时发潮热。独语如见鬼状。循衣摸床。胃中有燥屎也。此下之。大黄四两酒洗厚朴半斤去皮炙枳实五枚炙芒硝三合。以上四味。以水一斗。先煮二物取五升。去滓。内大黄。煮取二升。去滓。内芒硝。更上微火一两沸。分温再服。得下余勿服。徐灵胎曰：“胃中非存燥屎之所。此言胃中者，指足阳明言，即所谓胃中实是也，乃肠胃之总名。”
“大承气汤”主治阳明腑实证。贫道认为此方的药物作用主要是由胃、肠道发挥正运动以峻下热结。大黄性味苦寒以消除胃肠道之实热结聚；芒硝寒咸以软化胃肠道之燥坚；枳实、厚朴以消除胃肠道痞满。共同起着峻下消积清热通便之功。前贤云：“通可去滞，泻可去闭，使塞者利，闭者通而正气得舒，故曰承气。”
胃为五脏六腑之海，纳饮食物质以营养内外周身。小肠与大肠有运动转输，吸收营养，排出糟粕，具有新陈代谢的功能。如胃肠道为操、实、坚、满之热邪阻塞，就导致全身的阴阳气机运行受阻，并使内外周身的营养供给亦受限，故当急通胃肠道之闭塞以利内外周身。
(16)小承气汤《兰台轨范伤寒方》：汗多微发热。不恶寒。或小便数而大便鞭。语者。与此汤微和胃气。大黄四两。厚朴二两去皮炙。枳实三枚炙。上药三味。以水四升。煮取一升二合。去滓。分温二服。初服场当更衣。不尔者尽饮之。若更衣者勿服之。
“小承气汤”主治阳明腑实证。贫道认为此方的药物作用大致与“大承气汤”相同，也是泻下通便之方。因其在药物功能上次于大承气汤，故所治之疾病的病证也比大承气汤的病证要轻。
由于胃肠闭塞或不畅的原因较多，病情有轻重缓急之异，虚实寒热皆可导致，所以运用攻里泻下之方亦多。有峻下、缓下、寒下、温下、润下，或攻补兼施以通利。故当根据脉症情况而选择适当的泻便药方。
(17)补中益气汤《兰台轨范东垣方》：治阴虚内热。头痛口渴。表热自汗。不任风寒。脉洪大。心烦不安。四肢困倦。懒于言语。无气以动。动则气高而喘。黄芪炙、人参、白求各一钱五分。甘草炙一钱。陈皮五分。当归一钱。升麻、柴胡各五分。上药八味。加生姜三片。大枣二枚。水煎温服。徐灵胎曰：“东垣之方一概以升提中气为主，如果中气下陷者，最为合度。若气高而喘，则非升柴所宜，学者不可误用也。”
“补中益气汤”主治四肢倦怠、自汗口渴、少气懒言、动则气喘、脉虚软无力，两寸口动脉正运时难以达寸，中气下陷则上焦气虚，上焦气虚不固则易导致久泄、脱肛、子宫下垂等证。贫道认为此方的药物作用主要是提升人体左右三阴经的正运动能量。
方中黄芪、人参、白术、甘草、升麻侧重于归右；当归、柴胡侧重于归左。因归右的药物量多，故对人体右侧之能量补助提升甚强，因归左的药物量少于右侧，故对人体的左侧之能量补助提升则次于右侧。方中陈皮和中。
总之：治气虚下陷而右侧气虚甚于左侧者宜之。
凡是补助上焦三阴经的药方，皆能促进“十二经脉”正运功能。
(18)崔氏八味丸《成方切用金匮方》：治命门火衰。不能生土。以致脾胃虚寒。饮食少思。泄泻腹胀。或元阳虚惫。阳痿精寒。脐腹疼痛。夜多漩溺。膝酸腰软。目昏等证。王冰所谓：“益火之原。以消阴翳也”。尺脉弱者宜之。熟地黄八两。山萸肉、怀山药各八两。茯苓、丹皮、泽泻各三两。内桂、熟附子各一两。蜜九。空心盐汤下。
“崔氏八味丸”主治在下焦滋阴壮阳，引火归原，故曰“益火之原，以消阴翳”。贫道认为此方的药物作用具有反运人体左右之三阳经脉的功能。
方中熟附子、肉桂大辛大热温肾壮阳以补肾气，熟地、山萸肉、丹皮、怀山药滋养下焦肝肾以补肾阴；茯苓、泽泻以渗湿利水，共同起着滋肾阴壮肾阳的作用。是填补下焦之阴虚阳衰的主要方剂，其肾精亏兼命门火衰者宜之。
(19)六味地黄丸《兰台执范钱氏方》：治肾阴不足。发热作渴。小便淋闭。气壅痰嗽。头目眩晕。眼花耳聋。咽干舌痛。齿牙木固。腰腿痿软。自汗盗汗。便血诸血。”失音。水泛为痰。血虚发热等症。干地黄八两九蒸为度捣膏。干山药、山萸肉各四两。丹皮、茯苓、泽泻各三两。徐灵胎曰：“此方钱氏专治小儿”。
“六味地黄丸”主治小儿阴虚发热、口喝多饮、大便干、小便黄、常低烧(无清涕鼻塞、非感冒病)等证。贫道认为此方的药物作用主要是在下焦滋阴降火。故曰“壮水之主，以制阳光”。具有反运动人体左右之三阴经脉的功能。
本方纯属是滋补肾阴的方剂，故专治肾阴不足而导致虚火上炎:如气壅痰嗽、头目眩晕、咽干舌痛、牙齿不固、自汗盗汗、血虚发热等证，两脉口寸部脉浮，其脉波寸宽尺窄者宜之。
凡是补充下焦的药方，皆能促进“十二经脉”反运动功能。
二十五、用药物治病的心得
关于用药物治病，我们祖国医学历史悠久，历代的明贤为后世已积累了丰富的经验医方。对各门医科和各种类型的病证都创立了很多医疗方剂。特别是受到历来医家一致公认的有效方剂，都是当今有价值的研究药方。对于每一种药品入走何经脉前人多有记载，还应进一步研究证实。
贫道认为，将中药配成了复方使人服下以后，即产生药物作用而能运转人体内、外的阴阳经脉。例如：“四君子汤”、“理中汤”多侧重于调理人体的右侧；“四物汤”“佛手散”多侧重于调理人体的左侧；“小柴胡汤”与“逍遥散”都属疏理左、右中上二焦和解阴阳之方；“麻黄汤”、“桂枝汤”、“葛根汤”皆主升散发表于三阳经；“四逆汤”等专主回阳温里于阴经；“大分清饮”、“小分清饮”都是从阳经下降而通利小便；“大承气汤”、“小承气场”皆是由阳经下降而通利大便；“补中益气汤”乃补充左、右中上二焦之方；“真武汤”能反运左侧的三阴经和正运右侧的三阴经；“平胃散”可正运右侧的足太阴脾经并且正运胃经、小肠经、大肠经。“崔氏八味丸”、“六味地黄丸”是补助左右下焦之药。
贫道认为：凡是能充实和镇摄下焦阴经的方药，都有助于十二经脉的负运之功；凡是能补充和升举上焦阴经的方药，皆有助于十二经脉的正运之力。
中医名方甚多，还有左、右阴阳兼调之方，寒温互用之方，升降相济之方，表里并治之方，攻补兼施等等众多方药，难以尽述。
所以，研究中医必须测验出各名方在人体的阴、阳经内所起到的正、负运动药物作用，以便在临床辨证施治中按理、法、方、药来选用而调治疾病。
治疗疾病，应根据阴、阳、表、里、寒、热、虚、实的证状，并结合阳、阳脉象的太过与不及以确定虚实而恰当地选方用药。在处方用药时，必须将药品配伍得能够纠正患者体内明、阳盛衰的偏差，才是调整阴阳经脉的正确治疗。
凡是由七情、六欲所内伤的疾患，均要按这种调平阴阳的原则处治。属于六淫所伤的外感之病，在治疗上应以驱邪为主；如果病人的正气亏损，亦当结合阴、阳脉象的虚实和辨别邪、正的盛、衰而给予合理的选方择药。
本书前面二十三章所举出的“六个病例”，是贫道研究十二经脉之“正负机理”的认识，此可作为用中药治疗疾病的又一途径。“六个病例”乃是一般的疾病，所用的治疗药方，都是大众皆知的常见方药，因所采用的方药能与患者的病机契合，故皆能治愈。
为何有的病人请某医生医治而没有治愈，而请另外的医生治疗却医治好了呢？这治好病人的医生并非是采用了什么世间稀有的药物——还是采用平常的药物——只不过是其药方的配伍及所施用的药量，正好与患者的病机相投而已。
故在临床辨证施治中，根据患者的脉证，如与古代名方的脉、症符合，当遵古方施用，若见脉、症另有差别，可以增、减药物，或自出心裁而立出对症治疗药方。
“真武汤”主治心悸、头晕目眩、身体震颤动摇、水气凌心、小便不利等证候。贫道认为此方的作用，主要是反向运转左侧的三阴经，而正向运转右侧的三阴经。
(1) 如“治疗太阳病发汗后病不解，仍然发热”。病在足太阳膀胱经，其治法应当以发汗祛邪。经过发汗治疗后仍然发热——因为发汗后风邪已去而湿邪仍在，所以“仍然发热”：这位患者平时必定肾阳衰弱，体内寒湿素来旺盛。因此使用“真武汤”来利水除湿。
(2) “如治疗心悸、头晕目眩、身体颤动，振振欲仆地者。”贫道常见肾阳衰弱的患者，其化气行水的功能不足，故而阴寒水气过盛。水气太盛则克制心火并上凌于心，即导致心悸头昏、嗜睡卧倒，行动时则筋脉跳动而肌肉颤动，甚至全身都震颤战栗而动。舌质淡红苔白润，面部微肿色白鲜明。脉搏波较弱，左脉口呈浮象；右脉口呈沉象。左手人迎穴处有浮脉也有沉脉；右手人迎穴处有沉脉也有浮脉。“真武汤”中的芍药，入左侧面反向运转足厥阴肝经，使凌心之水气下行；附子温煦足少阴肾经之阳气，使肾阳振奋从而具备化气行水的功能；白术入右侧而正向运转足太阴脾经，以助燥湿行气上达右肺；茯苓入左侧而反向运转手少阴心经，使凌心之水下达并通过小便排出。这就形成了一个左降右升、圆周旋转化水行气的方剂。再加上生姜一味，辛散温通，能散内寒温水气以协助四味药物旋转左、右的正向与反向运动。故能治疗以上水气凌心的各种症状。
(3) 如“治疗少阴病至第四、五日，小便不利，四肢沉重疼痛，自下痢”等症状，也是由于肾阳虚弱无能化水，即导致水气阻滞“小便不利”；脾土衰弱则燥湿功能无力，脾失健运故“自下痢”；脾主四肢，因脾脏燥湿的功能衰弱，故引起“四肢沉重疼痛”。所以也需要用“真武汤方”来化水气、行寒湿进行治疗。
以上三类疾病，全属阴寒水盛、湿盛之症，故当用“真武汤”来治疗。真武是北方水神，善于治水，故仲景圣医特意以此善于治人身水气之方名之。真武祖师于武当山修真得道，是贫道最崇拜的尊神，故而对“真武汤”进行详细剖析。
(12) 大分清饮《成方切用景岳方》：治疗积热秘结。小便不利。或导致腰腹下部极痛。或湿热不利。黄疸。溺血。邪热蓄血。腹痛淋闭等证候。茯苓、泽泻、木通各二钱。猪苓、栀子、枳壳、车前子各一钱。如果内热严重者。加黄芩、黄柏、龙胆之类。如果大便坚硬胀痛者、加大黄二三钱。如果黄疸小便不利、热甚者、加茵陈二钱。如果邪热蓄血腹痛者。加红花、青皮各一钱五分。
(13) 小分清饮《成方切用景岳方》：治疗小便不利。湿滞胀肿。不能受补等证候。茯苓、泽泻、猪苓各二至三钱。薏苡仁二钱。枳壳、厚朴各一钱。如果阴虚、水液不能到达，加生地、牛膝各二钱。如果有黄疸者，加茵陈二钱。无内热而寒滞不行者，加肉桂一钱。
“大分清饮”主治上焦积热温结、湿热黄疸、小便淋闭不利等证候。贫道认为此方的药物作用，主要是正向运转下降通利足太阳膀胱经。
方中茯苓、泽泻、猪苓、木通、车前子皆是由上焦下降通利小便的药物，佐以破气消积滞的枳壳而引导湿邪下行，以栀子苦寒清降，并善能清除上焦湿热郁结，以引导湿热下行。共同起着消除上焦的积热温结、黄疸与小便淋闭不利等症状。
“小分清饮”的药物作用与“大分清饮”同理，皆是正向运转下达通利小便的方剂，但有所不同的是：大分清饮是治疗上焦湿热温结的重证；小分清饮是治疗上焦湿热温结的轻证。
以上景岳的大、小分清饮的立方，乃是从仲景医圣的“五苓散”方中化出。五苓散乃是化湿行水利小便的圣方。如果属于脾土虚无不能正向运化上达，或属于足太阳经化气不足而引起小便不利者，还应当采用“五苓散”方来培土通膀胱水道。
(14) 平胃散《兰台轨范东垣方》：治疗湿淫于内，脾胃不能克制，有积饮痞隔中满者。苍术五斤米泔浸七日。陈皮去白，厚朴各三斤姜汁炒。甘草三十两炙。
上为末，每服二钱，姜汤送下，日三次。或水煎，每服五钱。如果小便赤涩，加茯苓、泽泻。米谷不化，饮食伤多，加枳壳。胃中气不快，心下痞气，加枳壳、木香。心下痞闷腹胀者，加厚朴、甘草减半。遇夏季加炒黄芩。遇雨水湿润时加茯苓、泽泻。如果有痰涎，加半夏、陈皮。咳嗽，饮食减少，脉细，加当归、黄芪。脉洪大缓，加黄芩、黄连。大便硬，加大黄三钱、芒硝三钱。先嚼炒桃仁烂，以药送下。本方加皂矾，即皂矾平胃丸。(徐灵胎曰：“消食积虫痞”。)
“平胃散”主治胃腑积饮积食、痞嗝中满、脾受湿困、右寸口脉沉，正向运转脉波不能达到寸部。贫道认为此方的药物作用，主要是正向运转上升右侧足太阴脾经，并正向运转下降以消导足阳明胃经、手太阳小肠经、手阳明大肠经，乃消除胃肠道积滞聚结的方剂。
方中苍术味辛性温、芳香气烈，善能除湿发散，为燥湿健脾的良药，因配合甘草，便有辛甘化阳除湿之功；厚朴性温芳香，能化湿、温中、宽肠、理气、散满，并兼有陈皮的芳香药性能理气、和中、健胃、化痰湿，故能化湿、理气散满和中。
其甘草佐苍术能促进右侧之脾经而升清于上；陈皮辅厚朴能协助胃腑浊气而下达大、小肠。因此说：脾宜升则健；胃宜降则安。所以，胃肠道的湿浊邪气或饮食积滞，能随着脾胃的阴阳健运而平熄，故名之为“平胃散”。
再者：对与之有关的其它症状表现，还当参考此方中的“对症加药”。
(15) 大承气汤《兰台轨范伤寒方》：治疗伤寒十余日。吐下后病不解。傍晚时发潮热。独语如见鬼状。循衣摸床。胃中有燥屎也。此当下之。大黄四两酒洗厚朴半斤去皮炙枳实五枚炙芒硝三合。以上四味。以水一斗。先煮二物取五升。去滓。内大黄。煮取二升。去滓。内芒硝。更上微火一两沸。分温再服。得下余勿服。徐灵胎曰：“胃中非存燥屎之所。此言胃中者，指足阳明言，即所谓胃中实是也，乃肠胃之总名。”
“大承气汤”主治阳明腑实证。贫道认为此方的药物作用主要是由胃、肠道发挥正向运动以峻下热结。大黄性味苦寒以消除胃肠道的实热结聚；芒硝寒咸以软化胃肠道的燥坚；枳实、厚朴以消除胃肠道痞满。共同起着峻下消积清热通便之功。前贤云：“通可去滞，泻可去闭，使塞者利，闭者通而正气得舒，故曰承气。”
胃为五脏六腑之海，纳饮食物质以营养内外周身。小肠与大肠有运动转输，吸收营养，排出糟粕，具有新陈代谢的功能。如果胃肠道为燥、实、坚、满的热邪阻塞，就导致全身的阴阳气机运行受阻，并使内外周身的营养供给亦受限，故当急通胃肠道的闭塞以利内外周身。
(16) 小承气汤《兰台轨范伤寒方》：汗多微发热。不恶寒。或小便数而大便鞭。语者。与此汤微和胃气。大黄四两。厚朴二两去皮炙。枳实三枚炙。上药三味。以水四升。煮取一升二合。去滓。分温二服。初服当更衣。不尔者尽饮之。若更衣者勿服之。
“小承气汤”主治阳明腑实证。贫道认为此方的药物作用大致与“大承气汤”相同，也是泻下通便的方剂。因其在药物功能上次于大承气汤，故所治之疾病的病证也比大承气汤的病证要轻。
由于胃肠闭塞或不畅的原因较多，病情有轻重缓急之异，虚实寒热皆可导致，所以运用攻里泻下的方剂亦多。有峻下、缓下、寒下、温下、润下，或攻补兼施以通利。故当根据脉症情况而选择适当的泻便药方。
(17) 补中益气汤《兰台轨范东垣方》：治疗阴虚内热。头痛口渴。表热自汗。不任风寒。脉洪大。心烦不安。四肢困倦。懒于言语。无气以动。动则气高而喘。黄芪炙、人参、白术各一钱五分。甘草炙一钱。陈皮五分。当归一钱。升麻、柴胡各五分。上药八味。加生姜三片。大枣二枚。水煎温服。徐灵胎曰：“东垣之方一概以升提中气为主，如果中气下陷者，最为合度。若气高而喘，则非升柴所宜，学者不可误用也。”
“补中益气汤”主治四肢倦怠、自汗口渴、少气懒言、动则气喘、脉虚软无力，两寸口动脉正向运转时难以达寸，中气下陷则上焦气虚，上焦气虚不固则易导致久泄、脱肛、子宫下垂等证候。贫道认为此方的药物作用主要是提升人体左右三阴经的正向运动能量。
方中黄芪、人参、白术、甘草、升麻侧重于归右；当归、柴胡侧重于归左。因归右的药物量多，故对人体右侧之能量补助提升甚强，因归左的药物量少于右侧，故对人体的左侧之能量补助提升则次于右侧。方中陈皮和中。
总之：治疗气虚下陷而右侧气虚甚于左侧者适宜。
凡是补助上焦三阴经的药方，皆能促进“十二经脉”正向运转功能。
(18) 崔氏八味丸《成方切用金匮方》：治疗命门火衰。不能生土。以致脾胃虚寒。饮食少思。泄泻腹胀。或元阳虚惫。阳痿精寒。脐腹疼痛。夜多漩溺。膝酸腰软。目昏等证候。王冰所谓：“益火之原。以消阴翳也”。尺脉弱者宜之。熟地黄八两。山萸肉、怀山药各八两。茯苓、丹皮、泽泻各三两。肉桂、熟附子各一两。蜜丸。空心盐汤下。
“崔氏八味丸”主治在下焦滋阴壮阳，引火归原，故曰“益火之原，以消阴翳”。贫道认为此方的药物作用具有反向运转人体左右之三阳经脉的功能。
方中熟附子、肉桂大辛大热温肾壮阳以补肾气，熟地、山萸肉、丹皮、怀山药滋养下焦肝肾以补肾阴；茯苓、泽泻以渗湿利水，共同起着滋肾阴壮肾阳的作用。是填补下焦之阴虚阳衰的主要方剂，其肾精亏兼命门火衰者适宜。
(19) 六味地黄丸《兰台执范钱氏方》：治疗肾阴不足。发热作渴。小便淋闭。气壅痰嗽。头目眩晕。眼花耳聋。咽干舌痛。齿牙木固。腰腿痿软。自汗盗汗。便血诸血。”失音。水泛为痰。血虚发热等症。干地黄八两九蒸为度捣膏。干山药、山萸肉各四两。丹皮、茯苓、泽泻各三两。徐灵胎曰：“此方钱氏专治小儿”。
“六味地黄丸”主治小儿阴虚发热、口渴多饮、大便干、小便黄、常低烧(无清涕鼻塞、非感冒病)等证候。贫道认为此方的药物作用主要是在下焦滋阴降火。故曰“壮水之主，以制阳光”。具有反向运动人体左右之三阴经脉的功能。
本方纯属是滋补肾阴的方剂，故专治肾阴不足而导致虚火上炎:如气壅痰嗽、头目眩晕、咽干舌痛、牙齿不固、自汗盗汗、血虚发热等证候，两脉口寸部脉浮，其脉波寸宽尺窄者适宜。
凡是补充下焦的药方，皆能促进“十二经脉”反向运动功能。
二十五、用药物治病的心得
关于用药物治病，我们祖国医学历史悠久，历代的明贤为后世已积累了丰富的经验医方。对各门医科和各种类型的病证都创立了很多医疗方剂。特别是受到历来医家一致公认的有效方剂，都是当今有价值的研究药方。对于每一种药品入走何经脉前人多有记载，还应进一步研究证实。
贫道认为，将中药配成了复方使人服下以后，即产生药物作用而能运转人体内、外的阴阳经脉。例如：“四君子汤”、“理中汤”多侧重于调理人体的右侧；“四物汤”“佛手散”多侧重于调理人体的左侧；“小柴胡汤”与“逍遥散”都属疏理左、右中上二焦和解阴阳之方；“麻黄汤”、“桂枝汤”、“葛根汤”皆主升散发表于三阳经；“四逆汤”等专主回阳温里于阴经；“大分清饮”、“小分清饮”都是从阳经下降而通利小便；“大承气汤”、“小承气汤”皆是由阳经下降而通利大便；“补中益气汤”乃补充左、右中上二焦之方；“真武汤”能反运左侧的三阴经和正运右侧的三阴经；“平胃散”可正运右侧的足太阴脾经并且正运胃经、小肠经、大肠经。“崔氏八味丸”、“六味地黄丸”是补助左右下焦之药。
贫道认为：凡是能充实和镇摄下焦阴经的方药，都有助于十二经脉的负运之功；凡是能补充和升举上焦阴经的方药，皆有助于十二经脉的正运之力。
中医名方甚多，还有左、右阴阳兼调之方，寒温互用之方，升降相济之方，表里并治之方，攻补兼施等等众多方药，难以尽述。
所以，研究中医必须测验出各名方在人体的阴、阳经内所起到的正、负运动药物作用，以便在临床辨证施治中按理、法、方、药来选用而调治疾病。
治疗疾病，应根据阴、阳、表、里、寒、热、虚、实的证状，并结合阳、阳脉象的太过与不及以确定虚实而恰当地选方用药。在处方用药时，必须将药品配伍得能够纠正患者体内阴、阳盛衰的偏差，才是调整阴阳经脉的正确治疗。
凡是由七情、六欲所内伤的疾患，均要按这种调平阴阳的原则处治。属于六淫所伤的外感之病，在治疗上应以驱邪为主；如果病人的正气亏损，亦当结合阴、阳脉象的虚实和辨别邪、正的盛、衰而给予合理的选方择药。
本书前面二十三章所举出的“六个病例”，是贫道研究十二经脉之“正负机理”的认识，此可作为用中药治疗疾病的又一途径。“六个病例”乃是一般的疾病，所用的治疗药方，都是大众皆知的常见方药，因所采用的方药能与患者的病机契合，故皆能治愈。
为何有的病人请某医生医治而没有治愈，而请另外的医生治疗却医治好了呢？这治好病人的医生并非是采用了什么世间稀有的药物——还是采用平常的药物——只不过是其药方的配伍及所施用的药量，正好与患者的病机相投而已。
故在临床辨证施治中，根据患者的脉证，如与古代名方的脉、症符合，当遵古方施用，若见脉、症另有差别，可以增、减药物，或自出心裁而立出对症治疗药方。
"Zhenwu Tang (True Warrior Decoction)" is indicated for palpitations, dizziness, body tremors and shaking, water qi overwhelming the heart, and difficulty in urination. This Daoist practitioner believes that the function of this formula is primarily to reverse-transport the three Yin meridians on the left side, while forward-transporting the three Yin meridians on the right side.
(1) For example, "treating Taiyang disease where sweating fails to resolve the condition, with persistent fever." The pathology lies in the Foot-Taiyang Bladder Meridian; the treatment method should be diaphoresis to expel pathogens. If fever persists after sweating—indicating that wind pathogens have been expelled but dampness remains—"persistent fever" occurs: such a patient likely suffers from chronic Kidney Yang deficiency and an inherent abundance of cold-dampness in the body. Therefore, "Zhenwu Tang" is used to promote diuresis and dispel dampness.
(2) "For treating palpitations, dizziness, body tremors, and a sensation of trembling as if about to fall." This Daoist practitioner often observes patients with Kidney Yang deficiency who lack sufficient Qi transformation and water metabolism functions, leading to an excess of Yin-cold water qi. When water qi becomes too excessive, it overcomes Heart Fire and overwhelms the Heart, resulting in palpitations, dizziness, lethargy, muscle twitching during movement, and even whole-body trembling. The tongue is pale red with a white, moist coating; the face is slightly swollen, pale, and bright. The pulse wave is weak; the left Cun-Kou (radial artery) presents a Floating image, while the right Cun-Kou presents a Sinking image. At the Left Renying (carotid artery), both Floating and Sinking pulses may be felt; at the Right Renying, both Sinking and Floating pulses may be felt. In "Zhenwu Tang," Shaoyao (Paeoniae Radix Alba) enters the left side to reverse-transport the Foot-Jueyin Liver Meridian, causing the water qi overwhelming the Heart to descend; Fuzi (Aconiti Lateralis Radix Praeparata) warms the Yang of the Foot-Shaoyin Kidney Meridian, revitalizing Kidney Yang to restore its Qi transformation and water metabolism function; Baizhu (Atractylodis Macrocephalae Rhizoma) enters the right side to forward-transport the Foot-Taiyin Spleen Meridian, assisting in drying dampness and moving Qi upward to the right Lung; Fuling (Poria) enters the left side to reverse-transport the Hand-Shaoyin Heart Meridian, allowing the water qi overwhelming the Heart to descend and exit via urination. Thus, it forms a formula characterized by left-descending and right-rising circular rotation to transform water and move Qi. Additionally, Shengjiang (Zingiberis Rhizoma Recens) is pungent, dispersing, warm, and unblocking, capable of dispersing internal cold and warming water qi to assist the four main herbs in rotating the positive and negative movements of the left and right sides. Hence, it treats the aforementioned symptoms of water qi overwhelming the Heart.
(3) For example, "treating Shaoyin disease progressing to the fourth or fifth day, presenting with difficulty in urination, heaviness and pain in the four limbs, and spontaneous diarrhea." These symptoms also arise from Kidney Yang deficiency failing to transform water, leading to water qi obstruction causing "difficulty in urination"; Spleen Earth deficiency results in an inability to dry dampness, and Spleen failure in transportation causes "spontaneous diarrhea"; since the Spleen governs the four limbs, the decline in the Spleen's function to dry dampness leads to "heaviness and pain in the four limbs." Therefore, "Zhenwu Tang" is also required to transform water qi and circulate cold-dampness for treatment.
The above three categories of diseases all belong to syndromes of Yin-cold water excess and dampness excess; thus, "Zhenwu Tang" should be used for treatment. Zhenwu is the Water Deity of the North, skilled in managing water; therefore, Sage Physician Zhang Zhongjing specifically named this formula, which excels at treating water qi in the human body, after him. Patriarch Zhenwu attained enlightenment through cultivation at Wudang Mountain and is the supreme deity most revered by this Daoist practitioner, hence the detailed analysis of "Zhenwu Tang."
(12) Da Fen Qing Yin (Great Clearing and Separating Decoction) [from Cheng Fang Qie Yong, Jing Yue Fang]: Treats accumulation of heat causing constipation. Difficulty in urination. Or extreme pain in the lower waist and abdomen. Or damp-heat obstruction. Jaundice. Hematuria. Pathogenic heat accumulating blood. Abdominal pain and strangury. Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis) each 2 qian. Zhu Ling (Polyporus), Zhi Zi (Gardeniae Fructus), Zhi Ke (Aurantii Fructus), Che Qian Zi (Plantaginis Semen) each 1 qian. If internal heat is severe, add Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex), Long Dan (Gentianae Radix), etc. If stool is hard and painful, add Da Huang (Rhei Radix et Rhizoma) 2-3 qian. If jaundice with difficulty in urination and severe heat, add Yin Chen (Artemisiae Scopariae Herba) 2 qian. If pathogenic heat accumulates blood causing abdominal pain, add Hong Hua (Carthami Flos), Qing Pi (Citri Reticulatae Pericarpium Viride) each 1.5 qian.
(13) Xiao Fen Qing Yin (Small Clearing and Separating Decoction) [from Cheng Fang Qie Yong, Jing Yue Fang]: Treats difficulty in urination. Dampness stagnation causing distension and edema. Inability to tolerate tonification. Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus) each 2-3 qian. Yi Yi Ren (Coicis Semen) 2 qian. Zhi Ke (Aurantii Fructus), Hou Po (Magnoliae Officinalis Cortex) each 1 qian. If Yin deficiency with water unable to reach, add Sheng Di Huang (Rehmanniae Radix), Niu Xi (Achyranthis Bidentatae Radix) each 2 qian. If jaundice, add Yin Chen (Artemisiae Scopariae Herba) 2 qian. Without internal heat but with cold stagnation preventing movement, add Rou Gui (Cinnamomi Cortex) 1 qian.
"Da Fen Qing Yin" is indicated for upper Jiao heat accumulation and warmth binding, damp-heat jaundice, and strangury with difficulty in urination. This Daoist practitioner believes the pharmacological action of this formula is primarily to forward-transport downward and unblock the Foot-Taiyang Bladder Meridian.
In the formula, Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Mu Tong (Akebiae Caulis), and Che Qian Zi (Plantaginis Semen) are all herbs that descend from the Upper Jiao to promote diuresis. They are assisted by Zhi Ke (Aurantii Fructus), which breaks Qi stagnation and eliminates accumulation to guide dampness downward. Zhi Zi (Gardeniae Fructus) is bitter and cold, clearing and descending, and excels at removing Upper Jiao damp-heat stagnation, guiding damp-heat downward. Together, they eliminate Upper Jiao heat accumulation, warmth binding, jaundice, and strangury with difficulty in urination.
The pharmacological action of "Xiao Fen Qing Yin" is similar to "Da Fen Qing Yin"; both are formulas that forward-transport downward to promote diuresis. However, the difference is: Da Fen Qing Yin treats severe syndromes of Upper Jiao damp-heat and warmth binding; Xiao Fen Qing Yin treats mild syndromes of Upper Jiao damp-heat and warmth binding.
The formulations of Jing Yue's Da and Xiao Fen Qing Yin are derived from Sage Physician Zhang Zhongjing's "Wu Ling San (Five-Ling Powder)." Wu Ling San is a sacred formula for transforming dampness, promoting water metabolism, and facilitating urination. If the syndrome belongs to Spleen Earth deficiency failing to forward-transport upward, or Foot-Taiyang Meridian Qi transformation insufficiency causing difficulty in urination, one should still adopt "Wu Ling San" to fortify Earth and unblock the Bladder water passages.
(14) Ping Wei San (Peace the Stomach Powder) [from Lan Tai Gui Fan, Dong Yuan Fang]: Treats dampness invading internally, where the Spleen and Stomach cannot control it, resulting in accumulated fluids, epigastric fullness, and middle jiao distension. Cang Zhu (Atractylodis Rhizoma) 5 jin, soaked in rice wash water for seven days. Chen Pi (Citri Reticulatae Pericarpium) peeled, Hou Po (Magnoliae Officinalis Cortex) 3 jin each, stir-fried with ginger juice. Gan Cao (Glycyrrhizae Radix et Rhizoma) 30 liang, roasted.
Grind into powder. Take 2 qian per dose, administered with ginger decoction, three times daily. Or decoct in water, taking 5 qian per dose. If urine is red and scanty, add Fu Ling (Poria), Ze Xie (Alismatis Rhizoma). If grains are undigested due to excessive dietary injury, add Zhi Ke (Aurantii Fructus). If stomach Qi is uncomfortable, with epigastric fullness, add Zhi Ke (Aurantii Fructus), Mu Xiang (Aucklandiae Radix). If epigastric stuffiness and abdominal distension occur, add Hou Po (Magnoliae Officinalis Cortex), reduce Gan Cao (Glycyrrhizae Radix et Rhizoma) by half. In summer, add Chao Huang Qin (Scutellariae Radix). During rainy/humid seasons, add Fu Ling (Poria), Ze Xie (Alismatis Rhizoma). If phlegm-sputum exists, add Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium). For cough, reduced appetite, and fine pulse, add Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix). For surging, large, and slow pulse, add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma). For hard stool, add Da Huang (Rhei Radix et Rhizoma) 3 qian, Mang Xiao (Natrii Sulfas) 3 qian. Chew fried Tao Ren (Persicae Semen) thoroughly before swallowing with the medicine. Adding Zao Fan (Chalcanthite) to this formula creates Zao Fan Ping Wei Wan. (Xu Lingtai said: "Eliminates food accumulation and insect痞".)
"Ping Wei San" is indicated for fluid and food accumulation in the Stomach, epigastric fullness, Spleen constrained by dampness, Sinking pulse at the right Cun-Kou, and forward-transporting pulse waves failing to reach the Cun position. This Daoist practitioner believes the pharmacological action of this formula is primarily to forward-transport upward the right Foot-Taiyin Spleen Meridian, and forward-transport downward to digest the Foot-Yangming Stomach Meridian, Hand-Taiyang Small Intestine Meridian, and Hand-Yangming Large Intestine Meridian. It is a formula to eliminate gastrointestinal accumulation.
In the formula, Cang Zhu (Atractylodis Rhizoma) is pungent and warm, with strong aromatic fragrance, excellent at dispelling dampness and dispersing, making it a good herb for drying dampness and fortifying the Spleen. Paired with Gan Cao (Glycyrrhizae Radix et Rhizoma), it achieves the effect of pungent-sweet transforming Yang to dispel dampness. Hou Po (Magnoliae Officinalis Cortex) is warm and aromatic, capable of transforming dampness, warming the middle, relaxing the intestines, regulating Qi, and dissipating fullness. Combined with Chen Pi (Citri Reticulatae Pericarpium)'s aromatic properties to regulate Qi, harmonize the middle, fortify the Stomach, and resolve phlegm-dampness, it effectively transforms dampness, regulates Qi, dissipates fullness, and harmonizes the middle.
Gan Cao (Glycyrrhizae Radix et Rhizoma) assists Cang Zhu (Atractylodis Rhizoma) to promote the right Spleen Meridian to ascend clear Qi upwards; Chen Pi (Citri Reticulatae Pericarpium) assists Hou Po (Magnoliae Officinalis Cortex) to help Stomach turbidity descend to the Large and Small Intestines. Thus it is said: The Spleen thrives when ascending; the Stomach is peaceful when descending. Therefore, damp-turbid pathogens or food stagnation in the gastrointestinal tract can be pacified along with the healthy transport of Spleen-Stomach Yin-Yang, hence the name "Ping Wei San (Peace the Stomach Powder)."
Furthermore: For other related symptom manifestations, reference the "symptomatic additions" within this formula.
(15) Da Cheng Qi Tang (Major Order the Qi Decoction) [from Lan Tai Gui Fan, Shang Han Fang]: Treats Cold Damage for ten-plus days. After vomiting and purging, the condition is not resolved. Evening tidal fever. Speaking alone as if seeing ghosts. Grasping at clothes and bed. Dry feces in the stomach. This requires purgation. Da Huang (Rhei Radix et Rhizoma) 4 liang, washed with wine. Hou Po (Magnoliae Officinalis Cortex) 8 liang, bark removed, roasted. Zhi Shi (Aurantii Fructus Immaturus) 5 pieces, roasted. Mang Xiao (Natrii Sulfas) 3 he. The above four ingredients. With one dou of water, first decoct two items to obtain five sheng. Strain. Add Da Huang. Decoct to obtain two sheng. Strain. Add Mang Xiao. Heat gently for one or two boils. Divide into two warm doses. If bowel movement occurs, do not take the remainder. Xu Lingtai said: "The stomach is not a place to store dry feces. When this says 'stomach,' it refers to the Foot-Yangming, meaning 'stomach excess,' which is a general term for the intestines and stomach."
"Da Cheng Qi Tang" is indicated for Yangming Fu-organ Excess Syndrome. This Daoist practitioner believes the pharmacological action of this formula is primarily exerted by the Stomach and Intestines through forward-motion to severely purge heat accumulation. Da Huang (Rhei Radix et Rhizoma) is bitter and cold, eliminating real heat accumulation in the gastrointestinal tract; Mang Xiao (Natrii Sulfas) is cold and salty, softening dry hardness in the gastrointestinal tract; Zhi Shi (Aurantii Fructus Immaturus) and Hou Po (Magnoliae Officinalis Cortex) eliminate epigastric fullness. Together, they achieve the effects of severe purgation, eliminating accumulation, clearing heat, and unblocking bowels. Ancients said: "Unblocking removes stagnation, purging removes closure, making blocked passages patent, closed passages open, and righteous Qi relaxed; hence called 'Cheng Qi' (Ordering the Qi)."
The Stomach is the sea of the Five Zang and Six Fu organs, receiving dietary substances to nourish the interior and exterior of the whole body. The Small and Large Intestines have motility and transport functions, absorbing nutrients and excreting waste, possessing metabolic functions. If the gastrointestinal tract is blocked by燥 (dryness), 实 (excess), 坚 (hardness), and 满 (fullness) heat pathogens, it obstructs the circulation of systemic Yin-Yang Qi mechanism and limits nutrient supply to the interior and exterior. Therefore, urgent unblocking of gastrointestinal obstruction is necessary to benefit the interior and exterior.
(16) Xiao Cheng Qi Tang (Minor Order the Qi Decoction) [from Lan Tai Gui Fan, Shang Han Fang]: Profuse sweating, slight fever. No aversion to cold. Or frequent urination and hard stool. Delirium. Administer this decoction to mildly harmonize Stomach Qi. Da Huang (Rhei Radix et Rhizoma) 4 liang. Hou Po (Magnoliae Officinalis Cortex) 2 liang, bark removed, roasted. Zhi Shi (Aurantii Fructus Immaturus) 3 pieces, roasted. The above three ingredients. With four sheng of water, decoct to obtain one sheng and two he. Strain. Divide into two warm doses. After the first dose, expect a bowel movement. If not, drink the rest. If a bowel movement occurs, do not take it.
"Xiao Cheng Qi Tang" is indicated for Yangming Fu-organ Excess Syndrome. This Daoist practitioner believes the pharmacological action of this formula is roughly the same as "Da Cheng Qi Tang," also being a purgative formula to unblock bowels. Because its medicinal potency is inferior to Da Cheng Qi Tang, the syndromes it treats are milder than those treated by Da Cheng Qi Tang.
Since there are many causes for gastrointestinal obstruction or不畅 (unsmoothness), and conditions vary in severity and urgency, with deficiency-excess and cold-heat all possible, there are many purgative formulas used. These include severe purgation, mild purgation, cold purgation, warm purgation, moist purgation, or combined attack and tonification to unblock. Therefore, appropriate purgative formulas should be selected based on pulse and symptom conditions.
(17) Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) [from Lan Tai Gui Fan, Dong Yuan Fang]: Treats Yin deficiency with internal heat. Headache and thirst. Exterior heat with spontaneous sweating. Inability to withstand wind-cold. Surging pulse. Restlessness. Limb fatigue. Reluctance to speak. Lack of Qi to move. Movement causes high Qi and panting. Huang Qi (Astragali Radix) roasted, Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 1.5 qian. Gan Cao (Glycyrrhizae Radix et Rhizoma) roasted 1 qian. Chen Pi (Citri Reticulatae Pericarpium) 0.5 qian. Dang Gui (Angelicae Sinensis Radix) 1 qian. Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix) each 0.5 qian. The above eight ingredients. Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), two dates. Decoct in water and take warm. Xu Lingtai said: "Dong Yuan's formulas generally focus on lifting Middle Qi. This is most suitable for Middle Qi sinking. However, if there is high Qi and panting, Sheng Ma and Chai Hu are not appropriate; students must not misuse them."
"Bu Zhong Yi Qi Tang" is indicated for limb fatigue, spontaneous sweating and thirst, shortness of breath and reluctance to speak, panting upon movement, and weak pulse. When forward-transporting pulses at both Cun-Kou positions fail to reach the Cun level, Middle Qi sinking leads to Upper Jiao Qi deficiency. Upper Jiao Qi deficiency and instability easily lead to chronic diarrhea, rectal prolapse, and uterine prolapse. This Daoist practitioner believes the pharmacological action of this formula is primarily to enhance the forward-motion energy of the three Yin meridians on the left and right sides of the human body.
In the formula, Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Sheng Ma (Cimicifugae Rhizoma) tend toward the right; Dang Gui (Angelicae Sinensis Radix) and Chai Hu (Bupleuri Radix) tend toward the left. Since the herbs tending right are more numerous, they strongly supplement and elevate energy on the right side of the body. Since herbs tending left are fewer than those on the right, their supplementation and elevation of energy on the left side is secondary to the right. Chen Pi (Citri Reticulatae Pericarpium) in the formula harmonizes the middle.
In summary: Suitable for treating Qi deficiency with sinking, where right-side Qi deficiency is more severe than the left.
Any formula that supplements the three Yin meridians of the Upper Jiao can promote the forward-transport function of the "Twelve Meridians."
(18) Cui Shi Ba Wei Wan (Cui's Eight-Ingredient Pill) [from Cheng Fang Qie Yong, Jin Gui Fang]: Treats Mingmen Fire decline. Unable to generate Earth. Resulting in Spleen-Stomach deficiency-cold. Poor appetite. Diarrhea and abdominal distension. Or Yuan Yang deficiency and exhaustion. Impotence and cold sperm. Umbilical and abdominal pain. Frequent night urination. Knee soreness and weak waist. Dim vision. As Wang Bing said: "Benefit the source of Fire to eliminate Yin shadows." Suitable for weak Chi pulse. Shu Di Huang (Rehmanniae Radix Praeparata) 8 liang. Shan Yu Rou (Corni Fructus), Huai Shan Yao (Dioscoreae Rhizoma) each 8 liang. Fu Ling (Poria), Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma) each 3 liang. Rou Gui (Cinnamomi Cortex), Shu Fu Zi (Aconiti Lateralis Radix Praeparata) each 1 liang. Honey pills. Taken on an empty stomach with salt water.
"Cui Shi Ba Wei Wan" treats nourishing Yin and strengthening Yang in the Lower Jiao, guiding fire back to its source, hence "Benefit the source of Fire to eliminate Yin shadows." This Daoist practitioner believes the pharmacological action of this formula has the function of reverse-transporting the three Yang meridians on the left and right sides of the human body.
In the formula, Shu Fu Zi (Aconiti Lateralis Radix Praeparata) and Rou Gui (Cinnamomi Cortex) are greatly pungent and hot, warming the Kidney and strengthening Yang to tonify Kidney Qi; Shu Di Huang (Rehmanniae Radix Praeparata), Shan Yu Rou (Corni Fructus), Dan Pi (Moutan Cortex), and Huai Shan Yao (Dioscoreae Rhizoma) nourish the Lower Jiao Liver and Kidney to tonify Kidney Yin; Fu Ling (Poria) and Ze Xie (Alismatis Rhizoma) seep out dampness and promote diuresis. Together, they nourish Kidney Yin and strengthen Kidney Yang. It is the primary formula for filling Lower Jiao Yin deficiency and Yang decline, suitable for those with Kidney Essence deficiency combined with Mingmen Fire decline.
(19) Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) [from Lan Tai Zhi Fan, Qian Shi Fang]: Treats Kidney Yin deficiency. Fever and thirst. Strangury and urinary retention. Qi congestion and phlegm cough. Dizziness and vertigo. Blurred vision and deafness. Dry throat and tongue pain. Loose teeth. Weak waist and legs. Spontaneous and night sweats. Blood in stool and various bleeding syndromes. Aphonia. Water overflowing becoming phlegm. Blood deficiency fever. Gan Di Huang (Rehmanniae Radix) 8 liang, steamed nine times until paste. Gan Shan Yao (Dioscoreae Rhizoma), Shan Yu Rou (Corni Fructus) each 4 liang. Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma) each 3 liang. Xu Lingtai said: "This formula by Qian Shi was specifically for children."
"Liu Wei Di Huang Wan" is indicated for pediatric Yin deficiency fever, thirst with increased drinking, dry stool, yellow urine, and frequent low-grade fever (without runny nose or nasal congestion, not a cold). This Daoist practitioner believes the pharmacological action of this formula is primarily nourishing Yin and descending fire in the Lower Jiao. Hence, "Strengthen the master of Water to control the sunlight." It possesses the function of reverse-motion affecting the three Yin meridians on the left and right sides of the human body.
This formula is purely a Kidney Yin-nourishing agent, thus specifically treating deficiency fire flaming upward caused by Kidney Yin deficiency: such as Qi congestion and phlegm cough, dizziness, dry throat and tongue pain, loose teeth, spontaneous and night sweats, blood deficiency fever, etc. Suitable for cases where the Cun position of both pulse ports is Floating, and the pulse wave is wide at the Cun and narrow at the Chi.
Any formula that supplements the Lower Jiao can promote the reverse-motion function of the "Twelve Meridians."
XXV. Insights on Treating Diseases with Medicines
Regarding treating diseases with medicines, our national medicine has a long history. Wise sages of past dynasties have accumulated rich empirical medical formulas for future generations. Many medical formulas have been created for various medical specialties and types of syndromes. Especially those effective formulas consistently recognized by physicians throughout history are valuable research targets today. There are many records regarding which meridians specific herbs enter, requiring further study and verification.
This Daoist practitioner believes that after administering compounded Chinese herbal formulas, pharmacological actions arise that can transport Yin and Yang meridians inside and outside the human body. For example: "Si Jun Zi Tang (Four Gentlemen Decoction)" and "Li Zhong Tang (Regulate the Middle Decoction)" mostly focus on regulating the right side of the human body; "Si Wu Tang (Four Substances Decoction)" and "Fo Shou San (Buddha's Hand Powder)" mostly focus on regulating the left side; "Xiao Chai Hu Tang (Minor Bupleurum Decoction)" and "Xiao Yao San (Free Wanderer Powder)" both belong to formulas that soothe and regulate the middle and upper Jiao on the left and right, harmonizing Yin and Yang; "Ma Huang Tang (Ephedra Decoction)," "Gui Zhi Tang (Cinnamon Twig Decoction)," and "Ge Gen Tang (Kudzu Root Decoction)" all mainly ascend and disperse to the three Yang meridians; "Si Ni Tang (Frigid Extremities Decoction)" and others specialize in returning Yang and warming the interior within Yin meridians; "Da Fen Qing Yin" and "Xiao Fen Qing Yin" both descend from Yang meridians to promote diuresis; "Da Cheng Qi Tang" and "Xiao Cheng Qi Tang" both descend from Yang meridians to promote defecation; "Bu Zhong Yi Qi Tang" supplements the middle and upper Jiao on the left and right; "Zhenwu Tang" can reverse-transport the three Yin meridians on the left and forward-transport the three Yin meridians on the right; "Ping Wei San" can forward-transport the right Foot-Taiyin Spleen Meridian and also forward-transport the Stomach, Small Intestine, and Large Intestine meridians. "Cui Shi Ba Wei Wan" and "Liu Wei Di Huang Wan" are medicines that supplement the Lower Jiao on the left and right.
This Daoist practitioner believes: Any formula or medicine that enriches and anchors the Yin meridians of the Lower Jiao contributes to the negative-transport merit of the Twelve Meridians; any formula or medicine that supplements and elevates the Yin meridians of the Upper Jiao contributes to the positive-transport power of the Twelve Meridians.
There are many famous TCM formulas, including those balancing left-right Yin-Yang, combining cold-warm properties, coordinating ascending-descending, treating exterior-interior simultaneously, and combining attack-tonification, among many others, difficult to exhaustively describe.
Therefore, studying TCM requires testing the positive and negative motion pharmacological effects of each famous formula within the human Yin and Yang meridians, so that in clinical differentiation and treatment, one can select and adjust diseases according to principles, methods, formulas, and medicines.
Treating diseases should be based on Yin-Yang, Exterior-Interior, Cold-Heat, Deficiency-Excess symptoms, combined with the excess or deficiency of Yang and Yin pulses to determine deficiency-excess and appropriately select formulas and medicines. When prescribing, medicines must be compounded to correct the deviation of Yin-Yang prosperity and decline in the patient's body, which is the correct treatment for adjusting Yin-Yang meridians.
All diseases internally injured by Seven Emotions and Six Desires must be treated according to this principle of balancing Yin and Yang. External contraction diseases caused by Six Evils should primarily focus on expelling pathogens in treatment; if the patient's righteous Qi is depleted, one should also combine the deficiency-excess of Yin-Yang pulses and distinguish the prosperity-decline of pathogens versus righteous Qi to reasonably select formulas and medicines.
The "six cases" cited in the previous twenty-three chapters of this book represent this Daoist practitioner's understanding of the "positive-negative mechanism" of the Twelve Meridians, offering another pathway for treating diseases with Chinese herbs. The "six cases" involve common diseases, and the therapeutic formulas used are well-known common prescriptions. Because the adopted formulas and medicines coincide with the patient's pathogenesis, they were all curative.
Why did some patients fail to heal under one doctor but succeed under another? The doctor who healed the patient did not necessarily use rare worldly drugs—it was still ordinary drugs—but merely that the compounding of the formula and the dosage administered perfectly matched the patient's pathogenesis.
Thus, in clinical differentiation and treatment, based on the patient's pulse and symptoms, if they match ancient famous formulas, follow the ancient formula; if pulse and symptoms differ, increase or decrease medicines, or creatively establish symptomatic treatment formulas.