(主筋急。出《素问·玉机真藏论》)
蛊腹痛,肾传心, 脉相引而急,精液少, 脉不荣而引急。
加减建中汤 主之∶治 , 病相引而急,及五劳七伤,小便数,腹痛难立。
人参 甘草(炙) 官桂 白茯苓(去皮) 当归 附子(炮) 浓朴(生姜制。各一两)
龙骨 黄 (锉) 麦门冬 白芍药 生地黄(各四两)
上为末,每服三钱,水一盏半,生姜三片、枣一枚、饧少许,煎至一盏,温服,去滓。
(主诸风。出《素问·评热论》)
发在肺下,病强上冥视,唾涕恶风,肾风,入肺中,振栗,故俯仰,成劳风。
芎枳丸 主之∶治劳风,强上冥视,肺热上壅,唾稠,喉中不利,头目昏眩。
川芎 枳壳(麸炒,去穣。各等分)
上炼蜜为丸,如桐子大,每服十丸,温水送下,食后,日三服。
(主阳虚阴实。出《素问·逆调论》)
身非衣寒,中非受寒,痹气者,气血不行,如从水中出,不必寒伤而作也。
附子丸 主之∶治痹气中寒,阳虚阴盛,一身如从水中出。
附子(炮) 川乌头(炮。二味通锉碎,炒黄色入药) 官桂 川椒 菖蒲 甘草(各四两)
骨碎补(炒) 天麻 白术(各二两)
上为末,炼蜜为丸,如桐子大,每服三十丸,温酒下,空心食前,日三服。
(主治筋脉拘急。出自《素问·玉机真藏论》)
蛊腹痛,是肾脏病邪传变至心脏,导致脉气相互牵引而拘急,精液亏少,脉道失于濡养而引发拘急。
用加减建中汤主治:治疗因疾病相互牵引而导致的筋脉拘急,以及五劳七伤(泛指多种慢性虚损性疾病),小便频数,腹部疼痛难以站立。
药物组成:人参、甘草(炙)、官桂、白茯苓(去皮)、当归、附子(炮制)、浓朴(生姜制,以上各一两)、龙骨、黄芩(锉碎)、麦门冬、白芍药、生地黄(以上各四两)。
制法与用法:将上述药材研为细末,每次服用三钱,加水一盏半,生姜三片、大枣一枚、饴糖少许,煎煮至一盏量,温服,去渣滓。
(主治各类风证。出自《素问·评热论》)
病邪发于肺下,表现为颈项强直、视物昏暗,唾吐涕液且恶风,这是肾风之邪入肺,引起寒战栗动,故身体俯仰困难,形成劳风证。
用芎枳丸主治:治疗劳风,症见颈项强直、视物昏暗,肺热上壅,唾痰粘稠,咽喉不利,头目昏眩。
药物组成:川芎、枳壳(麸炒,去瓤,以上各等分)。
制法与用法:将上述药材炼蜜为丸,如梧桐子大,每次服用十丸,温水送下,饭后服用,每日三次。
(主治阳虚阴实。出自《素问·逆调论》)
身体并非因衣物单薄而寒冷,体内也并非受外寒侵袭,所谓痹气,是气血运行不畅,感觉如同刚从水中出来一样湿冷,不一定非要寒邪损伤才会发作。
用附子丸主治:治疗痹气中寒,阳虚阴盛,全身感觉如同刚从水中出来一样。
药物组成:附子(炮制)、川乌头(炮制,这两味药共同锉碎,炒至黄色入药)、官桂、川椒、石菖蒲、甘草(以上各四两)、骨碎补(炒)、天麻、白术(以上各二两)。
制法与用法:将上述药材研为细末,炼蜜为丸,如梧桐子大,每次服用三十丸,温酒送下,空腹或食前服用,每日三次。
(Indicated for tendon stiffness. From *Suwen: Yuji Zhenzang Lun* [Basic Questions: Discourse on the True Viscera of the Yellow Emperor])
Abdominal pain resembling gu poisoning occurs when pathogenic factors from the Kidney transmit to the Heart, causing the pulses to draw upon each other resulting in stiffness; with a deficiency of essence and fluids, the vessels fail to nourish, leading to tension and stiffness.
Jiajian Jianzhong Tang (Modified Cinnamon Twig Decoction) is indicated: It treats conditions where diseases mutually induce tension and stiffness, as well as the Five Exhaustions and Seven Injuries (a general term for various chronic deficiency syndromes), frequent urination, and abdominal pain making it difficult to stand.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Radix et Rhizoma, honey-fried), Guigui (Cinnamon Twig), Baifuling (Poria), Danggui (Angelicae Sinensis Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Nongpo (Magnoliae Officinalis Cortex, prepared with fresh ginger, each 1 liang); Longgu (Fossilia Ossis Mastodi et Scapulae), Huangqin (Scutellariae Radix, sliced), Maimendong (Ophiopogonis Radix), Baishaoyao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix, each 4 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose, add 1.5 sheng of water, 3 slices of fresh ginger, 1 jujube, and a small amount of maltose. Decoct until 1 sheng remains. Take warm, discard the dregs.
(Indicated for various wind syndromes. From *Suwen: Pingre Lun* [Basic Questions: Discourse on Evaluating Heat])
The pathogen originates below the Lung, manifesting as neck stiffness, blurred vision, expectoration of saliva and mucus, aversion to wind. This is Renfeng (Kidney Wind) entering the Lung, causing chills and tremors, thus difficulty in bending and stretching, forming Laofeng (Labor-induced Wind).
Xiongqi Wan (Ligusticum and Aurantium Pill) is indicated: It treats Laofeng, characterized by neck stiffness, blurred vision, Lung heat obstructing upwards, thick sputum, throat discomfort, and dizziness of the head and eyes.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus, stir-baked with bran, endocarp removed, equal parts).
Preparation and Administration: Process with refined honey to make pills, size of Sophora japonica seeds. Take 10 pills per dose, swallow with warm water, after meals, three times daily.
(Indicated for Yang deficiency and Yin excess. From *Suwen: Nidiao Lun* [Basic Questions: Discourse on Abnormal Regulation])
The body feels cold not due to insufficient clothing, nor is the interior affected by external cold. Biqi (Bi Qi syndrome) refers to the stagnation of Qi and Blood, feeling as if emerging from water; it does not necessarily require injury by cold pathogens to occur.
Fuzi Wan (Aconite Pill) is indicated: It treats Biqi with cold invasion, Yang deficiency and Yin abundance, where the whole body feels as if emerging from water.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, processed), Chuanyutou (Sichuan Aconite Root, processed; these two are crushed together, stir-baked until yellow before use), Guigui (Cinnamon Twig), Chuanjiao (Zanthoxyli Pericarpium), Changpu (Acori Tatarinowii Rhizoma), Gancao (Licorice Radix et Rhizoma, each 4 liang); Gusuibu (Drynariae Rhizoma, stir-baked), Tianma (Gastrodiae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 2 liang).
Preparation and Administration: Grind the above ingredients into fine powder, process with refined honey to make pills, size of Sophora japonica seeds. Take 30 pills per dose, swallow with warm wine, on an empty stomach or before meals, three times daily.