何(he)某，女，28歲，醫院醫生。初診：1980年4月2日。自(zi)(zi)述頭暈頭痛、失眠多夢(meng)已(yi)半年，每當看書看報或給(gei)病(bing)人查病(bing)后，頭暈頭痛加重，自(zi)(zi)感(gan)頭大(da)如斗，全身乏力，驚恐不安，自(zi)(zi)汗常(chang)出，不能舉步，常(chang)常(chang)不能堅持日常(chang)工(gong)作。食欲欠(qian)佳，舌(she)質淡紅、舌(she)苔薄白，脈細而弱。辨證為氣血(xue)虧虛，髓海失榮，治(zhi)宜補養氣血(xue)，歸脾湯(tang)化裁。
潞黨參(can)24g 生黃芪18g 當(dang)歸10g 炒棗(zao)仁10g 茯神10g 遠志8g 龍眼肉18g 生龍齒（先煎(jian)(jian)）18g 生牡蠣（先煎(jian)(jian)）24g 制首烏12g 枸杞子10g 木(mu)香（后下）1.5g 炙(zhi)甘草6g
4~6劑。
二診(zhen)：5月10日(ri)。服(fu)上方(fang)6劑后(hou)，自(zi)(zi)覺頭(tou)(tou)(tou)大如斗、驚恐難受等癥大減，出(chu)汗已止，但(dan)看書后(hou)頭(tou)(tou)(tou)仍暈痛，全身乏力，失眠(mian)多夢，囑其重服(fu)上方(fang)4劑。6月10日(ri)隨(sui)訪，患者服(fu)上方(fang)10劑后(hou)，又自(zi)(zi)按(an)上方(fang)比例4倍共研末，加(jia)煉蜜制成(cheng)丸劑，早晚開水沖(chong)服(fu)，每次(ci)10g。現睡眠(mian)正常，頭(tou)(tou)(tou)痛頭(tou)(tou)(tou)暈消除，能堅持日(ri)常工作。
按(an)：本例為氣(qi)血虧虛，髓海失(shi)榮而(er)頭(tou)暈頭(tou)痛。勞(lao)則(ze)氣(qi)傷(shang)血耗，故頭(tou)暈頭(tou)痛加(jia)重。中氣(qi)耗損，則(ze)全身(shen)乏(fa)力(li)、出汗；脾(pi)運失(shi)常，食欲欠佳，清陽(yang)不(bu)升(sheng)，清竅不(bu)利故頭(tou)大如斗。腦及(ji)心、肝、脾(pi)之血不(bu)足，故失(shi)眠多夢、驚恐不(bu)安、舌質淡紅、脈象細弱。《素問·痿論》說：“心主身(shen)之血脈。”脾(pi)為后(hou)天之本、氣(qi)血生(sheng)化(hua)之源(yuan)，故治以養(yang)心益(yi)脾(pi)、氣(qi)血雙(shuang)補，佐以潛鎮。擬(ni)歸脾(pi)湯(tang)加(jia)龍(long)齒、牡蠣潛陽(yang)收(shou)斂，首烏、枸杞子增(zeng)強補陰(yin)之力(li)，使血生(sheng)有源(yuan)，肝腦得(de)養(yang)，則(ze)諸癥自去。
——本文摘自《宋(song)鷺冰60年疑難(nan)雜癥治驗錄》一(yi)書
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中醫治病，從來都是只治人，不治病。
就拿手抖來說，看似簡單的一個問題，多考慮是高血壓、腦中風的前兆。
但是在中醫看來，卻可以用補血的辦法，治好手指發抖。
這其中的道理，我說給你聽，請認真體會。
前不久，門診上來了這么一個女患者，年紀不大，也就40來歲。
什么毛病呢？手指動不動就發抖，而且一抖就停不下來。有一天夜里10點多，突然發作，一直到凌晨4點左右才停下來。就這樣一整宿，患者基本無法入睡。
可奇怪的是，白天癥狀就會減輕，甚至不再發作。
患者表示也看了很多西醫，吃了不少西醫，但錢花了不少，都沒啥效果。無奈之下，聽聞中醫可治此病，就來試試。
刻診，見患者脈象細弱而微澀，舌質淡，偏紫，舌苔白，懶言少語、形體疲倦，面色不是一般的難看。
我說，你這是好幾天都沒休息好了吧？
患者苦笑，說快半年了，生不如死。
我安慰她，別擔心，我給你開張方子，你回去試試吧。
黨參、黃芪、白術、當歸、茯苓、遠志、炒酸棗仁、木香、桂圓肉、女貞子、制何首烏、丹參、龍骨、牡蠣、生山楂、炙甘草。
水煎服。每日一劑。
患者服用后，癥狀確實有所緩解，在我的督促下，每天按時煎煮服用，調理二個月后，終見奇效——手指不抖了！
其實，從中醫辯證的角度來看，患者的問題屬于血虛。結合她總是半夜出現手抖問題，導致失眠，所以脾胃也比較虛弱。人的四肢，就跟大樹一樣，一旦失于濡養，就會化生內風，抖個不停。
于是，我給她開的方子里，以補血養血為主，只有經脈得到濡養，手抖才會停下來。
當歸、炒酸棗仁、桂圓肉、女貞子、制何首烏，這些都是直接滋補精血的。
黨參、黃芪、白術、炙甘草、茯苓、木香，這些是用于健脾益氣的。
龍骨和牡蠣，這兩味藥能熄內風，收斂鎮攝。遠志，可以化痰安神。山楂配上丹參，用于活血化瘀，緩解患者的血瘀問題。
其實啊，這就是一張歸脾湯的化裁。我把這個過程寫出來，供你們參考借鑒。
但(dan)是，也一(yi)定要注意，文中(zhong)(zhong)所述配伍、方(fang)劑，必(bi)須在中(zhong)(zhong)醫師當面辨證指導下來借鑒、應(ying)用，切勿盲目嘗試！
脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)病(bing)治(zhi)(zhi)(zhi)(zhi)(zhi)法雖多(duo)，但以(yi)健脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)利濕(shi)(shi)(shi)(shi)(shi)(shi)、補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)益(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、溫(wen)陽(yang)運脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)、升陽(yang)攝(she)(she)血(xue)(xue)較為(wei)常(chang)(chang)用(yong)(yong)。脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)居中(zhong)(zhong)(zhong)(zhong)焦，屬土，與胃(wei)(wei)(wei)相連(lian)，并(bing)(bing)與之相表(biao)里，能(neng)消化(hua)(hua)飲(yin)食(shi)(shi)，并(bing)(bing)運送(song)水谷(gu)(gu)之精(jing)微以(yi)養五臟，還(huan)能(neng)統血(xue)(xue)主(zhu)(zhu)(zhu)肌肉(rou)。其(qi)為(wei)病(bing)也，有(you)寒(han)(han)有(you)熱(re)，有(you)虛(xu)(xu)有(you)實(shi)，也有(you)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)病(bing)為(wei)主(zhu)(zhu)(zhu)而(er)(er)(er)涉及(ji)(ji)它臟者(zhe)(zhe)。治(zhi)(zhi)(zhi)(zhi)(zhi)法各別，方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)亦殊。選方(fang)(fang)(fang)(fang)(fang)(fang)如四君(jun)子(zi)(zi)(zi)湯(tang)(tang)(tang)(tang)(tang)、六君(jun)子(zi)(zi)(zi)湯(tang)(tang)(tang)(tang)(tang)、參(can)(can)(can)苓(ling)(ling)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術散(san)(san)、補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)益(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)、大(da)(da)建中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)、楊氏(shi)還(huan)少丸、五苓(ling)(ling)散(san)(san)、胃(wei)(wei)(wei)苓(ling)(ling)湯(tang)(tang)(tang)(tang)(tang)、實(shi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)飲(yin)等(deng)(deng)。1.寒(han)(han)濕(shi)(shi)(shi)(shi)(shi)(shi)滯脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)貪(tan)涼飲(yin)冷，或(huo)(huo)(huo)(huo)(huo)過(guo)(guo)(guo)食(shi)(shi)生(sheng)(sheng)冷瓜果，致(zhi)(zhi)寒(han)(han)濕(shi)(shi)(shi)(shi)(shi)(shi)滯脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：腹脹(zhang)腹痛，納(na)(na)少便(bian)(bian)溏(tang)，口(kou)(kou)淡(dan)(dan)不(bu)(bu)(bu)渴，面(mian)色(se)萎(wei)黃(huang)(huang)，舌(she)(she)(she)(she)淡(dan)(dan)而(er)(er)(er)胖(pang)，苔(tai)(tai)(tai)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)膩(ni)，脈(mo)(mo)濡緩(huan)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：溫(wen)化(hua)(hua)寒(han)(han)濕(shi)(shi)(shi)(shi)(shi)(shi)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)合平(ping)(ping)胃(wei)(wei)(wei)散(san)(san)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、干姜、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)（理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)）；蒼(cang)術、厚(hou)樸(pu)、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、甘(gan)(gan)(gan)(gan)草(cao)(cao)（平(ping)(ping)胃(wei)(wei)(wei)散(san)(san)），加(jia)藿香(xiang)(xiang)、茯(fu)苓(ling)(ling)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)蔻。2.濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)蘊脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)寒(han)(han)濕(shi)(shi)(shi)(shi)(shi)(shi)滯脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)，久(jiu)而(er)(er)(er)不(bu)(bu)(bu)解，化(hua)(hua)生(sheng)(sheng)濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)，或(huo)(huo)(huo)(huo)(huo)飲(yin)食(shi)(shi)不(bu)(bu)(bu)節，過(guo)(guo)(guo)食(shi)(shi)肥甘(gan)(gan)(gan)(gan)、酒(jiu)酪(lao)，恣生(sheng)(sheng)濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)，蘊結(jie)(jie)于脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)，即(ji)(ji)成(cheng)(cheng)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)臟濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)之候(hou)(hou)(hou)(hou)(hou)(hou)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：常(chang)(chang)見(jian)大(da)(da)便(bian)(bian)溏(tang)而(er)(er)(er)不(bu)(bu)(bu)爽，或(huo)(huo)(huo)(huo)(huo)下(xia)(xia)(xia)痢(li)赤(chi)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)，小(xiao)便(bian)(bian)短黃(huang)(huang)，口(kou)(kou)苦心(xin)(xin)煩，口(kou)(kou)渴飲(yin)少，甚則(ze)(ze)(ze)(ze)(ze)身(shen)熱(re)起(qi)伏，不(bu)(bu)(bu)為(wei)汗解，或(huo)(huo)(huo)(huo)(huo)濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)熏蒸(zheng)肝膽，膽汁外(wai)溢，身(shen)目(mu)發(fa)黃(huang)(huang)，苔(tai)(tai)(tai)黃(huang)(huang)膩(ni)，脈(mo)(mo)滑(hua)數等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：清利濕(shi)(shi)(shi)(shi)(shi)(shi)熱(re)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：平(ping)(ping)胃(wei)(wei)(wei)散(san)(san)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)頭(tou)翁湯(tang)(tang)(tang)(tang)(tang)、茵(yin)陳(chen)(chen)(chen)蒿(hao)(hao)湯(tang)(tang)(tang)(tang)(tang)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：蒼(cang)術、厚(hou)樸(pu)、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、甘(gan)(gan)(gan)(gan)草(cao)(cao)（平(ping)(ping)胃(wei)(wei)(wei)散(san)(san)）；白(bai)(bai)(bai)(bai)(bai)(bai)(bai)頭(tou)翁、秦皮(pi)(pi)(pi)(pi)、黃(huang)(huang)連(lian)、黃(huang)(huang)柏(bo)（白(bai)(bai)(bai)(bai)(bai)(bai)(bai)頭(tou)翁湯(tang)(tang)(tang)(tang)(tang)）；茵(yin)陳(chen)(chen)(chen)、大(da)(da)黃(huang)(huang)、梔子(zi)(zi)(zi)（茵(yin)陳(chen)(chen)(chen)蒿(hao)(hao)湯(tang)(tang)(tang)(tang)(tang)）。大(da)(da)便(bian)(bian)溏(tang)而(er)(er)(er)不(bu)(bu)(bu)爽者(zhe)(zhe)，用(yong)(yong)平(ping)(ping)胃(wei)(wei)(wei)散(san)(san)加(jia)葛根、黃(huang)(huang)連(lian)；下(xia)(xia)(xia)痢(li)赤(chi)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)者(zhe)(zhe)，用(yong)(yong)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)頭(tou)翁湯(tang)(tang)(tang)(tang)(tang)加(jia)木(mu)香(xiang)(xiang)、枳(zhi)殼(ke)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)芍(shao)；身(shen)目(mu)發(fa)黃(huang)(huang)者(zhe)(zhe)，用(yong)(yong)茵(yin)陳(chen)(chen)(chen)蒿(hao)(hao)湯(tang)(tang)(tang)(tang)(tang)化(hua)(hua)裁(cai)治(zhi)(zhi)(zhi)(zhi)(zhi)之。3.痰(tan)濕(shi)(shi)(shi)(shi)(shi)(shi)阻肺(fei)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)失(shi)健運，水谷(gu)(gu)不(bu)(bu)(bu)化(hua)(hua)，反而(er)(er)(er)成(cheng)(cheng)濕(shi)(shi)(shi)(shi)(shi)(shi)，濕(shi)(shi)(shi)(shi)(shi)(shi)聚成(cheng)(cheng)痰(tan)犯肺(fei)，則(ze)(ze)(ze)(ze)(ze)成(cheng)(cheng)痰(tan)濕(shi)(shi)(shi)(shi)(shi)(shi)阻肺(fei)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：常(chang)(chang)見(jian)咳(ke)嗽痰(tan)多(duo)，色(se)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)清稀(xi)，易于咳(ke)出，胸(xiong)悶，或(huo)(huo)(huo)(huo)(huo)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)喘(chuan)痰(tan)鳴(ming)，苔(tai)(tai)(tai)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)膩(ni)，脈(mo)(mo)弦滑(hua)或(huo)(huo)(huo)(huo)(huo)濡緩(huan)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：燥濕(shi)(shi)(shi)(shi)(shi)(shi)化(hua)(hua)痰(tan)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：二(er)陳(chen)(chen)(chen)湯(tang)(tang)(tang)(tang)(tang)合三子(zi)(zi)(zi)養親湯(tang)(tang)(tang)(tang)(tang)加(jia)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、厚(hou)樸(pu)、杏仁。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：半夏、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、茯(fu)苓(ling)(ling)、甘(gan)(gan)(gan)(gan)草(cao)(cao)（二(er)陳(chen)(chen)(chen)湯(tang)(tang)(tang)(tang)(tang)）；蘇子(zi)(zi)(zi)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)芥(jie)子(zi)(zi)(zi)、萊菔子(zi)(zi)(zi)（三子(zi)(zi)(zi)養親湯(tang)(tang)(tang)(tang)(tang)）。再隨癥加(jia)減(jian)。4.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)勞(lao)倦(juan)太過(guo)(guo)(guo)，或(huo)(huo)(huo)(huo)(huo)吐下(xia)(xia)(xia)后(hou)，傷(shang)(shang)及(ji)(ji)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，即(ji)(ji)成(cheng)(cheng)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)之證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：每(mei)見(jian)飲(yin)食(shi)(shi)減(jian)少，食(shi)(shi)后(hou)腹脹(zhang)，大(da)(da)便(bian)(bian)稀(xi)溏(tang)，倦(juan)怠乏力(li)，面(mian)色(se)萎(wei)黃(huang)(huang)，舌(she)(she)(she)(she)淡(dan)(dan)苔(tai)(tai)(tai)薄，脈(mo)(mo)緩(huan)無(wu)力(li)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：補(bu)(bu)(bu)(bu)益(yi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：六君(jun)子(zi)(zi)(zi)湯(tang)(tang)(tang)(tang)(tang)化(hua)(hua)裁(cai)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、茯(fu)苓(ling)(ling)、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、半夏、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)。5.中(zhong)(zhong)(zhong)(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)下(xia)(xia)(xia)陷脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)若失(shi)治(zhi)(zhi)(zhi)(zhi)(zhi)、誤治(zhi)(zhi)(zhi)(zhi)(zhi)，就會導致(zhi)(zhi)病(bing)情加(jia)重(zhong)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：脘腹重(zhong)墜，便(bian)(bian)意頻(pin)頻(pin)，或(huo)(huo)(huo)(huo)(huo)久(jiu)瀉(xie)(xie)、脫(tuo)肛，或(huo)(huo)(huo)(huo)(huo)子(zi)(zi)(zi)宮脫(tuo)垂(chui)等(deng)(deng)中(zhong)(zhong)(zhong)(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)下(xia)(xia)(xia)陷之證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)益(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，升舉陽(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)益(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)丸，宜常(chang)(chang)服之。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：炙(zhi)(zhi)黃(huang)(huang)芪(qi)(qi)(qi)(qi)、黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術（炒(chao)）、當(dang)(dang)歸、升麻、柴胡、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)。6.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)不(bu)(bu)(bu)統血(xue)(xue)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)，統攝(she)(she)無(wu)權(quan)，血(xue)(xue)液不(bu)(bu)(bu)能(neng)循經(jing)而(er)(er)(er)行，溢于脈(mo)(mo)管之外(wai)，即(ji)(ji)可(ke)發(fa)生(sheng)(sheng)各種出血(xue)(xue)現(xian)象。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：皮(pi)(pi)(pi)(pi)下(xia)(xia)(xia)出血(xue)(xue)、大(da)(da)便(bian)(bian)下(xia)(xia)(xia)血(xue)(xue)、月經(jing)過(guo)(guo)(guo)多(duo)、崩漏等(deng)(deng)。此乃脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)之重(zhong)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：益(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)攝(she)(she)血(xue)(xue)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：歸脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)湯(tang)(tang)(tang)(tang)(tang)或(huo)(huo)(huo)(huo)(huo)參(can)(can)(can)芪(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)加(jia)減(jian)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黃(huang)(huang)芪(qi)(qi)(qi)(qi)、黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、當(dang)(dang)歸、酸棗(zao)(zao)仁、茯(fu)神、遠志、木(mu)香(xiang)(xiang)、桂圓(yuan)肉(rou)、大(da)(da)棗(zao)(zao)、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)（歸脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)湯(tang)(tang)(tang)(tang)(tang)）；人(ren)參(can)(can)(can)、黃(huang)(huang)芪(qi)(qi)(qi)(qi)（參(can)(can)(can)芪(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)）。7.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)無(wu)論何(he)種原因損(sun)(sun)(sun)傷(shang)(shang)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，致(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)(bu)能(neng)輸(shu)精(jing)于肺(fei)，即(ji)(ji)可(ke)造成(cheng)(cheng)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)及(ji)(ji)肺(fei)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：少氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)乏力(li)，納(na)(na)少便(bian)(bian)溏(tang)，咳(ke)嗽多(duo)痰(tan)，甚至出現(xian)面(mian)足浮腫(zhong)，苔(tai)(tai)(tai)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)脈(mo)(mo)濡弱(ruo)(ruo)(ruo)等(deng)(deng)。此乃脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)之候(hou)(hou)(hou)(hou)(hou)(hou)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：補(bu)(bu)(bu)(bu)益(yi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)肺(fei)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：五味異(yi)功(gong)散(san)(san)加(jia)減(jian)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、茯(fu)苓(ling)(ling)、陳(chen)(chen)(chen)皮(pi)(pi)(pi)(pi)、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)，加(jia)黃(huang)(huang)芪(qi)(qi)(qi)(qi)、山(shan)藥(yao)(yao)、五味子(zi)(zi)(zi)、桔梗(geng)。8.心(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)兩虛(xu)(xu)飲(yin)食(shi)(shi)不(bu)(bu)(bu)調，或(huo)(huo)(huo)(huo)(huo)憂思太過(guo)(guo)(guo)，就會損(sun)(sun)(sun)傷(shang)(shang)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)(bu)足，化(hua)(hua)生(sheng)(sheng)血(xue)(xue)液減(jian)少，則(ze)(ze)(ze)(ze)(ze)心(xin)(xin)血(xue)(xue)必虧(kui)，并(bing)(bing)成(cheng)(cheng)心(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)虧(kui)損(sun)(sun)(sun)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：倦(juan)怠乏力(li)，食(shi)(shi)少便(bian)(bian)溏(tang)，心(xin)(xin)悸健忘(wang)，失(shi)眠多(duo)夢，舌(she)(she)(she)(she)淡(dan)(dan)苔(tai)(tai)(tai)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)，脈(mo)(mo)細弱(ruo)(ruo)(ruo)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：補(bu)(bu)(bu)(bu)益(yi)心(xin)(xin)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：歸脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)湯(tang)(tang)(tang)(tang)(tang)化(hua)(hua)裁(cai)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黃(huang)(huang)芪(qi)(qi)(qi)(qi)、黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、當(dang)(dang)歸、酸棗(zao)(zao)仁、茯(fu)神、遠志、木(mu)香(xiang)(xiang)、桂圓(yuan)肉(rou)、大(da)(da)棗(zao)(zao)、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)。9.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陽(yang)虛(xu)(xu)弱(ruo)(ruo)(ruo)多(duo)由(you)(you)(you)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)發(fa)展而(er)(er)(er)來，也可(ke)因過(guo)(guo)(guo)食(shi)(shi)生(sheng)(sheng)冷或(huo)(huo)(huo)(huo)(huo)誤用(yong)(yong)攻下(xia)(xia)(xia)所致(zhi)(zhi)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：除脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)弱(ruo)(ruo)(ruo)，運化(hua)(hua)無(wu)權(quan)，納(na)(na)減(jian)腹脹(zhang)，大(da)(da)便(bian)(bian)稀(xi)溏(tang)外(wai)，由(you)(you)(you)于陽(yang)虛(xu)(xu)則(ze)(ze)(ze)(ze)(ze)生(sheng)(sheng)內寒(han)(han)，故有(you)形寒(han)(han)肢(zhi)冷，手足不(bu)(bu)(bu)溫(wen)，脘腹冷痛，喜按喜暖，口(kou)(kou)淡(dan)(dan)不(bu)(bu)(bu)渴，舌(she)(she)(she)(she)淡(dan)(dan)苔(tai)(tai)(tai)薄白(bai)(bai)(bai)(bai)(bai)(bai)(bai)，脈(mo)(mo)沉弱(ruo)(ruo)(ruo)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：溫(wen)補(bu)(bu)(bu)(bu)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陽(yang)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：黨(dang)參(can)(can)(can)、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、干姜、炙(zhi)(zhi)甘(gan)(gan)(gan)(gan)草(cao)(cao)，加(jia)木(mu)香(xiang)(xiang)、砂仁。10.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)腎(shen)陽(yang)虛(xu)(xu)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陽(yang)虛(xu)(xu)弱(ruo)(ruo)(ruo)久(jiu)而(er)(er)(er)不(bu)(bu)(bu)解，進而(er)(er)(er)可(ke)傷(shang)(shang)及(ji)(ji)腎(shen)陽(yang)，并(bing)(bing)形成(cheng)(cheng)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)腎(shen)陽(yang)虛(xu)(xu)之證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：除見(jian)上(shang)述(shu)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陽(yang)虛(xu)(xu)弱(ruo)(ruo)(ruo)之證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)外(wai)，尚(shang)有(you)腰膝冷痛，或(huo)(huo)(huo)(huo)(huo)五更泄瀉(xie)(xie)，或(huo)(huo)(huo)(huo)(huo)浮腫(zhong)而(er)(er)(er)小(xiao)便(bian)(bian)不(bu)(bu)(bu)利等(deng)(deng)腎(shen)陽(yang)虛(xu)(xu)弱(ruo)(ruo)(ruo)之候(hou)(hou)(hou)(hou)(hou)(hou)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：溫(wen)補(bu)(bu)(bu)(bu)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)腎(shen)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：附(fu)子(zi)(zi)(zi)理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)、真武(wu)湯(tang)(tang)(tang)(tang)(tang)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)；大(da)(da)附(fu)子(zi)(zi)(zi)（炮(pao)，去皮(pi)(pi)(pi)(pi)、臍(qi)）、人(ren)參(can)(can)(can)、干姜（炮(pao)）、甘(gan)(gan)(gan)(gan)草(cao)(cao)（炙(zhi)(zhi)）、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術（附(fu)子(zi)(zi)(zi)理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)）；白(bai)(bai)(bai)(bai)(bai)(bai)(bai)術、生(sheng)(sheng)姜、附(fu)子(zi)(zi)(zi)、芍(shao)藥(yao)(yao)、茯(fu)苓(ling)(ling)（真武(wu)湯(tang)(tang)(tang)(tang)(tang)）。泄瀉(xie)(xie)為(wei)主(zhu)(zhu)(zhu)者(zhe)(zhe)，用(yong)(yong)附(fu)子(zi)(zi)(zi)理(li)中(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)；水腫(zhong)為(wei)主(zhu)(zhu)(zhu)者(zhe)(zhe)，治(zhi)(zhi)(zhi)(zhi)(zhi)以(yi)真武(wu)湯(tang)(tang)(tang)(tang)(tang)化(hua)(hua)裁(cai)。11.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)津(jin)虧(kui)損(sun)(sun)(sun)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：口(kou)(kou)干咽燥，不(bu)(bu)(bu)饑不(bu)(bu)(bu)食(shi)(shi)，或(huo)(huo)(huo)(huo)(huo)大(da)(da)便(bian)(bian)微結(jie)(jie)，舌(she)(she)(she)(she)紅苔(tai)(tai)(tai)少，脈(mo)(mo)虛(xu)(xu)細者(zhe)(zhe)，為(wei)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)之津(jin)液虧(kui)損(sun)(sun)(sun)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：甘(gan)(gan)(gan)(gan)寒(han)(han)生(sheng)(sheng)津(jin)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：益(yi)胃(wei)(wei)(wei)湯(tang)(tang)(tang)(tang)(tang)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：沙(sha)參(can)(can)(can)、冰糖(tang)、麥(mai)冬、生(sheng)(sheng)地、玉(yu)竹，加(jia)元(yuan)參(can)(can)(can)、石斛。12.脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)(yin)虛(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)患者(zhe)(zhe)素體陰(yin)(yin)(yin)虛(xu)(xu)，并(bing)(bing)已(yi)累及(ji)(ji)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)(yin)虧(kui)損(sun)(sun)(sun)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陽(yang)亢(kang)進。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：大(da)(da)便(bian)(bian)干結(jie)(jie)，腹無(wu)所苦，唇燥口(kou)(kou)干，脈(mo)(mo)緩(huan)弱(ruo)(ruo)(ruo)等(deng)(deng)。脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)(yin)虛(xu)(xu)弱(ruo)(ruo)(ruo)引(yin)起(qi)的大(da)(da)便(bian)(bian)干結(jie)(jie)，不(bu)(bu)(bu)要使用(yong)(yong)下(xia)(xia)(xia)法。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)；補(bu)(bu)(bu)(bu)益(yi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)(yin)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：增液湯(tang)(tang)(tang)(tang)(tang)。以(yi)補(bu)(bu)(bu)(bu)藥(yao)(yao)之體，作瀉(xie)(xie)藥(yao)(yao)之用(yong)(yong)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：玄參(can)(can)(can)、麥(mai)冬、連(lian)心(xin)(xin)、細生(sheng)(sheng)地。13.產后(hou)便(bian)(bian)秘產后(hou)大(da)(da)便(bian)(bian)艱難(nan)，多(duo)由(you)(you)(you)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)之血(xue)(xue)津(jin)虧(kui)損(sun)(sun)(sun)，不(bu)(bu)(bu)能(neng)濡潤腸(chang)道使然(ran)。證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候(hou)(hou)(hou)(hou)(hou)(hou)：除大(da)(da)便(bian)(bian)干結(jie)(jie)難(nan)解外(wai)，往往伴有(you)唇舌(she)(she)(she)(she)淡(dan)(dan)白(bai)(bai)(bai)(bai)(bai)(bai)(bai)，頭(tou)暈目(mu)花，脈(mo)(mo)細弱(ruo)(ruo)(ruo)等(deng)(deng)。治(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)：養血(xue)(xue)潤腸(chang)。主(zhu)(zhu)(zhu)方(fang)(fang)(fang)(fang)(fang)(fang)：四物湯(tang)(tang)(tang)(tang)(tang)。方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)：生(sheng)(sheng)地、當(dang)(dang)歸、白(bai)(bai)(bai)(bai)(bai)(bai)(bai)芍(shao)、川(chuan)芎，加(jia)火麻仁、柏(bo)子(zi)(zi)(zi)仁、首烏、枸杞(qi)，并(bing)(bing)堅(jian)持守方(fang)(fang)(fang)(fang)(fang)(fang)治(zhi)(zhi)(zhi)(zhi)(zhi)之。
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