[chapter three. ·lower burner part] autumn dryness, (line 78, wen bing tiao bian)


[chapter three. ·lower burner part] autumn dryness


(78). Enduring dry damaged the yin of the liver and the kidney, there is upper body exuberance and lower body vacuity and night heat effusion abating in the daytime, and sometimes there is dry cough or not, in severe case there is tetanic reversal, Triple-Armored Pulse-Restorative (san jia fu mai tang) governs this , Wind-Stabilizing Pill (ding feng zhu) also governs this, and Zhuan Xi Da Sheng Gao (专翕大生膏) also governs this.

    the kidney controls the five humors and is averse to dryness. Whether externally contracted  evil qi which has resided for long time damages Kidney-Yin or without external contraction, internal damage causes dryness, both should be treated with nourshing fluids. The liver relies entirely on the nourshing of Kidney-Water, if Kidney-Water gets exhausted, the liver is hard to be maintained functionaly. This is what is called Yi Gui Tong Yuan (乙癸同源; homogeny of the liver and kidney), therefore the liver and kidney are called together. The three formulas are listed from light to heavy, Wind-Stabilizing Pill (ding feng zhu) is heavier and more turbid than Triple-Armored Pulse-Restorative (san jia fu mai tang), but both are used as decoction to treat the disease urgently. Zhuan Xi Da Sheng Gao is mainly consisted of animal medicine and this is used as pill, this is due to treate the disease moderately. When one suddenly gets vacuous and can be recover easily, use the two decoction, and when vacuity condition has be endured and it is hard to be recovered, use

The subtlety of Zhuan Xi Da Sheng Gao (专翕大生膏) is that something losted in lower burner is somewhat fishy fat, therefore somewhat fishy fat is supplemented to. Comparing Zhuan Xi Da Sheng Gao (专翕大生膏) with Phellodendron, and Rehmannia Pill (zhi bai di huang wan) of Dan Xi (丹溪), it is said that zhi bai di huang wan treats the ministerial fire due to insufficient yin of the liver and kidney and stables the kidney dryness, wise man can distinguish them spontaneously. Generally it is known that sweet can supplement and bitter can drain, but how one does not know that bitter first enters the heart and dries the fluids! And the ministerial fire due to insufficient yin of the liver and kidney cannot be treated directly with strong medicine, when the Kidney-Water gets sufficient and stable, spontaneously this gets to recover its own harmoinious nature; if the Kidney-Water is deplete, this gets stirred and dry, owing to dryness this gets impatient. Zhuan Xi Da Sheng Gao (专翕大生膏) is best to stable the ministerial fire due to insufficient yin of the liver and kidney.
 
[卷三·下焦篇] 秋燥
    七十八、燥久伤及肝肾之阴,上盛下虚,昼凉夜热,或干咳,或不咳,甚则痉厥者,三甲复脉汤主之,定风珠亦主之,专翕大生膏亦主之。
    肾主五液而恶燥,或由外感邪气久羁而伤及肾阴,或不由外感而内伤致燥,均以培养津液为主。肝木全赖肾水滋养,肾水枯竭,肝断不能独治。所谓乙癸同源,故肝肾并称也。三方由浅入深,定风浓于复脉,皆用汤,从急治。专翕取乾坤之静,多用血肉之品,熬膏为丸,从缓治。盖下焦深远,草木无情,故用有情缓治。再暴虚易复者,则用二汤;久虚难复者,则用专翕。专翕之妙,以下焦丧失皆腥臭脂膏,即以腥臭脂膏补之,较之丹溪之知柏地黄,云治雷龙之火而安肾燥,明眼自能辨之。盖凡甘能补,凡苦能泻,独不知苦先入心,其化以燥乎!再雷龙不能以刚药直折也,肾水足则静,自能安其专翕之性;肾水亏则动而燥,因燥而燥也。善安雷龙者,莫如专翕,观者察之。