{"resource_id":15260,"title":"虚损启微","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"虛損啟微","sections":[{"id":"chapter-1-section-1","title":"虛損啟微","paragraphs":[]},{"id":"chapter-1-section-2","title":"張序","paragraphs":[]},{"id":"chapter-1-section-3","title":"自序","paragraphs":[]},{"id":"chapter-1-section-4","title":"捲上","paragraphs":["經義"]},{"id":"chapter-1-section-5","title":"論證","paragraphs":[]},{"id":"chapter-1-section-6","title":"陰虛論治","paragraphs":[]},{"id":"chapter-1-section-7","title":"陽虛論治","paragraphs":[]},{"id":"chapter-1-section-8","title":"咳嗽","paragraphs":["失血","骨蒸","遺精","女人月閉"]},{"id":"chapter-1-section-9","title":"諸虛見症","paragraphs":[]},{"id":"chapter-1-section-10","title":"論虛損勞瘵","paragraphs":[]},{"id":"chapter-1-section-11","title":"論虛損傳變","paragraphs":[]},{"id":"chapter-1-section-12","title":"論五勞七傷六極","paragraphs":[]},{"id":"chapter-1-section-13","title":"辨虛火","paragraphs":[]},{"id":"chapter-1-section-14","title":"論脈","paragraphs":["論爪","論嚏"]},{"id":"chapter-1-section-15","title":"虛損危候","paragraphs":["辨似損非損"]},{"id":"chapter-1-section-16","title":"卷下","paragraphs":["六味地黃丸","八味丸（崔氏）","大補元煎（新方）"]},{"id":"chapter-1-section-17","title":"左歸飲（新方）","paragraphs":[]},{"id":"chapter-1-section-18","title":"右歸飲（新方）","paragraphs":["左歸丸（新方）","右歸丸（新方）","八珍湯（《局方》）","十全大補湯","人參養榮湯（《局方》）"]},{"id":"chapter-1-section-19","title":"五福飲（新方）","paragraphs":[]},{"id":"chapter-1-section-20","title":"七福飲（新方）","paragraphs":["獨參湯（葛氏）","養心湯（《醫統》）","天王補心丹","柏子養心丸（《集驗》）","人參固本丸（《千金》）","一陰煎（新方）","加減一陰煎（新方）","二陰煎（新方）","三陰煎（新方）","四陰煎（新方）","五飲煎","大營煎（新方）","小營煎（新方）","坎離交濟丹（新制）","地六湯（新制）","金鎖正元丹（《和劑》）","金鎖思仙丹（萬氏）","水陸二仙丹（經驗）","固精丸（《濟生》）","固精丸（《直指》）","家韭子丸（《三因》）","豬肚丸（經驗）","秘元煎（新方）","固陰煎（新方）","苓術菟絲丸（新方）","補中益氣湯（東垣）","補陰益氣煎（新方）","舉元煎（新方）","歸脾湯（《濟生》）","加味歸脾湯（薛氏）","生脈散（《醫錄》）","百合固金湯","烏賊魚骨丸（《內經》）","五物煎（新方）","理中湯（仲景）","理陰煎（新方）"]},{"id":"chapter-1-section-21","title":"四味回陽飲（新方）","paragraphs":[]},{"id":"chapter-1-section-22","title":"六味回陽飲（新方）","paragraphs":[]},{"id":"chapter-1-section-23","title":"溫胃飲（新方）","paragraphs":["鎮陰煎（新方）","壽脾煎（新方）"]},{"id":"chapter-1-section-24","title":"一氣丹（新方）","paragraphs":["六氣煎（新方）","保陰煎（新方）"]},{"id":"chapter-1-section-25","title":"抽薪飲（新方）","paragraphs":[]},{"id":"chapter-1-section-26","title":"徙薪飲（新方）","paragraphs":[]},{"id":"chapter-1-section-27","title":"清化飲（新方）","paragraphs":["秦艽鱉甲散","柴胡梅連丸"]},{"id":"chapter-1-section-28","title":"逍遙飲（新方）","paragraphs":["金水六君煎（新方）","貝母丸（新方）"]},{"id":"chapter-1-section-29","title":"一柴胡飲（新方）","paragraphs":[]},{"id":"chapter-1-section-30","title":"二柴胡飲（新方）","paragraphs":[]},{"id":"chapter-1-section-31","title":"三柴胡飲（新方）","paragraphs":[]},{"id":"chapter-1-section-32","title":"四柴胡飲（新方）","paragraphs":[]},{"id":"chapter-1-section-33","title":"五柴胡飲（新方）","paragraphs":[]},{"id":"chapter-1-section-34","title":"正柴胡飲（新方）","paragraphs":["柴陳煎（新方）","麥煎散"]},{"id":"chapter-1-section-35","title":"張序","paragraphs":["餘友洪君緝庵，病棄舉業，潛心醫學。不數年，得其奧，嘗示所著《虛損啟微》。採，辨論明晰，非他方書所及，或以多錄成方為議，不知成方者規矩也，規矩積古今而不可易，有所變通，視夫人之善用其巧。緝庵此書，真具有與人規矩，不能使巧之微。緝庵又最孝，其學醫也，雖因已病，而實圖治其母夫人之疾。始餘嘗見其秤藥量水，心極精審，多語餘藥性，故餘於醫道獨學緝庵而得者，其所著敢易視耶？況又為人之所不能易視者耶？惜其亡後，多致散逸，恐不久為醫家覆瓿用矣，特錄存之。","時乾隆辛巳小春中浣羅山張廷枚識"]},{"id":"chapter-1-section-36","title":"自序","paragraphs":["陸宣公見古方，必手抄錄。範希文自以不為良相，當為良醫。餘寢瘵也久，倦於文史方書，於虛損一症，尤加體會，自救也因以救人，肱蓋三折矣。歲壬申，隨侍山陽官署，暇輒以己意條疏數語，積而成卷。或亦啟微之論，發古人之所未發，而其方則仍採諸古，古即不宜於今，斟酌之，增減之，神而明之，存其人也。","重九後三日，病夫洪煒識於淮署之飲默軒","[捲上] 經義","上古天真論曰：今時之人，以酒為漿，以妄為常，醉以入房，以欲竭其精，以耗散其真，不知持滿，不知御神，務快其心，逆於生樂，起居無節，故半百而衰也。","本神篇曰：五臟主藏精者也，不可傷，傷則失守而陰虛，陰虛則無氣，無氣則死矣。","故智者至，長生生氣通天論曰：凡陰陽之要，陽密乃固，兩者不和，若春無秋，若冬無夏。（猶四時之缺一，精宣明五氣論曰：久視傷血，久臥傷氣，久坐傷肉，久立傷骨，久行傷筋。","痺論曰：陰氣者，靜則神藏，躁則消亡。","五癃津液別篇曰：陰陽不和，則使液溢，而下流於陰，髓液皆減而下，下過度則虛，背痛而脛酸。（陰陽不和，則精氣俱亂，不相統攝故液溢於下，而流洩陰竅，以至真陰日損，腰痛脛酸，此即勞瘵之漸也。）調經論曰：陽虛則外寒，陰虛則內熱。","衛氣篇曰：下虛厥，上虛則眩。","通評虛實論曰：所謂氣虛者，言無常也。（聲音不能接續。）尺虛者，行步然。（，音匡，怯弱也。尺虛則下虛。）脈虛者，不象陰也。（氣口獨為五臟主藏，為陰而在裡，今其脈中空不象陰矣。）如此者，滑則生，澀則死也。","髒氣法時論曰：肝虛，則目KTKT（音荒）無所見。耳無所聞，（膽脈，從耳後入耳中。）善恐如而痛。（心主血，血虛不能榮養筋脈。胸腹腰脅，皆手少陰厥陰脈所及，故病見於此。）脾虛，則腹滿，腸鳴飧（音孫）洩，食不化。肺虛，則少氣不能報息。（呼吸難於接續。）耳聾，（絡會耳中。）嗌幹，（脈循喉嚨。）腎虛，則胸中痛，大腹小腹痛。（腎脈夾臍上行，從肺出，絡心注胸中。）清厥，（精不化氣。）意不樂。（心腎不交，膻中拂鬱。）口問篇曰：上氣不足，腦為之不滿，耳為之苦鳴，頭為之苦傾，目為之眩，中氣不足，溲便音樂同義。）脈要精微論曰：言而微，終日乃復言者，此奪氣也。（肺臟失守。）衣被不斂，言語善惡，不（脾臟失守。）水泉不止者，是膀胱不藏也。（腎臟失守。）得守者生，失守者死。夫五臟者，身之強也。頭者，精明之腑。（五臟六腑之精氣，皆上升於頭。）頭傾視深，（目限無光，）精神將奪矣。背者，胸中之府。（背乃髒俞所繫。）背曲肩隨，腑將壞矣。腰者，腎之腑。轉搖不能，腎將憊矣。膝者，筋之府。屈伸不能，行則僂（音呂）附，筋將憊矣。骨者，髓之腑。","不能久立，行則振掉，骨將憊矣。","經脈篇曰：手太陰氣絕則皮毛焦。太陰者，行氣溫於皮毛者也。故氣不榮，則皮毛焦焦則津液去皮節，津液去皮節者，則爪枯毛折，毛折者，則毛先死。丙篤丁死，火勝金也。","手少陰氣絕則脈不通，脈不通則血不流，血不流則髦色不澤，故其面黑如漆柴者，血先死。","壬篤癸死，水勝火也。足太陰氣絕者，則脈不榮肌肉。唇舌者，肌肉之本也。脈不榮則肌肉軟，肌肉軟則舌萎，（枯蔫）人中滿，人中滿則唇反，唇反者肉先死。甲篤乙死，木勝土也。","足少陰氣絕則骨枯。少陰者，冬脈也，伏行而濡骨髓者也。故骨不濡，則肉不能著也，骨肉不相親，則肉軟卻，肉軟卻，故齒長而垢，發無澤，發無澤者，骨先死。戊篤已死，土勝水也。足厥陰氣絕則筋絕。厥陰者，肝脈也。肝者筋之合也，筋者聚於陰器而脈絡於舌本也。","故脈弗榮則筋急，筋急則引舌與卵，故唇青舌卷，卵縮則筋先死。庚篤辛死，金勝木也。五陰氣俱絕，則目系轉，轉則目運，（五臟之精，皆上注目。）目運者，為志先死，（志藏於腎，陰之神也。）志先死則遠一日半死矣。六陽氣絕，則陰與陽相離，離則腠理髮洩，絕汗乃出，故旦佔夕死，夕佔旦死。","方盛衰論曰：至陰虛天氣絕，（陰虛則無以升，不升則天氣亦絕而不降。）至陽盛地氣（陽亢則不能降，不"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"虛損啟微","section_title":"虛損啟微","is_available":true},{"id":"chapter-1-section-2","chapter_title":"虛損啟微","section_title":"張序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"虛損啟微","section_title":"自序","is_available":true},{"id":"chapter-1-section-4","chapter_title":"虛損啟微","section_title":"捲上","is_available":true},{"id":"chapter-1-section-5","chapter_title":"虛損啟微","section_title":"論證","is_available":true},{"id":"chapter-1-section-6","chapter_title":"虛損啟微","section_title":"陰虛論治","is_available":true},{"id":"chapter-1-section-7","chapter_title":"虛損啟微","section_title":"陽虛論治","is_available":true},{"id":"chapter-1-section-8","chapter_title":"虛損啟微","section_title":"咳嗽","is_available":true},{"id":"chapter-1-section-9","chapter_title":"虛損啟微","section_title":"諸虛見症","is_available":true},{"id":"chapter-1-section-10","chapter_title":"虛損啟微","section_title":"論虛損勞瘵","is_available":true},{"id":"chapter-1-section-11","chapter_title":"虛損啟微","section_title":"論虛損傳變","is_available":true},{"id":"chapter-1-section-12","chapter_title":"虛損啟微","section_title":"論五勞七傷六極","is_available":true},{"id":"chapter-1-section-13","chapter_title":"虛損啟微","section_title":"辨虛火","is_available":true},{"id":"chapter-1-section-14","chapter_title":"虛損啟微","section_title":"論脈","is_available":true},{"id":"chapter-1-section-15","chapter_title":"虛損啟微","section_title":"虛損危候","is_available":true},{"id":"chapter-1-section-16","chapter_title":"虛損啟微","section_title":"卷下","is_available":true},{"id":"chapter-1-section-17","chapter_title":"虛損啟微","section_title":"左歸飲（新方）","is_available":true},{"id":"chapter-1-section-18","chapter_title":"虛損啟微","section_title":"右歸飲（新方）","is_available":true},{"id":"chapter-1-section-19","chapter_title":"虛損啟微","section_title":"五福飲（新方）","is_available":true},{"id":"chapter-1-section-20","chapter_title":"虛損啟微","section_title":"七福飲（新方）","is_available":true},{"id":"chapter-1-section-21","chapter_title":"虛損啟微","section_title":"四味回陽飲（新方）","is_available":true},{"id":"chapter-1-section-22","chapter_title":"虛損啟微","section_title":"六味回陽飲（新方）","is_available":true},{"id":"chapter-1-section-23","chapter_title":"虛損啟微","section_title":"溫胃飲（新方）","is_available":true},{"id":"chapter-1-section-24","chapter_title":"虛損啟微","section_title":"一氣丹（新方）","is_available":true},{"id":"chapter-1-section-25","chapter_title":"虛損啟微","section_title":"抽薪飲（新方）","is_available":true},{"id":"chapter-1-section-26","chapter_title":"虛損啟微","section_title":"徙薪飲（新方）","is_available":true},{"id":"chapter-1-section-27","chapter_title":"虛損啟微","section_title":"清化飲（新方）","is_available":true},{"id":"chapter-1-section-28","chapter_title":"虛損啟微","section_title":"逍遙飲（新方）","is_available":true},{"id":"chapter-1-section-29","chapter_title":"虛損啟微","section_title":"一柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-30","chapter_title":"虛損啟微","section_title":"二柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-31","chapter_title":"虛損啟微","section_title":"三柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-32","chapter_title":"虛損啟微","section_title":"四柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-33","chapter_title":"虛損啟微","section_title":"五柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-34","chapter_title":"虛損啟微","section_title":"正柴胡飲（新方）","is_available":true},{"id":"chapter-1-section-35","chapter_title":"虛損啟微","section_title":"張序","is_available":true},{"id":"chapter-1-section-36","chapter_title":"虛損啟微","section_title":"自序","is_available":true}],"plain_text":"# 虛損啟微\n## 虛損啟微\n## 張序\n## 自序\n## 捲上\n經義\n## 論證\n## 陰虛論治\n## 陽虛論治\n## 咳嗽\n失血\n骨蒸\n遺精\n女人月閉\n## 諸虛見症\n## 論虛損勞瘵\n## 論虛損傳變\n## 論五勞七傷六極\n## 辨虛火\n## 論脈\n論爪\n論嚏\n## 虛損危候\n辨似損非損\n## 卷下\n六味地黃丸\n八味丸（崔氏）\n大補元煎（新方）\n## 左歸飲（新方）\n## 右歸飲（新方）\n左歸丸（新方）\n右歸丸（新方）\n八珍湯（《局方》）\n十全大補湯\n人參養榮湯（《局方》）\n## 五福飲（新方）\n## 七福飲（新方）\n獨參湯（葛氏）\n養心湯（《醫統》）\n天王補心丹\n柏子養心丸（《集驗》）\n人參固本丸（《千金》）\n一陰煎（新方）\n加減一陰煎（新方）\n二陰煎（新方）\n三陰煎（新方）\n四陰煎（新方）\n五飲煎\n大營煎（新方）\n小營煎（新方）\n坎離交濟丹（新制）\n地六湯（新制）\n金鎖正元丹（《和劑》）\n金鎖思仙丹（萬氏）\n水陸二仙丹（經驗）\n固精丸（《濟生》）\n固精丸（《直指》）\n家韭子丸（《三因》）\n豬肚丸（經驗）\n秘元煎（新方）\n固陰煎（新方）\n苓術菟絲丸（新方）\n補中益氣湯（東垣）\n補陰益氣煎（新方）\n舉元煎（新方）\n歸脾湯（《濟生》）\n加味歸脾湯（薛氏）\n生脈散（《醫錄》）\n百合固金湯\n烏賊魚骨丸（《內經》）\n五物煎（新方）\n理中湯（仲景）\n理陰煎（新方）\n## 四味回陽飲（新方）\n## 六味回陽飲（新方）\n## 溫胃飲（新方）\n鎮陰煎（新方）\n壽脾煎（新方）\n## 一氣丹（新方）\n六氣煎（新方）\n保陰煎（新方）\n## 抽薪飲（新方）\n## 徙薪飲（新方）\n## 清化飲（新方）\n秦艽鱉甲散\n柴胡梅連丸\n## 逍遙飲（新方）\n金水六君煎（新方）\n貝母丸（新方）\n## 一柴胡飲（新方）\n## 二柴胡飲（新方）\n## 三柴胡飲（新方）\n## 四柴胡飲（新方）\n## 五柴胡飲（新方）\n## 正柴胡飲（新方）\n柴陳煎（新方）\n麥煎散\n## 張序\n餘友洪君緝庵，病棄舉業，潛心醫學。不數年，得其奧，嘗示所著《虛損啟微》。採，辨論明晰，非他方書所及，或以多錄成方為議，不知成方者規矩也，規矩積古今而不可易，有所變通，視夫人之善用其巧。緝庵此書，真具有與人規矩，不能使巧之微。緝庵又最孝，其學醫也，雖因已病，而實圖治其母夫人之疾。始餘嘗見其秤藥量水，心極精審，多語餘藥性，故餘於醫道獨學緝庵而得者，其所著敢易視耶？況又為人之所不能易視者耶？惜其亡後，多致散逸，恐不久為醫家覆瓿用矣，特錄存之。\n時乾隆辛巳小春中浣羅山張廷枚識\n## 自序\n陸宣公見古方，必手抄錄。範希文自以不為良相，當為良醫。餘寢瘵也久，倦於文史方書，於虛損一症，尤加體會，自救也因以救人，肱蓋三折矣。歲壬申，隨侍山陽官署，暇輒以己意條疏數語，積而成卷。或亦啟微之論，發古人之所未發，而其方則仍採諸古，古即不宜於今，斟酌之，增減之，神而明之，存其人也。\n重九後三日，病夫洪煒識於淮署之飲默軒\n[捲上] 經義\n上古天真論曰：今時之人，以酒為漿，以妄為常，醉以入房，以欲竭其精，以耗散其真，不知持滿，不知御神，務快其心，逆於生樂，起居無節，故半百而衰也。\n本神篇曰：五臟主藏精者也，不可傷，傷則失守而陰虛，陰虛則無氣，無氣則死矣。\n故智者至，長生生氣通天論曰：凡陰陽之要，陽密乃固，兩者不和，若春無秋，若冬無夏。（猶四時之缺一，精宣明五氣論曰：久視傷血，久臥傷氣，久坐傷肉，久立傷骨，久行傷筋。\n痺論曰：陰氣者，靜則神藏，躁則消亡。\n五癃津液別篇曰：陰陽不和，則使液溢，而下流於陰，髓液皆減而下，下過度則虛，背痛而脛酸。（陰陽不和，則精氣俱亂，不相統攝故液溢於下，而流洩陰竅，以至真陰日損，腰痛脛酸，此即勞瘵之漸也。）調經論曰：陽虛則外寒，陰虛則內熱。\n衛氣篇曰：下虛厥，上虛則眩。\n通評虛實論曰：所謂氣虛者，言無常也。（聲音不能接續。）尺虛者，行步然。（，音匡，怯弱也。尺虛則下虛。）脈虛者，不象陰也。（氣口獨為五臟主藏，為陰而在裡，今其脈中空不象陰矣。）如此者，滑則生，澀則死也。\n髒氣法時論曰：肝虛，則目KTKT（音荒）無所見。耳無所聞，（膽脈，從耳後入耳中。）善恐如而痛。（心主血，血虛不能榮養筋脈。胸腹腰脅，皆手少陰厥陰脈所及，故病見於此。）脾虛，則腹滿，腸鳴飧（音孫）洩，食不化。肺虛，則少氣不能報息。（呼吸難於接續。）耳聾，（絡會耳中。）嗌幹，（脈循喉嚨。）腎虛，則胸中痛，大腹小腹痛。（腎脈夾臍上行，從肺出，絡心注胸中。）清厥，（精不化氣。）意不樂。（心腎不交，膻中拂鬱。）口問篇曰：上氣不足，腦為之不滿，耳為之苦鳴，頭為之苦傾，目為之眩，中氣不足，溲便音樂同義。）脈要精微論曰：言而微，終日乃復言者，此奪氣也。（肺臟失守。）衣被不斂，言語善惡，不（脾臟失守。）水泉不止者，是膀胱不藏也。（腎臟失守。）得守者生，失守者死。夫五臟者，身之強也。頭者，精明之腑。（五臟六腑之精氣，皆上升於頭。）頭傾視深，（目限無光，）精神將奪矣。背者，胸中之府。（背乃髒俞所繫。）背曲肩隨，腑將壞矣。腰者，腎之腑。轉搖不能，腎將憊矣。膝者，筋之府。屈伸不能，行則僂（音呂）附，筋將憊矣。骨者，髓之腑。\n不能久立，行則振掉，骨將憊矣。\n經脈篇曰：手太陰氣絕則皮毛焦。太陰者，行氣溫於皮毛者也。故氣不榮，則皮毛焦焦則津液去皮節，津液去皮節者，則爪枯毛折，毛折者，則毛先死。丙篤丁死，火勝金也。\n手少陰氣絕則脈不通，脈不通則血不流，血不流則髦色不澤，故其面黑如漆柴者，血先死。\n壬篤癸死，水勝火也。足太陰氣絕者，則脈不榮肌肉。唇舌者，肌肉之本也。脈不榮則肌肉軟，肌肉軟則舌萎，（枯蔫）人中滿，人中滿則唇反，唇反者肉先死。甲篤乙死，木勝土也。\n足少陰氣絕則骨枯。少陰者，冬脈也，伏行而濡骨髓者也。故骨不濡，則肉不能著也，骨肉不相親，則肉軟卻，肉軟卻，故齒長而垢，發無澤，發無澤者，骨先死。戊篤已死，土勝水也。足厥陰氣絕則筋絕。厥陰者，肝脈也。肝者筋之合也，筋者聚於陰器而脈絡於舌本也。\n故脈弗榮則筋急，筋急則引舌與卵，故唇青舌卷，卵縮則筋先死。庚篤辛死，金勝木也。五陰氣俱絕，則目系轉，轉則目運，（五臟之精，皆上注目。）目運者，為志先死，（志藏於腎，陰之神也。）志先死則遠一日半死矣。六陽氣絕，則陰與陽相離，離則腠理髮洩，絕汗乃出，故旦佔夕死，夕佔旦死。\n方盛衰論曰：至陰虛天氣絕，（陰虛則無以升，不升則天氣亦絕而不降。）至陽盛地氣（陽亢則不能降，不","is_preview":true,"preview_page_limit":10}