治少阳伤寒,脉弦或沉紧,往来寒热,胸胁苦满,默默不欲食,心烦喜呕;
或渴,腹痛;或胁下痞硬;或心悸,小便不利;或咳,有微热,亦有不渴不呕者。又治
妇人伤风伤寒,经水适断,发热恶寒,昼日明了,暮则谵语,此为热入血室,其血必结,故
使如疟状,得七分热除,脉迟身凉,胸满谵语,如结胸状,前刺期门,随其实而取之,
投此汤即愈。又太阳病不解,转入少阳;并阳明伤寒,脉反弦浮,身目悉黄,小便黄,潮热时哕。
柴胡(二两) 半夏(汤去滑,六钱一字) 黄芩 人参 甘草(炙,各三分)
上为锉散。每服五钱,水一盏半,生姜五片,枣一枚,煎七分,去滓,食前服。若腹痛
,去黄芩,加芍药三分;心下悸,小便不利,加茯苓一两;若不渴,则有微热,去人参,
加桂三分;若咳嗽,去枣,加五味子三分、干姜半两;胸中烦,不呕者,去半夏,加栝蒌实
一枚四分之一;若渴,去半夏,加栝蒌根一两;胸中痞硬,去枣,加牡蛎一两;若过经
不解,日晡发热,已而微利,加芒硝一两。
足太阴脾经伤寒,手足温,自利不渴,腹满时痛,咽干。其脉流注与伤风同,治之各
有正方。
治太阴伤寒,手足温,自利不渴,腹满时痛,咽干,其脉尺寸俱沉细。
人参 干姜(炮) 白术 甘草(炙) 陈皮 青皮(各等分)
上锉散。每服四钱,水一盏半,煎七分,去滓,食前服。
治疗少阳经伤寒,脉象弦或沉紧,寒热往来,胸胁部苦闷胀满,神情沉默不欲饮食,心烦且容易呕吐;
或者口渴,腹痛;或者胁下痞塞坚硬;或者心悸,小便不通利;或者咳嗽,伴有轻微发热,也有不渴不呕的情况。又治疗妇女感受风邪或寒邪,月经恰好中断,发热恶寒,白天神志清楚,傍晚则胡言乱语,这是热邪陷入血室,血液必然凝结,所以症状像疟疾一样,待七分热邪去除后,脉迟身体凉爽,若出现胸部胀满、胡言乱语,如同结胸证的样子,先前针刺期门穴,根据其实证情况泻之,投用此汤剂即可痊愈。又治疗太阳病未解,转入少阳经;以及阳明经伤寒,脉象反而弦浮,全身及眼睛都发黄,小便黄,潮热时呃逆。
柴胡(二两) 半夏(汤洗去滑,六钱一字) 黄芩 人参 甘草(炙,各三分)
以上药材锉成散剂。每次服用五钱,用水一盏半,生姜五片,大枣一枚,煎至七分,滤去药渣,饭前服用。如果腹痛,去掉黄芩,加入芍药三分;如果心下悸动,小便不利,加入茯苓一两;如果不渴,则有微热,去掉人参,加入桂枝三分;如果咳嗽,去掉大枣,加入五味子三分、干姜半两;如果胸中烦闷,不呕吐的,去掉半夏,加入栝蒌实四分之一枚;如果口渴,去掉半夏,加入栝蒌根一两;如果胸中痞塞坚硬,去掉大枣,加入牡蛎一两;如果经过传变仍未解除,日晡时分发热,随后轻微腹泻,加入芒硝一两。
足太阴脾经伤寒,手足温暖,自发性腹泻且不口渴,腹部胀满时而疼痛,咽干。其脉象流注与伤风相同,治疗各有专门方剂。
治疗太阴经伤寒,手足温暖,自发性腹泻且不口渴,腹部胀满时而疼痛,咽干,其脉寸关尺三部均沉细。
人参 干姜(炮制) 白术 甘草(炙) 陈皮 青皮(各等分)
以上药材锉成散剂。每次服用四钱,用水一盏半,煎至七分,滤去药渣,饭前服用。
Treatment of Shaoyang (Lesser Yang) Cold Damage, with a wiry or deep-tight pulse, alternating chills and fever, bitter fullness in the chest and hypochondrium, silent desire not to eat, mental irritability and frequent vomiting;
or thirst, abdominal pain; or subcostal stuffiness and hardness; or palpitations, difficult urination; or cough, with slight fever, also cases without thirst or vomiting. It also treats women suffering from wind-cold damage, where menstruation has just ceased, accompanied by fever and aversion to cold, clear consciousness during the day, but delirium at night; this is heat entering the Blood Chamber (Xue Shi), where the blood must be bound, thus causing symptoms resembling malaria. After seven parts of the heat are eliminated, the pulse becomes slow and the body cool. If chest fullness and delirium occur, resembling the Jie Xiong (Chest Binding) pattern, previously puncture Qimen (LR14), drain according to its excess nature, and administer this decoction for recovery. It also treats Taiyang (Greater Yang) disease that has not resolved and has transferred to Shaoyang; along with Yangming (Yang Brightness) cold damage, where the pulse is unexpectedly wiry and floating, the whole body and eyes turn yellow, urine is yellow, and there is tidal fever with occasional hiccups.
Chai Hu (Bupleuri Radix, 2 liang) Ban Xia (Pinelliae Rhizoma, processed with boiling water to remove slipperiness, 6 qian 1 zi) Huang Qin (Scutellariae Radix) Ren Shen (Ginseng Radix) Gan Cao (Licorice Radix et Rhizoma, honey-fried, each 3 fen)
The above are ground into a coarse powder. Each dose consists of 5 qian, boiled with 1.5 zhan of water, 5 slices of fresh ginger, and 1 jujube, until reduced to 0.7 portion. Strain and take before meals. If abdominal pain occurs, remove Huang Qin and add Shao Yao (Paeoniae Radix Alba) 3 fen; if palpitations and difficult urination occur, add Fu Ling (Poria) 1 liang; if there is no thirst but slight fever, remove Ren Shen and add Gui Zhi (Cinnamomi Ramulus) 3 fen; if coughing occurs, remove Da Zao (Jujubae Fructus) and add Wu Wei Zi (Schisandrae Fructus) 3 fen and Gan Jiang (Zingiberis Rhizoma) 0.5 liang; if there is vexation in the chest without vomiting, remove Ban Xia and add Gua Lou Shi (Trichosanthis Fructus) one-quarter of a fruit; if thirst occurs, remove Ban Xia and add Gua Lou Gen (Trichosanthis Radix) 1 liang; if there is stuffiness and hardness in the chest, remove Da Zao and add Mu Li (Ostreae Concha) 1 liang; if the disease passes through meridians without resolving, with fever at dusk (rib hour) followed by mild diarrhea, add Mang Xiao (Natrii Sulfas) 1 liang.
Shaoyin (Lesser Yin) Cold Damage affecting the Foot-Taiyin Spleen Meridian, with warm hands and feet, spontaneous diarrhea without thirst, abdominal fullness with intermittent pain, and dry throat. Its pulse circulation is similar to wind damage, but treatment follows specific formulas.
Treatment of Taiyin (Greater Yin) Cold Damage, with warm hands and feet, spontaneous diarrhea without thirst, abdominal fullness with intermittent pain, dry throat, and a pulse that is deep and fine in all three positions (Cun, Guan, Chi).
Ren Shen (Ginseng Radix) Gan Jiang (Zingiberis Rhizoma, roasted) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Gan Cao (Licorice Radix et Rhizoma, honey-fried) Chen Pi (Citri Reticulatae Pericarpium) Qing Pi (Citri Reticulatae Pericarpium Viride) (each in equal proportions)
The above are ground into a coarse powder. Each dose consists of 4 qian, boiled with 1.5 zhan of water, until reduced to 0.7 portion. Strain and take before meals.