治太阳伤风,脉阳浮阴弱,荣弱卫强,头痛鼻鸣,干呕发热,自汗恶风;或烦
热汗出则解,有如疟状,脉浮洪虚大者。
桂枝(去皮) 生姜 芍药(各一两半) 甘草(炙,一两) 大枣(六枚,擘)
上 咀。每服五钱,水一盏半,煎八分,去滓,食前服,温覆,令遍身微汗愈。或
发汗,漏不止,恶风,小便难,四肢拘急者,加熟附子一分;或项背强KT KT ,反汗出恶风者
,加葛根一两三钱;或汗出后,身疼痛,脉沉迟者,加芍药生姜各半两、人参一两半;或下
后,脉促,胸满者,去芍药;若微寒,乃加附子;或下后,头项强痛,翕翕发热,无汗,心
下满,微痛,小便不利者,去桂,加茯苓、白术各一两半。太阳外证未除而数下之,挟热,
利不止,心下痞硬,表里不解,加人参一两;或下之微喘者,加浓朴六钱三字、杏仁十七粒
;因烧针令汗,针处被寒,核起而赤,必发奔豚,灸其核各一壮,加桂一两与服;因烧针烦
躁者,去芍药,减桂一两,牡蛎、龙骨各一两,可代救逆汤。
足阳明胃经伤风,口燥烦渴,自汗,嗜卧身重,小便难。以其脉侠鼻,络目,下膈,属
胃,络脾,侠脐,入气街,故阳明诸证如是。治之宜杏子汤。
治阳明伤风,能食,口苦咽干,腹满微喘,发热恶风,自汗嗜卧,身重,小便
难,潮热而哕,其脉浮弦长而数,悉主之。
杏仁(去皮尖) 半夏(汤去滑) 五味子(各二钱半) 芍药 桂心 细辛 干姜(炮) 大黄
(蒸) 甘草(炙,各三钱) 茯苓(四钱)
上 咀。每服四钱,水一盏半,煎至七分,去滓,食前服。
足少阳胆经伤风,身热,恶风自汗,项强胁满。以其脉起于目兑 ,上抵头角,交出,
入缺盆,下胸中,贯膈,络肝,循胁里,出气街,合髀厌中,故少阳诸证如是。治之宜柴胡加桂汤。
治疗太阳经受风邪侵袭,脉象寸部浮、尺部弱,营气虚弱而卫气亢盛,出现头痛、鼻中鸣响、干呕、发热、自汗且怕风;或者烦热,出汗后症状缓解,症状发作像疟疾一样有规律,脉象浮洪虚大的情况。
桂枝(去皮) 生姜 芍药(各一两半) 甘草(炙,一两) 大枣(六枚,掰开)
以上药材切碎。每次服用五钱,加水一盏半,煎煮至八分满,滤去药渣,饭前温服,服药后覆盖衣被,使全身微微出汗即可痊愈。如果出现发汗后汗漏不止、怕风、小便困难、四肢拘挛紧急的情况,加入熟附子一分;如果出现项背部僵硬不适、反而汗出怕风的情况,加入葛根一两三钱;如果出汗后身体疼痛、脉象沉迟的情况,加入芍药、生姜各半两、人参一两半;如果经过泻下治疗后,脉象急促、胸部胀满的情况,去掉芍药;如果有轻微恶寒,则加入附子;如果经过泻下治疗后,头项强痛、发热如热气蒸腾、无汗、胃脘部胀满微痛、小便不利的情况,去掉桂枝,加入茯苓、白术各一两半。太阳经外感表证未除却多次使用泻下法,导致挟带热邪、腹泻不止、胃脘部痞塞坚硬、表里同病不解的情况,加入人参一两;如果经过泻下治疗后出现轻微气喘的情况,加入厚朴六钱三分、杏仁十七粒;因为烧针强迫发汗,针孔处受寒,红肿起核,必然引发奔豚病,在红肿处各灸一壮,并加入桂枝一两一起服用;因为烧针导致烦躁的,去掉芍药,减少桂枝一两,加入牡蛎、龙骨各一两,可以替代救逆汤使用。
足阳明胃经受风邪侵袭,出现口燥、烦渴、自汗、嗜睡、身体沉重、小便困难。因为该经脉夹行于鼻旁,联络目系,下行穿过膈肌,属于胃,联络脾,夹脐而行,进入气街,所以阳明经的各种证候表现为这样。治疗适宜用杏子汤。
治疗阳明经受风邪侵袭,能进食,口苦咽干,腹部胀满微喘,发热怕风,自汗嗜睡,身体沉重,小便困难,潮热且呃逆,脉象浮弦长而数,这些症状都适用此方主治。
杏仁(去皮尖) 半夏(汤洗去滑) 五味子(各二钱半) 芍药 桂心 细辛 干姜(炮制) 大黄(蒸制) 甘草(炙,各三钱) 茯苓(四钱)
以上药材切碎。每次服用四钱,加水一盏半,煎煮至七分满,滤去药渣,饭前服用。
足少阳胆经受风邪侵袭,身体发热,怕风自汗,项部僵硬胁肋胀满。因为该经脉起于目外眦,上行抵达头角,交叉而出,进入缺盆,下行胸中,贯穿膈肌,联络肝,沿胁肋内部行走,出于气街,合于髀厌之中,所以少阳经的各种证候表现为这样。治疗适宜用柴胡加桂汤。
Treating Wind-Strike of the Taiyang (Greater Yang) Channel, with a pulse that is floating at the cun position and weak at the chi position, indicating Weak Ying (Nutritive Qi) and Strong Wei (Defensive Qi), accompanied by headache, nasal congestion/rhonchi, dry retching, fever, spontaneous sweating, and aversion to wind; or irritability and heat that resolve upon sweating, resembling malaria in pattern, with a pulse that is floating, large, forceless, and expansive.
Guizhi Tang (Cinnamon Twig Decoction): Guizhi (Ramulus Cinnamomi, peeled), Shengjiang (Rhizoma Zingiberis Recens), Shaoyao (Radix Paeoniae Alba) (each 1 liang 5 qian); Gancao (Radix Glycyrrhizae Preparata, roasted) (1 liang); Dazao (Fructus Jujubae) (6 pieces, split).
Crush the herbs. Take 5 qian per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm before meals. Cover with blankets to induce a slight general sweating for recovery. If sweating leads to leakage that does not stop, aversion to wind, difficulty urinating, and stiffness/tension in the four limbs, add Shu Fuzi (Radix Aconiti Lateralis Preparata) 1 fen; if there is stiffness in the nape and back with sweating and aversion to wind, add Gegen (Radix Puerariae) 1 liang 3 qian; if body pain persists after sweating with a deep and slow pulse, add Shaoyao and Shengjiang each 0.5 liang, and Renshen (Radix Ginseng) 1.5 liang; if following purgation there is a rapid pulse and chest fullness, remove Shaoyao; if there is mild chills, add Fuzi (Radix Aconiti Lateralis); if following purgation there is stiffness in the head and neck, feverish sensation like steam rising, absence of sweating, fullness and mild pain in the epigastrium, and dysuria, remove Guizhi and add Fuling (Poria) and Baizhu (Rhizoma Atractylodis Macrocephalae) each 1.5 liang. If the exterior syndrome of Taiyang remains unresolved but multiple purgations have been used, resulting in heat accumulation, incessant diarrhea, epigastric stuffiness/hardness, and simultaneous exterior-interior pathology, add Renshen 1 liang; if mild wheezing occurs after purgation, add Houpo (Cortex Magnoliae Officinalis) 6 qian 3 zhu, and Xingren (Semen Armeniacae Amarum) 17 grains; if forced sweating via burning needle therapy causes cold invasion at the needle site, leading to nodular redness and subsequent Ben Tun (Running Piglet) disease, moxa each nodule once (one zhu), and add Guizhi 1 liang to the prescription; if burning needle therapy causes restlessness, remove Shaoyao, reduce Guizhi by 1 liang, and add Muli (Concha Ostreae) and Longgu (Os Draconis et Mastodi) each 1 liang, which can substitute for Niujie Tang (Decoction for Reversing Crisis).
Wind-Strike of the Foot-Yangming Stomach Channel presents with dry mouth, irritability and thirst, spontaneous sweating, lethargy, heaviness of the body, and difficulty urinating. This is because the channel runs alongside the nose, connects to the eyes, descends through the diaphragm, belongs to the Stomach, connects to the Spleen, runs alongside the umbilicus, and enters the Qiguan (Qi Street). Thus, the Yangming syndromes manifest as described. Treatment should utilize Xingzi Tang (Apricot Seed Decoction).
Treating Wind-Strike of the Yangming Channel, characterized by ability to eat, bitter taste in the mouth, dry throat, abdominal fullness with mild wheezing, fever with aversion to wind, spontaneous sweating, lethargy, body heaviness, difficulty urinating, tidal fever, and hiccups, with a pulse that is floating, wiry, long, and rapid—all are indicated for this formula.
Xingzi Tang: Xingren (Semen Armeniacae Amarum, peeled and tip removed), Banxia (Rhizoma Pinelliae Preparata, washed in boiling water to remove slipperiness), Wuweizi (Fructus Schisandrae Chinensis) (each 2.5 qian); Shaoyao (Radix Paeoniae Alba), Guixin (Cortex Cinnamomi Cassiae), Xixin (Herba Asari), Ganjiang (Rhizoma Zingiberis Secati, processed), Dahuang (Radix et Rhizoma Rhei Preparata, steamed), Gancao (Radix Glycyrrhizae Preparata, roasted) (each 3 qian); Fuling (Poria) (4 qian).
Crush the herbs. Take 4 qian per dose, add 1.5 sheng of water, decoct until 0.7 sheng remains, strain, and take warm before meals.
Wind-Strike of the Foot-Shaoyang Gallbladder Channel presents with body heat, aversion to wind with spontaneous sweating, stiffness of the nape, and fullness of the hypochondrium. This is because the channel originates from the outer canthus, ascends to reach the vertex/corner of the head, crosses out, enters the Supraclavicular Fossa (Quepen), descends into the chest, pierces the diaphragm, connects to the Liver, follows the interior of the hypochondrium, emerges at the Qiguan, and joins at the hip joint. Thus, the Shaoyang syndromes manifest as described. Treatment should utilize Chaihu Jia Guizhi Tang (Bupleurum plus Cinnamon Twig Decoction).