病者凄凄寒热,呻欠,口鼻干,腹胀,髀膝膑中循 外廉、下足跗、入中指内间皆
痛者,乃足阳明胃经为风寒暑湿流注之所为。四气偏胜,并如上说。治之,宜随四气微利之。
治风寒暑湿流注足阳明经,使腰脚痹痛,行步艰难,涎潮昏塞,大小便秘
涩,腹痛呕吐,或复下利,恶闻食气,喘满肩息,或自汗谵妄。
大黄(蒸) 细辛(去苗) 茯苓 防己 羌活 黄芩 前胡 枳壳(麸炒,去瓤) 浓朴(
去皮,锉,姜制,炒) 甘草(炙) 杏仁(麸炒,去皮尖,别研,各等分)
上锉散。每服四大钱,水盏半,姜三片,枣一个,煎七分,去滓,空腹热服。腹痛,加
芍药;秘结,加阿胶;喘,加桑白皮、紫苏;小便秘,加泽泻;四肢疮痒浸淫,加升麻。所
加并等分。
治脚胫生疮,浸淫腿膝,脓汁淋漓,热痹痛痒。
干荷叶(四张) 本(一分)
上为锉散。以水二斗,煎减五升,去滓,温暖得所。淋渫,仍服前大黄左经汤佳。
病者口苦,善太息,胁痛面垢,体无膏泽,头颔目兑皆痛,缺盆并腋下马刀肿,自汗,
振寒发热,胸中胁肋髀膝外至 绝骨外踝及诸节指皆痛者,乃足少阳胆经为风寒暑湿流
注之所为。四气偏胜,例如前说。治之,宜随四气和解。
治足少阳经为风寒暑湿流注,发热,腰胁痛,头疼眩晕,呕吐宿汁,耳聋
惊悸,热闷心烦,气上喘满,肩息腿痹,缓纵不随。
半夏(汤去滑) 干葛 细辛 白术 茯苓 桂心(不见火) 防风 干姜(炮) 黄芩 小
草甘草(炙) 柴胡 麦门冬(去心,各三分)
上锉散。每服四大钱,水一盏半,姜三片,枣一个,煎七分,去滓,空腹服。热闷,加
竹沥,每服半合;喘满,加杏仁、桑白皮。
患者感到阵阵恶寒发热,呻吟呵欠,口鼻干燥,腹部胀满,大腿、膝盖、髌骨外侧向下至足背、进入中趾内侧均疼痛的,这是足阳明胃经被风寒暑湿邪气流注侵袭所致。四种邪气偏盛的情况,都如前面所说的那样治疗。治疗时,应当根据四种邪气的偏盛情况轻微通利。
治疗风寒暑湿流注于足阳明经,导致腰脚麻木疼痛,行走困难,痰涎上涌昏闷堵塞,大小便秘涩不通,腹痛呕吐,或者又出现腹泻,厌恶食物气味,气喘胸闷需耸肩呼吸,或者自汗说胡话。
大黄(蒸制) 细辛(去苗) 茯苓 防己 羌活 黄芩 前胡 枳壳(麸炒,去瓤) 厚朴(去皮,锉碎,姜汁制,炒) 甘草(炙) 杏仁(麸炒,去皮尖,另研,各等分)
以上药物锉成散剂。每次服用四大钱,用水一盏半,生姜三片,大枣一个,煎至七分,滤去药渣,空腹热服。若腹痛,加芍药;若便秘,加阿胶;若气喘,加桑白皮、紫苏;若小便不利,加泽泻;若四肢疮疡瘙痒浸淫,加升麻。所加药物均为等分。
治疗脚胫生疮,浸淫蔓延至腿膝,脓汁淋漓,热痹疼痛瘙痒。
干荷叶(四张) 藁本(一分)
以上锉成散剂。用水二斗,煎至减少五升,滤去药渣,温度适宜。淋洗擦拭,同时服用前面的大黄左经汤效果更好。
患者口苦,喜欢长叹气,胁肋疼痛面色污浊,身体没有光泽,头颔、眼睛及兑穴皆痛,缺盆及腋下马刀肿,自汗,寒战发热,胸中、胁肋、大腿、膝盖外侧至绝骨、外踝及各关节手指皆疼痛的,这是足少阳胆经被风寒暑湿邪气流注侵袭所致。四种邪气偏盛的情况,例如前面所说。治疗时,应当根据四种邪气进行和解。
治疗足少阳经被风寒暑湿流注,发热,腰胁疼痛,头痛眩晕,呕吐宿汁,耳聋惊悸,热闷心烦,气逆气喘胸闷,耸肩呼吸腿痹,肢体弛缓不能随意运动。
半夏(汤浸去滑) 干葛 细辛 白术 茯苓 桂心(不见火) 防风 干姜(炮制) 黄芩 小草甘草(炙) 柴胡 麦门冬(去心,各三分)
以上药物锉成散剂。每次服用四大钱,用水一盏半,生姜三片,大枣一个,煎至七分,滤去药渣,空腹服。若热闷,加竹沥,每次半合;若气喘胸闷,加杏仁、桑白皮。
The patient experiences alternating chills and fever, groaning and yawning, dryness of the mouth and nose, abdominal distension, and pain extending from the lateral aspect of the thigh, knee, and patella down to the dorsum of the foot and into the space between the medial side of the middle toe. This is caused by the flow and accumulation of wind-cold-summerheat-dampness in the Foot-Yangming Stomach Meridian (Zú Yángmíng Wèi Jīng). The predominance of these four qi follows the explanations given above. Treatment should involve mild purgation according to the predominant pathogenic factor.
For the treatment of wind-cold-summerheat-dampness flowing into the Foot-Yangming Meridian, causing numbness and pain in the waist and legs, difficulty in walking, flooding of saliva with dizziness and obstruction, constipation of both stool and urine, abdominal pain and vomiting, or subsequent diarrhea, aversion to food odor, panting with chest fullness requiring shoulder breathing, spontaneous sweating, and delirium:
Da Huang (Rhubarb Root and Rhizome, steamed), Xi Xin (Asarum, de-seeded), Fu Ling (Poria), Fang Ji (Stephania Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root), Qian Hu (Peucedanum Root), Zhi Ke (Bitter Orange Fruit, stir-fried with bran, placenta removed), Hou Po (Magnolia Bark, bark removed, cut into pieces, processed with ginger juice, stir-fried), Gan Cao (Licorice Root, honey-fried), Xing Ren (Apricot Seed, stir-fried with bran, skin and tip removed, separately ground) — all in equal parts.
Crush these into a powder. For each dose, take four qian (approx. 12-15g), add one and a half bowls of water, three slices of fresh ginger, and one jujube. Decoct until reduced to seven-tenths, strain, and take hot on an empty stomach. If there is abdominal pain, add Bai Shao (White Peony Root); if there is severe constipation, add E Jiao (Donkey-hide Gelatin); if there is panting, add Sang Bai Pi (Mulberry Root Bark) and Zi Su (Perilla Leaf); if there is difficult urination, add Ze Xie (Alisma Rhizome); if there are sores on the limbs with itching and oozing, add Sheng Ma (Cimicifuga Rhizome). All added herbs should be in equal parts.
For treating sores on the shins that spread to the thighs and knees, with dripping pus, heat-bi pain and itching:
Gan He Ye (Dried Lotus Leaf, four leaves), Ben Cao (Ligusticum Rhizome, one fen).
Crush these into a powder. Add two dou of water, decoct until five sheng are reduced, strain, and keep warm. Wash and apply externally; it is also advisable to internally administer the previous Da Huang Zuo Jing Tang.
The patient has a bitter taste in the mouth, frequent sighing, hypochondriac pain, a dirty complexion, lack of luster in the body, pain in the head, jaw, eyes, and Dui acupoint, swelling in the supr clavicular fossa and axilla (known as "horse knife" swelling), spontaneous sweating, chills with fever, and pain in the chest, hypochondrium, lateral thigh and knee, up to the Juegu acupoint, lateral malleolus, and all joints and fingers. This is caused by the flow and accumulation of wind-cold-summerheat-dampness in the Foot-Shaoyang Gallbladder Meridian (Zú Shàoyáng Dǎn Jīng). The predominance of these four qi is similar to the previous explanation. Treatment should involve harmonization according to the predominant pathogenic factor.
For the treatment of wind-cold-summerheat-dampness flowing into the Foot-Shaoyang Meridian, causing fever, waist and hypochondriac pain, headache and vertigo, vomiting of old fluids, deafness, palpitations due to fright, heat oppression and irritability, rebellious qi with panting and chest fullness, shoulder breathing, leg bi with flaccidity and inability to move:
Ban Xia (Pinellia Tuber, soaked in water to remove slipperiness), Gan Ge (Kudzu Root), Xi Xin (Asarum), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Gui Xin (Cinnamon Twig Heart, not exposed to fire), Fang Feng (Saposhnikovia Root), Gan Jiang (Dried Ginger, processed), Huang Qin (Scutellaria Root), Xiao Cao Gan Cao (Licorice Root variant, honey-fried), Chai Hu (Bupleurum Root), Mai Men Dong (Ophiopogon Tuber, heart removed) — each in three qian.
Crush these into a powder. For each dose, take four qian, add one and a half bowls of water, three slices of fresh ginger, and one jujube. Decoct until reduced to seven-tenths, strain, and take on an empty stomach. If there is heat oppression, add Zhu Li (Bamboo Sap), half he per dose; if there is panting and chest fullness, add Xing Ren (Apricot Seed) and Sang Bai Pi (Mulberry Root Bark).