憎寒壮热。恶风自汗。胸膈满闷。气上攻冲。头不昏疼。项不强者。是也。自热者。芎
苏饮
。金沸草散。柴胡半夏汤。无热者。二陈汤。温胆汤通用。加味导痰汤。有痰结胸者。鹤顶
丹。枳桔二陈汤。有痰上隐隐头疼者。瓜蒂散吐之。
加味二陈汤
甘草(八分) 半夏(一钱) 茯苓(一钱) 陈皮(一钱五分) 南星 枳实 黄芩 白术
黄连
去痰。后服此药。
瓜蒂散
瓜蒂 赤小豆(各五钱)
为末盐汤调服。服后宜卧片时。欲吐且耐之。良久用指探之。
外亦发热。有类伤寒初症但头身不痛。不恶寒。脉不紧数。但浮而无力。慎不可攻热。
去则寒生。
人参竹叶汤
石膏(五钱) 人参(二钱) 甘草(七分) 麦门冬(一钱五分) 淡竹叶(四片) 粳米(一
撮) 水煎入姜汁二匙服。
如气弱大渴。加倍人参。汗多加黄 。痰。加贝母。泄。加白术。泽泻。阴虚夜烦。加
知母。黄柏。生地。芍药。呕吐。去石膏。加陈皮。茯苓。
加减补中益气汤
劳力伤寒。头疼发热恶寒。但微渴自汗。身腿酸软无力。此内伤气血。外感风寒故也。
人参 黄 当归 生地 川芎 柴胡 陈皮 甘草 细辛 羌活 防风 白术 姜枣葱
。水煎温服。
如元气不足。加升麻少许。咳嗽。加杏仁。汗不止。去细辛。加芍药。胸中烦热。加山
栀。竹茹。干呕。加姜汁炒半夏。胸中饱闷。去生地。甘草。黄 。白术。加枳壳。桔梗。痰盛
。去防风。细辛。加栝蒌仁。贝母。腹痛。去 术。加芍药。干姜。
憎寒壮热,恶风自汗,胸膈满闷,气上攻冲,头不昏疼,项不强,这是夹痰症(兼夹痰邪的病证)的表现。若伴有发热者,可用芎苏饮、金沸草散、柴胡半夏汤;若无发热者,二陈汤、温胆汤通用,或加味导痰汤。若有痰结于胸中者,用鹤顶丹、枳桔二陈汤。若因痰上扰而隐隐作痛者,用瓜蒂散催吐。
加味二陈汤:甘草(八分)、半夏(一钱)、茯苓(一钱)、陈皮(一钱五分)、南星、枳实、黄芩、白术、黄连。用于去痰,随后服用此药。
瓜蒂散:瓜蒂、赤小豆(各五钱)。研为细末,用盐汤调服。服药后宜躺卧片刻,想吐时忍耐一下,过许久后用手指探喉催吐。
此外也有发热的症状,类似伤寒初起之症,但头身不痛,不恶寒,脉不紧数,仅浮而无力。切不可攻伐清热,否则热去则寒生。
人参竹叶汤:石膏(五钱)、人参(二钱)、甘草(七分)、麦门冬(一钱五分)、淡竹叶(四片)、粳米(一撮)。水煎,加入姜汁两匙服用。
如气虚大渴,加倍人参用量;汗多,加黄芪、贝母;泄泻,加白术、泽泻;阴虚夜间烦热,加知母、黄柏、生地、芍药;呕吐,去石膏,加陈皮、茯苓。
加减补中益气汤:因劳力过度导致伤寒,出现头疼、发热、恶寒,但微渴、自汗,身体腿部酸软无力,这是内伤气血、外感风寒所致。
方药组成:人参、黄芪、当归、生地、川芎、柴胡、陈皮、甘草、细辛、羌活、防风、白术、生姜、大枣、葱白。水煎温服。
如元气不足,加少许升麻;咳嗽,加杏仁;汗不止,去细辛,加芍药;胸中烦热,加山栀、竹茹;干呕,加姜汁炒半夏;胸中饱闷,去生地、甘草、黄芪、白术,加枳壳、桔梗;痰盛,去防风、细辛,加栝蒌仁、贝母;腹痛,去白术,加芍药、干姜。
Chills and high fever, aversion to wind with spontaneous sweating, fullness and oppression in the chest and diaphragm, qi rushing upward, without dizziness or headache, and without stiffness of the neck. This is known as Jia Tan Syndrome (a syndrome complicated by phlegm). For those with heat, Xiong Su Yin (Cnidium and Perilla Decoction), Jin Fei Cao San (Golden Whorlwort Powder), or Chai Hu Ban Xia Tang (Bupleurum and Pinellia Decoction) may be used. For those without heat, Er Chen Tang (Two-Cured Decoction) and Wen Dan Tang (Warm Gallbladder Decoction) are generally applicable, or Jia Wei Dao Tan Tang (Modified Phlegm-Resolving Decoction). If there is phlegm knotting in the chest, He Ding Dan (Crane Crown Pill) or Zhi Jie Er Chen Tang (Aurantii Fructus and Scutellariae Radix Modified Two-Cured Decoction) should be used. If there is dull headache due to phlegm rising, Gua Di San (Melon Seed Powder) should be administered to induce vomiting.
Jia Wei Er Chen Tang: Gan Cao (Licorice Root, 8 fen), Ban Xia (Pinelliae Rhizoma, 1 qian), Fu Ling (Poria, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1.5 qian), Nan Xing (Arisaematis Cum Bile), Zhi Shi (Aurantii Fructus Immaturus), Huang Qin (Scutellariae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Lian (Coptidis Rhizoma). Used to resolve phlegm; take this prescription subsequently.
Gua Di San: Gua Di (Momordicae Fructus), Chi Xiao Dou (Vigna umbellata seeds) (each 5 qian). Grind into powder, mix with salt water for administration. After taking the medicine, lie down for a while. Endure the urge to vomit; after some time, use a finger to stimulate the throat to induce vomiting.
Additionally, there are cases of fever resembling the initial stage of Shang Han (Cold Damage), but without headache or body pain, without aversion to cold, and with a pulse that is not tight and rapid, but only floating and weak. One must be cautious not to attack the heat directly; otherwise, removing the heat will generate cold.
Ren Shen Zhu Ye Tang (Ginseng and Bamboo Leaf Decoction): Shi Gao (Gypsum Fibrosum, 5 qian), Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Gan Cao (Licorice Root, 7 fen), Mai Men Dong (Ophiopogonis Tuber, 1.5 qian), Dan Zhu Ye (Lophatheri Herba, 4 slices), Jing Mi (Oryza Sativa, one handful). Decoct in water, add two spoons of Jiang Zhi (Fresh Ginger Juice) before taking.
If there is Qi deficiency with extreme thirst, double the dosage of Ren Shen. If sweating is excessive, add Huang Qi (Astragali Radix) and Bei Mu (Fritillariae Thunbergii Bulbus). If diarrhea occurs, add Bai Zhu and Ze Xie (Alismatis Rhizoma). If Yin deficiency causes night-time vexation, add Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex), Sheng Di Huang (Rehmanniae Radix), and Shao Yao (Paeoniae Radix Alba). If vomiting occurs, remove Shi Gao and add Chen Pi and Fu Ling.
Jia Jian Bu Zhong Yi Qi Tang (Modified Tonify the Middle and Augment the Qi Decoction): Due to labor-induced Shang Han, presenting with headache, fever, and aversion to cold, but with slight thirst and spontaneous sweating, and soreness and weakness in the body and legs. This is caused by internal injury to Qi and Blood combined with external contraction of Wind-Cold.
Prescription composition: Ren Shen, Huang Qi, Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang, Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chai Hu (Bupleuri Radix), Chen Pi, Gan Cao, Xi Xin (Asari Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Bai Zhu, Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), Cong Bai (Allii Fistulosi Bulbus). Decoct in water and take warm.
If Yuan Qi (Original Qi) is insufficient, add a small amount of Sheng Ma (Cimicifugae Rhizoma). If coughing occurs, add Xing Ren (Armeniacae Semen Amarum). If sweating does not stop, remove Xi Xin and add Shao Yao. If there is vexation and heat in the chest, add Shan Zhi (Gardeniae Fructus) and Zhu Ru (Bambusae Caulis in Taenia). If dry retching occurs, add Ban Xia stir-fried with Jiang Zhi. If there is fullness and oppression in the chest, remove Sheng Di Huang, Gan Cao, Huang Qi, and Bai Zhu; add Zhi Ke (Aurantii Fructus) and Jie Geng (Platycodonis Radix). If phlegm is abundant, remove Fang Feng and Xi Xin; add Gua Lou Ren (Trichosanthis Semen) and Bei Mu. If abdominal pain occurs, remove Bai Zhu and add Shao Yao and Gan Jiang (Zingiberis Rhizoma).