每遇春末夏初。便觉头疼脚酸。神思困倦。饮食减少。四肢消瘦。软弱乏力。
补中固元汤 治注夏一切等症。
人参 黄 白术 甘草(各一钱) 生地(二钱) 当归 陈皮(各八分) 枣二枚。煎八
分。临卧服。
又方 治汗不时出。发热恶寒。四肢无力作渴。
石膏(二钱 熟) 知母(盐水炒) 人参 甘草 陈皮 玄参(各一钱五分)
加浮小麦八分。煎服。
(附痿症)
湿者天地郁蒸之气也。方其升腾于上。气犹笼结而未开。虽寒天值之。亦觉其温暖。此
湿气之
热者也。及其布护于下。气将流演而舒散。虽暑月值之。亦觉其清凉。此湿气之寒者也。湿
气之热者。多中于气虚之人。则发而为湿热之症。头面如裹而四肢浮肿身体沉重。而转侧
不
便者是也。湿气之寒者多中于血虚之人。则发而为寒湿之症。四肢酸疼而关节不利。筋脉
拘挛而行履重滞者是也。其有不因郁蒸之气而得者。必其冒雨而行。涉水而走。或露卧以取
凉。或汗衣而不解。渐渍于肌肉之中。渗入于骨髓之内。流溢于脾胃之间。牢缠于腰肾之
处。则肌内冷而骨髓痛。脾胃薄而腰肾疼。挟于风痰。则麻而不仁。兼乎死血。则木而不觉
。动乎火邪。则肿痛而难忍。随其所感而病斯痼焉。其有不因冒雨涉水等而得者。必其内伤
生冷酒面之类。多肚腹肿胀。医者审其湿之或寒或热。或虚或壮。病之在上在下。感之在外
在内。因其病而药之。庶乎其得之矣。
每当春末夏初之际,便感到头痛、脚部酸软,精神困倦,食欲减退,四肢消瘦,身体软弱乏力。
补中固元汤:治疗注夏(夏季倦怠综合征)的各种症状。
配方:人参、黄芪、白术、甘草(各一钱),生地黄(二钱),当归、陈皮(各八分),大枣两枚。加水煎煮至八分满,睡前服用。
另一个方剂:治疗汗出不止、发热恶寒、四肢无力且口渴的症状。
配方:石膏(二钱,煅熟)、知母(用盐水炒制)、人参、甘草、陈皮、玄参(各一钱五分),加浮小麦八分。煎煮后服用。
(附:痿证相关论述)
湿气是天地间郁结蒸腾的气机。当它升腾于上时,气机尚处于笼统凝结而未完全开放的状态,即使是寒冷的天气遇到这种气,也会觉得温暖,这是湿气的热性表现。当它布散护持于下时,气机即将流动演变并舒散,即使是暑热月份遇到这种气,也会觉得清凉,这是湿气的寒性表现。湿气的热性表现,多侵袭气虚之人,从而引发湿热病症,表现为头面部如被包裹感、四肢浮肿、身体沉重、转身侧卧不便等。湿气的寒性表现,多侵袭血虚之人,从而引发寒湿病症,表现为四肢酸痛、关节活动不利、筋脉拘挛、行走迟缓沉重等。那些不是因郁结蒸腾之气而得的,一定是因为冒雨行走、涉水而行,或者露天躺卧以图凉快,或者穿着汗湿的衣服不脱下,湿气逐渐浸渍在肌肉之中,渗入骨髓之内,流溢于脾胃之间,牢固缠绕于腰肾之处,从而导致肌肉寒冷而骨髓疼痛,脾胃虚弱而腰肾疼痛。若夹杂风痰,则出现麻木而不感觉知觉;若兼有瘀血,则出现木硬而无感觉;若触动火邪,则出现肿痛且难以忍受。随着所感受的病邪不同,疾病就会变得顽固难愈。那些不是因为冒雨涉水等原因而得的,一定是因为内伤生冷、酒类、面食之类食物,大多导致肚腹肿胀。医生审察其湿邪或是寒性或是热性,或是虚证或是实证,病位是在上还是在下面,感邪是在外还是在内,根据病情用药,大概就能治愈了。
Whenever late spring and early summer arrive, one feels headache and soreness in the legs, mental fatigue, reduced appetite, emaciation of the four limbs, and general weakness with lack of strength.
Buzhong Guyuan Tang (Tonify Middle and Secure Origin Decoction): Treats all symptoms associated with Zhuxia (Summer Lethargy Syndrome).
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Radix et Rhizoma) (each 1 qian), Shengdihuang (Rehmanniae Radix) (2 qian), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium) (each 8 fen), Jujubae Fructus (Jujube) (2 pieces). Decoct with water until approximately 80% remains, and take before retiring to bed.
Another prescription: Treats spontaneous sweating without cessation, fever with aversion to cold, weakness in the four limbs, and thirst.
Ingredients: Shigao (Gypsum Fibrosum) (2 qian, calcined), Zhimu (Anemarrhenae Rhizoma) (stir-fried with salt water), Renshen (Ginseng Radix), Gancao (Licorice Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Xuanshen (Scrophulariae Radix) (each 1.5 qian), plus Xiaomai (Tritici Levis Fructus) (8 fen). Decoct and take orally.
(Attachment: Discussion on Wei Syndrome)
Shiqi (Dampness) is the qi that stagnates and steams within heaven and earth. When it rises upward, the qi is still condensed and not yet fully open; even if encountered during cold weather, it feels warm. This is the heat aspect of dampness. When it spreads and protects downward, the qi is about to flow, evolve, and disperse; even if encountered during hot summer months, it feels cool. This is the cold aspect of dampness. The heat aspect of dampness mostly affects persons with Qi deficiency, leading to Damp-Heat syndromes, characterized by a sensation of the head and face being wrapped, edema of the four limbs, heaviness of the body, and difficulty in turning or changing position. The cold aspect of dampness mostly affects persons with Blood deficiency, leading to Cold-Damp syndromes, characterized by soreness and pain in the four limbs, stiffness and limited mobility of joints, spasms of sinews and vessels, and heavy, sluggish gait. Those cases not caused by stagnant steaming qi must result from walking in rain, wading through water, sleeping outdoors to seek coolness, or failing to change sweat-soaked clothes. The dampness gradually soaks into the muscles, penetrates into the bone marrow, flows between the Spleen and Stomach, and firmly entangles around the waist and Kidneys. This causes cold muscles and painful bone marrow, weak Spleen and Stomach, and painful waist and Kidneys. If complicated by Wind-Phlegm, numbness and loss of sensation occur. If combined with dead blood (blood stasis), hardness and insensibility result. If stirred by Fire pathogen, severe swelling, pain, and unbearable suffering ensue. Depending on the pathogen contracted, the disease becomes chronic and stubborn. Cases not caused by rain or wading must result from internal injury due to raw, cold, alcoholic, or flour-based foods, mostly leading to abdominal distension and swelling. The physician must examine whether the dampness is cold or heat, deficiency or excess, whether the disease is located above or below, and whether the pathogen is external or internal. Treating according to the specific condition will likely lead to recovery.