茯苓 桂枝 白术 甘草
吐下后。心下逆满。气上冲胸。起则头眩。脉沉紧。发汗则动经。身为振摇。此汤主之
。吐
误汗之。则外动经络。损伤阳气。阳气外虚。则不能主持诸脉。故身为振摇也。阳不足者。补
之以甘。茯苓白术。生津液而益阳。里气逆者。散之以辛。桂枝甘草。行阳分而散气。
茯苓 人参 附子 甘草 干姜
发汗。若下之。病仍不解而烦躁。此汤主之。发汗则阳气外虚。下之则阴气内虚。阴阳
俱虚。则生烦躁。既曰阴阳俱虚。独用气药者。盖为气药有生血之功也。
茯苓 桂枝 甘草 生姜
汗出不渴。此方主之。仲景云。汗出而渴者。五苓散。汗出不渴者。茯苓甘草汤。夫
渴为太阳传本。故利小便以涤热。不渴为表气虚弱。故与此汤以和卫。
栀子 香豉
汗吐下后。虚烦不得眠。若剧者。必心中懊 。栀子豉汤主之。若少气者。栀子甘草豉
汤。若呕者。栀子生姜豉汤。邪气自表传里。留于胸中。为邪在高分。则可吐也。所吐之症不同
。如未经汗下。邪郁于膈者。乃实邪也。以瓜蒂散吐之。若汗吐下后。邪气乘虚。留于胸者
。乃虚烦也。以栀子豉汤吐之。经曰。酸苦涌泄为阴。涌者。吐也。涌吐虚烦。必以栀子之苦为
君。清除伏热。必以香豉之寒为臣也。
茯苓、桂枝、白术、甘草
在呕吐或泻下治疗后,出现胃脘部胀满逆气,气向上冲至胸部,起身时感到头晕目眩,脉象沉而紧。若此时再发汗,则会扰动经络,导致身体震颤摇动。此证候由茯苓桂枝白术甘草汤(Poria, Cinnamon Twig, Atractodes Rhizome and Licorice Decoction)主治。
误用发汗法,会导致体表经络受扰,损伤阳气。阳气在外虚弱,便不能统摄诸脉,因此身体会出现震颤摇动的症状。对于阳气不足者,应用甘味药物来补益。茯苓和白术能生津液并增益阳气;对于体内气机逆乱者,应用辛味药物来疏散。桂枝和甘草能通行阳分并疏散逆气。
茯苓、人参、附子、甘草、干姜
经过发汗或泻下治疗后,病情仍未解除且出现烦躁不安,此证候由该方剂主治。发汗会导致阳气在外虚弱,泻下会导致阴气在内虚弱。阴阳俱虚,从而产生烦躁。既然说是阴阳俱虚,却单独使用补气药,是因为补气药具有生血的功效。
茯苓、桂枝、甘草、生姜
出汗且不口渴,此证候由该方剂主治。张仲景说:出汗且口渴的,用五苓散(Five-Ingredient Powder with Poria);出汗且不口渴的,用茯苓甘草汤(Poria, Cinnamon Twig, Licorice and Ginger Decoction)。口渴是太阳病传入本经(太阴脾)的表现,所以通过利小便来清除热邪;不口渴是因为表气虚弱,所以给予此方以调和卫气。
栀子、香豉
在发汗、催吐或泻下治疗后,出现心中虚烦、无法入睡的症状,如果病情严重,必定感到心中烦闷懊恼,此证候由栀子豉汤(Gardenia and Fermented Soybean Decoction)主治。如果伴有气短,用栀子甘草豉汤(Gardenia, Licorice and Fermented Soybean Decoction);如果伴有呕吐,用栀子生姜豉汤(Gardenia, Ginger and Fermented Soybean Decoction)。邪气从体表传入体内,停留在胸中,属于邪气位于高位(高分),可以采用涌吐法。所吐出的症状有所不同。如未经过汗、吐、下治疗,邪气郁结于膈膜,属于实邪,可用瓜蒂散(Melon Seed Powder)进行涌吐。若在汗、吐、下之后,邪气乘虚留滞于胸中,则属于虚烦,应用栀子豉汤进行涌吐。医经说:“酸味和苦味具有涌泄作用,属阴。”所谓“涌”,即指吐法。涌吐虚烦,必须以栀子的苦味作为君药,清除伏藏的热邪;必须以香豉的寒性作为臣药。
Fuling (Poria), Guizhi (Cinnamon Twig), Baizhu (Atractodes Rhizome), Gancao (Licorice)
After vomiting or purging, there is fullness and rebellious qi in the epigastrium, qi rushing upward to the chest, dizziness upon rising, and a deep, tight pulse. If sweating is induced at this time, it will disturb the meridians, causing the body to tremble and shake. This pattern is primarily treated with Fuling Guizhi Baizhu Gancao Tang (Poria, Cinnamon Twig, Atractodes Rhizome and Licorice Decoction).
Erroneous use of sweating methods disturbs the exterior meridians and damages Yang Qi. When Yang Qi is deficient on the exterior, it cannot govern the pulses, thus causing the body to tremble and shake. For those with insufficient Yang, sweet substances are used to tonify. Fuling (Poria) and Baizhu (Atractodes Rhizome) generate fluids and benefit Yang. For rebellious internal Qi, pungent substances are used to disperse. Guizhi (Cinnamon Twig) and Gancao (Licorice) circulate Yang Qi and disperse rebellious Qi.
Fuling (Poria), Renshen (Ginseng Radix), Fuzi (Prepared Aconite Root), Gancao (Licorice), Ganjiang (Dried Ginger)
After sweating or purging, if the disease persists with irritability, this pattern is primarily treated with this formula. Sweating causes exterior Yang Qi deficiency; purging causes interior Yin Qi deficiency. When both Yin and Yang are deficient, irritability arises. Although it states that both Yin and Yang are deficient, only Qi-tonifying herbs are used because Qi-tonifying herbs possess the function of generating Blood.
Fuling (Poria), Guizhi (Cinnamon Twig), Gancao (Licorice), Shengjiang (Fresh Ginger)
Sweating without thirst is primarily treated with this formula. Zhang Zhongjing stated: For sweating accompanied by thirst, Wuling San (Five-Ingredient Powder with Poria) is used; for sweating without thirst, Fuling Gancao Tang (Poria, Cinnamon Twig, Licorice and Ginger Decoction) is used. Thirst indicates the Taiyang syndrome transmitting to its root (Taiyin Spleen), so diuresis is employed to wash away heat. Lack of thirst indicates weakness of Exterior Qi, so this formula is given to harmonize Wei Qi (Defensive Qi).
Zhizi (Gardenia Fruit), Xiangchi (Fermented Soybean)
After sweating, vomiting, or purging, if there is empty irritability and inability to sleep, and in severe cases, profound mental restlessness and discomfort, Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is primarily used. If there is shortness of breath, Zhizi Gancao Chi Tang (Gardenia, Licorice and Fermented Soybean Decoction) is used; if there is vomiting, Zhizi Shengjiang Chi Tang (Gardenia, Ginger and Fermented Soybean Decoction) is used. Pathogenic factors transmit from the exterior to the interior and remain in the chest, indicating pathogen located in high regions, where emesis may be indicated. The symptoms to be vomited differ. If no sweating, vomiting, or purging has occurred and pathogens are constrained in the diaphragm, it is excess pathogen, treated with Gouti San (Melon Seed Powder) to induce vomiting. After sweating, vomiting, or purging, if pathogens take advantage of deficiency to remain in the chest, it is empty irritability, treated with Zhizi Chi Tang to induce vomiting. The classics state: "Acid and bitter flavors have the property of surging and draining, belonging to Yin." "Surging" refers to vomiting. To surge and drain empty irritability, the bitterness of Zhizi (Gardenia Fruit) must serve as the Sovereign herb to clear latent heat, and the cold nature of Xiangchi (Fermented Soybean) must serve as the Minister herb.