理。按照岐伯关于风厥表里的论述,应当采用针刺并配合汤药治疗。因此,张仲景治疗太阳中风证,服用桂枝汤后,如果反而出现烦躁且症状未解的情况,就针刺风池穴和风府穴,然后再给予桂枝汤,患者便痊愈了。
阳明中风证通过针刺可以好转。如果表证仍未解除,脉象表现为弦而浮的,给予小柴胡汤;如果脉象仅见浮而无其他症状的,给予麻黄汤。所以我常说,张仲景的治疗方法,完全依据《黄帝内经》。先圣与后圣的道理是一致的。
张仲景的方剂,完备地体现了“十剂”的分类法则:
轻可散实,如麻黄汤、葛根汤等方剂就是这类;
宣可决壅,如栀子豉汤、瓜蒂散两个方剂就是这类;
通可引滞,如五苓散、十枣汤之类的方剂就是这类;
涩可固脱,如赤石脂禹余粮汤、桃花汤就是这类;
补可扶弱,如附子理中丸就是这类;
重可镇怯,如禹余粮、代赭石(组成的方剂)就是这类;
湿可润燥,如黄连阿胶汤就是这类;
燥可去湿,如麻黄连翘赤小豆汤就是这类;
寒能胜热,如白虎汤、黄连汤就是这类;
热能制寒,如白通汤、四逆汤等方剂就是这类。
Principles. According to Qibo’s discussion on wind jue (wind-related syndrome involving interior and exterior) and its treatment, acupuncture combined with decoction should be employed. Therefore, when Zhang Zhongjing treated Taiyang Wind Strike (Taiyang Wind Syndrome), if the patient took Guizhi Tang (Cinnamon Twig Decoction) but developed irritability without relief, he would acupunctuate Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang again, resulting in recovery.
For Yangming Wind Strike, improvement can be achieved through acupuncture. If the exterior condition remains unresolved and the pulse is wiry and floating, Xiaochaihu Tang (Minor Bupleurum Decoction) is prescribed; if the pulse is merely floating without other symptoms, Mahuang Tang (Ephedra Decoction) is given. Thus, I often say that Zhang Zhongjing’s therapeutic methods are entirely based on the Huangdi Neijing (Yellow Emperor’s Inner Canon). The principles of the ancient sages and later sages are identical.
Zhang Zhongjing’s formulas fully embody the method of the "Ten Categories of Formulas" (Shi Ji):
Light agents can dissipate excess; examples include Mahuang Tang (Ephedra Decoction) and Gegen Tang (Kudzu Decoction).
Dispersing agents can resolve obstruction; examples include Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) and Gouti San (Melon Seed Powder).
Unblocking agents can guide away stagnation; examples include Wuling San (Five-Ling Powder) and Shizao Tang (Ten Jujube Decoction).
Astringent agents can secure collapse; examples include Chishizhi Yuyuli Tang (Red Kaolin and Hematite Decoction) and Taohua Tang (Peach Blossom Decoction).
Tonifying agents can support weakness; an example is Fuzi Lizhong Wan (Aconite and Centaury Pill for Regulating the Middle).
Heavy agents can calm fright; examples include formulations containing Yuyuli (Hematite) and Daizheshi (Ochre).
Damp agents can moisten dryness; an example is Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction).
Dry agents can eliminate dampness; an example is Mahang Lianqiao Xixiaodou Tang (Ephedra, Forsythia, and Red Bean Decoction).
Cold agents can overcome heat; examples include Baihu Tang (White Tiger Decoction) and Huanglian Tang (Coptis Decoction).
Hot agents can control cold; examples include Baitong Tang (Bai Tong Decoction) and Sini Tang (Reversed Cold Decoction).