如人汗出不已,此亡阳,气欲散也,故必以补为敛之为得也。方用∶
人参(一两) 黄 (一两) 当归(一两) 麦冬(三钱) 五味子(一钱) 桑叶(五片) 炒枣仁(一钱)
水煎服。
〔此方之妙,全在用参、归以补气,用山、萸五味以敛气,则补足以济敛之功,而敛足以滋补之益。况又有桑
叶收汗之妙品,调停于补敛之中,不偏于敛,亦不偏于补也。〕
人病发热,有外感,有内伤。外感必先散其邪气,邪气退而后补正气,正不为邪所伤也。若内伤之发热,方用∶
柴胡(一钱) 当归(一钱) 白芍(二钱) 栀子(一钱) 花粉(二钱) 陈皮(一钱) 甘草(一钱)
水煎服。
此方凡肝木郁者,用一剂即快,〔治内伤初起者神效。〕
病重于日间,而发寒发热,较夜尤重,此症必须从天未明而先截之。方用∶
人参(一钱) 白术(五钱) 陈皮(一钱) 青皮(一钱) 柴胡(三钱) 当归(三钱) 黄 (五钱)
甘草(一钱) 枳壳(一钱) 干姜(五分) 半夏(一钱)
水煎服。
又方∶
人参(一钱) 陈皮(一钱) 甘草(一钱) 白术(五钱) 柴胡(二钱) 熟地(一两) 白芥子(一钱)
水煎服。
病重于夜间,而发寒发热,或寒少热多,或热多寒少,一到天明便觉清爽,一到黄昏即觉沉重,此阴气虚甚
也。方用∶
熟地(一两) 山萸(四钱) 当归(三钱) 白芍(三钱) 柴胡(三钱) 陈皮(一钱) 鳖甲(五钱)
茯苓(五钱) 麦冬(三钱) 五味子(一钱) 白芥子(三钱) 生何首乌(三钱)
水煎服。
此方妙在用鳖甲,乃至阴之物,逢阴则入,遇阳则转;生何首乌直入阴经,且亦攻邪;白芥子去痰又不耗真
阴之气,有不奏功者乎?但必须黄昏时服,则阴气固而邪气不敢入也。
如果一个人出汗不止,这是亡阳(阳气极度衰竭),气机即将涣散,所以必须以补益的方法来收敛正气才是正确的。方剂如下:
人参(一两) 黄芪(一两) 当归(一两) 麦冬(三钱) 五味子(一钱) 桑叶(五片) 炒酸枣仁(一钱)
用水煎服。
〔这个方子的妙处,全在于用人参、当归来补气,用山茱萸、五味子来敛气,这样补益足以辅助收敛的功效,而收敛也足以增加补益的益处。况且又有桑叶这味收汗的妙药,在补益和收敛之间起到调和作用,既不偏重于收敛,也不偏重于补益。〕
人出现发热症状,有的是外感引起,有的是内伤引起。外感发热必须先发散邪气,等邪气退去后再补益正气,这样正气就不会被邪气所伤害。如果是内伤引起的发热,方剂如下:
柴胡(一钱) 当归(一钱) 白芍(二钱) 栀子(一钱) 天花粉(二钱) 陈皮(一钱) 甘草(一钱)
用水煎服。
此方对于肝气郁结的患者,服用一剂就会感到舒畅,〔治疗内伤初起者有神奇疗效。〕
病症在白天加重,并且发冷发热,比夜间更加严重,这种病症必须在天亮之前先进行截断治疗。方剂如下:
人参(一钱) 白术(五钱) 陈皮(一钱) 青皮(一钱) 柴胡(三钱) 当归(三钱) 黄芪(五钱)
甘草(一钱) 枳壳(一钱) 干姜(五分) 半夏(一钱)
用水煎服。
另一个方剂:
人参(一钱) 陈皮(一钱) 甘草(一钱) 白术(五钱) 柴胡(二钱) 熟地黄(一两) 白芥子(一钱)
用水煎服。
病症在夜间加重,并且发冷发热,或者冷少热多,或者热多冷少,一到天亮就觉得清爽,一到黄昏就觉得沉重,这是阴气极度虚弱所致。方剂如下:
熟地黄(一两) 山茱萸(四钱) 当归(三钱) 白芍(三钱) 柴胡(三钱) 陈皮(一钱) 鳖甲(五钱)
茯苓(五钱) 麦冬(三钱) 五味子(一钱) 白芥子(三钱) 生何首乌(三钱)
用水煎服。
这个方子的妙处在于使用鳖甲,它是至阴之物,遇到阴经则进入,遇到阳经则转化;生何首乌直接入阴经,且也能祛除邪气;白芥子去除痰湿又不耗损真阴之气,难道还会有不奏效的吗?但必须在黄昏时服用,这样阴气得以巩固,邪气就不敢侵入。
If a person sweats incessantly, this is Yang collapse (a condition of extreme depletion of Yang Qi), and the Qi is about to dissipate; therefore, it is correct to use tonification to consolidate. The prescription is as follows:
Ren Shen (Ginseng Radix) (1 liang), Huang Qi (Astragali Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix) (1 liang), Mai Dong (Ophiopogonis Tuber) (3 qian), Wu Wei Zi (Schisandrae Fructus) (1 qian), Sang Ye (Mori Folium) (5 leaves), Chao Zao Ren (Ziziphi Spinosae Semen, stir-fried) (1 qian).
Decoct in water and take orally.
[The brilliance of this prescription lies entirely in using Ren Shen and Dang Gui to tonify Qi, and using Shan Zhu Yu (Corni Fructus) and Wu Wei Zi to consolidate Qi. Thus, tonification suffices to aid the effect of consolidation, and consolidation suffices to enhance the benefit of tonification. Moreover, with Sang Ye, an excellent herb for arresting sweating, acting as a mediator between tonification and consolidation, it neither leans too heavily towards consolidation nor towards tonification.]
When a person suffers from fever, it may be due to external contraction or internal injury. For external contraction, one must first disperse the pathogenic factor; only after the pathogen recedes should one tonify the healthy Qi, so that the healthy Qi is not harmed by the pathogen. If the fever is due to internal injury, the prescription is as follows:
Chai Hu (Bupleuri Radix) (1 qian), Dang Gui (Angelicae Sinensis Radix) (1 qian), Bai Shao (Paeoniae Radix Alba) (2 qian), Zhi Zi (Gardeniae Fructus) (1 qian), Hua Fen (Trichosanthis Radix) (2 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Decoct in water and take orally.
For patients with Liver Qi stagnation, taking one dose brings immediate relief. [It is miraculously effective for treating early-stage internal injuries.]
If the illness worsens during the day, accompanied by chills and fever, and is more severe than at night, this condition must be intercepted before dawn. The prescription is as follows:
Ren Shen (Ginseng Radix) (1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (1 qian), Chai Hu (Bupleuri Radix) (3 qian), Dang Gui (Angelicae Sinensis Radix) (3 qian), Huang Qi (Astragali Radix) (5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Zhi Ke (Aurantii Fructus Immaturus) (1 qian), Gan Jiang (Zingiberis Rhizoma) (0.5 qian), Ban Xia (Pinelliae Rhizoma) (1 qian).
Decoct in water and take orally.
Another prescription:
Ren Shen (Ginseng Radix) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Chai Hu (Bupleuri Radix) (2 qian), Shu Di Huang (Rehmanniae Radix Praeparata) (1 liang), Bai Jie Zi (Sinapis Semen) (1 qian).
Decoct in water and take orally.
If the illness worsens at night, accompanied by chills and fever, where there may be less chills and more heat, or more heat and less chills, feeling refreshed upon dawn but heavy upon dusk, this indicates severe deficiency of Yin Qi. The prescription is as follows:
Shu Di Huang (Rehmanniae Radix Praeparata) (1 liang), Shan Zhu Yu (Corni Fructus) (4 qian), Dang Gui (Angelicae Sinensis Radix) (3 qian), Bai Shao (Paeoniae Radix Alba) (3 qian), Chai Hu (Bupleuri Radix) (3 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Bie Jia (Testudinis Carapax et Plastrum) (5 qian), Fu Ling (Poria) (5 qian), Mai Dong (Ophiopogonis Tuber) (3 qian), Wu Wei Zi (Schisandrae Fructus) (1 qian), Bai Jie Zi (Sinapis Semen) (3 qian), Sheng He Shou Wu (Polygoni Multiflori Radix, raw) (3 qian).
Decoct in water and take orally.
The brilliance of this prescription lies in the use of Bie Jia, which is a substance of extreme Yin nature; it enters when encountering Yin and transforms when encountering Yang. Sheng He Shou Wu directly enters the Yin meridians and also attacks pathogens. Bai Jie Zi removes phlegm without consuming the True Yin Qi. How could it fail to achieve its effect? However, it must be taken at dusk, so that Yin Qi is consolidated and pathogens dare not enter.