泻热补气,止嗽定喘,和脾胃,进饮食。
白术(五分) 黄 (四分) 桑白皮 甘草(炙) 人参(以上各三分) 麦门冬(去心) 青皮
(去白) 陈皮(去白) 地骨皮 白茯苓(以上各二分) 五味子(二十个)
《内经》云∶“火位之主,其泻以甘。”以黄 甘温,泻热补气;桑白皮苦微寒,泻肺火定喘,故以为
君。“肺欲收,急食酸以收之。”以五味子之酸,收耗散之气,止咳嗽。脾胃不足,以甘补之,故用白术、人
参、炙甘草,苦甘温补脾缓中为臣。地骨皮苦微寒,善解肌热;茯苓甘平降肺火;麦门冬甘微寒,保肺气
为佐。青皮、陈皮去白,苦辛温散胸中滞气为使也。
上件 咀如麻豆大,都作一服,水二盏,煎至一盏,去渣,大温服,早饭后。忌多语言劳役。
治男子妇人四肢发困热,肌热,筋骨间热,表热如火燎于肌肤,扪之烙手。夫四肢属脾,脾者土也,热
伏地中,此病多因血虚而得之也。又有胃虚过食冷物,郁遏阳气于脾土之中,并宜服之。
升麻 葛根 独活 羌活 白芍药 人参(以上各五钱) 甘草(炙) 柴胡(以上各三钱) 防风
(二钱五分) 甘草(生,二钱)
上件 咀如麻豆大,每服秤五钱,水二盏,煎至一盏,去渣,大温服,无时,忌寒凉之物。
(此方功效为)清泻热邪、补益元气,止咳平喘,调和脾胃,增进饮食。
白术(五分) 黄芪(四分) 桑白皮 甘草(炙) 人参(以上各三分) 麦门冬(去心) 青皮(去白) 陈皮(去白) 地骨皮 白茯苓(以上各二分) 五味子(二十个)
《黄帝内经》说:“对于火热病证,治疗应以甘味药来清泻。”使用黄芪的甘温之性,以清泻热邪并补益元气;桑白皮味苦微寒,能清泻肺火、定喘,所以作为君药。“肺脏喜欢收敛,急需食用酸味药来收敛它。”使用五味子的酸味,收敛耗散的气机,止住咳嗽。脾胃虚弱不足,用甘味药来补益,所以选用白术、人参、炙甘草,以苦甘温之性补脾缓中,作为臣药。地骨皮味苦微寒,善于解除肌表之热;茯苓味甘平,能降泄肺火;麦门冬味甘微寒,能保护肺气,作为佐药。青皮和陈皮去白,味苦辛温,能疏散胸中的滞气,作为使药。
以上药材切碎如麻豆大小,全部作为一剂服用,加水两盏,煎煮至一盏,滤去药渣,趁大温热服,在早饭后服用。忌多说话和过度劳累。
(升阳散火汤主治)男子和女子四肢困倦发热,肌肤发热,筋骨间发热,体表发热如火烧灼肌肤,触摸时烫手。四肢归属于脾,脾属土,热邪潜伏于体内(地中),这种病多因血虚而引发。又有因胃虚过食生冷食物,导致阳气被郁遏在脾土之中,这两种情况都适宜服用此方。
升麻 葛根 独活 羌活 白芍药 人参(以上各五钱) 甘草(炙) 柴胡(以上各三钱) 防风(二钱五分) 甘草(生,二钱)
以上药材切碎如麻豆大小,每次称取五钱,加水两盏,煎煮至一盏,滤去药渣,趁大温热服,不拘时候(随时可服),忌食寒凉之物。
( The efficacy of this formula is to) clear heat and drain fire, tonify qi, stop coughing and relieve asthma, harmonize the spleen and stomach, and promote appetite.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), 5 fen; Huang Qi (Astragali Radix), 4 fen; Sang Bai Pi (Mori Cortex), 3 fen; Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared with honey), 3 fen; Ren Shen (Ginseng Radix), 3 fen; Mai Men Dong (Ophiopogonis Tuber), heart removed, 3 fen; Qing Pi (Citri Reticulatae Pericarpium Viride), albedo removed, 2 fen; Chen Pi (Citri Reticulatae Pericarpium), albedo removed, 2 fen; Di Gu Pi (Lycii Cortex), 2 fen; Bai Fu Ling (Poria), 2 fen; Wu Wei Zi (Schisandrae Fructus), 20 berries.
The *Nei Jing* (Yellow Emperor's Inner Canon) states: "For diseases where fire is predominant, draining should be achieved using sweet flavors." Huang Qi (Astragali Radix) is sweet and warm, used to drain heat and tonify qi; Sang Bai Pi (Mori Cortex) is bitter and slightly cold, used to drain lung fire and calm asthma, thus serving as the Sovereign drug. "The Lung desires astringency; urgently consume sour foods to astringe it." Wu Wei Zi (Schisandrae Fructus) is sour, used to astringe scattered qi and stop coughing. Due to insufficiency of the Spleen and Stomach, they are tonified with sweet flavors; therefore, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix), and Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) are used. Their bitter, sweet, and warm properties tonify the spleen and moderate the middle jiao, serving as the Minister drugs. Di Gu Pi (Lycii Cortex) is bitter and slightly cold, excellent for resolving heat in the muscles; Fu Ling (Poria) is sweet and neutral, descending lung fire; Mai Men Dong (Ophiopogonis Tuber) is sweet and slightly cold, protecting lung qi, serving as the Assistant drugs. Qing Pi (Citri Reticulatae Pericarpium Viride) and Chen Pi (Citri Reticulatae Pericarpium), with the albedo removed, are bitter, pungent, and warm, dispersing stagnant qi in the chest, serving as the Guide drugs.
Chop the above ingredients into pieces the size of hemp or soybeans. Combine all as one dose. Add two cups of water, decoct until one cup remains, remove the dregs, and take warm. Administer after breakfast. Avoid excessive talking and physical overexertion.
(Treatment for) men and women suffering from fatigue and heat in the four limbs, heat in the skin and muscles, heat between the bones and sinews, and surface heat feeling like fire burning the skin, hot to the touch. The four limbs belong to the Spleen; the Spleen belongs to Earth. Heat lurking within the body (earth) often arises from blood deficiency. Additionally, if there is stomach deficiency combined with excessive consumption of cold foods, causing yang qi to be constrained within the spleen earth, both conditions are suitable for this prescription.
Sheng Ma (Cimicifugae Rhizoma), 5 qian; Ge Gen (Puerariae Lobatae Radix), 5 qian; Du Huo (Angelicae Pubescentis Radix), 5 qian; Qiang Huo (Notopterygii Rhizoma et Radix), 5 qian; Bai Shao Yao (Paeoniae Radix Alba), 5 qian; Ren Shen (Ginseng Radix), 5 qian; Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), 3 qian; Chai Hu (Bupleuri Radix), 3 qian; Fang Feng (Saposhnikoviae Radix), 2.5 qian; Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), 2 qian.
Chop the above ingredients into pieces the size of hemp or soybeans. Weigh 5 qian per dose. Add two cups of water, decoct until one cup remains, remove the dregs, and take warm at any time. Avoid cold and cooling foods.