半夏 白茯苓 甘草 橘红 用姜水煎。
此方半夏豁痰燥湿,橘红消痰利气,茯苓降气渗湿,甘草补脾和中。补脾则不生
湿,燥湿渗湿则不生痰,利气降气则痰消解,治痰之圣药也。有嫌半夏性燥,代以他
药,失其旨矣。如热痰加芩连;寒痰加姜桂;湿痰加苍白二术;食积痰加曲 、山
楂;风痰加南星;燥痰加栝蒌、青黛;郁瘀加枳壳、香附;老痰加海石、朴硝,合宜之
妙尽矣。
治发热有惊。
防风 山楂 桔梗 紫苏 天花粉 薄荷 陈皮 枳壳(各五分) 茯苓(三分) 甘草(二分) 水煎服。
小柴胡汤
见伤寒门。
麻黄汤
见伤寒门。
风热者,其症有二,有素因痰火郁热在内,热极生风,或为风寒所束、不得发越,
此热为本寒为标,治宜辛凉轻剂清热散风。若热甚生风者,但治其热而风自消,风未生
热者,但治其风而热自愈也。
疏导风热。
桔梗 木通 山楂 枳壳 前胡 陈皮 川芎 甘草 姜水煎,如气相仿发疮疹
者加蝉蜕;如内热加黄芩;如咳嗽加桑皮、杏仁。
伤风虽病之小者也。然谚云不醒即成痨,盖由乎金水二脏不足,阳气不能卫之于
外也。《经》曰∶伤于风者,头先受之,故必头痛。《经》曰∶阳浮者,热自发,阴弱
者,汗自出,故必发热自汗。若肉腠闭拒,虽有大风苛毒,弗之能害。《经》曰∶肉不
坚腠理疏,则善病风。又曰∶虚邪贼风,阳先受之,盖风者天之阳,风伤于卫,卫者人
之阳,以类相从也。治法不可发散太过,不可补益太早,更当审的内因外因为治。外因
者为有余,秋冬与辛温,春夏与辛凉,解肌表而从汗散。内因者为不足,固其卫气,兼
解风邪。若再发表,则重虚其虚。要知邪之所凑,其正必虚,倘徒事疏解,则已受之
邪,从此而去,未来之邪,何时而已耶?若既从发表之后而仍恶风自汗如故者,此营卫
伤而气血不充也。若调荣养卫为主。若调邪犹未尽,再加疏表,虚虚之祸,不可胜言。
如素有痰热壅遏太阴阳明二经,内有窠囊,则风邪易于外束。若为之招引者,然所谓风
乘火势,火逞风威,互相鼓煽者,必外加辛凉,以解其束,内加清热化痰以去其窠,则
绝表里相牵为患之害矣。勿谓秋毫之小病,若屡发渐变大 ,常多轻视忽略不守禁忌,
攻补误设,以致由浅入深,侵淫脏腑,气血日衰,金枯水涸,百病皆牢,变成痨瘵,不
可疗矣。
伤风者,书所谓新咳嗽而鼻塞声重者是也。凡有汗恶风,脉浮数为伤风,外有六经
之形证,如头项痛腰脊强,宜以桂枝汤或九味羌活汤治之。然轻重不一,由乎人之里气
虚实,而感冒随有深浅矣。初起则寒,故药宜辛温发散;郁久则热,故药宜辛凉和解,
切不可初用寒凉以致外邪不得疏散,郁火不得发越,则肺气益伤,犹引贼破家矣。至有
脾肺两虚,凑里不密,而数伤风者,愈发则愈虚,愈虚则愈感,惟补中益气汤最宜。
半夏、白茯苓、甘草、橘红,用姜水煎煮。
此方中半夏能豁痰燥湿,橘红能消痰利气,茯苓能降气渗湿,甘草能补脾和中。补脾则不生湿,燥湿渗湿则不生痰,利气降气则痰消解,这是治疗痰证的圣药。如果嫌弃半夏性燥,而用其他药物代替,就失去了本方的宗旨了。如热痰加黄芩、黄连;寒痰加干姜、肉桂;湿痰加苍术、白术;食积痰加神曲、山楂;风痰加天南星;燥痰加瓜蒌、青黛;郁瘀加枳壳、香附;老痰加海浮石、朴硝,合宜的妙处都在这里了。
治疗发热伴有惊悸。
防风、山楂、桔梗、紫苏、天花粉、薄荷、陈皮、枳壳(各五分),茯苓(三分),甘草(二分),水煎服。
小柴胡汤
见伤寒门。
麻黄汤
见伤寒门。
风热证,其症状有两种:一种是素来有痰火郁热在内,热极生风,或者被风寒束缚,不能发散;这种是热为本、寒为标,治疗宜用辛凉轻剂清热散风。如果是热甚生风者,只需治其热,风自然消除;如果是风未生热者,只需治其风,热自然痊愈。
疏导风热。
桔梗、木通、山楂、枳壳、前胡、陈皮、川芎、甘草,姜水煎煮。如气机相似且发疮疹者加蝉蜕;如内热加黄芩;如咳嗽加桑白皮、杏仁。
伤风虽然是小的病证。然而谚语说不醒即成痨(久咳不愈转为肺痨),这是因为金(肺)水(肾)二脏不足,阳气不能卫护于外。《内经》说:伤于风者,头先受之,所以必然头痛。《内经》说:阳浮者,热自发,阴弱者,汗自出,所以必然发热自汗。如果肌肉腠理闭拒坚固,即使有大风苛毒,也不能伤害它。《内经》说:肉不坚腠理疏,则容易生病风。又说:虚邪贼风,阳先受之,盖因风是天之阳,风伤于卫,卫是人之阳,以类相从。治疗方法不可发散太过,不可补益太早,更应当审察内因外因为治。外因为者是有余,秋冬用辛温,春夏用辛凉,解肌表而从汗散。内因为者是不足,固其卫气,兼解风邪。如果再发表,则会加重虚弱。要知道邪之所凑,其正必虚,倘若只从事疏解,那么已受的邪气从此而去,未来的邪气,何时才能停止呢?如果已经从发表之后仍然恶风自汗如故,这是营卫受伤而气血不充也。若以调荣养卫为主。如果调邪犹未尽,再加疏表,造成虚虚之祸,不可胜言。如果素有痰热壅遏太阴阳明二经,内有窠囊,则风邪易于外束。如果为之招引,所谓风乘火势,火逞风威,互相鼓煽者,必须外加辛凉,以解其束,内加清热化痰以去其窠,则断绝表里相牵为患的危害了。不要认为秋毫之小病,若屡发渐变大,常多轻视忽略不守禁忌,攻补误设,以致由浅入深,侵淫脏腑,气血日衰,金枯水涸,百病皆牢,变成痨瘵,不可疗矣。
伤风者,书所谓新咳嗽而鼻塞声重者是也。凡有汗恶风,脉浮数为伤风,外有六经之形证,如头项痛腰脊强,宜以桂枝汤或九味羌活汤治之。然轻重不一,由乎人之里气虚实,而感冒随有深浅矣。初起则寒,故药宜辛温发散;郁久则热,故药宜辛凉和解,切不可初用寒凉以致外邪不得疏散,郁火不得发越,则肺气益伤,犹引贼破家矣。至有脾肺两虚,凑里不密,而数伤风者,愈发则愈虚,愈虚则愈感,惟补中益气汤最宜。
Pinellia Rhizoma (Banxia), Poria (Baifuling), Licorice Root (Gancao), Tangerine Peel (Juhong), decocted with ginger water.
In this formula, Pinellia Rhizoma (Banxia) [Pinelliae Rhizoma] resolves phlegm and dries dampness; Tangerine Peel (Juhong) [Citri Reticulatae Pericarpium] eliminates phlegm and regulates qi; Poria (Baifuling) [Poria] descends qi and leaches out dampness; Licorice Root (Gancao) [Glycyrrhizae Radix et Rhizoma] tonifies the Spleen and harmonizes the Middle Jiao. Tonifying the Spleen prevents the generation of dampness; drying and leaching dampness prevents the generation of phlegm; regulating and descending qi causes phlegm to dissipate. This is the sacred medicine for treating phlegm. If one dislikes the dry nature of Pinellia Rhizoma (Banxia) and substitutes it with other herbs, the purport of the formula is lost. For hot-phlegm, add Scutellaria Root (Huangqin) [Scutellariae Radix] and Coptis Rhizome (Lian) [Coptidis Rhizoma]; for cold-phlegm, add Dried Ginger (Jiang) [Zingiberis Rhizoma] and Cinnamon Twig (Gui) [Cinnamomi Ramulus]; for damp-phlegm, add Atractylodes Macrocephala Rhizome (Baizhu) [Atractylodis Macrocephalae Rhizoma] and Atractylodes Rhizome (Cangzhu) [Atractylodis Rhizoma]; for food-stagnation phlegm, add Medicated Leaven (Qu) [Massa Medicata Fermentata] and Hawthorn Fruit (Shanzha) [Crataegi Fructus]; for wind-phlegm, add Arisaema Rhizome (Nanxing) [Arisaemae Tuber]; for dry-phlegm, add Trichosanthes Fruit (Gualou) [Trichosanthis Fructus] and Indigo Naturalis (Qingdai) [Indigo Naturalis]; for stagnation and blood stasis, add Aurantium Fructus (Zhike) [Aurantii Fructus] and Cyperus Rhizome (Xiangfu) [Cyperi Rhizoma]; for old-phlegm, add Haishizhong [Fossilia Ossis Massachuetensis] and Mirabilite (Puxiao) [Natri Sulfas], the subtlety of appropriate combination is fully realized here.
Treating fever accompanied by fright.
Saposhnikovia Root (Fangfeng) [Saposhnikoviae Radix], Hawthorn Fruit (Shanzha) [Crataegi Fructus], Platycodon Root (Jiegeng) [Platycodi Radix], Perilla Leaf (Zisu) [Perillae Folium], Trichosanthes Root (Tianhuafen) [Trichosanthis Radix], Mint Herb (Bohe) [Menthae Haplocalycis Herba], Tangerine Peel (Chenpi) [Citri Reticulatae Pericarpium], Aurantium Fructus (Zhike) [Aurantii Fructus] (each 5 fen); Poria (Fuling) [Poria] (3 fen); Licorice Root (Gancao) [Glycyrrhizae Radix et Rhizoma] (2 fen). Decoct in water and take orally.
Xiao Chai Hu Tang (Minor Bupleurum Decoction)
See Shanghan Section.
Ma Huang Tang (Ephedra Decoction)
See Shanghan Section.
Wind-heat syndrome has two types of symptoms: one type involves pre-existing phlegm-fire and stagnant heat inside, where extreme heat generates wind, or it is constrained by wind-cold and cannot be dispersed; this is heat as the root and cold as the branch, treatment should employ a mild acrid-cool agent to clear heat and disperse wind. If heat is severe generating wind, only treat the heat and the wind will naturally subside; if wind has not yet generated heat, only treat the wind and the heat will naturally heal.
Guiding and dispersing wind-heat.
Platycodon Root (Jiegeng) [Platycodi Radix], Akebia Caulis (Mutong) [Akebiae Caulis], Hawthorn Fruit (Shanzha) [Crataegi Fructus], Aurantium Fructus (Zhike) [Aurantii Fructus], Peucedani Radix (Qianhu) [Peucedani Radix], Tangerine Peel (Chenpi) [Citri Reticulatae Pericarpium], Ligusticum Rhizome (Chuanxiong) [Ligustici Chuanxiong Rhizoma], Licorice Root (Gancao) [Glycyrrhizae Radix et Rhizoma], decocted with ginger water. If the Qi pattern resembles that of eruptive sores/rashes, add Cicada Slough (Chantui) [Cicadae Periostracum]; if internal heat, add Scutellaria Root (Huangqin) [Scutellariae Radix]; if cough, add Mulberry Bark (Sangpi) [Mori Cortex] and Apricot Seed (Xingren) [Armeniacae Semen].
Wind injury (Shangfeng) is although a minor disease. However, the proverb says "if not awakened, it becomes consumption" (long-standing cough turning into pulmonary tuberculosis), due to insufficiency of Metal (Lung) and Water (Kidney) organs, and Yang Qi failing to defend on the exterior. The Classic states: "Those injured by wind, the head receives it first," thus headache is inevitable. The Classic states: "When Yang floats, heat spontaneously arises; when Yin is weak, sweat spontaneously issues," thus fever and spontaneous sweating are inevitable. If flesh and pores are closed and resistant, even great wind and harsh toxins cannot harm. The Classic states: "If flesh is not firm and pores are loose, one easily suffers from wind diseases." It also says: "Deficient evils and thieving winds, Yang receives them first; for wind is Heaven's Yang, wind injures Wei (Defensive) Qi, and Wei Qi is Man's Yang, they follow their kind." Treatment methods must not disperse too excessively, nor tonify too early; one must further examine whether the cause is internal or external to treat accordingly. External causes imply excess; in Autumn and Winter use Acrid-Warm agents, in Spring and Summer use Acrid-Cool agents, to resolve the muscle layer and scatter via sweat. Internal causes imply deficiency; consolidate Wei Qi and simultaneously resolve wind pathogens. If one again uses exterior-releasing methods, it will doubly weaken the deficiency. One must know that where pathogenic factors gather, Zheng Qi (Upright Qi) is necessarily deficient; if one merely engages in dispersing and resolving, the already received pathogen departs, but when will future pathogens cease? If after exterior release, aversion to wind and spontaneous sweating remain unchanged, this indicates Ying (Nutritive) and Wei (Defensive) injury with insufficient Qi and Blood. Focus primarily on nourishing Ying and supporting Wei. If residual pathogens remain and one adds exterior-dispersing methods, the disaster of "weakening the deficient" is incalculable. If one habitually has phlegm-heat obstructing the Taiyin and Yangming meridians, forming internal nests, then wind pathogens easily bind externally. If attracted thereby, as described where wind rides fire's momentum and fire displays wind's might, mutually fanning each other, one must externally add Acrid-Cool agents to resolve the binding, and internally add heat-clearing and phlegm-resolving agents to remove the nests, thus cutting off the harm of interior-exterior mutual entanglement. Do not regard it as a minor illness like an autumn hair; if recurring frequently and gradually worsening, often people neglect it, ignore taboos, misuse attacking and tonifying methods, leading from superficial to deep, invading Zang-Fu organs, daily declining Qi and Blood, drying up Metal and exhausting Water, all diseases becoming entrenched, transforming into consumption (Laozai), which is incurable.
Wind injury refers to what books call new-onset cough with nasal congestion and heavy voice. Generally, sweating, aversion to wind, and floating-rapid pulse indicate wind injury. Externally presenting Six Channels manifestations, such as headache, neck stiffness, and back/spine rigidity, should be treated with Guizhi Tang (Cinnamon Twig Decoction) or Jiwei Qianghuo Tang (Eight-Armed Notopterygium Decoction). However, severity varies depending on the person's interior Qi deficiency or excess, and colds vary in depth. Initially there is cold, so medicines should be Acrid-Warm and dispersing; if stagnant for long, there is heat, so medicines should be Acrid-Cool and harmonizing. One must absolutely not use Cold-Cool agents initially, causing exterior pathogens not to disperse and stagnant fire not to vent, thereby further injuring Lung Qi, which is like inviting thieves to destroy the home. For those with dual Spleen-Lung deficiency, loose interior defenses, and frequent wind injuries, the more it erupts the more deficient it becomes, the more deficient it is the more susceptible it becomes; only Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) is most suitable.