伤寒时气,表里俱虚,遍身发热,心胸烦闷,得汗已解,但内无津液,虚嬴少气,
欲吐及诸虚烦热与寒相似,但不恶寒,胸不疼头不痛,不可汗下者,并效。
石膏(一两六钱,研) 半夏(二钱五分,汤洗七次) 人参(二钱) 麦门冬(去心,
五钱五分) 甘草(炙,二钱) 每服五钱,入青竹叶十片,生姜三片,粳米百余粒,水煎服。
治心胆虚怯,触事易惊,梦寐不祥,异象感惑,气郁生涎,短气悸乏,自汗浮肿,
饮食无味。
枳实 半夏 竹茹 茯苓 甘草 香附子 人参 柴胡 桔梗 麦门冬 橘红姜枣水煎服。
柴胡 薄荷 当归 芍药 甘草 白术 茯苓 姜水煎服。加味者,加丹皮山栀
即四逆汤加减。治寒邪直中阴经,真寒证初病起,无身热无头疼,止恶寒四肢厥冷
战栗,腹疼吐泻不渴,引衣自盖,倦卧沉重,或手指甲唇青,或口吐涎沫,或至无
脉,或脉来沉迟无力。
熟附子 干姜 人参 甘草 白术 肉桂 陈皮 五味子 茯苓 半夏 姜水
煎。临服加麝香三厘,调服,以手足温和即止,不得多服。
治汗后大虚,头眩肉 ,自汗自利不止。
熟地 人参 白术 黄 甘草 芍药 当归 生地 茯苓 陈皮 肉桂 大附子 姜三片,
枣一枚,糯米一撮,水煎温服。
伤寒与时行疫病,表证与里证均呈现虚损状态,全身发热,心胸烦闷。虽然通过发汗后症状有所缓解,但体内津液枯竭,身体虚弱消瘦、气短乏力,有恶心欲吐之感,以及各类因虚而致的烦热。这种烦热表现类似寒证,但不恶寒,胸部不痛,头部不痛,此时不可使用发汗或攻下法治疗,本方对此类情况均有效。
石膏(一两六钱,研碎) 半夏(二钱五分,用开水清洗七次) 人参(二钱) 麦门冬(去除心部,五钱五分) 甘草(炙烤,二钱)。每次服用五钱药量,加入青竹叶十片,生姜三片,粳米百余粒,加水煎煮后服用。
治疗心胆虚怯,遇事容易受惊,梦境不祥,被奇异景象所迷惑,气机郁结产生痰涎,气短心悸乏力,自汗出,浮肿,饮食无味。
枳实 半夏 竹茹 茯苓 甘草 香附子 人参 柴胡 桔梗 麦门冬 橘红,加生姜、大枣水煎服。
柴胡 薄荷 当归 芍药 甘草 白术 茯苓,加生姜水煎服。若有加减变化者,加入牡丹皮、山栀子。
治疗伤寒导致的里寒泄泻,阴经病脉象沉伏,四肢厥逆等症状。(详细方剂见“中寒”章节)。
即四逆汤的加减方。治疗寒邪直接侵入阴经,真寒证在初起时,没有身体发热和头痛,仅表现为恶寒、四肢冰冷、战栗,腹痛、呕吐腹泻且不口渴,喜欢拉过衣物遮盖自己,疲倦嗜卧且身体沉重,或者手指甲及嘴唇发青,或者口吐涎沫,或者脉搏微弱至摸不到,或者脉象沉迟无力。
熟附子 干姜 人参 甘草 白术 肉桂 陈皮 五味子 茯苓 半夏,加生姜水煎。服药前加入麝香三厘,调和服用,待手足温暖后即停止用药,不可多服。
治疗发汗后出现的大虚证,头晕目眩,肌肉跳动,自汗不止,腹泻不止。
熟地黄 人参 白术 黄芪 甘草 芍药 当归 生地黄 茯苓 陈皮 肉桂 大附子,加生姜三片,大枣一枚,糯米一撮,加水煎煮后温服。
Typhoid fever and seasonal epidemics, with deficiency in both the exterior and interior, generalized fever, restlessness in the chest and heart. Although symptoms resolve after sweating, there is a lack of body fluids internally, resulting in emaciation, shortness of breath, nausea, and various types of deficiency-related irritability and heat. This irritability resembles cold syndrome but without aversion to cold, chest pain, or headache; sweating or purging methods are contraindicated. This formula is effective for such conditions.
Shigao (Gypsum Fibrosum, 1 liang 6 qian, crushed) Banxia (Pinelliae Rhizoma, 2 qian 5 fen, washed seven times with boiling water) Renshen (Ginseng Radix et Rhizoma, 2 qian) Maimendong (Ophiopogonis Radix, decentered, 5 qian 5 fen) Gancao (Licorice Radix et Rhizoma, honey-fried, 2 qian). Take 5 qian per dose, add 10 leaves of Qingzhuye (Young Leaves of Bambusa), 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and over 100 grains of Jingsmi (Oryza Sativa Germen), decoct with water and take orally.
Treats deficiency timidity of the Heart and Gallbladder, easily startled by events, ominous dreams, confusion caused by strange visions, Qi stagnation generating phlegm-saliva, shortness of breath, palpitations, fatigue, spontaneous sweating, edema, and loss of taste in food.
Zhishi (Aurantii Fructus Immaturus) Banxia (Pinelliae Rhizoma) Zhuru (Bambusae Caulis in Taenia) Fuling (Poria) Gancao (Licorice Radix et Rhizoma) Xiangfuzi (Cyperi Rhizoma) Renshen (Ginseng Radix et Rhizoma) Chaihu (Bupleuri Radix) Jiegeng (Platycodonis Radix) Maimendong (Ophiopogonis Radix) Juhong (Citri Reticulatae Pericarpium Rubrum), decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) and water.
Chaihu (Bupleuri Radix) Bohe (Menthae Haplocalycis Herba) Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix Alba) Gancao (Licorice Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria), decoct with Shengjiang (Zingiberis Rhizoma Recens) and water. For modified versions, add Mudanpi (Moutan Cortex) and Shanzhi (Gardeniae Fructus).
Treats interior cold dysentery due to typhoid, sinking pulse of Yin disease, cold extremities, etc. (See formula under "Interior Cold" chapter).
This is a modification of Sini Tang (Four Counterflow Decoction). It treats direct invasion of cold pathogen into the Yin meridians, initial stage of true cold syndrome: no fever, no headache, only aversion to cold, cold and trembling extremities, abdominal pain, vomiting and diarrhea without thirst, desire to cover oneself with clothes, lethargy and heaviness, cyanosis of fingernails and lips, salivation, absent pulse, or deep, slow, and weak pulse.
Shufu Zi (Aconiti Lateralis Radix Praeparata) Ganjiang (Zingiberis Rhizoma) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Rougui (Cinnamomi Cortex) Chenpi (Citri Reticulatae Pericarpium) Wuweizi (Schisandrae Chinensis Fructus) Fuling (Poria) Banxia (Pinelliae Rhizoma), decoct with Shengjiang (Zingiberis Rhizoma Recens) and water. Before administration, add 3 li of Shexiang (Moschus), mix well, and take orally. Stop when hands and feet become warm; do not overdose.
Treats severe deficiency after sweating, dizziness, muscle twitching, continuous spontaneous sweating, and continuous diarrhea.
Shudi Huang (Rehmanniae Radix Praeparata) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Huangqi (Astragali Radix) Gancao (Licorice Radix et Rhizoma) Shaoyao (Paeoniae Radix Alba) Danggui (Angelicae Sinensis Radix) Shengdi Huang (Rehmanniae Radix) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) Rougui (Cinnamomi Cortex) Dafuzi (Aconiti Lateralis Radix Praeparata), add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 1 Dazao (Jujubae Fructus), a pinch of Nuomici (Glutinous Rice), decoct with water and take warm.