汗出而喘,汗出而脉绝,汗出而身痛,汗出发润至巅,汗出如油,汗出如珠,凡见此类
,皆不得妄药。
玉屏风散
白术(二钱,炒) 黄 (二钱,炙) 防风(五分)
水煎服。
按∶宜以黄 为君,可加至五七钱。
当归六黄汤
治发热盗汗如神。
当归 熟地 生地 黄柏 黄连 黄芩(各一钱) 黄 (二钱,炙)
水一盅半,煎六七分服。加浮小麦、牡蛎各一钱,更效。
六味回阳汤
治阴阳俱脱,汗出不止。
熟地(四五钱或一两) 当归(二三钱) 干姜(一二钱,炮) 附子(二三四钱) 人参(二三钱至一两)
炙草(一二三钱)
水煎服。
按∶汗出亡阳者,以茯苓换当归,再加乌梅二枚。
真武汤(方见《伤寒》)
外治法
用五倍子研末,口水为丸,贴脐中。(男用女津,女用男津)外以膏药封之,不走气,隔
宿即止。又以龙骨、牡蛎 研为末,包稀布内擦汗,粉自出,以实毛窍。
参附汤 术附汤 附汤(俱见《时方》、俱见气喘)
喻氏曰∶卫外之阳不固而自汗,则用 附汤;脾中之阳遏郁而自汗,则用术附汤;肾中
之阳净游而自汗,则用参附汤。凡属阳虚自汗,不能舍三方为治。又曰∶ 、附可以治风虚
,术、附可以治寒湿,参、附可以壮元神。三者亦交相为用。
按∶用方之妙,得其性味化合,如珠之走盘,不拘成法。
莲枣麦豆汤
治盗汗方。
莲子(七粒) 黑枣(七个) 浮麦(一合) 马料豆(一合)
用水一大碗,煎八分,服三剂。
黄 豆汤
黄 马料豆
二味同煎服,半月愈。
五倍子膏
用五倍子去蛀末,炙干研末,男用女唾,女用男唾,调浓糊,填脐中。外用旧膏药贴之,勿令泄气,两次愈。
黑豆枣梅汤(俱见《种福堂》)
黑豆(三钱) 浮麦(一钱) 乌梅(三个)
水煎服。
汗出且伴有气喘,汗出且脉搏消失,汗出且身体疼痛,汗出且头发湿润直至头顶,汗出如油状,汗出如珠状,凡是出现这类症状的,都不可随意用药。
适宜见到阴脉,如果逐渐缓和则预后良好;忌讳见到阳脉,兼见短、涩、促、结、代、散、革等脉象的,难以治疗。
玉屏风散(Jade Windscreen Powder)
白术(二钱,炒制) 黄芪(二钱,蜜炙) 防风(五分)
用水煎服。
按语:适宜以黄芪为君药,用量可增加至五到七钱。
当归六黄汤(Danggui Liu Huang Decoction)
治疗发热盗汗效果极佳。
当归 熟地黄 生地黄 黄柏 黄连 黄芩(各一钱) 黄芪(二钱,蜜炙)
用水一盅半,煎至六七分,服用。加入浮小麦、牡蛎各一钱,效果更好。
六味回阳汤(Liuliwei Huiyang Decoction)
治疗阴阳俱脱,汗出不止。
熟地黄(四五钱或一两) 当归(二三钱) 干姜(一二钱,炮制) 附子(二三四钱) 人参(二三钱至一两)
炙甘草(一二三钱)
用水煎服。
按语:若是汗出导致亡阳的,用茯苓替换当归,再加乌梅两枚。
真武汤(Zhenwu Decoction)(方剂见《伤寒论》)
外治法
将五倍子研成粉末,用唾液调和成丸,贴敷于脐中。(男性用女性唾液,女性用男性唾液)外部再用膏药封住,防止气泄,隔宿即可停止。又可用龙骨、牡蛎研为粉末,包裹在稀布内擦拭出汗部位,使毛孔闭塞,汗自止。
参附汤 术附汤 附汤(均见于《时方歌括》,均用于治疗气喘)
喻嘉言说:卫外之阳气不固而自汗,则使用参附汤;脾中之阳气遏郁而自汗,则使用术附汤;肾中之阳气游离而自汗,则使用参附汤。凡是属于阳虚导致的自汗,不能离开这三方来治疗。又说:参、附可以治疗风虚,术、附可以治疗寒湿,参、附可以壮元神。这三者也可以交替使用。
按语:运用方剂的奥妙,在于掌握其性味化合,如同珍珠在盘中滚动,不拘泥于固定的法则。
莲枣麦豆汤
治疗盗汗的方剂。
莲子(七粒) 黑枣(七个) 浮小麦(一合) 马料豆(一合)
用水一大碗,煎至八分,服用三剂。
五倍子膏
取五倍子去蛀后研末,烤干研细,男性用女性唾液,女性用男性唾液,调成浓糊状,填入脐中。外部用旧膏药贴敷,不要令气泄露,两次即可痊愈。
Sweating accompanied by panting, sweating with absent pulse, sweating with body pain, sweating with hair moistening up to the vertex, sweating like oil, sweating like beads; whenever such symptoms appear, one must not administer medicine rashly.
A Yin pulse is favorable; if it gradually becomes relaxed and slow, the prognosis is good. A Yang pulse is unfavorable; if accompanied by short, choppy, rapid, knotted, intermittent, scattered, or leathery pulses, the condition is difficult to treat.
Yupingfeng San (Jade Screen Powder)
Baizhu (Atractylodis Rhizoma), two qian, stir-fried; Huangqi (Astragali Radix), two qian, honey-fried; Fangfeng (Saposhnikoviae Radix), five fen.
Decoct in water and take orally.
Note: It is advisable to use Huangqi as the sovereign drug, which can be increased to five to seven qian.
Danggui Liuhuang Tang (Angelica Sinensis Six-Yellow Decoction)
Treats fever and night sweats with miraculous effect.
Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Praeparata), Shengdihuang (Rehmanniae Radix), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), each one qian; Huangqi (Astragali Radix), two qian, honey-fried.
Decoct in one and a half zhang of water until about six or seven parts remain, then take orally. Adding Fuxiaomai (Tritici Levis Fructus) and Muli (Ostreae Concha), each one qian, yields even better results.
Liuliwei Huiyang Tang (Six-Ingredient Decoction to Restore Yang)
Treats simultaneous exhaustion of Yin and Yang, with incessant sweating.
Shudihuang (Rehmanniae Radix Praeparata), four to five qian or one liang; Danggui (Angelicae Sinensis Radix), two to three qian; Ganjiang (Zingiberis Rhizoma), one to two qian, processed; Fuzi (Aconiti Lateralis Radix Praeparata), two to four qian; Renshen (Ginseng Radix), two to three qian up to one liang; Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), one to three qian.
Decoct in water and take orally.
Note: In cases of sweating leading to collapse of Yang, replace Danggui with Fuling (Poria), and add two Wu Mei (Mume Fructus).
Zhenwu Tang (True Warrior Decoction) (Formula see *Shanghan Lun*)
External Treatment Methods
Grind Wubeizi (Galae Chinensis) into powder, mix with saliva to form pills, and apply to the umbilicus. (Men use women's saliva; women use men's saliva.) Seal externally with a plaster to prevent Qi leakage; stopping after one night is possible. Alternatively, grind Longgu (Fossilia Ossis Mammi) and Muli (Ostreae Concha) into powder, wrap in thin cloth, and rub on sweaty areas to close the pores and stop sweating.
Shenfu Tang (Ginseng and Aconite Decoction), Zhufu Tang (Atractylodes and Aconite Decoction), [Shen]fu Tang (see *Shifang Gekuan*, also see for panting).
Yu Jia Yan stated: When Wei (Defensive) Yang fails to secure the exterior causing spontaneous sweating, use Shenfu Tang; when Spleen Yang is obstructed causing spontaneous sweating, use Zhufu Tang; when Kidney Yang is drifting causing spontaneous sweating, use Shenfu Tang. For all cases of spontaneous sweating due to Yang deficiency, treatment cannot rely on any other formulas besides these three. He further stated: Ginseng and Aconite can treat wind-deficiency; Atractylodes and Aconite can treat cold-dampness; Ginseng and Aconite can strengthen the Primordial Spirit. These three can also be used interchangeably.
Note: The subtlety of using formulas lies in mastering their nature, flavor, and chemical interactions, moving freely like pearls on a plate, without being bound by rigid rules.
Lianzao Maidou Tang (Lotus Seed, Date, Floating Wheat, and Bean Decoction)
A formula for treating night sweats.
Lianzi (Nelumbinis Semen), seven grains; Heizao (Jujubae Fructus Niger), seven pieces; Fumai (Tritici Levis Fructus), one he; Maliaodou (Sojae Helvolae Semen), one he.
Decoct in one large bowl of water until eight parts remain, take three doses.
Huangqi Dou Tang (Astragalus and Black Bean Decoction)
Huangqi (Astragali Radix), Maliaodou (Sojae Helvolae Semen).
Decoct these two together and take orally; recovery occurs within half a month.
Wubeizi Gao (Chinese Gall Plaster)
Remove worm-eaten parts of Wubeizi (Galae Chinensis), dry by roasting, grind into powder. Men use women's saliva, women use men's saliva, mix into a thick paste, fill into the umbilicus. Cover externally with an old plaster, ensuring no Qi escapes; cured in two applications.
Heidou Zao Mei Tang (Black Bean, Date, and Plum Decoction) (See *Zhongfutang Gongxuan Liangfang*)
Heidou (Sojae Helvolae Semen), three qian; Fumai (Tritici Levis Fructus), one qian; Wumei (Mume Fructus), three pieces.
Decoct in water and take orally.