大己寒丸∶
治大寒积冷,脏腑虚〔寒〕,心腹疼痛,胸胁胀满,泄泻肠鸣,下利自汗,米
谷不化,阳气暴衰,阴气独盛,手足厥冷,伤寒阴胜,神昏脉短,四肢怠惰,并宜服之。
干姜 良姜(各六两) 桂 荜茇(各四两)
上〔为末〕,水糊丸梧子大,每二十丸,米饮汤下,食前服。
四逆汤∶
治阴证伤寒,自利不渴,呕哕不止,〔或〕吐利俱作,小便涩;或利,脉微欲绝,
腹痛胀满,手足厥冷;或〔病〕内寒外热,下利清谷,四肢沉重;或汗出不止,并宜
服之。〔此药助阳救衰〕
甘草(炙六钱) 干姜(半两) 熟附子(一枚去皮)
上 咀,每服四钱,水一盏半,煎至七分,温服,不拘时。
附子理中丸∶
治脾胃冷弱,心腹绞痛,呕吐泻利,转筋霍乱,体冷微汗,手足厥冷,心下逆满,
腹中雷鸣,呕吐不止,饮食不进,及一切沉寒痼冷,并宜服之。
人参 白术 干姜(炮) 甘草 附子(各二两炮去皮脐)
上〔五味为末〕,炼蜜丸,〔每两作十丸〕,每〔服〕一丸,水一盏,拍破,煎至七分,稍热,
空心食前服之。
胡椒理中丸∶
治脾胃虚寒,气不通宣,咳嗽喘急,逆气虚痞,胸膈噎闷,腹胀满痛,迫塞短
气,不能饮食,呕吐痰水不止。
胡椒 荜茇 干姜(炮) 款冬花 甘草 陈皮 良姜 细辛(去苗各四两) 白术(五两)
上为细末,炼蜜丸梧子大,每服五丸至七丸,温酒下,不拘时,日进三服。
理中丸∶
治中焦不和,脾胃宿冷,心下虚痞,腹疼痛,胸胁逆冷,饮食不下,噫气吞酸,
口苦失味,怠惰嗜卧,不思饮食,及肠鸣自利,米谷不化。
白术 干姜(炮) 人参(去芦) 甘草(炙各等分)
上〔为末〕,炼蜜丸梧子大,每服三十丸至五十丸,空心沸汤下。为粗末,理中
汤也,味数相同。
铁刷汤∶
治积寒痰饮,呕吐不止,胸膈不快,饮食不下,并宜服之。
半夏 草豆蔻 丁香 干姜(炮) 〔诃〕子皮(各三钱) 生姜(一两)
上 咀,水五盏,煎至二盏半,去渣,分三服,相继不拘时。大吐不止,加附子三
钱,生姜半两。
桂附丸∶
治风邪冷气,入乘心络,或脏腑暴感风寒,上乘于心,令人卒然心痛,或引背膂,
甚则经久不瘥。
川乌头(三两炮去皮脐) 附子(三两) 干姜(二两炮) 赤石脂(二两) 桂(二两)
蜀椒(去目微炒)
上〔六味为末〕,蜜丸如梧子大,每〔服〕三十丸,温水下,觉至痛处即止;若不
止,加至五十丸,以知为度。若早服无所觉,至午后,再〔服〕二十丸。若久
心痛,每服三十丸至五十丸,尽一剂,终身不发。
姜附汤∶
治五脏中寒,或卒然晕闷,手足厥冷。
干姜 附子(炮去皮脐) 甘草(炙各半两)
上 咀,每服四钱,水盏半,姜五片,煎至七分,去渣,食前服。挟风不仁,
加防风半两;兼湿肿满,加白术半两;筋脉挛急,加木瓜半两;肢节疼,加桂心半
两。
加减白通汤∶
治形寒饮冷,大便自利,完谷不化,腹脐冷痛,足胫寒逆。〔《内经》〕云∶寒淫
于内,治以辛热;湿淫于内,治以苦热,以苦发之。以附子大辛热,助阳退阴,温
经散寒,故以为君。干姜、官桂,辛甘大热,亦除寒湿;白术、半夏苦辛,温胃燥脾
湿,故为臣。草豆蔻、炙甘草、人参,甘辛大温,温中益气;生姜辛大温,能除湿之
邪;葱白辛温,以通上焦阳气,故以为佐。又云∶补下治下制以急,急则气味浓,故大
作汤剂投之,不数服而(止)痛减,足胫渐温,调饮食数〔次〕平〔复〕。
附子(一两去皮脐) 干姜(一两炮) 官桂(五钱) 白术(五钱) 草豆蔻(煨) 甘草 人参 半
夏(炮各五钱)
上 咀,每两,水二盏半,生姜五片,葱五茎,煎至一盏二分,去滓,空心服。
二姜丸∶
治痼冷。
良姜 干姜(炮各三两)
上〔二味等分〕,为末,酒糊丸梧子大,每服三十丸,空心下。
术附汤∶
治沉寒痼冷。
黑附子(炮一两) 白术(一两半) 甘草(炙,七钱半)
上为细末,每服三、五钱,水盏半,姜五片,枣二枚,拍破,煎至一盏,去滓,食后温服。
大己寒丸:
治疗大寒积滞、脏腑虚寒,心腹疼痛,胸胁胀满,泄泻肠鸣,下利自汗,米谷不化,阳气暴衰,阴气独盛,手足厥冷,伤寒阴胜,神昏脉短,四肢怠惰,均适宜服用。
干姜、良姜(各六两)、桂枝、荜茇(各四两)
以上药材研为细末,用水糊制作成梧桐子大小的药丸,每次服用二十丸,用米汤送服,饭前服用。
四逆汤:
治疗阴证伤寒,自利不渴,呕吐呃逆不止,或者吐利同时发作,小便涩痛;或者腹泻,脉微欲绝,腹痛胀满,手足厥冷;或者内寒外热,下利完谷不化,四肢沉重;或者汗出不止,均适宜服用。(此药助阳救衰)
甘草(炙六钱)、干姜(半两)、熟附子(一枚,去皮)
以上药材切碎,每次服用四钱,加水一盏半,煎至七分,温服,不拘时间。
附子理中丸:
治疗脾胃虚寒,心腹绞痛,呕吐泻利,转筋霍乱,身体发冷微汗,手足厥冷,心下逆满,腹中雷鸣,呕吐不止,饮食不进,以及一切沉寒痼冷,均适宜服用。
人参、白术、干姜(炮制)、甘草、附子(各二两,炮制后去皮去脐)
以上五味药研为细末,用炼蜜制作药丸,每两药粉制成十丸,每次服用一丸,加水一盏,拍破生姜放入,煎至七分,稍热后,空腹饭前服用。
胡椒理中丸:
治疗脾胃虚寒,气机不通畅,咳嗽喘急,逆气虚痞,胸膈噎闷,腹胀满痛,迫塞短气,不能饮食,呕吐痰水不止。
胡椒、荜茇、干姜(炮制)、款冬花、甘草、陈皮、良姜、细辛(去苗,各四两)、白术(五两)
以上药材研为细末,用炼蜜制作成梧桐子大小的药丸,每次服用五丸至七丸,用温酒送服,不拘时间,每日进服三次。
理中丸:
治疗中焦不和,脾胃宿冷,心下虚痞,腹部疼痛,胸胁逆冷,饮食不下,嗳气吞酸,口苦失味,怠惰嗜卧,不思饮食,以及肠鸣自利,米谷不化。
白术、干姜(炮制)、人参(去芦头)、甘草(炙,各等分)
以上药材研为细末,用炼蜜制作成梧桐子大小的药丸,每次服用三十丸至五十丸,空腹时用沸水送服。若制成粗末,即为理中汤,药味数量相同。
铁刷汤:
治疗积寒痰饮,呕吐不止,胸膈不快,饮食不下,均适宜服用。
半夏、草豆蔻、丁香、干姜(炮制)、诃子皮(各三钱)、生姜(一两)
以上药材切碎,加水五盏,煎至二盏半,去渣,分三次服用,相继服用,不拘时间。若呕吐不止,加附子三钱,生姜半两。
桂附丸:
治疗风邪冷气,侵入心络,或脏腑突然感受风寒,上乘于心,导致突然心痛,或者牵引背部脊柱,严重时经久不愈。
川乌头(三两,炮制后去皮去脐)、附子(三两)、干姜(二两,炮制)、赤石脂(二两)、桂枝(二两)、蜀椒(去目,微炒)
以上六味药研为细末,用蜂蜜制作成梧桐子大小的药丸,每次服用三十丸,温水送服,感觉到疼痛到达病灶处即停止;如果疼痛不止,加至五十丸,以见效为度。如果早上服用没有感觉,到下午再服用二十丸。如果是久病心痛,每次服用三十丸至五十丸,服完一剂,终身不再发作。
姜附汤:
治疗五脏中寒,或者突然晕闷,手足厥冷。
干姜、附子(炮制后去皮去脐)、甘草(炙,各半两)
以上药材切碎,每次服用四钱,加水一盏半,生姜五片,煎至七分,去渣,饭前服用。兼挟风邪导致肢体麻木不仁,加防风半两;兼挟湿邪导致肿胀满闷,加白术半两;筋脉挛急,加木瓜半两;肢节疼痛,加桂心半两。
加减白通汤:
治疗形寒饮冷,大便自利,完谷不化,腹脐冷痛,足胫寒逆。《内经》说:寒邪淫于内,用辛热药物治疗;湿邪淫于内,用苦热药物治疗,并用苦味药发散。因为附子大辛大热,能助阳退阴,温经散寒,所以作为君药。干姜、官桂,辛甘大热,也能除寒湿;白术、半夏苦辛,能温胃燥脾湿,所以作为臣药。草豆蔻、炙甘草、人参,甘辛大温,能温中益气;生姜辛大温,能除湿邪;葱白辛温,能通上焦阳气,所以作为佐药。又说:补下治下,制剂要急,急则气味浓厚,所以大作汤剂投服,不需多服而疼痛减轻,足胫逐渐温暖,调理饮食数次即可平复恢复。
附子(一两,去皮去脐)、干姜(一两,炮制)、官桂(五钱)、白术(五钱)、草豆蔻(煨)、甘草、人参、半夏(炮制,各五钱)
以上药材切碎,每两药,加水二盏半,生姜五片,葱五茎,煎至一盏二分,去渣,空腹服用。
二姜丸:
治疗痼冷。
良姜、干姜(炮制,各三两)
以上两味药等分,研为细末,用酒糊制作成梧桐子大小的药丸,每次服用三十丸,空腹服用。
术附汤:
治疗沉寒痼冷。
黑附子(炮制一两)、白术(一两半)、甘草(炙,七钱半)
以上药材研为细末,每次服用三、五钱,加水一盏半,生姜五片,大枣二枚,拍破,煎至一盏,去渣,饭后温服。
Da Ji Han Wan (Great Alleviation of Cold Pill):
Treats severe cold accumulation and deficiency-cold of the Zang-Fu organs, pain in the heart and abdomen, distension and fullness in the chest and hypochondrium, diarrhea with borborygmus, spontaneous sweating during purging, undigested food in stool, sudden decline of Yang Qi, exclusive dominance of Yin Qi, cold limbs, excess Yin in Shaoyin syndrome, coma with short pulse, lethargy of the four limbs. It is suitable for all these conditions.
Ganjiang (Dried Ginger Rhizome), Liangjiang (Galangal Rhizome) (each 6 liang), Guizhi (Cinnamon Twig), Bibai (Long Pepper Fruit) (each 4 liang).
Grind the above ingredients into fine powder, mix with water paste to make pills the size of a wutong seed. Take 20 pills each time, administered with rice soup, before meals.
Si Ni Tang (Frigid Extremities Decoction):
Treats Yin-pattern Shanghan (cold damage), spontaneous diarrhea without thirst, persistent vomiting and hiccups, or simultaneous vomiting and diarrhea with astringent urination; or diarrhea with a faint pulse nearly imperceptible, abdominal pain and distension, cold limbs; or internal cold with external heat, purging of undigested food, heavy limbs; or unceasing sweating. It is suitable for all these conditions. (This medicine assists Yang to rescue collapse.)
Gancao (Licorice Root, honey-fried) (6 qian), Ganjiang (Dried Ginger Rhizome) (0.5 liang), Shufuzi (Prepared Aconite Child Root) (1 piece, peeled).
Cut the ingredients. Take 4 qian per dose, add 1.5 zhan of water, decoct until 0.7 zhan remains, take warm, at any time.
Fuzi Lizhong Wan (Aconite Regulate the Middle Pill):
Treats cold-weakness of the Spleen and Stomach, colicky pain in the heart and abdomen, vomiting and diarrhea, tetany and cholera-like symptoms, cold body with slight sweating, cold limbs, rebellious fullness below the heart, borborygmus in the abdomen, persistent vomiting, inability to eat, and all types of deep-seated cold and stubborn cold. It is suitable for all these conditions.
Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger Rhizome, processed), Gancao (Licorice Root), Fuzi (Aconite Lateral Root, each 2 liang, processed, peeled, umbilicus removed).
Grind the five ingredients into powder, make pills with refined honey. Each liang of powder makes 10 pills. Take 1 pill per dose, add 1 zhan of water, crush fresh ginger, decoct until 0.7 zhan remains, take slightly warm, on an empty stomach before meals.
Hujiao Lizhong Wan (Pepper Regulate the Middle Pill):
Treats deficiency-cold of the Spleen and Stomach, qi stagnation and failure to circulate freely, cough and asthma, rebellious qi and deficiency-type痞 (fullness), oppression in the chest and diaphragm, abdominal distension and pain, suffocating sensation and shortness of breath, inability to eat, persistent vomiting of phlegm and water.
Hujiao (Black Pepper Fruit), Bibai (Long Pepper Fruit), Ganjiang (Dried Ginger Rhizome, processed), Kudonghua (Winter Flower Bud), Gancao (Licorice Root), Chenpi (Aged Tangerine Peel), Liangjiang (Galangal Rhizome), Xixin (Asarum Root, radix removed) (each 4 liang), Baizhu (Atractylodes Macrocephala Rhizome) (5 liang).
Grind into fine powder, make pills with refined honey the size of a wutong seed. Take 5 to 7 pills per dose, administer with warm wine, at any time, three times daily.
Lizhong Wan (Regulate the Middle Pill):
Treats disharmony of the Middle Jiao, chronic cold of the Spleen and Stomach, deficiency-fullness below the heart, abdominal pain, cold reversal in the chest and hypochondrium, inability to swallow food, belching with acid regurgitation, bitter taste and loss of flavor, lethargy and desire to lie down, lack of appetite, as well as borborygmus with spontaneous diarrhea and undigested food.
Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger Rhizome, processed), Renshen (Ginseng Root, rhizome removed), Gancao (Licorice Root, honey-fried) (equal parts).
Grind into powder, make pills with refined honey the size of a wutong seed. Take 30 to 50 pills per dose, administer with boiling water on an empty stomach. If made into coarse powder, it becomes Lizhong Tang (Decoction), with the same number of ingredients.
Tie Shua Tang (Iron Brush Decoction):
Treats accumulated cold and phlegm-fluid retention, persistent vomiting, discomfort in the chest and diaphragm, inability to eat. It is suitable for all these conditions.
Banxia (Pinellia Tuber), Caodoukou (Cardamom Seed), Dingxiang (Clove), Ganjiang (Dried Ginger Rhizome, processed), Heqizi Pi (Pericarpium Terminaliae Chebulae) (each 3 qian), Shengjiang (Fresh Ginger Rhizome) (1 liang).
Cut the ingredients, add 5 zhan of water, decoct until 2.5 zhan remains, remove dregs, divide into three doses, take successively at any time. If vomiting persists, add Fuzi (Aconite Lateral Root) 3 qian, Shengjiang (Fresh Ginger Rhizome) 0.5 liang.
Gui Fu Wan (Cinnamon and Aconite Pill):
Treats wind-pathogen and cold qi invading the Heart collateral, or sudden exposure of the Zang-Fu organs to wind-cold, ascending to affect the Heart, causing sudden heart pain, or pain radiating to the back and spine, which may persist for a long time if severe.
Chuanwutou (Sichuan Aconite Mother Root, processed, peeled, umbilicus removed) (3 liang), Fuzi (Aconite Lateral Root) (3 liang), Ganjiang (Dried Ginger Rhizome, processed) (2 liang), Chishizhi (Red Halloysite) (2 liang), Guizhi (Cinnamon Twig) (2 liang), Shujiao (Sichuan Pepper Fruit, eyes removed, lightly stir-fried).
Grind the six ingredients into powder, make pills with honey the size of a wutong seed. Take 30 pills per dose, administer with warm water. Stop when the pain reaches the affected area; if pain persists, increase to 50 pills, taking effectiveness as the limit. If no effect is felt after morning administration, take another 20 pills in the afternoon. For chronic heart pain, take 30 to 50 pills per dose, finish one course, and it will not recur for life.
Jiang Fu Tang (Ginger and Aconite Decoction):
Treats cold invasion of the Five Zang organs, or sudden fainting and dizziness with cold limbs.
Ganjiang (Dried Ginger Rhizome), Fuzi (Aconite Lateral Root, processed, peeled, umbilicus removed), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Cut the ingredients. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of ginger, decoct until 0.7 zhan remains, remove dregs, take before meals. For accompanying wind causing numbness, add Fangfeng (Saposhnikovia Root) 0.5 liang; for accompanying dampness causing swelling and fullness, add Baizhu (Atractylodes Macrocephala Rhizome) 0.5 liang; for tendon and vessel spasms, add Mugua (Chaenomeles Fruit) 0.5 liang; for limb and joint pain, add Guixin (Cinnamon Bark) 0.5 liang.
Jiajian Baitong Tang (Modified White Connective Decoction):
Treats cold from external form and cold drinks, spontaneous diarrhea with undigested food, cold pain in the abdomen and navel, cold reversal in the lower legs. The *Neijing* states: "When cold dominates internally, treat with acrid-hot herbs; when dampness dominates internally, treat with bitter-hot herbs, and use bitter herbs to disperse." Because Fuzi (Aconite Lateral Root) is extremely acrid and hot, it assists Yang to retreat Yin, warms the meridians and dissipates cold, thus serving as the Sovereign herb. Ganjiang (Dried Ginger Rhizome) and Guanzi Gui (Official Cinnamon Bark) are acrid, sweet, and extremely hot, also dispelling cold-dampness; Baizhu (Atractylodes Macrocephala Rhizome) and Banxia (Pinellia Tuber) are bitter and acrid, warming the Stomach and drying Spleen dampness, thus serving as Ministers. Caodoukou (Cardamom Seed), honey-fried Gancao (Licorice Root), and Renshen (Ginseng Root) are sweet, acrid, and extremely warm, warming the Middle and benefiting Qi; Shengjiang (Fresh Ginger Rhizome) is acrid and extremely warm, able to dispel dampness; Congbai (Scallion White) is acrid and warm, unblocking the Yang Qi of the Upper Jiao, thus serving as Assistants. It is also stated: "To tonify the Lower and treat the Lower, the preparation should be urgent; urgency implies strong flavor and potency." Therefore, prepare a large decoction. Pain will subside after few doses, lower legs will gradually warm, and recovery will occur after adjusting diet several times.
Fuzi (Aconite Lateral Root, peeled, umbilicus removed) (1 liang), Ganjiang (Dried Ginger Rhizome, processed) (1 liang), Guanzi Gui (Official Cinnamon Bark) (5 qian), Baizhu (Atractylodes Macrocephala Rhizome) (5 qian), Caodoukou (Cardamom Seed, roasted), Gancao (Licorice Root), Renshen (Ginseng Root), Banxia (Pinellia Tuber, processed) (each 5 qian).
Cut the ingredients. For every liang of herbs, add 2.5 zhan of water, 5 slices of ginger, and 5 stalks of scallion, decoct until 1.2 zhan remains, remove dregs, take on an empty stomach.
Er Jiang Wan (Two Gingers Pill):
Treats stubborn cold.
Liangjiang (Galangal Rhizome), Ganjiang (Dried Ginger Rhizome, processed) (each 3 liang).
Mix equal parts of the two ingredients, grind into powder, make pills with wine paste the size of a wutong seed. Take 30 pills per dose, on an empty stomach.
Zhu Fu Tang (Atractylodes and Aconite Decoction):
Treats deep-seated cold and stubborn cold.
Heifuzi (Black Aconite Lateral Root, processed) (1 liang), Baizhu (Atractylodes Macrocephala Rhizome) (1.5 liang), Gancao (Licorice Root, honey-fried) (7.5 qian).
Grind into fine powder. Take 3 to 5 qian per dose, add 1.5 zhan of water, 5 slices of ginger, and 2 dates (crushed), decoct until 1 zhan remains, remove dregs, take warm after meals.