(风能兼寒,寒不兼风)
伤风元气本素虚,乘虚而入风邪居。鼻塞身重头亦病,恶风发热汗有余。脉来浮缓且无力,参苏饮服旋当祛法。
咳嗽去参加桑杏,内有痰热芩连进。痰吐如胶旋复花,胸满痰多贝篓顺。冬间自汗桂枝添,若还无汗麻黄令。
伤食麦芽曲朴须,中酒乌梅寇仁定。头痛芎卷不可无,气喘杏苏亦莫剩。
风伤卫
苏梗 豆豉 杏仁 川朴 桔梗 连翘 木通 滑石
体虚感风
参归桂枝汤加陈皮
太阳脉行由背抵腰,外来风寒先伤阳经,经气逆斯病发
中寒伤寒症非一,伤则渐深中直入。初起怖冷四肢寒,无热不渴身战栗。脉来无力又沉
迟,加味理中汤有益。参甘白术并干姜,加桂陈皮功妙极。寒甚吴萸及川附(用童便炒),半夏茯苓吐有力,
生姜煎就须冷服(伏其所主,治其所因也),无脉麝香猪胆吃。泄泻不止加 升,姜汁三匙呕吐入。舌卷囊缩
指甲青,脉绝蒸脐法当习(用麝香、半夏、皂角为末,纳入脐中,生姜一片贴脐上,放大艾丸于上灸之)。
寒邪客肺
苏梗 桔梗 杏仁 连翘 川朴 枳壳 豆豉 橘红 桑皮
风寒伤卫
桂枝汤加杏仁
寒邪兼湿
淡豆豉 苏梗 杏仁 防己 茯苓皮 木通 川朴
寒客太阳,膀胱经气逆
五苓散
劳倦阳虚感寒
杏仁 茯苓皮 生姜 川朴 川桂枝 广皮
(风邪可以兼夹寒邪,但寒邪不兼夹风邪)
伤风病是因为人体元气本来素来虚弱,风邪乘虚而入并停留于体内。出现鼻塞、身体沉重、头部疼痛的症状,怕风、发热且出汗较多。脉象浮缓且无力,服用参苏饮后应当祛除病邪。
如果伴有咳嗽,加入桑叶和杏仁;体内有痰热,加入黄芩和黄连。痰液粘稠如胶状,加入旋覆花;胸中胀满、痰多,加入贝母和瓜蒌。冬季出现自汗症状,加入桂枝;如果无汗,则使用麻黄。
如果是伤食所致,必须加入麦芽、神曲和厚朴;如果是饮酒过度,用乌梅和白豆蔻来定夺。头痛症状不可缺少川芎和羌活;气喘症状也不能遗漏杏仁和紫苏叶。
风邪损伤卫气
处方:苏梗、淡豆豉、杏仁、厚朴、桔梗、连翘、木通、滑石
太阳经脉行于背部直达腰部,外来的风寒首先伤害阳经,经气逆乱因此发病。
中寒和伤寒的病症不止一种,受邪后病情逐渐加深,或者寒邪直中入里。初起时恐惧寒冷、四肢发凉,没有发热、不口渴、身体战栗。脉象无力且沉迟,服用加味理中汤有益处。方中含有人参、甘草、白术和干姜,加入桂枝和陈皮功效极佳。如果寒邪极盛,加入吴茱萸和川附子(需用童便炒制),半夏和茯苓用于强力止吐,生姜煎煮后须冷服(这是为了伏藏主要病邪,治疗其根本原因)。如果出现无脉症,可服用麝香和猪胆。腹泻不止加入升麻,呕吐严重加入三匙姜汁。如果舌体卷缩、阴囊收缩、指甲发青,脉象断绝,应当学习蒸脐法(将麝香、半夏、皂角研为细末,纳入肚脐中,用一片生姜贴在脐上,在上方放置大艾丸进行艾灸)。
寒邪客居肺脏
处方:苏梗、桔梗、杏仁、连翘、厚朴、枳壳、淡豆豉、橘红、桑白皮
(Wind pathogen can combine with Cold, but Cold does not combine with Wind)
Wind-cold injury occurs because the body's Yuan Qi (Original Qi) is inherently deficient, allowing Wind pathogen to enter due to this deficiency and reside within. Symptoms include nasal congestion, heavy body, and head pain; aversion to wind, fever, and excessive sweating. The pulse is floating, moderate, and forceless; taking Shen Su Yin (Ginseng and Perilla Decoction) should dispel the pathogen.
If cough is present, add Sang Ye (Folium Mori) and Xing Ren (Semen Armeniacae Amarum); if there is phlegm-heat internally, add Huang Qin (Radix Scutellariae) and Huang Lian (Rhizoma Coptidis). If sputum is sticky like glue, add Xuan Fu Hua (Flos Inulae); if there is chest fullness and abundant phlegm, add Bei Mu (Bulbus Fritillariae Cirrhosae) and Gua Lou (Fructus Trichosanthis). In winter, if spontaneous sweating occurs, add Gui Zhi (Ramulus Cinnamomi); if there is no sweat, use Ma Huang (Herba Ephedrae).
If caused by food stagnation, Mai Ya (Fructus Hordei Germinatus), Shen Qu (Massa Medicata Fermentata), and Hou Po (Cortex Magnoliae Officinalis) are required; if caused by alcohol intoxication, Wu Mei (Fructus Mume) and Bai Dou Kou (Semen Amomi Rotundum) are used to resolve it. For headache, Chuan Xiong (Rhizoma Chuanxiong) and Qiang Huo (Rhizoma Notopterygii) are indispensable; for asthma/wheezing, Xing Ren (Semen Armeniacae Amarum) and Zi Su Ye (Folium Perillae) must not be omitted.
Wind injuring Wei Qi
Formula: Su Geng (Caulis Perillae), Dou Chi (Semen Sojae Preparatum), Xing Ren (Semen Armeniacae Amarum), Chuan Pu (Cortex Magnoliae Officinalis), Jie Geng (Radix Platycodonis), Lian Qiao (Fructus Forsythiae), Mu Tong (Caulis Akebiae), Hua Shi (Talcum).
Deficient constitution contracting Wind
Formula: Shen Gui Gui Zhi Tang (Ginseng and Angelica Cinnamon Decoction) plus Chen Pi (Pericarpium Citri Reticulatae).
The Taiyang meridian runs from the back to the waist. External Wind-Cold first injures the Yang meridians; when meridian Qi rebels, disease manifests.
Zhong Han (Middle Cold) and Shang Han (Cold Damage) syndromes are not singular; injury leads to gradual deepening, or Cold enters directly into the interior. Initially, there is fear of cold, cold limbs, no fever, no thirst, and body tremors. The pulse is forceless, deep, and slow; Jia Wei Li Zhong Tang (Modified Regulate the Middle Decoction) is beneficial. It contains Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), and Gan Jiang (Rhizoma Zingiberis Recens); adding Gui Zhi (Ramulus Cinnamomi) and Chen Pi (Pericarpium Citri Reticulatae) yields excellent results. If Cold is severe, add Wu Yu (Fructus Evodiae) and Chuan Fu Zi (Radix Aconiti Lateralis Preparata, stir-fried with child's urine); Ban Xia (Rhizoma Pinelliae) and Fu Ling (Sclerotium Poriae cocos) are effective for stopping vomiting. Ginger decoction must be taken cold (to subdue the primary pathogen and treat its cause). If the pulse disappears, take She Xiang (Moschus) and Zhu Dan (Chole Swinae). For persistent diarrhea, add Sheng Ma (Rhizoma Cimicifugae); for vomiting, add three spoonfuls of Ginger Juice. If the tongue curls, scrotum contracts, and fingernails turn blue, and the pulse is absent, one should learn the Umbilical Steaming method (grind She Xiang (Moschus), Ban Xia (Rhizoma Pinelliae), and Zao Jiao (Fructus Gleditsiae Sinensis) into powder, insert into the umbilicus, place a slice of fresh ginger on the umbilicus, and moxa a large moxa cone on top).
Cold pathogen lodging in the Lung
Formula: Su Geng (Caulis Perillae), Jie Geng (Radix Platycodonis), Xing Ren (Semen Armeniacae Amarum), Lian Qiao (Fructus Forsythiae), Chuan Pu (Cortex Magnoliae Officinalis), Zhi Ke (Fructus Aurantii), Dou Chi (Semen Sojae Preparatum), Ju Hong (Exocarpium Citri Grandis), Sang Bai Pi (Cortex Morii).
Wind-Cold injuring Wei Qi
Formula: Gui Zhi Tang (Cinnamon Twig Decoction) plus Xing Ren (Semen Armeniacae Amarum).
Cold pathogen combining with Dampness
Formula: Dan Dou Chi (Semen Sojae Preparatum), Su Geng (Caulis Perillae), Xing Ren (Semen Armeniacae Amarum), Fang Ji (Radix Stephaniae Tetrandrae), Fu Ling Pi (Pericarpium Poriae), Mu Tong (Caulis Akebiae), Chuan Pu (Cortex Magnoliae Officinalis).
Cold pathogen lodging in Taiyang, Bladder meridian Qi rebelling
Formula: Wu Ling San (Five-Ingredient Powder with Poria).
Fatigue leading to Yang deficiency contracting Cold
Formula: Xing Ren (Semen Armeniacae Amarum), Fu Ling Pi (Pericarpium Poriae), Sheng Jiang (Rhizoma Zingiberis Recens), Chuan Pu (Cortex Magnoliae Officinalis), Gui Zhi (Ramulus Cinnamomi), Guang Pi (Pericarpium Citri Reticulatae).