六经者,太阳、阳明、少阳、太阴、少阴、厥阴也。三阳有经、有腑,三阴有传、有中
有太阳之经,即有太阳之腑,膀胱是也。有阳明之经,即有阳明之腑,胃是也。有少阳之
经,即有少阳之腑,胆是也,然胆为清净之腑,无出入之路,故治法如经也。三阴有传经者
由三阳而传入三阴,此热邪也。有直中者,初起不由阳经传入,而直中三阴,此寒邪也。
兹数者,乃伤寒见证之纲领也。
太阳经病,头痛,发热,项脊强,身体痛,鼻鸣,干呕,恶风,自汗,脉浮缓者,名曰
中风。宜解肌,桂枝汤主之。若前证悉具,恶寒,无汗,脉浮紧,或喘嗽者,名曰伤寒。
宜发表,麻黄汤主之。
桂枝(去皮,─钱五分) 芍药(─钱五分) 甘草(炙,─钱) 生姜(─钱五分) 大枣(去核,四枚)
上五味 咀,以水四大钟,微火煮取二钟半,去滓,温服。服已、须臾,啜稀粥数升
以助药力,温覆,令一时许,遍身 微似有汗者益佳,不可令如水流漓,病必不
除。若一服汗出病瘥,停后服。若不汗,更服,根据前法。若病重者,一日一夜周时观之,若
病症犹在者,乃服至二三剂。禁生冷、粘滑、肉、面、五辛、酒、酪等物。
此方不宜于东南,多宜于西北。西北禀浓,风气刚劲,必须此药开发,乃可
疏通,实为冬令正伤寒之的剂。若东南则不可轻用,体虚脉弱者受之,恐有汗多亡阳之虑。
麻黄(去节,四钱) 桂枝(去皮,二钱) 甘草(炙,一钱) 杏仁(泡去皮尖,十二枚)
上四味,以水四大钟,先煮麻黄减一钟,去上沫,纳诸药,煮取二钟,去滓温服,复取
微似汗,不须啜粥,余如桂枝汤法。
六经,指的是太阳、阳明、少阳、太阴、少阴、厥阴。三阳经(太阳、阳明、少阳)各有经脉和腑脏,三阴经(太阴、少阴、厥阴)则有传经和中经两种情况。
有太阳经,就有太阳腑,即膀胱。有阳明经,就有阳明腑,即胃。有少阳经,就有少阳腑,即胆。然而胆属于清净之腑,没有出入的路径,所以治疗方法与治经相同。
三阴经中有传经的情况,是由三阳传入三阴,这属于热邪。有中经的情况,初起时不由阳经传入,而是直接侵犯三阴,这属于寒邪。以上几种情况,是伤寒见证的纲领。
太阳经病,出现头痛、发热、项部和脊背僵硬、身体疼痛、鼻鸣、干呕、恶风、自汗、脉象浮缓等症状的,称为中风证。适宜用解肌法治疗,以桂枝汤为主方。如果上述症状全部具备,但表现为恶寒、无汗、脉象浮紧,或者伴有气喘咳嗽的,称为伤寒证。适宜用发表法治疗,以麻黄汤为主方。
桂枝(去皮,一钱五分)、芍药(一钱五分)、甘草(炙,一钱)、生姜(一钱五分)、大枣(去核,四枚)。
以上五味药,切碎,用水四大钟,用微火煎煮至剩余二钟半,滤去药渣,温服。服药后不久,喝几升稀粥以助药力,覆盖衣被,约一小时左右,全身微微似有汗出为最佳,不可让汗出如水流漓,否则病必不能除。如果服一次药后汗出病愈,停服后面的药。如果没有出汗,再服药,遵循前面的方法。如果病情较重者,一天一夜持续观察,如果病症仍在,则服用至二三剂。禁忌生冷、粘滑、肉类、面食、五辛、酒、乳酪等食物。
此方不适合在东南地区使用,多适用于西北地区。西北人禀赋浓厚,风气刚劲,必须用此药开发疏通,实为冬季正伤寒的对症良方。如果在东南地区则不可轻率使用,体质虚弱、脉象弱者服用,恐怕会有汗出过多导致亡阳的忧虑。
麻黄(去节,四钱)、桂枝(去皮,二钱)、甘草(炙,一钱)、杏仁(泡,去皮尖,十二枚)。
以上四味药,用水四大钟,先煮麻黄减少一钟,去掉上面的浮沫,加入其他药物,煎煮至剩余二钟,滤去药渣温服,取微似汗,不需要喝粥,其余同桂枝汤的方法。
The Six Channels (Liu Jing) refer to Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, and Jueyin. The Three Yang channels (Taiyang, Yangming, Shaoyang) each have their respective meridians and fu organs, while the Three Yin channels (Taiyin, Shaoyin, Jueyin) involve transmission and direct invasion.
Where there is a Taiyang meridian, there is a Taiyang fu organ, which is the Bladder. Where there is a Yangming meridian, there is a Yangming fu organ, which is the Stomach. Where there is a Shaoyang meridian, there is a Shaoyang fu organ, which is the Gallbladder. However, the Gallbladder is a pure and clear fu organ without pathways for entry and exit; therefore, its treatment method is the same as that of the meridians.
In the Three Yin channels, there is transmission from channel to channel, where pathogenic factors transmit from the Three Yang to the Three Yin; this involves heat pathogens. There is also direct invasion, where the disease begins not by transmitting from the Yang meridians but directly invading the Three Yin; this involves cold pathogens. These several types constitute the outline for recognizing syndromes in Cold Damage (Shanghan).
When Taiyang meridian disease presents with headache, fever, stiffness of the neck and spine, body pain, nasal congestion with roaring sound, dry retching, aversion to wind, spontaneous sweating, and a floating and moderate pulse, it is named Wind Strike syndrome (Zhongfeng). It is suitable to use the muscle-releasing method, with Guizhi Tang (Cinnamon Twig Decoction) as the principal formula. If all the aforementioned symptoms are present, but characterized by aversion to cold, absence of sweating, a floating and tight pulse, or accompanied by wheezing and coughing, it is named Cold Damage syndrome (Shanghan). It is suitable to use the exterior-releasing method, with Mahuang Tang (Ephedra Decoction) as the principal formula.
Guizhi (Cinnamon Twig, peeled, 1.5 qian), Shaoyao (Peony Root, 1.5 qian), Gancao (Licorice Root, honey-fried, 1 qian), Shengjiang (Fresh Ginger, 1.5 qian), Dazao (Jujube, pitted, four pieces).
The above five ingredients are crushed. Boil in four zhong of water over gentle heat until two and a half zhong remain. Strain and take warm. Shortly after ingestion, drink several sheng of thin porridge to assist the medicinal power. Cover with warmth for about one hour until a slight sweat appears over the whole body, which is optimal. Do not allow profuse sweating like flowing water, otherwise the disease will certainly not be eliminated. If sweating occurs after one dose and the illness resolves, stop taking subsequent doses. If no sweating occurs, administer another dose according to the previous method. If the condition is severe, observe continuously for a day and night; if symptoms persist, administer up to two or three doses. Avoid raw/cold foods, sticky/slippery foods, meat, wheat products, five pungent spices, alcohol, and dairy products.
This formula is unsuitable for the Southeast region and is more appropriate for the Northwest. People in the Northwest possess robust constitutions and are exposed to strong winds; thus, this medicine is necessary to open and unblock the exterior. It is indeed the specific remedy for standard Cold Damage in winter. In the Southeast, however, it should not be used lightly. For those with weak constitutions and weak pulses, using it may cause concern regarding excessive sweating leading to the collapse of Yang (Wangyang).
Mahuang (Ephedra Stem, nodes removed, 4 qian), Guizhi (Cinnamon Twig, peeled, 2 qian), Gancao (Licorice Root, honey-fried, 1 qian), Xingren (Apricot Seed, soaked, skin and tips removed, twelve pieces).
The above four ingredients are boiled in four zhong of water. First, boil Mahuang alone until the volume decreases by one zhong, then remove the foam on the surface. Add the remaining herbs and boil until two zhong remain. Strain and take warm. Induce a slight sweat. Porridge is not required. The remainder follows the method of Guizhi Tang.