(表解而里郁) 伤寒汗吐下之余,痞硬旋生噫不除,浊气已将清道塞,治宜降逆补
中虚。
旋复代赭石汤
旋复花惟破郁堪,再兼半夏善驱痰,生姜
赭石能除逆,补用人参枣合甘。
(里寒而可吐) 病象显呈似桂枝,却无头痛项强时,咽喉气上难呼吸,胸有痞寒
当吐之。
瓜蒂散
瓜蒂吐痰效出奇,调中香豉最相宜,更兼赤豆能除湿,亡血之家戒勿施。
(太阳经证未罢中风仍用此方 方见太阳本病) 阳明病自太阳传,身尚恶寒表未痊,
多汗脉迟宜发散,妙方仍用桂枝煎。
(太阳经证未罢伤寒仍用此方 方见太阳本病) 传入阳明病象呈,脉浮无汗喘兼生,
表邪未去仍宜解,汤用麻黄治法精。
桂枝加葛根汤
(证附 太阳未解而将入阳明桂枝汤见上) 太阳未解病形彰,汗出恶风项背
强,达表更兼清胃逆,葛根加入桂枝汤。
(太阳未解而已入阳明) 表证旋惊项背强,恶风无汗辨宜详,二阳合病还兼利,须用葛根是
妙方。
葛根汤
邪入二阳病已成,葛麻并散法尤精,和中补土姜甘枣,芍药滋阴桂泄营。
葛根加半夏汤
(证附 表未解而里有郁 葛根方见上) 太阳病证合阳明,不利惟惊呕逆生,
汤用葛根加半夏,宣通表里患能平。
(表解而里有热 方见太阳坏病) 太阳证已过三朝,汗后蒸蒸热不消,病
未在经原在腑,欲求治法胃宜调。
调胃承气证
伤寒已过再经期,谵语旋生有热时,丸药误攻反下利,脉和内实总堪医。
(表证已解而里气郁结)伤寒经过发汗、催吐或泻下治疗后,心下痞塞坚硬且嗳气不止,这是因为浊气已经堵塞了清阳之道,治疗应当采用降逆气和补益中焦虚损的方法。
旋复代赭石汤
旋复花专门破除气机郁结,再加上半夏善于驱除痰饮,生姜和代赭石能够消除呃逆,用人参、大枣配合甘草来补益中气。
(里有寒邪且适合用吐法)病症表现看似桂枝汤证,却没有头痛和项部强直的症状,咽喉处气机上逆导致呼吸困难,胸中有痞塞寒冷的感觉,应当使用吐法治疗。
瓜蒂散
瓜蒂涌吐痰涎的效果奇特,配合淡豆豉调理中焦最为适宜,再加上赤小豆能祛除湿气,但失血患者严禁施用。
(太阳经证尚未结束,中风仍适用此方 方剂见太阳本病章节)阳明病从太阳经传变而来,身体仍然恶寒,表证未痊愈,出汗多且脉象迟缓,适宜发散表邪,妙方依然使用桂枝汤煎服。
(太阳经证尚未结束,伤寒仍适用此方 方剂见太阳本病章节)病邪传入阳明,病症表现出现,脉象浮而无汗,伴有气喘,表邪未去仍然需要解表,汤药选用麻黄汤,治疗方法精当。
桂枝加葛根汤
(附证:太阳表证未解而即将入阳明,桂枝汤见上文)太阳表证未解,病情明显,出汗且恶风,项背部拘急不舒,既要通达表邪又要清降胃气,在桂枝汤中加入葛根。
(太阳表证未解且已经传入阳明)表证突然惊现项背部强直,恶风无汗,辨别时需要详细仔细,两阳合病还兼有下利,必须使用葛根汤才是妙方。
葛根汤
邪气侵入太阳、阳明二阳,病势已成,葛根与麻黄并用的发散方法尤为精妙,配合姜、甘、枣调和中焦补益脾胃,芍药滋阴,桂枝泄营卫之邪。
葛根加半夏汤
(附证:表证未解而里有郁滞,葛根汤见上文)太阳病证合并阳明病,没有下利只是惊恐呕吐气逆,汤药选用葛根加半夏汤,宣通表里,病患得以平复。
(表证已解而里有热 方剂见太阳坏病章节)太阳病的病程已过三天,发汗后体内蒸蒸发热仍未消退,病邪不在经络而在腑脏,想要寻求治法,应当调理胃气。
调胃承气证
伤寒病程已过再经期,谵语突然产生且有发热,之前误用丸药攻下反而导致下利,虽然脉象平和但内有实邪,总归是可以治疗的。
(Exterior resolved but interior stagnation) After sweating, vomiting, or purging in cold damage, epigastric fullness and hardness arise, accompanied by persistent belching. This is because turbid qi has blocked the clear pathways. Treatment should focus on descending rebellious qi and tonifying middle jiao deficiency.
Xuanfu Daizhe Shi Tang (Cineraria and Hematitum Decoction)
Xuanfuhua (Flos Inulae) specifically breaks up qi stagnation, while Banxia (Rhizoma Pinelliae) excels at dispelling phlegm. Shengjiang (Rhizoma Zingiberis Recens) and Daizheshi (Hematitum) eliminate rebellious qi. Renshen (Radix Ginseng), Dazao (Fructus Jujubae), and Gancao (Radix Glycyrrhizae) are combined to tonify the middle.
(Interior cold suitable for emesis) The clinical presentation resembles Guizhi Tang syndrome, yet there is no headache or neck stiffness. Qi rebels upward through the throat, causing difficult breathing, and there is a sensation of fullness and cold in the chest. Emesis should be employed.
Gouti San (Melon Seed Powder)
Gouti (Fructus Cucumis Melonis) produces extraordinary effects in inducing vomiting to expel phlegm. Xiangchi (Semen Sojae Preparatum) harmonizes the middle and is most suitable. Chidou (Semen Phaseoli Radiati) additionally removes dampness. However, it is strictly contraindicated for those with blood loss.
(The Taiyang meridian syndrome is not yet resolved; this formula is still applicable for Wind Strike. See Taiyang Primary Disease for the formula.) Yangming disease transmits from Taiyang. The body remains aversion to cold, and the exterior syndrome is not cured. With profuse sweating and a slow pulse, dispersing the exterior is appropriate. The excellent formula remains GuiZhi Tang (Cinnamon Twig Decoction).
(The Taiyang meridian syndrome is not yet resolved; this formula is still applicable for Cold Damage. See Taiyang Primary Disease for the formula.) Pathogens transmit to Yangming, presenting specific symptoms. The pulse is floating without sweating, accompanied by wheezing. Since the exterior pathogen has not left, release of the exterior is still indicated. MaHuang Tang (Ephedra Decoction) is used, demonstrating precise therapeutic methods.
Guizhi Jia Gegen Tang (Cinnamon Twig Decoction plus Kudzu Root)
(Attached Syndrome: Taiyang exterior unresolved, about to enter Yangming. Guizhi Tang seen above.) Taiyang exterior unresolved, disease manifestations are evident. Sweating with aversion to wind, and stiffness/tightness in the nape and back. To reach the exterior and clear stomach rebellion, add Gegen (Radix Puerariae) to Guizhi Tang.
(Taiyang exterior unresolved and already entered Yangming) Exterior syndrome suddenly presents with stiffness/tightness in the nape and back. Aversion to wind and absence of sweating require careful differentiation. When two yang meridians combine with diarrhea, Gegen Tang (Kudzu Root Decoction) is the excellent formula.
Gegen Tang (Kudzu Root Decoction)
Pathogens enter the two yang meridians, and the disease is established. The method of using Gegen and MaHuang together for dispersion is particularly refined. Jiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix), and Zao (Jujubae Fructus) harmonize the middle and tonify earth (spleen/stomach). Shaoyao (Paeoniae Radix Alba) nourishes yin, and Guizhi (Ramulus Cinnamomi) vents the nutritive level.
Gegen Jia Banxia Tang (Kudzu Root Decoction plus Pinellia Tuber)
(Attached Syndrome: Exterior unresolved with interior stagnation. Gegen Tang seen above.) Taiyang disease syndrome combines with Yangming. Without diarrhea, only fright, vomiting, and rebellious qi occur. Use Gegen Jia Banxia Tang to unblock the exterior and interior, allowing the patient to recover.
(Exterior resolved but interior heat. Formula see Taiyang Complicated Disease.) The Taiyang syndrome has passed three days. After sweating, steaming heat persists. The disease is no longer in the meridians but in the fu organs. To seek treatment, the stomach should be regulated.
Tiaowei Chengqi Zheng (Regulating the Stomach and Resolving Accumulation Indication)
Cold damage has passed the period of repetition. Delirium arises suddenly with fever. Previous mistaken attack with pill medicines caused downward purging/diarrhea. Although the pulse is harmonious, interior excess exists, and it is generally treatable.