(太阳未罢而表实 方见太阳本病) 十日太阳病尚留,过经已久脉仍浮。表邪未去还宜解
,汤用麻黄效可收。
(少阳病具而里虚) 阳涩阴弦脉象呈,腹间急痛病非轻,建中汤用真神妙,
证属脾虚此药精。
小建中汤
补阴芍药总相宜,姜可扶阳助桂枝,调胃和脾甘枣入,养精缓急用胶饴。
黄芩汤
(证附 太少合病下利)
黄芩加半夏生姜汤
(证附 下利兼呕) 二阳合病利旋生,芍药黄芩相火清,草枣补脾方已妙,再加姜夏呕能平。
(表未解而里实) 表寒不解病终危,汗出翻惊里热时,吐利未消心下痞,散攻两法
要兼施。
大柴胡汤
柴胡达表芍清风,枳实大黄里可攻,半夏驱痰芩去热,再兼姜枣善和中。
(表已解而里热 方见太阳坏病) 太阳病已过经期,心口温温欲吐时,腹满便溏
胸更痛,从前吐下要先知。
(妇人热入血室 方见上) 中风发热恶寒时,经水适来脉象迟,血室乍开邪气入,谵言
见鬼莫惊疑。
【入阳明去路】
(里虚而心悸烦 方见少阳本病) 伤寒已至二三朝,悸动心间总未消,病属虚烦何
药治,法宜汤用建中调。
(里虚而心悸动) 脉形结代病伤寒,悸动心惊不得安,中气已虚宜用补,汤煎
炙草治非难。
炙甘草汤
桂地参胶炙草汤,麻仁枣麦合生姜,阴阳两补安心悸,立法无偏治病良。
(太阳表证未解而兼有表实,方剂见太阳本病章节)患病十日,太阳病邪依然滞留,病程虽久,脉象仍然呈现浮象。既然表邪尚未去除,仍应采用解表法治疗,使用麻黄汤疗效显著。
(少阳病症状具备且伴有里虚)脉象表现为阳部涩、阴部弦,腹部拘急疼痛,病情并不轻微。此时应使用小建中汤,此药对于脾虚证候确实精妙有效。
小建中汤
补阴首选芍药最为适宜,生姜可扶助阳气并辅助桂枝,加入甘草和大枣以调和胃气、健脾,配合饴糖滋养精气、缓解急迫。
黄芩汤
(证候附注:太阴与少阳合病导致的下利)
黄芩加半夏生姜汤
(证候附注:下利兼有呕吐)两阳经合病导致下利迅速发生,利用芍药和黄芩清除相火之热,甘草和大枣补益脾气,方剂已很巧妙,再加入生姜和半夏即可平息呕吐。
(表证未解而里气壅实)表寒不解则病情最终危重,出汗反而令人担忧出现里热,呕吐和下利未消,心下部痞塞胀满,此时散表与攻里两种治法需要同时施用。
大柴胡汤
柴胡通达表邪,芍药清泄风热,枳实和大黄攻逐里实,半夏驱除痰饮,黄芩清除热邪,再配合生姜和大枣善于调和脾胃。
(表证已解而转为里热,方剂见太阳坏病章节)太阳病已过经期,患者感觉心中温温不适想要呕吐,腹部胀满、大便溏薄且胸部更加疼痛,此前是否经过吐法或下法治疗需先了解清楚。
(妇人热入血室,方剂见上文)中风发热恶寒之时,正值月经来潮,脉象迟缓,血室刚刚开放邪气乘虚而入,出现胡言乱语、看见鬼怪等神志症状,不必惊慌疑虑。
【进入阳明病的去路】
(里虚伴随心悸烦躁,方剂见少阳本病章节)伤寒病至二三天,心悸跳动始终未消除,病属虚烦,该用什么药物治疗?治法适宜使用建中汤进行调理。
(里虚伴随心悸动)脉象结代,这是伤寒病的表现,心悸惊跳使人心不得安宁,中气已经虚弱应当使用补法,煎煮炙甘草汤治疗并不难。
炙甘草汤
由桂枝、地黄、人参、阿胶、炙甘草组成的汤剂,加上火麻仁、大枣、麦冬和生姜,能够阴阳双补以安心定悸,立法公正无偏颇,是治病良方。
(When the Taiyang syndrome has not yet resolved and there is excess in the exterior, see the section on Taiyang primary disease.) Ten days into the illness, the Taiyang pathogen remains; although the course has been long, the pulse still floats. Since the exterior pathogen has not been expelled, it is still appropriate to use a method to release the exterior; using Mahuang Tang (Ephedra Decoction) yields effective results.
(When Shaoyang symptoms are present accompanied by interior deficiency.) The pulse presents as choppy at the Yang position and string-taut at the Yin position; abdominal cramping pain indicates a serious condition. Jianzhong Tang (Middle-Jian Decoction) should be used; this medicine is exquisite for syndromes belonging to Spleen deficiency.
Xiao Jianzhong Tang (Minor Middle-Jian Decoction)
For nourishing Yin, Baishao (White Peony Root) is most suitable; Shengjiang (Fresh Ginger) can support Yang and assist Guizhi (Cinnamon Twig); Gancao (Licorice Root) and Dazao (Jujube) enter to harmonize the Stomach and strengthen the Spleen; Yitang (Maltose) is used to nourish essence and relieve urgency.
Huangqin Tang (Scutellaria Decoction)
(Case note: Diarrhea resulting from concurrent Taiyin and Shaoyang diseases)
Huangqin Jia Banxia Shengjiang Tang (Scutellaria Decoction plus Pinellia and Fresh Ginger)
(Case note: Diarrhea accompanied by vomiting) When two Yang meridians are concurrently affected, diarrhea arises rapidly; Shaoyao (Peony Root) and Huangqin (Scutellaria Root) clear ministerial fire heat; Cao (Licorice) and Zao (Jujube) tonify the Spleen, making the formula excellent; adding Jiang (Ginger) and Xia (Pinellia) can calm vomiting.
(When the exterior is unresolved but the interior is full/excess.) If exterior cold is not resolved, the condition ultimately becomes critical; sweating may alarm one to the presence of interior heat. With persistent vomiting and diarrhea and epigastric fullness/stuffiness, both dispersing (exterior) and purging (interior) methods must be applied simultaneously.
Da Chaihu Tang (Major Bupleurum Decoction)
Chaihu (Bupleurum Root) reaches the exterior; Shaoyao (Peony Root) clears wind-heat; Zhishi (Immature Bitter Orange) and Dahuang (Rhubarb Root) attack the interior; Banxia (Pinellia Tuber) drives out phlegm; Huangqin (Scutellaria Root) removes heat; combined with Jiang (Ginger) and Zao (Jujube), it effectively harmonizes the middle.
(When the exterior has resolved but interior heat prevails, see the section on Taiyang damaged disease.) After the Taiyang disease has passed its typical duration, the patient feels a warm discomfort in the heart region with an urge to vomit; abdominal fullness, loose stools, and increased chest pain occur. One must first ascertain if emetic or purgative therapies were previously administered.
(Heat entering the Blood Chamber in women, see above.) During Wind-stroke with fever and aversion to cold, if menstruation happens to begin, the pulse becomes slow. As the Blood Chamber opens briefly, pathogens enter; delirium and visual hallucinations appear, which should not cause panic or doubt.
[The Pathway Entering Yangming]
(Interior deficiency with palpitations and vexation, see Shaoyang primary disease section.) In Cold Damage progressing to the second or third day, palpitations in the heart region persist without resolving. For syndromes of deficiency-vexation, what medicine treats it? The method suits using Jianzhong Tang for regulation.
(Interior deficiency with palpitations and trembling.) A knotted or intermittent pulse characterizes Cold Damage; palpitations and fright prevent peace. Since the Middle Qi is already deficient, tonification is indicated; decocting Zhigancao Tang (Honey-fried Licorice Decoction) is not difficult.
Zhigancao Tang (Honey-fried Licorice Decoction)
A decoction of Guizhi (Cinnamon Twig), Dihuang (Rehmannia Root), Renshen (Ginseng Root), Ejiao (Donkey-hide Gelatin), and Zhigancao (Honey-fried Licorice Root), combined with Huren (Hemp Seed), Dazao (Jujube), Maidong (Ophiopogon Tuber), and Shengjiang (Fresh Ginger). It tonifies both Yin and Yang to calm palpitations; its legislation is unbiased and makes it an excellent remedy for disease.