[总诀]阳明病气陷脾乡,挟湿因而外发黄,若但火邪伤血分,赤斑累累亢于阳。
发斑红紫,身热口中干渴者,阳明经血热也。宜加减三黄汤。
花粉(三钱) 犀角(一钱) 黄芩(三钱) 黄柏(二钱) 炒栀(三钱) 蝉蜕(七个) 银
花(三钱) 白芍(三钱) 枳壳(二钱) 杏仁(一钱) 归尾(三钱) 石膏(三钱)
歌曰∶发斑红紫口中干,栀柏蝉芩归芍餐。
膏杏银花同枳壳,蒌根犀角一方攒。
发黄明亮,兼见口渴溺赤者,脾经之湿热也。宜茵陈栀子汤。
炒栀(三钱) 黄柏(二钱) 茵陈(五钱) 甘草(一钱)
歌曰∶发黄口渴尿兼红,栀柏茵陈甘草同。
四药总能除湿热,不烦加减奏奇功。
(伯未按∶服药外,以赤豆时煮食亦佳。)
发黄黑暗,兼见口和不渴者,脾经之寒湿也。宜茵陈五苓散。
桂枝(三钱) 白术(三钱) 云苓(三钱) 猪苓(三钱) 泽泻(三钱) 茵陈(三钱)
歌曰∶发黄黑暗口津多,桂术茵陈泽泻科。
再入二苓同煮服,病因寒湿即调和。
[总诀]古云盗汗属阴虚,自汗阳羸卫外疏。识得阴阳相附丽,互根当究五车书。
发热出汗,时见恶风洒洒者,伤风之外证也。宜防风和营汤。
防风(二钱) 白芍(二钱) 荆芥(一钱) 紫苏(一钱) 香附(一钱) 杏仁(一钱) 白芷
(二钱) 陈皮(一钱) 当归(二钱) 甘草(二钱) 生姜(一钱) 大枣(二枚)
歌曰∶热汗频频辄恶风,荆防苏芷杏陈攻。
生姜枣芍和甘草,香附当归一剂同。
睡后出汗,醒时则汗仍收者,阴虚而盗汗也。宜当归六黄汤。
熟地(三钱) 生地(三钱) 当归(三钱) 黄芩(二钱) 黄连(一钱) 黄柏(二钱) 黄 (
二钱)
歌曰∶眠时出汗醒时收,盗汗阴虚实可忧。
二地归芩连共柏,黄 加入病当瘳。
(伯未按∶方中可加酸枣仁三钱,甘杞子三钱,尤佳。)
醒时汗出,睡后则汗仍收者,阳虚而自汗也。宜参 术附汤。
人参(三钱) 黄 (三钱) 白术(三钱) 附子(三钱)
歌曰∶醒时出汗睡时收,此是阳虚自汗流。
术附 参宜共煮,回阳止汗此方投。
[总诀] 阳明病气机下陷于脾土,夹杂湿邪因而导致身体发黄;如果仅仅是火邪损伤血分,则会出现红色的斑疹,且亢盛于阳分。
发斑颜色红紫,伴有身体发热、口中干渴的,是阳明经血热的表现。适宜使用加减三黄汤。
天花粉(三钱) 犀角(一钱) 黄芩(三钱) 黄柏(二钱) 炒栀子(三钱) 蝉蜕(七个) 金银花(三钱) 白芍(三钱) 枳壳(二钱) 杏仁(一钱) 当归尾(三钱) 石膏(三钱)
歌诀说:发斑红紫口中干,栀子、黄柏、蝉蜕、黄芩、当归、白芍同服食。
石膏、杏仁、金银花与枳壳一起,加上瓜蒌根和犀角组成一方。
发黄颜色明亮,兼见口渴、小便赤红的,是脾经湿热所致。适宜使用茵陈栀子汤。
炒栀子(三钱) 黄柏(二钱) 茵陈(五钱) 甘草(一钱)
歌诀说:发黄口渴尿兼红,栀子、黄柏、茵陈、甘草同用。
这四味药总能清除湿热,无需加减就能奏出奇效。
(伯未按语:服药之外,经常煮食赤豆也很好。)
发黄颜色暗黑,兼见口中和缓不渴的,是脾经寒湿所致。适宜使用茵陈五苓散。
桂枝(三钱) 白术(三钱) 茯苓(三钱) 猪苓(三钱) 泽泻(三钱) 茵陈(三钱)
歌诀说:发黄黑暗口水多,桂枝、白术、茵陈、泽泻为组。
再加入茯苓和猪苓一同煎煮服用,病因若是寒湿即可调和。
[总诀] 古人说盗汗属于阴虚,自汗则是阳气虚弱、卫外不固。若能识得阴阳相互依附的关系,应当深入探究经典书籍以究其根本。
发热出汗,时常感到怕风、瑟瑟发抖的,是伤风的外在证候。适宜使用防风和营汤。
防风(二钱) 白芍(二钱) 荆芥(一钱) 紫苏(一钱) 香附(一钱) 杏仁(一钱) 白芷(二钱) 陈皮(一钱) 当归(二钱) 甘草(二钱) 生姜(一钱) 大枣(两枚)
歌诀说:热汗频频且恶风,荆芥、防风、紫苏、白芷、杏仁、陈皮攻治。
生姜、大枣、白芍、甘草和香附、当归同一剂服用。
睡着后出汗,醒来时汗液停止的,是阴虚导致的盗汗。适宜使用当归六黄汤。
熟地黄(三钱) 生地黄(三钱) 当归(三钱) 黄芩(二钱) 黄连(一钱) 黄柏(二钱) 黄芪(二钱)
歌诀说:睡眠时出汗醒来收,盗汗阴虚确实令人担忧。
生地、熟地、当归、黄芩、黄连和黄柏,加入黄芪病情当愈。
(伯未按语:方中可加酸枣仁三钱、枸杞子三钱,尤其好。)
醒着时出汗,睡着后汗液停止的,是阳虚导致的自汗。适宜使用参术附汤。
人参(三钱) 黄芪(三钱) 白术(三钱) 附子(三钱)
歌诀说:醒时出汗睡时收,这是阳虚自汗流。
白术、附子、人参宜共同煎煮,回阳止汗此方投用。
[General Verse] In Yangming disease, the qi sinks into the Spleen region; accompanied by dampness, it leads to external jaundice. If only fire pathogen injures the blood level, red macules appear densely and hyperactivity occurs at the Yang level.
Macules appearing red and purple, accompanied by fever and dry mouth/thirst, indicate heat in the blood of the Yangming channel. Jiajian Sanhuang Tang (Modified Three-Yellow Decoction) is appropriate.
Trichosanthis Radix (3 qian), Rhinocerotis Cornu (1 qian), Scutellariae Radix (3 qian), Phellodendri Cortex (2 qian), Stir-fried Gardeniae Fructus (3 qian), Cicadae Periostracum (7 pieces), Lonicerae Japonicae Flos (3 qian), Paeoniae Radix Alba (3 qian), Aurantii Fructus (2 qian), Armeniacae Semen Amarum (1 qian), Angelicae Sinensis Radix Caudex (3 qian), Gypsum Fibrosum (3 qian).
The verse states: Macules red and purple with dry mouth, Gardeniae, Phellodendri, Cicadae, Scutellariae, Angelicae, and Paeoniae are consumed together.
Gypsum, Armeniacae, Lonicerae, and Aurantii are gathered in one prescription along with Trichosanthis Radix.
Jaundice appearing bright yellow, accompanied by thirst and dark urine, indicates damp-heat in the Spleen channel. Yinchen Zhizi Tang (Artemisiae Scopariae and Gardeniae Decoction) is appropriate.
Stir-fried Gardeniae Fructus (3 qian), Phellodendri Cortex (2 qian), Artemisiae Scopariae Herba (5 qian), Glycyrrhizae Radix et Rhizoma (1 qian).
The verse states: Jaundice yellow with thirst and red urine, Gardeniae, Phellodendri, Artemisiae Scopariae, and Glycyrrhizae are used together.
These four herbs can effectively remove damp-heat, achieving miraculous results without need for modification.
(Note by Bo An: Besides taking medicine, frequently boiling and eating Vigna angularis beans is also beneficial.)
Jaundice appearing dark yellow, accompanied by a neutral mouth sensation and no thirst, indicates cold-dampness in the Spleen channel. Yinchen Wuling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria) is appropriate.
Cinnamomi Ramulus (3 qian), Atractylodis Macrocephalae Rhizoma (3 qian), Poria (3 qian), Polyporus (3 qian), Alismatis Rhizoma (3 qian), Artemisiae Scopariae Herba (3 qian).
The verse states: Jaundice dark with excessive saliva, Cinnamomi, Atractylodis, Artemisiae Scopariae, and Alismatis form the group.
Adding Polyporus and Poria to boil and take together harmonizes the condition if the cause is cold-dampness.
[General Verse] Ancient texts state that night sweats belong to Yin deficiency, while spontaneous sweating is due to Yang weakness and deficient Wei Qi failing to secure the exterior. Understanding the mutual attachment of Yin and Yang requires thorough study of classical books.
Fever with sweating, occasionally accompanied by aversion to wind and shivering, is an external manifestation of Wind Strike. Fangfeng Heying Tang (Saposhnikovia Decoction to Harmonize the Ying Level) is appropriate.
Saposhnikoviae Radix (2 qian), Paeoniae Radix Alba (2 qian), Schizonepetae Spica (1 qian), Perillae Folium (1 qian), Cyperi Rhizoma (1 qian), Armeniacae Semen Amarum (1 qian), Angelicae Dahuricae Radix (2 qian), Citri Reticulatae Pericarpium (1 qian), Angelicae Sinensis Radix (2 qian), Glycyrrhizae Radix et Rhizoma (2 qian), Zingiberis Rhizoma Recens (1 qian), Jujubae Fructus (2 pieces).
The verse states: Frequent hot sweat with aversion to wind, Schizonepetae, Saposhnikoviae, Perilla, Angelicae Dahuricae, Armeniacae, and Citri treat it.
Zingiberis, Jujubae, Paeoniae, Glycyrrhizae, Cyperi, and Angelicae are taken in one dose together.
Sweating during sleep but stopping upon waking indicates night sweats due to Yin deficiency. Danggui Liu Huang Tang (Angelica Six-Yellow Decoction) is appropriate.
Prepared Rehmanniae Radix (3 qian), Raw Rehmanniae Radix (3 qian), Angelicae Sinensis Radix (3 qian), Scutellariae Radix (2 qian), Coptidis Rhizoma (1 qian), Phellodendri Cortex (2 qian), Astragali Membranacei Radix (2 qian).
The verse states: Sweating during sleep stops upon waking, night sweats due to Yin deficiency are truly worrying.
Raw and Prepared Rehmanniae, Angelicae, Scutellariae, Coptidis, and Phellodendri, adding Astragali will cure the disease.
(Note by Bo An: Adding Ziziphi Spinosae Semen (3 qian) and Lycii Fructus (3 qian) to this formula is especially good.)
Sweating while awake but stopping during sleep indicates spontaneous sweating due to Yang deficiency. Shen Zhu Fu Tang (Ginseng, Atractylodes, and Aconite Decoction) is appropriate.
Ginseng Radix et Rhizoma (3 qian), Astragali Membranacei Radix (3 qian), Atractylodis Macrocephalae Rhizoma (3 qian), Aconiti Lateralis Radix Praeparata (3 qian).
The verse states: Sweating while awake stops during sleep, this is spontaneous sweating due to Yang deficiency.
Atractylodis, Aconiti, and Ginseng should be boiled together; this prescription is used to restore Yang and stop sweating.