暑风抽搐似惊风,烦渴汗热便黄红,先用加味香薷饮,继用玉露散即宁。
【注】
暑风者,手足搐搦状似惊风者也,由暑热攻,肝内生风病,
其证烦渴,身热有汗,二便黄赤,
先宜加味香薷饮,疏其风,继以玉露散,清其热,
暑热一解,而搐自止矣,切不可当惊□治之。
(加味香薷饮)
香薷 黄连 扁豆炒 厚朴姜炒 羌活 引用灯心水煎服
(方歌)
加味香薷治暑风,香薷黄连扁豆同,厚朴姜炒羌活入,灯心煎服效从容。
(玉露散)方见火泻
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暑证门
暑厥昏眩不知人,气虚挟痰上冲心,虚者清暑益气治,挟痰益元抱龙均。
【注】
暑厥之证,昏昧不省人事,因其人元气素虚,暑热冲心,
或挟痰上冲,以致精神昏愦,
虚者以清暑益气汤治之,
实者以辰砂益元散合抱龙丸治之。
(清暑益气汤)
人参 黄者炙 当归酒洗 白术土炒 陈皮 麦冬去心
五味子 青皮炒 苍术炒 黄蘖酒炒 升麻 葛根 泽泻 神麴炒
引用姜枣水煎服。
(方歌)
清暑益气虚受暑,参耆归术草陈皮,麦味青皮苍术蘖,升葛泽泻衶麴宜。
(辰砂益元散)
辰砂三钱水飞 滑石六两水飞 甘草一两末 每用一钱,
姜灯心汤,调匀合抱龙丸服。
(抱龙丸)
黑胆星四两九转者佳 天竺黄一两 雄黄水飞 辰砂各半两另研
麝香一钱另研以上为细末煮甘草膏,和丸皂荚子大,温水化下。
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暑风(因暑热引动肝风所致的手足抽搐病症)的抽搐症状类似惊风,伴有烦躁口渴、身体发热出汗、小便黄赤甚至带血等症状。治疗时应先用加味香薷饮,随后使用玉露散即可平息。
【注释】
所谓暑风,是指手足搐搦,形态类似惊风的病症。这是由暑热之邪侵袭,导致肝脏内生风邪而引发的疾病。其临床表现包括烦躁口渴、身体发热且有汗、大小便颜色黄赤。治疗上,先宜用加味香薷饮来疏解风邪,继之用玉露散来清除热邪。一旦暑热得以解除,抽搐自然停止。切不可将其当作惊风来治疗。
(加味香薷饮)
药材:香薷、黄连、炒扁豆、姜制厚朴、羌活。
用法:引用灯心草煎水服用。
(方歌)
加味香薷饮治疗暑风,由香薷、黄连、扁豆组成,加入姜制的厚朴和羌活,用灯心草煎服,疗效从容显著。
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暑证门
暑厥(因暑热导致气机逆乱、突然昏倒的病症)表现为头晕目眩、神志昏迷不省人事。这是由于患者元气素来虚弱,又挟带痰浊上冲于心所致。对于虚证,应用清暑益气汤治疗;若为挟痰实证,则辰砂益元散与抱龙丸均可使用。
【注释】
暑厥的症状是神志昏昧,不省人事。这是因为患者原本元气虚弱,暑热之邪冲犯心脏,或者挟带痰浊上冲,导致精神极度昏沉混乱。对于虚证,以清暑益气汤治疗;对于实证(挟痰),以辰砂益元散合抱龙丸治疗。
(清暑益气汤)
药材:人参、炙黄芪、酒洗当归、土炒白术、陈皮、去心麦冬、五味子、炒青皮、炒苍术、酒炒黄柏、升麻、葛根、泽泻、炒神曲。
用法:引用生姜、大枣煎水服用。
(方歌)
清暑益气汤适用于虚体受暑者,含有人参、黄芪、当归、白术、甘草、陈皮,以及麦冬、五味子、青皮、苍术、黄柏,还有升麻、葛根、泽泻、神曲适宜配伍。
(辰砂益元散)
药材:三钱水飞辰砂、六两水飞滑石、一两甘草末。
用法:每次取一钱,用姜汁和灯心草汤调匀,配合抱龙丸服用。
(抱龙丸)
药材:四两九转黑胆星(以九转者为佳)、一两天竺黄、水飞雄黄、各半两辰砂(另研细)、一钱麝香(另研细)。
用法:以上药材研成细末,煮甘草膏为黏合剂,制成如皂荚子大小的丸药,温水送服。
Shu Feng (Summerheat Wind, characterized by convulsions due to summerheat stirring up liver wind) presents with convulsions resembling Jing Feng (Wind Stroke/Convulsive Disorder), accompanied by irritability and thirst, fever with sweating, and yellow or red urine. Treatment should first employ Jiawei Xiangru Yin (Modified Elsholtzia Decoction), followed by Yulu San (Jade Dew Powder) to bring relief.
[Note]
Shu Feng refers to the condition where limbs twitch and spasm, resembling Jing Feng. It is caused by summerheat pathogenic factors attacking and inducing internal wind in the Liver. The symptoms include irritability and thirst, body heat with sweating, and dark yellow or reddish urine and stool. Initially, Jiawei Xiangru Yin should be used to disperse wind, followed by Yulu San to clear heat. Once the summerheat is resolved, the convulsions will cease naturally. One must not mistakenly treat it as Jing Feng.
(Jiawei Xiangru Yin / Modified Elsholtzia Decoction)
Ingredients: Xiangru (Moslae Herba), Huanglian (Coptidis Rhizoma), Chao Biandou (Stir-fried Dolichos Lablab Seed), Jiang Chao Houpo (Ginger-processed Magnolia Bark), Qianghuo (Notopterygii Rhizoma et Radix).
Administration: Decoct with Dengxincao (Junci Medulla water) for oral administration.
(Fang Ge / Formula Verse)
Jiawei Xiangru treats Shu Feng, combining Xiangru, Huanglian, and Biandou; adding ginger-processed Houpo and Qianghuo, decocted with Dengxincao for effective and steady results.
(Yulu San / Jade Dew Powder) See "Huo Xie" (Fire Diarrhea) section.
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Section on Summerheat Syndromes
Shu Jue (Summerheat Collapse, sudden fainting due to summerheat disrupting qi) manifests as dizziness, vertigo, and unconsciousness. This occurs when underlying Qi deficiency is compounded by Phlegm rushing upward to the Heart. For deficiency patterns, Qing Shu Yi Qi Tang (Clear Summerheat and Boost Qi Decoction) is indicated; for patterns with Phlegm, Chen Sha Yi Yuan San (Cinnabar Yi Yuan Powder) and Bao Long Wan (Dragon-Holding Pill) are both suitable.
[Note]
The syndrome of Shu Jue involves mental confusion and loss of consciousness. It arises because the patient has a constitutional deficiency of Yuan Qi (Original Qi), allowing summerheat to rush into the Heart, or carrying Phlegm upward, leading to severe mental cloudiness. Deficiency patterns are treated with Qing Shu Yi Qi Tang. Excess patterns (carrying Phlegm) are treated with Chen Sha Yi Yuan San combined with Bao Long Wan.
(Qing Shu Yi Qi Tang / Clear Summerheat and Boost Qi Decoction)
Ingredients: Renshen (Ginseng Radix), Zhi Huangqi (Honey-fried Astragali Radix), Jiu Xi Danggui (Wine-washed Angelicae Sinensis Radix), Tu Chao Baizhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Maidong Qu Xin (Ophiopogonis Radix, heart removed), Wuweizi (Schisandrae Chinensis Fructus), Chao Qingpi (Stir-fried Citri Reticulatae Pericarpium Viride), Chao Cangzhu (Stir-fried Atractylodis Lanceae Rhizoma), Jiu Chao Huangbo (Wine-stir-fried Phellodendri Cortex), Shengma ( Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Zexie (Alismatis Rhizoma), Chao Shenqu (Stir-fried Massas Medicatae Fermentatae).
Administration: Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) for oral administration.
(Fang Ge / Formula Verse)
Qing Shu Yi Qi treats deficiency complicated by summerheat; contains Renshen, Huangqi, Danggui, Baizhu, Gancao, Chenpi, Maidong, Wuweizi, Qingpi, Cangzhu, Huangbo, Shengma, Gegen, Zexie, and Shenqu appropriately combined.
(Chen Sha Yi Yuan San / Cinnabar Yi Yuan Powder)
Ingredients: 3 qian of Shui Fei Chen Sha (Water-triturated Cinnabaris), 6 liang of Shui Fei Huashi (Water-triturated Talcum), 1 liang of Gancacao powder.
Administration: Take 1 qian each time, mix evenly with Jiang (Zingiberis Rhizoma Recens) and Dengxincao (Junci Medulla) decoction, taken together with Bao Long Wan.
(Bao Long Wan / Dragon-Holding Pill)
Ingredients: 4 liang of Hei Danxing (Black Gallstone Star, preferably from nine transformations), 1 liang of Tianzhu Huang (Bambusae Concretio Silicea), Shui Fei Xionghuang (Water-triturated Realgar), Chen Sha (Cinnabaris) half a liang each (separately triturated), Shexiang (Moscus) 1 qian (separately triturated).
Administration: Grind all ingredients into fine powder, use Zhuga Cao Gao (Boiled Licorice Paste) as a binder to form pills the size of Sijiaozi (Gleditsiae Sinensis Fruit seeds), administer with warm water.