附子 肉桂 防己(各四钱) 炙甘草(二钱) 白术 茯苓(各三钱)
阳气衰于下,令人寒厥,从五趾至膝上寒者,此方主之。
进退消长者,阴阳之理也,故阳气衰乏者,阴必凑之,令人五趾至膝上皆寒,名曰寒厥。
寒
茯苓,甘温燥渗之品也,可佐之以平阴翳。
黄柏一物,炒褐色,为末作丸。
阴气衰于下,令人足下热,热气循阴股而上者,名曰热厥,此方主之。
阳消则阴长,阴退则阳进,故阴气衰于下,则阳往凑之,令人足下热也。热盛则循三阴
经而上逆,因谓之热厥。黄柏味苦而浓,为阴中之阴,故能补阴气之不足,泻热气之有余。
王冰曰∶壮水之主,以制阳光。此方之谓也。
白术 人参 白芷 白茯苓 台乌药 青皮 陈皮(各一钱) 甘草(五分)
七气拂郁,令人手足厥冷者,此方主之。
气者,人身之阳也,一有拂郁,则阳气不能回达,故令手足厥冷。是方也,白芷、台乌、
青
可以调其不足。经曰∶邪之所凑,其气必虚。是故用夫补尔。
人参(二两) 天门冬 麦门冬 生地黄 熟地黄(各四两)
《内经》曰∶阳气者,烦劳则张,精绝,辟积于夏,使人煎厥。宜此方主之。
诸动属阳,故烦劳则扰乎阳,而阳气张大。阳气张大,则劳火亢矣。火炎则水干,故令
精绝,是以迁延辟积,至于夏月,内外皆热,水益亏而火益亢,孤阳厥逆,如煎如熬,故曰
煎厥。是方也,生、熟地黄,能救肾水而益阴精;天、麦门冬,能扶肺金而清夏气。人参能
固真元而疗烦劳。以之而治煎厥,诚曲当之方也。
附子、肉桂、防己(各四钱),炙甘草(二钱),白术、茯苓(各三钱)。
阳气在下部衰微,导致寒厥,症状从五个脚趾向上延伸至膝盖以上发冷,此方主治。
消长进退是阴阳运行的规律,因此当阳气衰少时,阴气必然乘虚侵袭,导致从五个脚趾到膝盖以上都感到寒冷,这被称为寒厥。
寒证中,茯苓是一种味甘性温、具有燥湿渗利作用的药物,可以辅助它来平抑阴寒之邪的遮蔽。
黄柏一味药,炒至褐色,研成粉末制成丸剂。
阴气在下部衰微,导致脚心发热,热气沿着大腿内侧向上蔓延的,称为热厥,此方主治。
阳气消退则阴气增长,阴气退去则阳气进逼,因此当阴气在下部衰微时,阳气便会前往填补,导致脚心发热。热势旺盛则会沿着三条阴经向上逆行,因此称之为热厥。黄柏味道苦而浓厚,属于阴中的阴类,所以能够补益不足的阴气,泻除有余的热气。
王冰说:“壮水之主,以制阳光。”说的就是这个方剂。
白术、人参、白芷、白茯苓、台乌药、青皮、陈皮(各一钱),甘草(五分)。
七种气机拂逆郁结,导致手足冰冷的,此方主治。
气是人身的阳气,一旦拂逆郁结,阳气就不能回返通达,从而导致手足冰冷。这个方剂中,白芷、台乌药、青皮等可以调理气的不足。《内经》说:“邪气所聚集的地方,正气必定虚弱。”因此使用补益的药物。
人参(二两),天门冬、麦门冬、生地黄、熟地黄(各四两)。
《内经》说:“人体的阳气,因烦劳过度而亢盛,精血枯竭,这种状况积累到夏季,会导致煎厥。”适宜用此方主治。
所有的躁动都属于阳,所以烦劳会扰动阳气,使阳气张大。阳气张大,那么劳火就会亢盛。火炎上则水干枯,所以导致精血枯竭,因此拖延积累,到了夏天月份,内外皆热,水更加亏损而火更加亢盛,孤阳厥逆,像被煎熬一样,所以称为煎厥。这个方剂中,生地黄和熟地黄,能救补肾水并益养阴精;天门冬和麦门冬,能扶助肺金并清解夏季之气。人参能固守真元并治疗烦劳。用它来治疗煎厥,确实是极为对症的方剂。
Fuzi (Aconiti Lateralis Radix Praeparata), Rougui (Cinnamomi Cortex), Fangji (Stephaniae Tetrandrae Radix) (each 4 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 3 qian).
When Yang Qi (Vital Energy of the Yang aspect) is deficient in the lower part of the body, it leads to Cold Jue (a condition characterized by cold extremities due to Yang deficiency and Yin excess). Symptoms include coldness extending from the five toes up to above the knees; this formula is indicated for such cases.
The waxing and waning, advancing and retreating constitute the principle of Yin and Yang. Therefore, when Yang Qi is deficient, Yin Pathogen (Cold-Damp or Yin Evil) must encroach upon it, causing coldness from the five toes up to above the knees, which is named Cold Jue.
In cases of Cold, Fuling (Poria) is a sweet, warm, drying, and permeating herb that can assist in pacifying the obscuration caused by Yin.
Huangbai (Phellodendri Cortex), a single herb, stir-baked until brownish, ground into powder and made into pills.
When Yin Essence/Fluids are deficient in the lower part of the body, it causes heat in the soles of the feet, with hot qi ascending along the medial aspect of the thighs; this is named Heat Jue, and this formula is indicated.
When Yang declines, Yin grows; when Yin retreats, Yang advances. Thus, when Yin Qi is deficient in the lower part, Yang moves to fill the void, causing heat in the soles of the feet. When the heat is excessive, it ascends reversely along the three Yin meridians, hence it is called Heat Jue. Huangbai is bitter and potent, belonging to the "Yin within Yin," thus it can tonify insufficient Yin Qi and drain excessive Heat Qi.
Wang Bing stated: "Strengthen the master of Water to control the brightness of Sun." This refers to this formula.
Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Bai Fuling (White Poria), Tai Wuyao (Linderae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
When the seven types of Qi (emotions/stagnations) are obstructed and depressed, leading to cold hands and feet, this formula is indicated.
Qi is the Yang Qi of the human body. Once obstructed and depressed, Yang Qi cannot return and reach the extremities, thus causing cold hands and feet. In this formula, Baizhi, Tai Wuyao, and Qingpi can regulate the insufficiency. The Classic says: "Where the pathogenic factor gathers, the healthy Qi must be deficient." Therefore, tonifying herbs are used.
Renshen (Ginseng Radix et Rhizoma) (2 liang), Tiantaimen Dong (Asparagi Radix), Maimendong (Ophiopogonis Radix), Sheng Dihuang (Rehmanniae Radix), Shu Dihuang (Prepared Rehmanniae Radix) (each 4 liang).
The *Neijing* states: "The Yang Qi of the human body, when subjected to vexatious labor, becomes hyperactive; if essence is exhausted, and this accumulates over time, it leads to Jian Jue (Frying Jue) in summer. This formula is appropriate for treating it."
All movements belong to Yang; thus, vexatious labor disturbs Yang, causing Yang Qi to expand excessively. When Yang Qi expands excessively, labor-fire becomes hyperactive. Fire blazing upwards dries up Water, leading to exhaustion of essence. Therefore, as this condition persists and accumulates until summer, both internal and external heat prevail, Water becomes increasingly deficient, and Fire becomes increasingly hyperactive. Solitary Yang rebels, feeling as if being fried or boiled, hence it is called Jian Jue. In this formula, Sheng Dihuang and Shu Dihuang can rescue Kidney Water and benefit Yin Essence; Tiantaimen Dong and Maimendong can support Lung Metal and clear Summer-heat/Qi. Renshen can consolidate the True Yuan (Original Qi) and treat vexatious labor. Using it to treat Jian Jue is indeed a highly appropriate formula.