香薷(一两,用穗) 人参(去芦) 陈皮 黄 (炙) 白术(炒) 白扁豆 甘草
(炒) 白
茯苓 木瓜(各半两)
伏暑,身体倦怠,神昏,头重,吐利者,此方主之。
暑能伤气,故身体倦怠,神思昏沉;暑为阳邪,故并于上而头重;暑邪干胃,故既吐且
利。火热横流,肺气受病,人参、黄 ,益肺气也;肺为子,脾为母,肺虚者宜补其母,白
术、茯苓、扁豆、甘草,皆补母也;火为母,土为子,火实者宜泻其子;浓朴、陈皮,平其
敦阜,即泻子也;香薷之香,散暑邪而破湿热;木瓜之酸,收阴气而消脾湿。脾气调则吐利
自息,肺气复则倦怠皆除。
人参 石膏 知母 甘草
暑月中热,汗出恶寒,身热而渴,脉虚者,此方主之。
暑,阳邪也,中人则伤卫,卫虚则不能固表,故汗出且恶寒;表有暑邪,故身热;里有
暑邪,故口渴;暑伤于气,故脉虚。经曰∶壮火食气,故用人参、甘草以补气;石膏性寒味
甘辛,寒则能除热,甘则能调胃,辛则能解肌,以其行清肃之令而除烦暑,得西方金神之象,
故以白虎名之。用之者,经所谓折其郁气是也。知母滋阴益肾,《易》义曰∶火炎则水干,
故用知母以益水,经所谓滋其化源是也。
滑石(六两) 甘草(一两)
共为末,每用五钱,冷水调服。
中暑身热烦渴,小便不利者,此方主之。
身热口渴,阳明证也;小便不利,膀胱证也;暑为热邪,阳受之则入六腑,故见证若此
。滑石性寒而淡,寒则能清六腑,淡则能利膀胱;入甘草者,恐石性太寒,损坏中气,用以
和中耳。经曰∶治温以清,凉而行之。故用冷水调服。是方也,简易而效捷,暑途用之,诚
为至便;但于老弱、阴虚之人,不堪与也。此虚实之辨,明者详之,否则蹈虚虚之戒,恶乎
不慎!
香薷(一两,选用花穗部分) 人参(去除芦头) 陈皮 黄芪(蜜炙) 白术(炒制) 白扁豆 甘草(炒制) 茯苓 木瓜(以上各半两)
主治伏暑证,症状表现为身体倦怠、神志昏沉、头部沉重、呕吐且腹泻者,以此方为主治。
暑邪能够损伤人体正气,因此出现身体倦怠、神思昏沉;暑属于阳邪,容易上扰清窍导致头部沉重;暑邪侵犯胃腑,所以既呕吐又腹泻。火热之邪横溢流散,导致肺气受病,使用人参、黄芪,是为了补益肺气;肺属金为子,脾属土为母,肺气虚弱时应当补益其母脏(脾),白术、茯苓、白扁豆、甘草,都是补益脾土的药材;火生土,火为母,土为子,当火邪亢盛时,应当泻其子脏(土);厚朴、陈皮,能够平抑脾胃的壅滞敦厚之气,这就是所谓的“泻子”法;香薷的香气,可以发散暑邪并破除湿热;木瓜的酸味,能够收敛阴气并消除脾湿。脾气调和则呕吐腹泻自然停止,肺气恢复则倦怠感全部消除。
主治暑天感受热邪,症状表现为出汗、怕冷、身体发热且口渴、脉象虚弱的,以此方为主治。
暑,属于阳邪,侵入人体则损伤卫气,卫气虚弱则不能固护肌表,因此出汗且怕冷;体表有暑邪,所以身体发热;体内有暑邪,所以口渴;暑邪损伤了正气,所以脉象虚弱。《内经》说:“壮火食气”,因此用人参、甘草来补益正气;石膏性寒味甘辛,寒性能清除热邪,甘性能调和胃气,辛性能解肌表之邪,它施行清肃的政令以消除烦闷暑热,具有西方金神的意象,因此用“白虎”命名此方。使用此方,符合《内经》所说的“折其郁气”的原则。知母能滋阴益肾,《易经》义理说:“火炎上则水干枯”,因此使用知母来滋补水液,符合《内经》所说的“滋其化源”的原则。
共同研磨成粉末,每次服用五钱,用冷水调服。
主治中暑,症状表现为身体发热、烦躁口渴、小便不利的,以此方为主治。
身体发热、口渴,是阳明经的证候;小便不利,是膀胱经的证候;暑属于热邪,阳气受邪则病入六腑,所以出现上述证候。滑石性寒而味淡,寒性能清泄六腑之热,淡性能通利膀胱水道;加入甘草,是担心滑石的性质过于寒凉,会损坏中焦脾胃之气,用来调和其中。《内经》说:“治疗温病要用清凉之法,并凉服药物。”因此用冷水调服。这个方剂,简便易行且疗效迅速,在暑热途中使用,确实非常方便;但对于年老体弱、阴虚体质的人,则不宜使用。这是虚实辨证的要点,明眼人应详细辨别,否则就会犯“虚虚”(使虚者更虚)的错误,怎么可以不谨慎呢!
Elaeocarpus Decoction (Shenxiang Ruyin) [Note: Text lists ingredients for Shenling Baizhu San variant or similar, but title says Shixiang Ruyin. Based on text content: Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Bian Dou, Gan Cao, Chen Pi, Mu Gua, Xiang Ru]. *Correction*: The text lists "Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Bian Dou, Gan Cao, Chen Pi, Mu Gua" plus Xiang Ru. This matches **Shenling Baizhu San** modified with Xiang Ru and Mu Gua, often used for summerheat-dampness with spleen deficiency. However, the header says "Shiwei Xiangru Yin". I will translate based on the provided text's explicit ingredient list and indication.
*Ingredients:* Elaeocarpus Decoction (Xiangru), one qian (1 liang total in text, likely typo for standard dosage or specific preparation, translating as written: 1 liang, using the flower spikes); Ginseng Root (Renshen), rhizome removed; Tangerine Peel (Chenpi); Astragalus Root (Huangqi), honey-fried; Atractylodes Macrocephala Rhizome (Baizhu), stir-fried; Lablab Bean (Bian Dou); Licorice Root (Gancao), stir-fried; Poria (Fuling); Quince (Mu Gua). Each of the latter eight herbs is half a liang.
Indication: For latent summerheat (Fushu), manifesting as physical fatigue, mental confusion, heavy head, vomiting, and diarrhea. This formula is indicated.
Summerheat can injure healthy qi (Zhengqi), hence physical fatigue and mental dullness; summerheat is a yang pathogen, thus it tends to ascend and cause heaviness in the head; when summerheat pathogen invades the Stomach, both vomiting and diarrhea occur. When fiery heat flows horizontally and affects the Lung Qi, Ginseng Root and Astragalus Root are used to tonify Lung Qi; the Lung (Metal) is the child, and the Spleen (Earth) is the mother; when Lung Qi is deficient, it is appropriate to tonify its mother (Spleen). Atractylodes Macrocephala Rhizome, Poria, Lablab Bean, and Licorice Root all tonify the mother organ (Spleen); Fire generates Earth, so Fire is the mother and Earth is the child; when Fire is excess, it is appropriate to drain its child (Earth). Magnolia Bark (Houpo) and Tangerine Peel (Chenpi) level the stagnation and fullness of the Spleen/Stomach, which constitutes the method of "draining the child"; the fragrance of Elaeocarpus Decoction disperses summerheat pathogen and breaks damp-heat; the sourness of Quince collects yin qi and eliminates spleen dampness. When Spleen qi is regulated, vomiting and diarrhea cease naturally; when Lung qi recovers, fatigue is entirely removed.
Ginseng Root (Renshen); Gypsum Fibrosum (Shigao); Anemarrhena Rhizome (Zhimu); Licorice Root (Gancao).
Indication: For contracting summerheat and internal heat during the summer season, manifesting as sweating, aversion to cold, body fever, thirst, and a deficient pulse. This formula is indicated.
Summerheat is a yang pathogen; when it enters the person, it injures Defensive Qi (Wei Qi). When Defensive Qi is deficient, it cannot secure the exterior, hence sweating and aversion to cold; because there is summerheat pathogen on the exterior, there is body fever; because there is summerheat pathogen on the interior, there is thirst; because summerheat injures qi, the pulse is deficient. The Classics state: "Blazing fire consumes qi," therefore Ginseng Root and Licorice Root are used to tonify qi; Gypsum Fibrosum is cold in nature, sweet and pungent in taste. Coldness clears heat, sweetness harmonizes the Stomach, and pungency releases the muscle layer. It executes the clear and descending command to remove vexatious summerheat, embodying the image of the Metal Spirit of the West; thus it is named "White Tiger" (Baihu). Its use aligns with the Classic's principle of "breaking stagnant qi." Anemarrhena Rhizome nourishes yin and benefits the Kidney. The meaning of the *I Ching* states: "When fire flares up, water dries up"; therefore, Anemarrhena Rhizome is used to benefit water, aligning with the Classic's principle of "nourishing the source of transformation."
Talcum (Huashi), six liang; Licorice Root (Gancao), one liang.
Grind together into powder. Take five qian each time, mixed with cold water.
Indication: For heatstroke (Zhongshu), manifesting as body fever, vexation, thirst, and difficult urination. This formula is indicated.
Body fever and thirst are symptoms of the Yangming syndrome; difficult urination is a symptom of the Bladder syndrome; summerheat is a hot pathogen. When yang receives it, the disease enters the Six Fu organs, hence these manifestations. Talcum is cold in nature and bland in taste; coldness clears the Six Fu organs, and blandness promotes urination via the Bladder. Licorice Root is added because it is feared that Talcum's cold nature is too severe and might damage Middle Qi (Zhong Qi); it is used to harmonize the middle. The Classics state: "Treat warm diseases with clearing methods, and administer them coolly." Therefore, it is taken mixed with cold water. This formula is simple, easy to prepare, and rapid in effect; it is indeed very convenient for use during summer travel. However, it is not suitable for the elderly, the weak, or those with yin deficiency. This is a distinction between deficiency and excess; those who understand this will examine it carefully, otherwise they will fall into the error of "depleting the deficient," how could one be not cautious!