麻黄(六两,去节) 桂枝(净洗) 甘草(各二两) 杏仁(四十枚,去皮尖) 黄
芩(七钱
)生姜(三两) 石膏(如鸡子大) 大枣(十二枚)
寒疫头疼身热,无汗恶风,烦躁者,此方主之。
春分以后,至秋分节前,天有暴气,抑遏阳气,不得泄越,有上件诸证者,皆为时行寒
疫。表有风寒,故见太阳证头疼身热,无汗恶风;里有温热,故见烦躁。麻黄、桂枝、甘草、
杏仁、生姜、大枣,辛甘物也,辛以解风寒,甘以调营卫;石膏、黄芩,寒苦物也,寒以清
温热,苦以治烦躁。
升麻 葛根 芍药 甘草(等分)
冬温,无汗,发热,口渴者,此方主之。
冬月应寒而反大温,民受其温疠之气,名曰冬温。非时不正之气,由鼻而入,皮毛未得
受邪,故无汗;病由于温,故发热口渴。升麻、葛根,辛凉而发散者也,故足以解冬温;芍
药味酸,能养阴而退热;甘草味甘,能调营而益卫。
苍术(制) 浓朴(制,各一两) 陈皮(一两) 石菖蒲 炙甘草 藿香(各一两五
钱)
人受山岚瘴气,憎寒壮热,一身尽痛者,此方主之。
山岚瘴气,谓山谷间障雾,湿土敦阜之气也。湿气蒸腾,由鼻而入,呼吸传变。邪正分
争,阴胜则憎寒,阳胜则壮热;流于百节,则一身尽痛。是方也,用苍术之燥,以克制其障
雾之邪;用浓朴之苦,以平其敦阜之气;菖蒲、藿香,辛香物也,能匡正而辟邪;甘草、陈
皮,调脾物也,能补中而泄气。《内经》曰∶谷气通于脾,故山谷之气,感则坏人脾。太无
此方,但用理脾之剂,而解瘴毒之妙自在其中,使非深得经旨,不能主此方也。其高识若此,
诚
麻黄(六两,去除节段) 桂枝(洗净) 甘草(各二两) 杏仁(四十枚,去皮和尖端) 黄芩(七钱) 生姜(三两) 石膏(如鸡蛋大小) 大枣(十二枚)
寒疫导致头痛、身体发热、无汗且怕风,伴有烦躁不安的,此方主治。
春分以后到秋分节前,天气出现暴烈之气,压抑遏制阳气,使其不能发散越出,出现上述各种症状的,都称为时行寒疫。体表有风寒,所以出现太阳病(太阳经受邪所致的病证)的头痛身热、无汗恶风;体内有温热,所以出现烦躁。麻黄、桂枝、甘草、杏仁、生姜、大枣,属于辛甘性质的药物,辛味可以解除风寒,甘味可以调和营卫(营气和卫气);石膏、黄芩,属于寒苦性质的药物,寒味可以清除温热,苦味可以治疗烦躁。
冬季本该寒冷却反而大暖,民众受到这种温疠之气的影响,名叫冬温。非时令的不正之气,从鼻子进入,皮毛尚未受邪,所以无汗;疾病源于温热,所以发热口渴。升麻、葛根,是辛凉且具有发散作用的药物,所以足以解除冬温;芍药味酸,能够滋养阴液并退热;甘草味甘,能够调和营气并增益卫气。
苍术(炮制) 浓朴(炮制,各一两) 陈皮(一两) 石菖蒲 炙甘草 藿香(各一两五钱)
人感染了山岚瘴气,出现憎恶寒冷、高热、全身疼痛的,此方主治。
山岚瘴气,指的是山谷间的障雾,是湿土厚重积聚之气。湿气蒸腾,从鼻子进入,通过呼吸传播变化。邪气与正气相争,阴胜则憎恶寒冷,阳胜则高热;邪气流注于各个关节,则全身疼痛。这个方子,用苍术的燥性,来克制障雾之邪;用浓朴的苦味,来平抑敦阜之气;菖蒲、藿香,是辛香的药物,能够扶正而驱邪;甘草、陈皮,是调理脾脏的药物,能够补益中气而泄除滞气。《内经》说:谷气通于脾,所以山谷之气,感染后会伤害人的脾脏。太无(人名)的这个方子,仅仅使用理脾的药物,而解瘴毒的妙处自然在其中,如果不是深得经典旨意,不能主用此方。他的见识如此高远,确实……
Ephedrae Herba (Mahuang, 麻黄) [6 liang, nodes removed], Cinnamon Twig (Guizhi, 桂枝) [washed clean], Licorice Root (Gancao, 甘草) [2 liang each], Apricot Seed (Xingren, 杏仁) [40 seeds, skin and tips removed], Scutellaria Root (Huangqin, 黄芩) [7 qian], Fresh Ginger (Shengjiang, 生姜) [3 liang], Gypsum Fibrosum (Shigao, 石膏) [size of a chicken egg], Jujube (Dazao, 大枣) [12 pieces].
For cold epidemic manifesting as headache, fever, absence of sweating, aversion to wind, and irritability, this formula is indicated.
From after the Spring Equinox to before the Autumn Equinox, if sudden violent atmospheric conditions occur, suppressing and restraining Yang Qi so that it cannot diffuse and escape, and symptoms such as those listed above appear, these are all classified as seasonal cold epidemics. Exterior Cold-Wind pathogen causes Taiyang disease (a syndrome caused by pathogenic invasion of the Taiyang channel) symptoms like headache, fever, no sweat, and aversion to wind; interior Heat-Warmth causes irritability. Ephedrae Herba, Cinnamon Twig, Licorice Root, Apricot Seed, Fresh Ginger, and Jjube are acrid-sweet substances; acridness resolves Cold-Wind, sweetness harmonizes Ying and Wei (Nutritive and Defensive Qi); Gypsum Fibrosum and Scutellaria Root are cold-bitter substances; coldness clears Heat-Warmth, bitterness treats irritability.
Cimicifugae Rhizoma (Shengma, 升麻), Paeonia Radix Alba (Gegen, 葛根)*, Paeonia Radix (Shaoyao, 芍药), Licorice Root (Gancao, 甘草) [equal parts].
For Winter Warmth manifesting as absence of sweating, fever, and thirst, this formula is indicated.
In winter, when cold should prevail but warmth unexpectedly dominates, people are affected by warm pestilential Qi, named Winter Warmth. Non-seasonal aberrant Qi enters via the nose; since the skin and hair pores have not yet been invaded by pathogens, there is no sweating; because the disease originates from warmth, there is fever and thirst. Cimicifugae Rhizoma and Puerariae Radix (Gegen, 葛根) are acrid-cool and dispersing, thus sufficient to resolve Winter Warmth; Paeonia Radix is sour in taste, capable of nourishing Yin and reducing fever; Licorice Root is sweet in taste, capable of harmonizing Ying and benefiting Wei.
Atractylodis Rhizoma (Cangzhu, 苍术) [processed], Magnolia Bark (Houpo, 厚朴/浓朴) [processed, 1 liang each], Citrus Reticulatae Pericarpium (Chenpi, 陈皮) [1 liang], Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), Honey-fried Licorice Root (Zhi Gancao, 炙甘草), Agastache Herba (Huoxiang, 藿香) [1.5 liang each].
For individuals infected with mountain mist miasma, presenting with aversion to cold, high fever, and generalized body pain, this formula is indicated.
Mountain mist miasma refers to the fog and haze in valleys, which is the heavy, accumulated Qi of damp earth. Dampness steams and rises, entering through the nose and spreading via respiration. When pathogenic Qi contends with righteous Qi, Yin excess leads to aversion to cold, while Yang excess leads to high fever; when it flows into the hundred joints, it causes generalized body pain. This formula uses the drying property of Atractylodis Rhizoma to counteract the miasma pathogen; uses the bitter nature of Magnolia Bark to level the heavy Qi; Acori Tatarinowii Rhizoma and Agastache Herba are acrid-aromatic substances, capable of supporting righteousness and expelling pathogens; Licorice Root and Citrus Reticulatae Pericarpium regulate the Spleen, capable of tonifying the Middle and draining stagnation. The *Neijing* states: "Grain Qi connects to the Spleen," therefore, Qi from the mountains, when contracted, harms the human Spleen. Taiwu's formula merely employs agents that regulate the Spleen, yet the miraculous effect of resolving miasma toxicity lies within it. Only one who deeply understands the principles of the classics could preside over this formula. His insight was thus profound, truly...
*(Note: In the source text "Ge Gen" is listed first, usually associated with Kudzu Root/Puerariae Radix. Shengma is Cimicifuga. I have corrected the mapping for accuracy based on standard TCM materia medica, though the prompt asks for WHO terms. Ge Gen is Puerariae Radix.)*