人参 紫苏 干葛 前胡 半夏(姜汁炒) 茯苓七钱五分 陈皮(去白) 甘草 枳
壳(麸炒) 桔梗 木香二钱
每五钱加姜、枣煎。
补散兼行,风痰并解,当病即止,不为过量,制方最佳。
香附(炒) 紫苏二钱 陈皮(去白)一钱 甘草七分
加姜、葱煎。
外疏风而内行气,正以轻松流利为佳,不必动辄峻剂也。
茵陈 栀子 鳖甲 芒硝二两 大黄五两 常山 杏仁(炒)三两 巴豆一两(去心皮,
炒)豆豉五合
蜜丸。
天行厉气,取效每有不可以常理论者。至 疟及赤白痢,自有正法治之,何必冒险以冀
幸,汪 庵反以为佳方,吾不解也。
柴胡八两 半夏半升 人参 甘草 黄芩 生姜三两 大枣十二枚
少阳为半表半里之经。邪在表者可汗,邪在里者不可汗也;邪在表者可吐,邪在里者不
可吐也;邪在里者可下,邪在表者不可下也。须知此之所谓半表半里者,乃在阴阳交界之所,
阳经将尽, 乎欲入太阴,营卫不和,阴阳交战,并非谓表里受邪,若大柴胡可表可下例
也。仲景嘉惠后世,独开和解一门,俾后人有所持循,不犯禁忌。盖和者,和其里也;解者,
解其表也。和其里,则邪不得内犯阴经;解其表,则邪仍从阳出。故不必用汗吐下之法,而
阴阳不争,表里并解矣。小柴胡汤乃变大柴胡之法,而别出心裁,用人参以固本,又用甘草、
姜、枣以助脾胃,又用黄芩以清里热,使内地奠安,无复返顾之虑。我既深沟高垒,有不战
而屈人之势,而又用柴胡以专散少阳之邪,用半夏消痰行气以化逆,譬之自守已固,而又时
出游骑,以蹴踏之,使之进无所得,退无所据,有不冰消瓦解者乎?此则仲景立方之微意,
非通于神明者不能也。注中凡仲景所加减之方,皆精当不磨,有专治而无通治,此其所以可
贵也,学人须细细参之,则于和解一门,思过半也。
人参、紫苏、干葛(葛根)、前胡、半夏(用姜汁炒制)、茯苓七钱五分、陈皮(去掉白色部分)、甘草、枳壳(用麦麸炒制)、桔梗、木香二钱。
每服用五钱药量,加入生姜、大枣煎煮。
此方补益与发散兼施,风邪与痰浊一并解除,应当病愈即止,不可过量,组方极为精妙。
香附(炒制)二钱、紫苏二钱、陈皮(去掉白色部分)一钱、甘草七分。
加入生姜、葱白煎煮。
外能疏散风邪,内能行气,关键在于轻松流利,不必动辄使用猛烈之剂。
茵陈、栀子、鳖甲、芒硝二两、大黄五两、常山、杏仁(炒制)三两、巴豆一两(去掉心皮,炒制)、豆豉五合。
制成蜜丸。
对于时行厉气(传染性烈性疫病),其疗效往往有无法用常规理论解释之处。至于疟疾及赤白痢疾,自有正规法治疗,何必冒险以求侥幸?汪庵反而认为这是好方子,我不理解。
柴胡八两、半夏半升、人参、甘草、黄芩、生姜三两、大枣十二枚。
少阳经是位于半表半里的经络。邪气在表的可以用发汗法,邪气在里的则不可用发汗法;邪气在表的可以用催吐法,邪气在里的则不可用催吐法;邪气在里的可以用泻下法,邪气在表的则不可用泻下法。必须知道,这里所说的“半表半里”,是指阴阳交界的地方,阳经之气将尽,似乎正要进入太阴,导致营卫不和,阴阳交战,并不是指表里同时受邪,就像大柴胡汤那样既可以解表又可以攻下的情况。张仲景恩惠后世,独自开创了和解这一法门,使后人有所遵循,不犯禁忌。所谓“和”,是调和内部;所谓“解”,是解散外部。调和内部,则邪气不得向内侵犯阴经;解散外部,则邪气仍从阳经排出。因此不需要使用汗、吐、下这三种方法,而阴阳不再争斗,表里同时得到解决。小柴胡汤是变通大柴胡汤的方法,另辟蹊径,用人参来巩固根本,又用甘草、生姜、大枣来辅助脾胃,又用黄芩来清泄内部热邪,使内地安定,不再有后顾之忧。我方已深沟高垒,具备不战而屈人之兵的态势,同时又用柴胡专门疏散少阳经的邪气,用半夏消除痰浊、行气以化解逆乱,好比自身防守已坚固,却又时常派出游骑兵出击践踏,使敌人进无可得,退无可据,难道还有不冰消瓦解的吗?这正是张仲景立方的微妙意旨,不通晓神明境界的人是不能理解的。注释中凡是张仲景所加减的方剂,都精当不可磨灭,有专治而无泛治,这就是它们珍贵的原因,学习者必须细细参悟,那么对于和解这一法门,就能掌握大半了。
Ginseng Radix (Renshen), Perilla Leaf (Zisu), Pueraria Root (Gegen), Peucedani Radix (Qianhu), Pinellia Rhizome (Banxia) stir-fried with ginger juice, Poria (Fuling) 7.5 qian, Tangerine Peel (Chenpi) with the white pith removed, Licorice Root (Gancao), Aurantium Fructus Immaturus (Zhike) stir-fried with bran, Platycodon Root (Jiegeng), and Costus Root (Muxiang) 2 qian.
For every 5 qian of the mixture, decoct with fresh ginger and jujube.
This formula combines tonification and dispersion, resolving both wind and phlegm simultaneously. It should be discontinued once the illness subsides to avoid overdose; its formulation is excellent.
Cyperi Rhizoma (Xiangfu) stir-fried, 2 qian; Perilla Leaf (Zisu), 2 qian; Tangerine Peel (Chenpi) with the white pith removed, 1 qian; Licorice Root (Gancao), 7 fen.
Decoct with fresh ginger and scallion white.
Externally it disperses wind, internally it promotes qi movement. The key lies in being light and smooth; there is no need to resort to harsh remedies frequently.
Artemisiae Scopariae Herba (Yinchen), Gardeniae Fructus (Zhizi), Testudinis Carapax et Plastrum (Biejia), Natrii Sulfas (Mangxiao) 2 liang, Rheomi Radix et Rhizoma (Dahuang) 5 liang, Dichroae Radix (Changshan), Prunus Armeniaca Seed (Xingren) stir-fried, 3 liang, Crotonis Semen (Badou) 1 liang (heart and skin removed, stir-fried), Fermented Soybean (Douchi) 5 he.
Made into honey pills.
Regarding epidemic pestilence (Tianxing Liqi), therapeutic effects often defy conventional theoretical explanation. As for malaria and dysentery (red and white), there are orthodox treatments available; why take risks hoping for luck? Wang An considered this an excellent prescription, which I do not understand.
Bupleuri Radix (Chaihu) 8 liang, Pinellia Rhizome (Banxia) half sheng, Ginseng Radix (Renshen), Licorice Root (Gancao), Scutellariae Radix (Huangqin), Fresh Ginger (Shengjiang) 3 liang, Jujube (Dazao) 12 pieces.
Shaoyang (Lesser Yang) is the meridian located between the exterior and interior. When pathogenic factors are in the exterior, sweating may be used; when they are in the interior, sweating must not be used. When pathogenic factors are in the exterior, emesis may be used; when they are in the interior, emesis must not be used. When pathogenic factors are in the interior, purgation may be used; when they are in the exterior, purgation must not be used. One must understand that what is referred to here as "half-exterior half-interior" denotes the junction of yin and yang, where the yang meridian energy is nearing its end and seems about to enter Taiyin, leading to disharmony of Ying and Wei (nutritive and defensive qi) and conflict between yin and yang. This is not equivalent to simultaneous exterior and interior involvement, such as in the case of Da Chai Hu Tang (Major Bupleurum Decoction), which can both release the exterior and purge the interior. Zhang Zhongjing benefited future generations by uniquely opening the category of Harmonization, providing successors with guidelines to avoid taboos. "Harmonizing" refers to harmonizing the interior; "Resolving" refers to releasing the exterior. Harmonizing the interior prevents pathogens from invading the yin meridians internally; releasing the exterior ensures pathogens exit via the yang meridians. Thus, there is no need to employ sweating, emesis, or purgation methods, yet yin and yang cease their contention, and both exterior and interior are resolved. Xiao Chai Hu Tang (Minor Bupleurum Decoction) modifies the method of Da Chai Hu Tang but adopts a novel approach: it uses Ginseng Radix to consolidate the root, Licorice Root, ginger, and jujube to assist the spleen and stomach, and Scutellariae Radix to clear internal heat, thereby stabilizing the interior and eliminating concerns of relapse. With deep moats and high ramparts established, possessing the momentum to subdue the enemy without battle, it further employs Bupleuri Radix to specifically scatter Shaoyang pathogens, and Pinellia Rhizome to eliminate phlegm and move qi to transform rebellion. This is akin to having solid defenses while dispatching cavalry raids to trample the enemy, leaving them with no gains from advancing and no footing from retreating; how could they not disintegrate like ice and collapse like broken pottery? This is the subtle intent behind Zhang Zhongjing's formula creation, which only those enlightened by divine wisdom can comprehend. All formulas modified by Zhang Zhongjing noted in commentaries are precise and unalterable, offering specific treatments rather than general ones; this is why they are precious. Learners must study them carefully, and upon doing so, they will have grasped more than half of the principles of Harmonization.