治风温多眠自喘自汗身热谵语
葛根 白薇 麻黄 羌活 杏仁 川芎 甘草 石膏 葳蕤 青木香
不用引煎服
治风温自汗关节疼痛
方见寒门 加葳蕤
知母葛根汤
知母 干葛 石膏 黄芩 木香 甘草 升麻 天南星 人参 防风 川芎 杏仁 羌
活葳蕤
不用引煎服
治风温渴甚者此药主之
栝蒌根 葛根 石膏 人参 防风 甘草
不用引煎服
湿温为病其人素伤于湿因而中暑湿与热搏是名湿温其症胸满头疼壮热妄言身上多汗足胫
逆冷
宜用 白虎加苍术汤
湿温病脏腑虚滑无热症宜用 理中汤 加苍术 茯苓
白虎加苍术汤 方见寒门止加苍术
理中汤 方见中寒门
风湿为病是先伤湿而后伤风病名风湿其症肢体肿痛不利而热日晡则剧治宜微微解表不宜
发汗若汗则风气去湿气在焉 经曰阳受风气阴受湿气伤于风者上先受之伤于湿者下先受之风
湿相搏则风在外而湿在内汗大出者其气暴暴则外邪出而内邪不能出故风气去而湿气在也汗若
微微而出其气必缓缓则内外之邪皆出故风湿俱去矣
麻黄杏子薏苡仁甘草汤 治风湿身体肿痛及发汗后风气去而湿气存者此药主之
麻黄 杏子 薏苡仁 甘草
不用引煎服
防风黄 汤
防风 黄 甘草 白术
姜三片枣一枚煎服
治疗风温病出现嗜睡、自发性气喘、自汗、身体发热、胡言乱语的症状。
葛根 白薇 麻黄 羌活 杏仁 川芎 甘草 石膏 葳蕤(玉竹) 青木香
不用药引,煎煮后服用。
治疗风温病出现自汗、关节疼痛的症状。
方剂见“寒门”章节,加入葳蕤(玉竹)。
知母葛根汤
知母 干葛(葛根) 石膏 黄芩 木香 甘草 升麻 天南星 人参 防风 川芎 杏仁 羌活 葳蕤(玉竹)
不用药引,煎煮后服用。
治疗风温病口渴严重的症状,此药主治。
栝蒌根(天花粉) 葛根 石膏 人参 防风 甘草
不用药引,煎煮后服用。
湿温病的病因是患者素体湿气内伤,又因中暑,湿邪与热邪搏结,称为湿温。其症状表现为胸中胀满、头痛、高热、胡言乱语、身上多汗、小腿逆冷。
适宜使用 白虎加苍术汤(Gypsum and Atractylodis Macrocephalae Decoction)
若湿温病患者脏腑虚弱滑泄且无热象,适宜使用 理中汤(Regulate the Middle Decoction) 加入苍术 茯苓。
白虎加苍术汤 方剂见“寒门”章节,仅加入苍术。
理中汤 方剂见“中寒门”章节。
风湿病是先受湿邪而后受风邪所致,病名风湿。其症状表现为肢体肿痛、活动不利,且在下午申时(日晡)病情加重。治疗宜微微解表,不宜发大汗。如果发大汗,则风邪虽去而湿邪仍留。《内经》说:阳经受风邪,阴经受湿邪;伤于风者,上部先受之;伤于湿者,下部先受之。风湿相搏结,则风邪在外而湿邪在内。若大汗出,正气暴脱,外邪虽出但内邪不能出,故风邪去而湿邪留。若微微出汗,正气缓缓运行,内外之邪皆能排出,故风湿俱去。
麻黄杏子薏苡仁甘草汤(Ephedra, Apricot Seed, Coix Seed, and Licorice Decoction) 治疗风湿引起的身体肿痛,以及发汗后风邪去而湿邪留存的情况,此药主治。
麻黄 杏子(苦杏仁) 薏苡仁 甘草
不用药引,煎煮后服用。
防风黄耆汤(注意:原文“黄”后缺字,据方义及常见配伍推测为黄芪,此处依原文转录为“黄”,但在实体提取中按完整词处理或标注疑点,此处翻译保留原文用字并加注说明,英文翻译依WHO标准补全为Astragali Radix以符合学术规范,或严格对应原文Huangqi)
*注:原文作“防风黄 汤”,结合上下文及中医常识,“黄”后应漏“芪”字,即防风黄芪汤。以下翻译按“防风黄芪汤”处理以保证语义通顺,实体提取时需注意。*
防风 黄芪 甘草 白术
生姜三片,大枣一枚,煎煮后服用。
Treatment for Wind-Warmth disease presenting with lethargy, spontaneous panting, spontaneous sweating, fever, and delirium.
Ge Gen (Puerariae Lobatae Radix), Bai Wei (Anemarrhenae Rhizoma), Ma Huang (Ephedrae Herba), Qiang Huo (Notopterygii Rhizoma et Radix), Xing Ren (Armeniacae Semen Amarum), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Gao (Gypsum Fibrosum), Wei Rui (Polygonati Odorati Rhizoma), Qing Mu Xiang (Aucklandiae Radix).
Decoct without a guiding agent and take orally.
Treatment for Wind-Warmth disease presenting with spontaneous sweating and joint pain.
See formula in "Cold Gate" chapter, add Wei Rui (Polygonati Odorati Rhizoma).
Zhi Mu Ge Gen Tang (Anemarrhenae and Puerariae Decoction)
Zhi Mu (Anemarrhenae Rhizoma), Gan Ge (Puerariae Lobatae Radix), Shi Gao (Gypsum Fibrosum), Huang Qin (Scutellariae Radix), Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Tian Nan Xing (Arisaematis Rhizoma Preparatum), Ren Shen (Ginseng Radix), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xing Ren (Armeniacae Semen Amarum), Qiang Huo (Notopterygii Rhizoma et Radix), Wei Rui (Polygonati Odorati Rhizoma).
Decoct without a guiding agent and take orally.
For severe thirst in Wind-Warmth disease, this prescription is indicated.
Gua Lou Gen (Trichosanthis Radix), Ge Gen (Puerariae Lobatae Radix), Shi Gao (Gypsum Fibrosum), Ren Shen (Ginseng Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct without a guiding agent and take orally.
The pathogenesis of Damp-Warmth disease involves a patient who is constitutionally injured by dampness and subsequently suffers from summerheat. The collision of dampness and heat constitutes Damp-Warmth. Symptoms include chest fullness, headache, high fever, delirium, profuse sweating on the body, and coldness in the lower legs and shins.
It is appropriate to use Bai Hu Jia Cang Zhu Tang (White Tiger plus Atractylodes Macrocephala Decoction).
If the patient with Damp-Warmth disease has deficiency and slipping of the Zang-Fu organs without heat symptoms, it is appropriate to use Li Zhong Tang (Regulate the Middle Decoction) added with Cang Zhu (Atractylodis Rhizoma) and Fu Ling (Poria).
Bai Hu Jia Cang Zhu Tang: See formula in "Cold Gate" chapter, only adding Cang Zhu (Atractylodis Rhizoma).
Li Zhong Tang: See formula in "Middle Cold Gate" chapter.
Wind-Dampness disease arises from first being injured by dampness and then by wind. Its symptoms include swelling and pain in the limbs, difficulty in movement, and exacerbation in the late afternoon (Shen hour). Treatment should aim at mild release of the exterior; violent diaphoresis is contraindicated. If violent sweating occurs, the wind pathogen leaves but the damp pathogen remains. The Classics state: Yang meridians receive wind pathogens, Yin meridians receive damp pathogens. Those injured by wind are affected first in the upper part; those injured by dampness are affected first in the lower part. When wind and dampness collide, wind is external and dampness is internal. Profuse sweating causes a sudden depletion of Qi; although external pathogens exit, internal pathogens cannot exit, so wind leaves while dampness remains. If sweating is mild, Qi moves slowly, allowing both internal and external pathogens to exit, thus eliminating both wind and dampness.
Ma Huang Xing Zi Yi Yi Ren Gan Cao Tang (Ephedra, Apricot Seed, Coix Seed, and Licorice Decoction) treats body swelling and pain caused by Wind-Dampness, as well as cases where wind pathogen has left but dampness remains after sweating therapy. This prescription is indicated.
Ma Huang (Ephedrae Herba), Xing Zi (Armeniacae Semen Amarum), Yi Yi Ren (Coicis Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct without a guiding agent and take orally.
Fang Feng Huang Qi Tang (Note: Original text says "Fang Feng Huang Tang", likely missing "Qi". Translated as Fang Feng Huang Qi Tang based on standard formulation context).
Fang Feng (Saposhnikoviae Radix), Huang Qi (Astragali Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma).
Decoct with three slices of fresh ginger and one jujube, and take orally.