(节庵)
治阳虚不能作汗(陶节庵曰∶治头痛项强,发热恶寒无汗。服发汗药一二剂,汗不出者
为阳虚,不能作汗,名曰无阳证。庸医不识,不论时令,遂以麻黄重药,劫取其汗,误人死
者多矣
人参 黄 桂枝 甘草 附子( ) 细辛 羌活 防风 川芎 煨姜。枣二枚,加
炒
此足太阳药也。经曰∶阳之汗,以天之雨名之。太阳病汗之无汗,是邪盛而真阳虚也,
故以
于阳
人第
虚人
(洁古)
治两感伤寒(《内经》曰∶伤寒一日,太阳受之,太阳经脉循腰脊、经头项,故头项痛、
腰脊强;二日,阳明受之,阳明主肉,其脉侠鼻、络于目,故身热目痛而鼻干,不得卧;三
日,
布胃
舌干
阳与
又腹
欲
意
羌活 独活 防风 细辛 防己 黄芩 黄连 苍术 白术 甘草(炙。三钱) 知母
川芎 生地黄(一两。)每服五钱,热饮。
此阴阳两解之药也。气薄则发泄,故用羌、独、苍、防、芎、细祛风发表,升散传经之
邪;寒能
以固中州
又云两感
急者,大
阴证身痛而
之。古法一
阴,大柴胡
不同,表里
(《机要》)
治疟疾发在处暑以前,头项痛,脉浮,有汗,恶风。
桂枝 羌活 防风 甘草(等分)。每服五钱,迎其发而服之。或吐,加半夏曲;无汗,
桂
此足太阳药也。疟分六经,故仿仲景伤寒例,以防风、羌活散太阳之邪,而以桂枝、麻
黄分主有汗、无汗也(朱丹溪曰∶凡治疟无汗要有汗,散邪为主,带补;有汗要无汗,扶正
为主,带散。河间曰∶疟发寒热大作,此太阳阳明合病,汗出不止,知为热也,阳盛阴虚之
证,不治,必传入阴经,桂枝芍药汤主之,桂枝三钱 芍药、黄 、知母、石膏各一两。如
寒热转大者,桂枝黄芩汤和之,小柴胡加桂枝、知母、石膏。外邪已罢,内邪未已,大柴
胡、大
(节庵)
治疗阳虚导致无法出汗。陶节庵说:治疗头痛、项背强直,发热、恶寒且无汗的情况。服用发汗药一两剂后,仍然不出汗的,属于阳虚,不能产生汗液,这叫做“无阳证”。庸医不认识这一点,不分季节时令,就使用麻黄等重剂药物,强行劫夺其汗,误人性命的情况很多。
人参、黄芪、桂枝、甘草、附子(炮)、细辛、羌活、防风、川芎、煨姜、大枣二枚(炒)。
这是足太阳膀胱经的药物。经典中说:阳气之汗,以天之雨来命名。太阳病发汗却无汗,是邪气盛而真阳虚弱,所以用……(原文此处有缺漏,意为补阳以助汗源)。普通人只知……(原文此处有缺漏,意为虚人不可妄攻)。
(洁古)
治疗两感伤寒。《内经》说:伤寒第一天,太阳经受邪,太阳经脉循行于腰脊、经过头项,所以出现头痛、腰脊强直;第二天,阳明经受邪,阳明主肌肉,其脉挟鼻、联络于目,所以身体发热、目痛且鼻干,不能安卧;第三天……(原文此处有缺漏,涉及太阴或少阳症状描述不完整)。
羌活、独活、防风、细辛、防己、黄芩、黄连、苍术、白术、甘草(炙,三钱)、知母、川芎、生地黄(一两)。每服五钱,热饮。
这是阴阳两解的药物。药气轻薄则能发泄,所以用羌活、独活、苍术、防风、川芎、细辛来祛风发表,升散传入他经的邪气;寒性药物能……(原文此处有缺漏,意为清热),以固护中焦脾胃。又说两感伤寒,病情急重的,大……(原文此处有缺漏,指大青龙汤或类似方义)。阴证身体疼痛而……(原文此处有缺漏)。古法一方……(原文此处有缺漏)。阴证,大柴胡汤……(原文此处有缺漏,对比表里不同)。
(《机要》)
治疗疟疾在处暑以前发作,头痛项强,脉浮,有汗,恶风。
桂枝、羌活、防风、甘草(等分)。每服五钱,在疟疾发作前服用。如果呕吐,加半夏曲;无汗,加桂枝……(原文此处截断)。
这是足太阳膀胱经的药物。疟疾分为六经,所以仿照张仲景伤寒例,用防风、羌活疏散太阳经的邪气,而以桂枝、麻黄分别主治有汗和无汗的情况(朱丹溪说:凡是治疗疟疾,无汗的要使其有汗,以散邪为主,兼带补益;有汗的要使其无汗,以扶正为主,兼带散邪。河间说:疟疾发作时寒热大作,这是太阳阳明合病,汗出不止,知道这是热证,属于阳盛阴虚的证候,不治疗,必定传入阴经,用桂枝芍药汤主治,桂枝三钱,芍药、黄芪、知母、石膏各一两。如果寒热转剧的,用桂枝黄芩汤调和它,用小柴胡汤加桂枝、知母、石膏。外邪已罢,内邪未已,用大柴胡、大……(原文此处截断)
(Jie'an)
Treating deficiency of Yang leading to the inability to produce sweat. Tao Jie'an stated: In treating headache, stiffness of the neck and back, fever, aversion to cold, and absence of sweat, if after taking one or two doses of diaphoretic medicines no sweat is produced, it belongs to deficiency of Yang, where the body cannot generate sweat; this is called the "Syndrome of Absent Yang." Quack doctors fail to recognize this condition; regardless of the season or climate, they use heavy dosages of Ephedrae Herba (Mahuang, 麻黄) and other potent drugs to forcibly extract sweat, resulting in many deaths due to mismanagement.
Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Cinnamomi Ramulus (Guizhi), Glycyrrhizae Radix et Rhizoma (Gancao), Aconiti Lateralis Radix Praeparata (Fuzi, processed), Asari Radix et Rhizoma (Xixin), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Chuanxiong Rhizoma (Chuanxiong), Gingerum Zingiberis Rhizoma Praeparatum (Weijiang), and two Jujubae Fructus (Dazao), stir-fried.
This is a formula for the Foot-Taiyang Bladder Meridian. The Classics state: "The sweat of Yang Qi is likened to rain from Heaven." In Taiyang disease, if sweating fails to occur despite inducing diaphoresis, it indicates that pathogenic factors are abundant while True Yang is deficient; therefore, [the text implies using herbs to tonify Yang to assist sweat production]. Ordinary people only [understand]... [text missing, implying deficiency patients should not be treated with aggressive purging].
(Jiegu)
Treating Lianggan Shanghan (Double-Contracted Cold Damage). The *Neijing* states: On the first day of Shanghan, the Taiyang meridian receives the pathogen. Since the Taiyang meridian runs along the waist, spine, head, and neck, headache and stiffness of the neck and waist occur. On the second day, the Yangming meridian receives the pathogen. Yangming governs the flesh, and its meridians flank the nose and connect to the eyes; thus, fever, eye pain, dry nose, and inability to sleep occur. On the third day... [text missing, describing symptoms of subsequent days].
Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duohuo), Saposhnikoviae Radix (Fangfeng), Asari Radix et Rhizoma (Xixin), Stephaniae Tetrandrae Radix (Fangji), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried, 3 qian), Anemarrhenae Rhizoma (Zhimu), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix Recens (Shengdihuang, 1 liang). Take 5 qian per dose, taken hot.
This is a formula that resolves both Yin and Yang pathogens. Because the medicinal qi is light and thin, it promotes dispersal and excretion; therefore, Qianghuo, Duohuo, Cangzhu, Fangfeng, Chuanxiong, and Xixin are used to dispel wind and release the exterior, ascending and dissipating pathogenic factors that have transmitted to other meridians; cold-natured herbs can... [text missing, implying clearing heat], thereby securing the Middle Jiao (Spleen and Stomach). It is also said that in Lianggan Shanghan, when the condition is urgent, Da... [text missing, likely referring to Da Qinglong Tang]. In Yin syndromes, body pain and... [text missing]. Ancient methods... [text missing]. For Yin syndromes, Daxiehu Tang... [text missing, contrasting interior and exterior treatments].
(*Jiyao*)
Treating malaria occurring before the End of Heat (Chushu) solar term, characterized by headache and stiff neck, floating pulse, presence of sweat, and aversion to wind.
Cinnamomi Ramulus (Guizhi), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao) in equal proportions. Take 5 qian per dose, administered prior to the onset of the malaria attack. If vomiting occurs, add Curatio Badi Fermentata (Banxiaqu); if there is no sweat, add Guizhi... [text truncated].
This is a formula for the Foot-Taiyang Bladder Meridian. Malaria is classified according to the Six Meridians; thus, following Zhang Zhongjing's principles for Shanghan, Fangfeng and Qianghuo are used to disperse pathogenic factors in the Taiyang meridian, while Guizhi and Ephedrae Herba (Mahuang, 麻黄) are used respectively for cases with sweat and without sweat (Zhu Danxi stated: In treating malaria, if there is no sweat, the goal is to induce sweat, focusing on dispersing pathogens with supplementary support; if there is sweat, the goal is to stop sweating, focusing on supporting healthy Qi with dispersing support. He Jian stated: When malaria presents with severe chills and high fever, this is a combined syndrome of Taiyang and Yangming. Unremitting sweating indicates heat, representing a syndrome of Excess Yang and Deficient Yin. If untreated, it will inevitably transmit to the Yin meridians. It is primarily treated with Guizhi Shaoyao Tang: Cinnamomi Ramulus (Guizhi) 3 qian, Paeoniae Radix Alba (Shaoyao), Astragali Radix (Huangqi), Anemarrhenae Rhizoma (Zhimu), and Gypsum Fibrosum (Shigao) each 1 liang. If chills and fever intensify, harmonize with Guizhi Huangqin Tang, or Xiao Chaihu Tang added with Guizhi, Zhimu, and Shigao. Once external pathogens have subsided but internal pathogens remain, use Daxiehu, Da... [text truncated]