清暑气,除烦渴,止吐泻霍乱,及暑月酒食所伤。
砂仁 草果(煨,去皮) 乌梅 甘草(炙。四两) 扁豆(炒,研) 干葛(二两。)
此足太阴、阳明药也。暑必兼湿,而湿属脾土,暑湿合邪,脾胃病矣,故治暑必先去湿
。砂仁、草果辛香温散,利气快脾,消酒食而散湿。扁豆专解中宫之暑而渗湿(湿盛则津不
生而渴);葛根能升胃中清阳而生津(风药多燥,惟葛根能生津);乌梅清热解渴;甘草补土
和中。
(海藏)
治伏暑烦渴,发热头痛,脾胃不利。
半夏(一斤醋五斤煮干) 茯苓 甘草(生用,半斤。)姜汁糊丸,勿见生水。热汤
下。
此足太阴、太阳药也。长夏炎蒸,湿土司令,故暑必兼湿,证见便秘烦渴,或吐或利者
,以湿胜则气不得施化也。此方不治其暑,专治其湿,用半夏、茯苓行水之药,少佐甘草以
和其
而烦
本方一两,加黄连二钱,名黄连消暑丸∶治伏暑烦渴而多热痰。
治冒暑伏热,引饮过多,脾胃受湿,水谷不分,清浊相干,阴阳气逆,霍乱吐泻,脏腑
不调。
干姜 桂 杏仁(去皮尖) 甘草,等分。先将甘草用白砂炒,次入姜、杏炒,过去砂,
合桂为末。每服二钱。
此足太阳药也(从仲景太阳例药变用)。夏月过于饮冷飧食,阳气不得伸越,故气逆而
霍乱吐泻也。脾胃者,喜燥而恶湿,喜温而恶寒,干姜、肉桂散寒燥湿;杏仁、甘草利气调
脾,皆辛甘发散之药,升伏阳于阴中,亦从治之法也。如伤暑无寒证者,不可执泥(中伤暑
毒,阳外阴内,故治之多用暖剂,如大顺散、香薷饮之类;大蒜辛热通窍,故亦治之。然有
阴阳二证,寒
清解暑气,消除烦渴,止住呕吐、腹泻及霍乱,以及暑天因饮酒和饮食不当造成的损伤。
砂仁 草果(煨制,去皮) 乌梅 甘草(炙烤。四两) 扁豆(炒制,研碎) 干葛根(二两。)
这是足太阴脾经、足阳明胃经的药物。暑邪必定兼夹湿邪,而湿邪归属于脾土,暑湿合而为病,脾胃就会患病,所以治疗暑病必须先祛除湿邪。
砂仁、草果辛香温散,能利气快脾,消解酒食积滞并驱散湿气。扁豆专门解除中焦脾胃的暑热并渗利湿气(湿气盛则津液不生而导致口渴);葛根能升发胃中的清阳之气而生津液(风药大多燥烈,只有葛根能生津);乌梅清热解渴;甘草补益脾气、调和脾胃。
(张元素/海藏)
治疗伏暑引起的烦渴、发热头痛,以及脾胃功能不利。
半夏(用五斤醋煮至干) 茯苓 甘草(生用,半斤。)用姜汁制成糊丸,不要见到生水。用热汤送服。
这是足太阴脾经、足太阳膀胱经的药物。长夏季节炎热蒸腾,湿土当令,所以暑邪必定兼夹湿邪,症状表现为便秘烦渴,或者呕吐或者腹泻,这是因为湿气胜则气机不能正常施化。此方不直接治疗暑邪,专门治疗湿邪,使用半夏、茯苓这些行水利湿的药物,稍微佐以甘草来调和……(原文此处有缺漏或断句问题,根据语境推测为“和其脾胃”或类似意思,但严格按原文翻译)……本方一两,加入黄连二钱,名为黄连消暑丸:治疗伏暑烦渴且多热痰。
治疗冒受暑邪、伏热内蕴,饮水过多,脾胃受湿,水谷不分,清浊相干,阴阳气逆,导致霍乱吐泻,脏腑不调。
干姜 桂枝 杏仁(去皮尖) 甘草,等分。先将甘草用白砂炒,其次放入姜、杏炒,去掉砂,混合桂枝研为末。每次服用二钱。
这是足太阳膀胱经的药物(从张仲景的太阳经用药法则变化而来)。夏季月份过于饮用冷饮或食用生冷食物,阳气不得伸展越出,所以气机逆乱而导致霍乱吐泻。脾胃,喜欢干燥而厌恶潮湿,喜欢温暖而厌恶寒冷,干姜、肉桂散寒燥湿;杏仁、甘草利气调脾,都是辛甘发散的药物,将潜伏的阳气升发于阴分之中,这也是从治的方法。如果是伤暑没有寒证的患者,不可拘泥固执(中暑毒,外阳内阴,所以治疗多用暖剂,如大顺散、香薷饮之类;大蒜辛热通窍,所以也治疗它。然而有阴阳两种证型,寒……(原文截断)
Clears summerheat qi, eliminates vexation and thirst, stops vomiting, diarrhea, and cholera, as well as injuries caused by alcohol and food during the summer months.
Amomi Fructus (Sha Ren) Cardamomi Fructus (Cao Guo) [roasted, skin removed] Mume Fructus (Wu Mei) Glycyrrhizae Radix et Rhizoma (Gan Cao) [roasted with honey. Four liang] Dolichos Lablab Semen (Bian Dou) [roasted, ground] Puerariae Radix (Ge Gen) [Two liang.]
These are medicines for the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian. Summerheat must be accompanied by dampness, and dampness belongs to Spleen Earth. When summerheat and dampness combine to cause pathogenicity, the Spleen and Stomach become diseased. Therefore, treating summerheat requires first removing dampness.
Amomi Fructus and Cardamomi Fructus are pungent, aromatic, warm, and dispersing; they benefit Qi, invigorate the Spleen, resolve food stagnation from alcohol and diet, and disperse dampness. Dolichos Lablab Semen specifically resolves summerheat in the Middle Jiao (Central Palace) and leaches out dampness (when dampness is excessive, body fluids are not generated, leading to thirst); Puerariae Radix can raise the clear Yang of the Stomach and generate body fluids (Wind-dispersing herbs are mostly drying, only Puerariae Radix can generate fluids); Mume Fructus clears heat and relieves thirst; Glycyrrhizae Radix tonifies Earth (Spleen) and harmonizes the middle.
(Haizang - Zhang Yuansu)
Treats latent summerheat causing vexation and thirst, fever, headache, and dysfunction of the Spleen and Stomach.
Pinelliae Rhizoma (Ban Xia) [boiled dry with five jin of vinegar] Poria (Fu Ling) Glycyrrhizae Radix et Rhizoma (Gan Cao) [raw use, half a jin.] Made into pills with Ginger Juice paste, do not expose to raw water. Take down with hot decoction.
These are medicines for the Foot-Taiyin Spleen Meridian and Foot-Taiyang Bladder Meridian. In late summer, the weather is hot and steaming, and Damp-Earth commands the season, so summerheat must be accompanied by dampness. Symptoms present as constipation, vexation, and thirst, or vomiting or diarrhea, because when dampness prevails, Qi cannot function and transform properly. This formula does not treat summerheat directly but specializes in treating dampness, using Pinelliae Rhizoma and Poria, which are drugs that promote water metabolism, slightly assisted by Glycyrrhizae Radix to harmonize... [text cuts off]. One liang of this formula plus two qian of Coptidis Rhizoma (Huang Lian) is named Huanglian Shuxia Wan: treats latent summerheat with vexation, thirst, and abundant phlegm-heat.
Treats contracting summerheat and latent heat, drinking too much, Spleen and Stomach affected by dampness, inability to separate water and grain, mixing of clear and turbid, reversal of Yin and Yang Qi, leading to cholera-like vomiting and diarrhea, and disharmony of the Zang-Fu organs.
Zingiberis Rhizoma Recens (Gan Jiang) Cinnamomi Ramulus (Gui) Armeniacae Semen Amarum (Xing Ren) [skin and tips removed] Glycyrrhizae Radix et Rhizoma (Gan Cao), equal parts. First roast Glycyrrhizae Radix with white sand, then add Ginger and Armeniacae Semen Amarum and roast, remove the sand, mix with Cinnamomi Ramulus, and grind into powder. Take two qian per dose.
This is a medicine for the Foot-Taiyang Bladder Meridian (adapted from Zhongjing's Taiyang protocol). In summer months, overconsumption of cold drinks and raw foods prevents Yang Qi from extending and rising, causing Qi reversal and resulting in cholera-like vomiting and diarrhea. The Spleen and Stomach prefer dryness and dislike dampness, prefer warmth and dislike cold. Zingiberis Rhizoma Recens and Cinnamomi Cortex/Ramulus disperse cold and dry dampness; Armeniacae Semen Amarum and Glycyrrhizae Radix benefit Qi and regulate the Spleen. All are pungent and sweet, dispersing herbs, raising latent Yang within Yin, which is also a method of contrary treatment. For those injured by summerheat without cold syndromes, one must not adhere rigidly [to this rule] (Summerheat toxin injury involves external Yang and internal Yin, so treatment often uses warm agents, such as Dashun San, Xiangru Yin; Garlic is pungent, hot, and opens orifices, so it is also used. However, there are Yin and Yang syndromes, cold...) [text cuts off]