凡解利伤风,以防风为君;甘草、白术为佐。《经》云∶“辛甘发散为阳”。风宜防风味辛,及治
风通用,故防风为君,甘草、白术为佐。
凡解利伤寒,以甘草为君;防风、白术为佐,是寒宜甘缓也。或有别证,于前随证治病药内选用,分
两以君臣论。
凡眼暴发赤肿,以防风、黄芩为君,以泻火;以黄连、当归根和血为佐,兼以各经药用之。
凡眼久病昏暗,以熟地黄、当归根为君;以羌活、防风为臣,甘草、甘菊之类为佐。
凡痢疾腹痛,以白芍药、甘草为君;当归、白术为佐。见血先后,以三焦热论。
凡水泻,以茯苓、白木为君,芍药、甘草为佐。
凡诸风,以防风为君,随治病为佐。
凡嗽,以五味子为君;有痰者,以半夏为佐;喘
者,以阿胶为佐;有热无热,以黄芩为佐,但分两多寡不同耳。
凡小便不利,黄柏、知母为君;茯苓、泽泻为佐。
凡下焦有湿,草龙胆、防己为君;甘草、黄柏为佐。
凡痔漏,以苍术、防风为君;甘草、芍药为佐,详别证加减。
凡诸疮,以黄连、当归为君;甘草、黄芩为佐。
凡疟,以柴胡为君,随所发时所属经分用引经药佐之。
以上皆用药之大要,更详别证,于前随证治病药内逐旋加减用之。
太阳∶羌活 下黄柏
阳明∶白芷 升麻 下石膏
少阳∶柴胡 下青皮
太阴∶白芍药
少阴∶知母
厥阴∶青皮 柴胡
小肠、膀胱属太阳, 本、羌活是本方。
三焦、胆与肝、包络,少阳、厥阴柴胡强。
阳明大肠兼足胃,葛根、白芷、升麻当。
太阴肺脉中焦起,白芷、升麻、葱白乡。
脾经少与肺经异,升麻、芍药白者详。
少阴心经独活主,肾经独活加桂良。
通经用此药为主,更有何病到膏肓。
凡是治疗伤风,以防风为君药;甘草、白术为佐药。《内经》说:“辛味和甘味的药物配合能发散,属于阳的性质”。风邪适宜用气味辛的防风,且防风是治疗风病的通用药,所以防风作为君药,甘草、白术作为佐药。
凡是治疗伤寒,以甘草为君药;防风、白术为佐药,这是因为寒邪适宜用甘味来缓和。如果有其他证候,就在前面提到的随证治病的药物中选用,根据君臣佐使的原则确定分量比例。
凡是眼睛突然发红肿胀,以防风、黄芩为君药,用来泻火;以黄连、当归根为佐药,用来调和血液,并兼用各经的药物。
凡是眼睛久病导致视物昏暗,以熟地黄、当归根为君药;以羌活、防风为臣药,甘草、甘菊花之类的药物为佐药。
凡是痢疾伴有腹痛,以白芍药、甘草为君药;当归、白术为佐药。如果见血有先后之分,则按照三焦热盛的理论来论治。
凡是水样腹泻,以茯苓、白术(原文“白木”疑为白术之误,此处依语境及后文保留原字但注义)为君药,芍药、甘草为佐药。
凡是各种风病,以防风为君药,根据具体病情选择佐药。
凡是咳嗽,以五味子为君药;有痰的,以半夏为佐药;气喘的,以阿胶为佐药;无论有热或无热,都以黄芩为佐药,只是分量的多少不同罢了。
凡是痔疮瘘管,以苍术、防风为君药;甘草、芍药为佐药,详细辨别其他证候进行加减。
凡是疟疾,以柴胡为君药,根据发作时间所属的经络使用引经药作为佐药。
以上都是用药的大致纲要,更详细的辨证,在前面提到的随证治病药物中逐一进行加减使用。
太阳经:羌活(主药),下行用黄柏。
阳明经:白芷、升麻,下行用石膏。
少阳经:柴胡,下行用青皮。
太阴经:白芍药。
少阴经:知母。
厥阴经:青皮、柴胡。
小肠、膀胱归属于太阳经,本方中以羌活为主。
三焦、胆与肝、心包络,少阳和厥阴经以柴胡力量强。
阳明大肠兼足胃经,葛根、白芷、升麻应当使用。
太阴肺脉从中焦起始,白芷、升麻、葱白适宜。
脾经与肺经略有不同,升麻、芍药、白芷需仔细详辨。
少阴心经独活为主药,肾经独活加桂枝疗效好。
通经使用这些药物作为主药,还有什么疾病会深入膏肓呢?
For treating wind-cold (Shangfeng), Fangfeng (Saposhnikoviae Radix) is used as the Sovereign herb; Gancao (Glycyrrhizae Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) are used as Minister herbs. The *Classic* states: "Pungent and sweet flavors disperse and belong to Yang." Wind pathogens are suited to pungent-flavored Fangfeng, which is a general remedy for wind diseases; therefore, Fangfeng is the Sovereign, while Gancao and Baizhu are Ministers.
For treating cold damage (Shanghan), Gancao is used as the Sovereign herb; Fangfeng and Baizhu are Ministers. This is because cold pathogens are suited to being moderated by sweet flavors. If there are other syndromes, select from the previously mentioned syndrome-specific remedies, determining dosages according to the Sovereign-Minister-Assistant-Courier hierarchy.
For sudden onset of redness and swelling of the eyes, Fangfeng and Huangqin (Scutellariae Radix) are used as Sovereign herbs to drain fire; Huanglian (Coptidis Rhizoma) and Danggui (Angelicae Sinensis Radix) are used as Assistant herbs to harmonize blood, along with herbs specific to each meridian.
For chronic eye conditions causing dim vision, Shudihuang (Rehmanniae Radix Praeparata) and Danggui are used as Sovereign herbs; Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng are used as Minister herbs, while Gancao and Ganju (Chrysanthemi Flos) are used as Assistant herbs.
For dysentery accompanied by abdominal pain, Shaoyao (Paeoniae Radix Alba) and Gancao are used as Sovereign herbs; Danggui and Baizhu are Assistant herbs. If bleeding occurs at different stages, treat according to the theory of Heat in the Triple Burner.
For watery diarrhea, Fuling (Poria) and Baizhu (Atractylodis Macrocephalae Rhizoma; text says "Baimu" likely referring to Baizhu) are used as Sovereign herbs; Shaoyao and Gancao are Assistant herbs.
For various wind diseases, Fangfeng is used as the Sovereign herb, with Assistants selected based on the specific disease.
For cough, Wuweizi (Schisandrae Fructus) is used as the Sovereign herb; if there is phlegm, Banxia (Pinelliae Rhizoma) is used as an Assistant; if there is wheezing, Ejiao (Colla Corii Asini) is used as an Assistant; whether there is heat or not, Huangqin is used as an Assistant, differing only in dosage.
For difficult urination, Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) are used as Sovereign herbs; Fuling and Zexie (Alismatis Rhizoma) are Assistant herbs.
For dampness in the Lower Jiao (Lower Burner), Cao Longdan (Gentianae Scabrae Radix) and Fangji (Stephaniae Tetrandrae Radix) are used as Sovereign herbs; Gancao and Huangbai are Assistant herbs.
For hemorrhoids and fistulas, Cangzhu (Atractylodis Rhizoma) and Fangfeng are used as Sovereign herbs; Gancao and Shaoyao are Assistant herbs, with modifications based on detailed differentiation of syndromes.
For various sores and ulcers, Huanglian and Danggui are used as Sovereign herbs; Gancao and Huangqin are Assistant herbs.
For malaria, Chaihu (Bupleuri Radix) is used as the Sovereign herb, with Meridian-guiding herbs selected as Assistants based on the time of onset corresponding to specific meridians.
The above are the general principles of medication. For more detailed syndrome differentiation, modify the previously mentioned syndrome-specific remedies accordingly.
Taiyang (Solar): Qianghuo (Principal); descending use Huangbai.
Yangming (Yang Brightness): Baizhi (Angelicae Dahuricae Radix), Shengma (Cimicifugae Rhizoma); descending use Shigao (Gypsum Fibrosum).
Shaoyang (Lesser Yang): Chaihu; descending use Qingpi (Citri Reticulatae Pericarpium Viride).
Taiyin (Greater Yin): Shaoyao.
Shaoyin (Lesser Yin): Zhimu.
Jueyin (Terminal Yin): Qingpi, Chaihu.
Xiaochang (Small Intestine) and Pangguang (Urinary Bladder) belong to Taiyang; Qianghuo is the principal in this formula.
Sanjiao (Triple Burner), Dan (Gallbladder), Gan (Liver), and Xinbaoluo (Pericardium) correspond to Shaoyang and Jueyin, where Chaihu is potent.
Yangming involves Dachang (Large Intestine) and Zu Wei (Foot Stomach); Gegen (Puerariae Lobatae Radix), Baizhi, and Shengma should be used.
Taiyin Lung Mai (Lung Meridian) originates from Zhongjiao (Middle Burner); Baizhi, Shengma, and Congbai (Allii Fistulosi Bulbus) are suitable.
Pi Jing (Spleen Meridian) differs slightly from Fei Jing (Lung Meridian); Shengma, Shaoyao, and Baizhi require careful distinction.
Shaoyin Xin Jing (Heart Meridian) is primarily governed by Duhuo (Angelicae Pubescentis Radix); for Shen Jing (Kidney Meridian), Duhuo combined with Guizhi (Cinnamomi Ramulus) is beneficial.
Using these herbs as principals to unblock the meridians, what illness could reach Gaohuang (deep-seated critical stage)?