【柴胡饮子】解一切肌骨蒸热。积热作发。或寒热往来。蓄热寒战。及伤寒发汗不解。或
不经发汗传受。表里俱热。口干烦渴。或表热入里。下证未全。下后热未除。及汗后余热劳复。或
妇人经病不快。产后但有如此证。并宜服之。
柴胡 人参 黄芩 甘草(炙)
大黄 当归 芍药(各半两)
上七味锉散。每服四钱。水一盏。姜三片。煎至六分。去渣。温服。小儿分三服。病除为度。
日三服。热甚者加服。
【白虎汤】治伤寒大汗出后。表证已解。心胸大烦渴。欲饮水。及吐或下后七八日。邪毒不
解。热结在里。表里俱热。时时恶风。大渴。舌上干燥。而烦欲饮水数升者。宜服之。
知母(七两半) 甘草(三两七钱半) 石膏(二十两)
上 咀。每服三钱。水一盏半。入粳米三十粒。煎至一盏。去渣温服。或加人参、亦得。此药
立夏后、立秋前可服。春时、及立秋后、亡血家。并不可服。
【桃仁承气汤】治热结膀胱。其人如狂。热在下焦。与血相搏。血下则热随出而愈。
芒硝 甘草(各二两) 大黄(三两) 桂枝(二两。去皮)
桃仁(五十个。去皮尖)
内经曰。甘以缓之。辛以散之。小腹急结。缓以桃仁之甘。下焦蓄血。散以桂枝之辛。大热之
气。寒以取之。热甚搏血。加二味于调胃承气汤中也。
上 咀。用水七升。煮取二升半。去渣纳芒硝。再上火煮一二沸。温服五合。日三服。得微利
止。
【清凉四顺饮子】治一切丹毒。积热壅滞。咽喉肿痛。
当归(去芦) 甘草(炙) 赤芍药 大黄(各等分)
上 咀。每服五钱。水一盏。煎至七分。去渣。食后温服。
【柴胡饮子】解除各种肌肉和骨骼深处的蒸腾发热。由积热引发的症状,或寒热交替往来,蓄积之热导致的寒战,以及伤寒发汗后病邪未解,或者未经发汗而病邪传入体内,表里俱热,口干且烦躁口渴;或者是表热入里,但下焦实证尚未完全形成,攻下之后热邪仍未清除,以及发汗后余热导致病情复发;或者是妇女月经不畅,产后出现上述证候者,都适宜服用此方。
以上七味药切碎成散剂。每次服用四钱,用水一盏,生姜三片,煎煮至六分满,滤去药渣,温服。小儿分三次服用,以病愈为度。每日服用三次,热势严重者增加服药次数。
【白虎汤】治疗伤寒大汗出之后,表证已经解除,心胸极度烦渴,想要饮水;以及呕吐或攻下后七八天,邪毒未解,热邪结聚在体内,表里俱热,时常怕风,极度口渴,舌面干燥,心烦想要喝几升水的情况,适宜服用此方。
以上药物切碎。每次服用三钱,用水一盏半,加入粳米三十粒,煎煮至一盏量,滤去药渣温服。也可以加入人参,同样有效。此药在立夏之后、立秋之前可以服用。春季,以及立秋之后,失血体质者,均不可服用。
【桃仁承气汤】治疗热邪结聚于膀胱,患者神志如狂,热邪在下焦,与血液相互搏结,血液下行则热邪随之排出而痊愈。
芒硝、甘草(各二两)、大黄(三两)、桂枝(二两,去皮)、桃仁(五十个,去皮尖)。
《黄帝内经》说:甘味药可以缓急,辛味药可以发散。小腹急迫结滞,用桃仁的甘味来缓解;下焦蓄血,用桂枝的辛味来发散。对于大热之气,用寒凉药来制约。热盛搏结血液时,在调胃承气汤中加入这两味药。
以上药物切碎,用水七升,煮取二升半,滤去药渣,纳入芒硝,再次上火煮一二沸,温服五合。每日服用三次,得到轻微腹泻即停止服药。
以上药物切碎。每次服用五钱,用水一盏,煎煮至七分,滤去药渣,饭后温服。
[Chaihu Yinzi (Bupleurum Decoction)] Resolves all types of steaming heat in the muscles and bones. It is indicated for symptoms caused by accumulated heat, alternating chills and fever, rigors due to stored heat, failure to resolve after sweating therapy for Shanghan (Cold Damage), transmission without prior sweating, simultaneous heat in the exterior and interior, dry mouth with irritability and thirst, invasion of exterior heat into the interior where fullness syndromes below are not yet complete, persistence of heat after purgation, recurrence of illness due to residual heat after sweating, irregular menstruation in women, or postpartum conditions presenting with such symptoms. All these are suitable for this prescription.
Chai Hu (Radix Bupleuri), Ren Shen (Radix Ginseng), Huang Qin (Scutellariae Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Da Huang (Rhei Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix) [each half tael].
The above seven herbs are cut into coarse pieces. Each dose consists of 4 qian, decocted with one sheng of water and three slices of fresh ginger until reduced to six-tenths. Strain and take warm. For children, divide into three doses. Continue until the disease is cured. Take three times daily; increase dosage if heat is severe.
[Baitu Tang (White Tiger Decoction)] Treats cases where, after profuse sweating from Shanghan, the exterior syndrome has resolved, but there is extreme irritability and thirst in the chest and heart, with a desire to drink water. It is also indicated for situations where, after vomiting or purgation, seven to eight days have passed, pathogenic toxins remain unresolved, heat is knotted internally, causing simultaneous heat in the exterior and interior, occasional aversion to wind, extreme thirst, dry tongue coating, irritability, and a desire to drink several sheng of water. This prescription is suitable.
Zhi Mu (Anemarrhenae Rhizoma) [seven taels and half], Gan Cao (Glycyrrhizae Radix et Rhizoma) [three taels and seven qian and half], Shi Gao (Gypsum Fibrosum) [twenty taels].
The above herbs are cut into coarse pieces. Each dose consists of 3 qian, decocted with one and a half sheng of water and thirty grains of Jing Mi (Oryza Sativa Japonica Group). Simmer until reduced to one sheng. Strain and take warm. Ren Shen (Radix Ginseng) may be added if necessary. This medicine can be taken after Lixia (Start of Summer) and before Liqiu (Start of Autumn). It should not be taken during spring, after Liqiu, or in patients with blood deficiency.
[Taoren Chengqi Tang (Peach Kernel Decoction to Guide Out Stasis)] Treats heat knotting in the Bladder, where the patient exhibits manic-like behavior. Heat resides in the Lower Jiao (Lower Burner) and contends with blood. When blood moves downward, heat exits with it, leading to recovery.
Mang Xiao (Natrii Sulfas), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each two taels], Da Huang (Rhei Radix et Rhizoma) [three taels], Gui Zhi (Cinnamomi Ramulus) [two taels, bark removed], Tao Ren (Persicae Semen) [fifty kernels, skin and tips removed].
The Neijing (Classic of Internal Canon) states: "Sweet flavors moderate tension; pungent flavors disperse." For urgency and knotting in the lower abdomen, the sweetness of Tao Ren moderates it. For blood stasis in the Lower Jiao, the pungency of Gui Zhi disperses it. For excessive heat, cold-natured herbs are used to counteract it. When intense heat contends with blood, add these two ingredients to Tiaowei Chengqi Tang (Regulate the Stomach Decoction to Guide Out Stasis).
The above herbs are cut into coarse pieces. Decoct with seven sheng of water until reduced to two and a half sheng. Strain, add Mang Xiao (Natrii Sulfas), and boil briefly over fire. Take five he of the warm decoction. Administer three times daily. Discontinue when mild diarrhea occurs.
[Qingliang Sishun Yinzi (Cooling Four-Directional Smoothness Decoction)] Treats all types of Erysipelas, accumulation and stagnation of heat, and swelling and pain of the throat.
Dang Gui (Angelicae Sinensis Radix, root ends removed), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Chi Shao Yao (Red Paeoniae Radix), Da Huang (Rhei Radix et Rhizoma) [equal parts].
The above herbs are cut into coarse pieces. Each dose consists of 5 qian, decocted with one sheng of water until reduced to seven-tenths. Strain and take warm after meals.