加味神术汤 治无汗刚 。
苍术 川芎 本 白芷 细辛 甘草 麻黄 羌活 独活(等分)
上水盏半,姜三片,葱一根,煎七分服。
桂心白术汤 治有汗厥逆,拘急柔 。
桂心 附子 白术 川芎 甘草 黄 (等分)
上水盏半,枣一枚,煎七分服。
(《难知》)防风当归散 治发汗过多,发热,头面摇,卒口噤,背反张者。
防风 当归 川芎 生地黄(等分)
上咀,水盏半,煎七分服。
(《金匮》)大承气汤(方见伤寒门。)治 病,内实热壅,胸满切牙,用此下之。
(玉太仆曰∶厥者,气上逆也。手足寒,则为寒厥;手足热,则为热厥。又曰∶厥逆者,
则寒厥、热厥、气厥、风厥等,气逆上,或呕吐,或满闷,或胀,或气急,或暴不知人,世谓
香港脚冲心者是也。)
黄帝问曰∶厥之寒热者,何也?岐伯对曰∶阳气衰于下,则为寒厥;阴气衰于下,则为
热厥。
帝曰∶寒厥何如而然也?岐伯曰∶人质壮,以秋冬夺于所用,下气上争,不能复,精气溢
下,邪气因从之而上也。气因于中,由阳气衰,不能渗荣其经络,阳气日损,阴气独在,故手
足为之寒也。
又曰∶热厥何如而然也?岐伯曰∶酒入于胃则络满而经脉虚。阴气虚则气入,精气竭则
不营其四肢。此人必数醉入房,肾气独衰,阳气独盛,故手足为之热也。
帝曰∶厥令人腹满,或令人暴不知人,或至半日,远至一日,乃知人者,何也?岐伯
曰∶阴气盛于上则下虚,下虚则腹胀满;阳气盛于上则下气重上,而邪气逆,逆则阳气乱,
则不知人也,名曰尸厥。厥则暴死,气复至则生,不复则死是也。
加味神术汤,治疗无汗且身体强直不柔的病证。
苍术、川芎、藁本、白芷、细辛、甘草、麻黄、羌活、独活(各等分)
以上药材加水一盏半,生姜三片,葱一根,煎煮至七分水量后服用。
桂心白术汤,治疗有汗且出现四肢厥冷、拘挛急迫、身体柔软无力的病证。
桂心、附子、白术、川芎、甘草、黄芪(各等分)
以上药材加水一盏半,大枣一枚,煎煮至七分水量后服用。
(出自《难知》)防风当归散,治疗因发汗过多导致的发热、头面部震颤、突然牙关紧闭、角弓反张的病证。
防风、当归、川芎、生地黄(各等分)
以上药材切碎,加水一盏半,煎煮至七分水量后服用。
(出自《金匮要略》)大承气汤(方剂见伤寒章节),治疗阳明腑实证,症见体内实热壅滞、胸部胀满、咬牙,用此方攻下实热。
(玉太仆说:厥证,是气机上逆所致。手足寒冷,称为寒厥;手足发热,称为热厥。又说:厥逆证,包括寒厥、热厥、气厥、风厥等,表现为气逆向上,或呕吐,或胸中闷塞,或腹胀,或气促,或突然昏迷不省人事,世人称之为脚气冲心。)
黄帝问道:厥证有寒热之分,原因是什么?岐伯回答说:阳气在下部衰少,就会形成寒厥;阴气在下部衰少,就会形成热厥。
黄帝问:寒厥是如何形成的?岐伯说:人体质壮实,如果在秋冬季节过度耗损肾精(如纵欲),下部之气上争而不能恢复,精气外泄,邪气便随之上行。气结于中焦,由于阳气衰少,不能濡养经络,阳气日渐损耗,阴气独盛,所以手足会感到寒冷。
又说:热厥是如何形成的?岐伯说:酒进入胃中,则络脉充盈而经脉空虚。阴气虚弱则阳气内入,精气枯竭则不能濡养四肢。这种人必定经常醉酒并行房事,导致肾气单独衰败,阳气单独亢盛,所以手足会发热。
黄帝问:厥证使人腹部胀满,或者使人突然昏迷不省人事,有的半天,远的一天,才苏醒过来,这是为什么?岐伯说:阴气在上部盛则下部虚,下部虚则腹部胀满;阳气在上部盛则下部之气重而上逆,邪气随之上逆,气逆则阳气紊乱,从而使人昏迷不省,名为尸厥。厥证看似暴死,若气机恢复则生,若不恢复则死。
Jiawei Shenzhu Decoction (Modified Divine Artisan Decoction) treats conditions with no sweating and stiffness.
Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligusticis Chuanxiong Rhizoma), Bencao (Ligustici Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) (equal parts).
Take the above herbs, add one and a half cups of water, three slices of fresh ginger (Zingiberis Rhizoma Recens), and one stalk of green onion (Allii Fistulosi Caulis), decoct until seven-tenths of the liquid remains, and take orally.
Guixin Baizhu Decoction (Cinnamon Heart and Atractylodes Macrocephala Decoction) treats conditions with sweating, Jue syndrome (cold extremities or loss of consciousness due to Qi reversal), spasm, and flaccidity.
Guixin (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligusticis Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqi (Astragali Radix) (equal parts).
Take the above herbs, add one and a half cups of water and one jujube (Ziziphi Jujubae Fructus), decoct until seven-tenths of the liquid remains, and take orally.
(Fangfeng Danggui San (Saposhnikoviae and Angelica Sinensis Powder) from *Nanzhi* treats fever, trembling of the head and face, sudden lockjaw, and opisthotonos caused by excessive sweating.)
Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticis Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix) (equal parts).
Coarsely crush the above herbs, add one and a half cups of water, decoct until seven-tenths of the liquid remains, and take orally.
(Dachengqi Tang (Major Order the Qi Decoction) from *Jinkui Yaolue* treats Yangming Fu-organ excess syndrome, characterized by internal heat accumulation, chest fullness, and teeth grinding; use this formula to purge the excess.)
(Yu Taipu stated: Jue syndrome is caused by the counterflow of Qi upward. Cold hands and feet constitute Cold Jue; hot hands and feet constitute Hot Jue. Furthermore, Jue Ni (reversal of Qi) includes Cold Jue, Hot Jue, Qi Jue, and Wind Jue. It manifests as Qi reversing upward, accompanied by vomiting, chest oppression, abdominal distension, shortness of breath, or sudden unconsciousness. In common parlance, this is referred to as "Jiaojie rushing to the heart" (foot qi attacking the heart).)
The Yellow Emperor asked: What is the cause of cold and hot variations in Jue syndrome? Qibo replied: When Yang Qi declines at the lower part, it results in Cold Jue; when Yin Qi declines at the lower part, it results in Hot Jue.
The Emperor asked: How does Cold Jue form? Qibo said: In individuals with robust constitutions, if they overexert themselves during autumn and winter (depleting essence through sexual activity), the Qi below contends upward but cannot recover. Essence leaks downward, and pathogenic Qi follows it upward. The Qi becomes stagnant in the middle jiao. Due to the decline of Yang Qi, it fails to moisten and nourish the meridians. As Yang Qi diminishes day by day, Yin Qi remains alone and dominant, causing the hands and feet to become cold.
He further said: How does Hot Jue form? Qibo said: When wine enters the stomach, the collaterals become full while the main meridians become empty. If Yin Qi is deficient, Yang Qi enters inwardly; if essence and Qi are exhausted, the four limbs are not nourished. Such individuals likely engage in frequent drunken sexual intercourse, leading to isolated decline of Kidney Qi and isolated hyperactivity of Yang Qi, causing the hands and feet to become hot.
The Emperor asked: Why does Jue syndrome cause abdominal fullness, or sudden unconsciousness where the patient may remain so for half a day or up to a full day before regaining consciousness? Qibo said: When Yin Qi is excessive in the upper part, the lower part becomes deficient. Lower deficiency leads to abdominal distension and fullness. When Yang Qi is excessive in the upper part, Qi from the lower part rises heavily, and pathogenic Qi reverses upward. This reversal causes Yang Qi to become chaotic, leading to unconsciousness, known as Shi Jue (Corpse Jue). Jue syndrome may appear as sudden death; if Qi returns, the patient lives; if Qi does not return, the patient dies.