论曰因于露风。乃生寒热。始感于腠理。腠理开则洒然寒。闭则热而闷。其风入于胃经
。寒则物不化。故衰食饮。热则气内铄。故消肌肉。寒热相合。交争于中。所以 栗振动而
不能食也。故内经曰、病成而变。风成为寒热。
治风邪伤人。寒热时作。头痛烦躁。周身疼痛。颈项拘急。大安汤方
麻黄(去根节汤煮掠去沫焙四两) 防风(去叉一两半) 芎 羌活(去芦头) 桔
梗(去芦锉炒) 柴胡(去苗) 赤箭 白藓皮 蔓荆实(去皮各一两) 独活(去芦头) 前
胡(去芦头
上一十五味。粗捣筛。每服五钱匕。水一盏半。薄荷五叶。煎至八分。去滓温服。不拘
时。
治中风项背急强。洒淅寒热。无汗烦渴。葛根汤方
葛根(锉二两) 麻黄(去根节汤煮掠去沫焙一两半) 甘草(炙锉) 芍药 桂(去
粗皮各
上五味。粗捣筛。每服五钱匕。水一盏半。生姜三片。枣一枚去核。煎至一盏去滓。连
三服。衣复取汗。未汗用热生姜稀粥投之。
治中风发热恶寒。身体疼痛。 栗烦躁。甘草汤方
甘草(炙锉) 桂(去粗皮各一两) 麻黄(去根节汤煮掠去沫焙三两) 石膏(碎一
两半) 杏仁(汤浸去皮尖双仁炒一两)
上五味。粗捣筛。每服五钱匕。水一盏半。生姜三片。枣一枚去核。煎至一盏去滓。连
三服取汗。未汗用热生姜稀粥投。衣复之。
治中风寒热。头痛体疼。 栗不能食。芎 汤方
芎 (三分) 防风(去叉) 白茯苓(去黑皮) 羌活(去芦头) 菊花(择) 黄
(锉各一
上七味。粗捣筛。每服五钱匕。水一盏半。生姜三片。煎至一盏去滓。空心日午夜卧温
服。
治风成寒热。肢体烦疼。前胡散方
前胡(去芦头) 秦艽(去苗土) 当归(切焙) 知母(各一两) 贝母(去心) 羌
活(去芦
一两半)
上一十二味。捣罗为细散。每服二钱匕。温酒调下。不拘时。
治中风寒热。头目昏眩。肢体疼痛。手足痹。上膈壅滞。解风汤方
人参 芎 石膏(碎研各二两) 防风(去叉) 独活(去芦头) 甘草(炙锉) 麻
黄(去
上八味。粗捣筛。每服三钱匕。水一盏。生姜三片。薄荷五叶。煎至七分。去滓温服。
不拘时。
治中风寒热时作。防风汤方
防风(去叉) 甘草(炙) 黄芩(去黑心) 桂(去粗皮) 当归(切焙) 白茯苓
(去黑皮各
上九味。锉如麻豆大。每服五钱匕。水一盏。酒半盏。生姜三片。大枣一枚去核。煎至
一盏。去滓温服。日三。取汗为度。
治中风寒热。头痛昏倦。羚羊角汤方
羚羊角(镑) 荠 独活(去芦头) 防风(去叉) 柴胡(去苗) 芎 枳壳(去
瓤麸炒)
上一十味。粗捣筛。每服二钱匕。水一盏。薄荷五叶。煎至七分。去滓温服。不拘时。
治中风寒热。头目昏眩。四肢烦疼。荆芥汤方
荆芥穗 旋复花(各四两) 前胡(去芦头) 甘草(炙锉) 麻黄(去根节汤煮掠去
沫焙)
上八味。粗捣筛。每服三钱匕。水一盏。葱白一寸。生姜五片。薄荷五叶。煎至七分。
去滓温服。不拘时。
治风成寒热。二气交争。调顺阴阳。黄连白术汤方
黄连(去须) 麦门冬(去心焙各一两) 白术 旋复花(炒) 甘草(炙) 黄芩(去
黑心) 附子(炮裂去皮脐各半两) 桑根白皮(一两半) 桂(去粗皮) 桔梗(炒) 白
茯苓(去黑皮)
上一十三味。锉如麻豆。每服五钱匕。水一盏半。入生姜三片。同煎至八分。去滓温服
治因于露风成寒热。精神昏困。肢节烦疼。柴胡汤方
柴胡(去苗) 前胡(去芦头) 桔梗(炒) 贝母(去心) 牡丹皮 黄芩(去黑心)
麻黄(去根节各一两) 甘草(炙锉) 枳壳(去瓤麸炒各一钱) 升麻(半两)
上一十味。粗捣筛。每服三钱匕。水一盏。煎两三沸去滓。食后临卧服。
治阴阳不和。寒热往来。头目昏重。身体烦疼。咳嗽咽干。鼻塞清涕。柴胡散方(旧名
地
柴胡(去苗土一斤) 人参(五两) 甘草(炙四两) 白术(三两) 半夏(汤浸煮
软切作片
上七味。粗捣筛。每服三钱。水一盏。生姜五片。同煎至七分。去滓温服。不计时候。
论述说:因为遭受风邪侵袭,于是产生寒热症状。起初病邪侵犯腠理(皮肤纹理及汗孔),腠理开张时感到洒然恶寒,腠理闭塞时则发热且胸闷。风邪侵入胃经,寒气导致饮食不消化,所以食欲减退;热气则煎熬体内阴气,所以肌肉消瘦。寒热相互结合,在体内交争,所以出现战栗、肢体抖动且不能进食的情况。因此《内经》说:疾病形成后会发生变化,风邪致病可转化为寒热证。
治疗风邪伤人,寒热交替发作,头痛烦躁,周身疼痛,颈项拘急,大安汤方:
麻黄(去根节,用水煮撇去浮沫,焙干,四两) 防风(去叉枝,一两半) 川芎 羌活(去芦头) 桔梗(去芦头,锉碎炒制) 柴胡(去苗) 赤箭(天麻) 白鲜皮 蔓荆实(去皮,各一两) 独活(去芦头) 前胡(去芦头)
以上十五味药,粗捣筛过。每次服用五钱匕,加水一盏半,薄荷五叶,煎至八分,去渣温服,不拘时间。
治疗中风引起的项背强急,洒淅寒热,无汗烦渴,葛根汤方:
葛根(锉碎,二两) 麻黄(去根节,用水煮撇去浮沫,焙干,一两半) 甘草(炙,锉碎) 芍药 桂枝(去粗皮,各一两)
以上五味药,粗捣筛过。每次服用五钱匕,加水一盏半,生姜三片,大枣一枚去核,煎至一盏,去渣。连续服用三次,覆盖衣被取汗。若未出汗,用热生姜稀粥送服以助汗。
治疗中风发热恶寒,身体疼痛,战栗烦躁,甘草汤方:
甘草(炙,锉碎) 桂枝(去粗皮,各一两) 麻黄(去根节,用水煮撇去浮沫,焙干,三两) 石膏(打碎,一两半) 杏仁(用水浸泡去皮尖双仁,炒,一两)
以上五味药,粗捣筛过。每次服用五钱匕,加水一盏半,生姜三片,大枣一枚去核,煎至一盏,去渣。连续服用三次取汗。若未出汗,用热生姜稀粥送服,并覆盖衣被。
治疗中风寒热,头痛体痛,战栗不能食,川芎汤方:
川芎(三分) 防风(去叉枝) 白茯苓(去黑皮) 羌活(去芦头) 菊花(择选) 黄芪(锉碎,各一两)
以上七味药,粗捣筛过。每次服用五钱匕,加水一盏半,生姜三片,煎至一盏,去渣。空腹、日中及夜卧时温服。
治疗风成寒热,肢体烦疼,前胡散方:
前胡(去芦头) 秦艽(去苗土) 当归(切,焙干) 知母(各一两) 贝母(去心) 羌活(去芦头,一两半)
以上十二味药,捣罗为细散。每次服用二钱匕,用温酒调下,不拘时间。
治疗中风寒热,头目昏眩,肢体疼痛,手足麻木,上膈壅滞,解风汤方:
人参 川芎 石膏(碎研,各二两) 防风(去叉枝) 独活(去芦头) 甘草(炙,锉碎) 麻黄(去根节,一两)
以上八味药,粗捣筛过。每次服用三钱匕,加水一盏,生姜三片,薄荷五叶,煎至七分,去渣温服,不拘时间。
治疗中风寒热交替发作,防风汤方:
防风(去叉枝) 甘草(炙) 黄芩(去黑心) 桂枝(去粗皮) 当归(切,焙干) 白茯苓(去黑皮,各一两)
以上九味药,锉如麻豆大。每次服用五钱匕,加水一盏,酒半盏,生姜三片,大枣一枚去核,煎至一盏,去渣温服,每日三次,以取汗为度。
治疗中风寒热,头痛昏倦,羚羊角汤方:
羚羊角(镑片) 荠苨 独活(去芦头) 防风(去叉枝) 柴胡(去苗) 川芎 枳壳(去瓤,麸炒,各一两)
以上十味药,粗捣筛过。每次服用二钱匕,加水一盏,薄荷五叶,煎至七分,去渣温服,不拘时间。
治疗中风寒热,头目昏眩,四肢烦疼,荆芥汤方:
荆芥穗 旋覆花(各四两) 前胡(去芦头) 甘草(炙,锉碎) 麻黄(去根节,用水煮撇去浮沫,焙干,一两)
以上八味药,粗捣筛过。每次服用三钱匕,加水一盏,葱白一寸,生姜五片,薄荷五叶,煎至七分,去渣温服,不拘时间。
治疗风成寒热,二气交争,调顺阴阳,黄连白术汤方:
黄连(去须) 麦门冬(去心,焙干,各一两) 白术 旋覆花(炒) 甘草(炙) 黄芩(去黑心) 附子(炮裂,去皮脐,各半两) 桑根白皮(一两半) 桂枝(去粗皮) 桔梗(炒) 白茯苓(去黑皮,各一两)
以上十三味药,锉如麻豆大。每次服用五钱匕,加水一盏半,入生姜三片,同煎至八分,去渣温服。
治疗因于露风成寒热,精神昏困,肢节烦疼,柴胡汤方:
柴胡(去苗) 前胡(去芦头) 桔梗(炒) 贝母(去心) 牡丹皮 黄芩(去黑心) 麻黄(去根节,各一两) 甘草(炙,锉碎) 枳壳(去瓤,麸炒,各一钱) 升麻(半两)
以上十味药,粗捣筛过。每次服用三钱匕,加水一盏,煎两三沸,去渣。食后临卧时服。
治疗阴阳不和,寒热往来,头目昏重,身体烦疼,咳嗽咽干,鼻塞清涕,柴胡散方(旧名地黄汤):
柴胡(去苗土,一斤) 人参(五两) 甘草(炙,四两) 白术(三两) 半夏(用水浸泡煮软,切作片,一两)
以上七味药,粗捣筛过。每次服用三钱,加水一盏,生姜五片,同煎至七分,去渣温服,不计时候。
Commentary states: Due to exposure to wind pathogens, chills and fever arise. Initially, the pathogen invades the Couli (interstitial spaces of skin and muscles). When the Couli are open, there is a sensation of chilliness; when closed, there is fever accompanied by chest stuffiness. Wind pathogens enter the Stomach Meridian. Cold causes food to fail to transform, leading to loss of appetite; heat consumes internal Qi, leading to muscle wasting. When cold and heat combine and contend within, it results in shivering, tremors, and inability to eat. Thus, the *Neijing* states: "When a disease forms, it undergoes transformation; wind becomes chills and fever."
For treating wind pathogens injuring the body, with alternating chills and fever, headache, irritability, generalized body pain, and neck stiffness, Da'an Decoction formula:
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, boil in water, skim foam, dry-roast, 4 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches, 1.5 liang]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [remove rhizome head]
Platycodonis Radix (Jiegeng, 桔梗) [remove rhizome head, slice, stir-fry]
Bupleuri Radix (Chaihu, 柴胡) [remove sprouts]
Acori Tatarinowii Rhizoma (Chijian, 赤箭/Tianma, 天麻)
Phellodendri Cortex (Baixianpi, 白鲜皮)
Viticis Fructus (Manjingzi, 蔓荆实) [remove peel, each 1 liang]
Angelicae Pubescentis Radix (Duhuo, 独活) [remove rhizome head]
Peucedani Radix (Qianhu, 前胡) [remove rhizome head]
The above fifteen ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water and 5 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷), decoct until 0.8 remains, remove dregs, and take warm at any time.
For treating wind-stroke causing neck and back stiffness, chilliness with fever, anhidrosis, irritability, and thirst, Gegen Decoction formula:
Puerariae Lobatae Radix (Gegen, 葛根) [slice, 2 liang]
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, boil in water, skim foam, dry-roast, 1.5 liang]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, slice]
Paeoniae Radix Alba (Shaoyao, 芍药)
Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark, each 1 liang]
The above five ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), and 1 Jujubae Fructus (Dazao, 大枣) pitted, decoct until 1 zhan remains, remove dregs. Take three consecutive doses, cover with clothing to induce sweating. If no sweat occurs, administer hot ginger thin gruel to assist sweating.
For treating wind-stroke with fever, aversion to cold, body pain, shivering, and irritability, Gancao Decoction formula:
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, slice]
Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark, each 1 liang]
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, boil in water, skim foam, dry-roast, 3 liang]
Gypsum Fibrosum (Shigao, 石膏) [crushed, 1.5 liang]
Prunus Armeniacae Semen (Xingren, 杏仁) [soak in water, remove peel and pointed tips, use double kernels, stir-fry, 1 liang]
The above five ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), and 1 Jujubae Fructus (Dazao, 大枣) pitted, decoct until 1 zhan remains, remove dregs. Take three consecutive doses to induce sweating. If no sweat occurs, administer hot ginger thin gruel and cover with clothing.
For treating wind-stroke with chills and fever, headache, body pain, shivering, and inability to eat, Chuanxiong Decoction formula:
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) [3 fen]
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]
Poria (Fuling, 茯苓) [remove black skin]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [remove rhizome head]
Chrysanthemi Flos (Juhua, 菊花) [select]
Astragali Radix (Huangqi, 黄芪) [slice, each 1 liang]
The above seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water and 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), decoct until 1 zhan remains, remove dregs. Take warm on an empty stomach, at noon, and before sleep.
For treating wind-induced chills and fever with limb discomfort and pain, Qianhu Powder formula:
Peucedani Radix (Qianhu, 前胡) [remove rhizome head]
Gentianae Macrophytae Radix (Qinjiao, 秦艽) [remove sprouts and soil]
Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast]
Anemarrhenae Rhizoma (Zhimu, 知母) [each 1 liang]
Fritillariae Thunbergii Bulbus (Beimu, 贝母) [remove heart]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [remove rhizome head, 1.5 liang]
The above twelve ingredients are pounded into a fine powder. Take 2 qianbi per dose, mix with warm wine, at any time.
For treating wind-stroke with chills and fever, dizziness of head and eyes, limb pain, numbness of hands and feet, and upper jiao stagnation, Jiefeng Decoction formula:
Ginseng Radix et Rhizoma (Renshen, 人参)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Gypsum Fibrosum (Shigao, 石膏) [crushed and ground, each 2 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]
Angelicae Pubescentis Radix (Duhuo, 独活) [remove rhizome head]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, slice]
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, 1 liang]
The above eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), and 5 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷), decoct until 0.7 remains, remove dregs, and take warm at any time.
For treating wind-stroke with alternating chills and fever, Fangfeng Decoction formula:
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried]
Scutellariae Radix (Huangqin, 黄芩) [remove black heart]
Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark]
Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast]
Poria (Fuling, 茯苓) [remove black skin, each 1 liang]
The above nine ingredients are sliced like hemp seeds. Take 5 qianbi per dose, add 1 zhan of water and half a zhan of wine, 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), and 1 Jujubae Fructus (Dazao, 大枣) pitted, decoct until 1 zhan remains, remove dregs, and take warm three times daily, aiming to induce sweating.
For treating wind-stroke with chills and fever, headache, dizziness, and fatigue, Lingyangjiao Decoction formula:
Saiga Tataricae Cornu (Lingyangjiao, 羚羊角) [shaved]
Hydrocotylis Japonici Herba (Qini, 荠苨)
Angelicae Pubescentis Radix (Duhuo, 独活) [remove rhizome head]
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]
Bupleuri Radix (Chaihu, 柴胡) [remove sprouts]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Aurantii Fructus Immaturus (Zhike, 枳壳) [remove pulp and bran, stir-fry, each 1 liang]
The above ten ingredients are coarsely crushed and sieved. Take 2 qianbi per dose, add 1 zhan of water and 5 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷), decoct until 0.7 remains, remove dregs, and take warm at any time.
For treating wind-stroke with chills and fever, dizziness of head and eyes, and limb discomfort and pain, Jingjie Decoction formula:
Schizonepetae Spica (Jingjisui, 荆芥穗)
Inulae Flos (Xuanjinhua, 旋覆花) [each 4 liang]
Peucedani Radix (Qianhu, 前胡) [remove rhizome head]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, slice]
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, boil in water, skim foam, dry-roast, 1 liang]
The above eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, 1 cun of Allii Fistulosi Bulbus (Congbai, 葱白), 5 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), and 5 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷), decoct until 0.7 remains, remove dregs, and take warm at any time.
For treating wind-induced chills and fever, contention of two qi, and regulation of yin and yang, Huanglian Baizhu Decoction formula:
Coptidis Rhizoma (Huanglian, 黄连) [remove stamens]
Ophiopogonis Tuber (Maidong, 麦门冬) [remove heart, dry-roast, each 1 liang]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Inulae Flos (Xuanjinhua, 旋覆花) [stir-fry]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried]
Scutellariae Radix (Huangqin, 黄芩) [remove black heart]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed until cracked, remove skin and navel, each 0.5 liang]
Morus Albae Cortex Radicis (Sangbaipi, 桑根白皮) [1.5 liang]
Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark]
Platycodonis Radix (Jiegeng, 桔梗) [stir-fry]
Poria (Fuling, 茯苓) [remove black skin, each 1 liang]
The above thirteen ingredients are sliced like hemp seeds. Take 5 qianbi per dose, add 1.5 zhan of water and 3 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), decoct together until 0.8 remains, remove dregs, and take warm.
For treating chills and fever caused by exposure to wind, with mental confusion and fatigue, and limb joint discomfort and pain, Chaihu Decoction formula:
Bupleuri Radix (Chaihu, 柴胡) [remove sprouts]
Peucedani Radix (Qianhu, 前胡) [remove rhizome head]
Platycodonis Radix (Jiegeng, 桔梗) [stir-fry]
Fritillariae Thunbergii Bulbus (Beimu, 贝母) [remove heart]
Moutan Cortex (Mudanpi, 牡丹皮)
Scutellariae Radix (Huangqin, 黄芩) [remove black heart]
Ephedrae Herba (Mahuang, 麻黄) [remove roots and joints, each 1 liang]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, slice]
Aurantii Fructus Immaturus (Zhike, 枳壳) [remove pulp and bran, stir-fry, each 1 qian]
Cimicifugae Rhizoma (Shengma, 升麻) [0.5 liang]
The above ten ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, boil for two or three boils, remove dregs. Take after meals and before sleep.
For treating disharmony of yin and yang, alternating chills and fever, heavy head and eyes, body discomfort and pain, cough, dry throat, nasal congestion, and clear runny nose, Chaihu San formula (formerly named Dihuang Tang):
Bupleuri Radix (Chaihu, 柴胡) [remove sprouts and soil, 1 jin]
Ginseng Radix et Rhizoma (Renshen, 人参) [5 liang]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, 4 liang]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [3 liang]
Pinelliae Tuber (Banxia, 半夏) [soak in water, boil until soft, slice, 1 liang]
The above seven ingredients are coarsely crushed and sieved. Take 3 qian per dose, add 1 zhan of water and 5 slices of Zingiberis Recens Rhizoma (Shengjiang, 生姜), decoct until 0.7 remains, remove dregs, and take warm at any time.