论曰内经曰。风气与阳明入胃。循脉而上至目内 。其人肥则风气不得外泄。为热中而
目黄。夫风者阳气也。善行而数变。风气客于胃中。内不得通。外不得泄。蒸郁于中。故谓
之热中。阳明之脉起于鼻。交 中下循鼻外。热气循入。故令人目黄也。
治风搏阳气。郁为热中。除目黄。解烦渴。远志汤方
远志(去心) 人参 赤茯苓(去黑皮) 犀角(镑) 桔梗(锉炒) 前胡(去芦头)
防风(去叉) 麦门冬(去心焙) 黄 (锉) 大腹皮(各半两)
上一十味。粗捣筛。每服三钱匕。水一盏。生姜一枣大拍破。煎至七分去滓。食后温服
日三。
治风邪。除热中。解烦渴。镇心神。人参丸方
人参(一两半) 芦荟 白术 本(去苗土) 桔梗(锉炒各半两) 白附子(炮) 赤
茯苓(去黑皮) 菊花(各一两) 防风(去叉) 天麻(酒浸切焙各三分) 龙脑(研) 麝
香(研各一
上一十二味。研。捣为末。以面糊和丸。如梧桐子大。每服十五丸。食后煎黄 荆芥汤
下。
治风久不散。变成热中。烦渴目黄。精神昏暗。牛黄散方
牛黄(研) 甘草(炙锉) 白附子(炮) 白僵蚕(炒) 犀角(镑) 羚羊角(镑)
丹砂(研
上一十一味。各捣研极细和匀。每服一钱匕。荆芥汤调下。
治风邪。除热中。金箔牛黄丸方
金箔(十片研) 牛黄(研) 龙脑(研各一两) 犀角(镑) 琥珀(研) 人参(各
一分) 丹
半两) 白附子(
上一十三味。各捣研为末。炼蜜和捣一千杵。丸如樱桃大。以金箔为衣。每服一丸细嚼
。温薄荷汤下。茶酒亦得。常服半丸。不拘时。
治风不散。传为热中。犀角天麻丸方
犀角(镑) 天麻(酒浸切焙) 芎 半夏(为末生姜汁作饼焙干) 菊花(各半两)
茯神(去木) 人参 羌活(去芦头) 阿胶(炙令燥) 丹砂(研各一两) 甘草(炙锉
三分)
上一十一味。各捣研为细末。炼蜜丸如皂子大。每服一丸。食后临卧细嚼。人参汤下。
治风邪蕴积。传为热中。银液生犀丸方
犀角(镑) 银薄(一钱水银结沙子) 牛黄(研) 郁金 竹茹 阿胶(炙令燥各一
分) 天
砂(研一两半) 天
分)
上一十七味。各捣研为细末。炼蜜丸如鸡头实。每服一丸。食后临卧细嚼。人参汤下。
治风邪传化。腹内瘀结生热。青龙散方
仙灵脾 生干地黄(焙) 防风(去叉) 何首乌(去黑皮米泔浸一宿竹刀切焙各一分)
荆
上五味。捣为细散。每服一钱至二钱匕。食后沸汤调下。
治风气入中。蕴积生热。口干目黄。时发潮躁。雄黄散方
雄黄(研半两) 丹砂(研) 牛黄(研) 丁香(各一分) 桂(去粗皮半两) 天
麻(三分)
前三味同研) 半夏(为
三分) 附子(炮裂去皮脐) 干
上一十五味。将十味捣罗为散。与别研五味和匀。每服半钱加至一钱匕。空心夜卧。温
酒调下。汗出即愈。
治风邪入中。蕴瘀成热。头昏目黄。心膈烦闷。内解散方
柴胡(去苗) 黄芩(去黑心) 葛根(锉各一两) 黄连(去须) 石斛(去根各一
分) 甘草
上六味。捣罗为散。每服半钱匕。柳枝蜜水调下。薄荷蜜水亦得。
论述说:《内经》记载,风邪与阳明经之气一同进入胃中,沿着经脉向上运行至目内眦。如果患者体型肥胖,则风邪无法从体表宣泄,从而形成热中病,并出现眼睛发黄的症状。风属于阳气,善于游走且变化迅速。当风邪客居于胃中时,内部气机不通畅,外部又不能宣泄,导致热气在体内蒸腾郁结,所以称之为“热中”。阳明的经脉起始于鼻翼旁,交会于鼻根处,向下沿鼻外侧行走。热气顺着经脉侵入,因此使人眼睛发黄。
治疗风邪搏结阳气,郁积化为热中,消除眼睛发黄,解除烦渴的远志汤方:
远志(去除心)、人参、赤茯苓(去除黑皮)、犀角(镑片)、桔梗(锉碎炒制)、前胡(去除芦头)、防风(去除叉枝)、麦门冬(去除心焙干)、黄芪(锉碎)、大腹皮(各半两)。
以上十味药,粗捣筛过。每次服用三钱匕,用水一盏,生姜一块如枣大小拍破,煎煮至七分满,去渣滓,饭后温服,每日三次。
治疗风邪,清除热中,解除烦渴,安定心神的参丸方:
人参(一两半)、芦荟、白术、藁本(去除苗土)、桔梗(锉碎炒制,各半两)、白附子(炮制)、赤茯苓(去除黑皮)、菊花(各一两)、防风(去除叉枝)、天麻(酒浸后切片焙干,各三分)、龙脑(研细)、麝香(研细,各少许)。
以上十二味药,研成粉末,用面糊调和制成丸剂,如梧桐子大小。每次服用十五丸,饭后用黄芩荆芥汤送服。
治疗风邪久留不散,演变为热中,出现烦渴、眼睛发黄、精神昏沉的牛黄散方:
牛黄(研细)、甘草(炙烤锉碎)、白附子(炮制)、白僵蚕(炒制)、犀角(镑片)、羚羊角(镑片)、丹砂(研细)。
以上十一味药,分别捣研至极细并混合均匀。每次服用一钱匕,用荆芥汤调服。
治疗风邪,清除热中的金箔牛黄丸方:
金箔(十片研细)、牛黄(研细)、龙脑(研细,各一两)、犀角(镑片)、琥珀(研细)、人参(各一分)、丹砂(半两)、白附子(炮制)。
以上十三味药,分别捣研为粉末,炼蜜调和捣击一千杵,制成如樱桃大小的丸剂,以金箔为衣。每次服用一丸细细咀嚼,用温薄荷汤送服,喝茶或喝酒也可以。常服半丸,不拘时间。
治疗风邪不散,传变为热中的犀角天麻丸方:
犀角(镑片)、天麻(酒浸后切片焙干)、川芎、半夏(研末后用生姜汁做成饼焙干)、菊花(各半两)、茯神(去除木心)、人参、羌活(去除芦头)、阿胶(炙烤至干燥)、丹砂(研细,各一两)、甘草(炙烤锉碎,三分)。
以上十一味药,分别捣研为细末,炼蜜制成如皂荚子大小的丸剂。每次服用一丸,饭后及睡前细细咀嚼,用人参汤送服。
治疗风邪蕴积,传变为热中的银液生犀丸方:
犀角(镑片)、银薄(一钱水银结成的沙子)、牛黄(研细)、郁金、竹茹、阿胶(炙烤至干燥,各一分)、天麻(一两半)、丹砂(研细,一分)。
以上十七味药,分别捣研为细末,炼蜜制成如鸡头实大小的丸剂。每次服用一丸,饭后及睡前细细咀嚼,用人参汤送服。
治疗风邪传化,腹内瘀结生热的青龙散方:
仙灵脾、生干地黄(焙干)、防风(去除叉枝)、何首乌(去除黑皮,米泔水浸泡一夜,竹刀切片焙干,各一分)、荆芥。
以上五味药,捣成细散。每次服用一钱至二钱匕,饭后用沸水调服。
治疗风气入中,蕴积生热,口干眼黄,时常发作潮热烦躁的雄黄散方:
雄黄(研细半两)、丹砂(研细)、牛黄(研细)、丁香(各一分)、桂枝(去除粗皮半两)、天麻(三分)、半夏(研末,三分)、附子(炮裂去皮脐)、干姜(三分)。前三味药共同研细。
以上十五味药,将其中十味捣罗成散,与另外五味单独研细的药粉混合均匀。每次服用半钱加至一钱匕,空腹及夜间卧时,用温酒调服,出汗即痊愈。
治疗风邪入中,蕴瘀成热,头晕眼黄,心胸烦闷的内解散方:
柴胡(去除苗)、黄芩(去除黑心)、葛根(锉碎,各一两)、黄连(去除须)、石斛(去除根,各一分)、甘草。
以上六味药,捣罗成散。每次服用半钱匕,用柳枝蜜水调服,用薄荷蜜水也可以。
Commentary states: The *Neijing* records that wind pathogen and Yangming channel qi enter the stomach together, traveling along the meridians upward to the inner canthus of the eye. If the person is obese, the wind pathogen cannot be excreted from the exterior, leading to "Heat Zhong" (a condition characterized by internal heat accumulation) accompanied by yellowing of the eyes. Wind belongs to Yang Qi; it moves swiftly and changes frequently. When wind pathogen lodges in the stomach, internal circulation is obstructed, and external release is blocked, causing heat to steam and stagnate within. Hence, it is called "Heat Zhong." The Yangming meridian originates at the side of the nose, intersects at the root of the nose, and descends along the lateral aspect of the nose. Heat qi follows this pathway inward, thus causing yellowing of the eyes.
**Yuanzhi Tang (Polygalae Decoction)** for treating wind pathogen combing with Yang Qi, stagnating into Heat Zhong, eliminating yellowing of the eyes, and relieving irritability and thirst:
* Yuanzhi (Radix Polygalae, heart removed)
* Renshen (Radix Ginseng)
* Chi Fuling (Poria Cocos with black skin removed)
* Xijiao (Cornu Rhinocerotis)
* Jiegeng (Radix Platycodonis, sliced and stir-fried)
* Qianhu (Peucedani Radix, rhizome removed)
* Fangfeng (Radix Saposhnikoviae, forked parts removed)
* Maimendong (Radix Ophiopogonis, heart removed and dried)
* Huangqi (Radix Astragali, sliced)
* Dafupi (Pericarpium Citri Reticulatae Viride)
*(Each half liang)*
Crush and sieve the above ten ingredients coarsely. Take three qianbi per dose. Add one cup of water and a piece of Shengjiang (Rhizoma Zingiberis Recens) the size of a jujube, smashed. Decoct until reduced to 70%, strain, and take warm after meals, three times daily.
**Renshen Wan (Ginseng Pill)** for expelling wind pathogen, clearing Heat Zhong, relieving irritability and thirst, and calming the spirit:
* Renshen (Radix Ginseng, 1.5 liang)
* Lvhui (Aloe)
* Baizhu (Rhizoma Atractylodis Macrocephalae)
* Bencao (Rhizoma Ligustici Chuanxiong, seedlings and soil removed)
* Jiegeng (Radix Platycodonis, sliced and stir-fried, each half liang)
* Baifuzi (Tubera Typhonii Flagelliformis, processed)
* Chi Fuling (Poria Cocos with black skin removed)
* Juhua (Flos Chrysanthemi, each 1 liang)
* Fangfeng (Radix Saposhnikoviae, forked parts removed)
* Tianma (Rhizoma Gastrodiae, soaked in wine, sliced, and dried, each 3 fen)
* Longnao (Borneolum Syntheticum, ground)
* Shexiang (Moschus, ground)
Grind the above twelve ingredients into powder. Mix with wheat paste to form pills the size of Sophora seeds. Take fifteen pills per dose, washed down with Huangqin Jingjie Decoction after meals.
**Niuhuang San (Calculus Bovis Powder)** for wind pathogen lingering long-term, transforming into Heat Zhong, presenting with irritability, thirst, yellow eyes, and mental dullness:
* Niuhuang (Calculus Bovis, ground)
* Gancao (Radix Glycyrrhizae, roasted and sliced)
* Baifuzi (Tubera Typhonii Flagelliformis, processed)
* Baijiangcan (Bombyx Batryticatus, stir-fried)
* Xijiao (Cornu Rhinocerotis)
* Lingyangjiao (Cornu Saigae Tataricae)
* Dansha (Cinnabaris, ground)
Grind the above eleven ingredients separately to an extremely fine powder and mix evenly. Take one qianbi per dose, mixed with Jingjie Decoction.
**Jinbo Niuhuang Wan (Gold-leaf Calculus Bovis Pill)** for expelling wind pathogen and clearing Heat Zhong:
* Jinbo (Lamina Aurii, ten pieces ground)
* Niuhuang (Calculus Bovis, ground)
* Longnao (Borneolum Syntheticum, ground, each 1 liang)
* Xijiao (Cornu Rhinocerotis)
* Hupo (Succinum, ground)
* Renshen (Radix Ginseng, each 1 fen)
* Dansha (Cinnabaris, 0.5 liang)
* Baifuzi (Tubera Typhonii Flagelliformis, processed)
Grind the above thirteen ingredients into powder. Mix with refined honey and pound for one thousand strokes. Form pills the size of cherries, coating them with gold leaf. Chew one pill thoroughly per dose, taken with warm Bohe Decoction (Menthae Haplocalycis Herba). Tea or alcohol are also acceptable. For regular use, take half a pill at any time.
**Xijiao Tianma Wan (Cornu Rhinocerotis and Gastrodia Pill)** for wind pathogen not dispersing, transmitting into Heat Zhong:
* Xijiao (Cornu Rhinocerotis)
* Tianma (Rhizoma Gastrodiae, soaked in wine, sliced, and dried)
* Xiongchuang (Rhizoma Chuanxiong)
* Banxia (Rhizoma Pinelliae, made into cakes with Shengjiang juice and dried)
* Juhua (Flos Chrysanthemi, each half liang)
* Fushen (Poria Cocos with pine wood removed)
* Renshen (Radix Ginseng)
* Qianghuo (Rhizoma et Radix Notopterygii, rhizome removed)
* Ejiao (Colla Corii Asini, roasted until dry)
* Dansha (Cinnabaris, ground, each 1 liang)
* Gancao (Radix Glycyrrhizae, roasted and sliced, 3 fen)
Grind the above eleven ingredients into fine powder. Mix with refined honey to form pills the size of soap beans. Chew one pill thoroughly per dose after meals and before bed, washed down with Renshen Decoction.
**Yinye Shengxi Wan (Silver Liquid and Fresh Rhino Horn Pill)** for wind pathogen accumulating and transmitting into Heat Zhong:
* Xijiao (Cornu Rhinocerotis)
* Yinbo (Thin silver sheets / Mercury amalgam)
* Niuhuang (Calculus Bovis, ground)
* Yujin (Radix Curcumae Longae)
* Zhuru (Caulis Bambusae in Taenia)
* Ejiao (Colla Corii Asini, roasted until dry, each 1 fen)
* Tianma (Rhizoma Gastrodiae, 1.5 liang)
* Dansha (Cinnabaris, ground, 1 fen)
Grind the above seventeen ingredients into fine powder. Mix with refined honey to form pills the size of arrowhead fruits. Chew one pill thoroughly per dose after meals and before bed, washed down with Renshen Decoction.
**Qinglong San (Green Dragon Powder)** for wind pathogen transmission causing abdominal stasis and heat generation:
* Xianlingpi (Herba Epimedii)
* Sheng Gan Dihuang (Radix Rehmanniae Preparata, dried)
* Fangfeng (Radix Saposhnikoviae, forked parts removed)
* Heshouwu (Radix Polygoni Multiflori, black skin removed, soaked in rice wash overnight, sliced with bamboo knife and dried, each 1 fen)
* Jingjie (Herba Schizonepetae)
Grind the above five ingredients into fine powder. Take one to two qianbi per dose, mixed with boiling water after meals.
**Xionghuang San (Realgar Powder)** for wind qi entering the interior, accumulating and generating heat, presenting with dry mouth, yellow eyes, and periodic tidal fever/irritability:
* Xionghuang (Realgar, ground, 0.5 liang)
* Dansha (Cinnabaris, ground)
* Niuhuang (Calculus Bovis, ground)
* Dingxiang (Flos Caryophylli, each 1 fen)
* Guizhi (Ramulus Cinnamomi, bark scraped, 0.5 liang)
* Tianma (Rhizoma Gastrodiae, 3 fen)
* Banxia (Rhizoma Pinelliae, ground, 3 fen)
* Fuzi (Radix Aconiti Lateralis Preparata, processed, peeled, and navel removed)
* Ganjiang (Rhizoma Zingiberis Secatum, 3 fen)
*(The first three ingredients are ground together)*
Take the above fifteen ingredients. Pulverize ten of them into powder, then mix evenly with the other five individually ground ingredients. Take half to one qianbi per dose, on an empty stomach and before bed, mixed with warm wine. Recovery occurs upon sweating.
**Neijie San (Interior-Resolving Powder)** for wind pathogen entering the interior, stasis transforming into heat, presenting with dizziness, yellow eyes, and chest/diaphragm irritability:
* Chaihu (Radix Bupleuri, seedlings removed)
* Huangqin (Radix Scutellariae, black heart removed)
* Gegen (Radix Puerariae, sliced, each 1 liang)
* Huanglian (Rhizoma Coptidis, whiskers removed)
* Shihu (Caulis Dendrobii, roots removed, each 1 fen)
* Gancao (Radix Glycyrrhizae)
Pulverize the above six ingredients into powder. Take half a qianbi per dose, mixed with honey-water prepared from willow branches. Honey-water prepared from mint is also acceptable.