夫伤寒烦躁者。此由阴气少。阳气胜。故热而烦满也。少阴病恶寒而拳。时自烦欲去其
被者
损
死
治伤寒。四肢烦躁。头痛口干。壮热。宜服犀角散方。
犀角屑 甘草(炙微赤锉) 枳壳(麸炒微黄去瓤) 赤芍药 麦门冬(去心焙) 赤
茯苓
葛根(锉)(以上各半两) 石膏〔一(二)两〕
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒热盛。口干烦躁。不得汗。宜服麦门冬散方。
麦门冬(半两去心) 人参(半两去芦头) 麻黄(一两去根节) 栀子仁(三分) 生
干地黄
(半两) 赤茯苓(半两) 甘草(一分炙微赤锉) 木香(一分) 黄芩(一分)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治伤寒。身体酸疼。头面如火。心胸烦躁。背膊壅闷。不思饮食。宜服升麻散方。
川升麻〔三(二)分〕 葛根(一两锉) 前胡(一两去芦头) 马牙硝(一两) 子
芩(半两)
知母
麦门冬
(一两
上件药。捣粗罗为散。每服五钱。水一大盏。煎至五分。去滓。不计时候温服。
治伤寒发汗后。大下。胃中干。烦躁不得眠卧。欲得饮水者。少与饮者。令胃和
则愈。
猪苓(去黑皮) 白术 泽泻 桂心(以上各一两) 赤茯苓(二两)
上件药。捣细罗为散。每服。不计时候。以清粥饮调下二钱。
治伤寒。头痛鼻塞。痰壅。四肢壮热憎寒。恍惚烦躁。宜服知母散方。
知母(一两) 麦门冬(一两去心) 川升麻(一两) 桔梗(半两去芦头) 犀角屑
(半两)
柴胡
通(半两
锉)
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候温服。
治伤寒身体疼痛。头面如火。胸心烦躁。背膊妨闷。不思饮食。宜服子芩散方。
子芩(半两) 麦门冬(一两去心) 葛根(半两锉) 川升麻(一两) 前胡(一两
去芦头)
玄参(半两) 犀角屑(半两) 赤芍药(半两) 槟榔(半两) 马牙硝(一两)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒后。伏热在心。烦躁恍惚。或多惊恐。及不得眠卧。宜服茵陈散方。
茵陈 茯神 栀子仁 赤芍药 麦门冬(去心) 黄芩(以上各半两) 犀角屑(一分)
生
干地黄(一两)
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候温服。
治伤寒得汗后。身热未退。心神烦躁。宜服此方。
栀子仁 甘草(炙微赤锉) 黄柏(锉)(以上各一两)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒烦躁。不得睡卧方。
酸枣仁(一两微炒) 甘草(一两炙微赤锉) 豉(一合)
上件药。捣筛。以水一大盏半。煎至一盏。去滓。不计时候。分温三服。
治伤寒未得汗。发烦躁。心闷。宜服此方。
麻黄(一两去根节) 甘草(半两炙微赤锉) 桂心(一两) 麦门冬(半两去心) 杏
仁(半
两汤浸去皮尖双仁麸炒微黄)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。稍热服。衣覆出汗。
如人行十里未得汗。再服。
治伤寒五六日。心膈烦躁。壮热。不得卧。宜服栀子仁散方。
栀子仁 川升麻 柴胡(去苗) 石膏 生干地黄 甘草(炙微赤锉) 葛根(锉以
上各
一两)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治伤寒得汗及未得汗。烦躁闷乱。宜服不灰木散方。
不灰木(一两用牛粪火烧通赤) 延胡叶(半两) 子芩(半两) 黄药(半两) 甘
草(三分
炙微赤锉) 甘菊花(半两) 羌活(半两)
上件药。捣细罗为散。每服二钱。用淡浆水一中盏。煎至六分。不计时候。和滓温服之
治伤寒烦躁。干逆。宜服葛根散方。\x
葛根(锉) 枳壳(麸炒微黄去瓤) 川大黄(锉碎微炒) 麦门冬(去心) 甘草(炙
微赤锉)
槟榔(以上各半两)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
伤寒病出现烦躁症状的,这是由于阴气不足,阳气偏盛,所以表现为发热且烦闷。少阴病恶寒且身体蜷缩,时常自感烦热想要掀开被子的,(若误用下法)会损伤正气导致死亡。
治疗伤寒引起的四肢烦躁、头痛、口干、高热,适宜服用犀角散方。
犀角屑、甘草(炙至微红并切碎)、枳壳(麸炒至微黄并去除瓤)、赤芍药、麦门冬(去心后焙干)、赤茯苓、葛根(切碎)(以上各半两)、石膏(一两或二两)。
将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣,不分时候温服。
治疗伤寒热势亢盛、口干烦躁、无汗,适宜服用麦门冬散方。
麦门冬(半两,去心)、人参(半两,去芦头)、麻黄(一两,去根节)、栀子仁(三分)、生地黄(半两)、赤茯苓(半两)、甘草(一分,炙至微红并切碎)、木香(一分)、黄芩(一分)。
将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣,不分时候温服。
治疗伤寒,身体酸痛,头面部如火烧般发热,心胸烦躁,背部及两胁壅塞闷痛,不思饮食,适宜服用升麻散方。
川升麻(二两或三两)、葛根(一两,切碎)、前胡(一两,去芦头)、马牙硝(一两)、子芩(半两)、知母、麦门冬(一两)。
将上述药物捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,煎煮至五分,滤去药渣,不分时候温服。
治疗伤寒发汗后,又经剧烈泻下,导致胃中干燥,烦躁无法安卧,想要饮水的,少量给予饮水,使胃气调和即可痊愈。(此条为调理原则,未列具体方药,但后接猪苓散方,通常指代该方或随证处理,此处依原文结构列出后续方剂作为对应治疗参考,或视为独立条文后的方剂列表,根据古籍体例,此处“宜服”隐含在上下文或特指下方方剂,但原文断句较乱,结合下文猪苓散主治利水养阴,常用于此类津伤证,故归入此类)。
猪苓(去黑皮)、白术、泽泻、桂心(以上各一两)、赤茯苓(二两)。
将上述药物捣细并过细筛制成散剂。每次服用,不分时候,用清稀粥饮调服二钱。
治疗伤寒,头痛鼻塞,痰液壅盛,四肢高热伴恶寒,神志恍惚烦躁,适宜服用知母散方。
知母(一两)、麦门冬(一两,去心)、川升麻(一两)、桔梗(半两,去芦头)、犀角屑(半两)、柴胡(半两,切碎)。
将上述药物捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,滤去药渣,不分时候温服。
治疗伤寒身体疼痛,头面部如火烧般发热,胸中心区烦躁,背部及两胁妨碍闷痛,不思饮食,适宜服用子芩散方。
子芩(半两)、麦门冬(一两,去心)、葛根(半两,切碎)、川升麻(一两)、前胡(一两,去芦头)、玄参(半两)、犀角屑(半两)、赤芍药(半两)、槟榔(半两)、马牙硝(一两)。
将上述药物捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,煎煮至五分,滤去药渣,不分时候温服。
治疗伤寒后,余热伏留于心,烦躁恍惚,或多惊恐,以及无法安卧,适宜服用茵陈散方。
茵陈、茯神、栀子仁、赤芍药、麦门冬(去心)、黄芩(以上各半两)、犀角屑(一分)、生地黄(一两)。
将上述药物捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,滤去药渣,不分时候温服。
治疗伤寒得汗后,身热未退,心神烦躁,适宜服用此方。
栀子仁、甘草(炙至微红并切碎)、黄柏(切碎)(以上各一两)。
将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣,不分时候温服。
治疗伤寒烦躁,无法入睡的方剂。
酸枣仁(一两,微炒)、甘草(一两,炙至微红并切碎)、豆豉(一合)。
将上述药物捣碎过筛,用水一大盏半,煎煮至一盏,滤去药渣,不分时候,分三次温服。
治疗伤寒未得汗,出现烦躁、心闷,适宜服用此方。
麻黄(一两,去根节)、甘草(半两,炙至微红并切碎)、桂心(一两)、麦门冬(半两,去心)、杏仁(半两,汤浸去皮尖及双仁,麸炒至微黄)。
将上述药物捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,煎煮至五分,滤去药渣,稍热服用,服药后覆盖衣被以取汗。如果行走十里路仍未出汗,可再次服用。
治疗伤寒五六日,心膈部烦躁,高热,无法安卧,适宜服用栀子仁散方。
栀子仁、川升麻、柴胡(去苗)、石膏、生地黄、甘草(炙至微红并切碎)、葛根(切碎,以上各一两)。
将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣,不分时候温服。
治疗伤寒得汗及未得汗,出现烦躁闷乱,适宜服用不灰木散方。
不灰木(一两,用牛粪火烧至通红)、延胡叶(半两)、子芩(半两)、黄药(半两)、甘草(三分,炙至微红并切碎)、甘菊花(半两)、羌活(半两)。
将上述药物捣细并过细筛制成散剂。每次服用二钱,用淡浆水一中盏,煎煮至六分,不分时候,连同药渣一起温服。
治疗伤寒烦躁,气逆上冲,适宜服用葛根散方。
葛根(切碎)、枳壳(麸炒至微黄并去除瓤)、川大黄(切碎微炒)、麦门冬(去心)、甘草(炙至微红并切碎)、槟榔(以上各半两)。
将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣,不分时候温服。
For the condition of *Shanghan* (Cold Damage) presenting with restlessness (*Fan Zao*), this is caused by a deficiency of Yin Qi and an excess of Yang Qi, resulting in heat and fullness with irritability. In *Shaoyin* disease (disease of the Lesser Yin), if there is aversion to cold and curling up of the body, accompanied by spontaneous irritability and a desire to remove the covers, (if treated incorrectly with purgatives) it will damage the healthy Qi and lead to death.
To treat *Shanghan* with restlessness in the four limbs, headache, dry mouth, and high fever, the *Xijiao San* (Rhinoceros Horn Powder) formula is suitable.
Prepared Rhinoceros Horn Shavings, Licorice Root (roasted until slightly red and chopped), Bitter Orange (bran-fried until slightly yellow and pith removed), Red Peony Root, Ophiopogon Tuber (heart removed and baked), Red Poria, Kudzu Root (chopped) (each 0.5 liang), Gypsum (1 or 2 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one medium bowl of water until reduced to 6/10, strain, and take warm at any time.
To treat *Shanghan* with excessive heat, dry mouth, restlessness, and absence of sweating, the *Maimendong San* (Ophiopogon Powder) formula is suitable.
Ophiopogon Tuber (0.5 liang, heart removed), Ginseng Root (0.5 liang, radix end removed), Ephedra Stem (1 liang, roots and joints removed), Gardenia Seed (3 fen), Fresh Rehmannia Root (0.5 liang), Red Poria (0.5 liang), Licorice Root (1 fen, roasted until slightly red and chopped), Costus Root (1 fen), Scutellaria Root (1 fen).
Crush the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one medium bowl of water plus half a piece of fresh ginger until reduced to 6/10, strain, and take warm at any time.
To treat *Shanghan* with soreness and pain of the body, burning sensation in the head and face, restlessness in the chest and heart, stuffiness and oppression in the back and shoulders, and loss of appetite, the *Shengma San* (Cimicifuga Powder) formula is suitable.
Cimicifuga Rhizome (2 or 3 liang), Kudzu Root (1 liang, chopped), Peucedanum Root (1 liang, radix end removed), Natrii Sulfas (1 liang), Scutellaria Root (0.5 liang), Anemarrhena Rhizome, Ophiopogon Tuber (1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose, decoct with one large bowl of water until reduced to 5/10, strain, and take warm at any time.
After inducing sweating for *Shanghan*, followed by severe purging, leading to dryness in the stomach, restlessness preventing sleep, and a desire for water: provide small amounts of water to drink; when the Stomach Qi harmonizes, the patient will recover.
Polyporus (black skin removed), Atractylodes Macrocephala Rhizome, Alisma Rhizome, Cinnamon Twig (each 1 liang), Red Poria (2 liang).
Grind the above ingredients into a fine powder. Take at any time, mixing 2 qian with thin rice gruel to swallow.
To treat *Shanghan* with headache and nasal congestion, phlegm obstruction, high fever and aversion to cold in the four limbs, mental confusion, and restlessness, the *Zhimu San* (Anemarrhena Powder) formula is suitable.
Anemarrhena Rhizome (1 liang), Ophiopogon Tuber (1 liang, heart removed), Cimicifuga Rhizome (1 liang), Platycodon Root (0.5 liang, radix end removed), Rhinoceros Horn Shavings (0.5 liang), Bupleurum Root (0.5 liang, chopped).
Crush the above ingredients into a coarse powder. Take 5 qian per dose, decoct with one large bowl of water plus half a piece of fresh ginger until reduced to 5/10, strain, and take warm at any time.
To treat *Shanghan* with body pain, burning sensation in the head and face, restlessness in the chest and heart, obstruction and oppression in the back and shoulders, and loss of appetite, the *Ziqin San* (Scutellaria Powder) formula is suitable.
Scutellaria Root (0.5 liang), Ophiopogon Tuber (1 liang, heart removed), Kudzu Root (0.5 liang, chopped), Cimicifuga Rhizome (1 liang), Peucedanum Root (1 liang, radix end removed), Scrophularia Root (0.5 liang), Rhinoceros Horn Shavings (0.5 liang), Red Peony Root (0.5 liang), Areca Seed (0.5 liang), Natrii Sulfas (1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose, decoct with one large bowl of water until reduced to 5/10, strain, and take warm at any time.
To treat post-*Shanghan* latent heat in the Heart, restlessness and mental confusion, frequent fright, and insomnia, the *Yinchen San* (Artemisia Capillaris Powder) formula is suitable.
Artemisia Capillaris Herba, Poria with Hostwood, Gardenia Seed, Red Peony Root, Ophiopogon Tuber (heart removed), Scutellaria Root (each 0.5 liang), Rhinoceros Horn Shavings (1 fen), Fresh Rehmannia Root (1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose, decoct with one large bowl of water plus half a piece of fresh ginger until reduced to 5/10, strain, and take warm at any time.
To treat *Shanghan* after sweating where body heat has not subsided and the mind is restless, this formula is suitable.
Gardenia Seed, Licorice Root (roasted until slightly red and chopped), Phellodendron Bark (chopped) (each 1 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one medium bowl of water until reduced to 6/10, strain, and take warm at any time.
Formula for treating *Shanghan* restlessness and inability to sleep.
Ziziphus Seed (1 liang, lightly stir-fried), Licorice Root (1 liang, roasted until slightly red and chopped), Fermented Soybean (1 he).
Pound and sieve the above ingredients. Decoct with one and a half large bowls of water until reduced to one large bowl, strain, and divide into three warm doses taken at any time.
To treat *Shanghan* without sweating, presenting with restlessness and chest stuffiness, this formula is suitable.
Ephedra Stem (1 liang, roots and joints removed), Licorice Root (0.5 liang, roasted until slightly red and chopped), Cinnamon Twig (1 liang), Ophiopogon Tuber (0.5 liang, heart removed), Apricot Seed (0.5 liang, soaked in water, skin and tip removed, double-kernel bran-fried until slightly yellow).
Crush the above ingredients into a coarse powder. Take 5 qian per dose, decoct with one large bowl of water until reduced to 5/10, strain, and take slightly warm. Cover with clothing to induce sweating. If no sweat occurs after walking ten *li*, administer again.
To treat *Shanghan* on the fifth or sixth day, with restlessness in the heart and diaphragm, high fever, and inability to lie down, the *Zhizi Ren San* (Gardenia Seed Powder) formula is suitable.
Gardenia Seed, Cimicifuga Rhizome, Bupleurum Root (aerial parts removed), Gypsum, Fresh Rehmannia Root, Licorice Root (roasted until slightly red and chopped), Kudzu Root (chopped, each 1 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one medium bowl of water plus half a piece of fresh ginger until reduced to 6/10, strain, and take warm at any time.
To treat *Shanghan* whether sweating has occurred or not, presenting with restlessness and mental disturbance, the *Buhui Mu San* (Non-ash Wood Powder) formula is suitable.
Buhui Mu (1 liang, fired red-hot using cow dung), Hypericum Leaf (0.5 liang), Scutellaria Root (0.5 liang), Huang Yao (0.5 liang), Licorice Root (3 fen, roasted until slightly red and chopped), Chrysanthemum Flower (0.5 liang), Notopterygium Rhizome and Root (0.5 liang).
Grind the above ingredients into a fine powder. Take 2 qian per dose, decoct with one medium bowl of light sour plum water until reduced to 6/10, and take warm with the dregs at any time.
To treat *Shanghan* restlessness and rebellious Qi, the *Gegen San* (Kudzu Powder) formula is suitable.
Kudzu Root (chopped), Bitter Orange (bran-fried until slightly yellow and pith removed), Rheum Palmatum Rhizome (chopped, crushed, and lightly fried), Ophiopogon Tuber (heart removed), Licorice Root (roasted until slightly red and chopped), Areca Seed (each 0.5 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one medium bowl of water until reduced to 6/10, strain, and take warm at any time.