治伤暑口渴,霍乱,腹痛,烦躁,脉沉微,或伏。
附子(炮) 陈皮(一钱) 甘草(炙) 草果(钱半) 水盏半,姜十片,煎八分,
去渣,井水顿
(河间) 治中暑受湿,引饮过多,头痛,烦渴,湿热便秘。
滑石(四两) 石膏 寒水石 甘草(二两) 白术 茯苓 泽泻(一两) 猪苓 肉
桂(五钱)
张子和去猪苓,减三石一半,加人参干葛(各一两)藿香木香,(各一钱)减桂只用一
钱,每服
逆。)
(东垣) 治长夏湿热炎蒸,四肢困倦,精神减少。胸满气促,身热心烦,口渴恶
自汗身重,肢体疼痛。小便赤涩,大便溏黄,而脉虚者。(暑湿蒸人,脾土受伤,故肢
溏。暑热伤肺,故气促心烦,口渴,便赤。浊气在上,则生 胀,故胸满恶食。暑先入
汗为心液,故自汗。湿盛,故身痛身重。寒伤形,表邪外盛,故脉大而有余。暑伤气,
耗伤,故脉虚而不足。)
黄 人参 白术(炒) 苍术 神曲(炒) 青皮(麸炒) 陈皮(留白) 甘草(炙)
麦冬 五
热伤气,参 益气而固表。湿伤脾,二术燥湿而强脾。火盛则金病而水衰,故用麦冬五
味,
用黄
升清
之以
胃既
血,又
补脾。
浊相干
曲辛甘
贯曰∶有
生地犀角
除青皮泽泻干葛,名黄 人参汤。(东垣)治暑伤元气,注夏倦怠,胸满自汗,时作头
痛。(
补肝
【冷香饮子】治疗因伤暑引起的口渴、霍乱、腹痛、烦躁不安,脉象沉微,或者伏匿不见。
附子(炮制) 陈皮(一钱) 甘草(炙烤) 草果(一钱半) 用水一盏半,生姜十片,煎至八分满,
滤去药渣,用井水冷却后顿服。
【桂苓甘露饮】(刘河间方)治疗中暑且受湿邪困扰,饮水过多,头痛,烦渴,湿热内蕴导致的大便便秘。
滑石(四两) 石膏 寒水石 甘草(二两) 白术 茯苓 泽泻(一两) 猪苓 肉桂(五钱)
张子和的加减法:去掉猪苓,将滑石、石膏、寒水石三味石药的用量减半,加入人参、干葛(各一两)、藿香、木香(各一钱),减少肉桂用量仅用一钱,每次服用……(原文此处有残缺,推测为煎服法或禁忌)。
【清暑益气汤】(李东垣方)治疗长夏季节湿热蒸腾,四肢困倦乏力,精神萎靡不振。胸中胀满,气短急促,身体发热,心烦意乱,口渴,怕热自汗,身体沉重,肢体疼痛。小便赤红涩痛,大便稀溏色黄,脉象虚弱的患者。(注释:暑湿熏蒸人体,损伤脾土,所以出现大便稀溏。暑热伤害肺脏,所以气短心烦,口渴,小便赤红。浊气停留在上部,则产生腹胀,所以胸中胀满,厌恶饮食。暑邪首先侵入心经,汗为心之液,所以自汗。湿气盛,所以身体疼痛沉重。寒邪伤害形体,表邪外盛,所以脉象大而有力有余;暑邪伤害元气,耗伤正气,所以脉象虚弱不足。)
黄芪 人参 白术(炒制) 苍术 神曲(炒制) 青皮(麸炒) 陈皮(保留白色内层) 甘草(炙烤)
麦冬 五味子 ……(原文此处有残缺,涉及药材列举及理论解释:热邪伤气,用人参益气并固护肌表。湿邪伤脾,用白术和苍术燥湿并强健脾胃。火气旺盛则金(肺)受损而水(肾)衰弱,所以使用麦冬、五味子……用黄芪……升举清气……胃既……血,又……补脾。浊气与清气相干扰……神曲辛甘……贯曰∶有……生地犀角……除去青皮、泽泻、干葛,名为黄芪人参汤。(李东垣方)治疗暑邪损伤元气,夏季倦怠,胸中胀满,自汗,时常发作头痛。(……补肝……)
[Cold Fragrance Decoction] Treats thirst, cholera-like vomiting and diarrhea, abdominal pain, irritability caused by summerheat injury, with a deep and faint pulse or a pulse that is hidden.
Prepared Fuzi (Aconite Lateral Root) Tangerine Peel (1 qian) Roasted Licorice Root Areca Seed (1.5 qian) Add one and a half cups of water and ten slices of fresh ginger, decoct until reduced to eight-tenths volume, filter out the dregs, and drink after cooling in well water.
[Guiling Ganlu Yin / Cinnamon Twig and Poria Decoction for Sweet Dew] (Liu Hejian's formula) Treats heatstroke complicated with dampness, excessive drinking, headache, irritability and thirst, and constipation due to damp-heat.
Talcum (4 liang) Gypsum Fibrosum Calcined Aragonite Licorice Root (2 liang) Atractylodes Macrocephala Rhizome Poria Coir Alisma Rhizome (1 liang) Polyporus Cinnamon Twig (5 qian)
Zhang Zihe's modification: Remove Polyporus, reduce the dosage of the three minerals (Talcum, Gypsum, Calcined Aragonite) by half, add Ginseng Radix and Puerariae Radix (each 1 liang), Agastache Herba and Aucklandiae Radix (each 1 qian), reduce Cinnamon Twig dosage to only 1 qian, take each dose... [Text fragmentary].
[Qing Shu Yi Qi Tang / Clear Summerheat and Boost Qi Decoction] (Li Dongyuan's formula) Treats conditions during the late summer season where damp-heat steams and蒸s, causing fatigue in the four limbs, reduced spirit, chest fullness, shortness of breath, fever, irritability, thirst, spontaneous sweating due to heat intolerance, heavy body, limb pain, red and scanty urine, loose yellow stool, and a deficient pulse. (Annotation: Summer-dampness steams the human body, damaging Spleen Earth, hence loose stools. Summer-heat damages the Lung, hence shortness of breath, irritability, thirst, and red urine. Turbid qi stays in the upper jiao, causing abdominal distension, hence chest fullness and food aversion. Summer-heat enters the Heart first; sweat is the fluid of the Heart, hence spontaneous sweating. Dampness is abundant, hence body pain and heaviness. Cold damages the form, exterior pathogens are strong, hence the pulse is large and excess; Summer-heat damages Qi, consuming vital energy, hence the pulse is deficient.)
Astragalus Membranaceus Radix (Huangqi) Ginseng Radix Atractylodes Macrocephala Rhizome (Stir-fried) Atractylodes Lancea Rhizome (Cangzhu) Fermented Soybean Mass (Shenqu) (Stir-fried) Green Tangerine Peel (Bran-fried) Tangerine Peel (with white pith retained) Roasted Licorice Root Ophiopogon Tuber Schisandra Fruit ... [Text fragmentary regarding theory: Heat injures Qi, Ginseng tonifies Qi and secures the exterior. Dampness injures the Spleen, Atractylodes dries dampness and strengthens the Spleen. Excessive Fire damages Metal (Lung) and weakens Water (Kidney), hence Ophiopogon and Schisandra are used... Astragalus... raises clear Yang... Stomach... Blood... Tonifies Spleen. Turbid and Clear Qi interfere... Shenqu is acrid and sweet... Guan says: There are... Rehmannia Root and Rhinoceros Horn (substituted by Buffalo Horn)... Removing Green Tangerine Peel, Alisma, and Pueraria creates Huangqi Renshen Tang. (Li Dongyuan's formula) Treats Summer-heat injuring Yuan Qi, summer fatigue, chest fullness, spontaneous sweating, intermittent headaches. (...Tonifies Liver...)