(局方) 治诸风上攻,正偏头痛,恶风有汗,憎寒壮热,鼻塞痰盛,头晕目眩。
偏头痛者,风中于脑,作止无时也。中风,故有汗恶风。风邪在表,故憎寒壮热。风寒
皮毛,腠理密致,不得泄越,气并于鼻,故鼻塞。火升故痰盛,痰热上攻,故头晕目眩
薄荷(八钱) 芎 荆芥(四钱) 甘草(炙) 羌活 白芷(二钱) 防风(钱半)
细辛(一钱)
风热。(菊花清热
羌活治太阳头痛,白芷治阳明头痛,川芎治少阳头痛,细辛治少阴头痛,防风为风药卒
徒,
薄
肝
痛
风
收
(节庵) 治阳虚不能作汗。(陶节庵曰∶治头痛项强,发热恶寒无汗。服发汗药一二
剂,汗不出者,为阳虚不能作汗,名曰无阳证。庸医不识,不论时令,遂用麻黄重药,劫取
其汗,误人多矣。此方必脉证中有虚寒之实据,方可用也。)
人参 黄 桂枝 甘草 附子(炮) 细辛 羌活 防风 川芎 煨姜 枣二枚。加
炒芍药
经曰∶阳之汗,以天地之雨名之。汗之无汗,邪盛而真阳虚也。故以参 甘草姜桂附子,
大
之助也。(节庵曰∶人第知参 能止汗,而不知其能发汗,以在表药队中,则助表药而解散
也。东垣丹溪治虚人感冒,多用补中益气,加表药,即同此意。)
【《局方》川芎茶调散】治疗各种风邪上攻引起的症状,包括正头痛和偏头痛,怕风且出汗,憎恨寒冷并伴有高热,鼻塞且痰多,头晕目眩。
偏头痛的原因,是风邪侵入脑部,发作和停止没有固定时间。因为属于中风(此处指外感风邪),所以有汗且怕风。风邪停留在体表,所以憎恶寒冷并伴有高热。风寒侵袭皮毛,腠理致密,导致邪气无法宣泄,气机壅滞于鼻窍,所以出现鼻塞。火气上升导致痰多,痰热上攻头部,所以出现头晕目眩。
薄荷(八钱) 川芎 荆芥(四钱) 甘草(炙烤) 羌活 白芷(二钱) 防风(一钱半) 细辛(一钱)
(注:若为风热证,可用菊花清热。)
羌活治疗太阳经头痛,白芷治疗阳明经头痛,川芎治疗少阳经头痛,细辛治疗少阴经头痛,防风作为祛风药的先锋。
(原文此处文字残缺不全:“薄 肝 痛 风 收”,推测原意可能涉及薄荷入肝经或收敛等义,但因原文缺失严重,仅翻译可见部分。)
【《再造散》(节庵方)】治疗阳气虚弱不能发汗的情况。(陶节庵说:治疗头痛项强,发热恶寒无汗。服用发汗药一两剂后,汗仍不出者,是因为阳气虚弱不能化汗,称为“无阳证”。庸医不认识此证,不论季节时令,就使用麻黄等重剂强行劫取汗液,误人很多。此方必须在脉象和证候中有确凿的虚寒证据时,方可使用。)
人参 黄芪 桂枝 甘草 附子(炮制) 细辛 羌活 防风 川芎 煨姜 大枣两枚。可加炒芍药。
经典论述说:人体的汗,可以用天地的雨来比喻。想要发汗却发不出,是因为邪气盛而真阳虚弱。所以用人参、甘草、生姜、桂枝、附子,大补元气以助阳气。(节庵说:人们只知道人参、黄芪能止汗,却不知道它们也能发汗,因为它们与解表药配伍在一起,则能协助解表药解散邪气。李东垣、朱丹溪治疗体质虚弱之人感冒,多用补中益气汤加入解表药,其用意与此相同。)
[Ju Fang (Formulary of the Bureau of Taiyi)] Treats symptoms caused by various wind pathogens attacking upwards, including frontal headache and lateral headache, aversion to wind with sweating, aversion to cold with high fever, nasal congestion with profuse phlegm, dizziness, and vertigo.
Lateral headache is caused by wind pathogen invading the brain; its onset and cessation occur without fixed timing. Since it is an invasion of wind (here referring to exogenous wind pathogen), there is sweating and aversion to wind. The wind pathogen remains in the exterior, causing aversion to cold and high fever. Wind-cold invades the skin and hair, the couli (pores) become dense, preventing the release of pathogens; qi stagnates in the nasal orifice, causing nasal congestion. Rising fire leads to profuse phlegm; phlegm-heat attacks upward, causing dizziness and vertigo.
Bohe (Menthae Haplocalycis Herba, 8 qian) Xiongqiong (Ligusticum Chuanxiong Rhizoma) Jingjie (Schizonepetae Spica, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Qianghuo (Notopterygii Rhizoma et Radix) Baizhi (Angelicae Dahuricae Radix, 2 qian) Fangfeng (Saposhnikoviae Radix, 1.5 qian) Xixin (Asari Radix et Rhizoma, 1 qian).
(Note: For wind-heat patterns, use Juhua (Chrysanthemi Flos) to clear heat.)
Qianghuo treats Taiyang meridian headache; Baizhi treats Yangming meridian headache; Xiongqiong treats Shaoyang meridian headache; Xixin treats Shaoyin meridian headache. Fangfeng serves as the vanguard among wind-dispelling herbs.
(The original text here is fragmented: "Bo Gan Tong Feng Shou". Due to severe textual loss, only the visible parts are translated.)
[Zai Zao San (Jie An Formula)] Treats conditions where yang deficiency prevents the generation of sweat. (Tao Jie'an stated: It treats headache, neck stiffness, fever, aversion to cold, and absence of sweat. If after taking diaphoretic medicines for one or two doses, sweat still does not appear, it is because yang deficiency fails to generate sweat, termed "Wu Yang Zheng" (Yang Absence Syndrome). Quack doctors fail to recognize this pattern; regardless of the season, they use heavy drugs like Mahuang (Ephedrae Herba) to forcibly extract sweat, harming many people. This formula should only be used when there is definitive evidence of deficiency-cold in both pulse and symptoms.)
Renshen (Ginseng Radix) Huangqi (Astragali Membranacei Radix) Guizhi (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Xixin (Asari Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Xiongqiong (Ligusticum Chuanxiong Rhizoma) Wei Jiang (Zingiberis Rhizoma Praeparatum) Dazao (Ziziphi Jujubae Fructus, 2 pieces). Can add Chao Shaoyao (Paeoniae Radix Alba, stir-fried).
The Classics state: Human sweat can be likened to rain from heaven and earth. The inability to sweat despite attempts indicates that pathogens are abundant while true yang is deficient. Therefore, Renshen, Gancao, Shengjiang (Zingiberis Rhizoma), Guizhi, and Fuzi are used to greatly tonify yuan qi (original qi) and assist yang. (Jie'an said: People only know that Renshen and Huangqi can stop sweating, but do not realize they can also induce sweating. When paired with exterior-releasing herbs, they assist these herbs in dispersing pathogens. Li Dongyuan and Zhu Danxi, when treating common cold in constitutionally weak individuals, often used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with exterior-releasing herbs; the intent is the same as this formula.)