(东垣) 治午后发热,背恶风,四肢沉困,小便色黄,又治汗后发热(午后发热
在阴分,阳陷阴中也。背为阳,腹为阴。背恶寒者,阳不得伸也。脾主四肢,四肢沉困
胜而脾不运也。小便黄,湿兼热也。汗后而热不退,或阴虚,或阳虚也。)
人参 赤茯苓 甘草(炙) 柴胡(五钱) 白术(一两) 生地黄 地骨皮 知母 泽
泻(七钱)
阳陷阴中,热在血分,故以生地滋其少阴。而以知母地骨,泻血中之伏火也。柴胡升阳,
以
气
(外台) 治劳热骨蒸,四肥微瘦,有汗,脉长者。(此指劳热,因阳邪入里,传为骨
蒸。令人先寒后热,渐成羸瘦者。有汗,胃实也。脉长,阳明证也。)
石膏研细,每夕新汲水服方寸匕,取热退为度。
石膏大寒质重,能入里降火。味辛气轻,能透表解肌。虽寒而甘能缓脾。火劳有实热者,
非
岂
火
力
者
(亦名六一甘露散) 治阳明内热,烦渴,头痛,二便秘结,瘟疫,斑黄,及热痰喘嗽
等证。
石膏(六两生用) 粉甘草(一两)为细末。每服一二三钱。新汲水,或热汤,或人参
汤调下。
治骨蒸劳热(火炎水亏,真阴消烁,故肌骨之间,蒸蒸而热也。东垣曰∶昼热夜静
是阳气旺于阳分也。昼静夜热者,是阳气陷入阴中也,名曰热入血室。昼夜俱热者,是
无阴也。当急泻其阳,峻补其阴。昼病则在气,夜病则在血。)
银柴胡(钱半) 胡黄连 秦艽 鳖甲(童便炙) 地骨皮 青蒿 知母(一钱) 炙
甘草(五分)
地骨胡连知母之苦寒,能除阴分之热,而平之于内。柴胡秦艽青蒿之辛寒,能除肝胆之
热,
(李东垣)治疗午后发热,背部怕风,四肢沉重困倦,小便颜色黄,又治疗发汗后仍然发热。(注:午后发热是因为热邪位于阴分,阳气陷入阴中。背部属阳,腹部属阴。背部恶寒,是阳气不能舒展的表现。脾主四肢,四肢沉重困倦是因为湿气胜而脾运化功能失常。小便黄,是湿邪兼有热邪。发汗后热不退,可能是阴虚,也可能是阳虚。)
人参、赤茯苓、甘草(炙)、柴胡(五钱)、白术(一两)、生地黄、地骨皮、知母、泽泻(七钱)。
阳气陷入阴中,热邪位于血分,所以用生地黄滋补肾阴(少阴经)。用知母和地骨皮清泻血中的伏火。柴胡升举阳气……
(《外台秘要》)治疗劳热骨蒸,形体肥胖但肌肉消瘦,有汗出,脉象长。(注:这里指劳热,因阳邪入里,传变为骨蒸。使人先冷后热,逐渐形成消瘦。有汗出,说明胃气实。脉长,是阳明经证候。)
石膏研成细粉,每晚用新打的井水送服一方寸匕,以热退为度。
石膏大寒且质地沉重,能入里降火。味辛气轻,能透表解肌。虽然性寒但味甘,能缓和脾胃。对于火热劳伤且有实热的情况,非……
(又名六一甘露散)治疗阳明内热,烦躁口渴,头痛,大小便闭塞不通,瘟疫,斑疹发黄,以及热痰喘咳等证候。
石膏(六两,生用)、粉甘草(一两),研为细末。每次服用一二三钱。用新打的井水,或热水,或人参汤调服。
治疗骨蒸劳热(火炎上亢,水液亏虚,真阴被消烁,所以在肌肤骨骼之间,感到蒸蒸发热。李东垣说:白天发热夜间安静,是阳气旺盛于阳分;白天安静夜间发热,是阳气陷入阴中,名叫热入血室;昼夜都发热,是无阴的表现。应当紧急泻其阳,峻补其阴。白天发病则在气分,夜间发病则在血分。)
(Li Dongyuan) Treats afternoon fever, aversion to wind on the back, heaviness and fatigue of the four limbs, yellow urine, and also treats fever persisting after sweating. (Note: Afternoon fever occurs because the heat is in the Yin aspect, with Yang Qi sinking into the Yin. The back belongs to Yang, the abdomen to Yin. Aversion to cold on the back indicates that Yang Qi cannot extend. The Spleen governs the four limbs; heaviness and fatigue of the limbs indicate that Dampness is excessive while the Spleen's transportation function fails. Yellow urine indicates Dampness combined with Heat. Fever persisting after sweating may be due to Yin deficiency or Yang deficiency.)
Renshen (Ginseng Radix), Chi Fuling (Poria with Red Hostwood), Gancao (Licorice Root, honey-fried), Chaihu (Bupleuri Radix, 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Shengdihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Zhimu (Anemarrhenae Rhizoma), Zexie (Alismatis Rhizoma, 7 qian).
Yang Qi sinks into the Yin, and heat resides in the Blood aspect; therefore, Shengdihuang is used to nourish the Shaoyin (Kidney). Zhimu and Digupi are used to drain latent fire from the blood. Chaihu lifts Yang Qi...
(Waitai Miyao / External Cabinet Secret Formulas) Treats labor fever and bone-steaming sensation, where the body appears fat but muscles are emaciated, sweating is present, and the pulse is long. (Note: This refers to labor fever, where Yang pathogenic factors enter the interior and transform into bone-steaming. It causes chills followed by fever, gradually leading to emaciation. Sweating indicates excess in the Stomach. A long pulse indicates a Yangming syndrome.)
Shigao (Gypsum Fibrosum) is ground into fine powder. Each evening, take one cun bi (a measure roughly equivalent to a teaspoon) with newly drawn well water, until the fever subsides.
Shigao is extremely cold and heavy in texture, capable of entering the interior to descend fire. Its pungent taste and light qi allow it to penetrate the exterior and release the muscle layer. Although cold, its sweet nature can moderate the Spleen. For cases of fire-related exhaustion with excess heat, non-...
(Also known as Liu Yi Gan Lu San / Six-One Sweet Dew Powder) Treats Yangming internal heat, irritability and thirst, headache, constipation of both stool and urine, plague, yellow macules/rash, and syndromes such as hot-phlegm wheezing and coughing.
Shigao (Gypsum Fibrosum, 6 liang, raw), Fen Gancao (Licorice Root, 1 liang), ground into fine powder. Take 1-3 qian per dose. Mix with newly drawn well water, hot water, or Renshen Tang (Ginseng Decoction) to swallow.
Treats bone-steaming labor fever (Fire flares upward, Water is deficient, True Yin is consumed and scorched, hence a steaming heat sensation between the skin and bones. Li Dongyuan stated: Fever during the day and quiet at night indicates Yang Qi is prosperous in the Yang aspect. Quiet during the day and fever at night indicates Yang Qi has sunk into the Yin, named "Heat Entering the Blood Chamber." Fever throughout day and night indicates absence of Yin. One should urgently drain the Yang and vigorously tonify the Yin. Daytime illness relates to the Qi aspect; nighttime illness relates to the Blood aspect.)
Yin Chaihu (Stellariae Radix), Hu Huanglian (Coptidis Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix), Biejia (Testudinis Carapax et Plastrum, prepared with child's urine), Digupi (Lycii Cortex), Qinghao (Artemisiae Annuae Herba), Zhimu (Anemarrhenae Rhizoma, 1 qian), Zhi Gancao (Licorice Root, honey-fried, 0.5 qian).
The bitter-cold nature of Digupi, Huhuanglian, and Zhimu can clear heat from the Yin aspect and pacify it internally. The acrid-cold nature of Chaihu, Qin Jiao, and Qinghao can clear heat from the Liver and Gallbladder...