治暴中寒证,服前三方后,其阳已回,身温色活,手足不冷,吐利渐除。第四
平调脏腑营卫,俾不致有药偏之害。
附子(炮去皮脐) 干姜(炮) 肉桂(五分) 当归 人参 甘草(炙) 黄 (蜜
炙) 白术(土
二枚,煎至一盏。入
喻嘉言曰∶用前药二三剂后,觉其阳明在躬,晕动颇轻,神情颇悦。更加黄 白术五味
白芍
必堕
此无
沥,
也。
治中寒服药后,诸证尽除,但经络间微有窒塞,辛温药服之不能通快者。第五
助气药,缓缓调之。
人参 炙麦冬 白芍(酒炒一钱) 黄 (蜜炙一钱二分) 生地黄(二钱) 甘草(炙
七分) 牡
盏。入梨汁少许
喻嘉言曰∶前用平补后,已示销兵放马,偃武崇文之意。兹后复有顽痰留积经络,但宜
甘寒
何
(活人) 治面赤身热,不烦而躁,饮水不入口,名戴阳证。(成氏曰∶烦躁者,先烦
渐至躁也。躁烦者,先躁而迤逦复烦也。从烦至躁为热,先躁后烦,谓怫怫然更作躁闷,此
为阴盛格阳也。虽大躁欲于泥水中卧,但饮水不得入口是也,此气欲脱而争,譬如灯将灭而
复明矣。按内热曰烦,谓心中郁烦,为有根之火。故但烦不躁,及先烦后躁者,皆可治。外
热曰躁,谓身体手足动扰,欲裸衣入井,为无根之火。故但躁不烦,及先躁后烦者,皆不治。
大抵独烦不躁者多属热,惟悸者属虚。独躁不烦者多属寒,而火邪者间或有之。)
附子(炮) 干姜 艾叶 黄连 知母 人参 麦冬 五味子 甘草 加姜枣葱白煎,
入童便
附子干姜艾叶,回阳之药,协以连人参甘草,补其阳虚。退其阴火,所谓甘温能除大热
也。
阳亦
治疗暴发性中寒证,服用前三方后,阳气已经回复,身体温暖、面色红润,手足不再冰冷,呕吐和腹泻逐渐消除。第四方旨在平调脏腑与营卫之气,使其不致产生药物偏性的危害。
附子(炮制,去皮及脐)、干姜(炮制)、肉桂(五分)、当归、人参、甘草(炙)、黄芪(蜜炙)、白术(土炒)。煎服法:用水二盏,煎至一盏。加入……(原文此处有缺漏或排版错误,通常指加入生姜、大枣等引经药,但依原文仅保留“入”字后的内容,结合上下文推测为加入梨汁或童便等,此处原文显示不全,暂译为“加入……”)
喻嘉言说:“使用前面的药物二三剂后,感觉阳明经气恢复在身,头晕晃动明显减轻,神情颇为愉悦。”若再增加黄芪、白术、五味子、白芍……(原文此处有缺漏,如“必堕”、“此无”、“沥”等字孤立存在,疑似OCR识别错误或残句,无法构成完整语义,故略去无意义字符,仅翻译连贯部分)……必定会导致流产(注:原文“必堕”可能指孕妇忌用或误服后果,语境不明,暂译其字面意)。这是没有……(原文残缺)……滴(原文残缺)……的。
治疗中寒服药后,所有症状完全消除,但经络间仍有轻微阻滞,辛温药物服用后不能使身体通畅舒适者。第五方旨在辅助正气药物,缓缓调理。
人参、炙麦冬、白芍(酒炒一钱)、黄芪(蜜炙一钱二分)、生地黄(二钱)、甘草(炙七分)、牡蛎(原文“牡”后缺字,通常为牡蛎或牡丹皮,结合甘寒补气汤语境多为牡蛎或类似收敛药,此处依原文“牡”字保留,英文处理时需注意)、一盏(煎至量)。加入少许梨汁。
喻嘉言说:“前面使用平补之后,已经显示出销兵放马、偃武崇文(比喻停止攻伐,转向调和)的意图。此后又有顽痰留积在经络中,只宜用甘寒……(原文残缺)……何(疑问词,原文残缺)”。
《活人书》说:“治疗面部发红、身体发热,心中不烦乱却躁动不安,想喝水却无法入口的情况,称为戴阳证。”成无己说:“烦躁,是指先出现烦乱,逐渐发展到躁动。躁烦,是指先出现躁动,随后又连绵不断地出现烦乱。从烦发展到躁属于热证;先躁后烦,表现为心中怫郁烦闷再次发作躁动,这属于阴盛格阳证。虽然极度躁动想要卧在泥水中,但水喝不进嘴里,这就是气欲脱散而抗争的表现,譬如灯将熄灭时突然又亮了一下。按内热称为烦,是指心中郁结烦乱,是有根之火。所以只有烦不乱,以及先烦后躁的,都可以治疗。外热称为躁,是指身体手足躁动扰攘,想要脱衣跳井,是无根之火。所以只有躁不烦,以及先躁后烦的,都难以治疗。大抵单独烦而不躁的多属于热证,只有悸动的属于虚证。单独躁而不烦的多属于寒证,而火邪引起的偶尔也有这种情况。)
附子(炮制)、干姜、艾叶、黄连、知母、人参、麦冬、五味子、甘草。加生姜、大枣、葱白煎煮,加入童便。
附子、干姜、艾叶是回阳救逆的药物,配合黄连、人参、甘草,以补益阳气虚弱,退除阴火,这就是所谓的“甘温能除大热”。
阳气也……(原文结尾残缺)
To treat acute cold-strike syndrome, after taking the first three formulas, if yang qi has returned, the body is warm, complexion is lively, hands and feet are no longer cold, and vomiting and diarrhea are gradually alleviated. The fourth formula aims to harmonize the zang-fu organs andying-wei (nutritive and defensive qi), preventing harm caused by drug bias.
Fuzi (Prepared, skin and umbilicus removed), Ganjiang (Prepared), Rougui (2g), Danggui, Renshen, Gancao (Honey-fried), Huangqi (Honey-fried), Baizhu (Earth-fried). Decoct with two cups of water until one cup remains. Add... [Text incomplete in source]
Yu Jiayan stated: "After taking the previous medicines for two or three doses, one feels that Yangming channel qi has recovered in the body, dizziness and vertigo are significantly lighter, and the spirit is quite joyful." If further adding Huangqi, Baizhu, Wuweizi, Shaoyao... [Text fragmented/incomplete] ...it will inevitably cause abortion. This is without... [Text fragmented] ...drop... [Text fragmented].
For cases where symptoms of cold-strike have completely disappeared after medication, but there is slight obstruction in the meridians, and acrid-warm medicines fail to bring a sense of unblocked comfort, the fifth formula assists qi-tonifying herbs to regulate slowly.
Renshen, Zhimai Dong, Shaoyao (Wine-fried, 3g), Huangqi (Honey-fried, 4g), Shengdihuang (6g), Gancao (Honey-fried, 2g), Muli (Oyster Shell) [Source text truncated at 'Mu'], decocted to one cup. Add a small amount of Lijie (Pear Juice).
Yu Jiayan stated: "After using the previous flat-supplementing methods, the intention of laying down arms and advocating culture (metaphorically: stopping attack and turning to harmony) has been shown. Subsequently, stubborn phlegm remains accumulated in the meridians; only sweet-cold... [Text incomplete] ...why [Text incomplete]."
The *Ren Shu* (Book of Living People) states: "Treating red face and hot body, without mental restlessness but with physical agitation, desiring to drink water but unable to swallow it, is named Daiyang Syndrome (Floating Yang Syndrome)." Cheng Wuji stated: "Fan-zao (Restlessness and Agitation) refers to initial mental restlessness gradually developing into physical agitation. Zao-fan refers to initial physical agitation followed by continuous mental restlessness. Progression from Fan to Zao indicates Heat; initial Zao followed by Fan, characterized by oppressive mental stuffiness and recurrent agitation, indicates Yin Excess repelling Yang. Although extremely agitated and wanting to lie in mud or water, the inability to swallow water signifies Qi about to collapse struggling against itself, like a lamp flickering brightly before extinguishing. Internal heat is called Fan, referring to mental depression and restlessness, which is Fire with roots. Therefore, cases with only Fan or Fan preceding Zao are treatable. External heat is called Zao, referring to physical and limb agitation, wanting to strip clothes and enter a well, which is Fire without roots. Therefore, cases with only Zao or Zao preceding Fan are untreatable. Generally, isolated Fan without Zao mostly belongs to Heat, while Palpitations belong to Deficiency. Isolated Zao without Fan mostly belongs to Cold, though occasionally caused by Fire Pathogens.)"
Fuzi (Prepared), Ganjiang, Aye (Donkey-hide Gelatin), Huanglian, Zhimu, Renshen, Maidong, Wuweizi, Gancao. Decoct with Shengjiang (Fresh Ginger), Dazao (Jujube), and Congbai (Scallion White). Add Tongbian (Child's Urine).
Fuzi, Ganjiang, and Aye are drugs that restore Yang. Assisted by Huanglian, Renshen, and Gancao, they tonify Yang Deficiency and retreat Yin Fire, which is what is meant by 'Sweet-Warm can eliminate Great Heat'.
Yang Qi also... [Text incomplete]