主治三时外感。寒邪内伤生冷而发热。及脾泄肠风。
术防甘草湿家尝。(苍术三钱。防风二钱。甘草一钱。加葱白生姜同煎。据云无汗用苍
术。以代麻黄汤。有汗用白术。以代桂枝汤。)神术名汤得意方。自说法超麻桂上。可知全
未梦
陈修园曰。仲景麻桂及葛根柴胡等汤。步步是法。而大旨在养津液三字。王海藏此方。燥烈
伤阴。先涸汗源。多致留邪发热。正与仲景法相反。据云用代麻桂诸汤。平稳可法。其实贻
祸匪轻也。须知此方与三阳之症无涉。惟大阴之风湿可用。内经谓春伤于风。邪气流连而洞
泄。至夏而餐泄肠 者。宜此燥剂。否则不可沾唇。
治湿淫于内。脾胃不能克制有积饮痞隔中满者。
平胃散用朴陈皮。苍术合甘四味宜。(苍术泔浸二钱。浓朴姜汁炒陈皮甘草炙各一钱。
姜枣煎。)除湿宽胸驱瘴疠。调和胃气此方施。
柯韵伯曰。内经以土运太过曰敦阜。其病腹满。不及曰卑监。其病留满痞塞。张仲景制
三
承气汤。调胃土之敦阜。李东垣制平胃散。平胃土之卑监也。培其卑而使之乎。非削卑之谓
也。苍术苦温运脾。长于发汗。迅于除湿。故以为君。浓朴色赤苦温。能助少火以生气。故
以为臣。湿因于气滞。故以行气之陈皮为佐。脾得补而健运。故以补脾之甘草为使。名曰平
胃。实所以调脾欤。
主治三个季节的外感病。因寒邪内伤生冷食物而导致的发热,以及脾虚泄泻、肠风下血。
苍术、防风、甘草是湿病患者常用的方剂。(苍术三钱,防风二钱,甘草一钱,加葱白、生姜共同煎煮。据称无汗时可用苍术,以代替麻黄汤;有汗时可用白术,以代替桂枝汤。)神术汤是深得要领的方剂,其说法超越了麻黄汤和桂枝汤。可知(作者)完全未曾梦见(仲景的高深境界)。
陈修园说:张仲景的麻黄汤、桂枝汤及葛根汤、柴胡汤等,步步遵循法度,而大旨在于“养津液”这三个字。王海藏的这个方子,药性燥烈,损伤阴液,先耗竭汗源,多导致留邪发热,正与张仲景的法度相反。据称用它来代替麻黄汤、桂枝汤等,看似平稳可取,其实留下的祸患并不轻。须知此方与三阳经的病证无关,只有太阴经的风湿证才可用。《内经》说春天受风邪侵袭,邪气流连体内导致洞泄,到了夏天出现餐泄、肠风下血的,适宜用这种燥湿的方剂。否则不可沾唇服用。
治疗湿气淫溢于体内,脾胃不能克制,导致有积饮、痞塞、胸膈满闷者。
平胃散由厚朴、陈皮、苍术、甘草四味药组成。(苍术用米泔水浸泡二钱,厚朴用姜汁炒,陈皮、炙甘草各一钱,加生姜、大枣煎煮。)此方能除湿宽胸,驱除瘴疠之气,调和胃气。
柯韵伯说:《内经》认为土运太过称为“敦阜”,其病症为腹部胀满;土运不及称为“卑监”,其病症为留滞满闷、痞塞不通。张仲景制作三承气汤,是为了调理胃土的“敦阜”;李东垣制作平胃散,是为了平复胃土的“卑监”。这是培补其低下的状态使其平和,而不是削减其低下的意思。苍术苦温,能运化脾气,长于发汗,迅速祛除湿气,所以作为君药。厚朴色赤、苦温,能助少火以生气,所以作为臣药。湿气源于气机阻滞,所以用行气的陈皮作为佐药。脾得到补益而健运,所以用补脾的甘草作为使药。名为平胃,实际上是在调治脾脏啊。
Indicated for external contractions during the three seasons. Fever caused by cold pathogen internally injuring from raw and cold food, as well as Spleen diarrhea (Pi Xie) and intestinal wind bleeding (Chang Feng).
Cangzhu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) are commonly used by patients with dampness. (Cangzhu 3 qian, Fangfeng 2 qian, Gancao 1 qian, decocted together with Congbai [Allii Fistulosi Bulbus] and Shengjiang [Zingiberis Rhizoma Recens]. It is said that if there is no sweating, Cangzhu can be used to replace Mahuang Tang [Ephedra Decoction]; if there is sweating, Baizhu [Atractylodis Macrocephalae Rhizoma] can be used to replace Guizhi Tang [Cinnamon Twig Decoction].) Shen Zhu Tang (Divine Atractylodes Decoction) is a formula that captures the essence; its theory surpasses Mahuang Tang and Guizhi Tang. It is known that the author has never dreamed of (the profound realm of Zhang Zhongjing).
Chen Xiuyuan says: Zhang Zhongjing's Mahuang Tang, Guizhi Tang, Gegen Tang [Puerariae Radix Decoction], Chaihu Tang [Bupleuri Decoction], etc., follow the laws step by step, with the main principle lying in "nourishing body fluids" (Yang Jin Ye). Wang Haicang's formula here is drying and acrid, damaging Yin fluids, depleting the source of sweat first, often leading to lingering pathogenic heat. This is contrary to Zhang Zhongjing's principles. It is claimed that it can replace Mahuang Tang and Guizhi Tang, appearing stable and worthy of emulation, but in reality, it causes significant harm. One must know that this formula is not related to the Yangming, Taiyang, or Shaoyang syndromes (San Yang); it is only applicable to Wind-Dampness of the Taiyin (Spleen). The *Neijing* states that if one is injured by wind in spring, the pathogen lingers causing severe diarrhea (Dong Xie); when summer arrives and one suffers from meal-induced diarrhea and intestinal wind, such a drying agent is suitable. Otherwise, do not let it touch the lips.
Treats excessive dampness within, where the Spleen and Stomach cannot control it, resulting in retained fluids, epigastric fullness, chest oppression, and abdominal distension.
Ping Wei San (Peaceful Stomach Powder) uses Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Cangzhu, and Gancao. (Cangzhu soaked in rice water 2 qian, Houpo stir-fried with ginger juice, Chenpi and Zhi Gancao [Honey-fried Licorice Root] each 1 qian, decocted with Shengjiang and Dazao [Jujubae Fructus].) This formula removes dampness, broadens the chest, drives away miasma, and harmonizes Stomach Qi.
Ke Yunbo says: The *Neijing* states that excessive Earth transport is called "Dun Fu" (Piled High), with symptoms of abdominal fullness; insufficient Earth transport is called "Bei Jian" (Low Monitor), with symptoms of stagnation, fullness, and blockage. Zhang Zhongjing formulated the Three Chengqi Decoctions [Three Draining-Heat Formulas] to regulate the "Dun Fu" of the Stomach Earth; Li Dongyuan formulated Ping Wei San to level the "Bei Jian" of the Stomach Earth. This is cultivating its lowliness to make it peaceful, not reducing its lowliness. Cangzhu is bitter and warm, moves Spleen Qi, excels at inducing sweating, and rapidly dispels dampness, thus serving as the Sovereign herb. Houpo is red, bitter, and warm, assists the "Shao Huo" (Minister Fire) to generate Qi, thus serving as the Minister herb. Dampness arises from Qi stagnation, thus Chenpi, which moves Qi, serves as the Assistant herb. The Spleen becomes healthy and active through supplementation, thus Gancao, which tonifies the Spleen, serves as the Envoy herb. Named Ping Wei (Leveling the Stomach), it actually regulates the Spleen.