哕。小便不利。大便秘硬。或过经未解。潮热有不除。非汗非下之证。并宜服之。及治
瘥后劳复。及发热头疼。或往来寒热。妇人伤寒。经血适来。或者经血适断。发热恶
寒。昼日明了。暮则谵语。此为热入血室。其血必结。故使寒热如疟。此药治之。妇人
有经事来少。日晡发热。大便秘。别无虚证者。宜用此药加大黄。减柴胡各等分。加桃
仁。减甘草。数各一半。服之微利为效。小儿温热。亦能治疗。此药非止治伤寒。其它
发热。并宜服之。
柴胡(二两) 半夏 黄芩 人参(各三分) 甘草(半两) 上 咀。每服五钱。水
一盏半。
生姜七片。枣一个。煎至六分。去滓。食前服。若腹痛。去黄芩。加芍药半两。心下悸。去
黄芩。加茯苓一两。若不渴。外有热者。去人参。加桂三分。温被盖覆。令有汗则解。若咳
嗽。去枣。加五味子三分。干姜半两。胸中烦而不呕者。去半夏、人参。加栝蒌实半两。渴
呃逆。小便不通畅。大便干结坚硬。或者病邪已传过经界却未解除。潮热症状持续不消退。这不属于应当发汗或攻下的证候,都适宜服用此方。以及治疗病愈后因劳累而复发,以及出现发热头痛。或者寒热往来交替。妇女患伤寒,月经适逢来潮,或者月经适逢中断。出现发热恶寒。白天神志清醒,到了晚上则胡言乱语。这是热邪陷入血室。血液必然凝结。所以导致寒热发作如同疟疾一般。此药可以治疗这些情况。妇女月经量少,下午申时发热,大便干结,没有其他虚损证候的,适宜用此药加大黄,减少柴胡各等分,加入桃仁,减少甘草,剂量各减半。服用后以轻微腹泻为见效标准。小儿温热病,也能治疗。此药不仅治疗伤寒,其他发热病症,都适宜服用。
柴胡(二两) 半夏 黄芩 人参(各三分) 甘草(半两) 以上药材切碎。每次服用五钱。用水一盏半。
生姜七片,大枣一个,煎煮至剩余六分药液,滤去药渣。饭前服用。如果腹痛,去掉黄芩,加入芍药半两。如果心下悸动,去掉黄芩,加入茯苓一两。如果不口渴,体表有热的,去掉人参,加入桂枝三分。盖好温被覆盖身体,令其出汗则病解。如果咳嗽,去掉大枣,加入五味子三分,干姜半两。胸中烦闷但不呕吐的,去掉半夏、人参,加入栝楼实半两。口渴
Hiccups. Dysuria (difficulty in urination). Constipation with hard stools. Or the pathogen has passed through the meridians but remains unresolved. The tidal fever (periodic high fever) persists and does not subside. This is neither a syndrome requiring diaphoresis (sweating) nor purgation (drastic evacuation), and all such cases are suitable for taking this formula. It also treats relapse due to overexertion after recovery, as well as fever accompanied by headache. Or alternating chills and fever. In women suffering from Cold Damage (Shanghan), if menstruation happens to commence, or if it happens to cease, presenting with fever and aversion to cold. During the day, consciousness is clear; at night, there is delirium. This is Heat entering the Blood Chamber (Xue Shi). The blood must be congealed. Hence, the chills and fever resemble malaria. This medicine treats these conditions. For women with scanty menstruation, afternoon fever (fever occurring around the Shen hour, 3-5 PM), constipation, and no other deficiency syndromes, it is appropriate to use this medicine by adding Rhubarb (Dahuang), reducing Bupleurum (Chaihu) by equal parts, adding Peach Kernel (Taoren), reducing Licorice Root (Gancao), halving the dosage of each. Take until mild diarrhea occurs, which indicates efficacy. It can also treat warm heat diseases in children. This medicine is not limited to treating Cold Damage; other febrile conditions are also suitable for its use.
Bupleuri Radix (Chaihu, 柴胡) (2 liang) Pinelliae Rhizoma Preparatum (Banxia) Scutellariae Radix (Huangqin) Ginseng Radix et Rhizoma (Renshen) (each 3 fen) Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang). The above herbs are cut into small pieces. Each dose consists of 5 qian. Add 1.5 zhan of water.
Add seven slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and one Jujubae Fructus (Dazao, 大枣). Decoct until only 6/10 of the liquid remains. Strain off the dregs. Take before meals. If abdominal pain occurs, remove Scutellariae Radix (Huangqin) and add Paeoniae Radix Alba (Shaoyao) 0.5 liang. If palpitations occur below the heart, remove Scutellariae Radix (Huangqin) and add Poria (Fuling) 1 liang. If there is no thirst but exterior heat exists, remove Ginseng Radix et Rhizoma (Renshen) and add Cinnamomi Ramulus (Guizhi) 3 fen. Cover with warm blankets to induce sweating, which will resolve the condition. If coughing occurs, remove Jujubae Fructus (Dazao) and add Schisandrae Fructus (Wuweizi) 3 fen, and Zingiberis Rhizoma (Ganjiang, 干姜) 0.5 liang. If there is chest irritability without vomiting, remove Pinelliae Rhizoma Preparatum (Banxia) and Ginseng Radix et Rhizoma (Renshen), and add Trichosanthis Fructus (Gualou Shu, 栝楼实) 0.5 liang. Thirst