夫伤寒之说。始自黄帝。以开其端。至仲景方陈其条目。后世肤浅之学。莫知其数。立
言者
尺寸
太
药
麻
节
仲
今
细
多是胸膈满闷。或呕逆。或气塞。或腹鸣。或腹痛。与仲景三阴病说。理同而证不同。
因兹
中丸
细迟
多对
塞闷。气短不能相接者。便可随脉证投温中药以治之。病患两手脉沉迟。或紧。皆是胃中寒
也。
逆冷
汤主
方
温中汤
丁皮(一两) 干姜(二钱炮) 白术 丁香(各二钱) 陈皮(二钱) 浓朴(一两
制) 上为
细末
呕
橘皮汤
陈皮(一两) 藿香(三钱) 白术 葛根(各二钱) 上为末。每服二钱。水一盏。
生姜一
块如枣大。捶破。同煎至七分。去滓。热服。如三服未快。手足尚逆。呕吐不定。加半夏半
两。
七物理中汤
白术(五钱) 干生姜(二钱半) 人参(七钱半) 桔梗(七钱) 葛根 藿香叶(五
钱) 上
为细
尚逆
更不
后。
秋以
浓朴丸
当归(半两) 丁皮(去枝半两) 浓朴(一两制) 细辛(二钱半) 人参(七钱半)
甘草
(半两
和滓热
白术汤
白术 半夏 当归 浓朴(制) 干姜(炮以上各半两) 丁香(七钱) 上为细末。
每服三
钱。
加
橘皮汤
橘皮(半两) 藿香 葛根(各三钱) 半夏 浓朴(各半两炮) 上为末。每服三钱。
水一
盏。
二苓汤 治胸膈闷满。时时呕吐逆。肢节疼。两胁下痛。腹中鸣。此是停饮。宜服
。
赤茯苓 猪苓 白术(各半两) 滑石(一两) 通草(二钱) 桂枝(二钱半) 白
豆蔻仁
(二
滓。热
服
伤寒的理论,始于黄帝,以此开启先河;到了张仲景时,才详细陈述其条理。后世那些肤浅的学问,大多不知道其中的数量(指病情变化繁多)。立论者多认为症状多是胸膈部胀满憋闷,或者呕吐气逆,或者气机阻塞,或者肠鸣,或者腹痛。这与张仲景关于三阴病的说法,道理相同但证候表现不同。
因此,对于出现胸闷、气短不能接续的情况,就可以根据脉象和证候投用温中药来治疗。患者两手脉搏沉迟,或者紧,都是胃中有寒邪所致。
【方剂】温中汤
组成:丁皮(一两)、干姜(二钱,炮制)、白术、丁香(各二钱)、陈皮(二钱)、浓朴(一两,炮制)。
用法:以上药物研为细末。
【方剂】橘皮汤
组成:陈皮(一两)、藿香(三钱)、白术、葛根(各二钱)。
用法:以上药物研为细末。每次服用二钱,用水一盏,生姜一块如枣大小,捣碎,一同煎煮至七分,去渣,热服。如果服用三次后症状未缓解,手足仍然逆冷,呕吐不止,可加入半夏半两。
【方剂】理中汤
组成:白术(五钱)、干生姜(二钱半)、人参(七钱半)、桔梗(七钱)、葛根、藿香叶(五钱)。
用法:以上药物研为细末。(注:原文此处有残缺,通常理中汤用法为煎服或丸剂,依上下文推测为散剂或汤剂前奏)
【方剂】浓朴丸
组成:当归(半两)、丁皮(去枝半两)、浓朴(一两,炮制)、细辛(二钱半)、人参(七钱半)、甘草(半两,炙/和滓热 - 原文“和滓热”疑为衍文或排版错误,通常甘草需炙)、白术(原文未列具体量,但在白术汤中列出,此处可能漏写或共用,依原文提取实体)。
*注:原文段落结构较乱,以下为根据文本顺序整理的其他方剂*
【方剂】白术汤
组成:白术、半夏、当归、浓朴(炮制)、干姜(炮制,以上各半两)、丁香(七钱)。
用法:以上药物研为细末。每次服用三钱。
【方剂】橘皮汤(另一首)
组成:橘皮(半两)、藿香、葛根(各三钱)、半夏、浓朴(各半两,炮制)。
用法:以上药物研为细末。每次服用三钱,用水一盏。
【方剂】二苓汤
主治:治疗胸膈闷满,时时呕吐气逆,肢节疼痛,两胁下疼痛,腹中肠鸣。这是水饮停聚所致,适宜服用此方。
组成:赤茯苓、猪苓、白术(各半两)、滑石(一两)、通草(二钱)、桂枝(二钱半)、白豆蔻仁(原文未列具体量,仅列出药名)。
用法:以上药物煎煮,去渣,热服。
The theory of Shanghan (Cold Damage) originated with the Yellow Emperor, who opened the way; it was Zhang Zhongjing who later detailed its categories. Superficial studies in later generations often failed to grasp its complexity. Theories proposed by authors often describe symptoms such as chest and diaphragm fullness and oppression, vomiting and regurgitation, qi obstruction, abdominal borborygmi, or abdominal pain. These share the same underlying principle as Zhang Zhongjing's discussion of Shaoyin, Taiyin, and Jueyin diseases but present different clinical manifestations.
Therefore, for patients presenting with chest stuffiness and shortness of breath where qi cannot connect smoothly, one may administer Wenzhong medicines (Warm-the-Middle formulas) according to the pulse and syndrome. If the patient's pulses at both wrists are deep and slow, or tight, this indicates Cold in the Stomach.
[Formula] Wenzhong Tang (Warm the Middle Decoction)
Ingredients: Tingpi (Cortex Citri Reticulatae Pericarpium, 1 liang), Ganjiang (Dried Ginger, 2 qian, processed), Baizhu (Atractylodis Macrocephalae Rhizoma), Dingxiang (Flos Caryophylli, each 2 qian), Chenpi (Pericarpium Citri Reticulatae, 2 qian), Houpo (Cortex Magnoliae Officinalis, 1 liang, processed).
Preparation: Grind all ingredients into a fine powder.
[Formula] Jupi Tang (Tangerine Peel Decoction)
Ingredients: Chenpi (Pericarpium Citri Reticulatae, 1 liang), Huoxiang (Patchouli Herba, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Gegen (Puerariae Lobatae Radix, each 2 qian).
Usage: Grind into a fine powder. Take 2 qian per dose. Add one cup of water, one piece of fresh ginger (Shengjiang, Zingiberis Rhizoma Recens) the size of a jujube, crushed. Decoct until reduced to 70%. Strain and take hot. If symptoms do not improve after three doses, and hands/feet remain cold with persistent vomiting, add Banxia (Pinelliae Rhizoma, half liang).
[Formula] Lizhong Tang (Regulate the Middle Decoction)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Ganshengjiang (Dried Fresh Ginger, 2.5 qian), Renshen (Ginseng Radix et Rhizoma, 7.5 qian), Jiegeng (Platycodonis Radix, 7 qian), Gegen (Puerariae Lobatae Radix), Huoxiangye (Patchouli Leaf, 5 qian).
Preparation: Grind into a fine powder.
[Formula] Houpo Wan (Magnolia Bark Pill)
Ingredients: Danggui (Angelicae Sinensis Radix, half liang), Tingpi (Cortex Citri Reticulatae Pericarpium, de-stemmed, half liang), Houpo (Cortex Magnoliae Officinalis, 1 liang, processed), Xixin (Asari Radix et Rhizoma, 2.5 qian), Renshen (Ginseng Radix et Rhizoma, 7.5 qian), Gancao (Licorice Root, half liang).
Note: Text contains fragments like "Baizhu Tang" and another "Jupi Tang".
[Formula] Baizhu Tang (Atractylodes Macrocephala Decoction)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Rhizoma), Danggui (Angelicae Sinensis Radix), Houpo (Cortex Magnoliae Officinalis, processed), Ganjiang (Dried Ginger, processed, each half liang), Dingxiang (Flos Caryophylli, 7 qian).
Usage: Grind into a fine powder. Take 3 qian per dose.
[Formula] Jupi Tang (Tangerine Peel Decoction - Variation)
Ingredients: Jupi (Pericarpium Citri Reticulatae, half liang), Huoxiang (Patchouli Herba), Gegen (Puerariae Lobatae Radix, each 3 qian), Banxia (Pinelliae Rhizoma), Houpo (Cortex Magnoliae Officinalis, each half liang, processed).
Usage: Grind into a fine powder. Take 3 qian per dose with one cup of water.
[Formula] Er Ling Tang (Two Polypori Decoction)
Indications: Treats chest and diaphragm fullness and oppression, frequent vomiting and regurgitation, pain in limbs and joints, pain under both hypochondria, and abdominal borborygmi. This is caused by retained fluid (drinking-water retention). It is suitable to take this formula.
Ingredients: Chifuling (Red Poria, half liang), Zhuling (Polyporus, half liang), Baizhu (Atractylodis Macrocephalae Rhizoma, half liang), Huashi (Talcum, 1 liang), Tongcao (Tetrapanacis Medulla, 2 qian), Guizhi (Cinnamomi Ramulus, 2.5 qian), Baidoukouren (Cardamomi Fructus Rotundus Semen, quantity not specified in fragment).
Usage: Decoct, strain, and take hot.