风湿、湿热、湿痰、湿肿、湿痹。
发汗 羌活、仙术之类。
分利渗泄 五苓加羌活。
燥 羌活胜湿汤、平胃之类。
解肌实表 风湿相搏,一身尽痛,金柜黄 防己汤。
下 气实邪胜者,神佑、导火、舟车等丸。气虚者,桑白皮、茯苓、人参、葶苈、木
香之类。
各经主治药
肝(白术) 脾 肺 肾(泽泻) 胃(白术) 小肠(车前) 三焦(陈皮) 膀胱(茵陈) 大
肠(秦芤) 心包络(茗)
有痰实、血少、风邪、火热、消渴,皆为燥。
降火 白虎、益元、清神、疏风、麻仁丸。
益血滋阴 血少阴虚者,四物加炒柏、桃仁之类。
清金 肺热身燥,宜清金降火。
润肠 手阳明燥实,宜与麻仁丸脾约。
下 痰实,宜滚痰丸、利膈丸或三乙承气、柴胡饮子。
汗 风热之邪,脉盛气实,防风通圣散。
补 老人便燥涩,黄 、陈皮,麻仁汤。
各经主治药
肝(当归) 心(麦门冬) 脾(麻仁) 肺(杏仁) 肾(柏子仁) 大肠(硝石) 小肠(茴香)
三焦(山药) 膀胱(茴香) 心包络(桃仁)
表恶寒者温之,内中者劫之。表证见伤寒例。
正治 主乎温散,桂枝、四逆辈。甚者,三建霹雳散。有卒中天地之寒,口伤生冷之
物。
从治 热药加凉剂引之,或热药冷冻饮料。经曰从而逆之。
反攻 蜜煎乌头之类。
灸 阴寒及下陷脉绝者,宜灸之。
熨 寒郁作痛,灰包熨之。
补 气虚中寒,脉沉迟弱,于补中益气加桂,甚者加附子。
下 寒积怫郁作痛,桂枝大黄汤,逆而从之。
劫 寒气结搏,附子类。温热而不回者,用金液丹、二气丹,壮益阳气。
各经主治药
肝(气,吴茱萸;血,当归) 心(气,桂心;血,同上) 脾(气,吴茱萸;血,同上)
肺(
气,麻黄;血,干姜) 肾(气,细辛;血,附子) 胆(气,生姜,血,川芎) 大肠(气,白
芷;血,秦艽) 小肠(气,茴香;血,玄胡) 三焦(气,黑附;血,川芎) 膀胱(气,麻黄
;血,桂枝) 心包络(气,附子;血,川芎)
风湿、湿热、湿痰、湿肿、湿痹。
采用发汗法:使用羌活、苍术(仙术)等药物。
采用分利渗泄法:在五苓散基础上加羌活。
燥证。
使用羌活胜湿汤、平胃散等方剂。
采用解肌实表法:针对风湿相搏,全身疼痛的症状,使用金匮防己汤。
采用下法:对于气实邪盛者,使用神佑丸、导火丸、舟车丸等;对于气虚者,使用桑白皮、茯苓、人参、葶苈子、木香等药物。
各经主治药物:
肝(白术)、脾、肺、肾(泽泻)、胃(白术)、小肠(车前子)、三焦(陈皮)、膀胱(茵陈)、大肠(秦艽)、心包络(茗茶)。
有痰实、血少、风邪、火热、消渴,这些都属于燥证。
降火法:使用白虎汤、益元散、清神丸、疏风散、麻仁丸。
益血滋阴法:对于血少阴虚者,使用四物汤加炒黄柏、桃仁等。
清金法:肺热身燥,宜用清金降火法。
润肠法:手阳明大肠燥实,宜用麻仁丸治疗脾约证。
下法:对于痰实,宜用滚痰丸、利膈丸或三乙承气汤、柴胡饮子。
汗法:对于风热之邪,脉象盛大、正气充实者,使用防风通圣散。
补法:老年人大便干燥涩滞,使用黄芪、陈皮、麻仁汤。
各经主治药物:
肝(当归)、心(麦门冬)、脾(麻仁)、肺(杏仁)、肾(柏子仁)、大肠(硝石)、小肠(茴香)、三焦(山药)、膀胱(茴香)、心包络(桃仁)。
体表恶寒的,用温法;病邪内陷的,用劫法。表证参照伤寒例。
正治法:主要在于温散,使用桂枝汤、四逆汤之类。严重的,使用三建霹雳散。有的因感受天地寒气,或食用生冷之物受伤。
从治法:在热药中加入凉剂作为引子,或者将热药冷冻后服用。经文说“从而逆之”。
反攻法:使用蜜煎乌头之类。
灸法:阴寒及脉气下陷欲绝者,宜用灸法。
熨法:寒郁导致疼痛,用灰包熨烫。
补法:气虚中寒,脉象沉迟弱,在补中益气汤基础上加桂枝,严重的加附子。
下法:寒积郁结作痛,使用桂枝大黄汤,采取逆而从之的方法。
劫法:寒气结聚搏结,使用附子类药。如果温热而不回阳的,使用金液丹、二气丹,以壮益阳气。
各经主治药物:
肝(气分,吴茱萸;血分,当归)、心(气分,桂心;血分,同上)、脾(气分,吴茱萸;血分,同上)、肺(气分,麻黄;血分,干姜)、肾(气分,细辛;血分,附子)、胆(气分,生姜;血分,川芎)、大肠(气分,白芷;血分,秦艽)、小肠(气分,茴香;血分,玄胡索)、三焦(气分,黑附子;血分,川芎)、膀胱(气分,麻黄;血分,桂枝)、心包络(气分,附子;血分,川芎)。
Wind-dampness, damp-heat, damp-phlegm, damp-edema, wind-damp bi-syndrome.
Employing diaphoresis (sweating method): Using herbs such as Qianghuo (Notopterygii Rhizoma et Radix) and Xianshu (Atractylodis Rhizoma).
Employing separation and drainage methods: Wuling San (Five-Ingredient Poria Decoction) added with Qianghuo.
Dryness syndrome.
Using Fanghuo Shengshi Tang (Decoction for Overcoming Dampness with Notopterygium) or Pingwei San (Calm the Stomach Powder).
Employing muscle-releasing and exterior-strengthening method: For wind-dampness clashing and causing pain throughout the body, use Jingui Fangji Tang (Fangji Decoction from the Golden Cabinet).
Employing purgation method: For cases of excess qi and victorious pathogenic factors, use Shenyou Wan (Divine Protection Pill), Daohuo Wan (Guiding Fire Pill), or Zhouche Wan (Boat Cart Pill). For cases of deficient qi, use Sangbaipi (Morus Alba Root Bark), Fuling (Poria), Renshen (Ginseng Root), Tinglizi (Lepidium Seed), and Muxiang (Aucklandiae Radix).
Medicines governing each meridian:
Liver (Baizhu/Atractylodis Macrocephalae Rhizoma), Spleen, Lung, Kidney (Zexie/Alisma Rhizome), Stomach (Baizhu/Atractylodis Macrocephalae Rhizoma), Small Intestine (Cheqian/Carex Seed), Sanjiao/Triple Burner (Chenpi/Tangerine Peel), Bladder (Yinchen/Artemisiae Scopariae Herba), Large Intestine (Qinjiao/Gentianae Macrophyllae Radix), Pericardium (Tea leaves).
Phlegm-excess, blood-deficiency, wind-pathogen, fire-heat, and xiaoke (wasting-thirst syndrome) are all categorized under dryness.
Fire-descending method: Using Baihu Tang (White Tiger Decoction), Yiyuan San (Benefit Origin Powder), Qingshen Wan (Clear Spirit Pill), Shufeng San (Dispel Wind Powder), or Maren Wan (Hemp Seed Pill).
Blood-nourishing and yin-supplementing method: For blood-deficient and yin-deficient cases, using Siwu Tang (Four-Substance Decoction) added with Chao Bai (Stir-fried Phellodendri Cortex) and Taoren (Prunus Persica Seed).
Clearing Metal (Lung) method: For lung-heat and bodily dryness, clearing metal and descending fire is appropriate.
Intestinal-moistening method: For hand-yangming large-intestine dryness-excess, treating splei-constraint (Pi Yue) with Maren Wan (Hemp Seed Pill) is appropriate.
Purgation method: For phlegm-excess, using Gutan Wan (Rolling Phlegm Pill), Lige Wan (Clear Diaphragm Pill), or Saiyi Chengqi Tang (Three-Essence Bowel-Purging Decoction) and Chaihu Yinzi (Bupleurum Infusion) is appropriate.
Diaphoresis method: For wind-heat pathogens, with surging pulse and substantial qi, using Fangfeng Tongsheng San (Saposhnikovia Universal Benefit Powder) is appropriate.
Tonification method: For elderly patients with dry and obstructed stool, using Huangqi (Astragali Radix), Chenpi (Tangerine Peel), and Maren Tang (Hemp Seed Decoction) is appropriate.
Medicines governing each meridian:
Liver (Danggui/Angelicae Sinensis Radix), Heart (Maidong/Ophiopogonis Tuber), Spleen (Maren/Hemp Seed), Lung (Xingren/Prunus Armeniaca Seed), Kidney (Baiziren/Biotae Seed), Large Intestine (Xiaoshi/Niter), Small Intestine (Huixiang/Fennel Fruit), Sanjiao/Triple Burner (Shanyao/Dioscoreae Rhizome), Bladder (Huixiang/Fennel Fruit), Pericardium (Taoren/Prunus Persica Seed).
For exterior aversion to cold, apply warming methods; for internal invasion, apply coercive methods. Exterior syndromes refer to the examples in Shanghan Lun (Treatise on Cold Damage).
Orthodox treatment: Primarily relies on warming and dispersing, using Guizhi Tang (Cinnamon Twig Decoction) and Sixini Tang (Four-Reversal Decoction). In severe cases, using Sanjian Pilei San (Three Foundations Thunderbolt Powder). Some cases involve sudden attack by heaven-earth cold or injury from consuming raw/cold foods.
Follow-treatment (Paradoxical treatment): Adding cooling agents as guides to hot medicines, or administering hot medicines frozen. The classic states "following while opposing."
Counter-attack method: Using honey-prepared Wutou (Aconiti Radix).
Moxibustion: For yin-cold and sinking pulse nearing extinction, moxibustion is appropriate.
Hot compress: For pain caused by cold stagnation, applying ash packs for compression is appropriate.
Tonification: For qi-deficiency with middle-jiao cold, presenting with deep, slow, and weak pulses, adding Guizhi (Cinnamon Twig) to Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction); in severe cases, add Fuzi (Prepared Aconite Root).
Purgation: For pain caused by cold accumulation and depression, using Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction), adopting a method of opposing yet following.
Coercive method: For cold qi knotting and struggling, using Fuzi (Prepared Aconite Root) type herbs. If warmth does not restore yang, using Jin Ye Dan (Golden Liquid Pill) or Erqi Dan (Two-Qi Pill) to strengthen and benefit yang qi.
Medicines governing each meridian:
Liver (Qi aspect, Wuzhuyu/Euodia Fruit; Blood aspect, Danggui/Angelicae Sinensis Radix), Heart (Qi aspect, Guixin/Cinnamon Bark; Blood aspect, same as above), Spleen (Qi aspect, Wuzhuyu/Euodia Fruit; Blood aspect, same as above), Lung (Qi aspect, Mahuang/Ephedrae Herba; Blood aspect, Ganjiang/Zingiberis Rhizoma), Kidney (Qi aspect, Xixin/Asari Radix et Rhizoma; Blood aspect, Fuzi/Prepared Aconite Root), Gallbladder (Qi aspect, Shengjiang/Fresh Zingiberis Rhizoma; Blood aspect, Chuanxiong/Ligustici Chuanxiong Rhizoma), Large Intestine (Qi aspect, Baizhi/Saposhnikoviae Radix; Blood aspect, Qinjiao/Gentianae Macrophyllae Radix), Small Intestine (Qi aspect, Huixiang/Fennel Fruit; Blood aspect, Xuyan/Corydalis Rhizoma), Sanjiao/Triple Burner (Qi aspect, Heifu/Black Prepared Aconite Root; Blood aspect, Chuanxiong/Ligustici Chuanxiong Rhizoma), Bladder (Qi aspect, Mahuang/Ephedrae Herba; Blood aspect, Guizhi/Cinnamon Twig), Pericardium (Qi aspect, Fuzi/Prepared Aconite Root; Blood aspect, Chuanxiong/Ligustici Chuanxiong Rhizoma).