(汤)治汗出,(醒而汗出曰自汗,寐而汗出曰盗汗。) 柏芩连生熟地。(当归、黄柏、
黄连、黄芩、二地等分,黄 加倍。)泻火固表复滋阴,(汗由阴虚,归、地以滋其阴;汗由
火扰,黄芩、柏、连以泻其火;汗由表虚,倍用黄 ,以固其表。)加麻黄根功更异。(李时
珍曰∶麻黄根走表,能引诸药至卫分而固腠理。)或云此药太苦寒,胃弱气虚在所忌。
人参术,麦麸牡蛎麻黄根。再加半夏五味子,阴虚盗汗枣丸吞。〔柏子仁(炒研去油)
二两,人参、白术、牡蛎( )、麻黄根、半夏、五味子各一两,麦麸五钱,枣肉丸,米饮
下。心血虚则卧而汗即出,柏仁养心宁神,牡蛎、麦麸凉心收脱,五味敛汗,半夏燥湿,麻
黄根专走肌表,引参、术以固卫气。〕
黄 浮麦麻黄根。〔牡蛎( 研)、黄 、麻黄根各一钱,浮小麦百粒,煎。牡蛎、浮麦
凉心止汗,黄 、麻黄根走肌表而固卫。〕扑法芎 牡蛎粉,(扑汗法∶白术、 本、川芎各
二钱半,糯米粉两半,为末,袋盛,周身补之。)或将龙骨牡蛎扪。(龙骨、牡蛎为末,合糯
米粉等分,亦可扑法。)
二首
(仲景)用细辛桂,人参附子椒姜继。黄连黄柏及当归,温脏安蛔寒厥剂。〔乌梅三百
个(醋浸蒸),细辛、桂枝、附子(炮)、人参、黄柏各六两,黄连一斤,干姜十两,川椒(去
汗),当归各四两,治伤寒厥阴证,寒厥吐蛔。虫得酸则伏,故用乌梅;得苦则安,故用连、
柏
(当归六黄汤)治疗汗出症状,(清醒时出汗称为自汗,睡眠时出汗称为盗汗。)方中由柏子仁、黄芩、黄连、生地黄和熟地黄组成。(当归、黄柏、黄连、黄芩、生地黄和熟地黄各等分,黄芪用量加倍。)此方能泻火、固表并滋养阴液,(汗出因阴虚所致,用当归、地黄来滋阴;汗出因火热扰乱所致,用黄芩、黄柏、黄连来泻火;汗出因表虚所致,加倍使用黄芪以固护肌表。)加入麻黄根后功效更佳。(李时珍说:麻黄根走窜体表,能引导其他药物到达卫分从而巩固腠理。)有人说此药过于苦寒,脾胃虚弱、气虚者应当禁忌。
(另一治盗汗方)用人参、白术、麦麸、牡蛎和麻黄根。再加半夏和五味子,制成枣肉丸吞服。〔柏子仁(炒研去油)二两,人参、白术、牡蛎(煅)、麻黄根、半夏、五味子各一两,麦麸五钱,用枣肉做丸,米汤送下。心血虚则入睡即出汗,柏子仁养心宁神,牡蛎、麦麸凉心收敛止脱,五味子收敛止汗,半夏燥湿,麻黄根专走肌表,引导人参、白术以固护卫气。〕
(又一治汗方)用黄芪、浮小麦和麻黄根。〔牡蛎(煅研)、黄芪、麻黄根各一钱,浮小麦一百粒,煎煮服用。牡蛎、浮小麦凉心止汗,黄芪、麻黄根走肌表而固护卫气。〕外用扑粉法用川芎、牡蛎粉,(扑汗法:白术、藁本、川芎各二钱半,糯米粉半两,研为细末,装入袋中,全身扑洒。)或者用龙骨、牡蛎研末。(龙骨、牡蛎研为细末,与糯米粉等分混合,也可用于扑粉法。)
(乌梅丸)
(张仲景)使用细辛、桂枝,人参、附子、花椒、干姜随后跟进。再加上黄连、黄柏和当归,这是温补脏腑、安蛔止痛、治疗寒厥的方剂。〔乌梅三百个(醋浸后蒸),细辛、桂枝、附子(炮制)、人参、黄柏各六两,黄连一斤,干姜十两,川椒(去汗),当归各四两,用于治疗伤寒厥阴证,表现为四肢厥冷、呕吐蛔虫。虫子遇到酸味就伏藏,所以用乌梅;遇到苦味就安定,所以用黄连、黄柏……〕
(Danggui Liu Huang Tang) treats sweating. (Sweating while awake is called spontaneous sweating, and sweating while asleep is called night sweating.) The formula consists of Baiziren (Biota Seed), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Shengdihuang (Rehmannia Root), and Shudihuang (Prepared Rehmannia Root). [Danggui (Angelica Sinensis Root), Huangbo (Phellodendron Bark), Huanglian, Huangqin, and the two types of Dihuang are in equal proportions, with Huangqi (Astragalus Root) doubled.] It clears fire, consolidates the exterior, and nourishes yin. (Sweating caused by yin deficiency is treated by Danggui and Dihuang to nourish yin; sweating caused by fire disturbance is treated by Huangqin, Huangbo, and Huanglian to clear fire; sweating caused by exterior deficiency is treated by doubling Huangqi to consolidate the exterior.) Adding Mahuanggen (Ephedrae Radix et Rhizoma Glabra) enhances its efficacy. (Li Shizhen stated: Mahuanggen travels to the exterior and can guide other herbs to the Wei level to consolidate the Cou Li [pores].) Some say this medicine is too bitter and cold, and it is contraindicated for those with weak stomachs or Qi deficiency.
(Ren Shen Zhu Mai Fu Mu Li Mahuang Wan) uses Ren Shen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Maifuxue (Wheat Bran), Muli (Oyster Shell), and Mahuanggen. Add Banxia (Pinellia Tuber) and Wuweizi (Schisandra Fruit), and take as pills made from Jujube flesh. [Baiziren (stir-fried, ground, oil removed) 2 liang, Ren Shen, Baizhu, Muli (calcined), Mahuanggen, Banxia, and Wuweizi each 1 liang, Maifuxue 5 qian, formed into pills with Jujube flesh, taken with rice water. When Heart Blood is deficient, sweating occurs immediately upon sleep; Baiziren nourishes the Heart and calms the Spirit, Muli and Maifuxue cool the Heart and astringe leakage, Wuweizi astringes sweat, Banxia dries dampness, Mahuanggen specifically travels to the muscle layer to guide Ren Shen and Baizhu to consolidate Wei Qi.]
(Huangqi Fumai Mahuang San) uses Huangqi (Astragalus Root), Fumai (Floating Wheat), and Mahuanggen. [Muli (calcined and ground), Huangqi, and Mahuanggen each 1 qian, Fumai 100 grains, decocted and taken. Muli and Fumai cool the Heart and stop sweating; Huangqi and Mahuanggen travel to the muscle layer to consolidate Wei Qi.] For external powder application, use Xiong (Ligusticum Chuanxiong Rhizome) and Muli powder. (Sweat-powder method: Baizhu, Bencao (Ligusticum Sinense Rhizome), and Xiong each 2.5 qian, Nuomicu Fen (Glutinous Rice Flour) 0.5 liang, ground into fine powder, placed in bags, and applied all over the body.) Alternatively, use Longgu (Fossilized Bones) and Muli ground into powder. (Longgu and Muli ground into powder, mixed in equal parts with Nuomicu Fen, can also be used for powder application.)
(Wumei Wan)
(Zhang Zhongjing) uses Xixin (Asarum Root), Guizhi (Cinnamon Twig), followed by Renshen (Ginseng Root), Fuzi (Aconite Lateral Root Preparata), Huajiao (Zanthoxylum Pericarpium), and Ganjiang (Dried Ginger). Then add Huanglian (Coptis Rhizome), Huangbo (Phellodendron Bark), and Danggui (Angelica Sinensis Root); this is a formula to warm the viscera, calm roundworms, and treat cold厥 (cold extremities). [300 Wumei (Chinese Plum Fruit) (soaked in vinegar and steamed), Xixin, Guizhi, Fuzi (prepared), Renshen, and Huangbo each 6 liang, Huanglian 1 jin, Ganjiang 10 liang, Chuanjiao (Zanthoxylum Pericarpium, de-sweated), and Danggui each 4 liang. It treats Taiyang disease Jueyin syndrome, characterized by cold extremities and vomiting roundworms. Worms subside when encountering sourness, hence Wumei is used; they settle when encountering bitterness, hence Huanglian and Huangbo are used...]