河间治雷头风,升麻苍术两般充。(二味,《局方》名升麻汤。)荷叶一枚升胃气,邪从
上散不传中。(头面肿痛疙瘩,名雷头风,一云头如雷鸣。东垣曰∶邪在三阳,不可过用寒
药重剂误伐无过,处清震汤升阳解毒,盖取震为雷之义。)
(《济生》)中用防已,桑皮贝母栝蒌子。甘枳当归薏杏仁,黄 百合姜煎此。(桔梗、
防己、栝蒌、贝母、当归、枳壳、薏苡仁、桑白皮各五分,黄 七分,杏仁、百合、甘草各
三分,姜煎。)肺痈吐脓或咽干,便秘大黄可加使。(一方有人参,无枳壳。黄 补肺气,杏
仁、薏仁、桑皮、百合补肺清火,栝蒌、贝母润肺除痰,甘、桔开提气血,利膈散寒,防己
散肿除风,泻湿清热,当归以和血,枳壳以利其气。)
(丸)薄荷芎,柿霜甘桔及防风。犀角蜜丸治热膈,早间咯血颊常红。(两颊,肺肝之
部。早间,寅卯木旺之时。木盛生火,来克肺金。薄荷十两,川芎、柿霜、甘草、防风、犀
角各二两,桔梗三两,蜜丸。川芎,血中气药,散瘀升清;防风,血药之使,搜肝泻肺。薄
荷理血散热,清咽除蒸,犀角凉心清肝,柿霜生津润肺,甘草缓炎上之火势,桔梗载诸药而
上浮。)
(饮,陶节庵)栀连犀,知母玄参生地齐。石膏柴胡人参(甘)草,便实参去大黄跻。
(去人参,加入大黄。)姜枣煎加一匙醋,阳邪里实此方稽。(发斑虽由胃热,亦诸经之火有
以助之。青黛、黄连清肝火,栀子清胃火。引以柴胡,使达肌表;使以姜、枣,以和营卫。
热毒入里,亦由胃虚,故以人参、甘草益胃。加醋者,酸以收之也。)
刘河间治疗雷头风,使用升麻和苍术两味药并重。(这两味药,在《太平惠民和剂局方》中被称为升麻汤。)加入一枚荷叶以升发胃气,使邪气从上焦发散而不传入中焦。(头面部出现肿痛疙瘩,称为雷头风,另一种说法是头部感觉像雷鸣一样。李东垣说:邪气在三阳经,不可过度使用寒凉重剂,以免误伤无辜的正气,因此设立清震汤以升阳解毒,这大概是取“震”卦象征雷电的含义。)
(《济生方》中的)方剂中使用防己、桑白皮、贝母和栝楼子。再加上甘草、枳壳、当归、薏苡仁、杏仁、黄芪、百合,用生姜煎煮。(桔梗、防己、栝楼、贝母、当归、枳壳、薏苡仁、桑白皮各五分,黄芪七分,杏仁、百合、甘草各三分,加生姜煎服。)肺痈患者咳吐脓血或咽喉干燥,若便秘可加大黄来通泄。(另一版本有人参,无枳壳。黄芪补益肺气,杏仁、薏苡仁、桑白皮、百合补肺并清泻火邪,栝楼、贝母润肺并消除痰浊,甘草、桔梗提升气血,利膈散寒,防己消散肿毒并祛风,泻湿清热,当归调和血液,枳壳行气。)
(丸剂)包含薄荷、川芎、柿霜、甘草、桔梗及防风。用水牛角制成蜜丸治疗热膈证,表现为早晨咯血且两颊经常发红。(两颊是肺和肝的反射区。早晨是寅时和卯时,木气旺盛之时。木气过盛则生火,进而克制肺金。薄荷十两,川芎、柿霜、甘草、防风、水牛角各二两,桔梗三两,炼蜜为丸。川芎是血中的气药,能散瘀升清;防风是血药的引经使药,能搜剔肝邪并泻肺火。薄荷调理血液并散热,清咽除蒸热;水牛角凉心清肝;柿霜生津润肺;甘草缓和炎上的火势;桔梗载诸药上浮至病所。)
(饮剂,陶节庵方)栀子、黄连、水牛角,知母、玄参、生地齐备。石膏、柴胡、人参、甘草同用,若大便结实则去掉人参,加入大黄。(去掉人参,加入大黄。)用姜枣煎煮后加入一匙醋,此方用于稽留于体内的阳热实证。(发斑虽然由胃热引起,但也因其他经络的火邪助势所致。青黛、黄连清泻肝火,栀子清泻胃火。以柴胡为引,使药力达于肌表;以姜、枣为使,调和营卫。热毒入里,也由于胃气虚弱,所以用人参、甘草补益胃气。加入醋的原因,是利用酸味来收敛邪气。)
Liu Hejian treated Lei Tou Feng (Thunderhead Wind) by heavily using two herbs: Shengma (Rhizoma Cimicifugae) and Cangzhu (Rhizoma Atractylodis). (These two herbs are named Shengma Tang in the *Jufang*.) One lotus leaf is added to raise Stomach Qi, allowing the pathogen to scatter from above without transmitting to the middle. (Swelling and pain with nodules on the head and face are called Lei Tou Feng; another description says the head feels like thunder. Li Dongyuan stated: When pathogens are in the Three Yang meridians, one must not overuse heavy cold medicines to avoid injuring the innocent healthy Qi. Therefore, Qingzhen Tang was formulated to raise Yang and resolve toxicity, likely deriving its name from the meaning of "Zhen" as thunder.)
In the formula from *Jisheng Fang*, Fangji (Radix Stephaniae Tetrandrae), Sangpiao (Cortex Mori), Beimu (Bulbus Fritillariae Cirrhosae), and Gualouzi (Semen Trichosanthis) are used. Additionally, Gancao (Radix Glycyrrhizae), Zhike (Fructus Aurantii), Danggui (Radix Angelicae Sinensis), Yiren (Semen Coicis), Xingren (Semen Armeniacae Amarum), Huangqi (Radix Astragali Membranacei), and Baihe (Bulbus Lilii) are decocted with fresh ginger. (Jiegeng, Fangji, Gualou, Beimu, Danggui, Zhike, Yiren, and Sangbipi each at 5 fen; Huangqi at 7 fen; Xingren, Baihe, and Gancao each at 3 fen; decocted with ginger.) For Lung Abscess (Fei Yong) presenting with expectoration of pus or dry throat, if constipation is present, Dahuang (Radix et Rhizoma Rhei) can be added for purgation. (Another version includes Renshen but excludes Zhike. Huangqi tonifies Lung Qi; Xingren, Yiren, Sangpiao, and Baihe tonify the Lung and clear fire; Gualou and Beimu moisten the Lung and eliminate phlegm; Gancao and Jiegeng lift Qi and Blood, benefit the diaphragm, and disperse cold; Fangji reduces swelling, dispels wind, drains dampness, and clears heat; Danggui harmonizes blood; Zhike regulates Qi.)
The Pill formulation contains Bohe (Herba Menthae), Chuanxiong (Rhizoma Chuanxiong), Shishuang (Mucilage Diospyros Kaki), Gancao, Jiegeng, and Fangfeng. It is made into honey pills to treat Re Ge (Heat Obstruction), characterized by morning hemoptysis and persistent redness of the cheeks. (The cheeks correspond to the Lung and Liver areas. Morning hours (Yin and Mao times) are when Wood Qi is prosperous. Excessive Wood generates Fire, which attacks Metal (Lung). Bohe is used in 10 liang; Chuanxiong, Shishuang, Gancao, Fangfeng, and Xijiao (Cornu Rhinocerotis) each in 2 liang; Jiegeng in 3 liang; formed into pills with honey. Chuanxiong is a Qi-moving herb within blood-invigorating herbs, dispersing stasis and raising clarity; Fangfeng is an envoy for blood herbs, searching out Liver pathogenic factors and draining Lung fire. Bohe regulates blood and dissipates heat, clearing the throat and removing steaming bone disorder sensations; Xijiao cools the Heart and clears the Liver; Shishuang generates fluids and moistens the Lung; Gancao moderates the upward-flaring fire; Jiegeng carries the other herbs upward.)
The Drink formulation (by Tao Jian'an) includes Zhizi (Fructus Gardeniae), Lianhua (Flos Loranthi/often refers to Coptidis Rhizoma in this context, i.e., Huanglian), Xijiao, Zhimu (Rhizoma Anemarrhenae), Xuanshen (Radix Scrophulariae), and Shengdi (Radix Rehmanniae Glutinosae). Shigao (Gypsum Fibrosum), Chaihu (Radix Bupleuri), Renshen (Radix Ginseng), and Gancao are combined. If stool is solid, remove Renshen and add Dahuang. (Remove Renshen, add Dahuang.) Decoct with Jiang (Zingiberis Rhizoma) and Zao (Fructus Jujubae), adding one spoonful of vinegar. This formula addresses Yang pathogens retained internally as excess syndromes. (Although macules result from Stomach Heat, they are also aided by Fire from various meridians. Qingdai and Huanglian clear Liver Fire; Zhizi clears Stomach Fire. Chaihu acts as the guide to reach the muscle layer; Jiang and Zao act as envoys to harmonize Ying and Wei. When heat toxins enter the interior, it is often due to Stomach deficiency; thus, Renshen and Gancao are used to benefit the Stomach. Vinegar is added because sour flavors have an astringent effect.)