人参 白术 黄 当归 橘皮 附子 丁香 砂仁 枸杞 甘草
久病胃虚,食少作呕,或恶心睑胀,妇人及月头眩,此方主之。
胃者,水谷之海,强则善谷,弱则闻谷而呕。加以恶心睑胀,值月头眩,不问病久病新,都作虚论。今用人
参、白术、黄 、甘草,气味甘温以益之;橘皮、附子、丁香、砂仁,气味辛利以和之;当归、枸杞,阴中益阳、
阳中滋阴以助之。前症宁有不除。
诗曰∶冲和参草术,养胃丁砂橘,再附 与归,杞人无目疾。
人参 生姜 大枣 吴茱萸
厥阴头痛,干呕吐沫,此方主之。
厥阴脉挟胃,寒气内格,故干呕吐沫。厥阴与督脉会于巅,引寒上逆,故头痛。茱萸辛热味浓,下走能温少
阴、厥阴,佐以生姜,散其寒也,佐以参、枣,补其虚也。且厥阴经络,又环阴器,如寒疝腰痛,牵引睾丸,脉
沉迟,加附子等分煎,凉服。一方以吴萸、干姜等分为丸,参汤下,义同。
诗曰∶吴萸参枣姜,为汤阴邪降,四逆草姜附,寒毒中无妨。
干姜 附子(开水泡去盐,剂片,煎) 甘草
此因病而名方。其症寒中阴厥,脉迟小或沉,濡中见数,
身倦不热,或有微热不渴,懒言动,当急温之,迟则不救。盖本人胃气大虚,肤腠疏豁,外受风邪,内食生冷,
其疾即发。非若伤寒,循经传里之缓也。故不问内外因,总以炙草、姜、附为主。有转自利者、头痛者,随时增
益,逆还为顺,亦未可知。
风寒传入厥阴,症如上,服上药不效,眼反暴发,及妇女经行不利,须桂枝、细辛以温表,归、芍、甘草以
调里,通草通阴阳,大枣和荣卫,立瘳。若人素有内寒,不问传、中,四逆合用无害。
人参、白术、黄芪、当归、橘皮、附子、丁香、砂仁、枸杞、甘草。
久病导致胃气虚弱,饮食减少并伴有呕吐,或者出现恶心、眼睑肿胀的症状;妇女在月经期间出现头晕目眩,此方主治这些症状。
胃是水谷汇聚的海,功能强健则善于消化食物,功能虚弱则闻到食物的气味就会呕吐。再加上恶心、眼睑肿胀,正值月经期且头晕,无论病程长短,都按照虚证来论治。现在使用人参、白术、黄芪、甘草,利用其甘温的气味来补益胃气;使用橘皮、附子、丁香、砂仁,利用其辛散通利的气味来调和脾胃;使用当归、枸杞,在阴中补阳、在阳中滋阴以辅助正气。前面的病症难道还有不能消除的吗?
厥阴经脉挟持胃部,寒气内阻格拒,所以出现干呕吐沫。厥阴经与督脉交会于头顶,牵引寒气上逆,所以引起头痛。吴茱萸味辛性热且气味浓厚,下行能温暖少阴经和厥阴经,配合生姜,以发散寒气;配合人参、大枣,以补益虚损。而且厥阴经络环绕生殖器,如果是寒疝腰痛,牵引睾丸疼痛,脉象沉迟,可加入等量的附子煎煮,凉服。另一方法是将吴茱萸、干姜按等量制成丸药,用人参汤送服,道理相同。
诗云:吴萸参枣姜,为汤阴邪降,四逆草姜附,寒毒中无妨。
这个方剂是因为病症而得名。其症状表现为寒气中阻、四肢厥冷,脉象迟缓细小或深沉,濡脉中兼见数象,身体疲倦且不发热,或者有轻微发热但不口渴,懒言少动,应当紧急温补阳气,如果拖延则无法救治。这是因为患者本身胃气大虚,皮肤腠理疏松,外受风邪侵袭,内食生冷食物,疾病随即发作。这不像伤寒那样,沿着经络逐渐传入里证的缓慢过程。因此,无论病因是内因还是外因,都以炙甘草、干姜、附子为主药。如果有转为腹泻的、有头痛的,根据情况随时增加药物,使逆证转为顺证,也是有可能的。
风寒传入厥阴经,症状如上所述,服用上述药物无效,眼睛反而突然暴发红肿疼痛,以及妇女经期不畅,需要桂枝、细辛来温散表邪,当归、芍药、甘草来调理里气,通草来通达阴阳,大枣来调和营卫,即可迅速痊愈。如果人素来体内有寒,无论病情是传变而来还是直中脏腑,合用四逆汤都没有害处。
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Ju Pi (Citri Reticulatae Pericarpium), Fu Zi (Aconiti Lateralis Radix Praeparata), Ding Xiang (Caryophylli Flos), Sha Ren (Amomi Fructus), Gou Qi (Lycii Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma).
In chronic illness leading to Stomach deficiency, with reduced appetite and vomiting, or accompanied by nausea and eyelid swelling; in women experiencing dizziness during menstruation, this formula is indicated.
The Stomach is the sea of water and grain. When strong, it digests well; when weak, it vomits upon smelling food. Combined with nausea, eyelid swelling, and dizziness during menstruation, regardless of whether the disease is new or chronic, it should be treated as a deficiency syndrome. Now, using Ren Shen, Bai Zhu, Huang Qi, and Gan Cao, their sweet and warm properties are used to tonify; using Ju Pi, Fu Zi, Ding Xiang, and Sha Ren, their acrid and penetrating properties are used to harmonize; using Dang Gui and Gou Qi, they nourish Yang within Yin and nourish Yin within Yang to assist. Would not the aforementioned symptoms be eliminated?
Poem states: Chonghe contains Ginseng, Licorice, and Atractylodes; for nourishing the Stomach, use Clove, Amomum, and Citrus peel; further add Aconite and Angelica; people with Goji will have no eye diseases.
Ren Shen, Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), Wu Zhu Yu (Evodiae Fructus).
Jueyin headache, dry retching with spitting of saliva, this formula is indicated.
The Jueyin meridian runs alongside the Stomach. Internal obstruction by cold qi causes dry retching and spitting of saliva. The Jueyin meridian meets the Du meridian at the vertex, drawing cold upward, thus causing headache. Wu Zhu Yu is acrid and hot with a strong flavor; descending, it warms the Shaoyin and Jueyin meridians. Assisted by Sheng Jiang, it disperses cold; assisted by Ren Shen and Da Zao, it tonifies deficiency. Furthermore, the Jueyin meridian circles the genitalia. In cases of cold hernia with lower back pain radiating to the testicles and a deep, slow pulse, add an equal amount of Fu Zi, decoct, and take cool. Another method is to make pills from equal parts Wu Zhu Yu and Gan Jiang (Zingiberis Rhizoma), taken with Ren Shen decoction; the principle is the same.
Poem states: Evodia, Ginseng, Jujube, and Ginger form a soup to subdue Yin pathogens; Sini with Licorice, Ginger, and Aconite poses no harm against cold toxins.
Gan Jiang, Fu Zi (soaked in boiling water to remove salt, sliced, and decocted), Gan Cao.
This formula is named after the condition. The symptoms include cold obstructing the interior and extremity coldness, with a slow, fine, or deep pulse; a soggy pulse with a rapid quality; body fatigue without fever, or slight fever without thirst; reluctance to speak and move. Urgent warming is required; delay renders it incurable. This is because the patient's Stomach Qi is severely deficient, the skin and pores are loose, external wind-cold invades, and internal consumption of cold/raw food triggers the disease. It is not like Shanghan (Cold Damage) where pathogens transmit slowly along the meridians into the interior. Therefore, regardless of internal or external causes, the main herbs are roasted Gan Cao, Gan Jiang, and Fu Zi. If diarrhea develops or headache occurs, herbs can be added according to circumstances, potentially turning adverse conditions into favorable ones.
If wind-cold transmits to the Jueyin meridian, presenting with the above symptoms, and the previous medication fails, resulting in sudden onset of eye inflammation and irregular menstruation in women, Gui Zhi (Cinnamomi Ramulus) and Xi Xin (Asari Radix et Rhizoma) are needed to warm and release the exterior, Dang Gui and Bai Shao (Paeoniae Radix Alba), and Gan Cao to regulate the interior, Tong Cao (Tetrapanacis Medulla) to unblock Yin and Yang, and Da Zao to harmonize Ying and Wei, leading to quick recovery. If the person has inherent internal cold, regardless of transmission or direct invasion, combining with Sini Tang poses no harm.