麻黄 葛根 芎 升麻 白芷 紫苏 橘皮 香附 芍药 甘草
此阳经外感通剂也。吴鹤皋曰∶古人治风寒必分六经,见症用药。然两目暴病,发热头痛,而六经不甚显明,
总以
疏风利气之药主之。是方除芍药、甘草,余皆疏利。故可以解感冒气塞之症。又必用斯二者,欲阴阳之气无尽向
汗中泄也。吴绶曰∶此方用升麻、葛根,能解阳明时疫。若太阳伤寒发热,用之则引邪入胃,传变发斑。此矛彼
盾,正在司业者,细心审视耳。
诗曰∶谁家葛地生甘草,何处芎香似紫苏,芍药栏前升远眺,橘麻黄落芷扶疏。
升麻 白芷 葛根 柴胡 本 蔓荆 黄连 当归 甘草 苍术 草豆蔻 姜、枣煎。
上睑肿盛而 ,能食,或飧泄,或下血,此方主之。
睑肿而脉肉动,责以胃风。善食易饥,即瘅成消中之理。飧泄,食已即出,盖风居肠胃,如扇扬尘。下血者,
阳明多血,遇风则善行故也。爰用白芷、葛根、柴胡、 本、苍术、蔓荆、草蔻,群队升散之药,驱逐胃风,使
从外解。黄连、升麻、当归、甘草,苦降甘缓,遏抑风威,不致变热。经曰∶风淫所胜,平以清凉,佐以苦甘。
此之谓也。若久病而有前症,此胃虚外风袭入,宜用人参、茯苓、白术、粟米健脾而除湿,芎 、当归、白芍、
肉桂养血以驱风。
诗曰∶胃风何自来,苍葛餐多矣,微芷蔓柴升,病本当不起,所以黄连氏,草果甘不饵。
麻黄、葛根、川芎、升麻、白芷、紫苏、橘皮、香附、芍药、甘草。
这是治疗阳经外感病的通用方剂。吴鹤皋说:古人治疗风寒病,必须区分六经(太阳、阳明、少阳、太阴、少阴、厥阴),根据症状用药。然而,两眼突发疾病,伴有发热头痛,且六经证候不明显时,总应以疏风理气的药物为主治。此方除去芍药和甘草,其余药物皆具疏利作用,因此可以解除感冒引起的气机阻滞症状。又必须使用芍药和甘草这两味药,是为了防止阴阳之气随着汗液过度耗散。吴绶说:此方使用升麻、葛根,能解阳明经的时行疫病。如果是太阳伤寒导致的发热,使用此方则会引邪入胃,导致病情传变出现发斑疹。这两种观点看似矛盾,关键在于医生细心审视辨别。
诗云:谁家葛地生甘草,何处芎香似紫苏,芍药栏前升远眺,橘麻黄落芷扶疏。
升麻、白芷、葛根、柴胡、藁本、蔓荆子、黄连、当归、甘草、苍术、草豆蔻,加生姜、大枣煎服。
上眼睑肿胀严重且松弛下垂,食欲正常或亢进,或出现完谷不化的泄泻,或便血,此方主治。
眼睑肿胀且眼轮匝肌跳动,归因于胃风。善于进食且容易饥饿,即消渴病中“消中”的道理。完谷不化泄泻,食物吃下后立即排出,这是因为风邪居于肠胃,如同扇子扇起尘土一样使食物快速通过。便血是因为阳明经多血,遇到风邪则血行善动。因此选用白芷、葛根、柴胡、藁本、苍术、蔓荆子、草豆蔻这一群升散性质的药物,驱逐胃中的风邪,使其从体表解散。黄连、升麻、当归、甘草,苦味降泄、甘味缓和,遏制风邪的威势,不至于转化为热邪。《内经》说:风邪过盛,用清凉之品平抑它,辅以苦甘之品。说的就是这种情况。如果是久病而出现上述症状,这是胃气虚弱,外风乘虚而入,宜用人参、茯苓、白术、粟米健脾祛湿,用川芎、当归、白芍、肉桂养血以驱风。
诗云:胃风何自来,苍葛餐多矣,微芷蔓柴升,病本当不起,所以黄连氏,草果甘不饵。
Ephedrae Herba (Mahuang, 麻黄), Puerariae Lobatae Radix (Gegen, 葛根), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Cimicifugae Rhizoma (Shengma, 升麻), Angelicae Dahuricae Radix (Baizhi, 白芷), Perillae Fructus (Zisu, 紫苏), Citri Reticulatae Pericarpium (Jupi, 橘皮), Cyperi Rhizoma (Xiangfu, 香附), Paeoniae Radix (Shaoyao, 芍药), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
This is a general formula for treating exterior syndromes of the Yang meridians. Wu Hegao stated: In ancient times, when treating wind-cold, one must differentiate according to the Six Meridians (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) and medicate based on symptoms. However, in cases of sudden eye diseases accompanied by fever and headache, where the Six Meridian patterns are not distinct, treatment should generally focus on herbs that disperse wind and regulate qi. This formula, excluding Shaoyao and Gancao, consists mainly of herbs that disperse and unblock; thus, it can resolve symptoms of qi stagnation caused by colds. The inclusion of Shaoyao and Gancao is intended to prevent the excessive leakage of yin and yang qi through sweat. Wu Shou stated: This formula uses Shengma and Gegen, which can resolve epidemic febrile diseases of the Yangming meridian. If used for fever caused by Taiyang cold damage, it may draw the pathogenic factor into the stomach, leading to transmission and the manifestation of macules. These two viewpoints appear contradictory; it is up to the practitioner to examine carefully.
Poem says: Whose field produces Gancao among the Gegen? Where does the fragrance of Chuanxiong resemble Zisu? Before the Shaoyao fence, one looks far with Shengma; amidst falling Jupi, Mahuang, and Baizhi, the scene is lush.
Cimicifugae Rhizoma (Shengma, 升麻), Angelicae Dahuricae Radix (Baizhi, 白芷), Puerariae Lobatae Radix (Gegen, 葛根), Bupleuri Radix (Chaihu, 柴胡), Ligusticum Sinense Rhizoma (Gaben, 藁本), Viticis Fructus (Manjingzi, 蔓荆子), Coptidis Rhizoma (Huanglian, 黄连), Angelicae Sinensis Radix (Danggui, 当归), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术), Cardamomi Rotundus Fructus (Caodoukou, 草豆蔻), decocted with Zingiberis Rhizoma Recens (Jiang, 姜) and Jujubae Fructus (Zao, 枣).
For severe swelling of the upper eyelid with flaccidity, normal or increased appetite, or diarrhea with undigested food (Sunxie, 飧泄), or hematochezia, this formula is indicated.
Eyelid swelling accompanied by twitching of the orbicularis oculi muscle is attributed to Stomach Wind. Excessive eating and easy hunger follow the principle of "Xiaozhong" (Consumption Zhong, 消中) within Xiao Ke (Wasting-Thirst, 消渴). Sunxie refers to diarrhea where food is excreted immediately after ingestion; this occurs because wind resides in the intestines and stomach, acting like a fan stirring up dust. Hematochezia occurs because the Yangming meridian is rich in blood, and upon encountering wind, blood flow becomes erratic. Therefore, herbs such as Baizhi, Gegen, Chaihu, Gaben, Cangzhu, Manjingzi, and Caodoukou—a group of ascending and dispersing agents—are used to drive out Stomach Wind, allowing it to be resolved from the exterior. Huanglian, Shengma, Danggui, and Gancao employ bitter descent and sweet moderation to suppress the vigor of wind, preventing transformation into heat. The Classic states: When wind prevails excessively, pacify it with coolness, assist with bitter and sweet flavors. This is what is meant here. If these symptoms occur in chronic illness, it indicates Stomach deficiency with invasion of external wind; Ren Shen, Fu Ling, Bai Zhu, and Setaria Italica (Sumi, 粟米) should be used to strengthen the Spleen and remove dampness, while Chuanxiong, Danggui, Bai Shao, and Rou Gui should be used to nourish Blood and expel wind.
Poem says: Where does Stomach Wind come from? Cangzhu and Gegen have been consumed greatly. With slight Baizhi, Manjingzi, Chaihu, and Shengma, the disease would naturally not arise; hence, Huanglian and Caoguo are not taken.