肉桂 当归 甘草 麻黄 生姜
此麻黄、桂枝二汤之变方也。无论诸经、四季,凡阴寒邪盛,热散忌早、寒散忌过者,与是药。盖姜、桂之性,
愈老愈辣。和以甘草不防发伤气之内寒。麻黄之资,能散能收,监以当归,自可解阴虚之表热。
诗曰∶肉桂偕麻黄,当归合草姜,署名麻桂饮,功效匪寻常。
人参 黄 白术 当归 地黄 肉桂 干姜 柴胡 麻黄 芎 甘草
元气大虚,阴邪难解,及素禀薄弱,忽感风寒,恶寒头痛,此方主之。
辛温散寒,辛凉散热,举世尚矣。至阴阳互为其根,汗化于液,元虚之人,须从补散,浅人思不及此。景岳
以十全诸物,阴阳平治,微用姜、柴、麻黄解其寒热,可谓拾仲景之遗。服后不畏寒反觉热燥,乃阳回作汗佳兆。
更以理阴煎、麻桂饮二方参而用之,万不可既疑且悔,将改用凉剂也。
诗曰∶大温中,十一味,参 术草姜麻桂,芎归柴胡熟地黄,饮毕风寒应渐去。
当归 防风 蒺藜 芎 细辛 菊花 白芷(各三两) 甘草(两半) 石膏(六两,半生、半煨熟) 草乌(五
两,黑豆一升,同 熟,去豆)
目赤肿一二日,头眩头风,此方主之。
头痛有六经,便应分经论治。然病已一二日,此盛热生风、久风动痰而致。故君以石膏泄其风热。臣以草乌
散其风痰。芎、防、蒺藜、细辛、芷、菊,且佐且使,宣其风气。再用当归养血于疏风之后,又以济风药之燥。
甘草调胃于降火之余,而兼缓风邪上逆。定风止痛,此散有神应者欤,故曰神应。
诗曰∶辛防芎芷拣当归,白菊川乌刺蒺藜,甘草石膏生熟用,散名神应语非虚。
肉桂、当归、甘草、麻黄、生姜。
这是麻黄汤(发汗解表剂)和桂枝汤(解肌发表剂)两个方剂的变方。无论哪一经病变、哪个季节,凡是阴寒邪气强盛,需要谨慎使用清热药以免过早伤阳、谨慎使用发散药以免过度耗气的情况,都适用此药。大概是因为姜、桂的药性,越陈久越发辛辣。配合甘草,可以防止发散过程中损伤体内阳气而产生内寒。麻黄的药力,既能发散又能收敛,用当归来制约它,自然可以解除阴虚导致的体表发热。
诗云:肉桂伴随麻黄,当归合用草与姜,取名麻桂饮,功效不寻常。
人参、黄芪、白术、当归、地黄、肉桂、干姜、柴胡、麻黄、川芎、甘草。
元气极度虚弱,阴寒邪气难以化解,以及素体薄弱,突然感受风寒,出现恶寒头痛症状的,此方主治。
辛温以散寒,辛凉以散热,这种做法举世推崇已久。至于阴阳互为根本,汗液由津液化生,元气虚损之人,必须从补益兼以发散入手,浅薄之人想不到这一点。张景岳用十全大补汤等药物,使阴阳平衡治疗,轻微使用姜、柴胡、麻黄来解除寒热,可以说是拾取了张仲景遗留的治疗思路。服药后如果不畏寒反而觉得燥热,这是阳气回复、即将出汗的良好征兆。
再结合理阴煎(滋阴助阳方)和麻桂饮两个方剂参酌使用,万万不可因为怀疑而后悔,进而改用凉性药剂。
诗云:大温中,十一味药,参、术、草、姜、麻、桂,加上川芎、当归、柴胡、熟地黄,服完后风寒应逐渐去除。
当归、防风、蒺藜、川芎、细辛、菊花、白芷(各三两)、甘草(一两半)、石膏(六两,一半生用、一半煨熟)、草乌(五两,配黑豆一升,同煮至熟,去掉黑豆)。
眼睛红肿充血一二天,伴有头晕、头风症状的,此方主治。
头痛涉及六经,本应按经络分别论治。然而病已持续一二天,这是盛热生风、久风动痰所导致。所以以石膏为君药,清泄风热;以草乌为臣药,疏散风痰。川芎、防风、蒺藜、细辛、白芷、菊花,作为佐使药,宣通风气。再用当归在疏风之后养血,以救济风药的燥性。甘草在降火之余调理脾胃,并兼有缓和风邪上逆的作用。定风止痛,这真是散发神效的神应方啊,所以叫神应。
诗云:辛夷、防风、川芎、白芷精选当归,白菊、川乌、刺蒺藜,甘草石膏生熟并用,散剂名叫神应,话语非虚妄。
Cinnamon Bark (Rougui), Angelica Sinensis Root (Danggui), Licorice Root (Gancao), Ephedra Stem (Mahuang), Fresh Ginger (Shengjiang).
This is a modified formula derived from Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction). Regardless of which meridian is affected or the season, it is indicated for conditions where Yin-Cold pathogenic factors are abundant, requiring caution against using heat-clearing agents too early (which might damage Yang) or using dispersing agents excessively (which might deplete Qi). This is because the nature of Ginger and Cinnamon becomes more pungent with age. Combined with Licorice, it prevents the generation of internal Cold due to Qi damage during dispersion. The efficacy of Ephedra allows for both dispersion and retention; when monitored by Angelica Sinensis, it can naturally resolve exterior Heat caused by Yin deficiency.
Poem states: Cinnamon accompanies Ephedra, Angelica combines with Licorice and Ginger, named Mahui Yin, its efficacy is extraordinary.
Ginseng Root (Renshen), Astragalus Root (Huangqi), Atractylodes Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Rehmannia Root (Dihuang), Cinnamon Bark (Rougui), Dried Ginger (Ganjiang), Bupleurum Root (Chaihu), Ephedra Stem (Mahuang), Szechuan Lovage Rhizome (Xiong), Licorice Root (Gancao).
For cases of severe depletion of Yuan Qi (Primordial Qi), where Yin-Cold pathogens are difficult to resolve, or in individuals with inherent weakness who suddenly contract Wind-Cold, presenting with aversion to cold and headache, this formula is the primary treatment.
Using Pungent-Warm herbs to disperse Cold and Pungent-Cool herbs to dissipate Heat has been widely practiced for ages. However, since Yin and Yang are mutually rooted, and sweat transforms from body fluids, patients with deficient Yuan Qi must be treated by tonifying while simultaneously dispersing. Superficial thinkers fail to grasp this principle. Zhang Jingyue used ingredients from Shiquan Dabu Tang (Ten Complete Tonification Decoction) to balance Yin and Yang, slightly employing Ginger, Bupleurum, and Ephedra to resolve Cold and Heat. This can be seen as retrieving the lost wisdom of Zhang Zhongjing. After ingestion, if the patient feels no longer afraid of cold but instead feels dry heat, this is a favorable sign indicating the return of Yang and impending sweating.
It is further recommended to combine Liyin Jian (Yin-Regulating Decoction) and Mahui Yin for reference and use. One must absolutely not hesitate or regret, nor switch to Cool/Cold formulas.
Poem states: Dawenzhong consists of eleven flavors, Ginseng, Atractylodes, Licorice, Ginger, Ephedra, Cinnamon, plus Szechuan Lovage, Angelica, Bupleurum, and Prepared Rehmannia. After drinking, Wind-Cold should gradually dissipate.
Angelica Sinensis Root (Danggui), Saposhnikovia Root (Fangfeng), Tribulus Fruit (Jili), Szechuan Lovage Rhizome (Xiong), Asarum Root (Xixin), Chrysanthemum Flower (Juhua), Angelica Dahurica Root (Baizhi) (each 3 liang), Licorice Root (Gancao) (1.5 liang), Gypsum Fibrosum (Shigao) (6 liang, half raw, half calcined/roasted), Aconitum Lateralis Radix Preparata (Caowu) (5 liang, boiled together with 1 sheng of Black Soybeans until cooked, remove beans).
For redness and swelling of the eyes lasting one to two days, accompanied by dizziness and Head-Wind (Toufeng), this formula is indicated.
Headaches involve the Six Meridians and should theoretically be treated according to specific meridians. However, after one or two days of illness, this condition is caused by excessive Heat generating Wind, and prolonged Wind stirring up Phlegm. Therefore, Gypsum Fibrosum is used as the Sovereign herb to drain Wind-Heat; Aconitum Lateralis Radix Preparata is used as the Minister herb to scatter Wind-Phlegm. Szechuan Lovage, Saposhnikovia, Tribulus, Asarum, Angelica Dahurica, and Chrysanthemum serve as Assistant and Guide herbs to disseminate Wind-Qi. Subsequently, Angelica Sinensis is used to nourish Blood after dispersing Wind, thereby mitigating the drying nature of Wind-dispersing herbs. Licorice regulates the Stomach after clearing Fire, while also moderating the upward rebellion of Wind pathogens. To settle Wind and relieve pain, this is indeed a Shenying (Divine Response) powder with miraculous effects, hence the name Shenying.
Poem states: Select Xixin, Fangfeng, Xiong, Baizhi, and Danggui; Baiju, Chuanwu, and Jili; use Gancao and Shigao raw and roasted; the powder is named Shenying, and these words are not false.