即桂枝汤加附子治太阳病发汗遂漏不止恶风小便难四肢微急难以屈伸者
即桂枝汤加浓朴杏仁治伤寒喘而有汗又治太阳病下之微喘者表未解也
即桂枝汤倍芍药治本太阳病医反下之因而腹满时痛者属太阴也此汤主之
即桂枝汤加桂枝(二两)治烧针令其汗针处被寒核起而未者必发奔豚气从小腹上
灸其核各一壮服此汤
即桂枝汤去芍药加蜀漆龙骨牡蛎治伤寒脉浮以火迫劫之亡阳必惊狂起卧不安者
即前方加附子(一枚)治同前但微恶寒者金匮名桂枝附子汤治伤寒八九
疼烦不能转侧不呕不渴脉浮虚而涩者
即桂枝汤去芍药生姜加茯苓(半斤)甘澜水先煮茯苓后内诸药煎服治
奔豚者
即桂枝汤加黄 (二两)治黄汗发热汗出腰髋弛痛剧者不能食身疼重烦燥小便
用乌头(一味)以蜜(二斤)煎减半去滓以桂枝汤(五合)和之令得一升初服二合不
即服三合又不知服五合知者如醉状得吐者为中病治寒疝腹中痛逆冷手足不仁诸药不能治者
这就是在桂枝汤的基础上加入葛根,用于治疗太阳病中项背部僵硬拘急、出汗且怕风的证候。
这就是在桂枝汤的基础上加入附子,用于治疗太阳病发汗后导致汗出不止、怕风、小便困难、四肢轻微拘急难以屈伸的证候。
这就是在桂枝汤的基础上加入厚朴和杏仁,用于治疗伤寒引起的喘息且伴有出汗的症状;也用于治疗太阳病误用下法后出现轻微喘息的证候,此时表证仍未解除。
这就是将桂枝汤中的芍药用量加倍,用于治疗原本属于太阳病的患者,医生反而误用下法,导致腹部胀满并时常疼痛的情况,这归属于太阴病,此方为主治方剂。
这就是在桂枝汤中加入二两桂枝,用于治疗因烧针强迫发汗,导致针刺部位受寒形成硬结(核起)且未消退者,此类情况必然引发奔豚气(一种自觉有气从少腹上冲心胸的病证),治疗时需在每个硬结处各灸一壮,并服用此汤。
这就是在桂枝汤中加入人参并将芍药和生姜的用量加倍,用于治疗发汗后身体疼痛、脉象沉迟的证候。
这就是在桂枝汤中加入龙骨和牡蛎,用于治疗男子遗精、女子梦中性交、脉象极虚且芤(中空如葱管)的证候。
这就是在桂枝汤中去掉芍药,加入蜀漆、龙骨和牡蛎,用于治疗伤寒脉浮,因用火法强行逼汗导致亡阳,必然出现惊恐狂乱、坐卧不安的证候。
这就是在桂枝汤中加入一两大黄,用于治疗太阳病医生反而误用下法,导致腹部胀满、大实大痛的证候。
这就是在桂枝汤中去掉二两芍药,用于治疗太阳病误用下法之后,脉象急促、胸部胀满的证候。
这就是在前一方(指桂枝加附子汤)的基础上加入一枚附子,用于治疗上述相同症状但伴有轻微怕冷的情况;《金匮要略》称之为桂枝附子汤,用于治疗伤寒病程已达八九日,身体疼痛烦扰不能转侧,无呕吐、无口渴,脉象浮虚而涩的证候。
这就是在桂枝汤中去掉甘草,加入黄芪,用于治疗血痹,表现为身体麻木不仁,状似风痹。
这就是在桂枝汤中去掉芍药,加入一枚去皮并炙烤至焦黄的皂荚,用于治疗肺痿,表现为吐涎沫。
这就是在桂枝汤中去掉芍药和生姜,加入半斤茯苓,使用甘澜水先煎煮茯苓,然后再加入其他药物煎服,用于治疗奔豚病。
这就是在桂枝汤中加入二两黄芪,用于治疗黄汗病,症状包括发热、出汗、腰髋弛缓疼痛剧烈、无法进食、身体沉重疼痛、烦躁、小便不利。
单独使用乌头一味,配合二斤蜂蜜,煎煮至药液减半,去渣滓,然后与五合桂枝汤混合,使药液总量达到一升。初次服用二合,若无效则服用三合;仍不知效(无明显改善)则服用五合。若服药后出现如醉酒般的状态或发生呕吐,则为中病(药效已起作用),此方用于治疗寒疝,症状为腹中疼痛、四肢逆冷、手足麻木不仁,是其他药物无法治愈的情况。
This is Guizhi Tang (Cinnamon Twig Decoction) with the addition of Ge Gen (Puerariae Radix), used to treat Taiyang disease (disease of the Taiyang channel) presenting with stiffness and tightness in the neck and back, sweating, and aversion to wind.
This is Guizhi Tang (Cinnamon Twig Decoction) with the addition of Fuzi (Aconiti Lateralis Radix Praeparata), used to treat Taiyang disease where excessive sweating has led to continuous leakage of sweat, aversion to wind, difficulty in urination, and slight rigidity of the four limbs making flexion and extension difficult.
This is Guizhi Tang (Cinnamon Twig Decoction) with the addition of Hou Po (Magnoliae Officinalis Cortex) and Xing Ren (Armeniacae Semen Amarum), used to treat Shanghan (Cold Damage) manifesting as wheezing with sweating; it also treats mild wheezing after the erroneous use of purgatives in Taiyang disease, indicating that the exterior syndrome remains unresolved.
This is Guizhi Tang (Cinnamon Twig Decoction) with the dosage of Shaoyao (Paeoniae Radix Alba) doubled, used to treat a patient originally suffering from Taiyang disease who was erroneously treated with purgatives, resulting in abdominal fullness and occasional pain, which belongs to Taiyin disease; this decoction is the primary treatment.
This is Guizhi Tang (Cinnamon Twig Decoction) with an addition of two liang of Guizhi (Cinnamomi Ramulus), used to treat cases where burning needles were used to induce sweating, causing cold to invade the needle sites and form nodules (kernels) that have not subsided. Such cases inevitably lead to Bengtun Qi (a condition characterized by a sensation of qi rushing upward from the lower abdomen). Treatment involves moxibustion on each nodule (one zhu per site) and administration of this decoction.
This is Guizhi Tang (Cinnamon Twig Decoction) with the addition of Renshen (Ginseng Radix) and doubled dosages of Shaoyao (Paeoniae Radix Alba) and Sheng Jiang (Zingiberis Rhizoma Recens), used to treat body pain and a deep, slow pulse following excessive sweating.
This is Guizhi Tang (Cinnamon Twig Decoction) with the addition of Longgu (Fossilia Ossis Mastodi et Scapulae) and Muli (Concha Ostreae), used to treat men with seminal emission and women with nocturnal emissions during dreams, presenting with extremely deficient and hollow (Kou) pulses.
This is Guizhi Tang (Cinnamon Twig Decoction) with Shaoyao (Paeoniae Radix Alba) removed, and Shu Ke (Houttuyniae Herba), Longgu (Fossilia Ossis Mastodi et Scapulae), and Muli (Concha Ostreae) added, used to treat Shanghan with a floating pulse, where fire therapy was forcibly used to induce sweating leading to Yang collapse, inevitably causing fright, mania, restlessness, and inability to lie still.
This is Guizhi Tang (Cinnamon Twig Decoction) with one liang of Dahuang (Rhei Radix et Rhizoma) added, used to treat Taiyang disease where erroneous purgation resulted in severe abdominal fullness, excess, and intense pain.
This is Guizhi Tang (Cinnamon Twig Decoction) with two liang of Shaoyao (Paeoniae Radix Alba) removed, used to treat Taiyang disease after erroneous purgation, presenting with a hurried pulse and chest fullness.
This is the previous formula (Guizhi Jia Fuzi Tang) with one piece of Fuzi (Aconiti Lateralis Radix Praeparata) added, used to treat the same conditions as above but with slight aversion to cold. In the *Jin Gui Yao Lue*, this is named Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction), used to treat Shanghan lasting eight or nine days, characterized by painful irritability, inability to turn the body, absence of vomiting or thirst, and a floating, deficient, and choppy pulse.
This is Guizhi Tang (Cinnamon Twig Decoction) with Gancao (Glycyrrhizae Radix et Rhizoma) removed and Huangqi (Astragali Radix) added, used to treat Blood Bi (Blood Obstruction), presenting with numbness and insensitivity of the body, resembling Wind Bi.
This is Guizhi Tang (Cinnamon Twig Decoction) with Shaoyao (Paeoniae Radix Alba) removed and one piece of Zao Jiao (Gleditsiae Sinensis Spina) peeled and roasted until charred, added, used to treat Fei Wei (Lung Withering), presenting with expectoration of saliva and foam.
This is Guizhi Tang (Cinnamon Twig Decoction) with Shaoyao (Paeoniae Radix Alba) and Sheng Jiang (Zingiberis Rhizoma Recens) removed, and half a jin of Fuling (Poria) added. Use Ganlan Water (Agitated Water) to boil Fuling first, then add other herbs and decoct for administration, used to treat Bengtun (Rushing Qi).
This is Guizhi Tang (Cinnamon Twig Decoction) with two liang of Huangqi (Astragali Radix) added, used to treat Huanghan (Yellow Sweat), characterized by fever, sweating, severe flaccid pain in the waist and hips, inability to eat, heavy body pain, irritability, and difficult urination.
Use only Chuwu (Aconiti Kusnezoffii Radix) alone, combined with two jin of honey, decocted until reduced by half. Strain the dregs, then mix with five he of Guizhi Tang (Cinnamon Twig Decoction) to obtain one sheng. Initially administer two he; if ineffective, administer three he. If still no improvement ("bu zhi"), administer five he. If the patient experiences a state similar to drunkenness or vomits, this indicates the medicine is effective ("zhong bing"). This is used to treat Hanhan (Cold Cramp) with abdominal pain, cold extremities, and numbness in hands and feet, in cases refractory to other medications.