即芎辛汤加 本白芷各等分为细末每药四两入 过石膏半斤水丸每两分作八丸薄荷
食后嚼下一丸治男妇一切风症遍身疮癣手足顽麻偏正头疼鼻塞脑闷大解伤寒头风又治雾
气或发热疗风蛀牙疼用一丸分作三次干擦后用盐汤漱之更用葱茶嚼下
即芎辛汤加抚芎川乌白芷为细末每服一钱葱白茶清或薄荷汤调下治中风伤寒发热恶
痛目眩鼻塞声重肩背拘急身体酸疼肌肉 动牙关紧急久新头风眼暗
即芎辛汤加防风薄荷桔梗为末炼蜜丸如芡实大食后临卧茶清细嚼一丸消风壅化痰涎
膈清头目治头痛旋眩心忪烦热颈项紧急肩背拘倦肢体烦疼皮肤瘙痒脑昏目疼鼻塞声重面
风状如虫行
调中顺气除风冷化痰饮治脾胃宿冷腹肋胀痛胸膈停痰呕逆恶心或外感风寒内伤生冷
痞闷头目昏痛肩背拘急肢体怠惰寒热往来饮食不进及妇人血气不调心腹撮痛经候不调或
闭不通
麻黄(去根节六两) 肉桂(去粗皮) 芍药(各三两) 甘草(炙三两) 苍术(米
泔浸廿四
两)
壳(去穣炒
六两)
两)
上除肉桂枳壳二味别为粗末外十三味同为粗末慢火炒令色转摊冷次入桂枳壳末令匀每服
三钱
按海藏五积论云麻黄桂芍药甘草即麻黄桂枝各半汤也苍术甘草陈皮浓朴即平胃散枳壳桔
梗陈
热之
于冷
始知
这就是芎辛汤加入藁本、白芷,各取等量,研磨成细末。每四两药粉中加入经过煅烧的石膏半斤,用水泛丸。每一两药粉制成八丸。饭后嚼服一丸。治疗男女各种风证,遍身疮癣,手足顽固性麻木,偏头痛和正头痛,鼻塞,头脑昏闷,大便排出时感受伤寒头风。又治疗雾瘴之气,或者发热,治疗风蛀牙痛,用一丸分作三次,干擦患处,之后用盐水漱口,再用葱茶嚼服。
这就是芎辛汤加入抚芎(川芎的一种)、川乌、白芷,研磨成细末。每次服用一钱,用葱白茶或米汤,或者薄荷汤调服。治疗中风、伤寒引起的发热、恶寒疼痛、目眩、鼻塞、声音沉重、肩背拘急僵硬、身体酸痛、肌肉跳动、牙关紧闭,以及新旧头风、眼睛昏暗。
这就是芎辛汤加入防风、薄荷、桔梗,研磨成粉末,炼蜜制成如芡实大小的丸剂。饭后及睡前用米汤细细嚼服一丸。消除风邪壅滞,化痰涎,使胸膈清爽,头目清明。治疗头痛、眩晕、心悸烦热、颈项紧急、肩背拘倦、肢体烦疼、皮肤瘙痒、头脑昏沉、眼睛疼痛、鼻塞声重、面部风感状如虫行。
调理中焦,顺气,祛除风冷,化痰饮。治疗脾胃宿冷,腹部和肋部胀痛,胸膈停痰,呕吐逆气,恶心。或者外感风寒,内伤生冷,导致痞闷,头目昏痛,肩背拘急,肢体怠惰无力,寒热往来,饮食不进。以及妇女血气不调,心腹撮痛,经候不调,或者闭经不通。
麻黄(去除根和节,六两),肉桂(去除粗皮),芍药(各三两),甘草(炙,三两),苍术(米泔水浸泡二十四两),枳壳(去除瓤,炒,六两)。以上药物除了肉桂和枳壳这两味单独磨成粗末外,其余十三味共同磨成粗末,用慢火炒至颜色转变,摊凉后,再混入肉桂和枳壳的细末,使其均匀。每次服用三钱。
按照海藏(张元素)关于五积的论述说:麻黄、桂枝、芍药、甘草,就是麻黄汤与桂枝汤各半的合方;苍术、甘草、陈皮、厚朴,就是平胃散。[此处原文似乎有缺漏或错简,意指五积散由这些基础方加减而成] 针对寒冷之症,始知[其理/其效]。
This is Xiongxin Decoction (Cnidium and Asarum Decoction) added with Glehniae Radix (Gaoben) and Angelicae Dahuricae Radix (Baizhi), in equal parts, ground into fine powder. For every four taels of the medicinal powder, add half a jin of calcined Gypsum Fibrosum (Guoshi). Form pills with water. Each tael of powder yields eight pills. Chew one pill after meals. It treats all wind syndromes in men and women, skin sores and tinea covering the whole body, stubborn numbness of hands and feet, lateral and frontal headaches, nasal congestion, mental fogginess, and head wind contracted during defecation due to Cold Damage. It also treats miasmic fog or fever, and wind-burrowing toothache. Use one pill divided into three applications for dry rubbing on the affected area, followed by rinsing with salt water, and then chewing with scallion tea.
This is Xiongxin Decoction added with Fuxiong (a variety of Chuanxiong Rhizoma), Aconiti Lateralis Radix Praeparata (Chuanwu), and Angelicae Dahuricae Radix (Baizhi), ground into fine powder. Take one qian each time, mixed with scallion white tea, rice water, or Mint Decoction (Bohe Tang). It treats stroke, fever and aversion to cold pain caused by Cold Damage, vertigo, nasal congestion, heavy voice, stiffness and tension of the shoulders and back, body soreness, muscle twitching, trismus, old and new head wind, and dim vision.
This is Xiongxin Decoction added with Saposhnikoviae Radix (Fangfeng), Menthae Haplocalycis Herba (Bohe), and Platycodonis Radix (Jiegeng), ground into powder, and formed into honey pills the size of a Chinese quince seed (Qianshi). Chew one pill finely after meals and before retiring, using rice water. It dissipates wind stagnation, transforms phlegm-fluids, clears the chest diaphragm, and brightens the head and eyes. It treats headache, vertigo, palpitations, irritability and heat, neck and nape stiffness, shoulder and back fatigue and tension, limb discomfort and pain, skin itching, mental dizziness, eye pain, nasal congestion with heavy voice, facial wind sensation resembling insect crawling.
Regulate the middle jiao, smooth qi, dispel wind-cold, transform phlegm-fluids. Treat chronic cold in the spleen and stomach, abdominal and hypochondriac distension and pain, phlegm retention in the chest and diaphragm, vomiting and nausea. Or external contraction of wind-cold combined with internal injury from raw/cold food, leading to fullness and obstruction, dizziness and pain of the head and eyes, stiffness of shoulders and back, lethargy of limbs, alternating chills and fever, loss of appetite. Also treat irregular blood and qi in women, heart and abdominal pinching pain, irregular menstruation, or amenorrhea.
Ephedrae Herba (Mahuang, remove roots and joints, six taels), Cinnamomi Ramulus (Rougui, remove rough bark), Paeoniae Radix Alba (Shaoyao, three taels each), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, three taels), Atractylodis Macrocephalae Rhizoma (Cangzhu, soaked in rice wash water, twenty-four taels), Aurantii Fructus Immaturus (Zhike, remove pulp, stir-fried, six taels). All above herbs, except Rougui and Zhike which are separately ground into coarse powder, are together ground into coarse powder. Slowly stir-fry over low fire until the color changes, spread out to cool, then mix in the fine powders of Rougui and Zhike evenly. Take three qian each time.
According to Haicang's (Zhang Yuansu) discussion on Wuji (Five Accumulations): Mahuang, Guizhi, Shaoyao, Gancao constitute Mahuang-Guizhi Half-Decoction (a combination of Mahuang Tang and Guizhi Tang); Cangzhu, Gancao, Chenpi, Houpo constitute Pingwei San. [The text implies that Wujisan is composed of these formulas]. Regarding cold conditions, one begins to understand [the principle/effect].