(陶节庵《伤寒六书》) 治阴盛格阳烦躁。
附子 干姜 人参 麦冬 五味子 炙甘草 腊茶 水一钟煎之,临服入蜜五匙,顿冷
服之
回阳返本汤陈皮,四逆生脉二方披。(此四逆汤合生脉散,回阳而兼复阴。加陈皮以理
气也
也。
戴
黄连入,(黄连与附子同用,能交水火于顷刻。)但躁不烦不可医。(内热曰“烦”,谓心中
懊烦闷,为有根之火,故但烦不躁,及先烦后躁者,皆可治也。外热曰“躁”,谓身体手
足扰动,欲坐卧裸衣入井,为无根之火,故但躁不烦,及先躁后烦者,皆不可治也。)
(喻嘉言《医门法律》) 治猝暴中寒,厥逆,呕吐泻利,色清气冷,肌肤凛栗无汗,
阴盛没阳之证。
附子(炮) 干姜(炮各五钱) 葱白(五茎取汁) 猪胆(大者半枚) 水二大盏,
煎附、姜二味
留白二寸许,
熨二三饼;又
散阳回,身温
(喻嘉言《医门法律》) 治猝暴中寒,其人腠理素疏,自汗淋漓,身冷,手足
或外显假热躁烦,乃阴盛于内,逼其阳亡于外,即前方不用葱白也。
附子(炮) 干姜(炮各五钱) 水二大盏,煎至一盏,加猪胆汁一蛤壳,和温冷服。
不用葱熨
(喻嘉言《医门法律》) 治中寒用附姜汤后,第二服随用此方继之。因寒
伤营血,故用此兼理营分之寒。
附子(炮) 干姜(炮) 当归 肉桂(各二钱五分) 水二大盏,煎减半,入蜜一蛤
壳,温服。
(陶节庵《伤寒六书》)治疗阴寒内盛、格拒阳气导致的烦躁不安。
附子、干姜、人参、麦冬、五味子、炙甘草、腊茶,用水一钟煎煮,服药前加入蜂蜜五匙,一次性冷服。
回阳返本汤:陈皮,四逆生脉二方披。(此方由四逆汤与生脉散合方而成,旨在回阳救逆并兼复阴液。加入陈皮以调理气机。)
戴元礼指出:若加入黄连,(黄连与附子同用,能在顷刻间交通水火阴阳。)但仅有躁动而无烦闷者不可医治。(体内有热称为“烦”,指心中懊恼烦闷,属于有根之火,因此只有烦闷没有躁动,或者先烦后躁的,都可以治疗。体表发热称为“躁”,指身体手足扰动不安,想要坐卧、脱衣跳入井中,属于无根之火,因此只有躁动没有烦闷,或者先躁后烦的,都不可治疗。)
(喻嘉言《医门法律》)治疗突然遭受严重寒邪侵袭,四肢厥冷,呕吐腹泻,面色清淡、气息寒冷,肌肤凛冽战栗且无汗,这是阴寒极盛、淹没阳气的证候。
附子(炮制)、干姜(炮制各五钱)、葱白(五茎取汁)、猪胆(大者半枚),用水两大盏,煎煮附子和干姜两味药,留白约二寸许,制成二三张饼;又……散失的阳气回归,身体温暖。
(喻嘉言《医门法律》)治疗突然遭受严重寒邪侵袭,患者腠理素来疏松,自汗淋漓,身体冰冷,手足……或外显假热、躁动烦闷,这是由于阴寒盛于体内,逼迫阳气亡失于体外,即前方不用葱白。
附子(炮制)、干姜(炮制各五钱),用水两大盏,煎至一盏,加入猪胆汁一蛤壳量,调和后温冷服。
不使用葱熨法。
(喻嘉言《医门法律》)治疗中寒使用附子干姜汤后,第二服随即用此方接续治疗。因为寒邪损伤了营血,所以用此方兼治营分的寒邪。
附子(炮制)、干姜(炮制)、当归、肉桂(各二钱五分),用水两大盏,煎至减半,加入蜂蜜一蛤壳量,温服。
(Tao Jie'an's *Shanghan Liushu*) Treats irritability and restlessness caused by Yin excess repelling Yang.
Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Laicha (Fermented Tea Leaf). Decoct with one zhong of water. Before administration, add five spoons of honey, and take in one dose cold.
Huiyang Fanben Tang (Decoction to Restore Yang and Return to the Root): Chenpi (Citri Reticulatae Pericarpium), Si Ni Sheng Mai Er Fang Pi (The combination of Si Ni Tang and Sheng Mai San). (This formula combines Si Ni Tang [Four Reversal Decoction] and Sheng Mai San [Generate the Pulse Powder], aiming to restore Yang while simultaneously replenishing Yin. Chenpi is added to regulate Qi.)
Dai Yuanli pointed out: If Huanglian (Coptidis Rhizome) is added, (the combination of Huanglian and Fuzi can communicate Water and Fire within an instant.) However, cases with only restlessness without irritability are incurable. ("Irritability" refers to internal heat, characterized by mental restlessness and oppression, representing "rooted fire." Therefore, cases with only irritability or those progressing from irritability to restlessness are treatable. "Restlessness" refers to external heat, characterized by physical agitation of limbs, a desire to sit, lie down, strip clothes, or jump into a well, representing "unrooted fire." Therefore, cases with only restlessness or those progressing from restlessness to irritability are untreatable.)
(Yu Jiayan's *Yimen Falü*) Treats sudden severe cold invasion, leading to cold extremities, vomiting, diarrhea, pale complexion, cold breath, shivering skin, and absence of sweat. This is a syndrome of extreme Yin excess overwhelming Yang.
Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma) (both 5 qian, prepared), Congbai (Allii Fistulosi Bulbus) (5 stalks, juice extracted), Zhu Dan (Suis Vesica Biliaris). Decoct with two large zhan of water. Boil Fuzi and Ganjiang, leaving about two cun of liquid residue; prepare two or three cakes; ... dissipate Yang returns, body becomes warm.
(Yu Jiayan's *Yimen Falü*) Treats sudden severe cold invasion where the patient has inherently loose interstices, profuse spontaneous sweating, cold body, cold extremities... or displays false heat externally with restlessness and irritability. This occurs when Yin excess internally forces Yang to escape externally. In this case, Congbai is omitted from the previous formula.
Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma) (both 5 qian, prepared). Decoct with two large zhan of water until reduced to one zhan. Add one clam-shell measure of Zhu Dan (Suis Vesica Biliaris). Mix and administer lukewarm or cold.
Do not use Congyi (Scallion moxibustion).
(Yu Jiayan's *Yimen Falü*) After treating cold invasion with Fuzi and Ganjiang Decoction, this formula should be administered immediately for the second dose. Since Cold has injured Ying and Blood, this formula is used to address Cold in the Ying level concurrently.
Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Danggui (Angelicae Sinensis Radix), Rougui (Cinnamomi Cortex) (each 2.5 qian). Decoct with two large zhan of water until reduced by half. Add one clam-shell measure of honey. Administer warm.