(附三焦用药法)
太阳宜汗。轻则杏、苏、橘红。重则麻、桂、薄荷。而葱头尤为发汗之通用。
【秀按】木贼草去节烘过。发汗至易。浮萍发汗。类似麻黄。当选。
少阳宜和。轻则生姜、绿茶。重则柴胡、黄芩。浅则木贼、青皮。深则青蒿、鳖甲。而阴阳水尤为和解之通用。
阳明宜下。轻则枳实、槟榔。重则大黄、芒硝。滑则桃杏、五仁。润则当归、苁蓉。下水结则甘遂、
大戟。下瘀结则醋炒生军。下寒结则巴豆霜。下热结则主生军。应用则用。别无他药可代。切勿以疲药塞责。
药稳当而病反不稳当也。惟清宁丸最为缓下之通用。麻仁脾约丸。亦为滑肠之要药。
太阴宜温。轻则藿、朴、橘、半。重则附、桂、姜、萸。而香、砂、尤为温运之和药。姜枣亦为温调之常品。
少阴宜补。滋阴、轻则归、芍、生地。重则阿胶、鸡黄。而石斛、麦冬、尤生津液之良药。补阳。刚则
附子、肉桂。柔则鹿胶、虎骨。而黄连官桂。尤交阴阳之良品。
厥阴宜清。清宣心包。轻则栀、翘、菖蒲。重则犀、羚、牛黄。而竹叶、灯心。尤为清宣包络之轻品。
清泄肝阳。轻则桑、菊、丹皮。重则龙胆芦荟。而条芩、竹茹。尤为清泄肝阳之轻品。
三焦用药法 上焦主胸中膈中。橘红、蔻仁是宣畅胸中主药。枳壳、梗桔是宣畅膈中主药。中焦主脘
中大腹。半夏、陈皮是疏畅脘中主药。川朴腹皮是疏畅大腹主药。下焦主小腹少腹。乌药官桂是温运小腹主药。小
茴、橘核是辛通少腹主药。而棉 皮为疏达三焦外膜之主药。焦山栀为清宣三焦内膜之主药。制香附为疏达三焦气
分之主药。全当归为辛润三焦络脉之主药。
(附:三焦用药法)
太阳病适宜采用发汗法。病情轻者,使用杏仁、紫苏、橘红;病情重者,使用麻黄、桂枝、薄荷。而葱白更是发汗的通用药物。
【徐秀按语】木贼草去节烘干后,发汗效果极易显现。浮萍发汗,功效类似麻黄,应当选用。
少阳病适宜采用和解法。病情轻者,使用生姜、绿茶;病情重者,使用柴胡、黄芩。病位浅者,使用木贼、青皮;病位深者,使用青蒿、鳖甲。而阴阳水(一半冷水一半热水混合)更是和解法的通用药物。
阳明病适宜采用攻下法。病情轻者,使用枳实、槟榔;病情重者,使用大黄、芒硝。大便滑利不畅者,使用桃仁、杏仁及五仁类药材;肠道干燥者,使用当归、肉苁蓉。若需攻下水饮结聚,则用甘遂、大戟;若需攻下瘀血结聚,则用醋炒的大黄;若需攻下寒邪结聚,则用巴豆霜;若需攻下热邪结聚,则以生大黄为主。该用则用,没有其他药物可以替代。切勿用效力疲软的药来敷衍塞责,否则药虽稳妥,病情反而难以控制。其中清宁丸是最为缓和攻下的通用药物。麻仁脾约丸,也是润肠通便的要药。
太阴病适宜采用温里法。病情轻者,使用藿香、厚朴、橘红、半夏;病情重者,使用附子、桂枝、干姜、吴茱萸。而木香、砂仁,更是温运中焦的平和药物。生姜、大枣也是温调脾胃的常用品。
少阴病适宜采用补益法。滋阴方面,病情轻者,使用当归、白芍、生地黄;病情重者,使用阿胶、鸡子黄。而石斛、麦冬,更是生津液的良药。补阳方面,刚猛之品如附子、肉桂;柔润之品如鹿角胶、虎骨。而黄连配官桂,更是交通阴阳的优质药对。
厥阴病适宜采用清热法。清宣心包络,病情轻者,使用栀子、连翘、石菖蒲;病情重者,使用犀角、羚羊角、牛黄。而竹叶、灯心草,更是清宣心包络的轻清之品。
清泄肝阳,病情轻者,使用桑叶、菊花、牡丹皮;病情重者,使用龙胆草、芦荟。而黄芩、竹茹,更是清泄肝阳的轻清之品。
三焦用药法:上焦主要指胸中和膈中部位。橘红、蔻仁是宣畅胸中的主药。枳壳、桔梗是宣畅膈中的主药。中焦主要指胃脘和大腹部位。半夏、陈皮是疏畅胃脘的主药。川朴(厚朴)、腹皮是大腹的主药。下焦主要指小腹和少腹部位。乌药、官桂是温运小腹的主药。小茴香、橘核是辛通少腹的主药。而棉皮是疏达三焦外膜的主药。焦山栀是清宣三焦内膜的主药。制香附是疏达三焦气分的主药。全当归是辛润三焦络脉的主药。
(Attached: Medication Methods for the Triple Burner)
Taiyang disease is suitable for diaphoresis (sweating therapy). For mild cases, use Xingren (Apricot Seed), Zisu (Perilla Leaf), and Juhong (Aged Tangerine Peel). For severe cases, use Mahuang (Ephedra), Guizhi (Cinnamon Twig), and Bohe (Mint). Congbai (Scallion White) is particularly a universal agent for inducing sweating.
[Comment by Xu Xiu] Muzei Cao (Equisetum ramosissimum), with nodes removed and dried over fire, induces sweating very easily. Pingping (Duckweed) induces sweating similarly to Mahuang and should be selected.
Shaoyang disease is suitable for harmonization. For mild cases, use Shengjiang (Fresh Ginger) and Lvcha (Green Tea). For severe cases, use Chaihu (Bupleurum Root) and Huangqin (Scutellaria Root). For superficial conditions, use Muzei (Equisetum) and Qingpi (Amandarri Fructus Immaturus). For deep-seated conditions, use Qinghao (Artemisia Annua) and Biejia (Tartar Testudo Carapace). Yinyangshui (a mixture of cold and hot water) is particularly a universal agent for harmonization.
Yangming disease is suitable for purgation (downward draining). For mild cases, use Zhishi (Immature Bitter Orange) and Binglang (Areca Seed). For severe cases, use Dahuang (Rhubarb Root) and Mangxiao (Mirabilite). For slippery constipation, use Taoren (Peach Kernel), Xingren (Apricot Seed), and Wuren (Five Kernels). For dryness, use Danggui (Angelica Sinensis) and Rongrong (Cistanche). To purge water accumulation, use Gansui (Kansui Root) and Daji (Euphorbia Lathyris). To purge blood stasis accumulation, use vinegar-processed Dahuang. To purge cold accumulation, use Badoushuang (Croton Seed Frost). To purge heat accumulation, raw Dahuang is the primary choice. Use as indicated; no other drugs can substitute. Do not use ineffective drugs to shirk responsibility, lest the medicine be stable but the condition unstable. Qingning Wan (Clear Peace Pill) is the most universal gentle purgative. Ma Ren Pi Yue Wan (Hemp Seed Spleen Confinement Pill) is also an essential drug for lubricating the intestines.
Taiyin disease is suitable for warming interior methods. For mild cases, use Huoxiang (Patchouli), Houpo (Magnolia Bark), Juhong (Aged Tangerine Peel), and Banxia (Pinellia Tuber). For severe cases, use Fuzi (Prepared Aconite Root), Guizhi (Cinnamon Twig), Jiang (Ginger), and Yuyu (Evodia Fruit). Muxiang (Aucklandia Root) and Sharen (Amomum Fruit) are particularly harmonious agents for warming and transporting. Jiang (Ginger) and Zao (Jujube) are common items for warming and regulating.
Shaoyin disease is suitable for tonification. For nourishing Yin, mild cases use Danggui (Angelica Sinensis), Shaoyao (Peony Root), and Shengdihuang (Rehmannia Root). Severe cases use Ejiao (Donkey-hide Gelatin) and Ji Huang (Chicken Egg Yolk). Shihu (Dendrobium Stem) and Maidong (Ophiopogon Tuber) are especially excellent medicines for generating fluids. For tonifying Yang, rigid agents include Fuzi (Prepared Aconite Root) and Rougui (Cinnamon Bark); soft agents include Lu Jiao Jiao (Deer Antler Glue) and Hu Gu (Tiger Bone). Huanglian (Coptis Rhizome) combined with Guigui (Cassia Twig/Cinnamon Bark) is an excellent pair for communicating Yin and Yang.
Jueyin disease is suitable for clearing heat. To clear and diffuse the Pericardium, mild cases use Zhizi (Gardenia Fruit), Qiaojiao (Forsythia Fruit), and Changpu (Acorus Rhizome). Severe cases use Xijiao (Rhinoceros Horn - *note: now substituted with Water Buffalo Horn in practice*), Lingyangjiao (Antelope Horn), and Niuhuang (Calculus Bovis). Zhuye (Bamboo Leaf) and Dengxincao (Juncus Effusus) are particularly light agents for clearing and diffusing the Pericardium.
To clear and drain Liver Yang, mild cases use Sangye (Mulberry Leaf), Juhua (Chrysanthemum Flower), and Danpi (Moutan Cortex). Severe cases use Longdancao (Gentiana Root) and Lvhua (Aloe). Huangqin (Scutellaria Root) and Zhuru (Bamboo Sap) are particularly light agents for clearing and draining Liver Yang.
Medication Methods for the Triple Burner: The Upper Burner mainly governs the chest and diaphragm area. Juhong (Aged Tangerine Peel) and Kouren (Cardamom Seed) are the main drugs for unblocking the chest. Zhike (Immature Bitter Orange) and Jiegeng (Platycodon Root) are the main drugs for unblocking the diaphragm. The Middle Burner mainly governs the epigastrium and large abdomen. Banxia (Pinellia Tuber) and Chenpi (Aged Tangerine Peel) are the main drugs for smoothing the epigastrium. Chunghoupo (Magnolia Bark) and Fupi (Citrus Peel) are the main drugs for the large abdomen. The Lower Burner mainly governs the lower abdomen and hypochondrium. Wuyao (Lindera Root) and Guigui (Cassia Twig) are the main drugs for warming and moving the lower abdomen. Xiaohuixiang (Fennel Fruit) and Juhe (Tangerine Seed) are acrid and penetrating agents for the hypochondrium. Cotton skin (Mian Pi) is the main drug for dispersing the outer membrane of the Triple Burner. Jiao Shanzhi (Charred Gardenia Fruit) is the main drug for clearing and diffusing the inner membrane of the Triple Burner. Zhi Xiangfu (Processed Cyperus Rhizome) is the main drug for dispersing the Qi aspect of the Triple Burner. Quan Danggui (Whole Angelica Sinensis) is the main drug for acridly moistening the collaterals of the Triple Burner.