治自汗恶风。头疼体痛。发热。脉浮缓。名曰中风。(方下所言证治。照仲景内台
方原文。建安许宏集议。与伤寒论详略不同。后仿此。)
桂枝(三两 去皮。桂枝止取梢尖嫩枝。内外如一。若有皮骨者去之。非去枝上之皮也。
后
上五味。 咀。以水七升。微火煮取三升。去滓。适寒温。服一升。服已须臾。啜热稀
粥一升余以助药力。温覆令一时许。遍身 微似有汗者益佳。不可令如水流漓。病必不除。
若一服汗出病瘥。停后服。不必尽剂。若不汗。更服根据前法。又不汗。后服小促其间。半日
许令三服尽。若病重者。一日一夜服。周时观之。服一剂尽。病症犹在者。更作服。若汗不
出。乃服至二三剂。禁生冷粘滑肉面五辛酒酪臭恶等物。
歌曰 项强头痛汗憎风。桂芍生姜三两同。枣十二枚甘二两。解肌还藉粥之功。
蔚按。桂枝辛温阳也。芍药苦平阴也。桂枝又得生姜之辛。同气相求。可恃之以调周身
之阳
养
败之地
治太阳病项背强KT KT 。反汗出恶风者。
桂枝(三两 去皮。) 芍药(三两) 甘草(二两炙) 生姜(三两 切。) 大枣(十
二枚 擘) 葛根(四两)
上六味。 咀。以水一斗。煮葛根。减二升。去上沫。内诸药。煮取三升。温服一升。
覆取
歌曰 葛根四两走经输。(太阳之经输在背。)项背KT KT 反汗濡。(邪之中人。始
于皮肤。次及肌络。次及经输。邪在经输则经输实而皮毛虚。故反汗出而恶风。)只取桂枝
汤一料。加来此味妙相须。(一本。芍药减去一两。)
张令韶曰。桂枝汤解肌。加葛根以宣通经络之气。盖葛根入土最深。其藤延蔓似络。故
能同
治疗自汗、怕风、头痛、身体疼痛、发热、脉象浮缓的病证,称为中风。(方剂下方所述的证候与治疗,依据仲景《内台方议》原文。由建安许宏集议编纂,与《伤寒论》的详略有所不同,后文仿照此例。)
桂枝(三两,去皮。桂枝只取梢尖嫩枝,内外质地一致。如果有皮骨相连的部分则去除,并非去掉枝条上的表皮。后文仿此。)
以上五味药,捣碎。用水七升,用微火煮取三升,去渣滓。待温度适宜时,服用一升。服完后不久,喝热稀粥一升多以助药力。覆盖衣被约一顿饭的时间,使全身微微似有汗出为最佳,不可让汗出如水流漓,否则病必不能除。
如果服一次药后汗出病愈,停止后续服药,不必服完全部药剂。如果没有出汗,按前述方法再次服药。如果再不出汗,缩短后续服药间隔时间,半天左右让三次药服完。如果病情较重,一天一夜连续服药,观察二十四小时。如果服完一剂药,病症仍在,再重新煎服。如果仍不出汗,可服用至两到三剂。禁忌食用生冷、粘滑、肉类、面食、五辛、酒类、乳酪及气味恶浊等食物。
歌诀曰:项强头痛汗出怕风,桂枝、芍药、生姜各三两相同。大枣十二枚,甘草二两,解肌还需借助喝粥的功效。
蔚按(作者评论):桂枝性味辛温,属阳;芍药性味苦平,属阴。桂枝又得生姜之辛味,同气相求,可以依靠它来调和周身之阳气,滋养……(此处原文残缺或排版错乱,暂译为“败之地”前的语境,即调和阳气以固本)。
治疗太阳病,出现项背部僵硬不适(KT KT 代表古籍中无法显示的异体字或符号,通常指“几几”音shū shū,形容拘紧不舒),反而汗出、怕风的病证。
桂枝(三两,去皮。) 芍药(三两) 甘草(二两,炙) 生姜(三两,切。) 大枣(十二枚,掰开) 葛根(四两)
以上六味药,捣碎。用水一斗,先煮葛根,减少二升水量,撇去上面浮沫,再加入其他药物,煮取三升,温服一升。覆盖衣被取微汗。
歌诀曰:葛根四两走经络输穴。(太阳经的输穴在背部。)项背部僵硬拘紧反而汗出濡湿。(邪气侵袭人体,始于皮肤,次及肌络,次及经输。邪气在经输则经输实而皮毛虚,所以反而汗出且怕风。)只取桂枝汤一料,加入这味药妙在相互协同。(另一版本说,芍药减去一两。)
张令韶说:桂枝汤能解肌,加入葛根以宣通经络之气。大概因为葛根入土最深,其藤蔓蔓延类似络脉,所以能够……(原文在此处截断)
Translation of the classical text into academic English based on WHO standards.
Treats spontaneous sweating, aversion to wind, headache, body pain, fever, and a floating and moderate pulse (Pulse Fu Huan), known as Wind Stroke (Zhong Feng). (The syndrome and treatment described below follow the original text of Zhang Zhongjing's *Nei Tai Fang Yi*, compiled by Xu Hong of Jian'an. It differs in detail from *Shang Han Lun*; subsequent texts follow this example.)
Guizhi (Cinnamon Twig) [3 liang, peeled. Only the tender tips and young branches should be used, ensuring uniformity inside and out. Remove any woody parts connected to the bark; this does not mean removing the bark from the branch itself. Subsequent herbs follow this preparation.]
The above five medicinal materials are coarsely crushed (Ju). Boil with seven sheng of water over low heat until three sheng remain. Strain the dregs. Take one sheng when the temperature is suitable. Shortly after ingestion, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with warm blankets for about an hour, aiming for a slight, generalized perspiration. Do not allow profuse sweating like flowing water, or the disease will certainly not be eliminated.
If sweating occurs after the first dose and the illness resolves, stop taking the remaining medicine; there is no need to consume the entire dosage. If no sweating occurs, administer another dose according to the previous method. If still no sweating, shorten the interval between doses, completing three doses within half a day. For severe cases, administer medicine continuously day and night, observing for twenty-four hours (Zhou Shi). If symptoms persist after consuming one full prescription, prepare and administer another. If sweating still does not occur, continue administration up to two or three prescriptions. Avoid cold foods, sticky and slippery foods, meat, wheat products, the "Five Pungent Spices," alcohol, dairy products, and foul-smelling substances.
Song says:
Stiff neck, headache, sweating, and aversion to wind,
Gui Zhi, Shao Yao, and Sheng Jiang each at three liang.
Twelve Jujube fruits and two liang of Gan Cao,
To resolve the muscle layer, reliance is placed on the merit of porridge.
Wei An (Commentary): Guizhi is acrid and warm, belonging to Yang; Shaoyao is bitter and neutral, belonging to Yin. Guizhi, combined with the acridity of Sheng Jiang, seeks its own kind (Tong Qi Xiang Qiu), relying on this synergy to regulate the Yang qi of the whole body... [Text fragment ends/unclear context regarding "place of decay"].
Treats Taiyang Disease presenting with stiffness and discomfort in the nape and back (Xiang Bei Jiang Jin), accompanied by sweating and aversion to wind.
Guizhi (Cinnamon Twig) [3 liang, peeled.] Shaoyao (Peony Root) [3 liang] Gancao (Licorice Root) [2 liang, honey-fried] Shengjiang (Fresh Ginger) [3 liang, sliced.] Dazao (Jujube Fruit) [12 pieces, torn open] Gegen (Kudzu Root) [4 liang]
The above six medicinal materials are coarsely crushed. Boil with one dou of water. First boil Gegen until the volume reduces by two sheng, then skim off the foam. Add the remaining medicinal materials and boil until three sheng remain. Take one sheng warm. Cover to induce slight sweating.
Song says:
Four liang of Gegen travels through the meridians and transport points. (The transport points of the Taiyang meridian are located on the back.) Stiffness in the nape and back with abnormal sweating and dampness. (When pathogenic factors invade the human body, they begin at the skin, then reach the muscle collaterals, and finally the meridian transport points. When pathogens reside in the transport points, the transport points become excess while the skin and hair pores become deficient, hence the abnormal sweating and aversion to wind.) Use only one portion of Guizhi Tang, adding this herb for its synergistic effect. (Another version states that Shaoyao is reduced by one liang.)
Zhanglingshao stated: Guizhi Tang resolves the muscle layer; adding Gegen promotes the circulation of Qi in the meridians. This is because Gegen penetrates deepest into the soil, and its vines spread similarly to collaterals, thus it can... [Text cuts off].