治伤寒时气、温疫,头痛、壮热、脉盛,始得一、二日者方。
真丹砂(一两末)
上一味,以水一斗煮之,取一升顿服之,覆取汗,忌生冷物。(《外台》卷一)
好豉(一升绵裹) 葱白(切一升)
上二味,童子小便五升,煮取二升,分再服,覆取汗,神效。(《外台》卷一)
治太阳中风,阳浮阴弱,阳浮者热自发,阴弱者汗自出,啬啬恶寒,淅淅恶风,翕翕发
热,鼻鸣干呕方。
桂枝 芍药 生姜(各三两) 甘草(二两) 大枣(十二枚擘)
上五味,切姜擘枣,次切余药,以水七升,煮枣令烂,去滓,乃内诸药,水少者益之,
煮令微微沸,得三升,去滓,服一升,日三,小儿以意减之。初一服便得汗出者,后服小小
阔其间,如不得汗者,小小促之,今其药势相及,汗出自获,如服六物青散法。若病重者昼
夜服,特须避风。若服一剂 时不解,病证不变者,当更服之,至有不肯汗出者,服二、
三剂乃愈,服此药食顷,亦当饮热粥以助药力。若初得病甚,便以火发汗,火气太过,汗出
不解,烦躁不得寐,因此汤加龙骨牡蛎各三两,减桂心、生姜各一两,不用芍药。若虚劳里
急,腹中痛者,取前桂枝汤二升,加胶饴一升,适寒温分再服。若得大汗出者,只用桂枝二
两。发汗后重发汗,亡阳谵语,其脉反和者不死。发汗已解,半日许重发烦,其脉浮数,可
复发汗,宜桂枝汤方。忌海藻、生葱、菘菜等。(《外台》卷二)
桂枝汤方
上五味,切,以水七升,煮取三升,去滓,温服一升,须臾吃稀粥一升助药力,覆取微
汗,
神术散,治伤寒、伤风,头痛、体疼、恶寒、无汗方。
苍术(二钱) 荆芥 本 干葛 麻黄 甘草(炙各一钱)
上锉作一贴,入姜三片、葱白二茎,水煎服。(《东医宝鉴.杂病篇》卷二)
治疗伤寒时气、温疫,出现头痛、高热、脉象盛大,发病仅一、二天的方剂。
真丹砂(一两,研成粉末)
以上一味药,用水一斗煎煮,取汁一升,一次性服下,覆盖身体使其出汗,忌食生冷食物。(出自《外台秘要》卷一)
好豆豉(一升,用绵布包裹) 葱白(切细,一升)
以上两味药,用童子小便五升,煎煮取汁二升,分两次服用,覆盖身体使其出汗,效果极佳。(出自《外台秘要》卷一)
治疗太阳中风证,表现为阳脉浮而阴脉弱,阳脉浮说明热邪自发于表,阴脉弱说明汗液自出,恶寒怕冷如瑟瑟发抖,恶风怕风如淅沥受袭,发热如羽毛覆盖般温和,伴有鼻鸣、干呕的方剂。
桂枝 芍药 生姜(各三两) 甘草(二两) 大枣(十二枚,掰开)
以上五味药,切碎生姜,掰开大枣,再切碎其余药物,用水七升,先煮大枣至烂熟,滤去渣滓,然后加入其他药物,若水少则适量添加,煮至微微沸腾,取汁三升,滤去渣滓,每次服用一升,每日三次,小儿根据情况减量。第一次服药后若能出汗,后续服药间隔时间可适当延长;若未能出汗,可缩短服药间隔,使药力持续作用,自然得汗,如同服用六物青散的方法。若病情较重,昼夜连续服药,特别需要注意避风。若服用一剂后病证未解,且病证没有变化,应当继续服用,有的患者需服用二、三剂才能痊愈。服用此药片刻后,也应当喝热粥以助药力。若初起病势很盛,便用火法强行发汗,导致火气太过,汗出不止,烦躁不得入睡,此时可在本汤剂中加入龙骨、牡蛎各三两,减少桂心、生姜各一两,去掉芍药。若因虚劳导致里急腹痛者,取前方桂枝汤二升,加入胶饴一升,调节温度适宜后分两次服用。若出现大汗出的情况,只用桂枝二两。发汗后又再次发汗,导致亡阳谵语,但脉象反而平和者,预后良好不死。发汗后病已解除,约半天左右又出现烦热,脉象浮数,可以再次发汗,适宜使用桂枝汤方。忌食海藻、生葱、菘菜等。(出自《外台秘要》卷二)
桂枝汤方
以上五味药,切碎,用水七升,煎煮取汁三升,滤去渣滓,温服一升,片刻后喝稀粥一升以助药力,覆盖身体使其微微出汗,效果极佳。
神术散,治疗伤寒、伤风,出现头痛、身体疼痛、恶寒、无汗的方剂。
苍术(二钱) 荆芥 藁本 干葛 麻黄 甘草(炙,各一钱)
以上药材锉碎为一贴,加入生姜三片、葱白二茎,水煎服。(出自《东医宝鉴·杂病篇》卷二)
Formula for treating Shanghan (Cold Damage) Shiqi (Seasonal Qi diseases), Wenyi (Warm Epidemics), presenting with headache, high fever, and a full pulse, in the initial one to two days of onset.
Zhen Dansha (Cinnabar, 1 liang, powdered).
Take the above single herb, boil in 1 dou of water, reduce to 1 sheng, take orally at once, cover the patient to induce sweating, avoid cold and raw foods. (From *Waitai Miyao*, Vol. 1)
Hao Chi (Good Fermented Soybeans, 1 sheng, wrapped in silk gauze) Congbai (Scallion White, cut, 1 sheng).
Take the above two herbs, boil in 5 sheng of urine from an uncircumcised boy, reduce to 2 sheng, divide into two doses, take orally, cover the patient to induce sweating, extremely effective. (From *Waitai Miyao*, Vol. 1)
Formula for treating Taiyang Zhongfeng (Wind Strike of the Taiyang Channel), characterized by a floating Yang pulse and weak Yin pulse; floating Yang indicates spontaneous heat, weak Yin indicates spontaneous sweating; aversion to cold as if shivering, aversion to wind as if being sprinkled with water, mild fever as if covered by feathers, nasal congestion with roaring sound, and dry vomiting.
Guizhi (Ramulus Cinnamomi), Shaoyao (Radix Paeoniae Alba), Shengjiang (Rhizoma Zingiberis Recens, each 3 liang), Gancao (Radix Glycyrrhizae, 2 liang), Dazao (Fructus Jujubae, 12 pieces, split).
Cut the ginger and split the jujubes. Cut the remaining herbs. Boil in 7 sheng of water. First boil the jujubes until soft, strain out the dregs, then add the other herbs. If the water level is low, add more. Boil until slightly bubbling, obtain 3 sheng of liquid, strain out the dregs. Take 1 sheng per dose, three times daily. For children, adjust the dosage according to their condition. If sweating occurs after the first dose, extend the interval between subsequent doses slightly. If no sweating occurs, shorten the interval slightly to ensure the medicinal effect is continuous, so that sweating will naturally occur, similar to the method of using Liuwu Qingsan. If the disease is severe, administer day and night, and strictly avoid wind. If the condition does not resolve after one dose and the symptoms remain unchanged, continue administration. Some patients may require two or three doses to recover. After taking this medicine for a short while, drink hot congee to assist the medicinal power. If the initial illness was severe and fire therapy was used to force sweating, leading to excessive fire qi, persistent sweating, restlessness, and insomnia, add Longgu (Os Draconis) and Muli (Concha Ostreae), each 3 liang, reduce Guixin (Cortex Cinnamomi Cassiae) and Shengjiang by 1 liang each, and omit Shaoyao. For deficiency labor with interior urgency and abdominal pain, take 2 sheng of the aforementioned Guizhi Tang, add Jiaoyi (Malt Sugar), 1 sheng, adjust to a suitable temperature, and divide into two doses. If profuse sweating occurs, use only 2 liang of Guizhi. After inducing sweating, if sweating is induced again, leading to Yang collapse and delirium, but the pulse remains harmonous, the prognosis is good and death will not occur. If the disease resolves after sweating, but about half a day later restlessness recurs with a floating and rapid pulse, sweating can be induced again, and Guizhi Tang is appropriate. Avoid Haizao (Thallus Sargassii), raw Congbai, Songcai (Brassica pekinensis), etc. (From *Waitai Miyao*, Vol. 2)
Guizhi Tang Formula
Cut the five herbs mentioned above. Boil in 7 sheng of water, reduce to 3 sheng, strain out the dregs. Take 1 sheng warm. Shortly after, drink 1 sheng of thin congee to assist the medicinal power. Cover the patient to induce slight sweating, extremely effective.
Shenji San, for treating Shanghan (Cold Damage) and Shangfeng (Wind Injury), presenting with headache, body ache, aversion to cold, and absence of sweating.
Cangzhu (Rhizoma Atractylodis Lanceae, 2 qian), Jingjie (Herba Schizonepetae), Bencao (Rhizoma Ligustici Chuanxiong? Note: Text says 'Ben', likely Gaoben Rhizoma Ligustici Wallichii), Gange (Radix Puerariae Lobatae), Mahuang (Herba Ephedrae), Gancao (Radix Glycyrrhizae, roasted, each 1 qian).
Crush the herbs into one portion. Add 3 slices of ginger and 2 stalks of scallion white. Decoct in water and take orally. (From *Dongui Bogam · Miscellaneous Diseases*, Vol. 2)