治久病虚羸,脾气弱,食不消,喜噎。
黄柏 大麦 (炒) 吴茱萸 桂心 干姜(炮) 细辛 附子(炮去皮脐) 当归 大
黄(蒸) 神曲(炒) 黄连(各一两)
上为末,蜜和丸,如梧子大。每服三十丸,空腹、酒饮任下。
三阳有合病,三阴无合病。所谓三阳合者,有太阳阳明,有少阳阳明。自太阳传至阳明
,头疼腰痛者,太阳也;肌热目痛鼻干者,阳明也。尚恶寒,脉必浮大而长。浮者,太阳脉
也;长者,阳明脉也,当随证调之。本太阳证,因发汗多则谵语,属阳明,故有太阳阳明也
。少阳证未罢,犹当和解,不可便作阳明下之。
治太阳病,项背强KT KT 然,无汗恶寒。并治三阳合病自利方。
葛根(一两) 麻黄(去节,三分) 桂心(半两) 甘草(炙) 芍药(各半两)
上锉散。每服五钱匕,水一盏半,姜五片,枣一枚,煎七分,去滓,食前温服。三阳合
病,不下利,但呕者,加半夏六钱。
两感伤寒者,表里俱病也。一日太阳与少阴俱病,头痛口干,咽满而渴;二日阳明与太
阴俱病,腹满身热,不食谵语;三日少阳与厥阴俱病,耳聋囊缩而厥。两病俱作,治有先后
,先宜救里,脏气内正,急宜攻表,救内固宜急,而表亦不可缓也。救里解表,各随诸证而
善用之,自非精妙甄别,其孰能与于此也。
Treats chronic illness leading to physical weakness and emaciation, weak Spleen Qi (Spleen energy), indigestion, and a tendency towards choking or dysphagia.
Huangbai (Phellodendri Cortex), Damai (Hordei Fructus Germinatus, stir-fried), Wuzhuyu (Evodiae Fructus), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma, processed), Xixin (Asari Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, steamed), Shenqu (Mashii Fermentatum, stir-fried) (each 1 liang).
Grind the above herbs into fine powder, mix with honey to form pills, sized like wu-tong seeds. Take 30 pills per dose, on an empty stomach, administered freely with wine.
The Three Yang meridians have combined diseases, while the Three Yin meridians do not. The so-called "combined disease of the Three Yang" includes Taiyang-Yangming combined disease and Shaoyang-Yangming combined disease. When transmitting from Taiyang to Yangming, headache and lower back pain indicate Taiyang; muscle heat, eye pain, and nasal dryness indicate Yangming. If chills persist, the pulse will necessarily be floating, large, and long. A floating pulse is characteristic of Taiyang; a long pulse is characteristic of Yangming. Treatment should follow the specific syndrome. Originally a Taiyang syndrome, excessive sweating may lead to delirium, classifying it under Yangming, hence the term "Taiyang-Yangming." If Shaoyang syndrome has not yet resolved, harmonization should still be employed; one must not immediately apply purgation as for Yangming.
Treats Taiyang syndrome characterized by stiffness in the nape and back, absence of sweat, and aversion to cold. Also treats the formula for combined disease of the Three Yang presenting with spontaneous diarrhea.
Gegen (Puerariae Lobatae Radix, 1 liang), Mahuang (Ephedrae Herba, nodes removed, 3 fen), Guixin (Cinnamomi Ramulus, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shaoyao (Paeoniae Radix Alba, each 0.5 liang).
Cut the above herbs into coarse pieces for decoction. Take 5 qianbi per dose, with 1.5 zhan of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 Zao (Jujubae Fructus). Decoct until reduced to 70%, strain, and take warm before meals. In cases of combined disease of the Three Yang without diarrhea but with vomiting, add Banxia (Pinelliae Rhizoma) 6 qian.
Lianggan Shanghan (Two-meridian Cold Damage) refers to simultaneous involvement of exterior and interior meridians. On the first day, Taiyang and Shaoyin are both affected: headache, dry mouth, fullness in the throat, and thirst. On the second day, Yangming and Taiyin are both affected: abdominal fullness, fever, anorexia, and delirious speech. On the third day, Shaoyang and Jueyin are both affected: deafness, retraction of the testicles, and cold extremities. When both meridians are diseased simultaneously, treatment follows a sequence: first rescue the interior. Once the Zang organ Qi is internally rectified, urgently address the exterior. Rescuing the interior is indeed urgent, but addressing the exterior cannot be delayed. Rescue the interior and release the exterior, applying them skillfully according to various syndromes. Without exquisite discrimination and judgment, who could achieve this?