有湿痰抑遏其阳气不得外泄,脉沉缓,治宜江茶香油姜汁同服,吐其痰;以
通圣去芒硝大黄麻黄加四物汤。
伏脉有热甚而血虚,脉沉而涩,宜四物四君子陪地黄黄柏。
战栗有热
内热曰烦,外热曰热
脉浮大而里虚为虚;细小而实为实。暴热病在心肺;积热病在肝肾;虚热不食自汗气短属
脾虚;实热能食渴便难属胃实;火郁而热、五心热,乃心火陷于脾;血中伏火,心神烦乱不安,
宜镇阴火;阴虚热;酒食肉热。
肺热 日西而甚,喘咳寒热,轻者泻白散,重者凉鬲、白虎、地骨皮散。
心热 日中甚,烦心、心痛,掌中热而 ,以黄连泻心汤、导赤散、安神丸。
肝热 寅卯时甚,脉弦,四肢困,热满、转筋,筋痿不起,以泻青丸、柴胡饮子。
脾热 夜甚,怠惰嗜卧,以泻黄散、调胃承气治实热,补中治虚热。
肾热 如火,因热不任起床,以滋肾丸、六味地黄丸
木香金铃子散 治暴热心肺上喘。
大黄(五钱) 金铃子(三钱) 木香(三钱) 轻粉(一钱) 朴硝(一钱) 柳白皮汤下三钱。
地黄丸 治肾热不能运动。
熟地(八钱) 茯苓 泽泻 牡丹皮(各三钱) 山茱萸 山药(各四钱) 蜜丸酒下。
柴胡饮子 治肝热,两胁下肌热,脉浮弦,寅申候者。
柴胡 人参 黄芩 甘草(一两) 大黄 川归 芍药(半两) 活石(三钱又方三两)
三黄丸 治胃实热。
四物四君子加升柴 治脾虚热。
补中益气汤
人参 白术 黄 陈皮 甘草 川归 升麻(三分) 柴胡(三分) 水煎。
火郁汤 治四肢热、五心烦热,因热伏土中,抑遏阳气。
羌活 升麻 葛根 芍药 人参(五钱) 柴胡 甘草(三钱) 防风(三钱)
上葱白三寸煎。
朱砂安神丸 治血中伏火,心神烦乱,蒸蒸不安,兀兀欲吐。
朱砂(一钱) 黄连(一钱半酒炒) 生地 甘草 川归(半钱) 心下痞除地黄加大黄并丸。
四物补阴丸 治阴虚。
四物汤 人参 白术 黄柏 龟板 青黛 栝蒌 姜汁丸
治酒肉热。
凉鬲散 退六经热。
连翘 栀子 薄荷 大黄 黄芩(半两) 朴硝(二钱半) 甘草(两半)
上酒下八钱。咽不利、肿痛并涎嗽,加桔梗、荆芥;咳而呕,加半夏;鼻衄呕血,加归芍;
淋闭,加滑石、茯苓;痛秘,加木香、沉香。
六一加辰砂薄荷丸 治表里热。
活石(六两水飞) 甘草(一两) 共为末。
朱砂凉鬲丸 治上焦虚热,肺脘有气如烟上。
黄连 栀子(一两) 人参 茯苓(五钱) 脑(五钱) 朱砂(三钱) 蜜丸。
黄连清鬲丸 治心肺间热及经中热。
麦门冬 黄芩 黄连
当归承气汤 治狂热甚。
四顺饮子 治血热日晡热者。
桃仁承气汤 治血热夜热者。
潮热者 芩连甘草汤;平旦发,阳分也,白虎加芩;日晡潮,阴分也,肾主
之,用滋肾丸;辰戌时,加羌活;午间加黄连;未时石膏;申时柴胡;酉时升
麻;夜间当归;有寒加四君子。平旦热属肺,日晡热肾主之。
五蒸汤 治蒸劳。
人参 知母 黄芩(钱) 石膏(二钱) 甘草(五分) 地黄 竹叶 葛根 茯苓(钱半)
粳米 以小麦煮水煎,随虚实加减。
实热加芩连柏大黄;
虚热加秦艽、柴胡、乌梅、蛤蚧、青蒿、牡丹皮、鳖甲、小麦。
肺,鼻干 乌梅 天门冬 麦门冬 柴胡 紫菀。
大肠,右鼻孔干痛 大黄 芒硝
舌白唾血 石膏 桑白皮
气身热喘促鼻干 人参 栀子 黄芩 石膏。
昏昧嗜卧 牡丹皮
心,舌干 黄连 地黄
小肠,下唇焦 地黄 赤茯苓 木通
脉,唾白脉不调 归 生地黄 血发焦 地黄 桂 童便
脾,唇焦 芍药 木瓜 苦参
胃,舌下痛 石膏 粳米 大黄 芒硝 葛根
内食无味而呕烦躁不安 芍药
肝,眼黑 川芎 川归 前胡
胆,眼白 柴胡 栝蒌
筋,甲焦 川芎 当归
三焦,乍寒乍热 石膏 竹叶
肾,二耳焦 石膏 知母 地黄 寒水石
膀胱,左耳焦 泽泻 茯苓 活石
脑,头眩热闷 地黄 防风 羌活
髓,骨中热 地黄 当归 天门冬
骨,齿黑腰痛足逆 当归 地骨皮 牡丹皮 鳌甲 地黄
肉,支细趺肿,腑脏俱热 石膏 黄柏
胞,小便赤黄 泽泻 茯苓 活石 沉香 生地黄
参归散 治骨蒸劳。
人参 柴胡(同川归炒) 鳖甲(麦芽汤浸七日) 秦艽 川归(同柴胡炒) 川常山(酒浸三日)
甘草 前胡(半两) 茯苓(七钱半) 地骨皮 北知母(炒) 乌梅(二个) 煎服
牛膝丸 治肾肝损,骨痿筋缓不能收持,亦治腰痛。
萆 (炒) 苁蓉(酒浸) 菟丝子(酒浸) 牛膝(酒浸治肾) 杜仲(炒) 蒺藜(治
肝等分) 桂(一钱半)
上以酒煮猪腰子丸,酒下。
脾胃虚 四君子主之。
肝乘之胁痛、口苦、寒热而呕,四肢满,淋溲、便鸡、转筋、腹痛 宜用柴胡 防
风川芎 独活 羌活 芍药 白术 桂
心乘之宜 黄芩 黄连 黄柏 芍药 地黄 石膏 知母
肺受病 咳嗽寒热,懒语嗜卧短气,宜补中益气。
水浸侮 作涎清涕,冷泄,肩甲腰脊痛,宜姜附桂。
诸病能发热 风寒、水湿、火燥、七情,皆能发热也。
五心烦热 小肠热、心虚热、日晡热(女疸),胸中烦热、肝中寒、足下热(酒疸)
There is damp-phlegm obstructing and suppressing the Yang Qi, preventing it from dispersing outward. The pulse is deep and slow. Treatment should involve taking Jiang tea (Jiangcha), sesame oil, and ginger juice together to induce vomiting and expel the phlegm; subsequently, use Tongsheng San (Universal Rescue Powder) removing Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), and Mahuang (Ephedrae Herba), adding Siwu Tang (Four Substances Decoction).
A hidden pulse (Fumai) with intense heat and blood deficiency, presenting as deep and choppy, should be treated with Siwu Tang (Four Substances Decoction) combined with Sijunzi Tang (Four Gentlemen Decoction), supplemented by Dihuang (Rehmanniae Radix) and Huangbai (Phellodendri Cortex).
Tremors accompanied by fever.
Internal heat is termed "Fan" (Vexation); external heat is termed "Re" (Heat).
A floating and large pulse with interior deficiency indicates a Deficiency pattern; a fine and small pulse that feels solid upon pressure indicates an Excess pattern. Sudden high fever involves the Heart and Lungs; accumulated heat involves the Liver and Kidneys; deficiency heat with loss of appetite, spontaneous sweating, and shortness of breath belongs to Spleen deficiency; excess heat with ability to eat, thirst, and difficult defecation belongs to Stomach excess; heat due to Fire depression and five-palm heat indicates Heart Fire sinking into the Spleen; latent fire in the Blood causing mental vexation and restlessness requires suppressing Yin Fire; yin-deficiency heat; heat from alcohol and meat consumption.
Lung Heat: Worsens in the evening, with wheezing, cough, and alternating chills and fever. Mild cases use Xiebai San (Drain White Powder); severe cases use Liange San (Cool Diaphragm Powder), Baihu Tang (White Tiger Decoction), or Digupi San (Digupi Powder).
Heart Heat: Worsens at noon, with mental vexation, heart pain, and heat in the palms. Use Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart), Daochi San (Guide Out Redness Powder), or Anshen Wan (Calming the Spirit Pill).
Liver Heat: Worsens during Yin and Mao hours (3-7 AM), with a string-taut pulse, limb fatigue, sensation of fullness and heat, muscle spasms, and flaccidity preventing movement. Use Xieqing Wan (Drain Green Pill) or Chaihu Yinzi (Bupleurum Drink).
Spleen Heat: Worsens at night, with lethargy and desire to lie down. Use Xiehuang San (Drain Yellow Powder); for excess heat, use Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction); for deficiency heat, use tonification methods.
Kidney Heat: Feels like fire burning, so severe one cannot rise from bed. Use Zishen Wan (Nourish Kidney Pill) or Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill).
Muxiang Jinlingzi San (Costus and Golden Bell Fruit Powder): Treats sudden high heat with upper rushing of Qi in the Heart and Lungs causing panting.
Formula: Dahuang (5 qian), Jinlingzi (3 qian), Muxiang (3 qian), Qingfen (1 qian), Puxiao (1 qian). Take 3 qian washed down with decoction of Willow white bark.
Dihuang Wan (Rehmannia Pill): Treats kidney heat causing inability to move the body.
Formula: Shudi (8 qian), Fuling (3 qian), Zexie (3 qian), Mudanpi (3 qian), Shanzhuyu (4 qian), Shanyao (4 qian). Make honey pills, take with wine.
Chaihu Yinzi (Bupleurum Drink): Treats liver heat, heat in muscles under both hypochondria, floating and string-taut pulse, occurring during Yin and Shen hours.
Formula: Chaihu, Renshen, Huangqin, Gancao (1 liang), Dahuang, Chuangui, Shaoyao (half liang), Huashi (3 qian; alternative formula uses 3 liang).
Sanhuang Wan (Three Yellows Pill): Treats stomach excess heat.
Siwu Tang combined with Sijunzi Tang plus Shengma and Chaihu: Treats spleen deficiency heat.
This is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Formula: Renshen, Baizhu, Huangqi, Chenpi, Gancao, Chuangui, Shengma (3 fen), Chaihu (3 fen). Decoct in water.
Huoyu Tang (Fire Depression Decoction): Treats heat in limbs and five-palm heat, caused by heat lying dormant in the earth, suppressing Yang Qi.
Formula: Qianghuo, Shengma, Gegen, Shaoyao, Renshen (5 qian), Chaihu, Gancao (3 qian), Fangfeng (3 qian).
Decoct the above with three cun of Scallion White (Congbai).
Zhusha Anshen Wan (Cinnabar Calming Spirit Pill): Treats latent fire in blood causing mental vexation, steaming heat and restlessness, dizziness, and urge to vomit.
Formula: Zhusha (1 qian), Huanglian (1.5 qian, stir-fried with wine), Shengdi, Gancao, Chuangui (0.5 qian). If there is epigastric fullness, remove Dihuang and add Dahuang, make into pills.
Siwu Buyin Wan (Four Substances Yin-Nourishing Pill): Treats yin deficiency.
Formula: Siwu Tang, Renshen, Baizhu, Huangbai, Guiban (Tortoise Shell), Qingdai (Indigo Naturalis), Gualou. Form pills with ginger juice.
Treating heat from alcohol and meat.
Liange San (Cool Diaphragm Powder): Clears heat of the six meridians.
Formula: Lianqiao, Zhizi, Bohe, Dahuang, Huangqin (half liang), Puxiao (2.5 qian), Gancao (1.5 liang).
Take 8 qian washed down with wine. If throat discomfort, swelling, pain, and salivary cough occur, add Jiegeng and Jingjie; if cough with vomiting, add Banxia; if nasal bleeding or hematemesis, add Danggui and Shaoyao; if stranguria and retention, add Huashi and Fuling; if painful constipation, add Muxiang and Chenxiang.
Liuyi Jia Chensha Bohe Wan (Six-to-One Plus Cinnabar and Mint Pill): Treats exterior and interior heat.
Formula: Huashi (6 liang, water-flown), Gancao (1 liang). Grind into powder.
Zhusha Liange Wan (Cinnabar Cool Diaphragm Pill): Treats upper jiao deficiency heat, with qi rising in the lungs like smoke.
Formula: Huanglian, Zhizi (1 liang), Renshen, Fuling (5 qian), Nao (Camphor/Musk, 5 qian), Zhusha (3 qian). Make honey pills.
Huanglian Qingge Wan (Coptis Clear Diaphragm Pill): Treats heat between Heart and Lung and heat in the meridians.
Formula: Maimendong, Huangqin, Huanglian.
Danggui Chengqi Tang (Angelica Direct-Downward Decoction): Treats severe manic heat.
Sishun Yinzi (Four Smooth Drinks): Treats blood heat with afternoon fever.
Taoren Chengqi Tang (Peach Kernel Direct-Downward Decoction): Treats blood heat with nighttime fever.
Tidal Fever: Use Qinlian Gancao Tang (Scutellaria, Coptis, and Licorice Decoction); if starting at dawn, it belongs to Yang aspect, use Baihu Tang plus Huangqin; if tidal fever at dusk, it belongs to Yin aspect, governed by Kidney, use Zishen Wan; if occurring at Chen and Xu hours, add Qianghuo; if at Wu hour, add Huanglian; if at Wei hour, add Shigao; if at Shen hour, add Chaihu; if at You hour, add Shengma; if at night, add Danggui; if accompanied by chills, add Sijunzi Tang. Dawn heat belongs to Lung; dusk heat is governed by Kidney.
Wuzheng Tang (Five Steaming Decoction): Treats steaming consumptive fever.
Formula: Renshen, Zhimu, Huangqin (1 qian), Shigao (2 qian), Gancao (0.5 fen), Dihuang, Zhuye, Gegen, Fuling (1.5 qian), Jingsmi. Decoct using water boiled from Xiaomai (Wheat), adjusting according to deficiency or excess.
For excess heat, add Huangqin, Huanglian, Huangbai, Dahuang;
For deficiency heat, add Qinjiao, Chaihu, Wumei, Gejie, Qinghao, Mudanpi, Biejia, Xiaomai.
Lung system symptoms: Dry nose. Medicines: Wumei, Tianmendong, Maimendong, Chaihu, Ziwan.
Large Intestine system symptoms: Dry and painful right nostril. Medicines: Dahuang, Mangxiao.
White tongue coating and spitting blood. Medicines: Shigao, Sangbaipi.
Qi level body heat, rapid breathing, dry nose. Medicines: Renshen, Zhizi, Huangqin, Shigao.
Drowsiness and lethargy. Medicine: Mudanpi.
Heart system symptoms: Dry tongue. Medicines: Huanglian, Dihuang.
Small Intestine system symptoms: Scorched lower lip. Medicines: Dihuang, Chifuling, Mutong.
Pulse system symptoms: Spitting white foam, irregular pulse. Medicines: Danggui, Shengdihuang.
Blood system symptoms: Scorched hair. Medicines: Dihuang, Guizhi, Tongbian (Child's urine).
Spleen system symptoms: Scorched lips. Medicines: Shaoyao, Mugua, Kushen.
Stomach system symptoms: Pain under the tongue. Medicines: Shigao, Jingsmi, Dahuang, Mangxiao, Gegen.
Internal food stagnation with tastelessness, vomiting, vexation, and restlessness. Medicine: Shaoyao.
Liver system symptoms: Black vision. Medicines: Chuanxiong, Chuangui, Qianhu.
Gallbladder system symptoms: White/yellow eyes. Medicines: Chaihu, Gualou.
Sinew system symptoms: Scorched nails. Medicines: Chuanxiong, Danggui.
Sanjiao system symptoms: Alternating chills and fever. Medicines: Shigao, Zhuye.
Kidney system symptoms: Scorched ears. Medicines: Shigao, Zhimu, Dihuang, Hanshuishi.
Bladder system symptoms: Scorched left ear. Medicines: Zexie, Fuling, Huashi.
Brain system symptoms: Dizziness, heat, and stuffiness. Medicines: Dihuang, Fangfeng, Qianghuo.
Marrow system symptoms: Heat in bones. Medicines: Dihuang, Danggui, Tianmendong.
Bone system symptoms: Black teeth, lower back pain, inverted cold feet. Medicines: Danggui, Digupi, Mudanpi, Biejia, Dihuang.
Flesh system symptoms: Thin limbs, swollen dorsum of foot, heat in all organs. Medicines: Shigao, Huangbai.
Bladder/Cell system symptoms: Red and yellow urine. Medicines: Zexie, Fuling, Huashi, Chenxiang, Shengdihuang.
Shengu San (Ginseng and Angelica Powder): Treats bone-steaming consumptive fever.
Formula: Renshen, Chaihu (stir-fried with Chuangui), Biejia (soaked in malt water for 7 days), Qinjiao, Chuangui (stir-fried with Chaihu), Chuanchangshan (soaked in wine for 3 days), Gancao, Qianhu (half liang), Fuling (7.5 qian), Digupi, Beizhimu (stir-fried), Wumei (2 fruits). Decoct and take.
Niuxi Wan (Achyranthes Pill): Treats Kidney and Liver damage, bone flaccidity and sinew laxity unable to support, also treats lower back pain.
Formula: Bibi (stir-fried), Congrong (wine-soaked), Tusizi (wine-soaked), Niuxi (wine-soaked, treats Kidney), Duzhong (stir-fried), Jili (treats Liver, equal parts), Guizhi (1.5 qian).
Boil pig kidneys in wine to form pills, take with wine.
Spleen and Stomach Deficiency: Primarily treated with Sijunzi Tang (Four Gentlemen Decoction).
Liver Overacting on Spleen: Hypochondriac pain, bitter taste, alternating chills and fever with vomiting, limb fullness, stranguria, loose stools resembling chicken droppings, spasms, abdominal pain. Suitable medicines: Chaihu, Fangfeng, Chuanxiong, Duhuo, Qianghuo, Shaoyao, Baizhu, Guizhi.
Heart Overacting on Spleen: Suitable medicines: Huangqin, Huanglian, Huangbai, Shaoyao, Dihuang, Shigao, Zhimu.
Lung Affected: Cough, alternating chills and fever, reluctance to speak, lethargy, shortness of breath. Suitable treatment: Tonify the Middle and Augment the Qi (Buzhong Yiqi).
Water Qi Insulting Spleen: Production of clear saliva and runny nose, cold diarrhea, shoulder blade and spine pain. Suitable medicines: Jiang (Ginger), Fuzi (Aconite), Guizhi (Cinnamon Twig).
Various diseases capable of causing fever: Wind-Cold, Water-Dampness, Fire-Dryness, and Seven Emotions can all cause fever.
Five-palm heat: Small Intestine heat, Heart deficiency heat, dusk fever (Female Jaundice), chest vexation, Liver Cold, heat under feet (Alcohol Jaundice).