甘草(四两炙) 干姜(二两炮)
上二味。以水三升。煮取一升五合。去滓。分温再服。
按此方系因误用桂枝。阳越于上。致有厥逆咽中干。烦躁吐逆谵语诸变。特出此复阳救
逆之
法。观方中甘草倍干姜。专任其甘缓之性。特微加干姜为向导。引阳还返于下。并非资干姜
之辛热以复阳也。用者须识此意。
芍药(四两) 甘草(四两炙)
上二味。以水三升。煮取一升五合。去滓。分温再服。
按阳越于上。既用甘草干姜汤以复其阳。而挛急未解。明是津液不荣经脉。但以芍药甘
草和之。而脚即伸。亦正所以救桂枝之逆也。此法试之颇验。不可以其平易而忽之。
麻黄(二两去节) 赤小豆(一升) 连轺(二两) 杏仁(四十枚去皮尖) 生姜(二两切)
生梓白皮(一升) 甘草(一两炙) 大枣(十二枚)
上八味。以潦水一斗。先煮麻黄。再沸。去上沫。纳诸药。煮取三升。分温三服。半日
服尽。
伤寒瘀热在里。身必发黄。麻黄连轺赤小豆汤主之。按瘀热在里。则伤寒之表邪。亦瘀
而不行
。内外合邪。因致发黄。治亦当内外并解。伤寒解外。仍不离麻黄杏仁甘草之成法。热瘀则
不宜桂枝而改用连轺。以散在经之热。更用赤小豆梓白皮以清在里之热。而复以姜枣和之。
以其发黄从伤寒而来。犹兼半表。亦麻黄汤之变制也。
Gancao (Licorizae Radix et Rhizoma, four liang, honey-fried) Ganjiang (Zingiberis Rhizoma, two liang, processed)
The above two ingredients. With three sheng of water, decoct to obtain one sheng and five he of liquid. Remove the dregs. Divide into two doses and take warm.
Note: This formula is indicated for cases where Guizhi Tang (Cinnamon Twig Decoction) was mistakenly used, causing Yang Qi to float upward, resulting in various complications such as Jueni (cold extremities), dryness in the throat, irritability, vomiting and regurgitation, and delirious speech. This method is specifically proposed to restore Yang Qi and rescue from reversal. Observing that the dosage of Gancao is double that of Ganjiang, it primarily utilizes the sweet and moderating nature of Gancao, with a slight addition of Ganjiang as a guide to lead Yang Qi back downward. It does not rely on the pungent and hot nature of Ganjiang to restore Yang Qi. Practitioners must understand this intent.
Shaoyao (Paeoniae Radix Alba, four liang) Gancao (Licorizae Radix et Rhizoma, four liang, honey-fried)
The above two ingredients. With three sheng of water, decoct to obtain one sheng and five he of liquid. Remove the dregs. Divide into two doses and take warm.
Note: When Yang Qi floats upward, after using Gancao Ganjiang Tang to restore its Yang, if the cramping and stiffness remain unresolved, it clearly indicates that Body Fluids are failing to nourish the meridians. By harmonizing with Shaoyao and Gancao, the legs can extend. This also serves to correct the reversal caused by the improper use of Guizhi Tang. This method has proven quite effective in practice and should not be neglected due to its simplicity.
Mahuang (Ephedrae Herba, two liang, nodes removed) Chixiaodou (Vigna Semen Rubrum, one sheng) Lianyao (Scutellariae Radix, two liang) Xingren (Armeniacae Semen Amarum, forty pieces, skin and tips removed) Shengjiang (Zingiberis Rhizoma Recens, two liang, sliced)
Shengzibai Pi (Catalpae Cortex, one sheng) Gancao (Licorizae Radix et Rhizoma, one liang, honey-fried) Dazao (Zizyphi Fructus, twelve pieces)
The above eight ingredients. With one dou of rainwater (Liaoshui), first decoct Mahuang. After boiling again, remove the foam on the surface. Add the remaining herbs. Decoct to obtain three sheng of liquid. Divide into three warm doses. Complete the administration within half a day.
In Shanghan (Cold Damage), stagnant heat trapped inside will inevitably cause the body to turn yellow. Mahuang Lianqiao Chixiaodou Tang is the primary treatment. Note: Stagnant heat inside means that the exterior pathogenic factor of Shanghan is also stagnant and fails to circulate. Exterior and interior pathogens combine, leading to jaundice. Treatment should address both interior and exterior simultaneously. To resolve the exterior of Shanghan, the established method of Mahuang, Xingren, and Gancao remains applicable. For stagnant heat, Guizhi is unsuitable; instead, Lianyao is used to disperse heat in the channels. Chixiaodou and Zibai Pi are further employed to clear heat inside, while Jiang and Zao are used to harmonize. Since the jaundice originates from Shanghan, it still involves the half-exterior level, representing a modified variation of Mahuang Tang.