悉照前方。加芍药。
脉浮为风。大为虚。风则微热。虚则痉挛。宜与桂枝加附子汤。厥逆咽干烦躁。阳明内
结。谵语烦乱。更饮甘草干姜汤。夜半阳气还。两足当热。胫尚微拘急重。与芍药甘草汤。乃胫
伸。以承气汤微溏。则止其谵语。
芍药 甘草
浮为风。合用桂枝汤。大为虚。虚而胫挛者。寒则筋急也。非附子不能温经以舒筋。故
加之。厥逆咽干烦躁。此阴躁也。虽内结谵语。而阳气未回。故以甘草干姜，温理中气。为脾主
四肢。又甘能缓急也。及阳气已还。则除去温剂。虽胫尚拘急。不过以芍药
和营而已。直待胫伸。寒症尽去。然后以承气止其谵语。盖内结者。非承气不能除耳。一症
也。始而大温之。既而微温。又既而微寒之。终而大寒之。非有见垣之智者。未易语此。后
人遇此症。岂复能出此手眼耶。
白术 甘草 附子 生姜 大枣
主风湿相搏。身痛。不呕渴。脉虚涩若其人大便硬。小便利者。宜与此汤。仲景云。初
服之。其人身如痹。半日许。复服之。三服尽。其人如冒状。勿怪。此以术附并走皮内。逐水气
。未得除故耳。当加桂四两。此本一方二法。以大便硬。小便利。故去桂也。以大便不硬。
小便不利。当加桂附。
甘草 白术 桂枝 附子
风湿相搏。骨节痛。不能屈伸。汗出短气。小便不利。恶风。或身微肿。身肿。加防风。
小便不利。加茯苓。
Follow the previous prescription exactly. Add Shaoyao (Paeoniae Radix Alba).
A floating pulse indicates Wind pathogen; a large pulse indicates deficiency. Wind invasion leads to slight fever, while deficiency causes muscle spasms. It is appropriate to use Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction with Aconite Root). If there are cold extremities, dry throat, and irritability, this indicates internal binding in the Yangming channel accompanied by delirium and mental confusion. At this time, one should administer Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction). By midnight, when Yang qi returns, both feet should become warm. If the calves remain slightly cramped and heavy, administer Shaoyao Gancao Tang (Peony and Licorice Decoction), so that the calves will extend. Then, use Chengqi Tang (Gut-Resolving Decoction) to induce slight loose stools, which will stop the delirium.
Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma)
Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma)
A floating pulse signifies Wind, hence Guizhi Tang (Cinnamon Twig Decoction) is combined. A large pulse signifies deficiency. When deficiency is accompanied by calf cramping, it is due to Cold causing tendon urgency. Only Fuzi (Aconiti Lateralis Radix Praeparata) can warm the meridians to relax the tendons; therefore, it is added. Cold extremities, dry throat, and irritability constitute Yin restlessness (Yin Zao). Although there is internal binding and delirium, Yang qi has not yet returned; thus, Gancao Ganjiang Tang is used to warm and regulate the Middle Jiao Qi. Since the Spleen governs the four limbs, and sweet flavors can relieve urgency, this treatment is chosen. Once Yang qi has returned, the warming agents are removed. Although the calves remain cramped, Shaoyao (Paeoniae Radix Alba) is used merely to harmonize the Ying (Nutritive) level. One must wait until the calves extend and the Cold syndrome is completely eliminated before using Chengqi Tang (Gut-Resolving Decoction) to stop the delirium. Internal binding cannot be cleared without Chengqi Tang (Gut-Resolving Decoction). This is a single syndrome treated sequentially: first with strong warming agents, then mild warming, followed by mild cooling, and finally strong cooling. Unless one possesses wisdom to see through walls (profound insight), it is difficult to discuss these matters. Would later generations encountering such syndromes possess such vision and skill?
Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus)
Indicated for Rhebi (Wind-Dampness) interlocking. Symptoms include body pain, absence of vomiting or thirst, and a deficient, choppy pulse. If the patient has hard stool but free urination, this decoction is appropriate. Zhang Zhongjing stated: After the initial dose, the patient may feel numbness; after about half a day, upon taking subsequent doses, once all three doses are consumed, the patient may experience a sensation of dizziness or clouded consciousness. Do not be alarmed. This occurs because Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata) move together within the skin to expel water dampness, which has not yet been fully eliminated. In this case, Gui Zhi (Cinnamomi Ramulus) should be increased by four liang. This was originally one formula with two methods. Because the stool was hard and urination free, Gui Zhi (Cinnamomi Ramulus) was removed. If the stool is not hard and urination is difficult, Gui Zhi (Cinnamomi Ramulus) and Fuzi (Aconiti Lateralis Radix Praeparata) should be added.
Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata)
Rhebi (Wind-Dampness) interlocking causes joint pain, inability to flex or extend, sweating, shortness of breath, difficulty in urination, aversion to wind, or slight body edema. For body edema, add Fangfeng (Saposhnikoviae Radix). For difficulty in urination, add Fuling (Poria).