升麻 葛根 白芍药 甘草
去 疹欲出未出。以此汤升发之。已出者。不可用也。 按 者。阳明经壅积之热毒也
。故以升麻葛根
。乃畏其酸敛辄以意削去之。使此汤大减功力。嗟乎。岂古人心智不如今人至此乎。
羌活 独活 柴胡 前胡 枳壳 桔梗 茯苓 川芎 升麻 白芍药 甘草 生姜
主 疹初出身痛。头痛。憎寒。壮热。胸中不利。 按 为阳明之症。升麻葛根汤。乃
确剂也。兹以身痛。故加二活。以寒热故加二胡。以胸中不利。故加枳桔。后来复立加减诸法。盖确乎其
不可易矣。
犀角屑 黑玄参 升麻 射干 黄芩 甘草
主发 毒盛。心烦狂言。或咽痛者。 心烦狂言。南方之火亢炎也。咽喉作痛者。北方
之水衰微也。水虚不能制火。火旺必来乘金。金燥乃为咽痛。理势之固然者也。以犀角泻南。玄
参补北。射干黄芩救西方之燥金。甘草和中。化毒。狂烦等症。靡不悉愈矣。
大青 阿胶 甘草 淡豆豉
主解毒化 。 雷藏泽中。雷起而火随之。龙潜海底。龙起而火随之。龙雷之火燔灼。
熏逼
余邪。震木霁威。坎水归元。水火有既济之功。肌体无炎蒸之苦矣。
Acoris Rhizoma (Xionghuang, 雄黄), Sophorae Flavescentis Radix (Kushen, 苦参), Celosiae Semen (Qingxiangzi, 青葙子), Coptidis Rhizoma (Huanglian, 黄连), Persicae Semen (Taoren, 桃仁).
Mainly treats sores in the lower part of the body.
Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Gegen, 葛根), Paeoniae Radix Alba (Baishaoyao, 白芍药), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
Indicated for rashes that are about to emerge but have not yet appeared. This decoction is used to raise and diffuse them. If the rash has already emerged, it should not be used. Note: Rashes are heat-toxins accumulated and stagnant in the Yangming channel. Therefore, Cimicifugae Rhizoma and Puerariae Lobatae Radix are employed. Some individuals, fearing the astringent nature of Paeoniae Radix Alba, arbitrarily remove it from the formula, significantly reducing its efficacy. Alas! Could it be that the wisdom of ancient physicians was inferior to that of modern people?
Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Bupleuri Radix (Chaihu, 柴胡), Peucedani Radix (Qianhu, 前胡), Aurantii Fructus Immaturus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Poria (Fuling, 茯苓), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Cimicifugae Rhizoma (Shengma, 升麻), Paeoniae Radix Alba (Baishaoyao, 白芍药), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Zingiberis Recens Rhizoma (Shengjiang, 生姜).
Mainly treats early-stage rashes accompanied by body pain, headache, aversion to cold, high fever, and chest discomfort. Note: These are symptoms of the Yangming stage; Shengma Gegen Tang (Cinnamon Twig and Kudzu Root Decoction) is the precise indicated formula. Because of body pain, Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix are added; because of alternating chills and fever, Bupleuri Radix and Peucedani Radix are added; because of chest discomfort, Aurantii Fructus Immaturus and Platycodonis Radix are added. Subsequent methods for modifications were established based on this, which is indeed an unchangeable principle.
Rhinocerotis Cornu (Xijiao, 犀角), Scrophulariae Radix (Heixuanshen, 黑玄参), Cimicifugae Rhizoma (Shengma, 升麻), Belamcandae Rhizoma (Shegan, 射干), Scutellariae Radix (Huangqin, 黄芩), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
Mainly treats severe toxin eruption with mental restlessness, delirious speech, or sore throat. Mental restlessness and delirium indicate hyperactive fire of the South (Heart Fire); sore throat indicates deficient water of the North (Kidney Water). When Kidney Water is deficient and cannot control Heart Fire, the excessive Fire attacks Lung Metal (Fire overacts on Metal). The dryness of Lung Metal leads to sore throat, which is the natural course of pathology. Rhinocerotis Cornu clears the Southern Heart Fire; Scrophulariae Radix tonifies the Northern Kidney Water; Belamcandae Rhizoma and Scutellariae Radix rescue the dryness of Western Lung Metal; Glycyrrhizae Radix et Rhizoma harmonizes the middle jiao and transforms toxins. Symptoms such as mania and烦躁 will all heal.
Isatidis Folium (Daqingye, 大青), Asini Corii Colla (Ejiao, 阿胶), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Sojae Seminis Preparatum (Dandouchi, 淡豆豉).
Mainly treats detoxification and transformation of macules. Thunder hides in marshes; when thunder rises, fire follows. Dragons lurk at the bottom of the sea; when dragons rise, fire follows. The fire of dragons and thunder burns fiercely, forcing out residual pathogens. The Wood element (Zhen trigram) restrains its power, and the Water element (Kan trigram) returns to its origin, achieving the balance of Water and Fire (Ji Ji). Thus, the body is free from the suffering of intense heat.
Angelicae Sinensis Radix (Danggui, 当归), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Coptidis Rhizoma (Huanglian, 黄连), Rhei Radix et Rhizoma (Dahuang, 大黄).
Mainly treats internal excess of toxin eruption with constipation.