桂枝汤原方加附子一枚(炮去皮破八片)。上六味,以水七升,煮取三升,去渣,温服一升。
太阳病,发汗,遂漏不止。此发汗太过,如水流漓,或药不对症之故,其人恶风,中风本恶风,汗后
当愈。今仍恶风,则表邪未尽也。小便难,津液少。四肢微急,难以屈伸者。四肢为诸阳之本,急难屈伸
乃津脱阳虚之象,但不至亡阳耳。若更甚而厥冷恶寒,则有阳脱之虑,当用四逆汤矣。桂枝加附子汤主之。桂
枝同附子服,则能止汗回阳。
桂枝原方加桂二两,即另立汤名,治症迥别,古圣立方之严如此。
桂枝汤原方加桂二两。上五味,以水七升,煮取三升,去渣,温服一升。
烧针令其汗,针处被寒,复感新寒。核起而赤者,
必发奔豚。气从少腹上冲心者,灸其核上各一壮,不止一针,故云各一壮。与桂枝加桂汤。重加桂枝,不
特御寒,且制肾气。又药味重,则能达下。凡奔豚症,此方可增减用之。
即前方加附子一枚(炮去皮破八片),余根据前法。
太阳病,下之后,脉促胸满者,中虚而表邪仍在。桂枝去芍药汤主之。太阳之邪未尽,故用桂枝,下后
伤阴,不宜更用凉药,若微恶寒者,去芍药,方中加附子汤主之。微恶寒,则阳亦虚矣,故加附子。
Guizhi Tang (Cinnamon Twig Decoction) original formula plus one Fuzi (Prepared Aconiti Lateralis Radix, processed, skin removed, broken into eight pieces). The above six herbs, with seven sheng of water, decoct to obtain three sheng, remove the dregs, and take one sheng warm.
Taiyang disease (disease of the Taiyang/Bladder channel), after sweating therapy, sweat continues to leak profusely. This is due to excessive sweating, resembling a flowing stream, or possibly because the medication was inappropriate for the syndrome. The patient feels aversion to wind; Wind-strike (Zhongfeng) inherently involves aversion to wind, and after sweating, it should resolve. Since aversion to wind persists now, it indicates that pathogenic factors in the exterior have not been fully cleared. Difficulty in urination is due to scanty body fluids. Slight stiffness and difficulty in flexing and extending the limbs: the limbs are the root of all Yang qi; stiffness and difficulty in movement are signs of fluid depletion and Yang deficiency, though not yet to the extent of Yang collapse. If it worsens further to include cold extremities and aversion to cold, there is a concern of Yang collapse, at which point Sini Tang (Frigid Extremities Decoction) should be used. Here, Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Prepared Aconite) is the primary treatment. When Guizhi (Cinnamon Twig) is taken with Fuzi, it can stop sweating and restore Yang.
The original Guizhi Tang formula plus two liang of Guizhi constitutes a separate decoction name, treating distinctly different syndromes; thus was the strictness of the ancient sages in formulating prescriptions.
The original Guizhi Tang formula plus two liang of Guizhi. The above five herbs, with seven sheng of water, decoct to obtain three sheng, remove the dregs, and take one sheng warm.
Moxibustion needles were used to induce sweating; the needle sites were exposed to cold, and new cold pathogens were contracted again. Red nodules rising at the site will inevitably trigger Ben Tun (Rushing Pig disorder, characterized by Qi rushing from the lower abdomen to the heart). When Qi rushes from the lower abdomen up to the heart, apply moxibustion on each nodule, one moxa cone per nodule (not just one needle, hence "one cone each"). Administer Guizhi Jia Gui Tang (Cinnamon Twig Decoction plus Cinnamon Twig). Heavier dosage of Guizhi not only wards off cold but also restrains Kidney Qi. Furthermore, heavier herbal dosage allows the medicine to reach the lower jiao. For any Ben Tun syndrome, this formula can be modified as needed.
The original Guizhi Tang formula minus Shaoyao (Peony Root). The above four herbs, with seven sheng of water, decoct to obtain three sheng, and take one sheng warm.
Plus one Fuzi (Prepared Aconiti Lateralis Radix, processed, skin removed, broken into eight pieces) to the previous formula; follow the previous method for the rest.
After incorrect purgation in Taiyang disease, if there is a rapid pulse (Cu Mai) and chest fullness, it indicates deficiency in the middle jiao while pathogenic factors remain in the exterior. Guizhi Qu Shaoyao Tang (Cinnamon Twig Decoction minus Peony Root) is the primary treatment. Since Taiyang exterior pathogens are not yet cleared, Guizhi is used; purgation damages Yin, so cooling herbs should not be used. If there is slight aversion to cold, Shaoyao is removed, and Fuzi is added to the formula, using Guizhi Qu Shaoyao Jia Fuzi Tang (Cinnamon Twig Decoction minus Peony Root plus Prepared Aconite). Slight aversion to cold indicates that Yang is also deficient, hence Fuzi is added.