茯苓(四两) 桂枝(三两,去皮) 白术 甘草(各二两,炙) 上四味、以水六升,煮取三升,去渣,分温三
服。
伤寒若吐、若下后,心下逆满,气上冲胸,起则头眩,脉沉紧,发汗则动经,身为振振摇者,茯苓
桂枝白术甘草汤主之。此亦阳虚而动肾水之症。即真武症之轻者,故其法亦仿真武之意。
芍药 甘草(各三两,炙) 附子(一枚,炮去皮破八片) 上三味,以水五升,煮取一升五合,去渣,分温三服。
发汗病不解,反恶寒者,虚故也,芍药甘草附子汤主之。甘草附子加芍药,即有和阴之意,亦邪之
甚轻者。
桂枝(四两,别切) 甘草(四两,炙) 白术 人参 干姜(各三两) 上五味。以水九升,先煮四味,取五升
,纳桂,更煮取三升,桂独后煮,欲其于治里症药中,越出于表,以散其邪也。去渣,温服一升,日再夜一服。
太阳病,外证未除;而数下之,下之太早又多。遂协热而利,利下不止,邪陷入里。心下痞硬,邪在上
焦,犹属半表。表宜桂枝。里宜余四味。不解者,桂枝人参汤主之。此必数下之后,而现虚症,故虽协
热而仍用温补。
《论》中有汗家重发汗,必恍惚心乱,小便已,阴疼,与禹余粮丸。疑即此为丸。
赤石脂(碎) 禹余粮(碎,各一斤) 上二味,以水六升,煮取二升,去渣,分温三服。二石同煎,方中
绝少。
伤寒服汤药,下利不止,心下痞硬,服泻心汤已,复以他药下之,利不止,一误再误。医以理中与
之,利益甚,理中者,理中焦也,此利在下焦,下药太过,则大肠受伤。赤石脂禹余粮汤主之。以涩治
脱。复利不止者,当利其小便。分其清浊,则便自坚。
Fuling (Poria, four liang) Guizhi (Cinnamon Twig, three liang, peeled) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Licorice Root, two liang each, honey-fried). The above four ingredients are boiled in six sheng of water until reduced to three sheng. The dregs are removed, and the decoction is divided into three warm doses.
After a Shanghan (Cold Damage) disease has been treated with emesis or purgation, if there is fullness and rebellious qi in the epigastrium, qi rushing up to the chest, dizziness upon rising, and a deep, tight pulse; if sweating is then mistakenly induced, it will disturb the channels, causing the body to tremble and shake. In such cases, Fuling Guizhi Baizhu Gancao Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction) is the primary treatment. This is also a syndrome of yang deficiency leading to the movement of kidney water. It is a mild form of Zhenwu Syndrome (Zhenwu Syndrome: Syndrome of Shaoyin Yang Deficiency with Water Flooding), so its therapeutic principle imitates that of Zhenwu Tang.
Shaoyao (Peony Root) Gancao (Licorice Root, three liang each, honey-fried) Fuzi (Prepared Aconite Root, one piece, processed, peeled, broken into eight pieces). The above three ingredients are boiled in five sheng of water until reduced to one sheng and five he. The dregs are removed, and the decoction is divided into three warm doses.
If after sweating the disease does not resolve, but instead chills appear, this indicates deficiency. Shaoyao Gancao Fuzi Tang (Peony, Licorice, and Prepared Aconite Decoction) is the primary treatment. Adding Shaoyao to Gancao Fuzi Tang introduces the intention of harmonizing yin, indicating that the pathogenic factor is relatively mild.
Guizhi (Cinnamon Twig, four liang, cut separately) Gancao (Licorice Root, four liang, honey-fried) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Root) Jiangzao (Dried Ginger, three liang each). The above five ingredients are boiled in nine sheng of water. First, boil the first four ingredients to obtain five sheng of liquid, then add Guizhi, and continue boiling until three sheng remain. Guizhi is added last to allow it to transcend from the interior-treating herbs to the exterior, thereby dispersing the pathogen. The dregs are removed, and one sheng is taken warm, twice during the day and once at night.
In Taiyang Disease (Taiyang Disease: Exterior syndrome caused by cold pathogen invasion), if the exterior symptoms persist, but multiple purgations have been used prematurely and excessively, it leads to Xiere Li (Xiere Li: Diarrhea accompanying exterior heat), with unceasing diarrhea as the pathogen sinks inward. There is hardness and stuffiness in the epigastrium; the pathogen is in the upper jiao, still belonging to the half-exterior category. For the exterior, Guizhi Tang should be used; for the interior, the remaining four ingredients should be used. If these do not resolve the condition, Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) is the primary treatment. This must be a deficiency syndrome appearing after multiple purgations; therefore, although there is heat, warming and tonifying methods are still employed.
The *Shanghan Lun* states: "For those who sweat frequently, heavy sweating will inevitably cause mental confusion and restlessness; after urination, there will be pain in the genitalia. Give Yuyuliang Wan." It is suspected that this refers to Yuyuliang Wan.
Chishizhi (Red Halloysite, crushed) Yuyuliang (Limonitum, crushed, one jin each). The above two ingredients are boiled in six sheng of water until reduced to two sheng. The dregs are removed, and the decoction is divided into three warm doses. Boiling two mineral substances together is rare in formulas.
In a Shanghan patient who takes herbal medicine and suffers from unceasing diarrhea and epigastric stuffiness and hardness, if after taking Xiexin Tang (Heart-Draining Decoction), the physician again uses other purgatives, leading to unceasing diarrhea, this is a double error. If the physician treats with Lizhong Tang (Middle-Jiao Regulating Decoction), the diarrhea worsens. Lizhong Tang regulates the middle jiao, but this diarrhea is located in the lower jiao. Excessive use of purgatives injures the large intestine. Chishizhi Yuyuliang Tang (Red Halloysite and Limonitum Decoction) is the primary treatment. Use astringent methods to treat prolapse/looseness. If the diarrhea continues despite this, one should promote urination. By separating the clear from the turbid, the stool will naturally become firm.