治伤寒中风。头痛。憎寒壮热。肢体痛发热畏寒。鼻干不得睡。兼治寒暄不时。人多疾疫。乍暖。脱着衣巾。及暴
热之次。忽变阴寒。身体疼痛头重如石者。
升麻 白芍药 甘草(炙) 干葛(各等分)
上锉如麻豆大。每服五钱。以水一盏半。煎至八分。去滓。若大假寒。即热服。若热。即温服。服药已身凉。止药。
琥按上主疗云。伤寒中风头痛云云。发热畏寒。鼻干不得睡。是阳明经受病也。方中用升麻葛根甘草。乃辛甘发
散风寒之义。但其中白芍药一味。惟发热有汗者。宜用之。如畏寒无汗者。不宜用也。愚意云。须以赤芍药代之为稳。
治头痛不止。
葛根 芍药 知母(各半两) 葱白(一把) 川芎 生姜(各一两)
上锉。如麻豆大。以水三升。煎取一升半。去滓。热分二服。
琥按上方。乃治阳明风热燥极头痛之剂。
韩祗和治伤寒病。以脉为先。证为后。如病患两手脉浮数而紧者。名曰伤寒。若寸脉力小。尺脉力大虽不恶风。不
自汗出。此乃阴气已盛。先见于脉也。若不投药和之。后必恶风。及自汗出。若立春以后。至清明以前。宜调脉汤主之。
(既曰伤寒。则证当恶寒无汗今则云后必恶风。及自汗出。于证不合。恐有错误。)
葛根(一两) 前胡(去苗) 防风(各七钱半) 甘草(炙半两)
上为粗末。每服五钱。水一盏。生姜一块。如小指大。劈破。煎七分。去滓。温服。如寸脉根据前力小。加枣三枚。
同煎。
(按上方。乃阳明经发汗之的剂。又手太阴经感冒风寒。亦宜用之。)
又如病患两手脉浮数而缓。名曰中风。若寸脉力小。(云云文同前)宜薄荷汤主之。
Treats Shanghan (Cold Damage) and Zhongfeng (Wind Strike). Headache. Zenghan Zhuangre (aversion to cold with high fever). Limb pain, fever, aversion to cold. Dry nose, inability to sleep. Also treats irregular climate changes. When many people suffer from epidemics. Sudden warmth. Changing clothes arbitrarily. And after sudden heat. Suddenly turning into Yin-cold. Body pain, head heavy as a stone.
Shengma (Rhizoma Cimicifugae), Baishao Yao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae, honey-fried), Gange (Radix Puerariae Lobatae) in equal parts.
Crush the herbs to the size of hemp seeds. Take five qian per dose. Add one dan and a half of water. Decoct until eight fen remains. Remove the dregs. If there is severe false cold, take it hot. If there are heat signs, take it warm. After taking the medicine, when the body cools down, stop the medication.
Hu notes: Regarding the above indications, it says "Shanghan Zhongfeng headache... Fever and aversion to cold, dry nose, inability to sleep." This indicates disease in the Yangming Channel. The formula uses Shengma, Gange, and Gancao, which embodies the principle of acrid-sweet dispersal of wind-cold. However, regarding Baishao Yao alone, it is suitable only for those with fever and sweating. For those with aversion to cold and no sweating, it is not suitable. In my opinion, it is safer to substitute it with Chishao Yao (Radix Paeoniae Rubra).
Treats persistent headache.
Gange (Radix Puerariae Lobatae), Shaoyao (Radix Paeoniae), Zhi Mu (Rhizoma Anemarrhenae) each ban liang; Congbai (Bulbus Allii Cepae) one bunch; Chuanxiong (Rhizoma Chuanxiong), Shengjiang (Rhizoma Zingiberis Recens) each yi liang.
Crush the herbs to the size of hemp seeds. Add three sheng of water. Decoct to obtain one dan and a half. Remove the dregs. Divide into two doses, taken hot.
Hu notes: The above formula is for treating headache caused by extreme dryness due to wind-heat in the Yangming channel.
Han Zhihe treated Shanghan diseases by prioritizing pulse diagnosis over symptom presentation. If the patient's pulses at both wrists are floating, rapid, and tight, it is named Shanghan. If the Cun pulse is weak and the Chi pulse is strong, although there is no aversion to wind or spontaneous sweating, this indicates that Yin qi has become excessive and manifests first in the pulse. If no medicine is administered to harmonize it, later there will inevitably be aversion to wind and spontaneous sweating. From after Lichun (Start of Spring) to before Qingming (Pure Brightness), Tiaomai Tang should be used as the main treatment. (Since it is called Shanghan, the symptoms should include aversion to cold and no sweating. Now it says later there will inevitably be aversion to wind and spontaneous sweating, which contradicts the symptoms. There may be an error.)
Gegen (Radix Puerariae Lobatae) yi liang; Qianhu (Radix Peucedani), Fangfeng (Radix Saposhnikoviae) each seven qian and a half; Gancao (Radix Glycyrrhizae, honey-fried) ban liang.
Grind into coarse powder. Take five qian per dose. Add one dan of water. Add one piece of Shengjiang (Rhizoma Zingiberis Recens), the size of a little finger, split open. Decoct until seven fen remains. Remove the dregs. Take warm. If the Cun pulse is weak as described previously, add three dates (Ziziphus jujuba). Decoct together.
(Note: The above formula is the precise prescription for inducing sweating in the Yangming channel. It is also suitable for Wind-Cold affecting the Hand-Taiyin channel.)
Furthermore, if the patient's pulses at both wrists are floating, rapid, and slow, it is named Zhongfeng. If the Cun pulse is weak. (The text is the same as above), Botie Tang should be used as the main treatment.