内经曰春三月此谓发陈天地俱生万物以荣夜卧早起广步于庭披发缓形以使志生生而勿杀
予而勿
夺赏而勿罚此春气之应养生之道也逆之则伤肝夏为寒变奉长者少大法春月天气上升人气亦
上升应之故春月诸症宜吐发散升提不宜降下通利盖吐即古之宜剂今人谓宣为泻者误也春月肝
胆木气用事木旺则土亏故脾胃土气受邪宜抑肝补脾药为主清脯养心药佐之随症施治全在活法
虚则补之实则泻之寒则温之热则清之高者抑之下者举之以平为期余皆仿此今将春月诸症宜
用方法详陈于左对症施治权而用之毋胶柱而鼓瑟始可以言医矣
治春初人事劳扰饥饱失节或解衣沐浴触胃风寒致成内伤外感头疼发热
呕吐眩闷胸膈胀痛恶食或鼻流清涕咳嗽生痰鼻寒声重并宜服一二剂即愈仍忌腥晕三五日
川芎(一钱) 白芷(八分) 细辛(五分去叶) 干葛(一钱) 甘草(三分生) 紫苏叶(一
钱)
藿香(八分去土) 半夏(一钱姜制) 陈皮(八分) 苍术(麸炒一钱) 枳壳 (去穣七分)
桔梗(去芦七分) 淡豆豉(八分不用亦可)
上用姜三片葱白一根水一钟半煎八分食后热服有汗不用葱白单内伤无外感单外感无内
伤各
有本条头痛不止加 本(八分)呕吐不止加干姜(炒)砂仁(炒各七分)发热或潮热不退加
柴
胡黄芩(各一钱)胸膈胀闷加山楂枳实(各一钱)发而汗不出热不退加麻黄(一钱半)葱白(
二根)咳嗽生痰加杏仁前胡金沸花(去梗各八分)南五味子(五分)
The *Neijing* (Yellow Emperor's Inner Classic) states: The three months of spring are called "Fa Chen" (pushing out the old to bring forth the new). Heaven and Earth generate together, and all things flourish. One should sleep late and rise early, walk broadly in the courtyard, let down one's hair and relax the body, so as to allow the will to be vibrant and alive; one should nurture life rather than kill, give rather than take, reward rather than punish. This is the response to the Qi of Spring and the way to nourish life. To violate this will injure the Liver, leading to cold transformations in summer, and there will be less energy to support the growth phase. According to general principles, in spring, the Qi of Heaven rises, and human Qi also rises; thus, one should respond accordingly. Therefore, for various ailments in spring, methods such as emesis (吐), dispersion (发散), and elevation (升提) are suitable, while descending (降下) and purging/draining (通利) methods are not. Emesis is essentially the ancient "Xuan" (宣 - dispersing/ventilating) formula; it is a mistake for modern people to consider "Xuan" as "Xie" (泻 - purging/downward draining).
In spring, the Wood Qi of the Gallbladder and Liver is active. When Wood is excessive, Earth becomes deficient. Thus, the Earth Qi of the Spleen and Stomach is prone to pathogenic invasion. Treatment should primarily focus on suppressing Liver Qi and tonifying Spleen Qi, assisted by formulas that clearing Lung heat and nourishing the Heart. Treatment must be adapted flexibly according to symptoms. The key lies in adaptability: tonify deficiency, drain excess, warm cold, clear heat; suppress what is high, elevate what is low, aiming for balance. All other cases follow this pattern. The following details the appropriate methods for various spring ailments; apply them according to symptoms, weigh the situation, and do not play the zither with fixed pegs (be inflexible), only then can one speak of medicine.
For treating early spring conditions caused by mental or physical overexertion, irregular eating habits, or catching wind-cold in the Stomach after undressing or bathing, resulting in internal injury combined with external contraction: symptoms include headache and fever, vomiting, dizziness and chest oppression, distending pain in the chest and diaphragm, aversion to food, runny clear nasal discharge, cough with phlegm, nasal congestion, and heavy voice. These conditions generally resolve after taking one or two doses. However, avoid raw, cold, and fishy foods for three to five days.
Formula Composition: Chuanxiong Rhizome (Chuanxiong, 1 qian), Baizhi Root (Baizhi, 8 fen), Asarum Root (Xixin, 5 fen, remove leaves), Kudzu Root (Gegen, 1 qian), Licorice Root (Gancao, 3 fen, raw), Perilla Leaf (Zisuye, 1 qian), Agastache Herb (Huoxiang, 8 fen, remove soil), Pinellia Tuber (Banxia, 1 qian, processed with ginger), Tangerine Peel (Chenpi, 8 fen), Atractylodes Rhizome (Cangzhu, 1 qian, bran-fried), Bitter Orange Fruit (Zhike, 7 fen, remove pith), Platycodon Root (Jiegeng, 7 fen, remove root tip), Fermented Soybean (Dandouchi, 8 fen, optional).
Take the above herbs, add three slices of fresh ginger, one stalk of scallion white, and one and a half cups of water. Decoct until reduced to eight-tenths. Take hot after meals. If sweating is present, omit the scallion white. For pure internal injury without external contraction, use the specific internal injury clause alone; for pure external contraction without internal injury, use the specific external contraction clause alone.
If headache persists, add Bencao (Ben, 8 fen); if vomiting persists, add Fried Ginger (Ganjiang, fried) and Amomum Fruit (Sharen, fried, 7 fen each); if fever or tidal fever persists, add Bupleurum Root (Chaihu) and Scutellaria Root (Huangqin, 1 qian each); if chest/diaphragm distension and oppression occur, add Hawthorn Fruit (Shanzha) and Immature Bitter Orange (Zhishi, 1 qian each); if fever occurs with no sweat and heat does not recede, add Ephedra Stem (Mahuang, 1.5 qian) and Scallion White (Congbai, 2 stalks); if cough with phlegm occurs, add Apricot Seed (Xingren), Peucedanum Root (Qianhu), and Farfara Flower (Jinflorescence/Jinfeihua, stems removed, 8 fen each), and Schisandra Berry (Nanwuweizi, 5 fen).