有汗不得服麻黄,无汗不得服桂枝。今用此方以代前二方之用,药稳而效
亦医门之良法也。不论冬月正伤寒,及春、夏、秋三时感冒,皆可取效。其麻黄汤,若在
温热之时,则不可妄用。又体虚气弱,腠理空疏者,亦不可用。其桂枝汤,乃治太阳经中风
自汗之证,若里热自汗者,误用之,则危殆立至。又暑风证,有用白虎汤加桂枝者,桂枝微
、石膏重,不相妨也。更有春温、夏热之证,自里达表,其症不恶寒而口湿,则不可用桂,
宜另用柴葛解肌之类,或以本方加柴葛及清凉之味。大凡一切用药,必须相天时,审地利,
观风气,看体质,辨经络,问旧疾,的确对证方为良剂。
紫苏叶(一钱五分) 陈皮 香附(各一钱二分) 甘草(炙,七分) 荆芥 秦艽 防风 蔓荆子
(各一钱) 川芎(五分) 生姜(三片
上锉一剂,水煎温服,微覆似汗。
前症若头脑痛甚者,加羌活八分,葱白二根;自汗恶风者,加桂枝、白芍各一钱,若在
春夏之交,惟恐夹杂温暑之邪,不便用桂,加白术一钱五分;若兼停食,胸膈痞闷,加山楂
、麦芽、卜子各一钱五分;若太阳本证未罢,更兼口渴溺涩者,此为膀胱腑证,加茯苓、木
通各一钱五分;喘嗽,加桔梗、前胡一钱五分,杏仁七枚;鼻衄,或吐血,本方去生姜,加
生地、赤芍、丹参、丹皮各一钱五分;咽喉肿痛加桔梗、蒡子各一钱五分,薄荷五分;便秘
加卜子、枳壳。若兼四肢厥冷,口鼻气冷,是兼中寒也,加干姜、肉桂之类,虽有表证,
其散药只用一二味,不必尽方;若挟暑气,加入知母、黄芩之类;干呕发热而咳,为表有水
气,加半夏、茯苓各一钱五分;时行疫疠,加苍术四分;梅核气症,喉中如有物,吞不入,
吐不出者,加桔梗、苏梗各八分;妇人经水适来,加当归、丹参;产后受风寒,加黑姜、当
归,其散剂减去大半。若禀质极虚,不任发散者,更用补中兼散之法。
Patients with sweating should not take Mahuang Tang (Ephedra Decoction), and those without sweating should not take Guizhi Tang (Cinnamon Twig Decoction). Now, this formula (Jiawei Xiangsu San, Modified Fragrant Perilla Powder) is used to replace the functions of the previous two formulas; its medicinal properties are stable and effective, which is also an excellent method in the medical field. It can be effective regardless of whether it is a true Shanghan (Cold Damage) in winter or a common cold caused by external pathogens in spring, summer, or autumn. However, Mahuang Tang should not be used recklessly during warm or hot seasons. Furthermore, individuals with weak constitution, deficient qi, and loose couli (skin pores and interstices) should not use it. Guizhi Tang is indicated for spontaneous sweating due to wind-stroke affecting the Taiyang Channel (Taiyang Disease); if misused for spontaneous sweating caused by interior heat, danger will ensue immediately. In cases of Summerheat-Wind syndrome, Baihu Tang (White Tiger Decoction) may be combined with Guizhi; here, the dosage of Guizhi is light while that of Shigao (Gypsum Fibrosum) is heavy, so they do not interfere with each other. Moreover, in Spring Warmth or Summer Heat syndromes where pathogenic factors move from the interior to the exterior, presenting with symptoms such as aversion to cold being absent but thirst present, Guizhi should not be used. Instead, one should preferably use formulas like Chai Ge Jie Ji Tang (Bupleurum and Pueraria Decoction to Relieve the Muscles), or add Chai Hu (Bupleuri Radix) and Ge Gen (Puerariae Lobatae Radix) along with cooling herbs to this base formula. Generally speaking, all medication must conform to the seasonal climate, consider geographical conditions, observe wind patterns, assess the patient's constitution, differentiate meridians, inquire about past illnesses, and precisely match the syndrome before it can be considered a good prescription.
Zisuye (Perillae Folium, 1.5 qian), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma) (each 1.2 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 0.7 qian), Jingjie (Schizonepetae Herba), Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Manjingzi (Vittaginis Fructus) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 qian), Shengjiang (Zingiberis Rhizoma Recens, 3 slices).
Crush these ingredients into one dose, decoct with water, and take warm. Cover slightly to induce mild perspiration.
If the aforementioned symptoms include severe headache, add Qianghuo (Notopterygii Rhizoma et Radix, 0.8 fen) and Congbai (Allii Fistulosi Bulbus, 2 stalks); if there is spontaneous sweating and aversion to wind, add Guizhi (Cinnamomi Ramulus) and Baishao (Paeoniae Radix Alba) (each 1 qian). If treating during the transition between spring and summer, fearing the complication of warm-summer pathogens, avoid using Guizhi; instead, add Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian). If accompanied by food stagnation and chest/epigastric fullness, add Shanzha (Crataegi Fructus), Maiya (Hordei Fructus Germinatus), and Boluoz (Raphani Semen) (each 1.5 qian). If the Taiyang channel syndrome persists, accompanied by thirst and dysuria, this indicates Bladder Fu-organ syndrome; add Fuling (Poria) and Mutong (Akebiae Caulis) (each 1.5 qian). For wheezing and cough, add Jiegeng (Platycodonis Radix) and Qianhu (Peucedani Radix) (each 1.5 qian), and Xingren (Armeniacae Semen Amarum, 7 kernels). For epistaxis or hematemesis, remove Shengjiang from the base formula and add Shengdi (Rehmanniae Radix Preparata), Chishao (Paeoniae Radix Rubra), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), and Danpi (Moutan Cortex) (each 1.5 qian). For sore throat and swelling, add Jiegeng and Niubangzi (Arctii Fructus) (each 1.5 qian), and Bohe (Menthae Haplocalycis Herba, 0.5 fen). For constipation, add Boluoz and Zhike (Aurantii Fructus Immaturus). If accompanied by cold extremities and cold breath from mouth and nose, indicating concurrent Cold invasion, add Ganjiang (Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex); although exterior syndrome exists, only use one or two dispersing herbs, not the entire formula. If complicated by Summerheat, add Zhimu (Anemarrhenae Rhizoma) and Huangqin (Scutellariae Radix). For dry retching, fever, and cough, indicating exterior fluid retention, add Banxia (Pinelliae Rhizoma Preparatum) and Fuling (each 1.5 qian). For epidemic diseases, add Cangzhu (Atractylodis Rhizoma, 0.4 fen). For Plum-pit Qi (Meiheqi), characterized by a sensation of a foreign body in the throat that cannot be swallowed or expectorated, add Jiegeng and Sugeng (Perillae Caulis) (each 0.8 fen). For women whose menstruation has just begun, add Danggui (Angelicae Sinensis Radix) and Danshen. For postpartum exposure to wind-cold, add Heijiang (Zingiberis Rhizoma Carbonisatum) and Danggui; reduce the powder dosage by more than half. For individuals with extremely deficient constitutions who cannot tolerate dispersing methods, employ a strategy of tonification combined with dispersion.