麻黄根 黄 (各一钱) 麦门冬 生地黄(各三分) 生甘草 当归梢 生黄芩 半
夏(
各五分) 羌活(七分) 猪苓 苏木 红花(各二分) 五味子(七粒)
湿热自汗,一身尽痛,脉濡者,此方主之。
湿无热不作汗,湿得热而蒸之,则能令人自汗。湿流百节,故一身尽痛。湿为阴气,故
脉濡。风能胜湿,故用羌活。辛能燥湿,故用半夏。淡能渗湿,故用猪苓。湿伤气,黄 、
甘草、麦冬所以益气。湿伤血,苏木、红花、归梢所以消瘀。五味子、麻黄根,收汗液而固
表虚。生 、黄芩,凉阴血而除湿热。
以艾煎汤,调茯苓末一钱服。
别处无汗。独心孔一片有汗者,此方主之。
此是心火自旺,膈有停饮。火热蒸其湿饮,故令此处有汗。茯苓甘而淡,甘能养心,淡
能渗湿。艾叶香而涩,香能利气,涩能固津。
叙曰∶汗孔谓之鬼门,故盗汗不止,久久令人丧魄。考名方五首,而治盗汗之法,大可
知矣。临证而权度其宜焉可也。
当归 生地黄 熟地黄 黄芩 黄连 黄柏各等分 黄 倍用
阴虚有火,令人盗汗者,此方主之。
醒而出汗曰自汗,睡去出汗曰盗汗。自汗阳虚,盗汗阴虚也。曰有火者,谓其证有面赤
、口干、唇燥、便赤、声音重、脉来数也。然阴虚所以盗汗者,阴虚之人睡去,则卫外之阳
乘虚陷入于阴中,表液失其固卫,故 然而汗出。人觉则阳用事,卫气复出于表,表实而
汗即止矣。当归、熟 ,养阴之品也。黄芩、黄连,去火之品也。生 、黄柏,可以养阴,
亦可以去火。而黄 者,所以补表气于盗汗之余也。是盗汗也,与伤寒盗汗不同。伤寒盗汗
是半表半里之邪未尽,杂证盗汗则阴虚而已。彼以和表为主,此以补阴为主。明者辨之。
[Translation of Tiao Wei Tang]
Mahuang Gen (Rhizoma Ephedrae), Huangqi (Radix Astragali) (each 1 qian); Maimendong (Radix Ophiopogonis), Shengdihuang (Radix Rehmanniae Recens) (each 3 fen); Sheng Gancao (Radix Glycyrrhizae Preparata), Danggui Shao (Radix Angelicae Sinensis Cauda), Sheng Huangqin (Radix Scutellariae), Banxia (Rhizoma Pinelliae) (each 5 fen); Qianghuo (Rhizoma et Radix Notopterygii) (7 fen); Zhuling (Polyporus), Sumu (Lignum Sappan), Honghua (Flos Carthami) (each 2 fen); Wuweizi (Fructus Schisandrae) (7 grains).
This formula is indicated for spontaneous sweating caused by damp-heat, accompanied by generalized body pain and a soggy pulse.
Dampness alone does not cause sweating; when dampness is steamed by heat, it leads to spontaneous sweating. When dampness flows through the hundred joints, it causes generalized body pain. Dampness is a yin pathogen, hence the pulse presents as soggy. Wind herbs can overcome dampness, so Qianghuo is used. Pungent flavors can dry dampness, so Banxia is used. Bland flavors can leach out dampness, so Zhuling is used. Dampness damages qi; Huangqi, Gancao, and Maimendong are used to tonify qi. Dampness damages blood; Sumu, Honghua, and Danggui Shao are used to resolve stasis. Wuweizi and Mahuang Gen astringe sweat and consolidate exterior deficiency. Sheng Dihuang and Huangqin cool yin-blood and clear damp-heat.
Decoct Ai Ye (Folium Artemisiae Argyi) in water, mix with one qian of Fuling (Poria) powder, and take orally.
When there is no sweating elsewhere on the body, but only a patch of sweating over the heart region, this formula is indicated.
This condition arises from hyperactive Heart fire and retained fluid-phlegm in the diaphragm. The heat-fire steams the retained damp-fluid, causing sweating in this specific area. Fuling is sweet and bland; sweetness nourishes the Heart, while blandness leaches out dampness. Ai Ye is aromatic and astringent; aroma promotes the movement of qi, while astringency secures body fluids.
Preface: Sweat pores are referred to as "Ghost Gates." Therefore, persistent night sweating eventually leads to the loss of the soul (Hun). By examining five famous formulas, the methods for treating night sweating can be largely understood. One should weigh and apply the appropriate method during clinical practice.
[Translation of Danggui Liuhuang Tang]
Danggui (Radix Angelicae Sinensis), Sheng Dihuang (Radix Rehmanniae Recens), Shu Dihuang (Radix Rehmanniae Praeparata), Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri) in equal parts; Huangqi (Radix Astragali) doubled in dosage.
This formula is indicated for night sweating caused by yin deficiency with fire hyperactivity.
Sweating while awake is called spontaneous sweating; sweating during sleep is called night sweating. Spontaneous sweating indicates yang deficiency, while night sweating indicates yin deficiency. The term "with fire" refers to symptoms such as facial flushing, dry mouth, dry lips, dark urine, heavy voice, and a rapid pulse. However, the reason yin deficiency leads to night sweating is that when a person with yin deficiency falls asleep, the defensive yang qi, taking advantage of the deficiency, sinks into the yin level. Consequently, the fluids at the exterior lose their protective control, resulting in sweating. Upon waking, yang qi resumes its function, and the defensive qi returns to the exterior; the exterior becomes solid, and sweating stops. Danggui and Shu Dihuang are substances that nourish yin. Huangqin and Huanglian are substances that eliminate fire. Sheng Dihuang and Huangbai can both nourish yin and eliminate fire. Huangqi is used to tonify exterior qi after night sweating. This type of night sweating differs from that seen in Shanghan (Cold Damage) diseases. Night sweating in Shanghan is due to incomplete resolution of pathogens in the half-exterior half-interior level, whereas night sweating in miscellaneous diseases is solely due to yin deficiency. The former focuses on harmonizing the exterior, while this formula focuses on tonifying yin. Those who are knowledgeable should distinguish between them.