人参 黄 桂枝 甘草 附子(炮) 细辛 羌活 防风 川芎 煨姜 枣
此方但可施于常时之不能作汗者。若在冬月,而脉见浮紧,便是太阳之寒伤营,此方断
不可用。注中又引东垣、丹溪治虚人感冒,多用补中益气加表药,予不以为然。盖亲见喜用
升柴者杀人无数,故不得不加意慎重。非偏执己见,不喜升柴,实不敢泥纸上之成方,误目
前之人命也。
羌活 独活 防风 细辛 防己 黄芩 黄连 苍术 白术 甘草(炙)三钱 生地黄
知母 川芎一两
每服五钱,热饮。
两感伤寒,一日太阳、少阴,二日阳明、太阴,三日少阳、厥阴,古方俱有加减治法,
但予意更有进者。若至二日,而前症未解,则是四经合病;三日而前症未解,则是六经俱病
矣。四经合病者,既未有成方;而六经俱病者,更难于措手。仲景以后,岂复有补天浴日手
段?大羌活汤,漫无分别,亦不过尽人事而已!
桂枝 羌活 防风 甘草等分 每服五钱
疟发在处暑前,宜从时疟治。且《内经》只分邪在肌表,在卫、在营,初无六经之说,
更不
甜瓜蒂(炒黄) 赤小豆
共为末,热水或酸齑水调下。
“高者因而越之”,经有明训,即吐法也。后人视为畏途,久置不讲,殊不知痰涎在胸
膈之间,消之匪易,因其火气上冲之势,加以吐法,使倾筐倒箧而出之,则用力少而成功多,
瓜蒂散之类是也。且吐必有汗,故并可治风治黄。惟注中“食填太阴,欲吐不出”二语,须
与申明∶盖饮食必先入胃,食填太阴者,非既出胃而入脾也,乃胃气窒塞,使脾气不通耳。
又必新入之食,尚为完谷,故可用吐,若经宿之后,将为燥粪滞于胃中,便宜攻下,岂可尚
用吐法乎!
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Gui Zhi (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, processed), Xi Xin (Asari Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wei Jiang (Zingiberis Rhizoma Praeparatum, roasted ginger), Da Zao (Jujubae Fructus).
This formula is applicable only to patients who are unable to sweat normally under usual circumstances. If in winter, the pulse presents as floating and tight, it indicates Cold damaging the Ying (Nutritive) level of the Taiyang (Greater Yang) channel; this formula must absolutely not be used. The annotation further cites Li Dongyuan and Zhu Danxi, who often treated deficient individuals with common colds by using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) combined with exterior-releasing herbs. I do not agree with this approach. Having personally witnessed countless deaths caused by those who overuse Sheng Ma (Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix), I must exercise extreme caution. This is not due to my stubborn adherence to personal views or dislike for Sheng Ma and Chai Hu, but rather because I dare not rigidly adhere to established formulas on paper, which would endanger the lives of patients before my eyes.
Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Xi Xin (Asari Radix et Rhizoma), Fang Ji (Stephaniae Tetrandrae Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, honey-fried) 3 qian, Sheng Di Huang (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 liang.
Take 5 qian per dose, drink hot.
In Liang Gan Shang Han (Two-Channel Cold Damage), where exterior and interior channels are simultaneously affected: Day 1 involves Taiyang (Greater Yang) and Shaoyin (Lesser Yin); Day 2 involves Yangming (Yang Brightness) and Taiyin (Greater Yin); Day 3 involves Shaoyang (Lesser Yang) and Jueyin (Terminal Yin). Ancient formulas provide methods for modification and treatment, but I believe there is room for further advancement. If by the second day, previous symptoms remain unresolved, it constitutes He Bing (Combined Disease) of four channels; if by the third day, previous symptoms are still unresolved, it implies that all six channels are diseased. For He Bing of four channels, since no established formula exists; and for disease involving all six channels, it is even more difficult to manage. Since Zhang Zhongjing, have there truly been any methods capable of restoring life from death? Da Qiang Huo Tang (Great Notopterygium Decoction) lacks precise differentiation and merely represents doing one's utmost!
Gui Zhi (Cinnamoli Ramulus), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Take 5 qian per dose.
When malaria occurs before the Chu Shu (End of Heat) solar term, it should be treated according to Shi Nue (Seasonal Malaria). Furthermore, the *Nei Jing* (Inner Canon) only distinguishes whether pathogenic factors are in the muscle and surface, specifically in the Wei (Defensive) or Ying (Nutritive) levels; initially, there was no concept of Six Channels, nor...
Tian Gua Di (Momordicae Semen), Chi Xiao Dou (Vigna umbellata Seed).
Grind together into powder, take mixed with hot water or sour pickle brine.
"Where the pathogen is high, follow its upward tendency to induce vomiting," as clearly stated in the classics, this is the Vomiting Method (Tu Fa). Later generations regarded it as a fearful path and long neglected it, unaware that phlegm-fluid retention in the chest and diaphragm is difficult to resolve. By leveraging the upward rushing trend of Fire Qi and applying the vomiting method, causing the phlegm to pour out like an overturned basket, less effort yields greater success. Formulas such as Gua Di San (Melon Seed Powder) exemplify this. Moreover, vomiting inevitably induces sweating, thus it can also treat Wind diseases and Jaundice. However, the two phrases in the annotation, "Food filling the Taiyin Spleen, desiring to vomit but unable to," require clarification: Food must first enter the Stomach. "Food filling the Taiyin" does not mean food has exited the Stomach and entered the Spleen, but rather that Stomach Qi is obstructed, preventing Spleen Qi from flowing freely. Furthermore, only newly ingested food, which remains as whole grains, is suitable for vomiting. If food has remained overnight and is turning into dry feces stagnating in the Stomach, purgative methods should be used instead; how could vomiting still be appropriate?