人参 麦冬五分 五味子七粒
肝主气,心主血。生脉散养心肺之阴,使气血得以荣养一身;而又有酸敛之品,以收耗
散之气,止汗定咳。虚人无外感者,暑月宜之。
滑石六两 甘草一两
为末,冷水或灯心汤调下。本方加辰砂,名益元散;加薄荷,名鸡苏散;加青黛,名碧
玉散。
六一散,施之于体壮热盛,浓浓太过之人则可。若体虚气弱者,则寒伤脾而滑伤肾,反
致饮食减少,津亏作渴。至益元散、鸡苏散、碧玉散,亦同此例也,不可因夏月而一概混投。
砂仁 草果(煨去皮) 乌梅 甘草(炙)四两 扁豆(炒研) 干葛二两。
方中辛燥太过,用以健脾去湿则可。若谓清暑、除烦、止渴,吾不谓然。
半夏一斤(醋五斤煮干) 茯苓 甘草 半斤(生用)
姜汁糊丸,勿见生水。热汤下。
消暑丸不治暑而治湿,使湿去而暑亦降,用意甚佳。然必须兼清解之药一、二味为得。
干姜 桂 杏仁(去皮尖) 甘草等分。
先将甘草用白砂炒,次入姜、杏炒过,去砂,合桂为末。每服二钱。
此即治暑月之伤寒也。因暑伤寒,故但治寒而不治暑。
猪苓 茯苓 白术(炒)十八铢 泽泻一两六铢半 桂五钱
湿为地之气,其中人也缓,其入人也深,其为病也不可以疾而已。坐卧卑湿,汗渍雨淋,
此湿之自外来者也;多食浓腻,过嗜茶酒,此湿之自内生者也。治湿必先理脾,脾土健运,
始能渗湿,此定法也。又须分利,使浊阴从下而出,亦定法也。五苓散,仲景本为脉浮、小
便不利、微热、消渴、表里有病者而设。方中宜用桂枝,不可用肉桂。后人遂通治诸湿、腹
满、水饮、水肿、呕逆、泄泻、水寒射肺或喘或咳、中暑烦渴、身热头痛、膀胱热、便秘而
渴、霍乱吐泻、痰饮湿症、身痛身重等症。总之治寒湿则宜用肉桂,不宜用桂枝。若重阴生
阳,积湿化热,盒饭加清利之药,并桂枝亦不可用矣。至加减之附方,各有宜称,亦当细细
参之。
Ginseng Radix (Renshen), Ophiopogonis Tuber (Maidong) 5 fen, Schisandrae Fructus (Wuweizi) 7 grains.
The Liver governs Qi mechanism, and the Heart governs Blood. Shengmai San (Pulse-Generating Powder) nourishes the Yin of the Heart and Lungs, allowing Qi and Blood to nourish the whole body; furthermore, it contains sour astringent herbs to gather scattered Qi, stop sweating, and relieve cough. It is suitable for deficient patients without external pathogenic factors during the summer months.
Talcum (Huashi) 6 liang, Licorice Root (Gancao) 1 liang.
Grind into powder, take with cold water or Decoction of Juncus Effusus (Dengxincao). When Cinnabar (Chensha) is added to this formula, it is named Yiyuan San (Benefit-One Powder); when Mint (Bohe) is added, it is named Jisu San (Chicken-Su Powder); when Indigo Naturalis (Qingdai) is added, it is named Biyu San (Jasper Powder).
Liuyi San (Six-to-One Powder) can be applied to those with robust constitutions, intense heat, and excessive internal accumulation. However, if used for those with weak constitutions and deficient Qi, the cold nature will injure Spleen Yang, and the slippery nature will injure Kidney Qi, leading to reduced appetite, fluid deficiency, and thirst. The same applies to Yiyuan San, Jisu San, and Biyu San; they should not be indiscriminately administered simply because it is summer.
Amomum Fruit (Sharen), Tsaoko Fruit (Caoguo, baked and peeled), Mume Fruit (Wumei), Roasted Licorice Root (Zhi Gancao) 4 liang, Fried and Crushed Broad Bean (Bian Dou), Kudzu Root (Gegen) 2 liang.
The pungent and drying herbs in this formula are too strong; it may be used to strengthen the Spleen and remove Dampness. However, I do not agree that it clears Summerheat, relieves irritability, or stops thirst.
Pinellia Tuber (Banxia) 1 jin (boiled dry with 5 jin of Vinegar), Poria (Fuling), Raw Licorice Root (Sheng Gancao) 0.5 jin.
Make pills using Ginger Juice (Jiangzhi), avoiding contact with raw water. Take with hot water decoction.
Xiaoshu Wan (Summerheat-Relieving Pill) does not directly treat Summerheat but treats Dampness; by removing Dampness, Summerheat also subsides, which is an excellent intention. However, it must be combined with one or two Heat-clearing and resolving herbs to be effective.
Dried Ginger (Ganjiang), Cinnamon Twig (Guizhi), Apricot Seed (Xingren, skin and tip removed), Licorice Root (Gancao) in equal proportions.
First, stir-fry Licorice Root with white sand; then add Dried Ginger and Apricot Seeds and stir-fry together. Remove the sand, mix with Cinnamon Twig, and grind into powder. Take 2 qian per dose.
This is the formula for treating Cold damage (Shanghan) during the Summerheat season. Because the condition arises from contracting Cold due to Summerheat habits, it treats only the Cold and not the Summerheat.
Polyporus (Zhuling), Poria (Fuling), Fried Atractylodes Rhizome (Chao Baizhu) 18 zhu, Alisma Rhizome (Zexie) 1 liang 6 zhu half, Cinnamon Twig (Guizhi) 5 qian.
Dampness is the Qi of the earth; its invasion of the human body is slow, its entry is deep, and its pathological manifestation cannot be resolved hastily. Sitting or lying in damp places, being soaked in sweat or rain, represents Dampness coming from outside; consuming rich and greasy foods excessively, or over-indulging in tea and alcohol, represents Dampness generated from within. To treat Dampness, one must first regulate the Spleen; only when Spleen Earth functions vigorously can it seep out Dampness—this is a fixed principle. Additionally, one must employ diuresis to separate and drain, allowing turbid Yin to exit from below—this is also a fixed principle. Wuling San (Five-Ingredient Powder with Poria), originally established by Zhang Zhongjing, was designed for cases presenting with floating pulse, difficulty in urination, slight fever, and polydipsia, involving both exterior and interior pathology. In this formula, Cinnamon Twig (Guizhi) should be used, not Cinnamon Bark (Rougui). Later practitioners extended its use to treat various Dampness conditions, abdominal fullness, fluid retention, edema, vomiting, diarrhea, Water-Cold attacking the Lung causing wheezing or cough, Summerheat with irritability and thirst, fever and headache, Bladder Heat, constipation with thirst, cholera-like vomiting and diarrhea, phlegm-fluid and Dampness syndromes, body pain, and heaviness. In summary, when treating Cold-Damp, Rougui (Cinnamon Bark) is appropriate, while Guizhi (Cinnamon Twig) is not. If severe Yin generates Yang, and accumulated Dampness transforms into Heat, Heat-clearing and draining herbs should be added, and even Guizhi should be avoided. As for the modified attached formulas, each has its specific indications and should be carefully studied.