葛根半斤 甘草(炙) 黄芩二两 黄连二两
太阳误下,热入阳明,故于解表中,清阳明之热以止利。
石膏一两五钱 黄芩 黄连 黄柏七钱 栀子二十个 麻黄 淡豉二合
每服一两,姜三片,枣二枚,细茶一撮煎服。
三焦郁热,毒火炽盛,非三黄、石膏不足以祛之。尤妙在麻黄、豆豉开解肌表,使郁火
通行。此正如清风涤烦,非发风助火也。
白芷 陈皮 浓朴六分 当归 川芎 芍药 茯苓 桔梗八分 苍术 枳壳七分 半夏
麻黄四分 干姜 肉桂(重表者用桂枝) 甘草三分
加姜、葱煎。
仲景治伤寒,发表则麻黄、桂枝,温中则干姜、附子,简当的确,开后学无限法门。此
方不过发表温中耳,而药味繁多,通治五积,岂有一人之身,五积咸备,而尚能有活者乎?
若其人只有一积,或多则二积,岂可以五积并治者治之乎?后人于本方再合人参败毒散,名
曰五积交加散,则更不解所谓矣。
青皮 陈皮 黄连(酒炒) 黄柏(酒炒) 甘草(炙) 升麻二分 柴胡 桂枝 人
参黄 浓朴 苍术(泔浸) 白术(土炒) 猪苓三分 茯苓 泽泻 吴萸四分 白蔻 炒
曲各五分 麻黄(不去节)六分 杏仁四粒
分二服。
药须对症而发。见一症,治一症,合病则合治之,并病则并治之,如是而已,未闻可以
六经通治也。方中药有二十二味,补散温凉,一齐用到。即如升、柴、麻、桂等,岂不与喘
促无力相妨乎?黄连、黄柏等岂不与脐有动气、小腹急痛相戾乎?不谓东垣老人亦有此等方,
何况自桧以下。
Ge Gen (Kudzu Root) half jin, Gan Cao (Licorice Root, honey-fried), Huang Qin (Scutellaria Root) two liang, Huang Lian (Coptis Rhizome) two liang.
After the Taiyang disease was mistakenly treated with purgation, heat entered the Yangming channel; therefore, in this exterior-releasing formula, herbs that clear Yangming heat are added to stop diarrhea.
Shi Gao (Gypsum Fibrosum) one liang and five qian, Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Huang Bai (Phellodendron Bark) seven qian, Zhi Zi (Gardenia Fruit) twenty fruits, Ma Huang (Ephedra Herba), Dan Chi (Soja Semen Praeparatum) two he.
Each dose consists of one liang of herbs, decocted with three slices of Sheng Jiang (Fresh Ginger), two dates, and a pinch of fine tea.
When heat stagnates in the San Jiao (Triple Burner) and toxic fire blazes fiercely, only San Huang (the combination of Huang Lian, Huang Qin, and Huang Bai) and Shi Gao can dispel it. The brilliance lies particularly in Ma Huang and Dan Chi opening the muscle layer to allow the stagnant fire to circulate freely. This is like a cool breeze dispelling vexation, not wind assisting the fire.
Bai Zhi (Angelicae Dahuricae Radix), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex) six fen, Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix) eight fen, Cang Zhu (Atractylodis Rhizoma), Zhi Ke (Aurantii Fructus Immaturus) seven fen, Ban Xia (Pinelliae Tuber), Ma Huang (Ephedra Herba) four fen, Gan Jiang (Zingiberis Rhizoma), Rou Gui (Cinnamomi Cortex) (use Gui Zhi if the exterior syndrome is severe), Gan Cao (Licorice Root) three fen.
Decoct with Sheng Jiang (Fresh Ginger) and Cong Bai (Allii Fistulosi Bulbus).
Zhang Zhongjing treated Shang Han (Cold Damage); for releasing the exterior, he used Ma Huang and Gui Zhi; for warming the interior, he used Gan Jiang and Fu Zi. His prescriptions were concise, appropriate, and accurate, opening infinite methods for later generations. This formula merely releases the exterior and warms the middle; yet it contains numerous ingredients and claims to treat all "Five Accumulations." Can one person truly possess all five accumulations simultaneously and still survive? If a patient has only one accumulation, or at most two, how can a formula designed to treat five accumulations be applied? Later practitioners combined this formula with Ren Shen Bai Du San (Ginseng Detoxication Powder) to create Wu Ji Jiao Jia San (Five Accumulations Mixed Powder), which is even more incomprehensible.
Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Huang Lian (Coptis Rhizome, wine-fried), Huang Bai (Phellodendron Bark, wine-fried), Gan Cao (Licorice Root, honey-fried), Sheng Ma (Cimicifugae Rhizoma) two fen, Chai Hu (Bupleuri Radix), Gui Zhi (Cinnamon Twig), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellaria Root), Hou Po (Magnoliae Officinalis Cortex), Cang Zhu (Atractylodis Rhizoma, soaked in rice water), Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Zhu Ling (Poria) three fen, Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Wu Yu (Evodiae Fructus) four fen, Bai Kou (Amomi Fructus Rotundus), Chao Qu (Stelea Fermentum, stir-baked) each five fen, Ma Huang (Ephedra Herba, nodes unremoved) six fen, Xing Ren (Armeniacae Semen Amarum) four kernels.
Divide into two doses.
Medicinals must be administered according to the specific symptoms. When one symptom appears, treat that symptom; for He Bing (combined diseases), treat them together; for Bing Bing (concurrent diseases), treat them concurrently. That is all. It has never been heard that one formula can universally treat the Six Channels. This formula contains twenty-two ingredients, employing tonifying, dispersing, warming, and cooling herbs simultaneously. For instance, do Sheng Ma, Chai Hu, Ma Huang, and Gui Zhi not conflict with panting, shortness of breath, and weakness? Do Huang Lian and Huang Bai not contradict the presence of pulsating qi at the umbilicus and acute pain in the lower abdomen? Unexpectedly, Dong Yuan Lao Ren (Li Dongyuan) also possessed such formulas, let alone those below Qin Hui.