(《局方》)
治夏月饮食不调,内伤生冷,外伤暑气,寒热交作,霍乱吐泻;及伏暑烦闷,倦怠嗜卧
,口
阴阳
砂仁 藿香 浓朴 杏仁 半夏 扁豆 木瓜 人参 白术 赤茯苓 甘草。加姜、枣
煎。伤暑加香薷,伤冷加紫苏。一方无白术,一方有苍术。
此足太阴、阳明药也。藿香、砂仁、杏仁、浓朴香能舒脾,辛能行气,而砂仁、浓朴兼
能化食;木瓜酸能平肝舒筋(肝木乘脾故转筋,木瓜酸能敛肺,助肺金以平肝邪,故治霍乱
转筋);扁豆、赤茯苓淡能渗湿清热,而扁豆又能散暑和脾;半夏辛温,散逆而止呕;参术
甘温,补正以匡邪;甘草补中,协和诸药,姜枣发散而调荣卫;皆所以和之也。或加香薷者,
用以祛暑;加紫苏者,用以发表散寒也(吴鹤皋曰∶六和者,和六腑也。脾胃为六腑之总司,
先调脾胃,则水精四布,五经并行,百骸九窍皆太和矣。昂按∶六和者,和六气也。若云和
六腑,则五脏又不当和乎。盖风寒暑湿燥火之气,夏月感之为多,故用诸药匡正脾胃,以拒
诸
(《局方》)
治外感风寒,内伤饮食,憎寒壮热,头痛呕逆,胸膈满闷,咳嗽气喘;及伤冷,伤湿,
疟疾,中暑,霍乱吐泻;凡感岚瘴不正之气者,并宜增减用之(元气虚弱之人慎用)。
霍香 紫苏 白芷 大腹皮 茯苓(三两) 白术(土炒) 陈皮 半夏曲 浓朴(姜
制) 桔梗(二两) 甘草(一两。每服五钱,)加姜、枣煎。一方加木瓜(气脱能收,气
滞能和)。伤食重者,加消食药
此手太阴、足阳明药也。藿香辛温,理气和中,辟恶止呕,兼治表里,为君;苏、芷、
桔梗散寒利膈,佐之以发表邪;浓朴、大腹行水消满,橘皮、半夏散逆除痰,佐之以疏里滞;
术苓甘草益脾去湿,以辅正气,为臣使也。正气通畅,则邪逆自除矣(吴绶曰∶若太阳伤寒,
头痛发热,骨节痛者,此方全无相干,如妄用之,虽汗出亦不解,变成坏证者多矣。凡伤寒
发热脉沉,元气虚人,并失阴伤寒发热者,皆不可用。戴元礼曰∶肥人多中,以气盛于外而
歉
痰
服此药非特治中风之证,中气、中恶、霍乱尤宜)。
本方合三味香薷饮(香薷、扁豆、黄连),名藿薷汤∶治伏暑吐泻转筋。
(From *Tai Ping Hui Min He Ji Ju Fang*)
Treats irregular diet in summer, internal injury from cold and raw food, external invasion of summer-heat pathogen, alternating chills and fever, cholera with vomiting and diarrhea; as well as latent summer-heat causing irritability, fatigue, and excessive sleepiness.
Sha Ren (Amomi Fructus), Huo Xiang (Agastachis Herba), Hou Po (Magnoliae Officinalis Cortex), Xing Ren (Armeniacae Semen Amarum), Ban Xia (Pinelliae Rhizoma Praeparatum), Bian Dou (Dolichoris Semen), Mu Gua (Chaenomelis Fructus), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chi Fu Ling (Poria cum Ligno Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma). Decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus). For summer-heat injury, add Xiang Ru (Elsholtziae Herba); for cold injury, add Zi Su (Perillae Folium). One version lacks Bai Zhu, another contains Cang Zhu (Atractylodis Rhizoma).
This is a formula for the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian. Huo Xiang, Sha Ren, Xing Ren, and Hou Po have aromatic properties that soothe the Spleen Qi, and pungent flavors that promote Qi movement, while Sha Ren and Hou Po also transform food stagnation; Mu Gua has a sour flavor that pacifies the Liver and relaxes sinews (Liver Wood overacting on Spleen Earth causes spasms/twitching; Mu Gua's sourness astringes Lung Metal, assisting Lung Metal to pacify Liver Pathogens, thus treating cholera spasms); Bian Dou and Chi Fu Ling have bland flavors that leach out Dampness and clear Heat, while Bian Dou also dissipates summer-heat and harmonizes the Spleen; Ban Xia is pungent and warm, descending rebellious Qi and stopping vomiting; Ren Shen and Bai Zhu are sweet and warm, tonifying Righteous Qi to support against pathogens; Gan Cao tonifies the Middle Jiao and harmonizes all herbs; Sheng Jiang and Da Zao disperse and harmonize Ying and Wei Qi; all these serve to "harmonize". Some add Xiang Ru to dispel summer-heat; some add Zi Su to release the exterior and scatter cold. (Wu Hegao said: "Liu He" refers to harmonizing the Six Fu Organs. The Spleen and Stomach are the commanders of the Six Fu Organs; first regulating them allows water and essence to distribute everywhere, the Five Channels run together, and all orifices achieve great harmony. Wang Ang notes: "Liu He" refers to harmonizing the Six Qi. If one speaks of harmonizing the Six Fu Organs, does it mean the Five Zang Organs should not be harmonized? Roughly, Wind, Cold, Summer-heat, Dampness, Dryness, and Fire Qi are frequently contracted in summer, so various drugs are used to rectify the Spleen and Stomach to resist these pathogens...)
(From *Tai Ping Hui Min He Ji Ju Fang*)
Treats external contraction of Wind-Cold, internal injury from diet, aversion to cold with high fever, headache, vomiting and regurgitation, fullness and oppression in the chest and diaphragm, cough and asthma; as well as cold injury, dampness injury, malaria, summer-heat stroke, cholera with vomiting and diarrhea; suitable for modification and use in cases of infection by miasmic and abnormal qi (Use with caution in persons with deficient Yuan Qi).
Huo Xiang (Agastachis Herba), Zi Su Ye (Perillae Folium), Bai Zhi (Angelicae Dahuricae Radix), Da Fu Pi (Arecae Pericarpium), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia Qu (Pinelliae Fermentatum), Hou Po (Magnoliae Officinalis Cortex, processed with ginger juice), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma). Dosages: Fu Ling 3 liang, Jie Geng 2 liang, Gan Cao 1 liang. Take 5 qian per dose. Decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus). One version adds Mu Gua (Chaenomelis Fructus) (astringes when Qi is depleted, harmonizes when Qi is stagnant). For severe food stagnation, add digestive herbs.
This is a formula for the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian. Huo Xiang is pungent and warm, regulates Qi and harmonizes the Middle, expels evil and stops vomiting, treats both exterior and interior, serving as the Sovereign herb; Zi Su, Bai Zhi, and Jie Geng disperse cold and benefit the diaphragm, assisting to release exterior pathogens; Hou Po and Da Fu Pi move Water and reduce fullness, Chen Pi and Ban Xia descend rebellious Qi and eliminate phlegm, assisting to relieve interior stagnation; Bai Zhu, Fu Ling, and Gan Cao benefit the Spleen and remove Dampness to support Righteous Qi, serving as Minister and Envoy herbs. When Righteous Qi flows smoothly, pathogenic rebellion is naturally eliminated. (Wu Shou said: If it is Taiyang Cold Damage with headache, fever, and bone/joint pain, this formula is completely irrelevant; if misused, even if sweating occurs, it will not resolve, often leading to complicated syndromes. It is contraindicated for Cold Damage with fever and deep pulse, persons with deficient Yuan Qi, and those with Yin-deficiency Cold Damage with fever. Dai Yanli said: Obese people are prone to Stroke because Qi is abundant externally but deficient internally... Phlegm... Taking this medicine not only treats Stroke syndromes, but is especially suitable for Qi Collapse, Evil Invasion, and Cholera.)
Combining this formula with the three-ingredient Xiang Ru Yin (Xiang Ru, Bian Dou, Huang Lian) creates Huo Ru Tang: Treats latent summer-heat causing vomiting, diarrhea, and spasms.