(河间)
治雷头风,头面疙瘩肿痛,憎寒壮热,状如伤寒(一云头如雷鸣,风动作声也。李东垣
曰∶病在三阳,不可过用寒药重剂诛伐无过,处清震汤治之。三阳之气,皆会于头额;从额
至颠,
升麻 苍术(五钱) 荷叶(一枚)
此足阳明药也。升麻性阳,味甘气升,能解百毒;苍术辛烈,燥湿强脾,能辟瘴疠,此
《
阳
(《局方》)
治内外烦热不解,狂易叫走,发斑发黄,口疮香港脚,瘴毒蛊毒,热毒药毒;及小儿惊痫
黄金(百两) 寒水石 石膏 滑石 磁石(水煮,三斤。捣,煎去渣,入后药) 升
麻
并捣挫入
不住手将柳木搅,候汁欲凝,再加入后二味) 辰砂(三两,研细) 麝香当门子(一两二
钱,研细,入前
此手足少阴、足厥阴、阳明药也。寒水石、石膏、滑石、硝石以泻诸经之火,而兼利水
,为
阳解
之热
治午前潮热,气虚无汗(热发午前,阳虚而阴火乘之也;火燥热郁,故无汗。经曰∶阳
气有余,为身热无汗;阴气有余,为多汗身寒;阴阳有余,则无汗而寒。按∶此有余,乃病
邪有余,即不足也,阴阳和则无病,过中则皆病也。经又曰∶阳盛生外热,阴盛生内寒,皆
亢则为害
人参 白术 茯苓 甘草(炙) 半夏曲 当归 赤芍药 柴胡 干葛。加姜、枣煎。
此足少阳、阳明药也。四君以补阳虚(参、术、苓、草),归芍以调阴血;半夏和胃而
行痰,柴葛升阳而退热;而以甘温泻火(甘温能退大热),酸寒活血(汗,即血也),辛甘解
肌(有汗宜实表,无
故但解其肌热,而不必发出其汗也。
前药各一两,加黄芩五钱,每服三钱,加姜、枣煎。名人参散(许叔微)∶治邪热客于
经络,痰嗽烦热,头痛目昏,盗汗倦怠,一切血热虚劳(喻嘉言曰∶此邪热浅在经络,未深
入脏腑,虽用柴葛之轻,全借参术之力,以达其邪;又恐邪入痰隧,用茯苓、半夏兼动其痰,
合之当归、赤芍、黄芩,并治其血中之热;止用三钱为剂,盖方成知约,庶敢用柴胡、干葛
耳,此叔微一种苦心,特为发之)。
(Liu Hejian)
Treats Lei Tou Feng (Thunderhead Wind), characterized by nodules, swelling, and pain on the head and face, aversion to cold with high fever, resembling Taiyang disease (another theory states that the head feels like thunder, making noise when wind moves). Li Dongyuan said: When the pathogen is in the Three Yang meridians, one must not overuse heavy cold medicines to attack the healthy qi indiscriminately; instead, Qing Zhen Tang should be prescribed. The Qi of the Three Yang meridians converges at the forehead; from the forehead to the vertex...
Shengma (Rhizoma Cimicifugae) Cangzhu (Rhizoma Atractylodis) Heye (Folium Nelumbinis)
These are herbs for the Foot-Yangming Stomach meridian. Shengma is yang in nature, sweet in taste, and ascending in aroma, capable of resolving hundred toxins; Cangzhu is pungent and acrid, drying dampness and strengthening the spleen, capable of repelling miasma, as cited in "Yang..."
(The Bureau of People's Welfare Pharmacy Formulary)
Treats unresolved internal and external vexing heat, mania with changes in character, shouting and running about, macules and jaundice, mouth sores, Hong Kong foot (a disease characterized by swollen and painful lower legs), miasma poison, gu poison, heat drug poison; and pediatric convulsions...
Huangjin (Gold) Hanshui Shi (Aqua Calcitae) Shigao (Gypsum Fibrosum) Huashi (Talcum) Cishi (Magnetitum) (boiled in water, three jin. Crushed, decocted, dregs removed, then subsequent herbs added) Shengma (Rhizoma Cimicifugae)
Crushed and cut into small pieces, then added.
Stir constantly with a willow wood stick until the liquid is about to coagulate, then add the following two ingredients:) Chensha (Cinnabar) Moxiang Dangmenzi (Moschus)
These are herbs for the Hand-Shaoyin Heart meridian, Foot-Shaoyin Kidney meridian, Foot-Jueyin Liver meridian, and Foot-Yangming Stomach meridian. Hanshui Shi, Shigao, Huashi, and Xiaoshi (Natrii Sulfas) clear fire from various meridians and promote urination, serving as... Yang-resolving... heat-clearing agents.
Treats tidal fever before noon, qi deficiency with no sweating (fever occurring before noon indicates yang deficiency allowing yin-fire to invade; fire-dryness and heat stagnation cause lack of sweat. The Classic says: Excess of yang qi manifests as body heat without sweat; excess of yin qi manifests as profuse sweating and cold body; excess of both yang and yin results in no sweat and cold body. Commentary: Here, "excess" refers to pathogenic excess, which essentially implies deficiency; when yin and yang are harmonious, there is no disease; exceeding the mean leads to pathology. The Classic also says: Yang excess generates external heat, yin excess generates internal cold; hyperactivity causes harm...)
Renshen (Radix Ginseng) Baizhu (Rhizoma Atractylodis Macrocephalae) Fuling (Poria) Gancao (Radix Glycyrrhizae Preparata) Banxia Qu (Fructus Torminalis Fermentatus) Danggui (Radix Angelicae Sinensis) Chishao (Radix Paeoniae Rubra) Chaihu (Radix Bupleuri) Gange (Puerariae Radix). Decoct with ginger and jujube.
These are herbs for the Foot-Shaoyang Gallbladder meridian and Foot-Yangming Stomach meridian. Si Jun Zi Tang (Four Gentlemen Decoction) tonifies yang deficiency (Renshen, Baizhu, Fuling, Gancao); Danggui and Shaoyao regulate yin blood; Banxia harmonizes the stomach and transforms phlegm; Chaihu and Gange raise yang and reduce fever; using sweet-warm methods to drain fire (sweet-warm can resolve high fever), sour-cold methods to invigorate blood (sweat is blood), pungent-sweet methods to release the muscle layer (if sweating, it is appropriate to consolidate the exterior; if no...).
Thus, only the heat in the muscle layer is resolved, without necessarily inducing sweating.
Each of the preceding herbs one liang, add Huangqin (Scutellariae Radix) five qian, take three qian per dose, decoct with ginger and jujube. Named Renshen San (Ginseng Powder) (Xu Shuwei): Treats pathogenic heat lodging in the meridians, cough with phlegm, vexing heat, headache, blurred vision, night sweats, fatigue, and all types of blood-heat consumptive disease (Yu Jiayan said: This pathogenic heat is shallowly located in the meridians, not deeply invading the zang-fu organs. Although light herbs like Chaihu and Gange are used, they fully rely on the power of Renshen and Baizhu to drive out the pathogen; fearing the pathogen may enter the phlegm tunnels, Fuling and Banxia are used to move phlegm, combined with Danggui, Chishao, and Huangqin to treat heat in the blood; using only three qian as a dose reflects the principle of concise formulation, allowing the use of Chaihu and Gange safely. This is Xu Shuwei's meticulous care, specifically highlighted here).