(《近效方》)
治风虚,头重眩苦极,食不知味,用此暖肌补中,益精气。
白术(二两) 甘草(一两) 附子(一枚。炮)每服五钱,姜五片、枣一枚,煎。
此足太阴、少阴药也。喻嘉言曰∶肾气空虚,外风入之,风挟肾中阴浊之气厥逆上攻,
头间
附子
矣。
本方加桂枝,不用姜、枣,名甘草附子汤(仲景)∶治风湿相搏,一身烦痛,汗出恶风,
小便不利,或身微肿(风则上先受之,湿则下先受之,殆至两相搏结,注经络,流关节,入
肌骨,无处不到,则无处不痛也。风胜则卫气不固,故汗出而恶风;湿胜则水道不行,故小
便不利而微肿;用白术以益土燥湿,桂枝以散风固表,附子以驱阴助阳,甘草以和中益气也)。
本方加
(《活人》)
治面赤身热,不烦而躁,饮水不入口,名戴阳证(成氏曰∶烦躁者,先烦渐至躁也;躁
烦者,先躁而迤进复烦也;从烦至躁为热,先躁后烦谓怫怫然更作躁闷,此为阴盛格阳也,
虽大躁欲于泥水中卧,但饮水不得入口是也。此气欲脱而争,譬如灯将灭而复明矣。按∶内
热曰烦,谓之心中郁烦,为有根之火,故但烦不躁,及先烦后躁者皆可治;外热曰躁,谓身
体手足动
附子(炮) 干姜 艾叶 黄连 知母 人参 麦冬 五味子 甘草。加姜、枣、葱白
煎
此足少阴药也。附子、干姜、艾叶回阳之药,协以人参、甘草补其阳虚,退其阴火,所
谓甘温能除大热也;黄连以折泛上之火,知母以滋在下之阴(王海藏曰∶烦出于肺,躁出于
肾。成无己曰∶烦,阳也;躁,阴也),以静其躁,盖阳无阴则孤阳无所附丽,故扶阳亦兼
和阴也;麦冬、五味,补肺清心,合人参以生其脉,加童便而冷服者,热因寒用也(戴氏曰∶
烦躁,阴阳经皆有之。阳明经胃有燥屎故烦,当下之;太阳经已得汗而烦者,五苓散;少阳
亦有烦,宜小柴胡汤。按∶先贤治烦、躁俱作,有属热者,有属寒者,治独烦不躁多属热,
惟悸而躁者为虚寒;治独躁不烦者多属寒,惟火邪者属热。阴烦者少阴为多,由阳气传入阴
经,阴得阳而烦,自利而烦,渴不眠者,辰砂五苓散;若非是阳气传阴,阴气犯阴经,吐利,
手足厥冷而烦,经云∶阳虚阴乘之故烦。又云∶阴盛发躁,欲坐井中,吴茱萸汤,甚者四逆
汤加葱白。外有虚烦一证,乃病愈后阴阳未复,时发烦热,竹叶石膏汤;痰多睡不宁者,温
胆汤;呕者橘
(From *Jin Xiao Fang*)
Treats wind deficiency syndrome, characterized by extreme heaviness and dizziness of the head, loss of taste in food, using this formula to warm the muscles, tonify the middle jiao, and benefit essence and qi.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (one piece, processed). Take 5 qian per dose, with 5 slices of Shengjiang (Zingiberis Rhizoma Recens) and one Zao (Jujubae Fructus), decocted.
This acts on the Foot-Taiyin Spleen meridian and Foot-Shaoyin Kidney meridian. Yu Jiayan stated: When Kidney Qi is empty, external Wind invades; Wind carries the Yin turbid Qi from the Kidney to rebel and attack upwards, causing...
Adding Guizhi (Cinnamomi Ramulus) to this base formula, without Shengjiang and Zao, names it Gancao Fuzi Tang (Cinnamon Twig and Prepared Aconite Decoction) (from Zhang Zhongjing): Treats rheumatism where Wind and Dampness contend, causing general restlessness and pain, sweating with aversion to wind, difficulty in urination, or slight edema of the body (Wind tends to affect the upper part first, while Dampness affects the lower part first; when they contend and bind together, they enter the meridians, flow into the joints, and penetrate into muscles and bones, reaching everywhere, thus causing pain everywhere. When Wind is predominant, Wei Qi fails to secure the exterior, leading to sweating and aversion to wind; when Dampness is predominant, the water pathways fail to circulate, leading to difficulty in urination and slight edema; Baizhu is used to strengthen the Earth and dry Dampness, Guizhi to disperse Wind and secure the exterior, Fuzi to expel Yin cold and assist Yang, and Gancao to harmonize the middle and benefit Qi).
Adding ... to this base formula...
(From *Huo Ren Shu*)
Treats red face and body heat, without mental restlessness but with physical agitation, desire to drink water but inability to swallow it, named Daiyang Syndrome (Cheng Wuji stated: Fanrestlessness (Fan) gradually develops into Jiaogitation (Jao); Jiaogitation followed by Fanrestlessness means agitation precedes and then restlessness follows; progression from Fan to Jao indicates Heat, whereas Jao preceding Fan, described as a recurring state of stifling agitation, indicates Yin Excess repelling Yang. Although there is extreme agitation desiring to lie in mud or water, the water cannot be swallowed. This occurs when Qi is about to collapse and contends, like a lamp about to extinguish that flares up again. Note: Internal heat is called Fan, referring to mental depression and restlessness, which is fire with roots; thus, cases with only Fan or Fan preceding Jao are treatable. External heat is called Jao, referring to physical movement of the body and limbs... Fuzi (processed), Ganjiang (Zingiberis Rhizoma), Aiye (Artemisiae Argyi Folium), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix), Wubeizi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma). Add Shengjiang, Zao, and Congbai (Allii Fistulosi Bulbus) for decoction.
This acts on the Foot-Shaoyin Kidney meridian. Fuzi, Ganjiang, and Aiye are herbs that restore Yang; combined with Renshen and Gancao to tonify Yang deficiency and retreat Yin Fire, this exemplifies the principle that "sweet and warm can eliminate severe heat"; Huanglian is used to subdue floating upward fire, and Zhimu to nourish Yin below (Wang Haicang stated: Fan arises from the Lung, Jao arises from the Kidney. Cheng Wuji stated: Fan is Yang; Jao is Yin), thereby calming the agitation. Since Yang without Yin becomes solitary and has no attachment, assisting Yang also involves harmonizing Yin; Maidong and Wubeizi tonify Lung Qi and clear Heart Fire, combined with Renshen to generate the pulse; adding Tongbian (Urine of healthy child) and taking it cold is an application of "treating heat with cold" (Dai stated: Fan and Jao occur in both Yin and Yang meridians. In the Yangming meridian, dry stool in the Stomach causes Fan, requiring purgation; in the Taiyang meridian, Fan persisting after sweating requires Wuling San; Shaoyang meridian also presents with Fan, suitable for Xiaochaihu Tang. Note: Ancients treated simultaneous Fan and Jao, categorizing them into Heat and Cold types. Cases with only Fan and no Jao mostly belong to Heat; cases with palpitations and Jao belong to Deficiency-Cold. Cases with only Jao and no Fan mostly belong to Cold; only those caused by Fire Pathogens belong to Heat. Yin Fan is mostly seen in Shaoyin disease, occurring when Yang Qi transmits to the Yin meridians, Yin receives Yang and becomes Fan, accompanied by spontaneous diarrhea, Fan, thirst, and insomnia, treated with Chencha Wuling San. If not Yang transmitting to Yin, but Yin Qi invading Yin meridians, with vomiting, diarrhea, cold extremities, and Fan, the classics state: "Fan due to Yang deficiency allowing Yin to invade." Also: "Yin excess induces Jao, desiring to sit in a well," treated with Wuzhuyu Tang; severe cases use Sini Tang with Congbai. Additionally, there is a syndrome of Empty Fanrestlessness, occurring after illness recovery when Yin and Yang have not yet restored, presenting with intermittent feverish Fan, treated with Zhuye Shigao Tang; if accompanied by much phlegm and restless sleep, Wendan Tang is used; for vomiting, Ju...