羌活胜湿汤 治风湿上冲头痛。项似拔。腰似折。
羌活 独活 防风 川芎 本 蔓荆子(碎。) 甘草(炙。各一钱
。) 生姜(三片。)
水煎热服。缓取微似汗。过汗则风去湿不去也。如无头痛。去蔓荆子。换苍术。
除风湿羌活汤 治风湿相搏。一身尽痛。日晡发热。
羌活 防风 柴胡 本 苍术(泔制。各一钱) 升麻(八分。) 生姜(一斤。
)
水煎。空心热服。覆暖取微汗。 按羌活胜湿汤。与除风湿羌活汤。同源异 。此治头项之湿
。故用羌、防、芎、 一派风药。以祛上盛之邪。然热虽上浮。湿本下着。所以复用独活透达少阴
之经。其妙用尤在缓取微似之汗。故剂中加用甘草。以缓诸药辛散之性。则湿着之邪。亦得从之缓
去。无藉大开汗孔。急驱风邪之法。使肌腠馁弱无力。湿邪因之内缩。但风去而湿不去也。其有腰
以下重。寒湿之邪留于阴分也。本方加防己以逐湿。必兼生附以行经。或见身重腰沉沉然。湿热之邪
遍于阳分也。本方加苍术以燥湿。必兼黄柏以清热。非洞达长沙术附、桂附、栀子、柏皮等方。不
能效用其法。其除风湿羌活汤。治外淫之湿。而无上冲头项之痛。则川芎、蔓荆无预也。亦无湿着
腰疼之患。与独活尤无交涉。故但用羌、防、 、姜。益入升、柴、苍术。开提周身关腠。则湿邪
自无所容而外散矣。
神术汤(局方) 治风木之邪。内干湿土。泄利下血。
苍术(泔浸。麻油拌炒。) 本 川芎 羌活(各一钱。) 白芷 甘草(炙。)
细辛(各五分) 生姜(三片。) 葱白(二茎连须。)
上九味。水煎热服。按神术汤纯用风药。与羌活胜湿相去不远。如何可治泄利下血。盖火淫阳
明之血。则燥金
受伤。只合清凉。最嫌风燥。若风乘太阴之血。则湿土被郁。法当升散。切戒寒凉。当知阳明来者
。色必鲜明。太阴来者。色必清稀。其源各异。故其治亦迥乎不侔。究其旨。不越风能胜湿之义
。苍术专主木邪乘土。故能治外纳诸邪。以风木之邪内干土脏。故用羌、 、芷、辛等风药。兼川
芎以引入血分。甘草以调和胃气。胃气敷布有权。泄利下血自止。盖汗即血之液。夺其汗则血中之
湿热邪气。悉从外泄而无内滞之患矣。
升阳除湿防风汤(即升阳防风汤。) 治风湿飧泄。及肠风滞下便血。
防风(二钱。) 苍术(泔浸。去皮饭上蒸) 白术(土炒。) 茯苓 白芍(各一钱) 生姜
(一片。)
水煎。热服取微汗。 阳陷于下。则成飧泄。湿犯于上。则令头痛。清浊倒置而然。故用风药
以胜湿也。然风木之病。稍加桂枝、甘草监制。其功尤捷。
茵陈蒿汤(玉函) 治湿热发黄。便秘脉实。
茵陈蒿(五钱。) 栀子(五枚。碎) 大黄(三钱)
上三味。水煎热服。微利黄水去为度。未去。越三日再服。 按茵陈蒿汤。其旨全在通利水道
。不得不借幽门为向导尔。
清热渗湿汤 治夏月湿热痿困。烦渴泄泻溺赤。
黄柏(盐酒炒黑。三钱) 苍术(去皮。同芝麻炒) 白术(生) 茯苓 泽泻 黄连(酒炒
。各一钱。) 甘草(炙。五分。生。三分) 竹叶(十片。)
水煎热服。小便利为效。 老人虚人。加肉桂少许。气虚喘乏。加人参。脉虚。合生脉散。内
伤生冷。加炮姜。 按此本二妙合五苓之半。加黄连、甘草以燥夏令之湿热。良可法也。
当归拈痛汤 治湿热走注。遍身骨节烦疼。胸膈不利。足胫赤肿重痛。
羌活 甘草(炙。) 黄芩 茵陈(酒炒。各一钱。) 人参 苦参(酒洗。) 升麻(多汗。
易黄 。) 葛根 苍术(泔浸。自汗。易桂枝。) 归身(各六分。) 白术(姜制。) 防风(下肿。易
防己。) 知母(疼热。易黄柏) 猪苓 泽泻(各八分)
水煎。热服无时。 此湿热疼肿之圣方。若不赤不肿痛上不热为寒湿。禁用。
渗湿汤(理中汤下) 五苓散(方祖) 除湿汤(平胃散下) 肾着汤(理中汤下) 黄
建中汤(桂枝汤下)
小建中汤(桂枝汤下) 苓桂术甘汤(桂枝汤下) 小青龙汤(桂枝汤下) 麻黄加术汤(麻黄汤
下)
麻黄杏仁薏苡甘草汤(麻黄汤下) 人参败毒散(小柴胡汤下) 五积散(平胃散下) 防己黄
汤(方祖)
桂枝附子汤(术附汤下) 白术附子汤(术附汤下) 甘草附子汤(术附汤下) 桂枝汤(方祖
)桂苓甘露饮(五苓散下)
虎潜丸(大补丸下) 神芎丸(伊芳尹三黄汤下) 半夏泻心汤(方祖) 六君子汤(四君子汤下
)清燥汤(保元汤下)
春泽汤(五苓散下) 控涎丹(十枣汤下) 地黄饮子(中风门) 黑锡丹(金液丹下) 生
脉散(方祖)
济生肾气丸(崔氏八味丸下)
Qianghuo Shengshi Tang (Notopterygium Decoction to Overcome Dampness): Treats headache caused by wind-dampness rushing upward. Symptoms include neck stiffness as if being pulled and lower back pain as if broken.
Ingredients: Qianghuo (Rhizoma et Radix Notopterygii), Du Huo (Radix Angelicae Pubescentis), Fang Feng (Radix Saposhnikoviae), Chuan Xiong (Rhizoma Chuanxiong), Gao Ben (Rhizoma Ligustici Chuanxiong), Man Jing Zi (Fructus Viticis Expensae, crushed), Gan Cao (Radix Glycyrrhizae, honey-fried, each 1 qian), Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices).
Preparation and Administration: Decoct in water and take hot. Administer slowly to induce a slight sweat. Excessive sweating will expel the wind but fail to remove the dampness. If there is no headache, remove Man Jing Zi and substitute with Cang Zhu (Rhizoma Atractylodis Macrocephalae).
Chu Feng Shi Qianghuo Tang (Decoction of Notopterygium to Dispel Wind-Dampness): Treats wind-dampness intermingling and attacking, causing pain throughout the body and fever during the Shen hour (3-5 PM).
Ingredients: Qianghuo, Fang Feng, Chai Hu (Radix Bupleuri), Gao Ben, Cang Zhu (prepared with rice wash water, each 1 qian), Sheng Ma (Radix Cimicifugae, 8 fen), Sheng Jiang (1 slice, note: original text says "1 jin" which is likely an OCR error for a smaller quantity like 3 slices; translated here as per standard practice for coherence).
Preparation and Administration: Decoct in water and take hot on an empty stomach. Cover with warmth to induce a slight sweat.
Commentary: Qianghuo Shengshi Tang and Chu Feng Shi Qianghuo Tang share the same origin but differ in application. The former treats dampness in the head and neck, thus employing a group of wind-dispelling herbs such as Qianghuo, Fang Feng, Chuan Xiong, and Gao Ben to expel pathogenic factors prevalent in the upper body. However, while heat may float upward, dampness naturally tends to settle downward. Therefore, Du Huo is heavily used to penetrate and reach the Shaoyin meridian. Its subtle efficacy lies in inducing a slight sweat gradually. Hence, Gan Cao is added to moderate the acrid and dispersing nature of the other herbs, allowing the adherent dampness to be removed slowly without relying on methods that violently open the pores to drive out wind, which could weaken the muscle and interstices and cause dampness to retreat inward, resulting in wind expulsion without dampness removal. If there is heaviness below the waist, it indicates cold-dampness lingering in the Yin aspect; add Fang Ji (Radix Stephaniae Tetrandrae) to drive out dampness and raw Fu Zi (Radix Aconiti Lateralis Preparata) to unblock the meridians. Alternatively, if the body feels heavy and the lower back feels sinking, it indicates damp-heat pervading the Yang aspect; add Cang Zhu to dry dampness and Huang Bo (Cortex Phellodendri) to clear heat. Without a profound understanding of formulas from Zhang Zhongjing (Changsha) such as Shu Fu Tang, Gui Fu Zi Tang, and Zhi Zi Bai Pi Tang, one cannot effectively apply these methods. Regarding Chu Feng Shi Qianghuo Tang, it treats external invading dampness without the headache of upward rushing to the head and neck; thus, Chuan Xiong and Man Jing Zi are unnecessary. There is also no issue of dampness adhering to the lower back causing pain, so Du Huo is irrelevant. Therefore, only Qianghuo, Fang Feng, Gao Ben, and Sheng Jiang are used, supplemented by Sheng Ma, Chai Hu, and Cang Zhu to lift and open the joints and interstices of the whole body, leaving no room for dampness except to scatter outward.
Shen Shu Tang (from *Ju Fang*): Treats wind-wood pathogenic factors internally affecting damp-earth, leading to diarrhea, dysentery, and hematochezia.
Ingredients: Cang Zhu (soaked in rice wash water, stir-fried with sesame oil), Gao Ben, Chuan Xiong, Qianghuo (each 1 qian), Bai Zhi (Radix Angelicae Dahuricae), Gan Cao (honey-fried), Xi Xin (Radix et Rhizoma Asari, each 5 fen), Sheng Jiang (3 slices), Cong Bai (Stem Allii Cepae, 2 stalks with roots).
Preparation and Administration: The above nine ingredients are decocted in water and taken hot.
Commentary: Shen Shu Tang uses purely wind-dispelling herbs, not far from Qianghuo Shengshi Tang. How can it treat diarrhea and bloody stools? This is because if fire pathogens invade the Yangming channel causing bleeding, the Metal element is injured and dried; cooling is appropriate, while wind-dryness is contraindicated. If wind pathogens attack the Taiyin channel causing bleeding, the Earth element is depressed; the method should be ascending and dispersing, strictly avoiding cold and cool herbs. It must be known that bleeding originating from Yangming has bright red blood, while that from Taiyin has pale, thin blood. Their sources differ, so their treatments are vastly different. Ultimately, the principle does not exceed "wind can overcome dampness." Cang Zhu specifically addresses wood pathogens attacking earth, thus treating various external evils. Since wind-wood pathogens internally affect the earth organs, wind herbs like Qianghuo, Gao Ben, Bai Zhi, and Xi Xin are used, combined with Chuan Xiong to enter the blood level, and Gan Cao to harmonize Stomach Qi. When Stomach Qi distributes properly, diarrhea and hematochezia stop naturally. Sweat is the fluid of blood; by inducing sweat, the damp-heat pathogens in the blood are entirely excreted externally, preventing internal stagnation.
Shengyang Chushi Fangfeng Tang (also known as Shengyang Fangfeng Tang): Treats wind-dampness-induced sundry diarrhea (undigested food in stool) and intestinal wind-induced dysentery with bloody stool.
Ingredients: Fangfeng (2 qian), Cang Zhu (soaked in rice wash water, peeled, steamed over rice), Bai Zhu (Rhizoma Atractylodis Macrocephalae, soil-fried), Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba, each 1 qian), Sheng Jiang (1 slice).
Preparation and Administration: Decoct in water and take hot to induce a slight sweat.
When Yang Qi sinks downward, sundry diarrhea forms; when dampness invades the upper part, headache occurs. This results from the inversion of clear and turbid qi. Therefore, wind herbs are used to overcome dampness. However, for wind-wood diseases, adding a little Guizhi (Ramulus Cinnamomi) and Gan Cao to control them yields even more rapid results.
Yinchen Hao Tang (from *Yufan Jing*): Treats yellowing due to damp-heat, constipation, and a full pulse.
Ingredients: Yin Chen Hao (Herba Artemisiae Scopariae, 5 qian), Zhi Zi (Fructus Gardeniae, 5 pieces, crushed), Da Huang (Radix et Rhizoma Rhei, 3 qian).
Preparation and Administration: The above three ingredients are decocted in water and taken hot. The treatment is considered effective when mild purgation occurs and yellowish fluid is expelled. If not expelled, administer again after three days.
Commentary: The essence of Yinchen Hao Tang lies entirely in promoting urination and unblocking the water passages, necessarily using the pylorus as a guide.
Qingre Shenshi Tang (Heat-Clearing and Damp-Percolating Decoction): Treats summer damp-heat causing flaccidity and fatigue, irritability, thirst, diarrhea, and dark urine.
Ingredients: Huang Bo (Cortex Phellodendri, salt-wine fried black, 3 qian), Cang Zhu (peeled, stir-fried with sesame seeds), Bai Zhu (raw), Fu Ling, Ze Xie (Radix Alismatis), Huang Lian (Radix Coptidis, wine-fried, each 1 qian), Gan Cao (honey-fried 5 fen, raw 3 fen), Zhu Ye (Folium Bambusae, 10 leaves).
Preparation and Administration: Decoct in water and take hot. Effectiveness is indicated by improved urination.
For the elderly or deficient individuals, add a small amount of Rou Gui (Cortex Cinnamomi). For Qi deficiency with panting and fatigue, add Ren Shen (Radix Ginseng). For a deficient pulse, combine with Shengmai San. For internal injury from cold/raw foods, add Pao Jiang (Rhizoma Zingiberis Preparatum).
Commentary: This formula is essentially half of Er Miao San combined with Wu Ling San, plus Huang Lian and Gan Cao to dry the damp-heat of midsummer. It is indeed worthy of emulation.
Danggui Nitong Tang (Angelica Decoction to Relieve Pain): Treats damp-heat wandering through the body, causing painful joints all over, chest and diaphragm discomfort, and red, swollen, heavy, and painful lower legs.
Ingredients: Qianghuo, Gan Cao (honey-fried), Huang Qin (Radix Scutellariae), Yin Chen Hao (wine-fried, each 1 qian), Ren Shen, Ku Shen (Radix Sophorae Flavescentis, wine-rinsed), Sheng Ma (if excessive sweating, substitute with Huang Qin/Huang Bo - text unclear, assumed Huang Qin based on context), Ge Gen (Radix Puerariae), Cang Zhu (soaked in rice wash water, if spontaneous sweating, substitute with Guizhi), Dang Gui (Radix Angelicae Sinensis, each 6 fen), Bai Zhu (ginger-processed), Fangfeng (if lower limb swelling, substitute with Fang Ji), Zhi Mu (Rhizoma Anemarrhenae, if painful heat, substitute with Huang Bo), Zhu Ling, Ze Xie (each 8 fen).
Preparation and Administration: Decoct in water and take hot at any time.
This is a sacred formula for treating pain and swelling due to damp-heat. It is contraindicated if there is no redness, swelling, pain, or heat, as this indicates cold-dampness.
(List of related formulas and their lineage/classification)
Shenshi Tang (under Lizhong Tang category) Wuling San (Ancestral Formula) Chushi Tang (under Pingwei San category) Shen Zhuo Tang (under Lizhong Tang category) Huangjianzhong Tang (under Guizhi Tang category)
Xiao Jianzhong Tang (under Guizhi Tang category) Linggui Zhugan Tang (under Guizhi Tang category) Xiao Qinglong Tang (under Mahuang Tang category) Mahuang Jia Zhu Tang (under Mahuang Tang category)
Mahuang Xingren Yiyi Gancao Tang (under Mahuang Tang category) Renshen Baidu San (under Xiaochaihu Tang category) Wuji San (under Pingwei San category) Fangji Huangqi Tang (Ancestral Formula)
Guizhi Fuzi Tang (under Shufu Tang category) Baizhu Fuzi Tang (under Shufu Tang category) Gancao Fuzi Tang (under Shufu Tang category) Guizhi Tang (Ancestral Formula) Guiling Ganlu Yin (under Wuling San category)
Hujian Wan (under Dabu Wan category) Shenxiong Wan (under Liu Hejian Sanhuang Tang category) Banxia Xiexin Tang (Ancestral Formula) Liujunzi Tang (under Sijunzi Tang category) Qingzao Tang (under Baoyuan Tang category)
Chunze Tang (under Wuling San category) Kongyan Dan (under Shizao Tang category) Dihuang Yinzi (See Stroke Section) Heixi Dan (under Jin Ye Dan category) Shengmai San (Ancestral Formula)
Jisheng Shenqi Wan (under Cuishi Bawei Wan category)