治肺痨有热,不能服补气之剂者。(肺虚挟火,或咳嗽发热,阴虚已甚。再服补阳
则火益亢,而阴愈亏。故有虽病虚劳,不能服温补药者。)知母 贝母 等分。炒为
火旺烁金,肺痨热,能受温补者易治,不能受温补者难治。故又设此法以滋阴,用贝母
化痰
治发斑咽痛。(发斑者,阳明胃热也。咽痛者,太阴肺火也。)
元参 升麻 甘草(等分。)
升麻能入阳明,升阳解毒。元参能入太阴,清金制火。甘草甘平,能散能和,故可利咽
散斑
除元参,加犀角射干黄芩人参,名阳毒升麻汤。治阳毒发斑,头项背痛,狂躁骂詈,咽
肿吐
(节庵) 治伤寒热邪传里,里实表虚,阳毒发斑。(血热不散,蒸于皮肤则为斑
如锦纹。紫黑者,热极而胃烂也,多死。此或因阳证,误投热药。或因下早,表热乘虚
或因下迟,热留胃中,皆发斑。有阴证发斑者,元气大虚,寒伏于下,逼其无根失守
上独熏肺,传于皮肤,淡红而稀少也。宜大建中汤,误投寒剂则殆矣。)
青黛 黄连 犀角 石膏 知母 元参 栀子 生地黄 柴胡 人参 甘草 加姜枣
煎。入
发斑虽由胃热,亦诸经之火有以助之。青黛黄连,以清肝火。栀子元参,以清心肺之火。
知
肌
乘
(无择) 治鼻渊。(鼻流浊涕不止,名鼻渊。乃风热烁脑,而液外渗也。经曰∶脑渗
为涕。又曰∶胆移热于脑,则辛 鼻渊。即山根,辛 ,酸痛也。原病式曰∶如以火烁金,
热极则反化为水。肝热甚则出泣,心热甚则出汗,脾热甚则出涎,肺热甚则出涕,肾热甚则
出唾。皆火热盛极,消烁以致之也。)
白芷(一两) 薄荷 辛夷(各五钱) 苍耳子(炒二钱半)为末,食前葱茶汤调下二
钱。
凡头面之疾,皆由清阳不升,浊阴逆上所致。白芷主手足阳明,上行头面,通窍表汗,
除湿
达皮
脑液
Treats pulmonary tuberculosis (pulmonary consumption) with heat signs, in patients who cannot tolerate qi-tonifying agents. (This indicates lung deficiency accompanied by fire pathogen, or cough with fever, where yin deficiency is severe. Administering yang-tonifying drugs would further exacerbate the fire and deplete yin further. Thus, although there is a deficiency-consumption disease, warm-tonifying medicines are contraindicated.) Anemarrhenae Rhizoma (Zhimu) and Fritillariae Bulbus (Beimu), taken in equal parts. Stir-fried and ground into fine powder.
Because excessive fire scorches Lung Metal (the Lung belongs to Metal), causing pulmonary tuberculosis with heat. Cases that can tolerate warm-tonifying treatment are easier to cure; those that cannot tolerate them are difficult to treat. Therefore, this method is established to nourish yin, using Fritillariae Bulbus (Beimu) to resolve phlegm.
Treats macules (skin eruptions) and sore throat. (Macules result from heat in the Yangming Stomach channel. Sore throat results from fire in the Taiyin Lung channel.) Scrophulariae Radix (Xuanshen), Cimicifugae Rhizoma (Shengma), and Glycyrrhizae Radix et Rhizoma (Gancao), taken in equal parts.
Cimicifugae Rhizoma (Shengma) enters the Yangming channel, raises yang and resolves toxicity. Scrophulariae Radix (Xuanshen) enters the Taiyin channel, clears Lung Metal and restrains fire. Glycyrrhizae Radix et Rhizoma (Gancao) is sweet and neutral, capable of dispersing and harmonizing, thus it can benefit the throat and dissipate macules.
Remove Scrophulariae Radix (Xuanshen), add Rhinocerotis Cornu (Xijiao), Belamcandae Radix (Shegan), Scutellariae Radix (Huangqin), and Ginseng Radix (Renshen). This formula is named Yangdu Shengma Decoction. It treats macules caused by Yang-toxin, along with pain in the head, neck, and back, mania, cursing, and swollen throat.
(Jie'an) Treats typhoid fever where heat pathogen has transmitted inward, resulting in interior excess and exterior deficiency, with Yang-toxin macules. (Blood-heat failing to disperse steams onto the skin, forming macules resembling brocade patterns. Purple-black macules indicate extreme heat leading to stomach rot, often fatal. This may be due to misapplying hot medicines for Yang-patterns, or purging too early allowing exterior heat to enter via deficiency, or purging too late leaving heat in the stomach. All these cause macules. There are also Yin-pattern macules: when Yuan-qi is severely deficient, cold hides below, forcing rootless and unanchored yang to float upward, scorching the Lung alone, and transmitting to the skin, appearing as pale red and sparse macules. Da Jianzhong Decoction should be used; misusing cold agents would be dangerous.) Baphicacanthi Cuspidis Folium et Radix (Qingdai), Coptidis Rhizoma (Huanglian), Rhinocerotis Cornu (Xijiao), Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu), Scrophulariae Radix (Xuanshen), Gardeniae Fructus (Zhizi), Rehmanniae Radix Preparata (Shengdihuang), Bupleuri Radix (Chaihu), Ginseng Radix (Renshen), and Glycyrrhizae Radix et Rhizoma (Gancao), decocted with Zingiberis Recens Rhizoma (Shengjiang) and Jujubae Fructus (Dazao).
Although macules originate from Stomach heat, they are also assisted by fire from other channels. Baphicacanthi Cuspidis Folium et Radix (Qingdai) and Coptidis Rhizoma (Huanglian) clear Liver fire. Gardeniae Fructus (Zhizi) and Scrophulariae Radix (Xuanshen) clear Heart and Lung fire.
(Wuze) Treats Biyuan (chronic rhinitis/sinusitis). (Continuous flow of turbid nasal discharge is called Biyuan. It is caused by wind-heat scorching the brain, causing fluids to leak outward. The Classics state: fluid leakage from the brain becomes nasal discharge. Also: Gallbladder heat transferring to the brain causes nasal congestion, anosmia, and pain. Yuanbing Shi states: just as fire scorches metal, extreme heat transforms into water. Excessive Liver heat causes tearing, excessive Heart heat causes sweating, excessive Spleen heat causes salivation, excessive Lung heat causes nasal discharge, excessive Kidney heat causes spitting saliva. All are caused by extreme heat consuming fluids.) Angelicae Dahuricae Radix (Baizhi, 1 liang), Menthae Haplocalycis Herba (Bohe), and Xanthii Fructus Coriaceus (Xinyi, each 5 qian), and Xanthii Fructus (Caierzi, stir-fried, 2.5 qian), ground into powder. Take 2 qian before meals, mixed with Congbai (scallion white) tea water.
All diseases of the head and face are caused by the failure of Clear Yang to ascend and the counter-flow of Turbid Yin. Baizhi primarily acts on the Hand and Foot Yangming channels, ascending to the head and face, opening orifices, inducing sweating, removing dampness, and reaching the skin.