(局方) 治诸风上攻,正偏头痛,恶风有汗,憎寒壮热,鼻塞痰盛,头晕目眩。
偏头痛者,风中于脑,作止无时也。中风,故有汗恶风。风邪在表,故憎寒壮热。风寒
皮毛,腠理密致,不得泄越,气并于鼻,故鼻塞。火升故痰盛,痰热上攻,故头晕目眩
薄荷(八钱) 芎 荆芥(四钱) 甘草(炙) 羌活 白芷(二钱) 防风(钱半)
细辛(一钱)
风热。(菊花清热
羌活治太阳头痛,白芷治阳明头痛,川芎治少阳头痛,细辛治少阴头痛,防风为风药卒
徒,
薄
肝
痛
风
收
(节庵) 治阳虚不能作汗。(陶节庵曰∶治头痛项强,发热恶寒无汗。服发汗药一二
剂,汗不出者,为阳虚不能作汗,名曰无阳证。庸医不识,不论时令,遂用麻黄重药,劫取
其汗,误人多矣。此方必脉证中有虚寒之实据,方可用也。)
人参 黄 桂枝 甘草 附子(炮) 细辛 羌活 防风 川芎 煨姜 枣二枚。加
炒芍药
经曰∶阳之汗,以天地之雨名之。汗之无汗,邪盛而真阳虚也。故以参 甘草姜桂附子,
大
之助也。(节庵曰∶人第知参 能止汗,而不知其能发汗,以在表药队中,则助表药而解散
也。东垣丹溪治虚人感冒,多用补中益气,加表药,即同此意。)
[Ju Fang (Formulary of the Bureau of Taiyi)] Treats symptoms caused by various wind pathogens attacking upwards, including frontal headache and lateral headache, aversion to wind with sweating, aversion to cold with high fever, nasal congestion with profuse phlegm, dizziness, and vertigo.
Lateral headache is caused by wind pathogen invading the brain; its onset and cessation occur without fixed timing. Since it is an invasion of wind (here referring to exogenous wind pathogen), there is sweating and aversion to wind. The wind pathogen remains in the exterior, causing aversion to cold and high fever. Wind-cold invades the skin and hair, the couli (pores) become dense, preventing the release of pathogens; qi stagnates in the nasal orifice, causing nasal congestion. Rising fire leads to profuse phlegm; phlegm-heat attacks upward, causing dizziness and vertigo.
Bohe (Menthae Haplocalycis Herba, 8 qian) Xiongqiong (Ligusticum Chuanxiong Rhizoma) Jingjie (Schizonepetae Spica, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Qianghuo (Notopterygii Rhizoma et Radix) Baizhi (Angelicae Dahuricae Radix, 2 qian) Fangfeng (Saposhnikoviae Radix, 1.5 qian) Xixin (Asari Radix et Rhizoma, 1 qian).
(Note: For wind-heat patterns, use Juhua (Chrysanthemi Flos) to clear heat.)
Qianghuo treats Taiyang meridian headache; Baizhi treats Yangming meridian headache; Xiongqiong treats Shaoyang meridian headache; Xixin treats Shaoyin meridian headache. Fangfeng serves as the vanguard among wind-dispelling herbs.
(The original text here is fragmented: "Bo Gan Tong Feng Shou". Due to severe textual loss, only the visible parts are translated.)
[Zai Zao San (Jie An Formula)] Treats conditions where yang deficiency prevents the generation of sweat. (Tao Jie'an stated: It treats headache, neck stiffness, fever, aversion to cold, and absence of sweat. If after taking diaphoretic medicines for one or two doses, sweat still does not appear, it is because yang deficiency fails to generate sweat, termed "Wu Yang Zheng" (Yang Absence Syndrome). Quack doctors fail to recognize this pattern; regardless of the season, they use heavy drugs like Mahuang (Ephedrae Herba) to forcibly extract sweat, harming many people. This formula should only be used when there is definitive evidence of deficiency-cold in both pulse and symptoms.)
Renshen (Ginseng Radix) Huangqi (Astragali Membranacei Radix) Guizhi (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Xixin (Asari Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Xiongqiong (Ligusticum Chuanxiong Rhizoma) Wei Jiang (Zingiberis Rhizoma Praeparatum) Dazao (Ziziphi Jujubae Fructus, 2 pieces). Can add Chao Shaoyao (Paeoniae Radix Alba, stir-fried).
The Classics state: Human sweat can be likened to rain from heaven and earth. The inability to sweat despite attempts indicates that pathogens are abundant while true yang is deficient. Therefore, Renshen, Gancao, Shengjiang (Zingiberis Rhizoma), Guizhi, and Fuzi are used to greatly tonify yuan qi (original qi) and assist yang. (Jie'an said: People only know that Renshen and Huangqi can stop sweating, but do not realize they can also induce sweating. When paired with exterior-releasing herbs, they assist these herbs in dispersing pathogens. Li Dongyuan and Zhu Danxi, when treating common cold in constitutionally weak individuals, often used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with exterior-releasing herbs; the intent is the same as this formula.)