(节庵制此以代葛根汤) 治太阳阳明合病,头目眼眶痛,鼻干不眠,恶寒无汗,
洪。(太阳脉起目内 ,上额,交巅。阳明脉上至额颅,络于目。风寒上干,故头痛,
眶痛也。恶寒无汗,属太阳。鼻干不眠,属阳明。脉洪,将为热也。节庵曰∶此阳明
邪,若在腑病,另有治法。)
柴胡 葛根 羌活 白芷 黄芩 芍药 桔梗 甘草 加姜枣石膏一钱煎。无汗,恶
寒
寒邪在经,故以羌柴芷葛散之,寒将为热,故以黄芩石膏桔梗清之。(三药并泄肺热,)
以芍
(局方) 治少阳阳明合病,伤风,壮热恶风,头痛体痛,鼻塞咽干,痰盛咳嗽,
稠粘。及阳气郁遏,元气下陷,时行瘟疫。(刘宗浓曰∶伤风一证,仲景与伤寒同论,
麻黄桂枝之分,至于传变之后,亦未尝悉分之也。诸家皆与感冒四气,并中风条混治。
无择别立伤风一方,在四淫之首。且根据伤寒以太阳为始,分注六经,可谓详密。但风本
诸方例用解表发表,然受病之源,亦有不同。若表虚受风,专用发表之药,必致汗多亡
证。若内挟痰热而受风,亦宜内外交治,不可专于解表也。或曰∶此云表虚,与伤寒中
虚同欤。予曰∶不同也。彼以太阳中风,而于有汗无汗分虚实。实者加麻黄,虚者加葛
俱解表也。此云表虚者,当固守卫气,而散风者也。)
柴胡 前胡 黄芩 升麻 葛根 桑皮 荆芥 赤芍 石膏 加姜三片,豉廿粒,阳明
而兼
(三
而清
故
(Constructed by Jie'an to replace Ge Gen Tang) Treats concurrent Taiyang and Yangming diseases, presenting with pain in the head, eyes, and eye sockets, dryness of the nose, insomnia, aversion to cold, absence of sweating, and a flooding pulse. (The Taiyang meridian originates from the inner canthus, ascends to the forehead, and intersects at the vertex. The Yangming meridian ascends to the frontal skull and connects with the eyes. Wind-cold pathogens attacking upwards cause headache and orbital pain. Aversion to cold and absence of sweating belong to the Taiyang syndrome; dry nose and insomnia belong to the Yangming syndrome. A flooding pulse indicates impending heat transformation. Jie'an stated: This is pathogenic factor in the Yangming channel. If the disease resides in the Fu organs, there are other treatment methods.)
Chai Hu (Bupleuri Radix), Ge Gen (Puerariae Lobatae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), add Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), and Shi Gao (Gypsum Fibrosum) 1 qian for decoction. In cases of no sweat and severe aversion to cold...
(The Formulary of the Imperial Medical Bureau) Treats concurrent Shaoyang and Yangming diseases, wind strike, high fever with aversion to wind, headache, body ache, nasal congestion, dry throat, profuse cough with thick and sticky sputum. Also treats constrained Yang qi, sinking Yuan qi, and seasonal epidemics. (Liu Zongnong stated: Regarding wind strike, Zhang Zhongjing discussed it together with Shanghan, distinguishing between Ma Huang Tang and Gui Zhi Tang applications. However, after transmission and transformation, he did not strictly differentiate them. Various schools mixed wind strike with exposure to the four abnormal Qi and treated it concurrently with the stroke section. Wang Haogu independently established a formula for wind strike, placing it first among the 'Four Perversions'. Furthermore, following the Shanghan theory, starting with the Taiyang meridian and annotating the Six Meridians, it can be considered detailed and precise. Nevertheless, although all formulas typically use exterior-releasing methods for wind, the source of infection differs. If one has deficient exterior and contracts wind, using only exterior-releasing drugs will inevitably lead to excessive sweating and loss of fluids/righteous qi. If wind is contracted with internal phlegm-heat, internal and external treatments should be combined; one cannot focus solely on releasing the exterior. One might ask: Is this 'deficient exterior' the same as the deficiency mentioned in Shanghan? I say: No. In Shanghan, regarding Taiyang wind strike, deficiency and excess are distinguished by the presence or absence of sweat. Excess adds Ma Huang, deficiency adds Ge Gen; both release the exterior. Here, 'deficient exterior' implies consolidating the Wei qi while dispersing wind.)
Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Huang Qin (Scutellariae Radix), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Sang Bai Pi (Mori Cortex), Jing Jie (Schizonepetae Spica), Chi Shao (Paeoniae Radix Rubra), Shi Gao (Gypsum Fibrosum), add San Pian of Sheng Jiang (Zingiberis Rhizoma Recens) and twenty grains of Chi Dou Chi (Sojae Semen Praeparatum), addressing Yangming...
(The three formulas...) ...and clear... therefore...