治阳明表热下利。兼治痘疹初发。
钱氏升麻葛根汤。芍药甘草合成方。(升麻三钱。葛根芍药各二钱。炙草一钱。)阳明发
热兼头痛。(及目痛鼻干不得卧等症。)下利生斑疹痘良。
新订症同太阳。而目痛鼻干不眠称阳明者。是阳明自病。而非太阳转属也。此方仿仲景
葛根汤。恶姜桂之辛热。大枣之甘壅而去之。以升麻代麻黄。便是阳明表剂。与太阳表剂迥
别。葛根甘凉。生津去实。挟升麻。可以托散本经自病之肌热。并可以升提与太阳合病之自
利也。然阳明下利。即是胃实谵语之兆。故以芍药之苦甘。合用以养津液。津液不干。则胃
不实矣。至于疹痘。自里达表内外皆热之症。初起亦须凉解。
六经中风之通剂。
小续命汤(子金)桂附芎。麻黄参芍杏防风。黄芩防己兼甘草。风中诸经以此通。(通
治
六经中风。 邪不遂。语言謇滞。及刚柔二痉。亦治厥阴风泻。防风一钱一分。桂枝麻黄人
参酒芍杏仁川芎黄芩防己甘草各八分。附子四分。姜枣煎服。)
陈修园曰。天地之噫气为风。和风则生长万物。疾风则摧折万物。风之伤人者。皆带严
寒肃杀之气。故此方桂芍姜草。即伤寒论之桂枝汤。麻杏甘草。即伤寒论之麻黄汤。二方合
用。立法周到。然风动则火升。故用黄芩以降火。风胜则液伤。故用人参以生液。血行风自
灭。故用芎芍以行血。防风驱周身之风。为拨乱返正之要药。附子补肾命之根。为胜邪固本
之灵丹。防己纹如车辐。有升转循环之用。以通大经小络。药品虽多。而丝丝入扣。孙真人
询仲景下之一人也。
Treats diarrhea caused by exterior heat of the Yangming channel. Also treats the initial eruption of smallpox and chickenpox.
Qian Yi's Shengma Gegen Decoction (Cinnamon Twig and Pueraria Root Decoction) is composed of Shaoyao (Paeoniae Radix Alba) and Gancao (Glycyrrhizae Radix et Rhizoma Preparata). [Shengma (Cimicifugae Rhizoma) 3 qian, Gegen (Puerariae Radix) and Shaoyao each 2 qian, Zhi Cao (Prepared Licorice Root) 1 qian.] For Yangming fever accompanied by headache, [as well as symptoms such as eye pain, nasal dryness, and inability to sleep], it is effective for diarrhea with the appearance of macules, papules, or pustules.
The newly defined syndrome presents similarly to Taiyang disease, but is termed Yangming disease due to symptoms like eye pain, nasal dryness, and insomnia. This indicates a primary pathogenic invasion of the Yangming channel itself, rather than transmission from Taiyang. This formula imitates Zhang Zhongjing's Gegen Tang (Pueraria Root Decoction). It omits Shengjiang (Zingiberis Rhizoma Recens), Guizhi (Cinnamomi Ramulus), and Dazao (Jujubae Fructus) because it avoids the acrid-warm nature of ginger and cinnamon twig, and the cloying-sweet stagnation of jujube. By substitions Shengma (Cimicifugae Rhizoma) for Mahuang (Ephedrae Herba), it becomes an exterior-releasing agent for Yangming, distinct from those used for Taiyang. Gegen is sweet and cool; it generates fluids and clears excess heat. Combined with Shengma, it can vent and disperse the exterior heat originating from the Yangming channel itself, and can also lift clear yang to treat spontaneous diarrhea associated with combined Taiyang-Yangming involvement. However, diarrhea in Yangming often signals impending gastric excess and delirious speech. Therefore, Shaoyao’s bitter and sweet properties are used to nourish body fluids. If body fluids are not depleted, the stomach will not become dry and excessive. As for rashes and pox, they are conditions where heat exists both internally and externally, spreading from inside to outside. In the early stage, cooling and resolving methods are required.
A universal formula for wind-stroke affecting the Six Channels.
Xiao Xuming Tang (Minor Continuation Life Decoction): Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Chuanxiong (Chuanxiong Rhizoma); Mahuang (Ephedrae Herba), Renshen (Ginseng Radix et Rhizoma), Baishao (Paeoniae Radix Alba processed with wine), Xingren (Armeniacae Semen Amarum), Fangfeng (Saposhnikoviae Radix); Huangqin (Scutellariae Radix), Fangji (Stephaniae Tetrandrae Radix), Gancao (Glycyrrhizae Radix et Rhizoma). This formula treats wind-stroke affecting all six channels. [It universally treats wind-stroke causing limb paralysis, slurred speech, and both rigid (gang) and flaccid (rou) spasms. It also treats diarrhea caused by wind-pathogen in the Jueyin channel. Prescription: Fangfeng 1.1 qian, Guizhi, Mahuang, Renshen, Jiushaoyao (Wine-processed White Peony Root), Xingren, Chuanxiong, Huangqin, Fangji, Gancao each 0.8 qian, Fuzi 0.4 qian. Decoct with Shengjiang (Fresh Ginger) and Dazao (Jujube).]
Chen Xiuyuan stated: The sound emitted when heaven and earth exhale is called "yi" (groan/exhale), which transforms into wind. Gentle winds allow all things to grow, while violent winds destroy them. When wind pathogens injure humans, they carry the qi of severe cold and austere killing energy. Therefore, the combination of Guizhi, Shaoyao, Shengjiang, and Gancao in this formula constitutes the Guizhi Tang (Cinnamon Twig Decoction) from the *Shanghan Lun* (Treatise on Cold Damage); Mahuang, Xingren, and Gancao constitute the Mahuang Tang (Ephedra Decoction) from the *Shanghan Lun*. Combining these two formulas results in comprehensive therapeutic principles. However, since wind movement causes fire to rise, Huangqin (Scutellaria Root) is used to descend fire. Since wind dominance damages body fluids, Renshen (Ginseng) is used to generate fluids. When blood flows freely, wind extinguishes itself; thus, Chuanxiong and Shaoyao are used to promote blood circulation. Fangfeng (Saposhnikovia Root) drives out wind throughout the body and is a crucial herb for restoring order. Fuzi (Prepared Aconite) tonifies the root of Kidney and Mingmen (Gate of Vitality) and is a miraculous medicine for overcoming pathogens and consolidating the root. Fangji (Stephania Root), with its texture resembling wheel spokes, has the function of ascending and rotating circulation, used to unblock the large and small collaterals. Although there are many herbs, they are intricately coordinated. Sun Simiao once asked Zhang Zhongjing for guidance, and Zhang Zhongjing taught him only one formula.