(凡涉伤寒门传经者不录。)
姜白通汤 治暴卒中寒,厥逆呕吐,泻利色清,气冷,肌肤凛栗,无汗,盛阴没阳之症。
附子(五钱) 干姜(五钱) 葱白(五茎) 猪胆(半枚) 先将附、姜二味煎好,后入
葱汁、胆汁,和匀温服。
桂归姜汤 治暴卒中寒,兼伤营血者。
附子(二钱五分) 干姜(二钱五分) 当归(二钱五分) 肉桂(二钱五分) 水二盏,煎至一盏,入蜜一
蛤蜊壳,温服。
姜归桂参甘汤 治阳气将回,阴寒少杀。
附子(一钱五分) 干姜(一钱五分) 当归(一钱五分) 肉桂(一钱五分) 人参(二钱)
甘草(二钱) 大枣(二枚) 加蜜三蛤蜊壳,温服。
辛温平补汤 治暴中寒症,服前三方其阳已回,身温色活,手足不冷,吐利渐除,用此平补脏腑,调和营
卫,俾不致有药偏之害。
附子(五分) 干姜(五分) 当归(一钱) 肉桂(五分) 人参(一钱) 甘草(一钱) 黄 (一钱) 白
术(一钱土炒) 白芍(一钱酒炒) 五味子(十二粒) 大枣(二枚) 加蜜五蛤蜊壳,温服。
四逆汤 治三阴经症,四肢厥冷,虚寒下利,急温其脏。
甘草(二两) 干姜(三两) 附子(一枚) 上三味,以水二升,煎取一升二合,分温再服。
通脉四逆加减汤 治下利清谷,里寒外热,厥逆恶寒,脉微欲绝之证。
甘草(二两) 附子(大者一枚) 干姜(三两强人可四两) 面赤者加葱九茎。腹中痛者去葱,加芍药
三两。呕者加生姜二两。咽痛者去生姜、芍药,加桔梗一两。利止、脉不出者,去桔梗,加人参二两。
桂枝去芍药加麻辛附子汤 治中脘痛,心下坚,大如盘,边如旋杯,水饮所作。
桂枝(三两) 麻黄(二两) 细辛(二两) 甘草(二两炙) 附子(一枚)
生姜(三两) 大枣(十二枚) 水七升,煮麻黄,去沫,内诸药,煮取二升,分三服,当汗出如虫行皮中,即愈。
附子粳米汤 治腹中寒气,雷鸣切痛,胸胁逆满,呕吐。
附子(一枚) 半夏(半升) 甘草(一两) 大枣(十枚) 粳米(半升)
水八升,煮米熟汤成,去渣,温服一升。
大建中汤 治心胸中大寒痛,呕不能饮食,腹中寒,上冲皮起,出见有头足,上下痛而不可触近者。
蜀椒(二合) 干姜(四两) 人参(二两) 水四升,煮取二升,去渣,入饴糖一升,微火煮
取一升半,分温服。
大黄附子汤 治胁下偏痛,发热,其脉紧弦,此寒也,以温药下之。
大黄(二两) 附子(二枚) 细辛(二两) 以水五升,煮取二升,分三服。
理中汤 治自利不渴,寒多而呕,腹痛,脉沉无力,或厥冷拘急,或结胸吐蛔。
白术(二两土炒) 人参(一两) 干姜(一两炒) 甘草(一两炙) 每服四钱。自利腹痛加木
香,利多者倍白术。渴者倍白术。倦卧沉重,利不止加附子。腹满去甘草。脐下动气,去术加桂。悸加
茯苓。胸痞加枳实。吐蛔加川椒、乌梅。
回阳救急汤 治身不热,头不痛,恶寒战栗,四肢厥冷,腹痛吐泻,指甲唇青,或无脉,或脉沉迟无力。
附子(五分) 干姜(五分) 肉桂(五分) 人参(五分) 白术(一钱)
茯苓(一钱) 半夏(七分) 陈皮(七分) 甘草(二分) 五味子(九粒)
无脉加猪胆汁。
(Note: Conditions involving the transmission of meridians in the Shanghan [Cold Damage] category are not recorded here.)
Jiang Bai Tong Tang (Ginger, Scallion, and Aconite Decoction): Treats sudden cold invasion resulting in cold limbs, vomiting, diarrhea with clear-colored excrement, cold breath, shivering skin, absence of sweat; this is a syndrome where excessive Yin cold obscures Yang Qi.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (5 qian), Zingiberis Rhizoma (Ganjiang, 干姜) (5 qian), Allii Fistulosi Bulbus (Congbai, 葱白) (5 stalks), Porcis Bile (Zhudan, 猪胆) (half a gallbladder). First, decoct Fuzi and Ganjiang. Then add Congju (scallion juice) and Zhudan (pig bile), mix evenly, and take warm.
Gui Gui Jiang Tang (Cinnamon Twig, Angelica, Ginger, and Aconite Decoction): Treats sudden cold invasion complicated by damage to Ying Blood.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (2.5 qian), Zingiberis Rhizoma (Ganjiang, 干姜) (2.5 qian), Angelicae Sinensis Radix (Danggui, 当归) (2.5 qian), Cinnamomi Cortex (Rougui, 肉桂) (2.5 qian). Use two cups of water, decoct until one cup remains, add honey equivalent to one clam shell, and take warm.
Jiang Gui Can Gan Tang (Ginger, Cinnamon Twig, Ginseng, Licorice, and Angelica Decoction): Treats conditions where Yang Qi is about to recover and Yin Cold has slightly diminished.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (1.5 qian), Zingiberis Rhizoma (Ganjiang, 干姜) (1.5 qian), Angelicae Sinensis Radix (Danggui, 当归) (1.5 qian), Cinnamomi Cortex (Rougui, 肉桂) (1.5 qian), Ginseng Radix et Rhizoma (Renshen, 人参) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 qian), Jujubae Fructus (Dazao, 大枣) (2 pieces). Add honey equivalent to three clam shells and take warm.
Xin Wen Ping Bu Tang (Acrid-Warm Neutral Tonifying Decoction): Treats sudden cold invasion. After taking the previous three formulas, if Yang Qi has returned, the body is warm, complexion is lively, hands and feet are not cold, and vomiting/diarrhea are gradually resolving, use this formula to neutrally tonify the Zang-Fu organs and harmonize Ying and Wei, preventing harm from medicinal bias.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (5 fen), Zingiberis Rhizoma (Ganjiang, 干姜) (5 fen), Angelicae Sinensis Radix (Danggui, 当归) (1 qian), Cinnamomi Cortex (Rougui, 肉桂) (5 fen), Ginseng Radix et Rhizoma (Renshen, 人参) (1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian), Astragali Radix (Huangqi, 黄芪) (1 qian), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (1 qian, stir-fried with soil), Paeoniae Radix Alba (Baishao, 白芍) (1 qian, fried with wine), Schisandrae Fructus (Wuweizi, 五味子) (12 grains), Jujubae Fructus (Dazao, 大枣) (2 pieces). Add honey equivalent to five clam shells and take warm.
Si Ni Tang (Four Reversal Decoction): Treats Shaoyin, Taiyin, and Jueyin meridian syndromes characterized by cold limbs, deficiency-cold diarrhea; urgently warm the Zang organs.
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang), Zingiberis Rhizoma (Ganjiang, 干姜) (3 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (1 piece). The above three ingredients, using two sheng of water, decoct to obtain one sheng and two he. Divide into two warm doses.
Tong Mai Si Ni Jia Jian Tang (Pulse-Unblocking Four Reversal Modified Decoction): Treats diarrhea with undigested food, interior cold with exterior heat, cold limbs with aversion to cold, and a faint pulse nearly imperceptible.
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (one large piece), Zingiberis Rhizoma (Ganjiang, 干姜) (3 liang; for strong constitutions, up to 4 liang). If the face is red, add nine stalks of Allii Fistulosi Bulbus (Congbai, 葱白). If there is abdominal pain, remove Congbai and add three liang of Paeoniae Radix (Shaoyao, 芍药). If vomiting occurs, add two liang of Zingiberis Recens Rhizoma (Shengjiang, 生姜). If there is a sore throat, remove Shengjiang and Shaoyao, and add one liang of Platycodonis Radix (Jiegeng, 桔梗). If diarrhea stops but the pulse does not emerge, remove Jiegeng and add two liang of Ginseng Radix et Rhizoma (Renshen, 人参).
Guizhi Qu Shaoyao Jia Maling Fuzi Tang (Cinnamon Twig Decoction without Peony plus Ephedra, Asarum, and Aconite): Treats epigastric pain, hardness below the heart, large as a plate with edges like a rotating cup, caused by fluid retention.
Cinnamomi Ramulus (Guizhi, 桂枝) (3 liang), Ephedrae Herba (Mahuang, 麻黄) (2 liang), Asari Radix et Rhizoma (Xixin, 细辛) (2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang, prepared), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (1 piece), Zingiberis Recens Rhizoma (Shengjiang, 生姜) (3 liang), Jujubae Fructus (Dazao, 大枣) (12 pieces). Use seven sheng of water, boil Mahuang first, remove foam, then add other herbs. Boil to obtain two sheng, divide into three doses. Sweating should occur, feeling like insects crawling under the skin, indicating recovery.
Fuzi Ximi Tang (Aconite and Rice Decoction): Treats cold qi in the abdomen causing loud rumbling and cutting pain, reverse fullness in the chest and hypochondrium, and vomiting.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (1 piece), Pinelliae Rhizoma (Banxia, 半夏) (0.5 sheng), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang), Jujubae Fructus (Dazao, 大枣) (10 pieces), Oryza Sativa Semen (Jingsmi, 粳米) (0.5 sheng). Use eight sheng of water, cook until rice is ripe and soup is ready, strain, and take one sheng warm.
Da Jian Zhong Tang (Great Construct Middle Decoction): Treats severe cold pain in the chest and heart, vomiting inability to eat, cold in the abdomen, upward rushing against the skin appearing as heads and feet, pain all over that cannot be touched or approached.
Zanthoxyli Pericarpium (Shujiao, 蜀椒) (2 he), Zingiberis Rhizoma (Ganjiang, 干姜) (4 liang), Ginseng Radix et Rhizoma (Renshen, 人参) (2 liang). Use four sheng of water, decoct to obtain two sheng, strain, add one sheng of Malt Sugar (Yitang, 饴糖), simmer on low heat to obtain one and a half sheng, and take warm in divided doses.
Dahuang Fuzi Tang (Rhubarb and Aconite Decoction): Treats unilateral pain in the hypochondrium, fever, and a tight, string-taut pulse; this is due to cold, treat with warming purgatives.
Rhei Radix et Rhizoma (Dahuang, 大黄) (2 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (2 pieces), Asari Radix et Rhizoma (Xixin, 细辛) (2 liang). Use five sheng of water, decoct to obtain two sheng, divide into three doses.
Li Zhong Tang (Regulate the Middle Decoction): Treats spontaneous diarrhea without thirst, frequent cold and vomiting, abdominal pain, deep and weak pulse, or cold limbs with spasms, or chest binding with vomiting of roundworms.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (2 liang, stir-fried with soil), Ginseng Radix et Rhizoma (Renshen, 人参) (1 liang), Zingiberis Rhizoma (Ganjiang, 干姜) (1 liang, stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, prepared). Take 4 qian per dose. For spontaneous diarrhea with abdominal pain, add Costi Root (Muxiang, 木香). For frequent diarrhea, double Baizhu. For thirst, double Baizhu. For fatigue, lying down, heaviness, and unceasing diarrhea, add Fuzi. For abdominal fullness, remove Gancao. For moving Qi below the navel, remove Baizhu and add Cinnamomi Cortex (Rougui, 肉桂). For palpitations, add Poria (Fuling, 茯苓). For chest stuffiness, add Immature Bitter Orange (Zhishi, 枳实). For vomiting roundworms, add Sichuan Pepper (Chuanjiao, 川椒) and Mume Fructus (Wumei, 乌梅).
Hui Yang Jiu Ji Tang (Restore Yang Rescue Emergency Decoction): Treats no body heat, no headache, aversion to cold with shivering, cold limbs, abdominal pain with vomiting and diarrhea, cyanosis of nails and lips, or absent pulse, or deep, slow, and weak pulse.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (5 fen), Zingiberis Rhizoma (Ganjiang, 干姜) (5 fen), Cinnamomi Cortex (Rougui, 肉桂) (5 fen), Ginseng Radix et Rhizoma (Renshen, 人参) (5 fen), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (1 qian), Poria (Fuling, 茯苓) (1 qian), Pinelliae Rhizoma (Banxia, 半夏) (7 fen), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (7 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 fen), Schisandrae Fructus (Wuweizi, 五味子) (9 grains). If the pulse is absent, add Porcis Bile (Zhudan, 猪胆汁).