治痰火证具,气虚自汗,脉微而缓,或大而虚微者宜之,或兼梦遗亦宜之。
黄 (蜜炒,一钱,泻肺火,益元气,实腠理,止自汗) 人参(清河者,五分,止一切
自汗,或同当归猪肾煮食) 白术(土炒,一钱,止自汗,或同小麦煎服,或同黄 、石斛、
牡蛎、
金止自汗) 酸枣仁(微炒,一钱,研碎,止自汗,宁心惊,治不眠) 白茯苓(去皮,一钱
,止自
,养心液,止汗) 牡蛎( ,研末,一钱,气虚自汗,血虚盗汗,同杜仲酒服,虚劳盗汗,
同黄 麻黄根煎服) 龙骨( ,研末,五分,止心惊盗汗) 熟地黄(一钱,益阴养阳,止汗
上十味治自汗之专品,惟脉不细数弦长紧实者,俱可服也。
若觉阴火盛者,加玄参一钱。若兼伤风,卫气不与营气而自汗者,加桂枝三分。外以
雌鸡猪肝羊胃作羹,牛羊脂酒服,皆有益于汗,以寻常作茹食之,亦宜。
治痰火证具,阴虚盗汗,脉细而数,或弦涩虚微者宜之,兼梦遗者亦宜。
当归身(一钱,益阴生血,止盗汗) 熟地黄(一钱,滋肾水,益真阴,止盗汗) 白芍
药(煨,一钱,补劳退热,除烦益气,泻肝安脾,止盗汗) 白茯神(去木,一钱,治同前)
柏子仁(炒,一钱,研末,止心惊盗汗) 牡蛎粉(一钱,治同前) 黄柏(蜜炒,一钱,益肾
止汗) 白术(土炒,一钱,治同前) 甘草(炙,五分,泻阴火补脾止汗) 黄连(酒炒,五
分,除心热,止盗汗) 麦门冬(去心,一钱,治心烦,止盗汗) 浮小麦(微炒,一撮,止盗
上十四味,治阴虚盗汗之圣药,脉细数者尤宜。
若盗汗盛者,亦加麻黄根五分,龙骨五分。若盗汗微而本证甚者,但俱以本证药为主,
如证增减,自捷影响。
To treat conditions characterized by phlegm-fire, accompanied by spontaneous sweating due to Qi deficiency, with a pulse that is faint and slow, or large and deficient/weak; it is also suitable for cases complicated by nocturnal emission.
Huangqi (Astragali Radix, honey-fried, 1 qian, clears Lung fire, benefits Yuan Qi, consolidates Cou Li [interstitial spaces], stops spontaneous sweating) Renshen (Panax ginseng, from Qinghe, 0.5 qian, stops all types of spontaneous sweating, or can be boiled and eaten with Danggui [Angelicae Sinensis Radix] and pig kidney) Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried, 1 qian, stops spontaneous sweating, or decocted with Xiaomai [Tritici Fructus], or combined with Huangqi, Shihu [Dendrobii Caulis], Muli [Concha Ostreae], and Longgu [Os Draconis] to stop spontaneous sweating) Suanzaoren (Ziziphi Spinosae Semen, lightly fried, 1 qian, crushed, stops spontaneous sweating, calms the mind and heart, treats insomnia) Baifuling (Poria, peeled, 1 qian, stops sweating, nourishes Heart fluids, stops sweating) Muli (Oyster Shell, calcined, ground into powder, 1 qian, for spontaneous sweating due to Qi deficiency and night sweats due to Blood deficiency, taken with Duzhong [Eucommiae Cortex] and wine; for consumptive night sweats, decocted with Huangqi and Ma huang gen [Ephedrae Herba et Caulis Radix]) Longgu (Dragon Bone, calcined, ground into powder, 0.5 qian, stops palpitations and night sweats) Shudihuang (Rehmanniae Radix Praeparata, 1 qian, benefits Yin and nourishes Yang, stops sweating). The above ten herbs are specific agents for treating spontaneous sweating. They may be used provided the pulse is not fine, rapid, wiry, long, tight, or solid.
If there is a sensation of excessive Yin fire, add Xuanshen (Scrophulariae Radix), 1 qian. If complicated by wind injury, where Wei Qi [Defensive Qi] fails to harmonize with Ying Qi [Nutritive Qi] causing spontaneous sweating, add Guizhi (Cinnamomi Ramulus), 0.3 qian. Externally, making soup from hen liver, pork liver, and sheep stomach, taken with beef or mutton fat and wine, is beneficial for stopping sweat. Consuming these as ordinary vegetables is also appropriate.
To treat conditions characterized by phlegm-fire, accompanied by night sweats due to Yin deficiency, with a pulse that is fine and rapid, or wiry, choppy, weak, and faint; it is also suitable for cases complicated by nocturnal emission.
Danggui shen (Angelicae Sinensis Radix root portion, 1 qian, benefits Yin and generates Blood, stops night sweats) Shudihuang (Rehmanniae Radix Praeparata, 1 qian, nourishes Kidney water, benefits True Yin, stops night sweats) Baishaoyao (Paeoniae Radix Alba, roasted in hot sand, 1 qian, tonifies deficiency, reduces fever, eliminates irritability, benefits Qi, drains Liver and soothes Spleen, stops night sweats) Baifushen (Poria with hostwood removed, 1 qian, efficacy same as above) Baiziren (Biota Seed, fried, 1 qian, ground into powder, stops palpitations and night sweats) Muli fen (Oyster Shell powder, 1 qian, efficacy same as above) Huangbai (Phellodendri Cortex, honey-fried, 1 qian, benefits Kidney, stops sweating) Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried, 1 qian, efficacy same as above) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 qian, drains Yin fire, tonifies Spleen, stops sweating) Huanglian (Coptidis Rhizoma, wine-fried, 0.5 qian, clears Heart heat, stops night sweats) Maidong (Ophiopogonis Radix, dehearted, 1 qian, treats irritability, stops night sweats) Fuxiaomai (Tritici Fructus Levigatus, lightly fried, a pinch, stops night sweats). The above fourteen herbs are sacred medicines for treating night sweats due to Yin deficiency, especially suitable when the pulse is fine and rapid.
If night sweats are severe, also add Ma huang gen (Ephedrae Herba et Caulis Radix), 0.5 qian, and Longgu (Os Draconis), 0.5 qian. If night sweats are mild but the primary condition is severe, prioritize the herbs treating the primary condition, adjusting additions and subtractions according to the syndrome; the effect will be swift and immediate.