肉桂 当归 甘草 麻黄 生姜
此麻黄、桂枝二汤之变方也。无论诸经、四季,凡阴寒邪盛,热散忌早、寒散忌过者,与是药。盖姜、桂之性,
愈老愈辣。和以甘草不防发伤气之内寒。麻黄之资,能散能收,监以当归,自可解阴虚之表热。
诗曰∶肉桂偕麻黄,当归合草姜,署名麻桂饮,功效匪寻常。
人参 黄 白术 当归 地黄 肉桂 干姜 柴胡 麻黄 芎 甘草
元气大虚,阴邪难解,及素禀薄弱,忽感风寒,恶寒头痛,此方主之。
辛温散寒,辛凉散热,举世尚矣。至阴阳互为其根,汗化于液,元虚之人,须从补散,浅人思不及此。景岳
以十全诸物,阴阳平治,微用姜、柴、麻黄解其寒热,可谓拾仲景之遗。服后不畏寒反觉热燥,乃阳回作汗佳兆。
更以理阴煎、麻桂饮二方参而用之,万不可既疑且悔,将改用凉剂也。
诗曰∶大温中,十一味,参 术草姜麻桂,芎归柴胡熟地黄,饮毕风寒应渐去。
当归 防风 蒺藜 芎 细辛 菊花 白芷(各三两) 甘草(两半) 石膏(六两,半生、半煨熟) 草乌(五
两,黑豆一升,同 熟,去豆)
目赤肿一二日,头眩头风,此方主之。
头痛有六经,便应分经论治。然病已一二日,此盛热生风、久风动痰而致。故君以石膏泄其风热。臣以草乌
散其风痰。芎、防、蒺藜、细辛、芷、菊,且佐且使,宣其风气。再用当归养血于疏风之后,又以济风药之燥。
甘草调胃于降火之余,而兼缓风邪上逆。定风止痛,此散有神应者欤,故曰神应。
诗曰∶辛防芎芷拣当归,白菊川乌刺蒺藜,甘草石膏生熟用,散名神应语非虚。
Cinnamon Bark (Rougui), Angelica Sinensis Root (Danggui), Licorice Root (Gancao), Ephedra Stem (Mahuang), Fresh Ginger (Shengjiang).
This is a modified formula derived from Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction). Regardless of which meridian is affected or the season, it is indicated for conditions where Yin-Cold pathogenic factors are abundant, requiring caution against using heat-clearing agents too early (which might damage Yang) or using dispersing agents excessively (which might deplete Qi). This is because the nature of Ginger and Cinnamon becomes more pungent with age. Combined with Licorice, it prevents the generation of internal Cold due to Qi damage during dispersion. The efficacy of Ephedra allows for both dispersion and retention; when monitored by Angelica Sinensis, it can naturally resolve exterior Heat caused by Yin deficiency.
Poem states: Cinnamon accompanies Ephedra, Angelica combines with Licorice and Ginger, named Mahui Yin, its efficacy is extraordinary.
Ginseng Root (Renshen), Astragalus Root (Huangqi), Atractylodes Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Rehmannia Root (Dihuang), Cinnamon Bark (Rougui), Dried Ginger (Ganjiang), Bupleurum Root (Chaihu), Ephedra Stem (Mahuang), Szechuan Lovage Rhizome (Xiong), Licorice Root (Gancao).
For cases of severe depletion of Yuan Qi (Primordial Qi), where Yin-Cold pathogens are difficult to resolve, or in individuals with inherent weakness who suddenly contract Wind-Cold, presenting with aversion to cold and headache, this formula is the primary treatment.
Using Pungent-Warm herbs to disperse Cold and Pungent-Cool herbs to dissipate Heat has been widely practiced for ages. However, since Yin and Yang are mutually rooted, and sweat transforms from body fluids, patients with deficient Yuan Qi must be treated by tonifying while simultaneously dispersing. Superficial thinkers fail to grasp this principle. Zhang Jingyue used ingredients from Shiquan Dabu Tang (Ten Complete Tonification Decoction) to balance Yin and Yang, slightly employing Ginger, Bupleurum, and Ephedra to resolve Cold and Heat. This can be seen as retrieving the lost wisdom of Zhang Zhongjing. After ingestion, if the patient feels no longer afraid of cold but instead feels dry heat, this is a favorable sign indicating the return of Yang and impending sweating.
It is further recommended to combine Liyin Jian (Yin-Regulating Decoction) and Mahui Yin for reference and use. One must absolutely not hesitate or regret, nor switch to Cool/Cold formulas.
Poem states: Dawenzhong consists of eleven flavors, Ginseng, Atractylodes, Licorice, Ginger, Ephedra, Cinnamon, plus Szechuan Lovage, Angelica, Bupleurum, and Prepared Rehmannia. After drinking, Wind-Cold should gradually dissipate.
Angelica Sinensis Root (Danggui), Saposhnikovia Root (Fangfeng), Tribulus Fruit (Jili), Szechuan Lovage Rhizome (Xiong), Asarum Root (Xixin), Chrysanthemum Flower (Juhua), Angelica Dahurica Root (Baizhi) (each 3 liang), Licorice Root (Gancao) (1.5 liang), Gypsum Fibrosum (Shigao) (6 liang, half raw, half calcined/roasted), Aconitum Lateralis Radix Preparata (Caowu) (5 liang, boiled together with 1 sheng of Black Soybeans until cooked, remove beans).
For redness and swelling of the eyes lasting one to two days, accompanied by dizziness and Head-Wind (Toufeng), this formula is indicated.
Headaches involve the Six Meridians and should theoretically be treated according to specific meridians. However, after one or two days of illness, this condition is caused by excessive Heat generating Wind, and prolonged Wind stirring up Phlegm. Therefore, Gypsum Fibrosum is used as the Sovereign herb to drain Wind-Heat; Aconitum Lateralis Radix Preparata is used as the Minister herb to scatter Wind-Phlegm. Szechuan Lovage, Saposhnikovia, Tribulus, Asarum, Angelica Dahurica, and Chrysanthemum serve as Assistant and Guide herbs to disseminate Wind-Qi. Subsequently, Angelica Sinensis is used to nourish Blood after dispersing Wind, thereby mitigating the drying nature of Wind-dispersing herbs. Licorice regulates the Stomach after clearing Fire, while also moderating the upward rebellion of Wind pathogens. To settle Wind and relieve pain, this is indeed a Shenying (Divine Response) powder with miraculous effects, hence the name Shenying.
Poem states: Select Xixin, Fangfeng, Xiong, Baizhi, and Danggui; Baiju, Chuanwu, and Jili; use Gancao and Shigao raw and roasted; the powder is named Shenying, and these words are not false.