(张介宾《新方八阵》) 凡人元气不足,或忍饥劳倦,而外感风寒,或六脉
正不胜邪等证,必须培助元气,兼之散邪,庶可保全,宜此主之。
柴胡(一二钱) 人参(二三钱或五七钱酌而用之) 生姜(三五七片) 当归 炙甘
草(一钱)
四”为金数
胡变局,去黄
必不足,故补
(张介宾《新方八阵》) 凡中气不足,而外邪有不散者,宜此主之。
柴胡(一二钱) 当归(二三钱) 熟地(三五钱) 白术(二三钱) 芍药(一钱半
炒用) 陈皮(
五柴胡饮从脾胃,(“五”为土数,从脾胃也。)地芍归陈术草汇,徒散外邪非善全,兼
培气血斯为贵。(此逍遥散变方也。去茯苓、薄荷、生姜,加陈皮、熟地,则补多散少矣。
此与四柴胡饮相表里。但四柴胡饮调气分之药为多,此则兼培气血为异。按∶以上五方,皆
出柴胡治例,录出聊为加减成方之一助。然毕竟后世之方,总不免笼统之弊,若病在太阳,
便用
(严用和《济生方》) 治疟疾热多寒少,口苦嗌干,小便短赤,脉来弦数。
柴胡 黄芩 半夏 甘草 白术 浓朴 青皮 茯苓 草果(各等分) 水一盅,生姜
一片,
清脾饮用青朴柴,芩半甘苓白术偕,更加草果兼姜枣,热多阳疟服之佳。(夏月纳凉饮
冷过
疟。
胃受伤者实多,故严氏宗仲景小柴胡汤加减而立此方。名曰“清脾”,是明从脾胃论治。方
中苓、术、夏、草,皆脾胃药,复以浓朴、青皮、草果,荡涤膜原之邪,劫痰截疟。其治少
阳,惟柴、芩二味而已。)疟由痰积风寒作,解表除痰永不差。(古云“无痰不成疟”、“无积
不成疟”,然虽有痰积,若不兼感风寒,亦未必便成疟疾。故治疟之方,解表除痰,每相须
为用也。)此治疟邪通用剂,随宜加减总堪谐。(此治疟之通剂。方中黄芩、草果,可随寒热
以为进退,勿拘阳疟一端也。外如石膏、大黄、桂枝、附子、人参、熟地、当归、白芍等,
皆可随证加入。如疟久不止,加常山、乌梅截之。)
(Zhang Jiebin, *Xin Fang Ba Zhen*) For those whose Yuan Qi (Original Qi) is insufficient, or who have endured hunger and fatigue, thereby contracting Wind-Cold external pathogens, or where the six pulses indicate that Zheng Qi (Upright Qi) cannot overcome the pathogen, it is necessary to tonify and assist the Yuan Qi while simultaneously dispersing the pathogen. Only in this way can life be preserved; this formula is suitable as the main treatment.
Chai Hu (Bupleuri Radix) (1-2 qian), Ren Shen (Ginseng Radix et Rhizoma) (2-3 qian or 5-7 qian used according to discretion), Sheng Jiang (Zingiberis Rhizoma Recens) (3-5-7 slices), Dang Gui (Angelicae Sinensis Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian).
(Zhang Jiebin, *Xin Fang Ba Zhen*) For those with insufficient Zhong Qi (Middle Qi) where external pathogens are not dispersed, this formula is suitable as the main treatment.
Chai Hu (Bupleuri Radix) (1-2 qian), Dang Gui (Angelicae Sinensis Radix) (2-3 qian), Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2-3 qian), Shao Yao (Paeoniae Radix Alba) (1.5 qian, stir-fried), Chen Pi (Citri Reticulatae Pericarpium).
Wu Chai Hu Yin (Five Bupleuri Decoction) targets the Spleen and Stomach ("Five" corresponds to the Earth element, thus targeting the Spleen and Stomach). Shu Di, Shao Yao, Dang Gui, Chen Pi, Bai Zhu, and Gan Cao converge here. Merely dispersing external pathogens is not a complete method; one must also tonify Qi and Blood, which is most precious. (This is a modified form of Xiao Yao San (Free and Easy Wanderer Plus Four Substances Decoction). By removing Fu Ling (Poria), Bo He (Menthae Haplocalycis Herba), and Sheng Jiang, and adding Chen Pi and Shu Di, the tonification exceeds the dispersion. This formula stands in an exterior-interior relationship with Si Chai Hu Yin (Four Bupleuri Decoction). However, Si Chai Hu Yin contains more herbs for regulating the Qi aspect, whereas this one differs by concurrently tonifying Qi and Blood. Note: The above five formulas all originate from the principles of treating with Chai Hu; they are recorded here to serve as an aid for modifying established formulas. Nevertheless, being later-generation formulas, they inevitably suffer from being too general. If the disease is in the Tai Yang (Greater Yang) stage, one should use...)
(Yan Yonghe, *Ji Sheng Fang*) Treats malaria with more heat than cold, bitter taste in the mouth, dry throat, short and red urine, and a wiry and rapid pulse.
Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Qing Pi (Citri Reticulatae Pericarpium Viride), Fu Ling (Poria), Cao Guo (Tsaoko Fructus) (equal parts). One bowl of water, one slice of Sheng Jiang (Zingiberis Rhingoma Recens).
Qing Pi Yin (Spleen-Clearing Decoction) uses Qing Pi, Hou Po, and Chai Hu, accompanied by Huang Qin, Ban Xia, Gan Cao, Fu Ling, and Bai Zhu. Adding Cao Guo along with Sheng Jiang and Da Zao (Jujubae Fructus) yields excellent results for treating Yang Malaria (malaria with predominant heat symptoms) during summer months when cooling oneself and drinking cold beverages leads to malaria.
The Stomach is often injured in such cases; therefore, Yan followed Zhang Zhongjing's Xiao Chai Hu Tang (Minor Bupleuri Decoction) to modify and establish this formula. Named "Qing Pi" (Clearing the Spleen/Stomach), it explicitly treats from the perspective of the Spleen and Stomach. In the formula, Fu Ling, Bai Zhu, Ban Xia, and Gan Cao are all herbs for the Spleen and Stomach. Additionally, Hou Po, Qing Pi, and Cao Guo are used to sweep away pathogens in the Mo Yuan (Membrane Source) and seize phlegm to intercept malaria. Its treatment of the Shao Yang (Lesser Yang) involves only Chai Hu and Huang Qin.) Malaria arises from Phlegm accumulation combined with Wind-Cold; resolving the exterior and eliminating phlegm will never fail. (Ancient texts state "No phlegm, no malaria" and "No accumulation, no malaria." However, even with phlegm accumulation, if there is no concurrent contraction of Wind-Cold, malaria may not necessarily form. Therefore, formulas for treating malaria often require the combined use of exterior-resolving and phlegm-eliminating methods.) This is a general formula for treating malaria pathogens; modifications according to circumstances are always appropriate. (This is a general formula for malaria. Huang Qin and Cao Guo in the formula can be adjusted up or down based on cold and heat patterns; do not restrict oneself to Yang Malaria alone. Furthermore, Shi Gao (Gypsum Fibrosum), Da Huang (Rhei Radix et Rhizoma), Gui Zhi (Cinnamomi Ramulus), Fu Zi (Aconiti Lateralis Radix Praeparata), Ren Shen, Shu Di Huang, Dang Gui, and Bai Shao (Paeoniae Radix Alba) can all be added according to the syndrome. If malaria persists for a long time, add Chang Shan (Dichroae Radix) and Wu Mei (Mume Fructus) to intercept it.)