(李东垣《脾胃论》) 治虚人伤寒。
麻黄 白芍 黄 炙甘草(各一钱) 人参 麦冬(各三分) 当归 桂枝(各五分)
五味子
麻黄人参芍药汤,桂枝五味麦冬襄,归 甘草汗兼补,虚人外感服之康。(东垣治一贫
士,内蕴虚热,外感大寒而吐血,法仲景麻黄汤加补剂,制此方一服而愈。原解曰∶“麻黄
散外寒,桂枝补表虚,黄 实表益卫,人参益气固里,麦冬、五味保肺气,甘草补脾,芍药
安太阴,当归和血。”后人用治虚人感冒颇效。若吐血、衄血,麻、桂究在所忌,勿因东垣
之偶效,而遂信之以误施也。)
(陶节庵《伤寒六书》) 治阳虚伤寒,不能作汗。
人参 黄 甘草 桂枝(各一钱) 附子(炮五分) 羌活 防风 川芎(各八分) 细
辛(五分) 煨姜(五片) 枣(二枚) 加炒白芍一撮。(夏加黄芩、石膏,冬月不必加。)
再造散用参 甘,桂附姜防芎芍参,细辛加枣煨姜煮,阳虚无汗法当谙。(陶节庵《伤
寒六书》曰∶“头痛发热,恶寒无汗,用发汗药二三剂汗不出者,庸医不识此证,不论时令,
遂以麻黄重剂劫取其汗,误人死者多矣。殊不知阳虚不能作汗,故有此证,名无阳证。”因
立此汤。以参、 、甘、姜、桂、附,大补其阳气。佐芎、羌、防、辛,散寒发表。加芍药
者,阳中敛阴,散中有收也。又云∶“人第知参、 能止汗,而不知其能发汗,以在表药队
中,则助表药而解散也。”此是节庵明见处。)
(From Li Dongyuan's *Pi Wei Lun* [Treatise on the Spleen and Stomach]) Treats Shanghan (Cold Damage) in individuals with deficient constitution.
Mahuang (Ephedrae Herba), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) (each 1 qian); Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix) (each 3 fen); Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus) (each 5 fen); Wuweizi (Schisandrae Fructus).
Mahuang Renshen Shaoyao Tang (Ephedra, Ginseng, and Peony Decoction), assisted by Guizhi (Cinnamon Twig), Wuweizi (Schisandra), and Maidong; Danggui (Dong Quai) and Gancao (Licorice) combine to induce sweating while tonifying deficiency; it brings health when taken by those with external contraction due to deficiency. (Li Dongyuan treated a poor scholar who had internal latent heat and contracted severe cold externally, resulting in hemoptysis. Following Zhang Zhongjing's method of adding tonifying agents to Mahuang Tang, he formulated this prescription, which cured the patient after one dose. The original explanation states: "Mahuang disperses external cold, Guizhi tonifies exterior deficiency, Huangqi consolidates the exterior and benefits Wei Qi (Defensive Qi), Renshen supplements Qi to secure the interior, Maidong and Wuweizi protect Lung Qi, Gancao tonifies the Spleen, Shaoyao soothes the Taiyin, and Danggui harmonizes the blood." Later generations used this formula to treat common colds in deficient individuals with considerable efficacy. However, if hematemesis or epistaxis occurs, Mahuang and Guizhi are ultimately contraindicated. Do not blindly believe in and erroneously administer it merely because of Li Dongyuan's occasional success.)
(From Tao Jian'an's *Shanghan Liu Shu* [Six Books on Cold Damage]) Treats Yang-deficient Shanghan where sweat cannot be produced.
Renshen (Ginseng), Huangqi (Astragalus), Gancao (Licorice), Guizhi (Cinnamon Twig) (each 1 qian); Fuzi (Prepared Aconiti Lateralis Radix) (processed, 5 fen); Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 8 fen); Xixin (Asari Radix et Rhizoma) (5 fen); Wei Jiang (Baked Ginger) (5 slices); Dazao (Ziziphi Jujubae Fructus) (2 pieces); add fried Baishao (White Peony Root) a handful. (In summer, add Huangqin (Scutellariae Radix) and Shigao (Gypsum Fibrosum); in winter, no need to add.)
Zaizao San (Revitalizing Powder) uses Renshen and Gancao; Guizhi, Fuzi, Jiang (Ginger), Fangfeng, Chuanxiong, and Baishao; boiled with Xixin, Dazao, and Wei Jiang. The method for Yang deficiency with anhidrosis should be thoroughly understood. (Tao Jian'an in *Shanghan Liu Shu* stated: "Headache, fever, aversion to cold, and absence of sweat; when diaphoretic medicines are administered for two to three doses without inducing sweat, quack doctors fail to recognize this syndrome. Regardless of the season, they use heavy doses of Mahuang to forcibly extract sweat, causing many deaths. They do not realize that Yang deficiency prevents the production of sweat, hence this syndrome is named 'Wu Yang Zheng' (Non-Yang Syndrome)." Therefore, he established this decoction. Using Renshen, Huangqi, Gancao, Jiang, Guizhi, and Fuzi to greatly tonify Yang Qi. Assisted by Chuanxiong, Qianghuo, Fangfeng, and Xixin to disperse cold and release the exterior. Baishao is added to gather Yin within Yang, providing restraint within dispersion. He further stated: "People only know that Renshen and Huangqi can stop sweating, but do not know they can also induce sweating, because within the group of exterior-releasing herbs, they assist the exterior herbs to resolve the pathogen." This demonstrates Tao Jian'an's profound insight.)