治自汗恶风。头疼体痛。发热。脉浮缓。名曰中风。(方下所言证治。照仲景内台
方原文。建安许宏集议。与伤寒论详略不同。后仿此。)
桂枝(三两 去皮。桂枝止取梢尖嫩枝。内外如一。若有皮骨者去之。非去枝上之皮也。
后
上五味。 咀。以水七升。微火煮取三升。去滓。适寒温。服一升。服已须臾。啜热稀
粥一升余以助药力。温覆令一时许。遍身 微似有汗者益佳。不可令如水流漓。病必不除。
若一服汗出病瘥。停后服。不必尽剂。若不汗。更服根据前法。又不汗。后服小促其间。半日
许令三服尽。若病重者。一日一夜服。周时观之。服一剂尽。病症犹在者。更作服。若汗不
出。乃服至二三剂。禁生冷粘滑肉面五辛酒酪臭恶等物。
歌曰 项强头痛汗憎风。桂芍生姜三两同。枣十二枚甘二两。解肌还藉粥之功。
蔚按。桂枝辛温阳也。芍药苦平阴也。桂枝又得生姜之辛。同气相求。可恃之以调周身
之阳
养
败之地
治太阳病项背强KT KT 。反汗出恶风者。
桂枝(三两 去皮。) 芍药(三两) 甘草(二两炙) 生姜(三两 切。) 大枣(十
二枚 擘) 葛根(四两)
上六味。 咀。以水一斗。煮葛根。减二升。去上沫。内诸药。煮取三升。温服一升。
覆取
歌曰 葛根四两走经输。(太阳之经输在背。)项背KT KT 反汗濡。(邪之中人。始
于皮肤。次及肌络。次及经输。邪在经输则经输实而皮毛虚。故反汗出而恶风。)只取桂枝
汤一料。加来此味妙相须。(一本。芍药减去一两。)
张令韶曰。桂枝汤解肌。加葛根以宣通经络之气。盖葛根入土最深。其藤延蔓似络。故
能同
Translation of the classical text into academic English based on WHO standards.
Treats spontaneous sweating, aversion to wind, headache, body pain, fever, and a floating and moderate pulse (Pulse Fu Huan), known as Wind Stroke (Zhong Feng). (The syndrome and treatment described below follow the original text of Zhang Zhongjing's *Nei Tai Fang Yi*, compiled by Xu Hong of Jian'an. It differs in detail from *Shang Han Lun*; subsequent texts follow this example.)
Guizhi (Cinnamon Twig) [3 liang, peeled. Only the tender tips and young branches should be used, ensuring uniformity inside and out. Remove any woody parts connected to the bark; this does not mean removing the bark from the branch itself. Subsequent herbs follow this preparation.]
The above five medicinal materials are coarsely crushed (Ju). Boil with seven sheng of water over low heat until three sheng remain. Strain the dregs. Take one sheng when the temperature is suitable. Shortly after ingestion, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with warm blankets for about an hour, aiming for a slight, generalized perspiration. Do not allow profuse sweating like flowing water, or the disease will certainly not be eliminated.
If sweating occurs after the first dose and the illness resolves, stop taking the remaining medicine; there is no need to consume the entire dosage. If no sweating occurs, administer another dose according to the previous method. If still no sweating, shorten the interval between doses, completing three doses within half a day. For severe cases, administer medicine continuously day and night, observing for twenty-four hours (Zhou Shi). If symptoms persist after consuming one full prescription, prepare and administer another. If sweating still does not occur, continue administration up to two or three prescriptions. Avoid cold foods, sticky and slippery foods, meat, wheat products, the "Five Pungent Spices," alcohol, dairy products, and foul-smelling substances.
Song says:
Stiff neck, headache, sweating, and aversion to wind,
Gui Zhi, Shao Yao, and Sheng Jiang each at three liang.
Twelve Jujube fruits and two liang of Gan Cao,
To resolve the muscle layer, reliance is placed on the merit of porridge.
Wei An (Commentary): Guizhi is acrid and warm, belonging to Yang; Shaoyao is bitter and neutral, belonging to Yin. Guizhi, combined with the acridity of Sheng Jiang, seeks its own kind (Tong Qi Xiang Qiu), relying on this synergy to regulate the Yang qi of the whole body... [Text fragment ends/unclear context regarding "place of decay"].
Treats Taiyang Disease presenting with stiffness and discomfort in the nape and back (Xiang Bei Jiang Jin), accompanied by sweating and aversion to wind.
Guizhi (Cinnamon Twig) [3 liang, peeled.] Shaoyao (Peony Root) [3 liang] Gancao (Licorice Root) [2 liang, honey-fried] Shengjiang (Fresh Ginger) [3 liang, sliced.] Dazao (Jujube Fruit) [12 pieces, torn open] Gegen (Kudzu Root) [4 liang]
The above six medicinal materials are coarsely crushed. Boil with one dou of water. First boil Gegen until the volume reduces by two sheng, then skim off the foam. Add the remaining medicinal materials and boil until three sheng remain. Take one sheng warm. Cover to induce slight sweating.
Song says:
Four liang of Gegen travels through the meridians and transport points. (The transport points of the Taiyang meridian are located on the back.) Stiffness in the nape and back with abnormal sweating and dampness. (When pathogenic factors invade the human body, they begin at the skin, then reach the muscle collaterals, and finally the meridian transport points. When pathogens reside in the transport points, the transport points become excess while the skin and hair pores become deficient, hence the abnormal sweating and aversion to wind.) Use only one portion of Guizhi Tang, adding this herb for its synergistic effect. (Another version states that Shaoyao is reduced by one liang.)
Zhanglingshao stated: Guizhi Tang resolves the muscle layer; adding Gegen promotes the circulation of Qi in the meridians. This is because Gegen penetrates deepest into the soil, and its vines spread similarly to collaterals, thus it can... [Text cuts off].