治太阴伤寒,脾胃不和;及有积聚腹痛。
苍术(泔浸一宿,二十两) 桔梗(十两) 陈皮(六两) 白芷 甘草(炙,各三两) 当归(二两) 川
芎(一两半) 芍药 白茯苓 半夏(汤去滑,各一两) 麻黄(去节,春夏,二两,秋冬,三两) 干姜
(春夏,两半,秋冬,二两) 枳壳(汤浸去瓤,锉炒,四两) 浓朴(姜制炒,二两) 桂心(春夏,三两,
秋冬,四两)
上先将前十二味 咀,微炒令香,取出,当风凉之,入后枳壳、桂、朴
三味,同为细末。每服三钱,水一盏,姜三片,枣二枚,煎七分,食前温服。伤寒手足逆冷
,自汗不止,脉沉细,面青,呕逆,加顺元散一钱同煎热服;产妇阵疏难产,经三两日不生
,胎死腹中,或产母气乏委顿,产道干涩,加顺元散水七分、酒三分煎,相继两服,气血内
和即产;胎死者,不过三服当下。其顺元散多少,量产母虚实加减。伤寒发热,侠内寒者,
加葱白二寸、豉七粒同煎,相继服,当以汗解。
乌头(炮去皮尖,二两) 附子(炮去皮脐) 天南星(炮,各一两) 木香(半两)
上为末,同前法煎此药。治内外感寒,脉沉伏迟细,手足冷,毛发恂栗,伤寒阴证,大
啜一二杯,气和汗出即愈。
足少阴肾经伤寒,口燥舌干而渴,背恶寒,反发热倦怠。其脉流注,与伤风同。
苍术(用淘米水浸泡一夜,二十两)、桔梗(十两)、陈皮(六两)、白芷、甘草(蜜炙,各三两)、当归(二两)、川芎(一两半)、芍药、白茯苓、半夏(用汤水洗去滑腻,各一两)、麻黄(去掉节,春夏季节用二两,秋冬季节用三两)、干姜(春夏季节用一两半,秋冬季节用二两)、枳壳(用汤水浸泡后去掉瓤,切碎炒制,四两)、浓朴(用姜汁炮制后炒制,二两)、桂心(春夏季节用三两,秋冬季节用四两)。
以上先将前十二味药材捣碎,轻微炒至散发香气,取出,在风中冷却,再加入后面的枳壳、桂心、厚朴这三味药,一起研磨成细末。每次服用三钱,用水一盏,生姜三片,大枣二枚,煎煮至剩余七分药液,饭前温服。如果患有伤寒导致手足逆冷,自汗不止,脉象沉细,面色发青,呕吐气逆,加入顺元散一钱同煎,热服;如果是产妇阵痛稀疏、难产,经过两三天胎儿仍未娩出,胎死腹中,或者产母气血匮乏、身体委顿,产道干涩,加入顺元散水七分、酒三分煎煮,连续服用两次,待体内气血调和即可分娩;若是胎死腹中,不超过三次服药即可排出。顺元散的用量应根据产妇体质的虚实进行增减。如果伤寒发热,兼有内寒者,加入葱白二寸、豆豉七粒同煎,连续服用,应当通过出汗来解表。
乌头(炮制后去皮和尖,二两)、附子(炮制后去皮和脐)、天南星(炮制,各一两)、木香(半两)。
以上研为细末,按照前面的方法煎煮此药。治疗内外感受寒邪,脉象沉伏迟细,手足冰冷,毛发竖立战栗,属于伤寒阴证,大口饮用一二杯,待气机调和、出汗后即可痊愈。
Treats Taiyin Shanghan (Cold Damage to the Taiyin Channel), disharmony of the Spleen and Stomach; as well as accumulations, abdominal masses, and pain.
Cangzhu Rhizoma Atractylodis Macrocephalae (soaked in rice washing water overnight, 20 liang), Jiegeng Radix Platycodi (10 liang), Chenpi Pericarpium Citri Reticulatae (6 liang), Baizhi Radix Angelicae Dahuricae, Gancao Radix Glycyrrhizae Preparata (honey-fried, each 3 liang), Danggui Radix Angelicae Sinensis (2 liang), Chuanxiong Rhizoma Chuanxiong (1.5 liang), Shaoyao Radix Paeoniae Alba, Baifuling Poria (1 liang), Banxia Rhizoma Pinelliae Preparatum (washed with decoction to remove slipperiness, each 1 liang), Mahuang Herba Ephedrae (devoid of nodes, 2 liang in spring and summer, 3 liang in autumn and winter), Ganjiang Rhizoma Zingiberis Recens (1.5 liang in spring and summer, 2 liang in autumn and winter), Zhike Fructus Aurantii Immaturis (soaked in decoction, devoid of pith, sliced and stir-fried, 4 liang), Houpo Cortex Magnoliae Officinalis (processed with ginger juice and stir-fried, 2 liang), Guixin Cortex Cinnamomi (3 liang in spring and summer, 4 liang in autumn and winter).
First, crush the aforementioned twelve herbs, stir-fry them lightly until fragrant, remove them, and cool them in the wind. Then add the latter three herbs—Zhike, Guixin, and Houpo—and grind them all together into a fine powder. For each dose, take 3 qian, add one盏 (approx. 200ml) of water, 3 slices of fresh ginger, and 2 jujubes. Decoct until one-seventh remains, and take warm before meals. In cases of Shanghan with cold extremities, continuous spontaneous sweating, deep and fine pulse, cyanotic complexion, vomiting, and rebellious qi, add 1 qian of Shunyuan San and decoct together; take hot. For parturient women with sparse contractions and difficult labor, where the fetus has not been delivered after two or three days, or for intrauterine fetal death, or for the mother suffering from Qi and Blood deficiency, prostration, and dryness of the birth canal, add Shunyuan San decocted with seven parts water and three parts wine. Take consecutively twice; once the internal Qi and Blood harmonize, delivery will occur. If the fetus is dead, it will be expelled within no more than three doses. The dosage of Shunyuan San should be adjusted according to the deficiency or excess of the parturient woman's constitution. In cases of Shanghan fever accompanied by internal cold, add 2 cun of scallion white and 7 grains of Douchi (fermented soybeans); decoct and take consecutively; resolution through sweating is expected.
Wutou Radix Aconiti Lateralis Preparata (processed, devoid of skin and tip, 2 liang), Fuzi Radix Aconiti Lateralis Preparata (processed, devoid of skin and umbilicus), Tian Nanxing Rhizoma Arisaematis Preparatum (processed, each 1 liang), Muxiang Radix Aucklandiae (0.5 liang).
Grind into powder. Decoct this medicine using the same method as above. Treats external and internal contraction of Cold, with deep, hidden, slow, and fine pulses, cold hands and feet, and piloerection with trembling. This belongs to Yin Syndrome of Shanghan. Drink one or two cups generously; when Qi harmonizes and sweat appears, recovery ensues.
Shanghan affecting the Foot-Shaoyin Kidney Meridian presents with dry mouth, dry tongue, thirst, aversion to cold on the back, and paradoxical fever with fatigue. Its pulse characteristics are similar to those of Wind Strike.