足太阳膀胱经伤寒,头项强,腰脊痛,无汗恶寒。其经络流注去处,与伤风同,但脉浮
洪紧数为异耳。惟足太阳寒水,为诸阳主气,故寒先伤之。
治太阳伤寒,脉浮紧而数,头痛身疼,发热恶寒,无汗,胸满而喘者。
麻黄(去节) 桂心(各一两) 甘草(炙,半两) 杏仁(二十五粒)
上 咀。每服五钱,水一盏半,煎八分,去滓,食前服,覆取微汗。夏则加知母半
两、石膏一两、黄芩一分;或汗出后,无大热而喘者,去桂,加石膏四两。
治伤寒,表未解,心下有水气,干呕,发热而咳,或渴,或利,或噎,或小
便不利,小腹满而喘者。
麻黄(去节) 细辛(去苗) 干姜(炮) 甘草(炙) 桂心 芍药(各三两) 半夏(汤去滑)
五味子(各二两半)
上 咀。每服五钱,水二盏,煎八分,去滓,食前温服。噎者,去麻黄,加熟附子
一钱;若小便不利,小腹满者,加茯苓一钱;喘者,加杏仁七枚,去皮尖。
凡发汗不欲多,多则亡阳,宜用此粉扑之即愈,效如神。
白术 本 川芎 白芷
上为末。每末一两,入米粉三两,和匀扑之。
治太阳中风伤寒,脉紧发热,恶寒身疼,不汗出而烦渴;或脉浮缓,身不疼
但重,乍有轻时;或伤寒见风脉,伤风见寒脉。
麻黄(去节,三两) 桂心 甘草(炙,各一两) 杏仁(去皮尖,一两) 石膏(一两)
上为锉散。每服五钱匕,水一盏半,姜五片,枣一个,煎七分,去滓,食前服。
足阳明胃经伤寒,身热目痛而鼻干,不得卧,不恶寒,腹满,咽干口燥而渴。其脉流注
与伤风同,以阳明主肉,故次传之。
足太阳膀胱经受伤寒,出现头项强直疼痛、腰脊疼痛、无汗且怕冷的症状。其经络气血流注的部位,与伤风相同,只是脉象呈现浮、洪、紧、数等特征有所不同。这是因为足太阳寒水经统领诸阳之气,所以寒邪首先侵袭它。
治疗太阳伤寒证,脉象浮紧而数,头痛身体疼痛,发热怕冷,无汗,胸部胀满且气喘的病症。
药材:麻黄(去除节部)一两,桂心一两,甘草(蜜炙)半两,杏仁二十五粒。
制法与用法:将药材切碎。每次服用五钱,加水一盏半,煎煮至八分满,滤去药渣,饭前服用。服药后覆盖衣被以取得微微出汗的效果。夏季则加入知母半两、石膏一两、黄芩一分;或者在出汗之后,如果没有大热但仍有气喘的,去掉桂心,加入石膏四两。
治疗伤寒,表证未解,胃脘部有水饮停聚,干呕,发热且咳嗽,或者口渴,或者腹泻,或者咽喉噎塞感,或者小便不利,小腹满闷且气喘的病症。
药材:麻黄(去除节部)三两,细辛(去除苗头)三两,干姜(炮制)三两,甘草(蜜炙)三两,桂心三两,芍药三两,半夏(汤洗去滑腻)二两半,五味子二两半。
制法与用法:将药材切碎。每次服用五钱,加水二盏,煎煮至八分满,滤去药渣,饭前温服。如果有咽喉噎塞感的,去掉麻黄,加入熟附子一钱;如果小便不利、小腹满闷的,加入茯苓一钱;如果有气喘的,加入去皮尖的杏仁七枚。
凡是发汗不宜过多,发汗过多会导致亡阳,适宜用此粉扑撒身体即可痊愈,效果神妙。
药材:白术、藁本、川芎、白芷。
制法与用法:将药材研为粉末。每取粉末一两,加入米粉三两,混合均匀后扑撒在身上。
治疗太阳中风兼伤寒,脉象紧且发热,怕冷身体疼痛,不出汗且烦躁口渴;或者脉象浮缓,身体不疼痛只觉沉重,偶尔有减轻的时候;或者伤寒见到风的脉象,伤风见到寒的脉象。
药材:麻黄(去除节部)三两,桂心一两,甘草(蜜炙)一两,杏仁(去皮尖)一两,石膏一两。
制法与用法:将药材锉成散剂。每次服用五钱匕,加水一盏半,生姜五片,大枣一个,煎煮至七分满,滤去药渣,饭前服用。
足阳明胃经受伤寒,出现身体发热、眼睛疼痛且鼻干,无法安卧,不怕冷,腹部胀满,咽喉干燥口燥且口渴的症状。其脉象流注规律与伤风相同,因为阳明经主司肌肉,所以病邪会依次传变至此。
The Taiyang (Greater Yang) Bladder Meridian is affected by Cold Damage, presenting with stiffness and pain in the head and neck, pain in the lower back and spine, absence of sweating, and aversion to cold. The areas where its meridian qi flows and distributes are the same as those in Wind Strike, but the pulse differs, manifesting as floating, excessive, tight, or rapid. This is because the Taiyang Water Meridian governs the Qi of all Yang meridians; therefore, Cold Evil attacks it first.
For the treatment of Taiyang Cold Damage, characterized by a floating, tight, and rapid pulse, headache, body ache, fever, aversion to cold, absence of sweating, chest fullness, and wheezing:
Ma Huang (Ephedrae Herba, removed nodes), 1 liang; Gu Xin (Cinnamomi Ramulus), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), 0.5 liang; Xing Ren (Armeniacae Semen Amarum), 25 grains.
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, boil in 1.5 sheng of water until reduced to 0.8 sheng, strain, and take before meals. Cover with blankets to induce slight sweating. In summer, add Zhi Mu (Anemarrhenae Rhizoma), 0.5 liang; Shi Gao (Gypsum Fibrosum), 1 liang; Huang Qin (Scutellariae Radix), 1 fen. Alternatively, if after sweating there is no high fever but wheezing persists, remove Gui Xin and add Shi Gao, 4 liang.
For the treatment of Cold Damage where the exterior syndrome has not resolved, fluid retention exists in the epigastrium, accompanied by dry retching, fever and cough, thirst, diarrhea, a sensation of obstruction in the throat, dysuria, lower abdominal fullness, and wheezing:
Ma Huang (Ephedrae Herba, removed nodes), 3 liang; Xi Xin (Asari Radix et Rhizoma, removed seedlings), 3 liang; Gan Jiang (Zingiberis Rhizoma, processed), 3 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), 3 liang; Gu Xin (Cinnamomi Ramulus), 3 liang; Shao Yao (Paeoniae Radix Alba), 3 liang; Ban Xia (Pinelliae Tuber, washed with boiling water to remove slipperiness), 2.5 liang; Wu Wei Zi (Schisandrae Fructus), 2.5 liang.
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, boil in 2 sheng of water until reduced to 0.8 sheng, strain, and take warm before meals. If there is a sensation of obstruction in the throat, remove Ma Huang and add Shu Fu Zi (Aconiti Lateralis Radix Praeparata), 1 qian. If there is dysuria and lower abdominal fullness, add Fu Ling (Poria), 1 qian. If there is wheezing, add Xing Ren (Armeniacae Semen Amarum, skin and tips removed), 7 grains.
When inducing sweating, one should not sweat excessively, as excessive sweating leads to the loss of Yang Qi. It is advisable to use this powder applied to the body for immediate recovery, with miraculous efficacy.
Bai Zhu (Atractylodis Macrocephalae Rhizoma); Ben Cao (Ligustici Rhizoma et Radix); Chuan Xiong (Chuanxiong Rhizoma); Bai Zhi (Angelicae Dahuricae Radix).
Preparation and Administration: Grind into powder. Mix 1 liang of this powder with 3 liang of rice flour evenly, and apply as a dusting powder.
For the treatment of Taiyang Wind Strike combined with Cold Damage, presenting with a tight pulse, fever, aversion to cold, body ache, anhidrosis, irritability, and thirst; or a floating and slow pulse, body heaviness without pain, which occasionally alleviates; or Cold Damage showing Wind pulses, or Wind Strike showing Cold pulses:
Ma Huang (Ephedrae Herba, removed nodes), 3 liang; Gu Xin (Cinnamomi Ramulus), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), 1 liang; Xing Ren (Armeniacae Semen Amarum, skin and tips removed), 1 liang; Shi Gao (Gypsum Fibrosum), 1 liang.
Preparation and Administration: Coarsely crush into a powder. Take 5 qian bi per dose, boil with 1.5 sheng of water, 5 slices of fresh ginger, and 1 jujube, until reduced to 0.7 sheng, strain, and take before meals.
The Yangming Stomach Meridian is affected by Cold Damage, presenting with body heat, eye pain, nasal dryness, inability to sleep, absence of aversion to cold, abdominal fullness, dry throat and mouth, and thirst. Its pulse flow characteristics are similar to Wind Strike; since the Yangming Meridian governs the muscles, the pathogen transmits to it sequentially.