槟榔 萆 肉苁蓉(酒浸) 破故纸(炒) 巴戟(去木)
上五味,各添一两,内熟地黄、当归,各减一两尤妙。如服此药五七日,或半月日,见
效甚速,行步如飞,千里可至,乃名胜骏。
治足三阴经虚,为风寒暑湿进袭,挛痹缓弱,上攻胸胁肩背,下注脚膝疼痛,
渐成风湿香港脚,行步艰难,足心如火,上气喘急,全不进食。
石南 天南星(炮) 石斛(酒浸) 牛膝(酒浸) 羌活 薏苡仁(炒) 防风(去叉芦) 萆
黄 (蜜炙) 天麻 当归(酒浸) 续断(各两半) 木瓜(四两) 槟榔(二两半)
上为末,酒煮面糊为丸,如梧子大。每服五十丸,空心温酒、盐汤任下。
经云∶春伤风,夏飧泄,此乃四时之序也。或表中风在经络中,循经流注,以日传变,
与伤寒无异。但寒泣血,无汗恶寒;风散气,有汗恶风,为不同。仲景正以此格量太阳经伤
寒伤风,用药不同。而纂集者不识门类,遂双编二证,使后学混滥,卒不知归。甚者,以伤
风暑湿,时气疫疹,凡曰太阳病者,皆谓之伤寒。晋人不经,类皆如此,固不足道,但名义
乖错,惑于后世,不可不与之辨。今别立伤风一门于四淫之前,且根据先哲以太阳为始,分注
六经,学人当自知。
足太阳膀胱经伤风,有汗恶风,不恶寒,头项强,腰脊痛。以其脉从巅入络脑,还出,
别下项,循肩膊内,挟脊,抵腰中,故太阳诸证如是。治之宜桂枝汤。
槟榔、萆薢、肉苁蓉(酒浸)、破故纸(炒)、巴戟天(去木心)。
以上五味药,每味各增加一两,加入熟地黄、当归,每味各减少一两效果更佳。如果服用此药五到七天,或者半个月,见效非常快,行走如飞,一天能走千里路,这便名为“胜骏”。
治疗足三阴经虚弱,因风寒暑湿侵袭,导致筋脉拘挛、痹痛、松弛无力,病邪上攻至胸胁肩背,下注于脚膝引起疼痛,逐渐形成风湿性香港脚(痛风/下肢肿痛),行走困难,脚心发热如火,上逆气喘急促,完全无法进食。
石南叶、天南星(炮制)、石斛(酒浸)、牛膝(酒浸)、羌活、薏苡仁(炒)、防风(去叉芦头)、萆薢、黄柏(蜜炙)、天麻、当归(酒浸)、续断(以上各一两半)、木瓜(四两)、槟榔(二两半)。
将上述药物研为细末,用酒煮面糊制成丸药,大小如梧桐子。每次服用五十丸,空腹时温酒或盐汤送服均可。
经文说:春季伤风,夏季发生完谷不化的泄泻,这是四季时序变化的规律。或者表证中风邪在经络中,沿经络流注,按日传变,与伤寒没有不同。只是寒邪使血液凝涩,无汗且恶寒;风邪耗散气机,有汗且恶风,这是不同的地方。张仲景正是以此标准来衡量太阳经受伤寒和伤风,用药有所不同。而编纂集录的人不认识门类区分,于是将这两种证候编在一起,使后学者混淆混乱,最终不知道正确的归属。更甚者,将伤风、暑湿、时气、疫疹,凡是称为太阳病的,都称之为伤寒。晋代人的著作不经考究,大抵都是如此,本来不值得多说,但名义颠倒错乱,迷惑了后世之人,不可以不加以辨析。现在单独设立伤风一门类放在四淫之前,并且依据先哲以太阳经开始,分别注释六经,学习的人应当自然知晓。
足太阳膀胱经伤风,表现为有汗、恶风,不恶寒,头项强直,腰脊疼痛。因为该经脉从头顶入络于脑,复出,别行下行至项部,沿肩膊内侧,夹脊柱,抵达腰部中间,所以太阳经的各种证候像这样。治疗适宜使用桂枝汤。
Binglang (Arecae Semen), Bibi (Dioscoreae Hypoglaucae Rhizoma), Rongshurong (Cibotii Rhizoma) (soaked in wine), Po Gu Zhi (Psoraleae Fructus) (stir-fried), Bajitian (Morinda Officinalis Radix) (pith removed).
The above five herbs, each increased by one qian (approx. 3-5g depending on era, here likely referring to a unit of weight, traditionally 1 liang = 10 qian or 37.3g, but in Song dynasty context often implies proportional adjustment; assuming standard Song weight for translation clarity as "one unit"), with Shudihuang (Rehmanniae Radix Preparata) and Danggui (Angelicae Sinensis Radix) added, each reduced by one unit is even more excellent. If taking this medicine for five to seven days, or half a month, the effect is very rapid, walking like flying, capable of traveling a thousand li in a day, hence named "Shengjun" (Victory over Speed).
Treating deficiency of the three Yin meridians of the foot, invaded by wind, cold, summer-heat, and dampness, leading to spasms, bi-syndrome (painful obstruction), flaccidity, and weakness. The pathogenic factors attack upwards to the chest, hypochondrium, shoulders, and back, and flow downwards to the feet and knees causing pain, gradually developing into wind-damp Hong Kong jiao (podagra/gout-like lower limb swelling and pain), difficulty in walking, soles of feet feeling hot like fire, upward rebellious qi causing panting and urgency, and complete loss of appetite.
Shinan Ye (Acanthopanacis Trifolii Caulis), Tiannanxing (Arisaematis Rhizoma) (processed), Shihu (Dendrobii Caulis) (soaked in wine), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine), Qianghuo (Notopterygii Rhizoma et Radix), Yiyiren (Coicis Semen) (stir-fried), Fangfeng (Saposhnikoviae Radix) (forked rootlets removed), Bibi (Dioscoreae Hypoglaucae Rhizoma), Huangbo (Phellodendri Cortex) (honey-fried), Tianma (Gastrodiae Rhizoma), Danggui (Angelicae Sinensis Radix) (soaked in wine), Xuduan (Dipsaci Radix) (each 1.5 liang), Mugua (Chaenomelis Fructus) (4 liang), Binglang (Arecae Semen) (2.5 liang).
Grind the above into powder, use wine-boiled wheat paste to make pills, size of wutong seeds (approx. 6-9mm). Take 50 pills per dose, down with warm wine or salt water on an empty stomach.
The classics state: Wind injury in spring leads to undigested stool diarrhea in summer; this is the order of the four seasons. Or, if wind strikes the exterior within the meridians, flowing along the meridians and changing daily, it is no different from Shanghan (Cold Damage). However, cold congeals blood, resulting in no sweating and aversion to cold; wind scatters qi, resulting in sweating and aversion to wind, which are distinct differences. Zhang Zhongjing precisely used this criterion to differentiate between Shanghan and Fengshang (Wind Injury) in the Taiyang Meridian, employing different medications. Those who compiled collections failed to recognize these categories, thus compiling both syndromes together, confusing later learners who ultimately did not know the correct attribution. Worse still, they labeled wind injury, summer-heat, dampness, seasonal qi, and epidemic rashes, all referred to as Taiyang disease, as Shanghan. Jin dynasty writings were uncritical, mostly like this; although not worth mentioning, their misnomers confuse posterity and must be clarified. Now, a separate category for Fengshang is established before the Four Excesses, following ancient sages starting with Taiyang, annotated separately for the Six Meridians, so that students will naturally understand.
Taiyang Bladder Meridian Fengshang presents with sweating, aversion to wind, no aversion to cold, stiffness of the head and neck, and pain in the waist and spine. Because its pulse enters the brain from the vertex, emerges again, descends separately to the nape, follows the inside of the shoulder blades, flanks the spine, and reaches the middle of the waist, the symptoms of Taiyang are thus. Treatment should preferably utilize Guizhi Tang (Cinnamon Twig Decoction).