治少阳病,脉来弦数,发热耳聋,胁痛口苦,微呕,或往来寒热,胸膈满痛,小便不利,
大便秘涩。但见一症便是,不必悉具。
人参(一两) 柴胡(四两) 黄芩(一两半) 甘草(一两半) 半夏(一两二钱半)
上水二盏,姜三片,枣二枚煎服。胸满及嗌干,加枳壳桔梗。胁痛加芍药、菖蒲。肚腹
痛加枳实、大黄。无汗加葛根、升麻。咳嗽加杏仁、五味子。汗下后病不解,加黄连、黄柏、
黄芩、栀子。结胸加瓜蒌子。发黄加茵陈、黄柏。发黄有血,加桃仁、当归。狂乱加大黄、
朴硝。衄血、下血,加黄连。
治阳明经病,发热目痛,鼻干颊赤,或大汗后表证已解,或吐下后邪气未除,余热在里,
心胸烦渴,甚欲饮水,一日内三四服。
石膏(四钱) 知母(一钱) 甘草(五分) 加粳米三十余粒。
上水一盏半煎。咳呕加陈皮、半夏。烦渴不已,加人参。发汗不解,脉浮者,加羌活、
苍术(各一钱二分。)
治胃热谵语,五、六日不大便,及少阴症口燥咽干,舌苔黄黑及生芒刺,急
大黄(五钱) 浓朴(一钱) 枳实(二钱) 芒硝(二钱) 去芒硝,名小承气汤。
去浓朴、枳实
胃承气汤。
上水二盏,先煎朴实,后入硝黄煎。此药立下死胎。
治伤寒杂病,热毒烦闷,干燥呕逆,呻吟喘满,或下后发热,饮水不解,
黄芩 黄连 黄柏 大栀子(各等分) 如腹满呕吐,或欲作利者,每服加生半夏三枚、
浓朴二钱、茯苓二钱。
上每服一两,水二盏,姜三片煎。
治疗少阳病,脉象弦而数,出现发热、耳聋、胁肋疼痛、口苦、轻微呕吐,或者寒热往来、胸膈部胀满疼痛、小便不通畅、大便干结难解的情况。只要见到其中一种症状即可使用本方,不必所有症状都具备。
人参(一两) 柴胡(四两) 黄芩(一两半) 甘草(一两半) 半夏(一两二钱半)
以上药材加水两盏,生姜三片,大枣二枚,煎煮后服用。若胸中胀满及咽喉干燥,加入枳壳、桔梗。若胁肋疼痛,加入芍药、石菖蒲。若腹部疼痛,加入枳实、大黄。若无汗,加入葛根、升麻。若咳嗽,加入杏仁、五味子。若在发汗或攻下治疗后病情仍未解除,加入黄连、黄柏、黄芩、栀子。若形成结胸证,加入瓜蒌子。若出现发黄症状,加入茵陈、黄柏。若发黄且伴有瘀血,加入桃仁、当归。若出现狂乱症状,加入大黄、朴硝。若出现鼻衄或便血,加入黄连。
治疗阳明经病,出现发热、目痛、鼻干、面色颊部发红,或者在大汗之后表证已解,或者在吐下之后邪气未除,余热留在体内,导致心胸烦闷口渴,甚至极度想喝水,一天内分三四次服用。
石膏(四钱) 知母(一钱) 甘草(五分) 加入粳米三十多粒。
以上药材加水一盏半煎煮。若咳嗽呕吐,加入陈皮、半夏。若烦渴不止,加入人参。若发汗后病不解,脉象仍浮,加入羌活、苍术(各一钱二分)。
治疗胃热导致的谵语,五六天不大便,以及少阴症出现的口燥咽干、舌苔黄黑及生芒刺,急需使用:
大黄(五钱) 浓朴(一钱) 枳实(二钱) 芒硝(二钱)
去掉芒硝,名为小承气汤。
去掉浓朴、枳实,即为大承气汤(注:原文此处表述略有跳跃,通常去芒硝为小承气,去朴枳为调胃承气,但依原文逻辑整理)。
以上药材加水两盏,先煎煮朴实(即厚朴),后加入硝黄(芒硝、大黄)煎煮。此药能迅速排出死胎。
治疗伤寒杂病,因热毒引起的烦闷、干燥、呕吐逆气、呻吟喘息胀满,或者在攻下之后出现发热,饮水无法缓解的情况:
黄芩 黄连 黄柏 大栀子(各等分)
如果腹部胀满呕吐,或者有想要腹泻的迹象,每服药量中加入生半夏三枚、浓朴二钱、茯苓二钱。
以上药材每服取一两,加水两盏,生姜三片,煎煮服用。
Treat Shaoyang disease (Shaoyang syndrome), where the pulse is wiry and rapid, accompanied by fever, deafness, hypochondriac pain, bitter taste in the mouth, slight vomiting, or alternating chills and fever, chest and diaphragm fullness and pain, difficulty in urination, and dry, difficult defecation. If any one of these symptoms is present, the formula may be used; it is not necessary for all symptoms to be present.
Renshen (Ginseng Radix) (1 liang), Chaihu (Bupleuri Radix) (4 liang), Huangqin (Scutellariae Radix) (1.5 liang), Gancao (Licorice Radix et Rhizoma) (1.5 liang), Banxia (Pinelliae Tuber) (1.25 liang).
Add two cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and two dates (Dazao). Decoct and take orally. For chest fullness and dry throat, add Zhike (Aurantii Fructus) and Jiegeng (Platycodonis Radix). For hypochondriac pain, add Shaoyao (Paeoniae Radix) and Changpu (Acori Tatarinowii Rhizoma). For abdominal pain, add Zhishi (Aurantii Fructus Immaturus) and Dahuang (Rhei Radix et Rhizoma). For absence of sweating, add Gegen (Puerariae Lobatae Radix) and Shengma (Cimicifugae Rhizoma). For cough, add Xingren (Armeniacae Semen Amarum) and Wuweizi (Schisandrae Fructus). If the condition persists after inducing sweating or purging, add Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), and Zhizi (Gardeniae Fructus). For Jie-xiong (chest binding syndrome), add Gualouzi (Trichosanthis Semen). For jaundice, add Yinchen (Artemisiae Scopariae Herba) and Huangbai (Phellodendri Cortex). For jaundice with blood stasis, add Taoren (Persicae Semen) and Danggui (Angelicae Sinensis Radix). For mania, add Dahuang (Rhei Radix et Rhizoma) and Poxiao (Natrii Sulfas). For epistaxis or lower bleeding, add Huanglian (Coptidis Rhizoma).
Treat Yangming channel disease, characterized by fever, eye pain, dry nose, red cheeks, or after profuse sweating when exterior symptoms have resolved, or after emesis and purging when pathogenic factors remain, with residual heat in the interior causing restlessness, thirst in the chest and heart, and extreme desire to drink water. Take orally in divided doses, three to four times a day.
Shigao (Gypsum Fibrosum) (4 qian), Zhimu (Anemarrhenae Rhizoma) (1 qian), Gancao (Licorice Radix et Rhizoma) (0.5 qian), plus more than thirty grains of Jingmi (Oryza Sativa Var. Glutinosa).
Add one and a half cups of water and decoct. For cough and vomiting, add Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Tuber). For persistent restlessness and thirst, add Renshen (Ginseng Radix). If the condition does not resolve after sweating and the pulse remains floating, add Qianghuo (Notopterygii Rhizoma et Radix) and Cangzhu (Atractylodis Rhizoma) (each 1.2 qian).
Treat stomach heat leading to delirious speech, constipation for five to six days, and Shaoyin syndrome presenting with dry mouth and throat, yellow or black tongue coating, and prickles on the tongue. Urgently use:
Dahuang (Rhei Radix et Rhizoma) (5 qian), Nongpo (Magnoliae Officinalis Cortex) (1 qian), Zhishi (Aurantii Fructus Immaturus) (2 qian), Mangxiao (Natrii Sulfas) (2 qian).
Remove Mangxiao to name Xiao Chengqi Tang (Minor Order the Qi Decoction).
Remove Nongpo and Zhishi to form Wei Chengqi Tang (Stomach Order the Qi Decoction - *Note: Text implies modification logic*).
Add two cups of water. First decoct Nongpo (Magnoliae Officinalis Cortex), then add Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) and decoct. This medicine can rapidly expel a dead fetus.
Treat cold damage and miscellaneous diseases involving heat toxin causing restlessness, dryness, vomiting and regurgitation, groaning, wheezing, and fullness, or fever appearing after purging that is not relieved by drinking water:
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Dazhizi (Gardeniae Fructus) (equal parts).
If there is abdominal fullness and vomiting, or if diarrhea is impending, add San Sheng Banxia (three raw Pinelliae Tubers per dose), Nongpo (Magnoliae Officinalis Cortex) (2 qian), and Fuling (Poria) (2 qian) to each dose.
Take one liang of the mixture per dose, add two cups of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct and take.