茯苓(半斤) 桂枝(四两) 甘草(二两炙) 大枣(十二枚)
上四味以甘澜水一斗先煮茯苓减二升内诸药煮取三升去滓温服一升日三服作甘澜水法取水二斗置大盆内以杓扬之
水上有珠子五六千颗相逐取用之
烧针令其汗针处被寒核起而赤者必发奔豚气从少腹上冲心者灸其核上各一壮与桂枝加桂汤更加桂二两
汗后阳虚脾陷木气不舒一被外寒闭其针孔风木郁动必发奔豚若气从少腹上冲心胸便是奔豚发作宜先灸核上各一壮散
其外寒即以桂枝加桂汤更加桂枝以疏风木而降奔豚也(桂枝加桂者于桂枝汤内更加桂枝也)
桂枝(五两) 芍药(三两) 甘草(二两) 大枣(十二枚) 生姜(三两)
于桂枝汤内更加桂枝二两共五两余根据前法
太阳病下之后其气上冲者可与桂枝汤用前法若不上冲者不可与之
下后其气上冲是奔豚发作也可与桂枝汤用如前法疏风木而降奔冲若不上冲者奔豚未作不可与前汤也
伤寒脉浮医以火迫劫之亡阳必惊狂起卧不安者桂枝汤去芍药加蜀漆龙骨牡蛎救逆汤主之
汗多亡阳君火飞腾神魂失归是以惊生浊气上逆化生败浊迷塞心宫是以狂作桂枝加蜀漆龙骨牡蛎汤桂枝甘草疏木而培
中生姜大枣补脾而降逆蜀漆吐腐瘀而疗狂龙骨牡蛎敛神魂而止惊也
桂枝(三两去皮) 甘草(二两炙) 大枣(十二枚) 生姜(三两) 蜀漆(三两洗去腥) 龙骨(四两) 牡
蛎(五两熬)
上为末以水一斗二升先煮蜀漆减二升内诸药煮取三升去滓温服一升
茯苓(半斤) 桂枝(四两) 甘草(二两,炙) 大枣(十二枚)
以上四味药,用甘澜水一斗,先煮茯苓,水量减少二升后,加入其余药物,煎煮至取药液三升,滤去药渣,每次温服一升,每日服用三次。制作甘澜水的方法是:取二斗水放入大盆中,用勺子反复扬水,直到水面上出现五六千颗像珍珠一样的水珠,互相追逐滚动时,取这种水使用。
烧针使其发汗,针刺部位受寒,出现硬结且发红的人,必定会引发奔豚病;若感觉有气从少腹向上冲至心胸,这就是奔豚发作。应当先在硬结上各灸一壮,然后给予桂枝加桂汤,再增加桂枝二两。
发汗之后导致阳气虚弱,脾气下陷,肝木之气不得舒展,一旦受到外寒封闭针孔,风木之气郁滞而妄动,必然引发奔豚。如果感觉气从少腹上冲心胸,便是奔豚发作。适宜先灸硬结处各一壮,以疏散外寒;随即使用桂枝加桂汤,并额外增加桂枝用量,以疏泄风木之气并平降奔豚。(所谓桂枝加桂,即在桂枝汤的基础上再增加桂枝。)
桂枝(五两) 芍药(三两) 甘草(二两) 大枣(十二枚) 生姜(三两)
在桂枝汤的基础上再增加桂枝二两,共计五两,其余药材和煎服方法均依照前法。
太阳病经过攻下治疗后,如果患者感觉气向上冲的,可以给予桂枝汤,使用方法如前所述;如果不向上冲的,则不可给予。
攻下之后,如果气向上冲,这是奔豚发作的表现,可以给予桂枝汤,按照前述方法疏泄风木之气并平降冲逆之气;如果不向上冲,说明奔豚尚未发作,不可给予前面的汤剂。
伤寒脉象浮,医生用火法强迫发汗劫夺津液,导致亡阳,必定出现惊狂、坐卧不安的症状,应当用桂枝去芍药加蜀漆龙骨牡蛎救逆汤主治。
汗出过多导致亡阳,君火飞腾,神魂失守,因此产生惊恐;浊气上逆,化为败浊之邪,迷塞心宫,因此产生狂乱。桂枝加蜀漆龙骨牡蛎汤中,桂枝、甘草疏利肝木并培补中焦,生姜、大枣补益脾胃并降逆气,蜀漆吐出腐瘀之邪以治疗狂证,龙骨、牡蛎收敛神魂以制止惊恐。
桂枝(三两,去皮) 甘草(二两,炙) 大枣(十二枚) 生姜(三两) 蜀漆(三两,洗去腥味) 龙骨(四两) 牡蛎(五两,熬制)
以上七味药,捣成粗末,用水一斗二升,先煮蜀漆,水量减少二升后,加入其余药物,煎煮至取药液三升,滤去药渣,每次温服一升。
Fuling (Poria, 8 liang) Guizhi (Cinnamon Twig, 4 liang) Gancao (Licorice Root, 2 liang, honey-fried) Dazao (Jujube, 12 pieces)
Take the above four herbs. Boil them in one dou of Ganlan Water (Gentle Wave Water). First boil Fuling until the liquid reduces by two sheng. Then add the remaining herbs and boil to obtain three sheng of decoction. Strain the dregs. Take one sheng warm, three times a day.
Method for preparing Ganlan Water: Take two dou of water, place it in a large basin, and scoop it up and down with a ladle repeatedly. When five or six thousand pearl-like bubbles appear on the surface and chase each other, use this water.
Moxibustion or burning needle therapy induces sweating. If the puncture site is exposed to cold and develops a nodule that is red, Ben Tun (Rushing Pig) Qi will inevitably arise. If there is a sensation of Qi rushing from the lower abdomen to the heart, this constitutes an attack of Ben Tun. One should first apply one moxa cone (zhuang) on each nodule to disperse the external cold, then administer Guizhi Jia Guixi Tang (Cinnamon Twig Decoction plus Cinnamon Twig), adding two liang more Guizhi.
After excessive sweating, Yang Qi becomes deficient, Spleen Qi sinks, and Liver Wood Qi fails to circulate freely. Once the needle pore is closed by external cold, Wind-Wood Qi becomes stagnant and agitated, inevitably triggering Ben Tun. If Qi rushes from the lower abdomen to the chest and heart, it is an attack of Ben Tun. It is appropriate to first apply one moxa cone on each nodule to scatter the external cold, and then use Guizhi Jia Guixi Tang with additional Guizhi to soothe Wind-Wood and descend the Ben Tun. ("Guizhi Jia Guixi" means adding more Guizhi to the base formula Guizhi Tang.)
Guizhi (Cinnamon Twig, 5 liang) Shaoyao (Peony Root, 3 liang) Gancao (Licorice Root, 2 liang) Dazao (Jujube, 12 pieces) Shengjiang (Fresh Ginger, 3 liang)
Add two liang more Guizhi to the standard Guizhi Tang, totaling five liang. All other ingredients and preparation methods follow the previous prescription.
In Taiyang Disease (Taiyang Syndrome), if after purgative treatment the patient experiences Qi rushing upward, Guizhi Tang may be administered using the method described above. If there is no upward rushing of Qi, do not administer it.
If Qi rushes upward after purgation, it indicates an onset of Ben Tun; Guizhi Tang can be used to soothe Wind-Wood and descend the rushing Qi according to the aforementioned method. If there is no upward rush, Ben Tun has not yet occurred, and the previous decoction should not be given.
In Shanghan (Cold Damage) with a floating pulse, if the physician uses fire therapy to force sweating and deplete fluids, leading to Wang Yang (Loss of Yang), symptoms such as fright, mania, restlessness, and inability to lie still will definitely occur. This should be treated with Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang (Cinnamon Twig Decoction minus Peony plus Chinese Tussac, Dragon Bone, and Oyster Shell Rescue the Adverse Decoction).
Excessive sweating leads to loss of Yang, causing the Ministerial Fire to soar and the Hun and Shen (Soul and Spirit) to lose their residence, resulting in fright. Turbid Qi rises inversely, transforming into foul turbidity that obstructs the Heart Palace, resulting in mania. In Guizhi Tang plus Shuqi, Longgu, and Muli: Guizhi and Gancao soothe the Liver Wood and nourish the Middle Jiao; Shengjiang and Dazao tonify the Spleen and descend adverse Qi; Shuqi expels rot and stasis to treat mania; Longgu and Muli astringe the Hun and Shen to stop fright.
Guizhi (Cinnamon Twig, 3 liang, bark removed) Gancao (Licorice Root, 2 liang, honey-fried) Dazao (Jujube, 12 pieces) Shengjiang (Fresh Ginger, 3 liang) Shuqi (Chinese Tussac, 3 liang, washed to remove fishy odor) Longgu (Dragon Bone, 4 liang) Muli (Oyster Shell, 5 liang, calcined)
Grind the above seven herbs into coarse powder. Add one dou and two sheng of water. First boil Shuqi until the volume reduces by two sheng. Then add the remaining herbs and boil to obtain three sheng of decoction. Strain the dregs. Take one sheng warm.