桂枝汤原方加附子一枚(炮去皮破八片)。上六味,以水七升,煮取三升,去渣,温服一升。
太阳病,发汗,遂漏不止。此发汗太过,如水流漓,或药不对症之故,其人恶风,中风本恶风,汗后
当愈。今仍恶风,则表邪未尽也。小便难,津液少。四肢微急,难以屈伸者。四肢为诸阳之本,急难屈伸
乃津脱阳虚之象,但不至亡阳耳。若更甚而厥冷恶寒,则有阳脱之虑,当用四逆汤矣。桂枝加附子汤主之。桂
枝同附子服,则能止汗回阳。
桂枝原方加桂二两,即另立汤名,治症迥别,古圣立方之严如此。
桂枝汤原方加桂二两。上五味,以水七升,煮取三升,去渣,温服一升。
烧针令其汗,针处被寒,复感新寒。核起而赤者,
必发奔豚。气从少腹上冲心者,灸其核上各一壮,不止一针,故云各一壮。与桂枝加桂汤。重加桂枝,不
特御寒,且制肾气。又药味重,则能达下。凡奔豚症,此方可增减用之。
即前方加附子一枚(炮去皮破八片),余根据前法。
太阳病,下之后,脉促胸满者,中虚而表邪仍在。桂枝去芍药汤主之。太阳之邪未尽,故用桂枝,下后
伤阴,不宜更用凉药,若微恶寒者,去芍药,方中加附子汤主之。微恶寒,则阳亦虚矣,故加附子。
桂枝汤原方中加入附子一枚(经炮制,去皮,破成八片)。以上六味药,用水七升,煎煮至三升,滤去药渣,温服一升。
太阳病,经过发汗治疗后,汗出仍然淋漓不止。这是因为发汗太过,像水流一样淋漓,或者是药物不对症的原因。患者感到怕风,中风证本来就会怕风,出汗后应当痊愈。现在仍然怕风,说明表邪尚未清除。小便困难,是因为津液减少。四肢轻微拘急,难以屈伸,四肢是诸阳之本,拘急难以屈伸是津液脱失、阳气虚弱的表现,但还不至于到亡阳的程度。如果情况更严重,出现四肢厥冷、恶寒,就有阳气脱失的担忧,这时应当使用四逆汤了。此处用桂枝加附子汤主治。桂枝与附子同服,能够止汗并回阳救逆。
桂枝汤原方中增加桂枝二两,即另立汤名,治疗的病症截然不同,古代圣哲制定方剂的严谨程度如此。
桂枝汤原方中增加桂枝二两。以上五味药,用水七升,煎煮至三升,滤去药渣,温服一升。
烧针强迫其出汗,针孔处受寒,又感受新的寒气。针孔处红肿起核且发红,必然引发奔豚病(一种气从少腹上冲心胸的病证)。气从少腹向上冲击心脏,应在每个红肿的核上各灸一壮(艾炷),不止一针,所以说“各一壮”。给予桂枝加桂汤治疗。重用桂枝,不仅为了抵御寒气,还能制约肾气。另外药量加重,则能通达下焦。凡是奔豚病的症状,此方可根据情况进行增减使用。
桂枝汤原方中去掉芍药。以上四味药,用水七升,煎煮至三升,温服一升。
即在前方基础上加入附子一枚(经炮制,去皮,破成八片),其余按照前面的方法操作。
太阳病,在误用攻下法之后,出现脉促、胸满的症状,这是中气虚弱而表邪仍在。用桂枝去芍药汤主治。太阳表的邪气尚未清除,所以使用桂枝;攻下后损伤阴液,不宜再用凉性药物。如果伴有轻微怕冷的症状,去掉芍药,在方中加入附子,用桂枝去芍药加附子汤主治。轻微怕冷,说明阳气也已经虚弱,所以加入附子。
Guizhi Tang (Cinnamon Twig Decoction) original formula plus one Fuzi (Prepared Aconiti Lateralis Radix, processed, skin removed, broken into eight pieces). The above six herbs, with seven sheng of water, decoct to obtain three sheng, remove the dregs, and take one sheng warm.
Taiyang disease (disease of the Taiyang/Bladder channel), after sweating therapy, sweat continues to leak profusely. This is due to excessive sweating, resembling a flowing stream, or possibly because the medication was inappropriate for the syndrome. The patient feels aversion to wind; Wind-strike (Zhongfeng) inherently involves aversion to wind, and after sweating, it should resolve. Since aversion to wind persists now, it indicates that pathogenic factors in the exterior have not been fully cleared. Difficulty in urination is due to scanty body fluids. Slight stiffness and difficulty in flexing and extending the limbs: the limbs are the root of all Yang qi; stiffness and difficulty in movement are signs of fluid depletion and Yang deficiency, though not yet to the extent of Yang collapse. If it worsens further to include cold extremities and aversion to cold, there is a concern of Yang collapse, at which point Sini Tang (Frigid Extremities Decoction) should be used. Here, Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Prepared Aconite) is the primary treatment. When Guizhi (Cinnamon Twig) is taken with Fuzi, it can stop sweating and restore Yang.
The original Guizhi Tang formula plus two liang of Guizhi constitutes a separate decoction name, treating distinctly different syndromes; thus was the strictness of the ancient sages in formulating prescriptions.
The original Guizhi Tang formula plus two liang of Guizhi. The above five herbs, with seven sheng of water, decoct to obtain three sheng, remove the dregs, and take one sheng warm.
Moxibustion needles were used to induce sweating; the needle sites were exposed to cold, and new cold pathogens were contracted again. Red nodules rising at the site will inevitably trigger Ben Tun (Rushing Pig disorder, characterized by Qi rushing from the lower abdomen to the heart). When Qi rushes from the lower abdomen up to the heart, apply moxibustion on each nodule, one moxa cone per nodule (not just one needle, hence "one cone each"). Administer Guizhi Jia Gui Tang (Cinnamon Twig Decoction plus Cinnamon Twig). Heavier dosage of Guizhi not only wards off cold but also restrains Kidney Qi. Furthermore, heavier herbal dosage allows the medicine to reach the lower jiao. For any Ben Tun syndrome, this formula can be modified as needed.
The original Guizhi Tang formula minus Shaoyao (Peony Root). The above four herbs, with seven sheng of water, decoct to obtain three sheng, and take one sheng warm.
Plus one Fuzi (Prepared Aconiti Lateralis Radix, processed, skin removed, broken into eight pieces) to the previous formula; follow the previous method for the rest.
After incorrect purgation in Taiyang disease, if there is a rapid pulse (Cu Mai) and chest fullness, it indicates deficiency in the middle jiao while pathogenic factors remain in the exterior. Guizhi Qu Shaoyao Tang (Cinnamon Twig Decoction minus Peony Root) is the primary treatment. Since Taiyang exterior pathogens are not yet cleared, Guizhi is used; purgation damages Yin, so cooling herbs should not be used. If there is slight aversion to cold, Shaoyao is removed, and Fuzi is added to the formula, using Guizhi Qu Shaoyao Jia Fuzi Tang (Cinnamon Twig Decoction minus Peony Root plus Prepared Aconite). Slight aversion to cold indicates that Yang is also deficient, hence Fuzi is added.