31.太阳病,项背强KT KT 、无汗、恶风,葛根汤主之。方一。
葛根(四两) 麻黄(去节,三两) 桂枝(去皮,二两) 生姜(切,三两) 甘草(炙,二两)
芍药(二两) 大枣(擘,十二枚)
上七味,以水一斗,先煮麻黄、葛根,减二升,去白沫,内诸药,煮取三升,去滓,温服一升,覆取
微似汗。余如桂枝法将息及禁忌,诸汤皆仿此。
32.太阳与阳明合病者,必自下利,葛根汤主之。方二。(用前第一方,一云用后第四方。)
33.太阳与阳明合病,不下利,但呕者,葛根加半夏汤主之。方三。
葛根(四两) 麻黄(去节,三两) 甘草(炙,二两) 芍药(二两) 桂枝(去皮,二两) 生姜
(切,二两) 半夏(洗,半升) 大枣(擘,十二枚)
上八味,以水一斗,先煮葛根、麻黄,减二升。去白沫,内诸药,煮取三升,去滓,温服一升。覆取
微似汗。
34.太阳病,桂枝证,医反下之,利遂不止,脉促者,表未解也;喘而汗出者,葛根黄芩黄连汤主之。方
四。(促,一作纵)
葛根(半斤) 甘草(炙,二两) 黄芩(三两) 黄连(三两)
上四味,以水八升,先煮葛根,减二升,内诸药,煮取二升,去滓,分温再服。
35.太阳病,头痛、发热、身疼、腰痛、骨节疼痛、恶风、无汗而喘者,麻黄汤主之。方五。
麻黄(去节,三两) 桂枝(去皮,二两) 甘草(炙,一两) 杏仁(去皮尖,七十个)
上四味,以水九升,先煮麻黄,减二升,去上沫,内诸药,煮取二升半,去滓,温服八合,覆取微
似汗,不须啜粥,余如桂枝法将息。
36.太阳与阳明合病,喘而胸满者,不可下,宜麻黄汤。方六。(用前第五方。)
37.太阳病,十日以去,脉浮细而嗜卧者,外已解也。设胸满胁痛者,与小柴胡汤;脉但浮者,与麻黄汤。
方七。(用前第五方。)
小柴胡汤方∶
柴胡(半斤) 黄芩 人参 甘草(炙) 生姜(切,各三两) 大枣(擘,十二枚) 半夏(洗,半升)
上七味,以水一斗二升,煮取六升,去滓,再煎取三升,温服一升,日三服。
38.太阳中风,脉浮紧、发热、恶寒、身疼痛、不汗出而烦躁者,大青龙汤主之;若脉微弱,汗出恶风者,
不可服之。服之则厥逆、筋惕肉 ,此为逆也。大青龙
汤方。方八。
麻黄(去节,六两) 桂枝(去皮,二两) 甘草(炙,二两) 杏仁(去皮尖,四十枚) 生姜(
切,三两) 大枣(擘,十枚) 石膏(如鸡子大,碎)
上七味,以水九升,先煮麻黄,减二升,去上沫,内诸药,煮取三升,去滓,温服一升,取微似汗。
汗出多者,温粉粉之。一服汗者,停后服;若复服,汗多亡阳,遂(一作逆)虚,恶风、烦躁、不得眠也。
39.伤寒,脉浮缓,身不疼,但重,乍有轻时,无少阴证者,大青龙汤发之。方九。(用前第八方。)
40.伤寒,表不解,心下有水气,干呕、发热而咳,或渴,或利,或噎,或小便不利、少腹满,或喘者,
小青龙汤主之。方十。
麻黄(去节) 芍药 细辛 干姜 甘草(炙) 桂枝(去皮,各三两) 五味子(半升) 半夏(洗,
半升)
上八味,以水一斗,先煮麻黄减二升,去上沫,内诸药。煮取三升,去滓,温服一升。若渴,去半
夏,加栝蒌根三两;若微利,去麻黄,加荛花,如一鸡子,熬令赤色;若噎者,去麻黄,加附子一枚,炮;
若小便不利、少腹满者,去麻黄,加茯苓四两;若
喘,去麻黄,加杏仁半升,去皮尖。且荛花不治利。麻黄主喘,今此语反之,疑非仲景意。(臣亿等谨按小青龙汤,大要
治水。又按本草,荛花下十二水。若水去,利则止也。
又按千金,形肿者,应内麻黄。乃内杏仁者,以麻黄发其阳故也。以此证之,岂非仲景意也。)
41.伤寒,心下有水气,咳有微喘、发热不渴。服汤已,渴者,此寒去欲解也,小青龙汤主之。方十一。
(用前第十方。)
42.太阳病,外证未解,脉浮弱者,当以汗解,宜桂枝汤。方十二。
桂枝(去皮) 芍药 生姜(切,各三两) 甘草(炙,二两) 大枣(擘,十二枚)
上五味,以水七升,煮取三升,去滓,温服一升。须臾啜热稀粥一升,助药力,取微汗。
43.太阳病,下之微喘者,表未解故也,桂枝加浓朴杏子汤主之。方十三。
桂枝(去皮,三两) 甘草(炙,二两) 生姜(切,三两) 芍药(三两) 大枣(擘,十二枚)
浓朴(炙,去皮,二两) 杏仁(五十枚,去皮尖)
上七味,以水七升,微火煮取三升,去滓,温服一升,覆取微似汗。
44.太阳病,外证未解,不可下也,下之为逆;欲解外者,宜桂枝汤。方十四。(用前第十二方。)
45.太阳病,先发汗不解,而复下之,脉浮者不愈。浮为在外,而反下之,故令不愈。今脉浮,故在外,
当须解外则愈,宜桂枝汤。方十五。(用前第十二方。)
46.太阳病,脉浮紧、无汗、发热、身疼痛,八九日不解,表证仍在,此当发其汗。服药已微除,其人发
烦目瞑,剧者必衄,衄乃解。所以然者,阳气重故也。麻黄汤主之。方十六。(用前第五方。)
47.太阳病,脉浮紧,发热,身无汗,自衄者愈。
48.二阳并病,太阳初得病时,发其汗,汗先出不彻,因转属阳明,续自微汗出,不恶寒。若太阳病证不
罢者,不可下,下之为逆;如此可小发汗。设面色缘缘正赤者,阳气怫郁在表,当解之熏之;若发汗不彻,
不足言,阳气怫郁不得越,当汗不汗,其人躁烦,不知痛处,乍在腹中,乍在四肢,按之不可得,其人短气但
坐,以汗出不彻故也,更发汗则愈。何以知汗出不彻,以脉涩故知也。
49.脉浮数者,法当汗出而愈。若下之,身重、心
悸者,不可发汗,当自汗出乃解。所以然者,尺中脉微,此里虚。须表里实,津液自和,便自汗出愈。
50.脉浮紧者,法当身疼痛,宜以汗解之;假令尺中迟者,不可发汗。何以知然,以荣气不足,血少故也。
51.脉浮者,病在表,可发汗,宜麻黄汤。方十七。(用前第五方,法用桂枝汤。)
52.脉浮而数者,可发汗,宜麻黄汤。方十八。(用前第五方。)
53.病常自汗出者,此为荣气和。荣气和者,外不谐,以卫气不共荣气谐和故尔。以荣行脉中,卫行脉
外。复发其汗,荣卫和则愈。宜桂枝汤。方十九。(用前第十二方。)
54.病患脏无他病,时发热、自汗出,而不愈者,此卫气不和也。先其时发汗则愈,宜桂枝汤。方二十。
(用前第十二方。)
55.伤寒脉浮紧,不发汗,因致衄者,麻黄汤主之。方二十一。(用前第五方。)
56.伤寒不大便六七日,头痛有热者,与承气汤;其小便清(一云大便清)者,知不在里,仍在表也,当
须发汗;若头痛者必衄。宜桂枝汤。方二十二。(用前第十二方。)
57.伤寒发汗已解,半日许复烦,脉浮数者,可更
发汗,宜桂枝汤。方二十三。(用前第十二方。)
58.凡病,若发汗,若吐,若下,若亡血,亡津液。阴阳自和者,必自愈。
59.大下之后,复发汗,小便不利者,亡津液也。勿治之,得小便利,必自愈。
60.下之后,复发汗,必振寒、脉微细。所以然者,以内外俱虚故也。
61.下之后,复发汗,昼日烦躁不得眠,夜而安静,不呕、不渴,无表证,脉沉微,身无大热者,干姜附
子汤主之。方二十四。
干姜(一两) 附子(生用,去皮,切八片,一枚)
上二味,以水三升,煮取一升,去滓,顿服。
62.发汗后,身疼痛,脉沉迟者,桂枝加芍药生姜各一两人参三两新加汤主之。方二十五。
桂枝(去皮,三两) 芍药(四两) 甘草(炙,二两) 人参(三两) 大枣(擘,十二枚) 生姜(四两)
上六味,以水一斗二升,煮取三升,去滓,温服一升。本云桂枝汤,今加芍药生姜人参。
63.发汗后,不可更行桂枝汤。汗出而喘,无大热者,可与麻黄杏仁甘草石膏汤。方二十六。
麻黄(去节,四两) 杏仁(去皮尖,五十个) 甘草(炙,二两) 石膏(碎,绵裹,半斤)
上四味,以水七升,煮麻黄,减二升,去上沫,内诸药,煮取二升,去滓,温服一升。本云,黄耳 。
64.发汗过多,其人叉手自冒心,心下悸欲得按者,桂枝甘草汤主之。方二十七。
桂枝(去皮,四两) 甘草(炙,二两)
上二味,以水三升,煮取一升,去滓,顿服。
65.发汗后,其人脐下悸者,欲作奔豚,茯苓桂枝甘草大枣汤主之。方二十八。
茯苓(半斤) 桂枝(去皮,四两) 甘草(炙,二两) 大枣(擘,十五枚)
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,以勺扬之,水上有珠子五六千颗相逐,取用之。
66.发汗后,腹胀满者,浓朴生姜半夏甘草人参汤主之。方二十九。
浓朴(炙,去皮,半斤) 生姜(切,半斤) 半夏(洗,半升) 甘草(二两) 人参(一两)
上五味,以水一斗,煮取三升,去滓,温服一升,日三服。
67.伤寒,若吐、若下后,心下逆满、气上冲胸、起则头眩、脉沉紧,发汗则动经,身为振振摇者,茯苓
桂枝白术甘草汤主之。方三十。
茯苓(四两) 桂枝(去皮,三两) 白术 甘草(炙,各二两)
上四味,以水六升,煮取三升,去滓,分温三服。
68.发汗病不解,反恶寒者,虚故也,芍药甘草附子汤主之。方三十一。
芍药 甘草(炙,各三两) 附子(炮,去皮,破八片,一枚)
上三味,以水五升,煮取一升五合,去滓,分温三服。疑非仲景方。
69.发汗,若下之,病仍不解,烦躁者,茯苓四逆汤主之。方三十二。
茯苓(四两) 人参(一两) 附子(生用,去皮,破八片,一枚) 甘草(炙,二两) 干姜(一两半)
上五味,以水五升,煮取三升,去滓,温服七合,日二服。
70.发汗后,恶寒者,虚故也;不恶寒,但热者,实也,当和胃气,与调胃承气汤。方三十三。(玉函云∶
与小承气汤。)
芒硝(半升) 甘草(炙,二两) 大黄(去皮,清酒洗,四两)
上三味,以水三升,煮取一升,去滓,内芒硝,更煮两沸,顿服。
71.太阳病,发汗后,大汗出、胃中干、烦躁不得眠,欲得饮水者,少少与饮之,令胃气和则愈;若脉浮、
小便不利、微热、消渴者,五苓散主之。方三十四。(即猪苓散是。)
猪苓(去皮,十八铢) 泽泻(一两六铢) 白术(十八铢) 茯苓(十八铢) 桂枝(去皮,半两)
上五味,捣为散,以白饮和服方寸匕,日三服。多饮暖水,汗出愈,如法将息。
72.发汗已,脉浮数、烦渴者,五苓散主之。方三十五。(用前第三十四方。)
73.伤寒,汗出而渴者,五苓散主之;不渴者,茯苓甘草汤主之。方三十六。
茯苓(二两) 桂枝(去皮,二两) 甘草(炙,一两) 生姜(切,三两)
上四味,以水四升,煮取二升,去滓,分温三服。
74.中风,发热六七日不解而烦,有表里证,渴欲饮水,水入则吐者,名曰水逆,五苓散主之。方三十
七。(用前第三十四方。)
75.未持脉时,病患手叉自冒心。师因教试令咳,而不咳者,此必两耳聋无闻也。所以然者,以重发汗,
虚故如此。发汗后,饮水多必喘;以水灌之亦喘。
76.发汗后,水药不得入口,为逆。若更发汗,必吐下不止。发汗、吐下后,虚烦不得眠;若剧者,必
反复颠倒,心中懊 ,栀子豉汤主之;若少气者,栀子甘草豉汤主之;若呕者,栀子生姜豉汤主之。方三十八。
栀子豉汤方∶
栀子(擘,十四个) 香豉(绵裹,四合)
上二味,以水四升,先煮栀子,得二升半,内豉,煮取一升半,去滓,分为二服,温进一服,得吐
者,止后服。
栀子甘草豉汤方∶
栀子(擘,十四个) 甘草(炙,二两) 香豉(绵裹,四合)
上三味,以水四升,先煮栀子、甘草,取二升半,内豉,煮取一升半,去滓,分二服。温进
一服,得吐者,止后服。
栀子生姜豉汤方∶
栀子(擘,十四个) 生姜(五两) 香豉(绵裹,四合)
上三味,以水四升,先煮栀子、生姜,取二升半,内豉,煮取一升半,去滓,分二服。温进一服,
得吐者,止后服。
77.发汗,若下之,而烦热胸中窒者,栀子豉汤主之。方三十九。(用上初方。)
78.伤寒五六日,大下之后,身热不去,心中结痛者,未欲解也,栀子豉汤主之。方四十。(用上初方。)
79.伤寒下后,心烦、腹满、卧起不安者,栀子浓朴汤主之。方四十一。
栀子(擘,十四个) 浓朴(炙,去皮,四两) 枳实(水浸,炙令黄,四枚)
31. 太阳病(太阳经受邪所致的病证),出现项背强几几(颈项背部僵硬不舒,俯仰不利)、无汗、恶风(怕风)的症状,用葛根汤主治。这是第一个方剂。
葛根(四两) 麻黄(去节,三两) 桂枝(去皮,二两) 生姜(切片,三两) 甘草(炙烤,二两) 芍药(二两) 大枣(掰开,十二枚)
以上七味药,用水一斗,先煮麻黄、葛根,煮去二升水,撇去上面的白沫,加入其余药物,煮取三升药液,去掉药渣,温服一升,覆盖衣被以取得微似汗出的效果。其余的调护方法和禁忌事项同桂枝汤法,其他汤剂都仿照此法。
32. 太阳病与阳明病合病(两经同时发病),必然出现自发性腹泻,用葛根汤主治。这是第二个方剂。(使用前面的第一方,另一种说法是使用后面的第四方。)
33. 太阳病与阳明病合病,没有腹泻,只有呕吐的,用葛根加半夏汤主治。这是第三个方剂。
葛根(四两) 麻黄(去节,三两) 甘草(炙烤,二两) 芍药(二两) 桂枝(去皮,二两) 生姜(切片,二两) 半夏(洗净,半升) 大枣(掰开,十二枚)
以上八味药,用水一斗,先煮葛根、麻黄,煮去二升水。撇去白沫,加入其余药物,煮取三升药液,去掉药渣,温服一升。覆盖衣被以取得微似汗出的效果。
34. 太阳病,表现为桂枝汤证,医生反而使用了下法(泻下法),导致腹泻不止,脉象促(脉来急促,时有止歇)的,说明表证未解;如果气喘且出汗的,用葛根黄芩黄连汤主治。这是第四个方剂。(“促”字,有的版本作“纵”。)
葛根(半斤) 甘草(炙烤,二两) 黄芩(三两) 黄连(三两)
以上四味药,用水八升,先煮葛根,煮去二升水,加入其余药物,煮取二升药液,去掉药渣,分两次温服。
35. 太阳病,出现头痛、发热、身体疼痛、腰痛、骨节疼痛、恶风、无汗且气喘的症状,用麻黄汤主治。这是第五个方剂。
麻黄(去节,三两) 桂枝(去皮,二两) 甘草(炙烤,一两) 杏仁(去皮尖,七十个)
以上四味药,用水九升,先煮麻黄,煮去二升水,撇去上面的泡沫,加入其余药物,煮取二升半药液,去掉药渣,温服八合,覆盖衣被以取得微似汗出的效果,不需要喝粥,其余调护方法同桂枝汤法。
36. 太阳病与阳明病合病,出现气喘且胸满的症状,不可使用下法,适宜用麻黄汤。这是第六个方剂。(使用前面的第五方。)
37. 太阳病,过了十天以上,脉象浮细且嗜卧(喜欢躺卧)的,说明外感表证已解。如果出现胸满胁痛的症状,给予小柴胡汤;如果脉象仅浮的,给予麻黄汤。这是第七个方剂。(使用前面的第五方。)
小柴胡汤方:
柴胡(半斤) 黄芩 人参 甘草(炙烤) 生姜(切片,各三两) 大枣(掰开,十二枚) 半夏(洗净,半升)
以上七味药,用水一斗二升,煮取六升药液,去掉药渣,再煎煮浓缩至三升,温服一升,每日服三次。
38. 太阳中风(太阳经感受风邪),脉象浮紧、发热、恶寒(怕冷)、身体疼痛、不出汗且烦躁的,用大青龙汤主治;如果脉象微弱,出汗且恶风的,不可服用此方。服用后会导致四肢厥逆、筋肉跳动,这是误治造成的逆证。大青龙汤方。这是第八个方剂。
麻黄(去节,六两) 桂枝(去皮,二两) 甘草(炙烤,二两) 杏仁(去皮尖,四十枚) 生姜(切片,三两) 大枣(掰开,十枚) 石膏(如鸡蛋大小,捣碎)
以上七味药,用水九升,先煮麻黄,煮去二升水,撇去上面的泡沫,加入其余药物,煮取三升药液,去掉药渣,温服一升,以取得微似汗出的效果。如果出汗过多,用温粉扑身止汗。服一次药出汗的,停止后续服药;如果继续服药,出汗过多会导致亡阳(阳气耗竭),进而出现虚弱、恶风、烦躁、失眠等症状。
39. 伤寒病,脉象浮缓,身体不疼痛,只是感觉沉重,偶尔有减轻的时候,没有少阴病证候的,用大青龙汤发汗治疗。这是第九个方剂。(使用前面的第八方。)
40. 伤寒病,表证未解,心下(胃脘部)有水气,出现干呕、发热且咳嗽,或者口渴,或者腹泻,或者噎塞感,或者小便不利、少腹(小腹)胀满,或者气喘的,用小青龙汤主治。这是第十个方剂。
麻黄(去节) 芍药 细辛 干姜 甘草(炙烤) 桂枝(去皮,各三两) 五味子(半升) 半夏(洗净,半升)
以上八味药,用水一斗,先煮麻黄煮去二升水,撇去上面的泡沫,加入其余药物。煮取三升药液,去掉药渣,温服一升。如果口渴,去掉半夏,加栝蒌根三两;如果轻微腹泻,去掉麻黄,加荛花,如一个鸡蛋大小,炒至红色;如果有噎塞感,去掉麻黄,加附子一枚,炮制过;如果小便不利、少腹胀满,去掉麻黄,加茯苓四两;如果气喘,去掉麻黄,加杏仁半升,去皮尖。况且荛花并不治疗腹泻。麻黄主治气喘,这里却说去掉麻黄,怀疑不是张仲景的原意。(臣亿等谨按:小青龙汤,主要治疗水饮病。又查《本草》,荛花能泻下十二种水饮。如果水饮去除,腹泻自然停止。又查《千金方》,形体浮肿的,应加入麻黄。这里加入杏仁,是因为麻黄发散阳气的缘故。以此证明,这难道不是张仲景的原意吗?)
41. 伤寒病,心下有水气,咳嗽伴有轻微气喘、发热但不口渴。服用汤药后,出现口渴的,这是寒邪离去、病情欲解的表现,用小青龙汤主治。这是第十一个方剂。(使用前面的第十方。)
42. 太阳病,外感表证未解,脉象浮弱的,应当通过发汗来解除,适宜用桂枝汤。这是第十二个方剂。
桂枝(去皮) 芍药 生姜(切片,各三两) 甘草(炙烤,二两) 大枣(掰开,十二枚)
以上五味药,用水七升,煮取三升药液,去掉药渣,温服一升。片刻后喝热稀粥一升,以助药力,取得微汗。
43. 太阳病,使用下法后出现轻微气喘的,是因为表证未解的缘故,用桂枝加浓朴杏子汤主治。这是第十三个方剂。
桂枝(去皮,三两) 甘草(炙烤,二两) 生姜(切片,三两) 芍药(三两) 大枣(掰开,十二枚) 浓朴(炙烤,去皮,二两) 杏仁(五十枚,去皮尖)
以上七味药,用水七升,小火煮取三升药液,去掉药渣,温服一升,覆盖衣被以取得微似汗出的效果。
44. 太阳病,外感表证未解,不可使用下法,使用下法是逆治;想要解除表证的,适宜用桂枝汤。这是第十四个方剂。(使用前面的第十二方。)
45. 太阳病,先发汗治疗未愈,又使用下法,脉象浮的病仍未愈。脉浮表示病在表,反而使用下法,所以导致不愈。现在脉象浮,说明病仍在表,必须解除表证才能痊愈,适宜用桂枝汤。这是第十五个方剂。(使用前面的第十二方。)
46. 太阳病,脉象浮紧、无汗、发热、身体疼痛,八九日未愈,表证仍然存在,此时应当发汗。服药后症状稍微缓解,病人出现心烦、闭目畏光,严重的必然流鼻血,流鼻血后病即解除。之所以这样,是因为阳气郁积过重。用麻黄汤主治。这是第十六个方剂。(使用前面的第五方。)
47. 太阳病,脉象浮紧,发热,身体无汗,自行流鼻血的,病可自愈。
48. 二阳并病(太阳与阳明两经病变合并),太阳病初起时,发汗治疗,汗出得不透彻,因而转属阳明病,随后出现持续微汗出,不再恶寒。如果太阳病的证候未罢,不可使用下法,使用下法是逆治;像这种情况可以轻微发汗。如果面色持续通红,是阳气怫郁在表,应当用解表法或熏蒸法治疗;如果发汗不彻底,不足挂齿,阳气怫郁不能宣泄,该出汗却不出汗,病人烦躁不安,不知道疼痛的具体位置,一会儿在腹中,一会儿在四肢,按压也找不到痛点,病人气短只能坐着,这是因为汗出不彻底的缘故,再次发汗即可痊愈。怎么知道汗出不彻底呢?因为脉象涩滞所以知道。
49. 脉象浮数的,按理应当通过出汗而痊愈。如果使用了下法,出现身体沉重、心悸的,不可发汗,应当等待自然出汗才能解除。之所以这样,是因为尺部脉微,这是里虚。必须等到表里正气充实,津液自然调和,便会自然出汗而痊愈。
50. 脉象浮紧的,按理应当身体疼痛,适宜用发汗法解除;假如尺部脉迟的,不可发汗。怎么知道是这样呢?因为营气不足,血液少的缘故。
51. 脉象浮的,病在表,可以发汗,适宜用麻黄汤。这是第十七个方剂。(使用前面的第五方,法则上参考桂枝汤的调护法。)
52. 脉象浮且数的,可以发汗,适宜用麻黄汤。这是第十八个方剂。(使用前面的第五方。)
53. 病人经常自发出汗的,这是营气调和。营气调和,但体表不和,是因为卫气不与营气谐和的缘故。因为营行于脉中,卫行于脉外。再次发汗,使营卫调和则痊愈。适宜用桂枝汤。这是第十九个方剂。(使用前面的第十二方。)
54. 病人脏腑没有其他疾病,时常发热、自发出汗,而不痊愈的,这是卫气不和。在发热出汗之前发汗就能痊愈,适宜用桂枝汤。这是第二十个方剂。(使用前面的第十二方。)
55. 伤寒病,脉象浮紧,没有发汗,因而导致流鼻血的,用麻黄汤主治。这是第二十一个方剂。(使用前面的第五方。)
56. 伤寒病,六七天不大便,头痛且有发热的,给予承气汤;如果小便清长的,知道病不在里,仍在表,应当发汗;如果头痛的必然流鼻血。适宜用桂枝汤。这是第二十二个方剂。(使用前面的第十二方。)
57. 伤寒病,发汗后病已解,半天左右又出现心烦,脉象浮数的,可以再次发汗,适宜用桂枝汤。这是第二十三个方剂。(使用前面的第十二方。)
58. 凡是疾病,如果经过发汗、呕吐、泻下,或者失血、损耗津液。只要阴阳能够自我调和,必然会自动痊愈。
59. 剧烈泻下之后,又发汗,出现小便不利的,是津液耗损的缘故。不要治疗它,等到小便通畅,必然会自动痊愈。
60. 泻下之后,又发汗,必然出现战栗恶寒、脉象微细。之所以这样,是因为内外俱虚的缘故。
61. 泻下之后,又发汗,白天烦躁不能入睡,夜晚安静,不呕吐、不口渴,没有表证,脉象沉微,身体没有高热的,用干姜附子汤主治。这是第二十四个方剂。
干姜(一两) 附子(生用,去皮,切成八片,一枚)
以上两味药,用水三升,煮取一升药液,去掉药渣,一次性服下。
62. 发汗后,身体疼痛,脉象沉迟的,用桂枝加芍药生姜各一两人参三两新加汤主治。这是第二十五个方剂。
桂枝(去皮,三两) 芍药(四两) 甘草(炙烤,二两) 人参(三两) 大枣(掰开,十二枚) 生姜(四两)
以上六味药,用水一斗二升,煮取三升药液,去掉药渣,温服一升。原本说是桂枝汤,现在加了芍药、生姜、人参。
63. 发汗后,不可再使用桂枝汤。如果出汗且气喘,没有高热的,可以给予麻黄杏仁甘草石膏汤。这是第二十六个方剂。
麻黄(去节,四两) 杏仁(去皮尖,五十个) 甘草(炙烤,二两) 石膏(捣碎,棉布包裹,半斤)
以上四味药,用水七升,煮麻黄,煮去二升水,撇去上面的泡沫,加入其余药物,煮取二升药液,去掉药渣,温服一升。原本叫黄耳杯(此处原文可能有误或为别名,通常指麻杏石甘汤)。
64. 发汗过多,病人双手交叉按压在心口,心下悸动想要按压的,用桂枝甘草汤主治。这是第二十七个方剂。
桂枝(去皮,四两) 甘草(炙烤,二两)
以上两味药,用水三升,煮取一升药液,去掉药渣,一次性服下。
65. 发汗后,病人脐下悸动的,是奔豚病(气从少腹上冲心胸的病证)将要发作,用茯苓桂枝甘草大枣汤主治。这是第二十八个方剂。
茯苓(半斤) 桂枝(去皮,四两) 甘草(炙烤,二两) 大枣(掰开,十五枚)
以上四味药,用甘澜水(一种经过扬击处理的水)一斗,先煮茯苓,煮去二升水,加入其余药物,煮取三升药液,去掉药渣,温服一升,每日服三次。
制作甘澜水的方法:取水二斗,放在大盆内,用勺子扬起水,直到水面上有五六千颗水珠相互追逐,取来使用。
66. 发汗后,腹部胀满的,用浓朴生姜半夏甘草人参汤主治。这是第二十九个方剂。
浓朴(炙烤,去皮,半斤) 生姜(切片,半斤) 半夏(洗净,半升) 甘草(二两) 人参(一两)
以上五味药,用水一斗,煮取三升药液,去掉药渣,温服一升,每日服三次。
67. 伤寒病,如果经过呕吐或泻下治疗后,出现心下逆满、气上冲胸、起身则头晕、脉象沉紧,发汗就会扰动经脉,身体震颤摇晃的,用茯苓桂枝白术甘草汤主治。这是第三十个方剂。
茯苓(四两) 桂枝(去皮,三两) 白术 甘草(炙烤,各二两)
以上四味药,用水六升,煮取三升药液,去掉药渣,分三次温服。
68. 发汗后病未解,反而恶寒的,是虚证的缘故,用芍药甘草附子汤主治。这是第三十一个方剂。
芍药 甘草(炙烤,各三两) 附子(炮制,去皮,破成八片,一枚)
以上三味药,用水五升,煮取一升五合药液,去掉药渣,分三次温服。怀疑这不是张仲景的方子。
69. 发汗,或者泻下后,病仍不解,出现烦躁的,用茯苓四逆汤主治。这是第三十二个方剂。
茯苓(四两) 人参(一两) 附子(生用,去皮,破成八片,一枚) 甘草(炙烤,二两) 干姜(一两半)
以上五味药,用水五升,煮取三升药液,去掉药渣,温服七合,每日服二次。
70. 发汗后,恶寒的,是虚证的缘故;不恶寒,只是发热的,是实证的缘故,应当调和胃气,给予调胃承气汤。这是第三十三个方剂。(《玉函经》说:给予小承气汤。)
芒硝(半升) 甘草(炙烤,二两) 大黄(去皮,用清酒洗,四两)
以上三味药,用水三升,煮取一升药液,去掉药渣,加入芒硝,再煮沸两次,一次性服下。
71. 太阳病,发汗后,大汗出、胃中干燥、烦躁不能入睡,想要喝水的,少量给予饮水,让胃气调和则痊愈;如果脉象浮、小便不利、微热、消渴(口渴多饮)的,用五苓散主治。这是第三十四个方剂。(即猪苓散。)
猪苓(去皮,十八铢) 泽泻(一两六铢) 白术(十八铢) 茯苓(十八铢) 桂枝(去皮,半两)
以上五味药,捣碎制成散剂,用米汤调和服下方寸匕(量器名),每日服三次。多喝暖水,出汗则痊愈,按照常规方法调护。
72. 发汗后,脉象浮数、烦渴的,用五苓散主治。这是第三十五个方剂。(使用前面的第三十四方。)
73. 伤寒病,出汗且口渴的,用五苓散主治;不口渴的,用茯苓甘草汤主治。这是第三十六个方剂。
茯苓(二两) 桂枝(去皮,二两) 甘草(炙烤,一两) 生姜(切片,三两)
以上四味药,用水四升,煮取二升药液,去掉药渣,分三次温服。
74. 中风病,发热六七天未解且烦躁,有表证和里证,口渴想喝水,水喝进去就吐出来的,名叫水逆,用五苓散主治。这是第三十七个方剂。(使用前面的第三十四方。)
75. 还没有诊脉时,病人双手交叉按压在心口。医生因此教导试探让他咳嗽,如果不咳嗽的,这必然是两耳耳聋听不见声音。之所以这样,是因为重复发汗,导致虚证的缘故。发汗后,喝水过多必然气喘;用水浇灌身体也会气喘。
76. 发汗后,水和药都不能入口,这是逆证。如果再次发汗,必然呕吐腹泻不止。发汗、呕吐、泻下后,出现虚烦不能入睡;如果严重的,必然反复翻转,心中懊憹(烦闷不适),用栀子豉汤主治;如果气短的,用栀子甘草豉汤主治;如果呕吐的,用栀子生姜豉汤主治。这是第三十八个方剂。
栀子豉汤方:
栀子(掰开,十四个) 香豉(棉布包裹,四合)
以上两味药,用水四升,先煮栀子,煮得二升半,加入香豉,煮取一升半药液,去掉药渣,分为两次服用,温服一次,如果得到呕吐,停止后续服用。
栀子甘草豉汤方:
栀子(掰开,十四个) 甘草(炙烤,二两) 香豉(棉布包裹,四合)
以上三味药,用水四升,先煮栀子、甘草,煮取二升半,加入香豉,煮取一升半药液,去掉药渣,分两次服用。温服一次,如果得到呕吐,停止后续服用。
栀子生姜豉汤方:
栀子(掰开,十四个) 生姜(五两) 香豉(棉布包裹,四合)
以上三味药,用水四升,先煮栀子、生姜,煮取二升半,加入香豉,煮取一升半药液,去掉药渣,分两次服用。温服一次,如果得到呕吐,停止后续服用。
77. 发汗,或者泻下后,出现烦热、胸中窒塞感的,用栀子豉汤主治。这是第三十九个方剂。(使用上面的第一个方子。)
78. 伤寒病五六天,剧烈泻下之后,身热不退,心中结痛的,病情未欲解除,用栀子豉汤主治。这是第四十个方剂。(使用上面的第一个方子。)
79. 伤寒病泻下后,心烦、腹满、坐卧不安的,用栀子浓朴汤主治。这是第四十一个方剂。
栀子(掰开,十四个) 浓朴(炙烤,去皮,四两) 枳实(水浸泡,炙烤至黄色,四枚)
31. For Taiyang Disease (Taiyang Channel Syndrome), presenting with stiffness and discomfort in the nape and back (Xiang Bei Qiang Ji Ji), absence of sweating, and aversion to wind, Ge Gen Tang (Kudzu Root Decoction) is the main treatment. This is Formula 1.
Ge Gen (Puerariae Lobatae Radix, 4 liang), Ma Huang (Ephedrae Herba, remove nodes, 3 liang), Gui Zhi (Cinnamomi Ramulus, remove bark, 2 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 2 liang), Shao Yao (Paeoniae Radix Alba, 2 liang), Da Zao (Jujubae Fructus, broken, 12 pieces).
Decoct the above seven ingredients in one dou of water. First decoct Ma Huang and Ge Gen until two sheng of water are reduced. Skim off the white foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, cover with clothing to induce a slight sweat. The remaining nursing methods and contraindications follow those of Gui Zhi Tang (Cinnamon Twig Decoction); all other decoctions follow this method.
32. In cases of combined Taiyang and Yangming Diseases, spontaneous diarrhea will inevitably occur. Ge Gen Tang (Kudzu Root Decoction) is the main treatment. This is Formula 2. (Use the first formula above; another version says to use the fourth formula below.)
33. In cases of combined Taiyang and Yangming Diseases, if there is no diarrhea but only vomiting, Ge Gen Jia Ban Xia Tang (Kudzu Root Decoction plus Pinellia) is the main treatment. This is Formula 3.
Ge Gen (4 liang), Ma Huang (remove nodes, 3 liang), Gan Cao (prepared, 2 liang), Shao Yao (2 liang), Gui Zhi (remove bark, 2 liang), Sheng Jiang (sliced, 2 liang), Ban Xia (Pinelliae Rhizoma, washed, half sheng), Da Zao (broken, 12 pieces).
Decoct the above eight ingredients in one dou of water. First decoct Ge Gen and Ma Huang until two sheng of water are reduced. Skim off the white foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. Cover with clothing to induce a slight sweat.
34. For Taiyang Disease manifesting as Gui Zhi Tang Syndrome, if the physician mistakenly uses the purgative method, resulting in incessant diarrhea and a Cu pulse (rapid pulse with irregular intervals), the exterior syndrome is not resolved. If there is panting and sweating, Ge Gen Huang Qin Huang Lian Tang (Kudzu Root, Scutellaria, and Coptis Decoction) is the main treatment. This is Formula 4. ("Cu" is written as "Zong" in some versions.)
Ge Gen (half jin), Gan Cao (prepared, 2 liang), Huang Qin (Scutellariae Radix, 3 liang), Huang Lian (Coptidis Rhizoma, 3 liang).
Decoct the above four ingredients in eight sheng of water. First decoct Ge Gen until two sheng of water are reduced, add the other ingredients, and decoct to obtain two sheng of liquid. Remove the dregs. Divide into two warm doses.
35. For Taiyang Disease, presenting with headache, fever, body pain, lower back pain, joint pain, aversion to wind, absence of sweating, and panting, Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 5.
Ma Huang (remove nodes, 3 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 1 liang), Xing Ren (Armeniacae Semen Amarum, remove skin and tips, 70 pieces).
Decoct the above four ingredients in nine sheng of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain two and a half sheng of liquid. Remove the dregs. Take eight he warm, cover with clothing to induce a slight sweat. There is no need to consume porridge; the remaining nursing methods follow those of Gui Zhi Tang.
36. In cases of combined Taiyang and Yangming Diseases, if there is panting and chest fullness, purgation is contraindicated. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 6. (Use the fifth formula above.)
37. For Taiyang Disease, after more than ten days, if the pulse is floating and fine and the patient prefers lying down, the exterior syndrome has resolved. If there is chest fullness and hypochondriac pain, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction); if the pulse is merely floating, administer Ma Huang Tang. This is Formula 7. (Use the fifth formula above.)
Xiao Chai Hu Tang Formula:
Chai Hu (Bupleuri Radix, half jin), Huang Qin, Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (prepared), Sheng Jiang (sliced, each 3 liang), Da Zao (broken, 12 pieces), Ban Xia (washed, half sheng).
Decoct the above seven ingredients in one dou and two sheng of water to obtain six sheng of liquid. Remove the dregs, re-decoct to obtain three sheng. Take one sheng warm, three times a day.
38. For Taiyang Zhong Feng (Taiyang Wind-Strike), if the pulse is floating and tight, with fever, aversion to cold, body pain, absence of sweating, and vexation, Da Qing Long Tang (Major Green Dragon Decoction) is the main treatment. If the pulse is faint and weak, with sweating and aversion to wind, it must not be taken. Taking it will cause reversal coldness of the limbs and twitching of muscles and tendons; this is a counterflow condition. Da Qing Long Tang Formula. This is Formula 8.
Ma Huang (remove nodes, 6 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 2 liang), Xing Ren (remove skin and tips, 40 pieces), Sheng Jiang (sliced, 3 liang), Da Zao (broken, 10 pieces), Shi Gao (Gypsum Fibrosum, size of a chicken egg, crushed).
Decoct the above seven ingredients in nine sheng of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm to induce a slight sweat. If sweating is profuse, apply warm powder to the body. If sweating occurs after the first dose, stop subsequent doses. If taken again, profuse sweating will lead to Yang collapse, resulting in deficiency, aversion to wind, vexation, and insomnia.
39. For Shang Han (Cold Damage), if the pulse is floating and moderate, the body is not painful but feels heavy, with occasional relief, and there are no Shaoyin Syndrome signs, Da Qing Long Tang (Major Green Dragon Decoction) is used to induce sweating. This is Formula 9. (Use the eighth formula above.)
40. For Shang Han, if the exterior syndrome is not resolved and there is fluid retention in the epigastrium, presenting with dry retching, fever, and cough, or thirst, or diarrhea, or choking sensation, or difficult urination and lower abdominal fullness, or panting, Xiao Qing Long Tang (Minor Green Dragon Decoction) is the main treatment. This is Formula 10.
Ma Huang (remove nodes), Shao Yao, Xi Xin (Asari Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (prepared), Gui Zhi (remove bark, each 3 liang), Wu Wei Zi (Schisandrae Chinensis Fructus, half sheng), Ban Xia (washed, half sheng).
Decoct the above eight ingredients in one dou of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients. Decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. If thirsty, remove Ban Xia and add three liang of Gua Lou Gen (Trichosanthis Radix). If there is mild diarrhea, remove Ma Huang and add Rao Hua (Wikstroemiae Indicae Cortex) the size of a chicken egg, stir-fried until red. If there is choking, remove Ma Huang and add one piece of Fu Zi (Aconiti Lateralis Radix Praeparata), processed. If there is difficult urination and lower abdominal fullness, remove Ma Huang and add four liang of Fu Ling (Poria). If there is panting, remove Ma Huang and add half sheng of Xing Ren, removing skin and tips. Note: Rao Hua does not treat diarrhea. Ma Huang treats panting. The text here suggests the opposite, which is suspected not to be Zhang Zhongjing's original intent. (Ministers Yi et al. respectfully note: Xiao Qing Long Tang primarily treats fluid retention. According to the Materia Medica, Rao Hua drains twelve types of fluid retention. If fluid is removed, diarrhea will stop. According to Qian Jin Fang, for edema, Ma Huang should be added. Here, Xing Ren is added because Ma Huang disperses Yang Qi. This proves that it is indeed Zhang Zhongjing's intent.)
41. For Shang Han, if there is fluid retention in the epigastrium, cough with slight panting, fever, and no thirst, and after taking the decoction, thirst appears, this indicates the cold pathogen is leaving and the disease is about to resolve. Xiao Qing Long Tang (Minor Green Dragon Decoction) is the main treatment. This is Formula 11. (Use the tenth formula above.)
42. For Taiyang Disease, if the exterior syndrome is not resolved and the pulse is floating and weak, sweating should be used to resolve it. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 12.
Gui Zhi (remove bark), Shao Yao, Sheng Jiang (sliced, each 3 liang), Gan Cao (prepared, 2 liang), Da Zao (broken, 12 pieces).
Decoct the above five ingredients in seven sheng of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. After a short while, drink one sheng of hot thin porridge to assist the medicinal power and induce a slight sweat.
43. For Taiyang Disease, if slight panting occurs after purgation, it is because the exterior syndrome is not resolved. Gui Zhi Jia Hou Po Xing Zi Tang (Cinnamon Twig Decoction plus Magnolia Bark and Apricot Kernel) is the main treatment. This is Formula 13.
Gui Zhi (remove bark, 3 liang), Gan Cao (prepared, 2 liang), Sheng Jiang (sliced, 3 liang), Shao Yao (3 liang), Da Zao (broken, 12 pieces), Hou Po (Magnoliae Officinalis Cortex, prepared, remove bark, 2 liang), Xing Ren (50 pieces, remove skin and tips).
Decoct the above seven ingredients in seven sheng of water over a gentle fire to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, cover with clothing to induce a slight sweat.
44. For Taiyang Disease, if the exterior syndrome is not resolved, purgation is contraindicated; purgation is a counterflow treatment. To resolve the exterior, Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 14. (Use the twelfth formula above.)
45. For Taiyang Disease, if initial sweating fails to resolve the condition and purgation is subsequently applied, a floating pulse indicates the disease is not cured. A floating pulse indicates the disease is in the exterior; applying purgation incorrectly prevents cure. Now, since the pulse is floating, the disease is still in the exterior. The exterior must be resolved for cure. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 15. (Use the twelfth formula above.)
46. For Taiyang Disease, with a floating and tight pulse, absence of sweating, fever, and body pain, if the condition persists for eight or nine days with exterior symptoms remaining, sweating should be induced. After taking the medicine, if symptoms slightly relieve but the patient becomes vexed and closes their eyes due to photophobia, severe cases will inevitably have epistaxis (nosebleed), and the disease will resolve after bleeding. This is because the Yang Qi is excessively accumulated. Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 16. (Use the fifth formula above.)
47. For Taiyang Disease, with a floating and tight pulse, fever, and absence of sweating, spontaneous epistaxis leads to recovery.
48. In Bing Bing (Combined Disease) of two Yang channels, when Taiyang Disease first occurs, sweating is induced. If sweating is incomplete, the disease transfers to Yangming, followed by continuous slight sweating and no aversion to cold. If Taiyang symptoms persist, purgation is contraindicated; purgation is a counterflow treatment. In such cases, mild sweating is permissible. If the face is consistently red, Yang Qi is depressed in the exterior; it should be resolved by sweating or fumigation. If sweating is incomplete, Yang Qi is depressed and cannot vent. If sweating should occur but does not, the patient becomes restless and vexed, unable to locate the pain, which shifts between the abdomen and limbs, and cannot be found upon pressure. The patient has shortness of breath and can only sit. This is due to incomplete sweating. Sweating again will lead to cure. How do we know sweating was incomplete? Because the pulse is choppy.
49. If the pulse is floating and rapid, the law states that sweating should lead to recovery. If purgation is used, resulting in body heaviness and palpitations, sweating is contraindicated. Recovery will occur only through spontaneous sweating. This is because the Chi pulse is faint, indicating interior deficiency. One must wait for the exterior and interior to become solid and body fluids to harmonize naturally, leading to spontaneous sweating and recovery.
50. If the pulse is floating and tight, body pain is expected, and sweating is appropriate for resolution. However, if the Chi pulse is slow, sweating is contraindicated. Why? Because Ying Qi (Nutritive Qi) is insufficient and blood is deficient.
51. If the pulse is floating, the disease is in the exterior. Sweating is permissible. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 17. (Use the fifth formula above; nursing follows Gui Zhi Tang method.)
52. If the pulse is floating and rapid, sweating is permissible. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 18. (Use the fifth formula above.)
53. If a patient constantly has spontaneous sweating, this indicates harmonized Ying Qi. If Ying Qi is harmonized but the exterior is not, it is because Wei Qi (Defensive Qi) is not harmonized with Ying Qi. Ying circulates within the vessels, while Wei circulates outside the vessels. Inducing sweating again will harmonize Ying and Wei, leading to recovery. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 19. (Use the twelfth formula above.)
54. If the patient has no other organ diseases but experiences intermittent fever and spontaneous sweating that does not heal, this is disharmony of Wei Qi. Sweating before the onset of fever/sweating will lead to recovery. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 20. (Use the twelfth formula above.)
55. For Shang Han, with a floating and tight pulse, if sweating is not induced and epistaxis occurs, Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 21. (Use the fifth formula above.)
56. For Shang Han, if there is no bowel movement for six or seven days, with headache and fever, administer Cheng Qi Tang (Order the Qi Decoction). If the urine is clear, it indicates the disease is not in the interior but still in the exterior; sweating is required. If there is headache, epistaxis is inevitable. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 22. (Use the twelfth formula above.)
57. For Shang Han, if the disease resolves after sweating but vexation returns after about half a day, with a floating and rapid pulse, sweating can be induced again. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 23. (Use the twelfth formula above.)
58. For any disease, whether treated by sweating, vomiting, purgation, or resulting in blood loss and fluid depletion, if Yin and Yang harmonize themselves, spontaneous recovery will occur.
59. After severe purgation and subsequent sweating, if urination is difficult, it is due to fluid depletion. Do not treat it; when urination becomes smooth, spontaneous recovery will occur.
60. After purgation and subsequent sweating, shivering with aversion to cold and a faint, fine pulse will inevitably occur. This is because both interior and exterior are deficient.
61. After purgation and subsequent sweating, if there is daytime vexation and insomnia, nighttime quietness, no vomiting, no thirst, no exterior syndrome, a deep and faint pulse, and no high fever, Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) is the main treatment. This is Formula 24.
Gan Jiang (Zingiberis Rhizoma, 1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, raw, remove skin, cut into 8 slices, 1 piece).
Decoct the above two ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs. Take in one dose.
62. After sweating, if there is body pain and a deep, slow pulse, Gui Zhi Jia Shao Yao Sheng Jiang Ge Yi Liang Ren Shen San Liang Xin Jia Tang (Cinnamon Twig Decoction plus Peony, Ginger, and Ginseng New Addition) is the main treatment. This is Formula 25.
Gui Zhi (remove bark, 3 liang), Shao Yao (4 liang), Gan Cao (prepared, 2 liang), Ren Shen (3 liang), Da Zao (broken, 12 pieces), Sheng Jiang (4 liang).
Decoct the above six ingredients in one dou and two sheng of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. Originally stated as Gui Zhi Tang, now with added Shao Yao, Sheng Jiang, and Ren Shen.
63. After sweating, Gui Zhi Tang should not be administered again. If there is sweating and panting without high fever, Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) can be given. This is Formula 26.
Ma Huang (remove nodes, 4 liang), Xing Ren (remove skin and tips, 50 pieces), Gan Cao (prepared, 2 liang), Shi Gao (crushed, wrapped in cotton, half jin).
Decoct the above four ingredients in seven sheng of water. Decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain two sheng of liquid. Remove the dregs. Take one sheng warm. Originally called Huang Er Bei.
64. If excessive sweating causes the patient to cross their hands over the heart, with palpitations in the epigastrium desiring pressure, Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction) is the main treatment. This is Formula 27.
Gui Zhi (remove bark, 4 liang), Gan Cao (prepared, 2 liang).
Decoct the above two ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs. Take in one dose.
65. After sweating, if there is palpitation below the umbilicus, indicating impending Ben Tun (Running Piglet Qi), Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the main treatment. This is Formula 28.
Fu Ling (Poria, half jin), Gui Zhi (remove bark, 4 liang), Gan Cao (prepared, 2 liang), Da Zao (broken, 15 pieces).
Decoct the above four ingredients in one dou of Gan Lan Shui (agitated water). First decoct Fu Ling until two sheng of water are reduced, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, three times a day.
Method for making Gan Lan Shui: Take two dou of water, place in a large basin, and agitate with a ladle until five or six thousand beads of water chase each other on the surface. Use this water.
66. After sweating, if there is abdominal distension and fullness, Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang (Magnolia Bark, Ginger, Pinellia, Licorice, and Ginseng Decoction) is the main treatment. This is Formula 29.
Hou Po (prepared, remove bark, half jin), Sheng Jiang (sliced, half jin), Ban Xia (washed, half sheng), Gan Cao (2 liang), Ren Shen (1 liang).
Decoct the above five ingredients in one dou of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, three times a day.
67. For Shang Han, if vomiting or purgation results in epigastric fullness with rebellious Qi, Qi rushing up to the chest, dizziness upon rising, and a deep, tight pulse, sweating will disturb the meridians, causing trembling and shaking of the body. Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is the main treatment. This is Formula 30.
Fu Ling (4 liang), Gui Zhi (remove bark, 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (prepared, each 2 liang).
Decoct the above four ingredients in six sheng of water to obtain three sheng of liquid. Remove the dregs. Divide into three warm doses.
68. If the disease is not resolved after sweating and aversion to cold worsens, it is due to deficiency. Shao Yao Gan Cao Fu Zi Tang (Peony, Licorice, and Aconite Decoction) is the main treatment. This is Formula 31.
Shao Yao, Gan Cao (prepared, each 3 liang), Fu Zi (processed, remove skin, break into 8 pieces, 1 piece).
Decoct the above three ingredients in five sheng of water to obtain one sheng and five he of liquid. Remove the dregs. Divide into three warm doses. Suspected not to be Zhang Zhongjing's formula.
69. If the disease is not resolved after sweating or purgation, and vexation occurs, Fu Ling Si Ni Tang (Poria Four Counterflow Decoction) is the main treatment. This is Formula 32.
Fu Ling (4 liang), Ren Shen (1 liang), Fu Zi (raw, remove skin, break into 8 pieces, 1 piece), Gan Cao (prepared, 2 liang), Gan Jiang (1.5 liang).
Decoct the above five ingredients in five sheng of water to obtain three sheng of liquid. Remove the dregs. Take seven he warm, twice a day.
70. If aversion to cold occurs after sweating, it is due to deficiency. If there is no aversion to cold but only heat, it is an excess condition. Stomach Qi should be harmonized. Tiao Wei Cheng Qi Tang (Stomach-Regulating Order the Qi Decoction) is given. This is Formula 33. (Yu Han Jing states: Give Xiao Cheng Qi Tang.)
Mang Xiao (Natrii Sulfas, half sheng), Gan Cao (prepared, 2 liang), Da Huang (Rhei Radix et Rhizoma, remove skin, washed with clear wine, 4 liang).
Decoct the above three ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs, add Mang Xiao, and boil twice more. Take in one dose.
71. For Taiyang Disease, after sweating, if there is profuse sweating, dryness in the stomach, vexation, insomnia, and desire to drink water, give small amounts of water to harmonize Stomach Qi for recovery. If the pulse is floating, urination is difficult, there is slight fever, and Xiao Ke (wasting and thirsting), Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 34. (Also known as Zhu Ling San.)
Zhu Ling (Polyporus, remove skin, 18 zhu), Ze Xie (Alismatis Rhizoma, 1 liang 6 zhu), Bai Zhu (18 zhu), Fu Ling (18 zhu), Gui Zhi (remove bark, half liang).
Grind the above five ingredients into powder. Mix with rice water and take one Fang Cun Bi (square inch spoonful), three times a day. Drink plenty of warm water; sweating will lead to recovery. Follow standard nursing care.
72. After sweating, if the pulse is floating and rapid, with vexation and thirst, Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 35. (Use the thirty-fourth formula above.)
73. For Shang Han, if there is sweating and thirst, Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. If there is no thirst, Fu Ling Gan Cao Tang (Poria and Licorice Decoction) is the main treatment. This is Formula 36.
Fu Ling (2 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 1 liang), Sheng Jiang (sliced, 3 liang).
Decoct the above four ingredients in four sheng of water to obtain two sheng of liquid. Remove the dregs. Divide into three warm doses.
74. For Zhong Feng (Wind-Strike), if fever persists for six or seven days with vexation, presenting both exterior and interior syndromes, thirst with desire to drink, and vomiting upon drinking water, it is called Shui Ni (Water Reversal). Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 37. (Use the thirty-fourth formula above.)
75. Before taking the pulse, if the patient crosses their hands over the heart, the teacher instructs them to cough. If they do not cough, they must be deaf in both ears. This is due to repeated sweating causing deficiency. After sweating, excessive water intake will cause panting; pouring water on the body will also cause panting.
76. If water and medicine cannot be retained after sweating, it is a counterflow condition. If sweating is induced again, incessant vomiting and diarrhea will occur. After sweating, vomiting, and purgation, if there is deficient vexation and insomnia, or in severe cases, tossing and turning with Ao Nao (vexation and distress) in the heart, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. If there is shortness of breath, Zhi Zi Gan Cao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction) is the main treatment. If there is vomiting, Zhi Zi Sheng Jiang Chi Tang (Gardenia, Ginger, and Fermented Soybean Decoction) is the main treatment. This is Formula 38.
Zhi Zi Chi Tang Formula:
Zhi Zi (Gardeniae Fructus, broken, 14 pieces), Xiang Chi (Sojae Semen Praeparatum, wrapped in cotton, 4 ge).
Decoct the above two ingredients in four sheng of water. First decoct Zhi Zi to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
Zhi Zi Gan Cao Chi Tang Formula:
Zhi Zi (broken, 14 pieces), Gan Cao (prepared, 2 liang), Xiang Chi (wrapped in cotton, 4 ge).
Decoct the above three ingredients in four sheng of water. First decoct Zhi Zi and Gan Cao to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
Zhi Zi Sheng Jiang Chi Tang Formula:
Zhi Zi (broken, 14 pieces), Sheng Jiang (5 liang), Xiang Chi (wrapped in cotton, 4 ge).
Decoct the above three ingredients in four sheng of water. First decoct Zhi Zi and Sheng Jiang to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
77. If vexation, heat, and a stifling sensation in the chest occur after sweating or purgation, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. This is Formula 39. (Use the first formula above.)
78. For Shang Han of five or six days, after severe purgation, if body heat persists and there is knotted pain in the heart, the disease is not yet resolved. Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. This is Formula 40. (Use the first formula above.)
79. After purgation for Shang Han, if there is heart vexation, abdominal fullness, and restlessness (unable to lie down or sit still), Zhi Zi Hou Po Tang (Gardenia and Magnolia Bark Decoction) is the main treatment. This is Formula 41.
Zhi Zi (broken, 14 pieces), Hou Po (prepared, remove bark, 4 liang), Zhi Shi (Aurantii Fructus Immaturus, soaked in water, prepared until yellow, 4 pieces).