治男妇四肢发热筋骨间热表热如火燎于肌肤扪之烙手此病多因血虚而
得或脾胃过食冷物郁遏阳气于脾土之中并治此火郁发之之义也
升麻(五分) 葛根 羌活 独活(各七分) 白芍药(一钱) 人参(去芦) 黄 (生用各
八分) 甘草(四分半生半炙) 柴胡(七分) 防风(五分)
上用姜枣水煎温服 忌生冷寒物此虚火(宜补宜散)
治实火燥乱烦渴蓄热内甚
黄连 黄芩 黄柏 栀子(各等分)
上用水煎服加大黄名栀子金花丸(亦治实热火炮实火宜泻)
治阴虚火动起于九泉此补阴(之妙剂也)
当归(一钱) 川芎(五分) 白芍药(薄荷汁炒) 黄芩(十分) 生地黄(姜汁炒) 黄柏(
蜜
水炒) 知母(同上各八分) 柴胡(七分) 熟地黄(各八分) 麦门冬(八分)
上用姜一片枣
一枚水煎服别以附子为末唾(津□)贴涌泉穴气虚加人参黄 (各八分)咳嗽加阿胶杏仁(
各七分)五味子(三分)咯唾衄血加牡丹皮(八分)藕节自然汁(三匙)犀角末(五分)此与前
补阴散大同小异详轻重参用玄明粉秋石皆降火甚速宜频用之童便亦好(方并见前)
痰症属湿乃津液所化因风寒湿热之感或七情饮食所伤以致气逆液浊变为痰饮故曰痰因火
动降火为先(火因)气逆顺气为要以加味二陈汤主之
橘红(去白一钱) 半夏(制) 贝母(各一钱半) 白茯苓(去皮一钱) 甘草(三分) 枳实
(炒钱)
童便炒一钱) 槟榔(六分)
上用姜三片水二钟煎一钟食(远服)
治疗男女四肢发热,筋骨间发热,体表热如火烧灼肌肤,触摸时烫手。此病多因血虚而得,或因脾胃过食生冷之物,导致阳气被郁遏于脾土之中。对此应遵循“火郁发之”的治疗原则。
升麻(五分) 葛根 羌活 独活(各七分) 白芍药(一钱) 人参(去芦头) 黄芪(生用,各八分) 甘草(四分半,生用与炙用各半) 柴胡(七分) 防风(五分)
以上药物用生姜、大枣煎水,温服。忌食生冷寒凉之物。此为虚火(宜用补益和发散的方法)。
治疗实火引起的烦躁扰乱、口渴、体内蓄热严重。
以上药物用水煎服。若加入大黄,名为栀子金花丸(也治疗实热火毒,实火宜用泻法)。
当归(一钱) 川芎(五分) 白芍药(用薄荷汁炒) 黄芩(十分) 生地黄(用姜汁炒) 黄柏(用蜜水炒) 知母(同上,各八分) 柴胡(七分) 熟地黄(各八分) 麦门冬(八分)
以上药物用一片生姜、一枚大枣煎水服用。另将附子研成粉末,用唾液调和后贴敷于涌泉穴。气虚者加人参、黄芪(各八分);咳嗽者加阿胶、杏仁(各七分)、五味子(三分);咯血、吐血、鼻衄者加牡丹皮(八分)、藕节自然汁(三匙)、犀角末(五分)。此方与前文提到的补阴散大同小异,需根据病情轻重参合使用。玄明粉、秋石皆能迅速降火,宜频繁使用。童便(人尿)也好(方剂并见前文)。
痰症属于湿邪,是由津液转化而来。因感受风寒湿热之邪,或受七情、饮食所伤,导致气机逆乱、津液浑浊,变为痰饮。所以说“痰因火动”,以降火为先(火因);气逆则顺气为要,以加味二陈汤为主治方。
橘红(去白,一钱) 半夏(制) 贝母(各一钱半) 白茯苓(去皮,一钱) 甘草(三分) 枳实(炒,一钱) 槟榔(童便炒,一钱)
以上药物用生姜三片、水两钟,煎至一钟,饭后服用。
To treat fever in the four limbs of men and women, heat between the bones and sinews, surface heat burning the skin like fire, and hands feeling hot to the touch. This condition is often caused by blood deficiency, or by excessive consumption of cold foods by the Spleen and Stomach, which stifles Yang Qi within the Earth element (Spleen). The treatment principle for this type of stifled Fire is "to disperse stifled Fire" (Huo Yu Fa Zhi).
Shengma (Cimicifugae Rhizoma) (5 fen), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) (each 7 fen), Baishao Yao (Paeoniae Radix Alba) (1 qian), Renshen (Ginseng Radix) (deprived of the rhizome), Huangqi (Astragali Membranacei Radix) (raw, each 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (4.5 fen, half raw, half honey-fried), Chaihu (Bupleuri Radix) (7 fen), Fangfeng (Saposhnikoviae Radix) (5 fen).
Decoct these with fresh ginger and jujube, take warm. Avoid cold and raw foods. This addresses Deficient Fire (treat with tonification and dispersion).
To treat Excess Fire causing restlessness, agitation, thirst, and severe internal accumulation of heat.
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Chinensis Cortex), Zhizi (Gardeniae Fructus) (equal parts).
Decoct these with water. If Dahuang (Rhei Radix et Rhizoma) is added, it is named Zhizi Jinhua Wan (Gardenia Golden Flower Pill); it also treats Excess Fire and toxic heat. Excess Fire should be purged.
To treat Yin Deficiency with moving Fire, originating from deep within (this is an excellent formula for nourishing Yin).
Danggui (Angelicae Sinensis Radix) (1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (5 fen), Baishao Yao (Paeoniae Radix Alba) (stir-fried with mint juice), Huangqin (Scutellariae Radix) (10 fen), Shengdihuang (Rehmanniae Radix) (stir-fried with ginger juice), Huangbai (Phellodendri Chinensis Cortex) (stir-fried with honey water), Zhimu (Anemarrhenae Rhizoma) (as above, each 8 fen), Chaihu (Bupleuri Radix) (7 fen), Shudihuang (Rehmanniae Radix Preparata) (each 8 fen), Maimendong (Ophiopogonis Radix) (8 fen).
Decoct these with one slice of fresh ginger and one jujube. Separately, powder Fuzi (Aconiti Lateralis Radix Preparata), mix with saliva, and apply to Yongquan (KI-1). For Qi deficiency, add Renshen (Ginseng Radix) and Huangqi (Astragali Membranacei Radix) (each 8 fen); for cough, add Ejiao (Asini Corii Colla), Xingren (Armeniacae Semen Amarum) (each 7 fen), and Wuweizi (Schisandrae Chinensis Fructus) (3 fen); for hemoptysis, epistaxis, or vomiting blood, add Mudanpi (Moutan Cortex) (8 fen), Oujie (Nelumbinis Neostemon) natural juice (3 spoons), and Xijiao (Rhinocerotis Cornu) powder (5 fen). This formula is largely similar to the preceding Yin-Nourishing Powder; use them interchangeably based on severity. Xuanningfen (Mirabilite) and Qiushi (Urine Sediment) both reduce Fire rapidly and should be used frequently. Tongbian (Human Urine) is also good (formulas are seen previously).
Phlegm syndromes belong to Dampness and are transformed from body fluids. Due to invasion of Wind-Cold-Damp-Heat pathogens or injury from Seven Emotions and diet, Qi becomes rebellious and fluids turbid, transforming into Phlegm-Fluids. Therefore, it is said that "Phlegm moves due to Fire," so reducing Fire is the priority (due to Fire); when Qi is rebellious, directing Qi downward is essential. The primary treatment is Jiawei Erchen Tang (Modified Two-Aged Decoction).
Juhong (Citri Reticulatae Pericarpium Rubrum) (deprived of white pith, 1 qian), Banxia (Pinelliae Rhizoma) (processed), Beimu (Fritillariae Thunbergii Bulbus) (each 1.5 qian), Bai Fuling (Poria) (deprived of bark, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen), Zhishi (Aurantii Fructus Immaturus) (stir-fried, 1 qian), Binglang (Arecae Semen) (stir-fried with human urine, 1 qian).
Decoct these with three slices of fresh ginger and two zhong of water until one zhong remains. Take after meals.