治外感内伤,发热头痛,呕逆咳嗽,痰塞中焦,眩晕泄泻。
人参 紫苏 干葛 前胡 半夏(姜汁炒) 茯苓 陈皮 甘草 枳壳(麸炒)
桔梗 木香 加姜枣煎。外感多者去枣加葱白;肺中有火去人参加杏仁、桑白皮;泄
泻加白术、扁豆;咳嗽甚者去木香、人参。
此手足太阴药也。风寒宜解表,故用苏葛前胡;劳伤宜补中,故用参苓;甘草、橘
半除痰止咳;枳桔利膈宽肠;木香行气破滞,使内外俱和,则邪散矣。
九味羌活汤
见伤寒门。
治伤风鼻塞咳嗽,胸胁吊痛。发热口渴。
紫苏 杏仁 陈皮 半夏 前胡 薄荷 葛根 桔梗 甘草(炙) 桑白皮 姜
枣葱白同煎。
人参败毒散
见伤寒门。
桂枝汤
见伤寒门。
风热者,咳嗽喉疼面热,即热伤风也。凡素有痰火郁热在内,热极生风,或为风寒
所束,不得发越,此热为本,寒为标,治宜清热散风。《经》云∶火郁则发之。又有风
寒外束者,可发。若素患阴亏不足,又值过于温暖,以致咽疼,音哑咳嗽者,宜于辛凉
之中,佐以滋阴润肺,辛凉邪得外解,甘苦正得内和、不得骤用苦寒,以致郁热在内,
正不得伸,邪不得解,更伤肺金清气矣。
二陈汤
见前伤风门。加桔梗、天花粉、玄参、薄荷、酒芩、前胡。如嗽不转,加栝蒌仁∶
如夜嗽多加知母;如喉疼减半夏;如痰盛加贝母、枳壳;如肺经热气壅,轻则加桑白
皮、地骨皮,重则加石膏。
治疗外感病与内伤病,症见发热、头痛、呕吐逆气、咳嗽,痰浊阻滞中焦,眩晕及泄泻。
人参 紫苏 干葛(即葛根) 前胡 半夏(用姜汁炒制) 茯苓 陈皮 甘草 枳壳(用麦麸炒制)
桔梗 木香 加入生姜、大枣煎服。若外感症状较重者,去掉大枣,加入葱白;若肺中有火,去掉人参,加入杏仁、桑白皮;若泄泻,加入白术、扁豆;若咳嗽严重,去掉木香、人参。
此方是调理手太阴肺经和足太阴脾经的药物组合。风寒之邪适宜解表发散,故使用紫苏、葛根、前胡;劳倦损伤适宜补益中气,故使用人参、茯苓;甘草、橘红、半夏用于祛除痰浊、止咳;枳壳、桔梗用于利膈宽肠;木香用于行气破滞,使体内外部调和,则邪气自然消散。
九味羌活汤
详见《伤寒论》相关章节。
治疗伤风引起的鼻塞、咳嗽,胸胁部牵拉疼痛。发热、口渴。
紫苏 杏仁 陈皮 半夏 前胡 薄荷 葛根 桔梗 甘草(炙烤) 桑白皮 生姜、大枣、葱白同煎。
人参败毒散
详见《伤寒论》相关章节。
桂枝汤
详见《伤寒论》相关章节。
风热证,表现为咳嗽、喉咙疼痛、面部发热,这就是热伤风。凡是平时体内就有痰火郁热的人,热极生风,或者被风寒束缚,导致热气不能发散,这种情况以热为本,寒为标,治疗应当清热散风。《黄帝内经》说:“火郁结则发散它。”又有因风寒外束的情况,可以发汗解表。如果素来患有阴液亏虚不足,又正值环境过于温暖,导致咽喉疼痛、声音嘶哑、咳嗽的,应当在辛凉药物中,佐以滋阴润肺的药物,辛凉药使邪气从外解除,甘苦药使正气在内调和,不可骤然使用苦寒药物,以免导致郁热留在体内,正气不得舒展,邪气不得解散,反而更伤肺金的清气。
二陈汤
详见前文伤风门。加入桔梗、天花粉、玄参、薄荷、酒黄连、前胡。如果咳嗽不止,加入栝蒌仁;如果夜间咳嗽加重,加入知母;如果喉咙疼痛,减半夏用量;如果痰多,加入贝母、枳壳;如果肺经热气壅盛,轻症加入桑白皮、地骨皮,重症加入石膏。
Treats external contraction and internal injury, presenting with fever, headache, vomiting and regurgitation, cough, phlegm obstructing the middle jiao (middle burner), dizziness, and diarrhea.
Ren Shen (Ginseng Radix et Rhizoma) Zi Su Ye (Perilla Leaf) Gan Ge (Puerariae Radix) Qian Hu (Peucedani Radix) Ban Xia (Pinelliae Tuber) [stir-fried with ginger juice] Fu Ling (Poria) Chen Pi (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma) Zhi Ke (Aurantii Fructus Immaturus) [stir-fried with bran] Jie Geng (Platycodonis Radix) Mu Xiang (Aucklandiae Radix). Decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus). If external contraction symptoms are predominant, remove Da Zao and add Cong Bai (Allii Fistulosi Bulbus); if there is fire in the lungs, remove Ren Shen and add Xing Ren (Armeniacae Semen Amarum) and Sang Bai Pi (Mori Cortex); for diarrhea, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Bian Dou (Dolichoris Semen); for severe cough, remove Mu Xiang and Ren Shen.
This formula acts on the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. For wind-cold, it is appropriate to release the exterior, hence Zi Su, Gan Ge, and Qian Hu are used; for labor-induced injury, it is appropriate to tonify the middle, hence Ren Shen and Fu Ling are used; Gan Cao, Chen Pi, and Ban Xia eliminate phlegm and stop cough; Zhi Ke and Jie Geng benefit the diaphragm and widen the intestines; Mu Xiang promotes qi circulation and breaks stagnation, harmonizing both interior and exterior, so that pathogenic factors dissipate.
Jiu Wei Qiang Huo Tang (Nine-Ingredient Notopterygium Decoction)
See the section on Cold Damage (Shang Han).
Treats wind-strike causing nasal congestion and cough, pulling pain in the chest and hypochondrium. Fever and thirst.
Zi Su Ye (Perilla Leaf) Xing Ren (Armeniacae Semen Amarum) Chen Pi (Citri Reticulatae Pericarpium) Ban Xia (Pinelliae Tuber) Qian Hu (Peucedani Radix) Bo He (Menthae Haplocalycis Herba) Ge Gen (Puerariae Radix) Jie Geng (Platycodonis Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted] Sang Bai Pi (Mori Cortex) Decoct with Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), and Cong Bai (Allii Fistulosi Bulbus).
Ren Shen Bai Du San (Ginseng Detoxifying Powder)
See the section on Cold Damage (Shang Han).
Gui Zhi Tang (Cinnamon Twig Decoction)
See the section on Cold Damage (Shang Han).
Wind-heat presents with cough, sore throat, and facial heat; this is also known as heat-induced wind-strike. Generally, those who have latent phlegm-fire and郁热 (depressed heat) inside, where extreme heat generates wind, or whose heat is constrained by wind-cold and cannot vent, have heat as the root and cold as the branch. Treatment should focus on clearing heat and dispersing wind. The Classic states: "For fire depression, use dispersion." In cases of external constraint by wind-cold, sweating can be induced. However, for those with inherent yin deficiency, exacerbated by excessive warmth leading to sore throat, hoarseness, and cough, one should assist辛凉 (acrid-cool) herbs with yin-nourishing and lung-moistening agents. Acrid-cool herbs resolve pathogens from the exterior, while sweet-bitter agents harmonize righteousness within. One must not abruptly use bitter-cold herbs, lest they cause depressed heat to remain inside, preventing righteousness from extending and pathogens from resolving, thereby further damaging the clear qi of the Lung Metal.
Er Chen Tang (Two-Aged Decoction)
See the previous section on Wind-Strike. Add Jie Geng (Platycodonis Radix), Tian Hua Fen (Trichosanthis Radix), Xuan Shen (Scrophulariae Radix), Bo He (Menthae Haplocalycis Herba), Jiu Huang Qin (Scutellariae Radix prepared with wine), and Qian Hu (Peucedani Radix). If cough persists, add Gua Lou Ren (Trichosanthis Semen); if night cough increases, add Zhi Mu (Anemarrhenae Rhizoma); if sore throat occurs, reduce the dosage of Ban Xia (Pinelliae Tuber); if phlegm is abundant, add Bei Mu (Fritillariae Bulbus) and Zhi Ke (Aurantii Fructus Immaturus); if lung meridian heat is congested, for mild cases add Sang Bai Pi (Mori Cortex) and Di Gu Pi (Lycii Cortex), and for severe cases add Shi Gao (Gypsum Fibrosum).