治中寒,昏不知人,身体强直逆冷,口噤不语,及脐腹疼痛,霍乱转筋,一切虚寒。
干姜(一两) 附子(生,去皮、脐,细切,一枚) 每服三钱,水煎食前温服。如
挟湿气虚,加参术。
术附汤
见湿门。
理中汤
见前儿科寒门。
参附汤
见中风门。
治感冒寒邪,头疼身痛,项强拘急,伤寒发热,头疼恶风。
桔梗 苍术(米泔水浸去粗皮) 陈皮 麻黄(去根节) 枳壳(麸炒) 浓朴
干姜 白芷 川芎 甘草(炙) 茯苓 肉桂 芍药 当归 半夏(汤泡七次) 生姜
葱白水煎,热服。胃寒用煨姜。
夫寒湿属阴,燥热属阳,善用药者,以苦寒而泻其阳,以辛温而散其阴,未有病之
不愈,故防风通圣散,为泻热燥之圣药,生料五积散,为散寒湿之圣药。
治阴症脉沉身痛,自利不渴。
附子(三钱) 甘草 干姜(各一钱五分)水煎服。
脾为太阴,而四肢厥冷,出于真火无光无气以布也。此方直达中州,追复阳气,但
寒症必虚,此方温而不补,何若理中?更为神圣。
治少阴下利,脉微者,如服而不应,乃阴盛格拒阳药不能达于少阴,加人尿、猪胆
汁为引,取其与阴相类。服后脉暴出者死,微续者生,如脉不出加人参二两以助之,盖
寒未有不极虚者。
葱白(四茎) 干姜(一两) 附子(一枚,泡)
水煎一钟服,服后更有葱熨脐上法,或艾炙关元、气海,内外协攻,务令一时之
内,阴散阳回,或用酽醋拌炒麸皮,袋盛,热熨脐间亦妙。
治疗中寒证,患者神志昏迷不省人事,身体强直僵硬、四肢逆冷,牙关紧闭不能言语,以及脐腹部疼痛,霍乱转筋,以及一切虚寒性质的病证。
干姜(一两) 附子(生用,去皮和脐部,细切,一枚) 每次服用三钱,加水煎煮,饭前温服。如果兼夹湿气且体质虚弱,加入人参和白术。
术附汤
参见“湿门”章节。
理中汤
参见前文儿科“寒门”章节。
参附汤
参见“中风门”章节。
治疗感受寒邪,头痛身痛,项背部强直拘急,伤寒发热,头痛恶风。
桔梗 苍术(用米泔水浸泡以去除粗皮) 陈皮 麻黄(去掉根和节) 枳壳(麸炒) 厚朴
干姜 白芷 川芎 甘草(炙) 茯苓 肉桂 芍药 当归 半夏(用开水烫七次) 生姜
加葱白和水一起煎煮,热服。如果是胃寒,使用煨姜。
大凡寒湿属于阴邪,燥热属于阳邪,善于用药的人,用苦寒之药来泻除阳热,用辛温之药来散除阴寒,没有病不痊愈的。所以防风通圣散,是泻热燥的圣药;生料五积散,是散寒湿的圣药。
治疗阴症脉象沉伏、身体疼痛,自发性腹泻且不口渴。
附子(三钱) 甘草 干姜(各一钱五分) 加水煎煮服用。
脾脏属于太阴经,四肢厥冷,是因为真火无光无气,无法布达周身。这个方剂能直达中焦脾胃,追回并恢复阳气,但是寒症必然伴随虚损,此方只温补而不大补,哪里比得上理中汤更为神圣呢?
治疗少阴病下利,脉象微弱的,如果服药后没有反应,这是因为阴寒太盛,格拒阳药,使药物不能到达少阴经,加入人尿、猪胆汁作为引经药,取它们与阴寒同类相从的性质。服药后如果脉搏突然暴出的是死证,脉搏逐渐微弱接续的是生证,如果脉搏不出,加入人参二两以辅助它,因为寒证没有不是极度虚损的。
葱白(四茎) 干姜(一两) 附子(一枚,泡过)
加水煎煮成一钟量服用,服药后还有用葱熨烫脐上的方法,或者艾灸关元穴、气海穴,内外协同攻治,务必令在一段时间内,阴寒消散,阳气回复。或者用浓醋拌炒麦麸皮,装在袋子里,热熨脐间也很好。
Treats Zhonghan (Cold Strike), characterized by coma and unconsciousness, rigid body and stiff limbs with cold extremities, locked jaw and inability to speak, as well as pain in the umbilical and abdominal regions, Huoluan (Cholera-like syndrome) with muscle spasms, and all conditions of deficiency-cold.
Ganjiang (Dried Ginger, Rhizoma Zingiberis Preparatum), one tael; Fuzi (Prepared Aconite Root, Radix Aconiti Lateralis Preparata), raw, peeled, navel removed, finely sliced, one piece. Take three qian per dose, decocted in water, taken warm before meals. If accompanied by dampness and deficiency, add Renshen (Ginseng Root, Radix Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome, Rhizoma Atractylodis Macrocephalae).
Shu Fu Tang (Atractylodes and Aconite Decoction)
See "Dampness Section".
Lizhong Tang (Regulate the Middle Decoction)
See previous Pediatric "Cold Section".
Shen Fu Tang (Ginseng and Aconite Decoction)
See "Wind-Stroke Section".
Treats exposure to cold pathogenic factors, manifesting as headache and body pain, stiffness and tension in the neck and back, Shaoyin disease (Minor Yin Disease) with fever, headache and aversion to wind.
Jiegeng (Platycodon Root, Radix Platycodi); Cangzhu (Atractylodes Rhizome, Rhizoma Atractylodis), soaked in rice washing water to remove coarse skin; Chenpi (Aged Tangerine Peel, Pericarpium Citri Reticulatae); Mahuang (Ephedra Herb, Herba Ephedrae), roots and nodes removed; Zhike (Bitter Orange Fruit, Fructus Aurantii); Houpo (Magnolia Bark, Cortex Magnoliae Officinalis); Ganjiang (Dried Ginger, Rhizoma Zingiberis Preparatum); Baizhi (Angelica Dahurica Root, Radix Angelicae Dahuricae); Chuanxiong (Sichuan Lovage Rhizome, Rhizoma Chuanxiong); Gancao (Licorice Root, Radix Glycyrrhizae Uralensis), honey-fried; Fuling (Poria Sclerotium, Poria); Rougui (Cinnamon Bark, Cortex Cinnamomi); Shaoyao (Peony Root, Radix Paeoniae Alba); Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis); Banxia (Pinellia Tuber, Rhizoma Pinelliae), soaked in boiling water seven times; Shengjiang (Fresh Ginger, Rhizoma Zingiberis Recens).
Decoct with Congbai (Scallion White, Bulbus Allii Cepae) and water, take hot. For stomach cold, use Weijiang (Roasted Ginger, Rhizoma Zingiberis Preparatum).
Generally, cold-dampness belongs to Yin, while dry-heat belongs to Yang. Skilled practitioners use bitter-cold herbs to drain Yang heat, and acrid-warm herbs to disperse Yin cold, ensuring no illness remains uncured. Therefore, Fangfeng Tongsheng San (Saposhnikovia Unimpeded Grand Powder) is the supreme medicine for draining heat and drying dampness, and Shengliao Wuji San (Raw Material Five Accumulations Powder) is the supreme medicine for dispersing cold-dampness.
Treats Yin Syndrome with deep pulse and body pain, spontaneous diarrhea without thirst.
Fuzi (Prepared Aconite Root, Radix Aconiti Lateralis Preparata), three qian; Gancao (Licorice Root, Radix Glycyrrhizae Uralensis); Ganjiang (Dried Ginger, Rhizoma Zingiberis Preparatum), each one qian five fen. Decoct in water and take.
The Spleen belongs to Taiyin (Greater Yin). Cold extremities arise because the True Fire lacks light and Qi to circulate. This formula reaches directly to the Central Region (Middle Jiao), recovering and restoring Yang Qi. However, since cold syndromes must involve deficiency, this formula warms but does not significantly tonify. How can it compare to Lizhong Tang (Regulate the Middle Decoction), which is even more sacred?
Treats Shaoyin disease (Minor Yin Disease) with diarrhea and a faint pulse. If there is no response after taking the medicine, it indicates that Yin cold is too abundant and rejecting the Yang-tonifying drugs, preventing them from reaching the Shaoyin channel. Add Renao (Human Urine, Urina Humana) and Zhu Danzhi (Pig Gallbladder Juice, Bile Sus Scrofae Domesticae) as guiding agents, utilizing their similarity to Yin to facilitate entry. If the pulse suddenly becomes prominent after ingestion, death ensues; if the pulse gradually returns weakly, life is preserved. If the pulse does not emerge, add Renshen (Ginseng Root, Radix Ginseng), two liang, to assist, as cold syndromes are invariably associated with extreme deficiency.
Congbai (Scallion White, Bulbus Allii Cepae), four stalks; Ganjiang (Dried Ginger, Rhizoma Zingiberis Preparatum), one tael; Fuzi (Prepared Aconite Root, Radix Aconiti Lateralis Preparata), one piece, soaked.
Decoct in water until one zhong volume remains, then take. After ingestion, apply Congwen (Scallion Moxibustion) to the umbilicus, or perform moxibustion on Guanyuan (CV4) and Qihai (CV6). Internal and external treatments should cooperate to ensure the dispersion of Yin and return of Yang within a short time. Alternatively, stir-fry bran with strong vinegar, place in a bag, and apply hot compress to the umbilicus, which is also excellent.