治太阳病,项背几几(音殊),无汗恶风。(鸟之短羽者,动则引颈,几几然,状
病患项背难舒之貌也)。
葛根(四两) 麻黄 生姜(各三两) 桂枝 芍药(各二两) 甘草(炙,二两) 大枣(十二枚)
水煎服。按∶此出太阳例,阳明药也。
治伤寒发热潮热,脉弦自汗,或渴,或利。
桂枝(二钱) 黄芩 人参 白芍(各四钱五分) 甘草(炙) 半夏 柴胡(四钱) 大枣(二
枚) 生姜(泡一钱) 水煎服。按∶此出太阳例少阳经药也。
治感寒脉沉,或微细,反发热,或但欲寐者。
麻黄 细辛(二两) 附子(泡,去皮,一枚) 先煮麻黄,去沫,纳诸药煎。
按∶此少阴经药也。盖欲寐,脉微细,少阴症也。太阳膀胱与少阴肾相为表里,肾
虚,故太阳之邪直入而脉沉,但余邪未尽入里,故表热也。此症谓之表里传,非两感也。
治感寒手足厥冷,脉细欲绝者。
当归 桂枝 白芍 细辛(各三钱) 大枣(三枚) 甘草(炙) 通草(各二钱) 上,水
煎服。按∶此厥阴经药也。
治伤寒见风脉,发热,自汗,或无汗。
桂枝(二钱) 白芍 生姜 甘草(炙) 麻黄(各一钱五分) 杏仁(十一个,去皮尖)
大枣(二枚) 上,水煎服。按∶此足太阳、手足太阴、手少阳经药。出太阳例,治风寒
之剂也。夫仲景论已上六经药,然其中有发表解肌温经不同,盖风寒有浅深,荣卫有虚
实故也。学人审此,则用药汤液之源,可得而悉。
治疗太阳病(太阳经受邪所致的病证),项背部拘紧不舒(音同“殊”,指像短羽鸟一样,活动时需伸长脖子,形容患者颈背僵硬难以舒展的样子),无汗且怕风。
葛根(四两) 麻黄 生姜(各三两) 桂枝 芍药(各二两) 甘草(炙,二两) 大枣(十二枚)
用水煎煮后服用。按语:此方出自太阳病范畴,但含有阳明经的药物。
治疗伤寒引起的发热、潮热(定时发热或热度增高),脉象弦,自汗出,或者口渴,或者腹泻。
桂枝(二钱) 黄芩 人参 白芍(各四钱五分) 甘草(炙) 半夏 柴胡(四钱) 大枣(二枚) 生姜(泡过的一钱)
用水煎煮后服用。按语:此方出自太阳病范畴,属于少阳经的药物。
治疗感受寒邪后脉象沉,或者微细,反而发热,或者只想睡觉(嗜睡)的情况。
麻黄 细辛(二两) 附子(炮制,去皮,一枚)
先煮麻黄,去掉浮沫,再加入其他药物煎煮。
按语:此属少阴经的药物。所谓“想睡觉”、脉象微细,是少阴病的症状。足太阳膀胱经与足少阴肾经互为表里,肾虚导致太阳经的邪气直接内入而脉象沉,只是残余的邪气尚未完全入里,所以仍有表热。这种病症称为表里传变,并非两感病(同时感受两种邪气)。
治疗感受寒邪后手足厥冷(手脚冰凉),脉象细微几乎摸不到的情况。
当归 桂枝 白芍 细辛(各三钱) 大枣(三枚) 甘草(炙) 通草(各二钱)
以上药材,用水煎煮后服用。按语:此属厥阴经的药物。
治疗伤寒见到中风脉象,发热,自汗出,或者无汗的情况。
桂枝(二钱) 白芍 生姜 甘草(炙) 麻黄(各一钱五分) 杏仁(十一个,去皮尖)
大枣(二枚)
以上药材,用水煎煮后服用。按语:此方涉及足太阳膀胱经、手太阴肺经、手少阴心经及手少阳三焦经的药物。出自太阳病范畴,是治疗风寒的方剂。张仲景论述了上述六经的药物,然而其中有发汗解表、解除肌表邪气、温通经脉等不同功效,这是因为风寒邪气有深浅之分,营卫之气有虚实之别。学者仔细审察这一点,就能彻底了解用药汤液的源流。
Treats Taiyang disease (disease syndrome caused by pathogenic factors invading the Taiyang channel), characterized by stiffness and discomfort in the nape and back (pronounced "shu", resembling a short-winged bird stretching its neck when moving, describing the appearance of the patient's inability to extend the neck and back freely), absence of sweating, and aversion to wind.
Ge Gen (Radix Puerariae) (4 liang), Ma Huang (Herba Ephedrae), Sheng Jiang (Rhizoma Zingiberis Recens) (each 3 liang), Gui Zhi (Ramulus Cinnamomi), Bai Shao (Radix Paeoniae Alba) (each 2 liang), Gan Cao (Radix Glycyrrhizae Preparata) (roasted, 2 liang), Da Zao (Fructus Jujubae) (12 pieces).
Decoct in water and take orally. Note: This formula originates from the Taiyang category but contains herbs for the Yangming channel.
Treats Shanghan (cold damage) presenting with fever, tidal fever (fever that rises at specific times or increases in intensity), wiry pulse, spontaneous sweating, thirst, or diarrhea.
Gui Zhi (Ramulus Cinnamomi) (2 qian), Huang Qin (Radix Scutellariae), Ren Shen (Radix Ginseng), Bai Shao (Radix Paeoniae Alba) (each 4.5 qian), Gan Cao (Radix Glycyrrhizae Preparata) (roasted), Ban Xia (Rhizoma Pinelliae), Chai Hu (Radix Bupleuri) (4 qian), Da Zao (Fructus Jujubae) (2 pieces), Sheng Jiang (Rhizoma Zingiberis Recens) (soaked, 1 qian).
Decoct in water and take orally. Note: This formula originates from the Taiyang category and belongs to the Shaoyang channel herbs.
Treats cases where cold invasion results in a deep pulse, or a faint and thin pulse, accompanied by fever, or merely a desire to sleep (lethargy).
Ma Huang (Herba Ephedrae), Xi Xin (Herba Asari) (2 liang), Fu Zi (Radix Aconiti Lateralis Preparata) (processed, skin removed, 1 piece).
First decoct Ma Huang, remove the foam, then add the remaining herbs and decoct.
Note: These are herbs for the Shaoyin channel. The symptoms of lethargy and a faint, thin pulse constitute Shaoyin disease. The Foot-Taiyang Bladder channel and the Foot-Shaoyin Kidney channel are exterior-interior partners. Due to Kidney deficiency, the pathogenic factor of the Taiyang channel directly enters inward, resulting in a deep pulse; however, since residual pathogens have not fully entered the interior, there is still exterior heat. This condition is termed transmission between exterior and interior, not Lianggan (simultaneous contraction of two pathogenic factors).
Treats cases where cold invasion leads to cold extremities (cold hands and feet) and a fine pulse that is nearly imperceptible.
Dang Gui (Radix Angelicae Sinensis), Gui Zhi (Ramulus Cinnamomi), Bai Shao (Radix Paeoniae Alba), Xi Xin (Herba Asari) (each 3 qian), Da Zao (Fructus Jujubae) (3 pieces), Gan Cao (Radix Glycyrrhizae Preparata) (roasted), Tong Cao (Medulla Tetrapanacis) (each 2 qian).
The above ingredients, decoct in water and take orally. Note: These are herbs for the Jueyin channel.
Treats Shanghan presenting with a wind-strike pulse, fever, spontaneous sweating, or absence of sweating.
Gui Zhi (Ramulus Cinnamomi) (2 qian), Bai Shao (Radix Paeoniae Alba), Sheng Jiang (Rhizoma Zingiberis Recens), Gan Cao (Radix Glycyrrhizae Preparata) (roasted), Ma Huang (Herba Ephedrae) (each 1.5 qian), Xing Ren (Semen Armeniacae Amarum) (11 pieces, skin and tips removed).
Da Zao (Fructus Jujubae) (2 pieces).
The above ingredients, decoct in water and take orally. Note: These are herbs involving the Foot-Taiyang Bladder channel, Hand-Taiyin Lung channel, Hand-Shaoyin Heart channel, and Hand-Shaoyang Sanjiao channel. Originating from the Taiyang category, this is a formula for treating wind-cold. Although Zhang Zhongjing discussed the herbs for the six channels mentioned above, they differ in functions such as releasing the exterior, resolving the muscle layer, and warming the meridians. This is because wind-cold pathogens vary in depth, and Ying-Wei (nutritive and defensive qi) vary in deficiency and excess. If scholars examine this carefully, they can thoroughly understand the origins of herbal decoctions.