治气虚阳弱,虚汗不止,肢体倦怠。
黄 (蜜炙) 附子(泡去皮、脐) 等分,每服四钱,水煎临卧服。
治气血虚而自汗。
黄 肉桂(各一钱五分) 白芍药(三钱) 甘草(一钱) 煨姜(五片) 枣二枚,水煎一
钟,入稠饧一大匙,再煎一沸服。
治盗汗发热,火实阴虚之圣药。
黄 当归 生地黄 熟地黄 黄芩 黄连 黄柏 水煎服。
盗汗者,乘人之睡而出,有如盗也。阴虚而睡,则卫外之阳乘虚陷入阴中,表液失
其固卫,故 然汗出。寤则阳气用事,卫气复出于表,汗即止矣。当归地黄滋阴之药
也,芩连、黄柏降火之药也,盗汗之余,腠理不固,故以黄 补表,但既曰阴虚,则元
气有降而无升?肃杀之气方深而复用肃杀之剂,毋乃犯虚虚之戒乎?惟火高气强者,不
得已而暂用之,不然寒凉损胃,祸更深耳。
(张)见阴虚不足,蒸蒸内热,津液妄泄为汗者,此方用之。
熟地(七八钱) 丹皮(一钱五分) 山茱(二钱) 茯苓(一钱五分) 山药(二钱四分)
泽泻(盐水炒,一钱) 麦冬(二钱) 五味子(八分) 地骨皮(一钱) 生白芍(一钱二分)
加灯心莲子水煎,食前温服。虚极者,冲参汤服。
(张)见阳虚不能敛汗者,此方主之。
人参(二三钱) 炙黄 (一钱) 炒黄白术(三四钱) 五味子(八分) 水煎食前服。虚极者
加熟附子八分,炙甘草六分。
(张)见心气不足,脾气亦虚,津液妄泄为汗者,以归脾汤去木香加五味主之。以
上三法,皆求本之治,不止汗而汗自止,所谓不治之治也。
丹溪用二桑叶,焙干,为末,空心米饮调服,是止盗汗。
团参汤
方见前。
一方
治当心汗出,用人参当归各二两, 猪心一个,带血剖开,人参归缝好,煮熟去药食之。
治疗气虚阳弱,虚汗不止,肢体倦怠。
黄芪(蜜炙)与附子(炮制后去皮、去脐)等量,每次服用四钱,用水煎煮,睡前服用。
治疗气血虚弱导致的自汗。
黄芪、肉桂(各一钱五分),白芍药(三钱),甘草(一钱),煨姜(五片),大枣两枚,用水煎煮成一钟,加入一大匙浓饴糖,再煮沸一次后服用。
治疗盗汗发热,这是火实阴虚的圣药。
黄芪、当归、生地黄、熟地黄、黄芩、黄连、黄柏,用水煎煮服用。
所谓盗汗,是指在人睡眠时出汗,如同盗贼一般。阴虚导致睡眠时,卫外之阳气乘虚陷入阴中,体表津液失去固护,所以濈然汗出。醒来后阳气主事,卫气重新出于体表,汗即停止。当归和地黄是滋阴的药物,黄芩、黄连和黄柏是降火的药物。在盗汗之后,腠理不坚固,所以用黄芪来补益表气。但是既然说是阴虚,那么元气只有下降而没有上升?肃杀之气正盛,又再用肃杀的药剂,这难道不是犯了“虚虚”(使虚者更虚)的禁忌吗?只有那些火气高亢、体质强壮的人,不得已才暂时使用此方,否则寒凉药物会损伤胃气,祸患更深。
张景岳见到阴虚不足,体内蒸蒸发热,津液妄泄成为汗的情况,使用此方。
熟地黄(七八钱),牡丹皮(一钱五分),山茱萸(二钱),茯苓(一钱五分),山药(二钱四分),泽泻(盐水炒,一钱),麦冬(二钱),五味子(八分),地骨皮(一钱),生白芍(一钱二分)。加灯心草、莲子用水煎煮,饭前温服。极度虚弱的患者,用冲参汤送服。
张景岳见到阳虚不能收敛汗液的情况,以此方为主治。
人参(二三钱),炙黄芪(一钱),炒白术(三四钱),五味子(八分),用水煎煮,饭前服用。极度虚弱的患者,加熟附子八分,炙甘草六分。
张景岳见到心气不足,脾气也虚,津液妄泄成为汗的情况,以归脾汤去掉木香,加入五味子为主治。以上三种方法,都是寻求根本的治疗,不止止汗而汗自然停止,这就是所谓的“不治之治”。
朱丹溪用两片桑叶,焙干,研为粉末,空腹时用米汤调服,这是治疗盗汗的方法。
团参汤
方剂见前文。
另一偏方
治疗心窝处出汗,用人参、当归各二两,猪心一个,带着血剖开,将人参和当归缝入猪心中,煮熟后去掉药材食用。
Treats Qi deficiency and Yang weakness, incessant spontaneous sweating due to deficiency, and limb fatigue.
Huangqi (Astragali Radix, honey-fried) and Fuzi (Aconiti Lateralis Radix Praeparata, boiled, peeled, and navel removed) in equal parts. Take four qian per dose, decocted in water, taken before retiring.
Renshen (Panacis Ginseng Radix, three qian), Zhifuzi (Prepared Aconiti Lateralis Radix, one qian). Decoct in water and take.
Treats spontaneous sweating caused by Qi and Blood deficiency.
Huangqi (Astragali Radix), Rougui (Cinnamomi Cortex, each 1.5 qian), Baishao (Paeoniae Radix Alba, three qian), Gancao (Glycyrrhizae Radix et Rhizoma, one qian), Wei Jiang (Zingiberis Rhizoma Praeparatum, five slices), Dazao (Jujubae Fructus, two pieces). Decoct in water until one zhong remains, add one large spoonful of thick maltose syrup, boil once more, and take.
Treats night sweats with fever; this is the sacred remedy for excess fire and Yin deficiency.
Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Praeparata), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex). Decoct in water and take.
Night sweat refers to sweating during sleep, as if by a thief. When Yin is deficient, during sleep, the defensive Yang that protects the exterior falls into the interior due to emptiness. The fluids at the surface lose their securing function, resulting in profuse sweating. Upon waking, Yang becomes active, and defensive Qi returns to the exterior, so the sweating stops. Danggui and Dihuang are herbs that nourish Yin; Huangqin, Huanglian, and Huangbai are herbs that descend fire. After night sweats, the couli (pores) are not secure, hence Huangqi is used to tonify the exterior. However, since it is stated as Yin deficiency, does Yuan Qi only descend and not ascend? If the austere/descending qi is already deep, using further austere/descending agents would violate the prohibition against "making deficiency more deficient." Only those with high fire and strong constitution may use this temporarily out of necessity; otherwise, cold-cooling herbs damage the Stomach, causing deeper harm.
Zhang Jingyue observed cases of insufficient Yin, internal steaming heat, and leakage of body fluids as sweat, and prescribed this formula.
Shudihuang (Rehmanniae Radix Praeparata, 7-8 qian), Danpi (Moutan Cortex, 1.5 qian), Shanzhuyu (Corni Fructus, 2 qian), Fuling (Poria, 1.5 qian), Shanyao (Dioscoreae Rhizoma, 2.4 qian), Zexie (Alismatis Rhizoma, salt-fried, 1 qian), Maidong (Ophiopogonis Radix, 2 qian), Wuweizi (Schisandrae Fructus, 0.8 fen), Digupi (Lycii Cortex, 1 qian), Sheng Baishao (Paeoniae Radix Alba, raw, 1.2 qian). Add Dengxincao (Junci Medulla) and Lianzi (Nelumbinis Semen), decoct in water, and take warm before meals. For extreme deficiency, administer with Chongshen Tang.
Zhang Jingyue observed cases where Yang deficiency failed to consolidate sweat, and made this formula the primary treatment.
Renshen (Panacis Ginseng Radix, 2-3 qian), Zhi Huangqi (Astragali Radix, honey-fried, 1 qian), Chao Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 3-4 qian), Wuweizi (Schisandrae Fructus, 0.8 fen). Decoct in water and take before meals. For extreme deficiency, add Shu Fuzi (Prepared Aconiti Lateralis Radix, 0.8 fen) and Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.6 fen).
Zhang Jingyue observed cases of insufficient Heart Qi and Spleen Qi, leading to leakage of body fluids as sweat, and treated them primarily with Guipi Tang (Spleen-Restoring Decoction) minus Xiangru (Costi Rhizoma) plus Wuweizi (Schisandrae Fructus). The above three methods all address the root cause; they do not merely stop sweating but allow sweating to cease naturally, which is called "treating by not treating."
Zhu Danxi used two mulberry leaves, baked dry, powdered, and taken on an empty stomach mixed with rice water, which stops night sweats.
Tuanshen Tang
See formula mentioned previously.
Another prescription
Treats sweating at the heart region. Use Renshen (Panacis Ginseng Radix) and Danggui (Angelicae Sinensis Radix), each two liang, and one pig heart. Cut open the heart while retaining blood, sew the Renshen and Danggui into the incision, cook thoroughly, remove the herbs, and eat the meat.