升阳散火汤 治男妇四肢发热,肌热,筋痹热,骨髓中热如燎,扪之烙手。夫四肢属脾,脾者土也,热伏
地中。此病多因血虚而得,或胃虚过食冷物,抑遏阳气于脾土。火郁则发之,此药乃胃、胆、脾、肺、膀胱经
药也。升麻、葛根、独活、羌活、白芍、人参各五分,防风二分半,柴胡八分,炙甘草三分,生甘草三分,水
煎服。
升阳汤 治一日大便三四次,溏而不多,有时泄泻,腹中鸣,小便黄。柴胡、益智仁、当归、陈皮各三分,
升麻六分,甘草二钱,黄 三钱,红花少许,水煎热服。
火郁汤 治手足心发热。升麻、葛根、柴胡、自芍各钱半,防风、甘草各一钱,葱白煎服。
泻阴火升阳汤 治肌热烦热,面赤少食,喘咳痰盛,右关脉缓弱或弦或浮数。羌活、甘草、黄 、苍术各
一钱,升麻八分,柴胡钱半,人参、黄 各七分,黄连酒炒、石膏各五分,深秋勿用,水煎服。按此发脾胃火
邪之剂,又心、胆、肝、肺、膀胱药也。泻阴火,升发阳气,荣养气血者也。
升阳除湿汤 治脾胃虚弱,不思饮食,肠鸣腹痛,泄泻无度,小便黄,四肢困弱。升麻、柴胡、防风、神曲、
泽泻、猪苓各五分,苍术一钱,陈皮、甘草、麦芽各三分,姜、枣煎服。如胃寒肠鸣加益智仁、半夏,非肠鸣
不得用。
升阳除湿防风汤 治大便闭塞。或里急后重,数至圊而不能便,或有白脓或血,慎勿利之,利之则反郁结
而不通,以此举其阳,则阴气自降矣。如脾湿下流肝肾而成泄痢者,宜此补之升之举之,不可疏下。若脉实腹
胀,闭塞不通,从权以苦多甘少之药泄之,苍术四两,防风二钱,白术、白茯、白芍各一钱,用水二钟半,先
煎苍术至二钟,入诸药,再煎至一钟,空心热服。
升阳散火汤:治疗男女四肢发热、肌肤发热、筋痹热(经络阻滞引起的热证)、骨髓中热感如火燎原,触摸时烫手。四肢归属于脾,脾属土,热邪潜伏于地中(体内)。此病多因血虚所致,或因胃气虚弱而过食生冷食物,导致阳气被抑制在脾土之中。根据“火郁则发之”的原则,此药是作用于胃、胆、脾、肺、膀胱经的药物。处方组成:升麻、葛根、独活、羌活、白芍、人参各五分,防风二分半,柴胡八分,炙甘草三分,生甘草三分,加水煎煮后服用。
升阳汤:治疗每日大便三至四次,粪便稀溏但量不多,有时发生泄泻,腹中肠鸣,小便颜色黄。处方组成:柴胡、益智仁、当归、陈皮各三分,升麻六分,甘草二钱,黄芩三钱,红花少许,加水煎煮后热服。
火郁汤:治疗手足心发热。处方组成:升麻、葛根、柴胡、白芍各一钱半,防风、甘草各一钱,加葱白煎煮后服用。
泻阴火升阳汤:治疗肌肤发热、烦躁发热、面色红赤、食欲减退、气喘咳嗽且痰多,右关脉象缓弱或弦或浮数。处方组成:羌活、甘草、黄芩、苍术各一钱,升麻八分,柴胡一钱半,人参、黄柏各七分,黄连用酒炒制、石膏各五分,深秋季节不宜使用,加水煎煮后服用。按语:这是发散脾胃火邪的方剂,同时也作用于心、胆、肝、肺、膀胱经。其功效在于泻除阴火,升发阳气,滋养气血。
升阳除湿汤:治疗脾胃虚弱,不想饮食,肠鸣腹痛,泄泻无度,小便黄,四肢困倦无力。处方组成:升麻、柴胡、防风、神曲、泽泻、猪苓各五分,苍术一钱,陈皮、甘草、麦芽各三分,加生姜、大枣煎煮后服用。如果伴有胃寒肠鸣,可加入益智仁、半夏;如果不是肠鸣症状,则不得使用这些药物。
升阳除湿防风汤:治疗大便闭塞不通。或者出现里急后重(腹痛窘迫,时时欲便,肛门重坠,便出不爽),多次去厕所却无法排便,或者排出白色脓液或血液。切记不可使用通利攻下的方法,若强行通利反而会导致郁结更加严重而不通。通过提升阳气,阴气自然下降。如果是脾湿下注肝肾而形成的泄痢,适宜用此方进行补益、升提和举陷,不可使用疏利攻下的方法。如果脉象实大、腹部胀满、闭塞不通,可权宜采用苦味多、甘味少的药物进行泄下。处方组成:苍术四两,防风二钱,白术、白茯苓、白芍各一钱,用水二钟半,先煎苍术至二钟,再加入其他药物,继续煎煮至一钟,空腹热服。
Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction): Treats fever in the limbs of both men and women, heat in the skin and muscles, heat due to Bi syndrome of tendons and vessels, and a sensation of heat deep within the bone marrow as if burning, which feels hot to the touch. The limbs belong to the Spleen; the Spleen corresponds to Earth. Heat is latent within the earth (the interior). This condition often arises from blood deficiency or from excessive consumption of cold foods due to weak Stomach Qi, which suppresses Yang Qi within the Spleen-Earth. According to the principle "when fire is constrained, disperse it," this prescription acts on the Stomach, Gallbladder, Spleen, Lung, and Bladder meridians. Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Radix Puerariae), Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma Notopterygii), Baishao (Radix Paeoniae Alba), Renshen (Radix Ginseng) each 5 fen; Fangfeng (Radix Saposhnikoviae) 2.5 fen; Chaihu (Radix Bupleuri) 8 fen; Zhigancao (Prepared Radix Glycyrrhizae) 3 fen; Shenggancao (Raw Radix Glycyrrhizae) 3 fen. Decoct with water and take orally.
Shengyang Tang (Ascending Yang Decoction): Treats bowel movements three to four times daily, with loose stools but not large in volume, occasional diarrhea, borborygmus (abdominal rumbling), and yellow urine. Ingredients: Chaihu (Radix Bupleuri), Yizhiren (Semen Alpiniae Oxyphyllae), Danggui (Radix Angelicae Sinensis), Chenpi (Pericarpium Citri Reticulatae) each 3 fen; Shengma (Rhizoma Cimicifugae) 6 fen; Gancao (Radix Glycyrrhizae) 2 qian; Huangqin (Radix Scutellariae) 3 qian; Honghua (Flos Carthami) a small amount. Decoct with water and take warm.
Huoyu Tang (Fire-Constrained Decoction): Treats heat sensation in the palms of the hands and soles of the feet. Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Radix Puerariae), Chaihu (Radix Bupleuri), Baishao (Radix Paeoniae Alba) each 1.5 qian; Fangfeng (Radix Saposhnikoviae), Gancao (Radix Glycyrrhizae) each 1 qian. Decoct with Congbai (White part of Allium fistulosum) and take orally.
Xie Yinhuo Shengyang Tang (Draining Yin-Fire and Ascending Yang Decoction): Treats heat in the skin and muscles, irritability and fever, flushed face, poor appetite, asthma, cough, and profuse sputum. The pulse at the right Guan position is slow and weak, wiry, or floating and rapid. Ingredients: Qianghuo (Rhizoma Notopterygii), Gancao (Radix Glycyrrhizae), Huangqin (Radix Scutellariae), Cangzhu (Rhizoma Atractylodis Chinensis) each 1 qian; Shengma (Rhizoma Cimicifugae) 8 fen; Chaihu (Radix Bupleuri) 1.5 qian; Renshen (Radix Ginseng), Huangbai (Cortex Phellodendri) each 7 fen; Huanglian (Rhizoma Coptidis) stir-fried with wine, Shigao (Gypsum Fibrosum) each 5 fen. Do not use in late autumn. Decoct with water and take orally. Note: This is a formula for dispersing fire pathogens of the Spleen and Stomach, and also acts on the Heart, Gallbladder, Liver, Lung, and Bladder meridians. Its function is to drain Yin-fire, ascend and generate Yang Qi, and nourish Qi and Blood.
Shengyang Chushi Tang (Ascending Yang and Dampness-Dispersing Decoction): Treats Spleen and Stomach weakness, lack of appetite, borborygmus and abdominal pain, unceasing diarrhea, yellow urine, and heaviness and weakness in the limbs. Ingredients: Shengma (Rhizoma Cimicifugae), Chaihu (Radix Bupleuri), Fangfeng (Radix Saposhnikoviae), Shenqu (Massa Medicata Fermentata), Zexie (Rhizoma Alismatis), Zhuling (Polyporus) each 5 fen; Cangzhu (Rhizoma Atractylodis Chinensis) 1 qian; Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Maiya (Fructus Hordei Germinatus) each 3 fen. Decoct with Jiang (Zingiberis Rhizoma) and Zao (Fructus Jujubae) and take orally. If accompanied by Stomach cold and borborygmus, add Yizhiren (Semen Alpiniae Oxyphyllae) and Banxia (Rhizoma Pinelliae); do not use these if borborygmus is absent.
Shengyang Chushi Fangfeng Tang (Ascending Yang, Dampness-Dispersing, and Saposhnikovia Decoction): Treats fecal impaction or constipation. Or presents with tenesmus (urgent desire to defecate with heavy sensation in the anus), frequent trips to the toilet without successful defecation, or passage of white pus or blood. Do not use purgatives; purging will worsen the constraint and obstruction. By raising Yang Qi, Yin Qi will naturally descend. If diarrhea and dysentery result from Spleen dampness flowing downward into the Liver and Kidneys, this formula should be used to tonify, ascend, and lift. Do not use draining or purging methods. If the pulse is excess and the abdomen is distended with complete obstruction, temporarily use formulas with more bitter than sweet flavors to drain. Ingredients: Cangzhu (Rhizoma Atractylodis Chinensis) 4 liang, Fangfeng (Radix Saposhnikoviae) 2 qian, Baizhu (Rhizoma Atractylodis Macrocephalae), Baifuling (Poria), Baishao (Radix Paeoniae Alba) each 1 qian. Use two and a half zhong of water. First decoct Cangzhu until reduced to two zhong, then add the other herbs, and continue decocting until reduced to one zhong. Take warm on an empty stomach.