治咳嗽吐红,渐成骨蒸劳热之症。如人胃强气盛,大便结,脉有力,此阳盛生热,法当
清凉,清骨散主之。若胃虚脾弱,大便溏,脉虚细,此阴虚发热,法当养阴,逍遥散、四物
汤主之。若气血两虚而发热者,八珍汤补之。若元气大虚,变症百出,难以名状,不问其脉
不论其病,但用人参养荣汤,诸症自退。经云∶甘温能除大热,如或误用寒凉,反伐生气
多致不救。
柴胡 白芍(各一钱) 秦艽(七分) 甘草(五分) 丹皮 地骨皮 青蒿 鳖甲(各一钱二分) 知
母黄芩 胡黄连(各四分
水煎服。
加童便尤妙,凡逍遥、四物、八珍方内,皆可加入。
逍遥散 (方见类中)
治肝经血虚,烦躁,口渴,胸胁刺痛,头眩,心悸,颊赤,口苦
发热盗汗,食少嗜卧。又治女人经血不调,脐腹胀痛,寒热如疟。并治室女经闭,痰嗽潮
热,肌瘦劳热等证。
大熟地(自制) 当归 白芍(各一钱五分) 川芎(五分
水煎服。
加丹皮、麦冬、玉竹、山药、茯苓,退虚热至效。
治气血虚,发热、潮热。
人参 白术 茯苓 甘草(炙) 熟地 当归 白芍(各一钱) 川芎(五分
枣二枚,水煎服。
本方加黄 、肉桂,名十全大补汤。加丹皮、黑山栀、柴胡,名加味八珍汤。
治疗咳嗽咯血,逐渐发展为骨蒸劳热(一种以午后或夜间发热、手足心热、骨节烦热为特征的虚劳病证)的病症。如果患者胃气强盛、正气充足,大便干结,脉象有力,这是阳气亢盛产生内热,治法应当清凉清热,主用清骨散。如果患者胃气虚弱、脾气不足,大便稀溏,脉象虚细,这是阴虚导致的发热,治法应当滋养阴液,主用逍遥散或四物汤。如果是气血两虚而发热的,用八珍汤来补益。如果是元气极度亏虚,变生各种症状,难以一一描述,此时不论脉象如何,也不论具体是什么病名,只用人参养荣汤,各种症状自然消退。医经说:甘温的药物能够消除大热,如果误用寒凉药物,反而会损伤人体的生机,大多导致无法救治。
柴胡、白芍(各一钱)、秦艽(七分)、甘草(五分)、牡丹皮、地骨皮、青蒿、鳖甲(各一钱二分)、知母、黄芩、胡黄连(各四分)。
用水煎服。
加入童便(儿童的小便,中医认为有滋阴降火止血之效)效果更佳,凡是逍遥散、四物汤、八珍汤这些方剂中,都可以加入童便。
逍遥散(方剂见“类中”章节)
治疗肝经血虚引起的烦躁、口渴、胸胁部刺痛、头晕目眩、心悸、脸颊发红、口苦、发热、盗汗、食欲不振、嗜睡等症状。又治疗女性月经不调、脐腹部胀满疼痛、寒热往来像疟疾一样的症状。并治疗少女闭经、痰嗽、潮热、肌肉消瘦、虚劳发热等证候。
大熟地黄(自制)、当归、白芍(各一钱五分)、川芎(五分)。
用水煎服。
加入牡丹皮、麦冬、玉竹、山药、茯苓,退除虚热效果显著。
治疗气血虚弱、发热、潮热。
人参、白术、茯苓、甘草(炙)、熟地黄、当归、白芍(各一钱)、川芎(五分)、大枣二枚。
用水煎服。
本方加入黄芪、肉桂,名为十全大补汤。加入牡丹皮、黑山栀、柴胡,名为加味八珍汤。
Treat cough with hemoptysis, gradually developing into the syndrome of bone-steaming consumption fever (a consumptive disease characterized by afternoon or night fever, heat in the palms and soles, and irritability in the bones). If the patient has strong stomach qi and abundant righteous qi, with constipation and a forceful pulse, this is excess yang generating internal heat; the treatment method should be cooling and clearing, primarily using Qinggu San (Clearing Bone Decoction). If the patient has weak stomach qi and deficient spleen qi, with loose stools and a deficient, fine pulse, this is yin deficiency causing fever; the treatment method should be nourishing yin, primarily using Xiaoyao San (Free and Easy Wanderer Powder) or Siwu Tang (Four Substance Decoction). If there is fever due to both qi and blood deficiency, use Bazhen Tang (Eight Treasure Decoction) to tonify. If primordial qi is severely deficient, resulting in myriad variable symptoms that are difficult to describe, regardless of the pulse or the specific disease name, only use Renshen Yangrong Tang (Ginseng Nourishing the Young Decoction), and all symptoms will naturally recede. The classics state: Sweet and warm substances can eliminate great heat. If cold and cool substances are mistakenly used, they will counterattack and damage the vital energy, often leading to untreatable conditions.
Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba) (each 1 qian), Qinjiao (Gentianae Macrophyllae Radix) (0.7 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian), Danpi (Moutan Cortex), Digupi (Lycii Cortex), Qinghao (Artemisiae Annuae Herba), Biejia (Testudinis Carapax et Plastrum) (each 1.2 qian), Zhi mu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Hu Huanglian (Coptidis Rhizoma) (each 0.4 qian).
Decoct in water and take orally.
Adding Tongbian (Child's Urine) is particularly effective; it can be added to formulas such as Xiaoyao San, Siwu Tang, and Bazhen Tang.
Xiaoyao San (Formula see "Lei Zhong" section)
Treats liver channel blood deficiency causing irritability, thirst, stabbing pain in the chest and hypochondrium, dizziness, palpitations, flushed cheeks, bitter taste in the mouth, fever, night sweats, poor appetite, and lethargy. It also treats irregular menstruation in women, abdominal distension and pain around the umbilicus, and alternating chills and fever resembling malaria. Furthermore, it treats amenorrhea in unmarried women, phlegm-cough, tidal fever, emaciation, and consumption fever.
Da Shudi (Prepared Rehmanniae Radix, self-made), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 qian).
Decoct in water and take orally.
Adding Danpi, Maidong (Ophiopogonis Radix), Yuzhu (Polygonati Odorati Rhizoma), Shanyao (Dioscoreae Rhizoma), and Fuling (Poria) is highly effective for reducing deficiency heat.
Treats fever and tidal fever due to qi and blood deficiency.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shudi (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 qian), Dazao (Ziziphi Jujubae Fructus) (two pieces).
Decoct in water and take orally.
Adding Huangqi (Astragali Radix) and Rougui (Cinnamomi Cortex) to this formula is named Shiquan Dabu Tang (Perfect Golden Great Tonifying Decoction). Adding Danpi, Hei Shanzhi (Gardeniae Fructus, charred), and Chaihu is named Jiawei Bazhen Tang (Modified Eight Treasure Decoction).