(表已解而里有热) 伤寒脉滑厥旋生,表解方知里热成,白虎煎汤真可用,胸中邪火一时清。
白虎汤
石膏去火十分强,知母兼施倍觉凉,粳米煎汤甘草入,驱邪消热此方良。
(表已解而里有热) 伤寒表解尚难安,燥渴心烦背恶寒,白虎加参汤可用,生津助
气是神丹。
白虎加人参汤
石膏知母善清金,草米煎汤益助阴,补用人参加更妙,仙方能解躁烦心。
(表未解而里有水) 发热过经不解烦,中风表里证犹存,渴惟思饮入旋吐,水逆为名是
病源。
五苓散
外寒未去水旋停,术泽同煎合二苓,解表不须多用药,桂枝一味妙通灵。
茯苓甘草汤
(证附 表未解而里有水) 汗多不渴未伤津,苓桂姜甘立法新,病减只将轻药用,
宣通表里效如神。
病在阳经汗失宜,肉中粟起益烦时,纵思饮水原非渴,文蛤不瘥白散施。
文蛤散
先将文蛤细研时,须用热汤调服宜,病若不瘥仍有法,五苓白散酌裁之。
白散
贝母须兼桔梗施,清金散郁用相宜,温行巴豆真神妙,寒热交攻立法奇。
(表退而热结血分) 蓄血病成势若狂,因知热结在膀胱,表邪解后方宜下,须用桃仁承气汤。
桃仁承气汤
小腹瘀凝宜急攻,桃仁破血有奇功,硝黄荡秽专清热,桂草舒肝更补中。
(表证已解而里有热)伤寒患者脉象滑利,四肢厥冷时现时止,待表证解除后才知道里热已经形成,此时使用白虎汤煎剂确实有效,能瞬间清除胸中的邪火。
白虎汤
石膏清热泻火力道极强,知母配合使用更觉清凉,用粳米煎汤并加入甘草,此方驱除邪气、消除热邪效果良好。
(表证已解而里有热)伤寒表证虽解但身体仍不安宁,出现口干舌燥、口渴、心烦以及背部恶寒的症状,此时可用白虎加人参汤,该方能生津液、助元气,是神奇的药方。
白虎加人参汤
石膏和知母善于清泄肺金之热,甘草和粳米煎汤有助于滋养阴液,再加入人参补益,更为奇妙,仙方般的药力能解除躁动烦乱的心神。
(表证未解而里有水饮)发热超过传经日期仍未解除且烦躁,中风病的表证和里证依然存在,只想喝水但喝下去随即呕吐,“水逆”之名即源于此病机。
五苓散
外寒尚未去除,水饮随即停聚,白术和泽泻同煎,配合茯苓和猪苓,解表不需要用太多药物,单用桂枝一味便妙在通灵。
茯苓甘草汤
(附证:表证未解而里有水饮)出汗多但不口渴,说明津液未伤,采用茯苓、桂枝、生姜、甘草的组方立意新颖,病情减轻只需使用轻量的药物,宣通表里疗效如神。
病位在阳经,发汗治疗不当,皮肤起粟粒状皮疹,烦躁加剧,虽然想喝水但这并非真正的口渴,若文蛤散无效,则施用白散。
文蛤散
先将文蛤细细研磨,必须用热开水调服为宜,如果病不愈仍有办法,可酌情选用五苓散或白散。
白散
贝母需配合桔梗使用,清泄肺金、疏散郁结最为适宜,温通的巴豆药效真神奇,寒热药物相互攻伐,立法奇特。
(表证退去而热邪结于血分)蓄血病形成,病势狂乱,因此知道热邪结聚在膀胱部位,待表邪解除后才适宜使用下法,必须使用桃仁承气汤。
桃仁承气汤
小腹瘀血凝结应当急攻,桃仁破血有奇效,芒硝和大黄荡涤秽浊专门清热,桂枝和甘草舒缓肝气并补益中焦。
(Exterior syndrome has resolved, yet heat resides in the interior) In cold damage (Shanghan), the pulse is slippery and cold extremities appear intermittently. Once the exterior syndrome resolves, it becomes clear that interior heat has formed. Decoction of Baihu Tang (White Tiger Decoction) is truly applicable here, instantly clearing the pathogenic fire in the chest.
Baihu Tang (White Tiger Decoction)
Shigao (Gypsum Fibrosum) possesses strong power to extinguish fire; Zhimu (Anemarrhenae Rhizoma) combined with it feels even cooler. Boiled with Jingmi (Oryza Sativa) and Gancao (Glycyrrhizae Radix et Rhizoma), this formula is excellent for expelling pathogens and eliminating heat.
(Exterior syndrome has resolved, yet heat resides in the interior) Although the exterior syndrome of cold damage has resolved, the patient remains uneasy. Symptoms include dryness, thirst, irritability, and aversion to cold on the back. Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng) can be used; it generates fluids and assists Qi, acting as a miraculous elixir.
Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng)
Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) are good at clearing Lung Metal heat. Decoction of Gancao (Glycyrrhizae Radix et Rhizoma) and Jingmi (Oryza Sativa) further aids Yin. Adding Renshen (Panacis Ginseng Radix) for supplementation is even more wonderful; this immortal prescription can resolve restlessness and irritability.
(Exterior syndrome has not resolved, yet water retention resides in the interior) Fever persists beyond the transmission cycle without resolving, accompanied by irritability. Both exterior and interior syndromes of wind-strike remain present. The patient desires to drink but vomits immediately after swallowing; this condition is named "Water Reversal" (Shuini).
Wuling San (Five-Ingredient Powder with Poria)
The exterior cold has not gone, and water retention stops suddenly. Zhu (Atractylodis Macrocephalae Rhizoma) and Zexie (Alismatis Rhizoma) are decocted together with Fu Ling (Poria) and Lingzhi (Polyporus). To release the exterior, many drugs are unnecessary; a single herb of Guizhi (Cinnamomi Ramulus) is miraculously effective in unblocking.
Lingui Jianggan Tang (Poria, Cinnamon Twig, Ginger, and Licorice Decoction)
(Attached Syndrome: Exterior syndrome has not resolved, yet water retention resides in the interior) Profuse sweating without thirst indicates that body fluids have not been damaged. The formulation of Linggui Jianggan Tang introduces a new approach. When symptoms subside, only mild drugs should be used; promoting circulation between exterior and interior yields effects like divinity.
When the disease is in the Yang meridians, improper sweating therapy causes millet-like papules on the skin and increases irritability. Although the patient thinks of drinking water, it is not true thirst. If Wenhe San (Clam Shell Powder) does not cure it, Baisan (White Powder) should be administered.
Wenhe San (Clam Shell Powder)
First, grind Wenhe (Concha Meretricis) finely; it must be taken with hot water. If the illness does not heal, there are still methods: choose between Wuling San (Five-Ingredient Powder with Poria) and Baisan (White Powder) according to discretion.
Baisan (White Powder)
Beimu (Fritillariae Bulbus) should be combined with Jiegeng (Platycodonis Radix); clearing Lung Metal and dispersing stagnation is most suitable. Warm-moving Badou (Crotonis Fructus) is truly miraculous; the interplay of cold and heat makes the therapeutic principle unique.
(The exterior recedes, and heat binds in the blood level) Blood accumulation (Xuxue) forms, presenting with manic behavior; thus, we know heat binds in the Bladder. Only after the exterior pathogen resolves should purgation be applied; Taoren Chengqi Tang (Peach Kernel Decoction to Order the Qi) must be used.
Taoren Chengqi Tang (Peach Kernel Decoction to Order the Qi)
Blood stasis congealing in the lower abdomen requires urgent attack; Taoren (Persicae Semen) breaks blood stasis with remarkable efficacy. Xiaoshi (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) cleanse filth and specialize in clearing heat; Guizhi (Cinnamomi Ramulus) and Gancao (Glycyrrhizae Radix et Rhizoma) soothe the Liver and tonify the Middle.
(The exterior recedes, and heat binds in the blood level) The exterior pathogen enters internally, leaving no way to resolve it from the exterior. The pulse is slightly deep, and there is no Chest Bind (Jie Xiong). Heat in the Lower Jiao causes hardness and fullness; blood stasis in the abdomen cannot be tolerated.