人参(去芦) 紫苏 半夏(制) 陈皮(去白) 茯苓(去皮) 木香 枳壳(炒) 干
葛前
胡(去芦) 桔梗 甘草(各五钱)
劳倦感冒,妊娠感冒,并宜此方主之。
感冒宜解表,故用紫苏、干葛、前胡;劳倦、妊娠宜补里,故用人参、茯苓、甘草。乃
木香、半夏、枳壳、桔梗、陈皮,所以和利表里之气,气和则神和,神和则无病矣。
大腹皮(净洗) 白芷 茯苓(去皮) 苏茎叶 藿香(各三两) 白术(炒) 陈皮
(去白)
浓朴(姜汤炒) 桔梗 半夏(各二两) 炙甘草(一两)
凡受四时不正之气,憎寒壮热者,此方主之。
风寒客于皮毛,理宜解表,四时不正之气由鼻而入,不在表而在里,故不用大汗以解表
,但用芬香利气之品以主之;白芷、紫苏、藿香、陈皮、腹皮、浓朴、桔梗,皆气胜者也,
故足以正不正之气;白术、茯苓、半夏、甘草,则甘平之品耳,所以培养中气,而树中营之
帜者也。
叙曰∶暑,六气之一也。实者清其暑,虚者益其气,此大都也。至于杂病相揉,则变通
在我而已。今考九方如下,论证论药,可谓举其大纲,触类而通,弗可胜用矣。
香薷(一两) 浓朴(炒) 白扁豆(各半两) 黄连(三钱,炒)
夏至后,暑热吐利、烦心者,此方冷服。
暑,阳邪也。干于脾则吐利,干于心则烦心。香薷之香,入脾清暑而定吐利;黄连之苦
,入心却热而治烦心;暑邪结于胸中,非浓朴不散;暑邪陷于脾胃,非扁豆无以和中。然
必冷服者,经所谓治温以清,凉而行之是也。是方也,于伏热之时,自觉酷暑蒸炎;若远行
而归,自觉伤于暑热,服一二剂,诚为切当。今人坐于高堂广厦之中,身与冰盘水阁相习,
口与浮瓜水果相厌,暑邪原浅,每求此药服之,甚者日日饮之,是谓诛伐太过。弱者,寒中
之疾作于旦暮;壮者,待时而病,秋季为泻为利矣,慎之!
【参苏饮】
人参(去除芦头) 紫苏叶 半夏(炮制) 陈皮(去除白色内层) 茯苓(去除外皮) 木香 枳壳(炒制) 干葛根 前胡(去除芦头) 桔梗 甘草(以上各五钱)
因劳累后感冒,以及孕妇感冒,都适宜用此方主治。
感冒应当解表发散,所以使用紫苏、干葛、前胡;劳累和妊娠应当补益里气,所以使用人参、茯苓、甘草。至于木香、半夏、枳壳、桔梗、陈皮,是用来调和表里之气的,气机调和则神志安宁,神志安宁则疾病消除。
【黄连香薷饮】
大腹皮(洗净) 白芷 茯苓(去除外皮) 紫苏茎叶 藿香(以上各三两) 白术(炒制) 陈皮(去除白色内层) 厚朴(姜汤炒制) 桔梗 半夏(以上各二两) 炙甘草(一两)
凡是感受四时不正之气,出现憎恶寒冷且高热者,此方主治。
风寒邪气客居在皮毛,理应解表发散;但四时不正之气从鼻腔进入,病位不在体表而在体内,所以不使用大汗法来解表,仅用芳香利气的药物来主治;白芷、紫苏、藿香、陈皮、大腹皮、厚朴、桔梗,都是气味浓烈善于行气的药物,所以足以纠正不正之气;白术、茯苓、半夏、甘草,则是甘平性质的药物,用来培补中焦之气,树立中焦营卫的旗帜。
【叙曰】
暑,是六气之一。实证者清除暑热,虚证者补益元气,这是大概的原则。至于夹杂其他病症相互干扰,则变通运用在于医者自身罢了。现在考证以下九个方剂,论证药性,可以说是抓住了大纲,触类旁通,不可胜数地应用了。
【黄连香薷饮组成】
香薷(一两) 厚朴(炒制) 白扁豆(以上各半两) 黄连(三钱,炒制)
夏至之后,因暑热导致呕吐腹泻、心烦意乱者,此方需冷服。
暑,属于阳邪。侵犯脾脏则导致呕吐腹泻,侵犯心脏则导致心烦。香薷的香气,入脾经以清暑热并安定呕吐腹泻;黄连的苦味,入心经以清热并治疗心烦;暑邪结聚在胸中,非厚朴不能散开;暑邪陷入脾胃,非白扁豆无法调和脾胃。然而必须冷服的原因,正如经典所说,治疗温病要用清凉之法,凉着服用。这个方子,在伏热之时,自觉酷暑蒸腾炎热;或者远行归来,自觉被暑热所伤,服用一两个疗程,确实非常恰当。如今的人坐在高大宽敞的厅堂大厦之中,身体与冰盘水阁相习,口腹喜好浮瓜水果,暑邪原本浅薄,却每每寻求此药服用,严重的甚至每天饮用,这叫做诛伐太过(过度伤害正气)。体质虚弱的人,寒中之疾会在早晚发作;体质强壮的人,会等待时机发病,到了秋季就会变成泄泻痢疾,务必谨慎!
[Shen Su Yin (Ginseng and Perilla Decoction)]
Ren Shen (Radix Ginseng, rhizome removed), Zi Su Ye (Perillae Folium), Ban Xia (Pinelliae Rhizoma Preparatum), Chen Pi (Citri Reticulatae Pericarpium, albedo removed), Fu Ling (Poria, cortex removed), Mu Xiang (Aucklandiae Radix), Zhi Qiao (Aurantii Fructus Immaturus, stir-fried), Gan Ge (Puerariae Lobatae Radix), Qian Hu (Peucedani Radix, rhizome removed), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) — each five qian.
For colds contracted due to fatigue, as well as colds during pregnancy, this formula is suitable for primary treatment.
Colds should be treated by releasing the exterior; therefore, Zi Su, Gan Ge, and Qian Hu are used. Fatigue and pregnancy require tonifying the interior; therefore, Ren Shen, Fu Ling, and Gan Cao are used. Meanwhile, Mu Xiang, Ban Xia, Zhi Qiao, Jie Geng, and Chen Pi are employed to harmonize and facilitate the qi of both the exterior and interior. When qi is harmonized, spirit is tranquil, and when spirit is tranquil, disease is eliminated.
[Huang Lian Xiang Ru Yin (Coptis and Mosla Decoction)]
Da Fu Pi (Arecae Pericarpium, washed clean), Bai Zhi (Angelicae Dahuricae Radix), Fu Ling (Poria, cortex removed), Su Jing Ye (Perillae Caulis et Folium), Huo Xiang (Agastaches Herba) — each three liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Chen Pi (Citri Reticulatae Pericarpium, albedo removed), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma Preparatum) — each two liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) — one liang.
This formula is indicated for those who have contracted the abnormal qi of the four seasons, presenting with aversion to cold and high fever.
When wind-cold pathogens lodge in the skin and hair, it is appropriate to release the exterior. However, the abnormal qi of the four seasons enters through the nose; its location is not in the exterior but in the interior. Therefore, heavy sweating to release the exterior is not used; instead, aromatic herbs that benefit qi are primarily employed. Bai Zhi, Zi Su, Huo Xiang, Chen Pi, Da Fu Pi, Hou Po, and Jie Geng are all herbs with potent aromatic qi, thus sufficient to correct abnormal qi. Bai Zhu, Fu Ling, Ban Xia, and Gan Cao are sweet and neutral herbs, used to cultivate middle-jiao qi and establish the banner of middle-jiao Ying (nutritive) qi.
[Preface]
Shu (Summer-heat) is one of the Six Qi. For excess patterns, clear the summer-heat; for deficiency patterns, benefit the qi. This is the general principle. Regarding mixed diseases interfering with each other, flexibility lies with the practitioner. Herein, nine formulas are examined. Discussing pathology and materia medica, one can grasp the main outline, comprehend by analogy, and apply them inexhaustibly.
[Composition of Huang Lian Xiang Ru Yin]
Xiang Ru (Moslae Herba) — one liang; Hou Po (Magnoliae Officinalis Cortex, stir-fried), Bai Bian Dou (Dolichoris Semen Album) — each half liang; Huang Lian (Coptidis Rhizoma, stir-fried) — three qian.
After the Summer Solstice, for cases of vomiting and diarrhea accompanied by vexation due to summer-heat, this formula should be taken cold.
Shu (Summer-heat) is a Yang pathogen. If it affects the Spleen, it causes vomiting and diarrhea; if it affects the Heart, it causes vexation. The fragrance of Xiang Ru enters the Spleen to clear summer-heat and stabilize vomiting and diarrhea; the bitterness of Huang Lian enters the Heart to drain heat and treat vexation. Summer-heat pathogens knotting in the chest cannot be dispersed without Hou Po; summer-heat pathogens sinking into the Spleen and Stomach cannot be harmonized without Bai Bian Dou. However, it must be taken cold because, as the classics state, "treat warm diseases with clearing methods, administer them while cool." In this formula, when latent heat exists, one feels the oppressive heat of midsummer; or upon returning from long travel, feeling injured by summer-heat, taking one or two doses is indeed appropriate. Nowadays, people sit in grand halls, accustomed to ice plates and water pavilions, and prefer floating melons and fruits. Since the summer-heat pathogen is originally shallow, seeking this medicine is common; some even drink it daily. This is called excessive punishment (over-treating). Those with weak constitutions will suffer from cold-injury ailments at dawn or dusk; those with strong constitutions will wait for the time to fall ill, developing diarrhea or dysentery in autumn. Be cautious!