玄参 升麻 甘草(各等分)
发斑咽痛者,此方主之。
升麻能散斑,甘草、玄参能清咽。散斑者取其辛温,谓辛能散而温不滞也。清咽者,取
其甘苦,谓甘能缓可苦能降也。
牛蒡子(六钱) 荆芥(二钱) 防风(三钱) 甘草(一钱)
皮肤有斑疹,无里证者,此方主之。
辛甘发散为阳,故用防风、甘草;斑之为患,热药治之则血溢而益盛,寒药治之则血凝
而不散,惟辛凉之药为宜,故用牛蒡、荆芥。无犀角而名犀角者,谓其功用同乎犀角也。
升麻 葛根 白芍药 甘草
麻疹已出、未出,此方皆主之。
诸疹未出,升麻、葛根能出之;诸疹已出,升麻、葛根能散之;芍药和营,甘草和卫。
荆芥穗 炙甘草 陈皮 浓朴(姜汤炒) 藿香 蝉蜕 人参 白僵蚕(炒) 茯苓 防
风
风热丹疹,此方主之。
风热则表实,实者宜散之,荆芥、芎 、防风、羌活皆辛散也。表实则里虚,虚者宜补
之,人参、甘草、茯苓皆甘补也。风盛则气壅,浓朴所以下气,陈、藿所以泄气。风热生痰,
治
石膏 人参 知母 甘草
胃热发斑,脉虚者,此方主之。
胃热者,口燥烦渴也。胃主肌肉,故胃热则肌肉斑烂;脉虚者,壮火食气,而脉无力以
充实也。惟其胃热,故用石膏之寒;惟其脉虚,故用人参之补;知母养其营,甘草养其卫。
此方即人参白虎汤尔。
玄参、升麻、甘草(各取等量)
治疗出现斑疹且伴有咽喉疼痛的病症,此方为主治方。
升麻能够消散斑疹,甘草和玄参能够清利咽喉。利用升麻散斑,是取其辛温之性,因为辛味能发散,温性不致气机阻滞。利用甘草和玄参清咽,是取其甘苦之味,因为甘味能缓急,苦味能降泄。
牛蒡子(六钱)、荆芥(二钱)、防风(三钱)、甘草(一钱)
治疗皮肤出现斑疹,且没有里证(脏腑实证)的情况,此方为主治方。
辛味和甘味的药物配合具有发散作用,属于阳的性质,所以使用防风、甘草;斑疹这种疾患,用热药治疗会导致血液溢出而病情加重,用寒药治疗会导致血液凝滞而不能消散,只有用辛凉性质的药物才适宜,所以使用牛蒡子、荆芥。虽然没有犀角却命名为“犀角”,是指它的功效等同于犀角。
升麻、葛根、白芍药、甘草
麻疹已经发出或尚未发出的情况,此方均为主治方。
各种疹子尚未发出时,升麻、葛根能帮助其透发;各种疹子已经发出后,升麻、葛根能帮助其消散;芍药调和营血,甘草调和卫气。
荆芥穗、炙甘草、陈皮、浓朴(用姜汤炒制)、藿香、蝉蜕、人参、白僵蚕(炒制)、茯苓、防风
治疗风热引起的丹疹,此方为主治方。
风热导致表实,实证应当发散,荆芥、川芎、防风、羌活都是辛散的药物。表实则里虚,虚证应当补益,人参、甘草、茯苓都是甘补的药物。风邪盛则气机壅滞,浓朴用来下气,陈皮、藿香用来理气泄浊。风热容易生痰,治疗……(原文此处中断)
石膏、人参、知母、甘草
治疗因胃热引起发斑,且脉象虚弱的情况,此方为主治方。
所谓胃热,表现为口燥、心烦、口渴。胃主肌肉,所以胃热会导致肌肉层面的斑烂;脉象虚弱,是因为壮火(亢盛的火热之邪)消耗元气,导致脉管无力充盈。正因为有胃热,所以使用石膏的寒性来清热;正因为有脉虚,所以用人参的补性来益气;知母滋养营阴,甘草养护卫气。
这个方子就是人参白虎汤。
Xuan Shen (Scrophulariae Radix), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (equal parts each).
This formula is indicated for cases presenting with macules/rashes and sore throat.
Sheng Ma can dissipate macules; Gan Cao and Xuan Shen can clear the throat. The use of Sheng Ma to dissipate macules relies on its acrid-warm nature, meaning that acridity promotes dispersion and warmth prevents stagnation. The use of Gan Cao and Xuan Shen to clear the throat relies on their sweet and bitter flavors, meaning that sweetness can moderate and bitterness can descend.
Niu Bang Zi (Arctii Fructus) (6 qian), Jing Jie (Schizonepetae Herba) (2 qian), Fang Feng (Saposhnikoviae Radix) (3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian).
This formula is indicated for skin eruptions of macules and rashes without interior syndromes.
Acrid and sweet substances act dispersively and belong to Yang; therefore, Fang Feng and Gan Cao are used. Regarding the pathology of macules, treating them with hot medicines causes blood extravasation and exacerbates the condition, while treating them with cold medicines causes blood coagulation and hinders dispersion; thus, acrid-cool medicines are most suitable, so Niu Bang Zi and Jing Jie are employed. Although it does not contain Xi Jiao (Rhinocerotis Cornu), it is named "Xi Jiao" because its efficacy is equivalent to that of Xi Jiao.
Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Bai Shao Yao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma).
This formula is indicated whether measles have erupted or not.
For various rashes that have not yet erupted, Sheng Ma and Ge Gen facilitate their emergence; for those that have already erupted, Sheng Ma and Ge Gen help dissipate them; Shao Yao harmonizes Ying (Nutritive Qi), and Gan Cao harmonizes Wei (Defensive Qi).
Jing Jie Sui (Schizonepetae Spica), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex) (stir-fried with ginger juice), Huo Xiang (Agastaches Herba), Chan Tui (Cicadae Periostracum), Ren Shen (Ginseng Radix et Rhizoma), Bai Jiang Can (Bombyx Batryticatus), Fu Ling (Poria), Fang Feng (Saposhnikoviae Radix).
This formula is indicated for wind-heat Dan zhen (erysipelas-like rashes).
Wind-heat leads to exterior excess; excess conditions should be dispersed, so Jing Jie, Xiong Qiong (Ligustici Chuanxiong Rhizoma), Fang Feng, and Qiang Huo (Notopterygii Rhizoma et Radix), all being acrid-dispersive agents, are used. Exterior excess implies interior deficiency; deficiency conditions should be tonified, so Ren Shen, Gan Cao, and Fu Ling, all being sweet-tonifying agents, are used. Excessive wind causes Qi obstruction; Hou Po descends Qi, while Chen Pi and Huo Xiang vent Qi. Wind-heat generates phlegm, treatment... [text cuts off here]
Shi Gao (Gypsum Fibrosum), Ren Shen (Ginseng Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
This formula is indicated for macules caused by Stomach heat accompanied by a deficient pulse.
Stomach heat manifests as dry mouth, restlessness, and thirst. The Stomach governs the muscles; thus, Stomach heat causes maceration of the muscular layer manifesting as macules. A deficient pulse indicates that vigorous fire consumes Qi, leaving the pulse unable to fill adequately. Due to Stomach heat, Shi Gao's cold nature is used; due to the deficient pulse, Ren Shen's tonifying property is used; Zhi Mu nourishes Ying (Nutritive Qi), and Gan Cao supports Wei (Defensive Qi).
This formula is essentially Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction).