人参 麦冬五分 五味子七粒
肝主气,心主血。生脉散养心肺之阴,使气血得以荣养一身;而又有酸敛之品,以收耗
散之气,止汗定咳。虚人无外感者,暑月宜之。
滑石六两 甘草一两
为末,冷水或灯心汤调下。本方加辰砂,名益元散;加薄荷,名鸡苏散;加青黛,名碧
玉散。
六一散,施之于体壮热盛,浓浓太过之人则可。若体虚气弱者,则寒伤脾而滑伤肾,反
致饮食减少,津亏作渴。至益元散、鸡苏散、碧玉散,亦同此例也,不可因夏月而一概混投。
砂仁 草果(煨去皮) 乌梅 甘草(炙)四两 扁豆(炒研) 干葛二两。
方中辛燥太过,用以健脾去湿则可。若谓清暑、除烦、止渴,吾不谓然。
半夏一斤(醋五斤煮干) 茯苓 甘草 半斤(生用)
姜汁糊丸,勿见生水。热汤下。
消暑丸不治暑而治湿,使湿去而暑亦降,用意甚佳。然必须兼清解之药一、二味为得。
干姜 桂 杏仁(去皮尖) 甘草等分。
先将甘草用白砂炒,次入姜、杏炒过,去砂,合桂为末。每服二钱。
此即治暑月之伤寒也。因暑伤寒,故但治寒而不治暑。
猪苓 茯苓 白术(炒)十八铢 泽泻一两六铢半 桂五钱
湿为地之气,其中人也缓,其入人也深,其为病也不可以疾而已。坐卧卑湿,汗渍雨淋,
此湿之自外来者也;多食浓腻,过嗜茶酒,此湿之自内生者也。治湿必先理脾,脾土健运,
始能渗湿,此定法也。又须分利,使浊阴从下而出,亦定法也。五苓散,仲景本为脉浮、小
便不利、微热、消渴、表里有病者而设。方中宜用桂枝,不可用肉桂。后人遂通治诸湿、腹
满、水饮、水肿、呕逆、泄泻、水寒射肺或喘或咳、中暑烦渴、身热头痛、膀胱热、便秘而
渴、霍乱吐泻、痰饮湿症、身痛身重等症。总之治寒湿则宜用肉桂,不宜用桂枝。若重阴生
阳,积湿化热,盒饭加清利之药,并桂枝亦不可用矣。至加减之附方,各有宜称,亦当细细
参之。
肝主司气机,心主司血液。生脉散滋养心肺之阴液,使气血能够荣养全身;同时方中含有酸味收敛的药物,以收摄耗散之气,止汗并平息咳嗽。对于没有外感邪气的虚证患者,在暑热月份适宜使用。
滑石六两、甘草一两。
研磨成粉末,用冷水或灯心草煎汤调服。本方加入辰砂,称为益元散;加入薄荷,称为鸡苏散;加入青黛,称为碧玉散。
六一散适用于体质壮实、热势炽盛、体内积热过多的人。如果用于体质虚弱、气力不足的人,则寒凉之性会损伤脾阳,滑利之性会损伤肾气,反而导致饮食减少、津液亏损而口渴。至于益元散、鸡苏散、碧玉散,也遵循同样的道理,不可因为是在夏季就一概混用投药。
砂仁、草果(煨制后去皮)、乌梅、甘草(炙)四两、扁豆(炒熟研碎)、干葛二两。
此方中辛温燥烈之药太过,用来健脾祛湿还可以。如果说它能清解暑热、消除烦闷、止渴,我不以为然。
半夏一斤(用五斤醋煮至干)、茯苓、甘草半斤(生用)。
用姜汁制成糊丸,注意不要见到生水。用热汤送服。
消暑丸并不直接治疗暑邪,而是治疗湿邪,使湿邪去除则暑邪也随之消退,立意甚佳。然而必须配合一两种清热解表药物才为得当。
干姜、桂枝、杏仁(去皮尖)、甘草等分。
先将甘草用白砂炒制,然后放入干姜、杏仁一起炒过,去掉砂,再加入桂枝研成粉末。每次服用二钱。
这就是治疗暑月感受寒邪的方剂。因为是因暑天贪凉而受寒,所以只治寒邪而不治暑邪。
猪苓、茯苓、白术(炒)十八铢、泽泻一两六铢半、桂枝五钱。
湿气是地气的一部分,它侵入人体缓慢,深入体内,其致病过程不能急于求成。久坐卧于卑湿之地,汗水浸渍或被雨淋湿,这是湿气从外部侵入;饮食过于浓腻,过度嗜好茶酒,这是湿气从内部产生。治疗湿邪必须先调理脾胃,脾土健运,才能渗泄湿邪,这是固定的法则。另外必须通过利尿分消的方法,使浊阴之气从下焦排出,这也是固定的法则。五苓散,张仲景原本是为脉象浮、小便不利、微热、消渴、表里同病者而设立的。方中应当使用桂枝,不可使用肉桂。后人便通用此方治疗各种湿邪、腹部胀满、水饮内停、水肿、呕吐逆气、泄泻、水寒射肺导致的喘息或咳嗽、中暑烦渴、身热头痛、膀胱热、便秘且渴、霍乱吐泻、痰饮湿症、身体疼痛沉重等症状。总之,治疗寒湿时宜用肉桂,不宜用桂枝。如果是重阴生阳,积湿化热,则应当加入清热利湿的药物,并且桂枝也不可用了。至于加减变化的附方,各有适宜的适应症,也应当仔细参详。
Ginseng Radix (Renshen), Ophiopogonis Tuber (Maidong) 5 fen, Schisandrae Fructus (Wuweizi) 7 grains.
The Liver governs Qi mechanism, and the Heart governs Blood. Shengmai San (Pulse-Generating Powder) nourishes the Yin of the Heart and Lungs, allowing Qi and Blood to nourish the whole body; furthermore, it contains sour astringent herbs to gather scattered Qi, stop sweating, and relieve cough. It is suitable for deficient patients without external pathogenic factors during the summer months.
Talcum (Huashi) 6 liang, Licorice Root (Gancao) 1 liang.
Grind into powder, take with cold water or Decoction of Juncus Effusus (Dengxincao). When Cinnabar (Chensha) is added to this formula, it is named Yiyuan San (Benefit-One Powder); when Mint (Bohe) is added, it is named Jisu San (Chicken-Su Powder); when Indigo Naturalis (Qingdai) is added, it is named Biyu San (Jasper Powder).
Liuyi San (Six-to-One Powder) can be applied to those with robust constitutions, intense heat, and excessive internal accumulation. However, if used for those with weak constitutions and deficient Qi, the cold nature will injure Spleen Yang, and the slippery nature will injure Kidney Qi, leading to reduced appetite, fluid deficiency, and thirst. The same applies to Yiyuan San, Jisu San, and Biyu San; they should not be indiscriminately administered simply because it is summer.
Amomum Fruit (Sharen), Tsaoko Fruit (Caoguo, baked and peeled), Mume Fruit (Wumei), Roasted Licorice Root (Zhi Gancao) 4 liang, Fried and Crushed Broad Bean (Bian Dou), Kudzu Root (Gegen) 2 liang.
The pungent and drying herbs in this formula are too strong; it may be used to strengthen the Spleen and remove Dampness. However, I do not agree that it clears Summerheat, relieves irritability, or stops thirst.
Pinellia Tuber (Banxia) 1 jin (boiled dry with 5 jin of Vinegar), Poria (Fuling), Raw Licorice Root (Sheng Gancao) 0.5 jin.
Make pills using Ginger Juice (Jiangzhi), avoiding contact with raw water. Take with hot water decoction.
Xiaoshu Wan (Summerheat-Relieving Pill) does not directly treat Summerheat but treats Dampness; by removing Dampness, Summerheat also subsides, which is an excellent intention. However, it must be combined with one or two Heat-clearing and resolving herbs to be effective.
Dried Ginger (Ganjiang), Cinnamon Twig (Guizhi), Apricot Seed (Xingren, skin and tip removed), Licorice Root (Gancao) in equal proportions.
First, stir-fry Licorice Root with white sand; then add Dried Ginger and Apricot Seeds and stir-fry together. Remove the sand, mix with Cinnamon Twig, and grind into powder. Take 2 qian per dose.
This is the formula for treating Cold damage (Shanghan) during the Summerheat season. Because the condition arises from contracting Cold due to Summerheat habits, it treats only the Cold and not the Summerheat.
Polyporus (Zhuling), Poria (Fuling), Fried Atractylodes Rhizome (Chao Baizhu) 18 zhu, Alisma Rhizome (Zexie) 1 liang 6 zhu half, Cinnamon Twig (Guizhi) 5 qian.
Dampness is the Qi of the earth; its invasion of the human body is slow, its entry is deep, and its pathological manifestation cannot be resolved hastily. Sitting or lying in damp places, being soaked in sweat or rain, represents Dampness coming from outside; consuming rich and greasy foods excessively, or over-indulging in tea and alcohol, represents Dampness generated from within. To treat Dampness, one must first regulate the Spleen; only when Spleen Earth functions vigorously can it seep out Dampness—this is a fixed principle. Additionally, one must employ diuresis to separate and drain, allowing turbid Yin to exit from below—this is also a fixed principle. Wuling San (Five-Ingredient Powder with Poria), originally established by Zhang Zhongjing, was designed for cases presenting with floating pulse, difficulty in urination, slight fever, and polydipsia, involving both exterior and interior pathology. In this formula, Cinnamon Twig (Guizhi) should be used, not Cinnamon Bark (Rougui). Later practitioners extended its use to treat various Dampness conditions, abdominal fullness, fluid retention, edema, vomiting, diarrhea, Water-Cold attacking the Lung causing wheezing or cough, Summerheat with irritability and thirst, fever and headache, Bladder Heat, constipation with thirst, cholera-like vomiting and diarrhea, phlegm-fluid and Dampness syndromes, body pain, and heaviness. In summary, when treating Cold-Damp, Rougui (Cinnamon Bark) is appropriate, while Guizhi (Cinnamon Twig) is not. If severe Yin generates Yang, and accumulated Dampness transforms into Heat, Heat-clearing and draining herbs should be added, and even Guizhi should be avoided. As for the modified attached formulas, each has its specific indications and should be carefully studied.