葛根半斤 甘草(炙) 黄芩二两 黄连二两
太阳误下,热入阳明,故于解表中,清阳明之热以止利。
石膏一两五钱 黄芩 黄连 黄柏七钱 栀子二十个 麻黄 淡豉二合
每服一两,姜三片,枣二枚,细茶一撮煎服。
三焦郁热,毒火炽盛,非三黄、石膏不足以祛之。尤妙在麻黄、豆豉开解肌表,使郁火
通行。此正如清风涤烦,非发风助火也。
白芷 陈皮 浓朴六分 当归 川芎 芍药 茯苓 桔梗八分 苍术 枳壳七分 半夏
麻黄四分 干姜 肉桂(重表者用桂枝) 甘草三分
加姜、葱煎。
仲景治伤寒,发表则麻黄、桂枝,温中则干姜、附子,简当的确,开后学无限法门。此
方不过发表温中耳,而药味繁多,通治五积,岂有一人之身,五积咸备,而尚能有活者乎?
若其人只有一积,或多则二积,岂可以五积并治者治之乎?后人于本方再合人参败毒散,名
曰五积交加散,则更不解所谓矣。
青皮 陈皮 黄连(酒炒) 黄柏(酒炒) 甘草(炙) 升麻二分 柴胡 桂枝 人
参黄 浓朴 苍术(泔浸) 白术(土炒) 猪苓三分 茯苓 泽泻 吴萸四分 白蔻 炒
曲各五分 麻黄(不去节)六分 杏仁四粒
分二服。
药须对症而发。见一症,治一症,合病则合治之,并病则并治之,如是而已,未闻可以
六经通治也。方中药有二十二味,补散温凉,一齐用到。即如升、柴、麻、桂等,岂不与喘
促无力相妨乎?黄连、黄柏等岂不与脐有动气、小腹急痛相戾乎?不谓东垣老人亦有此等方,
何况自桧以下。
葛根半斤,甘草(炙),黄芩二两,黄连二两。
太阳病误用下法后,邪热内传入阳明经,因此在此解表方中加入清泄阳明经热邪的药物以治疗腹泻。
石膏一两五钱,黄芩,黄连,黄柏七钱,栀子二十个,麻黄,淡豆豉二合。
每次服用一两药量,加生姜三片、大枣二枚、少量细茶,煎煮后服用。
三焦气机郁滞化热,毒火炽盛,非用黄连、黄芩、黄柏及石膏不足以祛除。尤其妙在麻黄、淡豆豉能开泄肌表,使郁结之火得以通行散发。这正如清风消除烦闷,并非刮风助长火势。
白芷,陈皮,厚朴六分,当归,川芎,芍药,茯苓,桔梗八分,苍术,枳壳七分,半夏,麻黄四分,干姜,肉桂(若表证较重者改用桂枝),甘草三分。
加入生姜、葱白煎服。
张仲景治疗伤寒,发表散寒则用麻黄、桂枝,温中散寒则用干姜、附子,简明恰当且确切,为后世开启了无数法门。此方不过是发表散寒、温中散寒罢了,但药味繁多,号称通治“五积”,难道一个人身上会同时具备五种积滞,还能存活吗?如果此人只有一种积滞,或者多至两种,怎能使用针对五种积滞并治的方剂来治疗呢?后人将此方再合并人参败毒散,命名为“五积交加散”,那就更加令人不解了。
青皮,陈皮,黄连(酒炒),黄柏(酒炒),甘草(炙),升麻二分,柴胡,桂枝,人参,黄芩,厚朴,苍术(泔水浸泡),白术(土炒),猪苓三分,茯苓,泽泻,吴茱萸四分,白豆蔻,炒神曲各五分,麻黄(不去节)六分,杏仁四粒。
分为两次服用。
药物必须对症施用。见到一种症状,就治疗一种症状;合病则合并治疗,并病则一并治疗,如此而已,未曾听说可以通治六经疾病。此方中有二十二味药,补益、发散、温性、凉性药物一齐使用。就像升麻、柴胡、麻黄、桂枝等,岂不与气喘急促、身体无力相冲突吗?黄连、黄柏等,岂不与脐部有动气、小腹部急痛相违背吗?没想到李东垣老人也有这样的方子,何况是秦桧以下的人。
Ge Gen (Kudzu Root) half jin, Gan Cao (Licorice Root, honey-fried), Huang Qin (Scutellaria Root) two liang, Huang Lian (Coptis Rhizome) two liang.
After the Taiyang disease was mistakenly treated with purgation, heat entered the Yangming channel; therefore, in this exterior-releasing formula, herbs that clear Yangming heat are added to stop diarrhea.
Shi Gao (Gypsum Fibrosum) one liang and five qian, Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Huang Bai (Phellodendron Bark) seven qian, Zhi Zi (Gardenia Fruit) twenty fruits, Ma Huang (Ephedra Herba), Dan Chi (Soja Semen Praeparatum) two he.
Each dose consists of one liang of herbs, decocted with three slices of Sheng Jiang (Fresh Ginger), two dates, and a pinch of fine tea.
When heat stagnates in the San Jiao (Triple Burner) and toxic fire blazes fiercely, only San Huang (the combination of Huang Lian, Huang Qin, and Huang Bai) and Shi Gao can dispel it. The brilliance lies particularly in Ma Huang and Dan Chi opening the muscle layer to allow the stagnant fire to circulate freely. This is like a cool breeze dispelling vexation, not wind assisting the fire.
Bai Zhi (Angelicae Dahuricae Radix), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex) six fen, Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix) eight fen, Cang Zhu (Atractylodis Rhizoma), Zhi Ke (Aurantii Fructus Immaturus) seven fen, Ban Xia (Pinelliae Tuber), Ma Huang (Ephedra Herba) four fen, Gan Jiang (Zingiberis Rhizoma), Rou Gui (Cinnamomi Cortex) (use Gui Zhi if the exterior syndrome is severe), Gan Cao (Licorice Root) three fen.
Decoct with Sheng Jiang (Fresh Ginger) and Cong Bai (Allii Fistulosi Bulbus).
Zhang Zhongjing treated Shang Han (Cold Damage); for releasing the exterior, he used Ma Huang and Gui Zhi; for warming the interior, he used Gan Jiang and Fu Zi. His prescriptions were concise, appropriate, and accurate, opening infinite methods for later generations. This formula merely releases the exterior and warms the middle; yet it contains numerous ingredients and claims to treat all "Five Accumulations." Can one person truly possess all five accumulations simultaneously and still survive? If a patient has only one accumulation, or at most two, how can a formula designed to treat five accumulations be applied? Later practitioners combined this formula with Ren Shen Bai Du San (Ginseng Detoxication Powder) to create Wu Ji Jiao Jia San (Five Accumulations Mixed Powder), which is even more incomprehensible.
Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Huang Lian (Coptis Rhizome, wine-fried), Huang Bai (Phellodendron Bark, wine-fried), Gan Cao (Licorice Root, honey-fried), Sheng Ma (Cimicifugae Rhizoma) two fen, Chai Hu (Bupleuri Radix), Gui Zhi (Cinnamon Twig), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellaria Root), Hou Po (Magnoliae Officinalis Cortex), Cang Zhu (Atractylodis Rhizoma, soaked in rice water), Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Zhu Ling (Poria) three fen, Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Wu Yu (Evodiae Fructus) four fen, Bai Kou (Amomi Fructus Rotundus), Chao Qu (Stelea Fermentum, stir-baked) each five fen, Ma Huang (Ephedra Herba, nodes unremoved) six fen, Xing Ren (Armeniacae Semen Amarum) four kernels.
Divide into two doses.
Medicinals must be administered according to the specific symptoms. When one symptom appears, treat that symptom; for He Bing (combined diseases), treat them together; for Bing Bing (concurrent diseases), treat them concurrently. That is all. It has never been heard that one formula can universally treat the Six Channels. This formula contains twenty-two ingredients, employing tonifying, dispersing, warming, and cooling herbs simultaneously. For instance, do Sheng Ma, Chai Hu, Ma Huang, and Gui Zhi not conflict with panting, shortness of breath, and weakness? Do Huang Lian and Huang Bai not contradict the presence of pulsating qi at the umbilicus and acute pain in the lower abdomen? Unexpectedly, Dong Yuan Lao Ren (Li Dongyuan) also possessed such formulas, let alone those below Qin Hui.