(节庵制此以代葛根汤)
治太阳阳明合病,头目眼眶痛,鼻干不眠,恶寒无汗,脉微洪(太阳脉起目内 ,上额
交巅,阳明脉上至额颅,络于目,风寒上干,故头痛、目痛、眶痛也;恶寒无汗,属太阳;
鼻干不
柴胡 葛根 羌活 白芷 黄芩 芍药 桔梗 甘草。加姜 枣 石膏(一钱煎服。)
无
此足太阳、阳明药也。寒邪在经、羌活散太阳之邪(用此以代麻黄),芷、葛散阳明之
邪,柴胡散少阳之邪(此邪未入少阳,而节庵加用之);寒将为热,故以黄芩、石膏、桔梗
清之(三药并泄
(《局方》)
治少阳阳明合病,伤风壮热恶风,头痛体痛,鼻塞咽干,痰盛咳嗽,唾涕稠粘;及阳气
郁遏
至于
在
然受病之源,亦有不同,若表虚受风,专用发表之药,必至汗多亡阳之证,若内挟痰热而受
风,亦宜内外交治,不可专于解表也。或曰此云表虚,与伤寒中风表虚同欤?余曰不同也,
彼以太阳中风,而于有汗无汗分虚实,实者加麻黄,虚者加葛根,俱解表也;此云表虚者
,当固守卫气而散风者也)。
柴胡 前胡黄芩(六钱) 升麻(五钱) 葛根 桑白皮(四钱) 荆芥(七钱) 赤
芍石
此足少阳、阳明药也。阳明而兼少阳,则表里俱不可攻,只宜和解(在经宜和)。柴胡
平少阳之热,升、葛散阳明之邪(三药皆能升提清阳),前胡消痰下气而解风寒,桑皮泻肺
利湿而止痰嗽,荆芥疏风热而清头目,赤芍调营血而散肝邪,黄芩清火于上中二焦,石膏泻
热于肺胃之部(
治疗太阳病与阳明病同时发生的合病,症状包括头部、眼睛及眼眶疼痛,鼻干,失眠,怕冷且无汗,脉象微洪大。(注:太阳经的脉气起于目内眦,上行至额部并交会于头顶;阳明经的脉气上行至额颅,联络眼部。风寒之邪上犯,所以导致头痛、眼痛、眼眶痛;怕冷无汗属于太阳病的特征;鼻干不眠……)
药材组成:柴胡、葛根、羌活、白芷、黄芩、芍药、桔梗、甘草。煎服时加入生姜、大枣和石膏(用量为一钱)。
这是治疗足太阳经和足阳明经疾病的方剂。寒邪在经络中,用羌活发散太阳经的邪气(此处用它来代替麻黄),用白芷和葛根发散阳明经的邪气,用柴胡发散少阳经的邪气(此时邪气尚未进入少阳经,但节庵加入了这味药);寒邪将转化为热邪,所以用黄芩、石膏、桔梗来清热(这三味药都能泄热……)。
(出自《太平惠民和剂局方》)
治疗少阳病与阳明病同时发生的合病,表现为伤风后高热、怕风,头痛身体疼痛,鼻塞咽干,痰多咳嗽,吐出的痰涕稠厚粘腻;以及阳气被郁遏……
至于……在……
然而,受病的根源也有不同。如果是表虚受风,专门使用发汗解表的药物,必然会导致出汗过多而亡失阳气的证候;如果是体内夹杂痰热而感受风邪,也应当内外兼治,不能只专注于解表。有人问:这里所说的“表虚”,与伤寒中风中的“表虚”相同吗?我回答说:不同。那是指太阳中风证,根据有汗或无汗来区分虚实,实证加麻黄,虚证加葛根,都是解表的方法;这里所说的“表虚”,应当是巩固护卫之气并疏散风邪的方法)。
药材组成:柴胡、前胡、黄芩(六钱)、升麻(五钱)、葛根、桑白皮(四钱)、荆芥(七钱)、赤芍、石……
这是治疗足少阳经和足阳明经疾病的方剂。阳明病兼有少阳病,则表里都不宜攻下,只适宜和解(在经宜用和解法)。柴胡平抑少阳经的热邪,升麻和葛根发散阳明经的邪气(这三味药都能升提清阳),前胡消除痰浊、降气并解除风寒,桑白皮泻肺利湿并停止痰咳,荆芥疏风清热并清利头目,赤芍调和营血并疏散肝邪,黄芩清上焦和中焦的火邪,石膏泻肺胃部位的熱邪(……)
(This formula was created by Jie'an to replace Ge Gen Tang.)
It treats concurrent disease of the Taiyang and Yangming channels, with symptoms including pain in the head, eyes, and eye sockets, dryness of the nose, insomnia, aversion to cold, absence of sweating, and a slightly flooding pulse. (Note: The Taiyang channel originates from the inner canthus, ascends to the forehead, and intersects at the vertex; the Yangming channel ascends to the frontal skull and connects with the eyes. When wind-cold pathogenic factors attack upward, it causes headache, eye pain, and orbital pain; aversion to cold and absence of sweating belong to Taiyang characteristics; dryness of the nose and insomnia...)
Ingredients: Chai Hu (Bupleuri Radix), Ge Gen (Puerariae Lobatae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix). Decoct with fresh ginger, jujube, and Shi Gao (Gypsum Fibrosum, 1 qian).
This is a formula for treating diseases of the Foot-Taiyang and Foot-Yangming channels. When cold pathogens are in the meridians, Qiang Huo disperses the pathogen of the Taiyang channel (used here instead of Ma Huang); Bai Zhi and Ge Gen disperse the pathogen of the Yangming channel; Chai Hu disperses the pathogen of the Shaoyang channel (although the pathogen has not yet entered the Shaoyang channel, Jie'an added it); since cold will transform into heat, Huang Qin, Shi Gao, and Jie Geng are used to clear heat (these three herbs drain heat...).
(From *Ju Fang*)
It treats concurrent disease of the Shaoyang and Yangming channels, manifesting as high fever and aversion to wind after contracting wind, headache and body ache, nasal congestion, dry throat, profuse phlegm and cough, and thick, sticky sputum and nasal discharge; as well as depression of Yang qi...
As for... in...
However, the source of illness varies. If one contracts wind due to exterior deficiency, using only diaphoretic drugs will inevitably lead to excessive sweating and loss of Yang qi. If wind is contracted while internal phlegm-heat exists, both interior and exterior must be treated simultaneously; one cannot focus solely on releasing the exterior. One might ask: Is this "exterior deficiency" the same as that in Taiyang wind-strike? I reply: No. In Taiyang wind-strike, deficiency or excess is distinguished by the presence or absence of sweat; excess adds Ma Huang, deficiency adds Ge Gen, both for releasing the exterior. Here, "exterior deficiency" refers to consolidating the defensive Qi and dispersing wind).
Ingredients: Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Huang Qin (Scutellariae Radix, 6 qian), Sheng Ma (Cimicifugae Rhizoma, 5 qian), Ge Gen (Puerariae Lobatae Radix), Sang Bai Pi (Mori Cortex, 4 qian), Jing Jie (Schizonepetae Spica, 7 qian), Chi Shao (Paeoniae Radix Rubra), Shi...
This is a formula for treating diseases of the Foot-Shaoyang and Foot-Yangming channels. When Yangming disease involves Shaoyang, neither the exterior nor the interior should be purged; only harmonization is suitable (harmonization is appropriate when the pathogen is in the meridians). Chai Hu pacifies the heat of the Shaoyang channel; Sheng Ma and Ge Gen disperse the pathogen of the Yangming channel (all three can raise clear Yang); Qian Hu eliminates phlegm, directs Qi downward, and resolves wind-cold; Sang Bai Pi drains the lungs, promotes diuresis, and stops phlegm cough; Jing Jie dispels wind-heat and clears the head and eyes; Chi Shao regulates Ying blood and disperses Liver pathogenic factors; Huang Qin clears fire in the Upper and Middle Jiao; Shi Gao drains heat from the Lung and Stomach regions (...).