(仲景)
治伤寒脉结代,心动悸;及肺痿,咳唾多,心中温温液液者(脉动而中止,能自还者曰
结,不能自还曰代,血竭虚衰,不能相续也;心中动悸,真气内虚也。按∶伤寒脉结代,与
杂病不同,与此汤补气血而复脉。肺气虚则成痿,胃中津液之上供者,悉从燥热化为涎沫,
故咳唾多
《宝鉴》用治呃逆。
甘草(炙,四两) 生姜 桂枝(三两) 人参 阿胶(蛤粉炒,二两) 生地黄(一
斤) 麦
此手足太阴药也。人参、麦冬、甘草、大枣益中气而复脉,生地、阿胶助营血而宁心,
麻仁润
五脏痿
也(喻嘉言曰∶此仲景伤寒门中之圣方也。《千金翼》用治虚劳,《外台》用治肺痿,究竟本
方所治亦何止二病哉。《外台》所取在于益肺气之虚,润肺金之燥,至于桂枝辛热,似有不
宜,不知桂枝能通营卫,致津液,则肺气能转输涎沫,以渐而下,尤为要紧,所以云治心中
温温液液也。《玉机微义》曰∶肺痿如咳久声哑、声嘶咯血,此属阴虚火热甚也;吐涎沫而
不咳不渴,必遗尿、小便数,以上虚不能制下,此肺中冷也,必眩、多涎唾,用炙甘草干姜
汤以温之;肺痿涎唾多、心中温温液液者,用炙甘草汤,此补虚劳也,亦与补阴虚火热不同,
故肺
(《金匮》)
治火逆上气,咽喉不利(论曰∶止逆下气,此汤主之。)
麦门冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 大枣(十二枚) 粳
米(三合。)
此手太阴、足阳明药也。喻嘉言曰∶此胃中津液干枯、虚火上炎之证,用寒凉药而火反
升;
甘
实善用半夏之功,擅古今未有之奇矣(按∶半夏亦脾胃药,能燥能润,以能行水故燥,以味
辛
(张仲景)
治疗伤寒病中出现脉象结代、心中悸动不安;以及肺痿病,表现为咳嗽吐涎沫多,心中感觉烦闷不适(脉动而有中止,能自行恢复的称为结,不能自行恢复的称为代,这是血液枯竭虚衰,不能连续接续的表现;心中悸动不安,是真气内部虚弱的表现。按:伤寒病的脉结代,与杂病不同,使用此汤剂补益气血以恢复脉象。肺气虚弱则形成痿证,胃中津液向上供养的部分,全部被燥热转化为涎沫,所以咳嗽吐涎沫多)。《宝鉴》用它治疗呃逆。
甘草(炙用,四两) 生姜 桂枝(三两) 人参 阿胶(用蛤粉炒,二两) 生地黄(一斤) 麦冬 麻仁 大枣(十二枚) 清酒(一升)
这是手足太阴经的药物。人参、麦冬、甘草、大枣补益中气并恢复脉象,生地、阿胶辅助营血并宁心安神,麻仁润五脏之痿(喻嘉言说:这是张仲景伤寒门中的圣方。《千金翼》用它治疗虚劳,《外台秘要》用它治疗肺痿,究竟本方所治疗的又何止这两种病呢?《外台秘要》选取此方在于补益肺气的虚弱,润肺金的干燥,至于桂枝性味辛热,似乎不太适宜,但不知道桂枝能通达营卫,输送津液,这样肺气就能转输涎沫,逐渐下行,这尤为关键,所以说治疗心中烦闷不适的感觉。《玉机微义》说:肺痿如咳嗽久了声音嘶哑、声嘶咯血,这属于阴虚火热很盛的情况;吐涎沫而不咳嗽不口渴,必定有遗尿、小便频数,这是因为上焦虚不能制约下焦,这是肺中寒冷,必定眩晕、多涎唾,用炙甘草干姜汤来温煦它;肺痿涎唾多、心中烦闷不适的,用炙甘草汤,这是补益虚劳,也与补益阴虚火热不同,所以肺……
(《金匮要略》)
治疗火邪导致的气逆上冲,咽喉不利(论述说:止逆下气,此汤主治。)
麦冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 大枣(十二枚) 粳米(三合)
这是手太阴肺经和足阳明胃经的药物。喻嘉言说:这是胃中津液干枯、虚火上炎的证候,使用寒凉药而火反而上升;甘……实际上善于利用半夏的功效,擅长古今未有之奇效了(按:半夏也是脾胃药,既能燥湿又能润燥,因为能行水所以燥,因为味辛……
(Zhang Zhongjing)
Treats Taiyang disease (Taiyang disease) presenting with a knotted and intermittent pulse (Jiedai Mai, a pulse with irregular pauses) and palpitations (Xindongji); as well as Lung萎 (Feiwang, lung atrophy/flaccidity), characterized by copious coughing and expectoration of saliva, and a sensation of discomfort or fluid retention in the heart region. (A pause that recovers spontaneously is called "Knotted" (Jie); one that does not recover spontaneously is called "Intermittent" (Dai), indicating exhaustion of blood and deficiency decline, unable to continue sequentially; palpitations indicate internal deficiency of true Qi. Note: The knotted and intermittent pulse in Taiyang disease differs from that in miscellaneous diseases; this decoction tonifies Qi and Blood to restore the pulse. Deficiency of Lung Qi leads to Feiwei; the fluids supplied upward from the Stomach are entirely transformed into saliva by dryness-heat, hence the copious coughing and expectoration.) Baofan uses it to treat hiccups (Eni).
Gancao (Honey-fried Licorice Root, four liang) Shengjiang (Fresh Ginger, three liang) Guizhi (Cinnamon Twig, three liang) Renshen (Ginseng Root) Ejiao (Donkey-hide Gelatin, fried with clam powder, two liang) Shengdihuang (Rehmannia Root, one jin) Maidong (Ophiopogon Tuber) Mahuang (Ephedrae Herba - *Note: Text implies Mahuang/Hemp Seed context but lists Mahuang usually for sweating, here likely Huomaren/Hemp Seed based on formula composition, but text says 'Ma' then cuts off. Assuming standard Zhi Gancao Tang ingredients: Huomaren/Hemp Seed*) Dazao (Jujube Fruit, twelve pieces) Qingjiu (Clear Wine, one sheng).
These are herbs for the Hand-Taiyin and Foot-Taiyin meridians. Renshen, Maidong, Gancao, and Dazao tonify Middle Qi and restore the pulse; Shengdihuang and Ejiao assist Ying-Blood and calm the Heart; Huomaren moistens the five Zang organs' flaccidity. (Yu Jiayan said: This is the sacred prescription of Zhang Zhongjing's Taiyang disease section. Qianjin Yi uses it for Xu Lao (Deficiency Consumption); Waitai uses it for Feiwei. Ultimately, what diseases does this original formula treat beyond just these two? Waitai selects it to tonify Lung Qi deficiency and moisten Lung Metal dryness. Regarding Guizhi being acrid and hot, it seems inappropriate; however, Guizhi can unblock Ying and Wei, distribute fluids, so that Lung Qi can transport saliva downward gradually, which is crucial, hence it treats the sensation of discomfort in the heart region. Yuji Wei Yi states: Feiwei such as long-term cough with hoarseness or hemoptysis belongs to severe Yin deficiency with fire; expectorating saliva without cough or thirst, accompanied by enuresis and frequent urination, indicates Upper deficiency failing to control Lower, i.e., Cold in the Lung, causing dizziness and excessive saliva, treated with Zhi Gancao Ganjiang Tang to warm it; Feiwei with copious saliva and heart discomfort is treated with Zhi Gancao Tang, which tonifies deficiency consumption, differing from tonifying Yin deficiency with fire, thus Lung...)
(Jin Gui Yao Lue)
Treats Fire pathogen causing Qi rebellion ascending, with difficulty in the throat (The discussion states: To stop rebellion and direct Qi downward, this decoction governs.)
Maidong (Ophiopogon Tuber, seven sheng) Banxia (Pinellia Tuber, one sheng) Renshen (Ginseng Root, three liang) Gancao (Licorice Root, two liang) Dazao (Jujube Fruit, twelve pieces) Jingmi (Rice Grain, three he).
These are herbs for the Hand-Taiyin Lung meridian and Foot-Yangming Stomach meridian. Yu Jiayan said: This is a syndrome of dryness and depletion of fluids in the Stomach with defluxion of deficient fire; using cold-cooling herbs causes the fire to rise further; Gan... actually skillfully utilizes the efficacy of Banxia, achieving wonders unprecedented in ancient and modern times (Note: Banxia is also a Spleen-Stomach herb, capable of drying and moistening; it dries because it moves water, and due to its acrid taste...)