(《千金》)
治肝肾虚热,风湿内攻,腰膝作痛,冷痹无力,屈伸不便(肾,水脏也,虚则寒湿之气
凑之,故腰膝作实而痛。冷痹者,阴邪胜也。肝主筋,肾主骨,《灵枢》曰∶能屈而不能伸
者,病
独活 桑寄生(如无真者以续断代之) 秦艽 防风 细辛 当归(酒洗) 芍药(酒
炒)
分。每服四
此足少阴、厥阴药也。独活、细辛入少阴,通血脉,偕秦艽、防风疏经升阳以祛风;桑
寄生
桂
痛
本方除独活、寄生,加羌活、续断,名羌活续断汤∶治同。
(《宝鉴》)
治小儿因惊发搐,痰多眼白,痫 筋挛(小儿神气尚弱,惊则神思无根据,又动于肝风,
风
羌活(五钱) 独活(四钱) 沉香 益智仁 川乌(二钱) 附子(炮) 天麻 防
风半夏
此足厥阴药也。《宝鉴》曰∶恐则气下,精怯而上焦闭。以羌活、独活苦温引气上行,
又入
胃气
以生
治国中风不知人事,口噤不开(风鼓火盛,痰涎上壅,故不省人事;风冷之气,客于胸
中
藜芦 甘草(生用) 细辛 人参 川芎(一钱) 石膏(五钱)。为末。用一字吹入
鼻中,
此手太阴、少阴药也。吴鹤皋曰∶中风不省人事,病已亟矣,非平药可以开其壅塞,故
用藜芦,与人参、细辛取其相反而相用也(藜芦苦寒有毒,入口即吐,能通脑顶,令人嚏;
与人参、细辛相反,细辛散风通窍,温经破痰);肺苦气上逆,故用石膏之重以坠之气即火
也,痰随火涌,故用石膏辛寒,入肺降火);甘草之平以缓之;芎 之用,取其清气利窍而
已芎 升清阳而开诸郁,为通阴阳血气之使。凡诸卒中、尸厥、郁冒皆当发表,还魂汤用麻
黄、桂枝,清魂汤用荆芥,及用皂角、半夏搐鼻取嚏,藜芦、砒石折齿取痰,皆所以开发三
焦,使表邪
(出自《千金方》)
治疗肝肾虚热,风湿之邪内侵,导致腰膝疼痛,冷痹且肢体无力,屈伸活动不便。(肾为水脏,肾虚则寒湿之气容易侵袭,所以腰膝感觉沉重而疼痛。冷痹是由于阴邪亢盛所致。肝主司筋脉,肾主司骨骼,《灵枢经》说:能够弯曲但不能伸展的,是病在筋。)
独活、桑寄生(如果没有真品,可以用续断代替)、秦艽、防风、细辛、当归(用酒清洗)、芍药(用酒炒制)。
此方属于足少阴肾经和足厥阴肝经的药物。独活、细辛入少阴经,疏通血脉,配合秦艽、防风疏解经络、升发阳气以祛除风邪;桑寄生……(此处原文有缺漏或排版错误,通常指桑寄生补肝肾强筋骨,桂枝温通经脉等,但根据提供的文本片段,仅能翻译可见部分)……痛。
本方除去独活、桑寄生,加入羌活、续断,名为羌活续断汤:治疗同样的病症。
(出自《医学启源·宝鉴》)
治疗小儿因受惊引发的抽搐,痰多眼白显露,癫痫及筋脉拘挛。(小儿神气尚且虚弱,受惊则神思无所依托,又引动肝风,风……)
羌活(五钱)、独活(四钱)、沉香、益智仁、川乌(二钱)、附子(炮制)、天麻、防风、半夏。
此方属于足厥阴肝经的药物。《宝鉴》说:恐惧会使气机下陷,精气怯弱而上焦闭塞。用羌活、独活的苦温之性引导气机上行,又入……胃气……以生……
治疗中风导致人事不省,口噤不能张开(风鼓动火气旺盛,痰涎上涌壅塞,所以不省人事;风冷之气,客居于胸中……)
藜芦、甘草(生用)、细辛、人参、川芎(一钱)、石膏(五钱)。研为细末。取“一字”量吹入鼻中,……
此方属于手太阴肺经和手少阴心经的药物。吴鹤皋说:中风导致不省人事,病情已经危急,非平和的药物可以开通其壅塞,所以使用藜芦,与人参、细辛配合,取其相反相成的作用(藜芦苦寒有毒,入口即引起呕吐,能通达脑顶,令人打喷嚏;与人参、细辛药性相反,细辛疏散风邪、通利孔窍,温经破除痰浊);肺厌恶气机上逆,所以用石膏的重坠之性来降气,气即是火也,痰随着火势上涌,所以用石膏的辛寒之性,入肺经以降火);用甘草的平和之性来缓和药势;川芎的作用,取其清气、通利孔窍而已。川芎升发清阳而开通各种郁结,是通行阴阳血气的使者。凡是各种卒中、尸厥、郁冒都应当发表,还魂汤使用麻黄、桂枝,清魂汤使用荆芥,以及使用皂角、半夏搐鼻取嚏,藜芦、砒石折齿取痰,都是用来开发三焦,使表邪……
(From *Qianjin Fang*)
Treats deficiency-heat of the Liver and Kidney, with Wind-Dampness attacking internally, causing pain in the lower back and knees, cold Bi syndrome with weakness, and difficulty in flexion and extension. (The Kidney is the Water organ; when deficient, Cold-Damp Qi tends to gather there, hence the heaviness and pain in the lower back and knees. Cold Bi is caused by the predominance of Yin pathogenic factors. The Liver governs the sinews, and the Kidney governs the bones. As stated in the *Ling Shu*: "Able to flex but not to extend" indicates a disease of the sinews.)
Du Huo (Radix Angelicae Pubescentis), Sang Ji Sheng (Cacumen Taxilli) [If authentic product is unavailable, substitute with Xu Duan (Radix Dipsaci)], Qin Jiao (Radix Gentianae Macrophyllae), Fang Feng (Radix Saposhnikoviae), Xi Xin (Herba Asari), Dang Gui (Radix Angelicae Sinensis) [washed with wine], Shao Yao (Radix Paeoniae Lactiflorae) [stir-fried with wine].
This formula consists of herbs belonging to the Foot-Shaoyin Kidney Meridian and Foot-Jueyin Liver Meridian. Du Huo and Xi Xin enter the Shaoyin meridian, unblocking the blood vessels; accompanied by Qin Jiao and Fang Feng to dissipate the meridians, raise Yang, and expel Wind; Sang Ji Sheng... [text fragment] ...pain.
By removing Du Huo and Sang Ji Sheng from this formula and adding Qiang Huo (Radix Notopterygii) and Xu Duan (Radix Dipsaci), it is named Qiang Huo Xu Duan Tang: treating the same conditions.
(From *Yi Xue Qi Yuan* / *Bao Jian*)
Treats pediatric convulsions triggered by fright, excessive phlegm, white sclera showing, epilepsy, and tendon spasms. (Children's Shen-Qi is still weak; fright causes the Shen to lack foundation, and further stirs up Liver Wind, Wind...)
Qiang Huo (5 qian), Du Huo (4 qian), Chen Xiang (Lignum Aquilariae Resinatum), Yi Zhi Ren (Fructus Alpiniae Oxyphyllae), Chuan Wu (Radix Aconiti Carmerhanii) (2 qian), Fu Zi (Radix Aconiti Lateralis Preparata), Tian Ma (Rhizoma Gastrodiae), Fang Feng (Radix Saposhnikoviae), Ban Xia (Rhizoma Pinelliae).
This formula belongs to the Foot-Jueyin Liver Meridian. *Bao Jian* states: "Fear causes Qi to sink, Essence becomes timid, and the Upper Jiao becomes closed." Using the bitter-warm nature of Qiang Huo and Du Huo to guide Qi upward, and entering... Stomach Qi... to generate...
Treats stroke resulting in loss of consciousness and locked jaw (Wind agitates Fire, causing Phlegm-Saliva to surge upward and obstruct, hence loss of consciousness; Cold-Wind Qi lodges in the chest...)
Li Lu (Radix Veratri Albii), Gan Cao (Radix Glycyrrhizae Uralensis) [raw use], Xi Xin (Herba Asari), Ren Shen (Radix Ginseng), Chuan Xiong (Rhizoma Chuanxiong) (1 qian), Shi Gao (Gypsum Fibrosum) (5 qian). Pulverized into fine powder. Blow a dose of "one character" weight into the nasal cavity...
This formula consists of herbs belonging to the Hand-Taiyin Lung Meridian and Hand-Shaoyin Heart Meridian. Wu Hegao said: Stroke with loss of consciousness indicates an critical condition; mild medicines cannot open the obstruction, hence Li Lu is used. Combined with Ren Shen and Xi Xin, they utilize their contrary yet complementary actions (Li Lu is bitter-cold and toxic, induces vomiting upon entry, can reach the crown of the head, and induces sneezing; it is chemically incompatible with Ren Shen and Xi Xin; Xi Xin disperses Wind, opens orifices, warms the meridians, and breaks up Phlegm); The Lung dislikes rebellious Qi, hence heavy Shi Gao is used to descend the Qi. Qi is also Fire; Phlegm surges with Fire, hence cold-natured Shi Gao enters the Lung to clear Fire); Mild Gan Cao is used to moderate the action; The role of Chuan Xiong is merely to clear Qi and benefit the orifices. Chuan Xiong raises Clear Yang and opens various stagnations, serving as the envoy to circulate Yin-Yang and Blood-Qi. For all types of sudden stroke, corpse-like coma, and depression-dizziness, the exterior should be vented. Huan Hun Tang uses Ma Huang (Herba Ephedrae) and Gui Zhi (Ramulus Cinnamomi), Qing Hun Tang uses Jing Jie (Herba Schizonepetae), and using Zao Jiao (Fructus Gleditsiae Sinensis) and Ban Xia (Rhizoma Pinelliae) to induce sneezing via nasal irritation, Li Lu and Pi Shi (Arsenicum Rubrum) to extract phlegm by breaking teeth, are all methods to open the Three Jiao and allow exterior pathogens...