(《近效方》)
治风虚,头重眩苦极,食不知味,用此暖肌补中,益精气。
白术(二两) 甘草(一两) 附子(一枚。炮)每服五钱,姜五片、枣一枚,煎。
此足太阴、少阴药也。喻嘉言曰∶肾气空虚,外风入之,风挟肾中阴浊之气厥逆上攻,
头间
附子
矣。
本方加桂枝,不用姜、枣,名甘草附子汤(仲景)∶治风湿相搏,一身烦痛,汗出恶风,
小便不利,或身微肿(风则上先受之,湿则下先受之,殆至两相搏结,注经络,流关节,入
肌骨,无处不到,则无处不痛也。风胜则卫气不固,故汗出而恶风;湿胜则水道不行,故小
便不利而微肿;用白术以益土燥湿,桂枝以散风固表,附子以驱阴助阳,甘草以和中益气也)。
本方加
(《活人》)
治面赤身热,不烦而躁,饮水不入口,名戴阳证(成氏曰∶烦躁者,先烦渐至躁也;躁
烦者,先躁而迤进复烦也;从烦至躁为热,先躁后烦谓怫怫然更作躁闷,此为阴盛格阳也,
虽大躁欲于泥水中卧,但饮水不得入口是也。此气欲脱而争,譬如灯将灭而复明矣。按∶内
热曰烦,谓之心中郁烦,为有根之火,故但烦不躁,及先烦后躁者皆可治;外热曰躁,谓身
体手足动
附子(炮) 干姜 艾叶 黄连 知母 人参 麦冬 五味子 甘草。加姜、枣、葱白
煎
此足少阴药也。附子、干姜、艾叶回阳之药,协以人参、甘草补其阳虚,退其阴火,所
谓甘温能除大热也;黄连以折泛上之火,知母以滋在下之阴(王海藏曰∶烦出于肺,躁出于
肾。成无己曰∶烦,阳也;躁,阴也),以静其躁,盖阳无阴则孤阳无所附丽,故扶阳亦兼
和阴也;麦冬、五味,补肺清心,合人参以生其脉,加童便而冷服者,热因寒用也(戴氏曰∶
烦躁,阴阳经皆有之。阳明经胃有燥屎故烦,当下之;太阳经已得汗而烦者,五苓散;少阳
亦有烦,宜小柴胡汤。按∶先贤治烦、躁俱作,有属热者,有属寒者,治独烦不躁多属热,
惟悸而躁者为虚寒;治独躁不烦者多属寒,惟火邪者属热。阴烦者少阴为多,由阳气传入阴
经,阴得阳而烦,自利而烦,渴不眠者,辰砂五苓散;若非是阳气传阴,阴气犯阴经,吐利,
手足厥冷而烦,经云∶阳虚阴乘之故烦。又云∶阴盛发躁,欲坐井中,吴茱萸汤,甚者四逆
汤加葱白。外有虚烦一证,乃病愈后阴阳未复,时发烦热,竹叶石膏汤;痰多睡不宁者,温
胆汤;呕者橘
(出自《近效方》)
治疗风虚证,头部沉重、眩晕痛苦至极,饮食不知滋味,使用此方能温暖肌肉、补益中气,增进精气。
白术(二两) 甘草(一两) 附子(一枚,炮制)。每次服用五钱,加生姜五片、大枣一枚,煎煮。
这是足太阴脾经和足少阴肾经的药物。喻嘉言说:肾气空虚,外风侵入,风挟带肾中的阴浊之气厥逆上攻,导致头部……
本方加入桂枝,不用生姜、大枣,名为甘草附子汤(张仲景):治疗风湿相搏结,全身烦痛,出汗怕风,小便不利,或者身体轻微浮肿(风邪则先从上受之,湿邪则先从下受之,以至于两者相互搏结,注入经络,流注关节,进入肌骨,无处不到,所以无处不痛。风邪偏胜则卫气不固,所以出汗且怕风;湿邪偏胜则水道不通畅,所以小便不利且轻微浮肿;用白术来健脾燥湿,桂枝来疏散风邪并固护肌表,附子来驱散阴寒并助长阳气,甘草来调和中焦并益气)。
本方加入……
(出自《活人书》)
治疗面色发红、身体发热,心中不烦但肢体躁动不安,想喝水却喝不下去,名为戴阳证(成无己说:烦躁,是先烦热逐渐发展到躁动;躁烦,是先躁动然后逐渐又出现烦热;从烦发展到躁属于热证,先躁后烦称为怫怫然再次发作的躁闷,这属于阴盛格阳证,虽然极度躁动想要躺在泥水中,但是水喝不进去。这是因为气将脱失而争斗,譬如灯将熄灭时反而突然变亮。按:体内的热称为烦,叫做心中郁烦,是有根之火,所以只是烦而不躁,以及先烦后躁的情况都可以治疗;体表的热称为躁,指身体手足动摇……附子(炮制) 干姜 艾叶 黄连 知母 人参 麦冬 五味子 甘草。加入生姜、大枣、葱白煎煮。
这是足少阴肾经的药物。附子、干姜、艾叶是回阳救逆的药物,配合人参、甘草来补益阳气虚弱,退去阴火,这就是所谓的“甘温能除大热”;黄连用来折降上泛的火气,知母用来滋补肾在下方的阴液(王海藏说:烦出于肺,躁出于肾。成无己说:烦,属阳;躁,属阴),以此来使躁动安静,因为阳如果没有阴作为依附,孤阳就无法附着,所以扶助阳气也兼以调和阴液;麦冬、五味子,补益肺气、清心火,合用人参来生脉,加入童便并冷服,这是“热因寒用”的方法(戴氏说:烦躁,阴阳各经都有。阳明经胃中有燥屎所以烦,应当攻下;太阳经已经发汗后仍然烦的,用五苓散;少阳经也有烦,宜用小柴胡汤。按:先贤治疗烦、躁同时出现的,有属于热证的,有属于寒证的,治疗只有烦没有躁的多属热证,只有悸动而躁动的属于虚寒;治疗只有躁动没有烦的多属寒证,只有火邪引起的属于热证。阴烦多见于少阴病,由阳气传入阴经,阴得阳而烦,自利而烦,口渴失眠的,用辰砂五苓散;如果不是阳气传阴,而是阴气侵犯阴经,呕吐腹泻,手脚冰凉而烦,经书上说:这是阳虚阴乘的缘故导致烦。又说:阴盛引发躁动,想要坐在井中,用吴茱萸汤,严重的用四逆汤加葱白。另外还有虚烦一证,是病愈后阴阳尚未恢复,时常发作烦热,用竹叶石膏汤;痰多睡不安宁的,用温胆汤;呕吐的橘……
(From *Jin Xiao Fang*)
Treats wind deficiency syndrome, characterized by extreme heaviness and dizziness of the head, loss of taste in food, using this formula to warm the muscles, tonify the middle jiao, and benefit essence and qi.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (one piece, processed). Take 5 qian per dose, with 5 slices of Shengjiang (Zingiberis Rhizoma Recens) and one Zao (Jujubae Fructus), decocted.
This acts on the Foot-Taiyin Spleen meridian and Foot-Shaoyin Kidney meridian. Yu Jiayan stated: When Kidney Qi is empty, external Wind invades; Wind carries the Yin turbid Qi from the Kidney to rebel and attack upwards, causing...
Adding Guizhi (Cinnamomi Ramulus) to this base formula, without Shengjiang and Zao, names it Gancao Fuzi Tang (Cinnamon Twig and Prepared Aconite Decoction) (from Zhang Zhongjing): Treats rheumatism where Wind and Dampness contend, causing general restlessness and pain, sweating with aversion to wind, difficulty in urination, or slight edema of the body (Wind tends to affect the upper part first, while Dampness affects the lower part first; when they contend and bind together, they enter the meridians, flow into the joints, and penetrate into muscles and bones, reaching everywhere, thus causing pain everywhere. When Wind is predominant, Wei Qi fails to secure the exterior, leading to sweating and aversion to wind; when Dampness is predominant, the water pathways fail to circulate, leading to difficulty in urination and slight edema; Baizhu is used to strengthen the Earth and dry Dampness, Guizhi to disperse Wind and secure the exterior, Fuzi to expel Yin cold and assist Yang, and Gancao to harmonize the middle and benefit Qi).
Adding ... to this base formula...
(From *Huo Ren Shu*)
Treats red face and body heat, without mental restlessness but with physical agitation, desire to drink water but inability to swallow it, named Daiyang Syndrome (Cheng Wuji stated: Fanrestlessness (Fan) gradually develops into Jiaogitation (Jao); Jiaogitation followed by Fanrestlessness means agitation precedes and then restlessness follows; progression from Fan to Jao indicates Heat, whereas Jao preceding Fan, described as a recurring state of stifling agitation, indicates Yin Excess repelling Yang. Although there is extreme agitation desiring to lie in mud or water, the water cannot be swallowed. This occurs when Qi is about to collapse and contends, like a lamp about to extinguish that flares up again. Note: Internal heat is called Fan, referring to mental depression and restlessness, which is fire with roots; thus, cases with only Fan or Fan preceding Jao are treatable. External heat is called Jao, referring to physical movement of the body and limbs... Fuzi (processed), Ganjiang (Zingiberis Rhizoma), Aiye (Artemisiae Argyi Folium), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix), Wubeizi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma). Add Shengjiang, Zao, and Congbai (Allii Fistulosi Bulbus) for decoction.
This acts on the Foot-Shaoyin Kidney meridian. Fuzi, Ganjiang, and Aiye are herbs that restore Yang; combined with Renshen and Gancao to tonify Yang deficiency and retreat Yin Fire, this exemplifies the principle that "sweet and warm can eliminate severe heat"; Huanglian is used to subdue floating upward fire, and Zhimu to nourish Yin below (Wang Haicang stated: Fan arises from the Lung, Jao arises from the Kidney. Cheng Wuji stated: Fan is Yang; Jao is Yin), thereby calming the agitation. Since Yang without Yin becomes solitary and has no attachment, assisting Yang also involves harmonizing Yin; Maidong and Wubeizi tonify Lung Qi and clear Heart Fire, combined with Renshen to generate the pulse; adding Tongbian (Urine of healthy child) and taking it cold is an application of "treating heat with cold" (Dai stated: Fan and Jao occur in both Yin and Yang meridians. In the Yangming meridian, dry stool in the Stomach causes Fan, requiring purgation; in the Taiyang meridian, Fan persisting after sweating requires Wuling San; Shaoyang meridian also presents with Fan, suitable for Xiaochaihu Tang. Note: Ancients treated simultaneous Fan and Jao, categorizing them into Heat and Cold types. Cases with only Fan and no Jao mostly belong to Heat; cases with palpitations and Jao belong to Deficiency-Cold. Cases with only Jao and no Fan mostly belong to Cold; only those caused by Fire Pathogens belong to Heat. Yin Fan is mostly seen in Shaoyin disease, occurring when Yang Qi transmits to the Yin meridians, Yin receives Yang and becomes Fan, accompanied by spontaneous diarrhea, Fan, thirst, and insomnia, treated with Chencha Wuling San. If not Yang transmitting to Yin, but Yin Qi invading Yin meridians, with vomiting, diarrhea, cold extremities, and Fan, the classics state: "Fan due to Yang deficiency allowing Yin to invade." Also: "Yin excess induces Jao, desiring to sit in a well," treated with Wuzhuyu Tang; severe cases use Sini Tang with Congbai. Additionally, there is a syndrome of Empty Fanrestlessness, occurring after illness recovery when Yin and Yang have not yet restored, presenting with intermittent feverish Fan, treated with Zhuye Shigao Tang; if accompanied by much phlegm and restless sleep, Wendan Tang is used; for vomiting, Ju...