(东垣)
治午后发热,背恶风,四肢沉困,小便色黄;又治汗后发热(午后发热,热在阴分,阳
陷
小便
人参 赤茯苓 甘草(炙) 柴胡(五钱) 白术(一两) 生地黄 地骨皮 知母 泽
泻(
此足太阴、少阴、少阳药也。阳陷阴中,热在血分,故以生地滋其少阴,而以知母、地
骨泻血中之伏火也;柴胡升阳以解其肌(阳陷阴中,故以柴胡提出其阳),苓泻利湿兼清其
热,参术甘草益气助脾,气足阳升,虚热自退,脾运而湿亦除矣(方名除湿,而治在退热,
欲热从湿
治骨蒸劳热(火炎水竭,真阴销铄,故肌骨之间,蒸蒸而热也。李东垣曰∶昼热夜静者,
无阴
银柴胡(钱半) 胡黄连 秦艽 鳖甲(童便炙) 地骨皮 青蒿 知母(一钱) 甘
草(炙
此足少阳、厥阴药也。地骨皮、黄连、知母之苦寒,能除阴分之热,而平之于内;柴胡
、青
阴;
(《外台》)
治劳热骨蒸,四肢微瘦,有汗,脉长者(劳热之证,不尽属阴虚,亦有阳邪入里,传为
骨
石膏。研细。每夕新汲水服方寸匕,取热退为度。
此足阳明药也。石膏大寒质重,能入里降火;味辛气轻,能透表解肌;虽寒而甘,能缓
脾益气;火劳有实热者,非此不为功,《外台秘要》、《名医录》皆载之(《玄珠》曰∶五行六
气
经
乎
《
水
(李东垣)
治疗午后发热,背部怕风,四肢沉重困倦,小便颜色发黄;又治疗出汗后发热。
[方剂组成]:人参、赤茯苓、甘草(炙)、柴胡(五钱)、白术(一两)、生地黄、地骨皮、知母、泽泻(剂量原文缺失)。
这是足太阴脾经、足少阴肾经、足少阳胆经的药物。阳气下陷于阴分中,热邪位于血分,所以用生地黄滋养少阴肾,用知母、地骨皮清泻血中的伏火;柴胡升举阳气以解除肌表之邪(因阳气下陷于阴中,所以用柴胡将阳气提举出来),茯苓渗湿利水兼清其热,人参、白术、甘草补益脾气助益脾脏,气充足则阳气上升,虚热自然消退,脾运化功能恢复而湿气也得以除去(方名除湿,但治疗重点在于退热,想要热邪随湿气而去……[原文此处截断])。
治疗骨蒸劳热(火炎上亢导致水液枯竭,真阴消损耗竭,所以在肌肉骨骼之间,有蒸蒸而出的热感。李东垣说:白天发热夜间安静的,属于无阴……[原文此处截断])。
[方剂组成]:银柴胡(一钱半)、胡黄连、秦艽、鳖甲(用童便炙制)、地骨皮、青蒿、知母(一钱)、甘草(炙……[原文此处截断])。
这是足少阳胆经、足厥阴肝经的药物。地骨皮、黄连、知母的苦寒之性,能清除阴分的热邪,并在内部平抑它;柴胡、青……[原文此处截断]引……[原文此处截断]阴……[原文此处截断]。
(出自《外台秘要》)
治疗劳热骨蒸,四肢略微消瘦,有汗出,脉象长(劳热的证候,并不完全属于阴虚,也有阳邪入里,传变为骨……[原文此处截断]石膏。研成细粉。每晚用新打的井水送服一方寸匕,以热退为度。
这是足阳明胃经的药物。石膏大寒且质地沉重,能入里降火;味道辛散且气味轻清,能透达体表解除肌表之邪;虽然性寒但味甘甜,能缓和脾气益气;对于火热劳伤伴有实热的情况,非此药不能建功,《外台秘要》、《名医录》都有记载(《玄珠》说:五行六……[原文此处截断]经……[原文此处截断]乎……[原文此处截断]《……[原文此处截断]水……[原文此处截断])
(Dongyuan)
Treats afternoon fever, aversion to wind on the back, heaviness and fatigue in the four limbs, and yellow urine; also treats fever after sweating.
[Formula Composition]: Renshen (Ginseng Radix), Chi Fuling (Poria with Hostwood), Gancao (Licorice Root, honey-fried), Chaihu (Bupleuri Radix, 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Sheng Dihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Zhi Mu (Anemarrhenae Rhizoma), Zexie (Alismatis Rhizoma). [Dosages for some herbs are missing in the original text].
These are medicines for the Foot-Taiyin Spleen Meridian, Foot-Shaoyin Kidney Meridian, and Foot-Shaoyang Gallbladder Meridian. Yang Qi has sunk into the Yin aspect, and heat resides in the Blood aspect. Therefore, Sheng Dihuang is used to nourish the Shaoyin Kidney, while Zhi Mu and Digupi clear and drain latent fire from the blood. Chaihu raises Yang Qi to resolve the exterior (since Yang Qi has sunk into the Yin, Chaihu is used to lift the Yang out). Fuling promotes diuresis to drain dampness and clears heat concurrently. Renshen, Baizhu, and Gancao tonify Qi and assist the Spleen. When Qi is sufficient, Yang rises, and deficiency heat naturally recedes; when Spleen transportation resumes, dampness is also eliminated. (The formula is named "Dampness-Removing," but its treatment focus is on reducing fever, aiming to expel heat along with dampness... [text cuts off here]).
Treats bone-steaming consumptive fever (Fire flares upward causing water depletion, true Yin is consumed and exhausted, thus there is a steaming heat sensation between the muscle and bone. Li Dongyuan stated: Fever during the day and quietness at night indicates... [text cuts off here] lack of Yin...).
[Formula Composition]: Yinchaihu (Stellariae Radix), Huhuanglian (Coptidis Rhizoma variant or similar bitter cold herb), Qinjiao (Gentianae Macrophyllae Radix), Biejia (Testudinis Carapax et Plastrum, prepared with child's urine), Digupi (Lycii Cortex), Qinghao (Artemisiae Annuae Herba), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Gancao (Licorice Root, honey-fried)... [text cuts off here].
These are medicines for the Foot-Shaoyang Gallbladder Meridian and Foot-Jueyin Liver Meridian. The bitter-cold nature of Digupi, Huanglian, and Zhi Mu can eliminate heat in the Yin aspect and pacify it internally; Chaihu, Qinghao... [text cuts off here] guides... [text cuts off here] to the Yin... [text cuts off here].
(From *Waitai Miyao*)
Treats consumptive bone-steaming fever, slight emaciation of the four limbs, sweating, and a long pulse (Consumptive fever syndromes do not all belong to Yin deficiency; there are also cases where Yang pathogenic factors enter the interior and transform into bone... [text cuts off here] Gypsum. Grind into fine powder. Every evening, take one cun-bi (a measure roughly equivalent to a coin-sized scoop) with newly drawn well water, until the fever subsides.
This is a medicine for the Foot-Yangming Stomach Meridian. Gypsum is greatly cold and heavy in substance, capable of entering the interior to descend fire; it is pungent in taste and light in aroma, capable of penetrating the exterior to resolve the muscle layer; although cold, it is sweet in taste, capable of moderating the Spleen and benefiting Qi; for cases of fire-induced consumptive conditions with excess heat, this herb is indispensable. It is recorded in *Waitai Miyao* and *Mingyi Lu* (Xuanzhu states: The Five Elements and Six Qi... [text cuts off here] Meridian... [text cuts off here] regarding... [text cuts off here] 《... [text cuts off here] Water... [text cuts off here]).