(仲景)
治伤寒解后,虚羸少气,气逆欲吐(伤寒解后,余热未尽,津液不足,故虚羸少气;虚
热
竹叶(二把) 石膏(一斤) 人参(三两) 甘草(炙,二两) 麦冬(一升) 半
夏(半升)
此手太阴,足阳明药也。竹叶、石膏之辛寒以泻余热(竹叶能止喘促、气逆上冲);人
参、甘草、麦冬、粳米之甘平以益肺安胃,补虚生津;半夏之辛温以豁痰止呕;故去热而不
损其真
又方∶竹叶 石膏 木通 薄荷 桔梗 甘草,亦名竹叶石膏汤∶治胃实火盛而作渴(李
士材
焰胜
石膏
(东垣)
治肌热表热,四肢发热,骨髓中热,热如火燎,扪之烙手,此病多因血虚得之;及胃虚
过食冷物,抑遏阳气于脾土,并宜服此(脾主四肢,四肢热即五心烦热也;火性上行,若郁
而不达,则反以销烁真阴,而肌肤筋骨皆为之热也;若饮食填塞至阴,则清阳不得上行,故
不能传
柴胡(八钱) 防风(二钱五分) 葛根 升麻 羌活 独活 人参 白芍(五钱) 炙
甘草
此手足少阳药也。柴胡以发少阳之火,为君;升葛以发阳明之火,羌防以发太阳之火,
独活
皆散
阴气,为佐使也(吴鹤皋曰∶经曰∶少火生气。天非此火不能生物,人非此火不能有生,扬
之则光,遏之则灭,今为饮食抑遏,则生道几乎息矣;使清阳出上窍,则浊阴自归下窍,而
饮食传化,无抑遏之患矣;东垣圣于脾胃,治之必主升阳,俗医知降而不知升,是扑其少火
也,安
本方除人参、独活,加葱白,名火郁汤∶治同(火郁者,内热外寒,脉沉而数,火郁无
焰
节庵升阳散火汤∶人参 白术 茯神 甘草 陈皮 麦冬 当归 芍药 柴胡 黄芩。
加姜
误认
炒半
其神
非升
(张仲景)
治疗伤寒病痊愈后,身体虚弱消瘦、气息短少,气机上逆想要呕吐的症状。(这是因为伤寒病解之后,余热尚未清除,津液亏损,所以导致身体虚弱消瘦、气息短少;虚热内扰,气逆欲吐。)
竹叶(二把) 石膏(一斤) 人参(三两) 甘草(炙,二两) 麦冬(一升) 半夏(半升) 粳米(适量)
这是手太阴肺经和足阳明胃经的药物。竹叶、石膏的辛寒之性可以清泻余热(竹叶能平喘促、降上冲之气);人参、甘草、麦冬、粳米的甘平之性可以补益肺气、安抚胃气,补充虚损、生津液;半夏的辛温之性可以豁痰止呕;因此能够清热而不损伤人体真气。
另一个方子:竹叶、石膏、木通、薄荷、桔梗、甘草,也叫竹叶石膏汤:治疗胃中实火旺盛而导致的口渴(李士材注:火热炽盛)。
(李东垣)
治疗肌肉发热、体表发热、四肢发热、骨髓中发热,热感像火烧一样,触摸时烫手,这种病多因血虚引起;以及胃气虚弱、过食生冷食物,导致阳气被抑制在脾土之中,都适宜服用此方(脾主四肢,四肢发热即五心烦热;火性向上,如果郁结而不能通达,就会反而销蚀真阴,使肌肤筋骨都感到热;如果饮食填塞至阴部位,则清阳之气不能上行,所以不能传化)。
柴胡(八钱) 防风(二钱五分) 葛根 升麻 羌活 独活 人参 白芍(五钱) 炙甘草
这是手足少阳经的药物。柴胡用来发散少阳之火,作为君药;升麻、葛根用来发散阳明之火,羌活、防风用来发散太阳之火,独活用来发散少阴、厥阴之气,作为佐使药(吴鹤皋说:经典记载:少火生气。自然界没有这把火就不能生成万物,人没有这把火就不能生存,扬起它就有光,遏制它就熄灭,现在因为饮食抑制遏制,那么生机几乎要停止了;如果让清阳之气出于上窍,那么浊阴之气自然归于下窍,饮食的传化就没有被抑制遏制的祸患了;李东垣精通脾胃学说,治疗必定以升阳为主,世俗医生只知道降气而不知道升阳,这是扑灭少火啊,怎么能……)
本方除去人参、独活,加入葱白,名叫火郁汤:治疗相同的病症(所谓火郁,是指内热外寒,脉象沉而数,火气郁结而没有火焰表现)。
节庵升阳散火汤:人参、白术、茯神、甘草、陈皮、麦冬、当归、芍药、柴胡、黄芩。加生姜煎服。
(误认……炒半……其神……非升……)
(Zhang Zhongjing)
Treats the condition after the resolution of Shanghan (Cold Damage), characterized by emaciation and weakness, shortness of breath, and rebellious Qi with a desire to vomit. (This is because after the resolution of Shanghan, residual heat remains uneliminated, and body fluids are insufficient, leading to emaciation and weakness and shortness of breath; deficient heat causes rebellious Qi and a desire to vomit.)
Zhu Ye (Bambusae Folium, two handfuls) Shigao (Gypsum Fibrosum, one jin) Renshen (Panacis Ginseng Radix, three liang) Gancao (Glycyrrhizae Radix et Rhizoma Preparatum with Honey, two liang) Maidong (Ophiopogonis Radix, one sheng) Banxia (Pinelliae Rhizoma Preparatum, half sheng) Jingmi (Oryzae Semen, appropriate amount)
These are herbs for the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian. The acrid-cold nature of Zhu Ye and Shigao clears and drains residual heat (Zhu Ye can relieve wheezing and rebellious Qi ascending); the sweet-neutral nature of Renshen, Gancao, Maidong, and Jingyi tonifies Lung Qi and soothes the Stomach, replenishing deficiency and generating fluids; the acrid-warm nature of Banxia resolves phlegm and stops vomiting; thus, heat is cleared without damaging true Qi.
Another prescription: Zhu Ye, Shigao, Mutong, Bohe, Jiegeng, Gancao, also named Zhuye Shigao Tang: Treats thirst caused by excess fire in the Stomach (Li Shicai notes: flourishing fire).
(Li Dongyuan)
Treats heat in the muscles, surface heat, heat in the four limbs, and heat in the bone marrow, feeling like burning fire, hot to the touch. This condition often arises from blood deficiency; as well as weak Stomach Qi due to excessive consumption of cold foods, which suppresses Yang Qi within the Spleen Earth. Both are suitable for this prescription (The Spleen governs the four limbs; heat in the four limbs is equivalent to five-palm heat; Fire has an upward nature. If depressed and unable to circulate freely, it will consume True Yin, causing heat in skin, muscles, sinews, and bones; if food obstructs the Supreme Yin, Clear Yang cannot ascend, thus failing to transform and transport).
Chaihu (Bupleuri Radix, eight qian) Fangfeng (Saposhnikoviae Radix, two qian five fen) Gegen (Puerariae Lobatae Radix) Shengma (Cimicifugae Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Renshen (Panacis Ginseng Radix) Baishao (Paeoniae Radix Alba, five qian) Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum with Honey)
These are herbs for the Hand-Shaoyang and Foot-Shaoyang meridians. Chaihu disperses Shaoyang fire and serves as the Sovereign herb; Shengma and Gegen disperse Yangming fire; Qianghuo and Fangfeng disperse Taiyang fire; Duhuo disperses Shaoyin and Jueyin Qi, serving as Assistant and Envoy herbs (Wu Hegao says: The Classics state: "Minor Fire generates Qi." Heaven cannot generate things without this fire, nor can humans survive without it. When stirred, it shines; when suppressed, it extinguishes. Now, due to dietary suppression, the path of life generation is nearly extinguished; if Clear Yang exits through the upper orifices, Turbid Yin naturally returns to the lower orifices, and the transformation and transportation of food will have no risk of suppression. Li Dongyuan excels in Spleen and Stomach treatment, insisting on raising Yang.俗医 (vulgar physicians) know only how to descend but not how to raise; this is extinguishing Minor Fire, how can...)
Removing Renshen and Duhuo from this formula and adding Congbai (Allii Fistulosi Bulbus) creates Huoyu Tang: Treating the same condition (Huoyu refers to internal heat with external cold, pulse deep and rapid, fire is郁 [depressed] without visible flame).
Jie'an Shengyang Sanhuo Tang: Renshen, Baizhu, Fushen, Gancao, Chenpi, Maidong, Danggui, Shaoyao, Chaihu, Huangqin. Add fresh ginger for decoction.
(Misidentified... stir-fried half... its spirit... not raising...)