甘草(炙,三两) 干姜(三两,强人可四两) 附子(大者一枚,生用,去皮,破八片) 上三味,以水
三升,煮取一升二合,去滓,分温再服。加减法∶面色赤者,加葱九茎,葱味辛,
以通阳气。腹中痛者,去葱,加芍药二两,芍药之酸,通塞利腹中,痛为气不通也。
呕者加生姜二两,辛以散之,呕为气不散也。咽痛者,去芍药,加桔梗一两,咽中
如结,加桔梗则能散之。利止脉不出者,去桔梗,加人参一个,利止脉不出者亡血
也,加人参以补之。经曰∶脉微而利,亡血也,四逆加人参汤主之。脉病皆与方相
应者,乃可服也。
当归(三两,辛温) 桂枝(三两,辛热) 芍药(三两,酸咸) 细辛(二两,辛热) 大枣(二十五个) 甘
草(二两,炙,甘平) 通草(二两,甘平) 上七味,以水八升,煮取三升,去滓,温服一升,日
三服。
龙胆(末) 防风(末) 青黛(研,各三钱匕) 钩钩藤(末,二钱匕) 牛黄 麝香(各一字匕) 黄连
(末,五钱匕) 龙脑(研,一钱匕) 同研,面糊丸,粟米大,每服三五丸至一二十丸,煎金银
汤下。
续断(酒浸) 川芎 当归(酒浸) 半夏(姜制) 橘红 干姜(炮,各一两) 桂心 甘草(炙,
各半两) 上为细末,蜜丸,桐子大,每服百丸,白汤下。
甘草(用蜜炙,三两) 干姜(三两,体质强壮者可增至四两) 附子(大者一枚,生用,去皮,破成八片) 以上三味药,用水三升,煎煮至取汁一升二合,滤去药渣,分两次温服。加减法:若面色发红,加葱九根,葱味辛,用以通达阳气。腹中疼痛的,去掉葱,加芍药二两,芍药味酸,能通利腹部气机阻滞,疼痛是因为气机不通所致。呕吐的,加生姜二两,辛味能发散,呕吐是因为气机不能宣散。咽喉疼痛的,去掉芍药,加桔梗一两,咽喉中有堵塞感,加入桔梗则能消散结滞。腹泻停止但脉搏摸不到的,去掉桔梗,加人参一枚,腹泻停止而脉搏不出是亡血的表现,加入人参以补益气血。医经说:脉象微弱且伴有腹泻,是亡血的表现,应用四逆加人参汤主治。脉证与方剂相互对应的,才可以服用。
当归(三两,辛温) 桂枝(三两,辛热) 芍药(三两,酸咸) 细辛(二两,辛热) 大枣(二十五个) 甘草(二两,蜜炙,甘平) 通草(二两,甘平) 以上七味药,用水八升,煎煮至取汁三升,滤去药渣,每次温服一升,每日三次服用。
龙胆(研末) 防风(研末) 青黛(研细,各三钱匕) 钩藤(研末,二钱匕) 牛黄 麝香(各一字匕) 黄连(研末,五钱匕) 龙脑(研细,一钱匕) 共同研匀,用面糊制成丸药,大小如粟米,每次服用三五丸至一二十丸,用金银煎汤送服。
续断(酒浸) 川芎 当归(酒浸) 半夏(姜制) 橘红 干姜(炮制,各一两) 桂心 甘草(蜜炙,各半两) 以上药物制成细末,用蜂蜜炼制成丸,大小如梧桐子,每次服用一百丸,用白开水送服。
Gancao (Zhi, San Liang) [Liquorice Radix et Rhizoma Praeparatum cum Melle, 3 liang] Ganjiang (San Liang, Qiangren Ke Si Liang) [Zingiberis Rhizoma, 3 liang; for robust individuals, up to 4 liang] Fuzi (Da Zhe Yi Mei, Sheng Yong, Qu Pi, Po Ba Pian) [Aconiti Lateralis Radix Praeparata, one large piece, used raw, skin removed, broken into eight pieces] The above three ingredients are boiled in three sheng of water until reduced to one sheng and two he, the dregs are strained off, and the liquid is divided into two doses taken warm. Modifications: If the face appears red, add nine stalks of Congbai [Allii Tuberosi Bulbus], as its pungent flavor helps to unblock Yang Qi. If there is abdominal pain, remove Congbai and add Shaoyao (Er Liang) [Paeoniae Radix Alba, 2 liang]; Shaoyao's sour flavor helps to resolve stagnation and relieve abdominal pain caused by blocked Qi. If there is vomiting, add Shengjiang (Er Liang) [Zingiberis Rhizoma Recens, 2 liang]; its pungency disperses the pathogen, addressing vomiting caused by stagnant Qi. If there is a sore throat, remove Shaoyao and add Jiegeng (Yi Liang) [Platycodonis Radix, 1 liang]; if there is a sensation of obstruction in the throat, Jiegeng can disperse the accumulation. If diarrhea stops but the pulse remains imperceptible, remove Jiegeng and add Renshen (Yi Ge) [Ginseng Radix et Rhizoma, one piece]; cessation of diarrhea with an absent pulse indicates loss of blood/fluids, so Renshen is added to tonify. As stated in the classics: "A faint pulse with diarrhea indicates loss of blood/fluids; Sini Jia Renshen Tang should be administered." Only when the pulse and symptoms correspond appropriately with the formula should it be taken.
Danggui (San Liang, Xin Wen) [Angelicae Sinensis Radix, 3 liang, Pungent-Warm] Guizhi (San Liang, Xin Re) [Cinnamomi Ramulus, 3 liang, Pungent-Hot] Shaoyao (San Liang, Suan Xian) [Paeoniae Radix Alba, 3 liang, Sour-Salty] Xixin (Er Liang, Xin Re) [Asari Radix et Rhizoma, 2 liang, Pungent-Hot] Dazao (Er Shi Wu Ge) [Jujubae Fructus, 25 pieces] Gancao (Er Liang, Zhi, Gan Ping) [Liquorice Radix et Rhizoma Praeparatum cum Melle, 2 liang, Sweet-Flat] Tongcao (Er Liang, Gan Ping) [Tetrapanacis Medulla, 2 liang, Sweet-Flat] The above seven ingredients are boiled in eight sheng of water until reduced to three sheng, the dregs are strained off, and one sheng is taken warm per dose, three times daily.
Longdan (Mo) [Gentianae Radix, powdered] Fangfeng (Mo) [Saposhnikoviae Radix, powdered] Qingdai (Yan, Ge San Qian Bi) [Indigo Naturalis, ground, each 3 qian bi] Gouteng (Mo, Er Qian Bi) [Uncariae Ramulus cum Uncis, powdered, 2 qian bi] Niuhuang [Calculus Bovis] Shexiang (Ge Yi Zi Bi) [Moschus, each 1 zi bi] Huanglian (Mo, Wu Qian Bi) [Coptidis Rhizoma, powdered, 5 qian bi] Longnao (Yan, Yi Qian Bi) [Borneolum Syntheticum, ground, 1 qian bi] All are ground together uniformly, mixed with wheat paste to form pills the size of millet seeds. Each dose consists of 3–5 pills up to 10–20 pills, taken with decoction of gold and silver.
Xuduan (Jiu Jin) [Dipsaci Radix, soaked in wine] Chuanxiong [Ligustici Chuanxiong Rhizoma] Danggui (Jiu Jin) [Angelicae Sinensis Radix, soaked in wine] Banxia (Jiang Zhi) [Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, processed with ginger] Juhong [Citri Reticulatae Pericarpium Rubrum] Ganjiang (Pao, Ge Yi Liang) [Zingiberis Rhizoma, roasted, each 1 liang] Guixin [Cinnamomi Cortex] Gancao (Zhi, Ge Ban Liang) [Liquorice Radix et Rhizoma Praeparatum cum Melle, prepared, each half liang] The above are made into a fine powder, formed into honey pills the size of tung tree seeds. Each dose is 100 pills, taken with warm water.