黄 (二两) 半夏(汤洗,脉涩者可用) 人参(去芦) 甘草(炙,各一两) 独活 防风(以秋旺,故
以辛温泻之) 白勺药(何故秋旺用人参、白术、芍药之类,反补旺肺,为脾胃虚,则肺最受邪,故因时而补,易
为力也) 羌活(各五钱) 橘皮(四钱,不去白) 茯苓(小便利不渴者勿用) 柴胡 泽泻(不淋勿用) 白术(各
三钱) 黄连(二钱) 上 咀,每服三钱,水三盏,姜五片,枣二枚,煎至一盏,去滓温服。早
饭后、午饭前服之,渐加至五钱止。服药后如小便利,而病增剧,是不宜利小便,
当少去茯苓、泽泻。若喜食,初一二日不可饱食,恐胃再伤,以药力尚浅,胃气不
得转运升发也。须薄滋味,或美食助其药力,益升浮之气而滋其胃气,慎不可
淡食以损药力,而助邪气之降沉也。可以小役形体,使胃与药得转运升发,慎勿大
劳,使气复伤。若脾胃得安静尤佳。若胃气稍强,少食果,以助谷、药之力。经云∶
五谷为养,五果为助者也。(服药讫,忌语话一二时辰,及酒湿面大料物,及冷热寒凉淡渗之物。)
赤芍(一两) 生地(三两) 柴胡 黄芩 秦艽(各五钱) 蜜丸,乌梅汤空心下三十丸。
柴胡(半斤) 黄芩 人参 甘草 生姜(各三两) 半夏(半升,洗) 大枣(二十枚) 上七味,
水一斗,煮取六升,去滓再煎取三升,温服一升,日三服。
黄芩(二两) 半夏(用汤洗过,脉象涩滞者可以使用) 人参(去掉芦头) 甘草(蜜炙,各一两) 独活 防风(因为秋季肺气旺盛,所以用辛温之品来泻肺邪) 白芍药(为什么在秋季肺气旺盛时用人参、白术、白芍药这类药物,反而补益了旺盛的肺气?这是因为脾胃虚弱,则肺最容易受邪气侵袭,所以顺应时令进行补益,容易见效。) 羌活(各五钱) 橘皮(四钱,不去白色内层) 茯苓(小便通利且不口渴者不要使用) 柴胡 泽泻(不淋沥者不要使用) 白术(各三钱) 黄连(二钱) 以上药材切碎,每次服用三钱,加水三盏,生姜五片,大枣二枚,煎煮至一盏,去渣滓温服。早饭之后、午饭之前服用,逐渐增加剂量至五钱为止。服药后如果小便通利,但病情加重,说明不宜利小便,应当减少茯苓、泽泻的用量。如果患者喜欢进食,初一二天不可吃饱,恐怕再次损伤胃气,因为此时药力尚浅,胃气不能正常转运升发。必须吃清淡滋味适宜的食物,或者吃美味食物以辅助药力,有助于升浮之气并滋养胃气,千万不要吃淡而无味的食物来损耗药力,从而助长邪气的降沉。可以进行轻微的身体活动,使胃与药物得以转运升发,千万不要过度劳累,使正气再次受损。如果脾胃能得到安静休息尤其好。如果胃气稍强,可以少量食用水果,以辅助谷物和药物的力量。经书说:五谷是养分的来源,五果是辅助的力量。(服药完毕,忌口说话一两个时辰,以及酒类、湿面、大料物品,以及冷热寒凉淡渗之物。)
赤芍(一两) 生地黄(三两) 柴胡 黄芩 秦艽(各五钱) 制成蜜丸,空腹时用乌梅汤送服三十丸。
柴胡(半斤) 黄芩 人参 甘草 生姜(各三两) 半夏(半升,洗净) 大枣(二十枚) 以上七味药,用水一斗,煎煮取六升,去渣滓后再煎取三升,温服一升,每日三次服用。
Huangqin (Coptidis Rhizoma, two liang) Banxia (Pinelliae Rhizoma, washed with decoction; may be used if the pulse is choppy) Renshen (Ginseng Radix et Rhizoma, remove the rhizome head) Gancao (Licorice Radix et Rhizoma, honey-fried, each one liang) Duhuo (Angelicae Pubescentis Radix) Fangfeng (Saposhnikoviae Radix; because Lung Qi is prosperous in autumn, acrid-warm herbs are used to drain Lung pathogenic factors) Baishao Yao (Paeoniae Radix Alba. Why use Renshen, Baizhu, and Baishao Yao when Lung Qi is prosperous in autumn, thereby tonifying the already prosperous Lung? This is because Spleen-Stomach deficiency allows the Lung to easily receive pathogens; thus, tonifying according to the season facilitates efficacy.) Qianghuo (Notopterygii Rhizoma et Radix, each five qian) Jupi (Citri Reticulatae Pericarpium, four qian, do not remove the white pith) Fuling (Poria, do not use if urination is free and there is no thirst) Chaihu (Bupleuri Radix) Zexie (Alismatis Rhizoma, do not use if there is no strangury) Baizhu (Atractylodis Macrocephalae Rhizoma, each three qian) Huanglian (Coptidis Rhizoma, two qian). The above ingredients are coarsely crushed. Take three qian per dose, add three zhan of water, five slices of Shengjiang (Zingiberis Rhizoma Recens), and two dates (Jujubae Fructus). Decoct until one zhan remains, strain, and take warm. Administer after breakfast and before lunch. Gradually increase the dose up to five qian. If urination becomes free but the disease worsens after taking the medicine, diuresis is inappropriate; reduce the dosage of Fuling and Zexie. If the patient has an appetite, avoid overeating on the first or second day to prevent further injury to Stomach Qi, as the medicinal force is still shallow and Stomach Qi cannot transport and ascend properly. Consume food with mild flavors, or delicious food to assist the medicinal force, promoting ascending-floating Qi and nourishing Stomach Qi. Avoid bland food that damages medicinal force and aids the descending-sinking of pathogens. Engage in slight physical activity to facilitate the transport and ascent of the Stomach and medicine; avoid excessive labor that might injure Qi again. Rest for the Spleen-Stomach is especially beneficial. If Stomach Qi is slightly strong, consume small amounts of fruits to assist the power of grains and medicine. The Classics state: "The five grains are for nourishment, and the five fruits are for assistance." (After finishing the medicine, avoid talking for one or two shichen, and avoid alcohol, damp noodles, strong spices, and foods that are cold, hot, cold-natured, or diuretic.)
Chishao (Red Paeonia Root, one liang) Shengdi (Rehmanniae Radix Preparata, three liang) Chaihu (Bupleuri Radix) Huangqin (Scutellariae Radix) Qinjiao (Gentianae Macrophyllae Radix, each five qian). Make into honey pills. Take thirty pills on an empty stomach with Wumei Tang (Mume Fruit Decoction).
Chaihu (Bupleuri Radix, half jin) Huangqin (Scutellariae Radix) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Radix et Rhizoma) Shengjiang (Zingiberis Rhizoma Recens, each three liang) Banxia (Pinelliae Rhizoma, half sheng, washed) Dazao (Jujubae Fructus, twenty pieces). The above seven ingredients, cook with ten dou of water until six sheng remain. Strain and decoct again until three sheng remain. Take one sheng warm, three times a day.