往来寒热。或胸满胁痛。或心烦。或呕。或咳。或口苦舌干。或渴。或小便不利。或心悸脉弦
。或弦紧。用小柴胡汤治之。(方见前)
寒热往来。大便秘涩。腹满胀痛。或时发烦躁。或已经汗后如疟。日晚发热。用大柴胡汤治之
。(方见前)
外感风寒。内伤生冷。憎寒壮热。头目昏疼。肢体拘急。或中脘虚寒。呕逆恶心。用局方人参
养胃汤治之。
浓朴 苍术 半夏(各一两) 藿香
草果 茯苓 人参(各半两) 甘草(炙。二钱半)
橘红(七钱半)
上九味锉。每服五钱。水一盏半。生姜七片。乌梅一枚。煎七分。去渣。热服。
外感发热头疼。内因痰饮凝滞为热。或中脘痞满。呕逆恶心。用参苏饮、或藿香正气散治之。
【局方参苏饮】
陈皮(去白) 枳壳(麸炒) 桔梗 甘草(炙)
木香(各半两) 半夏 干葛 紫苏叶
前胡 人参 茯苓(各七钱半)
上十一味锉。每服五钱。水一盏半。生姜七片。枣一枚。煎七分。去渣。微热服。(一方不用
木香)
【局方藿香正气散】
茯苓 白芷 大腹皮 紫苏(各一两)
陈皮 桔梗 白术 浓朴
半夏 甘草(炙。各二两) 藿香(三两。去皮)
上十一味锉。每服五钱。水一盏半。生姜三片。枣一枚。煎至七分。去渣热服。如欲出汗。被
盖。再煎服。○如
以上证候未见愈。用小柴胡汤治之。(方见前)○如以上证候又未见愈。腹或满。数日不大便。用活
人书小柴胡加芒硝汤治之。
柴胡(二两七钱) 黄芩 人参 甘草(炙。各二两)
半夏(八钱) 芒硝(三两)
上六味锉。每服五钱。水一盏半。生姜五片。枣一枚。煎八分。去渣。下硝再煎一两沸。稍热
服。
往来寒热(忽冷忽热)。或者胸中胀满、胁肋疼痛。或者心烦意乱。或者呕吐。或者咳嗽。或者口苦、舌干。或者口渴。或者小便不通畅。或者心悸、脉象弦。或者脉象弦紧。用小柴胡汤治疗。(方剂见前文)
寒热往来,大便秘结涩滞,腹部胀满疼痛。或者时常发作烦躁。或者已经发汗后症状像疟疾一样。傍晚发热。用大柴胡汤治疗。(方剂见前文)
外感风寒邪气,内伤生冷食物。憎恶寒冷且高热,头目昏沉疼痛。肢体拘挛紧急。或者中脘部虚寒,呕吐逆气、恶心。用局方人参养胃汤治疗。
厚朴 苍术 半夏(各一两) 藿香
草果 茯苓 人参(各半两) 甘草(炙。二钱半)
橘红(七钱半)
以上九味药切碎。每次服用五钱。水一盏半。生姜七片。乌梅一枚。煎煮至七分水量。去渣滓。趁热服用。
外感发热头痛,内因痰饮停滞郁而化热。或者中脘部痞塞胀满,呕吐逆气、恶心。用参苏饮、或藿香正气散治疗。
【局方参苏饮】
陈皮(去白) 枳壳(麸炒) 桔梗 甘草(炙)
木香(各半两) 半夏 干葛 紫苏叶
前胡 人参 茯苓(各七钱半)
以上十一味药切碎。每次服用五钱。水一盏半。生姜七片。枣一枚。煎煮至七分水量。去渣滓。微温服用。(另一版本不用木香)
【局方藿香正气散】
茯苓 白芷 大腹皮 紫苏(各一两)
陈皮 桔梗 白术 厚朴
半夏 甘草(炙。各二两) 藿香(三两。去皮)
以上十一味药切碎。每次服用五钱。水一盏半。生姜三片。枣一枚。煎煮至七分水量。去渣滓趁热服用。如果想要出汗,覆盖衣被。再煎服一次。○如果以上证候未见痊愈,用小柴胡汤治疗。(方剂见前文)○如果以上证候又未见痊愈,腹部胀满,数日不大便。用《活人书》小柴胡加芒硝汤治疗。
柴胡(二两七钱) 黄芩 人参 甘草(炙。各二两)
半夏(八钱) 芒硝(三两)
以上六味药切碎。每次服用五钱。水一盏半。生姜五片。枣一枚。煎煮至八分水量。去渣滓。加入芒硝再煎一两沸。稍热服用。
Chills and fever alternating (alternating chills and heat). Or chest fullness and hypochondriac pain. Or irritability. Or vomiting. Or cough. Or bitter taste in the mouth and dry tongue. Or thirst. Or dysuria. Or palpitations with a wiry pulse. Or a wiry-tight pulse. Treat with Xiao Chai Hu Tang (Minor Bupleurum Decoction). (Formula see previous)
Alternating chills and fever, constipation with difficult defecation, abdominal fullness and distending pain. Or occasional onset of restlessness. Or symptoms resembling malaria after sweating has already been induced. Fever in the evening. Treat with Da Chai Hu Tang (Major Bupleurum Decoction). (Formula see previous)
Exogenous contraction of Wind-Cold, endogenous injury from raw and cold foods. Aversion to cold with high fever, dizziness and headache. Limbs stiff and cramped. Or deficiency-cold in the Zhongwan region, regurgitation and nausea. Treat with Ju Fang Ren Shen Yang Wei Tang (Bureau Formula Ginseng Stomach-Nourishing Decoction).
Magnoliae Officinalis Cortex (Houpo), Atractylodis Rhizoma (Cangzhu), Pinelliae Tuber (Banxia) (each 1 liang), Agastaches Herba (Huoxiang), Tsaoko Fructus (Caoguo), Poria (Fuling), Ginseng Radix et Rhizoma (Renshen) (each 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 2.5 qian), Citri Reticulatae Pericarpium (Juhong) (7.5 qian).
The above nine herbs are cut into small pieces. Each dose is 5 qian. Add 1.5 zhan of water, 7 slices of Zingiberis Recens Rhizoma (Shengjiang), and 1 Szechwan Pear Fruit (Wumei). Decoct until reduced to 70% volume. Strain. Take hot.
Exogenous fever and headache, endogenous stagnation of Phlegm-Fluid transforming into Heat. Or epigastric stuffiness and fullness, regurgitation and nausea. Treat with Shen Su Yin (Ginseng and Perilla Drink) or Huo Xiang Zheng Qi San (Patchouli Powder for Rectifying the Qi).
[Bureau Formula Shen Su Yin]
Citri Reticulatae Pericarpium (Chenpi) (scraped white), Aurantii Fructus Immaturus (Zhiqiao) (bran-fried), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Costi Radix (Muxiang) (each 0.5 liang), Pinelliae Tuber (Banxia), Puerariae Radix (Gange), Perillae Folium (Zisuye), Peucedani Radix (Qianhu), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling) (each 7.5 qian).
The above eleven herbs are cut into small pieces. Each dose is 5 qian. Add 1.5 zhan of water, 7 slices of Zingiberis Recens Rhizoma (Shengjiang), and 1 Jujubae Fructus (Zao). Decoct until reduced to 70% volume. Strain. Take slightly warm. (Another version does not use Costi Radix (Muxiang)).
[Bureau Formula Huo Xiang Zheng Qi San]
Poria (Fuling), Angelicae Dahuricae Radix (Baizhi), Arecae Catechu Pericarpium (Dafupi), Perillae Folium (Zisu) (each 1 liang), Citri Reticulatae Pericarpium (Chenpi), Platycodonis Radix (Jiegeng), Atractylodis Macrocephalae Rhizoma (Baizhu), Magnoliae Officinalis Cortex (Houpo), Pinelliae Tuber (Banxia), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 2 liang), Agastaches Herba (Huoxiang) (3 liang, scraped).
The above eleven herbs are cut into small pieces. Each dose is 5 qian. Add 1.5 zhan of water, 3 slices of Zingiberis Recens Rhizoma (Shengjiang), and 1 Jujubae Fructus (Zao). Decoct until reduced to 70% volume. Strain. Take hot. If sweating is desired, cover with blankets. Decoct and take again. ○ If the above syndromes do not resolve, treat with Xiao Chai Hu Tang (Minor Bupleurum Decoction). (Formula see previous) ○ If the above syndromes still do not resolve, and the abdomen is full with no bowel movement for several days, treat with Huo Ren Shu Xiao Chai Hu Jia Mangxiao Tang (Book of Living People's Minor Bupleurum Decoction with Mirabilite).
Bupleuri Radix (Chaihu) (2 liang 7 qian), Scutellariae Radix (Huangqin), Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 2 liang), Pinelliae Tuber (Banxia) (8 qian), Natrii Sulfas (Mangxiao) (3 liang).
The above six herbs are cut into small pieces. Each dose is 5 qian. Add 1.5 zhan of water, 5 slices of Zingiberis Recens Rhizoma (Shengjiang), and 1 Jujubae Fructus (Zao). Decoct until reduced to 80% volume. Strain. Add Mangxiao (Natrii Sulfas) and decoct for one boil. Take slightly warm.