(《和剂》)羌活散 治风邪壅滞,头目昏眩,遍身拘急,肢节烦痛,鼻塞声重,天阴
愈觉不安。
羌活 防风 麻黄 枳壳 菊花 细辛 川芎 蔓荆子 白茯苓 石膏 黄芩 甘草(炙)
前胡(各等分)
上水盏半,姜三片煎。
柴胡升麻汤 治感冒头痛,恶寒身痛,鼻塞咳嗽,唾涕稠粘。
柴胡 前胡 升麻 桑白皮 赤芍药 干葛 黄芩 石膏 荆芥
上水盏半,姜三片、淡豆豉二十粒,煎七分服。
(《宣明》)防风通圣散(方见中风门)治伤风,邪传入里,内热郁结,秘塞壅闷。
(钱氏)大黄丸 治伤风,内挟痰热宜下之。
大黄 黄芩(等分)
上为末,滴水丸服。
《病机》云:破伤风者,有因卒暴伤风,邪袭之,传播经络,致使寒热更作,身体
反张,口噤不开。甚者,邪气入脏则死矣。有因诸疮不瘥,荣卫虚,不生肌肉,疮口不
合,风邪亦能外入,为破伤风之候。二者皆外因也。有诸疮不瘥,举世皆言着灸为上,是谓
热疮。而不知火热客毒,逐经变病,不可胜言,微则发热,甚则生风而搐。或角弓反张,
口噤目斜。此不内外因也。有破伤风不灸而病此者。因疮着白痂,疮口闭塞,气难通
泄,故阳热郁结,热甚生风。或病已十分安全,而忽有此病,皆由内气虚损,风热郁于五内
而得之者,此皆内因也。
(出自《太平惠民和剂局方》)羌活散:治疗风邪壅滞,导致头目昏眩,全身拘急痉挛,四肢关节烦痛,鼻塞且声音重浊,每逢阴雨天气更觉不适。
药材:羌活、防风、麻黄、枳壳、菊花、细辛、川芎、蔓荆子、白茯苓、石膏、黄芩、甘草(炙)、前胡(各等分)。
煎服法:取水一盏半,加入生姜三片,煎煮后服用。
柴胡升麻汤:治疗感冒引起的头痛,恶寒身痛,鼻塞咳嗽,痰涕稠粘。
药材:柴胡、前胡、升麻、桑白皮、赤芍药、干葛、黄芩、石膏、荆芥。
煎服法:取水一盏半,加入生姜三片、淡豆豉二十粒,煎至七分满时服用。
(出自《宣明论方》)防风通圣散(方剂见中风门):治疗伤风,邪气传入体内,导致内热郁结,大便秘结,胸腹壅闷。
(钱乙方)大黄丸:治疗伤风,体内挟带痰热,适宜采用泻下法治疗。
药材:大黄、黄芩(等分)。
制法与服法:将药材研为细末,滴入清水制成丸剂服用。
《病机》篇记载:破伤风病症,有的是因为突然遭受风邪侵袭,邪气传播至经络,导致寒热交替发作,身体向后反张,牙关紧闭无法张开。严重的,邪气侵入脏腑则会导致死亡。有的是因为各种疮疡久不愈合,营卫之气虚弱,不能生发肌肉,疮口不合,风邪也能从外部侵入,形成破伤风的证候。这两种情况都属于外因。有的疮疡久不愈合,世人皆认为施灸为上策,这被称为热疮。然而不知火热之毒客居体内,随经络变化引发疾病,情况不可胜数,轻微者发热,严重者生风抽搐。或者出现角弓反张,牙关紧闭,眼睛斜视。这属于不内外因。还有破伤风未施灸却患此病的。因为疮口覆盖白色痂皮,疮口闭塞,气息难以通畅宣泄,导致阳热郁结,热极生风。或者病情已经十分安稳,却突然发生此病,这都是由于体内正气虚损,风热郁结于五脏六腑而导致的,这些都属于内因。
(From *Tai Ping Hui Min He Ji Ju Fang*) Qianghuo San (Notopterygium Powder): Treats wind-pathogen stagnation, causing dizziness of the head and eyes, stiffness and spasm of the whole body, painful distension of the limbs and joints, nasal congestion with heavy voice, and worsening discomfort on cloudy days.
Herbs: Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Ephedrae Herba (Mahuang), Aurantii Fructus Immaturus (Zhike), Chrysanthemi Flos (Juhua), Asari Radix et Rhizoma (Xixin), Ligustici Chuanxiong Rhizoma (Chuanxiong), Viticis Fructus (Manjingzi), Poria (Baifuling), Gypsum Fibrosum (Shigao), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao), Peucedani Radix (Qianhu) [all in equal proportions].
Decoction method: Use one and a half cups of water, add three slices of Zingiberis Rhizoma Recens (Fresh Ginger), decoct and take.
Chaihu Shengma Tang (Bupleuri and Cimicifugae Decoction): Treats headache due to common cold, aversion to cold with body pain, nasal congestion with cough, and thick, sticky sputum and nasal discharge.
Herbs: Bupleuri Radix (Chaihu), Peucedani Radix (Qianhu), Cimicifugae Rhizoma (Shengma), Mori Cortex (Sangbaipi), Paeoniae Radix Rubra (Chishaoyao), Puerariae Radix (Gange), Scutellariae Radix (Huangqin), Gypsum Fibrosum (Shigao), Schizonepetae Spica (Jingjie).
Decoction method: Use one and a half cups of water, add three slices of Zingiberis Rhizoma Recens (Fresh Ginger) and twenty grains of Sojae Semen Preparatum (Dan Douchi), decoct until reduced to seventy percent volume, then take.
(From *Xuan Ming Lun Fang*) Fangfeng Tongsheng San (Saposhnikoviae Universal Relief Powder) (See Stroke Section for formula): Treats wind-cold injury where pathogenic factors penetrate inward, leading to internal heat stagnation, constipation, and chest/abdominal fullness and oppression.
(Qian Yi's Formula) Dahuang Wan (Rhubarb Pill): Treats wind-cold injury complicated by phlegm-heat, suitable for purgative treatment.
Herbs: Rhei Radix et Rhizoma (Dahuang), Scutellariae Radix (Huangqin) [equal proportions].
Preparation and administration: Grind into powder, mix with drops of water to form pills, and take.
The *Bingji* (Pathogenesis) chapter states: For traumatic tetanus (Po Shang Feng), some cases arise from sudden exposure to wind-pathogen, which invades and spreads through the meridians, causing alternating chills and fever, opisthotonos (body arching backward), and trismus (lockjaw). In severe cases, if the pathogen enters the zang-organs, death ensues. Other cases arise from chronic non-healing sores; when Ying and Wei qi are deficient and fail to generate muscle tissue, leaving open wounds, wind-pathogens can also invade externally, resulting in traumatic tetanus. Both of these are external causes. Regarding chronic sores that do not heal, the world generally considers moxibustion as the superior treatment, termed "heat sores." However, they are unaware that heat-fire toxic pathogens residing within can transform diseases along the meridians, a multitude of conditions too numerous to recount. Mildly, it causes fever; severely, it generates wind and convulsions. Or it presents as opisthotonos, trismus, and strabismus. This belongs to the category of neither internal nor external causes. There are also cases of traumatic tetanus occurring without prior moxibustion. Because the sore is covered by a white scab, closing the wound, qi fails to circulate and vent freely, leading to yang-heat stagnation. Extreme heat generates wind. Or, even when the condition seems fully stabilized, this disease suddenly appears. All such cases result from deficiency of internal qi, with wind-heat stagnating in the five viscera and six fu-organs. These all belong to internal causes.