治风水恶风,一身悉肿,脉浮不渴,续自汗出,无大热者。又治里水,一身面目黄肿,
其脉
麻黄(六两) 石膏(半斤) 生姜(三两) 大枣(十五枚) 甘草(二两)
上五味,以水六升,煮麻黄,去沫,纳诸药,煮取三升,分三服,恶风加附子一枚(炮)。
喻嘉言曰∶越婢汤者,示微发表于不发之方也,大率取其通调营卫。麻黄、石膏二物,
一甘
阳,
以实
而
萌
赵以德曰∶五脏各一其阴阳,独脾胃居中而两属之,故土不独成四气,土亦从四维而后
成,
热,
以
热
达
走
益胃中之气。恶风者阳虚,故加附子以益阳。风水者,则加术以散皮肤间水气,发谷精以宣
荣卫,与麻黄、石膏为使,引其入土也。越婢之名,不亦宜乎!
喻论明析,赵说能细剖其理,开便后学,故两录之。
阳明病发热,但头汗出,身无汗,小便不利,渴饮水浆。此为瘀热在里,身必发黄,腹
微满
茵陈蒿(六两) 栀子(十四枚) 大黄(二两)
水一斗,先煮茵陈减六升,纳二味,煮三升,去渣,分温三服。小盒饭利,尿如皂角汁
状;
柯韵伯曰∶太阳、阳明俱有发黄证。但头汗而身无汗,则热不外越;小便不利,则热不
下泄
故用麻黄连翘赤豆汤,为凉散法;心胸是太阳阳明之里,当寒以胜之,用栀子柏皮汤,乃清
火法;肠胃是阳明之里,当泻之于内,故立本方,是逐秽法。茵陈禀北方之色,经冬不凋,
傲霜
瘀热
景治
虎加
茵
通
便
汤
者
承
小
治疗风水病,症见恶风,全身浮肿,脉象浮而不渴,持续自汗出,体表无明显大热的情况。又用于治疗里水病,症见全身及面目黄肿,其脉象……(原文此处有缺漏)。
麻黄(六两) 石膏(半斤) 生姜(三两) 大枣(十五枚) 甘草(二两)
以上五味药,用水六升,先煮麻黄,去掉浮沫,再加入其他药物,煮取三升药液,分三次服用。若恶风症状明显,加附子一枚(炮制)。
喻嘉言说:越婢汤(Yuebi Decoction),是展示在微发汗中不发汗的方剂,大体上取其通调营卫(Nutritive and Defensive Qi)的作用。麻黄、石膏两味药,一甘……阳,以实……而萌……(原文此处有缺漏或错乱)。
赵以德说:五脏各有其阴阳,唯独脾胃居于中焦而兼属两者,所以土(脾)不独自形成四气,土也随着四维而后形成,热,以热达走……益胃中之气。恶风是因为阳虚,所以加附子以补益阳气。风水病,则加白术以散皮肤间的水气,发散谷精以宣通荣卫,与麻黄、石膏作为引导,将其引入土中。越婢之名,不也很适宜吗!
喻嘉言的论述明晰透彻,赵以德的解说能细致剖析其理,开启后学者的智慧,所以将两家的观点都记录下来。
阳明病(Yangming Disease)发热,仅头部出汗,身体无汗,小便不利,口渴想喝水浆。这是瘀热在体内,身体必然发黄,腹部微满……
用水一斗,先煮茵陈,水量减少六升,再加入另外两味药,煮取三升,去渣,分温三次服用。小盒饭利(此处疑为“小便利”之误或原文特异表述,结合语境应指小便通畅),尿如皂角汁状;
柯韵伯说:太阳病(Taiyang Disease)、阳明病都有发黄的证候。但头汗而身无汗,则热不能向外发散;小便不利,则热不能向下排泄……故用麻黄连翘赤豆汤(Mahuang Lianqiao Chidou Decoction),属于凉散法;心胸是太阳阳明之里,应当用寒凉药来胜热,用栀子柏皮汤(Zhizi Bopi Decoction),乃是清火法;肠胃是阳明之里,应当从内部泻下,所以确立本方,是逐秽法。茵陈禀受北方之色,经冬不凋,傲霜……瘀热……景治虎加茵通便汤者承小……(原文此处严重残缺或错乱)。
Treats Wind-Water (Fengshui) with aversion to wind, generalized edema of the whole body, floating pulse without thirst, continuous spontaneous sweating, and no significant external heat. Also treats Interior Water (Lishui), characterized by generalized yellowish edema of the body and face, with its pulse... [Text missing].
Ephedrae Herba (Mahuang, 麻黄) six liang; Gypsum Fibrosum (Shigao, 石膏) half jin; Zingiberis Rhizoma Recens (Shengjiang, 生姜) three liang; Jujubae Fructus (Dazao, 大枣) fifteen pieces; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) two liang.
The above five herbs are boiled in six sheng of water. First boil Ephedrae Herba, skim off the foam, then add the remaining herbs. Boil until three sheng remain, and divide into three doses. If aversion to wind is prominent, add one prepared Aconiti Lateralis Radix (Fuzi, 附子).
Yu Jiayan stated: Yuebi Decoction demonstrates a method of slight diaphoresis that does not induce heavy sweating, primarily aiming to regulate Ying and Wei (Nutritive and Defensive Qi). The combination of Ephedrae Herba and Gypsum Fibrosum... [Text fragmented].
Zhao Yi-de stated: Each of the Five Zang organs has its own Yin and Yang, but Spleen and Stomach reside in the center and belong to both. Thus, Earth does not independently form the four qi, but Earth forms after the Four Dimensions. Heat... reaches... benefits the Qi in the Stomach. Aversion to wind indicates Yang deficiency, hence Aconiti Lateralis Radix is added to tonify Yang. For Wind-Water, Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) is added to disperse water qi between the skin, releasing grain essence to circulate Ying and Wei, acting as guides with Ephedrae Herba and Gypsum Fibrosum to lead them into Earth. Is the name Yuebi not fitting?
Yu's discussion is clear and analytical, while Zhao's explanation carefully dissects the principles, benefiting later learners; therefore, both are recorded.
Yangming Disease presents with fever, only sweating on the head, no sweating on the body, dysuria, and thirst for drinking fluids. This is Stagnant Heat within the interior, leading to jaundice of the body and slight abdominal fullness...
Artemisiae Scopariae Herba (Yinchen, 茵陈蒿) six liang; Gardeniae Fructus (Zhizi, 栀子) fourteen pieces; Rhei Radix et Rhizoma (Dahuang, 大黄) two liang.
Boil in ten dou of water. First boil Artemisiae Scopariae Herba until the volume reduces by six dou, then add the other two herbs. Boil until three sheng remain, strain, and take warm in three divided doses. When urination becomes free, urine resembles sapogen juice...
Ke Yunbo stated: Both Taiyang Disease and Yangming Disease can present with jaundice. Sweating only on the head and not on the body means heat cannot vent outward; dysuria means heat cannot drain downward... Therefore, Mahuang Lianqiao Chidou Decoction is used as a cooling dispersal method; the chest and heart represent the interior of Taiyang and Yangming, requiring cold herbs to overcome heat, thus Zhizi Bopi Decoction is used as a fire-clearing method; the intestines and stomach represent the interior of Yangming, requiring purgation from within, so this formula is established as a method to expel turbidity. Artemisiae Scopariae Herba inherits the color of the North, remains evergreen through winter, braving frost... Stagnant Heat... [Text severely fragmented/corrupted].