治少阴病得之二三日,心中烦,不得卧。
黄连(四两) 黄芩(一两) 芍药(二两) 鸡子黄(二枚) 阿胶(三两)
上五味,以水五升,先煮三药,取二升,去滓,纳胶溶,小冷,纳鸡子黄,搅令相得,
温服
柯韵伯曰∶此少阴之泻心汤也。凡泻心必藉连、芩,而导引有阴阳之别。病在三阳,胃
中不
者,
神明
非得
不归
和,取
急趋下
精神乃
手足厥冷,脉细欲绝者主之。若其人内有久寒,加吴萸、生姜。
当归 桂枝 芍药(各三两) 细辛 甘草 通草(各二两) 大枣(二十五枚)
上七味,以水八升,温服一升,日三服。
柯韵伯曰∶此厥阴初伤于寒,发散表寒之剂。凡厥阴伤寒,则脉微而厥。以厥阴为两阴
之交
相火
脉细
也;
通
草
气血
手足
发散之
细辛,
阴内外
程郊倩曰∶少阴所主者气,厥则为寒,当纳气归肾;厥阴所主者血,厥则为虚,当温经
复营
治厥阴病干呕,吐涎沫,头痛者;少阴症吐利,手足厥冷,烦躁欲死者;阳明食谷欲呕
者。
吴茱萸(一升) 人参(三两) 生姜(六两) 大枣(十二枚)
上四味,以水七升,煮取二升,温服七合,日三服。
罗东逸曰∶仲景救阳诸法,于少阴四逆汤,必用姜、附;通脉四逆汤,加干姜分两,其
附子
断鳌
茱萸
一阳
具,
生矣
升之
之燥
四末
之间
气。学人
王又原曰∶少阴、厥阴,俱有躁烦。少阴之躁在水,由龙火不归,故姜、附得而阳回;
厥阴
(两
治疗少阴病,患病两三天后,心中烦乱,无法安卧。
黄连(四两) 黄芩(一两) 芍药(二两) 鸡子黄(两个) 阿胶(三两)
以上五味药,用水五升,先煎煮前三味药,取药液二升,滤去药渣,加入阿胶使其溶化,待药液稍凉后,加入鸡子黄,搅拌均匀,温服。
柯韵伯说:这是少阴病的泻心汤。凡是使用泻心法,必须借助黄连、黄芩,但引导的方法有阴阳的区别。病在三阳经,胃中不和,神明不得安宁,精神不能归位,需要急趋下行以调和精神。
手足冰冷,脉搏细微几乎摸不到的情况,用此方主治。如果患者体内素有久寒,则加入吴茱萸、生姜。
当归 桂枝 芍药(各三两) 细辛 甘草 通草(各二两) 大枣(二十五枚)
以上七味药,用水八升,煎煮后每次温服一升,每日服用三次。
柯韵伯说:这是厥阴病初受寒邪,发散表寒的方剂。凡是厥阴伤寒,脉象微弱且四肢厥冷。因为厥阴是两阴交汇之处,相火潜藏,脉象细微,气血运行不畅,导致手足厥冷。此方具有发散作用,细辛能通达阴内外。
程郊倩说:少阴所主的是气,发生厥逆则为寒,应当纳气归肾;厥阴所主的是血,发生厥逆则为虚,应当温经恢复营血。
治疗厥阴病出现干呕,吐出涎沫,头痛的情况;少阴症出现呕吐腹泻,手足冰冷,烦躁得快要死去的情况;阳明病进食后想要呕吐的情况。
吴茱萸(一升) 人参(三两) 生姜(六两) 大枣(十二枚)
以上四味药,用水七升,煎煮取药液二升,每次温服七合,每日服用三次。
罗东逸说:张仲景救治阳气的方法中,在少阴病的四逆汤里,必须使用干姜、附子;在通脉四逆汤里,增加干姜的分量,其附子的作用是断鳌立极,使一阳之气生发,提升燥烈之性于四肢末端之间,使气机通畅。学者们……
Treat Shaoyin disease (Shaoyin syndrome) presenting two to three days after onset, with mental restlessness and inability to sleep.
Coptidis Rhizoma (Huanglian, 黄连) (4 liang), Scutellariae Radix (Huangqin, 黄芩) (1 liang), Paeoniae Radix Alba (Baishao, 芍药) (2 liang), Yolk of Chicken Egg (Jizihuang, 鸡子黄) (2 pieces), Euphorbiae Pekinensis Radix (Ejiao, 阿胶) (3 liang).
Take the above five herbs, add five sheng of water, first decoct the first three herbs, reduce to two sheng, strain, dissolve the Ejiao into the liquid, let it cool slightly, then add the Yolk of Chicken Egg, stir well until mixed, and take warm.
Ke Yunbo stated: This is the Xiexin Decoction (Draining Heart Decoction) for Shaoyin syndrome. Generally, Xiexin methods rely on Huanglian and Huangqin, but the guiding principles differ between Yin and Yang. When the pathogen is in the Three Yang channels, if the Stomach is disharmonious, the Spirit (Shen) cannot find peace, and the Essence and Spirit fail to return to their proper place; urgent downward movement is required to harmonize the Spirit.
It is indicated for cold hands and feet with a fine pulse nearly imperceptible. If the patient has chronic internal cold, add Evodiae Fructus (Wuzhuyu, 吴茱萸) and Zingiberis Rhizoma Recens (Shengjiang, 生姜).
Angelicae Sinensis Radix (Danggui, 当归), Cinnamomi Ramulus (Guizhi, 桂枝), Paeoniae Radix Alba (Baishao, 芍药) (each 3 liang), Asari Radix et Rhizoma (Xixin, 细辛), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Tetrapanacis Medulla (Tongcao, 通草) (each 2 liang), Jujubae Fructus (Dazao, 大枣) (25 pieces).
Take the above seven herbs, add eight sheng of water, decoct and take one sheng warm per dose, three times daily.
Ke Yunbo stated: This is a formula for dispersing exterior cold when Jueyin syndrome is initially affected by cold. In Jueyin cold damage, the pulse is faint and there is cold extremities. Because Jueyin is the intersection of two Yin channels, with latent Ministerial Fire, the pulse is fine, and Qi and Blood circulation is impaired, leading to cold extremities. This formula has a dispersing action; Xixin can penetrate through the interior and exterior of the Yin channels.
Cheng Jiaoqian stated: Shaoyin governs Qi; when Jue occurs, it becomes cold, requiring the guidance of Qi back to the Kidney. Jueyin governs Blood; when Jue occurs, it becomes deficient, requiring warming of the meridians to restore Ying (Nutritive) Blood.
It treats Jueyin syndrome with dry retching, vomiting of saliva and froth, and headache; Shaoyin syndrome with vomiting and diarrhea, cold extremities, and severe irritability as if death were imminent; Yangming syndrome with desire to vomit after eating food.
Evodiae Fructus (Wuzhuyu, 吴茱萸) (1 sheng), Ginseng Radix et Rhizoma (Renshen, 人参) (3 liang), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (6 liang), Jujubae Fructus (Dazao, 大枣) (12 pieces).
Take the above four herbs, add seven sheng of water, decoct to obtain two sheng, take seven ge warm per dose, three times daily.
Luo Dongyi stated: Among Zhang Zhongjing's methods for rescuing Yang, in the Sini Decoction (Four Reversal Decoction) for Shaoyin, Ginger and Aconite must be used; in Tongmai Sini Decoction (Pulse-Reviving Four Reversal Decoction), the dosage of dried ginger is increased. The role of Aconite is to establish stability, allowing the generation of One Yang Qi, enhancing its drying and ascending nature at the extremities, ensuring smooth Qi flow. Scholars...
Wang Youyuan stated: Both Shaoyin and Jueyin present with irritability and restlessness. Shaoyin irritability lies in Water, due to Dragon Fire failing to return to its source, thus Ginger and Aconite can restore Yang; Jueyin... (text cuts off here)