寒邪所伤身能发热,寒气外固,阳气内拒,鼻塞气粗,闻气出如火,此当发其寒,六脉
浮而轻疾,散满指下。
麻黄(去根节) 削术(各半两) 本 芎
分)
上为粗散,空心,并非时,水一盏,生姜一片,煎三钱,去滓服。
心火独盛,少阴,少阳之胜,身热,小府赤,大府秘,头痛,口干,舌粗,骨疼,六脉
洪大而实,有骨力,又数,宜用此方。
茯苓 麦门冬(去心) 芍药 麻黄
丹皮(四铢)
上如前法,为粗散。
肝气之热,身亦发热,其状与心火之胜同,以风热同化,木火相助,其候同也。然肝之
发热,所以不同者。虽热而往往自闻其寒,多觉背上脊膂洒洒振寒,并两足多冷,胶涎,甚
则呕逆而吐,六脉弦急而长,其他与心火胜之亦同,然心火之胜,脉必洪,而肝热即洪大而
弦,然亦有上于弦而不洪大者,以风气之独胜耳,宜用此方。
荆芥穗 羌活 独活 芍药
草(等分)
上为粗散,食后,水一盏,煎三钱,取八分,去滓和滓任意,又看其人气实,肝藏热
多,至于生涎,则加天南星,半夏、白僵蚕、干蝎各少许,天南星、白僵蚕、可与众药等,
半夏、蝎、随意加减,不必多,涎结而大府秘,则以牵牛和上件药服,以疏为度。
经言,阴盛生寒,阳盛生热,元气虚乏,肾水极寒,发为寒战,冷汗自出,六脉微细而
沉,寒邪犯心,则肾脉必击而沉,心下大动不安,甚则仆倒,宜先暖其肾,后保其心,暖肾
脏方。
牛膝(酒浸一宿) 石斛 巴戟(去心) 萆 (盐水煮
苓附子(炮)
上为末,炼蜜为丸如梧子大,空心,米汤下七十丸。
湿气之胜,汗出憎风,肌体多冷,畏风食减,倦怠无力,六脉混浊而缓,弱大而散,面
目无光,宜服前暖肾丸,并服此方。
白术 陈橘皮 芎(各半两) 细辛
草豆蔻 人参(半两) 干姜(四铢)
上为末,炼蜜和丸如梧子大,空心,米汤下五十丸。
寒邪侵袭人体,身体能够发热。这是因为寒气束缚于体表,阳气在体内抗拒(与之抗争),导致鼻塞、呼吸粗重,呼出的气息感觉像火一样热。这种情况应当采用发汗的方法祛除寒邪,诊察可见六脉浮取即得且轻快疾速,脉象散漫充满指下。
麻黄(去除根和节)半两,白术半两,藁本、川芎各半两。
以上药物捣碎成粗散剂,空腹时服用,不拘固定时间,每次取水一盏,加入生姜一片,煎煮至三钱药量的汁液,滤去药渣后温服。
心火单独亢盛,或是少阴经、少阳经的邪气偏胜,会导致身体发热,小便短赤,大便干结不通,头痛,口干,舌苔粗糙,骨骼疼痛。诊察可见六脉洪大且坚实,按之有骨力,同时脉率较快。适宜使用此方治疗。
茯苓,麦门冬(去除心),芍药,麻黄,牡丹皮(四铢)。
以上药物按照前述方法,制成粗散剂。
肝气郁而化热,身体也会发热,其症状表现与心火亢盛相同,这是因为风热同气相求,木(肝)火相生相助,所以候证相似。然而肝气发热的不同之处在于:虽然身体发热,但患者往往自己感觉到寒冷,经常觉得背部脊柱部位洒洒然恶寒战栗,并且双足大多发冷,流涎水,严重时出现呕吐逆气甚至吐出食物。诊察可见六脉弦急而长。其他症状与心火亢盛相同。但是,心火亢盛的脉象必定洪大,而肝热的脉象则是洪大而兼弦,也有仅见弦脉而不见洪大的情况,这是风气单独偏胜的缘故。适宜使用此方治疗。
荆芥穗,羌活,独活,芍药,甘草(等分)。
以上药物制成粗散剂,饭后服用,取水一盏,煎煮至三钱药量的汁液,取八分满,滤去药渣,将药渣与药汁混合随意服用。另外还要观察患者的体质是否实壮,如果肝脏藏热较多,以至于产生大量涎水,则加入天南星、半夏、白僵蚕、全蝎各少许。其中天南星、白僵蚕的量可与众药相等,半夏、全蝎的量则随意加减,不必过多。如果痰涎凝结且大便干结不通,则将牵牛子与上述药物配合服用,以疏通为度。
医经中说,阴气盛则生寒,阳气盛则生热。如果元气虚乏,肾水极度寒冷,就会引发寒战,冷汗自出。诊察可见六脉微细而沉。如果是寒邪侵犯心脏,那么肾脉必定搏击有力而沉,患者会感到心下剧烈跳动不安,严重时甚至会昏仆倒地。此时应当先温暖肾脏,然后再保护心脏,可使用暖肾脏方。
牛膝(酒浸泡一夜),石斛,巴戟天(去除心),萆薢(盐水煮),附子(炮制)。
以上药物研成粉末,用炼蜜制成梧桐子大小的丸剂,空腹时用米汤送服七十丸。
湿气偏胜,表现为出汗且厌恶风吹,肌体多感寒冷,畏风,食欲减退,倦怠无力。诊察可见六脉浑浊而缓,弱大而散,面目无光泽。适宜服用前面的暖肾丸,并服用此方。
白术,陈皮,川芎(各半两),细辛,甘草,草豆蔻,人参(半两),干姜(四铢)。
以上药物研成粉末,用炼蜜调和制成梧桐子大小的丸剂,空腹时用米汤送服五十丸。
When pathogenic cold invades the body, fever may occur. This is because cold qi binds externally while yang qi resists internally. The patient presents with nasal congestion and coarse breathing, with exhaled breath feeling hot like fire. In such cases, diaphoresis (sweating to release the exterior) should be employed to dispel the cold. The six pulses are floating and rapid upon light palpation, appearing scattered and filling the fingers.
Ephedrae Herba (Mahuang, 麻黄) [half tael], Atractylodis Rhizoma (Baizhu, 白术) [half tael], Ligustici Rhizoma et Radix (Gaoben, 藁本), and Chuanxiong Rhizoma (Chuanxiong, 川芎) [each half tael].
Grind the above into a coarse powder. Take on an empty stomach at any time. Decoct three qian of the powder in one cup of water with one slice of fresh ginger. Strain and take the decoction warm.
If Heart Fire alone is hyperactive, or if there is excess in the Shaoyin or Shaoyang meridians, the body will feel hot. The patient presents with red scanty urine, constipation, headache, dry mouth, rough tongue coating, and bone pain. The six pulses are surging (Hong), large, and solid, with a bony force, and are also rapid. This formula is suitable.
Poria (Fuling, 茯苓), Ophiopogonis Radix (Maidong, 麦门冬) [heart removed], Paeoniae Radix (Shaoyao, 芍药), Ephedrae Herba (Mahuang, 麻黄), and Moutan Cortex (Danpi, 丹皮) [four zhu].
Prepare as a coarse powder using the method described above.
Liver Qi transforming into heat also causes fever. The presentation is similar to that of Heart Fire excess because wind and heat share the same nature, and Wood (Liver) and Fire assist each other. However, the difference in Liver heat is that although the body feels hot, the patient often perceives coldness internally, frequently experiencing chills along the spine and back, and coldness in both feet. There is excessive salivation, and in severe cases, vomiting and regurgitation. The six pulses are wiry (Xian), urgent, and long. Other symptoms resemble Heart Fire excess. However, while Heart Fire excess always presents with a surging pulse, Liver heat presents with a pulse that is surging yet wiry; sometimes it is only wiry without being surging, due to the predominance of Wind Qi. This formula is suitable.
Schizonepeta Spike (Jingjie Sui, 荆芥穗), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Paeoniae Radix (Shaoyao, 芍药), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [equal parts].
Grind into a coarse powder. Take after meals. Decoct three qian in one cup of water. Reduce to eight-tenths volume. Strain and mix the dregs with the liquid for arbitrary consumption. Observe whether the patient’s constitution is robust and whether Liver Heat is significant enough to cause excessive salivation. If so, add Pinelliae Tuber (Tiannanxing, 天南星), Pinelliae Rhizoma Preparatum (Banxia, 半夏), Bombyx Batryticatus (Baijiangcan, 白僵蚕), and Scorpio (Quanxie, 全蝎) in small amounts. The dosage of Tiannanxing and Baijiangcan can equal that of the other herbs, while Banxia and Quanxie should be adjusted freely and not used in large quantities. If phlegm-saliva congeals and constipation occurs, combine with Semen Kochiae (Qianniuzi, 牵牛子) and the aforementioned herbs, aiming for unblocking and purging.
The Classics state: "Excess Yin generates cold; Excess Yang generates heat." If Yuan Qi (Original Qi) is deficient and Kidney Water is extremely cold, it manifests as rigors with spontaneous cold sweating. The six pulses are minute, fine, and deep. If Cold Pathogen attacks the Heart, the Kidney pulse will be striking and deep, accompanied by severe palpitations and restlessness in the epigastrium, and in severe cases, collapse. One must first warm the Kidneys and then protect the Heart. Use the Formula to Warm the Kidneys.
Achyranthis Bidentatae Radix (Niuxi, 牛膝) [soaked in wine overnight], Dendrobii Caulis (Shihu, 石斛), Morusae Radix Cortex (Bajitian, 巴戟天) [heart removed], Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) [boiled in salt water], and Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [prepared].
Grind into powder. Mix with refined honey to make pills the size of mulberry seeds. Take seventy pills on an empty stomach with rice soup.
When Dampness is predominant, the patient sweats and fears wind. The body feels cold, there is aversion to wind, reduced appetite, fatigue, and weakness. The six pulses are turbid, slow, weak, large, and scattered. The face and eyes lack luster. It is appropriate to take the previously mentioned Pill to Warm the Kidneys and this formula.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Citri Reticulatae Pericarpium (Chenpi, 陈橘皮), Chuanxiong Rhizoma (Chuanxiong, 川芎) [each half tael], Asari Radix et Rhizoma (Xixin, 细辛), Licorice Root (Gancao, 甘草), Cardamomi Fructus (Caoudoukou, 草豆蔻), Ginseng Radix (Renshen, 人参) [half tael], and Zingiberis Rhizoma Recens (Ganjiang, 干姜) [four zhu].
Grind into powder. Mix with refined honey to make pills the size of mulberry seeds. Take fifty pills on an empty stomach with rice soup.