服桂枝汤大汗后脉洪大者,与桂枝汤。若形如疟,一日再发,汗出便解者,属桂枝二
麻黄一汤方。
桂枝(一两十七铢) 麻黄(十六铢) 芍药 生姜(各一两六铢) 甘草(一两二铢)
杏仁
(十六枚) 大枣(五枚)
上七味 咀,以水五升煮麻黄再沸去沫,纳诸药煮取二升,适寒温分再服,取微汗而
治伤寒表未解,心下有水气,干呕发热而咳,或渴或痢或噎或小便不利、小腹满或喘
者方。
桂心 麻黄 甘草 干姜 芍药 细辛(各三两) 五味子 半夏(各半两)
上八味 咀,以水一斗煮麻黄减二升,去上沫,纳诸药煮取三升,分三服,相去十里许
复服之。若渴者去半夏加栝蒌根三两。若微痢去麻黄加荛花如一鸡子大熬令赤色。若噎加附
子一枚。若小便不利小腹满者去麻黄加茯苓四两。若喘去麻黄加杏仁半升,数用神效。
治伤寒发汗出而喘,无大热,与此方。
甘草(二两) 麻黄(四两) 石膏(半斤) 杏仁(五十枚)
上四味 咀,以水七升先煮麻黄去沫,令减二升,纳诸药煎取三升,分三服。
治发汗若下后烦热,胸中窒气逆抢心者方。
栀子(十四枚) 香豉(四合,绵裹)
上二味,以水四升先煮栀子,取二升半,次纳豉煮取一升半,分二服,温进一服得快吐
止后服。
服用桂枝汤后,如果大汗出而脉象洪大,继续给予桂枝汤。如果症状像疟疾一样,一天发作两次,出汗后就能缓解的,属于桂枝二麻黄一汤证。
桂枝(一两十七铢) 麻黄(十六铢) 芍药 生姜(各一两六铢) 甘草(一两二铢)
杏仁(十六枚) 大枣(五枚)
以上七味药,切碎,用水五升先煮麻黄,沸腾两次后去掉浮沫,再加入其他药物,煮取二升药液,待温度适宜时分两次服用,以微微出汗为治愈标准。
治疗伤寒表证未解,心下有水气,干呕、发热且咳嗽,或者口渴、腹泻、噎塞感、小便不利、小腹胀满或气喘的症状方剂。
桂心 麻黄 甘草 干姜 芍药 细辛(各三两) 五味子 半夏(各半两)
以上八味药,切碎,用水一斗煮麻黄,水量减少二升后,去掉上面的浮沫,加入其他药物,煮取三升药液,分三次服用,间隔十里路程的时间再服用一次。如果口渴,去掉半夏,加入栝蒌根三两。如果轻微腹泻,去掉麻黄,加入荛花如鸡子大小一块,炒至赤色。如果噎塞,加入附子一枚。如果小便不利、小腹胀满,去掉麻黄,加入茯苓四两。如果气喘,去掉麻黄,加入杏仁半升,多次使用效果神奇。
治疗伤寒发汗后出现气喘,没有高热,适用此方。
甘草(二两) 麻黄(四两) 石膏(半斤) 杏仁(五十枚)
以上四味药,切碎,用水七升先煮麻黄去浮沫,水量减少二升后,加入其他药物煎取三升药液,分三次服用。
治疗发汗或攻下后出现烦热,胸中窒塞,气逆冲心的症状方剂。
栀子(十四枚) 香豉(四合,用绵布包裹)
以上两味药,用水四升先煮栀子,取二升半药液,然后加入香豉,煮取一升半药液,分两次服用,温服第一次,如果引起快速呕吐则停止后续服用。
After taking Guizhi Tang (Cinnamon Twig Decoction), if there is profuse sweating followed by a flooding pulse, administer Guizhi Tang again. If the condition resembles malaria with two episodes per day and resolves upon sweating, it belongs to the indication for Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig and One Part Ephedra Decoction).
Guizhi (Cinnamomi Ramulus) [1 liang 17 zhu], Mahuang (Ephedrae Herba) [16 zhu], Shaoyao (Paeoniae Radix Alba), Shengjiang (Zingiberis Rhizoma Recens) [each 1 liang 6 zhu], Gancao (Glycyrrhizae Radix et Rhizoma) [1 liang 2 zhu], Xingren (Armeniacae Semen Amarum) [16 seeds], Dazao (Jujubae Fructus) [5 fruits].
The above seven ingredients are cut into small pieces. Boil Mahuang in five sheng of water until boiling twice, remove the foam on the surface, then add the remaining herbs. Simmer to obtain two sheng of decoction. Take warm, divided into two doses, aiming for slight sweating as the therapeutic goal.
A formula for treating Taiyang disease (Exterior Syndrome) where the exterior pathogen has not been resolved, with fluid retention under the heart, presenting with dry retching, fever, and cough; or alternatively thirst, diarrhea, dysphagia, difficulty in urination, fullness in the lower abdomen, or wheezing.
Guixin (Cinnamomi Cortex), Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Shaoyao (Paeoniae Radix Alba), Xixin (Asari Radix et Rhizoma) [each 3 liang], Wuweizi (Schisandrae Fructus), Banxia (Pinelliae Rhizoma) [each half liang].
The above eight ingredients are cut into small pieces. Boil Mahuang in one dou of water until reduced by two sheng, remove the foam on the surface, then add the remaining herbs. Simmer to obtain three sheng of decoction. Divide into three doses. Administer subsequent doses after traveling approximately ten li. If thirsty, discard Banxia and add Gualougen (Trichosanthis Radix) 3 liang. If mild diarrhea occurs, discard Mahuang and add Wanghua (Adenophorae Radix) equivalent to the size of a chicken egg, stir-fried until red. If dysphagia occurs, add Fuzi (Aconiti Lateralis Radix Praeparata) 1 piece. If there is difficulty in urination and fullness in the lower abdomen, discard Mahuang and add Fuling (Poria) 4 liang. If wheezing occurs, discard Mahuang and add Xingren (Armeniacae Semen Amarum) half sheng; repeated use yields miraculous effects.
A formula for treating Taiyang disease where sweating leads to wheezing without significant heat.
Gancao (Glycyrrhizae Radix et Rhizoma) [2 liang], Mahuang (Ephedrae Herba) [4 liang], Shigao (Gypsum Fibrosum) [half jin], Xingren (Armeniacae Semen Amarum) [50 seeds].
The above four ingredients are cut into small pieces. Boil Mahuang in seven sheng of water first, remove the foam, reduce the volume by two sheng, then add the remaining herbs. Simmer to obtain three sheng of decoction. Divide into three doses.
A formula for treating irritability and heat, chest oppression, and rebellious qi rushing to the heart following sweating or purgation therapy.
Zhizi (Gardeniae Fructus) [14 fruits], Chidouchi (Sojae Semen Preparatum) [4 he, wrapped in silk gauze].
The above two ingredients: Boil Zhizi in four sheng of water first to obtain two and a half sheng of decoction. Then add Chidouchi and simmer to obtain one and a half sheng of decoction. Divide into two doses. Take warm; if rapid vomiting occurs after the first dose, discontinue further administration.