深师疗伤寒一日至三日应汗者作此汤方
葛根(半斤) 乌梅(十四枚) 葱白(一握) 豉(一升绵裹)
上四味切,以水九升,煮取三升,分为三服,初一服便浓覆取汗,汗出粉之。
又麻黄解肌汤,疗伤寒三四日烦疼不解者方。
麻黄(三两去节) 甘草(一两炙) 杏仁(七十枚去皮尖熬) 桂心(二两)
上四味切,以水九升,先煮麻黄,减二升,掠去沫,乃纳诸药合煮,取二升半,绞去滓
,分服八合,以汗出为度,忌海藻菘菜生葱。(本仲景麻黄汤千金翼并同)
又黄芩汤,疗伤寒六七日发汗不解,呕逆下利,小便不利胸胁痞满微热而烦方。
黄芩 桂心(各三两) 茯苓(四两) 前胡(八两) 半夏(半升洗)
上五味切,以水一斗二升,煮取六升分为六服,日三服,夜三服,间食生姜粥,投取小
便利为瘥。忌羊肉饧生葱酢物。
又石膏汤,疗伤寒病已八九日三焦热,其脉滑数昏愦身体壮热,沉重拘挛,或时呼呻而
已攻内,体犹沉重拘挛,由表未解,今直用解毒汤则挛急不瘥,直用汗药则毒因加剧,而方
无表里疗者意思以三黄汤以救其内,有所增加以解其外,故名石膏汤方。
石膏 黄连 黄柏 黄芩(各二两) 香豉(一升绵裹) 栀子(十枚擘) 麻黄(三
两去节
)
上七味切,以水一斗,煮取三升,分为三服,一日并服出汗,初服一剂小汗,其后更合
一剂,分两日服,常令微汗出,拘挛烦愦即瘥,得数行利心开令语毒折也。忌猪肉冷水。(出
第
深师方治疗伤寒发病一日至三日,应当使用发汗法治疗的,制作此汤方的方法:
葛根(半斤) 乌梅(十四枚) 葱白(一握) 豆豉(一升,用绵布包裹)
以上四味药材切碎,用水九升,煎煮至剩余三升药液,分三次服用。第一次服药后立即覆盖厚被以获取汗出,汗出后擦干身体并扑上爽身粉。
又一种麻黄解肌汤,治疗伤寒三四日,烦痛症状不能缓解的方剂:
麻黄(三两,去节) 甘草(一两,炙烤) 杏仁(七十枚,去皮尖,炒制) 桂心(二两)
以上四味药材切碎,用水九升,先煎煮麻黄,水量减少二升时,撇去浮沫,然后加入其他药物共同煎煮,取药液二升半,过滤去除药渣,每次服用八合,以出汗为限度,忌食海藻、白菜、生葱。(本方与张仲景的麻黄汤、孙思邈《千金翼方》中的记载相同)
又一种黄芩汤,治疗伤寒六七日,发汗后病邪未解,出现呕吐逆气、腹泻、小便不利、胸胁部痞塞胀满、轻微发热且心烦的方剂:
黄芩 桂心(各三两) 茯苓(四两) 前胡(八两) 半夏(半升,洗净)
以上五味药材切碎,用水一斗二升,煎煮至剩余六升药液,分六次服用,白天服三次,夜间服三次,在两餐之间食用生姜粥,促使小便通畅即为痊愈。忌食羊肉、饴糖、生葱、醋制品。
又一种石膏汤,治疗伤寒病已持续八九日,三焦热盛,脉象滑数,神志昏沉迷糊,身体高热沉重,拘挛抽搐,有时呻吟,但尚未进行攻下法治疗,身体依然沉重拘挛。这是因为表证未解,如果直接使用解毒汤则拘挛急症不能缓解,直接使用发汗药则毒邪会因之加剧,而现有方剂中没有能同时兼顾表里治疗的。因此用意是用三黄汤来救治内部热毒,有所增加药物以解除外部表邪,所以命名为石膏汤方:
石膏 黄连 黄柏 黄芩(各二两) 香豉(一升,用绵布包裹) 栀子(十枚,掰开) 麻黄(三两,去节)
以上七味药材切碎,用水一斗,煎煮至剩余三升药液,分三次服用。一天内全部服完以获取汗出,初次服用一剂后微微出汗,之后再将另一剂合并,分两天服用,常令其保持微微出汗状态,拘挛和烦闷昏沉即可痊愈,若能有几次腹泻,心神开朗并能言语,说明毒邪已折损消退。忌食猪肉、冷水。(出自第...)
Shen Shi Fang (Deep Master's Prescriptions) treats Taiyang disease (disease of the Taiyang channel) occurring within one to three days, for which diaphoresis (inducing sweating) is indicated. The prescription for this decoction is as follows:
Puerariae Radix (Ge Gen, 半斤) / Mume Fructus (Wu Mei, 14 pieces) / Scallion White (Cong Bai, one handful) / Fermented Soybean (Chi, 1 sheng, wrapped in silk gauze).
The above four herbs are chopped. Boil with nine sheng of water until reduced to three sheng. Divide into three doses. After the first dose, cover thickly to induce sweating. Once sweat appears, wipe the body and apply powder.
Another formula, Mahuang Jieji Tang (Ephedra Muscle-Relieving Decoction), treats Taiyang disease persisting for three to four days with unresolved irritability and pain.
Ephedrae Herba (Mahuang, 3 liang, remove joints) / Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 liang, honey-fried) / Prunus Armeniaca Semen (Xing Ren, 70 pieces, remove skin and tips, stir-fry) / Cinnamomi Cortex (Guixin, 2 liang).
The above four herbs are chopped. Boil with nine sheng of water. First boil Ephedra until the volume reduces by two sheng. Skim off the foam. Then add the remaining herbs and boil together. Obtain two and a half sheng of liquid. Strain to remove dregs. Take eight he per dose. Stop when sweating occurs. Avoid consuming Algae (Haizao), Chinese Cabbage (Songcai), and raw Scallions. (This formula is identical to Zhang Zhongjing's Mahuang Tang and the version in Sun Simiao's Qianjin Yi Fang).
Another formula, Huangqin Tang (Scutellaria Decoction), treats Taiyang disease after six or seven days where diaphoresis has failed to resolve the pathogen, presenting with vomiting and regurgitation, diarrhea, dysuria (difficulty urinating), chest and hypochondriac fullness and stuffiness, slight fever, and irritability.
Scutellariae Radix (Huang Qin) / Cinnamomi Cortex (Guixin) (each 3 liang) / Poria (Fuling, 4 liang) / Peucedani Radix (Qian Hu, 8 liang) / Pinelliae Rhizoma (Ban Xia, 1/2 sheng, washed).
The above five herbs are chopped. Boil with twelve sheng of water until reduced to six sheng. Divide into six doses. Take three times during the day and three times at night. Between meals, consume ginger congee. The condition is considered cured when urination becomes smooth. Avoid mutton, maltose syrup (YiTang), raw scallions, and vinegar products.
Another formula, Shigao Tang (Gypsum Decoction), treats Taiyang disease persisting for eight or nine days, characterized by heat in the Sanjiao (Triple Burner), slippery and rapid pulse, mental confusion, high fever, heaviness, stiffness and spasms, occasional groaning. Although purgation (attacking the interior) has not yet been performed, the body remains heavy and stiff. This is because the exterior syndrome has not yet resolved. If detoxifying herbs are used directly, the spasms will not improve; if diaphoretics are used directly, the toxin may worsen. Since no existing formula addresses both exterior and interior simultaneously, the intention is to use Sanhuang Tang (Three Yellows Decoction) to rescue the interior, while adding ingredients to resolve the exterior. Hence it is named Shigao Tang.
Gypsum Fibrosum (Shi Gao) / Coptidis Rhizoma (Huang Lian) / Phellodendri Cortex (Huang Bai) / Scutellariae Radix (Huang Qin) (each 2 liang) / Fermented Soybean (Xiang Chi, 1 sheng, wrapped in silk gauze) / Gardeniae Fructus (Zhi Zi, 10 pieces, broken) / Ephedrae Herba (Mahuang, 3 liang, remove joints).
The above seven herbs are chopped. Boil with ten sheng of water until reduced to three sheng. Divide into three doses. Administer all within one day to induce sweating. After the first dose, slight sweating should occur. Subsequently, combine the remaining dose and take over two days. Maintain a state of slight sweating continuously. Stiffness, spasms, irritability, and confusion will resolve. If several bowel movements occur, the mind clears, speech returns, indicating the toxin is subduing. Avoid pork and cold water. (From Volume...)