病源风湿者,是风气与湿气共伤于人也,风者八方之虚风,湿者水湿之蒸气。若地下湿
,复
若经
有正
数易
深师疗风湿脉浮身重,汗出恶风方。
汉防己(四两) 白术(三两) 蜀黄 (五分) 甘草(二两炙) 大枣(十二枚擘)
生姜(
三两)
上六味 咀。以水六升,煮取二升,分为三服,服汤当坐被中,欲解汗出,如虫行皮中
。忌桃李雀肉海藻菘菜。(千金同此本仲景伤寒论方)
又四物附子汤,疗风湿相搏,骨节疼烦,掣痛不得屈伸,近之则痛,白汗出,短气,小
便不利,恶风不欲去衣,或一身悉肿方。
附子(二枚炮八破) 桂心(四两) 白术(三两) 甘草(二两炙)
上药 咀。以水六升,煮取三升,去滓,服一升,日三,当微汗。若汗出烦者,一服五
合蔡公数用验。忌猪肉冷水生葱余忌同前方。(此本仲景伤寒论方)
又疗风湿百节疼痛,不可屈伸,痛时汗出方。
芍药(四两) 甘草(三两炙) 芎 (四两) 附子(三两炮四破)
上四味 咀。以水五升,煮取二升,分再服相去十里顷,忌同。
又疗风湿身体疼痛,恶风微肿,汤方。
桂心(四两) 麻黄(二两去节) 芍药(二两) 天门冬(二两去心) 生姜(三两)
杏仁(
五十枚)
上六味 咀。以水一斗,煮取三升,一服一升,日三。忌鲤鱼,忌同。(并出第九卷中)
古今录验附子汤,疗风湿相搏,骨节烦疼,不得屈伸,近之则痛,白汗出短气,小便不
得利,恶风不欲去衣,或一身流肿方。
桂心(三两) 白术(三两) 附子(二枚炮八破) 甘草(三两)
上四味 咀。以水六升,煮取三升,分三服,微汗即止。若汗出烦者,稍服五合,骠骑
使吴
疼痛
生姜
又疗风湿体疼,恶风微肿。天门冬汤方。
天门冬(三两去心) 葛根(四两) 生姜(三两) 桂心(四两) 麻黄(三两去节)
芍药(
二两) 杏仁(五十枚) 甘草(二两炙)
上八味切。以水一斗,煮取三升,分三服,取汗。忌鲤鱼,余同前。(深师无芍药名天
门冬汤并出第十四卷中)
又疗头风湿,面如针刺之状,身体有肿,恶风汗出短气,不能饮食。麻黄汤方。
麻黄(四两) 芎 (一两) 莽草(一两) 当归(一两) 杏仁(三十枚)
上五味切。以水五升,煮取二升,去滓,分三服,日三,糜粥将息佳。
又辨中风偏枯风痱风懿风痹,偏枯者。半身偏不随,肌肉偏不用而痛,言不变,智不乱
病
智
不
出
眩
风
十
汤
独活(五两) 葛根(四两) 干姜(二两) 桂心(四两) 半夏(四两洗) 甘草
(二两炙)
防风(三两)
上七味 咀。以水一斗,煮取三升,每服一升,日三,得少微汗出好。忌羊肉饧海藻菘
菜生葱。
又疗湿家始得病时,可与薏苡麻黄汤方。
薏苡(半升) 麻黄(四两去节) 甘草(二两炙) 杏仁(二两)
上四味 咀以水五升,煮取二升,分再服,汗出即愈。湿家烦疼,可以甘草麻黄汤发汗
,不
小异
【背景信息】
书名:外台秘要 作者:王焘 朝代:唐·天宝十一年 章节:风湿方九首 类别:方剂
【待处理原文翻译】
病因风湿的,是风邪与湿邪共同伤害人体。风是指来自八方的虚风(非时令之风),湿是指水湿产生的蒸气。如果地面潮湿,又……(原文此处有缺漏或错简,难以通顺翻译,略过不通之处)……深师疗风湿脉浮身重,汗出恶风方。
汉防己(四两) 白术(三两) 蜀黄(五分,注:疑为蜀椒或黄芪之误,依原文保留) 甘草(二两,炙) 大枣(十二枚,掰开) 生姜(三两)
以上六味药,切碎。用水六升,煮取二升药液,分三次服用。服药后应当坐在被子里,想要病解时出汗,感觉像虫子在皮肤中爬行一样。禁忌食用桃李、雀肉、海藻、菘菜。(此方与《千金方》相同,本出自张仲景《伤寒论》方)
又有四物附子汤,治疗风湿相搏(风邪与湿邪相互纠结),骨节疼痛烦扰,牵引性疼痛导致不能屈伸,靠近患处则疼痛加剧,自汗出,气短,小便不利,怕风不想脱衣,或者全身浮肿方。
附子(二枚,炮制后破成八块) 桂心(四两) 白术(三两) 甘草(二两,炙)
以上药物切碎。用水六升,煮取三升药液,去渣,每次服一升,每日三次,应当微微出汗。如果出汗后感到烦躁,改为每次服五合。蔡公多次使用验证有效。禁忌猪肉、冷水、生葱,其余禁忌同前方。(此方本出自张仲景《伤寒论》方)
芍药(四两) 甘草(三两,炙) 川芎(四两) 附子(三两,炮制后破成四块)
以上四味药切碎。用水五升,煮取二升药液,分两次服用,两次服药间隔约十里路程的时间。禁忌同前。
桂心(四两) 麻黄(二两,去节) 芍药(二两) 天门冬(二两,去心) 生姜(三两) 杏仁(五十枚)
以上六味药切碎。用水一斗,煮取三升药液,每次服一升,每日三次。禁忌鲤鱼,其余禁忌同前。(均出自第九卷中)
古今录验附子汤,治疗风湿相搏,骨节烦疼,不能屈伸,靠近则痛,自汗出,气短,小便不利,怕风不想脱衣,或者全身流肿方。
桂心(三两) 白术(三两) 附子(二枚,炮制后破成八块) 甘草(三两)
以上四味药切碎。用水六升,煮取三升药液,分三次服用,微微出汗即止。如果出汗后烦躁,稍减剂量服五合。骠骑使吴……(原文此处有缺漏)……疼痛……生姜……
天门冬(三两,去心) 葛根(四两) 生姜(三两) 桂心(四两) 麻黄(三两,去节) 芍药(二两) 杏仁(五十枚) 甘草(二两,炙)
以上八味药切碎。用水一斗,煮取三升药液,分三次服用,以取汗为目的。禁忌鲤鱼,其余同前。(《深师方》无芍药,名为天门冬汤,并出自第十四卷中)
又治疗头面风湿,面部如针刺状,身体有肿,怕风汗出气短,不能饮食。麻黄汤方。
麻黄(四两) 川芎(一两) 莽草(一两) 当归(一两) 杏仁(三十枚)
以上五味药切碎。用水五升,煮取二升药液,去渣,分三次服用,每日三次,喝糜粥调养为佳。
又辨析中风、偏枯、风痱、风懿、风痹。偏枯者,半身不遂,肌肉偏侧不用而疼痛,言语不变,智力不乱……(原文此处有缺漏)……眩……风……十……汤……
独活(五两) 葛根(四两) 干姜(二两) 桂心(四两) 半夏(四两,洗) 甘草(二两,炙) 防风(三两)
以上七味药切碎。用水一斗,煮取三升药液,每次服一升,每日三次,得到少许微微出汗为好。禁忌羊肉、饴糖、海藻、菘菜、生葱。
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Nine Formulas for Wind-Dampness
Category: Formulas
[Translation]
Etiology of Wind-Dampness: This occurs when Wind pathogen and Dampness pathogen jointly injure the human body. "Wind" refers to empty winds from the eight directions (non-seasonal winds), and "Dampness" refers to the vapor generated by water dampness. If the ground is damp... [Text contains lacunae/interpolations here, skipping incoherent parts] ...Shen Shi's formula for treating Wind-Dampness with floating pulse, heavy body, sweating, and aversion to wind.
Han Fangji (Fangji, *Stephaniae Tetrandrae Radix*) (4 liang)
Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang)
Shu Huang (Note: Likely a typo for Shu Jiao or Huangqi, kept as per original text) (5 fen)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (2 liang)
Dazao (Jujube Fruit, *Ziziphi Jujubae Fructus*) (12 pieces, split open)
Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) (3 liang)
Process the above six ingredients by chopping. Decoct in 6 sheng of water until 2 sheng remains. Divide into three doses. After taking the decoction, one should sit within a quilt. When the disease resolves through sweating, it feels like insects crawling under the skin. Dietary restrictions: Avoid peaches, plums, sparrow meat, seaweed, and Chinese cabbage. (This formula is identical to that in *Qianjin Fang* and originates from Zhang Zhongjing's *Shanghan Lun*).
Another formula is Siwu Fuzi Tang (Four-Ingredient Aconite Decoction), used to treat Wind-Dampness interlocking (where Wind and Damp pathogens entangle each other), causing painful and vexatious joint pain, pulling pain preventing flexion and extension, exacerbation of pain upon touch, spontaneous sweating, shortness of breath, difficulty in urination, aversion to wind with reluctance to remove clothing, or generalized edema.
Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (2 pieces, processed/baked and broken into 8 pieces)
Guixin (Cinnamon Twig Bark, *Cinnamomi Ramulus Cortex*) (4 liang)
Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (2 liang)
Chop the above herbs. Decoct in 6 sheng of water until 3 sheng remains. Strain the dregs. Take 1 sheng per dose, three times daily. The goal is mild sweating. If sweating causes irritability, reduce the dose to 5 he per administration. Master Cai verified its efficacy multiple times. Dietary restrictions: Avoid pork, cold water, and raw green onions; other restrictions are the same as the previous formula. (This formula originates from Zhang Zhongjing's *Shanghan Lun*).
Another formula treats Wind-Dampness causing pain in all joints, inability to flex or extend, and sweating during pain episodes.
Shaoyao (Peony Root, *Paeoniae Radix Alba*) (4 liang)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (3 liang)
Xiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) (4 liang)
Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (3 liang, processed/baked and broken into 4 pieces)
Chop the above four ingredients. Decoct in 5 sheng of water until 2 sheng remains. Divide into two doses. The interval between doses should be approximately the time it takes to travel ten li. Dietary restrictions are the same as before.
Another decoction treats Wind-Dampness causing body pain, aversion to wind, and slight swelling.
Guixin (Cinnamon Twig Bark, *Cinnamomi Ramulus Cortex*) (4 liang)
Mahuang (Ephedra Herb, *Ephedrae Herba*) (2 liang, nodes removed)
Shaoyao (Peony Root, *Paeoniae Radix Alba*) (2 liang)
Tianmendong (Asparagus Tuber, *Asparagi Radix*) (2 liang, heart removed)
Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) (3 liang)
Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (50 seeds)
Chop the above six ingredients. Decoct in 1 dou of water until 3 sheng remains. Take 1 sheng per dose, three times daily. Dietary restrictions: Avoid carp; other restrictions are the same as before. (All found in Volume 9).
Gujin Luyan Fuzi Tang (Ancient and Modern Verified Aconite Decoction) treats Wind-Dampness interlocking, causing painful and vexatious joint pain, inability to flex or extend, exacerbation of pain upon touch, spontaneous sweating, shortness of breath, difficulty in urination, aversion to wind with reluctance to remove clothing, or generalized flowing edema.
Guixin (Cinnamon Twig Bark, *Cinnamomi Ramulus Cortex*) (3 liang)
Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang)
Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (2 pieces, processed/baked and broken into 8 pieces)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (3 liang)
Chop the above four ingredients. Decoct in 6 sheng of water until 3 sheng remains. Divide into three doses. Stop when mild sweating occurs. If sweating causes irritability, slightly reduce the dose to 5 he. [Text fragment: General Wu...] ...pain... Ginger...
Another formula treats Wind-Dampness causing body pain, aversion to wind, and slight swelling. Tianmendong Tang (Asparagus Tuber Decoction).
Tianmendong (Asparagus Tuber, *Asparagi Radix*) (3 liang, heart removed)
Gegen (Kudzu Root, *Puerariae Lobatae Radix*) (4 liang)
Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) (3 liang)
Guixin (Cinnamon Twig Bark, *Cinnamomi Ramulus Cortex*) (4 liang)
Mahuang (Ephedra Herb, *Ephedrae Herba*) (3 liang, nodes removed)
Shaoyao (Peony Root, *Paeoniae Radix Alba*) (2 liang)
Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (50 seeds)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (2 liang)
Chop the above eight ingredients. Decoct in 1 dou of water until 3 sheng remains. Divide into three doses. The goal is to induce sweating. Dietary restrictions: Avoid carp; others are the same as before. (*Shen Shi Fang* lacks Shaoyao and names this Tianmendong Tang; found in Volume 14).
Another formula treats Wind-Dampness in the head and face, facial sensation like needle pricks, body swelling, aversion to wind, sweating, shortness of breath, and inability to eat. Mahuang Tang (Ephedra Decoction).
Mahuang (Ephedra Herb, *Ephedrae Herba*) (4 liang)
Xiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) (1 liang)
Maangcao (Vernonia Herb, *Vernoniae Herba*) (1 liang)
Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (1 liang)
Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (30 seeds)
Chop the above five ingredients. Decoct in 5 sheng of water until 2 sheng remains. Strain the dregs. Divide into three doses, taken three times daily. Consuming millet porridge for recuperation is beneficial.
Another section differentiates Stroke (Zhong Feng), Hemiplegia (Pian Ku), Flaccid Paralysis (Feng Fei), Aphasia (Feng Yi), and Bi Syndrome (Feng Bi). Pian Ku (Hemiplegia) involves unilateral paralysis, where muscles on one side are unusable and painful, while speech and intelligence remain intact... [Text contains lacunae] ...dizziness... wind... ten... Tang...
Duhuo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*) (5 liang)
Gegen (Kudzu Root, *Puerariae Lobatae Radix*) (4 liang)
Ganjiang (Dried Ginger, *Zingiberis Rhizoma*) (2 liang)
Guixin (Cinnamon Twig Bark, *Cinnamomi Ramulus Cortex*) (4 liang)
Banxia (Pinellia Tuber, *Pinelliae Rhizoma*) (4 liang, washed)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (2 liang)
Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*) (3 liang)
Chop the above seven ingredients. Decoct in 1 dou of water until 3 sheng remains. Take 1 sheng per dose, three times daily. Mild sweating is desirable. Dietary restrictions: Avoid mutton, maltose, seaweed, Chinese cabbage, and raw green onions.
Another formula for patients with chronic dampness at the onset of illness: Yiyi Mahuang Tang (Coix and Ephedra Decoction).
Yiyi (Coix Seed, *Coicis Semen*) (0.5 sheng)
Mahuang (Ephedra Herb, *Ephedrae Herba*) (4 liang, nodes removed)
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, prepared with honey) (2 liang)
Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (2 liang)
Chop the above four ingredients. Decoct in 5 sheng of water until 2 sheng remains. Divide into two doses. Recovery occurs with sweating. For patients with chronic dampness experiencing vexatious pain, Gancao Mahuang Tang (Licorice and Ephedra Decoction) can be used to induce sweating; it differs slightly from the above formula.