桂枝(四两去皮味辛热) 附子(三枚炮去皮破八片辛热) 生姜(三两切味辛温)
甘草(二两炙味甘温) 大枣(十二枚擘味甘温)
上五味。以水六升。煮取二升。去滓、分温三服。
风在表者。散以桂枝甘草之辛甘。湿在经者。逐以附子之辛热。姜枣辛甘。行荣卫。
通津液。以和表也。
风湿相搏。骨节烦疼掣痛。不得屈伸。近之则痛剧。汗出短气。小便不利。恶风。不
欲去衣。或身微肿者。甘草附子汤主之。
风则伤卫。湿流关节。风湿相搏。两邪乱经。故骨节烦疼掣痛。不得屈伸。近之则
痛剧也。风胜则卫气不固。汗出短气。恶风不欲去衣。为风在表。湿胜则水气不行。小
便不利。或身微肿。为湿外薄也。与甘草附子汤。散湿固卫气。
甘草(二两炙味甘平) 附子(二枚炮去皮破味辛热) 白术(二两味甘温) 桂枝
(四两去皮味辛热)
上四味。以水六升。煮取三升。去滓、温服一升。日三服。初服得微汗则解。能食。
汗出复烦者。服五合。恐一升多者。宜服六七合者为妙。
桂枝甘草之辛甘。发散风邪而固卫。附子白术之辛甘。解湿气而温经。
活人云。身肿者。加防风一两。悸气。小便不利者。加白茯苓一两半。
伤寒脉浮滑。此表有热。里有寒。白虎汤主之。
浮为在表滑为在里。表有热。外有热也。里有寒。有邪气传里也。以邪未入腑。故
止言寒。如瓜蒂散证。云胸上有寒者是矣。与白虎汤。以解内外之邪。
桂枝(四两,去皮,味辛、性热) 附子(三枚,炮制,去皮,破成八片,味辛、性热) 生姜(三两,切片,味辛、性温)
甘草(二两,蜜炙,味甘、性温) 大枣(十二枚,掰开,味甘、性温)
以上五味药。用水六升。煮取药液二升。滤去药渣。分三次温服。
风邪在体表者。用桂枝和甘草的辛甘之性来发散。湿邪在经络者。用附子的辛热之性来驱逐。生姜和大枣的辛甘之性。能运行营卫之气。通调津液。从而调和表证。
风湿相互搏结。导致骨节剧烈疼痛且牵引作痛。关节不能屈伸。触碰则疼痛加剧。伴有出汗、气短。小便不通利。怕风。不想脱衣。或者身体轻微浮肿的。主治方剂为甘草附子汤。
风邪伤害卫气。湿邪流注关节。风湿相互搏结。两种邪气扰乱经络。所以骨节剧烈疼痛且牵引作痛。关节不能屈伸。触碰则疼痛加剧。风邪偏胜则卫气不固。出现出汗、气短。怕风不想脱衣。这是风邪在体表的表现。湿邪偏胜则水气运行不畅。小便不通利。或者身体轻微浮肿。这是湿邪外迫肌表的表现。给予甘草附子汤。以散除湿邪并巩固卫气。
甘草(二两,蜜炙,味甘、性平) 附子(二枚,炮制,去皮,破开,味辛、性热) 白术(二两,味甘、性温) 桂枝
(四两,去皮,味辛、性热)
以上四味药。用水六升。煮取药液三升。滤去药渣。温服一升。每日服用三次。初次服药后若得微汗则病愈。若能进食。若服药后出汗又出现烦躁的。改为服用五合。如果担心一升剂量过大。适宜服用六七合最为巧妙。
桂枝和甘草的辛甘之性。发散风邪并巩固卫气。附子和白术的辛甘之性。解除湿气并温通经络。
《活人书》说。身体浮肿的。加防风一两。心悸气短的。小便不通利的。加白茯苓一两半。
伤寒脉象浮滑。这是表有热。里有寒。主治方剂为白虎汤。
浮脉表示病在表。滑脉表示病在里。表有热。指体表有热邪。里有寒。指邪气传入体内。因为邪气尚未进入腑。所以只说寒。就像瓜蒂散证中。说胸上有寒邪的情况一样。给予白虎汤。以解除内外的邪气。
Guizhi (Cinnamon Twig, four liang, peeled, pungent and hot) Fuzi (Prepared Aconite Root, three pieces, processed, peeled, broken into eight slices, pungent and hot) Shengjiang (Fresh Ginger, three liang, sliced, pungent and warm) Gancao (Licorice Root, two liang, honey-fried, sweet and warm) Dazao (Jujube Fruit, twelve pieces, torn open, sweet and warm)
The above five herbs. Boil with six sheng of water. Reduce to two sheng of decoction. Remove the dregs. Divide into three doses and take warm.
When wind pathogen is in the exterior, disperse it with the pungent and sweet properties of Guizhi (Cinnamon Twig) and Gancao (Licorice Root). When dampness pathogen is in the meridians, drive it out with the pungent and hot property of Fuzi (Prepared Aconite Root). The pungent and sweet properties of Shengjiang (Fresh Ginger) and Dazao (Jujube Fruit) circulate Ying (Nutritive Qi) and Wei (Defensive Qi). They unblock Jin-Ye (Body Fluids) to harmonize the exterior.
When wind and dampness contend with each other, causing severe pain and pulling sensation in the bone joints, inability to flex or extend, and intensified pain upon touch, accompanied by sweating, shortness of breath, dysuria, aversion to wind, reluctance to remove clothing, or slight edema, Gancao Fuzi Tang (Licorice and Aconite Decoction) is the primary formula.
Wind pathogen injures Wei Qi (Defensive Qi), while dampness flows into the joints. Wind and dampness contending disrupt the meridians, hence the severe pain and pulling sensation in the bone joints, inability to flex or extend, and intensified pain upon touch. Excess wind leads to insecure Wei Qi (Defensive Qi), resulting in sweating, shortness of breath, aversion to wind, and reluctance to remove clothing, indicating wind in the exterior. Excess dampness leads to impaired fluid metabolism, resulting in dysuria or slight edema, indicating dampness pressing on the exterior. Administer Gancao Fuzi Tang (Licorice and Aconite Decoction) to dissipate dampness and secure Wei Qi (Defensive Qi).
Gancao (Licorice Root, two liang, honey-fried, sweet and neutral) Fuzi (Prepared Aconite Root, two pieces, processed, peeled, broken, pungent and hot) Baizhu (Atractylodes Rhizome, two liang, sweet and warm) Guizhi (Cinnamon Twig, four liang, peeled, pungent and hot)
The above four herbs. Boil with six sheng of water. Reduce to three sheng of decoction. Remove the dregs. Take one sheng warm. Three times daily. After the initial dose, if a slight sweat occurs, the condition resolves. If appetite returns but restlessness recurs after sweating, administer five he. If one sheng is considered too much, administering six or seven he is optimal.
The pungent and sweet properties of Guizhi (Cinnamon Twig) and Gancao (Licorice Root) dissipate wind pathogen and secure Wei Qi (Defensive Qi). The pungent and sweet properties of Fuzi (Prepared Aconite Root) and Baizhu (Atractylodes Rhizome) resolve dampness and warm the meridians.
Huoren Shu (Book of Vitality) states: For slight edema, add Fangfeng (Saposhnikovia Root) one liang. For palpitations and dysuria, add Baifuling (Poria, *Poria cocos*) one and a half liang.
In Shanghan (Cold Damage), a floating and slippery pulse indicates heat in the exterior and cold in the interior. Baihu Tang (White Tiger Decoction) is the primary formula.
Floating pulse indicates disease in the exterior; slippery pulse indicates disease in the interior. Heat in the exterior means external heat pathogen. Cold in the interior means pathogen has transmitted inward. Since the pathogen has not yet entered the Fu organs, only "cold" is mentioned. This is similar to the Gengti San (Melon Seed Powder) pattern where "cold in the chest" is described. Administer Baihu Tang (White Tiger Decoction) to resolve both internal and external pathogens.