葛根(四两) 麻黄(三两去节汤泡去黄汁焙干称) 生姜(三两切) 甘草(二
两炙) 芍药(二两) 桂枝(二两去皮) 大枣(十二枚擘) 半夏(半斤洗)
上八味。以水一斗。先煮葛根麻黄。减二升。去白沫。内诸药。煮取三升。去滓。
温服一升。覆、取微似汗。
太阳病。桂枝证。医反下之。利遂不止。脉促者。表未解也。喘而汗出者。葛根黄
连黄芩汤主之。
经曰。不宜下而便攻之。内虚热入。协热遂利。桂枝证者。邪在表也。而反下之。虚
其肠胃。为热所乘。遂利不止。邪在表则见阳脉。邪在里。则见阴脉。下利脉微迟。邪
在里也。促为阳盛。虽下利。而脉促者。知表未解也。病有汗出而喘者。为自汗
出而喘也。即邪气外甚所致。喘而汗出者。为因喘而汗出也。即里热气逆所致。与葛根
黄芩黄连汤。散表邪。除里热。
葛根(半斤) 甘草(二两炙味甘平) 黄芩(二两味苦寒) 黄连(三两味苦寒)
上四味。以水八升。先煮葛根。减二升。入诸药。煮、取二升。去滓。分温、再服。
内经曰。甘发散为阳。表未解者。散以葛根甘草之甘。苦以坚里气弱者。坚以黄连
黄芩之苦。
太阳病。头痛、发热身疼、腰痛。骨节疼痛。恶风、无汗而喘者。麻黄汤主之。
此太阳伤寒也。寒则伤荣。头痛、身疼、腰痛以至牵连骨节疼痛者。太阳经荣血不
利也。内经曰。风寒客于人。使人毫毛毕直。皮肤闭而为热者。寒在表也。风并于卫。
卫实而荣虚者。自汗出而恶风寒也。寒并于荣。荣实而卫虚者。无汗而恶风也。以荣强卫
弱故气逆而喘。与麻黄汤。以发其汗。
葛根(四两) 麻黄(三两,去节,用水汤泡后去掉黄色汁液,焙干后称量) 生姜(三两,切片) 甘草(二两,炙烤) 芍药(二两) 桂枝(二两,去皮) 大枣(十二枚,掰开) 半夏(半斤,洗净)
以上八味药。用一斗水。先煮葛根和麻黄。水量减少二升。去掉水面上的白色泡沫。加入其余药物。煮取三升药液。去掉药渣。每次温服一升。服药后覆盖衣被,使身体微微似有汗出。
太阳病(太阳经受邪所致的病证),具有桂枝证(表现为发热、恶风、汗出、脉浮缓等)特征的患者,医生反而使用攻下法治疗。导致腹泻不止。脉搏急促的,说明表证尚未解除。出现气喘且出汗的,主治方剂为葛根黄芩黄连汤(Ge Gen Huang Lian Huang Qin Tang, Kudzu Root, Coptis, and Scutellaria Decoction)。
医经中说:不应当使用攻下法却误用攻下,导致体内虚弱,热邪内陷,伴随发热而下利。如果是桂枝证,说明邪气在体表。反而使用攻下法,会使肠胃虚弱,被热邪乘虚而入,从而导致腹泻不止。邪气在体表则出现阳脉(如浮、数、促等),邪气在里则出现阴脉(如沉、迟、微等)。下利且脉象微迟,说明邪气在里。促脉表示阳气盛,虽然下利,但脉象促,可知表证未解。疾病中有出汗且气喘的情况,这是自然出汗并伴有气喘,即邪气在体表较盛所致;气喘且出汗的情况,是因为气喘而导致出汗,即里热之气上逆所致。给予葛根黄芩黄连汤,以疏散表邪,清除里热。
葛根(半斤) 甘草(二两,炙烤,味甘平) 黄芩(二两,味苦寒) 黄连(三两,味苦寒)
以上四味药。用八升水。先煮葛根。水量减少二升。加入其余药物。煮取二升药液。去掉药渣。分两次温服。
《内经》说:甘味药发散属阳。表证未解者,用葛根、甘草的甘味来发散。苦味药能坚固里气,针对里气虚弱者,用黄连、黄芩的苦味来坚固。
太阳病,头痛、发热、身体疼痛、腰痛、骨节疼痛。恶风、无汗且气喘的,主治方剂为麻黄汤(Ma Huang Tang, Ephedra Decoction)。
这是太阳伤寒(Taiyang Cold Damage)。寒邪伤及营血。头痛、身体疼痛、腰痛以至于牵连骨节疼痛,是太阳经的营血运行不畅。《内经》说:风寒邪气侵袭人体,使人毫毛竖起,皮肤闭塞而发热,这是寒邪在体表。风邪并入卫分,卫气实而营血虚的,表现为自汗出且恶风寒。寒邪并入营分,营气实而卫气虚的,表现为无汗且恶风。因为营强卫弱,所以气机上逆而气喘。给予麻黄汤,以发汗解表。
Kudzu Root (Radix Puerariae) (4 liang), Ephedra Herb (Herba Ephedrae) (3 liang, remove joints, soak in hot water, discard yellow juice, dry and weigh), Fresh Ginger (Rhizoma Zingiberis Recens) (3 liang, sliced), Prepared Licorice Root (Radix Glycyrrhizae Preparata) (2 liang, honey-fried), White Peony Root (Radix Paeoniae Alba) (2 liang), Cinnamon Twig (Ramulus Cinnamomi) (2 liang, bark removed), Jujube (Fructus Ziziphi Jujubae) (12 pieces, broken open), Pinellia Tuber (Rhizoma Pinelliae) (8 liang, washed).
The above eight ingredients. Use one dou of water. First decoct Kudzu Root and Ephedra Herb. Reduce the volume by two sheng. Remove the white foam on the surface. Add the remaining herbs. Decoct to obtain three sheng of liquid. Strain off the dregs. Take one sheng warm. Cover with blankets to induce a slight sweat.
In Taiyang disease (disease pattern caused by pathogenic factors invading the Taiyang channel), presenting with Guizhi Syndrome (a pattern characterized by fever, aversion to wind, sweating, and a floating-slow pulse), if the physician erroneously applies purgation, diarrhea persists without cessation. If the pulse is rapid and intermittent (Cu Mai), it indicates that the exterior syndrome has not yet resolved. For cases involving wheezing and sweating, Ge Gen Huang Lian Huang Qin Tang (Ge Gen Huang Lian Huang Qin Tang, Kudzu Root, Coptis, and Scutellaria Decoction) is the primary formula.
The medical classics state: When purgation is inappropriate but applied, internal deficiency occurs, allowing heat to enter internally, resulting in diarrhea accompanied by fever. In cases of Guizhi Syndrome, the pathogen is at the exterior. Erroneous purgation weakens the stomach and intestines, allowing heat pathogens to exploit this weakness, leading to persistent diarrhea. When the pathogen is at the exterior, yang pulses (such as floating, rapid, or rapid-intermittent) appear; when the pathogen is at the interior, yin pulses (such as deep, slow, or faint) appear. Diarrhea with a faint and slow pulse indicates the pathogen is at the interior. A rapid-intermittent pulse signifies excess yang. Although diarrhea is present, a rapid-intermittent pulse indicates that the exterior syndrome remains unresolved. Some diseases present with sweating and wheezing; this refers to spontaneous sweating accompanied by wheezing, caused by strong pathogenic factors at the exterior. Wheezing accompanied by sweating refers to sweating resulting from wheezing, caused by rebellious qi due to interior heat. Administer Ge Gen Huang Lian Huang Qin Tang to disperse exterior pathogens and clear interior heat.
Kudzu Root (Radix Puerariae) (8 liang), Prepared Licorice Root (Radix Glycyrrhizae Preparata) (2 liang, honey-fried, sweet and neutral in nature), Scutellaria Root (Radix Scutellariae) (2 liang, bitter and cold in nature), Coptis Rhizome (Rhizoma Coptidis) (3 liang, bitter and cold in nature).
The above four ingredients. Use eight sheng of water. First decoct Kudzu Root. Reduce the volume by two sheng. Add the remaining herbs. Decoct to obtain two sheng of liquid. Strain off the dregs. Divide into two doses and take warm.
The *Nei Jing* states: Sweet flavors disperse and belong to Yang. For unresolved exterior syndromes, use the sweetness of Kudzu Root and Licorice Root to disperse. Bitter flavors firm the interior; for those with weak interior qi, use the bitterness of Coptis Rhizome and Scutellaria Root to firm.
In Taiyang disease, presenting with headache, fever, body pain, lower back pain, and joint pain, along with aversion to wind, absence of sweating, and wheezing, Ma Huang Tang (Ma Huang Tang, Ephedra Decoction) is the primary formula.
This is Taiyang Cold Damage (Taiyang Shang Han). Cold injury damages Ying Blood. Headache, body pain, lower back pain, and radiating joint pain indicate impaired circulation of Ying Blood in the Taiyang channel. The *Nei Jing* states: When Wind-Cold pathogens invade the human body, causing hair to stand erect and skin pores to close, resulting in fever, this indicates Cold at the exterior. When Wind merges with Wei Qi, making Wei Qi solid and Ying Blood deficient, spontaneous sweating and aversion to wind and cold occur. When Cold merges with Ying Qi, making Ying Qi solid and Wei Qi deficient, absence of sweating and aversion to wind occur. Because Ying is strong and Wei is weak, Qi rebels upward causing wheezing. Administer Ma Huang Tang to induce sweating and release the exterior.