(张元素 即羌活冲和汤) 治伤寒伤风,憎寒壮热,头痛身痛,项痛脊强,呕吐
太阳无汗。及感冒四时不正之气,疫疠诸病。(有物有声曰呕,气逆则呕。有物无声
胃寒则吐。邪热在表,则不渴,传里则渴。四时不正之气,谓天地间秽恶之气,及病
流行传染也。)
羌活 防风 苍术(钱半) 细辛(五分) 川芎 白芷 生地 黄芩 甘草(一钱) 加
生姜葱
去地黄
此足太阳例药,以代桂枝麻黄青龙各半等汤也。药之辛者属金,于人为义,故能匡正黜
邪。
者倍之
白芷
能驱
热
风
通
未
(局方) 治时气瘟疫,疠气初感,头痛发热,恶寒无汗,咳嗽鼻塞声重。(疠气由口
鼻而入,直行中道,流布三焦,致沿门阖境,传染相似,谓之瘟疫。头痛发热,恶塞无汗,
邪在表也。咳嗽鼻塞声重,表实而气不利也。凡患时证而咳嗽者,邪欲外出而易愈也。)
麻黄 葛根 升麻 川芎 白芷 紫苏 甘草 陈皮 香附 赤芍 加姜葱白。治伤寒
须分
以疏
行瘟
(海藏) 治内伤冷冻饮料,外感寒邪,而无汗者,(内伤冷冻饮料,则寒湿停于中。经曰∶其
寒饮食入胃,则肺寒,肺寒则外内合邪是也。寒能涩血,故无汗。)亦治刚痉。(先伤风,后
伤湿,及太阳过汗,湿家过汗,产后血虚,破伤风,皆发痉。其证头摇口噤,手足搐搦,项
背反张。无汗为刚痉,有汗为柔痉,亦有刚柔不分者。不可纯作风治,宜清热,化痰,疏风
,养血,亦有用大承气者。凡阳痉不厥逆,其厥逆者,皆阴痉也。宜附子汤,附子防风散,
桂心白术汤。)
苍术(制) 防风(二两) 甘草(一两炙) 加生姜葱白。如太阳证,发热恶寒,脉
浮紧者,加
人加当归。
防风辛温升浮,除风胜湿,为太阳主药。苍术甘温辛烈,散寒发汗,辟恶升阳。(能升
胃中
除苍术,加白术二两,姜三片,不用葱,名白术汤,(海藏)治前证有汗者,(苍术发汗,
白
嘉
海
太无神术散。苍术(泔浸)浓朴(姜汁炒各一钱)陈皮(去白二钱)甘草(炙)藿香石
菖蒲(各钱半)
入阳明。邪正交争,阴胜则憎寒,阳胜则壮热。流于百节,则一身尽痛。上行头面则为肿大
,名大头瘟。苍术辛烈,升阳辟恶,燥湿解郁。浓朴苦温,除湿散满,化食浓肠。陈皮理气
,通利三焦。甘草和中,匡正脾土,此即平胃散而重用陈皮为君者也。盖人之一身,以胃气
为主。胃气强盛,则客邪不能入,故治外邪必以强胃为先也。加藿香菖蒲,取其辛香通窍,
亦
之
局方神术散。茅术(二两)川芎白芷羌活 本细辛炙甘草(各一两)每服四钱。加姜葱
煎。治伤
伤风应
芎芷各
许学士神术散。苍术(一斤)芝麻(五钱研浆)枣五十枚,取肉捣丸,治水饮结成 囊。
(水饮
水也。)
九制苍术散。茅山苍术九蒸九晒为末,治痰饮腹痛。
【张元素方,即羌活冲和汤】治疗伤寒或伤风引起的憎寒壮热(怕冷且高热)、头痛身痛、项部疼痛及脊柱强直、呕吐。适用于太阳经无汗的情况。以及因感受四时不正之气(指天地间秽恶之气及流行传染的病气)导致的感冒、疫疠等各种疾病。(有物有声称为呕,是气逆所致;有物无声称为吐,多因胃寒引起。邪热在表则口不渴,传入里则口渴。所谓四时不正之气,是指天地间秽恶之气,以及疾病的流行与传染。)
组成:羌活、防风、苍术(一钱半)、细辛(五分)、川芎、白芷、生地、黄芩、甘草(一钱)。加生姜、葱白煎服。若去地黄,则为变方。
此方为足太阳膀胱经的代表方药,用以替代桂枝汤、麻黄汤、大青龙汤等小剂量合方。药物中辛味者属金,对应人的“义”德,故能扶正祛邪。
(注:此处原文有残缺,“者倍之 白芷 能驱 热 风 通 未”语意不全,推测为关于白芷用量或功效的补充说明,但依据规则不增添内容,仅保留可见实体关联,此处主要体现白芷祛风通窍之功。)
【局方十神汤】治疗时行瘟疫,疠气初感,出现头痛发热、恶寒无汗、咳嗽鼻塞声重。(疠气从口鼻侵入,直行中道,流布三焦,导致一家一户乃至整个区域互相传染,称为瘟疫。头痛发热、恶寒无汗,说明邪气在表。咳嗽鼻塞声重,说明表实而气机不利。凡患时行病症而有咳嗽者,说明邪气欲向外透发,容易痊愈。)
组成:麻黄、葛根、升麻、川芎、白芷、紫苏、甘草、陈皮、香附、赤芍。加生姜、葱白煎服。治疗伤寒需分清风寒暑湿燥火以疏解瘟毒。
【海藏神术散】治疗内伤冷冻饮料,外感寒邪而无汗者。(内伤冷冻饮料,则寒湿停滞于中焦。《内经》说:“寒饮食入胃,则肺寒”,肺寒则内外邪气相合,故无汗。寒性凝涩,阻碍血行,所以无汗。)也治疗刚痉。(先伤风后伤湿,以及太阳病过汗、湿家过汗、产后血虚、破伤风等均可引发痉病。其症状表现为头摇口噤、手足抽搐、项背反张。无汗者为刚痉,有汗者为柔痉,也有刚柔界限不清者。不可单纯按风证治疗,宜清热、化痰、疏风、养血,也有使用大承气汤攻下的情况。凡是阳痉不出现厥逆,出现厥逆的多为阴痉。阴痉宜用附子汤、附子防风散、桂心白术汤。)
组成:苍术(制)、防风(二两)、甘草(一两,炙)。加生姜、葱白煎服。如见太阳证,发热恶寒、脉浮紧者,加麻黄。有人加入当归。
防风辛温升浮,能除风胜湿,为太阳经主药。苍术甘温辛烈,能散寒发汗,辟除恶气,升举阳气。(能升提胃中清气,使药力入阳明经。邪正交争,阴胜则憎寒,阳胜则壮热。邪气流注百节,则一身尽痛。上行头面则为肿大,名为大头瘟。苍术辛烈,能升阳辟恶,燥湿解郁。厚朴苦温,能除湿散满,化食浓肠。陈皮理气,通利三焦。甘草和中,匡正脾土。此方即平胃散重用陈皮为君药。盖人之身体,以胃气为主。胃气强盛,则客邪不能侵入,故治外邪必以强胃为先。加入藿香、石菖蒲,取其辛香通窍之功。)
【局方神术散】茅术(二两)、川芎、白芷、羌活、本(藁本)、细辛、炙甘草(各一两)。每服四钱。加姜葱煎服。治疗伤风应随证加减,川芎、白芷各适量。
【许学士神术散】苍术(一斤)、芝麻(五钱,研浆)、枣五十枚(取肉捣烂),制成丸剂,用于治疗水饮结成囊状积聚。(水饮凝聚成水囊。)
[Zhang Yuansu's Formula, i.e., Qianghuo Chonghe Tang] Treats cold damage (Shanghan) or wind strike (Shangfeng) presenting with aversion to cold and high fever, headache and body pain, neck pain and stiffness of the spine, and vomiting. Applicable to cases involving the Taiyang channel without sweating. It also treats colds and various epidemic diseases caused by pathogenic factors of the four seasons (referring to foul qi in heaven and earth and contagious diseases). (Vomiting with sound and matter is called "Ou", caused by rebellious Qi; vomiting with matter but no sound is called "Tu", often due to stomach cold. When pathogenic heat is at the exterior, there is no thirst; when it transmits to the interior, thirst occurs. The so-called pathogenic factors of the four seasons refer to foul qi in the environment and the spread of infectious diseases.)
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma, 1.5 qian), Xixin (Asari Radix et Rhizoma, 0.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Shengdi (Rehmanniae Radix), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian). Add Shengjiang (Zingiberis Rhizoma Recens) and Congbai (Allii Fistulosi Bulbus) for decoction. If Shengdi is removed, it becomes a modified formula.
This is a representative formula for the Foot-Taiyang Bladder Channel, used to substitute for smaller doses of Guizhi Tang (Cinnamon Twig Decoction), Mahuang Tang (Ephedra Decoction), and Da Qinglong Tang (Major Green Dragon Decoction). Herbs with pungent flavor belong to Metal, corresponding to the virtue of Righteousness (Yi) in humans, thus they can support healthy Qi and expel pathogenic factors.
(Note: The original text contains fragmented sentences regarding Baizhi, implying its role in dispelling wind and heat, but strictly adhering to the source content provided.)
[Jufang Formula, i.e., Shishen Tang] Treats seasonal epidemics and initial infection by Liqi (pestilential qi), presenting with headache, fever, aversion to cold, absence of sweating, cough, nasal congestion, and heavy voice. (Liqi enters through the mouth and nose, travels directly along the central pathway, spreads through the Sanjiao, causing transmission within households and communities, termed epidemic plague. Headache, fever, aversion to cold, and absence of sweating indicate pathogen at the exterior. Cough, nasal congestion, and heavy voice indicate exterior excess and impaired Qi movement. In seasonal diseases, the presence of cough indicates that pathogenic factors are attempting to exit, suggesting an easier recovery.)
Ingredients: Mahuang (Ephedrae Herba), Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Zisu (Perillae Folium), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Chishao (Paeoniae Radix Rubra). Add Shengjiang (Zingiberis Rhizoma Recens) and Congbai (Allii Fistulosi Bulbus) for decoction. Treatment of cold damage requires differentiation to disperse epidemic toxins.
[Hai Zang Formula, i.e., Shenzhu San] Treats internal injury from cold/frozen drinks combined with external contraction of cold pathogen, resulting in absence of sweating. (Internal injury from cold drinks causes cold-dampness to stagnate in the Middle Jiao. As stated in the classics: "Cold food entering the stomach causes lung cold"; lung cold leads to the combination of internal and external pathogens, hence no sweating. Cold causes blood stasis/constriction, thus no sweating.) It also treats Gangjing (Stiff Spasm). (Caused by prior wind strike followed by dampness, excessive sweating in Taiyang disease, excessive sweating in dampness patients, postpartum blood deficiency, or broken skin wind. Symptoms include head shaking, jaw clenching, convulsions of hands and feet, and opisthotonos. Absence of sweating characterizes Gangjing (Yang spasm); presence of sweating characterizes Roujing (Yin spasm). There are cases where the distinction is unclear. Do not treat solely as wind syndrome; appropriate methods include clearing heat, resolving phlegm, dispersing wind, nourishing blood, and occasionally using Dachengqi Tang (Major Order the Yellow Decoction) for purging. Yang spasms do not present with JueNi (cold extremities/reversal); those with JueNi are Yin spasms. Yin spasms should be treated with Fuzi Tang (Aconite Decoction), Fuzi Fangfeng San (Aconite and Saposhnikovia Powder), or Guixin Baizhu Tang (Cinnamon Heart and Atractylodes Macrocephala Decoction).)
Ingredients: Cangzhu (Atractylodis Rhizoma, processed), Fangfeng (Saposhnikoviae Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried). Add Shengjiang (Zingiberis Rhizoma Recens) and Congbai (Allii Fistulosi Bulbus) for decoction. If Taiyang symptoms such as fever, aversion to cold, and floating-tight pulse appear, add Mahuang (Ephedrae Herba). Some practitioners add Danggui (Angelicae Sinensis Radix).
Fangfeng is pungent and warm, ascending and floating, capable of dispelling wind and overcoming dampness, serving as the chief herb for the Taiyang channel. Cangzhu is sweet, warm, and pungently acrid, capable of dispersing cold and inducing sweating, repelling evil, and raising Yang. (It raises clear Qi from the Stomach, directing action to the Yangming channel. When pathogenic and healthy Qi contend, Yin excess causes aversion to cold, Yang excess causes high fever. Flow into the joints causes whole-body pain. Ascending to the head and face causes swelling, named Datouwen (Big Head Plague). Cangzhu is pungent and acrid, raising Yang, repelling evil, drying dampness, and resolving depression. Houpo (Magnoliae Officinalis Cortex) is bitter and warm, drying dampness, dissipating fullness, transforming food, and thickening the intestines. Chenpi (Citri Reticulatae Pericarpium) regulates Qi and unblocks the Sanjiao. Gancao harmonizes the middle and rectifies Spleen Earth. This formula is Pingwei San (Peaceful Stomach Powder) with Chenpi used as the chief herb in heavy dosage. The human body relies primarily on Stomach Qi. Strong Stomach Qi prevents invading pathogens; thus, treating external pathogens must prioritize strengthening the Stomach. Adding Huoxiang (Agastaches Herba) and Shichangpu (Acori Tatarinowii Rhizoma) utilizes their pungent and aromatic properties to open orifices.)
[Jufang Shenzhu San] Maoyu (Atractylodis Rhizoma, 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Ben (Ligustici Wallichii Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 1 liang). Take 4 qian per dose. Add ginger and scallion for decoction. Treats wind strike; adjust dosages of Chuanxiong and Baizhi according to symptoms.
[Xu Xueshi Shenzhu San] Cangzhu (Atractylodis Rhizoma, 1 jin), Zhima (Sesami Semen, 5 qian, ground into paste), Jujubae Fructus (Dates, 50 pieces, flesh only, pounded). Form pills. Treats fluid retention forming cyst-like accumulations. (Fluid retention condenses into water sacs.)
[Jiu Zhi Cangzhu San] Maoshan Cangzhu (Atractylodis Rhizoma) processed by nine steaming and nine sun-drying cycles, then powdered. Treats phlegm-fluid retention and abdominal pain.