(景岳) 治伤风兼寒,咳嗽发热,痞满多痰。
柴胡(一二三钱) 陈皮(钱五分) 半夏(二钱) 甘草(一钱) 生姜(三五七片)
如寒胜者,
多嗽者,加
治伤寒表邪未解,内外俱热。泻痢烦渴,喜冷气壮,脉滑数者,宜此主之。及疟痢
内热去血,兼表邪发黄等证。
柴胡 黄芩 栀子 泽泻 木通 枳壳 如疟痢并行,鲜血纯血者。加芍药二钱,甘草
一钱
(景岳) 一为水数,从寒散也。凡感四时不正之气,或为发热,或为寒热,或因劳
怒,或妇人热入血室,或产后经后因冒风寒,以致寒热如疟等证。但外有邪而内兼火者,
从凉散,宜此主之。
柴胡(一二三钱) 黄芩(钱半) 芍药(二钱) 生地 陈皮(钱半) 甘草(八分)
如内热盛者
枳实一二钱
二为火数,从温散也。凡遇四时外感,或其人元气充实,脏气素平无火,或时逢
令,本无内热等证者,皆不宜妄用凉药。以致寒邪不散,则为害匪浅,宜此主之。陈
半) 半夏 细辛 浓朴(一二钱) 甘草(八分) 柴胡(钱半或二三钱) 生姜(三五
七
如多湿者,加苍术。如阴寒气胜,必加麻黄一二钱,或兼桂枝,不必疑也。
(景岳) 三为木数,从肝经血分也。凡素禀阴分不足,肝经血少,而偶遇风寒,或
邪不深,可兼补而散者。或病后,或产后感冒,有不得不从解散,而阴气虚弱,不能外达
宜此。
柴胡(二三钱) 芍药(钱半) 甘草(炙) 陈皮(一钱) 当归 (二钱。溏泄者
易以熟地。)
(张景岳)治疗伤风兼有寒邪,出现咳嗽、发热、胸脘痞闷且痰多的症状。
柴胡(一至三钱) 陈皮(五分) 半夏(二钱) 甘草(一钱) 生姜(三至七片)
如果寒邪较重者,
咳嗽多者,加
治疗伤寒表邪未解,体内和体表都有热象。伴有腹泻痢疾、烦躁口渴,喜欢冷饮且身体壮实,脉象滑数的人,适宜用此方主治。以及疟疾和痢疾并发,内热导致便血,兼有表邪引起的发黄等症状。
柴胡 黄芩 栀子 泽泻 木通 枳壳 如果疟疾和痢疾同时发作,大便排出鲜血或纯血者,加芍药二钱,甘草一钱
(张景岳)第一方为“水数”,性质偏寒以发散。凡是感受四时不正之气,或者表现为发热,或者表现为寒热往来,或者因为劳累愤怒,或者妇女热邪陷入血室,或者产后经期因冒受风寒,导致出现像疟疾一样的寒热症状等证候。只要外有邪气而内部兼有火邪的,从凉散法治疗,适宜用此方主治。
柴胡(一至三钱) 黄芩(五分半) 芍药(二钱) 生地 陈皮(五分半) 甘草(八分)
如果内部热盛者
加枳实一至二钱
第二方为“火数”,性质偏温以发散。凡是遇到四时外感病,或者其人元气充实,脏腑之气素来平和无火,或者正值时令,本来没有内热等证候的人,都不宜妄用凉药。否则会导致寒邪不能消散,从而造成不小的危害,适宜用此方主治。陈皮 半夏 细辛 浓朴(一至二钱) 甘草(八分) 柴胡(五分或一至二钱) 生姜(三至七片)
如果湿气重者,加苍术。如果阴寒之气胜,必须加麻黄一至二钱,或者兼用桂枝,不必犹豫。
第三方为“木数”,归属肝经血分。凡是素体阴分不足,肝经血少,而偶尔遭遇风寒,或者邪气不深,可以兼用补益而发散者。或者病后,或者产后感冒,有不得不从解散法治疗,但阴气虚弱,不能向外达出的情况,适宜用此方。
柴胡(二至三钱) 芍药(五分半) 甘草(炙) 陈皮(一钱) 当归(二钱。大便溏泄者改用熟地。)
(Zhang Jingyue) Treats wind-cold injury accompanied by cough, fever, chest and epigastric fullness, and excessive phlegm.
Chai Hu (Bupleuri Radix) [1-3 qian], Chen Pi (Citri Reticulatae Pericarpium) [0.5 qian], Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [1 qian], Sheng Jiang (Zingiberis Rhizoma Recens) [3-7 slices].
If cold pathogen is predominant:
For those with frequent coughing, add...
Treats exterior pathogen of Shanghan (Cold Damage) not yet resolved, presenting with heat in both interior and exterior. Indicated for cases accompanied by diarrhea, dysentery, irritability, thirst, preference for cold drinks, robust constitution, and a slippery and rapid pulse. It is also indicated for malaria and dysentery concurrent with internal heat leading to blood loss, or jaundice caused by exterior pathogen combined with other syndromes.
Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus), Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis), Zhi Qiao (Aurantii Fructus). If malaria and dysentery occur simultaneously with passage of bright red blood or pure blood in stool, add Bai Shao (Paeoniae Radix Alba) [2 qian] and Gan Cao (Glycyrrhizae Radix et Rhizoma) [1 qian].
(Zhang Jingyue) The first formula corresponds to the "Water number," utilizing cold properties to disperse. It is used for contracting irregular qi of the four seasons, manifesting as fever, alternating chills and fever, or resulting from fatigue and anger, or when heat enters the Blood Chamber in women, or after childbirth during menstruation due to exposure to wind-cold, leading to chills and fever resembling malaria. For any syndrome where there is an external pathogen combined with internal fire, treatment should follow the method of cooling dispersion; this formula is appropriate.
Chai Hu (Bupleuri Radix) [1-3 qian], Huang Qin (Scutellariae Radix) [0.5 qian], Bai Shao (Paeoniae Radix Alba) [2 qian], Sheng Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium) [0.5 qian], Gan Cao (Glycyrrhizae Radix et Rhizoma) [0.8 fen].
If internal heat is severe, add Zhi Shi (Aurantii Fructus Immaturus) [1-2 qian].
The second formula corresponds to the "Fire number," utilizing warm properties to disperse. It is suitable for those contracting external pathogens of the four seasons, whose Yuan Qi (Original Qi) is solid, whose Zang-Fu Qi is naturally balanced without internal fire, or who are in a season where internal heat is absent. Such individuals should not recklessly use cold medicines, lest the cold pathogen fail to dissipate, causing significant harm; this formula is appropriate. Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Xi Xin (Asari Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) [1-2 qian], Gan Cao (Glycyrrhizae Radix et Rhizoma) [0.8 fen], Chai Hu (Bupleuri Radix) [0.5 qian or 1-2 qian], Sheng Jiang (Zingiberis Rhizoma Recens) [3-7 slices].
If dampness is heavy, add Cang Zhu (Atractylodis Rhizoma). If Yin-cold pathogen is predominant, Mahuang (Ephedrae Herba) [1-2 qian must be added, or Guizhi (Cinnamomi Ramulus) may be combined; do not hesitate.
The third formula corresponds to the "Wood number," relating to the Liver Meridian and Blood aspect. It is indicated for individuals with inherent deficiency of Yin aspect and scant Liver Blood, who occasionally contract wind-cold, or where the pathogen is not deep, allowing for simultaneous tonification and dispersion. It is also suitable for post-illness or postpartum colds where dispersal is necessary but Yin Qi is weak and unable to reach the exterior.
Chai Hu (Bupleuri Radix) [2-3 qian], Bai Shao (Paeoniae Radix Alba) [0.5 qian], Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) [1 qian], Dang Gui (Angelicae Sinensis Radix) [2 qian. Replace with Shu Di Huang (Prepared Rehmanniae Radix) if loose stools are present.]