(仲景) 治太阳中风,阳浮而阴弱,发热,头痛,自汗,恶风,恶寒,鼻鸣,干呕。
及阳明病,脉迟,汗出多,微恶寒者,表未解也,可发汗。(脉迟汗多,属阳明证,以微恶
寒,尚兼太阳,仍当从外解肌,断其入胃腑之路。)
桂枝 芍药 生姜(三两) 甘草(二两炙) 大枣(十二枚) 热服,须臾啜稀热粥
以助药力,
更作服。(
之后,则邪
盖覆强逼,
汗者,无非
肌窍不致
不及。太
除而生变
周扬俊曰∶风既伤卫,则卫气疏,不能内护于营,而汗自出矣。汗者,血之液也。桂枝,
血
为
芎
汗过
逐漏
夫固
胱腑
身津液
桂枝附
涩。再加
迟。(喻嘉
更无疑矣
参以辅正
然在误
者,以
芍药汤
胸胁以
邪,但
加茯苓
小便不利
虚入里,
白术为主
不用芍药
用命,甚
之微喘,
以表均未
行,散其
去芍药
豚。(喻
下先悸。
汤。(仲景
一日二三
面色反
黄汤一
若形如
寒,汗
形如疟
而汗
多寒
仲
二
兼
假
久
又从腰以上汗出,下无汗,腰髋弛痛,如有物在皮中状,剧者不能食,身疼重,烦躁,小便
不利,此为黄汗,桂枝加黄 汤主之。
除甘草,加黄 三两,名桂枝五味汤。(金匮)仲景曰∶血痹,阴阳俱微,寸口关上微,
尺
也
直
仁
亦为强弩之末矣。立法之意,重在引阳,故嫌甘草之缓,不若黄 之强有力尔。)加栝蒌根
,名栝蒌桂枝汤。(金匮)仲景曰∶太阳病,其证备,身体强儿儿然,脉反沉迟,此为痉,
栝
加龙骨牡蛎,名桂枝加龙骨牡蛎汤。(金匮)治男子失精,女子梦交。(徐忠可曰∶阴虚
之人
而以
(张仲景)治疗太阳中风证,表现为脉象阳部浮而阴部弱,发热,头痛,自汗出,怕风,怕冷,鼻鸣,干呕。
以及阳明病,脉象迟缓,出汗多,轻微怕冷的,说明表证未解,可以发汗。(脉迟汗多,属于阳明证,但因有轻微怕冷,仍兼有太阳表证,仍然应当从外部解肌发表,阻断病邪传入胃腑的路径。)
桂枝、芍药、生姜(三两)、甘草(炙,二两)、大枣(十二枚)。热服,服药后片刻喝稀热的粥以助药力,然后覆盖衣被强逼出汗,使周身微似有汗,这样邪气才能除尽而生变(注:原文此处文字错乱,结合语境意为“盖覆强逼,汗者,无非肌窍不致...”,意指通过温覆和喝粥促使全身微微出汗,以祛除邪气)。
周扬俊说:风邪既然损伤了卫气,那么卫气就会疏松,不能在内护卫营气,从而汗自出。汗是血的津液。桂枝……(原文此处存在大量文字缺失或错简,导致语义中断,仅能翻译可见部分)。
又见腰以上出汗,腰以下无汗,腰部髋部弛缓疼痛,感觉皮肤中有异物感,严重的不能进食,身体疼痛沉重,烦躁,小便不利,这是黄汗病,用桂枝加黄芪汤主治。
去掉甘草,加入黄芪三两,名为桂枝五味汤。(出自《金匮要略》)张仲景说:血痹,阴阳脉象都微弱,寸口关上脉微,尺脉……(原文残缺)。立法之意,重在引导阳气,所以嫌弃甘草的缓和之性,不如黄芪强劲有力。
加入栝楼根,名为栝楼桂枝汤。(出自《金匮要略》)张仲景说:太阳病,症状具备,身体僵硬强直,脉象反而沉迟,这是痉病。
加入龙骨、牡蛎,名为桂枝加龙骨牡蛎汤。(出自《金匮要略》)治疗男子遗精,女子梦交。(徐忠可说:阴虚之人……)
(Zhang Zhongjing) Treats Taiyang Wind-Strike syndrome, characterized by a floating pulse at the Yang position and a weak pulse at the Yin position, fever, headache, spontaneous sweating, aversion to wind, aversion to cold, nasal congestion with roaring sound (bi ming), and dry retching.
In cases of Yangming disease, if the pulse is slow, there is profuse sweating, and slight aversion to cold, it indicates that the exterior pathogen has not yet been resolved; diaphoresis may be employed. (A slow pulse with profuse sweating belongs to the Yangming pattern; however, due to the slight aversion to cold, it still involves the Taiyang exterior. Therefore, one should still resolve the muscle layer from the exterior to block the path from entering the stomach fu organ.)
Guizhi (Cinnamon Twig), Shaoyao (Peony Root), Shengjiang (Fresh Ginger, 3 liang), Gancao (Licorice Root, roasted, 2 liang), Dazao (Jujube, 12 pieces). Take hot. Shortly after ingestion, drink warm thin porridge to assist the medicinal power. Then cover oneself to induce sweating. (Note: The original text contains significant corruption/garbled characters here. Based on context, it refers to covering the patient to induce mild, uniform sweating to expel the pathogen.)
Zhou Yangjun stated: Since wind pathogen damages the Wei Qi (Defensive Qi), the Wei Qi becomes loose and cannot internally protect the Ying Qi (Nutritive Qi), leading to spontaneous sweating. Sweat is the fluid of blood. Guizhi... (The original text is severely fragmented here, making complete translation impossible for this segment).
Furthermore, sweating above the waist but no sweating below the waist, flaccid pain in the lower back and hips, a sensation as if something were in the skin, severe cases unable to eat, body pain and heaviness, irritability, and difficult urination constitute Huanghan (Yellow Sweat). It is primarily treated with Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragalus).
Remove Gancao, add Huangqi (Astragalus Root) 3 liang, named Guizhi Wuwei Tang (Cinnamon Twig Five-Ingredient Decoction). (From *Jin Gui Yao Lue*). Zhang Zhongjing said: In Xuebi (Blood Bi), both Yin and Yang pulses are minute, the Cun and Guan positions are minute... (Text fragmentary). The intent of establishing this prescription lies in guiding Yang Qi; thus, the moderating nature of Gancao is disliked, whereas Huangqi is considered strong and powerful.
Add Gualougen (Trichosanthes Root), named Gualou Guizhi Tang (Trichosanthes and Cinnamon Twig Decoction). (From *Jin Gui Yao Lue*). Zhang Zhongjing said: In Taiyang disease, when all symptoms are present, the body is stiff and rigid, and the pulse is contrary slow and deep, this is Jing Disease (Spasm).
Add Longgu (Fossilized Bone) and Muli (Oyster Shell), named Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Fossilized Bone and Oyster Shell). (From *Jin Gui Yao Lue*). Treats men with seminal emission and women with nocturnal intercourse dreams. (Xu Zhongke said: For individuals with Yin deficiency...)