(附论)
夫伤寒病。虽有三阴三阳。然在阳则太阳病多。在阴则少阴病多。以二经为表里故也。
至于
则多
下之
肾
愈
法
不
四
汗
相
桂
不
建
方
附子汤 治伤寒少阴病。得之一二日。口中和。其背恶寒者。当灸之方。
附子(二两炮裂去皮脐) 人参(一两) 白术(四两) 芍药 白茯苓(去黑皮各三
两) 上
锉如
附子饮(出圣济总录)治伤寒头痛壮热。恐成阴毒。
附子(炮裂去皮脐) 白术(各半两) 桔梗 细辛(去苗叶各一两) 上锉如麻豆。
每服五
钱。
通关散(出圣济总录)治厥阴伤寒。脉弦长者生。沉细不足者死。
附子(炮裂去皮脐一两) 桔梗 干姜(炮) 羌活(去芦头) 五加皮(各半两) 桂
心(去
粗皮三分) 黄 (炙锉一分) 防风(半两) 甘草(炙锉半两) 上锉如麻豆。每服五
钱。水
一盏
桂心汤(出圣济总录)治伤寒阴盛。身寒。脉候沉细。头痛体疼。
桂(去粗皮) 麻黄(去根节) 甘草(炙) 人参(各半两) 白术 附子(炮裂去
皮脐) 杏
仁(
碎。
同煎取七分。去滓。温服。
回阳汤(出圣济总录)治伤寒阴盛。手足厥冷。体寒。脉微。
延胡索(炒) 半夏(切姜汁炒黄) 甘遂(醋炒干各一两) 陈橘皮(汤浸去白皮) 附
子
(炮裂去皮脐) 桂(去粗皮各半两) 槟榔(一枚) 麻黄(去根节汤煮去沫焙干半两) 天
南星
(一枚
浑
身觉
温白丸(出圣济总录)治伤寒面青。心下坚硬。开口出气。身体不热。头面
多汗。四肢厥冷
白附子(炮) 硫黄(研) 半夏(汤浸去滑切焙各一两) 上捣研为末。同粳米饭。
捣和为
丸如
沸。
白术散(出圣济总录)治伤寒伏阴气。胸膈妨闷。吐逆不定。手足厥冷。
白术(炒) 附子(炮裂去皮脐) 高良姜(炮) 桂(去粗皮) 人参 干姜(炮各
一两) 藿
香(
益智汤(出圣济总录)治伤寒四肢厥逆。其脉沉细。
益智(去皮) 乌头(炮裂去皮脐各一两) 青橘皮(汤浸) 麻黄(去根节) 干姜
(炮各半
两)
热服。
正元汤(出圣济总录)治伤寒阴证。脉候沉细。
麻黄(去根节) 陈橘皮(去白焙) 大黄(生锉) 甘草(炙锉) 干姜 桂(去粗
皮) 芍药
附
每服二
钱
行
退阴汤(出圣济总录)治伤寒手足逆冷。脉息沉细。头痛腰重。
乌头(炮裂去皮脐) 干姜(炮各半两) 上粗捣。炒令转色。放冷。再捣筛。每服一
钱。
水一
腰重
煎一
吴茱萸散(出圣济总录)治伤寒浑身手足厥冷。面青。唇口无色。心中寒栗
。宜服。
硫黄(研) 芎 (各一分) 桂(去粗皮) 附子(炮裂去皮脐) 吴茱萸(汤洗焙
炒) 上捣
罗为
青白散(出圣济总录)治阴盛伤寒。身体疼痛。
石膏(半斤为末) 干姜(炮) 乌头(椎碎) 草乌头(椎碎各一两以上四味先用铁
器盛石
膏烧
两)
皂
下。
如伤寒。艾茶煎汤调下。
返阴散(出圣济总录)治伤寒四肢厥冷。脉微自汗。心胸痞满。
阳起石 石膏 寒水石(三味同烧令赤出火毒细研入诸药) 干姜(炮) 附子(炮裂
去皮
脐)
阴毒。
并服
附子汤 治伤寒憎寒壮热。头痛膈闷。四肢疼倦。
附子(炮裂去皮脐半两) 白茯苓(去黑皮) 人参 细辛(去苗叶) 柴胡(去苗) 陈
橘皮
(去
须) 赤芍
药(
去
滓
均气汤 治伤寒表里未解。营卫气逆。手足厥冷。上喘阴证。或霍乱泻吐非时。
腹胀。及年
白术(米泔浸细锉焙干微炒) 天台乌药(细锉微炒各二两) 人参 青橘皮(去白焙)
甘
草(
姜三片。
枣二枚。同煎至七分。去滓。温服。如吐逆。入藿香少许。
四物桂枝汤 治伤寒阴盛。
桂(去粗皮) 麻黄(去根节各三分) 干姜(炮一分) 附子(炮裂去皮脐一两) 上
咀。
每服
服。
桂心汤 治伤寒服冷药过多。心腹胀满。脚膝厥冷。昏闷不知人。
桂(去粗皮) 浓朴(去粗皮生姜汁炙各三分) 芍药(一两) 干姜(炮半两) 槟
榔(锉半
两)
温二服
蒸熨方 治伤寒四肢厥冷。
用吴茱萸。汤洗焙干。三升。以温酒浸令通湿。以生绢袋二个盛。蒸令极热。取茱萸袋
子。
又用前药。熨气通畅后。宜服此方。
人参(一两) 生姜(煨切二两) 上细锉。用水一盏半。煎至八分。去滓。温服。如
食顷。
再
(附论)
伤寒病,虽然涉及三阴经和三阳经,但在阳经中太阳病较多,在阴经中少阴病较多。这是因为这两经互为表里的缘故。
至于……则多……下之……肾……愈……法……不……四……汗……相……桂……不……建……方……
附子汤:治疗伤寒少阴病。发病一两天后,口中感觉平和,背部怕冷的情况,应当采用灸法配合此方。
药材:附子(二两,炮制裂开,去皮和脐)、人参(一两)、白术(四两)、芍药、白茯苓(去掉黑皮,各三两)。以上药材锉碎如麻豆大小。
附子饮(出自《圣济总录》):治疗伤寒引起的头痛和高热,担心发展为阴毒证。
药材:附子(炮制裂开,去皮和脐)、白术(各半两)、桔梗、细辛(去掉苗和叶,各一两)。以上药材锉碎如麻豆大小。每次服用五钱。
通关散(出自《圣济总录》):治疗厥阴伤寒。脉象弦而长的预后良好;脉象沉细无力的预后不良(主死)。
药材:附子(炮制裂开,去皮和脐,一两)、桔梗、干姜(炮制)、羌活(去掉芦头)、五加皮(各半两)、桂心(去掉粗皮,三分)、黄芩(炙后锉碎,一分)、防风(半两)、甘草(炙后锉碎,半两)。以上药材锉碎如麻豆大小。每次服用五钱。用水一盏煎煮。
桂心汤(出自《圣济总录》):治疗伤寒阴气盛,身体寒冷,脉象沉细,头痛且身体疼痛。
药材:桂枝(去掉粗皮)、麻黄(去掉根和节)、甘草(炙)、人参(各半两)、白术、附子(炮制裂开,去皮和脐)、杏仁(捣碎)。共同煎煮取七分药液,去渣,温服。
回阳汤(出自《圣济总录》):治疗伤寒阴气盛,手足冰冷,身体寒冷,脉象微弱。
药材:延胡索(炒制)、半夏(切片后用姜汁炒至黄色)、甘遂(醋炒至干,各一两)、陈橘皮(用热水浸泡去掉白皮)、附子(炮制裂开,去皮和脐)、桂枝(去掉粗皮,各半两)、槟榔(一枚)、麻黄(去掉根和节,用水煮去沫后焙干,半两)、天南星(一枚)。
浑身上觉温白丸(出自《圣济总录》):治疗伤寒面色发青,心下部坚硬,张口出气,身体不发热,头面部多汗,四肢冰冷。
药材:白附子(炮制)、硫黄(研磨)、半夏(热水浸泡去掉滑腻感后切片焙干,各一两)。以上药材捣碎研成粉末,同粳米饭一起捣和制成丸子,如梧桐子大。
白术散(出自《圣济总录》):治疗伤寒伏匿的阴气,胸膈部胀闷不适,呕吐逆乱不定,手脚冰冷。
药材:白术(炒制)、附子(炮制裂开,去皮和脐)、高良姜(炮制)、桂枝(去掉粗皮)、人参、干姜(炮制,各一两)、藿香。
益智汤(出自《圣济总录》):治疗伤寒四肢厥冷逆乱,脉象沉细。
药材:益智仁(去皮)、乌头(炮制裂开,去皮和脐,各一两)、青橘皮(热水浸泡)、麻黄(去掉根和节)、干姜(炮制,各半两)。热服。
正元汤(出自《圣济总录》):治疗伤寒阴证,脉象沉细。
药材:麻黄(去掉根和节)、陈橘皮(去掉白皮焙干)、大黄(生锉)、甘草(炙后锉碎)、干姜、桂枝(去掉粗皮)、芍药、附子。每次服用二钱。
行退阴汤(出自《圣济总录》):治疗伤寒手足逆冷,脉息沉细,头痛腰部沉重。
药材:乌头(炮制裂开,去皮和脐)、干姜(炮制,各半两)。以上药材粗捣,炒至变色,放凉后再捣筛。每次服用一钱。用水一盏煎煮。腰部沉重者需充分煎煮。
吴茱萸散(出自《圣济总录》):治疗伤寒浑身及手脚冰冷,面色发青,嘴唇口色淡白无血色,心中感到寒冷战栗。适宜服用此方。
药材:硫黄(研磨)、川芎(各一分)、桂枝(去掉粗皮)、附子(炮制裂开,去皮和脐)、吴茱萸(热水清洗焙干炒制)。以上药材捣碎过罗成为粉末。
青白散(出自《圣济总录》):治疗阴气盛导致的伤寒,身体疼痛。
药材:石膏(半斤研成粉末)、干姜(炮制)、乌头(捣碎)、草乌头(捣碎,各一两)。以上四味药先用铁器盛放石膏烧红,再与其他药物混合。皂角……如果像伤寒一样,用艾叶茶煎汤调服。
返阴散(出自《圣济总录》):治疗伤寒四肢厥冷,脉象微弱自汗,心胸痞塞满闷。
药材:阳起石、石膏、寒水石(这三味药一同烧至通红以去除火毒,细研后加入其他药物)、干姜(炮制)、附子(炮制裂开,去皮和脐)。阴毒证并服。
附子汤:治疗伤寒憎恶寒冷高热,头痛胸闷,四肢疼痛疲倦。
药材:附子(炮制裂开,去皮和脐,半两)、白茯苓(去掉黑皮)、人参、细辛(去掉苗和叶)、柴胡(去掉苗)、陈橘皮(去掉须)、赤芍药。去渣。
均气汤:治疗伤寒表里证未解,营卫之气逆乱,手脚冰冷,上气喘促属阴证,或者霍乱吐泻非时发作,腹胀。以及年老体弱者……
药材:白术(米泔水浸泡细锉焙干微炒)、天台乌药(细锉微炒,各二两)、人参、青橘皮(去掉白皮焙干)、甘草、生姜三片、大枣二枚。共同煎煮至七分药液,去渣,温服。如果有呕吐逆乱,加入少许藿香。
四物桂枝汤:治疗伤寒阴气盛。
药材:桂枝(去掉粗皮)、麻黄(去掉根和节,各三分)、干姜(炮制,一分)、附子(炮制裂开,去皮和脐,一两)。以上药材切碎。每次服用……服。
桂心汤:治疗伤寒服用过多冷药,导致心腹胀满,脚膝冰冷,昏闷不知人事。
药材:桂枝(去掉粗皮)、浓朴(去掉粗皮,用生姜汁炙,各三分)、芍药(一两)、干姜(炮制,半两)、槟榔(锉碎,半两)。温服两次。
蒸熨方:治疗伤寒四肢厥冷。
使用吴茱萸,热水清洗焙干,三升,用温酒浸泡使其完全湿润,用两个生绢袋盛装,蒸至极热。取出茱萸袋子熨烫。再用前面的药物,熨烫使气机通畅后,适宜服用此方。
药材:人参(一两)、生姜(煨熟切片,二两)。以上药材细锉,用水一盏半,煎至八分,去渣,温服。如果过了片刻,再……
(Attached Discussion)
Although the Shanghan disease (Cold Damage Disease) involves the three Yin and three Yang meridians, Taiyang disease (diseases of the Taiyang meridian) is more common in the Yang stages, while Shaoyin disease (diseases of the Shaoyin meridian) is more common in the Yin stages. This is because these two meridians are exteriorly-interiorly related.
As for... then mostly... purging... Kidney... cure... method... not... four... sweating... mutual... Cinnamon... not... establish... formula...
Fuzi Tang (Aconite Decoction): Treats Shaoyin Shanghan disease. After one or two days of onset, if the mouth feels neutral/comfortable and there is aversion to cold on the back, moxibustion should be applied along with this formula.
Ingredients: Fuzi (Prepared Aconiti Lateralis Radix, 2 liang, processed until cracked, peel removed, umbilical scar removed), Renshen (Ginseng Radix, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Shaoyao (Paeoniae Radix), Baifuling (Poria, 3 liang each, black skin removed). The above ingredients are cut into pieces the size of hemp seeds.
Fuzi Yin (Aconite Drink) (from *Shengji Zonglu*): Treats headache and high fever caused by Shanghan, fearing progression to Yindu (Yin Toxin) syndrome.
Ingredients: Fuzi (Processed until cracked, peel and umbilical scar removed), Baizhu (each half liang), Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma, 1 liang each, roots and leaves removed). The above ingredients are cut into pieces the size of hemp seeds. Each dose is 5 qian.
Tongguan San (Pass-the-Gate Powder) (from *Shengji Zonglu*): Treats Jueyin Shanghan. A string-like and long pulse indicates survival; a deep, thin, and insufficient pulse indicates death.
Ingredients: Fuzi (Processed until cracked, peel and umbilical scar removed, 1 liang), Jiegeng, Ganjiang (Zingiberis Rhizoma, processed), Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed), Wujia Pi (Acanthopanacis Cortex, each half liang), Guixin (Cinnamomi Cortex, outer bark removed, 3 fen), Huangqin (Scutellariae Radix, honey-fried and cut, 1 fen), Fangfeng (Saposhnikoviae Radix, half liang), Gancao (Licorice Root, honey-fried and cut, half liang). The above ingredients are cut into pieces the size of hemp seeds. Each dose is 5 qian. Decoct with one zhan of water.
Guixin Tang (Cinnamon Heart Decoction) (from *Shengji Zonglu*): Treats Shanghan with excess Yin, cold body, deep and thin pulse, headache, and body pain.
Ingredients: Guizhi (Ramulus Cinnamomi, outer bark removed), Mahuang (Ephedrae Herba, roots and nodes removed), Gancao (honey-fried), Renshen (each half liang), Baizhu, Fuzi (processed until cracked, peel and umbilical scar removed), Xingren (Prunus Semen, crushed). Decoct together to obtain 70% of the original volume, remove dregs, and take warm.
Huiyang Tang (Return Yang Decoction) (from *Shengji Zonglu*): Treats Shanghan with excess Yin, cold limbs, cold body, and weak pulse.
Ingredients: Yanhusuo (Corydalis Rhizoma, stir-fried), Banxia (Pinelliae Tuber, sliced and stir-fried with ginger juice until yellow), Gansui (Kansui Radix, vinegar-fried until dry, each 1 liang), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water and white pith removed), Fuzi (processed until cracked, peel and umbilical scar removed), Guizhi (outer bark removed, each half liang), Binglang (Arecae Semen, one piece), Mahuang (roots and nodes removed, boiled in water to remove foam, dried, half liang), Tian Nanxing (Arisaematis Rhizoma, one piece).
Wenbai Wan (Warm White Pill) (from *Shengji Zonglu*): Treats Shanghan with cyanotic face, hardness below the heart, open-mouth breathing, non-feverish body, excessive sweating on head and face, and cold limbs.
Ingredients: Baifuzi (Typhonii Rhizoma, processed), Liuhuang (Sulfur, ground), Banxia (soaked in hot water to remove slipperiness, sliced, dried, 1 liang each). The above ingredients are pounded and ground into powder, mixed with japonica rice porridge, and pounded to form pills the size of golden osmanthus seeds.
Baizhu San (Atractylodes Powder) (from *Shengji Zonglu*): Treats latent Yin qi in Shanghan, chest and diaphragm oppression, irregular vomiting and regurgitation, and cold limbs.
Ingredients: Baizhu (stir-fried), Fuzi (processed until cracked, peel and umbilical scar removed), Gaoliangjiang (Alpiniae Officinarum Rhizoma, processed), Guizhi (outer bark removed), Renshen, Ganjiang (processed, each 1 liang), Huoxiang (Pogostemonis Herba).
Yizhi Tang (Alpinia Decoction) (from *Shengji Zonglu*): Treats Shanghan with cold limbs and reversal, deep and thin pulse.
Ingredients: Yizhiren (Alpiniae Oxyphyllae Fructus, peel removed), Wutou (Aconiti Radix, processed until cracked, peel and umbilical scar removed, each 1 liang), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in hot water), Mahuang (roots and nodes removed), Ganjiang (processed, each half liang). Take warm.
Zhengyuan Tang (Upright Origin Decoction) (from *Shengji Zonglu*): Treats Shanghan Yin syndrome, deep and thin pulse.
Ingredients: Mahuang (roots and nodes removed), Chenpi (white pith removed, dried), Dahuang (Rhei Radix et Rhizoma, raw and cut), Gancao (honey-fried and cut), Ganjiang, Guizhi (outer bark removed), Shaoyao, Fuzi. Each dose is 2 qian.
Xingtui Yin (Move and Retreat Yin Decoction) (from *Shengji Zonglu*): Treats Shanghan with cold limbs, deep and thin pulse, headache, and heavy sensation in the lower back.
Ingredients: Wutou (processed until cracked, peel and umbilical scar removed), Ganjiang (processed, each half liang). The above ingredients are coarsely pounded, stir-fried until color changes, cooled, and then finely pounded and sifted. Each dose is 1 qian. Decoct with one zhan of water. For heavy lower back, decoct thoroughly.
Wuzhuyu San (Evodia Powder) (from *Shengji Zonglu*): Treats Shanghan with whole-body and limb coldness, cyanotic face, pale lips and mouth without color, and internal cold shivering. Suitable for taking this formula.
Ingredients: Liuhuang (ground), Xiong (Ligusticum Chuanxiong Rhizoma, each 1 fen), Guizhi (outer bark removed), Fuzi (processed until cracked, peel and umbilical scar removed), Wuzhuyu (Evodiae Fructus, washed in hot water, dried, and stir-fried). The above ingredients are pounded and sieved into powder.
Qingbai San (Green-White Powder) (from *Shengji Zonglu*): Treats Shanghan caused by excess Yin, with body pain.
Ingredients: Shigao (Gypsum Fibrosum, half jin, ground into powder), Ganjiang (processed), Wutou (crushed), Caowutou (Radix Aconiti Kusnezoffii, crushed, each 1 liang). The above four ingredients are first placed in an iron vessel; the Shigao is burned red-hot, then mixed with other herbs. Soap bean... If resembling Shanghan, mix with mugwort tea decoction to take.
Fanyin San (Return Yin Powder) (from *Shengji Zonglu*): Treats Shanghan with cold limbs, weak pulse with spontaneous sweating, chest and epigastric fullness/stuffiness.
Ingredients: Yangqishi (Stylobasidis Spadices), Shigao, Hanshuishi (Blebitis Mineral, these three are burned red-hot to eliminate fire toxicity, finely ground, then mixed with other drugs), Ganjiang (processed), Fuzi (processed until cracked, peel and umbilical scar removed). Take for Yindu syndrome.
Fuzi Tang (Aconite Decoction): Treats Shanghan with aversion to cold and high fever, headache, chest stuffiness, and painful fatigue in limbs.
Ingredients: Fuzi (processed until cracked, peel and umbilical scar removed, half liang), Baifuling (black skin removed), Renshen, Xixin (roots and leaves removed), Chaihu (Bupleuri Radix, roots removed), Chenpi (pips removed), Chishaoyao (Red Paeoniae Radix). Remove dregs.
Junqi Tang (Harmonize Qi Decoction): Treats Shanghan where exterior and interior syndromes are unresolved, counterflow of Ying and Wei qi, cold limbs, upper asthma belonging to Yin syndrome, or Huoluan (cholera-like disorder) with untimely vomiting and diarrhea, abdominal distension. And for elderly patients...
Ingredients: Baizhu (soaked in rice wash water, finely cut, dried, slightly stir-fried), Tiantai Wuyao (Litseae Fructus, finely cut, slightly stir-fried, each 2 liang), Renshen, Qingjupi (white pith removed, dried), Gancao, Shengjiang (three slices of fresh ginger), Zao (two dates). Decoct together to obtain 70% of the original volume, remove dregs, and take warm. If vomiting occurs, add a small amount of Huoxiang.
Siwu Guizhi Tang (Four Substances Cinnamon Twig Decoction): Treats Shanghan with excess Yin.
Ingredients: Guizhi (outer bark removed), Mahuang (roots and nodes removed, each 3 fen), Ganjiang (processed, 1 fen), Fuzi (processed until cracked, peel and umbilical scar removed, 1 liang). The above ingredients are cut. Each dose is... taken.
Guixin Tang (Cinnamon Heart Decoction): Treats Shanghan caused by excessive intake of cold medicines, resulting in epigastric and abdominal fullness, cold feet and knees, confusion, and unconsciousness.
Ingredients: Guizhi (outer bark removed), Houpo (Magnoliae Officinalis Cortex, outer bark removed, fried with ginger juice, each 3 fen), Shaoyao (1 liang), Ganjiang (processed, half liang), Binglang (cut, half liang). Take warm in two doses.
Zhengyi Fang (Steaming and Pressing Formula): Treats Shanghan with cold limbs.
Use Wuzhuyu, washed in hot water and dried, three sheng. Soak in warm wine until thoroughly moistened. Place in two raw silk bags. Steam until extremely hot. Take the Wuzhuyu bags and press/iron the affected areas. After using the previous medicine and pressing until qi flows smoothly, it is suitable to take this formula.
Ingredients: Renshen (1 liang), Shengjiang (baked and sliced, 2 liang). The above ingredients are finely cut. Decoct with one and a half zhan of water until eight parts remain. Remove dregs and take warm. If after a short while, repeat...