[类似方剂参考]
(1)麻黄汤:此治病势较重,辛温发汗之重剂。
(2)桂枝二越婢一汤:此治风寒在肌表,兼口渴喜冷内热证,辛凉小发汗剂。
(3)桂枝二麻黄一汤:此治汗后形成寒热如疟,麻黄用量较少,辛温小发汗剂。
桂枝二麻黄一汤方第三
[方义]
此治汗后风寒仍在肌表的轻证,辛温性的小发汗剂。
[主治]
太阳病,发汗后,轻度的发热恶寒,如疟状,一日二三度度发,脉较微,没有口渴、鼻冷等内热现象。(凌波按鼻冷如何是内热,有误)
[药品]
桂枝一钱至钱半 生杭芍一钱至钱半 麻黄五至七分生姜五分至一钱 杏仁二五至七分 炙草五至七分 大枣一至二枚
[煎服法]
水一至二茶杯,煎至半茶杯,去滓温服。
[用药大意]
桂枝汤解肌肉中风寒,麻黄汤散皮肤中风寒,但在汗出 之后,虽有表证,也不宜过用发散之药,恐汗多津亡阳也,所以麻黄用量比较少些。
[禁忌证]
(1)寒热如疟,脉虽微弱,但未经发汗者,不宜用。因麻黄用量较小,恐不能胜任也。
(2)兼有口渴、喜冷等症者,不宜用。恐误犯阳盛之戒也。
[类似方剂参考]
(1)桂枝麻黄各半汤:此治寒热如疟,病势较轻,未经发汗,辛温小发汗之剂。
(2)桂枝二越婢一汤:此治风寒在肌表,兼有内热,其症较轻浅,辛凉小发汗之剂。
桂枝二越婢一汤方第四
[方义]
此治风寒在肌表,兼有内热,症状较轻浅,辛凉小发汗之剂。
[主治]
太阳病,轻度发热恶寒,热多寒少,脉不甚浮数,而较微弱,但必须兼有口渴、喜冷等内热现象。
[药品]
桂枝一钱至钱半 生杭芍一钱至钱半 炙草五分至一钱麻黄五分至一钱 生姜八分至一钱 大枣一至二枚 石膏钱半至二钱
[煎服法]
水一至二茶杯,煎至半茶杯,去滓温服。
[用药大意]
桂枝汤解肌,越婢汤发散表邪兼清内热。
[禁忌证]
(1)寒热病势较重,脉较有力,兼有内热者不宜服。恐药轻不能胜任。
(2)没有口渴喜冷等内热证者,忌之。因石膏没有使用的必要。
(3)单发热不恶寒,虽有口渴喜冷症,也不宜服。因阳明经病,不宜用桂枝。
[类似方剂参考]
(1)大青龙汤:此是发汗兼清内热之重剂。
(2)桂枝麻黄各半汤:温性小发汗剂,发汗药较多些,是没有内热症之方。
(3)桂枝二麻黄一汤:温性小发汗剂,发汗药较少些,是没有内热症之方。
(4)白虎汤:此清阳明经热之方。
桂枝加桂汤方第五
[方义]
此温经补阳,散寒降逆,治寒性奔豚病之方.、
[主治]
奔豚病,气从少腹仁冲,心腹疼痛,喜热畏寒,或兼桂枝汤发热恶风寒的表证现象。
[药品]
桂枝二至三钱 生杭芍二至二钱 炙草一至二钱 生姜一至二钱 大枣二至四枚 肉桂钱半至二钱半
[煎服法]
水三茶杯,煎至半茶杯,去滓温服.
[用药大意]
桂枝、生姜散寒降逆,芍药、肉桂止痛温经,甘草、大枣缓急和中。
[禁忌证]
兼热证者忌之。
[类似方剂参考]
奔豚汤:此治热性奔豚病之方。
桂枝加附子汤方第六
[方义]
此解肌兼温经回阳之方。
[主治]
太阳病,发汗过多,汗漏不止,恶风小便难,四肢拘急,难以屈伸之证。但必须注意要兼有恶风寒较重、脉较微、发热、不喜冷性饮食等症。
[药品]
桂枝二至三钱 生杭芍二至三钱 炙草一至二钱 生姜一至二钱 大枣二至四枚 附子一至三钱
[煎服法]
水三茶杯,煎至多半茶杯,去滓温服。
[用药大意]
桂枝汤解肌和营卫.加附子以温经回阳。
[禁忌证]
不发热者,喜冷性饮食者(不可使用桂枝汤),脉搏不微,恶风寒不甚或不恶风寒者(不可使用附子),均忌之。
[类似方剂参考]
(1)芍药甘草附子汤:此治汗后恶寒较甚而不发热,回阳兼敛阴之方。
(2)附子汤:此治有身疼痛没有发热之方。
桂枝加厚朴杏仁汤方第七
[方义]
此辛温解肌,调和荣卫,降气润肺,定喘之方。
[主治]
太阳病,有汗兼气喘证,且没有下利、口渴、喜冷等现象。
[药品]
桂枝二至三钱 生杭芍二至三钱 炙草一至二钱 生姜一至三钱 大枣二至四枚 厚朴一至二钱 杏仁一至二钱
[煎服法]
水二茶杯,煎至多半茶杯,去滓温服。
[用药大意]
桂枝汤治太阳有汗之证,加厚朴以宽胸降气,杏仁润肺定喘.
[禁忌证]
(1)太阳无汗之喘证忌之。(参考麻黄汤。)
(2)太阳有汗之喘证,兼有喜冷现象者也忌之。(参考麻杏石甘汤。)
(3)发热有汗之喘证,兼下利者忌之。 (参考葛根芩连汤。)
(4)太阳病,下后气喘,太阳证已罢者忌之.
(5)下后,利不止,而大喘者,乃上夺下争之危候,忌用本汤。
桂枝去芍药汤方第八
[方义]
此辛温散寒,救误之方。
[主治]
太阳病误用攻下药后,胸部发满,脉象急促,恶风寒发热之桂枝证尚在者。
按:未经误用攻下药,如遇此证时,也可使用本方。
[药品]
桂枝二至三钱 炙草一至二钱 生姜二至三钱 大枣二至四枚
[加减法]
兼脉微,恶寒较甚者,加附子一至三钱,名桂枝去芍药加附子汤。
[煎服法]
用水二茶杯,煎至半茶杯,去滓温服,取微汗,余如桂枝法调养。
[用药大意]
桂枝、生姜散寒,大枣、炙草补中。去芍药是因为这种胸满,宜升不宜降,宜散不宜敛,宜温不宜寒故也。
[禁忌证]
有口苦、喜饮、喜冷等热证者忌之。
[类似方剂参考]
(1)桂枝去芍药加附子汤:此治太阳病误下后表证未罢,阳气被伤较甚,除胸满外兼脉微、恶寒之方。
(2)小柴胡汤:此治少阳病胸满兼有寒热往来证之方。
(3)大陷胸丸:此治下后形成结胸证,表证已解,胸部满而兼痛之方。
桂枝去芍药加附子汤方第九
[方义]
此温经回阳,救误之方。
[主治]
桂枝证误下后,胸满,脉微.恶寒,桂枝证尚在者。
[药品]
桂枝二至三钱 炙草一至二钱 生姜二至三钱 大枣二至四枚 附子一至三钱
[加减法]
没有脉微恶寒证,去附子,名桂枝去芍药汤。
[煎服法]
水二茶杯,煎至半茶杯.去滓温服,取微似有汗,忌生冷。
[用药大意]
附子回阳,治恶寒脉微之证;桂枝去芍药治太阳病有汗胸满之证。
[禁忌证]
凡有口苦、喜冷、喜饮等热证者忌之;脉不微,恶寒不其者,也须慎重。
[类似方剂参考]
(1)桂枝去芍药汤:此治桂枝证误下后,阳气被伤较轻,形成胸满之方。
(2)四逆汤:此治阳虚脉微、恶寒、四肢厥逆之方。
桂枝去桂加茯苓白术汤方第十
[方义]
此治太阳病,改解表为利小便之:方,乃太阳病治疗之变法。
[主治]
太阳病,头项强痛,发热,无汗,胸下满微痛,小便不利。但必须在汗下后不效时方可用之。因为任何疾病,都是先用正法,后用变法。
[药品]
生杭芍三至五钱 炙草一至二钱 生姜一至二钱 大枣 二至四枚 茯苓三至五钱 白术二至三钱
[加减法]
有喜热现象者,去芍药留桂枝。
[煎服法]
水二茶杯,煎至半茶杯,去滓温服。小便利即愈。
[用药大意]
芍药开阴结而利小便;茯苓、白术健脾利湿;生姜宣散水气;枣、草以和于中。
[禁忌证]
未经汗下者,不宜用。因为在开始时期病机不易肯定。
[类似方剂参考]
使用本方应允体会小便癃闭证有用麻黄开外窍的治法,这样才能体会到汗和小便的关系,才能体会到太阳膀胱的作用,才能体会到小便不利可用发汗法治愈,才能体会到发汗不解之证可以利小便。
桂枝去芍药加蜀漆龙骨牡蛎救逆汤方第十一
[方义]
此补心阳,散寒邪,镇惊祛痰之方。
[主治]
伤寒误以火迫出汗后,阳气飞越,惊狂不安。但必须具有身热、恶风寒的表寒证和不喜冷性饮食、口不渴等阳虚现象。
[药品]
桂枝一钱至钱半 炙草一钱至钱半 生姜一钱至钱半蜀漆一至二钱 大枣二至四枚 牡蛎二至五钱 龙骨二至五钱
[煎服法]
水二茶杯,煎至半茶杯,去滓温服。
[用药大意]
桂枝、炙草以补心阳;芍药性寒,不利于心阳之虚,故去之;姜、枣调和营卫,以解未净之外邪;蜀漆祛痰;龙、牡镇静,以疗心神不安的惊狂。
[禁忌证]
喜冷畏热,有里热证者忌之。
[类似方剂参考]
桂枝甘草龙骨牡蛎汤:此治心阳被伤,外邪已净,温性镇静之方。
桂枝加芍药生姜人参新加汤方第十二
[方义]
此系补虚、温散寒邪之方,治疗汗后气虚,津液被伤,外邪未净之证。也是治疗身疼痛的另一种方法。
[主治]
发汗后,身疼痛,脉沉迟。但须注意以下三点:
(1)必须兼有喜温恶寒之现象(这是使用桂枝汤方的主要症状)。
(2)必须没有喜冷性饮食的症状(热性药对内热证是不适宜的)。
(3)脉必沉迟无力方可大胆用参。
[药品]
桂枝二至三钱 牛杭芍三至四钱 生姜三至四钱 炙草一至二钱 人参二至三钱 大枣二至四枚
[煎服法]
水三茶杯,煎至半茶杯,去滓温服。人参另炖兑服也可.
[用药大意]
人参、大枣、炙单补中益气以生津液;芍药、桂枝、生姜调营卫,止身痛,以清余邪。
[禁忌证]
喜冷性饮食者忌之;不恶寒反恶热者忌之。
[类似方剂参考]
(1)芍药甘草附子汤:这是治汗后反恶寒之方。
(2)附子汤:此回阳补气,利水养阴,治身疼痛之方。
桂枝加芍药汤方第十三
[方义]
此乃散寒、止痛之方。
[主治]
太阴病,腹痛或兼表寒,或不兼表寒。但必须具有腹不拒按、不喜冷性饮食、误食冷性饮食其痛即剧、脉沉而迟等症。
[药品]
桂枝二二至三钱 生杭芍四至六钱 生姜二至三钱 炙草一至二钱 大枣二至四枚
[加减法]
腹痛拒按者,加大黄,名桂枝加大黄汤。
[煎服法]
水三茶杯,煎至半茶杯,去滓温服。
[用药大意]
桂枝汤辛温解肌,温中却寒,倍加芍药,以治不拒按的腹痛。
[禁忌证]
(1)腹痛喜冷有热证者忌之。
(2)腹痛拒按有实证者忌之。
[类似方剂参考]
(1)桂枝加大黄汤:此治寒性腹痛拒按之方。
(2)小建中汤:此治寒性腹痛不拒按,但补性较重之方。
桂枝加大黄汤方第十四
[方义]
此散寒止痛,兼去积之方。此方系温下方的开始,也系治疗表寒里实证的一种类型。
[主治]
太阴寒邪腹痛,或兼表寒,或不兼表寒。但必须具有腹部拒按、大便不利、喜热性饮食、脉沉迟有力等症。
[药品]
桂枝二至三钱 生杭芍四至六钱 生姜二至三钱 炙草一至二钱 大枣二至四枚 大黄二至三钱
[加减法]
腹痛不拒按者,去大黄,名桂枝加芍药汤。
按:无恶风寒之表证者,应将桂枝换为肉桂,因肉桂温里之作用较桂枝更强也。
[煎服法]
水三茶杯,煎至半茶杯,空心服之。忌食难消化的食物。
[用药大意]
桂枝汤加芍药温散肌表之寒邪,兼止腹痛;大黄荡涤肠胃,排泄肠中积食。
[禁忌证]
腹不拒按,或大便利,脉弱者,忌之;喜冷性饮食者亦忌之。因为前者系腹痛之虚证,不适用大黄之攻下;后者系热证,不宜用桂枝、生姜之温热。
[类似方剂参考]
(1)桂枝加芍药汤:此治腹痛不拒按之方。
(2)温脾汤:此亦系温下之剂,但温性药较多。
(3)理中加大黄汤:此亦系温下之剂,但补性药较胜。
桂枝人参汤方第十五
[方义]
此温补肠胃兼散表寒,乃表里虚寒正治之方。
[主治]
太阳病,误下后,胃脘痞满,下利,兼有身热恶寒之表证。但必须具有脉沉迟而虚和不喜冷性饮食等现象。
[药品]
桂枝一至二钱 炙草一至二钱 人参一至三钱 生白术二至三钱 干姜二至三钱
[煎服法]
水三茶杯,先煎后四味,煎至一茶杯时,再入桂枝,再煎至半茶杯,去滓温服。
[用药大意]
后四味药名人参汤,即理中汤,以治肠胃虚寒之痞满下利;桂枝辛温,以散太阳之表寒。
[禁忌证]
有口苦喜冷等热证者,忌之。
[类似方剂参考]
(1)先用四逆汤温里,后服桂枝汤解表之法:此治表里俱寒,分治之法。
(2)半夏泻心汤:此治虚而寒热夹杂、痞满下利之方。
桂枝甘草龙骨牡蛎汤方第十六
[方义]
此补心阳,镇心安神,救逆之方。也系温性镇静之剂。
[主治]
火逆证误下后,心阳被伤,烦躁不安。但必须具有喜热畏冷的现象。
[药品]
桂枝二至三钱 炙草一至二二钱 龙骨三至五钱 牡蛎三至五钱
[煎服法]
水二茶杯半,煎至半茶杯,去滓温服。
[用药大意]
桂枝、甘草补心阳以救逆;龙骨、牡蛎镇惊悸以安神.
[禁忌证]
喜冷畏热者忌之,因热证不宜用热药。
[类似方剂参考]
桂枝去芍药加蜀漆龙骨牡蛎救逆汤:此温性祛痰镇静,兼散外邪之方。
桂枝甘草汤方第十七
[方义]
此温补心阳,兼补中气,治心悸之方。
[主治]
发汗过多形成心悸之证。但必须具有喜用手按、小便尚利、喜热怕凉或脉沉迟等方能准确.,
[类似方剂参考]
(1)麻黄汤:此方用于治疗病势较重的情况,属于辛温发汗的重剂。
(2)桂枝二越婢一汤:此方用于治疗风寒邪气在肌表,兼有口渴、喜冷饮等内热证候,属于辛凉小发汗的方剂。
(3)桂枝二麻黄一汤:此方用于治疗发汗后形成的寒热往来如疟疾状的症状,麻黄用量较少,属于辛温小发汗的方剂。
桂枝二麻黄一汤方第三
[方义]
此方用于治疗发汗后风寒邪气仍在肌表的轻证,属于辛温性的小发汗剂。
[主治]
太阳病(太阳经受邪所致的病证),经过发汗治疗后,出现轻度的发热和恶寒,症状像疟疾一样,一天发作两三次,脉搏较为微弱,没有口渴、鼻冷等内热现象。(凌波按语:认为“鼻冷”是内热的说法有误。)
[药品]
桂枝 一钱至钱半;生杭芍(白芍) 一钱至钱半;麻黄 五至七分;生姜 五分至一钱;杏仁 二五至七分;炙甘草 五至七分;大枣 一至二枚。
[煎服法]
用水一至二茶杯,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝汤解除肌肉层面的中风寒,麻黄汤发散皮肤层面的中风寒。但在已经出汗之后,即使仍有表证,也不宜过度使用发散药物,恐怕会导致汗出过多、津液耗伤、阳气亡失。所以麻黄的用量比较少一些。
[禁忌证]
(1)寒热往来如疟疾状,脉搏虽然微弱,但未经过发汗治疗的,不宜使用。因为麻黄用量较小,恐怕不能胜任祛邪的任务。
(2)兼有口渴、喜冷饮等症状的,不宜使用。恐怕会误犯阳盛(实热)的禁忌。
[类似方剂参考]
(1)桂枝麻黄各半汤:此方用于治疗寒热往来如疟疾状,病势较轻,未经发汗的情况,属于辛温小发汗的方剂。
(2)桂枝二越婢一汤:此方用于治疗风寒在肌表,兼有内热,症状较轻浅的情况,属于辛凉小发汗的方剂。
桂枝二越婢一汤方第四
[方义]
此方用于治疗风寒在肌表,兼有内热,症状较轻浅的情况,属于辛凉小发汗的方剂。
[主治]
太阳病,轻度的发热恶寒,热多寒少,脉搏不是很浮数,而是比较微弱,但必须兼有口渴、喜冷饮等内热现象。
[药品]
桂枝 一钱至钱半;生杭芍(白芍) 一钱至钱半;炙甘草 五分至一钱;麻黄 五分至一钱;生姜 八分至一钱;大枣 一至二枚;石膏 钱半至二钱。
[煎服法]
用水一至二茶杯,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝汤解肌表之邪,越婢汤发散表邪兼清内热。
[禁忌证]
(1)寒热病势较重,脉搏较有力,兼有内热的,不宜服用。恐怕药力太轻不能胜任。
(2)没有口渴、喜冷饮等内热证的,忌用。因为此时没有必要使用石膏。
(3)只有发热不恶寒,虽然有口渴喜冷的症状,也不宜服用。因为这是阳明经病,不宜使用桂枝。
[类似方剂参考]
(1)大青龙汤:此方是发汗兼清内热的重剂。
(2)桂枝麻黄各半汤:温性小发汗剂,发汗药较多些,是没有内热症状的方子。
(3)桂枝二麻黄一汤:温性小发汗剂,发汗药较少些,是没有内热症状的方子。
(4)白虎汤:此方是清阳明经热的方子。
桂枝加桂汤方第五
[方义]
此方温补经脉、补益阳气,散寒降逆,是治疗寒性奔豚病的方子。
[主治]
奔豚病(一种自觉气从少腹上冲心胸的疾病),气从少腹向上冲逆,心腹疼痛,喜欢温暖、畏惧寒冷,或者兼有桂枝汤证的发热恶风寒的表证现象。
[药品]
桂枝 二至三钱;生杭芍(白芍) 二至二钱;炙甘草 一至二钱;生姜 一至二钱;大枣 二至四枚;肉桂 钱半至二钱半。
[煎服法]
用水三茶杯,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝、生姜散寒降逆,芍药、肉桂止痛温经,甘草、大枣缓急和中。
[禁忌证]
兼有热证的忌用。
桂枝加附子汤方第六
[方义]
此方解肌表兼温经脉、回阳气的方子。
[主治]
太阳病,发汗过多,导致汗漏不止,怕风,小便困难,四肢拘挛紧急,难以屈伸的证候。但必须注意要兼有恶风寒较重、脉搏较微、发热、不喜欢冷性饮食等症状。
[药品]
桂枝 二至三钱;生杭芍(白芍) 二至三钱;炙甘草 一至二钱;生姜 一至二钱;大枣 二至四枚;附子 一至三钱。
[煎服法]
用水三茶杯,煎煮至多半茶杯,滤去药渣,温服。
[用药大意]
桂枝汤解肌调和营卫,加附子以温经回阳。
[禁忌证]
不发热的,喜欢冷性饮食的(不可使用桂枝汤),脉搏不微弱的,恶风寒不明显或不恶风寒的(不可使用附子),均忌用。
[类似方剂参考]
(1)芍药甘草附子汤:此方用于治疗发汗后恶寒较甚而不发热的情况,是回阳兼敛阴的方子。
(2)附子汤:此方用于治疗身体疼痛但没有发热的情况。
桂枝加厚朴杏子汤方第七
[方义]
此方辛温解肌,调和营卫,降气润肺,定喘的方子。
[主治]
太阳病,有汗兼气喘的证候,且没有下利、口渴、喜冷饮等现象。
[药品]
桂枝 二至三钱;生杭芍(白芍) 二至三钱;炙甘草 一至二钱;生姜 一至三钱;大枣 二至四枚;厚朴 一至二钱;杏仁 一至二钱。
[煎服法]
用水二茶杯,煎煮至多半茶杯,滤去药渣,温服。
[用药大意]
桂枝汤治疗太阳病有汗的证候,加厚朴以宽胸降气,杏仁润肺定喘。
[禁忌证]
(1)太阳病无汗的气喘证忌用。(参考麻黄汤。)
(2)太阳病有汗的气喘证,兼有喜冷现象的也忌用。(参考麻杏石甘汤。)
(3)发热有汗的气喘证,兼有下利的忌用。(参考葛根芩连汤。)
(4)太阳病,经过攻下后出现气喘,但太阳表证已消失的忌用。
(5)攻下后,腹泻不止,而出现严重气喘的,这是正气上夺、下争的危重证候,忌用本汤。
桂枝去芍药汤方第八
[方义]
此方辛温散寒,纠正误治的方子。
[主治]
太阳病误用攻下药后,胸部发满,脉象急促,恶风寒发热的桂枝证尚在的情况。
按语:未经误用攻下药,如果遇到此证时,也可以使用本方。
[药品]
桂枝 二至三钱;炙甘草 一至二钱;生姜 二至三钱;大枣 二至四枚。
[加减法]
兼有脉搏微弱,恶寒较甚的,加附子一至三钱,名为桂枝去芍药加附子汤。
[煎服法]
用水二茶杯,煎煮至半茶杯,滤去药渣,温服,取微微出汗,其余按照桂枝汤的方法调养。
[用药大意]
桂枝、生姜散寒,大枣、炙甘草补中。去掉芍药是因为这种胸满,宜升不宜降,宜散不宜敛,宜温不宜寒的缘故。
[禁忌证]
有口苦、喜饮、喜冷等热证的忌用。
[类似方剂参考]
(1)桂枝去芍药加附子汤:此方用于治疗太阳病误下后表证未罢,阳气被损伤较甚,除胸满外兼有脉搏微弱、恶寒的方子。
(2)小柴胡汤:此方用于治疗少阳病胸满兼有寒热往来的方子。
(3)大陷胸丸:此方用于治疗攻下后形成结胸证,表证已解,胸部满而兼痛的方子。
桂枝去芍药加附子汤方第九
[方义]
此方温经回阳,纠正误治的方子。
[主治]
桂枝证误下后,出现胸满,脉搏微弱,恶寒,桂枝证尚在的情况。
[药品]
桂枝 二至三钱;炙甘草 一至二钱;生姜 二至三钱;大枣 二至四枚;附子 一至三钱。
[加减法]
没有脉搏微弱、恶寒的症状,去掉附子,名为桂枝去芍药汤。
[煎服法]
用水二茶杯,煎煮至半茶杯,滤去药渣,温服,取微微似有汗出的效果,忌食生冷。
[用药大意]
附子回阳,治疗恶寒脉搏微弱的证候;桂枝去芍药治疗太阳病有汗胸满的证候。
[禁忌证]
凡是有口苦、喜冷、喜饮等热证的忌用;脉搏不微弱,恶寒不明显的,也必须慎重。
[类似方剂参考]
(1)桂枝去芍药汤:此方用于治疗桂枝证误下后,阳气被损伤较轻,形成胸满的方子。
(2)四逆汤:此方用于治疗阳虚脉搏微弱、恶寒、四肢厥逆的方子。
桂枝去桂加茯苓白术汤方第十
[方义]
此方治疗太阳病,改变解表的方法为利小便的方法,是太阳病治疗的变法。
[主治]
太阳病,头项强痛,发热,无汗,胸下满微痛,小便不利。但必须在经过发汗、攻下治疗后无效时方可使用。因为任何疾病,都是先用正法,后用变法。
[药品]
生杭芍(白芍) 三至五钱;炙甘草 一至二钱;生姜 一至二钱;大枣 二至四枚;茯苓 三至五钱;白术 二至三钱。
[加减法]
有喜欢温暖现象的,去掉芍药保留桂枝。
[煎服法]
用水二茶杯,煎煮至半茶杯,滤去药渣,温服。小便利即痊愈。
[用药大意]
芍药开阴结而利小便;茯苓、白术健脾利湿;生姜宣散水气;枣、草以调和于中焦。
[禁忌证]
未经过发汗、攻下的,不宜使用。因为在开始时期病机不易肯定。
[类似方剂参考]
使用本方应当体会小便癃闭证有用麻黄开外窍的治法,这样才能体会到汗和小便的关系,才能体会到太阳膀胱的作用,才能体会到小便不利可用发汗法治愈,才能体会到发汗不解之证可以利小便。
桂枝去芍药加蜀漆龙骨牡蛎救逆汤方第十一
[方义]
此方补心阳,散寒邪,镇惊祛痰的方子。
[主治]
伤寒误用火法强迫出汗后,阳气飞越,惊狂不安。但必须具有身热、恶风寒的表寒证和不喜冷性饮食、口不渴等阳虚现象。
[药品]
桂枝 一钱至钱半;炙甘草 一钱至钱半;生姜 一钱至钱半;蜀漆 一至二钱;大枣 二至四枚;牡蛎 二至五钱;龙骨 二至五钱。
[煎服法]
用水二茶杯,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝、炙甘草以补心阳;芍药性寒,不利于心阳之虚,故去掉;姜、枣调和营卫,以解除未尽之外邪;蜀漆祛痰;龙、牡镇静,以治疗心神不安的惊狂。
[禁忌证]
喜冷畏热,有里热证的忌用。
[类似方剂参考]
桂枝甘草龙骨牡蛎汤:此方治疗心阳被伤,外邪已净,属于温性镇静的方子。
桂枝加芍药生姜人参新加汤方第十二
[方义]
此系补虚、温散寒邪的方子,治疗发汗后气虚,津液被伤,外邪未净的证候。也是治疗身体疼痛的另一种方法。
[主治]
发汗后,身体疼痛,脉搏沉迟。但须注意以下三点:
(1)必须兼有喜温恶寒的现象(这是使用桂枝汤方的主要症状)。
(2)必须没有喜冷性饮食的症状(热性药对内热证是不适宜的)。
(3)脉搏必沉迟无力方可大胆用人参。
[药品]
桂枝 二至三钱;牛杭芍(白芍) 三至四钱;生姜 三至四钱;炙甘草 一至二钱;人参 二至三钱;大枣 二至四枚。
[煎服法]
用水三茶杯,煎煮至半茶杯,滤去药渣,温服。人参另炖兑服也可以。
[用药大意]
人参、大枣、炙甘草补中益气以生津液;芍药、桂枝、生姜调营卫,止身痛,以清除余邪。
[禁忌证]
喜冷性饮食的忌用;不恶寒反而恶热的忌用。
[类似方剂参考]
(1)芍药甘草附子汤:这是治疗发汗后反恶寒的方子。
(2)附子汤:此方回阳补气,利水养阴,治疗身体疼痛的方子。
桂枝加芍药汤方第十三
[方义]
此乃散寒、止痛的方子。
[主治]
太阴病,腹痛或兼表寒,或不兼表寒。但必须具有腹部不拒按、不喜欢冷性饮食、误食冷性饮食其痛即剧烈、脉搏沉而迟等症状。
[药品]
桂枝 二至三钱;生杭芍(白芍) 四至六钱;生姜 二至三钱;炙甘草 一至二钱;大枣 二至四枚。
[加减法]
腹痛拒按的,加大黄,名为桂枝加大黄汤。
[煎服法]
用水三茶杯,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝汤辛温解肌,温中却寒,倍加芍药,以治疗不拒按的腹痛。
[禁忌证]
(1)腹痛喜冷有热证的忌用。
(2)腹痛拒按有实证者忌用。
[类似方剂参考]
(1)桂枝加大黄汤:此方治疗寒性腹痛拒按的方子。
(2)小建中汤:此方治疗寒性腹痛不拒按,但补性较重的方子。
桂枝加大黄汤方第十四
[方义]
此散寒止痛,兼去积滞的方子。此方系温下方剂的开始,也系治疗表寒里实证的一种类型。
[主治]
太阴寒邪腹痛,或兼表寒,或不兼表寒。但必须具有腹部拒按、大便不利、喜热性饮食、脉搏沉迟有力等症状。
[药品]
桂枝 二至三钱;生杭芍(白芍) 四至六钱;生姜 二至三钱;炙甘草 一至二钱;大枣 二至四枚;大黄 二至三钱。
[加减法]
腹痛不拒按的,去掉大黄,名为桂枝加芍药汤。
按语:没有恶风寒之表证的,应将桂枝换为肉桂,因为肉桂温里的作用比桂枝更强。
[煎服法]
用水三茶杯,煎煮至半茶杯,空腹服用。忌食难消化的食物。
[用药大意]
桂枝汤加芍药温散肌表之寒邪,兼止腹痛;大黄荡涤肠胃,排泄肠中积食。
[禁忌证]
腹部不拒按,或大便通畅,脉搏虚弱的,忌用;喜冷性饮食的也忌用。因为前者系腹痛之虚证,不适用大黄之攻下;后者系热证,不宜用桂枝、生姜之温热。
[类似方剂参考]
(1)桂枝加芍药汤:此方治疗腹痛不拒按的方子。
(2)温脾汤:此亦系温下之剂,但温性药较多。
(3)理中加大黄汤:此亦系温下之剂,但补性药较胜。
桂枝人参汤方第十五
[方义]
此温补肠胃兼散表寒,是表里虚寒的正治方子。
[主治]
太阳病,误下后,胃脘痞满,下利,兼有身热恶寒的表证。但必须具有脉搏沉迟而虚和不喜冷性饮食等现象。
[药品]
桂枝 一至二钱;炙甘草 一至二钱;人参 一至三钱;生白术 二至三钱;干姜 二至三钱。
[煎服法]
用水三茶杯,先煎后四味药,煎至一茶杯时,再入桂枝,再煎至半茶杯,滤去药渣,温服。
[用药大意]
后四味药名人参汤,即理中汤,以治疗肠胃虚寒之痞满下利;桂枝辛温,以散太阳之表寒。
[禁忌证]
有口苦喜冷等热证的,忌用。
[类似方剂参考]
(1)先用四逆汤温里,后服桂枝汤解表之法:此治疗表里俱寒,分治的方法。
(2)半夏泻心汤:此治疗虚而寒热夹杂、痞满下利的方子。
桂枝甘草龙骨牡蛎汤方第十六
[方义]
此补心阳,镇心安神,救逆的方子。也系温性镇静之剂。
[主治]
火逆证误下后,心阳被伤,烦躁不安。但必须具有喜热畏冷的现象。
[药品]
桂枝 二至三钱;炙甘草 一至二钱;龙骨 三至五钱;牡蛎 三至五钱。
[煎服法]
用水二茶杯半,煎煮至半茶杯,滤去药渣,温服。
[用药大意]
桂枝、甘草补心阳以救逆;龙骨、牡蛎镇惊悸以安神。
[禁忌证]
喜冷畏热的忌用,因为热证不宜用热药。
[类似方剂参考]
桂枝去芍药加蜀漆龙骨牡蛎救逆汤:此温性祛痰镇静,兼散外邪的方子。
桂枝甘草汤方第十七
[方义]
此温补心阳,兼补中气,治疗心悸的方子。
[主治]
发汗过多形成心悸的证候。但必须具有喜欢用手按压、小便尚通利、喜热怕凉或脉搏沉迟等方能准确判断。
[Reference for Similar Formulas]
(1) Mahuang Tang (Ephedra Decoction): This formula is used for conditions with severe pathogenic intensity; it is a heavy agent for acrid-warm sweating.
(2) Guizhi Er Yuebi Yi Tang (Cinnamon Twig Twice, Mason Jar Decoction Once Formula): This formula treats wind-cold at the muscle surface accompanied by internal heat symptoms such as thirst and preference for cold drinks; it is an acrid-cool mild sweating agent.
(3) Guizhi Er Mahuang Yi Tang (Cinnamon Twig Twice, Ephedra Once Formula): This formula treats chills and fever alternating like malaria after sweating, with a smaller dosage of Ephedra; it is an acrid-warm mild sweating agent.
Guizhi Er Mahuang Yi Tang Formula No. 3
[Formula Meaning]
This formula treats mild cases where wind-cold remains at the muscle surface after sweating; it is an acrid-warm mild sweating agent.
[Indications]
Taiyang disease (disease pattern caused by pathogenic factors affecting the Taiyang channel), after sweating therapy, presenting with mild fever and aversion to cold, resembling malaria, occurring two or three times a day. The pulse is relatively faint, without internal heat signs such as thirst or cold nose. (Note by Lingbo: The assertion that "cold nose" indicates internal heat is erroneous.)
[Ingredients]
Guizhi (Cinnamomi Ramulus) 1 qian to 1.5 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 1 qian to 1.5 qian; Mahuang (Ephedrae Herba) 5 to 7 fen; Shengjiang (Zingiberis Rhizoma Recens) 5 to 1 qian; Xingren (Armeniacae Semen Amarum) 2.5 to 7 fen; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 5 to 7 fen; Dazao (Jujubae Fructus) 1 to 2 pieces.
[Decoction and Administration]
Use 1 to 2 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi Tang resolves wind-cold at the muscle level, while Mahuang Tang disperses wind-cold at the skin level. However, after sweating has occurred, even if exterior signs remain, one should not overuse dispersing drugs, lest excessive sweating lead to fluid depletion and yang collapse. Therefore, the dosage of Mahuang is kept lower.
[Contraindications]
(1) Chills and fever alternating like malaria, with a faint pulse but no prior sweating therapy, should not use this formula. Because the dosage of Mahuang is small, it may be insufficient to expel pathogens.
(2) Cases accompanied by thirst and preference for cold drinks should not use this formula, lest it violate the prohibition against treating excess yang (heat).
[Reference for Similar Formulas]
(1) Guizhi Mahuang G Ban Tang (Cinnamon Twig and Ephedra Half-Half Formula): Treats chills and fever alternating like malaria with mild pathogenic intensity, before sweating therapy; it is an acrid-warm mild sweating agent.
(2) Guizhi Er Yuebi Yi Tang: Treats wind-cold at the muscle surface with internal heat, with mild and superficial symptoms; it is an acrid-cool mild sweating agent.
Guizhi Er Yuebi Yi Tang Formula No. 4
[Formula Meaning]
This formula treats wind-cold at the muscle surface with internal heat, with mild and superficial symptoms; it is an acrid-cool mild sweating agent.
[Indications]
Taiyang disease, mild fever and aversion to cold, more heat than cold, pulse not very floating and rapid but relatively faint. It must be accompanied by internal heat signs such as thirst and preference for cold drinks.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 1 qian to 1.5 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 1 qian to 1.5 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 5 fen to 1 qian; Mahuang (Ephedrae Herba) 5 fen to 1 qian; Shengjiang (Zingiberis Rhizoma Recens) 8 fen to 1 qian; Dazao (Jujubae Fructus) 1 to 2 pieces; Shigao (Gypsum Fibrosum) 1.5 qian to 2 qian.
[Decoction and Administration]
Use 1 to 2 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi Tang resolves the muscle layer, while Yebipro Tang disperses exterior pathogens and clears internal heat.
[Contraindications]
(1) Severe chills and fever, with a strong pulse and internal heat, should not take this. Lest the medicine be too weak to be effective.
(2) Absence of internal heat signs like thirst and preference for cold drinks is a contraindication. Because there is no need to use Shigao.
(3) Fever without aversion to cold, even with thirst and preference for cold drinks, should not be treated with this. Because it is a Yangming channel disease, and Guizhi should not be used.
[Reference for Similar Formulas]
(1) Da Qinglong Tang (Major Green Dragon Decoction): A heavy agent for sweating and clearing internal heat.
(2) Guizhi Mahuang G Ban Tang: An acrid-warm mild sweating agent with more sweating herbs, for cases without internal heat.
(3) Guizhi Er Mahuang Yi Tang: An acrid-warm mild sweating agent with fewer sweating herbs, for cases without internal heat.
(4) Baihu Tang (White Tiger Decoction): A formula for clearing heat in the Yangming channel.
Guizhi Jia Gui Tang Formula No. 5
[Formula Meaning]
This formula warms the meridians, tonifies yang, disperses cold, and directs rebellious qi downward; it is a formula for treating cold-type Ben Tun (Rushing Pig) disease.
[Indications]
Ben Tun disease, sensation of qi rushing from the lower abdomen upward, pain in the heart and abdomen, preference for warmth and aversion to cold, or accompanied by exterior signs of fever and aversion to wind/cold typical of Guizhi Tang syndrome.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 2 to 2 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Rougui (Cinnamomi Cortex) 1.5 qian to 2.5 qian.
[Decoction and Administration]
Use 3 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi and Shengjiang disperse cold and direct rebellious qi downward; Shaoyao and Rougui stop pain and warm the meridians; Gancao and Dazao relieve urgency and harmonize the middle.
[Contraindications]
Contraindicated in cases with accompanying heat syndromes.
[Reference for Similar Formulas]
Bentun Tang: A formula for treating heat-type Ben Tun disease.
Guizhi Jia Fuzi Tang Formula No. 6
[Formula Meaning]
This formula resolves the muscle layer while warming the meridians and restoring yang.
[Indications]
Taiyang disease, after excessive sweating, leading to continuous leakage of sweat, aversion to wind, difficulty urinating, stiffness and spasms of the four limbs making flexion and extension difficult. One must note the presence of significant aversion to wind and cold, a faint pulse, fever, and dislike for cold food/drink.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Fuzi (Aconiti Lateralis Radix Preparata) 1 to 3 qian.
[Decoction and Administration]
Use 3 cups of water, decoct until most of a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi Tang resolves the muscle layer and harmonizes Ying and Wei; adding Fuzi warms the meridians and restores yang.
[Contraindications]
Contraindicated in those without fever, those who prefer cold food/drink (Guizhi Tang cannot be used), those whose pulse is not faint, and those with insignificant or no aversion to wind/cold (Fuzi cannot be used).
[Reference for Similar Formulas]
(1) Shaoyao Gancao Fuzi Tang: Treats post-sweating aversion to cold without fever; a formula for restoring yang and conserving yin.
(2) Fuzi Tang: Treats body pain without fever.
Guizhi Jia Houpo Ziming Tang Formula No. 7
[Formula Meaning]
This formula is acrid-warm to resolve the muscle layer, harmonize Ying and Wei, descend qi, moisten the lungs, and stop wheezing.
[Indications]
Taiyang disease with sweating and wheezing, without diarrhea, thirst, or preference for cold drinks.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 1 to 3 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Houpo (Magnoliae Officinalis Cortex) 1 to 2 qian; Xingren (Armeniacae Semen Amarum) 1 to 2 qian.
[Decoction and Administration]
Use 2 cups of water, decoct until most of a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi Tang treats Taiyang syndrome with sweating; adding Houpo broadens the chest and descends qi; Xingren moistens the lungs and stops wheezing.
[Contraindications]
(1) Contraindicated in Taiyang wheezing without sweating. (Refer to Mahuang Tang.)
(2) Contraindicated in Taiyang wheezing with sweating and preference for cold. (Refer to Maxing Shigan Tang.)
(3) Contraindicated in wheezing with fever, sweating, and diarrhea. (Refer to Gegen Qinlian Tang.)
(4) Contraindicated in Taiyang disease where wheezing occurs after purgation and Taiyang signs have resolved.
(5) Contraindicated in critical conditions of upper depletion and lower contention, characterized by persistent diarrhea after purgation and severe wheezing.
Guizhi Qu Shaoyao Tang Formula No. 8
[Formula Meaning]
This formula is acrid-warm to disperse cold and correct errors in treatment.
[Indications]
After incorrect use of purgatives in Taiyang disease, presenting with chest fullness, rapid pulse, and lingering Guizhi signs of fever and aversion to wind/cold.
Note: If this syndrome occurs without incorrect purgation, this formula can also be used.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 2 to 3 qian; Dazao (Jujubae Fructus) 2 to 4 pieces.
[Modifications]
If accompanied by a faint pulse and significant aversion to cold, add Fuzi 1 to 3 qian, named Guizhi Qu Shaoyao Jia Fuzi Tang.
[Decoction and Administration]
Use 2 cups of water, decoct until half a cup remains, remove dregs, and take warm. Induce slight sweating; rest according to Guizhi Tang care instructions.
[General Principles of Medication]
Guizhi and Shengjiang disperse cold; Dazao and Zhigancao tonify the middle. Shaoyao is removed because this chest fullness requires ascending rather than descending, dispersing rather than astringing, and warming rather than cooling.
[Contraindications]
Contraindicated in cases with heat signs such as bitter taste, desire to drink, and preference for cold.
[Reference for Similar Formulas]
(1) Guizhi Qu Shaoyao Jia Fuzi Tang: Treats Taiyang disease after incorrect purgation where exterior signs remain but yang is significantly damaged, presenting with chest fullness, faint pulse, and aversion to cold.
(2) Xiaochaihu Tang: Treats Shaoyang disease with chest fullness and alternating chills and fever.
(3) Da Xiexiong Wan: Treats Jie Xiong (Chest Binding) syndrome formed after purgation, where exterior signs have resolved, presenting with chest fullness and pain.
Guizhi Qu Shaoyao Jia Fuzi Tang Formula No. 9
[Formula Meaning]
This formula warms the meridians, restores yang, and corrects treatment errors.
[Indications]
After incorrect purgation of Guizhi syndrome, presenting with chest fullness, faint pulse, and aversion to cold, with Guizhi signs still present.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 2 to 3 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Fuzi (Aconiti Lateralis Radix Preparata) 1 to 3 qian.
[Modifications]
If there are no signs of faint pulse and aversion to cold, remove Fuzi, named Guizhi Qu Shaoyao Tang.
[Decoction and Administration]
Use 2 cups of water, decoct until half a cup remains, remove dregs, and take warm. Induce slight sweating; avoid raw and cold foods.
[General Principles of Medication]
Fuzi restores yang, treating aversion to cold and faint pulse; Guizhi Qu Shaoyao treats Taiyang syndrome with sweating and chest fullness.
[Contraindications]
Contraindicated in all cases with heat signs like bitter taste, preference for cold, and desire to drink; caution is required if the pulse is not faint or aversion to cold is not obvious.
[Reference for Similar Formulas]
(1) Guizhi Qu Shaoyao Tang: Treats Guizhi syndrome after incorrect purgation where yang is slightly damaged, forming chest fullness.
(2) Sini Tang: Treats yang deficiency with faint pulse, aversion to cold, and cold extremities.
Guizhi Qu Gui Jia Fuling Baizhu Tang Formula No. 10
[Formula Meaning]
This formula treats Taiyang disease by changing the method from resolving the exterior to promoting urination; it is a modified treatment method for Taiyang disease.
[Indications]
Taiyang disease with stiff neck and head, fever, absence of sweating, slight fullness and pain below the chest, and difficulty urinating. It should only be used when sweating and purgation therapies have failed. Because any disease is first treated with standard methods, then modified methods.
[Ingredients]
Sheng Huangshao (Raw Paeoniae Radix Alba) 3 to 5 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Shengjiang (Zingiberis Rhizoma Recens) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Fuling (Poria) 3 to 5 qian; Baizhu (Atractylodis Macrocephalae Rhizoma) 2 to 3 qian.
[Modifications]
If there is a preference for warmth, remove Shaoyao and retain Guizhi.
[Decoction and Administration]
Use 2 cups of water, decoct until half a cup remains, remove dregs, and take warm. Recovery occurs when urination becomes normal.
[General Principles of Medication]
Shaoyao opens yin knots and promotes urination; Fuling and Baizhu strengthen the spleen and drain dampness; Shengjiang disseminates water qi; Dazao and Gancao harmonize the middle.
[Contraindications]
Should not be used if sweating and purgation have not yet been attempted, as the pathogenesis is uncertain in the early stages.
[Reference for Similar Formulas]
Using this formula should involve understanding the treatment of urinary retention using Mahuang to open external pores, thereby appreciating the relationship between sweating and urination, the role of the Taiyang Bladder, the curability of difficulty urinating via sweating, and the ability to treat non-responsive sweating cases by promoting urination.
Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang Formula No. 11
[Formula Meaning]
This formula tonifies Heart Yang, dispels cold pathogens, calms fright, and eliminates phlegm.
[Indications]
After incorrect fire therapy forcing sweat in Shanghan, leading to flying away of yang, fright, mania, and restlessness. Must present with exterior cold signs of fever and aversion to wind/cold, and yang deficiency signs of dislike for cold food/drink and no thirst.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 1 qian to 1.5 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 qian to 1.5 qian; Shengjiang (Zingiberis Rhizoma Recens) 1 qian to 1.5 qian; Shuqi (Radix Bupleuri Preparata/Specific Herb) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Muli (Ostreae Concha) 2 to 5 qian; Longgu (Fossilia Ossis Mastodi) 2 to 5 qian.
[Decoction and Administration]
Use 2 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi and Zhigancao tonify Heart Yang; Shaoyao is removed because its cold nature is unfavorable for Heart Yang deficiency; Ginger and Jujube harmonize Ying and Wei to resolve remaining exterior pathogens; Shuqi eliminates phlegm; Longgu and Muli calm and settle to treat mental unrest and mania.
[Contraindications]
Contraindicated in those who prefer cold and fear heat, or have interior heat syndromes.
[Reference for Similar Formulas]
Guizhi Gancao Longgu Muli Tang: Treats injured Heart Yang with resolved exterior pathogens; a warm sedative formula.
Guizhi Jia Shaoyao Shengjiang Renshen Xinjia Tang Formula No. 12
[Formula Meaning]
This is a formula for tonifying deficiency and warming/dispersing cold pathogens, treating post-sweating qi deficiency, fluid injury, and unresolved exterior pathogens. It is another method for treating body pain.
[Indications]
Post-sweating body pain with a deep and slow pulse. Note the following three points:
(1) Must be accompanied by preference for warmth and aversion to cold (main symptom for using Guizhi Tang).
(2) Must lack preference for cold food/drink (hot medicines are unsuitable for internal heat).
(3) Pulse must be deep, slow, and powerless to boldly use Renshen.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Niu Huangshao (Paeoniae Radix Alba) 3 to 4 qian; Shengjiang (Zingiberis Rhizoma Recens) 3 to 4 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Renshen (Ginseng Radix) 2 to 3 qian; Dazao (Jujubae Fructus) 2 to 4 pieces.
[Decoction and Administration]
Use 3 cups of water, decoct until half a cup remains, remove dregs, and take warm. Renshen can be stewed separately and mixed in.
[General Principles of Medication]
Renshen, Dazao, and Zhigancao tonify the middle and boost qi to generate fluids; Shaoyao, Guizhi, and Shengjiang harmonize Ying and Wei, stop body pain, and clear residual pathogens.
[Contraindications]
Contraindicated in those who prefer cold food/drink; contraindicated in those who do not fear cold but fear heat.
[Reference for Similar Formulas]
(1) Shaoyao Gancao Fuzi Tang: Treats post-sweating aversion to cold.
(2) Fuzi Tang: Restores yang, boosts qi, drains water, nourishes yin, and treats body pain.
Guizhi Jia Shaoyao Tang Formula No. 13
[Formula Meaning]
This is a formula for dispersing cold and stopping pain.
[Indications]
Taiyin disease, abdominal pain with or without exterior cold. Must present with abdomen not rejecting pressure, dislike for cold food/drink, severe pain upon accidental ingestion of cold food, and deep, slow pulse.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 4 to 6 qian; Shengjiang (Zingiberis Rhizoma Recens) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces.
[Modifications]
If abdominal pain rejects pressure, add Dahuang, named Guizhi Jia Dahuang Tang.
[Decoction and Administration]
Use 3 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi Tang is acrid-warm to resolve the muscle layer and warm the middle to dispel cold; doubling Shaoyao treats abdominal pain that does not reject pressure.
[Contraindications]
(1) Contraindicated in abdominal pain with preference for cold and heat signs.
(2) Contraindicated in abdominal pain rejecting pressure with excess syndromes.
[Reference for Similar Formulas]
(1) Guizhi Jia Dahuang Tang: Treats cold-type abdominal pain rejecting pressure.
(2) Xiao Jianzhong Tang: Treats cold-type abdominal pain not rejecting pressure, with stronger tonifying properties.
Guizhi Jia Dahuang Tang Formula No. 14
[Formula Meaning]
This formula disperses cold, stops pain, and removes accumulation. It marks the beginning of warm-purgative formulas and is a type for treating exterior cold with interior excess.
[Indications]
Taiyin cold pathogen abdominal pain, with or without exterior cold. Must present with abdomen rejecting pressure, difficulty defecating, preference for hot food/drink, and deep, slow, forceful pulse.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Sheng Huangshao (Raw Paeoniae Radix Alba) 4 to 6 qian; Shengjiang (Zingiberis Rhizoma Recens) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Dazao (Jujubae Fructus) 2 to 4 pieces; Dahuang (Rhei Radix et Rhizoma) 2 to 3 qian.
[Modifications]
If abdominal pain does not reject pressure, remove Dahuang, named Guizhi Jia Shaoyao Tang.
Note: In the absence of exterior signs like aversion to wind/cold, replace Guizhi with Rougui, as Rougui has stronger interior-warming effects.
[Decoction and Administration]
Use 3 cups of water, decoct until half a cup remains, take on an empty stomach. Avoid hard-to-digest foods.
[General Principles of Medication]
Guizhi Tang plus Shaoyao warms and disperses exterior cold and stops abdominal pain; Dahuang cleanses the intestines and stomach and expels accumulated food.
[Contraindications]
Contraindicated in abdomen not rejecting pressure, free stools, or weak pulse; also contraindicated in preference for cold food/drink. The former is deficiency-type abdominal pain unsuitable for Dahuang's purgation; the latter is a heat syndrome unsuitable for the warmth of Guizhi and Shengjiang.
[Reference for Similar Formulas]
(1) Guizhi Jia Shaoyao Tang: Treats abdominal pain not rejecting pressure.
(2) Wenpi Tang: Also a warm-purgative agent, but with more warming herbs.
(3) Lizhong Jia Dahuang Tang: Also a warm-purgative agent, but with stronger tonifying herbs.
Guizhi Renshen Tang Formula No. 15
[Formula Meaning]
This formula warms and tonifies the stomach and intestines while dispersing exterior cold; it is the standard treatment for simultaneous interior and exterior deficiency-cold.
[Indications]
Taiyang disease after incorrect purgation, presenting with epigastric fullness/stuffiness, diarrhea, and exterior signs of fever and aversion to cold. Must present with deep, slow, deficient pulse and dislike for cold food/drink.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 1 to 2 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Renshen (Ginseng Radix) 1 to 3 qian; Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma) 2 to 3 qian; Ganjiang (Zingiberis Rhizoma) 2 to 3 qian.
[Decoction and Administration]
Use 3 cups of water, decoct the last four ingredients first until one cup remains, then add Guizhi, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
The last four ingredients form Renshen Tang (equivalent to Lizhong Tang) to treat epigastric fullness and diarrhea due to stomach/intestine deficiency-cold; Guizhi is acrid-warm to disperse Taiyang exterior cold.
[Contraindications]
Contraindicated in cases with heat signs like bitter taste and preference for cold.
[Reference for Similar Formulas]
(1) First use Sini Tang to warm the interior, then Guizhi Tang to resolve the exterior: A separate treatment method for simultaneous interior and exterior cold.
(2) Banxia Xiexin Tang: Treats deficiency with mixed cold-heat, epigastric fullness, and diarrhea.
Guizhi Gancao Longgu Muli Tang Formula No. 16
[Formula Meaning]
This formula tonifies Heart Yang, calms the mind and spirit, and rescues from deviation. It is also a warm sedative agent.
[Indications]
After incorrect purgation of Huoni (Fire Reversal) syndrome, with injured Heart Yang, irritability, and restlessness. Must present with preference for warmth and aversion to cold.
[Ingredients]
Guizhi (Cinnamomi Ramulus) 2 to 3 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 1 to 2 qian; Longgu (Fossilia Ossis Mastodi) 3 to 5 qian; Muli (Ostreae Concha) 3 to 5 qian.
[Decoction and Administration]
Use 2.5 cups of water, decoct until half a cup remains, remove dregs, and take warm.
[General Principles of Medication]
Guizhi and Gancao tonify Heart Yang to rescue from deviation; Longgu and Muli calm fright and palpitations to soothe the spirit.
[Contraindications]
Contraindicated in those who prefer cold and fear heat, as heat syndromes should not use hot medicines.
[Reference for Similar Formulas]
Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang: A warm phlegm-resolving and sedative formula that also disperses exterior pathogens.
Guizhi Gancao Tang Formula No. 17
[Formula Meaning]
This formula warms and tonifies Heart Yang and supplements middle qi, treating palpitations.
[Indications]
Palpitations resulting from excessive sweating. Accurate diagnosis requires signs of preference for manual pressure, patent urination, preference for warmth/fear of cold, or deep/slow pulse.