(汤)芩柏连,栀子麻黄豆豉全。姜枣细茶兼热服,(寒因热用。)表里三焦热盛宣。(石
膏两半,黄芩、黄连、黄柏各七钱,栀子三十个,麻黄、淡豉各二合,每服一两,姜三片、
枣二枚、茶一撮煎,热服。治表里三焦大热,谵狂斑衄,身目俱黄。黄芩泻上焦,黄连泻
中焦,黄柏泻下焦,栀子通泻三焦之火以清里,麻黄、淡豉散寒发汗而解表,石膏体重能泻
肺胃之火,气轻亦能解肌也。)
(仲景),甘草四般治二阳。(治太阳桂枝证,医误下之,邪入阳明,协热下利,脉促喘
而汗出者,葛根八两,炙草、黄芩各二两,黄连三两。)解表清里兼和胃,喘汗自利保平康。
(成无己曰∶邪在里,宜见阴脉,促为阳盛,知表未解也。病有汗出而喘者,为邪气外甚,
今喘而汗出,为里热气逆,与此方散表邪、清里热。脉数而止曰促,用葛根者,专主阳明之
表。)
(元戎)内用陈皮,枳壳前胡半夏宜。干葛木香甘桔茯,内伤外感此方推。〔人参、紫
苏、前胡、半夏(姜制)、干葛、茯苓各七钱半,陈皮、枳壳(麸炒)、桔梗、木香、甘草各
二钱,每服二钱,加姜、枣煎。治外感内伤,发热头痛,呕逆咳嗽,痰眩风泻。外感重者,
去枣加葱白。苏、葛、前胡解表,参、芩、甘草补中,陈皮、木香行气破滞,半夏、枳、桔
利膈祛痰。〕参前若去芎柴入,饮号芎苏治不瘥。(去人参、前胡,加川芎、柴胡,名芎苏饮,
不服参者宜之。)香苏饮(《局方》)仅陈皮草,感伤内外亦堪施。〔香附(炒)、紫苏各二钱,
陈皮(
(汤头歌诀中的)芩柏连,栀子麻黄豆豉全。生姜、大枣、细茶一起热服,(这是寒药热用的方法。)能够宣散表里三焦的盛热。(石膏半两,黄芩、黄连、黄柏各七钱,栀子三十个,麻黄、淡豆豉各二合,每次服用一两,加生姜三片、大枣二枚、茶叶一撮煎煮,热服。治疗表里三焦大热,胡言乱语、狂躁、发斑、鼻出血,身体和眼睛都发黄。黄芩清泻上焦之火,黄连清泻中焦之火,黄柏清泻下焦之火,栀子通泻三焦之火以清除内热,麻黄、淡豆豉发散寒气、发汗以解除表邪,石膏质地重能清泻肺胃之火,气味轻也能解肌发表。)
(张仲景的方子),甘草四味药治疗二阳病。(治疗太阳病桂枝证,医生误用攻下法,邪气传入阳明经,伴有发热而下利,脉象急促、气喘且出汗的,葛根八两,炙甘草、黄芩各二两,黄连三两。)既能解表又能清里兼和胃,气喘、出汗、自利等症状自然恢复平安健康。
(成无己说:邪气在里,应当出现阴脉,脉促说明阳气盛,可知表邪未解。有病证表现为出汗且气喘的,是邪气在外严重;现在是气喘且出汗,是里热气逆,用这个方子疏散表邪、清泄里热。脉数而时有止歇称为促脉,使用葛根,专门主治阳明经的表证。)
(陈自明的《校注局方》即元戎方中)加入陈皮,枳壳、前胡、半夏适宜。干葛、木香、甘草、桔梗、茯苓,对于内伤外感此方最为推崇。〔人参、紫苏、前胡、半夏(姜制)、干葛、茯苓各七钱半,陈皮、枳壳(麸炒)、桔梗、木香、甘草各二钱,每次服用二钱,加生姜、大枣煎煮。治疗外感内伤,发热头痛,呕吐逆气咳嗽,痰多眩晕风邪腹泻。外感症状重的,去掉大枣加葱白。紫苏、葛根、前胡解表,人参、黄芩、甘草补益中气,陈皮、木香行气破滞,半夏、枳壳、桔梗利膈祛痰。〕如果去掉人参、前胡,加入川芎、柴胡,这方子名叫芎苏饮,不适合服用参类的人适用。香苏饮(出自《太平惠民和剂局方》)仅用陈皮、甘草,感受内外邪气也适用。〔香附(炒)、紫苏各二钱,陈皮(
(Cinnamon Twig Decoction's) Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), and Huanglian (Coptidis Rhizoma); Zhizi (Gardeniae Fructus), Mahuang (Ephedrae Herba), and Danshi (Sojae Preparata) are all included. Taken hot with Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus), and fine tea. (This is the method of using cold medicine for heat conditions.) It can disperse the excessive heat in the exterior, interior, and Sanjiao (Triple Burner). (Shigao [Gypsum Fibrosum] half tael, Huangqin 7 qian, Huanglian 7 qian, Huangbai 7 qian, Zhizi 30 fruits, Mahuang 2 he, Danshi 2 he; each dose is 1 liang, decocted with 3 slices of ginger, 2 dates, and a pinch of tea, taken hot. Treats severe heat in the exterior, interior, and Sanjiao, delirium, mania, macules, epistaxis, jaundice of the body and eyes. Huangqin clears heat from the Upper Jiao, Huanglian clears heat from the Middle Jiao, Huangbai clears heat from the Lower Jiao, Zhizi unblocks and clears heat from the Sanjiao to clear the interior, Mahuang and Danshi disperse cold and induce sweating to resolve the exterior, Shigao is heavy in nature and clears heat from the Lung and Stomach, while being light in aroma and also resolving the muscle layer.)
(Zhang Zhongjing's formula), four ingredients including Gancao (Glycyrrhizae Radix et Rhizoma) treat the Yangming disease. (Treats Taiyang disease Guizhi Tang syndrome where the physician mistakenly used purgation, causing pathogenic factors to enter the Yangming stage, accompanied by fever and diarrhea, with a rapid pulse, wheezing, and sweating. Gegen [Puerariae Lobatae Radix] 8 liang, Zhi Gancao [Prepared Glycyrrhizae Radix et Rhizoma] 2 liang, Huangqin 2 liang, Huanglian 3 liang.) It resolves the exterior, clears the interior, harmonizes the Stomach, and ensures peace and health as wheezing, sweating, and spontaneous diarrhea subside.
(Cheng Wuji said: When pathogens are in the interior, yin pulses should be seen; a cu [rapid and intermittent] pulse indicates excess yang, knowing that the exterior pathogen has not yet resolved. Diseases presenting with sweating and wheezing indicate severe external pathogens; now, wheezing with sweating indicates rebellious Qi due to internal heat. This formula disperses exterior pathogens and clears internal heat. A pulse that is rapid and occasionally stops is called cu; Gegen is used specifically to govern the exterior of the Yangming channel.)
(In Chen Zimou's *Xiaozhu Ju Fang* [Yuanrong]), Chenpi (Citri Reticulatae Pericarpium) is added; Zhike (Aurantii Fructus Immaturus), Qianhu (Peucedani Radix), and Banxia (Pinelliae Rhizoma) are suitable. Gange (Puerariae Lobatae Radix), Muxiang (Aucklandiae Radix), Gancao, Jiegeng (Platycodonis Radix), and Fuling (Poria) make this formula recommended for internal injury and external contraction. [Renshen [Ginseng Radix et Rhizoma], Zisu [Perillae Folium], Qianhu, Banxia (processed with ginger), Gange, Fuling each 7.5 qian; Chenpi, Zhike (stir-fried with bran), Jiegeng, Muxiang, Gancao each 2 qian; each dose is 2 qian, decocted with ginger and dates. Treats external contraction and internal injury, fever, headache, vomiting, cough, phlegm, dizziness, and wind-diarrhea. For severe external contraction, remove dates and add Congbai (Allii Fistulosi Bulbus). Zisu, Gange, and Qianhu resolve the exterior; Renshen, Huangqin, and Gancao tonify the middle; Chenpi and Muxiang promote Qi circulation and break stagnation; Banxia, Zhike, and Jiegeng benefit the diaphragm and dispel phlegm.] If Renshen and Qianhu are removed and Chuanxiong (Ligustici Chuanxiong Rhizoma) and Chaihu (Bupleuri Radix) are added, the formula is named Xiongsu Yin (Szechwan Lovage and Perilla Drink), suitable for those who cannot take Ginseng. Xiangsu Yin (from *Ju Fang*) uses only Chenpi and Gancao, and is also applicable for internal and external pathogenic injuries. [Xiangfu (Cyperi Rhizoma) (stir-fried), Zisu each 2 qian, Chenpi (