(散)术乌沉,白芷天麻苏叶参。木瓜甘草青皮合, 僻偏枯口舌 。〔口眼 斜,偏
枯不遂,皆由宗气不能周于一身。白术二钱,乌药钱半,天麻、人参各五分,苏叶、白芷、
木瓜、青皮、甘草(炙)、沉香(磨)各三分,加姜煎。天麻、苏、芷以疏风气,乌药、青、
沉以行
黄柏苍术 天南星,桂枝(横行)防己(下行)及威灵(仙,上下行。)桃仁红花龙胆
草(下行,)羌芷(上行)川芎(上下行)神曲停痛风湿热与痰血,上中下通用之听。〔黄柏
(酒炒)、苍术(泔浸)、南星、姜、枣各二两,防己、桃仁(去皮尖)、胆草、白芷、川芎、
神曲(炒)各一两,桂枝、威灵仙、红花、羌活各二钱半,面糊丸,名上中下通用痛风方,
丹溪。黄柏清热,苍术燥湿,龙胆泻火,防己利水,四者治湿与热。桃仁、红花活血祛瘀,
川芎血中气药,南星散风燥痰,四者活血与痰。羌活去百节风,白芷去头面风,桂枝、威灵
仙去臂胫风,四者所以治风。和神曲者,消中焦陈积之气也。症不兼者,加减为治。
(汤,《千金》)艽防辛,芎归地芍桂苓均。杜仲牛膝人参草,冷风顽痹屈能伸。〔独活、
桑寄生、秦艽、防风、细辛、川芎(酒洗)、当归(酒洗)、白芍(酒炒)、熟地、桂心、
茯苓、杜仲(姜汁炒断丝)、牛膝、人参、甘草等分,每服四钱。〕若去寄生加 续(黄 、
续断,)汤名三痹古方珍。(名三痹汤,治风寒湿三痹。喻嘉言曰∶此方用参 四物一派补药,
加艽、
(散剂)白术、乌药、沉香,加上白芷、天麻、苏叶和人参。再合入木瓜、甘草和青皮,用于治疗口眼歪斜及半身不遂。〔口眼歪斜、半身不遂,都是由于宗气不能周流全身所致。方用白术二钱,乌药一钱半,天麻、人参各五分,苏叶、白芷、木瓜、青皮、炙甘草、磨沉香各三分,加生姜煎服。天麻、苏叶、白芷用以疏风祛邪,乌药、青皮、沉香用以行气导滞。〕
黄柏、苍术、天南星,配合桂枝(横行肢体)、防己(下行下肢)以及威灵仙(上下通行)。桃仁、红花、龙胆草(下行),羌活、白芷(上行),川芎(上下通行)。此方适用于痛、风、湿、热与痰血互结之证,为上下中三焦通用之方。〔黄柏(酒炒)、苍术(泔水浸)、南星、姜、枣各二两,防己、桃仁(去皮尖)、龙胆草、白芷、川芎、神曲(炒)各一两,桂枝、威灵仙、红花、羌活各二钱半,制成面糊丸,名为上中下通用痛风方,出自丹溪。黄柏清热,苍术燥湿,龙胆泻火,防己利水,这四味药治疗湿与热。桃仁、红花活血祛瘀,川芎为血中之气药,南星散风燥痰,这四味药治疗血瘀与痰浊。羌活去除周身关节之风,白芷去除头面部之风,桂枝、威灵仙去除手臂和小腿之风,这四味药用来治风。加入神曲,是为了消解中焦陈积之气。症状若不兼夹其他病邪,可根据情况加减治疗。
(汤剂,出自《千金方》)秦艽、防风、细辛,川芎、当归、地黄、芍药、桂心、茯苓用量相等。再加杜仲、牛膝、人参、甘草,可治冷风顽痹使屈伸自如。〔独活、桑寄生、秦艽、防风、细辛、川芎(酒洗)、当归(酒洗)、白芍(酒炒)、熟地黄、桂心、茯苓、杜仲(姜汁炒断丝)、牛膝、人参、甘草等分,每服四钱。〕如果去掉桑寄生,加入续断(黄续断、续断),汤剂名为三痹汤,是古代珍贵的方子。(名为三痹汤,治疗风寒湿三痹。喻嘉言说:此方用人参、四物汤一派补益药物,加上秦艽……)
(Decoction Powder) Baizhu (Atractylodis Macrocephalae Rhizoma), Wuyao (Tso-ngao's Lindera Root), Chenxiang (Aquilariae Lignum Resinatum), along with Baizhi (Angelicae Dahuricae Radix), Tianma (Gastrodiae Rhizoma), Suye (Perillae Folium), and Renshen (Ginseng Radix). Combined with Mugua (Chaenomelis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), and Qingpi (Citri Reticulatae Pericarpium Viride), it treats facial paralysis (facial deviation) and hemiplegia. [Facial deviation and hemiplegia are caused by the Zongqi (Pectoral Qi) failing to circulate throughout the body. The formula uses 2 qian of Baizhu, 1.5 qian of Wuyao, 5 fen each of Tianma and Renshen, and 3 fen each of Suye, Baizhi, Mugua, Qingpi, Zhigancao (Honey-fried Licorice), and Mochenxiang (Ground Aquilaria Wood), decocted with fresh ginger. Tianma, Suye, and Baizhi disperse wind pathogens; Wuyao, Qingpi, and Chenxiang promote Qi movement.]
Huangbai (Phellodendri Cortex), Cangzhu (Atractylodis Rhizoma), Tiannanxing (Arisaematis Rhizoma Preparatum), combined with Guizhi (Cinnamomi Ramulus - acts horizontally on limbs), Fangji (Stephaniae Tetrandrae Radix - acts downward on lower limbs), and Weilingxian (Sinomenii Caulis - acts up and down). Taoren (Persicae Semen), Honghua (Carthami Flos), Longdancao (Gentianae Radix - acts downward), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (acts upward), Chuanxiong (Ligustici Chuanxiong Rhizoma - acts up and down). This formula applies to conditions involving pain, wind, dampness, heat, phlegm, and blood stasis, serving as a general formula for the upper, middle, and lower Jiao (Triple Burner). [Huangbai (Wine-fried), Cangzhu (Soaked in rice water), Tiannanxing, Jiang (Fresh Ginger), and Zao (Jujubae Fructus) each 2 liang; Fangji, Taoren (De-husked and de-pitted), Longdancao, Baizhi, Chuanxiong, Shenqu (Stir-baked) each 1 liang; Guizhi, Weilingxian, Honghua, Qianghuo each 2.5 qian. Made into pills with wheat paste, named Shangzhongxia Tongyong Tongfeng Fang (Upper-Middle-Lower General Gout Formula) from Danxi. Huangbai clears heat, Cangzhu dries dampness, Longdan drains fire, Fangji promotes urination; these four treat dampness and heat. Taoren and Honghua invigorate blood and dispel stasis, Chuanxiong is a Qi-moving herb within blood-invigorating herbs, Tiannanxing disperses wind and dries phlegm; these four treat blood stasis and phlegm. Qianghuo removes wind from all joints, Baizhi removes wind from the head and face, Guizhi and Weilingxian remove wind from arms and shins; these four treat wind. Shenqu is added to resolve stagnant Qi in the Middle Jiao. If symptoms do not involve mixed pathogenic factors, modifications can be made for treatment.]
(Decoction, from *Qianjin Fang*) Qinjiao (Magnoliae Officinalis Bark? No, Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma); Chuanxiong, Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix Alba), Guixin (Cinnamomi Cortex), Lingzhi (Poria) in equal amounts. Plus Duzhong (Eucommiae Cortex), Niuxi (Achyranthis Bidentatae Radix), Renshen, and Gancao, it treats cold wind stubborn bi-syndrome (obstruction syndrome), restoring flexibility. [Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Herba), Qinjiao, Fangfeng, Xixin, Chuanxiong (Wine-rinsed), Danggui (Wine-rinsed), Baishao (Stir-fried), Shudi (Prepared Rehmannia Root), Guixin, Lingzhi, Duzhong (Stir-fried with ginger juice until fibers break), Niuxi, Renshen, Gancao in equal proportions. Take 4 qian per dose.] If Sangjisheng is removed and Xuduan (Dipsaci Radix) is added, the decoction is named Sanbi Tang (Three Obstructions Decoction), an ancient precious formula. [Named Sanbi Tang, treating Wind-Cold-Damp Bi-syndrome. Yu Jiayan stated: This formula uses Renshen and Siwu Tang (Four Substances Decoction), a group of tonifying herbs, plus Qinjiao...]