(东垣)桂枝五味麦冬襄。归 甘草汗兼补,虚人外感服之康。〔麻黄、白芍、黄 、
当归、甘草(炙)各一钱,人参、麦冬各三分,桂枝五分,五味五粒。东垣治一人内蕴虚热,
外感大寒而吐血,法仲景麻黄汤,加补剂制此方,一服而愈。原解曰∶麻黄散外寒,桂枝补
表虚,黄 实表益卫,人参益气固表,麦冬、五味保肺气,甘草补脾,芍药安太阳,当归和
血养血。〕
(《卫生家宝》)用白芷甘,姜葱淡豉与相参。(白芷一两,甘草五钱,淡豉五十粒,姜
三片,葱白三寸,煎服取汗。)一切风寒皆可服,疏表祛邪效可推。(必须得汗,服乃有效。)
豉一升,名葱豉汤。)用代麻黄汤功不惭。伤寒初觉头痛身热,
便
七首 附方四
(仲景)用芒硝,枳实大黄浓朴饶。〔大黄四两(酒洗),芒硝三合,浓朴八两,枳实五
枚〕。救阴泻热功偏擅,急下阳明有数条。(大黄治大实,芒硝治大燥大坚,二味治无形血药;
浓朴治大满,枳实治痞,二味治有形气药。热毒传入阳明胃府,痞、满、燥、实、坚全见,
杂证、三焦实热,并须以此下之。胃为水谷之海,土为万物之母。四旁有病,皆能传入胃府,
则不复传他经矣。陶节庵曰∶伤寒热邪传里,须看热气浅深用药,大承气最紧,小承气次之,
调
(李东垣)桂枝汤配合五味子、麦冬。加入当归、甘草,既能发汗又能补虚,体虚之人感受外邪服用后可康复。〔麻黄、白芍、黄芪、当归、炙甘草各一钱,人参、麦冬各三分,桂枝五分,五味子五粒。李东垣治疗一人内有虚热,外感大寒导致吐血,效法张仲景的麻黄汤,加入补益药剂制成此方,服用一次即痊愈。原理解析说:麻黄发散外寒,桂枝补益表虚,黄芪固实肌表增益卫气,人参益气巩固肌表,麦冬和五味子保护肺气,甘草补益脾胃,白芍安抚太阳经,当归调和血液并滋养血液。〕
(《卫生家宝》)使用白芷、甘草,生姜、葱白、淡豆豉相互参合。(白芷一两,甘草五钱,淡豆豉五十粒,生姜三片,葱白三寸,煎煮服用以取汗。)一切风寒之邪皆可服用,疏解表邪的功效可以推测。(必须出汗,服药才有效。)豆豉一升,名为葱豉汤。)用其代替麻黄汤的功效毫不逊色。伤寒初起感觉头痛身体发热,便……
(张仲景)使用芒硝,加上枳实、大黄、厚朴丰富药力。〔大黄四两(酒洗),芒硝三合,厚朴八两,枳实五枚〕。挽救阴液、泻除热毒的功效尤为擅长,急下阳明经证有几条法则。(大黄治疗大实证,芒硝治疗大燥大坚证,这两味是治疗无形血分的药物;厚朴治疗大满证,枳实治疗痞证,这两味是治疗有形气分的药物。热毒传入阳明胃腑,痞、满、燥、实、坚全部显现,杂病、三焦实热,都必须用此法攻下。胃是水谷之海,土是万物之母。四周有病,都能传入胃腑,就不再传变到其他经络了。陶节庵说:伤寒热邪传里,须看热气深浅用药,大承气汤最紧急,小承气汤次之,调……
(Li Dongyuan) Guizhi Tang (Cinnamon Twig Decoction) combined with Wuweizi (Schisandra Fruit) and Maidong (Ophiopogon Tuber). Adding Danggui (Angelica Sinensis) and Gancao (Licorice Root), it can both induce sweating and tonify deficiency; those with deficiency constitution who contract external pathogens will recover after taking it. [Mahuang (Ephedra Herb), Baishao (White Peony Root), Huangqi (Astragalus Root), Danggui (Angelica Sinensis), Zhi Gancao (Honey-fried Licorice Root) each 1 qian, Renshen (Ginseng Root) and Maidong (Ophiopogon Tuber) each 3 fen, Guizhi (Cinnamon Twig) 5 fen, Wuweizi (Schisandra Fruit) 5 grains. Li Dongyuan treated a patient with internal deficiency heat and severe external cold contraction leading to hemoptysis. Following Zhang Zhongjing's Mahuang Tang (Ephedra Decoction), he added tonifying agents to formulate this prescription. One dose resulted in a cure. The original explanation states: Mahuang (Ephedra Herb) disperses external cold, Guizhi (Cinnamon Twig) tonifies exterior deficiency, Huangqi (Astragalus Root) consolidates the exterior and benefits Wei Qi (Defensive Qi), Renshen (Ginseng Root) supplements Qi and secures the exterior, Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit) protect Lung Qi, Gancao (Licorice Root) tonifies Spleen, Baishao (White Peony Root) calms the Taiyang (Greater Yang) channel, and Danggui (Angelica Sinensis) harmonizes and nourishes Blood.]
(Weisheng Jiabao) Use Baizhi (Angelica Dahurica), Gancao (Licorice Root), Shengjiang (Fresh Ginger), Congbai (Scallion White), and Danshi (Fermented Soybean) together. [Baizhi (Angelica Dahurica) 1 liang, Gancao (Licorice Root) 5 qian, Danshi (Fermented Soybean) 50 grains, Shengjiang (Fresh Ginger) 3 slices, Congbai (Scallion White) 3 cun, decocted and taken orally to induce sweating.] It can be taken for all types of Wind-Cold pathogens; its efficacy in releasing the exterior and dispelling evil can be inferred. [Sweating must occur for the medication to be effective.] With one sheng of Danshi (Fermented Soybean), it is named Congchi Tang (Scallion and Fermented Soybean Decoction). Its function in replacing Mahuang Tang (Ephedra Decoction) is no less impressive. When Shanghan (Cold Damage) initially presents with headache and fever...
(Zhang Zhongjing) Use Mangxiao (Mirabilite), along with Zhishi (Immature Bitter Orange), Dahuang (Rhubarb Root and Rhizome), and Houpo (Magnolia Bark). [Dahuang (Rhubarb Root and Rhizome) 4 liang (washed with wine), Mangxiao (Mirabilite) 3 he, Houpo (Magnolia Bark) 8 liang, Zhishi (Immature Bitter Orange) 5 pieces.] It excels at preserving Yin fluids and purging heat; there are several guidelines for urgent purgation of the Yangming (Yang Brightness) syndrome. [Dahuang (Rhubarb Root and Rhizome) treats major excess conditions, Mangxiao (Mirabilite) treats major dryness and hardness; these two treat formless blood-level pathologies. Houpo (Magnolia Bark) treats major fullness, Zhishi (Immature Bitter Orange) treats epigastric stuffiness; these two treat formed qi-level pathologies. When heat-toxin transmits into the Yangming Stomach Fu-organ, signs of Epigastric Stuffiness (Pi), Fullness (Man), Dryness (Zao), Excess (Shi), and Hardness (Jian) all appear. Miscellaneous diseases and excess heat in the Sanjiao (Triple Burner) also require purgation with this method. The Stomach is the sea of water and grain, and Earth is the mother of all things. Diseases in the four peripheries can all transmit to the Stomach Fu-organ, after which they no longer transmit to other meridians. Tao Jie'an stated: When Shanghan (Cold Damage) heat-pathogen transmits inward, one must observe the depth of heat to prescribe medication. Dachengqi Tang (Major Order the Qi Decoction) is the most urgent, Xiaochengqi Tang (Minor Order the Qi Decoction) is secondary, Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction)...]