局方人参白虎汤治暑热发渴脉虚
人参(一钱半) 知母(二钱) 石膏(半两) 甘草(一钱)
上 咀入粳米一合水煎
按此手太阴足阳明药也出太阳例
竹叶石膏汤
石膏(一两) 半夏(二钱半) 甘草 人参(各二钱) 麦门冬(半两) 竹叶
上 咀入生姜煎
按此足阳明手足太阴经药也
黄 (八钱) 甘草(七钱内炙二钱) 人参(半两) 升麻(二钱) 白芍(三钱) 五味子(
百四十个) 柴胡(二钱半)
上 咀分作四服
按此手足太阴足阳明少阳经药也
清暑益气之剂
宣明益元散
方见泄泻门
按此足太阳足三阴经药也
选方十味香薷散治伏暑身体倦怠神昏头重吐利
香薷(一两) 人参 陈皮 白术 茯苓 黄 木瓜 浓朴 扁豆 甘草(各半两)
上 咀水煎每服一两
按此手足太阴经药也
东垣清暑益气汤治长夏湿热蒸人人感之四肢困倦精神少懒于动作胸满气促支节疼或气高
而喘身热而烦心下膨 小便黄而数大便溏而频或痢或渴不思饮食自汗体重
黄 升麻 苍术(各一钱) 人参 白术 神曲 陈皮(各半钱) 甘草(炙) 黄柏 麦
门冬 当归(各三分) 葛根(二分) 五味子(九个) 泽泻(半钱) 青皮(二分)
上 咀水煎
按此手足太阴少阴足阳明经药也仲景太阳中 证例禁汗下温针无治法宜是汤主之所谓发
千古之秘也
局方人参白虎汤,治疗暑热导致的口渴、脉象虚弱。
人参(一钱半),知母(二钱),石膏(半两),甘草(一钱)。
以上药材切碎,加入粳米一合,用水煎煮。
按语:这是手太阴肺经和足阳明胃经的药物,出自太阳病的先例。
竹叶石膏汤。
石膏(一两),半夏(二钱半),甘草、人参(各二钱),麦门冬(半两),竹叶。
以上药材切碎,加入生姜一起煎煮。
按语:这是足阳明胃经以及手太阴肺经、足太阴脾经的药物。
黄芪(八钱),甘草(七钱,其中炙甘草二钱),人参(半两),升麻(二钱),白芍(三钱),五味子(一百四十个),柴胡(二钱半)。
以上药材切碎,分为四剂服用。
按语:这是手太阴肺经、足太阴脾经、足阳明胃经和足少阳胆经的药物。
宣明益元散。
该方见“泄泻”章节。
按语:这是足太阳膀胱经和足三阴经(肝、脾、肾)的药物。
选方十味香薷散,治疗伏暑引起的身体倦怠、神志昏沉、头重、呕吐腹泻。
香薷(一两),人参,陈皮,白术,茯苓,黄芪,木瓜,厚朴,扁豆,甘草(各半两)。
以上药材切碎,用水煎煮,每次服用一两。
按语:这是手太阴肺经和足太阴脾经的药物。
东垣清暑益气汤,治疗长夏季节湿热蒸腾,人感受邪气后出现四肢困倦、精神萎靡、懒于动作、胸中胀满、气短促、四肢关节疼痛,或者气逆而喘、身热烦躁、心下痞满、小便黄且频数、大便溏薄且次数多,或者痢疾、口渴、不想饮食、自汗、身体沉重。
黄芪,升麻,苍术(各一钱),人参,白术,神曲,陈皮(各半钱),炙甘草,黄柏,麦门冬,当归(各三分),葛根(二分),五味子(九个),泽泻(半钱),青皮(二分)。
以上药材切碎,用水煎煮。
按语:这是手太阴肺经、手少阴心经、足阳明胃经的药物。张仲景在太阳病中暑的证候中,禁止使用发汗、攻下和温针疗法,没有具体的治法,适宜用此汤主治。这可以说是发掘了千古以来的秘密啊。
Ju Fang Renshen Baihu Tang (Ginseng White Tiger Decoction from the Bureau of Medical Formulas) treats thirst caused by summer-heat and deficiency pulse.
Renshen (Panax ginseng Radix et Rhizoma, 1.5 qian), Zhimu (Anemarrhenae Rhizoma, 2 qian), Shigao (Gypsum Fibrosum, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
The above herbs are cut into small pieces, mixed with one he of Jingmi (Oryza sativa var. glutinosa Semen), and decocted in water.
Note: These are herbs for the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian, derived from the Taiyang pattern example.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction).
Shigao (Gypsum Fibrosum, 1 liang), Banxia (Pinelliae Rhizoma Praeparatum, 2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Panax ginseng Radix et Rhizoma) (each 2 qian), Maimendong (Ophiopogonis Radix, 0.5 liang), Zhuye (Bambusae Folium).
The above herbs are cut into small pieces and decocted with Shengjiang (Zingiberis Rhizoma Recens).
Note: These are herbs for the Foot-Yangming Stomach Meridian and the Hand-Taiyin Lung and Foot-Taiyin Spleen Meridians.
Huangqi (Astragali Membranacei Radix, 8 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 7 qian, including 2 qian of Zhi Gancao / Honey-fried Glycyrrhizae Radix et Rhizoma), Renshen (Panax ginseng Radix et Rhizoma, 0.5 liang), Shengma (Cimicifugae Rhizoma, 2 qian), Baishao (Paeoniae Radix Alba, 3 qian), Wuweizi (Schisandrae Chinensis Fructus, 140 berries), Chaihu (Bupleuri Radix, 2.5 qian).
The above herbs are cut into small pieces and divided into four doses.
Note: These are herbs for the Hand-Taiyin Lung, Foot-Taiyin Spleen, Foot-Yangming Stomach, and Foot-Shaoyang Gallbladder Meridians.
Herbs for clearing summer-heat and benefiting qi.
Xuanming Yiyuan San (Xuanming Benefit Prime Powder).
See the section on Diarrhea for the formula.
Note: These are herbs for the Foot-Taiyang Bladder Meridian and the Three Foot-Yin Meridians (Liver, Spleen, Kidney).
Selected Formula: Shiwei Xiangru San (Ten-Ingredient Mosla Powder) treats latent summer-heat causing physical fatigue, mental confusion, heavy head, vomiting, and diarrhea.
Xiangru (Elsholtziae Herba, 1 liang), Renshen (Panax ginseng Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Huangqi (Astragali Membranacei Radix), Mugua (Chaenomelis Fructus), Houpo (Magnoliae Officinalis Cortex), Biandou (Dolichoris Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang).
The above herbs are cut into small pieces, decocted in water, and taken at a dose of one liang per administration.
Note: These are herbs for the Hand-Taiyin Lung and Foot-Taiyin Spleen Meridians.
Dongyuan Qingshu Yiqi Tang (Dongyuan Clear Summer-Heat and Benefit Qi Decoction) treats damp-heat steaming during the late summer season. When humans contract this pathogen, symptoms include fatigue in the four limbs, lethargy, reluctance to move, chest fullness, shortness of breath, pain in the joints or extremities, or rapid breathing with panting, fever with irritability, epigastric distension, yellow and frequent urination, loose and frequent stools, dysentery, thirst, anorexia, spontaneous sweating, and heaviness of the body.
Huangqi (Astragali Membranacei Radix), Shengma (Cimicifugae Rhizoma), Cangzhu (Atractylodis Rhizoma) (each 1 qian), Renshen (Panax ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shenqu (Massa Medicata Fermentata), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Huangbai (Phellodendri Cortex), Maimendong (Ophiopogonis Radix), Danggui (Angelicae Sinensis Radix) (each 3 fen), Gegen (Puerariae Lobatae Radix, 2 fen), Wuweizi (Schisandrae Chinensis Fructus, 9 berries), Zexie (Alismatis Rhizoma, 0.5 qian), Qingpi (Citri Reticulatae Pericarpium Viride, 2 fen).
The above herbs are cut into small pieces and decocted in water.
Note: These are herbs for the Hand-Taiyin Lung, Hand-Shaoyin Heart, and Foot-Yangming Stomach Meridians. Zhang Zhongjing stated that for the Sunzhong (Summer Heat in Taiyang) syndrome, sweating, purging, and warm needle therapies are contraindicated, and no specific treatment method was provided; it is appropriate to use this decoction as the primary treatment. This can be said to have revealed a secret hidden for millennia.