温邪有升无降,经肺气机交逆,营卫失其常度为寒热;胃津日耗,渴饮不饥;阳气独行
头痛面赤。是皆冬春骤暖,天地失藏,人身应之,患此者最多。考古人温病忌表散,误投即
谓邪热逆传心包,最怕神昏谵语。治法以辛甘凉泄肺胃,盖伤寒入足经,温邪入手经也。土
润则肺降,不致 郁,胃热下移,知饥渴解矣。
嫩青竹叶 白糖炒石膏 杏仁 甘蔗汁 经霜桑叶 麦门冬 生甘草
劳倦嗔怒,是七情内伤,而温邪感触,气从口鼻直走膜原中道。盖伤寒阳证,邪是太阳
传及,至于春温夏热,鼻受气则肺受病,口入之气,竟由脘中,所以原有手经见症,不比伤
寒足六经病也。其原不同,治法亦异。仲景论温邪不可发汗,汗则劫津伤阳,身必灼热,一
逆尚引日,再逆促命期。又云∶鼻息鼾,语言难出,剧则惊痫螈 。无非重劫阴阳而然
。今病发热,原不似太阳客邪见证,所投羌防辛温表汗之误,即为逆矣。上窍不纳,下窍不
,亦属常事,必以攻下稀水泄热,殊不知强汗劫津而阳伤,妄下劫液而伤阴矣。顷诊脉两手
如搐而战,舌干燥而无津,齿前板干,目欲瞑,口欲开;周身灯照,而淡晦斑红,隐隐跃跃
;几日来时有呃逆,因胃乏谷气而中空,肝阳冲突,上冒肆虐耳。为今反正,先与糜粥,使
胃中得濡,厥阳不致上冒,而神昏之累可已。进药之理,甘温可以生津除热,即斑疹亦不足
虑也。观仲景论中,邪少虚多,阴液阳津并涸者,复脉汤主之。谨仿此意。
人参 生地 炙甘草 麦冬 阿胶 白芍
冬月热伏于里,春令风温入肺,引动旧时伏热,营卫流行,邪干怫郁,遂致寒热。四十
,形神瘦削,入夜着枕便躁。经云∶不得卧,卧则喘烦,乃肺气之逆也。幼稚阳常有余,阴
常不足,故昼轻夜重耳。病名风温。手太阴肺,属上焦至高之所,若清痰消食,若苦寒通便
方药,皆徒攻肠胃,焉能恰当至理?倘气闭窍塞,慢惊亦是久延致危,万难调理。久而失治
,肺津日枯,气失清降,又属肺胀喘促。议孙真人苇茎汤,宣通气血,以驱伏邪之意。
心营肺卫,为温邪留伏。气血流行,与邪相遇搏激,遂有寒热如疟之状。今形神羸瘦,
经月,速则恐其成惊,再延恐致儿劳;多进苦药消克,胃口又虑败倒。急清气热以通营卫,
使温邪无容留之地,寒热可冀其止。至于痰嗽,必得胃口充旺,而肺金自全,要非药饵强劫
之谓。轻剂桂枝白虎汤。
稚年阳亢阴虚,温邪深入不解,留伏营卫之中,昼夜气行,遇邪则热,如疟同义。先议
清气分,兼通营卫一法。
川桂枝 知母 生甘草 生石膏 麦冬 白风米
清气热,通营卫,果得咳热皆缓。前论温邪犯肺是矣,但稚年易实易虚,寒暄食物之调
,最宜谨慎,勿致反复为上。
鲜地骨皮 大沙参 生甘草 嘉定天花粉 炒川贝 金银花
风温不解,早凉晚热,舌绛口渴,热邪未清,阴液衰也;胃汁耗则不知饥。宜生津和阳
淡黄芩 乌梅 青蒿 生白芍 橘红 鳖甲
温邪内伏,潮热自利。暮甚于昼者,稚年阴气浅也。仲景于暮春瘟病,内应肝胆例,黄
芩汤为主。
黄芩 杏仁 淡竹叶 白芍 甘草 木通
温邪深入,咽阻,心中热闷,自利,三焦咸病,恐热极欲厥。
淡黄芩 川连 杏仁 生白芍 乌梅 淡竹叶
风温入肺,肺气失降,郁蒸热聚,咳痰,卧不安静。高年积劳之体,最宜甘寒清燥,所
谓风温得润而解。
桑叶 甜杏仁 麦冬 蔗梨汁 沙参 玉竹 竹叶
左大空搏,阳不潜伏,咳吐涎。
陈阿胶 炒麦冬 生白芍 鸡子黄 生地炭 炙甘草
脉大咽干,痰多咳频,食下腹闷,此风温日久,劳倦内热,津伤液燥。
冬桑叶 甜杏仁 麦门冬 蔗浆 大沙参 玉竹 生甘草 梨汁
风温入肺,咳嗽,脉坚搏,夜卧汗出。阴分先亏,最多失血,大忌发散苦辛,从温邪当
桑叶 甜杏仁 炒麦冬 白沙参 玉竹 生甘草
元米汤煎。
风温不解,肺气不利,寒热汗出;吐血,更有恼怒肝逆。内外两因之症,为左右立法。
芦根汁 杏仁 丹皮 黑栀皮 生米仁 郁金 钩藤 栝蒌仁
肺痹,脘中及腹痛,自利清谷,是风温邪热相搏,诸气失于宣降,拟进开手太阴法,以
滋气化,得小便利可安。
芦根汁 桑叶 栝蒌皮 枯芩 杏仁 桔梗 郁金汁 橘红
风温入肺,肺郁失降,气窒上焦清空之地,发散则犯温邪劫津,故口渴气逆不已,腹痛
而呕,胃络受伤耳。
桑叶 杏仁 蔓荆子 象贝 马勃 牛蒡子
面浮咽痛,温邪未解,轻剂苦辛泄降。
桑叶 大沙参 通草 连翘 大力子 滑石
温邪上混,头痛气喘,治在手太阴肺。酒客痰热素盛,苦降为宜。
杏仁 花粉 连翘 枳实汁 橘红 黄芩 白芍 郁金汁
风温入手太阴,气郁热聚,喘逆口渴,营卫失和,周身掣痛。脉右搏,防失血。
桑叶 杏仁 生米仁 苏梗 栀皮 郁金
风温不解,顿嗽呕吐,宜淡渗以利热清胃。
芦根 杏仁 滑石 米仁 桑叶 通草
风温阳逆呕噫。
枇杷叶 白杏仁 金石斛 桑叶 大沙参 茯苓
外寒内热,温邪气逆为呕。
嫩苏梗 杏仁 黄芩 冬桑叶 橘红 浓朴
温邪呕逆。
淡黄芩 竹茹 半夏曲 川石斛 郁金 钩藤 茯苓 广皮白
风温轻恙,误汗表疏,形寒自汗。先进建中法以和营卫,继当以参苓补剂,则表里平和
昨进建中法,因表气不固,形寒汗泄,主乎护阳理营。今继进《金匮》麦冬汤,以苏津
液,得胃阴稍振,然后商进峻补,庶为合宜,不致偏胜之弊。
炒麦冬 生甘草 甜梨浆 北沙参 生白芍 甘蔗汁
久嗽失音,岁暮用参 益气得效。春令风温,燥熏其汗,亦如火劫逼阳同例。但仲景救
逆,在太阳少阴,此证气泄肺伤互异,从风温汗出不解,葳蕤汤主之。
咳嗽二年,形瘦减谷。冬季喉垂渐痛,已见水亏,阳气不藏。春月气升日盛,皆阴乏上
承,阳结于上,为喉痹矣。近日寒热,风温客气;脉小数,为阴伤,忌用辛散。
桑叶 玉竹 川贝母 大沙参 麦冬 生甘草
背寒复热,发于晡时,暮夜寐多惊惕,食入欲呕,此肝阴久虚,阳独上炽。风温乃是客
气,多延渐为本虚矣。
泡淡黄芩 生牡蛎 乌梅肉 生白芍 桂枝木 大枣
又 人参 炒阿胶 牡蛎 茯神 炒白芍 炒乌梅
冬月温邪内伏,入春寒热咳嗽,身痛渐汗乃解。与温疟同法。
桂枝白虎汤。
风温如疟烦倦,乃内热水亏。
犀角地黄汤加知母、泽泻。
风温上受,气郁热生,咽痛嗽频,震动痰血。以清肃上焦,薄味调理。
桑叶 花粉 大力子 杏仁 大沙参 射干 连翘仁 象贝
风温上郁,是冷暖侵肺使然。轻剂清解,忌发散。
杏仁 黑栀皮 栝蒌皮 象贝 桑叶 嫩苏梗 郁金汁
气逆痰升,呼吸不爽,仍宜清解。
杏仁 象贝 白沙参 滑石 桑叶 橘皮 郁金汁 紫菀
风温郁热上升,支饮亦令上泛,渴烦咳涎。下虚上实,仍宜轻剂清理。
桂枝木 茯苓 白芍 石膏 米仁 甘草
又 小青龙汤去麻、辛、半、甘,加石膏。
面赤足冷,脉沉弦细,吸短有声,昏昏欲寐,下焦淋带不断,此下虚不摄;饮浊上泛,
期。从来饮家咳逆,当治其饮。仲景谓饮家短气倚息,以外饮属脾,用苓桂术甘,理脾阳以
营运;内饮属肾,进肾气以收摄固纳,仿此为法
肾气丸,淡盐汤送下。
又 熟地炭 茯苓 淡苁蓉 五味子 白芍 胡桃肉
左坚数甚,舌喑不言,得饮渐呛渐呃,此温邪内伏,少阴水亏,液燥,热气上冒,乃中
厥之象。老年最怕面赤神昏,为衰脱耳。
生地 知母 炒远志 梨汁 天冬 川石斛 石菖蒲 蔗汁
久虚劳损,几年不复。当春深阳气发泄,温邪乘虚入阴,寒热汗出,不纳谷食,脘中痞
闷不舒,胃乏气运,侧眠咳痰。病热险笃,恐难万全。
人参 旋复花 木瓜 茯苓 赭石 炒粳米
此因惊忧内伤肝藏,邪热乘虚内陷,直走厥阴,消渴渐呕,汗大泄,胸腹胀。次第论证
都属在里,半月以外之病。左脉坚搏如刃,耳聋昏躁不静,岂是脉证相合?议以镇逆一法,
冀其神清勿躁,不致厥脱。
生牡蛎 生白芍 桂枝木 生龙骨 乌梅肉
阳亢阴虚,烦躁妄言无寐,苟非镇静,焉得神清。议乙癸同治,熄内风、和阳扰为近理
水制熟地 茯苓 生白芍 磁石 泽泻 山药 丹皮 辰砂
多言原从热治,诊脉小数,又当元气大泄之余,故壮水制阳,王道成法。若但说实火,
苦降,必致变症蜂起。试论食粥后,原有片时安静,岂非水谷镇胃,虚阳不致扰动?焉得纯
以实火治。以阴阳偏胜为理,不致败坏。
天冬 川黄连 生地 女贞 茯神 鸡子黄 阿胶 白芍
左三部动数倍右,阳扰不和恋;定是阴中之火,所以粥食镇胃稍安。且善饥欲食,即《
经》阳亢为消之验。治法总在足三阴,勿参入乱药为正。质重益阴,佐以介类潜藏立法。
熟地 龟甲 萸肉 白芍 茯神 鳖甲 女贞 炙草
鼻煤唇裂舌腐。频与芩连,热不肯已,此病轻药重,致流行之气结闭不行,郁遏不通,
其热愈甚,上则不嗜饮纳食。小便虽利,便必管痛。三焦皆闭,神昏痉厥有诸矣。
竹叶 杏仁 川贝母 连翘 射干 鲜石菖蒲汁
自停服药,日有向愈之机。胃困则痞闷不欲食,今虽未加餐,已知甘美,皆醒之渐也。
无下虚之理,溲溺欲出,尿管必痛,良由肺津胃汁,因苦辛燥烈气味劫夺枯槁,无以营运。
若必以分利为治,所谓泉源既竭,当滋其化源;九窍不和,都属胃病也。
甜杏仁 蔗汁 麦冬 梨汁
初春暴冷,暖覆卧床,渐渐失音,久则咽喉皆痛,痰沫上泛。纳食照常,已非虚象。致
内为热迫,外为寒郁。
越婢加半夏汤。
温邪形寒痰嗽。脉形细小,少阴本气素弱,治邪宜以轻药,勿得动下。
苏梗 桑叶 沙参 杏仁 玉竹 橘红
温邪烁阴,寒热渴饮,不汗出。
玉女煎去麦冬,加竹叶,灯心。
温邪具有只升不降的特性,导致肺气机升降逆乱,营卫运行失去常态,从而出现寒热交替;胃中津液日渐耗损,表现为口渴饮水却不知饥饿;阳气独自亢盛上行,引起头痛、面色发红。这些都是因为冬春季节突然变暖,天地之气未能正常闭藏,人体顺应这种变化,因此患此类疾病的人最多。考察古代医家治疗温病的经验,忌讳使用发汗解表的方法,如果误用发汗药,就会认为邪热逆传进入心包络,最担心的症状是神志昏迷、胡言乱语。治疗方法应当采用辛甘凉性的药物来清泄肺胃之热,这是因为伤寒病邪多侵犯足经,而温邪多侵犯手经。土气滋润则肺气得以肃降,不至于郁结,胃热向下转移,患者就会感到饥饿且口渴缓解。
嫩青竹叶 白糖炒石膏 杏仁 甘蔗汁 经霜桑叶 麦门冬 生甘草
因过度劳累或愤怒,属于七情内伤,此时若感受温邪,病气会从口鼻直接侵入膜原(半表半里之间)。伤寒的阳证,病邪是由太阳经传变而来;至于春温夏热,鼻受邪气则肺先受病,口入邪气则经由胃脘部传入,所以原本就有手经的症状表现,不同于伤寒足六经的病证。其病因不同,治疗方法也不同。张仲景论述温邪不可发汗,发汗则会劫夺津液、损伤阳气,身体必然灼热,一次误治尚且拖延病程,再次误治就会危及生命。又说:呼吸有声如鼾,言语困难,严重时会出现惊厥、癫痫、抽搐等症状。这无非是因为严重地劫夺阴阳所致。如今病人发热,原本就不像太阳经受客邪的表现,如果误投羌活、防风等辛温发汗的药物,就是误治了。上窍不能纳受,下窍不通畅,也是常有的事,必须通过攻下法排出稀水以泄热,殊不知强行发汗会劫夺津液而损伤阳气,妄用攻下会劫夺阴液而损伤阴分。刚才诊察脉象,两手脉搏如同抽搐般颤动,舌体干燥无津,牙齿前面的牙板干燥,眼睛想闭上,嘴巴想张开;全身在灯光照射下,可见淡晦色的红斑隐隐跃动;这几天偶尔有呃逆,是因为胃中缺乏谷气而中空,肝阳冲撞,向上冒犯肆虐所致。为了纠正目前的病情,先给予米粥,使胃中得到濡润,厥逆之阳不至于上冒,那么神志昏迷的累赘就可以消除。用药的道理在于,甘温的药物可以生津除热,即使出现斑疹也不必过分担忧。观察张仲景的论述中,对于邪气少而正气虚多,阴液和阳津同时枯竭的情况,主张使用复脉汤主治。谨遵此意。
冬季热邪伏藏在体内,春季风温之邪侵入肺部,引动了旧时潜伏的热邪,营卫运行受阻,邪气怫郁,于是导致寒热交替。四十岁,形体和精神消瘦,入睡后便烦躁不安。《内经》说:不能平卧,躺下就气喘烦躁,这是肺气上逆所致。儿童阳气常有余,阴气常不足,所以白天轻晚上重。病名叫做风温。手太阴肺经,属于上焦至高之处,如果使用清化痰浊、消食导滞,或者苦寒通便的方药,都只是徒劳地攻击肠胃,怎么能恰当符合医理呢?倘若气机闭塞、窍道阻塞,慢惊风也会因为久延而导致危重,极难调理。时间久了失治,肺津日渐枯涸,气机失去清肃下降的功能,又属于肺胀喘促。建议采用孙思邈真人的苇茎汤,宣通气血,以驱除伏邪之意。
心营和肺卫,被温邪留伏。气血流行,与邪气相遇搏激,于是出现像疟疾一样的寒热症状。如今形体精神羸瘦,经过一个月,快则恐怕发展成惊风,再拖延恐怕导致小儿虚劳;如果多吃苦寒克伐的药物,又担心胃口败坏。急需清气分之热以疏通营卫,使温邪没有容留之地,寒热有望停止。至于痰嗽,必须等到胃口充实旺盛,肺金自然保全,这不是靠药物强力劫夺所能达到的。选用轻剂的桂枝白虎汤。
稚龄儿童阳气亢盛阴虚,温邪深入不解,留伏在营卫之中,昼夜气机运行,遇到邪气则发热,道理与疟疾相同。先议定清气分之热,兼通营卫的方法。
清气分之热,疏通营卫,果然咳嗽和发热都缓解了。之前的论述认为温邪犯肺是正确的,但儿童体质容易实证也容易虚证,对寒暖饮食的调养,最为适宜谨慎,不要导致病情反复为上策。
风温病不解,早晨凉爽晚上发热,舌质红绛口渴,热邪未清,阴液衰少;胃汁耗损则不知道饥饿。宜用生津和阳的方法。
温邪内伏,潮热自利。傍晚比白天严重的,是因为儿童阴气浅薄。张仲景在论述暮春瘟病时,内应肝胆的例子,以黄芩汤为主方。
温邪深入,咽喉阻塞,心中热闷,自利,三焦全部受病,恐怕热极欲发生厥逆。
风温侵入肺部,肺气失于肃降,郁蒸热聚,咳嗽有痰,睡眠不安稳。老年人积劳之体,最宜使用甘寒清燥的药物,所谓风温得到滋润就能解除。
左寸脉大而空搏,阳气不能潜藏,咳嗽吐涎沫。
脉大咽干,痰多咳嗽频繁,进食后腹部闷胀,这是风温日久,劳倦内热,津伤液燥。
风温侵入肺部,咳嗽,脉象坚劲搏指,夜间睡觉出汗。阴分先已亏损,最容易失血,大忌发散苦辛的药物,应从温邪的角度考虑。
用元米汤煎服。
风温病不解,肺气不利,寒热汗出;吐血,更有恼怒导致肝气上逆。内外两种原因导致的病症,为左右两脉立法。
肺痹,胃脘及腹部疼痛,大便清稀完谷不化,这是风温邪热相互搏结,各种气机失于宣发肃降,拟进开通手太阴肺经的方法,以滋生气化功能,得到小便通畅即可平安。
风温侵入肺部,肺郁失于肃降,气机窒塞在上焦清空之地,发散则会触犯温邪劫夺津液,所以口渴气逆不止,腹痛而呕吐,这是胃络受伤的缘故。
温邪上蒙,头痛气喘,治疗在手太阴肺经。嗜酒之人痰热素盛,宜用苦降的方法。
风温侵入手太阴肺经,气郁热聚,喘逆口渴,营卫不和,周身掣痛。右脉搏指,防止失血。
温邪导致呕吐逆气。
风温轻症,误用发汗导致腠理疏松,形寒自汗。先进用建中法以调和营卫,随后应当用参苓补剂,这样表里平和。
昨天进用建中法,因为表气不固,形寒汗泄,主要在于护阳理营。今天继进《金匮要略》中的麦冬汤,以复苏津液,得到胃阴稍微振奋,然后商量进用峻补,这才合适,不会导致偏胜的弊端。
长期咳嗽失音,岁末用人参益气取得效果。春季风温,燥气熏蒸汗出,也如同火劫逼迫阳气一样。但张仲景救治逆证,是在太阳少阴经,此证气泄肺伤互不相同,从风温汗出不解来看,主用葳蕤汤。
咳嗽两年,形体消瘦减少进食。冬季喉咙垂坠渐痛,已经见到肾水亏虚,阳气不藏。春季气机上升日益旺盛,都是阴气匮乏无法上承,阳气结聚于上部,形成喉痹。近日寒热,是风温客气;脉象小数,为阴伤,忌用辛散药物。
背部发冷后又发热,发生在下午时分,夜晚睡眠多惊惕,进食后想呕吐,这是肝阴长久虚损,阳气独亢于上炽热。风温乃是客气,多拖延逐渐变成根本虚弱。
冬季温邪内伏,入春后寒热咳嗽,身痛渐渐出汗才解除。与温疟同法治疗。
风温从上受侵,气郁热生,咽痛咳嗽频繁,震动导致痰中带血。以清肃上焦,清淡饮食调理。
气逆痰升,呼吸不畅,仍宜清解。
风温郁热上升,支饮也会导致上泛,口渴烦躁咳涎。下虚上实,仍宜轻剂清理。
又方:小青龙汤去掉麻黄、细辛、半夏、甘草,加入石膏。
面部发红脚冷,脉沉弦细,吸气短促有声,昏昏欲睡,下焦淋浊带下不断,这是下焦虚损不能固摄;饮浊上泛,预期会有危险。从来饮家咳嗽逆气,应当治疗其饮邪。张仲景说饮家短气倚息,外饮属于脾,用苓桂术甘汤,调理脾阳以营运;内饮属于肾,进肾气丸以收摄固纳,仿照此法。
肾气丸,淡盐汤送下。
左脉坚数甚于右,舌暗不言,得饮后逐渐呛咳呃逆,这是温邪内伏,少阴肾水亏虚,液燥,热气上冒,是中风的征象。老年人最怕面赤神昏,这是虚脱的表现。
长久虚损劳伤,几年不能恢复。当春深阳气发泄时,温邪乘虚进入阴分,寒热汗出,不能进食,胃脘痞闷不舒,胃缺乏气运,侧卧咳嗽有痰。病势险恶笃重,恐怕难以完全治愈。
这是因为惊恐忧虑内伤肝脏,邪热乘虚内陷,直走厥阴经,消渴逐渐呕吐,大汗淋漓,胸腹胀满。依次论证都属于在里,半个月以外的病。左脉坚搏如刀刃,耳聋昏躁不静,难道脉证相合吗?建议用镇逆一法,希望神志清醒不烦躁,不致厥脱。
阳气亢盛阴虚,烦躁妄言无睡眠,如果不是镇静,怎么能神志清醒。建议乙癸同治(肝肾同治),熄内风、和阳扰比较合理。
多言原本从热证治疗,诊脉小数,又当元气大泄之后,所以壮水制阳,是王道成法。如果只说是实火,用苦降法,必定导致变症蜂起。试论吃粥后,原有片刻安静,难道不是水谷镇胃,虚阳不致扰动吗?怎么能纯以实火治疗。以阴阳偏胜为理,不会导致败坏。
左三部脉动数倍于右,阳气扰乱不和恋滞;定是阴中之火,所以粥食镇胃稍安。而且善饥欲食,就是《内经》中阳亢为消的验证。治法总在足三阴经,不要参入乱药为正。质重益阴,佐以介类潜藏立法。
鼻头煤黑嘴唇破裂舌头腐烂。频繁使用芩连,热不肯止,这是病轻药重,导致流行之气结闭不行,郁遏不通,其热更甚,上面则不喜欢饮食。小便虽然通畅,排尿必管痛。三焦都闭塞,神昏痉厥可能已经有了。
自行停药后,每天有向愈的转机。胃困则痞闷不想吃东西,现在虽然没增加餐量,但知道食物甘美,都是苏醒的迹象。
没有下虚的道理,溲溺欲出,尿管必痛,良由肺津胃汁,因为苦辛燥烈气味劫夺枯槁,无以营运。如果必须以分利为治,所谓泉源既竭,当滋其化源;九窍不和,都属胃病。
初春暴冷,暖覆卧床,渐渐失音,久了咽喉都痛,痰沫上泛。纳食照常,已经不是虚象。导致内为热迫,外为寒郁。
Warm pathogenic factors possess the characteristic of ascending only and not descending, causing the lung qi mechanism to become rebellious and chaotic. Ying (Nutritive) and Wei (Defensive) lose their normal rhythm, resulting in alternating chills and fever; stomach fluids are consumed day by day, manifesting as thirst with drinking but lack of appetite; Yang qi moves independently upward, causing headache and facial redness. All these occur because winter and spring suddenly become warm, heaven and earth fail to store properly, and the human body responds to this, so those suffering from this condition are most numerous. Examining ancient physicians' treatment of warm diseases, they contraindicated diaphoresis (sweating therapy). Misapplication is said to cause evil heat to transmit reversely into the Pericardium, with the greatest fear being coma and delirious speech. The treatment method should use pungent-sweet-cool agents to clear and drain Lung and Stomach heat, because Cold Damage pathogens often affect the Foot meridians, while Warm Pathogen pathogens often affect the Hand meridians. When Earth energy moistens, Lung Qi descends, preventing stagnation; Stomach heat shifts downward, and the patient will feel hungry and thirst will resolve.
Tender Green Bamboo Leaf, White Sugar Stir-fried Gypsum, Apricot Kernel, Sugarcane Juice, Frost-exposed Mulberry Leaf, Ophiopogon Tuber, Raw Licorice Root
Exhaustion and anger constitute internal injury from the Seven Emotions. If contracted with a warm pathogen at this time, the qi enters directly from the mouth and nose into the Mo Yuan (Membrane Source). In Yang syndromes of Cold Damage, the pathogen transmits via the Taiyang meridian. However, in Spring Warmth and Summer Heat, nasal infection affects the Lung first, and oral entry travels through the epigastrium. Thus, there are originally symptoms of the Hand meridians, which differ from the Six Foot meridians of Cold Damage. Since the origins differ, the treatments also differ. Zhang Zhongjing discussed that warm pathogens must not be treated with sweating; sweating will rob fluids and injure Yang, causing the body to burn hot. One misstep prolongs the illness; a second misstep shortens life. He also stated: snoring breath, difficulty speaking, and severe cases involving convulsions, epilepsy, and spasms. These result from severe robbery of Yin and Yang. Now the patient has fever, which originally does not resemble the presentation of external pathogens on the Taiyang meridian. Misapplying pungent-warm diaphoretics like Qianghuo and Fangfeng constitutes a misstep. Upper orifices failing to receive and lower orifices failing to open are common matters. One must use purgation to discharge watery diarrhea to clear heat. Little do they know that forced sweating robs fluids and injures Yang, while reckless purgation robs liquids and injures Yin. Upon recent pulse diagnosis, both hands felt like twitching tremors; the tongue was dry without fluid; the anterior dental plates were dry; eyes wanted to close, mouth wanted to open; under lamplight, faint reddish spots were hiddenly visible; for several days, occasional hiccups occurred because the Stomach lacked grain qi and was hollow, leading to Liver Yang clashing and usurping upwards. To correct the current situation, first provide rice gruel to moisten the Stomach, preventing Jue Yang from usurping upwards, thereby resolving the burden of coma. The principle of medication is that sweet-warm agents can generate fluids and remove heat; even if macules appear, there is no need for excessive concern. Observing Zhang Zhongjing's discussions, for cases where evil is scanty and deficiency is abundant, with both Yin fluids and Yang fluids dried up, Fumai Tang is indicated. I strictly follow this intent.
Ginseng, Rehmannia Root, Honey-fried Licorice Root, Ophiopogon Tuber, Donkey-hide Gelatin, White Peony Root
In winter, heat lurks inside; in spring, wind-warmth enters the Lung, stirring up old latent heat. Ying and Wei circulation is obstructed, evil stagnates, leading to chills and fever. At forty years old, the form and spirit are emaciated; restlessness occurs upon lying down at night. The Classic states: inability to lie flat, panting and irritability when lying down, indicates rebellious Lung Qi. Children have excess Yang and insufficient Yin, hence symptoms are lighter by day and heavier by night. The disease is named Wind-Warmth. The Hand-Taiyin Lung belongs to the upper jiao, the highest region. Using formulas to clear phlegm, digest food, or bitter-cold laxatives merely attacks the intestines and stomach in vain, failing to hit the core principle. If qi closes and orifices block, slow convulsions may arise from prolonged delay, making regulation extremely difficult. Prolonged neglect leads to daily drying of Lung fluids, loss of clear descent, resulting in Lung distension and panting. It is proposed to use Sun Simiao's Weijing Tang to promote qi and blood circulation to drive out latent evil.
Heart Ying and Lung Wei are retained by warm pathogens. Qi and blood flow, encountering and battling the evil, results in chills and fever resembling malaria. Now the form and spirit are emaciated, lasting a month. Quickly, it may become convulsions; later, it may lead to pediatric consumption. Consuming many bitter drugs risks ruining the stomach appetite. Urgently clear heat from the Qi level to unblock Ying and Wei, leaving no room for warm pathogens, hoping chills and fever will stop. Regarding phlegm cough, one must wait for the stomach appetite to fill and prosper, so Lung Metal protects itself naturally; this is not achieved by strong drug coercion. Use a light formula: Guizhi Baihu Tang.
In childhood, Yang is hyperactive and Yin is deficient. Warm pathogens penetrate deeply and remain unresolved, lurking in Ying and Wei. Day and night qi movement encounters evil, generating heat, same logic as malaria. First discuss clearing Qi level heat, simultaneously unblocking Ying and Wei.
Sichuan Cinnamon Twig, Anemarrhena Rhizome, Raw Licorice Root, Raw Gypsum, Ophiopogon Tuber, White Coix Seed
Clearing Qi-level heat and unblocking Ying and Wei indeed relieved cough and fever. The previous discussion that warm pathogens invade the Lung was correct, but children's constitutions easily shift between excess and deficiency. Careful regulation of cold/warmth and diet is essential to avoid recurrence.
Fresh Groundsel Root, Large Codonopsis, Raw Licorice Root, Jiading Trichosanthes Root, Stir-fried Sichuan Loquat Seed, Honeysuckle Flower
Wind-warmth unresolved, cool in morning, hot in evening, crimson tongue, thirst, heat evil not cleared, Yin fluids depleted; Stomach juice consumed leads to lack of hunger. Suitable to generate fluids and harmonize Yang.
Light Scutellaria Root, Dark Plum, Artemisia Annua, Raw White Peony Root, Tangerine Peel, Turtle Shell
Warm pathogens lurk internally, tidal fever, spontaneous diarrhea. Worse at dusk than day due to shallow Yin in children. Zhang Zhongjing, regarding late spring plague diseases corresponding to Liver and Gallbladder, uses Huangqin Tang as the main formula.
Scutellaria Root, Apricot Kernel, Light Bamboo Leaf, White Peony Root, Licorice Root, Akebia Stem
Warm pathogens penetrate deep, throat obstruction, chest heat/stuffiness, spontaneous diarrhea, Sanjiao all diseased, fearing extreme heat leading to Jue.
Light Scutellaria Root, Coptis Rhizome, Apricot Kernel, Raw White Peony Root, Dark Plum, Light Bamboo Leaf
Wind-warmth enters Lung, Lung Qi fails to descend, stagnation steams heat accumulation, cough with phlegm, restless sleep. Elderly bodies with accumulated fatigue suit best sweet-cool drying methods, so-called wind-warmth resolves with moisture.
Mulberry Leaf, Sweet Apricot Kernel, Ophiopogon Tuber, Sugarcane-Pear Juice, Codonopsis, Polygonatum Rhizome, Bamboo Leaf
Left pulse large and empty beating, Yang not submerging, coughing up saliva.
Aged Donkey-hide Gelatin, Stir-fried Ophiopogon Tuber, Raw White Peony Root, Chicken Egg Yolk, Charred Rehmannia Root, Honey-fried Licorice Root
Large pulse, dry throat, frequent phlegm cough, abdominal stuffiness after eating. This is long-standing wind-warmth, labor-fatigue internal heat, fluid injury and dryness.
Winter Mulberry Leaf, Sweet Apricot Kernel, Ophiopogon Tuber, Sugarcane Syrup, Large Codonopsis, Polygonatum Rhizome, Raw Licorice Root, Pear Juice
Wind-warmth enters Lung, cough, pulse firm and beating, night sweats. Yin division first deficient, most prone to bleeding, strongly contraindicate dispersing pungent-acrid, consider from warm pathogen perspective.
Mulberry Leaf, Sweet Apricot Kernel, Stir-fried Ophiopogon Tuber, White Codonopsis, Polygonatum Rhizome, Raw Licorice Root
Decoct with Yuanmi Soup.
Wind-warmth unresolved, Lung qi not smooth, chills/fever/sweating; hematemesis, plus anger causing Liver rebellion. Internal and external causes, legis for left and right pulses.
Reed Rhizome Juice, Apricot Kernel, Moutan Bark, Black Gardenia Skin, Raw Coix Seed, Curcuma Zedoary Rhizome, Uncaria Ramulus with Hooks, Trichosanthes Fruit Seed
Lung Bi, epigastric and abdominal pain, spontaneous diarrhea with undigested food, wind-warmth evil heat fighting, all qi losing promotion and descent. Propose opening Hand-Taiyin method to nourish Qi transformation, obtaining smooth urination ensures safety.
Reed Rhizome Juice, Mulberry Leaf, Trichosanthes Peel, Withered Scutellaria Root, Apricot Kernel, Platycodon Root, Curcuma Zedoary Rhizome Juice, Tangerine Peel
Wind-warmth enters Lung, Lung stagnation fails to descend, qi blocked in upper jiao clear space. Dispersing violates warm pathogens and robs fluids, hence thirst and rebellious qi persist, abdominal pain and vomiting, injuring Stomach collaterals.
Mulberry Leaf, Apricot Kernel, Vitex Fruit, Star Anise Fennel (Xiang Bei), Malva Nut, Arctium Fruit
Facial edema, sore throat, warm pathogen unresolved. Light formula bitter-pungent draining and descending.
Mulberry Leaf, Large Codonopsis, Talcum, Forsythia Fruit, Arctium Fruit, Talc
Warm pathogen confuses upper, headache and panting, treat at Hand-Taiyin Lung. Wine drinkers have inherent phlegm-heat, bitter descending is suitable.
Apricot Kernel, Trichosanthes Root, Forsythia Fruit, Immature Bitter Orange Juice, Tangerine Peel, Scutellaria Root, White Peony Root, Curcuma Zedoary Rhizome Juice
Wind-warmth enters Hand-Taiyin, qi stagnation heat accumulation, panting/rebellious qi/thirst, Ying-Wei disharmony, whole body pulling pain. Right pulse beats, prevent bleeding.
Mulberry Leaf, Apricot Kernel, Raw Coix Seed, Perilla Stem, Gardenia Skin, Curcuma Zedoary Rhizome
Wind-warmth unresolved, sudden cough/vomiting, suitable light permeation to benefit heat clear Stomach.
Reed Rhizome, Apricot Kernel, Talcum, Coix Seed, Mulberry Leaf, Tetrapanax Pith
Wind-warmth Yang rebellious vomiting/belching.
Loquat Leaf, White Apricot Kernel, Dendrobium Nobile, Mulberry Leaf, Large Codonopsis, Poria
External cold internal heat, warm pathogen qi rebellious causing vomiting.
Tender Perilla Stem, Apricot Kernel, Scutellaria Root, Winter Mulberry Leaf, Tangerine Peel, Magnolia Bark
Warm pathogen vomiting/rebellious qi.
Light Scutellaria Root, Bamboo Shavings, Fermented Pinellia, Sichuan Dendrobium, Curcuma Zedoary Rhizome, Uncaria Ramulus with Hooks, Poria, Broad-leaved Citrus Peel White
Wind-warmth mild illness, mistaken sweating opens pores, chills/spontaneous sweating. First advance Jianzhong method to harmonize Ying-Wei, subsequently Shenling tonics, then exterior-interior peaceful.
Yesterday advanced Jianzhong method, because exterior qi not solid, chills/sweating, mainly protecting Yang regulating Ying. Today continue Jin Gui Maidong Tang to revive fluids, getting Stomach Yin slightly振 (revived), then discuss strong tonification, thus appropriate, avoiding bias.
Stir-fried Ophiopogon Tuber, Raw Licorice Root, Sweet Pear Syrup, Northern Codonopsis, Raw White Peony Root, Sugarcane Juice
Long-term cough voice loss, year-end using Ginseng boosting Qi effective. Spring wind-warmth, dryness薰 (smokes) sweat, same example as fire robbery forcing Yang. But Zhang Zhongjing saving reverse, in Taiyang Shaoyin, this case qi leaking Lung injured different, from wind-warmth sweating unresolved, Weiyu Tang main.
Cough two years, thin reducing food intake. Winter throat drooping gradually painful, already seeing water deficiency, Yang not storing. Spring qi rising daily strong, all Yin lacking upper bearing, Yang knotting upper, forming Hou Bi (throat obstruction). Recent chills/fever, wind-warmth guest qi; pulse small rapid, Yin injured, contraindicate pungent dispersing.
Mulberry Leaf, Polygonatum Rhizome, Sichuan Loquat Seed, Large Codonopsis, Ophiopogon Tuber, Raw Licorice Root
Back cold recurring heat, occurring at dusk, night sleep much startle, eating wants vomit, this Liver Yin long deficient, Yang alone upper blazing. Wind-warmth is guest qi, prolonged gradually becomes root deficiency.
Soaked Light Scutellaria Root, Raw Oyster Shell, Dark Plum Flesh, Raw White Peony Root, Cinnamon Twig Wood, Jujube
Again: Ginseng, Stir-fried Donkey-hide Gelatin, Oyster Shell, Spirit of Poria, Stir-fried White Peony Root, Stir-fried Dark Plum
Winter warm pathogen lurks inside, entering spring chills/fever/cough, body pain gradually sweating resolves. Same method as Wen Mai (Warm Malaria).
Guizhi Baihu Tang.
Wind-warmth like malaria irritability/fatigue, is internal heat water deficiency.
Xi Jiao Di Huang Tang add Zhi Mu, Ze Xie.
Wind-warmth upper reception, qi stagnation heat generation, sore throat frequent cough, shaking phlegm blood. Clear upper jiao, thin flavor regulation.
Mulberry Leaf, Trichosanthes Root, Arctium Fruit, Apricot Kernel, Large Codonopsis, Belamcanda Rhizome, Forsythia Seed, Star Anise Fennel
Wind-warmth upper stagnation, cold/warm invading Lung causes it. Light formula clear resolve, contraindicate dispersing.
Apricot Kernel, Black Gardenia Skin, Trichosanthes Peel, Star Anise Fennel, Mulberry Leaf, Tender Perilla Stem, Curcuma Zedoary Rhizome Juice
Qi rebellious phlegm rising, breathing not smooth, still suitable clear resolve.
Apricot Kernel, Star Anise Fennel, White Codonopsis, Talcum, Mulberry Leaf, Tangerine Peel, Curcuma Zedoary Rhizome Juice, Astera Root
Wind-warmth stagnant heat rising,支饮 (branch fluid) also allows upper flooding, thirst irritability cough saliva. Lower deficiency upper excess, still suitable light formula clean resolve.
Cinnamon Twig Wood, Poria, White Peony Root, Gypsum, Coix Seed, Licorice Root
Again: Xiao Qinglong Tang remove Mahuang, Xixin, Banxia, Gancao, add Gypsum.
Face red feet cold, pulse deep string fine, inhale short sound, drowsy wanting sleep, lower jiao stranguria/leukorrhea continuous, this lower deficiency not grasping; turbid fluid upper flooding, expect period. From always fluid family cough rebellious, treat its fluid. Zhang Zhongjing says fluid family short breath leaning support, external fluid belongs Spleen, use Linggui Zhugan, regulate Spleen Yang to operate; internal fluid belongs Kidney, advance Shengqi to grasp solidify accept, imitate this as method.
Shenqi Wan, light salt soup send down.
Again: Charred Prepared Rehmannia, Poria, Light Cistanche, Schisandra Berry, White Peony Root, Walnut Meat
Left firm rapid especially, tongue mute not speak, getting drink gradually choke gradually hiccup, this warm pathogen internal lurk, Shaoyin water deficiency, liquid dry, hot qi upper冒 (rush), is middle Jue image. Elderly most fear face red spirit confused, is decline collapse.
Rehmannia Root, Anemarrhena Rhizome, Stir-fried Polygala Root, Pear Juice, Asparagus Tuber, Sichuan Dendrobium, Acorus Rhizome, Sugarcane Juice
Long deficiency labor damage, several years not recover. When spring deep Yang qi emit, warm pathogen take void enter Yin, chills/fever/sweating, not accept grain food, epigastrium痞 (stuffiness) uncomfortable, Stomach lacks qi transport, side sleep cough phlegm. Disease heat dangerous serious, fear hard ten thousand complete.
Ginseng, Inula Flower, Quince, Poria, Hematite, Stir-fried Rice
This because fright worry internal injury Liver storage, evil heat take void internal sink, direct walk Jueyin, xiaoke (wasting-thirst) gradually vomit, sweat large leak, chest abdomen distension. Step by step argue syndrome all belong interior, half month outside disease. Left pulse firm beat like blade, ear deaf spirit irritable not quiet, how is pulse syndrome match? Discuss with suppress rebellious one method, hope spirit clear not irritable, not Jue collapse.
Raw Oyster Shell, Raw White Peony Root, Cinnamon Twig Wood, Raw Dragon Bone, Dark Plum Flesh
Yang hyperactive Yin deficient, irritability妄言 (wild speech) no sleep, if not sedate, how get spirit clear. Discuss Yi-Gui same treat, extinguish internal wind, harmonize Yang disturbance near reason.
Water-processed Prepared Rehmannia, Poria, Raw White Peony Root, Magnetite, Alisma, Chinese Yam, Moutan Bark, Cinnabar
Much talk originally from heat treat, diagnose pulse small rapid, again when Yuanqi large leak aftermath, so strengthen water control Yang, king way established method. If only say real fire, bitter descending, must cause change symptoms swarm. Try discuss eat porridge after, originally piece time quiet, isn't water grain suppress Stomach, virtual Yang not disturb? How get pure real fire treat. With Yin-Yang bias win as reason, not cause ruin.
Asparagus Tuber, Sichuan Coptis Rhizome, Rehmannia Root, Privet Fruit, Spirit of Poria, Chicken Egg Yolk, Donkey-hide Gelatin, White Peony Root
Left three parts move rapid double right, Yang disturb not harmonious linger; surely Yin middle fire, so porridge food suppress Stomach slightly safe. And good hunger want eat, just Jing classic Yang hyperactive for wasting verification. Treat method total Foot Three Yin, don't join messy medicine as correct. Heavy substance benefit Yin, assist with shell class hide legis.
Prepared Rehmannia, Tortoise Plastron, Dogwood Fruit, White Peony Root, Spirit of Poria, Turtle Plastron, Privet Fruit, Honey-fried Licorice
Nose coal lip crack tongue rot. Frequent give Qinlian, heat refuse not stop, this disease light medicine heavy, cause circulating qi knot close not run, depressed block not pass, its heat more severe, upper then not like drink eat food. Urine although smooth, passage must tube pain. Sanjiao all close, spirit confused spasm Jue have some矣 (particle).
Bamboo Leaf, Apricot Kernel, Sichuan Loquat Seed, Forsythia Fruit, Belamcanda Rhizome, Fresh Acorus Rhizome Juice
Self stop take medicine, day have towards heal opportunity. Stomach困 (trapped) then痞闷 (stuffiness) not want eat, now although not add meal, already know sweet beautiful, all wake gradual.
No lower deficiency reason, urine want exit, urine tube must pain, good by Lung fluid Stomach juice, because bitter pungent dry fierce smell rob wither dry, no ability operate. If must with separate benefit treat, so-called spring source already exhausted, when nourish its transform source; nine orifices not harmonious, all belong Stomach disease.
Sweet Apricot Kernel, Sugarcane Juice, Ophiopogon Tuber, Pear Juice
Early spring violent cold, warm cover bed, gradually voice loss, long then throat all pain, phlegm foam upper flood. Accept food as usual, already not virtual image. Cause internal for heat force, external for cold depress.
Yebibo Plus Banxia Tang.
Warm pathogen form cold phlegm cough. Pulse shape small fine, Shaoyin root qi originally weak, treat evil suitable with light medicine, don't move lower.
Perilla Stem, Mulberry Leaf, Codonopsis, Apricot Kernel, Polygonatum Rhizome, Tangerine Peel
Warm pathogen scorch Yin, chills/fever/thirst drink, no sweat exit.
Yunü Decoction remove Ophiopogon, add Bamboo Leaf, Juncus Effusus.