形脉俱虚,不饥不食。积劳虚人,得深秋凉气外侵,引动宿邪,内蒸而为烦渴,已非柴
、芩、半夏之症。急救津液,以清伏邪。
竹叶 生地 梨汁 连翘 麦冬 蔗汁
不治失血,独取时令湿邪,得以病减。凡六气有胜必复,湿去致燥来。新秋暴暑烁津,
且养胃阴,白露后可立调理方。
麦冬 人参 大枣 半夏 生草 粳米
脉虚数,形寒,心中烦热,五更后气升咳呛。当秋分节燥金司令,大热发泄之余,皆能
化燥。肺为娇脏,最处上焦,先受其冲,宜润燥以滋其化源。
冬桑叶 南花粉 生米仁 大沙参 玉竹 蜜炙橘红
用白糯米三合,淘净,流水泡,取极清汤,代水煎服。
夜来咳嗽略稀,即得假寐目瞑。夫温邪内热,津液被劫,已属化燥。而秋令天气下降,
改色;肺位最高,上焦先受。大凡湿由地升,燥从天降,乃定理也。今皮肤甲错,肌肉消烁
,无有速于是也。兹论气分主治,以上焦主气也。议用喻氏方,减去血药,以清燥专理上焦
经霜桑叶 玉竹 甜杏仁 枇杷叶 甜梨皮 花粉(将滤入生石膏末二钱)
初秋咽痛发呛,是气交中暑热燥气从呼吸而入。肺位最高,清空失司,惟轻清可解。药
过于苦辛寒,胃伤食减,而上焦仍窒。古人谓金空则有声,声嘶脉数,有肺痿之虑。
甜水梨 兜铃 北沙参 川贝母 诃子皮 蔗浆 甜杏仁
熬膏。
患者形体与脉象均显虚弱,没有饥饿感且无法进食。对于因长期劳累导致虚损的人体,若遭遇深秋凉气从外部侵袭,会引动体内潜伏的病邪,在内蒸腾从而产生烦躁和口渴的症状,这已不再是柴胡、黄芩、半夏所能主治的证候。此时急需急救津液,以清除潜伏的病邪。
处方:竹叶、生地黄、梨汁、连翘、麦冬、蔗汁。
若不治疗失血症状,而单独针对时令的湿邪进行治疗,病情得以减轻。凡是六淫之气有过胜必然会有报复性的反应,湿气去除后燥气便会到来。新秋时节暴热的暑气灼伤津液,应当先滋养胃阴,等到白露节气之后可以制定调理的方剂。
处方:麦冬、人参、大枣、半夏、生甘草、粳米。
脉象虚数,身体发冷,心中烦热,五更过后气机上逆引发咳嗽呛咳。正值秋分节气,燥金当令,在大热发泄之余,各种因素都能化生为燥。肺是娇嫩的脏器,位置最处于上焦,最先受到燥气的冲击,适宜用润燥的方法来滋养生化的源头。
处方:冬桑叶、南花粉(天花粉)、生薏苡仁、大沙参、玉竹、蜜炙橘红。
用法:取白糯米三合,淘洗干净,用流动的水浸泡,取极清澈的汤液,代替水来煎服药物。
夜间咳嗽略微减少,随即能够短暂入睡闭目休息。温邪内热,津液被劫夺,已经属于化燥的状态。而秋季的天气下降,改变颜色;肺的位置最高,上焦首先受邪。大凡湿气由地面升腾,燥气从天降下,这是确定的道理。如今皮肤粗糙如鳞甲交错,肌肉消减消瘦,没有比这更快的了。这里论述气分的主治原则,是因为上焦主司气机。建议采用喻嘉言的方子,减去活血的药物,以清燥专门治理上焦。
处方:经霜桑叶、玉竹、甜杏仁、枇杷叶、甜梨皮、花粉(将滤入的生石膏末二钱加入)。
初秋时节咽痛并引发呛咳,这是气交之中暑热燥气通过呼吸进入人体。肺的位置最高,清空的功能失调,只有轻清的药物才能解除病邪。如果用药过于苦辛寒凉,会损伤胃气导致食欲减退,而上焦仍然闭塞不通。古人说“金空则有声”,声音嘶哑且脉象数急,有肺痿的忧虑。
处方:甜水梨、紫菀(此处原文为兜铃,即紫菀或马兜铃,结合语境及常用配伍,通常指润肺止咳之品,保留原名兜铃)、北沙参、川贝母、诃子皮、蔗浆、甜杏仁。
制法:熬制成膏剂。
The patient's physical appearance and pulse are both deficient, with no sense of hunger and an inability to eat. In individuals debilitated by chronic overexertion, when cool air from late autumn invades from the exterior, it stirs up latent pathogens within, causing internal steaming that leads to irritability and thirst. This is no longer a syndrome treatable with Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), or Banxia (Pinelliae Rhizoma). It is urgent to rescue the body fluids and clear the latent pathogens.
Prescription: Zhuye (Bambusae Folium), Shengdi (Rehmanniae Radix), Lizhi (Pyrus Juice), Lianqiao (Forsythiae Fructus), Maidong (Ophiopogonis Radix), Zhezhijie (Sacchari Canne Juice).
If hemoptysis is not treated, but only the damp pathogen of the season is targeted, the illness may subside. Whenever one of the Six Qi prevails excessively, there must be a counter-reaction; once dampness is removed, dryness arrives. The violent heat of early autumn scorches the body fluids; therefore, one should first nourish the Stomach Yin, and after the White Dew solar term, a conditioning prescription can be established.
Prescription: Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix et Rhizoma), Dazao (Jujubae Fructus), Banxia (Pinelliae Rhizoma), Shengcao (Glycyrrhizae Radix et Rhizoma), Jingsmi (Oryzae Semen).
The pulse is deficient and rapid, the body feels cold, there is irritability in the heart, and qi rebels upward causing coughing and choking after the fifth watch (3-5 AM). At the Autumn Equinox solar term, Dry Metal governs. After the release of great heat, all things tend to transform into dryness. The Lung is a delicate organ, situated highest in the Upper Jiao, and is the first to receive the impact of dryness. It is appropriate to moisten dryness to nourish the source of transformation.
Prescription: Dong Sangye (Mori Folium), Nan Huafen (Trichosanthis Radix), Sheng Yiren (Coicis Semen), Da Shashen (Adenophorae Radix), Yuzhu (Polygonati Odorati Rhizoma), Mi Zhi Juhong (Citri Reticulatae Pericarpium Flavum).
Usage: Take three he of white glutinous rice, wash thoroughly, soak in running water, extract the extremely clear liquid, and use this liquid instead of water to decoct the medicine.
Coughing has slightly decreased at night, allowing for brief sleep with eyes closed. Warm pathogens and internal heat have stolen the body fluids, leading to a state of dryness transformation. Autumn weather descends and changes color; the Lung is located highest, so the Upper Jiao is affected first. Generally, dampness rises from the earth, while dryness descends from heaven; this is a fixed principle. Now, the skin is rough and scaly like fish scales, and muscles are wasted; nothing happens faster than this. Here, we discuss the treatment of the Qi aspect, as the Upper Jiao governs Qi. We propose using Yu Shi's formula, removing blood-invigorating herbs, to specifically address dryness in the Upper Jiao.
Prescription: Jing Shuang Sangye (Mori Folium exposed to frost), Yuzhu (Polygonati Odorati Rhizoma), Tian Xingren (Armeniacae Semen Amarum), Pipaye (Eriobotryae Folium), Tian Lipi (Pyrus Pericarpium), Huafen (Trichosanthis Radix) [add Er Qian of filtered Shigao powder (Gypsum Fibrosum)].
In early autumn, sore throat and choking occur because summer heat and dry qi enter through respiration during the interaction of Qi. The Lung is located highest, and its clearing function is impaired; only light and clear herbs can resolve this. If medicines are too bitter, acrid, and cold, they damage the Stomach, reduce appetite, and leave the Upper Jiao obstructed. The ancients said, "When metal is empty, there is sound"; hoarseness and a rapid pulse suggest concerns about Fei Wei (Lung Withering).
Prescription: Tian Shui Li (Sweet Water Pear), Douling (Stemonae Radix or Aristolochiae Fructus - retaining original name), Beishashen (Glehniae Radix), Chuan Beimu (Fritillariae Cirrhosae Bulbus), Hezipi (Terminaliae Chebulae Pericarpium), Zhejiang (Sacchari Canne Juice), Tian Xingren (Armeniacae Semen Amarum).
Preparation: Decoct into a paste.