五风初患有余证,除风汤内主羚羊,黑苓蝎尾车前子,黄芩白芍共硝黄。
除风汤方
羚羊角(二钱) 黑参(二钱) 茯苓(二钱) 蝎尾
(三分) 车前子(二钱) 黄芩(一钱) 白芍药(一钱) 芒硝(一钱) 大黄(一钱)
上为粗末,令匀,以水二盏,煎至一盏,食后去滓温服。
五风初患不足证,通明补肾决明参,生地桔车茺芍细,引经窜散少加军。
通明补肾丸方
石决明(一两) 人参(二两) 生地黄(二两) 桔梗(一两) 车前子(一两) 茺蔚子(二两)
白芍药(一两) 细辛(半两) 大黄(三钱)
上为细末,炼蜜为丸,如桐子大,空心茶清送下三钱。
已成黄风有余证,须用通脾泻胃汤,知母军芩茺蔚子,石膏栀子黑参防。
通脾泻胃汤方
知母(一钱) 大黄(一钱) 黄芩(一钱五分) 茺蔚子(一钱) 石膏(二钱) 栀子(一钱)
黑参(一钱) 防风(一钱)
上为粗末,以水二盏,煎至一盏,食后去渣温服。
已成黄风不足证,补益脾经山药丸,人参山药茯苓地,泽泻防风同作丸。
山药丸方
人参 山药 茯苓 生地黄 泽泻 防风(各一两)
上为细末,炼蜜为丸,如桐子大,空心茶清送下三钱。
已成绿风有余证,羚羊角饮黑参防,茯苓知母黄芩细,桔梗羚羊车大黄。
绿风羚羊饮
黑参(二钱) 防风(二钱) 茯苓(二钱) 知母(二钱) 黄芩(一钱) 细辛(一钱) 桔梗(二钱)
羚羊角(一钱) 车前子(一钱) 大黄(一钱)
上为粗末,以水二盏,煎至一盏,食后去渣温服。
五风初起阶段属于实证的表现,治疗应以除风汤为主,方中主要使用羚羊角。该方由黑参、蝎尾、车前子、黄芩、白芍以及硝石和大黄组成。
除风汤配方:
羚羊角(二钱) 黑参(二钱) 茯苓(二钱) 蝎尾(三分) 车前子(二钱) 黄芩(一钱) 白芍药(一钱) 芒硝(一钱) 大黄(一钱)
将上述药材捣成粗末并混合均匀,加水两盏,煎煮至一盏,饭后滤去药渣,温服。
五风初起阶段属于虚证的表现,治疗应选用通明补肾丸,方中含有决明子、人参、生地黄、桔梗、车前子、茺蔚子、白芍和细辛,并需少量加入大黄作为引经药以疏散邪气。
通明补肾丸配方:
石决明(一两) 人参(二两) 生地黄(二两) 桔梗(一两) 车前子(一两) 茺蔚子(二两) 白芍药(一两) 细辛(半两) 大黄(三钱)
将上述药材研成细末,用炼蜜制成如梧桐子大小的丸剂,空腹时用茶汁送服三钱。
病情发展已形成黄风且属于实证时,必须使用通脾泻胃汤。方中包含知母、大黄、黄芩、茺蔚子、石膏、栀子、黑参和防风。
通脾泻胃汤配方:
知母(一钱) 大黄(一钱) 黄芩(一钱五分) 茺蔚子(一钱) 石膏(二钱) 栀子(一钱) 黑参(一钱) 防风(一钱)
将上述药材捣成粗末,加水两盏,煎煮至一盏,饭后滤去药渣,温服。
病情发展已形成黄风且属于虚证时,应使用补益脾经的山药丸。方中含有的人参、山药、茯苓、生地黄、泽泻和防风共同制成丸剂。
山药丸配方:
人参 山药 茯苓 生地黄 泽泻 防风(各一两)
将上述药材研成细末,用炼蜜制成如梧桐子大小的丸剂,空腹时用茶汁送服三钱。
病情发展已形成绿风且属于实证时,应使用绿风羚羊饮,方中含有黑参、防风、茯苓、知母、黄芩、细辛、桔梗、羚羊角、车前子和大黄。
绿风羚羊饮配方:
黑参(二钱) 防风(二钱) 茯苓(二钱) 知母(二钱) 黄芩(一钱) 细辛(一钱) 桔梗(二钱) 羚羊角(一钱) 车前子(一钱) 大黄(一钱)
将上述药材捣成粗末,加水两盏,煎煮至一盏,饭后滤去药渣,温服。
In the initial stage of the "Five Winds" (a category of ophthalmic diseases characterized by wind-pathogen invasion), excess syndromes are primarily treated with Chufeng Tang (Wind-Expelling Decoction), which features Antelope Horn (Lingyangjiao). The formula consists of Heishen (Black Ginseng/Scrophulariae Radix), Scorpion Tail (Xiewei), Plantaginis Semen (Cheqianzi), Scutellariae Radix (Huangqin), Paeoniae Radix Alba (Baishao), along with Natrii Sulfas (Xiaoshi) and Rhei Radix et Rhizoma (Dahuang).
Chufeng Tang Formula:
Antelope Horn (Lingyangjiao, 2 qian) Scrophulariae Radix (Heishen, 2 qian) Poria (Fuling, 2 qian) Scorpion Tail (Xiewei, 3 fen) Plantaginis Semen (Cheqianzi, 2 qian) Scutellariae Radix (Huangqin, 1 qian) Paeoniae Radix Alba (Baishaoyao, 1 qian) Natrii Sulfas (Mangxiao, 1 qian) Rhei Radix et Rhizoma (Dahuang, 1 qian)
Grind the above herbs into a coarse powder, mix evenly. Add two cups of water, decoct until one cup remains. Strain the dregs and take warm after meals.
In the initial stage of the "Five Winds," deficiency syndromes are treated with Tongming Bushen Wan (Brightening Kidney-Nourishing Pill), which contains Concha Heterodonis (Shijueming), Ginseng (Renshen), Rehmanniae Radix (Shengdihuang), Platycodonis Radix (Jiegeng), Plantaginis Semen (Cheqianzi), Leonuri Fructus (Chongweizi), Paeoniae Radix Alba (Baishao), and Asari Radix et Rhizoma (Xixin). A small amount of Rhei Radix et Rhizoma (Dahuang) is added as a guiding herb to disperse pathogens.
Tongming Bushen Wan Formula:
Concha Heterodonis (Shijueming, 1 liang) Ginseng (Renshen, 2 liang) Rehmanniae Radix (Shengdihuang, 2 liang) Platycodonis Radix (Jiegeng, 1 liang) Plantaginis Semen (Cheqianzi, 1 liang) Leonuri Fructus (Chongweizi, 2 liang) Paeoniae Radix Alba (Baishaoyao, 1 liang) Asari Radix et Rhizoma (Xixin, 0.5 liang) Rhei Radix et Rhizoma (Dahuang, 3 qian)
Grind the above herbs into a fine powder. Make pills using refined honey, sized like paulownia seeds. Take 3 qian with tea infusion on an empty stomach.
When the condition has progressed to Yellow Wind (Huangfeng) presenting as an excess syndrome, Tongpi Xiewei Tang (Spleen-Clearing Stomach-Purging Decoction) must be used. The formula includes Anemarrhenae Rhizoma (Zhimu), Rhei Radix et Rhizoma (Dahuang), Scutellariae Radix (Huangqin), Leonuri Fructus (Chongweizi), Gypsum Fibrosum (Shigao), Gardeniae Fructus (Zhizi), Scrophulariae Radix (Heishen), and Saposhnikoviae Radix (Fangfeng).
Tongpi Xiewei Tang Formula:
Anemarrhenae Rhizoma (Zhimu, 1 qian) Rhei Radix et Rhizoma (Dahuang, 1 qian) Scutellariae Radix (Huangqin, 1.5 qian) Leonuri Fructus (Chongweizi, 1 qian) Gypsum Fibrosum (Shigao, 2 qian) Gardeniae Fructus (Zhizi, 1 qian) Scrophulariae Radix (Heishen, 1 qian) Saposhnikoviae Radix (Fangfeng, 1 qian)
Grind the above herbs into a coarse powder. Add two cups of water, decoct until one cup remains. Strain the dregs and take warm after meals.
When the condition has progressed to Yellow Wind (Huangfeng) presenting as a deficiency syndrome, Shanyao Wan (Chinese Yam Pill) for tonifying the Spleen Meridian should be used. The formula consists of Ginseng (Renshen), Dioscoreae Rhizoma (Shanyao), Poria (Fuling), Rehmanniae Radix (Shengdihuang), Alisma Rhizoma (Zexie), and Saposhnikoviae Radix (Fangfeng) made into pills.
Shanyao Wan Formula:
Ginseng (Renshen) Dioscoreae Rhizoma (Shanyao) Poria (Fuling) Rehmanniae Radix (Shengdihuang) Alisma Rhizoma (Zexie) Saposhnikoviae Radix (Fangfeng) (each 1 liang)
Grind the above herbs into a fine powder. Make pills using refined honey, sized like paulownia seeds. Take 3 qian with tea infusion on an empty stomach.
When the condition has progressed to Green Wind (Lv Feng) presenting as an excess syndrome, Lv Feng Lingyang Yin (Green Wind Antelope Horn Drink) should be used. The formula contains Scrophulariae Radix (Heishen), Saposhnikoviae Radix (Fangfeng), Poria (Fuling), Anemarrhenae Rhizoma (Zhimu), Scutellariae Radix (Huangqin), Asari Radix et Rhizoma (Xixin), Platycodonis Radix (Jiegeng), Antelope Horn (Lingyangjiao), Plantaginis Semen (Cheqianzi), and Rhei Radix et Rhizoma (Dahuang).
Lv Feng Lingyang Yin Formula:
Scrophulariae Radix (Heishen, 2 qian) Saposhnikoviae Radix (Fangfeng, 2 qian) Poria (Fuling, 2 qian) Anemarrhenae Rhizoma (Zhimu, 2 qian) Scutellariae Radix (Huangqin, 1 qian) Asari Radix et Rhizoma (Xixin, 1 qian) Platycodonis Radix (Jiegeng, 2 qian) Antelope Horn (Lingyangjiao, 1 qian) Plantaginis Semen (Cheqianzi, 1 qian) Rhei Radix et Rhizoma (Dahuang, 1 qian)
Grind the above herbs into a coarse powder. Add two cups of water, decoct until one cup remains. Strain the dregs and take warm after meals.