上一味以水三升煮取一升半去滓温服七合日二服
一名甘桔汤宋仁宗名如圣汤即甘草汤加桔梗(一两)金匮治肺痈咳而胸满振寒脉数咽
时出浊唾腥臭久久吐脓如米粥者服之则吐脓血也亦治血痹
按成无己云阳邪传于少阴邪热为咽痛服甘草汤则瘥若寒热相搏为咽痛者服甘草汤若不瘥
与桔
诃子皮(二钱)煎去滓饮清名诃子散治失音无声○如咳逆上气者加陈皮○如涎嗽者加知母贝
母○如酒毒者加葛根○如少气者加人参麦门冬○如唾脓血者加紫菀○如疫毒肿者加鼠粘子大
黄○如咳渴者加五味子○如呕者加生姜半夏○如目赤者加栀子大黄○如胸满膈不利者加枳壳
○如不得眠者加栀子○如心胸痞者加枳实○如肤痛者加黄 ○如面目肿者加茯苓○如咽痛者
加鼠粘子竹茹○如肺痿者加阿胶能续气○如发 者加防风荆芥○如声不出者加半夏
用大黄(四两)甘草(一两)水三升煮取一升温服治内热炽盛幽门不通上冲吸门食
出
即甘桔汤加连翘薄荷山栀黄芩入竹叶煎服治热肿喉痹春倍加防风夏倍加黄芩知母季
雨倍加羌活秋加桂(五钱)冬加桂(一两)以意消息随证加减用之治热在上焦身热脉洪无汗
多渴者
取上一味药,用水三升煎煮,取汁一升半,滤去药渣,温服七合,每日服用两次。
此方又名甘桔汤,宋仁宗赐名为如圣汤。即在甘草汤的基础上加入桔梗(一两)。《金匮要略》用于治疗肺痈,症状表现为咳嗽、胸中胀满、恶寒战栗、脉数、咽喉干燥,时而吐出浑浊且带有腥臭味的唾液,久病则吐出如米粥状的脓液;服用此方后,可促使脓血排出。同时也用于治疗血痹。
据成无己所述,阳邪传入少阴经,邪热导致咽喉疼痛,服用甘草汤即可痊愈;若是寒热之邪相互搏结导致的咽喉疼痛,服用甘草汤若不见效,可给予桔梗……诃子皮(二钱)煎煮,滤去药渣,清饮,名为诃子散,治疗失音无声。○如果伴有咳逆上气,加陈皮。○如果有痰嗽,加知母、贝母。○如果是酒毒所致,加葛根。○如果气短,加人参、麦门冬。○如果唾出脓血,加紫菀。○如果是疫毒肿,加鼠粘子(牛蒡子)、大黄。○如果咳嗽且口渴,加五味子。○如果呕吐,加生姜、半夏。○如果目赤,加栀子、大黄。○如果胸中胀满、膈部不利,加枳壳。○如果无法入睡,加栀子。○如果心胸痞塞,加枳实。○如果皮肤疼痛,加黄芩。○如果面目浮肿,加茯苓。○如果咽喉疼痛,加鼠粘子、竹茹。○如果是肺痿,加阿胶,能接续元气。○如果发斑疹,加防风、荆芥。○如果声音不出,加半夏。
用大黄(四两)、甘草(一两),水三升煎煮取汁,温服,治疗内热炽盛、幽门不通、邪气上冲吸门、食物反出。
枳壳(五两)、甘草(二两),研为末,用葱白汤调服,治疗腰背部气动引发的疼痛。
即甘桔汤加入连翘、薄荷、山栀、黄芩,入竹叶煎服,治疗热肿喉痹。春季加倍使用防风,夏季加倍使用黄芩、知母,雨季加倍使用羌活,秋季加入桂枝(五钱),冬季加入桂枝(一两),根据病情灵活斟酌,随证加减使用,治疗热邪在上焦,身体发热、脉象洪大、无汗、多渴者。
Take the aforementioned single herb, decoct with three *sheng* (approx. 600ml) of water until reduced to one and a half *sheng*, strain the dregs, and take seven *ge* (approx. 140ml) warm, twice daily.
This formula is also known as Ganjie Tang (Licorice and Platycodon Decoction), named Rusheng Tang (Like-Sage Decoction) by Emperor Renzong of Song. It consists of Gancao Tang (Licorice Decoction) plus Jiegeng (Platycodonis Radix, 1 liang). *Jingui Yaolue* indicates its use for Lung Abscess (Fei Yong), characterized by cough, chest fullness, aversion to cold with shivering, rapid pulse, dry throat, occasional expectoration of turbid saliva with a foul odor, and long-standing expectoration of pus resembling rice porridge; administration promotes the expulsion of pus and blood. It is also used to treat Blood Bi (Blood Stasis Obstruction).
Cheng Wuji stated that when Yang pathogenic factors transmit to the Shaoyin channel, causing sore throat due to pathogenic heat, Gancao Tang suffices for recovery. If sore throat results from the struggle between Cold and Heat, and Gancao Tang proves ineffective, administer Jiegeng... Heqizi Pi (Pericarpium Arecae Semen, 2 qian) decocted, strained, and drunk clear, named Heqizi San (Areca Peel Powder), treating aphonia (loss of voice). ○ For cough with rebellious Qi, add Chenpi (Tangerine Peel). ○ For phlegm-cough, add Zhimu (Anemarrhenae Rhizoma) and Beimu (Fritillariae Bulbus). ○ For alcohol toxicity, add Gegen (Puerariae Radix). ○ For shortness of breath, add Renshen (Ginseng Radix) and Maimendong (Ophiopogonis Radix). ○ For expectoration of pus and blood, add Ziwan (Asternis Radix). ○ For epidemic toxin swelling, add Shuniuzi (Arctii Fructus) and Dahuang (Rhei Radix et Rhizoma). ○ For cough with thirst, add Wubeizi (Terminalia Chebulae Fructus). ○ For vomiting, add Shengjiang (Zingiberis Rhizoma Recens) and Banxia (Pinelliae Rhizoma). ○ For red eyes, add Zhizi (Gardeniae Fructus) and Dahuang. ○ For chest fullness and diaphragmatic obstruction, add Zhiqiao (Aurantii Fructus). ○ For insomnia, add Zhizi. ○ For epigastric stuffiness, add Zhishi (Aurantii Fructus Immaturus). ○ For skin pain, add Huangqin (Scutellariae Radix). ○ For facial and ocular edema, add Fuling (Poria). ○ For sore throat, add Shuniuzi and Zhuru (Bambusae Caulis in Taeniam). ○ For Lung Flaccidity (Fei Wei), add Ejiao (Colla Corii Asini), which can replenish Qi. ○ For eruption of macules/rashes, add Fangfeng (Saposhnikoviae Radix) and Jingjie (Schizonepetae Herba). ○ For inability to speak, add Banxia.
This is Ganjie Tang plus Jingjie and Shengjiang, treating sore throat and swelling, aphonia, and severe throat pain.
Equal parts of Jiegeng, Gancao, and Zhizhi are used to treat irritability due to smallpox/chickenpox lesions.
Dahuang (4 liang) and Gancao (1 liang) are decocted with three *sheng* of water, taken warm, treating intense internal heat, obstruction of the pylorus, upward rushing of Qi to the atrium, and regurgitation of food.
Zhiqiao (5 liang) and Gancao (2 liang) are powdered and taken with Congbai (Allii Fistulosi Bulbus) decoction, treating pain arising from Qi movement in the lower back and back.
Equal parts of Zhiqiao and Jiegeng are decocted in water and taken warm, treating epigastric stuffiness without pain.
This is Zhijie Tang (Bitter Orange and Platycodon Decoction) plus Gancao and Fangfeng, decocted in water, treating sores on the mouth and tongue, and ulcers in the throat.
This is Ganjie Tang plus Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), Shanzhi (Gardeniae Fructus), and Huangqin, decocted with Zhuye (Phyllostachys Viridis Folium), treating hot swelling and throat bi (obstruction). In spring, double the dosage of Fangfeng; in summer, double Huangqin and Zhimu; during rainy seasons, double Qianghuo (Notopterygii Rhizoma et Radix); in autumn, add Guizhi (Cinnamomi Ramulus, 5 qian); in winter, add Guizhi (1 liang). Adjust flexibly according to symptoms. It treats Heat in the Upper Jiao, manifesting as fever, surging pulse, absence of sweating, and excessive thirst.