(张介宾《新方八阵》) 治伤寒阴暑,邪不能散。此麻、桂二汤之变方也。
官桂(一二钱) 麻黄(二三钱) 当归(三四钱) 甘草(一钱) 陈皮(随宜用或
不用亦可) 生姜(五七片或十片) 水一钟半,煎八分,去浮沫,不拘时服。若元气大虚,
阴邪难解者,当以大温中饮更迭为用。
〔附〕大温中饮(张介宾《新方八阵》) 治阳虚伤寒;并一切四时劳倦寒疫之证,身
虽发热,时犹畏寒,即在夏月,亦欲衣被覆盖,或喜热汤,或兼呕泄,但六脉无力者。此为
元阳大虚,正不胜邪之候,所谓“温中自可散寒”,即此方也。
熟地(三五七钱) 人参(二五七钱甚者一两或不用亦可) 肉桂(一二钱) 白术(三
五钱) 当归(三五钱如泄泻者不宜用或以山药代之) 柴胡(二三四钱) 麻黄(一二三
钱) 炙草(一钱)
干姜(炒熟一二钱或用煨生姜三五七片亦可) 水二钟,煎七分,去浮沫,温服,或略
盖取微汗。(如气虚甚,加黄 二三钱。如寒甚阳虚者,加附子一二钱。按∶方中柴胡、熟
地,与温中之义不符,呕恶泄泻者,非所宜也,必与附子同用,庶乎不寒不滞。)
麻桂饮中归草陈,加姜煎服汗津津。(但取津津微汗透出为度)伤寒阴暑邪难散,用此
医之效甚佳。(旭高按∶此亦麻、桂二汤之变方,较海藏神术散尤为得旨。当归、陈皮入发
汗药中,是调血而理气。盖汗由血化,亦必气机通达,而后能透出。凡患伤寒体气稍虚者,
当引用之。)大温中饮再加术,人参熟地柴胡伦。(大温中饮即麻桂饮加参、柴、地、术。)
脉细畏寒阴气胜,阳虚温托始回春。(凡阳虚阴胜,非用温中托邪,则寒凝日深,必致不救。)
(出自张介宾《新方八阵》)治疗伤寒阴暑证,邪气不能发散。这是麻黄汤、桂枝汤的变方。
官桂(一二钱) 麻黄(二三钱) 当归(三四钱) 甘草(一钱) 陈皮(根据情况使用或不用也可以) 生姜(五七片或十片) 用水一钟半,煎至八分,去掉浮沫,不拘时间服用。如果元气大虚,阴邪难以解除的,应当与大温中饮交替使用。
〔附〕大温中饮(出自张介宾《新方八阵》)治疗阳虚伤寒;以及一切四季因劳倦感受寒疫的病证,身体虽然发热,但仍然怕冷,即使在夏天,也想要用衣被覆盖,或者喜欢喝热汤,或者兼有呕吐泄泻,只要六脉无力的。这是元阳大虚,正气不能战胜邪气的表现,所谓“温中自可散寒”,就是这个方子。
熟地黄(三五七钱) 人参(二五七钱,严重的用一两,或者不用也可以) 肉桂(一二钱) 白术(三五钱) 当归(三五钱,如果有泄泻的不宜用,或者用山药代替) 柴胡(二三四钱) 麻黄(一二三钱) 炙甘草(一钱)
干姜(炒熟一二钱,或者用煨生姜三五七片也可以) 用水二钟,煎至七分,去掉浮沫,温服,或者稍微盖被子取微汗。(如果气虚严重,加黄芪二三钱。如果寒甚阳虚的,加附子一二钱。按:方中柴胡、熟地黄,与温中的意义不符,对于呕吐恶心泄泻的人,不适宜使用,必须与附子同用,才不至于寒凉凝滞。)
麻桂饮中加入当归、甘草、陈皮,加生姜煎服后汗出津津。(只要取得微微出汗透出的程度即可)伤寒阴暑邪气难散,用这个方子医治效果很好。(旭高按:这也是麻黄汤、桂枝汤的变方,比海藏神术散更为得法。当归、陈皮加入发汗药中,是调和血液而调理气机。因为汗由血化生,也必须气机通达,然后才能透出。凡是患伤寒体质稍虚的人,应当引用此方。)大温中饮再加白术,人参、熟地黄、柴胡相配。(大温中饮就是麻桂饮加上人参、柴胡、熟地黄、白术。)脉象细弱怕冷阴气胜,阳虚温托始回春。(凡是阳虚阴盛,如果不使用温中托邪的方法,那么寒凝就会日益加深,必然导致无法救治。)
(From Zhang Jiebin's *Xin Fang Ba Zhen*) Treats cold damage (Shanghan) with yin-summerheat, where the pathogenic factor cannot be dispersed. This is a modified formula of Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction).
Guigui (Cinnamomi Cortex, 1-2 qian) Mahuang (Ephedrae Herba, 2-3 qian) Danggui (Angelicae Sinensis Radix, 3-4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Chenpi (Citri Reticulatae Pericarpium, use as appropriate or omit) Shengjiang (Zingiberis Rhizoma Recens, 5-7 slices or 10 slices) Use one zhong and a half of water, decoct to eight-tenths, remove the floating foam, take at any time. If the primordial qi is severely deficient and the yin pathogen is difficult to resolve, it should be used alternately with Dawenzhong Yin (Great Warming Middle Decoction).
[Appendix] Dawenzhong Yin (Great Warming Middle Decoction) (From Zhang Jiebin's *Xin Fang Ba Zhen*) Treats yang-deficient cold damage; and all conditions of fatigue-induced cold epidemic in the four seasons, where the body is feverish but still fears cold, even in summer months desiring clothing and blankets for coverage, or preferring hot drinks, or accompanied by vomiting and diarrhea, provided the six pulses are powerless. This indicates severe deficiency of primordial yang, where righteous qi cannot overcome the pathogen, manifesting as "warming the middle can dispel cold," which refers to this formula.
Shudi (Rehmanniae Radix Praeparata, 3-5-7 qian) Renshen (Ginseng Radix, 2-5-7 qian, up to 1 liang for severe cases, or may be omitted) Rougui (Cinnamomi Cortex, 1-2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 3-5 qian) Danggui (Angelicae Sinensis Radix, 3-5 qian; not suitable if diarrhea is present, or replace with Shanyao/Dioscoreae Rhizoma) Chaihu (Bupleuri Radix, 2-3-4 qian) Mahuang (Ephedrae Herba, 1-2-3 qian) Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian)
Ganjiang (Zingiberis Rhizoma, stir-fried until cooked, 1-2 qian, or use Wei Shengjiang/Stewed Ginger, 3-5-7 slices) Use two zhongs of water, decoct to seven-tenths, remove the floating foam, take warm, or slightly cover to induce slight sweating. (If qi deficiency is severe, add Huangqi/Astragali Radix, 2-3 qian. If cold is severe and yang is deficient, add Fuzi/Aconiti Lateralis Radix Praeparata, 1-2 qian. Note: Chaihu and Shudi in this formula do not align with the principle of warming the middle; they are not suitable for those with vomiting, nausea, and diarrhea. They must be used together with Fuzi to avoid being cold and stagnant.)
Mahuang Guijia Yin contains Danggui, Gancao, and Chenpi; decoct with Shengjiang and take to induce moist sweat. (The goal is only to achieve slight, moist sweating.) For cold damage with yin-summerheat where the pathogen is hard to disperse, using this formula yields excellent results. (Xu Gao notes: This is also a modified formula of Mahuang Tang and Guizhi Tang, more accurate in intent than Haizang Shen Zhu San. The inclusion of Danggui and Chenpi in diaphoretic herbs harmonizes blood and regulates qi. Since sweat is transformed from blood, qi mechanism must be unobstructed for sweat to emerge. For those suffering from cold damage with slightly deficient constitution, this formula should be referenced.) Dawenzhong Yin adds Baizhu, along with Renshen, Shudi, and Chaihu in proper proportion. (Dawenzhong Yin is Mahuang Guijia Yin plus Renshen, Chaihu, Shudi, and Baizhu.) Fine pulse and aversion to cold indicate excess yin; warming and supporting yang restores spring-like vitality. (In cases of yang deficiency and yin excess, if warming the middle and supporting to expel pathogens is not employed, cold stagnation will deepen daily, inevitably leading to untreatable conditions.)