治伤寒解后,虚羸少气,气逆欲吐者;并治三阳合病,脉浮大在关上,但欲睡眠,合目
则汗;亦治伤暑发渴,脉虚。
竹叶(二把) 石膏(一斤)半夏(半升) 人参(二两) 麦冬(一升) 甘草(二
两) 粳米(半升) 以水一斗,煮取六升,去滓,纳米,煮米熟汤成,去米,温服一升,
日三服。
竹叶石膏汤粳米,麦冬半夏草人参。三阳合病(太阳头项痛,阳明目痛鼻干,少阳口苦
咽干胁痛,一时并见,谓之合病。)关脉大,(邪在阳明居多,故关脉浮大。)寐则盗汗此能
任。(三阳合病而盗汗出,是胃火盛而肝火乘之也。厥阴为里之阖,阳明为表之阖,二经有
火,则反开而不阖,故盗汗出。是方即人参白虎加减,大清胃火以生津,用竹叶泻肝火,半
夏通阴阳,引卫气从阳入阴,则开阖而汗即止。)伤寒病后留余热,少气虚烦吐逆寻。(此仲
景治伤寒愈后调养之方也。其法专于滋养肺胃之阴气,以复津液。盖大病之后,必有余热留
于肺胃之间,总宜清解。后人概用峻补,以留其邪,则元气不能骤复,愈补愈虚矣。)止呕
或加姜更效,(《集验》载此方加生姜止呕,最良。)脉虚伤暑渴宜斟。(暑病有虚热者宜之。
若吐
(钱仲阳《小儿药证直诀》) 治脾胃伏火,口燥唇干,口疮口臭,烦渴易饥,热在肌
肉。
石膏(五钱) 藿香(七钱) 防风(四两) 黑山栀(一两) 甘草(三两) 为末,
微炒香,蜜、酒调服。
泻黄(散)甘草与防风,石膏栀子藿香充,炒香蜜酒调和服。(栀子、石膏泻肺胃之火,
藿香辟恶去臭,甘草调中泻热。重用防风者,能发脾中之伏火,又能于土中泻木也。诸药微
炒香,则能皆入于脾。用蜜、酒调服,则能缓于中上。盖脾胃伏火,宜徐徐而泻却,非比实
火当急泻也。)口臭唇疮胃火冲,烦渴易饥(即中消证)肌肉热,(脾胃主肌肉)脾中伏火并
为功。(按∶脾中伏火,何以不用黄连?吴鹤皋谓恶其燥者,非也,乃恶其遏也。盖白虎汤
治肺胃燔灼之火,身大热烦渴而有汗者;此治脾胃郁蒸之火,肌肉热烦渴而无汗者,故加防
风、藿香,兼取火郁则发之义也。)
治疗伤寒病邪解除后,身体虚弱消瘦、气短乏力,气机上逆想要呕吐的症状;同时也治疗三阳合病,脉象在关部浮大,只想睡觉,闭上眼睛就出汗的情况;也治疗因伤暑导致口渴、脉象虚弱的情况。
竹叶(二把) 石膏(一斤) 半夏(半升) 人参(二两) 麦冬(一升) 甘草(二两) 粳米(半升)。用水一斗,煮取六升药液,滤去药渣,加入粳米,继续煮至米熟汤成,再滤去米粒,每次温服一升,每日服用三次。
【歌诀】竹叶石膏汤中用粳米,加上麦冬、半夏、甘草和人参。三阳合病(太阳经受邪出现头项痛,阳明经受邪出现目痛鼻干,少阳经受邪出现口苦咽干胁痛,这三种症状同时出现,称为合病。)关脉大(病邪多在阳明经,所以关脉浮大。)睡眠时盗汗此方能胜任。(三阳合病而出现盗汗,是因为胃火旺盛且肝火乘虚侵犯所致。厥阴经是体内的“阖”,阳明经是体表的“阖”,这两条经有火,就会反而开启而不能闭合,所以出现盗汗。这个方子是在人参白虎汤基础上加减而成,大清胃火以生津液,用竹叶清泻肝火,半夏通调阴阳,引导卫气从阳入阴,使开阖功能恢复正常,汗即停止。)伤寒病后遗留余热,气短、心中烦闷、呕吐逆气需寻找此方。(这是张仲景治疗伤寒痊愈后调养身体的方剂。其方法专门在于滋养肺胃的阴气,以恢复津液。大概大病之后,必然有余热留在肺胃之间,总宜清解。后人一概使用峻猛的补药,导致邪气留恋,元气不能迅速恢复,越补越虚。)止呕如果加生姜效果更好(《集验方》记载此方加生姜止呕,效果最好。)脉虚伤暑口渴适宜斟酌使用。(暑病中有虚热情况的适宜使用。如果是吐……)
(引自钱乙《小儿药证直诀》)治疗脾胃中潜伏的火邪,口燥唇干,口疮口臭,烦躁口渴容易饥饿,热气在肌肉层面。
石膏(五钱) 藿香(七钱) 防风(四两) 黑山栀(一两) 甘草(三两)。研为细末,轻微炒香,用蜂蜜和酒调服。
【歌诀】泻黄散由甘草与防风组成,石膏、栀子、藿香充实其中,炒香后用蜜和酒调和服用。(栀子、石膏清泻肺胃之火,藿香驱除秽恶之气去除口臭,甘草调理中焦清泻热邪。重用防风的原因,是能发散脾中潜伏的火邪,又能于土中泻木。诸药轻微炒香,则都能进入脾经。用蜜、酒调服,则能在中上焦缓慢起效。大概脾胃伏火,应当徐徐地清泻,不像实火那样需要急泻。)口臭唇疮是胃火冲逆,烦躁口渴容易饥饿(即中消证),肌肉发热(脾胃主管肌肉),共同发挥清除脾中伏火的功效。(按语:为什么治疗脾中伏火不用黄连?吴鹤皋说厌恶它的燥性,不对,是厌恶它遏制气机。大概白虎汤治疗肺胃燔灼之火,表现为身体大热、烦躁口渴且有汗;此方治疗脾胃郁蒸之火,表现为肌肉发热、烦躁口渴但无汗,所以加入防风、藿香,兼取“火郁则发”的意思。)
Treats the condition after the resolution of *Shanghan* (Cold Damage), characterized by emaciation, shortness of breath, and rebellious Qi with a desire to vomit; also treats *Sanyang Hebing* (Combined Disease of the Three Yang channels), where the pulse is floating and large at the Guan position, there is a desire to sleep, and sweating occurs upon closing the eyes; also treats thirst caused by Summerheat injury with a deficient pulse.
Zhu Ye (Bambusae Folium, two handfuls) Shigao (Gypsum Fibrosum, one jin) Banxia (Pinelliae Rhizoma, half sheng) Renshen (Ginseng Radix et Rhizoma, two liang) Maidong (Ophiopogonis Radix, one sheng) Gancao (Glycyrrhizae Radix et Rhizoma, two liang) Jingmi (Oryzae Sativa Semen, half sheng). Use ten dou of water, boil to obtain six sheng of liquid, filter out the dregs, add Jingmi, boil until the rice is cooked and the decoction is ready, remove the rice, take one sheng warm, three times daily.
[Verse] Zhu Ye Shi Gao Tang contains Jingmi, Maidong, Banxia, Gancao, and Renshen. Sanyang Hebing (Taiyang channel pathogen causes headache and stiff neck, Yangming channel pathogen causes eye pain and dry nose, Shaoyang channel pathogen causes bitter taste, dry throat, and hypochondriac pain; when these occur simultaneously, it is called Combined Disease.) Guan pulse is large (Pathogen is mostly in the Yangming channel, hence the Guan pulse is floating and large.) Sleep-induced night sweats can be managed by this formula. (Night sweats in Sanyang Hebing indicate excessive Stomach Fire attacking the Liver. Jueyin is the 'Closing' within, Yangming is the 'Closing' on the exterior; fire in these two channels causes them to remain open rather than close, leading to night sweats. This formula is a modification of Ren Shen Bai Hu Tang, clearing Stomach Fire vigorously to generate fluids, using Zhu Ye to drain Liver Fire, and Banxia to unblock Yin and Yang, guiding Wei Qi from Yang into Yin, restoring the opening and closing mechanism to stop sweating.) Residual heat remaining after Shanghan, shortness of breath, deficiency vexation, and vomiting/rebellious Qi require seeking this prescription. (This is Zhang Zhongjing's formula for convalescence after Shanghan recovery. Its method focuses on nourishing the Yin Qi of the Lung and Stomach to restore body fluids. Generally, after severe illness, residual heat remains between the Lung and Stomach, which should always be cleared and resolved. Later practitioners generally used harsh tonics, retaining the pathogen, so Yuan Qi cannot recover rapidly, resulting in greater deficiency with more tonification.) For stopping vomiting, adding Sheng Jiang (Zingiberis Rhizoma Recens) is more effective (Ji Yan Fang records adding Sheng Jiang to this formula for stopping vomiting, which is excellent.) For deficient pulse and Summerheat-induced thirst, it is suitable for consideration. (Suitable for Summerheat diseases with deficiency-heat. If vomiting...)
(Quoted from Qian Yi's *Xiao'er Yao Zheng Zhi Jue*) Treats latent Fire in the Spleen and Stomach, causing dry mouth and lips, oral ulcers and bad breath, vexation, thirst, easy hunger, and heat in the muscles.
Shigao (Gypsum Fibrosum, five qian) Huoxiang (Agastaches Herba, seven qian) Fangfeng (Saposhnikoviae Radix, four liang) Hei Shanzhi (Gardeniae Fructus, one liang) Gancao (Glycyrrhizae Radix et Rhizoma, three liang). Grind into powder, lightly stir-fry until fragrant, mix with honey and wine for administration.
[Verse] Xie Huang San consists of Gancao and Fangfeng, supplemented by Shigao, Zhizi, and Huoxiang; take mixed with honey and wine after light frying. (Zhizi and Shigao clear and drain Lung and Stomach Fire; Huoxiang dispels evil odors and removes foul smells; Gancao regulates the Middle and drains heat. Fangfeng is used in heavy dosage because it can disperse latent Fire in the Spleen and drain Wood within Earth. Lightly frying the herbs allows them to enter the Spleen channel. Using honey and wine for administration allows them to act slowly in the Middle and Upper Jiao. Latent Fire in the Spleen and Stomach should be drained gradually, unlike Excess Fire which requires urgent draining.) Bad breath and lip ulcers are due to Stomach Fire rushing upward; vexation, thirst, and easy hunger (i.e., Zhong Xiao syndrome); muscle heat (Spleen governs muscles); all contribute to eliminating latent Fire in the Spleen. (Note: Why not use Huanglian for latent Fire in the Spleen? Wu Hegao said it was to avoid its dryness, which is incorrect; it is to avoid its ability to obstruct Qi flow. Bai Hu Tang treats blazing Fire in the Lung and Stomach, presenting with high fever, vexation, thirst, and sweating; this formula treats stagnant and steaming Fire in the Spleen and Stomach, presenting with muscle heat, vexation, thirst, but no sweating. Therefore, Fangfeng and Huoxiang are added, taking advantage of the principle that "Fire stagnation should be dispersed.")