治中风手足拘急。百节疼痛。烦热心乱。恶寒。经日不欲饮食。
麻黄(五分。) 独活(四分。) 细辛(二分。) 黄 (二分。) 黄芩(三分。)
上五味。以水六升。煮取二升。分温三服。一服小汗。二服大汗。心热。加大黄二分。
腹满
附子一
歌曰 风乘火势乱心中。节痛肢拘络不通。二分 辛四分独。黄芩三分五麻攻。
加减歌曰 二分黄加心热端。消除腹满枳枚单。虚而气逆宜参补。牡蛎潜阳悸可安。增
入蒌
元犀按。此附治风中太少。通护阴阳。驱邪之方也。足太阴属脾。主四肢手足拘急恶寒。
经
阴
清
参
治风虚头重眩。苦极不知食味。暖肌补中。益精气。
白术(二两。) 附子(一枚半。炮去皮。) 甘草(三两。炙。)
上三味锉。每五钱匕。生姜五片。大枣一枚。水盏半。煎七分。去滓温服。
歌曰 一剂分服五钱匕。五片生姜一枣饵。枚半附子镇风虚。二术一草君须记。
喻嘉言云。此方全不用风药。但以附子暖其水脏。术、草暖其土脏。水土一暖。则浊阴
之
(歌见水气病。) 治肉极热。则身体津脱。腠理开而汗大泄。厉风气。下
麻黄(六两。) 石膏(半斤。) 甘草(二两。) 生姜(三两。) 白术(四两。) 大
枣
上六味。以水六升。先煮麻黄。去上沫。内诸药。煮取三升。分温三服。恶风。加附子
一枚
元犀按。方中术、甘、姜、枣。所以维正气之根。不使阳随汗出。阴随热化也。恶风加
附子者。所以预防其亡阳也。
治疗中风导致的手足拘挛抽搐,全身关节疼痛,心中烦热且神志紊乱,怕冷,过了几天不想吃东西。
麻黄(五分),独活(四分),细辛(二分),黄芪(二分),黄芩(三分)。
以上五味药,用水六升,煮取二升药液,分三次温服。第一次服用后微微出汗,第二次服用后大汗出。如果心中烦热,加大黄二分;如果有腹部胀满,加附子一枚。
歌诀说:风邪乘火势扰乱心神,关节疼痛肢体拘挛经络不通。二分细辛四分独活,三分黄芩五分麻黄共同攻邪。
加减歌诀说:加二分黄芡实以治心热之症,消除腹满单用枳实一枚。气虚而气逆适宜用人参补益,牡蛎潜阳可使心悸安定。增加入栝楼根、犀角。
尤在泾按语:此方主治风邪中于太阳和少阴经,通护阴阳,是驱除邪气的方剂。足太阴脾经属脾,主四肢,手足拘急恶寒是由于太阴经受邪所致。
治疗风虚导致的头重眩晕,痛苦至极不知食物味道,温暖肌肉补益中气,增益精气。
白术(二两),附子(一枚半,炮制去皮),甘草(三两,炙烤)。
以上三味药切碎,每次取五钱匕的药量,加生姜五片,大枣一枚,水一盏半,煎至七分,去渣滓温服。
歌诀说:一剂药分五次服用,每次五钱匕,吃五片生姜和一枚大枣。一枚半的附子镇伏风虚,记住白术二两、甘草一两为君药。
喻嘉言说:此方完全不用祛风药,只是用附子温暖肾水之脏,白术、甘草温暖脾土之脏。水土一旦温暖,则浊阴之气自降。
治疗香港脚(脚气病)上行侵入少腹部导致麻木不仁。(即肾气丸,见妇人杂病篇。)
(歌诀见水气病篇。)治疗肉极热证,则身体津液脱失,腠理开泄而大汗淋漓,感受厉风气,向下……
麻黄(六两),石膏(半斤),甘草(二两),生姜(三两),白术(四两),大枣(擘开)。
以上六味药,用水六升,先煮麻黄,去掉上面的浮沫,加入其他药物,煮取三升药液,分三次温服。如果怕风,加附子一枚。
尤在泾按语:方中的白术、甘草、生姜、大枣,是用来维护正气之根本,不让阳气随汗而出,阴液随热而化。怕风加附子的原因,是为了预防阳气亡脱。
Treats wind-stroke with spasticity and stiffness of the hands and feet, pain in all joints, vexation and heat in the heart with mental confusion, aversion to cold, and loss of appetite after several days.
Ephedrae Herba (Mahuang, 麻黄) (5 fen), Aquilegiae Radix (Duhuo, 独活) (4 fen), Asari Radix (Xixin, 细辛) (2 fen), Astragali Membranacei Radix (Huangqi, 黄芪) (2 fen), Scutellariae Radix (Huangqin, 黄芩) (3 fen).
The above five herbs are decocted in six sheng of water to obtain two sheng of liquid. Divide into three warm doses. The first dose induces slight sweating; the second dose induces profuse sweating. If there is heat in the heart, add Rhizoma Coptidis (Dahuang, 大黄) (2 fen); if there is abdominal fullness, add Radix Aconiti Lateralis Preparata (Fuzi, 附子) (one piece).
Song says: Wind exploits fire energy to disturb the heart center; joint pain and limb spasm indicate blocked collaterals. Two fen of Asari, four fen of Aquilegia; three fen of Scutellaria and five fen of Ephedra attack together.
Modification song says: Add two fen of Radix Puerariae (Gegen, 葛根 - *Note: Text says Huanglian/Huangqi context but song implies modification for heart heat, traditionally Huanglian or similar, but text explicitly lists 'Huang' which might be a typo for Huanglian or refers to the previous Huangqi? Context suggests adding something for heat. The text says "Er fen Huang jia xin re duan". Given the list had Huangqi, this might be a typo for Huanglian or referring to another herb not listed in main formula. However, strictly translating text: Add two fen of [Herb starting with Huang] to end heart heat.*) Eliminate abdominal fullness using single Zhi Shi (Fructus Aurantii Immaturus) one piece. For deficiency with rebellious qi, suitable to tonify with Ginseng Radix (Renshen, 人参); Oyster Shell (Muli, 牡蛎) subdues yang, palpitations can be calmed. Increase addition of Fructus Trichosanthis (Gualou, 栝楼) and Cornu Bubali (Shexiang/Rhino horn? Text says Xiyuan, likely Cornu Bubali Shexiang or similar cooling agent, usually Shexiang is musk, Xiyuan is Rhino Horn. In modern context, substitute used. Text says Yuanxi An, so it's commentary. The song mentions "Zeng ru lou yuan xi", meaning add Gualou and Xiyuan (Rhino Horn/Cornu Bubali)).
You Zaijing's commentary: This formula treats wind striking the Taiyang and Shaoyin meridians, protecting both yin and yang, a method to drive out pathogenic factors. The Foot-Taiyin Spleen meridian belongs to the Spleen, governing the four limbs; spasticity and aversion to cold of the hands and feet stem from the Taiyin meridian.
Treats wind-deficiency causing heavy head and vertigo, extreme suffering such that food taste is unknown; warms muscles and tonifies the middle, benefits essence and qi.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (2 liang), Prepared Radix Aconiti Lateralis (Fuzi, 附子) (1.5 pieces, processed, peeled), Processed Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (3 liang, honey-fried).
The above three herbs are chopped. Each time take five qianbi (a measure), add five slices of Fresh Ginger (Shengjiang, 生姜) and one Jujube (Dazao, 大枣). Decoct in one and a half cups of water until seven parts remain, strain, and take warm.
Song says: One dose divided into five servings of five qianbi each; five slices of ginger and one jujube as bait. One and a half pieces of Fuzi suppress wind-deficiency; remember Baizhu two liang and Gancao one liang as sovereign herbs.
Yu Jiayan said: This formula uses no wind-dispelling herbs at all. It merely uses Fuzi to warm the Water organ (Kidney), and Baizhu and Gancao to warm the Earth organ (Spleen). Once the Water and Earth are warmed, turbid yin descends naturally.
Treats Hongjiao (Gout/Feet weakness) ascending into the lower abdomen causing numbness. (This is Shenqi Wan, see Women's Miscellaneous Diseases.)
(Song appears in Water-Qi Disease chapter.) Treats extreme heat in flesh, resulting in depletion of body fluids, opening of cou-li (pores) and profuse sweating, contracting severe wind pathogens, descending...
Ephedrae Herba (Mahuang, 麻黄) (6 liang), Gypsum Fibrosum (Shigao, 石膏) (0.5 jin), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang), Fresh Ginger (Shengjiang, 生姜) (3 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (4 liang), Jujube (Dazao, 大枣) (torn open).
The above six herbs are decocted in six sheng of water. First boil Mahuang, remove the foam on top, then add the remaining herbs. Boil to obtain three sheng of liquid. Divide into three warm doses. If there is aversion to wind, add one piece of Radix Aconiti Lateralis Preparata (Fuzi, 附子).
You Zaijing's commentary: The Baizhu, Gancao, Shengjiang, and Dazao in the formula serve to maintain the root of righteous qi, preventing yang from escaping with sweat and yin from transforming with heat. Adding Fuzi for aversion to wind is to prevent the collapse of yang.