辛未秋孟。元犀趋保阳。承膝下欢。窃见家君公事稍暇。取伤寒、金匮等书业已三四注
者。
节劳
一十
注之
嘉庆十六年重九前一日。次男元犀识于保阳旅寓。
窃闻医之有仲景。犹儒之有孔子也。仲景治黄岐之学而综其要。犹孔子祖尧舜之道而集
其成
今
而又
字经等四种。明白简约。斟酌尽当。厥功伟矣。冢嗣古愚得其传。着长沙歌括六卷。所以便
伤寒
所谓
一
歌
生
于
道光十六年。岁次丙申春正月。愚弟江鸿升拜撰。
一、方中分两煮法服法。俱遵原本。但古今之权量不同。汉之一两。今止二钱零。予遵
程氏
如桂
味各
二枚
也。
一、每方歌括之后。必加方解。间有治法方法。意义既详于歌中者。不复于方后再解。
一、前贤名言精论。千古不磨者。本集或于歌中。或于注中。采集不遗。间有未惬于心
者。
者。
者。
一、伤寒、金匮诸方。皆出伊芳圣汤液经。说见艺文志。其方通造化之微。不可以寻常寒
温补
庵
日离
一、金匮附方。虽系后人赘入。而方引药味。却亦不凡。今其方名以仿宋字体别之。
治太阳病。其症备。身体强。KT KT 然。脉反沉迟。此为痉病。此汤主之。
栝蒌根 桂枝 生姜（切。） 芍药（各三两。） 甘草（二两。炙。） 大枣（十二
枚。擘。）
上六味 咀。以水九升。微火煮取三升。温分三服。微汗。汗不出。食顷啜热粥发。
歌曰 太阳症备脉（反）沉迟。身体KT KT 欲痉时。三两蒌根姜桂芍。二甘十二枣
枚宜。
元犀按。痉是血虚筋燥为病。言湿者。是推其未成痉之前。湿气挟风而郁成内热也。本
条云
加栝蒌
燥而痉
又按。方中姜、桂合甘、枣为辛甘化阳。芍药合甘、枣为苦甘化阴。阴阳和则得微汗而
邪解矣。啜粥则又资阳明之谷气以胜邪。更深一层立法。但项背KT KT 脉浮数者。为风
淫于外而内之津液未伤。故加葛根以宣外。脉沉迟者。为风淫于外而内之津液已伤。故加栝
蒌根以滋内。以栝蒌根苦寒润燥之功大也。内经云。肺移热于肾。传为柔痉。庞安常谓此方
栝蒌根不主
辛未年秋初，元犀前往保定探望父亲，承蒙膝下承欢。私下见到家父公务稍有空闲时，选取《伤寒论》、《金匮要略》等书籍中已被注释过三四次的篇章，加以节劳重新注释。
嘉庆十六年九月初十前一天，次子元犀记于保定旅居之处。
我听说医生中有张仲景，就像儒家有孔子一样。张仲景继承并综合了黄帝、岐伯的医学理论以抓住其要点，就像孔子效法尧舜的道统而集其大成。如今又有了字经等四种著作，明白简约，斟酌得当，其功绩伟大啊。长子古愚继承了这一学问，撰写了《长沙歌括》六卷，以便于学习《伤寒论》。所谓……（原文此处有缺漏或排版错误，依文意补全逻辑）……道光十六年，岁次丙申春正月，愚弟江鸿升拜撰。
一、方剂中的分量、煎煮方法和服用方法，都遵循原本。只是古今的重量标准不同，汉代的一两，现在只相当于二钱多一点。我遵循程氏……（原文此处有缺漏）……如桂枝……味道各……二枚……也。
一、每首方剂的歌诀之后，必定加上方解。间或有治疗方法和方法的意义已经在歌诀中详细说明的，就不再在方解后重复解释。
一、前贤的名言精论，千古不朽的，本集或在歌诀中，或在注释中，采集无遗漏。间或有不符合我心意的……（原文此处有缺漏）……者。
一、《伤寒论》、《金匮要略》诸方，都出自伊尹《汤液经》，说法见《艺文志》。这些方剂通晓造化的微妙，不可以用寻常的寒温补泻……（原文此处有缺漏）……庵……日离……来衡量。
一、《金匮要略》附方，虽然是后人添加进去的，但方中所引药味，却也不凡。现在将其方名以仿宋字体区别开来。
治疗太阳病，症状具备，身体强直，[僵硬]然，脉象反而沉迟，这是痉病（痉挛性疾病）。此汤主治。
栝蒌根 桂枝 生姜（切。） 芍药（各三两。） 甘草（二两，炙。） 大枣（十二枚，擘开。）
以上六味药，切碎。用水九升，用微火煮取三升。温服，分三次服用。微微出汗。如果汗不出，饭后片刻喝热粥以助发汗。
歌诀曰：太阳症备脉（反）沉迟，身体[僵硬]欲痉时。三两蒌根姜桂芍，二甘十二枣枚宜。
元犀按语：痉病是血虚筋脉失养干燥所致的疾病。说涉及湿气的，是推测在尚未形成痉病之前，湿气挟带风邪而郁结化生内热。本条经文云……（原文此处有缺漏）……加栝蒌……燥而痉……
又按语：方中生姜、桂枝合甘草、大枣为辛甘化阳；芍药合甘草、大枣为苦甘化阴。阴阳调和则能微微出汗而邪气解除。喝热粥则是资助阳明胃气的谷气以战胜邪气，这是更深一层的立法。但是项背[僵硬]且脉浮数的，是风邪淫溢于外而体内津液未伤，所以加葛根以宣散外邪。脉沉迟的，是风邪淫溢于外而体内津液已伤，所以加栝蒌根以滋养内在。因为栝蒌根具有苦寒润燥的大功效。《内经》说：肺将热移于肾，传变为柔痉。庞安常认为此方栝蒌根不主……（原文此处截断）
In the early autumn of the Xinwei year, Yuanxi went to Baoyang to visit his father, enjoying the joy of being at his knees. He privately observed that when his father had some leisure from official duties, he would select books such as *Shanghan Lun* (Treatise on Cold Pathogenic Diseases) and *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet), which had already been annotated three or four times, and re-annotate them with effort.
The day before the Double Ninth Festival in the 16th year of the Jiaqing reign, the second son Yuanxi recorded this at his lodging in Baoyang.
I have heard that among physicians, there is Zhang Zhongjing, just as among Confucians, there is Confucius. Zhang Zhongjing inherited and synthesized the medical theories of Huangdi (Yellow Emperor) and Qibo, grasping their essentials, just as Confucius modeled himself after the Way of Yao and Shun and collected their achievements. Now, there are also four works such as *Zijing*, which are clear, concise, and well-considered; his merit is great. The eldest son Guyu inherited this transmission and wrote *Changsha Ge Kua* (Song Verses of Changsha) in six volumes, to facilitate the study of *Shanghan Lun*. ... In the spring of the first month of the Bing Shen year, 16th year of Daoguang, your humble brother Jiang Hongsheng respectfully composed this.
1. The dosages, decoction methods, and administration methods in the formulas all follow the original texts. However, the standards of weight measurement differ between ancient and modern times. One tael in the Han Dynasty corresponds to a little over two qian today. I follow the method of Cheng Shi... for example, Guizhi... each flavor... two pieces...
2. After the song verse of each formula, a formula explanation is necessarily added. Occasionally, if the therapeutic methods and meanings are already detailed in the song verse, they are not explained again after the formula.
3. The famous sayings and profound discussions of former sages, immortal for millennia, are collected in this compilation either in the song verses or in the annotations without omission. Occasionally, there are those that do not fully satisfy my mind...
4. The various formulas in *Shanghan Lun* and *Jingui Yaolue* all originate from Yi Yin's *Tangye Jing* (Classic of Decoctions), as stated in the *Yiwen Zhi* (Bibliography). These formulas comprehend the subtleties of creation and cannot be judged by ordinary cold-warm-tonic-draining methods... An... Ri Li...
5. The attached formulas in *Jingui Yaolue*, although added by later authors, contain medicinal ingredients that are also extraordinary. Their formula names are now distinguished by Song-style font.
Treating Taiyang disease (disease of the Taiyang channel), where symptoms are complete, the body is stiff and rigid, [stiff], and the pulse is unexpectedly deep and slow, this is Jing disease (spasm disorder). This decoction is the primary treatment.
Gualou Gen (Trichosanthes Root), Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger, sliced), Shaoyao (White Peony Root) (each 3 liang), Gancao (Licorice Root, roasted) (2 liang), Dazao (Jujube) (12 pieces, split open).
The above six ingredients are crushed. Boil in 9 sheng of water, using low heat until 3 sheng remain. Take warm, divided into three doses. Aim for slight sweating. If sweat does not occur, drink hot porridge shortly after eating to induce sweating.
Song Verse: Taiyang symptoms complete, pulse unexpectedly deep and slow; Body [stiff], about to spasm. Three taels of Gualou Gen, Ginger, Cinnamon Twig, and Peony; Two taels of Licorice, twelve Jujubes are suitable.
Yuanxi notes: Jing disease is caused by blood deficiency leading to dryness of the sinews. Mentioning dampness refers to speculating on the state before the formation of Jing disease, where dampness combines with wind to stagnate and generate internal heat. The original text states... add Gualou... dryness and spasm...
Furthermore, in the formula, Shengjiang and Guizhi combined with Gancao and Dazao transform into Yang through Pungent-Sweet interaction; Shaoyao combined with Gancao and Dazao transforms into Yin through Bitter-Sweet interaction. When Yin and Yang harmonize, slight sweating occurs and pathogens are resolved. Drinking porridge further nourishes the Grain Qi of the Yangming Stomach to overcome pathogens, representing a deeper level of prescription strategy. However, if there is stiffness in the neck and back with a floating and rapid pulse, it indicates Wind pathogen overflowing externally while internal fluids are not yet damaged, so Gegen (Kudzu Root) is added to disseminate external pathogens. If the pulse is deep and slow, it indicates Wind pathogen overflowing externally while internal fluids are already damaged, so Gualou Gen is added to nourish internally. This is due to the significant bitter-cold moistening and drying-resolving efficacy of Gualou Gen. The *Neijing* states: Lung transferring heat to Kidney transmits to become Rou Jing (soft spasm). Pang Anchang believes that in this formula, Gualou Gen does not primarily...