治汗后恶热谵言。心烦中满。脉浮者主之。
大黄(四两 去皮。酒洗。) 甘草(二两 炙。) 芒硝(半升)
上三味。 咀。以水三升。煮取一升。去滓。内芒硝。更上火微煮令沸。少少温服之。
歌曰 调和胃气炙甘功。硝用半升地道通。草二大黄四两足。法中之法妙无穷。
蔚按。此治病在太阳而得阳明之阳盛证也。经曰。热淫于内。治以咸寒。火淫于内。治
以苦
温服。亦取缓调之意。次男元犀按。调胃承气汤此证用之。可救服桂枝遗热入胃之误。太阳
之阳盛证用之。能泄肌热以作汗。阳明证用之。能调胃气以解微结。内台方自注云脉浮者三
字。大有意义。
治下利清谷。三阴厥逆。恶寒。脉沉而微者。此方主之。此乃温经救阳之峻剂也。
甘草(二两 炙。) 干姜(一两 半。) 附子(一枚 生用。去皮。切八片)
上三味。 咀。以水三升。煮取一升二合。去滓。分温再服。强人可大附子一枚。干姜
三两
歌曰 生附一枚两半姜。草须二两少阴方。建功姜附如良将。将将从容藉草匡。
蔚按。四逆汤为少阴正药。此证用之以招纳欲散之阳。太阳用之以温经。与桂枝汤同用
以救
次男元犀按。生附子、干姜。彻上彻下。开辟群阴。迎阳归舍。交接十二经。为斩旗夺
关之
治疗发汗后出现怕热、胡言乱语,心中烦闷、胸腹胀满,脉象浮大的病证。
大黄(四两,去皮,用酒洗) 甘草(二两,炙烤) 芒硝(半升)
以上三味药,切碎,用水三升,煮取一升药液,滤去药渣,加入芒硝,再次放在火上微煮至沸腾,少量多次温服。
歌诀说:调和胃气靠炙甘草的功劳,芒硝用半升以通地道(肠道)。甘草二两、大黄四两剂量适宜,其中的法度变化妙不可言。
魏荔彤按语:这是治疗病在太阳经却转化为阳明经阳热亢盛证候的方法。《内经》说:“热邪淫溢于内,用咸寒之品治疗;火邪淫溢于内,用苦温之品治疗。”此处用调胃承气汤,也是取缓慢调和之意。其次子元犀按语:调胃承气汤用于此证,可以补救服用桂枝汤后遗留的热邪入胃的错误。用于太阳经阳热亢盛证,能泄除肌表之热从而作汗;用于阳明经证,能调和胃气以解除轻微的结滞。《内台方议》自注中说“脉浮者”这三个字,意义深远。
治疗下利清谷(腹泻且排出未消化的食物),三阴经厥逆(四肢冰冷),怕冷,脉象沉而细微的病证。此方主治此类病证。这是温通经脉、挽救阳气峻猛的药物。
甘草(二两,炙烤) 干姜(一两半) 附子(一枚,生用,去皮,切成八片)
以上三味药,切碎,用水三升,煮取一升二合药液,滤去药渣,分两次温服。体质强壮的人可用大附子一枚,干姜三两。
歌诀说:生附子一枚、干姜一两半,甘草须用二两,这是少阴病的方剂。建功立业如同良将,将领从容不迫需依靠军师匡正辅助。
Indicated for conditions following sweating, characterized by aversion to heat, delirious speech, mental restlessness, abdominal fullness, and a floating pulse.
Rhubarb (4 liang, peeled, washed with wine) Licorice Root (2 liang, honey-fried) Mirabilite (0.5 sheng)
Crush the above three ingredients. Decoct in 3 sheng of water to obtain 1 sheng of liquid. Strain out the dregs. Add Mirabilite. Heat again gently until boiling. Take warm in small amounts frequently.
Song:
To harmonize Stomach Qi, roasted Licorice's merit is key;
Half a sheng of Mirabilite opens the earthy pathway free.
Two liang of Licorice and four of Rhubarb suffice,
The methods within are subtle, boundless their surprise.
Wei Litong's Note: This treats a condition originating in the Taiyang (Greater Yang) channel but transforming into an excess-heat syndrome of the Yangming (Yang Brightness). The Classic says: "When heat floods within, treat with salty-cold substances; when fire floods within, treat with bitter-warm substances." Here, using Tiaowei Chengqi Tang also takes the meaning of slow regulation.
Ci Nan Yuanxi's Note: Using Tiaowei Chengqi Tang for this syndrome can remedy the error of residual heat entering the Stomach after administering Guizhi Tang (Cinnamon Twig Decoction). When used for Taiyang excess-heat syndrome, it can vent muscle heat to induce sweating; when used for Yangming syndrome, it can harmonize Stomach Qi to resolve slight stagnation. The self-note in Neitai Fang states that the three characters "pulse is floating" carry profound significance.
Indicated for diarrhea with undigested food, Jue-ni (reversal cold) involving the Three Yin channels, aversion to cold, and a deep, thready pulse. This formula is indicated for such conditions. It is a potent agent for warming meridians and rescuing Yang.
Licorice Root (2 liang, honey-fried) Dried Ginger (1.5 liang) Aconite Root (one piece, raw, peeled, cut into eight slices)
Crush the above three ingredients. Decoct in 3 sheng of water to obtain 1.2 sheng of liquid. Strain out the dregs. Divide into two doses and take warm. For robust individuals, use one large Aconite Root and 3 liang of Dried Ginger.
Song:
One raw Aconite, one-and-a-half Liang of Ginger,
Two Liang of Licorice form the Shaoyin prescription's center.
Ginger and Aconite perform like virtuous generals bold,
Who rely on Licorice's counsel, calm and controlled.
Wei Litong's Note: Sini Tang (Frigid Extremities Decoction) is the principal medicine for Shaoyin (Lesser Yin) disease. Used for this syndrome, it attracts and retains dissipating Yang. When used for Taiyang, it warms the meridians; when used together with Guizhi Tang (Cinnamon Twig Decoction), it rescues...
Ci Nan Yuanxi's Note: Raw Aconite Root and Dried Ginger penetrate from top to bottom, dispel the myriad Yin pathogens, welcome Yang back to its residence, and connect the twelve meridians, possessing the power to break through enemy lines...