疗热从腹起上循胸腋绕颈额初似温温渐至大热发作无时遇饥愈剧中脘不利善食而瘦面色
苍肌
脉濡
黄橘皮(三两) 麦门冬 人参(各一两)
上为细末炼蜜为丸如桐子大米饮下三十丸
疗热自腹中或从背膂渐渐蒸热日晡则剧至夜渐退或寐而汗出小便或赤或白而浊甚则频数
尿精
白芍药(六两) 黄 远志 当归 泽泻 龙骨 人参 甘草(各二两)
上为粗末每服五钱水二盏生姜五片枣一个擘胶少许煎至一盏去滓温服食前
若自腰以上发热极则汗出出已凉移时如故复加昏冒腹中膨满其气上攻时时咳嗽嗽引胁下
牵痛
药攻
气内
背
虚则
芦根 麦门冬 赤茯苓 芍药(各一两) 地骨皮(二两)
上为粗末每服五分水二盏煎至一盏去滓温服食后
生干地黄(三两) 干漆(半两)
上为细末炼蜜和丸如绿豆大米饮下三十丸空心临卧服
若自胸以上至头发热口鼻气塞时如烟熏目涩咽燥口干唾如凝脂时咳毛竦大便不利小便赤
黄此
桔梗(一两) 人参 麦门冬 甘草(各半两) 小麦(一合)
上 咀水三升煎至一升去滓分三服
柴胡(四两) 半夏(一两一分) 黄芩 赤茯苓 五味子(各一两半)
上为粗末每服五钱水二盏生姜三片枣一枚煎至一盏去滓温服食后
治旦热不休日晡尤甚口中勃勃气出耳无所闻或时昏睡睡即浪言意欲喜冷小便赤色大便不
通此
柴胡(四两) 黄芩 甘草 赤茯苓(各一两半) 半夏(一两一分)
上为粗末每服五钱水二盏生姜三片枣一个煎至一盏去滓入芒硝一钱搅匀温服以利为度
【参橘丸】治疗热邪从腹部发起,向上沿着胸部和腋下,环绕颈部和前额。起初感觉微微发热,逐渐发展为高热,发作没有固定时间,饥饿时症状减轻,饱食后加重。伴有中脘部气机不畅,食欲旺盛但身体消瘦,面色苍白,肌肉松弛,脉象濡软。
配方:黄橘皮(三两)、麦门冬、人参(各一两)。
制法:将上述药材研成细末,用炼蜜制成如梧桐子大小的药丸。服用时以米汤送下三十丸。
【另一首方剂】治疗热邪自腹中或从背部脊柱渐渐蒸腾发热,傍晚时分症状加剧,夜间逐渐消退;或者睡眠时出汗,小便颜色或红或白且浑浊,严重时尿频。伴有尿精现象。
配方:白芍药(六两)、黄芪、远志、当归、泽泻、龙骨、人参、甘草(各二两)。
制法:将上述药材研成粗末。每次服用五钱,加水两盏,生姜五片,大枣一个(掰开),加入少许胶类物质,煎煮至一盏,去渣,饭前温服。
【另一首方剂】如果腰部以上发热极甚则出汗,汗出后身体变凉,过一会儿又恢复原状,并再次出现昏沉眩晕。腹部膨满胀气,气机上冲,时常咳嗽,咳嗽牵引胁下牵拉疼痛。此乃药力攻伐导致正气内虚,背部阳气不足。
配方:芦根、麦门冬、赤茯苓、芍药(各一两)、地骨皮(二两)。
制法:将上述药材研成粗末。每次服用五分,加水两盏,煎煮至一盏,去渣,饭后温服。
【另一首方剂】生干地黄(三两)、干漆(半两)。
制法:将上述药材研成细末,用炼蜜调和制成如绿豆大小的药丸。以米汤送下三十丸,空腹及睡前服用。
【另一首方剂】如果从胸部以上直至头发部位发热,口鼻气息堵塞,感觉如烟熏一般,眼睛干涩,咽喉干燥,口干,唾液像凝固的油脂一样粘稠,时常咳嗽,毫毛竖起,大便不通畅,小便色黄。此症属……
配方:桔梗(一两)、人参、麦门冬、甘草(各半两)、小麦(一合)。
制法:将药材切碎,加水三升,煎煮至一升,去渣,分三次服用。
【柴胡芒硝汤】柴胡(四两)、半夏(一两一分)、黄芩、赤茯苓、五味子(各一两半)。
制法:将上述药材研成粗末。每次服用五钱,加水两盏,生姜三片,大枣一枚,煎煮至一盏,去渣,饭后温服。
【另一首方剂】治疗早晨发热不止,傍晚时分尤为严重,口中热气腾腾向外喷出,耳朵听不见声音,有时昏睡,睡着后说胡话,内心喜冷,小便色赤,大便不通畅。此症属……
配方:柴胡(四两)、黄芩、甘草、赤茯苓(各一两半)、半夏(一两一分)。
制法:将上述药材研成粗末。每次服用五钱,加水两盏,生姜三片,大枣一个,煎煮至一盏,去渣后加入芒硝一钱,搅拌均匀,温服,以大便通畅为度。
[Canju Wan] Treats heat pathogen arising from the abdomen, ascending along the chest and hypochondrium, encircling the neck and forehead. Initially feeling slightly warm, gradually progressing to high fever, with irregular onset; symptoms alleviate when hungry and worsen after fullness. Accompanied by stagnation in the Zhongwan region (CV12), hyperphagia yet emaciation, pale complexion, flaccid muscles, and a soggy pulse.
Formula: Huangqiju (Exocarpium Citri Reticulatae, 3 liang); Maimendong (Radix Ophiopogonis), Ren Shen (Radix Ginseng) (each 1 liang).
Preparation: Grind the above herbs into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills with rice water.
Another Formula: Treats steaming heat rising gradually from the abdomen or the dorsal spine, worsening at dusk (Bing-Shi time), and subsiding at night; or sweating during sleep. Urine may be red or white, turbid, and frequent in severe cases. Accompanied by spermatorrhea.
Formula: Baishao Yao (Radix Paeoniae Alba, 6 liang); Huang Qi (Radix Astragali), Yuan Zhi (Radix Polygalae), Dang Gui (Radix Angelicae Sinensis), Ze Xie (Rhizoma Alismatis), Long Gu (Os Draconis), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae) (each 2 liang).
Preparation: Grind the above herbs into coarse powder. Take 5 qian per dose, add 2 zhan of water, 5 slices of Sheng Jiang (Rhizoma Zingiberis Recens), 1 Zao (Fructus Jujubae, split open), and a small amount of gelatinous substance. Decoct until 1 zhan remains, strain, and take warm before meals.
Another Formula: If heat is extreme above the waist leading to sweating, followed by cooling, then returning to normal after a while, accompanied by dizziness and vertigo. Abdominal distension and fullness, qi attacking upward, frequent coughing that pulls and causes pain in the hypochondrium. This indicates deficiency of internal qi due to harsh medication attack, and deficiency of yang in the back.
Formula: Lu Gen (Rhizoma Phragmitis), Maimendong (Radix Ophiopogonis), Chi Fu Ling (Poria Cocos cum Ligno Rubro), Shao Yao (Radix Paeoniae) (each 1 liang); Digupi (Cortex Lycii).
Preparation: Grind the above herbs into coarse powder. Take 5 fen per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, and take warm after meals.
Another Formula: Sheng Gan Di Huang (Radix Rehmanniae Preparata, 3 liang); Gan Xi (Resina Taxodi).
Preparation: Grind the above herbs into fine powder, mix with refined honey to form pills the size of mung beans. Take 30 pills with rice water on an empty stomach and before bedtime.
Another Formula: Heat extending from the chest upwards to the scalp, obstruction of breath in mouth and nose, sensation as if smoked, dry eyes, dry throat, dry mouth, saliva viscous like congealed fat, frequent coughing, piloerection, constipation, yellow urine. This pattern belongs to...
Formula: Jie Geng (Radix Platycodonis, 1 liang); Ren Shen (Radix Ginseng), Maimendong (Radix Ophiopogonis), Gan Cao (Radix Glycyrrhizae) (each half liang); Xiao Mai (Fructus Tritici Vulgaris, 1 he).
Preparation: Cut the herbs, add 3 sheng of water, decoct until 1 sheng remains, strain, and divide into three doses.
Chaihu Mangxiao Tang: Chai Hu (Radix Bupleuri, 4 liang); Ban Xia (Rhizoma Pinelliae Praeparatum, 1 liang 1 fen); Huang Qin (Radix Scutellariae), Chi Fu Ling (Poria Cocos cum Ligno Rubro), Wu Wei Zi (Fructus Schisandrae) (each 1 liang 5 fen).
Preparation: Grind the above herbs into coarse powder. Take 5 qian per dose, add 2 zhan of water, 3 slices of Sheng Jiang (Rhizoma Zingiberis Recens), 1 Zao (Fructus Jujubae), decoct until 1 zhan remains, strain, and take warm after meals.
Another Formula: Treats persistent morning fever, especially severe at dusk. Hot air spurting from the mouth, deafness, occasional somnolence with delirious speech during sleep, preference for cold, red urine, constipation. This pattern belongs to...
Formula: Chai Hu (Radix Bupleuri, 4 liang); Huang Qin (Radix Scutellariae), Gan Cao (Radix Glycyrrhizae), Chi Fu Ling (Poria Cocos cum Ligno Rubro) (each 1 liang 5 fen); Ban Xia (Rhizoma Pinelliae Praeparatum, 1 liang 1 fen).
Preparation: Grind the above herbs into coarse powder. Take 5 qian per dose, add 2 zhan of water, 3 slices of Sheng Jiang (Rhizoma Zingiberis Recens), 1 Zao (Fructus Jujubae), decoct until 1 zhan remains. Strain, add Mang Xiao (Natrii Sulfas, 1 qian), stir well, take warm. Stop when bowel movement is achieved.