太阳病,得之八九日,如疟状,发热恶寒,热多寒少,其人不呕,清便欲自可,一日二三度发。脉微缓者,为欲愈也; 脉微而恶寒者,此阴阳俱虚,不可更发汗、更下、更吐也;面色反有热色者,未欲解也,以其不能得小汗出,身必痒,宜桂枝麻黄各半汤。
桂枝麻黄各半汤方
桂枝 一两十六铢,去皮
芍药
生姜 切
甘草 炙
麻黄 各一两,去节
大枣 四枚,擘
杏仁 二十四枚、汤浸,去皮尖及两仁者
上七味,以水五升,先煮麻黄一二沸,去上沫,内诸药,煮取一升八合,去滓,温服六合。本云桂枝汤三合、麻黄汤三合,并为六合,顿服,将息如上法。
Initial Yang syndrome: After eight to nine days, the patient has fever and chills as with malaria, but fever appears more often than chill. The symptom occurs two or three times a day. When the patient has normal urination and stool, is not nauseous, and has a feeble and moderate pulse, then he is recovering. If there is a feeble puise and chill, it is the symptom of Deficiency both in Yin and Yang. For such a case, neither diaphoretic, purgative nor emetic is to be adopted.
A flushed face, which indicates the color of Heat, and itchy skin caused by the lack of a light perspiration, signify that the syndrome is not gone. Combination of Half Decoction of Ramulus Cinnamomi and Half Decoction of Herba Ephedrae will disperse the remaining syndrome.
Combination of Half Decoction of Ramulus Cinnamomi and Half Decoction of Herba Ephedrae
(Guizhi Mahuang Ge Ban Tang):
RamulusCinnamomi 1 liang 16 zhu
Rhizoma Zingiberis Recens 1 liang
Radix Glycyrrhiae Prаeparata 1 liang
Herba Ephedrae 1 liang
Fructus Ziziphi Jujubae 4 pcs.
Semen Armeniacae Amarum 24 pcs.
Stew Herba Ephedrae in five sheng of water for a while and then put the rest of the drugs into the decoction and stew it till one sheng and six ge are left. Take six ge when lukewarm.
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