處方 : 白術(shu)1兩(liang),生地(di)(di)黃(huang)(炒)7錢,地(di)(di)骨皮7錢,澤瀉7錢,知母7錢,赤茯(fu)苓5錢,人參5錢,炙(zhi)甘草5錢,柴胡5錢。
制法 : 上為粗末。
功能主治 : 午后發(fa)熱(re),背惡風(feng),四(si)肢沉重,小便或多或少、黃(huang)色;又(you)治汗(han)后發(fa)熱(re)。
用法用量 : 每服5錢,水(shui)2盞,煎(jian)至1盞,去滓,食遠(yuan)溫服。如小便快利,減茯(fu)苓、澤瀉1半;如有刺痛,1料(liao)藥中(zhong)加當歸(gui)身(酒(jiu)洗)7錢。
各家論述 : 1.《醫(yi)方(fang)集解》:此(ci)足(zu)(zu)(zu)太(tai)陰(yin)、少(shao)陰(yin)、少(shao)陽(yang)藥也。陽(yang)陷陰(yin)中(zhong),熱(re)(re)(re)(re)(re)在(zai)(zai)血(xue)(xue)分(fen),故(gu)以(yi)生(sheng)地(di)(di)滋(zi)其(qi)少(shao)陰(yin),而(er)(er)(er)(er)(er)以(yi)知母、地(di)(di)骨瀉(xie)血(xue)(xue)中(zhong)之(zhi)(zhi)(zhi)伏火也。柴(chai)(chai)胡(hu)(hu)升(sheng)陽(yang)以(yi)解其(qi)肌;苓、澤(ze)利濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)兼清其(qi)熱(re)(re)(re)(re)(re),參(can)、術、甘(gan)草益氣(qi)助脾(pi),氣(qi)足(zu)(zu)(zu)陽(yang)升(sheng),虛(xu)熱(re)(re)(re)(re)(re)自退(tui),脾(pi)運而(er)(er)(er)(er)(er)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)亦(yi)除(chu)矣。方(fang)名除(chu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi),而(er)(er)(er)(er)(er)治(zhi)(zhi)在(zai)(zai)退(tui)熱(re)(re)(re)(re)(re),欲熱(re)(re)(re)(re)(re)從濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)中(zhong)而(er)(er)(er)(er)(er)下(xia)(xia)(xia)降也。2.《醫(yi)林纂要(yao)》:午后發熱(re)(re)(re)(re)(re),熱(re)(re)(re)(re)(re)在(zai)(zai)陽(yang)明經也;四肢沉困,太(tai)陰(yin)脾(pi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)也,小便黃,濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)兼熱(re)(re)(re)(re)(re)也;然而(er)(er)(er)(er)(er)背惡(e)風,則陽(yang)不(bu)足(zu)(zu)(zu),汗后而(er)(er)(er)(er)(er)仍發熱(re)(re)(re)(re)(re),亦(yi)陽(yang)之(zhi)(zhi)(zhi)不(bu)足(zu)(zu)(zu);陽(yang)不(bu)足(zu)(zu)(zu)者(zhe)(zhe),其(qi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)在(zai)(zai)陰(yin),濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)在(zai)(zai)陰(yin)者(zhe)(zhe),太(tai)陰(yin)脾(pi)主(zhu)血(xue)(xue)分(fen),其(qi)人血(xue)(xue)熱(re)(re)(re)(re)(re)而(er)(er)(er)(er)(er)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)湊之(zhi)(zhi)(zhi)。濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)盛而(er)(er)(er)(er)(er)陰(yin)之(zhi)(zhi)(zhi)郁熱(re)(re)(re)(re)(re)轉盛,陽(yang)不(bu)能拔,則反虛(xu)也。其(qi)過在(zai)(zai)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi),濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)責(ze)之(zhi)(zhi)(zhi)脾(pi),熱(re)(re)(re)(re)(re)以(yi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)深,故(gu)君白(bai)術;生(sheng)地(di)(di)黃滋(zi)陰(yin)生(sheng)血(xue)(xue),且以(yi)勝熱(re)(re)(re)(re)(re)而(er)(er)(er)(er)(er)能化濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)為血(xue)(xue);地(di)(di)骨皮甘(gan)淡(dan)補(bu)肺(fei)清金,而(er)(er)(er)(er)(er)下(xia)(xia)(xia)生(sheng)腎(shen)水(shui);知母辛苦,瀉(xie)肺(fei)逆(ni)即以(yi)生(sheng)腎(shen)水(shui),堅腎(shen)水(shui)亦(yi)轉生(sheng)肝血(xue)(xue),此(ci)三(san)(san)味(wei)皆以(yi)瀉(xie)血(xue)(xue)中(zhong)之(zhi)(zhi)(zhi)伏熱(re)(re)(re)(re)(re)也。澤(ze)瀉(xie)瀉(xie)腎(shen)之(zhi)(zhi)(zhi)邪水(shui),使由膀(bang)胱而(er)(er)(er)(er)(er)出(chu)之(zhi)(zhi)(zhi);赤(chi)茯苓瀉(xie)心下(xia)(xia)(xia)之(zhi)(zhi)(zhi)水(shui),使由小腸(chang)而(er)(er)(er)(er)(er)出(chu),此(ci)二味(wei)去(qu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)而(er)(er)(er)(er)(er)兼以(yi)清熱(re)(re)(re)(re)(re)。人參(can)、甘(gan)草以(yi)補(bu)脾(pi)土,脾(pi)土厚則能勝濕(shi)(shi)(shi)(shi)(shi)(shi)(shi),而(er)(er)(er)(er)(er)血(xue)(xue)亦(yi)日(ri)滋(zi),不(bu)生(sheng)熱(re)(re)(re)(re)(re)矣。柴(chai)(chai)胡(hu)(hu)升(sheng)陽(yang)氣(qi)于至陰(yin)之(zhi)(zhi)(zhi)下(xia)(xia)(xia)而(er)(er)(er)(er)(er)達之(zhi)(zhi)(zhi)膻中(zhong),布散經絡以(yi)解沉陰(yin)郁熱(re)(re)(re)(re)(re),東垣最(zui)長于用柴(chai)(chai)胡(hu)(hu),此(ci)方(fang)妙亦(yi)在(zai)(zai)柴(chai)(chai)胡(hu)(hu)也。此(ci)以(yi)治(zhi)(zhi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)之(zhi)(zhi)(zhi)在(zai)(zai)血(xue)(xue)分(fen)者(zhe)(zhe)。在(zai)(zai)血(xue)(xue)分(fen)則主(zhu)于脾(pi)腎(shen)。凡治(zhi)(zhi)三(san)(san)焦者(zhe)(zhe)主(zhu)行(xing)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi),濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)行(xing)而(er)(er)(er)(er)(er)熱(re)(re)(re)(re)(re)自消。此(ci)方(fang)名除(chu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi),而(er)(er)(er)(er)(er)治(zhi)(zhi)在(zai)(zai)去(qu)熱(re)(re)(re)(re)(re),熱(re)(re)(re)(re)(re)平而(er)(er)(er)(er)(er)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)自除(chu)。要(yao)尤(you)在(zai)(zai)補(bu)脾(pi)胃而(er)(er)(er)(er)(er)升(sheng)陽(yang),土厚陽(yang)升(sheng),則濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)皆息也。
摘錄 : 《蘭室秘藏》卷下
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