伤寒大白 · 秦之桢 · Chapter 13 of 84

总论 宜发表论

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总论 宜发表论

宜发表者,邪在肌表,郁而发热,故用发汗散邪之法。症在太阳者,羌独败毒散煎汤连饮;

里有热者,羌活冲和汤。此二方,即以麻黄、桂枝辛温汤中,化立辛凉散表,以治南方伤寒发汗解肌之法。症见阳明,则从干葛汤中去麻黄桂枝,更名升麻干葛汤,平淡轻清之味。惟少阳一症,仍照小柴胡汤;但以寒多者,倍加羌活、防风减黄芩治之。若三阳俱见症者,三经合参用药。故曰恶寒身痛者,宜发表。支节烦疼者,宜发表。头痛项强者,宜发表。四肢常冷者,宜发表。四肢拘紧不能转侧者,宜发表。面赤身热,两足常冷,或脉沉伏者,宜发表。时刻呻吟,语言不足,无汗烦躁者,宜发表。身体乍轻乍重,转侧或难或易,宜发表。

身痛乍在四肢,乍在胸背,到底无定者,宜发表。洒洒恶风,皮肤大热,宜发表。以上三阳经表邪之症,故用发表之法。

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