◎方  名：防風(fēng)通圣散（表里之劑）

   總  結(jié)：表里俱實                                                               

   編  號：005                                                                    

   組  成：防風(fēng)、荊芥、薄荷、麻黃、大黃、芒硝、山梔子、滑石、桔梗、石膏、黃芩、連翹、當(dāng)歸、川芎、白芍、白朮、甘草、生姜、白                         

   主  治：1.治一切風(fēng)寒暑濕，饑飽勞役，內(nèi)外諸邪所傷。                             

           2.氣血怫郁，表里三焦俱實，憎寒壯熱。                                   

           3.頭目昏運，目赤睛痛，耳鳴鼻塞，口苦舌干，咽喉不利，唾涕稠黏，咳嗽上氣。                                                                   

           4.大便秘結(jié)，小便赤澀。                                                 

           5.瘡瘍腫毒，折跌損傷，瘀血便血，腸風(fēng)痔漏。                             

           6.手足瘛瘲，驚狂譫妄，丹斑癮疹。                                       

   加  減：(1)白利去硝黃。                                                        

           (2)自汗去麻黃，加桂枝。                                                

           (3)涎嗽加姜制半夏。                                                    

   歸  經(jīng)：此足太陽陽明表里血氣藥也。                                             

   方  義：(1)防風(fēng)﹑荊介﹑薄荷﹑麻黃，輕浮升散，解表散寒，使風(fēng)熱從汗出而散之于上。 大黃﹑芒硝，破結(jié)通幽；梔子﹑滑石降火利水；使風(fēng)熱從便出而泄之于下 。風(fēng)淫于內(nèi)，肺胃受邪，桔梗﹑石膏清肺瀉胃。風(fēng)為之患，肝木受之，川芎﹑歸﹑芍，和血補肝。黃芩清中上之火。連翹散氣聚血凝。甘草緩峻  而和中。 白朮健脾而燥濕。                                                    

           (2)上下分消，表里交治，而能散瀉之中，猶寓溫養(yǎng)之意，所以汗不傷表，不下傷里也。                                                             

   變化方：(1)本方再加人參補氣，熟地益血，黃柏﹑黃連除熱，羌活﹑獨活﹑天麻﹑細辛﹑全蝎祛風(fēng)，蜜丸彈子大，每服一丸，茶酒任下，名祛風(fēng)至寶丹。                

           (2)本方除大黃﹑芒硝，名雙解散。                                        

   炮  制：大黃酒蒸，山梔炒黑。                                                   

   煎服法：加生姜﹑白煎。                                                       

   來  源：河間