◎方  名：五積散（表里之劑）

   總  結(jié)：發(fā)表溫里                                                               

   編  號(hào)：008                                                                    

   組  成：麻黃、白芷、干姜、肉桂、蒼朮、厚樸、半夏、陳皮、茯苓、當(dāng)歸、川芎、白    芍、甘草、桔梗、枳殼、生姜、白                                       

   主  治：1.治少陰傷寒。                                                         

           2.及外感風(fēng)寒，內(nèi)傷生冷，身熱無(wú)汗，頭痛身痛，項(xiàng)背拘急。                 

           3.胸滿惡食，嘔吐腹痛，寒熱往來(lái)。                                       

           4.腳氣腫痛，冷秘寒疝，寒瘧，惡寒無(wú)汗。                                 

           5.婦人經(jīng)水不調(diào)。                                                       

   加  減：(1)又法：除桂﹑芷﹑枳殼﹑陳皮，余藥慢火炒，攤冷，入桂﹑芷同煎，名熟料五積散。                                                               

           (2)有汗去蒼朮﹑麻黃。                                                  

           (3)氣虛去枳﹑桔，加人參﹑白朮。                                        

           (4)腹痛梜氣加吳茱萸。                                                  

           (5)胃寒加煨姜。                                                        

           (6)陰證傷寒，肢冷虛汗，加附子。                                        

           (7)婦人調(diào)經(jīng)，加醋艾。                                                  

   歸  經(jīng)：陰陽(yáng)表里通用之劑也。                                                   

   方  義：(1)此陰陽(yáng)表里通用之劑也。                                              

           (2)麻黃﹑桂枝所以解表散寒。甘草﹑芍藥，所以和中止痛。蒼朮﹑厚樸平胃土而祛濕。                                                             

              陳皮﹑半夏，行逆氣而除痰。芎﹑歸﹑姜﹑芷，入血分而祛寒濕。          

              枳殼﹑桔梗，利胸膈而清寒熱。茯苓瀉熱利水，寧心益脾。                

           (3)所以為解表溫中除濕之劑，祛痰消痞調(diào)經(jīng)之方也。一方統(tǒng)治多病，惟活法者變而通之。
   變化方：本方合人參敗毒散，名五積交加散，治寒濕身體重痛，腰腳酸疼。             

   煎服法：(1)加姜﹑煎。                                                        

           (2)又法：除桂﹑芷﹑枳殼﹑陳皮，余藥慢火炒，攤冷，入桂﹑芷同煎，名熟料五積散。                                                               

   備  注：肉桂(重表者用桂枝)                                                     

   來(lái)  源：局方