太阳中风 桂枝汤证案

患者,男,四十岁。初冬受风,忽起头项强痛,发热恶风,时自汗出,鼻鸣干呕,不欲饮水。舌淡苔薄白而润,脉浮缓。

A forty-year-old male. Caught in a chill wind in early winter, he suddenly developed stiff neck and headache, fever with aversion to wind, spontaneous sweating, a stuffy-nosed dry retching, and no desire for drink. Tongue pale with thin white moist coat; pulse floating and moderate (relaxed).

太阳中风,营卫不和,卫强营弱,表虚风袭。

Taiyang wind-stroke with disharmony of ying and wei; wei is relatively strong and ying relatively weak — an exterior-deficiency wind invasion.

服桂枝汤一剂,啜热稀粥以助药力,温覆取微汗。汗出遍身漐漐,热退身和,二剂而诸症悉除。

One dose of Gui Zhi Tang was given, followed by a bowl of warm thin gruel to assist the medicine, with warm covering to induce slight sweat. A gentle all-over sweat broke out, fever abated, and the body relaxed; after a second dose all symptoms resolved.