（外台崔氏）疗伤寒一日至三日。可汗。度瘴散方
麻黄（十分去节） 桔梗 蜀椒（汗） 细辛 白术 吴茱萸 防风（各四分） 乌头（炮） 干姜 桂心（各五分）
上十味。捣筛为散。温酒服方寸匕。服后。覆取汗。或数服。得汗。即止。若得病一二日而轻者。服此药。皆得汗
解。若得便重者。颇不能解也。然可以三大豆许。着鼻孔中。觉燥涕出。一日可三四着。必愈。兼辟天行病。
琥按上方。治太阴病吐利。少阴病反发热。厥阴病头痛厥逆等。真正阴证。用之辄效。
又疗伤寒敕（作赤）色。恶寒发热。体疼。发汗神丹丸方。
人参（五分） 乌头（四分炮） 半夏（洗五分） 茯苓（五分） 朱砂（一分研） 附子（四分炮）
上六味。捣为末。蜜和丸。如大豆。每服三丸。生姜汤下。发汗。出令体中 然。如汗未出。更以热粥投之。令
汗出。若汗少不解。复如前法。若得汗足不解。当服桂枝汤。此药多毒。饮水解其热。愈周护军子期。自说天行用之甚
良。故记之。
琥按上主疗云。伤寒敕色。恶寒发热体痛。全似阳证。及观方中药味。皆系辛甘温热补剂。乃知面赤色。反发热。
本少阴中寒证。上方专温少阴。兼补太阴之药也。方名神丹者。即仲景论例中所云。神丹甘遂。合而饮之之谓。相传神
丹为解表药。意即此欤。
活人总括云。厥冷蜷默。自利烦躁。而无身热头疼。是为阴证可温。脉沉而微细缓弱者。此阴病也。阴经受邪。是
为脏病。而温阴之药皆热。未可遽温者。且安其中。前所谓阴证伤寒。初病以来。便见脉沉厥冷恶寒。更无头痛。即是
少阴受病之证。医法以干姜附子辈温之。又不可以三阴传次。先太阴而后少阴也。
愚按上论云。且安其中者。是温足太阴阳明脾与胃也。
又云。阴证唇青舌黑。或白苔。或卷强者用生姜频擦唇口。续又易之。姜能回阳。生胃解毒。温血散气。擦之后。
阴消阳长。黑转而红。最为良法。
琥按姜擦法。今医但用以治阳证舌黑者甚误。上论云阴证舌黑。用之以擦唇口。使先开胃家之寒。乃正治之法也。
又云。阴盛隔阳。脉细沉疾。身冷。大烦躁。嗜卧泥水之中。欲饮水而不欲入口者。若饮水者非。可服霹雳散。火
焰散。丹砂丸亦效。孙用和以半两黑附子一枚。烧存性。候冷为末。入真腊茶一大钱匕。和为二服。每服水一盏。蜜半
匙。煎六分。冷服。躁止。得睡。汗出。皆药之验也。
琥按上孙用和法。即活人书霹雳散也。方用附子以回寒极之阴。腊茶以调拒隔之阳。白蜜以止烦润燥。使阴阳调和。
而病自愈矣。
(Wai Tai Mi Yao citing Cui Shi) Treats Shanghan (Cold Damage) from one to three days after onset. Sweating method can be employed. Duzhang San (Dampness-Dispelling Powder) Formula:
Ephedrae Herba (Mahuang, 麻黄) (10 fen, remove nodes), Platycodonis Radix (Jiegeng, 桔梗), Zanthoxyli Pericarpium (Shujiao, 蜀椒 - for sweating), Asari Radix et Rhizoma (Xixin, 细辛), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Evodiae Fructus (Wuzhuyu, 吴茱萸), Saposhnikoviae Radix (Fangfeng, 防风) (each 4 fen), Aconiti Lateralis Radix Preparata (Wutou, 乌头 - processed), Zingiberis Rhizoma Recens (Ganjiang, 干姜), Cinnamomi Ramulus (Guixin, 桂心) (each 5 fen).
The above ten ingredients are pounded and sifted into a powder. Take one cun bi (a square-inch measure) with warm wine. After taking the medicine, cover the body to induce sweating. Or take several doses; once sweating occurs, stop immediately. If the illness is mild and has lasted only one or two days, taking this medicine will resolve the condition through sweating. If the illness is severe, it may not resolve easily through sweating. However, place approximately the amount of three soybeans of the powder into the nostrils. When dryness is felt and nasal discharge occurs, do this three to four times a day; it will surely cure. It also helps prevent epidemic diseases.
Hu notes: The above formula treats true Yin syndromes such as vomiting and diarrhea in Taiyin syndrome (Taiyin Disease), fever appearing contrary to expectation in Shaoyin syndrome (Shaoyin Disease), and headache with cold extremities in Jueyin syndrome (Jueyin Disease); its use is often effective.
Another formula for treating Shanghan (Cold Damage) presenting with red complexion, aversion to cold, fever, and body pain, inducing sweating: Shendan Wan (Divine Elixir Pill) Formula:
Ginseng Radix (Renshen, 人参) (5 fen), Aconiti Lateralis Radix Preparata (Wutou, 乌头) (4 fen, processed), Pinelliae Rhizoma Preparatum (Banxia, 半夏 - washed), Poria (Fuling, 茯苓) (5 fen), Cinnabaris (Zhusha, 朱砂) (1 fen, ground), Aconiti Radix Preparata (Fuzi, 附子) (4 fen, processed).
The above six ingredients are pounded into powder, mixed with honey, and formed into pills the size of soybeans. Take three pills each time, administered with Ginger Decoction to induce sweating. The goal is for the body to become slightly moist. If sweat does not appear, drink hot porridge water to promote sweating. If the sweat is insufficient and the disease persists, repeat the previous method. If sufficient sweat appears but the disease does not resolve, administer Guizhi Tang (Cinnamon Twig Decoction). This medicine is highly toxic; drinking water can alleviate its heat toxicity. Zhou Hu Jun's son, Zhou Ziqi, stated that it was very effective for epidemic diseases, so it is recorded here.
Hu notes: The aforementioned indications mention "Shanghan with red complexion, aversion to cold, fever, and body pain," which resembles a Yang syndrome. However, observing the ingredients, they are all acrid, sweet, warm, and tonifying agents. Thus, we know that red face and contrary fever originate from a Shaoyin Cold Syndrome. The above formula specializes in warming Shaoyin and supplementing Taiyin. The name "Shendan" refers to what Zhang Zhongjing mentioned in his treatise: the combination of Shendan and Kansui (Kansui Radix, Gan Sui, 甘遂) drunk together. It is said that Shendan is an exterior-releasing medicine; the meaning likely lies here.
Huo Ren Shu (Book of Vitality) summarizes: Cold limbs, curled up posture, silence, spontaneous diarrhea, irritability, without fever or headache, indicates a Yin syndrome suitable for warming treatment. Pulse sinking, minute, fine, slow, and weak indicates a Yin disease. Pathogens affecting the Yin meridians constitute Zang organ diseases. Since medicines for warming Yin are hot in nature, one should not rush to warm; instead, stabilize the Middle Jiao first. The previously mentioned Yin syndrome Shanghan, characterized by sinking pulse, cold limbs, and aversion to cold from the onset, without headache, is a Shaoyin meridian disease. Medical treatment uses drugs like dried ginger and prepared aconite. One should not assume transmission follows the sequence of Three Yin, starting with Taiyin then Shaoyin.
I note: The statement "stabilize the Middle Jiao" refers to warming the Foot-Taiyin Spleen and Foot-Yangming Stomach.
It also states: For Yin syndrome with blue lips, black or white tongue coating, or stiff/curled tongue, frequently wipe the lips and mouth with fresh ginger. Replace the ginger as needed. Ginger returns Yang, generates Stomach Qi, detoxifies, warms blood, and disperses Qi. After wiping, Yin declines and Yang grows, black turns red; this is an excellent method.
Hu notes: The ginger-wiping method is currently misused by physicians only for black tongue in Yang syndromes. The text specifies using it for Yin syndrome black tongue to wipe the lips and mouth, thereby opening cold in the Stomach; this is the correct treatment.
It further states: In Yin excess blocking Yang, with fine, sinking, rapid pulse, cold body, extreme irritability, desire to lie in mud/water, and thirst without desire to swallow, forcing fluids is incorrect. Instead, use Pili San (Thunderbolt Powder), Yanlian San (Flame Powder), or Dansha Wan (Cinnabar Pill). Sun Yonghe used one half-li Black Prepared Aconite Root, calcined until charred inside remains, cooled and powdered, mixed with one large qian-bi of true La Tea. Divided into two doses. Each dose is decocted with one cup of water and half a spoonful of honey to reduce to sixty percent volume, taken cold. Cessation of irritability, sleep, and sweating are signs of efficacy.
Hu notes: Sun Yonghe's method is equivalent to Pili San in Huo Ren Shu. The formula uses Aconite to rescue extreme Yin-cold, La Tea to regulate blocked Yang, and White Honey to stop irritability and moisten dryness, harmonizing Yin and Yang so the disease heals itself.