或二阳同病。或三阳同病。不传者。太阳合阳明。升麻葛根汤。阳明合少阳。小柴胡合
升麻葛根汤。或通用九味羌活汤。
始初二阳合病。后二阳气盛。一阳气衰。并归一经独重者。阳明并太阳。麻黄汤合升麻
葛根
或通用九味羌活汤。
加味理中汤 治中寒。即冬时直中真寒一身受邪。难分经络。手足厥冷。或腹痛呕吐。
甚则卒倒昏迷。不省人事。脉迟无力。
干姜 人参 白术 肉桂 甘草 半夏 陈皮 细辛 茯苓 煨姜五片煎熟。再入姜汁
半盏
服。其腹内外。仍用姜炒热。时时熨之。轻则根据本方。重则加熟附子。身甚寒者。加麻黄。
挟气。加木香。呕吐涎沫。加丁香。腹痛。加木香。砂仁。挟食。加草果。枳壳。泻不止。
加升麻。苍术。外灸关元气海。再用葱熨法。
此病发于春间。经曰。发热不恶寒。反渴者温病也。分表里治之。表症如天温。升麻葛
根汤。如天寒柴胡桂枝汤。太阳合少阳。败毒散合小柴胡汤。
太阳合阳明。败毒散合升麻葛根汤。阳明合少阳。升麻葛根汤。合小柴胡汤。半表半里
小柴胡汤。里症大柴汤。重者。一时表里俱发。防风通圣散。表里俱热。大便自利者。柴胡
黄芩汤加木通山栀。
竹叶石膏汤
治虚烦变杂症。表症已解。邪毒未除热结在内心胸烦满渴甚饮水无度
石膏（五分） 人参（二钱） 甘草（七分） 麦门冬（一钱半） 淡竹叶（十四片） 糯米（
一撮）水煎入姜汁二匙。
升麻葛根汤
葛根 升麻 芍药 甘草
表热加柴胡。内热加黄芩。有吐衄血。加生姜。牡丹皮。热甚加山栀。黄连。或加连翘
。天
花粉。大便硬。加枳实。大黄。头痛加川芎。身痛。加羌活。痞闷。加枳壳。桔梗。咳嗽。
加枣仁。痰。加半夏发斑加玄参。如老人去芍药。加柴胡。人参
人参败毒散
羌活 独活 柴胡 前胡 枳壳 桔梗 川芎 赤茯苓 人参 甘草
皮肤疮痒。加蝉蜕。口干舌燥。加黄芩。去人参。加防风。荆芥。名荆防败毒散。
小柴胡汤
柴胡 黄芩 人参 半夏 甘草 加姜枣
陶氏加陈皮芍药。头疼。加川芎。胸中烦而不呕。去参夏。加栝蒌仁。渴去半夏加知母
花粉。腹痛。去黄芩。加芍药。胁下痞闷加牡蛎。枳实去枣。胁痛。加青皮。心胸闷。加枳
壳桔梗。不效。加枳实。黄连。栝蒌仁。去甘
草。茯苓。心下悸。小便不利。去黄芩。加茯苓。咳嗽。去参枣。生姜。加五味子。炮干姜
。呕。加姜汁竹茹。虚烦。加竹叶。粳米。鼻衄。加生地。茅花。痰盛加栝蒌仁桔梗。枳实
。喘。加桑白皮。乌梅。热盛错语不眠加山栀。黄连。黄柏。少阳阳明合病。口燥目疼。加
芍药干葛。坏症。加鳖甲。自汗恶热。谵语烦渴。去半夏。合白虎汤。自汗恶风腹痛。或寒
多热少。脉弱去黄芩。合桂枝汤。血虚发夜热。合四物汤。去川芎加麦门冬。知母。黄柏。脉
弦
。小腹痛。昼明夜昏。妄见。或寒热不定似疟。合四物汤。加牡丹皮。男子加生地。妇人
加当归红花。瘥后发热。本方和之。脉浮。加苍术苏叶。脉实。加大黄枳实。寒热似
疟。而里未实者。加桂以温血。表热而里又燥渴。粪硬者。加大黄以清血。如无耳聋胁痛。
只则身热发渴谵语。大便实者。加大黄。
大柴胡汤
柴胡 黄芩 芍药 枳壳 半夏 大黄 姜枣
昏乱谵语。加黄连。山栀。痞满。加枳壳。桔梗。浓朴口燥渴。舌苔黄。加栝蒌仁。夏
月热病烦躁。脉洪大。加知母。麦门冬。石膏。发斑。加生地。玄参。牡丹皮。发黄。加茵陈。
黄柏。鼻衄。加犀角。大便不通。加芒硝。
防风通圣散
防风 川芎 当归 芍药 大黄 麻黄 薄荷 连翘 芒硝 石膏 黄芩 桔梗 滑石
甘草 荆芥 白术 山栀 加姜三片
凡杂症。耳目口臭。唇舌咽喉。风热风痰等疾。外科痈疽疮疖。小儿惊疳积热诸风。无
所不治。如自利。去芒硝。自汗。去麻黄。
清热解毒汤 热病发于夏。脉细小无力。足冷。如得汗。而燥盛者死。如下痢腹痛者。
黄芩 知母 升麻 葛根（各一钱） 石膏 人参 白芍（各一钱半） 羌活（二钱） 黄连
（酒制三分） 生地（酒制五分） 生甘草（七分） 姜三片
胸痞闷。加枳实。半夏。各一钱。姜汁四五匙。去生地。脾胃不实。加白术。表症在太
九味羌活汤 汗后烦渴。脉洪大。背恶寒者。白虎加参汤。益元散。里症。大柴胡汤。重者
。一时盛发双解散。或防风通圣散。
白虎加参汤（即化斑汤）
石膏 知母 粳米 甘草 山栀 麦门冬 人参 五味子 天花粉 黄连 姜枣 乌梅
心烦。加竹叶。竹茹。小便短少。加滑石。背恶寒渴。加茯苓。去山栀。呕。加姜汁
炒半夏。头微疼。眼眶疼。加葛根。去山栀。
益元散 （一名六一散一名天水散）
滑石（六两） 甘草（一两）
为末。每服三钱。入蜜少许。沸汤调服。热者。冷水调服。伤寒热不解。加苍术末三钱。葱
豉汤。连进数服。汗出为度。汗吐下后余热。以此解之。虚烦不眠。加辰砂少许。一切风热
上壅。咽喉不利。加青黛。薄荷少许。蜜丸噙化。产后腹痛自痢。用补脾。补血药下。或加
五灵脂。能行血。止痢泻甚。加肉豆蔻少许。一切痰热吐逆。及胃热惊痫颠狂加黄连少许。
姜汁蒸饼为丸。
Some cases involve simultaneous disease of the Taiyang and Yangming meridians. Some involve simultaneous disease of the three Yang meridians. If the pathogen does not transmit, it is Taiyang combined with Yangming, treated with Shengma Gegen Tang (Cimicifugae et Puerariae Decoction). If Yangming combines with Shaoyang, Xiaochaihu Tang (Minor Bupleurum Decoction) is combined with Shengma Gegen Tang. Alternatively, Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) may be used universally.
Initially, there is a combined disease of two Yang meridians; subsequently, the Qi of the two Yang meridians becomes vigorous while that of one Yang meridian declines, and the pathogen consolidates into one meridian where the condition is most severe. This is Yangming combining with Taiyang, treated with Mahuang Tang (Ephedra Decoction) combined with Shengma Gegen Tang, or alternatively, Jiwei Qianghuo Tang.
Jiwei Lizhong Tang (Modified Licorice and Ginger Decoction): Treats Zhonghan (Cold Strike to the Middle Jiao). This refers to direct invasion by True Cold during winter, affecting the whole body, making it difficult to distinguish specific meridians. Symptoms include cold extremities (Jue Leng), abdominal pain, vomiting, and in severe cases, sudden collapse, coma, and loss of consciousness. The pulse is slow and weak.
Ingredients: Ganjiang (Dried Ginger), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Rougui (Cinnamon Bark), Gancao (Licorice Root), Banxia (Pinellia Tuber), Chenpi (Tangerine Peel), Xixin (Asarum), Fuling (Poria), and five slices of Weijiang (Baked Ginger). Decoct until ripe, then add half a cup of Jiangzhi (Fresh Ginger Juice). Apply hot ginger externally to the abdomen and press frequently. For mild cases, use this formula as is; for severe cases, add Shufuzi (Prepared Aconite Root); if the body is extremely cold, add Mahuang (Ephedra Stem); if accompanied by Qi stagnation, add Muxiang (Aucklandiae Radix); if vomiting saliva and foam, add Dingxiang (Caryophylli Flos); if abdominal pain, add Muxiang and Sharen (Amomi Fructus); if accompanied by food retention, add Caoguo (Tsaoko Cardamom Fruit) and Zhiqiao (Aurantii Fructus); if diarrhea persists, add Shengma (Cimicifugae Rhizoma) and Cangzhu (Atractylodis Rhizoma). External moxibustion on Guanyuan (CV4) and Qihai (CV6) should be performed, followed by the Congyun method (scallion ironing therapy).
This disease occurs in spring. The classics state: "Fever without aversion to cold, but with thirst, is called Wenbing (Warm Disease)." It is treated by distinguishing between exterior and interior syndromes. For exterior syndromes resembling warm weather, use Shengma Gegen Tang; for those resembling cold weather, use Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction). Taiyang combined with Shaoyang is treated with Baidu San (Poison-Expelling Powder) combined with Xiaochaihu Tang. Taiyang combined with Yangming is treated with Baidu San combined with Shengma Gegen Tang. Yangming combined with Shaoyang is treated with Shengma Gegen Tang combined with Xiaochaihu Tang. For half-exterior half-interior syndromes, use Xiaochaihu Tang; for interior syndromes, use Da Chaihu Tang. In severe cases where exterior and interior symptoms erupt simultaneously, use Fangfeng Tongsheng San (Saposhnikovia Universal Rescue Powder). For exterior and interior heat with spontaneous diarrhea, use Chaihu Huangqin Tang (Bupleurum and Scutellaria Decoction) plus Mutong (Akebia Caulis) and Shanzhi (Gardeniae Fructus).
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction): Treats Xu Fan (Deficiency Irritability) and other complicated syndromes. The exterior syndrome has resolved, but the pathogenic toxin remains, with heat binding in the heart and chest, causing irritability, fullness, extreme thirst, and excessive drinking.
Ingredients: Shigao (Gypsum Fibrosum, 5 fen), Renshen (Ginseng, 2 qian), Gancao (Licorice Root, 7 fen), Maimendong (Ophiopogonis Tuber, 1.5 qian), Danye Zhu (Light Bamboo Leaf, 14 pieces), Nuomi (Glutinous Rice, a pinch). Decoct in water, add two spoonfuls of Jiangzhi (Fresh Ginger Juice).
Shengma Gegen Tang (Cimicifugae et Puerariae Decoction):
Ingredients: Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix Alba), Gancao (Licorice Root).
For exterior heat, add Chaihu (Bupleuri Radix); for internal heat, add Huangqin (Scutellariae Radix); for hematemesis or epistaxis, add Shengjiang (Fresh Ginger) and Mudanpi (Moutan Cortex); for severe heat, add Shanzhi (Gardeniae Fructus) and Huanglian (Coptidis Rhizoma), or add Lianqiao (Forsythiae Fructus) and Tianhuafen (Trichosanthis Radix); for hard stool, add Zhishi (Aurantii Fructus Immaturus) and Dahuang (Rhei Radix et Rhizoma); for headache, add Chuanxiong (Ligustici Chuanxiong Rhizoma); for body pain, add Qianghuo (Notopterygii Rhizoma et Radix); for stuffiness and oppression, add Zhiqiao (Aurantii Fructus) and Jiegeng (Platycodonis Radix); for cough, add Zaoren (Ziziphi Spinosae Semen); for phlegm, add Banxia (Pinelliae Tuber); for macules, add Xuanshen (Scrophulariae Radix). For elderly patients, remove Shaoyao and add Chaihu and Renshen.
Renshen Baidu San (Ginseng Poison-Expelling Powder):
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Zhiqiao (Aurantii Fructus), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chi Fuling (Red Poria), Renshen (Ginseng), Gancao (Licorice Root).
For skin sores and itching, add Chantui (Cicadae Periostracum); for dry mouth and tongue, add Huangqin, remove Renshen, and add Fangfeng (Saposhnikoviae Radix) and Jingjie (Schizonepetae Herba), named Jingfang Baidu San.
Xiaochaihu Tang (Minor Bupleurum Decoction):
Ingredients: Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Renshen (Ginseng), Banxia (Pinelliae Tuber), Gancao (Licorice Root), add Shengjiang (Fresh Ginger) and Dazao (Jujubae Fructus).
Mr. Tao adds Chenpi and Shaoyao. For headache, add Chuanxiong; for chest irritability without vomiting, remove Renshen and Banxia, add Gualouren (Trichosanthis Semen); for thirst, remove Banxia, add Zhimu (Anemarrhenae Rhizoma) and Tianhuafen; for abdominal pain, remove Huangqin, add Shaoyao; for subcostal stuffiness, add Muli (Ostreae Concha) and Zhishi, remove Dazao; for hypochondriac pain, add Qingpi (Citri Reticulatae Pericarpium Viride); for chest oppression, add Zhiqiao and Jiegeng; if ineffective, add Zhishi, Huanglian, and Gualouren, remove Gancao and Fuling; for palpitations under the heart and difficult urination, remove Huangqin, add Fuling; for cough, remove Renshen, Dazao, and Shengjiang, add Wuweizi (Schisandrae Fructus) and Paoganjiang (Prepared Ginger); for vomiting, add Jiangzhi and Zhuru (Bambusa Caulis in Sterilization); for deficiency irritability, add Zhuye (Bamboo Leaf) and Jingsmi (Glutinous Rice); for epistaxis, add Shengdi (Rehmanniae Radix) and Maohua (Phragmitis Arundo); for abundant phlegm, add Gualouren, Jiegeng, and Zhishi; for wheezing, add Sangbaipi (Mori Cortex) and Wumei (Mume Fructus); for severe heat with delirious speech and insomnia, add Shanzhi, Huanglian, and Huangbai (Phellodendri Cortex). For Shaoyang-Yangming combined disease with dry mouth and eye pain, add Shaoyao and Gange (Kudzu Root). For complicated cases, add Biejia (Testudinis Carapax et Plastrum). For spontaneous sweating, aversion to heat, delirium, and irritability/thirst, remove Banxia and combine with Baihu Tang (White Tiger Decoction). For spontaneous sweating, aversion to wind, abdominal pain, or more cold than heat with a weak pulse, remove Huangqin and combine with Guizhi Tang (Cinnamon Twig Decoction). For blood deficiency with night fever, combine with Siwu Tang (Four Substances Decoction), remove Chuanxiong, add Maimendong, Zhimu, and Huangbai. For wiry pulse, lower abdominal pain, clarity by day and confusion by night, hallucinations, or irregular chills and fever resembling malaria, combine with Siwu Tang, add Mudanpi. For men, add Shengdi; for women, add Danggui (Angelicae Sinensis Radix) and Honghua (Carthami Flos). For fever after recovery, harmonize with this formula. For floating pulse, add Cangzhu and Suye (Perilla Leaf); for excess pulse, add Dahuang and Zhishi. For chills and fever resembling malaria but interior excess is not yet solid, add Guizhi to warm the blood. For exterior heat with interior dryness/thirst and hard stool, add Dahuang to clear the blood. If there is no deafness or hypochondriac pain, only body heat, thirst, delirium, and hard stool, add Dahuang.
Da Chaihu Tang (Major Bupleurum Decoction):
Ingredients: Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba), Zhiqiao (Aurantii Fructus), Banxia (Pinelliae Tuber), Dahuang (Rhei Radix et Rhizoma), add Shengjiang and Dazao.
For confusion and delirium, add Huanglian and Shanzhi; for stuffiness and fullness, add Zhiqiao, Jiegeng, and Houpo (Magnoliae Officinalis Cortex); for dry mouth/thirst and yellow tongue coating, add Gualouren. For summerheat febrile disease with irritability and large pulse, add Zhimu, Maimendong, and Shigao. For macules, add Shengdi, Xuanshen, and Mudanpi. For jaundice, add Yinchen (Artemisiae Scopariae Herba) and Huangbai. For epistaxis, add Xijiao (Rhinoceoris Cornu). For constipation, add Mangxiao (Natrii Sulfas).
Fangfeng Tongsheng San (Saposhnikovia Universal Rescue Powder):
Ingredients: Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Dahuang (Rhei Radix et Rhizoma), Mahuang (Ephedrae Herba), Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Mangxiao (Natrii Sulfas), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Huashi (Talcum), Gancao (Licorice Root), Jingjie (Schizonepetae Herba), Baizhu (Atractylodis Macrocephala Rhizoma), Shanzhi (Gardeniae Fructus), add three slices of Shengjiang.
It treats various miscellaneous diseases, including ear/eye issues, bad breath, lip/tongue/throat diseases, wind-heat and wind-phlegm disorders, surgical carbuncles/sores, pediatric convulsions, malnutrition, heat accumulation, and various wind disorders. If there is spontaneous diarrhea, remove Mangxiao; if there is spontaneous sweating, remove Mahuang.
Qingre Jiedu Tang (Heat-Clearing and Toxin-Resolving Decoction): Febrile disease occurring in summer, with small, thin, and weak pulse, and cold feet. If sweat occurs but dryness prevails, death ensues. If there is dysentery with abdominal pain, use this formula.
Ingredients: Huangqin, Zhimu, Shengma, Gegen (each 1 qian), Shigao, Renshen, Baishao (each 1.5 qian), Qianghuo (2 qian), Huanglian (wine-processed 3 fen), Shengdi (wine-processed 5 fen), Sheng Gancao (7 fen), three slices of Shengjiang.
For chest stuffiness/oppression, add Zhishi and Banxia (each 1 qian), four to five spoonfuls of Jiangzhi, remove Shengdi. For spleen/stomach deficiency, add Baizhu.
Exterior syndrome at Taiyin [Note: Text implies exterior handling], Jiwei Qianghuo Tang. After sweating, if there is irritability/thirst, large pulse, and aversion to cold on the back, use Baihu Jiaren Shen Tang (White Tiger plus Ginseng Decoction) and Yiyuan San. For interior syndrome, use Da Chaihu Tang. For severe cases erupting simultaneously, use Shuangjie San (Double-Resolution Powder) or Fangfeng Tongsheng San.
Baihu Jiaren Shen Tang (White Tiger plus Ginseng Decoction, also known as Huaban Tang):
Ingredients: Shigao, Zhimu, Jingsmi, Gancao, Shanzhi, Maimendong, Renshen, Wuweizi, Tianhuafen, Huanglian, add Shengjiang, Dazao, Wumei.
For irritability, add Zhuye and Zhuru; for scanty urine, add Huashi; for back aversion to cold and thirst, add Fuling, remove Shanzhi; for vomiting, add Jiangzhi and stir-fried Banxia; for slight headache and eye socket pain, add Gegen, remove Shanzhi.
Yiyuan San (also known as Liuyi San or Tianshui San):
Ingredients: Huashi (6 liang), Gancao (1 liang).
Grind into powder. Take 3 qian per dose, add a little honey, and mix with boiling water. For heat, mix with cold water. For unresolved cold damage heat, add 3 qian of Cangzhu powder and Congchi Tang (Scallion and Fermented Soybean Decoction), take several doses until sweating occurs. For residual heat after sweating, vomiting, or purging, use this to resolve it. For deficiency irritability and insomnia, add a little Chen Sha (Cinnabar). For all wind-heat rising upward causing throat obstruction, add Qingdai (Indigo Naturalis) and Bohe, form pills with honey and dissolve in mouth. For postpartum abdominal pain and spontaneous dysentery, use spleen-nourishing and blood-tonifying medicines, or add Wulingzhi (Trogopterori Faeces) to move blood and stop dysentery. For severe diarrhea, add a little Roudoukou (Myristicae Semen). For all phlegm-heat vomiting/regurgitation, and stomach heat causing convulsions/epilepsy/manic psychosis, add a little Huanglian, steam with ginger juice, and form pills with steamed cake.