上三味，以水三升半，煮取一升半，去滓，分二服。温进一服，得吐者，止后服。
80．伤寒，医以丸药大下之，身热不去；微烦者，栀子干姜汤主之。方四十二。
栀子（擘，十四个） 干姜（二两）
上二味，以水三升半，煮取一升半，去滓，分二服，温进一服。得吐者，止后服。
81．凡用栀子汤，病患旧微溏者，不可与服之。
82．太阳病发汗，汗出不解，其人仍发热，心下悸、头眩、身 动，振振欲擗（一作僻）地者，真武汤主之。
方四十三。
茯苓 芍药 生姜（切，各三两） 白术（二两） 附子（炮，去皮，破八片，一枚）
上五味，以水八升，煮取三升，去滓，温服七合。日三服。
83．咽喉干燥者，不可发汗。
84．淋家，不可发汗；发汗必便血。
85．疮家，虽身疼痛，不可发汗；汗出则 。
86．衄家，不可发汗；汗出必额上陷、脉急紧、直视不能 （音唤，又胡绢切，下同。一作瞬）不得眠。
87．亡血家，不可发汗；发汗则寒栗而振。
88．汗家，重发汗，必恍惚心乱，小便已阴疼，与禹余粮丸。方四十四。（方本阙。）
89．病患有寒，复发汗，胃中冷，必吐蛔。（一作逆。）
90．本发汗，而复下之，此为逆也。若先发汗，治不为逆；本先下之，而反汗之，为逆；若先下之，治不
为逆。
91．伤寒，医下之，续得下利清谷不止，身疼痛者，急当救里；后身疼痛，清便自调者，急当救表，救里
宜四逆汤，救表宜桂枝汤。方四十五。（用前第十二方。）
92．病发热、头痛，脉反沉，若不瘥，身体疼痛，当救其里，四逆汤方。
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破八片，一枚）
上三味，以水三升，煮取一升二合，去滓，分温再服。强人可大附子一枚、干姜三两。
93．太阳病，先下而不愈，因复发汗。以此表里俱虚，其人因致冒，冒家汗出自愈。所以然者，汗出表
和故也。里未和，然后复下之。
94．太阳病未解，脉阴阳俱停，（一作微）必先振栗，汗出而解；但阳脉微者，先汗出而解；但阴脉微
（一作尺脉实）者，下之而解。若欲下之，宜调胃承气汤。方四十六。（用前第三十三方。一云，用大柴胡汤。）
95．太阳病，发热、汗出者，此为荣弱卫强，故使汗出。欲救邪风者，宜桂枝汤。方四十七。（方用前法。）
96．伤寒五六日中风，往来寒热，胸胁苦满、嘿嘿不欲饮食、心烦喜呕，或胸中烦而不呕，或渴，或
腹中痛，或胁下痞硬，或心下悸、小便不利，或不渴、身有微热，或咳者，小柴胡汤主之。方四十八。
柴胡（半斤） 黄芩（三两） 人参（三两） 半夏（洗，半升） 甘草（炙） 生姜（切，各三两）
大枣（擘，十二枚）
上七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升。日三服。若胸中烦而不呕者，
去半夏人参，加栝蒌实一枚；若渴，去半夏，加人参，合前成四两半，栝蒌根四两；若腹中痛者，去黄
芩，加芍药三两；若胁下痞硬，去大枣，加牡蛎四两；若心下悸，小便不利者，去黄芩，加茯苓四两；
若不渴，外有微热者，去人参，加桂枝三两，温覆微
汗愈；若咳者，去人参、大枣、生姜，加五味子半升、干姜二两。
97．血弱、气尽，腠理开，邪气因入，与正气相搏，结于胁下。正邪分争，往来寒热，休作有时，嘿嘿不
欲饮食，脏腑相连，其痛必下，邪高痛下，故使呕也，（一云脏腑相违，其病必下，胁膈中痛）小柴胡汤主之。
服柴胡汤已，渴者属阳明，以法治之。方四十九。（用前方。）
98．得病六七日，脉迟浮弱、恶风寒、手足温，医二三下之，不能食而胁下满痛，面目及身黄，颈项强，
小便难者，与柴胡汤，后必下重。本渴饮水而呕者，柴胡汤不中与也，食谷者哕。
99．伤寒四五日，身热、恶风、颈项强、胁下满、手足温而渴者，小柴胡汤主之。方五十。（用前方。）
100．伤寒，阳脉涩，阴脉弦，法当腹中急痛，先与小建中汤；不瘥者，小柴胡汤主之。方五十一。（用前方。）
小建中汤方。
桂枝（去皮，三两） 甘草（炙，二两） 大枣（擘，十二枚） 芍药（六两） 生姜（切，三两） 胶饴
（一升）
上六味，以水七升，煮取三升，去滓，内饴，更
上微火消解。温服一升，日三服。呕家不可用建中汤，以甜故也。
101．伤寒中风，有柴胡证，但见一证便是，不必悉具。凡柴胡汤病证而下之；若柴胡证不罢者，复与柴胡
汤，必蒸蒸而振，却复发热汗出而解。
102．伤寒二三日，心中悸而烦者，小建中汤主之。方五十二。（用前第五十一方。）
103．太阳病，过经十余日，反二、三下之。后四、五日，柴胡证仍在者，先与小柴胡。呕不止、心下急、
（一云呕止小安。）郁郁微烦者，为未解也，与大柴胡汤下之则愈。方五十三。
柴胡（半斤） 黄芩（三两） 芍药（三两） 半夏（洗，半升） 生姜（切，五两） 枳实（炙，四枚）
大枣（擘，十二枚）
上七味，以水一斗二升，煮取六升，去滓再煎，温服一升，日三服。一方，加大黄二两；若不加，恐
不为大柴胡汤。
104．伤寒十三日不解，胸胁满而呕，日晡所发潮热，已而微利。此本柴胡证，下之以不得利；今反利
者，知医以丸药下之，此非其治也。潮热者，实也。先宜
服小柴胡汤以解外，后以柴胡加芒硝汤主之。方五十四。
柴胡（二两十六铢） 黄芩（一两） 人参（一两） 甘草（炙，一两） 生姜（切，一两） 半夏
（二十铢，本云，五枚，洗。） 大枣（擘，四枚） 芒硝（二两）
上八味，以水四升，煮取二升，去滓，内芒硝，更煮微沸，分温再服；不解更作。(臣亿等谨按金匮玉函，方中无
芒硝。别一方云，以水七升，下芒硝二合、大黄四两、桑螵蛸五枚，煮取一升
半，服五合，微下即愈。本云，柴胡再服，以解其外，余二升，加芒硝、大黄、桑螵蛸也。)
105．伤寒十三日，过经，谵语者，以有热也，当以汤下之。若小便利者，大盒饭硬，而反下利，脉调和者。
知医以丸药下之，非其治也。若自下利者，脉当微厥，今反和者，此为内实也，调胃承气汤主之。方五十五。
（用前第三十三方。）
106．太阳病不解，热结膀胱，其人如狂，血自下，下者愈。其外不解者，尚未可攻，当先解其外；外解已，
但少腹急结者，乃可攻之，宜桃核承气汤。方五十六。（后云，解外宜桂枝汤。）
桃仁（去皮尖，五十个） 大黄（四两） 桂枝（去皮，二两） 甘草（炙，二两） 芒硝（二两）
上五味，以水七升，煮取二升半，去滓，内芒硝，更上火微沸，下火。先食温服五合，日三服，当微利。
107．伤寒八九日，下之，胸满、烦惊、小便不利、谵语、一身尽重，不可转侧者，柴胡加龙骨牡蛎汤主之。
方五十七。
柴胡（四两） 龙骨 黄芩 生姜（切） 铅丹 人参 桂枝（去皮） 茯苓（各一两半） 半夏
（洗，二合半） 大黄（二两） 牡蛎（熬，一两半） 大枣（擘，六枚）
上十二味，以水八升，煮取四升，内大黄，切如棋子，更煮一两沸，去滓，温服一升。本云柴胡汤，
今加龙骨等。
108．伤寒，腹满、谵语、寸口脉浮而紧，此肝乘脾也，名曰纵，刺期门。方五十八。
109．伤寒发热，啬啬恶寒、大渴欲饮水，其腹必满、自汗出、小便利、其病欲解，此肝乘肺也，名曰横，
刺期门。方五十九。
110．太阳病二日，反躁，凡熨其背而大汗出，大热入胃，（一作二日内烧瓦熨背大汗出，火气入胃。）胃
中水竭，躁烦必发谵语；十余日振栗自下利者，此为欲解也。故其汗
从腰以下不得汗，欲小便不得，反呕、欲失溲、足下恶风、大便硬，小盒饭数，而反不数及不多；大便已，头
卓然而痛，其人足心必热，谷气下流故也。
111．太阳病中风，以火劫发汗。邪风被火热，血气流溢，失其常度，两阳相熏灼，其身发黄。阳盛则欲
衄，阴虚小便难。阴阳俱虚竭，身体则枯燥，但头汗出，剂颈而还。腹满、微喘，口干、咽烂，或不大便，久
则谵语，甚者至哕、手足躁扰、捻衣摸床。小便利者，其人可治。
112．伤寒脉浮，医以火迫劫之，亡阳，必惊狂、卧起不安者，桂枝去芍药加蜀漆牡蛎龙骨救逆汤主之。
方六十。
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两）
大枣（擘，十二枚） 牡蛎（熬，五两） 蜀漆（洗去腥，三两） 龙骨（四两）
上七味，以水一斗二升，先煮蜀漆，减二升；内诸药，煮取三升，去滓，温服一升。本云桂枝汤，今
去芍药，加蜀漆牡蛎龙骨。
113．形作伤寒，其脉不弦紧而弱。弱者必渴，被火必谵语，弱者发热，脉浮，解之当汗出愈。
114．太阳病，以火熏之，不得汗，其人必躁；到经不解，必清血，名为火邪。
115．脉浮，热甚，而反灸之，此为实。实以虚治，因火而动，必咽燥、吐血。
116．微数之脉，慎不可灸。因火为邪，则为烦逆；追虚逐实，血散脉中；火气虽微，内攻有力，焦骨伤
筋，血难复也。脉浮，宜以汗解，用火灸之，邪无从出，因火而盛，病从腰以下，必重而痹，名火逆也。欲
自解者，必当先烦，烦乃有汗而解。何以知之？脉浮，故知汗出解。
117．烧针令其汗，针处被寒，核起而赤者，必发奔豚。气从少腹上冲心者，灸其核上各一壮，与桂枝加
桂汤，更加桂二两也。方六十一。
桂枝（去皮，五两） 芍药（三两） 生姜（切，三两） 甘草（炙，二两） 大枣（擘，十二枚）
上五味，以水七升，煮取三升，去滓，温服一
升。本云桂枝汤，今加桂满五两。所以加桂者，以能泄奔豚气也。
118．火逆下之，因烧针烦躁者，桂枝甘草龙骨牡蛎汤主之。方六十二。
桂枝（去皮，一两） 甘草（炙，二两） 牡蛎（熬，二两） 龙骨（二两）
上四味，以水五升，煮取二升半，去滓，温服八合，日三服。
119．太阳伤寒者，加温针必惊也。
120．太阳病，当恶寒、发热，今自汗出，反不恶寒、发热、关上脉细数者，以医吐之过也。一二日吐之者，
腹中饥、口不能食；三四日吐之者，不喜糜粥、欲食冷食、朝食暮吐，以医吐之所致也，此为小逆。
121．太阳病吐之，但太阳病当恶寒，今反不恶寒，不欲近衣，此为吐之内烦也。
122．病患脉数。数为热，当消谷引食。而反吐者，此以发汗，令阳气微，膈气虚，脉乃数也。数为客热，
不能消谷；以胃中虚冷，故吐也。
123．太阳病，过经十余日，心下温温欲吐而胸
中痛，大便反溏，腹微满，郁郁微烦。先此时自极吐下者，与调胃承气汤；若不尔者，不可与；但欲呕、胸中
痛、微溏者，此非柴胡汤证，以呕故知极吐下也。调胃承气汤。方六十三。（用前第三十三方。）
124．太阳病，六七日表证仍在，脉微而沉，反不结胸；其人发狂者，以热在下焦，少腹当硬满，小便自利
者，下血乃愈。所以然者，以太阳随经，瘀热在里故也。抵当汤主之。方六十四。
水蛭（熬） 虻虫（去翅足，熬，各三十个） 桃仁（去皮尖，二十个） 大黄（酒洗，三两）
上四味，以水五升，煮取三升，去滓，温服一升，不下更服。
125．太阳病，身黄、脉沉结、少腹硬、小便不利者，为无血也；小便自利，其人如狂者，血证谛也，抵当
汤主之。方六十五。（用前方。）
126．伤寒有热，少腹满，应小便不利，今反利者，为有血也，当下之，不可余药，宜抵当丸，方六十六。
水蛭（熬，二十个） 虻虫（熬，去翅足，二十个） 桃仁（去皮尖，二十五个） 大黄（三两）
上四味，捣分四丸。以水一升，煮一丸，取七合服之。 时，当下血；若不下者，更服。
127．太阳病，小便利者，以饮水多，必心下悸；小便少者，必苦里急也。
(Continued from above) Decoct the above three ingredients in 3.5 sheng of water to obtain 1.5 sheng. Remove the dregs and divide into two doses. Administer one dose warm. If vomiting occurs after administration, discontinue the remaining dose.
80. In Shanghan (Cold Damage), if a physician aggressively purges with pill medicines, causing persistent body heat, and there is slight vexation, treat with Zhizi Ganjiang Tang (Gardenia and Dried Ginger Decoction). This is Formula 42.
Zhizi (Gardeniae Fructus, broken, 14 pieces) Ganjiang (Zingiberis Rhizoma, 2 liang)
Decoct the above two ingredients in 3.5 sheng of water to obtain 1.5 sheng. Remove the dregs and divide into two doses. Administer one dose warm. If vomiting occurs, discontinue the remaining dose.
81. When using Zhizi Tang (Gardenia Decoction) formulas, do not administer to patients who chronically have loose stools.
82. In Taiyang Disease (Taiyang Stage Disease), if sweating fails to resolve the condition, and the patient still has fever, palpitations below the heart, dizziness, muscle twitching, and tremors with a desire to fall to the ground, treat with Zhenwu Tang (True Warrior Decoction). This is Formula 43.
Fuling (Poria) Shaoyao (Paeoniae Radix Alba) Shengjiang (Zingiberis Rhizoma Recens, sliced, 3 liang each) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, broken into 8 pieces, 1 piece)
Decoct the above five ingredients in 8 sheng of water to obtain 3 sheng. Remove the dregs and administer 7 ge warm. Take three times a day.
83. Patients with dry throat should not be treated with diaphoresis (sweating method).
84. Patients with Lin Syndrome (Strangury) should not be treated with diaphoresis; diaphoresis will inevitably cause hematuria.
85. Patients with sores/ulcers, although having body pain, should not be treated with diaphoresis; diaphoresis will cause convulsions.
86. Patients prone to epistaxis (nosebleeds) should not be treated with diaphoresis; diaphoresis will inevitably cause depression on the forehead, tight and urgent pulse, fixed gaze with inability to move eyes, and insomnia.
87. Patients with history of blood loss should not be treated with diaphoresis; diaphoresis will cause chills and tremors.
88. Patients who sweat profusely, if subjected to heavy diaphoresis again, will inevitably experience mental confusion and restlessness, and pain in the urethra after urination. Treat with Yuyuliang Wan (Halloysitum Rubrum Pill). This is Formula 44. (Original formula is missing.)
89. If a patient has internal cold and is subjected to diaphoresis again, the stomach becomes cold, inevitably leading to vomiting of roundworms. (Alternatively: hiccup.)
90. If diaphoresis was indicated but purgation was used instead, this is a mistreatment (Ni). If diaphoresis is used first, it is not a mistreatment. If purgation was indicated first but diaphoresis was used instead, this is a mistreatment. If purgation is used first, it is not a mistreatment.
91. In Shanghan, if a physician uses purgation, followed by persistent diarrhea with undigested food and body pain, urgently treat the Interior pattern. If later the body pain persists but stool normalizes, urgently treat the Exterior pattern. To treat the Interior, use Sini Tang (Frigid Extremities Decoction); to treat the Exterior, use Guizhi Tang (Cinnamon Twig Decoction). This is Formula 45. (Use Formula 12 from previous text.)
92. If a patient has fever, headache, and a deep pulse, and does not improve, with body pain, treat the Interior pattern with Sini Tang.
Gancao (Glycyrrhizae Radix et Rhizoma, prepared, 2 liang) Ganjiang (Zingiberis Rhizoma, 1.5 liang) Fuzi (Aconiti Lateralis Radix, raw, peeled, broken into 8 pieces, 1 piece)
Decoct the above three ingredients in 3 sheng of water to obtain 1.2 sheng. Remove the dregs and divide into two warm doses. For strong individuals, use one large Fuzi and 3 liang of Ganjiang.
93. In Taiyang Disease, if purgation is used first without cure, followed by diaphoresis, this causes deficiency of both Exterior and Interior. The patient develops dizziness/clouded sensation (Mao). Those with Mao will heal spontaneously upon sweating. This is because sweating harmonizes the Exterior. If the Interior is not harmonized, then use purgation.
94. If Taiyang Disease is unresolved, and both Yin and Yang pulses are hidden (or weak), there will first be shivering and trembling, followed by sweating and resolution. If only the Yang pulse is weak, resolution occurs through sweating first. If only the Yin pulse is weak (or Shi pulse at Chi position), resolution occurs through purgation. If purgation is desired, use Tiaowei Chengqi Tang (Stomach-Regulating Order-the-Qi Decoction). This is Formula 46. (Use Formula 33 from previous text. Alternatively: Use Da Chaihu Tang.)
95. In Taiyang Disease, fever and sweating indicate Ying Qi (Nutritive Qi) weakness and Wei Qi (Defensive Qi) excess, causing sweating. To expel wind-pathogen, use Guizhi Tang. This is Formula 47. (Method as before.)
96. In Shanghan for 5-6 days, or Zhongfeng (Wind Strike), with alternating chills and fever, fullness and distress in the chest and hypochondrium, silence and lack of desire to eat, vexation and propensity to vomit, or irritability in the chest without vomiting, or thirst, or abdominal pain, or hardness and fullness below the hypochondrium, or palpitations below the heart and difficult urination, or no thirst with slight body heat, or coughing, treat with Xiao Chaihu Tang (Minor Bupleurum Decoction). This is Formula 48.
Chaihu (Bupleuri Radix, 0.5 jin) Huangqin (Scutellariae Radix, 3 liang) Renshen (Ginseng Radix et Rhizoma, 3 liang) Banxia (Pinelliae Rhizoma, washed, 0.5 sheng) Gancao (Glycyrrhizae Radix et Rhizoma, prepared) Shengjiang (Zingiberis Rhizoma Recens, sliced, 3 liang each)
Dazao (Jujubae Fructus, broken, 12 pieces)
Decoct the above seven ingredients in 1.2 dou of water to obtain 6 sheng. Remove dregs and decoct again to obtain 3 sheng. Administer 1 sheng warm. Take three times a day. If irritability in the chest without vomiting, remove Banxia and Renshen, add one Gualou Shi (Trichosanthis Fructus). If thirsty, remove Banxia, add Renshen (total 4.5 liang) and Gualou Gen (Trichosanthis Radix, 4 liang). If abdominal pain, remove Huangqin, add Shaoyao (3 liang). If hardness and fullness below the hypochondrium, remove Dazao, add Muli (Ostreae Concha, 4 liang). If palpitations below the heart and difficult urination, remove Huangqin, add Fuling (4 liang). If no thirst and slight external heat, remove Renshen, add Guizhi (3 liang), cover warmly to induce slight sweating for cure. If coughing, remove Renshen, Dazao, and Shengjiang, add Wuweizi (Schisandrae Chinensis Fructus, 0.5 sheng) and Ganjiang (2 liang).
97. When Blood and Qi are exhausted, the Couli (interstices) open, allowing pathogenic Qi to enter and struggle with Zheng Qi (Upright Qi), accumulating below the hypochondrium. The struggle between Zheng and Xie (Pathogenic) Qi causes alternating chills and fever, occurring at regular intervals, silence and lack of desire to eat. As the Zang-Fu organs are connected, pain extends downward. With pathogen high and pain low, vomiting occurs. (Alternatively: Zang-Fu discord, disease moves down, pain in hypochondrium and diaphragm.) Treat with Xiao Chaihu Tang.
If thirst occurs after taking Chaihu Tang, it belongs to Yangming Disease; treat according to Yangming methods. This is Formula 49. (Use previous formula.)
98. After 6-7 days of illness, with slow, floating, and weak pulse, aversion to wind and cold, and warm hands and feet, if a physician purges repeatedly, leading to inability to eat, fullness and pain below the hypochondrium, yellowing of face, eyes, and body, stiff neck, and difficult urination, administering Chaihu Tang will inevitably cause tenesmus. If there was original thirst with drinking water leading to vomiting, Chaihu Tang is not appropriate; eating grains will cause hiccup.
99. In Shanghan for 4-5 days, with body heat, aversion to wind, stiff neck, fullness below the hypochondrium, warm hands and feet, and thirst, treat with Xiao Chaihu Tang. This is Formula 50. (Use previous formula.)
100. In Shanghan, if the Yang pulse is choppy and the Yin pulse is wiry, acute abdominal pain is expected. First administer Xiao Jianzhong Tang (Minor Construct the Middle Decoction); if not cured, treat with Xiao Chaihu Tang. This is Formula 51. (Use previous formula.)
Xiao Jianzhong Tang Formula:
Guizhi (Cinnamomi Ramulus, peeled, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, prepared, 2 liang) Dazao (Jujubae Fructus, broken, 12 pieces) Shaoyao (Paeoniae Radix Alba, 6 liang) Shengjiang (Zingiberis Rhizoma Recens, sliced, 3 liang) Jiaoyi (Maltose, 1 sheng)
Decoct the above six ingredients in 7 sheng of water to obtain 3 sheng. Remove dregs, add Jiaoyi, and dissolve over low heat. Administer 1 sheng warm. Take three times a day. Patients with frequent vomiting should not use Jianzhong Tang due to its sweetness.
101. In Shanghan or Zhongfeng, if Chaihu patterns are present, seeing one symptom is sufficient for diagnosis; not all symptoms need to be present. If a patient with Chaihu patterns is purged, and the Chaihu patterns persist, re-administer Chaihu Tang. This will inevitably cause steaming heat and shivering, followed by fever and sweating, leading to resolution.
102. In Shanghan for 2-3 days, if there are palpitations in the heart and vexation, treat with Xiao Jianzhong Tang. This is Formula 52. (Use Formula 51 from previous text.)
103. In Taiyang Disease, after more than 10 days of transmission, if purged two or three times, and 4-5 days later Chaihu patterns persist, first administer Xiao Chaihu Tang. If vomiting does not stop, there is urgency below the heart, and depressed slight vexation, the disease is unresolved. Administer Da Chaihu Tang (Major Bupleurum Decoction) to purge for cure. This is Formula 53.
Chaihu (0.5 jin) Huangqin (3 liang) Shaoyao (3 liang) Banxia (washed, 0.5 sheng) Shengjiang (sliced, 5 liang) Zhishi (Aurantii Fructus Immaturus, prepared, 4 pieces)
Dazao (broken, 12 pieces)
Decoct the above seven ingredients in 1.2 dou of water to obtain 6 sheng. Remove dregs and decoct again. Administer 1 sheng warm. Take three times a day. One version adds Dahuang (Rhei Radix et Rhizoma, 2 liang); without it, it may not be considered Da Chaihu Tang.
104. In Shanghan for 13 days, unresolved, with fullness in chest and hypochondrium, vomiting, tidal fever in the late afternoon, followed by slight diarrhea. This was originally a Chaihu pattern; purgation should not cause diarrhea. The current diarrhea indicates the physician used pill medicines for purgation, which is incorrect treatment. Tidal fever indicates Excess. First administer Xiao Chaihu Tang to resolve the Exterior, then treat with Chaihu Jia Mangxiao Tang (Bupleurum Plus Mirabilitum Decoction). This is Formula 54.
Chaihu (2 liang 16 zhu) Huangqin (1 liang) Renshen (1 liang) Gancao (prepared, 1 liang) Shengjiang (sliced, 1 liang) Banxia (20 zhu, originally stated as 5 pieces, washed) Dazao (broken, 4 pieces) Mangxiao (Natrii Sulfas, 2 liang)
Decoct the above eight ingredients in 4 sheng of water to obtain 2 sheng. Remove dregs, add Mangxiao, and boil slightly. Divide into two warm doses. If not resolved, prepare another dose. (Note: According to Jin Gui Yu Han, Mangxiao is not in the formula. Another version states: use 7 sheng water, add 2 ge Mangxiao, 4 liang Dahuang, and 5 Sangpiaoxiao (Mantidis Ootheca), decoct to 1.5 sheng, administer 5 ge. Mild purgation cures. Originally stated: take Chaihu Tang twice to resolve Exterior, then add Mangxiao, Dahuang, and Sangpiaoxiao to the remaining 2 sheng.)
105. In Shanghan for 13 days, after transmission, if delirium occurs due to heat, purge with decoction. If urination is free, stool should be hard, but if diarrhea occurs instead with a harmonious pulse, it indicates the physician used pill medicines for purgation, which is incorrect. If spontaneous diarrhea occurs, the pulse should be faint and reversed; if it is harmonious, this indicates Internal Excess. Treat with Tiaowei Chengqi Tang. This is Formula 55. (Use Formula 33 from previous text.)
106. If Taiyang Disease is unresolved and heat accumulates in the Bladder, the patient acts manic. If blood passes spontaneously, the patient heals. If the Exterior is not resolved, do not attack yet; first resolve the Exterior. Once the Exterior is resolved, if there is only urgent hardness in the lower abdomen, then attack. Use Taohe Chengqi Tang (Peach Pit Order-the-Qi Decoction). This is Formula 56. (Note: Resolve Exterior with Guizhi Tang.)
Taoren (Persicae Semen, peeled and tipped, 50 pieces) Dahuang (4 liang) Guizhi (peeled, 2 liang) Gancao (prepared, 2 liang) Mangxiao (2 liang)
Decoct the above five ingredients in 7 sheng of water to obtain 2.5 sheng. Remove dregs, add Mangxiao, and bring to a slight boil. Remove from heat. Administer 5 ge warm before meals. Take three times a day. Expect mild purgation.
107. In Shanghan for 8-9 days, if purged, resulting in chest fullness, vexation and fright, difficult urination, delirium, heavy body, and inability to turn, treat with Chaihu Jia Longgu Muli Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction). This is Formula 57.
Chaihu (4 liang) Longgu (Dragon Bone) Huangqin Shengjiang (sliced) Qiandan (Minium) Renshen Guizhi (peeled) Fuling (1.5 liang each) Banxia (washed, 2.5 ge) Dahuang (2 liang) Muli (calcined, 1.5 liang) Dazao (broken, 6 pieces)
Decoct the above twelve ingredients in 8 sheng of water to obtain 4 sheng. Add Dahuang, cut into dice size, and boil for 1-2 more boils. Remove dregs and administer 1 sheng warm. Originally Chaihu Tang, now adding Longgu etc.
108. In Shanghan, with abdominal fullness, delirium, and a floating and tight Cun pulse, this is Liver invading Spleen, named "Zong" (Vertical). Needle Qimen (LR14). This is Formula 58.
109. In Shanghan with fever, severe aversion to cold, extreme thirst desiring water, inevitable abdominal fullness, spontaneous sweating, and free urination, the disease is about to resolve. This is Liver invading Lung, named "Heng" (Horizontal). Needle Qimen (LR14). This is Formula 59.
110. On the second day of Taiyang Disease, if irritability occurs, and the back is ironed causing profuse sweating, great heat enters the Stomach. (Alternatively: Ironing back with heated tiles for two days causes profuse sweating, fire Qi enters Stomach.) Stomach fluids are exhausted, irritability inevitably leads to delirium. If shivering and spontaneous diarrhea occur after 10+ days, this indicates resolution. Thus, no sweating below the waist, inability to urinate, vomiting, urge for incontinence, aversion to wind at soles, hard stool. Urination frequency should be high but is not; volume is low. After stool passage, sudden severe head pain occurs, and soles become hot, due to Grain Qi flowing downward.
111. In Taiyang Disease Zhongfeng, if fire is used to force sweating, wind-pathogen is scorched by fire heat. Blood and Qi overflow, losing normal rhythm. Two Yangs (Wind and Fire) scorch each other, causing yellowing of the body. Yang excess leads to desire for epistaxis; Yin deficiency leads to difficult urination. Exhaustion of both Yin and Yang causes body dryness, sweating only on the head up to the neck. Abdominal fullness, slight panting, dry mouth, rotten throat, or constipation. Prolonged condition leads to delirium; severe cases lead to hiccup, restless hands and feet, picking at clothes and bed. If urination is free, the patient is treatable.
112. In Shanghan with floating pulse, if a physician forces sweating with fire, causing Yang collapse, inevitable fright, mania, and restlessness in lying and rising occur. Treat with Guizhi Qu Shaoyao Jia Shuqi Muli Longgu Jiuni Tang (Cinnamon Twig Decoction minus Peony plus Constantine Root, Oyster Shell, and Dragon Bone to Rescue Reversal). This is Formula 60.
Guizhi (peeled, 3 liang) Gancao (prepared, 2 liang) Shengjiang (sliced, 3 liang)
Dazao (broken, 12 pieces) Muli (calcined, 5 liang) Shuqi (Constantinae Herba, washed to remove fishy smell, 3 liang) Longgu (4 liang)
Decoct the above seven ingredients in 1.2 dou of water. First decoct Shuqi to reduce by 2 sheng. Add other ingredients and decoct to obtain 3 sheng. Remove dregs and administer 1 sheng warm. Originally Guizhi Tang, now removing Shaoyao and adding Shuqi, Muli, and Longgu.
113. Resembling Shanghan in form, but pulse is not wiry/tight but weak. Weak pulse implies thirst; exposure to fire causes delirium. Weak pulse with fever and floating pulse resolves with sweating.
114. In Taiyang Disease, if fumigated with fire and no sweating occurs, the patient becomes irritable. If unresolved by the end of the cycle, bloody stool occurs, named Fire Pathogen.
115. Floating pulse with severe heat, if moxibustion is used incorrectly, this is an Excess pattern. Treating Excess as Deficiency, fire agitates blood, inevitably causing dry throat and hematemesis.
116. With a slightly rapid pulse, moxibustion is strictly contraindicated. Fire becomes a pathogen, causing vexation and rebellion. Chasing deficiency and pursuing excess scatters blood in the vessels. Although fire Qi is slight, its internal attack is powerful, charring bones and injuring tendons, making blood recovery difficult. Floating pulse should be resolved by sweating. Using moxibustion traps the pathogen, exacerbating it with fire. Disease manifests as heaviness and numbness below the waist, named Fire Reversal. For spontaneous resolution, vexation must occur first, followed by sweating and resolution. How is this known? The floating pulse indicates resolution through sweating.
117. If burning needles are used to induce sweating, and the needle site is exposed to cold, causing red nodules, Ben Tun (Running Piglet Qi) will inevitably occur. If Qi rushes from the lower abdomen to the heart, moxa one cone on each nodule and administer Guizhi Jia Gui Tang (Cinnamon Twig Decoction plus Cinnamon Twig), adding 2 liang of Guizhi. This is Formula 61.
Guizhi (peeled, 5 liang) Shaoyao (3 liang) Shengjiang (sliced, 3 liang) Gancao (prepared, 2 liang) Dazao (broken, 12 pieces)
Decoct the above five ingredients in 7 sheng of water to obtain 3 sheng. Remove dregs and administer 1 sheng warm. Originally Guizhi Tang, now increasing Guizhi to 5 liang. Guizhi is added to drain Ben Tun Qi.
118. If Fire Reversal is purged, and vexation occurs due to burning needles, treat with Guizhi Gancao Longgu Muli Tang (Cinnamon Twig and Licorice Decoction plus Dragon Bone and Oyster Shell). This is Formula 62.
Guizhi (peeled, 1 liang) Gancao (prepared, 2 liang) Muli (calcined, 2 liang) Longgu (2 liang)
Decoct the above four ingredients in 5 sheng of water to obtain 2.5 sheng. Remove dregs and administer 8 ge warm. Take three times a day.
119. In Taiyang Shanghan, adding warm needles will inevitably cause fright.
120. In Taiyang Disease, aversion to cold and fever are expected. Now, with spontaneous sweating, no aversion to cold, fever, and a thin, rapid Guan pulse, this is due to physician's error in using emesis. If emesis is used on days 1-2, there is hunger in the abdomen but inability to eat. If used on days 3-4, there is dislike for porridge, desire for cold food, and vomiting in the evening what was eaten in the morning. This is caused by physician's emesis, termed Minor Reversal.
121. In Taiyang Disease treated with emesis, although Taiyang Disease should have aversion to cold, the patient now has no aversion to cold and dislikes clothing. This is internal vexation caused by emesis.
122. Patient has a rapid pulse. Rapid indicates heat, which should digest food and increase appetite. However, vomiting occurs. This is because diaphoresis weakened Yang Qi and deficient Diaphragm Qi, causing the rapid pulse. The rapidity is Guest Heat, unable to digest food. Vomiting occurs due to cold deficiency in the Stomach.
123. In Taiyang Disease, after 10+ days of transmission, with nausea, chest pain, loose stool, slight abdominal fullness, and depressed slight vexation. If severe vomiting and purging occurred previously, administer Tiaowei Chengqi Tang. If not, do not administer. If there is only desire to vomit, chest pain, and slight looseness, this is not a Chaihu pattern; vomiting indicates prior severe purging. Tiaowei Chengqi Tang. This is Formula 63. (Use Formula 33 from previous text.)
124. In Taiyang Disease, if Exterior patterns persist after 6-7 days, with a faint and deep pulse, but no Chest Bind, and the patient is manic, this is due to heat in the Lower Jiao. The lower abdomen should be hard and full. If urination is free, bleeding leads to cure. This is because Taiyang pathogen follows the meridian, causing stasis heat in the Interior. Treat with Didang Tang (Resist Decoction). This is Formula 64.
Shuizhi (Hirudo, calcined) Mengchong (Tabanus, wings and legs removed, calcined, 30 pieces each) Taoren (peeled and tipped, 20 pieces) Dahuang (wine-washed, 3 liang)
Decoct the above four ingredients in 5 sheng of water to obtain 3 sheng. Remove dregs and administer 1 sheng warm. If no bleeding, administer again.
125. In Taiyang Disease, with yellow body, deep and knotted pulse, hard lower abdomen, and difficult urination, there is no blood stasis. If urination is free and the patient is manic, this is confirmed Blood Pattern. Treat with Didang Tang. This is Formula 65. (Use previous formula.)
126. In Shanghan with heat and full lower abdomen, urination should be difficult. If it is free instead, there is blood stasis. Purge is required. Do not use other medicines. Use Didang Wan (Resist Pill). This is Formula 66.
Shuizhi (calcined, 20 pieces) Mengchong (calcined, wings and legs removed, 20 pieces) Taoren (peeled and tipped, 25 pieces) Dahuang (3 liang)
Crush the above four ingredients and divide into 4 pills. Decoct one pill in 1 sheng of water to obtain 7 ge. Administer. Within one day, bleeding should occur. If not, administer again.
127. In Taiyang Disease, if urination is free due to excessive water intake, palpitations below the heart will inevitably occur. If urination is scanty, there will inevitably be urgency in the interior.