伤寒发汗。若吐若下。解后。心下痞硬。噫气不除者。旋覆代赭石汤主之。
伤寒发汗。或吐或下。邪气则解。而心下痞硬。噫气不除者。胃气弱而未和。痰气动而上逆也
。旋覆花咸温。行水下气。代赭石味苦质重。能坠痰降气。半夏、生姜、辛温。人参、大枣、甘草
甘温。合而用之。所以和胃气而止虚逆也。
旋覆代赭石汤方
旋覆花（三两） 人参（二两） 炙甘草（三两） 生姜（五两切） 半夏（半升洗）
代赭石（一两） 大枣（十二枚擘）
上七味。以水一斗。煮取六升。去滓。再煎取三升。温服一升。日三服。
伤寒若吐若下后。心下逆满。气上冲胸。起则头眩。脉沉紧。发汗则动经。身为振振摇者。
茯苓桂枝白术甘草汤主之。
此伤寒邪解而饮发之证。饮停于中则满。逆于上则气冲而头眩。入于经则身振振而动摇。金匮
云、膈间支饮。其人喘满。心下痞坚。其脉沉紧。又云、心下有痰饮。胸胁支满。目眩。又云、其人
振振身 剧。必有伏饮是也。发汗则动经者。无邪可发。而反动其经气。故与茯苓、白术。以蠲饮
气。桂枝、甘草。以生阳气。所谓病痰饮者。当以温药和之也。
茯苓桂枝白术甘草汤方
茯苓（四两） 桂枝（三两） 白术 炙甘草（各二两）
上四味。以水六升。煮取三升。分温三服。
凡病若发汗。若吐。若下。若亡津液。阴阳自和者。必自愈。
阴阳自和者。不偏于阴。不偏于阳。汗液自出。便溺自调之谓。汗吐下亡津液后。邪气既微。
正气得守。故必自愈。
After the treatment of sweating for a cold damage disease, if vomiting or purging methods are also applied, and after the exterior pathogenic factor has resolved, symptoms of epigastric fullness and hardness, along with persistent belching (hiccough), occur. In such cases, Xuanfu Daizhe Shi Tang (Inula and Hematite Decoction) is the primary prescription.
After sweating, or vomiting, or purging for a cold damage disease, although the pathogenic factor has resolved, if epigastric fullness and hardness persist along with unrelenting belching, it indicates that the Stomach Qi is weak and disharmonious, causing phlegm-fluids to move upward and reverse.
Xuanfu Hua (Inulae Flos) is salty and warm, capable of moving fluids and descending Qi. Daizhe Shi (Hematitum) is bitter and heavy in texture, capable of sinking phlegm and descending Qi. Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens) are acrid and warm. Renshen (Ginseng Radix), Dazao (Jujubae Fructus), and Gancao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle) are sweet and warm. Used in combination, they harmonize Stomach Qi and stop deficiency-type rebellious Qi.
Formula: Xuanfu Daizhe Shi Tang (Inula and Hematite Decoction)
Xuanfu Hua (Inulae Flos) (3 liang)
Renshen (Ginseng Radix) (2 liang)
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) (3 liang)
Shengjiang (Fresh Zingiberis Rhizoma) (5 liang, sliced)
Banxia (Pinelliae Rhizoma) (0.5 sheng, washed)
Daizhe Shi (Hematitum) (1 liang)
Dazao (Jujubae Fructus) (12 pieces, split)
Take the above seven ingredients, add 1 dou of water, decoct to obtain 6 sheng, remove the dregs, and decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily.
After vomiting or purging for a cold damage disease, if there is a sensation of rebellious fullness in the epigastrium, Qi rushing up to the chest, dizziness upon rising, and a deep, tight pulse, further sweating will disturb the meridians, causing the body to tremble and shake uncontrollably. In such cases, Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala and Licorice Decoction) is the primary prescription.
This is a syndrome where the cold damage pathogen has resolved but fluid retention arises. Fluid retention stagnating in the middle causes fullness; reversing upward causes Qi rushing to the chest and dizziness; entering the meridians causes trembling and shaking. The *Jin Gui Yao Lue* states: "For patients with fluid retention between the diaphragm, there is wheezing and fullness, epigastric stiffness and hardness, and a deep, tight pulse." It also states: "With phlegm-fluids in the heart region, there is distending fullness in the chest and hypochondrium, and dizziness." It further states: "If the person trembles violently, there must be latent fluid retention." The phrase "sweating disturbs the meridians" implies that since there is no exterior pathogen to release, sweating instead disturbs the meridian Qi. Therefore, Poria and Atractylodes Macrocephala are used to eliminate fluid retention, while Cinnamon Twig and Licorice are used to generate Yang Qi. This aligns with the principle that for diseases involving phlegm-fluids, one should use warm herbs to harmonize.
Formula: Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala and Licorice Decoction)
Fuling (Poria) (4 liang)
Guizhi (Cinnamomi Ramulus) (3 liang)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) (each 2 liang)
Take the above four ingredients, add 6 sheng of water, decoct to obtain 3 sheng, and divide into three warm doses.
Generally, for any disease, whether treated with sweating, vomiting, purging, or resulting in the loss of Body Fluids, if Yin and Yang can naturally harmonize, the disease will surely resolve on its own.
"Naturally harmonizing Yin and Yang" refers to a state where there is no bias toward Yin or Yang, sweat excretes naturally, and urination and defecation regulate themselves. After sweating, vomiting, or purging leads to the loss of Body Fluids, the pathogenic factor becomes slight, and the Healthy Qi is preserved; thus, self-healing is inevitable.