(方在元戎)
上焦 清神散 连翘防风汤 凉膈散 龙脑饮子 犀角地黄汤
中焦 小承气汤 调胃承气汤 洗心散 四顺清凉饮 桃仁承气汤
下焦 大承气汤 五芩散 八正散 石苇散 抵当汤丸
气分热 柴胡饮子 白虎汤 血分热 清凉饮子 桃仁承气汤
通治大热 三黄丸 黄连解毒汤
三焦寒用药大例(方在卫生)
上焦 桂附丸 刷汤 胡椒理中丸
中焦 二气丸 附子理中丸一大建中
下焦 还少丹 八味丸 大真丹
气分寒 桂枝加附子汤 桂枝加芍药 人参新加汤 血分寒 巴戟丸 神珠丹
通治大寒 大巳寒丸 四逆汤 以上内有寒热之大略也若外有寒热当求别法
葛根橘皮汤 在肌 治伤寒暴发肌中 烂咳而心闷但呕清汁宜此 葛根 橘皮 杏仁
知母 黄芩 麻黄 甘草 分锉每用五钱水煎
阳毒升麻汤 在面 治伤寒一二日或吐下后变成阳毒腰背痛烦闷不安面
赤狂言见鬼下痢脉浮大数咽喉痛下脓血五日可治七日难愈 升麻(半两) 犀角 射干
黄芩
人参 甘草(各三钱半) 上 咀水三升煎取半饮一盏刻许再服温覆手足汗出解否则重作
阳毒玄参升麻汤 在身 治汗下吐后毒不散表虚里实热发于外甚则烦躁谵语兼治喉痹肿痛
玄参 升麻 甘草(各半分) 上细锉水煎
阳毒栀子汤少阳阳明合病 治阳毒伤寒壮热百节疼痛 升麻 栀子仁 黄芩 芍药 石
膏知母 甘草 杏仁 柴胡 上粗末五钱生姜五片豆豉百粒水煎
消毒犀角饮子治 牛蒡子(六两) 荆芥(三两) 防风(三两) 甘草(一两) 水煎服
阴毒升麻鳖甲汤 大建中汤尤妙 升麻(三两) 当归 甘草(各二两) 蜀椒(一两去汗) 鳖
甲(炙) 雄黄(半两研) 上为细末每服半两水煎蒸病 治者宜随各经虚实内外浅深用药加减
可也
古今录验五蒸汤
甘草(一两炙) 茯苓(三两) 人参(二两) 竹叶(二两) 干地黄 葛根(各三两) 知母
黄
芩(各二两) 石膏(五两碎) 粳米(二合) 上十味 咀以水九升煮取二升半分为三服亦可以
先煮小麦水乃煮药 忌海藻菘菜芜荑大醋
实热 黄芩 黄连 黄柏 大黄 虚热 气也 乌梅 秦艽 柴胡 血也 青蒿 鳖甲
蛤蚧 小麦 牡丹皮
肺(鼻干) 乌梅 天门冬 麦门冬 紫菀
皮(舌白唾血) 石膏 桑白皮
肤(昏味嗜睡) 牡丹皮
气(遍身气热喘促鼻干) 人参 黄芩 栀子
大肠(鼻右孤干痛) 大黄 芒硝
脉(唾白浪语脉络溢脉缓急不调) 生地黄 当归
心(舌干) 黄连 生地黄
血(发焦) 地黄 当归 桂心 童子小便
小肠(下唇焦) 赤茯苓 木通 生地黄
脾(唇焦) 芍药 木瓜 苦参
肉(食无味而呕烦躁不安) 芍药
胃(舌下痛) 石膏 粳米 大黄 芒硝 葛根
肝(眼黑) 川芎 当归 前胡
筋(甲焦) 川芎 当归
胆(眼白失色) 柴胡 栝蒌
三焦(乍热乍寒) 石膏 竹叶
肾(两耳焦) 生地黄 石膏 知母 寒水石
脑(头眩闷热) 地黄 防风 羌活
髓(髓沸骨中热) 天门冬 当归 地黄
骨(齿黑腰痛足逆变疳食减) 鳖甲 地骨皮 牡丹皮 当归 生地黄
肉(肢细跌肿府藏俱) 石膏 黄柏
胞(小便赤黄) 泽泻 茯苓 生地黄 沉香 滑石
膀胱(左耳焦) 泽泻 茯苓 滑石
凡此诸蒸皆热病后食肉油腻房酒犯之而成久蒸不除变成疳病即死矣
葛根散 治阳毒身热如火头痛躁渴咽喉干痛
葛根(锉七钱半) 黄芩 大黄(醋炒) 甘草 山栀子仁 朴硝(各半两) 上为末水煎
活人败毒散太阳证 治伤寒温疫风温风眩风痰痹温 羌活 独活 前胡 柴胡 枳壳
人参
茯苓 桔梗 甘草 川芎(分两随病加减) 上为细末生姜水煎或沸汤亦可大人小儿皆宜瘴
烟之地温疫时行或人多风痰或处卑湿香港脚此药不可缺一方少加薄荷同煎
三阳头痛 羌活 防风 荆芥 升麻 葛根 白芷 柴胡 川芎 芍药 细辛 葱白(
连须分两旋加) 若阴证头痛只用温中药足矣乃理中姜附之类也
(The formulas are found in *Yile Yuanrong*)
**General Principles for Medicines Treating Heat in the Upper Jiao:**
Qingshen San (Clear Spirit Powder), Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction), Liangge San (Cool the Diaphragm Powder), Longnao Yinzi (Borneol Drink), Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction).
**General Principles for Medicines Treating Heat in the Middle Jiao:**
Xiao Chengqi Tang (Minor Order the Qi Decoction), Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction), Xixin San (Wash the Heart Powder), Sishun Qingliang Yin (Four-Obedient Cooling Drink), Taoren Chengqi Tang (Peach Kernel Order the Qi Decoction).
**General Principles for Medicines Treating Heat in the Lower Jiao:**
Da Chengqi Tang (Major Order the Qi Decoction), Wuling San (Five-Ingredient Powder), Bazheng San (Eight-Righteousness Powder), Shiwei San (Pyrrhosandra Powder), Didang Tang Wan (Attack the Abode Decoction/Pills).
**Heat in the Qi Level:** Chaihu Yinzi (Bupleurum Drink), Baihu Tang (White Tiger Decoction).
**Heat in the Blood Level:** Qingliang Yinzi (Cooling Drink), Taoren Chengqi Tang (Peach Kernel Order the Qi Decoction).
**General Treatment for Major Heat:** Sanhuang Wan (Three-Yellows Pill), Huanglian Jiedu Tang (Coptis Detoxification Decoction).
**General Principles for Medicines Treating Cold in the Three Jiaos** (Formulas found in *Weisheng Baojian*):
**Cold in the Upper Jiao:** Guifu Wan (Cinnamon and Aconite Pill), Shua Tang (Brush Decoction), Hujiao Lizhong Wan (Pepper Regulate the Middle Pill).
**Cold in the Middle Jiao:** Erqi Wan (Two-Energies Pill), Fuzi Lizhong Wan (Aconite Regulate the Middle Pill), Yi Da Jianzhong Tang (One Great Strengthen the Interior Decoction).
**Cold in the Lower Jiao:** Huanshao Dan (Restore Youth Elixir), Bawei Wan (Eight-Ingredient Pill), Da Zhen Dan (Great True Elixir).
**Cold in the Qi Level:** Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction with Added Aconite), Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction with Added Peony), Renshen Xinjia Tang (Ginseng New Supplement Decoction).
**Cold in the Blood Level:** Bajie Wan (Morinda Pill), Shen Zhu Dan (Divine Pearl Elixir).
**General Treatment for Major Cold:** Da Yi Han Wan (Great Already Cold Pill), Sini Tang (Reverse Cold Decoction).
The above outlines the general principles of internal cold and heat. If there is external cold or heat, other methods should be sought.
**Ge Gen Ju Pi Tang (Kudzu and Tangerine Peel Decoction):** Acts on the muscle layer. Treats Shanghan (Cold Damage) suddenly manifesting in the muscles, characterized by severe cough, chest oppression, and vomiting only clear fluid.
*Ingredients:* Ge Gen (Puerariae Radix), Ju Pi (Citri Reticulatae Pericarpium), Xing Ren (Armeniacae Semen Amarum), Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Ma Huang (Ephedrae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma).
*Usage:* Coarsely chopped, 5 qian per dose, decocted in water.
**Yang Du Shengma Tang (Calamity-Clearing Corydalis Decoction):** Location: Face. Treats Shanghan transforming into Yang Du (Yang Toxin) after one or two days, or after emesis/purgation. Symptoms include back pain, restlessness, facial redness, delirium, hallucinations, dysentery, floating-large-rapid pulse, sore throat, and purulent bloody stools. Curable within five days, difficult to cure within seven.
*Ingredients:* Shengma (Corydalidis Rhizoma, 0.5 liang), Xi Jiao (Rhinocerotis Cornu), She Gan (Belamcandae Rhizoma), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 3.5 qian).
*Usage:* Coarsely chopped, decocted in 3 sheng of water until half remains. Drink one zhan (cup). After approximately the time it takes to eat a meal, take again. Cover the patient to induce sweating from hands and feet; if resolved, stop. If not, re-decoct.
**Yang Du Xuanshen Shengma Tang (Calamity-Clearing Scrophularia and Corydalis Decoction):** Location: Body. Treats toxin lingering after sweating, purging, or vomiting, with exterior deficiency and interior excess, heat manifesting externally, leading to irritability and delirium. Also treats Hou Bi (throat obstruction) with swelling and pain.
*Ingredients:* Xuanshen (Scrophulariae Radix), Shengma (Corydalidis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 0.5 fen).
*Usage:* Finely chopped, decocted in water.
**Yang Du Zhizi Tang (Calamity-Clearing Gardenia Decoction):** For Shaoyang-Yangming Combined Disease. Treats Yang Du Shanghan with high fever and joint pain throughout the body.
*Ingredients:* Shengma (Corydalidis Rhizoma), Zhizi Ren (Gardeniae Semen), Huang Qin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Shigao (Gypsum Fibrosum), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xing Ren (Armeniacae Semen Amarum), Chaihu (Bupleuri Radix).
*Usage:* Coarse powder, 5 qian per dose, with 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 100 grains of Dou Chi (Sojae Semen Praeparatum), decocted in water.
**Xiaodu Xijiao Yinzi (Detoxifying Rhinoceros Horn Drink):**
*Ingredients:* Niu Bang Zi (Arctii Fructus, 6 liang), Jing Jie (Schizonepetae Spica, 3 liang), Fang Feng (Saposhnikoviae Radix, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang).
*Usage:* Decocted in water and taken orally.
**Yin Du Shengma Biejia Tang (Yin-Toxin Clearing Corydalis and Turtle Shell Decoction):** Particularly effective when combined with Da Jianzhong Tang.
*Ingredients:* Shengma (Corydalidis Rhizoma, 3 liang), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 2 liang), Shu Jiao (Zanthoxyli Pericarpium, 1 liang, perspired), Bie Jia (Testudinis Carapax et Plastrum, roasted), Xiong Huang (Realgar, 0.5 liang, ground).
*Usage:* Made into fine powder, 0.5 liang per dose, decocted in water and steamed over the affected area. The practitioner should adjust herbs based on the deficiency/excess of each meridian and the depth/location of the disease.
**Gujin Luyan Wu Zheng Tang (Ancient and Modern Recorded Five Steaming Decoction):**
*Ingredients:* Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried), Fu Ling (Poria), Ren Shen (Ginseng Radix, 2 liang), Zhu Ye (Phyllostachys Folium, 2 liang), Gan Di Huang (Rehmanniae Radix Preparata), Ge Gen (Puerariae Radix, each 3 liang), Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix, each 2 liang), Shigao (Gypsum Fibrosum, 5 liang, crushed), Jing Mi (Oryza Sativa Glutinosa).
*Usage:* The ten ingredients are coarsely chopped. Decoct in 9 sheng of water to obtain 2.5 sheng, divided into three doses. Alternatively, first decoct wheat water, then add the herbs. Avoid Hai Zao (Sargassum), Song Cai (Brassica rapa var. pekinensis), Wu Yi (Myrobalan), and strong vinegar.
**Excess Heat Herbs:** Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Da Huang (Rhei Radix et Rhizoma).
**Deficiency Heat Herbs:**
*Qi Deficiency Heat:* Wu Mei (Mume Fructus), Qin Jiao (Gentianae Macrophyllae Radix), Chai Hu (Bupleuri Radix).
*Blood Deficiency Heat:* Qing Hao (Artemisiae Annuae Herba), Bie Jia (Testudinis Carapax et Plastrum), Ge Jie (Gekko), Xiao Mai (Tritici Fructus), Mu Dan Pi (Moutan Cortex).
**For Lung Dryness (Dry Nose):** Wu Mei (Mume Fructus), Tian Men Dong (Asparagi Radix), Mai Men Dong (Ophiopogonis Radix), Zi Wan (Asteris Radix).
**For Skin/Hair Dryness (White Tongue, Spitting Blood):** Shigao (Gypsum Fibrosum), Sang Bai Pi (Mori Cortex).
**For Flesh Dryness (Drowsiness, Mental Cloudiness):** Mu Dan Pi (Moutan Cortex).
**For Qi Dryness (Whole-body Qi Heat, Panting, Dry Nose):** Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus).
**For Large Intestine Dryness (Right Nostril Dryness/Pain):** Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas).
**For Pulse Dryness (Spitting White Foam, Delirium, Irregular Pulse):** Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix).
**For Heart Dryness (Dry Tongue):** Huang Lian (Coptidis Rhizoma), Sheng Di Huang (Rehmanniae Radix).
**For Blood Dryness (Brittle Hair):** Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Ramulus), Tong Zi Xiao Bian (Urine of Healthy Young Boy).
**For Small Intestine Dryness (Burnt Lower Lip):** Chi Fu Ling (Poria cum Rubro), Mu Tong (Akebiae Caulis), Sheng Di Huang (Rehmanniae Radix).
**For Spleen Dryness (Burnt Lips):** Shao Yao (Paeoniae Radix), Mu Gua (Chaenomelis Fructus), Ku Shen (Sophorae Flavescentis Radix).
**For Muscle Dryness (Loss of Taste, Vomiting, Restlessness):** Shao Yao (Paeoniae Radix).
**For Stomach Dryness (Pain Under Tongue):** Shigao (Gypsum Fibrosum), Jing Mi (Oryza Sativa Glutinosa), Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas), Ge Gen (Puerariae Radix).
**For Liver Dryness (Blurred Vision):** Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Qian Hu (Peucedani Radix).
**For Tendon Dryness (Brittle Nails):** Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix).
**For Gallbladder Dryness (Pale Whites of Eyes):** Chai Hu (Bupleuri Radix), Gua Lou (Trichosanthis Fructus).
**For San Jiao Dryness (Alternating Fever and Chills):** Shigao (Gypsum Fibrosum), Zhu Ye (Phyllostachys Folium).
**For Kidney Dryness (Burnt Ears):** Sheng Di Huang (Rehmanniae Radix), Shigao (Gypsum Fibrosum), Zhi Mu (Anemarrhenae Rhizoma), Hanshui Shi (Halloysitum Rubrum).
**For Brain Dryness (Dizziness, Muggy Heat):** Di Huang (Rehmanniae Radix), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix).
**For Marrow Dryness (Boiling Marrow, Bone Heat):** Tian Men Dong (Asparagi Radix), Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix).
**For Bone Dryness (Black Teeth, Low Back Pain, Inversion of Feet, Gan Disease, Reduced Appetite):** Bie Jia (Testudinis Carapax et Plastrum), Di Gu Pi (Lycii Cortex), Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix).
**For Flesh/Muscle Dryness (Thin Limbs, Swollen Ankles, Visceral Involvement):** Shigao (Gypsum Fibrosum), Huang Bo (Phellodendri Cortex).
**For Bladder/Urinary Bladder Dryness (Red/Yellow Urine):** Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), Sheng Di Huang (Rehmanniae Radix), Chen Xiang (Aquilariae Lignum Resinatum), Hua Shi (Talcum).
**For Bladder Dryness (Burnt Left Ear):** Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), Hua Shi (Talcum).
All these "Steaming" conditions arise after febrile diseases due to consuming meat, greasy foods, engaging in sexual activity, or drinking alcohol. If prolonged without removal, they transform into Gan Disease (Chronic Wasting Syndrome), which leads to death.
**Ge Gen San (Kudzu Powder):** Treats Yang Du with body heat like fire, headache, irritability, thirst, and dry/painful throat.
*Ingredients:* Ge Gen (Puerariae Radix, 7.5 qian), Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma, stir-fried with vinegar), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shan Zhi Zi Ren (Gardeniae Fructus), Po Xiao (Natrii Sulfas, each 0.5 liang).
*Usage:* Made into powder, decocted in water.
**Huoren Baidu San (Living Person's Toxin-Expelling Powder):** For Taiyang Syndrome. Treats Shanghan, Wen Yi (Plague), Feng Wen (Wind Warmth), Feng Xuan (Wind Dizziness), Feng Tan (Wind Phlegm), Bi Wen (Obstructive Warmth).
*Ingredients:* Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Qian Hu (Peucedani Radix), Chai Hu (Bupleuri Radix), Zhi Ke (Aurantii Fructus), Ren Shen (Ginseng Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma). Dosages vary according to the condition.
*Usage:* Fine powder, decocted with Sheng Jiang (Zingiberis Rhizoma Recens) in water, or prepared with boiling water. Suitable for adults and children. Indispensable in miasma regions, during plague epidemics, for those with much wind-phlegm, or those suffering from Hong Jiao Jiao (Gouty Arthritis) in damp-low areas. One variation adds Bo He (Menthae Haplocalycis Herba) for decoction.
**San Yang Headache:** Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Sheng Ma (Corydalidis Rhizoma), Ge Gen (Puerariae Radix), Bai Zhi (Angelicae Dahuricae Radix), Chai Hu (Bupleuri Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Xi Xin (Asari Radix et Rhizoma), Cong Bai (Allii Fistulosi Bulbus, with roots, dosage adjusted as needed). For Yin Syndrome headaches, warm middle-jiao herbs suffice, such as Lizhong Tang (Regulate the Middle Decoction) or Jiang Fu (Ginger and Aconite) preparations.