伤寒传变大法，已详《伤寒论注》及《心法要诀》中矣。然近世治四时伤寒者，咸用河间两解等
法，每多神效，诚治斯症之捷法也。今复采双解散、防风通圣散诸经验名方，编为歌诀，俾
后之学人知所变通，庶几于伤寒一症，经权常变，有所遵循，而无遗法云。
双解通圣合六一，四时温热正伤寒。两许为剂葱姜豉，汗下兼行表里宜。强者加倍弱减
半，不解连进自然安。若因汗少麻倍大，便硬硝黄加倍添。
名曰双解散者，以其能发表攻里，即防风通圣散、六一散二方合剂也。河间制此，解利
四时冬温、春温、夏热、秋燥者。正令伤寒，凡邪在三阳表里不解者，以两许为剂，加葱、
姜、淡豉煎服之。候汗下兼行，表里即解。形气强者，两半为剂。形气弱者，五钱为剂。若
初服，因汗少不解，则为表实，倍加麻黄以汗之。因便硬不解，则为里实，倍加硝、黄以下
之。连进二三服，必令汗出下利而解也。今人不知其妙，以河间过用寒凉，仲景伤寒初无下
法，弃而不用，真可惜也。不知其法神捷，莫不应手取效，从无寒中痞结之变，即有一二不
解者，亦未尽法之善。则必已传阳明，故不解也。防风通圣散，详在后。
汗下已通仍不解，皆因不彻已传经。内热烦渴甘露饮，甚用白虎解毒清。有表热烦柴葛
解，表实大热三黄宁。里热尿赤凉天水，胃实不便大柴承。
服双解散，汗下已通，而仍不解者，皆因汗之不彻，或以传经，治之不及也。若表已解
，而里有微热烦渴者，用桂苓甘露饮，以和太阳之里。若内热太甚，大热大烦大渴者，用白虎
汤合黄连解毒汤，以清阳明之里。若表未解，又传阳明，身热而烦，用柴葛解肌汤，以解两
阳之邪。若表实无汗，大热而烦，用三黄石膏汤，以清表里之热。若里有热，尿赤而涩者，
用凉膈散，合天水散以清和之。若胃实潮热，不大便有微表者，用柴胡汤下之。无表者，三
承气汤下之。桂苓甘露饮、白虎汤、大柴胡汤、三承气汤，已详《伤寒要诀》。六一散、凉膈散，详在《杂病要诀》。
防风通圣散
防风通圣治风热，郁在三焦表里中。气血不宣经络壅，栀翘芩薄草归芎。硝黄芍术膏滑
石，麻黄桔梗与防荆。利减硝黄呕姜半，自汗麻去桂枝增。
此方治一切风火之邪，郁于三焦表里经络，气血不得宣通。初感发热头痛肤疹，传经斑
黄，抽搐烦渴不眠，便秘尿涩，皆可服之。功效甚奇，用之自知其妙也。
柴葛解肌汤
四时合病在三阳，柴葛解肌柴葛姜。白芷枯芩膏芍草，利减石膏呕半羌。
此方陶华所制，以代葛根汤。凡四时太阳、阳明、少阳合病轻证，均宜以此汤增减治之。
增减者，谓如无太阳证者减羌活，无少阳症者减柴胡也。即柴胡、葛根、羌活、白芷、桔梗
、赤芍、石膏、黄芩、甘草也。下利减石膏，以避里虚也；呕加半夏、生姜，以降里逆也。
黄连解毒汤 栀子金花汤 三黄石膏汤
阳毒热极疹斑呕，烦渴呻吟谵语狂。下后便软热不已，连芩栀柏解毒汤。里实便硬当攻
下，栀子金花加大黄。表实膏麻葱豆豉，下利除膏入葛良。
清毒犀角饮
阳毒热极等证，或下后便软，壮热不已，宜黄连解毒汤。即黄连、黄芩、黄柏、栀子也。若里实当攻下；便硬者宜
加大黄，名栀子金花汤；若表实无汗，当发汗者，宜加石膏、麻黄、淡豆豉、葱白，名三黄石膏汤；下利者，减石膏加
葛根，避里不实也。
消毒犀角表疹斑，毒壅咽喉肿痛难。犀角牛蒡荆防草，热盛加薄翘芩连。
消毒犀角饮即消毒饮之防风、荆芥、牛蒡子、甘草加犀角也，热盛加连翘、薄荷、黄芩、黄连也。
消斑青黛饮
消斑青黛消斑毒，参虎柴犀栀地元。黄连热实减参去，苦酒加入大黄煎。
消斑青黛饮即青黛。参虎，谓人参白虎汤，即人参、石膏、知母、甘草、柴胡、犀角、
山栀、生地、元参、黄连，用苦酒与水煎也。热甚便实者，减去人参，加大黄可也。
普济消毒饮
普济大头天行病，无里邪热客高巅。芩连薄翘柴升桔，蚕草陈勃蒡蓝元。
普济消毒饮治天行传染，大头瘟疫，无里可下者。是其邪热客于高巅，即黄芩、黄连、
薄荷、连翘、柴胡、升麻、桔梗、僵蚕、甘草、陈皮、马勃、牛蒡子、板蓝根、元参也。
连翘败毒散
连翘败毒散发颐，高肿 红痛可除。花粉连翘柴胡蒡，荆防升草桔羌独。红花苏木芎
归尾，肿面还加芷漏芦。肿坚皂刺穿山甲，便燥应添大黄疏。
连翘败毒散治时毒发颐，高肿 红疼痛之阳证也。即连翘、天花粉、柴胡、牛蒡子、
荆芥、防风、升麻、甘草、桔梗、羌活、独活、红花、苏木、川芎、归尾。两颐连面皆肿，加
白芷、漏芦；肿坚不消，加皂刺、穿山甲；大便燥结，加酒炒大黄。
都气汤，橘皮竹茹汤
呃逆肾虚都气汤，六味肉桂五味方。橘皮竹茹虚热主，橘竹参草枣生姜。
都气汤即六味地黄汤加肉桂、五味子也；橘皮竹茹汤即橘皮、竹茹、人参、甘草、大枣
、生姜。
葳蕤汤
风温浮盛葳蕤汤，羌麻葛芷青木香。芎草石膏葳蕤杏，里实热甚入硝黄。
风温起初，六脉浮盛，表实壮热汗少者，宜葳蕤汤以发表风邪也。即羌活、麻黄、葛根
、白芷、青木香、川芎、甘草、石膏、葳蕤、杏仁也。里实热甚汗多者，加芒硝、大黄以攻里热也。
桂枝白虎汤
风温虚热汗出多，难任葳蕤可奈何。须是鼾睡而燥渴，方宜桂枝虎参合。
风温初起，脉浮有力，汗少壮热，宜于葳蕤汤。若脉虚身热汗出，难用葳蕤汤，合与桂
枝白虎人参汤。如不鼾睡，口中和而不燥不渴，身热汗多脉浮盛者，乃亡阳之证，非风温也
。即桂枝白虎加人参汤，亦不可用也。
泻心导赤各半汤
越经无证如醉热，脉和导赤各半汤。芩连栀子神参麦，知滑犀草枣灯姜。
越经，病名也。无证，谓无表里证。脉和而身热不解，形如醉人者，是越经证也。宜泻
心导赤各半汤治之。
即黄连、黄芩、栀子、茯苓、人参、麦冬、知母、滑石、犀角、甘草、灯心、生姜、大
枣也。
大羌活汤
两感伤寒病二经，大羌活汤草川芎。二防二术二活细，生地芩连知母同。
两感伤寒，病名也。二经谓一日太阳、少阴，二日阳明、太阴，三日少阳、厥阴，同病
也。张洁古制大羌活汤治之，即甘草、川芎、防风、防己、苍术、白术、羌活、独活、细辛
、生地、黄芩、黄连、知母也，详在《伤寒要诀》。
还阳散 退阴散 黑奴丸
阴毒还阳硫黄末，退阴炮乌干姜均。阳毒黑奴小麦疸，芩麻硝黄釜灶尘。
还阳散即石硫黄末。每服二钱，新汲水调下。良久寒热不出，再服之，汗出愈。
退阴散即炮变色川乌，微炒干姜，等分为末，每服一钱，盐汤滚数沸服。四肢不温，连服三次即温。热服若吐，冷
服亦可。黑奴丸即小麦成黑疸者，名曰小麦奴。黄芩、麻黄、芒硝、大黄、釜底煤、灶突烟、梁上尘也。为末，蜜丸重
四钱，新汲水下。服后若渴，饮冷水者，令恣意饮之。须臾自当寒振汗出，腹响微利而解也。若不渴者，恐是阴极似阳，
服之反为害耳。
九味羌活汤
九味羌活即冲和，四时不正气为 。洁古制此代麻桂，羌活防苍细芷芎。生地草芩喘加
杏，无汗加麻有桂多。胸满去地加枳桔，烦渴知膏热自瘥。
此汤即冲和汤。张洁古制此以代麻黄桂枝二汤，即羌活、防风、苍术、细辛、白芷、川
芎、生地、甘草、黄芩也。喘加杏仁，无汗加麻黄，有汗加桂枝。胸膈满闷，去生地，加枳
壳、桔梗，快膈气也。烦渴引饮，加知母、石膏，热自瘥也。
十神汤
十神外感寒气病，功在温经利气殊。升葛芎麻甘草芍，姜葱香附芷陈苏。
此方即升麻、葛根、川芎、麻黄、甘草、芍药、香附、白芷、陈皮、苏叶、生姜、葱白
也。能外发寒邪，内舒郁气，故曰寒气病，较之他剂，有温经利气之功殊也。
人参败毒散 荆防败毒散 仓禀散
人参败毒虚感冒，发散时毒疹痢良。参苓枳桔芎草共，柴前薄荷与独羌。时毒减参加翘
蒡，血风时疹入荆防。表热噤痢加仓米，温热芩连实硝黄。
人参败毒散治气虚感冒时气之病，即枳壳、桔梗、川芎、茯苓、人参、甘草、柴胡、前
胡、薄荷、独活、羌活也。时毒，谓受四时不正之气，或肿两腮两颐，或咽喉肿痛，根据本方
减人参，加牛蒡、连翘治之。时疹，谓初病即有之疹。血风，谓遍身瘙痒之疹。俱根据本方减
人参，加荆芥、防风治之，名荆防败毒散。表热无汗，噤口痢疾，根据本方加仓米治之，名仓
禀散。温病热病热甚，俱加黄连、黄芩；胃实便硬，俱加芒硝、大黄也。
五积散
内伤生冷外感寒，五积平胃半苓攒。麻桂枳桔归芎芍，姜芷加附逐阴寒。腹痛呕逆吴萸
入，有汗除麻桂枝添。虚加参术除枳桔，妇人经痛艾醋煎。
五积散即苍术、陈皮、浓朴、甘草、半夏、茯苓、麻黄、官桂、枳壳、桔梗、当归、川
芎、白芍、干姜、白芷也。表重用桂，阴寒肢冷加附子，腹痛呕逆加吴萸，有汗除去麻黄，
加桂枝。气虚加人参、白术，除去枳、桔，妇人经痛加艾叶，醋煎服之。
升麻葛根汤
升葛芍草表阳明，下利斑疹两收功。麻黄太阳无汗入，柴苓同病少阳经。
升麻、葛根、白芍、甘草，即升麻葛根汤也。阳明表邪不解，或数下利，及斑疹不透者
，均宜主之。若兼太阳无汗之表症，入麻黄。若兼少阳口苦耳聋，寒热往来，半表半里之症
，加柴胡、黄芩也。
二圣救苦丹
初起时疫温热病，救苦汗出下俱全。热实百发而百中，大黄皂角水为丸。
此丹即大黄四两、皂角二两，为末，水为丸也。每服三钱，无根水下。弱者、老者、幼
者，量减服之。此药施治于初起时疫传染，伤寒温病热病，热盛形气俱实者，百发百中。服
后或汗、或吐、或下，三法俱全，其病立解。
温胆汤
伤寒病后津液干，虚烦燥渴不成眠。乃是竹叶石膏证，胆经余热此方先。口苦呕涎烦惊
悸，半苓橘草枳竹煎。气虚加参渴去半，再加麦粉熟芩连。
伤寒病后，燥渴虚烦，乃竹叶石膏汤证，非温胆汤证，详在《伤寒要诀》。若少阳胆经余热
，则口苦呕烦惊悸，是温胆证也。即半夏、茯苓、橘皮、甘草、枳实、竹茹也。形气俱虚，
或因汗吐下后，及气虚者，均加人参。渴去半夏，加麦冬、花粉以生津也。有热加黄芩、黄
连以清热也。
The general principles of the transmission and transformation of Cold Damage diseases have been detailed in *Commentary on the Treatise on Cold Damage* (*Shanghan Lun Zhu*) and *Essentials of Medical Practice* (*Xinfa Yaojue*). However, contemporary physicians treating four-season Cold Damage all employ methods such as Hejian's (Liu Wansu's) Two-Resolving method, which often yields miraculous effects; this is indeed a swift method for treating such conditions. I now compile empirical famous formulas such as Shuangjie San (Double-Resolving Powder) and Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Heroic), arranging them into rhymed verses, so that future students may know how to adapt flexibly. It is hoped that regarding Cold Damage, there will be adherence to both standard and variable approaches, leaving no therapeutic methods omitted.
Combining Shuangjie San (Double-Resolving Powder) with Tongsheng San (Unblocking Heroic Powder) and Liuyi San (Six-to-One Powder) addresses Zheng Shanghan (True Cold Damage) presenting with warm-heat characteristics in all seasons. The dosage is two xu (approx. 30g), decocted with scallion, ginger, and fermented soybean. This approach simultaneously induces sweating and purging, suitable for resolving both exterior and interior aspects. For those with strong constitution, double the dose; for those with weak constitution, halve it. If the condition does not resolve after initial administration, continuous intake will naturally bring peace. If insufficient sweating occurs without resolution, double the amount of Ephedrae Herba (Mahuang, 麻黄); if hard stool persists without resolution, double the amounts of Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄).
It is called "Shuangjie San" (Double-Resolving Powder) because it releases the exterior and attacks the interior; it is a combination of Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Heroic) and Liuyi San (Six-to-One Powder). Hejian formulated this to resolve winter-warmth, spring-warmth, summer-heat, and autumn-dryness affecting the four seasons. In cases of true Cold Damage where pathogenic factors remain unresolved in the exterior and interior of the Three Yang meridians, administer two xu as a dose, decocted with scallion, ginger, and fermented soybean. Wait for simultaneous sweating and purging to resolve the exterior and interior. For those with robust form and qi, use one liang and half (approx. 50g); for those with deficient form and qi, use five qian (approx. 15g). If the first dose fails to resolve due to lack of sweat, it indicates Exterior Excess; double the Ephedrae Herba (Mahuang, 麻黄) to induce sweating. If it fails to resolve due to hard stool, it indicates Interior Excess; double Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄) to purge. After two or three doses, resolution will inevitably come through sweating and purging. Modern people do not understand its subtleties, claiming Hejian overused cold-cooling herbs and that Zhang Zhongjing initially had no purging method for Cold Damage, leading them to discard it—a great pity. They fail to realize the method's divine swiftness, which rarely fails to achieve immediate results, and never produces complications of cold retention and glomus formation. Even if one or two cases do not resolve, it is not due to the inadequacy of the method, but because the pathogen has transmitted to the Yangming stage. Details of Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Heroic) are provided later.
If sweating and purging have been conducted yet the disease remains unresolved, it is due to incomplete sweating or transmission to other meridians. For internal heat with irritability and thirst, use Guiling Ganlu Yin (Cassia Twig and Atractylodes Macrocephala Drink to Transform Dampness). For severe cases, use Baihu Tang (White Tiger Decoction) combined with Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) to clear heat. For exterior heat with irritability, use Chaige Jieji Tang (Bupleurum and Kudzu Root Decoction to Release the Muscles). For exterior excess with high fever, use Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction) to calm. For interior heat with dark urine, use Liangge San (Cooling Diaphragm Powder) combined with Tianshui San (Heavenly Water Powder). For stomach excess with tidal fever and constipation, use Da Chaihu Tang (Major Bupleurum Decoction) or Chengqi Tangs (Chengqi Decoctions) to purge.
After taking Shuangjie San (Double-Resolving Powder), if sweating and purging have occurred but the disease persists, it is because sweating was incomplete or transmission occurred, and treatment was untimely. If the exterior is resolved but there is slight interior heat, irritability, and thirst, use Guiling Ganlu Yin (Cassia Twig and Atractylodes Macrocephala Drink to Transform Dampness) to harmonize the interior of the Taiyang meridian. If internal heat is extreme with high fever, severe irritability, and intense thirst, use Baihu Tang (White Tiger Decoction) combined with Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) to clear the interior heat of the Yangming meridian. If the exterior is unresolved and it has transmitted to Yangming, with body heat and irritability, use Chaige Jieji Tang (Bupleurum and Kudzu Root Decoction to Release the Muscles) to release pathogens from both Taiyang and Yangming. If there is exterior excess with no sweat, high fever, and irritability, use Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction) to clear heat from both exterior and interior. If there is interior heat with dark, difficult urination, use Liangge San (Cooling Diaphragm Powder) combined with Tianshui San (Heavenly Water Powder) to clear and harmonize. If there is stomach excess, tidal fever, and constipation with slight exterior signs, use Da Chaihu Tang (Major Bupleurum Decoction) to purge. Without exterior signs, use Chengqi Tangs (Chengqi Decoctions) to purge. Details of Guiling Ganlu Yin (Cassia Twig and Atractylodes Macrocephala Drink to Transform Dampness), Baihu Tang (White Tiger Decoction), Da Chaihu Tang (Major Bupleurum Decoction), and Chengqi Tangs (Chengqi Decoctions) are in *Shanghan Yaojue*. Details of Liuyi San (Six-to-One Powder) and Liangge San (Cooling Diaphragm Powder) are in *Zabing Yaojue*.
Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Heroic) treats wind-heat pathogens stagnating in the Sanjiao, affecting both exterior and interior. When qi and blood are not unimpeded and meridians are congested, the formula contains Gardeniae Fructus (Zhizi, 栀子), Forsythiae Fructus (Lianqiao, 连翘), Scutellariae Radix (Huangqin, 黄芩), Menthae Haplocalycis Herba (Bohe, 薄荷), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Angelicae Sinensis Radix (Danggui, 当归), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Natrii Sulfas (Mangxiao, 芒硝), Rheum Radix et Rhizoma (Dahuang, 大黄), Paeoniae Radix Rubra (Chishao, 赤芍), Atractylodis Rhizoma (Baizhu, 白术), Gypsum Fibrosum (Shigao, 石膏), Talcum (Huashi, 滑石), Ephedrae Herba (Mahuang, 麻黄), Platycodonis Radix (Jiegeng, 桔梗), Saposhnikoviae Radix (Fangfeng, 防风), and Schizonepetae Spica (Jingjie, 荆芥). Reduce Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄) if diarrhea occurs; add Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Pinelliae Rhizoma (Banxia, 半夏) if vomiting occurs. Remove Ephedrae Herba (Mahuang, 麻黄) and increase Cinnamomi Ramulus (Guizhi, 桂枝) if spontaneous sweating occurs.
This formula treats all wind-fire pathogens stagnating in the Sanjiao, exterior, interior, and meridians, preventing the free flow of qi and blood. It is suitable for initial symptoms of fever, headache, skin rashes, transmitted macules and jaundice, convulsions, irritability, thirst, insomnia, constipation, and difficult urination. Its efficacy is remarkable; users will appreciate its subtleties upon application.
Chaige Jieji Tang (Bupleurum and Kudzu Root Decoction to Release the Muscles) is indicated for concurrent disorders of the Three Yang meridians in all seasons, containing Bupleuri Radix (Chaihu, 柴胡), Puerariae Lobatae Radix (Ge Gen, 葛根), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), and Zingiberis Rhizoma (Jiang, 姜). Add Angelicae Dahuricae Radix (Baizhi, 白芷), Scutellariae Radix (Kuang Qin, 枯芩), Gypsum Fibrosum (Shigao, 石膏), Paeoniae Radix (Shaoyao, 芍药), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草). Reduce Gypsum Fibrosum (Shigao, 石膏) if diarrhea occurs; add Pinelliae Rhizoma (Banxia, 半夏) and Notopterygii Rhizoma et Radix (Qianghuo, 羌活) if vomiting occurs.
This formula was created by Tao Hua to replace Gegen Tang (Kudzu Root Decoction). It is suitable for mild cases of concurrent disorders of Taiyang, Yangming, and Shaoyang meridians in all seasons. Modifications include removing Notopterygii Rhizoma et Radix (Qianghuo, 羌活) if Taiyang signs are absent, and removing Bupleuri Radix (Chaihu, 柴胡) if Shaoyang signs are absent. The ingredients are Bupleuri Radix (Chaihu, 柴胡), Puerariae Lobatae Radix (Ge Gen, 葛根), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Dahuricae Radix (Baizhi, 白芷), Platycodonis Radix (Jiegeng, 桔梗), Paeoniae Radix Rubra (Chishao, 赤芍), Gypsum Fibrosum (Shigao, 石膏), Scutellariae Radix (Huangqin, 黄芩), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草). Reduce Gypsum Fibrosum (Shigao, 石膏) in diarrhea to avoid damaging interior deficiency; add Pinelliae Rhizoma (Banxia, 半夏) and Zingiberis Rhizoma Recens (Shengjiang, 生姜) in vomiting to descend rebellious qi.
Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity), Zhizi Jinhua Tang (Gardenia Golden Flower Decoction), and Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction)
For yang toxicity with extreme heat, rashes, vomiting, irritability, thirst, groaning, delirium, and mania: If heat persists after purging but stool is soft, use Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) containing Coptidis Rhizoma (Huanglian, 黄连), Scutellariae Radix (Huangqin, 黄芩), Gardeniae Fructus (Zhizi, 栀子), and Phellodendri Cortex (Huangbai, 黄柏). If interior excess requires purging and stool is hard, add Rheum Radix et Rhizoma (Dahuang, 大黄) to Zhizi Jinhua Tang (Gardenia Golden Flower Decoction). If exterior excess requires sweating with no sweat, add Gypsum Fibrosum (Shigao, 石膏), Ephedrae Herba (Mahuang, 麻黄), Fermented Soybean (Danshi, 淡豉), and Allii Macrostemonis Bulbus (Congbai, 葱白) to form Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction). If diarrhea occurs, reduce Gypsum Fibrosum (Shigao, 石膏) and add Puerariae Lobatae Radix (Gegen, 葛根).
Qingdu Xijiao Yin (Clearing Toxin and Rhinohorn Decoction)
For conditions like yang toxicity with extreme heat, or persistent high fever after purging with soft stool, Qinglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) is appropriate, consisting of Coptidis Rhizoma (Huanglian, 黄连), Scutellariae Radix (Huangqin, 黄芩), Phellodendri Cortex (Huangbai, 黄柏), and Gardeniae Fructus (Zhizi, 栀子). If interior excess requires purging and stool is hard, add Rheum Radix et Rhizoma (Dahuang, 大黄), named Zhizi Jinhua Tang (Gardenia Golden Flower Decoction). If exterior excess requires sweating with no sweat, add Gypsum Fibrosum (Shigao, 石膏), Ephedrae Herba (Mahuang, 麻黄), Fermented Soybean (Danshi, 淡豉), and Allii Macrostemonis Bulbus (Congbai, 葱白), named Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction). If diarrhea occurs, reduce Gypsum Fibrosum (Shigao, 石膏) and add Puerariae Lobatae Radix (Gegen, 葛根) to avoid damaging interior deficiency.
Xiaodu Xijiao Yin (Disinfecting Rhinohorn Decoction) treats exterior rashes; toxin congestion causes difficult throat swelling and pain. Ingredients include Rhinohorn (Xijiao, 犀角), Arctii Fructus (Niubangzi, 牛蒡子), Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草). For severe heat, add Forsythiae Fructus (Lianqiao, 连翘), Menthae Haplocalycis Herba (Bohe, 薄荷), Scutellariae Radix (Huangqin, 黄芩), and Coptidis Rhizoma (Huanglian, 黄连).
Xiaodu Xijiao Yin (Disinfecting Rhinohorn Decoction) consists of Saposhnikoviae Radix (Fangfeng, 防风), Schizonepetae Spica (Jingjie, 荆芥), Arctii Fructus (Niubangzi, 牛蒡子), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) from Xiaodu Yin (Disinfecting Decoction), plus Rhinohorn (Xijiao, 犀角). For severe heat, add Forsythiae Fructus (Lianqiao, 连翘), Menthae Haplocalycis Herba (Bohe, 薄荷), Scutellariae Radix (Huangqin, 黄芩), and Coptidis Rhizoma (Huanglian, 黄连).
Xiaoban Qingdai Yin (Blue-green Indigo Decoction to Eliminate Macules)
Xiaoban Qingdai Yin (Blue-green Indigo Decoction to Eliminate Macules) eliminates macule toxins, containing Ginseng Radix (Renshen, 人参), Baibu Tang (White Tiger Decoction components), Bupleuri Radix (Chaihu, 柴胡), Rhinohorn (Xijiao, 犀角), Gardeniae Fructus (Zhizi, 山栀), Rehmanniae Radix Preparata (Dihuang, 地), and Scrophulariae Radix (Yuanshen, 元). For heat excess and interior excess, reduce Ginseng Radix (Renshen, 人参) and remove vinegar, adding Rheum Radix et Rhizoma (Dahuang, 大黄) for decoction.
Xiaoban Qingdai Yin (Blue-green Indigo Decoction to Eliminate Macules) consists of Indigo Naturalis (Qingdai, 青黛), Renshen (Ginseng Radix, 人参), and Baibu Tang (White Tiger Decoction: Ginseng Radix (Renshen, 人参), Gypsum Fibrosum (Shigao, 石膏), Anemarrhenae Rhizoma (Zhimu, 知母), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)), Bupleuri Radix (Chaihu, 柴胡), Rhinohorn (Xijiao, 犀角), Gardeniae Fructus (Zhizi, 山栀), Rehmanniae Radix Preparata (Dihuang, 地), Scrophulariae Radix (Yuanshen, 元), and Coptidis Rhizoma (Huanglian, 黄连), decocted with vinegar and water. For severe heat and solid stool, reduce Ginseng Radix (Renshen, 人参) and add Rheum Radix et Rhizoma (Dahuang, 大黄).
Puji Xiaodu Yin (Universal Benefit Disinfecting Decoction)
Puji Xiaodu Yin (Universal Benefit Disinfecting Decoction) treats Big Head Epidemic Disease, where there is no interior excess and heat pathogens lodge at the high peak (head). Ingredients include Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), Menthae Haplocalycis Herba (Bohe, 薄荷), Forsythiae Fructus (Lianqiao, 连翘), Bupleuri Radix (Chaihu, 柴胡), Cimicifugae Rhizoma (Shengma, 升麻), Platycodonis Radix (Jiegeng, 桔梗), Bombyx Batryticatus (Jiangcan, 僵蚕), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Mopani Euphorbiae Herba (Mabo, 马勃), Arctii Fructus (Niubangzi, 牛蒡子), Isatidis Radix (Banlangen, 板蓝根), and Scrophulariae Radix (Yuanshen, 元).
Puji Xiaodu Yin (Universal Benefit Disinfecting Decoction) treats contagious Big Head Plague without interior excess requiring purging. It addresses heat pathogens lodging at the high peak, comprising Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), Menthae Haplocalycis Herba (Bohe, 薄荷), Forsythiae Fructus (Lianqiao, 连翘), Bupleuri Radix (Chaihu, 柴胡), Cimicifugae Rhizoma (Shengma, 升麻), Platycodonis Radix (Jiegeng, 桔梗), Bombyx Batryticatus (Jiangcan, 僵蚕), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Mopani Euphorbiae Herba (Mabo, 马勃), Arctii Fructus (Niubangzi, 牛蒡子), Isatidis Radix (Banlangen, 板蓝根), and Scrophulariae Radix (Yuanshen, 元).
Lianqiao Baidu San (Forsythia Disinfecting Powder)
Lianqiao Baidu San (Forsythia Disinfecting Powder) treats Parotitis, reducing high swelling, redness, and pain. Ingredients include Trichosanthis Radix (Huafen, 花粉), Forsythiae Fructus (Lianqiao, 连翘), Bupleuri Radix (Chaihu, 柴胡), Arctii Fructus (Niubangzi, 牛蒡子), Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), Cimicifugae Rhizoma (Shengma, 升麻), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Platycodonis Radix (Jiegeng, 桔梗), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), and Angelicae Pubescentis Radix (Duhuo, 独活). Add Carthami Flos (Honghua, 红花), Sappan Lignum (Sumu, 苏木), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), and Angelicae Sinensis Radix Tail (Guiwei, 归尾). If swelling involves the face, add Angelicae Dahuricae Radix (Baizhi, 白芷) and Leuzeae Rhizoma (Loulu, 漏芦). If swelling is hard, add Gleditsiae Spina (Zaocys, 皂刺) and Manis Squama (Chuanshanjia, 穿山甲). If stool is dry, add Rhubarb (Dahuang, 大黄) to promote evacuation.
Lianqiao Baidu San (Forsythia Disinfecting Powder) treats Yang syndrome of Parotitis with high swelling, redness, and pain. It consists of Forsythiae Fructus (Lianqiao, 连翘), Trichosanthis Radix (Huafen, 天花粉), Bupleuri Radix (Chaihu, 柴胡), Arctii Fructus (Niubangzi, 牛蒡子), Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), Cimicifugae Rhizoma (Shengma, 升麻), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Platycodonis Radix (Jiegeng, 桔梗), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Carthami Flos (Honghua, 红花), Sappan Lignum (Sumu, 苏木), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), and Angelicae Sinensis Radix Tail (Guiwei, 归尾). For bilateral cheek and facial swelling, add Angelicae Dahuricae Radix (Baizhi, 白芷) and Leuzeae Rhizoma (Loulu, 漏芦). For hard, non-resolving swelling, add Gleditsiae Spina (Zaocys, 皂刺) and Manis Squama (Chuanshanjia, 穿山甲). For dry stool, add wine-fried Rheum Radix et Rhizoma (Dahuang, 大黄).
Duqi Tang (Duqi Decoction) and Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction)
For hiccups due to Kidney Deficiency, use Duqi Tang (Duqi Decoction), composed of Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) plus Cinnamomi Cortex (Rougui, 肉桂) and Schisandrae Fructus (Wuweizi, 五味子). For deficiency-heat, use Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction), containing Citri Reticulatae Pericarpium (Jupi, 橘皮), Bambusae Folium (Zhuru, 竹茹), Ginseng Radix (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Zizyphi Fructus (Dazao, 大枣), and Zingiberis Rhizoma Recens (Shengjiang, 生姜).
Duqi Tang (Duqi Decoction) is Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) plus Cinnamomi Cortex (Rougui, 肉桂) and Schisandrae Fructus (Wuweizi, 五味子); Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction) contains Citri Reticulatae Pericarpium (Jupi, 橘皮), Bambusae Folium (Zhuru, 竹茹), Ginseng Radix (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Zizyphi Fructus (Dazao, 大枣), and Zingiberis Rhizoma Recens (Shengjiang, 生姜).
Weiyu Tang (Polygonatum Decoction)
For floating and excessive Wind-Warmth, use Weiyu Tang (Polygonatum Decoction), containing Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Ephedrae Herba (Mahuang, 麻黄), Puerariae Lobatae Radix (Ge Gen, 葛根), Angelicae Dahuricae Radix (Baizhi, 白芷), and Aquilariae Lignum Resinatum (Qingmuxiang, 青木香). Add Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Gypsum Fibrosum (Shigao, 石膏), Polygonati Rhizoma (Weiyu, 葳蕤), and Armeniacae Semen Amarum (Xingren, 杏). For interior excess and severe heat, add Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄).
At the onset of Wind-Warmth, with six pulses floating and vigorous, exterior excess with high fever and little sweat, Weiyu Tang (Polygonatum Decoction) is suitable to release exterior wind pathogens. Ingredients: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Ephedrae Herba (Mahuang, 麻黄), Puerariae Lobatae Radix (Ge Gen, 葛根), Angelicae Dahuricae Radix (Baizhi, 白芷), Aquilariae Lignum Resinatum (Qingmuxiang, 青木香), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Gypsum Fibrosum (Shigao, 石膏), Polygonati Rhizoma (Weiyu, 葳蕤), and Armeniacae Semen Amarum (Xingren, 杏仁). For interior excess with severe heat and profuse sweat, add Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄) to attack interior heat.
Guizhi Baihu Tang (Cinnamon Twig and White Tiger Decoction)
For Wind-Warmth with deficiency-heat and profuse sweating, when Weiyu Tang (Polygonatum Decoction) is intolerable: Only if snoring sleep and dryness/thirst are present should Guizhi Baihu Tang (Cinnamon Twig and White Tiger Decoction) combined with Ginseng Radix (Renshen, 人参) be used.
At the onset of Wind-Warmth, with floating, forceful pulse, little sweat, and high fever, Weiyu Tang (Polygonatum Decoction) is suitable. If the pulse is deficient, body hot, and sweating profuse, Weiyu Tang (Polygonatum Decoction) is difficult to use; combine with Guizhi Baihu Tang (Cinnamon Twig and White Tiger Decoction) plus Ginseng Radix (Renshen, 人参). If there is no snoring sleep, mouth is neutral without dryness/thirst, body is hot, sweating is profuse, and pulse is floating and vigorous, it is a Syndrome of Yang Collapse, not Wind-Warmth. Guizhi Baihu Tang (Cinnamon Twig and White Tiger Decoction) plus Ginseng Radix (Renshen, 人参) should also not be used.
Xiexin Daochi Banban Tang (Half-and-Half Decoction of Heart-Clearing and Bladder-Draining)
For Yueming Syndrome (Cross-Meridian Syndrome) without exterior/interior signs, fever resembling drunkenness, with harmonious pulse, use Daochi Banban Tang (Half-and-Half Bladder-Draining Decoction). Ingredients include Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), Gardeniae Fructus (Zhizi, 栀子), Poria (Fuling, 茯苓), Ginseng Radix (Renshen, 人参), Ophiopogonis Radix (Maidong, 麦冬), Anemarrhenae Rhizoma (Zhimu, 知母), Talcum (Huashi, 滑石), Rhinohorn (Xijiao, 犀角), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Junci Medulla (Dengxin, 灯心), Zingiberis Rhizoma Recens (Shengjiang, 生姜), and Zizyphi Fructus (Dazao, 大枣).
Yueming (Cross-Meridian) is a disease name. "No signs" refers to absence of exterior and interior syndromes. Harmonious pulse with unresolved fever and appearance resembling a drunkard indicates Yueming Syndrome. Xiexin Daochi Banban Tang (Half-and-Half Decoction of Heart-Clearing and Bladder-Draining) is appropriate. Ingredients: Coptidis Rhizoma (Huanglian, 黄连), Scutellariae Radix (Huangqin, 黄芩), Gardeniae Fructus (Zhizi, 栀子), Poria (Fuling, 茯苓), Ginseng Radix (Renshen, 人参), Ophiopogonis Radix (Maidong, 麦冬), Anemarrhenae Rhizoma (Zhimu, 知母), Talcum (Huashi, 滑石), Rhinohorn (Xijiao, 犀角), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Junci Medulla (Dengxin, 灯心), Zingiberis Rhizoma Recens (Shengjiang, 生姜), and Zizyphi Fructus (Dazao, 大枣).
Da Qianghuo Tang (Major Notopterygium Decoction)
For Lianggan Shanghan (Simultaneous Cold Damage of Two Meridians), use Da Qianghuo Tang (Major Notopterygium Decoction), containing Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) and Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎). Saposhnikoviae Radix (Fangfeng, 防风), Akebiae Caulis (Fangji, 防己), Atractylodis Rhizoma (Cangzhu, 苍术), Atractylodis Macrocephala Rhizoma (Baizhu, 白术), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Asari Radix et Rhizoma (Xixin, 细辛), Rehmanniae Radix (Dihuang, 生地), Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), and Anemarrhenae Rhizoma (Zhimu, 知母) are used together.
Lianggan Shanghan (Simultaneous Cold Damage of Two Meridians) is a disease name. "Two meridians" refers to Taiyang and Shaoyin on day one, Yangming and Taiyin on day two, Shaoyang and Jueyin on day three, occurring simultaneously. Zhang Jiegu created Da Qianghuo Tang (Major Notopterygium Decoction) to treat it, consisting of Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Saposhnikoviae Radix (Fangfeng, 防风), Akebiae Caulis (Fangji, 防己), Atractylodis Rhizoma (Cangzhu, 苍术), Atractylodis Macrocephala Rhizoma (Baizhu, 白术), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Asari Radix et Rhizoma (Xixin, 细辛), Rehmanniae Radix (Dihuang, 生地), Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), and Anemarrhenae Rhizoma (Zhimu, 知母). See *Shanghan Yaojue* for details.
Huyang San (Restore Yang Powder), Tuiyin San (Push Away Yin Powder), and Heinu Wan (Black Slave Pill)
For Yin Toxicity, Huyang San (Restore Yang Powder) uses Sulphur (Liuhuang, 硫黄) powder. Tuiyin San (Push Away Yin Powder) uses processed Aconitum Carmichaelii Radix Preparata (Pao Wu, 炮乌) and dried Ginger (Ganjiang, 干姜) in equal parts. For Yang Toxicity, Heinu Wan (Black Slave Pill) uses Wheat (Xiaomai, 小麦), Scutellariae Radix (Huangqin, 黄芩), Ephedrae Herba (Mahuang, 麻黄), Natrii Sulfas (Mangxiao, 芒硝), Rheum Radix et Rhizoma (Dahuang, 大黄), Furnace Bottom Ash (Fuzhichen, 釜底尘), Chimney Soot (Zaotu Yan, 灶突烟), and Beam Dust (Liangshang Chen, 梁上尘).
Huyang San (Restore Yang Powder) is Sulphur (Liuhuang, 硫黄) powder. Take two qian, mixed with fresh well-water. If cold/fever do not subside after some time, take again; sweating leads to recovery.
Tuiyin San (Push Away Yin Powder) is processed Aconitum Carmichaelii Radix Preparata (Pao Wu, 炮乌) and lightly fried Ginger (Ganjiang, 干姜), powdered equally. Take one qian, boiled in salt water. For cold limbs, take three times consecutively to restore warmth. If hot administration causes vomiting, cold administration is acceptable. Heinu Wan (Black Slave Pill) uses Wheat turned black (named Xiaomai Nu, 小麦奴), Scutellariae Radix (Huangqin, 黄芩), Ephedrae Herba (Mahuang, 麻黄), Natrii Sulfas (Mangxiao, 芒硝), Rheum Radix et Rhizoma (Dahuang, 大黄), Furnace Bottom Ash (Fuzhichen, 釜底煤), Chimney Soot (Zaotu Yan, 灶突烟), and Beam Dust (Liangshang Chen, 梁上尘). Powdered, honey-pilled weighing four qian, taken with fresh well-water. If thirsty after taking, drink cold water freely. Soon, chills, sweating, abdominal rumbling, and mild diarrhea will occur, resolving the disease. If not thirsty, it may be Extreme Yin mimicking Yang; taking it would be harmful.
Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction)
Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) is also known as Chonghe Tang (Harmony Decoction), treating pathogens from irregular Qi in all seasons. Zhang Jiegu created this to replace Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction). Ingredients: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风), Atractylodis Rhizoma (Cangzhu, 苍术), Asari Radix et Rhizoma (Xixin, 细辛), Angelicae Dahuricae Radix (Baizhi, 白芷), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Rehmanniae Radix (Shengdi, 生地), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and Scutellariae Radix (Huangqin, 黄芩). Add Armeniacae Semen Amarum (Xingren, 杏) for wheezing; add Ephedrae Herba (Mahuang, 麻黄) for no sweat; add more Cinnamomi Ramulus (Guizhi, 桂枝) for sweating. For chest fullness, remove Rehmanniae Radix (Shengdi, 生地), add Aurantii Fructus (Zhike, 枳壳) and Platycodonis Radix (Jiegeng, 桔梗) to move Qi. For irritability and thirst, add Anemarrhenae Rhizoma (Zhimu, 知母) and Gypsum Fibrosum (Shigao, 石膏) to resolve heat.
This decoction is Chonghe Tang (Harmony Decoction). Zhang Jiegu created it to replace Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction): Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风), Atractylodis Rhizoma (Cangzhu, 苍术), Asari Radix et Rhizoma (Xixin, 细辛), Angelicae Dahuricae Radix (Baizhi, 白芷), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Rehmanniae Radix (Shengdi, 生地), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and Scutellariae Radix (Huangqin, 黄芩). Add Armeniacae Semen Amarum (Xingren, 杏) for wheezing; Ephedrae Herba (Mahuang, 麻黄) for no sweat; Cinnamomi Ramulus (Guizhi, 桂枝) for sweating. For chest fullness, remove Rehmanniae Radix (Shengdi, 生地), add Aurantii Fructus (Zhike, 枳壳) and Platycodonis Radix (Jiegeng, 桔梗) to facilitate diaphragmatic Qi. For irritability and thirst, add Anemarrhenae Rhizoma (Zhimu, 知母) and Gypsum Fibrosum (Shigao, 石膏) to resolve heat.
Shishen Tang (Ten-God Decoction)
Shishen Tang (Ten-God Decoction) treats external Cold Damage, excelling in warming meridians and promoting Qi circulation. Ingredients: Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Ge Gen, 葛根), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Ephedrae Herba (Mahuang, 麻黄), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Paeoniae Radix (Shaoyao, 芍药), Cyperi Rhizoma (Xiangfu, 香附), Angelicae Dahuricae Radix (Baizhi, 白芷), Citri Reticulatae Pericarpium (Chenpi, 陈皮), and Perillae Folium (Zisu, 苏). Also includes Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Allii Macrostemonis Bulbus (Congbai, 葱白).
This formula consists of Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Ge Gen, 葛根), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Ephedrae Herba (Mahuang, 麻黄), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Paeoniae Radix (Shaoyao, 芍药), Cyperi Rhizoma (Xiangfu, 香附), Angelicae Dahuricae Radix (Baizhi, 白芷), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Perillae Folium (Zisu, 苏叶), Zingiberis Rhizoma Recens (Shengjiang, 生姜), and Allii Macrostemonis Bulbus (Congbai, 葱白). It releases exterior cold pathogens and soothes interior stagnant Qi, thus termed for Cold Damage, possessing unique merits in warming meridians and promoting Qi compared to other formulas.
Renshen Baidu San (Ginseng Disinfecting Powder), Jingfang Baidu San (Schizonepeta and Saposhnikovia Disinfecting Powder), and Canglin San (Rice Storehouse Powder)
Renshen Baidu San (Ginseng Disinfecting Powder) treats Qi-deficiency Cold Damage with epidemic Qi, effectively dispersing epidemic toxins, rashes, and dysentery. Ingredients: Ginseng Radix (Renshen, 人参), Poria (Fuling, 茯苓), Aurantii Fructus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Bupleuri Radix (Chaihu, 柴胡), Peucedani Radix (Qianhu, 前胡), Menthae Haplocalycis Herba (Bohe, 薄荷), Angelicae Pubescentis Radix (Duhuo, 独活), and Notopterygii Rhizoma et Radix (Qianghuo, 羌活). For epidemic toxins, reduce Ginseng Radix (Renshen, 人参), add Arctii Fructus (Niubangzi, 牛蒡子) and Forsythiae Fructus (Lianqiao, 连翘). For blood-wind rashes, add Schizonepetae Spica (Jingjie, 荆芥) and Saposhnikoviae Radix (Fangfeng, 防风), named Jingfang Baidu San (Schizonepeta and Saposhnikovia Disinfecting Powder). For exterior heat with no sweat and trismus dysentery, add Rice (Cangmi, 仓米), named Canglin San (Rice Storehouse Powder). For warm-heat diseases with severe heat, add Scutellariae Radix (Huangqin, 黄芩) and Coptidis Rhizoma (Huanglian, 黄连); for stomach excess with hard stool, add Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄).
Renshen Baidu San (Ginseng Disinfecting Powder) treats Qi-deficiency Cold Damage with epidemic Qi, containing Aurantii Fructus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Poria (Fuling, 茯苓), Ginseng Radix (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Bupleuri Radix (Chaihu, 柴胡), Peucedani Radix (Qianhu, 前胡), Menthae Haplocalycis Herba (Bohe, 薄荷), Angelicae Pubescentis Radix (Duhuo, 独活), and Notopterygii Rhizoma et Radix (Qianghuo, 羌活). "Epidemic toxin" refers to irregular Qi of the four seasons causing mumps or sore throat; modify by reducing Ginseng Radix (Renshen, 人参) and adding Arctii Fructus (Niubangzi, 牛蒡子) and Forsythiae Fructus (Lianqiao, 连翘). "Time rash" refers to rashes appearing at onset. "Blood wind" refers to generalized itchy rashes; modify by reducing Ginseng Radix (Renshen, 人参) and adding Schizonepetae Spica (Jingjie, 荆芥) and Saposhnikoviae Radix (Fangfeng, 防风), named Jingfang Baidu San (Schizonepeta and Saposhnikovia Disinfecting Powder). For exterior heat with no sweat and trismus dysentery, add Rice (Cangmi, 仓米), named Canglin San (Rice Storehouse Powder). For severe warm-heat, add Scutellariae Radix (Huangqin, 黄芩) and Coptidis Rhizoma (Huanglian, 黄连); for stomach excess with hard stool, add Natrii Sulfas (Mangxiao, 芒硝) and Rheum Radix et Rhizoma (Dahuang, 大黄).
Wuji San (Five-Accumulations Powder)
For internal injury from raw/cold food and external Cold damage, Wuji San (Five-Accumulations Powder) combines Pingwei San (Stomach-Calming Powder), Banxia Tang (Pinellia Decoction), and Ling Gui Zhu Gan Tang (Poria, Cinnamon, Atractylodes, and Licorice Decoction). Ingredients: Ephedrae Herba (Mahuang, 麻黄), Cinnamomi Ramulus (Guizhi, 桂枝), Aurantii Fructus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Angelicae Sinensis Radix (Danggui, 当归), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix (Shaoyao, 芍药), Zingiberis Rhizoma (Shengjiang, 生姜), Angelicae Dahuricae Radix (Baizhi, 白芷), and Aconiti Lateralis Radix Preparata (Fuzi, 附子) to dispel Yin cold. For abdominal pain and vomiting, add Evodiae Fructus (Wuyu, 吴萸). For sweating, remove Ephedrae Herba (Mahuang, 麻黄) and add Cinnamomi Ramulus (Guizhi, 桂枝). For deficiency, add Ginseng Radix (Renshen, 人参) and Atractylodis Macrocephala Rhizoma (Baizhu, 白术), remove Aurantii Fructus (Zhike, 枳壳) and Platycodonis Radix (Jiegeng, 桔梗). For women's menstrual pain, add Artemisiae Argyi Folium (Aiye, 艾叶) decocted in vinegar.
Wuji San (Five-Accumulations Powder) contains Atractylodis Rhizoma (Cangzhu, 苍术), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Magnoliae Officinalis Cortex (Houpo, 厚朴), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Pinelliae Rhizoma (Banxia, 半夏), Poria (Fuling, 茯苓), Ephedrae Herba (Mahuang, 麻黄), Cinnamomi Ramulus (Guizhi, 桂枝), Aurantii Fructus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Angelicae Sinensis Radix (Danggui, 当归), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix (Shaoyao, 芍药), Zingiberis Rhizoma (Shengjiang, 生姜), and Angelicae Dahuricae Radix (Baizhi, 白芷). For exterior emphasis, use more Cinnamomi Ramulus (Guizhi, 桂枝); for Yin cold with cold limbs, add Aconiti Lateralis Radix Preparata (Fuzi, 附子); for abdominal pain/vomiting, add Evodiae Fructus (Wuyu, 吴萸); for sweating, remove Ephedrae Herba (Mahuang, 麻黄) and add Cinnamomi Ramulus (Guizhi, 桂枝). For Qi deficiency, add Ginseng Radix (Renshen, 人参) and Atractylodis Macrocephala Rhizoma (Baizhu, 白术), remove Aurantii Fructus (Zhike, 枳壳) and Platycodonis Radix (Jiegeng, 桔梗); for women's menstrual pain, add Artemisiae Argyi Folium (Aiye, 艾叶) decocted in vinegar.
Shengma Ge Gen Tang (Cimicifuga and Kudzu Root Decoction)
Shengma Ge Gen Tang (Cimicifuga and Kudzu Root Decoction) treats Yangming exterior syndrome, effective for diarrhea and non-emerging rashes. Add Ephedrae Herba (Mahuang, 麻黄) for Taiyang no-sweat exterior signs. Combine with Bupleuri Radix (Chaihu, 柴胡) and Scutellariae Radix (Huangqin, 黄芩) for Shaoyang concurrent disorder.
Shengma Ge Gen Tang (Cimicifuga and Kudzu Root Decoction) contains Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Ge Gen, 葛根), Paeoniae Radix (Shaoyao, 芍药), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草). It is indicated for unresolved Yangming exterior pathogens, frequent diarrhea, and non-emerging rashes. If accompanied by Taiyang no-sweat exterior signs, add Ephedrae Herba (Mahuang, 麻黄). If accompanied by Shaoyang bitter taste, deafness, alternating chills and fever, and half-exterior/half-interior signs, add Bupleuri Radix (Chaihu, 柴胡) and Scutellariae Radix (Huangqin, 黄芩).
Ersheng Jiuku Dan (Two-Sage Rescue-Bitter Pill)
For early-stage epidemic warm-heat diseases, Jiuku Dan (Rescue-Bitter Pill) provides both sweating and purging. Highly effective for heat-excess, containing Rheum Radix et Rhizoma (Dahuang, 大黄) and Gleditsiae Sinensis Spina (Zaojiao, 皂角) pillated with water.
This pill contains four liang of Rheum Radix et Rhizoma (Dahuang, 大黄) and two liang of Gleditsiae Sinensis Spina (Zaojiao, 皂角), powdered and pillated with water. Take three qian with "rootless water" (rainwater/snowmelt). Reduce dose for weak, elderly, or young patients. This medicine is highly effective for early-stage contagious epidemics, Cold Damage, Warm Diseases, and Heat Diseases with severe heat and robust constitution. Post-administration, sweating, vomiting, or purging may occur, resolving the disease immediately.
Wendan Tang (Warm Gallbladder Decoction)
After Cold Damage, dry fluids cause deficiency-irritability, dryness/thirst, and insomnia. This is actually a Zhuye Shigao Tang (Leafy Bamboo and Gypsum Decoction) syndrome; Wendan Tang (Warm Gallbladder Decoction) addresses residual heat in the Gallbladder meridian. Symptoms include bitter taste, vomiting saliva, irritability, and palpitations. Ingredients: Pinelliae Rhizoma (Banxia, 半夏), Poria (Fuling, 茯苓), Citri Reticulatae Pericarpium (Jupi, 橘皮), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Aurantii Fructus Immaturus (Zhishi, 枳实), and Bambusae Folium (Zhuru, 竹茹). For Qi deficiency, add Ginseng Radix (Renshen, 人参); for thirst, remove Pinelliae Rhizoma (Banxia), add Ophiopogonis Radix (Maidong, 麦冬) and Trichosanthis Radix (Huafen, 花粉). For heat, add Scutellariae Radix (Huangqin, 黄芩) and Coptidis Rhizoma (Huanglian, 黄连).
Post-Cold Damage dryness/thirst and deficiency-irritability belong to Zhuye Shigao Tang (Leafy Bamboo and Gypsum Decoction) syndrome, not Wendan Tang (Warm Gallbladder Decoction) syndrome (see *Shanghan Yaojue*). If residual heat exists in the Shaoyang Gallbladder meridian, causing bitter taste, vomiting, irritability, and palpitations, it is a Wendan Tang (Warm Gallbladder Decoction) syndrome. Ingredients: Pinelliae Rhizoma (Banxia, 半夏), Poria (Fuling, 茯苓), Citri Reticulatae Pericarpium (Jupi, 橘皮), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Aurantii Fructus Immaturus (Zhishi, 枳实), and Bambusae Folium (Zhuru, 竹茹). For deficient form/qi, or post-sweat/vomit/purge/Qi-deficiency, add Ginseng Radix (Renshen, 人参). For thirst, remove Pinelliae Rhizoma (Banxia, 半夏), add Ophiopogonis Radix (Maidong, 麦冬) and Trichosanthis Radix (Huafen, 花粉) to generate fluids. For heat, add Scutellariae Radix (Huangqin, 黄芩) and Coptidis Rhizoma (Huanglian, 黄连) to clear heat.