太阳无汗寒伤荣，腊月麻黄汤为最；太阳有汗风伤卫，腊月桂枝（汤）可先。易老冲和（汤即九味羌活汤）
治风寒而发于三季，陶氏冲和（汤）分阴阳以救乎双传。
此方以两感必死，但阳先受病多者，以此汤探之，中病即愈。如不愈者，看表里阴阳多少用药。是以
用九味羌活汤去苍术加柴胡、干葛，石膏、黑豆，皆三阳经药也。
阳明之本宜解肌，审葛根白虎于寒热；
伤风有汗表虚者，桂枝汤。伤寒无汗表实者，葛根汤。不恶寒反恶热，二便不闭者，白虎汤。
阳明之标须承气，详痞满燥实于便坚。
痞满燥实俱全者，大承气汤。有痞满而无燥实者，小承气汤。有燥实而无痞满者，调胃承气汤。
大柴胡（汤）行阳明带表之秘，小柴胡（汤）擅少阳和解之权。有痰妨胸满，瓜蒂（散）栀豉（汤）缓缓
饮；无头疼身热，附子干姜熟煎。
古姜附汤∶干姜一两，生附一枚，水三盏，煎至一盏，去渣顿服。治直中阴经真寒证，如厥逆脉不至，加
甘草一倍。
理中（汤小）建中（汤）治太阴（直中）脏寒之不足，桂黄桂苓祛太阴（传经）腑热之不平。
桂枝加大黄汤∶桂枝三钱，芍药四钱，甘草二钱半，大黄二钱，姜五片，枣二枚，水煎温服。治太阴传经
热证，腹满而痛，咽干而渴，手足温，脉沉有力。本方陶氏加枳壳、柴胡，临服入槟榔水三匙。如腹满不恶寒
而喘，去甘草加大腹皮。桂枝加芍药汤∶桂枝三钱，芍药四钱，甘草一钱，姜四片，枣一枚，水煎温服。治太
阴腹满痛甚，或太阳病下之转属太阴自利者。亦宜陶氏桂苓饮、五苓散。
少阴热证小承气（汤），反之四逆倍甘草，拒阳可愈（四逆汤）；厥阴热证大承气（汤），反之四逆用
当归，似疟自痊（当归四逆汤）。此虽六经之正治，实具百病之真筌。
表里阴阳通治，
凡言表证，分有汗无汗，俱于前正方内随经选用；凡言里证，分传经直中，俱于前正方内选用，凡言阴
证，俱于前温中热药内选用；凡言阳证，俱于前随里寒药内选用。是数方可以代百方，虽曰仲景方法，犹有遗
失之恨。据愚见，于此推类而通于杂病，则方法亦无以加矣。
汗吐下温兼全。
凡言宜汗，即前正方中，或发表，或解肌之剂选用；凡言宜吐，即前正方中，或探吐，或涌宣之剂选用；
凡言宜下，即前正方中，润下涌泄之剂选用；凡言宜温，即前正方中，脏寒亡阳之剂选用。是数法者可以兼百
法，贵乎用之当耳。误用麻黄，令人亡阳，汗出不止，将病患头发水浸，外用糯米粉并龙骨、牡蛎末扑之。误
用硝、黄，令人不禁，用理中汤加炒糯米、乌梅、壁土止之。误用姜、附，令人失血发斑，用萝卜汁，或子捣
汁，或泥浆汁，再入黄连、甘草、犀角，可解其毒。不然身有红处，乃血欲从各窍出也。
抑又闻∶风寒总曰汗病，麻桂不可乱尝。
不论伤风、伤寒，皆以得汗则散，但有大汗、解肌之不可乱耳。
无汗服桂枝而呕吐，失血下利者变用；
伤寒无汗，或酒客误服桂枝汤而呕吐者，必吐脓血，为肺痿证。又有其病当汗，而适值失血及下利者，
不可与麻黄汤，宜小剂桂枝汤频频饮之，体润自然和解。
有肝服麻黄而烦躁，寒热似疟者相当。
伤风服桂枝汤不解，寒热似疟，日再发者，乃邪客荣卫，宜桂枝二麻黄一汤。若非此证，误用麻黄者，
必烦躁衄血。衄血与上肺痿二证，照根据杂证，以清血凉血之剂，略加和表之药，如犀角地黄汤、黄芩汤加柴胡
是也。
伤寒轻者，麻黄杏仁饮；
麻黄、桔梗、前胡、黄芩、陈皮、半夏各一钱，杏仁、细辛各八分，防风七分，甘草四分，姜三片水煎
温服。治太阳发热恶寒，头痛无汗，脉浮紧而咳嗽。如夏月去麻黄加苏叶，自汗去麻黄加桂枝、芍药，表热换
柴胡，口渴加天花粉，胸满加枳壳，喘急加栝蒌仁。
伤风轻者，柴胡半夏汤。
柴胡、半夏各一钱半，黄芩、白术、陈皮、麦门冬各一钱，甘草五分，姜三片，枣二枚，水煎温服。治
伤风发热恶寒，头痛无汗而咳嗽，或协热自利。兼治一切痰证，状似伤寒，如小便不利加茯苓，冬月无汗加麻
黄，三时无汗加苏叶，冬月有汗加桂枝，三时有汗加防风，咽痛加桔梗，喘嗽去白术加杏仁、桑白皮，酒热加
黄连，食积加山楂、神曲，痰伏胁下作痛加白芥子，痰盛喉中如牵锯加竹沥、姜汁，痰稠如胶加金沸草、前胡，
胸膈痞闷加枳壳。
大羌活（汤）主治阴阳两感，
防风、羌活、独活、防己、黄芩、黄连、苍术、白术、甘草、细辛各三分，知母、川芎、地黄各一钱，
水煎热服，未解再服三四剂，病愈则止。治发热恶寒无汗，或自汗头痛项强，或伤寒见风脉，伤风见寒脉，兼
解利两感伤寒。此方治阴阳已分，阳证多者宜服。陶氏冲和汤为阴阳未分者设。
大青龙（汤）善解风寒两伤。
麻黄三钱，桂枝二钱，杏仁一钱半，石膏四钱，甘草一钱，姜三片，枣二枚，水煎温服。方意以寒宜甘发，
麻杏石甘枣之甘，以散荣中之寒；风宜辛散，桂枝生姜之辛，以散卫中之风；辛甘相合，乃能发散荣卫风寒。
风伤则卫实，寒伤则荣实，荣卫俱实，太阳证具，无汗而烦躁者宜服。若脉微有汗，荣卫俱虚者，误服则厥逆
筋惕肉 而亡。
合病呕而不利，葛根加以半夏；
葛根加半夏汤∶葛根三钱，麻黄二钱，桂枝一钱，半夏、芍药各一钱，甘草八分，姜三片，枣二枚，水煎
服。治太阳阳明合病，里气逆上，但呕而不下利者，与葛根汤以散其邪，加半夏以下逆气。
合病利而不呕，黄芩加以半姜。
黄芩半夏生姜汤∶黄芩三钱，芍药、生姜各二钱，半夏一钱，甘草五分，姜五片，枣二枚，水煎温服。治
太阳少阳合病，自利而呕，或肠垢协热自利，非汗下所宜，故用此和解，以下胃之逆气。
太阳并病阳明兮，麻葛硝黄看罢未；
太阳证未罢，无汗者，葛根汤，有汗者，去麻黄；太阳证已罢，阳明证见者，调胃承气汤。
太阳并病少阳者，麻桂柴胡要酌量。
无汗者，小柴胡合麻黄汤；有汗者，柴胡桂枝汤；三时与轻者，小柴胡汤为主，仍以羌活、防风代麻桂可
也。
春夏秋冬疫疠，升麻人黄如意；
升麻葛根汤，方意以四气不和，郁毒为疫，故用升麻、葛根、甘草以解百毒，芍药以和中，用消疫毒更妙
于败毒散。人中黄丸∶大黄、黄连、黄芩、人参、桔梗、苍术、防风、滑石、香附、人中黄各等分为末，神曲
糊丸梧子大，每七十丸。气虚，四君子汤下；血虚，四物汤下；痰多，二陈汤下；热者，加童便。如无人中黄，
用粪缸岸代之，或朱砂、雄黄为衣亦好。如意丹∶川乌八钱，槟榔、人参、柴胡、吴茱萸、川椒、白姜、白茯
苓、黄连、紫菀、浓朴、肉桂、当
归、桔梗、皂角、石菖蒲各五钱，巴豆二钱半，择吉日于不闻鸡犬处，静室诚心修合，各取净末，炼蜜为丸梧
子大，朱砂为衣，每三丸，或五丸、七丸。专治温疫及一切鬼祟，伏尸，传痨，癫狂失心，山岚瘴气，枣汤或
白汤下。风疫及宿患大风，身体顽麻，不知痛痒，眼泪不下，睡卧不安，面如虫行，日久须眉痒脱，唇烂齿焦；
偏头痛、紫癜、疮癣、左瘫右痪、鹤膝风疼一切风疾，荆芥煎汤下。寒疫及小肠气痛，小茴煎汤，或吴萸煎汤下。
暑疫及五淋，灯芯煎汤下。热甚，大黄煎汤下。燥疫，生地或麻子仁煎汤下，或冷水下。湿疫及水肿，车前子
或木通煎汤下。十种水气，甘遂、大戟煎汤下。瘿蛊，甘遂煎汤下。膀胱疝气肿疼，萝卜煎汤下。五般痔，白
矾汤下。五痫，乳香汤下。肾脏积，咬齿唾涎，腰疼，盐汤下。五疟，桃枝煎汤下。失心中邪，柳枝桃枝汤下。
阴阳二毒，伤风咳嗽，薄荷煎汤下。五疳八痢，肠风脏毒，陈米煎汤下。诸般咳嗽，姜汤下。小儿十二惊风，
薄荷煎汤下。丹瘤、痈疽、瘰 、疮痍、涎喘、消渴、大小肠闭，或泄或利，酒毒便红、喉痹、重腮，误吞铜
铁、金石、药毒，不服水土，温汤下。痢疾红甚，黄连煎汤下。妇人血海久冷，带下赤白，难为生育，及诸般
血气，艾汤下。此方通治山乡素不服药之人，存乎善用耳。
风寒暑湿邪愆，藿香正气预防。
不换金正气散∶浓朴、陈皮、藿香、半夏、苍术各一钱，甘草五分，姜三片，枣二枚，水煎温服。治四
时感冒伤寒，时气温疫，山岚瘴气，但觉四肢拘急，心腹满闷，饮食不化，或有吐利恶寒等证，却未发热者，
宜此先正胃气以预防之。兼治霍乱吐泻，下痢赤白，不服水土等证。如感冒，更加头疼发热胸满者，藿香正气
散。如前证更加身痛者，人参败毒散、九味羌活汤。藿香正气散∶藿香、紫苏、白芷、大腹皮、茯苓各六分，
浓朴、白术、陈皮、桔梗、半夏曲各四分，甘草二分，姜枣煎服。治内伤脾胃，外感寒邪，寒热拘急，头痛呕
逆，胸中满闷，与夫伤食、伤冷、伤湿、中暑、霍乱、山岚瘴气、不服水土、寒热如疟，并宜增损用之，非正
伤寒之药。若病在太阳，头疼发热，骨节痛者，此方绝无相干，误服反虚正气，逆其经络。凡气虚及夹阴伤寒，
俱不可用。
春温通圣双解，
防风通圣散∶防风、川芎、当归、赤芍、大黄、麻黄、薄荷、连翘、芒硝各二分半，石膏、黄芩、桔梗各
五分，滑石一钱半，甘草一钱；荆芥、白术、山栀各一分半，姜三片，水煎温服。治春夏温热，状如伤寒，
表里俱见者。兼治内科一切风寒燥热，及饮酒中风，或便闭，或飧泄，或风热上壅不言等证。杂科耳、目、口、鼻、
唇、舌、咽、喉风热、风痰等证。外科痈、疽、疮、疖、发斑、打扑跌伤等证。小儿惊疳积热，诸风潮搐，
痘出不快等证。妇人诸疾，合四物汤一料。凡属风热之疾，无所不治。如自利去硝黄，自汗去麻黄，名通圣散。
双解散，即防风通圣散合益元散等分，姜葱豆豉煎服。欲吐则探吐，欲下则下，欲汗则汗，故名双解散。治风
寒暑湿，饥饱劳役，内外诸邪所伤，以致气血怫郁，变成积热，发为汗病，往来寒热，痫痉惊悸等证，小儿疮
疹尤妙。如自利去硝黄，自汗去麻黄。
夏热益元单方。
益元散，又名六一散。取天一生水，地六成之义也。滑石六两，甘草一两，为末，每三钱入蜜少许，沸
汤调服，热者冷水调服，孕妇惯半产者忌服。如伤寒身热不解加苍术末三钱，葱豉汤调，连进数服，汗出为度。
又汗吐下后，余热以此解之甚妙。虚烦不卧加辰砂少许。身热、霍乱呕吐、转筋者，先挖地坑，倾新水一桶
在内，搅匀澄清，谓之地浆水，另用井水一碗，入油一匙，浮于水面，将此药撒在油花上，其药自沉碗底，
去清水，用前地浆水调服，名油坠散。一切风热上壅，咽喉不利，加青黛、薄荷少许，蜜丸噙化。一切寒证泻
痢，呕吐反胃，加干姜五钱，名温六丸；中寒甚者，再加硫黄少
许，用生姜汁浸炊饼丸，又能伐肝邪，一切暑证作渴，新汲水下；感田禾烧气作渴，用带泥稻秆煎汤下。一切
湿热肠癖泄泻，其滑石用牡丹皮煮过，加红曲五钱，名清六丸，用陈米饭丸，每五七十丸，白汤下。如产后腹
痛自利，用补脾补血药下，或加五灵脂一两，能行血止痢，泻甚加肉豆蔻少许。一切痰热，吐逆反胃，惊痫
癫狂，热毒疟痢，腹痛，加黄丹少许，姜汁蒸饼为丸服。如温暑轻者，通用九味羌活汤加减，入里加大黄。
栀子升麻（汤）合秋令之晚发，
生地（甘寒）三钱，山栀（苦寒）、升麻（甘苦寒）、柴胡（苦寒）各一钱，石膏（甘寒）二钱，姜三片，
水煎温服。治晚发伤寒。太阳证具，不可大汗，宜此清肌解热。兼治温热及虚烦不止。自汗加桂枝，无汗加苏
叶、干葛，虚烦加知母、麦门冬，渴加天花粉，咳嗽加杏仁。此方润燥，深合愚意，以秋为晚发。经曰∶燥淫
于内，治以苦温，佐以甘辛。正此方之谓也。他如张子和六神通解散，用苍术、石膏、滑石、黄芩、麻黄、甘
草，姜葱煎服，虽以三月为晚发，亦不甚宜。或疑冬伤于寒，春必病温，晚发乃温病之迟者。夏伤于暑，秋必
病疟，岂可以秋病为晚发耶？殊不知疟有一日一发，或热多寒少者其邪浅，夏伤于暑而然也；有三日一发，或
寒多热少者其邪深，结成疟母，非隔冬寒邪郁伏，后再感暑而后发动，若本夏所感之邪，安能遂成痞块耶？
所以秋病多于四时者此也，推之痢、疸亦然。
白芍生地敛冬月之愆阳。
加减调中汤∶白芍一钱半，茯苓、白术各八分，麦门冬四分，生地五分，陈皮三分，桔梗、乌梅、甘草
各二分，水煎温服。治冬温及春月暴暖，烦躁眠食不安，或掀脱欲作伤风状者。如体盛加黄芩，有痰加贝母。
中暑中 白虎或加参术；
白虎加参汤∶石膏五钱，知母、人参各二钱，甘草五分，粳米一大撮，水煎温服。虚烦不止，加麦门冬
尤妙。治动中 伤气，身热，脉洪或迟，烦渴口燥，小便已洒然毛耸，口开前板齿燥黑。兼治发斑，故又名化
Taiyang disease with no sweating indicates cold pathogen damaging the Ying (Nutrient) level; in the deep winter, Mahuang Tang (Ephedra Decoction) is most appropriate. Taiyang disease with sweating indicates wind pathogen damaging the Wei (Defensive) level; in the deep winter, Guizhi Tang (Cinnamon Twig Decoction) can be used first. Li Dongyuan’s Chonghe Tang (Harmonizing Decoction, i.e., Jiwei Qianghuo Tang / Nine-Ingredient Notopterygia Decoction) treats wind-cold occurring in spring, summer, and autumn; Tao’s Chonghe Tang distinguishes Yin and Yang to rescue dual-transmission syndromes. This formula addresses two-channel cold damage (Lianggan), which is typically fatal; however, if the Yang channel is affected first and predominantly, this decoction can be used for exploration. If the medicine hits the target, recovery ensues. If not, medication should be adjusted based on the degree of excess or deficiency in the exterior, interior, Yin, and Yang. Therefore, when using Jiwei Qianghuo Tang, remove Cangzhu (Atractylodis Rhizoma), add Chaihu (Bupleuri Radix), Gan Ge (Puerariae Radix), Shigao (Gypsum Fibrosum), and Heidou (Sojae Semen Nigrum); these are all herbs for the three Yang channels.
The root of Yangming disease requires muscle-releasing methods; carefully distinguish between Gegen Tang (Kudzu Decoction) and Baihu Tang (White Tiger Decoction) based on cold and heat symptoms. For wind-strike with sweating and exterior deficiency, use Guizhi Tang. For cold damage with no sweating and exterior excess, use Gegen Tang. If there is aversion to cold replaced by aversion to heat, and bowel/bladder functions are unobstructed, use Baihu Tang.
The branch of Yangming disease requires Chengqi (Ordering the Qi) formulas; carefully assess Pi (stuffiness), Man (fullness), Zao (dryness), and Shi (excess) in relation to hard stools. When Pi, Man, Zao, and Shi are all present, use Dachengqi Tang (Major Order the Qi Decoction). When only Pi and Man are present without Zao and Shi, use Xiaochengqi Tang (Minor Order the Qi Decoction). When only Zao and Shi are present without Pi and Man, use Tiaoweichengqi Tang (Stomach-Harmonizing Order the Qi Decoction). Daxiehu Tang (Major Bupleurum Decoction) resolves constipation in Yangming involving the exterior; Xiaoxiehu Tang (Minor Bupleurum Decoction) excels in harmonizing Shaoyang disorders. If phlegm obstruction causes chest fullness, slowly drink Gouti San (Melon Seed Powder) or Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction). If there is no headache or fever, decoct Fuzi (Aconiti Lateralis Radix Preparata) and Ganjiang (Zingiberis Rhizoma) thoroughly. Ancient Jiangfu Tang: Ganjiang (1 liang), Shengfuzi (1 piece), water 3 cups, decoct to 1 cup, remove dregs and take in one dose. Treats true cold syndrome directly invading the Yin channels, such as cold limbs and absent pulse; double the dosage of Gancao (Licorice Root). Lizhong Tang (Regulate the Middle Decoction) and Xiao Jianzhong Tang (Minor Construct the Middle Decoction) treat Taoyin direct invasion of organ cold deficiency; Guizhi Jia Huangqin Tang (Cinnamon Twig plus Scutellaria Decoction) and Guiling Tang (Cinnamon and Poria Decoction) dispel heat from Taoyin transmission to the fu organs.
Guizhi Jia Dahuang Tang: Guizhi (3 qian), Shaoyao (4 qian), Gancao (2.5 qian), Dahuang (2 qian), Shengjiang (5 slices), Dazao (2 pieces), decoct in water and take warm. Treats Taoyin transmission heat syndrome with abdominal fullness and pain, dry throat with thirst, warm hands and feet, and deep forceful pulse. Tao’s modification adds Zhike (Aurantii Fructus) and Chaihu, adding Binglang (Arecae Semen) water before administration. If abdominal fullness occurs without aversion to cold but with wheezing, remove Gancao and add Dafupi (Tsaoko Pericarpium). Guizhi Jia Shaoyao Tang: Guizhi (3 qian), Shaoyao (4 qian), Gancao (1 qian), Shengjiang (4 slices), Dazao (1 piece), decoct in water and take warm. Treats severe Taoyin abdominal fullness and pain, or Taiyang disease that has shifted to Taoyin self-diarrhea after purgation. Tao’s Guiling Yin and Wuling San (Five-Poria Powder) are also suitable.
Shaoyin heat syndrome uses Xiaochengqi Tang; conversely, for cold syndrome, use Sini Tang (Recover the Prostrate Decoction) with doubled Gancao to cure Rejection of Yang syndrome. Jueyin heat syndrome uses Dachengqi Tang; conversely, for cold syndrome, use Danggui Sini Tang (Angelica Decoction for Cold Extremities) to resolve malaria-like symptoms. Although these are standard treatments for the Six Channels, they embody the true essence of treating hundred diseases.
General principles for Exterior, Interior, Yin, and Yang: For any mention of Exterior syndrome, distinguish sweating/no sweating and select from previous formulas according to the channel; for Interior syndrome, distinguish transmission vs. direct invasion and select from previous formulas; for Yin syndrome, select from previous warming/internal heat formulas; for Yang syndrome, select from previous interior-cooling formulas. These few formulas can replace hundreds; although attributed to Zhang Zhongjing, there remains regret over omissions. In my humble opinion, extending these categories to miscellaneous diseases makes the methods unsurpassable.
Sweating, Vomiting, Purging, and Warming methods are all included. For indications of sweating, select releasing-exterior or muscle-releasing agents from previous formulas; for vomiting, select exploratory-vomiting or涌宣 (surge-and-disperse) agents; for purging, select moist-purgative or surging-purgative agents; for warming, select internal-cold/yang-loss agents. These methods encompass hundreds, relying on appropriate application. Misuse of Mahuang leads to Yang loss and incessant sweating; soak patient's hair in water and dust with Nuomicu (Glutinous Rice Powder), Longgu (Fossilized Bones), and Muli (Oyster Shell). Misuse of Xiaoshi (Mirabilite) and Dahuang leads to unbearable diarrhea; stop it with Lizhong Tang added with fried glutinous rice, Wu Mei (Mume Fruit), and Zaoxin Tu (Kitchen Hearth Soil). Misuse of Ganjiang and Fuzi leads to bleeding and macules;解毒 (detoxify) with Radish juice, or mud juice, plus Huangqin (Scutellariae Radix), Gancao, and Xijiao (Rhinocerotis Cornu substitute). Otherwise, red spots indicate blood attempting to exit through orifices.
Furthermore: Wind-cold is generally called "sweat disease"; Mahuang and Guizhi must not be used indiscriminately. Whether wind-strike or cold-damage, resolution comes with sweat, but distinguish between profuse sweating and muscle-releasing.
No-sweat patients taking Guizhi Tang may vomit; those with blood loss or diarrhea require modified usage. Cold-damage with no sweat, or wine-drinkers mistakenly taking Guizhi Tang leading to vomiting, will likely vomit pus and blood, indicating Feiwei (Lung Atrophy). If sweating is indicated but coincides with blood loss or diarrhea, do not give Mahuang Tang; instead, give small doses of Guizhi Tang frequently until skin is moist for natural harmony.
Liver-fire patients taking Mahuang may become irritable with malaria-like chills and fever. Wind-strike not resolved by Guizhi Tang, with malaria-like symptoms occurring twice daily, indicates pathogen in Ying/Wei; use Guizhi Er Mahuang Yi Tang (Guizhi Twice, Mahuang Once Decoction). If not this syndrome, misuse of Mahuang causes irritability and epistaxis. Treat epistaxis and lung atrophy per miscellaneous diseases using blood-cooling agents like Xijiao Dihuang Tang (Rhino-Corn and Rehmannia Decoction) or Huangqin Tang plus Chaihu.
Mild cold-damage uses Mahuang Xingren Yin (Ephedra and Apricot Kernel Infusion): Mahuang, Jiegeng, Qianhu, Huangqin, Chenpi, Banxia (1 qian each), Xingren, Xixin (0.8 qian each), Fangfeng (0.7 qian), Gancao (0.4 qian), Shengjiang (3 slices), decoct and take warm. Treats Taiyang fever/aversion-to-cold, headache, no sweat, floating-tight pulse, cough. In summer, remove Mahuang, add Ziye (Perilla Leaf); for spontaneous sweat, remove Mahuang, add Guizhi, Shaoyao; for exterior heat, swap for Chaihu; for thirst, add Tianhuafen (Trichosanthis Radix); for chest fullness, add Zhike; for wheezing, add Gualou Ren (Trichosanthis Seed).
Mild wind-strike uses Chaihu Banxia Tang (Bupleurum and Pinellia Decoction): Chaihu, Banxia (1.5 qian each), Huangqin, Baizhu, Chenpi, Maidong (1 qian each), Gancao (0.5 qian), Shengjiang (3 slices), Dazao (2 pieces), decoct and take warm. Treats wind-strike fever/aversion-to-cold, headache, no sweat, cough, or heat-collateral diarrhea. Also treats phlegm syndromes resembling cold-damage: add Fuling (Poria) for difficult urination; winter/no sweat add Mahuang; spring/summer/autumn/no sweat add Ziye; winter/sweat add Guizhi; spring/summer/autumn/sweat add Fangfeng; sore throat add Jiegeng; wheezing/cough remove Baizhu, add Xingren, Sangbaipi (Morus Bark); alcohol-heat add Huanglian (Coptidis Rhizoma); food stagnation add Shanzha (Crataegi Fructus), Shenqu (Medicated Leaven); phlegm in hypochondrium pain add Baijiezi (Sinapis Semen); phlegm rattling in throat add Zhuli (Bamboo Sap), Jiangzhi (Ginger Juice); thick phlegm add Jinfeicao (Boehmeriae Herba), Qianhu (Peucedani Radix); chest/stomach stuffiness add Zhike.
Da Qianghuo Tang (Major Notopterygia Decoction) treats Yin-Yang dual infection: Fangfeng, Qianghuo, Duhuo, Fangji, Huangqin, Huanglian, Cangzhu, Baizhu, Gancao, Xixin (0.3 qian each), Zhimu, Chuanxiong, Dihuang (1 qian each), decoct hot and take. Repeat 3-4 doses if unresolved. Treats fever/aversion-to-cold/no sweat, or spontaneous sweat/headache/stiff neck, or cold-damage with wind-pulse/wind-strike with cold-pulse. Resolves dual-infection. Suitable for separated Yin/Yang with predominant Yang syndrome. Tao’s Chonghe Tang is for undifferentiated Yin/Yang.
Da Qinglong Tang (Major Green Dragon Decoction) excellently releases wind-cold dual injury: Mahuang (3 qian), Guizhi (2 qian), Xingren (1.5 qian), Shigao (4 qian), Gancao (1 qian), Shengjiang (3 slices), Dazao (2 pieces), decoct and take warm. The logic: Cold requires sweet release; sweetness of Mahuang, Xingren, Shigao, Dazao disperses Ying-cold. Wind requires pungent dispersion; pungency of Guizhi, Shengjiang disperses Wei-wind. Pungent-sweet combination disperses Ying-Wei wind-cold. Wind damages causing Wei-excess, Cold damages causing Ying-excess; both Ying/Wei excess with Taiyang signs, no sweat, irritability: suitable. If pulse is faint with sweat (Ying/Wei deficiency), misuse causes cold extremities, muscle twitching, and death.
Combined illness with vomiting but no diarrhea: Gegen Jia Banxia Tang (Kudzu plus Pinellia Decoction): Gegen (3 qian), Mahuang (2 qian), Guizhi (1 qian), Banxia, Shaoyao (1 qian each), Gancao (0.8 qian), Shengjiang (3 slices), Dazao (2 pieces), decoct and take. Treats Taiyang-Yangming combined illness with rebellious Qi, vomiting without diarrhea. Use Gegen Tang to disperse pathogen, add Banxia to descend rebellious Qi.
Combined illness with diarrhea but no vomiting: Huangqin Banxia Shengjiang Tang (Scutellaria, Pinellia, Ginger Decoction): Huangqin (3 qian), Shaoyao, Shengjiang (2 qian each), Banxia (1 qian), Gancao (0.5 qian), Shengjiang (5 slices), Dazao (2 pieces), decoct and take warm. Treats Taiyang-Shaoyang combined illness with self-diarrhea/vomiting, or intestinal mucus with heat-collateral diarrhea. Not suitable for sweating/purging; use this to harmonize and descend stomach Qi.
Taiyang combining with Yangming: Check if Mahuang, Gegen, Xiaoshi, Dahuang have been exhausted. If Taiyang signs persist, no sweat: Gegen Tang; with sweat: remove Mahuang. If Taiyang signs resolved, Yangming signs appear: Tiaoweichengqi Tang.
Taiyang combining with Shaoyang: Weigh Mahuang, Guizhi, Chaihu. No sweat: Xiaoxiehu Tang + Mahuang Tang; with sweat: Chaihu Guizhi Tang. Spring/Summer/Autumn/mild cases: Xiaoxiehu Tang main, replacing Mahuang/Guizhi with Qianghuo/Fangfeng is acceptable.
Spring/Summer/Autumn/Winter epidemics: Shengma Renhuang Ruyi (Cinnabar and Human-Gold Ruyi). Shengma Gegen Tang: Logic is four-qi disharmony,郁毒 (stagnant toxin) becomes epidemic. Shengma, Gegen, Gancao resolve hundred toxins; Shaoyao harmonizes middle. Better than Baidu San for epidemic toxin. Renzhonghuang Wan: Dahuang, Huanglian, Huangqin, Renshen, Jiegeng, Cangzhu, Fangfeng, Huashi, Xiangfu, Renzhonghuang equal parts, powder, Shenqu paste pills, size of wu zi (loquat seed), 70 pills/dose. Qi-deficiency: Si Junzi Tang; Blood-deficiency: Si Wu Tang; Phlegm: Er Chen Tang; Heat: add Tongbian (Child's Urine). If no Renzhonghuang, use dung pit wall ash, or coat with Zhusha (Cinnabar)/Xionghuang (Realgar). Ruyi Dan: Chuanwu (8 qian), Binglang, Renshen, Chaihu, Wuzhuyu, Chuanjiao, Baijiang, Baifuling, Huanglian, Ziwan, Houpo, Rougui, Danggui, Jiegeng, Zaojiao, Shichangpu (5 qian each), Badou (2.5 qian). Select auspicious day, silent room, pure ingredients, honey pills, cinnabar coat, 3/5/7 pills. Treats warm-epidemic, ghosts, latent corpses, TB, mania, mountain miasma. Date soup or plain water. Wind-epidemic/big wind, numbness, no tears, restlessness, face crawling, beard/hair loss, lip/tooth rot, hemi-paralysis, knee swelling: Jingjie decoction. Cold-epidemic/small intestine qi pain: Xiaohui or Wuzhuyu decoction. Summer-epidemic/five stranguries: Dengxin (Juncus) decoction. Severe heat: Dahuang decoction. Dry-epidemic: Shengdi or Humaoren decoction or cold water. Damp-epidema/edema: Cheqianzi or Mutong decoction. Ten types of water qi: Gansui, Daji decoction. Goiter/gu poison: Gansui decoction. Bladder hernia/swelling: Radish decoction. Five hemorrhoids: Baifan decoction. Five epilepsy types: Rushiang decoction. Kidney accumulation/grinding teeth/saliva/lower back pain: Salt water. Five malaria types: Taozhi (Peach twig) decoction. Heart lost evil: Liuzhi Taozhi decoction. Yin-Yang two poisons/wind-cold cough: Bohe decoction. Five malnutrition/eight dysenteries/intestinal wind/visceral toxin: Old rice decoction. Various coughs: Ginger decoction. Children twelve convulsions: Bohe decoction. Danliu, abscess, scrofula, sores, salivation/wheezing, diabetes, bowel blockage/diarrhea, alcohol toxicity/red urine, throat bi, double cheek, swallowed metal/stones/drugs, acclimatization issues: Warm water. Red dysentery: Huanglian decoction. Women cold uterus/blood-leukorrhea/infertility/blood qi issues: Aiye (Mugwort) decoction. This formula suits mountain people unused to medicine; success depends on skillful use.
Wind-Cold-Damp-Heat deviation: Huoxiang Zhengqi prevention. Buhuanjin Zhengqi San: Houpo, Chenpi, Huoxiang, Banxia, Cangzhu (1 qian each), Gancao (0.5 qian), Shengjiang (3 slices), Dazao (2 pieces), decoct and take warm. Treats four-season cold-damage, seasonal epidemic, mountain miasma, limb stiffness, abdominal fullness, indigestion, vomiting/diarrhea/aversion-to-cold without fever. Regulates Stomach Qi for prevention. Also treats cholera vomiting/diarrhea, bloody-white dysentery, acclimatization issues. If cold-damage adds headache/fever/chest fullness: Huoxiang Zhengqi San. If body pain adds: Renshen Baidou San, Jiwei Qianghuo Tang. Huoxiang Zhengqi San: Huoxiang, Zisu, Baizhi, Dafupi, Fuling (0.6 qian each), Houpo, Baizhu, Chenpi, Jiegeng, Banxia Qu (0.4 qian each), Gancao (0.2 qian), ginger/date decoction. Treats internal Spleen/Stomach injury, external cold, chills/fever/stiffness, headache/vomiting, chest fullness, food/cold/damp injury, summerheat, cholera, miasma, acclimatization, malaria-like chills/fever. Modify as needed. Not for true cold-damage. If Taiyang headache/fever/joint pain, this formula is irrelevant; misuse weakens righteous Qi and reverses meridians. Contraindicated in Qi-deficiency and Yin-clasping cold-damage.
Spring-Warmth: Tongsheng Shuangjie. Fangfeng Tongsheng San: Fangfeng, Chuanxiong, Danggui, Chishao, Dahuang, Mahuang, Bohe, Lianqiao, Mangxiao (0.25 qian each), Shigao, Huangqin, Jiegeng (0.5 qian each), Huashi (1.5 qian), Gancao (1 qian); Jingjie, Baizhu, Shanzhi (0.15 qian each), Shengjiang (3 slices), decoct and take warm. Treats spring/summer warmth resembling cold-damage, exterior-interior involvement. Also internal wind-cold/dry-heat, alcohol stroke, constipation/diarrhea, wind-heat blocking speech. ENT/Mouth/Nose/Throat wind-heat/phlegm. Surgical abscesses/sores/spots/trauma. Children convulsions/malnutrition/heat, wind spasms, slow eruption. Women diseases + Si Wu Tang. Treats all wind-heat. Diarrhea: remove Mangxiao/Dahuang; Sweat: remove Mahuang = Tongsheng San. Shuangjie San: Fangfeng Tongsheng San + Yiyuan San equal parts, ginger/scallion/fermented soybean decoction. Vomiting: induce; Purging: purge; Sweating: sweat. Hence "Double Release". Treats wind-cold-damp, hunger/fullness/labor, internal/external evils causing Qi/Blood stagnation, accumulated heat, sweat disease, alternating chills/fever, epilepsy/spasms/panic. Excellent for children rash. Diarrhea: remove Mangxiao/Dahuang; Sweat: remove Mahuang.
Summer-Heat: Yiyuan Single Formula. Yiyuan San, aka Liuyi San (Six-One Powder). Meaning: Heaven generates Water (1), Earth completes Six (6). Huashi (6 liang), Gancao (1 liang), powder, 3 qian with honey, boiling water mix. Heat: cold water mix. Pregnant/miscarry-prone: avoid. Cold-damage persistent heat: add Cangzhu powder (3 qian), Congchi Tang mix, several doses until sweat. Post-sweat/vomit/purge residual heat: excellent. Deficient irritability/insomnia: add Chen Sha (Cinnabar). Fever/cholera/vomiting/tetany: Dig pit, fill with fresh water, stir/settle = Dijiangshui (Earth Slurry Water). Well water bowl + oil spoon = floats. Sprinkle medicine on oil, sinks. Remove clear water, use earth slurry to mix = Youzhui San (Oil-Sinking Powder). Wind-heat blocking throat: add Qingdai (Indigo Naturalis), Bohe, honey pill suck. Cold diarrhea/vomiting: add Ganjiang (5 qian) = Wenliu Wan (Warm Six Pill). Severe cold: add Shihuang (Sulfur), ginger juice steamed bread pill. Liver evil suppression. Summer-thirst: new well water. Field-burn-thirst: muddy rice straw decoction. Damp-heat diarrhea: Huashi boiled with Mudanpi, add Hongqu (5 qian) = Qingliu Wan (Clear Six Pills), old rice pill, 50-70 pills, white water. Postpartum abdominal pain/diarrhea: Spleen-Blood tonics, or Wulingzhi (1 liang) to move blood/stop diarrhea. Severe diarrhea: add Roudoukou (Nutmeg). Phlegm-heat/vomiting/mania/malaria/dysentery/abdominal pain: add Huangdan (Lead Monoxide), ginger juice steamed bread pill. Mild warm-summer: Jiwei Qianghuo Tang modify, enter interior add Dahuang.
Zhizi Shengma Tang combines Autumn late-onset: Shengdi (3 qian, Sweet-Cold), Zhizi, Shengma, Chaihu (1 qian each, Bitter/Cold), Shigao (2 qian, Sweet-Cold), Shengjiang (3 slices), decoct warm. Treats late-onset cold-damage. Taiyang signs present, do not sweat heavily; use this to clear muscle/heat. Also warm-heat/deficient irritability. Sweat: add Guizhi; No sweat: add Ziye, Gan Ge; Deficient irritability: add Zhimu, Maidong; Thirst: add Tianhuafen; Cough: add Xingren. Moistens dryness, fits autumn late-onset. Classic: "Dryness invades interior, treat with bitter-warm, assist with sweet-pungent." Fits this formula. Zhang Hezi’s Liutong Shuangjie San (Cangzhu, Shigao, Huashi, Huangqin, Mahuang, Gancao, ginger/scallion) treats March late-onset, less suitable. Doubt: Winter cold damages, Spring warms; late-onset is delayed warmth. Summer heat damages, Autumn malaria; can Autumn disease be late-onset? Malaria once daily/heat > cold: shallow pathogen, summer heat. Every three days/cold > heat: deep pathogen, malaria mass, not just winter cold stagnation + summer heat reactivation. Summer pathogen cannot form masses. Thus Autumn diseases exceed other seasons; Dysentery/Jaundice similar.
Baishao Shengdi restrains Winter aberrant Yang: Jiajian Tiaozhong Tang: Baishao (1.5 qian), Fuling, Baizhu (0.8 qian each), Maidong (0.4 qian), Shengdi (0.5 qian), Chenpi (0.3 qian), Jiegeng, Wumei, Gancao (0.2 qian each), decoct warm. Treats Winter-Warmth/Spring sudden warmth, irritability/sleep/food disturbance, or wind-strike-like state. Full constitution: add Huangqin; Phlegm: add Beimu.
Summerheat/Zhong E: Baihu Tang or add Renshen, Baizhu. Baihu Jia Renshen Tang: Shigao (5 qian), Zhimu, Renshen (2 qian each), Gancao (0.5 qian), Jingmi (large pinch), decoct warm. Deficient irritability: add Maidong. Treats movement-induced heat damaging Qi, fever,洪 (Surging) or Chi (Slow) pulse, irritability/thirst/dry mouth, post-urination chill/goosebumps, open mouth/black front teeth. Also treats macules, hence named Hua...