盗汗，黄芩汤主之∶黄芩三钱，芍药二钱，甘草五分，枣二枚，煎服。有呕者，去枣加生姜、半夏以下逆气。
此方本治太阳少阳合病自利，兼治一切失血。经曰∶虚而不实者，以苦坚之，以酸收之。是用芩、芍之苦酸，
以坚敛肠胃之气；弱而不足者，以甘补之，甘草、大枣之甘，以补固肠胃之弱。蜜导法∶用白蜜半盏，于铜杓内
微火熬令滴水不散，入皂角末二钱，搅匀捻成小枣大，长寸，两头锐，蘸香油推入谷道中，大便即急而去。
如不通，再易一条，外以布掩肛门，须忍住蜜，待粪至，方放开布。治阳明自汗溺利，不可攻。
小柴加栝（汤），汗后呕而渴烦；
即小柴胡汤去半夏，倍人参，加栝蒌根。
大柴去黄，汗后呕而自利。
大柴胡汤去大黄。
下后热，葶苈苦酒（汤）清肌；
生艾一合，无生艾，以干艾水浸捣汁，葶苈五钱，苦酒五合，煎至三合，分三次服。治大下后伤阴血，
脉涩，发热不休。兼治发狂烦躁，面赤咽痛。
下后寒，芍药附子补髓。
芍药附子甘草汤∶三味各三钱，水煎温服。方意以伤寒汗下后则解，今反恶寒者，下过伤荣也；或撮空耳
聋者，汗过亡阳也。是以用芍药之酸，敛津液而益荣；附子辛热，固阳气而补胃；甘草调和辛酸，以安正气。
风热咳嗽，金沸草散能除；
旋复花四分，荆芥八分，麻黄、前胡各六分，甘草、赤芍、半夏各二分，姜三片，枣一枚，水煎。用细绢
滤过，免毛射肺，咳嗽不已。治肺受风寒，颈项强急，肢体烦疼，寒热往来，头目昏痛，咳嗽声重，涕唾稠粘，
胸膈痞闷喘满，及时行寒疫，壮热恶风。又治一切风热，及风痰壅盛，痰涎不利等证。如诸风及大腑风秘，左
胁刺痛加枳壳；风热脏腑烦躁，气壅腹痛，大便闭加硝、黄、薄荷；妊妇伤寒，头痛壮热心烦加参、术、黄芩、
石膏；热嗽加葶苈、兜铃、薄荷、桑白皮、乌梅；喉中焦燥加朴硝。牙疼熟煎灌漱。
汗后身痛，桂枝加参（汤）作主。
桂枝、芍药各三钱，人参二钱，甘草一钱，姜三片，枣二枚，水煎温服。治汗后及霍乱后，身痛脉沉。
黑奴丸，渴比常而倍加；
黄芩、釜底煤、芒硝、灶突墨、梁上尘、小麦奴、麻黄、大黄各等分为末，蜜丸弹子大。每一丸，新汲
水化服，须臾发寒汗出而瘥，未汗再服，须见微利。如不大渴，不可轻用。治阳毒发斑，烦躁大渴倍常，脉洪
大数实。
猪苓汤，渴后呕而不止。
怫郁汗下胃虚，桂枝参苓；
桂枝参苓汤∶桂枝、芍药各三钱，人参、茯苓各二钱，甘草一钱，姜、枣煎温服。治汗吐下后，胃虚而
哕，怫郁面赤。
戴阳阴火躁闷，益元附草。
陶氏益元汤∶甘草二钱，附子、炮干姜、人参各一钱，五味子二十粒，麦门冬、黄连、知母各七分，艾
三分，葱三茎，姜一片，枣二枚，水煎，临熟入童便三匙，顿冷服。治无头疼，有身热，躁闷面赤，饮水不得入
口，乃气弱无根虚火泛上，名曰戴阳证，是以用附子之咸补肾，姜、葱之辛润肾，甘草、参、麦甘以缓之，五
味酸以收之，连、艾、知母苦以发之。经曰∶火淫于内，治以咸冷，佐以苦辛，以甘缓之，以酸收之，以苦发
之、降之是也。
麻黄升麻（汤），目盲鼻衄收功；
麻黄、升麻、芍药、黄芩、石膏、茯苓、甘草
各等分，姜煎热服微汗。治伤寒太阳不解，血随气壅，鼻衄，俗谓红汗。一方加桂枝、归尾、天门冬、知母、
葳蕤、白术、干姜。治伤寒六七日，邪传厥阴，大下后，寸脉沉迟，尺脉不至，咽喉不利，唾吐脓血，手足厥
逆，泄不止者难治。方意以大热之气，寒以取之；甚热之气，汗以发之。是用麻黄、升麻之甘以发浮热，当归、
桂、姜之辛以散寒，知母、黄芩之苦以凉心去热，茯苓、白术之甘以缓脾生津；芍药之酸以收逆气，葳蕤、
门冬、石膏、甘草之甘以润肺除热。
升阳散火，叉手冒心是宝。
陶氏升阳散火汤∶人参、当归、柴胡、芍药、黄芩、甘草、白术、麦门冬、陈皮、茯神各等分，姜三片，
枣一枚，入熟金同煎服。治撮空证。乃肝热乘肺，元气虚弱不能主持，以致谵语神昏，不省人事。溺利者可治，
不利者死。如有痰加姜汁、半夏，便燥谵渴加大黄，泄漏加升麻、炒白术。
柴芍枳甘，何忧热厥似阴；
四逆散∶甘草、枳实、柴胡、芍药各一钱为末，每二钱，米饮下。方意以邪渐入深，则手足渐冷，是以用
枳实之苦，佐甘草以泻里热；芍药之酸，以收阴气；柴胡之苦，以发表热。经曰∶热淫于内，以酸收之，以苦
发之是也。如咳者，肺寒气逆，下痢者，肺与大肠为表里，加五味子以收逆气，干姜以散肺寒；悸者，气虚而
不能通行，心下筑筑然悸动，加桂枝以导阳气；小便不利，加茯苓以淡渗之；里虚腹痛，加附子以补虚；泄利
后重，下焦气滞也，加韭白以滞气滞。凡肾病体有热者，皆可服之。
青布生姜，可洗舌苔裂槁。
擦舌法∶凡苔白而滑者，用生姜蘸蜜擦之；苔黄赤燥涩者，用真青布裹指蘸冷水频频擦之。热轻者，其苔易
脱；重者，擦而难脱，必大下，津液还而苔退。若下后，依然唇口燥极，身发大热，苔结不减或黑者，死。
口燥内亡津液，挟火滋阴养荣；
滋阴养荣汤∶当归二钱，人参、生地各一钱半，麦门冬、芍药、知母、黄柏各一钱，五味子十四粒，甘草四
分，水煎温服。治汗下过多，内亡津液，或病后水亏火炎，口燥咽干。
气喘腹有濡满，属阴化痰生脉。
汗下后气虚痰壅者，二陈汤加姜汁、竹沥，凡喘多痰皆宜。气虚者，加味生脉散∶五味子三钱，人参、麦
门冬、杏仁、陈皮各二钱，姜五片，枣二枚，水煎温服。治手足厥逆，脉伏喘促者危，姑以此救之。气虚甚者，
单人参汤∶人参五钱，甚者一两，水一盏半，煎至半盏服之。喘定者生，不定者死。治元气素虚，伤寒汗下后，
气短气喘，目反脉微，精神困怠。如血虚加当归，脉不至加麦门冬、五味子，手足厥逆加干姜，冷甚加附子，兼
泻加白术。
汗后喘微者，桂杏麻石要叮咛；
桂枝加朴杏汤∶治太阳病汗下后微喘者，此表未解也，宜桂枝汤以散风邪，加浓朴一钱半，杏仁一钱以降气。
麻杏石甘汤∶麻黄三钱，杏仁一钱半，甘草一钱，石膏五钱，水煎温服。治汗下后，汗出而喘，身无大热者。
方意以汗出而喘，有大热者，里热甚也；无大热者，表邪甚也，宜此汤以散其邪。或疑汗下后同剂者，盖汗下
虽不同，而邪在表则一也。凡汗吐下后，治法相同，经所谓若汗若吐若下者是矣。
下后喘逆者，葛根芩连（汤）宜选择。
葛根三钱，黄芩、黄连各二钱，甘草一钱，姜三片，枣二枚，水煎温服。治太阳桂枝证，误下自利不止，脉
促，喘而汗出。方意以误下则肠胃虚而为热所乘，遂协热自利不止，脉促者为阳盛，知表未解也。若脉微，邪
在里也。凡病自汗出而喘者，乃邪气外甚所致；因喘而汗出者，乃里热气逆所致。故用葛根、甘草之甘以散表
邪，芩、连之苦以除里热。
汗下虚哕，姜芩连参橘皮竹茹最灵；
干姜芩连人参汤∶干姜、黄芩、黄连、人参各三钱，水煎温服。治伤寒食入即吐，谓之寒格。及曾经汗
下，关迟，胃虚冷呕吐。方意以
参、姜之甘辛以补正气，芩、连之苦以通寒邪内格。橘皮竹茹汤∶人参三钱，陈皮五钱，甘草一钱，竹茹一团，
姜五片，水煎温服。治四时伤风寒冷湿，鼻塞喉鸣，上气不得下而咳嗽。
阴证呃逆，羌活丁茴橘皮干姜任责。
羌活附子汤∶羌活一钱，炮附子半枚，茴香、丁香、干姜各一钱半，水煎入盐一撮，热服。治阴证内寒，
厥而呕逆。橘皮干姜汤∶陈皮二钱，通草、干姜各一钱，人参一钱半，水煎服。治伤寒初病，但恶寒不发热，
口中和，脉微细而呃逆者，此寒邪客中焦而气不得伸也。或加半夏、生姜、丁香、柿蒂尤妙。
大橘小橘，呕吐烦冷分尝∶
大橘皮汤∶陈皮、甘草各二钱，人参五钱，姜七片，水煎服。治呕哕胸满，虚烦不安。小橘皮汤∶陈皮五
钱，生姜一两，水煎温服。治呕哕、手足厥冷。
大半小半，呃噎痰饮不食。
大半夏汤∶半夏、茯苓、生姜各二钱半，临卧水煎服。治伤寒痰证及恶心舡晕。如痰热加甘草，胃不和加
陈皮。小半夏汤∶半夏五钱，生姜一两，水煎温服。治呃逆，谷气入口即吐，及发汗后水药不下。
水不入而捣姜汁，更煎半夏以宽胸；
生姜汁半夏汤∶半夏五钱，水一盏半，煎至半盏，入生姜汁半盏和匀，稍温缓缓服之。凡呕吐药忌顿服。
治胸中似喘不喘，似呕不呕，似哕不哕，愦愦无奈何者。
渴后呕而忌柴胡，须赤茯苓以快膈。
赤茯苓汤∶赤茯苓五钱，陈皮、人参各二钱，白术、川芎、半夏各一钱，水煎，入姜汁一匙调服。治饮水过
多，水停心下，痞满，头痛头汗，为水结胸；或先渴后呕；或厥阴消渴气上冲；或汗下后，身体振摇，筋惕肉 。
衄血生地芩连，或茅花汤而单煎；
陶氏生地芩连汤∶生地，黄芩、黄连、山栀、川芎、芍药、柴胡、桔梗、甘草、犀角，枣一枚，水煎，临
熟入茅根，或藕节捣汁，磨京墨调服。治鼻衄成流，一切去血过多，谵语失神，撮空闭目，不知人事。生地芩
连汤∶生地、川芎、当归各七分，赤芍、山栀、黄芩、黄连各三分，防风二分，水煎，徐徐呷之。脉实者加大
黄下之。治妇人血风证，因崩大脱血，或前后去血；及男子去血过多，因而涸燥，其热未除，循衣摸床，撮空闭
目，不省人事，扬手掷足，错语失神，脉浮弦而虚，内有燥热之极，气粗鼻干，上下通燥，危证。凡气分燥闭
者，用大承气汤；血分燥闭者，宜此汤以降血中之火。茅花汤∶单茅花一大把，无花用根，洗净捣碎，水煎浓
汁服之。或加藕节同煎尤妙，治衄血不止。
吐血黄连柏皮，或绿袍散以外塞。
黄连柏皮汤∶黄连、黄柏、黄芩各二钱，水煎，临熟入阿胶一钱半，煮烊温服。治热毒吐血。绿袍散∶黄
柏、薄荷、芒硝、青黛各等分为末，入冰片少许，掩上牙床即止。治齿缝出血。
救火逆惊狂身痛，柴胡龙蛎铅丹；
救逆汤∶桂枝、蜀漆各三钱，甘草二钱，牡蛎四钱，龙骨二钱半，姜五片，枣三枚，水二盏，先煎蜀漆十余
沸，入诸药煎至八分服。方意以汗出亡阳，则心虚神浮惊狂，与桂枝汤以解未尽之表邪；芍药益阴，非亡阳所
宜，故去之；火邪错逆，加蜀漆之辛以散之；神气脱亡，加龙、蛎之涩以收神固阳。本草云∶涩可去脱是也。
桂甘龙骨牡蛎汤∶桂枝一钱半，甘草、牡蛎、龙骨各一钱，水煎服，治一切火逆及误下里虚，又加温针，致生烦
躁惊狂遗精等证。是用桂、甘之辛甘，以散经中之火邪；龙、蛎之涩，以收浮越之正气。柴胡龙骨牡蛎汤；柴
胡三钱，黄芩、人参、龙骨、牡蛎、茯苓、桂枝、铅丹、半夏各一钱半，姜五片，枣二枚，水二盏，煎至一盏，
入大黄二钱，再煎二三沸，温服。方意以伤寒八九日，邪气将复传阳经，误下虚其里而热不解，以致胸满烦惊，
谵语，小便不利，皆心胃热而津液不行故也。又一身重痛不可转侧者，阳气内行而不营于表也。宜小柴胡以除胸
满，加龙、蛎、铅丹以敛神气，茯苓以行津
液利便，大黄以除胃热，桂枝以行阳气，而解身重错杂之邪。
止谵语错乱呻吟，栀子芩连黄柏。
黄连解毒汤∶黄连、黄芩、黄柏、山栀各二钱半，水煎温服。治伤寒汗后，或因饮酒复剧，苦闷干呕，口
燥呻吟，错语烦躁，不得睡卧。兼治胃热吐血，一切热毒、脏毒等证。
咽痛猪肤甘桔，而半桂可起伏寒；
猪肤汤∶猪肤一两，水一盏，煎至五分，入白蜜一合，白粉半合，熬香熟和匀相得服之。治阳经传入少阴，
客热下利，咽痛胸满。及脉阴阳俱紧，主无汗，而有汗曰亡阳，法当咽痛，此属少阴。方意以猪水畜，其气入
肾，是以猪肤能解少阴客热，加白蜜以润燥除烦，白粉以益气断利。单甘草汤∶甘草一两，水一盏半，煎至一盏，
日进三服。治阳邪传少阴，客热咽痛。如寒热相搏咽痛，加桔梗五钱，名甘桔汤。方意以甘草甘平以除热，桔
梗辛温以散寒，甘、桔相合以调寒热，而和少阴之气也。半桂汤∶半夏、桂枝、甘草各二钱，姜五片，水一盏
半，煎至七分，徐徐咽之。治少阴客寒下利，脉微弱而咽痛。是以用半夏、桂枝辛以散寒，甘草之甘以缓正气。
喉塞龙骨乌扇，而鸡壳能开音哑。
黄连龙骨汤∶黄连三钱，龙骨一钱七分，黄芩、芍药各二钱，水煎温服。治少阴腹痛，脉沉细，有热而
咽痛。乌扇汤∶射干、猪脂各四两，同煎去渣，取半鸡子黄大，绵裹内喉中，徐徐咽下。凡咽中闭塞不可下者，
宜用。鸡壳苦酒汤∶半夏十四枚，用鸡子留白去黄，以苦酒同入鸡壳内，置刀环中，安火上煮三沸，去渣，少
少含咽，作三次服。治热伤于络，则经络干燥，使咽中生疮，不能言语，声不出者。是以用半夏之辛以发声音，
鸡子之甘以缓咽痛。苦酒之酸以敛咽疮。
Sweating during sleep (Dao Han) is primarily treated with Huangqin Tang (Cinnamon Twig Decoction - *Note: Text says Huangqin Tang, usually refers to Scutellaria Decoction*): Huangqin (Scutellariae Radix) 3 qian, Shaoyao (Paeoniae Radix) 2 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen, Jujube (Ziziphi Fructus) 2 pieces, decocted and taken orally. If vomiting occurs, remove the Jujube and add Shengjiang (Zingiberis Rhizoma Recens) and Banxia (Pinelliae Rhizoma) to direct rebellious Qi downward.
This formula originally treats spontaneous diarrhea resulting from a combined disease of the Taiyang and Shaoyang channels, and also treats various types of hemorrhage. The Classics state: For conditions that are deficient and not solid, use bitter substances to firm them, and sour substances to astringe them. Therefore, the bitter and sour properties of Huangqin and Shaoyao are used to firm and astringe the Qi of the intestines and stomach; for conditions that are weak and insufficient, sweet substances are used to tonify them. The sweetness of Gancao and Dazao (Jujube) is used to tonify and secure the weakness of the intestines and stomach. Honey Suppository Method: Use half a zhan of white honey, simmer gently in a copper spoon until it does not disperse when dropped in water, add 2 qian of Zaojiao (Gleditsiae Spina) powder, mix evenly, shape into small dates about one cun long with pointed ends, dip in sesame oil, and insert into the anus. Bowel movement will occur urgently and pass. If there is no relief, replace with another one. Cover the anus with cloth externally, hold the honey inside, and only release the cloth when feces arrive. This treats Yangming channel spontaneous sweating and frequent urination; purgation is contraindicated.
Xiaochaihu Tang (Minor Bupleurum Decoction) plus Gualou (Trichosanthis Radix), for vomiting, thirst, and irritability after sweating;
This is Xiaochaihu Tang minus Banxia, with doubled Renshen (Ginseng Radix et Rhizoma), plus Gualougen (Trichosanthis Radix).
Dachaihu Tang (Major Bupleurum Decoction) minus Dahuang (Rhei Radix et Rhizoma), for vomiting and spontaneous diarrhea after sweating.
This is Dachaihu Tang minus Dahuang.
Heat after purgation is cleared by Tingli Kujiu Tang (Descurainiae Semen Acetum Decoction);
Sheng Ai (Artemisiae Argyi Herba) 1 he. If fresh Artemisia is unavailable, soak dried Artemisia in water, crush, and extract juice. Tingli (Descurainiae Semen) 5 qian, Kujiu (Vinegar) 5 he. Decoct to 3 he, divide into three doses. This treats Yin-blood injury after severe purgation, with a choppy pulse and unremitting fever. It also treats mania, irritability, red face, and sore throat.
Chills after purgation are supplemented by Shaoyao Fuzi Tang (Paeonia and Aconite Decoction) to nourish marrow.
Shaoyao Fuzi Gancao Tang: Each of the three herbs 3 qian, decocted in water and taken warm. The rationale is that after sweating and purgation in Cold Damage, recovery should occur; if chills persist, it indicates damage to Ying (Nutritive) Qi due to excessive purgation. Or if the patient picks at empty air or suffers deafness, it indicates loss of Yang Qi due to excessive sweating. Thus, the sour property of Shaoyao is used to astringe fluids and benefit Ying; the acrid-hot property of Fuzi (Aconiti Lateralis Radix Praeparata) secures Yang Qi and tonifies the Stomach; Gancao harmonizes the acrid and sour to stabilize Zheng Qi (Upright Qi).
Wind-heat cough is eliminated by Jinfeicao San (Golden Fern Herb Powder);
Xuanfuhua (Inulae Flos) 4 fen, Jingjie (Schizonepetae Herba) 8 fen, Mahuang (Ephedrae Herba) and Qianhu (Peucedani Radix) each 6 fen, Gancao, Chishao (Red Paeonia Root), and Banxia each 2 fen, 3 slices of Shengjiang, 1 Jujube. Decoct in water. Filter through fine silk to prevent hairs from irritating the lungs, causing persistent cough. This treats Lung invasion by wind-cold, stiffness and tension of the neck, limb pain, alternating chills and fever, dizziness and headache, heavy cough, thick sticky sputum, chest oppression, fullness, and wheezing, as well as epidemic cold diseases with high fever and aversion to wind. It also treats all wind-heat conditions, phlegm-wind congestion, and difficult expectoration. For various wind syndromes and large bowel wind constipation, left hypochondriac stabbing pain, add Zhike (Aurantii Fructus). For wind-heat organ irritability, Qi stagnation abdominal pain, and constipation, add Xiaoshi (Natrii Sulfas), Dahuang, and Bohe (Menthae Haplocalycis Herba). For pregnant women with Cold Damage, headache, high fever, and irritability, add Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin, and Shigao (Gypsum Fibrosum). For hot cough, add Tingli, Doulou (Stemonae Radix), Bohe, Sangbaipi (Mori Cortex), and Wumei (Mume Fructus). For dry throat, add Poxiao (Natrii Sulfas). For toothache, use concentrated decoction for gargling.
Body pain after sweating is primarily treated with Guizhi Jiaren Shen Tang (Cinnamon Twig Decoction Plus Ginseng);
Guizhi (Cinnamomi Ramulus), Shaoyao each 3 qian, Renshen 2 qian, Gancao 1 qian, 3 slices of Shengjiang, 2 Jujubes. Decoct in water and take warm. This treats body pain with a deep pulse after sweating or after Huoluan (Colic and Vomiting/Diarrhea syndrome).
Heinu Wan (Black Slave Pill), dosage doubled for extreme thirst;
Huangqin, Fudimei (Soot from Pot Bottom), Mangxiao (Natrii Sulfas), Zaotu Mo (Soot from Chimney Flue), Liangshang Chen (Dust from Beams), Xiaomai Nu (Wheat Sprouts), Mahuang, Dahuang each equal parts, powdered, formed into pills the size of bullet seeds with honey. One pill dissolved in newly drawn water. Chills and sweating should occur shortly, leading to recovery. If no sweat, administer again; mild diarrhea should be observed. Do not use lightly if there is no extreme thirst. This treats Yang Du (Yang Toxin) with macules, extreme irritability and thirst exceeding normal levels, and a surging, rapid, full pulse.
Zhuling Tang (Polyporus Decoction), for vomiting after thirst that does not stop.
Fu Yu (Oppression) after sweating/purgation with Stomach deficiency is treated with Guizhi Shenling Tang (Cinnamon Twig, Ginseng, and Polyporus Decoction);
Guizhi Shenling Tang: Guizhi, Shaoyao each 3 qian, Renshen, Fuling (Poria) each 2 qian, Gancao 1 qian, decocted with Shengjiang and Jujube and taken warm. This treats hiccups (Yue) and flushed face due to Fu Yu after sweating, vomiting, and purgation, resulting in Stomach deficiency.
Dai Yang (Floating Yang) with Yin fire causing irritability and stuffiness is treated with Yiyuan Fuzi Gancao Tang (Benefit Origin, Aconite, and Licorice Decoction).
Tao Shi Yiyuan Tang: Gancao 2 qian, Fuzi, Pao Ganjiang (Prepared Dried Ginger) each 1 qian, Renshen 1 qian, Wuweizi (Schisandrae Fructus) 20 grains, Maimendong (Ophiopogonis Radix), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma) each 7 fen, Ai Ye (Artemisiae Argyi Folium) 3 fen, Congbai (Allii Cepae Bulbus) 3 stalks, Shengjiang 1 slice, Jujube 2 pieces. Decoct in water. Add Tongbian (Child's Urine) 3 spoons near completion, drink cold in one dose. This treats absence of headache but presence of body heat, irritability, flushed face, inability to swallow water. This is Qi deficiency with rootless floating fire, named Dai Yang Syndrome. Thus, the salty property of Fuzi tonifies Kidney; the acrid property of Jiang and Cong moistens Kidney; the sweet property of Gancao, Renshen, and Maimendong moderates; the sour property of Wuweizi astringes; the bitter property of Huanglian, Ai Ye, and Zhimu disperses. The Classics state: When Fire overflows internally, treat with salty-cold, assist with bitter-acrid, moderate with sweet, astringe with sour, and disperse/descend with bitter. This is the principle.
Mahuang Shengma Tang (Ephedra and Ligusticum Decoction), effective for blindness and epistaxis;
Mahuang, Shengma (Ligustici Chuanxiong Rhizoma), Shaoyao, Huangqin, Shigao, Fuling, Gancao each equal parts. Decoct with Shengjiang, take warm to induce slight sweating. This treats Taiyang disease in Cold Damage that has not resolved, where blood follows congested Qi, causing epistaxis, commonly called "red sweat." Another prescription adds Guizhi, Guiwei (Angelicae Sinensis Radix), Tianmendong (Asparagi Radix), Zhimu, Weirui (Polygonati Odorati Rhizoma), Baizhu, Ganjiang (Dried Ginger). This treats Cold Damage after six or seven days, pathogen transmitting to Jueyin, after severe purgation: Cun pulse deep and slow, Chi pulse absent, throat obstruction, spitting pus and blood, cold limbs, and unceasing diarrhea—difficult to treat. The rationale is to use cold to counter great heat, and sweating to disperse intense heat. Thus, the sweet property of Mahuang and Shengma disperses floating heat; the acrid property of Danggui (Angelicae Sinensis Radix), Guizhi, and Jiang dissipates cold; the bitter property of Zhimu and Huangqin cools Heart and removes heat; the sweet property of Fuling and Baizhu moderates Spleen and generates fluids; the sour property of Shaoyao astringes rebellious Qi; the sweet property of Weirui, Mendong, Shigao, and Gancao moistens Lung and removes heat.
Shengyang Sanhuo (Raise Yang and Disperse Fire), placing hands over the heart is a precious method.
Tao Shi Shengyang Sanhuo Tang: Renshen, Danggui, Chaihu (Bupleuri Radix), Shaoyao, Huangqin, Gancao, Baizhu, Maimendong, Chenpi (Citri Reticulatae Pericarpium), Fushen (Poria with Hostwood) each equal parts, 3 slices of Shengjiang, 1 Jujube. Decoct together with cooked gold and take. This treats "picking at empty air" syndrome. This is Liver heat invading Lung, Yuan Qi (Original Qi) deficiency failing to govern, leading to delirium, unconsciousness, and loss of consciousness. If urination flows, it is treatable; if not, death ensues. If phlegm is present, add Jiangzhi (Ginger Juice) and Banxia; if dry stool, delirium, and thirst, add Dahuang; if leakage, add Shengma and Chao Baizhu (Fried Atractylodes).
Chaihu, Shaoyao, Zhishi (Immature Bitter Orange), and Gancao: Why worry about Heat Jue (Reversal) resembling Yin?
Sini San (Counterflow Powder): Gancao, Zhishi, Chaihu, Shaoyao each 1 qian, powdered. Take 2 qian with rice water. The rationale is that as pathogen enters deeper, limbs gradually become cold. Thus, the bitter property of Zhishi assists Gancao to drain interior heat; the sour property of Shaoyao astrings Yin Qi; the bitter property of Chaihu releases exterior heat. The Classics state: When Heat overflows internally, astringe with sour and disperse with bitter. If coughing, it is Lung cold with rebellious Qi; if dysentery, Lung and Large Intestine are exterior-interior pairs, add Wuweizi to astringe rebellious Qi and Ganjiang to disperse Lung cold. If palpitations, it is Qi deficiency failing to circulate, with palpable pulsation in the chest, add Guizhi to guide Yang Qi. If urination is difficult, add Fuling to promote diuresis. If interior deficiency abdominal pain, add Fuzi to tonify deficiency. If tenesmus after diarrhea, it is Lower Jiao Qi stagnation, add Jiubai (Leek White) to move stagnation. Any Kidney disease with internal heat can take this.
Qingbu (Blue Cloth) and Shengjiang can wash cracked and withered tongue coating.
Tongue Washing Method: For white and slippery coating, wipe with Shengjiang dipped in honey. For yellow-red, dry, and rough coating, wrap finger in true blue cloth, dip in cold water, and wipe frequently. Mild heat causes easy shedding of coating; severe cases require purgation to restore fluids and shed coating. If after purgation, lips and mouth remain extremely dry, body has high fever, coating remains bound or turns black, death occurs.
Dry mouth with internal fluid depletion and Fire requires Ziyin Yangrong Tang (Nourish Yin and Benefit Nutritive Decoction);
Ziyin Yangrong Tang: Danggui 2 qian, Renshen, Shengdi (Rehmanniae Radix) each 1.5 qian, Maimendong, Shaoyao, Zhimu, Huangbo (Phellodendri Cortex) each 1 qian, Wuweizi 14 grains, Gancao 4 fen. Decoct in water and take warm. This treats excessive sweating/purgation leading to internal fluid depletion, or post-illness Water deficiency with Fire flaming up, causing dry mouth and throat.
Wheezing and abdominal fullness belong to Yin; transform Phlegm and generate Pulse.
After sweating/purgation, Qi deficiency with Phlegm congestion is treated with Erchen Tang (Two-Cured Decoction) plus Jiangzhi and Zhuli (Bambusa Caulis in Sterilization). Suitable for all wheezing with much phlegm. For Qi deficiency, Jiawei Shengmai San (Modified Generate Pulse Powder): Wuweizi 3 qian, Renshen, Maimendong, Xingren (Pruni Armeniaci Semen), Chenpi each 2 qian, 5 slices of Shengjiang, 2 Jujubes. Decoct in water and take warm. Treats cold limbs, hidden pulse, and急促 wheezing (critical condition, use temporarily to save). For severe Qi deficiency, Dan Renshen Tang (Single Ginseng Decoction): Renshen 5 qian, or 1 liang for severe cases. Decoct 1.5 zhan water to 0.5 zhan and take. Recovery if wheezing stops; death if not. Treats constitutional Yuan Qi deficiency, shortness of breath and wheezing after Cold Damage sweating/purgation, eyes rolling back, faint pulse, mental fatigue. If Blood deficiency, add Danggui; if pulse absent, add Maimendong and Wuweizi; if cold limbs, add Ganjiang; if extreme cold, add Fuzi; if accompanied by diarrhea, add Baizhu.
For mild wheezing after sweating, Guizhi Ji Houpo Xingren Tang (Cinnamon Twig Plus Magnolia Bud and Apricot Kernel Decoction) must be noted;
Guizhi Ji Houpo Xingren Tang: Treats mild wheezing after Taiyang disease sweating/purgation, indicating unresolved exterior. Use Guizhi Tang to dispel wind-pathogen, add Houpo (Magnoliae Officinalis Cortex) 1.5 qian and Xingren 1 qian to direct Qi downward.
Maxing Shigan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction): Mahuang 3 qian, Xingren 1.5 qian, Gancao 1 qian, Shigao 5 qian. Decoct in water and take warm. Treats sweating and wheezing without significant fever after sweating/purgation. Rationale: Sweating and wheezing with high fever indicates severe interior heat; without significant fever, exterior pathogen is severe. Use this decoction to disperse pathogen. Doubts may arise regarding using the same formula after sweating/purgation, but although methods differ, the pathogen location in the exterior is the same. After sweating, vomiting, or purgation, treatment principles are similar, as stated in the Classics.
For wheezing and rebellion after purgation, Gegen Qinlian Tang (Kudzu, Scutellaria, and Coptis Decoction) should be selected.
Gegen 3 qian, Huangqin, Huanglian each 2 qian, Gancao 1 qian, 3 slices of Shengjiang, 2 Jujubes. Decoct in water and take warm. Treats Taiyang Guizhi pattern, mistaken purgation leading to unceasing spontaneous diarrhea, rapid pulse, wheezing, and sweating. Rationale: Mistaken purgation makes intestines/stomach deficient and vulnerable to heat, leading to協热 (cooperating heat) spontaneous diarrhea. Rapid pulse indicates Yang excess and unresolved exterior. If pulse is faint, pathogen is in the interior. For spontaneous sweating and wheezing, it is caused by strong exterior pathogen; for sweating due to wheezing, it is caused by interior heat and rebellious Qi. Thus, the sweet property of Gegen (Puerariae Lobatae Radix) and Gancao disperses exterior pathogen; the bitter property of Huangqin and Huanglian clears interior heat.
For deficiency hiccups after sweating/purgation, Ganjiang Qinlian Renshen Tang (Dried Ginger, Scutellaria, Coptis, and Ginseng Decoction) and JuPi ZhuRu Tang (Tangerine Peel and Bamboo Shavings Decoction) are most effective;
Ganjiang Qinlian Renshen Tang: Ganjiang, Huangqin, Huanglian, Renshen each 3 qian. Decoct in water and take warm. Treats Cold Damage where food is vomited immediately upon ingestion, called Han Ge (Cold Obstruction). Also treats previous sweating/purgation, slow Guan pulse, Stomach deficiency-cold vomiting. Rationale: Sweet-acrid of Renshen and Ganjiang tonifies Zheng Qi; bitter of Huangqin and Huanglian opens cold obstruction internally. JuPi ZhuRu Tang: Renshen 3 qian, Chenpi 5 qian, Gancao 1 qian, Zhuru (Bambusa Caulis in Sterilization) one ball, 5 slices of Shengjiang. Decoct in water and take warm. Treats wind-cold-dampness in four seasons, nasal congestion, hoarse breathing, upward Qi failing to descend causing cough.
Yin syndrome hiccup is treated with Qianghuo Fuzi Tang (Notopterygium and Aconite Decoction) or JuPi Ganjiang Tang (Tangerine Peel and Dried Ginger Decoction).
Qianghuo Fuzi Tang: Qianghuo (Notopterygii Rhizoma et Radix) 1 qian, Pao Fuzi half piece, Huixiang (Foeniculi Fructus), Dingxiang (Caryophylli Flos), Ganjiang each 1.5 qian. Decoct in water, add pinch of salt, take hot. Treats Yin syndrome internal cold, cold limbs with vomiting/rebellion. JuPi Ganjiang Tang: Chenpi 2 qian, Tongcao (Tetrapanacis Medulla), Ganjiang each 1 qian, Renshen 1.5 qian. Decoct in water and take. Treats early stage Cold Damage, only chills without fever, neutral mouth, faint-thin pulse, and hiccup. This is cold pathogen lodging in Middle Jiao preventing Qi extension. Adding Banxia, Shengjiang, Dingxiang, Shidi (Diospyroi Fructus Calyx) is excellent.
Da Ju Pi Tang (Large Tangerine Peel Decoction) and Xiao Ju Pi Tang (Small Tangerine Peel Decoction) distinguish vomiting, irritability, and cold;
Da Ju Pi Tang: Chenpi, Gancao each 2 qian, Renshen 5 qian, 7 slices of Shengjiang. Decoct in water and take. Treats vomiting/hiccups, chest fullness, deficiency irritability, and restlessness. Xiao Ju Pi Tang: Chenpi 5 qian, Shengjiang 1 liang. Decoct in water and take warm. Treats vomiting/hiccups and cold limbs.
Da Ban Xia Tang (Large Pinellia Decoction) and Xiao Ban Xia Tang (Small Pinellia Decoction) treat hiccup, choking, phlegm-fluid, and anorexia.
Da Ban Xia Tang: Banxia, Fuling, Shengjiang each 2.5 qian. Decoct in water before sleep. Treats Cold Damage phlegm syndromes and nausea/motion sickness. If phlegm-heat, add Gancao; if Stomach disharmony, add Chenpi. Xiao Ban Xia Tang: Banxia 5 qian, Shengjiang 1 liang. Decoct in water and take warm. Treats hiccup, immediate vomiting of grain/food, and inability to keep down water/medicine after sweating.
If water cannot enter, crush ginger juice, further decoct Banxia to broaden chest;
Shengjiang Zhi Banxia Tang (Fresh Ginger Juice and Pinellia Decoction): Banxia 5 qian, 1.5 zhan water, decoct to 0.5 zhan. Add 0.5 zhan Shengjiang juice, mix, take slowly slightly warm. Medications for vomiting should not be taken in one gulp. Treats sensation of suffocation without actual wheezing, nausea without vomiting, hiccups without sound, indescribable discomfort.
For vomiting after thirst, avoid Chaihu; use Chi Fuling (Red Polyporus) to relieve chest oppression.
Chi Fuling Tang: Chi Fuling 5 qian, Chenpi, Renshen each 2 qian, Baizhu, Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxia each 1 qian. Decoct in water, add 1 spoon Jiangzhi, mix and take. Treats excessive water intake, fluid retention under Heart, oppression, headache, head sweating, known as Water Binding Chest. Or thirst followed by vomiting; or Jueyin Xiao Ke (Wasting-Thirst) with Qi rushing up; or body tremors, muscle twitching after sweating/purgation.
Epistaxis is treated with Shengdi, Huangqin, Huanglian, or Maohua Tang (Flower of Imperata Decoction) alone;
Tao Shi Shengdi Qinlian Tang: Shengdi, Huangqin, Huanglian, Zhizi (Gardeniae Fructus), Chuanxiong, Shaoyao, Chaihu, Jiegeng (Platycodonis Radix), Gancao, Xijiao (Rhinocerotis Cornu - *substitute with Buffalo Horn in modern practice*), 1 Jujube. Decoct in water. Near completion, add Maogen (Imperatae Rhizoma) or Oujie (Nelumbinis Nodus) juice, mix with Jingmo (Beijing Inkstone Slurry) and take. Treats flowing epistaxis, excessive blood loss, delirium, loss of spirit, picking at empty air, closed eyes, unconsciousness. Shengdi Qinlian Tang: Shengdi, Chuanxiong, Danggui each 7 fen, Chishao, Zhizi, Huangqin, Huanglian each 3 fen, Fangfeng (Saposhnikoviae Radix) 2 fen. Decoct in water, sip slowly. If pulse is full, add Dahuang to purge. Treats Women's Blood Wind syndrome, massive bleeding from metrorrhagia or anterior/posterior bleeding; Men's excessive blood loss leading to dryness, residual heat, grasping clothes, picking at empty air, closed eyes, unconsciousness, waving arms, throwing legs, confused speech, loss of spirit, floating-stringy-deficient pulse, extreme internal dryness-heat, coarse breathing, dry nose, upper/lower dryness—critical condition. For Qi-level dryness blockage, use Dachengqi Tang (Major Order the Qi Decoction); for Blood-level dryness blockage, use this decoction to descend Fire in Blood. Maohua Tang: Single handful of Maohua (Imperata Flower), or roots if no flowers. Wash, crush, decoct in water to concentrate juice and take. Adding Oujie is excellent. Treats unceasing epistaxis.
Hematemesis is treated with Huanglian, Huangbo, or Lv Pao San (Green Robe Powder) externally;
Huanglian Bopi Tang: Huanglian, Huangbo, Huangqin each 2 qian. Decoct in water. Near completion, add Ejiao (Donkey-Hide Glue) 1.5 qian, melt and take warm. Treats heat-toxin hematemesis. Lv Pao San: Huangbo, Bohe, Mangxiao, Qingdai (Indigo Naturalis) each equal parts, powdered. Add small amount of Bingpian (Borneolum Syntheticum). Apply to upper gums to stop bleeding. Treats bleeding from gum fissures.
To rescue Fire Reversal, mania, fright, and body pain, use Chaihu Longgu Muli Qiandan Tang (Bupleurum, Dragon Bone, Oyster Shell, and Lead Tetroxide Decoction);
Jiuni Tang (Rescue Reversal Decoction): Guizhi, Shuqi (Patriniae Herba) each 3 qian, Gancao 2 qian, Muli (Ostreae Concha) 4 qian, Longgu (Fossilia Ossis Mastodi) 2.5 qian, 5 slices of Shengjiang, 3 Jujubes, 2 zhan water. First decoct Shuqi for ten boils, then add other herbs, decoct to 0.8 zhan and take. Rationale: Sweating causing Yang loss leads to Heart deficiency, floating Spirit, fright, and mania. Give Guizhi Tang to resolve remaining exterior pathogen; Shaoyao benefits Yin, which is unsuitable for Yang loss, so remove it; Fire pathogen reversal, add Shuqi's acridity to disperse; Spirit/Qi escape, add astringency of Longgu and Muli to gather Spirit and secure Yang. Materia Medica states: Astringents remove escape.
Guizhi Gancao Longgu Muli Tang: Guizhi 1.5 qian, Gancao, Muli, Longgu each 1 qian. Decoct in water and take. Treats all Fire Reversal, mistaken purgation causing interior deficiency, plus moxibustion leading to irritability, mania, spermatorrhea, etc. Uses acrid-sweet of Guizhi and Gancao to disperse Fire pathogen in meridians; astringency of Longgu and Muli to gather floating Zheng Qi. Chaihu Longgu Muli Tang: Chaihu 3 qian, Huangqin, Renshen, Longgu, Muli, Fuling, Guizhi, Qiandan (Plumbi Oxidum), Banxia each 1.5 qian, 5 slices of Shengjiang, 2 Jujubes, 2 zhan water. Decoct to 1 zhan, add Dahuang 2 qian, boil two-three times, take warm. Rationale: Cold Damage after eight-nine days, pathogen about to transmit to Yang meridians. Mistaken purgation empties interior, heat persists, leading to chest fullness, irritability, fright, delirium, difficulty urinating—all due to Heart/Stomach heat and non-circulating fluids. Body heaviness/pain unable to turn is due to Yang Qi moving internally and not nourishing exterior. Use Xiaochaihu Tang to remove chest fullness; add Longgu, Muli, Qiandan to gather Spirit; Fuling to move fluids and promote urination; Dahuang to clear Stomach heat; Guizhi to move Yang Qi and resolve complex body heaviness/pathogen.
To stop delirium, confusion, and groaning, use Zhizi Qinlian Huangbai Tang (Gardenia, Scutellaria, and Phellodendron Decoction).
Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity): Huanglian, Huangqin, Huangbo, Zhizi each 2.5 qian. Decoct in water and take warm. Treats post-sweating Cold Damage, worsened by alcohol, bitter oppression, dry retching, dry mouth, groaning, confused speech, irritability, insomnia. Also treats Stomach heat hematemesis, all heat-toxin, Zang-toxin, etc.
Sore throat is treated with Zhufu Tang (Pig Skin Decoction) and Gancao Jiegeng Tang (Licorice and Platycodon Decoction), while Banxia Guizhi Tang (Pinellia and Cinnamon Twig Decoction) can rise and fall cold;
Zhufu Tang: Zhufu (Pig Skin) 1 liang, 1 zhan water, decoct to 0.5 fen. Add Baimi (White Honey) 1 he, Baifen (Rice Flour) 0.5 he. Simmer until fragrant and mixed, take. Treats Yang channel transmitting to Shaoyin, guest heat causing diarrhea, sore throat, chest fullness. Also when Yin-Yang pulses are both tight, indicating no sweat; if sweat occurs, it is Yang loss, law dictates sore throat, belonging to Shaoyin. Rationale: Pig is water animal, its Qi enters Kidney; thus Zhufu resolves Shaoyin guest heat. Add Baimi to moisten dryness and calm irritability; Baifen to benefit Qi and stop diarrhea. Single Gancao Tang: Gancao 1 liang, 1.5 zhan water, decoct to 1 zhan. Take three times daily. Treats Yang pathogen transmitting to Shaoyin, guest heat sore throat. If cold-heat struggle causes sore throat, add 5 qian Jiegeng, named Ganjie Tang. Rationale: Gancao sweet-neutral clears heat; Jiegeng acrid-warm disperses cold. Combined, they harmonize cold-heat and soothe Shaoyin Qi. Banxia Guizhi Tang: Banxia, Guizhi, Gancao each 2 qian, 5 slices of Shengjiang, 1.5 zhan water. Decoct to 0.7 fen, swallow slowly. Treats Shaoyin guest cold with diarrhea, faint pulse, and sore throat. Uses acrid of Banxia and Guizhi to disperse cold; sweet of Gancao to moderate Zheng Qi.
Throat obstruction uses Longgu and Wushan (Belamcanda), while Jiqiao Kujiu Tang (Chicken Shell and Vinegar Decoction) can open hoarseness.
Huanglian Longgu Tang: Huanglian 3 qian, Longgu 1.7 qian, Huangqin, Shaoyao each 2 qian. Decoct in water and take warm. Treats Shaoyin abdominal pain, deep-thin pulse, heat with sore throat. Wushan Tang: Shegan (Belamcandae Rhizoma), Zhuzhi (Porcine Fat) each 4 liang. Decoct together, strain. Take size of half egg yolk, wrap in silk, insert into throat, swallow slowly. Suitable for throat obstruction preventing swallowing. Jiqiao Kujiu Tang: 14 Banxia pieces. Use chicken egg white (remove yolk). Mix with Kujiu (Vinegar) in shell. Place on knife ring over fire, boil three times. Strain. Hold in mouth and swallow slowly, divided into three doses. Treats heat damaging collaterals, drying meridians, causing ulcers in throat, inability to speak or produce voice. Uses acrid of Banxia to emit voice; sweet of egg to moderate sore throat; sour of Kujiu to astringe throat ulcers.