升麻六物（汤），误汗咽痛及口牙；
升麻、山栀各一钱半，大青、杏仁、黄芩、玄参各一钱，葱三茎，水煎。治阳厥应下反汗，必咽痛口疮
牙肿。
芩连消毒（饮），时行咽肿并头额。
黄芩、黄连、柴胡、甘草、桔梗、川芎、荆芥、防风、羌活、枳壳、连翘、射干、白芷，姜三片，煎入牛蒡
子一撮，再煎一沸，入竹沥、姜汁调服。治天行大头病，发热恶寒，头项咽喉肿痛，脉洪，取作痰火治。凡服宜
先加大黄，利去一二次，后去大黄，加人参、当归调理。
结胸热而有渴，大小陷胸十枣汤；
大陷胸汤∶大黄三钱半，病重壮人五钱，用水一盏，煎至七分，入芒硝二钱，再煎一二沸，去渣，入甘遂末
一分，和匀温服。若腹中不动，再进一服。治伤寒表未解，医反之下，膈内拒痛，手不可近，短气心烦懊 ，
心下硬，大便闭，舌燥而渴，热实脉沉而紧。兼治身无大热，有水结在胸胁间者。方意以大黄苦以荡涤，芒硝咸
以软坚，甘遂通水，可以直遂其气而透胸膈之结也。但此药太峻，不可轻用，如不得已，即用大陷胸丸。大陷胸
丸∶大黄三钱，杏仁、葶苈各一钱，芒硝二钱半，甘遂一分，人弱者半分，为末，蜜丸弹子大。每一丸，用水
一盏，煎至六分温服。至一宿未动，再进一丸，以利为度。治热实结胸，项强如柔 状，用此下之则和。方意以
硝、黄咸苦以下热，葶、杏苦甘以泻满，甘遂取其直达，白蜜取其润利，皆以下泻满实物也。小陷胸汤∶黄连
三钱，半夏一钱，栝蒌仁二钱，姜三片，水煎温服，利黄涎沫即安。一方加枳壳、桔梗、黄芩。治结胸病正在
心，按之则痛，其脉浮滑。方意以半夏之辛以散结气，黄连之苦以泻满实，栝蒌之苦以宽中润下。十枣汤∶芫花、
甘遂、大戟各等分为末，用大枣十枚，水一盏，煎至半盏，去枣调末五分，怯弱者减半服，服后大便利下水，
以粥补之。治太阳伤风，下利呕逆， 汗出，发作有时，头痛，心下痞硬满，引胁下疼，干呕短气，不恶寒，
及里水身凉者宜服。方意以下利呕逆为里受邪，可下；汗出不恶寒，发作有时，为表已解，可攻；头痛胁疼，心
痞，干呕短气，邪热内
蓄而有伏饮，是里未和也。是以用芫花之辛以散饮，戟、甘之苦以泻水，大枣之甘益土而胜水。
结胸寒而不烦，枳实理中三物白。
枳实理中丸∶人参、白术、茯苓各一两，甘草、干姜各七钱半，枳实六钱，黄芩二钱半，蜜丸弹子大。每
一丸，沸汤化下。治太阴病误下，寒实结胸，及伤寒诸吐利后，胸痞欲绝，高起而痛，手不可近。如渴加天花
粉，汗利不止加牡蛎。三物白散∶贝母、桔梗各三钱。巴豆一钱，为末，每五分，弱者减半，白汤调服。病在
膈上必吐，膈下必利，若不吐利，进热粥半盏助之∶若吐利过，进冷粥半盏止之。治寒实结胸无热证。
三黄附子泻心，下痞硬虚凝；
三黄泻心汤∶大黄三钱，黄芩、黄连各一钱半，用麻沸汤一盏浸之，以物盖定，候一饭久，稍冷去渣，顿温
服。沸汤渍药者，取其气薄而泄虚热也。治心下痞硬，内实热盛而不大便，关脉浮者可服，恶寒勿服。附子泻
心汤∶用附子半枚，水一盏，煎至半盏，去渣，次入三黄泻心汤内和匀，分二次温服。治心下痞硬，恶寒汗出。
半甘生姜泻心，下痞软气逆。
半夏泻心汤∶半夏二钱五分，甘草三钱，黄芩、干姜、人参各二钱，黄连一钱，姜三片，枣二枚，水煎
温服。治心下痞满，软而不痛。甘草泻心汤∶即半夏泻心汤，再加甘草一钱，人参一钱半。治伤寒伤风，医反
下之，下利日数十行，谷不化，腹中鸣，心下痞硬，干呕心烦，若再下之，痞气益甚，此虚气上逆也。生姜泻
心汤∶生姜、半夏各二钱，人参、干姜各一钱半，黄连、甘草各一钱，黄芩五分，枣二枚，水煎温服。治汗出
解后，胃中不和，心下痞，噫气食臭，或胁下有水气，腹中雷鸣泄泻。以上泻心汤，皆三黄泻心汤为主，大黄、
芩、连之苦寒以泻心下之痞。然痞为虚热，有恶寒汗出者，阳气外散也，加附子以固阳；胃为阳气之根，汗出
亡津，胃虚气逆，痞而干噫食臭，不能消谷，或挟水雷鸣下利者，土弱不能胜水也，加生姜以益胃之阳气；
下利不止，谷不化，干呕，痞益甚者，胃虚气上逆也，加甘草以补胃之阴气。
痞而滑利禹余粮。
赤石脂禹余粮汤∶二味各二钱，水煎温服。治心下痞硬，服泻心汤利不止，及伤寒下利不止，服理中汤
益甚者。此乃下焦不约，故水谷不分。是以用石脂之涩以收敛之，禹余之重以镇固之。本草云∶涩可去脱，重
可去怯是也。若服此不止，当利小便。兼治汗家重发汗，心神恍惚，小便已，阴中疼。
痞而干噫代赭石。
旋复代赭石汤∶旋复花三钱，人参、半夏、甘草各二钱，代赭石一钱，姜五片，枣二枚，水煎温服。治汗
吐下后，心下痞硬，胃弱虚气上逆，干噫或吐。方意以旋复之咸而软痞硬，代赭之重而镇虚逆，生姜、半夏之
辛以散痞气，参、草、大枣之甘以补胃弱。
柴陷桂参，痞结疏表且和中；
柴陷汤∶即小柴胡汤合小陷胸汤。治结胸痞气初起有表，及水结、痰结、热结等证。桂枝人参汤∶人参、
白术、干姜各一钱，甘草、桂枝各二钱，水煎温服。治太阳证未罢数下之，遂成协热下利，而心下痞硬，表里
不解者。方意以表邪未解，而里气又虚，故加桂枝于理中汤内也。
槟榔枳梗，痞结调气先开鬲。
槟榔汤∶槟榔、枳壳各等分，黄连少许，水煎温服。治结胸痞气未成，宜先服此调气。枳梗汤∶枳壳、
桔梗、甘草各等分，水煎温服。治结胸痞气，及胸满不利，烦闷欲死，不论寒热通用。如有痰合二陈汤，名枳
梗二陈汤。表热或寒热往来加柴胡、黄芩，内热加黄连，痰喘加栝蒌仁，口燥去半夏加天花粉。
结胸危甚，艾灸填以巴连；
灸结胸法∶用巴豆十粒研烂，入黄连末一
钱，又研匀捻作饼子，纳脐中，艾炷如手指大灸之，轻者一炷，重者不过再灸，俟腹中微热，取下恶物立效。
灸毕以温水拍手洗净，不然生疮。治结胸证危甚，手不可按，二便闭涩，或连日不通，但口中微气，或呕吐不
止，诸药无效。
痞结 熨，姜葱裹以绢帛。
结胸法∶用初出壳黄毛鸡子一只，生姜四两，共捣烂炒微温，摊在胸中结实之处如盘大，外以箬叶绢
帛缚之。候半日许，觉腹中热燥解去，更用热手揉之，不拘早晚，必当先用。熨结胸法∶用葱白十茎，生姜一
两，共捣碎作饼，炙热贴脐中，以熨斗贮火于饼上熨之，半时许，待热气入内，觉响即住。复用枳实理中加附子，
或五积散之类服之。治阴证冷结，手足厥逆，并熨阴毒，以汗出为度，置三五饼易之。 痞气法∶萝卜子二合，
生姜二两，葱白七茎，橘叶一握，白面半合，共捣匀，炒略温， 痞满之处，外用箬叶绢帛缚之。候半日许，
胸中烦热，即解去拭净，复以热手揉之，不拘寒热虚实迟早并用。熨痞气法∶用橘叶一大握、麦麸半升，同炒
热以皮纸衬绢包之，乘热熨痞满之处，冷则再炒，熨至病患觉快方止。凡痞气初起，便宜用之。
栀朴治懊 烦胀，浓朴宜生；
栀子浓朴汤∶山栀一钱半，浓朴三钱，枳实二钱，水煎温服，得吐即止。治伤寒下后，心烦腹满，坐卧
不安。方意以山栀之苦以吐虚烦，枳、朴之苦以泄腹满。无腹满者，栀豉汤妙。
桂甘除动悸脉代，甘草用炙。
桂枝甘草汤∶桂枝三钱三分，甘草二钱二分，水煎温服。治过汗心悸欲按，甚则身振振欲擗地。如脉代
结者，宜炙甘草汤。
胸满虚而有呕，栀豉甘草生姜；
栀豉甘草汤∶山栀四枚，豆豉五钱，甘草二钱，水煎温服。治胸满少气。热伤气也，故加甘草于栀豉汤中
以补气。栀豉生姜汤∶栀子四枚，豆豉五钱，生姜一两，水煎温服。治胸满作呕。热搏而气逆也，故加生姜于
栀豉汤中以散逆气。
胁满热而有痰，柴梗青皮杏核。
柴梗汤∶即小柴胡汤去人参，合枳梗汤。治胸胁痞满或痛。柴梗半夏汤∶柴胡二钱，黄芩、半夏、枳壳、
桔梗、栝蒌仁各一钱，青皮、杏仁各八分，甘草四分，水煎温服。治发热咳嗽，胸满两胁锉痛者，此邪热挟痰
攻注也。如口燥渴去半夏，痰在胁下加白芥子或竹沥、姜汁亦妙。柴陈汤∶即小柴胡汤合二陈汤。治痰气胸
胁不利及痰疟等证。
腹痛下寒，黄连干姜性捷；
黄连汤∶黄连二钱，干姜、桂枝各一钱，人参一钱半，半夏一钱二分，甘草五分，姜三片，枣二枚，水煎温
服。治胸中有热，胃中有邪气，腹痛欲呕吐者，上热下寒也。方意以阳不得降而胸热欲呕，阴不得升而下寒腹
痛。是以用黄连之苦以降阳，姜、桂、半夏之辛以升阴，参、草、大枣之甘以益胃。
腹胀汗后，浓朴半夏功殊。
浓朴半夏甘参汤∶浓朴三钱，半夏二钱，人参一钱，甘草五分，姜三片，水煎温服。治汗后腹胀满而痛。
方意以浓朴之苦泻腹满，参、草之甘益脾胃，半夏、生姜之辛散滞气。桔梗半夏汤∶陈皮，三味各等分，姜煎
温服。治阴阳气不和而腹胀胸满。
动气冲心，八味李根汤妙；
当归、芍药、茯苓、黄芩各二钱，桂枝三钱，甘草、半夏各一钱，甘李根白皮一两，水煎温服。治动气在
上，发汗则气上冲心不得息。
霍乱多暑，二香黄连散除。
藿香、浓朴、半夏、茯苓、陈皮、扁豆、香薷各一钱，黄连、泽泻各八分，甘草三分，水煎入姜汁一匙，
温服，呕多者倍入尤妙。治伏暑霍乱暴作，烦乱躁闷，或肚腹疼痛，冷汗自出，尺脉沉，手足冷，不宜热药。
大便燥而丸麻子，
麻子仁丸，又名脾约丸∶大黄、枳壳、浓
朴、芍药各五钱，杏仁二钱，麻仁三钱，为末，蜜丸绿豆大，每三十丸，温汤下，未利再服，得快方止。治小
便数，大便难，名为脾约，宜此通肠润燥。方意以麻子、杏仁之甘以缓脾而润燥；津液不足，以酸收之，芍药之
酸以敛液；肠燥胃强，以苦泄之，枳、朴、大黄之苦，下燥结而泄胃强也。兼治年老怯弱之人，血燥风秘，津液
少，大便坚及香港脚，大便燥。
小便涩而锉滑瞿。
万全木通散∶木通、滑石、赤茯、车前叶各一两，瞿麦五钱，为末。每四钱，水一盏煎至半盏，温服。
治阴虚为阳所凑，膀胱中有积热也，故小便难而黄。
白通调冷利，无脉烦躁加猪胆；
白通加猪胆汁汤∶附子一枚，干姜三钱，葱白三茎，水煎去渣，入童便二盏，猪胆汁一枚，调服。治少阴
厥冷，下利干呕，脉不至而烦躁。服此汤，脉暴出者死，微出者生。方意以肾主水，客寒犯肾，不能制水，故厥
逆下利。是用葱白之辛，以通肾之阳气；姜附之辛，以散阴寒；加童便、胆汁者，《内经》所谓调寒热之逆，冷
热并行。不然热物冷服，下咽之后，冷体既消，热性便发，则病性不违而气亦从，可以去拒格之寒也。
白头疏热利，纯下清水索黄龙。
白头翁汤∶白头翁、黄柏、秦皮、黄连各一钱，水煎温服。治协热下利，后重而渴。方意以肾欲坚，急食苦
以坚之，利则下焦虚，是以纯苦之剂坚之。陶氏黄龙汤∶大黄二钱，芒硝一钱半，枳实、浓朴各一钱，甘草、
人参、当归各五分，年老气血虚者去芒硝，姜三片，枣二枚，桔梗三分，水煎一沸，热服。治热邪传里，胃中燥
粪结实，心下硬痛，纯下清水。多是日逐自饮药水下利，非外寒也，宜急下之。身有热者宜用此汤，身无热者
六一顺气汤。
桃花散石脂丸，邪入经而脓（脓为陈积）结块；
桃花散∶赤石脂五钱，半生半炒，干姜二钱，糯米一合，水煎去渣，入生石脂末一半，调服。治少阴下利
脓血，腹痛，小便不利，下利不上，脉沉，血寒凝滞，下必紫黑成块，或杂脓血。方意以石脂涩肠胃，干姜散
寒，糯米补气，下焦里寒不约者宜。赤石脂丸∶赤石脂、干姜各一两，黄连、当归各二两，为末，蜜丸梧子大，
每三十丸，米饮下。治小便涩，大便利。
阿胶汤地榆散，毒入脏而血（血为新积）流长。
黄连阿胶汤∶山栀、黄柏四味各二钱，水煎温服。治伤寒热毒攻胃，流入大肠，所下必红赤成流。如腹痛
加芍药，血虚加芎、归，血不止加地榆，夹脓有食积加山楂、神曲。地榆散∶地榆、犀角、黄连、茜根、黄芩
各五钱，山栀二钱半，为末，每五钱，入韭白五寸，水煎温服。治伤寒热毒不解，晚即壮热，腹痛腰疼，下利
脓血。
手足搐搦，通末牛蒡；
牛蒡根汤∶牛蒡根一两，南星、麻黄、牛膝各六钱，入酒一盏，同于石器内捣细，另HT 黄土地坑，以炭火
烧令过赤，去火扫净，投药于坑内，再用炭火烧令黑色，取出为末。每一钱，温酒调服。治发汗失宜，风邪乘
虚逆入经络，故手足挛搐，筋脉拘急。
四肢拘急，易用栝蒌。
古瓜竹汤∶栝蒌根五钱，竹茹二钱半，水煎温服。一方加韭根五钱，干姜二钱半，临熟入鼠粪末一字调服。治
Shengma Liuwu Tang (Cinnamon Twig Six-Ingredient Decoction) is used for pharyngeal pain and oral/dental lesions caused by erroneous sweating therapy.
Shengma (Rhizoma Cimicifugae), Shanzhi (Fructus Gardeniae) each 1.5 qian; Daqing (Lithospermi Radix et Rhizoma), Xingren (Semen Armeniacae Amarum), Huangqin (Radix Scutellariae), Xuanshen (Radix Scrophulariae) each 1 qian; Congbai (Bulbus Allii Cepae) three stalks. Decoct in water. It treats Yang Jue (Yang Reversal) syndrome where purgation should have been used but sweating was erroneously applied, inevitably resulting in pharyngeal pain, mouth sores, and dental swelling.
Qinlian Xiaodu Yin (Scutellaria and Coptis Detoxifying Drink) is used for epidemic colds causing pharyngeal swelling involving the head and forehead.
Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), Chaihu (Radix Bupleuri), Gancao (Radix Glycyrrhizae), Jiegeng (Radix Platycodi), Chuanxiong (Rhizoma Chuanxiong), Jingjie (Herba Schizonepetae), Fangfeng (Radix Saposhnikoviae), Qianghuo (Rhizoma Notopterygii), Zhike (Fructus Aurantii Immaturus), Lianqiao (Fructus Forsythiae), Shegan (Rhizoma Belamcandae), Baizhi (Radix Angelicae Dahuricae), with three slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct, add Niubangzi (Fructus Arctii) a pinch, boil once more, then mix with Zhuli (Natrii Carbonas) and Jiangzhi (Succus Zingiberis Recens) before taking. It treats Tianxing Datou Bing (Epidemic Big Head Disease), characterized by fever and aversion to cold, swelling and pain of the head, neck, throat, and a surging pulse, treated as Phlegm-Fire. When using this formula, it is advisable to first add Dahuang (Radix et Rhizoma Rhei) to promote bowel movement one or two times, then remove Dahuang and add Renshen (Radix Ginseng) and Danggui (Radix Angelicae Sinensis) for regulation.
In Chest Binding (Jie Xiong) with heat and thirst, use Daxianxiong Tang (Major Yellow Dragon Decoction) or Shizao Tang (Ten Date Decoction);
Daxianxiong Tang: Dahuang (Radix et Rhizoma Rhei) 3.5 qian (5 qian for robust patients with severe illness), decoct in one cup of water until reduced to 0.7 cup, add Mangxiao (Natrii Sulfas) 2 qian, boil one or two more times, strain, add Gansui (Radix Kansui) powder 1 fen, mix well and take warm. If there is no reaction in the abdomen, administer another dose. It treats Taiyang disease where the exterior syndrome has not resolved, but the physician erroneously used purgation, leading to rejection pain in the diaphragm, tenderness to touch, shortness of breath, mental restlessness, hardness below the heart, constipation, dry tongue with thirst, and a deep, tight pulse indicating Heat-Excess. It also treats cases without significant fever where fluid retention binds in the chest and hypochondrium. The rationale is that Dahuang's bitterness purges heat, Mangxiao's saltiness softens hardness, and Gansui unblocks fluid, allowing direct penetration through the chest binding. However, this medicine is too harsh and should not be used lightly; if unavoidable, use Daxianxiong Wan (Major Yellow Dragon Pill). Daxianxiong Wan: Dahuang 3 qian, Xingren (Semen Armeniacae Amarum), Tingli (Semen Lepidii seu Descurainiae) each 1 qian, Mangxiao 2.5 qian, Gansui 1 fen (0.5 fen for weak patients). Grind into powder, make pills with honey the size of a bullet. Take one pill, decoct in one cup of water until reduced to 0.6 cup, take warm. If no effect after overnight, take another pill, stopping when bowels move. It treats Heat-Excess Chest Binding with neck stiffness resembling Rou Jing (Soft Spasm); purging with this formula brings harmony. The rationale is that Mangxiao and Dahuang's salty-bitter nature purges heat, Tingli and Xingren's bitter-sweet nature drains fullness, Gansui reaches directly, and white honey provides lubrication, all working to purge excess accumulation. Xiao Xianxiong Tang (Minor Yellow Dragon Decoction): Huanglian (Rhizoma Coptidis) 3 qian, Banxia (Rhizoma Pinelliae) 1 qian, Gualou Ren (Semen Benincasae) 2 qian, Shengjiang (Rhizoma Zingiberis Recens) three slices. Decoct in water, take warm. Relief occurs upon discharge of yellow sputum. Another variation adds Zhike (Fructus Aurantii Immaturus), Jiegeng (Radix Platycodi), Huangqin (Radix Scutellariae). It treats Chest Binding centered at the epigastrium, painful on pressure, with a floating-slippery pulse. The rationale is Banxia's pungency disperses binding Qi, Huanglian's bitterness drains fullness-excess, and Gualou's bitterness widens the middle and moistens downward. Shizao Tang (Ten Date Decoction): Yuanhua (Flos Genkwa), Gansui (Radix Kansui), Daye (Radix Euphorbiae Hussonis) equal parts ground to powder. Use ten large dates, decoct in one cup of water until half remains, remove dates, mix with 5 fen of powder (half dose for weak patients). After taking, profuse diarrhea with water discharge occurs; replenish with congee. It treats Taiyang Wind Strike with diarrhea, vomiting, sweating, paroxysmal headaches, epigastric hardness/fullness radiating to the hypochondrium, dry retching, shortness of breath, absence of aversion to cold, and interior water retention with cool body. The rationale is that diarrhea/vomiting indicate interior pathogen suitable for purging; sweating without aversion to cold and paroxysmal symptoms indicate exterior resolution suitable for attack; headache, hypochondriac pain, epigastric blockage, dry retching, and shortness of breath indicate internal accumulation of evil heat with latent fluid retention, meaning the interior is not harmonized. Thus, Yuanhua's pungency disperses fluid, Daye/Gansui's bitterness drains water, and dates' sweetness tonifies Earth to overcome water.
Cold Chest Binding without irritability uses Zhishi Lizhong Wan (Immature Bitter Orange and Middle-Regulating Pill) or Sanwu Bai San (Three-Ingredient White Powder).
Zhishi Lizhong Wan: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria) each 1 liang, Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis Secatus) each 7.5 qian, Zhishi (Fructus Aurantii Immaturus) 6 qian, Huangqin (Radix Scutellariae) 2.5 qian. Make pills with honey the size of a bullet. Dissolve one pill in boiling water before taking. It treats Taiyin disease caused by erroneous purgation, Cold-Excess Chest Binding, and post-emesis/purgation Taiyang disease with extreme chest oppression, protruding pain, and tenderness. Add Huatufen (Radix Trichosanthis) for thirst; add Muli (Concha Ostreae) for persistent sweating/diarrhea. Sanwu Bai San: Beimu (Bulbus Fritillariae Cirrhosae), Jiegeng (Radix Platycodi) each 3 qian, Badou (Semen Crotonis) 1 qian. Grind to powder. Take 5 fen (half for weak), mix with white water. Pathogens above the diaphragm cause vomiting; below cause diarrhea. If neither occurs, drink half a cup of hot porridge to assist; if vomiting/diarrhea are excessive, drink half a cup of cold porridge to stop. It treats Cold-Excess Chest Binding without heat signs.
Sanhuang Fuzi Xiexin Tang (Three-Yellow and Aconite Heart-Draining Decoction) treats epigastric hardness due to deficiency-cold coagulation;
Sanhuang Xiexin Tang: Dahuang (Radix et Rhizoma Rhei) 3 qian, Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis) each 1.5 qian. Soak in one cup of "boiling hemp tea" (hot water), cover, wait the time of one meal, cool slightly, strain, and take warm in one dose. Soaking in boiling water extracts thin qi to drain deficient heat. It treats epigastric hardness with internal heat-excess and constipation, with a floating Guan pulse; avoid if aversion to cold is present. Fuzi Xiexin Tang: Use half a Fuzi (Radix Aconiti Lateralis Preparata), decoct in one cup of water until half remains, strain, then mix into Sanhuang Xiexin Tang, divide into two doses, take warm. It treats epigastric hardness with aversion to cold and sweating.
Banxia Ganjiang Xiexin Tang (Pinellia, Licorice, and Ginger Heart-Draining Decoction) treats soft epigastric fullness with rebellious Qi;
Banxia Xiexin Tang: Banxia (Rhizoma Pinelliae) 2.5 qian, Gancao (Radix Glycyrrhizae) 3 qian, Huangqin (Radix Scutellariae), Ganjiang (Rhizoma Zingiberis Secatus), Renshen (Radix Ginseng) each 2 qian, Huanglian (Rhizoma Coptidis) 1 qian, Shengjiang (Rhizoma Zingiberis Recens) three slices, Dazao (Fructus Jujubae) two pieces. Decoct in water, take warm. It treats epigastric fullness, soft but not painful. Gancao Xiexin Tang: Same as Banxia Xiexin Tang plus Gancao 1 qian, Renshen 1.5 qian. It treats Taiyang/Shanghan after erroneous purgation, causing frequent diarrhea (dozens of times daily), undigested food, borborygmus, epigastric hardness, dry retching, and irritability. Further purgation worsens the blockage due to deficient Qi rebelling upward. Shengjiang Xiexin Tang: Shengjiang (Rhizoma Zingiberis Recens), Banxia (Rhizoma Pinelliae) each 2 qian, Renshen (Radix Ginseng), Ganjiang (Rhizoma Zingiberis Secatus) each 1.5 qian, Huanglian (Rhizoma Coptidis), Gancao (Radix Glycyrrhizae) each 1 qian, Huangqin (Radix Scutellariae) 0.5 qian, Dazao (Fructus Jujubae) two pieces. Decoct in water, take warm. It treats post-sweating resolution with stomach disharmony, epigastric blockage, belching with food odor, or fluid retention in the hypochondrium with borborygmus and diarrhea. All these Xiexin Tang formulas are based on Sanhuang Xiexin Tang; Dahuang, Huangqin, Huanglian's bitter-cold nature drains epigastric blockage. Since blockage is deficient-heat, aversion to cold/sweating indicates external dispersion of Yang, so add Fuzi (Radix Aconiti Lateralis Preparata) to secure Yang. As the Stomach is the root of Yang Qi, sweating depletes fluids, causing Stomach deficiency and Qi rebellion (belching/food odor/inability to digest) or fluid retention/borborygmus/diarrhea (Earth weakness failing to control Water), so add Shengjiang (Rhizoma Zingiberis Recens) to benefit Stomach Yang. For persistent diarrhea, undigested food, dry retching, and worsening blockage due to Stomach deficiency and Qi rebellion, add Gancao (Radix Glycyrrhizae) to tonify Stomach Yin Qi.
Blockage with slippery discharge uses Yuyuliang Tang (Magnetite and Red Clay Decoction).
Chishizhi Yuyuliang Tang: Both ingredients 2 qian each. Decoct in water, take warm. It treats epigastric hardness where Xiexin Tang failed to stop diarrhea, or Taiyang diarrhea worsened by Lizhong Tang. This is due to lower Jiao failure to restrain, causing indistinguishable water and grain. Thus, Chishizhi (Lapis Kaolinis) astringes, and Yuyuliangshi (Haematitum) weighs down to stabilize. Materia Medica states: Astringents treat prolapse, heavy substances treat timidity. If ineffective, promote urination. Also treats excessive sweating causing mental confusion, pain in the yin channel after urination.
Blockage with dry belching uses Daizhe Shi Tang (Magnetite Decoction).
Xuanfu Daizhe Shi Tang: Xuanfuhua (Flos Inulae) 3 qian, Renshen (Radix Ginseng), Banxia (Rhizoma Pinelliae), Gancao (Radix Glycyrrhizae) each 2 qian, Daizhe Shi (Lapis Magnetitum) 1 qian, Shengjiang (Rhizoma Zingiberis Recens) five slices, Dazao (Fructus Jujubae) two pieces. Decoct in water, take warm. It treats post-sweating/vomiting/purgation epigastric hardness, Stomach deficiency with rebellious Qi, dry belching or vomiting. The rationale is Xuanfuhua's saltiness softens hardness, Daizhe Shi's heaviness calms rebellious Qi, Shengjiang/Banxia's pungency disperses blockage Qi, and Renshen/Gancao/Dazao's sweetness tonifies Stomach deficiency.
Chaihu Xianxiong Tang combined with Guizhi Renshen Tang treats blockage by releasing the exterior and harmonizing the middle;
Chai Xian Tang: Combination of Xiao Chaihu Tang (Minor Bupleurum Decoction) and Xiao Xianxiong Tang (Minor Yellow Dragon Decoction). It treats early-stage Chest Binding/blockage with exterior symptoms, as well as Fluid, Phlegm, and Heat bindings. Guizhi Renshen Tang: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Ganjiang (Rhizoma Zingiberis Secatus) each 1 qian, Gancao (Radix Glycyrrhizae), Guizhi (Ramulus Cinnamomi) each 2 qian. Decoct in water, take warm. It treats unresolved Taiyang syndrome exacerbated by multiple purgations, leading to協熱下利 (Collaborative Heat Diarrhea) with epigastric hardness and simultaneous exterior-interior disharmony. The rationale is that while exterior evil remains, interior Qi is deficient, so Guizhi is added to Lizhong Tang.
Binglang Zhike Geng Tang (Betel Nut, Immature Bitter Orange, and Platycodon Decoction) regulates Qi to open the diaphragm for blockage;
Binglang Tang: Binglang (Semen Arecae), Zhike (Fructus Aurantii Immaturus) equal parts, slight amount of Huanglian (Rhizoma Coptidis). Decoct in water, take warm. It treats pre-formed Chest Binding/blockage; take this first to regulate Qi. Zhige Geng Tang: Zhike (Fructus Aurantii Immaturus), Jiegeng (Radix Platycodi), Gancao (Radix Glycyrrhizae) equal parts. Decoct in water, take warm. It treats Chest Binding/blockage, chest fullness with difficulty, severe stifling sensation, applicable to both cold and heat. If phlegm exists, combine with Er Chen Tang (Two-Cured Decoction) to form Zhige Erchen Tang. Add Chaihu (Radix Bupleuri), Huangqin (Radix Scutellariae) for exterior heat or alternating chills/fever; add Huanglian (Rhizoma Coptidis) for internal heat; add Gualou Ren (Semen Benincasae) for phlegm-wheezing; remove Banxia (Rhizoma Pinelliae) and add Huatufen (Radix Trichosanthis) for dry mouth.
Critical Chest Binding uses moxibustion filled with Badou (Croton Seed) and Huanglian (Coptis);
Moxibustion for Chest Binding: Crush 10 Badou (Semen Crotonis) seeds, mix with 1 qian Huanglian (Rhizoma Coptidis) powder, form into cakes, place in the umbilicus. Apply moxa cones finger-sized. Light cases: one cone; severe cases: no more than two. Wait until abdomen feels slightly warm, then evacuate foul matter for immediate effect. Wash hands with warm water after moxibustion to prevent sores. It treats critical Chest Binding where touch is intolerable, constipation/urinary retention, or days without passage, faint breathing, or persistent vomiting, unresponsive to other medicines.
Blockage uses warming compresses wrapped in silk with Ginger and Scallion.
Compress for Chest Binding: One fresh hen egg, four liang of Shengjiang (Rhizoma Zingiberis Recens). Mash, stir-fry until slightly warm, spread over the firm chest area like a plate. Bind with bamboo leaf and silk. After half a day, when abdominal heat/dryness subsides, remove and massage with warm hands. Use regardless of time. First step must be done first. Warming Compress for Chest Binding: Ten stalks of Congbai (Bulbus Allii Cepae), one liang of Shengjiang (Rhizoma Zingiberis Recens). Mash into cakes, heat, apply to umbilicus. Place heated iron over the cake. After half an hour, when heat enters and sounds are heard, stop. Then take Zhishi Lizhong Wan with Fuzi (Radix Aconiti Lateralis Preparata) or Wuji San (Five Accumulations Powder). It treats Yin syndrome cold binding with cold limbs, and applies to Yin Du (Yin Toxin) until sweating occurs; replace cakes 3-5 times. Blockage Qi Method: Er Zi (Semen Brassicae), Shengjiang (Rhizoma Zingiberis Recens) two liang, Congbai (Bulbus Allii Cepae) seven stalks, Juye (Folium Citri Reticulatae) one handful, Baifan (Triticum Vulgare Farina) half he. Mash, stir-fry until slightly warm, apply to fullness, bind externally. After half a day, if chest becomes hot/stifled, remove, clean, and massage with warm hands. Applicable to all conditions. Warming Compress for Blockage Qi: One handful of Juye (Folium Citri Reticulatae), half sheng of Maifan (Farina Tritici Vulgaris Roast). Stir-fry hot, wrap in paper and silk, apply hot to fullness. Reheat when cold. Stop when patient feels relief. Best used early in blockage onset.
Zhizi Houpo Tang (Gardenia and Magnolia Bark Decoction) treats Ao Nan (Restlessness) and distension; Houpo (Magnolia Bark) should be raw.
Zhizi Houpo Tang: Shanzhi (Fructus Gardeniae) 1.5 qian, Houpo (Cortex Magnoliae Officinalis) 3 qian, Zhishi (Fructus Aurantii Immaturus) 2 qian. Decoct in water, take warm. Stop if vomiting occurs. It treats post-purgation Taiyang with mental restlessness and abdominal fullness, inability to sit/lie comfortably. The rationale is Shanzhi's bitterness induces vomiting of deficient restlessness, Zhishi/Houpo's bitterness drains abdominal fullness. Without abdominal fullness, Zhichi Tang (Gardenia and Fermented Soybean Decoction) is excellent.
Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction) treats palpitations and intermittent pulse; use roasted Gancao.
Guizhi Gancao Tang: Guizhi (Ramulus Cinnamomi) 3.3 qian, Gancao (Radix Glycyrrhizae) 2.2 qian. Decoct in water, take warm. It treats palpitations wanting pressure after excessive sweating, or body trembling wanting to fall. If pulse is intermittent/knotted, use Zhigancao Tang (Roasted Licorice Decoction).
Chest fullness with deficiency and vomiting uses Zhichi Gancao Shengjiang Tang (Gardenia, Licorice, and Ginger Decoction);
Zhichi Gancao Tang: Shanzhi (Fructus Gardeniae) four pieces, Douchi (Soybeans Preparatum) 5 qian, Gancao (Radix Glycyrrhizae) 2 qian. Decoct in water, take warm. It treats chest fullness with shortness of breath. Heat damages Qi, so Gancao is added to Zhichi Tang to tonify Qi. Zhichi Shengjiang Tang: Shanzhi (Fructus Gardeniae) four pieces, Douchi (Soybeans Preparatum) 5 qian, Shengjiang (Rhizoma Zingiberis Recens) one liang. Decoct in water, take warm. It treats chest fullness with vomiting. Heat struggles with Qi rebellion, so Shengjiang is added to Zhichi Tang to disperse rebellious Qi.
Hypochondriac fullness with heat and phlegm uses Chaihu Jiegeng Qingpi Xingren Tang (Bupleurum, Platycodon, Green Tangerine Peel, and Apricot Kernel Decoction);
Chaihu Jiegeng Tang: Xiao Chaihu Tang (Minor Bupleurum Decoction) minus Renshen (Radix Ginseng), combined with Zhige Geng Tang (Immature Bitter Orange and Platycodon Decoction). It treats chest/hypochondriac blockage or pain. Chaihu Banxia Tang: Chaihu (Radix Bupleuri) 2 qian, Huangqin (Radix Scutellariae), Banxia (Rhizoma Pinelliae), Zhike (Fructus Aurantii Immaturus), Jiegeng (Radix Platycodi), Gualou Ren (Semen Benincasae) each 1 qian, Qingpi (Pericarpium Citri Reticulatae Viride), Xingren (Semen Armeniacae Amarum) each 0.8 qian, Gancao (Radix Glycyrrhizae) 0.4 qian. Decoct in water, take warm. It treats fever/cough, chest fullness, tearing pain in both hypochondria, caused by evil heat combining with phlegm. Remove Banxia if dry mouth/thirst; add Baijiezi (Semen Sinapis) or Zhuli/Jiangzhi if phlegm is in hypochondrium. Chai Chen Tang: Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Er Chen Tang (Two-Cured Decoction). It treats Phlegm-Qi chest/hypochondriac obstruction and Phlegm Malaria.
Abdominal pain with lower cold uses Huanglian Ganjiang Tang (Coptis and Dried Ginger Decoction);
Huanglian Tang: Huanglian (Rhizoma Coptidis) 2 qian, Ganjiang (Rhizoma Zingiberis Secatus), Guizhi (Ramulus Cinnamomi) each 1 qian, Renshen (Radix Ginseng) 1.5 qian, Banxia (Rhizoma Pinelliae) 1.2 qian, Gancao (Radix Glycyrrhizae) 0.5 qian, Shengjiang (Rhizoma Zingiberis Recens) three slices, Dazao (Fructus Jujubae) two pieces. Decoct in water, take warm. It treats heat in the chest, evil Qi in the Stomach, abdominal pain, and desire to vomit, representing Upper Heat and Lower Cold. The rationale is Yang cannot descend causing chest heat/vomiting, Yin cannot ascend causing lower cold/abdominal pain. Thus, Huanglian's bitterness descends Yang, Ginger/Cinnamon/Pinellia's pungency ascends Yin, and Ginseng/Licorice/Date's sweetness benefits the Stomach.
Abdominal distension after sweating uses Houpo Banxia Tang (Magnolia Bark and Pinellia Decoction);
Houpo Banxia Gan Shen Tang: Houpo (Cortex Magnoliae Officinalis) 3 qian, Banxia (Rhizoma Pinelliae) 2 qian, Renshen (Radix Ginseng) 1 qian, Gancao (Radix Glycyrrhizae) 0.5 qian, Shengjiang (Rhizoma Zingiberis Recens) three slices. Decoct in water, take warm. It treats abdominal distension and pain after sweating. The rationale is Houpo's bitterness drains fullness, Ginseng/Licorice's sweetness benefits Spleen/Stomach, Banxia/Ginger's pungency disperses stagnant Qi. Jiegeng Banxia Tang: Chenpi (Pericarpium Citri Reticulatae), three ingredients equal parts. Decoct with ginger, take warm. It treats abdominal/chest fullness due to disharmony of Yin/Yang Qi.
Moving Qi rushing to the heart uses Bawei Ligen Tang (Eight-Ingredient Plum Root Decoction);
Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba), Fuling (Poria), Huangqin (Radix Scutellariae) each 2 qian, Guizhi (Ramulus Cinnamomi) 3 qian, Gancao (Radix Glycyrrhizae), Banxia (Rhizoma Pinelliae) each 1 qian, Gan Li Gen Bai Pi (Cortex Pruni Padus) one liang. Decoct in water, take warm. It treats Moving Qi in the upper region; sweating causes Qi to rush to the heart causing breathlessness.
Huo Luan (Colic and Vomiting) often due to summerheat, removed by Erxiang Huanglian San (Two-Aromatic Coptis Powder);
Huoxiang (Herba Pogostemonis), Houpo (Cortex Magnoliae Officinalis), Banxia (Rhizoma Pinelliae), Fuling (Poria), Chenpi (Pericarpium Citri Reticulatae), Bian Dou (Semen Lablab Album), Xiangru (Herba Moslae) each 1 qian, Huanglian (Rhizoma Coptidis), Zexie (Rhizoma Alismatis) each 0.8 qian, Gancao (Radix Glycyrrhizae) 0.3 qian. Decoct, add one spoon of Jiangzhi (Succus Zingiberis Recens), take warm. Double dosage if vomiting is severe. It treats sudden Huo Luan due to latent summerheat, with mental restlessness, agitation, abdominal pain, cold sweat, deep Chi pulse, and cold limbs. Hot medicines are contraindicated.
Dry stool uses Maziren Wan (Hemp Seed Pill);
Maziren Wan, also known as Pi Yue Wan (Spley Restriction Pill): Dahuang (Radix et Rhizoma Rhei), Zhike (Fructus Aurantii Immaturus), Houpo (Cortex Magnoliae Officinalis), Shaoyao (Radix Paeoniae Alba) each 5 qian, Xingren (Semen Armeniacae Amarum) 2 qian, Maziren (Semen Cannabis) 3 qian. Grind, make pills with honey the size of mung beans. Take 30 pills with warm water. Repeat if no bowel movement, stop when effective. It treats frequent urination and difficult defecation, named Spley Restriction, suitable for unblocking intestines and moistening dryness. The rationale is Hemp/Apricot kernel's sweetness moderates Spleen and moistens dryness; insufficient fluids are astringed by Shaoyao's sourness; intestinal dryness and Stomach strength are drained by Zhishi/Houpo/Dahuang's bitterness to purge dryness and reduce Stomach excess. It also treats elderly/weak people with blood-dryness wind-constipation, low fluids, hard stool, Hongjiao (Beriberi), and dry stool.
Astringent urine uses Qumai (Persicaria) and Huashi (Talcum);
Wanquan Mutong San: Mutong (Caulis Akebiae), Huashi (Talcum), Chifu (Poria Cocos cum Lignum), Cheqianye (Folium Plantaginis) each one liang, Qumai (Herba Persicae) 5 qian. Grind to powder. Take 4 qian, decoct in one cup of water until half remains, take warm. It treats Yin deficiency attacked by Yang, with accumulated heat in the Bladder, causing difficult yellow urination.
Baitong Tang regulates cold diarrhea; add Pig Gallbladder for pulseless irritability;
Baitong Jia Zhudanchi Tang: Fuzi (Radix Aconiti Lateralis Preparata) one piece, Ganjiang (Rhizoma Zingiberis Secatus) 3 qian, Congbai (Bulbus Allii Cepae) three stalks. Decoct, strain, add two cups of Tongbian (Urine of Healthy Child) and one Pig Gallbladder bile, mix and take. It treats Shaoyin cold reversal, diarrhea, dry retching, absent pulse, and irritability. After taking, sudden pulse emergence indicates death; slight emergence indicates survival. The rationale is Kidney governs water; invading cold damages Kidney, failing to control water, causing cold reversal/diarrhea. Congbai's pungency opens Kidney Yang; Ginger/Aconite's pungency disperses Yin cold. Adding Tongbian/Bile follows Neijing's principle of balancing cold/heat reversals, mixing cold/hot administration. Otherwise, hot medicine taken cold eliminates the cold nature first, allowing heat nature to act, harmonizing with the disease to overcome rejecting cold.
Baidou Teng Tang clears heat diarrhea; pure clear water requires Huanglong Tang;
Baidouteng Tang: Baidouteng (Radix Pulsatillae), Huangbai (Cortex Phellodendri), Qinpi (Cortex Fraxini), Huanglian (Rhizoma Coptidis) each 1 qian. Decoct in water, take warm. It treats Collaborative Heat Diarrhea with tenesmus and thirst. The rationale is Kidney desires firmness; urgently eat bitter to firm it. Diarrhea indicates lower Jiao deficiency, so pure bitter agents firm it. Tao's Huanglong Tang: Dahuang (Radix et Rhizoma Rhei) 2 qian, Mangxiao (Natrii Sulfas) 1.5 qian, Zhishi (Fructus Aurantii Immaturus), Houpo (Cortex Magnoliae Officinalis) each 1 qian, Gancao (Radix Glycyrrhizae), Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis) each 0.5 qian. Remove Mangxiao for elderly/deficient Qi-Blood. Add Shengjiang (Rhizoma Zingiberis Recens) three slices, Dazao (Fructus Jujubae) two pieces, Jiegeng (Radix Platycodi) 0.3 qian. Decoct once, take hot. It treats heat evil transmitting to interior, dry feces binding in Stomach, epigastric hardness/pain, passing only clear water. Often caused by daily self-medication diarrhea, not exterior cold; urgent purging is needed. Use this if feverish; use Liuyi Shunqi Tang (Six-One Smooth Qi Decoction) if afebrile.
Taohua San and Chishizhi Wan treat pathogens entering meridians with pus/blood masses;
Taohua San: Chishizhi (Lapis Kaolinis) 5 qian, half raw half roasted, Ganjiang (Rhizoma Zingiberis Secatus) 2 qian, Nuomi (Semen Oryzae Glutinosa) one he. Decoct, strain, mix with half raw Chishizhi powder, take. It treats Shaoyin diarrhea with pus/blood, abdominal pain, difficult urination, inability to stop diarrhea, deep pulse, blood-cold stagnation, dark purple/black clots, or mixed pus/blood. The rationale is Chishizhi astringes intestines, Ganjiang disperses cold, Nuomi tonifies Qi, suitable for lower Jiao interior cold unrestrained. Chishizhi Wan: Chishizhi (Lapis Kaolinis), Ganjiang (Rhizoma Zingiberis Secatus) each one liang, Huanglian (Rhizoma Coptidis), Danggui (Radix Angelicae Sinensis) each two liang. Grind, make pills with honey the size of mustard seeds. Take 30 pills with rice water. It treats difficult urination and loose stools.
Ejiao Tang and Diyü San treat toxins entering organs with prolonged bleeding.
Huanglian Ejiao Tang: Shanzhi (Fructus Gardeniae), Huangbai (Cortex Phellodendri) four ingredients each 2 qian. Decoct in water, take warm. It treats Taiyang heat-toxin attacking Stomach, flowing to Large Intestine, causing red bloody discharge. Add Shaoyao (Radix Paeoniae Alba) for abdominal pain; add Xiong/Gui (Chuanxiong/Danggui) for blood deficiency; add Diyü (Radix Sanguisorbae) if bleeding persists; add Shanzha (Fructus Crataegi), Shenqu (Massa Medicata Fermentata) for pus/food stagnation. Diyü San: Diyü (Radix Sanguisorbae), Xijiao (Cornu Bubali), Huanglian (Rhizoma Coptidis), Qiancao (Radix Rubiae), Huangqin (Radix Scutellariae) each 5 qian, Shanzhi (Fructus Gardeniae) 2.5 qian. Grind to powder. Take 5 qian, add five cun of Jiubai (Bulbus Allii Porri), decoct in water, take warm. It treats unresolved Taiyang heat-toxin, high fever at night, abdominal/lower back pain, diarrhea with pus/blood.
Hand-foot spasms use Niubang Gen Tang (Arctium Root Decoction);
Niubang Gen Tang: Niubanggen (Radix Arctii) one liang, Nanxing (Rhizoma Arisaematis), Mahuang (Herba Ephedrae), Niuxi (Radix Achyranthis Bidentatae) each six qian. Add one cup of wine, mash in stone mortar, dig a yellow earth pit, burn charcoal until red, clean, pour medicine in, burn black, grind to powder. Take 1 qian, mix with warm wine. It treats improper sweating allowing Wind Evil to invade meridians due to deficiency, causing hand-foot spasms and tendon tension.
Four-limb contracture easily uses Gualou;
Gu Gua Zhu Tang: Gualougen (Radix Trichosanthis) 5 qian, Zhuru (Succus Bambusae in Taenia) 2.5 qian. Decoct in water, take warm. Another formula adds Jiugen (Radix Allii Tuberosi) 5 qian, Ganjiang (Rhizoma Zingiberis Secatus) 2.5 qian, add Shufen (Faeces Muris) powder at the end. It treats...