复证栀豉枳黄与鼠屎，逍遥乎人参竹皮。
栀豉枳实汤∶山栀、枳实各一钱，香豉五钱，水煎服微汗。治劳复发热。方意以热聚于上，以苦吐之；热散
于表，以苦发之。经曰∶火淫所胜，苦以发之是也。栀豉枳黄汤∶山栀、枳壳、柴胡各一钱，香豉五钱，大黄
三钱（人壮积坚者五钱），水煎温服。治食复发热。如内热加黄芩，腹胀加浓朴，伤肉加山楂，伤面饭加神曲。
鼠屎豉汤∶鼠粪七枚，枳壳一枚，山栀七个，豆豉三十粒，葱白二十茎，水煎温服。治劳复发热。人参逍遥散∶
人参、当归各二钱，柴胡一钱半，白术、白芍、白茯各一钱，水煎温服。治女劳复虚弱者。如心烦口干，加麦门
冬、五味子；阴虚火动精泄，加知母、黄柏、牡蛎；心下痞满，加黄连、枳实；不眠，加竹茹煎服。竹皮逍遥散∶
青竹皮（卵缩腹痛者倍之）、人参、知母、黄连、甘草、滑石、生地、韭白、柴胡、犀角、姜三片、枣二枚煎，
临服入烧 裆末一钱半，调服微汗，未汗再服，得小便利，阴头肿即愈。治劳复及易病。
百合分汗吐下，陶氏柴胡兼用；
汗后，百合知母汤∶百合七枚，知母一两，先以水洗百合，渍一宿去白沫，另以水二盏，煎至一盏去渣，又
以知母水二盏，煎至一盏去渣，二汁和匀，再煎至一盏半，分二次温服。吐后，百合鸡子汤∶百合七枚，制法
如前，煎汁一盏，入鸡子黄一枚，搅匀温服。下后，百合滑赭汤∶百合七枚，制煎法如前，另用泉水二盏，煎
滑石三两，代赭石一两至一盏，方入百合汁内，再煎至一盏，温服。不经汗吐下者，百合地黄汤∶百合七枚，
制煎法如前，更用生地二两，捣汁一盏，和百合汁，再煎至一盏，温服，大盒饭下如漆，中病即止。变成渴者，
百合洗法∶百合一升，以水十盏，渍一宿，通身洗之，洗已淡食将息，弗与盐豉。渴而不瘥者，栝蒌牡蛎散∶
栝蒌根、牡蛎各等分为末，每二钱，白汤调，日三服。变成发热不休者，百合滑石散∶百合炙一两，滑石三两，
为末，每三钱，白汤下。陶氏柴胡百合汤∶柴胡、人参、黄芩、甘草、知母、百合、生地、陈皮、姜三片、枣
一枚，入醋炙鳖甲，煎温服。治瘥后昏沉发热，渴而错语失神，及百合劳复等证。如渴加天花粉，胸烦加山栀，
头疼加羌活、川芎，呕吐加姜汁制半夏，胸中饱闷加枳梗，食复加枳实、黄连，大便实加大黄，虚烦加竹茹、
竹叶，瘥后干呕错语，失神呻吟，睡卧不安，加黄连、犀角，咳喘加杏仁、百合、麻黄，惊惕为血少，加当
归、茯神、远志，虚汗加黄 ，脾倦加白术，腹中雷鸣加煨生姜，劳复时热不除，加葶苈、乌梅、生艾汁。
不仁因汗过多，骆龙升麻（汤）独宜。
升麻、秦艽、连翘、芍药、防风、薏苡仁、枳壳各一钱，木香五分，姜五片，水煎温服。治伤寒肌肉顽麻
不仁，不痛不痒。
坏证表以知母麻黄，而参胡芍药清肌热；
知母麻黄汤∶知母三钱，麻黄、甘草、芍药、黄芩各一钱，桂枝五分，水煎温服，微汗即愈。治汗吐下
温针不解，及小柴证罢而热尚在者，亦为坏证，大率以表证多者宜用。参胡芍药汤∶人参、柴胡、芍药、黄芩、
知母、麦门冬各一钱，生地一钱半，枳壳八分，甘草三分，姜三片，水煎温服。治伤寒十四日外，余热未除，
脉息未缓，大便不快，小便黄赤，或渴或烦，不能安睡，不思饮食，此邪气未净，正气未复，当量其虚实以调
之。如胸满腹胀便硬，去参加浓朴，倍枳壳，小便频数加茯苓、泽泻，呕加竹茹，血弱加当归，虚烦加竹叶、
粳米，二便自利，胸腹不饱，形羸，脉弱，去枳壳，倍人参，
不睡加炒酸枣仁、茯神，宿粪未净，腹满或疼，便硬不通，量加大黄。
坏证久则鳖甲犀角，而参胡温胆止痰涎。
鳖甲散∶鳖甲、犀角、前胡、生地；黄芩各一钱，枳壳八分，乌梅二个，水煎温服。治坏证，诸药不效。
温胆汤∶半夏、枳实各一钱，陈皮一钱，茯苓五分半，甘草四分，竹茹一团，姜七片，枣一枚，水煎热服。治
伤寒瘥后，一切虚烦不眠，气脉不和，心胆虚怯，及食复劳役，病证如初。如头眩身摇加白术，咽痛加桔梗，
百般加减由人。参胡温胆汤∶陈皮、半夏、茯苓、枳实、人参各一钱，竹茹、香附、麦门冬、柴胡、桔梗各八
分，甘草三分，姜三片，枣二枚，水煎温服。治心胆虚怯，触事易惊，梦寝不安，气郁生痰，变生诸证，或短
气悸乏，或复自汗，四肢浮肿，饮食无味，烦躁不安。
妇人，热入血室，桂红海蛤堪调和；
桂枝红花汤∶桂枝、赤芍、甘草各一钱半，红花一钱，姜四片，枣二枚，水煎温服，汗出而解。治伤寒发
热恶寒，四肢拘急，口燥舌干，经脉凝滞不得往来。海蛤散∶蛤粉、滑石、甘草各二两，芒硝一两，为末，每
二钱，鸡子清调下。治伤寒血结胸，痛不可近。服此小肠利而膻中血自散矣。
寒犯产家，黄龙增损可通用。
黄龙汤∶柴胡、黄芩、人参各二钱，甘草一钱，水煎服。治胎前产后及经水适来适断，伤风、伤寒表证，半
表里证，及汗后、瘥后、劳复，余热气虚，合四君子汤；血虚，合古芎归汤；表邪将欲传里，几至动胎者，加
阿胶，倍芩术。
产前表以前胡芎苏，入里柴壳罩胎儿；
前胡七物汤∶前胡、黄芩、山栀、知母各一钱，石膏、大青各二钱，竹茹一弹丸，葱白煎服。治孕妇伤寒，
头疼壮热，肢节烦疼。芎苏散∶川芎、陈皮、芍药、白术各八分，苏叶六分，干葛五分，黄芩、前胡、麦门冬各
一钱，甘草三分，姜葱煎服。治孕妇伤寒，寒热头疼，身痛项背强，加减由人。如伤风咳嗽寒热，痰喘不卧，以
参苏饮去参加芩、术、栝蒌、杏仁最妙。柴胡枳壳汤∶柴胡一钱半，枳壳、黄芩、山栀、知母、麦门冬、干葛
各一钱，大青、生地、石膏各二钱，升麻八分，甘草四分，水煎温服。治孕妇伤寒，邪传于里，口渴烦热，腹
满便闭谵语，或发斑，昼夜不安。大便闭甚，量加大黄。柴胡石膏汤∶柴胡二钱，石膏四钱，甘草一钱，姜煎
服。治孕妇伤暑，恶寒头痛，壮热躁闷，四肢烦疼，背项拘急，口干舌燥。如气虚加人参。秦艽散∶秦艽、柴
胡、石膏，前胡、赤茯苓、甘草、犀角、升麻、干葛、黄芩各等分，竹茹减半，姜煎，入姜汁调服。治孕妇时
气，五六日不得汗，口渴狂言呕逆。芦根汤∶芦根二钱，麦门冬一钱半，人参、干葛、知母各一钱，竹茹一弹
丸，葱白煎服。治孕妇热病，头疼壮热，呕吐食不下，心烦。栀子大青汤∶栀子、大青、黄芩各一钱半，升麻
一钱，杏仁八分，葱白煎服。治孕妇伤寒，发斑变黑或尿血。苏木汤∶苏木、赤芍、陈皮、黄芩、黄连各一钱，
甘草四分，水煎服取汗。治孕妇伤寒，或中时行疫疠，淅淅作寒栗而悸。罩胎散∶嫩卷荷叶一两，焙蛤粉五钱，
为末，每二钱蜜水调服。治孕妇伤寒，大热闷乱，燥渴或发痘疹，恐伤胎脏。
产后表以柴胡防归，近里旋竹破瘀壅。
柴胡防归汤∶柴胡、人参各一钱，当归三钱，川芎一钱半，半夏、陈皮、防风各八分，甘草五分，姜、
枣煎服。治产后发热，不因难产伤力及亡血过多，恶寒未尽，无子蒸乳四证，果系外感风寒表证，脉实，挟食
积瘀血，量体加减。旋复花汤∶旋复花、赤芍、前胡、半夏、茯苓、麻黄、杏仁各一钱，五味子十四粒，甘草五
分，姜煎服。治产后伤风寒暑，咳喘痰盛，坐卧不安。竹叶防风汤∶淡竹叶二十四片，防风、人参、桂枝、
桔梗、前胡、陈皮、茯苓各一钱，姜、枣煎服。治产后伤风，发热头疼，面赤气喘。柴胡破瘀汤∶柴胡、黄芩、
半夏、甘草、赤芍、当归、生地各等分，五灵脂、桃仁各减半，姜煎服。治蓄血证，及热入血室。如大便闭加
大黄
一片，然非瘀血证，不可轻用。
汗下暂尔从权，
孕妇伤寒，虽冬月忌用麻、桂、硝、黄。表急芎、苏、葱自疏散，浓朴、枳实消导。万不得已，暂用汗下，
即宜古芩术汤加阿胶、人参安之，《百问》云∶妇人大病药有序，产前安胎产后补；然后用药疗伤寒，病稍退
时药即去。又云∶气口紧盛下为宜，人迎紧盛汗乃是；左手关脉若浮紧，当救血室和荣卫；只宜发汗不宜下，
汗则液通病去矣。但伤寒药皆不必尽剂，与杂病不同。
和补与男相共。
妇人伤寒，传经、直中及诸类证、杂证与男子相同，但胎前阴证，只宜理中汤加芎、归暂服，不可用乌、
附犯胎。其余和解之剂，量病多服，以平为期。
抑论∶辛甘需枣，气分假之以发散；
桂枝、姜、附、甘草之类，能复阳气。凡伤寒发散药，多用枣煎者，以其能和药也，惟中满呕吐者不宜。
酸苦忌姜，血分赖之以涌泄。
芍药、苦酒、葶苈、青黛、苦参之类，能补阴血，敛津益荣，故不用姜。
山栀无豉吐不宣，麻黄无葱汗不发，大黄非枳实不通，附子无姜不热。竹沥非姜汁何以行经？蜜导非皂角
何以通结？利药不嫌生，尤便于清肌；补汤须用熟，最宜于养血。主乎病者先煎，病在下者早啜。（详见
二卷本草。）吁！与其方多而效少，莫若方少而意深。疾各有因，通于彼者塞于此；
即如伤寒初证，其人素有食积痰火，及素虚素实，或酒后房室后，或恼怒后，各各不同，如此岂可执一试
效之方，而均治彼此之疾乎？
药不可执，宜于古者泥于今。
古人治病之方虽存，而受病之因岂能知其悉乎？况古今风气不同，人情亦异。即如男女之欲，古人二三十
岁而后动，今才十四五而真元已漏矣。若谓无古今之异，则是三代之礼至今可尽行矣。其不可改者，表里虚实
之法，寒热温凉之性耳。许氏谓读仲景书，须守仲景法；得仲景心，不泥仲景方者是也。陶氏所立三十六方，
似于伤寒加一疣赘，然古法已湮，亦正欠此一番活动，故备载之。
证自我识，方自我立。草木鸟兽资乎生，
固有读医书而不知医者，未有不读医书而知医者。
神明变化存乎心。
四大家之书，既理会又能通于儒，而后可以神明变化，故曰不知《易》者不可以言医。
In cases of recurrence (relapse after recovery from cold damage due to fatigue or improper diet), Zhi Chi Zhi Huang Tang (Gardenia, Fermented Soybean, and Immature Bitter Orange Decoction) and Shu Shi Dou Chi Tang (Mouse Dropping and Fermented Soybean Decoction) are used. Xiao Yao San (Free and Easy Wanderer Powder) is administered as Ren Shen Xiao Yao San (Ginseng Free and Easy Wanderer Powder) or Zhu Pi Xiao Yao San (Bamboo Skin Free and Easy Wanderer Powder).
Zhi Chi Zhi Shi Tang (Gardenia, Fermented Soybean, and Immature Bitter Orange Decoction): Shan Zhi Zi (Gardeniae Fructus) and Zhi Shi (Aurantii Fructus Immaturus) each 1 qian, Xiang Chi (Sojae Semen Praeparatum) 5 qian. Decoct in water and take orally to induce slight sweating. It treats fever due to labor recurrence. The rationale is that heat accumulates in the upper jiao, treated by bitter herbs to induce vomiting; heat disperses to the exterior, treated by bitter herbs to induce diaphoresis. The Classic states: "When fire excess prevails, bitterness is used to disperse it," which applies here.
Zhi Chi Zhi Huang Tang (Gardenia, Fermented Soybean, Rhubarb, and Bitter Orange Decoction): Shan Zhi Zi (Gardeniae Fructus), Zhi Qiao (Aurantii Fructus), and Chai Hu (Bupleuri Radix) each 1 qian, Xiang Chi (Sojae Semen Praeparatum) 5 qian, Da Huang (Rhei Radix et Rhizoma) 3 qian (5 qian for robust constitution with hard accumulation). Decoct in water and take warm. It treats fever due to food recurrence. If internal heat is severe, add Huang Qin (Scutellariae Radix); if abdominal distension, add Hou Po (Magnoliae Officinalis Cortex); if meat injury, add Shan Zha (Crataegi Fructus); if starch/food injury, add Shen Qu (Massae Fermentatae Medicinalis).
Shu Shi Dou Chi Tang (Mouse Dropping and Fermented Soybean Decoction): Shu Shi (Mus Musculus Excrementum) 7 pieces, Zhi Qiao (Aurantii Fructus) 1 piece, Shan Zhi Zi (Gardeniae Fructus) 7 pieces, Dou Chi (Sojae Semen Praeparatum) 30 grains, Cong Bai (Allii Fistulosi Bulbus) 20 stems. Decoct in water and take warm. It treats fever due to labor recurrence.
Ren Shen Xiao Yao San (Ginseng Free and Easy Wanderer Powder): Ren Shen (Ginseng Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix) each 2 qian, Chai Hu (Bupleuri Radix) 1.5 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Shao (Paeoniae Radix Alba), and Bai Fu Ling (Poria) each 1 qian. Decoct in water and take warm. It treats female labor recurrence (premature sexual activity leading to relapse) with weakness. If heart vexation and dry mouth, add Mai Men Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus); if yin deficiency with fire hyperactivity and seminal emission, add Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex), and Mu Li (Ostreae Concha); if epigastric fullness, add Huang Lian (Coptidis Rhizoma) and Zhi Shi (Aurantii Fructus Immaturus); if insomnia, add Zhu Ru (Bambusae Caulis in Taenia).
Zhu Pi Xiao Yao San (Bamboo Skin Free and Easy Wanderer Powder): Qing Zhu Pi (Bambusae Membranae Culmi), Ren Shen (Ginseng Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Huang Lian (Coptidis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Hua Shi (Talcum), Sheng Di Huang (Rehmanniae Radix), Jiu Bai (Allii Tuberosi Bulbus), Chai Hu (Bupleuri Radix), Xi Jiao (Rhinocerotis Cornu), Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 2 pieces. Decoct. Before taking, mix with 1.5 qian of powder from burned underwear (Shao Kun Dang) and take orally to induce slight sweating. If no sweat, take again. When urination becomes smooth and penile swelling subsides, the condition resolves. It treats labor recurrence and susceptibility to external pathogens.
Lily bulb prescriptions differentiate between sweating, vomiting, and purging methods; Tao's Chai Hu Bai He Tang (Bupleurum and Lily Bulb Decoction) is used concurrently.
After sweating, Bai He Zhi Mu Tang (Lily Bulb and Anemarrhena Decoction): Bai He (Lilii Bulbus) 7 pieces, Zhi Mu (Anemarrhenae Rhizoma) 1 liang. First wash the lily bulb, soak overnight, discard white foam. Add 2 cups of water, decoct to 1 cup, remove dregs. Use the water used for Zhi Mu (2 cups), decoct to 1 cup, remove dregs. Mix both juices, decoct again to 1.5 cups, divide into two doses and take warm.
After vomiting, Bai He Ji Zi Tang (Lily Bulb and Egg Yolk Decoction): Bai He (Lilii Bulbus) 7 pieces, prepared as above, decoct to 1 cup of juice. Add one egg yolk, mix well, and take warm.
After purging, Bai He Hua Zhe Tang (Lily Bulb, Talcum, and Hematite Decoction): Bai He (Lilii Bulbus) 7 pieces, prepared as above. Separately, use spring water (2 cups) to decoct Hua Shi (Talcum) 3 liang and Dai Zhe Shi (Hematitum) 1 liang until reduced to 1 cup. Then add the lily juice, decoct again to 1 cup, and take warm.
For those not subjected to sweating, vomiting, or purging, Bai He Di Huang Tang (Lily Bulb and Rehmannia Decoction): Bai He (Lilii Bulbus) 7 pieces, prepared as above. Take Sheng Di Huang (Rehmanniae Radix) 2 liang, crush and extract juice (1 cup). Mix with lily juice, decoct again to 1 cup, and take warm. Black stool like lacquer indicates efficacy; stop when the disease is cured.
If thirst develops, use Bai He Xi Fa (Lily Bulb Washing Method): Bai He (Lilii Bulbus) 1 sheng, soak in 10 cups of water overnight. Wash the whole body. After washing, maintain a bland diet and avoid salt and fermented soybeans.
If thirst persists without relief, Gua Lou Mu Li San (Trichosanthes Root and Oyster Shell Powder): Gua Lou Gen (Trichosanthis Radix) and Mu Li (Ostreae Concha) in equal parts, powdered. Take 2 qian each time, mixed with boiled water, three times daily.
If unremitting fever develops, Bai He Hua Shi San (Lily Bulb and Talcum Powder): Bai He (Lilii Bulbus) roasted 1 liang, Hua Shi (Talcum) 3 liang, powdered. Take 3 qian each time, with boiled water.
Tao's Chai Hu Bai He Tang (Bupleurum and Lily Bulb Decoction): Chai Hu (Bupleuri Radix), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Bai He (Lilii Bulbus), Sheng Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 1 piece, plus Cu Zhi Bie Jia (Vinegar-processed Trionycis Carapax). Decoct and take warm. It treats post-recovery lethargy and fever, thirst with delirious speech and loss of spirit, and lily recurrence syndromes. If thirsty, add Tian Hua Fen (Trichosanthis Radix); if chest vexation, add Shan Zhi Zi (Gardeniae Fructus); if headache, add Qiang Huo (Notopterygii Rhizoma et Radix) and Chuan Xiong (Ligustici Chuanxiong Rhizoma); if vomiting, add Ban Xia (Pinelliae Rhizoma) processed with ginger juice; if chest fullness, add Zhi Geng (Platycodonis Radix); if food recurrence, add Zhi Shi (Aurantii Fructus Immaturus) and Huang Lian (Coptidis Rhizoma); if solid stool, add Da Huang (Rhei Radix et Rhizoma); if empty vexation, add Zhu Ru (Bambusae Caulis in Taenia) and Zhu Ye (Bambusae Folium); if post-recovery dry heaving, delirious speech, loss of spirit, groaning, and restless sleep, add Huang Lian (Coptidis Rhizoma) and Xi Jiao (Rhinocerotis Cornu); if cough and asthma, add Xing Ren (Armeniacae Semen Amarum), Bai He (Lilii Bulbus), and Ma Huang (Ephedrae Herba); if palpitations due to blood deficiency, add Dang Gui (Angelicae Sinensis Radix), Fu Shen (Poria cum Radice Xyli), and Yuan Zhi (Polygalae Radix); if spontaneous sweating, add Huang Qi (Astragali Radix); if spleen fatigue, add Bai Zhu (Atractylodis Macrocephalae Rhizoma); if borborygmus, add Wei Sheng Jiang (Zingiberis Rhizoma Preparatum); if recurrent fever persists, add Ting Li Zi (Lepidii Semen), Wu Mei (Mume Fructus), and Sheng Ai Zhi (Artemisiae Argyi Juice).
Limbs numbness due to excessive sweating is best treated by Luo Long's Sheng Ma Tang (Cimicifugae Decoction).
Sheng Ma Tang: Sheng Ma (Cimicifugae Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix), Lian Qiao (Forsythiae Fructus), Shao Yao (Paeoniae Radix), Fang Feng (Saposhnikoviae Radix), Yi Yi Ren (Coicis Semen), Zhi Qiao (Aurantii Fructus) each 1 qian, Mu Xiang (Aucklandiae Radix) 0.5 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 5 slices. Decoct in water and take warm. It treats cold damage muscle stiffness and numbness without pain or itching.
For damaged syndromes (complications from mis-treatment) on the exterior, use Zhi Mu Ma Huang Tang (Anemarrhena and Ephedra Decoction); for clearing interior muscle heat, use Shen Hu Shao Yao Tang (Ginseng, Bupleurum, and Peony Decoction).
Zhi Mu Ma Huang Tang: Zhi Mu (Anemarrhenae Rhizoma) 3 qian, Ma Huang (Ephedrae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix) each 1 qian, Gui Zhi (Cinnamomi Ramulus) 0.5 qian. Decoct in water and take warm. Slight sweating leads to cure. It treats cases where sweating, vomiting, purging, and moxibustion failed, or where Xiao Chai Hu Tang syndrome has ceased but heat remains. This is also a damaged syndrome, generally suitable for those with predominant exterior symptoms.
Shen Hu Shao Yao Tang: Ren Shen (Ginseng Radix et Rhizoma), Chai Hu (Bupleuri Radix), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Mai Men Dong (Ophiopogonis Radix) each 1 qian, Sheng Di Huang (Rehmanniae Radix) 1.5 qian, Zhi Qiao (Aurantii Fructus) 0.8 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices. Decoct in water and take warm. It treats cold damage after fourteen days, with lingering residual heat, unrelaxed pulse, difficult defecation, yellow-red urine, thirst or vexation, inability to sleep, and loss of appetite. This indicates pathogenic factors are not cleared and righteous qi is not restored; tonification and purging should be balanced according to deficiency and excess. If chest fullness, abdominal distension, and hard stool, add Hou Po (Magnoliae Officinalis Cortex) and double Zhi Qiao (Aurantii Fructus); if frequent urination, add Fu Ling (Poria) and Ze Xie (Alismatis Rhizoma); if vomiting, add Zhu Ru (Bambusae Caulis in Taenia); if blood deficiency, add Dang Gui (Angelicae Sinensis Radix); if empty vexation, add Zhu Ye (Bambusae Folium) and Jing Mi (Oryzae Semen); if urination and defecation are normal, no chest/abdominal fullness, emaciation, and weak pulse, remove Zhi Qiao (Aurantii Fructus) and double Ren Shen (Ginseng Radix et Rhizoma); if insomnia, add Chao Suan Zao Ren (Ziziphi Spinosae Semen Preparatum) and Fu Shen (Poria cum Radice Xyli); if retained feces remain, abdominal fullness or pain, and hard unpassable stool, adjust dosage to add Da Huang (Rhei Radix et Rhizoma).
For long-standing damaged syndromes, use Bie Jia San (Softshell Turtle Shell Powder) and Xi Jiao (Rhinocerotis Cornu); for stopping phlegm-saliva, use Shen Hu Wen Dan Tang (Ginseng, Bupleurum, and Warm Gallbladder Decoction).
Bie Jia San: Bie Jia (Trionycis Carapax), Xi Jiao (Rhinocerotis Cornu), Qian Hu (Peucedani Radix), Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix) each 1 qian, Zhi Qiao (Aurantii Fructus) 0.8 qian, Wu Mei (Mume Fructus) 2 pieces. Decoct in water and take warm. It treats damaged syndromes ineffective to other medicines.
Wen Dan Tang (Warm the Gallbladder Decoction): Ban Xia (Pinelliae Rhizoma), Zhi Shi (Aurantii Fructus Immaturus) each 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Fu Ling (Poria) 0.55 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian, Zhu Ru (Bambusae Caulis in Taenia) one ball, Sheng Jiang (Zingiberis Rhizoma Recens) 7 slices, Da Zao (Jujubae Fructus) 1 piece. Decoct and take hot. It treats post-recovery empty vexation and insomnia, disharmony of qi and pulse, deficiency timidity of heart and gallbladder, and food recurrence or overwork with symptoms returning to initial state. If dizziness and tremors, add Bai Zhu (Atractylodis Macrocephalae Rhizoma); if sore throat, add Jie Geng (Platycodonis Radix); modifications are up to the practitioner.
Shen Hu Wen Dan Tang: Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Zhi Shi (Aurantii Fructus Immaturus), Ren Shen (Ginseng Radix et Rhizoma) each 1 qian, Zhu Ru (Bambusae Caulis in Taenia), Xiang Fu (Cyperi Rhizoma), Mai Men Dong (Ophiopogonis Radix), Chai Hu (Bupleuri Radix), Jie Geng (Platycodonis Radix) each 0.8 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 2 pieces. Decoct in water and take warm. It treats deficiency timidity of heart and gallbladder, easy fright upon encountering events, restless sleep, phlegm generated by qi stagnation causing various syndromes, shortness of breath and palpitations, recurrent spontaneous sweating, edema of limbs, loss of taste, and restlessness.
For women, heat entering the Blood Chamber (Xue Shi), Gui Zhi Hong Hua Tang (Cinnamon Twig and Safflower Decoction) and Hai Ge San (Clam Shell Powder) can harmonize.
Gui Zhi Hong Hua Tang: Gui Zhi (Cinnamomi Ramulus), Chi Shao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma) each 1.5 qian, Hong Hua (Carthami Flos) 1 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 4 slices, Da Zao (Jujubae Fructus) 2 pieces. Decoct in water and take warm. Sweating leads to resolution. It treats cold damage with fever and aversion to cold, limb spasm, dry mouth and tongue, and stagnant meridians preventing flow.
Hai Ge San: Ge Fen (Concha Meretricis), Hua Shi (Talcum), Gan Cao (Glycyrrhizae Radix et Rhizoma) each 2 liang, Mang Xiao (Natrii Sulfas) 1 liang, powdered. Take 2 qian each time, mixed with egg white. It treats cold damage blood-stasis in the chest, painful to touch. Taking this promotes small intestine function and disperses blood in the Dan Zhong (Chest Center).
Cold invading parturient women, Huang Long Tang (Yellow Dragon Decoction) with modifications is generally applicable.
Huang Long Tang: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix et Rhizoma) each 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian. Decoct in water and take. It treats pre- and post-natal periods, menstruation starting or stopping, wind-cold or cold damage exterior syndromes, half-exterior half-interior syndromes, and post-sweating, post-recovery, or labor recurrence with residual heat and qi deficiency. Combine with Si Jun Zi Tang (Four Gentlemen Decoction) for qi deficiency; combine with Gu Xiong Gui Tang (Ancient Ligusticum and Angelica Decoction) for blood deficiency; if exterior pathogen is about to transmit inward and threaten the fetus, add E Jiao (Colla Corii Asini) and double Huang Qin (Scutellariae Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma).
Pre-natal exterior syndromes use Qian Hu Xiong Su San (Peucedanum, Ligusticum, and Perilla Powder); interior transmission uses Chai Hu Zhi Ke Tang (Bupleurum and Bitter Orange Decoction) to protect the fetus.
Qian Hu Qi Wu Tang (Peucedanum Seven-Ingredient Decoction): Qian Hu (Peucedani Radix), Huang Qin (Scutellariae Radix), Shan Zhi Zi (Gardeniae Fructus), Zhi Mu (Anemarrhenae Rhizoma) each 1 qian, Shi Gao (Gypsum Fibrosum), Da Qing (Isatidis Folium) each 2 qian, Zhu Ru (Bambusae Caulis in Taenia) one pill-sized amount, Cong Bai (Allii Fistulosi Bulbus). Decoct and take. It treats pregnant women with cold damage, severe headache and fever, and painful joints.
Xiong Su San (Ligusticum and Perilla Powder): Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Shao Yao (Paeoniae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 0.8 qian, Su Ye (Perillae Folium) 0.6 qian, Gan Ge (Puerariae Radix) 0.5 qian, Huang Qin (Scutellariae Radix), Qian Hu (Peucedani Radix), Mai Men Dong (Ophiopogonis Radix) each 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian, Jiang and Cong. Decoct and take. It treats pregnant women with cold damage, alternating chills and fever, headache, body pain, and stiff neck/back. Modifications are up to the practitioner. For wind-cold cough with alternating chills, phlegm-wheezing, and inability to lie down, Shen Su Yin (Ginseng and Perilla Decoction) added with Huang Qin (Scutellariae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gua Lou (Trichosanthis Fructus), and Xing Ren (Armeniacae Semen Amarum) is best.
Chai Hu Zhi Ke Tang (Bupleurum and Bitter Orange Decoction): Chai Hu (Bupleuri Radix) 1.5 qian, Zhi Qiao (Aurantii Fructus), Huang Qin (Scutellariae Radix), Shan Zhi Zi (Gardeniae Fructus), Zhi Mu (Anemarrhenae Rhizoma), Mai Men Dong (Ophiopogonis Radix), Gan Ge (Puerariae Radix) each 1 qian, Da Qing (Isatidis Folium), Sheng Di Huang (Rehmanniae Radix), Shi Gao (Gypsum Fibrosum) each 2 qian, Sheng Ma (Cimicifugae Rhizoma) 0.8 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian. Decoct in water and take warm. It treats pregnant women with cold damage, pathogen transmitting inward, thirst, vexation, heat, abdominal fullness, constipation, delirium, or macules, restless day and night. If severe constipation, adjust dosage to add Da Huang (Rhei Radix et Rhizoma).
Chai Hu Shi Gao Tang (Bupleurum and Gypsum Decoction): Chai Hu (Bupleuri Radix) 2 qian, Shi Gao (Gypsum Fibrosum) 4 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Jiang. Decoct and take. It treats pregnant women with summerheat, aversion to cold, headache, severe fever, restlessness, painful limbs, stiff back/neck, dry mouth, and dry tongue. If qi deficiency, add Ren Shen (Ginseng Radix et Rhizoma).
Qin Jiao San (Gentian Macrophylla Powder): Qin Jiao (Gentianae Macrophyllae Radix), Chai Hu (Bupleuri Radix), Shi Gao (Gypsum Fibrosum), Qian Hu (Peucedani Radix), Chi Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xi Jiao (Rhinocerotis Cornu), Sheng Ma (Cimicifugae Rhizoma), Gan Ge (Puerariae Radix), Huang Qin (Scutellariae Radix) in equal parts, Zhu Ru (Bambusae Caulis in Taenia) halved. Decoct with ginger, mix with ginger juice, and take. It treats pregnant women with epidemic qi, unable to sweat for five to six days, thirst, delirium, vomiting, and regurgitation.
Lu Gen Tang (Reed Root Decoction): Lu Gen (Phragmitis Rhizoma) 2 qian, Mai Men Dong (Ophiopogonis Radix) 1.5 qian, Ren Shen (Ginseng Radix et Rhizoma), Gan Ge (Puerariae Radix), Zhi Mu (Anemarrhenae Rhizoma) each 1 qian, Zhu Ru (Bambusae Caulis in Taenia) one pill-sized amount, Cong Bai (Allii Fistulosi Bulbus). Decoct and take. It treats pregnant women with febrile disease, severe headache and fever, vomiting, inability to eat, and heart vexation.
Zhi Zi Da Qing Tang (Gardenia and Isatis Decoction): Zhi Zi (Gardeniae Fructus), Da Qing (Isatidis Folium), Huang Qin (Scutellariae Radix) each 1.5 qian, Sheng Ma (Cimicifugae Rhizoma) 1 qian, Xing Ren (Armeniacae Semen Amarum) 0.8 qian, Cong Bai (Allii Fistulosi Bulbus). Decoct and take. It treats pregnant women with cold damage, blackening macules, or hematuria.
Su Mu Tang (Sappan Wood Decoction): Su Mu (Sappan Lignum), Chi Shao (Paeoniae Radix Rubra), Chen Pi (Citri Reticulatae Pericarpium), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma) each 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian. Decoct in water to induce sweating. It treats pregnant women with cold damage or epidemic pestilence, shivering chills, and palpitations.
Zhao Tai San (Fetus-Protection Powder): Nen Juan He Ye (Nelumbinis Folium) 1 liang, Bei Ge Fen (Concha Meretricis Preparatum) 5 qian, powdered. Take 2 qian each time, mixed with honey water. It treats pregnant women with cold damage, severe fever and confusion, dry thirst, or developing chickenpox/rash, fearing damage to the fetal organ.
Post-natal exterior syndromes use Chai Hu Fang Gui Tang (Bupleurum, Saposhnikovia, and Angelica Decoction); near interior, use Xuan Fu Hua Tang (Inula Flower Decoction) to break stasis obstruction.
Chai Hu Fang Gui Tang: Chai Hu (Bupleuri Radix), Ren Shen (Ginseng Radix et Rhizoma) each 1 qian, Dang Gui (Angelicae Sinensis Radix) 3 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1.5 qian, Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Fang Feng (Saposhnikoviae Radix) each 0.8 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jiang and Zao. Decoct and take. It treats post-natal fever not caused by difficult labor, exertion, or excessive blood loss, with lingering aversion to cold, absence of "no-child steaming milk" four syndromes. If confirmed as exterior wind-cold syndrome with solid pulse, complicated by food retention and blood stasis, modify according to constitution.
Xuan Fu Hua Tang (Inula Flower Decoction): Xuan Fu Hua (Inulae Flos), Chi Shao (Paeoniae Radix Rubra), Qian Hu (Peucedani Radix), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Ma Huang (Ephedrae Herba), Xing Ren (Armeniacae Semen Amarum) each 1 qian, Wu Wei Zi (Schisandrae Fructus) 14 grains, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jiang. Decoct and take. It treats post-natal wind-cold-summerheat, cough, wheezing, profuse phlegm, and restlessness.
Zhu Ye Fang Feng Tang (Bamboo Leaf and Saposhnikovia Decoction): Dan Zhu Ye (Lophatheri Herba) 24 leaves, Fang Feng (Saposhnikoviae Radix), Ren Shen (Ginseng Radix et Rhizoma), Gui Zhi (Cinnamomi Ramulus), Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria) each 1 qian, Jiang and Zao. Decoct and take. It treats post-natal wind-cold, fever, headache, red face, and asthma.
Chai Hu Po Yu Tang (Bupleurum Stasis-Breaking Decoction): Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chi Shao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix) in equal parts, Wu Ling Zhi (Trogopterori Faeces), Tao Ren (Persicae Semen) halved. Decoct with ginger and take. It treats blood accumulation syndromes and heat entering the Blood Chamber. If constipation, add one slice of Da Huang (Rhei Radix et Rhizoma); however, do not use lightly unless it is a blood stasis syndrome.
Sweating and purging methods are temporarily used for expediency.
For pregnant women with cold damage, even in winter, Ma Huang (Ephedrae Herba), Gui Zhi (Cinnamomi Ramulus), Mang Xiao (Natrii Sulfas), and Da Huang (Rhei Radix et Rhizoma) are contraindicated. If exterior urgency, Xiong (Ligustici Chuanxiong Rhizoma), Su (Perillae Folium), and Cong (Allii Fistulosi Bulbus) naturally disperse; Hou Po (Magnoliae Officinalis Cortex) and Zhi Shi (Aurantii Fructus Immaturus) guide digestion. If absolutely necessary, temporarily use sweating and purging, then immediately use Gu Qin Shu Tang (Ancient Scutellaria and Atractylodes Decoction) added with E Jiao (Colla Corii Asini) and Ren Shen (Ginseng Radix et Rhizoma) to stabilize. *Bai Wen* states: "For major diseases in women, there is an order: protect the fetus before birth, tonify after birth." Then treat cold damage; when the disease recedes, stop the medicine. It also states: "If Qi Kou pulse is tight and vigorous, purging is suitable; if Ren Ying pulse is tight and vigorous, sweating is indicated." If the Guan pulse on the left hand is floating and tight, rescue the Blood Chamber and harmonize Ying and Wei; only sweating is suitable, not purging. Sweating allows fluid flow and disease removal. However, cold damage medicines need not be fully consumed, differing from miscellaneous diseases.
Harmonizing and tonifying methods are shared with men.
Women's cold damage, meridian transmission, direct invasion, and various similar/miscellaneous syndromes are the same as men's. However, for pre-natal yin syndromes, only Li Zhong Tang (Regulate the Middle Decoction) added with Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix) should be taken temporarily; Wu Tou (Aconiti Lateralis Radix Preparata) and Fu Zi (Aconiti Radix Preparata) must be avoided to prevent harming the fetus. Other harmonizing formulas should be taken in larger quantities based on the disease, aiming for balance.
Supplementary Discussion: Acrid and sweet herbs require Jujube (Da Zao); borrowing its qi helps dispersion.
Herbs like Gui Zhi (Cinnamomi Ramulus), Sheng Jiang (Zingiberis Rhizoma Recens), Fu Zi (Aconiti Radix Preparata), and Gan Cao (Glycyrrhizae Radix et Rhizoma) can restore yang qi. Cold damage dispersing formulas often use Jujube (Da Zao) for decoction because it harmonizes the medicine; it is unsuitable for those with fullness in the middle and vomiting.
Sour and bitter herbs prohibit Ginger (Sheng Jiang); the blood component relies on them for surging and draining.
Herbs like Shao Yao (Paeoniae Radix), Ku Jiu (Vinegar), Ting Li Zi (Lepidii Semen), Qing Dai (Indigo Naturalis), and Ku Shen (Sophorae Flavescentis Radix) can tonify yin-blood, astringe fluids, and benefit nutritive qi, hence Ginger (Sheng Jiang) is not used.
Gardenia (Zhi Zi) without Fermented Soybean (Dou Chi) does not vent vomiting; Ephedra (Ma Huang) without Green Onion (Cong Bai) does not induce sweating; Rhubarb (Da Huang) without Immature Bitter Orange (Zhi Shi) does not unblock; Aconite (Fu Zi) without Ginger (Sheng Jiang) does not generate heat. How does Bamboo Sap (Zhu Li) travel through meridians without Ginger Juice (Jiang Zhi)? How does Honey Suppository (Mi Dao) resolve blockage without Gleditsia Sinensis (Zao Jiao Ci)? Purgatives do not fear being raw, especially convenient for clearing muscle heat; tonifying soups must be cooked thoroughly, most suitable for nourishing blood. Herbs targeting the disease should be decocted first; herbs for lower body diseases should be consumed early. (See Volume 2 Materia Medica.) Alas! Rather than many formulas with little effect, it is better to have few formulas with deep meaning. Diseases have different causes; what works for one may block another.
Medicines cannot be rigidly applied; what was suitable in ancient times may be stuck in modern times.
Although ancient healing formulas exist, how can we know all the causes of disease? Moreover, customs differ between ancient and modern times, and human nature varies. Regarding sexual desire, ancients acted at twenty or thirty years old, while today true essence leaks at fifteen or sixteen. If one claims no difference between ancient and modern times, then the rites of the Three Dynasties could still be fully practiced today. What cannot change are the methods of exterior-interior, deficiency-excess, and the natures of cold-hot-warm-cool. Mr. Xu said, "Reading Zhang Zhongjing's books requires adhering to his methods; understanding his mind means not sticking rigidly to his formulas." Tao's thirty-six formulas seem like warts added to cold damage treatment, but since ancient methods have faded, this flexibility is lacking, so they are recorded in full.
Syndromes are recognized by myself; formulas are established by myself. Plants, birds, and beasts rely on life.
There are indeed those who read medical books but do not understand medicine, but none who understand medicine without reading medical books.
Divine changes reside in the mind.
The books of the Four Masters are understood and connected to Confucianism, allowing for divine changes. Thus, it is said, "One who does not know the *I Ching* cannot speak of medicine."