服桂枝汤，或下之，仍头项强痛，翕翕发热，无汗，心下满，微痛，小便不利者，桂枝去桂加茯苓白术汤
主之。
桂枝去桂加茯苓白术汤
芍药（三钱） 甘草（二钱） 生姜（三钱） 茯苓（三钱） 白术（三钱）
大枣（三枚） 水煎服，小便利则愈。按此证非风邪之外束，实湿邪之内动，故去桂枝之解表，加茯苓、自术
泄湿而燥土也。
伤寒，若吐若下后，心下逆满，气上冲胸，起则头眩，脉沉紧，发汗则动经，身为振振摇者，茯苓桂枝白
术甘草汤主之。
茯苓桂枝白术甘草汤
茯苓（四钱） 桂枝（二钱） 白术（二钱） 甘草（二钱） 水煎服。按此证
缘于水旺土湿，而风木郁动，故用苓术泄水，桂枝疏木，而甘草补中也。
发汗过多，其人叉手自冒心，心下悸，欲得按者，桂枝甘草汤主之。
桂枝甘草汤
桂枝（四钱） 甘草（二钱炙） 水煎服。按此证乃土败木郁，神宇不宁，故用桂枝疏
木而安动摇，甘草补土以培根本也。
发汗后，其人脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。
茯苓桂枝甘草大枣汤
茯苓（八钱） 桂枝（四钱） 甘草（二钱） 大枣（二枚） 取水扬三五
百遍，名甘澜水，三杯，先煮茯苓至二杯，入诸药，煎七分，温服。
按此证纯是肝气，木气奔冲，原于阳亡而水寒，故用茯苓、桂枝泄癸水而疏乙木，甘草、大枣补脾精以
滋肝血也。
烧针令其汗，针处被寒，核起而赤者，必发奔豚，气从少腹上冲心者，灸其核上，各一壮，与桂枝加桂
汤。
桂枝加桂汤
桂枝（六钱） 芍药（三钱） 甘草（二钱炙） 生姜（三钱） 大枣（四枚） 水煎
服。按汗后阳虚脾陷，木气不舒，奔豚发作，故加桂枝以疏风木，而降奔豚也。
伤寒脉浮，医以火迫劫之亡阳，必惊狂起卧不安者，桂枝汤去芍药加蜀漆龙骨牡蛎救逆汤主之。
桂枝去芍药加蜀漆龙骨牡蛎汤
桂枝（三钱） 甘草（二钱） 大枣（四枚） 生姜（三钱） 牡蛎
（四钱） 龙骨（三钱） 蜀漆（二钱） 先煮蜀漆，后入诸药，煎温服。按汗多亡阳，君火飞腾，神魂失
归，是以惊生；浊气上逆，化生败浊，迷塞心宫，是以狂作。故用桂枝、甘草疏木而培中，生姜、大枣补脾而
降逆，蜀漆吐腐瘀
而疗狂，龙骨、牡蛎敛神魂而止惊也。
水逆下之，因烧针烦躁者，桂枝甘草龙骨牡蛎汤主之。
桂枝甘草龙骨牡蛎汤
桂枝（一钱） 甘草（二钱） 龙骨（三钱）
牡蛎（三钱） 水煎服。按火逆下之，亡其里阳，又复烧针发汗，亡其表阳，神气离根，因而烦躁不安。故用
桂枝、甘草疏乙木而培中脘，龙骨、牡蛎敛神气而除烦躁也。
伤寒八九日，下之，胸满烦惊，小便不利，谵语，一身尽肿，不可转侧者，柴胡加龙骨牡蛎汤主之。
柴胡加龙骨牡蛎汤
柴胡 龙骨 黄芩 生姜 人参 茯苓 铅丹 牡蛎 桂枝 半夏（各一钱五分）
大枣（二枚） 大黄（二钱） 水煎，入大黄二三沸，温服。按下伤中气，土湿木郁，胆火上逆，故用大枣参
苓补土而泄湿，大黄柴胡泄火而疏木，生姜半夏下冲而降浊，龙骨牡蛎铅丹敛魂而镇逆也。
病在阳，应以汗解之，反以冷水 之，灌之，其热被劫不得去，弥更益烦，肉上粟起，意欲饮水，反不渴
者，服文蛤散。若不瘥者，与五苓散。寒实结胸，无热证者，与三物小陷胸汤，白散亦可服。
文蛤散
文蛤（一钱） 为散，以沸汤和服。按烦热作渴，因内有停水，故用文蛤利水而解渴也。
白散
桔梗（四钱二分） 贝母（四钱二分） 巴豆（一钱二分去心熬黑） 余各为末，以白饮和服八
分，羸者减之。病在膈上必吐，病在膈下必利，不利进热粥一杯，利不止，进冷粥一杯，按寒邪上逆，实结
胸膈，肺郁生热，故用桔梗、贝母清降其虚热，巴豆温破其实寒也。
阳明病，自汗出，若发汗，小便自利者，以为津液内竭，虽硬不可攻之，当须自欲大便，宜蜜煎导之，通之
。若土瓜根及与大猪胆汁，皆可为导。
蜜煎导方
蜜一杯上一味，入铜器中，微火煎之，稍凝似饴状，搅之勿令焦着，欲可丸，并手捻作挺
，令头锐，大如指，长二寸许，当热时急作，冷则硬，以纳谷道中，以手急抱，欲大便时去之。
猪胆汁方
猪胆（一枚） 上一味，泻汁和醋少许，以灌谷道中，如一食顷，当大便出。
伤寒服汤药，下利不止，心下痞硬，服泻心汤已，复以他药下之，利不止。医以理中与之，利益甚。
理中者，理中焦，此利在下焦。赤石脂禹余粮汤主之。复利不止者，当利其小便。
赤石脂禹余粮汤
赤石脂 禹余粮（各二两六钱） 水三杯半，煎一杯服，日三服。按下利由于下焦
滑脱，故用赤石脂、禹余粮固下焦之滑脱，利乃可止也。
少阴病二三日，咽痛者，可与甘草汤。不瘥，与桔梗汤。
甘草汤
甘草（六钱） 水三杯，煎一杯，分两次服。按少阴水旺，君相皆腾，二火逆冲，故用甘
草泄热而缓急迫也。
桔梗汤
桔梗（三钱） 甘草（六钱） 水三杯，煎一杯，分两次服。按加桔梗者，降逆而开结滞也。
少阴病，咽中痛，半夏散及汤主之。
半夏散及汤
半夏 桂枝 甘草（各等分） 为末，白饮和服三钱，日三服。不能服散者，水煮七沸
，入散三钱，更煎三沸，少冷，少少咽之。按浊阴上逆，冲击咽喉，因而作痛。故用桂枝、半夏降其冲气，甘
草缓其迫急也。
少阴病，咽中伤生疮，不能语言，声不出者，苦酒汤主之。
苦酒汤
半夏 鸡子（一枚去黄） 半夏洗，枣核大七枚，切作十四片，着苦酒中，以鸡子壳置刀环
中，安火上，令三沸，去滓，少少含咽之，不瘥再服（苦酒即醋也）。按寒水下旺，火盛咽伤，故生疮不能语
言，金被火刑，故声不出。故用苦酒败结而消肿，半夏降逆而驱浊，鸡子白清肺而发声也。
少阴病下利，咽痛，胸满心烦者，猪肤汤主之。
猪肤汤
猪肤（四两） 水七杯，煎三杯，入白蜜七钱，米粉
四钱，熬香，分二三服（猪肤即猪皮）。按寒水侮土，肝脾郁陷，胆胃俱逆，相火炎升。故用猪肤、白蜜清
金而止痛，润燥而除烦，白粉收泄利而涩滑溏也。
少阴病，四逆，其人或咳或悸，或小便不利，或腹中痛，或泄利下重者，四逆散主之。
四逆散
甘草（一两） 枳实（一两） 柴胡（一两） 芍药（一两） 上为末，白饮和服，日二
三服。咳者加五味子、干姜各五钱，并主下利。悸者，加桂枝五钱。小便不利者，加茯苓五钱。腹中痛
者，加炮附子一枚。泄利下重者，先以水煮薤白，去滓，以散纳汤中，再煮，温服。按此证，总缘土郁而
木贼，故用甘草、枳实培土而泄滞，柴胡、芍药疏木而清风也。
伤寒脉微而厥，至七八日肤冷，其人躁无暂安时者，此为脏厥，非为蛔厥也。蛔厥者，其人当吐蛔，令病
者静而复时烦，此为脏寒，蛔上入其膈，故烦，须臾复止，得食而呕，又烦者，蛔闻食臭出，其人当自吐蛔
。蛔厥者，乌梅丸主之。
乌梅丸（又主久利方）
乌梅（九十三枚） 细辛（六钱） 干姜（一两） 黄连（一两六钱） 蜀椒
（四钱炒） 当归（四钱） 桂枝（六钱） 附子（六钱） 人参（六钱） 黄柏（六钱） 各研末，以苦
酒浸乌梅一宿，去核，饭上蒸之，捣成泥，和药令相得，入炼蜜，共捣千下，丸如桐子大，先饮食，白饮和服
十丸，日三服，渐加至二十丸。按蛔厥，因脏寒不能安蛔，故用姜辛杀蛔止呕而降气冲，人参桂归补中疏木而
润风燥，椒附暖水而温下寒，连柏泄火而清上热也。
大病瘥后，喜睡，久不了了者，胃上有寒，当以丸药温之，宜理中丸。
理中丸（方见霍乱）
伤寒解后，虚羸少气，气逆欲吐者，竹叶石膏汤主之。
竹叶石膏汤
石膏（八钱） 半夏（二钱） 人参（一钱三分） 甘草（一钱炙） 麦冬（三钱）
粳米（四钱） 竹叶（十片） 水三杯，煎一杯半，去滓，纳米，煮半熟，汤成去米，温服，日三服。按火
金不降，肺热郁生，故用石膏清金而润燥，参甘粳米半夏补中而降逆也。
大病瘥后，劳复者，枳实栀子汤主之。若有宿食者，加大黄如博棋子五六枚。
枳实栀子豉汤
枳实（二钱） 栀子（五枚） 豆豉（一撮） 先以清浆水三杯，空煮至二杯，纳枳
实、栀子，煎至一杯，纳豉煮五六沸，服。覆有微汗。若有宿食，纳大黄一钱五分。浆水，即淘米之泔水。
按劳复证，浊阴凝聚，清气堙郁，里热重生，壅闷又作，缘其中气新虚，易于感伤，故用枳实泄其壅满，栀子
清其郁热，香豉散其滞气也。
伤寒阴阳易之为病，其人身体重，少气，少腹里急，或引阴中筋挛，热上冲胸，头重不欲举，眼中生花，
膝胫拘急者，烧 散主之。
烧 散
裆上取妇人 ，近前阴处，剪烧灰为末，水和服一二钱，小便利，阴头微肿则愈。
妇人病，取男子 。按伤寒新瘥，男女交感，阴邪传染，是谓阴阳易。故用烧 散，同气感召，阴寒下
泄，则复其和平之旧矣。
After taking Guizhi Tang (Cinnamon Twig Decoction), or after purgation, if there is still stiffness and pain in the head and neck, feverish sensation like a feather covering (Xi Xi Fa Re - mild fever), anhidrosis, fullness and slight pain in the epigastrium, and dysuria, it should be treated with Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction).
Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction)
Shaoyao (Radix Paeoniae Rubra) (3 qian) Gancao (Radix Glycyrrhizae) (2 qian) Shengjiang (Rhizoma Zingiberis Recens) (3 qian) Fuling (Sclerotium Poriae Cocos) (3 qian) Baizhu (Rhizoma Atractylodis Macrocephalae) (3 qian)
Dazao (Fructus Jujubae) (3 pieces) Decoct in water and take orally. The disease will be cured when urination becomes smooth. Note: This syndrome is not caused by external binding of wind-pathogen, but actually by internal movement of damp-pathogen. Therefore, the exterior-releasing property of Guizhi (Ramulus Cinnamomi) is removed, and Fuling (Sclerotium Poriae Cocos) and Baizhu (Rhizoma Atractylodis Macrocephalae) are added to drain dampness and dry the spleen earth.
In Shanghan (Cold Damage), if emesis or purgation was performed, resulting in rebellious fullness in the epigastrium, qi rushing up to the chest, dizziness upon standing, and a deep, tight pulse; if sweating is induced again, it will disturb the meridians, causing the body to tremble and shake. It should be treated with Fuling Guizhi Baizhu Gancao Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction).
Fuling Guizhi Baizhu Gancao Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction)
Fuling (Sclerotium Poriae Cocos) (4 qian) Guizhi (Ramulus Cinnamomi) (2 qian) Baizhu (Rhizoma Atractylodis Macrocephalae) (2 qian) Gancao (Radix Glycyrrhizae) (2 qian) Decoct in water and take orally. Note: This syndrome arises from excessive water qi and damp spleen earth, causing stagnant liver wood to move recklessly. Therefore, Fuling (Sclerotium Poriae Cocos) and Baizhu (Rhizoma Atractylodis Macrocephalae) are used to drain water, Guizhi (Ramulus Cinnamomi) to soothe liver wood, and Gancao (Radix Glycyrrhizae) to tonify the middle jiao.
After excessive sweating, if the patient crosses their hands over the heart region, experiences palpitations, and desires pressure relief, it should be treated with Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction).
Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction)
Guizhi (Ramulus Cinnamomi) (4 qian) Gancao (Radix Glycyrrhizae) (2 qian, honey-fried) Decoct in water and take orally. Note: This syndrome is due to failing spleen earth and stagnant liver wood, with restless spirit. Therefore, Guizhi (Ramulus Cinnamomi) is used to soothe liver wood and stabilize trembling, while Gancao (Radix Glycyrrhizae) tonifies spleen earth to cultivate the root.
After sweating, if the patient feels palpitations below the umbilicus and has a tendency for Ben Tun (Rushing Pig) syndrome to develop, it should be treated with Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction).
Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction)
Fuling (Sclerotium Poriae Cocos) (8 qian) Guizhi (Ramulus Cinnamomi) (4 qian) Gancao (Radix Glycyrrhizae) (2 qian) Dazao (Fructus Jujubae) (2 pieces) Take clear water, stir vigorously hundreds of times to create Ganlan Shui (Ganlan Water). Take three cups, first decoct Fuling (Sclerotium Poriae Cocos) until two cups remain, then add other herbs, decoct to seven-tenths strength, and take warm.
Note: This syndrome is purely related to liver qi, with wood qi rushing chaotically, originating from yang loss and cold water. Therefore, Fuling (Sclerotium Poriae Cocos) and Guizhi (Ramulus Cinnamomi) are used to drain Gui Water (Kidney Water) and soothe Yi Wood (Liver Wood), while Gancao (Radix Glycyrrhizae) and Dazao (Fructus Jujubae) tonify spleen essence to nourish liver blood.
If burning needle therapy induces sweating, and the needle site becomes cold, presenting as nodular redness, Ben Tun (Rushing Pig) syndrome will definitely occur, with qi rushing from the lower abdomen to the heart. Moxibustion should be applied to each nodule (one moxa cone per nodule), and Guizhi Jia Guizhi Tang (Cinnamon Twig Decoction with Added Cinnamon Twig) should be administered.
Guizhi Jia Guizhi Tang (Cinnamon Twig Decoction with Added Cinnamon Twig)
Guizhi (Ramulus Cinnamomi) (6 qian) Shaoyao (Radix Paeoniae Rubra) (3 qian) Gancao (Radix Glycyrrhizae) (2 qian, honey-fried) Shengjiang (Rhizoma Zingiberis Recens) (3 qian) Dazao (Fructus Jujubae) (4 pieces) Decoct in water and take orally. Note: After sweating, yang deficiency and sinking spleen earth cause unsmooth liver wood qi, leading to Ben Tun (Rushing Pig) attacks. Therefore, increased Guizhi (Ramulus Cinnamomi) is used to soothe wind-wood and descend the rushing qi of Ben Tun.
In Shanghan (Cold Damage), if the pulse is floating and the physician uses fire methods to force sweating, causing Yang collapse, it will definitely lead to fright, mania, restlessness, and inability to lie still. It should be treated with Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang (Cinnamon Twig Decoction without Peony plus Chinese Tallow Tree Bud, Dragon Bone, and Oyster Shell Rescue the Lost Yang Decoction).
Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Tang (Cinnamon Twig Decoction without Peony plus Chinese Tallow Tree Bud, Dragon Bone, and Oyster Shell Decoction)
Guizhi (Ramulus Cinnamomi) (3 qian) Gancao (Radix Glycyrrhizae) (2 qian) Dazao (Fructus Jujubae) (4 pieces) Shengjiang (Rhizoma Zingiberis Recens) (3 qian) Muli (Concha Ostreae) (4 qian) Longgu (Os Draconis) (3 qian) Shuqi (Flos Cinnamomi Cassiae) (2 qian) First decoct Shuqi (Flos Cinnamomi Cassiae), then add other herbs, decoct, and take warm. Note: Excessive sweating causes Yang collapse, allowing Minister Fire to soar, causing the soul and spirit to lose their home, thus generating fright; turbid qi rushes upward, transforming into foul turbidity, blocking the heart palace, thus generating mania. Therefore, Guizhi (Ramulus Cinnamomi) and Gancao (Radix Glycyrrhizae) are used to soothe liver wood and tonify the middle, Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae) tonify spleen earth and descend rebellion, Shuqi (Flos Cinnamomi Cassiae) vomits out rot and stasis to treat mania, and Longgu (Os Draconis) and Muli (Concha Ostreae) astringe the soul and spirit to stop fright.
For water reversal syndrome mistakenly treated with purgation, followed by burning needle therapy causing irritability, it should be treated with Guizhi Gancao Longgu Muli Tang (Cinnamon Twig, Licorice, Dragon Bone, and Oyster Shell Decoction).
Guizhi Gancao Longgu Muli Tang (Cinnamon Twig, Licorice, Dragon Bone, and Oyster Shell Decoction)
Guizhi (Ramulus Cinnamomi) (1 qian) Gancao (Radix Glycyrrhizae) (2 qian) Longgu (Os Draconis) (3 qian) Muli (Concha Ostreae) (3 qian) Decoct in water and take orally. Note: Fire reversal and mistaken purgation deplete interior Yang, and subsequent burning needle sweating depletes exterior Yang. The spirit qi separates from its root, causing irritability. Therefore, Guizhi (Ramulus Cinnamomi) and Gancao (Radix Glycyrrhizae) are used to soothe Yi Wood (Liver Wood) and tonify the middle jiao, while Longgu (Os Draconis) and Muli (Concha Ostreae) astringe spirit qi to remove irritability.
In Shanghan (Cold Damage) after eight or nine days, if purgation was performed, resulting in chest fullness, irritability, fright, dysuria, delirium, generalized edema, and inability to turn the body, it should be treated with Chaihu Jia Longgu Muli Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction).
Chaihu Jia Longgu Muli Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction)
Chaihu (Radix Bupleuri) Longgu (Os Draconis) Huangqin (Radix Scutellariae) Shengjiang (Rhizoma Zingiberis Recens) Renshen (Radix Ginseng) Fuling (Sclerotium Poriae Cocos) Qiandan (Mineral Lead Carbonate) Muli (Concha Ostreae) Guizhi (Ramulus Cinnamomi) Banxia (Rhizoma Pinelliae) (each 1.5 qian)
Dazao (Fructus Jujubae) (2 pieces) Dahuang (Radix et Rhizoma Rhei) (2 qian) Decoct in water, add Dahuang (Radix et Rhizoma Rhei) near the end and boil for two or three boils, then take warm. Note: Purgation damages middle qi, causing damp spleen earth and stagnant liver wood, with Gallbladder Fire rushing upward. Therefore, Dazao (Fructus Jujubae), Renshen (Radix Ginseng), and Fuling (Sclerotium Poriae Cocos) are used to tonify spleen earth and drain dampness, Dahuang (Radix et Rhizoma Rhei) and Chaihu (Radix Bupleuri) drain fire and soothe liver wood, Shengjiang (Rhizoma Zingiberis Recens) and Banxia (Rhizoma Pinelliae) descend rebellious qi and turbidity, and Longgu (Os Draconis), Muli (Concha Ostreae), and Qiandan (Mineral Lead Carbonate) astringe the soul and calm rebellion.
When the disease is in the Yang level, sweating should have been used to resolve it. Instead, cold water was sprayed or poured on the patient. The heat is trapped and cannot escape, causing greater irritability, goosebumps on the skin, a desire to drink water but no actual thirst. Wenli San (Clam Shell Powder) should be taken. If not cured, Wuling San (Five-Ingredient Powder with Poria) should be given. For Cold-Excess Jie Xiong (Chest Binding) syndrome without heat signs, Sanwu Xiaoxiongtang (Three-Ingredient Minor Chest Binding Decoction) should be given, or Baisan (White Powder) may also be taken.
Wenli San (Clam Shell Powder)
Wenli (Concha Meretricis) (1 qian) Grind into powder, mix with boiling water, and take orally. Note: Irritability, heat, and thirst are caused by retained water internally. Therefore, Wenli (Concha Meretricis) is used to promote urination and relieve thirst.
Baisan (White Powder)
Jiegeng (Radix Platycodi) (4.2 qian) Beimu (Bulbus Fritillariae Cirrhosae) (4.2 qian) Badou (Semen Crotonis) (1.2 qian, husked, heart removed, stir-fried until black) Each remaining ingredient is ground into powder separately. Mix with white rice drink (millet gruel) and take 0.8 qian. Reduce dose for weak patients. Disease located above the diaphragm will likely cause vomiting; disease located below the diaphragm will likely cause diarrhea. If no diarrhea occurs, take one cup of hot porridge. If diarrhea persists, take one cup of cold porridge. Note: Cold pathogen rebels upward, excess binds the chest and diaphragm, lung stagnation generates heat. Therefore, Jiegeng (Radix Platycodi) and Beimu (Bulbus Fritillariae Cirrhosae) are used to clear and descend deficient heat, while Badou (Semen Crotonis) warms and breaks excess cold.
In Yangming Bing (Yangming Disease), with spontaneous sweating, if sweating is induced again and urination is naturally frequent, it is considered that internal fluids are exhausted. Although stool is hard, it cannot be purged. One must wait for the patient's natural urge to defecate, and Mi Jian Dao (Honey Suppository) method should be used to facilitate passage. Tu Gua Gen (Root of Trichosanthes Kirilowii) or Da Zhu Dan Chi (Large Pig Gallbladder Juice) can also be used as suppositories.
Mi Jian Dao Fang (Honey Suppository Formula)
Honey (1 cup) Single ingredient. Place in a copper vessel, simmer gently over low heat until slightly thickened like malt syrup. Stir constantly to prevent burning. When it can be formed into pills, shape by hand into suppositories with a pointed tip, about the thickness of a finger and two cun long. Shape quickly while hot; it hardens when cold. Insert into the anus, hold buttocks tightly together, and remove when the urge to defecate arises.
Zhu Dan Bian Fang (Pig Gallbladder Juice Formula)
Zhu Dan (Vesica Bilei Sus) (1 piece) Single ingredient. Extract juice, mix with a little vinegar, and instill into the anus. After about the time of one meal, stool should pass.
In Shanghan (Cold Damage), after taking herbal medicine, if diarrhea persists, epigastric fullness and hardness occur, and after taking Xiexin Tang (Drain the Epigastrium Decoction), further purgation with other drugs fails to stop the diarrhea. If the physician treats with Lizhong Tang (Regulate the Middle Decoction), the diarrhea worsens.
Lizhong Tang (Regulate the Middle Decoction) regulates the middle jiao, but this diarrhea is in the lower jiao. Chishizhi Yuyuliang Tang (Red Kaolin and Hematite Decoction) should be used. If diarrhea persists, promoting urination is indicated.
Chishizhi Yuyuliang Tang (Red Kaolin and Hematite Decoction)
Chishizhi (Kaolin) Yuyuliang (Limonitum) (each 2 liang 6 qian) Water 3.5 cups, decoct to 1 cup, take orally, three times daily. Note: Diarrhea is due to slipping and insecurity of the lower jiao. Therefore, Chishizhi (Kaolin) and Yuyuliang (Limonitum) are used to secure the slipping of the lower jiao, so that diarrhea can stop.
In Shaoyin Bing (Shaoyin Disease) after two or three days, if there is sore throat, Gancao Tang (Licorice Decoction) may be given. If not cured, Jiegeng Tang (Platycodon Decoction) should be given.
Gancao Tang (Licorice Decoction)
Gancao (Radix Glycyrrhizae) (6 qian) Water 3 cups, decoct to 1 cup, divide into two doses. Note: In Shaoyin disease, water qi is excessive, and both Minister Fire and Sovereign Fire rise. The two fires rebel upward. Therefore, Gancao (Radix Glycyrrhizae) is used to drain heat and relieve urgency.
Jiegeng Tang (Platycodon Decoction)
Jiegeng (Radix Platycodi) (3 qian) Gancao (Radix Glycyrrhizae) (6 qian) Water 3 cups, decoct to 1 cup, divide into two doses. Note: Jiegeng (Radix Platycodi) is added to descend rebellion and open stagnation.
In Shaoyin Bing (Shaoyin Disease), if there is sore throat, Banxia San Ji Tang (Pinellia Powder and Decoction) should be used.
Banxia San Ji Tang (Pinellia Powder and Decoction)
Banxia (Rhizoma Pinelliae) Guizhi (Ramulus Cinnamomi) Gancao (Radix Glycyrrhizae) (equal parts) Grind into powder. Mix with white rice drink and take 3 qian, three times daily. If unable to take powder, boil water seven times, add 3 qian of powder, boil three more times, let cool slightly, and swallow slowly in small amounts. Note: Turbid yin rebels upward, striking the throat, causing pain. Therefore, Guizhi (Ramulus Cinnamomi) and Banxia (Rhizoma Pinelliae) are used to descend rebellious qi, and Gancao (Radix Glycyrrhizae) relieves urgency.
In Shaoyin Bing (Shaoyin Disease), if the throat is injured and sores form, preventing speech and voice production, Kujiu Tang (Bitter Wine Decoction) should be used.
Kujiu Tang (Bitter Wine Decoction)
Banxia (Rhizoma Pinelliae) Ji Zi (Ovi Albumen) (1 egg, yolk removed) Wash Banxia (Rhizoma Pinelliae), cut seven pieces the size of a jujube pit into fourteen slices. Soak in Kujiu (vinegar). Place eggshell in a knife ring, set over fire, boil three times. Strain, hold in mouth and swallow slowly. Repeat if not cured. (Kujiu is vinegar). Note: Cold water rises excessively, fire is excessive and injures the throat, causing sores and inability to speak. Metal (Lung) is punished by fire, causing voice loss. Therefore, Kujiu (vinegar) resolves knots and reduces swelling, Banxia (Rhizoma Pinelliae) descends rebellion and drives out turbidity, and Ji Zi Bai (Ovi Albumen) clears the lung and restores voice.
In Shaoyin Bing (Shaoyin Disease) with diarrhea, sore throat, chest fullness, and irritability, Zhufu Tang (Pig Skin Decoction) should be used.
Zhufu Tang (Pig Skin Decoction)
Zhufu (Cutis et Corium Porcinum) (4 liang) Water 7 cups, decoct to 3 cups. Add Baimi (White Honey) 7 qian and Mifen (Rice Flour) 4 qian. Cook until fragrant. Divide into two or three doses. (Zhufu is pig skin). Note: Cold water insults spleen earth, liver and spleen sink and stagnate, gallbladder and stomach rebel, and Minister Fire flares upward. Therefore, Zhufu (Cutis et Corium Porcinum) and Baimi (White Honey) clear metal (lung) to stop pain, moisten dryness to remove irritability, and Mifen (Rice Flour) stops diarrhea and astringes loose stools.
In Shaoyin Bing (Shaoyin Disease) with Si Ni (Four Extremities Cold), if the patient has cough, palpitations, dysuria, abdominal pain, or heaviness in the anus during diarrhea, Sini San (Counterflow Toxin Powder) should be used.
Sini San (Counterflow Toxin Powder)
Gancao (Radix Glycyrrhizae) (1 liang) Zhishi (Fructus Aurantii Immaturus) (1 liang) Chaihu (Radix Bupleuri) (1 liang) Shaoyao (Radix Paeoniae Rubra) (1 liang) Grind into powder. Mix with white rice drink and take, two to three times daily. For cough, add Wuweizi (Fructus Schisandrae) and Ganjiang (Rhizoma Zingiberis) 5 qian each, which also treats diarrhea. For palpitations, add Guizhi (Ramulus Cinnamomi) 5 qian. For dysuria, add Fuling (Sclerotium Poriae Cocos) 5 qian. For abdominal pain, add Paofuzi (Prepared Radix Aconiti Lateralis Preparata) 1 piece. For heaviness in the anus during diarrhea, first decoct Xiebai (Bulbus Allii Macrostemonis) in water, strain, add the powder to the decoction, boil again, and take warm. Note: This syndrome is generally due to spleen earth stagnation and liver wood invasion. Therefore, Gancao (Radix Glycyrrhizae) and Zhishi (Fructus Aurantii Immaturus) are used to tonify spleen earth and drain stagnation, while Chaihu (Radix Bupleuri) and Shaoyao (Radix Paeoniae Rubra) soothe liver wood and dispel wind.
In Shanghan (Cold Damage), if the pulse is faint and extremities are cold, and after seven or eight days the skin is cold and the patient is restless without any peace, this is Zang Jue (Organ Cold Reversal), not Hui Jue (Roundworm Cold Reversal). Patients with Hui Jue (Roundworm Cold Reversal) typically vomit roundworms. Now, if the patient is quiet but occasionally irritable, this is because of cold organs, causing roundworms to move up into the diaphragm, hence the irritability, which stops after a moment. If vomiting occurs after eating, followed by irritability, it is because roundworms smell food and come out; the patient will likely vomit roundworms spontaneously. Hui Jue (Roundworm Cold Reversal) should be treated with Wumei Wan (Mume Pill).
Wumei Wan (Mume Pill) (Also treats chronic diarrhea)
Wumei (Fructus Mume) (93 pieces) Xixin (Herba Asari) (6 qian) Ganjiang (Rhizoma Zingiberis) (1 liang) Huanglian (Rhizoma Coptidis) (1.6 liang) Shuzhao (Semen Zanthoxyli) (4 qian, stir-fried) Danggui (Radix Angelicae Sinensis) (4 qian) Guizhi (Ramulus Cinnamomi) (6 qian) Fuzi (Radix Aconiti Lateralis Preparata) (6 qian) Renshen (Radix Ginseng) (6 qian) Huangbai (Cortex Phellodendri) (6 qian) Grind each into powder. Soak Wumei (Fructus Mume) in bitter wine overnight, remove pits, steam over rice, mash into paste. Mix with medicines until uniform. Add refined honey, pound together one thousand times. Form pills the size of tung seeds. Take before meals, mixed with white rice drink, ten pills at a time, three times daily. Gradually increase to twenty pills. Note: Hui Jue (Roundworm Cold Reversal) occurs because cold organs cannot settle the roundworms. Therefore, Ganjiang (Rhizoma Zingiberis) and Xixin (Herba Asari) kill roundworms, stop vomiting, and descend rebellious qi; Renshen (Radix Ginseng), Guizhi (Ramulus Cinnamomi), and Danggui (Radix Angelicae Sinensis) tonify the middle, soothe liver wood, and moisten wind-dryness; Shuzhao (Semen Zanthoxyli) and Fuzi (Radix Aconiti Lateralis Preparata) warm water and lower cold; Huanglian (Rhizoma Coptidis) and Huangbai (Cortex Phellodendri) drain fire and clear upper heat.
After a major illness recovers, if the patient likes to sleep and remains lethargic for a long time, it is due to cold in the stomach. Pills should be used to warm it; Lizhong Wan (Regulate the Middle Pill) is suitable.
Lizhong Wan (Regulate the Middle Pill) (See formula in Huoluan section)
After Shanghan (Cold Damage) resolves, if the patient is weak and emaciated, short of breath, and has rebellious qi with nausea, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) should be used.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Shigao (Gypsum Fibrosum) (8 qian) Banxia (Rhizoma Pinelliae) (2 qian) Renshen (Radix Ginseng) (1.3 qian) Gancao (Radix Glycyrrhizae) (1 qian, honey-fried) Maidong (Radix Ophiopogonis) (3 qian) Jingmi (Semen Oryzae Sativae) (4 qian) Zhuye (Folium Bambusae) (10 leaves) Water 3 cups, decoct to 1.5 cups. Strain, add rice, cook until half-done. Remove rice when decoction is ready. Take warm, three times daily. Note: Fire and Metal do not descend, lung heat stagnates and generates. Therefore, Shigao (Gypsum Fibrosum) clears metal and moistens dryness, while Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae), Jingmi (Semen Oryzae Sativae), and Banxia (Rhizoma Pinelliae) tonify the middle and descend rebellion.
After a major illness recovers, if recurrence is caused by overexertion, Zhishi Zhizi Tang (Immature Bitter Orange and Gardenia Decoction) should be used. If there is retained food, add Dahuang (Radix et Rhizoma Rhei) equivalent to five or six boqi (chess pieces).
Zhishi Zhizi Chi Tang (Immature Bitter Orange, Gardenia, and Fermented Soybean Decoction)
Zhishi (Fructus Aurantii Immaturus) (2 qian) Zhizi (Fructus Gardeniae) (5 pieces) Chichi (Semen Sojae Praeparatum) (a pinch) First, use Qingjiangshui (Clear Fermented Rice Water) 3 cups, boil empty until 2 cups remain. Add Zhishi (Fructus Aurantii Immaturus) and Zhizi (Fructus Gardeniae), decoct to 1 cup. Add Chichi (Semen Sojae Praeparatum) and boil five or six boils. Take. Cover to induce slight sweating. If there is retained food, add Dahuang (Radix et Rhizoma Rhei) 1.5 qian. Qingjiangshui is the water from washing rice. Note: In recurrence due to exertion, turbid yin condenses, clear qi stagnates, interior heat regenerates, and stuffiness recurs. This is because the middle qi is newly deficient and easily injured. Therefore, Zhishi (Fructus Aurantii Immaturus) drains fullness, Zhizi (Fructus Gardeniae) clears stagnant heat, and Chichi (Semen Sojae Praeparatum) disperses stagnant qi.
In Shanghan (Cold Damage) Yin-Yang Yi (Yin-Yang Exchange) disease, the patient has heavy body, shortness of breath, lower abdominal urgency, possibly pulling tendons in the genitals into spasm, heat rushing to the chest, heavy head unwilling to lift, visual disturbances, and stiffness in knees and shins. Shao Kun San (Burnt Underwear Powder) should be used.
Shao Kun San (Burnt Underwear Powder)
Take woman's underwear from the crotch area, near the anterior genitals, cut off, burn to ash, grind into powder. Mix with water and take 1-2 qian. Cure when urination is smooth and glans penis swells slightly.
For women's disease, take man's underwear. Note: After new recovery from Shanghan (Cold Damage), sexual intercourse between men and women transmits yin pathogens, called Yin-Yang Yi (Yin-Yang Exchange). Therefore, Shao Kun San (Burnt Underwear Powder) is used. Through resonance of similar qi, yin-cold is drained downward, restoring the original state of harmony.