调胃承气汤 治太阳阳明，不恶寒反恶热，大便秘结，谵语而呕，日哺潮热者。
大黄（六钱五分） 甘草（三钱） 芒硝（一钱）
上细切，水二大盏，煎至一盏，去渣，纳芒硝，再煎一沸，温服。
小承气汤 治六七日不大便、腹胀满闷、病在阳明、无表证、汗后不恶寒潮热、狂言而喘者。
大黄（七钱） 浓朴 枳实（各三钱五分）
上细切，作一服，水二碗，煎一碗，去渣温服，以利为度，未利再投一服。
大承气汤 治胃实谵语，五六日不大便，腹满烦渴，并少阴舌干口燥，日晡发热，脉沉实者。
大黄（七钱五分） 浓朴 枳实（各一两） 芒硝（半合）
上细切，水二碗，先煎枳、朴二物，取一碗半，去渣，纳大黄，再煎至一碗，去渣，纳芒硝，更煎一二沸，温服，
以利为度，未利再投一服。
桃仁承气汤 外证已解，小腹急，大便黑，小便不利，为瘀血证，此药主之。
大黄（三钱） 桃仁（十个，去皮尖，研） 桂心（去皮） 芒硝（各一钱五分） 甘草（一钱）
上细切，水一盏半，煎至一盏，去渣，纳芒硝，再煎一、二沸，温服，血尽为度，未尽再服。
白虎汤（并加减法。） 治阳明证，汗后脉洪大而渴，及虚烦中 等证。
知母（六钱） 甘草（二钱） 石膏（一两二钱） 粳米（五勺）
上细切，作一服，水二盏，煎待米熟，去渣温服。如口燥烦渴，或发赤斑，本方中加人参二钱，名化斑汤，又名人
参白虎汤。如秋感热之疫疠，或阳明下后、大便不固、热不退者，或湿温证、热不退而大便溏者，本方中加苍术六钱，
添水煎，名苍术白虎汤。
理中汤（并加减法） 治即病太阴，自利不渴，寒多而呕，腹痛下利鸭溏，蛔厥、霍乱等证。
人参 甘草 干姜 白术（各二钱五分）
上细切，作一服，水二盏，煎八分，去渣温服。如肾气动者，去白术，加肉桂二钱。如吐多者，去白术，加生姜三
钱。如下多者，倍白术、人参，添水煎。寒多者，加干姜一钱半。如腹满下利、脉沉迟而微者，加炮附子二钱。如伤冷
中寒，脉弱气虚，变为阴疸，本方中加茵 蒿二钱。如霍乱转筋，本方中加石膏五钱。如痞而胃寒，或霍乱吐泻、胸满
未成结胸者，或厥阴饥不能食、食即吐蛔，用理中丸，以本方药为细末，炼蜜为丸，如弹子大，每用白汤半盏化一丸。
四逆汤 治即病太阴，自利不渴，及三阴证脉沉细而迟，身体痛者。
附子（一枚，去皮作八片生用） 甘草（六钱，炙） 干姜（五钱，炮）
上细切，分作二服，每服用水二盏，煎至一盏，去渣温服，取少汗乃愈。
真武汤 治即病阴证，伤寒脉沉细，身体痛，或发少阴汗，致筋惕肉 等证。
茯苓 芍药 生姜 附子（炮去皮，各三钱） 白术（二钱）
上细切，作一服，水二盏，煎至一盏，去渣温服。如咳者，加五味子、干姜、细辛各一钱。如小便利者，去茯苓。
如下利者，去芍药，加干姜二钱。如呕者，去附子，倍生姜。
术附汤 治风湿，小便自利，及湿温身痛等证。
白术（三钱） 甘草（二钱） 附子（炮） 生姜（各二钱五分）
上细切，作一服，水二盏，大枣二枚，煎至一盏，去渣温服。
小陷胸汤 治小结胸阳证，伤寒下之太早，变为结胸，胸中作痛，痞满。
黄连（一钱三分） 半夏（二钱六分） 栝蒌（连穣，二钱五分）
上细切，作一服，用水二盏，先煮栝蒌，去渣，纳诸药，再熬至七分盏，去渣温服，未和再投一服。
大陷胸汤 治大结胸，并热实结胸，胸中大痛高起，手不可扪摸者。
大黄（三钱） 芒硝（二钱五分） 甘遂（一分二厘半，另末）
上细切，作一服，水二盏，先煮大黄，去渣，纳芒硝，煮一、二沸，纳甘遂未服，以利为度。
抵当汤 治血结胸，谵语，因瘀血结于胸中，狂言，小腹亦满，漱水不欲咽者。
虻虫（去翅足，炒） 水蛭（各十五枚，炒黄色） 桃仁（一十个，去皮尖，另研） 大黄（三钱）
上细切，水一盏半，煎至一盏，去渣温服，血下止后服。
小半夏加茯苓汤 治水结胸。
半夏（四钱） 茯苓（三钱）
上细切，作一服，水一盏半，煎至一盏，去渣，入生姜自然汁半合，再煎一、二沸，温服。
栀子豆豉汤 治吐下后，心胸懊 无奈，或大下后，身热不去，心中痛结。
肥栀子（四枚） 香豉（五钱）
上细切，作一服，水二盏，先煮栀子至一盏，纳豉同煮至七分，去渣温服，得吐止后服。
玄参升麻汤 治发斑咽痛。
升麻 玄参 甘草（各五钱）
上细切，水三盏，煎至一盏半，去渣温服。
阳毒升麻汤 治阳毒，赤斑出，狂言，吐脓血。
升麻（二钱） 犀角屑 射干 黄芩 人参 甘草（生用，各一钱）
上细切，作一服，水二盏，煎至一盏，去渣温服。
姜附汤（并加减法） 治下后复发汗，昼不得眠，无表证而脉微者。
干姜（五钱） 附子（一枚，生用）
上细切，作一服，水二盏，煎至一盏，去渣顿服。如下利厥逆、脉不至者，加甘草五钱，倍干姜，添水煎服。如面
赤者，加葱九茎。呕者，加生姜。咽痛，加桔梗。利止脉不出，加人参三钱，名通脉四逆汤。吐利止，汗出而厥，四肢
拘急，脉微欲绝，本方煎成正药，加猪胆汁半合搅匀，分二服，其脉即起。少阴证，腹痛或泄利下重，本方中加芍药二
钱五分。
藿香正气散（和剂） 治四时感冒，头痛憎寒壮热，或风湿气，霍乱吐泻。常服，除山岚瘴气。
大腹皮（先以手指拔净，用清酒洗净曝干，再用乌豆煮汁洗净用。盖此物恐有鸠鸟粪毒，不制即杀人） 紫苏（连
茎叶用） 藿香 白芷 茯苓（各六分） 浓朴（姜汁制炒） 白术 陈皮（去白） 桔梗 半夏（各四分） 甘草（炙，
二分）
上细切，作一服，加生姜三片，大枣二枚，水二盏，煎至一盏三分，温服。
不换金正气散（和剂） 治四时感冒伤寒，瘟疫时行，及山岚瘴气，寒热往来，霍乱吐泻，下利赤白，及出远
方，
不伏水土，并皆治之。
浓朴（姜汁制炒） 陈皮（去白） 藿香 半夏（汤泡十次） 苍术（米泔浸，各一钱） 甘草（五分）
上细切，作一服，加生姜三片，大枣二枚，水一盏半，煎至一盏，温服。
加减凉膈散（东垣） 退六经热，及伤寒余热不解，胸烦等证。
连翘（一钱） 栀子 薄荷叶 淡竹叶 黄芩 桔梗（各五分） 甘草（生，一钱五分）
上细切，作一服，水一盏半，煎至一盏，日三、五服，热退即止。易老曰∶凉膈散减芒硝、大黄，加桔梗，同为舟
楫之剂，浮而上之，治胸膈中与六经热。以其手足少阳之气俱下胸膈中，三焦之气同相火游行于身之表，膈与六经乃至
高之分，此药浮载亦至高之剂，故能于无形之中，随高而走，去胸膈中及六经热也。
十神汤（和剂方） 治时令不正，瘟疫妄行，或四时感冒风热，发热憎寒，头疼身痛无汗。此药不问阴阳两感，
并宜服之。
川芎 甘草 麻黄 干姜 紫苏 升麻 白芷 赤芍药 陈皮 香附（各一钱）
上细切，作一服，加生姜三片，连须葱白三个。如中满气实者，加枳壳一钱。水二大盏，煎至一盏三分，去渣温服。
消风百解散 治四时感冒，头疼发热，咳嗽鼻塞，声重喘急等证。
荆芥穗 白芷 陈皮 麻黄（去节） 苍术（各一钱） 甘草（五分）
上细切，作一服，加生姜三片，葱白三个，水一盏半，煎至一盏，热服。咳嗽甚者，加乌梅一个，同煎服。
黄连解毒汤（活人） 治伤寒，大热不止，干呕烦渴，错语呻吟，不得安卧。
黄连（一钱） 黄芩 黄柏 栀子（各二钱）
上细切，作一服，水一盏半，煎至一盏，去渣服。
金沸草散（活人） 治伤寒咳嗽，头疼发热，胸膈痰壅，喘满等证。
前胡（一钱五分） 半夏（七分半） 细辛（三分） 赤茯苓（一钱） 甘草（三分） 荆芥穗（二分） 旋复花
（一钱五分，名金沸草）
一方无细辛、茯苓，有麻黄、芍药。
上细切，作一服，加生姜五片，大枣一枚，水一盏半，煎至一盏，温服。
五苓散（仲景方） 治伤寒中 烦躁，小便不利而渴，或霍乱吐利不止。东垣曰∶五苓散，乃太阳证之下药也。
夫太阳，高则汗而发之，下则引而竭之。渴者，邪入太阳本也，当下之，使邪从膀胱出也。其肾燥，膀胱热，小便不利，
此药主之，小便利者不宜用。然太阳病，热而渴，小便虽利，亦宜此药下之。当服不服，则谷消水去形亡，必就阳明燥
火，戊胃发黄，此太阳入本失下也，由不服此药故也。
泽泻（一两五钱） 白术（一两） 赤茯苓 猪苓（各一两） 肉桂（五钱）
上研为细末，每服三钱，白汤或清米饮调服。或细切，加姜、枣煎服。热甚者，去桂，加黄芩。如伤寒三、四日间
往来寒热自利者，邪入太阴而少阳经病犹在也，本方合小柴胡，名柴苓汤，加姜、枣煎服，以分利其阴阳也。
东垣《此事难知》曰∶经云∶有汗不得服麻黄，无汗不得服桂枝，若误服则其变不可胜数。故立此法，不犯三阳禁
忌，解利神方，此易老之法也，名曰九味羌活汤。
九味羌活汤（东垣）
羌活（治太阳肢节痛，君主之药也，然非为无主也，乃为拨乱反正之主，故大无不通，小无不入，关节痛非此不能
除也） 防风（治一身尽痛，乃军卒中卑下职也，一听军令而行所使引之而至） 苍术（别有雄壮上行之气，能除湿下
安太阴，使邪气不纳传之于足太阴脾） 细辛（治足少阴肾苦头痛） 川芎（治厥阴头痛在脑） 白芷（治阳明头痛在
额） 生地（治少阴心热在内） 黄芩（治太阴肺热在胸） 甘草（能缓里急，调和诸药）
以上九味，虽为一方，然亦不可执一，执中无权，犹执一也。当视其经络前后左右之不同，从其轻重大小多少之不
一，增损用之，其效如神。细切，水煎服。若急汗，热服以羹粥投之。若缓汗，温服之而不用汤投之也。脉浮而不解者，
宜先急而后缓。脉沉而不解者，宜先缓而后急。此药不独解利伤寒，治杂病亦有效。中风行经者，加附子。中风秘涩者，
加大黄。中风并三气合而成痹等证，各随十二经上下内外、寒热温凉、四时六气，加减补泻用之。
东垣曰∶经云∶两感于寒者，死不治。一日太阳与少阴俱病，头痛发热恶寒，口干烦满而渴。太阳者腑也，自背
而入，人所共知；少阴者脏也，自鼻息而入，人所不知也。鼻气通于天，故寒邪无形之气，从鼻而入。肾为水也，水流
湿，故肾受之。经曰∶伤于湿者，下先受之。同气相求耳。又云∶天之邪气，感则害人五脏。以是知内外两感，脏腑俱
病，欲表之则有里，欲下之则有表，表里既不能一治，故死矣。然所禀有虚实，所感有浅深，虚而感之深者必死，实而
感之浅者犹或可治，治之而不愈者有矣，未有不治而复生者也。予尝用此，间有生者，十得二三，故立此方，以待好生
君子用之，名曰解利两感神方大羌活汤。
解利两感神方大羌活汤（易老方）
防风 羌活 独活 防己 黄芩 黄连 苍术 白术 甘草（炙） 细辛（各三分） 知母 川芎 地黄（各一钱）
上细切，作一服，水二盏，煎至一盏半，去渣热饮之。未解，再服三、四剂，病愈则止。若有余证，并根据仲景法如
证治。
六神通解散（张子和） 治夏月伤寒，得太阳、阳明二经病，汗不出，头项痛，腰脊强，目疼鼻干不得卧，代
麻
黄、葛根等汤发表药也。
苍术（三钱） 石膏 滑石 黄芩（各一钱五分） 麻黄（七分半） 甘草（五分）
上细切，作一服，水二盏，煎至七分服。春，加防风一钱。
刘河间守真治伤寒直格要诀∶
伤寒前三日在表，法当汗，可用双解散，连进数服必愈。
双解散（以下皆河间方，即后二方。）
防风通圣散（方见中风门。）
益元散 又名六一散，又名天水散。（方见痢门。）
二药合而服之，当得汗而解。若不解者，病已传变。
伤寒后三日在里，法当下。若下之太早，则表邪乘虚入里，遂成结胸、虚痞、懊 、斑疹、发黄之证，轻者必危，
危者必死，但当以平和之药，宣散其表，和解其里。病势或有汗，或无汗，发热未愈，当用小柴胡、凉膈、天水，合而
服之。
病若半在表半在里，法亦当和解，小柴胡、凉膈主之。
若里微热者，则当微下，大柴胡合解毒汤主之。若热势未退，又以大柴胡合三一承气下之。
三一承气汤
大黄 芒硝 浓朴 枳实（各五分） 甘草（一钱）
上细切，作一服，水一大盏，姜三片，煎七分，热服。
其病胸膈满闷、或喘或呕、阳脉紧盛者，宜瓜蒂散吐之。
汗吐下三法之后、别无异证者，凉膈散调之。
病大热已去、微热未尽除者，以益元散服之，无令再病。此伤寒治法之大要也。
或伤风自汗、脉浮缓者，双解散去麻黄以解利之。
其病半表半里，白虎汤和解之。
Tiaowei Chengqi Tang (Regulate the Stomach and Purge Down Decoction): Treats Taiyang-Yangming combined disease, characterized by aversion to cold being absent but aversion to heat present, constipation, delirium with vomiting, and tidal fever occurring daily in the late afternoon.
Rhubarb (6 qian 5 fen) Licorice (3 qian) Mirabilite (1 qian)
Finely cut the herbs, add two large bowls of water, decoct until one bowl remains, strain the dregs, add Mirabilite, boil once more, and take warm.
Xiao Chengqi Tang (Minor Order the Qi Decoction): Treats cases where there is no bowel movement for six or seven days, abdominal distension and fullness, pathology located in the Yangming channel, absence of exterior syndrome, chills absent but tidal fever present after sweating, delirium with panting.
Rhubarb (7 qian) Magnolia Bark (Houpo, 3 qian 5 fen) Immature Bitter Orange (Zhishi, 3 qian 5 fen)
Finely cut the herbs as one dose, add two bowls of water, decoct until one bowl remains, strain the dregs and take warm. Use smooth bowel movement as the limit; if not achieved, administer another dose.
Da Chengqi Tang (Major Order the Qi Decoction): Treats stomach excess causing delirium, no bowel movement for five or six days, abdominal fullness with irritability and thirst, as well as Shaoyin disease with dry tongue and mouth, tidal fever in the late afternoon, and a deep, solid pulse.
Rhubarb (7 qian 5 fen) Magnolia Bark (Houpo, 1 liang) Immature Bitter Orange (Zhishi, 1 liang) Mirabilite (0.5 he)
Finely cut the herbs, add two bowls of water, first decoct Immature Bitter Orange and Magnolia Bark, obtain one and a half bowls, strain the dregs, add Rhubarb, decoct until one bowl remains, strain the dregs, add Mirabilite, boil one or two times, and take warm. Use smooth bowel movement as the limit; if not achieved, administer another dose.
Taoren Chengqi Tang (Peach Kernel Order the Qi Decoction): Exterior symptoms have resolved, urgency in the lower abdomen, black stool, difficult urination, indicating blood stasis syndrome. This decoction is the primary treatment.
Rhubarb (3 qian) Peach Kernel (10 pieces, skin and tip removed, ground) Cinnamon Heart (Guixin, skin removed) Mirabilite (1 qian 5 fen each) Licorice (1 qian)
Finely cut the herbs, add one and a half bowls of water, decoct until one bowl remains, strain the dregs, add Mirabilite, boil one or two times, and take warm. Stop when blood stasis is exhausted; if not exhausted, take again.
Baihu Tang (White Tiger Decoction) (Includes modification methods): Treats Yangming syndrome, pulse surging and large with thirst after sweating, and other syndromes such as empty irritability.
Anemarrhena (6 qian) Licorice (2 qian) Gypsum (1 liang 2 qian) Rice (5 shao)
Finely cut the herbs as one dose, add two bowls of water, decoct until the rice is cooked, strain the dregs and take warm. If there is dry mouth with irritability and thirst, or red macules appear, add Ginseng (2 qian) to this formula, named Huaban Tang (Transform Macules Decoction), also known as Renshen Baihu Tang. If suffering from epidemic heat contracted in autumn, or after purgation in Yangming disease with unconsolidated stool and persistent fever, or in damp-warmth syndrome with persistent fever and loose stool, add Atractodes Macrocephala (Cangzhu, 6 qian) to this formula, add water and decoct, named Cangzhu Baihu Tang.
Lizhong Tang (Regulate the Middle Decoction) (Includes modification methods): Treats immediate Taiyin disease, spontaneous diarrhea without thirst, excessive cold with vomiting, abdominal pain with duck-like loose stool, ascariasis convulsion, cholera, etc.
Ginseng Licorice Dried Ginger Atractodes Macrocephala (Baizhu, 2 qian 5 fen each)
Finely cut the herbs as one dose, add two bowls of water, decoct until 0.8 parts remain, strain the dregs and take warm. If Kidney qi moves, remove Atractodes Macrocephala and add Cinnamon Bark (Rougui, 2 qian). If vomiting is excessive, remove Atractodes Macrocephala and add Fresh Ginger (Shengjiang, 3 qian). If diarrhea is excessive, double Atractodes Macrocephala and Ginseng, add water and decoct. If cold is excessive, add Dried Ginger (1 qian 5 fen). If abdominal fullness with diarrhea, pulse deep, slow, and faint, add Processed Aconite Root (Paofuzi, 2 qian). If injured by cold leading to internal cold, weak pulse and qi deficiency, transforming into Yin jaundice, add Artemisia Capillaris (Yinchen, 2 qian) to this formula. If cholera with muscle cramps, add Gypsum (5 qian) to this formula. If stagnation with stomach cold, or cholera with vomiting/diarrhea, chest fullness not yet forming Jie Xiong, or Jueyin disease with hunger unable to eat, vomiting worms upon eating, use Lizhong Wan. Powder the herbs of this formula finely, refine honey into pills the size of a bullet, dissolve one pill in half a bowl of warm water per dose.
Sini Tang (Reverse the Cold Decoction): Treats immediate Taiyin disease, spontaneous diarrhea without thirst, and Three Yin diseases with deep, fine, and slow pulses, body pain.
Aconite Root (Fuzi, 1 piece, skin removed, cut into 8 slices, raw) Licorice (6 qian, roasted) Dried Ginger (5 qian, processed)
Finely cut the herbs, divide into two doses. For each dose, add two bowls of water, decoct until one bowl remains, strain the dregs and take warm. Recovery occurs with slight sweating.
Zhenwu Tang (True Warrior Decoction): Treats immediate Yin syndrome cold damage, deep and fine pulse, body pain, or Shaoyin sweating leading to twitching muscles and fasciculations.
Poria (Fuling) Peony (Shaoyao) Fresh Ginger (Shengjiang) Aconite Root (Fuzi, processed and skin removed, 3 qian each) Atractodes Macrocephala (Baizhu, 2 qian)
Finely cut the herbs as one dose, add two bowls of water, decoct until one bowl remains, strain the dregs and take warm. If coughing, add Schisandra (Wuweizi), Dried Ginger (Ganjiang), and Asarum (Xixin) (1 qian each). If urination is free, remove Poria. If diarrhea, remove Peony and add Dried Ginger (2 qian). If vomiting, remove Aconite Root and double Fresh Ginger.
Zhufu Tang (Atractodes and Aconite Decoction): Treats wind-dampness with spontaneous urination, and body pain in damp-warmth syndrome.
Atractodes Macrocephala (Baizhu, 3 qian) Licorice (2 qian) Aconite Root (Fuzi, processed) Fresh Ginger (Shengjiang, 2 qian 5 fen each)
Finely cut the herbs as one dose, add two bowls of water and two jujubes, decoct until one bowl remains, strain the dregs and take warm.
Xiao Xiexiong Tang (Minor Intrapleural Distress Decoction): Treats minor intrapleural distress Yang syndrome. Early purgation in cold damage transforms into Jie Xiong (chest binding), causing chest pain, stagnation, and fullness.
Coptis (Huanglian, 1 qian 3 fen) Pinellia (Banxia, 2 qian 6 fen) Trichosanthes Fruit (Gualou, with pulp, 2 qian 5 fen)
Finely cut the herbs as one dose, add two bowls of water, first decoct Trichosanthes Fruit, strain the dregs, add other herbs, decoct until 0.7 bowls remain, strain the dregs and take warm. If not relieved, administer another dose.
Da Xiexiong Tang (Major Intrapleural Distress Decoction): Treats major Jie Xiong and heat-excess Jie Xiong, severe chest pain that is elevated and cannot be touched.
Rhubarb (3 qian) Mirabilite (2 qian 5 fen) Kansui Root (Gansui, 0.125 fen, separately powdered)
Finely cut the herbs as one dose, add two bowls of water, first decoct Rhubarb, strain the dregs, add Mirabilite, boil one or two times, add Kansui powder, and take. Use smooth bowel movement as the limit.
Didang Tang (Reach the Pool Decoction): Treats blood-binding Jie Xiong, delirium due to blood stasis binding in the chest, delirious speech, lower abdominal fullness, rinsing water in the mouth without swallowing.
Dragonfly (Mengchong, wings and feet removed, fried) Leech (Shuizhi, 15 pieces each, fried yellow) Peach Kernel (Taoren, 10 pieces, skin and tip removed, separately ground) Rhubarb (Dahuang, 3 qian)
Finely cut the herbs, add one and a half bowls of water, decoct until one bowl remains, strain the dregs and take warm. Stop taking when blood is expelled.
Xiao Banxia Jia Fuling Tang (Minor Pinellia Plus Poria Decoction): Treats water-binding Jie Xiong.
Pinellia (Banxia, 4 qian) Poria (Fuling, 3 qian)
Finely cut the herbs as one dose, add one and a half bowls of water, decoct until one bowl remains, strain the dregs, add half a he of fresh ginger juice, boil one or two times, and take warm.
Zhizi Chidui Tang (Gardenia and Fermented Soybean Decoction): Treats post-vomiting/purging mental restlessness and helplessness, or post-heavy purging with persistent fever and painful knotting in the heart.
Large Gardenia (Fei Zhizi, 4 pieces) Fermented Soybean (Xiangchi, 5 qian)
Finely cut the herbs as one dose, add two bowls of water, first decoct Gardenia until one bowl remains, add Fermented Soybean and decoct until 0.7 parts remain, strain the dregs and take warm. Stop taking after vomiting occurs.
Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction): Treats macules eruption and sore throat.
Cimicifuga (Shengma) Scrophularia (Xuanshen) Licorice (Gancao, 5 qian each)
Finely cut the herbs, add three bowls of water, decoct until one and a half bowls remain, strain the dregs and take warm.
Yangdu Shengma Tang (Yang Toxin Cimicifuga Decoction): Treats Yang toxin, red macules eruption, delirium, vomiting pus and blood.
Cimicifuga (Shengma, 2 qian) Rhinoceros Horn (Xijiao, shredded) Belamcanda (Shegan) Scutellaria (Huangqin) Ginseng (Renshen) Licorice (Gancao, raw, 1 qian each)
Finely cut the herbs as one dose, add two bowls of water, decoct until one bowl remains, strain the dregs and take warm.
Jiangfu Tang (Dried Ginger and Aconite Decoction) (Includes modification methods): Treats post-purgation re-sweating, inability to sleep during the day, no exterior syndrome but faint pulse.
Dried Ginger (Ganjiang, 5 qian) Aconite Root (Fuzi, 1 piece, raw)
Finely cut the herbs as one dose, add two bowls of water, decoct until one bowl remains, strain the dregs and take in one gulp. If diarrhea with cold extremities and absent pulse, add Licorice (5 qian), double Dried Ginger, add water and decoct. If face is red, add nine stalks of green onion. If vomiting, add Fresh Ginger. If sore throat, add Platycodon (Jiegeng). If diarrhea stops but pulse does not return, add Ginseng (3 qian), named Tongmai Sini Tang. If vomiting/diarrhea stop, sweating occurs with cold extremities, limb spasms, and pulse faintly about to vanish, add half a he of pig bile to the decocted medicine, mix well, divide into two doses, and the pulse will rise. For Shaoyin syndrome with abdominal pain or heavy sensation in defecation, add Peony (2 qian 5 fen) to this formula.
Huoxiang Zhengqi San (Agastache Regulate the Qi Powder) (Heji): Treats seasonal cold damage, headache with aversion to cold and high fever, or wind-dampness qi, cholera with vomiting and diarrhea. Regular consumption removes mountain miasma.
Areca Peel (Dafupi, cleaned by finger, washed with clear wine, dried, then washed with Vigna Mungo decoction. Caution: contains pigeon droppings poison, untreated it can kill) Perilla (Zisu, with stem and leaves) Agastache (Huoxiang) Angelica Dahurica (Baizhi) Poria (Fuling, 6 fen each) Magnolia Bark (Nongpu, ginger juice processed and fried) Atractodes Macrocephala (Baizhu) Tangerine Peel (Chenpi, white removed) Platycodon (Jiegeng) Pinellia (Banxia, 4 fen each) Licorice (Gancao, roasted, 2 fen)
Finely cut the herbs as one dose, add three slices of ginger and two jujubes, add two bowls of water, decoct until 1.3 bowls remain, take warm.
Buhuanjin Zhengqi San (Unchanging Gold Regulate the Qi Powder) (Heji): Treats seasonal cold damage and cold damage, epidemics, mountain miasma, alternating chills and fever, cholera with vomiting and diarrhea, dysentery with red and white discharge, and maladaptation to new environments. All are treated.
Magnolia Bark (Nongpu, ginger juice processed and fried) Tangerine Peel (Chenpi, white removed) Agastache (Huoxiang) Pinellia (Banxia, soaked in hot water ten times) Atractodes Lancea (Cangzhu, soaked in rice wash water, 1 qian each) Licorice (Gancao, 5 fen)
Finely cut the herbs as one dose, add three slices of ginger and two jujubes, add one and a half bowls of water, decoct until one bowl remains, take warm.
Jiajian Liange San (Modified Cool the Diaphragm Powder) (Dongyuan): Clears heat of the Six Channels, residual heat from cold damage not resolving, chest irritability, etc.
Forsythia (Lianqiao, 1 qian) Gardenia (Zhizi) Mint Leaf (Boheye) Lophatherum (Danzhuye) Scutellaria (Huangqin) Platycodon (Jiegeng, 5 fen each) Licorice (Gancao, raw, 1 qian 5 fen)
Finely cut the herbs as one dose, add one and a half bowls of water, decoct until one bowl remains. Take 3-5 times daily, stop when heat subsides. Yi Lao said: Liange San removes Mirabilite and Rhubarb, adds Platycodon, acting as a boat/oar agent to float upwards, treating heat in the diaphragm and Six Channels. Since the Qi of Hand and Foot Shaoyang descends to the diaphragm, and the Qi of the Sanjiao travels with Ministerial Fire on the body surface, the diaphragm and Six Channels are at the highest level. This drug floats to the highest level, thus removing heat from the diaphragm and Six Channels invisibly.
Shishen Tang (Ten Spirits Decoction) (Heji Fang): Treats irregular seasons, rampant epidemics, or seasonal wind-heat cold damage with fever, aversion to cold, headache, body pain, and anhidrosis. Suitable for both Yin and Yang dual infection.
Ligusticum (Chuanxiong) Licorice (Gancao) Ephedra (Mahuang) Dried Ginger (Ganjiang) Perilla (Zisu) Cimicifuga (Shengma) Angelica Dahurica (Baizhi) Red Peony Root (Chishaoyao) Tangerine Peel (Chenpi) Cyperus (Xiangfu, 1 qian each)
Finely cut the herbs as one dose, add three slices of ginger and three scallion whites with roots. If fullness and excess qi, add Bitter Orange (Zhike, 1 qian). Add two large bowls of water, decoct until 1.3 bowls remain, strain the dregs and take warm.
Xiaofeng Baijie San (Wind-Dispersing Hundred-Release Powder): Treats seasonal cold damage, headache, fever, cough, nasal congestion, heavy voice, and rapid panting.
Schizonepeta Spike (Jingjiesui) Angelica Dahurica (Baizhi) Tangerine Peel (Chenpi) Ephedra (Mahuang, nodes removed) Atractodes Lancea (Cangzhu, 1 qian each) Licorice (Gancao, 5 fen)
Finely cut the herbs as one dose, add three slices of ginger and three scallion whites, add one and a half bowls of water, decoct until one bowl remains, take hot. For severe cough, add one Chinese Plum (Wumei) and decoct together.
Huanglian Jiedu Tang (Coptis Detoxification Decoction) (Huo Ren): Treats cold damage with persistent high fever, dry retching, irritability and thirst, confused speech, groaning, and inability to lie down.
Coptis (Huanglian, 1 qian) Scutellaria (Huangqin) Phellodendron (Huangbai) Gardenia (Zhizi, 2 qian each)
Finely cut the herbs as one dose, add one and a half bowls of water, decoct until one bowl remains, strain the dregs and take.
Jinfei Cao San (Sonchus Powder) (Huo Ren): Treats cold damage cough, headache, fever, phlegm obstruction in chest/diaphragm, panting and fullness.
Peucedanum (Qianhu, 1 qian 5 fen) Pinellia (Banxia, 0.75 fen) Asarum (Xixin, 3 fen) Red Poria (Chifuling, 1 qian) Licorice (Gancao, 3 fen) Schizonepeta Spike (Jingjiesui, 2 fen) Inula Flower (Xuanjinhua, 1 qian 5 fen, named Jinfei Cao)
One prescription lacks Asarum and Poria, has Ephedra and Peony.
Finely cut the herbs as one dose, add five slices of ginger and one jujube, add one and a half bowls of water, decoct until one bowl remains, take warm.
Wuling San (Five-Ling Powder) (Zhongjing Fang): Treats cold damage with irritability, difficult urination with thirst, or cholera with incessant vomiting and diarrhea. Dongyuan said: Wuling San is the descending method for Taiyang syndrome.
Since Taiyang is high, sweat to disperse; low, guide to exhaust. Thirst indicates pathogen entering the root of Taiyang, should be descended to exit via Bladder. Kidney dryness, Bladder heat, difficult urination are treated by this. Not suitable if urination is free. However, in Taiyang disease with heat and thirst, even if urination is free, this descending method is suitable. Failure to take it leads to grain consumption, water loss, form destruction, turning to Yangming dry fire, Wei organ yellowing, due to failure to descend Taiyang into its root.
Alisma (Zexie, 1.5 liang) Atractodes Macrocephala (Baizhu, 1 liang) Red Poria (Chifuling) Polyporus (Zhuling, 1 liang each) Cinnamon Bark (Rougui, 5 qian)
Grind into fine powder. Take 3 qian per dose, mixed with warm water or clear rice drink. Or finely cut, add ginger and jujube, decoct. For severe heat, remove Cinnamon, add Scutellaria. If alternating chills/fever and spontaneous diarrhea occur on day 3-4 of cold damage, pathogen enters Taiyin while Shaoyang disease remains, combine this formula with Xiao Chaihu Tang, named Chai Ling Tang, add ginger and jujube, decoct, to separate and benefit Yin and Yang.
Dongyuan's "Ci Shi Nan Zhi" says: The classic states: Those with sweat must not take Ephedra; those without sweat must not take Cinnamon Twig. Mistaken use leads to countless changes. Thus, this law was established to avoid Three Yang taboos, a divine formula for resolution, Yi Lao's method, named Jiwei Qianghuo Tang.
Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) (Dongyuan)
Notopterygium (Qianghuo, treats Taiyang limb/joint pain, is the sovereign drug, but not leaderless; it is the leader of restoring order, penetrating all, removing joint pain) Saposhnikovia (Fangfeng, treats whole-body pain, like a subordinate soldier following orders) Atractodes Lancea (Cangzhu, has strong ascending qi, removes dampness, calms Taiyin, prevents pathogen transmission to Foot-Taiyin Spleen) Asarum (Xixin, treats Shaoyin Kidney headache) Ligusticum (Chuanxiong, treats Jueyin headache in brain) Angelica Dahurica (Baizhi, treats Yangming headache in forehead) Rehmannia (Shengdi, treats Shaoyin Heart heat inside) Scutellaria (Huangqin, treats Taiyin Lung heat in chest) Licorice (Gancao, relieves internal urgency, harmonizes drugs)
Although these nine ingredients form one formula, do not adhere rigidly. Rigidity without flexibility is like rigidity alone. Observe differences in meridians (front/back/left/right), adjust dosage based on severity, size, and quantity. Effects are miraculous. Finely cut, decoct in water. For urgent sweating, take hot with gruel. For mild sweating, take warm without soup. If pulse is floating and unresolved, start urgent then mild. If pulse is deep and unresolved, start mild then urgent. This drug treats miscellaneous diseases effectively besides cold damage. For stroke moving through meridians, add Aconite. For stroke with constipation, add Rhubarb. For stroke combining three pathogens into Bi syndrome, adjust tonifying/reducing based on Twelve Meridians, interior/exterior, cold/heat/warm/cool, four seasons, and six qi.
Dongyuan said: The classic states: Dual infection with cold is fatal and untreatable. Day 1: Taiyang and Shaoyin both diseased, headache, fever, aversion to cold, dry mouth, irritability, fullness, thirst. Taiyang is Fu, enters from back, known to all; Shaoyin is Zang, enters from nose breath, unknown to all. Nose connects to Heaven, so formless cold qi enters from nose. Kidney is Water, water flows to dampness, so Kidney receives it. Classic says: Injury by dampness affects lower part first. Like attracts like. Also: Heavenly pathogenic qi harms Five Zang organs. Thus, internal/external dual infection means Zang-Fu both diseased. Wanting to release exterior involves interior; wanting to purge interior involves exterior. Since exterior/interior cannot be treated simultaneously, death ensues. However, constitution varies (deficient/excess), pathogen depth varies. Deep infection in deficient constitution is fatal; shallow infection in excess constitution may be treatable. Some treated fail to recover, none recover without treatment. I have used this formula, some survive, 2-3 out of 10. Thus, I established this formula for benevolent gentlemen, named Jieliang Lianggan Shenfang Da Qianghuo Tang.
Jieliang Lianggan Shenfang Da Qianghuo Tang (Yi Lao Fang)
Saposhnikovia (Fangfeng) Notopterygium (Qianghuo) Angelica Pubescens (Duhuo) Tetrapanax (Fangji) Scutellaria (Huangqin) Coptis (Huanglian) Atractodes Lancea (Cangzhu) Atractodes Macrocephala (Baizhu) Licorice (Gancao, roasted) Asarum (Xixin, 3 fen each) Anemarrhena (Zhimu) Ligusticum (Chuanxiong) Rehmannia (Dihuang, 1 qian each)
Finely cut the herbs as one dose, add two bowls of water, decoct until one and a half bowls remain, strain the dregs and drink hot. If not resolved, take 3-4 more doses, stop when cured. If residual symptoms exist, follow Zhongjing's methods according to syndrome.
Liushen Tongjie San (Six-Spirit Unblocking Release Decoction) (Zihehe): Treats summer cold damage affecting Taiyang and Yangming channels, anhidrosis, head/neck pain, stiff waist/spine, eye pain, dry nose, inability to sleep. Replaces Mahuang Ge Gen Tang for releasing exterior.
Atractodes Lancea (Cangzhu, 3 qian) Gypsum (Shigao) Talc (Huashi) Scutellaria (Huangqin, 1 qian 5 fen each) Ephedra (Mahuang, 0.75 fen) Licorice (Gancao, 5 fen)
Finely cut the herbs as one dose, add two bowls of water, decoct until 0.7 parts remain and take. In spring, add Saposhnikovia (1 qian).
Liu Hejian Shouzhen's Key Points from "Zhi Shang Zhi Ge" on Treating Cold Damage:
Cold damage within first three days is in the exterior, method requires sweating. Shuangjie San can be taken continuously for several doses to cure.
Shuangjie San (Below are Hejian formulas, i.e., the next two.)
Fangfeng Tongsheng San (See Stroke Section.)
Yiyuan San Also known as Liuyi San, also known as Tianshui San. (See Dysentery Section.)
Take these two medicines together, expect sweating and resolution. If not resolved, disease has transmitted.
Cold damage after three days is in the interior, method requires purging. If purged too early, exterior pathogen enters interior via deficiency, forming Jie Xiong, empty stagnation, mental restlessness, macules/rashes, yellowing. Mild cases become critical, critical cases die. Use mild medicines to disperse exterior and harmonize interior. Depending on sweating/no sweating, persistent fever, use Xiao Chaihu, Liange, Tianshui combined.
If disease is half-exterior half-interior, method requires harmonizing. Xiao Chaihu and Liange govern.
If interior has slight heat, slight purging is needed. Dachaihu combined with Jiedu Tang governs. If heat persists, Dachaihu combined with Sanyi Chengqi purges.
Sanyi Chengqi Tang
Rhubarb (Dahuang) Mirabilite (Mangxiao) Magnolia Bark (Nongpu) Immature Bitter Orange (Zhishi, 5 fen each) Licorice (Gancao, 1 qian)
Finely cut the herbs as one dose, add one large bowl of water and three slices of ginger, decoct until 0.7 parts remain, take hot.
For chest/diaphragm fullness, panting, vomiting, or tight/surging Yang pulse, use Genti Discharge Powder (Gua Di San) to induce vomiting.
After sweating, vomiting, and purging methods, if no other symptoms, regulate with Liange San.
If major heat is gone but slight heat remains, take Yiyuan San to prevent recurrence. These are the main principles of cold damage treatment.
For wind injury with spontaneous sweating and floating/slow pulse, use Shuangjie San minus Ephedra to resolve.
For half-exterior half-interior disease, Baihu Tang harmonizes.