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Treatment for Shanghan (Cold Damage) or Wenyang (Warm Diseases), where the severe heat of the Yangming stage has subsided. If the patient was originally deficient or is elderly, they appear increasingly timid and weak at this stage, presenting with either panting (asthma/dyspnea), coughing, excessive phlegm-saliva accumulation, and breath that seems severely insufficient.

Raw Huai Yam (Shan Yao) (75g)
Natural juice of Sugarcane (30g)
Natural juice of Sour Pomegranate (18g)
Raw Egg Yolk (4 pieces)

First, decoct the Shan Yao to obtain a large bowl of clear soup. Then, mix the remaining three ingredients into the bowl. Take warm orally in three doses, approximately every two hours. If the medicine has cooled, before taking it again, warm the bowl by placing it in boiling water. However, do not overheat, lest the egg yolk coagulate, rendering the administration ineffective.

An elderly Mr. Zhou, nearly seventy years old, suffered from chronic consumption diseases and had an opium habit. In late autumn, he contracted a Warm Disease. The heat in the Yangming Fu organs was intense, his pulse was rapid but empty, he presented with panting accompanied by coughing, and expectorated thick, sticky phlegm. He was prescribed Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction), substituting raw Shan Yao for Jing Mi (Rice). After one dose, the severe heat subsided, but the panting and coughing persisted, and his breath became weak and intermittent. His family was alarmed, believing recovery would be difficult. They stated that under such circumstances, it seemed difficult to administer further medication. I said: There is no need for medicinal herbs; ordinary food items can cure this. I prescribed this formula. The family viewed it and saw it consisted of common foods, knowing that even if it did not strictly match the syndrome, it would cause no harm. They followed the method, and after two doses, he was completely cured.

Treatment for Cold-Warmness Jie Xiong (Chest Binding/Knotting Syndrome), where phlegm-fluids in the chest and diaphragm condense with external pathogenic factors. This blocks the throat upwards and stagnates at the stomach entrance downwards, causing difficulty in breathing, fullness, oppression, shortness of breath, inability to swallow water downwards, or vomiting it back up. It also treats Jie Xiong caused by Epidemic Diseases.

Gua Lou Ren (Trichosanthes Seed) (60g, freshly stir-fried and crushed)
Raw Dai Zhe Shi (Hematite) (60g, finely ground)
Su Zi (Perilla Fruit) (18g, stir-fried and crushed)
Mang Xiao (Mirabilite/Sodium Sulfate) (12g, dissolved and taken with liquid)

Use four bowls of water, decoct to obtain two bowls of clear juice. First, take one bowl warm. Once the binding opens and bowel movements resume, stop subsequent doses. If the chest binding remains unresolved, after two hours, take another bowl warm. If the chest binding has opened but bowels have not yet moved, and there is no sensation of passing gas, half a bowl may still be taken warm.

Shanghan resulting from premature purgation can lead to Jie Xiong. Even Wenyang that has not undergone purgation can form Jie Xiong. Furthermore, when Epidemic Diseases enter via the mouth and nose, in patients with pre-existing phlegm-fluids, the epidemic qi adheres to the upper jiao phlegm-fluids, also forming Jie Xiong. The three formulas of Xian Xiong Tang and Wan (Lowering the Chest Decoction/Pill) in the *Shanghan Lun* can be borrowed according to the severity and location of the syndrome. However, Da Xian Xiong Tang and Wan contain Gan Sui (Kansui Root), which worldly physicians often fear. Although Xiao Xian Xiong Tang is mild, the belief held by Wu Keyi that Huang Lian (Coptis Rhizome) is contraindicated in plague persists in their minds, so they are reluctant to use it lightly. When encountering such syndromes, they casually use phlegm-resolving, qi-breaking, and damp-draining herbs such as Ju Hong (Tangerine Peel), Lai Fu Zi (Radish Seed), Cang Zhu (Atractylodes Rhizome), Bai Jie Zi (Mustard Seed), Fu Ling (Poria), and Hou Po (Magnolia Bark), compiling them into a formula, believing it to be safer than the Xian Xiong formulas. Patients feel reassured by the mild nature of these medicines. Unaware that breaking qi causes further sinking of qi, and draining dampness makes phlegm thicker and stickier. Such medication truly causes deep sighs. Reluctantly, I have modified and compiled existing formulas for treating Jie Xiong: taking Mang Xiao from Da Xian Xiong Tang, Gua Lou Shi (Trichosanthes Fruit) from Xiao Xian Xiong Tang, and Dai Zhe Shi from Xuan Fu Dai Zhe Shi Tang (used for epigastric hardness), adding Su Zi as a guide for downward movement. This can substitute Da Xian Xiong Tang/Wan. A small dose can substitute Xiao Xian Xiong Tang. This is not to compete with the formulas in the *Shanghan Lun*, but merely to facilitate usage for the common people.

An elderly woman, over sixty years old. During breakfast in early summer, she suddenly heard neighbors fighting. Going out to watch, she saw the strong bullying the weak excessively, feeling indignant. Additionally, having sweated after meals and been exposed to wind, she contracted a Warm Syndrome. Exterior and interior were both hot, the stomach entrance was blocked, abdominal pain occurred, and water drunk was vomited back shortly after. For seven to eight days, bowels did not move. Her pulse was fine and rapid, feeling slightly solid upon pressure. She reported dry thirst in the heart/chest, inability to tolerate drinking water, and previous anti-emetic medications were all vomited out. If only drinking water could be kept down, recovery might be hoped for. I said: It is easy. I prescribed this Decoction, adding Sheng Shi Gao (Raw Gypsum) (60g) and Ye Tai Shen (Wild Ginseng) (15g). Decocted in a large bowl of water, taken warm in three doses. Medication taken in the evening; by the next morning, bowels moved, and she was cured. While bowels were unopened, I instructed using Shan Yu Rou (Cornus Fruit) (60g, seeds removed) decocted in water, prepared for potential palpitations or collapse after purgation. After bowels opened, slight palpitations occurred, and taking the Shan Yu Rou decoction brought immediate relief.

A young unmarried woman contracted a Warm Disease. Within two to three days, phlegm-saliva accumulated and blocked, causing extreme fullness and oppression in the chest and diaphragm. She frequently coughed and expectorated phlegm thick as glue or lacquer, with signs of panting. Water stagnated at the stomach entrance and was occasionally vomited. Her pulse was floating and slippery. Upon inquiry, she felt slight headache, indicating the exterior syndrome had not yet resolved. Thus, following the intent of Liu Hejian's Shuang Jie San (Double Release Powder), I added Chai Qiao (Forsythia) and Chan Tui (Cicada Slough), each 9g, to Dang Xiong Tang. After administration, slight sweating occurred, bowels moved, and she was cured.