（似外感阳证）
头痛大作。四肢疰闷。气高而喘。身热而烦。上气。鼻息不调。四肢困倦不收。无气以动无气以
言。或烦躁闷乱。心烦不安。或渴不止。病久者。邪气在血脉中有湿。故不渴。如病渴是心火炎上
克肺金。故渴。或表虚不任风寒。目不欲开。恶食。口不知味。右手气口脉大。大于左手人迎三倍
。其气口脉急大而数。时一代而涩。涩是肺之本脉。代是无气不相接。乃脾胃不足之脉。大是洪大
。洪大而数。乃心脉刑肺。急是弦急。乃肝木挟心火克肺金也。其右关脾脉。比五脉独大而数。数
中时显一代。此不甚劳役。是饮食不节。寒温失所则无。右关胃脉损弱。隐而不见。惟内显脾脉如
此也。治用补中益气汤。
黄 （半钱。病甚者一钱） 人参 橘皮
当归身 白术（各三分） 炙甘草（五分） 升麻
柴胡（各二分）
上八味锉。都作一服。水二盏。煎至一盏。去渣。温服。早饭后。临病斟酌轻重加减。
（似外感阴证）
腹胀。胃脘当心痛。四肢两胁膈咽不通。或涎唾。或清涕。或多溺。足下痛。不能任身履地。
骨乏无力。喜睡。两丸多冷。阴阴作痛。或妄见鬼状。梦亡人。腰背胛眼腰脊皆痛。不渴不泻。脉
盛大以涩。名曰寒中。治用神圣复气汤、白术附子汤、草豆蔻丸。
【神圣复气汤】
柴胡（一钱） 本（八分） 防风（半钱） 羌活（一钱）
人参（半钱） 干姜（炮。钱三分） 甘草（八分） 升麻（七分）
半夏（七分。汤泡七次） 白葵花（五朵。去心细剪） 当归身（六分。酒洗）
郁李仁（五分。另研泥） 黑附子（炮制。去皮脐。三分）
上件锉。用水五盏。同煎至二盏。入
黄 （一钱） 橘红（五分） 草豆蔻仁（面裹烧熟去皮。一钱）
上入在内。再煎至一盏。再入下项药。
黄柏（五分。酒浸） 黄连（酒浸） 枳壳 生地黄（酒洗。各三分）
以上四味。预一日另用新水浸。又次入
华细辛根（二分） 川芎（细末。三分） 蔓荆子（三分）
预一日用新水半大盏。分作二处浸。此三味。并黄柏等前正药。作一大盏。不去渣。入此浸药。
再上火煎。至一大盏。去渣。稍热服。空心。又能治咬颊、咬唇、咬舌、舌根强硬等证如神。忌肉
汤及食肉。使不助经络中火邪也。大抵肾与膀胱经中有寒。元气不足者。皆宜服之。于月生月满时。
隔三五日一服。如病急不拘时分。
【白术附子汤】
白术 附子 苍术 陈皮
浓朴 半夏 茯苓 泽泻（各一两）
猪苓（半两） 肉桂（四钱）
上十味锉。每服五钱。水一盏。生姜三片。煎至半盏。食前温服。量虚实加减。
【草豆蔻丸】治胃脘当心而痛。
草豆蔻（四钱。面裹煨熟） 生甘草（三分） 半夏（一钱）
大麦 (一钱半） 益智 陈皮 吴茱萸（汤泡去苦）
僵蚕 黄 （各八分） 桃仁（七分） 青皮
当归身（各六分） 曲末（四分） 姜黄（四分） 人参（八分）
熟甘草（六分） 泽泻（一分） 柴胡（四分。详胁下痛多少加之）
上十八味。除桃仁另研如泥外。为极细末。同研。汤浸蒸饼为丸如桐子大。每服二十丸。熟汤
送下。旋斟酌多少服之。
(Similar to Exterior Excess Yang Syndrome)
Severe headache. Heaviness and oppression in the four limbs. Rapid breathing with panting. Feverish body accompanied by irritability. Qi rebelling upward. Irregular nasal respiration. Four limbs are fatigued and weak, unable to support themselves. Weakness of Qi, lacking the energy to move or speak. Alternatively, restlessness, confusion, and mental agitation. Inner vexation and unease. Or unquenchable thirst. In prolonged illness, if pathogenic factors reside in the blood vessels with dampness, there is no thirst. If thirst occurs during the illness, it is due to Heart Fire flaring upward and overcoming Lung Metal, hence the thirst. Alternatively, exterior deficiency failing to withstand wind-cold. Eyes unwilling to open. Aversion to food. Loss of taste in the mouth. The Cun Kou pulse on the right hand is large, three times larger than the Ren Ying pulse on the left hand. The Cun Kou pulse is urgent, large, rapid, occasionally presenting a Dai (intermittent) pulse and Se (choppy) quality. Se is the native pulse of the Lung. Dai indicates insufficient Qi and lack of continuity in pulse qi; this is the pulse of Spleen and Stomach insufficiency. Large refers to Hong (surging). Surging and rapid indicates Heart pulse overcoming Lung. Urgent refers to Xian (wiry), indicating Liver Wood accompanying Heart Fire to overcome Lung Metal. The Pi (Spleen) pulse at the Right Guan position is uniquely large and rapid compared to the other five positions, with a Dai pulse occasionally appearing within the rapid rhythm. This is not due to severe overexertion, but rather irregular diet and improper regulation of cold and warmth. The Wei (Stomach) pulse at the Right Guan position is damaged and weak, faintly visible or invisible, while only the internal manifestation of the Pi (Spleen) pulse shows such characteristics. Treatment utilizes Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction).
Huangqi (Astragali Radix, half qian; one qian for severe cases) Renshen (Ginseng Radix et Rhizoma) Jupi (Citri Reticulatae Pericarpium)
Dangguishen (Angelicae Sinensis Radix, inner part) Baizhu (Atractylodis Macrocephalae Rhizoma, each three fen) Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, five fen) Shengma (Cimicifugae Rhizoma)
Chaihu (Bupleuri Radix, each two fen)
The above eight herbs are coarsely crushed, combined as one dose. Add two zhan of water, decoct until one zhan remains. Strain off the dregs. Take warm. Administer after breakfast. Adjust dosages according to the severity of the condition.
(Similar to Exterior Deficient Yin Syndrome)
Abdominal distension. Pain in the epigastrium corresponding to the heart region. Obstruction in the four limbs, hypochondrium, diaphragm, throat, and pharynx. Salivation or clear nasal discharge. Frequent urination. Pain in the soles of the feet, inability to bear weight and walk. Bone fatigue and weakness. Preference for sleep. Coldness in both testicles with dull pain. Hallucinations of ghostly appearances. Dreams of deceased persons. Pain throughout the waist, back, scapulae, eyes, loins, and spine. No thirst, no diarrhea. Pulse is large, vigorous, and choppy. This is named Han Zhong (Cold Center). Treatment utilizes Shen Sheng Fu Qi Tang (Divine Holy Decoction to Restore Qi), Baizhu Fuzi Tang (Atractylodes and Aconite Decoction), and Caodoukou Wan (Cardamom Pill).
[Shen Sheng Fu Qi Tang]
Chaihu (Bupleuri Radix, one qian) Gaoben (Ligustici Wallichii Rhizoma et Radix, eight fen) Fangfeng (Saposhnikoviae Radix, half qian) Qianghuo (Notopterygii Rhizoma et Radix, one qian)
Renshen (Ginseng Radix et Rhizoma, half qian) Ganjiang (Zingiberis Rhizoma, processed, three fen) Gancao (Glycyrrhizae Radix et Rhizoma, eight fen) Shengma (Cimicifugae Rhizoma, seven fen)
Banxia (Pinelliae Rhizoma, seven fen, soaked in boiling water seven times) Bai Kuihua (White Chrysanthemi Flos, five flowers, remove heart and cut finely) Dangguishen (Angelicae Sinensis Radix, inner part, six fen, washed with wine)
Yuliren (Prunus Armeniacae Semen, five fen, ground separately into paste) Hei Fuzi (Aconiti Lateralis Radix Preparata, black, processed, skin and root removed, three fen)
The above ingredients are coarsely crushed. Use five zhan of water, decoct together until two zhan remain. Add
Huangqi (Astragali Radix, one qian) Juhong (Citri Reticulatae Pericarpium Rubrum, five fen) Caodoukouren (Alpiniae Katsumadai Semen, roasted in flour, skin removed, one qian)
Return to the pot, decoct again until one zhan remains. Then add the following:
Huangbai (Phellodendri Cortex, five fen, soaked in wine) Huanglian (Coptidis Rhizoma, soaked in wine) Zhike (Aurantii Fructus Immaturus) Shengdihuang (Rehmanniae Radix, six fen, washed with wine)
The above four herbs are pre-soaked in fresh water for one day. On the next day, add
Xixin (Asari Radix et Rhizoma, two fen) Chuanxiong (Ligusticum Chuanxiong Rhizoma, fine powder, three fen) Manjingzi (Viticis Semen, three fen)
These three herbs are pre-soaked in half a large zhan of fresh water, divided into two portions. These three herbs, along with Huangbai and the previous main herbs, constitute one large zhan of liquid. Do not strain. Add these soaked liquids.
Decoct again over fire until one large zhan remains. Strain off dregs. Take slightly warm. Take on an empty stomach. It is also effective for treating biting of cheeks, lips, tongue, and tongue base stiffness. Avoid meat soups and meat consumption to prevent aiding fire pathogens in the meridians. Generally, those with cold in the Kidney and Bladder meridians and insufficient Yuan Qi should take this. During the waxing and full moon phases, take every three to five days. If the condition is urgent, do not restrict timing.
[Baizhu Fuzi Tang]
Baizhu (Atractylodis Macrocephalae Rhizoma) Fuzi (Aconiti Lateralis Radix Preparata) Cangzhu (Atractylodis Rhizoma) Chenpi (Citri Reticulatae Pericarpium)
Houpo (Magnoliae Officinalis Cortex) Banxia (Pinelliae Rhizoma) Fuling (Poria) Zexie (Alismatis Rhizoma, each one liang)
Zhuling (Polyporus, half liang) Rougui (Cinnamomi Cortex, four qian)
The above ten herbs are coarsely crushed. Each dose uses five qian. Add one zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until half a zhan remains. Take warm before meals. Adjust dosage according to deficiency or excess.
[Caodoukou Wan] Treats pain in the epigastrium corresponding to the heart.
Caodoukou (Alpiniae Katsumadai Semen, four qian, roasted in flour until cooked) Sheng Gancao (Glycyrrhizae Radix et Rhizoma, three fen) Banxia (Pinelliae Rhizoma, one qian)
Damai (Hordei Fructus Germinatus, one and a half qian) Yizhi (Alpiniae Oxyphyllae Fructus) Chenpi (Citri Reticulatae Pericarpium) Wuzhuyu (Evodiae Fructus, soaked in boiling water to remove bitterness)
Jiangcan (Bombyx Batryticatus) Huangqi (Astragali Radix, each eight fen) Taoren (Persicae Semen, seven fen) Qingpi (Citri Reticulatae Pericarpium Viride)
Dangguishen (Angelicae Sinensis Radix, inner part, each six fen) Qumo (Medicated Leaven Powder, four fen) Jianghuang (Curcumae Longae Rhizoma, four fen) Renshen (Ginseng Radix et Rhizoma, eight fen)
Shu Gancao (Prepared Glycyrrhizae Radix et Rhizoma, six fen) Zexie (Alismatis Rhizoma, one fen) Chaihu (Bupleuri Radix, four qian, increase according to the degree of hypochondriac pain)
The above eighteen herbs, except Taoren which is ground separately into paste, are all ground into extremely fine powder and mixed. Make pills using steamed dough soaked in water, sized like paulownia seeds. Take twenty pills per dose, swallowed with warm water. Adjust the amount taken as needed.