世俗有夹食夹气夹惊夹痰。而亦加以伤寒之名者。夫既曰食气痰惊。则
宜从四者以治。又何复云伤寒为也。或者曰。因有是四者而复感寒。故云
夹也。何以见之。如脉实而胀满者。食也。应发热而亦有恶寒者。如脉沉而
不快者。气也。不应发热而亦有发热者。如脉弦而作呕者。惊也。不应寒热
而亦有寒热往来者。脉滑而喘逆者痰也。不应寒热而亦有寒热大作者。
以其兼寒也。故谓之夹也亦宜。殊不知因乎食者。消其食而寒自止。因乎
气者。下其气而热自退。因乎惊者。温其胆而寒热自已。因乎痰者。化其痰
而寒热顿除。初不必沾沾于伤寒。而亦将解其表而后治之也耶。如养葵
先生有云。凡杂症有发热者。皆有头疼项强目痛鼻干胁痛口苦等症。何
必拘为伤寒局伤寒方以治之也。夫见是诸症。尚有不因伤寒者。况不见
诸症。而欲强附以伤寒。则诚不可解者也。
浓朴汤 治因食。
浓朴（姜制） 枳壳（麸焙） 广皮（各一钱） 山楂（二钱） 卜子（一钱焙研）
甘草（三分炙） 柴胡（七分） 葛根（一钱）
加熟砂仁末七分。姜一片。水煎。
顺气饮 治因气。
木香（五分） 乌药 陈皮 枳壳（炒） 茯苓（各一钱）
甘草（三分炙） 柴胡（五分） 桔梗（一钱） 香附（一钱便制）
加熟砂仁末一钱。姜一片。水煎。
温胆汤 治因惊。
半夏 枳实 竹茹 茯苓（各一钱） 甘草（三分炙） 广皮（一钱） 钩藤钩（二钱）
加枣一枚。姜一片。水煎。
二陈汤 治因痰。
苏子（一钱半焙研） 半夏 茯苓 陈皮 杜仲（各一钱盐水炒）
甘草（三分炙） 前胡 桔梗（各一钱） 杏仁（一钱汤泡去皮尖）
加姜一片。水煎。如有火。加栝蒌霜。
In popular practice, there are conditions described as "mixed food retention," "mixed qi stagnation," "mixed fright," and "mixed phlegm," which are also labeled under the name of *Shanghan* (Cold Damage). Since they are already termed food, qi, phlegm, and fright, treatment should be directed at these four categories. Why is it necessary to mention *Shanghan*? One might argue that because one has these four conditions and subsequently contracts cold, it is called "mixed." How can this be verified? For instance, a solid pulse with abdominal distension indicates food retention; fever accompanied by aversion to cold suggests a presentation resembling *Shanghan*; a deep and sluggish pulse indicates qi stagnation; fever without the typical indication suggests a presentation resembling *Shanghan*; a wiry pulse with vomiting indicates fright; chills and fever alternating without the typical pattern suggest a presentation resembling *Shanghan*; a slippery pulse with wheezing and counterflow qi indicates phlegm; severe chills and fever without the typical pattern indicate the presence of mixed cold. Therefore, calling it "mixed" is appropriate.
However, it is unknown that if the cause is food retention, resolving the food will stop the chills and fever naturally; if the cause is qi stagnation, descending the qi will make the heat recede naturally; if the cause is fright, warming the Gallbladder will resolve the chills and fever naturally; if the cause is phlegm, transforming the phlegm will eliminate the chills and fever instantly. Initially, there is no need to cling to the concept of *Shanghan*, nor is it necessary to first release the exterior before treating the root. As Mr. Yangkui stated: "For miscellaneous diseases presenting with fever, symptoms such as headache, stiffness of the neck, eye pain, dry nose, hypochondriac pain, and bitter taste in the mouth often occur. Why insist on diagnosing it as *Shanghan* and treating it with *Shanghan* formulas?" Seeing these symptoms, there are cases not caused by *Shanghan*. How much more so when these symptoms are absent, yet one forces an attachment to *Shanghan*? This is truly incomprehensible.
Nongpo Tang (Magnolia Bark Decoction): Treats conditions due to food retention.
Houpo (Magnoliae Officinalis Cortex, processed with ginger), Zhike (Aurantii Fructus Immaturus, roasted with bran), Guangpi (Citri Reticulatae Pericarpium) (each 1 qian); Shanzha (Crataegi Fructus, 2 qian); Bobo (Raphani Semen, 1 qian, roasted and ground); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Chaihu (Bupleuri Radix, 7 fen); Gegen (Puerariae Radix, 1 qian).
Add 7 fen of prepared Amomi Fructus Rotundus powder and one slice of fresh Ginger. Decoct in water and take orally.
Shunqi Yin (Qi-Regulating Decoction): Treats conditions due to qi stagnation.
Muxiang (Aucklandiae Radix, 5 fen); Wuyao (Linderae Radix); Chenpi (Citri Reticulatae Pericarpium); Zhike (Aurantii Fructus Immaturus, stir-fried); Fuling (Poria) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Chaihu (Bupleuri Radix, 5 fen); Jiegeng (Platycodonis Radix, 1 qian); Xiangfu (Cyperi Rhizoma, 1 qian, processed with urine).
Add 1 qian of prepared Amomi Fructus Rotundus powder and one slice of fresh Ginger. Decoct in water and take orally.
Wendan Tang (Warming the Gallbladder Decoction): Treats conditions due to fright.
Banxia (Pinelliae Rhizoma); Zhishi (Aurantii Fructus Immaturus, unripe); Zhuru (Bambusae Caulis in Taeniae); Fuling (Poria) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Guangpi (Citri Reticulatae Pericarpium, 1 qian); Goutenggou (Uncariae Ramulus cum Uncis, 2 qian).
Add one Jujube and one slice of fresh Ginger. Decoct in water and take orally.
Erchen Tang (Two-Aged Decoction): Treats conditions due to phlegm.
Suzi (Perillae Fructus, 1.5 qian, roasted and ground); Banxia (Pinelliae Rhizoma); Fuling (Poria); Chenpi (Citri Reticulatae Pericarpium); Duzhong (Eucommiae Cortex, each 1 qian, stir-fried with salt water); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Qianhu (Peucedani Radix); Jiegeng (Platycodonis Radix) (each 1 qian); Xingren (Armeniacae Semen Amarum, 1 qian, soaked in hot water, skin and tips removed).
Add one slice of fresh Ginger. Decoct in water and take orally. If there is fire, add Gualoushuang (Trichosanthis Fructus Frost).