论曰伤寒兼食毒者。此世所谓夹食伤寒也。甲乙经曰。邪生于阳者。得之风雨寒暑。邪
中于阴者，得之饮食居处。阴阳喜怒。此病本由劳动汗出。饮食失节。又伤冷食寒饮所致。
内外挟寒。其状微热恶寒。心胸痞闷。四肢酸疼。头痛吐逆。上气腹满，小便赤色，泄利频
并，宜先治其里。
治伤寒食毒，初得病，身体不大热，心胸痞闷。不思饮食。吐逆不定，上气筑心。下利
不止，水谷不化。人参汤方
人参（一两） 赤茯苓（去黑皮） 黄芩（去黑心各三分） 诃黎勒（炮去核） 高
良姜（锉
炒） 浓朴（去粗皮生姜汁炙锉） 陈橘皮（去白炒） 甘草（炙锉） 草豆蔻（去皮） 附
子（炮裂
去皮
上一十二味， 咀如麻豆大，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服，
以粥饮投 之取汗。
治伤寒食毒，壮热头疼，时复憎寒，四肢酸痛，口苦。芎 汤方
芎 附子（炮裂去皮脐） 大黄（锉炒） 桂（去粗皮各三分） 干姜（炮） 甘草
（炙锉）
木香（各半两）
上七味， 咀如麻豆大，每服三钱匕，水一盏，生姜三片，枣一枚劈，煎至六分，去滓
空心温服。
治伤寒食毒，腹胀气急，大小便不通。朴硝汤方
朴硝 大黄（锉炒） 芍药（各一两） 当归（切焙） 木香（各半两）
上五味，粗捣筛，每服五钱匕，水一盏半，生姜三片，煎至八分，去滓空心温服。
治伤寒食毒，水癖不消。及痰实。续命丸方
大黄（锉醋炒） 黄芩（去黑心） 麻黄（去根节） 黄连（去须各半两） 豉（半合
炒） 甘遂
（半分炮） 栀子仁 朴硝（研） 杏仁（去皮尖双仁炒研各一分） 巴豆（一分去皮心膜
研以纸
压去油）
上一十味，捣罗七味为末，与三味研者拌匀，炼蜜和丸，如大麻子大，每服三丸，空心
温熟水下，以利为度，未利加一二丸。
治伤寒食毒，心腹胀满，时复呕吐，不下饮食，大便秘涩。大腹皮汤方
大腹皮锉 大黄（锉醋炒各一两） 朴硝 木香 桂（去粗皮各半两） 白术 浓朴（去
粗
皮生姜汁炙各三分）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食前温服，以利为度。
治伤寒食毒，心腹胀满，时复呕吐，憎寒，不下食，大小便秘涩。大黄汤方
大黄（锉炒） 白术 浓朴（去粗皮生姜汁炙锉） 大腹皮（锉各一两） 木香 桂（去
粗皮）
朴硝（研） 牵牛子（炒各半两）
上八味，粗捣筛，每服二钱匕，水一盏，生姜三片，煎至六分，去滓温服不拘时。
治伤寒后、食毒所伤，心腹胀满，水谷不化，大便不利。疏气丸方
京三棱（煨锉） 牵牛子（炒各一两） 干姜（炮半两） 陈橘皮（去白炒一两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，不拘时，生姜汤下，取利为
度，不利再服。
治伤寒食毒，腹胀气急，大小便不通。槟榔散方
槟榔锉 郁李仁（去皮各一两） 大腹皮（锉三分） 木香 陈橘皮（汤浸去白炒各半
两）
上五味，捣罗为散，每服二钱匕，生姜汤调下。
治伤寒食毒，恶寒腹胁急胀，呕吐不下食，手足厥冷。橘皮丸方
陈橘皮（去白炒） 草豆蔻（去皮） 桂（去粗皮） 枳壳（去瓤麸炒） 木香（各一
两） 大黄
（锉炒二两） 鳖甲（去裙 一两半用 砂一分研醋五合浸炙）
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心生姜汤下。
治伤寒食毒，头痛恶寒，心腹虚胀，大便泄利。干姜汤方
干姜（炮） 甘草（炙锉各半两） 附子（炮裂去皮脐） 陈橘皮（去白炒） 浓朴（去
粗皮生
姜汁炙各三分）
上五味，锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓食前温服。
治伤寒食毒，腹胀虚鸣，不能食。茯苓汤方
赤茯苓（去黑皮） 陈橘皮（去白炒） 人参 白术 浓朴（去粗皮生姜汁炙锉） 木
香（炮）
五味子（各一两） 干姜（炮半两）
上八味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至六分，去滓空心温服。
治伤寒食毒，脾胃虚乏，四肢少力，不思饮食，心腹气胀，或时下利，向晚憎寒。木香
汤方
木香 草豆蔻（去皮） 陈橘皮（汤浸去白炒） 陈曲（炒） 白术 荜茇 桂（去粗
皮） 浓朴（去粗皮生姜汁炙锉） 人参 柴胡（去苗） 甘草（炙锉各半两） 桃仁（去
皮尖双仁炒研三分）
上一十二味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至六分，去滓食前温服。
治伤寒食毒，心腹胀满，或时泄利。芍药汤方
芍药 白术 浓朴（去粗皮姜汁炙各一两） 白豆蔻（去皮） 桂（去粗皮） 干姜（炮）
甘草（炙锉各半两） 木香（三分）
上八味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至六分，去滓食前温服。
治伤寒食毒，心胸痞闷，泄利频并。荜澄茄丸方
荜澄茄（一两） 干姜（炮三分） 陈橘皮（汤浸去白焙一两） 浓朴（去粗皮生） 姜
汁（炙一两） 桂（去粗皮三分） 阿魏（半两） 肉豆蔻（去皮三枚） 缩砂（去皮半两）
草豆蔻（去皮三枚） 甘草（炙三分） 附子（炮裂去皮脐一两） 荜茇（一分） 白术（半
两）
上一十三味，捣罗为末，炼蜜为丸，如梧桐子大，每日空心酒下十丸至二十丸。以知为
度。
治伤寒食毒咳嗽。曲桂汤方
陈曲（锉炒） 桂（去粗皮） 百合 麻黄（去根节） 黄连（去须） 枳壳（去瓤麸
炒） 白石脂（各一两半） 桑根白皮（锉焙） 地骨皮 附子（炮裂去皮脐各二两） 款
冬花 羚羊角犀 旋复花（微炒各一两） 杏仁（汤浸去白尖双仁炒十枚） 黄芩（去黑心
半两）
上一十五味，粗捣筛，每服五钱匕，水一盏半，入生姜三片，同煎至八分，去滓温服。
Discussion states: The condition of Taiyang disease (Taiyang disorder) complicated by food toxicity is what the world calls "Taiyang disease with retained food" (Jia Shi Shang Han). The *Jia Yi Jing* records: Pathogenic factors arising from the Yang aspect are caused by wind, rain, cold, and summer heat; pathogenic factors attacking the Yin aspect are caused by diet, living conditions, yin-yang imbalance, and emotions such as joy and anger. This illness originates from excessive labor leading to sweating, combined with irregular diet, and damage from cold food and cold drinks, resulting in the intermingling of internal and external cold pathogens. Its manifestations include slight fever, aversion to cold, chest and epigastric stuffiness, soreness and pain in the four limbs, headache, vomiting and rebellious qi, upward rushing of qi, abdominal fullness, dark red urine, and frequent diarrhea or dysentery. Treatment should first address the interior syndrome.
For treating Taiyang disease with food toxicity, when the disease is just acquired, the body does not have significant high fever, there is chest and epigastric stuffiness, lack of appetite, intermittent vomiting, rebellious qi striking the heart area, continuous diarrhea, and inability to digest water and grain. Use Renshen Tang (Ginseng Decoction):
Renshen (Ginseng Radix et Rhizoma, 1 liang), Chi Fuling (Red Poria with sclerotium, peeled black skin), Huangqin (Scutellariae Radix, removed black heart, each 3 fen), Helile (Terminalia chebula fruit, processed and pitted), Gaoliangjiang (Alpiniae Officinarum Rhizoma, chopped and fried), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice and chopped), Chenjupi (Aged Tangerine Peel, removed white pith and fried), Gancao (Licorice Root, processed and chopped), Caodoukou (Cardamomi Fructus Rotundus, peeled), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked and peeled). The above twelve herbs are crushed to the size of hemp seeds. Each dose consists of 3 qianbi, decocted with one zhan of water and three slices of fresh ginger until reduced to seven-tenths. Strain and take warm. Drink porridge broth afterwards to induce sweating.
For treating Taiyang disease with food toxicity presenting with high fever, headache, occasional aversion to cold, soreness and pain in the four limbs, and bitter taste in the mouth. Use Xiong Tang (Ligustici Chuanxiong Decoction):
Xiongxiong (Ligustici Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peeled, and navel removed), Dahuang (Rhei Radix et Rhizoma, chopped and fried), Guizhi (Cinnamomi Ramulus, removed rough bark, each 3 fen), Ganjiang (Zingiberis Rhizoma, processed), Gancao (Licorice Root, processed and chopped), Muxiang (Aucklandiae Radix, each 0.5 liang). The above seven herbs are crushed to the size of hemp seeds. Each dose consists of 3 qianbi, decocted with one zhan of water, three slices of fresh ginger, and one split jujube, until reduced to six-tenths. Strain and take warm on an empty stomach.
For treating Taiyang disease with food toxicity presenting with abdominal distension, urgent breathing, and obstruction of both urination and defecation. Use Xiaoming Tang (Mirabilitum Decoction):
Xiaoming (Mirabilitum), Dahuang (Rhei Radix et Rhizoma, chopped and fried), Shaoyao (Paeoniae Radix Alba, each 1 liang), Danggui (Angelicae Sinensis Radix, sliced and baked), Muxiang (Aucklandiae Radix, each 0.5 liang). The above five herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi, decocted with one and a half zhan of water and three slices of fresh ginger until reduced to eight-tenths. Strain and take warm on an empty stomach.
For treating Taiyang disease with food toxicity presenting with undissipated fluid retention and phlegm-solid accumulation. Use Xuming Wan (Continuing Life Pill):
Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried with vinegar), Huangqin (Scutellariae Radix, removed black heart), Mahuang (Ephedrae Herba, removed root joints), Huanglian (Coptidis Rhizoma, removed whiskers, each 0.5 liang), Chidouchi (Sojae Semen Praeparatum, half he cooked), Gansui (Kansui Radix, half fen processed), Zhizi Ren (Gardeniae Fructus seed), Xiaoming (Mirabilitum, ground), Xingren (Armeniacae Semen Amarum, peeled, tip removed, double-kernel fried and ground, each 1 fen), Badou (Crotonis Fructus, 1 fen peeled, heart and membrane removed, ground and pressed with paper to remove oil). The above ten herbs: crush seven herbs into powder, mix evenly with the three ground herbs, bind with refined honey into pills the size of hemp seeds. Take three pills per dose on an empty stomach with warm boiled water. Stop when bowel movement occurs; if no movement, add one or two pills.
For treating Taiyang disease with food toxicity presenting with chest and abdominal fullness, intermittent vomiting, inability to eat, and dry constipation. Use Dafupi Tang (Arecae Pericarpium Decoction):
Dafupi (Arecae Pericarpium, chopped), Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried with vinegar, each 1 liang), Xiaoming (Mirabilitum), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, removed rough bark, each 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice, each 3 fen). The above seven herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi, decocted with one and a half zhan of water until reduced to one zhan. Strain and take warm before meals. Stop when bowel movement occurs.
For treating Taiyang disease with food toxicity presenting with chest and abdominal fullness, intermittent vomiting, aversion to cold, inability to eat, and dry obstruction of both urination and defecation. Use Dahuang Tang (Rhei Radix et Rhizoma Decoction):
Dahuang (Rhei Radix et Rhizoma, chopped and fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice and chopped), Dafupi (Arecae Pericarpium, chopped, each 1 liang), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, removed rough bark), Xiaoming (Mirabilitum, ground), Qianniu Zi (Pharbitidis Semen, fried, each 0.5 liang). The above eight herbs are coarsely crushed and sieved. Each dose consists of 2 qianbi, decocted with one zhan of water and three slices of fresh ginger until reduced to six-tenths. Strain and take warm at any time.
For treating post-Taiyang disease injured by food toxicity, presenting with chest and abdominal fullness, inability to digest water and grain, and difficult defecation. Use Shuqi Wan (Regulating Qi Pill):
Jingsanleng (Bletillae Rhizoma, roasted and chopped), Qianniu Zi (Pharbitidis Semen, fried, each 1 liang), Ganjiang (Zingiberis Rhizoma, processed, 0.5 liang), Chenjupi (Aged Tangerine Peel, removed white pith and fried, 1 liang). The above four herbs are crushed into powder, bound with refined honey into pills the size of paulownia seeds. Take twenty pills per dose at any time with ginger soup. Stop when bowel movement occurs; if ineffective, take again.
For treating Taiyang disease with food toxicity presenting with abdominal distension, urgent breathing, and obstruction of both urination and defecation. Use Binglang San (Arecae Semen Powder):
Binglang (Arecae Semen, chopped), Yuliren (Pruni Semen, peeled, each 1 liang), Dafupi (Arecae Pericarpium, chopped, 3 fen), Muxiang (Aucklandiae Radix), Chenjupi (Aged Tangerine Peel, soaked in water, removed white pith and fried, each 0.5 liang). The above five herbs are crushed into powder. Take 2 qianbi per dose, mixed with ginger soup.
For treating Taiyang disease with food toxicity presenting with aversion to cold, tight and distended abdomen and hypochondrium, vomiting with inability to eat, and cold extremities. Use Jupi Wan (Tangerine Peel Pill):
Chenjupi (Aged Tangerine Peel, removed white pith and fried), Caodoukou (Cardamomi Fructus Rotundus, peeled), Guizhi (Cinnamomi Ramulus, removed rough bark), Zhiqiao (Aurantii Fructus, removed pulp and bran-fried), Muxiang (Aucklandiae Radix, each 1 liang), Dahuang (Rhei Radix et Rhizoma, chopped and fried, 2 liang), Biejia (Testudinis Carapax et Plastrum, removed skirt, 1.5 liang, processed with 1 fen sandstone powder soaked in five he of vinegar). The above seven herbs are crushed into powder, bound with refined honey into pills the size of paulownia seeds. Take twenty pills per dose on an empty stomach with ginger soup.
For treating Taiyang disease with food toxicity presenting with headache, aversion to cold, deficiency-type distension of chest and abdomen, and diarrhea. Use Ganjiang Tang (Zingiberis Rhizoma Decoction):
Ganjiang (Zingiberis Rhizoma, processed), Gancao (Licorice Root, processed and chopped, each 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peeled, and navel removed), Chenjupi (Aged Tangerine Peel, removed white pith and fried), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice, each 3 fen). The above five herbs are chopped to the size of hemp seeds. Take 3 qianbi per dose, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm before meals.
For treating Taiyang disease with food toxicity presenting with abdominal distension with borborygmus and inability to eat. Use Fuling Tang (Poria Decoction):
Chi Fuling (Red Poria with sclerotium, peeled black skin), Chenjupi (Aged Tangerine Peel, removed white pith and fried), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice and chopped), Muxiang (Aucklandiae Radix, processed), Wuweizi (Schisandrae Chinensis Fructus, each 1 liang), Ganjiang (Zingiberis Rhizoma, processed, 0.5 liang). The above eight herbs are coarsely crushed and sieved. Take 3 qianbi per dose, decocted with one zhan of water and three slices of fresh ginger until reduced to six-tenths. Strain and take warm on an empty stomach.
For treating Taiyang disease with food toxicity presenting with spleen and stomach deficiency and fatigue, weakness in the four limbs, lack of appetite, qi distension in chest and abdomen, occasional diarrhea, and aversion to cold in the evening. Use Muxiang Tang (Aucklandiae Radix Decoction):
Muxiang (Aucklandiae Radix), Caodoukou (Cardamomi Fructus Rotundus, peeled), Chenjupi (Aged Tangerine Peel, soaked in water, removed white pith and fried), Chenqu (Massae Medicamentae Fermentatae, fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Bibo (Long Pepper Fruit), Guizhi (Cinnamomi Ramulus, removed rough bark), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice and chopped), Renshen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix, removed sprouts), Gancao (Licorice Root, processed and chopped, each 0.5 liang), Taoren (Persicae Semen, peeled, tip removed, double-kernel fried and ground, 3 fen). The above twelve herbs are coarsely crushed and sieved. Take 3 qianbi per dose, decocted with one zhan of water and three slices of fresh ginger until reduced to six-tenths. Strain and take warm before meals.
For treating Taiyang disease with food toxicity presenting with chest and abdominal fullness and occasional diarrhea. Use Shaoyao Tang (Paeoniae Radix Alba Decoction):
Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice, each 1 liang), Baidoukou (Cardamomi Fructus, peeled), Guizhi (Cinnamomi Ramulus, removed rough bark), Ganjiang (Zingiberis Rhizoma, processed), Gancao (Licorice Root, processed and chopped, each 0.5 liang), Muxiang (Aucklandiae Radix, 3 fen). The above eight herbs are coarsely crushed and sieved. Take 3 qianbi per dose, decocted with one zhan of water and three slices of fresh ginger until reduced to six-tenths. Strain and take warm before meals.
For treating Taiyang disease with food toxicity presenting with chest and epigastric stuffiness and frequent diarrhea. Use Bidengqie Wan (Galangal Fruit Pill):
Bidengqie (Litseae Fructus, 1 liang), Ganjiang (Zingiberis Rhizoma, processed, 3 fen), Chenjupi (Aged Tangerine Peel, soaked in water, removed white pith and dried, 1 liang), Houpo (Magnoliae Officinalis Cortex, removed rough bark, processed with ginger juice, 1 liang), Guizhi (Cinnamomi Ramulus, removed rough bark, 3 fen),awei (Asafoetida, 0.5 liang), Roudoukou (Myristicae Semen, peeled, three fruits), Suosha (Amomi Fructus Rotundus, peeled, 0.5 liang), Caodoukou (Cardamomi Fructus Rotundus, peeled, three fruits), Gancao (Licorice Root, processed, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peeled, and navel removed, 1 liang), Bibo (Long Pepper Fruit, 1 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang). The above thirteen herbs are crushed into powder, bound with refined honey into pills the size of paulownia seeds. Take ten to twenty pills daily on an empty stomach with wine. Stop when effective.
For treating cough caused by Taiyang disease with food toxicity. Use Qu Gui Tang (Fermented Dough and Cinnamon Twig Decoction):
Chenqu (Massae Medicamentae Fermentatae, chopped and fried), Guizhi (Cinnamomi Ramulus, removed rough bark), Baihe (Lilii Bulbus), Mahuang (Ephedrae Herba, removed root joints), Huanglian (Coptidis Rhizoma, removed whiskers), Zhiqiao (Aurantii Fructus, removed pulp and bran-fried), Baishizhi (Kaolinite, each 1.5 liang), Sanggen Baipi (Mori Cortex, chopped and baked), Digupi (Lycii Cortex), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peeled, and navel removed, each 2 liang), Kua Donghua (Farfarae Flos), Lingyangjiao (Saigae Tataricae Cornu), Xuanfuhua (Inulae Flos, slightly fried, each 1 liang), Xingren (Armeniacae Semen Amarum, soaked in water, removed white tip and double-kernel fried, ten seeds), Huangqin (Scutellariae Radix, removed black heart, 0.5 liang). The above fifteen herbs are coarsely crushed and sieved. Take 5 qianbi per dose, decocted with one and a half zhan of water and three slices of fresh ginger until reduced to eight-tenths. Strain and take warm.