千金治伤寒头痛项强四肢烦疼青膏方。
当归 芎 吴茱萸 附子 乌头 莽草 蜀椒（各三两） 白芷（三两）
上八味切，以醇苦酒渍再宿，以猪脂四斤缓火煎，候白芷色黄，绞去滓，以暖酒服枣核
大三枚，日三服取汗，不知稍增，可服可摩，如初得伤寒一日，苦头痛背强，宜摩之佳。忌
猪肉。
又少阴病得病二三日，口燥咽干，急下之，宜承气汤。
又少阴病，六七日，腹满不大便者，急下之，宜承气汤。
又阳明证，其人善忘，必有蓄血。所以然者，本有久瘀血，故令善忘，虽大便坚，反易
色必黑宜抵当汤下之。
又伤寒有热而少腹满，应小便不利，今反利者，此为有血，不可余药，宜抵当丸。
又太阳病身黄，脉沉结，少腹坚，小便不利者，此为无血也，小便自利，其人如狂者，
血证谛也，宜抵当汤下之。
又阳明病脉迟，虽汗出不恶寒，体必重，短气腹满而喘，有潮热者，此外欲解，可攻里
也，手足 然汗出者，此为大便已坚，宜承气汤主之，若汗多而微发热恶寒为外未解，宜桂
枝汤，其热不潮，未可与承气汤，若腹大满不大便，可少与承气汤，微和其胃气，勿令致大
下。
又阳明病潮热微坚者，可与承气汤，不坚者勿与之，若不大便六七日，恐胃中有燥粪，
欲知之法，可与小承气汤，若腹中转失气者为有燥粪，乃可攻之，若不转失气者，此为但头
坚后溏，不可攻之，攻之必胀满，不能食，欲饮水者即哕，其后发热者必复坚与小承气汤和
之，不转失气者，慎不可攻之。
夫实则谵语，虚则郑声。（郑声重语也）直视谵语喘满者死，若下利者亦死。
又伤寒四五日，脉沉喘满，沉为在里而反发汗，津液越出大便为难，表虚里实，久则谵
语。
承气汤方。
枳实（陈者五枚炙） 大黄（四两） 芒硝（三合） 浓朴（半斤）
上四味切，以水一斗，先煮二味，取五升，纳大黄，更煮取二升，去滓，纳芒硝，更上
微火一两沸，分温再服，得下，余勿服也。
小承气汤方。
大黄（四两） 浓朴（二两炙） 枳实（大者三枚炙）
上三味切，以水四升，煮取一升二合，去滓，分温再服，若一服得利，谵语止，勿服之
也。
又抵当丸方。
水蛭（二十枚熬） 桃仁（二十枚去皮尖双仁） 虻虫（二十枚去足翅熬） 大黄（三
两）
上四味末下筛合，分为四丸，以水一升，煮一丸，取七合顿服， 时当下血，不下仍须
服之，取血下为效。
又抵当汤方。
水蛭（熬三十枚） 桃仁（二十枚去皮） 虻虫（去足翅熬三十枚） 大黄（三两）
上四味切，以水五升，煮取三升，分为三服，不下更服。
又疗伤寒头痛壮热百节疼痛汤方。
柴胡 芍药 栀子仁（各四两） 知母（四两） 香豉（一升绵裹） 石膏（八两碎） 黄
芩
上十味切，以水九升，煮取二升七合，分三服，苦热盛者，加大黄。（四两并出第十卷
中）
The Qing Gao Formula from Qianjin Fang for treating headache, neck stiffness, and vexing pain in the four limbs caused by Shanghan (Cold Damage).
Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Wuzhuyu (Evodiae Fructus), Fuzi (Aconiti Lateralis Radix Praeparata), Wutou (Aconiti Radix), Mangcao (Artemisiae Argyi Herba), Shujiao (Zanthoxyli Pericarpium) (each 3 liang), Baizhi (Angelicae Dahuricae Radix) (3 liang).
The above eight herbs are cut into pieces, soaked in strong vinegar for two nights, then decocted with 4 jin of lard over slow fire. When the color of Baizhi turns yellow, filter out the dregs. Take three pills the size of a jujube pit with warm wine, three times a day, aiming for sweating. If no sweat occurs, slightly increase the dose; it can be taken orally or applied externally with massage. For those who have just contracted Shanghan on the first day and suffer from severe headache and back stiffness, external massage is preferable. Avoid pork.
Furthermore, in Shaoyin disease, if mouth dryness and throat dryness occur two to three days after onset, urgent purgation is required; Chengqi Tang is suitable.
Furthermore, in Shaoyin disease, if abdominal fullness and constipation persist for six to seven days, urgent purgation is required; Chengqi Tang is suitable.
Furthermore, in Yangming syndrome, if the patient suffers from forgetfulness, there must be blood stasis accumulation. This is because pre-existing long-standing blood stasis causes forgetfulness. Although the stool is hard, it is surprisingly easy to pass, and the color will definitely be black; Didang Tang is suitable for purgation.
Furthermore, in Shanghan with fever and lower abdominal fullness, urination should be difficult; however, if urination is normal, this indicates blood stasis. Other medicines are not suitable; Didang Wan is appropriate.
Furthermore, in Taiyang disease, if the body is yellow, the pulse is deep and knotted, the lower abdomen is firm, and urination is difficult, this indicates no blood stasis. However, if urination is spontaneous and the patient exhibits mania-like behavior, this is definitive evidence of a blood syndrome; Didang Tang is suitable for purgation.
Furthermore, in Yangming disease, if the pulse is slow, sweating occurs without aversion to cold, the body feels heavy, there is shortness of breath, abdominal fullness, and wheezing, accompanied by tidal fever, the exterior syndrome is likely resolving, and interior purgation can be considered. If hands and feet sweat continuously, this indicates hardened stool; Chengqi Tang is the main treatment. If sweating is profuse with slight fever and aversion to cold, the exterior is not yet resolved; Guizhi Tang is suitable. If there is no tidal fever, Chengqi Tang should not be given. If there is significant abdominal fullness and constipation, a small amount of Chengqi Tang may be given to gently harmonize stomach qi, avoiding drastic purgation.
Furthermore, in Yangming disease with tidal fever and slightly hard stool, Chengqi Tang may be given; if the stool is not hard, do not give it. If there has been no bowel movement for six to seven days, suspecting dry feces in the stomach/intestines, one may administer Xiao Chengqi Tang to test. If flatus passes in the abdomen, dry feces are present, and purgation is permissible. If no flatus passes, this indicates only a hard head with loose stool at the end; purgation is contraindicated as it will cause abdominal fullness, inability to eat, and hiccups upon drinking water. If fever develops later, the stool will become hard again; use Xiao Chengqi Tang to harmonize. If no flatus passes, absolutely do not purge.
Excess conditions lead to delirious speech; deficiency conditions lead to repetitive murmuring (Zhengsheng refers to repetitive speech). If a patient has fixed gaze, delirium, and wheezing/fullness, death ensues; similarly, if diarrhea occurs, death ensues.
Furthermore, in Shanghan on the fourth or fifth day, if the pulse is deep with wheezing and fullness, a deep pulse indicates an interior condition. If sweating-inducing methods are incorrectly used, fluids escape, making defecation difficult. This results in exterior deficiency and interior excess, leading to delirium over time.
Chengqi Tang Formula.
Zhishi (Immature Bitter Orange Fruit, aged, 5 pieces, roasted), Dahuang (Rhubarb Root, 4 liang), Mangxiao (Mirabilite, 3 he), Houpo (Magnolia Bark, 0.5 jin).
Cut the above four herbs. Decoct in 1 dou of water. First boil Zhishi and Houpo to obtain 5 sheng of liquid. Add Dahuang and boil to obtain 2 sheng. Strain out dregs, add Mangxiao, and boil briefly over low heat for one or two boils. Divide into two warm doses. If bowel movement occurs, do not consume the remainder.
Xiao Chengqi Tang Formula.
Dahuang (Rhubarb Root, 4 liang), Houpo (Magnolia Bark, 2 liang, roasted), Zhishi (Immature Bitter Orange Fruit, large, 3 pieces, roasted).
Cut the above three herbs. Decoct in 4 sheng of water to obtain 1.2 sheng. Strain out dregs. Divide into two warm doses. If one dose results in bowel movement and cessation of delirium, do not take further.
Didang Wan Formula.
Shuizhi (Leech, 20 pieces, processed), Taoren (Peach Seed, 20 pieces, skin and tip removed), Mengchong (Dragonfly Larva, 20 pieces, legs and wings removed, processed), Dahuang (Rhubarb Root, 3 liang).
Powder the above four herbs, sift, and mix. Divide into four pills. Decoct one pill in 1 sheng of water to obtain 0.7 sheng. Take all at once. Blood should be discharged at this time; if not, continue taking it until blood discharge occurs, which indicates efficacy.
Didang Tang Formula.
Shuizhi (Leech, 30 pieces, processed), Taoren (Peach Seed, 20 pieces, skin removed), Mengchong (Dragonfly Larva, 30 pieces, legs and wings removed, processed), Dahuang (Rhubarb Root, 3 liang).
Cut the above four herbs. Decoct in 5 sheng of water to obtain 3 sheng. Divide into three doses. If no effect, take another dose.
Formula for Treating Shanghan with Headache, High Fever, and Whole-Body Joint Pain.
Chaihu (Bupleuri Radix), Shaoyao (Paeoniae Radix), Zhizi Ren (Gardeniae Semen, each 4 liang), Zhimu (Anemarrhenae Rhizoma, 4 liang), Xiangchi (Fermented Soybean, 1 sheng, wrapped in silk), Shigao (Gypsum Fibrosum, 8 liang, crushed), Huangqin (Scutellariae Radix).
Cut the above ten herbs. Decoct in 9 sheng of water to obtain 2.7 sheng. Divide into three doses. If heat is severe, add Dahuang (4 liang). (All formulas cited from Volume 10).