崔氏疗伤寒始得一二日方。
便可灸顶三壮，又灸大椎三壮，各加至五壮益良，用之验，大椎，平肩斜齐高硕者是也
，仍不得侵项，分取之则非也，上接项骨，下肩齐在椎骨节上，是余穴尽在节下，凡灸刺不
得，失之毫厘，今崔氏不定高下，是以言之。（出黄帝针灸经）
又疗伤寒一日至三日，可发汗，度瘴散方。
麻黄（十分去节） 桔梗 蜀椒（汗） 细辛 白术 吴茱萸 防风（各四分） 乌头
（炮）
干姜 桂心（各五分）
上十味，捣筛为散，温酒服方寸匕，温覆取汗，或数服得汗即止，若得病一二日而轻者
，服此药皆得汗解，若得便重者，颇不能解也，然可以二大豆许着鼻孔中，觉燥涕出，一日
可三四着，必愈，兼辟天行病，忌猪肉生葱生菜桃李雀肉等。
又疗伤寒敕色恶寒，发热体疼发汗，神丹丸方。
人参（五分） 乌头（四分炮） 半夏（洗五分） 茯苓（五分） 朱砂（一分研） 附
子（四分
炮）
上六味，捣为末，蜜和丸如大豆，每服三丸，生姜汤下，发汗出，令体中 然，如汗
未出，更以热粥投之，令汗出，若汗少不解，复如前法，若得汗足不解，当服桂枝汤，此药
多毒，饮水解其热愈，周护军子期自说天行用之甚良，故记之，忌猪羊肉大酢生血等物。（删
繁
又疗伤寒服度瘴散而不汗出者，便作葱鼓汤方。
葱（十四茎） 豉（一升绵裹）
上二味，以水三升，煮取一升顿服，温暖覆取汗出，胜度瘴散也。（与前肘后方重）
又疗伤寒服葱豉汤不得汗，可服葛根汤方。
葱白（十四茎） 豉（一升绵裹） 葛根（三两切）
上三味，以水五升，煮取二升，分为再服，温覆取汗，汗不出更服，余时用此，一服辄
汗，略不再服，救数十人甚效。
又疗伤寒，前军府直吏周虎服葛根汤，再服不得汗，余更视之，甚恶寒而拘急，更思作
麻黄汤以解之方。
麻黄（二两去节） 葛根（三两） 葱白（十四茎） 豉（一升绵裹）
上四味切，以水七升，煮取二升半，分三服，虎再服快汗愈，其疹与周虎相似者，服之
皆汗，十余人瘥。
又疗伤寒，阮何南蒸法。
薪火烧地良久，扫除去火，可以水小洒，取蚕砂，若桃叶桑柏叶诸禾糠及麦 皆可取用
，易得者，牛马粪亦可用，但臭耳，桃叶欲落时，可益收取干之，以此等物着火处，令浓二
三寸，布席卧上温覆，用此发汗，汗皆出，若过热当细审消息大热者可重席，汗出周身辄便
止
又疗伤寒三五日，疑有黄，则宜服此油方。
取生乌麻清油一盏，水半盏，以鸡子白一枚和之，熟搅令相得，作一服令尽。
又小前胡汤，疗伤寒六七日不解，寒热往来，胸胁苦满，默默不欲饮食，心烦喜呕，寒
疝腹痛方。（胡治云出张仲景）
前胡（八两） 半夏（半升洗） 生姜（五两） 黄芩 人参 甘草（炙各三两） 干
枣（十一
枚擘）
上七味切，以水一斗，煮取三升，分四服，忌羊肉饧海藻菘菜。（古今录验同，仲景方
用柴胡不用前胡今详此方治寒疝腹痛恐性凉耳合用仲景柴胡桂姜汤今崔氏用之未知其可也）
又疗伤寒或始得至七八日不大便，或四五日后不大便，或下后秘塞者，承气汤方。
浓朴（炙） 大黄（各三两） 枳实（六片炙）
上三味切，以水五升，煮取二升，体强者服一升，羸者服七合，得下必效止。（范汪同）
又若胃中有燥粪，令人错语，正热盛亦令人错语，若秘而错语者，宜服承气汤，通利而
错语者，宜服下四味黄连除热汤，承气汤旧用芒硝，余以有毒故去之，用之数年，安稳得下
良，既服汤亦应外用生姜兑，（读作锐下同）使必去燥粪，若服汤兼兑而并不得下者，可依
本
方加芒硝一两。
又姜兑法
削生姜如小指，长二寸，盐涂之，纳下部中，立通。
又方
以猪胆灌下部，用亦立通。（张仲景伤寒论云猪胆和法醋少许灌谷道中）
又前军督护刘车者，得时疾三日已汗解，因饮酒复剧，苦烦闷干呕，口燥呻吟，错语不
得卧，余思作此黄连解毒汤方。
黄连（三两） 黄芩 黄柏（各二两） 栀子（十四枚擘）
上四味切，以水六升，煮取二升，分二服，一服目明，再服进粥，于此渐瘥，余以疗凡
大热盛烦呕呻吟错语不得眠，皆佳，传语诸人，用之亦效，此直解热毒，除酷热，不必饮酒
剧者，此汤疗五日中神效。忌猪肉冷水。
又大前胡汤，疗伤寒八九日不解，心腹坚满，身体疼痛，内外有热，烦呕不安方。（胡
洽云出张仲景）
前胡（半斤） 半夏（半升洗） 生姜（五两） 枳实（八片炙） 芍药（四两） 黄
芩（三两）
干枣（十二枚擘）
上七味切，以水一斗，煮取三升，分四服，日三夜一服。忌羊肉饧等物。（古今录验同
，张仲景用柴胡不用前胡本云加大黄二两不加大黄恐不名大柴胡汤）
又凡少阴病寒多表无热，但苦烦愦，默默而极不欲见光，有时腹痛，其脉沉细而不喜渴
，经日不瘥，旧用四顺汤，余怪其热，不甚用也，若少阴病下利而体犹有热者，可服黄连龙
骨汤，若已十余日而下利不止，手足彻冷，及无热候者可服增损四顺汤方。（黄连龙骨汤见
第三
甘草（二两炙） 人参（二两） 龙骨（二两） 黄连 干姜（各二两） 附子（中形
者一枚
炮去黑皮）
上六味切，以水六升，煮取二升，分再服，不瘥复作，甚良，若下而腹痛，加当归二
两，呕者加橘皮一两。忌海藻菘菜猪肉冷水。
又疗少阴病二十日后下不止，可服陟厘丸，浩京方。
陟厘（四两不用咸者） 当归（四两） 汉防己（三两） 黄连（三两） 紫石英（别
捣末细
研二两） 豉（三升） 浓朴（二两炙） 苦酒（五升）
上八味切，以二升苦酒渍防己一宿，出切炙之燥，复纳苦酒中尽止，又以三升苦酒渍豉
一宿，小蒸之，研绞取汁，捣下筛诸药，以酒豉汁，和之丸如梧桐子大，冷浆水服二十丸，
丸极燥，乃可服之，忌猪肉冷水。（并出第一卷中）
Cui's Formula for Treating Cold Damage in the First One or Two Days.
Moxibustion can be immediately applied to the vertex (Baihui, GV20) with three moxa cones, and then to Dazhui (GV14) with three moxa cones; increasing each to five cones is beneficial. This method has been verified as effective. Dazhui (GV14) is the prominent vertebra level with the shoulders and sloping upward. Care must be taken not to invade the neck; if the location is incorrect, it is wrong. It connects above to the cervical bones and aligns below with the shoulders, situated on the vertebral segments. All other acupoints are located below the segments. In moxibustion and acupuncture, a deviation of a hair's breadth leads to a significant error. Since Cui does not specify exact vertical levels, this explanation is provided. (Excerpted from *Huangdi Zhenjiu Jing*)
Another formula for treating cold damage from one to three days, employing sweating therapy: Du Zhang San (Miasma-Dispersing Powder).
Ephedrae Herba (Mahuang, 麻黄) - 10 fen, nodes removed; Platycodonis Radix (Jiegeng, 桔梗); Zanthoxyli Fructus (Shujiao, 蜀椒) - perspired; Asari Radix et Rhizoma (Xixin, 细辛); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Evodiae Fructus (Wuzhuyu, 吴茱萸); Saposhnikoviae Radix (Fangfeng, 防风) - each 4 fen; Aconiti Lateralis Radix Preparata (Wutou, 乌头) - processed; Zingiberis Rhizoma (Ganjiang, 干姜); Cinnamomi Ramulus (Guixin, 桂心) - each 5 fen.
The above ten ingredients are pounded and sifted into a powder. Take one cun-bi (a measure of volume) with warm wine. Cover warmly to induce sweating. If sweating occurs after several doses, stop administration. For mild cases occurring within one or two days, sweating will resolve the condition. For severe cases, resolution is difficult. However, placing approximately two soybean-sized amounts of the powder into the nostrils may induce dryness and rhinorrhea; applying this three to four times daily will surely cure the disease. It also wards off epidemic pathogens. Avoid pork, raw green onions, raw vegetables, peaches, plums, and sparrow meat.
Another formula for treating cold damage characterized by dark complexion, aversion to cold, fever, body pain, requiring sweating: Shendan Wan (Divine Elixir Pill).
Panax Ginseng Radix et Rhizoma (Renshen, 人参) - 5 fen; Aconiti Lateralis Radix Preparata (Wutou, 乌头) - 4 fen, processed; Pinelliae Tuber (Banxia, 半夏) - washed, 5 fen; Poria (Fuling, 茯苓) - 5 fen; Cinnabaris (Zhusha, 朱砂) - 1 fen, ground; Aconiti Lateralis Radix Preparata (Fuzi, 附子) - 4 fen, processed.
The above six ingredients are pounded into powder and mixed with honey to form pills the size of soybeans. Take three pills per dose with ginger decoction to induce sweating, keeping the body slightly moist. If sweating does not occur, administer hot rice gruel to promote sweating. If sweating is insufficient and the disease persists, repeat the previous method. If sufficient sweating occurs but the disease persists, administer Guizhi Tang (Cinnamon Twig Decoction). This medicine is toxic; drinking water helps alleviate its heat and side effects. Zhou Hu Jun's son, Zhou Qi, reported that this formula is very effective for epidemic diseases, so it is recorded here. Avoid pork, mutton, vinegar, and raw blood products.
For cold damage where Du Zhang San fails to induce sweating, prepare Cong Chi Tang (Scallion and Fermented Soybean Decoction).
Allii Fistulosi Bulbus (Congbai, 葱白) - 14 stems; Glycines Soja Semen Praeparatum (Chidouchi, 淡豆豉) - 1 sheng, wrapped in silk.
Boil the above two ingredients in 3 sheng of water until 1 sheng remains. Take once. Cover warmly to induce sweating. This is superior to Du Zhang San. (Repeats content from *Zhouhou Beiji Fang*)
For cold damage where Cong Chi Tang fails to induce sweating, take Gegen Tang (Kudzu Decoction).
Allii Fistulosi Bulbus (Congbai, 葱白) - 14 stems; Glycines Soja Semen Praeparatum (Chidouchi, 淡豆豉) - 1 sheng, wrapped in silk; Puerariae Lobatae Radix (Gegen, 葛根) - 3 liang, sliced.
Boil the above three ingredients in 5 sheng of water until 2 sheng remain. Divide into two doses. Cover warmly to induce sweating. If no sweat, take again. I have used this frequently; usually, one dose induces sweating, rarely requiring a second dose. It was highly effective in saving dozens of people.
For cold damage, Zhou Hu, an official in the former army headquarters, took Gegen Tang twice without sweating. Upon re-examination, he exhibited severe aversion to cold and stiffness. I reconsidered and formulated Mahuang Tang (Ephedra Decoction) to resolve the exterior.
Ephedrae Herba (Mahuang, 麻黄) - 2 liang, nodes removed; Puerariae Lobatae Radix (Gegen, 葛根) - 3 liang; Allii Fistulosi Bulbus (Congbai, 葱白) - 14 stems; Glycines Soja Semen Praeparatum (Chidouchi, 淡豆豉) - 1 sheng, wrapped in silk.
Sliced the above four ingredients, boiled in 7 sheng of water until 2.5 sheng remain. Divide into three doses. Zhou Hu took it again, sweated profusely, and recovered. Patients with similar symptoms to Zhou Hu all sweated and recovered after taking this; over ten patients were cured.
Regarding cold damage, Ruan Henan's steaming method.
Burn firewood to heat the ground for a long time, sweep away the ashes, and sprinkle lightly with water. Use mulberry silkworm feces (Can Sha, 蚕砂), or peach leaves, mulberry leaves, cypress leaves, various grain chaff, and wheat bran. Cow or horse manure can also be used, though odorous. Collect peach leaves just before they fall and dry them. Place these materials on the heated ground to a thickness of 2-3 cun. Lie on a mat placed over them, cover warmly, and use this method to induce sweating. Sweat will emerge. If too hot, adjust carefully; for excessive heat, use double mats. Stop when sweating covers the whole body.
For cold damage lasting three to five days, suspecting jaundice, use this oil formula.
Take one zhan of fresh sesame oil, half a zhan of water, and mix with one egg white. Stir thoroughly until combined. Take all at once.
Xiao Qianhu Tang (Minor Peucedanum Decoction) for cold damage unresolved after six or seven days, with alternating chills and fever, fullness and distress in the chest and hypochondrium, silence, lack of appetite, irritability, frequent vomiting, and abdominal pain due to cold colic. (Hu Zhiyun states this originates from Zhang Zhongjing.)
Peucedani Radix (Qianhu, 前胡) - 8 liang; Pinelliae Tuber (Banxia, 半夏) - half sheng, washed; Zingiberis Rhizoma Recens (Shengjiang, 生姜) - 5 liang; Scutellariae Radix (Huangqin, 黄芩); Panax Ginseng Radix et Rhizoma (Renshen, 人参); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - roasted, each 3 liang; Jujubae Fructus (Dazao, 大枣) - 11 pieces, split.
Slice the above seven ingredients, boil in 1 dou of water until 3 sheng remain. Divide into four doses. Avoid mutton, maltose, kelp, and Chinese cabbage. (*Gujin Luyan* agrees. Zhang Zhongjing uses Chaihu instead of Qianhu. Analyzing this formula for cold colic, the properties might be too cool. Combining with Zhang Zhongjing's Chaihu Guijiang Tang... Cui's usage is uncertain.)
For cold damage presenting with constipation from onset to seven or eight days, or four to five days later, or constipation following purgation: Chengqi Tang (Order the Qi Decoction).
Magnoliae Officinalis Cortex (Houpo, 厚朴) - roasted; Rheae Radix et Rhizoma (Dahuang, 大黄) - each 3 liang; Aurantii Fructus Immaturus (Zhishi, 枳实) - 6 slices, roasted.
Slice the above three ingredients, boil in 5 sheng of water until 2 sheng remain. Robust patients take 1 sheng; frail patients take 7 ge. Stop when bowel movement occurs. (Fan Wang agrees.)
If there is dry stool in the stomach causing delirious speech, or excess heat causing delirium: for constipation with delirium, take Chengqi Tang; for open bowels with delirium, take the Four-Ingredient Coptis Heat-Removing Decoction. Old Chengqi Tang formulas use Mangxiao (Natrii Sulfas), but I removed it due to toxicity concerns. After years of use, it is safe and effective. When taking the decoction, also apply external Ginger Suishui (Ginger Juice Enema) to ensure expulsion of dry stool. If both internal decoction and external enema fail to produce bowel movement, add 1 liang of Mangxiao to the original formula.
Method for Ginger Suishui (Ginger Juice Enema):
Shape fresh ginger like a small finger, 2 cun long, coat with salt, and insert into the lower anus. Immediate relief follows.
Another method:
Use pig bile enema. Immediate relief follows. (Zhang Zhongjing's *Shanghan Lun* states: Mix pig bile with a little vinegar and instill into the rectum.)
Liu Che, a military supervisor, contracted an epidemic disease. After three days, sweating resolved the initial stage, but relapse occurred due to alcohol consumption. He suffered from severe restlessness, dry retching, dry mouth, groaning, delirium, and inability to lie down. I formulated Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity).
Coptidis Rhizoma (Huanglian, 黄连) - 3 liang; Scutellariae Radix (Huangqin, 黄芩); Phellodendri Cortex (Huangbai, 黄柏) - each 2 liang; Gardeniae Fructus (Zhizi, 栀子) - 14 pieces, split.
Slice the above four ingredients, boil in 6 sheng of water until 2 sheng remain. Divide into two doses. Vision clears after the first dose; consume rice gruel after the second dose. Gradual recovery ensues. I use this for high fever, restlessness, vomiting, groaning, delirium, and insomnia. It is excellent. Tell others it is effective. This formula directly resolves heat toxicity and extreme heat. It is highly effective within five days. Avoid pork and cold water.
Da Qianhu Tang (Greater Peucedanum Decoction) for cold damage unresolved after eight or nine days, with hard and full epigastrium/abdomen, body pain, internal and external heat, restlessness, and vomiting. (Hu Qia states this originates from Zhang Zhongjing.)
Peucedani Radix (Qianhu, 前胡) - half jin; Pinelliae Tuber (Banxia, 半夏) - half sheng, washed; Zingiberis Rhizoma Recens (Shengjiang, 生姜) - 5 liang; Aurantii Fructus Immaturus (Zhishi, 枳实) - 8 slices, roasted; Paeoniae Radix Alba (Shaoyao, 芍药) - 4 liang; Scutellariae Radix (Huangqin, 黄芩) - 3 liang; Jujubae Fructus (Dazao, 大枣) - 12 pieces, split.
Slice the above seven ingredients, boil in 1 dou of water until 3 sheng remain. Divide into four doses. Take three times during the day and once at night. Avoid mutton and maltose. (*Gujin Luyan* agrees. Zhang Zhongjing uses Chaihu instead of Qianhu. Originally stated to add 2 liang of Dahuang; without Dahuang, it is not named Da Chaihu Tang.)
For Shaoyin disease with much cold, no surface heat, only distress and restlessness, silence, extreme aversion to light, occasional abdominal pain, deep and fine pulse, and no thirst, which does not resolve after several days: The old formula Si Shun Tang is too hot, so I rarely use it. If Shaoyin disease involves diarrhea with residual body heat, take Huanglong Guke Tang (Coptis and Dragon Bone Decoction). If diarrhea persists for over ten days with cold extremities penetrating to the hands and feet, and no signs of heat, take Zengsun Si Shun Tang (Modified Si Shun Decoction). (Huanglong Guke Tang is seen in Volume 3.)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - 2 liang, roasted; Panax Ginseng Radix et Rhizoma (Renshen, 人参) - 2 liang; Os Draconis (Longgu, 龙骨) - 2 liang; Coptidis Rhizoma (Huanglian, 黄连); Zingiberis Rhizoma (Ganjiang, 干姜) - each 2 liang; Aconiti Lateralis Radix Preparata (Fuzi, 附子) - one medium piece, processed, black skin removed.
Slice the above six ingredients, boil in 6 sheng of water until 2 sheng remain. Divide into two doses. Repeat if ineffective; it is very good. Add Danggui (Angelica Sinensis Radix) 2 liang for abdominal pain after diarrhea; add Chenpi (Citri Reticulatae Pericarpium) 1 liang for vomiting. Avoid kelp, Chinese cabbage, pork, and cold water.
For Shaoyin disease with persistent diarrhea after twenty days, take Zhili Wan (Zhili Pills), a formula from Hao Jing.
Zhili (Zhili, 陟厘) - 4 liang, non-salty variety; Dang Gui (Danggui, 当归) - 4 liang; Stephaniae Tetrandrae Radix (Hanfangji, 汉防己) - 3 liang; Coptidis Rhizoma (Huanglian, 黄连) - 3 liang; Fluminis Mineralis (Zhi Shiyingshi, 紫石英) - ground fine, 2 liang; Glycines Soja Semen Praeparatum (Chidouchi, 淡豆豉) - 3 sheng; Magnoliae Officinalis Cortex (Houpo, 厚朴) - 2 liang, roasted; Acetum (Ku Jiu, 苦酒/Vinegar) - 5 sheng.
Slice the above eight ingredients. Soak Hanfangji in 2 sheng of Ku Jiu overnight, remove, slice, roast until dry, then return to the vinegar until fully absorbed. Soak Chidouchi in 3 sheng of Ku Jiu overnight, steam slightly, grind, and squeeze out the juice. Pound the remaining drugs, sift, and mix with the vinegar and bean juice to form pills the size of wutong seeds. Take 20 pills with cold jiangshui (fermented rice liquid). The pills are very dry and suitable for storage. Avoid pork and cold water. (All from Volume 1.)