夫两感伤寒者。一日巨阳与少阴俱病。则头痛口干。烦满而渴。二日阳明与太阴俱病。
则腹
逆。
水
争。
人。
痛。
深。
治两感伤寒。一两日不得汗。脉沉迟。心中烦闷。毒瓦斯相传。阴阳交并。宜服人
参散方
人参（一两去芦头） 附子（三分炮裂去皮脐） 干姜（三分炮裂锉） 川大黄（一两
锉碎微
炒） 槟榔（半两） 诃黎勒皮（三分）
上件药。粗罗为散。每服五钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
热服。良久。吃热粥投之。以助药力。
治两感伤寒。头痛身热。心胸闷乱。宜服发表桂心散方。
桂心 前胡（去芦头） 甘草（炙微赤锉） 皂荚灰 浓朴（去粗皮涂生姜汁炙令香熟）
（以
上各一两）
上件药。捣细罗为散。每服。不计时候。以生姜汤调下二钱。频服。以汗出为度。
治两感伤寒。毒瓦斯传受。阴阳交并。宜服解表散方。
附子（一两炮裂去皮脐） 麻黄（一两去根节） 干姜（半两炮裂锉） 薄荷（一分）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。热服。衣
盖出汗。
治两感伤寒。阴阳二毒交并。身体手足厥逆。心中热闷。强语。三部脉微细。宜
急救之
干姜（三分炮裂锉） 附子（一两炮裂去皮脐） 桂心（一两） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候热服。良久
。吃热粥以助药力。汗出为度。
治两感伤寒。遍身疼痛。脑目疼闷。心胸烦热。四肢沉重。宜服附子散方。
附子（二两炮裂去皮脐） 桔梗〔半（一）两去芦头〕 防风（一两去芦头） 桂心（一
两）
羌活（
两去粗皮
涂生姜
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候热服。良久。
吃热粥投之。衣盖取汗。
治两感伤寒。不得汗。头痛。心胸不利。宜服此方。
人参（去芦头） 赤茯苓 芎 枳壳（麸炒微黄去瓤） 浓朴（去粗皮涂生姜汁炙令
香熟）
桂心（以上各半两） 诃黎勒皮（三分） 吴茱萸（一分汤浸七遍焙干微炒）
上件药。捣细罗为散。每服三钱。以水一中盏。入生姜半分。枣二枚。煎至五分。去姜
枣。不计时候。和滓稍热服。良久。吃热粥投之。衣盖取汗。
治两感伤寒。内实。气逆不顺。皮肉干燥。宜服麻黄散方。
麻黄（一两去根节） 桂心（半两） 羌活（半两） 赤芍药（半两） 桔梗（半两去
芦头） 川
大黄（一两锉碎微炒） 诃黎勒（一两用皮） 甘草（三分炙微赤锉） 麦 （一两炒令微
黄）
上件药。捣细罗为散。每服二钱。以水一小盏。煎至五分。不计时候。和滓温服。
治两感伤寒。三日不得汗。闷乱目张。四肢逆冷。心腹坚硬。大小便不通方。
牵牛子（二两生捣取末一两） 干姜（一分炮裂锉） 川大黄（半两锉碎微炒） 蓬莪
术（一
分） 桂心（一分）
上件药。捣细罗为散。入牵牛子末。同研令匀。每服用水一中盏。生姜半分。葱白三茎
。豉四十九粒。煎至六分。去滓。调下二钱。取利为度。
治两感伤寒。沉重。救急有效。宜预合此方。
硫黄（五两细研水飞过） 硝石（五两细研如粉） 皂荚（十梃不 者去黑皮涂酥炙令
黄焦
去子
上件。先将皂荚捶碎。用十二月雪水一胜。浸两日。熟 。以生绢滤取汁。和前件硫黄
硝石
日至
时候
治两感伤寒。四肢厥冷。急宜服此方。
附子（半两烧令半黑） 芫花（半两醋拌炒令黄黑色） 皂荚（半两去黑皮涂酥炙黄焦
去子）
上件药。捣罗为末。用豉心一合。汤浸细研如膏。入药末和丸。如梧桐子大。每服。不
计时候。用去根节麻黄。煎汤下十丸。如人行五里一服。以汗出为度。
治两感伤寒。昏沉迷闷躁渴。头痛渐加沉重。三圣散方。
天灵盖（一枚白色者涂酥炙令黄） 苦参（三两） 甘草（一两炙微赤锉）
上件药。捣细罗为散。不计时候。以热酒下一钱。
Lianggan Shanghan (Two-Channel Cold Damage) refers to the simultaneous pathogenic invasion of the Taiyang and Shaoyin channels. On the first day, when Juyang (Foot-Taiyang Bladder Channel) and Shaoyin (Foot-Shaoyin Kidney Channel) are simultaneously affected, symptoms include headache, dry mouth, mental restlessness with fullness, and thirst. On the second day, when Yangming (Foot-Yangming Stomach Channel) and Taiyin (Foot-Taiyin Spleen Channel) are simultaneously affected, symptoms include abdominal distension, rebellious Qi, watery diarrhea, and body pain.
For treating Lianggan Shanghan (Two-Channel Cold Damage), if there is no sweating within one or two days, the pulse is deep and slow, the heart feels restless, toxic pathogens transmit mutually, and Yin and Yang energies intersect and combine, it is suitable to take Renshen San (Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head), Fuzi (Prepared Aconiti Lateralis Radix, 3 fen, process until cracked, remove skin and umbilicus), Ganjiang (Dried Zingiberis Rhizoma, 3 fen, process until cracked, chop), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, chop, stir-fry slightly), Binglang (Arecae Semen, 0.5 liang), Helilepi (Pericarpium Terminaliae Chebulae, 3 fen).
The above herbs are coarsely sifted into a powder. Take 5 qian per dose, add 1 zhong of water and 0.5 fen of Shengjiang (Fresh Zingiberis Rhizoma), decoct until 0.6 zhong remains, strain, and take hot without regard to time. After some time, drink hot congee to assist the medicinal power.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with headache, feverish body, and chest/heart oppression and confusion, it is suitable to take Fabiao Guixin San (Dispersing-Exterior Cinnamon Heart Powder).
Guixin (Cortex Cinnamomi, Qianhu (Peucedani Radix, remove rhizome head), Gancao (Licorice Root, honey-fried until slightly red, chop), Zaojia Hui (Ash of Gleditsiae Sinensis Fructus), Nongpo (Magnolia Bark, remove rough bark, coat with ginger juice, fry until fragrant). (Each 1 liang).
The above herbs are finely ground and sifted into a powder. Take 2 qian per dose, mixed with Shengjiang Tang (Ginger Decoction), without regard to time, take frequently, stopping when sweating occurs.
For treating Lianggan Shanghan (Two-Channel Cold Damage) where toxic pathogens transmit and Yin and Yang energies intersect and combine, it is suitable to take Jiabiao San (Release-Exterior Powder).
Fuzi (Prepared Aconiti Lateralis Radix, 1 liang, process until cracked, remove skin and umbilicus), Mahuang (Ephedrae Herba, 1 liang, remove roots and joints), Ganjiang (Dried Zingiberis Rhizoma, 0.5 liang, process until cracked, chop), Bohe (Menthae Haplocalycis Herba, 1 fen).
The above herbs are coarsely ground and sifted into a powder. Take 5 qian per dose, add 1 da zhong of water, decoct until 0.5 zhong remains, strain, and take hot without regard to time. Cover with clothing to induce sweating.
For treating Lianggan Shanghan (Two-Channel Cold Damage) where Yin and Yang dual toxins intersect and combine, resulting in cold extremities, internal heat and oppression, delirious speech, and faint/thin pulses in the three positions, urgent rescue is required.
Ganjiang (Dried Zingiberis Rhizoma, 3 fen, process until cracked, chop), Fuzi (Prepared Aconiti Lateralis Radix, 1 liang, process until cracked, remove skin and umbilicus), Guixin (Cortex Cinnamomi, 1 liang), Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red, chop).
The above herbs are coarsely ground and sifted into a powder. Take 5 qian per dose, add 1 da zhong of water, decoct until 0.5 zhong remains, strain, and take hot without regard to time. After some time, drink hot congee to assist the medicinal power, stopping when sweating occurs.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with generalized body pain, headache and eye heaviness/pain, chest/heart irritability and heat, and heavy limbs, it is suitable to take Fuzi San (Aconite Powder).
Fuzi (Prepared Aconiti Lateralis Radix, 2 liang, process until cracked, remove skin and umbilicus), Jiegeng (Platycodonis Radix, 1 liang, remove rhizome head), Fangfeng (Saposhnikoviae Radix, 1 liang, remove rhizome head), Guixin (Cortex Cinnamomi, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang, remove rough bark, coat with ginger juice, fry).
The above herbs are pounded and sifted into a powder. Take 5 qian per dose, add 1 da zhong of water, decoct until 0.5 zhong remains, strain, and take hot without regard to time. After some time, drink hot congee to assist the medicinal power, cover with clothing to induce sweating.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with anhidrosis, headache, and chest/heart obstruction, this formula is suitable.
Renshen (Ginseng Radix et Rhizoma, remove rhizome head), Chi Fuling (Poria with Red Wood, Xiongqiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus, bran-fried until slightly yellow, remove pith), Nongpo (Magnolia Bark, remove rough bark, coat with ginger juice, fry until fragrant), Guixin (Cortex Cinnamomi, each 0.5 liang), Helilepi (Pericarpium Terminaliae Chebulae, 3 fen), Wuzhuyu (Evodiae Fructus, 1 fen, soak in boiling water seven times, bake dry, stir-fry slightly).
The above herbs are finely ground and sifted into a powder. Take 3 qian per dose, add 1 zhong of water, 0.5 fen of Shengjiang (Fresh Zingiberis Rhizoma), and 2 dates, decoct until 0.5 zhong remains, remove ginger and dates, and take the dregs and liquid slightly warm without regard to time. After some time, drink hot congee to assist the medicinal power, cover with clothing to induce sweating.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with interior excess, rebellious Qi, dry skin and flesh, it is suitable to take Mahuang San (Ephedra Powder).
Mahuang (Ephedrae Herba, 1 liang, remove roots and joints), Guixin (Cortex Cinnamomi, 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, 0.5 liang), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, remove rhizome head), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, chop, stir-fry slightly), Helile (Terminalia Chebula Retz., 1 liang, use peel), Gancao (Licorice Root, 3 fen, honey-fried until slightly red, chop), Maidong (Ophiopogonis Radix, 1 liang, stir-fry until slightly yellow).
The above herbs are finely ground and sifted into a powder. Take 2 qian per dose, add 1 xiao zhong of water, decoct until 0.5 zhong remains, and take the dregs and liquid warm without regard to time.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with three days of anhidrosis, mental confusion, staring eyes, cold extremities, hard epigastrium and abdomen, and obstruction of urination and defecation.
Qianniuzi (Pharbitidis Semen, 2 liang, raw pounded to obtain 1 liang of powder), Ganjiang (Dried Zingiberis Rhizoma, 1 fen, process until cracked, chop), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, chop, stir-fry slightly), Peng Ezhu (Curcumae Longae Rhizoma, 1 fen), Guixin (Cortex Cinnamomi, 1 fen).
The above herbs are finely ground and sifted into a powder, mixed with Qianniuzi powder, and ground evenly. For each dose, use 1 zhong of water, 0.5 fen of Shengjiang (Fresh Zingiberis Rhizoma), 3 stalks of Congbai (Scallion White), and 49 grains of Chi Dou (Fermented Soybean), decoct until 0.6 zhong remains, strain, and mix with 2 qian of powder. Stop when bowel movement occurs.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with heavy body sensation, effective for emergency rescue, prepare this formula in advance.
Liuhuang (Sulfur, 5 liang, finely ground, water-floted), Xiaoshi (Natrii Sulfas, 5 liang, finely ground like powder), Zaojia (Gleditsiae Sinensis Fructus, 10 pods, non-borer ones, remove black skin, coat with lard, fry until yellow and scorched, remove seeds).
The above herbs: First crush the Zaojia (Gleditsiae Sinensis Fructus), soak in 1 sheng of snow water from the twelfth lunar month for two days, cook until soft. Filter the juice through raw silk, mix with the Liuhuang (Sulfur) and Xiaoshi (Natrii Sulfas), stir several times daily until uniform. Take without regard to time.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with cold extremities, take this formula urgently.
Fuzi (Prepared Aconiti Lateralis Radix, 0.5 liang, burn until half-black), Yuanhua (Genkwa Flos, 0.5 liang, stir-fry with vinegar until yellow-black), Zaojia (Gleditsiae Sinensis Fructus, 0.5 liang, remove black skin, coat with lard, fry until yellow and scorched, remove seeds).
The above herbs are pounded and sifted into powder. Use 1 he of Chixi (Core of Fermented Soybean), soak in water, grind finely into a paste, mix with the herb powder, and form pills the size of Sophora japonica seeds. Take 10 pills per dose, without regard to time, washed down with Mahuang (Ephedrae Herba) decoction (roots and joints removed). Take every distance equivalent to walking five li, stopping when sweating occurs.
For treating Lianggan Shanghan (Two-Channel Cold Damage) with coma, confusion, agitation, thirst, and progressively worsening severe headache, use Sansheng San (Three Saints Powder).
Tianlinggai (Calvaria Humana, 1 piece, white one, coat with lard, fry until yellow), Kushen (Sophorae Flavescentis Radix, 3 liang), Gancao (Licorice Root, 1 liang, honey-fried until slightly red, chop).
The above herbs are finely ground and sifted into a powder. Take 1 qian per dose with hot wine, without regard to time.