夫伤寒九日以上。病不除者。或初一经受病。即不能相传。或已传三阳讫。而不能传于
阴。
故日
治伤寒九日不解。心腹坚满。身体疼痛。内外有热。烦呕不安。宜服前胡汤方。
前胡（一两去芦头） 半夏（一两汤洗七遍去滑） 白术（一两） 枳实（一两麸炒微
黄） 赤
芍药（一两） 黄芩（一两） 甘草（半两炙微赤锉） 浓朴（一两去粗皮涂生姜汁炙令香
熟）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候温服。
治伤寒病九日。曾经发汗吐下未解。三焦生热。其脉滑数。昏愦沉重。欲入百合
状证。
石膏（三两） 黄连（一两去须） 黄柏（一两） 黄芩（一两） 豉（二两） 栀子
仁（一两）
麻黄（一两去根节） 川大黄（二两锉碎微炒） 甘草（一两炙微赤锉）
上件药。细锉和匀。每服半两。以水一大盏。入生姜半分。煎至六分。去滓。不计时候
温服。如人行十里再服。以微利为度。
治伤寒九日。下之后。胸膈烦满。小便不利。谵语。一身不可转侧。宜服赤茯苓
汤方。
赤茯苓（二两） 柴胡（二两去苗） 黄芩（一两） 龙骨〔二（一）两〕 川大黄（三
两锉碎
微炒）
白瓤焙）
半夏
上件药。捣粗罗为散。每服四钱。以水一大盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候温服。
治伤寒九日。心肺热。气急。喉中有脓血。宜服犀角散方。
犀角屑（一两） 柴胡（一两去苗） 青竹茹（一两） 桔梗（一两半去芦头） 川大
黄（一两
半锉碎微炒） 麦门冬（一两半去心）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。下芒硝末一钱。搅令匀
。不计时候温服。
治伤寒九日。心中满闷。腹胀喘急。宜服槟榔散方。
槟榔（半两） 诃黎勒皮（半两） 陈橘皮（半两汤浸去白瓤焙） 甘草（半两炙微赤
锉） 桑
根白皮（三分锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。葱白一茎。煎至五分。去滓
。不计时候温服。
治伤寒九日不解。往来寒热。状如温疟。胸膈满闷。时有痰逆不止。半夏散方。
半夏（二两汤洗七遍去滑） 葛根（一两锉） 白术（一两） 人参（一两去芦头） 柴
胡（二
两去
两）
甘
上件药。捣粗罗为散。每服四钱。以水一中盏。入枣三枚。生姜半分。煎至六分。去滓
。不计时候温服。
治伤寒九日不解。胸胁满逆。日晚即潮热。此由失下。内实故也。宜服芒硝散方。
川芒硝（二两） 前胡（一两去芦头） 枇杷叶（半两拭去毛炙微黄） 葛根（一两锉）
川大
黄〔二（一）两锉碎微炒〕 半夏（一两汤洗七遍去滑）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候温服。以利为度。
When a cold damage disease persists for more than nine days without resolution, the pathogen may have initially affected only one meridian and thus failed to transmit further, or it may have transmitted through all three yang meridians but failed to enter the yin meridians.
Therefore:
For cold damage disease persisting for nine days without resolution, presenting with hardness and fullness in the heart and abdomen, body pain, internal and external heat, irritability, vomiting, and restlessness, Qianhu Tang (Peucedanum Decoction) is indicated.
Peucedani Radix (Qianhu, 前胡), 1 liang, rhizome removed; Pinelliae Rhizoma Preparatum (Banxia, 半夏), 1 liang, washed seven times in hot water to remove slipperiness; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), 1 liang; Immature Bitter Orange (Zhishi, 枳实), 1 liang, stir-fried with bran until slightly yellow; Red Peony Root (Chishaoyao, 赤芍药), 1 liang; Scutellariae Radix (Huangqin, 黄芩), 1 liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), 0.5 liang, honey-fried until slightly red and chopped; Magnoliae Officinalis Cortex (Noupu, 浓朴), 1 liang, coarse bark removed, coated with ginger juice and fried until fragrant.
The above ingredients are coarsely ground into powder. Each dose consists of 3 qian, decocted with one zhong of water, half a fen of fresh ginger, and three jujubes, until reduced to six-tenths of the original volume. Strain and take warm at any time.
For cold damage disease persisting for nine days, unresolved despite prior sweating, emesis, or purging, resulting in heat in the Sanjiao (Triple Burner), slippery and rapid pulse, mental confusion and heaviness, resembling symptoms of Baihe Bing (Lily Disease):
Gypsum Fibrosum (Shigao, 石膏), 3 liang; Coptidis Rhizoma (Huanglian, 黄连), 1 liang, fibrous roots removed; Phellodendri Cortex (Huangbai, 黄柏), 1 liang; Scutellariae Radix (Huangqin, 黄芩), 1 liang; Fermented Soybean (Chidou, 豉), 2 liang; Gardeniae Fructus (Zhizi, 栀子), 1 liang.
Ephedrae Herba (Mahuang, 麻黄), 1 liang, roots and joints removed; Rheii Radix et Rhizoma (Dahuang, 大黄), 2 liang, chopped and slightly stir-fried; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), 1 liang, honey-fried until slightly red and chopped.
The above ingredients are finely chopped and mixed evenly. Each dose consists of 0.5 liang, decocted with one large cup of water and half a fen of fresh ginger, until reduced to six-tenths. Strain and take warm at any time. If the patient walks ten li, administer another dose. Stop when mild diarrhea occurs.
For cold damage disease persisting for nine days, following purgation, presenting with vexation and fullness in the chest and diaphragm, difficult urination, delirium, and inability to turn the body side-to-side, Chifuling Tang (Polyporus Decoction) is indicated.
Polyporus (Chifuling, 赤茯苓), 2 liang; Bupleuri Radix (Chaihu, 柴胡), 2 liang, stems removed; Scutellariae Radix (Huangqin, 黄芩), 1 liang; Os Draconis (Longgu, 龙骨), 2 liang; Rheii Radix et Rhizoma (Dahuang, 大黄), 3 liang, chopped and slightly stir-fried.
The above ingredients are coarsely ground into powder. Each dose consists of 4 qian, decocted with one large cup of water, half a fen of fresh ginger, and three jujubes, until reduced to six-tenths. Strain and take warm at any time.
For cold damage disease persisting for nine days, with heat in the Heart and Lungs, shortness of breath, and pus and blood in the throat, Xijiao San (Rhinoceros Horn Powder) is indicated.
Rhinoceros Cornu (Xijiao, 犀角), 1 liang, shaved; Bupleuri Radix (Chaihu, 柴胡), 1 liang, stems removed; Bambusae Mesocarpum (Qizhuru, 青竹茹), 1 liang; Platycodonis Radix (Jiegeng, 桔梗), 1.5 liang, rhizome removed; Rheii Radix et Rhizoma (Dahuang, 大黄), 1.5 liang, chopped and slightly stir-fried; Ophiopogonis Tuber (Maidong, 麦门冬), 1.5 liang, heart removed.
The above ingredients are ground and sifted into powder. Each dose consists of 5 qian, decocted with one large cup of water until reduced to five-tenths. Strain, add Natrii Sulfas (Mangxiao, 芒硝), 1 qian, mix well, and take warm at any time.
For cold damage disease persisting for nine days, presenting with chest fullness, abdominal distension, and urgent panting, Binglang San (Areca Seed Powder) is indicated.
Areca Semen (Binglang, 槟榔), 0.5 liang; Terminalia Chebula Pericarpium (Helilepi, 诃黎勒皮), 0.5 liang; Citri Reticulatae Pericarpium (Chenpi, 陈橘皮), 0.5 liang, soaked in hot water, white pith removed, and dried; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), 0.5 liang, honey-fried until slightly red and chopped; Morus Alba Cortex (Sangbaip, 桑根白皮), 3 fen, chopped.
The above ingredients are ground and sifted into powder. Each dose consists of 5 qian, decocted with one large cup of water, half a fen of fresh ginger, and one stalk of scallion white, until reduced to five-tenths. Strain and take warm at any time.
For cold damage disease persisting for nine days without resolution, presenting with alternating chills and fever resembling Wen Nue (Warm Malaria), chest and diaphragm fullness, and persistent phlegm counterflow, Banxia San (Pinellia Powder) is indicated.
Pinelliae Rhizoma Preparatum (Banxia, 半夏), 2 liang, washed seven times in hot water to remove slipperiness; Puerariae Radix (Gegen, 葛根), 1 liang, chopped; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), 1 liang; Ginseng Radix (Renshen, 人参), 1 liang, rhizome removed; Bupleuri Radix (Chaihu, 柴胡), 2 liang, stems removed.
The above ingredients are coarsely ground into powder. Each dose consists of 4 qian, decocted with one zhong of water, three jujubes, and half a fen of fresh ginger, until reduced to six-tenths. Strain and take warm at any time.
For cold damage disease persisting for nine days without resolution, presenting with chest and hypochondriac fullness and counterflow qi, tidal fever in the evening, caused by failure to purge leading to internal excess, Mangxiao San (Natrii Sulfas Powder) is indicated.
Natrii Sulfas (Mangxiao, 芒硝), 2 liang; Peucedani Radix (Qianhu, 前胡), 1 liang, rhizome removed; Loquat Leaf (Pipaye, 枇杷叶), 0.5 liang, hairs wiped off and fried until slightly yellow; Puerariae Radix (Gegen, 葛根), 1 liang, chopped; Rheii Radix et Rhizoma (Dahuang, 大黄), 1 liang, chopped and slightly stir-fried; Pinelliae Rhizoma Preparatum (Banxia, 半夏), 1 liang, washed seven times in hot water to remove slipperiness.
The above ingredients are coarsely ground into powder. Each dose consists of 4 qian, decocted with one zhong of water, half a fen of fresh ginger, and three jujubes, until reduced to six-tenths. Strain and take warm at any time. Stop when bowel movement is achieved.