夫伤寒病。过经而不愈。脉反沉迟。手足厥逆者。此为下部脉不至。阴阳隔绝。邪客于
足少阴之经。毒瓦斯上熏。故咽喉不利。或痛而生疮也。
治伤寒毒瓦斯攻。咽喉痛。心烦躁热。胸膈滞闷。大小便难。宜服射干散方。
射干 枳壳（麸炒微黄去瓤） 川升麻 马牙硝 木通（锉） 川大黄（锉碎微炒） 玄
参（
以上各一两） 犀角屑（三分） 甘草（半两生用）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒毒瓦斯攻咽喉。窄窒痛疼不可忍。宜服马蔺子散方。
马蔺子（半两微炒） 地骨皮（半两） 川升麻（半两） 黄芩（半两） 马牙硝（二
两） 犀角
屑（半两） 甘草（半两生用） 大青（半两） 苦竹叶（二两锉）
上件药。捣筛为散。以水二大盏。煎至一盏。滤去滓。入蜜二合。同熬令稠。不计时候
。取一茶匙含咽津。
治伤寒。咽喉闭塞不通。小便赤涩。宜服木通散方。
木通（一两锉） 羚羊角屑（一两） 川升麻（一两） 射干（一两） 赤芍药（半两）
芦根（
二两锉） 甘草（一两生用）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒热毒在心脾。口舌干燥。咽喉肿痛。宜服麦门冬散方。
麦门冬（半两去心） 木香〔二（一）分〕 川大黄（半两锉碎微炒） 汉防己（半两）
葛根
（半两锉） 滑石（半两） 玄参（半两） 木通（半两锉） 甘草（一分生用）
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。葱白二茎。煎至五分。去
滓。不计时候温服。
治伤寒。心胸气壅。闭塞不通。咽喉疼痛。宜服升麻散方。
川升麻 木通（锉） 羚羊角屑 前胡（去芦头） 桑根白皮（锉） 川大黄（锉碎微
炒）（以
上各半两） 马蔺根（一两） 川朴硝（一两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒。咽喉疼痛。心神烦闷。宜服羚羊角散方。
羚羊角屑 木通（锉） 射干 川升麻 地骨皮（以上各一两） 芦根（三两锉）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒经数日。胸中妨闷。咽喉噎塞。痛不能饮食。宜服此方。
射干（三分） 川升麻（三分） 人参（三分去芦头） 甘草（半两生用） 陈橘皮（半
两汤浸
去白瓤焙）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治伤寒三二日。咽喉痛。宜服桔梗散方。
桔梗（三两去芦头） 甘草（二两生用） 苦参（半两锉）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒。毒瓦斯攻咽喉痛。宜服络石散方。
络石 玄参 川升麻 射干 子芩 木通（锉）（以上各半两） 甘草（一分生用）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒。舌坚强硬。黑色。咽喉闭塞肿痛。宜服金花硼砂丸方。
硼砂 马牙硝 郁金 苦葫芦子 川大黄（锉碎微炒） 鼠粘子（微炒） 白矾灰 黄
药
栀子仁 甘草（生用） 黄芩（以上各半两）
上件药。捣罗为末。炼蜜并沙糖和丸。如鸡头实大。每服一丸。用绵裹。含化咽津。以
瘥为度。
治伤寒二三日。毒瓦斯攻咽喉痛肿。宜服甘草散方。
甘草（一两生用） 川升麻（半两） 射干（半两）
上件药。细锉。都以水三大盏。煎至二盏。去滓。分为四服。日三服。夜一服。
Tai Ping Sheng Hui Fang (Imperial Grace Formulary of the Taiping Era)
Shanghan Bing (Cold Damage Disease), after passing through a meridian cycle, remains uncured. The pulse is instead deep and slow, with cold extremities. This indicates the absence of pulse at the lower positions, signifying an isolation of Yin and Yang energies. Pathogenic factors have invaded the Foot Shaoyin Kidney Meridian. Toxic heat ascends to fumigate the upper body, causing throat obstruction, pain, or the formation of sores.
For Shanghan Bing where toxic heat attacks, causing throat pain, mental restlessness with fever, chest and diaphragm stagnation and fullness, and difficulty in urination and defecation, Shegan San (Belamcanda Powder) is indicated.
Shegan (Belamcandae Rhizoma), Zhike (Aurantii Fructus Immaturus, stir-fried with bran until slightly yellow, pith removed), Chuan Shengma (Cimicifugae Rhizoma), Mayaxiao (Natrii Sulfas), Mutong (Akebiae Caulis, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, sliced and lightly stir-fried), Xuanshen (Scrophulariae Radix) (each 1 liang), Xijiaoxie (Rhinocerotis Cornu, shaved) (3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, raw) (0.5 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose. Boil with one zhong of water until reduced to 0.6 zhong. Strain and take warm at any time.
For Shanghan Bing where toxic heat attacks the throat, causing severe stenosis and unbearable pain, Malinzi San (Iris Latifolia Seed Powder) is indicated.
Malinzi (Iridis Latifoliae Semen, lightly stir-fried) (0.5 liang), Digupi (Lycii Cortex, 0.5 liang), Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang), Huangqin (Scutellariae Radix, 0.5 liang), Mayaxiao (Natrii Sulfas, 2 liang), Xijiaoxie (Rhinocerotis Cornu, shaved, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 0.5 liang), Daqing (Isatidis Folium, 0.5 liang), Kuzhuye (Bambusae Folium, 2 liang, sliced).
Sift the above ingredients into a powder. Boil with two da of water until reduced to one da. Filter out the dregs. Add Er he of honey and boil together until thick. At any time, take one tea spoonful, hold in the mouth, and swallow with saliva.
For Shanghan Bing causing throat obstruction and blockage, with red and difficult urination, Mutong San (Akebia Decoction Powder) is indicated.
Mutong (Akebiae Caulis, sliced, 1 liang), Lingyangjiaoxie (Saigae Tataricae Cornu, shaved, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Shegan (Belamcandae Rhizoma, 1 liang), Chishao Yao (Paeoniae Radix Rubra, 0.5 liang), Lugeng (Phragmitis Rhizoma, 2 liang, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Boil with one da of water until reduced to 0.5 da. Strain and take warm at any time.
For Shanghan Bing where heat-toxin accumulates in the Heart and Spleen, causing dry mouth and tongue, and swollen and painful throat, Maimendong San (Ophiopogonis Decoction Powder) is indicated.
Maimendong (Ophiopogonis Tuber, heart removed, 0.5 liang), Muxiang (Aucklandiae Radix) [2 (or 1) fen], Chuan Dahuang (Rhei Radix et Rhizoma, sliced and lightly stir-fried, 0.5 liang), Han Fangji (Stephaniae Tetrandrae Radix, 0.5 liang), Gegen (Puerariae Lobatae Radix, sliced, 0.5 liang), Huashi (Talcum, 0.5 liang), Xuanshen (Scrophulariae Radix, 0.5 liang), Mutong (Akebiae Caulis, sliced, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 fen).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Boil with one da of water, adding Ban fen of fresh ginger and two stems of scallion white. Reduce to 0.5 da. Strain and take warm at any time.
For Shanghan Bing causing Qi stagnation in the chest and heart, blockage, and throat pain, Shengma San (Cimicifugae Decoction Powder) is indicated.
Chuan Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis, sliced), Lingyangjiaoxie (Saigae Tataricae Cornu, shaved), Qianhu (Peucedani Radix, radicle removed), Sangbaipipi (Mori Cortex, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, sliced and lightly stir-fried) (each 0.5 liang), Maligen (Iridis Latifoliae Radix, 1 liang), Chuniaoxiao (Natrii Sulfatis Exsiccatus, 1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Boil with one da of water until reduced to 0.5 da. Strain and take warm at any time.
For Shanghan Bing causing throat pain and mental restlessness, Lingyangjiao San (Saiga Decoction Powder) is indicated.
Lingyangjiaoxie (Saigae Tataricae Cornu, shaved), Mutong (Akebiae Caulis, sliced), Shegan (Belamcandae Rhizoma), Chuan Shengma (Cimicifugae Rhizoma), Digupi (Lycii Cortex) (each 1 liang), Lugeng (Phragmitis Rhizoma, 3 liang, sliced).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Boil with one da of water until reduced to 0.5 da. Strain and take warm at any time.
For Shanghan Bing lasting several days, causing chest oppression, throat choking sensation, and pain preventing eating, this formula is indicated.
Shegan (Belamcandae Rhizoma, 3 fen), Chuan Shengma (Cimicifugae Rhizoma, 3 fen), Renshen (Ginseng Radix, radicle removed, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 0.5 liang), Chenjuapi (Citri Reticulatae Pericarpium, soaked in hot water, pith removed, dried) (0.5 liang).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Boil with one zhong of water, adding Ban fen of fresh ginger. Reduce to 0.6 zhong. Strain and take warm at any time.
For Shanghan Bing occurring after two or three days, causing throat pain, Jiegeng San (Platycodon Decoction Powder) is indicated.
Jiegeng (Platycodonis Radix, radicle removed, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2 liang), Kushen (Sophorae Flavescentis Radix, sliced, 0.5 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Boil with one da of water until reduced to 0.5 da. Strain and take warm at any time.
For Shanghan Bing where toxic heat attacks the throat causing pain, Luoshi San (Trachelospermi Decoction Powder) is indicated.
Luoshi (Trachelospermi Caulis et Folium), Xuanshen (Scrophulariae Radix), Chuan Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Ziqin (Scutellariae Radix), Mutong (Akebiae Caulis, sliced) (each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 fen).
Crush the above ingredients into a coarse powder. Take 4 qian per dose. Boil with one zhong of water until reduced to 0.6 zhong. Strain and take warm at any time.
For Shanghan Bing causing a stiff, black tongue, and obstructed, swollen, and painful throat, Jinhua Pengsha Wan (Golden Flower Borax Pill) is indicated.
Pengsha (Borax), Mayaxiao (Natrii Sulfas), Yujin (Curcumae Radix), Ku Hulu Zi (Momordicae Fructus Semen), Chuan Dahuang (Rhei Radix et Rhizoma, sliced and lightly stir-fried), Niuzi (Arctii Fructus, lightly stir-fried), Baifan Hui (Alumen Ash), Huang Yao (?), Zhizi Ren (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Huangqin (Scutellariae Radix) (each 0.5 liang).
Grind the above ingredients into fine powder. Mix with refined honey and rock sugar to form pills the size of a chicken head. Take one pill per dose, wrap in cotton, hold in the mouth to dissolve, and swallow with saliva. Continue until cured.
For Shanghan Bing occurring after two or three days, where toxic heat attacks the throat causing swelling and pain, Gancao San (Licorice Decoction Powder) is indicated.
Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang), Shegan (Belamcandae Rhizoma, 0.5 liang).
Finely slice the above ingredients. Boil all together with three da of water until reduced to two da. Strain. Divide into four doses. Take three times during the day and once at night.