夫伤寒阴阳受病。毒瓦斯未除。其人已经服药出汗之后。而脉洪大实数。腹内胀满。小便
难。或烦或渴。面色变赤。此为脏腑有结热故也。
治伤寒得汗后热不除。朝暮壮热。宜服柴胡散方。
柴胡（去苗） 赤芍药 黄芩 栀子仁 枳壳（麸炒微黄去瓤） 麦门冬（去心） 人
参（去
芦头） 赤茯苓 石膏 葛根（锉） 甘草（炙微赤锉）〔以上各三合（分）〕
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒已得汗。热不除。发歇朝暮烦热。宜服羚羊角散方。
羚羊角屑（一分） 犀角屑（一分） 麦门冬（半两去心） 百合（半两） 柴胡（半
两去苗）
地骨皮（半两） 木通（半两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒得汗后。热不除。发歇。身热。肢节烦疼。宜服黄 散方。
黄 （锉） 鳖甲（涂醋炙令黄去裙 ） 人参（去芦头） 柴胡（去苗） 赤茯苓 桑
根白皮
（锉） 木通（锉） 羚羊角屑 知母 麦门冬（去心） 地骨皮 甘草（炙微赤锉）（以
上各三分）
赤芍药 白术 枳壳（麸炒微黄去瓤）（以上各一两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒发汗及吐下后。烦热不除。头痛满闷。口干渴逆。宜服知母散方。
知母 川升麻 麦门冬（去心） 人参（去芦头） 黄芩 葛根（锉）（以上各三分） 甘
草（
半两炙微赤锉） 鳖甲（半两涂醋炙令黄去裙 ） 石膏（一两半）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
又方。
葛根（锉） 麦门冬（去心） 黄芩 川升麻 地骨皮（以上各一两） 甘草（半两炙
微赤锉）
石膏（一两半）
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。
治伤寒汗后。余热不除。四肢拘急。胸膈不利。呕逆。不思饮食。宜服秦艽散方。
秦艽（一两去苗） 柴胡（一两去苗） 枳壳（三分麸炒微黄去瓤） 桑根白皮（三分
锉） 麦
门冬（一两去心） 葛根（三分锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。芦根五寸。煎至六分。去
滓。不计时候温频服。
治伤寒虽得汗后。热不除。心腹烦满。大小便秘涩。宜服大黄散方。
川大黄（一两半锉碎微炒） 柴胡（三分去苗） 赤芍药（三分） 鳖甲（一两涂醋炙
令黄去
裙）
槟榔（三
分）
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。如人
行十里再服。以通利为度。
治伤寒汗后。热不除。进退发歇。身体温。心神烦闷。口干舌涩。不思饮食。宜
服人参散方。
人参（去芦头） 犀角屑 麦门冬（去心） 柴胡（去苗） 黄芩 川升麻 玄参 赤
茯苓
地骨皮 葛根（锉） 栀子仁 甘草（炙微赤锉）（以上各一两）
上件药。捣粗罗为末。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒七八日。汗后。余热不除。宜服黄芩散方。
黄芩 人参（去芦头） 柴胡（去苗） 葛根（锉）（以上各一两） 栀子仁（半两） 甘
草（半
两炙微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治伤寒汗后。余热不除。宜服解肌散方。
知母 川升麻 天门冬（去心） 黄芩 葛根（锉） 柴胡（去苗）（以上各一两） 石
膏（
一两半）
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。
治伤寒得汗后。热不除。心神烦躁。宜服此方。
赤茯苓（一两半） 人参（三分去芦头） 甘草（半两炙微赤锉） 麦门冬（一两去心）
黄芩
（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。
治伤寒汗后。热不除。内有热实。腹胀烦躁。宜服此方。
柴胡（三分去苗） 川大黄（一两锉碎微炒） 赤芍药（半两） 枳实（三分麸炒微黄）
半夏
（半两汤洗七遍去滑）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治伤寒汗后。心肺热不除。宜服犀角散方。
犀角屑（半两） 麝香（半两细研） 牛黄（细研） 人参（去芦头） 茯神 麦门冬
（去心焙）
天竺黄（细研） 朱砂（细研） 黄芩 栀子仁 甘草（炙微赤锉）（以上各一分）
上件药。捣细罗为散。入研了药。都研令匀。每服。以竹叶煎汤调下二钱。不计时候服
治伤寒汗后。热不除。心神不安。宜服茯神丸方。
茯神（一两） 麦门冬（一两去心焙） 羚羊角屑 栀子仁 白藓皮 川升麻 玄参（以
上
各二分） 车前子（半两） 铁粉（半两细研） 朱砂（半两细研）
上件药。捣罗为末。与铁粉朱砂。同研令匀。炼蜜和丸。如梧桐子大。每于食后。煎桑
根白皮汤下二十丸。
治伤寒汗后。余热不除。头痛内热。宜服此方。
麻黄（一两去根节） 甘草（半两炙微赤锉） 鸡子（一两去壳）
上件药。细锉。麻黄等二味。以水一大盏半煎至一盏。去滓。下鸡子搅令匀。更煎三两
沸。不计时候。放微温。分二服。
治伤寒十日以上。曾发汗未解。烦热不除。宜服此方。
大青（二两） 甘草（一两炙微赤锉） 麦门冬（一两去心）
上件药。捣粗罗为散。每服五钱。以水一大盏。入豉半合。煎至五分。去滓。不计时候
温服。
In Shaoyang and Taiyang diseases caused by Cold Damage (Shanghan), the pathogenic heat toxins have not yet been eliminated. After the patient has taken medicine to induce sweating, the pulse remains surging (Hong), full (Shi), and rapid (Shu). The abdomen is distended and full, urination is difficult, or there is mental restlessness (Fan) and thirst. The facial complexion turns red. This indicates that there is accumulated heat in the Zang-Fu organs.
For treating persistent fever after sweating in Cold Damage, with high fever occurring morning and evening, the Chaihu San (Bupleurum Powder) formula is indicated.
Ingredients: Chai Hu (Radix Bupleuri, removed rhizome), Chi Shao Yao (Radix Paeoniae Rubra), Huang Qin (Radix Scutellariae), Zhi Zi Ren (Semen Gardeniae), Zhi Ke (Fructus Aurantii Immaturus, bran-fried until slightly yellow, pith removed), Mai Men Dong (Tuber Ophiopogonis, heart removed), Ren Shen (Radix Ginseng, rhizome removed), Chi Fu Ling (Poria Cocos with Red Sandstone), Shi Gao (Gypsum Fibrosum), Ge Gen (Radix Puerariae, chopped), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, chopped) [each 3 he].
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating persistent fever after sweating in Cold Damage, with alternating煩热 (restless heat) morning and evening, the Ling Yang Jiao San (Antelope Horn Powder) formula is indicated.
Ingredients: Ling Yang Jiao Xie (Horn Saigae Tataricae, shaved), Xi Jiao Xie (Horn Rhinocerotis, shaved), Mai Men Dong (Tuber Ophiopogonis, half liang, heart removed), Bai He (Bulbus Lilii, half liang), Chai Hu (Radix Bupleuri, half liang, removed rhizome), Di Gu Pi (Cortex Lycii), Mu Tong (Caulis Akebiae, half liang).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating persistent fever after sweating in Cold Damage, with intermittent attacks, body heat, and painful stiffness in the limbs and joints, the Huang Qi San (Astragalus Powder) formula is indicated.
Ingredients: Huang Qi (Radix Astragali, chopped), Bie Jia (Carapax et Plastrum Testudinis, coated with vinegar and fried until yellow, skirt removed), Ren Shen (Radix Ginseng, rhizome removed), Chai Hu (Radix Bupleuri, removed rhizome), Chi Fu Ling (Poria Cocos with Red Sandstone), Sang Gen Bai Pi (Cortex Mori Radicis, chopped), Mu Tong (Caulis Akebiae, chopped), Ling Yang Jiao Xie (Horn Saigae Tataricae, shaved), Zhi Mu (Rhizoma Anemarrhenae), Mai Men Dong (Tuber Ophiopogonis, heart removed), Di Gu Pi (Cortex Lycii), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, chopped) [each 3 fen]; Chi Shao Yao (Radix Paeoniae Rubra), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Zhi Ke (Fructus Aurantii Immaturus, bran-fried until slightly yellow, pith removed) [each 1 liang].
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating persistent restless heat after sweating, purging, and vomiting in Cold Damage, accompanied by headache, head fullness, dry mouth, and thirst with rebellious qi, the Zhi Mu San (Anemarrhena Powder) formula is indicated.
Ingredients: Zhi Mu (Rhizoma Anemarrhenae), Chuan Sheng Ma (Radix Cimicifugae Foetidae), Mai Men Dong (Tuber Ophiopogonis, heart removed), Ren Shen (Radix Ginseng, rhizome removed), Huang Qin (Radix Scutellariae), Ge Gen (Radix Puerariae, chopped) [each 3 fen]; Gan Cao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, chopped), Bie Jia (Carapax et Plastrum Testudinis, half liang, coated with vinegar and fried until yellow, skirt removed), Shi Gao (Gypsum Fibrosum, 1.5 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens), decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
Another formula.
Ingredients: Ge Gen (Radix Puerariae, chopped), Mai Men Dong (Tuber Ophiopogonis, heart removed), Huang Qin (Radix Scutellariae), Chuan Sheng Ma (Radix Cimicifugae Foetidae), Di Gu Pi (Cortex Lycii) [each 1 liang]; Gan Cao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, chopped), Shi Gao (Gypsum Fibrosum, 1.5 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating residual heat after sweating in Cold Damage, with spasms and tightness of the four limbs, discomfort in the chest and diaphragm, vomiting and rebellious qi, and loss of appetite, the Qin Jiao San (Radix Gentiana Macrophyllae Powder) formula is indicated.
Ingredients: Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, removed rhizome), Chai Hu (Radix Bupleuri, 1 liang, removed rhizome), Zhi Ke (Fructus Aurantii Immaturus, 3 fen, bran-fried until slightly yellow, pith removed), Sang Gen Bai Pi (Cortex Mori Radicis, 3 fen, chopped), Mai Men Dong (Tuber Ophiopogonis, 1 liang, heart removed), Ge Gen (Radix Puerariae, 3 fen, chopped).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, half a fen of Sheng Jiang (Rhizoma Zingiberis Recens), and five cun of Lu Gen (Rhizoma Phragmitis), decoct until reduced to 6 fen. Strain off the dregs. Take warm frequently at any time.
For treating persistent fever after sweating in Cold Damage, with mental and abdominal fullness and restlessness, and difficult urination and defecation, the Da Huang San (Radix Rhei Palmatae Powder) formula is indicated.
Ingredients: Chuan Da Huang (Radix Rhei Palmatae, 1.5 liang, chopped and lightly stir-fried), Chai Hu (Radix Bupleuri, 3 fen, removed rhizome), Chi Shao Yao (Radix Paeoniae Rubra, 3 fen), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, coated with vinegar and fried until yellow, skirt removed), Bing Lang (Semen Arecae, 3 fen).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time. If the patient walks ten li, take another dose. Continue until bowel movements become unobstructed.
For treating persistent fever after sweating in Cold Damage, with intermittent attacks, slight body heat, mental restlessness, dry mouth, and stiff tongue, and loss of appetite, the Ren Shen San (Ginseng Powder) formula is indicated.
Ingredients: Ren Shen (Radix Ginseng, rhizome removed), Xi Jiao Xie (Horn Rhinocerotis, shaved), Mai Men Dong (Tuber Ophiopogonis, heart removed), Chai Hu (Radix Bupleuri, removed rhizome), Huang Qin (Radix Scutellariae), Chuan Sheng Ma (Radix Cimicifugae Foetidae), Xuan Shen (Radix Scrophulariae), Chi Fu Ling (Poria Cocos with Red Sandstone), Di Gu Pi (Cortex Lycii), Ge Gen (Radix Puerariae, chopped), Zhi Zi Ren (Semen Gardeniae), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, chopped) [each 1 liang].
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating residual heat after seven or eight days of Cold Damage and sweating, the Huang Qin San (Scutellaria Powder) formula is indicated.
Ingredients: Huang Qin (Radix Scutellariae), Ren Shen (Radix Ginseng, rhizome removed), Chai Hu (Radix Bupleuri, removed rhizome), Ge Gen (Radix Puerariae, chopped) [each 1 liang]; Zhi Zi Ren (Semen Gardeniae, half liang), Gan Cao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, chopped).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens), decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating residual heat after sweating in Cold Damage, the Jie Ji San (Release the Muscle Powder) formula is indicated.
Ingredients: Zhi Mu (Rhizoma Anemarrhenae), Chuan Sheng Ma (Radix Cimicifugae Foetidae), Tian Men Dong (Tuber Asparagi, heart removed), Huang Qin (Radix Scutellariae), Ge Gen (Radix Puerariae, chopped), Chai Hu (Radix Bupleuri, removed rhizome) [each 1 liang]; Shi Gao (Gypsum Fibrosum, 1.5 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water, decoct until reduced to 5 fen. Strain off the dregs. Take warm at any time.
For treating persistent fever after sweating in Cold Damage, with mental restlessness and irritability, this formula is indicated.
Ingredients: Chi Fu Ling (Poria Cocos with Red Sandstone, 1.5 liang), Ren Shen (Radix Ginseng, 3 fen, rhizome removed), Gan Cao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, chopped), Mai Men Dong (Tuber Ophiopogonis, 1 liang, heart removed), Huang Qin (Radix Scutellariae, 1 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water, decoct until reduced to 5 fen. Strain off the dregs. Take warm at any time.
For treating persistent fever after sweating in Cold Damage, with internal excess heat, abdominal distension, and irritability, this formula is indicated.
Ingredients: Chai Hu (Radix Bupleuri, 3 fen, removed rhizome), Chuan Da Huang (Radix Rhei Palmatae, 1 liang, chopped and lightly stir-fried), Chi Shao Yao (Radix Paeoniae Rubra, half liang), Zhi Shi (Fructus Aurantii Immaturus, 3 fen, bran-fried until slightly yellow), Ban Xia (Rhizoma Pinelliae, half liang, washed seven times in hot water to remove acridity).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens), decoct until reduced to 6 fen. Strain off the dregs. Take warm at any time.
For treating persistent heat in the Heart and Lungs after sweating in Cold Damage, the Xi Jiao San (Rhinoceros Horn Powder) formula is indicated.
Ingredients: Xi Jiao Xie (Horn Rhinocerotis, shaved, half liang), She Xiang (Moschus, finely ground, half liang), Niu Huang (Calculus Bovis, finely ground), Ren Shen (Radix Ginseng, rhizome removed), Fu Shen (Poria Cocos with Pine Root), Mai Men Dong (Tuber Ophiopogonis, heart removed and dried), Tian Zhu Huang (Nodulus Bambusae), Zhu Sha (Cinnabaris, finely ground), Huang Qin (Radix Scutellariae), Zhi Zi Ren (Semen Gardeniae), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, chopped) [each 1 fen].
Preparation and Administration: Finely grind the above ingredients into a powder. Mix with the already ground medicines until uniform. For each dose, mix 2 qian with decoction of Zhu Ye (Folium Bambusae) and take. Take at any time.
For treating persistent fever after sweating in Cold Damage, with mental unrest, the Fu Shen Wan (Poria Pill) formula is indicated.
Ingredients: Fu Shen (Poria Cocos with Pine Root, 1 liang), Mai Men Dong (Tuber Ophiopogonis, 1 liang, heart removed and dried), Ling Yang Jiao Xie (Horn Saigae Tataricae, shaved), Zhi Zi Ren (Semen Gardeniae), Bai Xian Pi (Cortex Dictamni), Chuan Sheng Ma (Radix Cimicifugae Foetidae), Xuan Shen (Radix Scrophulariae) [each 2 fen]; Che Qian Zi (Semen Plantaginis, half liang), Tie Fen (Ferrum, half liang, finely ground), Zhu Sha (Cinnabaris, half liang, finely ground).
Preparation and Administration: Grind the above ingredients into a powder. Mix thoroughly with Tie Fen (Ferrum) and Zhu Sha (Cinnabaris). Form pills using refined honey, sized like Sophora seeds. Take 20 pills after meals, washed down with decoction of Sang Gen Bai Pi (Cortex Mori Radicis).
For treating persistent fever after sweating in Cold Damage, with headache and internal heat, this formula is indicated.
Ingredients: Ma Huang (Herba Ephedrae, 1 liang, roots and nodes removed), Gan Cao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, chopped), Ji Zi (Ovum Gallus Domesticum, 1 egg, shell removed).
Preparation and Administration: Finely chop the herbs. Decoct Ma Huang and Gan Cao in one and a half da zhongs of water until reduced to one da zhong. Strain off the dregs. Add the egg white/yolk and stir until mixed. Boil three more times. At any time, when slightly warm, divide into two doses.
For treating persistent restless heat after ten days of Cold Damage, where sweating was attempted but failed to resolve the condition, this formula is indicated.
Ingredients: Da Qing (Herba Isatidis, 2 liang), Gan Cao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly red, chopped), Mai Men Dong (Tuber Ophiopogonis, 1 liang, heart removed).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water and half a he of Chi Xiao Dou (or Dou Chi, Semen Sojae Preparatum), decoct until reduced to 5 fen. Strain off the dregs. Take warm at any time.