治阳明里热极甚，烦渴热郁，留饮不散，以治湿热相搏，而身发黄胆，但头汗出，身无
汗，小便不利，渴欲水浆，身必发黄，宜茵陈汤，调五苓散利大小便。
茵陈（去梗，半两） 大黄（二钱半） 大栀子（五个）
上作一服，水二盅，煎至一盅，不拘时服，以利为度。
治伤寒失下，热毒在胃，发斑，甚则烦躁谵语。
玄参 升麻 甘草（炙，各三钱）
上作一服，水二盅，煎至一盅，不拘时服。
太阳病六七日，表证仍在，脉微而沉，反不结胸，其人发狂，热在下焦，小腹硬满，小
便自利而狂，大便黑色，为有血也，当下瘀血，宜服之。
大黄（酒洗，一两） 水蛭（十枚，炒，去子杵碎，用锻石炒紫黄色，去灰不用，只宜
多
上作二服，每服水二盅，煎至七分，不拘时服。
治伤寒有热，小腹满痛，小便不利，今反利，为有血也，当下去其血。
大黄（三钱） 水蛭（七枚，炒，去子杵碎，锉，再入锻石，再炒，去灰） 虻虫（七
枚，
上为末，水和作一丸，水一大钟，煎至七分，不拘时顿服，以利下血，不可再服。
治血证，大便黑，衄后脉微，发狂发黄当汗下，汗内有瘀血。
犀角（如无，升麻代之） 生地黄 牡丹皮 芍药（各一钱半）
上作一服，水二盅，煎至一盅，食远服。
To treat extreme excess heat in the interior of the Yangming channel (Yangming Channel Disease), characterized by mental restlessness, thirst, heat constraint, and retained fluid that fails to dissipate; it is used to treat jaundice caused by the struggle between dampness and heat, manifesting as sweating only on the head, no sweating on the body, difficult urination, desire for fluids, and inevitable yellowing of the body. It is appropriate to use Yinchen Tang (Artemisiae Scopariae Decoction) combined with Wuling San (Five-Ingredient Powder with Poria) to promote urination and defecation.
Yinchen (Herba Artemisiae Scopariae, stems removed, half tael) Dahuang (Radix et Rhizoma Rhei, two qian and a half) Dazhizi (Fructus Gardeniae, five pieces)
Combine these as one dose, add two zhong of water, decoct until one zhong remains. Take at any time, stopping when bowel movement becomes unobstructed.
To treat Shanghan (Cold Damage) where failure to purge earlier has allowed heat toxin to remain in the stomach, causing macules (erythematous spots), and in severe cases, irritability and delirious speech.
Xuanshen (Radix Scrophulariae) Shengma (Rhizoma Cimicifugae) Gancao (Radix Glycyrrhizae, honey-fried, three qian each)
Combine these as one dose, add two zhong of water, decoct until one zhong remains. Take at any time.
In Taiyang disease (Taiyang Channel Disease) persisting for six or seven days, if exterior symptoms remain, the pulse is faint and deep, yet there is no Jie Xiong (Chest Binding syndrome), and the patient exhibits mania, this indicates heat in the Lower Jiao (Lower Burner). The lower abdomen is hard and full. If urination is normal but accompanied by mania, and stools are black, this signifies blood stasis. One should purge the blood stasis; this formula is appropriate.
Dahuang (Radix et Rhizoma Rhei, washed with wine, one liang) Shuizhi (Hirudo, ten pieces, stir-fried, internal organs removed, crushed, stir-fried with calcined iron ore powder until purple-yellow, ash discarded, only the herb is used)
Divide into two doses. For each dose, add two zhong of water, decoct until seven-tenths remain. Take at any time.
To treat Shanghan (Cold Damage) with fever, lower abdominal fullness and pain. Although urination should be difficult, it is actually free-flowing, which indicates blood stasis. One should purge and expel the blood.
Dahuang (Radix et Rhizoma Rhei, three qian) Shuizhi (Hirudo, seven pieces, stir-fried, internal organs removed, crushed, chopped, then stir-fried again with calcined iron ore powder, ash discarded) Mengchong (Tabanus, seven pieces)
Grind these into powder, mix with water to form one pill. Add one zhong of water, decoct until seven-tenths remain. Take once at any time. Stop when blood stasis is expelled; do not take further.
To treat Blood Syndrome (Xue Zheng), characterized by black stools, faint pulse after epistaxis (nosebleed), mania, and jaundice. Treatment requires sweating or purging, indicating intra-blood stasis during the process.
Xijiao (Cornu Rhinocerotis - substitute with Shengma if unavailable) Shengdihuang (Radix Rehmanniae Preparata) Mudanpi (Cortex Moutan) Shaoyao (Radix Paeoniae Alba, one qian and a half each)
Combine these as one dose, add two zhong of water, decoct until one zhong remains. Take well after meals.