上四味。以水二升。煮取一升去滓温服。病患奄忽而厥者。发大热。前热者后必厥。厥剧者热亦剧。厥微者热亦微。
紫霜丸导之。病胸腹硬痛。额汁出。四肢厥寒。此为食厥。宜急吐之。发汗若下之。阴虚阳暴绝。病仍不解。烦燥者。
茯苓四逆汤主之。
茯苓四逆汤方
茯苓（五分） 人参（二分） 甘草（二分） 干姜（五分） 附子（五分）
上五味。以水二升。煮取一升。去滓分温服。吐已下断。汗出而厥。四肢拘急不解。脉微欲绝者。通脉四逆加猪胆
汁汤主之。伤寒脉浮。身汗出。小便数心烦微恶寒。脚挛急。反与桂枝汤。欲攻其表。此误也。得之便厥。咽中干。烦
燥吐逆者。作甘草干姜汤与之。
以复其阳甘草干姜汤方
甘草（三分） 干姜（三分）
上 咀。以水一升。煮取七合。去滓分温服。发汗病不解。反恶寒者虚故也。若四肢挛拘而微厥者。宜芍药甘草附
子汤主之。
芍药甘草附子汤方
芍药（二钱） 甘草（五分） 附子（五分）
以上三味。以水二升。煮取一升。去滓加蜜一匙。分温服。蛔厥者。当吐蛔。令病者静而复时烦。此为藏寒。蛔上
入膈。故烦须臾复止。得食而呕。又烦者。蛔闻食臭出。其人当自吐蛔。乌梅丸主之。
乌梅丸方
乌梅（二百个） 细辛（六两） 干姜（十两） 黄连（一斤） 当归（四两） 附子（六两炮） 川椒（四两去
仁） 桂枝（六两） 人参 黄柏（各六两）
上十味。异捣筛。合治之。以苦酒渍乌梅。一宿去核。蒸之五升米下。饭熟捣成泥。和药令相得。内臼中。与蜜拌
二千下。丸如梧子大。先食饮服十丸三服稍加。至二十丸。禁生冷滑臭等食。病患腹满身热。合面倦卧。其脉细数。虽
腹硬不可攻之。宜柴胡平胃汤。
柴胡平胃汤方
柴胡（五分） 黄芩（三分） 人参（三分） 甘草（三分） 半夏（五分） 生姜（二分） 苍术（三分） 陈
皮（五分） 浓朴（五分）
上九味 咀。以水二升。煮取一升。去滓分温。频频服。潮热反复。腹硬而肉脱。转属疳病。坏病也。宜消疳汤主
之。
虚劳悸衄。身体微热。四肢酸痛者。当皈建中汤主之。
当归建中汤方
当归（五分） 芍药（五分） 桂枝（三分） 生姜（二分） 甘草（三分） 大枣（二枚）
上六味。以水二升。煮取一升。去滓内胶饴。更上微火。消解。温服三合。日三服。气血两衰。郁火起伏。胸硬腹
弱。少气悸动。兼主眼目不了了者。宜枸杞凉肝汤。
枸杞凉肝汤方
枸杞 浓朴 香附子（各一钱） 茯苓（二钱） 黄柏 甘草（各五分）
上九味。以水二升。煮取一升。去滓分温服。羸瘠之气。腰腹拘急。四肢沉重。咽干唇燥。面颜少色。二脉不足者。
黄建中汤主之。身热发作。气血消烁。若烦渴。真热假热。俱既济汤主之。
既济汤方
生地黄（五钱，捣碎） 黄连（五分）
上二味。以水二升。煮取一升。去滓。分温服。若渴剧者。冷服真热加石膏。假热加人尿。谵语加辰砂。身体血燥。
暮时潮热。吸吸咳喘。喉内痰响者。鹿角菜汤主之。
鹿角菜汤方
鹿角菜 鳖甲 牛皮消（各二钱） 犀角（五分） 竹菇（三分） 甘草（三分）
上六味。以水一升。煮五味。减三合。去滓内犀角。搅调分温服。少阴病。二三日不已。至四五日。腹痛小便不利。
四肢沉重疼痛。自下利者。此为有水气。其人或咳。或小便利。或下利。或呕者。真武汤主之。
真武汤方
茯苓（五分） 芍药（五分） 生姜（三分） 白术（三分） 附子（三分） 上五味。以水二升。煮取一升。去
滓。分温服。大逆上气。咽喉不利。止逆下气者。麦门冬汤主之。
麦门冬汤方
麦门冬（五分） 半夏（五分） 人参（三分） 甘草（二分） 粳米（五分） 大枣（三枚）
上六味。以水一升。煮取七合。分温服。大热口焦。谵语欲死者。极于阳也。厥冷郑声。须悸欲死者。极于阴也。
病属阴。脾气衰弱。口内干燥。呕而不食。其舌恰如鸟肉。名曰濡舌。试以芡实汤主之。
芡实汤方
芡实（微炒，五分） 参叶（三分） 莲蕊（五分）
上三味。以水一升。煮取七合。去滓分温。加姜汁服之。伤寒若痢疾。虽客热稍解。其脾气遂失营运。食饮不思者。
当含嚼桐断令以延胃气也。病发于阳。引日者。多佳兆也病发于阴。引日者。多恶候也。病自外动者。候在于鼻也自里
动者。候在于口也。病患体羸脾衰。脉微弱。食饮难进者。宜萝卜粥。
萝卜粥方
陈米（不拘多少） 萝卜（去皮研作泥等分）
上二味。先以水煮陈米。作稀粥。内萝卜。调和。再上火。四五沸。夫实则谵语。虚则郑声。郑声重语也。剧者撮
空循衣。此为气血两败也。养荣汤主之。
养荣汤方
人参（三分） 黄 （三分） 麦门冬（五分） 五味子（五分） 当归（五分） 地黄（五分） 甘草（三分）
上七味。以水二升。煮取一升。分温服。虚逆者。加人尿。厥冷者加附子。病患烦苦。忽断食者。尚可治。无烦苦
渐失食者。虽今少食。不可治。儿腹癖胸满。小便如米泔。其脉紧弦细数。或能食。反羸瘠者。不可治。儿骨蒸潮热。
颈细腹大。眼睛无神。足跗微肿者死。蛔厥惊呼。烦渴而昏沉。试捻之。仍不醒者。为死候也。厥冷烦渴。面赤吐利
不休。小便如血者。不可治。病态随时变动。假令朝剧暮安。若胸胁挛急。剧则四肢厥冷。此为痫厥也。四逆散主之。
柳肝加胶饴散亦主之。
四逆散方
甘草 枳实 柴胡 芍药
上四味。各十分捣筛。白饮和。服方寸匕。或加胶饴。搅调服之。病患体瘦。脉微面郁赤。如醉状。四肢冷。咂口
捻衣。此为阳绝也。病患身热。饮食不能。反欲饮酒者。少少与饮。但勿令意极也。诸病解后。脾气必衰弱。要慎饮食。
若妄饲者。致食复。夏月腹痛。烦燥。若暴泄。身忽厥。反眼跳动。元阳欲脱者。为直中。灸之。阳复者生。不复者死。
之为恙。多脱症。须要春夏交。服健脾剂。此谓豫防。何以论之。曰 病必发于吐泻故也。食厥。腹痛剧者。必反复
颠倒。脉结欲死者。要吐泻。宜紫霜丸主之。暴泄忽厥。脉微额汗出者。灸天枢涌泉。厥不还。脉不鼓。反微喘者死。
病患烦动。大汗出。脉阴阳俱盛者死。体羸食减。脉阴阳俱虚。身热不解者死。诸病劳复二三。若自复。若击天和者。
俱不可治。病患脉浮而洪。身汗如油。喘而不休。水浆不下。体形不仁。乍静乍乱。此为命绝也。
The above four ingredients. Use two sheng of water, boil to obtain one sheng, remove the dregs, and take warm. If a patient suddenly experiences cold extremities (Jue), they will develop high fever. Those who had fever previously will inevitably experience Jue later; severe Jue corresponds to severe fever, while mild Jue corresponds to mild fever. Treat with Zishuang Wan (Purple Frost Pill) to guide out the pathogen. If the disease presents with hardness and pain in the chest and abdomen, sweating on the forehead, and cold extremities, this is Food Jue (Food-induced Cold Extremities). It is appropriate to induce vomiting urgently. If sweating or purgation is mistakenly used, Yin deficiency leads to sudden collapse of Yang, the pathogen remains unresolved, and if irritability occurs, Fuling Sini Tang (Poria Decoction for Reversing Cold) should be administered as the primary treatment.
Formula: Fuling Sini Tang (Poria Decoction for Reversing Cold)
Fuling (Poria, 5 fen) Renshen (Ginseng, 2 fen) Gancao (Licorice Root, 2 fen) Ganjiang (Dried Ginger, 5 fen) Fuzi (Prepared Aconite Root, 5 fen)
The above five ingredients. Use two sheng of water, boil to obtain one sheng, remove the dregs, and divide into warm doses. If vomiting and purging have ceased, but there is sweating and cold extremities, and limb rigidity and cramping persist, with a faint pulse nearly imperceptible, Tongmai Sini Tang with Pig Bile Decoction (Decoction for Restoring Pulse with Added Pig Bile) should be administered as the primary treatment. In Shaoyin syndrome (Syndrome of the Lesser Yin), with a floating pulse, sweating, frequent urination, irritability, slight aversion to cold, and cramping of the feet, administering Guizhi Tang (Cinnamon Twig Decoction) to attack the exterior is an error. This may lead to immediate cold extremities, dryness in the throat, irritability, and vomiting/reversal. Prepare Ganjiang Gancao Tang (Ginger and Licorice Decoction) to administer to the patient.
To restore Yang Qi. Formula: Ganjiang Gancao Tang (Ginger and Licorice Decoction)
Gancao (Licorice Root, 3 fen) Ganjiang (Dried Ginger, 3 fen)
The above two ingredients. Chop, use one sheng of water, boil to obtain seven ge, remove the dregs, and divide into warm doses. If sweating fails to resolve the disease and aversion to cold worsens, it is due to deficiency. If there is limb cramping and slight cold extremities, Shaoyao Gancao Fuzi Tang (Peony, Licorice, and Aconite Decoction) should be administered as the primary treatment.
Formula: Shaoyao Gancao Fuzi Tang (Peony, Licorice, and Aconite Decoction)
Shaoyao (White Peony Root, 2 qian) Gancao (Licorice Root, 5 fen) Fuzi (Prepared Aconite Root, 5 fen)
The above three ingredients. Use two sheng of water, boil to obtain one sheng, remove the dregs, add one spoonful of honey, and divide into warm doses. For Wujue (Roundworm-induced Cold Extremities), roundworms should be vomited up. The patient becomes quiet but experiences intermittent irritability because of internal cold causing roundworms to ascend to the diaphragm, hence the irritability, which stops after a moment. Vomiting and irritability upon eating occur because roundworms emerge smelling food odor; the patient will likely vomit roundworms spontaneously. Wu Mei Wan (Mume Pill) should be administered as the primary treatment.
Formula: Wu Mei Wan (Mume Pill)
Wumei (Dark Plum Fruit, 200 pieces) Xixin (Asarum, 6 liang) Ganjiang (Dried Ginger, 10 liang) Huanglian (Coptis Rhizome, 1 jin) Danggui (Angelica Sinensis, 4 liang) Fuzi (Prepared Aconite Root, 6 liang, processed) Chuanjiao (Sichuan Pepper, 4 liang, seeds removed) Guizhi (Cinnamon Twig, 6 liang) Renshen (Ginseng) Huangbai (Phellodendron Bark, each 6 liang)
The above ten ingredients. Pound and sieve separately, then mix. Soak Wumei in vinegar overnight, remove pits, steam over five sheng of rice until cooked, pound into paste, mix with other medicines, place in a mortar, and beat with honey two thousand times. Form pills the size of wutong seeds. Take ten pills before meals with drink, three times daily, gradually increasing to twenty pills. Avoid raw, cold, slippery, and strong-smelling foods. If a patient has abdominal fullness, body heat, lies tiredly facing down, with a fine and rapid pulse, even if the abdomen is hard, do not purge. Chaihu Pingwei Tang (Bupleurum and Stomach-Pacifying Decoction) is appropriate.
Formula: Chaihu Pingwei Tang (Bupleurum and Stomach-Pacifying Decoction)
Chaihu (Bupleurum Root, 5 fen) Huangqin (Scutellaria Root, 3 fen) Renshen (Ginseng, 3 fen) Gancao (Licorice Root, 3 fen) Banxia (Pinellia Tuber, 5 fen) Shengjiang (Fresh Ginger, 2 fen) Cangzhu (Atractylodes Rhizome, 3 fen) Chenpi (Aged Tangerine Peel, 5 fen) Houpo (Magnolia Bark, 5 fen)
The above nine ingredients. Chop, use two sheng of water, boil to obtain one sheng, remove dregs, divide into warm doses, and take frequently. Recurrent tidal fever, hard abdomen with muscle wasting, transitioning into Gancancer (Childhood Malnutrition Syndrome), which is a damaged disease, Xiao Ganc Tang (Eliminate Gancancer Decoction) should be administered as the primary treatment.
For Xu Lao (Deficiency Consumption) with palpitations and epistaxis, slight body heat, and sore limbs, Danggui Jianzhong Tang (Angelica Middle-Nourishing Decoction) should be administered as the primary treatment.
Formula: Danggui Jianzhong Tang (Angelica Middle-Nourishing Decoction)
Danggui (Angelica Sinensis, 5 fen) Shaoyao (White Peony Root, 5 fen) Guizhi (Cinnamon Twig, 3 fen) Shengjiang (Fresh Ginger, 2 fen) Gancao (Licorice Root, 3 fen) Dazao (Jujube, 2 pieces)
The above six ingredients. Use two sheng of water, boil to obtain one sheng, remove dregs, add Yimi (Malt Sugar), simmer gently until dissolved, take three he warm, three times daily. For dual deficiency of Qi and Blood, fluctuating constrained fire, chest hardness with abdominal weakness, shortness of breath, and palpitations, also treating blurred vision, Gouqi Lianggan Tang (Goji Liver-Cooling Decoction) is appropriate.
Formula: Gouqi Lianggan Tang (Goji Liver-Cooling Decoction)
Gouqi (Goji Berry) Houpo (Magnolia Bark) Xiangfuzi (Cyperus Rhizome, each 1 qian) Fuling (Poria, 2 qian) Huangbai (Phellodendron Bark) Gancao (Licorice Root, each 5 fen)
The above nine ingredients. Use two sheng of water, boil to obtain one sheng, remove dregs, divide into warm doses. For emaciation, waist and abdominal cramping, heavy limbs, dry throat and lips, pale complexion, and insufficient pulses, Huangjianzhong Tang (Yellow Middle-Nourishing Decoction) should be administered as the primary treatment. For recurrent body heat consuming Qi and Blood, if accompanied by irritability and thirst, whether true heat or false heat, Jiji Tang (Water-Fire Balance Decoction) should be administered as the primary treatment.
Formula: Jiji Tang (Water-Fire Balance Decoction)
Shengdihuang (Rehmannia Root, 5 qian, crushed) Huanglian (Coptis Rhizome, 5 fen)
The above two ingredients. Use two sheng of water, boil to obtain one sheng, remove dregs, divide into warm doses. If thirst is severe, take cold; for true heat add Shigao (Gypsum), for false heat add Ren Niao (Human Urine), for delirium add Chen Sha (Cinnabar). For blood dryness, evening tidal fever, panting cough, and phlegm rattle in the throat, Lujiaocai Tang (Deer Antler Vegetable Decoction) should be administered as the primary treatment.
Formula: Lujiaocai Tang (Deer Antler Vegetable Decoction)
Lujiaocai (Deer Antler Vegetable) Biejia (Turtle Shell) Niupixiao (Stemona Root, each 2 qian) Xijiao (Rhinoceros Horn, 5 fen) Zhugu (Bamboo Mucilage, 3 fen) Gancao (Licorice Root, 3 fen)
The above six ingredients. Use one sheng of water, boil five ingredients reducing by three ge, remove dregs, add Xijiao, stir well, and take warm. In Shaoyin syndrome, if unrelieved after two to three days, progressing to four to five days with abdominal pain, difficult urination, heavy painful limbs, and spontaneous diarrhea, this indicates Water Qi retention. If there is cough, clear urination, diarrhea, or vomiting, Zhenwu Tang (True Warrior Decoction) should be administered as the primary treatment.
Formula: Zhenwu Tang (True Warrior Decoction)
Fuling (Poria, 5 fen) Shaoyao (White Peony Root, 5 fen) Shengjiang (Fresh Ginger, 3 fen) Baizhu (Atractylodes Macrocephala Rhizome, 3 fen) Fuzi (Prepared Aconite Root, 3 fen)
The above five ingredients. Use two sheng of water, boil to obtain one sheng, remove dregs, divide into warm doses. For severe rebellious Qi rising upward and unfavorable throat condition requiring descending rebellious Qi, Maidong Tang (Ophiopogon Decoction) should be administered as the primary treatment.
Formula: Maidong Tang (Ophiopogon Decoction)
Maidong (Ophiopogon Tuber, 5 fen) Banxia (Pinellia Tuber, 5 fen) Renshen (Ginseng, 3 fen) Gancao (Licorice Root, 2 fen) Jingmi (Rice, 5 fen) Dazao (Jujube, 3 pieces)
The above six ingredients. Use one sheng of water, boil to obtain seven ge, divide into warm doses. Extreme heat causing dry mouth and delirium approaching death indicates extreme Yang. Cold extremities with Zhengsheng (repetitive low speech) and palpitations approaching death indicate extreme Yin. Diseases belonging to Yin, with weak Spleen Qi, dry mouth, vomiting without eating, and a tongue resembling bird meat, is named Ru She (Moist Tongue); try Qianshi Tang (Euryale Seed Decoction) as the primary treatment.
Formula: Qianshi Tang (Euryale Seed Decoction)
Qianshi (Euryale Seed, lightly fried, 5 fen) Shenye (Ginseng Leaf, 3 fen) Lianrui (Lotus Plumule, 5 fen)
The above three ingredients. Use one sheng of water, boil to obtain seven ge, remove dregs, divide into warm doses, take with Ginger Juice. In Shanghan (Cold Damage) or dysentery, although external heat slightly resolves, Spleen Qi loses its transport function, and appetite is lost; chewing Tongduan (Paulownia Stem) can prolong Stomach Qi. Diseases originating from Yang, lingering for many days, often have good omens; diseases originating from Yin, lingering for many days, often have bad omens. Diseases moving from outside show signs at the nose; diseases moving from inside show signs at the mouth. For patients with emaciation, weak Spleen, faint pulse, and difficulty ingesting food, Luobo Zhou (Radish Porridge) is appropriate.
Formula: Luobo Zhou (Radish Porridge)
Chenmi (Aged Rice, any amount) Luobo (Radish, peeled and mashed, equal parts to rice)
The above two ingredients. First boil aged rice in water to make thin porridge, add radish, mix well, boil again for four or five boils. Excess causes delirium, deficiency causes Zhengsheng. Zhengsheng is repetitive speech. Severe cases involve grasping at empty air or touching clothes, indicating dual defeat of Qi and Blood; Yingrong Tang (Nourish Glory Decoction) should be administered as the primary treatment.
Formula: Yingrong Tang (Nourish Glory Decoction)
Renshen (Ginseng, 3 fen) Huangqi (Astragalus Root, 3 fen) Maidong (Ophiopogon Tuber, 5 fen) Wuweizi (Schisandra Berry, 5 fen) Danggui (Angelica Sinensis, 5 fen) Dihuang (Rehmannia Root, 5 fen) Gancao (Licorice Root, 3 fen)
The above seven ingredients. Use two sheng of water, boil to obtain one sheng, divide into warm doses. For deficient rebellion, add Human Urine; for cold extremities, add Fuzi. If a patient is distressed but suddenly stops eating, it is treatable; if there is no distress but appetite gradually disappears, even if they can eat a little now, it is untreatable. For children with abdominal masses, chest fullness, urine like rice wash, tight/stringy/fine/rapid pulse, or able to eat but still emaciated, it is untreatable. For children with bone-steaming tidal fever, thin neck, large abdomen, spiritless eyes, and slight swelling of the dorsum of feet, death ensues. For roundworm Jue with screaming, irritability/thirst with coma, if pinching does not wake them, it is a sign of death. For cold extremities, irritability/thirst, red face, continuous vomiting/diarrhea, and bloody urine, it is untreatable. Disease states change with time; if worse in morning and better in evening, but with chest/hypochondriac cramping leading to cold extremities when severe, this is Epileptic Jue; Sini San (Four Counterflow Powder) should be administered as the primary treatment. Liu Gan Jia Jia Yi San (Willow Liver with Added Malt Sugar Powder) also treats this.
Formula: Sini San (Four Counterflow Powder)
Gancao (Licorice Root) Zhishi (Immature Bitter Orange) Chaihu (Bupleurum Root) Shaoyao (White Peony Root)
The above four ingredients. Each ten parts, pound and sieve. Mix with white drink (rice water), take one cun bi (square inch measure). Or add Jia Yi (Malt Sugar), mix well, and take. For patients who are emaciated, with faint pulse, depressed red face resembling drunkenness, cold limbs, lip smacking, and finger picking, this is Yang collapse. For patients with body heat, inability to eat, but desire for alcohol, give small amounts, but do not let them drink to excess. After resolution of various diseases, Spleen Qi must be weak; diet must be cautious. Wrongful feeding causes food relapse. In summer, abdominal pain, irritability, sudden diarrhea, sudden cold extremities, eye rolling, and impending collapse of Yuan Yang constitute Direct Invasion (Zhi Zhong); moxibustion is indicated. If Yang recovers, life is saved; if not, death ensues. Such ailments are mostly collapse syndromes; during spring-summer transition, take Spleen-strengthening agents. This is prevention. Why? Because diseases originate from vomiting and diarrhea. For Food Jue, severe abdominal pain with tossing and turning, knotted pulse approaching death, requiring vomiting/diarrhea, Zishuang Wan (Purple Frost Pill) should be administered as the primary treatment. For sudden diarrhea and sudden Jue, faint pulse, forehead sweat, moxa Tian Shu and Yong Quan points. If Jue does not return, pulse does not beat, and slight panting occurs, death ensues. For patients with agitation, profuse sweating, and surging Yin/Yang pulses, death ensues. For emaciation, reduced food intake, deficient Yin/Yang pulses, and unresolved body heat, death ensues. For labor relapses occurring two or three times, whether self-resolving or treated by striking Tian He (Heavenly Harmony point/method), all are untreatable. For patients with floating/surging pulse, oily sweat, incessant panting, inability to take fluids, insensitivity of body, alternating calmness/confusion, this is Life Collapse.