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(Attached: Zhong'e [Sudden Attack by Evil Spirits])
Cold is the austere and killing qi of heaven and earth, corresponding to winter. In the sky, it manifests as frost and snow; when plants and trees encounter it, they wither and collapse. Generally, if a person's nurturing and care are improper, their constitution is weak, and cold qi enters taking advantage of this deficiency, resulting in sudden affliction, it is called "Zhonghan" (Mid-Cold). Zhonghan refers to being afflicted by cold due to deficiency of healthy qi. Its symptoms include: body stiffness and falling, cold limbs, deep and hidden pulses bilaterally, coma and unconsciousness, resembling stroke in appearance.
Zhongshu (Mid-Heat) presents similarly but differs in pathology, requiring different medical treatments. Heat qi corresponds to summer. In the sky, it manifests as heat; on earth, as fire; in humans, it corresponds to the Heart. When heat pathogen injures the body, it first affects the Heart. Its symptoms include: headache and dizziness, mental restlessness and facial greasiness, fever and thirst, and a deficient and soggy pulse. Coma and unconsciousness also resemble stroke. This is called Zhongshu. Zhongshu refers to being afflicted by heat due to deficiency of healthy qi.
Zhonghan is treated with warming and dispersing methods; Zhongshu is treated with cooling and clearing methods. First observe the seasonal climate, then treat according to symptoms. Although the forms of major and minor illnesses differ, their pathological conditions cannot be treated identically; one must treat based on time and symptoms, inferring the whole from part.
Zhonge (Sudden Attack by Evil Spirits) also resembles stroke. Generally, due to weak constitution and short spirit, evil influences take advantage of the deficiency, it is called Zhonge. Its symptoms include: cyanotic face and purple lips, copious phlegm obstruction, cold limbs, fixed eyes without movement, body stiffness and falling, coma and loss of voice; or being startled by ghosts in sleep, feeling dull and silent, delirious speech, unresponsive to pushing and calling. If such symptoms occur, do not rashly use sweating, purging, or wind-dispelling medicines. First, blow Chan Ya San (Tooth-Rubbing Powder) and Tong Guan San (Passage-Unblocking Powder) into the nose. Burn incense, gently beat a drum, and call the patient's name softly in their ear. Wait for them to regain consciousness before using calming and evil-driving medicines. The above four conditions are all categorized under Jingxian (Startle Epilepsy); if the face turns blue-black and bowel/bladder incontinence occurs, it is incurable.

Shuangjin San (Double Gold Powder) treats stroke, Zhongshu, Zhonge, and all types of startle epilepsy with great efficacy.
Wugong (Centipede, *Scolopendra subspinipes mutilans*) (one large specimen, remove head and feet, fry in butter until yellow, split in half along the dorsal seam with a bamboo knife) Shexiang (Musk, *Moschus*) (one piece weighing 5-6 fen, split in half)
Grind these two ingredients into fine powder separately, matching left with left and right with right. Wrap in paper to prevent leakage of qi. Keep left and right markings distinct. For patients with eyes rolling upward showing only whites, convulsions, unconsciousness, and inability to speak, use a reed tube to apply a small amount of powder, blowing it into the nostril corresponding to the side of convulsion. Do not use too much. If eyes remain rolled up, apply a little more; once eyes lower, convulsions cease.

Tongguan Chan Ya San (Passage-Unblocking Tooth-Rubbing Powder) treats startle epilepsy, various mid-syndromes, and locked jaw.
Nanxing (Arisaema Rhizome, *Arisaema erubescens*) (2 qian, processed) Zaogiao (Gleditsia Sinensis Fruit, *Gleditsia sinensis*) (5 fen) Jiangcan (Bombyx Batryticatus, *Bombyx batryticatus*) (1 qian) Wugong (Centipede, *Scolopendra subspinipes mutilans*) (one red-legged, fried) Shexiang (Musk, *Moschus*) (1 fen)
Rub teeth with ginger slices dipped in the medicine, or mix a small amount with ginger decoction and swallow.

Shengliao Wuji San (Raw Material Five Accumulations Powder) treats headache and body pain caused by cold pathogen invasion, stiffness in neck and back, aversion to cold, vomiting, abdominal pain, internal injury from raw/cold food, external contraction of wind pathogen, cold qi lodging in collaterals causing soreness/pain in waist/legs, and spasms of hands/feet.
Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Baizhi (Angelicae Dahuricae Radix, *Angelica dahurica*) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis* [processed with ginger juice]) Jiegeng (Platycodonis Radix, *Platycodon grandiflorus*) Zhike (Aurantii Fructus, *Citrus aurantium* [bran-fried]) Danggui (Angelicae Sinensis Radix, *Angelica sinensis*) Chuanxiong (Ligusticum Chuanxiong Rhizoma, *Ligusticum chuanxiong*) Fuling (Poria, *Poria cocos*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) Shaoyao (Paeoniae Radix Alba, *Paeonia lactiflora*) Cangzhu (Atractylodis Rhizoma, *Atractylodes lancea* [fried]) Mahuang (Ephedrae Herba, *Ephedra sinica*) Banxia (Pinelliae Rhizoma, *Pinellia ternata* [processed with ginger juice]) Rougui (Cinnamomi Cortex, *Cinnamomum cassia*) Ganjiang (Zingiberis Rhizoma Recens, *Zingiber officinale*)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) and 3 stalks of Congbai (Scallion White, *Allium fistulosum*), decoct in water. Dosage adjusted according to symptoms. For Qi stagnation, add Zhuyu (Corni Fructus, *Cornus officinalis*) and Muxiang (Aucklandiae Radix, *Aucklandia lappa*); for cold extremities, add Fuzi (Aconiti Lateralis Radix Praeparata, *Aconitum carmichaelii*); for women regulating menstruation/promoting labor, add Aiye (Artemisiae Argyi Folium, *Artemisia argyi* [vinegar-fried]).

Lizhong Tang (Regulate the Middle Decoction) treats Zhonghan, locked jaw and loss of voice, stiff limbs, and phlegm retention with cold stabbing pain in the epigastrium of men and women.
Renshen (Ginseng Radix, *Panax ginseng*) Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala*) Ganjiang (Zingiberis Rhizoma Recens, *Zingiber officinale*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*)
Fuzi Lizhong Tang: Add Fuzi (Aconiti Lateralis Radix Praeparata, *Aconitum carmichaelii*) and 5 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) to the above formula, decoct in water.

Sini Tang (Reverse-Yin Decoction) treats Cold invading the Jueyin channel causing cold extremities, and Zhonghan with thin, nearly imperceptible pulse.
Danggui (Angelicae Sinensis Radix, *Angelica sinensis*) Guizhi (Cinnamomi Ramulus, *Cinnamomum cassia*) Baishao (Paeoniae Radix Alba, *Paeonia lactiflora*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) Ganjiang (Zingiberis Rhizoma Recens, *Zingiber officinale*) Tongcao (Tetrapanacis Medulla, *Tetrapanax papyriferus*) (equal parts)
Add 5 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*), decoct in water. For cold extremities, add Fuzi (Aconiti Lateralis Radix Praeparata, *Aconitum carmichaelii*).

Anwei San (Stomach-Calming Powder) treats cold pathogen invading the stomach causing persistent vomiting and anorexia, and also treats cold cough.
Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Banxia (Pinelliae Rhizoma, *Pinellia ternata* [processed with ginger juice]) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis* [processed with ginger juice]) Huoxiang (Agastaches Herba, *Agastache rugosa*) Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala* [fried]) Fuling (Poria, *Poria cocos*) Renshen (Ginseng Radix, *Panax ginseng*) (each 5 fen) Wuzhuyu (Evodiae Fructus, *Evodia rutaecarpa*) Sharen (Amomi Fructus Rotundus, *Amomum kravanh*) Ganjiang (Zingiberis Rhizoma Recens, *Zingiber officinale*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) (each 3 fen)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*), decoct in water.

Xiaoshen San (Kidney-Reducing Powder) treats cold pathogen invasion causing testicular swelling and pain, or hernia attacks radiating to heart and abdomen with unbearable pain, effective for both adults and children.
Zhuling (Polyporus, *Polyporus umbellatus*) Zexie (Alismatis Rhizoma, *Alisma orientale*) Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala*) Fuling (Poria, *Poria cocos*) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Guigui (Cinnamomi Cortex, *Cinnamomum cassia*) Da Huixiang (Foeniculi Fructus, *Foeniculum vulgare*) Xiao Huixiang (Anisi Stellati Fructus, *Illicium verum*) Xuanhusuo (Radix Bupleuri? Note: Text says Xuanhusuo, likely a local variant or typo for another herb, kept as transliteration or generic root term if standard ID fails, here assumed to be a specific root), Mutong (Akebiae Caulis, *Akebia quinata*)
Equal parts, decoct in water, drink hot to induce sweating.

Formulas for Zhongshu (Mid-Heat)
Zhisheng Laifu Dan (Supreme Sage Reviving Pill) treats disharmony of Ying and Wei, non-interaction of Heart and Kidney, excess above and deficiency below, Qi syncope with phlegm closure, cold pain in heart/abdomen, and visceral deficiency with looseness. Effective for critical conditions in men, women, old, and young, provided Stomach Qi remains. This medicine harmonizes Yin and Yang, controls the harmonious Qi of Heaven and Earth, achieving the balance of Water and Fire. It can be cooling or warming, slow or rapid, with superior efficacy.
Xiaoshi (Nitrums, *Natrii Sulfas*) Liuhuang (Sulfur, *Sulfur*) (each 1 liang) Dayin Xuanjingshi (Black Crystal Salt, *Halite*) (1 liang) Wulingzhi (Trogopterori Faeces, *Trogopterus dung*) (4 liang, ground, water-floted) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Qingpi (Citrus Reticulatae Pericarpium Viride, *Citrus reticulata* 'Chachi') (each 2 liang, peel removed, pure powder taken)
First, stir-fry Xiaoshi and Liuhuang in a pot over low heat, stirring constantly with a willow twig. Cool properly, then grind fine. Add other medicines, bind with vinegar paste into pills the size of hemp seeds. Adults: 40 pills; Children: 20 pills. Take with Ginger Decoction.

Erqi Dan (Two-Qi Pill) treats latent summer-heat injuring cold, intermixing of two Qi, epigastric fullness, vomiting or diarrhea.
Xiaoshi (Nitrums, *Natrii Sulfas*) Liuhuang (Sulfur, *Sulfur*) (each 1 liang)
Grind into powder, stir-fry lightly in silver/ceramic vessel until yellow, grind fine. Bind with glutinous rice into pills. Take 30-40 pills per dose with fresh cool water.

Longxian San (Dragon Saliva Powder) treats Zhongshu with confusion and unconsciousness, dysentery/holud, resolves summer-heat toxicity, relieves irritability and thirst.
Feiluomian (Fine Wheat Flour, *Triticum aestivum*) Wuwei Zi (Schisandrae Chinensis Fructus, *Schisandra chinensis*) (2 liang) Wumei (Mume Fructus, *Prunus mume*) (2 liang, pit removed) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) (1.5 liang, half raw half roasted) Baijian (Alum, *Alumen*) (1 liang, raw)
Grind into powder, make water-pills the size of bullet. Adults: 1 pill; Children: half pill. Take with fresh cool water. Another prescription adds Hezi (Chebulae Fructus, *Terminalia chebula*) 1 liang.

Xiangpo Yin (Costus Drink) treats latent heat inside and out, vomiting/diarrhea, deficiency irritability and thirst.
Renshen (Ginseng Radix, *Panax ginseng*) Fuling (Poria, *Poria cocos*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) Zisuye (Perillae Folium, *Perilla frutescens*) Mugua (Chaenomelis Fructus, *Chaenomeles speciosa*) Zexie (Alismatis Rhizoma, *Alisma orientale*) Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) Banxiaqu (Pinelliae Fermentum, *Pinellia ternata* fermented) Bian Dou (Vigna Semen Coctum, *Vigna angularis* [fried]) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Wumei (Mume Fructus, *Prunus mume*) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis*) (equal parts)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) and 1 Jujube (*Ziziphus jujuba*), decoct in water.

Shiwei Xiangru Yin (Ten-Ingredient Elsholtzia Drink) clears summer-heat, harmonizes Spleen and Stomach.
Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) Renshen (Ginseng Radix, *Panax ginseng*) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala*) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis* [processed]) Mugua (Chaenomelis Fructus, *Chaenomeles speciosa*) Bian Dou (Vigna Semen Coctum, *Vigna angularis* [fried and ground]) Fuling (Poria, *Poria cocos*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) Huangqi (Astragali Radix, *Astragalus membranaceus*) (equal parts)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*), decoct in water.

Qingshu Yiqi Tang (Clear Summer-Heat and Boost Qi Decoction) treats excessive damp-heat in late summer, steaming and scorching the body, limb fatigue, lack of spirit, anorexia, fever with irritability, scanty dark urine, loose stools, thirst, and spontaneous sweating.
Renshen (Ginseng Radix, *Panax ginseng*) Cangzhu (Atractylodis Rhizoma, *Atractylodes lancea* [fried]) Gange (Puerariae Lobatae Radix, *Pueraria lobata*) Huangqi (Astragali Radix, *Astragalus membranaceus*) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Danggui (Angelicae Sinensis Radix, *Angelica sinensis*) Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala* [fried]) Maiya (Hordei Fructus Germinatus, *Hordeum vulgare* [fried]) Zexie (Alismatis Rhizoma, *Alisma orientale*) Qingpi (Citrus Reticulatae Pericarpium Viride, *Citrus reticulata* 'Chachi') Shenqu (Massa Medicata Fermentata, *Medicated Leaven* [fried]) Huangbo (Phellodendri Cortex, *Phellodendron amurense* [wine-fried]) Shengma (Cimicifugae Rhizoma, *Cimicifuga foetida*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis* [roasted]) Wuwei Zi (Schisandrae Chinensis Fructus, *Schisandra chinensis*)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) and 1 Jujube (*Ziziphus jujuba*), decoct in water. Mother and child take together.

Liuhe Tang (Six-Harmonies Decoction) expels summer-heat and harmonizes middle, regulates Heart and Spleen, stops vomiting and diarrhea.
Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) Huoxiang (Agastaches Herba, *Agastache rugosa*) Fuling (Poria, *Poria cocos*) Renshen (Ginseng Radix, *Panax ginseng*) Banxia (Pinelliae Rhizoma, *Pinellia ternata*) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis*) Mugua (Chaenomelis Fructus, *Chaenomeles speciosa*) Bian Dou (Vigna Semen Coctum, *Vigna angularis*) (each 7 fen) Sharen (Amomi Fructus Rotundus, *Amomum kravanh*) Xingren (Armeniacae Semen Amarum, *Prunus armeniaca*) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) (5 fen)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) and 1 Jujube (*Ziziphus jujuba*), decoct in water.

Xiangru Yin (Elsholtzia Drink) treats all summer-heat syndromes.
Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) (2 qian) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis*) (1 qian) Bian Dou (Vigna Semen Coctum, *Vigna angularis*) (1.5 qian) Huanglian (Coptidis Rhizoma, *Coptis chinensis*) (1 qian)
Decoct in water.

Erxiang San (Two-Fragrances Powder) treats all external contractions in summer.
Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) Huoxiang (Agastaches Herba, *Agastache rugosa*) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis*) Bian Dou (Vigna Semen Coctum, *Vigna angularis*) Huanglian (Coptidis Rhizoma, *Coptis chinensis*) Chenpi (Citrus Reticulatae Pericarpium, *Citrus reticulata*) Banxia (Pinelliae Rhizoma, *Pinellia ternata*) Dafupi (Arecae Pericarpium, *Areca catechu*) Jiegeng (Platycodonis Radix, *Platycodon grandiflorus*) Zisu (Perillae Folium, *Perilla frutescens*) Fuling (Poria, *Poria cocos*) Cangzhu (Atractylodis Rhizoma, *Atractylodes lancea*) Baizhi (Angelicae Dahuricae Radix, *Angelica dahurica*) (equal parts) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*) (half dose)
Add 3 slices of Shengjiang (Fresh Ginger, *Zingiber officinale*) and 1 Jujube (*Ziziphus jujuba*), decoct in water.

Xiangru Jiedu Tang (Elsholtzia Detoxifying Decoction) treats critical Zhongshu and bloody stool due to heat toxin.
Xiangru (Elsholtziae Herba, *Elsholtzia splendens*) (1 qian) Houpo (Magnoliae Officinalis Cortex, *Magnolia officinalis*) Bian Dou (Vigna Semen Coctum, *Vigna angularis*) Huanglian (Coptidis Rhizoma, *Coptis chinensis*) Shanzhi (Gardeniae Fructus, *Gardenia jasminoides*) Huangbo (Phellodendri Cortex, *Phellodendron amurense*) Huangqin (Scutellariae Radix, *Scutellaria baicalensis*) (each 7 fen)
Decoct in water.