利。阴头肿即愈。
一论伤寒热症。叉手摸心。循衣摸床。谵语昏沉。不省人事。俗医不识。见病便为风症
因
而用风药。误人多矣。殊不知肝热乘于肺金。元气虚不能自主持。名曰撮空症。小便利者可
治。不利者不可治。
升阳散火汤
人参（二钱） 当归（三钱） 黄芩（二钱） 柴胡（八分） 麦门冬（三钱去心） 芍药（二钱）
白术（一钱五分去芦炒） 陈皮（五分） 白茯苓（三钱去心木） 甘草（八分）
上锉。姜、枣煎。入金首饰同煎。热服。有痰。加半夏二钱。大便燥实。谵语发渴。加
大黄一钱。泄泻者。加升麻三分。炒白术一钱。
一论患头疼发热。项脊强。恶寒无汗。用发汗药二三剂。汗不出者。此阳虚不能作汗。
名曰无阳症。宜
再造散
黄 （二钱） 熟附子（八分） 人参（二钱） 桂枝（八分） 白芍（二钱炒） 甘草（八分）
细辛（八分） 煨生姜（二片） 羌活（二钱） 防风（一钱五分） 川芎（一钱五分）
上锉。枣一枚。水煎。温服。夏月。加黄芩、石膏。冬月不必加。
一论有患心下硬痛。下利纯清水。谵语发渴。身热。庸医不识此症。但见下利。便呼为
漏底
伤寒。而便用热药止之。就如抱薪救火。误人死者多矣。殊不知此因邪热传里。胃中燥郁结
实
此利非内寒而利。乃逐日自饮汤药而利也。宜微下之。名结热利症。身有热者。宜用此汤
黄龙汤
大黄（二钱） 芒硝（一钱） 枳实（一钱） 浓朴（八分） 甘草（八分） 人参（二钱） 当归
（三钱）
上锉。姜、枣煎。再加桔梗八分。煎一沸。热服。年老气血虚者。去芒硝。
一论有患头疼身热。恶寒微渴。 然汗出。身疼。脚腿酸疼。无力沉倦。脉空浮而无力
庸
医不识。因见头疼恶寒发热。便呼为正伤寒。而大发其汗。所以轻变重。而伤人者愈多矣。
殊不知劳力内伤气血。外感寒邪。宜甘温之剂则愈。名曰劳力伤寒症。宜服。
调荣养卫汤
黄 （二钱） 人参（三钱） 白术（二钱） 陈皮（一钱五分） 当归（三钱） 柴胡（八分）
甘草
（八分） 即补中益气汤去升麻。
加川芎 羌活 防风。
上锉。生姜、枣子、葱白煎服。内伤夹外感者。以补中益气汤八味为主。从六经所见之
症。加减用之。如见太阳症。头项痛。腰脊强。加羌活一钱。 本二钱。桂枝八分。如阳明
则身热目痛而鼻干。不得眠。加葛根一钱。倍升麻。如少阳。则胸胁痛而耳聋。加黄芩
二钱。半夏二钱。倍柴胡。如太阴。则腹满而嗌干。加枳实一钱。浓朴八分。如少阴。
口燥舌干。加生甘草八分。桔梗八分。如厥阴。烦满囊缩。加川芎一钱五分。如变症发
斑。加葛根一钱。元参二钱。倍升麻。内伤夹痰。加半夏、竹沥。仍入姜汁传送。
一论伤寒渐变神昏不语。或睡中独语。一二旬目赤舌焦。将水与之则咽。不与则不思。
形如醉人。此邪传入心经。因心火上逼肺金。所以神昏。故名曰越经症。宜用
泻心导赤汤
黄连（八分）
黄芩（一钱五分） 甘草（八分） 犀角（五分） 麦门冬（三钱） 滑石（三钱） 山栀（三钱）
茯神（三钱） 知母（二钱） 人参（二钱）
上锉散。姜、枣、灯心煎。临服。入生地黄汁二匙。
一论有患伤寒。无头疼。无恶寒。身微热。面赤微渴。目无精光。口出无伦语。脉数无
力。此汗下太过。下元虚弱。此无根虚火泛上。名曰戴阳症。宜
复元汤
熟附子（八分）
甘草（八分） 干姜（八分） 人参（二钱） 五味子（四分） 麦门冬（三钱） 黄连（八分） 知
母（一钱五分） 芍药（二钱）
上锉散。姜、枣、葱煎。临卧。入童便三匙。温服。
一论伤寒初得。症无热。狂言烦躁不安。精采不与人相当。不可认为发狂。
而用下药。死者多矣。不知因邪热结膀胱。名曰如狂症。宜服
桂苓饮子
猪苓（二钱）
泽泻（二钱） 桂枝（八分） 甘草（八分） 黄柏（一钱五分） 知母（一钱五分） 白术（一钱
五分） 山栀（三钱） 滑石（二钱）
上锉。生姜、灯心二十四茎。煎服之。
一论有患无头疼。无畏寒。止发大渴。小便利。大便黑。口出无伦语。此内伤血郁肝脾
之症。使人昏迷沉重。错语。名曰夹血。
当归活血汤
当归（三钱）
赤芍（二钱） 甘草（八分） 红花（八分） 桂枝（八分） 干姜（八分） 枳壳（八分麸炒） 柴
胡（八分） 人参（一钱） 生地黄（三钱） 桃仁泥（八分）
上锉。姜一片。水煎。入酒三匙同服。三剂后。去桃仁、红花、干姜、桂枝。加白术一
钱。茯苓三钱。
一论有患憎寒壮热。头痛昏沉迷闷。上气喘急。口出涎沫。此因内伤七情。以致痰迷心
窍。神不守舍。神出舍空。空则痰生也。名曰夹痰。痰症类伤寒与此同法。
加味导痰汤
茯苓（三钱去皮）
半夏（二钱汤泡） 南星（一钱五分矾炮） 枳实（一钱麸炒） 黄芩（二钱） 人参（三钱） 白
术（一钱五分） 桔梗（八分） 黄连（八分） 栝蒌仁（二钱） 甘草（八分） 陈皮（一钱五分）
上锉。姜、枣煎。临服。入竹沥、姜汁同服。
一论食积类伤寒。头疼身热恶寒。气口脉紧盛。但身不痛。此为异耳。经曰。饮食自倍
肠胃乃伤。轻则消化。重则吐下。宜用
加味调中饮
苍术（一钱五分米泔浸炒）
浓朴（八分姜汁炒） 陈皮（一钱五分） 白术（一钱五分） 山楂（二钱） 干姜（八分炮） 神
曲（二钱炒） 草果（一钱） 黄连（八分姜汁炒） 甘草（八分） 枳实（一钱）
上锉。生姜煎服。腹中痛。加桃仁八分。痛甚大便结实。加大黄二钱下之。去草果、干
姜。锉散。姜、枣煎服。入竹沥、姜汁同服。
一论香港脚类伤寒。头疼身热恶寒。肢节痛。便闭呕逆。脚软屈不能转动。但起于脚膝耳
禁用补剂及淋洗。宜服
加减续命汤
防风（一钱五分）
芍药（二钱） 白术（一钱五分） 川芎（一钱五分） 防己（二钱） 桂枝（八分） 麻黄（八分）
甘草（八分） 苍术（一钱五分） 羌活（二钱）
上锉。姜、枣灯心煎服。暑中三阳。所患必热。脉来数。去附子、桂枝、麻黄。加黄芩
一钱。黄柏一钱五分。柴胡八分。寒中三阴。所患必冷。脉来迟。加附子一钱五分。起于
湿者。脉来弱。加木瓜二钱。牛膝三钱。起于风者脉来浮。加独活二钱。元气虚。加人
参少许。大便实。加大黄二钱。
一论天行大头病。发热恶寒。头项肿痛。脉洪。取作痰火治之。其喉痹者。亦照此方治
之。
芩连消毒汤
柴胡（八分） 甘草（八分） 桔梗（八分） 川芎（一钱五分） 黄芩（二钱） 荆芥（一钱）
黄连
（八分） 防风（一钱五分） 羌活（二钱） 枳壳（一钱） 连翘（二钱） 射干（二钱） 白芷（二
钱） 鼠粘子（二钱）
上锉散。生姜煎。临服。加竹沥、姜汁同服。先加大黄利一二次。后根据本方去大黄。加
人参二钱。当归二钱。调理。
一方。三月前后。谓之晚发。感冒寒疫。头疼发热恶寒。体痛而渴。脉浮紧有力。无汗
年力壮盛之人。用羌活冲和汤恐缓。故用此。
六神通解散
麻黄（八分） 甘草（八分） 黄芩（二钱） 石膏（三钱） 滑石（三钱）
苍术（一钱五分） 川芎（一钱五分） 羌活（二钱） 细辛（八分）
上锉。姜、葱、豆豉煎。热服出汗。中病即止。
一论伤寒虚烦。心惊微热。四肢无力体倦者。又治六七日别无刑克症候。昏沉不知人事
六脉俱静者。无脉欲出汗者。宜此。
安神益志汤
柴胡（八分） 人参（二钱） 知母（二钱） 甘草（八分） 竹茹（四钱） 茯神（三钱） 当归
（三
钱） 黄连（八分姜炒） 麦门冬（三钱） 五味子（四分） 生地黄（三钱） 远志（一钱甘草汤泡
去心）
上锉散。姜枣煎服。
一论伤寒头疼发热。身痛恶寒。口干不思饮食。时医误投发表攻击之药过多。发得表虚
上
气喘急。口干不食。肢体昏沉。冷汗大出。以致亡阳等症。用此加减补中益气汤。（方见内
伤）根据本方加柴胡八分。升麻一钱蜜炒。白芍二钱酒炒。桂枝八分。酸枣
仁二钱炒。熟附、麻黄根各八分。浮小麦三钱。倍加黄 。
一论伤寒头痛。发热口干。屡服发表解肌之药。而日晡发热尤甚。或日经夜重。此阴虚
火动
也。宜用六味地黄丸。（方见劳瘵）根据本方六味作汤药。加酒炒黄柏一钱五分。知母一钱五分
一论伤寒狐惑。多眠声嗄。及唇口生疮。宜用。
槐子 桃仁 艾（各一两） 枣子（十五个）
上锉。每服五钱。水煎温服。
一论汗吐下后。心胸满闷。或头痛微汗。虚烦不得眠。反复颠倒。心中懊 。乃燥热怫
郁于内。而气不宣通故也。宜服
栀豉汤
肥栀子（三钱） 淡豆豉（三钱）
上水煎。温服。烦躁者。懊 不得眠也。懊 者。沉闷不舒之貌。烦者气也。火
入于肺也。躁者血也。火入于肾也。故用栀子以治肺烦。豆豉以治肾躁。少气虚满。加甘草
呕哕。加生姜一钱。橘皮二钱。有宿食而烦躁者。加大黄二钱。下后腹满而烦。加枳
实二钱。浓朴八分。下后身热而烦。加甘草一钱。干姜二钱。瘥后劳复。加枳实二钱
一论伤寒已经汗下。表里俱虚。津液枯竭。心烦发热。气逆欲吐。及诸烦热。并宜服之
竹叶石膏汤
石膏（二钱） 半夏（一钱五分） 人参（一钱） 甘草（一钱） 麦门冬（去心一钱五分）
上锉一帖。青竹叶、生姜各五六片。粳米百余粒。水煎服。热极发狂。倍加知母、石膏
一论阳毒伤寒。药下虽通。结胸不软。痛楚喘促。或发狂乱者。宜用。
地龙水
大头缩地龙四条。洗净研烂。入生姜自然汁一匙。白蜜半匙。薄荷汁一匙。更入片脑一
分。
或半分。研匀。徐徐灌令尽。良久渐快。稳睡一顿饭时久。即与。揉心下片时。再令睡。当
有汗即愈。若服下半时不应。须再服一次效。
一论伤寒自汗。大便闭结不通。最便于老人。并日久不能服药者。又恐硝黄变为别症者
有屎已入直肠者。以此法最便益也。蜜煎导法。（方见大便闭）
一论伤寒阳明自汗。反小便利。大便燥硬。不可攻者。用此猪胆汁导法。（方见大便闭）
一伤寒小便不通。先将麝香、半夏末。填患人脐中。外用葱白、田螺。捣烂成饼。封于
脐中
上用带缚住良久。下用皂荚烧烟。熏入阴中。其水窦自通。妇人亦用皂荚煎汤戽洗小便处
小水亦通。
一论伤寒日数过多。其热不退。梦寐不宁。心惊恍惚。烦躁多痰。宜
竹茹温胆汤
柴胡（一钱） 竹茹（二钱） 桔梗（一钱） 枳实（麸炒一钱） 黄连（一钱） 人参（一钱）
麦
门冬（去心五分） 陈皮（一钱） 半夏（姜炒八分） 茯苓（一钱） 甘草（二钱） 香附（八分）
上锉一剂。生姜三片。枣二枚。水煎温服。
一论伤寒曾经汗下后。而热不退。头疼不清。脉数实。心尚烦躁。渴不止。是阴阳交。
此症甚危。其人平素有积热。而或因心事起火也。宜用
加减解毒汤
黄连（一钱五分） 栀子（一钱五分） 黄芩（一钱五分） 柴胡（二钱） 知母（二钱） 葛根
（
三钱） 羌活（二钱） 防风（一钱） 连翘（一钱） 人参（一钱五分） 当归（一钱） 生地黄（一
钱） 甘草（一钱）
上锉一剂。水煎温服。
一论伤寒新瘥方起。劳动应事。或多言劳神。而身复发热者。曰劳复。宜
益气养神汤
人参（一钱） 白茯苓（七分） 当归（三分） 生甘草（三分） 麦门冬 知母 栀子（各一
钱） 前胡（七分） 陈皮（五分） 升麻（三分） 白芍（三分）
上锉一剂。枣一枚。水煎。温服。
一治伤寒身热。大小便赤如血色者。
胡黄连（一两） 山栀子（二两去皮入蜜半两拌和炒令微焦）
二味捣烂为末。用猪肠子和丸。如梧子大。每服用生姜二片。乌梅一个。童便三合。浸
半日。去渣。食后。暖小便同温。下十丸立效。
一伤寒妇人得病。虽瘥未满百日。不可与男子交合。为阴阳易病。必拘急手足拳欲死。
丈夫病名为阴易。妇人名为阳易。速当汗之。当瘥。满四日不可疗。宜服此药。
干姜四两为末。
每服二药。米汤调。顿服。覆衣被出汗。得解。手足伸遂愈。
一论伤寒汗下后不解。或投药错误。致患人困重至死。或阴阳二症不明。七日以后。皆
可服。或终日昏闷。不省人事。发热发渴。似有狂言。一切危急之症。宜此。
夺命独参汤
参（一两）
上切。作一剂。水煎。不拘时服。渣再煎服。服后额下鼻尖微汗。是其应也。
一论伤寒见吐蛔者。虽有大热。不可下之。盖胃虚寒则蛔上膈。大凶之兆。急用炮姜、
Beneficial. Swelling of the glans penis will heal immediately.
Discussion on Heat Syndromes of Cold Damage: The patient crosses hands over the heart, gropes along clothing, grasps the bedrail, speaks incoherently (delirium), is mentally confused and lethargic, and loses consciousness. Quack doctors fail to recognize this syndrome; seeing these symptoms, they mistakenly diagnose it as a Wind syndrome and use wind-dispelling herbs, causing many errors. They do not realize that this is Liver heat invading Lung metal, with deficient Yuan Qi unable to maintain control. It is named "Groping at Empty Air Syndrome" (Cuokong Syndrome). If urination is free, it is treatable; if not, it is untreatable.
Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction)
Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Huang Qin (Scutellariae Radix, 2 qian) Chai Hu (Bupleuri Radix, 8 fen) Mai Men Dong (Ophiopogonis Tuber, 3 qian, remove heart) Shao Yao (Paeoniae Radix, 2 qian)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian, remove rhizome head and stir-fry) Chen Pi (Citri Reticulatae Pericarpium, 5 fen) Bai Fu Ling (Poria, 3 qian, remove woody core) Gan Cao (Licorice Root, 8 fen)
Crush the above ingredients. Decoct with fresh ginger and jujube. Add gold jewelry and decoct together. Take hot. If there is phlegm, add Ban Xia (Pinelliae Rhizoma, 2 qian). If stool is dry and hard, with delirium and thirst, add Da Huang (Rhei Radix et Rhizoma, 1 qian). For diarrhea, add Sheng Ma (Cimicifugae Rhizoma, 3 fen) and stir-fried Bai Zhu (1 qian).
Discussion on headache, fever, stiffness of the neck and spine, aversion to cold, and absence of sweating: After taking two or three doses of diaphoretic herbs, if sweat does not appear, this is due to Yang deficiency failing to produce sweat. It is named "Yang Absence Syndrome" (Wuyang Syndrome). Use Zaizao San (Reconstruction Powder).
Zaizao San (Reconstruction Powder)
Huang Qi (Astragali Radix, 2 qian) Shu Fu Zi (Prepared Aconiti Lateralis Radix, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Gui Zhi (Cinnamomi Ramulus, 8 fen) Bai Shao (Paeoniae Radix Alba, 2 qian, stir-fried) Gan Cao (Licorice Root, 8 fen)
Xi Xin (Asari Radix et Rhizoma, 8 fen) Wei Sheng Jiang (Roasted Fresh Ginger, 2 slices) Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian) Fang Feng (Saposhnikoviae Radix, 1.5 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 qian)
Crush the above ingredients. Decoct with one jujube in water. Take warm. In summer, add Huang Qin (Scutellariae Radix) and Shi Gao (Gypsum Fibrosum). In winter, no need to add.
Discussion on hardness and pain below the heart, purging of clear water only, delirium, thirst, and body heat: Quack doctors fail to recognize this syndrome. Seeing only diarrhea, they call it "Leaky Bottom Cold Damage" (Loudi Shanghan) and immediately use hot herbs to stop the diarrhea. This is like carrying firewood to save a fire, leading to many deaths. They do not realize this is caused by pathogenic heat transmitting inward, resulting in dryness and heat accumulation in the stomach. This diarrhea is not due to interior cold but results from daily intake of herbal decoctions. Mild purging is appropriate. It is named "Heat-Binding Diarrhea Syndrome" (Jiere Li Syndrome). For those with body heat, use this decoction.
Huanglong Tang (Yellow Dragon Decoction)
Da Huang (Rhei Radix et Rhizoma, 2 qian) Mang Xiao (Natrii Sulfas, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian) Hou Po (Magnoliae Officinalis Cortex, 8 fen) Gan Cao (Licorice Root, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian)
Crush the above ingredients. Decoct with fresh ginger and jujube. Add Jie Geng (Platycodonis Radix, 8 fen) and boil once more. Take hot. For elderly patients with deficient Qi and blood, remove Mang Xiao.
Discussion on headache, body heat, aversion to cold, slight thirst, shivering sweating, body ache, soreness and pain in legs, weakness, heaviness, fatigue, and pulse that is empty, floating, and forceless: Quack doctors fail to recognize this. Seeing headache, aversion to cold, and fever, they diagnose it as standard Cold Damage and induce heavy sweating. Thus, mild conditions become severe, harming more people. They do not realize this is internal injury from labor depleting Qi and blood, compounded by external cold invasion. Sweet-warm formulas should be used for recovery. It is named "Labor-Induced Cold Damage Syndrome" (Laoli Shanghan Syndrome). Use Tiaorong Yangwei Tang (Regulating Blood and Nourishing Defense Decoction).
Tiaorong Yangwei Tang (Regulating Blood and Nourishing Defense Decoction)
Huang Qi (Astragali Radix, 2 qian) Ren Shen (Ginseng Radix et Rhizoma, 3 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian) Chen Pi (Citri Reticulatae Pericarpium, 1.5 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Chai Hu (Bupleuri Radix, 8 fen)
Gan Cao (Licorice Root, 8 fen) This is Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction) without Sheng Ma.
Add Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), and Fang Feng (Saposhnikoviae Radix).
Crush the above ingredients. Decoct with fresh ginger, jujube, and white part of scallion. For internal injury complicated by external contraction, use the eight herbs of Buzhong Yiqi Tang as the main base, modifying according to symptoms seen in the Six Channels. If Taiyang syndrome appears (head/neck pain, stiff waist/spine), add Qiang Huo (1 qian), Gao Ben (Ligustici Wallichii Rhizoma et Radix, 2 qian), and Gui Zhi (8 fen). If Yangming syndrome appears (body heat, eye pain, dry nose, insomnia), add Ge Gen (Puerariae Lobatae Radix, 1 qian) and double Sheng Ma. If Shaoyang syndrome appears (hypochondriac pain, deafness), add Huang Qin (2 qian), Ban Xia (Pinelliae Rhizoma, 2 qian), and double Chai Hu. If Taiyin syndrome appears (abdominal fullness, dry throat), add Zhi Shi (1 qian) and Hou Po (8 fen). If Shaoyin syndrome appears (dry mouth/tongue), add raw Gan Cao (8 fen) and Jie Geng (8 fen). If Jueyin syndrome appears (irritation/fullness, retracted testicles), add Chuan Xiong (1.5 qian). If complications include macules/rash, add Ge Gen (1 qian), Xuan Shen (Scrophulariae Radix, 2 qian), and double Sheng Ma. For internal injury with phlegm, add Ban Xia and Zhu Li (Bambusae Succus), still adding Jiang Zhi (Fresh Ginger Juice) to guide the medicine.
Discussion on gradual onset of coma and muteness in Cold Damage, or solitary talking in sleep, red eyes and scorched tongue after 10-20 days, swallowing water when offered but refusing otherwise, resembling drunkenness: This is pathogenic heat transmitting to the Heart channel. Heart fire forcing upward onto Lung metal causes mental confusion, hence named "Crossing Channel Syndrome" (Yuejing Syndrome). Use Xiexin Daochi Tang (Draining Heart and Guiding Out Redness Decoction).
Xiexin Daochi Tang (Draining Heart and Guiding Out Redness Decoction)
Huang Lian (Coptidis Rhizoma, 8 fen)
Huang Qin (Scutellariae Radix, 1.5 qian) Gan Cao (Licorice Root, 8 fen) Xi Jiao (Rhino Ceratoss, 5 fen) Mai Men Dong (Ophiopogonis Tuber, 3 qian) Hua Shi (Talcum, 3 qian) Shan Zhi (Gardeniae Fructus, 3 qian)
Fu Shen (Poria with Hostwood, 3 qian) Zhi Mu (Anemarrhenae Rhizoma, 2 qian) Ren Shen (Ginseng Radix et Rhizoma, 2 qian)
Crush into powder. Decoct with fresh ginger, jujube, and Deng Xin Cao (Junci Medullae). Before administration, add Sheng Di Huang juice (Radix Rehmanniae Recens, 2 spoons).
Discussion on Cold Damage without headache or aversion to cold, slight body heat, flushed face, slight thirst, dull eyes, incoherent speech, rapid but forceless pulse: This is due to excessive sweating and purging, weakening the lower origin. Rootless deficient fire floats upward, named "Floating Yang Syndrome" (Daiyang Syndrome). Use Fuyuan Tang (Restoring Origin Decoction).
Fuyuan Tang (Restoring Origin Decoction)
Shu Fu Zi (Prepared Aconiti Lateralis Radix, 8 fen)
Gan Cao (Licorice Root, 8 fen) Gan Jiang (Zingiberis Rhizoma, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Wu Wei Zi (Schisandrae Fructus, 4 fen) Mai Men Dong (Ophiopogonis Tuber, 3 qian) Huang Lian (Coptidis Rhizoma, 8 fen) Zhi Mu (Anemarrhenae Rhizoma, 1.5 qian) Shao Yao (Paeoniae Radix, 2 qian)
Crush into powder. Decoct with fresh ginger, jujube, and scallion. Before retiring, add Tong Bian (Child's Urine, 3 spoons). Take warm.
Discussion on early stage of Cold Damage without heat, but with manic speech, irritability, and spirit lacking normal vigor: Do not mistake this for mania and use purgatives, as many die. This is actually pathogenic heat binding in the Bladder, named "Like-Mania Syndrome" (Rukuang Syndrome). Use Guiling Yinzi (Cassia and Poria Drink).
Guiling Yinzi (Cassia and Poria Drink)
Zhu Ling (Polyporus, 2 qian)
Ze Xie (Alismatis Rhizoma, 2 qian) Gui Zhi (Cinnamomi Ramulus, 8 fen) Gan Cao (Licorice Root, 8 fen) Huang Bo (Phellodendri Cortex, 1.5 qian) Zhi Mu (Anemarrhenae Rhizoma, 1.5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) Shan Zhi (Gardeniae Fructus, 3 qian) Hua Shi (Talcum, 2 qian)
Crush. Decoct with fresh ginger and 24 stalks of Deng Xin Cao (Junci Medullae).
Discussion on no headache, no aversion to cold, only intense thirst, free urination, black stool, and incoherent speech: This is an internal injury syndrome of blood stasis in Liver and Spleen, causing coma, heaviness, and erroneous speech, named "Blood-Clasping" (Jiaxue).
Danggui Huoxue Tang (Angelica Blood-Invigorating Decoction)
Dang Gui (Angelicae Sinensis Radix, 3 qian)
Chi Shao (Paeoniae Radix Rubra, 2 qian) Gan Cao (Licorice Root, 8 fen) Hong Hua (Carthami Flos, 8 fen) Gui Zhi (Cinnamomi Ramulus, 8 fen) Gan Jiang (Zingiberis Rhizoma, 8 fen) Zhi Ke (Aurantii Fructus, 8 fen, bran-fried) Chai Hu (Bupleuri Radix, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Sheng Di Huang (Radix Rehmanniae Recens, 3 qian) Tao Ren (Persicae Semen, 8 fen, paste)
Crush. Decoct with one slice of fresh ginger in water. Add three spoons of wine and take together. After three doses, remove Tao Ren, Hong Hua, Gan Jiang, and Gui Zhi. Add Bai Zhu (1 qian) and Fu Ling (Poria, 3 qian).
Discussion on aversion to cold with high fever, headache with confusion and oppression, shortness of breath with wheezing, and salivation: This is due to internal injury from Seven Emotions causing phlegm to confuse the Heart orifices, Spirit failing to reside, leaving the residence empty, thus generating phlegm, named "Phlegm-Clasping" (Jiatan). Phlegm syndromes resembling Cold Damage are treated similarly.
Jiawei Daotan Tang (Modified Expectoration-Resolving Decoction)
Fu Ling (Poria, 3 qian, peel removed)
Ban Xia (Pinelliae Rhizoma, 2 qian, soaked in alkali water) Nan Xing (Arisaematis Rhizoma, 1.5 qian, alum-fried) Zhi Shi (Aurantii Fructus Immaturus, 1 qian, bran-fried) Huang Qin (Scutellariae Radix, 2 qian) Ren Shen (Ginseng Radix et Rhizoma, 3 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) Jie Geng (Platycodonis Radix, 8 fen) Huang Lian (Coptidis Rhizoma, 8 fen) Gua Lou Ren (Trichosanthis Semen, 2 qian) Gan Cao (Licorice Root, 8 fen) Chen Pi (Citri Reticulatae Pericarpium, 1.5 qian)
Crush. Decoct with fresh ginger and jujube. Before administration, add Zhu Li (Bambusae Succus) and Jiang Zhi (Fresh Ginger Juice).
Discussion on Food Stagnation resembling Cold Damage: Headache, body heat, aversion to cold, tight and full pulse at Qi Kou (cun position), but no body pain, which is the difference. Classics state: Double the food intake injures the intestines and stomach. Mild cases resolve via digestion; severe cases require vomiting or purging. Use Jiawei Tiaozhong Yin (Modified Middle-Regulating Drink).
Jiawei Tiaozhong Yin (Modified Middle-Regulating Drink)
Cang Zhu (Atractylodis Rhizoma, 1.5 qian, soaked in rice water and fried)
Hou Po (Magnoliae Officinalis Cortex, 8 fen, ginger juice-fried) Chen Pi (Citri Reticulatae Pericarpium, 1.5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) Shan Zha (Crataegi Fructus, 2 qian) Gan Jiang (Zingiberis Rhizoma, 8 fen, roasted) Shen Qu (Meditationis Massae, 2 qian, fried) Cao Guo (Tsaoko Fructus, 1 qian) Huang Lian (Coptidis Rhizoma, 8 fen, ginger juice-fried) Gan Cao (Licorice Root, 8 fen) Zhi Shi (Aurantii Fructus Immaturus, 1 qian)
Crush. Decoct with fresh ginger. For abdominal pain, add Tao Ren (8 fen). For severe pain with hard stool, add Da Huang (2 qian) to purge. Remove Cao Guo and Gan Jiang. Crush into powder, decoct with fresh ginger and jujube. Add Zhu Li and Jiang Zhi.
Discussion on Hong Kong Foot (Gout/Lower Limb Bi) resembling Cold Damage: Headache, body heat, aversion to cold, joint pain, constipation, vomiting, weak legs unable to bend or move, originating from feet/knees. Contraindicate tonics and washing. Use Jiawuxuming Tang (Modified Sustaining Life Decoction).
Jiawuxuming Tang (Modified Sustaining Life Decoction)
Fang Feng (Saposhnikoviae Radix, 1.5 qian)
Shao Yao (Paeoniae Radix, 2 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 qian) Fang Ji (Stephaniae Tetrandrae Radix, 2 qian) Gui Zhi (Cinnamomi Ramulus, 8 fen) Ma Huang (Ephedrae Herba, 8 fen)
Gan Cao (Licorice Root, 8 fen) Cang Zhu (Atractylodis Rhizoma, 1.5 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian)
Crush. Decoct with fresh ginger, jujube, and Deng Xin Cao. Summer heat affecting Three Yang channels causes heat and rapid pulse; remove Fu Zi, Gui Zhi, Ma Huang. Add Huang Qin (1 qian), Huang Bo (1.5 qian), Chai Hu (8 fen). Cold affecting Three Yin channels causes cold and slow pulse; add Fu Zi (1.5 qian). Originating from dampness with weak pulse; add Mu Gua (Chaenomelis Fructus, 2 qian), Niu Xi (Achyranthis Bidentatae Radix, 3 qian). Originating from wind with floating pulse; add Du Huo (Angelicae Pubescentis Radix, 2 qian). Deficient Yuan Qi; add small amount of Ren Shen. Hard stool; add Da Huang (2 qian).
Discussion on Epidemic Big Head Disease: Fever, aversion to cold, swelling and pain in head/neck, surging pulse. Treat as Phlegm-Fire. For throat obstruction (Houbi), use this formula as well.
Qinlian Xiaodu Tang (Scutellaria and Coptis Detoxification Decoction)
Chai Hu (Bupleuri Radix, 8 fen) Gan Cao (Licorice Root, 8 fen) Jie Geng (Platycodonis Radix, 8 fen) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 qian) Huang Qin (Scutellariae Radix, 2 qian) Jing Jie (Schizonepetae Spica, 1 qian)
Huang Lian (Coptidis Rhizoma, 8 fen) Fang Feng (Saposhnikoviae Radix, 1.5 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian) Zhi Ke (Aurantii Fructus, 1 qian) Lian Qiao (Forsythiae Fructus, 2 qian) She Ye (Belamcandae Rhizoma, 2 qian) Bai Zhi (Angelicae Dahuricae Radix, 2 qian) Niu Bang Zi (Arctii Fructus, 2 qian)
Crush into powder. Decoct with fresh ginger. Before administration, add Zhu Li and Jiang Zhi. First, add Da Huang to purge one or two times. Then follow the base formula, removing Da Huang, adding Ren Shen (2 qian) and Dang Gui (2 qian) for regulation.
Another prescription. Around March, called late onset. Catching cold epidemic, headache, fever, aversion to cold, body pain, thirst, floating-tight-forceful pulse, no sweat. For robust individuals, Qianghuo Chonghe Tang may be too slow; use this instead.
Liushentongjie San (Six-Way Unblocking Release Powder)
Ma Huang (Ephedrae Herba, 8 fen) Gan Cao (Licorice Root, 8 fen) Huang Qin (Scutellariae Radix, 2 qian) Shi Gao (Gypsum Fibrosum, 3 qian) Hua Shi (Talcum, 3 qian)
Cang Zhu (Atractylodis Rhizoma, 1.5 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian) Xi Xin (Asari Radix et Rhizoma, 8 fen)
Crush. Decoct with fresh ginger, scallion, and Dou Chi (Fermented Soybean). Take hot to induce sweat. Stop when illness is addressed.
Discussion on deficiency vexation in Cold Damage, palpitations, slight heat, limb weakness, and fatigue. Also treats cases after 6-7 days with no clashing symptoms, lethargy, unconsciousness, quiet six pulses, or desire to sweat without pulse. Use this.
Anshen Yizhi Tang (Calming Spirit and Enriching Will Decoction)
Chai Hu (Bupleuri Radix, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Zhi Mu (Anemarrhenae Rhizoma, 2 qian) Gan Cao (Licorice Root, 8 fen) Zhu Ru (Bambusae Caulis in Taenia, 4 qian) Fu Shen (Poria with Hostwood, 3 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Huang Lian (Coptidis Rhizoma, 8 fen, ginger-fried) Mai Men Dong (Ophiopogonis Tuber, 3 qian) Wu Wei Zi (Schisandrae Fructus, 4 fen) Sheng Di Huang (Radix Rehmanniae Recens, 3 qian) Yuan Zhi (Polygalae Radix, 1 qian, soaked in Licorice water, remove heart)
Crush into powder. Decoct with fresh ginger and jujube.
Discussion on Cold Damage headache, fever, body pain, aversion to cold, dry mouth, loss of appetite. Time physicians mistakenly administer too many releasing and attacking herbs, causing exterior deficiency, upper asthma/shortness of breath, dry mouth, inability to eat, limb heaviness, profuse cold sweat, leading to Yang collapse. Use modified Buzhong Yiqi Tang (see Internal Injury). Based on this formula, add Chai Hu (8 fen), Sheng Ma (1 qian, honey-fried), Bai Shao (2 qian, wine-fried), Gui Zhi (8 fen), Suan Zao Ren (Ziziphi Spinosae Semen, 2 qian, fried), Shu Fu Zi (8 fen), Ma Huang Gen (Ephedrae Radix, 8 fen), Xiao Mai (Tritici Levis Fructus, 3 qian), and double Huang Qi.
Discussion on Cold Damage headache, fever, dry mouth, worsening afternoon fever or night aggravation after repeated use of releasing and muscle-relaxing herbs. This is Yin deficiency with Fire movement. Use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (see Consumption). Make the six ingredients of this formula into a decoction. Add wine-fried Huang Bo (1.5 qian) and Zhi Mu (1.5 qian).
Discussion on Cold Damage Huo Er (Huochu): hypersomnia, hoarse voice, sores on lips/mouth. Use Huai Zi (Sophorae Fructus), Tao Ren (Persicae Semen), Ai Ye (Artemisiae Argyi Folium) (each 1 liang), Zao Zi (Jujube, 15 pieces).
Crush. Take 5 qian per dose, decoct in water, take warm.
Discussion after sweating, vomiting, or purging: Chest/epigastric fullness, or headache with slight sweat, deficiency vexation, insomnia, tossing and turning, inner regret (Ao Nao). This is dry heat stagnating internally with obstructed Qi circulation. Use Zhichi Tang (Gardenia and Fermented Soybean Decoction).
Zhichi Tang (Gardenia and Fermented Soybean Decoction)
Fei Zhi Zi (Gardeniae Fructus, 3 qian) Dan Dou Chi (Sojae Semens Praeparatum, 3 qian)
Decoct in water. Take warm. Vexation refers to regret and insomnia. Regret (Ao Nao) is a sensation of stifling discomfort. Vexation (Fan) relates to Qi, Fire entering Lung. Restlessness (Zao) relates to Blood, Fire entering Kidney. Thus, Zhi Zi treats Lung Qi vexation, Dou Chi treats Kidney Blood restlessness. For shortness of breath and deficiency fullness, add Gan Cao. For vomiting/hiccups, add Gan Jiang (1 qian) and Ju Pi (Tangerine Peel, 2 qian). For food retention with vexation, add Da Huang (2 qian). For post-purge abdominal fullness and vexation, add Zhi Shi (2 qian) and Hou Po (8 fen). For post-purge body heat and vexation, add Gan Cao (1 qian) and Gan Jiang (2 qian). For relapse due to overexertion after recovery, add Zhi Shi (2 qian).
Discussion on Cold Damage after sweating/purging, both exterior and interior deficient, fluids exhausted, heart vexation, fever, rebellious Qi wanting to vomit, and various heat vexations. Use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction).
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Shi Gao (Gypsum Fibrosum, 2 qian) Ban Xia (Pinelliae Rhizoma, 1.5 qian) Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Gan Cao (Licorice Root, 1 qian) Mai Men Dong (Ophiopogonis Tuber, 1.5 qian, remove heart)
Crush one dose. Decoct with Qing Zhu Ye (Green Bamboo Leaf, 5-6 slices), Sheng Jiang (Fresh Ginger, 5-6 slices), and Geng Mi (Oryza Sativa Grain, ~100 grains). Take warm. For extreme heat causing mania, double Zhi Mu and Shi Gao.
Discussion on Yang Toxin Cold Damage: Although bowel movements are unblocked, chest binding remains hard, with painful breathing/wheezing or mania. Use Dilong Shui (Earthworm Water).
Dilong Shui (Earthworm Water)
Four large earthworms, cleaned and mashed. Add one spoon of natural fresh ginger juice, half spoon of white honey, one spoon of Bo He juice (Menthae Haplocalycis Herba). Add Pian Nao (Borneolum Syntheticum, 1 fen or 0.5 fen). Grind evenly. Slowly instill until finished. After a while, relief gradually comes. Sleep steadily for the duration of a meal. Then massage the epigastrium for a moment, let sleep again. Sweat will appear and cure. If no response after half a dose, repeat once for effect.
Discussion on spontaneous sweating in Cold Damage with constipation. Most suitable for elderly or those unable to take oral meds long-term, or fearing side effects of Mang Xiao/Da Huang. Suitable for feces already in rectum. Honey Suppository Method (Mi Jian Dao Fa) (see Constipation).
Discussion on Yangming Cold Damage with spontaneous sweating, yet free urination, and dry/hard stool unsuitable for harsh purging. Use Pig Gallbladder Suppository Method (Zhu Dan Zhi Dao Fa) (see Constipation).
One case of Cold Damage with urinary retention: First, fill the navel with powder of She Xiang (Moschus) and Ban Xia. Externally, apply a cake made of mashed Cong Bai (Scallion White) and Tian Luo (Apple Snail) to the navel, tie tightly for a while. Below, burn Zao Jiao (Gleditsiae Sinensis Fructus) to smoke and fumigate the genital area. The water passages will open naturally. Women also use Zao Jiao decoction to wash the urinary area; urination will flow.
Discussion on prolonged Cold Damage with unremitting heat, restless sleep, palpitations, anxiety, and much phlegm. Use Zhuru Wendan Tang (Bamboo Node and Warm Gallbladder Decoction).
Zhuru Wendan Tang (Bamboo Node and Warm Gallbladder Decoction)
Chai Hu (Bupleuri Radix, 1 qian) Zhu Ru (Bambusae Caulis in Taenia, 2 qian) Jie Geng (Platycodonis Radix, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian, bran-fried) Huang Lian (Coptidis Rhizoma, 1 qian) Ren Shen (Ginseng Radix et Rhizoma, 1 qian)
Mai Men Dong (Ophiopogonis Tuber, 5 fen, remove heart) Chen Pi (Citri Reticulatae Pericarpium, 1 qian) Ban Xia (Pinelliae Rhizoma, 8 fen, ginger-fried) Fu Ling (Poria, 1 qian) Gan Cao (Licorice Root, 2 qian) Xiang Fu (Cyperi Rhizoma, 8 fen)
Crush one dose. Decoct with three slices of fresh ginger and two jujubes. Take warm.
Discussion on Cold Damage after sweating/purging with unremitting heat, unclear headache, rapid-full pulse, persistent heart vexation, and unquenchable thirst. This is Yin-Yang Intersection (Yinyang Jiao), a critical condition. The person usually has accumulated heat, possibly triggered by emotional stress. Use Jiawei Jiedu Tang (Modified Detoxification Decoction).
Jiawei Jiedu Tang (Modified Detoxification Decoction)
Huang Lian (Coptidis Rhizoma, 1.5 qian) Zhi Zi (Gardeniae Fructus, 1.5 qian) Huang Qin (Scutellariae Radix, 1.5 qian) Chai Hu (Bupleuri Radix, 2 qian) Zhi Mu (Anemarrhenae Rhizoma, 2 qian) Ge Gen (Puerariae Lobatae Radix, 3 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian) Fang Feng (Saposhnikoviae Radix, 1 qian) Lian Qiao (Forsythiae Fructus, 1 qian) Ren Shen (Ginseng Radix et Rhizoma, 1.5 qian) Dang Gui (Angelicae Sinensis Radix, 1 qian) Sheng Di Huang (Radix Rehmanniae Recens, 1 qian) Gan Cao (Licorice Root, 1 qian)
Crush one dose. Decoct in water. Take warm.
Discussion on new recovery from Cold Damage, resuming work or speaking excessively, leading to recurrent fever. Called Relapse due to Overexertion (Laofu). Use Yiqi Yangshen Tang (Qi-Supplementing and Spirit-Nourishing Decoction).
Yiqi Yangshen Tang (Qi-Supplementing and Spirit-Nourishing Decoction)
Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Bai Fu Ling (Poria, 7 fen) Dang Gui (Angelicae Sinensis Radix, 3 fen) Sheng Gan Cao (Raw Licorice Root, 3 fen) Mai Men Dong, Zhi Mu, Shan Zhi (each 1 qian) Qian Hu (Peucedani Radix, 7 fen) Chen Pi (Citri Reticulatae Pericarpium, 5 fen) Sheng Ma (Cimicifugae Rhizoma, 3 fen) Bai Shao (Paeoniae Radix Alba, 3 fen)
Crush one dose. Decoct with one jujube in water. Take warm.
Treatment for Cold Damage with body heat and red urine/stool resembling blood color.
Hu Huang Lian (Picrorrhizae Rhizoma, 1 liang) Shan Zhi Zi (Gardeniae Fructus, 2 liangs, peel removed, mixed with half liang honey, stir-fried until slightly charred)
Grind the two into powder. Mix with pig intestine to form pills the size of wu zi (Chinese quince seeds). Each dose: soak two slices of fresh ginger, one dark plum (Wu Mei), and three he of child's urine for half a day. Strain. After meals, take ten pills warm with warmed urine. Immediate effect.
If a woman contracts disease during Cold Damage, even if recovered for less than 100 days, intercourse with men is forbidden. This is Yin-Yang Exchange Disease (Yinyang Yi Bing). Symptoms include severe cramping, curled fists, near death. In men, it is called Yin Exchange; in women, Yang Exchange. Must induce sweating quickly to recover. Untreatable after four days. Use this medicine.
Dry Ginger (Gan Jiang) 4 liangs, ground to powder.
Take two doses per serving, mixed with rice water, taken at once. Cover with clothes/blankets to induce sweat. Upon resolution, limbs extend and recovery occurs.
Discussion on Cold Damage not resolving after sweating/purging, or due to medication error, leading to critical condition or death, or unclear Yin/Yang syndromes. After seven days, this can be used. Or for all-day lethargy, unconsciousness, fever, thirst, apparent mania, and all critical conditions. Use Deming Dushen Tang (Life-Seizing Single Ginseng Decoction).
Deming Dushen Tang (Life-Seizing Single Ginseng Decoction)
Shen (Ginseng Radix et Rhizoma, 1 liang)
Cut into pieces. Prepare one dose. Decoct in water. Take at any time. Residue decoct again. After taking, slight sweat under forehead and on nose tip indicates reaction.
Discussion on Cold Damage with vomiting of roundworms. Even with high heat, do not purge. Stomach deficiency-cold causes worms to ascend to diaphragm, a dire omen. Immediately use Pao Jiang (Roasted Ginger)...