一论四时伤寒瘟疫。头疼。寒热往来。及治内外两感之症。春月得病。宜用此方。
香苏散
紫苏叶（二钱） 香附（三钱） 陈皮（三钱） 甘草（五分）
上锉。姜、枣煎。热服。头疼。加川芎、白芷、细辛。发汗。加麻黄、苍术。咳嗽
加杏仁、桑白皮。痘疹未成。加升麻、干葛。痢疾。加枳实、黄连。疟疾。加槟榔
、草果。泄泻。加白术、茯苓。恶寒潮热。加桂枝、麻黄。身疼。加羌活、乌药。
胸膈饱闷。加桔梗、枳壳。心下痞。加枳实、黄连姜炒。有痰。加半夏。呕吐。加藿
香、半夏。脚膝拘挛。加木香、槟榔、羌活、木瓜。名槟榔散。口干。加干葛。夹食
加山楂、神曲。
一论时令不正。瘟疫妄行。感冒。发热恶寒。头疼身痛。咳嗽喘急。或欲出疹。此药不
问阴阳两感。并皆服之。
十神汤
川芎 甘草 麻黄 紫苏 白芷 升麻 陈皮 香附 赤芍 干葛
上锉。每一两。姜、葱煎。热服出汗。潮热。加黄芩、麦门冬。咳嗽。加桔梗、桑白皮
、半夏。头疼。加细辛、石膏、葱白。心胸胀满。加枳实、半夏。胸膈膨闷。加枳壳
、桔梗。饮食不思。加砂仁、白术。呕逆。加丁香、砂仁。鼻衄不止。加乌梅、黄芩
腹痛。加酒炒白芍。冷气痛。加官桂。大便闭。加大黄、芒硝。痢。加枳壳、当归
一论伤寒头痛。壮热恶寒。及伤风痰涎咳嗽。鼻塞身重。四时瘟疫热毒。头面肿痛。痢
疾发热。诸疮毒。及小儿惊风喘嗽。痘疹时行。一切恶毒并治。
人参败毒散
柴胡 前胡 羌活 独活 枳壳 茯苓 川芎 桔梗 人参 甘草
上锉一两。生姜、薄荷煎服。咳嗽。加半夏。热毒。加黄连、黄芩、黄柏、栀子。风
热。加荆芥、防风。名荆芥败毒散。酒毒。加干葛、黄连。疮毒。加金银花、连翘。去
人参。
一论四时伤寒伤风。头痛项强。壮热恶寒。身体烦痛。咳嗽上壅。涕唾稠粘。自汗恶风
等症。宜服
消风百解散
苍术 荆芥 麻黄 白芷 陈皮（各一钱） 甘草（三分）
上锉一剂。姜、葱煎服。咳嗽。加乌梅。合升麻葛根汤同服。
一论伤寒时疫。憎寒壮热。头疼身痛。发热恶寒。鼻干不得眠。兼治寒暄不时。人多病
疫。乍暖脱衣。及小儿痘疹已发未发。疑似之间并治。
升麻葛根汤
升麻 葛根 白芍 甘草
上锉一两。生姜煎服。头痛。加葱白煎。热服。咳嗽。加杏仁二钱。桑白皮三钱。上焦
热。加黄芩二钱。薄荷八分。无汗。加麻黄一钱。咽痛。加桔梗八分。发黄丹毒。加玄
参三钱。
一论伤寒伤风。头疼发热。口干鼻涕。四时瘟疫流行。先用
发表散
葛根（二钱） 西芎（一钱五分） 黄芩（二钱） 甘草（八分）
右锉一剂。生姜三片。葱白三根。水煎。热服出汗。
一论伤寒无汗。头疼发热。身痛口干等症。宜服
发表丸
甘草 麻黄 升麻 葛根（各四两） 苍术（二两）
上为细末。炼蜜为丸。如肥皂子大。每服一丸。生绿豆汤送下。如过三日外。加黄酒一
钟。再加一丸。一论伤寒前三日在表。法当汗。可用双解散。连进数服。必愈。
双解散（合后二方）
防风通圣散（方见中风）益元散（方见中暑）此二方合而服之。当得汗而解。若不解者。病
已传变。
一治伤寒行军散秘方
用绿豆、麻黄各一升。雄黄三钱。共为末。每服一钱。重者二钱。无根水下。走出汗愈
一治四时感冒。伤寒发汗后。经中余热未解。
柴胡（八分） 前胡（二钱） 枳壳（一钱） 桔梗（八分） 连翘（三钱） 黄芩（二钱） 赤芍
（
二钱） 干葛（一钱） 茯苓（三钱） 半夏（一钱） 川芎（一钱五分） 薄荷（八分） 甘草（一钱
）
上锉。生姜煎服。
烦躁。加麦门冬三钱。淡竹叶二钱。
一论伤寒大热不止。烦躁干呕。口渴喘满。阳厥极深。蓄热内甚。及汗吐下后。诸药不
能退其热者。用
黄连解毒汤
黄连（八分） 黄芩（二钱） 黄柏（一钱五分） 栀子（二钱）
上锉。水煎服。
一治伤寒热极发狂。不认亲疏。躁热之极。（长垣成都宪传）用熊胆一分。研末。凉水调
服立效。
一论恶风寒。鼻流清涕。寒噤喷嚏。此脾肺虚。不能实腠理。补中益气汤。（方见内伤）
根据本方加麦门冬三钱。五味子三分。一治伤寒感冒头疼发热。
古锻石 绿豆粉 闹羊花（各等分）
上为末。每少许吹两鼻。一二次效。
一论伤风寒后。余毒未散。上攻头颈。鼻塞声重。怒气上攻。时常有血。从脑上落至口
中。或出红痰。此阳道不利作梗。非血症也。
防风（五分） 川芎（七分） 辛夷（五分） 生甘草（四分） 薄荷（五分） 羌活（三分） 独
活（七分） 升麻（六分） 葛根（七分） 白芷（四分） 本（四分） 黄芩（酒炒八分）
上锉一剂。生姜一片。水煎服。清阳道以通关窍。然后可以养正也。次服。
人参养荣汤
熟地黄（六分） 白芍（七分） 麦门冬（一钱） 五味子（六个） 黄柏（酒炒三分） 远志（
四分）
陈皮（三分） 人参（四分） 白术（六分） 白茯苓（四分） 归身（酒洗四分） 川芎（四分）
上锉一剂。水煎温服。
Discussion on four-season Shanghan (Cold Damage) and Plague. Symptoms include headache, alternating chills and fever, and the treatment of simultaneous exterior and interior involvement. For illness contracted in spring, this formula is appropriate.
Xiangsu San (Fragrant Perilla Powder)
Perillae Folium (2 qian) Cyperi Rhizoma (3 qian) Citri Reticulatae Pericarpium (3 qian) Glycyrrhizae Radix et Rhizoma (5 fen)
Crush the herbs. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger) and Jujubae Fructus (Jujube). Take hot. For headache, add Chuanxiong Rhizoma, Angelicae Dahuricae Radix, and Asari Radix et Rhizoma. To induce sweating, add Ephedrae Herba and Atractylodis Rhizoma. For cough, add Armeniacae Semen Amarum and Morus Albae Cortex. If pox/rash has not yet erupted, add Cimicifugae Rhizoma and Puerariae Lobatae Radix. For dysentery, add Aurantii Fructus Immaturus and Coptidis Rhizoma. For malaria, add Arecae Semen and Tsaoko Fructus. For diarrhea, add Atractylodis Macrocephalae Rhizoma and Poria. For aversion to cold and tidal fever, add Cinnamomi Ramulus and Ephedrae Herba. For body pain, add Notopterygii Rhizoma and Linderae Radix. For fullness and oppression in the chest and diaphragm, add Platycodonis Radix and Aurantii Fructus Immaturus. For epigastric stuffiness, add Aurantii Fructus Immaturus and Coptidis Rhizoma (stir-fried with ginger). For phlegm, add Pinelliae Rhizoma. For vomiting, add Agastachis Herba and Pinelliae Rhizoma. For spasms and cramping of the feet and knees, add Aquipini Fructus, Arecae Semen, Notopterygii Rhizoma, and Chaenomelis Fructus. This is named Binglang San. For dry mouth, add Puerariae Lobatae Radix. For food stagnation, add Crataegi Fructus and Massas Medicatae Prepared (Shenqu).
Regarding abnormal seasonal conditions, rampant plague, common cold with fever and aversion to cold, headache and body pain, cough with rapid breathing, or impending rash. This medicine can be taken regardless of simultaneous yin and yang involvement.
Shishen Tang (Ten Divine Decoction)
Chuanxiong Rhizoma Glycyrrhizae Radix et Rhizoma Ephedrae Herba Perillae Folium Angelicae Dahuricae Radix Cimicifugae Rhizoma Citri Reticulatae Pericarpium Cyperi Rhizoma Paeoniae Radix Rubra Puerariae Lobatae Radix
Crush the herbs. For every liang, decoct with Zingiberis Rhizoma Recens (Fresh Ginger) and Allii Fistulosi Bulbus (Scallion). Take hot to induce sweating. For tidal fever, add Scutellariae Radix and Ophiopogonis Radix. For cough, add Platycodonis Radix, Morus Albae Cortex, and Pinelliae Rhizoma. For headache, add Asari Radix et Rhizoma, Gypsum Fibrosum, and Allii Fistulosi Bulbus. For chest and heart distension, add Aurantii Fructus Immaturus and Pinelliae Rhizoma. For chest and diaphragm bloating and oppression, add Aurantii Fructus Immaturus and Platycodonis Radix. For loss of appetite, add Amomi Fructus and Atractylodis Macrocephalae Rhizoma. For retching, add Caryophylli Flos and Amomi Fructus. For persistent epistaxis, add Mume Fructus and Scutellariae Radix. For abdominal pain, add Paeoniae Radix (stir-fried with wine). For cold qi pain, add Cinnamomi Cortex (Guigui). For constipation, add Rhei Radix et Rhizoma and Natrii Sulfas. For dysentery, add Aurantii Fructus Immaturus and Angelicae Sinensis Radix.
Regarding Shanghan headache, high fever and aversion to cold, as well as wind-cold injury with phlegm-saliva cough, nasal congestion and heavy body, four-season plague heat-toxin, swelling and pain of head and face, dysentery with fever, various sores and toxins, as well as pediatric convulsions and wheezing cough, epidemic pox/rash. It treats all kinds of malignant toxins.
Renshen Baidu San (Ginseng Detoxifying Powder)
Bupleuri Radix Peucedani Radix Notopterygii Rhizoma Angelicae Dahuricae Radix (Note: Text says Duhuo which is Angelicae Pubescentis Radix) Aurantii Fructus Immaturus Poria Chuanxiong Rhizoma Platycodonis Radix Ginseng Radix et Rhizoma Glycyrrhizae Radix et Rhizoma
Crush one liang of the herbs. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger) and Menthae Haplocalycis Herba. Take orally. For cough, add Pinelliae Rhizoma. For heat-toxin, add Coptidis Rhizoma, Scutellariae Radix, Phellodendri Cortex, and Gardeniae Fructus. For wind-heat, add Schizonepetae Spica and Saposhnikoviae Radix. This is named Jingjie Baidu San. For alcohol toxicity, add Puerariae Lobatae Radix and Coptidis Rhizoma. For sore toxins, add Lonicerae Japonicae Flos and Forsythiae Fructus, remove Ginseng Radix et Rhizoma.
Regarding four-season Shanghan and wind-cold injury, headache and stiff neck, high fever and aversion to cold, body irritability and pain, cough with upward obstruction, thick sticky sputum, spontaneous sweating and aversion to wind. These symptoms should be treated with:
Xiaofeng Baijie San (Wind-Dispersing Hundred-Release Powder)
Atractylodis Rhizoma Schizonepetae Spica Ephedrae Herba Angelicae Dahuricae Radix Citri Reticulatae Pericarpium (1 qian each) Glycyrrhizae Radix et Rhizoma (3 fen)
Crush one dose. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger) and Allii Fistulosi Bulbus (Scallion). Take orally. For cough, add Mume Fructus. Can be taken together with Shengma Gegen Tang.
Regarding Shanghan and epidemic diseases, aversion to cold with high fever, headache and body pain, fever and aversion to cold, dry nose and inability to sleep. Also treats irregular weather changes, widespread epidemic disease, undressing due to sudden warmth, and pediatric pox/rash whether erupted or not, in cases of doubt.
Shengma Gegen Tang (Cimicifuga and Kudzu Root Decoction)
Cimicifugae Rhizoma Puerariae Lobatae Radix Paeoniae Radix Alba Glycyrrhizae Radix et Rhizoma
Crush one liang of the herbs. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger). Take hot. For headache, decoct with Allii Fistulosi Bulbus (Scallion) and take hot. For cough, add Armeniacae Semen Amarum (2 qian) and Morus Albae Cortex (3 qian). For upper jiao heat, add Scutellariae Radix (2 qian) and Menthae Haplocalycis Herba (8 fen). For no sweat, add Ephedrae Herba (1 qian). For sore throat, add Platycodonis Radix (8 fen). For yellow jaundice and erysipelas, add Scrophulariae Radix (3 qian).
Regarding Shanghan and wind-cold injury, headache and fever, dry mouth and runny nose, four-season plague prevalence. First use:
Fabiao San (Exterior-Releasing Powder)
Puerariae Lobatae Radix (2 qian) Xikong (Chuanxiong Rhizoma) (1.5 qian) Scutellariae Radix (2 qian) Glycyrrhizae Radix et Rhizoma (8 fen)
Crush one dose. Decoct with three slices of Zingiberis Rhizoma Recens (Fresh Ginger) and three stalks of Allii Fistulosi Bulbus (Scallion White). Take hot to induce sweating.
Regarding Shanghan with no sweat, headache and fever, body pain and dry mouth. Should take:
Fabiao Wan (Exterior-Releasing Pill)
Glycyrrhizae Radix et Rhizoma Ephedrae Herba Cimicifugae Rhizoma Puerariae Lobatae Radix (4 liang each) Atractylodis Rhizoma (2 liang)
Grind into fine powder. Make pills with refined honey, size like soap beans. Take one pill per dose, delivered with raw Mung Bean Decoction. If more than three days have passed, add one cup of yellow wine, and take another pill.
Regarding Shanghan within the first three days, the pathogen is at the exterior; the method requires sweating. Shuangjie San (Double Release Powder) can be used. Continuous administration for several doses will surely cure.
Shuangjie San (Combines the following two formulas)
Fangfeng Tongsheng San (Formula see Stroke) Yiyuan San (Formula see Heatstroke) Take these two formulas combined. Sweating should occur leading to resolution. If not resolved, the disease has transmitted.
Secret Formula for Shanghan Military March Powder
Use one sheng of Vigna radiata (Mung Bean) and one sheng of Ephedrae Herba, plus three qian of Realgar. Grind into powder. Take one qian per dose, two qian for severe cases. Wash down with unrooted water (rainwater/snowmelt). Sweating indicates recovery.
For four-season common cold, after inducing sweat for Shanghan, residual heat remains in the meridians.
Bupleuri Radix (8 fen) Peucedani Radix (2 qian) Aurantii Fructus Immaturus (1 qian) Platycodonis Radix (8 fen) Forsythiae Fructus (3 qian) Scutellariae Radix (2 qian) Paeoniae Radix Rubra (2 qian) Puerariae Lobatae Radix (1 qian) Poria (3 qian) Pinelliae Rhizoma (1 qian) Chuanxiong Rhizoma (1.5 qian) Menthae Haplocalycis Herba (8 fen) Glycyrrhizae Radix et Rhizoma (1 qian)
Crush the herbs. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger). Take orally.
For irritability, add Ophiopogonis Radix (3 qian) and Lophatheri Herba (2 qian).
Regarding Shanghan with unremitting high fever, irritability and dry retching, thirst, wheezing and fullness, deep yang reversal, severe internal heat accumulation, and after sweating, vomiting, or purging, when other medicines cannot reduce the fever. Use:
Huanglian Jiedu Tang (Coptis Detoxifying Decoction)
Coptidis Rhizoma (8 fen) Scutellariae Radix (2 qian) Phellodendri Cortex (1.5 qian) Gardeniae Fructus (2 qian)
Crush the herbs. Decoct with water. Take orally.
To treat extreme heat from Shanghan causing madness, ignoring kinship, extreme restlessness and heat. (Transmitted by Changyuan Chengdu Xian) Use one fen of Ursi Fel (Bear Gallbladder), grind into powder, mix with cool water and take for immediate effect.
Regarding aversion to wind and cold, clear nasal discharge, chills and sneezing. This is spleen and lung deficiency, unable to solidify the couli (skin pores). Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (Formula see Internal Injury). Add Ophiopogonis Radix (3 qian) and Schisandrae Fructus (3 fen) to this formula.
For Shanghan common cold with headache and fever.
Gu Duanshi (Ancient Calcined Stone) Luzulae Bulbus (Nao Yang Hua? Note: Text says Nao Yang Hua which is Daphne Odora, a toxic herb often used externally or in very small doses for pain/numbness, here likely external application given context of blowing into nose) Each equal parts.
Grind into powder. Blow a small amount into both nostrils. Effective after one or two applications.
After injury from wind-cold, residual toxins remain uns dissipated, attacking upwards to head and neck, nasal congestion with heavy voice, anger qi attacking upwards, frequent bleeding falling from brain to mouth, or red phlegm exiting. This is obstruction of the yang pathway, not a blood disorder.
Saposhnikoviae Radix (5 fen) Chuanxiong Rhizoma (7 fen) Magnoliae Flos (5 fen) Raw Glycyrrhizae Radix et Rhizoma (4 fen) Menthae Haplocalycis Herba (5 fen) Notopterygii Rhizoma (3 fen) Angelicae Pubescentis Radix (7 fen) Cimicifugae Rhizoma (6 fen) Puerariae Lobatae Radix (7 fen) Angelicae Dahuricae Radix (4 fen) Ligustici Rhizoma et Radix (Ben) (4 fen) Scutellariae Radix (wine-fried 8 fen)
Crush one dose. Decoct with one slice of Zingiberis Rhizoma Recens (Fresh Ginger) in water. Take orally. Clear the yang pathway to open the orifices, then one can nourish righteousness. Next, take:
Renshen Yangrong Tang (Ginseng Nourishing Harmony Decoction)
Rehmanniae Radix Preparata (6 fen) Paeoniae Radix Alba (7 fen) Ophiopogonis Radix (1 qian) Schisandrae Fructus (6 berries) Phellodendri Cortex (wine-fried 3 fen) Polygalae Radix (4 fen)
Citri Reticulatae Pericarpium (3 fen) Ginseng Radix et Rhizoma (4 fen) Atractylodis Macrocephalae Rhizoma (6 fen) Poria (4 fen) Angelicae Sinensis Radix (wine-washed 4 fen) Chuanxiong Rhizoma (4 fen)
Crush one dose. Decoct with water. Take warm.