泽泻(二两半) 桂(去皮,一两) 猪苓(去皮) 赤茯苓(去皮) 白术(去芦,各一两半)
上为末。炼蜜和膏鸡头大。每服一丸。生姜自然汁化破与服,只末用便是五苓散。
亦治发热烦渴饮水。水入即吐。或小便不利。瘀热在里发黄。浓煎茵陈蒿汤调下。余病饮调。
四味人参汤
治伤寒脉迟。胃冷呕吐。
干姜(炮) 黄芩 黄连(去须) 人参(去芦,各等分)
上为粗末。每服一钱。水六分。煎至四分。去滓温服无时。
附子姜朴丸
治伤寒寒多。呕吐。手足厥冷。
附子(炮去皮脐,半两) 干姜(一分,炮) 浓朴(去粗皮,生姜制,一分)
上为末。糊丸麻子大。每服五七丸。米饮下。无时。
半夏汤
治伤寒呕逆。不下乳食。以半夏半两。汤洗七次去滑。生姜一两。同锉碎焙干。每服一钱。水一盏。煎至五
分。去滓。时时与服。无时。
芦根饮子
治伤寒干 。及反胃呕吐。
生芦根(切碎) 青竹茹(各二合) 糯米(半合) 生姜(半两)
上 咀。先以水一升。煮千里鞋底。取半升。澄清。下药再煮。取二三合。随意服。量大小加减。
小半夏汤
治伤寒干 欲死。半夏生姜各一两。 咀。以水一大盏。入药煎。留半盏。去滓。分数服。
三黄散
治伤寒发黄。
川大黄(半两,锉微炒) 黄芩(一分) 黄连(去须,一分)
上为末。每服半钱。水六分。煎半。去滓温服无时。
大麦苗汁
治如前。取大麦苗捣烂绞汁与服。小麦苗亦得。
人参柴胡饮子
治体虚伤于寒邪。浑身壮热。头目昏重。项背拘急。肢体疼痛。干哕呕逆。或作寒热。发歇无时。烦渴不
食。
人参(去芦) 柴胡(去苗) 白术 白茯苓 青皮(去穣) 桔梗(去芦) 麦门冬(去心) 川芎
白芍药 甘草(炙) 桑白皮 升麻(各等分)
上为末。每服一钱或二钱。水一盏。乌梅一个。煎至六分。量大小分服。无时。
治伤寒时气。头痛不可忍。 以朴硝研细末。生油调涂顶上。
治伤寒毒攻手足痛者。 以羊桃汁。杂盐豉汁渍之。
黑龙散
治小儿伤寒在表。服冷药。寒伏于中。危困不得汗。
麻黄(去根节,三分) 竹茹(一分) 苏木(一分) 蝎梢(二十一个) 乌龙土(一分,乃火团也)
上为末。每服半钱,水五分。煎至三分。温服无时。
鸡白调散
治伤寒伤风。发寒热似疟。久不瘥。渐变骨间蒸热。
朱砂(水飞) 白矾(枯) 铁华粉 粉霜 铅白霜(各一钱) 轻粉 白附子(各二钱) 蝎梢(六个)
龙脑 麝香(各少许)
上为末。每服半钱。入鸡子白井花水共约一茶脚。调匀服。无时。
茵陈散
治伤寒发黄不可下。
茵陈(一两) 白术(半两) 甘草(半两)
上为散。每服半钱。沸汤调下。小便不利者。加茯苓一两。
绛雪丹
治伤寒五六日。发黄。小便不利。烦躁热闷。饮水烦躁不解。
朱砂(半两,水飞) 硝石(二两,研) 龙脑(少许)
上同研匀细。白米饭和丸鸡头子大。沙糖水化下。量大小服。
商陆散
治伤寒咽喉肿痛。以商陆根切碎。杵烂炒熟。用手帕子裹之。熨肿处。冷即易之。
甘桔汤
治伤寒咽喉妨肿。
桔梗(去芦,一两,米泔浸一宿焙干用) 甘草(二两炒)
上为末。每二钱。水一盏。煎六分。放温冷。细细呷服。
黄柏蜜
治伤寒热毒。口舌生疮赤烂。以黄柏去粗皮。用蜜渍一宿。微煎过。含
之。咽汁勿绝。或以黄柏为末。同煎膏含之。量多少。
黄芩汤
治伤寒口舌诸病。舌黄舌黑。舌肿舌裂。舌上生芒刺。舌上出血皆治。
黄芩(三钱) 赤芍药(二钱) 甘草(二钱,炙)
上 咀。每二钱水一盏。煎至六分。去滓温服,亦主鼻衄。
胜金饼子
治伤寒结胸气痞。并主之。
大黄(半两) 枳壳(去穣麸炒黄净,一两)
上为细末。炼蜜和剂。捏作饼子。如小钱大。结胸者用芒硝半钱,同生姜水化半饼或一饼服之。痞气者
煎陈皮汤化下。无时。
生熟散
治伤寒结胸硬痛。以草乌头二个。一生一炮。同为末。生姜自然汁和匀为丸。如鸡头子大。每一丸用蜜汤化
下。
芫花熨法 治伤寒因饮水。心下结痞硬痛。名水结。以芫花醋拌匀。慢火炒熟。用绵裹熨之。冷即易。再炒
用。以效为度。
蓝靛 治伤寒热毒乘心。神志冒闷。烦躁昏乱。以蓝靛一字或半钱。新水调下。
苦参酒 治伤寒热毒结在胸膈。六七日望死。以苦参半两锉碎。用酒一盏。煎至半盏。去滓放温。分三四
服。连并服之。须臾吐出苦胆汁。立愈。
黄连汤
治伤寒热入肠胃。下痢脓血。
黄连(去须微炒,二两) 黄柏(一两,锉微炒) 阿胶(一两,蛤粉炒) 栀子仁(半两)
上为粗末。每服一二钱。水六分。煎至四分。去滓温服。无时。
栀子仁汤
治伤寒热毒攻于肠胃。下赤汁或如烂肉鸭肝。壮热腹痛。
栀子仁(二十一个) 豉(二合) 薤白(一握切)
上以水二大盏。同煎至一盏。去滓。量大小分作数服。无时。
乌仙散
治阴证伤寒。四肢厥逆。以川乌不拘多少。童子小便浸。不计日数。直至浸脱皮
时。用水净洗切碎。晒至八分干。便以纸袋盛吊于当风处。用时旋取为末。腊茶调下半钱。量大小及病势与之。
烧附散
治伤寒阴盛隔阳。身冷厥逆。脉沉细。而烦躁体冷。以大附子一枚半两者。入急火烧。微存中心二三分。取
出。用瓷器合盖放冷为末。更入腊茶末一大钱。同研匀细。每服半钱。水一小盏。蜜少许。同煎半盏。去滓温
服。服讫须臾。躁止得睡。汗出而解。又一方。烧附末每一字或半钱。酒调下。频服取汗出。瘥。小儿本怯者。
最宜服。
茱萸熨法
治伤寒阴证厥逆。以茱萸半升。酒和匀湿。用绢袋二枚
盛。蒸令热甚。以熨脚心。冷即易之。候气通畅匀暖。即止。
牛蒡根汁
治伤寒汗后。余热不退。烦躁发渴。四肢无力。不能食。以牛蒡根杵烂。绞取汁服。看大小多少
与之。
玉女散
治伤寒汗后。潮热日发。诸药不效。以川乌一两。火炮去皮脐。为细末。每服一钱或半钱。水一盏半。入生
姜七片。枣一枚。煎至四分。温服无时。
伤寒之病。传变证候甚多。予尝编伤寒类证论方。亦颇详备。今集小儿伤寒截方。如或有证候未尽者。请照
类证。根据法为治耳。
Zexie (2.5 liang), Guizhi (Cinnamon Twig, peeled, 1 liang), Zhuling (Polyporus, peeled), Chifuling (Red Poria, peeled), Baizhu (Atractylodis Rhizoma, de-gorged, each 1.5 liang).
Crush the above herbs into powder. Mix with refined honey to form a paste, and shape into pills the size of a cockle seed. Take one pill per dose. Dissolve the pill in fresh ginger juice for administration; this is essentially the Wuling San (Five-Ingredient Poria Pill).
It also treats fever, irritability, thirst, drinking water followed immediately by vomiting, or difficulty in urination, yellowing due to stagnant heat in the interior. In such cases, decoct Yinchen Hao Tang (Artemisia Capillaris Decoction) strongly to wash down the pill. For other conditions, take with warm water.
Siwei Renshen Tang (Four-Ingredient Ginseng Decoction)
Treats Taiyang disease with slow pulse, cold stomach, and vomiting.
Ganjiang (Dried Ginger, processed), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome, de-gorged), Renshen (Ginseng Root, de-gorged, equal parts).
Crush the above herbs into coarse powder. Take one qian per dose. Add six parts water, decoct to four parts, remove dregs, and take warm at any time.
Fuzi Jiangpu Wan (Aconite, Ginger, and Magnolia Bark Pills)
Treats Taiyang disease with excessive cold, vomiting, and cold extremities.
Fuzi (Processed Aconite Lateral Root, peeled and de-navel, 0.5 liang), Ganjiang (Dried Ginger, 1 fen, processed), Houpo (Magnolia Bark, de-bark, processed with ginger, 1 fen).
Crush the above herbs into powder. Make pills with starch paste, the size of hemp seeds. Take five to seven pills per dose, washed down with rice drink, at any time.
Banxia Tang (Pinellia Decoction)
Treats Taiyang disease with retching and inability to take milk or food. Take 0.5 liang of Banxia (Pinellia Tuber), wash seven times with water to remove its slippery nature. Take 1 liang of Shengjiang (Fresh Ginger), chop together with Banxia, and bake dry. Take one qian per dose. Add one sheng of water, decoct to five parts, remove dregs, and take frequently in small amounts, at any time.
Lugen Yinzi (Reed Root Drink)
Treats Taiyang disease with dry heaving and regurgitation/vomiting.
Sheng Lugen (Fresh Reed Rhizome, chopped), Qingzhuru (Green Bamboo Shavings, each 2 he), Nuomi (Glutinous Rice, 0.5 he), Shengjiang (Fresh Ginger, 0.5 liang).
Chop the above herbs. First, boil Qianli Xiedi (a herbal name) in one sheng of water, obtain half a sheng of liquid, clarify it, then add the herbs and boil again to obtain two or three he. Take as desired, adjusting dosage according to age.
Xiao Banxia Tang (Minor Pinellia Decoction)
Treats severe dry heaving in Taiyang disease. Banxia (Pinellia Tuber) and Shengjiang (Fresh Ginger), each 1 liang. Chop them. Add one large sheng of water, decoct the herbs, retain half a sheng, remove dregs, and divide into several doses.
Sanhuang San (Three-Yellow Powder)
Treats yellowing in Taiyang disease.
Chuan Dahuang (Rhubarb Root, 0.5 liang, chopped and lightly stir-fried), Huangqin (Scutellaria Root, 1 fen), Huanglian (Coptis Rhizome, de-gorged, 1 fen).
Crush the above herbs into fine powder. Take half a qian per dose. Add six parts water, decoct to half, remove dregs, and take warm at any time.
Damai Miao Zhi (Barley Seedling Juice)
Treatment as described above. Crush fresh barley seedlings, squeeze out the juice, and administer. Wheat seedling juice is also acceptable.
Renshen Chaihu Yinzi (Ginseng and Bupleurum Drink)
Treats deficiency constitution injured by cold pathogen. Symptoms include high fever all over the body, heavy and dizzy head and eyes, stiffness and tension in the neck and back, limb pain, dry retching and vomiting, alternating chills and fever with irregular timing, irritability, thirst, and anorexia.
Renshen (Ginseng Root, de-gorged), Chaihu (Bupleurum Root, de-tips), Baizhu (Atractylodis Rhizoma), Baifuling (White Poria), Qingpi (Citrus Reticulata Peel, de-pith), Jiegeng (Platycodon Root, de-gorged), Maidong (Ophiopogon Tuber, de-heart), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root), Gancao (Licorice Root, honey-fried), Sangbaipi (Morus Alba Bark), Shengma (Cimicifuga Rhizome, equal parts).
Crush the above herbs into powder. Take one or two qian per dose. Add one sheng of water and one wumei (Chinese Plum), decoct to six parts, divide according to age, and take at any time.
For Taiyang epidemic Qi with unbearable headache: Grind Xiaosha (Mirabilite) into fine powder, mix with raw oil, and apply to the top of the head.
For Taiyang toxin attacking hands and feet causing pain: Use Yangtao juice mixed with Yanchi (salted black beans) juice to soak the affected area.
Heilong San (Black Dragon Powder)
Treats pediatric Taiyang disease on the exterior. Due to taking cold medicines, cold is trapped in the interior, leading to critical condition without sweating.
Mahuang (Ephedra Stem, de-root and joints, 3 fen), Zhuru (Bamboo Shavings, 1 fen), Sumu (Sappan Wood, 1 fen), Xieshao (Scorpion Tail, 21 pieces), Wulongtu (Black Dragon Earth/Fire Cluster Soil, 1 fen).
Crush the above herbs into powder. Take half a qian per dose, add five parts water, decoct to three parts, and take warm at any time.
Jibai Tiao San (Chicken White Mixed Powder)
Treats Taiyang wind-strike, chills and fever resembling malaria, lingering without recovery, gradually transforming into steaming heat in the bones.
Zhusha (Cinnabar, water-floating method), Baifan (Alumen, calcined), Tiehua Fen (Iron Flower Powder), Fenshuang (Calomel), Qianbaishuang (Lead White Frost, each 1 qian), Qingfen (Calomel), Baifuzi (Typhonii Rhizoma, each 2 qian), Xieshao (Scorpion Tail, 6 pieces), Longnao (Borneol), Shexiang (Musk, each a small amount).
Crush the above herbs into powder. Take half a qian per dose, mix with egg white and well water (approximately one tea foot volume), stir evenly, and take at any time.
Yinchen San (Artemisia Capillaris Powder)
Treats yellowing in Taiyang disease where purgation is contraindicated.
Yinchen (Artemisiae Scopariae Herba, 1 liang), Baizhu (Atractylodis Rhizoma, 0.5 liang), Gancao (Licorice Root, 0.5 liang).
Make into powder. Take half a qian per dose, mix with boiling water. If urination is difficult, add Fuling (Poria) 1 liang.
Jiangxue Dan (Crimson Snow Pill)
Treats Taiyang disease after five or six days, yellowing, difficulty in urination, irritability, heat oppression, and unresolved irritability after drinking water.
Zhusha (Cinnabar, 0.5 liang, water-floating method), Xiaoshi (Niter, 2 liang, ground), Longnao (Borneol, a small amount).
Grind together uniformly. Mix with white rice flour to make pills the size of cockle seeds. Wash down with sugar water, adjusting dosage according to age.
Shanglu San (Phytolacca Root Powder)
Treats Taiyang disease with sore and swollen throat. Chop Shanglu root (Phytolaccae Radix), pound until soft, stir-fry until cooked, wrap in a handkerchief, and apply as a hot compress to the swollen area. Replace when cool.
Ganjie Tang (Glycyrrhiza and Platycodon Decoction)
Treats Taiyang disease with throat obstruction and swelling.
Jiegeng (Platycodon Root, de-gorged, 1 liang, soaked in rice water overnight then baked), Gancao (Licorice Root, 2 liang, stir-fried).
Crush into powder. Take two qian per dose, add one sheng of water, decoct to six parts, let cool to warm, and sip slowly.
Huangbai Mi (Phellodendron Honey)
Treats Taiyang heat toxin causing mouth and tongue sores with redness and ulceration. Remove the rough bark of Huangbai (Phellodendri Cortex), soak in honey overnight, gently boil, and hold in the mouth. Swallow the juice continuously. Alternatively, grind Huangbai into powder, make into a paste, and hold in the mouth. Adjust quantity as needed.
Huangqin Tang (Scutellaria Decoction)
Treats various mouth and tongue diseases in Taiyang disease, including yellow or black tongue coating, swollen or cracked tongue, prickles on the tongue, and tongue bleeding.
Huangqin (Scutellaria Root, 3 qian), Chishaoyao (Red Peony Root, 2 qian), Gancao (Licorice Root, 2 qian, honey-fried).
Chop the herbs. Take two qian per dose, add one sheng of water, decoct to six parts, remove dregs, and take warm. It also treats epistaxis.
Shengjin Bingzi (Golden Victory Cake)
Treats Taiyang Jie Xiong (chest binding) and Qi Pi (qi stagnation).
Dahuang (Rhubarb Root, 0.5 liang), Zhike (Bitter Orange Fruit, de-pith, bran-fried until yellow, 1 liang).
Grind into fine powder. Mix with refined honey to form cakes the size of small coins. For Jie Xiong, mix with half a qian of Mangxiao (Mirabilite) and dissolve half or one cake in ginger water. For Qi Pi, dissolve in Chenpi Tang (Citrus Reticulata Decoction). Take at any time.
Shengshu San (Raw and Cooked Powder)
Treats hard and painful Jie Xiong in Taiyang disease. Take two Caowutou (Aconitum Carmichaelii Root), one raw and one processed. Grind together into powder. Mix with fresh ginger juice to form pills the size of cockle seeds. Dissolve one pill in honey water per dose.
Yanhua Yi Fa (Genkwa Hot Compress Method)
Treats water accumulation (Shui Jie) in Taiyang disease caused by drinking water, resulting in subcostal fullness, hardness, and pain. Mix Yanhua (Genkwa Flower) with vinegar, stir-fry slowly until cooked, wrap in cotton cloth, and apply as a hot compress. Replace when cool. Reheat and reuse until effective.
Landi (Indigo Naturalis)
Treats Taiyang heat toxin invading the heart, causing mental confusion, oppression, irritability, and disorientation. Take one zi or half a qian of Landi, mix with fresh water, and swallow.
Kushen Jiu (Sophora Wine)
Treats Taiyang heat toxin knotting in the chest and diaphragm, appearing fatal after six or seven days. Chop 0.5 liang of Kushen (Sophorae Flavescentis Radix), decoct in one sheng of wine to half a sheng, remove dregs, let cool to warm, and divide into three or four doses. Take consecutively. Vomiting bitter bile shortly after will lead to immediate recovery.
Huanglian Tang (Coptis Decoction)
Treats Taiyang heat entering the stomach and intestines, causing dysentery with pus and blood.
Huanglian (Coptis Rhizome, de-gorged, lightly stir-fried, 2 liang), Huangbai (Phellodendri Cortex, 1 liang, chopped and lightly stir-fried), Ejiao (Donkey-Hide Gelatin, 1 liang, stir-fried with clam powder), Zhizi Ren (Gardenia Seed, 0.5 liang).
Grind into coarse powder. Take one or two qian per dose, add six parts water, decoct to four parts, remove dregs, and take warm at any time.
Zhizi Ren Tang (Gardenia Seed Decoction)
Treats Taiyang heat toxin attacking the stomach and intestines, passing red fluid or material resembling rotten meat or duck liver, with high fever and abdominal pain.
Zhizi Ren (Gardenia Seed, 21 pieces), Chi (Fermented Soybeans, 2 he), Xiebai (Allium Macrostemon Bulb, one handful, chopped).
Add two large shengs of water, decoct together to one sheng, remove dregs, divide into several doses according to age, and take at any time.
Wuxian San (Uro-Xian Powder)
Treats Yin-pattern Taiyang disease with cold extremities. Take Chuanwu (Aconitum Carmichaelii Root) in any quantity, soak in urine from a healthy boy for an unspecified number of days until the skin peels off. Wash clean with water, chop, and dry to eight parts dryness. Hang in a paper bag in a breezy place. When needed, take fresh powder, mix half a qian with Laba Tea (aged green tea), and administer according to age and disease severity.
Shaofu San (Burned Aconite Powder)
Treats Taiyang disease with Yin excess blocking Yang, cold body and extremities, deep and fine pulse, yet irritability and cold body. Take one large Fuzi (Aconite Lateral Root, 0.5 liang), burn quickly in fire until the center retains slight warmth (two or three fen). Remove, cover with porcelain, cool, and grind into powder. Add one large qian of Laba Tea powder, grind uniformly. Take half a qian per dose, add a small sheng of water and a little honey, decoct to half a sheng, remove dregs, and take warm. Shortly after ingestion, irritability stops, sleep occurs, and resolution comes through sweating. Another prescription: Burned Aconite powder, one zi or half a qian, taken with wine. Frequent dosing to induce sweating leads to recovery. This is most suitable for children with naturally weak constitutions.
Zhuyu Yi Fa (Cornus Hot Compress Method)
Treats Yin-pattern Taiyang disease with cold extremities. Take half a sheng of Zhuyu (Cornus Fruit), moisten with wine, place in two silk bags, steam until very hot, and apply to the soles of the feet. Replace when cool. Stop when qi circulation becomes smooth and warm.
Niubang Gen Zhi (Arctium Root Juice)
Treats residual heat after sweating in Taiyang disease, with irritability, thirst, limb weakness, and anorexia. Pound Arctium root, squeeze out the juice, and administer according to age.
Yunü San (Jade Maiden Powder)
Treats daily tidal fever after sweating in Taiyang disease, unresponsive to other medicines. Take 1 liang of Chuanwu (Aconite Lateral Root), process with fire, peel, and de-navel. Grind into fine powder. Take one qian or half a qian per dose, add one and a half shengs of water, seven slices of fresh ginger, and one jujube. Decoct to four parts, take warm at any time.
The transmission and syndrome manifestations of Taiyang disease are numerous. I have previously compiled "Taiyang Syndrome Classification and Formulas," which is quite detailed. Now, I have collected formulas for pediatric Taiyang disease. If there are syndromes not fully covered here, please refer to the syndrome classifications and treat according to the established principles.