槐子煎
治中风 困不省。
槐子（微炒） 白僵蚕（去丝嘴，微炒） 防风（去芦） 白附子（炮，各一两） 干姜（炮） 麻黄（去
根节） 半夏（汤洗七次，各半两为末熬膏） 朱砂（半两，研） 牛黄（一分，研） 麝香（一分） 金箔
（二十片，研，后入）
上用好醋两大盏。与前药慢火熬成膏。次入后药和匀成剂。丸绿豆大。每服五丸。温酒送下。量大小加减。
牙关噤者。斡灌之。
急风散
治如前。
白附子（四枚，大者去尖生用） 全蝎（去毒，五枚炙） 天南星（一个，锉炙深黄色） 半夏（十个，汤
洗七次，去滑尽） 天麻（一分） 腻粉（半钱）
上为细末。每以一钱。分四服。薄荷酒调下。立效。能治一切诸风。更量大小与之。
愈风汤
治如前。
香附子（炒揉去毛） 川芎 羌活（去芦，各等分）
上为细末。每服一钱。水半盏。入酒两滴。同煎至七分。温服。急者汤酒调服。
经曰。伤寒有五。有中风。有热病。有温病。有中湿。有伤寒。其所苦各不同。此五者配入五气。随四时为
病。故春风夏热秋湿冬寒中温。而伤寒则居一焉。（其细论在伤寒类证集中）其四时之病。皆谓之伤寒者。乃总
概之名也。内热病者。乃盛暑之时。炎热之气中人为病也。又名曰中 。湿病
者。乃雨露霜雾。烟岚水渍。湿气中人为病也。小儿无此二病。谓小儿不治家事。未有 办。早卧晚起，不致冲
冒故也。外伤风伤寒温病。小儿有此三病。谓严寒厉风温气，无所不至。小儿肌肉脆软。气血柔弱。易
为伤之故也。是三病者。其证其脉。不可诊切。儿稍大者。可切脉而别之。伤风之脉。阳浮而阴弱也。伤寒之
脉。阴阳俱盛而紧涩也。温病之脉。行在诸经。未知何经之动。随其经之所在而取之也。若婴小未能诊切者。但
看其形候耳。
伤风者。乃四时八方为厉之风伤人。其候昏睡呵欠顿闷。口中气热。或自汗恶风发热。鼻鸣干呕。热多寒
少。面光而不惨。手足皆热。烦躁。治当发散。有饮水者。有能食者。有不能食者。其饮水能食者。可微下之。
余不可下也。
伤寒者。乃冬时严寒之气伤人。入于腠理。当是之时。壮者气行而已。怯者则着而为病。其即发者为伤寒。
至春发者为温病。（一云。在夏至之前。非时行温气之病）夏发者为热病。（一云。在夏至之后。非中 之热
病）其候面赤。浑身壮热。头痛体疼。鼻塞声重。清涕咳嗽。寒毛立。气促急。或呕吐白水。寒多热少。面色惨
而不舒。手足指末微冷。不烦躁而恶寒。（伤风者。不恶寒而恶风。伤寒者。不恶风而恶寒。其恶风者。当风而
乃憎寒也。其恶寒者。虽不当风而亦自憎寒也。以此别之）治者若脉洪盛。身体壮热。头痛面赤。四肢暖者为阳
证。宜汗之。若脉微细。身冷不甚，头痛体疼。面青四肢冷者为阴证。宜温之。
温病者。四时之间。非节候邪气伤人。如春应温而反寒。夏应热而反冷。秋应凉而反热。冬应寒而反温。言
此时通行此气为病。无少长略同。故名天行时气。又名时行温病。其候头痛身重。壮热体疼。与伤寒相似。但临
时看其脉与其证。属何经受病。随经而分别之。以为治也。以上三病。通以伤寒为治。邪在外者。解之汗之。邪
在内者。温之下之。当随证按法而行之。钱乙言伤寒男体重面黄。女喘急面赤。各憎寒。口中气热。呵欠顿闷项
急。此乃不分伤风伤寒而概言之也。况伤风伤寒。证候传变多端。自有专经可凭。孙真人云。治小儿与大人无
异。惟减用汤剂极少耳。更有伤风寒而兼食者。俗呼谓之夹食伤寒也。其候壮热烦渴。鼻塞声重。四肢困倦。眼
黄腹中胀痛。涎唾呕逆。或呵欠顿闷。治者不先攻所伤。但先解表。候
表解然后下之。则病与食自然去也。若罔顾其表。便以药攻之。多致结痞
也。又有因失饥而食寒饮冷。伤于脾胃。而中风寒。其候胸膈不快。腹胀而痛。面色唇口皆青。手足逆冷。脉沉
细者。此寒伤于脾。病属太阴。庸工不识。以为胸膈不快。妄用针灸。或便投 药。则胸膈愈不快而吐利。只一
两日间。便致危殆。此不明之误。非其治也。所谓伤寒。本经药证甚多。难以具述。今采其小儿常所患者之方。
及有所兼见之证。略为条叙。伤风寒手足冷。身热。面赤头痛者。此脾怯也。
宜先和脾。然后发散。伤风寒自利者。脾虚也。宜先补脾。然后发散。未瘥者先调顺其中。有下证者微下之。有
惊者退之。
伤风寒腹胀而喘者。脾虚也。宜先补脾。去胀定喘。候喘定。然后发散。
伤风寒得下后。大势已退。而余热未解者。是下之太过。胃虚而热乘之故也。胃中虚热者。饮水无多。当生
胃中津液。津液得生。则热与渴皆止矣。（以上钱乙论。其治方本集载之）
伤风寒其热在外者为表病。若未入于里而下之太早。里虚气逆。热结胸中。坚硬而痛者。此为结胸。但若硬
满而不痛者。此为痞气。若因饮水得者。则为水结。若三四日外热入于里。则腹满痛，内实有燥粪者。当下之。
若热入大肠。则为大便秘涩不通。若热入小肠。则为小便难涩不通。热入大小肠。则为大小便不通。热入脾胃。
脾胃属土。候于肌肉。热盛蕴蒸于外则为发黄。热熏于心胸则为烦躁，津液耗减者。则为发渴。热上冲咽喉口
舌者。则生疮肿疼痛。有血泄者。血得热则流溢妄行。从鼻出者。则为衄血。从口出者。则吐血。从大便出者。
则便血。从小便出者。则遗血。若壮热未汗。躁喘鼻鸣。因衄一升数合而热得歇者。病则解矣。若出至二三升
者。危矣。若热毒积满于内。不得时下。致毒乘瘀血。则烦盛发狂。若郁塞昏冒闷乱
者。死。若胃有寒气相搏。则呕 咳逆。若肺有寒相搏。则咳嗽气急。若气怯者。传变入
阴。则四肢厥逆。面青体冷。下利清谷。并当随证施治。
钱乙论伤风伤寒疮疹伤食壮热昏睡。一皆相似。若仓卒未能辨认之间。但与升麻葛根汤惺惺散小柴胡汤。此
数药通治。甚验。
圣惠方云。婴孩伤寒。不可用性燥药发汗。燥加腑脏。热极伤
心。则厥逆而难治。又不可用性热药。乃助阳。阳极则阴争。四肢汗出如油。手足或冷或热。多致发狂。颠痫搐
搦。为难治。又不可用性寒药。寒则阳受其冷。则寒热相击。一向叫啼不睡。使热上冲于脑。则头骨缝开为难
治。予流落钱塘。就馆于亲家苏伯正防御家。伯正以医治伤寒名闻。予常观其用药次第。
若小儿伤寒壮热。头痛体疼。脉大鼻塞声重。嚏咳呵欠。恶风憎寒。病在表可汗者。用银白散。热多者甘露散。
有食饮宿滞。脾胃不和者。以安胃丸间服。胸膈不快者。以香壳散间服。烦渴饮水。或作寒热者。苓砂散间服。
有惊者。天麻防风丸人参化风膏。涎盛咳嗽者。小珍珠丸。如此施治。随手得愈者。十有八九。余一二者。乃病
久传深。或已成坏证。方才请召。亦根据法调治。乃得痊可。其所用之药。多非古方。性不燥热。率皆温平。是谓
达南北之异地。识寒热之所宜。深通古人治病之大体也。予尽得其方。今于诸方共叙于后。
银白散
治伤寒壮热。头痛体疼脉大。解表发汗。夹惊者皆可服。以 熟寒水石半斤。研极细。入炒熟黄丹一钱
半研匀。如淡即添入些小，以红粉色为度。每服一钱。生姜汤调下。未能饮者。稠调抹口中。以乳汁送下。无
时。
甘露散
治伤寒壮热。头疼体痛。解表发汗。及热多者。以好滑石二两研细。入甘草末半两拌匀。每服一钱。以
浓煎萝卜汤调下。一方更有防风半两为末。同研匀。滑石可用桂府白色者妙。
安胃丸
乃化滞丹小丸子也。
香壳散
治伤寒心胸满闷不快。以橘皮洗去穣。为细末。每服一钱。生姜汤调下。乳食前。
苓砂散
治伤风寒温热，表里未解。头痛发热。口燥咽干。烦渴引饮。或水入即吐。小便不利。或作寒热。及汗出表解。
而烦燥不止。以五苓散半两。入朱砂细末一钱。同研匀。每服一小钱。米饮调服。无时。
天麻防风丸
人参化风膏（上二方俱具惊痫门）
小珍珠丸
治风壅痰实。利咽膈。除咳嗽。止烦热。清头目。
半夏（汤洗七次，焙干为末，一两） 白矾（烧汁尽研末，一两） 寒水石（ 通赤出火毒研，一两）
上拌匀研细。面糊和丸。黄米麻子绿豆三等丸子。每服五七丸至十丸。温生姜汤下。食后量大小加减与服。
欢喜散
治伤风寒。发热头痛。无汗恶风。或温热鼻塞清涕。泪出嚏喷。
防风（去芦并叉枝） 人参（去芦） 甘草（炙） 天麻（去芦） 前胡（去芦，各二钱半） 细辛
（去苗） 柴胡（去芦，各一钱半） 白茯苓（去黑皮） 桔梗（去芦，各二钱） 枳壳（去穣麸，炒二钱半）
川芎（三钱）
上为细末。每三岁以上抄一钱。水六分。薄荷两叶。同煎三两沸。通口服无时。
红绵散
治伤风寒。及夹惊。取汗。
麻黄（去根节） 全蝎（炒） 大黄（纸裹煨熟，切，焙） 甘草（炙） 白附子 苏木（锉炒） 天麻
（生各一分）
上为细末。一岁下儿服一字。以上儿半钱。四五岁一钱。水一小盏。以绵少许。裹药煎之。至绵红色即去
绵。温服。
坯煎散
治伤风寒。夹惊潮发。头痛体热。咳嗽。手足冷。
麻黄（去根节半两） 人参（去芦） 茯苓 白僵蚕（去丝嘴） 全蝎 天麻 白附子 甘草（炙各一分） 朱砂
（二钱研） 川乌（炮去皮尖一钱半）
上为末。每服半钱至一钱。水五分。入坯子胭脂一豆大。薄荷两叶。葱白一
寸。同煎至四分。放温服。不拘时。
千金丸
治伤寒夹风夹惊夹食。取微利。
朱砂（末一钱） 全蝎（七个末） 白丁香（七个末） 腻粉（一钱） 麝香（半钱）
上为末匀。白饭和丸萝卜子大。薄荷汤下。一岁儿三丸。量大小加减。无时。
茯苓散
治伤寒数日。胸膈不利。调中养胃。
赤茯苓（一两） 陈皮（三分） 桔梗（去芦一两） 甘草（炙半两）
上为末。每服一钱。水六分。入生姜二片。煎至四分。温服无时。
枳实散
治伤寒已汗未汗。卒胸膈痞痛。以枳实麸炒黄为末。每服
一钱或半钱。米饮调下。无时。
竹沥 治伤寒数日。烦躁不解。以竹沥新汲水各半茶脚和匀。服无时。
真珠散
治伤寒口干。心神烦躁。
真珠（末研） 龙脑（研） 牛黄（研，各半钱） 栝蒌根 茯神（去心内木） 朱砂（研，各一分）
牙硝 寒水石（ ，半分）
上为末匀。每服半钱。蜜水调下。无时。
秦艽煎
治伤寒心神烦躁。口干烦渴。以秦艽半两。去芦细锉。用牛乳半盏。煎至六分。去滓放温。分三四服。无
时。
藕汁蜜
治伤寒烦渴。以生藕捣取汁半茶脚许。入蜜一钱。调匀服。无时。
葛根汤
治伤寒发热烦渴。
葛根 人参（去芦，各半两） 麦门冬（去心） 白伏苓 甘草（炙） 泽泻（各一分）
上为末。每服半钱或一钱。水半盏。薄荷两叶。煎至四分。去滓温服无时。
百合散
治伤寒腹中满痛。以百合半两。炒黄为末。每服半钱或一字。米饮调下。无时。
黄芩散
治伤寒五六日。大便不通。热燥闷乱。
黄芩 枳壳（去穣麸炒） 大黄 大腹子（各半两）
上为粗末。每服一钱。水半盏。煎至四分。去滓服。不拘时。
犀角散
治如前。
犀角屑 川大黄（炮） 柴胡（去苗，各半两） 人参（去芦，一分） 朴硝 甘草（各半分）
上为末。每服半钱。水五分。入枣一个。煎至四分。去滓温服。量大小加减。
石燕散
治伤寒小便不通。小腹胀满。以石燕火 为末。葱白汤调下一字。以通为度。无时。
又方 以萱草根煎汤。调五苓散服之。乳食前。
葛根汁
治伤寒衄血不止。以生葛根汁一小盏。分三四服即止。无时。
立应散
治如前。
蒲黄 干葛根末 石榴花（焙干末，各一分）
上为细末。每服半钱或一字。生地黄汁调下。并二三服止。无时。
又方 以黄药为末。每服半钱或一字。新汲水调下。无时。
金汁蜜
治伤寒衄血。数日不止。
生地黄汁（小半盏） 白蜜（小半盏） 蒲黄（半两）
上和匀。微暖过。每服半茶脚许。无时。
神白散
治伤寒吐血衄血咯血。大小便利血。槐花一分微炒。蛤粉半两。同为细末。每服一钱或半钱。煎柳枝汤放温
调下。如修合不及。但以柳枝为末。新水调下亦可。
香墨丸
治伤寒衄血。儿小不能服散药者。以好细墨为末。鸡子清和丸黍米大。每五七丸。饮下或灌之。
地黄汁
治伤寒吐血。心胸不利。烦渴不已。以生地黄杵绞取汁。量大小与之。亦治衄血。
麦门冬汤
治伤寒咳嗽喘急。
麦门冬（去心） 款冬花（去枝梗） 人参（去芦） 紫菀（洗焙，各一两） 桂心（半两） 甘草（一
分）
Huai Zi Jian (Sophora Seed Decoction)
Treats stroke (Zhong Feng, wind-stroke) leading to unconsciousness and loss of consciousness.
Ingredients: Huai Zi (Sophorae Fructus, lightly stir-fried), Bai Jiang Can (Bombyx Batryticatus, remove silk mouth, lightly stir-fried), Fang Feng (Saposhnikoviae Radix, remove rhizome), Bai Fu Zi (Typhonii Rhizoma Praeparatum, processed), each 1 liang; Gan Jiang (Zingiberis Rhizoma Praeparatum, processed), Ma Huang (Ephedrae Herba, remove root and joints), Ban Xia (Pinelliae Rhizoma, washed seven times in decoction), each half liang, ground into fine powder and boiled into paste; Zhu Sha (Cinnabaris, half liang, ground); Niu Huang (Bovis Calculus, 1 fen, ground); She Xiang (Moschus, 1 fen); Jin Bo (Folium Aurum, 20 pieces, ground, added last).
Take two large cups of high-quality vinegar, and boil with the aforementioned ingredients over slow fire until a paste is formed. Then add the subsequent ingredients and mix evenly to form pills. The pills should be the size of mung beans. Take five pills per dose, administered with warm wine. Adjust dosage according to the child's age and size.
For those with locked jaw (Ya Guan Jin), pry open the mouth and administer.
Ji Feng San (Urgent Wind Powder)
Treatment as above.
Ingredients: Bai Fu Zi (Typhonii Rhizoma, four pieces, large ones remove tip, use raw), Quan Xie (Scorpio, remove toxicity, five pieces, roasted), Tian Nan Xing (Arisaematis Rhizoma, one piece, chopped and roasted to deep yellow), Ban Xia (Pinelliae Rhizoma, ten pieces, washed seven times in decoction, remove slipperiness completely), Tian Ma (Gastrodiae Rhizoma, 1 fen), Ni Fen (Calomel, half qian).
Grind all ingredients into a fine powder. Take 1 qian per dose, divided into four administrations. Administer mixed with mint wine. Immediate effect. Capable of treating all types of wind diseases. Adjust dosage according to the child's size.
Yu Feng Tang (Wind-Resolving Decoction)
Treatment as above.
Ingredients: Xiang Fu Zi (Cyperi Rhizoma, stir-fried and rubbed to remove hairs), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix, remove rhizome), equal parts.
Grind all ingredients into a fine powder. Take 1 qian per dose, add half cup of water and two drops of wine, decoct together until three-tenths remain. Take warm. For urgent cases, administer mixed with decoction and wine.
The Classic states: Shang Han (Cold Damage) has five categories: Zhong Feng (Wind Stroke), Re Bing (Heat Disease), Wen Bing (Warm Disease), Zhong Shi (Dampness Strike), and Shang Han (Cold Damage). Their suffering differs. These five correspond to the Five Qi and cause disease according to the four seasons. Thus, spring wind, summer heat, autumn dampness, winter cold, and warmth strike the body, while Shang Han is but one of them. (Detailed discussion is in the Collection of Shang Han Syndrome Differentiation). The reason why diseases of the four seasons are collectively called "Shang Han" is that it is an umbrella term. Among them, "Re Bing" refers to illness caused by intense heat qi striking the body during peak summer. "Zhong Shi" refers to illness caused by dampness qi from rain, dew, frost, fog, mist, or water stains striking the body. Children do not suffer from these two diseases because they do not engage in household chores, have no exposure to such dampness, and sleep early and rise late, avoiding exposure. However, children can contract external wind, Shang Han, and Wen Bing. This is because severe cold, fierce winds, and warm qi are ubiquitous, and children have fragile muscles and weak qi and blood, making them susceptible. Therefore, for these three diseases, symptoms and pulse cannot be diagnosed solely by palpation. For slightly older children, pulse diagnosis can distinguish them. The pulse of Shang Feng (Wind Injury) is floating on the exterior (Yang) and weak on the interior (Yin). The pulse of Shang Han is both Yang and Yin pulses full and tight/choppy. The pulse of Wen Bing circulates through various meridians; without knowing which meridian is affected, palpate along the affected meridian. For infants too small for pulse diagnosis, observe their physical signs and manifestations only.
Shang Feng (Wind Injury) is caused by harsh winds from eight directions in all seasons striking the body. Manifestations include drowsiness, yawning, lethargy, and mental cloudiness. Breath is hot from the mouth, or spontaneous sweating, aversion to wind, fever, nasal congestion with humming sound, dry retching. Heat predominates over cold. Face is bright and not sallow. Hands and feet are hot. Irritability. Treatment requires dispersing and releasing the exterior. Some may desire water, some can eat, some cannot. Those who desire water and can eat may be treated with mild purgation; others should not be purged.
Shang Han (Cold Damage) is caused by severe cold qi in winter striking the body. Cold enters the interstices (Cou Li). At this time, robust individuals' qi flows freely and remains healthy, while frail individuals' qi stagnates and becomes diseased. Immediate onset is called Shang Han. Onset in spring is called Wen Bing. (Another view: Before Summer Solstice, non-epidemic warm qi causes disease). Onset in summer is called Re Bing. (Another view: After Summer Solstice, non-heat-strike heat disease). Manifestations include red face, high fever throughout the body, headache, body ache, nasal congestion, heavy voice, clear runny nose, cough, piloerection, rapid breathing, or vomiting clear water. Cold predominates over heat. Face is sallow and uncomfortable. Fingertips and toe tips are slightly cold. No irritability, but aversion to cold. (Shang Feng involves aversion to wind, not cold; Shang Han involves aversion to cold, not wind. Aversion to wind means chills only when wind blows; aversion to cold means chills even without wind. Distinguish by this). Treatment: If pulse is surging and full, body is hot, headache, red face, warm limbs, it is a Yang syndrome, suitable for sweating (diaphoresis). If pulse is faint and thin, body is cold (not severe), headache, body ache, blue-green face, cold limbs, it is a Yin syndrome, suitable for warming.
Wen Bing (Warm Disease) is caused by abnormal pathogenic qi in the four seasons striking the body. For example, spring should be warm but is cold; summer should be hot but is cold; autumn should be cool but is hot; winter should be cold but is warm. It refers to illness caused by prevailing climate at that time, affecting young and old similarly, hence named "Tian Xing Shi Qi" (Heavenly Traveling Seasonal Qi) or "Shi Xing Wen Bing" (Seasonal Warm Disease). Manifestations include headache, heavy body, high fever, body ache, similar to Shang Han. But clinically observe pulse and syndrome to determine which meridian is affected and treat accordingly. The above three diseases are generally treated as Shang Han. Pathogen outside the exterior: resolve and sweat. Pathogen inside the interior: warm or purge. Follow syndrome and method. Qian Yi stated that Shang Han presents with heavy body and yellow face in boys, panting and red face in girls, each with aversion to cold, hot breath, yawning, lethargy, neck stiffness. This is a general statement不分 distinguishing Shang Feng and Shang Han. Moreover, Shang Feng and Shang Han have diverse transmission patterns, relying on specific meridians. Sun Simiao said treating children is no different from adults, only reducing the dosage of decoctions slightly. There is also Shang Feng Han combined with food retention, commonly called "Jia Shi Shang Han" (Cold Damage with Food Retention). Manifestations include high fever, irritability, thirst, nasal congestion, heavy voice, limb fatigue, yellow eyes, abdominal distension and pain, saliva/vomit, or yawning/lethargy. Treatment: Do not attack the retained food first; first release the exterior. Wait for exterior resolution, then purge. Then disease and food will naturally leave. If ignoring the exterior and purging directly, it often leads to Pi Qi (fullness obstruction). Also, eating cold drinks/food due to hunger damages Spleen and Stomach, then contracting wind-cold. Manifestations: chest/diaphragm discomfort, abdominal distension and pain, blue-green face and lips, cold extremities, deep/fine pulse. This is cold damaging Spleen, belonging to Tai Yin meridian. Quacks fail to recognize this, assuming chest discomfort warrants acupuncture or cold herbs, worsening chest discomfort and causing vomiting/diarrhea. Within one or two days, critical danger ensues. This is error due to ignorance, not correct treatment. Shang Han has many drugs and syndromes in the classic, hard to list fully. Now selecting formulas for common pediatric cases and accompanying syndromes, briefly listed. Shang Feng Han with cold hands/feet, fever, red face, headache indicates Spleen deficiency. Harmonize Spleen first, then disperse. Shang Feng Han with spontaneous diarrhea indicates Spleen deficiency. Tonify Spleen first, then disperse. If not cured, regulate middle Jiao first. If purgation indication exists, mild purge. If fright exists, calm fright.
Shang Feng Han with abdominal distension and wheezing indicates Spleen deficiency. Tonify Spleen first, reduce distension, stop wheezing. Wait for wheezing to stop, then disperse.
Shang Feng Han after purgation, major symptoms subsided but residual heat remains, indicates excessive purgation, Stomach deficiency allowing heat to invade. Stomach deficiency heat, little desire for water, should generate Stomach fluids. Once fluids generated, heat and thirst cease. (Above is Qian Yi's discussion, formulas recorded in this collection).
Shang Feng Han with heat outside is Exterior disease. If not entered interior but purged too early, interior deficiency leads to rebellious qi, heat knots in chest, hard and painful, this is Jie Xiong (Chest Binding). If hard/full but not painful, this is Pi Qi (Fullness Obstruction). If caused by drinking water, it is Shui Jie (Water Knot). If after 3-4 days heat enters interior, abdominal fullness/pain, internal excess with dry feces, must purge. If heat enters Large Intestine, constipation difficult/unobstructed. If heat enters Small Intestine, dysuria difficult/unobstructed. Heat entering both intestines, both urination and defecation obstructed. Heat entering Spleen/Stomach (Earth element, manifests in muscles), heat steaming externally causes jaundice. Heat steaming Heart/Chest causes irritability. Fluid depletion causes thirst. Heat rushing up throat/mouth/tongue causes sores/swelling/pain. Blood leakage: heat causes blood to flow wildly. From nose: Bi Hou (Epistaxis). From mouth: Tu Xue (Hematemesis). From stool: Bian Xue (Melena/Hematochezia). From urine: Yi Xue (Hematuria). If high fever without sweat, restless panting, nasal humming, epistaxis of 1 sheng several he allows heat to subside, disease resolves. If bleeding reaches 2-3 sheng, critical. If heat toxin accumulates internally, unable to purge timely, toxin attacks blood stasis, severe irritability/madness. If blocked, coma, confusion, death. If Stomach cold clashes, vomiting/cough/reversal. If Lung cold clashes, cough/rapid breathing. If Qi deficient, transmitting to Yin, cold extremities, blue face, cold body, diarrhea with undigested food, all treat according to syndrome.
Qian Yi discussed Shang Feng, Shang Han, rash, food retention, high fever, drowsiness, all similar. If unable to distinguish hastily, use Ge Gen Tang (Kudzu Decoction), Xing Xing San (Awakening Powder), Xiao Chai Hu Tang (Minor Bupleurum Decoction). These few medicines treat universally, very effective.
Sheng Hui Fang states: Infant Shang Han, do not use drying herbs to induce sweat. Dryness adds to Zang-Fu, extreme heat damages Heart, leading to inversion and difficult treatment. Do not use hot-natured herbs, as they assist Yang. Extreme Yang causes Yin struggle, limbs sweat like oil, hands/feet cold or hot, often leading to madness, epilepsy, convulsions, difficult treatment. Do not use cold-natured herbs, as cold makes Yang suffer chill, cold-heat clash, constant crying/sleeplessness, heat rushes to brain, skull sutures open, difficult treatment. I was stranded in Qiantang, teaching at my relative Su Bozheng's house. Su Bozheng was famous for treating Shang Han. I often observed his medication sequence.
If infant Shang Han with high fever, headache, body ache, large pulse, nasal congestion, sneezing/coughing, yawning, aversion to wind/cold, exterior disease suitable for sweating, use Yin Bai San (Silver White Powder). If more heat, use Gan Lu San (Sweet Dew Powder). If food/drink retention, Spleen/Stomach disharmony, alternate An Wei Wan (Stomach-Anchoring Pill). If chest/diaphragm discomfort, alternate Xiang Ke San (Fragrant Shell Powder). If irritability/thirst, or alternating chills/fever, alternate Ling Sha San (Poria-Arena Powder). If fright, use Tian Ma Fang Feng Wan (Gastrodia-Saposhnikovia Pill), Ren Shen Hua Feng Gao (Ginseng Wind-Transforming Paste). If excessive phlegm/cough, use Xiao Zhen Zhu Wan (Little Pearl Pill). Such treatment succeeds in 80-90% cases. Remaining 10-20% are long-standing, deeply transmitted, or complicated cases, seeking doctor late, still cured by following methods. Medications used are mostly not ancient formulas, nature not drying/hot, all warm/neutral. This is adapting to north/south differences, knowing cold/heat suitability, deeply understanding ancient treatment principles. I obtained all formulas, now listing them below.
Yin Bai San (Silver White Powder)
Treats Shang Han high fever, headache, body ache, large pulse. Releases exterior, induces sweat. Suitable for cases with fright. Use calcined Han Shui Shi (Aragonite) 5 liang, grind extremely fine. Add fried Huang Dan (Minium) 1.5 qian, grind uniform. If color fades, add a little, until pink-red. Take 1 qian per dose, mixed with ginger soup. If unable to drink, make thick paste, smear in mouth, send down with milk. Anytime.
Gan Lu San (Sweet Dew Powder)
Treats Shang Han high fever, headache, body ache. Releases exterior, induces sweat. For more heat. Use good Hua Shi (Talcum) 2 liang, grind fine. Add Gan Cao (Licorice) powder 0.5 liang, mix well. Take 1 qian per dose, mixed with strong radish decoction. Another formula adds Fang Feng (Saposhnikovia) 0.5 liang powder, grind together. Hua Shi from Guifu white variety is best.
An Wei Wan (Stomach-Anchoring Pill)
Is Xiao Wan Zi (Small Pills) of Hua Zhi Dan (Stasis-Transforming Pellet).
Xiang Ke San (Fragrant Shell Powder)
Treats Shang Han chest/heart fullness/discomfort. Use Ju Pi (Citrus Reticulatae Pericarpium), wash off pulp, grind fine. Take 1 qian per dose, mixed with ginger soup. Before milk/food.
Ling Sha San (Poria-Arena Powder)
Treats Shang Feng Han/Wen Re, exterior-interior unresolved. Headache, fever, dry mouth/throat, irritability/thirst, or vomiting immediately after drinking, dysuria, or alternating chills/fever, and persistent irritability after sweating/exterior resolution. Use Wu Ling San (Five Poria Powder) 0.5 liang, add Zhu Sha (Cinnabar) fine powder 1 qian, grind uniform. Take small qian per dose, mixed with rice drink. Anytime.
Tian Ma Fang Feng Wan (Gastrodia-Saposhnikovia Pill)
Ren Shen Hua Feng Gao (Ginseng Wind-Transforming Paste) (Both formulas in Convulsion/Epilepsy section)
Xiao Zhen Zhu Wan (Little Pearl Pill)
Treats wind-phlegm obstruction, benefits throat/diaphragm, removes cough, stops irritability/heat, clears head/eyes.
Ingredients: Ban Xia (Pinelliae Rhizoma, washed 7 times in decoction, dried and powdered, 1 liang), Bai Fan (Alumen, burned until juice gone, powdered, 1 liang), Han Shui Shi (Aragonite, fired red to remove fire toxin, powdered, 1 liang).
Mix uniformly, grind fine. Bind with wheat paste into pills size of millet, hemp seed, mung bean. Take 5-7 to 10 pills per dose, send down with warm ginger soup. After meals, adjust dosage by size.
Huan Xi San (Joyous Powder)
Treats Shang Feng Han, fever, headache, no sweat, aversion to wind, or Wen Re nasal congestion/clear runny nose, tearing, sneezing.
Ingredients: Fang Feng (Saposhnikoviae Radix, remove rhizome/branches), Ren Shen (Ginseng Radix, remove rhizome), Gan Cao (Licorice Radix, honey-fried), Tian Ma (Gastrodiae Rhizoma, remove rhizome), Qian Hu (Peucedani Radix, remove rhizome), each 2.5 qian; Xi Xin (Asari Radix et Rhizoma, remove seedlings), Chai Hu (Bupleuri Radix, remove rhizome), each 1.5 qian; Bai Fu Ling (Poria, remove black skin), Jie Geng (Platycodonis Radix, remove rhizome), each 2 qian; Zhi Ke (Aurantii Fructus, remove pulp/bran, stir-fry 2.5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian).
Grind to fine powder. For children over 3 years, take 1 qian, add 6 parts water, 2 mint leaves, decoct 3 boils. Drink whole, anytime.
Hong Mian San (Red Cotton Powder)
Treats Shang Feng Han, and with fright, induces sweat.
Ingredients: Ma Huang (Ephedrae Herba, remove root/joints), Quan Xie (Scorpio, stir-fry), Da Huang (Rhei Radix et Rhizoma, wrapped in paper, baked ripe, cut, dried), Gan Cao (Licorice Radix, honey-fried), Bai Fu Zi (Typhonii Rhizoma Praeparatum), Su Mu (Sappan Lignum, chopped/stir-fry), Tian Ma (Gastrodiae Rhizoma, raw), each 1 fen.
Grind to fine powder. Under 1 year: 1 zi dose. Over 1 year: half qian. 4-5 years: 1 qian. Water 1 small cup. Wrap medicine in cotton, decoct until cotton turns red, remove cotton. Take warm.
Pi Jian San (Brick-Decoction Powder)
Treats Shang Feng Han, with fright tidal onset, headache, body heat, cough, cold hands/feet.
Ingredients: Ma Huang (Ephedrae Herba, remove root/joints, half liang), Ren Shen (Ginseng Radix, remove rhizome), Fu Ling (Poria), Bai Jiang Can (Bombyx Batryticatus, remove silk mouth), Quan Xie (Scorpio), Tian Ma (Gastrodiae Rhizoma), Bai Fu Zi (Typhonii Rhizoma Praeparatum), Gan Cao (Licorice Radix, honey-fried, each 1 fen), Zhu Sha (Cinnabar, 2 qian ground), Chuan Wu (Aconiti Radix, processed, peel/remove tip, 1.5 qian).
Grind to powder. Take half qian to 1 qian per dose, water 5 parts. Add brick rouge (Pi Zi Yan Zhi) size of a bean, 2 mint leaves, green onion white 1 cun. Decoct to 4 parts. Take warm. Anytime.
Qian Jin Wan (Thousand Gold Pill)
Treats Shang Han with wind, fright, food retention. Induces mild purgation.
Ingredients: Zhu Sha (Cinnabar, powder 1 qian), Quan Xie (Scorpio, 7 pieces powder), Bai Ding Xiang (Vermis Excrement, 7 pieces powder), Ni Fen (Calomel, 1 qian), She Xiang (Moschus, half qian).
Grind uniform. Bind with white rice into pills size of radish seed. Send down with mint soup. 1-year-old: 3 pills. Adjust by size. Anytime.
Fu Ling San (Poria Powder)
Treats Shang Han for several days, chest/diaphragm discomfort. Regulates middle, nourishes Stomach.
Ingredients: Chi Fu Ling (Red Poria, 1 liang), Chen Pi (Citrus Reticulatae Pericarpium, 3 fen), Jie Geng (Platycodonis Radix, remove rhizome, 1 liang), Gan Cao (Licorice Radix, honey-fried, half liang).
Grind to powder. Take 1 qian per dose, water 6 parts, add 2 slices ginger, decoct to 4 parts. Take warm. Anytime.
Zhi Shi San (Immature Bitter Orange Powder)
Treats Shang Han, whether sweated or not, sudden chest/diaphragm fullness/pain. Use Zhi Shi (Aurantii Fructus Immaturus), bran-stir-fry yellow, powder. Take 1 qian or half qian, mixed with rice drink. Anytime.
Zhu Li (Bamboo Sap)
Treats Shang Han for several days, persistent irritability. Mix Zhu Li (Bambusa Textilis Cacumen Juice) and fresh well water, half tea-foot each. Take, anytime.
Zhen Zhu San (Pearl Powder)
Treats Shang Han dry mouth, heart-mind irritability.
Ingredients: Zhen Zhu (Margarita, ground), Long Nao (Borneolum Syntheticum, ground), Niu Huang (Bovis Calculus, ground, each half qian), Gua Lou Gen (Trichosanthis Radix), Fu Shen (Poria with Hostwood, remove heart/wood), Zhu Sha (Cinnabar, ground, each 1 fen), Ya Xiao (Natrii Sulfas), Han Shui Shi (Aragonite, calcined, half fen).
Grind uniform. Take half qian per dose, mixed with honey water. Anytime.
Qin Jiao Jian (Gentian Decoction)
Treats Shang Han heart-mind irritability, dry mouth/thirst. Qin Jiao (Gentianae Macrophyllae Radix) half liang, remove rhizome, chop fine. Use cow milk half cup, decoct to 6 parts. Strain, take warm. Divide into 3-4 doses. Anytime.
Ou Zhi Mi (Lotus Root Juice Honey)
Treats Shang Han irritability/thirst. Crush fresh lotus root, take juice half tea-foot. Add 1 qian honey, mix well. Take, anytime.
Ge Gen Tang (Kudzu Decoction)
Treats Shang Han fever, irritability/thirst.
Ingredients: Ge Gen (Puerariae Lobatae Radix), Ren Shen (Ginseng Radix, remove rhizome, each half liang), Mai Men Dong (Ophiopogonis Tuber, remove heart), Bai Fu Ling (White Poria), Gan Cao (Licorice Radix, honey-fried), Ze Xie (Alismatis Rhizoma, each 1 fen).
Grind to powder. Take half qian or 1 qian per dose, water half cup, 2 mint leaves, decoct to 4 parts. Strain, take warm. Anytime.
Bai He San (Lily Bulb Powder)
Treats Shang Han abdominal fullness/pain. Bai He (Lilii Bulbus) half liang, stir-fry yellow, powder. Take half qian or 1 zi per dose, mixed with rice drink. Anytime.
Huang Qin San (Scutellaria Powder)
Treats Shang Han 5-6 days, constipation, heat-dryness, restlessness.
Ingredients: Huang Qin (Scutellariae Radix), Zhi Ke (Aurantii Fructus, remove pulp/bran, stir-fry), Da Huang (Rhei Radix et Rhizoma), Da Fu Zi (Arecae Semen, each half liang).
Coarse powder. Take 1 qian per dose, water half cup, decoct to 4 parts. Strain, take. Anytime.
Xi Jiao San (Rhinoceros Horn Powder)
Treatment as above.
Ingredients: Xi Jiao Xie (Rhinocerotis Cornu, shaved), Chuan Da Huang (Rhei Radix et Rhizoma, processed), Chai Hu (Bupleuri Radix, remove seedlings, each half liang), Ren Shen (Ginseng Radix, remove rhizome, 1 fen), Pu Xiao (Natrii Sulfas), Gan Cao (Licorice Radix, each half fen).
Grind to powder. Take half qian per dose, water 5 parts, add 1 jujube, decoct to 4 parts. Strain, take warm. Adjust by size.
Shi Yan San (Stone Swallow Powder)
Treats Shang Han urinary obstruction, lower abdominal fullness. Shi Yan (Swallow Stone/Fossil) calcined, powder. Mix with scallion white soup, take 1 zi dose. Stop when urination resumes. Anytime.
Alternative: Decoct Xuann Cao Gen (Verbenae Radix), mix with Wu Ling San (Five Poria Powder), take before milk/food.
Ge Gen Zhi (Kudzu Juice)
Treats Shang Han persistent epistaxis. Fresh Ge Gen Zhi (Puerariae Lobatae Radix Juice) 1 small cup. Divide into 3-4 doses, stops bleeding. Anytime.
Li Ying San (Immediate Response Powder)
Treatment as above.
Ingredients: Pu Huang (Typhae Pollen), Gan Ge Gen (Dried Kudzu Root) powder, Shi Liu Hua (Punica Granati Flos, baked dry powder), each 1 fen.
Fine powder. Take half qian or 1 zi per dose, mixed with Sheng Di Huang Zhi (Rehmanniae Radix Juice). 2-3 doses stop it. Anytime.
Alternative: Huang Yao (Yellow Medicine) powder, take half qian or 1 zi, mixed with fresh well water. Anytime.
Jin Zhi Mi (Golden Juice Honey)
Treats Shang Han epistaxis, persistent for days.
Ingredients: Sheng Di Huang Zhi (Rehmanniae Radix Juice, small half cup), Bai Mi (White Honey, small half cup), Pu Huang (Typhae Pollen, half liang).
Mix uniform, warm slightly. Take half tea-foot per dose. Anytime.
Shen Bai San (Divine White Powder)
Treats Shang Han hematemesis, epistaxis, hemoptysis, hematochezia, hematuria. Huai Hua (Sophorae Flos) 1 fen lightly stir-fried, Ge Fen (Calcium Carbonatum) half liang. Grind fine. Take 1 qian or half qian, mixed with willow branch decoction cooled. If preparation insufficient, willow branch powder mixed with fresh water also works.
Xiang Mo Wan (Ink Pill)
Treats Shang Han epistaxis, for small children unable to take powder. Good fine ink powder, bind with egg white into pills size of millet. Take 5-7 pills, send down with water or administer.
Di Huang Zhi (Rehmannia Juice)
Treats Shang Han hematemesis, chest discomfort, persistent irritability/thirst. Crush fresh Di Huang (Rehmanniae Radix), press juice. Give according to size. Also treats epistaxis.
Mai Men Dong Tang (Ophiopogon Decoction)
Treats Shang Han cough, wheezing/rapid breathing.
Ingredients: Mai Men Dong (Ophiopogonis Tuber, remove heart), Kuan Dong Hua (Farfarae Flos, remove stems), Ren Shen (Ginseng Radix, remove rhizome), Zi Wan (Asteris Radix, wash/dry, each 1 liang), Gui Xin (Cinnamomi Ramulus Cortex, half liang), Gan Cao (Licorice Radix, 1 fen).