证伤寒，治痈下乳，皆攻其热也，故非里寒者可用。其里寒者，由身有大壮热，
不渴而大便反利，小便不赤，面青目白，睛不黄赤，皆里寒证也，其中虽有白术
以温，终作为虚热者用。人之脏腑寒，则寒药先效，热药未必能制之，脏腑热，
则热药先效，寒未能制之，此势之自然也，岂得不辨表里冷热而用药也。《和剂
方》小儿伤寒壮热，当先服此，大效。次服羌活散。如壮热未退，切不可与通利
大便及凉药，恐是疮疹，服药则误矣。
苦桔梗 细辛（去叶） 人参 甘草（炒） 白茯苓（去皮） 栝蒌根 白术（各一两半）
上为细末。每服二钱，水一盏，入薄荷二叶，同煎至三分，去滓，温服。要和
气，入姜煎，不拘时候。身虽壮热，大便自利者不可服。
海藏云∶惺惺散治风热，咽不利，脾不和，少阳渴，小便不利也。
荆芥散 治麻痘子兼瘙痒，或瘾疹，大便自过。
上，用荆芥少许，烂研，以新井水将布帛滤过，入一滴许麻油，打匀，令
饮之，便不乱闷。麻痘已出，用黄蜡煎青胶水饮，即安（青胶水乃牛皮胶也。）荆芥治血风，
麻子是疹子，常言风瘙瘾疹，则皆出皮肤，其毒轻而浮，又以麻油打匀，此滑窍
之理，又以黄蜡煎青胶水服则安，此滋血行荣卫，荣卫既顺，麻疹出矣。《指迷
方》荆芥汤，乃消毒饮加薄荷煎服之。
羌活散 解热散毒，治风壅、欲作疮痘者。
羌活 独活 川芎 桔梗 蝉蜕 前胡 柴胡 地骨皮 甘草（炙） 栝蒌 天麻（炙）
荆芥 防风（各等分）
上为细末。每服二钱，水三分盏，薄荷三叶，盏内煎至二分，通口服，量大小加减药
水。此药，详其药味治风、治寒、治惊、下痰、凉脾、治血热、透肌，但实热发，无
所不治。如禀受怯弱、或脾胃弱、或外热目白睛青色，皆里无热，不可轻用。
薄荷散 小儿才觉是疮疹，宜服之。
薄荷叶（一两） 麻黄（去节） 甘草（炙。各半两）
上为细末。每服二钱，水一中盏，枣二枚，生姜三片，同煎至六分，去滓，放
温，日三两次服。此是小儿禀受壅实，毒瓦斯甚者宜服之，盖此方云∶小儿才觉是
疹痘便服之。服之而汗出者，服调中散。服薄荷散若作寒热，脉反迟者，进脱齿
散以温之。详其理，非下药之法也，实者服之未必安，虚者用之必危殆。
参苏饮（方见急惊） 人参羌活散（方见急惊）
羌活散 此方，初热暂用，兼治惊搐。
羌活（一钱二分） 独活 荆芥（各八分） 前胡 防风（各一钱） 柴胡 白芷 蝉蜕
甘草（各四分） 细辛（一分）
上，加薄荷三叶，水一钟，煎五分，不拘时服。发搐及热盛不退者，暂服。煎
熟用制砂调下，治搐如神。
人参败毒散 治伤风、瘟疫、风湿，头目昏眩，四肢痛，憎寒壮热，项强，目睛疼。
寻常风眩拘倦，风痰身体项疼，及咳嗽鼻塞，声重寒热，并治之。
柴胡 前胡 川芎 枳壳 羌活 独活 茯苓 桔梗 人参（各一两） 甘草（半两）
上为粗末。每服三钱，生姜薄荷煎。
李氏败毒散 治初热壮盛等证。
即前败毒散加升麻、荆芥、牛蒡子、蝉蜕、山楂、地骨皮、薄荷、紫苏、紫草。
减独活、柴胡、茯芩、人参。
如热甚，加柴胡、黄芩。夏，加香薷。冬，加麻黄。泻，加猪苓、泽泻。
上，姜一片，水煎，临服加葱白汁五茶匙。
正气散
甘草（炙，三分半） 陈皮 藿香（去梗） 白术（各五分） 浓朴（姜制） 半夏（姜制，
各一钱半）
上细切，作一服，加生姜三片，大枣一枚，水煎服。
调解散
青皮 陈皮 枳壳（麸炒） 桔梗（去芦，炒） 人参 半夏（炮七次） 川芎 木通 干葛（各
四分） 甘草 紫苏（各二分）
上细切，作一服，加生姜三片，大枣一枚，水煎服。一方，加紫草、糯米。
苏解散 治痘初壮热，头疼腰痛，腹疼作胀，一切热毒甚者。
紫苏 葛根 防风 荆芥 白芷 蝉蜕 紫草 升麻 牛蒡子 木通 甘草（各等分）
上，加灯心葱白各七根，水煎，热服。
和解汤 解表和中。
升麻 干葛（各一钱半） 白芍（一钱） 人参 防风（各七分） 川芎（八分） 甘草（五分）
上，用姜一片，水煎服。
上十七方，发表平剂。
王朝奉四物解肌汤
芍药 黄芩 升麻 葛根
每服四钱，水一盏，煎至七分，去滓服。或云，小儿伤寒疫疠，潮热疮疹，五
日已衰，疑似不能辨别者，并皆辛凉之剂调之，即以四物汤解肌之类。海藏云∶
此论即有表也，若内伤腹中有物，未得大便而发热者，当以食药去其物则可，若
得便后，仍发热在表者，亦宜此解肌汤，比钱氏升麻葛根汤减甘草，加黄芩，以
有表热之意也。
防风苍术汤 治小儿邪热在表，恶风恶寒，疮疹未出，可解表、发 疹。
防风 甘草（炙。各半两） 苍术 石膏（各一两） 川芎 黄芩（各二两）
上为粗末。每服二钱，生姜三片，薄荷七叶，水煎，日二服。
双解散 即防风通圣散、益元散、二方也。
防风 川芎 当归 白芍药 薄荷叶 大黄 连翘（各五分） 石膏 桔梗 黄芩（各八分）
白术 桂枝 荆芥穗（各二分） 滑石（二钱四分） 甘草（一钱）
上，锉细。加生姜三片，水二盏，煎至一盏，去滓，温服，无时。
葛根橘皮汤 治冬温未即病，春被积寒所折不得发，至夏热得其寒解，冬温始发，
肌肉斑斓，瘾疹如锦纹、而咳，心闷，但呕吐清汁，服此。
葛根 橘皮（去白） 杏仁（去皮尖） 知母 黄芩 麻黄（去节） 甘草（炙）
上锉散，等分，每服抄三钱，用水一盏，同煎半盏，去滓，温服，不拘时候。
上四方，辛凉之剂，表有实热者宜之。
五积散
白芷 川芎（各三分） 桔梗（一分半） 芍药 茯苓 甘草（炙） 当归 桂枝 半夏（各二分） 陈
皮枳壳 麻黄（各五分） 苍术（一钱） 浓朴（四分）
上，除桂枝、枳壳二味别为粗末外，一十二味锉细，慢火炒令转色，摊冷，次
入二味末，令匀。水一盏半，生姜三片，煎至一盏，去滓，温服无时。
桂枝葛根汤
桂枝 葛根 赤芍药 升麻 防风 甘草（各一钱）
上锉细。加生姜三片，淡豆豉一钱，水一盏，煎七分，去滓，温服无时。
柴葛桂枝汤
柴胡 葛根 甘草 桂枝 防风 人参 白芍药（各等分）
上锉细。加生姜三片，水一盏，煎七分，去滓温服，不拘时。
上三方，辛温之剂，表有寒邪者宜之。
〔攻里〕
大便酸臭，不消化，畏食或吐，乃内伤饮食，宜枳术丸，伤冷食饮，神应丸。
紫霜丸（变蒸） 神应丸 枳实丸 枳术丸（俱大科伤食）
七物升麻丸
升麻 犀角 黄芩 朴硝 栀子仁 大黄（各二两） 淡豉（二升，微炒）
共为末，蜜丸如黍米大。凡觉四肢大热，大便难，即服，取微利为止。
备急丸
木香（二钱半） 大黄 牵牛末（各五钱）
上为细末，神曲糊丸，绿豆大。每服五七丸，食前，山楂煎汤下。
〔和中〕
加味四君子汤
人参 白术 茯苓 砂仁 橘红（各一钱） 甘草（五分）
水一钟，煎六分，食前温服。
和中散
浓朴（姜汁制，炒，一钱半） 人参 白术 茯苓（各一钱） 干姜（炮） 甘草（炙。各六分）
姜、枣煎服。
〔六一例〕
六一散 治诸热证，暂用。
桂府滑石（水飞过，六两净） 大甘草（去皮，为末，一两）
上，和匀。每用一钱，薄荷汤或冷水调下。内加制辰砂三钱，名辰砂六一散，
治狂言、发搐、惊闷，用防风、荆芥、薄荷、天麻、煎汤，候冷，调下。更加牛
黄三钱，缠豆藤三钱，名退火丹，治痘初出时大热不退，及标影稠密成片者，用
紫草、木通、蝉蜕、地骨皮、红花、牛蒡子、片黄芩、灯草、各等分煎汤，候冷，
调下，能减标稀痘，极良法也。本方加郁金，名牛黄六一散，治痘后疮疖毒壅，
及天行瘟疫，冷水调下，多服大效。
大灵丹 治壮热颠狂，惊搐谵语，红紫斑焦干陷，一切恶证。
白滑石（飞过三两） 雄黄（飞过） 犀角（各三钱） 辰砂（飞过三钱半） 牛黄 冰片（各一钱）
麝香（五分）
上研极细，和匀，用升麻、甘草、防风、薄荷、灯草、牛蒡子、红花、紫草、
黄连各三钱，水二碗，煎至半碗，细绢滤去滓，加蜜四两同熬，滴水成珠，和前
药丸，如小龙眼大，金箔为衣。每用一丸，灯心汤下，暑月冷水化下。
无比散 初热服之，甚能稀痘，又治痘夹黑点子，及黑陷、黑痘、等证。
辰砂（一钱） 冰片 麝香 牛黄（各五分，如无牛黄用牛胆南星代之） 腻粉（二钱）
一方，有蟾酥。
上，研细末。一岁儿服一字，大者五分，刺猪尾血三两点，新汲水调和送下，
取下恶毒如烂鱼肠、葡萄穗状，即愈。
小无比散 治痘壮热口渴，小水涩，大便秘，口气热，烦躁不宁，或焦紫，或红斑，
自发热至起壮时有热者，皆可用，痘后余热亦可用。
桂府滑石（飞过，六两） 石膏（飞过，一两） 粉草 寒水石（各五钱） 郁金（蝉肚、
小者，甘草汤煮干，为末，七钱）
上，俱制净末，和匀。每五岁者服二钱，大人再加。冬月，灯心汤下。夏月，
井水调下。热甚不解者，井水磨犀角汁调下。若红紫顶陷不起，加穿山甲末
一分、麝香半分、紫草煎汤加酒一二匙，调下，即起。
大无比散 治热毒太甚，惊狂谵语引饮，痘疮红紫黑陷。
桂麻滑石（飞过，六两） 粉草（一两） 辰砂（飞，三钱） 雄黄（飞，一钱）
上为末。每三五岁服一钱，十岁服二钱。发热之初，用败毒散调下，亦能稀痘。
若报痘后，用灯心汤下。
〔凉血解毒〕
犀角地黄汤（失血） 消毒饮（咽喉）
玳瑁汤 治时行豌豆疮及赤疮疹子，未发者令内消，已发者解利毒瓦斯，令不太盛。
生玳瑁 生犀（各以冷水浓磨汁二合）
上同搅令匀。每服半合，微温服，一日四五服为佳。
又治出而未快者，宜服之。又云∶毒瓦斯内攻，紫黑色，出不快，用玳瑁水磨浓
汁一合，入 猪心血一皂子大，以紫草浓煎汤，都作一服服之。玳瑁、犀角，其
性微寒，以治热毒，则知其无失也，二药皆治瘟疫蛊瘴，解百毒，通血脉，消痈
肿，故用之以解蕴毒，可宜服也。
犀角饮子 解热毒，去风疹。
犀角 甘草（炙。各半两） 防风（二两） 黄芩（一两）
上为粗末。每服五钱，用水一小盏，煎至半盏，去滓温服，不拘时候。
犀角汤 治小儿疹痘疮及赤疮子。
犀角（屑） 大黄（炒） 桑白皮（蜜炙） 钓藤 甘草（炙） 麻黄（去节。各一两） 龙
胆草（半钱） 石膏
栝蒌 黄 （炙，各半两）
上为粗末。每服一钱，水一小盏，煎至四分，去滓温服，量儿大小加减服。疮
子退后，浓磨犀角水涂之，更良，钱氏亦附方同以此药治疗疮疹太盛，令不入眼，
则名调肝散。此药治风盛气实，心肝血热，津液内燥，大便不通，毒瓦斯上盛，表
热未散之药也，且大黄、栝蒌、治内燥，钓藤、龙胆、治风血热，桑白皮、石膏、
治上焦热，麻黄、黄 、散肌热，犀角、甘草、解毒，大抵用药贵于与病相主，
则病去而正气自复，苟为不然，则反为大害，如犀角散，自非大便数日不通、喘
急闷乱、烦躁谵语者岂可服之，恐病药不相主治也。
夺命散 治疮疹已发未发，并宜服之。
升麻 糯米 紫草 甘草（各半两） 木通（二钱半）
上，锉为散。每服一大钱，水七分，煎四分，去滓，温服。出疮疹热毒势甚者
可服，解蕴热，利小便。疮痘初发气盛，亦宜服。
牛蒡散 凉血解毒。
上，用牛蒡子炒为末，水煎一盏服之，小儿，冬月有非节之暖，及春月天气暄
暖，或甘肥之过，或重衣温浓，帏帐周密，伤皮肤，害血脉，疮疡发黄，是生多
疾，宜预常服之也。
独胜散 治小儿发疮痘，早微热，晚大热，目黄胁动，身热手冷，发甚如惊者。又
名牛蒡僵蚕散。
牛蒡子（半两） 白僵蚕（一分）
上为粗末。每服一大钱，水六分盏，紫草二七寸，同煎至四分盏。连进三服，
其痘便出。此药用牛蒡子出痈透肌，白僵蚕治遍身瘾疹，疼痛成疮。为末，酒调服
之，立瘥。又，以紫草煎之，令利窍，是疮疹证无虚寒证者，服之立出也。
解毒疏痘汤 预服，解热去毒。已出，解热毒 疹，又治红紫口干、壮热谵语。
防风 荆芥 羌活 柴胡 川芎 白芷 当归 连翘 黄芩 黄连 黍粘子 紫草 蝉蜕
上，姜葱水煎服。
安 散 调理疮疹。
升麻 赤茯苓 羌活 黄 人参 桔梗（炒） 枳壳（麸炒） 甘草（各等分）
上为细末。每服一钱，水七分盏，紫草、薄荷、少许，同煎至四分盏，去滓，
放温服之，量儿大小增减。此药为解毒凉血，生肌宽肠，导热利小便快膈之药也，
Treating Shanghan (Cold Damage), treating carbuncles and promoting lactation, all involve attacking heat pathogens; therefore, they can be used if there is no interior cold syndrome. If there is interior cold, manifested by high fever without thirst, loose stools instead of constipation, urine not red, a bluish-white complexion, normal white of the eyes, and eyes neither yellow nor red, these are signs of interior cold. Although Baizhu (Atractylodis Rhizoma) in the formula warms, it is ultimately used for deficiency-heat syndromes. When human Zang-Fu organs are cold, cold-natured medicines take effect first, while hot-natured medicines may not control it; when Zang-Fu organs are hot, hot-natured medicines take effect first, while cold-natured medicines may not control it. This is the natural course of events. How can one prescribe medicine without distinguishing between exterior/interior and cold/heat? The *Heji Ju Fang* states that for pediatric Shanghan with high fever, this formula (Xingxing San) should be taken first for great efficacy, followed by Qianghuo San. If high fever persists, do not administer laxatives or cooling medicines, lest it be a rash eruption, which would lead to misprescription.
Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma, leaves removed), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Radix et Rhizoma, stir-fried), Baifuling (Poria, peel removed), Gualougen (Trichosanthis Radix), Baizhu (Atractylodis Rhizoma) (each 1.5 liang).
Grind the above into a fine powder. Take 2 qian per dose, with 1 zhan of water, add 2 leaves of Bohe (Menthae Haplocalycis Herba), decoct together until 0.3 zhan remains, filter dregs, and take warm. To harmonize Qi, add Shengjiang (Zingiberis Rhizoma Recens) and decoct; time is not restricted. Do not use if there is high fever but spontaneous loose stools.
Haicang said: Xingxing San treats Wind-Heat, throat obstruction, Spleen disharmony, Shaoyang thirst, and difficult urination.
Jingjie San treats Measles and smallpox with itching, or Urticaria, with normal bowel movements.
Take a small amount of Jingjie (Schizonepetae Spica), crush and grind well. Filter through cloth using fresh well water, add a drop of Mahua oil (Sesami Oleum), mix well, and let the child drink. This prevents confusion or coma. Once measles/smallpox have erupted, boil Huangla (Cera Flava) with Qingjiaoshui (Bovis Colla, i.e., Ox Hide Glue) for the child to drink, and the condition will stabilize. Jingjie treats Blood-Wind; "Ma" refers to rashes. Commonly called Wind-pruritus and Urticaria, these erupt on the skin; their pathogenic factors are light and superficial. Using Mahua oil to mix facilitates opening orifices. Taking Huangla boiled with Qingjiaoshua nourishes Blood and regulates Ying and Wei. Once Ying and Wei are smooth, measles/rashes will erupt. The Jingjie Tang in *Zhimi Fang* is Xiaodu Yin (Detoxification Decoction) with added Bohe (Menthae Haplocalycis Herba).
Qianghuo San resolves heat and disperses toxicity, treating Wind congestion and impending eruptions of sores/rashes.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Chantui (Cicadae Periostracum), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Digupi (Lycii Cortex), Gancao (Licorice Radix et Rhizoma, honey-fried), Gualou (Trichosanthis Fructus), Tianma (Gastrodiae Rhizoma, honey-fried), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix) (equal parts).
Grind the above into a fine powder. Take 2 qian per dose, with 0.3 zhan of water and 3 leaves of Bohe (Menthae Haplocalycis Herba), decoct in a cup until 0.2 zhan remains, take orally at once, adjusting water volume according to age. Analyzing its ingredients, it treats Wind, Cold, fright, phlegm, cools the Spleen, treats Blood-Heat, and penetrates the muscle layer. It treats all conditions caused by excess Heat. However, if the constitution is weak, Spleen/Stomach is deficient, or there is external heat with blueish whites of the eyes (indicating no internal heat), do not use lightly.
Bohe San is suitable when a child first suspects a rash eruption.
Boheye (Menthae Haplocalycis Herba) (1 liang), Mahuang (Ephedrae Herba, nodes removed), Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 liang).
Grind the above into a fine powder. Take 2 qian per dose, with 1 zhong of water, 2 Jujubes (Ziziphi Spinosae Fructus), and 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until 0.6 zhong remains, filter dregs, cool to warm, and take twice or three times daily. This is suitable for children with excessive endowment and severe toxic factors. As the formula states: take it as soon as rash/smallpox is suspected. If sweating occurs after taking it, take Tiao Zhong San. If taking Bohe San results in alternating chills and fever with a slow pulse, administer Tuochi San to warm. Theoretically, this is not a purgative method; taking it for excess patterns may not bring peace, and using it for deficiency patterns is dangerous.
Shensu Yin (Formula seen in Acute Fright section), Renshen Qianghuo San (Formula seen in Acute Fright section).
Qianghuo San: Use temporarily during initial heat, also treats convulsions.
Qianghuo (Notopterygii Rhizoma et Radix) (1.2 qian), Duhuo (Angelicae Pubescentis Radix), Jingjie (Schizonepetae Spica) (each 0.8 qian), Qianhu (Peucedani Radix), Fangfeng (Saposhnikoviae Radix) (each 1 qian), Chaihu (Bupleuri Radix), Baizhi (Angelicae Dahuricae Radix), Chantui (Cicadae Periostracum), Gancao (Licorice Radix et Rhizoma) (each 0.4 qian), Xixin (Asari Radix et Rhizoma) (0.1 qian).
Add 3 leaves of Bohe (Menthae Haplocalycis Herba), 1 zhong of water, decoct to 0.5 zhong, take anytime. For convulsions and persistent high heat, take temporarily. After decoction, mix with processed Shazhong (Sandarac) and take; it is miraculous for treating convulsions.
Renshen Baidu San treats Wind-Cold injury, plague, Wind-Dampness, dizziness of head and eyes, limb pain, aversion to cold with high fever, stiff neck, and eye pain.
It also treats common wind-induced dizziness and fatigue, body/neck pain from Wind-Phlegm, cough, nasal congestion, heavy voice with chills/fever.
Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fuling (Poria), Jiegeng (Platycodonis Radix), Renshen (Ginseng Radix et Rhizoma) (each 1 liang), Gancao (Licorice Radix et Rhizoma) (0.5 liang).
Grind into coarse powder. Take 3 qian per dose, decoct with Shengjiang (Zingiberis Rhizoma Recens) and Bohe (Menthae Haplocalycis Herba).
Li's Baidu San treats initial high heat and similar syndromes.
This is the previous Baidu San plus Shengma (Cimicifugae Rhizoma), Jingjie (Schizonepetae Spica), Niubangzi (Arctii Fructus), Chantui (Cicadae Periostracum), Shanzha (Crataegi Fructus), Digupi (Lycii Cortex), Bohe (Menthae Haplocalycis Herba), Zisu (Perillae Folium), Zicao (Lithospermi Radix).
Remove Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma).
If heat is severe, add Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix). In summer, add Xiangru (Elsholtziae Herba). In winter, add Mahuang (Ephedrae Herba). For diarrhea, add Zhuling (Polyporus), Zexie (Alismatis Rhizoma).
Decoct with 1 slice of Shengjiang (Zingiberis Rhizoma Recens) and water. Before taking, add 5 teaspoons of Congbai juice (Allii Fistulosi Bulbus).
Zhengqi San
Gancao (Licorice Radix et Rhizoma, honey-fried) (0.35 qian), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba, stems removed), Baizhu (Atractylodis Rhizoma) (each 0.5 qian), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Banxia (Pinelliae Rhizoma, ginger-processed) (each 1.5 qian).
Cut finely, make one dose. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 Jujube (Ziziphi Spinosae Fructus), decoct with water and take.
Tiaojie San
Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Zhike (Aurantii Fructus Immaturus, bran-fried), Jiegeng (Platycodonis Radix, remove rhizome, fry), Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma, processed seven times), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mutong (Akebiae Caulis), Gegen (Puerariae Lobatae Radix) (each 0.4 qian), Gancao (Licorice Radix et Rhizoma), Zisu (Perillae Folium) (each 0.2 qian).
Cut finely, make one dose. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 Jujube (Ziziphi Spinosae Fructus), decoct with water and take. One variation adds Zicao (Lithospermi Radix) and Nuomi (Oryzae Sativae Confractio glutinosi).
Sujie San treats initial high heat of smallpox, headache, lower back pain, abdominal distension/pain, and any severe heat-toxin conditions.
Zisu (Perillae Folium), Gegen (Puerariae Lobatae Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Baizhi (Angelicae Dahuricae Radix), Chantui (Cicadae Periostracum), Zicao (Lithospermi Radix), Shengma (Cimicifugae Rhizoma), Niubangzi (Arctii Fructus), Mutong (Akebiae Caulis), Gancao (Licorice Radix et Rhizoma) (equal parts).
Add 7 stalks of Dengxin (Junci Medulla) and 7 roots of Congbai (Allii Fistulosi Bulbus), decoct with water, and take hot.
Hejie Tang harmonizes the exterior and middle.
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix) (each 1.5 qian), Baishao (Paeoniae Radix Alba) (1 qian), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 0.7 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.8 qian), Gancao (Licorice Radix et Rhizoma) (0.5 qian).
Decoct with 1 slice of Shengjiang (Zingiberis Rhizoma Recens) and water, and take.
The above seventeen formulas are moderate exterior-releasing agents.
Wang Chaofeng Siwu Jieji Tang
Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix).
Take 4 qian per dose, with 1 zhan of water, decoct to 0.7 zhan, filter dregs, and take. Some say: for pediatric Shanghan/plague, tidal fever, and rash eruptions where symptoms decline after five days and differentiation is difficult, regulate with acrid-cool agents, such as Siwu Tang (Four Substances Decoction) to release the muscle layer. Haicang said: This discussion implies an exterior syndrome. If there is internal injury with abdominal mass and no bowel movement causing fever, use food-medicines to remove the mass. If fever persists on the exterior after bowel movement, this Jieji Tang is suitable. Compared to Qianyi's Shengma Gegen Tang, it reduces Gancao (Licorice Radix et Rhizoma) and adds Huangqin (Scutellariae Radix) to address exterior heat.
Fangfeng Cangzhu Tang treats pediatric exterior pathogenic heat, aversion to wind/cold, and unruptured rashes; it releases the exterior and induces eruption.
Fangfeng (Saposhnikoviae Radix), Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 liang), Cangzhu (Atractylodis Rhizoma), Shigao (Gypsum Fibrosum) (each 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 2 liang).
Grind into coarse powder. Take 2 qian per dose, with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 7 leaves of Bohe (Menthae Haplocalycis Herba), decoct with water, take twice daily.
Shuangjie San is a combination of Fangfeng Tongsheng San and Yiyuan San.
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Boheye (Menthae Haplocalycis Herba), Dahuang (Rhei Radix et Rhizoma), Lianqiao (Forsythiae Fructus) (each 0.5 qian), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix) (each 0.8 qian), Baizhu (Atractylodis Rhizoma), Guizhi (Cinnamomi Ramulus), Jingjiesui (Schizonepetae Spica) (each 0.2 qian), Huashi (Talcum) (2.4 qian), Gancao (Licorice Radix et Rhizoma) (1 qian).
Cut finely. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 2 zhan of water, decoct to 1 zhan, filter dregs, take warm, anytime.
Gegen Jupi Tang treats Winter-Warmth that did not manifest immediately, suppressed by accumulated cold in Spring, resolving in Summer heat, leading to mottled skin, Urticaria like brocade patterns, cough, chest stuffiness, and vomiting clear fluid.
Gegen (Puerariae Lobatae Radix), Jupi (Citri Reticulatae Pericarpium, remove white pith), Xingren (Pruni Semen, remove skin and tip), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Mahuang (Ephedrae Herba, nodes removed), Gancao (Licorice Radix et Rhizoma, honey-fried).
Cut into pieces, equal parts. Take 3 qian per dose, with 1 zhan of water, decoct to 0.5 zhan, filter dregs, take warm, anytime.
The above four formulas are acrid-cool agents suitable for exterior excess heat.
Wuji San
Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 0.3 qian), Jiegeng (Platycodonis Radix) (0.15 qian), Shaoyao (Paeoniae Radix), Fuling (Poria), Gancao (Licorice Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma) (each 0.2 qian), Chenpi (Citri Reticulatae Pericarpium), Zhike (Aurantii Fructus Immaturus), Mahuang (Ephedrae Herba) (each 0.5 qian), Cangzhu (Atractylodis Rhizoma) (1 qian), Houpo (Magnoliae Officinalis Cortex) (0.4 qian).
Except for Guizhi (Cinnamomi Ramulus) and Zhike (Aurantii Fructus Immaturus) which are separately ground into coarse powder, cut the other twelve ingredients finely, stir-fry slowly over low heat until color changes, spread to cool, then mix with the two coarse powders evenly. Add 1.5 zhan of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 1 zhan, filter dregs, take warm, anytime.
Guizhi Gegen Tang
Guizhi (Cinnamomi Ramulus), Gegen (Puerariae Lobatae Radix), Chishaoyao (Paeoniae Radix Rubra), Shengma (Cimicifugae Rhizoma), Fangfeng (Saposhnikoviae Radix), Gancao (Licorice Radix et Rhizoma) (each 1 qian).
Cut finely. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 qian of Danshichidou (Sojae Semen Praeparatum), 1 zhan of water, decoct to 0.7 zhan, filter dregs, take warm, anytime.
Chaige Guizhi Tang
Chaihu (Bupleuri Radix), Gegen (Puerariae Lobatae Radix), Gancao (Licorice Radix et Rhizoma), Guizhi (Cinnamomi Ramulus), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma), Baishaoyao (Paeoniae Radix Alba) (equal parts).
Cut finely. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 1 zhan of water, decoct to 0.7 zhan, filter dregs, take warm, anytime.
The above three formulas are acrid-warm agents suitable for exterior cold pathogens.
[Purgative Interior]
Sour-smelling, undigested stools, aversion to eating or vomiting indicate internal dietary injury. Use Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) for general injury, and Shenyin Wan (Miracle Response Pill) for cold food/drink injury.
Zishuang Wan (Purple Frost Pill, for Bianzheng developmental fever), Shenyin Wan (Miracle Response Pill), Zhishi Wan (Immature Bitter Orange Pill), Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) (all for major dietary injury).
Qi Wu Shengma Wan
Shengma (Cimicifugae Rhizoma), Xijiao (Rhino CeratUs), Huangqin (Scutellariae Radix), Poxiao (Natrii Sulfas), Zhizi Ren (Gardeniae Semen), Dahuang (Rhei Radix et Rhizoma) (each 2 liang), Danshi (Fermented Soybean) (2 sheng, slightly fried).
Grind into powder, make pills with honey the size of millet seeds. Whenever limbs feel very hot and stool is difficult, take it; stop when mild diarrhea occurs.
Beiji Wan
Muxiang (Aucklandiae Radix) (2.5 qian), Dahuang (Rhei Radix et Rhizoma), Qianniu Mo (Semen Pharbitidis Powder) (each 5 qian).
Grind into fine powder, make pills with Shenqu (Massa Medicata Fermentata) paste, size of mung beans. Take 5-7 pills before meals, washed down with Shanhu decoction (Hawthorn decoction).
[Harmonize Middle]
Jiawei Sijunzi Tang
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Fuling (Poria), Sharen (Amomi Fructus), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 1 qian), Gancao (Licorice Radix et Rhizoma) (0.5 qian).
Decoct 1 zhong of water to 0.6 zhong, take warm before meals.
Hezhong San
Houpo (Magnoliae Officinalis Cortex, ginger-juice processed, fried) (1.5 qian), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Fuling (Poria) (each 1 qian), Ganjiang (Zingiberis Rhizoma, roasted), Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.6 qian).
Decoct with Ginger and Jujube, and take.
[Liuyi Category]
Liuyi San treats various heat syndromes, use temporarily.
Guifu Huashi (Talcum from Guifu, water-classified, 6 liang net), Da Gancao (Licorice Radix et Rhizoma, peeled, powdered, 1 liang).
Mix evenly. Take 1 qian each time, mixed with Bohe tea (Menthae Haplocalycis Herba) or cold water. Adding 3 qian of processed Chensha (Cinnabar) makes Chensha Liuyi San, treating delirium, convulsions, and fright/stuffiness. Decoct Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Tianma (Gastrodiae Rhizoma), wait for cool, and mix. Adding 3 qian of Niuhuang (Bovis Calculus) and 3 qian of Chandouteng (Vitis Flexuosa Tendril) makes Tuihuo Dan (Fire-Removing Cinnabar), treating persistent high fever at early smallpox eruption and dense patches. Decoct Zicao (Lithospermi Radix), Mutong (Akebiae Caulis), Chantui (Cicadae Periostracum), Digupi (Lycii Cortex), Honghua (Carthami Flos), Niubangzi (Arctii Fructus), Pian Huangqin (Scutellariae Radix), Dengcao (Junci Medella) in equal parts, wait for cool, and mix. This effectively thins out smallpox marks, an excellent method. Adding Yujin (Curcumae Longae Rhizoma) to the base formula makes Niuhuang Liuyi San, treating post-smallpox sores/toxin congestion and epidemic plague; take with cold water, large doses effective.
Da Ling Dan treats high fever, mania, convulsions, delirium, red/purple spots that are dry/depressed, and all malignant syndromes.
Baishigao (Gypsum Fibrosum, water-classified, 3 liang), Xionghuang (Realgar, water-classified), Xijiao (Rhino CeratUs) (each 3 qian), Chensha (Cinnabar, water-classified, 3.5 qian), Niuhuang (Bovis Calculus), Bingpian (Borneolum Syntheticum) (each 1 qian), Shexiang (Moschus) (0.5 fen).
Grind extremely fine, mix evenly. Decoct Shengma (Cimicifugae Rhizoma), Gancao (Licorice Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Dengcao (Junci Medella), Niubangzi (Arctii Fructus), Honghua (Carthami Flos), Zicao (Lithospermi Radix), Huanglian (Coptidis Rhizoma) (each 3 qian) in 2 bowls of water until half bowl remains. Filter through fine silk, remove dregs, add 4 liang of Honey, boil until drops form pearls. Mix with previous powder to make pills the size of small longans, coat with Jinbo (Gold Foil). Take 1 pill with Dengxin soup (Junci Medella decoction); in summer, dissolve in cold water.
Wubi San is taken during initial heat; it effectively thins out smallpox. It also treats smallpox with black spots, black depression, black smallpox, etc.
Chensha (Cinnabar) (1 qian), Bingpian (Borneolum Syntheticum), Shexiang (Moschus), Niuhuang (Bovis Calculus) (each 0.5 fen; substitute Niudan Nanxing if Niuhuang is unavailable), Nifen (Calomelas) (2 qian).
One variation includes Chan Su (Toad Venom).
Grind into fine powder. One-year-old takes 1 zi dose, older children 0.5 qian. Pierce tail blood of pig (3-2 drops), mix with fresh water, and swallow. Expels evil toxins resembling rotten fish intestines or grape clusters; then cured.
Xiao Wubi San treats smallpox with high fever/thirst, scanty dark urine, constipation, hot breath, restlessness, or scorching purple/red spots. Applicable from fever onset to eruption stage, and residual heat post-smallpox.
Guifu Huashi (Talcum from Guifu, water-classified, 6 liang), Shigao (Gypsum Fibrosum, water-classified, 1 liang), Fencao (Licorice Radix et Rhizoma), Hanshuishi (Aqua Stibitum) (each 5 qian), Yujin (Curcumae Longae Rhizoma, cicada-belly type, small, boiled dry in Licorice decoction, powdered, 7 qian).
Process all into clean powder, mix evenly. Five-year-olds take 2 qian, adults increase. In winter, take with Dengxin soup (Junci Medella decoction). In summer, mix with well water. If heat is severe and unresolved, mix with Rhino Horn juice ground in well water. If red/purple depressed spots fail to rise, add 0.1 qian of Chanshijia powder (Manis Squama) and 0.05 qian of Shexiang (Moschus), mix with Zicao decoction plus 1-2 spoons of wine, and take; spots will rise.
Da Wubi San treats excessive heat-toxin, fright/mania/delirium with thirst, and red/purple/black depressed smallpox.
Guima Huashi (Talcum, water-classified, 6 liang), Fencao (Licorice Radix et Rhizoma) (1 liang), Chensha (Cinnabar, water-classified, 3 qian), Xionghuang (Realgar, water-classified, 1 qian).
Grind into powder. Ages 3-5 take 1 qian, age 10 takes 2 qian. At onset of fever, take mixed with Baidu San; it also thins smallpox.
After smallpox reports eruption, take with Dengxin soup (Junci Medella decoction).
[Cool Blood and Detoxify]
Xijiao Dihuang Tang (for bleeding), Xiaodu Yin (for throat).
Daimao Tang treats epidemic pea-pox and red rashes. Prevents eruption by resolving internally; if erupted, resolves toxicity to prevent severity.
Raw Daimao (Trionycis Carapax et Plastrum), Raw Xijiao (Rhino CeratUs) (each grind thickly in cold water to obtain 2 he of juice).
Stir evenly. Take 0.5 he per dose, take slightly warm. 4-5 times daily is best.
Also treats cases where eruption is slow. Furthermore: if toxins attack inward, appearing purple-black and slow to erupt, use 1 he of thick Daimao water-grind juice, add 1 soap-sized piece of Zhu Xin Xue (Porcinis Cor Sanguis), and mix with thick Zicao decoction (Lithospermi Radix). Take as one dose. Daimao and Xijiao are slightly cold; treating heat-toxin with them is appropriate. Both treat plague/miasma, resolve hundred toxins, unblock vessels, reduce abscesses/swelling. Thus, they resolve accumulated toxins and are suitable.
Xijiao Yinzi resolves heat-toxin, removes Wind-rash.
Xijiao (Rhino CeratUs), Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 liang), Fangfeng (Saposhnikoviae Radix) (2 liang), Huangqin (Scutellariae Radix) (1 liang).
Grind into coarse powder. Take 5 qian per dose, with 1 small zhan of water, decoct to 0.5 zhan, filter dregs, take warm, anytime.
Xijiao Tang treats pediatric measles/smallpox and red sores.
Xijiao (Rhino CeratUs, shaved), Dahuang (Rhei Radix et Rhizoma, fried), Sangbaipi (Mori Cortex, honey-fried), Gouteng (Uncariae Ramulus cum Uncis), Gancao (Licorice Radix et Rhizoma, honey-fried), Mahuang (Ephedrae Herba, nodes removed) (each 1 liang), Longdancao (Gentianae Radix et Rhizoma) (0.5 qian), Shigao (Gypsum Fibrosum), Gualou (Trichosanthis Fructus), Huangqin (Scutellariae Radix) (honey-fried, each 0.5 liang).
Grind into coarse powder. Take 1 qian per dose, with 1 small zhan of water, decoct to 0.4 zhan, filter dregs, take warm, adjust dosage by age. After sores recede, apply thick-ground Xijiao water topically for better effect. Qianyi also attached this formula to treat excessive rashes preventing eye involvement, named Tiaogan San. This formula treats Wind-excess with Qi-stagnation, Heart/Liver Blood-Heat, internal dryness of fluids, constipation, upward excess of toxins, and unresolved exterior heat. Dahuang and Gualou treat internal dryness; Gouteng and Longdancao treat Wind-Blood-Heat; Sangbaipi and Shigao treat Upper Jiao heat; Mahuang and Huangqin dissipate muscle heat; Xijiao and Gancao detoxify. Generally, medication must match the disease; then disease goes and healthy Qi returns. Otherwise, it causes harm. For example, Xijiao San should only be taken if there is multi-day constipation, panting/confusion, irritability, and delirium; otherwise, disease and medicine do not match.
Duoming San treats rashes whether erupted or not; both situations benefit.
Shengma (Cimicifugae Rhizoma), Nuomi (Oryzae Sativae Confractio glutinosi), Zicao (Lithospermi Radix), Gancao (Licorice Radix et Rhizoma) (each 0.5 liang), Mutong (Akebiae Caulis) (2.5 qian).
Cut into powder. Take 1 large qian per dose, with 0.7 zhan of water, decoct to 0.4 zhan, filter dregs, take warm. Suitable for severe heat-toxin during eruption; resolves accumulated heat, promotes urination. Also suitable for strong Qi at initial eruption.
Niubang San cools blood and detoxifies.
Take Niubangzi (Arctii Fructus), stir-fry into powder, decoct 1 zhan with water, and take. In winter, abnormal warmth, or spring warmth, or overeating rich/greasy food, or wearing heavy/warm clothes, or tight curtains damaging skin/blood vessels, causing yellow sores and many diseases, it is advisable to take this regularly in advance.
Dusheng San treats pediatric smallpox/measles starting with slight morning heat, severe evening heat, yellow eyes, moving ribs, body heat with cold hands, and severe eruption resembling fright. Also named Niubang Jiangcan San.
Niubangzi (Arctii Fructus) (0.5 liang), Baijiangcan (Bombyx Batryticatus) (0.1 fen).
Grind into coarse powder. Take 1 large qian per dose, with 0.6 zhan of water and 2-7 cun of Zicao (Lithospermi Radix), decoct to 0.4 zhan. Take three consecutive doses; smallpox will erupt. Niubangzi expels pus and penetrates muscle; Baijiangcan treats generalized Urticaria and painful sores. Taken as powder with wine, recovery is immediate. Alternatively, decoct with Zicao (Lithospermi Radix) to open orifices; since rash syndromes have no deficiency-cold types, taking this causes immediate eruption.
Jiedu Shudou Tang taken in advance to resolve heat and remove toxin. If erupted, resolves heat-toxin/rash; also treats red/purple dry mouth, high fever, and delirium.
Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Shunianzi (Arctii Fructus), Zicao (Lithospermi Radix), Chantui (Cicadae Periostracum).
Decoct with Ginger and Scallion water, and take.
An [San] regulates rashes.
Shengma (Cimicifugae Rhizoma), Chi Fuling (Poria with Red Heart), Qianghuo (Notopterygii Rhizoma et Radix), Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix, fried), Zhike (Aurantii Fructus Immaturus, bran-fried), Gancao (Licorice Radix et Rhizoma) (equal parts).
Grind into fine powder. Take 1 qian per dose, with 0.7 zhan of water, Zicao (Lithospermi Radix), Bohe (Menthae Haplocalycis Herba), decoct to 0.4 zhan, filter dregs, cool to warm, take, adjust by age. This formula detoxifies, cools blood, generates flesh, widens intestines, guides heat, promotes urination, and clears the diaphragm.