治阳明经邪发热。及痘疹初起。
升麻（一钱） 葛根 白芍（各钱半） 甘草（炙。八分）
上四味。水煎。温服。 升、葛为阳明经之向导。阳明专主肌肉。恐开泄太过。即以白芍敛
护营血。甘草调和中气。所以解利本经邪热及时行痘疹。皆为专药。然在起胀后禁用。
秦艽升麻汤 治中风口目 斜。
升麻汤加秦艽、人参、桂枝、白芷、防风、葱白。
升阳散火汤 治胃虚过食寒物。抑遏阳气于脾土中。畏寒发热。火郁则发之也。
升麻汤加羌活、独活、人参、柴胡、防风。用生甘草。
火郁汤 治火郁不舒。凛凛恶寒不止。
升麻汤用生甘草加柴胡、防风、葱白。 按此即升阳散火汤去羌活、独活、人参。加葱白。
内经所谓恶寒非寒。火郁则发之也。
冲和顺气汤 治内伤脾气。恶寒发热。食少便溏。
升麻汤加人参、羌活、防风、苍术、白术、姜、枣。
升阳补气汤 治胃气不足。脾气下溜。气短无力。不时发热。早饭后烦闷。须要眠睡。五心
烦热。
升麻汤去葛根。加羌活、独活、防风、柴胡、浓朴、泽泻、姜、枣。
和解汤 治痘三日前后。起发迟。
升麻汤加人参、川芎、羌活、防风。
连翘升麻汤 治痘发太多。凉内解毒。
升麻汤加连翘、桔梗、牛蒡、木通、薄荷、灯心、竹叶。
Treats fever caused by pathogenic factors in the Yangming channel (Yangming meridian syndrome), and the initial stage of smallpox/rash.
Shengma (Cimicifugae Rhizoma, 1 qian) Gegen (Puerariae Radix, 1.5 qian each with Baishao) Baishao (Paeoniae Radix Alba, 1.5 qian each with Gegen) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 8 fen).
The above four ingredients are decocted in water and taken warm. Shengma and Gegen serve as guiding herbs for the Yangming channel. The Yangming channel primarily governs the muscles. To prevent excessive opening and sweating, Baishao is used to astringe and protect Ying blood (nutritive blood). Gancao harmonizes the middle Qi (middle jiao energy). Thus, they are specific remedies for resolving heat pathogens in this channel and treating epidemic rashes/smallpox. However, they are contraindicated after the rash has begun to swell.
Qinqiang Shengma Decoction: Treats facial deviation of the mouth and eyes due to wind-stroke.
Add Qinqiang (Gentianae Macrophyllae Radix), Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), and Congbai (Allii Fistulosi Bulbus) to Shengma Tang.
Shengyang Sanhuo Decoction: Treats conditions where weak Stomach Qi combined with excessive consumption of cold foods suppresses and stagnates Yang Qi within the Spleen earth, resulting in aversion to cold and fever. The treatment principle follows "disperse fire when it is stagnant."
Add Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Renshen (Ginseng Radix), Chaihu (Bupleuri Radix), and Fangfeng (Saposhnikoviae Radix) to Shengma Tang. Use raw Gancao (Glycyrrhizae Radix et Rhizoma).
Huoyu Decoction: Treats stagnant fire that fails to circulate freely, characterized by persistent severe aversion to cold.
Use raw Gancao (Glycyrrhizae Radix et Rhizoma) in Shengma Tang, adding Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), and Congbai (Allii Fistulosi Bulbus). Note: This formula is identical to Shengyang Sanhuo Decoction but without Qianghuo, Duhuo, and Renshen, and with added Congbai. As stated in the *Neijing* (Inner Canon), the aversion to cold here is not due to external cold, but to stagnant fire; thus, the method is to disperse the stagnation.
Chonghe Shunqi Decoction: Treats internal injury to Spleen Qi, manifesting as aversion to cold and fever, poor appetite, and loose stools.
Add Renshen (Ginseng Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus) to Shengma Tang.
Shengyang Buzhi Decoction: Treats insufficient Stomach Qi and sinking of Spleen Qi, presenting with shortness of breath, weakness, intermittent fever, post-prandial restlessness after breakfast requiring sleep, and five-palm heat (heat sensation in the palms, soles, and chest).
Remove Gegen (Puerariae Radix) from Shengma Tang, and add Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Houpo (Magnoliae Officinalis Cortex), Zexie (Alismatis Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus).
Hejie Decoction: Treats delayed eruption of rashes around the third day before and after onset.
Add Renshen (Ginseng Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), and Fangfeng (Saposhnikoviae Radix) to Shengma Tang.
Lianqiao Shengma Decoction: Treats excessive eruption of rashes, functioning to cool the interior and detoxify.
Add Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix), Niuxibang (Arctii Fructus), Mutong (Akebiae Caulis), Bohe (Menthae Haplocalycis Herba), Xincaogen (Junci Medulla), and Zhuye (Bambulae Folium) to Shengma Tang.