治心腹卒痛如锥刺。宿食冷积胀满。
巴豆（去皮心膜。用霜一钱。） 干姜（生。二钱） 大黄（三钱）
上三味。为末。炼白蜜丸。如小豆大。温水送下。二三十丸。妊娠禁用。按备急丸治寒实结
积之峻药。凡伤寒热传胃府。舌胎黄黑刺裂。唇口赤燥者。误用必死。以巴豆大热伤阴故也。其白
散、白饼子、消积、神保、酒 等方皆然。不可不慎。其神保丸、酒 丸。见伤饮食门。杨气丸下。
兹不复见。
白散（玉函） 治寒实结胸。
备急丸去干姜、大黄。用巴霜一钱。加桔梗芦、贝母各三钱。为散。白饮和服半钱。羸者减之。
雷氏千金丸 治胸胀冷积作痛。
备急丸加焰硝、桂心。
白饼子 治小儿腹中癖积。饮乳即嗽。而吐痰涎。
备急丸去干姜、大黄。用巴豆二十粒取霜。加滑石、轻粉、半夏、南星各一钱。共杵为末。
糯米饮丸。绿豆大。捻作饼子。
每服二三饼。葱白汤下。
消积丸 治小儿食积发热。大便酸臭。
备急丸去干姜、大黄。用巴豆二十粒取霜。加丁香九粒。缩砂仁十二粒。共杵为末。以烂乌梅肉三枚。
糊丸黍米大。
每服三五丸。温水下。
治三焦实热。烦躁便秘。
黄连（酒煮。） 黄芩（酒炒。） 大黄（酒浸。等分。）
麻沸汤二升渍之。须臾绞去滓。分温再服。麻沸汤者。白水空煎鼎沸如麻也。古方惟降火药用之。
三黄丸 治诸实热不解。
三黄汤为末。炼白蜜丸梧子大。每服五十丸。空心麻沸汤下。
金花汤 治热毒内蕴。
三黄汤去大黄加黄柏。三味等分煎服。更加栀子。名桅子金花汤。
三补丸 治阴火亢极不解。
金花汤为末。蜜丸服。
黄连解毒汤 治热邪内外俱盛。
三黄汤去大黄加黄柏、山栀。等分煎服。
金花丸 治积热不解。
黄连解毒汤为末。蜜丸服之。
大金花丸 治中满热极。淋秘溺血。
三黄丸加黄柏等分。滴水为丸小豆大。新汲水下三十丸。按金花汤止芩、连、柏三味。作丸。
则名三补金花丸、较汤多山栀。作汤名为解毒。更加大黄。则名大金花丸。汤丸虽异。功用不殊但
取急攻则用汤缓祛则用丸。微有区别耳。
大黄黄连泻心汤（玉函。即黄连泻心汤。） 治热邪内陷。胁下痞满。
三黄汤去黄芩。麻沸汤渍绞服。
附子泻心汤（玉函） 治寒热不和。胁下痞结。
三黄汤另煎熟附子汁。搅匀服之。
三黄栀子豉汤 治热病时疫。头痛壮热。
三黄汤合栀子豉汤。（千金。去黄芩加黄柏。）
当归六黄汤 治营血虚热盗汗。
三黄汤去大黄。加黄柏、黄 、生地黄、熟地黄、当归。（汪石山。去黄柏加蒲黄。）
清心丸 治心热神昏。惊悸不宁。
三黄汤去大黄。用黄连三钱。黄芩二钱。加西牛黄半钱。郁金钱半。猪心血为丸。黍米大。
朱砂为衣。灯心汤下。三岁儿三十丸。
既济解毒汤 治上热下寒。大便秘。
三黄汤加甘草、桔梗、柴胡、升麻、连翘、当归。
人中黄丸 治温疫诸热毒。
三黄汤本方用大黄三两。芩、连各一两。加人中黄、苍术、桔梗、滑石各二两。人参一两。防风
五钱。香附一两五钱。神曲糊丸。清热解毒汤送下二三钱。（清热解毒汤方见白虎汤下。）
此方专以伊芳尹三黄大解湿热疫疠之邪。其奥妙全在人中黄
一味。以污秽之味同气相求。直清中上污秽热毒。合滑石、益元之制。则兼清渗道。用苍术、香附者。
宣其六气之郁也。用桔梗者。清其膈上之气也。用防风者。开其肌腠之热也。十味祛邪散毒药。
不得人参鼓舞其势。无以逞迅扫之力也。用神曲为丸者。取其留中而易化也。更需清热解毒下之。即
人参白虎合升麻葛根汤。去粳米。加羌活、芩、连、生地。总解内外之热。略取生姜之辛。以行诸
药之性。散诸经之毒耳。
三黄石膏汤 治热病时行。内外大热。
三黄汤去大黄加黄柏、山栀、石膏、麻黄、香豉、生姜、葱白。用清浆水煎服。半日许不得汗再服。
便秘。去麻黄、香豉。加大黄、芒硝。节庵槌法。加芽茶一撮。按此即解毒汤。兼通圣散、栀子豉汤
之制。而加麻黄、石膏、葱、姜以撤外内热毒也。如脉数实便秘。上气喘急。舌卷囊缩。则去麻、豉
而易硝、黄。又全用伊芳尹三黄矣。
普济消毒饮 治大头捻颈瘟等证。
三黄汤去大黄。加柴胡、黑参、连翘、鼠粘、升麻、白芷、甘草、桔梗、马勃、僵蚕、板蓝根。
半用水煎。半用蜜丸。噙化。气虚脉弱。加人参五七分。大便秘。加酒大黄钱许微下之。本方去升
麻、黑参、鼠粘、僵蚕、板蓝、马勃。加荆芥、防风、羌活、枳壳、川芎、射干。名芩连消毒汤。
当归龙荟丸 治肝经积热。时发惊悸搐搦。神志不宁。头目昏眩。咽膈不利。肠胃燥结。躁扰狂
越等证。
三黄汤加当归、龙胆、芦荟、栀子、青黛、木香、麝香。蜜丸。淡姜汤送二三十丸。
神芎丸 治水肿外内俱实者。
三黄汤本方用大黄黄芩各二两。黄连半两。加滑石、牵牛头末各四两。川芎、薄荷各半两。
滴水为丸。每服五七丸。至十五丸。临卧温水服。湿热腰胁肿满。加甘遂一两。遍身走注疼痛。
加白芥子一两。久毒热肿腹痛。加芒硝一两。关节不利。加羌活一两。肠胃结滞。加郁李仁一两。
腰腿沉重。加商陆一两。本方去黄连、川芎、薄荷。名导水丸。戴人取伊芳尹三黄丸变为神芎丸。每
令病患至夜先服百余粒。继以浚川散投之。五更当下。种种病出。投下少许。再以和膈药服之。以
利为度。有五日一下者。三日一下者。病轻者一二服止。重者五六度方愈。是擒纵缓舒之妙。临病
制宜。非可言谕。自非老年谙练有大负者。焉敢效诸行事耶。详方后云。每服五七丸至十五丸。
乃峻药缓攻之成法。此言每令病患先服百余丸。急乘元气未漓。为之迅扫各有至理。不可以此碍彼也。
浚川散 治水肿胀急。大便不通。大实大满证。
三黄丸去芩、连。用大黄一两。加牵牛头末、郁李仁各一两。芒硝、甘遂各半两。木香三钱。
为散。每服二钱。入生姜自然汁。和如稀糊服。按此乃下水积之峻药。火热怫郁。水液不能宣通。
停滞而生湿热。在阳不去。则化气而为胀。在阴不去。则化积而成形。世俗不省内经留者攻之。
但执补燥之剂。怫郁转加而病愈甚也。戴人曰。养生与攻病。本自不同。今人以补药治病。宜乎
不效也。
Treats sudden, severe pain in the heart and abdomen, feeling like being pierced by an awl. Also treats distension and fullness caused by retained food and cold accumulation.
*Ba Dou* (Croton Seed) [Remove skin, core, and endoderm; use *Ba Dou Shuang* (Croton Frost) 1 qian.] *Gan Jiang* (Dried Ginger) [Raw, 2 qian] *Da Huang* (Rhubarb Root and Rhizome) [3 qian]
The above three herbs are ground into powder. Form pills with refined white honey, size of small beans. Administer with warm water, 20–30 pills per dose. Contraindicated in pregnancy. Note: *Beiji Wan* is a harsh medicine for treating cold-solid accumulation. In cases where *Shanghan* (Cold Damage) heat transmits to the Stomach Fu, presenting with yellow-black cracked tongue coating and red, dry lips and mouth, misuse will certainly be fatal because *Ba Dou* is greatly hot and damages Yin. The same applies to other formulas such as *Bai San*, *Bai Bing Zi*, *Xiao Ji Wan*, *Shen Bao Wan*, and *Jiu Zhu Wan*. One must be cautious. *Shen Bao Wan* and *Jiu Zhu Wan* are recorded under the section on Food Retention; *Yang Qi Wan* is listed below. They are not repeated here.
*Bai San* (from *Yu Han Jing*) Treats Cold-Solid Jueyin Chest Bind.
Take *Beiji Wan*, remove *Gan Jiang* and *Da Huang*. Use *Ba Dou Shuang* (Croton Frost) 1 qian, add *Jie Geng Lu* (Platycodon Root Tip) and *Bei Mu* (Fritillaria Bulb) each 3 qian. Grind into powder. Mix with *Bai Yin* (rice decoction) and take half a qian. Reduce dose for frail patients.
*Lei Shi Qian Jin Wan* Treats chest distension and pain caused by cold accumulation.
Add *Yan Xiao* (Saltpeter) and *Gui Xin* (Cinnamon Twig Heart) to *Beiji Wan*.
*Bai Bing Zi* Treats pediatric abdominal masses (*Pi Ji*), coughing upon nursing, and vomiting of phlegm-saliva.
Take *Beiji Wan*, remove *Gan Jiang* and *Da Huang*. Take 20 seeds of *Ba Dou* to make frost. Add *Hua Shi* (Talcum), *Qing Fen* (Calomel), *Ban Xia* (Pinellia Tuber), and *Nan Xing* (Arisaema Rhizome) each 1 qian. Pound together into powder. Form pills with rice gruel, size of mung beans, shaped into cakes.
Take 2–3 cakes per dose, administered with scallion white decoction.
*Xiao Ji Wan* Treats pediatric food retention fever and sour-smelling stool.
Take *Beiji Wan*, remove *Gan Jiang* and *Da Huang*. Take 20 seeds of *Ba Dou* to make frost. Add 9 cloves of *Ding Xiang* (Clove) and 12 seeds of *Suo Sha Ren* (Amomum Fruit). Pound together into powder. Use flesh of 3 rotten *Wu Mei* (Mume Fruit) to form paste pills, size of millet grains.
Take 3–5 pills per dose, administered with warm water.
Treats Excess-Heat of the Triple Burner, restlessness, and constipation.
*Huang Lian* (Coptis Rhizome) [Boiled in wine] *Huang Qin* (Scutellaria Root) [Stir-fried in wine] *Da Huang* (Rhubarb Root and Rhizome) [Soaked in wine, equal parts]
Steep in two sheng of *Ma Fei Tang* (boiling water) until bubbles resemble hemp seeds. Squeeze out the dregs after a moment. Divide into two warm doses. *Ma Fei Tang* refers to plain water boiled vigorously until it bubbles like hemp seeds. Ancient formulas use this method only for fire-descending herbs.
*San Huang Wan* Treats unresolved various excess-heats.
Grind *San Huang Tang* into powder. Form pills with refined white honey, size of wutong seeds. Take 50 pills per dose, administered with *Ma Fei Tang* on an empty stomach.
*Jin Hua Tang* Treats internal entrapment of heat-toxin.
Remove *Da Huang* from *San Huang Tang*, add *Huang Bo* (Phellodendron Bark). Decoct equal parts of the three herbs. If *Zhi Zi* (Gardenia Fruit) is added, it is named *Zhi Zi Jin Hua Tang*.
*San Bu Wan* Treats unremitting extreme hyperactivity of Yin-fire.
Grind *Jin Hua Tang* into powder. Form pills with honey and take.
*Huang Lian Jie Du Tang* Treats heat-pathogen flourishing both internally and externally.
Remove *Da Huang* from *San Huang Tang*, add *Huang Bo* (Phellodendron Bark) and *Shan Zhi* (Gardenia Fruit). Decoct equal parts.
*Jin Hua Wan* Treats unresolved accumulated heat.
Grind *Huang Lian Jie Du Tang* into powder. Form pills with honey and take.
*Da Jin Hua Wan* Treats middle jiao fullness, extreme heat, strangury, urinary retention, and hematuria.
Add *Huang Bo* (Phellodendron Bark) in equal parts to *San Huang Wan*. Drop water to form pills, size of small beans. Take 30 pills with fresh drawn cold water. Note: *Jin Hua Tang* contains only *Huang Qin*, *Huang Lian*, and *Huang Bo*. When made into pills, it is called *San Bu Jin Hua Wan*; when compared to the decoction, it adds *Zhi Zi*, and the decoction name becomes *Jie Du*. Adding *Da Huang* makes it *Da Jin Hua Wan*. Although decoctions and pills differ in form, their functions are not significantly different; decoctions are used for rapid attack, while pills are used for gradual elimination, which is a slight distinction.
*Da Huang Huang Lian Xie Xin Tang* (*Yu Han Jing*, i.e., *Huang Lian Xie Xin Tang*) Treats heat-pathogen sinking inward, hypochondriac fullness and bind.
Remove *Huang Qin* from *San Huang Tang*. Steep in *Ma Fei Tang*, squeeze juice, and take.
*Fu Zi Xie Xin Tang* (*Yu Han Jing*) Treats disharmony of cold and heat, hypochondriac binding and knotting.
Decoct *San Huang Tang* separately. Prepare juice of cooked *Fu Zi* (Aconite Lateral Root) separately. Mix evenly and take.
*San Huang Zhi Zi Chi Tang* Treats febrile diseases and epidemics, headache, and high fever.
Combine *San Huang Tang* with *Zhi Zi Chi Tang*. (*Qian Jin Fang* removes *Huang Qin* and adds *Huang Bo*).
*Dang Gui Liu Huang Tang* Treats night sweats due to deficiency-heat of Ying-Blood.
Remove *Da Huang* from *San Huang Tang*. Add *Huang Bo* (Phellodendron Bark), *Huang Qi* (Astragalus Root), *Sheng Di Huang* (Rehmannia Root), *Shu Di Huang* (Prepared Rehmannia Root), and *Dang Gui* (Angelica Sinensis Root). (Wang Shishan's version removes *Huang Bo* and adds *Pu Huang* (Typha Pollen)).
*Qing Xin Wan* Treats mental confusion and palpitations due to Heart-Heat.
Remove *Da Huang* from *San Huang Tang*. Use *Huang Lian* (Coptis Rhizome) 3 qian, *Huang Qin* (Scutellaria Root) 2 qian. Add *Xi Niu Huang* (Buffalo Calculus) half a qian, *Yu Jin* (Curcuma Radix) half a qian. Form pills with pig heart blood, size of millet grains.
Coat with *Zhu Sha* (Cinnabar). Administer with *Deng Xin Cao* (Juncus Effusus) decoction. Thirty pills for a three-year-old child.
*Ji Ji Jie Du Tang* Treats upper heat and lower cold, with large bowel constipation.
Add *Gan Cao* (Licorice Root), *Jie Geng* (Platycodon Root), *Chai Hu* (Bupleurum Root), *Sheng Ma* (Cimicifuga Rhizome), *Lian Qiao* (Forsythia Fruit), and *Dang Gui* (Angelica Sinensis Root) to *San Huang Tang*.
*Ren Zhong Huang Wan* Treats various heat-toxins of warm epidemics.
The base formula uses *Da Huang* (Rhubarb Root and Rhizome) 3 liang, *Huang Qin* and *Huang Lian* each 1 liang. Add *Ren Zhong Huang* (Human Waste Charcoal), *Cang Zhu* (Atractylodes Rhizome), *Jie Geng* (Platycodon Root), and *Hua Shi* (Talcum) each 2 liang, *Ren Shen* (Ginseng Root) 1 liang, *Fang Feng* (Saposhnikovia Root) 5 qian, *Xiang Fu* (Cyperus Rhizome) 1.5 liang. Form pills with *Shen Qu* (Medicated Leaven). Take 2–3 qian with *Qing Re Jie Du Tang* (Clear Heat and Detoxify Decoction). (See *Bai Hu Tang* below for formula).
This formula specifically uses *Yi Fang Yin San Huang* (Three Yellows) to strongly resolve damp-heat epidemic pathogens. Its subtlety lies entirely in *Ren Zhong Huang*. Using its foul nature to attract similar qi, it directly clears foul heat-toxin in the Middle and Upper Jiao. Combined with *Hua Shi* and *Yi Yuan San*, it also clears and leaches the water passages. *Cang Zhu* and *Xiang Fu* are used to ventilate the stagnation of the six qi. *Jie Geng* is used to clear the qi above the diaphragm. *Fang Feng* is used to open the muscle interstices for heat. These ten pathogen-dispersing and detoxifying herbs cannot exert their rapid sweeping power without *Ren Shen* to boost the righteous qi. *Shen Qu* is used for pill formation to retain the medicine in the middle jiao and facilitate digestion. It is further necessary to administer with *Qing Re Jie Du Tang*, or combine *Ren Shen Bai Hu Tang* with *Sheng Ma Ge Gen Tang*, remove *Jing Mi* (Rice), add *Qiang Huo* (Notopterygium Rhizome), *Huang Qin*, *Huang Lian*, and *Sheng Di Huang* to comprehensively resolve internal and external heat. A slight amount of *Sheng Jiang* (Fresh Ginger) is borrowed for its acridity to circulate the properties of all herbs and disperse toxins in all meridians.
*San Huang Shi Gao Tang* Treats febrile diseases and pandemics with great internal and external heat.
Remove *Da Huang* from *San Huang Tang*. Add *Huang Bo* (Phellodendron Bark), *Shan Zhi* (Gardenia Fruit), *Shi Gao* (Gypsum Fibrosum), *Ma Huang* (Ephedra Stem), *Xiang Chi* (Fermented Soybean), *Sheng Jiang* (Fresh Ginger), and *Cong Bai* (Scallion White). Decoct with *Qing Jiang Shui* (sour grain water). If no sweat occurs after half a day, take again. For constipation, remove *Ma Huang* and *Xiang Chi*, add *Da Huang* and *Mang Xiao* (Mirabilite). Jie An's hammering method adds a pinch of sprouted tea. Note: This is essentially *Jie Du Tang*, combining the methods of *Tong Sheng San* and *Zhi Zi Chi Tang*, adding *Ma Huang*, *Shi Gao*, scallion, and ginger to dispel internal and external heat-toxins. If the pulse is rapid and solid, with constipation, panting, curled tongue, and contracted scrotum, remove *Ma Huang* and *Xiang Chi* and substitute with *Xiao* (Mirabilite) and *Huang* (Rhubarb), fully utilizing *Yi Fang Yin San Huang*.
*Pu Ji Xiao Du Yin* Treats Da Tou Wen (Big Head Plague) and Nian Jing Wen (Neck Twisting Plague).
Remove *Da Huang* from *San Huang Tang*. Add *Chai Hu* (Bupleurum Root), *Hei Shen* (Black Ginseng), *Lian Qiao* (Forsythia Fruit), *Shu Niu* (Burdock Fruit), *Sheng Ma* (Cimicifuga Rhizome), *Bai Zhi* (Angelica Dahurica Root), *Gan Cao* (Licorice Root), *Jie Geng* (Platycodon Root), *Ma Bo* (Fly Agaric), *Jiang Can* (Bombyx Batryticatus), and *Ban Lan Gen* (Isatis Root). Half is decocted in water, half is formed into honey pills for holding in the mouth. For Qi deficiency and weak pulse, add *Ren Shen* (Ginseng Root) 5–7 fen. For large bowel constipation, add *Jiu Da Huang* (Wine-processed Rhubarb) about 1 qian for mild purgation. Removing *Sheng Ma*, *Hei Shen*, *Shu Niu*, *Jiang Can*, *Ban Lan Gen*, and *Ma Bo* from this formula, and adding *Jing Jie* (Schizonepeta Spike), *Fang Feng* (Saposhnikovia Root), *Qiang Huo* (Notopterygium Rhizome), *Zhi Ke* (Aurantium Fructus), *Chuan Xiong* (Ligusticum Rhizome), and *She Ye* (Belamcanda Rhizome), names it *Qin Lian Xiao Du Tang*.
*Dang Gui Long Hui Wan* Treats accumulated heat in the Liver Meridian, manifesting as occasional palpitations and convulsions, mental unrest, dizziness, throat and diaphragm obstruction, dry intestinal constipation, agitation, and mania.
Add *Dang Gui* (Angelica Sinensis Root), *Long Dan* (Gentiana Root), *Lu Hui* (Aloe), *Zhi Zi* (Gardenia Fruit), *Qing Dai* (Indigo Naturalis), *Mu Xiang* (Aucklandia Root), and *She Xiang* (Musk) to *San Huang Tang*. Form pills with honey. Take 20–30 pills with dilute ginger soup.
*Shen Xiong Wan* Treats edema with excess conditions both internally and externally.
The base formula uses *Da Huang* and *Huang Qin* each 2 liang, *Huang Lian* half a liang. Add *Hua Shi* (Talcum) and *Qian Niu Tou Mo* (Morning Glory Seed Powder) each 4 liang, *Chuan Xiong* (Ligusticum Rhizome) and *Bo He* (Mint Leaf) each half a liang.
Drop water to form pills. Take 5–7 pills, up to 15 pills, with warm water before bed. For damp-heat causing swelling and fullness of waist and hypochondrium, add *Gan Sui* (Kansui Root) 1 liang. For wandering pain throughout the body, add *Bai Jie Zi* (White Mustard Seed) 1 liang. For chronic toxic heat-swelling and abdominal pain, add *Mang Xiao* (Mirabilite) 1 liang. For joint stiffness, add *Qiang Huo* (Notopterygium Rhizome) 1 liang. For intestinal stagnation, add *Yu Li Ren* (Prunus Seed) 1 liang. For heavy waist and legs, add *Shang Lu* (Phytolacca Root) 1 liang. Removing *Huang Lian*, *Chuan Xiong*, and *Bo He* from this formula names it *Dao Shui Wan*. Dai Ren transformed *Yi Fang Yin San Huang Wan* into *Shen Xiong Wan*, instructing patients to first take over 100 pills at night, followed by *Jun Chuan San*, expecting defecation at dawn. Various pathogens are expelled. After administering a small amount, take harmonizing diaphragm medicines, aiming for purgation. Some have one purge every five days, some every three days. Mild cases stop after one or two doses; severe cases require five or six purges. This is the subtlety of controlling speed and tension, adapting to the disease. It cannot be fully explained by words. Only those with extensive experience dare to imitate this practice. The detailed formula states taking 5–7 to 15 pills, which is the established method of using harsh drugs gently. Here, taking over 100 pills first is to swiftly sweep pathogens while vital qi is intact. Both have their rationale and should not hinder each other.
*Jun Chuan San* Treats edema and urgent distension, inability to pass stool, representing severe excess and fullness.
Remove *Huang Qin* and *Huang Lian* from *San Huang Wan*. Use *Da Huang* 1 liang. Add *Qian Niu Tou Mo* (Morning Glory Seed Powder) and *Yu Li Ren* (Prunus Seed) each 1 liang, *Mang Xiao* (Mirabilite) and *Gan Sui* (Kansui Root) each half a liang, *Mu Xiang* (Aucklandia Root) 3 qian.
Grind into powder. Take 2 qian per dose. Mix with natural juice of *Sheng Jiang* (Fresh Ginger) to a thin paste consistency and take. Note: This is a harsh drug for draining water accumulation. When fire-heat is constrained, water fluids cannot circulate, stagnating to generate damp-heat. If not removed from the Yang aspect, it transforms qi into distension; if not removed from the Yin aspect, it transforms into masses. Laypeople do not understand the *Nei Jing* principle "attack what remains." They stick to drying tonics, worsening constraint and aggravating the disease. Dai Ren said: Nourishing life and attacking disease are fundamentally different. People today treat disease with tonics, hence ineffectiveness.