治虚弱人痰涎壅盛。
人参芦 为末，水调一二钱，或加竹沥和服。（滑痰）服后，以物微探吐之。（如不探，
亦未
病患虚羸，故以参芦代藜芦瓜蒂。宣犹带补，不致耗伤元气也。（丹溪曰∶人参补阳中
之阴
（仲景） 治伤寒汗吐下后，虚烦不眠，剧者反复颠倒，心中懊 。及大下后，身热
不退，心下结痛，或痰在膈中。（汗吐下后，正气不足，邪气乘虚，结于胸中，故烦热懊
。烦热者，热而烦扰。懊 者，懊恼 闷也。昼动为阳，夜卧主阴。阳热未散，阴气未复，
故不得眠。身热去而心结痛者，热尽入里，则为结胸。热不去而结痛者，客热散漫为虚烦，
热仍在表，故当越之。）
栀子（十四枚） 淡豉（四合） 服令微吐。
烦为热胜。栀子苦寒，色赤入心，故以为君。淡豉苦能泄热，腐能胜焦。（肾气为腐，
心气
形之
肾。
因而
阳，
病
缘内经有先泄而后生他病者治其本，必先调之，后乃治其他病，故此示戒。又曰∶诸栀豉一
法，证显实烦虚烦之不同，要皆可用以涌其余热。乃因汗吐下后，胸中阳气不足。最虚之处
，便是容邪之处，正宜因其高而越之尔。若谓津液内竭，正气暴虚，余邪不尽，则仲景原有
炙甘草汤一法，宁敢妄涌以犯虚虚之戒耶！）
加甘草，名栀子甘草豉汤，（仲景）治前证少气者。（刘宏璧曰∶少气，则加甘草以和中，
人
缘
子
治
涤
景）治伤寒下后，心烦腹满，卧起不安者。（喻嘉言曰∶满而不烦，即里证已具之实满。烦
而
象
名栀子大黄汤。（仲景）治酒疸发黄，心中懊 ，或热痛，亦治伤寒食复。
（轻则消导，重乃攻下。）加枳实，名枳实栀子豉汤。（仲景）治伤寒劳复。
（大病瘥后，起居
仲）治伤寒下利，
能开胸痹，及大
Treats phlegm-saliva congestion in individuals with weak constitutions.
Grind Ren Shen Lu (Ginseng Rhizome Stalk) into powder, mix with water to take one or two qian, or add Zhu Li (Bamboo Sap) and take together. (For slippery phlegm). After taking the medicine, gently induce vomiting by stimulating the throat with an object. (If not induced,
since the patient is weak and emaciated, Ren Shen Lu is used instead of Li Lu (Veratrum Root) and Gua Di (Melon Seed). Its action is dispersing yet mildly tonifying, preventing damage to Yuan Qi (Original Qi). (Zhu Danxi said: Ren Shen tonifies the Yin within Yang
(Zhang Zhongjing) Treats deficiency-heat vexation and insomnia after sweating, vomiting, or purging in Shang Han (Cold Damage), severe cases tossing and turning, with a feeling of stifling heat and restlessness in the chest. Also treats persistent body heat and epigastric binding pain after severe purging, or phlegm lodged in the diaphragm. (After sweating, vomiting, or purging, Zheng Qi (Upright Qi) is insufficient, pathogenic factors enter due to deficiency and bind in the chest, causing vexation and heat with restlessness.
Vexation and heat refer to fever accompanied by irritability. Restlessness refers to a feeling of stifling discomfort in the heart. Daytime activity belongs to Yang, nighttime lying down belongs to Yin. Since Yang-heat has not dissipated and Yin-Qi has not recovered,
sleep is impossible. If body heat subsides but epigastric binding pain remains, it indicates heat has fully entered the interior, forming Jie Xiong (Chest Binding). If heat persists with binding pain, this is Xu Fan (Deficiency Vexation) caused by scattered guest-heat,
with heat still at the exterior, thus it should be resolved by inducing vomiting.)
Zhi Zi (Gardenia Fruit) (14 pods) Dan Chi (Light Fermented Soybean) (4 he) Take until slight vomiting occurs.
Vexation is due to excess heat. Zhi Zi is bitter and cold, red in color entering the Heart, thus serving as the Sovereign herb. Dan Chi is bitter and can drain heat; its fermented nature can overcome dryness/restlessness. (Kidney Qi possesses the function of fermentation/rotting,
Heart Qi
Form
Kidney.
Therefore
Yang,
Disease
Because the Nei Jing states "if other diseases arise after purging/diarrhea, treat the root first; must regulate the root before treating other diseases," this serves as a warning. It also says: The various methods using Zhi Zi and Dan Chi,
although symptoms show differences between Shi Fan (Excess Vexation) and Xu Fan (Deficiency Vexation), all can be used to vomit out residual heat. This is because after sweating, vomiting, or purging, Yang Qi in the chest is insufficient. The most deficient area
is where pathogens tend to reside; it is appropriate to follow the high position and resolve it by vomiting. If one claims that internal fluids are exhausted and Zheng Qi suddenly deficient with residual pathogens remaining, then Zhang Zhongjing originally had
the method of Zhi Gan Cao Tang (Licorice Decoction), how could one dare recklessly use vomiting to violate the prohibition against making deficiency worse!)
Add Gan Cao (Licorice Root), named Zhi Zi Gan Cao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction), (Zhang Zhongjing) treats the aforementioned conditions with shortness of breath. (Liu Hongbi said: For shortness of breath, add Gan Cao to harmonize the Middle Jiao,
Person
Due to
Zi
Treat
Purge
Zhang Zhongjing) Treats心烦 (vexation) and abdominal fullness after purging in Shang Han, with restlessness in sitting and lying. (Yu Jiayan said: Fullness without vexation indicates established interior excess fullness. Vexation
and
Image
Named Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction). (Zhang Zhongjing) Treats Jiu Dan (Wine Jaundice) with yellowing, stifling heat and restlessness in the chest, or heat pain; also treats recurrence of Shang Han due to dietary indiscretion.
(Light cases use digestion-promoting methods, heavy cases use purgative methods.) Add Zhi Shi (Immature Bitter Orange), named Zhi Shi Zhi Zi Chi Tang (Immature Bitter Orange, Gardenia, and Fermented Soybean Decoction). (Zhang Zhongjing) Treats Lao Fu (Recurrence due to overexertion) after Shang Han.
(After recovery from major illness, daily activities
Zhang Zhong) Treats Shang Han diarrhea,
Can open chest bi (obstruction), and large