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(Zhang Jingyue) Treats Shanghan (Cold Damage), plague, Yin-Shu (Yin Summerheat), and malaria. Whenever Yin-Cold pathogenic qi is excessive, causing the pathogen to be unable to dissipate, this formula is indispensable. Regardless of which meridian or season, whenever these syndromes are present, this medicine should be used; do not say it cannot be used in summer. After taking the medicine, there is no need for thick covering; the goal is merely to achieve a slight, even perspiration as the standard. This is actually a modified formula of Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction), but its miraculous efficacy is greatly similar to those two formulas, and thus it must be carefully examined.

Guixin (Cortex Cinnamomi, 1-2 qian) Danggui (Radix Angelicae Sinensis, 3-4 qian) Zhi Gancao (Honey-fried Radix Glycyrrhizae, 1 qian) Mahuang (Herba Ephedrae, 2-3 qian) Chenpi (Pericarpium Citri Reticulatae, use as appropriate or omit) Water one bowl, add Shudi (Prepared Rhizoma Anemarrhenae? Note: Context implies Rehmanniae Radix Praeparata, usually Di Huang/Shu Di Huang, here translated as Prepared Rehmannia Root, 3-5 qian).

(Zhang Jingyue) For those suffering from Yang-deficiency Shanghan, and all cases of seasonal fatigue combined with Cold-Epidemic or Yin-Shu pathogens. Although the body may have high fever, there is still frequent aversion to cold; even in summer, the patient desires clothing and blankets, or prefers hot drinks, or has accompanying vomiting, nausea, and diarrhea. As long as the six pulse positions are weak, the shoulders and back feel cold, and the pathogen cannot reach the exterior, etc., these are signs of severe deficiency of Yuan-Yang (Primal Yang), where the righteous qi cannot overcome the pathogen. If one does not use strong tonification to support and disperse the pathogen, the cold pathogen will deepen daily, leading to an untreatable condition. Warming the middle to dispel cold naturally disperses cold; this is that very formula. After taking it, if aversion to cold is completely removed and a feeling of restlessness or heat arises, this is a good omen of Yang returning and sweating preparing to occur; do not doubt or fear it. Furthermore, for those with constitutionally weak constitutions, or who have contracted Yin-pathogens or Cold-Epidemics, presenting with fever and fatigue, although the previous Yin-syndromes are not seen, and the Heat-pathogen is not severe, if this drink is used rapidly at the initial stage of contraction, taken continuously for two or three doses, recovery follows the medication without fail. It is truly a miraculous agent. This formula is suitable for use in conjunction with Liyin Jian (Replenish Yin Decoction) and Magui Yin (Cinnamon and Ephedra Drink).

Shudi (Prepared Rehmannia Root, 3-7 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 3-5 qian) Danggui (Radix Angelicae Sinensis, 3-5 qian. Do not use if diarrhea is present; replace with Shanyao/Dioscoreae Rhizoma.) Ren Shen (Ginseng Radix, amount as needed) Ganjiang (Dried Ginger, stir-fried until hot)... [Text fragmentary: mentions adding Fangfeng/Saposhnikoviae Radix and Xixin/Ligustici Chuanxiong Rhizoma if Qi-deficient or sweating occurs].

(Jiegu / Li Dongyuan) Treats Lianggan Shanghan (Simultaneous Transmission Cold Damage). (The Nei Jing states: On the first day of Shanghan, the Taiyang meridian receives the pathogen. The Taiyang meridian runs along the waist and spine, passing through the head and neck, hence headache, stiff neck, and back rigidity. On the second day, the Yangming meridian receives the pathogen. Yangming governs the flesh, its vessel runs alongside the nose and connects to the eyes, hence fever, eye pain, dry nose, and inability to sleep. On the third day, the Shaoyang meridian receives the pathogen. Shaoyang governs the Gallbladder, its vessel runs along the hypochondrium and connects to the ears, hence hypochondriac pain and deafness. On the fourth day, the Taiyin meridian receives the pathogen. The Taiyin vessel spreads in the stomach and connects to the throat, hence abdominal fullness and dry throat. On the fifth day, the Shaoyin meridian receives the pathogen. The Shaoyin vessel penetrates the Kidney, connects to the Lung, and ties to the root of the tongue, hence dry mouth, dry tongue, and thirst. On the sixth day, the Jueyin meridian receives the pathogen. The Jueyin vessel runs along the genitalia and connects to the Liver, hence irritability, fullness, and retraction of the testicles. "Lianggan" means that on the first day, both Taiyang and Shaoyin are diseased, presenting with headache, stiff neck, yet also dry mouth and irritability/thirst; on the second day, both Yangming and Taiyin are diseased, presenting with fever and delirious speech, yet also abdominal fullness and loss of appetite; on the third day, both Shaoyang and Jueyin are diseased, presenting with hypochondriac pain, deafness, yet also testicular retraction and cold extremities. This is a disease affecting both Yin/Yang and Interior/Exterior simultaneously. To induce sweating confronts the Interior syndrome; to purge confronts the Exterior syndrome. Therefore, Zhang Zhongjing did not establish a treatment method. Wu Hegao said: Yi Lao (Li Dongyuan) formulated this prescription with the intention that transmitted diseases are all Yang pathogens. By solely raising Yang and dissipating heat, while nourishing the Yin organs, those with shallow infection might still be pacified.)

Qianghuo (Notopterygii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Fangfeng (Saposhnikoviae Radix) Xixin (Ligustici Chuanxiong Rhizoma) Fangji (Stephaniae Tetrandrae Radix) Huangqin (Scutellariae Radix) Huanglian (Coptidis Rhizoma) Cangzhu (Atractylodis Rhizoma) Gancao (Licorice Root, honey-fried) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian) Zhimu (Anemarrhenae Rhizoma) Chuanxiong (Ligustici Chuanxiong Rhizoma)

This is a medicine that resolves both Yin and Yang. Because the Qi is thin/light, it causes excretion/dissipation; therefore, Qianghuo, Duhuo, Cangzhu, Fangfeng, Chuanxiong, and Xixin are used to dispel wind and release the exterior, ascending and dispersing the transmitted pathogens. Cold natured herbs can overcome heat... [Text fragmentary: refers to resolving both interior and exterior simultaneously].