夫两感伤寒者。一日巨阳与少阴俱病。头痛。口干。烦满而渴。二日阳明与太阴俱病。
则腹满身热。不欲饮食。谵言妄语。三日少阳与厥阴俱病。而耳聋囊缩。厥逆。水浆不入。
不知人事。即难治也。何者。脏腑表里同受其邪。五脏内伤。六腑闭塞。阴阳交争。荣卫不
行。如是之后。三日乃死。夫伤寒两感。初得一二日。不得汗。又吐下不得。其人四肢沉重。
心神昏闷。手足厥逆。心中烦躁。渴欲饮水。头痛。憎寒壮热。或即吐逆。腹胁疼痛。转加
困重。不得睡卧。阴阳交并。不可救疗。如此证候。当观其形证善恶。察其受病浅深。而行
拯疗。亦可瘥也。
歌曰。两感膀胱对少阴。头痛口燥大而沉。胃脾肝胆二三日。脉证双传准例寻。
又论云伤寒惟两感不治。两感者。半属于阴。半属于阳。脏腑俱受病也。一曰太阳少阴
俱病。则头疼。口干燥。烦满而渴。脉大而沉。二曰阳明太阴俱病。则身热鼻干。谵语。腹
满不食。脉长而沉。三曰少阳厥阴俱病。则耳聋囊缩。厥冷。水浆不入。脉弦而沉。或三日
而僵。或六日而仆。张氏无治法。但曰。两感病俱作治有先后。发表攻里本自不同。双钟以
意斟酌。谓如下利不止。身体疼痛。急先救其里。与四逆汤。如不下利。但身体疼痛。急先
救其表。与桂枝汤。此为治有先后。其达权识变之论也。谢复古释张氏治有先后之说。亦以
为阳先受病在乎表。则先解表。阴先受病在乎里。则先救里。是亦一意。然先表者里不可缓。
先里者表亦不可缓也与。
方
人参散（出圣惠方）治两感伤寒一两日。不得汗。脉沉迟。心中烦闷。毒瓦斯相
传。阴阳交并
人参（去芦头） 川大黄（锉碎微炒各一两） 附子（炮裂去皮脐） 干姜（炮裂锉） 诃
黎勒
皮（各三分） 槟榔（半两） 上为粗散。每服五钱。以水一中盏。入生姜半分。煎至六分。
去
渣
桂心散（出圣惠方）治两感伤寒。头疼身热。心胸闷乱。宜服。发表。
桂心 前胡（去芦头） 甘草（炙微赤锉） 皂荚灰 浓朴（去粗皮涂生姜汁炙令香熟
各一
两） 上为细散。每服不计时候。生姜汤调下二钱。频服。汗出为度。
解表散（出圣惠方）治两感伤寒。毒瓦斯传受。阴阳交并。
附子（炮裂去皮脐） 麻黄（去根节各一两） 干姜（半两炮裂锉） 薄荷（一分） 上
为粗
散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。热服。衣盖出汗。
四逆汤（出十便良方）治两感伤寒。阴阳二毒交并。身体手足厥逆。心中热
闷。强语。三部
干姜（三分炮裂锉） 附子（炮裂去皮脐） 桂心（各一两） 甘草（半两炙微赤锉） 上
为粗
散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。热服。良久吃热粥。以助药力。
汗出为度。
附子散（出圣惠方）治两感伤寒。遍身疼痛。脑目疼闷。心胸烦热。四肢沉
重。
附子（一两炮裂去皮脐） 桔梗（去芦头） 防风（去芦头） 桂心 羌活 干姜（炮
裂锉）
黄（锉） 浓朴（去粗皮涂生姜汁炙令香熟各一两） 甘草（半两炙微赤锉） 上为散。
每服五
钱。以水一大盏。
治两感伤寒不得汗。头疼。心胸不利。（出圣惠方）
人参（去芦头） 赤茯苓 芎 枳壳（麸炒微黄去瓤） 浓朴（去粗皮涂生姜汁炙香
熟用）
桂心 诃黎勒皮（各半两） 吴茱萸（一分用汤浸七次焙干微炒） 上为细散。每服三钱。
以水
一中盏。生姜半分。枣二枚。煎至五分。去姜枣。不计时候。和滓稍热服。良久吃热粥投之。
衣盖取汗。
麻黄散（出圣惠方）治两感伤寒内实。气逆不顺。皮肉干燥。
麻黄（去根节） 川大黄（锉碎微炒） 诃黎勒皮 桂心 羌活 赤芍药 桔梗（去芦
头各
半两） 甘草（三分炙微赤锉） 麦 （一两炒令微黄） 上为细散。每服二钱。以水一小
盏。
煎至五分。不计时候。和滓温服。
治两感伤寒三两日。不得汗。闷乱目张。四肢逆冷。心腹坚硬。大便不通方。（出
圣惠方）
牵牛子（二两生捣取末一两） 川大黄（半两锉裂微炒） 干姜（炮裂锉） 蓬莪术 桂
心
（各一两） 上为细散。入牵牛子末。同研令匀。每服用水一中盏。入生姜半分。葱白三茎。
豉四
治两感伤寒沉重。救急有效。宜预合此方。（出圣惠方）
硫黄（细研水飞过） 硝石（细研如粉各五两） 皂荚（十梃不蛀者去黑皮涂酥炙令黄
焦去
子） 上先将皂荚捶碎。用十二月雪水一升。浸两日。熟 。以生绢滤取汁。和前件硫黄硝
石。硬软得所。入瓷瓶内盛。封瓶口不得通风。背阴处掘地二尺。深埋瓶。从正月一日至十
五日。取出。太湿。即更阴干三两日。即以新炊饭烂研相和。丸如绿豆大。每服不计时候。
以葱茶下五丸。如是食毒。即先转泻后服之。
治两感伤寒。四肢厥冷。急宜服此方。（出圣惠方）
附子（半两烧半黑） 芫花（半两醋拌炒令黄黑色） 皂荚（半两去黑皮涂酥炙黄焦去
子）
上为末。同豉心一合。汤浸。细研如膏。入药末和丸如梧桐子大。每服不计时候。用去根节
麻黄汤下十丸。如人行五里一服。以汗出为度。
三圣散（出圣惠方）治两感伤寒。昏沉迷闷。燥渴头疼。渐加沉重。
天灵盖（一枚白色者涂酥炙令黄） 苦参（三两） 甘草（一两锉炙微赤） 上为细末。
服不
计时候。以热酒调下一钱。
葱术散（出传信适用方）治不别阴阳二证。染患浅深。凡时气天行瘟疫。及寻
常风吹雨洒。
苍术（洗净一斤） 葱（连根须洗净一斤） 麻黄（不去节四两） 甘草（二两炙） 上
将葱术
入臼中杵。令葱涎相入盆中。坚捺令热。冬间半月。春夏五七日。取出。锅中炒。葱叶过焦。
逐旋筛出。以术干为度。次入麻黄、甘草为末。每服二钱。水一盏。姜三片。枣二个。煎七
分。去渣。热服。如要出汗。连进二三服。以衣盖之。常服解诸劳倦。行路缓急。最为先务。
菖蒲饮子（出德生堂）治四时伤寒。不问两感。头疼。发热憎寒。咳嗽。七日
内外皆可服。
川芎 猪苓（去黑皮） 本（净） 柴胡（去芦） 菖蒲 干葛 甘草 桑白皮（各
半两）
上咀。如法修制。每服五钱。水盏半。生姜三片。同煎八分。去滓。温服。滓再煎。如要
出汗者。加连须葱白一根。同煎。（一方无生姜）
二和散（出经效济世方）治调适阴阳。和养荣卫。心胸痞闷。饮食不进。凡伤
寒阴阳不分。
藿香叶 香附子（去皮） 上等分。为粗末。每一钱。水二盏。煎至六分。去滓。温服。
不计时候。
一方（出肘后方）
用虎杖。治大热烦躁。止渴。利小便。压一切毒。暑月和甘草煎。色如琥珀可爱堪看。
尝之甘美。瓶置井中。令冷彻。入白瓷器及银器中收贮。似茶啜之。时人呼为冷冻饮料子。又且
美于茗。能破女子经候不通。捣以酒浸。常服。有孕人勿服。破血。
乌术散（杨氏家藏方）治感冒风寒湿气。不问阴阳二证。皆可服之。
乌药 川芎 杜白芷（各十两） 青皮（四两半） 苍术（七两） 甘草（一两半） 紫
苏香
附子（各半两） 陈皮（五两） 上为细末。白汤点。无时服。
主伤寒传诸藏表里。名为两感方。（余居士选奇方）
木猪苓 干地黄 地骨皮 茯苓 麦门冬 人参（各二两） 小麦（一升） 桑白皮（二两）
分二贴。口苦面肿。夜睡狂语。并宜服之。
又方（余居士选奇方）
人参 茯苓 茱萸（四分） 木猪苓 桂心（六分） 芜荑（八分） 白术（四分） 茵
陈（一
钱） 甘草（四分） 上为末。炼蜜丸如弹子大。熟水研一丸。无时服。
来苏散（广南济生方）治四时伤寒。不问阴阳二证。表里不分。并宜服之。
香附子（一斤炒） 陈橘皮（半斤去白） 紫苏叶（一斤去梗） 苍术（一斤炒） 甘
草（五两
炙） 上为粗末。每服二钱。水一盏。煎至七分。去滓。温服。不拘时候。日可二服。
豆蔻散（出王氏博济方）治两感伤寒。结胸。壮热恶寒。饮食不下。大小肠秘
塞。阴毒昏沉。下水结胸撮痛。四肢逆冷。心烦。不省人事。食后结聚。心下逆满。坐
卧不得。宜用此。
肉豆蔻（二枚） 麻黄（去根节一分） 木香（一分） 吴白术（一分） 吴茱萸（一
铢） 附子
（八铢炮去皮） 干姜（二铢炮） 桂心（三铢） （五个矾朱砂炒令黄去其砂） 诃
黎勒（二
枚炮） 槟榔（二枚） 青橘皮（二十片） 茯苓（去皮八铢） 川乌（生去皮脐） 良姜
（锉） 天
麻（去苗） 葛根 乳香（另研） 小椒（去子并闭口者） 当归（各一两去苗） 上为粗
末。入乳
香。匀抄十钱。痛甚者。加至十五钱。同细盐一处炒如极热。用熟绢袋内贮药。熨烙痛处。
不拘早晚。频用为效。如药冷。即再炒一次。用毕。其炒药不用。
薏苡仁散 治湿伤肾。不养肝。肝自生风。遂成风湿。流注四肢筋骨。或入左肩
。肌肉疼
薏苡仁（一两） 当归（酒浸） 人参 川乌（炮） 川芎 白术 羌活 桂心 防风
（去芦）
茵芋（炒） 麻黄（去根节） 干姜（炮） 独活 甘草（炙各半两） 上为细末。每服二
钱。空心
临卧。酒调下。日三服。
徐神翁神效地仙丹 治筋骨疼痛。打扑伤损。仙术汤送下。除寒湿。进饮食。神
效。
川乌（一个去尖） 草乌（五个去尖） 荆芥（去枝半两） 苍术（一两米泔浸一宿炒）
白芷
（半钱） 自然铜（一字研） 地龙 没药（各半两研） 乳香（半钱研） 莴苣种 黄瓜
种稍瓜
种木鳖子（各一钱） 半两钱（二文） 上为细末。醋糊丸如梧桐子大。每服十丸。食后。
酒
送
虎骨丸 治经络凝涩。骨节疼痛。筋脉挛急。遇阴寒愈痛。
南乳香（别研） 没药（另研） 赤芍药 熟地黄 虎胫骨（醋炙黄） 当归（各一两）
血竭
（五
升。
煮至酒尽。取木瓜去皮。研如泥。更入熟蜜少许。杵和为丸如梧桐子大。每服三十丸。病在
上食后。在下食前。温酒下。
治骨节疼痛烦。不得屈伸。近之则痛。短气。自汗出。或欲肿者。
附子（二两） 桂心（四两） 白术（三两） 甘草（二两） 上用水六升。煮取三升。
分三服。
汗出愈。
治卒得胸痛。瘥而复发者。
取薤根五斤。捣绞汁。饮之立止。
加减当归饮子 治肩忽疼。
防风 当归 柴胡 生地黄 大黄（各一两半） 芍药 人参 黄芩（各一两） 甘草
（一
两二钱） 黄连（五钱） 滑石（六两） 上为散。以白水煎服。无时。
活络汤 治风湿臂痛。诸药不效者。此方专主之。
白术（薄切一两） 当归（净洗薄切干秤） 羌活（净洗去芦切干） 独活（净洗） 甘
草（炙）
川
不拘时候。一方。川苍术切炒。川白芷各二两。为末。每服二钱。酒调。
趁痛丸 治腰臂痛。
五灵脂 赤芍药（各半两） 川乌（一个） 没药（四钱） 麝香（一钱） 上为末。
酒糊丸。
空心。酒送下。
叶氏方十味锉散 治中风血弱臂痛。连筋及骨。举动艰难。此药亦补心益血。养筋
生力。
附子（三两炮去皮脐） 当归（去土洗切） 黄 （炙） 白芍药（各二两） 茯苓 防
风（去
芦） 白术（各一两半） 肉桂（去粗皮一两不见火） 川芎（不见火） 熟地黄（洗净用
好酒熬令
干焙之各七钱半） 上修制了再称。 咀。每四钱。水一大盏。姜八片。枣三枚劈开。煎七
分。去滓。通口服。食后临睡。日三服。温覆浓衣将养。去黄 、熟地黄。用当归去芦。净
洗干焙。白芍药、川芎、白术、人参、附子、白茯苓、桂心、川独活、防风、甘草。细锉。
每三钱。姜八片。水一盏半。煎八分。去滓。食前服。除寒邪。益血气。名川独活汤。制地
黄法。须洗净。以好酒浸。令干焙之。
五灵脂散 治臂髀痛。
五灵脂 荆芥穗 防风 羌活 甘草节 独活 穿山甲 骨碎补 草乌（各五钱） 麝
（少许） 上为末。用温酒调下。临睡服。如浑身损痛。加没药、木香。酒调下。空心服。
芎活汤 治水饮停蓄。注于络脉。发为臂痛。皆因脾土有亏。平日多饮水浆。不能
传化所致
川芎 半夏（汤洗） 白茯苓 独活 陈皮 枳壳（去瓤炒各半两） 白术 甘草（各
一分）
三物小陷胸汤 治伤寒实结胸。无热证者。
桔梗（微炒） 贝母（去心各三分） 巴豆（去皮心熬黑研如脂一分） 上除巴豆外。
捣罗为
散。入巴豆。各研匀。每服强人半钱。羸人减之。并温熟水调服。病在隔上必吐。在膈下必
利。不利。进热粥一杯。利不止。进冷粥一杯。身热皮粟不解。欲引衣自覆。若以水 之洗
Lianggan Shanghan (Double-Contracted Cold Damage) refers to the simultaneous pathogenic invasion of the Taiyang and Shaoyin meridians. On the first day, Ju Yang (Foot-Taiyang Bladder Meridian) and Shaoyin (Foot-Shaoyin Kidney Meridian) are simultaneously affected, presenting with headache, dry mouth, mental restlessness and fullness, and thirst. On the second day, Yangming (Foot-Yangming Stomach Meridian) and Taiyin (Foot-Taiyin Spleen Meridian) are simultaneously affected, manifesting as abdominal distension, generalized fever, anorexia, and delirious speech. On the third day, Shaoyang (Foot-Shaoyang Gallbladder Meridian) and Jueyin (Foot-Jueyin Liver Meridian) are simultaneously affected, resulting in deafness, retraction of the testes, cold extremities, inability to ingest fluids, and unconsciousness with loss of recognition. This condition is difficult to treat. Why? Because the exterior and interior aspects of the Zang-Fu organs are simultaneously invaded by pathogens, leading to internal injury of the five Zang organs, blockage of the six Fu organs, contention between Yin and Yang, and stagnation of Ying (Nutrient) and Wei (Defensive) Qi circulation. Under such circumstances, death may occur within three days.
In the initial one or two days of Lianggan Shanghan, diaphoresis (sweating) is absent, and emetic or purgative methods are contraindicated. The patient exhibits heavy limbs, mental confusion and oppression, cold hands and feet, inner irritability, desire for water, headache, aversion to cold with high fever, or immediate vomiting and regurgitation, pain in the abdomen and hypochondrium, worsening heaviness, and inability to sleep. This represents a critical state of Yin-Yang intermixture, generally considered incurable. However, by observing the severity of symptoms and the depth of pathogenic invasion, appropriate rescue measures can be taken, potentially leading to recovery.
The verse states: "Lianggan involves the Bladder meridian opposing the Shaoyin, with headache and dry mouth, and a pulse that is large and deep. By the second and third days, the Stomach, Spleen, Liver, and Gallbladder are involved; when pulses and symptoms transmit doubly, follow standard patterns."
Another discussion states: Among Shanghan conditions, only Lianggan is considered incurable. Lianggan involves half Yin meridians and half Yang meridians, affecting both Zang and Fu organs. First, Taiyang and Shaoyin simultaneous disease presents with headache, dry mouth, restlessness, thirst, and a large-deep pulse. Second, Yangming and Taiyin simultaneous disease presents with body heat, dry nose, delirium, abdominal fullness, anorexia, and a long-deep pulse. Third, Shaoyang and Jueyin simultaneous disease presents with deafness, testicular retraction, cold extremities, inability to drink, and a string-tight-deep pulse. Some become rigid in three days, others collapse in six days. Master Zhang provided no specific treatment but stated: "Treatment of Lianggan must prioritize sequence; releasing the exterior and attacking the interior have different principles." Shuang Zhong offered his interpretation: If there is incessant diarrhea and body pain, urgently save the interior with Sini Tang (Four Reversal Decoction); if there is no diarrhea but only body pain, urgently release the exterior with Guizhi Tang (Cinnamon Twig Decoction). This illustrates the principle of prioritized treatment and adaptive flexibility. Xie Fugu explained Zhang's view, agreeing that if Yang meridians are primarily affected at the exterior, release the exterior first; if Yin meridians are primarily affected at the interior, save the interior first. This is consistent logic. However, if releasing the exterior first, saving the interior cannot be delayed; if saving the interior first, releasing the exterior cannot be delayed either?
Formulas:
Renshen San (Ginseng Powder) [from *Shenghui Fang*]: Treats Lianggan Shanghan for one to two days, absence of sweating, deep-slow pulse, mental restlessness, transmission of toxic factors, and Yin-Yang intermixture.
Ingredients: Renshen (Ginseng Root, remove rhizome), Chuan Dahuang (Rhubarb Rhizome, crushed and lightly stir-fried, 1 liang each), Fuzi (Aconite Lateral Root, processed, peel and navel removed), Ganjiang (Dried Ginger, processed and crushed), Helile Pi (Pericarpio Chebulae, 3 qian each), Binglang (Areca Seed, 0.5 liang).
Preparation and Administration: Grind into coarse powder. Take 5 qian per dose, decoct with 1 zhong zhan of water and 0.5 fen of fresh ginger until reduced to 0.6 zhong zhan. Strain and take.
Guixin San (Cinnamon Heart Powder) [from *Shenghui Fang*]: Treats Lianggan Shanghan with headache, body heat, and chest/heart oppression; suitable for releasing the exterior.
Ingredients: Guixin (Cinnamon Bark), Qianhu (Peucedani Radix, remove rhizome), Gancao (Licorice Root, honey-fried, slightly red, crushed), Zaojia Hui (Ash of Gleditsia Sinensis Fruit), Houpo (Magnolia Bark, remove rough bark, coat with fresh ginger juice, fry until fragrant, 1 liang each).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose at any time, mixed with fresh ginger decoction. Administer frequently until sweating occurs.
Jiebiao San (Exterior-Releasing Powder) [from *Shenghui Fang*]: Treats Lianggan Shanghan with transmission of toxic factors and Yin-Yang intermixture.
Ingredients: Fuzi (Aconite Lateral Root, processed, peel and navel removed), Mahuang (Ephedra Herb, remove root joints, 1 liang each), Ganjiang (Dried Ginger, 0.5 liang, processed and crushed), Bohe (Mentha Herb, 1 fen).
Preparation and Administration: Grind into coarse powder. Take 5 qian per dose, decoct with 1 da zhan of water until reduced to 0.5 da zhan. Strain. Take hot at any time, cover with clothing to induce sweating.
Sini Tang (Four Reversal Decoction) [from *Shibian Liangfang*]: Treats Lianggan Shanghan with intermixture of Yin-Yang dual toxins, cold extremities, inner heat/oppression, and delirious speech.
Ingredients: Ganjiang (Dried Ginger, 3 qian, processed and crushed), Fuzi (Aconite Lateral Root, processed, peel and navel removed), Guixin (Cinnamon Bark, 1 liang each), Gancao (Licorice Root, 0.5 liang, honey-fried, slightly red, crushed).
Preparation and Administration: Grind into coarse powder. Take 5 qian per dose, decoct with 1 da zhan of water until reduced to 0.5 da zhan. Strain. Take hot at any time. Afterward, drink hot congee to assist medicinal power. Stop when sweating occurs.
Fuzi San (Aconite Powder) [from *Shenghui Fang*]: Treats Lianggan Shanghan with generalized body pain, head/eye pain and oppression, chest/heart heat, and heavy limbs.
Ingredients: Fuzi (Aconite Lateral Root, 1 liang, processed, peel and navel removed), Jiegeng (Platycodon Root, remove rhizome), Fangfeng (Saposhnikovia Root, remove rhizome), Guixin (Cinnamon Bark), Qianghuo (Notopterygium Rhizome), Ganjiang (Dried Ginger, processed and crushed), Huangqi (Astragalus Root, crushed), Houpo (Magnolia Bark, remove rough bark, coat with fresh ginger juice, fry until fragrant, 1 liang each), Gancao (Licorice Root, 0.5 liang, honey-fried, slightly red, crushed).
Preparation and Administration: Grind into powder. Take 5 qian per dose, decoct with 1 da zhan of water.
Another Formula [from *Shenghui Fang*]: Treats Lianggan Shanghan without sweating, headache, and chest/heart obstruction.
Ingredients: Renshen (Ginseng Root, remove rhizome), Chi Fuling (Red Poria, Wu Zhu Yu (Evodia Fruit, soak in water seven times, dry, lightly stir-fry, 1 fen each), Banxia (Pinellia Tuber, wash with water), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root, 1 fen each).
Preparation and Administration: Grind into powder. Take 2 qian per dose, decoct with 1 zhong zhan of water until reduced. Strain. Take warm. For those needing sweating, add scallion white with roots. (One formula lacks fresh ginger).
Erhe San (Two-Harmonizing Powder) [from *Jingxiao Jishi Fang*]: Regulates Yin-Yang, harmonizes Ying and Wei, treats chest/heart stuffiness and anorexia in cases where Yin-Yang differentiation in Shanghan is unclear.
Ingredients: Huoxiang Ye (Agastache Leaf), Xiangfu Zi (Cyperi Rhizome, remove skin).
Preparation and Administration: Equal parts, grind into coarse powder. Take 1 qian, decoct with 2 zhan of water until reduced to 0.6 zhan. Strain. Take warm at any time.
Another Formula [from *Zhouhou Fang*]:
Use Hudazhang (Polygonum Cuspidatum Rhizome) to treat high fever, irritability, thirst, promote urination, and suppress all toxins. In summer, decoct with Gancao; the color resembles amber, pleasing to the eye, and tastes sweet. Store in a bottle placed in a well to cool thoroughly. Keep in white porcelain or silver vessels. Drink like tea. People call it "Frozen Beverage." It is more delicious than tea. It can break menstrual obstruction in women. Crush and soak in wine for regular consumption. Contraindicated in pregnancy as it breaks blood.
Wushu San (Wu-Yao and Atractylodes Powder) [Yangshi Jiacang Fang]: Treats cold-dampness from wind-cold invasion, suitable for both Yin and Yang syndromes.
Ingredients: Wuyao (Lindera Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Bai Zhi (Angelica Dahurica Root, 10 liang each), Qingpi (Citrus Reticulata Green Peel, 4.5 liang), Cangzhu (Atractylodes Lancea Rhizome, 7 liang), Gancao (Licorice Root, 1.5 liang), Zisu Xiang (Perilla Stem), Fuzi (Aconite Lateral Root, 0.5 liang each), Chenpi (Citrus Reticulata White Peel, 5 liang).
Preparation and Administration: Grind into fine powder. Mix with warm water and take at any time.
Main Formula for Shanghan Transmitting to Various Zang and Exterior-Interior, Named Lianggan Fang [Yu Jushi Xuanqi Fang]:
Ingredients: Muzhuling (Polyporus Umbellatus, also known as Mu Ze Xi), Sheng Dihuang (Rehmannia Root Prepared with Wine), Digupi (Lycium Bark), Fuling (Poria), Maidong (Ophiopogon Tuber), Renshen (Ginseng Root, 2 liang each), Xiaomai (Triticum aestivum Grain, 1 sheng), Sangbaipi (Morus Alba Root Bark, 2 liang).
Preparation and Administration: Divide into two doses. Suitable for bitter taste, facial swelling, and night-time delirious speech.
Another Formula [Yu Jushi Xuanqi Fang]:
Ingredients: Renshen (Ginseng Root), Fuling (Poria), Zhuyu (Evodia Fruit, 4 fen), Muzhuling (Polyporus Umbellatus), Guixin (Cinnamon Bark, 6 fen), Wuyi (Chaulmoogra Seed), Baizhu (Atractylodes Macrocephala Rhizome, 4 fen), Yichen (Artemisia Capillaris Spica, 1 qian), Gancao (Licorice Root, 4 fen).
Preparation and Administration: Grind into powder, mix with refined honey to form pills the size of a bullet. Dissolve one pill in cooked water and take at any time.
Laisu San (Laisu Powder) [Guangnan Jisheng Fang]: Treats seasonal Shanghan, suitable for both Yin/Yang syndromes and exterior/interior non-differentiation.
Ingredients: Xiangfu Zi (Cyperi Rhizome, stir-fried, 1 jin), Chenju Pi (Aged Tangerine Peel, remove white pith, 0.5 jin), Zisu Ye (Perilla Leaf, remove stems, 1 jin), Cangzhu (Atractylodes Lancea Rhizome, stir-fried, 1 jin), Gancao (Licorice Root, honey-fried, 5 liang).
Preparation and Administration: Grind into coarse powder. Take 2 qian per dose, decoct with 1 zhan of water until reduced to 0.7 zhan. Strain. Take warm at any time. Twice daily.
Doukou San (Cardamom Powder) [Wangshi Boji Fang]: Treats Lianggan Shanghan with Jie Xiong (Chest Binding), high fever with aversion to cold, anorexia, constipation of large and small intestines, Yin-Duo coma, lower water accumulation causing chest binding and severe pain, cold extremities, irritability, unconsciousness, postprandial aggregation, epigastric fullness/rebellion, inability to sit or lie down.
Ingredients: Rou Doukou (Myristica Seed, 2 pieces), Mahuang (Ephedra Herb, remove root joints, 1 fen), Muxiang (Aucklandia Root, 1 fen), Wu Baizhu (Atractylodes Rhizome, 1 fen), Wu Zhuyu (Evodia Fruit, 1 zhu), Fuzi (Aconite Lateral Root, 8 zhu, processed, peel removed), Ganjiang (Dried Ginger, 2 zhu, processed), Guixin (Cinnamon Bark, 3 zhu), (Five pieces, fried with Alum and Cinnabar until yellow, remove sand), Helile (Chebula Fruit, 2 pieces, processed), Binglang (Areca Seed, 2 pieces), Qingju Pi (Green Tangerine Peel, 20 slices), Fuling (Poria, remove skin, 8 zhu), Chuanwu (Aconitum Carmichaelii Lateral Root, raw, peel and navel removed), Liangjiang (Alpinia Officinarum Rhizome, crushed), Tianma (Gastrodia Rhizome, remove sprouts), Gegen (Pueraria Root), Ruxiang (Frankincense, separately ground), Xiao Jiao (Zanthoxylum Fruit, remove seeds and closed ones), Danggui (Angelica Sinensis Root, remove sprouts, 1 liang each).
Preparation and Administration: Grind into coarse powder, mix with Ruxiang evenly. Take 10 qian. For severe pain, increase to 15 qian. Stir-fry together with fine salt until extremely hot. Store in a fine silk bag. Apply hot compress to painful areas. Use frequently regardless of time. Reheat if cool. Discard used fried medicine.
Yiyiren San (Coix Seed Powder): Treats dampness injuring the Kidney, failing to nourish the Liver, causing Liver Wind generation, leading to Wind-Dampness flowing into limbs and bones, or entering the left shoulder, causing muscle pain.
Ingredients: Yiyiren (Coix Seed, 1 liang), Danggui (Angelica Sinensis Root, wine-soaked), Renshen (Ginseng Root), Chuanwu (Aconitum Carmichaelii Lateral Root, processed), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Qianghuo (Notopterygium Rhizome), Guixin (Cinnamon Bark), Fangfeng (Saposhnikovia Root, remove rhizome), Yinyu (Coscinium Rhizome, stir-fried), Mahuang (Ephedra Herb, remove root joints), Ganjiang (Dried Ginger, processed), Duhuo (Angelica Pubescens Root), Gancao (Licorice Root, honey-fried, 0.5 liang each).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose on an empty stomach before bed, mixed with wine. Three times daily.
Xu Shenweng Shenxiao Dixian Dan (Immortal Earth Pill): Treats bone/joint pain, trauma. Administer with Xianshu Tang. Removes cold-dampness, promotes appetite, highly effective.
Ingredients: Chuanwu (Aconitum Carmichaelii Lateral Root, remove tip, 1 piece), Caowu (Aconitum Kusnezoffii Root, remove tip, 5 pieces), Jingjie (Schizonepeta Spike, remove branches, 0.5 liang), Cangzhu (Atractylodes Lancea Rhizome, 1 liang, soaked in rice washing water overnight, stir-fried), Baizhi (Angelica Dahurica Root, 0.5 qian), Ziran Tong (Pyrite, 1 zi, ground), Dilong (Pheretima, Moye (Myrrh, 0.5 liang each, ground), Ruxiang (Frankincense, 0.5 qian, ground), Letu Zhong (Lactuca Seed), Huanggua Zhong (Cucumber Seed), Sigua Zhong (Melon Seed), Mugua Zi (Momordica Seed, 1 qian each), Banliang Qian (Half-Ounce Coin, 2 coins).
Preparation and Administration: Grind into fine powder, make pills with vinegar paste the size of Sophora seeds. Take 10 pills after meals, delivered with wine.
Hugut Wan (Tiger Bone Pill): Treats meridian stagnation, joint pain, tendon spasm, worsening with cold.
Ingredients: Nan Ruxiang (Southern Frankincense, separately ground), Moye (Myrrh, separately ground), Chishao Yao (Red Peony Root), Shudihuang (Prepared Rehmannia Root), Hu Jinggu (Tiger Tibia, vinegar-fried until yellow), Danggui (Angelica Sinensis Root, 1 liang each), Xuexie (Dragon's Blood, 5... boil until wine is gone. Remove skin from Papaya, grind into paste. Add a little refined honey, pound and mix to form pills the size of Sophora seeds. Take 30 pills. For upper body diseases, take after meals; for lower body, before meals, with warm wine.
Treats painful joints, inability to flex/extend, tenderness to touch, shortness of breath, spontaneous sweating, or edema.
Ingredients: Fuzi (Aconite Lateral Root, 2 liang), Guixin (Cinnamon Bark, 4 liang), Baizhu (Atractylodes Macrocephala Rhizome, 3 liang), Gancao (Licorice Root, 2 liang).
Preparation and Administration: Decoct with 6 sheng of water until reduced to 3 sheng. Divide into three doses. Cure when sweating occurs.
Treats sudden chest pain that recurs after recovery.
Take 5 jin of Scallion Root, crush and extract juice. Drink immediately for cessation.
Jiajian Danggui Yinzi (Modified Angelica Decoction): Treats sudden shoulder pain.
Ingredients: Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis Root), Chaihu (Bupleurum Root), Sheng Dihuang (Raw Rehmannia Root), Dahuang (Rhubarb Rhizome, 1.5 liang each), Shaoyao (Peony Root), Renshen (Ginseng Root), Huangqin (Scutellaria Root, 1 liang each), Gancao (Licorice Root, 1.2 liang), Huanglian (Coptis Rhizome, 5 qian), Huashi (Kaolin, 6 liang).
Preparation and Administration: Grind into powder. Decoct with plain water and take at any time.
Huoluo Tang (Meridian-Activating Decoction): Treats wind-damp arm pain unresponsive to other drugs. This formula is specifically indicated.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome, thinly sliced, 1 liang), Danggui (Angelica Sinensis Root, washed, thinly sliced, dried weight), Qianghuo (Notopterygium Rhizome, washed, remove rhizome, sliced, dried), Duhuo (Angelica Pubescens Root, washed), Gancao (Licorice Root, honey-fried), Chuan... (Original text incomplete). Take at any time. Another formula: Chuan Cangzhu (Atractylodes Lancea Rhizome) sliced and stir-fried, Chuan Baizhi (Angelica Dahurica Root) 2 liang each, grind into powder. Take 2 qian, mixed with wine.
Chentong Wan (Pain-Chasing Pill): Treats waist and arm pain.
Ingredients: Wulingzhi (Trogopterus Dung), Chishao Yao (Red Peony Root, 0.5 liang each), Chuanwu (Aconitum Carmichaelii Lateral Root, 1 piece), Moye (Myrrh, 4 qian), Shexiang (Musk, 1 qian).
Preparation and Administration: Grind into powder, make pills with wine paste. Take on an empty stomach with wine.
Ye Shi Fang Shiwei Cuosan (Master Ye's Ten-Ingredient Coarse Powder): Treats stroke-related blood deficiency arm pain extending to tendons and bones, difficulty in movement. This formula also tonifies the Heart, nourishes blood, strengthens tendons, and generates strength.
Ingredients: Fuzi (Aconite Lateral Root, 3 liang, processed, peel and navel removed), Danggui (Angelica Sinensis Root, clean, wash, slice), Huangqi (Astragalus Root, honey-fried), Baishaoyao (White Peony Root, 2 liang each), Fuling (Poria), Fangfeng (Saposhnikovia Root, remove rhizome), Baizhu (Atractylodes Macrocephala Rhizome, 1.5 liang each), Rougui (Cinnamon Bark, remove rough bark, 1 liang, do not overheat), Chuanxiong (Ligusticum Chuanxiong Rhizome, do not overheat), Shudihuang (Prepared Rehmannia Root, wash, soak in good wine, dry, bake, 0.75 liang each).
Preparation and Administration: Process and weigh again. Cut into pieces. Take 4 qian, decoct with 1 da zhan of water, 8 slices of ginger, 3 split jujubes, until reduced to 0.7. Strain. Take orally. After meals and before bed, three times daily. Keep warm with thick clothing. To remove Huangqi and Shudihuang, use Danggui (remove rhizome, wash, dry, bake), Baishaoyao, Chuanxiong, Baizhu, Renshen, Fuzi, Baifuling, Guixin, Chuan Duhuo, Fangfeng, Gancao. Finely cut. Take 3 qian, 8 slices of ginger, 1.5 zhan of water, decoct until reduced to 0.8. Strain. Take before meals. Expels cold evil, benefits Qi and Blood. Named Chuan Duhuo Tang. Method for preparing Shudihuang: Wash thoroughly, soak in good wine, dry, and bake.
Wulingzhi San (Trogopterus Dung Powder): Treats arm and thigh pain.
Ingredients: Wulingzhi (Trogopterus Dung), Jingjie Sui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Gancao Jie (Licorice Root Joint), Duhuo (Angelica Pubescens Root), Chuanshanjia (Pangolin Scale), Gusuibu (Drynaria Rhizome), Caowu (Aconitum Kusnezoffii Root, 5 qian each), She (Musk, a small amount).
Preparation and Administration: Grind into powder. Take with warm wine before bed. For whole-body pain, add Moye (Myrrh) and Muxiang (Aucklandia Root), take with wine on an empty stomach.
Xionghuo Tang (Chuanxiong and Notopterygium Decoction): Treats fluid retention accumulating in collaterals, causing arm pain, due to Spleen Earth deficiency and excessive water intake without proper transformation.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizome), Banxia (Pinellia Tuber, wash with water), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root, 1 fen each).
Preparation and Administration: Grind into powder. Take 2 qian per dose, decoct with 1 zhong zhan of water until reduced. Strain. Take warm.
Sanwu Xiaoxiongtang (Three-Ingredient Small Chest-Binding Decoction): Treats Shanghan Excess Jie Xiong (Chest Binding) without heat signs.
Ingredients: Jiegeng (Platycodon Root, lightly stir-fried), Beimu (Fritillaria Bulb, remove heart, 3 fen each), Badou (Croton Seed, remove shell and heart, roast black, grind into fat, 1 fen).
Preparation and Administration: Except for Badou, grind and sieve into powder. Mix with Badou, grind evenly. Strong adults take 0.5 qian, weak patients reduce dose. Take with warm cooked water. Disease above the diaphragm will cause vomiting; below, diarrhea. If no diarrhea, drink a cup of hot congee. If diarrhea persists, drink a cup of cold congee. If body heat and skin goosebumps persist, desire to cover self with clothes, if washed with water... (Text cuts off).