夫伤寒病。其人已经发汗吐下。或服药以后。而脉洪大实数。腹内胀满。小便赤黄。大
便难。或烦或渴。面色变赤。此为府藏有结热故也。伤寒后余热不解者。盖阴阳未和。邪气
未尽。搏留经络。蕴而生热。潮作如疟。鼻衄。烦躁。面赤目黄。腹满。小便不利。大便干
涩。或即谵言。渴欲得水。脉沉数者。当以里证求之。脉若但浮者。当消息治其外。
又云。下之而热不退者。盖病患脉微而涩。为医所病。大发其汗。其阳气微乏。大下之。
使阴气弱。其人亡血。病当恶寒。乃发热无休止时。盖阳微则恶寒。阴弱则发热。阳微恶寒。
四逆汤主之。阴弱发热。为内热。葶苈苦酒汤主之。大抵伤寒八日以上。大发热者。此为难
治。仲景云。脉阴阳俱虚。热不止者死。又有医人多用丸子药下之。身热不退。微烦者。栀
子干姜汤主之。伤寒五六日。大下之后。热不去。心中结痛者。未欲解也。栀子汤主之。
方
犀角散 治伤寒余热不退。心神烦躁。
犀角屑 木通（锉各三分） 黄芩 土瓜根 龙胆（去芦头各一两） 川朴（半两） 上
粗捣
筛。每服四钱。以水一中盏。去滓。不计时候。温服。
柴胡散（出圣惠方）治伤寒余热不退。发渴烦躁。胸膈气滞。不思饮食。
柴胡（去苗） 川大黄（锉研微炒） 枳壳（麸炒微黄去瓤） 鳖甲（去裙 涂醋炙令
黄） 槟
榔人参（去芦头） 木香 子芩 赤芍药 赤茯苓 紫菀（去苗各三分） 犀角屑 甘草
（炙
微赤锉各半两） 桑根白皮（一两锉） 上粗捣筛。每服四钱。水一中盏。入生姜半分。煎
至
六分。去滓。不计时候。温服。
葳蕤散（出圣惠方）治伤寒十日以上。余热不解。时发憎寒。
葳蕤 柴胡（去苗） 桑根白皮（锉各一两） 羚羊角屑 川朴硝（各三分） 甘草（半
两炙
微赤锉） 石膏（二两） 浓朴（三分去粗皮涂姜汁炙令香熟） 肉桂（半两去粗皮） 上
粗捣
筛。每服四钱。水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
知母散（出圣惠方）治伤寒以汗下后。余热未退。头痛。口干烦躁。
知母 栝蒌根 麦门冬（去心各一两） 甘草（半两炙微赤锉） 石膏（一两） 上粗
捣筛。
每服四钱。水一中盏。入生姜半分。粳米五十粒。竹叶二七片。煎至六分。去滓。不拘时候。
温
栀子汤（出圣惠方）治伤寒五六日。大下之后。余热不去。心中结痛。（方
见
栀子豉汤）
人参散（出圣惠方）治伤寒发汗大下之后。余热不去。心中多烦。
人参（一两去芦头） 陈橘皮（汤浸去白瓤焙） 麦门冬（去心） 栀子仁 茯神（各
半两）
上粗捣筛。每服四钱。水一中盏。煎六分。去滓。不计时候。温服。
茵陈散（出圣惠方）治伤寒后。余热在心。恍惚多惊。不得眠睡。
茵陈 栀子仁 赤芍药 生干地黄（各三分） 犀角屑（半两） 麦门冬（去心） 茯
神（各
一两） 甘草（一分炙微赤锉） 上粗捣筛。每服四钱。水一中盏。入生姜半分。青竹叶六
七
片。煎六分。去滓。不计时候。温服。
黄芩丸（出圣惠方）治伤寒后。余热不退。口干烦躁。
黄芩 栀子仁 川大黄（锉碎微炒以上各二两） 甘草（半两炙微赤锉） 上为细末。
炼蜜
和丸如桐子大。不计时候。温水下二十丸。
龙胆丸（出圣惠方）治伤寒后。余热在于胸中。烦渴闷乱。
龙胆（去芦头） 青葙子（各一两） 黄芩 栀子仁 苦参（锉） 栝蒌根（各半两） 川
升麻
上为细末。炼蜜和捣三百杵。丸如桐子大。不计时候。温水下三十丸。
麻黄汤（出圣济总录）治伤寒后余热。脉浮者。
麻黄（去根节煎洗去沫焙） 芍药 甘草（炙令微赤锉各一两） 桂（去粗皮） 细辛
（去苗
各半两） 上粗捣筛。每服五钱。以水一盏半。煎取八分。去滓。温服。日三。
葛根汤（出圣济总录）治伤寒及天行后。头痛。余热不解。
葛根（锉） 柴胡（去苗各一两） 芍药 黄芩（去黑心） 甘草（炙锉） 桂（去粗
皮各半两）
麻黄（去根节掠去沫焙三分） 上粗捣筛。每服五钱。水一盏半。枣二枚擘。煎至六分。去
滓。
不计时候。温服。
葛根汤（出圣济总录）治伤寒后。余热不除。及寒热头肿体痛。表证尚未罢。
葛根 芍药 白茯苓（去黑皮） 黄芩（去黑心） 乌头（炮裂去皮脐） 芎 （各一
两） 栀
子仁（半两） 上 咀如麻豆大。每服五钱。水一盏半。入豉三七粒。煎至七分。去滓。温
服。
茯苓汤（出圣济总录）治伤寒后。余热不退。心神烦躁。
赤茯苓（去黑皮一两半） 人参（一分） 甘草（炙锉半两） 上粗捣筛。每服三钱。
用水一
盏。煎至七分。去滓。不拘时候。温服。
茯苓汤（出圣济总录）治伤寒余热不除。及四肢拘急。胸膈不利。呕逆。不思
饮食。
赤茯苓（去黑心） 柴胡（去苗） 枳壳（去瓤麸炒） 桑根白皮（锉各半两） 麦门
冬（去心
焙半两）葛根（锉三分） 甘草（锉半两） 桂（去粗皮） 人参（各一两） 上粗捣筛。
每服三钱。
水一盏。生姜三片。大枣二枚擘。煎至七分。去滓。温服。
葛根人参汤（出圣济总录）治伤寒发汗及吐下后。余热不退。头痛烦闷。口
干。
葛根（锉一两） 人参（一两） 麦门冬（去心焙半两） 黄芩（去黑心半两） 黄
（锉一两）
地骨皮 石膏（碎各半两） 上粗捣筛。每服五钱。用水一盏半。煎至八分。去滓。温服。
葳蕤（出圣济总录）治伤寒数日。余热不解。时发寒热。
葳蕤 柴胡（去苗） 羚羊角（各半两） 石膏（碎半两） 上粗捣筛。每服五钱。水
一盏半。
煎至八分。去滓。不计时候。温服。
人参汤（出圣济总录）治伤寒后。余热不退。
人参（一两） 知母（一分） 甘草（炙锉） 黄芩（去黑心） 石膏（碎各半两） 上
粗捣筛。
每服三钱。水一盏。入竹叶粳米各少许。同煎至七分。去滓。不计时候。温服。
柴胡汤（出圣济总录）治伤寒后余毒不解。颊赤口干。四肢烦热。
柴胡（去苗） 茵陈蒿 甘草（炙锉） 人参（各一两） 大黄（锉炒半两） 上粗捣
筛。每服
三钱。水一盏。小麦五十粒。同煎七分。去滓。温服。不拘时候。
返魂丹（出卫生家宝方）治伤寒后。余热在心。谵言妄语。甚者颠狂如失心
状。但是一切心
新罗人参（一两） 朱砂（半两） 酸枣仁（一两汤浸去皮取仁焙干净秤） 上先将人
参为
末。别研朱砂极细。和之。酸枣仁焙。急研入药。勿罗。 猪心血丸如梧桐子大。参汤下二
十丸。日三服。服后略卧少时。
玄参散（出王氏博济方）治汗后余热未解。
川大黄 玄参 朴硝 白药子（各半两） 甘草（二分） 上件五味。同为末。每服一
钱。
水一盏。煎至八分。放冷服。再服瘥。
退黄散（出王氏博济方）治汗后余毒未解。皮肤黄色。\x
石膏 牙硝 川大黄 山栀子 红雪 甘草（各等分） 上件六味。同为末。每服一钱。
水一盏。入寒水石末少许。同煎至八分。温服。立效。
Shanghan disease. If the patient has already undergone sweating, vomiting, or purging treatments, or after taking medication, and presents with a pulse that is surging (Hong), solid, and rapid (Shu), abdominal distension and fullness, dark yellow urine, difficult defecation, irritability or thirst, and reddish complexion, this is due to accumulated heat in the fu organs.
【English Translation】
In patients suffering from Shanghan (Cold Damage) disease, if they have already been treated with diaphoresis (sweating), emesis, or catharsis (purging), or after ingesting medicine, and exhibit a pulse that is surging (Hong), firm, and rapid (Shu), accompanied by abdominal distension and fullness, dark yellow urine, difficulty in defecation, irritability or thirst, and a reddish facial complexion, this indicates the presence of accumulated heat within the fu organs.
Those with lingering residual heat after Shanghan fail to resolve because yin and yang are not yet harmonized, and pathogenic factors have not been completely eliminated. The pathogens contend and remain in the meridians, accumulating and generating heat. Symptoms include tidal fever resembling malaria, epistaxis (nosebleed), irritability, red face, yellow eyes, abdominal fullness, dysuria, dry and rough stools, or even delirium (admonitory speech), thirst for water, and a deep (Chen) and rapid (Shu) pulse. In such cases, one should seek the diagnosis based on interior syndromes (Li Zheng). If the pulse is merely floating (Fu), one should consider and treat the exterior syndrome.
【English Translation】
The reason why residual heat lingers and fails to resolve after Shanghan is that yin and yang are not yet harmonized, and pathogenic factors have not been entirely cleared. The pathogens contend and remain lodged in the meridians, accumulating and generating heat. Clinical manifestations include tidal fevers resembling malaria, epistaxis, irritability, facial flushing, yellowing of the eyes, abdominal fullness, impaired urination, dry and rough stools, or even delirium, thirst for water, and a deep (Chen) and rapid (Shu) pulse. In these instances, differentiation should be conducted based on interior syndromes (Li Zheng). If the pulse is solely floating (Fu), the treatment should focus on the exterior syndrome after careful consideration.
It is also stated that if heat persists after purging, it is because the patient's pulse was initially faint (Wei) and choppy (Se), and the physician caused harm by inducing excessive sweating, leading to a deficiency of yang qi, and by aggressive purging, leading to a deficiency of yin qi. The patient loses blood. The condition involves aversion to cold, followed by continuous fever without cessation. This is because deficient yang causes aversion to cold, and deficient yin causes fever. For aversion to cold due to deficient yang, Si Ni Tang (Frigid Extremities Decoction) is indicated. For fever due to deficient yin, which constitutes internal heat, Ting Li Ku Jiu Tang (Descurainia Seed and Vinegar Decoction) is indicated.
Generally, if high fever occurs more than eight days into Shanghan, it is difficult to treat. Zhang Zhongjing said: "If the pulses at the cun, guan, and chi positions are both deficient, and the fever does not cease, death will occur." Furthermore, many physicians use pill preparations for purging, resulting in persistent body heat and slight irritability. In such cases, Zhi Zi Gan Jiang Tang (Gardenia and Dried Ginger Decoction) is indicated. After five or six days of Shanghan, following aggressive purging, if the heat does not subside and there is painful obstruction in the heart region, the disease has not yet resolved. Zhi Zi Tang (Gardenia Decoction) is indicated.
Formula: Xi Jiao San (Rhinoceros Horn Powder) treats lingering residual heat after Shanghan, causing mental restlessness and irritability.
Ingredients: Xi Jiao Xie (Rhino Horn Shavings), Mu Tong (Akebia Caulis, crushed, each 3 fen), Huang Qin (Scutellaria Root), Tu Gua Gen (Trichosanthes Thunbergii Root), Long Dan (Gentian Root, remove radicle, each 1 liang), Chuan Pu (Magnolia Bark, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water, boil, strain, and take warm at any time.
Chai Hu San (Bupleurum Powder, from Sheng Hui Fang) treats lingering residual heat after Shanghan, causing thirst, irritability, qi stagnation in the chest and diaphragm, and loss of appetite.
Ingredients: Chai Hu (Bupleurum Root, remove seedlings), Chuan Da Huang (Rhubarb Root, crushed and lightly stir-fried), Zhi Ke (Aurantii Fructus, bran-fried until slightly yellow, remove pith), Bie Jia (Testudinis Carapax et Plastrum, remove skirt, coat with vinegar and roast until yellow), Bing Lang (Areca Seed), Ren Shen (Ginseng Root, remove radicle), Mu Xiang (Aucklandiae Radix), Zi Qin (Scutellaria Root), Chi Shao Yao (Red Peony Root), Chi Fu Ling (Poria with Red Host, remove black skin), Zi Wan (Aster Root, remove seedlings, each 3 fen), Xi Jiao Xie (Rhino Horn Shavings), Gan Cao (Licorice Root, roasted until slightly red and crushed, each 0.5 liang), Sang Gen Bai Pi (Mulberry Root Bark, 1 liang, crushed).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water and 0.5 fen of fresh ginger, boil to 6/10 volume, strain, and take warm at any time.
Wei Rui San (Polygonatum Powder, from Sheng Hui Fang) treats lingering residual heat after ten days of Shanghan, with intermittent chills.
Ingredients: Wei Rui (Polygonatum Rhizome), Chai Hu (Bupleurum Root, remove seedlings), Sang Gen Bai Pi (Mulberry Root Bark, crushed, each 1 liang), Ling Yang Jiao Xie (Antelope Horn Shavings), Chuan Po Xiao (Mirabilite, each 3 fen), Gan Cao (Licorice Root, roasted until slightly red and crushed, 0.5 liang), Shi Gao (Gypsum Fibrosum, 2 liang), Nong Pu (Magnolia Bark, 3 fen, remove coarse bark, coat with ginger juice and roast until fragrant), Rou Gui (Cinnamon Bark, 0.5 liang, remove coarse bark).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water and 0.5 fen of fresh ginger, boil to 6/10 volume, strain, and take warm at any time.
Zhi Mu San (Anemarrhenae Powder, from Sheng Hui Fang) treats lingering residual heat after sweating and purging in Shanghan, causing headache, dry mouth, and irritability.
Ingredients: Zhi Mu (Anemarrhenae Rhizome), Gua Lou Gen (Trichosanthes Root), Mai Men Dong (Ophiopogon Tuber, remove heart, each 1 liang), Gan Cao (Licorice Root, roasted until slightly red and crushed, 0.5 liang), Shi Gao (Gypsum Fibrosum, 1 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water, 0.5 fen of fresh ginger, 50 grains of Jing Mi (Rice), and 14 leaves of Zhu Ye (Bamboo Leaf), boil to 6/10 volume, strain, and take warm at any time.
Zhi Zi Tang (Gardenia Decoction, from Sheng Hui Fang) treats lingering residual heat after aggressive purging on the fifth or sixth day of Shanghan, causing painful obstruction in the heart region. (See Zhi Zi Chi Tang for formula details).
Ren Shen San (Ginseng Powder, from Sheng Hui Fang) treats lingering residual heat after sweating and aggressive purging in Shanghan, causing frequent mental irritability.
Ingredients: Ren Shen (Ginseng Root, 1 liang, remove radicle), Chen Ju Pi (Dried Tangerine Peel, soaked in water, remove white pith and bake), Mai Men Dong (Ophiopogon Tuber, remove heart), Zhi Zi Ren (Gardenia Seed), Fu Shen (Poria with Pine Root, each 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water, boil to 6/10 volume, strain, and take warm at any time.
Yin Chen San (Artemisiae Scopariae Powder, from Sheng Hui Fang) treats lingering residual heat in the heart after Shanghan, causing mental confusion, frequent fright, and insomnia.
Ingredients: Yin Chen (Artemisiae Scopariae Herba), Zhi Zi Ren (Gardenia Seed), Chi Shao Yao (Red Peony Root), Sheng Gan Di Huang (Rehmanniae Radix, each 3 fen), Xi Jiao Xie (Rhino Horn Shavings, 0.5 liang), Mai Men Dong (Ophiopogon Tuber, remove heart), Fu Shen (Poria with Pine Root, each 1 liang), Gan Cao (Licorice Root, roasted until slightly red and crushed, 1 fen).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 4 qian per dose. Add one zhan of water, 0.5 fen of fresh ginger, and 6-7 leaves of Qing Zhu Ye (Green Bamboo Leaf), boil to 6/10 volume, strain, and take warm at any time.
Huang Qin Wan (Scutellaria Pill, from Sheng Hui Fang) treats lingering residual heat after Shanghan, causing dry mouth and irritability.
Ingredients: Huang Qin (Scutellaria Root), Zhi Zi Ren (Gardenia Seed), Chuan Da Huang (Rhubarb Root, crushed and lightly stir-fried, each 2 liang), Gan Cao (Licorice Root, roasted until slightly red and crushed, 0.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills with warm water at any time.
Long Dan Wan (Gentian Pill, from Sheng Hui Fang) treats lingering residual heat in the chest after Shanghan, causing irritability, thirst, and mental confusion.
Ingredients: Long Dan (Gentian Root, remove radicle), Qing Xiang Zi (Celosiae Semen, each 1 liang), Huang Qin (Scutellaria Root), Zhi Zi Ren (Gardenia Seed), Ku Shen (Sophorae Flavescentis Radix, crushed), Gua Lou Gen (Trichosanthes Root, each 0.5 liang), Chuan Sheng Ma (Cimicifugae Rhizoma).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey and pound 300 times. Form pills the size of paulownia seeds. Take 30 pills with warm water at any time.
Ma Huang Tang (Ephedra Decoction, from Sheng Ji Zong Lu) treats lingering residual heat after Shanghan when the pulse is floating.
Ingredients: Ma Huang (Ephedrae Herba, remove root joints, boil wash to remove foam, bake), Shao Yao (Paeoniae Radix), Gan Cao (Licorice Root, roasted until slightly red and crushed, each 1 liang), Gui (Cinnamomi Ramulus, remove coarse bark), Xi Xin (Asari Radix et Rhizoma, remove seedlings, each 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qian per dose. Add one and a half zhan of water, boil to 8/10 volume, strain, and take warm. Three times daily.
Ge Gen Tang (Kudzu Decoction, from Sheng Ji Zong Lu) treats headache and unresolved lingering residual heat after Shanghan and epidemic diseases.
Ingredients: Ge Gen (Puerariae Lobatae Radix, crushed), Chai Hu (Bupleurum Root, remove seedlings, each 1 liang), Shao Yao (Paeoniae Radix), Huang Qin (Scutellaria Root, remove black heart), Gan Cao (Licorice Root, roasted and crushed), Gui (Cinnamomi Ramulus, remove coarse bark, each 0.5 liang), Ma Huang (Ephedrae Herba, remove root joints, brush off foam, bake, 3 fen).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qian per dose. Add one and a half zhan of water and two cracked dates. Boil to 6/10 volume, strain, and take warm at any time.
Ge Gen Tang (Kudzu Decoction, from Sheng Ji Zong Lu) treats unresolved lingering residual heat after Shanghan, alternating chills and fever, head swelling, body pain, and unresolving exterior syndrome.
Ingredients: Ge Gen (Puerariae Lobatae Radix), Shao Yao (Paeoniae Radix), Bai Fu Ling (Poria, remove black skin), Huang Qin (Scutellaria Root, remove black heart), Wu Tou (Aconiti Lateralis Radix Praeparata, roasted until cracked, remove skin and bud), Xiong (Ligustici Chuanxiong Rhizoma, each 1 liang), Zhi Zi Ren (Gardenia Seed, 0.5 liang).
Preparation and Administration: Chop the ingredients to the size of hemp seeds. Take 5 qian per dose. Add one and a half zhan of water and 20-21 grains of Chi (Sojae Semen Praeparatum). Boil to 7/10 volume, strain, and take warm.
Fu Ling Tang (Poria Decoction, from Sheng Ji Zong Lu) treats lingering residual heat after Shanghan, causing mental restlessness and irritability.
Ingredients: Chi Fu Ling (Poria with Red Host, remove black skin, 1.5 liang), Ren Shen (Ginseng Root, 1 fen), Gan Cao (Licorice Root, roasted and crushed, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Add one zhan of water, boil to 7/10 volume, strain, and take warm at any time.
Fu Ling Tang (Poria Decoction, from Sheng Ji Zong Lu) treats unresolved lingering residual heat after Shanghan, along with limb stiffness and spasm, chest and diaphragm discomfort, vomiting and regurgitation, and loss of appetite.
Ingredients: Chi Fu Ling (Poria with Red Host, remove black heart), Chai Hu (Bupleurum Root, remove seedlings), Zhi Ke (Aurantii Fructus, remove pith and bran-fry), Sang Gen Bai Pi (Mulberry Root Bark, crushed, each 0.5 liang), Mai Men Dong (Ophiopogon Tuber, remove heart and bake, 0.5 liang), Ge Gen (Puerariae Lobatae Radix, crushed, 3 fen), Gan Cao (Licorice Root, crushed, 0.5 liang), Gui (Cinnamomi Ramulus, remove coarse bark), Ren Shen (Ginseng Root, each 1 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Add one zhan of water, three slices of fresh ginger, and two cracked dates. Boil to 7/10 volume, strain, and take warm.
Ge Gen Ren Shen Tang (Kudzu and Ginseng Decoction, from Sheng Ji Zong Lu) treats lingering residual heat after sweating, vomiting, and purging in Shanghan, causing headache, mental oppression, and dry mouth.
Ingredients: Ge Gen (Puerariae Lobatae Radix, crushed, 1 liang), Ren Shen (Ginseng Root, 1 liang), Mai Men Dong (Ophiopogon Tuber, remove heart and bake, 0.5 liang), Huang Qin (Scutellaria Root, remove black heart, 0.5 liang), Huang Qi (Astragali Radix, crushed, 1 liang), Di Gu Pi (Lycii Cortex), Shi Gao (Gypsum Fibrosum, crushed, each 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qian per dose. Add one and a half zhan of water, boil to 8/10 volume, strain, and take warm.
Wei Rui (Polygonatum Decoction, from Sheng Ji Zong Lu) treats unresolved lingering residual heat after several days of Shanghan, with intermittent chills and fever.
Ingredients: Wei Rui (Polygonatum Rhizome), Chai Hu (Bupleurum Root, remove seedlings), Ling Yang Jiao (Antelope Horn, each 0.5 liang), Shi Gao (Gypsum Fibrosum, crushed, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qian per dose. Add one and a half zhan of water, boil to 8/10 volume, strain, and take warm at any time.
Ren Shen Tang (Ginseng Decoction, from Sheng Ji Zong Lu) treats lingering residual heat after Shanghan.
Ingredients: Ren Shen (Ginseng Root, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 fen), Gan Cao (Licorice Root, roasted and crushed), Huang Qin (Scutellaria Root, remove black heart), Shi Gao (Gypsum Fibrosum, crushed, each 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Add one zhan of water, with a small amount of Zhu Ye (Bamboo Leaf) and Jing Mi (Rice). Boil together to 7/10 volume, strain, and take warm at any time.
Chai Hu Tang (Bupleurum Decoction, from Sheng Ji Zong Lu) treats unresolved residual toxicity after Shanghan, causing red cheeks, dry mouth, and irritability and heat in the limbs.
Ingredients: Chai Hu (Bupleurum Root, remove seedlings), Yin Chen Hao (Artemisiae Scopariae Herba), Gan Cao (Licorice Root, roasted and crushed), Ren Shen (Ginseng Root, each 1 liang), Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Add one zhan of water and 50 grains of Xiao Mai (Tritici Fructus). Boil together to 7/10 volume, strain, and take warm at any time.
Fan Hun Dan (Soul-Returning Pill, from Wei Sheng Jia Bao Fang) treats lingering residual heat in the heart after Shanghan, causing delirium and nonsense speech. In severe cases, it resembles mania or loss of mind.
Ingredients: Xin Luo Ren Shen (New Korea Ginseng Root, 1 liang), Zhu Sha (Cinnabar, 0.5 liang), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, soaked in water, remove skin and seed coat, bake and weigh cleanly).
Preparation and Administration: First grind Ren Shen into powder. Separately grind Zhu Sha to an extremely fine consistency and mix. Bake Suan Zao Ren and grind it urgently into the medicine without omission. Use pig heart blood to form pills the size of paulownia seeds. Take 20 pills with Ren Shen Tang (Ginseng Decoction), three times daily. Lie down for a short time after ingestion.
Xuan Shen San (Scrophulariae Powder, from Wang Shi Bo Ji Fang) treats unresolved residual heat after sweating.
Ingredients: Chuan Da Huang (Rhubarb Root), Xuan Shen (Scrophulariae Radix), Po Xiao (Mirabilite), Bai Yao Zi (Stemonae Radix, each 0.5 liang), Gan Cao (Licorice Root, 2 fen).
Preparation and Administration: Grind the above five ingredients into powder. Take 1 qian per dose. Add one zhan of water, boil to 8/10 volume, let cool, and take. Repeat dosing until recovery.
Tui Huang San (Jaundice-Resolving Powder, from Wang Shi Bo Ji Fang) treats unresolved residual toxicity after sweating, causing yellow skin.
Ingredients: Shi Gao (Gypsum Fibrosum), Ya Xiao (Mirabilite), Chuan Da Huang (Rhubarb Root), Shan Zhi Zi (Gardeniae Fructus), Hong Xue (Red Snow), Gan Cao (Licorice Root, equal parts).
Preparation and Administration: Grind the above six ingredients into powder. Take 1 qian per dose. Add one zhan of water and a small amount of Han Shui Shi (Halloysit Rubrum) powder. Boil together to 8/10 volume, take warm. Immediate effect.