芍药（二钱） 桂枝（五钱） 如往来寒热而呕。加柴胡散二钱半。
柴胡散（出保命集方）
柴胡根（一两） 半夏（五钱洗） 上加生姜煎。如心下痞。加枳实一钱。如有里证。
加大
黄。初一服一钱。次二钱。又三钱。邪尽则止。
论曰有汗不得服麻黄。无汗不得服桂枝。然春夏汗孔疏。虽有汗不当用桂枝。宜用
黄 汤和解。秋冬汗孔闭。虽无汗不当用麻黄。宜用川芎汤和解。春夏有汗。脉乃微而
弱。恶风恶寒者。乃太阳证秋冬之脉也。亦宜黄 汤。无汗亦宜川芎汤。秋冬有汗。脉
盛而浮。发寒身热者。乃阳明证春夏之脉也。亦宜黄 汤。无汗亦宜川芎汤。大抵有汗
者。皆可用黄 汤。
黄 汤（出保命集方）有汗则止也。
黄 白术 防风（各等分） 上 咀。每服五七钱至十余钱。或半两。水煎。温服清。
汗多恶风甚者。加桂枝。
川芎汤（出保命集方）无汗则发也。
川芎 白术 羌活（各等分） 上 咀。同黄 汤。稍热服。恶寒甚则反脉大浮。加麻
黄。
若伤寒食少发渴。只可和胃止渴。不可用太凉药止之。恐损着元气。必不能食也。
宜。
和胃白术汤。（出保命集方）
白术 茯苓 起卧不能谓之湿。身重是也。小柴胡汤。黄芩芍药汤。起卧不安。眠睡不
稳。谓之烦。栀豉汤。竹叶石膏汤。解利四时伤寒。混解六经邪气。宜。
大白术汤。（出保命集方）
白术（二两） 防风（一两） 羌活（一两） 川芎（一两） 黄芩（五钱） 细辛（三
钱） 白芷
（一两半） 石膏（二两） 知母（七钱） 甘草（五钱或二钱） 枳实（五钱去瓤） 上
为粗末。每
服半两。水一盏半。煎至一大盏。温服清。未解。更一服两服。药滓又作一服。春倍防风、
羌活。夏倍黄芩、知母。季夏雨淫。倍白术、白芷。秋加桂五钱。冬桂八钱或一两。立夏之
后。至立秋处暑之间伤寒者。身多微凉。微有自汗。四肢沉重。谓之湿温。又谓之湿淫。宜。
苍术石膏汤。（出保命集方）
苍术（细锉半两） 石膏末（三钱） 知母（锉一钱半） 甘草（锉一钱） 上同和匀。
都作一
服。水两盏。煎至一盏。温服清。谓内有湿热也。多不欲饮食。如身热脉洪。无汗多渴者。
是
桔梗散。（出保命集方）
薄荷（一钱） 黄芩（一钱） 甘草（一钱炙） 桔梗（半两） 连翘（二钱） 山栀
子仁〔二
（一）钱
太乙丹（出杨氏家藏方）治伤寒伤风。肢节烦疼。憎寒壮热。服之解寒清热。
或发热恶寒。似瘴非瘴。烦躁迷闷。面色红赤。头痛如破。服之微汗出立瘥。
天南星（四两锉炒赤勿令焦） 石膏（四两） 干姜 甘草（取粉秤三两半） 前胡（二
两）
川芎（二两一分） 白僵蚕（炒去丝嘴） 白附子（炮） 防风（去芦头各一两） 上件为
细末。用
生姜自然汁煮面糊和丸。每一两作一十丸。阴干。每服一丸。细嚼。用葱白、薄荷茶清送下。
不
祛毒散（出杨氏家藏方）解风邪。截伤寒。
苍术（四两米泔浸一宿） 甘草（炙） 黄芩 赤芍药（各一两） 赤茯苓（半两去皮）
麻黄
（去根节半两） 上为细末。每服三钱。水一盏半。生姜五片。黑豆十五粒。同煎至一盏。
热
服
祛寒汤（出杨氏家藏方）祛逐寒邪。解利伤寒时行瘟疫。
青橘皮（二两不去白） 陈橘皮（二两半不去白） 丁香皮 甘草（炙） 干姜（炮各
一两）
上为细末。如觉身热头疼。即抄药一钱。沸汤点下。不拘时候。
顺气散（出王氏博济方）调顺冷气。解利伤寒。
吴茱萸（洗令净春夏用一分秋冬用半两） 麻黄（一两去节） 人参（半两） 诃子（半
两炒
去核秤） 大黄（三分） 官桂（一两去皮） 浓朴（一两去皮姜汁炙） 干姜（炮半两） 陈
橘皮
（一两去白） 甘草（二两炙） 上为末。每服一钱。水一盏。入姜、枣煎六分。通口服。
如外
伤邪
益元散（出直指方）治身热呕吐。泄泻肠 。下利赤白。治淋漓癃闭闷痛。小
腹不利胸中积聚寒热失宜大益精气。通九窍六腑。生津液。去留结。消蓄水。止渴利
中。除烦热心躁。治腹胀痛闷。补益五脏。大养脾肾之气。或肾水不足。胃土衰弱。风
寒外感。七情内伤。阴痿阳衰。安魂定魄。补五劳七伤。一切虚损。并皆治之。
滑石（六两腻好者） 甘草（一两 ） 上为细末。每服三钱。蜜少许。温水调下。或
无蜜
亦可。无论时日三服。或欲冷冻饮料者。新水调下亦得。解利发汗。煎葱白、豆豉汤调下四钱。
每服水一盏。葱白五寸。豆豉五十粒。煮取汁七分调下。并三服。以效为度。此药是寒凉。
解散郁热。设病甚不解。多服无害。但有益尔。本世传名太白散。俗恶性寒。兼易得之贱物。
而
不可阙也。夫伤寒当汗。则不可下。当下亦不当汗者。且知设服此药。则汗自不出。而里热
亦获小效。亦有里热便得宣通而愈者。或半在表半在里。可解和。而不可吐下发汗者。若服
此药多愈。或不愈。亦少加减凉膈散和解尤佳。或必当汗解者。更加苍术粗末三钱同煎。葱
豉汤调服尤良。或孕妇不宜滑石、麻黄、桂枝辈发汗。即用甘草一两。苍术二两。同为粗末
。每服四钱。水一盏。葱白五寸。豉五十粒。同煎至六分。去滓。热服。并二三服。取微汗
是。名逼毒散。非孕妇皆可服。或太白散加麻黄去节二两。如前法煎服。世云神白散。众云
青龙散。更加滑石末与苍术末二倍。最为发汗之妙药。乃此方唯正可汗者即用。误服之。则
转加热也。名曰大逼毒散。或解利两感。煎凉膈散调下益元散四钱。或下乳。用猪肉面羹。
或酒之类调下四钱。不计时候。日三服。及宜食肉面羹粥。催产。温油浆调下五钱。并二三
服。以产为度。或死胎不下者。煎三一承气汤一服。调下五钱。须臾更频用温油浆调服。前
后俱下而胎出。可活产母也。难产或死胎不下。皆由风燥湿热。聚敛结滞而不能舒缓。故产
户不得自然开通也。药力至。则结热顿开而产矣。后慎不可温补。而反生燥热也。俗未知产
后已损血液。疼痛怖惧。以致神狂气乱。则阴气损虚。邪热大甚而为诸热证。由不明素问造
化。故不识候阴阳。反妄谓产后诸虚百损。便为虚冷而无热也。误以热味药温补。或见烦渴
者。不令饮水。本虽善心。为害多矣。岂知治病之道。但以临时审其脏腑六气虚实。明其标
本。如法治之而已矣。此药泛常无奇。虽然为效至大。而俗以为小而忽之。此所以反招侮也
。今以加黄丹令桃红色。名曰红玉散。加青黛令轻碧色。名碧玉散。加薄荷叶一分。细罗同
为末。名曰鸡苏散。主疗并同。但以回避愚俗之妄侮尔。
柴胡饮子（出金匮方）退五脏虚热。四时加减。
冬三月加柴胡（八分） 白术（八分） 大腹 槟榔（四枚并皮子用） 陈皮（五分） 生
姜
（五分）
春三月加枳实减白术（共六味）
夏三月加生姜（三分） 枳实（五分） 甘草（三分共八味）
秋三月加陈皮（三分共六味）
上各 咀。分为三贴。一贴以水三升。煮取二升。分温三服。如人行四五里进一服。如
四体壅滞。添甘草少许。每贴分作三小贴。每小贴以水一升。煮取七合。温服。再合滓为一
服重煮。都成四服。
诃黎勒丸（出金匮方）长服。
诃勒散（煨） 陈皮 浓朴（各三两） 上为末。炼蜜丸如梧桐子大。酒饮服二十丸。
加至
三十丸。
五积散（出三因方）治太阴伤寒。脾胃不和。及有积聚腹痛。
苍术（泔浸一宿二十两） 桔梗（十两） 陈皮（六两） 白芷 甘草（炙） 当归（二
两） 川
芎（一两半） 芍药 白茯苓 半夏（汤去滑各一两） 麻黄（去节春夏二两秋冬三两） 干
姜
（春夏两半秋冬二两） 枳壳（汤浸去瓤锉炒四两） 桂心（春夏三两秋冬四两） 浓朴（姜
制炒
二两） 上先将前十二味 咀。微炒令香。取出当风凉之。入后枳壳、桂、朴三味。同为细
末。每服三钱。水一盏。姜三片。枣二枚。煎七分。食前温服。伤寒手足逆冷。自汗不止。
脉沉细。面青呕逆。加顺元散一钱同煎。热服。产妇难产。经三两日不能生。胎死腹中。或
产母气乏委顿。产道干涩。加顺元散。水七分。酒三分煎。并服。气血内和即瘥。胎死者。
不过三服当下。其顺元散多少。量产母虚实加减。伤寒发热挟内寒者。加葱白二寸。豉七粒。
同煎
顺元散（出三因方）
乌头（炮去皮尖二两） 附子（炮去皮脐） 天南星（炮各一两） 木香（半两） 上
为末。同
前法煎。此药治内外感寒。脉沉伏迟细。手足冷。毛发恂剽。伤寒阴证。大啜一二杯。气和
汗出即愈。
和气治中汤 治伤寒初受病。服散吐后。宜服。
藿香 人参（各半两） 白术 陈橘皮（各三两） 甘草 干姜 白茯苓〔各一（分）
两〕 上
件药。捣罗为散。每服二钱。以水一中盏。入生姜半分。煎至五分。即去生姜和滓。不计时
候。温服。
小柴胡汤（出如宜方）治伤寒后肺痿劳咳嗽。
黄芩 人参 甘草（各三两） 半夏（制二两半） 柴胡（八两） 上 咀。姜五片。
枣一枚
煎。如谵语潮热。胃实大便利。脉洪数。宜服。亡阳谵语不可下。宜加桂枝芍药汤。如自利
挟热。或垢赤烦渴。寒热往来。宜加茯苓。如伤寒喜睡。胁痛胸满有热。脉数。宜服。不烦
渴。身冷。脉迟。宜四逆汤。如伤寒瘥后。寒热往来似疟。宜服。又治干呕。日晡发热。宜
服。如劳复宜服。如色青难治。死必吐舌。如呕逆烦燥作渴。有寒热。脉数。喜冷。加竹茹
汤。
活血通经汤 灵寿县董监军。癸丑年冬十二月间。大雪初霁。因事至真定。忽觉有风气
暴至。诊候六脉俱弦甚。按之洪实有力。其证手挛急。大便秘涩不通。面赤面热。此风寒客
加于身也。四肢者脾也。以风寒之邪伤之。则搐急而挛痹。乃风淫末疾。而寒在外也。内经
云。寒则筋挛。正谓此也。本人素饮酒。近日为觉风气不饮。内有实热乘于肠胃之间。故大
便秘涩而面赤热。内则手足阳明受邪。外则足太阴脾之经受风寒之邪。用桂枝、甘草炙。以
却其寒邪而缓其急搐。用黄柏之苦寒滑。以泻实而润燥。急救肾水。用升麻、葛根以升阳气。
行手足阳明之经。不令遏绝。便以桂枝辛热。入手阳明之经。为引用润燥。复以芍药、甘草
专补脾气。使不受风寒之邪。而退本邪。专益肺也。加人参以补元气。为之辅佐。当归身去
里急而润燥和血。
升麻 葛根（各一钱） 桂枝（二钱） 当归身〔二（一）钱〕 人参（一钱） 芍药
（半钱） 炙
甘草（一钱） 黄柏（酒制二钱） 上 咀。都作一服。水二大盏。煎至一盏。去滓。稍热
服。
令暖房中近火摩搓其手。一服而愈。
术桂汤（出东垣兰室秘藏方）治寒温所客身体沉重。胃脘痛。面色萎黄。
麻黄（一钱） 桂枝（半钱） 杏仁（十个） 草豆蔻仁 半夏（各半钱） 炒曲（半
钱） 苍术
（二钱） 橘皮（一钱） 泽泻（一钱） 白茯苓（一钱） 猪苓〔半分（钱）〕 黄 〔三
钱（分）〕
炙甘草（二分） 上都作一服。煎法如常。
治伤寒热病服转药后。病已效。可脏腑仍两三日不出。后吃食减少。仍觉精神不
快。（出护
柴胡（去毛） 桔梗（去根） 麻黄（去根） 杏仁 黄芩 荆芥穗 大黄（炮熟） 牡
丹皮
（去心） 羌活 沉香 木香 独活（各一分） 升麻（半两） 上细杵罗为末。每服二钱。
水一
盏。煎一沸。急泻出。食后和滓热服。
治伤寒热毒伤脾。浑身肌肉碎痛。闻食即恶心思吐。遍身发热。两唇干焦。诊其
脉。即右手关上脾脉。一指偏洪紧如众脉。此即为病气在脾。宜服此方。（出护命方）
桔梗 羌活 杏仁 麻黄（去根） 柴胡（去毛） 麦门冬（去心） 大黄 荆芥穗（各
一分）
半夏（二铢） 牵牛（一两） 青橘皮〔四（铢）两〕 上先杵牵牛、半夏二味为末。所余
众药。
只作一处杵为末。每服五钱。水一盏半。生姜三片。葱三枝。煎众药末三钱。沸一两沸。泻
出取汁一盏。用调下牵牛、半夏等末二钱。食后服。
交加散（出如宜方）治憎寒壮热。或外感风寒。内伤生冷。及风寒二证。
败毒散 五积散 上等分。姜、枣煎。如体虚。宜养胃汤。
三建汤 治脉微。身体冷重。自汗呕吐。加丁香、胡椒各半两。
不卧散（出十便良方）截伤寒。
苍术 川芎 甘草 本（各一两） 上为粗末。每服三钱。水一盏。葱白三寸。同煎
至
八分。去滓。热服。不以时。
茯苓利膈汤（出保生返回论）
茯苓（一两） 牛蒡子（二两炒香） 荆芥穗（一两） 桔梗（一两微炒） 甘草（半
两炙紫色）
上
解肌汤（出保生返回论）
Shao Yao (Radix Paeoniae Alba, 2 qian) and Gui Zhi (Ramulus Cinnamomi, 5 qian). If there is alternating chills and fever accompanied by vomiting, add Chai Hu San (Bupleurum Powder), 2.5 qian.
Chai Hu San (from *Baoming Ji Fang*):
Chai Hu Gen (Radix Bupleuri, 1 liang), Ban Xia (Rhizoma Pinelliae, 5 qian, washed). Add Sheng Jiang (Rhizoma Zingiberis Recens) to the above and decoct. If there is epigastric fullness and stuffiness, add Zhi Shi (Fructus Aurantii Immaturus), 1 qian. If there are interior syndromes, add Da Huang (Radix et Rhizoma Rhei), starting with 1 qian for the first dose, 2 qian for the second, and 3 qian for the third; stop when the pathogenic factor is exhausted.
Discussion states: Those with sweating should not take Ma Huang Tang (Ephedra Decoction); those without sweating should not take Gui Zhi Tang (Cinnamon Twig Decoction). However, in spring and summer, sweat pores are loose; even with sweating, Gui Zhi Tang should not be used. Instead, Huang Qi Tang (Astragalus Decoction) should be used to harmonize. In autumn and winter, sweat pores are closed; even without sweating, Ma Huang Tang should not be used. Instead, Chuan Xiong Tang (Ligusticum Decoction) should be used to harmonize. In spring and summer, with sweating, if the pulse is faint and weak, and there is aversion to wind and cold, this is a Taiyang syndrome pulse characteristic of autumn/winter; Huang Qi Tang is also suitable. Without sweating, Chuan Xiong Tang is also suitable. In autumn and winter, with sweating, if the pulse is vigorous and floating, with chills and fever, this is a Yangming syndrome pulse characteristic of spring/summer; Huang Qi Tang is also suitable. Without sweating, Chuan Xiong Tang is also suitable. Generally, cases with sweating can all use Huang Qi Tang.
Huang Qi Tang (from *Baoming Ji Fang*) is used for sweating to stop it.
Huang Qi (Radix Astragali), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fang Feng (Radix Saposhnikoviae) in equal parts. The above are cut into small pieces. Each dose is 5-7 qian to over 10 qian, or half a liang, decocted in water, taken warm as the clear liquid. For severe sweating and aversion to wind, add Gui Zhi.
Chuan Xiong Tang (from *Baoming Ji Fang*) is used for no sweating to induce diaphoresis.
Chuan Xiong (Rhizoma Chuanxiong), Bai Zhu, Qiang Huo (Rhizoma Notopterygii) in equal parts. The above are cut into small pieces, used similarly to Huang Qi Tang, taken slightly warm. For severe aversion to cold with a large and floating pulse, add Ma Huang (Herba Ephedrae).
If shanghan leads to poor appetite and thirst, only stomach-harmonizing methods to stop thirst should be used; overly cold medicines should not be used, lest they damage Yuan Qi (Original Qi) and cause inability to eat. He Wei Bai Zhu Tang (Stomach-Harmonizing Atractylodes Decoction) is suitable (from *Baoming Ji Fang*).
Bai Zhu, Fu Ling (Poria). Restlessness in sitting and lying down is called dampness, manifested as heavy body. Xiao Chai Hu Tang (Minor Bupleurum Decoction) and Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) are used. Restlessness and unstable sleep is called irritability (Fan). Zhi Chi Tang (Gardenia and Soybean Decoction) and Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) are used. To resolve shanghan in the four seasons and disperse pathogenic factors of the six meridians, Da Bai Zhu Tang (Major Atractylodes Decoction) is suitable (from *Baoming Ji Fang*).
Bai Zhu (2 liang), Fang Feng (1 liang), Qiang Huo (1 liang), Chuan Xiong (1 liang), Huang Qin (Radix Scutellariae, 5 qian), Xi Xin (Herba Asari, 3 qian), Bai Zhi (Radix Angelicae Dahuricae, 1.5 liang), Shi Gao (Gypsum Fibrosum, 2 liang), Zhi Mu (Rhizoma Anemarrhenae, 7 qian), Gan Cao (Radix Glycyrrhizae, 5 qian or 2 qian), Zhi Shi (5 qian, pith removed). The above are made into coarse powder. Each dose is half a liang, decocted in 1.5 cups of water until one cup remains, taken warm as the clear liquid. If unresolved, take one or two more doses; the dregs are decocted again. In spring, double Fang Feng and Qiang Huo. In summer, double Huang Qin and Zhi Mu. In late summer with excessive rain, double Bai Zhu and Bai Zhi. In autumn, add Gui Zhi (5 qian). In winter, add Gui Zhi (8 qian or 1 liang). For shanghan occurring after Start of Summer until between Start of Autumn and End of Heat, the body is often slightly cool, with slight spontaneous sweating and heavy limbs, called Shi Wen (Damp-Warmth) or Shi Yin (Damp Excess). Cang Zhu Shi Gao Tang (Atractylodes and Gypsum Decoction) is suitable (from *Baoming Ji Fang*).
Cang Zhu (Radix Atractylodis Lanceae, finely cut 0.5 liang), Shi Gao Fen (Gypsum Fibrosum powder, 3 qian), Zhi Mu (cut 1.5 qian), Gan Cao (cut 1 qian). Mix evenly, make into one dose, decoct in two cups of water until one cup remains, take warm as the clear liquid. This indicates internal damp-heat. There is usually loss of appetite. If there is fever, surging pulse, no sweating, and excessive thirst, Jie Geng San (Platycodon Powder) is indicated (from *Baoming Ji Fang*).
Bo He (Herba Menthae, 1 qian), Huang Qin (1 qian), Gan Cao (1 qian, honey-fried), Jie Geng (Radix Platycodonis, 0.5 liang), Lian Qiao (Fructus Forsythiae, 2 qian), Shan Zhi Zi Ren (Semen Gossypii Herbacei? Note: Text says Shan Zhi Zi Ren, likely Gardenia seed, 2 qian).
Tai Yi Dan (Great One Pill) (from *Yang Shi Jia Cang Fang*) treats shanghan and shang feng, painful joints, aversion to cold with high fever; taking it resolves cold and clears heat.
Or if there is fever with aversion to cold, resembling miasma but not miasma, restlessness and confusion, red face, headache as if breaking, taking it induces slight sweating and immediate recovery.
Tian Nan Xing (Rhizoma Arisaematis, 4 liang, cut and fried until red but not burnt), Shi Gao (4 liang), Gan Jiang (Radix Zingiberis Secata), Gan Cao (powder weighed 3.5 liang), Qian Hu (Radix Peucedani, 2 liang), Chuan Xiong (2.1 liang), Bai Jiang Can (Serus Bombycatus, fried to remove silk and head), Bai Fu Zi (Radix Typhonii, processed), Fang Feng (deprived of root base, each 1 liang). The above are made into fine powder. Use natural juice of Sheng Jiang to boil wheat paste and form pills. Each liang makes ten pills, dried in shade. Take one pill each time, chew finely, swallow with Cong Bai (Bulbus Allii Cepae) and Bo He tea clear liquid.
Qu Du San (Toxin-Expelling Powder) (from *Yang Shi Jia Cang Fang*) dispels wind pathogen and cuts off shanghan.
Cang Zhu (4 liang, soaked overnight in rice wash water), Gan Cao (fried), Huang Qin, Chi Shao Yao (Radix Paeoniae Rubra, each 1 liang), Chi Fu Ling (Poria with red skin, 0.5 liang, peeled), Ma Huang (deprived of root and nodes, 0.5 liang). The above are made into fine powder. Each dose is 3 qian, decocted in 1.5 cups of water with 5 slices of Sheng Jiang and 15 black soybeans until one cup remains, taken hot.
Qu Han Tang (Cold-Expelling Decoction) (from *Yang Shi Jia Cang Fang*) expels cold pathogen and resolves shanghan and epidemic plague.
Qing Ju Pi (Pericarpium Citri Reticulatae Viride, 2 liang, white pith not removed), Chen Ju Pi (Pericarpium Citri Reticulatae, 2.5 liang, white pith not removed), Ding Xiang Pi (Caryophylli Flos pericarpium?), Gan Cao (fried), Gan Jiang (processed, each 1 liang). The above are made into powder. If feeling feverish and having headache, take 1 qian of medicine, mix with boiling water, at any time.
Shun Qi San (Qi-Regulating Powder) (from *Wang Shi Bo Ji Fang*) regulates cold qi and resolves shanghan.
Wu Zhu Yu (Fructus Evodiae, washed clean, 1 fen in spring/summer, 0.5 liang in autumn/winter), Ma Huang (1 liang, nodes removed), Ren Shen (Radix Ginseng, 0.5 liang), He Zi (Fructus Chebulae, 0.5 liang, fried, pitted and weighed), Da Huang (3 fen), Guan Gui (Cortex Cinnamomi, 1 liang, bark removed), Hou Po (Cortex Magnoliae Officinalis, 1 liang, bark removed, ginger juice fried), Gan Jiang (processed 0.5 liang), Chen Ju Pi (1 liang, white pith removed), Gan Cao (2 liang, fried). The above are made into powder. Each dose is 1 qian, decocted in 1 cup of water with Sheng Jiang and Da Zao (Fructus Jujubae) until 0.6 cup remains, taken through. If external pathogenic invasion...
Yi Yuan San (Benefit Origin Powder) (from *Zhi Zhi Fang*) treats body fever, vomiting, diarrhea, dysentery, bloody and white stools, strangury with pain, lower abdominal discomfort, chest accumulation of cold and heat imbalance, greatly benefits Jing Qi (Essence and Qi), opens nine orifices and six fu organs, generates fluids, removes stagnation, eliminates fluid retention, stops thirst, relieves middle-jiao thirst, removes irritability and heart restlessness, treats abdominal distension and pain, tonifies five zang organs, greatly nourishes Spleen and Kidney Qi. It treats insufficient Kidney Water, weak Stomach Earth, external contraction of wind-cold, internal injury from seven emotions, impotence and yang decline, calms soul and stabilizes spirit, tonifies five labors and seven injuries, and all deficiencies.
Hua Shi (Talcum, 6 liang, fine quality), Gan Cao (1 liang). The above are made into fine powder. Each dose is 3 qian, mixed with a little honey and warm water. Honey is optional. Take three doses regardless of time. For those desiring cold drink, mix with fresh water. To induce sweating, decoct Cong Bai and Dou Chi (Folium Sojae Preparatum) tea and mix 4 qian. Each dose uses 1 cup of water, 5 cun of Cong Bai, 50 grains of Dou Chi, boiled to 0.7 cup, then mixed. Take three doses, stopping when effective. This medicine is cold and cooling, resolving depressed heat. Even if the disease is severe and unresolved, taking more is harmless and beneficial. It was traditionally known as Tai Bai San (White Jade Powder), disliked for its cold nature and cheap ingredients, yet indispensable. For shanghan requiring sweating, purgation is contraindicated; for those requiring purgation, sweating is contraindicated. Taking this medicine prevents sweating but mildly helps interior heat. It may also help if interior heat needs venting. For half-exterior half-interior syndromes that need harmonization but not emesis or sweating, this medicine often works well. Minor modifications of Liang Ge San (Cooling Chest Powder) for harmonization are excellent. If sweating is necessary, add 3 qian of coarse Cang Zhu powder to decoct; mixing with Cong Chi Tea is best. Pregnant women should avoid Hua Shi, Ma Huang, Gui Zhi for sweating. Instead, use Gan Cao (1 liang) and Cang Zhu (2 liang) as coarse powder. Each dose is 4 qian, decocted in 1 cup of water with 5 cun Cong Bai and 50 Dou Chi until 0.6 cup remains, strain, take hot. Two to three doses to induce slight sweating. This is named Bi Du San (Force-Toxin-Out Powder), not for non-pregnant women. Or add 2 liang of Ma Huang (nodes removed) to Tai Bai San, decoct as before; known as Shen Bai San or Qing Long San. Adding twice the amount of Hua Shi powder and Cang Zhu powder makes it an excellent diaphoretic. Use only for correct sweating indications; mistaken use causes increased heat, named Da Bi Du San (Great Force-Toxin-Out Powder). For Liang Gan (Dual Meridian) syndromes, decoct Liang Ge San and mix 4 qian of Yi Yuan San. For lactation, mix with pork noodle soup or wine, 4 qian, three times daily. Eat meat and noodle porridge. For inducing labor, mix with warm oil slurry, 5 qian, two to three doses until delivery. For retained dead fetus, decoct San Yi Cheng Qi Tang (Three-One Bowel-Purging Decoction), mix 5 qian, frequently administer warm oil slurry until fetus is expelled, saving the mother. Dystocia or retained dead fetus is due to wind-dryness, damp-heat gathering and stagnating, preventing natural opening. When medicinal power arrives, stagnant heat opens suddenly and birth occurs. Afterwards, strictly avoid warming tonification which causes dry-heat. Laypeople do not know that postpartum blood loss causes pain and fear, leading to chaotic spirit and qi, damaging yin qi and causing extreme pathogenic heat syndromes. Due to ignorance of *Su Wen* transformations, they fail to observe yin-yang, wrongly assuming postpartum deficiency is purely cold without heat. Mistakenly using warm-tonifying medicines or withholding water from thirsty patients causes great harm. Healing requires assessing zang-fu and six qi excess/deficiency, clarifying root and branch, and treating accordingly. This medicine is ordinary but highly effective; laypeople ignore it, inviting contempt. Now, adding Huang Dan (Lead Monoxide) turns it peach-red, named Hong Yu San (Red Jade Powder). Adding Qing Dai (Indigo Naturalis) turns it light blue, named Bi Yu San (Green Jade Powder). Adding 1 fen of Bo He leaves, sifted together, is named Ji Su San (Elsholtzia Powder). Indications are the same, merely to avoid vulgar mockery.
Chai Hu Yin Zi (Bupleurum Drink) (from *Jin Gui Fang*) reduces deficiency heat of five zang organs, adjusted by season.
Winter months: Add Chai Hu (0.8 fen), Bai Zhu (0.8 fen), Da Fu Zi Bing Lang (Arecae Semen cum Pericarpo, 4 pieces with peel), Chen Pi (Pericarpium Citri Reticulatae, 0.5 fen), Sheng Jiang (0.5 fen).
Spring months: Add Zhi Shi, reduce Bai Zhu (total 6 ingredients).
Summer months: Add Sheng Jiang (0.3 fen), Zhi Shi (0.5 fen), Gan Cao (0.3 fen, total 8 ingredients).
Autumn months: Add Chen Pi (0.3 fen, total 6 ingredients).
The above are cut into pieces, divided into three packs. One pack decocted in 3 sheng of water to yield 2 sheng, taken warm in three doses. Advance one dose every 4-5 li walk. If four limbs are congested, add a little Gan Cao. Divide each pack into three small packs. Each small pack decocted in 1 sheng of water to yield 7 he, taken warm. Combine dregs for a second decoction, totaling four doses.
He Li Le Wan (Terminalia Pill) (from *Jin Gui Fang*) for long-term use.
He Li San (Roasted Terminalia), Chen Pi, Hou Po (each 3 liang). Make into powder, refine honey into pills like paulownia seeds. Take 20 pills with wine, increase to 30.
Wu Ji San (Five Accumulations Powder) (from *San Yin Fang*) treats Taiyin shanghan, spleen-stomach disharmony, and accumulations with abdominal pain.
Cang Zhu (soaked overnight in rice wash water, 20 liang), Jie Geng (10 liang), Chen Pi (6 liang), Bai Zhi, Gan Cao (fried), Dang Gui (Radix Angelicae Sinensis, 2 liang), Chuan Xiong (1.5 liang), Shao Yao, Bai Fu Ling (Poria cocos), Ban Xia (deprived of slipperiness by water, each 1 liang), Ma Huang (nodes removed, 2 liang spring/summer, 3 liang autumn/winter), Gan Jiang (2.5 liang spring/summer, 2 liang autumn/winter), Zhi Ke (Fructus Aurantii, soaked in water, pith removed, cut and fried, 4 liang), Gui Xin (Cortex Cinnamomi, 3 liang spring/summer, 4 liang autumn/winter), Hou Po (ginger-processed fried, 2 liang). First, cut the first twelve ingredients, stir-fry lightly until fragrant, remove and cool in wind. Add Zhi Ke, Gui, and Hou Po, grind to fine powder. Each dose is 3 qian, decocted in 1 cup of water with 3 slices of Sheng Jiang and 2 dates until 0.7 cup remains, take warm before meals. For shanghan with cold extremities, continuous sweating, deep thin pulse, blue face, and vomiting, add Shun Yuan San (1 qian) to decoct, take hot. For dystocia, unable to deliver after 2-3 days, dead fetus in uterus, or maternal exhaustion with dry birth canal, add Shun Yuan San, decoct in 0.7 cup water and 0.3 cup wine, take together. When qi and blood harmonize internally, recovery occurs. Dead fetus will pass within three doses. Adjust Shun Yuan San dosage based on maternal strength. For shanghan fever with internal cold, add 2 cun Cong Bai and 7 Dou Chi to decoct.
Shun Yuan San (Harmony Origin Powder) (from *San Yin Fang*).
Wu Tou (Radix Aconiti Lateralis Preparata, processed, deprived of skin and tip, 2 liang), Fu Zi (Radix Aconiti Lateralis Preparata, processed, deprived of skin and umbilicus), Tian Nan Xing (Rhizoma Arisaematis, processed, each 1 liang), Mu Xiang (Radix Aucklandiae, 0.5 liang). Make into powder, decoct as before. This medicine treats internal and external cold contraction, deep hidden slow thin pulse, cold extremities, trembling hair, yin-type shanghan. Drink one or two cups vigorously; when qi harmonizes and sweating occurs, recovery follows.
He Qi Zhi Zhong Tang (Harmony Qi Regulate Middle Decoction) treats early stage shanghan, suitable after taking dispersants and vomiting.
Huo Xiang (Herba Agastaches), Ren Shen (each 0.5 liang), Bai Zhu, Chen Ju Pi (each 3 liang), Gan Cao, Gan Jiang, Bai Fu Ling (each 1 liang). The above are pounded and sifted into powder. Each dose is 2 qian, decocted in 1 cup of water with 0.5 fen of Sheng Jiang until 0.5 cup remains, remove Sheng Jiang and take dregs mixed, warm at any time.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) (from *Ru Yi Fang*) treats lung wasting and chronic cough after shanghan.
Huang Qin, Ren Shen, Gan Cao (each 3 liang), Ban Xia (processed 2.5 liang), Chai Hu (8 liang). Cut into pieces, decoct with 5 slices of Sheng Jiang and 1 date. Suitable for delirium, tidal fever, stomach excess with free-flowing stool, surging rapid pulse. Do not purge for yang-loss delirium; add Gui Zhi Shao Yao Tang (Cinnamon Twig and Peony Decoction). For spontaneous diarrhea with heat, or foul red urine with irritability/thirst, alternating chills/fever, add Fu Ling. For shanghan with somnolence, hypochondriac pain, chest fullness with heat, rapid pulse, suitable. For no irritability/thirst, cold body, slow pulse, Si Ni Tang (Four Reversal Decoction) is suitable. For post-shanghan recovery with alternating chills/fever resembling malaria, suitable. Also treats dry retching, afternoon fever, suitable for recurrence due to overexertion. Blue tongue color is difficult to treat, death involves tongue protrusion. For retching, irritability, thirst, chills/fever, rapid pulse, preference for cold, add Zhu Ru Tang (Bamboo Rind Decoction).
Huo Xue Tong Jing Tang (Invigorate Blood Unblock Collaterals Decoction). Dong Jianjun of Lingshou County, in December of Guichou year, after heavy snow cleared, traveled to Zhending. Suddenly felt violent wind. Pulse diagnosis showed all six pulses extremely wiry, pressing revealed surging solid and forceful. Symptoms: hand spasms, severe constipation, red hot face. This is wind-cold invading the body. Limbs belong to Spleen. Wind-cold pathogen injures them, causing spasms and numbness, wind excess affecting extremities, cold on exterior. *Nei Jing* states: Cold causes tendon spasm. Patient usually drinks alcohol, recently stopped due to wind sensation. Internal excess heat attacks intestines/stomach, causing constipation and red hot face. Interior: Hand-Foot Yangming meridians affected. Exterior: Foot-Taiyin Spleen meridian affected by wind-cold. Use Gui Zhi and roasted Gan Cao to dispel cold and relieve spasms. Use bitter-cold slippery Huang Bo (Cortex Phellodendri) to drain excess and moisten dryness, urgently saving Kidney Water. Use Sheng Ma (Radix Cimicifugae) and Ge Gen (Radix Puerariae) to raise yang qi and move Hand-Foot Yangming meridians, preventing obstruction. Gui Zhi’s acrid-hot nature enters Hand-Yangming, guiding moisture. Shao Yao and Gan Cao specifically tonify Spleen qi to resist wind-cold and retreat pathogen, benefiting Lung. Add Ren Shen to tonify Yuan Qi as assistant. Dang Gui Shen (body of Radix Angelicae Sinensis) relieves internal urgency, moistens dryness, harmonizes blood.
Sheng Ma, Ge Gen (each 1 qian), Gui Zhi (2 qian), Dang Gui Shen (1 qian), Ren Shen (1 qian), Shao Yao (0.5 qian), Roasted Gan Cao (1 qian), Huang Bo (wine-processed 2 qian). Cut into pieces, make one dose, decoct in two large cups of water until one cup remains, strain, take slightly warm.
In a warm room near fire, rub hands. One dose brings cure.
Shu Gui Tang (Atractylodes and Cinnamon Decoction) (from *Dong Yuan Lan Shi Mi Cang Fang*) treats heaviness of body, epigastric pain, sallow complexion due to cold-warm pathogens.
Ma Huang (1 qian), Gui Zhi (0.5 qian), Xing Ren (Apricot Seed, 10), Cao Dou Kou Ren (Semen Karvae, 0.5 qian), Ban Xia (0.5 qian), Chao Qu (Fried Mass Medicamentosa, 0.5 qian), Cang Zhu (2 qian), Ju Pi (Pericarpium Citri Reticulatae, 1 qian), Ze Xie (Rhizoma Alismatis, 1 qian), Bai Fu Ling (1 qian), Zhu Ling (Polyporus, 0.5 fen), Huang Qi (3 qian), Roasted Gan Cao (0.2 fen). Make one dose, decoct normally.
After treating shanghan heat disease with turning medicines, symptoms improve, but bowels remain unopen for 2-3 days, appetite decreases, spirit feels unwell. (From *Hu Ming Fang*).
Chai Hu (deprived of fuzz), Jie Geng (deprived of root), Ma Huang (deprived of root), Xing Ren, Huang Qin, Jing Jie Sui (Herba Schizonepetae Spica), Da Huang (processed ripe), Mu Dan Pi (Radix Moutan, deprived of heart), Qiang Huo, Chen Xiang (Lignum Aquilariae Resinatum), Mu Xiang, Du Huo (Radix Angelicae Pubescentis, each 1 fen), Sheng Ma (0.5 liang). Grind finely and sift. Each dose is 2 qian, decoct in 1 cup of water for one boil, quickly pour out. Take hot with dregs after meal.
Treating shanghan heat toxin injuring Spleen, whole-body muscle pain, nausea upon smelling food, generalized fever, dry cracked lips. Pulse diagnosis: Right Guan position Spleen pulse, one finger surging tight like other pulses, indicating pathogen in Spleen. Suitable for this formula. (From *Hu Ming Fang*).
Jie Geng, Qiang Huo, Xing Ren, Ma Huang (deprived of root), Chai Hu (deprived of fuzz), Mai Men Dong (Radix Ophiopogonis, deprived of heart), Da Huang, Jing Jie Sui (each 1 fen), Ban Xia (2 zhu), Qian Niu (Semen Pharbitidis, 1 liang), Qing Ju Pi (4 liang). First pound Qian Niu and Ban Xia into powder. Pound remaining herbs together into powder. Each dose is 5 qian, decoct in 1.5 cups of water with 3 slices of Sheng Jiang and 3 stalks of Cong Bai. Boil herb powder (3 qian) for one boil, pour out to get 1 cup juice. Mix with 2 qian of Qian Niu/Ban Xia powder, take after meal.
Jiao Jia San (Intersecting Powder) (from *Ru Yi Fang*) treats aversion to cold with high fever, external wind-cold, internal injury from raw/cold food, and both wind-cold syndromes.
Bai Du San (White Venerables Powder) and Wu Ji San in equal parts, decoct with Sheng Jiang and Da Zao. For deficiency constitution, suitable to use Yang Wei Tang (Nourish Stomach Decoction).
San Jian Tang (Three Establishments Decoction) treats faint pulse, heavy cold body, spontaneous sweating, vomiting. Add Ding Xiang (Caryophylli Flos) and Hu Jiao (Piperis Fructus), each 0.5 liang.
Bu Wo San (Sleepless Powder) (from *Shi Bian Liang Fang*) cuts off shanghan.
Cang Zhu, Chuan Xiong, Gan Cao, Ben Cao (Radix Ligustici Chuanxiong, each 1 liang). Coarse powder. Each dose 3 qian, decoct in 1 cup of water with 3 cun Cong Bai until 0.8 cup remains, strain, take hot, anytime.
Fu Ling Li Ge Tang (Poria Diaphragm-Draining Decoction) (from *Bao Sheng Fan Hui Lun*).
Fu Ling (1 liang), Niu Bang Zi (Fructus Arctii, fried fragrant, 2 liang), Jing Jie Sui (1 liang), Jie Geng (1 liang, slightly fried), Gan Cao (0.5 liang, fried purple).
Shang Fang... (Above formula...)
Jie Ji Tang (Release Muscle Decoction) (from *Bao Sheng Fan Hui Lun*)