（附论）
夫伤寒阴阳受病。毒瓦斯未除。其人已经服药出汗之后。而脉洪大实数。腹内胀满。小便
难。
方
柴胡散 治伤寒得汗后。热不除。朝暮壮热。
柴胡（去苗） 赤芍药 黄芩 栀子仁 枳壳（麸炒微黄去瓤） 麦门冬（去心） 人
参（去
芦头）
水一
盏。煎
羚羊角散 治伤寒已得汗出。热不除。发渴。朝暮烦。
羚羊角屑（一分） 犀角屑（一分） 麦门冬（半两去心） 柴胡（半两去苗） 地骨
皮（半两）
木
黄 散 治伤寒得汗后。热不除。发渴。身热。肢节烦疼。
黄 （锉） 鳖甲（涂醋炙冷去裙 ） 人参（去芦头） 柴胡（去苗） 赤茯苓 桑
根白皮
木
（麸炒
各一
温服。
知母散 治伤寒发汗。及吐后。烦热不除。满闷。头痛。口干呕逆。
知母 川升麻 麦门冬（去心） 人参（去芦头） 黄芩 葛根（锉各三分） 甘草（半
两炙
赤锉）
六分。
去滓
又方
葛根（锉） 麦门冬（去心） 黄芩 川升麻 地骨皮（各一两） 甘草（半两炙赤锉）
石膏
（一
秦艽散 治伤寒汗后。余热不除。四肢拘急。胸膈不利。呕逆。不思饮食。
秦艽（一两去苗） 柴胡（一两去苗） 枳壳（三分麸炒微黄去瓤） 桑根白皮（三分
锉） 麦
门冬
寸。
煎至
大黄散 治伤寒虽得汗后。热不除。心腹烦满。大小便秘涩。
川大黄（一两半锉碎微炒） 柴胡（三分去苗） 赤芍药（三分） 鳖甲（一两涂醋炙
令黄去
裙
杏仁
（三分
去滓。
不
人参散 治伤寒汗后。热不除。进退发渴。身体温燥。心神烦闷。口干舌涩。不
思饮食。
人参（去芦头） 葛根 犀角屑 栀子仁 麦门冬（去心） 柴胡（去苗） 地骨皮 黄
芩
甘草
煎
至六
黄芩散 治伤寒七八日。汗后余热不除。
黄芩 人参（去芦头） 柴胡（去苗） 葛根（锉以上各一两） 栀子仁（半两） 甘
草（半两
炙微
服。
解肌散 治伤寒汗后。余热不除。
知母 川升麻 天门冬（去心） 黄芩 葛根 柴胡（去苗各一两） 石膏（一两半）
上为
散。
治伤寒得汗后。热不除。心烦躁。
赤茯苓（一两半） 人参（三分去芦头） 甘草（半两炙微赤锉） 麦门冬（去心一两）
黄芩
（一
治伤寒汗后。热不除。内有实热。腹胀。烦躁。宜服此方。
柴胡（二两去苗） 川大黄（锉碎微炒一两） 赤芍药（半两） 枳壳（三分炒微黄） 半
夏
（半
不计
时候
犀角散 治伤寒汗后。心肺热不除。
犀角屑（半两） 麝香（半分细研） 牛黄（细研） 人参（去芦头） 茯神 麦门冬
（去心焙）
天
研了
药。
茯神丸 治伤寒汗后。热不除。心神不安。
茯神（一两） 麦门冬（一两去心焙） 羚羊角屑 栀子仁 白藓皮 川升麻 玄参（以
上
各二
砂同研
令匀
治伤寒汗后。余热不除。头痛内热。（出圣惠方）
麻黄（一两去根节） 甘草（半两炙微赤锉） 鸡子（一枚去壳） 上件药。细锉麻黄
等二
味。水
分二服
治伤寒十日以上。曾发汗未解。烦热不除。
大青（二两） 甘草（炙微赤锉一两） 麦门冬（一两去心） 上为末。每服五钱。水
一大盏。
入
柴胡饮子 治解利大人小儿伤寒。余热不已。
柴胡 黄芩 人参 甘草 升麻 地骨皮 赤茯苓 赤芍药 草龙胆（各半两） 上
咀。每
人参散 伤寒汗下后。余热不退。或烦或渴。面赤者。
人参 栀子 蓝叶 甘草 白藓皮（各半两） 上锉细。每服五钱。水煎服。
治伤寒发汗后。身上余热未退。
麻黄（去根） 芍药 细辛 牡丹皮（去心） 前胡（去毛） 官桂 山茵陈 荆芥穗 桔
梗
麦
木通散 治伤寒汗下后。足肿。有湿气不除者。
木通 木香 槟榔 独活（各一两） 丹参（七钱） 上锉细。每服五钱。水煎服。
枳实芍药干姜甘草汤 治伤寒汗下后。气逆。利不止者。寒也。
芍药（半两） 甘草（半两） 枳壳（麸炒半两） 干姜（炮半两） 上锉细。每服五
钱。水煎
服。
防葵散 治伤寒汗下后。脐左有动气者。
防葵（一两） 木香（五钱） 柴胡 黄芩（各半两） 上锉细。每服五钱。水煎服。
枳壳散 治伤寒汗下后。脐上有动气者。
枳壳（五钱麸炒） 赤茯苓（一两） 当归（一两） 京三棱（炮一两） 木香（五钱）
诃黎勒
（五
前胡散 治伤寒汗下后。脐右有动气者。
前胡 赤茯苓（各一两） 大腹皮 人参（各五钱） 木香（三钱） 槟榔 大黄（各
三钱）
上为
茯苓散 治伤寒下后。脐下有动气者。
赤茯苓（一两） 槟榔（三钱） 桂心 大腹皮 川茴香（炮炒） 良姜（各五钱）
上为细
末。每
调中散 治伤寒吃转药。病热已减。然大腑余热出后。终未快。精神昏闷。宜服此
。
柴胡 前胡（各去毛） 桔梗 贝母（去心） 牡丹皮（去心） 黄芩 麻黄（各一分）
枳壳
（只
水一盏。
煎两三沸。食后临卧。去滓。任意服。
治伤寒。汗后虚热。
用 草。锉研取生汁。饮一合。愈。
(Attached Discussion)
In Shanghan (Cold Damage disease), whether the pathogen affects the Yin or Yang meridians, the toxic heat within the body has not been eliminated. After the patient has taken medicine and sweated, symptoms such as a pulse that is surging (Hong), firm, and rapid, abdominal distension, and difficult urination persist.
Formulas:
Chaihu San (Bupleurum Powder): Treats persistent fever after sweating in Shanghan. Characterized by sustained high fever morning and evening.
Ingredients: Chai Hu (Radix Bupleuri, remove seedlings), Chi Shao Yao (Radix Paeoniae Rubra), Huang Qin (Radix Scutellariae), Zhi Zi Ren (Semen Gardeniae), Zhi Ke (Fructus Aurantii, bran-fried until slightly yellow, remove pith), Mai Men Dong (Rhizoma Ophiopogonis, remove heart), Ren Shen (Radix Ginseng, remove rhizome).
Usage: Decoct with one cup of water.
Lingyang Jiao San (Antelope Horn Powder): Treats persistent fever after sweating in Shanghan. Characterized by thirst and irritability morning and evening.
Ingredients: Ling Yang Jiao Jie (Cornu Saigae Tataricae, 1 fen), Xi Jiao Jie (Cornu Rhinocerotis, 1 fen), Mai Men Dong (Rhizoma Ophiopogonis, 0.5 liang, remove heart), Chai Hu (Radix Bupleuri, 0.5 liang, remove seedlings), Di Gu Pi (Cortex Lycii, 0.5 liang).
Mu Huang San: Treats persistent fever after sweating in Shanghan. Characterized by thirst, body heat, and painful/distressing sensations in the limbs and joints.
Ingredients: Huang [Bo] (Cortex Phellodendri, chopped), Bie Jia (Carapax et Plastrum Testudinis, coated with vinegar, fried, cooled, remove skirt edge), Ren Shen (Radix Ginseng, remove rhizome), Chai Hu (Radix Bupleuri, remove seedlings), Chi Fu Ling (Poria Cocos with Red Hosta Root, remove red skin), Sang Gen Bai Pi (Cortex Mori Radicis).
Usage: Take equal parts, warm water to administer.
Zhi Mu San (Anemarrhena Powder): Treats persistent irritability and heat after sweating or vomiting in Shanghan. Characterized by chest fullness, headache, dry mouth, and nausea/vomiting.
Ingredients: Zhi Mu (Rhizoma Anemarrhenae), Chuan Sheng Ma (Radix Bupleuri alternative/Scrophularia), Mai Men Dong (Rhizoma Ophiopogonis, remove heart), Ren Shen (Radix Ginseng, remove rhizome), Huang Qin (Radix Scutellariae), Ge Gen (Puerariae Lobatae Radix, chopped, each 3 qian), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, chopped).
Usage: Decoct to 0.6 cups, strain.
Another Formula:
Ingredients: Ge Gen (Puerariae Lobatae Radix, chopped), Mai Men Dong (Rhizoma Ophiopogonis, remove heart), Huang Qin (Radix Scutellariae), Chuan Sheng Ma, Di Gu Pi (Cortex Lycii, each 1 liang), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, chopped), Shi Gao (Gypsum Fibrosum).
Qin Jiao San (Gentian Powder): Treats persistent residual heat after sweating in Shanghan. Characterized by spasms and stiffness of the four limbs, discomfort in the chest and diaphragm, nausea/vomiting, and loss of appetite.
Ingredients: Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, remove seedlings), Chai Hu (Radix Bupleuri, 1 liang, remove seedlings), Zhi Ke (Fructus Aurantii, 3 qian, bran-fried until slightly yellow, remove pith), Sang Gen Bai Pi (Cortex Mori Radicis, 3 qian, chopped), Mai Men Dong (Rhizoma Ophiopogonis).
Usage: Decoct to a specific volume.
Da Huang San (Rhubarb Powder): Treats persistent fever after sweating in Shanghan despite the sweat. Characterized by irritability and fullness in the heart and abdomen, and constipation/difficulty in both urination and defecation.
Ingredients: Chuan Da Huang (Radix et Rhizoma Rhei, 1.5 liang, chopped and lightly fried), Chai Hu (Radix Bupleuri, 3 qian, remove seedlings), Chi Shao Yao (Radix Paeoniae Rubra, 3 qian), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, coated with vinegar, fried until yellow, remove skirt edge), Xing Ren (Semen Armeniacae Amarum, 3 qian, remove skin and tip).
Usage: Strain.
Ren Shen San (Ginseng Powder): Treats persistent fever after sweating in Shanghan. Characterized by intermittent thirst, warm and dry body, mental restlessness, dry and sticky tongue/mouth, and loss of appetite.
Ingredients: Ren Shen (Radix Ginseng, remove rhizome), Ge Gen (Puerariae Lobatae Radix), Xi Jiao Jie (Cornu Rhinocerotis), Zhi Zi Ren (Semen Gardeniae), Mai Men Dong (Rhizoma Ophiopogonis, remove heart), Chai Hu (Radix Bupleuri, remove seedlings), Di Gu Pi (Cortex Lycii), Huang Qin (Radix Scutellariae), Gan Cao (Radix Glycyrrhizae).
Usage: Decoct to 0.6 cups.
Huang Qin San (Scutellaria Powder): Treats persistent residual heat after sweating in Shanghan lasting seven to eight days.
Ingredients: Huang Qin (Radix Scutellariae), Ren Shen (Radix Ginseng, remove rhizome), Chai Hu (Radix Bupleuri, remove seedlings), Ge Gen (Puerariae Lobatae Radix, chopped, above ingredients each 1 liang), Zhi Zi Ren (Semen Gardeniae, 0.5 liang), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red).
Usage: Administer.
Jie Ji San (Muscle-Releasing Powder): Treats persistent residual heat after sweating in Shanghan.
Ingredients: Zhi Mu (Rhizoma Anemarrhenae), Chuan Sheng Ma, Tian Men Dong (Rhizoma Asparagi, remove heart), Huang Qin (Radix Scutellariae), Ge Gen (Puerariae Lobatae Radix), Chai Hu (Radix Bupleuri, remove seedlings, each 1 liang), Shi Gao (Gypsum Fibrosum, 1.5 liang).
Usage: Grind the above into a powder.
Treats persistent fever and mental irritability after sweating in Shanghan.
Ingredients: Chi Fu Ling (Poria Cocos with Red Hosta Root, 1.5 liang), Ren Shen (Radix Ginseng, 3 qian, remove rhizome), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, chopped), Mai Men Dong (Rhizoma Ophiopogonis, remove heart, 1 liang), Huang Qin (Radix Scutellariae).
Usage: One dose.
Treats persistent fever due to excess internal heat, abdominal distension, and irritability after sweating in Shanghan. This formula is suitable.
Ingredients: Chai Hu (Radix Bupleuri, 2 liang, remove seedlings), Chuan Da Huang (Radix et Rhizoma Rhei, chopped and lightly fried, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 0.5 liang), Zhi Ke (Fructus Aurantii, 3 qian, fried until slightly yellow), Ban Xia (Rhizoma Pinelliae).
Usage: Administer at any time.
Xi Jiao San (Rhinoceros Horn Powder): Treats persistent heat in the Heart and Lungs after sweating in Shanghan.
Ingredients: Xi Jiao Jie (Cornu Rhinocerotis, 0.5 liang), She Xiang (Moschus, 0.5 fen, finely ground), Niu Huang (Calculus Bovis, finely ground), Ren Shen (Radix Ginseng, remove rhizome), Fu Shen (Poria Cocos with Hosta Root), Mai Men Dong (Rhizoma Ophiopogonis, remove heart and baked).
Usage: Grind uniformly.
Fu Shen Wan (Poria Pill): Treats persistent fever and mental unrest after sweating in Shanghan.
Ingredients: Fu Shen (Poria Cocos with Hosta Root, 1 liang), Mai Men Dong (Rhizoma Ophiopogonis, 1 liang, remove heart and bake), Ling Yang Jiao Jie (Cornu Saigae Tataricae), Zhi Zi Ren (Semen Gardeniae), Bai Xian Pi (Cortex Dictamni), Chuan Sheng Ma, Xuan Shen (Radix Scrophulariae, above ingredients each 2 fen, grind together with sand until uniform).
Usage: Form into pills.
Treats persistent residual heat, headache, and internal heat after sweating in Shanghan. (From *Shenghui Fang*)
Ingredients: Ma Huang (Herba Ephedrae, 1 liang, remove roots and nodes), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, chopped), Ji Zi (Galli Ovum, one egg, remove shell).
Usage: Finely chop Ma Huang and the other ingredient. Decoct with water. Divide into two doses.
Treats persistent irritability and heat in Shanghan lasting more than ten days, where sweating failed to resolve the condition.
Ingredients: Da Qing (Folium Isatidis, 2 liang), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, chopped, 1 liang), Mai Men Dong (Rhizoma Ophiopogonis, 1 liang, remove heart).
Usage: Grind into powder. Take 5 qian per dose. Decoct with one large cup of water.
Chai Hu Yin Zi (Bupleurum Drink): Treats resolving Shanghan in adults and children, for lingering residual heat.
Ingredients: Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae), Sheng Ma (Cimicifugae Rhizoma), Di Gu Pi (Cortex Lycii), Chi Fu Ling (Poria Cocos with Red Hosta Root), Chi Shao Yao (Radix Paeoniae Rubra), Cao Long Dan (Radix Gentianae Scabrae, each 0.5 liang).
Usage: Coarsely crush the above. Each dose...
Ren Shen San (Ginseng Powder): Treats persistent residual heat after sweating or purging in Shanghan. Characterized by either irritability or thirst, and flushed face.
Ingredients: Ren Shen (Radix Ginseng), Zhi Zi (Fructus Gardeniae), Lan Ye (Folium Isatidis), Gan Cao (Radix Glycyrrhizae), Bai Xian Pi (Cortex Dictamni, each 0.5 liang).
Usage: Finely chop the above. Take 5 qian per dose. Decoct with water and administer.
Treats persistent residual heat on the body after sweating in Shanghan.
Ingredients: Ma Huang (Herba Ephedrae, remove roots), Shao Yao (Radix Paeoniae), Xi Xin (Herba Asari), Mu Dan Pi (Cortex Moutan, remove heart), Qian Hu (Radix Peucedani, remove hairs), Guan Gui (Cinnamomi Cortex), Shan Yin Chen (Artemisiae Scopariae Herba), Jing Jie Sui (Schizonepetae Spica), Jie Geng (Platycodonis Radix).
Usage:...
Mu Tong San (Akebia Powder): Treats foot swelling and persistent dampness after sweating or purging in Shanghan.
Ingredients: Mu Tong (Caulis Akebiae), Mu Xiang (Radix Aucklandiae), Bing Lang (Semen Arecae), Du Huo (Radix Angelicae Pubescentis, each 1 liang), Dan Shen (Radix Salviae Miltiorrhizae, 7 qian).
Usage: Finely chop the above. Take 5 qian per dose. Decoct with water and administer.
Zhi Shi Shao Yao Gan Jiang Gan Cao Tang (Immature Bitter Orange, Peony, Dried Ginger, and Licorice Decoction): Treats rebellious Qi and continuous diarrhea after sweating or purging in Shanghan. This indicates a Cold pattern.
Ingredients: Shao Yao (Radix Paeoniae, 0.5 liang), Gan Cao (Radix Glycyrrhizae, 0.5 liang), Zhi Ke (Fructus Aurantii, bran-fried, 0.5 liang), Gan Jiang (Rhizoma Zingiberis, processed, 0.5 liang).
Usage: Finely chop the above. Take 5 qian per dose. Decoct with water and administer.
Fang Kui San (Peucedani Powder): Treats moving Qi sensation to the left of the umbilicus after sweating or purging in Shanghan.
Ingredients: Fang Kui (Radix Peucedani), Mu Xiang (Radix Aucklandiae, 5 qian), Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae, each 0.5 liang).
Usage: Finely chop the above. Take 5 qian per dose. Decoct with water and administer.
Zhi Ke San (Bitter Orange Powder): Treats moving Qi sensation above the umbilicus after sweating or purging in Shanghan.
Ingredients: Zhi Ke (Fructus Aurantii, 5 qian, bran-fried), Chi Fu Ling (Poria Cocos with Red Hosta Root, 1 liang), Dang Gui (Radix Angelicae Sinensis, 1 liang), Jing San Leng (Rhizoma Sparganii, processed, 1 liang), Mu Xiang (Radix Aucklandiae, 5 qian), He Li Le (Fructus Chebulae, 5 qian).
Qian Hu San (Peucedani Powder): Treats moving Qi sensation to the right of the umbilicus after sweating or purging in Shanghan.
Ingredients: Qian Hu (Radix Peucedani), Chi Fu Ling (Poria Cocos with Red Hosta Root, each 1 liang), Da Fu Pi (Pericarpium Arecae), Ren Shen (Radix Ginseng, each 5 qian), Mu Xiang (Radix Aucklandiae, 3 qian), Bing Lang (Semen Arecae), Da Huang (Radix et Rhizoma Rhei, each 3 qian).
Usage: Grind the above into...
Fu Ling San (Poria Powder): Treats moving Qi sensation below the umbilicus after purging in Shanghan.
Ingredients: Chi Fu Ling (Poria Cocos with Red Hosta Root, 1 liang), Bing Lang (Semen Arecae, 3 qian), Gui Xin (Cinnamomi Ramulus), Da Fu Pi (Pericarpium Arecae), Chuan Hui Xiang (Fructus Foeniculi, processed and fried), Liang Jiang (Rhizoma Alpiniae Officinarum, each 5 qian).
Usage: Grind the above into fine powder. Each...
Tiao Zhong San (Middle-Regulating Powder): Treats post-Shanghan condition after mistaken use of emetic/purgative drugs. Although the main heat has subsided, after the residual heat from the Large Intestine is expelled, the patient still feels unrelieved, with dull and stuffy spirit. This formula is suitable.
Ingredients: Chai Hu (Radix Bupleuri), Qian Hu (Radix Peucedani, remove hairs, each), Jie Geng (Platycodonis Radix), Bei Mu (Fritillariae Bulbus, remove heart), Mu Dan Pi (Cortex Moutan, remove heart), Huang Qin (Radix Scutellariae), Ma Huang (Herba Ephedrae, each 1 fen), Zhi Ke (Fructus Aurantii).
Usage: Use only one cup of water. Boil for two to three boils. After meals and before sleep, strain and administer as desired.
Treats deficiency heat after sweating in Shanghan.
Use [Yi] Cao. Chop and grind to extract fresh juice. Drink one he. It will heal.