Library

Huai Shanghan (Damaged Cold Damage) refers to the condition where, after the pathogenic factors have affected all three Yin and three Yang meridians, the toxic qi has not dissipated but remains stagnant in the Zang-Fu organs, causing the symptoms to vary frequently. Hence it is called "Damaged Cold Damage."

If the original Taiyang disease does not resolve and transfers to the Shaoyang meridian, presenting with hardness and fullness below the costal region, dry retching, inability to eat, alternating chills and fever, and a deep-tight pulse, Xiao Chaihu Tang (Minor Bupleurum Decoction) is appropriate. If the Cun Kou (radial artery at the wrist) pulse is surging, rapid, and slippery, a surging pulse indicates abundant Ying Qi (Nutritive Qi), while a slippery-rapid pulse indicates robust Wei Qi (Defensive Qi). Abundant Ying Qi leads to stagnation and constraint; sweating can be induced. Robust Wei Qi leads to hard and difficult defecation, closure of the San Jiao (Triple Burner), blockage of body fluids, and interaction between Ying and Wei Qi, resulting in mental restlessness, fever, eyes burning like fire, dry nose, red face, dry tongue, yellow teeth, and extreme thirst. Therefore, for Taiyang disease that has passed its transmission cycle, if sweating was performed three days after onset, or if emesis, purgation, or sweating methods were used but the syndrome remained unresolved, it often transforms into Huai Bing (Damaged Disease). Furthermore, if Taiyang disease transfers to Shaoyang, and after emesis, purgation, and sweating, the Shaoyang syndrome has ceased, this is also considered Huai Bing. One must determine what error (Ni) was made and treat according to the law. These cases arise because the Cold Damage pathogen was in the meridians, and after sweating, emesis, and purgation, the symptoms did not clear, followed by infection with different heterogenous pathogens (such as cold, heat, dryness, dampness, wind). The pathology changes accordingly, hence termed Huai Bing. Additionally, if Cold Damage passes the transmission cycle and is re-infected by heat pathogens, which remain accumulated in the Zang-Fu organs causing variable symptoms, or if after the resolution of Cold Damage, the patient remains weak and emaciated with shortness of breath and residual symptoms, these are all called Huai Bing.

Mendong San (Ophiopogon Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Symptoms include heavy and weak body, drowsiness resembling drunkenness, headache, and irritability.
Ingredients: Ophiopogonis Radix (Mendong, 3 fen, heart removed), Lilii Bulbus (Baihe, 3 fen), Ephedrae Herba (Mahuang, 3 fen, roots and joints removed), Puerariae Radix (Gegen, 0.5 liang, sliced), Bupleuri Radix (Chaihu, 1 liang, sprouts removed), Platycodonis Radix (Jiegeng, 0.5 liang, radix removed), Akebiae Caulis (Mutong, 3 fen, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced), Cornu Saigae Tataricae (Lingyangjiao, 0.5 liang), Gypsum Fibrosum (Shigao, 2 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 5 qian per dose. Add 1 da zhen (large cup) of water and 0.5 fen of fresh ginger. Decoct until 0.5 fen remains. Strain. Take at any time.

Shengma San (Cimicifugae Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. After several days without resolution, tidal fever occurs with irritability and red face.
Ingredients: Cimicifugae Rhizoma (Shengma, 3 fen), Testudinis Carapax et Plastrum (Biejia, 3 fen, vinegar-fried until yellow, skirt removed), Peucedani Radix (Qianhu, 0.5 liang, radix removed), Pruni Semen (Wumei Rou, 0.5 liang), Aurantii Fructus Immaturus (Zhishi, 0.5 liang, bran-fried, pith removed), Scutellariae Radix (Huangqin, 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced), Puerariae Radix (Gegen, 3 fen, sliced).
Preparation and Administration: Grind the above ingredients into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 1 he of juice from Rehmanniae Radix Recens (Shengdihuang). Boil for one or two boils. Take at any time, divided into two doses.

Another Prescription [from *Sheng Hui Fang*]:
Ingredients: Gardeniae Fructus (Zhizi Ren, 3 fen), Cimicifugae Rhizoma (Shengma, 3 fen), Scutellariae Radix (Huangqin, 1 liang), Gypsum Fibrosum (Shigao, 1 liang), Zingiberis Rhizoma Exsiccatum (Ganjiang, 0.5 liang, roasted, cracked, and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 1 he of juice from Rehmanniae Radix Recens. Boil for one or two boils. Take at any time, divided into two doses.

Qianhu San (Peucedani Powder) [from *Sheng Hui Fang*]: Treats post-Cold Damage where more than ten days have passed, tidal fever persists, body feels heavy, and there is drowsiness resembling drunkenness.
Ingredients: Peucedani Radix (Qianhu, 1 liang, radix removed), Lilii Bulbus (Baihe, 1 liang), Ephedrae Herba (Mahuang, 3 fen, roots and joints removed), Puerariae Radix (Gegen, 1 liang, sliced), Ophiopogonis Radix (Mendong, 0.5 liang, heart removed), Gypsum Fibrosum (Shigao, 1 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water and 0.5 fen of fresh ginger. Decoct until 0.5 fen remains. Strain. Take at any time.

Another Prescription [from *Sheng Hui Fang*]:
Ingredients: Bupleuri Radix (Chaihu, 1 liang, sprouts removed), Saposhnikoviae Radix (Fangfeng, 3 fen, radix removed), Scutellariae Radix (Huangqin, 1 liang), Puerariae Radix (Gegen, 1 liang, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Take warm at any time.

Biejia San (Turtle Shell Powder): Treats Huai Shanghan. After ten days or more without resolution, heat is in the chest and diaphragm, with incessant irritability.
Ingredients: Testudinis Carapax et Plastrum (Biejia, vinegar-fried until yellow, skirt removed), Bupleuri Radix (Chaihu, sprouts removed), Cimicifugae Rhizoma (Shengma, 1 liang each), Pruni Semen (Wumei Rou, 1 liang; *Sheng Ji Zong Lu* says 0.5 liang), Scutellariae Radix (Huangqin, 1 liang, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 0.5 he of juice from Rehmanniae Radix Recens. Boil for one or two boils. Take warm, divided into two doses, at any time. Taken warm after meals, it is named Biejia Tang (Turtle Shell Decoction).

Xijiao San (Rhinoceros Horn Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. After many days,烦热 (irritating heat) persists, cheeks are red, and mouth is dry.
Ingredients: Cornu Rinocerontis (Xijiao, 1 liang, shaved), Bupleuri Radix (Chaihu, 3 fen, sprouts removed), Isatidis Folium (Wulan, 3 fen), Polygoni Tinctorii Folium (Daqing, 1 liang), Cimicifugae Rhizoma (Shengma, 1 liang), Pruni Semen (Wumei Rou, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water and 30 leaves of Bambusa Leaves (Zhuye). Decoct until 0.5 fen remains. Strain. Take warm at any time.

Mainu Wan (Wheat Parasite Pill) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Heat is in the chest, inability to speak.
Ingredients: Mainu (Mainu, 0.5 liang), Cineris Focus (Zaoxia Huangtu, 0.5 liang), Cineris Focus (Zaotu Zhongmo, 0.5 liang), Cineri Trabs (Liangshangchen, 0.5 liang), Ephedrae Herba (Mahuang, 1 liang, roots and joints removed), Astragali Radix (Huangqi, 0.5 liang, sliced and lightly fried), Scutellariae Radix (Huangqin, 0.5 liang), Natrii Sulfas (Puxiao, 1 liang).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose with new well water. If not thirsty, force drinking. Soon, coldness will be felt. After the coldness, sweating should occur, and recovery follows.

Xuandu Shexiang Wan (Toxin-Releasing Musk Pill) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Hardness and fullness below the heart, abdominal distension and urgency, difficulty in defecation, body color changes like peach branches, heat accumulation inside.
Ingredients: Moschus (Shexiang, 1 fen, finely ground), Polyporus (Zuling, 1 fen, black skin removed), Natrii Sulfas (Mangxiao, 1 liang), Bupleuri Radix (Chaihu, 0.5 liang, radix removed), Genkwa Flos (Yuanhua, 1 fen, vinegar-soaked and dried), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, 1 liang, sliced and lightly fried), Gardeniae Fructus (Zhizi Ren, 0.5 liang).
Preparation and Administration: Grind into powder. Mix with musk evenly. Mix with refined honey to form pills the size of Sophora seeds. Take 10 pills per dose with warm water. Defecation will occur after a long time; if not, take again.

Zhimu Mahuang Tang (Anemarrhena and Ephedra Decoction) [from *Yong Lei Qian Fang*]: Treats post-recovery Huai Shanghan. After 10+ days or 15-20 days, low-grade heat persists, cheeks are red, or symptoms resemble malaria. All caused by incomplete sweating, leaving residual toxins in the Pericardium Collateral.
Ingredients: Anemarrhenae Rhizoma (Zhimu, 1.5 liang, stir-fried), Ephedrae Herba (Mahuang, roots and joints removed, boiled and scum removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Paeoniae Radix Alba (Shaoyao), Scutellariae Radix (Huangqin, 0.5 liang each, black heart removed), Cinnamomi Ramulus (Guizhi, 0.5 liang, coarse bark removed; reduce by half in midsummer).
Preparation and Administration: Slice like hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water. Decoct until 0.5 fen remains. Strain. Within half a day, take three doses successively. Take warm to induce sweating, then take again. If restless and unable to sleep, or desiring water, give appropriately to harmonize the Stomach.

Shengma Tang (Cimicifuga Decoction): Treats Huai Shanghan. After several days without recovery, other medicines cannot eliminate the pathogen.
Ingredients: Cimicifugae Rhizoma (Shengma), Testudinis Carapax et Plastrum (Biejia, vinegar-fried, skirt removed), Aurantii Fructus Immaturus (Zhike, pith removed, bran-fried), Cornu Rinocerontis (Xijiao, shaved), Puerariae Radix (Gegen), Scutellariae Radix (Huangqin, black heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Peucedani Radix (Qianhu, radix removed), Aconiti Lateralis Radix Praeparata (Wutou, roasted, skin and bud removed, 0.5 liang each).
Preparation and Administration: Slice like hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water. Decoct until 0.7 fen remains. Strain. Take warm after meals.

Shexiang Wan (Musk Pill): Treats Huai Shanghan. Cold and heat battling, hardness below the heart, chest fullness and urgency, difficulty in defecation, body color turns yellow-green-black like peach branches, cold limbs, heat accumulation inside. Do not take liquid medicine.
Ingredients: Moschus (Shexiang, ground), Polyporus (Zuling, black skin removed), Natrii Sulfas (Puxiao, ground), Euphorbiae Pekinensis Radix (Raohua, fried), Genkwa Flos (Yuanhua, vinegar-fried, 1 fen each), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, sliced and fried), Phytolaccae Radix (Shanglu, ground).
Preparation and Administration: Grind into powder. Mix with refined honey and pound 300-500 times. Form pills the size of mung beans. Take 10 pills per dose before meals with warm water.

Heinu Wan (Black Slave Pill): Treats Huai Shanghan. Pain in head and bones/flesh, delirious speech, unresponsive to doctors.
Ingredients: Ephedrae Herba (Mahuang, roots and joints removed), Scutellariae Radix (Huangqin, 2 liang each, black heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Cineris Focus (Zaotu Mo), Natrii Sulfas (Mangxiao, 1 liang each), Phaseoli Cocti (Chi Dou, 1 he).
Preparation and Administration: Grind into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take one pill per dose, crushed in new well water. Take at any time.

Da Xiao Wan (Great Effect Pill): Treats Huai Shanghan.
Ingredients: Aconiti Radix (Wutou), Aconiti Lateralis Radix Praeparata (Fuzi) (Remove skin and bud, grind to powder. Boil 1 sheng of vinegar until dry, add 1 sheng of good wine, boil into paste, then add other herbs), Elapris (Wushe, wine-soaked, remove bone, fry), Asari Radix et Rhizoma (Xixin, remove sprouts and leaves), Magnoliae Officinalis Cortex (Houpo, remove coarse bark, ginger juice-fried), Ginseng Radix (Renshen), Polypori Cum Pini Wood (Chifuling, black skin removed), Cinnamomi Ramulus (Guizhi, coarse bark removed), Zingiberis Rhizoma Exsiccatum (Ganjiang, ground), Cardamomi Fructus (Caodoukou, peel removed), Borax (Pengsha), Larix Resina (Hutonglei), Arecae Semen (Binglang, sliced), Calomelas (Nifen), Non-inflammable Wood (Buhui Mu) (Each appropriate amount).
Preparation and Administration: Grind and mix. Form pills the size of Sophora seeds. Take 10 pills per dose.

Mendong Tang (Ophiopogon Decoction): Treats Huai Shanghan persisting for a long time. Tidal fever persists, body heavy, drowsy and irritable.
Ingredients: Ophiopogonis Radix (Mendong, heart removed, baked), Polypori Cum Pini Wood (Chifuling, black skin removed, 1 liang each), Testudinis Carapax et Plastrum (Biejia, skirt removed, vinegar-fried, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve. Take 3.7 qian per dose. Add 1 zhan of water, one Wumei (Prunus mume), and 50 Xiaomai (Triticum aestivum grains). Decoct until 0.7 fen remains. Strain. Take warm at any time.

Qianhu Tang (Peucedani Decoction): Treats Huai Shanghan. Tidal fever, red cheeks, dry mouth, irritability, mental cloudiness, persisting for a long time.
Ingredients: Peucedani Radix (Qianhu, 2 liang, radix removed), Bupleuri Radix (Chaihu, sprouts removed), Dichroae Radix (Changshan), Ginseng Radix (Renshen), Puerariae Radix (Gegen, sliced, 1 liang each), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced, 3 fen).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose. Add 1 da zhen of water, one Wumei (crushed), and three slices of fresh ginger. Decoct until 0.7 fen remains. Strain. Take warm at any time.

Treating Cold Damage not resolving after 8-9 days, named Bai Shanghan (Defeated Cold Damage). When various medicines cannot eliminate it, the formula is named Biejia San.
Ingredients: Testudinis Carapax et Plastrum (Biejia, fried), Shu Shengma (Shushengma), Peucedani Radix (Qianhu), Prunus mume (Wumei), Aurantii Fructus Immaturus (Zhishi, fried), Cornu Rinocerontis (Xijiao xie), Scutellariae Radix (Huangqin, 1 liang each), Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, honey-fried), Rehmanniae Radix Recens (Shengdihuang, 8 he).
Preparation and Administration: Cut into pieces. Add 8 sheng of water, boil to obtain 3 sheng. Divide into five doses, take frequently. If not resolved, take more. If head and face are red, remove Huangqin and use Gegen (4 liang); if no Shengdihuang, use Chi Dou (1 sheng). Boil to obtain 3 sheng, divide into three doses. Avoid Chromolaenae Herba (Wuyi).

Treating Huai Zheng Shanghan. After more than ten days, having passed the cycle, undergone purgation and sweating, yet not healed.
Guo Yi from Luzhou, named Yu, said his adoptive father Li, an Assistant Instructor from Daming Prefecture, was skilled in formulas and pulse diagnosis. He prepared this to treat four or five people, all recovered. The formula was obtained from a monk from Tiantai; the medication is very unusual. Some say its efficacy lies in Lou Gua (Trichosanthes Fruit), which is hard to understand.
Ingredients: Lyttae Carapax (Hongniangzi, 27 individuals, remove head, wings, feet, finely grind), Ziziphi Jujubae Fructus (Dazao, 2 fruits, peel and take flesh).
Preparation and Administration: Grind together until smooth and mushy. Form pills the size of Lizhong Wan. Take one pill per dose, decoct in white water. Sweat starts from head and eyes, then spreads over the body. Once slight sweating is felt, then take Xiaojianzhong Tang (Minor Construct the Middle Decoction) with added Huangqi (Astragalus). Stop when recovered.
Doctor Guo only remembers this saying and never dared to use it. It is best not to record it, leaving it for famous physicians to use.

Huisheng San (Revival Powder): Treats Cold Damage where purgation was missed, or it became Huai Zheng. Delirious speech, yellowing, macules, constipation, urine like blood, dry feces and blood stasis accumulation.
Ingredients: Kansui Radix (Gansui, raw), Black Qian Niu Zi (Heiqianniuzi, raw, taken as powder and weighed), Prunus Avium Seed (Yuliren, peel removed), Arecae Semen (Binglang, raw), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, raw), Euphorbiae Humifusa Radix (Daji) (Six ingredients in equal parts).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose. Add 1 zi of Qingfen (Calomel). Mix with a little honey water. Stir evenly with a willow branch and take. Adjust dosage based on deficiency or excess. Take at any time.