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Taiyang disease (Disease of the Taiyang channel). Stiffness and tension in the nape and back. No sweating, aversion to wind. Ge Gen Tang (Pueraria Decoction) is the primary treatment.
(Taiyang disease. If there is stiffness and tension in the nape and back with sweating and aversion to wind, it is Exterior Deficiency Wind Strike (Zhong Feng). If there is stiffness and tension in the nape and back with no sweating and aversion to wind, it is Exterior Excess Wind Strike.)

Ge Gen Tang Formula
Puerariae Radix (Si Liang / 4 liang) Ephedrae Herba (San Liang / 3 liang, remove joints) Cinnamomi Ramulus (Liang / 2 liang, remove bark) Paeoniae Radix Alba (Liang / 2 liang, slice) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried) Zingiberis Rhizoma Recens (San Liang / 3 liang, slice) Zizyphi Fructus (Twelve pieces, tear open)
(The *Bencao* states: Light substances can dispel excess. Ephedrae Herba and Puerariae Radix are examples. This condition is due to Exterior Excess Wind Strike, hence these two herbs are added to Gui Zhi Tang.)
The above seven ingredients. Use one dou of water. First decoct Puerariae Radix and Ephedrae Herba, reduce by two sheng, remove the foam on the surface. Add the remaining herbs. Decoct until three sheng remain. Remove the dregs. Take one sheng warm. Cover with blankets to induce a slight sweat. If sweating is excessive, apply warm powder to the body. If sweating occurs after one dose, stop taking the remaining medicine. Excessive sweating leads to Yang collapse, resulting in deficiency, aversion to wind, irritability, and insomnia.

Concurrent involvement of Taiyang and Yangming channels. Spontaneous diarrhea will occur. Ge Gen Tang is the primary treatment.
(Shanghan has concurrent diseases (He Bing) and combined diseases (Bing Bing). When Taiyang disease does not resolve and transitions to Yangming, it is called Bing Bing. When both channels are affected by pathogens simultaneously and combine to cause disease, it is called He Bing.)
In concurrent involvement of Taiyang and Yangming, if there is no diarrhea but only vomiting, Ge Gen Jia Ban Xia Tang (Pueraria Decoction plus Pinellia) is the primary treatment.
(Exterior pathogenic factors are severe, Yang cannot govern the interior, interior Qi is disharmonious. Qi moves downward but not upward, causing only diarrhea without vomiting. Interior Qi rebels upward but does not move downward, causing only vomiting while diarrhea stops.)

Ge Gen Jia Ban Xia Tang Formula
Puerariae Radix (Si Liang / 4 liang) Ephedrae Herba (San Liang / 3 liang, remove joints, soak in decoction, remove yellow juice, bake dry, weigh) Zingiberis Rhizoma Recens (San Liang / 3 liang, slice) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried) Paeoniae Radix Alba (Liang / 2 liang) Cinnamomi Ramulus (Liang / 2 liang, remove bark) Pinelliae Rhizoma Preparatum (Ban Sheng / half sheng, wash) Zizyphi Fructus (Twelve pieces, tear open)
The above eight ingredients. Use one dou of water. First decoct Puerariae Radix and Ephedrae Herba, reduce by two sheng, remove the foam. Add the remaining herbs. Decoct until three sheng remain. Remove the dregs. Take one sheng warm.

Taiyang disease. Gui Zhi Tang syndrome. The physician incorrectly used purgation. Diarrhea persists. Pulse is rapid/crisp (Cu), indicating the exterior pattern has not resolved. Asthma and sweating indicate Ge Gen Huang Lian Huang Qin Tang (Pueraria, Coptis, and Scutellaria Decoction) is the primary treatment.
(The classic states: Purging when inappropriate causes internal deficiency and heat invasion, leading to diarrhea. In Gui Zhi Tang syndrome, the pathogen is at the exterior. Incorrect purgation empties the stomach and intestines, allowing heat to invade, causing persistent diarrhea. Pathogen at the exterior presents with Yang pulses; pathogen at the interior presents with Yin pulses. Diarrhea with faint/slow pulse indicates pathogen at the interior.)
Besides clearing interior heat, the exterior must be resolved.

Ge Gen Huang Lian Huang Qin Tang Formula
Puerariae Radix (Ban Jin / half jin) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, sweet and neutral) Scutellariae Radix (Liang / 2 liang, bitter and cold) Coptidis Rhizoma (San Liang / 3 liang, bitter and cold)
(The *Neijing* states: Sweet flavors disperse and belong to Yang. For unresolved exterior patterns, use the sweetness of Puerariae Radix and Glycyrrhizae Radix to disperse. Bitter flavors strengthen the interior. For weak Qi, use the bitterness of Scutellariae Radix and Coptidis Rhizoma to strengthen the interior.)

Taiyang disease. Headache, fever. Body ache, lower back pain. Bone and joint pain. Aversion to wind. No sweating and asthma indicate Ma Huang Tang (Ephedra Decoction) is the primary treatment.
(This is Taiyang Cold Damage (Shang Han). Cold injures the Ying (Nutrient) level. Headache, body ache, lower back pain, extending to bone and joint pain, indicates impaired circulation of Ying and Blood in the Taiyang channel.)
Internal blockage of Lung Qi causes asthma.

Ma Huang Tang Formula
Ephedrae Herba (San Liang / 3 liang, sweet and warm, remove joints) Cinnamomi Ramulus (Liang / 2 liang, remove bark, pungent and hot) Glycyrrhizae Radix et Rhizoma Preparata (Yi Liang / 1 liang, honey-fried, sweet and neutral) Armeniacae Semen Amarum (Seventy pieces, soak in decoction, remove skin and tips, double kernels removed)
(The *Neijing* states: When cold invades internally, treat with sweet-hot substances, assisted by bitter-pungent ones. Ephedrae Herba and Glycyrrhizae Radix open the pores and induce sweating. Cinnamomi Ramulus and Armeniacae Semen Amarum disperse cold and descend Qi.)

Concurrent involvement of Taiyang and Yangming channels. Asthma and chest fullness. Do not use purgation. Ma Huang Tang is suitable as the primary treatment.
(Qi receives its source in the chest. Asthma and chest fullness indicate Yang Qi is not disseminating, becoming stagnant and rebelling upward. Fullness in the epigastrium or abdomen indicates Excess and requires purgation. Here, chest fullness is not Excess, so purgation is contraindicated.)

Taiyang disease. Ten days have passed. Pulse is floating and fine, and the patient desires to lie down. The exterior has resolved. If there is chest fullness and hypochondriac pain, give Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pulse is only floating, give Ma Huang Tang.
(After ten days, recovery is imminent. Floating and fine pulse with desire to lie down indicates exterior pathogens have ceased. Although resolving, if the pulse is only floating and not fine, the pathogen remains at the exterior.)

Wind Strike. Pulse is floating and tight. Fever and aversion to cold. Body pain. No sweating and irritability indicate Da Qing Long Tang (Major Blue-Green Dragon Decoction) is the primary treatment. If the pulse is faint/weak, sweating, and aversion to wind, Da Qing Long Tang is contraindicated.
(This is Wind Strike presenting with Cold pulses. Floating indicates Wind, which injures Wei (Defensive) Qi. Tight indicates Cold, which injures Ying (Nutrient) Qi. Both Ying and Wei are diseased, hence fever and aversion to cold. This is Exterior and Interior Excess.)
Wei Qi is blocked.

Da Qing Long Tang Formula
Ephedrae Herba (Liu Liang / 6 liang, remove joints, sweet and warm) Cinnamomi Ramulus (Liang / 2 liang, remove bark, pungent and hot) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried, sweet and neutral) Armeniacae Semen Amarum (Forty pieces, remove skin and tips) Gypsum Fibrosum (Size of a chicken egg, crushed, sweet and slightly cold)
(Pungent and sweet are both dispersing. However, Wind is best dispersed by pungency, and Cold is best released by sweating induced by sweetness. Pungent and sweet combined can disperse Wind-Cold from Ying and Wei. Ephedrae Herba, Cinnamomi Ramulus, Glycyrrhizae Radix, Armeniacae Semen Amarum, Gypsum Fibrosum. Use nine sheng of water. First decoct Ephedrae Herba, reduce by two sheng, remove the foam. Add other herbs. Decoct until three sheng remain. Remove dregs. Take one sheng warm. Induce a slight sweat. If sweating is excessive, apply warm powder. If sweating occurs after one dose, stop subsequent doses. Excessive sweating leads to Yang collapse, resulting in deficiency, aversion to wind, irritability, and insomnia.)

Cold Damage. Pulse is floating and slow. Body does not ache, but feels heavy. Occasionally feels lighter. No Shaoyin syndrome. Treat with Da Qing Long Tang to induce sweating.
(This is Cold Damage presenting with Wind pulses. Cold Damage causes body ache; here, Wind prevails, so no ache. Wind Strike causes heaviness; here, Wind is combined, so heaviness occasionally lightens.)

Cold Damage exterior pattern unresolved. Fluid retention in the Heart (Epigastrium). Dry retching. Fever and cough. Or thirst. Or diarrhea. Or choking sensation. Or difficulty urinating. Lower abdominal fullness. Or mild asthma. Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) is the primary treatment.
(Cold Damage exterior unresolved. Fluid retention in the Heart. Water and Cold contend. Lung Qi becomes cold and rebels, causing dry retching, fever, and cough. The *Zhenjing* states: External cold and cold drinks injure the Lung.)
Water-Cold shoots into the Lung.

Xiao Qing Long Tang Formula
Ephedrae Herba (San Liang / 3 liang, remove joints, sweet and warm) Paeoniae Radix Alba (San Liang / 3 liang, sour and slightly cold) Zingiberis Rhizoma (San Liang / 3 liang, pungent and hot) Glycyrrhizae Radix et Rhizoma Preparata (San Liang / 3 liang, honey-fried, sweet and neutral) Asari Radix et Rhizoma (San Liang / 3 liang, pungent and warm) Cinnamomi Ramulus (San Liang / 3 liang, remove bark, pungent and hot) Schisandrae Fructus (Ban Sheng / half sheng, sour and warm) Pinelliae Rhizoma Preparatum (Ban Sheng / half sheng, wash, pungent and neutral)
(Cold pathogen at the exterior cannot be dispersed without sweet-pungent substances. The pungent-sweet combination of Ephedrae Herba, Cinnamomi Ramulus, and Glycyrrhizae Radix disperses exterior pathogens. Water stagnates in the Heart and does not move, causing rebellious Qi, asthma, and Lung Qi rebellion. The *Neijing* states: The Lung desires constriction; urgently feed sour substances to constrict it. The sourness of Paeoniae Radix and Schisandrae Fructus constrains rebellious Qi and calms the Lung.) The above eight ingredients. Use one dou of water. First decoct Ephedrae Herba, reduce by two sheng, remove the foam. Add other herbs. Decoct until three sheng remain. Remove dregs. Take one sheng warm.

Modifications
If mild diarrhea: Remove Ephedrae Herba. Add Yuan Hua (Genkwa Flos) the size of an egg, stir-fry until red.
(Diarrhea patients should not attack the exterior. Sweating will cause abdominal fullness. Ephedrae Herba releases Yang; water infiltrates the Stomach, causing diarrhea. Yuan Hua drains water from twelve channels.)
If thirst: Remove Pinelliae Rhizoma. Add Tian Hua Fen (Trichosanthis Radix) San Liang / 3 liang.
(Pungent-drying and bitter-moistening. Pinelliae Rhizoma is pungent and dries fluids, unsuitable for thirst. Hence remove it. Trichosanthis Radix is bitter and generates fluids, hence add it.)
If choking sensation: Remove Ephedrae Herba. Add Fu Zi (Aconiti Lateralis Radix Praeparata) Yi Ming / 1 piece, processed.
(The classic states: Water encountering cold Qi contends. The patient chokes. Add Aconiti Lateralis Radix Praeparata to warm and disperse Water-Cold. Patients with Cold, if sweating is re-induced, Stomach Cold will cause vomiting of roundworms. Remove Ephedrae Herba because sweating is disliked.)
If difficulty urinating and lower abdominal fullness: Remove Ephedrae Herba. Add Fu Ling (Poria) Si Liang / 4 liang.
(Water accumulates in the Lower Jiao and does not move, causing difficulty urinating and lower abdominal fullness. Ephedrae Herba directs fluids outward, which is unsuitable here. Fu Ling drains accumulated water from below, which is appropriate.)
If asthma: Add Xing Ren (Armeniacae Semen Amarum) Ban Sheng / half sheng, remove skin and tips, to Ephedrae Herba.
(The *Jin Gui Yao Lue* states: If the patient has edema, do not add Ephedrae Herba. Add Armeniacae Semen Amarum because Ephedrae Herba releases Yang. Asthma and edema indicate Water-Qi affecting both root and branch.)

Cold Damage with fluid retention in the Heart. Cough and mild asthma. Fever without thirst. After taking the decoction, if thirst develops, this indicates Cold has gone and resolution is impending. Xiao Qing Long Tang is the primary treatment.
(Mild cough and asthma indicate Water-Cold shooting into the Lung. Fever without thirst indicates the exterior pattern has not ceased. Give Xiao Qing Long Tang to release the exterior and scatter water. Thirst after taking the decoction indicates Cold has gone, Zheng Qi recovers, and fluids are insufficient, hence thirst. This is a sign of impending resolution.)

Taiyang disease. Exterior pattern unresolved. Pulse is floating and weak. Resolve with sweating. Gui Zhi Tang (Cinnamon Twig Decoction) is suitable.
(Floating and weak pulse indicates Weak Ying and Strong Wei.)

Taiyang disease. Mild asthma after incorrect purgation. Indicates exterior pattern unresolved. Gui Zhi Jia Hou Po Xing Zi Tang (Cinnamon Twig Decoction plus Magnolia Bark and Apricot Kernel) is the primary treatment.
(Moderate asthma after purgation indicates severe interior deficiency, pathogen transmitting inward, and impending collapse of Zheng Qi. Mild asthma after purgation indicates interior Qi rebelling upward, but pathogen not transmitting inward.)

Taiyang disease. Exterior pattern unresolved. Do not use purgation. Purgation is contrary to principle. To resolve the exterior, Gui Zhi Tang is the primary treatment.
(The classic states: Initiating purgation instead of sweating is contrary. Initiating sweating first is not contrary.)

Taiyang disease. Initial sweating fails to resolve. Subsequent purgation. Pulse is still floating. Disease does not resolve. Floating indicates pathogen is external. Incorrect purgation causes non-resolution. Current floating pulse indicates pathogen remains at the exterior.
(The classic states: If Chai Hu Tang syndrome is present and purgation is incorrectly used, if Chai Hu Tang syndrome persists, administer Chai Hu Tang again. Even after purgation, this is not contrary.)

Taiyang disease. Pulse floating and tight. No sweating, fever. Body pain. Unresolved after eight or nine days. Exterior pattern persists. Induce sweating. After medication, symptoms slightly decrease.
(Pulse floating and tight, no sweating, fever, body pain is Taiyang Cold Damage. Even after eight or nine days, if exterior pattern persists, sweating is indicated. Taking warm medicines to induce sweating unblocks meridians. Treatment is appropriate, so even severe disease lightens.)

Taiyang disease. Pulse floating and tight. Fever, no sweating. Spontaneous nasal bleeding (Xu) leads to recovery.
(Cold and Wind in the channels, unable to resolve via sweating, become stagnant and transform into Heat. Nasal bleeding allows Heat to dissipate with blood. Hence, spontaneous nasal bleeding leads to recovery.)

Two-Yang Combined Disease. At the onset of Taiyang disease, sweating was induced. Sweat was initially incomplete. Consequently, it transitions to Yangming. Continued mild spontaneous sweating. No aversion to cold.
If
Exterior
Sensation shifts between abdomen and limbs. Cannot be palpated. Shortness of breath. Due to incomplete sweating. Re-induce sweating for recovery. How to know sweating was incomplete? By choppy pulse.
(Taiyang disease unresolved, transitioning to Yangming, while Taiyang pattern persists is called Bing Bing. Continued mild sweating and no aversion to cold indicate residual Taiyang exterior pathogens. Resolve the exterior first. Yangming channel traverses the face. Uniform redness indicates Yang Qi stagnation at the exterior. Resolve and fumigate to induce sweat. Incomplete sweating is not merely Yang stagnation, but failure to sweat when indicated. Yang Qi cannot diffuse, pathogen has no exit, congests in channels, causing irritability. Pathogen follows channels, pain has no fixed location. Abdominal or limb pain, unpalpable, shortness of breath. Blame incomplete sweating. Re-induce sweating for recovery. The *Neijing* states: Choppy pulse indicates excess Yang. Body heat and no sweating. Thus, choppy pulse indicates Yang congestion and incomplete sweating.)

Floating and rapid pulse. Methodologically, sweating should lead to recovery. If purged, body heaviness and palpitations occur. Do not induce sweating. Wait for spontaneous sweating to resolve. Why? Because Chi pulse is slow.
(The classic states: All floating-rapid pulses indicate fever and aversion to cold, meaning pathogen is at the exterior. Sweating leads to recovery. If purged, body heaviness and palpitations occur. Current Chi pulse is slow. Do not induce sweating. Interior Qi must be solid, fluids sufficient, then spontaneous sweating resolves.)

Floating and tight pulse. Methodologically, body pain is expected. Resolve with sweating. If Chi pulse is slow, do not induce sweating. Why? Because Ying Qi is insufficient.
(The *Zhenjing* states: Those who lose blood have no sweat. Slow Chi pulse indicates Ying-Blood deficiency. Hence, do not induce sweating.)

Floating pulse. Disease is at the exterior. Induce sweating. Ma Huang Tang is suitable.
(Floating is felt lightly, assessing Qi at the skin. The *Neijing* states: What is in the skin, release via sweating.)

Floating and rapid pulse. Induce sweating. Ma Huang Tang is suitable.
(Floating injures Wei. Rapid injures Ying. Ying and Wei receive pathogens, disease is at the exterior. Hence, disperse via sweating.)

Constant spontaneous sweating. This is Harmonious Ying. Harmonious Ying means exterior disharmony. Because Wei Qi does not harmonize with Ying Qi. Ying moves within vessels, Wei moves outside vessels. Re-induce sweating. Ying and Wei harmonize, then recover. Gui Zhi Tang is suitable.
(Wind injures Wei. Cold injures Ying. Wei receives Wind pathogen while Ying is unaffected, indicating Harmonious Ying. Once Wei hosts pathogen, it cannot harmonize with Ying.)

Patient has no internal organ disease. Periodic fever and spontaneous sweating without recovery. This is Disharmonious Wei Qi. Induce sweating before the fever starts, then recover. Gui Zhi Tang is the primary treatment.
(No internal organ disease means Interior Harmony. Disharmonious Wei Qi means Exterior Disease. *Wai Tai Mi Yao* states: Interior harmony, exterior disease, sweating leads to recovery. "Before the time" refers to before fever onset.)

Cold Damage. Pulse floating and tight. Not sweating. Leads to nasal bleeding. Ma Huang Tang is the primary treatment.
(Cold Damage, pulse floating and tight, pathogen at exterior. Should give Ma Huang Tang to induce sweating. If not, pathogen has no exit, congests in channels, forces blood to bleed recklessly.)

Cold Damage. Constipation for six or seven days. Headache with fever. Give Cheng Qi Tang. If urine is clear, know pathogen is not in the interior, but remains at the exterior. Must induce sweating.
(Constipation for six or seven days with headache and fever suggests purgation. If urine is clear, know there is no interior heat, so purgation is contraindicated. Classic states: Clear urine indicates pathogen is not in the interior, but remains at the exterior.)

Cold Damage resolves with sweating. Half a day later, irritability returns. Pulse floating and rapid. Can re-induce sweating. Gui Zhi Tang is the primary treatment.
(Irritability indicates Heat. Body cooling after sweating indicates resolution. Half a day later, body heats up again, pulse floating and rapid, indicates pathogen is not exhausted. Can re-induce sweating. Give Gui Zhi Tang.)

Generally, if sweating, vomiting, purgation, or loss of fluids occurs, if Yin and Yang self-harmonize, the disease will surely resolve itself.
(Severe loss of fluids prevents sweating. Must wait for Yin and Yang self-harmony for recovery.)

After severe purgation, followed by sweating. Difficulty urinating. Due to loss of fluids. Do not treat directly. When urination improves, it will surely resolve itself.
(Difficulty urinating due to fluid loss can be treated with diuretics. Wait for fluids to replenish and urination to improve, then it will resolve itself.)

After purgation, followed by sweating. Chills. Pulse faint and thin. Why? Because both interior and exterior are deficient.
(Sweating causes exterior deficiency and Yang loss. Purgation causes interior deficiency and Blood loss. Chills indicate weak Yang. Faint-thin pulse indicates weak Yin-Blood.)

After purgation, followed by sweating. Irritability during the day, inability to sleep. Quiet at night. No vomiting, no thirst. No exterior pattern. Pulse deep and faint. No significant heat. Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) is the primary treatment.
(Purgation empties the interior. Sweating empties the exterior. Both purged and sweated, interior and exterior are deficient. Yang reaches daytime, Yang desires to recover, but deficiency cannot overcome pathogen, hence irritability. Quiet at night, no exterior pattern, deep-faint pulse, no significant heat, indicates Yin excess repelling Yang. Gan Jiang Fu Zi Tang restores Yang and saves from collapse.)

Gan Jiang Fu Zi Tang Formula
Zingiberis Rhizoma (Yi Liang / 1 liang, pungent and hot) Aconiti Lateralis Radix Preparata (Yi Ming / 1 piece, raw, remove skin, break into eight pieces, pungent and hot)
(The *Neijing* states: Where Cold prevails, balance with pungent-hot. Severe deficiency-Cold is overcome by pungent-hot agents.) The above two ingredients. Use three sheng of water. Decoct until one sheng remains. Remove dregs. Take all at once.

After sweating. Body pain. Pulse deep and slow. Gui Zhi Jia Shao Yao Sheng Jiang Ren Shen Xin Jia Tang (Cinnamon Twig Decoction plus additional Paeonia, Ginger, and Ginseng, New Added Decoction) is the primary treatment.
(Body pain after sweating indicates residual pathogen. Deep-slow pulse indicates Ying-Blood deficiency. Classic states: Deep pulse indicates weak Ying Qi. Also: Slow pulse indicates Blood deficiency.)

After sweating. Do not use Gui Zhi Tang again. Sweating and asthma. No significant heat. Ma Huang Xing Gan Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) may be given as the primary treatment.
(Asthma after sweating should be treated with Gui Zhi Jia Hou Po Xing Zi Tang. Sweating cures asthma. Now sweating with asthma indicates severe pathogen congestion. Gui Zhi Tang cannot resolve it. Hence, Ma Huang Xing Gan Shi Gao Tang clears and diffuses Lung Heat.)

Ma Huang Xing Gan Shi Gao Tang Formula
Ephedrae Herba (Si Liang / 4 liang, remove joints, sweet and warm) Armeniacae Semen Amarum (Fifty pieces, remove skin and tips, sweet and warm) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried, sweet and neutral) Gypsum Fibrosum (Ban Jin / half jin, crushed, wrapped in cloth)
(The *Neijing* states: Liver suffers from urgency; urgently feed sweet substances to relax it. Wind Qi connects to the Liver. Severe exterior Wind pathogen, hence use pure sweet agent to release it.) The above four ingredients. Use six sheng of water. First decoct Ephedrae Herba, reduce by two sheng, remove foam. Add other herbs. Decoct until two sheng remain. Remove dregs. Take one sheng warm.

(Excessive sweating leads to Yang collapse. Yang Qi originates in the chest. Insufficient Yang Qi in the chest causes the patient to cross hands over the heart. Palpitations. Desire to press.)

Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction) Formula
Cinnamomi Ramulus (Si Liang / 4 liang, remove bark, pungent and hot) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried, sweet and neutral)
(Sweetness of Cinnamomi Ramulus enters Lung and benefits Qi. Sweetness of Glycyrrhizae Radix enters Spleen and moderates Middle.) The above two ingredients. Use three sheng of water. Decoct until one sheng remains. Remove dregs. Take all at once.

After sweating. Palpitations below the umbilicus. Impending Ben Tun (Rushing Pig). Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the primary treatment.
(Sweat is the fluid of the Heart. After sweating, palpitations below the umbilicus indicate Heart Qi deficiency and Kidney Qi activation. Kidney accumulation is named Ben Tun. Upon onset, it rises from lower abdomen to epigastrium. Kidney Qi rebels, attempting to overwhelm the Heart. Current palpitations below umbilicus indicate Kidney Qi activation, hence "impending Ben Tun." Fu Ling Gui Zhi Gan Cao Da Zao Tang warms Yang, transforms fluid, and calms rushing.)

Fu Ling Gui Zhi Gan Cao Da Zao Tang Formula
Poria (Ban Jin / half jin, sweet and neutral) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried, sweet and neutral) Cinnamomi Ramulus (Si Liang / 4 liang, remove bark) Zizyphi Fructus (Fifteen pieces, tear open, sweet and neutral)
(Poria attacks Kidney pathogen. Cinnamomi Ramulus drains Ben Tun. Sweetness of Licorice and Jujube nourishes Spleen Earth to calm Kidney Water. Decoct using Gan Lan Shui (Agitated Water) to avoid assisting Kidney pathogen.) First decoct Poria, reduce by two sheng. Add other herbs. Decoct until three sheng remain. Remove dregs. Take one sheng warm.

There are five or six thousand pearl-like bubbles. Collect them for use. After sweating. Abdominal fullness. Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang (Magnolia Bark, Ginger, Pinellia, Licorice, and Ginseng Decoction) is the primary treatment.
(Abdominal fullness after vomiting or purgation is Excess, meaning pathogen enters interior due to deficiency. After sweating, exterior is resolved. Abdominal fullness indicates Spleen deficiency with Qi stagnation. Mixed deficiency and excess. Hence this formula tonifies and reduces simultaneously.)

Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang Formula
Magnoliae Officinalis Cortex (Ban Jin / half jin, remove bark, process with honey, bitter and warm) Zingiberis Rhizoma Recens (Ban Jin / half jin, slice, pungent and warm) Pinelliae Rhizoma Preparatum (Ban Sheng / half sheng, wash, pungent and neutral) Ginseng Radix et Rhizoma (Yi Liang / 1 liang, sweet and warm)
(The *Neijing* states: Spleen desires relaxation; urgently feed sweet to relax. Use bitter to drain. Bitterness of Magnoliae Officinalis Cortex drains abdominal fullness. Sweetness of Ginseng and Licorice tonifies Spleen Qi. Pungency of Pinellia and Ginger disperses fluid. Together they benefit Spleen and reduce distension.)

Cold Damage. After vomiting or purgation. Reverse fullness in epigastrium. Qi rushes to chest. Dizziness upon standing. Pulse deep and tight. Sweating disturbs meridians, body trembles and sways. Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is the primary treatment.
(After vomiting/purgation, interior is deficient. Rebelling Qi causes reverse fullness in epigastrium and Qi rushing to chest. Exterior deficiency and Yang insufficiency cause dizziness upon standing. Deep-tight pulse indicates internal water retention. Yang deficiency and Water flooding. Hence this formula warms Yang and promotes diuresis.)

Fu Ling Gui Zhi Bai Zhu Gan Cao Tang Formula
Poria (Si Liang / 4 liang, sweet and neutral) Cinnamomi Ramulus (San Liang / 3 liang, remove bark, pungent and hot) Atractylodis Macrocephalae Rhizoma (Liang / 2 liang, bitter-sweet and warm) Glycyrrhizae Radix et Rhizoma Preparata (Liang / 2 liang, honey-fried, sweet and neutral)
(For Yang insufficiency, supplement with sweet. Poria and Atractylodis Macrocephalae Rhizoma generate fluids and benefit Yang. For interior Qi rebellion, disperse with pungent. Cinnamomi Ramulus and Licorice pungent-sweet transform Yang to warm and transform water dampness.)

After sweating. Disease unresolved. Instead, aversion to cold indicates deficiency. Shao Yao Gan Cao Fu Zi Tang (Paeonia, Licorice, and Aconite Decoction) is the primary treatment.
(If sweating resolves disease, there is no aversion to cold. If sweating fails to resolve disease and exterior is Excess, there is also no aversion to cold. Now, sweating fails to resolve disease AND aversion to cold appears, indicating Yin and Yang both deficient. Hence this formula supports Yang and benefits Yin.)

Shao Yao Gan Cao Fu Zi Tang Formula