柴胡（二两，去苗洗） 黄芩（去皮） 芍药（各三两） 半夏（六钱二字，汤浸七次）
枳实
（二枚，去穣，麸炒） 大黄（半两，伊芳尹汤液论大柴胡同姜枣共八味，今监本无脱之也）
上粗末，抄五钱，水一盏半，生姜五片，肥枣一个，擘破，煎至八分，去滓温服，以利
为度
脉洪
与
柴
曰∶
至尊
从之，
痛鼻
曰∶阳明
胡，此仲景
者急下之，人多
口干燥者，急下之。
斯二者，则其他疑惑处
者，亦犹急当救表，急当救
则为径捷，免致用蜜兑也。
稳也。
又记一乡人伤寒身热，大便不通，烦渴郁冒。医者用巴豆药下之。虽得溏利，病宛然如
旧。予视之，阳明热结在里，非大柴胡、承气等不可。巴豆只去积，安能荡涤邪热蕴毒邪。
急进大柴胡等三服，得汗而解。 尝谓仲景百一十三方，为丸者有五。理中、陷胸、抵当、
乌梅、麻仁。是
乌梅治湿 ，皆用小丸以
未闻用巴豆小丸药以下邪气
方》云∶若身体疼痛，
治湿温多汗。
知母（六两） 甘草（炙，二合） 石膏（一斤） 苍术（三两，米泔浸） 粳米（三
两）
上锉如麻豆大，每服四大钱，水一盏半，煎至八分，去滓，取六厘清汁，温服。
癸丑年，故人王彦龙作毗陵仓官，季夏得疾。胸项多汗，两足逆冷，谵语。医者不晓，
杂进药已
湿相抟，
三日愈。此
实邪、虚邪
从所胜来者为微邪
受暑而湿邪胜之，水
温之脉，阳濡而弱，阴小
故《经》曰暑湿相抟。名曰湿温
足汗 未尝干。每服此药二三盏，
Chai Hu (Radix Bupleuri, two liang, remove seedlings and wash) Huang Qin (Radix Scutellariae, remove peel) Shao Yao (Radix Paeoniae Rubra or Radix Paeoniae Alba, three liang each) Ban Xia (Rhizoma Pinelliae, six qian two fen, soak in boiling water seven times)
Zhi Shi (Fructus Aurantii Immaturus, two pieces, remove pulp, stir-fry with bran) Da Huang (Radix et Rhizoma Rhei, half a liang; Yi Fang Yin Tang Ye Lun states that Da Chai Hu Tang has eight ingredients including ginger and jujube together; the current official edition lacks these, indicating an omission.)
Grind into coarse powder. Take five qian, add one and a half cups of water, five slices of fresh ginger, one large jujube (split open). Decoct until reduced to eight-tenths. Remove dregs and take warm. The dosage is determined by achieving bowel movement.
Pulse is surging.
With
Chai
Said:
Your Majesty
Followed it,
Pain nose
Said: Yang Ming
Hu, this Zhong Jing
Those who need urgent purgation, many people
Those with dry mouth and throat need urgent purgation.
These two cases, then other places of doubt
Also like urgently saving the exterior, urgently saving
Then it is direct and quick, avoiding the use of honey suppository.
Stable.
Also recorded a villager suffering from Shang Han (Cold Damage) with body heat, constipation, irritability, thirst, and mental confusion. The physician used Ba Dou (Croton Seed) medicine to purge. Although loose stools were obtained, the illness remained exactly as before. I examined him and found Yang Ming Heat accumulation inside; only Da Chai Hu Tang or Cheng Qi Tang could treat it. Ba Dou only removes accumulation; how can it sweep away pathogenic heat and accumulated toxins? Urgently administered three doses of Da Chai Hu Tang etc., resulting in sweating and resolution. I once said that among Zhong Jing's 113 formulas, five are pills: Li Zhong Tang, Xiong Xiong Tang, Di Dang Tang, Wu Mei Wan, Ma Ren Wan. These
Wu Mei treats dampness, all using small pills to
Never heard of using Ba Dou small pills to purge pathogenic qi
Fang says: If the body is painful,
Treats Wen Re (Damp-Heat) with excessive sweating.
Zhi Mu (Radix Anemarrhenae, six liang) Gan Cao (Radix Glycyrrhizae, roasted, two he) Shi Gao (Gypsum Fibrosum, one jin) Cang Zhu (Rhizoma Atractylodis Lanceae, three liang, soak in rice washing water) Jing Mi (Oryza Sativa, three
liang)
Cut into pieces the size of hemp seeds. Take four da qian per dose, add one and a half cups of water, decoct until reduced to eight-tenths. Remove dregs, take six li of clear liquid, and take warm.
In the year Gui Chou, my old friend Wang Yanlong, serving as the grain store official in Piling, fell ill in late summer. He had excessive sweating on the chest and neck, cold feet, and delirious speech. The physicians did not understand,
Mixed medicines were already given.
Dampness combined,
Cured in three days. This
Excess evil, deficiency evil
Coming from the overcoming element is minor evil
Contracted heat and dampness overpowered it, water
Wen pulse, Yang is soggy and weak, Yin is small
Thus the Classic says heat and dampness combine. It is called Wen Re (Damp-Heat)
Foot sweat never dried. Each dose took two or three cups of this medicine,