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The above four ingredients, with three sheng of water, first decoct the first three ingredients to obtain two sheng of liquid, remove the dregs, add Ejiao (Donkey-hide gelatin) and melt it. Take one sheng warm, twice a day.

For diarrhea with undigested food in the stool, exterior-releasing methods should not be used; if sweating occurs due to error, abdominal fullness will inevitably result.

In diarrhea, a deep and string-taut pulse indicates tenesmus (a feeling of incomplete defecation); a large pulse indicates the disease has not ceased; a weak and rapid pulse indicates the disease is about to stop spontaneously. Even if there is fever, death will not occur.

In diarrhea, with a deep and slow pulse, where the patient's face is slightly red, the body has slight heat, and diarrhea with undigested food occurs, there will inevitably be vertigo and dizziness (Yu Mao). The disease will resolve through sweating. The patient will have mild cold extremities. This is because of "Dai Yang" (floating yang on the face) and deficiency-cold in the lower jiao.

In diarrhea, if the pulse is rapid and there is thirst, the disease will heal spontaneously. If it does not improve, pus and blood in the stool will inevitably appear, due to internal heat.

After diarrhea, if the pulse disappears and the hands and feet are cold, but the pulse returns and the hands and feet become warm after a meal's time, the prognosis is good (life); if the pulse does not return, the prognosis is poor (death).

In Shanghan (Cold Damage), if diarrhea occurs more than ten times a day and the pulse is unexpectedly excess-strong, the prognosis is poor (death).

For diarrhea with undigested food, interior cold with exterior false-heat, sweating, and cold extremities, Tongmai Sini Tang (Pulse-Recovering Four Reversals Decoction) is indicated.

**Tongmai Sini Tang Formula**
Gancao (Prepared Licorice Root) 2 liang, Fuzi (Prepared Aconite Root, large, raw) 1 piece, Ganjiang (Dried Ginger) 3 liang, Renshen (Ginseng Root) 2 liang.
The above four ingredients, with three sheng of water, decoct to obtain 1.2 sheng, remove dregs, divide into two warm doses. If the pulse emerges, the disease heals.

For hot diarrhea with tenesmus, Baitouweng Tang (Pulsatilla Decoction) is indicated.

**Baitouweng Tang Formula**
Baitouweng (Pulsatilla Root) 2 liang, Huanglian (Coptis Rhizome) 3 liang, Huangbai (Phellodendron Bark) 3 liang, Qinpi (Ash Bark) 3 liang.
The above four ingredients, with seven sheng of water, decoct to obtain two sheng, remove dregs, take one sheng warm. If not healed, take another sheng.

For diarrhea where the patient is extremely deficient, Baitouweng Jia Ejiao Gancao Tang (Pulsatilla Decoction plus Donkey-hide Gelatin and Licorice) is indicated.

**Baitouweng Jia Ejiao Gancao Tang Formula**
Baitouweng 2 liang, Gancao 2 liang, Ejiao 2 liang, Huanglian 3 liang, Huangbai 3 liang, Qinpi 3 liang.
The above six ingredients, with seven sheng of water, decoct to obtain 2.5 sheng, remove dregs, add Ejiao and melt it. Divide into three warm doses.

For diarrhea with abdominal fullness and body pain, first warm the interior, then attack the exterior. To warm the interior, use Sini Tang (Four Reversals Decoction); to attack the exterior, use Guizhi Tang (Cinnamon Twig Decoction). (Sini Tang formula see previous).

**Guizhi Tang Formula**
Guizhi (Cinnamon Twig, peeled) 3 liang, Shaoyao (White Peony Root) 3 liang, Gancao 2 liang, Shengjiang (Fresh Ginger, sliced) 3 liang, Dazao (Jujube, split) 12 pieces.
The above five ingredients, with seven sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm. Shortly after, drink one sheng of hot porridge to assist the medicinal power. If not healed, take again. Restraints and taboos follow the previous method.

For diarrhea with thirst, due to internal heat, Baitouweng Tang is indicated. (Formula see previous).

For diarrhea with delirium (Zhenyu), there is dry fecal impaction; Xiao Chengqi Tang (Minor Order the Qi Decoction) is appropriate.

**Xiao Chengqi Tang Formula**
Dahuang (Rhubarb Root and Rhizome, wine-washed) 4 liang, Zhishi (Immature Bitter Orange, roasted) 3 pieces, Houpo (Magnolia Bark, peeled tip) 2 liang.
The above three ingredients, with four sheng of water, first decoct the first two to obtain 1.2 sheng, remove dregs, add Dahuang, boil for one or two boils, remove dregs, divide into two warm doses. After the first dose, if delirium stops, and if bowel movement occurs, stop the second dose. Otherwise, take all.

After diarrhea, if irritability increases and pressing the epigastrium feels soft, it is empty irritability (Xu Fan); Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is appropriate.

**Zhizi Chi Tang Formula**
Zhizi (Gardenia Fruit, split) 14 pieces, Chidou (Fermented Soybean, wrapped in cotton) 4 he.
The above two ingredients, with four sheng of water, first decoct Zhizi to obtain two sheng, add Chidou, decoct to obtain 1.5 sheng, remove dregs, divide into two warm doses. If vomiting occurs after the first dose, stop the second dose.

For diarrhea with abdominal pain, or chest pain, Zishen Tang (Adenophora Decoction) is indicated.

**Zishen Tang Formula**
Zishen (Adenophora Root) half jin, Gancao 3 liang.
The above two ingredients, with five sheng of water, first decoct Zishen to obtain two sheng, add Gancao, decoct to obtain 1.5 sheng, remove dregs, divide into two warm doses.

For Qi Li (diarrhea accompanying flatus), Helile San (Terminalia Powder) is indicated.

**Helile San Formula**
Helile (Terminalia Chebula Fruit, roasted) 10 pieces.
The above single ingredient is powdered, mixed with rice broth, and taken in one dose.

For patients who frequently vomit and have carbuncle pus, do not treat the vomiting; when the pus is exhausted, it will heal itself.

For vomiting with chest fullness, Wuzhuyu Tang (Evodia Decoction) is indicated.

**Wuzhuyu Tang Formula**
Wuzhuyu (Evodia Fruit) 1 sheng, Renshen 3 liang, Shengjiang 6 liang, Dazao 12 pieces.
The above four ingredients, with seven sheng of water, decoct to obtain two sheng, remove dregs, take 7 he warm, three times a day.

For dry retching, spitting saliva, and headache, Wuzhuyu Tang is indicated. (Formula see above).

For vomiting with fever, Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated.

**Xiaochaihu Tang Formula**
Chaihu (Bupleurum Root) 8 liang, Huangqin (Scutellaria Root) 3 liang, Renshen 3 liang, Gancao 3 liang, Banxia (Pinellia Tuber, washed) half sheng, Shengjiang 3 liang, Dazao 12 pieces.
The above seven ingredients, with twelve sheng of water, decoct to obtain six sheng, remove dregs, decoct again to obtain three sheng, take one sheng warm, three times a day.

For vomiting with a weak pulse, frequent urination, slight body heat, and cold extremities, it is difficult to treat; Sini Tang is indicated. (Formula see previous).

For dry retching, vomiting, and spitting saliva, Banxia Jiangjiang San (Pinellia and Dried Ginger Powder) is indicated.

**Banxia Jiangjiang San Formula**
Banxia and Jiangjiang (Dried Ginger) in equal parts.
The above two ingredients are pounded into powder. Take one cun spoon, decoct with 1.5 sheng of sour water to obtain 7 he, take in one dose.

In Shanghan, after severe vomiting and purging, leading to extreme deficiency, followed by excessive sweating, because the exterior qi was constrained, giving water to induce sweating causes hiccups (Yue). This is due to cold in the stomach.

In Shanghan, if there are hiccups and abdominal fullness, observe the anterior and posterior orifices to determine which part has accumulation; unblocking it will cure the disease.

If the patient feels like panting but isn't, like vomiting but isn't, like hiccuping but isn't, and feels profoundly uncomfortable in the heart, Shengjiang Banxia Tang (Fresh Ginger and Pinellia Decoction) is indicated.

**Shengjiang Banxia Tang Formula**
Shengjiang 1 jin, Banxia half sheng.
The above two ingredients, with three sheng of water, first decoct Banxia to obtain two sheng, add fresh ginger juice, decoct to obtain one sheng, remove dregs, cool slightly, divide into four doses. Take three times during the day and once at night. Stop the second dose if vomiting ceases.

For dry retching, hiccups, and cold extremities, Ju Pi Tang (Tangerine Peel Decoction) is indicated.

**Ju Pi Tang Formula**
Ju Pi (Tangerine Peel) 4 liang, Shengjiang half jin.
The above two ingredients, with seven sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm. It heals upon swallowing.

For hiccups in a deficient person, Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) is indicated.

**Ju Pi Zhu Ru Tang Formula**
Ju Pi 2 jin, Zhu Ru (Bamboo Shavings) 2 sheng, Renshen 1 liang, Gancao 5 liang, Shengjiang half jin, Dazao 30 pieces.
The above six ingredients, with one dou of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

For various types of vomiting where food cannot go down, Xiao Banxia Tang (Minor Pinellia Decoction) is indicated.

**Xiao Banxia Tang Formula**
Banxia 1 sheng, Shengjiang half jin.
The above two ingredients, with seven sheng of water, decoct to obtain 1.5 sheng, remove dregs, divide into two warm doses.

For pus and blood in the stool, transmitted as an epidemic, this is named Yi Li (Epidemic Diarrhea). It originates from summer onset, clashing with autumn heat and dryness, damaging qi and blood, flowing into the intestines, worsening later. With a surging and rapid pulse, Huanglian Fuling Tang (Coptis and Poria Decoction) is indicated.

**Huanglian Fuling Tang Formula**
Huanglian 2 liang, Fuling (Poria) 3 liang, Ejiao 1.5 liang, Shaoyao 3 liang, Huangqin 3 liang, Banxia 1 sheng.
The above six ingredients, with one dou of water, first decoct the first five to obtain three sheng, remove dregs, add Ejiao and melt it. Divide into three warm doses. If chest heat is severe, add Huanglian 1 liang (total 3 liang); if abdominal fullness, add Houpo 2 liang; if the person is deficient, add Gancao 2 liang; if thirsty, remove Banxia and add Gualougen (Trichosanthes Root) 2 liang.

If the patient vomits, spits saliva, has heart pain, and abdominal pain that comes and goes, with a surprisingly surging pulse, this is a disease caused by parasites; Gancao Fenmi Tang (Licorice, Flour, and Honey Decoction) is indicated.

**Gancao Fenmi Tang Formula**
Gancao 2 liang, Baifen (Lead Powder) 1 liang, Mi (Honey) 4 liang.
The above three ingredients, with three sheng of water, first decoct Gancao to obtain two sheng, remove dregs, add powder and honey, stir and mix, decoct until thick like thin porridge. Take one sheng warm. When healed, stop the second dose.

In Jueyin disease, if the pulse is string-taut and tight, taut means Wei Qi (Defensive Qi) does not circulate, tight means no desire to eat. Evil and righteous qi contend, resulting in Han Shan (Cold Hernia), pain around the navel, and cold extremities. If the pulse is deep and tight, Da Wutou Jian (Major Aconite Decoction) is indicated.

**Da Wutou Jian Formula**
Wutou (Aconite Lateral Root, large) 5 pieces (roasted, peeled).
The above single ingredient, with three sheng of water, decoct to obtain one sheng, remove dregs, add two sheng of honey, decoct until water vapor is gone, obtaining two sheng. Strong persons take 7 he, weak persons take 5 he. If not healed, take again tomorrow.

For Han Shan, with abdominal pain, or hypochondriac pain with urgency, Danggui Shengyang Roushang Tang (Angelica, Ginger, and Lamb Decoction) is indicated.

**Danggui Shengyang Roushang Tang Formula**
Danggui (Angelica Sinensis Root) 3 liang, Shengyang (Ginger) 5 liang, Roushang (Lamb Meat) 1 jin.
The above three ingredients, with eight sheng of water, decoct to obtain three sheng, take 7 he warm, three times a day. For more cold, increase Shengyang to 1 jin; for more pain and vomiting, add Ju Pi 2 liang and Baizhu 1 liang. If adding Shengyang, also add five sheng of water, decoct to obtain 3.2 sheng, divide into three warm doses.

For Han Shan, with abdominal pain, numbness or cold extremities, or body pain, unresponsive to moxibustion and acupuncture, Wutou Guizhi Tang (Aconite and Cinnamon Twig Decoction) is indicated.

**Wutou Guizhi Tang Formula**
Wutou 5 pieces.
The above single ingredient, with two sheng of honey, decoct until half remains, remove dregs, dissolve in 5 he of Guizhi Tang to obtain one sheng. Initially take 2 he. If no effect, take 3 he. If still no effect, increase to 5 he. Feeling effects resembles drunkenness; vomiting indicates the medicine has struck the disease.

If the patient's testicles vary in size and position, moving up and down, this is Hu Shan (Fox Hernia). First puncture the Shu points of the Jueyin meridian, then administer Zhizhu San (Spider Powder).

**Zhizhu San Formula**
Zhizhu (Spider, roasted) 14 pieces, Guizhi 1 liang.
The above two ingredients are powdered, mixed with white drink (rice broth) and taken one cun spoon, twice a day. Honey pills are also acceptable.

At the Cun Kou (Radial artery), if the pulse is floating and slow, floating indicates deficiency, slow indicates labor/strain. Deficiency means Wei Qi is insufficient; strain means Ying Qi (Nutritive Qi) is exhausted.

At the Zu Yang (Dorsalis pedis artery), if the pulse is floating and rapid, floating indicates qi excess, rapid indicates digestion of food with hard stools. Excess qi leads to frequent urination; frequent urination leads to hard stools. Hardness and rapidity contending results in Xiao Ke (Wasting-Thirst).

For Xiao Ke with polyuria, drinking one dou and urinating one dou, Shen Qi Wan (Kidney Qi Pill) is indicated.

**Shen Qi Wan Formula**
Dihuang (Rehmannia Root) 8 liang, Shuyu (Dioscorea Rhizome) 4 liang, Shanzhuyu (Cornus Fruit) 4 liang, Zexie (Alisma Rhizome) 3 liang, Mudanpi (Moutan Bark) 3 liang, Fuling 3 liang, Guizhi 1 liang, Fuzi (Prepared Aconite) 1 piece.
The above eight ingredients are powdered, mixed with refined honey into pills the size of wutong seeds. Take fifteen pills with wine, gradually increasing to twenty-five pills, twice a day. Taking with white drink is also acceptable.

For Xiao Ke with a floating pulse, slight heat, and dysuria, Wuling San (Five-Ingredient Powder with Poria) is indicated.

**Wuling San Formula**
Zhuling (Polyporus) 18 zhu, Zexie 1 liang 6 zhu, Baizhu 18 zhu, Fuling 18 zhu, Guizhi half liang.
The above five ingredients are powdered, mixed with white drink and taken one cun spoon, three times a day. Drink plenty of warm water; sweating indicates healing.

For Xiao Ke with thirst and gastric reversal vomiting, Fuling Zexie Tang (Poria and Alisma Decoction) is indicated.

**Fuling Zexie Tang Formula**
Fuling half jin, Zexie 2 liang, Gancao 2 liang, Guizhi 2 liang, Baizhu 3 liang, Shengjiang 4 liang.
The above six ingredients, with one dou of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

For Xiao Ke with intense thirst and continuous eating/drinking, Wen Ge Tang (Clam Shell Decoction) is indicated.

**Wen Ge Tang Formula**
Wenge (Clam Shell) 5 liang, Mahuang (Ephedra Stem) 3 liang, Gancao 3 liang, Shengjiang 3 liang, Shigao (Gypsum) 5 liang, Xingren (Apricot Seed) 50 pieces, Dazao 12 pieces.
The above seven ingredients, with six sheng of water, decoct to obtain two sheng, remove dregs, take one sheng warm. Sweating indicates healing; if no sweat, take again.

For painful urination (Lin Bi), passing gravel-like sediment, tense and painful lower abdomen radiating to the umbilicus, this is named Lin Syndrome (Strangury), due to heat binding in the Lower Jiao. Xiaochaihu Jia Fuling Tang (Minor Bupleurum Decoction plus Poria) is indicated.

**Xiaochaihu Jia Fuling Tang Formula**
Chaihu half jin, Huangqin 3 liang, Renshen 2 liang, Banxia half sheng, Gancao 3 liang, Shengjiang 2 liang, Dazao 12 pieces, Fuling 4 liang.
The above eight ingredients, with twelve sheng of water, decoct to obtain six sheng, remove dregs, decoct again to obtain three sheng, take one sheng warm, three times a day.

*Shanghan Zabing Lun Volume XII: Differentiation of Huoluan Vomiting and Diarrhea Pulse and Symptoms*

Question: What is Huoluan? Answer: Vomiting and diarrhea together are named Huoluan.

Master says: Huoluan belongs to Taiyin. Huoluan must involve vomiting and diarrhea, but vomiting and diarrhea are not necessarily Huoluan. Huoluan arises from cold and heat mixing chaotically in the middle. Heat qi reversing upward causes vomiting; cold qi sinking downward causes diarrhea. If there is dietary irregularity causing stagnation in the upper/middle, everything goes up causing vomiting, or everything goes down causing diarrhea. This is named Tu Li (Vomiting and Diarrhea), not Huoluan.

Question: What disease involves fever, headache, body ache, aversion to cold, vomiting, and diarrhea?

Answer: This is not Huoluan. Huoluan involves spontaneous vomiting and diarrhea. Now, with aversion to cold, body ache, and additional fever, we know it is not Huoluan.

For Huoluan vomiting and diarrhea without cold/heat signs, with a soggy and weak pulse, Lizhong Tang (Regulate the Middle Decoction) is indicated.

**Lizhong Tang Formula**
Renshen 3 liang, Baizhu 3 liang, Gancao 3 liang, Ganjiang 3 liang.
The above four ingredients, with eight sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

If vomiting precedes diarrhea, with abdominal fullness/pain, no cold/heat signs, and a soggy, weak, and choppy pulse, this is retained food. Baizhu Fuling Banxia Zhishi Tang (Atractylodes, Poria, Pinellia, and Immature Bitter Orange Decoction) is indicated.

**Baizhu Fuling Banxia Zhishi Tang Formula**
Baizhu 3 liang, Fuling 4 liang, Banxia 1 sheng, Zhishi 1.5 liang.
The above four ingredients, with six sheng of water, decoct to obtain three sheng, remove dregs, divide into three warm doses.

With chest fullness, desire to vomit but unable, intermittent diarrhea, no cold/heat signs, colicky abdominal pain, and a weak and knotted Cun Kou pulse, this is retained food in the upper jiao. Guiti San (Melon Spicule Powder) is appropriate.

**Guiti San Formula**
Guiti (Melon Spicule) one fen, Chixiaodou (Red Adzuki Bean) one fen.
The above two ingredients are powdered. Decoct seven he of Chidou (Fermented Soybean) to obtain juice, mix with one qian spoon of powder, take warm. If no vomiting, increase slightly. Stop when vomiting is satisfactory.

For Huoluan vomiting and diarrhea with undigested food, cold extremities, and deep/slow pulse, Sini Tang is indicated.

**Sini Tang Formula**
Gancao 2 liang, Ganjiang 1.5 liang, Fuzi 1 piece, Renshen 2 liang.
The above four ingredients, with six sheng of water, decoct to obtain three sheng, remove dregs, divide into three warm doses.

For vomiting and diarrhea with fever, and a soggy, weak, and large pulse, Baizhu Shigao Banxia Jiangjiang Tang (Atractylodes, Gypsum, Pinellia, and Dried Ginger Decoction) is indicated.

**Baizhu Shigao Banxia Jiangjiang Tang Formula**
Baizhu 3 liang, Shigao half jin, Banxia half sheng, Jiangjiang 2 liang.
The above four ingredients, with six sheng of water, decoct to obtain three sheng, remove dregs, divide into three warm doses. Add Renshen 2 liang and Huanglian 1 liang if thirsty.

If vomiting is severe enough to expel roundworms, diarrhea is intermittent, body has slight heat, extremities are cold, face is green, and pulse is deep, string-taut, and tight, Sini Jia Wuzhuyu Huanglian Tang (Four Reversals plus Evodia and Coptis Decoction) is indicated.

**Sini Jia Wuzhuyu Huanglian Tang Formula**
Fuzi 1 piece, Ganjiang 1.5 liang, Gancao 2 liang, Renshen 2 liang, Wuzhuyu half sheng, Huanglian 1 liang.
The above six ingredients, with six sheng of water, decoct to obtain two sheng, remove dregs, take one sheng warm, twice a day.

For Huoluan vomiting and diarrhea with thirst, sweating, shortness of breath, and weak/soggy pulse, Lizhong Jia Renshen Gualougen Tang (Regulate the Middle plus Ginseng and Trichosanthes Root Decoction) is indicated.

**Lizhong Jia Renshen Gualougen Tang Formula**
Renshen 4 liang, Baizhu 3 liang, Gancao 3 liang, Ganjiang 3 liang, Gualougen 2 liang.
The above five ingredients, with eight sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

For drinking causing immediate vomiting and eating causing diarrhea, with a slow and weak pulse, Lizhong Jia Fuzi Tang (Regulate the Middle plus Aconite Decoction) is indicated.

**Lizhong Jia Fuzi Tang Formula**
Renshen 3 liang, Baizhu 3 liang, Gancao 3 liang, Ganjiang 3 liang, Fuzi 1 piece.
The above five ingredients, with eight sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

For abdominal fullness and pain, pain moving up and down, pain rising causing vomiting, pain falling causing diarrhea, with a soggy and choppy pulse, Lizhong Tang is indicated. (Formula see previous).

Huoluan syndromes have deficiency and excess, depending on the patient's constitution. Deficient cases have soggy and weak pulses, suitable for Lizhong Tang; excess cases have urgent and hurried pulses, suitable for Gegen Huanglian Huangqin Gancao Tang (Kudzu, Coptis, Scutellaria, and Licorice Decoction).

**Gegen Huanglian Huangqin Gancao Tang Formula**
Gegen (Kudzu Root) half jin, Huanglian 3 liang, Huangqin 3 liang, Gancao 2 liang.
The above four ingredients, with eight sheng of water, first decoct Gegen reducing by two sheng, remove foam, add other herbs, decoct to obtain two sheng, remove dregs, divide into two warm doses.

For Huoluan with muscle cramps, cold pathogen must have previously remained in the sinews, damaging Ying Qi. The pulse should be soggy and weak; if unexpectedly string-taut, urgent, and with cold reversals, Lizhong Jia Fuzi Tang is indicated. (Formula see previous).

After Huoluan resolves, if there is headache, fever, and body pain, with more heat and desire for water, Wuling San is indicated; with more cold and no desire for water, Lizhong Wan (Regulate the Middle Pill) is indicated.

**Wuling San Formula**
Zhuling 18 zhu, Baizhu 18 zhu, Fuling 18 zhu, Guizhi half liang, Zexie 1 liang 6 zhu.
The above five ingredients are powdered, mixed with white drink and taken one cun spoon, three times a day. Drink plenty of warm water; sweating indicates healing.

**Lizhong Wan Formula**
Renshen 3 liang, Ganjiang 3 liang, Gancao 3 liang, Baizhu 3 liang.
The above four ingredients are powdered, mixed with honey into pills the size of chicken egg yolk. Dissolve one pill in boiling water, crush, and take warm. Three times a day, twice at night. If the abdomen does not feel warm, increase to three or four pills.

In Shanghan, if the pulse is micro and choppy, originally Huoluan but now Shanghan, after four or five days entering the Yin meridians, if turning into Yin, there will be diarrhea; if desiring stool but only passing gas without diarrhea, this belongs to Yangming. Stool will be hard, healing in thirteen days. This is because the meridian cycle is complete.

After diarrhea, stool should become hard. If hard and able to eat, it heals. If unable to eat now, but able to eat in the next meridian cycle, and able to eat after another cycle, healing occurs one day later. If not healing, it does not belong to Yangming.

In Shanghan, if the pulse is micro and diarrhea recurs, but diarrhea stops spontaneously, it is blood loss. Sini Jia Renshen Tang (Four Reversals plus Ginseng Decoction) is indicated.

**Sini Jia Renshen Tang Formula**
Gancao 2 liang, Fuzi 1 piece, Ganjiang 1.5 liang, Renshen 3 liang.
The above four ingredients, with three sheng of water, decoct to obtain 1.2 sheng, remove dregs, divide into two warm doses.

If vomiting and diarrhea stop but body pain persists, harmonize the exterior appropriately; Guizhi Tang is indicated.

**Guizhi Tang Formula**
Guizhi 3 liang, Shaoyao 3 liang, Gancao 2 liang, Shengjiang 3 liang, Dazao 12 pieces.
The above five ingredients, with seven sheng of water, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day. Restraints follow the Taiyang method.

For vomiting and diarrhea, sweating, fever, aversion to cold, tetanic limbs, and cold extremities, Sini Tang is indicated. (Formula see previous).

For simultaneous vomiting and diarrhea, frequent urination, profuse sweating, diarrhea with undigested food, interior cold with exterior heat, and pulse nearly absent, Sini Tang is indicated. (Formula see previous).

If vomiting and diarrhea cease, but sweating and cold extremities persist, limbs remain tetanic, and pulse is nearly absent, Tongmai Sini Jia Zhudanhu Tang (Pulse-Recovering Four Reversals plus Pig Gallbladder Bile Decoction) is indicated.

**Tongmai Sini Jia Zhudanhu Tang Formula**
Gancao 2 liang, Ganjiang 3 liang, Fuzi 1 piece, Zhudanhu (Pig Gallbladder Bile) half he, Renshen 2 liang.