Library

The above five herbs, with three sheng of water, first decoct the first four herbs, obtain one sheng, remove the dregs, add pig bile and stir well, divide into two doses and take warm.

After vomiting and diarrhea, sweating occurs, the pulse is normal, and there is slight restlessness; this is because the body is newly deficient and cannot withstand the qi of food.

Differentiation of Pulse and Syndrome of Spasm Disease, Yin-Yang Exchange Disease, and Post-Illness Convalescence

In Taiyang disease, with fever, no sweating, and aversion to cold, if the pulse is deep and slow, it is named Gang-Jing (Rigid Spasm).

In Taiyang disease, with fever, sweating, and no aversion to cold, if the pulse is floating and rapid, it is named Rou-Jing (Soft Spasm).

In Taiyang disease, with fever and a pulse that is deep and fine, it is named Ri-Jing (Sun Spasm), which is difficult to treat.

Taiyang disease, if excessive sweating is induced, may lead to Jing (Spasm).

If a patient with Wind disease undergoes purgation, spasm may occur; if sweating is induced again, stiffness and cramping will certainly result.

Patients with sores should not undergo sweating therapy; if sweating is induced, spasm will occur.

If a patient has fever in the body but cold feet, stiffness and tension in the neck and nape, aversion to cold, occasional heat in the head, red face and eyes, only the head trembles, sudden lockjaw, and opisthotonos, this is Jing (Spasm) disease. If sweating is induced, cold and dampness combine, the exterior becomes more deficient, and aversion to cold worsens; after sweating, if the pulse moves like a snake, suddenly becoming large and long, it indicates impending resolution; if the pulse remains unchanged, or is hidden and wiry, it indicates unresolved disease.

The pulse of Jing (Spasm) disease, when pressed, feels tight and wiry, moving straight up and down.

Jing (Spasm) disease in patients with moxibustion sores is difficult to treat.

In Taiyang disease, with complete symptoms, body stiffness and rigidity, and a pulse that is unexpectedly deep and slow, this is Jing (Spasm); Gua Lou Gui Zhi Tang (Trichosanthes Root and Cinnamon Twig Decoction) is the primary formula.

Gua Lou Gui Zhi Tang Formula

Gualougen (Root of Trichosanthes Kirilowii) 3 liang, Guizhi (Cinnamon Twig) 3 liang (bark removed), Gancao (Licorice Root) 2 liang (honey-fried), Shaoyao (White Peony Root) 3 liang, Shengjiang (Fresh Ginger) 2 liang (sliced), Dazao (Jujube) 12 pieces (split).

The above six herbs, with seven sheng of water, simmer to obtain three sheng, remove dregs, take one sheng at a suitable temperature, three times a day.

In Taiyang disease, with no sweating, conversely scanty urination, Qi rushing to the chest, lockjaw preventing speech, and impending Gang-Jing (Rigid Spasm), Ge Gen Tang (Kudzu Decoction) is the primary formula.

Ge Gen Tang Formula

Gegen (Radix Puerariae Lobatae) 4 liang, Mahuang (Ephedra Herb) 3 liang (nodes removed), Guizhi (Cinnamon Twig) 2 liang, Gancao (Licorice Root) 2 liang (honey-fried), Shaoyao (White Peony Root) 2 liang, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).

The above seven herbs, with one dou of water, first decoct Mahuang and Gegen until reduced by two sheng, remove surface foam, add other herbs, decoct to obtain three sheng, remove dregs, take one sheng warm, cover to induce slight sweating; if no sweat, administer another sheng; stop subsequent doses upon sweating.

In Jing (Spasm) disease, with cold extremities, intermittent fever, blue lips, sunken eyes, and a deep wiry pulse, wind pathogen has entered the Jueyin channel; Gui Zhi Jia Fu Zi Dang Gui Xi Xin Ren Shen Gan Jiang Tang (Cinnamon Twig Decoction plus Aconite, Angelica, Asarum, Ginseng, and Dried Ginger) is the primary formula.

Gui Zhi Jia Fu Zi Dang Gui Xi Xin Ren Shen Gan Jiang Tang Formula

Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Gancao (Licorice Root) 2 liang (honey-fried), Danggui (Angelica Sinensis) 4 liang, Xixin (Asarum) 1 liang, Fuzi (Prepared Aconite Root Lateralis) 1 piece (processed), Renshen (Ginseng Root) 2 liang, Ganjiang (Dried Ginger) 1.5 liang, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).

The above ten herbs, with one dou two sheng of water, decoct to obtain four sheng, remove dregs, take one sheng warm, three times a day, once at night.

Jing (Spasm) disease originally belongs to Taiyang; if fever, sweating, and a wiry and excess pulse appear, it has transferred to Yangming; Chengqi class formulas are appropriate.

In Jing (Spasm) disease, with chest fullness, lockjaw, inability to lie flat on the back, leg cramps, and teeth grinding, Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated.

Da Cheng Qi Tang Formula

Dahuang (Rhubarb Rhizome) 4 liang (wine-washed), Houpo (Magnolia Bark) 0.5 jin (peeled), Zhishi (Immature Bitter Orange) 5 pieces (honey-fried), Mangxiao (Mirabilite) 3 he.

The above four herbs, with one dou of water, first decoct Zhishi and Houpo to obtain five sheng, remove dregs, add Dahuang, decoct to obtain two sheng, remove dregs, add Mangxiao, boil gently for one or two boils, divide into two warm doses; if bowel movement occurs after the first dose, stop subsequent doses.

Yin-Yang Exchange disease after Shanghan presents with heavy body, shortness of breath, urgency and pain in the lower abdomen, possibly drawing the yin organs into cramp, heat rushing to the chest, heavy head unwilling to lift, visual disturbances, and cramping of knees and calves; Shao Kun San (Burning Underpants Powder) is the primary formula.

Shao Kun San Formula

Cut the inner garment of a woman near the genital area, burn to ash, mix with water, take one cun chi spoonful, three times a day; when urination becomes smooth and the glans penis swells slightly, it heals. For men's illness, take the crotch of a man's undergarment, burn, and take as directed.

For relapse due to overexertion after a major illness, Zhi Shi Zhi Zi Chi Tang (Immature Bitter Orange, Gardenia, and Fermented Soybean Decoction) is the primary formula; if there is retained food, add Dahuang (Rhubarb Rhizome) in pieces the size of a chess cube, five or six pieces.

Zhi Shi Zhi Zi Chi Tang Formula

Zhishi (Immature Bitter Orange) 3 pieces (honey-fried), Zhizi (Gardenia Fruit) 14 pieces (split), Chidouchi (Fermented Soybean) 1 sheng (wrapped in cotton).

The above three herbs, with seven sheng of clear sour water, boil empty to obtain four sheng, add Zhishi and Zhizi, decoct to obtain two sheng, add Chidouchi, boil five or six more boils, remove dregs, take warm divided into two doses, cover to induce slight sweating.

After recovery from Shanghan, if fever recurs, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary formula; if the pulse is floating, resolve with sweating; if the pulse is deep and solid, resolve with purgation.

Xiao Chai Hu Tang Formula

Chaihu (Bupleurum Root) 8 liang, Huangqin (Scutellaria Root) 3 liang, Renshen (Ginseng Root) 3 liang, Gancao (Licorice Root) 3 liang (honey-fried), Banxia (Pinellia Tuber) 0.5 sheng, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).

The above seven herbs, with one dou two sheng of water, decoct to obtain six sheng, remove dregs, further decoct to obtain three sheng, take one sheng warm, three times a day.

After recovery from a major illness, if there is fluid accumulation below the waist, Mu Li Ze Xie San (Oyster Shell and Alisma Powder) is the primary formula.

Mu Li Ze Xie San Formula

Muli (Oyster Shell), Zexie (Alisma Rhizome), Gualougen (Root of Trichosanthes Kirilowii), Shuqi (Patrinia Herb, washed to remove fishy odor), Tingli (Descurainia Seed, roasted), Shanglugen (Phytolacca Root, roasted), Haizao (Sargassum Thallus, washed to remove fishy odor).

The above seven herbs in equal parts, crush and sieve separately, then grind together in a mortar, mix with rice drink, take one cun chi spoonful, three times a day; stop when urination increases.

After recovery from a major illness, if there is frequent salivation lasting long, it is due to cold in the upper chest; treat with pills to warm, Li Zhong Wan (Regulate the Middle Pill) is appropriate. (Formula see Huoluan chapter).

After resolution of Shanghan, if there is deficiency emaciation, shortness of breath, and rebellious Qi wanting to vomit, Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) is the primary formula.

Zhu Ye Shi Gao Tang Formula

Zhuye (Bamboo Leaf) 2 bundles, Shigao (Gypsum Fibrosum) 1 jin, Banxia (Pinellia Tuber) 0.5 sheng (washed), Renshen (Ginseng Root) 3 liang, Maidong (Ophiopogon Tuber) 1 sheng, Gancao (Licorice Root) 2 liang (honey-fried), Jingmi (Glutinous Rice) 0.5 sheng.

The above seven herbs, with one dou of water, first decoct the first six to obtain six sheng, remove dregs, add Jingmi, cook until rice is done, remove rice, take one sheng warm, three times a day.

After major illness resolves, if there is slight restlessness at dusk, it is because the illness has just resolved, people force-feed, spleen and stomach Qi are still weak and cannot digest food, causing slight restlessness; reducing food intake leads to healing.

Shanghan Zabing Lun Volume Thirteen

Differentiation of Pulse and Syndrome of Baihe Disease, Huhuo Disease, and Yin-Yang Du Disease

Baihe (Lily) disease: The hundred vessels share one origin, all affected by the disease. Desire to eat but cannot; often silent; desire to sleep but cannot; desire to walk but cannot; diet sometimes tastes good, sometimes odors of food are repulsive; feels cold but not actually cold, feels hot but not actually hot; bitter taste in mouth, red urine; various medicines fail; taking medicine causes severe vomiting and diarrhea; seems possessed by spirits; body shape appears normal; pulse is slightly rapid. If headache occurs during urination, it heals in sixty days. If no headache during urination but feeling chilly, it heals in forty days. If urination is comfortable but with dizziness, it heals in twenty days. Symptoms may appear before illness onset, or 4-5 days after, or 20 days after, or after a month; treat according to symptoms.

Baihe disease appearing after sweating: Baihe Zhi Mu Tang (Lily and Anemarrhena Decoction) is the primary formula.

Baihe Zhi Mu Tang Formula

Baihe (Lily Bulb) 7 pieces, Zhimu (Anemarrhena Rhizome) 3 liang.

Wash Baihe, soak overnight until white foam appears, discard water. Decoct in two sheng of spring water to obtain one sheng, remove dregs. Decoct Zhimu separately in two sheng of spring water to obtain one sheng, remove dregs. Combine and decoct to obtain 1.5 sheng, divide into two warm doses.

Baihe disease appearing after purgation: Baihe Hua Shi Dai Zhe Tang (Lily, Talcum, and Hematite Decoction) is the primary formula.

Baihe Hua Shi Dai Zhe Tang Formula

Baihe (Lily Bulb) 7 pieces, Huashi (Talcum) 3 liang, Daizheshi (Hematite) size of a bullet (crushed, wrapped in cotton).

Wash herbs, decoct Baihe as before. Decoct other two herbs separately in two sheng of spring water to obtain one sheng, remove dregs. Combine and re-decoct to obtain 1.5 sheng, divide into two warm doses.

Baihe disease appearing after vomiting: Baihe Ji Zi Huang Tang (Lily and Egg Yolk Decoction) is the primary formula.

Baihe Ji Zi Huang Tang Formula

Baihe (Lily Bulb) 7 pieces, Jizihuang (Egg Yolk) 1 piece.

Decoct Baihe as before, remove dregs, add Jizihuang, stir well, take in one dose.

Baihe disease without sweating, vomiting, or purgation, condition unchanged: Baihe Di Huang Tang (Lily and Rehmannia Decoction) is the primary formula.

Baihe Di Huang Tang Formula

Baihe (Lily Bulb) 7 pieces, Dihuangzhi (Rehmannia Juice) 1 sheng.

Decoct Baihe as before, remove dregs, add Dihuangzhi, decoct to obtain 1.5 sheng, divide into two warm doses; stop if cured; stool will be black like lacquer.

Baihe disease unresolved for one month, developing thirst: Baihe Xi Fang (Lily Wash Prescription) is primary; if ineffective, Gualou Muli San (Trichosanthes Root and Oyster Shell Powder) is primary.

Baihe Xi Fang

Baihe (Lily Bulb) 1 sheng.

Soak in one dou of water overnight, use to wash body; after washing, eat boiled noodles, do not use salt or fermented soybean.

Gualou Muli San Formula

Gualougen (Root of Trichosanthes Kirilowii), Muli (Oyster Shell, roasted) in equal parts.

Crush into powder, mix with rice drink, take one cun chi spoonful, three times a day.

Baihe disease developing fever: Baihe Hua Shi San (Lily and Talcum Powder) is primary.

Baihe Hua Shi San Formula

Baihe (Lily Bulb, honey-fried) 1 liang, Huashi (Talcum) 2 liang.

Grind into powder, take one cun chi spoonful with water, three times a day; slight diarrhea expected; stop when heat clears.

Baihe disease manifesting as Yin syndrome: rescue with Yang method; manifesting as Yang syndrome: rescue with Yin method. Attacking Yin when Yang signs appear, then inducing sweating, is contrary treatment. Attacking Yang when Yin signs appear, then purging, is also contrary treatment.

Huhuo disease resembles Shanghan: silent, sleepy, eyes unable to close, restless lying and rising. Erosion in throat is Huhuo; erosion in yin is Hu. No desire to eat, aversion to food odor, face color changes between red, black, and white. Erosion in upper part causes hoarseness, treated with Gancao Xi Xin Tang (Licorice Decoction for Clearing Heart Heat). Erosion in lower part causes dry throat, washed with Kushen Tang (Sophora Decoction). Erosion in anus: fumigate with Xionghuang (Realgar).

Gancao Xi Xin Tang Formula

Gancao (Licorice Root, honey-fried) 4 liang, Huangqin (Scutellaria Root) 3 liang, Ganjiang (Dried Ginger) 3 liang, Banxia (Pinellia Tuber) 0.5 sheng, Huanglian (Coptis Rhizome) 1 liang, Dazao (Jujube) 12 pieces (split).

Decoct in one dou water to obtain six sheng, remove dregs, re-decoct to obtain three sheng, take one sheng warm, three times a day.

Kushen Tang Formula

Kushen (Sophora Root) 1 jin.

Decoct in one dou water to obtain seven sheng, remove dregs, fumigate and wash, three times a day.

Xionghuang San Formula

Xionghuang (Realgar) 1 liang.

Grind to powder, place between two tile halves, burn to produce smoke, fumigate anus.

Patient with rapid pulse, no fever but slight restlessness, silent desire to sleep, sweating. Days 3-4: eyes red like turtledove eyes. Day 7-8: inner canthi turn black. If able to eat, pus has formed; Chidou Danggui San (Red Bean and Angelica Powder) is primary.

Chidou Danggui San Formula

Chixiaodou (Adzuki Bean) 3 sheng (soaked until sprouting, dried), Danggui (Angelica Sinensis) 10 liang.

Grind to powder, take one cun chi spoonful with sour water, three times a day.

Yang Du (Yang Toxin) disease: face red with mottled patterns like brocade, sore throat, spitting pus and blood. Treatable within five days, untreatable after seven. Shengma Biejia Tang ( Cimicifuga and Turtle Shell Decoction) is primary.

Shengma Biejia Tang Formula

Shengma (Cimicifuga Rhizome) 2 liang, Shujiao (Sichuan Pepper, remove juice) 1 liang, Xionghuang (Realgar, powdered) 5 qian, Danggui (Angelica Sinensis) 1 liang, Gancao (Licorice Root) 2 liang, Biejia (Turtle Shell, honey-fried) 1 piece.

Decoct in four sheng water to obtain one sheng, take in one dose; if ineffective, take again to induce sweating.

Yin Du (Yin Toxin) disease: face and eyes blue, body pain like beaten, sore throat. Treatable within five days, untreatable after seven. Shengma Biejia Tang minus Xionghuang and Shujiao is primary.

Shengma Biejia Tang Minus Xionghuang and Shujiao Formula

Shengma (Cimicifuga Rhizome) 2 liang, Danggui (Angelica Sinensis) 1 liang, Gancao (Licorice Root) 2 liang, Biejia (Turtle Shell) 1 piece.

Decoct in two sheng water to obtain one sheng, remove dregs, take in one dose; if ineffective, take again.

Differentiation of Pulse and Syndrome of Malaria

Master says: In malaria, wiry and rapid pulse indicates more heat than cold; wiry and slow pulse indicates more cold than heat. Wiry and small-tight pulse: purgation possible. Wiry-slow: warming possible. Wiry-tight: sweating, acupuncture, or moxibustion possible. Floating-large: vomiting possible. Wiry-rapid: wind-induced fever, seek treatment in Shaoyang.

Question: Malaria occurring once a month should heal in 15 days, severely within the month. If not healed, what then? Master says: This forms a mass,必有疟母 (malaria mother), treat urgently with Biejia Jian Wan (Turtle Shell Building-Up Pill).

Biejia Jian Wan Formula

Biejia (Turtle Shell), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Dahuang (Rhubarb Rhizome), Mudanpi (Tree Peony Bark), Machong (Leech/Mosquito larva - text implies insect), Ejiao (Donkey-hide Gelatin).

Equal parts, crush and sieve, honey-pill, size of wutong seed, take 7 pills, three times a day, with clear wine; if unable to drink wine, rice drink is acceptable.

Master says: When Yin qi is isolated and Yang qi alone flares, fever, shortness of breath, restlessness, hot hands and feet, and desire to vomit occur; this is Dan Nue (Jaundice Malaria), treated with Baihu Jia Guizhi Renshen Tang (White Tiger Plus Cinnamon Twig and Ginseng Decoction).

Baihu Jia Guizhi Renshen Tang Formula

Zhimu (Anemarrhena Rhizome) 6 liang, Shigao (Gypsum Fibrosum) 1 jin, Gancao (Licorice Root, honey-fried) 2 liang, Jingmi (Glutinous Rice) 2 he, Guizhi (Cinnamon Twig) 3 liang, Renshen (Ginseng Root) 3 liang.

Decoct in one dou water until rice is cooked, remove dregs, take one sheng warm, three times a day.

Malaria with normal pulse, no chills but only fever, joint pain and irritability, occasional vomiting; this is Wen Nue (Warm Malaria), Baihu Jia Guizhi Tang (White Tiger Plus Cinnamon Twig Decoction) is appropriate.

Baihu Jia Guizhi Tang Formula (Same as above minus Renshen)

Malaria with much cold, or only cold without heat; this is Mu Nue (Oyster Malaria), Shuqi San (Patrinia Powder) is primary; Chaihu Gui Jiang Tang (Bupleurum, Cinnamon, and Ginger Decoction) is also primary.

Shuqi San Formula

Shuqi (Patrinia Herb, washed to remove fishy odor), Yunmu (Mica, burned for two nights), Longgu (Fossilized Bone) in equal parts.

Grind to powder, take half a coin spoonful mixed with sour water before attack.

Chaihu Gui Jiang Tang Formula

Chaihu (Bupleurum Root) 0.5 jin, Guizhi (Cinnamon Twig) 3 liang, Ganjiang (Dried Ginger) 2 liang, Gualougen (Root of Trichosanthes Kirilowii) 4 liang, Huangqin (Scutellaria Root) 3 liang, Gancao (Licorice Root, honey-fried) 2 liang, Muli (Oyster Shell, roasted) 2 liang.

Decoct in one dou water to obtain six sheng, remove dregs, re-decoct to obtain three sheng, take one sheng warm, three times a day; initial dose may cause slight restlessness, second dose induces sweating and cure.

Differentiation of Pulse and Syndrome of Blood Bi and Deficiency Consumption

Question: How is Blood Bi obtained? Master says: Those of noble status have weak bones and abundant flesh; combined with fatigue, sweating, restless sleeping, and exposure to slight wind, they contract it. Pulse at Cun Kou is slightly choppy, Guan is slightly tight; needle to guide Yang Qi, harmonize pulse, cure when tightness disappears.

Blood Bi, Yin and Yang pulses both micro, or Cun/Guan micro, Chi slightly tight; external symptom is body numbness like Feng Bi; Huangqi Guizhi Wuwu Tang (Astragalus, Cinnamon Twig, and Five-Ingredient Decoction) is primary.

Huangqi Guizhi Wuwu Tang Formula

Huangqi (Astragalus Root) 3 liang, Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Shengjiang (Fresh Ginger) 6 liang, Dazao (Jujube) 12 pieces.

Decoct in six sheng water to obtain two sheng, take 0.7 sheng warm, three times a day.

In healthy men, large pulse indicates Lao (Consumption); extremely deficient pulse also indicates Lao.

Men with pale complexion suffer from thirst and blood loss; sudden panting and palpitations; floating pulse indicates interior deficiency.

Men with deficient, deep, and wiry pulse, no chills/fever, shortness of breath, interior urgency, dysuria, pale face, occasional vertigo and epistaxis, lower abdominal fullness; this is caused by Lao.

Lao disease: pulse floating and large,手足烦 (restless hands and feet), worse in Spring/Summer, better in Autumn/Winter, spontaneous emission of essence due to Yin cold, sore muscles unable to walk.

Men with floating, weak, and choppy pulse are infertile; essence is cold and clear.

Those prone to seminal emission: Shaoyin pulse wiry and urgent, cold glans, vertigo, hair loss; extremely deficient, hollow, and slow pulse indicates clear stool, blood loss, seminal emission; hollow, moving, micro, and tight pulse indicates seminal emission in men, dream intercourse in women; Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction) is primary. Tianxiong San (Aconite Powder) is also primary.

Guizhi Longgu Muli Tang Formula

Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Gancao (Licorice Root, honey-fried) 2 liang, Shengjiang (Fresh Ginger) 3 liang, Dazao (Jujube) 12 pieces, Longgu (Fossilized Bone) 3 liang, Muli (Oyster Shell) 3 liang.

Decoct in seven sheng water to obtain three sheng, remove dregs, divide into three warm doses.

Tianxiong San Formula

Tianxiong (Processed Aconite Lateralis) 3 liang, Baizhu (Atractylodes Macrocephala Rhizome) 8 liang, Guizhi (Cinnamon Twig) 6 liang, Longgu (Fossilized Bone) 3 liang.

Grind to powder, take half a coin spoonful with wine, three times a day; increase slightly if ineffective, stop when effective.

Healthy men with weak, fine, and subtle pulses tend to have nocturnal sweating.

People aged 50-60 with large pulses have Bi disease, pain traveling along the back; if borborygmus, or "horse knife" and "goiter" lymphadenopathy, these are all due to Lao. Small, deep, and slow pulses indicate Tu Qi (Qi Depletion), panting and thirst upon walking fast; cold extremities are also Lao diseases.

Deficiency consumption with interior urgency, palpitations, epistaxis, abdominal pain, dream seminal emission, limb soreness, hot hands and feet, dry throat and mouth: Xiao Jianzhong Tang (Minor Construct the Middle Decoction) is primary.

Xiao Jianzhong Tang Formula

Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 6 liang, Gancao (Licorice Root, honey-fried) 3 liang, Shengjiang (Fresh Ginger) 3 liang, Dazao (Jujube) 12 pieces, Yitang (Maltose) 1 sheng.

Decoct in seven sheng water to obtain three sheng, remove dregs, add Yitang, dissolve over low fire, take one sheng warm, three times a day.

Deficiency consumption with interior urgency and general insufficiency: Huangqi Jianzhong Tang (Astragalus Build-the-Middle Decoction) is primary.

Huangqi Jianzhong Tang Formula

Same as Xiao Jianzhong Tang plus Huangqi (Astragalus Root) 1.5 liang. For shortness of breath and chest fullness, add Shengjiang 1 liang. For abdominal fullness, remove Dazao, add Fuling (Poria) 1.5 liang. For constipation, remove Dazao, add Zhishi (Immature Bitter Orange) 1.5 liang. For Lung Qi deficiency, add Banxia (Pinellia Tuber) 3 liang.

Deficiency consumption with lower back pain, lower abdominal urgency, and dysuria: Shenqi Wan (Kidney Qi Pill) is primary.

Shenqi Wan Formula

Dihuang (Rehmannia Root) 8 liang, Shuyu (Dioscorea Rhizome) 4 liang, Shanzhuyu (Cornus Fruit) 4 liang, Zexie (Alisma Rhizome) 3 liang, Mudanpi (Tree Peony Bark) 3 liang, Fuling (Poria) 3 liang, Guizhi (Cinnamon Twig) 1 liang, Fuzi (Prepared Aconite Root Lateralis) 1 piece (processed).

Crush and sieve, mix with honey into pills, size of wutong seed, take 15 pills with wine, gradually increase to 25 pills, twice a day; if unable to drink wine, use rice drink.

Deficiency consumption with deficiency restlessness and insomnia: Suanzaoren Tang (Sour Jujube Seed Decoction) is primary.

Suanzaoren Tang Formula

Suanzaoren (Sour Jujube Seed) 2 sheng, Gancao (Licorice Root) 1 liang, Zhimu (Anemarrhena Rhizome) 2 liang, Fuling (Poria) 2 liang, Xiongchu (Szechuan Lovage Rhizome) 1 liang.

Decoct Suanzaoren in eight sheng water to obtain six sheng, add other herbs, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.

Five labors leading to extreme deficiency, emaciation, abdominal fullness, inability to eat, due to dietary injury, emotional injury, fluid injury, sexual injury, hunger injury, labor injury, damaging meridians, Ying, Wei, and Qi, with internal dry blood, skin resembling armor scales, dark eyes: soothe middle and tonify deficiency, Dahuang Zhechong Wan (Rhubarb and Ground Beetle Pill) is primary.

Dahuang Zhechong Wan Formula

Dahuang (Rhubarb Rhizome) 10 liang, Huangqin (Scutellaria Root) 2 liang, Gancao (Licorice Root) 3 liang, Taoren (Peach Seed) 1 sheng, Xingren (Apricot Seed) 1 sheng, Shaoyao (White Peony Root) 4 liang, Dihuang (Rehmannia Root) 10 liang, Ganqi (Dry Lacquer) 1 liang, Mengchong (Blue Bottle Fly Larva) 1 sheng, Shuizhi (Leech) 100 pieces, Qicao (Ground Beetle Larva) 1 sheng, Zhechong (Ground Beetle) 0.5 sheng.

Grind to powder, mix with honey into pills, size of adzuki bean, take 5 pills with wine, three times a day.

Nv Lao (Female Labor Jaundice): bladder urgency, lower abdominal fullness, whole body yellow, black forehead, hot soles, abdominal distension like water, loose black stool, chest fullness: difficult to treat, Xiaoshi Fanshi San (Saltpeter and Alum Powder) is primary.

Xiaoshi Fanshi San Formula

Xiaoshi (Saltpeter, roasted yellow), Fanshi (Alum, burned) in equal parts.

Grind to powder, take one cun chi spoonful mixed with barley porridge juice, three times a day; black stool and yellow urine indicate efficacy.

Shanghan Zabing Lun Volume Fourteen

Differentiation of Pulse and Syndrome of Cough, Fluid Retention, Yellow Sweat, and Li Jie Disease