伤暑，汗出已，发热，烦躁，声嘶，脉反浮2数者，此为肺液伤，百合地黄加牡蛎汤主之。
右三味，先以水洗百合，渍一宿，当白沫出，去其水，另以泉水二升，煮二味，取一升，去滓，纳地黄汁，煮取一升五合，分温再服。
伤暑，心下有水气，汗出，咳嗽，渴欲饮水，水入则吐，脉弱而滑，栝蒌茯苓汤主之。
栝蒌大者一枚（共皮子捣） 茯苓三两 半夏三两（洗） 黄连二两 甘草一两（炙）
右五味，以水五升，煮取二升，温服一升，日再服。
伤暑，发热，无汗，水行皮中故也，脉必浮而滑，先以热水灌之，令汗出，后以竹茹半夏汤与之。
右四味，以水五升，煮取三升，分温三服。
太阳中热者，暍是也。其人汗出，恶寒，身热而渴，白虎加人参汤主之。
知母六两 石膏一两碎（棉裹） 甘草二两（炙） 粳米六合 人参三两
右五味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
太阳中暍，身热，疼重，而脉微弱者，以夏月伤冷水，水行皮中所致也，猪苓加人参汤主之；一物瓜蒂汤亦主之。
右六味，以水四升，先煮五味，取二升，纳阿胶烊消，温服七合，日三服。
瓜蒂二十个
右〖坐刂〗，以水一升，煮取五合，去滓，顿服。
凡病暑者，当汗出，不汗出者，必发热，发热者，必不汗出也，不可发汗，发汗则发热，烦躁，失声，此为肺液枯，息高气贲者，不治。
伤暑，夜卧不安，烦躁，谵语，舌赤，脉数，此为暑邪干心也，黄连半夏石膏甘草汤主之。
右四味，以水五升，煮取三升，去滓，温服一升，日三服。
太阳中暍，发热，恶寒，身重疼痛，其脉弦细芤迟，小便已，洒洒然毛耸，手足逆冷；小有劳身即热；口开，前板齿燥；若发汗，则恶寒甚；加温针，则发热甚，数下之，则淋甚；白虎加桂枝人参芍药汤主之。
知母六两 石膏一斤碎（棉裹） 甘草二两（炙） 粳米六合 桂枝一两 人参三两 芍药二两
右七味，以水八升，煮米熟汤成，温服一升，日三服。
人参三两 石膏一斤碎（棉裹） 竹叶一把 黄连一两 半夏半升（洗）
右五味，以水六升，煮取三升，去滓，温服一升，日三服。
热病脉证并治第八
热之为病，有外至，有内生。外至可移，内有定处，不循经序，舍于所合，与温相似，根本异源，传经化热，伏气变温，医多不晓，认为一体，如此杀人，莫可穷极。为子条记，传与后贤。
热病，面赤，口烂，心中痛，欲呕，脉洪而数，此热邪干心也，黄连黄芩泻心汤主之。
右二味，以水二升，煮取一升，分温再服。
热病，身热，左胁痛，甚则狂言乱语，脉弦而数，此热邪乘肝也，黄连黄芩半夏猪胆汁汤主之。
右四味，以水六升，先煮三味，取三升，去滓，纳胆汁和合，令相得，分温再服。
热病，腹中痛，不可按，不能俯仰，大便难，脉数而大，此热邪乘脾也，大黄厚朴甘草汤主之。
右三味，以水五升，煮取二升，服一升，得大便利，勿再服。
热病，口渴，喘，嗽，痛引胸中，不得太息，脉短而数，此热邪乘肺也，黄连石膏半夏甘草汤主之。
右四味，以水六升，煮取三升，去滓，温服一升，日三服。
热病，咽中干，腰痛，足热，脉沉而数，此热邪移肾也，地黄黄柏黄连半夏汤主之。
右四味，以水八升，煮取三升，去滓，温服一升，日三服。
湿病脉证并治第九
湿气为病，内外上下，四处流行，随邪变化，各具病形，按法诊治，勿失纪纲。湿气在上，中于雾露，头痛，项强，两额疼痛，脉浮而涩者，黄芪桂枝茯苓细辛汤主之。
右四味，以水五升，煮取三升，去滓，温服一升，日三服。
湿气在下，中于水冷，从腰以下重，两足肿，脉沉而涩者，桂枝茯苓白术细辛汤主之。
右四味，以水六升，煮取二升，去滓，温服一升，日再服。
湿气在外，因风相搏，流于经络，骨节烦疼，卧不欲食，脉浮缓，按之涩，桂枝汤微发其汗，令风湿俱去；若恶寒，身体疼痛，四肢不仁，脉浮而细紧，此为寒气，并桂枝麻黄各半汤主之。
桂枝汤方
桂枝三两（去皮） 芍药三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈）
右五味，〖口父〗咀。以水七升，微火煮取三升，去滓，适寒温，服一升。服已须臾，啜热稀粥一升余，以助药力，温覆令一时许，遍身漐漐，微似有汗者益佳，不可令如水流漓，病必不除。若一服汗出病差，停后服，不必尽剂；若不汗，更服依前法；又不汗，后服小促其间，半日许，令三服尽；若病重者，一日一夜服，周时观之。服一剂尽，病证犹在者，更作服；若汗不出，乃服至二三剂。禁生冷、粘滑、肉面、五辛、酒酪、臭恶等物。
麻黄汤方
麻黄三两（去节） 桂枝三两（去皮） 甘草一两（炙） 杏仁七十枚（去皮尖）
右四味，以水九升，先煮麻黄减二升，去上沫，纳诸药，煮取二升半，去滓，温服八合，覆取微似汗，不须啜粥，余如桂枝法将息。
即桂枝汤三合，麻黄汤三合，并为六合，顿服之，将息如桂枝汤法。
湿气在内，与脾相搏，发为中满；胃寒相将，变为泄泻。中满宜白术茯苓厚朴汤；泄泻宜理中汤；若上干肺，发为肺寒，宜小青龙汤；下移肾，发为淋漓，宜五苓散；流于肌肉，发为黄肿，宜麻黄茯苓汤；若流于经络，与热气相乘，则发痈脓；脾胃素寒，与湿久留，发为水饮，与燥相搏，发为痰饮，治属饮家。
右三味，以水五升，煮取一升五合，去滓，分温再服。
右五味，以水七升，先煮麻黄，再沸，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
理中汤方
右四味，以水八升，煮取三升，去滓，温服一升，日三服。
小青龙汤方
麻黄三两（去节） 芍药三两 细辛三两 桂枝三两（去皮） 干姜三两 半夏半升（洗） 甘草三两 五味子半升
右八味，一水一斗，先煮麻黄减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
五苓散方
猪苓十八铢（去皮） 泽泻一两六铢 茯苓十八铢 桂枝半两（去皮） 白术十八铢
右五味，捣为散，以白饮和服方寸匙，日三服，多饮暖水，汗出愈。
太阳病，关节疼痛而烦，脉沉而细者，此名湿痹；湿痹之候，其人小便不利，大便反快，但当利其小便。
湿家，其人但头汗出，背强，欲得被覆向火，若下之早，则哕，胸满，小便不利，舌上滑苔者，以丹田有热，胸中有寒，渴欲得水，而不能饮，口燥烦也。
问曰：风湿相搏，一身尽疼，法当汗出而解，值天阴雨不止，医云此可发汗，汗之病不愈者何也？师曰：发其汗，汗大出者，但风气去，湿气在，是故不愈也。若治风湿者，发其汗，但微微似欲汗出者，风湿俱去也。
湿家病，身上尽疼痛，发热，面黄而喘，头痛，鼻塞而烦，其脉大，自能饮食，腹中和无病，病在头中寒湿，故鼻塞，纳药鼻中，则愈。
鼻塞方
右四味，等分为末，调和，纳鼻中小许，嚏则愈。
麻黄三两（去节） 桂枝二两（去皮）甘草一两（炙） 白术四两 杏仁七十个（去皮尖）
右五味，以水九升，先煮麻黄，减二升，去上沫，纳诸药，煮取二升半，去滓，温服八合，覆取微汗，不得汉再服，得汗，停后服。
病者一身尽疼，发热，日晡所剧者，此名风湿。此病伤于汗出当风，或久伤取冷所致也，可与麻黄杏仁薏苡甘草汤。
右四味，以水六升，先煮麻黄，减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
防己二两 甘草一两（炙） 白术一两 黄芪二两 生姜一两 大枣十二枚（劈）
右六味，以水一斗，煮取五升，去滓，再煎取三升，温服一升，日三服；喘者加麻黄五分；胃中不和者，加芍药三分；气上冲者，加桂枝三分；下有陈寒者，加细辛三分；服后当如虫行皮中，从腰下如冰，后坐被上，又以一被绕之，温令有微汗差。
伤寒八九日，风湿相搏，不能自转侧，不呕，不渴，脉浮虚而涩者，桂枝附子汤主之；若大便坚，小便自利者，白术附子汤主之。。
桂枝四两（去皮） 附子二枚（炮） 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈）
右五味，以水六升，煮取三升，去滓，分温三服。
白术一两 附子一枚（炮） 甘草二两（炙） 生姜一两半 大枣六枚（劈）
右五味，以水三升，煮取一升，去滓，分温三服，一服觉身痹，半日许再服，三服都尽，其人如冒状，勿怪，即术附并走皮中，逐水气，未得除耳。
风湿相搏，骨节疼烦，掣痛，不得屈伸，近之则痛剧，汗出，短气，小便不利，恶风，不欲去衣，或身微肿者，甘草附子汤主之。
右四味，以水六升，煮取三升，去滓，温服一升，日三服。初服得微汗则解；能食，汗出，复烦者，服五合；恐一升多者，服六七合为佳。
伤燥病脉证并治第十
伤燥，肺先受之，出则大肠受之，移传五脏，病各异形，分别诊治，消息脉经。
燥病，口渴，咽干，喘，咳，胸满痛甚则唾血，脉浮短而急，此燥邪干肺也，竹叶石膏杏子甘草汤主之；若移于大肠，则大便难，口渴，欲饮热，脉急大，在下者，麻仁白蜜煎主之。
右四味，以水五升，煮取三升，去滓，温服一升，日三服。
右二味，以水四升，先煮麻仁，取一升五合，去滓，纳蜜，微沸，和合，令小冷，顿服之。
燥病，口烂，气上逆，胸中痛，脉大而涩，此燥邪乘心也，栀子连翘甘草栝蒌汤主之。
右四味，以水七升，煮取三升，去滓，温服一升，日三服。
燥病，目赤，困苦，咽干，胁下痛，脉弦而数，此燥邪乘肝也，黄芩牡丹皮栝蒌半夏枳实汤主之。
黄芩三两 牡丹皮二两 栝蒌实大者一枚（捣） 半夏半升（洗）枳实二枚
右五味，以水五升，煮取三升，去滓，温服一升，日三服。
燥病，色黄，腹中痛不可按，大便难，脉数而滑，此燥邪乘脾也，白虎汤主之。
白虎汤方
右四味，一水一斗煮米熟，汤成去滓温服一升，日三服。燥病，咽干，喉痛，少腹急痛，小便赤，脉沉而急，此燥邪移肾也，地黄黄柏茯苓栝蒌汤主之。
右四味，以水六升，煮取三升，去滓，温服一升，日三服。
伤风病脉证并治第十一
Heatstroke, after sweating occurs, fever, irritability, hoarseness of voice, and the pulse is unexpectedly floating and rapid. This indicates injury to the lung fluids; Baihe Dihuang Jia Muli Tang (Lily Bulb and Rehmannia Decoction with Oyster Shell) is the primary treatment.
Baihe Dihuang Jia Muli Tang Formula
Baihe (Lily Bulb) seven pieces
Dihuang Zhi (Rehmannia Juice) one sheng
Muli (Oyster Shell) two liang
The above three ingredients: First wash the Baihe, soak it overnight until white foam appears, discard the water. Take another two sheng of spring water, boil the first two ingredients (Baihe and Muli), obtain one sheng of decoction, remove the dregs, add the Dihuang Zhi, boil again to obtain one sheng and five he. Divide into two warm doses.
Heatstroke with fluid retention in the epigastrium, sweating, cough, thirst desire to drink water, but vomiting immediately after drinking, weak and slippery pulse. Gualou Fuling Tang (Trichosanthes Root and Poria Decoction) is the primary treatment.
Gualou Fuling Tang Formula
Gualou (large fruit, crushed with peel and seeds) one piece
Fuling (Poria) three liang
Banxia (Pinellia, washed) three liang
Huanglian (Coptis) two liang
Gancao (Licorice, roasted) one liang
The above five ingredients: Boil in five sheng of water to obtain two sheng. Take one sheng warm, twice daily.
Heatstroke with fever and no sweating, due to water qi circulating within the skin. The pulse must be floating and slippery. First irrigate with hot water to induce sweating, then administer Zhuru Banxia Tang (Bamboo Shavings and Pinellia Decoction).
Zhuru Banxia Tang Formula
Zhuru (Bamboo Shavings) two liang
Gualou Gen (Trichosanthes Root) two liang
Fuling (Poria) three liang
Banxia (Pinellia) half a sheng
The above four ingredients: Boil in five sheng of water to obtain three sheng. Divide into three warm doses.
Shaoyang heatstroke, known as "Ye" (Heatstroke). The patient sweats, fears cold, has body heat and thirst. Baihu Jia Renshen Tang (White Tiger Decoction with Ginseng) is the primary treatment.
Baihu Jia Renshen Tang Formula
Zhimu (Anemarrhena) six liang
Shigao (Gypsum, crushed, wrapped in cotton) one liang
Gancao (Licorice, roasted) two liang
Jingmi (Rice) six ge
Renshen (Ginseng) three liang
The above five ingredients: Boil in ten dou of water until the rice is cooked. Remove dregs, take one sheng warm, three times daily.
Shaoyang heatstroke, body heat, heavy pain, and weak pulse, caused by injuring cold water in summer, leading to water qi circulating in the skin. Zhu Ling Jia Renshen Tang (Polyporus Decoction with Ginseng) is the primary treatment; Yiwu Gudi Tang (Single-Ingredient Melon Pedicel Decoction) also treats this condition.
Zhu Ling Jia Renshen Tang Formula
Zhu Ling (Polyporus) one liang
Fuling (Poria) one liang
Huashi (Talcum) one liang
Zexie (Alisma) one liang
Ejiao (Donkey-hide Gelatin) one liang
Renshen (Ginseng) three liang
The above six ingredients: Boil in four sheng of water. First boil the first five ingredients to obtain two sheng, then add Ejiao to melt. Take seven he warm, three times daily.
Yiwu Gudi Tang Formula
Gudi (Melon Pedicel) twenty pieces
Crush the above single ingredient, boil in one sheng of water to obtain five he, remove dregs, take once.
In all cases of heatstroke, sweating should occur. If there is no sweating, fever will definitely occur; if there is fever, sweating will definitely not occur. Do not use diaphoresis. Misuse of diaphoresis leads to fever, irritability, and loss of voice, indicating dryness of lung fluids. Cases with shortness of breath and rebellious qi are incurable.
Heatstroke causing restless sleep at night, irritability, delirium, red tongue, and rapid pulse indicates Summerheat pathogen interfering with the Heart. Huanglian Banxia Shigao Gancao Tang (Coptis, Pinellia, Gypsum, and Licorice Decoction) is the primary treatment.
Huanglian Banxia Shigao Gancao Tang Formula
Huanglian (Coptis) three liang
Banxia (Pinellia) half a sheng
Shigao (Gypsum, crushed, wrapped in cotton) one jin
Gancao (Licorice, roasted) two liang
The above four ingredients: Boil in five sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Shaoyang heatstroke, fever, aversion to cold, heavy body pain, pulse stringy, fine, knotted, and slow. After urination, feeling chilly and shivering, cold extremities; slight exertion causes body heat; mouth open, anterior teeth dry. If diaphoresis is used, aversion to cold worsens; if moxibustion/needling is used, fever worsens; if purgatives are used repeatedly, strangury worsens. Baihu Jia Guizhi Renshen Shaoyao Tang (White Tiger Decoction with Cinnamon Twig, Ginseng, and Peony) is the primary treatment.
Baihu Jia Guizhi Renshen Shaoyao Tang Formula
Zhimu (Anemarrhena) six liang
Shigao (Gypsum, crushed, wrapped in cotton) one jin
Gancao (Licorice, roasted) two liang
Jingmi (Rice) six ge
Guizhi (Cinnamon Twig) one liang
Renshen (Ginseng) three liang
Shaoyao (Peony) two liang
The above seven ingredients: Boil in eight sheng of water until rice is cooked. Take one sheng warm, three times daily.
Heatstroke with weak pulse, thirst, profuse sweating, and dizziness. Renshen Shigao Tang (Ginseng and Gypsum Decoction) is the primary treatment.
Renshen Shigao Tang Formula
Renshen (Ginseng) three liang
Shigao (Gypsum, crushed, wrapped in cotton) one jin
Zhuye (Bamboo Leaf) one handful
Huanglian (Coptis) one liang
Banxia (Pinellia, washed) half a sheng
The above five ingredients: Boil in six sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
In heatstroke, headache is absent; if headache exists, it is Wind. If heaviness exists, it is Dampness.
Chapter 8: Pulse and Symptom Management of Heat Diseases
Heat diseases arise from external invasion or internal generation. External heat can migrate; internal heat has a fixed location. It does not follow meridian transmission order but resides where it combines. It resembles Warmth diseases but originates differently. Some transmit meridians and transform into heat; latent Qi transforms into warmth. Physicians often fail to understand this, treating them as one entity, which kills people endlessly. I record these points for future sages.
Heat disease with red face, oral ulcers, heart pain, desire to vomit, and洪 (surging) rapid pulse indicates Heat pathogen interfering with the Heart. Huanglian Huangqin Xiexin Tang (Coptis and Scutellaria Heart-Draining Decoction) is the primary treatment.
Huanglian Huangqin Xiexin Tang Formula
Huanglian (Coptis) three liang
Huangqin (Scutellaria) two liang
The above two ingredients: Boil in two sheng of water to obtain one sheng. Divide into two warm doses.
Heat disease with body heat, left hypochondriac pain, severe delirium, and stringy rapid pulse indicates Heat pathogen invading the Liver. Huanglian Huangqin Banxia Zhuzhitan Tang (Coptis, Scutellaria, Pinellia, and Pig Bile Decoction) is the primary treatment.
Huanglian (Coptis) two liang
Huangqin (Scutellaria) three liang
Banxia (Pinellia) one sheng
Zhu Dan (Pig Gallbladder, large one, juice extracted) one piece
The above four ingredients: Boil in six sheng of water. First boil the first three ingredients to obtain three sheng, remove dregs, add bile juice and mix well. Divide into two warm doses.
Heat disease with abdominal pain, tenderness on pressure, inability to bend or stretch, difficult defecation, and rapid large pulse indicates Heat pathogen invading the Spleen. Dahuang Houpo Gancao Tang (Rhubarb, Magnolia Bark, and Licorice Decoction) is the primary treatment.
Dahuang (Rhubarb) four liang
Houpo (Magnolia Bark) six liang
Gancao (Licorice) three liang
The above three ingredients: Boil in five sheng of water to obtain two sheng. Take one sheng. Once bowel movement is achieved, do not take further.
Heat disease with thirst, asthma, cough, pain radiating to the chest, inability to take deep breaths, and short rapid pulse indicates Heat pathogen invading the Lung. Huanglian Shigao Banxia Gancao Tang (Coptis, Gypsum, Pinellia, and Licorice Decoction) is the primary treatment.
Huanglian (Coptis) one liang
Shigao (Gypsum, crushed, wrapped in cotton) one jin
Banxia (Pinellia, washed) half a sheng
Gancao (Licorice) three liang
The above four ingredients: Boil in six sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Heat disease with dry throat, lower back pain, hot feet, and sinking rapid pulse indicates Heat pathogen transferring to the Kidney. Dihuang Huangbai Huanglian Banxia Tang (Rehmannia, Phellodendron, Coptis, and Pinellia Decoction) is the primary treatment.
Dihuang (Rehmannia) half a jin
Huangbai (Phellodendron) six liang
Huanglian (Coptis) three liang
Banxia (Pinellia, washed) one sheng
The above four ingredients: Boil in eight sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Chapter 9: Pulse and Symptom Management of Dampness Diseases
Dampness pathogenic factors circulate internally, externally, superiorly, and inferiorly, changing with the pathogen and presenting various forms. Diagnose and treat according to principles without losing the guideline.
Dampness in the upper part, affected by fog and dew, causes headache, neck stiffness, and bilateral frontal pain. Floating and choppy pulse indicates Huangqi Guizhi Fuling Xixin Tang (Astragalus, Cinnamon Twig, Poria, and Asarum Decoction) is the primary treatment.
Huangqi Guizhi Fuling Xixin Tang Formula
Huangqi (Astragalus) three liang
Guizhi (Cinnamon Twig) two liang
Fuling (Poria) three liang
Xixin (Asarum) one liang
The above four ingredients: Boil in five sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Dampness in the lower part, affected by cold water, causes heaviness below the waist and swollen feet. Sinking and choppy pulse indicates Guizhi Fuling Baizhu Xixin Tang (Cinnamon Twig, Poria, Atractylodes, and Asarum Decoction) is the primary treatment.
Guizhi Fuling Baizhu Xixin Tang Formula
Guizhi (Cinnamon Twig) three liang
Fuling (Poria) four liang
Baizhu (Atractylodes) three liang
Xixin (Asarum) two liang
The above four ingredients: Boil in six sheng of water to obtain two sheng. Remove dregs, take one sheng warm, twice daily.
Dampness on the exterior, battling with Wind, flows into meridians, causing bone and joint pain, lying down without appetite. Floating and moderate pulse, choppy on pressure. Gui Zhi Tang (Cinnamon Twig Decoction) induces mild sweating to expel both Wind and Dampness. If aversion to cold, body pain, numbness of limbs, and floating fine tight pulse exist, this is Cold pathogen; combine with Guizhi Mahuang Ge Ban Tang (Half-Guizhi Half-Mahuang Decoction) as the primary treatment.
Gui Zhi Tang Formula
Guizhi (Cinnamon Twig, peeled) three liang
Shaoyao (Peony) three liang
Gancao (Licorice, roasted) two liang
Shengjiang (Fresh Ginger, sliced) three liang
Dazao (Jujube, split) twelve pieces
The above five ingredients: Crush. Boil in seven sheng of water over low heat to obtain three sheng. Remove dregs. Take one sheng at appropriate temperature. Shortly after taking, drink more than one sheng of hot thin porridge to assist medicinal power. Cover with blankets for about an hour until slight continuous sweating occurs throughout the body. Do not allow profuse sweating like flowing water, or the disease will not be resolved. If one dose cures the disease, stop subsequent doses; do not finish the entire preparation. If no sweat, repeat according to previous method. If still no sweat, shorten the interval slightly, finishing three doses within half a day. For severe cases, administer day and night, observing for one shichen (two hours). If symptoms persist after one dose, prepare another. If no sweat occurs, continue to two or three doses. Avoid raw/cold, sticky/slippery, meat, flour, five pungents, dairy/wine, and foul-smelling foods.
Ma Huang Tang Formula
Mahuang (Ephedra, nodes removed) three liang
Guizhi (Cinnamon Twig, peeled) three liang
Gancao (Licorice, roasted) one liang
Xingren (Apricot Kernel, skin and tip removed) seventy pieces
The above four ingredients: Boil in nine sheng of water. First boil Mahuang to reduce by two sheng, remove surface foam. Add other herbs, boil to obtain two and a half sheng. Remove dregs, take eight he warm. Cover to induce slight sweat. No need to drink porridge. Rest care follows Gui Zhi Tang method.
Guizhi Mahuang Ge Ban Tang Formula
Combine three he of Gui Zhi Tang and three he of Ma Huang Tang to make six he. Take once. Rest care follows Gui Zhi Tang method.
Dampness inside battles with the Spleen, causing middle jiao fullness. Combined with Stomach cold, it becomes diarrhea. Middle fullness suits Baizhu Fuling Houpo Tang (Atractylodes, Poria, and Magnolia Bark Decoction); diarrhea suits Lizhong Tang (Regulate the Middle Decoction). If affecting the Lung, causing Lung cold, Xiao Qinglong Tang (Minor Blue Dragon Decoction) suits. If transferring to the Kidney, causing dribbling urine, Wuling San (Five-Ingredient Powder) suits. If flowing into muscles, causing yellow swelling, Mahuang Fuling Tang (Ephedra and Poria Decoction) suits. If flowing into meridians and combining with Heat, carbuncles and pus develop. If Spleen/Stomach are inherently cold and damp lingers, water retention develops. Combining with Dryness, phlegm-fluid develops. Treatment belongs to Fluid-Disease management.
Baizhu Fuling Houpo Tang Formula
Baizhu (Atractylodes) three liang
Fuling (Poria) four liang
Houpo (Magnolia Bark, roasted, peeled) two liang
The above three ingredients: Boil in five sheng of water to obtain one sheng and five he. Remove dregs, divide into two warm doses.
Mahuang Fuling Tang Formula
Mahuang (Ephedra, nodes removed) two liang
Fuling (Poria) three liang
Baizhu (Atractylodes) three liang
Fangji (Stephania) [amount unspecified]
Chixiaodou (Adzuki Bean) one sheng
The above five ingredients: Boil in seven sheng of water. First boil Mahuang, boil again, remove surface foam. Add other herbs, boil to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Lizhong Tang Formula
Renshen (Ginseng) three liang
Ganjiang (Dried Ginger) three liang
Baizhu (Atractylodes) three liang
Gancao (Licorice, roasted) three liang
The above four ingredients: Boil in eight sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Xiao Qinglong Tang Formula
Mahuang (Ephedra, nodes removed) three liang
Shaoyao (Peony) three liang
Xixin (Asarum) three liang
Guizhi (Cinnamon Twig, peeled) three liang
Ganjiang (Dried Ginger) three liang
Banxia (Pinellia, washed) half a sheng
Gancao (Licorice) three liang
Wuweizi (Schisandra) half a sheng
The above eight ingredients: Boil in ten dou of water. First boil Mahuang to reduce by two sheng, remove surface foam. Add other herbs, boil to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Wuling San Formula
Zhu Ling (Polyporus, peeled) eighteen zhu
Zexie (Alisma) one liang six zhu
Fuling (Poria) eighteen zhu
Guizhi (Cinnamon Twig, peeled) half a liang
Baizhu (Atractylodes) eighteen zhu
The above five ingredients: Pound into powder. Mix with grain drink, take one cun spoonful, three times daily. Drink plenty of warm water; sweating indicates cure.
Taiyang disease with joint pain and vexation, sinking fine pulse is named Wet Bi (Dampness Bi). In Wet Bi, the patient has difficult urination and loose stools. Only promote urination.
Patients with chronic dampness have whole-body pain, fever, and yellowish skin color like smoked yellow.
Patients with chronic dampness only sweat on the head, have stiff back, desire to cover themselves and face fire. If purged too early, hiccups, chest fullness, difficult urination, and slippery tongue coating occur. This is because there is heat in the Lower Dantian and cold in the Chest. Thirst for water but inability to drink, dry mouth and vexation.
If patients with chronic dampness are purged, sweating on the forehead, slight asthma, and free urination indicate death. If diarrhea persists, death also ensues.
Question: Wind-Dampness binding causes whole-body pain. Normally, sweating resolves it. On rainy days, the physician says sweating is indicated, but the disease does not resolve. Why? Master says: Profuse sweating expels only Wind, leaving Dampness behind, hence no resolution. To treat Wind-Dampness, induce slight sweating so that both Wind and Dampness are expelled.
Patients with dampness disease have whole-body pain, fever, yellow face, asthma, headache, nasal congestion, and vexation. Pulse is large. They can eat normally, abdomen is harmonious and healthy. The disease is cold-dampness in the head, causing nasal congestion. Insert medicine into the nose to cure.
Nasal Congestion Formula
Puhui (Typha Pollen Ash)
Xixin (Asarum)
Zaojiao (Gleditsia Fruit)
Mahuang (Ephedra)
The above four ingredients: Equal parts, pound into powder, mix, insert small amount into nose. Sneezing indicates cure.
For dampness patients with body pain and vexation, Ma Huang Jia Zhu Tang (Ephedra plus Atractylodes Decoction) to induce sweating is suitable. Strictly avoid fire therapy.
Ma Huang Jia Zhu Tang Formula
Mahuang (Ephedra, nodes removed) three liang
Guizhi (Cinnamon Twig, peeled) two liang
Gancao (Licorice, roasted) one liang
Baizhu (Atractylodes) four liang
Xingren (Apricot Kernel, skin and tip removed) seventy pieces
The above five ingredients: Boil in nine sheng of water. First boil Mahuang to reduce by two sheng, remove surface foam. Add other herbs, boil to obtain two and a half sheng. Remove dregs, take eight he warm. Cover to induce slight sweat. Do not re-administer if sweating occurs; stop subsequent doses upon sweating.
Patient with whole-body pain, fever, worsening in late afternoon is named Wind-Dampness. Caused by sweating exposed to wind or long-term exposure to cold. Ma Huang Xing Yi Gancao Tang (Ephedra, Apricot Kernel, Coix Seed, and Licorice Decoction) is suitable.
Ma Huang Xing Yi Gancao Tang Formula
Mahuang (Ephedra) one liang
Xingren (Apricot Kernel, skin and tip removed) twenty pieces
Yiyi Ren (Coix Seed) one liang
Gancao (Licorice, roasted) one liang
The above four ingredients: Boil in six sheng of water. First boil Mahuang to reduce by two sheng, remove surface foam. Add other herbs, boil to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Wind-Dampness with floating pulse, heavy body, sweating, and aversion to wind. Fangji Huangqi Tang (Stephania and Astragalus Decoction) is the primary treatment.
Fangji Huangqi Tang Formula
Fangji (Stephania) two liang
Gancao (Licorice, roasted) one liang
Baizhu (Atractylodes) one liang
Huangqi (Astragalus) two liang
Shengjiang (Fresh Ginger) one liang
Dazao (Jujube, split) twelve pieces
The above six ingredients: Boil in ten dou of water to obtain five sheng. Remove dregs, simmer to obtain three sheng. Take one sheng warm, three times daily. For asthma, add Mahuang five fen; for stomach disharmony, add Shaoyao three fen; for rebellious Qi, add Guizhi three fen; for old cold below, add Xixin three fen. After taking, sensation of insects crawling in skin, ice-cold feeling below waist. Sit on blanket, wrap with another blanket, keep warm until slight sweat appears for improvement.
Cold damage for eight or nine days, Wind-Dampness binding, inability to turn over, no vomiting, no thirst, floating deficient and choppy pulse. Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction) is the primary treatment. If stool is hard and urination is free, Baizhu Fuzi Tang (Atractylodes and Aconite Decoction) is the primary treatment.
Guizhi Fuzi Tang Formula
Guizhi (Cinnamon Twig, peeled) four liang
Fuzi (Aconite, processed) two pieces
Gancao (Licorice, roasted) two liang
Shengjiang (Fresh Ginger, sliced) three liang
Dazao (Jujube, split) twelve pieces
The above five ingredients: Boil in six sheng of water to obtain three sheng. Remove dregs, divide into three warm doses.
Baizhu Fuzi Tang Formula
Baizhu (Atractylodes) one liang
Fuzi (Aconite, processed) one piece
Gancao (Licorice, roasted) two liang
Shengjiang (Fresh Ginger) one and a half liang
Dazao (Jujube, split) six pieces
The above five ingredients: Boil in three sheng of water to obtain one sheng. Remove dregs, divide into three warm doses. After first dose, if body numbness is felt, take again after half a day. After three doses, patient may feel dizzy; do not be surprised. This is Baizhu and Fuzi moving in the skin, driving out water qi, not yet fully expelled.
Wind-Dampness binding, bone and joint painful vexation, pulling pain, inability to flex/extend, severe pain on touch, sweating, shortness of breath, difficult urination, aversion to wind, unwillingness to remove clothes, or slight body swelling. Gancao Fuzi Tang (Licorice and Aconite Decoction) is the primary treatment.
Gancao Fuzi Tang Formula
Gancao (Licorice, roasted) two liang
Fuzi (Aconite, processed, peeled) two pieces
Baizhu (Atractylodes) two liang
Guizhi (Cinnamon Twig) four liang
The above four ingredients: Boil in six sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily. Initial dose resolving with slight sweat is effective. If able to eat, sweating, and recurring vexation, take five he. If fearing one sheng is too much, take six or seven he.
Chapter 10: Pulse and Symptom Management of Dryness Diseases
Dryness affects the Lung first, then the Large Intestine, transmitting to the Five Zang organs, presenting different forms. Diagnose separately, consult pulse classics.
Dryness disease with thirst, dry throat, asthma, cough, chest fullness/pain, severe hemoptysis, floating short and urgent pulse indicates Dryness pathogen interfering with the Lung. Zhuye Shigao Xingzi Gancao Tang (Bamboo Leaf, Gypsum, Apricot Kernel, and Licorice Decoction) is the primary treatment. If transferring to Large Intestine, difficult defecation, thirst, desire for hot drinks, urgent large pulse, lower location, Mahren Bimi Jian (Hemp Seed and Honey Pill) is the primary treatment.
Zhuye Shigao Xingzi Gancao Tang Formula
Zhuye (Bamboo Leaf) one handful
Shigao (Gypsum) half a jin
Xingren (Apricot Kernel, skin and tip removed) thirty pieces
Gancao (Licorice) two liang
The above four ingredients: Boil in five sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Mahren Bimi Jian Formula
Maren (Hemp Seed) one sheng
Bami (White Honey) six ge
The above two ingredients: Boil in four sheng of water. First boil Hemp Seed to obtain one sheng and five he. Remove dregs, add honey, boil slightly, mix, cool slightly, take once.
Dryness disease with oral ulcers, rebellious Qi, chest pain, large and choppy pulse indicates Dryness pathogen invading the Heart. Zhizi Lianqiao Gancao Gualou Tang (Gardenia, Forsythia, Licorice, and Trichosanthes Root Decoction) is the primary treatment.
Zhizi Lianqiao Gancao Gualou Tang Formula
Zhizi (Gardenia, split) fourteen pieces
Lianqiao (Forsythia) two liang
Gancao (Licorice) two liang
Gualou Gen (Trichosanthes Root) four liang
The above four ingredients: Boil in seven sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Dryness disease with red eyes, distress, dry throat, hypochondriac pain, stringy and rapid pulse indicates Dryness pathogen invading the Liver. Huangqin Mudanpi Gualou Banxia Zhishi Tang (Scutellaria, Moutan, Trichosanthes, Pinellia, and Immature Bitter Orange Decoction) is the primary treatment.
Huangqin (Scutellaria) three liang
Mudanpi (Moutan Bark) two liang
Gualou Shi (Trichosanthes Fruit, large one, crushed) one piece
Banxia (Pinellia, washed) half a sheng
Zhishi (Immature Bitter Orange) two pieces
The above five ingredients: Boil in five sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Dryness disease with yellow complexion, abdominal pain untender, difficult defecation, rapid slippery pulse indicates Dryness pathogen invading the Spleen. Baihu Tang (White Tiger Decoction) is the primary treatment.
Baihu Tang Formula
Zhimu (Anemarrhena) six liang
Shigao (Gypsum, crushed, wrapped in cotton) one jin
Gancao (Licorice, roasted) two liang
Jingmi (Rice) six ge
The above four ingredients: Boil in ten dou of water until rice is cooked. Remove dregs, take one sheng warm, three times daily. Dryness disease with dry throat, sore throat, lower abdominal urgency, red urine, sinking urgent pulse indicates Dryness pathogen transferring to the Kidney. Dihuang Huangbai Fuling Gualou Tang (Rehmannia, Phellodendron, Poria, and Trichosanthes Root Decoction) is the primary treatment.
Dihuang Huangbai Fuling Gualou Tang Formula
Dihuang (Rehmannia) six liang
Huangbai (Phellodendron) three liang
Fuling (Poria) three liang
Gualou Gen (Trichosanthes Root) four liang
The above four ingredients: Boil in six sheng of water to obtain three sheng. Remove dregs, take one sheng warm, three times daily.
Chapter 11: Pulse and Symptom Management of Wind-Cold Diseases