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。

太阳病，头痛，发热，汗出，恶风，桂枝汤主之。（方见前）

太阳病，项背强几几，及汗出恶风者，桂枝加葛根汤主之。

桂枝加葛根汤方

葛根四两芍药二两桂枝二两（去皮）甘草二两（炙）生姜三两（切）大枣十二枚（劈）

右六味，先以水一斗，煮葛根减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，覆取微似汗，不须啜粥，余如桂枝法将息及禁忌。

太阳病，下之后，其气上冲者，可与桂枝汤。方用前法。若不上冲者，不可与之。

太阳病三日，已发汗，若吐，若下，若温针，仍不解者，此为坏病，桂枝不可与也。观其脉证，知犯何逆，随证治之。

桂枝汤本为解肌，若其人脉浮紧，发热，汗不出者，不可与也。常须识此，勿令误也。若酒客病，亦不可与桂枝汤，得之必呕，以酒客不喜甘故也。

喘家作，桂枝汤加厚朴杏子与之佳。

凡服桂枝汤吐者，其后必吐脓血也。

太阳病，发汗，遂漏不止，其人恶风，小便难，四肢微急，难以屈伸者，桂枝加附子汤主之。

桂枝加附子汤方

桂枝三两（去皮）芍药三两甘草二两（炙）生姜三两大枣十二枚（劈）附子一枚（炮去皮破八片）

右六味，以水七升，煮取三升，去滓，温服一升，日三服。将息如桂枝汤法。

太阳病，下之后，脉促，胸满者，桂枝去芍药汤主之。

桂枝去芍药汤方（即桂枝汤原方去芍药）

右四味，以水七升，煮取三升，去滓，温服一升，日三服。将息如桂枝汤法。

太阳病，下之后，其人恶寒者，桂枝去芍药加附子汤主之。

桂枝去芍药加附子汤方

桂枝三两甘草二两（炙）生姜三两（切）大枣十二枚（劈）附子一枚（炮去皮破八片）

右五味，以水七升，煮取三升，去滓，温服一升，日三服，将息如桂枝汤法。

太阳病，得之八九日，如疟状，发热恶寒，热多寒少，其人不呕，清便欲自可，一日二三度发，脉微缓者，为欲愈也。脉微而恶寒，此阴阳俱虚，不可更发汗、更吐下也。面色反有热色者，未欲解也，以其不能得小汗出，身必痒，宜桂枝麻黄各半汤。

桂枝麻黄各半汤方（麻黄汤见后卷）

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。

太阳病，初服桂枝汤，反烦不解者，先刺风府、风池，却与桂枝汤。

太阳病，服桂枝汤后，大汗出，脉洪大者，与白虎汤；若形如疟，一日再发者，宜桂枝二麻黄一汤。

白虎汤方

知母六两石膏一斤碎（棉裹）甘草二两（炙）粳米六合

右四味，以水一斗，煮米熟汤成，去滓，温服一升，日三服。

桂枝二麻黄一汤方

即桂枝汤二升，麻黄汤一升，合为三升，每服一升，日三服，将息如桂枝汤法。

太阳病，服桂枝汤后，大汗出，大烦渴，脉洪大者，白虎加人参汤主之。

白虎加人参汤方

即白虎汤加人参三两。

太阳病，发热恶寒，热多寒少，脉微弱者，此无阳也，不可发汗，脉浮大者，宜桂枝二越婢一汤方。

桂枝二越婢一汤方

桂枝十八铢（去皮）芍药麻黄甘草各十八铢（炙）大枣四枚（劈）生姜一两二铢（切）石膏二十四铢（碎，绵裹）

右七味，以水六升，煮麻黄，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。

太阳病，服桂枝汤，或下之，仍头项强痛，翕翕发热，无汗，心下满，微痛，小便不利者，桂枝去桂加茯苓白术汤主之。

桂枝去桂加茯苓白术汤方

芍药三两甘草二两（炙）生姜三两（切）大枣十二枚（劈）茯苓三两白术三两

右六味，以水八升，煮取三升，去滓，温服一升，日三服。

伤寒，脉浮，自汗出，小便数，心烦，微恶寒，脚挛急，反与桂枝汤欲攻其表，此误也。得之便厥，咽中干，烦燥，吐逆者，作甘草干姜汤与之，以复其阳。若厥愈，足温者，更作芍药甘草汤与之，其脚即伸。若胃气不和，谵语者，少与调胃承气汤。若重发汗，复加烧针者，四逆汤主之。

甘草干姜汤方

甘草四两（炙）干姜二两（炮）

右二味，以水三升，煮取一升五合，去滓，分温再服。

芍药甘草汤方

芍药四两甘草四两（炙）

右二味，以水三升，煮取一升五合，去滓，分温再服之。

调胃承气汤方

甘草一两（炙）芒硝半斤大黄四两（酒洗）

右三味，以水三升，煮二物，取一升，去滓，纳芒硝，更上火一两沸，顿服之。

四逆汤方：

人参二两甘草二两（炙）干姜一两半附子一枚（炮去皮破八片）

右四味，以水三升，煮取一升二合，去滓，分温再服，强人可大附子一枚，干姜三两。

问曰：太阳病，其证备，按桂枝法治之而增剧，厥逆，咽中干，烦躁，吐逆，谵语，其故何也？师曰：此阳旦证，不可攻也，寸口脉浮，浮则风，亦为虚，风则生热，虚则挛急。误攻其表煮取三升，去滓，温服一升，日三服汗出亡阳，汗多则液枯，液枯则筋挛，阳明内结则烦躁谵语，用甘草干姜以复其阳，芍药甘草以救液，调胃承气以止其谵语，此坏病之治必随脉证也。

阳旦证，发热不潮，汗出，咽干，昏睡不安，夜半反静者，宜地黄半夏牡蛎酸枣仁汤主之；若口渴，烦躁，小便赤，谵语者，竹叶石膏黄芩泽泻半夏甘草汤主之。

地黄半夏牡蛎酸枣仁汤方

English

Wind is the leader of all diseases. When it strikes the face, the pathogen descends to the Yangming channel; if severe, it enters the Spleen. When it strikes the nape, the pathogen descends to the Taiyang channel; if severe, it enters the Kidney. When it strikes the side, the pathogen descends to the Shaoyang channel; if severe, it enters the Liver. The pathological changes are diverse; one must be cautious and not neglect this.

In wind disease, presenting with headache, excessive sweating, aversion to wind, pain in the axilla, inability to turn the body, and a floating, wiry, and rapid pulse, this indicates Wind Pathogen invading the Liver. It should be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pathogen flows into the Fu organs, causing distress, vomiting and regurgitation, abdominal distension, and frequent sighing, it should be treated with Chai Hu Zhi Shi Shao Yao Gan Cao Tang (Bupleurum, Immature Bitter Orange, Peony, and Licorice Decoction).

Xiao Chai Hu Tang Formula

Chai Hu (Radix Bupleuri) half jin, Huang Qin (Radix Scutellariae) three liang, Ren Shen (Radix Ginseng) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Gan Cao (Radix Glycyrrhizae) three liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).

The above seven ingredients are boiled in one dou and two sheng of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.

Chai Hu Zhi Shi Shao Yao Gan Cao Tang Formula

Chai Hu (Radix Bupleuri) eight liang, Shao Yao (Radix Paeoniae Alba) three liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces (roasted), Gan Cao (Radix Glycyrrhizae) three liang (roasted).

The above four ingredients are boiled in one dou of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.

In wind disease, presenting with chest pain, fullness and distension in the hypochondrium, pain in the chest, back, and between the shoulder blades, dry throat, frequent belching, swollen throat, throat obstruction, and a floating, surging, and rapid pulse, this indicates Wind Pathogen assaulting the Heart. It should be treated with Huang Lian Huang Qin Mai Dong Jie Geng Gan Cao Tang (Coptis, Scutellaria, Ophiopogon, Platycodon, and Licorice Decoction).

Huang Lian Huang Qin Mai Dong Jie Geng Gan Cao Tang Formula

Huang Lian (Rhizoma Coptidis) one and a half liang, Huang Qin (Radix Scutellariae) three liang, Mai Men Dong (Tuber Ophiopogonis) two liang, Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted).

The above five ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

In wind disease, presenting with flaccidity and weakness of the four limbs, heavy body, inability to bear the weight of clothes, pain in the hypochondrium radiating to the shoulder and back, and a floating, wiry, and choppy pulse, this indicates Wind Pathogen assaulting the Spleen. It should be treated with Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Guizhi Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction). If the pathogen flows into the Fu organs, causing abdominal fullness and distension and loss of appetite, it should be treated with Zhi Shi Hou Po Bai Zhu Gan Cao Tang (Immature Bitter Orange, Magnolia Bark, Atractylodes Macrocephala, and Licorice Decoction).

Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang Formula

Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Fu Ling (Sclerotium Poriae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).

The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

Zhi Shi Hou Po Bai Zhu Gan Cao Tang Formula

Zhi Shi (Fructus Aurantii Immaturus) four pieces (roasted), Hou Po (Cortex Magnoliae Officinalis) two liang (roasted, bark removed), Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted).

The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

In wind disease, presenting with cough and wheezing with sound, expectoration of blood when severe, dry throat, shoulder and back pain, and a floating, wiry, and rapid pulse, this indicates Wind Pathogen assaulting the Lung. It should be treated with Jie Geng Gan Cao Zhi Shi Shao Yao Tang (Platycodon, Licorice, Immature Bitter Orange, and Peony Decoction). If the pathogen flows into the Large Intestine, causing dry and hard stools or bloody stools, it should be treated with Jie Geng Gan Cao Zhi Shi Shao Yao Jia Di Huang Mu Dan Tang (Platycodon, Licorice, Immature Bitter Orange, and Peony Decoction plus Rehmannia and Moutan Bark).

Jie Geng Gan Cao Zhi Shi Shao Yao Tang Formula

Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces, Shao Yao (Radix Paeoniae Alba) three liang.

The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

Jie Geng Gan Cao Zhi Shi Shao Yao Jia Di Huang Mu Dan Tang Formula

Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces, Shao Yao (Radix Paeoniae Alba) three liang, Di Huang (Radix Rehmanniae) three liang, Mu Dan Pi (Cortex Moutan) two liang.

The above six ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

In wind disease, presenting with edema of the face and eyes, back pain preventing standing upright, difficulty in urination and defecation, bone atrophy when severe, and a deep, wiry pulse, this indicates Wind Pathogen assaulting the Kidney. It should be treated with Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Twig Decoction).

Chai Hu Gui Zhi Tang Formula

Gui Zhi (Ramulus Cinnamomi) one and a half liang, Shao Yao (Radix Paeoniae Alba) one and a half liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted), Chai Hu (Radix Bupleuri) four liang, Ban Xia (Rhizoma Pinelliae) two he and a half, Ren Shen (Radix Ginseng) one and a half liang, Huang Qin (Radix Scutellariae) one and a half liang, Sheng Jiang (Rhizoma Zingiberis Recens) one and a half liang, Da Zao (Fructus Jujubae) six pieces (split).

The above nine ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

Chapter 12: Treatment of Cold Disease Pulse and Symptoms

When cold pathogen causes disease, the Kidney is affected first. If it lodges among the Five Zang Organs, it causes pulling pain along the meridians. If it lodges in the "Eight Emptinesses" (axillae, groins, etc.), evil blood stagnates. Accumulating over time without resolving, it transforms into stubborn disease. Can one not be cautious?

In cold disease, presenting with bone pain, Yin Bi (bi-syndrome caused by cold pathogen obstructing meridians), abdominal distension, lower back pain, difficult defecation, pulling pain in the shoulder, back, neck, and nape, and a deep, slow pulse, this indicates Cold Pathogen invading the Kidney. It should be treated with Gui Zhi Jia Ge Gen Tang (Guizhi Decoction plus Kudzu Root). If the pathogen lingers, causing pain in both popliteal fossae, it should be treated with Gan Cao Gan Jiang Fu Ling Bai Zhu Tang (Licorice, Dried Ginger, Poria, and Atractylodes Macrocephala Decoction).

Gui Zhi Jia Ge Gen Tang Formula

Gui Zhi (Ramulus Cinnamomi) three liang (bark removed), Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Ge Gen (Radix Puerariae Lobatae) four liang.

The above six ingredients are first boiled in seven sheng of water. Boil the Ge Gen until the foam on top disappears, then add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm, three times a day. There is no need to drink hot porridge afterwards. The rest of the nursing care and contraindications follow the Guizhi method.

Gan Cao Gan Jiang Fu Ling Bai Zhu Tang Formula

Gan Cao (Radix Glycyrrhizae) two liang (roasted), Bai Zhu (Rhizoma Atractylodis Macrocephalae) two liang, Gan Jiang (Rhizoma Zingiberis) four liang, Fu Ling (Sclerotium Poriae) four liang.

The above four ingredients are boiled in five sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

In cold disease, presenting with pain in the middle of both hypochondria, cold qi moving inward causing joint pulling pain, headache and deafness when qi rebels, and a wiry, deep, and slow pulse, this indicates Cold Pathogen assaulting the Liver. It should be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pathogen lingers, causing acute pain in both axillae and inability to turn the body, it should be treated with Chai Hu Huang Qin Shao Yao Ban Xia Gan Cao Tang (Bupleurum, Scutellaria, Peony, Pinellia, and Licorice Decoction).

Xiao Chai Hu Tang (See Wind Injury section)

Chai Hu Huang Qin Shao Yao Ban Xia Gan Cao Tang Formula

Chai Hu (Radix Bupleuri) four liang, Huang Qin (Radix Scutellariae) three liang, Shao Yao (Radix Paeoniae Alba) two liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Ban Xia (Rhizoma Pinelliae) two liang.

The above five ingredients are boiled in five sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.

In cold disease, presenting with fullness and distension in the chest and hypochondrium, pain in the chest, back, and between the shoulder blades, frequent sorrowfulness when severe, occasional vertigo, and fainting with loss of consciousness, this indicates Cold Pathogen assaulting the Heart. It should be treated with Tong Mai Si Ni Tang (Decoction to Restore the Pulse and Four Reversals). If the pathogen lingers, causing pain on the outer elbow and inability to extend the arm, it should be treated with Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Epigastrium).

Tong Mai Si Ni Tang Formula

Gan Cao (Radix Glycyrrhizae) two liang (roasted), Fu Zi (Radix Aconiti Lateralis Preparata) one large piece (raw, broken), Gan Jiang (Rhizoma Zingiberis) three liang, Ren Shen (Radix Ginseng) two liang.

The above four ingredients are boiled in three sheng of water, reduced to one sheng and two he. Remove the dregs. Divide into two warm doses.

Gan Cao Xie Xin Tang Formula

Gan Cao (Radix Glycyrrhizae) four liang (roasted), Huang Qin (Radix Scutellariae) three liang, Gan Jiang (Rhizoma Zingiberis) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Ren Shen (Radix Ginseng) three liang, Huang Lian (Rhizoma Coptidis) one liang, Da Zao (Fructus Jujubae) twelve pieces (split).

The above seven ingredients are boiled in one dou of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.

In cold disease, presenting with abdominal fullness, borborygmus, undigested food in stool, diarrhea with undigested food, foot atrophy and inability to hold the leg when severe, and a slow, choppy pulse, this indicates Cold Pathogen assaulting the Spleen. It should be treated with Li Zhong Tang (Regulate the Middle Decoction). If the pathogen lingers, causing stiffness and pain in the hip joint and inability to flex or extend, it should be treated with Zhi Shi Bai Zhu Fu Ling Gan Cao Tang (Immature Bitter Orange, Atractylodes Macrocephala, Poria, and Licorice Decoction).

Li Zhong Tang Formula

Ren Shen (Radix Ginseng) three liang, Gan Jiang (Rhizoma Zingiberis) three liang, Gan Cao (Radix Glycyrrhizae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang.

The above four ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.

Zhi Shi Bai Zhu Fu Ling Gan Cao Tang Formula

Zhi Shi (Fructus Aurantii Immaturus) four pieces, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Fu Ling (Sclerotium Poriae) three liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted).

The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.

In cold disease, presenting with asthma, cough, shortness of breath, inability to complete inhalation, salivation, deafness, and dry throat, this indicates Cold Pathogen assaulting the Lung. If the pulse is deep and slow, it should be treated with Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction). If the pathogen lingers, causing pain in the inner elbow and difficulty turning, it should be treated with Zhi Shi Ju Pi Jie Geng Ban Xia Sheng Jiang Gan Cao Tang (Immature Bitter Orange, Tangerine Peel, Platycodon, Pinellia, Ginger, and Licorice Decoction).

Gan Cao Gan Jiang Tang Formula

Gan Cao (Radix Glycyrrhizae) four liang (roasted), Gan Jiang (Rhizoma Zingiberis) two liang (pao-processed).

The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.

Zhi Shi Ju Pi Jie Geng Ban Xia Sheng Jiang Gan Cao Tang Formula

Zhi Shi (Fructus Aurantii Immaturus) four pieces, Ju Pi (Pericarpium Citri Reticulatae) two liang, Jie Geng (Radix Platycodi) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Gan Cao (Radix Glycyrrhizae) two liang (roasted).

The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

Treatise on Cold Damage and Miscellaneous Diseases, Volume Six
Differentiation of Taiyang Disease Pulse, Symptoms, and Treatment - Upper

The characteristic of Taiyang disease is a floating pulse, stiffness and pain in the head and nape, and aversion to cold.

Taiyang disease, presenting with fever, sweating, aversion to wind, and a moderate pulse, is named Wind Strike (Zhong Feng).

Taiyang disease, whether fever has already appeared or not, always includes aversion to cold, body pain, vomiting and regurgitation, and a tight pulse in all positions (Yin and Yang), is named Cold Damage (Shang Han).

On the first day of Cold Damage, the Taiyang channel is affected. If the pulse remains quiet, the disease has not transmitted. If there is a strong desire to vomit, or restlessness, and the pulse is rapid and urgent, this indicates transmission.

On the second or third day of Cold Damage, if Yangming and Shaoyang symptoms do not appear, this indicates no transmission.

Taiyang disease, presenting with fever and thirst but no aversion to cold, is Warm Disease (Wen Bing). If after sweating, the body becomes burning hot, it is named Wind-Warmth (Feng Wen). In Wind-Warmth disease, the pulse is floating in all positions, there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring in nasal breathing, and difficulty speaking. If purgatives are wrongly used, there will be difficulty in urination, staring gaze, and incontinence. If fire therapy is wrongly used, the complexion may turn slightly yellow; in severe cases, it resembles convulsive epilepsy with intermittent spasms. If smoke fumigation is used, one error may prolong the illness, but a second error will hasten death.

Diseases with fever and aversion to cold originate from Yang. Diseases without fever but with aversion to cold originate from Yin. Those originating from Yang heal in seven days; those originating from Yin heal in six days, because Yang corresponds to the number seven and Yin to the number six.

In Taiyang disease, if headache persists for more than seven days and heals spontaneously, it is because the pathogen has completed its course through the channel. If it is about to transmit to the next channel, acupuncture at the Foot-Yangming channel can prevent transmission and cure the disease.

The time when Taiyang disease tends to resolve is from Si hour to Wei hour.

For patients with wind disease, if the exterior syndrome is resolved but the patient still feels unwell, they will heal in twelve days.

If a patient has high body heat but desires to wear clothes, the heat is in the skin/surface, and the cold is in the bone/marrow (deep interior).

If a patient has low body temperature but does not desire to cover up, the cold is in the skin/surface, and the heat is in the bone/marrow (deep interior).

In Taiyang Wind Strike, the pulse is floating on the surface (Yang) and weak on the inside (Yin). Floating Yang indicates spontaneous heat generation; weak Yin indicates spontaneous sweating. With shivering aversion to cold, chilliness from wind, mild fever, nasal congestion (ming), and dry vomiting, Gui Zhi Tang (Cinnamon Twig Decoction) should be administered.

Gui Zhi Tang Formula

The above five ingredients are crushed. Boil in seven sheng of water over low heat to obtain three sheng. Remove the dregs. Take one sheng at a comfortable temperature. Shortly after taking, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with blankets for about an hour until a slight, continuous sweat appears over the whole body. This is best. Do not allow profuse sweating like flowing water, or the disease will not be eliminated. If sweating occurs after the first dose and the disease improves, stop subsequent doses; there is no need to finish the entire decoction. If no sweating occurs, administer again according to the previous method. If still no sweating, shorten the interval between doses, finishing three doses within half a day. For severe cases, administer day and night, observing for twenty-four hours. If symptoms persist after finishing one dose, prepare another. If no sweating occurs, continue to two or three doses. Contraindicated foods include raw/cold, sticky/smooth, meat, wheat products, five pungent spices, dairy/wine, and foul-smelling items.

Taiyang disease, presenting with headache, fever, sweating, and aversion to wind, is treated with Gui Zhi Tang (Cinnamon Twig Decoction). (Formula seen previously).

Taiyang disease, presenting with stiffness and discomfort in the nape and back, as well as sweating and aversion to wind, is treated with Gui Zhi Jia Ge Gen Tang (Guizhi Decoction plus Kudzu Root).

Gui Zhi Jia Ge Gen Tang Formula

Ge Gen (Radix Puerariae Lobatae) four liang, Shao Yao (Radix Paeoniae Alba) two liang, Gui Zhi (Ramulus Cinnamomi) two liang (bark removed), Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).

The above six ingredients are first boiled in one dou of water. Boil the Ge Gen until the volume reduces by two sheng, removing the foam on top. Add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm. Cover to induce a slight sweat. No hot porridge is needed. Nursing care and contraindications follow the Guizhi method.

After Taiyang disease is incorrectly treated with purgation, if the Qi rushes upward, Gui Zhi Tang (Cinnamon Twig Decoction) may be given using the previous method. If the Qi does not rush upward, do not give it.

If Taiyang disease has lasted three days, and after sweating, emesis, purgation, or warm needle therapy, the condition remains unresolved, this is a "Bad Disease" (Huai Bing). Gui Zhi Tang should not be given. Observe the pulse and symptoms, determine what error was made, and treat according to the current syndrome.

Gui Zhi Tang (Cinnamon Twig Decoction) is originally for releasing the muscle layer. If the patient has a floating-tight pulse, fever, and no sweating, it must not be given. Keep this in mind to avoid errors. Patients who consume alcohol regularly should also not receive Gui Zhi Tang, as it will likely cause vomiting due to their dislike of sweet substances.

For patients with a chronic history of asthma, adding Hou Po (Magnolia Bark) and Xing Ren (Apricot Seed) to Gui Zhi Tang is beneficial.

Anyone who vomits after taking Gui Zhi Tang will subsequently vomit pus and blood.

After Taiyang disease is treated with sweating, if sweating continues uncontrollably, the patient feels aversion to wind, has difficulty urinating, slight stiffness in the four limbs making flexion and extension difficult, Gui Zhi Jia Fu Zi Tang (Guizhi Decoction plus Prepared Aconite Root) should be administered.

Gui Zhi Jia Fu Zi Tang Formula

Gui Zhi (Ramulus Cinnamomi) three liang (bark removed), Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang, Da Zao (Fructus Jujubae) twelve pieces (split), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).

The above six ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.

After Taiyang disease is incorrectly treated with purgation, if the pulse is hurried (Cu) and there is chest fullness, Gui Zhi Qu Shao Yao Tang (Guizhi Decoction without Peony) should be administered.

Gui Zhi Qu Shao Yao Tang Formula (i.e., Gui Zhi Tang minus Shao Yao)

The above four ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.

After Taiyang disease is incorrectly treated with purgation, if the patient feels aversion to cold, Gui Zhi Qu Shao Yao Jia Fu Zi Tang (Guizhi Decoction without Peony plus Prepared Aconite Root) should be administered.

Gui Zhi Qu Shao Yao Jia Fu Zi Tang Formula

Gui Zhi (Ramulus Cinnamomi) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).

The above five ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.

After Taiyang disease has lasted eight or nine days, presenting like malaria with fever and aversion to cold, more heat than cold, no vomiting, normal bowel and bladder function, occurring two or three times a day, and a slightly slow pulse, recovery is imminent. If the pulse is slightly weak with aversion to cold, this indicates deficiency of both Yin and Yang; do not use sweating, emesis, or purgation. If the face shows redness, the disease has not resolved because a slight sweat could not be achieved, leading to body itching. Gui Zhi Ma Huang Ge Ban Tang (Half-Half Decoction of Guizhi and Mahuang) is suitable.

Gui Zhi Ma Huang Ge Ban Tang Formula (Mahuang Tang seen in later volumes)

Mix three he of Gui Zhi Tang and three he of Ma Huang Tang to make six he. Take all at once. Nursing care follows the Gui Zhi Tang method.

In Taiyang disease, if after initially taking Gui Zhi Tang, vexation worsens and does not resolve, first puncture Fengfu (GV16) and Fengchi (GB20), then administer Gui Zhi Tang (Cinnamon Twig Decoction).

After Taiyang disease takes Gui Zhi Tang, if profuse sweating occurs and the pulse becomes surging (Hong Da), administer Bai Hu Tang (White Tiger Decoction). If the presentation resembles malaria, occurring twice a day, Gui Zhi Er Ma Huang Yi Tang (Two Parts Guizhi and One Part Mahuang Decoction) is suitable.

Bai Hu Tang Formula

Zhi Mu (Rhizoma Anemarrhenae) six liang, Shi Gao (Gypsum Fibrosum) one jin (crushed, wrapped in cotton), Gan Cao (Radix Glycyrrhizae) two liang (roasted), Jing Mi (Oryza Sativa Germen) six he.

The above four ingredients are boiled in one dou of water. Cook until the rice is ripe and the decoction is ready. Remove the dregs. Take one sheng warm, three times a day.

Gui Zhi Er Ma Huang Yi Tang Formula

Mix two sheng of Gui Zhi Tang and one sheng of Ma Huang Tang to make three sheng. Take one sheng per dose, three times a day. Nursing care follows the Gui Zhi Tang method.

After Taiyang disease takes Gui Zhi Tang, if profuse sweating occurs, followed by severe vexation and thirst, and a surging pulse, Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) should be administered.

Bai Hu Jia Ren Shen Tang Formula

Add Ren Shen (Radix Ginseng) three liang to Bai Hu Tang.

In Taiyang disease, presenting with fever and aversion to cold, more heat than cold, and a weak pulse, this indicates absence of Yang (Yang deficiency); do not use sweating. If the pulse is floating and large, Gui Zhi Er Yue Bi Yi Tang (Two Parts Guizhi and One Part Yuebi Decoction) is suitable.

Gui Zhi Er Yue Bi Yi Tang Formula

Gui Zhi (Ramulus Cinnamomi) eighteen zhu (bark removed), Shao Yao (Radix Paeoniae Alba), Ma Huang (Herba Ephedrae), Gan Cao (Radix Glycyrrhizae) each eighteen zhu (roasted), Da Zao (Fructus Jujubae) four pieces (split), Sheng Jiang (Rhizoma Zingiberis Recens) one liang and two zhu (sliced), Shi Gao (Gypsum Fibrosum) twenty-four zhu (crushed, wrapped in cotton).

The above seven ingredients are boiled in six sheng of water. Boil the Ma Huang, remove the foam, then add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm, three times a day.

After Taiyang disease takes Gui Zhi Tang, or after purgation, if there is still stiffness and pain in the head and nape, mild fever, no sweating, fullness under the heart, slight pain, and difficulty urinating, Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Guizhi Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) should be administered.

Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang Formula

Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Fu Ling (Sclerotium Poriae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang.

The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.

In Cold Damage, presenting with a floating pulse, spontaneous sweating, frequent urination, irritability, slight aversion to cold, and cramping in the feet, administering Gui Zhi Tang to attack the exterior is an error. This leads to cold extremities, dry throat, irritability, and vomiting. Prepare Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction) to restore Yang. Once the cold extremities resolve and feet warm up, prepare Shao Yao Gan Cao Tang (Peony and Licorice Decoction) to extend the legs. If stomach Qi is disharmonious causing delirium, administer Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction) in small amounts. If further sweating and moxibustion/needle burning were wrongly applied, Si Ni Tang (Four Reversals Decoction) should be administered.

Gan Cao Gan Jiang Tang Formula

Gan Cao (Radix Glycyrrhizae) four liang (roasted), Gan Jiang (Rhizoma Zingiberis) two liang (pao-processed).

The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.

Shao Yao Gan Cao Tang Formula

Shao Yao (Radix Paeoniae Alba) four liang, Gan Cao (Radix Glycyrrhizae) four liang (roasted).

The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.

Tiao Wei Cheng Qi Tang Formula

Gan Cao (Radix Glycyrrhizae) one liang (roasted), Mang Xiao (Natrii Sulfas) half jin, Da Huang (Radix et Rhizoma Rhei) four liang (wine-washed).

The above three ingredients are boiled in three sheng of water. Boil the first two ingredients to obtain one sheng. Remove the dregs, add Mang Xiao, boil for one or two boils, and take all at once.

Si Ni Tang Formula

Ren Shen (Radix Ginseng) two liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Gan Jiang (Rhizoma Zingiberis) one and a half liang, Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).

The above four ingredients are boiled in three sheng of water, reduced to one sheng and two he. Remove the dregs. Divide into two warm doses. Strong individuals may use one large Fu Zi and three liang of Gan Jiang.

Question: In Taiyang disease, with complete symptoms, why does the condition worsen with Gui Zhi treatment, leading to cold extremities, dry throat, irritability, vomiting, and delirium? Master says: This is Yang Dan Syndrome, which cannot be attacked. The Cun position pulse is floating; floating indicates Wind and Deficiency. Wind generates heat, and deficiency causes cramping. Wrongly attacking the exterior causes sweating and loss of Yang. Excessive sweating depletes fluids, fluid depletion causes tendon cramping, Yangming internal binding causes irritability and delirium. Use Gan Cao Gan Jiang Tang to restore Yang, Shao Yao Gan Cao Tang to save fluids, and Tiao Wei Cheng Qi Tang to stop delirium. This illustrates that treating Bad Disease requires following the pulse and symptoms.

Yang Dan Syndrome, presenting with fever without tidal fever, sweating, dry throat, restless sleep, and calmness at midnight, should be treated with Di Huang Ban Xia Mu Li Suan Zao Ren Tang (Rehmannia, Pinellia, Oyster Shell, and Sour Jujube Seed Decoction). If there is thirst, irritability, red urine, and delirium, Zhu Ye Shi Gao Huang Qin Ze Xie Ban Xia Gan Cao Tang (Bamboo Leaf, Gypsum, Scutellaria, Alisma, Pinellia, and Licorice Decoction) should be administered.

Di Huang Ban Xia Mu Li Suan Zao Ren Tang Formula

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