地黄六两 半夏半升 牡蛎二两 酸枣仁三两
右四味，以水四升，煮取二升，分温再服。
竹叶石膏黄芩泽泻半夏甘草汤方
竹叶两把 石膏半斤（棉裹） 黄芩三两 泽泻二两 半夏半升 甘草二两
右六味，以水五升，煮取三升，去滓，温服一升，日三服。
伤寒杂病论卷第七
辨太阳病脉证并治中
太阳病，项背强几几，无汗，恶风者，葛根汤主之。
葛根汤方
葛根四两 麻黄三两（去节） 桂枝二两（去皮） 芍药二两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈）
右七味，以水一斗，先煮麻黄葛根，减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，复取微似汗，不须啜粥，余如桂枝法将息及禁忌，诸汤皆仿此。
太阳与阳明合病者，必自下利，葛根汤主之。若不下利，但呕者，葛根加半夏汤主之。
葛根加半夏汤方
葛根四两 麻黄三两（去节） 桂枝三两（去皮） 芍药二两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 半夏半升（洗）
右八味，以水一斗，先煮葛根麻黄，减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，复取微似汗，余如桂枝法。
太阳病，桂枝证，医反下之，利遂不止，脉促者，热未解也。喘而汗出者，葛根黄连黄芩甘草汤主之。
葛根黄连黄芩甘草汤方
葛根半斤 黄连三两 黄芩三两甘草二两（炙）
右四味，以水八升，先煮葛根减二升，去上沫，纳诸药，煮取二升，去滓，分温再服。
太阳病，头痛发热，身疼，腰痛，骨节疼痛，恶风，无汗而喘者，麻黄汤主之。
麻黄汤方
麻黄三两（去节） 桂技二两（去皮） 甘草一两（炙） 杏仁七十个（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。
太阳与阳明合病，喘而胸满者，不可下，宜麻黄汤。（方见上）
太阳病，十日已去，脉浮细而嗜卧者，外已解也，设胸满，胁痛，与小柴胡汤；脉但浮者，与麻黄汤。（方见上）
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 甘草三两（炙） 生姜三两（切） 大枣十二枚（劈） 半夏半升（洗）
右七味，以水一斗二升，煮取六升，去滓，再煮取三升，温服一升，日三服
太阳伤寒，脉浮紧，发热恶寒，身疼痛，不汗出而烦躁者，大青龙汤主之。若脉微弱，汗出恶风者，不可服之。服之则厥逆，筋惕肉（目閏），此为逆也。
大青龙汤方
麻黄六两（去节） 桂枝二两（去皮） 甘草二两（炙） 杏仁四十枚（去皮尖） 生姜三两（切） 大枣十二枚（劈）石膏如鸡子大（碎）
右七味，以水九升，先煮麻黄，减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，取微似汗，汗多者，温粉粉之。一服汗出停后服。若复服汗多亡阳，遂虚，恶风烦躁，不得眠也。
太阳中风，脉浮缓，身不疼，但重，乍有轻时，无少阴证者，大青龙汤发之。（方见上）
伤寒表不解，心下有水气，干呕发热而咳，或渴，或利，或噎，或小便不利，少腹满，或喘者，小青龙汤主之。
小青龙汤方
麻黄三两（去节） 芍药三两 细辛三两 桂枝三两 干姜三两 甘草三两 五味子半升 半夏半升（洗）
右八味，以水一斗，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。若渴去半夏，加栝蒌根三两；若微利，若噎者，去麻黄，加附子一枚；若小便不利，少服满者，去麻黄，加茯苓四两；若喘者，加杏仁半升（去皮尖）。
伤寒，心下有水气，咳而微喘，发热不渴。服汤已渴者，此寒去欲解也。小青龙汤主之。（方见上）
太阳病，外证未解，脉浮弱者，当以汗解，宜桂枝汤。（见上卷）
太阳病，下之微喘者，表未解故也。桂枝加厚朴杏子汤主之。
桂枝加厚朴杏子汤方
桂枝三两 芍药三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 厚朴二两 杏仁五十枚（去皮尖）
右七味，以水七升，微火煮取三升，去滓，温服一升，覆取微似汗。
太阳病，外证未解，不可下也，下之为逆。欲解外者，宜桂枝汤。（方见上卷）
太阳病，先发汗不解，而复下之，脉浮者不愈。浮为在外，而反下之，故令不愈。今脉浮，故知在外，当须解外则愈，宜桂枝汤。（方见上卷）
太阳病，脉浮紧，无汗，发热，身疼痛，八九日不解，表证仍在，此当发其汗。服药已，微除，其人发烦目瞑。剧者必衄，衄乃解，所以然者，阳气重故也。麻黄汤主之。（方见上）
太阳病，脉浮紧，发热，身无汗，自衄者愈。
二阳并病，太阳初得病时，发其汗，汗先出不彻，因转属阳明，续自微汗出，不恶寒。若太阳病证不罢者，不可下，下之为逆，如此可小发其汗。设面色缘缘正赤者，阳气怫郁在表也，当解之、熏之；若发汗不彻，彻不足言，阳气怫郁不得越，当汗之不汗，则其人烦燥，不知痛处，乍在腹中，乍在四肢，按之不可得，更发汗则愈；若其人短气，但坐者，以汗出不彻故也，何以知汗出不彻？以脉涩故知之也。
脉浮紧者，法当汗出而解。若身重心悸者，不可发汗，须自汗出乃愈。所以然者，尺中脉微，此里虚也，须里实津液自和，便自汗出愈。
脉浮紧者，法当身疼痛，宜以汗解之。假令尺中迟者，不可发汗。何以然者，以荣气不足，血弱故也。
脉浮者，病在表，可发汗，宜麻黄汤。（方见上）
脉浮而紧者，可发汗，宜麻黄汤。（方见上）
病人常自汗出者，此为荣气和，卫气不谐也，所以然者，荣行脉中，卫行脉外，卫气不共荣气和谐故也。复发其汗则愈，宜桂枝汤。（方见上卷）
病人脏无他病，时发热自汗出而不愈者，此卫气不和也。先其时发汗则愈，宜桂枝汤。（方见上卷）
伤寒，脉浮紧，不发汗，因致衄者，麻黄汤主之。（方见上）
伤寒，不大便六七日，头痛有热者，与承气汤。其小便清者，知不在里，仍在表也，当须发汗，宜桂枝汤。（方见上卷）
伤寒，发汗已解，半日许复烦，脉浮紧者，可更发汗，宜桂枝汤。（方见上卷）
凡病若发汗、若吐、若下、若亡血、亡津液，阴阳自和者，必自愈。
大下之后，复下之，小便不利者，亡津液故也，勿治之，久久小便必自利。
大下之后，复发汗，其人必振寒，脉微细。所以然者，内外俱虚故也。
下之后，复发汗，昼日烦躁，不得眠，夜而安静，不呕不渴，无表证，脉沉而微，身无大热者，干姜附子汤主之。
干姜附子汤方
干姜一两（炮） 附子一枚（破八片炮）
右二味，以水三升，煮取一升，去滓，顿服。
发汗后，身疼痛，脉沉迟者，桂枝去芍药加人参生姜汤主之。
桂枝去芍药加人参生姜汤
桂枝三两（去皮） 甘草二两（炙） 大枣十二枚（劈） 人参三两 生姜四两（切）
右五味，以水一斗二升，煮取三升，去滓，温服一升，日三服。
发汗若下后，不可更行桂枝汤。汗出而喘，无大热者，可与麻黄杏仁甘草石膏汤。
麻黄杏仁甘草石膏汤方
麻黄四两（去节） 杏仁五十个（去皮尖） 甘草二两（炙） 石膏半斤（碎，绵裹）
右四味，以水七升，先煮麻黄，减二升，去上沫，纳诸药，煮取二升，去滓，温服一升，日再服。
发汗过多，其叉手自冒心，心下悸欲得按者，桂枝甘草汤主之。
桂枝甘草汤方
桂枝四两（去皮） 甘草二两（炙）
右二味，以水三升，煮取一升，去滓，顿服。
发汗后，其人脐下悸者，欲作奔豚也，茯苓桂枝甘草大枣汤主之。
茯苓桂枝甘草大枣汤方
茯苓半斤 桂枝四两 甘草二两（炙）大枣十五枚（劈）
右四味，以甘瀾水一斗，先煮茯苓减二升，纳诸药，煮取三升，去滓，温服一升，日三服。
作甘瀾水法，取水二斗，置大盆内，以杓扬之，水上有珠子五六千颗相逐，取用之。
奔豚病，从少腹上冲咽喉，发作欲死，复还止者，皆从惊恐得之。
奔豚，气上冲胸，腹痛，往来寒热，奔豚汤主之。
奔豚汤方
甘草二两（炙） 芎藭二两 当归二两 黄芩二两 芍药二两 半夏四两 生姜四两 葛根五两 桂枝三两
右九味，以水二斗，煮取五升，温服一升，日三服，夜二服。
发汗后，腹胀满者，厚朴生姜半夏甘草人参汤主之。
厚朴生姜半夏甘草人参汤方
厚朴半斤（炙去皮） 生姜半斤（切）半夏半斤（洗） 甘草二两（炙） 人参一两
右五味，以水一斗，煮取三升，去滓，温服一升，日三服。
伤寒，若吐若下后，心下逆满，气上冲胸，起则头眩，脉沉紧，发汗则动经，身为振振摇者，茯苓桂枝白术甘草汤主之。
茯苓桂枝白术甘草汤方
茯苓四两 桂枝三两 白术二两 甘草二两（炙）
右四味，以水六升，煮取三升，去滓，分温三服。
发汗，病不解，反恶寒者，虚故也，芍药甘草附子汤主之。
芍药甘草附子汤方
芍药三两 甘草三两（炙）附子一枚（炮去皮破八片）
右三味，以水五升，煮取一升五合，去滓，分温三服。
发汗若下之，病仍不解，烦躁者，茯苓四逆汤主之。
茯苓四逆汤方
茯苓六两 人参二两 附子一枚（生用，去皮，破八片） 甘草二两（炙） 干姜一两半
右五味，以水五升，煮取三升，去滓，温服七合，日三服。
发汗后，恶寒者，虚故也；不恶寒，但热者，实也。当和胃气，与调胃承气汤。（方见上卷）
太阳病，发汗后，大汗出，胃中干，烦躁不得眠，欲得饮水，少少与之，令胃气和则愈。若脉浮，小便不利，微热消渴者，五苓散主之。
五苓散方
猪苓十八铢（去皮） 泽泻一两六铢 白术十八铢 茯苓十八铢 桂半两
右五味捣为散，以白饮和服方寸匙，日三服，多饮暖水，汗出愈，如法将息。
太阳病，发汗已，脉浮弦，烦渴者，五苓散主之。（方见上）
伤寒汗出而渴，小便不利者，五苓散主之。不渴者，茯苓甘草汤主之。
茯苓甘草汤方
茯苓二两 桂枝二两 甘草一两（炙） 生姜三两（切）
右四味，以水四升，煮取二升，去滓，分温三服。
中风发热，六七日不解而烦，有表里证，渴欲饮水，水入则吐者，名曰水逆。五苓散主之。（方见上）
未持脉时，病人叉手自冒心，师因试教令咳而不咳者，此必两耳聋无所闻也。所以然者，以重发汗，虚故此。
发汗后，饮水多，必喘，以水灌之，亦喘。
发汗后，水药不得入口为逆，若更发汗，必吐下不止。
发汗后及吐下后，虚烦不得眠；若剧者，必反覆颠倒，心中懊憹，栀子干姜汤主之。若少气者，栀子甘草豉汤主之。若呕者，栀子生姜豉汤主之。
栀子干姜汤方
栀子十四枚（劈） 生姜二两（切）
右二味，以水三升半，煮取一升半，去滓，分温二服，进一服得吐者止后服。
栀子甘草豉汤方
栀子十四枚（劈） 甘草二两（炙） 香豉四合（棉裹）
右三味，以水四升，先煮栀子甘草取二升半，纳豉煮取一升半，去滓，分二服，温进一服，得吐者止后服。
栀子生姜豉汤方
栀子十四枚（劈） 生姜五两 香豉四合（棉裹）
右三味，以水四升，先煮栀子生姜取二升半，纳豉煮取一升半，去滓，分二服，温进一服，得吐者止后服。
发汗，若下之，而烦热，胸中窒者，栀子豉汤主之。
栀子豉汤方
栀子十四枚（劈） 香豉四合（棉裹）
右二味，以水四升，先煮栀子得二升半，纳豉煮取一升半，去滓，分为二服，温进一服，得吐者止后服。
伤寒五六日，大下之后，身热不去，心中结痛者，未欲解也，栀子豉汤主之。
伤寒下后，心烦、腹满、卧起不安者，栀子厚朴枳实汤主之。
栀子厚朴枳实汤方
栀子十四枚（劈） 厚朴四两（炙去皮） 枳实四枚（水浸炙令黄）
以上三味，以水三升半，煮取一升半，去滓，分二服。温进一服，得吐者止后服。
伤寒，医以丸药大下之，身热不去，微烦者，栀子干姜汤主之。（方见上）
凡用栀子汤，若病人大便旧微溏者，不可与之。
太阳病发汗，汗出不解，其人仍发热，心下悸，头眩，身（目闰）动，振振欲擗地者，真武汤主之。
真武汤方
茯苓三两 芍药三两 生姜三两（切） 白术二两 附子一枚（炮去皮破八片）
右五味，要以水八升，煮取三升，去滓，温服七合，日三服。
咽喉干燥者，不可发汗。
淋家不可发汗，发汗必便血。
疮家虽身疼痛，不可发汗，发汗则痓。
衄家不可发汗，汗出必额上陷，脉急紧，直视不能目旬，不得眠。
亡血家，不可发汗，发汗则寒栗而振。
汗家重发汗，必恍惚心乱，小便已阴疼，与禹余粮丸。
禹余粮丸方
Di Huang (Radix Rehmanniae Preparata) six liang, Ban Xia (Rhizoma Pinelliae) half sheng, Mu Li (Concha Ostreae) two liang, Suan Zao Ren (Semen Ziziphi Spinosae) three liang.
The above four herbs are boiled in four sheng of water until two sheng remain. Divide into two doses and take warm.
Zhu Ye Shi Gao Huang Qin Ze Xie Ban Xia Gan Cao Tang Formula
Zhu Ye (Folium Bambusae) one handful, Shi Gao (Gypsum Fibrosum) half jin (wrapped in cotton), Huang Qin (Radix Scutellariae) three liang, Ze Xie (Rhizoma Alismatis) two liang, Ban Xia (Rhizoma Pinelliae) half sheng, Gan Cao (Radix Glycyrrhizae Preparata) two liang.
The above six herbs are boiled in five sheng of water until three sheng remain. Strain the dregs. Take one sheng warm, three times a day.
*Shanghan Zabing Lun*, Volume Seven: Differentiating Pulse, Syndrome, and Treatment of Taiyang Disease, Part II
In Taiyang disease, if there is stiffness and discomfort in the nape and back (Jinjin), no sweat, and aversion to wind, Ge Gen Tang (Kudzu Decoction) is the primary formula.
Ge Gen Tang (Kudzu Decoction) Formula
Ge Gen (Radix Puerariae) four liang, Ma Huang (Herba Ephedrae) three liang (remove joints), Gui Zhi (Ramulus Cinnamomi) two liang (remove bark), Shao Yao (Radix Paeoniae Alba) two liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).
The above seven herbs are boiled in one dou of water. First boil Ma Huang and Ge Gen until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until three sheng remain. Strain the dregs. Take one sheng warm. Cover with blankets to induce a slight sweat. There is no need to drink hot porridge to assist sweating. The rest of the nursing care and contraindications follow the method of Gui Zhi Tang (Cinnamon Twig Decoction). All other decoctions follow this pattern.
When Taiyang and Yangming diseases occur simultaneously, spontaneous diarrhea will inevitably ensue; Ge Gen Tang (Kudzu Decoction) is the primary formula. If there is no diarrhea but only vomiting, Ge Gen Jia Ban Xia Tang (Kudzu Decoction plus Pinellia) is the primary formula.
Ge Gen Jia Ban Xia Tang (Kudzu Decoction plus Pinellia) Formula
Ge Gen (Radix Puerariae) four liang, Ma Huang (Herba Ephedrae) three liang (remove joints), Gui Zhi (Ramulus Cinnamomi) three liang (remove bark), Shao Yao (Radix Paeoniae Alba) two liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Ban Xia (Rhizoma Pinelliae) half sheng (washed).
The above eight herbs are boiled in one dou of water. First boil Ge Gen and Ma Huang until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until three sheng remain. Strain the dregs. Take one sheng warm. Cover with blankets to induce a slight sweat. The rest of the nursing care follows the method of Gui Zhi Tang (Cinnamon Twig Decoction).
In Taiyang disease, if the physician mistakenly uses purgatives for a Guizhi syndrome, leading to persistent diarrhea and a rapid pulse, it indicates that the heat has not yet resolved. If there is wheezing and sweating, Ge Gen Huang Lian Huang Qin Gan Cao Tang (Kudzu, Coptis, Scutellaria, and Licorice Decoction) is the primary formula.
Ge Gen Huang Lian Huang Qin Gan Cao Tang (Kudzu, Coptis, Scutellaria, and Licorice Decoction) Formula
Ge Gen (Radix Puerariae) half jin, Huang Lian (Rhizoma Coptidis) three liang, Huang Qin (Radix Scutellariae) three liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted).
The above four herbs are boiled in eight sheng of water. First boil Ge Gen until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until two sheng remain. Strain the dregs. Divide into two warm doses.
In Taiyang disease, if there is headache, fever, body ache, lower back pain, joint pain, aversion to wind, no sweat, and wheezing, Ma Huang Tang (Ephedra Decoction) is the primary formula.
Ma Huang Tang (Ephedra Decoction) Formula
Ma Huang (Herba Ephedrae) three liang (remove joints), Gui Zhi (Ramulus Cinnamomi) two liang (remove bark), Gan Cao (Radix Glycyrrhizae Preparata) one liang (roasted), Xing Ren (Semen Armeniacae Amarum) seventy pieces (remove skin and tips).
The above four herbs are boiled in nine sheng of water. First boil Ma Huang until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until two and a half sheng remain. Strain the dregs. Take eight he warm. Cover with blankets to induce a slight sweat. There is no need to drink hot porridge. The rest of the nursing care follows the method of Gui Zhi Tang (Cinnamon Twig Decoction).
When Taiyang and Yangming diseases occur simultaneously, with wheezing and chest fullness, purgation is contraindicated; Ma Huang Tang (Ephedra Decoction) is appropriate. (Formula seen above)
If Taiyang disease has lasted more than ten days, and the pulse is floating and fine, with a desire to lie down, the exterior pathogen has resolved. If there is chest fullness and hypochondriac pain, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is given; if the pulse is merely floating, Ma Huang Tang (Ephedra Decoction) is given. (Formula seen above)
Xiao Chai Hu Tang (Minor Bupleurum Decoction) Formula
Chai Hu (Radix Bupleuri) half jin, Huang Qin (Radix Scutellariae) three liang, Ren Shen (Radix Ginseng) three liang, Gan Cao (Radix Glycyrrhizae Preparata) three liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Ban Xia (Rhizoma Pinelliae) half sheng (washed).
The above seven herbs are boiled in one dou and two sheng of water until six sheng remain. Strain the dregs, then boil again until three sheng remain. Take one sheng warm, three times a day.
In Taiyang Cold Damage, if the pulse is floating and tight, with fever, aversion to cold, body pain, no sweat, and irritability, Da Qing Long Tang (Major Blue-Green Dragon Decoction) is the primary formula. If the pulse is faint and weak, with sweating and aversion to wind, it must not be taken. Taking it would lead to cold limbs and twitching muscles/fascia, which is an adverse reaction.
Da Qing Long Tang (Major Blue-Green Dragon Decoction) Formula
Ma Huang (Herba Ephedrae) six liang (remove joints), Gui Zhi (Ramulus Cinnamomi) two liang (remove bark), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Xing Ren (Semen Armeniacae Amarum) forty pieces (remove skin and tips), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Shi Gao (Gypsum Fibrosum) size of a chicken egg (crushed).
The above seven herbs are boiled in nine sheng of water. First boil Ma Huang until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until three sheng remain. Strain the dregs. Take one sheng warm. Induce a slight sweat. If sweating is excessive, apply warm powder to the body. After one dose, if sweating occurs, stop subsequent doses. If re-administration causes excessive sweating and loss of Yang, leading to deficiency, aversion to wind, irritability, and insomnia, it is harmful.
In Taiyang Wind Strike, if the pulse is floating and slow, the body is not painful but heavy, occasionally feeling lighter, and there are no Shaoyin signs, Da Qing Long Tang (Major Blue-Green Dragon Decoction) can be used to induce sweating. (Formula seen above)
In Cold Damage, if the exterior is unresolved and there is fluid retention in the epigastrium, causing dry heaving, fever, and cough, or thirst, or diarrhea, or a sensation of choking, or difficulty urinating with lower abdominal fullness, or wheezing, Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) is the primary formula.
Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) Formula
Ma Huang (Herba Ephedrae) three liang (remove joints), Shao Yao (Radix Paeoniae Alba) three liang, Xi Xin (Herba Asari) three liang, Gui Zhi (Ramulus Cinnamomi) three liang, Gan Jiang (Rhizoma Zingiberis) three liang, Gan Cao (Radix Glycyrrhizae Preparata) three liang, Wu Wei Zi (Fructus Schisandrae) half sheng, Ban Xia (Rhizoma Pinelliae) half sheng (washed).
The above eight herbs are boiled in one dou of water. First boil Ma Huang until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until three sheng remain. Strain the dregs. Take one sheng warm, three times a day. If thirsty, remove Ban Xia and add Gua Lou Gen (Radix Trichosanthis) three liang. If slightly diarrheic or with choking sensation, remove Ma Huang and add Fu Zi (Radix Aconiti Lateralis Preparata) one piece. If difficulty urinating with lower abdominal fullness, remove Ma Huang and add Fu Ling (Poria) four liang. If wheezing, add Xing Ren (Semen Armeniacae Amarum) half sheng (remove skin and tips).
In Cold Damage, if there is fluid retention in the epigastrium, causing cough with slight wheezing, fever but no thirst, and after taking the decoction the patient feels thirsty, this indicates the cold is departing and the disease is about to resolve. Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) is the primary formula. (Formula seen above)
In Taiyang disease, if the exterior syndrome is unresolved and the pulse is floating and weak, sweating should be used to resolve the exterior; Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (See previous volume)
In Taiyang disease, if mild wheezing occurs after purgation, it is because the exterior is unresolved. Gui Zhi Jia Hou Po Xing Zi Tang (Cinnamon Twig Decoction plus Magnolia Bark and Apricot Kernel) is the primary formula.
Gui Zhi Jia Hou Po Xing Zi Tang (Cinnamon Twig Decoction plus Magnolia Bark and Apricot Kernel) Formula
Gui Zhi (Ramulus Cinnamomi) three liang, Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Hou Po (Cortex Magnoliae Officinalis) two liang, Xing Ren (Semen Armeniacae Amarum) fifty pieces (remove skin and tips).
The above seven herbs are boiled in seven sheng of water over low heat until three sheng remain. Strain the dregs. Take one sheng warm. Cover with blankets to induce a slight sweat.
In Taiyang disease, if the exterior syndrome is unresolved, purgation is contraindicated as it is adverse. To resolve the exterior, Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
In Taiyang disease, if initial sweating fails to resolve the condition and purgation is subsequently used, but the pulse remains floating, the disease persists. A floating pulse indicates the pathogen is at the exterior; using purgation incorrectly prevents recovery. Since the pulse is currently floating, the pathogen is still at the exterior; resolving the exterior will cure it. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
In Taiyang disease, if the pulse is floating and tight, with no sweat, fever, and body pain, persisting for eight or nine days without resolution, and the exterior signs remain, sweating should be induced. After taking the medicine, symptoms may slightly subside, but the patient may feel irritable and have blurred vision. In severe cases, nasal bleeding (Nu) will occur, after which the disease resolves. This happens because the Yang qi is heavily constrained. Ma Huang Tang (Ephedra Decoction) is the primary formula. (Formula seen above)
In Taiyang disease, if the pulse is floating and tight, with fever and no sweat, spontaneous nasal bleeding leads to recovery.
In Bing Yin (Combined Diseases) of two Yang channels, when Taiyang disease first begins, if sweating is induced but not thorough, it may transfer to Yangming, resulting in continuous slight sweating and no aversion to cold. If Taiyang signs have not ceased, purgation is contraindicated as it is adverse; in such cases, mild sweating should be induced. If the face is persistently red, it indicates Yang qi constraint at the exterior; it should be resolved via venting or fumigation. If sweating was not thorough, leaving Yang qi constrained unable to diffuse, and although sweating should occur it does not, the patient becomes irritable, unsure of pain location, sometimes in the abdomen, sometimes in the limbs, unpressable. Re-inducing sweating will cure it. If the patient has shortness of breath and can only sit, it is due to incomplete sweating. How do we know sweating was incomplete? By the choppy pulse.
For a floating and tight pulse, sweating should naturally resolve the disease. If there is heaviness of the body and palpitations, sweating is contraindicated; recovery comes only when natural sweating occurs. This is because a faint pulse at the Chi position indicates interior deficiency; recovery requires interior solidity and harmonious fluids, leading to natural sweating.
For a floating and tight pulse, body pain is expected, and sweating should resolve it. However, if the pulse at the Chi position is slow, sweating is contraindicated. This is because Ying Qi (Nutritive Qi) is insufficient and blood is weak.
For a floating pulse, the disease is at the exterior; sweating is appropriate, and Ma Huang Tang (Ephedra Decoction) is suitable. (Formula seen above)
For a floating and tight pulse, sweating is appropriate, and Ma Huang Tang (Ephedra Decoction) is suitable. (Formula seen above)
If a patient frequently sweats spontaneously, it is because Ying Qi (Nutritive Qi) is harmonious while Wei Qi (Defensive Qi) is disharmonious. Ying Qi moves within the vessels, while Wei Qi moves outside. Since Wei Qi does not harmonize with Ying Qi, inducing sweating again will cure it. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
If a patient has no internal organ pathology but experiences intermittent fever and spontaneous sweating without resolution, it is due to disharmony of Wei Qi (Defensive Qi). Inducing sweating before the onset of fever will cure it. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
In Cold Damage, if the pulse is floating and tight and sweating is not induced, leading to nasal bleeding, Ma Huang Tang (Ephedra Decoction) is the primary formula. (Formula seen above)
In Cold Damage, if there is constipation for six or seven days with headache and fever, Cheng Qi Tang (Purgative Decoction) is given. If the urine is clear, the disease is not in the interior but remains at the exterior; sweating should be induced, and Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
In Cold Damage, if the disease resolves after sweating but returns with vexation after half a day, and the pulse is floating and tight, sweating can be induced again. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. (Formula seen in previous volume)
Generally, for any disease, whether treated with sweating, vomiting, purgation, or involving blood/fluid loss, if Yin and Yang achieve self-harmony, the disease will necessarily resolve spontaneously.
After severe purgation followed by further purgation, if urination is difficult, it is due to fluid loss. Do not treat it forcibly; eventually, urination will normalize.
After severe purgation followed by sweating, the patient will likely experience chills and a faint, thin pulse. This is due to both interior and exterior deficiency.
After purgation followed by sweating, if there is daytime irritability and insomnia, nighttime quietness, no vomiting or thirst, no exterior signs, a deep and faint pulse, and no significant fever, Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) is the primary formula.
Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) Formula
Gan Jiang (Rhizoma Zingiberis) one liang (processed), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (broken into eight slices, processed).
The above two herbs are boiled in three sheng of water until one sheng remains. Strain the dregs and take in one dose.
After sweating, if there is body pain and a deep, slow pulse, Gui Zhi Qu Shao Yao Jia Ren Shen Sheng Jiang Tang (Cinnamon Twig Decoction minus Peony plus Ginseng and Fresh Ginger) is the primary formula.
Gui Zhi Qu Shao Yao Jia Ren Shen Sheng Jiang Tang (Cinnamon Twig Decoction minus Peony plus Ginseng and Fresh Ginger)
Gui Zhi (Ramulus Cinnamomi) three liang (remove bark), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Da Zao (Fructus Jujubae) twelve pieces (split), Ren Shen (Radix Ginseng) three liang, Sheng Jiang (Rhizoma Zingiberis Recens) four liang (sliced).
The above five herbs are boiled in one dou and two sheng of water until three sheng remain. Strain the dregs. Take one sheng warm, three times a day.
After sweating or purgation, Gui Zhi Tang (Cinnamon Twig Decoction) should not be used again. If there is sweating and wheezing without high fever, Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) can be given.
Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) Formula
Ma Huang (Herba Ephedrae) four liang (remove joints), Xing Ren (Semen Armeniacae Amarum) fifty pieces (remove skin and tips), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Shi Gao (Gypsum Fibrosum) half jin (crushed, wrapped in cotton).
The above four herbs are boiled in seven sheng of water. First boil Ma Huang until the volume reduces by two sheng, skim off the foam, then add the remaining herbs. Boil until two sheng remain. Strain the dregs. Take one sheng warm, twice a day.
If excessive sweating leads to the patient crossing hands over the heart region, with palpitations desiring pressure, Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction) is the primary formula.
Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction) Formula
Gui Zhi (Ramulus Cinnamomi) four liang (remove bark), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted).
The above two herbs are boiled in three sheng of water until one sheng remains. Strain the dregs and take in one dose.
After sweating, if there is palpitation below the umbilicus, indicating impending Ben Tun (Running Piglet) disease, Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the primary formula.
Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) Formula
Fu Ling (Poria) half jin, Gui Zhi (Ramulus Cinnamomi) four liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Da Zao (Fructus Jujubae) fifteen pieces (split).
The above four herbs are boiled in one dou of Gan Lan Shui (Agitated Water). First boil Fu Ling until the volume reduces by two sheng, then add the remaining herbs. Boil until three sheng remain. Strain the dregs. Take one sheng warm, three times a day.
Method for making Gan Lan Shui (Agitated Water): Take two dou of water, place in a large basin, and agitate with a ladle until 5,000-6,000 pearl-like bubbles form on the surface chasing each other. Use this water.
Ben Tun (Running Piglet) disease involves Qi rushing from the lower abdomen to the throat, causing extreme distress during attacks, which then subsides. It arises from fright and fear.
For Ben Tun (Running Piglet), with Qi rushing to the chest, abdominal pain, and alternating chills and fever, Ben Tun Tang (Running Piglet Decoction) is the primary formula.
Ben Tun Tang (Running Piglet Decoction) Formula
Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Xiong Qiong (Radix Chuanxiong) two liang, Dang Gui (Radix Angelicae Sinensis) two liang, Huang Qin (Radix Scutellariae) two liang, Shao Yao (Radix Paeoniae Alba) two liang, Ban Xia (Rhizoma Pinelliae) four liang, Sheng Jiang (Rhizoma Zingiberis Recens) four liang, Ge Gen (Radix Puerariae) five liang, Gui Zhi (Ramulus Cinnamomi) three liang.
The above nine herbs are boiled in two dou of water until five sheng remain. Take one sheng warm, three times a day, and twice at night.
After sweating, if abdominal fullness occurs, Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang (Magnolia Bark, Fresh Ginger, Pinellia, Licorice, and Ginseng Decoction) is the primary formula.
Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang (Magnolia Bark, Fresh Ginger, Pinellia, Licorice, and Ginseng Decoction) Formula
Hou Po (Cortex Magnoliae Officinalis) half jin (roasted, peeled), Sheng Jiang (Rhizoma Zingiberis Recens) half jin (sliced), Ban Xia (Rhizoma Pinelliae) half jin (washed), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Ren Shen (Radix Ginseng) one liang.
The above five herbs are boiled in one dou of water until three sheng remain. Strain the dregs. Take one sheng warm, three times a day.
In Cold Damage, if vomiting or purgation leads to epigastric reverse fullness, Qi rushing to the chest, dizziness upon standing, and a deep, tight pulse, and if sweating disturbs the meridians causing body tremors and swaying, Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is the primary formula.
Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) Formula
Fu Ling (Poria) four liang, Gui Zhi (Ramulus Cinnamomi) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) two liang, Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted).
The above four herbs are boiled in six sheng of water until three sheng remain. Strain the dregs. Divide into three warm doses.
After sweating, if the disease is unresolved and aversion to cold appears, it is due to deficiency. Shao Yao Gan Cao Fu Zi Tang (Peony, Licorice, and Aconite Decoction) is the primary formula.
Shao Yao Gan Cao Fu Zi Tang (Peony, Licorice, and Aconite Decoction) Formula
Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae Preparata) three liang (roasted), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (processed, peeled, broken into eight slices).
The above three herbs are boiled in five sheng of water until one sheng and five he remain. Strain the dregs. Divide into three warm doses.
After sweating or purgation, if the disease is unresolved and irritability occurs, Fu Ling Si Ni Tang (Poria and Four Reversals Decoction) is the primary formula.
Fu Ling Si Ni Tang (Poria and Four Reversals Decoction) Formula
Fu Ling (Poria) six liang, Ren Shen (Radix Ginseng) two liang, Fu Zi (Radix Aconiti Lateralis) one piece (raw, peeled, broken into eight slices), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Gan Jiang (Rhizoma Zingiberis) one and a half liang.
The above five herbs are boiled in five sheng of water until three sheng remain. Strain the dregs. Take seven he warm, three times a day.
After sweating, aversion to cold indicates deficiency; absence of aversion to cold with only heat indicates excess. Harmonize the Stomach Qi with Tiao Wei Cheng Qi Tang (Regulate the Waist and Direct Downward Purgative Decoction). (Formula seen in previous volume)
In Taiyang disease, after sweating, if excessive sweating leads to dryness in the Stomach, irritability, insomnia, and thirst for water, give small amounts of water repeatedly until the Stomach Qi harmonizes and recovery occurs. If the pulse is floating, urination is difficult, with slight fever and excessive thirst, Wu Ling San (Five-Ling Powder) is the primary formula.
Wu Ling San (Five-Ling Powder) Formula
Zhu Ling (Polyporus) eighteen zhu (peeled), Ze Xie (Rhizoma Alismatis) one liang and six zhu, Bai Zhu (Rhizoma Atractylodis Macrocephalae) eighteen zhu, Fu Ling (Poria) eighteen zhu, Gui Zhi (Ramulus Cinnamomi) half liang.
The above five herbs are ground into powder. Take one fang cun chi (square-inch spoonful) mixed with rice water, three times a day. Drink plenty of warm water to induce sweating for recovery. Follow standard nursing care.
In Taiyang disease, after sweating, if the pulse is floating and wiry with vexation and thirst, Wu Ling San (Five-Ling Powder) is the primary formula. (Formula seen above)
In Cold Damage, if there is sweating with thirst and difficulty urinating, Wu Ling San (Five-Ling Powder) is the primary formula. If there is no thirst, Fu Ling Gan Cao Tang (Poria and Licorice Decoction) is the primary formula.
Fu Ling Gan Cao Tang (Poria and Licorice Decoction) Formula
Fu Ling (Poria) two liang, Gui Zhi (Ramulus Cinnamomi) two liang, Gan Cao (Radix Glycyrrhizae Preparata) one liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced).
The above four herbs are boiled in four sheng of water until two sheng remain. Strain the dregs. Divide into three warm doses.
In Wind Strike with fever, if unresolved after six or seven days with vexation, presenting both exterior and interior signs, thirst for water, and vomiting immediately after drinking (named Shui Ni/Water Revulsion), Wu Ling San (Five-Ling Powder) is the primary formula. (Formula seen above)
Before taking the pulse, if the patient crosses hands over the heart region, and the physician tests by asking them to cough but they cannot hear or cough, it indicates bilateral deafness. This is due to severe sweating causing deficiency.
After sweating, drinking too much water will cause wheezing; bathing with cold water will also cause wheezing.
After sweating, if food and medicine cannot enter the mouth, it is adverse. Further sweating will lead to incessant vomiting and diarrhea.
After sweating, vomiting, or purgation, if there is empty vexation and insomnia; if severe, with tossing and turning and inner restlessness (Ao Nao), Zhi Zi Gan Jiang Tang (Gardenia and Dried Ginger Decoction) is the primary formula. If there is shortness of breath, Zhi Zi Gan Cao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction) is the primary formula. If there is vomiting, Zhi Zi Sheng Jiang Chi Tang (Gardenia, Fresh Ginger, and Fermented Soybean Decoction) is the primary formula.
Zhi Zi Gan Jiang Tang (Gardenia and Dried Ginger Decoction) Formula
Zhi Zi (Fructus Gardeniae) fourteen pieces (split), Sheng Jiang (Rhizoma Zingiberis Recens) two liang (sliced).
The above two herbs are boiled in three and a half sheng of water until one and a half sheng remain. Strain the dregs. Divide into two warm doses. If vomiting occurs after one dose, stop subsequent doses.
Zhi Zi Gan Cao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction) Formula
Zhi Zi (Fructus Gardeniae) fourteen pieces (split), Gan Cao (Radix Glycyrrhizae Preparata) two liang (roasted), Xiang Chi (Semen Sojae Praeparatum) four he (wrapped in cotton).
The above three herbs are boiled in four sheng of water. First boil Zhi Zi and Gan Cao to obtain two and a half sheng, then add Xiang Chi and boil until one and a half sheng remain. Strain the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
Zhi Zi Sheng Jiang Chi Tang (Gardenia, Fresh Ginger, and Fermented Soybean Decoction) Formula
Zhi Zi (Fructus Gardeniae) fourteen pieces (split), Sheng Jiang (Rhizoma Zingiberis Recens) five liang, Xiang Chi (Semen Sojae Praeparatum) four he (wrapped in cotton).
The above three herbs are boiled in four sheng of water. First boil Zhi Zi and Sheng Jiang to obtain two and a half sheng, then add Xiang Chi and boil until one and a half sheng remain. Strain the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
After sweating or purgation, if there is vexation and heat with a sensation of obstruction in the chest, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary formula.
Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) Formula
Zhi Zi (Fructus Gardeniae) fourteen pieces (split), Xiang Chi (Semen Sojae Praeparatum) four he (wrapped in cotton).
The above two herbs are boiled in four sheng of water. First boil Zhi Zi to obtain two and a half sheng, then add Xiang Chi and boil until one and a half sheng remain. Strain the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
In Cold Damage, after five or six days and severe purgation, if fever persists and there is a knotted pain in the heart region, the disease has not resolved. Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary formula.
After purgation in Cold Damage, if there is vexation, abdominal fullness, and restlessness in lying or sitting, Zhi Zi Hou Po Zhi Shi Tang (Gardenia, Magnolia Bark, and Immature Bitter Orange Decoction) is the primary formula.
Zhi Zi Hou Po Zhi Shi Tang (Gardenia, Magnolia Bark, and Immature Bitter Orange Decoction) Formula
Zhi Zi (Fructus Gardeniae) fourteen pieces (split), Hou Po (Cortex Magnoliae Officinalis) four liang (roasted, peeled), Zhi Shi (Fructus Aurantii Immaturus) four pieces (soaked in water and roasted until yellow).
The above three herbs are boiled in three and a half sheng of water until one and a half sheng remain. Strain the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
In Cold Damage, if a physician uses pill-based strong purgatives, resulting in persistent fever and slight vexation, Zhi Zi Gan Jiang Tang (Gardenia and Dried Ginger Decoction) is the primary formula. (Formula seen above)
Whenever using Zhi Zi Tang (Gardenia Decoction), if the patient has a history of loose stools, it must not be administered.
In Taiyang disease, after sweating, if the disease is unresolved, with persistent fever, palpitations, dizziness, muscle twitching, and trembling as if falling to the ground, Zhen Wu Tang (True Warrior Decoction) is the primary formula.
Zhen Wu Tang (True Warrior Decoction) Formula
Fu Ling (Poria) three liang, Shao Yao (Radix Paeoniae Alba) three liang, Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Bai Zhu (Rhizoma Atractylodis Macrocephalae) two liang, Fu Zi (Radix Aconiti Lateralis Preparata) one piece (processed, peeled, broken into eight slices).
The above five herbs are boiled in eight sheng of water until three sheng remain. Strain the dregs. Take seven he warm, three times a day.
If the throat is dry, sweating is contraindicated.
Patients with Lin disease (dysuria) must not be sweated; sweating will inevitably cause hematuria.
Patients with sores/ulcers, even if experiencing body pain, must not be sweated; sweating will lead to spasms (Jing).
Patients prone to nasal bleeding (Nu family) must not be sweated; sweating will cause depression of the temporal arteries, tight pulse, fixed gaze, inability to blink, and insomnia.
Patients with blood loss must not be sweated; sweating will cause chills and tremors.
Patients prone to sweating who undergo repeated sweating will suffer from mental confusion and palpitations, and pain in the yin after urination. Yu Yu Liang Wan (Halloysitum Pill) is given.
Yu Yu Liang Wan (Halloysitum Pill) Formula