细碎宛如粟米，红者谓之红砂，白者谓之白砂。疹后多有此症，乃余毒尽透，最美之境，愈后脱
皮。若初病未认是疫，后十日、半月而出者，烦躁作渴，大热不退，毒发于颔者，死不可救。
疫疹初起，六脉细数沉伏，面颜青惨，昏愦如迷，四肢逆冷，头汗如雨，其痛如劈，腹内扰肠，欲吐不
吐，欲泄不泄，男则仰卧，女则覆卧，摇头鼓颔，百般不足。此为闷疫，毙不终朝矣。如欲挽回于万一，
非大剂清瘟不可，医家即或敢用，病家决不敢服，与其束手待毙，不如含药而亡。虽然，难矣哉！
败毒散（《活人》） 治时行疫疠头痛，憎寒壮热，项强睛暗，鼻塞声重，咳嗽痰喘，眼赤口疮，热毒流
注，脚肿腮肿，诸疮斑疹，喉痹吐泄。
羌活 独活 柴胡 前胡 川芎 枳壳 桔梗 茯苓 薄荷 甘草
疫症初起，服此先去其爪牙，使邪不盘踞经络，有斑即透，较升、葛、荆、防发表多多矣。如口干舌燥
加黄芩，喉痛加豆根，倍加桔梗、甘草。古方引用生姜，姜乃暖胃之品，疫乃胃热之症，似不宜用，以葱
易之。
此足太阳、少阳、阳明药也。羌活入太阳而理游风；独活入太阴而理伏邪，兼能除痛；柴胡散热升清，
协川芎和血平肝，以治头痛目昏；前胡、枳壳降气行痰，协桔梗、茯苓以泄肺热而除湿消肿；甘草和里；
而发表更以薄荷为君，取其辛凉，气味俱薄，疏导经络，表散能除高巅邪热。古人名曰败毒，良有以也。
凉膈散（《局方》）治心火上盛，中焦燥实，烦躁口渴，
目赤头眩，口疮唇裂；吐血衄血，诸风螈 ，胃热发斑，发狂，惊急抽风。
连翘 生栀子 黄芩 薄荷 桔梗 甘草 生石膏 竹叶
此上、中二焦泻火药也。热淫于内，治以咸寒，佐以苦甘，故以连翘、黄芩、竹叶、薄荷升散于上，
古方用大黄、芒硝推荡其中，使上升下行而膈自清矣。予忆疫疹乃无形之毒，投以硝、黄之猛烈，必致
内溃。予以石膏易去硝、黄，使热降清升而疹自透，亦上升下行之意也。
清瘟败毒饮（《一得》）治一切火热，表里俱盛，狂躁烦心。口干咽痛，大热干呕，错语不眠，吐血衄血，
热盛发斑。不论始终，以此为主。后附加减。
生石膏（大剂六两至八两，中剂二两至四两，小剂八钱至一两二钱） 小生地（大剂六钱至一两，
中剂三钱至五钱，小剂二钱至四钱） 乌犀角（大剂六钱至八钱，中剂三钱至四钱，小剂二钱至四钱）
真川连（大剂六钱至四钱，中剂二钱至四钱，小剂一钱至一钱半） 生栀子 桔梗 黄芩 知母 赤芍 玄参 连翘
竹叶 甘草 丹皮
疫证初起，恶寒发热，头痛如劈，烦躁谵妄，身热肢冷，舌刺唇焦，上呕下泄，六脉沉细而数，即用
大剂；沉而数者，用中剂；浮大而数者，用小剂。如斑一出，即用大青叶，量加升麻四、五分引毒外透。
此内化外解、浊降清升之法，治一得一，治十得十。以视升提发表而愈剧者，何不俯取刍荛之一得也。
此十二经泄火之药也。斑疹虽出于胃，亦诸经之火有以助之。重用石膏直入胃经，使其敷布于十二
经，退其淫热；佐以黄连、犀角、黄芩泄心、肺火于上焦，丹皮、栀子、赤芍泄肝经之火，连翘、玄参解
散浮游之火，生地、知母抑阳扶阴，泄其亢甚之火，而救欲绝之水，桔梗、竹叶载药上行；使以甘草和胃
也。此皆大寒解毒之剂，故重用石膏，先平甚者，而诸经之火自无不安矣。
疫疹之症∶
头痛倾侧，本方加石膏、玄参、甘菊花。
骨节烦痛，腰如被杖，本方加石膏、玄参、黄柏。
遍体炎炎，本方加石膏、生地、川连、黄芩、丹皮。
静躁不常，本方加石膏、川连、犀角、丹皮、黄芩。
火扰不寐，本方加石膏、犀角、琥珀、川连。
周身如冰，本方加石膏、川连、犀角、黄柏、丹皮。
四肢逆冷，本方加石膏。
筋抽脉惕，本方加石膏、丹皮、胆草。
大渴不已，本方加石膏、花粉。
胃热不食，本方加石膏、枳壳。
胸膈遏郁，本方加川连、枳壳、桔梗、栝蒌霜
昏闷无声，本方加石膏、川连、犀角、黄芩、羚羊角、桑皮。
筋肉 动，本方加生地、石膏、黄柏、玄参。
冷气上升，本方加石膏、生地、丹皮、川连、犀角、胆草。
口秽喷人，本方加石膏、川连、犀角。
满口如霜，本方加石膏、川连、连翘、犀角、黄柏、生地。
咽喉肿痛，本方加石膏、桔梗、玄参、牛子、射干、山豆根。
嘴唇 肿，本方加石膏、川连、连翘、天花粉。
脸上燎泡，本方加石膏、生地、银花、板蓝根、紫花地丁、马勃、归尾、丹皮、玄参。
大头天行，本方加石膏、归尾、板蓝根、马勃、紫花地丁、银花、玄参、僵蚕、生大黄（脉实者量加）。
腮，本方加石膏、归尾、银花、玄参、紫花地丁、丹皮、马勃、连翘、板蓝根。
颈颌肿痛，本方加石膏、桔梗、牛蒡子、夏枯草、紫花地丁、玄参，连翘、银花、山豆根。
耳后痛硬，本方加石膏、连翘、生地、天花粉、紫花地丁、丹皮、银花、板蓝根、玄参。
耳聋口苦，本方加生地、玄参、柴胡、黄柏。
嗒舌弄舌，本方加石膏、川连、犀角、黄柏、玄参。
红丝绕目，本方加菊花、红花、蝉衣、谷精草、归尾。
头汗如涌，本方加石膏、玄参。
切牙，本方加石膏、生地、丹皮、龙胆草、栀子。
鼻血泉涌，本方加石膏、生地、黄连、羚羊角、桑皮（生用）、玄参、棕灰、黄芩。
舌上珍珠，本方加石膏、川连、犀角、连翘、净银花、玄参、花粉。
舌如铁甲，本方加石膏、犀角、川连、知母、天花粉、连翘、玄参、黄柏。
舌疔，本方加石膏、川连、犀角、连翘、银花。
舌长（以片脑为末涂舌上，应手而缩，甚者必须五钱而愈。）
舌衄，本方加石膏、丹皮、生地、川连、犀角、
栀子、败棕灰。
齿衄，本方加石膏、黄柏、生地、丹皮、栀子、犀角、川连、玄参、黄芩。
谵语，本方加石膏、川连、犀角、丹皮、栀子、黄柏、龙胆草。
呃逆，本方加石膏、柿蒂、银杏、竹茹、羚羊角、枇杷叶。（不止，用四磨饮一钱，调服本方即止。
四磨饮∶沉香、槟榔、乌药、枳壳）。
呕吐，本方加石膏、川连、滑石、甘草、伏龙肝。
似痢非痢，本方加石膏、川连、滑石、猪苓、泽泻、木通。
热注大肠（加同上）。
大便不通（蜜煎导法），本方加生军。
大便下血，本方加生地、槐花、棕炭、侧柏叶。
小便短缩如油，本方加滑石、泽泻、猪苓、木通、通草、 蓄。
小便溺血，本方加生地、桃仁、滑石、茅根、川牛膝、琥珀、棕炭。
发狂，本方加石膏、犀角、川连、栀子、丹皮、川黄柏。
痰中带血，本方加石膏、黄芩、棕炭、生桑皮、羚羊角、生地、栝蒌霜。
遗尿，本方加石膏、川连、犀角、滑石。
喘嗽，本方加桑皮、黄芩、石膏、羚羊角。
发黄，本方加石膏、滑石、栀子、茵陈、猪苓、泽泻、木通。
循衣摸床，本方加石膏、川连、犀角、丹皮、栀子、胆草。
狐惑，本方加石膏、犀角、苦参、乌梅、槐子。
战汗（战后汗出、脉静、身凉，不用药；有余热即服本方小剂，一药而安）。
瘟毒发疮，本方加石膏、生地、川连、紫花地丁、金银花、（上加）升麻、（下加）川牛膝、
（胸加）枳壳、蒲公英、（背加）威灵仙、（出头）皂刺。
以上五十二症按症加减。以下瘥后二十症，另载各症诸方于本症。
四肢浮肿 加味六君子汤
人参（一钱） 于术（一钱） 云苓（二钱） 木香（三分） 砂仁（五分） 甘草（八分）
薏仁（五钱） 泽泻（一钱半） 生姜（一片） 黑胶枣（二枚）
大便燥结 当归润燥汤（气虚者加人参、黄 ）
大熟地（五钱） 当归（三钱） 麻仁（二钱） 郁李仁（三钱） 肉苁蓉（一钱半） 杏仁（一钱半）
白蜜（一匙）
皮肤痛痒八珍汤
人参（一钱） 白术（一钱） 茯苓（一钱半） 甘草（八分） 生地（三钱） 当归（二钱）
川芎（一钱） 白芍（一钱半） 生姜（一片） 黑枣（二枚）
半身不遂 小剂败毒饮加∶
木瓜 牛膝 续断 萆 、黄柏 知母 威灵仙。
食少不化 加味异功散
人参（一钱） 白术（一钱） 茯苓（一钱） 陈皮（一钱） 山楂（二钱） 谷芽（三钱）
甘草（五分） 砂仁（八分） 生姜（一片） 黑枣（三枚）
惊悸 茯神镇惊汤
人参（一钱） 黄 （钱半，炙） 当归（二钱） 茯神（三钱） 远志（钱半） 龙齿（二钱， ）
白芍（一钱） 麦冬（二钱） 琥珀（一钱，研冲服） 炙甘草（八分） 龙眼（三枚） 灯芯（三十寸）
怔忡 琥珀养心汤
人参（一钱） 当归（二钱） 茯神（三钱） 枣仁（钱半，炒） 远志（钱半，炙） 石菖蒲（一钱）
琥珀（一钱 研冲服） 炙草（八分） 麦冬（二钱） 龙眼（三枚）
失音 六味地黄汤
熟地（五钱） 山萸（一钱） 茯苓（钱半） 丹皮（钱半） 山药（二钱） 泽泻（钱半）
郑声 补中益气汤
人参（一钱） 黄 （钱半，炙） 当归（二钱） 白术（钱半） 陈皮（一钱） 升麻（八分）
柴胡（一钱） 甘草（八分）
喜唾 梅枣噙化丸
乌梅（十枚） 黑枣（五个；去核，共捣如泥，加炼蜜为丸，弹子大，每用一丸，放口噙化）。
多言 加味参麦饮
人参（五分） 麦冬（三钱） 五味子（八分） 通草（八分） 石菖蒲（一钱） 川连（五分）
甘草（三分） 白芍（一钱） 灯芯（三尺）
遗精 茯神汤
茯神（五钱半） 远志（钱半，炒） 枣仁（二钱，炒） 石菖蒲（一钱） 白茯苓（一钱）
川连（五分） 人参（一钱） 生地（三钱） 当归（钱半） 甘草（五分） 牡蛎（二钱， ） 莲子（七枚）
恐惧 补胆防风汤
人参（七分） 防风（一钱） 细辛（五分） 川芎（八分） 甘草（五分） 茯神（钱半）
独活（八分） 前胡（八分） 黑枣（三枚）
昏睡参麦黄连汤
人参（五分） 麦冬（三钱） 川连（四分） 生枣仁（五钱） 石菖蒲（一钱） 甘草（五分）
自汗盗汗 加味归脾汤
人参（一钱） 黄 （钱半，炒） 白术（一钱，炒） 茯神（三钱）
枣仁（二钱，炒） 远志（钱半，炒） 甘草（五分） 当归（钱半） 麻黄根（二钱） 牡蛎（三钱）
红枣（三枚） 浮麦（三钱）
心神不安 宁志丸
石菖蒲（一两） 远志（一两） 当归（三钱） 茯神（五钱） 人参（二钱） 麦冬（三钱，共为
细末，炼蜜为丸桐子大，朱砂为衣。每早用米汤饮服三钱）。
虚烦不寐 酸枣仁汤
枣仁（五钱，炒） 人参（八分） 甘草（八分） 茯神（三钱） 川芎（八分） 知母（一钱） 远志（一钱，
炒） 龙眼（三枚） 灯草（三十寸）
劳复 加味当归四逆汤
柴胡（八分） 当归（钱半） 白芍（一钱） 枳实（一钱） 甘草（五分，赤衣散∶室女经布近阴
处一片，烧灰，调服）。
食复 香砂平胃散
苍术（一钱半，炒） 浓朴（一钱，炒） 陈皮（一钱） 木香（五分） 砂仁（八分） 甘草（五分）
生姜（一片，有食积加山楂、麦芽、神曲、茯苓）
阴阳易 当归白术汤
白术（一钱） 当归（一钱） 桂枝（一钱） 附子（一钱） 甘草（八分） 白芍（一钱） 黄 （一钱，炙）
人参（钱半） 生姜（三钱）
烧 散
裆（八分，近阴处，男用女裆，女用男裆，烧灰，温水和服）
青竹茹汤
竹茹（半斤） 栝蒌根（一两，水二升，煎一升服）
鼠屎汤
韭白根（一把） 鼠屎（十四粒） 水煎服
韭根散
韭根 栝蒌根 青竹茹 炮姜（各五钱，共为粗末，分八分。用水盏半，煎五分，入鼠屎一钱和服。
治阴阳易危急之症）。
千金方 治劳复或食复发热者。
栀子仁（一钱） 生石膏（三钱） 鼠屎（十四粒） 淡豉（半合） 水煎服。
麦冬汤 治劳复气欲绝者，用之大效，能起死回生。
麦冬（一两，去心） 甘草（二两，蜜炙） 粳米（半合） 苏竹叶（十五片） 黑枣（二枚，去核）
上为细末，水二盏，煎米令熟，去米，约汤盏半，入药五钱，煎至一盏。温服，不能服者，绵浸滴
口中。此方不用石膏，以三焦无火也。加人参更妙。
疫疹之形∶
松浮，本方加大青叶、玄参。
紧束有根，本方加石膏、生地、犀角、玄参、桃仁、紫草、川连、红花、连翘、归尾。
疫疹之色∶
红活，本方加大青叶、玄参。
淡红，本方加大青叶、玄参。
深红，本方加大青叶、玄参、生地。
艳红，本方加大青叶、生地、石膏、丹皮、玄参。
紫赤，本方加石膏、生地、玄参、川连、犀角、丹皮、桃仁。
红白砂，本方小剂加生地、当归、蝉衣。
The purpura resembling cockscomb flowers is even more vibrant, and compared to bright red, the fire toxin is more intense. If not cooled immediately, it will inevitably turn black.
Fine and small like millet grains, those that are red are called "Red Sand," and those that are white are called "White Sand." This symptom often occurs after the eruption of rashes; it indicates that residual toxins have fully manifested, representing the most auspicious state for recovery, followed by desquamation (peeling of skin) after healing. However, if the initial illness was not recognized as an epidemic rash, and appears ten days or half a month later, accompanied by irritability, thirst, persistent high fever, or toxin manifesting in the throat area, it is a fatal condition with no hope of rescue.
At the onset of epidemic rash, the six pulses are fine, rapid, deep, and hidden. The facial complexion is cyanotic and grim, consciousness is confused as if in a coma, limbs are cold, head sweats profusely like rain, pain feels like being split open, abdominal intestines are disturbed, there is an urge to vomit but cannot, an urge to defecate but cannot. Males lie supine, females lie prone, shaking the head and grinding teeth, exhibiting various signs of extreme distress. This is called "Stifled Epidemic" (Men Yi), and death may occur within half a day. To salvage even a slight chance, a large dose of Qingwen Baidu Yin must be used. Even if doctors dare to prescribe it, patients will absolutely refuse to take it. Rather than waiting helplessly for death, it is better to die after taking medicine. Nevertheless, this is indeed difficult!
Baidu San (from *Huoren Shu*): Treats headaches caused by seasonal epidemics, aversion to cold with severe fever, stiffness of the neck, dim vision, nasal congestion with heavy voice, cough with phlegm and wheezing, red eyes and mouth ulcers, heat toxin flowing into collaterals, swelling of legs and cheeks, various sores and maculopapular rashes, throat obstruction with vomiting and diarrhea.
Herbs: Qianghuo, Duhuo, Chaihu, Qianhu, Chuanxiong, Zhike, Jiegeng, Fuling, Bohe, Gancao.
At the early stage of epidemic disease, taking this formula first removes the "claws and teeth" of the pathogen, preventing the evil from entrenching in the meridians. If macules appear, they will be vented out. Its effect is far superior to releasing the exterior with Shengma, Gegen, Jingjie, and Fangfeng. Add Huangqin for dry mouth and tongue; add Dougen for sore throat; double the dosage of Jiegeng and Gancao. Ancient formulas use Shengjiang (Fresh Ginger); however, ginger is a stomach-warming herb, while epidemic rash is a stomach-heat condition, so it seems inappropriate. Replace it with Congbai (Scallion White).
This formula acts on the Foot-Taiyang, Shaoyang, and Yangming meridians. Qianghuo enters the Taiyang meridian to treat wandering wind; Duhuo enters the Taiyin meridian to treat latent pathogens and can also relieve pain; Chaihu dissipates heat and raises clear yang, cooperating with Chuanxiong to harmonize blood and calm the liver, treating headache and blurred vision; Qianhu and Zhike descend qi and move phlegm, cooperating with Jiegeng and Fuling to drain lung heat and eliminate dampness and swelling; Gancao harmonizes the interior; Bohe is the sovereign herb for releasing the exterior due to its pungent-cool nature and light aroma, guiding through meridians and dispersing heat at the highest points. The ancients named it "Defeating Poison" (Baidu), which is well-founded.
Liangge San (from *Ju Fang*): Treats excessive heart fire in the upper jiao, dryness and excess in the middle jiao, irritability and thirst, red eyes and dizziness, mouth ulcers and cracked lips; hematemesis and epistaxis, various wind-induced convulsions, stomach heat causing macules, mania,惊急 (sudden fright and urgency) with convulsions.
Herbs: Lianqiao, Sheng Zhizi, Huangqin, Bohe, Jiegeng, Gancao, Sheng Shigao, Zhuye.
This is a formula for draining fire from the upper and middle jiao. When heat floods internally, treat with salty-cold herbs, assisted by bitter-sweet ones. Thus, Lianqiao, Huangqin, Zhuye, and Bohe are used to ascend and disperse upwards. Ancient formulas use Dahuang and Mangxiao to push downwards, allowing qi to rise and fall, thereby clearing the diaphragm. I recall that epidemic rash is a formless toxin; using fierce drugs like Xiaoshi (Niter) and Dahuang would certainly cause internal collapse. I replaced them with Shigao (Gypsum Fibrosum) to lower heat and raise clear yang, allowing the rash to vent naturally, following the principle of ascending and descending.
Qingwen Baidu Yin (from *Yizhen Yide*): Treats all kinds of fire-heat, where both exterior and interior are exuberant, mania, irritability, and vexation. Dry mouth and sore throat, severe fever with dry retching, delirium and insomnia, hematemesis and epistaxis, heat excess causing macules. Regardless of the stage, use this as the main formula. Modifications follow.
Herbs: Sheng Shigao (Large dose 6-8 liang, Medium 2-4 liang, Small 8 qian - 1.2 liang); Xiao Shengdi (Large 6 qian - 1 liang, Medium 3-5 qian, Small 2-4 qian); Wu Xijiao (Large 6-8 qian, Medium 3-4 qian, Small 2-4 qian); Zhen Chuanlian (Large 6-4 qian, Medium 2-4 qian, Small 1-1.5 qian); Sheng Zhizi, Jiegeng, Huangqin, Zhimu, Chishao, Xuanshen, Lianqiao, Zhuye, Gancao, Danpi.
At the onset of epidemic disease, with aversion to cold and fever, splitting headache, irritability and delirium, body heat with cold limbs, prickly tongue and scorched lips, upper vomiting and lower diarrhea, and six pulses being deep, fine, and rapid, use the large dose. If pulses are deep and rapid, use the medium dose. If pulses are floating, large, and rapid, use the small dose. Once macules appear, add Dayeqingye (Isatidis Folium), and appropriately add 4-5 fen of Shengma ( Cimicifugae Rhizoma) to guide the toxin outward. This is the method of resolving internally and venting externally, lowering turbidity and raising clarity. It is effective in every case treated. Compared to methods using lifting and exterior-releasing agents that worsen the condition, why not adopt this humble insight?
This is a formula for draining fire from the twelve meridians. Although macules originate from the Stomach, they are aided by fire from other meridians. Heavy use of Shigao directly enters the Stomach meridian, spreading throughout the twelve meridians to retreat excessive heat; assisted by Chuanlian, Xijiao, and Huangqin to drain Heart and Lung fire from the upper jiao; Danpi, Zhizi, and Chishao drain Liver fire; Lianqiao and Xuanshen disperse floating fire; Shengdi and Zhimu suppress yang and support yin, draining excessive fire and saving nearly exhausted fluids; Jiegeng and Zhuye carry the medicine upward; Gancao harmonizes the stomach. These are all great cold and detoxifying agents. Therefore, Shigao is heavily used to first pacify the most severe heat, after which the fire in all meridians will naturally settle.
Symptoms of Epidemic Rash and Modifications:
Severe headache tilting to one side: Add Shigao, Xuanshen, Ganhuijuhua.
Bone and joint irritation and pain, waist feeling like being beaten: Add Shigao, Xuanshen, Huangbai.
Whole body burning hot: Add Shigao, Shengdi, Chuanlian, Huangqin, Danpi.
Intermittent restlessness and agitation: Add Shigao, Chuanlian, Xijiao, Danpi, Huangqin.
Fire disturbing sleeplessness: Add Shigao, Xijiao, Hupo, Chuanlian.
Body feeling ice-cold: Add Shigao, Chuanlian, Xijiao, Huangbai, Danpi.
Cold extremities: Add Shigao.
Tendon twitching and pulse palpitation: Add Shigao, Danpi, Longdancao.
Unremitting thirst: Add Shigao, Huafen.
Stomach heat with loss of appetite: Add Shigao, Zhike.
Chest and diaphragm oppression: Add Chuanlian, Zhike, Jiegeng, Gualou Shuang.
Confusion and silence: Add Shigao, Chuanlian, Xijiao, Huangqin, Lingyangjiao, Sangbupi.
Muscle twitching: Add Shengdi, Shigao, Huangbai, Xuanshen.
Rising cold air: Add Shigao, Shengdi, Danpi, Chuanlian, Xijiao, Longdancao.
Foul breath: Add Shigao, Chuanlian, Xijiao.
Mouth covered with frost-like coating: Add Shigao, Chuanlian, Lianqiao, Xijiao, Huangbai, Shengdi.
Sore and swollen throat: Add Shigao, Jiegeng, Xuanshen, Niubangzi, Shegan, Shandougen.
Swollen lips: Add Shigao, Chuanlian, Lianqiao, Tianhuafen.
Blisters on face: Add Shigao, Shengdi, Yinhua, Banlangen, Zihuadiding, Mabo, Guiwei, Danpi, Xuanshen.
Big Head Plague (Da Tou Tian Xing): Add Shigao, Guiwei, Banlangen, Mabo, Zihuadiding, Yinhua, Xuanshen, Jiangcan, Sheng Dajun (add appropriately if pulse is solid).
Swollen cheeks: Add Shigao, Guiwei, Yinhua, Xuanshen, Zihuadiding, Danpi, Mabo, Lianqiao, Banlangen.
Swelling and pain in neck and jaw: Add Shigao, Jiegeng, Niubangzi, Xiakucao, Zihuadiding, Xuanshen, Lianqiao, Yinhua, Shandougen.
Pain and hardness behind ears: Add Shigao, Lianqiao, Shengdi, Tianhuafen, Zihuadiding, Danpi, Yinhua, Banlangen, Xuanshen.
Deafness and bitter taste: Add Shengdi, Xuanshen, Chaihu, Huangbai.
Tongue protruding and retracting: Add Shigao, Chuanlian, Xijiao, Huangbai, Xuanshen.
Red threads around eyes: Add Juhua, Honghua, Chanyi, Gujingcao, Guiwei.
Profuse head sweat: Add Shigao, Xuanshen.
Teeth grinding: Add Shigao, Shengdi, Danpi, Longdancao, Zhizi.
Epistaxis gushing like a spring: Add Shigao, Shengdi, Huanglian, Lingyangjiao, Sangbipi (raw), Xuanshen, Zonghui, Huangqin.
Pearls on tongue (tongue ulcers): Add Shigao, Chuanlian, Xijiao, Lianqiao, Jing Yinhua, Xuanshen, Huafen.
Tongue like iron armor (hard tongue): Add Shigao, Xijiao, Chuanlian, Zhimu, Tianhuafen, Lianqiao, Xuanshen, Huangbai.
Tongue Ding (tongue abscess): Add Shigao, Chuanlian, Xijiao, Lianqiao, Yinhua.
Prolapsed tongue (Apply Bingpian powder to tongue; it retracts instantly. Severe cases require 5 qian for cure.)
Tongue bleeding: Add Shigao, Danpi, Shengdi, Chuanlian, Xijiao, Zhizi, Baizonghui.
Gum bleeding: Add Shigao, Huangbai, Shengdi, Danpi, Zhizi, Xijiao, Chuanlian, Xuanshen, Huangqin.
Delirious speech: Add Shigao, Chuanlian, Xijiao, Danpi, Zhizi, Huangbai, Longdancao.
Hiccups: Add Shigao, Shidi, Yinxing, Zhuru, Lingyangjiao, Pipaye. (If unrelieved, use Simo Yin 1 qian mixed with this formula to stop. Simo Yin: Chenxiang, Binglang, Wuyao, Zhike).
Vomiting: Add Shigao, Chuanlian, Huashi, Gancao, Fulonggan.
Dysentery-like symptoms: Add Shigao, Chuanlian, Huashi, Zhuling, Zexie, Mutong.
Heat pouring into Large Intestine (Add same as above).
Constipation (Use honey suppository method): Add Sheng Jun (Dahuang).
Blood in stool: Add Shengdi, Huaihua, Zongtan, Cebaiye.
Short, oil-like urine: Add Huashi, Zexie, Zhuling, Mutong, Tongcao, Pianxu.
Hematuria: Add Shengdi, Taoren, Huashi, Maogen, Chuanniuxi, Hupo, Zongtan.
Mania: Add Shigao, Xijiao, Chuanlian, Zhizi, Danpi, Chuan Huangbai.
Blood in sputum: Add Shigao, Huangqin, Zongtan, Sheng Sangpi, Lingyangjiao, Shengdi, Gualou Shuang.
Enuresis: Add Shigao, Chuanlian, Xijiao, Huashi.
Wheezing and cough: Add Sangbipi, Huangqin, Shigao, Lingyangjiao.
Jaundice: Add Shigao, Huashi, Zhizi, Yinchen, Zhuling, Zexie, Mutong.
Clutching clothes and bedrails: Add Shigao, Chuanlian, Xijiao, Danpi, Zhizi, Longdancao.
Huo Huo syndrome (oral/genital ulcers with mental symptoms): Add Shigao, Xijiao, Kushen, Wumei, Huaizi.
Chills and sweating (After chills and sweating, if pulse is quiet and body cool, no medicine needed; if residual heat remains, take small dose of this formula, cured in one dose).
Plague toxin causing sores: Add Shigao, Shengdi, Chuanlian, Zihuadiding, Jinyinhua; (Upper addition) Shengma; (Lower addition) Chuanniuxi; (Chest addition) Zhike, Pugongying; (Back addition) Weilingxian; (For emerging pus) Zaoci.
Modifications for the above 52 symptoms. The following 20 post-recovery symptoms are listed separately with their respective formulas.
Edema of four limbs: Jiawei Liujunzi Tang
Renshen (1 qian), Yuzhu (1 qian), Yunling (2 qian), Muxiang (3 fen), Sharen (5 fen), Gancao (8 fen), Yiren (5 qian), Zexie (1.5 qian), Shengjiang (1 slice), Heijiaozao (2 pieces).
Dry constipation: Danggui Runzao Tang (Add Renshen and Huangqi for Qi deficiency)
Dashudi (5 qian), Danggui (3 qian), Maren (2 qian), Yuliren (3 qian), Rongcongrou (1.5 qian), Xingren (1.5 qian), Baimi (1 spoon).
Skin itching: Bazhen Tang
Renshen (1 qian), Baizhu (1 qian), Fuling (1.5 qian), Gancao (8 fen), Shengdi (3 qian), Danggui (2 qian), Chuanxiong (1 qian), Baishao (1.5 qian), Shengjiang (1 slice), Heizao (2 pieces).
Hemiplegia: Small dose Baidu San plus:
Mugua, Niuxi, Xuduan, Biba, Huangbai, Zhimu, Weilingxian.
Poor digestion: Jiawei Yigong San
Renshen (1 qian), Baizhu (1 qian), Fuling (1 qian), Chenpi (1 qian), Shanzha (2 qian), Guya (3 qian), Gancao (5 fen), Sharen (8 fen), Shengjiang (1 slice), Heizao (3 pieces).
Palpitations due to fright: Fushen Zhenjing Tang
Renshen (1 qian), Huangqi (1.5 qian, roasted), Danggui (2 qian), Fushen (3 qian), Yuanzhi (1.5 qian), Longchi (2 qian, calcined), Baishao (1 qian), Maidong (2 qian), Hupo (1 qian, crushed and taken with decoction), Zhi Gancao (8 fen), Longyan (3 pieces), Dengxin (30 cun).
Heart palpitations: Hupo Yangxin Tang
Renshen (1 qian), Danggui (2 qian), Fushen (3 qian), Zaoren (1.5 qian, roasted), Yuanzhi (1.5 qian, roasted), Shichangpu (1 qian), Hupo (1 qian, crushed and taken with decoction), Zhi Cao (8 fen), Maidong (2 qian), Longyan (3 pieces).
Loss of voice: Liuwei Dihuang Tang
Shudi (5 qian), Shanyuzi (1 qian), Fuling (1.5 qian), Danpi (1.5 qian), Shanyao (2 qian), Zexie (1.5 qian).
Repetitive low speech (Zhengsheng): Buzhong Yiqi Tang
Renshen (1 qian), Huangqi (1.5 qian, roasted), Danggui (2 qian), Baizhu (1.5 qian), Chenpi (1 qian), Shengma (8 fen), Chaihu (1 qian), Gancao (8 fen).
Excessive salivation: Meizao Qin Hua Wan
Wumei (10 pieces), Heizao (5 pieces; pitted, pounded into paste, formed into pills size of marbles with refined honey. Take one pill, hold in mouth to dissolve).
Excessive talking: Jiawei Shenmai Yin
Renshen (5 fen), Maidong (3 qian), Wuweizi (8 fen), Tongcao (8 fen), Shichangpu (1 qian), Chuanlian (5 fen), Gancao (3 fen), Baishao (1 qian), Dengxin (3 chi).
Spermatorrhea: Fushen Tang
Fushen (5.5 qian), Yuanzhi (1.5 qian, roasted), Zaoren (2 qian, roasted), Shichangpu (1 qian), Bai Fuling (1 qian), Chuanlian (5 fen), Renshen (1 qian), Shengdi (3 qian), Danggui (1.5 qian), Gancao (5 fen), Muli (2 qian, calcined), Lianzi (7 pieces).
Fear: Budan Fangfeng Tang
Renshen (7 fen), Fangfeng (1 qian), Xixin (5 fen), Chuanxiong (8 fen), Gancao (5 fen), Fushen (1.5 qian), Duhuo (8 fen), Qianhu (8 fen), Heizao (3 pieces).
Somnolence: Shenmai Huanglian Tang
Renshen (5 fen), Maidong (3 qian), Chuanlian (4 fen), Sheng Zaoren (5 qian), Shichangpu (1 qian), Gancao (5 fen).
Spontaneous and night sweats: Jiawei Guipi Tang
Renshen (1 qian), Huangqi (1.5 qian, roasted), Baizhu (1 qian, roasted), Fushen (3 qian), Zaoren (2 qian, roasted), Yuanzhi (1.5 qian, roasted), Gancao (5 fen), Danggui (1.5 qian), Mahuanggen (2 qian), Muli (3 qian), Hongzao (3 pieces), Fumai (3 qian).
Restless mind: Ningzhi Wan
Shichangpu (1 liang), Yuanzhi (1 liang), Danggui (3 qian), Fushen (5 qian), Renshen (2 qian), Maidong (3 qian). Pound into fine powder, form pills with refined honey, coat with Cinnabar. Take 3 qian with rice water every morning.
Deficiency heat causing insomnia: Suanzaoren Tang
Zaoren (5 qian, roasted), Renshen (8 fen), Gancao (8 fen), Fushen (3 qian), Chuanxiong (8 fen), Zhimu (1 qian), Yuanzhi (1 qian, roasted), Longyan (3 pieces), Dengcao (30 cun).
Relapse due to overwork: Jiawei Danggui Sixun Tang
Chaihu (8 fen), Danggui (1.5 qian), Baishao (1 qian), Zhishi (1 qian), Gancao (5 fen), Chi Yi San (A piece of cloth near the private parts of an unmarried girl, burned to ash, taken with decoction).
Relapse due to improper diet: Xiangsha Pingwei San
Cangzhu (1.5 qian, roasted), Houpo (1 qian, roasted), Chenpi (1 qian), Muxiang (5 fen), Sharen (8 fen), Gancao (5 fen), Shengjiang (1 slice). (Add Shanzha, Maiya, Shenqu, Fuling if food stagnation exists).
Yin-Yang Exchange (Relapse after intercourse during recovery): Danggui Baizhu Tang
Baizhu (1 qian), Danggui (1 qian), Guizhi (1 qian), Fuzi (1 qian), Gancao (8 fen), Baishao (1 qian), Huangqi (1 qian, roasted), Renshen (1.5 qian), Shengjiang (3 qian).
Shao Kun San
Kun (8 fen, underwear from near private parts; men use women's, women use men's, burned to ash, taken with warm water).
Qingzhuru Tang
Zhuru (0.5 jin), Gualougen (1 liang, decoct in 2 sheng water until 1 sheng remains, drink).
Shushi Tang
Jiu Baigen (1 handful), Shushi (14 grains), decoct in water and drink.
Jiu Gen San
Jiu Gen, Gualougen, Qingzhuru, Pao Jiang (each 5 qian, coarsely powdered, divided into 8 doses. Decoct in 1.5 cups water until 0.5 cup remains, add 1 qian Shushi and mix. Treats critical Yin-Yang Exchange).
Qianjin Fang: Treats fever due to relapse from overwork or improper diet.
Zhizi Ren (1 qian), Sheng Shigao (3 qian), Shushi (14 grains), Danshi (0.5 he), decoct in water and drink.
Maidong Tang: Treats Qi exhaustion due to relapse from overwork, highly effective, can revive the dying.
Maidong (1 liang, heart removed), Gancao (2 liang, honey-roasted), Jingmi (0.5 he), Suzhuye (15 leaves), Heizao (2 pieces, pitted).
Pound into fine powder. Decoct 2 cups water with rice until cooked, remove rice. About 1.5 cups of broth remain. Add 5 qian of powder, decoct until 1 cup remains. Drink warm. If unable to swallow, dip cotton in liquid and drip into mouth. This formula does not use Shigao because there is no fire in the Three Jiao. Adding Renshen is even better.
Shape of Epidemic Rash:
Loose and floating: Add Dayeqingye, Xuanshen.
Tight with roots: Add Shigao, Shengdi, Xijiao, Xuanshen, Taoren, Zicao, Chuanlian, Honghua, Lianqiao, Guiwei.
Color of Epidemic Rash:
Bright red: Add Dayeqingye, Xuanshen.
Pale red: Add Dayeqingye, Xuanshen.
Deep red: Add Dayeqingye, Xuanshen, Shengdi.
Vibrant red: Add Dayeqingye, Shengdi, Shigao, Danpi, Xuanshen.
Purple-red: Add Shigao, Shengdi, Xuanshen, Chuanlian, Xijiao, Danpi, Taoren.
Red and White Sand: Small dose adds Shengdi, Danggui, Chanyi.