荆芥 透肌解表，散痧毒。痧筋隐隐不发者，非此不现。用四分至八分止。
防风 透肌发表，为臣使之助。寒热往来，痧毒壅滞郁
遏不发者，非此不清。用三分至七分止。
羌活 痧症忌其发表太过，若头痛或又因受寒而起，更兼痧症，欲用之引太阳经。止许用半分至二分。
连翘 消痧毒，解诸经火邪，清热而不滞，治痧之要药也。用七分至一钱。
陈皮、青皮 陈行痧气，青伐肝气。痧气壅阻郁结不行者，非此不利。用六分至一钱。
枳壳、枳实 破痧气、驱毒瓦斯、除胀气、下食气，积滞壅塞者，非此不开。但枳壳性缓，枳实性速，各有所宜。
用五分至一钱五分。
桃仁 破瘀活血。痧为血阻，非此不流；痧为血滞，非此不顺。去皮而用，为皮味涩而阻血路也。用七分至一
钱六分。
秦艽 活血驱风消痧毒。筋骨疼痛，壮热不清者，非此不解。用三分至六分。
川芎 上行头目，头角骨痛者必需；下通血海，肝脏不华者当用。用一分至三分，止恐提痧气上腾也。
桔梗 入肺经为诸药之舟楫，其性上而复下，故能引枳壳破胸中至高之气。用六分至八分。
香附 行血中之气，恐其香燥须用便制∶欲其行血，必要酒炒；取其敛血在乎醋炒。用三分至八分。
木香 行滞气、燥湿气、驱寒气、开郁气、散结气，痧后腹痛不解者，此要药也。用一分至三分止。
檀香 痧后心腹疼痛不休，胸胁胀闷，寒凝气滞，得此而抒者，痧之始发当知忌用。用一分至三分。
砂仁 顺气开郁，散痧消食，此始终之可用之要药也。用三分至一钱。
穿山甲 土炒为末，透痧消痰，破痧托毒，善走经络之神剂也，故经络有诸药所不到者，非此不达。用一分至
五分。
童便 解痧毒，消痰降火最速。定痛治血痢，痢下血水，诸药莫及。
天蚕 能治血分之痰，佐山甲透经络，以破瘀毒。用须炒末。自一分至二分。
乌药 善行周身之气，凡痧气阻滞者，得此无处不到。用三分至五分。
红花、金银花、茜草 活血，解痧毒。用六分至一钱。
山楂、卜子、麦芽、神曲 痧为食壅，取其善消而不暴也。
大黄 大便不通，痧气闭塞，非此不能攻而下之。用五分至一钱五分。
木通、车前、泽泻 痧气郁阻，小便不利，在所当求。若热郁太重，不因小水，更在所禁。用二分至五分。
黄连、黄芩 冷性凝滞，痧中忌用。用须酒炒或姜汁制。
生地 凉血。血瘀者，非其所宜。
熟地、白芍 补血敛血，痧所大忌。
参、 、白术、山药 用之恐补毒瓦斯，痧所大禁。
甘草 用之恐成痧块难治，在所忌用。
白茯苓 恐其渗湿，实其痧气，俱在禁例。
细辛 透窍、破血、散痧之要药也。用七分至一钱。
姜黄 其性虽温，善能消痰下气，破恶血。用二分至四分。
贝母 川者专消热痰，土者兼破瘀血。用一钱至一钱五分。
白芥子 胁下之痰，非此不达。用四分至六分。
半夏、白芷、苍术 性燥忌用。
竹沥 性寒，忌用。用须姜汁，方走经络。
雄黄、牛黄、胆星、天竹黄 消痰丸中宜用。
麝香 开窍散痧，功亦甚大。
当归 头身尾各有所宜，用须斟酌。
柴胡 和解表里，专治少阳胆经寒热往来。用六分至一钱。
干葛 散阳明胃经之邪，兼能解渴。用六分至八分。
前胡 疏风，消痰，治嗽，表热者，宜用。用六分至八分。
桑皮 治嗽泻肺。用四分至八分。
兜苓 泻肺嗽。用三分至五分。
杏仁 泻肺，润肠胃，利气，消痰涎。去皮尖用。用四分至一钱。
麦冬 天冬 润肺、消痰。一治其本，一治其标，去心用之。用七分至一钱五分。
山棱、蓬术 食积心疼，痧毒阻滞痞闷者。宜用六分至八分。
五灵脂 善消宿血，血块凝滞不散，非此不破。用五分至八分。
龟甲 去两肋，酥炙为末。破宿血胜于灵脂。在胸者用上半截，在下者用下半截。
苏木 败恶血新瘀者，莫及。用五分至一钱五分。
玄胡索 活血行气，气血凝滞作痛。用五分至一钱五分。
香薷 通上彻下，利水气，治暑气之要药。用五分至一钱。
紫朴 宽中治呕，消痰下气。用六分至八分。
牛膝 活血，引痧气下行。用八分至二钱。
木瓜 五味子 酸敛忌用。
升麻 禁用，恐提痧气上升，而难遏也。
肉桂 附子 吴茱萸 禁用，恐助痧毒立刻有变也。
干姜 过服寒冷之水，宜少用之，善散寒气也。若用之不当，亦能助热毒，当忌。
麻黄 发表太过禁用。
簿菏 辛凉利窍，消肿解毒，清气清喉。用五分至一钱。
紫苏 疏风顺气。身热当用三分至六分。
明矾 解痧毒，消痰定痛。用之探吐宿食甚妙。
玄参 清气消痰，滋阴润肺。但色黑止血，痧有瘀血忌用。
花粉 性沉寒，止渴。痧毒未清者忌用，恐凝滞痧气也。
角刺 透毒，能引诸药至于痧毒血瘀之所，立奏其功。
牛蒡子 解痧毒，清喉，痧中要药。用七分至一钱。
乳香 消瘀血而不伤新血。痧症用之以治血结。用五分至一钱。
黑砂糖 活瘀血，解痧毒，故瘀血作痛者，得此则安。
没药 痧痛用之破瘀血。用四分至一钱。
食盐 解痧毒，定痛，用之吐去新食。
芋艿 治痧热，解毒。有痧患者，食之甘美。
晚蚕沙 解痧毒，治热。
阿魏 破积聚，逐恶血，其功甚大。
大麻仁 消大肠肠胃燥结者，宜用。
其中分数，如遇西北强壮人，当加一二三倍，不可执一。
Jingjie (Schizonepetae Herba): Penetrates the muscle layer to release the exterior and dissipates sha poison. If sha tendons are faintly visible but fail to erupt, this herb is essential for their manifestation. Dosage: 4 fen to 8 fen.
Fangfeng (Saposhnikoviae Radix): Penetrates the muscle layer to release the exterior; serves as an assisting agent. For cases of alternating chills and fever where sha poison is congested, stagnant, and suppressed, preventing eruption, this herb is necessary for clearance. Dosage: 3 fen to 7 fen.
Qianghuo (Notopterygii Rhizoma et Radix): In sha syndromes, excessive exterior-releasing is contraindicated. If headache arises from cold invasion and coexists with sha syndrome, and one wishes to guide the action into the Taiyang channel (Foot-Taiyang Bladder Channel), the dosage should be restricted to 0.5 fen to 2 fen.
Lianqiao (Forsythiae Fructus): Eliminates sha poison and resolves fire pathogens in various channels; clears heat without stagnation; it is a crucial herb for treating sha syndrome. Dosage: 7 fen to 1 qian.
Chenpi (Citri Reticulatae Pericarpium) and Qingpi (Citri Reticulatae Pericarpium Viride): Chenpi regulates sha qi; Qingpi subdues Liver qi. For conditions where sha qi is congested, knotted, and unable to circulate, these herbs are necessary for unblocking. Dosage: 6 fen to 1 qian.
Zhike (Aurantii Fructus) and Zhishi (Aurantii Fructus Immaturus): Break sha qi, expel toxic vapors, remove distension qi, and direct food qi downward. For accumulations and stagnations causing blockage, these herbs are necessary for opening. However, Zhike has a mild nature, while Zhishi acts rapidly; each has its appropriate application. Dosage: 5 fen to 1.5 qian.
Taoren (Persicae Semen): Breaks blood stasis and invigorates blood circulation. If sha is obstructed by blood, flow cannot occur without this herb; if sha is stagnant due to blood, smoothness cannot be achieved without it. Use peeled kernels, as the skin is astringent and obstructs blood pathways. Dosage: 7 fen to 1.6 qian.
Qinjiao (Gentianae Macrophyllae Radix): Invigorates blood, dispels wind, and eliminates sha poison. For bone and joint pain with persistent high fever, this herb is necessary for relief. Dosage: 3 fen to 6 fen.
Chuanxiong (Ligustici Chuanxiong Rhizoma): Ascends to the head and eyes; essential for pain in the temples and skull bones. Descends to the Sea of Blood; indicated when the Liver fails to nourish properly. Dosage: 1 fen to 3 fen; caution is advised to prevent lifting sha qi upward.
Jiegeng (Platycodonis Radix): Enters the Lung channel and acts as a carrier for other herbs. Its nature moves both up and down, enabling it to guide Zhike to break qi stagnation in the highest part of the chest. Dosage: 6 fen to 8 fen.
Xiangfu (Cyperi Rhizoma): Moves qi within the blood. Due to its aromatic dryness, it must be processed appropriately. To enhance blood-moving effects, stir-fry with wine; to promote blood-consolidating effects, stir-fry with vinegar. Dosage: 3 fen to 8 fen.
Muxiang (Aucklandiae Radix): Moves stagnant qi, dries dampness, expels cold, opens depression, and disperses knotted qi. It is a key herb for post-sha abdominal pain that persists. Dosage: 1 fen to 3 fen.
Tanxiang (Santalum Album Lignum): For unceasing heart and abdominal pain after sha, chest and hypochondriac fullness, cold coagulation, and qi stagnation, this herb provides relief. However, it is contraindicated at the initial onset of sha. Dosage: 1 fen to 3 fen.
Sharen (Amomi Fructus): Smooths qi, opens depression, dissipates sha, and aids digestion. It is a versatile key herb usable throughout the treatment course. Dosage: 3 fen to 1 qian.
Chuanshanjia (Manis Squama): Stir-fried in earth and ground into powder; penetrates sha, eliminates phlegm, breaks sha nodules, and pushes out toxins. It is a divine agent adept at traversing meridians; for meridian areas inaccessible to other herbs, this agent is necessary for reach. Dosage: 1 fen to 5 fen.
Tongbian (Urin Pueri): Resolves sha poison and eliminates phlegm with rapid fire-lowering effects. It stabilizes pain and treats bloody dysentery; for dysentery with bloody discharge, no other herb compares.
Tiancan (Bombyx Batryticatus): Treats phlegm in the blood level; assists Chuanshanjia in penetrating meridians to break toxic stasis. Must be stir-fried and powdered. Dosage: 1 fen to 2 fen.
Wuyao (Linderae Radix): Excellent at moving qi throughout the body; for any sha qi obstruction, it reaches everywhere. Dosage: 3 fen to 5 fen.
Honghua (Carthami Flos), Jinyinhua (Lonicerae Japonicae Flos), Qiancao (Rubiae Cordifoliae Radix et Rhizoma): Invigorate blood and resolve sha poison. Dosage: 6 fen to 1 qian.
Shanzha (Crataegi Fructus), Boluozhi (Raphani Semen), Maiya (Hordei Fructus Germinatus), Shenqu (Massa Medicata Fermentata): For sha caused by food congestion, these are chosen for their ability to digest without being overly violent.
Dahuang (Rhei Radix et Rhizoma): For constipation and sha qi closure, this herb is necessary for purgative action. Dosage: 5 fen to 1.5 qian.
Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Zexie (Alismatis Rhizoma): Indicated for sha qi stagnation causing difficult urination. However, if heat stagnation is severe and not related to urinary difficulty, they are strictly contraindicated. Dosage: 2 fen to 5 fen.
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix): Cold and cloying in nature; contraindicated in sha syndrome. If used, must be stir-fried with wine or processed with ginger juice.
Shengdi (Rehmanniae Radix): Cools blood. Not suitable for blood stasis.
Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba): Tonify blood and consolidate blood; major contraindications in sha syndrome.
Renshen (Ginseng Radix), [Missing], Baizhu (Atractylodis Macrocephalae Rhizoma), Shanyao (Dioscoreae Rhizoma): Their use is feared to tonify toxic vapors; major contraindications in sha syndrome.
Gancao (Glycyrrhizae Radix et Rhizoma): Its use is feared to form difficult-to-treat sha masses; contraindicated.
Baifuling (Poria): Its diuretic-dampness property may fill sha qi; contraindicated.
Xixin (Asari Radix et Rhizoma): A key herb for opening orifices, breaking blood, and dissipating sha. Dosage: 7 fen to 1 qian.
Jianghuang (Curcumae Longae Rhizoma): Though warm in nature, it excels at eliminating phlegm, directing qi downward, and breaking evil blood. Dosage: 2 fen to 4 fen.
Beimu (Fritillariae Bulbus): Chuanbei specifically eliminates heat-phlegm; Tubei also breaks blood stasis. Dosage: 1 qian to 1.5 qian.
Baijiemi (Sinapis Semen): Reaches phlegm under the ribs; necessary for such cases. Dosage: 4 fen to 6 fen.
Banxia (Pinelliae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma): Dry in nature; contraindicated.
Zhuli (Bambusae Succus): Cold in nature; contraindicated. If used, must be combined with ginger juice to traverse meridians.
Xionghuang (Realgar), Niuhuang (Bovis Calculus), Danning (Arisaematis Cum Bile), Tianzhuhuang (Phyllostachys Nirvana): Suitable for pills aimed at eliminating phlegm.
Shexiang (Moschus): Opens orifices and dissipates sha;功效 significant.
Danggui (Angelicae Sinensis Radix): Head, body, and tail have specific indications; usage requires discretion.
Chaihu (Bupleuri Radix): Harmonizes interior and exterior; specifically treats alternating chills and fever in the Shaoyang Gallbladder Channel. Dosage: 6 fen to 1 qian.
Gegen (Puerariae Lobatae Radix): Disperses pathogens in the Yangming Stomach Channel and relieves thirst. Dosage: 6 fen to 8 fen.
Qianhu (Peucedani Radix): Disperses wind, eliminates phlegm, treats cough; indicated for exterior heat. Dosage: 6 fen to 8 fen.
Sangbai (Mori Cortex): Treats cough and drains Lung. Dosage: 4 fen to 8 fen.
Douling (Stemonae Radix / or potentially referring to a local variant for draining Lung): Drains Lung and treats cough. Dosage: 3 fen to 5 fen.
Xingren (Armeniacae Semen Amarum): Drains Lung, moistens intestines, promotes qi movement, eliminates phlegm. Use peeled and de-husked. Dosage: 4 fen to 1 qian.
Maidong (Ophiopogonis Radix), Tiandong (Asparagi Radix): Moisten Lung and eliminate phlegm. One treats the root, the other the branch; use de-heartened. Dosage: 7 fen to 1.5 qian.
Sanleng (Sparganii Rhizoma), Pengru (Curcumae Rhizoma): Indicated for food-stagnation heartache and sha toxin obstruction causing fullness. Dosage: 6 fen to 8 fen.
Wulingzhi (Trogopterori Faeces): Excellent at eliminating old blood; necessary to break stagnant blood clots. Dosage: 5 fen to 8 fen.
Guijia (Testudinis Carapax et Plastrum): Remove costal edges, roast with su (animal fat), and powder. Breaks old blood more effectively than Wulingzhi. Use upper half for chest lesions, lower half for lower lesions.
Sumu (Sappan Lignum): Unmatched for resolving bad blood and fresh stasis. Dosage: 5 fen to 1.5 qian.
Yanhusuo (Corydalis Rhizoma): Invigorates blood and moves qi; treats pain from qi-blood stagnation. Dosage: 5 fen to 1.5 qian.
Xiangru (Elsholtziae Herba): Connects upper and lower, promotes water metabolism; a key herb for summerheat. Dosage: 5 fen to 1 qian.
Zhipu (Magnoliae Officinalis Cortex): Relaxes middle jiao, treats vomiting, eliminates phlegm, directs qi downward. Dosage: 6 fen to 8 fen.
Niuxi (Achyranthis Bidentatae Radix): Invigorates blood and guides sha qi downward. Dosage: 8 fen to 2 qian.
Mugua (Chaenomelis Fructus), Wuweizi (Schisandrae Chinensis Fructus): Sour and astringent; contraindicated.
Shengma (Cimicifugae Rhizoma): Contraindicated; fear of lifting sha qi upward making it uncontrollable.
Rougui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Wuzhuyu (Evodiae Fructus): Contraindicated; fear of aggravating sha poison leading to immediate complications.
Ganjiang (Zingiberis Rhizoma): If excessive cold water was ingested, small doses are appropriate to disperse cold. Improper use may aggravate heat toxicity; thus, generally contraindicated.
Mahuang (Ephedrae Herba): Contraindicated due to excessive exterior-releasing potential.
Bohe (Menthae Haplocalycis Herba): Acrid and cool, benefits orifices, reduces swelling, resolves toxicity, clears qi and throat. Dosage: 5 fen to 1 qian.
Zisu (Perillae Folium): Disperses wind and smooths qi. For body heat, use 3 fen to 6 fen.
Mingfan (Alumen): Resolves sha poison, eliminates phlegm, stops pain. Effective for inducing vomiting to expel retained food.
Xuanshen (Scrophulariae Radix): Clears qi, eliminates phlegm, nourishes yin and moistens Lung. However, its black color stops bleeding; contraindicated in sha with blood stasis.
Huafen (Puerariae Flos / or Paeoniae Radix Alba? Context suggests Tianhuafen Trichosanthis Radix): Sinking and cold, stops thirst. Contraindicated if sha poison is not cleared, fearing stagnation of sha qi.
Jiaoci (Gleditsiae Sinensis Spina): Penetrates toxins and guides other herbs to sites of sha poison and blood stasis for immediate effect.
Niubangzi (Arctii Fructus): Resolves sha poison, clears throat; a key herb in sha syndrome. Dosage: 7 fen to 1 qian.
Ruxiang (Olibanum): Eliminates blood stasis without damaging new blood. Used in sha syndrome to treat blood knots. Dosage: 5 fen to 1 qian.
Heisha Tang (Black Sugar): Activates blood stasis and resolves sha poison; alleviates pain caused by blood stasis.
Moyao (Myrrha): Breaks blood stasis for sha pain. Dosage: 4 fen to 1 qian.
Yan (Sal): Resolves sha poison, stops pain; induces vomiting to expel recent food intake.
Yu'ni (Dioscoreae Bulbiferae): Treats sha heat and detoxifies. Pleasant to eat for patients with sha.
Wancansha (Bombyx Batryticatus excrement): Resolves sha poison and treats heat.
awei (Ferulae Resina): Breaks accumulations, drives out evil blood;功效 significant.
Dama Ren (Cannabis Semen): Indicated for dryness and constipation in the large intestine and stomach.
Regarding dosages: For robust individuals from the Northwest, increase the dose by one to three times; do not adhere rigidly to fixed amounts.