上锉如麻豆大。每服抄五钱匕。水一盏半。煮至八分。去滓温服。
麻黄附子甘草汤。（二十二） 少阴病得之二三日。可与此药微发汗。（以二三日无证。故微发
汗也。属少阴）
麻黄（二两。去节。汤泡。去黄汁。焙干秤） 甘草（二两炙） 附子（一枚。炮去皮
破八片）
上锉如麻豆大。每服抄五钱匕。水一盏半。煮至八分。去滓温服。相次三两服。以身微汗为度。
麻黄细辛附子汤（二十三） 少阴病始得之。反发热。脉沉者。此主之。（属少阴）
麻黄（二两。去节。汤炮去黄汁。焙干秤） 细辛（二两） 附子（一枚。炮去皮破八
片）
上锉如麻豆大。每服抄五钱匕。水一盏半。煮至八分。去滓温服。
麻黄连翘赤小豆汤。（二十四） 伤寒瘀热在里。身必黄。此主之。（属阳明）
麻黄（一两。去节。汤泡去黄汁。焙干秤） 甘草（一两炙） 赤小豆（半升） 杏仁
（二十枚去皮尖） 生梓白皮（切二两） 连翘（一两。或作半两连翘根是）
上锉如麻豆大。每服抄五钱匕。生姜四片。枣子一枚。水一盏半。煮至八分。去滓温服。
麻黄升麻汤。（二十五） 伤寒六七日。大下后。寸脉沉而迟。手足厥逆。下部脉不至。咽喉不
利。唾脓血。泄利不止者。为难治。此主之。（属厥阴）
麻黄（二两半。去节。汤泡去黄汁，焙干秤） 升麻 当归（各一两一分） 知母 黄芩
葳蕤（各三分） 芍药 麦门冬（去心）
桂枝（去皮） 茯苓 甘草（炙） 干姜（炮） 石膏（碎绵裹） 白术（各一分）
上锉如麻豆大。每服抄五钱匕。水一盏半。煮至八分。去滓温服。相次一炊久。进一服。汗出
愈。
葛根汤。（二十六） 太阳病项背强几几无汗恶风。又太阳与阳明合病者。必自利。此并主
之。（属太阳）
葛根（二两） 桂枝（去皮） 甘草（炙） 芍药（各一两） 麻黄（一两半。去节。汤泡去黄汁。
焙干秤）
上锉如麻豆大。每服抄五钱匕。生姜四片。枣子一枚。水一盏半。煮至八分。去滓温服。覆取
汗为度。
葛根加半夏汤（二十七） 太阳与阳明合病。不下利。但呕者。此主之。（属太阳）
葛根（四两或作一两） 半夏（六钱一字） 麻黄（三分。去节。汤泡。去黄汁。焙干秤）
甘草（炙） 桂枝（去皮） 芍药（各半两）
上锉如麻豆大。每服抄五钱匕。生姜四片。枣子一枚。水一盏半。煮至八分。去滓温服。覆取
微汗。
葛根黄芩黄连汤（二十八） 太阳病桂枝证医反下之。利遂不止。脉促者。表未解也。喘而汗
出者。此主之。
葛根（四两） 黄芩（一两半） 黄连（六两或作二两半） 甘草（二两炙）
上锉如麻豆大。每服五钱。水一盏半。煮至八分。去滓温服。日进二三服。
小柴胡汤。（二十九） 太阳病十日以去。脉浮细而嗜卧者外已解。设胸满痛。与服。脉但浮者
。与麻黄汤。○伤寒五六日中风往来寒热。胸胁苦痛。默默不欲食。心烦喜呕。或胸烦而不呕。或
渴或腹中痛。或胁下痞硬。或心下悸。小便不利。或不渴。身有微热。或咳者。此主之。○血弱
气尽。腠理开。邪气因入与正气相搏。结于胁下。邪正分争。往来寒热。休作有时。默默不欲饮食
。脏腑相连。其痛必下。邪高痛下。故使呕也。此主之。○服柴胡汤已。渴者属阳明。以法治之。
○伤寒四五日。身热恶风。颈项强。胁下满。手足温而渴者。此主之。○伤寒阳脉涩。阴脉弦。法
当腹中急痛。先与小建中汤。不瘥者此主之。○太阳病。过经十余日。发汗吐下之后。四五日柴
胡汤证仍在者。先与小柴胡呕不止。心下急。郁郁微烦者。为未解也。与大柴胡汤下之即愈。○
妇人中风七八日。续得寒热。发作有时。经水适断者。此为热入血室。其血必结。故使如疟状。此
主之。○伤寒五六日。头汗出。微恶寒。手足冷。心下满。不欲食。大便硬。脉细者为阳微结。必
有表。复有里也。脉沉亦在里也。汗出为阳微。假令纯阴结。不得复有外证。悉入在里。此为半在
里半在表也。脉虽沉紧。不得为
少阴病。所以然者。阴不得有汗。令头汗出。故知非少阴也。可与服此。设不了了者。得屎而解
。○伤寒五六日。呕而发热者。柴胡汤证具。而以他药下之。柴胡证仍在者。复与柴胡汤。此虽已
下之。不为逆。必蒸蒸而振。却发热汗出而解。若心下满而腹痛者。此为结胸也。大陷胸汤主之。
但满而不痛者。此为痞。柴胡不中与之。宜半夏泻心汤。（以上属太阳）○阳明病发潮热。大便
溏。小便自可。胸胁满不去者。与服之。○阳明病。胁下硬满不大便而呕。舌上白苔者。可与服之
。上焦得通。津液得下。胃气因和。身 然汗出而解。○阳明中风。脉弦浮大而短气。腹都满。胁下
及心痛。久按之气不通。鼻干不得汗。嗜卧。一身及目悉黄。小便难。有潮热。时时哕。身前后
肿。刺之小瘥。外不解。病过十日。脉续浮者。与此药主之。（以上属阳明）○太阳病不解。转
入少阳。胁下硬满。干呕不能食。往来寒热。尚未吐下。脉沉紧者。此主之。若已吐下发汗。温针
谵语。小柴胡汤证罢。此为坏证。知犯何逆。以法治之。（以上属少阳）○呕而发热者宜服。○
伤寒瘥已。后更发热。此主之。脉浮者。以汗解之。脉沉实者。以下解。（属辨阴阳易瘥后劳复病脉
证）
黄芩（一两半。若腹中痛者。去黄芩加芍药一两半。芍药或作三分。若心下悸小便不利者。去黄芩加茯苓二两）
人参（一两半。若不渴外有微热者。去人参加桂枝一两半。温覆微汗愈。若咳嗽者。去人参并枣子加五味子一两一分干
姜一两） 枣子（六枚。若胁下痞硬。去枣子加牡蛎二两熬。牡蛎或作一两） 半夏（一两一分汤洗。若胸中烦不呕者。
去半夏人参加栝蒌实一枚。用四分之一。若渴者。去半夏更加人参三分栝蒌根二两） 柴胡（四两去芦） 甘草（一两
半炙）
上锉如麻豆大。每服抄五钱匕。生姜四片。枣子三枚。水一盏半。煮至八分。去滓温服。日三服。
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi* (a traditional measuring spoon). Add one and a half *zhan* (a traditional liquid measure) of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm.
**Mahuang Fuzi Gancao Tang (Cinnamon Twig, Aconite, and Licorice Decoction)** (Formula 22) In Shaoyin disease (*Shaoyin Bing*, a syndrome pattern involving the Kidney and Heart channels), two to three days after onset, this medicine may be administered to induce mild sweating. (Since there are no obvious exterior symptoms in these two or three days, mild sweating is employed. This belongs to Shaoyin.)
*Mahuang* (Ephedrae Herba, 2 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh) *Gancao* (Radix Glycyrrhizae Preparata, 2 liang, honey-fried) *Fuzi* (Radix Aconiti Lateralis Preparata, 1 piece, processed, peel removed, broken into eight slices)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. Take three doses in succession. The goal is for the body to sweat slightly.
**Mahuang Xixin Fuzi Tang (Ephedra, Asarum, and Aconite Decoction)** (Formula 23) At the initial stage of Shaoyin disease, if there is contrary fever and a deep pulse, this formula is indicated. (This belongs to Shaoyin.)
*Mahuang* (Ephedrae Herba, 2 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh) *Xixin* (Asari Radix et Rhizoma, 2 liang) *Fuzi* (Radix Aconiti Lateralis Preparata, 1 piece, processed, peel removed, broken into eight slices)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm.
**Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia, and Red Bean Decoction)** (Formula 24) In Shanghan (Cold Damage), stagnant heat trapped inside will inevitably cause jaundice. This formula is indicated. (This belongs to Yangming.)
*Mahuang* (Ephedrae Herba, 1 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh) *Gancao* (Radix Glycyrrhizae Preparata, 1 liang, honey-fried) *Chixiaodou* (Phaseoli Semen Rubrum, half sheng) *Xingren* (Armeniacae Semen Amarum, 20 pieces, remove skin and tips) *Sheng Zibai Pi* (Cortex Catalpae Recens, cut 2 liang) *Lianqiao* (Forsythiae Fructus, 1 liang; or use half a liang of Lianqiao Gen/Forsythiae Radix)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add four slices of Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) and one Zaozi (Jujubae Fructus, Jujube). Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm.
**Mahuang Shengma Tang (Ephedra and Cimicifuga Decoction)** (Formula 25) After six or seven days of Shanghan, following severe purgation, if the Cun (inch) pulse is deep and slow, hands and feet are cold and inverted, the lower pulses are imperceptible, the throat is obstructed, pus and blood are expectorated, and diarrhea persists without stopping, it is difficult to treat. This formula is indicated. (This belongs to Jueyin.)
*Mahuang* (Ephedrae Herba, 2.5 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh) *Shengma* (Cimicifugae Rhizoma) *Danggui* (Angelicae Sinensis Radix, 1.1 liang each) *Zhimu* (Anemarrhenae Rhizoma) *Huangqin* (Scutellariae Radix) *Weirui* (Polygonati Odorati Rhizoma, 0.3 liang each) *Shaoyao* (Paeoniae Radix Alba) *Maimendong* (Ophiopogonis Radix, remove heart)
*Guizhi* (Cinnamomi Ramulus, remove bark) *Fuling* (Poria) *Gancao* (Radix Glycyrrhizae Preparata, honey-fried) *Ganjiang* (Zingiberis Rhizoma, processed) *Shigao* (Gypsum Fibrosum, crushed and wrapped in cotton) *Baizhu* (Atractylodis Macrocephalae Rhizoma, 0.1 liang each)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. After approximately the time it takes to cook a meal, administer another dose. Recovery occurs with sweating.
**Gegen Tang (Kudzu Decoction)** (Formula 26) In Taiyang disease, if there is stiffness in the neck and back, anhidrosis, and aversion to wind, or if there is a concurrent Taiyang and Yangming disease resulting in spontaneous diarrhea, this formula is indicated. (This belongs to Taiyang.)
*Gegen* (Puerariae Lobatae Radix, 2 liang) *Guizhi* (Cinnamomi Ramulus, remove bark) *Gancao* (Radix Glycyrrhizae Preparata, honey-fried) *Shaoyao* (Paeoniae Radix Alba, 1 liang each) *Mahuang* (Ephedrae Herba, 1.5 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add four slices of Shengjiang (Fresh Ginger) and one Zaozi (Jujube). Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. Cover with blankets to induce sweating as the goal.
**Gegen Banxia Tang (Kudzu and Pinellia Decoction)** (Formula 27) In concurrent Taiyang and Yangming disease, if there is no diarrhea but only vomiting, this formula is indicated. (This belongs to Taiyang.)
*Gegen* (Puerariae Lobatae Radix, 4 liang; or 1 liang) *Banxia* (Pinelliae Rhizoma Preparatum, 6 qian 1 zi) *Mahuang* (Ephedrae Herba, 0.3 liang, remove joints, soak in hot water, drain yellow juice, dry and weigh)
*Gancao* (Radix Glycyrrhizae Preparata, honey-fried) *Guizhi* (Cinnamomi Ramulus, remove bark) *Shaoyao* (Paeoniae Radix Alba, 0.5 liang each)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add four slices of Shengjiang (Fresh Ginger) and one Zaozi (Jujube). Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. Cover with blankets to induce slight sweating.
**Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction)** (Formula 28) In Taiyang disease, if a patient presenting Guizhi Tang syndrome is incorrectly treated with purgatives, resulting in persistent diarrhea, and the pulse is rapid indicating the exterior pathogen has not resolved, accompanied by wheezing and sweating, this formula is indicated.
*Gegen* (Puerariae Lobatae Radix, 4 liang) *Huangqin* (Scutellariae Radix, 1.5 liang) *Huanglian* (Coptidis Rhizoma, 6 liang; or 2.5 liang) *Gancao* (Radix Glycyrrhizae Preparata, 2 liang, honey-fried)
Chop the herbs into pieces the size of hemp seeds. For each dose, take five *qian* of medicine. Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. Administer two to three doses per day.
**Xiaochaihu Tang (Minor Bupleurum Decoction)** (Formula 29) If ten days have passed since Taiyang disease, and the pulse is floating and fine with a desire to sleep, the exterior has resolved. If there is chest fullness and pain, administer this formula. If the pulse is merely floating, administer Mahuang Tang. ○ In Shanghan for five to six days, or Wind Strike, presenting alternating chills and fever, bitter distension in the chest and hypochondrium, silent desire not to eat, irritability, and frequent vomiting, or alternatively chest irritability without vomiting, thirst, or abdominal pain, or hypochondriac hardness, or palpitations, or difficulty urinating, or no thirst, slight body heat, or cough, this formula is indicated. ○ When blood is deficient and Qi is exhausted, the pores open, allowing pathogenic factors to enter and contend with healthy Qi. They knot at the hypochondrium. The struggle between pathogen and healthy Qi causes alternating chills and fever, occurring at intervals. Silence and loss of appetite result. Since the zang-fu organs are connected, pain often radiates downward. Pathogen is high, pain is low, causing vomiting. This formula is indicated. ○ After taking Chaihu Tang, if thirst develops, it indicates Yangming disease; treat according to Yangming methods. ○ In Shanghan for four to five days, with body heat, aversion to wind, stiff neck, hypochondriac fullness, warm hands and feet, and thirst, this formula is indicated. ○ In Shanghan, if the Yang pulse is choppy and the Yin pulse is string-like, acute abdominal pain is expected according to protocol. First administer Xiaojianzhong Tang. If it does not heal, this formula is indicated. ○ In Taiyang disease, after more than ten days, following sweating, vomiting, and purgation, if the Xiaochaihu Tang syndrome persists after four to five days, first administer Xiaochaihu Tang. If vomiting persists, epigastric urgency, and slight depression/irritability occur, the disease is unresolved. Administer Daxiehu Tang to purge, which will lead to recovery. ○ In women with Wind Strike for seven to eight days, if alternating chills and fever continue at intervals, and menstruation happens to cease, this is Heat entering the Blood Chamber. The blood must clot, causing symptoms resembling malaria. This formula is indicated. ○ In Shanghan for five to six days, if there is head sweating, slight aversion to cold, cold hands and feet, epigastric fullness, loss of appetite, hard stool, and a thin pulse, this is a slight Yang knotting. There must be both exterior and interior involvement. A deep pulse also indicates interior involvement. Sweating indicates slight Yang deficiency. If it were pure Yin knotting, there would be no exterior signs, all being interior. This is half-exterior, half-interior. Even if the pulse is deep and tight, it cannot be diagnosed as
Shaoyin disease. The reason is that Yin syndromes do not present with sweating. Head sweating indicates it is not Shaoyin. This formula may be administered. If the patient feels unsettled, passing stool will resolve it. ○ In Shanghan for five to six days, if there is vomiting and fever, the Chaihu Tang syndrome is complete. If purgatives were incorrectly used, and the Chaihu syndrome persists, re-administer Chaihu Tang. Although purged, this is not a counter-indication. The patient will likely experience shivering followed by fever and sweating, leading to resolution. If there is epigastric fullness and abdominal pain, this is a Chest Binding (Jie Xiong); Da Xiexin Tang is indicated. If there is fullness without pain, this is a Pi (Glomus) syndrome; Chaihu Tang is not suitable. Banxia Xiexin Tang is appropriate. (Above belongs to Taiyang) ○ In Yangming disease, if there is tidal fever, loose stools, normal urination, and persistent hypochondriac fullness, administer this formula. ○ In Yangming disease, if there is hypochondriac hardness, constipation, vomiting, and a white coating on the tongue, this formula may be administered. Once the Upper Jiao is unblocked, fluids descend, Stomach Qi harmonizes, and natural sweating resolves the condition. ○ In Yangming Wind Strike, if the pulse is string-like, floating, large, with shortness of breath, general abdominal fullness, hypochondriac and cardiac pain, obstruction of Qi upon prolonged pressing, dry nose, inability to sweat, lethargy, generalized and ocular jaundice, difficult urination, tidal fever, occasional hiccups, swelling of the front and back of the body, acupuncture provides slight relief, but the exterior remains unresolved. If the disease lasts over ten days and the pulse continues to float, this formula is indicated. (Above belongs to Yangming) ○ If Taiyang disease does not resolve and transfers to Shaoyang, presenting with hypochondriac hardness, dry retching, inability to eat, alternating chills and fever, and before vomiting/purgation/sweating/warm needle therapy, if the pulse is deep and tight, this formula is indicated. If vomiting, purging, sweating, or warm needles have been used, causing delirium, and the Xiaochaihu Tang syndrome has ceased, this is a damaged syndrome. Determine the error and treat accordingly. (Above belongs to Shaoyang) ○ Vomiting with fever is suitable for administration. ○ After recovery from Shanghan, if fever recurs, this formula is indicated. If the pulse is floating, resolve with sweating. If the pulse is deep and solid, resolve with purging. (Belongs to differentiating Mai Zheng of post-illness labor recurrence)
*Huangqin* (Scutellariae Radix, 1.5 liang. If abdominal pain, remove Huangqin, add Shaoyao 1.5 liang; Shaoyao can be 0.3 liang. If epigastric palpitations and difficult urination, remove Huangqin, add Fuling 2 liang)
*Renshen* (Ginseng Radix, 1.5 liang. If no thirst with slight exterior heat, remove Renshen, add Guizhi 1.5 liang, cover to induce slight sweating for cure. If coughing, remove Renshen and Zaozi, add Wuweizi 1.1 liang and Ganjiang 1 liang) *Zaozi* (Jujubae Fructus, 6 pieces. If hypochondriac hardness, remove Zaozi, add Muli 2 liang calcined; Muli can be 1 liang) *Banxia* (Pinelliae Rhizoma Preparatum, 1.1 liang, washed in hot water. If chest irritability without vomiting, remove Banxia and Renshen, add Gualou Shi 1 piece, using one-quarter. If thirsty, remove Banxia, add more Renshen 0.3 liang and Gualou Gen 2 liang) *Chaihu* (Bupleuri Radix, 4 liang, remove rhizome base) *Gancao* (Radix Glycyrrhizae Preparata, 1.5 liang, honey-fried)
Chop the herbs into pieces the size of hemp seeds. For each dose, scoop five *qian bi*. Add four slices of Shengjiang (Fresh Ginger) and three Zaozi (Jujubes). Add one and a half *zhan* of water. Boil until eight-tenths of the liquid remains. Strain the dregs and take warm. Administer three times daily.