论曰。伤寒之法。先言表里。及有缓急。三阳表当急。里当缓。三阴表当缓。里当急。又曰。脉浮当汗。
脉沉当下。脉浮汗急而下缓。谓三阳表也。脉沉下急而汗缓。谓三阴里也。麻黄汤谓之急。麻黄附子细辛汤谓
之缓。内经云。有渍形以为汗。为汗之缓。里之表也。又曰在皮者汗而发之。为汗之急。表之表也。急汗者太
阳。缓汗者少阴。是脏腑之输应也。假令麻黄附子细辛汤。是少阴证。始得发热脉沉里和无汗。故渍形以为汗。
假令麻黄汤。是太阳证。头项痛腰脊强。脉浮无汗里和是也。在皮者汗而发之也。经曰。治主以缓。治客以急。
此之谓也。
麻黄汤
麻黄（去节五钱） 桂枝（三钱） 甘草（二钱炙） 杏仁（去皮尖炒二十个）
上 咀。都作一服。水煎去滓温服。
假令得肝脉。其外证善洁。面青善怒。其三部脉俱弦而浮。恶寒里和。谓清便自调也。麻黄汤内加羌活
防风各三钱。谓肝主风。是胆经受病。大便秘。或泄下赤水无数。皆里不和也。
假令得心脉。其外证面赤口干善笑。其尺寸脉俱浮而洪。恶寒里和。谓清便自调也。麻黄汤内加黄芩石膏
各三钱。谓主心热。是小肠受病也。
假令得脾脉。其外证面黄善噫善思善味。尺寸脉俱浮而缓。里和恶寒。麻黄汤内加白术防己各五钱。谓脾
主湿。是胃经受病也。
假令得肺脉。其外证面白善嚏。悲愁不乐欲哭。其尺寸脉俱浮而涩。里和恶寒。麻黄汤内加桂枝生姜各三
钱。谓肺主燥。是大肠受病也。
假令得肾脉。其外证面黑善恐。其尺寸脉俱浮。而里和恶寒。其麻黄汤内加附子生姜。谓肾主寒。是膀胱
受病也。
以上各五证。皆表之表。谓在皮者急汗而发之也。皆腑受病。表之里者。下之当缓。谓随脏表证。外显尺
寸脉俱浮。而复有里证。谓发热饮水便利赤涩。或泄下赤水。按之内实或痛。麻黄汤去麻黄杏仁。与随脏元加
药同煎。作五服。每下一证。初一服加大黄半钱。邪尽则止。未尽第二服加大黄一钱。邪未尽第三服加大黄一
钱半。如邪未尽。又加之。邪尽则止。此所谓先缓而后急。是表之里证。下之当缓也。
麻黄附子细辛汤
麻黄（半两去根节） 细辛（半两去苗土） 附子（一钱二分半炮裂去皮脐）
上 咀。都作一服。水煎去滓温服。
假令得肝脉。其内证满闭淋溲便难转筋。其尺寸脉俱沉而弦。里和恶寒。肝经受病。麻黄附子细辛汤内。
加羌活防风各三钱。
假令得心脉。其内证烦心心痛。掌中热而哕。其尺寸脉俱沉。里和恶寒。心经受病。加黄芩石膏各三钱。
假令得脾脉。其内证腹胀满食不消。怠惰嗜卧。其尺寸脉俱沉。里和恶寒。脾经受病。加白术防己各三钱。
假令得肺脉。其内证喘咳洒淅寒热。其尺寸脉俱沉。里和恶寒。肺经受病。加生姜桂枝各三钱。
假令得肾脉。其内证泄如下重。足胫寒而逆。其尺寸脉俱沉。里和恶寒。肾经受病。更加附子生姜各三钱。
以上五证。里之表也。宜渍形以为汗。皆脏受病也。里者下之当急。谓随脏内证。已显尺寸脉俱沉。复有
里证者。谓大小便秘涩或泄下赤水。或泻无数。不能饮食。不恶风寒。发热引饮。其脉俱沉。或按之内实而痛。
此谓里实。宜速下之。麻黄附子细辛内去麻黄。与随脏元加药内。分作三服。每下一证。初一服加大黄三钱。
邪尽则止。如邪未尽。再一服加大黄二钱。又未尽。第三服加大黄一钱。此先急而后缓。谓里之里也。当速下
之也。
通解利伤寒。不问何经所受。皆能混然解之。谓不犯各经之受病。虽不解尽。亦无坏证。
羌活汤
羌活（二两） 防风（一两） 川芎（一两） 黄芩（一两） 细辛（三钱半） 甘草（一两炒）
黑地黄（一两炒） 白术（三两如无用苍术加一两）
上 咀。每服五七钱。水二盏。煎至一盏。无时温服清。如觉发热引饮。加黄芩甘草各一两。更随证。如
头痛恶风。于白术汤一两内。加羌活散三钱。都作一服。
羌活散
羌活（一两半） 川芎（七钱） 细辛根（二钱半）
如身热。根据前加石膏汤四钱。
石膏汤
石膏（二两） 知母（半两） 白芷（七钱）
如腹中痛者。加芍药散三钱。
芍药散
芍药（二两） 桂枝（五钱）
如往来寒热而呕。加柴胡散二钱半。
柴胡散
柴胡根（一两） 半夏（五钱洗）
加生姜煎。如心下痞。加枳实一钱。如有里证。加大黄。初一服一钱。次二钱。又三钱。邪尽则止。
论曰。有汗不得服麻黄。无汗不得服桂枝。然春夏汗孔疏。虽有汗不当用桂枝。宜用黄 汤和解。秋冬汗
孔闭。虽无汗不当用麻黄。宜用川芎汤和解。春夏有汗。脉乃微而弱。恶风恶寒者。乃太阳证。秋冬之脉也。
亦宜黄 汤。无汗亦宜川芎汤。秋冬有汗。脉盛而浮。发热身热者。乃阳明证。春夏之脉也。亦宜黄 汤。
无汗亦宜川芎汤。大抵有汗者。皆可用黄 汤。无汗者亦可用川芎汤。
黄 汤 有汗则可止也。
黄 白术 防风（各等分）
上 咀。每服五七钱。至十余钱。或半两一两。水煎温服清。汗多恶风甚者。加桂枝。
川芎汤 无汗则可发也。
川芎 白术 羌活（各等分）
上 咀。同黄 汤煎法。稍热服。恶寒甚及脉大浮可加麻黄。法云。五脏之脉。寸关尺也。今止言尺寸阴
阳也。如阳缓而阴急。表和而里病。阴缓而阳急。里和而表病也。
若伤寒食少发渴。只可和胃止渴。不可太凉药止之。然恐
凉药止之。损着胃气。必不能食也。
和胃白术汤
白术 茯苓
起卧不能谓之湿。身重是也。小柴胡汤黄芩芍药汤。
起卧不安。眠睡不稳。谓之烦。栀豉汤竹叶石膏汤。解利四时伤寒。混解六经。不犯禁忌。
大白术汤
白术（二两） 防风 羌活 川芎（各一两） 黄芩（五钱） 细辛（三钱） 白芷（一两半） 石膏（二两）
知母（七钱） 甘草（五钱或一两） 枳实（五钱去穣）
上为粗末。每服半两水一盏半。煎至一盏。大温服清。未解更一服两服。药滓又作一服。春倍防风羌活。夏倍黄芩
知母。季夏雨淫倍白术白芷。秋加桂枝五钱。冬桂枝八钱或一两。立夏之后至立秋处暑之间伤寒者。身多微凉。
微有自汗。四肢沉重。谓之湿温。又谓之湿淫。宜苍术石膏汤。
苍术石膏汤
苍术（半两） 石膏（三钱） 知母（一钱半） 甘草（一钱）
上 细。同和均。都作一服。水二盏。煎至一盏。温服清。谓内有湿热也。多不欲饮水。如身热脉洪无汗
多渴者。是热在上焦。积于胸中。宜桔梗散治之。
桔梗散
薄荷 黄芩 甘草 山栀子（各一钱） 桔梗（半两） 连翘（二钱）
上 。每服五钱或七钱。秤半两水煎。加竹叶。如大便秘结。加大黄半钱。
It is stated that the method for treating Shanghan (Cold Damage) first requires distinguishing between exterior and interior syndromes, as well as the urgency or slackness of the condition. For the Three Yang meridians, the exterior syndrome should be treated urgently, while the interior syndrome should be treated with caution/slowly; for the Three Yin meridians, the exterior syndrome should be treated with caution/slowly, while the interior syndrome should be treated urgently. It is also said: a floating pulse indicates the need for sweating therapy, while a deep pulse indicates the need for purgation therapy. A floating pulse with urgent sweating and slow purgation refers to the exterior syndrome of the Three Yang meridians; a deep pulse with urgent purgation and slow sweating refers to the interior syndrome of the Three Yin meridians. Mahuang Tang (Ephedra Decoction) represents urgent sweating, while Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite, and Asarum Decoction) represents slow sweating. The *Neijing* (Inner Canon) states: "Soaking the body to induce sweat" is a slow sweating method, applicable to the exterior of the interior (semi-exterior/semi-interior). It also states: "For pathogens in the skin, use sweating to disperse them," which is an urgent sweating method, applicable to the exterior of the exterior (Taiyang exterior syndrome). Urgent sweating corresponds to the Taiyang meridian, and slow sweating corresponds to the Shaoyin meridian; this reflects the correspondence of zang-fu organ meridians. For example, in Mahuang Fuzi Xixin Tang syndrome, this is a Shaoyin disease. Upon initial onset, there is fever, a deep pulse, harmonious interior qi but no sweat, so the method of soaking the body to induce sweat is used. For example, in Mahuang Tang syndrome, this is a Taiyang disease characterized by headache and stiffness of the head and neck, stiffness of the lower back and spine, a floating pulse, no sweat, and harmonious interior qi. This corresponds to "pathogens in the skin, use sweating to disperse." The classic says: "Treat the primary condition with a gentle approach, treat the pathogenic factor with an urgent approach." This is what is meant.
Mahuang Tang (Ephedra Decoction)
Ephedrae Herba (Mahuang, 麻黄) - five qian, remove joints; Cinnamomi Ramulus (Guizhi, 桂枝) - three qian; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - two qian, honey-fried; Armeniacae Semen Amarum (Xingren, 杏仁) - twenty seeds, remove skins and tips, stir-fried.
Crush the above herbs. Prepare as one dose. Decoct in water, remove dregs, and take warm.
If the Liver pulse is obtained, the external signs include a preference for cleanliness, bluish complexion, and irritability. The pulses at Cun, Guan, and Chi positions are all wiry and floating. There is aversion to cold but the interior is harmonious (i.e., normal urination and defecation). This is because the Liver governs Wind, and the Gallbladder meridian is affected. If there is constipation or profuse watery diarrhea with red color, it indicates disharmony of the interior. In this case, add Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix), each three qian, to Mahuang Tang.
If the Heart pulse is obtained, the external signs include a ruddy complexion, dry mouth, and excessive laughter. The pulses at Cun and Chi positions are both floating and surging. There is aversion to cold but the interior is harmonious. This is because the Heart governs Heat, and the Small Intestine is affected. In this case, add Huangqin (Scutellariae Radix) and Shigao (Gypsum Fibrosum), each three qian, to Mahuang Tang.
If the Spleen pulse is obtained, the external signs include a sallow complexion, frequent belching, excessive thinking, and heightened taste sensitivity. The pulses at Cun and Chi positions are both floating and moderate. The interior is harmonious but there is aversion to cold. This is because the Spleen governs Dampness, and the Stomach meridian is affected. In this case, add Baizhu (Atractylodis Macrocephalae Rhizoma) and Fangji (Stephaniae Tetrandrae Radix), each five qian, to Mahuang Tang.
If the Lung pulse is obtained, the external signs include a pale complexion, frequent sneezing, sadness, sorrow, unhappiness, and a desire to cry. The pulses at Cun and Chi positions are both floating and choppy. The interior is harmonious but there is aversion to cold. This is because the Lung governs Dryness, and the Large Intestine is affected. In this case, add Guizhi (Cinnamomi Ramulus) and Shengjiang (Zingiberis Rhizoma Recens), each three qian, to Mahuang Tang.
If the Kidney pulse is obtained, the external signs include a dark complexion and excessive fear. The pulses at Cun and Chi positions are floating, and the interior is harmonious but there is aversion to cold. This is because the Kidney governs Cold, and the Bladder is affected. In this case, add Fuzi (Aconiti Lateralis Radix Praeparata) and Shengjiang (Zingiberis Rhizoma Recens) to Mahuang Tang.
The above five syndromes all belong to the exterior of the exterior ("pathogens in the skin") and should be treated with urgent sweating to disperse them. These are all Fu-organ diseases. For the interior of the exterior (semi-exterior/semi-interior), purgation should be performed slowly. This presents as an exterior syndrome of the respective Zang organ, with floating pulses at Cun and Chi externally, accompanied by interior symptoms such as fever, thirst for drinking, dark and scanty urination, or profuse watery diarrhea with red color. Palpation reveals internal fullness or pain. In this case, remove Mahuang (Ephedrae Herba) and Xingren (Armeniacae Semen Amarum) from Mahuang Tang, decoct together with the original added herbs for the specific Zang organ, and divide into five doses. For each syndrome, start with Banxia (Pinelliae Rhizoma) half a qian in the first dose; stop if the pathogen is exhausted. If not exhausted, increase to one qian in the second dose; if still not exhausted, increase to one and a half qian in the third dose. Continue increasing if necessary, stopping when the pathogen is exhausted. This is called "first slow, then urgent," referring to the interior of the exterior syndrome, where purgation should be slow.
Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite, and Asarum Decoction)
Ephedrae Herba (Mahuang, 麻黄) - half liang, remove roots and joints; Asari Radix et Rhizoma (Xixin, 细辛) - half liang, remove seedlings and soil; Aconiti Lateralis Radix Praeparata (Fuzi, 附子) - one qian two fen half, processed until cracked, remove skin and root end.
Crush the above herbs. Prepare as one dose. Decoct in water, remove dregs, and take warm.
If the Liver pulse is obtained, the internal signs include chest fullness and obstruction, dribbling dysuria, difficult defecation, and muscle spasms. The pulses at Cun and Chi positions are both deep and wiry. The interior is harmonious but there is aversion to cold. This is a Liver meridian disease. Add Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix), each three qian, to Mahuang Fuzi Xixin Tang.
If the Heart pulse is obtained, the internal signs include vexation, heart pain, heat in the palms, and hiccups. The pulses at Cun and Chi positions are both deep. The interior is harmonious but there is aversion to cold. This is a Heart meridian disease. Add Huangqin (Scutellariae Radix) and Shigao (Gypsum Fibrosum), each three qian.
If the Spleen pulse is obtained, the internal signs include abdominal distension and fullness, indigestion, lethargy, and drowsiness. The pulses at Cun and Chi positions are both deep. The interior is harmonious but there is aversion to cold. This is a Spleen meridian disease. Add Baizhu (Atractylodis Macrocephalae Rhizoma) and Fangji (Stephaniae Tetrandrae Radix), each three qian.
If the Lung pulse is obtained, the internal signs include wheezing, coughing, chills, and alternating fever. The pulses at Cun and Chi positions are both deep. The interior is harmonious but there is aversion to cold. This is a Lung meridian disease. Add Shengjiang (Zingiberis Rhizoma Recens) and Guizhi (Cinnamomi Ramulus), each three qian.
If the Kidney pulse is obtained, the internal signs include diarrhea with a sensation of heaviness in the anus, and coldness with reversal in the calves and feet. The pulses at Cun and Chi positions are both deep. The interior is harmonious but there is aversion to cold. This is a Kidney meridian disease. Add Fuzi (Aconiti Lateralis Radix Praeparata) and Shengjiang (Zingiberis Rhizoma Recens), each three qian.
The above five syndromes belong to the exterior of the interior (semi-exterior/semi-interior) and are suitable for soaking the body to induce sweat. These are all Zang-organ diseases. For interior syndromes, purgation should be urgent. This presents as internal signs of the respective Zang organ, with deep pulses at Cun and Chi, accompanied by interior symptoms such as constipation or difficult urination/defecation, profuse watery diarrhea with red color, or endless diarrhea, inability to eat, absence of aversion to wind and cold, fever with thirst, deep pulses, or internal fullness and pain upon palpation. This is referred to as Interior Excess Syndrome, requiring rapid purgation. Remove Mahuang (Ephedrae Herba) from Mahuang Fuzi Xixin Tang, mix with the original added herbs for the specific Zang organ, and divide into three doses. For each syndrome, start with Dahuang (Rhei Radix et Rhizoma) three qian in the first dose; stop if the pathogen is exhausted. If not exhausted, increase to two qian in the next dose; if still not exhausted, increase to one qian in the third dose. This is called "first urgent, then slow," referring to the interior of the interior, requiring rapid purgation.
Tongjie Li Shanghan (General Resolution for Cold Damage) can resolve conditions regardless of which meridian is affected, without violating the contraindications of each meridian. Even if not completely cured, it will not lead to complicated syndromes.
Qianghuo Tang (Notopterygium Decoction)
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) - two liang; Saposhnikoviae Radix (Fangfeng, 防风) - one liang; Chuanxiong Rhizoma (Chuanxiong, 川芎) - one liang; Scutellariae Radix (Huangqin, 黄芩) - one liang; Asari Radix et Rhizoma (Xixin, 细辛) - three qian half; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - one liang, stir-fried; Rehmanniae Radix Preparata (Sheng Dihuang, 生地黄) - one liang, stir-fried; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) - three liang (if unavailable, use Atractylodis Rhizoma/Cangzhu and add one liang).
Crush the above herbs. Take five to seven qian per dose. Decoct in two zhan of water until one zhan remains. Take warm clear liquid at any time. If fever and thirst occur, add Huangqin (Scutellariae Radix) and Gancao (Glycyrrhizae Radix et Rhizoma), each one liang. Further adjust according to symptoms. For headache and aversion to wind, add Qianghuo San (Notopterygium Powder) three qian to one liang of Baizhu Tang. Prepare as one dose.
Qianghuo San (Notopterygium Powder)
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) - one liang half; Chuanxiong Rhizoma (Chuanxiong, 川芎) - seven qian; Asari Radix et Rhizoma (Xixin, 细辛) root - two qian half.
If there is body heat, add Shigao Tang (Gypsum Decoction) four qian according to the previous method.
Shigao Tang (Gypsum Decoction)
Gypsum Fibrosum (Shigao, 石膏) - two liang; Anemarrhenae Rhizoma (Zhimu, 知母) - half liang; Angelicae Dahuricae Radix (Baizhi, 白芷) - seven qian.
If there is abdominal pain, add Shaoyao San (Peony Powder) three qian.
Shaoyao San (Peony Powder)
Paeoniae Radix Alba (Shaoyao, 芍药) - two liang; Cinnamomi Ramulus (Guizhi, 桂枝) - five qian.
If there is alternating chills and fever with vomiting, add Chaihu San (Bupleurum Powder) two qian half.
Chaihu San (Bupleurum Powder)
Bupleuri Radix (Chaihu Gen, 柴胡根) - one liang; Pinelliae Rhizoma (Banxia, 半夏) - five qian, washed.
Decoct with fresh ginger. If there is epigastric stuffiness, add Zhi Shi (Aurantii Fructus Immaturus) one qian. If there are interior signs, add Dahuang (Rhei Radix et Rhizoma). First dose one qian, second dose two qian, third dose three qian. Stop when the pathogen is exhausted.
It is stated: Those with sweat should not take Mahuang; those without sweat should not take Guizhi. However, in Spring and Summer, pores are loose; even with sweat, Guizhi should not be used. Instead, use Huangqi Tang (Astragalus Decoction, likely referring to Yù Píng Fēng Sǎn variant) to harmonize. In Autumn and Winter, pores are closed; even without sweat, Mahuang should not be used. Instead, use Chuanxiong Tang (Chuanxiong Decoction) to harmonize. In Spring and Summer, with sweat, the pulse is slightly weak, with aversion to wind and cold; this is a Taiyang syndrome presenting with Autumn/Winter pulse characteristics. It is also suitable for Huangqi Tang. Without sweat, Chuanxiong Tang is also suitable. In Autumn and Winter, with sweat, the pulse is vigorous and floating, with fever and body heat; this is a Yangming syndrome presenting with Spring/Summer pulse characteristics. It is also suitable for Huangqi Tang. Without sweat, Chuanxiong Tang is also suitable. Generally, those with sweat can use Huangqi Tang, and those without sweat can use Chuanxiong Tang.
Huangqi Tang (Astragalus Decoction): Can stop sweat when present.
Astragali Radix (Huangqi, 黄芪); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Saposhnikoviae Radix (Fangfeng, 防风) (equal parts).
Crush the above herbs. Take five to seven qian, up to ten-plus qian, or half liang to one liang per dose. Decoct in water, take warm clear liquid. For severe sweating and aversion to wind, add Guizhi (Cinnamomi Ramulus).
Chuanxiong Tang (Chuanxiong Decoction): Can induce sweat when absent.
Chuanxiong Rhizoma (Chuanxiong, 川芎); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (equal parts).
Crush the above herbs. Decoct using the same method as Huangqi Tang. Take slightly warm. For severe aversion to cold and large, floating pulse, Mahuang (Ephedrae Herba) can be added. The method states: The pulses of the Five Zang organs are divided into Cun, Guan, and Chi. Here, only Cun and Chi Yin-Yang are mentioned. If Yang is slack and Yin is tight, the exterior is harmonious and the interior is diseased. If Yin is slack and Yang is tight, the interior is harmonious and the exterior is diseased.
If Shanghan presents with poor appetite and thirst, only harmonize the Stomach and stop thirst. Do not use overly cold medicines to stop thirst, lest they damage Stomach Qi, leading to inability to eat.
Hewei Baizhu Tang (Stomach-Harmonizing Atractylodes Decoction)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Poria (Fuling, 茯苓).
Restlessness in rising and lying down is called Dampness, manifested as heavy body. Use Xiaochaihu Tang (Minor Bupleurum Decoction) and Huangqin Shaoyao Tang (Scutellaria and Peony Decoction).
Restlessness in rising and lying down, unstable sleep, is called Vexation. Use Zhichi Tang (Gardenia and Soybean Decoction) and Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction).
To resolve Four Seasons Shanghan, harmonize the Six Meridians generally, without violating contraindications.
Dabaizhu Tang (Major Atractylodes Decoction)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) - two liang; Saposhnikoviae Radix (Fangfeng, 防风); Notopterygii Rhizoma et Radix (Qianghuo, 羌活); Chuanxiong Rhizoma (Chuanxiong, 川芎) (each one liang); Scutellariae Radix (Huangqin, 黄芩) - five qian; Asari Radix et Rhizoma (Xixin, 细辛) - three qian; Angelicae Dahuricae Radix (Baizhi, 白芷) - one liang half; Gypsum Fibrosum (Shigao, 石膏) - two liang; Anemarrhenae Rhizoma (Zhimu, 知母) - seven qian; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - five qian or one liang; Aurantii Fructus Immaturus (Zhi Shi, 枳实) - five qian, remove pith.
Grind into coarse powder. Take half liang per dose, decoct in one and a half zhan of water until one zhan remains. Take very warm clear liquid. If unresolved, take another one or two doses. The dregs can be decocted again once. In Spring, double Fangfeng and Qianghuo. In Summer, double Huangqin and Zhimu. In Late Summer with excessive rain, double Baizhu and Baizhi. In Autumn, add Guizhi (Cinnamomi Ramulus) five qian. In Winter, add Guizhi eight qian or one liang. For Shanghan occurring after Start of Summer until Start of Autumn and End of Heat, the body is often slightly cool, with slight spontaneous sweating and heavy limbs. This is called Wet-Warmth or Damp-Influence. Use Cangzhu Shigao Tang (Atractylodis Rhizoma and Gypsum Decoction).
Cangzhu Shigao Tang (Atractylodis Rhizoma and Gypsum Decoction)
Atractylodae Rhizoma (Cangzhu, 苍术) - half liang; Gypsum Fibrosum (Shigao, 石膏) - three qian; Anemarrhenae Rhizoma (Zhimu, 知母) - one qian half; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - one qian.
Grind finely, mix evenly. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Take warm clear liquid. This indicates internal Damp-Heat. There is usually no desire to drink. If there is body heat, surging pulse, no sweat, and excessive thirst, this is Heat in the Upper Jiao, accumulated in the chest. Treat with Jiegeng San (Platycodon Powder).
Jiegeng San (Platycodon Powder)
Menthae Haplocalycis Herba (Bohe, 薄荷); Scutellariae Radix (Huangqin, 黄芩); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草); Gardeniae Fructus (Shanzhizi, 山栀子) (each one qian); Platycodonis Radix (Jiegeng, 桔梗) - half liang; Forsythiae Fructus (Lianqiao, 连翘) - two qian.
Crush the above herbs. Take five or seven qian per dose, weigh half liang, decoct in water, add Bamboo Leaves (Zhuye, 竹叶). If severe constipation, add Dahuang (Rhei Radix et Rhizoma) half a qian.