甘草二两（炙） 干姜一两半 附子一枚（生用，去皮，切八片）
上三味，以水三升，煮取一升二合，去滓〔法〕，分温再服〔法〕。强人可用大附子一枚，
干姜三两。
四逆者，四肢逆冷，因证以名方也。凡三阴一阳证中，有厥者皆用之。故少阴用以救元
海之
者
开
故可缓制留中，而为外召阳气之良法。
甘草二两（炙） 附子大者一枚（生用，去皮，破八片） 干姜三两（强人可用四两）
上三味，以水三升，煮取一升二合，去滓〔法〕，分温再服〔法〕。其脉即出者愈。后加
减
通脉四逆，少阴格阳，面赤阳越欲亡，急用干姜、生附夺门而入，驱散阴霾，甘草监制
姜附
其脉
太阴
方之
人参一两 甘草二两（炙） 干姜一两五钱 附子一枚（生，去皮，切八片）
上四味，以水三升，煮取一升二合，去滓〔法〕，分温再服〔法〕。
四逆加人参，治亡阴利止之方。盖阴亡则阳气亦与之俱去，故不当独治其阴，而以干姜、
附
茯苓六两 干姜一两五钱 附子一枚（生） 甘草二两（炙） 人参一两
上五味， 咀〔法〕，以水五升，煮取一升二合，去滓〔法〕，分温再服〔法〕。
茯苓四逆汤，即真武汤之变方。《太阳篇》中汗出烦躁，禁用大青龙，即以真武汤救之，
何
参
逆
Gancao (Radix Glycyrrhizae Preparata) two liang (roasted with honey), Ganjiang (Rhizoma Zingiberis Preparata) one and a half liang, Fuzi (Radix Aconiti Lateralis Preparata) one piece (used raw, skin removed, cut into eight slices).
The above three ingredients are decocted in three sheng of water until reduced to one sheng and two he. The dregs are strained out [method], and the liquid is divided into two doses and taken warm. For robust individuals, a large Fuzi (Radix Aconiti Lateralis Preparata) one piece and Ganjiang (Rhizoma Zingiberis Preparata) three liang may be used.
"Sini" refers to cold extremities; the formula is named after this syndrome. It is used for all cases involving Jue (cold limbs) in mixed Taiyin, Shaoyin, or Yangming syndromes combined with Yang channel involvement. Thus, it is used in Shaoyin disease to rescue the Yuanhai (the source of true Yang in the Kidney); its action is gentle and lingering, retaining medicinal power within the body, serving as an excellent method to summon dispersed Yang Qi outward.
Gancao (Radix Glycyrrhizae Preparata) two liang (roasted with honey), Fuzi (Radix Aconiti Lateralis Preparata) one large piece (used raw, skin removed, broken into eight pieces), Ganjiang (Rhizoma Zingiberis Preparata) three liang (robust individuals may use four liang).
The above three ingredients are decocted in three sheng of water until reduced to one sheng and two he. The dregs are strained out [method], and the liquid is divided into two doses and taken warm. If the pulse reappears, recovery is indicated. Subsequent modifications...
Tongmai Sini Tang (Pulse-Reviving Four-Reversal Decoction) is used for Shaoyin Geyang syndrome (rebellious Yang), characterized by facial redness and impending Yang collapse. Urgent use of Ganjiang (Rhizoma Zingiberis Preparata) and raw Fuzi (Radix Aconiti Lateralis Preparata) acts like bursting through a door to rapidly dispel Yin-cold pathogens, while Gancao (Radix Glycyrrhizae Preparata) moderates the properties of Jiang and Fu... regarding the pulse... Taiyin... formula...
Renshen (Radix Ginseng) one liang, Gancao (Radix Glycyrrhizae Preparata) two liang (roasted with honey), Ganjiang (Rhizoma Zingiberis Preparata) one and a half liang, Fuzi (Radix Aconiti Lateralis Preparata) one piece (used raw, skin removed, cut into eight slices).
The above four ingredients are decocted in three sheng of water until reduced to one sheng and two he. The dregs are strained out [method], and the liquid is divided into two doses and taken warm.
Sini Jia Renshen Tang (Four-Reversal Decoction plus Ginseng) treats Yin collapse with cessation of diarrhea. Since Yin collapse causes Yang Qi to depart with it, treatment should not focus solely on nourishing Yin, but rather employ Ganjiang (Rhizoma Zingiberis Preparata) and Fuzi (Radix Aconiti Lateralis Preparata)...
Fuling (Poria) six liang, Ganjiang (Rhizoma Zingiberis Preparata) one and a half liang, Fuzi (Radix Aconiti Lateralis Preparata) one piece (used raw), Gancao (Radix Glycyrrhizae Preparata) two liang (roasted with honey), Renshen (Radix Ginseng) one liang.
The above five ingredients are crushed [method], decocted in five sheng of water until reduced to one sheng and two he. The dregs are strained out [method], and the liquid is divided into two doses and taken warm.
Fuling Sini Tang (Poria Four-Reversal Decoction) is a modification of Zhenwu Tang (True Warrior Decoction). In the "Taiyang Chapter," sweating accompanied by irritability contraindicates Da Qinglong Tang; instead, Zhenwu Tang (True Warrior Decoction) is used to rescue the patient. Why... Renshen... Ni...