照常法例治之。虽云发蒙。实登仲景之楷梯也。又按陶氏伤寒见症识病条云。伤寒之邪。从
表入里。里必达外。见症之由。所属必相应。庶无误也。且如头痛项强。身热者。太阳症也
。无汗。麻黄汤。有汗。桂枝汤。头摇者。里病也。随症治之。头汗者。里有瘀血。必发黄
也。犀角汤。茵陈汤。面戴阳者。下虚也。姜附汤。面惨不光。伤寒也。麻黄汤。面光不惨
。伤风也。桂枝汤。面上乍黑乍白。唇口生疮。狐惑也。治以桃仁雄黄之类。面如锦纹者。
阳毒也。大青一物汤。或阳毒。升麻随机选用。舌上有黄白胎。内热也。或黑者。热极也。
并用黄连解毒汤。鼻燥。漱水不下。或目HT 。溺血也。犀角地黄汤。目睛黄。小肠热也。茵
陈五苓散。加木通。懊 者。胃虚也。栀子豉汤微吐之。喜怒如狂。蓄血也。桃仁承气汤下
之。肉 筋惕汗下。虚也。宜温经益阳。身如被杖。阴毒也。正阳散。甘草汤。一身尽痛
。多眠。或微肿难转者。风湿也。甘草附子汤。苍术白虎汤。身目俱黄。湿热疸病也。茵陈
五苓散。身如虫行。表虚也。黄 加桂汤。背恶寒。阴胜阳也。人参附子汤。不眠。因汗下
多而神虚也。酸枣仁汤。坐而伏者。短气也。宜补之。下利清谷。内(寒也)、附子理中汤。咽
中生疮。上实下虚也。黄连加桂治之。舌生刺。热甚也。黄连解毒汤。又手冒心。因汗多而
血虚也。黄 建中汤。腹满自利。手足温者。邪入太阴也。理中汤。舌卷浓缩。邪入厥阴也
。大便实承气汤。手足厥。茱萸四逆汤温之。以上乃大要耳。临症详而用之。思过半矣。
方 麻黄汤治太阳无汗。脉浮紧者。宜此汗之。
麻黄(三钱) 桂枝(二钱) 杏仁(一钱五分) 甘草(一钱)
上作一服。姜五片。葱白三根。枣三枚。水二钟。煎至一钟。去上沫。热服。以衣被盖取汗
热。热遍身至手足心即止。不必再服。如须臾汗未出。宜吃热稀粥一碗。以助药力。汗出即
止。如未出。再煎一服。加淡豆豉一撮。如前汗之。三服汗不出者难治。必用蒸法。大抵此
方只宜用于天令寒冷之时。若炎暑之月。则当通变。不可执用此方。又宜葛根、葱白、淡豆
豉、或双解散等辛凉之剂。以发散也。
本经头疼。发热。恶寒。无汗。而喘者。加川芎、防风、羌活、白芷、苍术、白芍药(各一钱)。
本经恶寒发热。身痒面赤者。加柴胡、芍药(各一钱五分)。
本经头痛。发热。恶寒。胸中饱闷者。加枳壳、桔梗(各一钱)。
又方 桂枝汤治太阳症自汗。脉浮缓者。宜服。
桂枝 白芍药(各三钱) 甘草(二钱)
上作一服。姜三片。枣二枚。水煎温服。
如汗不止。加横 (二钱)。
如喘急。加柴胡、杏仁(各一钱五分)。
如胸中饱闷。加白术(二钱)、枳壳、桔梗(各一钱)。
又方 葛根汤治阳明经病宜解之。阳明府。别用承气下之。
葛根(三钱) 柴胡(二钱) 黄芩 桂枝(各一钱五分) 芍药(二钱)
上作一服。水二钟。姜三片。枣二枚。煎一钟。温服。
本经恶寒甚者。去黄芩,加麻黄(二钱)、冬春宜用麻黄。夏秋。宜用苏药。(一钱)。
本经有汗而渴者。加石膏、知母(各二钱)、粳米(一钱)。
本经头痛。加川芎、白芷(各一钱五分)。
又方 小柴胡汤治少阳症。往来寒热。胸胁痛而呕。
柴胡(三钱) 黄芩 半夏 人参(各二钱) 甘草(炙五分)
上作一服。姜三片。枣一枚。水二钟。煎一钟。温服。
本经小便不利。加茯苓(一钱五分)。
本经胁痛。加青皮、枳壳(各一钱)。
本经渴。加天花粉、知母(各一钱五分)。
本经呕吐者。加姜汁(一盏)、竹茹(二钱)。
本经嗽。加五味子(一钱)、金沸草(一钱五分)、人参(减半)。
本经痰多。加栝蒌仁、贝母(各二钱五分)、人参(减半)。
本经寒热似疟。加桂(一钱)。
本经齿燥无津液。加麦门冬、五味子、天花粉(各半)。
本经坏症。加知母鳖甲(各一钱五分)。
本经症。心下饱闷。未经下者。非结胸。乃表邪传至胸中。犹当作表治。加枳壳、桔梗(
各一钱五分),未效。本方对小陷胸汤。加枳、桔、一服豁然。此陶公之心法也。予鲁用亦效。
本经与阳明合病。加葛根(二钱)、芍药(一钱五分)。
妇人热入血室。加当归(一钱五分)、红花(一钱)。男子加生地黄(一钱五分)。
又方 大柴胡汤治阳明内实。大便难。不恶寒。反恶热。
柴胡(三钱) 黄芩 芍药 枳实(各二钱) 半夏(钱半) 甘草(五分) 大黄(壮者五钱虚者三钱)
上作一服。姜三片。枣一枚。水二钟。将诸药先煎。将熟。再下大黄。煎四五沸。约一钟。
热服以微利为度。若大满大实者。根据后加减利之。
本方加桂枝(二钱)、名桂枝大黄汤。去黄芩。
本方加芒硝(二钱)、浓朴(一钱五分),去柴胡、黄芩、半夏、甘草,名大承气汤。
只加浓朴、名小承气汤。加桃仁(二钱)、名桃仁承气汤。此数方皆宜量虚实斟酌用之。
又方 理中汤治太阴自利不渴。实多而呕。腹满鸭溏霍乱。
人参(二钱) 白术(二钱) 干姜(二钱) 甘草(一钱)
上作一服。水一钟半。煎服。或丸。名理中丸。
诸结胸。或太阴症下之。胸而鞭。加黄芩(一钱五分)、枳壳(一钱五分)、桔梗(一钱)、寒实结胸本方加枳实。
名枳实理中汤。
腹满下利。加附子(二钱)名附子理中汤。
动气。左右上下。加桂(二钱),去水。
吐多者。加生姜,去术、下多者。倍术。
小便不利。加茯苓(二钱)。
渴。加乌梅(三个)。
腹痛。加桂枝(一钱五分)、芍药(二钱)。
又方 四逆汤治直中阴经寒症。以此温之。
附子(五钱) 干姜(四钱) 甘草(二钱)
上作一服。水煎温服。附子若加至一两。
名通脉四逆汤。厥逆下利。脉不至。附子加至六七
片、痢止。脉不出。加人参(三钱)、麦门冬(二钱)、五味子(一钱)。
上仲景先生正伤寒方也。六经正治。宜根据此加减用之。兼有变症。须参全书。兹不备录。
又方 易老九味羌活汤治春夏秋伤寒通用。太阳阳明经药也。
羌活 防风 苍术(各一钱五分) 川芎 白芷 黄芩(各一钱) 细辛(五分) 生地黄(八分)
上作一服。用生姜三片。葱白三根。水二钟。煎热服。夏月。本方加石膏、知母、名神术散
不作汗。本方加苏叶、喘而恶寒。身热。加杏仁、生地黄
、汗后不解。宜
服。汗下兼行。本方加大黄、如釜底抽薪之法。
其春夏秋。感冒非时伤寒。亦有头疼身热恶寒之症。脉浮缓。自汗。宜实表。本方去苍术。
加白术、汗不止。加黄 (一钱五分)、再不止。以小柴胡,加桂枝芍药(各一钱)、如神。
胸中饱闷。加枳壳、桔梗,去生地黄(结胸加同)。
身热不退。加柴胡(一钱五分)、倍黄芩。
燥渴。加石膏、知母(各一钱五分)、粳米(一撮)。夹内伤。加白术、陈皮、半夏、藿香、浓朴(各一钱),去生地
黄、潮热似疟。加柴胡(一钱五分)、青皮(八分)。
发狂。加黄连、石膏(各一钱五分)、大黄(三钱),去生地细辛。
发黄。加茵陈(一钱五分)、茯苓、山栀(各一钱二分),去细辛、生地。
湿症。加五苓散、倍苍术,去生地、细辛、小便不利。加减同。
大便秘。五六日不大便,加浓朴、枳实(各八分)、大黄(三钱)、芒硝(一钱五分),去细辛。
风湿相搏。一身尽痛。加当归、白术(各一钱五分),去细辛、倍苍术。
寒湿。腰腿膝痛。加杜仲、牛膝、木瓜、防己,去川芎、细辛。
又方 香苏散春月用。治伤寒伤风。
紫苏叶(二钱) 香附子(二钱) 陈皮(一钱) 甘草(五分)
上作一服。姜三片。葱白三根。水一钟半。煎八分。热服。
头痛。加川芎、白芷(各一钱)、名芎芷香苏散。
头痛如斧劈。加石膏(二钱)、葱头连须(三根)。
偏正头痛。加石膏(二钱)、薄荷、细辛(各七分)。
太阳穴痛。加荆芥穗(一钱)、石膏(一钱五分)。
伤风自汗。加桂枝(一钱)、无汗。加麻黄、干葛、薄荷(各一钱)。
伤风发热恶寒。加柴胡、黄芩、苍术(各一钱五分)。
咳嗽不止。加半夏、茯苓、贝母、杏仁(各一钱)。
胸膈痞塞。加黄连、枳实、桔梗(各八分)。
伤寒鼻塞声重。咽膈不利。加苦梗、旋复花(各八分)。
伤寒涎壅盛。加南星、半夏(各一钱五分)、姜汁(半盏)、竹沥(一盏)。
气促不安。加大腹皮、桑白皮(各一钱)。
鼻塞不闻香臭。加羌活、荆芥穗(各一钱)。
伤风寒。蕴热。吐血。衄血。加麦门冬、黄芩、黄麻(各一钱)。
伤风寒。中脘寒。不思饮食。加白术(一钱五分)、砂仁、青皮(各七分)。
呕吐恶心不止。加干姜、砂仁(各八分)、半夏(一钱五分)。
饮食不能消化。加砂仁(七分)、山楂、麦芽(各一钱)、青皮(八分)。
伤风寒时作寒栗。加桂枝(八分)。
伤风寒后。时作虚热不退。加柴胡、知母、人参(各一钱),去苏叶。
伤风寒一向不解。作潮热。白日至暮不退。日日如是。加地骨皮、柴胡、知母、当归、人参
初感时。头痛作热。鼻塞声重。或恶风寒。加防风、羌活、川芎、白芷(各一钱二分)。
感风寒。头项强急。浑身痛。不能转侧。加羌活、当归、赤芍、紫荆皮(各一钱)、官桂(七分)。
伤风寒。肚腹或小腹疼痛不可忍。加木香、干姜、吴茱萸(各七分)。
妇人被气所苦。胸痞胁痛。小腹急疼。加木香砂仁、枳壳、官桂(各八分)。
伤食腹疼。呕吐泄泻。加白术、白茯苓、半夏、藿香、干姜、砂仁、浓朴(各七分)、木香
心卒痛者。加玄胡(一钱五分)、木香、桂(各五分)。
饮酒大过。或遍身发疽。或两目昏黄。加茵陈(一钱五分)、山栀、赤茯苓(各一钱)。
伤酒呕吐。加黄连、扁豆、葛根、半夏、藿香、苍术(各一钱),去苏叶。
妇人产后。感风头痛。壮热。恶寒。不能转侧。加生料五积散。
产后感寒。头痛发热。加不换金正气散。(一半)。
妇人产后。发热不退。烦渴。加人参、麦门冬、生地黄(各八分)。
产后虚热不退。加人参、黄 、麦门冬(各一钱)。
产后腰痛不已。加当归、官桂(各一钱)、木香(三分)。
感风后。日久。冷嗽不已。加杏仁(一钱)、五味子、干姜(各六分)。
细辛(五分)。
香港脚。加木瓜、牛膝、紫金皮、吴茱萸、川楝子、黄柏、苍术(各一钱)、木香(五分)。
又方 柴藿汤治春末夏初伤寒。挟内伤者。宜用。此太阳少阳阳明太阴药也。
柴胡(一钱五分) 黄芩(一钱) 藿香(一钱) 甘草(三分) 半夏(一钱) 白术(一钱) 陈皮
参(八
分) 白茯苓(八分) 浓朴(八分) 苍术(一钱) 川芎(八分) 白芷(八分)
上作一服。姜三片。枣一枚。水二钟。煎一钟。食远热服。春初挟感寒者。加紫苏叶、防风、干葛(各八分)。
凡感寒无汗。加紫苏叶、淡豆豉(各一钱)、葱白(三根)、有汗勿加。
热甚。燥渴。加石膏(一钱五分)、知母、粳米(各一钱)、乌梅(二个)。
疟疾。加草果、青皮(各八分)、乌梅(二个),欲截。再加常山(一钱五分)、槟榔(七分)
伤食发热。胸满呕吐。加山楂、神曲、砂仁(各八分)。
伤酒发热。头痛呕吐。加干葛、黄连、扁豆(各八分),去柴胡、春夏肚腹作痛。加白芍药、山
钱)、干姜炭、薄桂(各五分)。
夏至后感寒。加石膏(一钱五分)、桂枝(三分)。
暑月远行受热。加香薷(一钱五分)、扁豆(一钱)、滑石(八分),去柴胡、白芷。
霍乱转筋。两脚冷。汗出。上吐下泻。日间感热。夜间感冷。邪气正气。两不分也。加木瓜、
八分)、干姜(五分)、泽泻、青皮(各七分)。
又方 双解散治夏月伤寒伤风通用。
防风(一钱二分) 川芎 当归 白芍 白术(一钱) 苍术(各一钱) 黄芩(七分) 石膏(一
石(一钱五分) 连翘 山栀(各八分) 荆芥穗 薄荷(各六分) 桔梗(各六分)
上作一服。水二钟。姜三片。枣一枚。煎一钟。稍热服。无汗。加麻黄、淡豆豉(各一钱)、
不用。
大便结燥。加大黄(三钱)、芒硝(一钱五分)。
瘟疫发散。加防风(五分)、羌活(一钱五分)、葛根、白芷(各一钱)。
其余杂症。与防风通圣散加减同。兹不备录。
又方 参苏饮 治秋月伤寒伤风通用。(方见伤风类)。
又方 五积散 治冬月伤寒宜用。此太阳阳明太阴少阴药也。若挟有内伤。或兼伤风者。
遵仲景法治。
川芎 当归 白芍药 苍术(各一钱) 半夏 陈皮 浓朴 白茯苓 枳壳(各八分) 白芷
Treat according to the standard methods. Although this is called "Fa Meng" (enlightening the ignorant), it is actually the ladder to ascending into Zhang Zhongjing's medical system. Furthermore, according to Tao Hua's entries in *Shanghan Liushu* on recognizing diseases by symptoms: The pathogenic factor of cold damage enters from the exterior to the interior, and the interior pathology must manifest on the exterior. The cause of the symptoms corresponds necessarily to the affected meridians and organs. Thus, there will be no misdiagnosis. For example: headache, stiffness of the neck and back, and fever are symptoms of the Taiyang syndrome. Those without sweat use Mahuang Tang; those with sweat use Guizhi Tang. Head shaking indicates a interior syndrome. Treat according to the symptoms. Head sweating indicates blood stasis in the interior, which will inevitably lead to jaundice; use Xijiao Tang or Yinchin Tang. A flushed face resembling makeup (Dai Yang) indicates deficiency-cold in the lower jiao; use Jiangfu Tang. A pale and lusterless complexion indicates cold damage; use Mahuang Tang. A bright and not lusterless complexion indicates wind injury; use Guizhi Tang. A complexion that alternates between black and white, with sores on the lips and mouth, indicates Huhuo disease; treat with Taoren and Xionghuang. A complexion like brocade patterns indicates Yang Du (Yang Toxin); use Daqing Yi Wu Tang, or for Yang Du, randomly select Shengma Gegen Tang. Yellowish-white coating on the tongue indicates internal heat; if black, it indicates extreme heat; use Huanglian Jiedu Tang in both cases. Dry nose, desire to rinse mouth but not swallow, or red eyes, hematuria; use Xijiao Dihuang Tang. Yellow eyes indicate Small Intestine heat; use Yinchin Wuling San plus Mutong. Restlessness and mental depression indicate Stomach deficiency; use Zhizi Chi Tang to induce mild vomiting. Joy and anger like madness indicate Blood Accumulation; use Taoren Chengqi Tang to purge. Muscle twitching and tendon spasms due to excessive sweating or purging indicate deficiency; warm the meridians and benefit Yang. Body pain as if beaten by a club indicates Yin Du (Yin Toxin); use Zhengyang San or Gancao Tang. Generalized body pain, somnolence, or slight swelling difficult to turn over indicates Wind-Dampness; use Gancao Fuzi Tang or Cangzhu Baizhu Tang. Both body and eyes yellow indicate Damp-Heat Jaundice; use Yinchin Wuling San. Sensation of insects crawling on the body indicates Exterior Deficiency; use Huangqi Jianzhong Tang. Fear of cold in the back indicates Yin excess and Yang deficiency; use Renshen Fuzi Tang. Insomnia due to excessive sweating and purging leading to Spirit deficiency; use Suanzaoren Tang. Sitting bent forward indicates Shortness of Qi; tonify. Diarrhea with undigested food indicates Interior Cold; use Fuzi Lizhong Tang. Sores in the throat indicate Excess above and Deficiency below; treat with Huanglian Jia Gui Tang. Tongue spines indicate severe heat; use Huanglian Jiedu Tang. Hands covering the heart due to excessive sweating leading to Blood deficiency; use Huangqi Jianzhong Tang. Abdominal fullness with spontaneous diarrhea and warm hands/feet indicates pathogen entering the Taiyin; use Lizhong Tang. Rolled and contracted tongue indicates pathogen entering the Jueyin; solid stool use Chengqi Tang. Cold extremities use Zhuyu Sini Tang to warm. These are the main points. Apply them carefully in clinical practice, and understanding will be more than half achieved.
Formula: Mahuang Tang treats Taiyang disease without sweat and floating-tight pulse; suitable for inducing sweat.
Mahuang (3 qian) Guizhi (2 qian) Xingren (1.5 qian) Gancao (1 qian)
Make one dose. Add 5 slices of Shengjiang, 3 stalks of Congbai, 3 Zao. With 2 zhong of water, decoct to 1 zhong. Remove foam. Take hot. Cover with blankets to induce sweat. Stop when heat pervades the body to the palms and soles. Do not take another dose. If sweat does not appear after a while, drink a bowl of hot thin porridge to assist the medicinal power. Stop when sweat appears. If not, decoct another dose, add Dan Dou Chi, and induce sweat as before. If sweat does not appear after three doses, it is difficult to treat; steam method is necessary. Generally, this formula is only suitable for cold weather. In hot summer months, changes must be made; do not rigidly use this formula. It is also suitable to use Xinliang (acrid-cool) agents such as Gegen, Congbai, Dan Dou Chi, or Shuangjie San to disperse.
If originally having headache, fever, aversion to cold, anhidrosis, and asthma, add Chuanxiong, Fangfeng, Qianghuo, Baizhi, Cangzhu, Shaoyao (each 1 qian).
If originally having aversion to cold and fever, itchy skin, and ruddy face, add Chaihu, Shaoyao (each 1.5 qian).
If originally having headache, fever, aversion to cold, and chest fullness, add Zhike, Jiegeng (each 1 qian).
Another Formula: Guizhi Tang treats Taiyang syndrome with spontaneous sweating and floating-slow pulse; suitable for administration.
Guizhi Baishaoyao (each 3 qian) Gancao (2 qian)
Make one dose. Add 3 slices of Shengjiang, 2 Zao. Decoct in water and take warm.
If sweating does not stop, add Hengshi (2 qian).
If asthma is urgent, add Chaihu, Xingren (each 1.5 qian).
If chest fullness, add Baizhu (2 qian), Zhike, Jiegeng (each 1 qian).
Another Formula: Gegen Tang treats Yangming Meridian disease, suitable for release. Yangming Fu organ excess uses Chengqi Tang to purge.
Gegen (3 qian) Chaihu (2 qian) Huangqin Guizhi (each 1.5 qian) Shaoyao (2 qian)
Make one dose. With 2 zhong of water, 3 slices of Shengjiang, 2 Zao, decoct to 1 zhong. Take warm.
If originally having severe aversion to cold, remove Huangqin, add Mahuang (2 qian). Winter/Spring suit Mahuang. Summer/Autumn suit Zi Su Ye (1 qian).
If originally having sweat and thirst, add Shigao, Zhimu (each 2 qian), Jingmi (1 qian).
If originally having headache, add Chuanxiong, Baizhi (each 1.5 qian).
Another Formula: Xiaochaihu Tang treats Shaoyang syndrome, alternating chills and fever, hypochondriac pain, and vomiting.
Chaihu (3 qian) Huangqin Banxia Renshen (each 2 qian) Gancao (Zhi 0.5 qian)
Make one dose. Add 3 slices of Shengjiang, 1 Zao. With 2 zhong of water, decoct to 1 zhong. Take warm.
If originally having difficulty urinating, add Fuling (1.5 qian).
If originally having hypochondriac pain, add Qingpi, Zhike (each 1 qian).
If originally having thirst, add Tianhuafen, Zhimu (each 1.5 qian).
If originally having vomiting, add Jiangzhi (1 zhan), Zhuru (2 qian).
If originally having cough, add Wuweizi (1 qian), Jinfeicao (1.5 qian), Renshen (halved).
If originally having much phlegm, add Gualou Ren, Beimu (each 2.5 qian), Renshen (halved).
If originally having chills and fever like malaria, add Guizhi (1 qian).
If originally having dry teeth without saliva, add Maimendong, Wuweizi, Tianhuafen (half amount each).
If originally having complicated syndrome, add Zhimu, Biejia (each 1.5 qian).
If originally having this symptom, epigastric fullness, not yet purged, it is not Jie Xiong, but exterior pathogen transmitted to the chest; still treat as exterior. Add Zhike, Jiegeng (each 1.5 qian). If ineffective, combine Benfang with Xiao Xianxiong Tang, add Zhike, Jiegeng; one dose brings relief. This is Master Tao's core method. I, Lu Yong, also find it effective.
If originally having combined disease with Yangming, add Gegen (2 qian), Shaoyao (1.5 qian).
For women with Heat entering Blood Chamber, add Danggui (1.5 qian), Honghua (1 qian). For men, add Shengdihuang (1.5 qian).
Another Formula: Dachaihu Tang treats Yangming interior excess, difficult defecation, no aversion to cold, but aversion to heat.
Chaihu (3 qian) Huangqin Shaoyao Zhishi (each 2 qian) Banxia (1.5 qian) Gancao (0.5 qian) Dahuang (Strong 5 qian, Weak 3 qian)
Make one dose. Add 3 slices of Shengjiang, 1 Zao. With 2 zhong of water, decoct other herbs first. When nearly done, add Dahuang. Boil 4-5 times. About 1 zhong. Take hot. Stop at mild diarrhea. If severe fullness and excess, follow the modifications below to purge.
Add Guizhi (2 qian) to this formula, name Guizhi Dahuang Tang. Remove Huangqin.
Add Mangxiao (2 qian), Nongpu (1.5 qian) to this formula, remove Chaihu, Huangqin, Banxia, Gancao, name Dachengqi Tang.
Only add Nongpu, name Xiao Chengqi Tang. Add Taoren (2 qian), name Taoren Chengqi Tang. These formulas should be used cautiously based on deficiency/excess.
Another Formula: Lizhong Tang treats Taiyin spontaneous diarrhea without thirst, excess with vomiting, abdominal fullness, duck-like loose stools, Huoluan.
Renshen (2 qian) Baizhu (2 qian) Ganjiang (2 qian) Gancao (1 qian)
Make one dose. With 1.5 zhong of water, decoct and take. Or make pills, name Lizhong Wan.
Various Jie Xiong, or Taiyin syndrome after purging, chest hardness/fullness, add Huangqin (1.5 qian), Zhike (1.5 qian), Jiegeng (1 qian). Cold-excess Jie Xiong adds Zhishi to Benfang, name Zhishi Lizhong Tang.
Abdominal fullness with diarrhea, add Fuzi (2 qian), name Fuzi Lizhong Tang.
Moving Qi, jumping left/right/up/down, add Guizhi (2 qian), remove Baizhu.
Much vomiting, add Shengjiang, remove Baizhu. Much diarrhea, double Baizhu.
Difficulty urinating, add Fuling (2 qian).
Thirst, add Wumei (3 pieces).
Abdominal pain, add Guizhi (1.5 qian), Shaoyao (2 qian).
Another Formula: Sini Tang treats direct invasion of Yin meridians by cold syndrome, use to warm.
Fuzi (5 qian) Ganjiang (4 qian) Gancao (2 qian)
Make one dose. Decoct in water and take warm. If Fuzi added to 1 liang, name Tongmai Sini Tang. Cold extremities with diarrhea, pulse not felt, add Fuzi to 6-7 slices, diarrhea stops. Pulse not emerging, add Renshen (3 qian), Maimendong (2 qian), Wuweizi (1 qian).
These are Mr. Zhang Zhongjing's correct formulas for Zheng Shanghan. Six Meridians correct treatment, suitable to modify based on these. For complicated syndromes, refer to the whole book; not recorded here in full.
Another Formula: Yilao Jiwei Qianghuo Tang treats Shanghan generally in Spring/Summer/Autumn. It is medicine for Taiyang and Yangming meridians.
Qianghuo Fangfeng Cangzhu (each 1.5 qian) Chuanxiong Baizhi Huangqin (each 1 qian) Xixin (0.5 qian) Shengdihuang (0.8 fen)
Make one dose. Use 3 slices of Shengjiang, 3 stalks of Congbai. With 2 zhong of water, decoct hot and take. In summer, add Shigao, Zhimu to Benfang, name Shenzhu San, does not induce sweat. Add Zi Su Ye to Benfang, asthma with aversion to cold, fever, add Xingren, Shengdihuang. After sweating, unresolved, suitable to take. Sweating and purging together. Add Dahuang to Benfang, like drawing fire from under the cauldron.
In Spring/Summer/Autumn, catching non-seasonal Shanghan, also having headache, fever, aversion to cold, floating-slow pulse, spontaneous sweat, suitable to secure the exterior. Remove Cangzhu from Benfang, add Baizhu. Sweat does not stop, add Huangqi (1.5 qian). Still not stopping, use Xiaochaihu Tang add Guizhi, Shaoyao (each 1 qian), miraculous.
Chest fullness, add Zhike, Jiegeng, remove Shengdihuang (add same for Jie Xiong).
Fever not receding, add Chaihu (1.5 qian), double Huangqin.
Dry thirst, add Shigao, Zhimu (each 1.5 qian), Jingmi (a pinch). Complicated with internal injury, add Baizhu, Chenpi, Banxia, Huoxiang, Nongpu (each 1 qian), remove Shengdihuang. Tidal fever like malaria, add Chaihu (1.5 qian), Qingpi (0.8 fen).
Madness, add Huanglian, Shigao (each 1.5 qian), Dahuang (3 qian), remove Shengdihuang, Xixin.
Jaundice, add Yinchin (1.5 qian), Fuling, Shanzhi (each 1.2 qian), remove Xixin, Shengdihuang.
Dampness syndrome, add Wuling San, double Cangzhu, remove Shengdihuang, Xixin. Difficulty urinating. Modifications same.
Constipation, no bowel movement for 5-6 days, add Nongpu, Zhishi (each 0.8 fen), Dahuang (3 qian), Mangxiao (1.5 qian), remove Xixin.
Wind-Dampness fighting, whole body pain, add Danggui, Baizhu (each 1.5 qian), remove Xixin, double Cangzhu.
Cold-Dampness, waist/leg/knee pain, add Duzhong, Niuxi, Mugua, Fangji, remove Chuanxiong, Xixin.
Another Formula: Xiangsu San used in Spring. Treats Shanghan and Shangfeng.
Zisuye (2 qian) Xiangfuzi (2 qian) Chenpi (1 qian) Gancao (0.5 qian)
Make one dose. Add 3 slices of Shengjiang, 3 stalks of Congbai. With 1.5 zhong of water, decoct to 0.8 zhong. Take hot.
Headache, add Chuanxiong, Baizhi (each 1 qian), name Xiongzi Xiangsu San.
Headache like axe splitting, add Shigao (2 qian), Congtou Lianxu (3 stalks).
Oblique and frontal headache, add Shigao (2 qian), Bohe, Xixin (each 0.7 fen).
Temple pain, add Jingjiesui (1 qian), Shigao (1.5 qian).
Shangfeng spontaneous sweat, add Guizhi (1 qian). No sweat, add Mahuang, Gange, Bohe (each 1 qian).
Shangfeng fever and aversion to cold, add Chaihu, Huangqin, Cangzhu (each 1.5 qian).
Persistent cough, add Banxia, Fuling, Beimu, Xingren (each 1 qian).
Chest/diaphragm obstruction, add Huanglian, Zhishi, Jiegeng (each 0.8 fen).
Shanghan nasal congestion and heavy voice, throat/pharynx discomfort, add Kugeng, Xuanfuhua (each 0.8 fen).
Shanghan abundant saliva/phlegm, add Nanting, Banxia (each 1.5 qian), Jiangzhi (half zhan), Zhuli (1 zhan).
Shortness of breath and unease, add Dafupi, Sangbaipi (each 1 qian).
Nasal congestion unable to smell fragrances, add Qianghuo, Jingjiesui (each 1 qian).
Shanghanfeng, accumulating heat, hematemesis, epistaxis, add Maimendong, Huangqin, Huangma (each 1 qian).
Shanghanfeng, Middle Jiao cold, loss of appetite, add Baizhu (1.5 qian), Sharen, Qingpi (each 0.7 fen).
Persistent vomiting and nausea, add Ganjiang, Sharen (each 0.8 fen), Banxia (1.5 qian).
Indigestion, add Sharen (0.7 fen), Shanzha, Maiya (each 1 qian), Qingpi (0.8 fen).
Shanghanfeng occasional chills, add Guizhi (0.8 fen).
After Shanghanfeng, occasional deficient fever not receding, add Chaihu, Zhimu, Renshen (each 1 qian), remove Zisuye.
Shanghanfeng unresolved, becoming tidal fever, not receding from day to dusk, daily like this, add Digupi, Chaihu, Zhimu, Danggui, Renshen.
At initial infection, headache with fever, nasal congestion/heavy voice, or aversion to wind/cold, add Fangfeng, Qianghuo, Chuanxiong, Baizhi (each 1.2 qian).
Caught wind/cold, neck stiffness, whole body pain, inability to turn, add Qianghuo, Danggui, Chishao, Zijingpi (each 1 qian), Guangui (0.7 fen).
Shanghanfeng, unbearable abdominal or lower abdominal pain, add Muxiang, Ganjiang, Wuzhuyu (each 0.7 fen).
Women suffering from Qi stagnation, chest oppression, hypochondriac pain, lower abdominal urgency/pain, add Muxiang Sharen, Zhike, Guangui (each 0.8 fen).
Food stagnation abdominal pain, vomiting/diarrhea, add Baizhu, Baifuling, Banxia, Huoxiang, Ganjiang, Sharen, Nongpu (each 0.7 fen), Muxiang.
Sudden heart pain, add Xuanyan (1.5 qian), Muxiang, Gui (each 0.5 fen).
Excessive drinking, or carbuncles all over body, or dim/yellow eyes, add Yinchin (1.5 qian), Shanzhi, Chifuling (each 1 qian).
Alcohol-induced vomiting, add Huanglian, Biandou, Gegen, Banxia, Huoxiang, Cangzhu (each 1 qian), remove Zisuye.
Postpartum women, caught wind headache, high fever, aversion to cold, inability to turn, add Shengliao Wuji San.
Postpartum caught cold, headache/fever, add Buhuanjin Zhengqi San (half).
Postpartum women, fever not receding, irritability/thirst, add Renshen, Maimendong, Shengdihuang (each 0.8 fen).
Postpartum deficient fever not receding, add Renshen, Huangqi, Maimendong (each 1 qian).
Postpartum persistent lower back pain, add Danggui, Guangui (each 1 qian), Muxiang (0.3 fen).
After catching wind, long duration, chronic cold cough not stopping, add Xingren (1 qian), Wuweizi, Ganjiang (each 0.6 fen), Xixin (0.5 fen).
Hongjiaojiao (Beriberi), add Mugua, Niuxi, Zijinpi, Wuzhuyu, Chuanlianzi, Huangbai, Cangzhu (each 1 qian), Muxiang (0.5 fen).
Another Formula: Chaihuo Tang treats late Spring/early Summer Shanghan, complicated with internal injury, suitable for use. This is medicine for Taiyang, Shaoyang, Yangming, Taiyin.
Chaihu (1.5 qian) Huangqin (1 qian) Huoxiang (1 qian) Gancao (0.3 fen) Banxia (1 qian) Baizhu (1 qian) Chenpi Renshen (0.8 fen) Baifuling (0.8 fen) Nongpu (0.8 fen) Cangzhu (1 qian) Chuanxiong (0.8 fen) Baizhi (0.8 fen)
Make one dose. Add 3 slices of Shengjiang, 1 Zao. With 2 zhong of water, decoct to 1 zhong. Take hot far from meals. Early Spring with caught cold, add Zisuye, Fangfeng, Gange (each 0.8 fen).
All caught cold without sweat, add Zisuye, Dan Dou Chi (each 1 qian), Congbai (3 stalks). Do not add if sweating.
Severe heat, dry thirst, add Shigao (1.5 qian), Zhimu, Jingmi (each 1 qian), Wumei (2 pieces).
Malaria, add Caoguo, Qingpi (each 0.8 fen), Wumei (2 pieces). To intercept, add Changshan (1.5 qian), Binglang (0.7 fen).
Food stagnation fever, chest fullness/vomiting, add Shanzha, Shenqu, Sharen (each 0.8 fen).
Alcohol-induced fever, headache/vomiting, add Gange, Huanglian, Biandou (each 0.8 fen), remove Chaihu. Spring/Summer abdominal pain, add Baishaoyao, Shanzhi (1 qian), Ganjiang Tan, Bo Gui (each 0.5 fen).
After Summer Solstice caught cold, add Shigao (1.5 qian), Guizhi (0.3 fen).
Long journey in heat during summer, add Xiangru (1.5 qian), Biandou (1 qian), Huashi (0.8 fen), remove Chaihu, Baizhi.
Huoluan with tendon contraction, cold feet, sweating, upper vomiting/lower diarrhea, daytime heat/nighttime cold, pathogen and healthy Qi indistinguishable, add Mugua, Zexie, Ganjiang (0.5 fen), Zexie, Qingpi (each 0.7 fen).
Another Formula: Shuangjie San treats Summer Shanghan/Shangfeng generally.
Fangfeng (1.2 qian) Chuanxiong Danggui Baishao Baizhu (1 qian) Cangzhu (each 1 qian) Huangqin (0.7 fen) Shigao (1.5 qian) Lianqiao Shanzhi (each 0.8 fen) Jingjiesui Bohe (each 0.6 fen) Jiegeng (each 0.6 fen)
Make one dose. With 2 zhong of water, 3 slices of Shengjiang, 1 Zao, decoct to 1 zhong. Take slightly hot. No sweat, add Mahuang, Dan Dou Chi (each 1 qian). Not used [for sweating?].
Dry constipation, add Dahuang (3 qian), Mangxiao (1.5 qian).
Plague dispersion, add Fangfeng (0.5 fen), Qianghuo (1.5 qian), Gegen, Baizhi (each 1 qian).
Other miscellaneous syndromes, modifications same as Fangfeng Tongsheng San; not recorded here in full.
Another Formula: Renshen Su Yin treats Autumn Shanghan/Shangfeng generally. (Formula see Shangfeng category).
Another Formula: Wuji San suitable for Winter Shanghan. This is medicine for Taiyang, Yangming, Taiyin, Shaoyin. If complicated with internal injury or concurrent Shangfeng, follow Zhang Zhongjing's methods.
Chuanxiong Danggui Baishaoyao Cangzhu (each 1 qian) Banxia Chenpi Nongpu Baifuling Zhishi (each 0.8 fen) Baizhi