证伤寒，治痈下乳，皆攻其热也，故非里寒者可用。其里寒者，由身有大壮热，
不渴而大便反利，小便不赤，面青目白，睛不黄赤，皆里寒证也，其中虽有白术
以温，终作为虚热者用。人之脏腑寒，则寒药先效，热药未必能制之，脏腑热，
则热药先效，寒未能制之，此势之自然也，岂得不辨表里冷热而用药也。《和剂
方》小儿伤寒壮热，当先服此，大效。次服羌活散。如壮热未退，切不可与通利
大便及凉药，恐是疮疹，服药则误矣。
苦桔梗 细辛（去叶） 人参 甘草（炒） 白茯苓（去皮） 栝蒌根 白术（各一两半）
上为细末。每服二钱，水一盏，入薄荷二叶，同煎至三分，去滓，温服。要和
气，入姜煎，不拘时候。身虽壮热，大便自利者不可服。
海藏云∶惺惺散治风热，咽不利，脾不和，少阳渴，小便不利也。
荆芥散 治麻痘子兼瘙痒，或瘾疹，大便自过。
上，用荆芥少许，烂研，以新井水将布帛滤过，入一滴许麻油，打匀，令
饮之，便不乱闷。麻痘已出，用黄蜡煎青胶水饮，即安（青胶水乃牛皮胶也。）荆芥治血风，
麻子是疹子，常言风瘙瘾疹，则皆出皮肤，其毒轻而浮，又以麻油打匀，此滑窍
之理，又以黄蜡煎青胶水服则安，此滋血行荣卫，荣卫既顺，麻疹出矣。《指迷
方》荆芥汤，乃消毒饮加薄荷煎服之。
羌活散 解热散毒，治风壅、欲作疮痘者。
羌活 独活 川芎 桔梗 蝉蜕 前胡 柴胡 地骨皮 甘草（炙） 栝蒌 天麻（炙）
荆芥 防风（各等分）
上为细末。每服二钱，水三分盏，薄荷三叶，盏内煎至二分，通口服，量大小加减药
水。此药，详其药味治风、治寒、治惊、下痰、凉脾、治血热、透肌，但实热发，无
所不治。如禀受怯弱、或脾胃弱、或外热目白睛青色，皆里无热，不可轻用。
薄荷散 小儿才觉是疮疹，宜服之。
薄荷叶（一两） 麻黄（去节） 甘草（炙。各半两）
上为细末。每服二钱，水一中盏，枣二枚，生姜三片，同煎至六分，去滓，放
温，日三两次服。此是小儿禀受壅实，毒瓦斯甚者宜服之，盖此方云∶小儿才觉是
疹痘便服之。服之而汗出者，服调中散。服薄荷散若作寒热，脉反迟者，进脱齿
散以温之。详其理，非下药之法也，实者服之未必安，虚者用之必危殆。
参苏饮（方见急惊） 人参羌活散（方见急惊）
羌活散 此方，初热暂用，兼治惊搐。
羌活（一钱二分） 独活 荆芥（各八分） 前胡 防风（各一钱） 柴胡 白芷 蝉蜕
甘草（各四分） 细辛（一分）
上，加薄荷三叶，水一钟，煎五分，不拘时服。发搐及热盛不退者，暂服。煎
熟用制砂调下，治搐如神。
人参败毒散 治伤风、瘟疫、风湿，头目昏眩，四肢痛，憎寒壮热，项强，目睛疼。
寻常风眩拘倦，风痰身体项疼，及咳嗽鼻塞，声重寒热，并治之。
柴胡 前胡 川芎 枳壳 羌活 独活 茯苓 桔梗 人参（各一两） 甘草（半两）
上为粗末。每服三钱，生姜薄荷煎。
李氏败毒散 治初热壮盛等证。
即前败毒散加升麻、荆芥、牛蒡子、蝉蜕、山楂、地骨皮、薄荷、紫苏、紫草。
减独活、柴胡、茯芩、人参。
如热甚，加柴胡、黄芩。夏，加香薷。冬，加麻黄。泻，加猪苓、泽泻。
上，姜一片，水煎，临服加葱白汁五茶匙。
正气散
甘草（炙，三分半） 陈皮 藿香（去梗） 白术（各五分） 浓朴（姜制） 半夏（姜制，
各一钱半）
上细切，作一服，加生姜三片，大枣一枚，水煎服。
调解散
青皮 陈皮 枳壳（麸炒） 桔梗（去芦，炒） 人参 半夏（炮七次） 川芎 木通 干葛（各
四分） 甘草 紫苏（各二分）
上细切，作一服，加生姜三片，大枣一枚，水煎服。一方，加紫草、糯米。
苏解散 治痘初壮热，头疼腰痛，腹疼作胀，一切热毒甚者。
紫苏 葛根 防风 荆芥 白芷 蝉蜕 紫草 升麻 牛蒡子 木通 甘草（各等分）
上，加灯心葱白各七根，水煎，热服。
和解汤 解表和中。
升麻 干葛（各一钱半） 白芍（一钱） 人参 防风（各七分） 川芎（八分） 甘草（五分）
上，用姜一片，水煎服。
上十七方，发表平剂。
王朝奉四物解肌汤
芍药 黄芩 升麻 葛根
每服四钱，水一盏，煎至七分，去滓服。或云，小儿伤寒疫疠，潮热疮疹，五
日已衰，疑似不能辨别者，并皆辛凉之剂调之，即以四物汤解肌之类。海藏云∶
此论即有表也，若内伤腹中有物，未得大便而发热者，当以食药去其物则可，若
得便后，仍发热在表者，亦宜此解肌汤，比钱氏升麻葛根汤减甘草，加黄芩，以
有表热之意也。
防风苍术汤 治小儿邪热在表，恶风恶寒，疮疹未出，可解表、发 疹。
防风 甘草（炙。各半两） 苍术 石膏（各一两） 川芎 黄芩（各二两）
上为粗末。每服二钱，生姜三片，薄荷七叶，水煎，日二服。
双解散 即防风通圣散、益元散、二方也。
防风 川芎 当归 白芍药 薄荷叶 大黄 连翘（各五分） 石膏 桔梗 黄芩（各八分）
白术 桂枝 荆芥穗（各二分） 滑石（二钱四分） 甘草（一钱）
上，锉细。加生姜三片，水二盏，煎至一盏，去滓，温服，无时。
葛根橘皮汤 治冬温未即病，春被积寒所折不得发，至夏热得其寒解，冬温始发，
肌肉斑斓，瘾疹如锦纹、而咳，心闷，但呕吐清汁，服此。
葛根 橘皮（去白） 杏仁（去皮尖） 知母 黄芩 麻黄（去节） 甘草（炙）
上锉散，等分，每服抄三钱，用水一盏，同煎半盏，去滓，温服，不拘时候。
上四方，辛凉之剂，表有实热者宜之。
五积散
白芷 川芎（各三分） 桔梗（一分半） 芍药 茯苓 甘草（炙） 当归 桂枝 半夏（各二分） 陈
皮枳壳 麻黄（各五分） 苍术（一钱） 浓朴（四分）
上，除桂枝、枳壳二味别为粗末外，一十二味锉细，慢火炒令转色，摊冷，次
入二味末，令匀。水一盏半，生姜三片，煎至一盏，去滓，温服无时。
桂枝葛根汤
桂枝 葛根 赤芍药 升麻 防风 甘草（各一钱）
上锉细。加生姜三片，淡豆豉一钱，水一盏，煎七分，去滓，温服无时。
柴葛桂枝汤
柴胡 葛根 甘草 桂枝 防风 人参 白芍药（各等分）
上锉细。加生姜三片，水一盏，煎七分，去滓温服，不拘时。
上三方，辛温之剂，表有寒邪者宜之。
〔攻里〕
大便酸臭，不消化，畏食或吐，乃内伤饮食，宜枳术丸，伤冷食饮，神应丸。
紫霜丸（变蒸） 神应丸 枳实丸 枳术丸（俱大科伤食）
七物升麻丸
升麻 犀角 黄芩 朴硝 栀子仁 大黄（各二两） 淡豉（二升，微炒）
共为末，蜜丸如黍米大。凡觉四肢大热，大便难，即服，取微利为止。
备急丸
木香（二钱半） 大黄 牵牛末（各五钱）
上为细末，神曲糊丸，绿豆大。每服五七丸，食前，山楂煎汤下。
〔和中〕
加味四君子汤
人参 白术 茯苓 砂仁 橘红（各一钱） 甘草（五分）
水一钟，煎六分，食前温服。
和中散
浓朴（姜汁制，炒，一钱半） 人参 白术 茯苓（各一钱） 干姜（炮） 甘草（炙。各六分）
姜、枣煎服。
〔六一例〕
六一散 治诸热证，暂用。
桂府滑石（水飞过，六两净） 大甘草（去皮，为末，一两）
上，和匀。每用一钱，薄荷汤或冷水调下。内加制辰砂三钱，名辰砂六一散，
治狂言、发搐、惊闷，用防风、荆芥、薄荷、天麻、煎汤，候冷，调下。更加牛
黄三钱，缠豆藤三钱，名退火丹，治痘初出时大热不退，及标影稠密成片者，用
紫草、木通、蝉蜕、地骨皮、红花、牛蒡子、片黄芩、灯草、各等分煎汤，候冷，
调下，能减标稀痘，极良法也。本方加郁金，名牛黄六一散，治痘后疮疖毒壅，
及天行瘟疫，冷水调下，多服大效。
大灵丹 治壮热颠狂，惊搐谵语，红紫斑焦干陷，一切恶证。
白滑石（飞过三两） 雄黄（飞过） 犀角（各三钱） 辰砂（飞过三钱半） 牛黄 冰片（各一钱）
麝香（五分）
上研极细，和匀，用升麻、甘草、防风、薄荷、灯草、牛蒡子、红花、紫草、
黄连各三钱，水二碗，煎至半碗，细绢滤去滓，加蜜四两同熬，滴水成珠，和前
药丸，如小龙眼大，金箔为衣。每用一丸，灯心汤下，暑月冷水化下。
无比散 初热服之，甚能稀痘，又治痘夹黑点子，及黑陷、黑痘、等证。
辰砂（一钱） 冰片 麝香 牛黄（各五分，如无牛黄用牛胆南星代之） 腻粉（二钱）
一方，有蟾酥。
上，研细末。一岁儿服一字，大者五分，刺猪尾血三两点，新汲水调和送下，
取下恶毒如烂鱼肠、葡萄穗状，即愈。
小无比散 治痘壮热口渴，小水涩，大便秘，口气热，烦躁不宁，或焦紫，或红斑，
自发热至起壮时有热者，皆可用，痘后余热亦可用。
桂府滑石（飞过，六两） 石膏（飞过，一两） 粉草 寒水石（各五钱） 郁金（蝉肚、
小者，甘草汤煮干，为末，七钱）
上，俱制净末，和匀。每五岁者服二钱，大人再加。冬月，灯心汤下。夏月，
井水调下。热甚不解者，井水磨犀角汁调下。若红紫顶陷不起，加穿山甲末
一分、麝香半分、紫草煎汤加酒一二匙，调下，即起。
大无比散 治热毒太甚，惊狂谵语引饮，痘疮红紫黑陷。
桂麻滑石（飞过，六两） 粉草（一两） 辰砂（飞，三钱） 雄黄（飞，一钱）
上为末。每三五岁服一钱，十岁服二钱。发热之初，用败毒散调下，亦能稀痘。
若报痘后，用灯心汤下。
〔凉血解毒〕
犀角地黄汤（失血） 消毒饮（咽喉）
玳瑁汤 治时行豌豆疮及赤疮疹子，未发者令内消，已发者解利毒瓦斯，令不太盛。
生玳瑁 生犀（各以冷水浓磨汁二合）
上同搅令匀。每服半合，微温服，一日四五服为佳。
又治出而未快者，宜服之。又云∶毒瓦斯内攻，紫黑色，出不快，用玳瑁水磨浓
汁一合，入 猪心血一皂子大，以紫草浓煎汤，都作一服服之。玳瑁、犀角，其
性微寒，以治热毒，则知其无失也，二药皆治瘟疫蛊瘴，解百毒，通血脉，消痈
肿，故用之以解蕴毒，可宜服也。
犀角饮子 解热毒，去风疹。
犀角 甘草（炙。各半两） 防风（二两） 黄芩（一两）
上为粗末。每服五钱，用水一小盏，煎至半盏，去滓温服，不拘时候。
犀角汤 治小儿疹痘疮及赤疮子。
犀角（屑） 大黄（炒） 桑白皮（蜜炙） 钓藤 甘草（炙） 麻黄（去节。各一两） 龙
胆草（半钱） 石膏
栝蒌 黄 （炙，各半两）
上为粗末。每服一钱，水一小盏，煎至四分，去滓温服，量儿大小加减服。疮
子退后，浓磨犀角水涂之，更良，钱氏亦附方同以此药治疗疮疹太盛，令不入眼，
则名调肝散。此药治风盛气实，心肝血热，津液内燥，大便不通，毒瓦斯上盛，表
热未散之药也，且大黄、栝蒌、治内燥，钓藤、龙胆、治风血热，桑白皮、石膏、
治上焦热，麻黄、黄 、散肌热，犀角、甘草、解毒，大抵用药贵于与病相主，
则病去而正气自复，苟为不然，则反为大害，如犀角散，自非大便数日不通、喘
急闷乱、烦躁谵语者岂可服之，恐病药不相主治也。
夺命散 治疮疹已发未发，并宜服之。
升麻 糯米 紫草 甘草（各半两） 木通（二钱半）
上，锉为散。每服一大钱，水七分，煎四分，去滓，温服。出疮疹热毒势甚者
可服，解蕴热，利小便。疮痘初发气盛，亦宜服。
牛蒡散 凉血解毒。
上，用牛蒡子炒为末，水煎一盏服之，小儿，冬月有非节之暖，及春月天气暄
暖，或甘肥之过，或重衣温浓，帏帐周密，伤皮肤，害血脉，疮疡发黄，是生多
疾，宜预常服之也。
独胜散 治小儿发疮痘，早微热，晚大热，目黄胁动，身热手冷，发甚如惊者。又
名牛蒡僵蚕散。
牛蒡子（半两） 白僵蚕（一分）
上为粗末。每服一大钱，水六分盏，紫草二七寸，同煎至四分盏。连进三服，
其痘便出。此药用牛蒡子出痈透肌，白僵蚕治遍身瘾疹，疼痛成疮。为末，酒调服
之，立瘥。又，以紫草煎之，令利窍，是疮疹证无虚寒证者，服之立出也。
解毒疏痘汤 预服，解热去毒。已出，解热毒 疹，又治红紫口干、壮热谵语。
防风 荆芥 羌活 柴胡 川芎 白芷 当归 连翘 黄芩 黄连 黍粘子 紫草 蝉蜕
上，姜葱水煎服。
安 散 调理疮疹。
升麻 赤茯苓 羌活 黄 人参 桔梗（炒） 枳壳（麸炒） 甘草（各等分）
上为细末。每服一钱，水七分盏，紫草、薄荷、少许，同煎至四分盏，去滓，
放温服之，量儿大小增减。此药为解毒凉血，生肌宽肠，导热利小便快膈之药也，
For the treatment of Shanghan (Cold Damage) and for treating carbuncles to promote lactation, all involve attacking heat. Therefore, these methods can be used if there is no interior cold syndrome. If there is interior cold, it manifests as high fever without thirst, loose stools instead of constipation, urine that is not red or dark, a bluish-white complexion, and white sclera without yellowing or reddening; these are all signs of interior cold. Although Baizhu (Atractylodis Rhizoma) is included to warm the middle, it is ultimately used for deficiency-heat patterns. When the viscera are cold, cold-natured drugs take effect first, while hot-natured drugs may not control it; when the viscera are hot, hot-natured drugs take effect first, while cold-natured drugs may not control it. This is the natural course of events. How can one prescribe medication without distinguishing between exterior/interior and cold/heat? In the *Heji Fang* (Formulas of the Bureau of Taiping Renmin Hospital), for pediatric Shanghan with high fever, one should first administer Xingxing San (Awakening Powder), which is highly effective. Subsequently, Qianghuo San (Notopterygium Powder) should be given. If the high fever does not subside, one must absolutely avoid using purgatives or cooling drugs, lest it be a case of Chuangzhen (rash/pox), in which case medication would be erroneous.
Jiegeng (Platycodon Root), Xixin (Asarum, leaves removed), Renshen (Ginseng), Gancao (Licorice Root, stir-fried), Baifuling (Poria, peel removed), Gualougen (Trichosanthes Root), Baizhu (Atractylodes Rhizome) (each 1.5 liang).
Grind the above into a fine powder. Take 2 qian per dose, with 1 zhan of water, add 2 leaves of Bohe (Mint), decoct together until 0.3 zhan remains, filter dregs, and take warm. To harmonize qi, add Shengjiang (Fresh Ginger) for decoction; time is not restricted. Do not use if there is high fever but spontaneous loose stools.
Haizang stated: Xingxing San treats wind-heat, throat obstruction, spleen disharmony, Shaoyang (Lesser Yang) thirst, and difficult urination.
Jingjie San (Schizonepeta Powder) treats measles and smallpox accompanied by itching, or urticaria, with normal bowel movements.
Take a small amount of Jingjie (Schizonepeta), crush it thoroughly, filter through cloth with fresh well water, add a drop of Sesame Oil, mix well, and let the child drink. This prevents mental confusion. After measles and smallpox have erupted, boil Huangla (Yellow Beeswax) with Qingjiaoshui (Ox Glue) for the child to drink, which brings peace. Jingjie treats blood-wind; measles are rashes. Commonly referred to as wind-rash or urticaria, they appear on the skin, indicating light and floating toxicity. Using Sesame Oil to mix facilitates the opening of orifices. Taking boiled ox glue nourishes blood and promotes the circulation of Ying and Wei (Nutritive and Defensive Qi). Once Ying and Wei are smooth, measles erupt. The Jingjie Tang (Schizonepeta Decoction) in *Zhimi Fang* (Confusing the Mystic Formulas) is Xiaodu Yin (Detoxification Decoction) plus Bohe (Mint).
Qianghuo San (Notopterygium Powder) clears heat and disperses toxicity, treating wind congestion and impending eruption of sores/rashes.
Qianghuo (Notopterygium Rhizome), Duohuo (Angelica Pubescens Root), Chuanxiong (Ligusticum Rhizome), Jiegeng (Platycodon Root), Chantui (Cicada Slough), Qianhu (Peucedanum Root), Chaihu (Bupleurum Root), Digupi (Dogwood Bark), Gancao (Licorice Root, honey-fried), Gualou (Trichosanthes Fruit), Tianma (Gastrodia Rhizome, honey-fried), Jingjie (Schizonepeta), Fangfeng (Saposhnikovia Root) (equal parts).
Grind the above into a fine powder. Take 2 qian per dose, with 0.3 zhan of water and 3 leaves of Bohe (Mint), decoct in a cup until 0.2 zhan remains, take orally at once, adjusting water volume according to age. Analyzing the ingredients, this formula treats wind, cold, fright, phlegm, cools the spleen, treats blood-heat, and penetrates the muscle layer. It is effective for any condition caused by excess heat. However, do not use lightly for those with weak constitution, weak spleen/stomach, or external heat with blueish-white sclera, as these indicate absence of internal heat.
Bohe San (Mint Powder) is suitable for children who just perceive the onset of rash/pox.
Boheye (Mint Leaf) (1 liang), Mahuang (Ephedra Stem, nodes removed), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Grind the above into a fine powder. Take 2 qian per dose, with 1 zhong of water, 2 jujubes, and 3 slices of Shengjiang (Fresh Ginger), decoct until 0.6 zhong remains, filter dregs, cool to warm, and take two to three times daily. This is for children with excessive endowment and severe toxic factors. The principle is that taking it immediately upon perception of rash/pox is beneficial. If sweating occurs after administration, take Tiao Zhong San (Regulate Middle Powder). If chills and fever occur with a slow pulse after taking Bohe San, administer Tuochi San (Tooth-Falling Powder) to warm. Theoretically, this is not a purgative method; it may not bring peace to excess patterns and will endanger deficiency patterns.
Shensu Yin (Ginseng and Perilla Decoction) (see Ji Jing section), Renshen Qianghuo San (Ginseng and Notopterygium Powder) (see Ji Jing section).
Qianghuo San (Notopterygium Powder) This formula is temporarily used in the initial heat stage and also treats convulsions.
Qianghuo (Notopterygium Rhizome) (1.2 qian), Duohuo (Angelica Pubescens Root), Jingjie (Schizonepeta) (each 0.8 qian), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root) (each 1 qian), Chaihu (Bupleurum Root), Baizhi (Angelica Dahurica Root), Chantui (Cicada Slough), Gancao (Licorice Root) (each 0.4 qian), Xixin (Asarum) (0.1 qian).
Add 3 leaves of Bohe (Mint), 1 zhong of water, decoct to 0.5 zhong, take anytime. Temporarily use for convulsions and persistent high heat. After decoction, mix with processed Zhashi (Calcined Oyster Shell) to treat convulsions miraculously.
Renshen Baidu San (Ginseng Detoxification Powder) treats Wind-Cold, plague, wind-dampness, dizziness, limb pain, aversion to cold with high fever, stiff neck, and eye pain.
It also treats common wind-induced dizziness and fatigue, body and neck pain from wind-phlegm, cough, nasal congestion, heavy voice with chills and fever.
Chaihu (Bupleurum Root), Qianhu (Peucedanum Root), Chuanxiong (Ligusticum Rhizome), Zhike (Bitter Orange Fruit), Qianghuo (Notopterygium Rhizome), Duohuo (Angelica Pubescens Root), Fuling (Poria), Jiegeng (Platycodon Root), Renshen (Ginseng) (each 1 liang), Gancao (Licorice Root) (0.5 liang).
Grind into coarse powder. Take 3 qian per dose, decoct with Shengjiang (Fresh Ginger) and Bohe (Mint).
Li's Baidu San (Li's Detoxification Powder) treats initial high heat and similar syndromes.
This is the previous Baidu San plus Shengma (Cimicifuga Rhizome), Jingjie (Schizonepeta), Niubangzi (Arctium Fruit), Chantui (Cicada Slough), Shanzha (Hawthorn Fruit), Digupi (Dogwood Bark), Bohe (Mint), Zisu (Perilla Leaf), Zicao (Arnebia Root).
Remove Duohuo (Angelica Pubescens Root), Chaihu (Bupleurum Root), Fuling (Poria), Renshen (Ginseng).
If heat is severe, add Chaihu (Bupleurum Root), Huangqin (Scutellaria Root). In summer, add Xiangru (Elsholtzia Herb). In winter, add Mahuang (Ephedra Stem). For diarrhea, add Zhuling (Polyporus), Zexie (Alisma Rhizome).
Decoct with 1 slice of Shengjiang (Fresh Ginger). Before taking, add 5 teaspoons of Congbai juice (Green Onion White Juice).
Zhengqi San (Righteous Qi Powder)
Gancao (Licorice Root, honey-fried) (3.5 fen), Chenpi (Tangerine Peel), Huoxiang (Patchouli Herb, stems removed), Baizhu (Atractylodes Rhizome) (each 5 fen), Houpo (Magnolia Bark, ginger-processed), Banxia (Pinellia Tuber, ginger-processed) (each 1.5 qian).
Cut finely, make one dose. Add 3 slices of Shengjiang (Fresh Ginger) and 1 jujube, decoct with water and take.
Jiedie San (Harmonizing Powder)
Qingpi (Green Tangerine Peel), Chenpi (Tangerine Peel), Zhike (Bitter Orange Fruit, bran-fried), Jiegeng (Platycodon Root, remove radicle, fry), Renshen (Ginseng), Banxia (Pinellia Tuber, processed seven times), Chuanxiong (Ligusticum Rhizome), Mutong (Akebia Stem), Gegen (Kudzu Root) (each 4 fen), Gancao (Licorice Root), Zisu (Perilla Leaf) (each 2 fen).
Cut finely, make one dose. Add 3 slices of Shengjiang (Fresh Ginger) and 1 jujube, decoct with water and take. Another prescription adds Zicao (Arnebia Root) and Nuomi (Glutinous Rice).
Sujie San (Perilla Harmonizing Powder) treats early high heat of smallpox, headache, lower back pain, abdominal pain and distension, and all cases of severe heat toxicity.
Zisu (Perilla Leaf), Gegen (Kudzu Root), Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta), Baizhi (Angelica Dahurica Root), Chantui (Cicada Slough), Zicao (Arnebia Root), Shengma (Cimicifuga Rhizome), Niubangzi (Arctium Fruit), Mutong (Akebia Stem), Gancao (Licorice Root) (equal parts).
Add 7 stems of Dengxin (Juncus Effusus Pith) and Congbai (Green Onion White), decoct with water, take hot.
Jiehe Tang (Harmonizing Decoction) releases the exterior and harmonizes the middle.
Shengma (Cimicifuga Rhizome), Gegen (Kudzu Root) (each 1.5 qian), Baishao (White Peony Root) (1 qian), Renshen (Ginseng), Fangfeng (Saposhnikovia Root) (each 0.7 qian), Chuanxiong (Ligusticum Rhizome) (0.8 qian), Gancao (Licorice Root) (0.5 qian).
Decoct with 1 slice of Shengjiang (Fresh Ginger) and water, take.
The above seventeen formulas are moderate exterior-releasing agents.
Wang Chaofeng's Siwu Ji Ji Tang (Four Substances Muscle-Releasing Decoction)
Shaoyao (Peony Root), Huangqin (Scutellaria Root), Shengma (Cimicifuga Rhizome), Gegen (Kudzu Root).
Take 4 qian per dose, with 1 zhan of water, decoct to 0.7 zhan, filter dregs and take. Some say that for pediatric Shanghan, epidemic fevers, tidal heat, and rash/pox where differentiation is difficult after five days, all should be regulated with acrid-cool agents, such as Siwu Tang (Four Substances Decoction) for muscle-releasing. Haizang said: This discussion implies an exterior syndrome. If there is internal injury with abdominal mass and fever without stool, food-resolving drugs should be used to remove the mass. If fever persists in the exterior after defecation, this Ji Ji Tang is appropriate. Compared to Qian's Shengma Gegen Tang (Cimicifuga and Kudzu Decoction), it reduces Gancao (Licorice Root) and adds Huangqin (Scutellaria Root) to address exterior heat.
Fangfeng Cangzhu Tang (Saposhnikovia and Atractylodes Decoction) treats pediatric pathogenic heat in the exterior, aversion to wind and cold, un-erupted rash/pox, releasing the exterior and promoting eruption.
Fangfeng (Saposhnikovia Root), Gancao (Licorice Root, honey-fried) (each 0.5 liang), Cangzhu (Atractylodes Lancea Rhizome), Shigao (Gypsum Fibrosum) (each 1 liang), Chuanxiong (Ligusticum Rhizome), Huangqin (Scutellaria Root) (each 2 liang).
Grind into coarse powder. Take 2 qian per dose, with 3 slices of Shengjiang (Fresh Ginger) and 7 leaves of Bohe (Mint), decoct with water, take twice daily.
Shuangjie San (Double Harmonizing Powder) combines Fangfeng Tongsheng San (Saposhnikovia and Magnolia Decoction) and Yi Yuan San (Benefit Primordial Powder).
Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Baishaoyao (White Peony Root), Boheye (Mint Leaf), Dahuang (Rhubarb Rhizome), Lianqiao (Forsythia Fruit) (each 5 fen), Shigao (Gypsum Fibrosum), Jiegeng (Platycodon Root), Huangqin (Scutellaria Root) (each 8 fen), Baizhu (Atractylodes Rhizome), Guizhi (Cinnamon Twig), Jingjiesui (Schizonepeta Spike) (each 2 fen), Huashi (Talcum) (2.4 qian), Gancao (Licorice Root) (1 qian).
Cut finely. Add 3 slices of Shengjiang (Fresh Ginger), 2 zhan of water, decoct to 1 zhan, filter dregs, take warm, anytime.
Gegen Jupi Tang (Kudzu and Tangerine Peel Decoction) treats Dongwen (Winter Warmth) that did not manifest immediately, was suppressed by accumulated cold in spring, and finally erupted in summer when heat resolved the cold. Symptoms include mottled skin, urticaria like brocade patterns, cough, chest stuffiness, and vomiting clear fluid.
Gegen (Kudzu Root), Jupi (Tangerine Peel, remove white pith), Xingren (Apricot Seed, remove skin and tip), Zhimu (Anemarrhena Rhizome), Huangqin (Scutellaria Root), Mahuang (Ephedra Stem, nodes removed), Gancao (Licorice Root, honey-fried).
Cut into pieces, equal parts. Take 3 qian per dose, with 1 zhan of water, decoct to 0.5 zhan, filter dregs, take warm, anytime.
The above four formulas are acrid-cool agents suitable for exterior excess heat.
Wuji San (Five Accumulations Powder)
Baizhi (Angelica Dahurica Root), Chuanxiong (Ligusticum Rhizome) (each 3 fen), Jiegeng (Platycodon Root) (1.5 fen), Shaoyao (Peony Root), Fuling (Poria), Gancao (Licorice Root, honey-fried), Danggui (Angelica Sinensis Root), Guizhi (Cinnamon Twig), Banxia (Pinellia Tuber) (each 2 fen), Chenpi (Tangerine Peel), Zhike (Bitter Orange Fruit), Mahuang (Ephedra Stem) (each 5 fen), Cangzhu (Atractylodes Lancea Rhizome) (1 qian), Houpo (Magnolia Bark) (4 fen).
Except for Guizhi (Cinnamon Twig) and Zhike (Bitter Orange Fruit) which are separately ground into coarse powder, cut the remaining twelve herbs finely, stir-fry slowly over low heat until color changes, spread to cool, then mix with the two coarse powders evenly. Add 1.5 zhan of water, 3 slices of Shengjiang (Fresh Ginger), decoct to 1 zhan, filter dregs, take warm, anytime.
Guizhi Gegen Tang (Cinnamon Twig and Kudzu Decoction)
Guizhi (Cinnamon Twig), Gegen (Kudzu Root), Chishaoyao (Red Peony Root), Shengma (Cimicifuga Rhizome), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root) (each 1 qian).
Cut finely. Add 3 slices of Shengjiang (Fresh Ginger) and 1 qian of Danshidou (Fermented Soybean), 1 zhan of water, decoct to 0.7 zhan, filter dregs, take warm, anytime.
Chaige Guizhi Tang (Bupleurum, Kudzu, and Cinnamon Twig Decoction)
Chaihu (Bupleurum Root), Gegen (Kudzu Root), Gancao (Licorice Root), Guizhi (Cinnamon Twig), Fangfeng (Saposhnikovia Root), Renshen (Ginseng), Baishaoyao (White Peony Root) (equal parts).
Cut finely. Add 3 slices of Shengjiang (Fresh Ginger), 1 zhan of water, decoct to 0.7 zhan, filter dregs, take warm, anytime.
The above three formulas are acrid-warm agents suitable for exterior cold pathogens.
[Attacking the Interior]
Sour-smelling, undigested stools, aversion to eating or vomiting indicate internal injury from diet. Use Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill); for cold food injury, use Shenyin Wan (Miraculous Response Pill).
Zishuang Wan (Purple Frost Pill) (for Bianzheng/developmental fever), Shenyin Wan (Miraculous Response Pill), Zhishi Wan (Immature Bitter Orange Pill), Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) (all for older children's food stagnation).
Qi Wu Shengma Wan (Seven-Ingredient Cimicifuga Pill)
Shengma (Cimicifuga Rhizome), Xijiao (Rhinoceros Horn), Huangqin (Scutellaria Root), Poxiao (Mirabilite), Zhizi Ren (Gardenia Seed), Dahuang (Rhubarb Rhizome) (each 2 liang), Danshi (Light Fermented Soybean) (2 sheng, slightly stir-fried).
Grind into powder, form pills with honey like millet seeds. Whenever limbs feel very hot and stools are difficult, take it, stopping when mild laxation occurs.
Beiji Wan (Emergency Aid Pill)
Muxiang (Aucklandia Root) (2.5 qian), Dahuang (Rhubarb Rhizome), Qianniu Mo (Pharbitis Seed Powder) (each 5 qian).
Grind into fine powder, bind with Shenqu (Medicated Leaven) paste into pills the size of mung beans. Take 5-7 pills before meals, washed down with Shan Zha (Hawthorn Fruit) decoction.
[Harmonizing the Middle]
Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction)
Renshen (Ginseng), Baizhu (Atractylodes Rhizome), Fuling (Poria), Sharen (Amomum Fruit), Juhong (Pomelo Peel) (each 1 qian), Gancao (Licorice Root) (0.5 fen).
With 1 zhong of water, decoct to 0.6 zhong, take warm before meals.
Hezhong San (Harmonize Middle Powder)
Houpo (Magnolia Bark, ginger juice-processed, fried) (1.5 qian), Renshen (Ginseng), Baizhu (Atractylodes Rhizome), Fuling (Poria) (each 1 qian), Ganjiang (Dried Ginger, processed), Gancao (Licorice Root, honey-fried) (each 6 fen).
Decoct with Ginger and Jujube, take.
[Example of Liu-Yi Formula]
Liuyi San (Six-to-One Powder) treats various heat syndromes, use temporarily.
Guifu Huashi (Talcum from Guizhou, water-classified, 6 liang net), Da Gancao (Large Licorice Root, peeled, powdered, 1 liang).
Mix evenly. Take 1 qian each time, mixed with Bohe Tang (Mint Decoction) or cold water. Adding 3 qian of processed Chensha (Cinnabar) makes Chensha Liuyi San (Cinnabar Six-to-One Powder), treating delirium, convulsions, and fright. Mix with Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta), Bohe (Mint), Tianma (Gastrodia Rhizome) decoction, cool, and mix. Adding 3 qian of Niuhuang (Calculus Bovis) and 3 qian of Chandouteng (Vitis Amurensis Stem) makes Tuihuo Dan (Fire-Removing Elixir), treating persistent high fever during early smallpox eruption and dense patches. Mix with Zicao (Arnebia Root), Mutong (Akebia Stem), Chantui (Cicada Slough), Digupi (Dogwood Bark), Honghua (Safflower), Niubangzi (Arctium Fruit), Pian Huangqin (Scutellaria Root slices), Dengcao (Juncus Effusus Pith) (equal parts) decoction, cool, and mix. This effectively reduces severity. Adding Yujin (Curcuma Rhizome) makes Niuhuang Liuyi San (Calculus Bovis Six-to-One Powder), treating post-smallpox abscesses/toxicity and epidemics, mixed with cold water, highly effective with frequent use.
Da Ling Dan (Great Spirit Elixir) treats high fever, mania, convulsions, delirium, red-purple spots that are dry and sunken, and all malignant syndromes.
Baishigao (White Talcum, water-classified, 3 liang), Xionghuang (Realgar, water-classified), Xijiao (Rhinoceros Horn) (each 3 qian), Chensha (Cinnabar, water-classified, 3.5 qian), Niuhuang (Calculus Bovis), Bingpian (Borneolum Syntheticum) (each 1 qian), Shexiang (Moschus) (0.5 fen).
Grind extremely fine, mix evenly. Decoct Shengma (Cimicifuga Rhizome), Gancao (Licorice Root), Fangfeng (Saposhnikovia Root), Bohe (Mint), Dengcao (Juncus Effusus Pith), Niubangzi (Arctium Fruit), Honghua (Safflower), Zicao (Arnebia Root), Huanglian (Coptis Rhizome) (each 3 qian) in 2 bowls of water until half bowl remains. Filter through fine silk, add 4 liang of honey, boil until drops form pearls. Mix with the powder to form pills the size of small longans, coat with Jinbo (Gold Foil). Take 1 pill with Dengxin Tang (Juncus Decoction); in summer, dissolve in cold water.
Wubi San (Peerless Powder) taken in the initial heat phase can thin out smallpox. It also treats black spots in smallpox, black sinking, and black smallpox.
Chensha (Cinnabar) (1 qian), Bingpian (Borneolum Syntheticum), Shexiang (Moschus), Niuhuang (Calculus Bovis) (each 0.5 fen, substitute Niudan Nanxing (Arisaema with Calves' Bile) if Niuhuang is unavailable), Nifen (Mercurous Chloride) (2 qian).
One prescription includes Chan Su (Toad Venom).
Grind into fine powder. One-year-old infants take 1 zi (approx. 0.3-0.5 g), older children 0.5 fen. Prick tail pig for 2-3 drops of blood, mix with fresh water, and swallow. Expelling evil toxins resembling rotten fish intestines or grape clusters indicates cure.
Xiao Wubi San (Minor Peerless Powder) treats smallpox with high fever, thirst, scanty urine, constipation, hot breath, restlessness, or dark purple/red spots. It is applicable from fever onset to eruption stage and for residual heat post-smallpox.
Guifu Huashi (Talcum from Guizhou, water-classified, 6 liang), Shigao (Gypsum Fibrosum, water-classified, 1 liang), Fencao (Licorice Root), Hanshuishi (Hydrocerus) (each 5 qian), Yujin (Curcuma Rhizome, cicada-belly type, small, boiled dry in Licorice decoction, powdered, 7 qian).
Process all into clean powders, mix evenly. Five-year-olds take 2 qian, adults increase. In winter, take with Dengxin Tang (Juncus Decoction). In summer, mix with well water. If heat persists, mix with Rhinoceros Horn juice from well water. If red-purple spots sink and do not rise, add 1 fen of Chanshijia (Pangolin Scale) powder, 0.5 fen of Shexiang (Moschus), and Zicao (Arnebia Root) decoction with 1-2 spoons of wine, mix and take, causing eruption.
Da Wubi San (Major Peerless Powder) treats excessive heat toxicity, fright, mania, delirium with thirst, and red-purple-black sunken smallpox.
Guima Huashi (Talcum, water-classified, 6 liang), Fencao (Licorice Root) (1 liang), Chensha (Cinnabar, water-classified, 3 qian), Xionghuang (Realgar, water-classified, 1 qian).
Grind into powder. Ages 3-5 take 1 qian, age 10 takes 2 qian. At the beginning of fever, take mixed with Baidu San (Detoxification Powder), which also thins smallpox.
After smallpox reports eruption, take with Dengxin Tang (Juncus Decoction).
[Cooling Blood and Detoxifying]
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) (for bleeding disorders), Xiaodu Yin (Detoxification Decoction) (for throat conditions).
Daimao Tang (Hawkbill Turtle Decoction) treats seasonal pea-sores and red rashes. For un-erupted cases, it resolves internally; for erupted cases, it clears toxic factors without allowing them to become excessive.
Sheng Daimao (Raw Hawkbill Turtle Shell), Sheng Xi (Raw Rhinoceros Horn) (each grind thickly in cold water to obtain 2 he of juice).
Mix well. Take 0.5 he per dose, warm, 4-5 times daily is best.
Also suitable for eruptions that are not smooth. Furthermore, for toxic factors attacking inward with dark purple/black color and slow eruption, use 1 he of thick Daimao water-grind juice, add 1 soap-sized piece of Zhu Xin Xue (Pig Heart Blood), and mix with thick Zicao (Arnebia Root) decoction as one dose. Daimao and Xijiao are slightly cold in nature, suitable for heat toxicity. Both treat plagues, miasma, resolve hundred toxins, unblock vessels, and reduce carbuncles. Thus, they are used to resolve accumulated toxicity.
Xijiao Yinzi (Rhinoceros Horn Drink) clears heat toxicity and removes wind-rash.
Xijiao (Rhinoceros Horn), Gancao (Licorice Root, honey-fried) (each 0.5 liang), Fangfeng (Saposhnikovia Root) (2 liang), Huangqin (Scutellaria Root) (1 liang).
Grind into coarse powder. Take 5 qian per dose, with 1 small zhan of water, decoct to 0.5 zhan, filter dregs, take warm, anytime.
Xijiao Tang (Rhinoceros Horn Decoction) treats pediatric measles, smallpox, and red sores.
Xijiao (Rhinoceros Horn, shaved), Dahuang (Rhubarb Rhizome, stir-fried), Sangbaipi (Mulberry Root Bark, honey-fried), Gouteng (Uncaria Ramulus cum Uncis), Gancao (Licorice Root, honey-fried), Mahuang (Ephedra Stem, nodes removed) (each 1 liang), Longdancao (Gentiana Root) (0.5 qian), Shigao (Gypsum Fibrosum), Gualou (Trichosanthes Fruit), Huang Qin (Scutellaria Root, honey-fried) (each 0.5 liang).
Grind into coarse powder. Take 1 qian per dose, with 1 small zhan of water, decoct to 0.4 zhan, filter dregs, take warm, adjust dosage by age. After sores recede, apply thick Xijiao water-grind externally for better effect. Qian's formulas also attach this prescription to treat excessive rashes preventing eye involvement, named Tiao Gan San (Regulate Liver Powder). This formula treats excess wind and qi, heart/liver blood-heat, internal dryness of fluids, constipation, upward flourishing of toxic factors, and unresolved exterior heat. Dahuang and Gualou treat internal dryness; Gouteng and Longdancao treat wind-blood heat; Sangbaipi and Shigao treat upper jiao heat; Mahuang and Huang Qin dissipate muscle heat; Xijiao and Gancao detoxify. Generally, medication must match the disease; then the disease goes and healthy qi recovers. Otherwise, it causes great harm. For instance, Xijiao San (Rhinoceros Horn Powder) should only be taken if there is multi-day constipation, panting, confusion, restlessness, and delirium. Otherwise, the medicine and disease do not match.
Duoming San (Life-Snatching Powder) is suitable for both erupted and un-erupted rashes.
Shengma (Cimicifuga Rhizome), Nuomi (Glutinous Rice), Zicao (Arnebia Root), Gancao (Licorice Root) (each 0.5 liang), Mutong (Akebia Stem) (2.5 qian).
Cut into powder. Take 1 large qian per dose, with 0.7 zhan of water, decoct to 0.4 zhan, filter dregs, take warm. Suitable for severe heat toxicity during rash eruption. Clears accumulated heat and promotes urination. Also suitable for strong qi at early smallpox eruption.
Niubang San (Arctium Powder) cools blood and detoxifies.
Stir-fry Niubangzi (Arctium Fruit) into powder, decoct with 1 zhan of water and take. In winter, abnormal warmth, or spring warmth, or overconsumption of sweet/fatty foods, or wearing heavy clothes, or tight curtains damaging skin and vessels, causing yellow sores and many diseases, regular preventive use is recommended.
Dusheng San (Single Victory Powder) treats pediatric smallpox/measles with slight morning fever, severe evening fever, yellow eyes, moving ribs, hot body with cold hands, and severe eruption resembling fright. Also called Niubang Jiangcan San (Arctium and Silkworm Powder).
Niubangzi (Arctium Fruit) (0.5 liang), Baijiangcan (White Silkworm) (0.1 fen).
Grind into coarse powder. Take 1 large qian per dose, with 0.6 zhan of water and 2-7 cun of Zicao (Arnebia Root), decoct to 0.4 zhan. Take three consecutive doses, and smallpox will erupt. Niubangzi helps expel pus and penetrate muscles; Baijiangcan treats widespread urticaria and painful sores. Taken as powder with wine, recovery is immediate. Alternatively, decoct with Zicao (Arnebia Root) to open orifices. Since rash/pox syndromes have no deficiency-cold patterns, taking this causes immediate eruption.
Jiedu Shudou Tang (Detoxification and Smallpox-Relieving Decoction) taken preventively to clear heat and remove toxicity. For erupted cases, clears heat-toxicity and rashes, also treats red-purple dry mouth, high fever, and delirium.
Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta), Qianghuo (Notopterygium Rhizome), Chaihu (Bupleurum Root), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica Root), Danggui (Angelica Sinensis Root), Lianqiao (Forsythia Fruit), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Shuniuzi (Arctium Fruit), Zicao (Arnebia Root), Chantui (Cicada Slough).
Decoct with Ginger and Scallion water, take.
An [San] (Peace Powder) regulates rashes.
Shengma (Cimicifuga Rhizome), Chi Fuling (Red Poria), Qianghuo (Notopterygium Rhizome), Huang Qi (Astragalus Root), Renshen (Ginseng), Jiegeng (Platycodon Root, fried), Zhike (Bitter Orange Fruit, bran-fried), Gancao (Licorice Root) (equal parts).
Grind into fine powder. Take 1 qian per dose, with 0.7 zhan of water, Zicao (Arnebia Root), Bohe (Mint), decoct to 0.4 zhan, filter dregs, take warm, adjust by age. This formula detoxifies, cools blood, generates flesh, widens intestines, guides heat, promotes urination, and benefits the diaphragm.