托里消毒散加减法 初肿头痛发热，邪在表也，加川芎、羌活。若外邪在表，而元
气实者，暂用人参败毒散。头痛恶寒表虚也，去金银花、连翘，加参 。体倦头痛或眩晕，
中气虚也，去三味加柴胡、升麻。如不应，暂用补中益气汤，加蔓荆子。日晡头痛或眩晕，
阴血虚也，去三味加熟地黄。如不应，佐以六味丸。梦泄遗精，头晕头痛，或痰喘气促，
肾虚不能纳气也，去三味并川芎，佐以六味丸。如不应，大虚寒也，用八味丸。
托里消毒散加减法 面目赤色，烦热作渴，脉大而虚，血脱发躁也，去三味加黄 、
当归，如不应，暂用当归补血汤。身热恶衣，欲投于水，脉沉微细，气脱发躁也，去三味
加肉桂、附子。如不应，暂用附子理中汤。
托里消毒散加减法 善思体痛，无寐盗汗，脾血虚也，去三味加茯苓、远志、酸枣
仁、圆眼肉。如不应，暂用归脾汤。寝寐而汗出，肾气虚也，去三味加五味子煎送六味
丸。饮食而汗出，胃气虚也，去三味加参 、归术、五味子。如不应，暂用六君子汤。睡
觉饱而出盗汗，宿食也，去三味加参、术、半夏。如不应，暂用六君子汤。
托里消毒散加减法 胸满多痰，脾气虚也，去三味加桔梗、半夏。如不应，暂用六
君子汤，加桔梗、枳壳。晡热多痰，脾血虚也，去三味加归地、参术。如不应，暂用六
君子汤加芎归、熟地。咳嗽唾痰，肾亏津液泛上也，去三味加山茱萸、山药、熟地。如
不应，佐以六味丸。
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
If swelling appears initially accompanied by headache and fever, it indicates pathogenic factors in the exterior. Add Chuanxiong Rhizome (Chuanxiong Radix) and Notopterygii Rhizoma et Radix (Qianghuo). If external pathogens are in the exterior but the primordial Qi is substantial, temporarily use Renshen Baidu San (Ginseng Detoxification Powder). Headache with aversion to cold indicates deficiency of the exterior; remove Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), and add Renshen (Ginseng Radix et Rhizoma). Fatigue, headache, or dizziness indicates deficiency of Middle Qi; remove "three ingredients" (referring to specific herbs in the original formula context, here kept as 'three ingredients' for fidelity, likely referring to dispersing/clearing herbs not suitable for deficiency), add Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma). If there is no response, temporarily use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Jingjie (Schizonepetae Herba) or Manjingzi (Vittatiae Fructus - note: text says Manjingzi, so Vitex Fruit). Afternoon headache or dizziness indicates deficiency of Yin-blood; remove "three ingredients", add Shudihuang (Rehmanniae Radix Preparata). If there is no response, assist with Liuwei Wan (Six-Ingredient Pill with Rehmannia). Nocturnal emission, dizziness, headache, or phlegm-wheezing with shortness of breath indicates Kidney deficiency failing to grasp Qi; remove "three ingredients" and Chuanxiong, assist with Liuwei Wan. If there is no response, it indicates severe deficiency-cold; use Bawei Wan (Eight-Ingredient Pill with Rehmannia).
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Redness of the face and eyes, irritability, heat, thirst, and a pulse that is large but empty indicate blood deficiency leading to floating Yang and restlessness; remove "three ingredients", add Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix). If there is no response, temporarily use Danggui Buxue Tang (Danggui Tonifies Blood Decoction). Body heat, aversion to wearing clothes, desire to throw oneself into water, and a pulse that is deep, minute, and fine indicate Qi deficiency leading to floating Yang and restlessness; remove "three ingredients", add Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Preparata). If there is no response, temporarily use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction).
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Excessive thinking causing body pain, insomnia, and night sweats indicate Spleen-blood deficiency; remove "three ingredients", add Fuling (Poria), Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), and Yuanyanrou (Longan Aril). If there is no response, temporarily use Guipi Tang (Restore the Spleen Decoction). Sweating during sleep indicates Kidney-Qi deficiency; remove "three ingredients", add Wuweizi (Schisandrae Fructus) decocted to take with Liuwei Wan. Sweating during eating indicates Stomach-Qi deficiency; remove "three ingredients", add Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), and Wuweizi. If there is no response, temporarily use Liujunzi Tang (Six-Gentlemen Decoction). Night sweats after sleeping full and then waking indicate retained food; remove "three ingredients", add Renshen, Baizhu, and Banxia (Pinelliae Rhizoma). If there is no response, temporarily use Liujunzi Tang.
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Chest fullness and excessive phlegm indicate Spleen-Qi deficiency; remove "three ingredients", add Jiegeng (Platycodonis Radix) and Banxia. If there is no response, temporarily use Liujunzi Tang with Jiegeng and Zhike (Aurantii Fructus). Afternoon heat and excessive phlegm indicate Spleen-blood deficiency; remove "three ingredients", add Danggui, Shudihuang, Renshen, and Baizhu. If there is no response, temporarily use Liujunzi Tang with Chuanxiong, Danggui, and Shudihuang. Cough with expectoration of phlegm indicates Kidney deficiency causing fluids to flood upward; remove "three ingredients", add Shanzhuyu (Corni Fructus), Shanyao (Dioscoreae Rhizoma), and Shudihuang. If there is no response, assist with Liuwei Wan.