冬月伤寒，发热头痛，汗退场门渴，人以为太阳之症也，谁知太阳已趋入阳明乎。若徒用干
葛汤以治阳明，则头痛之症不能除；若徒用麻黄汤以治太阳，则汗出不能止，口渴不能解，势必变症
多端，轻变为重。法宜正治阳明而兼治少阳也。何则？邪入阳明留于太阳者，不过零星之余邪，
治太阳反伤太阳矣。故太阳不必治，宜正治阳明。盖阳明为多气多血之府，邪入其中，正足大恣
其凶横，而挟其腑之气血，为炎氛烈焰者，往往然也，故必须用大剂凉药，始可祛除其横暴也。
方用∶
石膏（一两） 知母（二钱） 麦冬（二两） 竹叶（二百片） 茯苓（三钱） 甘草（一钱）
人参（三钱） 柴胡（一钱） 栀子（一钱）水煎服。一剂而头痛除，二剂而身热退，汗止而口亦不渴矣。
此即白虎汤变方，用石膏、知母以泻其阳明之火邪；用柴胡、栀子以断其少阳之路径；
用麦冬以清补其肺金之气，使火邪不能上逼；用茯苓引火下趋于膀胱，从小便而出，而太阳余邪
尽随之而外泄也。至于人参、甘草、竹叶不过取其调和脏腑，所谓攻补兼施也。
或惧前方太重，则清肃汤亦可用也，并载之以备选用。
石膏（五钱） 知母（一钱） 麦冬（一两） 甘草 人参 柴胡 栀子（各一钱） 独活 半夏
（各五分） 水煎服。
冬月伤寒，发热口苦，头痛，饥不欲饮食，腹中时痛，人以为太阳之症也，谁知少阳之病乎。
夫伤寒未有不从太阳入者。由太阳而入阳明，由阳明而入少阳者，传经之次第也。何以邪入太阳，
即越阳明而入于少阳耶？人以为隔经之传也，而孰知不然。盖少阳乃胆经也，胆属木，木最恶金，
肺属金而主皮毛，风邪之来，肺金先受，肺欺胆木之虚，即移其邪于少阳，故太阳之症，往往多
兼少阳同病者。然则，此症乃二经同感，而非传经之症也。治法似亦宜二经同治矣，而又不然，
单治少阳而太阳之病自愈。方用∶
柴胡（二钱） 白芍（五钱） 甘草（一钱） 陈皮（一钱） 黄芩（一钱） 神曲（一钱） 白术（三钱） 茯
苓（三钱）
水煎服。一剂而热止，二剂而腹不痛，头不疼，而口亦不苦矣。
此方即逍遥散之变方也。盖病在半表半里之间，逍遥散既解散表里之邪，而太阳膀胱之邪何
能独留，况方中原有茯苓、白术，以利腰脐而通膀胱之气乎。余所以止加神曲、黄芩，少解其胃
中之火，以和其脾气，而诸症尽除也。
此病用舒经汤亦佳。
薄荷（二钱） 白芍（五钱） 甘草（八分） 黄芩（二分） 白术（二钱） 茯苓（五钱） 桂枝（三分） 水
煎服。
冬月伤寒，发热口渴，谵语，时而发厥，人以为热深而厥亦深也，疑是厥阴之症，谁知为太阴之症乎。
夫太阴脾土也，脾与阳明胃经为表里，表热而里亦热，此乃胃邪移入于脾经也。此症最危最急，盖人以
脾胃为主，脾胃尽为火邪所烁，而肾水有不立时熬干者乎。治法宜急救脾胃矣。然而救脾则胃火愈炽，
救胃则脾土立崩，此中之消息最难，惟当速救肾水之干枯而已。方用∶
玄参（三两） 甘菊花（一两） 熟地（一两） 麦冬（二两） 芡实（五钱） 水煎服。
此方名为救枯丹。用玄参以散其脾胃浮游之火，甘菊以消其胃中之邪，麦冬以滋其肺中之液，助
熟地以生肾水，庶几滂沱大雨，自天而降，而大地焦枯，立时优
渥，何旱魃之作祟乎。又恐过于汪洋，加入芡实以健其土气，而仍是肾经之药，则脾肾相宜，但得
其灌溉之功，而绝无侵凌之患。故一剂而谵语定，再剂而口渴除，三剂而厥亦止，身亦凉也。此
症世人未知治法，即仲景张使君亦未尝谈及，天师因（士铎）之请，特传神奇治法，以为伤寒门中
之活命丹也。
此症用清土散亦妙。
石膏（一两） 麦冬（一两） 生地（一两） 甘草（一钱） 金银花（五钱） 白术（三钱） 水煎服。
冬月伤寒，大汗而热未解，腹又痛不可按，人以为邪发于外未尽，而内结于腹中，乃阳症变阴之
症也，余以为不然。夫伤寒而至汗大出，是邪随汗解，宜无邪在其中，何至腹痛？此乃阳气尽亡，
阴亦尽泄，腹中无阴以相养，有似于邪之内结而作痛，盖阴阳两亡之急症也。夫痛以可按为虚，不可
按为实，何以此症不可按，而又以为虚乎？不知阴阳两亡腹中，正在将绝之候，不按之已有疼痛难忍
之时，况又按而伤其肠胃，安得不重增其苦，所以痛不可接也。如遇此症，急不可缓，方用急
救阴阳汤。用∶
人参（二两） 黄 （三两） 当归（一两） 熟地（二两） 甘草（三钱） 白术（二两）
水煎服。一剂而腹痛顿止，身热亦解，汗亦尽止矣。
此方用参、 以补气，使阳回于阴之内；用当归、熟地以补血，使阴摄于阳之中；用白术、甘
草和其肠胃，而通其腰脐，使阴阳两归于气海、关元，则亡者不亡，而绝者不绝也。倘认是阳症变阴，
纯用温热之剂，加入肉桂、干姜、附子之类，虽亦能回阳于顷刻，然内无阴气，阳回而阴不能摄，亦
旋得而旋失矣。
此症用救亡散亦易奏功。
人参 当归 熟地（各一两） 甘草（二钱） 附子（一片） 水煎服。
冬月伤寒，大汗热解，腹微痛，腰不可俯仰。人以为邪在肾经未出，欲用 丸加防己治之，
非其治也，此乃发汗亡阳，阳虚而阴不能济之故也。夫阴阳相根，此症因汗泄过多，阳气无几，而
阴又自顾不遑，不敢引阳入室，而阳无所归，故行于腹，孤阳无主而作痛；肾中之阴，又因阳气不归，
而孤阴无伴，不敢上行于河车之路，故腰不可以俯仰。方用引阳汤治之。
杜仲（一钱） 山药（五钱） 甘草（一钱） 茯苓（二钱） 芡实（三钱） 人参（三钱） 肉桂（三分）
白术（五钱）
水煎服。一剂而腹疼止，二剂而腰轻，三剂而俯仰自适矣。
此方助阳气之旺，而不去助阴气之微。盖阴之所以杜阳者，欺阳气之衰也，予所以助阳而不助阴
也。倘用 、防己以重损其阴阳，则终身不为废人者几希矣。
此症济阳汤亦可用。
杜仲（二钱） 山药（一两） 甘草（一钱） 人参（五钱） 白术（五钱） 破故纸（一钱） 水煎服。
冬月伤寒，大汗气喘不能息，面如朱红，口不能言，呼水自救，却仅能一口而不欲多饮。人以为
热极，欲用白虎汤以解其阳明之火也，而不知此为戴阳之症，乃上热而下寒也。若用白虎汤，虽多加人参，
下喉即亡矣。方用∶
八味地黄汤（半斤） 大锅煎汤，恣其渴饮。必熟睡半日，醒来汗必止，气必不喘，面必清白，
口必不渴矣。
盖此症原不宜汗而汗之，以致大发其汗。汗既大出，而阳邪尽泄，阳气尽散，阴亦随之上升，欲
尽从咽喉而外越。以皮毛出汗，而阴气奔腾不得尽随汗泄，故直趋咽喉大路，不可止抑矣。阴既上升，
阳又外泄，不能引阴而回于气海，阳亦随阴
而上，而阴气遂逼之而不可下，故气喘不能息也。且阳既在上，火亦在上者势也。况阴尽上升，则
肾宫寒极，下既无火，而上火不得归源，故泛炎于面，而作红朱之色也。上火不散，口自作渴，呼
水自救者，救咽喉之热，而非欲救肠胃之热也。夫实热多成于胃火，而胃热之病，必多号 狂呼之状，
今气虽喘息而宁，口欲言语而不得，非虚热而何？此真所谓上假热而下真寒也。八味地黄汤补水之中，
仍是补火之药。下喉之时，火得水而解，入胃之后，水得火而宁，调和于上下之间，灌注于肺肾之际，
实有妙用也。夫发汗亡阳，本是伤气也，何以治肾而能奏功耶？不知亡阳之症，内无津液，以致内火
沸腾，我大补其真阴，则胃得之而息其焰。胃火一息，而肾之关门闭矣。肾之关门闭，而胃之土气
自生。胃之土气生，而肺金之气有不因之而得养者乎。肺气一生，自然清肃之令行，母呼子归，同气
相招，势必下引肾气，而自归于子舍矣。肾气既归，而肾宫之中又有温和春色以相熏，又得汪洋春
水以相育，则火得水而生，水得火而悦，故能奏功之神且速也。
返火汤治此症亦神。
熟地（三两） 山茱萸（一两） 肉桂（三钱） 水煎服。
冬月伤寒发厥，面青手冷，两足又热，人以为直中阴寒也，宜用理中汤治之，而不知非其治也，此
乃肝气邪郁而不散，风邪在半表半里之间也。若用理中汤治之，必然发狂而死矣。夫直中阴寒之
症，未有不从足而先冷者也。今两足既热，其非直中肝经明矣。夫邪既不在肝经，似乎不可径治肝经
矣。然而邪虽不在肝经之内，而未尝不在肝经之外也。邪在门外，与主人何豫，而忽现发厥、面青、
手冷之症耶？不知震邻之恐，犹有警惕之心，岂贼在大门之外，而主人有不张惶色变者乎。倘用
理中汤，是用火攻以杀贼，贼未擒，烧而房舍先焚，贼且乘火而突入于中庭，必至杀主人而去矣。治
法用小柴胡汤加减，以散其半表半里之邪，而肝气自安，外邪化为乌有。方用∶
柴胡（二钱） 白芍（五钱） 甘草（一钱） 当归（一钱五分） 黄芩（一钱） 半夏（一钱） 水煎服。一剂
而手温，再剂而厥止，身热尽除，而面青自白矣。
此症用七贤汤亦甚效。
白芍 白术（各五钱） 甘草（一钱） 肉桂（三分） 柴胡（一钱） 丹皮（三钱） 天花粉（二钱） 水煎服。
一剂即安。
冬月伤寒，身热汗自出，恶寒而不恶热，人以为阳明之症也，欲用石膏汤治之，
而不知非也。汗出似阳明，然阳明未有不恶热者。今不恶热而恶寒，此阳气甚虚，
邪欲出而不出，内热已解，而内寒未散之症也。此症必因误汗所致。方用补中益气汤∶
人参（三钱） 黄 （三钱） 白术（二钱） 当归（二钱） 柴胡（一钱） 升麻（四分） 陈皮（一钱）
甘草（一钱） 加桂枝（五分），水煎服。一剂而汗止身凉，寒亦不恶矣。
夫补中益气之汤，非治伤寒之症也，李东垣用之以治内伤之病，实有神功。我
何所取乎？不知伤寒之中，亦有内伤之病，正不可拘拘于伤寒，而不思治变之方也。
况此症因误汗而成者，汗已出矣，邪之存于经络者必浅，即有畏寒，其寒邪亦必不
重，是外感而兼内伤也。补中益气汤，补正之中而仍有祛邪之药，故兼用之而成功
也，况又加桂枝散寒之味乎。倘误认作阳明之症，而妄用白虎汤，少投石膏，鲜不
变为虚寒之病而死矣，辨症乌可不明哉。
温正汤亦可用。
人参（五钱） 黄 （一两） 当归（五钱） 柴胡（一钱） 甘草（五分） 神曲（一钱） 桂枝（三分） 水
煎服。
冬月伤寒，身热五六日不解，谵语口渴，小便自利，欲卧，人以为阳明之余热
未解也，而予以为不然。夫谵语虽属胃热，然胃热谵语者，其声必高，拂其意必怒。
今但谵语而低声，非胃热也。但既非胃热，何以口中作渴，欲饮水以自救耶？然口
渴饮水，水不化痰上涌，反直走膀胱而小便自利，其非胃热又明矣。夫阳明火盛，
多致发狂，今安然欲卧，岂是胃热之病。但既不是胃热，何以谵语、口渴不解，至
五六日而犹然耶？不知此症乃心虚之故也。心虚则神不守舍而谵语，心虚则火起心
包而口渴。夫心与小肠为表里，水入心而心即移水于小肠，故小便自利也。治法用∶
茯苓（五钱） 麦冬（一两） 丹皮（二钱） 柴胡（一钱） 甘草（五分） 水煎服。一剂而谵语止，
二剂而口渴除，身热亦解。
此方名为清热散。用麦冬以补心，用茯苓以分消火热，用柴胡、丹皮、甘草以
和解其邪气。心气足而邪不能侵，邪尽从小肠以泄出，而心中宁静，津液自生，故
渴除而肾气上交于心，而精自长亦不思卧矣。倘疑为胃热，而用白虎或用青龙之汤，
鲜不败衄矣。
凉解汤亦可用。
茯神（三钱） 麦冬（五钱） 玄参（一两） 柴胡（一钱） 甘草（三分） 炒枣仁（二钱） 水煎服。
冬月伤寒，至五六日往来寒热，胸胁苦满，或呕或吐，或渴或不渴，或烦或不
烦，人以为少阳之病也，宜用小柴胡汤和解之。夫小柴胡汤治少阳邪之圣药，用之
似乎无不宜也。以少阳居于表里之间，邪入而并于阴则寒，邪出而并于阳则热，故
痰结于胸而苦满，欲吐不吐，欲渴不渴，而烦闷生矣。用柴胡汤和解之自易奏功，
然而止可一用，而不可常用也。盖少阳胆木，最喜者水耳，其次则喜风。柴胡风药，
得之虽可以解愠，然日以风药投之，则风能燥湿，愈见干枯，必以大雨济之，则郁
郁葱葱，其扶疏青翠为何如耶。譬之炎夏久旱，禾苗将至枯槁，必得甘霖 足，庶
乎可救。故用柴胡汤之后，必须用补水之剂以济之。方用济生汤∶
熟地（五钱） 玄参（五钱） 麦冬（三钱） 山茱萸（一钱） 山药（三钱） 茯苓（二钱） 白芍（三钱）
柴胡（五分） 神曲（三分） 竹茹（一丸） 水煎服。一剂而烦满除，再剂而寒热止，三剂而前症
尽失也。
In winter, contracting cold pathogen (Shanghan), presenting with fever and headache, followed by sweating and thirst. People assume it is a Taiyang disease (disease of the Taiyang channel). Little do they know that the pathogen has already moved from Taiyang to Yangming. If one merely uses Gan Ge Tang (Pueraria Decoction) to treat Yangming, the headache will not be resolved; if one merely uses Mahuang Tang (Ephedra Decoction) to treat Taiyang, the sweating will not stop, nor will the thirst be relieved. This inevitably leads to numerous complications, turning mild cases into severe ones. The appropriate method is to primarily treat Yangming while concurrently treating Shaoyang. Why? Because the pathogen entering Yangming leaves only scattered residual evil in Taiyang; treating Taiyang directly would instead injure Taiyang. Therefore, Taiyang need not be treated; rather, Yangming should be treated primarily. Yangming is the fu-organ abundant in qi and blood. When pathogen enters here, it can wreak havoc, carrying the qi and blood of the fu to create fierce inflammatory heat, which is common. Thus, large doses of cooling herbs are required to dispel this violent pathogen. Prescription:
Shi Gao (Gypsum Fibrosum, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 2 qian), Mai Dong (Ophiopogonis Radix, 2 liang), Zhu Ye (Bambusae Folium, 200 leaves), Fu Ling (Poria, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ren Shen (Ginseng Radix, 3 qian), Chai Hu (Bupleuri Radix, 1 qian), Zhi Zi (Gardeniae Fructus, 1 qian). Decoct in water and take orally. After one dose, headache resolves; after two doses, body heat subsides, sweating stops, and thirst ceases.
This is a modified Bai Hu Tang (White Tiger Decoction). Shi Gao and Zhi Mu clear the fire pathogen of Yangming; Chai Hu and Zhi Zi block the pathway of Shaoyang; Mai Dong clears and tonifies Lung Metal qi, preventing fire pathogen from forcing upward; Fu Ling guides fire downward to the Bladder for excretion via urination, causing residual Taiyang pathogen to exit externally as well. Ren Shen, Gan Cao, and Zhu Ye merely harmonize the zang-fu organs, embodying the principle of simultaneous attack and supplementation.
Some may fear the previous prescription is too heavy; Qing Su Tang (Clear and Purify Decoction) can also be used, recorded here for selection.
Shi Gao (5 qian), Zhi Mu (1 qian), Mai Dong (1 liang), Gan Cao, Ren Shen, Chai Hu, Zhi Zi (each 1 qian), Du Huo (Angelicae Pubescentis Radix), Ban Xia (Pinelliae Rhizoma) (each 5 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, presenting with fever, bitter taste in mouth, headache, hunger but lack of appetite, and intermittent abdominal pain. People assume it is a Taiyang symptom, little knowing it is a Shaoyang disease.
Cold pathogen always enters from Taiyang. Transmission from Taiyang to Yangming, then to Shaoyang follows the sequence of meridian transmission. Why does the pathogen enter Taiyang, skip Yangming, and go directly to Shaoyang? People attribute this to skipping meridians, but this is incorrect. Shaoyang is the Gallbladder meridian; Gallbladder belongs to Wood, and Wood most dislikes Metal. Lung belongs to Metal and governs skin and hair. When wind pathogen arrives, Lung Metal is affected first. Bullying the deficiency of Gallbladder Wood, Lung transfers the pathogen to Shaoyang. Hence, Taiyang symptoms often coexist with Shaoyang. Thus, this condition involves simultaneous infection of two meridians, not meridian transmission. Treatment seems to require addressing both meridians, yet this is not so; treating only Shaoyang allows Taiyang disease to heal spontaneously. Prescription:
Chai Hu (2 qian), Bai Shao (Paeoniae Radix Alba, 5 qian), Gan Cao (1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Huang Qin (Scutellariae Radix, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Fu Ling (3 qian). Decoct in water and take orally. After one dose, fever stops; after two doses, abdominal pain ceases, headache disappears, and bitter taste vanishes.
This formula is a modification of Xiao Yao San (Free and Easy Wanderer Powder). Since the disease lies between exterior and interior, Xiao Yao San disperses exterior-interior pathogens, leaving no room for Taiyang Bladder pathogen to remain alone. Moreover, the original formula contains Fu Ling and Bai Zhu to benefit the waist and umbilicus and unblock Bladder qi. I added only Shen Qu and Huang Qin to slightly resolve stomach fire and harmonize spleen qi, thereby eliminating all symptoms.
Shu Jing Tang (Unbind Meridians Decoction) is also excellent for this condition.
Bo He (Menthae Haplocalycis Herba, 2 qian), Bai Shao (5 qian), Gan Cao (8 fen), Huang Qin (2 fen), Bai Zhu (2 qian), Fu Ling (5 qian), Gui Zhi (Cinnamomi Ramulus, 3 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, presenting with fever, thirst, delirium, and occasional cold limbs. People believe deep heat causes deep cold, suspecting Jueyin disease, little knowing it is Taiyin disease.
Taiyin belongs to Spleen Earth. Spleen and Yangming Stomach are exterior-interior pairs. Exterior heat implies interior heat; this is stomach pathogen transferring to Spleen meridian. This condition is critical and urgent. Humans rely on Spleen and Stomach as the foundation. If Spleen and Stomach are scorched by fire pathogen, will not Kidney Water dry up immediately? Treatment should urgently rescue Spleen and Stomach. However, rescuing Spleen intensifies Stomach fire, while rescuing Stomach causes Spleen Earth to collapse instantly. The nuance is difficult; one must quickly rescue the dryness of Kidney Water. Prescription:
Xuan Shen (Scrophulariae Radix, 3 liang), Gan Ju Hua (Chrysanthemi Flos, 1 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Mai Dong (2 liang), Qian Shi (Nelumbinis Semen, 5 qian). Decoct in water and take orally.
This formula is named Jiu Ku Dan (Save the Withered Pill). Xuan Shen dissipates floating fire of Spleen and Stomach; Gan Ju eliminates stomach pathogen; Mai Dong moistens Lung fluid; assisting Shu Di to generate Kidney Water. Like torrential rain falling from heaven, parched earth is instantly nourished, defeating drought demons. To prevent excessive flooding, Qian Shi strengthens Earth qi, remaining a Kidney meridian herb, thus harmonizing Spleen and Kidney. It provides irrigation without invasion. One dose stabilizes delirium; two doses relieve thirst; three doses stop cold limbs and cool the body. Worldly people do not know this treatment; even Zhang Zhongjing did not discuss it. Chen Shiduo transmitted this miraculous method at the request of Tian Shi, calling it a life-saving pill for Shanghan.
Qing Tu San (Clear Earth Powder) is also effective for this condition.
Shi Gao (1 liang), Mai Dong (1 liang), Sheng Di Huang (Rehmanniae Radix, 1 liang), Gan Cao (1 qian), Jin Yin Hua (Lonicerae Japonicae Flos, 5 qian), Bai Zhu (3 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, profuse sweating with unresolved heat, and abdominal pain intolerable to pressure. People think external pathogen is incomplete and internally knotted in abdomen, a Yang syndrome transforming into Yin. I disagree. Profuse sweating indicates pathogen resolving with sweat; there should be no pathogen left, why abdominal pain? This is total loss of Yang Qi and exhaustion of Yin, leaving abdomen without Yin nourishment, resembling internal knotting pain, actually an emergency of dual loss of Yin and Yang. Generally, pain relievable by pressure is deficiency; untouchable pain is excess. Why is this untouchable yet deficiency? Dual loss of Yin and Yang signifies imminent death. Even without pressure, pain is unbearable; pressing further damages intestines and stomach, increasing suffering, hence untouchable. For such cases, urgency permits no delay. Use Ji Jiao Yin Yang Tang (Urgently Rescue Yin and Yang Decoction):
Ren Shen (2 liang), Huang Qi (Astragali Radix, 3 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang), Shu Di Huang (2 liang), Gan Cao (3 qian), Bai Zhu (2 liang). Decoct in water and take orally. One dose stops abdominal pain instantly, resolves body heat, and halts sweating.
This formula uses Ren Shen and Huang Qi to tonify Qi, returning Yang within Yin; Dang Gui and Shu Di tonify Blood, holding Yin within Yang; Bai Zhu and Gan Cao harmonize intestines and stomach, unblocking waist and umbilicus, guiding Yin and Yang to Qi Hai and Guan Yuan points. Thus, lost is not lost, severed is not severed. Mistaking this for Yang transforming to Yin and using purely warming agents like Rou Gui (Cinnamomi Cortex), Gan Jiang (Zingiberis Rhizoma), or Fu Zi (Aconiti Lateralis Radix Praeparata) might restore Yang momentarily, but without Yin to hold it, Yang returns only to be lost again.
Jiu Wang San (Save the Dying Powder) works easily for this condition.
Ren Shen, Dang Gui, Shu Di (each 1 liang), Gan Cao (2 qian), Fu Zi (1 slice). Decoct in water and take orally.
In winter, contracting cold pathogen, profuse sweating with resolved heat, slight abdominal pain, and inability to bend or extend the waist. People think pathogen remains in Kidney meridian, wanting to use pills with Fang Ji (Stephaniae Tetrandrae Radix), which is incorrect. This results from sweating causing Yang loss; Yang deficiency prevents Yin from assisting. Yin and Yang root each other. Excessive sweating leaves little Yang; Yin cannot guide Yang inward, leaving Yang homeless, wandering abdomen, causing pain due to lonely Yang without master. Kidney Yin, lacking Yang companion, dares not ascend via He Che road, causing waist stiffness. Treat with Yin Yang Tang (Guide Yang Decoction):
Du Zhong (Eucommiae Cortex, 1 qian), Shan Yao (Dioscoreae Rhizoma, 5 qian), Gan Cao (1 qian), Fu Ling (2 qian), Qian Shi (3 qian), Ren Shen (3 qian), Rou Gui (3 fen), Bai Zhu (5 qian). Decoct in water and take orally. One dose stops abdominal pain; two lightens waist; three restores flexibility.
This formula boosts vigorous Yang without boosting weak Yin. Yin obstructs Yang because it bullies Yang's weakness; thus, I boost Yang without boosting Yin. Using Fu Zi and Fang Ji would severely damage Yin and Yang, likely resulting in lifelong disability.
Ji Yang Tang (Rescue Yang Decoction) is also usable.
Du Zhong (2 qian), Shan Yao (1 liang), Gan Cao (1 qian), Ren Shen (5 qian), Bai Zhu (5 qian), Po Gu Zhi (Psoraleae Fructus, 1 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, profuse sweating, panting unable to breathe, face red like vermilion, inability to speak, calling for water to save self, but drinking only one mouthful, unwilling to drink more. People think extreme heat, wanting to use Bai Hu Tang to clear Yangming fire, unaware this is Dai Yang syndrome (Floating Yang), upper heat and lower cold. Using Bai Hu Tang, even with extra Ren Shen, would cause death upon ingestion. Prescription:
Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill, 0.5 jin). Decoct in large pot, allow free drinking. Must sleep soundly for half a day. Upon waking, sweating stops, breathing normalizes, face becomes pale and clear, thirst ceases.
This condition originally should not have been sweated, but mistaken sweating caused profuse perspiration. With massive sweating, Yang pathogen dissipates, Yang Qi scatters, Yin rises with it, attempting to escape via throat. Skin pores sweat, but surging Yin cannot fully exit with sweat, rushing straight to throat, unstoppable. Yin rising, Yang leaking, unable to guide Yin back to Qi Hai, Yang follows Yin upward, Yin forces Yang down, causing panting. Yang above, Fire above is natural. Yin rising means extreme cold in Kidney Palace; lower lacks fire, upper fire cannot return to source, flaming face red. Upper fire不散, mouth thirsty, calling for water saves throat heat, not stomach heat. Excess heat usually stems from Stomach Fire, characterized by screaming madness. Here, breathing is calm despite panting, speechless, indicating deficiency heat. Truly upper false heat and lower true cold. Ba Wei Di Huang Wan supplements water while supplementing fire. Swallowed, fire resolves with water; in stomach, water calms with fire. Harmonizing upper and lower, irrigating Lung and Kidney, truly miraculous. Sweating causing Yang loss injures Qi; why treat Kidney to succeed? Yang loss means no fluids, boiling internal fire. Greatly tonifying True Yin quenches Stomach flame. Once Stomach fire rests, Kidney gate closes. Closed gate generates Stomach Earth qi. Generated Earth qi nourishes Lung Metal. Nourished Lung Metal executes clearing function. Mother calls son, same qi attracts, inevitably drawing Kidney Qi back to its home. Kidney Qi returned, warmed by spring-like warmth and nourished by spring water, Fire born from Water, Water pleased by Fire, achieving swift efficacy.
Fan Huo Tang (Return Fire Decoction) treats this condition miraculously.
Shu Di Huang (3 liang), Shan Zhu Yu (Corni Fructus, 1 liang), Rou Gui (3 qian). Decoct in water and take orally.
Winter Shanghan causing cold limbs, blue face, cold hands, hot feet. People think direct invasion of Yin Cold, suggesting Li Zhong Tang, which is incorrect. This is Liver Qi stagnation and dispersion failure, Wind pathogen between exterior and interior. Using Li Zhong Tang would cause madness and death. Direct Yin Cold invasion always starts with cold feet. Hot feet prove not direct Liver meridian invasion. Pathogen not inside Liver meridian suggests not treating Liver directly. Yet, pathogen outside meridian affects owner. Neighbor's shock brings vigilance; thief outside door causes panic. Using Li Zhong Tang is attacking fire against thief; house burns before thief caught, thief enters courtyard, kills owner. Treat with modified Xiao Chai Hu Tang (Minor Bupleurum Decoction) to scatter exterior-interior pathogen, calming Liver Qi, dissolving external evil. Prescription:
Chai Hu (2 qian), Bai Shao (5 qian), Gan Cao (1 qian), Dang Gui (1.5 qian), Huang Qin (1 qian), Ban Xia (1 qian). Decoct in water and take orally. One dose warms hands; two stops cold limbs, removes body heat, face turns white.
Qi Xian Tang (Seven Worthies Decoction) is very effective for this condition.
Bai Shao, Bai Zhu (each 5 qian), Gan Cao (1 qian), Rou Gui (3 fen), Chai Hu (1 qian), Dan Pi (Moutan Cortex, 3 qian), Tian Hua Fen (Trichosanthis Radix, 2 qian). Decoct in water and take orally. Calms after one dose.
Winter Shanghan, body heat, spontaneous sweating, aversion to cold but not heat. People think Yangming disease, wanting Shi Gao Tang, which is wrong. Sweating resembles Yangming, but Yangming always hates heat. Aversion to cold, not heat, indicates severe Yang deficiency, pathogen wanting to exit but failing, internal heat resolved, internal cold unresolved. Caused by mistaken sweating. Use Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction):
Ren Shen (3 qian), Huang Qi (3 qian), Bai Zhu (2 qian), Dang Gui (2 qian), Chai Hu (1 qian), Sheng Ma (Cimicifugae Rhizoma, 4 fen), Chen Pi (1 qian), Gan Cao (1 qian). Add Gui Zhi (5 fen). Decoct in water and take orally. One dose stops sweating, cools body, relieves aversion to cold.
Bu Zhong Yi Qi Tang treats internal injury, not Shanghan, invented by Li Dongyuan with divine merit. Why use it? Shanghan includes internal injury cases; one must not rigidly stick to Shanghan methods but seek variable treatments. This case resulted from mistaken sweating; pathogen in meridians is shallow, cold mild, constituting external contraction with internal injury. Bu Zhong Yi Qi Tang tonifies righteousness while expelling pathogen, hence successful, especially with Gui Zhi to disperse cold. Mistaking for Yangming and using Bai Hu Tang with Shi Gao would likely turn it into deficiency-cold disease, leading to death. How important accurate differentiation is!
Wen Zheng Tang (Warm and Correct Decoction) is also usable.
Ren Shen (5 qian), Huang Qi (1 liang), Dang Gui (5 qian), Chai Hu (1 qian), Gan Cao (5 fen), Shen Qu (1 qian), Gui Zhi (3 fen). Decoct in water and take orally.
Winter Shanghan, body heat unresolved for 5-6 days, delirium, thirst, free urination, desire to lie down. People think residual Yangming heat, I disagree. Delirium belongs to Stomach Heat, but Stomach Heat delirium features loud voice and anger when provoked. Here, delirium is low-voiced, not Stomach Heat. If not Stomach Heat, why thirst and desire to drink? Drinking water does not produce phlegm but goes straight to Bladder, causing free urination, proving not Stomach Heat. Yangming Fire excess causes madness; here, peaceful desire to lie down contradicts Stomach Heat. If not Stomach Heat, why persistent delirium and thirst for 5-6 days? This is Heart Deficiency. Heart deficiency causes Spirit not guarding residence (delirium); Heart deficiency causes Fire arising in Pericardium (thirst). Heart and Small Intestine are exterior-interior. Water entering Heart moves to Small Intestine, hence free urination. Treatment:
Fu Ling (5 qian), Mai Dong (1 liang), Dan Pi (2 qian), Chai Hu (1 qian), Gan Cao (5 fen). Decoct in water and take orally. One dose stops delirium; two relieves thirst; body heat resolves.
Named Qing Re San (Clear Heat Powder). Mai Dong tonifies Heart; Fu Ling disperses heat; Chai Hu, Dan Pi, Gan Hao harmonize pathogen. Strong Heart Qi repels pathogen; pathogen exits via Small Intestine, Heart calms, fluids generate, thirst ceases, Kidney Qi ascends to Heart, essence grows, sleepiness vanishes. Suspecting Stomach Heat and using Bai Hu or Qing Long Tang would likely cause nosebleeds.
Liang Jie Tang (Cool and Resolve Decoction) is also usable.
Fu Shen (Poria with Hostwood, 3 qian), Mai Dong (5 qian), Xuan Shen (1 liang), Chai Hu (1 qian), Gan Cao (3 fen), Chao Zao Ren (Ziziphi Spinosani Semen, 2 qian). Decoct in water and take orally.
Winter Shanghan, days 5-6 alternating chills and fever, fullness and distress in chest and hypochondrium, vomiting or spitting, thirst or no thirst, irritability or no irritability. People think Shaoyang disease, suggesting Xiao Chai Hu Tang for harmonization. Xiao Chai Hu Tang is the holy medicine for Shaoyang pathogen, seemingly suitable. Shaoyang lies between exterior and interior; pathogen entering Yin causes chills, exiting Yang causes fever. Phlegm knots in chest causing fullness, urge to vomit but not, urge to thirst but not, generating irritability. Chai Hu Tang harmonizes easily, but usable only once, not commonly. Shaoyang Gallbladder Wood loves Water most, then Wind. Chai Hu is a Wind herb; while it resolves resentment, daily use dries dampness, causing dryness. Rain is needed for lush growth. Like summer drought withering crops, sweet rain is needed for rescue. After Chai Hu Tang, must use water-supplementing agents. Prescription: Ji Sheng Tang (Generate Life Decoction):
Shu Di Huang (5 qian), Xuan Shen (5 qian), Mai Dong (3 qian), Shan Zhu Yu (1 qian), Shan Yao (3 qian), Fu Ling (2 qian), Bai Shao (3 qian), Chai Hu (5 fen), Shen Qu (3 fen), Zhu Ru (Bambusae Caulis in Taedia, 1 pill). Decoct in water and take orally. One dose removes irritability/fullness; two stops chills/fever; three eliminates prior symptoms.