冬月伤寒，身热一日即发谵语，人以为邪传阳明也，谁知其人素有阳明胃火，
风入太阳而胃火即沸然不静乎。治之法，若兼治阳明以泻胃热，治亦无瘥；然而太
阳之邪正炽，不专治太阳则卫之邪不能散，营之邪不能解；先去退阳明之火，未必
不引邪而入阳明，反助其腾烧之祸也。不若单治太阳，使太阳之邪不能深入，而阳
明之火不治而自散耳。方用平阳汤∶
桂枝（三分） 麻黄（一钱） 甘草（一钱） 青蒿（三钱） 天花粉（一钱） 水煎服。一剂
而身热退，谵语亦止矣。
此方少用桂枝而多用麻黄者，以寒轻而热重也。用青蒿为君者，青蒿退热而又
能散邪，且又能入膀胱而走于胃，既解膀胱之邪，而又解胃中之火，不特不引邪以
入阳明，而兼且散邪以出阳明也。方中又加天花粉者，以谵语必带痰气，天花粉善
消膈中之痰，而复无增热之虑，入于青蒿、桂枝、麻黄之内，通上达下，消痰而即
消邪也。痰邪两消，又何谵语乎。所以一剂而奏功耳。
此症亦可用争先汤∶
桂枝（五分） 麻黄（五分） 石膏（一钱） 麦冬（五钱） 茯苓（五钱） 半夏（八分） 水煎服。
冬月伤寒，身热二日即有如疟之状，人以为证传少阳也，谁知其人少阳之间原
有寒邪，一遇伤寒，随因之而并见乎。世见此等之症，以小柴胡汤投之亦能奏功，
然终非治法也。法当重治阳明，而兼治少阳为是。盖阳明之火邪未散，虽见少阳之
症，其邪仍留阳明也。邪留阳明，身发寒热而谵语发狂之病，未必不因之而起。惟
重治阳明，则胃中之火自解，使邪不走少阳，而少阳原存之寒邪孤立无党，何能复
煽阳明之焰？自然阳明火息，而少阳之邪亦解也。方用破邪汤∶
石膏（三钱） 柴胡（一钱） 半夏（一钱） 茯苓（三钱） 甘草（一钱） 麦冬（一两） 玄参（三钱） 陈
皮（一钱）
水煎服。一剂而身热解，如疟之症亦痊。
此方用石膏、玄参以治阳明之火，用麦冬以滋肺中之燥。盖肺燥即不能制肝
胆之过旺也，且肺燥必取给于胃，则胃土益加干枯，其火愈炽矣。今多用麦冬，使
肺金得润，不必有藉于胃土，则肺气得养，自能制肝、胆之木，而少阳之邪，何敢
附和胃火以作祟乎。况柴胡原足以舒少阳之气，而茯苓、甘草、半夏、陈皮之类，
更能调和于阳明、少阳之间，邪无党援，安得而不破哉。
此症用八公和阳汤亦神。
石膏（一钱） 柴胡（二钱） 茯苓（三钱） 白术（二钱） 甘草（一钱） 炒栀子（一钱） 青皮（三分）
天花粉（一钱） 水煎服。
冬月伤寒，身热三日，腹满自利，人以为阳传于阴矣，而孰知不然。夫阴症腹
满自利，而阳症未闻无之也。不辨其是阳非阴，而概用治太阴之法，鲜有不死亡者
矣。然阴与阳何以辨之？夫太阴之自利，乃寒极而痛也；少阳之自利，乃热极而痛
也。痛同而症实各异。此痛必须手按之，按而愈痛是阳症也；若太阴阴症，按之而
不痛矣。故治阳症之法，仍须和解少阳之邪，而不可误治太阴也。方用加减柴胡汤治之。
柴胡（一钱） 白芍（五钱） 茯神（二钱） 甘草（一钱） 栀子（二钱） 陈皮（一钱） 当归（三钱）
枳壳（五分） 大黄（五分） 水煎服。一剂而腹满除，二剂而自利止矣，不必三剂也。
此方和解之中，仍寓微攻之意；分消之内，少兼轻补之思，所以火邪易散，而
正气又不伤也。若以大承气下之，未免过于推荡；若以大柴胡下之，未免重于分消，
所以又定加减柴胡汤，以治少阳腹满之自利耳。
此症亦可用和攻散∶
柴胡 栀子 丹皮（各二钱） 白芍（五钱） 茯苓（三钱） 甘草 陈皮 大黄（各一钱） 水煎服。
冬月伤寒，身热四日，畏寒不已，人以为太阴转少阴矣，谁知仍是太阴也。夫
太阴脾土也，少阴肾水也，似不相同，然而脾土乃湿土也，土中带湿，则土中原有
水象，故脾寒即土寒，而土寒即水寒也。所以不必邪传入肾，而早有畏寒之症矣。
治法不必治肾，专治脾而寒症自消。方用理中汤加减治之。
白术（一两） 人参（三钱） 茯苓（三钱） 肉桂（一钱） 附子（一钱） 水煎服。一剂而恶寒自解，
而身热亦解矣。
夫方中用桂、附似乎仍治少阴之肾，然而以参、术为君，仍是治脾而非治肾也。
虽然脾、肾原可同治，参、术虽治脾而亦能入肾；况得桂、附则无经不达，安在独
留于脾乎。然则治脾而仍是治肾，此方之所以神耳。
此症用加味桂附汤亦效。
白术（一两） 肉桂 干姜（各一钱） 附子 甘草（各五分） 水煎服。
冬月伤寒，身热五日，人即发厥，人以为寒邪已入厥阴也，谁知是肾水干燥，
不能润肝之故乎。夫发厥本是厥阴之症，邪未入厥阴，何以先为发厥？盖肝血燥极，
必取给于肾水，而肾水又枯，肝来顾母而肾受风邪，子见母之 ，自然有不共戴天
之恨，故不必邪入厥阴，而先为发厥，母病而子亦病也。治法无庸治肝，但治肾而
厥症自定，母安而子亦安也。方用子母两快汤∶
熟地（五钱） 麦冬（五钱） 当归（二钱） 山茱萸（三钱） 茯苓（二钱） 芡实（二钱）
山药（二钱） 玄参（五钱） 水煎服。一剂而厥定，再剂而身热亦愈也。
此方纯用补肾之味，惟当归滋肝之血也。治肾而治肝在其中，何必再用白芍以
平肝气耶。且此症又不可用白芍也，以白芍虽平肝气，可以定热厥于须臾，然而白
芍定厥未免过于酸收。与补水之药同用于无邪之日，易于生精；与补水之药同用于
有邪之顷，亦易于遏火。不若单用补肾之味，使水足以制火，而又无火留之害，为
更胜也。故子母两快汤所以不用芍药，而单用当归者，以当归之性动，不比芍药之
酸收耳。且当归善助熟地、山萸以生水，生水以滋肝，即补肾以制肝也。
冬月伤寒，身热六日，而汗不解，仍有太阳之症，人以为邪返于太阳也，谁知
是邪欲返于太阳而不能返乎。夫邪既不能返于太阳，当无太阳之症矣，治法宜不治
太阳也；然而不治太阳，而邪转有变迁之祸。盖邪既不能复返于太阳，窥太阳之门
而欲入者，亦势之所必至也。用太阳之药，引邪而归于太阳，而太阳曾已传过，邪
走原路而邪反易散矣。方用桂枝汤，少以散之，一剂而邪尽化也。倘多用桂枝汤则
焦头烂额，曷胜其祛除乎。此又用药之机权也。
此症用解邪汤亦佳。
桂枝（三分） 茯苓（五钱） 当归（三钱） 生地（五钱） 白术（三钱） 陈皮（三分）
甘草（一钱） 麦冬（五钱） 水煎服。
冬月伤寒，至七日而热犹未解，谵语不休，人以为证复传阳明也，谁知是邪欲
走阳明而阳明不受乎。天阳明已经前邪，见邪则拒，似乎邪之难入矣。然而切肤之
痛，前已备经，故一见邪再入太阳，惟恐邪之重入阳明也。所以震邻之恐先即呼号
而谵语生，非从前邪实而作谵语者可比。治法不必专治阳明，以截阳明之路，惟散
太阳之邪，而邪已尽散，断不复入阳明也。方用桂枝汤。一剂而谵语自止，又何必
用石膏汤以重伤胃气哉。
此症用和营汤亦神。
麻黄（三分） 茯苓（三钱） 当归（三钱） 玄参（五钱） 甘草（一钱） 麦冬（五钱） 竹叶（三十片）
半夏（五分） 水煎服。
冬月伤寒，至八日而潮热未已，人以为邪再传少阳矣，谁知是邪在阳明，欲出
而未出乎。夫阳明之府，多气多血之府也。气血既多，藏邪亦正不少。痰在胃
膈，原能自发潮热，不必假借少阳之经也。况邪又将出，而窥伺少阳，乃少阳前受
阳明之贻害，坚壁以拒，未免寒心，故现潮热之症，其实尚未入于少阳也。治法正
不须治少阳之邪，而单解阳明之热，阳明热解而少阳之邪自散矣。方用解胃汤∶
青蒿（五钱） 茯苓（二钱） 甘草（五分） 麦冬（五钱） 玄参（三钱） 竹叶（五十片） 水煎服。一剂
而胃热清矣，再剂而潮热退矣，不必三剂也。
此方息阳明之焰，而又能解少阳之氛，一方而两治。倘徒解少阳之氛，而阳明
愈炽矣；倘徒息阳明之焰，而少阳又燥矣。两阳有偏胜之虞，则二府必有独干之叹，
自然轻变为重，邪传正无已时。今一方两治，仍是单治阳明，而少阳治法已包于中，
所以能收全功也。
此症用发越汤亦妙。
葛根（三钱） 茯苓（五钱） 甘草（五分） 麦冬（三钱） 玄参（一两） 生地（三钱） 柴胡（五分） 水
煎服。
冬月伤寒，至九日而泻利不已，人以为邪入太阴，阳又变阴之症，谁知是阳欲
辞阴之病乎。夫变阴与辞阴何以辨之？变阴者，阳传入于阴也；辞阴者，阳传出于
阴也。入于阴则自利，岂出于阴而反自利乎。不知阴阳不相按时，多为泻利不已。
但入阴之自利，其腹必痛；出阴之自利，其腹不痛也。倘至九日而泻利不已，其腹
不痛者，正离阴之自利也。切戒不可用太阴止利之药，一用止利之药，而邪转入阴，
必成危证矣。法宜仍治少阳，而解其表里之邪，则自利自止，而寒热之邪亦散也。
方用小柴胡汤加减用之。
柴胡（一钱） 茯苓（三钱） 甘草 黄芩（各一钱） 陈皮（五分） 水煎服。一剂即止利，而寒
热顿解矣。
此方专解半表半里之邪，而又能分消水湿之气，既不入阴而复善出阳，故取效独捷耳。
此症用合阴汤亦效。
柴胡（八分） 茯苓（五钱） 甘草（五分） 天花粉（一钱） 枳壳（三分） 神曲（五分） 白芍（三钱） 水
煎服。
冬月伤寒，至十日，恶寒呕吐，人以为邪再传少阴矣，谁知是邪不欲入少阴乎。
夫邪既不欲入少阴，何以恶寒呕吐？不知伤寒传经，而再入于太阴，其中州之气，
前经刻削，则脾气已虚，脾气既虚，而脾必耗肾中之火气，而肾又曾经邪犯，在肾
亦自顾不遑。母贫而子不忍盗母之财，故邪入于脾，而脾甘自受。先行恶寒呕吐，
不待传入少阴，而始见此等证候也。治法单治太阴脾土，而呕吐可止。然而单治脾
而不治肾，则肾火不生脾土，而恶寒终不能愈，寒既不除，而呕吐仍暂止而不能久
止也。方用脾肾两温汤∶
人参（三钱） 白术（五钱） 肉桂（一钱） 巴戟天（三钱） 丁香（三分） 肉豆蔻（一枚） 芡实（三钱）
山药（三钱） 水煎服。一剂而恶寒止，二剂而呕吐尽除也。
此方用参、术以健脾，用巴戟天、芡实、山药以补肾，而又用肉桂、丁香以辟除寒气。旺肾火
以生脾土，则土气自温，母旺而子不贫，亦母温而子不寒也。
此症用加味参术附姜汤亦神。
人参（五钱） 白术（五钱） 肉豆蔻（一枚） 附子（三分） 干姜（一钱） 水煎服。
冬月伤寒，身热十一日，而热反更盛，发厥不宁，一日而三、四见，人以为邪再传厥阴也，
谁知是邪不能传肝乎。夫少阴寒水也，邪在少阴，未入厥阴，何以发厥而见热症？然而此厥乃似
热而非热也。内寒之甚，逼阳外见而发厥，故不待传入厥阴之经而先发厥耳。症见此等证候，本
是死证，而用药得宜，未必至死。仲景夫子未尝立方者，非无方也，以灸法神奇，示人以艾火灸少
阴者，正教人不必治厥阴也。虽然灸少阴者固易回春，而阳药又安在不可以起死。方用回生至神
汤∶
人参（三两） 肉桂（三钱） 白术（二两） 生姜汁（一合） 葱（十条，捣汁） 同水煎服。
一剂而厥定，再剂而身热解矣。
此虽在用参、术之多，第不佐之姜、葱二汁，则不能宣发于外，而邪伏于肾中
而不得出也。惟参、术得姜、葱之助，导之出外，不必走肝，而厥反自安矣，此治
法之巧者。
此症亦可用加味人地汤殊验。
熟地（二两） 人参（一两） 白术（一两） 附子（一钱） 生姜汁（一合） 水煎调服。
冬月伤寒，身热十二日，而热仍不退，不见发厥，人以为伤寒至厥阴，不发厥
而病将退矣，谁知伤寒虚极，欲厥而不可得乎。夫热深者厥亦深，不厥似乎热之不
深矣。然而热深而发厥者，元气足以鼓之也；热深而不能发厥者，元气不足以充之
也。传经至十二日，病已入肝，而厥不应者，非热之不深，乃元气之甚困也，乌可因不
厥，而即疑其厥阴之不热乎。治法补其肝气，而辅之以解热之品，则厥阴不燥，而
木气大舒，邪不能留，非惟热解而见厥，抑亦邪散而消厥也。方用消厥散∶
白芍（五钱） 当归（五钱） 丹皮（三钱） 生地（二钱） 甘草（一钱） 人参（一钱） 炒黑
荆芥（三钱） 炒栀子（一钱） 天花粉（二钱） 水煎服。一剂而厥乃发，再剂而厥反定矣。
此方补肝凉血以治传经之伤寒。世无其胆。然而肝燥而内热，因虚而厥伏也，
非滋其肝中之血，则热深者何能外见乎。故必补其虚，而发厥随可乘其厥而散热也。
人亦可闻吾言，而放胆治之矣。
此症用增减逍遥散大效。
In winter, contracting cold pathogen (Han Xie), the body develops fever for only one day before delirium (saying nonsense) appears. People assume this is the pathogen transmitting to the Yangming channel (Yangming meridian syndrome). Little do they know that the patient has a pre-existing excess of stomach fire in the Yangming stage. When wind enters the Taiyang channel (Taiyang meridian syndrome), the stomach fire boils up and becomes restless. If treatment attempts to address both by purging stomach heat from the Yangming stage, the condition will not improve. However, since the Taiyang pathogen is currently vigorous, failing to specifically treat the Taiyang stage means the Wei-level (Defensive level) pathogen cannot be dispersed, nor can the Ying-level (Nutritive level) pathogen be resolved. Removing Yangming fire first might inadvertently draw the pathogen deeper into the Yangming stage, exacerbating the burning disaster. It is better to treat only the Taiyang stage, preventing the Taiyang pathogen from penetrating deeply, allowing the Yangming fire to dissipate spontaneously without direct treatment. The formula used is Pingyang Tang (Calm Yang Decoction): Guizhi (Cinnamon Twig, 3 fen), Mahuang (Ephedra, 1 qian), Gancao (Licorice Root, 1 qian), Qinghao (Sweet Wormwood, 3 qian), Tianhuafen (Trichosanthes Root, 1 qian). Decoct in water and take orally. After one dose, the fever subsides, and delirium ceases.
This formula uses less Guizhi and more Mahuang because the cold is light while the heat is heavy. Qinghao is used as the sovereign drug because it clears heat and disperses pathogens, entering the Bladder channel and moving towards the Stomach. It resolves the pathogen in the Bladder and the fire in the Stomach, not only avoiding drawing the pathogen into the Yangming stage but also helping to disperse pathogens out of the Yangming stage. Tianhuafen is added because delirium is often accompanied by phlegm; Tianhuafen effectively eliminates phlegm in the diaphragm without increasing heat. Combined with Qinghao, Guizhi, and Mahuang, it works from top to bottom, eliminating phlegm and thus eliminating the pathogen. With both phlegm and pathogen cleared, why would delirium persist? Hence, efficacy is achieved in one dose.
This condition can also be treated with Zhengxian Tang (Seize the Initiative Decoction): Guizhi (Cinnamon Twig, 5 fen), Mahuang (Ephedra, 5 fen), Shigao (Gypsum, 1 qian), Maidong (Ophiopogon Tuber, 5 qian), Fuling (Poria, 5 qian), Banxia (Pinellia Rhizome, 8 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for two days, presenting symptoms resembling malaria. People assume this indicates transmission to the Shaoyang channel (Shaoyang meridian syndrome). In fact, there was originally cold pathogen in the Shaoyang region, which manifests concurrently upon contracting cold. While Xiaochaihu Tang (Minor Bupleurum Decoction) may show some effect, it is not the correct method. The proper approach is to heavily treat the Yangming stage while simultaneously treating the Shaoyang stage. Since the fire-pathogen in the Yangming stage has not dissipated, even if Shaoyang symptoms appear, the pathogen remains in the Yangming stage. Pathogens lingering in Yangming can cause alternating chills and fever, delirium, and mania. By heavily treating Yangming, stomach fire resolves, preventing the pathogen from moving to Shaoyang. The original cold pathogen in Shaoyang, left isolated and unsupported, cannot reignite Yangming fire. Naturally, Yangming fire extinguishes, and Shaoyang pathogen resolves. The formula used is Puoxie Tang (Break Evil Decoction): Shigao (Gypsum, 3 qian), Chaihu (Bupleurum Root, 1 qian), Banxia (Pinellia Rhizome, 1 qain), Fuling (Poria, 3 qian), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 1 liang), Xuanshen (Scrophularia Root, 3 qian), Chenpi (Aged Tangerine Peel, 1 qian). Decoct in water and take orally. After one dose, fever resolves, and malaria-like symptoms heal.
This formula uses Shigao and Xuanshen to treat Yangming fire, and Maidong to moisten lung dryness. Lung dryness fails to control excessive Liver-Gallbladder activity. Moreover, dry lungs draw fluids from the Stomach, drying Stomach earth further and intensifying fire. Using ample Maidong moistens Lung metal, reducing reliance on Stomach earth. Nourished Lung qi naturally controls Liver and Gallbladder wood, preventing Shaoyang pathogen from colluding with stomach fire. Chaihu soothes Shaoyang qi, while Fuling, Gancao, Banxia, and Chenpi harmonize between Yangming and Shaoyang. Without support, the pathogen collapses.
This condition is also well-treated with Bagong Heyang Tang (Eight Gentlemen Harmonizing Yang Decoction): Shigao (Gypsum, 1 qian), Chaihu (Bupleurum Root, 2 qian), Fuling (Poria, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 2 qian), Gancao (Licorice Root, 1 qian), Chao Zhizi (Fried Gardenia Fruit, 1 qian), Qingpi (Green Tangerine Peel, 3 fen), Tianhuafen (Trichosanthes Root, 1 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for three days, accompanied by abdominal fullness and spontaneous diarrhea. People assume yang has transmitted to yin. However, yin syndromes feature abdominal fullness and diarrhea, but so do yang syndromes. Failing to distinguish between yin and yang and indiscriminately using methods for Taiyin syndrome often leads to death. How to distinguish? Taiyin spontaneous diarrhea involves extreme cold and pain; Shaoyang spontaneous diarrhea involves extreme heat and pain. Although pain is similar, the nature differs. Pressing the abdomen: increased pain indicates a yang syndrome; no pain indicates a Taiyin yin syndrome. Therefore, treating yang syndromes requires harmonizing Shaoyang pathogen, not mistreating Taiyin. The formula used is Jiajian Chaihu Tang (Modified Minor Bupleurum Decoction): Chaihu (Bupleurum Root, 1 qian), Baishao (White Peony Root, 5 qian), Fushen (Poria with Hostwood, 2 qian), Gancao (Licorice Root, 1 qian), Zhizi (Gardenia Fruit, 2 qian), Chenpi (Aged Tangerine Peel, 1 qian), Danggui (Angelica Sinensis Root, 3 qian), Zhiqiao (Bitter Orange Fruit, 5 fen), Dahuang (Rhubarb Root, 5 fen). Decoct in water and take orally. Abdominal fullness resolves after one dose; spontaneous diarrhea stops after two doses.
This formula combines harmonization with mild purgation and light tonification within separation strategies, dispersing fire-pathogen while preserving healthy qi. Da Chengqi Tang (Major Order the Yellow Decoction) is too harsh; Da Chaihu Tang (Major Bupleurum Decoction) is too focused on separation. Thus, Jiajian Chaihu Tang is designed for Shaoyang abdominal fullness with spontaneous diarrhea.
This condition can also use Hegong San (Harmonize and Attack Powder): Chaihu (Bupleurum Root), Zhizi (Gardenia Fruit), Danpi (Moutan Cortex, 2 qian each), Baishao (White Peony Root, 5 qian), Fuling (Poria, 3 qian), Gancao (Licorice Root), Chenpi (Aged Tangerine Peel), Dahuang (Rhubarb Root, 1 qian each). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for four days with persistent aversion to cold. People assume Taiyin has transformed into Shaoyin. However, it remains Taiyin. Taiyin belongs to Spleen Earth; Shaoyin belongs to Kidney Water. They seem different, but Spleen Earth is damp earth. Damp earth contains water imagery; thus, Spleen cold is Earth cold, and Earth cold is Water cold. Aversion to cold appears before pathogen transmits to the Kidney. Treatment should focus solely on the Spleen, resolving cold spontaneously. The formula used is Lizhong Tang (Regulate the Middle Decoction) modified: Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Renshen (Ginseng Root, 3 qian), Fuling (Poria, 3 qian), Rougui (Cinnamon Bark, 1 qian), Fuzi (Prepared Aconite Root, 1 qian). Decoct in water and take orally. Aversion to cold and fever resolve after one dose.
Using Rougui and Fuzi seems to treat Shaoyin Kidney, but with Renshen and Baizhu as sovereigns, it treats the Spleen. Although Spleen and Kidney can be treated together, and Renshen/Baizhu enter the Kidney, Rougui and Fuzi penetrate all channels. Treating the Spleen effectively treats the Kidney, making this formula miraculous.
This condition is also effectively treated with Jiawei Guifu Tang (Added Cinnamon and Aconite Decoction): Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger, 1 qian each), Fuzi (Prepared Aconite Root), Gancao (Licorice Root, 5 fen each). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for five days, followed by limb coldness (Jue). People assume cold pathogen has entered Jueyin. In reality, it is due to dryness of Kidney Water failing to nourish the Liver. Limb coldness is typically a Jueyin symptom, but here it occurs before pathogen entry because Liver blood is extremely dry, drawing from depleted Kidney Water. The Liver seeks its Mother (Kidney); the Kidney, invaded by wind, suffers. This mother-son distress causes limb coldness without Jueyin pathogen entry. Treatment should focus on the Kidney, stabilizing the Liver. The formula used is Zimu Liangkuai Tang (Mother and Son Both Comfortable Decoction): Shudi (Prepared Rehmannia Root, 5 qian), Maidong (Ophiopogon Tuber, 5 qian), Danggui (Angelica Sinensis Root, 2 qian), Shanzhuyu (Cornus Fruit, 3 qian), Fuling (Poria, 2 qian), Qianshi (Euryale Seed, 2 qian), Shanyao (Dioscorea Rhizome, 2 qian), Xuanshen (Scrophularia Root, 5 qian). Decoct in water and take orally. Limb coldness stabilizes after one dose; fever resolves after two doses.
This formula purely tonifies the Kidney, with Danggui nourishing Liver blood. Treating the Kidney inherently treats the Liver, negating the need for Baishao (White Peony Root) to calm Liver qi. Baishao is contraindicated here because its sour astringency, while stopping heat-induced limb coldness quickly, may trap fire when combined with hydrating herbs during active pathogen presence. Danggui, being mobile rather than astringent, assists Shudi and Shanzhuyu in generating Water to nourish the Liver, thereby controlling the Liver via Kidney tonification.
In winter, contracting cold pathogen, the body develops fever for six days. Sweating does not resolve the pathogen, and Taiyang symptoms persist. People assume pathogen has returned to Taiyang. Actually, the pathogen wants to return to Taiyang but cannot. If untreated, the pathogen may mutate. Since it cannot fully return, it peeks at the Taiyang gate. Using Taiyang herbs guides the pathogen back along its previous route, facilitating dispersion. The formula used is Guizhi Tang (Cinnamon Twig Decoction) in small amounts to disperse. One dose resolves all pathogen. Excessive use causes severe damage. This illustrates medical flexibility.
This condition is also well-treated with Jiexie Tang (Dispel Evil Decoction): Guizhi (Cinnamon Twig, 3 fen), Fuling (Poria, 5 qian), Danggui (Angelica Sinensis Root, 3 qian), Shengdi (Rehmannia Root, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 3 qian), Chenpi (Aged Tangerine Peel, 3 fen), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 5 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the seventh day, fever persists, and delirium continues. People assume transmission back to Yangming. Actually, the pathogen seeks Yangming but is rejected. Having been previously invaded, Yangming resists new intrusion. Fear of re-invasion triggers delirium, distinct from previous excess-type delirium. Treatment should not block Yangming but disperse Taiyang pathogen. Once Taiyang pathogen is gone, it won't re-enter Yangming. The formula used is Guizhi Tang (Cinnamon Twig Decoction). Delirium stops after one dose. Avoid Shigao Tang (Gypsum Decoction) to prevent damaging Stomach qi.
This condition is also miraculously treated with Heying Tang (Harmonize Ying Decoction): Mahuang (Ephedra, 3 fen), Fuling (Poria, 3 qian), Danggui (Angelica Sinensis Root, 3 qian), Xuanshen (Scrophularia Root, 5 qian), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 5 qian), Zhuye (Bamboo Leaf, 30 pieces), Banxia (Pinellia Rhizome, 5 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, by the eighth day, tidal fever persists. People assume transmission to Shaoyang. Actually, the pathogen is in Yangming, attempting to exit but stuck. Yangming is a fu-organ rich in qi and blood, harboring significant pathogens like phlegm in the stomach/diaphragm, causing tidal fever independently of Shaoyang. The pathogen eyes Shaoyang, but Shaoyang, having suffered from Yangming previously, resists. Thus, tidal fever appears, but the pathogen hasn't entered Shaoyang. Treatment should clear Yangming heat alone; Shaoyang pathogen will dissipate. The formula used is Jiewei Tang (Clear Stomach Decoction): Qinghao (Sweet Wormwood, 5 qian), Fuling (Poria, 2 qian), Gancao (Licorice Root, 5 fen), Maidong (Ophiopogon Tuber, 5 qian), Xuanshen (Scrophularia Root, 3 qian), Zhuye (Bamboo Leaf, 50 pieces). Decoct in water and take orally. Stomach heat clears after one dose; tidal fever subsides after two doses.
This formula extinguishes Yangming fire and resolves Shaoyang atmosphere, treating both. Treating only Shaoyang intensifies Yangming fire; treating only Yangming dries Shaoyang. Balancing both prevents severity escalation. Single-focus on Yangming implicitly treats Shaoyang, ensuring complete success.
This condition is also effectively treated with Fayue Tang (Ventilate and Rise Decoction): Gegen (Kudzu Root, 3 qian), Fuling (Poria, 5 qian), Gancao (Licorice Root, 5 fen), Maidong (Ophiopogon Tuber, 3 qian), Xuanshen (Scrophularia Root, 1 liang), Shengdi (Rehmannia Root, 3 qian), Chaihu (Bupleurum Root, 5 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, by the ninth day, diarrhea persists. People assume transmission to Taiyin, transforming yang to yin. Actually, it is yang departing yin. Transforming to yin involves transmission into yin (causing diarrhea); departing yin involves transmission out of yin. Yin-transmission diarrhea involves abdominal pain; yin-departure diarrhea does not. Persistent diarrhea without pain on day nine indicates departure from yin. Do not use Taiyin antidiarrheals, as this traps pathogen in yin, causing critical conditions. Treat Shaoyang to resolve exterior-interior pathogen; diarrhea and chills/fever will cease. The formula used is Xiaochaihu Tang (Minor Bupleurum Decoction) modified: Chaihu (Bupleurum Root, 1 qian), Fuling (Poria, 3 qian), Gancao (Licorice Root), Huangqin (Scutellaria Root, 1 qian each), Chenpi (Aged Tangerine Peel, 5 fen). Decoct in water and take orally. Diarrhea stops after one dose; chills/fever resolve.
This formula resolves half-exterior/half-interior pathogen and separates dampness, exiting yang efficiently.
This condition is also effectively treated with Heyin Tang (Unite Yin Decoction): Chaihu (Bupleurum Root, 8 fen), Fuling (Poria, 5 qian), Gancao (Licorice Root, 5 fen), Tianhuafen (Trichosanthes Root, 1 qian), Zhiqiao (Bitter Orange Fruit, 3 fen), Shenqu (Medicated Leaven, 5 fen), Baishao (White Peony Root, 3 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the tenth day, aversion to cold and vomiting occur. People assume transmission to Shaoyin. Actually, the pathogen refuses to enter Shaoyin. Why aversion to cold and vomiting? Transmission to Taiyin depletes Middle Jiao qi, weakening Spleen qi. Weak Spleen consumes Kidney fire. The Kidney, previously invaded, is vulnerable. The "son" (Spleen) bears the burden to protect the "mother" (Kidney). Thus, symptoms appear in Taiyin before reaching Shaoyin. Treat Taiyin Spleen to stop vomiting. However, treating Spleen alone without Kidney fails to generate Spleen earth with Kidney fire, leaving aversion to cold unresolved and vomiting temporary. The formula used is Shirui Liangwen Tang (Warm Spleen and Kidney Decoction): Renshen (Ginseng Root, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Rougui (Cinnamon Bark, 1 qian), Bajitian (Morinda Root, 3 qian), Dingxiang (Clove, 3 fen), Roudoukou (Nutmeg, 1 piece), Qianshi (Euryale Seed, 3 qian), Shanyao (Dioscorea Rhizome, 3 qian). Decoct in water and take orally. Aversion to cold stops after one dose; vomiting ceases after two doses.
This formula tonifies Spleen with Renshen/Baizhu, tonifies Kidney with Bajitian/Qianshi/Shanyao, and expels cold with Rougui/Dingxiang. Strengthening Kidney fire generates Spleen earth, warming both mother and son.
This condition is also miraculously treated with Jiawei Renshen Zhu Fu Jiang Tang (Added Ginseng, Atractylodes, Aconite, and Ginger Decoction): Renshen (Ginseng Root, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Roudoukou (Nutmeg, 1 piece), Fuzi (Prepared Aconite Root, 3 fen), Ganjiang (Dried Ginger, 1 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the eleventh day, fever intensifies, with frequent limb coldness (three to four times daily). People assume transmission to Jueyin. Actually, pathogen cannot transmit to Liver. Shaoyin is Cold Water; pathogen in Shaoyin without Jueyin entry causes limb coldness and heat signs. This coldness is apparent heat but true internal cold forcing yang outward. Death is likely, but proper medication saves. Zhang Zhongjing prescribed moxibustion for Shaoyin, teaching against treating Jueyin directly. Yang herbs can also revive life. The formula used is Huisheng Zhishen Tang (Revive Life Supreme Divine Decoction): Renshen (Ginseng Root, 3 liang), Rougui (Cinnamon Bark, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 2 liang), Shengjiangzhi (Fresh Ginger Juice, 1 he), Congbai (Scallion White, 10 stalks, juiced). Decoct in water and take together. Limb coldness stabilizes after one dose; fever resolves after two doses.
Large doses of Renshen/Baizhu require Ginger/Scallion juice to vent externally, drawing pathogen from Kidney. Guided outward by these juices, limb coldness resolves without involving Liver. This demonstrates clever treatment.
This condition is also effectively treated with Jiawei Rendi Tang (Added Ginseng and Rehmannia Decoction): Shudi (Prepared Rehmannia Root, 2 liang), Renshen (Ginseng Root, 1 liang), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Fuzi (Prepared Aconite Root, 1 qian), Shengjiangzhi (Fresh Ginger Juice, 1 he). Decoct in water and mix.
In winter, contracting cold pathogen, by the twelfth day, fever persists without limb coldness. People assume arrival at Jueyin implies recovery. Actually, extreme deficiency prevents limb coldness despite deep heat. Deep heat usually causes deep coldness driven by sufficient yuan qi. Here, yuan qi is too exhausted to drive coldness. Disease enters Liver by day twelve; absence of coldness indicates exhaustion, not lack of heat. Treatment should tonify Liver qi and assist with heat-clearing herbs. This moistens Jueyin, relaxes Wood qi, prevents pathogen retention, resolves fever, and induces/resolves coldness. The formula used is Xiaojue San (Dispel Coldness Powder): Baishao (White Peony Root, 5 qian), Danggui (Angelica Sinensis Root, 5 qian), Danpi (Moutan Cortex, 3 qian), Shengdi (Rehmannia Root, 2 qian), Gancao (Licorice Root, 1 qian), Renshen (Ginseng Root, 1 qian), Chao Hei Jingjie (Fried Black Schizonepeta Spike, 3 qian), Chao Zhizi (Fried Gardenia Fruit, 1 qian), Tianhuafen (Trichosanthes Root, 2 qian). Decoct in water and take orally. Limb coldness appears after one dose; stabilizes after two doses.
This formula tonifies Liver and cools blood to treat transmitted cold. Liver dryness and internal heat cause latent coldness due to deficiency. Nourishing Liver blood allows deep heat to surface. Tonifying deficiency enables riding the induced coldness to dissipate heat. Physicians should dare to treat boldly based on this insight.
This condition is also highly effective with Zengjian Xiaoyao San (Modified Free and Easy Wanderer Powder).