治伤寒八九日，下之，胸满烦惊，小便不利， 语，一身尽重，不能转
柴胡（四两） 黄芩 人参 甘草 生姜 茯苓 铅丹 龙骨 牡蛎（各一两半） 大
黄（二两）
黄只煮一二沸
阳之表证，则不
柴胡加龙骨牡蛎（汤），茯苓铅丹大黄继。胸满（下后邪陷胸中）烦惊（热邪扰乱神明）
语多，
坠痰镇惊是主
茯苓以利小便
里，而复外扰
灵胎《伤寒论
治伤寒五六日，已发汗而复下之，胸胁满微结，小便不利，渴而不呕，但
寒热，心烦者；并治疟疾寒多微有热，或但寒不热，服一剂便效。
柴胡（半斤） 桂枝 黄芩（各三两） 干姜 牡蛎 甘草（各二两） 花粉（四两） 水
一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。初服微烦，复服汗出便愈。
柴胡桂枝干姜汤，花粉芩甘牡蛎藏。邪在三阳阳气结，从枢转出易通阳。（揭出三阳经
药以
太阳余邪，干姜开阳明痞结之气，使以花粉佐牡蛎，入阴分升津液，以救三阳之热，重用柴、
芩
少，（甘
加花粉。）疟发寒多微有热，（风、寒、湿痹于肌表，阳气郁伏于营血之中，故疟发寒多，或
但寒无热
阴∶用柴胡和少阳之阳，即用黄芩和里；用桂枝和太阳之阳，即用牡蛎和里；用干姜和阳明
之阳，即用花粉和里；使以甘草，调和阴阳，和之得其当，故一剂便效。喻嘉言《医门法律》
曰∶“
着之
其
Treats cases where Shāng Hàn (Cold Damage) has persisted for eight or nine days, and after being incorrectly treated with purgatives, the patient presents with chest fullness, irritability, and palpitations, difficulty in urination, delirious speech, heaviness of the entire body, and inability to turn over.
Chai Hu (Cinnamon Twig Decoction's Chief Herb / Bupleuri Radix) (4 liang), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix), Gan Cao (Licorice Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Fu Ling (Poria), Qian Dan (Lead Monoxide), Long Gu (Fossilized Bones), Mu Li (Ostreae Concha) (each 1.5 liang), Da Huang (Rhei Radix et Rhizoma) (2 liang).
[Preparation:] Da Huang is boiled only for one or two boils.
[Explanation:] Regarding the exterior syndrome of the Yang meridians...
Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction) includes Fu Ling, Qian Dan, and Da Huang. Chest fullness (refers to pathogenic factors sinking into the chest after purgation), irritability and palpitations (refers to heat pathogens disturbing the mind), and frequent delirious speech; the main action of this formula is to settle phlegm and calm fright, while Fu Ling promotes diuresis.
Treats cases where Shāng Hàn has persisted for five or six days, where sweating was already induced but then incorrectly followed by purgation, resulting in fullness and slight binding in the chest and hypochondrium, difficulty in urination, thirst without vomiting, aversion to cold alternating with fever, and irritability; it also treats malaria characterized by predominant chills with slight fever, or chills without fever. One dose yields immediate effect.
Chai Hu (8 liang), Gui Zhi (Cinnamomi Ramulus), Huang Qin (Scutellariae Radix) (each 3 liang), Gan Jiang (Zingiberis Rhizoma), Mu Li (Ostreae Concha), Gan Cao (Licorice Radix) (each 2 liang), Hua Fen (Trichosanthis Radix) (4 liang).
[Preparation:] Use 12 sheng of water, decoct to obtain 6 sheng, remove dregs, and decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily. After the first dose, slight irritability may occur; after subsequent doses, sweating ensues and recovery follows.
Chai Hu Gui Zhi Gan Jiang Tang (Bupleurum, Cinnamon Twig, and Dried Ginger Decoction) contains Hua Fen, Huang Qin, Gan Cao, and Mu Li. Pathogens in the Three Yang meridians cause Qi stagnation; transforming from the pivot facilitates the unblocking of Yang. (This reveals the medication involving the Three Yang meridians). Residual pathogens of the Tai Yang (Greater Yang) meridian are addressed by Gan Jiang opening the stagnation of Qi in the Yang Ming (Yang Brightness) meridian; Hua Fen assists Mu Li to enter the Yin aspect, raise fluids, and rescue the heat of the Three Yang meridians. Heavy use of Chai Hu and Huang Qin...
[Explanation:] In malaria attacks with predominant chills and slight fever, (Wind, Cold, and Dampness obstruct the muscle surface, causing Yang Qi to be depressed within Ying and Blood, hence predominant chills or chills without fever during attacks).
[Mechanism:] Chai Hu harmonizes the Yang of Shao Yang (Lesser Yang), using Huang Qin to harmonize the interior; Gui Zhi harmonizes the Yang of Tai Yang, using Mu Li to harmonize the interior; Gan Jiang harmonizes the Yang of Yang Ming, using Hua Fen to harmonize the interior; Gan Cao serves as the envoy to harmonize Yin and Yang. When harmony is achieved appropriately, one dose yields effect. Yu Jiayan stated in *Yi Men Fa Lü* (Legal Principles of Medicine): "..."