Library

Treat Shaoyin disease (Shaoyin syndrome) presenting two to three days after onset, characterized by restlessness in the heart and inability to sleep.
Huanglian (Coptidis Rhizoma, 4 liang), Huangqin (Scutellariae Radix, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Ejiao (Colla Corii Asini, 3 liang), JiZihuang (Ovi Galli Albumen, 2 pieces). Use six sheng of water. First decoct Huangqin, Huanglian, and Shaoyao. (After reducing the volume, strain the dregs, dissolve Ejiao into the liquid, allow it to cool slightly, then add the two Ovi Galli Albumens, stir well, and take warm.)

(Cited from Wang Haogu's prescription in *Yifang Jijie* [Collection of Medical Formulas]) Treats Shanghan (Cold Damage) where heat-toxin enters the stomach, resulting in dysentery with pus and blood.
Huanglian (Stir-fried Coptidis Rhizoma, 4 liang), Huangbo (Phellodendri Cortex, 1 liang), Ejiao (Stir-fried Colla Corii Asini, 1 liang), Shanzhi (Gardeniae Fructus, 5 qian). Take 4 qian per dose, decoct in water and drink.

(Sun Simiao's *Qianjin Yaofang* [Essential Prescriptions Worth a Thousand Gold for Emergencies]) Treats imbalance of cold and heat, dysentery with red and white discharge, tenesmus, pain in the umbilical and abdominal regions, dry mouth and throat, and difficult urination. This is caused by damp-heat stagnating in the large intestine, leading to these symptoms.
Huanglian (Coptidis Rhizoma, 6 liang), Ejiao (Stir-fried Colla Corii Asini, 3 liang), Ganjiang (Prepared Zingiberis Rhizoma, 2 liang), Danggui (Angelicae Sinensis Radix, 1 liang). Make pills using water, and take 3 qian on an empty stomach in the morning with rice water. Zhang Zhongjing's Huanglian Ejiao Tang consists of Huangqin, Shaoyao, and JiZihuang. In Shaoyin disease, restlessness and inability to sleep are caused by transmitted heat scorching and injuring Yin. The sour, sweet, salty, and bitter flavors gather and nourish Yin. Huanglian directly drains the fire of Shaoyin, while other ingredients assist in nourishing Yin and calming the spirit.

Zhigancao Tang (also known as Fumai Tang [Pulse-Restoring Decoction]) Treats Shanghan with knotted and intermittent pulse (Jiedai Mai) and palpitations; also treats deficiency consumption (Xulao) with insufficient Qi and Blood, sweating, chest stuffiness, knotted and intermittent pulse, and palpitations. (Context implies this occurs after pathogenic factors have been exhausted, leaving Qi and Blood severely deficient.)
Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 4 liang), Shengjiang (Fresh Zingiberis Rhizoma, 3 liang), Renshen (Ginseng Radix, 2 liang), Shengdihuang (Rehmanniae Radix Recens, 1 jin), Guizhi (Cinnamomi Ramulus, 3 liang), Maidong (Ophiopogonis Radix, 0.5 jin), Ejiao (Colla Corii Asini)... (Decoct eight ingredients, obtain three sheng of liquid, take three times daily). Zhigancao Tang contains Renshen, Shengjiang, Guizhi, Maidong, Shengdihuang, Hamaoren (Cannabis Seed), Dazao (Jujubae Fructus), and Ejiao, taken with wine and water. For Xulao (deficiency consumption) presenting with knotted/intermittent pulse, palpitations, and sweating, it indicates the loss of Yin fluids. Guizhi warms and unblocks Yang. After the pathogen is eliminated, this formula addresses severe Qi and Blood deficiency. Wang Shuhe's *Maijing* [Pulse Classic] states: "A pulse that is slow and occasionally stops before resuming is called 'Jie' (Knotted)." It further states: "When Yin is excessive, the pulse is Jie; if the pulse stops during movement and cannot resume immediately, but resumes later, it is called 'Dai' (Intermittent); even one stop per breath cycle is considered 'Dai'." These are due to dual deficiency of Qi and Blood, obstruction of the meridians, and failure of Yin and Yang to interact. The principle is to benefit Blood, generate fluids, and restore the pulse. (Wang Jinshan in *Gufang Xuanzhu* [Selected Annotations of Ancient Formulas] says: "This decoction was used by Zhang Zhongjing for palpitations, Wang Tao for lung abscess (Feiwei), and Sun Simiao for deficiency consumption. All three conditions involve dried-up fluids and internal dryness. The *Suwen* states: 'When dryness invades internally and Metal Qi is insufficient, treat with sweet and acrid substances.' However, this formula focuses on the Liver and Spleen rather than directly targeting the Heart and Lung. This is because Yang Qi generates fluids from the Spleen (Mother of Lung), and Yin fluids are produced from the Liver (Mother of Heart/Wood generates Fire). Ren Shen and Hamaoren use their sweetness to moisten Spleen fluids; Sheng Di Huang and Ejiao use their salty-bitter taste to nourish Liver fluids. Heavy use of dense substances like Di Huang and Mai Dong might fail to ascend, so Honey-fried Gan Cao acts as the Chief herb with its thick Qi, and Gui Zhi acts as an Assistant with its light and ascending nature, carrying Di Huang and Mai Dong upward to moisten Lung dryness. Qingjiu (clear wine) is added as an Assistant; its aromatic quality enters the Blood level, guiding Di Huang and Mai Dong to the Heart to restore the pulse. Finally, Sheng Jiang and Da Zao harmonize Ying and Wei, ensuring all fluids ascend to supply the Heart and Lung." Yu Jiayan says: "This is a sage formula in Zhang Zhongjing's Shanghan section. Zhang's formulas often promote free flow; here, he opens a new pathway by heavily using Sheng Di Huang and borrowing Maidong, a herb of the Hand-Shaoyin Heart meridian. Maidong harmonizes with Di Huang and Renshen in flavor, allowing the Spleen-Stomach and Heart meridians to exchange Qi. For diseases of the vessels, emphasis is placed on the Heart meridian, hence it is also named 'Fumai Tang' [Pulse-Restoring Decoction].")