论曰、百合病者。（分为）百脉（合为）一宗。（无经络可别。）悉致其病也。（
第见其证）意欲食。（而）复不能食。（口欲言。而又不言而）常默默。欲卧（而又
躁而）不能卧。欲行（而又懒而）不能行。欲饮食。或有美时。或有不用。闻食臭时。
如寒无寒。如热无热。口苦小便赤。诸药不能治。得药则剧吐利。如有神灵者。身形如
和。（以上诸证。全是恍惚去来不可为凭之象。惟凭之于脉与溺。确知其为热。）其脉微
数。（数则主热也。溺出膀胱。膀胱为太阳之腑。其脉上至巅顶。溺时头痛者。太阳乍
虚。而热气乘之也。今）每溺时（而）头（每）痛者。（乃热气之甚者。必）六十
日（之久。月再周而阴气复。阴气复而阳邪平。然后）乃愈。若溺时头不痛。淅淅然者。
（则病稍浅矣。大约）四十日（可）愈。若溺（时）快然。但头眩者。（则更浅矣。
不过）二十日（可）愈。其（百合）证（多于伤寒大病后见之。）或未病而预见。（热气先
动也。）或病四五日而出。或病二十日。或一月后见者。（遗热不去也。）各随证治之。
此详言百合病之证脉也。此证多见于伤寒大病前后。或为汗吐下失法而变。或平素
多思不断。情志不遂。或偶触惊疑。猝临异遇。以致行住坐卧饮食等。皆若不能自主之
势。此病最多。而医者不识耳。
程云来云。头者诸阳之首。溺则阳气下施。头必为之摇动。曷不以老人小儿观之。
小儿元气未足。脑髓不满。溺将出。头为之摇。此阳气不充故耳。老人血气衰。肌肉涩。
脑髓清。故溺出时不能射远。将完必湿衣。而头亦为之动者。此阳气已衰。不能施射
故耳。由此观之。溺出头之痛与不痛。可以观邪之浅与深矣。故百合病溺出头痛者。言
邪舍深而阳气衰也。内衰则入于脏腑。上则牵连脑髓。是以六十日愈。若
溺出头不痛淅淅然者。淅淅如水洒淅皮毛。外舍于皮肤肌肉。尚未入脏腑之内。但阳气
微耳。是以四十日愈。若溺出快然。但头眩者。言邪犹浅。快则阴阳和畅。营卫通利。
脏腑不受邪。外不淅淅然。则阳气尚是完固。但头眩者。是邪在阳分。阳实则不为邪所
牵。故头不疼而眩。是以二十日愈也。其说亦通。
百合病。（见于）发汗（之）后者。（以其不应汗而汗之。以致津液衰少者。以）百合知母汤主之。
百合知母汤方
百合（七枚） 知母（三两）
上先以水洗百合渍一宿。当白沫出。去其水。更以泉水二升。煎取一升。去滓。别
以泉水二升。煎知母。取一升。去滓。后合和煎取一升五合。分温再服。
百合病。（见于）下之后者。（以其不应下而下之。以致热入于下也。以）百合
滑石代赭汤主之。
百合滑石代赭汤方
百合（七枚擘） 滑石（三两碎绵裹。） 代赭石（如弹丸大一枚碎绵裹）
上先煎百合如前法。别以泉水二升。煎滑石代赭取一升。去滓。后合和重煎取一升
五合。分温再服。
百合病。（见于）吐之后者。（以其不应吐而吐之。以致内伤脏阴也。以）百合鸡
子汤主之。
百合鸡子汤方
百合（七枚擘） 鸡子黄（一枚）
上先煎百合如前法了。内鸡子黄搅匀。煎五分。温服。
百合病。不经吐下发汗。病形如初者。（即所谓未病预见是也。此因热气先动。
以）百合地黄汤主之。（然亦有太阳病久久不愈。始终在太阳经者。亦用此汤。）
百合地黄汤方
百合（七枚擘） 生地黄汁（一升）
上先煎百合如前法了。内地黄汁。煎取一升五合。分温再服。中病勿更服。大盒饭
如漆。
百合病。一月不解。变成渴者。（热壅皮毛。皮毛为肺之合也。以）百合洗方主之。
百合洗方
百合一升。以水一斗。渍之一宿。以洗身。洗已食煮饼。勿以咸豉也。
百合病。（洗后而）渴不瘥者。（内热盛而津伤也。以）栝蒌牡蛎散主之。
栝蒌牡蛎散方
栝蒌根 牡蛎（等分）
上为细末。饮服方寸匕。日三服。
百合病。（如寒无寒。如热无热。原病无热。今）变发热者。（其内热可知也。以
）百合滑石散主之。
百合滑石散方
百合（一两炙） 滑石（三两）
上为散。饮服方寸匕。日三服。当微利者。止服。热则除。
百合病见于阴者。以阳法救之。（即内经用阳和阴之道也。）见于阳者。以阴法救
之。（即内经用阴和阳之道也。若）见阳（之病而）攻（其）阴。（则并伤其阴矣。乃
）复发其汗。（是重伤其阳也。）此为逆。见阴（之病）攻（其）阳。（则并伤其阳矣。
）乃复下之。（是重竭其阴也。）此亦为逆。
程扶生云、前治皆用阴和阳法也。此复补以用阳和阴。故仲景用思。最为精密。
狐惑之为病。（虫病也。）状如伤寒。默默欲眠。目不得闭。卧起不安。（何其如此
之躁。实因虫扰之为害也。虫）蚀于喉为惑。蚀于阴为狐。（而口）不欲饮食。恶闻食
臭。（虫闻食臭而动。动则令烦心有如此者。而且虫大动则交乱于胃中。胃主面目。）其
面目（之）乍赤乍黑乍白。（亦随虫之聚散而变易。）蚀于上部。则（喉伤而）声（自
）嗄。（以）甘草泻心汤主之。蚀于下部。则（邪伤厥阴。厥阴为阴之尽。其病自下而
冲上。故）咽干。（以）苦参汤洗之。蚀于肛者。（以）雄黄熏之。（熏洗二法。皆就
其近治之也。）
此言狐惑之病证治法也。伤寒论乌梅丸。亦可消息用之。
甘草泻心汤方
甘草（四两炙） 黄芩 干姜 人参（各三两） 半夏（半升） 黄连（一两）
大枣（十二枚）
上七味。以水一斗。煮取六升。去滓。再煎取三升。温服一升。日三服。
苦参汤方
苦参一升。以水一斗煎取七升。去滓熏洗。日三。
雄黄熏法
雄黄一味为末。筒瓦二枚合之烧。向肛熏之。
病者脉数无热。微烦。默默但欲卧。汗出。初得之三四日。目赤如鸠眼。七八日。
目四 黑。若能食者。脓已成也。赤豆当归散主之。
尤在泾云。脉数微烦。默默但欲卧。热盛于里也。无热汗出。病不在表也。三四日
目赤如鸠眼者。肝脏血中之热。随经上注于目也。经热如此。脏热可知。其为蓄热不去。
将成痈肿无疑。至七八日。目四 黑。赤色极而变黑。则痈尤甚矣。夫肝与胃。互为
胜负者也。肝方有热。势必以其热侵及于胃。而肝既成痈。胃即以其热并之于肝。故曰、
若能食者。知脓已成也。且脓成则毒化。毒化则不特胃和。而肝亦和矣。赤豆当归。乃
排脓血除湿热之良剂也。又曰、此一条。注家有目为狐惑病者。有目为阴阳毒者。要之
亦是湿热蕴毒之病。其不腐而为虫者。则积而为痈。不发于身面者。则发于肠脏。亦病
机自然之势也。仲景意谓与狐惑阴阳毒同源而异流者。故特论列于此欤。
赤小豆当归散方
赤小豆（三升浸令芽出曝干） 当归（十分）
上二味。杵为散。浆水服方寸匕。日三服。
（阴阳二毒。是感非常灾疠之气。从口鼻而下入咽喉。致死甚速。试以阳毒言之。）
阳毒之为病。（为异气中人之阳也。）面赤斑斑如锦纹。咽喉痛。吐脓血。五日（经气
未遍。故
尚）可（救）治。（五日之外。五脏相传俱受邪。至）七日（阴阳经气已周而再行。则
）不可治。升麻鳖甲汤主之。
（异气适中人之阴。则为阴毒。）阴毒之为病。面目青。身痛如被杖。咽喉痛。五
日（经气未遍。尚）可（救）治。（至）七日（阴阳经气已周而再行。则）不可治。升
麻鳖甲汤去雄黄蜀椒主之。
此言阴阳二毒。治之不可姑缓也。仲师所论阴毒阳毒。言天地之疠气。中人之阳气
阴气。非阴寒极阳热极之谓也。盖天地灾疠之气。便为毒瓦斯。人之血气。昼行于阳。夜
行于阴。疠气之毒。值人身行阳之度而中人。则为阳毒。面者诸阳之会。阳毒上干阳位。
故面赤斑斑如锦纹。阳毒上迫胸膈。故吐脓血。以阳气法天。本乎天者亲上也。值人
身行阴之度而中人。则为阴毒。邪入于阴。则血凝泣。血不上荣于面。而面目青。血不
环周于一身。而身痛如被杖。以阴气主静。凝而不流之象也。夫阴阳二毒。皆从口鼻而下
入咽喉。咽喉者。阴阳之要会也。感非时之疠气。则真气出入之道路。不无妨碍。故二
毒俱有咽喉痛之证。要之异气中人。毒流最猛。五日经气未遍。尚可速治。若至七日。
阴阳经气已周。而作再经。则不可治矣。方用升麻鳖甲汤以解之。升麻。本经云、气味
甘平苦。微寒无毒。主解百毒。辟瘟疫邪气。入口皆吐出。中恶腹痛。时气毒疠。诸毒喉
痛口疮云云。君以升麻者。以能排气分。解百毒。能吐能升。俾邪从口鼻入者。仍从口
鼻而出。鳖甲气味酸平无毒。佐当归而入肝。肝藏血。血为邪气所凝。鳖甲禀坚刚之性。
当归具辛香之气。直入厥阴。而通气血。使邪毒之侵于营卫者。得此二味而并解。甘
草气味甘平。解百毒。甘能入脾。使中土健旺。逐邪以外出。妙在使以蜀椒辛温。雄黄
苦寒。禀纯阳之色。领诸药以解阳毒。其阴毒去雄黄蜀椒者。以邪毒不在阳分。不若当归鳖甲。直入阴分之为得也。
升麻鳖甲汤方
升麻 当归 甘草（各二两） 蜀椒（炒去汗一两） 鳖甲（手指大一片炙）
雄黄（半两研）
上六味。以水四升。煮取一升。顿服之。老小再服取汗。阴毒去雄黄蜀椒。 肘后
千金方。阳毒用升麻汤。无鳖甲。有桂。阴毒用甘草汤。无雄黄。
The text states: Baihe Bing (Lily Disease) occurs because the hundred vessels of the body converge into a single source (referring to the Heart and Lung), without distinct meridians to differentiate them, causing all vessels to be affected and diseased.
The main symptoms manifest as: desiring to eat but being unable to; desiring to speak but unwilling to, often remaining silent; desiring to lie down but feeling restless and unable to do so; desiring to walk but feeling lethargic and unable to move; desiring food, sometimes finding it delicious, at other times having no appetite, or even feeling aversion to the smell of food. It feels like cold but is not cold, feels like heat but is not heat. There is bitter taste in the mouth and dark red urine. Various medications cannot cure it; taking medicine results in severe vomiting or diarrhea, as if possessed by spirits. However, the physical appearance seems normal and harmonious. (All the above symptoms are elusive, fluctuating, and unreliable indicators; only by relying on the pulse and urination can one accurately determine that this is caused by Heat pathogen.) The pulse is slightly rapid (Rapid pulse indicates Heat syndrome). Urine is discharged from the Bladder, which is the Fu organ of the Taiyang channel, whose meridian ascends to the vertex of the head. If headache occurs every time urinating, it indicates a temporary deficiency of the Taiyang channel, allowing Heat pathogen to invade due to weakness. Now, if headache occurs with every urination, it indicates severe Heat pathogen, requiring sixty days (two lunar cycles for Yin Qi to restore; once Yin Qi restores, Yang pathogenic Heat levels off, then) recovery will occur. If there is no headache during urination, but rather a sensation of chills (Xixi ran), the condition is slightly milder, and recovery may occur in approximately forty days. If urination feels smooth, accompanied only by dizziness, the condition is even lighter, and recovery may occur within twenty days. This Baihe Bing symptom pattern often appears after a major febrile disease such as Shanghan (Cold Damage). Or it may appear before illness onset (because Heat pathogen moves first). Or it may appear four to five days into the illness, or twenty days later, or after a month (because residual Heat has not cleared). Treatment should follow the specific symptoms. This section details the symptoms and pulses of Baihe Bing. This condition is common around the time of major febrile diseases, or arises from improper use of sweating, vomiting, or purging therapies, or from chronic excessive thinking and emotional stagnation, or from sudden fright, doubt, or unexpected encounters, leading to a loss of autonomy in walking, standing, sitting, lying, and eating. This disease is very common, yet physicians often fail to recognize it.
Cheng Yunlai stated: The head is the gathering point of all Yang channels. During urination, Yang Qi descends, causing the head to tremble. Why not observe infants and the elderly? Infants have insufficient Yuan Qi and unfilled brain marrow; their heads tremble just before urination because Yang Qi is not充盈 (abundant). The elderly have declining Qi and Blood, dry and stagnant muscles, and empty brain marrow; thus, they cannot urinate forcefully, wetting their clothes near the end, and their heads also shake because Yang Qi has declined and cannot drive excretion. From this, observing whether the head hurts during urination reveals the depth of the pathogen. Therefore, headache during urination in Baihe Bing indicates deep-seated pathogen and deficient Yang Qi. Internal Yang deficiency allows pathogen to enter the Zang-Fu organs, affecting the brain marrow upwards, hence requiring sixty days for recovery. If there is no headache during urination, but a sensation of chills (Xixi ran), where Xixi resembles water sprinkling on skin and hair, it indicates the pathogen resides in the skin and muscles, not yet entering the Zang-Fu, merely indicating slight Yang deficiency, hence forty days for recovery. If urination is smooth with only dizziness, it indicates shallow pathogen; smoothness implies harmonious Yin and Yang and free flow of Ying and Wei; the Zang-Fu are unaffected, and externally there is no chilliness, indicating intact Yang Qi. Dizziness alone suggests the pathogen is in the Yang aspect; sufficient Yang prevents pathogen constraint, so the head does not hurt but feels dizzy, hence recovery in twenty days. His explanation is also reasonable.
Baihe Bing appearing after sweating therapy (because sweating was incorrectly used when not indicated, depleting Body Fluids, is treated with Baihe Zhimu Tang).
Baihe Zhimu Tang Formula
Baihe (Lilii Bulbus) (7 bulbs) Zhimu (Anemarrhenae Rhizoma) (3 liang)
First, wash the Baihe and soak it overnight. When white foam appears, discard the water. Add 2 sheng of Spring Water, decoct to obtain 1 sheng, strain. Separately, add 2 sheng of Spring Water to decoct Zhimu, obtaining 1 sheng, strain. Mix the two decoctions and decoct again to obtain 1.5 sheng. Divide into two warm doses.
Baihe Bing appearing after purging therapy (because purging was incorrectly used when not indicated, driving Heat into the lower jiao, is treated with Baihe Huashi Daizhe Tang).
Baihe Huashi Daizhe Tang Formula
Baihe (Lilii Bulbus) (7 bulbs, broken) Huashi (Talcum) (3 liang, crushed and wrapped in silk) Daizheshi (Ochre) (size of a bullet, 1 piece, crushed and wrapped in silk)
First, decoct Baihe as previously described. Separately, add 2 sheng of Spring Water to decoct Huashi and Daizheshi, obtaining 1 sheng, strain. Mix the decoctions and re-decoct to obtain 1.5 sheng. Divide into two warm doses.
Baihe Bing appearing after emesis therapy (because emesis was incorrectly used when not indicated, injuring internal Zang Yin, is treated with Baihe Jizi Tang).
Baihe Jizi Tang Formula
Baihe (Lilii Bulbus) (7 bulbs, broken) Jizi Huang (Yolks of Chicken Egg) (1 yolk)
First, decoct Baihe as previously described. Add the chicken egg yolk, stir well, and decoct until reduced to 0.5 sheng. Take warm.
Baihe Bing, not subjected to emesis, purging, or sweating, with symptoms unchanged from the beginning (i.e., premonitory appearance mentioned earlier. This is due to Heat pathogen moving first, treated with Baihe Dihuang Tang). (However, some cases of Taiyang disease persisting long-term without resolution, remaining in the Taiyang channel, also use this formula.)
Baihe Dihuang Tang Formula
Baihe (Lilii Bulbus) (7 bulbs, broken) Shengdihuangzhi (Juice of Rehmanniae Radix Recens) (1 sheng)
First, decoct Baihe as previously described. Add the Rehmannia juice, decoct to obtain 1.5 sheng. Divide into two warm doses. Stop taking if effective. Stool will likely turn black like lacquer.
Baihe Bing unresolved for one month, developing thirst (Heat obstructing the skin and hair; skin and hair are the exterior correspondence of the Lung, treated with Baihe Xi Fang).
Baihe Xi Fang
Baihe (Lilii Bulbus) (1 sheng), soaked in 1 dou of water overnight. Use the water to bathe the body. After bathing, consume boiled wheat noodles (Zhu Bing), without salty fermented soybeans (Chi).
Baihe Bing, (after bathing) thirst persists (indicating intense internal Heat and damaged Body Fluids, treated with Gualou Muli San).
Gualou Muli San Formula
Gualougen (Trichosanthis Radix) Muli (Ostreae Concha) (equal parts)
Grind into fine powder. Take 1 fangcun bi with rice water, three times daily.
Baihe Bing, (feeling like cold but not cold, like heat but not heat, originally no heat, now) developing fever (internal Heat is evident, treated with Baihe Huashi San).
Baihe Huashi San Formula
Baihe (Lilii Bulbus) (1 liang, roasted) Huashi (Talcum) (3 liang)
Grind into powder. Take 1 fangcun bi with rice water, three times daily. Stop administration if mild diarrhea occurs. Heat will be eliminated.
For Baihe Bing presenting as Yin syndrome, rescue using Yang methods (as per Neijing: harmonizing Yin with Yang). For presenting as Yang syndrome, rescue using Yin methods (as per Neijing: harmonizing Yang with Yin). If (one sees Yang pathology and) attacks the Yin, (it injures Yin further, and then) inducing sweating again (severely injures Yang). This is contrary treatment. Seeing Yin pathology and attacking Yang (injures Yang further, and then) purging again (exhausts Yin severely). This is also contrary treatment.
Cheng Fusheng said: Previous treatments all used Yin to harmonize Yang. Here, adding Yang to harmonize Yin shows Zhang Zhongjing's thought process is extremely precise.
Huo Er Bing (Fox and Charm Disease), (a disease caused by worms). Symptoms resemble Shanghan: silence, desire to sleep, eyes unable to close, restlessness in lying and rising. (Why such agitation? Truly due to harm caused by worms. Worms) eroding the throat is called "Hu" (Charm); eroding the genitalia is called "Hu" (Fox). (And) loss of appetite, aversion to food odors. (Worms move upon smelling food, causing such心烦 (vexation). Moreover, when worms move violently, they disturb the Stomach; the Stomach governs the face and eyes.) The facial color (alternates between) red, black, and white. (Changing with the aggregation and dispersion of worms). Erosion of the upper part causes (throat damage and) hoarseness. (Treated with) Ganxie Xi Xin Tang. Erosion of the lower part causes (pathogen injuring Jueyin channel; Jueyin is the end of Yin, disease rises from below, causing) dry throat. (Treated with) Kushen Tang wash. Erosion of the anus is (treated with) Xionghuang fumigation. (Fumigation and washing methods treat locally).
This discusses the syndrome and treatment of Huo Er Bing. Wumei Wan from Shanghan Lun can also be considered for use.
Gancao Xi Xin Tang Formula
Gancao (Licorice Root) (4 liang, roasted) Huangqin (Scutellariae Radix) Ganjiang (Zingiberis Rhizoma) Renshen (Ginseng Radix) (each 3 liang) Banxia (Pinelliae Rhizoma) (0.5 sheng) Huanglian (Coptidis Rhizoma) (1 liang) Dazao (Jujubae Fructus) (12 pieces)
Seven ingredients. Decoct in 1 dou of water to obtain 6 sheng, strain. Re-decoct to obtain 3 sheng. Take 1 sheng warm, three times daily.
Kushen Tang Formula
Kushen (Sophorae Flavescentis Radix) (1 sheng), decoct in 1 dou of water to obtain 7 sheng, strain. Use for fumigation and washing, three times daily.
Xionghuang Fumigation Method
Grind Xionghuang (Realgar) into powder. Place in two tube-shaped tiles, burn, and fumigate towards the anus.
Patient has rapid pulse, no fever, slight vexation, silence, desire only to sleep, sweating. In the first 3-4 days, eyes are red like a turtledove's eye. By day 7-8, the area around the eyes turns black. If the patient can eat, pus has formed. Treated with Chixiaodou Danggui San.
You Zaijing said: Rapid pulse, slight vexation, silence, desire to sleep indicate Heat excess internally. No fever with sweating indicates the pathogen is not in the exterior. Eyes red like a turtledove's eye in 3-4 days indicates Heat in Liver blood ascending via the channel to the eyes. If channel Heat is this severe, Zang Heat is known. This is undoubtedly accumulated Heat failing to disperse, about to form an abscess. By day 7-8, eyes turning black indicates extreme Red transforming to Black, meaning the abscess is worse. Liver and Stomach compete for dominance. When Liver has Heat, it inevitably invades the Stomach; once Liver forms an abscess, Stomach Heat merges into the Liver. Thus: if the patient can eat, it indicates pus has formed. Pus formation transforms toxin; transformed toxin harmonizes both Stomach and Liver. Chixiaodou (Adzuki Bean) and Danggui (Angelicae Sinensis Radix) are excellent agents for draining pus/blood and removing damp-Heat. Also, commentators classify this passage as either Huo Er Bing or Yin-Yang Du. Essentially, it is a disease of damp-Heat accumulating into toxin. If not rotting into worms, it accumulates into abscesses. If not occurring on the body/face, it occurs in intestines/organs, following natural disease progression. Zhang Zhongjing likely intended this to be a disease originating from the same source as Huo Er and Yin-Yang Du but diverging in manifestation, hence listing it here.
Chixiaodou Danggui San Formula
Chixiaodou (Vigna Angularis Seed) (3 sheng, soaked until sprouted, dried) Danggui (Angelicae Sinensis Radix) (10 fen)
Two ingredients. Pound into powder. Take 1 fangcun bi with Jiangshui (fermented bean water), three times daily.
(Yin-Yang Er Du are caused by contracting abnormal epidemic pestilence Qi, entering downwards from mouth/nose into the throat, causing death rapidly. Taking Yang Du as an example:)
Yang Du disease, (caused by abnormal Qi invading Yang aspects). Face is red with mottled patterns like brocade, sore throat, vomiting pus and blood. Within five days (meridian Qi has not circulated fully, so) it is still treatable. (After five days, Five Zang transmit pathogen to each other; by) seven days (Yin-Yang meridian Qi has completed a cycle and begun again, then) it is untreatable. Treated with Shengma Biejia Tang.
(Abnormal Qi invading Yin aspects becomes Yin Du.) Yin Du disease, face and eyes are cyan, body pain as if beaten with a stick, sore throat. Within five days (meridian Qi has not circulated fully, so) it is still treatable. (By) seven days (Yin-Yang meridian Qi has completed a cycle and begun again, then) it is untreatable. Treated with Shengma Biejia Tang removing Xionghuang and Shujiao.
This discusses Yin-Yang Er Du, emphasizing that treatment must not be delayed. Zhang Zhongjing's discussion of Yin/Yang Du refers to Heaven-Earth pestilence Qi invading human Yang or Yin Qi, not referring to extreme Cold or extreme Heat. Generally, Heaven-Earth pestilence Qi acts as toxic vapor. Human Qi and Blood circulate in Yang during day and Yin during night. Pestilence Toxicity invading during the phase when human Qi circulates in Yang becomes Yang Du. The face is the gathering of all Yang channels; Yang Du harasses Yang positions, hence red mottled face. Yang Du presses upward on chest/diaphragm, hence vomiting pus/blood. Yang Qi follows Heaven, and things belonging to Heaven tend to rise. Invading during the phase when human Qi circulates in Yin becomes Yin Du. Pathogen entering Yin causes blood coagulation/stasis; blood fails to nourish the face, hence cyan face/eyes. Blood fails to circulate the body, hence body pain like being beaten. Yin Qi is static, representing stagnation. Both Yin-Yang Er Du enter downwards from mouth/nose into the throat. The throat is the critical intersection of Yin and Yang. Contracting out-of-season pestilence Qi obstructs the pathway of True Qi entry/exit. Hence both toxins present with sore throat. Ultimately, abnormal Qi invading humans brings fierce toxicity. Within five days, meridian Qi is not fully circulated, allowing rapid treatment. By seven days, Yin-Yang meridian Qi has cycled and restarted, making it untreatable. The formula uses Shengma Biejia Tang to resolve it. Shengma (Cimicifugae Rhizoma): Ben Jing states flavor is sweet, neutral, bitter, slightly cold, non-toxic. Mainly resolves hundred toxins, wards off plague Qi. Causes expulsion from mouth/nose. Treats evil abdominal pain, seasonal toxic plagues, various throat pains and mouth ulcers. Using Shengma as Sovereign herb because it moves Qi in the Qi level, resolves hundred toxins, induces vomiting/lifting, allowing pathogens entering via mouth/nose to exit via mouth/nose. Biejia (Testudinis Carapax et Plastrum): Flavor sour, neutral, non-toxic. Assists Danggui entering Liver. Liver stores Blood; Blood is congealed by pathogen. Biejia possesses firm/hard nature; Danggui has pungent/aromatic qi, directly entering Jueyin channel, unblocking Qi and Blood, allowing pathogens invading Ying/Wei to be resolved by these two herbs. Gancao (Licorice Root): Flavor sweet, neutral, resolves hundred toxins. Sweet enters Spleen, strengthening Middle Earth to expel pathogen outward. Ingeniously, using Shujiao (Sichuan Pepper) pungent/warm and Xionghuang (Realgar) bitter/cold, possessing pure Yang color, leading herbs to resolve Yang Du. Removing Xionghuang/Shujiao for Yin Du because pathogen is not in Yang aspect; instead, Danggui/Biejia directly entering Yin aspect is more appropriate.
Shengma Biejia Tang Formula
Shengma (Cimicifugae Rhizoma) Danggui (Angelicae Sinensis Radix) Gancao (Licorice Root) (each 2 liang) Shujiao (Sichuan Pepper) (1 liang, stir-fried to remove sweat) Biejia (Testudinis Carapax et Plastrum) (size of finger, 1 piece, roasted)
Xionghuang (Realgar) (0.5 liang, ground)
Six ingredients. Decoct in 4 sheng of water to obtain 1 sheng. Take in one dose. Elderly and children may take another dose to induce sweating. For Yin Du, remove Xionghuang and Shujiao. Zhouhou Qianjin Fang: Yang Du uses Shengma Tang, without Biejia, with Guizhi. Yin Du uses Gancao Tang, without Xionghuang.