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Yushu Dan (Jade Pivot Pill): Treats miasma (Zhang Qi, 瘴气), gu poison (Gu Du, 蛊毒), and resolves various toxic drugs. It antidotes poisoning from arsenic (Pi, 砒), poisonous mushrooms, pufferfish, dead cattle/horse meat, foxes, rats, pythons, as well as injuries from snakes, dogs, and harmful insects. It treats all carbuncles (Yong Ju, 痈疽), back abscesses (Fa Bei, 发背), sores/rashes (Chuang Zhen, 疮疹), red swellings, and various tumors. It also addresses discomfort from acclimatization issues (Bu Fu Shui Tu, 不服水土), taking effect immediately.
*Ingredients*: Shan Cigu (Mountain Garlic Bulb, *Fritillaria cirrhosa*) [commonly known as Jin Deng Long, leaves like leeks, flowers like lanterns, white with black spots, three-angled fruit; sprouts in Feb, flowers in Mar, withers in Apr; mark location at sprouting, dig in Autumn/Winter; covered with hairs; authenticity is crucial for efficacy; peel and dry-roast] 2 liang; Wen Ge (Clam Shell, actually Wubeizi/Gallnut, *Rhus chinensis*) [crushed, washed, dried] 3 liang; Hong Ya Daji (Red-root Spurge Root, *Euphorbia pekinensis*) [remove rhizome, dry-roast] 1.5 liang; Qianjinzi (Thousand Gold Seed, i.e., Xuisui Zi/Croton Seed, *Croton tiglium*) [shell removed, ground, oil expressed to leave the powder/residue] 1 liang. Divide into four doses.
*Administration*: Take with Bohe Tang (Mint Decoction). For Lan Zhang (Mountain Miasma, 岚瘴), acute stroke (Ji Zhong Feng, 急中风), epilepsy (Dian, 癫), ghost fetus (Gui Tai, 鬼胎), or ghost qi (Gui Qi, 鬼气), take with wine free of ash impurities (Wu Hui Jiu, 无灰酒). For hanging or drowning victims whose heart remains warm, or those who died of fright/spirit possession within one night, grind with well water (Jing Shui, 井水) and administer. For snake/dog/centipede bites, grind with cold water and apply externally. For new or chronic malaria, grind with decoction of peach and willow branches made on the same day. For pediatric acute/slow convulsions (Ji/Man Jing Feng, 急/慢惊风), five types of childhood malnutrition (Wu Gan, 五疳), and two types of dysentery (Er Li, 二痢), grind with honey water and mint leaves; for trismus (Ya Guan Jin Ji, 牙关紧急), apply externally and ingest. For toothache, hold a small amount in mouth and swallow. For scalds/burns, grind with flowing water from the east and apply. For traumatic injuries, use dry-roasted pine nodes taken with ash-free wine. For headache/Sun acupoint pain, grind with wine, apply to paper, and paste on Sun acupoint (Tai Yang, 太阳). For various epilepsies, facial deviation, lip/eye twitching, excessive salivation during sleep, slurred speech, sudden stroke with locked jaw/tendon contraction, and swollen/painful joints, grind with wine and take.

Niuhuang Babao Dan (Ox Gallstone Eight-Treasure Pill): Treats sha syndrome (Sha Zheng, 痧症) with macules, mania, whole-body crimson/purple discoloration, and post-sha toxic ulcers, causing them to dissipate.
*Ingredients*: Xuanshen (Scrophularia Root, *Scrophulariae Radix*) [dry-roast on tile], Ming Xionghuang (Real Realgar, *Realgar*) each 5 qian. Grind to powder. [Note: Text seems fragmented here regarding preparation method involving filtering and mulberry branch ash].

Xianfang Nao She Wan (Immortal Formula Brain & Musk Pill): Treats mountain miasma, resolves tea stagnation, phlegm, alcohol intoxication, thirst, clears latent summerheat, reduces heart heat, stops throat pain, clears eye mistiness, and treats bloody/non-bloody dysentery. Highly effective for all fire syndromes.
*Ingredients*: Huang Yaozi (Yellow Medicinal Bulb, *Dioscorea bulbifera*), Bai Yaozi (White Medicinal Bulb, *Dioscorea bulbifera* var.) each 3 liang; Tianhuafen (Trichosanthes Root, *Trichosanthis Radix*) 2 liang; Chuan Lian (Coptis Rhizome, *Coptidis Rhizoma*) 1 liang [carefully selected, ground, sifted fine, using only the finest powder]; Guang Muxiang (Costus Root, *Aucklandiae Radix*) 3 qian; Chenxiang (Agarwood, *Aquilariae Lignum Resinatum*) 3 qian; Shexiang (Musk, *Moschus*) 5 fen; Pian Nao (Borneol, *Borneolum Syntheticum*) 3 fen. Mix with pig bile (Zhu Dan, 猪胆), steam into pills, each pill weighing 1 fen.
*Administration*: Take with a pinch of good tea and one salt plum (Yan Mei, 盐梅) crushed together, mixed with well water (Jing Hua Shui, 井华水). For heart heat/headache/eye mistiness, dissolve 3-5 pills in mouth. For bloody dysentery, crush 7 pills with sedge root juice (Maogen Zhi, 茅根汁); for non-bloody dysentery, crush with tea and plum. For sha distension with red face, body heat, panting/coma, ingestion leads to immediate recovery.

Yujin Wan (Curcuma Pill): Effective for common sha syndrome abdominal pain after one dose; also treats nine types of heart pain.
*Ingredients*: Wulingzhi (Trogopterus Dung, *Trogopterori Faeces*) [stir-fry with vinegar] 1 liang; Yanhusuo (Corydalis Rhizome, *Corydzidis Rhizoma*) 8 qian; Sharen (Amomum Fruit, *Amomi Fructus*) [stir-fry], Sheng Mingfan (Raw Alum, *Alumen*) each 5 qian; Muxiang (Costus Root, *Aucklandiae Radix*) [do not overheat], True Yujin (Curcuma Tuber, *Curcumae Radix* - do not substitute with Jianghuang/Turmeric), Xionghuang (Realgar, *Realgar* as coating) each 3 qian. Bind with Shenqu (Medicated Leaven, *Massa Medicata Fermentata*) paste.

Lianshi Dan (Refined Stone Pill): General formula for sha distension.
*Ingredients*: Qiannian Shi (Millennium Stone, i.e., aged Cuprum Sulfate Vitriol, *Vitriolum*) [water levigation] 1 liang; Songgen Shi (Pine Root Stone, i.e., true Amber, *Electrum*) 3 qian; Shuigu Shi [Text incomplete].

Liufan Wan (Sulfur-Alum Pill):
*Ingredients*: Liu Huang (Sulfur, *Sulfur*), Ming Fan (Alum, *Alumen*) each 4 liang [cook in human-shaped jar with tofu brine for one day/night, remove dregs, slow-cook until dry, bury jar 3 chi underground for 3 days to become purple-gold; discard bottom layer with mud residue]; Fuling (Poria, *Poria*), Shanyao (Dioscorea Rhizome, *Dioscoreae Rhizoma*) each 3 liang [steam together, dry].

Zaorou Wan (Date Meat Pill): Form pills size of mung bean. Take half qian with salt water in morning, 1 qian with plain water before bed. Case: A patient suffered from sha syndrome for 10 years, screaming and fainting upon attack. Tried vinegar charcoal fumigation or salt water induced vomiting, or Hua Tuo's critical illness methods for slight relief. After waking, this pill cured him completely. I have used it frequently with great effect; truly a divine formula.

Appendix: Hua Tuo's Critical Illness Formula: Wu Zhu Yu (Evodia Fruit, *Evodiae Fructus*), Mugua (Chaenomeles Fruit, *Chaenomelis Fructus*), Shiyan (Rock Salt, *Sal Rubrum*) each 5 qian [stir-fry until scorched]. Simmer in clay pot with 3 bowls of water for 100 boils. Adjust temperature according to patient's condition.

Runxia Wan (Moistening Downward Pill): Treats large intestine dryness/excess, constipation of both bowels/bladder, and severe sha toxin congestion.
*Ingredients*: Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) [wine processed] 4 liang; Heiqiu (Black Morning Glory Seed, *Ipomoeae Nil Semen*) [stir-fry, finest powder] 2 liang.

Zhigu Xiangyuan Wan (Distension-Resolving Citron Pill): Treats edema, food stagnation, or qi stagnation.
*Ingredients*: Luobozhi (Radish Seed, *Raphani Semen*) [stir-fry] 6 liang; Chen Xiangyuan (Aged Citron, *Citri Reticulatae Fructus*) 4 liang; Cu Zhi Xiangfu (Cyperi Rhizome, *Cyperi Rhizoma*) [vinegar processed] 3 liang; Guangpi (Tangerine Peel, *Citri Reticulatae Pericarpium*) [remove white pith], Sanleng (Sparganium Tuber, *Sparganii Rhizoma*) [vinegar processed], Ezhu (Curcuma Rhizome, *Curcumae Longae Rhizoma*) [vinegar processed], Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Fuling (Poria, *Poria*) each 2 liang; Shanzha (Hawthorn Fruit, *Crataegi Fructus*) [pitted], Qingpi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*) [remove pith] [equal parts implied].

Da Qianghuo Tang (Great Notopterygium Decoction): The Classic states: "Two-channel infection" (Liang Gan, 两感) is fatal. On day one, Taiyang and Shaoyin channels are affected simultaneously: headache, fever, aversion to cold, dry mouth, irritability, and thirst. Taiyang is a Fu organ, entering via back Shu points, known to all. Shaoyin is a Zang organ, entering via nasal respiration, unknown to many. Nasal qi connects to Heaven, so formless cold evil enters via nose. Kidney belongs to Water; water flows to dampness, thus Kidney receives it. Also: Heavenly evil qi harms the five Zang organs. Thus, internal-external dual infection affects both Fu and Zang. Wanting to release exterior creates interior conflict; wanting to purge interior creates exterior conflict. Since exterior and interior cannot be treated simultaneously, death ensues. However, constitution varies (deficient/excess) and pathogen depth varies. Deep invasion in deficiency is fatal; shallow invasion in excess may be treatable.
*Ingredients*: Qianghuo (Notopterygium Rhizome, *Notopterygii Rhizoma et Radix*), Duhuo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*), Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*), Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*), Huangqin (Scutellaria Root, *Scutellariae Radix*), Huanglian (Coptis Rhizome, *Coptidis Rhizoma*), Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Xixin (Asarum Root, *Asari Radix et Rhizoma*), Zhigancao (Prepared Licorice Root, *Glycyrrhizae Radix et Rhizoma Preparata*) equal parts; Zhimu (Anemarrhena Rhizome, *Anemarrhenae Rhizoma*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Shengdi (Rehmannia Root, *Rehmanniae Radix*) doubled. Slice all. Take 1.5 liang per dose, decoct in one large cup, drink hot. Repeat if no improvement.
This is a divine formula for resolving two-channel infections. If sha syndrome resembles this, modify and select accordingly.

Jiajian Shengxiao San (Modified Holy Efficacy Powder): Treats cold damage, seasonal epidemics, wind-dampness, yin-yang dual infection, unresolved exterior-interior, external heat/internal cold, or external cold/internal heat. Symptoms: limb/joint stiffness, head/neck/back pain, fever/aversion to cold, vomiting/wheezing/cough, nasal congestion/heavy voice, injury from raw/cold food damaging stomach epigastrium, chest/diaphragm fullness, intestinal/flank distension/pain, epigastric blockage, cold extremities, borborygmus/diarrhea, indigestion, difficult urination, etc. Dongpo used this in Hangzhou during epidemics, originally named Sheng San Zi. Now effective for similar sha syndromes.
*Ingredients*: Bu Zi [Text unclear, possibly Buzhong or similar] [stir-fry], Sharen [stir-fry, grind], Binglang (Areca Seed, *Arecae Semen*), Chenpi (Tangerine Peel, *Citri Reticulatae Pericarpium*), Yanhu [Yanhusuo] each 8 qian; Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*), Fangfeng, Cangzhu, Gaoben (Ligusticum Sinense Rhizome, *Ligustici Sinensis Rhizoma*), Huoxiangye (Patchouli Leaf, *Pogostemonis Folium*), Chaihu (Bupleurum Root, *Bupleuri Radix*), Duhuo, Shichangpu (Acorus Rhizome, *Acori Tatarinowii Rhizoma*), Zexie, Zhiqiao (Bitter Orange Fruit, *Aurantii Fructus*), Xixin each 5 qian; Caodoukou (Cardamom Fruit, *Cardamomi Fructus*) [shelled] 10 pieces. Coarse powder. Take 5 qian, decoct in 1.5 cups water to 1 cup, strain, take warm, any time, aiming for mild sweating.

Rusheng San (Like-Sage Powder): Treats pain in the epigastrium, pulling pain in all bone joints, vomiting/nausea, intermittent attacks. Also treats hernia and chronic labor roots; supplements where sha distension fails.
*Ingredients*: Zhiqiao [flour stir-fry] 3 liang, Xiaohui [lightly stir-fry] 3 qian, Yanzhuan (Salt Brick) [red-hot on shovel] 3 fen. Grind to fine powder. Take [dose unspecified].

Shixiao San (Laugh-Out-of-Pain Powder): Treats blood confusing heart orifices, loss of consciousness, postpartum women's heart/abdominal colic, and abdominal stasis blood pain. For men/women prone to sha distension, prevents recurrence.
*Ingredients*: Lingzhi [Wulingzhi, remove sand, stir-fry], Puhuang (Lygodium Spore, *Lygodii Spora*) equal parts. Grind to powder. Take 1-2 qian, mix with warm wine.

Puji Xiaodu Yin (Universal Benefit Detoxification Decoction): Used during Taihe era epidemic. Initial symptoms: aversion to cold, high fever, heavy body; progressing to severe head/face swelling, closed eyes, throat wheezing, dry tongue/mouth. Commonly called "Big Head Cold Damage," unresponsive to other drugs. Dongyuan stated: Upper half is Heaven's qi; evil heat lodges in Heart/Lung, attacking head/face causing swelling. Created formula to save lives, carved on stone.
*Ingredients*: Huangqin, Huanglian (each wine-stir-fried) 5 qian; Niubangzi (Arctium Fruit, *Arctii Fructus*), [Qianjinhua/Lianqiao implied] ... [Text fragmented]. Honey pills.

Quzhang Biwen Dan (Miasma-Dispelling Plague-Averting Pill): Treats seasonal epidemic sha-miasma, same for old/young/male/female.
*Ingredients*: Houpo, Cangzhu, Qianghuo, Fangfeng, Chenpi, Zhishi (Bitter Orange Fruit, *Aurantii Fructus*), Xiangfu, Niubangzi each 1 qian; Binglang, Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*) each 8 fen; Huoxiang, Chuanxiong each 5 fen; Xixin 4 fen; Gancao (Licorice Root, *Glycyrrhizae Radix*) 3 fen. Decoct with Ginger, Scallion.
*Modifications*: No sweat add Ziyeh (Perilla Leaf, *Perillae Folium*), Bohe (Mint, *Menthae Haplocalycis Herba*). Thirst add Huafen (Trichosanthes Root, *Trichosanthis Radix*), Gegen (Kudzu Root, *Puerariae Lobatae Radix*). Heavy body/sweat add Fangji, Shigao (Gypsum Fibrosum, *Gypsum*). Warm malaria add Chaihu, Banxia (Pinellia Tuber, *Pinelliae Rhizoma*). General bumps/swelling add Lanye (Isatis Leaf, *Isatidis Folium*), Dahuang, Jiangcan (Bombyx Batryticatus, *Bombyx Batryticatus*). Red/black/purple skin spots add Xuanshen, Daqing (Isatis Root, *Isatidis Radix*), Lianqiao (Forsythia Fruit, *Forsythiae Fructus*). Constipation add Dahuang. Heatstroke + Summerheat add Baihu Tang, Xiangru (Elsholtzia Herb, *Elsholtziae Herba*). Headache add Chuanxiong. Wind-warmth burning body add Huangqin, Huanglian, Zhizi (Gardenia Fruit, *Gardeniae Fructus*). Cough/phlegm/dizziness add Jingjie (Schizonepeta Spike, *Schizonepetae Spica*), Jinfeicao (Golden Whorl Grass, *Inulae Flos*).

Baihu Tang (White Tiger Decoction): Treats warm disease with body heat, spontaneous sweating, dry mouth, surging pulse. Divine for cholera, summerheat injury, sha syndrome.
*Ingredients*: Shigao (Gypsum Fibrosum, *Gypsum*) [roasted] 5 qian, Zhimu [3 qian implied].
Pathology: Disease in Yangming muscle layer means Taiyang exterior evil is resolved; hence no aversion to cold, no headache/body ache, only spontaneous sweating and fever. Classic says: When heat prevails, assist with bitter-sweet. Zhimu and Gancao resolve heat. Heat damages Qi; Rice and Gancao's sweetness tonifies Qi and treats insomnia/irritability. Irritability relates to Lung; restlessness to Kidney. Shigao is Sovereign; Zhimu's bitterness clears Kidney source. Shigao is heavy/sinking; Zhimu is cold/sinking. Rice/Gancao's sweetness moderates them to prevent rapid descent to Lower Jiao. White Tiger is Metal Deity, governing Autumn; summer heat declines in Autumn. Zhimu's bitter-cold protects Taiyin Lung Metal Qi. Hence named White Tiger, acting as an exterior-releasing herb for Three Yang channels. Note: Use only with sweating; contraindicated without sweating. Without sweating, must use Chaihu, Gegen, Shengma to release exterior. Do not mistake body heat for indication to use Baihu, which would trap heat preventing outward release.
I have verified warm diseases with prolonged lack of sweating sometimes require Baihu to resolve. Warm malaria suits Guizhi Baihu Tang, as stated in *Yifang Jijie*. Chaihu, Gegen, Shengma have their own indications, detailed in *Shanghan Lun Zhu*.

Record of Anomaly Case: Liu from Jingjiang, 40 years old, returned from outside after epidemics and multiple funerals. Mother died suddenly. Developed palpitations, insomnia, jumping/shouting upon slight sleep, heart feeling like swinging/hitting. Took Tianwang Buxin Dan for half month with no effect. I used a unique formula: Hupo Wan (Amber Pill). Three doses settled it (3.3 liang per dose, total 1 qian). Later developed strange symptom: normal diet, but sudden eye rolling, drooling, bleating like a sheep, head turning past left shoulder... [Text fragmented]. Complexion abnormal, prescribed another pill regimen for recovery and cure.
*Ingredients*: Zhen Hupo (True Amber, *Electrum*) [grind with lampwick] 4 qian; Chensha (Cinnabar, *Cinnabaris*) [fine powder, mix with pig heart blood], Baifan (Alum, *Alumen*) each 3 qian [boil thoroughly until cooked through, dry, use 8 qian]; Dansing (Calculus Bovis, *Bovis Calculus*) 6 qian; Shichangpu, Zhigancao each 5 qian; Zaoren (Zizyphus Seed, *Ziziphi Spinosae Semen*) 2 liang; Yuanzhi (Polygala Root, *Polygalae Radix*), Baifushen (Poria with Hostwood, *Poria cum Mycelium*), Juhong (Tangerine Albedo, *Citri Reticulatae Pericarpium*), Guishen (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Baiziren (Biota Seed, *Platycladi Semen*), Shanyao, Maidong (Ophiopogon Tuber, *Ophiopogonis Tuberus*) each 1 liang. Bind with boiled date meat, pills size of wutong seeds. Coat with Jinbo (Gold Foil, *Folium Aureum*). Take 30 pills before bed with longan and lampwick water. Treats palpitations, amnesia, fright palpitations, epilepsy.

Jiawei Huoming Yin (Modified Life-Preserving Decoction): Treats residual heat-toxin after sha syndrome causing carbuncles, back abscesses, ding sores, ju sores.
*Ingredients*: Chuanshanjia (Pangolin Scale, *Manis Squama*) [earth stir-fry], Yinhua (Honeysuckle Flower, *Lonicerae Japonicae Flos), [Zaocys/Zaojiaoci implied], Ru [Frankincense, *Olibanum*].
*Modifications*: Back add Zaocis spine 1.5 qian; Abdomen add Baizhi 1 qian; Chest add Gualouren 2 qian; Head/face/extremities add Yinhua 5 qian. Decoct in large clay bottle, sealed. Drink warm. Sleep on side. Avoid iron, sour foods, toxins. (Alternative: omit Jun/Di/Huo, decoct with good wine; do not use for severe ulceration).

Liuyi San (Six-to-One Powder): Descends fire, benefits orifices, resolves irritability/thirst. (Note: Excessive use in non-damp cases consumes fluids, increasing thirst).
*Ingredients*: Shihua (Talcum, *Talcum*) [water levigation] 6 liang, Fencao (Licorice Powder, *Glycyrrhizae Radix*) 1 liang. Mix with cool water in summer. Add Zhusha (Cinnabar, *Cinnabaris*) -> Yi Yuan San. Treats pediatric fever/cough with slight convulsions, take with lampwick water, highly effective.

Another Method: Most sha syndromes belong to Liver channel. Liver attaches to back, between 7th vertebral joint. For sha attack, press firmly with thumbnail into the gap of the 7th dorsal vertebra until inner joint clicks/stops. Apply salt. If no click, rub vigorously with salt until penetration occurs, stopping pain.