抵当汤 治伤寒日深，表证仍甚，蓄热下焦，脉微沉，不结胸，发狂者。小腹胀而硬，
小便自和者，瘀血证也，小便不和，无血也。或阳明蓄热内甚，而喜忘或狂，大便虽硬而反
易，其色黑者，有蓄血也。无表里证，但发热日深，脉虽浮者，亦可下之。或已下后，
脉数，胃热消谷善饥，数日不大便，有瘀血也。
桃仁（七个） 大黄（一分） 水蛭（炒） 虻虫（去翅足，炒各十个。）
上锉如麻豆大，分作二服，水一盏，煮至半盏，绞去滓，温服。未下，再服。
抵当丸 治伤寒有热，少腹满，小便不利者，为有血也，当下之，不可余药。
桃仁（八个） 大黄（一分） 水蛭（炒） 虻虫（去翅足，炒，各七个。）
上为末，蜜和作二丸，用水一盏，煮一丸，至六分，温服。 时血未下，再服。
大承气汤 治表里俱热，病势更甚者。阳明脉迟，汗出，不恶寒，身重，谓如见
鬼状。剧者发则不识人，循衣摸床，惕而不安，微喘直视，阳明里热极甚。或吐下后，不
解大便五六日至十余日，日晡潮热，心胃燥热而懊 ，复如疟状，脉沉实。或小便不利，
大便乍难乍易，喘冒不能卧。或腹满实痛，烦渴谵妄，脉实数而沉。里热燥甚，肠
胃怫郁，留饮不散，胸腹高起，痛不可忍，但呕冷液，大渴，反不能饮，强饮不能止，喘
急闷者。
大黄（半两） 芒硝（半两） 浓朴（半两，去皮） 枳实（半两）
上锉如麻豆大，分半，水一盏半，生姜三片，煎至六分，内（音纳）。硝煎，去滓服。
小承气汤 治伤寒日深，恐有燥屎，腹中转失，乃可攻之。不转失者，必初硬后溏，
未可攻之，攻之则腹满不能食。饮水而哕，其后发热，大便复硬。若腹大满不通，或阳明多汗，
津液外出，肠胃燥热，大便必硬而谵语，脉滑，吐下微烦，小便数，大便结，或下利
谵语。自得病二三日，脉弱，无太阳证、柴胡证，烦心，心下结，至四五日，虽能食，
少少与承气汤和之，令小安。
大黄（半两） 浓朴（三钱，去皮） 枳实（三钱）
上锉如麻豆大，分作二服，水一盏，生姜三片，煎至半盏，绞汁服。未利，再服。
调胃承气汤 治诸发汗和解，不恶寒，但发热蒸蒸然者。或日深，心下温温欲吐，胸中
痛，大便溏，腹满，郁郁微烦，先此时吐下者。或日深，里热谵语，法当下之，以银粉、
巴豆燥热大毒丸药下之，致真阴损虚，邪热转甚，因而协热下利不止。及表里热，下之
太早，乘虚而入，不成结胸，但为热利不止，心下满硬或痛，烦渴咽干，脉滑数
而实，诸腹满实痛者。烦渴谵妄，小便赤，大便硬，脉滑实紧。
大黄 芒硝 甘草（各等分）
上锉如麻豆大，分一半，水一大盏，煎至半盏，绞去滓，内芒硝，煎。不利，再煎服。
三一承气汤 治伤寒杂病，内外所伤，日数远近，腹满咽干，烦渴谵妄，心下按之硬痛，
小便赤涩，大便结滞。或湿热内甚，而为滑泄，热甚喘咳闷乱，惊悸狂颠，目痛口疮，
舌肿喉痹，痈疡，阳明胃热发斑，脉沉，可下者。小
儿热极，风惊潮搐，宿喘昏塞，并斑疹黑陷，小便不通，腹满欲死。或斑疹后热不退，久
不作痂，或作斑纹。疮癣久不已者，怫热内成疹癖坚积，黄瘦痛疾。久新卒暴心痛，风痰酒
隔，肠垢积滞。久壅风热，暴伤酒食，烦心闷乱，脉数沉实。或肾水阴虚，阳热独甚，而
僵仆卒中。一切暴音不语，（一名失音。）蓄热内甚，阳厥极深，脉反沉细欲绝。或表之冲和，
正气与邪热并之于里，则里热亢极，阳极似阴，反为寒战，脉微而绝。或风热燥甚，客
于下焦，而大小便涩滞不通者。或产妇死胎不下，及两感表里热甚，须可下者。
大黄（半两，锦纹） 芒硝（半两） 浓朴（半两，去皮） 枳实（半两） 甘草（一两）
上锉如麻豆大，水一盏半，生姜三片，煎至七分，内硝，煎二沸，去滓服。
十枣汤 治太阳中风，下利呕逆短气，不恶寒， 汗出，发作有时，头痛，心下痞硬，
引胁下痛。兼下水肿腹胀，并酒食积，肠垢积滞， 癖坚积，蓄热暴痛，疟气久不已。或
表之正气与邪热并甚于里，热极似阴，反寒战。表气入里，阳厥极深，脉微而绝。并风
热燥甚，结于下焦，大小便不通，实热腰痛。及小儿热结，乳癖，积热作发，惊风潮搐，斑
疹热毒，不能了绝者。
大戟 芫花（慢火炒变色。仲景、乡俗异语。云炒作熬。下凡言熬者，皆干炒也）
甘遂（各等分）
上为末。水一大盏，枣十枚（切开），煮取汁半盏，调半钱匕。实人，每一钱。
茵陈汤 治阳明里热极甚，烦渴，热郁，留饮不散，以致湿热相搏，而身发黄胆，
但头汗出，身无汗，小便不利，渴
引水浆，身必发黄。宜茵陈汤调下五苓散。利大小便。
茵陈（一名山茵陈，一两，去茎） 大黄（半两） 大栀子（七个，色深坚实好者，
稍小者，用十个）
上锉如麻豆大，水二盏半，慢火熬至一盏，绞汁，温服，以利为度，甚者，再作。
当下如烂鱼肚及脓血胶膘等物，及小便多出金色，如皂荚汁。
或见证将发黄，此一剂分作四服，调五苓散三钱。凡治发黄者，无越此法。妙。
桂苓甘露散（一名桂苓白术散。一方甘草一两半。） 治伤寒、中暑、胃风、饮食，中
外一切所伤传受，湿热内甚，头痛口干，吐泻烦渴，小便赤涩，大便急痛，湿热霍乱吐下，
腹满痛闷，及小儿吐泻惊风。
茯苓（一两，去皮） 甘草（二两，炙） 白术（半两） 泽泻（一两） 桂（半两，去皮）
石膏（二两） 寒水石（二两） 滑石（四两） 猪苓（半两）
上为末，每服三钱，温汤调下，新水亦得，生姜汤尤良。小儿每服一钱，同上法。
此药下神金丸，止泻利，无不验也，并解内外诸邪所伤，湿热。
又一方，却不用猪苓，或日三服，不计时候。
栀子柏皮汤 治头微汗，小便利而微发黄者。湿热相抟微者宜服。
黄柏（半两） 甘草（一分） 大栀子（十五个）
上锉如麻豆大，水三盏，煎至一盏，绞汁，分次作一日服之。
栀子豉汤 治懊 烦心，及伤寒不得眠，燥热怫郁结内，而气不宣通，胸满头痛，
微汗虚烦。
大栀子（七个，锉碎） 豆豉（半合。俗言盐豉。）
上锉如麻豆大，先以水二盏煮栀子，至一盏半，内豉，煮至半盏，绞汁，温服。少
气者，加甘草一分。呕者，误以丸药下之者，加生姜半两，或用温汤濯手足，使心胸结热宣
通而已。凡加者，皆用栀子，先煮。得吐，止后服。
凡用栀子豉汤，皆非吐人之药。以其燥热郁结之甚，而药顿攻之，不能开通，则发热而
呕吐。因其呕吐，发开郁结，则气通，津液宣行而已，故不须再服也。
大陷胸汤 治汗下之后，不大便五六日，舌干而渴，日晡潮热，从心至小腹胀满而痛
不可近，脉当沉紧滑数。或但胸结，则无大段热，头微汗出，脉沉涩者，水结也。
大黄（三钱） 芒硝（三钱） 甘遂末（三字）
上锉如麻豆大，分作二服，每服水一盏，煎大黄至六分，内硝，再煎一二沸，绞汁，
调甘遂一字匕半，温服。未快利，再服。势恶不能利，以意加服。
小陷胸汤 治小结胸，心下按之痛，脉浮而滑，无大段热，表未罢，不可下之，下
之即死。小结胸，宜服。
半夏（四钱，汤洗，全用，不锉） 生姜（二钱，切） 黄连（二钱，锉） 栝蒌实（大
者，半两，唯锉其壳，子则不锉，若锉其中子者，非也）
上以水三盏，煮栝蒌汁一盏半，内药，煮至一盏，绞汁，分两次温服。以效。
大陷胸丸 治发热而下之太早，热入因作结胸者，项亦强，如柔 状，下之则和也。
大黄（半两） 芒硝（一分） 杏仁（十二个，去皮尖、双仁，草灰炒变色）
葶苈（三钱，微炒）
上，大黄为末，下葶苈，杵，罗，研杏仁、硝如泥，和弹子大，每服一丸，入甘遂末
三字、白蜜半匙，水一盏，煮
至半盏，温服。当一宿许乃下。未利，再服。
栀子浓朴汤 治伤寒下后，心烦腹满，坐卧不安者。
大栀子（七个） 枳实（二钱） 浓朴（半两，去皮，炙）
上锉如麻豆大，以水一盏半煮，绞汁半盏，温服。
槟榔散 治伤寒阴病，下之太早成痞，心下痞满而不痛，按之软虚者。
槟榔 枳壳（等分）
上为末，每服三钱，煎黄连汤调下，不计时候，温服。
大黄黄连泻心汤 治伤寒成病痞不已，心腹亦实热烦满，或谵妄而脉沉，无他证者。
大黄 黄连 黄芩（各一分。）
上锉如麻豆大，水二盏，煎至一盏，绞汁，分三次温服。又一法，加生姜一分，甚良。
黄连解毒汤 治伤寒杂病，热毒烦闷，干呕口燥，呻吟喘满，阳厥极深，蓄热内甚，
俗妄传为阴毒者。及汗下吐后，寒凉诸药不能退热势。两感证同法。
黄连（去须） 黄柏 黄芩 大栀子（各半两）
上锉如麻豆大，每服称半两，水一茶盏，煎至四分，绞去滓，温服。
或腹满呕吐，或欲作利者，每服加半夏三个（生，全用）、浓朴二钱（锉）、茯苓二钱
（去皮，锉），用水一盏半，生姜三片，煎至半盏，绞汁，温服，名半夏黄连解毒汤。
白虎汤（加减白虎汤，随证用。） 治伤风自汗，桂枝证，表未解，半入于里。中暑自汗，
脉虚弱。伤寒自汗，脉滑数而实，表里俱热。三阳合病，腹满身重，口燥面垢，谵语发黄，
厥逆自汗。和解两感，解头痛，止自汗，杂病时疫，未泻发斑，兼豆 疮疹伏热。
知母（一两半） 甘草（一两，炙） 粳米（一合） 石膏（四两，为末）
上锉如麻豆大，抄五钱，水一盏，煎至六分，去滓，温服，无时候，日三四服。或眩咳呕
者，加半夏半两、红皮半两，每服生姜三片，煎服。
伤寒发汗不解，脉浮者，加苍术半两，名苍术白虎汤。汗吐下后，烦渴口干，脉洪大，
加人参半两，名人参白虎汤。
贾同知已效方，石膏四两、知母一两、甘草一两。刘庭瑞已效方，知母一两半、石膏四两、
粳米一合。崔宣武已效方，知母一两、石膏三两、甘草一两半。上为末，每服三钱，水一盏，
入粳米二十五粒，煎至六分。未曾下，胃热发斑，兼痘 如液，虚瘦，加人参半两、白术半两。
头疼，加川芎、荆芥各三钱。咳嗽，加半夏三钱、桔梗一两。恍惚，加人参三钱、茯苓半两。
凉膈散（一名连翘饮子，亦有加减法。） 治伤寒表不解，半入于里，下证未全；下后
燥热怫结于内，烦心懊 ，不得眠，脏腑积热，烦渴头昏，唇焦咽燥，喉闭目赤，烦渴，
口舌生疮，咳唾稠粘，谵语狂妄，肠胃燥涩，便溺 结，风热壅滞，疮癣发斑，惊风热极，
黑陷将死。
连翘（一两） 山栀子（半两） 大黄（半两） 薄荷叶（半两） 黄芩（半两） 甘草（一两半）
朴硝（一分）
上为末，每服二钱，水一盏，蜜少许，同煎至七分，去滓，温服。
虚实加减∶咽喉痛，涎嗽，加桔梗一两、荆芥穗半两。嗽而呕者，加半夏半两，每
服生姜三片同煎。衄血呕血，加当归半两、芍药半两、生地黄一两。淋者，加滑石四两、
茯苓一两（去皮）。风眩，加芎半两、石膏三两、防风半两。酒毒，加葛根一两、荆芥穗
半两、赤芍药半两、芎半两、防风半两、桔梗半两。
三岁小儿可服七八钱。或恶热甚，黑陷，腹满喘急，小便赤涩，而将死者，此一服更
加大承气汤。约以下之，立效。
凡言加者，皆自本方加也，以意加减。退表热，加益元散，效速。
人参石膏汤 治伤寒咳嗽不已，心烦，及风热头痛，精神不利，昏愦，宜服。
人参（一钱半） 石膏（三两） 芎（半两） 半夏（二钱，去滑） 白术（半两）
茯苓（半两） 甘草（一两，炙） 大栀子（三钱） 知母（半两） 黄芩（三钱）
上为末，每服一钱，水一盏，生姜三片，煎至六分，去滓，温服。
崔宣武人参石膏汤 治伤寒头痛，心烦闷，风热，并汗后余热，自汗多。清头目，定喘嗽。
人参（二钱半） 石膏（一两） 芎（二两） 黄芩（二钱） 茯苓（三钱） 甘草（半两）
防风（三钱）
上为细末，每服五钱，水一盏半，煎至六分，去滓，温服，不计时候。
双解散 治风寒暑湿，饥饱劳役，内外诸邪所伤，无问自汗、汗后、杂病，但觉不快，
便可通解得愈。小儿生疮疹，使
利出快，亦能气通宣而愈。
益元散（七两） 防风通圣散（七两）
上二药一处相和，名为双解散，（益元散方在痢门，通圣散方在风门。）各七两，搅匀，
每服三钱，水一盏半，入葱白五寸、盐豉五十粒、生姜三片，煎至一盏，温服。
白术散 治伤寒杂病，一切吐泻、烦渴、霍乱、虚损气弱，保养衰老，及治酒积呕哕。
白术 茯苓（去皮） 人参（各半两） 甘草（一两半，炙） 木香（一分） 藿香（半两）
葛根（一两）
上为末，白汤调下二钱。烦渴者，加滑石二两。甚者，加姜汁，续续饮之。
Didang Tang (Echidna Decoction): Treats severe cold damage progressing deeply, where exterior symptoms remain intense, heat accumulates in the lower jiao, pulse is faint and sinking, no chest binding occurs, and madness develops. If the lower abdomen is distended and hard, with normal urination, it indicates blood stasis; if urination is obstructed, there is no blood stasis. Alternatively, if yangming heat accumulation is severe internally, causing forgetfulness or madness, and although stool is hard, it passes easily with a black color, this indicates blood accumulation. In the absence of typical exterior or interior syndromes, but with fever deepening daily, even if the pulse floats, purgation may be used. Or after prior purgation, if the pulse is rapid, stomach heat causes excessive hunger, and constipation persists for several days, this indicates blood stasis.
Tao Ren (Seven) Dahuang (One fen) Shuizhi (Stir-fried) Mengchong (Wings and feet removed, stir-fried, ten each.)
Crush ingredients to the size of hemp seeds, divide into two doses. Boil one cup of water until half remains, strain, and take warm. If unrelieved, administer again.
Didang Wan (Echidna Pill): Treats cold damage with fever, fullness in the lower abdomen, and difficulty urinating, indicating blood stasis requiring purgation; do not use other medicines.
Tao Ren (Eight) Dahuang (One fen) Shuizhi (Stir-fried) Mengchong (Wings and feet removed, stir-fried, seven each.)
Grind to powder, mix with honey to form two pills. Boil one pill in one cup of water until six parts remain, take warm. If blood stasis has not passed, administer again.
Da Chengqi Tang (Major Order the Qi Decoction): Treats simultaneous exterior and interior heat with more severe disease progression. Yangming pulse is slow, sweating occurs, aversion to cold is absent, body feels heavy, and hallucinations occur. Severe cases involve loss of recognition, grasping at clothing and bedrails, fearfulness, slight panting, and fixed gaze, indicating extreme interior heat in yangming. Or after emesis/purgation, constipation persists for five to ten days, tidal fever occurs at dusk, heart and stomach feel dry and hot with inner restlessness, resembling malaria, with a deep, solid pulse. Or with difficulty urinating, alternating difficulty and ease of defecation, panting, dizziness, inability to lie down. Or abdominal distension, fullness, solid pain, irritability, thirst, delirium, with a solid, rapid, deep pulse. Extreme interior heat and dryness, gastrointestinal stagnation, retained fluids not dispersing, high swelling of chest and abdomen, unbearable pain, vomiting only cold fluid, extreme thirst yet inability to drink, forced drinking fails to quench thirst, panting, and oppression.
Dahuang (Half liang) Mangxiao (Half liang) Houpo (Half liang, bark removed) Zhishi (Half liang)
Crush to hemp seed size, use half portion. Add one and a half cups of water and three slices of fresh ginger, decoct to six parts. Add Mangxiao, boil briefly, strain, and take warm.
Xiao Chengqi Tang (Minor Order the Qi Decoction): Treats deepening cold damage where dry fecal matter is suspected. Abdominal borborygmus indicates readiness for attack. Without borborygmus, stool is likely hard initially then loose; do not purge, as it causes abdominal fullness and anorexia. Drinking water may cause hiccups, followed by fever and re-hardening of stool. If abdominal fullness and obstruction are significant, or yangming sweating depletes fluids leading to dry intestinal heat and hard stool with delirium, pulse slippery, mild vexation after emesis/purgation, frequent urination, constipation, or diarrhea with delirium: from onset for two to three days, weak pulse, without taiyang or shaoyang signs, mental distress, epigastric binding. By day four or five, even if eating is possible, give small amounts of Chengqi Tang to harmonize and provide relief.
Dahuang (Half liang) Houpo (Three qian, bark removed) Zhishi (Three qian)
Crush to hemp seed size, divide into two doses. Add one cup of water and three slices of fresh ginger, decoct to half cup, strain juice, and take warm. If no bowel movement, administer again.
Tiaowei Chengqi Tang (Regulate Stomach Order the Qi Decoction): Treats cases after sweating/harmonizing where there is no aversion to cold, only steaming fever. Or deepening disease with epigastric nausea, chest pain, loose stool, abdominal fullness, mild depression/vexation, following prior emesis/purgation. Or deepening disease with interior heat and delirium requiring purgation, but mistakenly treated with toxic hot pills (silver powder, croton), damaging true yin and worsening pathogenic heat, leading to persistent heat-collateral diarrhea. Or early purgation when both exterior and interior are hot, entering deficiency, failing to form chest binding but causing persistent heat diarrhea, epigastric fullness/hardness/pain, irritability, thirst, dry throat, slippery-rapid-solid pulse, various abdominal fullness/solid pain cases. Irritability, thirst, delirium, red urine, hard stool, slippery-solid-tight pulse.
Dahuang Mangxiao Gancao (Equal parts)
Crush to hemp seed size, use half portion. Add one large cup of water, decoct to half cup, strain, add Mangxiao, boil. If no relief, decoct and take again.
Sanyi Chengqi Tang (Three-One Order the Qi Decoction): Treats cold damage and miscellaneous diseases, internal/external injuries, varying durations, abdominal fullness, dry throat, irritability, thirst, delirium, epigastric hardness/pain upon pressure, red/astringent urine, constipation. Or severe internal damp-heat causing slippery diarrhea, severe heat with panting/cough/oppression/confusion, palpitations, madness/seizures, eye pain, mouth ulcers, tongue swelling, throat obstruction, abscesses, yangming stomach heat causing macules, deep pulse suitable for purgation. Pediatric extreme heat, wind-induced convulsions, chronic asthma/coma, black sunken macules, urinary obstruction, fatal abdominal fullness. Or persistent heat post-macules, failure to scab, or formation of macular patterns. Chronic sores/eczema, internal heat forming rashes/stagnant masses, yellow/thin painful conditions. Sudden new/old heart pain, wind-phlegm/wine obstruction, intestinal mucus/stagnation. Long-standing wind-heat, acute wine/food injury, mental distress/oppression, rapid-deep-solid pulse. Or kidney water/yin deficiency with solitary excess yang heat, sudden collapse/stroke. Sudden aphonia (loss of voice), severe internal heat accumulation, deep yang reversal with faint/nearly imperceptible pulse. Or harmony of exterior, with righteous qi and pathogenic heat merging in interior, causing extreme interior heat, extreme yang resembling yin, chills, faint/imperceptible pulse. Or severe wind-heat/dryness in lower jiao causing urinary/fecal obstruction. Or retained dead fetus in postpartum, or simultaneous exterior-interior heat requiring purgation.
Dahuang (Half liang, brocade pattern) Mangxiao (Half liang) Houpo (Half liang, bark removed) Zhishi (Half liang) Gancao (One liang)
Crush to hemp seed size. Add one and a half cups of water and three slices of fresh ginger, decoct to seven parts. Add Mangxiao, boil twice, strain, and take warm.
Shizao Tang (Ten Jujube Decoction): Treats taiyang wind-strike with diarrhea, retching, shortness of breath, no aversion to cold, sweating, periodic attacks, headache, epigastric hardness/pain radiating to hypochondrium. Also treats edema/abdominal distension, wine/food stagnation, intestinal mucus/stagnation, stagnant masses, acute heat pain, chronic malaria. Or righteous qi/pathogenic heat merging in interior, extreme heat resembling yin with chills. Exterior qi entering interior, deep yang reversal with faint/imperceptible pulse. Severe wind-heat/dryness in lower jiao causing urinary/fecal obstruction, solid heat lumbar pain. Pediatric heat binding, breast masses, accumulated heat attacks, wind-convulsions, macule/rash heat toxins unable to resolve.
Daji Yuanhua (Slow fire stir-fry until color changes. Zhang Zhongjing/local dialect differs. 'Ao' means dry frying.) Gansui (Equal parts)
Grind to powder. Add one large cup of water and ten jujubes (cut open), decoct to half cup juice. Mix with half a coin-sized scoop. For robust individuals, one qian per dose.
Yinchen Tang (Artemisia Decoction): Treats extreme yangming interior heat, irritability, thirst, heat stagnation, retained fluids not dispersing, leading to damp-heat interaction and jaundice. Only head sweats, body does not, difficulty urinating, craving fluids, body turns yellow. Best taken with Wuling San mixed in. Promotes urination and defecation.
Yinchen (One liang, stems removed) Dahuang (Half liang) Dazhizi (Seven large, dark, solid ones; ten if smaller)
Crush to hemp seed size. Add two and a half cups of water, slow fire decoct to one cup, strain juice, take warm. Stop when bowels move. Severe cases repeat. Expect passage of rotting fish-like material, pus/blood, or golden urine like soap pod juice. If jaundice is impending, divide one dose into four servings, mix with three qian of Wuling San. No method surpasses this for treating jaundice. Excellent.
Guiling Ganlu San (Cinnamon Poria Sweet Dew Powder, also known as Guiling Baizhu San. One formula uses one and a half liang of Gancao.): Treats cold damage, summerheat, stomach wind, dietary injuries, and all internal/external pathogenic transmissions. Severe internal damp-heat, headache, dry mouth, vomiting/diarrhea, irritability/thirst, red/astringent urine, urgent bowel pain, damp-heat cholera vomiting/diarrhea, abdominal fullness/pain/oppression, pediatric vomiting/diarrhea/wind-convulsions.
Fuling (One liang, peeled) Gancao (Two liang, honey-fried) Baizhu (Half liang) Zexie (One liang) Guizhi (Half liang, bark removed) Shigao (Two liang) Hanshuishi (Two liang) Huashi (Four liang) Zhuling (Half liang)
Grind to powder. Take three qian per dose, mixed with warm water or fresh water; ginger tea is best. Pediatrics: one qian per dose, same method. This medicine combined with Shenjin Wan stops diarrhea effectively and resolves internal/external pathogenic injuries and damp-heat.
Alternative: Omit Zhuling, take three times daily regardless of timing.
Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction): Treats slight head sweating, free urination, and mild yellowing. Suitable for mild damp-heat interaction.
Huangbai (Half liang) Gancao (One fen) Dazhizi (Fifteen)
Crush to hemp seed size. Add three cups of water, decoct to one cup, strain juice, divide into doses throughout the day.
Zhichi Chi Tang (Gardenia and Fermented Soybean Decoction): Treats inner restlessness/vexation, insomnia due to cold damage, dry heat stagnation blocking qi flow, chest fullness, headache, slight sweating, deficiency vexation.
Dazhizi (Seven, crushed) Douchi (Half he, commonly salted fermented soybeans)
Crush to hemp seed size. First decoct Zhizi in two cups of water to one and a half cups. Add Douchi, decoct to half cup, strain juice, take warm. For deficient qi, add one fen of Gancao. For vomiting (mistakenly purged with pills), add half liang of Shengjiang, or soak hands/feet in warm water to circulate chest heat. All additions require pre-boiling Zhizi. If vomiting occurs, stop subsequent doses.
Note: Zhichi Chi Tang is not primarily an emetic. Due to severe dry heat stagnation, immediate strong action may cause fever/vomiting. Vomiting opens stagnation, allowing qi circulation and fluid distribution; thus, re-administration is unnecessary.
Daxiexiong Tang (Major Trap the Chest Decoction): Treats post-sweat/purge cases with five-six days of constipation, dry tongue/thirst, dusk tidal fever, abdominal pain/fullness from heart to lower abdomen intolerable to touch, pulse should be deep-tight-slippery-rapid. Or only chest binding without significant heat, slight head sweating, deep-slippery pulse indicates water binding.
Dahuang (Three qian) Mangxiao (Three qian) Gansui Powder (Three zi)
Crush to hemp seed size, divide into two doses. Per dose, decoct Dahuang in one cup water to six parts. Add Mangxiao, boil once or twice, strain juice, mix with half a zi scoop of Gansui powder, take warm. If not sufficiently purged, repeat. If condition worsens and purging fails, adjust dosage according to judgment.
Xiaoxiexiong Tang (Minor Trap the Chest Decoction): Treats minor chest binding, epigastric pain on pressure, floating-slippery pulse, no significant heat, exterior unresolved. Do not purge, or death ensues. Suitable for minor chest binding.
Banxia (Four qian, washed in boiling water, whole, not crushed) Shengjiang (Two qian, sliced) Huanglian (Two qian, crushed) Gualou Shi (Large one, half liang, crush shell only, do not crush seed; crushing seed is incorrect)
Add three cups of water, decoct Gualou juice to one and a half cups. Add herbs, decoct to one cup, strain juice, divide into two warm doses. Continue until effective.
Daxiexiong Wan (Major Trap the Chest Pill): Treats fever where premature purging allows heat entry causing chest binding, stiff neck resembling rou-jing (soft spasm). Purging brings harmony.
Dahuang (Half liang) Mangxiao (One fen) Xingren (Twelve, skin/apical buds removed, double-kernel avoided, stir-fried in ash until color change) Tingli (Three qian, lightly stir-fried)
Grind Dahuang to powder, add Tingli, pound, sieve. Grind Xingren and Mangxiao into paste. Form pills the size of弹子 (bullet). Take one pill per dose with three zi of Gansui powder, half spoon of white honey, one cup water, decoct to half cup, take warm. Bowel movement expected after overnight. If no movement, repeat.
Zhizi Houpo Tang (Gardenia and Magnolia Bark Decoction): Treats post-purge cold damage with mental vexation, abdominal fullness, restlessness sitting/lying.
Dazhizi (Seven) Zhishi (Two qian) Houpo (Half liang, bark removed, honey-fried)
Crush to hemp seed size. Decoct in one and a half cups water, strain to half cup, take warm.
Bolang San (Areca Seed Powder): Treats yin-type cold damage where premature purging causes pi (glomus), epigastric fullness without pain, soft/void on pressure.
Bolang Zhike (Equal parts)
Grind to powder. Take three qian per dose, mixed with Huanglian Tang decoction, take warm anytime.
Dahuang Huanglian Xiexin Tang (Rhubarb and Coptis Draining Heart Decoction): Treats persistent cold damage pi, solid heat/fullness in heart/abdomen, or delirium with deep pulse, without other symptoms.
Dahuang Huanglian Huangqin (One fen each)
Crush to hemp seed size. Add two cups water, decoct to one cup, strain juice, divide into three warm doses. Alternative: add one fen Shengjiang, very effective.
Huanglian Jiedu Tang (Coptis Detoxification Decoction): Treats cold damage/miscellaneous diseases with heat toxin, mental oppression, dry retching, dry mouth, groaning, panting/fullness, deep yang reversal, severe internal heat accumulation (often misdiagnosed as yin poison). Also for heat persisting after sweat/purge/emesis despite cooling herbs. Same method for lianggan syndrome.
Huanglian (remove roots) Huangbai Huangqin Dazhizi (Half liang each)
Crush to hemp seed size. Weigh half liang per dose. Add one teacup of water, decoct to four parts, strain, take warm.
For abdominal fullness/vomiting or impending diarrhea: add three raw Banxia, two qian Houpo (crushed), two qian Fuling (peeled/crushed). Add one and a half cups water, three slices Shengjiang, decoct to half cup, strain, take warm. Named Banxia Huanglian Jiedu Tang.
Baihu Tang (White Tiger Decoction, modified Baihu Tang varies by syndrome): Treats wind-cold with spontaneous sweating, guizhi syndrome with unresolved exterior partially entering interior. Summerheat with spontaneous sweating, weak pulse. Cold damage with spontaneous sweating, slippery-rapid-solid pulse, simultaneous exterior-interior heat. Three-yang combined disease: abdominal fullness, body heaviness, dry mouth, dirty face, delirium, yellowing, cold limbs with sweating. Harmonize lianggan, relieve headache, stop sweating. Miscellaneous diseases/epidemics, pre-purpura eruption, latent heat in smallpox/rashes.
Zhimu (One and a half liang) Gancao (One liang, honey-fried) Jingmi (One he) Shigao (Four liang, powdered)
Crush to hemp seed size. Use five qian. Add one cup water, decoct to six parts, strain, take warm anytime, three-four times daily. For dizziness/cough/vomiting: add half liang Banxia, half liang red peel, three slices Shengjiang per dose.
If cold damage sweating fails to resolve, floating pulse: add half liang Cangzhu, named Cangzhu Baihu Tang. After sweat/emesis/purge, irritability/thirst/dry mouth,洪大 pulse: add half liang Renshen, named Renshen Baihu Tang.
Jia Tongzhi effective formula: Shigao 4 liang, Zhimu 1 liang, Gancao 1 liang. Liu Tingrui effective formula: Zhimu 1.5 liang, Shigao 4 liang, Jingmi 1 he. Cui Xuanwu effective formula: Zhimu 1 liang, Shigao 3 liang, Gancao 1.5 liang. Grind to powder, take three qian per dose with one cup water and 25 grains Jingmi, decoct to six parts. If not previously purged, stomach heat causing macules/smallpox liquid stage, deficiency/thinness: add half liang Renshen, half liang Baizhu. Headache: add Chuanxiong, Jingjie 3 qian each. Cough: add Banxia 3 qian, Jiegeng 1 liang. Restlessness: add Renshen 3 qian, Fuling half liang.
Liangge San (Cool Diaphragm Powder, also Lianqiao Yinzi, with modifications): Treats cold damage with unresolved exterior partially entering interior, incomplete purgation indications. Post-purge dry heat stagnation internally, mental vexation/restlessness, insomnia, organ heat accumulation, irritability/thirst/dizziness, scorched lips/dry throat, throat closure/red eyes, mouth/tongue ulcers, thick sticky sputum, delirium/madness, dry/astringent intestines, difficult urination/defecation, wind-heat congestion, sores/macules, extreme heat wind-convulsions, black sunken macules near death.
Lianqiao (One liang) Shanzhizi (Half liang) Dahuang (Half liang) Boheye (Half liang) Huangqin (Half liang) Gancao (One and a half liang) Puxiao (One fen)
Grind to powder. Take two qian per dose with one cup water, little honey, decoct to seven parts, strain, take warm.
Deficiency/excess modifications: Sore throat/phlegm cough: add Jiegeng 1 liang, Jingjisui half liang. Cough with vomiting: add Banxia half liang, three slices Shengjiang per dose. Epistaxis/hematemesis: add Danggui half liang, Shaoyao half liang, Shengdihuang 1 liang. Strangury: add Huashi 4 liang, Fuling 1 liang (peeled). Wind dizziness: add Chuanxiong half liang, Shigao 3 liang, Fangfeng half liang. Wine toxicity: add Gegen 1 liang, Jingjisui half liang, Chishao Yao half liang, Chuanxiong half liang, Fangfeng half liang, Jiegeng half liang.
Three-year-old children: take seven-eight qian. If severe heat aversion, black sunken macules, abdominal fullness/panting, red/astringent urine, near death: add Da Chengqi Tang to this dose. Purge gently, immediate effect.
"Add" refers to adding to this base formula, adjust as needed. To reduce exterior heat, add Yiyuan San for fast effect.
Renshen Shigao Tang (Ginseng and Gypsum Decoction): Treats persistent cold damage cough, mental distress, wind-heat headache, poor spirit, confusion.
Renshen (One and a half qian) Shigao (Three liang) Chuanxiong (Half liang) Banxia (Two qian, remove slime) Baizhu (Half liang) Fuling (Half liang) Gancao (One liang, honey-fried) Dazhizi (Three qian) Zhimu (Half liang) Huangqin (Three qian)
Grind to powder. Take one qian per dose with one cup water, three slices Shengjiang, decoct to six parts, strain, take warm.
Cui Xuanwu Renshen Shigao Tang: Treats cold damage headache, mental distress/oppression, wind-heat, residual heat post-sweating, excessive spontaneous sweating. Clears head/eyes, calms panting/cough.
Renshen (Two and a half qian) Shigao (One liang) Chuanxiong (Two liang) Huangqin (Two qian) Fuling (Three qian) Gancao (Half liang) Fangfeng (Three qian)
Grind to fine powder. Take five qian per dose with one and a half cups water, decoct to six parts, strain, take warm anytime.
Shuangjie San (Double Resolution Powder): Treats wind-cold/summerheat-dampness, hunger/fullness/labor injuries, internal/external pathogenic injuries. Regardless of spontaneous sweating, post-sweating, or miscellaneous diseases, if discomfort is felt, this powder resolves it. For pediatric smallpox/rashes, promotes rapid discharge, restores qi circulation and recovery.
Yiyuan San (Seven liang) Fangfeng Tongsheng San (Seven liang)
Mix these two medicines, named Shuangjie San. (Yiyuan San formula in dysentery section, Tongsheng San formula in wind section.) Each seven liang, mix well. Take three qian per dose with one and a half cups water, five cun Congbai, fifty salted Douchi, three slices Shengjiang, decoct to one cup, take warm.
Baizhu San (Atractylodes Macrocephala Powder): Treats cold damage/miscellaneous diseases, all vomiting/diarrhea, irritability/thirst, cholera, deficiency/qi weakness, elderly care, and wine accumulation vomiting/hiccups.
Baizhu Fuling (peeled) Renshen (Half liang each) Gancao (One and a half liang, honey-fried) Muxiang (One fen) Huoxiang (Half liang) Gegen (One liang)
Grind to powder. Take two qian mixed with plain boiled water. For irritability/thirst: add Liangshi 2 liang. Severe cases: add ginger juice, sip continuously.