伤食 右寸脉紧盛，痞满，又口无味液不纳谷，息匀。
痰证 呕逆头痛，脉浮而滑，痞满。
虚烦 不恶寒，不头痛，身疼。
香港脚 但疾起于脚。
无表里，至十三日后，大柴胡主之。脉数，不大便，瘀血也，抵当主之；过经不解，承气主之。
表里双见
脉浮大表也，又烦渴小便赤，心下痞，治宜大柴胡、桂枝汤、五苓散。
脉浮紧，咽燥，口苦，腹满而喘，发热汗出，不恶寒而反恶热，治宜栀子豉汤。
脉（迟弦）细，里也，又有里证，治宜小建中、小柴胡。
误下表未解，下之协热利不止，宜桂枝人参汤。腹痛喘渴，见各门下。
祖按∶伤寒第九至此条款，俱系伤寒变症，后有言及伤寒者，乃论杂症中参
及之耳。凡治病辩得伤寒明透，则杂症皎然矣。盖伤寒专言足六经∶足太阳膀胱
经、足少阳胆经、足阳明胃经、足太阴脾经、足少阴肾经、足厥阴肝经。杂症则
兼及手六经∶手太阳小肠经、手少阳三焦经、手阳明大肠经、手太阴肺经、手少
阴心经、手厥阴心包络。此之谓十二经配脏腑也，故分言之，以便览者。
李论
太阳证，脉浮紧无汗，名伤寒，宜麻黄汤。脉浮缓自汗，名伤风，宜桂枝汤。
阳明证，不恶风寒，自汗，脉长，宜白虎汤，浮沉按之有力，宜大承气汤。
少阳证，脉弦，宜柴胡汤。
太阴证同前脉沉细，宜四逆，浮宜桂枝汤。
少阴证，脉沉实，宜大承气，脉细沉迟宜四逆汤。身凉脉沉细而虚，宜泻心
汤。身热而烦躁，二便自利，脉浮洪无力，按之全无，宜附子泻心汤。吐泻不
渴，脉微弱，宜理中汤。渴而脉沉有力而疾，宜五苓散。脉沉发热当汗，宜麻黄
细辛附子汤。下利青色口燥，宜下。不渴，温之。
厥阴证，脉俱微沉实，按之有力，宜下。无力，宜温。
刘论
表证宜麻黄汤发之。内证之外者，麻黄细辛附子汤
渍形以为汗，里证根据方加大黄下之。
肾外证，脉浮，前方加姜附。内证泄利，后方加同。
肝外证，面青，脉弦，前方加羌活、防风。内证便秘淋溲，沉弦后方加同。
心外证，面赤，脉浮洪，前方加石膏、黄芩。内证烦心心痛而哕，脉沉，后方加同。
肺外证，面白，嚏悲，脉浮而涩，前方加桂姜。内证喘咳，脉沉，后方加同。
脾外证，面黄，善噫，脉浮缓，前方加白术、防己。内证腹满，脉沉，后方加同。
羌活汤 治一切伤寒及两感。出刘。
羌活 防风 川芎 甘草 地黄 黄芩（各一两） 白术（二两） 细辛（二钱五分）
如身热加石膏四钱，腹满加芍药三钱，寒热加柴胡一两、半夏五钱，心
下痞加枳实一钱，里证加大黄三钱，邪尽止之。
大羌活汤 治同上方。出李。
防风 羌活 川芎 甘草 黄芩 细辛 独活 苍术 防己 白术 黄连（各一钱） 知母
地黄（各三钱） 白芷（阳明加之）
双解散 混治。出刘张。
春夏不服麻黄 秋冬不服桂枝
夏不服青龙 冬不服白虎
桂枝汤 解肌和卫也，治太阳中风自汗浮
桂枝（君也，风淫于内，平以辛） 芍药 甘草（臣也，酸收甘缓） 姜枣（使也，辛散甘缓） 各三钱
此方，西北可常行之，惟江淮间冬春可行之。自春末夏至前用，加黄芩，谓
之阳旦汤，夏至后，加芩二钱半、知母半两、石膏一两。若病患素虚寒，不必加减。
加芍药一两，治腹痛下后脉浮。
加大黄，治大实腹痛。
加附子一枚，治风湿身疼，又治汗漏不止。
加干姜治已汗、已下，又寒热往来。
加栝蒌、葛根，治有汗柔 。
加麻黄二钱、杏仁十二枚，治寒热往来，名桂麻各半汤。
加麻黄二分、石膏三钱，治寒热往来，脉微弱，不可汗，名桂枝三越婢一汤。
加浓朴、杏仁，治喘恶风无汗，表也。
去芍药，治下后，脉促胸满。
麻黄汤 治寒邪。
麻黄（君也，三钱散寒） 桂枝（臣也，二钱解肌） 甘草（佐也，一钱，寒伤荣，荣主肝，肝苦急，以
甘缓之） 杏仁（使也，利气，二十个）
加知母（一钱五分） 石膏（三钱） 治夏至前后无汗热病。
加杏仁五十枚、麻黄半两、甘草二钱、石膏八钱半，治喘。
加麻黄、薏苡二钱、甘草一钱、杏仁十枚，治风湿相搏身疼。
加麻黄细辛二钱、附子十枚，治少阳证脉沉。
加芍药、葛根、姜枣，治刚 无汗，名葛根麻黄汤。
解肌汤 治春温，又治疫。
葛根（二钱） 麻黄（三钱） 桂枝 甘草（一钱） 芍药 黄芩（二钱） 枣同煎。
升麻葛根汤 治春冬时行。
升麻 葛根 甘草 芍药（各等分）
又治太阳阳明合病自利 葛根（一两） 黄芩 黄连 甘草（各二钱）汤，治喘汗出里
也。又治误下协热利不止。
阳毒升麻
升麻（二钱） 犀角 射干 黄芩 人参 甘草（各一钱）
大青龙汤 治风寒两伤，寒脉浮紧中风证，风脉浮缓伤寒证是也。
麻黄（君也，六钱，散寒。） 桂枝（臣也，二钱，祛风。） 甘草（二钱） 杏仁（四十
枚，甘苦助之佐麻黄也。） 姜枣（辛甘合之佐桂枝也。） 石膏（使也，使荣卫之气俱和而又专
达肌表者也。）
上一服止，若再服汗多则亡阳也，若脉微弱汗出恶风不可服，服之则厥逆筋
惕肉 也，大青龙不可误服，误服则厥逆。
小青龙汤 治风寒两伤，加之心下有水气，乃除表里之邪耳。
麻黄（君也，发散表之风寒。） 芍药 五味（佐也，寒饮伤肺咳逆而喘以酸收肺逆也。）
干姜 细辛 半夏（辛热心下有水，津液不行，则肾气燥，以辛润之，以热散之。）
若渴者，去半夏加栝蒌根。渴者气燥也，栝蒌根苦寒润燥也，若微利去麻
黄，加芫花，水入肠间则利下，不可攻表，芫花下水，若噎者去麻黄加附子，噎
者水寒与虚，麻黄非宜，附热温气辛散寒，若小便不利、小腹满，去麻黄，加茯
苓，若喘者去麻黄，加杏仁泄逆气。
大承气汤 治邪结入胃，又治阳明少阳合病自利，治久痢热利腹胀。
枳实（君也，十枚，苦寒溃坚破结为之主。） 大黄（使） 浓朴（臣也，苦湿泄满除燥。）
芒硝（佐以治热。）
桃仁承气汤 治蓄血。
桃仁（五十枚） 桂枝 芒硝 甘草（六钱） 大黄（一两三钱）
大柴胡汤 治春温。
柴胡（君也） 黄芩（臣也） 芍药（佐也，苦酸涌泻为阴） 枳实（佐也，苦寒泄实折热也）
大黄（使也） 半夏 姜枣（辛散甘缓）
小柴胡汤 治春温热多呕曰胎。
柴胡（君也） 黄芩（臣也） 人参 甘草（佐也，甘平也。邪气传里，里气则不治，甘以缓
之，以扶正气而复之。） 半夏（佐也，以辛散之。）
若胃中热而不呕，去半夏、参，加栝蒌根，不呕无逆气，故去半夏；人参恐
助热，亦去之；栝蒌根苦寒，以通胸中郁热。若渴者，燥也，去半夏，加人参生
津、栝蒌根润也。
若痛，中痛寒也，去黄芩加芍药。
若胁下痞硬，去枣，加牡蛎以咸软坚也。
若以心下悸，小便不利者，去黄芩，加茯苓以行水也。
若不渴，外有微热，表也。去人参，加桂，治表也。
若咳者，去人参、姜、枣，加五味子、干姜，甘补。逆气，故去参、枣，五
味酸收，干姜散寒也。
若热入血室，谵语，加生地黄。
四逆散 治少阴四肢厥逆。
柴胡 芍药 枳实 甘草
上为细末，每服二钱，米饮调下。
嗽加五味子、干姜；悸者加桂。
栀子豉汤 治心下懊 ，及吐汗下后，胸满虚烦不眠；又治白胎，又治劳复。
栀子 豆豉
若下之后热不去，加干姜。
下后腹胀，加浓朴、枳实。
若劳复，加枳壳。
若发黄外热，加柏皮、甘草。
若时行大热虚烦，加生地黄、石膏、柴胡、升麻，名栀子升麻汤。
瓜蒂散 吐胸满鬲实。
瓜蒂（苦寒） 赤小豆（酸苦涌鬲实） 香豉（苦寒去热）
亡血家忌。
大陷胸汤 治胸中邪气与阳气相结，不得分解，壅于心下，硬痛。
甘遂（君也，一字，苦寒泄热破结。） 芒硝（臣也，八钱，咸寒泄热软坚。） 大黄（使也。）
大陷胸丸
大黄（半两） 葶苈 芒硝 杏仁（七钱） 甘遂（丸如弹不下再服） 蜜水下一丸。
小陷胸汤 治前证按之痛。
黄连（三钱） 半夏（八钱） 栝蒌仁（二个）
枳实理中丸 治无热证结胸。
本方加枳实、茯苓。
枳梗汤 治胸满不利。
桔梗 枳壳 水二钟，煎八分服。
泻心汤 治虚痞，邪留心下谓之痞，留于胸中谓之结胸。
大黄（一两） 黄芩 黄连（二钱半）
若胸满而软加半夏。
若胸满恶寒自汗，加附子。
若胸满下之尤痞，加甘草、干姜、人参。
以上并去大黄。
旋复代赭汤 治吐汗下后痞而噫气不除。
旋复花 甘草（一两） 人参（六钱） 代赭石（三钱） 半夏（八钱） 姜枣
浓朴汤 治腹胀满。
浓朴（四钱） 半夏（二钱） 甘草 人参（各五分）
十枣汤 治痞硬引胁。
芫花 大戟 甘遂（四钱） 枣（十个） 同煎。
茵陈汤 治热极发黄。
茵陈（君也，苦酸寒泄热主也。） 栀子（臣也，苦寒入心。） 大黄（使也。）
白虎汤 治热甚于外，又中外俱热，内不得泄，外不得散。
知母（君也，苦寒。） 石膏（臣也，助） 甘草 粳米（使也，以甘缓之。）
白虎为大寒之剂，立秋后不可服，服之则哕逆成虚损矣。
治秋时行，加苍术。
治风湿自汗，亦加苍术。
治 中暑、治 治白胎涩者，加人参。
五苓散 克伐肾邪，治发黄、霍乱，通行津液。
茯苓（君也） 猪苓（臣也） 白术（佐也，脾恶寒，水饮内蓄，脾气不治，以甘助之。）
泽泻（使下也，导溺。） 桂（辛热，水蓄不行则肾气燥，以辛润之，以热散之。）
小半夏加茯苓汤 治水结胸。
茯苓甘草汤 治水饮为悸。
理中丸 治脾胃。
人参（君也。） 白术（臣也，脾恶湿，甘胜湿。） 甘草（佐也，甘补） 干姜（使也，辛热，胃恶寒。）
若脐下筑动者，肾气动也，去白术，加桂。术甘滞气，桂辛散肾气。
若吐多，加生姜，去白术，术甘壅，姜散逆气。
若下多，加术，术胜湿。
若悸者，饮也。加茯苓。
渴欲水者，加术生津。
腹痛加参补之。
寒多，加干姜。
腹满，去术，加附。术令人中满，附辛散满。
四逆汤 治阴寒脉沉。
甘草（君也六钱） 干姜（臣也半两逐寒） 附（使也一钱温经）
水二升，取四合，去滓，分二服。
吴茱萸汤 治厥阴头痛，干呕涎沫，又治少阴烦躁，吐利四逆。
茱萸 生姜（半两） 人参（一钱）
真武汤 治停饮而咳，水饮内寒相合者。又治振；又治水在心下，外带表。
茯苓（君也。） 白术（臣也，脾有水则不治。） 芍药 生姜（湿淫所胜，佐以酸辛。） 附子
（使也，散湿温经。）
若咳者，加五味、干姜、细辛，水寒射肺，酸收辛散。
若小便利者，去茯苓。
若下利，去芍药，加干姜，酸泄辛散寒也。
呕者去附子，加生姜。附补气，姜散气也。
建中汤 治热多寒少；又治血少，尺脉迟涩；治腹痛；又治虚烦；又治悸。
胶饴（君也，甘温。） 甘草（臣也） 桂（佐也，辛散也。） 芍药（佐也，酸收也，泄也。）
姜枣（使也，建脾胃）
脾约丸 脾约则小便数大便硬，约，胃强脾弱津液不布也。又曰脾日虚弱，
津液约缩而不舒布也。
杏仁（润燥也） 枳实（散结也） 芍药（酸苦泄也） 浓朴（散脾也） 麻仁 大黄（使也）
抵当汤 治蓄血。
水蛭（君也，咸寒，咸胜血。） 虻虫（臣也，苦寒，苦走血。） 桃仁（佐也，血聚则肝气
散。） 大黄（使也。） 水煎一服。
小续命汤
麻黄 人参 黄芩（各一两） 芍药 桂 防己 甘草 川芎 防风 附
金沸草汤 治咳嗽喘急。
前胡 旋复花（各一两） 半夏（五钱） 细辛 甘草（各二钱） 荆芥穗（一两半） 赤
茯苓（六钱半）
葳蕤汤 治冬热病，咽痛，赤疹。又治风湿自汗。
葳蕤（一钱） 麻黄 白薇 羌活 杏仁 青木香 甘草（各一钱半） 石膏（二钱半）
葛根（五钱） 川芎（一钱半） 作三服。
甘桔汤 治咽痛。
桔梗 甘草 水煎服。
射干半夏桂甘汤 治腹满自利。
赤石脂禹余粮汤 治利不止，各一两作三服。
黄芩汤 治太阳少阳合病自利。
黄芩 芍药 甘草 枣
黄连汤 治下寒上热，腹痛呕吐者。
黄连（二钱） 陈皮 枳实 麻黄 杏仁 浓朴 甘草 葛（各一钱半）
黄连阿胶汤 治心烦不得卧。
黄连（一两三钱） 黄芩（三钱） 芍药（六钱） 阿胶（一两） 鸡子黄（八分三个） 先
煎，后入黄柏。
上和匀作三服。
猪肤汤 治少阴胸满而烦。
猪黑皮（五两） 煎至半，加蜜（三） 米粉（二）分三。
酸枣仁丸 治吐下后虚烦不眠。
伤食：右手寸脉紧盛，伴有胸脘痞闷胀满，口中无味、津液不足且无法进食，呼吸均匀。
香港脚（脚气病）：症状仅从脚部开始发作。
若无表证也无里证，病程至十三日后，以大柴胡汤为主治方。脉数，大便不通，为瘀血所致，以抵当汤为主治方；若经过传经后病邪仍未解除，以承气汤为主治方。
表证与里证同时出现：
脉象浮大，属表证，又见心烦口渴、小便色赤，心下痞闷，治疗宜用大柴胡汤、桂枝汤或五苓散。
脉象浮紧，咽干口苦，腹部胀满且气喘，发热汗出，不恶寒反而恶热，治疗宜用栀子豉汤。
脉象迟弦细，属里证，又有里证表现，治疗宜用小建中汤或小柴胡汤。
误用攻下法而表证未解，攻下后导致协热利不止，宜用桂枝人参汤。腹痛、气喘、口渴等症状，参见各章节门下。
朱丹溪按语：伤寒第九篇至此条款，均属于伤寒的变症，后面提及伤寒的内容，是在论述杂症时兼及伤寒罢了。凡是治病，若能辨明伤寒之理透彻，则杂症也就清晰明了了。盖伤寒专门论述足六经：足太阳膀胱经、足少阳胆经、足阳明胃经、足太阴脾经、足少阴肾经、足厥阴肝经。杂症则兼及手六经：手太阳小肠经、手少阳三焦经、手阳明大肠经、手太阴肺经、手少阴心经、手厥阴心包络。这叫做十二经配属脏腑，所以分开论述，以便读者阅览。
李氏论述：
太阳证，脉浮紧无汗，名为伤寒，宜用麻黄汤。脉浮缓自汗，名为伤风，宜用桂枝汤。
阳明证，不恶风寒，自汗，脉长，宜用白虎汤；脉浮沉按之有力，宜用大承气汤。
少阳证，脉弦，宜用柴胡汤。
太阴证同前文所述，脉沉细，宜用四逆汤；脉浮宜用桂枝汤。
少阴证，脉沉实，宜用大承气汤；脉细沉迟宜用四逆汤。身体凉、脉沉细而虚，宜用泻心汤。身热而烦躁，二便自利，脉浮洪无力，按之全无，宜用附子泻心汤。吐泻且不渴，脉微弱，宜用理中汤。口渴而脉沉有力且快，宜用五苓散。脉沉发热应当发汗，宜用麻黄细辛附子汤。下利青色、口燥，宜用攻下法。不渴，宜用温法。
厥阴证，脉皆微沉实，按之有力，宜用攻下法。无力，宜用温法。
刘氏论述：
表证宜用麻黄汤发汗。内证兼有外证者，用麻黄细辛附子汤浸泡形体以取汗，里证根据方剂加大黄攻下。
肾之外证，脉浮，前方加生姜、附子。肾之内证泄利，后方加相同药物。
肝之外证，面色青，脉弦，前方加羌活、防风。肝之内证便秘、小便淋涩，脉沉弦，后方加相同药物。
心之外证，面色赤，脉浮洪，前方加石膏、黄芩。心之内证心烦心痛且呃逆，脉沉，后方加相同药物。
肺之外证，面色白，打喷嚏悲伤，脉浮而涩，前方加桂枝、干姜。肺之内证喘咳，脉沉，后方加相同药物。
脾之外证，面色黄，容易嗳气，脉浮缓，前方加白术、防己。脾之内证腹满，脉沉，后方加相同药物。
羌活汤：治疗一切伤寒及两感伤寒。出自刘氏。
药材：羌活、防风、川芎、甘草、地黄、黄芩（各一两），白术（二两），细辛（二钱五分）。
如身热加石膏四钱，腹满加芍药三钱，寒热往来加柴胡一两、半夏五钱，心下痞加枳实一钱，里证加大黄三钱，邪气尽除即停药。
大羌活汤：治疗同上。出自李氏。
药材：防风、羌活、川芎、甘草、黄芩、细辛、独活、苍术、防己、白术、黄连（各一钱），知母、地黄（各三钱），白芷（阳明经证加之）。
双解散：混合治疗。出自刘河间、张元素。
春夏不服麻黄，秋冬不服桂枝。
夏不服青龙（大青龙汤），冬不服白虎（白虎汤）。
桂枝汤：解肌调和卫气，治疗太阳中风自汗浮脉。
桂枝（君药，风淫于内，以辛平之），芍药，甘草（臣药，酸收甘缓），姜枣（使药，辛散甘缓）。各三钱。
此方在西北可常行，惟江淮地区冬春可行。自春末夏至前使用，加黄芩，称为阳旦汤；夏至后，加黄芩二钱半、知母半两、石膏一两。若病患素体虚寒，不必加减。
加芍药一两，治疗腹痛且下后脉浮。
加大黄，治疗大实腹痛。
加附子一枚，治疗风湿身疼，又治疗汗漏不止。
加干姜治疗已发汗、已攻下，又治寒热往来。
加栝蒌、葛根，治疗有汗柔痉。
加麻黄二钱、杏仁十二枚，治疗寒热往来，名桂麻各半汤。
加麻黄二分、石膏三钱，治疗寒热往来，脉微弱，不可发汗，名桂枝三越婢一汤。
加浓朴、杏仁，治疗喘、恶风、无汗，属表证。
去芍药，治疗下后脉促胸满。
麻黄汤：治疗寒邪。
麻黄（君药，三钱散寒），桂枝（臣药，二钱解肌），甘草（佐药，一钱，寒伤营分，营主肝，肝苦急，以甘缓之），杏仁（使药，利气，二十个）。
加知母（一钱五分）、石膏（三钱），治疗夏至前后无汗热病。
加杏仁五十枚、麻黄半两、甘草二钱、石膏八钱半，治疗喘。
加麻黄、薏苡二钱、甘草一钱、杏仁十枚，治疗风湿相搏身疼。
加麻黄细辛二钱、附子十枚，治疗少阳证脉沉。
加芍药、葛根、姜枣，治疗刚痉无汗，名葛根麻黄汤。
解肌汤：治疗春温，又治疗疫病。
葛根（二钱），麻黄（三钱），桂枝，甘草（一钱），芍药，黄芩（二钱），枣同煎。
升麻葛根汤：治疗春冬时行疾病。
升麻、葛根、甘草、芍药（各等分）。
又治疗太阳阳明合病自利：葛根（一两），黄芩、黄连、甘草（各二钱）汤，治疗喘汗出属里证。又治疗误下协热利不止。
阳毒升麻汤：
升麻（二钱），犀角、射干、黄芩、人参、甘草（各一钱）。
大青龙汤：治疗风寒两伤，寒脉浮紧中风证，风脉浮缓伤寒证是也。
麻黄（君药，六钱，散寒），桂枝（臣药，二钱，祛风），甘草（二钱），杏仁（四十枚，甘苦助之佐麻黄），姜枣（辛甘合之佐桂枝），石膏（使药，使荣卫之气俱和而又专达肌表者也）。
上一服止，若再服汗多则亡阳也，若脉微弱汗出恶风不可服，服之则厥逆筋惕肉瞤也，大青龙不可误服，误服则厥逆。
小青龙汤：治疗风寒两伤，加之心下有水气，乃除表里之邪耳。
麻黄（君药，发散表之风寒），芍药，五味子（佐药，寒饮伤肺咳逆而喘以酸收肺逆也），干姜，细辛，半夏（辛热心下有水，津液不行，则肾气燥，以辛润之，以热散之）。
若渴者，去半夏加栝蒌根。渴者气燥也，栝蒌根苦寒润燥也，若微利去麻黄，加芫花，水入肠间则利下，不可攻表，芫花下水，若噎者去麻黄加附子，噎者水寒与虚，麻黄非宜，附热温气辛散寒，若小便不利、小腹满，去麻黄，加茯苓，若喘者去麻黄，加杏仁泄逆气。
大承气汤：治疗邪结入胃，又治疗阳明少阳合病自利，治疗久痢热利腹胀。
枳实（君药，十枚，苦寒溃坚破结为之主），大黄（使药），浓朴（臣药，苦湿泄满除燥），芒硝（佐药以治热）。
桃仁承气汤：治疗蓄血。
桃仁（五十枚），桂枝，芒硝，甘草（六钱），大黄（一两三钱）。
大柴胡汤：治疗春温。
柴胡（君药），黄芩（臣药），芍药（佐药，苦酸涌泻为阴），枳实（佐药，苦寒泄实折热也），大黄（使药），半夏，姜枣（辛散甘缓）。
小柴胡汤：治疗春温热多呕曰胎。
柴胡（君药），黄芩（臣药），人参，甘草（佐药，甘平也。邪气传里，里气则不治，甘以缓之，以扶正气而复之），半夏（佐药，以辛散之）。
若胃中热而不呕，去半夏、参，加栝蒌根，不呕无逆气，故去半夏；人参恐助热，亦去之；栝蒌根苦寒，以通胸中郁热。若渴者，燥也，去半夏，加人参生津、栝蒌根润也。
若痛，中痛寒也，去黄芩加芍药。
若胁下痞硬，去枣，加牡蛎以咸软坚也。
若以心下悸，小便不利者，去黄芩，加茯苓以行水也。
若不渴，外有微热，表也。去人参，加桂，治表也。
若咳者，去人参、姜、枣，加五味子、干姜，甘补。逆气，故去参、枣，五味酸收，干姜散寒也。
若热入血室，谵语，加生地黄。
四逆散：治疗少阴四肢厥逆。
柴胡，芍药，枳实，甘草。
上为细末，每服二钱，米饮调下。
嗽加五味子、干姜；悸者加桂。
栀子豉汤：治疗心下懊憹，及吐汗下后，胸满虚烦不眠；又治疗白胎，又治疗劳复。
栀子，豆豉。
若下之后热不去，加干姜。
下后腹胀，加浓朴、枳实。
若劳复，加枳壳。
若发黄外热，加柏皮、甘草。
若时行大热虚烦，加生地黄、石膏、柴胡、升麻，名栀子升麻汤。
瓜蒂散：吐胸满鬲实。
瓜蒂（苦寒），赤小豆（酸苦涌鬲实），香豉（苦寒去热）。
亡血家忌。
大陷胸汤：治疗胸中邪气与阳气相结，不得分解，壅于心下，硬痛。
甘遂（君药，一字，苦寒泄热破结），芒硝（臣药，八钱，咸寒泄热软坚），大黄（使药）。
大陷胸丸：
大黄（半两），葶苈，芒硝，杏仁（七钱），甘遂（丸如弹不下再服），蜜水下一丸。
小陷胸汤：治疗前证按之痛。
黄连（三钱），半夏（八钱），栝蒌仁（二个）。
泻心汤：治疗虚痞，邪留心下谓之痞，留于胸中谓之结胸。
大黄（一两），黄芩，黄连（二钱半）。
若胸满而软加半夏。
若胸满恶寒自汗，加附子。
若胸满下之尤痞，加甘草、干姜、人参。
以上并去大黄。
旋复代赭汤：治疗吐汗下后痞而噫气不除。
旋复花，甘草（一两），人参（六钱），代赭石（三钱），半夏（八钱），姜枣。
浓朴汤：治疗腹胀满。
浓朴（四钱），半夏（二钱），甘草，人参（各五分）。
十枣汤：治疗痞硬引胁。
芫花，大戟，甘遂（四钱），枣（十个），同煎。
茵陈汤：治疗热极发黄。
茵陈（君药，苦酸寒泄热主也），栀子（臣药，苦寒入心），大黄（使药）。
白虎汤：治疗热甚于外，又中外俱热，内不得泄，外不得散。
知母（君药，苦寒），石膏（臣药，助），甘草，粳米（使药，以甘缓之）。
白虎为大寒之剂，立秋后不可服，服之则哕逆成虚损矣。
治疗秋时行，加苍术。
治疗风湿自汗，亦加苍术。
治疗中暑、治疗白胎涩者，加人参。
五苓散：克伐肾邪，治疗发黄、霍乱，通行津液。
茯苓（君药），猪苓（臣药），白术（佐药，脾恶寒，水饮内蓄，脾气不治，以甘助之），泽泻（使药下也，导溺），桂（辛热，水蓄不行则肾气燥，以辛润之，以热散之）。
理中丸：治疗脾胃。
人参（君药），白术（臣药，脾恶湿，甘胜湿），甘草（佐药，甘补），干姜（使药，辛热，胃恶寒）。
若脐下筑动者，肾气动也，去白术，加桂。术甘滞气，桂辛散肾气。
若吐多，加生姜，去白术，术甘壅，姜散逆气。
若下多，加术，术胜湿。
若悸者，饮也。加茯苓。
渴欲水者，加术生津。
腹痛加参补之。
寒多，加干姜。
腹满，去术，加附。术令人中满，附辛散满。
四逆汤：治疗阴寒脉沉。
甘草（君药六钱），干姜（臣药半两逐寒），附子（使药一钱温经）。
水二升，取四合，去滓，分二服。
吴茱萸汤：治疗厥阴头痛，干呕涎沫，又治疗少阴烦躁，吐利四逆。
茱萸，生姜（半两），人参（一钱）。
真武汤：治疗停饮而咳，水饮内寒相合者。又治疗振栗；又治疗水在心下，外带表证。
茯苓（君药），白术（臣药，脾有水则不治），芍药，生姜（湿淫所胜，佐以酸辛），附子（使药，散湿温经）。
若咳者，加五味、干姜、细辛，水寒射肺，酸收辛散。
若小便利者，去茯苓。
若下利，去芍药，加干姜，酸泄辛散寒也。
呕者去附子，加生姜。附补气，姜散气也。
建中汤：治疗热多寒少；又治疗血少，尺脉迟涩；治疗腹痛；又治疗虚烦；又治疗悸。
胶饴（君药，甘温），甘草（臣药），桂（佐药，辛散也），芍药（佐药，酸收也，泄也），姜枣（使药，建脾胃）。
脾约丸：脾约则小便数大便硬，约，胃强脾弱津液不布也。又曰脾日虚弱，津液约缩而不舒布也。
杏仁（润燥也），枳实（散结也），芍药（酸苦泄也），浓朴（散脾也），麻仁，大黄（使药）。
抵当汤：治疗蓄血。
水蛭（君药，咸寒，咸胜血），虻虫（臣药，苦寒，苦走血），桃仁（佐药，血聚则肝气散），大黄（使药）。水煎一服。
小续命汤：
麻黄，人参，黄芩（各一两），芍药，桂，防己，甘草，川芎，防风，附子。
金沸草汤：治疗咳嗽喘急。
前胡，旋复花（各一两），半夏（五钱），细辛，甘草（各二钱），荆芥穗（一两半），赤茯苓（六钱半）。
葳蕤汤：治疗冬热病，咽痛，赤疹。又治疗风湿自汗。
葳蕤（一钱），麻黄，白薇，羌活，杏仁，青木香，甘草（各一钱半），石膏（二钱半），葛根（五钱），川芎（一钱半），作三服。
射干半夏桂甘汤：治疗腹满自利。
赤石脂禹余粮汤：治疗利不止，各一两作三服。
黄连汤：治疗下寒上热，腹痛呕吐者。
黄连（二钱），陈皮，枳实，麻黄，杏仁，浓朴，甘草，葛根（各一钱半）。
黄连阿胶汤：治疗心烦不得卧。
黄连（一两三钱），黄芩（三钱），芍药（六钱），阿胶（一两），鸡子黄（八分三个），先煎，后入黄柏。
上和匀作三服。
Food Injury: The pulse at the right Cun position is tight and vigorous, accompanied by chest and epigastric fullness and distension, tastelessness in the mouth, insufficient body fluids, inability to ingest food, and regular breathing.
Phlegm Syndrome: Vomiting and regurgitation, headache, floating and slippery pulse, accompanied by chest and epigastric fullness and distension.
Deficiency Heat Restlessness: No aversion to cold, no headache, body pain.
Hongxiangjiao (Gouty Arthritis/Foot Qi): Symptoms originate solely from the feet.
If there are neither exterior nor interior syndromes, and the disease persists for thirteen days, Da Chai Hu Tang (Greater Bupleurum Decoction) is the primary prescription. A rapid pulse with constipation indicates blood stasis; Di Dang Tang (Resist the Accumulation Decoction) is the primary prescription. If the pathogen remains unresolved after passing through the meridians, Cheng Qi Tang (Order the Qi Decoction) is the primary prescription.
Exterior and Interior Syndromes Present Simultaneously:
A floating and large pulse indicates an exterior syndrome; accompanied by vexation, thirst, red urine, and epigastric fullness, treatment should employ Da Chai Hu Tang (Greater Bupleurum Decoction), Gui Zhi Tang (Cinnamon Twig Decoction), or Wu Ling San (Five-Ingredient Powder with Poria).
A floating and tight pulse with dry throat, bitter taste, abdominal fullness, wheezing, fever, sweating, aversion to heat rather than cold, treatment should employ Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction).
A slow, wiry, and fine pulse indicates an interior syndrome; accompanied by interior signs, treatment should employ Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) or Xiao Chai Hu Tang (Minor Bupleurum Decoction).
If the exterior syndrome remains unresolved after erroneous purgation, leading to unceasing diarrhea with heat, Gui Zhi Ren Shen Tang (Cinnamon Twig and Ginseng Decoction) is indicated. Abdominal pain, wheezing, and thirst should be referred to their respective sections.
Zhu Danxi’s Note: From the ninth chapter of Shang Han Lun up to this clause, all belong to complicated syndromes of Cold Damage. Later mentions of Shang Han refer to its inclusion in the discussion of miscellaneous diseases. In treating diseases, if one clearly understands Shang Han, then miscellaneous diseases become clear. Shang Han specifically discusses the Foot Six Meridians: Foot Taiyang Bladder Meridian, Foot Shaoyang Gallbladder Meridian, Foot Yangming Stomach Meridian, Foot Taiyin Spleen Meridian, Foot Shaoyin Kidney Meridian, and Foot Jueyin Liver Meridian. Miscellaneous diseases involve both Hand and Foot Six Meridians: Hand Taiyang Small Intestine Meridian, Hand Shaoyang Sanjiao Meridian, Hand Yangming Large Intestine Meridian, Hand Taiyin Lung Meridian, Hand Shaoyin Heart Meridian, and Hand Jueyin Pericardium Meridian. This is called the pairing of the Twelve Meridians with the Zang-Fu organs, hence they are discussed separately for the reader's convenience.
Li’s Discussion:
Taiyang Syndrome: Floating and tight pulse without sweat is named Shang Han (Cold Damage), treated with Ma Huang Tang (Ephedra Decoction). Floating and slow pulse with spontaneous sweating is named Shang Feng (Wind Strike), treated with Gui Zhi Tang (Cinnamon Twig Decoction).
Yangming Syndrome: No aversion to wind or cold, spontaneous sweating, long pulse, treated with Bai Hu Tang (White Tiger Decoction); if the pulse is floating, sinking, and forceful upon pressure, treated with Da Cheng Qi Tang (Greater Order the Qi Decoction).
Shaoyang Syndrome: Wiry pulse, treated with Chai Hu Tang (Bupleurum Decoction).
Taiyin Syndrome: Same as above, sinking and fine pulse, treated with Si Ni Tang (Four Reversal Decoction); if floating, treated with Gui Zhi Tang (Cinnamon Twig Decoction).
Shaoyin Syndrome: Sinking and solid pulse, treated with Da Cheng Qi Tang (Greater Order the Qi Decoction); if fine, sinking, and slow, treated with Si Ni Tang (Four Reversal Decoction). Cool body, sinking, fine, and deficient pulse, treated with Xie Xin Tang (Drain the Epigastrium Decoction). Fever with restlessness, normal urination and defecation, floating and洪 (large) pulse without force, imperceptible upon deep pressure, treated with Fu Zi Xie Xin Tang (Aconite Drain the Epigastrium Decoction). Vomiting and diarrhea without thirst, weak and faint pulse, treated with Li Zhong Tang (Regulate the Middle Decoction). Thirst with a sinking, forceful, and rapid pulse, treated with Wu Ling San (Five-Ingredient Powder with Poria). Sinking pulse with fever requiring diaphoresis, treated with Ma Huang Xi Xin Fu Zi Tang (Ephedra, Asarum, and Aconite Decoction). Green diarrhea with dry mouth requires purgation. Without thirst, apply warming methods.
Jueyin Syndrome: Pulses are all slightly sinking and solid, forceful upon pressure, require purgation. If not forceful, apply warming methods.
Liu’s Discussion:
Exterior syndromes require Ma Huang Tang (Ephedra Decoction) to induce sweating. For interior syndromes with exterior manifestations, use Ma Huang Xi Xin Fu Zi Tang (Ephedra, Asarum, and Aconite Decoction) to soak the body to induce sweat. For interior syndromes, add Rhubarb according to the formula to purge.
Kidney Exterior Syndrome: Floating pulse, add Ginger and Aconite to the preceding formula. Kidney Interior Syndrome with diarrhea, add the same to the subsequent formula.
Liver Exterior Syndrome: Blue complexion, wiry pulse, add Notopterygium Root and Saposhnikovia Root to the preceding formula. Liver Interior Syndrome with constipation and dysuria, sinking and wiry pulse, add the same to the subsequent formula.
Heart Exterior Syndrome: Red complexion, floating and large pulse, add Gypsum and Scutellaria Root to the preceding formula. Heart Interior Syndrome with vexation, heart pain, and hiccups, sinking pulse, add the same to the subsequent formula.
Lung Exterior Syndrome: Pale complexion, sneezing, sadness, floating and choppy pulse, add Cinnamon Twig and Dried Ginger to the preceding formula. Lung Interior Syndrome with wheezing and cough, sinking pulse, add the same to the subsequent formula.
Spleen Exterior Syndrome: Yellow complexion, frequent belching, floating and slow pulse, add Atractylodes Macrocephala Root and Premna Root to the preceding formula. Spleen Interior Syndrome with abdominal fullness, sinking pulse, add the same to the subsequent formula.
Qiang Huo Tang (Notopterygium Decoction): Treats all types of Shang Han and Liang Gan (Dual Invasion). Source: Liu.
Ingredients: Qiang Huo, Fang Feng, Chuan Xiong, Gan Cao, Di Huang, Huang Qin (each 1 liang), Bai Zhu (2 liang), Xi Xin (2 qian 5 fen).
Add Shi Gao (Gypsum) 4 qian for fever; add Shao Yao (Peony Root) 3 qian for abdominal fullness; add Chai Hu (Bupleurum Root) 1 liang and Ban Xia (Pinellia Tuber) 5 qian for alternating chills and fever; add Zhi Shi (Immature Bitter Orange) 1 qian for epigastric fullness; add Da Huang (Rhubarb Root) 3 qian for interior syndromes. Stop when pathogens are exhausted.
Da Qiang Huo Tang (Greater Notopterygium Decoction): Treats the same as above. Source: Li.
Ingredients: Fang Feng, Qiang Huo, Chuan Xiong, Gan Cao, Huang Qin, Xi Xin, Du Huo, Cang Zhu, Fang Ji, Bai Zhu, Huang Lian (each 1 qian), Zhi Mu, Di Huang (each 3 qian), Bai Zhi (add for Yangming syndrome).
Shuang Jie San (Double Release Powder): Mixed treatment. Source: Liu Hejian and Zhang Yuansu.
Do not take Ma Huang Tang in Spring and Summer; do not take Gui Zhi Tang in Autumn and Winter.
Do not take Da Qing Long Tang (Great Azure Dragon Decoction) in Summer; do not take Bai Hu Tang (White Tiger Decoction) in Winter.
Gui Zhi Tang (Cinnamon Twig Decoction): Releases the muscle layer and harmonizes the Defensive Qi, treating Taiyang Wind Strike with spontaneous sweating and floating pulse.
Gui Zhi (Cinnamon Twig) [Chief]: Wind invading internally is balanced with Acridity.
Shao Yao (Peony Root)
Gan Cao (Licorice Root) [Deputy]: Sour astringency and Sweet relaxation.
Jiang (Fresh Ginger) and Zao (Jujube) [Envoy]: Acrid dispersion and Sweet relaxation. Each 3 qian.
This formula can be used routinely in the Northwest, and only in Jianghuai regions during Winter and Spring. From late Spring to before Summer Solstice, add Huang Qin (Scutellaria Root) to call it Yang Dan Tang (Sunrise Dawn Decoction); after Summer Solstice, add Huang Qin 2.5 qian, Zhi Mu (Anemarrhena Rhizome) 0.5 liang, and Shi Gao (Gypsum) 1 liang. If the patient has a constitutionally deficient and cold state, no modifications are needed.
Add Shao Yao (Peony Root) 1 liang to treat abdominal pain with a floating pulse after purgation.
Add Da Huang (Rhubarb Root) to treat severe abdominal pain due to excess.
Add one Fu Zi (Aconite Lateral Root) to treat body pain from Wind-Dampness, and also for unceasing sweating leakage.
Add Gan Jiang (Dried Ginger) to treat cases where sweating and purgation have already occurred, and for alternating chills and fever.
Add Gua Lou (Trichosanthes Fruit) and Ge Gen (Kudzu Root) to treat sweating with soft rigidity.
Add Ma Huang (Ephedra Stem) 2 qian and Xing Ren (Apricot Seed) 12 pieces to treat alternating chills and fever, named Gui Ma Ge Ban Tang (Guizhi and Mahuang Half-Half Decoction).
Add Ma Huang (Ephedra Stem) 2 fen and Shi Gao (Gypsum) 3 qian to treat alternating chills and fever with a weak pulse, where sweating is contraindicated, named Gui Zhi San Yue Bi Yi Tang (Guizhi Three Parts, Yuebi One Part Decoction).
Add Hou Po (Magnolia Bark) and Xing Ren (Apricot Seed) to treat wheezing, aversion to wind, and absence of sweat, indicating an exterior syndrome.
Remove Shao Yao (Peony Root) to treat urgency of the pulse and chest fullness after purgation.
Ma Huang Tang (Ephedra Decoction): Treats Cold Pathogens.
Ma Huang (Ephedra Stem) [Chief]: 3 qian to disperse cold.
Gui Zhi (Cinnamon Twig) [Deputy]: 2 qian to release the muscle layer.
Gan Cao (Licorice Root) [Assistant]: 1 qian. Cold injures the Ying (Nutritive) level; Ying governs the Liver. The Liver dislikes tension, so use Sweetness to relax it.
Xing Ren (Apricot Seed) [Envoy]: Promotes Qi movement, 20 pieces.
Add Zhi Mu (Anemarrhena Rhizome) 1.5 qian and Shi Gao (Gypsum) 3 qian to treat heat diseases without sweat around the Summer Solstice.
Add Xing Ren (Apricot Seed) 50 pieces, Ma Huang (Ephedra Stem) 0.5 liang, Gan Cao (Licorice Root) 2 qian, and Shi Gao (Gypsum) 8.5 qian to treat wheezing.
Add Ma Huang (Ephedra Stem) and Yi Yi Ren (Coix Seed) 2 qian, Gan Cao (Licorice Root) 1 qian, and Xing Ren (Apricot Seed) 10 pieces to treat body pain from Wind-Dampness interaction.
Add Ma Huang (Ephedra Stem) and Xi Xin (Asarum) 2 qian, and Fu Zi (Aconite Lateral Root) 10 pieces to treat Shaoyang syndrome with a sinking pulse.
Add Shao Yao (Peony Root), Ge Gen (Kudzu Root), Jiang (Fresh Ginger), and Zao (Jujube) to treat rigid rigidity without sweat, named Ge Gen Ma Huang Tang (Kudzu and Ephedra Decoction).
Jie Ji Tang (Release Muscle Decoction): Treats Spring Warmth and Epidemic Diseases.
Ge Gen (Kudzu Root) 2 qian, Ma Huang (Ephedra Stem) 3 qian, Gui Zhi (Cinnamon Twig), Gan Cao (Licorice Root) 1 qian, Shao Yao (Peony Root), Huang Qin (Scutellaria Root) 2 qian, decoct with Jujube.
Sheng Ma Ge Gen Tang (Cimicifuga and Kudzu Decoction): Treats seasonal epidemics in Spring and Winter.
Sheng Ma (Cimicifuga Rhizome), Ge Gen (Kudzu Root), Gan Cao (Licorice Root), Shao Yao (Peony Root) in equal parts.
Also treats Taiyang-Yangming Combined Syndrome with spontaneous diarrhea: Ge Gen (Kudzu Root) 1 liang, Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Gan Cao (Licorice Root) (each 2 qian) decocted. Treats wheezing and sweating indicating interior syndrome. Also treats unceasing diarrhea with heat after erroneous purgation.
Yang Du Sheng Ma Tang (Yin-Toxin Cimicifuga Decoction):
Sheng Ma (Cimicifuga Rhizome) 2 qian, Xi Jiao (Rhinoceros Horn), She Gan (Belamcanda Rhizome), Huang Qin (Scutellaria Root), Ren Shen (Ginseng Root), Gan Cao (Licorice Root) (each 1 qian).
Da Qing Long Tang (Great Azure Dragon Decoction): Treats dual injury of Wind and Cold. Cold pulse is floating and tight with Wind Strike syndrome; Wind pulse is floating and slow with Cold Damage syndrome.
Ma Huang (Ephedra Stem) [Chief]: 6 qian to disperse cold.
Gui Zhi (Cinnamon Twig) [Deputy]: 2 qian to dispel wind.
Gan Cao (Licorice Root) 2 qian.
Xing Ren (Apricot Seed) 40 pieces: Acrid and Bitter assist Ma Huang.
Jiang (Fresh Ginger) and Zao (Jujube): Acrid and Sweet combine to assist Gui Zhi.
Shi Gao (Gypsum) [Envoy]: Harmonizes Ying and Wei Qi and specifically reaches the muscle surface.
Stop after one dose. If taken again, excessive sweating leads to loss of Yang. If the pulse is weak, there is sweating and aversion to wind, do not take it. Taking it causes reversal cold, twitching of sinews, and fasciculation of muscles. Da Qing Long Tang must not be taken erroneously; erroneous use causes reversal cold.
Xiao Qing Long Tang (Minor Azure Dragon Decoction): Treats dual injury of Wind and Cold, plus fluid retention in the epigastrium, thereby eliminating exterior and interior pathogens.
Ma Huang (Ephedra Stem) [Chief]: Disperses Wind-Cold from the exterior.
Shao Yao (Peony Root), Wu Wei Zi (Schisandra Berry) [Assistant]: Cold-fluid injuring the Lung causes cough, regurgitation, and wheezing; Sourness astringes Lung rebellious Qi.
Gan Jiang (Dried Ginger), Xi Xin (Asarum), Ban Xia (Pinellia Tuber): Acrid and Hot indicate fluid retention in the epigastrium; fluids fail to circulate, causing Kidney Qi dryness. Use Acridity to moisten and Heat to disperse.
If thirsty, remove Ban Xia and add Gua Lou Gen (Trichosanthes Root). Thirst indicates Qi dryness; Gua Lou Gen is Bitter-Cold to moisten dryness. If slight diarrhea, remove Ma Huang and add Yuan Hua (Genkwa Flower); water entering the intestines causes diarrhea, do not attack the exterior; Yuan Hua drains water. If choking, remove Ma Huang and add Fu Zi (Aconite Lateral Root); choking indicates Cold-Fluid and Deficiency; Ma Huang is unsuitable; Fu Zi warms Qi with Acridity to disperse Cold. If urination is difficult and lower abdomen is full, remove Ma Huang and add Fu Ling (Poria). If wheezing, remove Ma Huang and add Xing Ren (Apricot Seed) to drain rebellious Qi.
Da Cheng Qi Tang (Greater Order the Qi Decoction): Treats pathogenic accumulation entering the Stomach; also treats Yangming-Shaoyang Combined Syndrome with spontaneous diarrhea; treats chronic dysentery with heat, diarrhea, and abdominal distension.
Zhi Shi (Immature Bitter Orange) [Chief]: 10 pieces, Bitter-Cold breaks hardness and resolves accumulation.
Da Huang (Rhubarb Root) [Envoy].
Hou Po (Magnolia Bark) [Deputy]: Bitter-Wet drains fullness and removes dryness.
Mang Xiao (Mirabilite) [Assistant] to treat heat.
Tao Ren Cheng Qi Tang (Persimmon Seed Order the Qi Decoction): Treats Blood Accumulation.
Tao Ren (Persimmon Seed) 50 pieces, Gui Zhi (Cinnamon Twig), Mang Xiao (Mirabilite), Gan Cao (Licorice Root) 6 qian, Da Huang (Rhubarb Root) 1 liang 3 qian.
Da Chai Hu Tang (Greater Bupleurum Decoction): Treats Spring Warmth.
Chai Hu (Bupleurum Root) [Chief].
Huang Qin (Scutellaria Root) [Deputy].
Shao Yao (Peony Root) [Assistant]: Bitter and Sour surge and drain, belonging to Yin.
Zhi Shi (Immature Bitter Orange) [Assistant]: Bitter-Cold drains excess and reduces heat.
Da Huang (Rhubarb Root) [Envoy].
Ban Xia (Pinellia Tuber), Jiang (Fresh Ginger) and Zao (Jujube): Acrid dispersion and Sweet relaxation.
Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats Spring Warmth with much vomiting, termed "Tai" (Fetus/Embryo pattern).
Chai Hu (Bupleurum Root) [Chief].
Huang Qin (Scutellaria Root) [Deputy].
Ren Shen (Ginseng Root), Gan Cao (Licorice Root) [Assistant]: Sweet and Neutral. When pathogenic Qi transmits to the interior, interior Qi becomes dysfunctional; Sweetness relaxes it to support Righteous Qi and restore it.
Ban Xia (Pinellia Tuber) [Assistant]: Uses Acridity to disperse it.
If there is heat in the Stomach but no vomiting, remove Ban Xia and Ren Shen, add Gua Lou Gen (Trichosanthes Root). No vomiting means no rebellious Qi, hence remove Ban Xia; Ren Shen might aid heat, so remove it too; Gua Lou Gen is Bitter-Cold to clear stagnant heat in the chest. If thirsty, it is dryness; remove Ban Xia, add Ren Shen to generate fluids, and Gua Lou Gen to moisten.
If painful, middle pain indicates Cold; remove Huang Qin and add Shao Yao.
If fullness and hardness under the hypochondrium, remove Zao (Jujube) and add Mu Li (Oyster Shell) to soften hardness with Salty flavor.
If palpitations in the epigastrium with difficult urination, remove Huang Qin and add Fu Ling (Poria) to promote water metabolism.
If not thirsty with slight external heat, it is an exterior syndrome. Remove Ren Shen and add Gui Zhi (Cinnamon Twig) to treat the exterior.
If coughing, remove Ren Shen, Jiang (Fresh Ginger), and Zao (Jujube); add Wu Wei Zi (Schisandra Berry) and Gan Jiang (Dried Ginger) for Sweet tonification. Rebellious Qi necessitates removing Ren Shen and Zao; Wu Wei Zi is Sour and astringent, Gan Jiang disperses Cold.
If Heat enters the Blood Chamber with delirium, add Sheng Di Huang (Rehmannia Root).
Si Ni San (Four Reversal Powder): Treats Shaoyin Reversal Cold of the four limbs.
Chai Hu (Bupleurum Root), Shao Yao (Peony Root), Zhi Shi (Immature Bitter Orange), Gan Cao (Licorice Root).
Grind into fine powder, take 2 qian per dose, mixed with rice water.
For cough, add Wu Wei Zi (Schisandra Berry) and Gan Jiang (Dried Ginger); for palpitations, add Gui Zhi (Cinnamon Twig).
Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction): Treats epigastric discomfort, and chest fullness with deficiency vexation and insomnia after vomiting, sweating, or purgation; also treats white coating and relapse due to overexertion.
Zhi Zi (Gardenia Fruit), Chi Xiao Dou (Red Bean).
If heat persists after purgation, add Gan Jiang (Dried Ginger).
Abdominal fullness after purgation, add Hou Po (Magnolia Bark) and Zhi Shi (Immature Bitter Orange).
If relapse due to overexertion, add Zhi Ke (Bitter Orange).
If jaundice with external heat, add Bo Gu Pi (Phellodendron Bark) and Gan Cao (Licorice Root).
If epidemic high heat with deficiency vexation, add Sheng Di Huang (Rehmannia Root), Shi Gao (Gypsum), Chai Hu (Bupleurum Root), and Sheng Ma (Cimicifuga Rhizome), named Zhi Zi Sheng Ma Tang (Gardenia and Cimicifuga Decoction).
Gua Di San (Melon Spittle Powder): Induces vomiting for chest fullness and diaphragmatic solidity.
Gua Di (Melon Spittle) [Bitter-Cold], Chi Xiao Dou (Red Bean) [Sour-Burgeons diaphragmatic solidity], Xiang Chi (Fermented Soybean) [Bitter-Clears heat].
Contraindicated for those who have lost blood.
Da Xian Xiong Tang (Great Trap the Chest Decoction): Treats pathogenic Qi in the chest binding with Yang Qi, unable to separate, obstructing the epigastrium, causing hardness and pain.
Gan Sui (Kansui Root) [Chief]: One character, Bitter-Cold drains heat and breaks accumulation.
Mang Xiao (Mirabilite) [Deputy]: 8 qian, Salty-Cold drains heat and softens hardness.
Da Huang (Rhubarb Root) [Envoy].
Da Xian Xiong Wan (Great Trap the Chest Pill):
Da Huang (Rhubarb Root) 0.5 liang, Ting Li (Lepidium Seed), Mang Xiao (Mirabilite), Xing Ren (Apricot Seed) 7 qian, Gan Sui (Kansui Root). Make pills like bullets; take one pill with honey water if not effective, take again.
Xiao Xian Xiong Tang (Minor Trap the Chest Decoction): Treats the previous syndrome with tenderness on pressure.
Huang Lian (Coptis Rhizome) 3 qian, Ban Xia (Pinellia Tuber) 8 qian, Gua Lou Ren (Trichosanthes Seed) 2 pieces.
Zhi Shi Li Zhong Wan (Immature Bitter Orange Regulate the Middle Pill): Treats non-heat Jie Xiong (Chest Binding).
Original formula plus Zhi Shi (Immature Bitter Orange) and Fu Ling (Poria).
Zhi Geng Tang (Immature Bitter Orange and Platycodon Decoction): Treats chest fullness and difficulty.
Jie Geng (Platycodon Root), Zhi Ke (Bitter Orange). Decoct 2 zhong of water to 0.8 zhong and take.
Xie Xin Tang (Drain the Epigastrium Decoction): Treats deficiency fullness. Pathogen lingering in the epigastrium is called Pi (Fullness); lingering in the chest is called Jie Xiong (Chest Binding).
Da Huang (Rhubarb Root) 1 liang, Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome) 2.5 qian.
If chest fullness is soft, add Ban Xia (Pinellia Tuber).
If chest fullness with aversion to cold and spontaneous sweating, add Fu Zi (Aconite Lateral Root).
If chest fullness worsens after purgation, add Gan Cao (Licorice Root), Gan Jiang (Dried Ginger), and Ren Shen (Ginseng Root).
Remove Da Huang (Rhubarb Root) in all the above cases.
Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction): Treats fullness and persistent belching after vomiting, sweating, or purgation.
Xuan Fu Hua (Inula Flower), Gan Cao (Licorice Root) 1 liang, Ren Shen (Ginseng Root) 6 qian, Dai Zhe Shi (Hematite) 3 qian, Ban Xia (Pinellia Tuber) 8 qian, Jiang (Fresh Ginger) and Zao (Jujube).
Hou Po Tang (Magnolia Bark Decoction): Treats abdominal fullness and distension.
Hou Po (Magnolia Bark) 4 qian, Ban Xia (Pinellia Tuber) 2 qian, Gan Cao (Licorice Root), Ren Shen (Ginseng Root) (each 5 fen).
Shi Zao Tang (Ten Jujubes Decoction): Treats fullness and hardness pulling to the hypochondrium.
Yuan Hua (Genkwa Flower), Da Ji (Euphorbia Root), Gan Sui (Kansui Root) (4 qian each), Zao (Jujube) 10 pieces. Decoct together.
Yin Chen Tang (Artemisia Decoction): Treats extreme heat causing jaundice.
Yin Chen (Artemisia Capillaris) [Chief]: Bitter-Sour-Cold drains heat as the main agent.
Zhi Zi (Gardenia Fruit) [Deputy]: Bitter-Cold enters the Heart.
Da Huang (Rhubarb Root) [Envoy].
Bai Hu Tang (White Tiger Decoction): Treats heat severe externally, or heat inside and out where internal heat cannot vent and external heat cannot dissipate.
Zhi Mu (Anemarrhena Rhizome) [Chief]: Bitter-Cold.
Shi Gao (Gypsum) [Deputy]: Assists.
Gan Cao (Licorice Root), Jing Mi (Glutinous Rice) [Envoy]: Sweetness relaxes it.
Bai Hu Tang is a Great Cold agent; do not take it after Start of Autumn, or it will cause hiccups and become a deficiency-damage condition.
For autumn epidemics, add Cang Zhu (Atractylodes Rhizome).
For Wind-Dampness with spontaneous sweating, also add Cang Zhu (Atractylodes Rhizome).
For heatstroke and hard white coating, add Ren Shen (Ginseng Root).
Wu Ling San (Five-Ingredient Powder with Poria): Attacks Kidney pathogens, treats jaundice and cholera, promotes fluid circulation.
Fu Ling (Poria) [Chief].
Zhu Ling (Polyporus) [Deputy].
Bai Zhu (Atractylodes Macrocephala Root) [Assistant]: The Spleen dislikes Cold; water-fluid retention impairs Spleen Qi; use Sweetness to assist it.
Ze Xie (Alisma Rhizome) [Envoy downward]: Guides urination.
Gui Zhi (Cinnamon Twig): Acrid-Hot. Water retention prevents circulation, causing Kidney Qi dryness; use Acridity to moisten and Heat to disperse.
Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia Plus Poria Decoction): Treats Water Jie Xiong (Water Chest Binding).
Fu Ling Gan Cao Tang (Poria and Licorice Decoction): Treats palpitations caused by water-fluid.
Li Zhong Wan (Regulate the Middle Pill): Treats Spleen and Stomach.
Ren Shen (Ginseng Root) [Chief].
Bai Zhu (Atractylodes Macrocephala Root) [Deputy]: The Spleen dislikes Dampness; Sweetness overcomes Dampness.
Gan Cao (Licorice Root) [Assistant]: Sweet tonification.
Gan Jiang (Dried Ginger) [Envoy]: Acrid-Hot, the Stomach dislikes Cold.
If there is throbbing below the navel, it is Kidney Qi moving; remove Bai Zhu and add Gui Zhi (Cinnamon Twig). Sweetness of Bai Zhu stagnates Qi; Acridity of Gui Zhi disperses Kidney Qi.
If much vomiting, add Sheng Jiang (Fresh Ginger), remove Bai Zhu. Sweetness of Bai Zhu obstructs; Ginger disperses rebellious Qi.
If much diarrhea, add Bai Zhu; Bai Zhu overcomes Dampness.
If palpitations, it is fluid retention; add Fu Ling (Poria).
If thirsty for water, add Bai Zhu to generate fluids.
For abdominal pain, add Ren Shen (Ginseng Root) to tonify.
For much Cold, add Gan Jiang (Dried Ginger).
For abdominal fullness, remove Bai Zhu and add Fu Zi (Aconite Lateral Root). Bai Zhu causes central fullness; Acridity of Fu Zi disperses fullness.
Si Ni Tang (Four Reversal Decoction): Treats Yin-Cold with sinking pulse.
Gan Cao (Licorice Root) [Chief]: 6 qian.
Gan Jiang (Dried Ginger) [Deputy]: 0.5 liang to drive out Cold.
Fu Zi (Aconite Lateral Root) [Envoy]: 1 qian to warm the meridians.
Decoct 2 sheng of water to obtain 4 he, remove dregs, divide into two doses.
Wu Zhu Yu Tang (Evodia Decoction): Treats Jueyin headache, dry vomiting with saliva and foam; also treats Shaoyin restlessness, vomiting, diarrhea, and reversal cold.
Zhu Yu (Evodia Fruit), Sheng Jiang (Fresh Ginger) 0.5 liang, Ren Shen (Ginseng Root) 1 qian.
Zhen Wu Tang (True Warrior Decoction): Treats cough due to retained fluid, where water-fluid and internal Cold combine. Also treats tremors; also treats water in the epigastrium with exterior manifestation.
Fu Ling (Poria) [Chief].
Bai Zhu (Atractylodes Macrocephala Root) [Deputy]: When the Spleen has water, it fails to function.
Shao Yao (Peony Root), Sheng Jiang (Fresh Ginger): When Dampness prevails, assist with Sour and Acrid.
Fu Zi (Aconite Lateral Root) [Envoy]: Disperses Dampness and warms the meridians.
If coughing, add Wu Wei Zi (Schisandra Berry), Gan Jiang (Dried Ginger), and Xi Xin (Asarum); Cold-water attacking the Lung, Sour astringes and Acrid disperses.
If urination is free, remove Fu Ling (Poria).
If diarrhea, remove Shao Yao (Peony Root) and add Gan Jiang (Dried Ginger); Sour drains and Acrid disperses Cold.
If vomiting, remove Fu Zi (Aconite Lateral Root) and add Sheng Jiang (Fresh Ginger). Fu Zi tonifies Qi; Ginger disperses Qi.
Jian Zhong Tang (Construct the Middle Decoction): Treats more Heat and less Cold; also treats Blood deficiency with slow and choppy Chi pulse; treats abdominal pain; also treats deficiency vexation; also treats palpitations.
Jiao Yi (Maltose) [Chief]: Sweet-Warm.
Gan Cao (Licorice Root) [Deputy].
Gui Zhi (Cinnamon Twig) [Assistant]: Acrid dispersion.
Shao Yao (Peony Root) [Assistant]: Sour astringency and draining.
Jiang (Fresh Ginger) and Zao (Jujube) [Envoy]: Constructs Spleen and Stomach.
Pi Yue Wan (Spleen Restriction Pill): Spleen restriction causes frequent urination and hard stool. Restriction means Strong Stomach and Weak Spleen, fluids fail to distribute. Also called Spleen daily weakening, fluids contract and fail to distribute smoothly.
Xing Ren (Apricot Seed): Moistens dryness.
Zhi Shi (Immature Bitter Orange): Dissolves accumulation.
Shao Yao (Peony Root): Sour-Bitter drains.
Hou Po (Magnolia Bark): Disperses Spleen.
Ma Ren (Hemp Seed), Da Huang (Rhubarb Root) [Envoy].
Di Dang Tang (Resist the Accumulation Decoction): Treats Blood Accumulation.
Shui Zhi (Leech) [Chief]: Salty-Cold, Salty overcomes Blood.
Meng Chong (Dragonfly Larva) [Deputy]: Bitter-Cold, Bitter moves Blood.
Tao Ren (Persimmon Seed) [Assistant]: When Blood gathers, Liver Qi scatters.
Da Huang (Rhubarb Root) [Envoy]. Decoct in water, take one dose.
Xiao Xu Ming Tang (Minor Continuation of Life Decoction):
Ma Huang (Ephedra Stem), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root) (each 1 liang), Shao Yao (Peony Root), Gui (Cinnamon Twig), Fang Ji (Stephania Root), Gan Cao (Licorice Root), Chuan Xiong (Sichuan Lovage Rhizome), Fang Feng (Saposhnikovia Root), Fu Zi (Aconite Lateral Root).
Jin Fei Cao Tang (Golden Dew Grass Decoction): Treats cough and urgent wheezing.
Qian Hu (Peucedani Radix), Xuan Fu Hua (Inula Flower) (each 1 liang), Ban Xia (Pinellia Tuber) 5 qian, Xi Xin (Asarum), Gan Cao (Licorice Root) (each 2 qian), Jing Jie Sui (Schizonepeta Spike) 1.5 liang, Chi Fu Ling (Red Poria) 6.5 qian.
Wei Yu Tang (Polygonatum Decoction): Treats Winter Heat Disease, sore throat, red rash. Also treats Wind-Dampness with spontaneous sweating.
Wei Yu (Polygonatum Rhizome) 1 qian, Ma Huang (Ephedra Stem), Bai Wei (Cynanchum Root), Qiang Huo (Notopterygium Rhizome), Xing Ren (Apricot Seed), Qing Mu Xiang (Aucklandia Root), Gan Cao (Licorice Root) (each 1.5 qian), Shi Gao (Gypsum) 2.5 qian, Ge Gen (Kudzu Root) 5 qian, Chuan Xiong (Sichuan Lovage Rhizome) 1.5 qian. Take in three doses.
Gan Jie Tang (Licorice and Platycodon Decoction): Treats sore throat.
Jie Geng (Platycodon Root), Gan Cao (Licorice Root). Decoct in water and take.
She Gan Ban Xia Gui Gan Tang (Belamcanda, Pinellia, Cinnamon, and Licorice Decoction): Treats abdominal fullness and spontaneous diarrhea.
Chi Shi Zhi Yu Liang Tang (Red Halloysite and Yucca Stone Decoction): Treats unceasing diarrhea, each 1 liang, take in three doses.
Huang Qin Tang (Scutellaria Decoction): Treats Taiyang-Shaoyang Combined Syndrome with spontaneous diarrhea.
Huang Qin (Scutellaria Root), Shao Yao (Peony Root), Gan Cao (Licorice Root), Zao (Jujube).
Huang Lian Tang (Coptis Decoction): Treats Lower Cold and Upper Heat with abdominal pain and vomiting.
Huang Lian (Coptis Rhizome) 2 qian, Chen Pi (Tangerine Peel), Zhi Shi (Immature Bitter Orange), Ma Huang (Ephedra Stem), Xing Ren (Apricot Seed), Hou Po (Magnolia Bark), Gan Cao (Licorice Root), Ge Gen (Kudzu Root) (each 1.5 qian).
Huang Lian E Jiao Tang (Coptis and Donkey-Hide Gelatin Decoction): Treats vexation preventing sleep.
Huang Lian (Coptis Rhizome) 1 liang 3 qian, Huang Qin (Scutellaria Root) 3 qian, Shao Yao (Peony Root) 6 qian, E Jiao (Donkey-Hide Gelatin) 1 liang, Ji Zi Huang (Egg Yolk) 8 fen x 3. Decoct first, then add Huang Bo (Phellodendron Bark).
Mix evenly and take in three doses.
Zhu Fu Tang (Pig Skin Decoction): Treats Shaoyin chest fullness and vexation.
Zhu Hei Pi (Black Pig Skin) 5 liang. Decoct until half volume, add Mi (Honey) 3 parts, Mi Fen (Rice Flour) 2 parts. Divide into three doses.
Suan Zao Ren Wan (Sour Jujube Seed Pill): Treats deficiency vexation and insomnia after vomiting and purgation.