潮热者，如潮水之有准，而不失其时。但热不寒，不若似疟，先寒后热，尚有表症者。发作
有时，不若发热壮热烦热常热不休者。杂症潮热，有实有虚。外感潮热，惟以阳明肠胃，积
热燥屎所致。故潮热多用清、下二法，以里症多也。然又有分别，发于寅卯二时，先有微寒而
热者，此少阳潮热。无汗脉浮，柴胡防风汤；有汗脉弦，小柴胡汤；大便秘有下症者，大柴
胡汤，虚人，柴胡引子。发于巳午二时，或一日一发者，此太阳潮热。脉浮无汗，羌活冲和
汤；热结膀胱，导赤各半汤，重加羌活。发于申未二时，或间日发作者，此是阳明肠胃积热，
宜川连枳壳汤；然脉浮无汗，尚宜干葛解肌汤；有汗脉大，口渴，用葛根白虎汤；若胸前饱闷，
右脉弦滑，保和散，重加消导；若大便结有下症者，大干葛汤下之；若腹胀满作痛，欲大便
不得，便手足 多汗，用三乙承气汤。潮热不用发表之方者，以潮热无表症耳。若表邪未
散者，仍用发散。是以潮热，亦有用双解散、小柴胡汤和解而愈者。未可徒恃清、下二法者。
总之，自汗脉沉数，无表邪之潮热，宜清里，不必解表。无汗脉浮大，有表症之潮热，宜解
表。即有里邪，亦只宜双解表里，未可单清里热，反碍表邪。即表邪尽解，里症潮热，如无
下症者，未可即下。以上言有表有里之潮热也。又有外不常热，每至五更，即觉烦热，至辰巳
或午未申，则内火上冲，或呕或胀，或作痛，或胸前胁肋一片，每至其时，发热如火，一日
一发，不愆其期，此积热痰火，内伏作患，从里发外之潮热也。宜升麻清胃汤合枳壳川连汤、
栀连二陈汤，加海石、栝蒌，清积热，化痰涎。甚至腹作痛，有下症者，导痰汤加大黄、玄
明粉下之。若食滞未消，忌寒凉抑遏者，宜保和平胃散消食积。若痰食皆消，惟存积热不解，
家秘用干葛而热从表解，川连同枳壳而泄大便，川连同木通而清小便，得内外分消之法。此
言里有积热之潮热也。又有热病后，每至申酉，微有潮热，此名日暮微烦，阳明肠胃积热未
清，二便未滑，又食谷太早。仲景云∶损谷即愈。此言戒谷食，并用寒凉，微下大肠，损其
腹中之谷食，兼清其余热，宜用枳壳、木通、川连、大黄、黄芩、山栀以治之；或栀子豆豉
汤加枳实、大黄，同食复主治亦可。
太阳病，重发汗，复下之，不大便，舌燥而渴，日晡小有潮热，从心下至小腹硬满而痛，手
不可近者，大陷胸汤。
此条不治潮热，但治结胸，故详注结胸症。
阳明潮热，大便硬，可与承气汤。若不转失气，此但初头硬，后必溏，攻之必胀满不食。
此申明用承气法，必以转失臭气为粪定硬。若不转臭气，其粪初头一段虽硬，后即是溏粪。
若误攻，腹必胀满不食。
阳明病，脉迟汗出，不恶寒者，其身必重。短气腹满而喘，有潮热者，此外欲解，可攻里矣。
手足汗出者，大便已硬也，大承气汤。若微发热恶寒者，外未解也。如热不潮，未可与承气
汤。若腹大满不通者，可与小承气汤，微和胃气，勿令大泄。
阳明病脉不浮大，而迟缓汗出不恶寒，且腹满潮热，手足汗出，大便已硬，可攻里矣。若
尚见发热恶寒，又无潮热里症，未可用承气汤。即令腹大满，大便不通，只可与小承气汤，
微和胃气，勿令大下。
阳明病，谵语，有潮热，反不能食者，胃中必有燥粪五六枚也。若能食者，但硬耳，大承气汤主之。
此以不能食，别有燥屎。以能食，别无燥屎。言阳明热本能食，今反不能食，此肠胃中填
实，无余地纳谷，即大实大满互词，故断其必有燥屎五六枚，宜大承气汤主之。若能食者，
但硬大便，未必有干结燥屎，未可用大承气汤。
阳明病，谵语发潮热，脉滑而疾者，小承气汤主之。与汤一升，腹中转矢气者，更服一升。
不转矢气，勿更与之。明日不大便，脉反微涩者，里气虚也，为难治，不可更与承气汤也。
阳明病，谵语潮热，脉沉数，方是下脉。今脉滑疾，尚是浮动表邪之脉，且以小承气汤服之，
察其若转矢气，仍以小承气汤更服一剂。若不转矢气，勿更服。明日不大便，脉反微涩，则
里气已虚，不可更投承气汤，故曰难治。
二阳并病，太阳症罢，但发潮热，手足 汗出，大便难而谵语者，下之则愈，大承气汤主之。
太阳症罢，但发潮热，已无表证矣。汗出大便难而谵语，皆下症，故用大承气汤。
阳明病，脉浮而紧者，必潮热发作有时；但浮者，必盗汗出。
阳明病中，复申脉浮而紧，即潮热发作有时者，亦不可早下，仍用太阳施治。发作有时，
非发作定期，乃言发作时，必现太阳时候。例如辰巳潮热，属太阳之时；上半日潮热，属
表邪之时。即脉但浮不紧，表邪轻者，亦见盗汗出，尚是柴胡症也。此示人不拘脉与症，
但见表邪起影，即当从表治之。
柴胡防风汤
柴胡 防风 干葛 甘草
此散少阳阳明表邪之方。若恶寒身痛，加羌活。饱闷，加枳壳、浓朴；呕吐，加半夏、浓朴。
小柴胡汤
柴胡 黄芩 广皮 甘草 半夏 人参
此方和解少阳。若见恶寒身痛，仍加羌活，防风；口渴，去半夏，加天花粉；饱闷，去人
参，加枳壳、浓朴；小便不利，加木通。
大柴胡汤
柴胡 黄芩 广皮 甘草 半夏 大黄
少阳表症未解，里症又急，用此方双解表里。口燥渴，去半夏；腹中胀，加枳壳；小便
涩，加木通。
柴胡饮子
此即小柴胡汤加大黄，大柴胡汤加人参，家秘治潮热便闭，本元虚者。去半夏，加当归、
白芍，治血虚潮热，大便闭结。
羌活冲和汤 见发热。
导赤各半汤 见腹痛。
白虎汤 见口渴。
用此方，第一要分别有汗无汗，消水不消水，唇口焦与不焦，乃下手要诀也。
大干葛汤
此从大柴胡汤双解少阳表里法中，化立此汤，双解阳明表邪未解，又见阳明里热有下症者。
三乙承气汤
枳壳 浓朴 大黄 芒硝 甘草
潮热，里症也。故一见下症，即用下法。
大陷胸汤 此方详注结胸症。
潮热，就像潮水涨落一样有规律，不会错过时辰。只有发热而没有恶寒，不像疟疾那样先冷后热，也不像还有表证的情况。发作有固定时间，不像一般的发热、壮热、烦热或常热不休那样持续不断。杂病中的潮热，有实证也有虚证。外感病引起的潮热，唯独是因为阳明肠胃积热和燥屎内结所致。所以治疗潮热多用清热和攻下两种方法，因为大多属于里证。然而又有区别：在寅时和卯时（凌晨3-7点）发作，先有轻微恶寒然后发热的，这是少阳潮热。无汗且脉浮的，用柴胡防风汤；有汗且脉弦的，用小柴胡汤；大便秘结且有可下之症的，用大柴胡汤；体质虚弱者，用柴胡引子。在巳时和午时（上午9点-下午1点）发作，或者一天发作一次的，这是太阳潮热。脉浮无汗的，用羌活冲和汤；热结膀胱的，用导赤各半汤，并重加羌活。在申时和未时（下午1-7点）发作，或者隔日发作的，这是阳明肠胃积热，宜用川连枳壳汤；但如果脉浮无汗，仍适宜用干葛解肌汤；如果有汗且脉大、口渴，用葛根白虎汤；如果胸前饱闷，右脉弦滑，用保和散，并重加消食导滞药；如果大便干结且有可下之症，用大干葛汤攻下；如果腹胀满疼痛，想大便却排不出，且手足多汗，用三乙承气汤。治疗潮热不用发表方剂的原因，是因为潮热没有表证。如果表邪尚未消散，仍然使用发散法。因此，潮热也有用双解散或小柴胡汤和解而痊愈的，不可单纯依赖清热和攻下两法。总之，自汗且脉沉数的，是没有表邪的潮热，宜清里热，不必解表。无汗且脉浮大的，是有表证的潮热，宜解表。即使有里邪，也只宜表里双解，不可单清里热，以免阻碍表邪外透。即使表邪完全解除，出现里证潮热，如果没有可下之症，也不可立即攻下。以上讲的是既有表证又有里证的潮热。又有另一种情况，平时不常发热，每到五更天就感到烦热，到了辰巳或午未申时，则内火上冲，出现呕吐、胀满、疼痛，或者胸前胁肋部一片灼热，每到这个时候，发热如火，一天一次，不差时机，这是积热痰火内伏作祟，从内部发于外部的潮热。宜用升麻清胃汤合枳壳川连汤、栀连二陈汤，加海浮石、瓜蒌，以清积热、化痰涎。甚至腹部疼痛，有可下之症的，用导痰汤加大黄、玄明粉攻下。如果是食积未消，忌用寒凉遏制者，宜用保和平胃散消食积。如果痰食都已消除，仅存积热不解，家传秘方用干葛使热从表解，川连同枳壳通泄大便，川连同木通清利小便，得到内外分消的方法。这是讲里有积热的潮热。又有热病之后，每到申酉时（下午3-7点），微微有潮热，这名叫日暮微烦，是阳明肠胃积热未清，二便未通畅，又进食太早。张仲景说：“减少饮食即可痊愈。”这是讲节制谷食，并用寒凉药，轻微通下大肠，损耗腹中的谷食，兼清其余热，宜用枳壳、木通、川连、大黄、黄芩、山栀来治疗；或者用栀子豆豉汤加枳实、大黄，配合食疗恢复主治也可以。
太阳病，经过重发汗后又攻下，导致不大便，舌干燥而口渴，日晡时分（下午3-5点）有轻微潮热，从心下直到小腹部硬满疼痛，手不能触碰的，用大陷胸汤。
这一条不讲治疗潮热，而是治疗结胸证，所以详细注释结胸的症状。
阳明潮热，大便坚硬，可以给予承气汤。如果不转矢气（放屁），这说明只是开头大便硬，后面必定稀溏，攻下必然导致胀满不能进食。
这里申明使用承气法，必须以转矢气作为粪便定硬的依据。如果不转矢气，其粪便开头一段虽然硬，后面就是稀溏粪。如果误用攻下，腹部必然胀满不能进食。
阳明病，脉迟汗出，不恶寒，身体必然沉重。短气、腹满而喘，有潮热的，说明表证将解，可以攻里了。手足出汗的，说明大便已经坚硬，用大承气汤。如果有轻微发热恶寒的，说明表证未解。如果热势不呈潮热状，不可给予承气汤。如果腹部大满不通，可以给予小承气汤，轻微调和胃气，不要令其剧烈泻下。
阳明病，脉不浮大，而是迟缓汗出不恶寒，且腹满潮热，手足汗出，大便已坚硬，可以攻里了。如果还见发热恶寒，又没有潮热里证，不可用承气汤。即使腹部大满，大便不通，只可与小承气汤，轻微调和胃气，不要令其剧烈攻下。
阳明病，谵语，有潮热，反而不能食的，胃中一定有燥屎五六枚。如果能食的，只是大便硬罢了，用大承气汤主治。
这里根据不能食，判断别有燥屎。根据能食，判断别无燥屎。言阳明热盛本应能食，现在反而不能食，这是因为肠胃中填塞充实，没有余地容纳食物，即大实大满的同义词，所以断定必有燥屎五六枚，宜用大承气汤主治。如果能食的，只是大便硬，未必有干结燥屎，不可用大承气汤。
阳明病，谵语发潮热，脉滑而疾的，用小承气汤主治。服用一升汤药，腹部转动矢气的，再服一升。不转矢气的，不要再给。第二天不大便，脉反微涩的，是里气虚，为难治，不可再给承气汤。
阳明病，谵语潮热，脉沉数，这才是可下的脉象。现在脉滑疾，还是浮动表邪的脉象，且用小承气汤服用，观察如果转矢气，仍以小承气汤再服一剂。如果不转矢气，不要再服。第二天不大便，脉反微涩，则里气已虚，不可再投承气汤，所以说难治。
二阳并病，太阳证罢，只发潮热，手足汗出，大便难而谵语的，攻下则愈，用大承气汤主治。
太阳证罢，只发潮热，已经没有表证了。汗出、大便难而谵语，都是可下之症，故用大承气汤。
阳明病，脉浮而紧的，必潮热发作有时；脉但浮的，必盗汗出。
阳明病中，若脉浮而紧，即潮热发作有时者，也不可过早攻下，仍按太阳病施治。发作有时，不是发作定期，而是说发作时，必现太阳时候。例如辰巳时潮热，属太阳之时；上半日潮热，属表邪之时。即使脉但浮不紧，表邪轻者，也见盗汗出，尚是柴胡证。这是提示人们不拘泥于脉与症，只要见到表邪起影，就应当从表治之。
柴胡防风汤
柴胡 防风 干葛 甘草
这是疏散少阳阳明表邪的方剂。如果恶寒身痛，加羌活。饱闷，加枳壳、浓朴；呕吐，加半夏、浓朴。
小柴胡汤
柴胡 黄芩 广皮 甘草 半夏 人参
此方和解少阳。如果见恶寒身痛，仍加羌活、防风；口渴，去半夏，加天花粉；饱闷，去人参，加枳壳、浓朴；小便不利，加木通。
大柴胡汤
柴胡 黄芩 广皮 甘草 半夏 大黄
少阳表症未解，里症又急，用此方双解表里。口燥渴，去半夏；腹中胀，加枳壳；小便涩，加木通。
柴胡饮子
这就是小柴胡汤加大黄，大柴胡汤加人参，家传秘方治疗潮热便闭，本元虚者。去半夏，加当归、白芍，治疗血虚潮热，大便闭结。
羌活冲和汤 见发热。
导赤各半汤 见腹痛。
白虎汤 见口渴。
用此方，第一要分别有汗无汗，消水不消水，唇口焦与不焦，乃下手要诀也。
大干葛汤
这是从大柴胡汤双解少阳表里法中化裁立此汤，双解阳明表邪未解，又见阳明里热有下症者。
Tidal fever (Chao Re) is like the tide, regular and punctual. It presents with fever only, without chills, unlike malaria which has alternating chills and fever, or conditions where exterior symptoms still exist. Its onset occurs at specific times, unlike general fever, severe fever, vexatious fever, or constant unremitting fever. Tidal fever in miscellaneous diseases can be either excess or deficiency. In external contraction diseases, tidal fever is solely caused by accumulated heat and dry fecal impaction in the Yangming Stomach and Intestines. Therefore, tidal fever is mostly treated with clearing heat (Qing Re) and purging (Xia) methods, as it is predominantly an interior syndrome. However, distinctions must be made: Onset during Yin and Mao hours (3 AM - 7 AM), preceded by slight chills then fever, indicates Shaoyang tidal fever. With no sweat and a floating pulse, use Chaihu Fangfeng Tang (Bupleurum and Saposhnikovia Decoction); with sweat and a wiry pulse, use Xiaochaihu Tang (Minor Bupleurum Decoction); with constipation and signs indicating purgation is indicated, use Dachaohu Tang (Greater Bupleurum Decoction); for deficient constitution, use Chaihu Yinzi (Bupleurum Drink). Onset during Si and Wu hours (9 AM - 1 PM), or occurring once daily, indicates Taiyang tidal fever. With a floating pulse and no sweat, use Qianghuo Chonghe Tang (Notopterygium and Harmonizing Decoction); with heat binding the Bladder, use Daochi Gehan Tang (Guide Out Redness Half-Decoction), heavily augmented with Qianghuo. Onset during Shen and Wei hours (1 PM - 7 PM), or occurring every other day, indicates Yangming Stomach and Intestine accumulated heat; use Chuanlian Zhike Tang (Coptis and Aurantium Decoction); however, if there is a floating pulse and no sweat, Ganjie Jiemo Tang (Pueraria Muscle-Releasing Decoction) is still appropriate; if there is sweat, a large pulse, and thirst, use Gegen Baihu Tang (Kudzu and White Tiger Decoction); if there is fullness and oppression in the chest, and a wiry-slippery right pulse, use Baohe San (Preserve Harmony Powder), heavily augmented with digestive agents; if stool is dry and signs of purgation are present, use Da Ganjie Tang (Great Pueraria Decoction) to purge; if abdominal distension and pain occur, inability to pass stool, and excessive sweating on hands and feet, use Sanyi Chengqi Tang (Three Yi Chengqi Decoction). Formulas for releasing the exterior are not used for tidal fever because tidal fever lacks exterior symptoms. If exterior pathogens have not dissipated, dispersing methods should still be used. Thus, tidal fever can also be cured using Shuangjie San (Double Release Powder) or Xiaochaihu Tang to harmonize; one cannot rely solely on clearing and purging methods. In summary, for tidal fever with spontaneous sweating and a deep-rapid pulse, lacking exterior pathogens, clearing the interior is appropriate, and releasing the exterior is unnecessary. For tidal fever with no sweat and a floating-large pulse, having exterior symptoms, releasing the exterior is appropriate. Even if interior pathogens exist, only simultaneous release of exterior and interior is suitable; one should not solely clear interior heat, as this may hinder the expulsion of exterior pathogens. Even if exterior pathogens are completely resolved and interior tidal fever appears, if there are no signs of purgation, immediate purging should not be performed. The above discusses tidal fever with both exterior and interior symptoms. There is another type: usually not frequently feverish, but feeling vexatious heat starting at Wugeng (3 AM - 5 AM), rising to internal fire attacking upwards during Chen-Si or Wu-Wei-Shen hours, accompanied by vomiting, distension, pain, or burning sensation in the chest and hypochondrium. Fever becomes intense like fire at these specific times, occurring once daily without missing the schedule. This is tidal fever originating from the interior due to accumulated heat and phlegm-fire lurking inside. Use Shengma Qingwei Tang (Cimicifuga Stomach-Clearing Decoction) combined with Zhike Chuanlian Tang (Aurium and Coptis Decoction), Zhilian Erchen Tang (Gardenia and Coptis Two-Chen Decoction), augmented with Haishi (Sea Stone) and Gualou (Trichosanthes Fruit) to clear accumulated heat and transform phlegm-fluids. If abdominal pain occurs with signs of purgation, use Daotan Tang (Great Phlegm Decoction) augmented with Dahuang (Rhubarb) and Xuanmingfen (Mirabilite) to purge. If food stagnation remains and cold/cold-natured suppression is contraindicated, use Baohe Pingwei San (Preserve Harmony and Harmonize Stomach Powder) to digest food accumulation. If phlegm and food are cleared but accumulated heat persists, the family secret method uses Ganjie (Kudzu Root) to resolve heat via the exterior, Chuanlian combined with Zhike to drain the large intestine, and Chuanlian combined with Mutong (Akebia Caulis) to clear the small intestine, achieving the method of internal and external dispersion. This discusses tidal fever with interior accumulated heat. After a febrile disease, slight tidal fever occurs during Shen-You hours (3 PM - 7 PM), named "evening mild vexation." This indicates Yangming Stomach and Intestine accumulated heat is not yet cleared, bowel and bladder movements are not smooth, and food was consumed too early. Zhang Zhongjing said: "Reducing food intake leads to recovery." This advises restricting grain consumption, using cold-natured herbs, mildly purging the large intestine, reducing food in the abdomen, and clearing residual heat. Use Zhike, Mutong, Chuanlian, Dahuang, Huangqin (Scutellaria Root), and Shanzhi (Gardenia Fruit) for treatment; or Zizhi Douchi Tang (Gardenia and Fermented Soybean Decoction) augmented with Zhishi (Immature Bitter Orange) and Dahuang, combined with dietary therapy for recovery.
In Taiyang Disease, after heavy sweating and subsequent purging, leading to constipation, dry tongue with thirst, slight tidal fever at Dubu (3 PM - 5 PM), hardness, fullness, and pain from the epigastrium down to the lower abdomen, intolerable to touch, use Daxiexiong Tang (Major Great Chest-Piercing Decoction).
This clause does not treat tidal fever but treats Jie Xiong (Chest Binding), hence the detailed annotation of Jie Xiong symptoms.
Yangming tidal fever with hard stool may be treated with Chengqi Tang. If there is no passing of flatus (Zhuan Shi Qi), this indicates only the beginning of the stool is hard, while the rest will be loose; purging will inevitably cause distension and anorexia.
This clarifies that the Chengqi method requires the passage of flatus as confirmation of hardened stool. If flatus is not passed, although the initial part of the stool is hard, the remainder is loose. Misguided purging will cause abdominal distension and anorexia.
In Yangming Disease, with a slow pulse, sweating, and no aversion to cold, the body will feel heavy. Shortness of breath, abdominal fullness, and wheezing, accompanied by tidal fever, indicate the exterior is resolving, and interior purging is now permissible. Sweating on hands and feet indicates the stool has hardened; use Dachengqi Tang (Major Chengqi Decoction). If there is slight fever and aversion to cold, the exterior is not yet resolved. If the fever is not tidal, Chengqi Tang should not be given. If there is significant abdominal fullness and obstruction, Xiaochengqi Tang (Minor Chengqi Decoction) may be given to gently harmonize stomach qi, avoiding drastic purgation.
In Yangming Disease, if the pulse is not floating and large, but slow, with sweating and no aversion to cold, plus abdominal fullness, tidal fever, and sweating on hands and feet, indicating hardened stool, interior purging is permissible. If fever and aversion to cold persist, and there are no tidal fever or interior signs, Chengqi Tang is contraindicated. Even with significant abdominal fullness and constipation, only Xiaochengqi Tang should be used to gently harmonize stomach qi, avoiding drastic purging.
In Yangming Disease, delirium, tidal fever, and inability to eat indicate the presence of five or six pieces of dry feces in the stomach/intestines. If the patient can eat, the stool is merely hard; Dachengqi Tang is the primary formula.
The inability to eat indicates dry fecal impaction. The ability to eat suggests no dry fecal impaction. Yangming heat typically allows for eating; the current inability to eat implies the gastrointestinal tract is filled and solid, leaving no room for food (synonymous with major excess and fullness). Thus, it is concluded that five or six pieces of dry feces exist, and Dachengqi Tang is indicated. If the patient can eat, the stool is only hard, likely without dry impaction, so Dachengqi Tang is not appropriate.
In Yangming Disease, delirium with tidal fever and a slippery-rapid pulse is treated with Xiaochengqi Tang. Administer one sheng of decoction. If flatus passes in the abdomen, administer another sheng. If flatus does not pass, do not administer further. If there is no bowel movement the next day and the pulse becomes faint and choppy, interior qi is deficient; this is difficult to treat, and Chengqi Tang should not be administered again.
In Yangming Disease, delirium and tidal fever with a deep-rapid pulse constitute the indication for purging. A slippery-rapid pulse currently indicates floating exterior pathogen. After administering Xiaochengqi Tang, observe for flatus; if present, administer another dose. If absent, do not administer. If no bowel movement occurs the next day and the pulse becomes faint and choppy, interior qi is deficient, making it difficult to treat; thus, Chengqi Tang should not be given again.
In Er Yang Bing (Dual Yang Pathology), when Taiyang symptoms cease and only tidal fever remains, with sweating on hands and feet, difficulty in defecation, and delirium, purging will lead to recovery; Dachengqi Tang is the primary formula.
With Taiyang symptoms ceased and only tidal fever present, exterior syndrome is gone. Sweating, difficulty in defecation, and delirium are all indications for purging; hence, Dachengqi Tang is used.
In Yangming Disease, a floating and tight pulse indicates tidal fever occurring at specific times; a merely floating pulse indicates night sweats.
In Yangming Disease, if the pulse is floating and tight, causing tidal fever at specific times, premature purging should be avoided; treatment should follow Taiyang protocols. "Occurring at specific times" does not mean a fixed schedule, but rather that the onset coincides with Taiyang hours. For example, tidal fever during Chen-Si hours belongs to Taiyang time; tidal fever in the first half of the day belongs to exterior pathogen time. Even if the pulse is merely floating without tightness, indicating light exterior pathogens, night sweats may appear, which is still a Chaihu pattern. This illustrates that regardless of pulse and symptoms, if signs of exterior pathogens appear, treatment should target the exterior.
Chaihu Fangfeng Tang (Bupleurum and Saposhnikovia Decoction)
Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Ganjie (Puerariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
This formula disperses exterior pathogens of Shaoyang and Yangming. If chills and body pain are present, add Qianghuo (Notopterygii Rhizoma et Radix). For fullness and oppression, add Zhike (Aurantii Fructus) and Nongpo (Magnoliae Officinalis Cortex); for vomiting, add Banxia (Pinelliae Rhizoma) and Nongpo.
Xiaochaihu Tang (Minor Bupleurum Decoction)
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Guangpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Renshen (Ginseng Radix).
This formula harmonizes Shaoyang. If chills and body pain are present, add Qianghuo and Fangfeng; for thirst, remove Banxia and add Tianhuafen (Trichosanthis Radix); for fullness and oppression, remove Renshen and add Zhike and Nongpo; for difficult urination, add Mutong (Akebiae Caulis).
Dachaohu Tang (Greater Bupleurum Decoction)
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Guangpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Dahuang (Rhei Radix et Rhizoma).
Used when Shaoyang exterior symptoms are unresolved and interior symptoms are urgent, this formula simultaneously releases exterior and interior. For dry mouth and thirst, remove Banxia; for abdominal distension, add Zhike; for astringent urination, add Mutong.
Chaihu Yinzi (Bupleurum Drink)
This is Xiaochaihu Tang augmented with Dahuang, or Dachaohu Tang augmented with Renshen. The family secret method uses this for tidal fever with constipation in patients with deficient Yuan Qi. Remove Banxia, add Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba) to treat blood-deficiency tidal fever with constipation.
Qianghuo Chonghe Tang (Notopterygium and Harmonizing Decoction) See Fever.
Daochi Gehan Tang (Guide Out Redness Half-Decoction) See Abdominal Pain.
Baihu Tang (White Tiger Decoction) See Thirst.
When using this formula, the first step is to distinguish between sweating and no sweating, retention and non-retention of fluids, and scorched lips/mouth versus normal, which are key principles for intervention.
Da Ganjie Tang (Great Pueraria Decoction)
Derived from the dual-release method of Dachaohu Tang for Shaoyang exterior and interior, this formula simultaneously releases Yangming exterior pathogens and addresses Yangming interior heat with purgation indications.
Sanyi Chengqi Tang (Three Yi Chengqi Decoction)
Zhike (Aurantii Fructus), Nongpo (Magnoliae Officinalis Cortex), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma).
Tidal fever is an interior syndrome. Therefore, upon seeing purgation indications, purging methods should be applied immediately.
Daxiexiong Tang (Major Great Chest-Piercing Decoction) See detailed notes on Jie Xiong (Chest Binding).