凡伤寒、中风、温疫、时气、冒暑，感四时不正之气。若邪毒之气，人或感之，始于巨阳
受之，二日阳明受之。三日少阳受之，前三日在于表阳也，后三日在于里阴也。《内经·热论》，
通谓之伤寒。热病者，言一身之热气也；伤寒者，外感于寒邪也。夫伤寒之寒热者，恶寒
为表热里和，故恶寒脉浮大也；发热为里热表和，故发热脉滑实也。可以吐法而解之，用拔
雪汤主之。生姜、葱白、豆豉同煎葶苈苦酒汤，上而越之。若病患脉沉实者，或不大便，喘满 语
，不必拘日数，急攻于里，可用通解丸；胃中渴燥者，大承气汤下之。慎不可用银粉、巴豆粉霜、
杏仁、芫花热性之药，用之必致危殆。仲景云∶调理伤寒者，皆在汗、下之理。当明表里，无不
愈矣！差之毫厘，失之千里，深可慎之。汗、下之后，切宜慎口，可服淡粥而养之，不然，其
病复作。
又论伤寒七八日，潮热腹满，发黄有斑者，何脏使然？《内经》云∶手太阴肺经，
足太阴脾经，足阳明胃经，手少阴心经，此四经受病也，仲景云，两寸口脉俱浮滑，胸中有痰攻
上者，可用瓜蒂散吐之；吐后，随证调治处药。发黄之证，皆因阳明中风，太阳中湿，瘀血
与宿谷相抟，令人发黄。煎栀子茵陈蒿汤，调加减五苓散服之后，利小便快者，如皂角色汁
，此为效矣。发斑者，心经受热，故有此证。详斑轻重用药之理∶轻者斑红，可用越桃饮
子；重者斑紫，毒瓦斯胃中盛也，大青四物汤、元参升麻汤主之。潮热腹满者，谓邪热在胃中也
，可以荡涤邪热，流湿润燥，宜急治之。杂病寸口脉沉实者，亦在胸中。有启玄子注云∶上
盈不愈者，吐而夺之，此病乃瘳矣。斑黑者，危而难治也。黄病血病，问其小便利与不利也
，验又有头痛数日不止者，此乃六阳受病也。手之三阳，从手走至于头；足之三阳，从上
走至于下。盖六阳之聚会也。久痛不愈者，令人丧目，以胸膈亦有宿痰故也。先以羌活散涌
之，以川芎石膏散、白虎汤，选而服之则愈矣。
又一法∶治头痛不愈者，可煎连须葱白豆豉
汤，多服之，后吐为效；吐后，可服川芎薄荷汤，辛凉之剂，清上之药，疏风丸散之类。仲
景云∶伤寒头痛，脉寸口急而头痛是也。
凡男子有病，面黄身热，肌瘦，寒热往来如疟状，更加涎嗽不止，或喘满，面目浮肿者，或身
体俱热，或有自汗。《内经》云∶病名伤寒夹劳之证也。治之奈何？病在上者，其高者因而越之
。可用防己散吐之；吐后，初用通解丸一服；次服人参黄 散、当归饮子、加减小柴胡
汤，择而用之。《内经》谓∶男女之证，皆同类，用其治法也。根据此调治，无不取效矣。
凡人病心胸痞闷，不欲饮食，身体壮热，口燥舌干，大小便不利。有一工治之，说下元虚冷，
便投暖药十数服，其病不愈。又一医所论与前亦同，又投暖药五、七日，其证转加困弱。请
余治之。诊脉而说曰∶审问日数、饮食、大小便何似？小便赤色，大便黑色。便言伤寒瘀血
之证，初用大黄芍药汤二剂，次服犀角地黄汤二服，后用通经丸一服，换过大便黄色，以为
效验。此药服十余服，方可病瘥矣。
凡男子妇人，所显证候，皮肤发热，肌肉消瘦，四肢倦怠，兼有头痛颊赤，心忪，唇干舌燥，
日晡潮热，夜有盗汗，涕唾稠粘，胸膈不利，或时喘嗽，五心烦热，睡卧不安，饮食减少，
多思水浆，经脉不通，病名曰何病？《奇病论》曰∶女子不月，血滞之病也；男子肾虚，精不
足也。凡治此证，降心火、益肾水，此之谓也。可先用通解丸，泻三、二行，次服当归饮子，
又用加减五苓散、木香三棱丸、人参黄 散、犀角散之类，详其虚实，选而用之。若咯脓咯血，大
小便血，但亡血者，不可宣吐，勿服酸辛热物姜附之类药，不可不戒慎也。若犯诸亡血之证
者，不可发汗，不可温补。脾胃之药若服之，虽进饮食，不生肌肉，此病转加危笃，乃成虚劳之病也。
凡医人不明发表攻里，乱投汤剂，有误性命。更大忌夏月燔灸中脘、脐下、关元、气海背俞、三里等。
燔灸千百壮者，全无一效，使病者反受其殃，岂不痛哉？虚劳之疾，私嗜肉、食、面、辛酸之物，
不可食之。但可食者，谨按神农食疗而与之。菠棱葵菜、冰水清凉之物，不可禁也。且图寒凉
滑利肠胃，使气血并无壅碍燥涩。《经》曰∶谷入于胃，脉道乃行；水入于经，其血乃成。若不
忌慎，致令病患胃口闭涩，则形体渐瘦，此乃死之由也。诸劳皆仿此。但诸人咯脓血、衄血、
大小便血者，可服三黄丸、黄连解毒丸、凉膈散加桔梗、当归、大黄、芍药、犀角地黄汤，
大作剂料，时时呷之。《内经》曰∶所谓邪热伤于肝心之病，根据此调治，万举万全矣。
凡人年四十以上，日久多言，以致虚损，面色黧黑，饮食无味，心胸痞闷，四肢倦怠，肌体余
热，大小便不利，治之奈何？《内经》曰∶不可热补之。夫男子肾虚，水不足也，凡补虚之
剂，多用乌、附、天雄之类，岂知肾恶燥也！女子阴虚，血不足也。凡补虚多以阳剂，是以
知阳胜而阴亏也。不可用性热之药补之，空心可服加减八物丸、当归饮子、减桂五苓散。烦渴，加益元
，名曰淡渗散。更服通解丸，显仁丸亦可服之，大有神效。
凡人有脏毒下血，何谓也？《生气通天论》曰∶邪热伤肝，因而大饱，筋脉横解，肠 为痔。故
脓血者，血随热行，参差入于肠胃之间，乃成泻血也。若身体壮热，则为难治；身凉者，可
治也。可先调中消血，荡除积血，泻之三、二行；泻后，服芍药柏皮丸、黄连解毒汤、五苓
散、益元散各停，新汲水调下五、七钱。甚者取地黄汁半盏，服之则愈矣。
凡下利脓血，腹痛不止者，何也？诸痛痒皆属于心火也。可用通解丸加减泻之，量其虚实用
之；次用消湿散加生姜、大枣、芍药服之；泻讫，又用新水调五苓散服之。又一法，煎灯心
汤，调下益元散五、七钱。此病大忌油腻腥荤热物。
凡是伤寒、中风、温病、时行疫病、中暑，都是感受了四季中不正的邪气。如果人体感染了这种邪毒之气，病邪起初在巨阳经（即太阳经）受邪，第二天传到阳明经受邪，第三天传到少阳经受邪。前三天病邪在表阳部位，后三天病邪在里阴部位。《黄帝内经·热论篇》中，将这些统称为伤寒。所谓“热病”，是指全身热气亢盛；所谓“伤寒”，是指外感寒邪所致。至于伤寒引起的寒热症状：恶寒（怕冷）属于表热里和，所以脉象浮大；发热属于里热表和，所以脉象滑实。这种情况可以用吐法来解除，主方用拔雪汤。将生姜、葱白、豆豉同煎，配合葶苈苦酒汤，使病邪从上而越出。如果患者脉象沉实，或者大便不通，出现气喘、腹胀、胡言乱语等症状，不必拘泥于发病天数，应紧急攻逐里实，可用通解丸；若胃中燥渴，则用大承气汤攻下。千万不可使用银粉、巴豆霜、杏仁、芫花等热性药物，否则必然导致病情危重。张仲景说：“调理伤寒，关键在于汗法和下法。”应当明辨表里，没有治不好的病！差之毫厘，谬以千里，务必谨慎。发汗或攻下之后，务必注意饮食节制，可以喝淡粥来调养身体，否则疾病会复发。
又讨论伤寒七八日，出现潮热、腹部胀满、发黄并伴有发斑的情况，这是哪条经络病变导致的？《黄帝内经》说：手太阴肺经、足太阴脾经、足阳明胃经、手少阴心经，这四条经络受病。张仲景说，如果两手寸口脉都呈现浮滑象，且胸中有痰浊上逆者，可用瓜蒂散催吐；吐完后，根据具体证候进行调治。发黄的病症，都是因为阳明中风、太阳中湿，瘀血与体内宿食相互搏结，导致身体发黄。宜煎服栀子茵陈蒿汤，并调服加减五苓散。服药后小便通利畅快的，尿液颜色像皂角汁一样深黄，这就是见效的标志。发斑的病症，是心经受热所致，因此出现此证。详细分析根据斑疹轻重用药的道理：轻症斑色红，可用越桃饮子；重症斑色紫，说明毒气在胃中炽盛，主方用大青四物汤、元参升麻汤。潮热腹满，是指邪热在胃中，应当荡涤邪热，滋润燥热，宜急治之。杂病中寸口脉沉实的，病位也在胸中。有启玄子（王冰）注解说：上部壅盛不愈的，用吐法夺其邪气，此病即可痊愈。斑色黑者，病情危重且难治。黄疸病和血病，要询问患者小便利与不利。另外验证是否有头痛数日不止的情况，这是六阳经受病。手三阳经从手走头，足三阳经从头走足，这是六阳经气血聚会之处。久痛不愈的，会导致失明，因为胸膈也有宿痰的缘故。先用羌活散涌吐，再选用川芎石膏散、白虎汤服用，即可痊愈。
另一种方法：治疗久治不愈的头痛，可煎连须葱白豆豉汤，多服用，以呕吐为见效标志；吐后，可服用川芎薄荷汤，这是辛凉之剂，属于清上焦的药物，如疏风丸散之类。张仲景说：伤寒头痛，脉象寸口急促而头痛，就是这种情况。
凡是男子患病，面色黄、身体热、肌肉消瘦、寒热往来像疟疾一样，再加上痰涎咳嗽不止，或者气喘腹胀、面目浮肿，或者全身发热，或者有自汗。《黄帝内经》说：这种病名叫伤寒夹劳证。如何治疗？病位在上部的，高处的病邪因势利导使其越出。可用防己散催吐；吐后，初服一剂通解丸；接着服用人参黄芪散、当归饮子、加减小柴胡汤，择一而用。《黄帝内经》说：男女的证候，大多同类，治疗方法也相同。据此调治，没有不见效的。
凡人患病心胸痞闷，不想吃东西，身体高热，口干舌燥，大小便不通利。有一位医生诊治，说是下元虚冷，就投喂温热药十几服，病没好。另一位医生的论述与前一位相同，又投喂温热药五六七天，症状反而更加困倦虚弱。请我诊治。诊脉后我说：“仔细询问发病天数、饮食情况、大小便状况如何？”回答说：小便赤色，大便黑色。我便说是伤寒瘀血的证候，初用大黄芍药汤两剂，接着服犀角地黄汤两服，后用通经丸一服，直到大便变成黄色，作为见效的标准。这些药服用十多服，病才能痊愈。
凡是男子妇人，显现出的证候：皮肤发热，肌肉消瘦，四肢倦怠，兼有头痛面颊发红，心悸，嘴唇干裂舌头干燥，下午定时发热（日晡潮热），夜间盗汗，鼻涕唾液稠粘，胸膈不畅，有时气喘咳嗽，手足心热，睡卧不安，饮食减少，总想喝水饮水，月经不通。这叫什么病？《奇病论》说：女子月经不来，是血滞的病；男子肾虚，精气不足。凡是治疗这种证候，都要降心火、益肾水，说的就是这个道理。可先用通解丸，泻下二三行，接着服当归饮子，再用加减五苓散、木香三棱丸、人参黄芪散、犀角散之类，详细辨别虚实，选择使用。如果出现咯脓咯血、大小便出血，只要是失血的患者，不可用宣吐法，不要服用姜、附等酸辛热性的药物，这一点不可不戒慎。如果犯了各种失血的证候，不可发汗，不可温补。如果服用脾胃温补的药，虽然能进食，但长不出肌肉，此病会转而加重危重，最终成为虚劳病。
凡是医生不明白发表攻里的原理，乱投汤药，有误人性命。更大大忌讳在夏季对中脘、脐下、关元、气海、背俞穴、足三里等进行燔灸（烧灼艾灸）。施灸千百壮，完全没有任何效果，反而让病人遭受灾殃，难道不痛心吗？虚劳病的患者，私自嗜好肉类、面食、辛辣酸味之物，不可食用。只可以吃那些符合神农食疗原则的食物。菠菜、葵菜、冰水等清凉之物，不可禁止。暂且图个寒凉滑利肠胃，使气血没有壅塞阻碍和燥涩。《内经》说：“谷物进入胃中，脉道才能运行；水液进入经脉，血液才能生成。”如果不忌口谨慎，导致病患胃口闭塞涩滞，那么形体逐渐消瘦，这是死亡的原因。各种劳损都仿照此理处理。只要有人咯脓血、鼻衄、大小便出血的，可服用三黄丸、黄连解毒丸、凉膈散加桔梗、当归、大黄、芍药、犀角地黄汤，大量制作剂料，时时少量频服。《内经》说：所谓邪热损伤肝心的病，据此调治，万无一失。
凡人年过四十，长期多言，导致虚损，面色黧黑，饮食无味，心胸痞闷，四肢倦怠，肌体有余热，大小便不利，如何治疗？《内经》说：不可用热药补益。男子肾虚，是水不足，凡是补虚的药剂，多用乌头、附子、天雄之类，哪里知道肾恶燥呢！女子阴虚，是血不足，凡是补虚多以阳剂为主，因此知道阳胜而阴亏。不可用性热的药物补益，空腹时可服加减八物丸、当归饮子、减桂五苓散。如果有烦渴症状，加滑石、甘草（益元散成分），名为淡渗散。再服通解丸，显仁丸也可服用，大有神效。
凡人有脏毒下血，是什么意思？《生气通天论》说：邪热伤肝，因而暴饮暴食，筋脉松弛横解，肠道形成痔疮。所以脓血，是血随热行，参差不齐地进入肠胃之间，从而形成泻血。如果身体高热，就难治；身体凉爽的，可治。可先调中消血，荡除积血，泻下二三行；泻后，服芍药柏皮丸、黄连解毒汤、五苓散、益元散各半量，新汲水调服五到七钱。严重的取地黄汁半盏，服用即可痊愈。
凡是下利脓血，腹痛不止的，为什么呢？所有的痛痒都属于心火。可用通解丸加减泻下，根据其虚实用量；接着用消湿散加生姜、大枣、芍药服用；泻完后，又用新水调服五苓散。另一种方法，煎灯心草汤，调下益元散五到七钱。此病大大忌讳油腻腥荤热性食物。
Any condition of Shanghan (Cold Damage), Zhongfeng (Wind Strike), Wenbing (Warm Disease), Shiqi (Seasonal Epidemic), or Maoshu (Heatstroke) results from contracting the abnormal Qi of the four seasons. If one is infected by such pathogenic toxic Qi, the pathogen initially affects the Juyang Meridian (Taiyang Meridian), on the second day it affects the Yangming Meridian, and on the third day it affects the Shaoyang Meridian. In the first three days, the pathogen is in the exterior Yang; in the subsequent three days, it is in the interior Yin. In the *Neijing·Re Lun* (Treatise on Heat Diseases), these are collectively referred to as Shanghan. "Re Bing" (Heat Disease) refers to excessive heat throughout the body; "Shanghan" refers to disease caused by external contraction of Cold Evil. Regarding the chills and fever of Shanghan: Chills (aversion to cold) indicate exterior heat with interior harmony, hence the pulse is floating and large; Fever indicates interior heat with exterior harmony, hence the pulse is slippery and solid. This can be resolved using the Vomiting Method, primarily using Baxue Tang (Snow-Pulling Decoction). Decoct fresh ginger, scallion white, and fermented soybean together, combined with Tingli Kujiu Tang (Descurainia Seed and Vinegar Decoction), to expel the pathogen upwards. If the patient's pulse is deep and solid, or if there is constipation accompanied by wheezing, abdominal fullness, and delirious speech, do not be constrained by the number of days since onset; urgently attack the interior using Tongjie Wan (Unblocking Decoction Pill); if there is dryness and thirst in the stomach, use Dachengqi Tang (Major Order the Qi Decoction) to purge. One must absolutely avoid using hot-natured drugs such as Silver Powder, Radix Crotonis Preparata (Badou Frost), Semen Armeniacae Amarum (Xingren), and Genkwa Flos (Yuanhua); using them will inevitably lead to critical danger. Zhang Zhongjing said: "Regulating Shanghan lies in the principles of Sweating and Purging." One must clearly distinguish between exterior and interior conditions, and no case will remain uncured! A difference of a hair's breadth leads to an error of a thousand miles; this must be approached with extreme caution. After sweating or purging, one must strictly observe dietary restrictions, consuming light rice gruel to nourish the body; otherwise, the illness will recur.
Furthermore, discussing Shanghan after seven or eight days, presenting with tidal fever, abdominal fullness, jaundice, and macules: which meridians are responsible? The *Neijing* states that the Hand-Taiyin Lung Meridian, Foot-Taiyin Spleen Meridian, Foot-Yangming Stomach Meridian, and Hand-Shaoyin Heart Meridian are affected. Zhang Zhongjing stated that if both Cun-kou pulses at the wrists are floating and slippery, indicating phlegm turbidity attacking upward in the chest, Gouti San (Melon Sepal Powder) can be used to induce vomiting; after vomiting, treat according to the specific syndrome. Jaundice arises from Yangming Wind-Strike and Taiyang Dampness, where blood stasis struggles with retained food residues, causing yellowing. Decoct Zhi Zi Yin Chen Hao Tang (Gardenia, Capillaris, and Artemisia Decoction) and take Jiajian Wuling San (Modified Five-Ingredient Poria Powder) afterwards. If urination becomes smooth and rapid, with urine resembling the juice of soap pods, this indicates efficacy. Macules result from Heat affecting the Heart Meridian. Analyzing the principle of medication based on severity: for mild cases with red macules, Yue Tao Yin Zi (Prunus Juice Drink) can be used; for severe cases with purple macules, indicating abundant toxic Qi in the stomach, Da Qing Siwu Tang (Isatis Four Substances Decoction) and Yuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction) are primary. Tidal fever and abdominal fullness indicate pathogenic heat in the Stomach; one should cleanse the pathogenic heat and moisten dryness, treating it urgently. In miscellaneous diseases, a deep and solid Cun-kou pulse also indicates pathology in the chest. Qixuanzi (Wang Bing) annotated: "If upper excess persists, use vomiting to deprive the pathogen, and the disease will heal." Black macules indicate a critical and difficult-to-treat condition. For jaundice and blood diseases, inquire about the ease or difficulty of urination. Additionally, verify if there is headache lasting several days; this indicates pathology in the Six Yang Meridians. The Three Hand-Yang Meridians run from hand to head; the Three Foot-Yang Meridians run from head to foot. This is the convergence of the Six Yangs. Chronic unrelenting pain can lead to blindness due to retained phlegm in the chest and diaphragm. First use Qianghuo San (Notopterygium Powder) to induce vomiting, then select and take Chuanxiong Shigao San (Ligusticum and Gypsum Powder) or Baihu Tang (White Tiger Decoction) for recovery.
Another method: For persistent headaches, decoct Lianxu Congbai Douchi Tang (Scallion White with Fermented Soybean Decoction with Roots), take frequently until vomiting occurs as a sign of effect; after vomiting, take Chuanxiong Bohe Tang (Ligusticum and Mint Decoction), a pungent-cooling agent clearing the upper jiao, such as Shufeng Wan/San (Wind-Dispersing Pills/Powders). Zhang Zhongjing said: Shanghan headache with a rapid Cun-kou pulse corresponds to this presentation.
For men suffering from yellow complexion, body heat, emaciation, alternating chills and fever resembling malaria, incessant salivation and coughing, or wheezing and abdominal fullness, facial and ocular edema, generalized body heat, or spontaneous sweating: The *Neijing* names this Shanghan Jialao Syndrome (Shanghan complicated with Deficiency Consumption). How to treat? For pathology located high, exploit its position to cause evacuation upwards. Use Fangji San (Stephania Powder) to induce vomiting; after vomiting, initially administer one dose of Tongjie Wan; subsequently choose from Renshen Huangqi San (Ginseng and Astragalus Powder), Danggui Yin Zi (Angelica Drink), or Jiajian Xiaochaihu Tang (Modified Minor Bupleurum Decoction). The *Neijing* states that male and female syndromes are often similar and share treatment methods. Following this regulation ensures efficacy.
For individuals suffering from chest and epigastric stuffiness, loss of appetite, high fever, dry mouth and tongue, and urinary and fecal obstruction: One physician diagnosed lower origin deficiency-cold and administered numerous doses of warming medicines without success. Another physician offered the same diagnosis and administered warming medicines for five to seven days, worsening the patient's weakness. Upon my examination, I asked about the duration, diet, and bowel/urinary status. The response was dark red urine and black stool. I diagnosed this as Shanghan Blood Stasis. Initially, two doses of Dahuang Shaoyao Tang (Rhubarb and Peony Decoction) were given, followed by two doses of Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction), and finally one dose of Tongjing Wan (Meridian-Unblocking Pill). When stools turned yellow, this was considered effective. After taking over ten doses of these medications, the disease subsided.
For men and women presenting with skin heat, muscle wasting, limb fatigue, headache, flushed cheeks, palpitations, dry lips and tongue, afternoon tidal fever, night sweats, thick sticky sputum, chest discomfort, occasional wheezing and coughing, five-palm heat, restlessness, reduced appetite, excessive thirst, and amenorrhea: What is this disease? The *Qibing Lun* (Treatise on Rare Diseases) states: Amenorrhea in women is Blood Stasis; Kidney Deficiency and insufficient Essence in men. Treatment involves descending Heart Fire and benefiting Kidney Water. First use Tongjie Wan to induce two or three bowel movements, then take Danggui Yin Zi, followed by Jiajian Wuling San, Muxiang Sanleng Wan (Aucklandia and Curcuma Pill), Renshen Huangqi San, or Xijiao San, selecting based on deficiency or excess. If expectorating pus or blood, or bleeding from bowels/bladder, indicating blood loss, do not use vomiting methods, and strictly avoid pungent-hot substances like Ginger and Aconite. Violating precautions for blood-loss syndromes by using sweating or warming-tonifying methods, or administering Spleen/Stomach tonics, may allow intake of food but prevents muscle growth, leading to critical deterioration into Xu Lao (Deficiency Consumption).
Physicians who fail to understand releasing the exterior and attacking the interior, indiscriminately prescribing decoctions, risk lives. It is strictly forbidden to perform burning moxibustion on Zhongwan, below the navel, Guanyuan, Qihai, Back-Shu points, and Zusanli during summer. Hundreds of moxa cones yield no effect and only harm the patient, which is tragic. Patients with Xu Lao must avoid meat, noodles, and pungent/sour foods. They should only consume foods aligned with Shennong's Dietary Therapy. Spinach, Malva, and cool water are permissible and encouraged to keep the intestines and stomach lubricated, preventing Qi and Blood stagnation and dryness. The *Classic* states: "When grain enters the stomach, the vessel pathways flow; when water enters the meridians, blood is formed." Failure to observe dietary restrictions causes gastric closure and stenosis, leading to gradual emaciation and death. All consumption disorders follow this principle. For those expectorating pus/blood, epistaxis, or hematochezia/hematuria, take Sanhuang Wan (Three Yellow Pill), Huanglian Jiedu Wan (Coptis Detoxification Pill), Liangge San (Cool the Diaphragm Powder) plus Platycodon, Angelica, Rhubarb, Peony, and Xijiao Dihuang Tang, prepared in large quantities and taken frequently in small sips. The *Neijing* states: "This refers to diseases where pathogenic heat injures the Liver and Heart." Adhering to this regulation ensures complete success.
For individuals over forty, whose chronic excessive talking has led to deficiency consumption, dark complexion, tasteless diet, chest stuffiness, limb fatigue, residual body heat, and obstructed urination/defecation: How to treat? The *Neijing* says: Do not use hot tonics. Men with Kidney Deficiency lack Water; most deficiency tonics use Aconite, Prepared Aconite, or Tianxiong, ignoring that the Kidney dislikes dryness. Women with Yin Deficiency lack Blood; most tonics use Yang agents, resulting in Yang excess and Yin deficiency. Do not use hot-natured drugs for tonification. On an empty stomach, take Jiabian Bawu Wan (Modified Eight-Ingredient Pill), Danggui Yin Zi, or Jian Gui Wuling San. For irritability and thirst, add Yi Yuan San (Benefit Origin Powder), named Danshen San (Light Percolation Powder). Also take Tongjie Wan or Xianren Wan, which have miraculous effects.
What is Zangdu Xiexue (Visceral Toxemia with Bleeding)? The *Shengqi Tongtian Lun* states: Pathogenic heat injures the Liver; following gluttony, tendons and vessels relax, leading to hemorrhoids. Pus and blood result from blood flowing with heat, entering the intestines and stomach irregularly, causing bloody diarrhea. If accompanied by high fever, it is difficult to treat; if the body is cool, it is treatable. First regulate the middle and eliminate blood stasis, purging two or three times; after purging, take Shaoyao Bapi Wan (Peony and Phellodendron Pill), Huanglian Jiedu Tang (Coptis Detoxification Decoction), Wuling San, and Yi Yuan San in equal parts, mixed with fresh water, 5-7 qian. Severe cases may recover by taking half a cup of Rehmannia Juice.
For dysentery with pus and blood and unceasing abdominal pain: Why? All pain and itching belong to Heart Fire. Use modified Tongjie Wan to purge according to deficiency/excess; then take Xiaoshi San (Dampness-Resolving Powder) with fresh ginger, jujube, and peony; after purging, take Wuling San mixed with fresh water. Alternatively, decoct Centella Asiatica (Dengxin Cao) soup and mix with Yi Yuan San, 5-7 qian. This disease strictly forbids greasy, fishy, and hot foods.