痧疹一证，出时能透尽毒净，病期能确守禁忌，本无所谓余恙也。然人事疏忽，十常七八，禀赋虚弱，不
任疾病，又比比然也。故痧后余恙基于前因而起者，不在少数，内有四大证，为害甚烈∶一曰痧后劳，痧既
收没，邪毒犹郁于肌肉间，昼夜发热，渐至发焦肤槁，羸瘦如柴，此因痧期误服辛温，毒未清解，或由
本元虚弱，余毒留心，或由过用寒凉，毒未透净，均宜清火解毒之法，及扶胃健脾之剂以治之。迟则口鼻
气冷，睡卧露睛，手足厥冷搐掣，必至不救。即本羸瘦而遍身壮热，螈 烦躁，实由阴亏血耗，余毒入肝而
传心故如此，治宜养血清血之剂。一曰痧后疳，病由余毒未尽，陷入胃家，或过啖炙 ，毒乘火势，忽发走
马疳，牙根臭烂，血出颊肿，环口青黑，久则腮穿齿落，唇缺鼻坏，宜急救勿缓，内治以速清胃火为主，外
治以散毒去腐为主。如疮色白者，或疮色黑者，皆属不治。一曰痧后痢，病由痧前曾作泻痢，调解未清，至
是变成休息痢，日夜无度，里急后重，此余毒流入大肠也。不论赤白，总应养血行气，盖血和而痢自止，
气行而后重自除也。然须分虚实，实者不妨微利，虚者只可调和。一曰痧后咳，痧后气喘息高，连声不止，
甚至咳血或呛饮食，此毒归于肺也，名曰顿咳，宜清肺除热为主。如胸高肩耸，
手摆头摇，口鼻出血，面色青赤，或枯白，或晦暗，皆不可治。至于有肺气极虚，毒遏发喘，不至呛食咳血
者，不得纯乎责之肺热，宜解毒之外，兼补肺气，此四者皆为痧后重证，病关生死，切忌妄治。而此四证之
外，有烧热不退者，血虚血热也，只须滋阴补血，其热自除。有身热不退，呕吐而烦者，毒犹未尽，留恋
于肺胃间也；有大便秘者，余火内结也；有泄泻者，积热移于大肠也，久则必伤脾；有痧退热除不能食者，
胃气弱也；有耳内肿痛，溃流脓水者，余毒入耳也；有痧透不彻，痧后余毒阻塞灵窍，或舌本謇涩，不能
言者，或耳中轰不能听者，皆当按症施治，以本症治法为君，以解痧后余毒为佐。又有痧疹没后三四日
又出，至五六次八九次不止者，由发热时风寒侵袭，邪郁肌肉，前虽藉药发出，终属勉强，故留流不散而屡
发也，宜照前痧疹治法治之。最后总以清理肺胃为主，此痧后证治之一斑也。
附方
（一）痧后清理方（自制） 治痧疹余毒未清，服之以免滋生余患。
桔梗 连翘 淡芩 茯苓 银花 栀子 知母
口干者加天花粉；咳甚者加贝母、枇杷叶；湿热重者加川连、苡米、大腹皮；寒湿重者去知母，加川朴、
姜半夏，或桂枝、茵陈；久咳不止者加旋复花、沙参，咽痛者加牛蒡子、山豆根；大便实者加大黄或川连；
血热者加鲜生地、丹皮；痰热者加天竺黄、杏仁，或栝蒌皮、贝母、竹茹；夹食加神曲、麦芽；阴
虚火旺加玄参、地骨皮；胃中虚热，舌干无苔，加石斛、地骨皮；肝热目赤加龙胆草、甘菊；小便短赤加
川楝子、车前子；恶寒者加桂枝或紫苏；脾弱泻利者加白术、鸡肫皮；失血者去桔
梗，加鲜生地、茅根；肺虚或元气弱者加人参、黄 之类。
（二）金花丸 治痧后邪毒犹郁于肌肉间，发热便艰。
黄连 黄柏 黄芩 大黄
（三）清火消毒汤 治痧后昼夜发热，渐至发焦肤槁，羸瘦。
黄芩 黄连 山栀 玉金 龙胆草 雄黄 地骨皮 灯芯
当归、连翘、川芎、芦荟、使君子，随加。
（四）胃苓汤 治痧后胃弱，羸瘦发热。
茯苓 猪苓 白术 泽泻 苍术 陈皮 甘草 川朴
或加肉桂少许。
（五）当归养荣汤 治痧后遍身壮热，螈 烦躁，由于阴亏血耗者。
当归 山栀 川芎 生地 麦冬 甘草 竹叶 灯芯
便结加大黄。
（六）黄连安神汤 治痧后当身壮热螈 。
黄连 当归 龙胆草 全蝎（去毒） 菖蒲 茯神
（七）马乳饮 治走马牙疳。
用白马挤乳饮之。
（八）清胃汤 治痧后疳牙根臭烂血出，颊肿，环口青黑。
升麻 生地 黄连 当归 丹皮
（九）文蛤散 外用。治痧后疳，用米泔水洗疮敷之。
雄黄 枯矾 蚕蜕 纸灰
倍用文蛤为细末。
（十）痧后痢疾方（自制） 治痧后痢疾，腹中微痛，里急后重。
当归炭 淡芩炭 金银花 白芍 鸦胆子
湿重酌加川朴或川连，滞下酌用槟榔、大黄。
（十一）三黄汤 治痧后下赤白痢，滞下兼实者。
炒川连 炒黄芩 蒸大黄
（十二）香连丸 治痧后下赤白痢，为调和之剂。
黄连一两，用吴萸五钱同炒，去萸用木香三钱为丸。
（十三）痧后顿咳方（自制） 治痧后忽一阵作咳，连声不止，甚或呛出饮食，日久不愈者。
旋复花（包） 炙橘红 炙款冬 北沙参 莱菔子 淡芩
蜜炙桑皮、人参、麦冬、贝母、枇杷叶之属，可随证加入。
（十四）痧后耳痛方（自制） 治痧后耳痛，脓水内溃。
柴胡 生地 赤芍 牛蒡子 当归 连翘 栀子 花粉 防风 川芎 甘草 青皮
清水煎服。外用胭脂、枯矾、冰片、儿茶为末，吹入耳中，以绵杖子拭净脓水。
（十五）宁肺汤 治痧后咳嗽，清肺除热。
黄芩 桑叶 贝母 知母 杏仁 花粉 天冬 沙参 枇杷叶
（十六）麦冬清肺汤 治痧后肺虚顿咳。
麦冬 人参 甘草 赤芍 桔梗 陈皮 槟榔 赤苓
按∶方中赤芍可改白芍；桔梗咳甚者可不用，应易旋复花；发热微渴者加连翘。
（十七）四物汤 治痧后血虚血热，方见第三章第五节。
渴加麦冬、犀角，咳加栝蒌霜，痰加贝母陈皮。忌参、术、半夏。
（十八）四苓散 治热移大肠，新泻热泻。
茯苓 猪苓 泽泻 苍术 炙甘草
一方有陈皮无苍术、甘草，久泻伤脾，酌加木香、砂仁、诃子、肉豆蔻。
（十九）痧后灵窍阻塞方（自制） 治痧后灵窍阻滞，或舌謇，或耳聋等证。
干菖蒲 蝉衣 连翘心 桑枝 白僵蚕 竹叶心
其他如全蝎、穿山甲、胆星、礞石、龙胆草、麝香、龙脑、朱砂之类，可酌加之。
痧疹这一病证，如果在出疹时能够透发彻底、毒邪排净，并且在病程中严格遵守禁忌，本来就没有什么遗留的病症。然而人们往往疏忽大意，十次中有七八次如此；加上体质虚弱，无法承受疾病折磨的情况也屡见不鲜。因此，基于先前原因而产生的痧后余留病症，不在少数。其中主要有四种重症，危害极为严重：
第一种称为“痧后劳”。痧疹消退后，邪毒仍然郁结在肌肉之间，导致昼夜发热，逐渐发展到头发焦枯、皮肤干瘪、身体消瘦如柴。这是因为在痧疹期间误服了辛温药物，导致毒邪未能清解；或者因为本身体质虚弱，余毒留存体内；又或者过度使用寒凉药物，导致毒邪未能透发干净。这些情况都适宜采用清火解毒的方法，以及扶助胃气、健脾的方剂来治疗。如果拖延不治，会出现口鼻气息冰冷、睡眠时眼睛半睁（露睛）、手足厥冷并伴有抽搐的症状，最终必然导致死亡。即使是原本就身体瘦弱而全身高热、出现抽搐烦躁的情况，实际上也是由于阴液亏损、血液耗损，余毒侵入肝脏进而传变至心脏所致，治疗应当使用养血、活血的方剂。
第二种称为“痧后疳”。这种病是由于余毒未尽，陷入胃部，或者过量食用烤炙食物，毒邪乘着火势发作，突然引发走马疳（一种迅速蔓延的口腔坏死性疾病），牙根腐烂发臭，出血且面颊肿胀，口周呈现青黑色。时间久了会导致腮部穿孔、牙齿脱落、嘴唇缺损、鼻子毁坏。这种情况需要紧急救治，不可迟缓。内治以迅速清除胃火为主，外治以消散毒邪、去除腐肉为主。如果疮面色白或色黑，都属于难以治愈的情况。
第三种称为“痧后痢”。这种病是因为在出痧之前曾经发生过腹泻痢疾，调理未清，到了此时变成了休息痢（慢性痢疾），日夜无度，有里急后重感，这是余毒流入大肠所致。不论是大便带血还是带脓，总应当养血行气，因为血液调和则痢疾自止，气机通畅则里急后重自然消除。但是必须区分虚实，实证不妨稍用通利之法，虚证只可调和。
第四种称为“痧后咳”。痧疹之后气喘急促，连续咳嗽不止，甚至咳血或呛咳饮食，这是毒邪归于肺脏的表现，名叫顿咳（百日咳），治疗应以清肺除热为主。如果出现胸部高耸、肩膀耸动、手部摆动、头部摇晃、口鼻出血、面色青赤，或者枯白、晦暗等症状，都是不可治愈的征象。至于那些肺气极度虚弱，毒邪遏制导致喘息，但不至于呛食咳血的患者，不能单纯归咎于肺热，应当在解毒的同时，兼补肺气。这四种情况都是痧后的重症，关系到生死，切忌胡乱治疗。
在这四种证候之外，还有发热不退的，属于血虚血热，只需滋阴补血，热势自然消除。有身热不退、呕吐且心烦的，是毒邪尚未清除，留恋在肺胃之间；有大便秘结的，是余火在内结聚；有泄泻的，是积热转移到大肠，时间久了必然损伤脾脏；有痧疹退去、热势消除但不能进食的，是胃气虚弱；有耳内肿痛、溃破流脓水的，是余毒进入耳朵；有痧疹透发不彻底，痧后余毒阻塞灵窍（指耳目等感官孔窍），导致舌根僵硬、不能说话，或者耳中轰鸣、不能听见的，都应当根据症状施治，以治疗本症的方法为主，以解除痧后余毒为辅。
又有痧疹消退后三四天又再次发出，甚至到五六次、八九次不止的，这是由于发热时风寒侵袭，邪气郁结在肌肉间，之前虽然借助药物发出，终究属于勉强透发，所以余毒滞留不散而屡次发作，应当照前法治疗痧疹。最后总的原则是以清理肺胃为主，这就是痧后证治的一个概貌。
附方
（一）痧后清理方（自制） 治疗痧疹余毒未清，服用此方可避免滋生其他隐患。
桔梗、连翘、淡黄芩、茯苓、金银花、栀子、知母。
口干者加天花粉；咳嗽剧烈者加贝母、枇杷叶；湿热重者加川黄连、薏苡仁、大腹皮；寒湿重者去掉知母，加厚朴、姜半夏，或者桂枝、茵陈；久咳不止者加旋覆花、沙参；咽痛者加牛蒡子、山豆根；大便干燥结实者加大黄或川黄连；血热者加鲜生地、牡丹皮；痰热者加天竺黄、杏仁，或者瓜蒌皮、贝母、竹茹；夹带食积者加神曲、麦芽；阴虚火旺者加玄参、地骨皮；胃中虚热，舌干无苔，加石斛、地骨皮；肝热目赤者加龙胆草、甘菊花；小便短赤者加川楝子、车前子；恶寒者加桂枝或紫苏；脾弱泄泻者加白术、鸡肫皮；失血者去掉桔梗，加鲜生地、白茅根；肺虚或元气弱者加人参、黄芪之类。
（二）金花丸 治疗痧后邪毒仍郁结在肌肉间，发热且大便困难。
黄连、黄柏、黄芩、大黄。
（三）清火消毒汤 治疗痧后昼夜发热，逐渐发展到头发焦枯、皮肤干瘪、身体消瘦。
黄芩、黄连、山栀、郁金、龙胆草、雄黄、地骨皮、灯芯草。
当归、连翘、川芎、芦荟、使君子，可根据情况加入。
（四）胃苓汤 治疗痧后胃气虚弱，身体消瘦发热。
茯苓、猪苓、白术、泽泻、苍术、陈皮、甘草、厚朴。
或者加入少许肉桂。
（五）当归养荣汤 治疗痧后遍身高热、抽搐烦躁，由于阴亏血耗引起的。
当归、山栀、川芎、生地、麦冬、甘草、竹叶、灯芯草。
大便干结加大黄。
（六）黄连安神汤 治疗痧后全身高热、抽搐。
黄连、当归、龙胆草、全蝎（去毒）、石菖蒲、茯神。
（八）清胃汤 治疗痧后疳病导致的牙根腐烂出血、面颊肿胀、口周青黑。
升麻、生地、黄连、当归、丹皮。
（九）文蛤散 外用。治疗痧后疳病，用米泔水洗疮后敷药。
雄黄、枯矾、蚕蜕、纸灰。
加倍使用文蛤研为细末。
（十）痧后痢疾方（自制） 治疗痧后痢疾，腹部微痛，里急后重。
当归炭、淡黄芩炭、金银花、白芍、鸦胆子。
湿气重酌情加厚朴或川黄连，滞下（痢疾）酌情用槟榔、大黄。
（十一）三黄汤 治疗痧后下赤白痢，滞下兼实证者。
炒川黄连、炒黄芩、蒸大黄。
（十二）香连丸 治疗痧后下赤白痢，作为调和之剂。
黄连一两，用吴茱萸五钱同炒，去掉吴茱萸，取木香三钱制成丸剂。
（十三）痧后顿咳方（自制） 治疗痧后忽然一阵咳嗽，连声不止，甚至呛出饮食，日久不愈者。
旋覆花（包煎）、炙橘红、炙款冬花、北沙参、莱菔子、淡黄芩。
蜜炙桑白皮、人参、麦冬、贝母、枇杷叶之类的药物，可根据证候加入。
（十四）痧后耳痛方（自制） 治疗痧后耳痛，脓水内溃。
柴胡、生地、赤芍、牛蒡子、当归、连翘、栀子、花粉、防风、川芎、甘草、青皮。
清水煎服。外用胭脂、枯矾、冰片、儿茶研为细末，吹入耳中，用棉签拭净脓水。
（十五）宁肺汤 治疗痧后咳嗽，清肺除热。
黄芩、桑叶、贝母、知母、杏仁、花粉、天冬、沙参、枇杷叶。
（十六）麦冬清肺汤 治疗痧后肺虚顿咳。
麦冬、人参、甘草、赤芍、桔梗、陈皮、槟榔、赤茯苓。
按语：方中赤芍可改为白芍；桔梗若咳嗽剧烈者可不用，应换成旋覆花；发热微渴者加连翘。
（十七）四物汤 治疗痧后血虚血热，方剂见第三章第五节。
口渴加麦冬、犀角，咳嗽加瓜蒌霜，痰多加贝母、陈皮。忌用人参、白术、半夏。
（十八）四苓散 治疗热邪移入大肠，新发的热泻。
茯苓、猪苓、泽泻、苍术、炙甘草。
一方中有陈皮而无苍术、甘草，若是久泻伤脾，酌情加木香、砂仁、诃子、肉豆蔻。
（十九）痧后灵窍阻塞方（自制） 治疗痧后灵窍阻滞，或舌謇，或耳聋等证。
干石菖蒲、蝉衣、连翘心、桑枝、白僵蚕、竹叶心。
其他如全蝎、穿山甲、胆南星、礞石、龙胆草、麝香、龙脑、朱砂之类的药物，可酌情加入。
Shazhen (Scarlet-like rash) is a condition where, if the eruption can be thoroughly resolved and toxins completely expelled, and if dietary and lifestyle taboos are strictly observed during the course of the disease, there would essentially be no residual ailments. However, human negligence occurs in seven or eight out of ten cases; furthermore, individuals with weak constitutions who cannot withstand the disease are also common. Therefore, residual conditions following Shazhen arising from prior causes are not few in number. Among them, four major syndromes cause severe harm:
The first is called "Shazhen La" (Post-rash consumption). After the rash subsides, pathogenic toxins remain stagnant between the muscles, causing fever day and night. This gradually progresses to scorched hair, shriveled skin, and emaciation resembling firewood. This occurs because acrid-warm herbs were mistakenly taken during the rash period, preventing toxin clearance; or due to original constitutional weakness leaving residual toxins; or from excessive use of cold-cooling herbs, preventing complete toxin expulsion. All these situations are suitable for treatment using methods that clear fire and detoxify, along with formulas that support stomach qi and strengthen the spleen. If treatment is delayed, symptoms such as cold breath from mouth and nose, eyes half-open during sleep (loujing), cold extremities, and convulsions will appear, inevitably leading to death. Even in cases where the patient was originally emaciated but presents with high fever all over the body, convulsions, and irritability, this is actually due to yin deficiency and blood depletion, with residual toxins entering the Liver and transmitting to the Heart. Treatment should employ formulas that nourish and invigorate blood.
The second is called "Shazhen Gan" (Post-rash malnutrition/gan syndrome). This disease arises from unresolved residual toxins sinking into the Stomach, or from overconsumption of roasted foods, where toxins capitalize on internal heat to suddenly trigger Zouma Gan (a rapidly spreading necrotic oral disease). Symptoms include foul-smelling rotting gums, bleeding, swollen cheeks, and cyanotic-black discoloration around the mouth. In time, this leads to perforated cheeks, lost teeth, missing lips, and destroyed noses. Urgent treatment is required without delay. Internal treatment focuses on rapidly clearing Stomach fire, while external treatment focuses on dissipating toxins and removing necrotic tissue. If the sores are white or black, they are considered incurable.
The third is called "Shazhen Li" (Post-rash dysentery). This disease occurs because diarrhea or dysentery existed before the rash, and regulation was incomplete. By this stage, it transforms into Xiuxi Li (chronic/recurrent dysentery), occurring day and night without limit, with tenesmus. This is caused by residual toxins flowing into the Large Intestine. Regardless of whether stools contain blood or pus, the general principle is to nourish blood and move qi. When blood harmonizes, dysentery stops naturally; when qi moves, tenesmus is eliminated. However, one must distinguish between excess and deficiency patterns. Excess patterns may tolerate mild purgation, while deficiency patterns require only harmonization.
The fourth is called "Shazhen Ke" (Post-rash cough). After the rash, breathing becomes rapid and shallow, with continuous coughing, even to the point of hemoptysis or choking on food and drink. This indicates toxins have returned to the Lungs, named Dunke (Pertussis/Whooping cough). Treatment should primarily focus on clearing Lung heat. If symptoms include a protruding chest, shrugging shoulders, swinging hands, shaking head, bleeding from mouth/nose, and complexions that are cyanotic-red, withered-white, or dull-dark, these are signs of incurability. For those with extreme Lung qi deficiency where toxins obstruct leading to wheezing, but without choking or hemoptysis, one must not solely blame Lung heat. Besides detoxification, Lung qi must be supplemented. These four conditions are all severe post-rash syndromes involving life and death; reckless treatment must be avoided.
Beyond these four syndromes, there are other presentations: Fever persisting without abatement indicates Blood deficiency and Blood heat; simply nourishing yin and tonifying blood will resolve the heat. Persistent fever with vomiting and irritability indicates toxins are not yet cleared and lingering between the Lungs and Stomach. Constipation indicates residual fire knotting internally. Diarrhea indicates accumulated heat shifting to the Large Intestine, which will eventually injure the Spleen if prolonged. Inability to eat after rash resolution and heat clearance indicates weak Stomach qi. Swelling, pain, and suppurative discharge in the ears indicate residual toxins entering the ears. Incomplete rash eruption with residual toxins blocking the "Ling Qiao" (spiritual orifices/senses), resulting in stiff tongue and inability to speak, or ear roaring and deafness, all require symptom-based treatment. The primary method should treat the specific syndrome, assisted by methods to resolve post-rash residual toxins.
Furthermore, if the rash reappears three or four days after subsiding, recurring five, six, or even nine times, it is due to wind-cold invasion during the febrile stage, with pathogens stagnating in the muscles. Although previous medication forced an eruption, it was forced rather than natural, causing residual toxins to linger and recur repeatedly. Treat according to the standard methods for Shazhen. Ultimately, the general principle is to clear and regulate the Lungs and Stomach. This is a brief overview of post-rash syndrome differentiation and treatment.
Attached Formulas
(1) Post-Shazhen Clearing Formula (Self-made): Treats unresolved residual toxins after Shazhen to prevent further complications.
Jiegeng (Platycodon Root), Lianqiao (Forsythia Fruit), Dan Qin (Light Scutellaria Root), Fuling (Poria), Yinhua (Honeysuckle Flower), Zhizi (Gardenia Fruit), Zhimu (Anemarrhena Rhizome).
Add Tianhuafen (Trichosanthes Root) for dry mouth; add Beimu (Fritillaria Bulb) and Pipaye (Loquat Leaf) for severe cough; add Chuanlian (Coptis Rhizome), Yimi (Coix Seed), and Dafupi (Areca Peel) for heavy damp-heat; remove Zhimu and add Chunpo (Magnolia Bark), Jiang Banxia (Prepared Pinellia), or Guizhi (Cinnamon Twig), Yinchen (Artemisia Capillaris) for heavy cold-damp; add Xuanfuhua (Inula Flower), Shashen (Glehnia Root) for chronic cough; add Niubangzi (Arctium Seed) and Shandougen (Sophora Tonkinensis Root) for sore throat; add Dahuang (Rhubarb Root) or Chuanlian for solid stool; add Xianshengdi (Fresh Rehmannia Root) and Danpi (Moutan Bark) for blood heat; add Tianzhuhuang (Calamus Tuber), Xingren (Apricot Seed), or Gualoupi (Trichosanthes Peel), Beimu, Zhuru (Bamboo Shavings) for phlegm-heat; add Shenqu (Medicated Leaven), Maiya (Barley Sprout) for food stagnation; add Xuanshen (Scrophularia Root) and Digupi (Groundcherry Bark) for yin deficiency with hyperactive fire; add Shihu (Dendrobium Stem) and Digupi for empty heat in Stomach with dry tongue and no coating; add Longdancao (Gentiana Root) and Ganju (Chrysanthemum Flower) for Liver heat with red eyes; add Chuanlianzi (Evodia Fruit) and Cheqianzi (Plantago Seed) for scanty dark urine; add Guizhi or Zisu (Perilla Leaf) for aversion to cold; add Baizhu (Atractylodes Rhizome) and Jizhoupi (Chicken Gizzard Membrane) for weak Spleen with diarrhea; remove Jiegeng and add Xianshengdi and Maogen (Imperata Rhizome) for hemorrhage; add Renshen (Ginseng Root) and Huangqi (Astragalus Root) for Lung deficiency or Yuanqi (Original Qi) weakness.
(2) Jinhua Wan (Golden Flower Pill): Treats residual pathogens still stagnant in muscles after Shazhen, with fever and difficult defecation.
Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root).
(3) Qinghuo Xiaodu Tang (Fire-Clearing Detoxifying Decoction): Treats post-Shazhen day-and-night fever progressing to scorched hair, shriveled skin, and emaciation.
Huangqin, Huanglian, Shanzhi (Gardenia Fruit), Yujin (Turmeric Tuber), Longdancao, Xionghuang (Realgar), Digupi, Dengxincao (Juncus Medulla).
Danggui (Angelica Sinensis), Lianqiao, Chuanxiong (Sichuan Lovage Rhizome), Lushui (Aloe), Shijunzi (Quisqualis Fruit) may be added as needed.
(4) Weiling Tang (Stomach-Ling Decoction): Treats post-Shazhen weak Stomach, emaciation, and fever.
Fuling, Zhuling (Polyporus), Baizhu, Zexie (Alisma Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Chenpi (Tangerine Peel), Gancao (Licorice Root), Chunpo.
Or add a small amount of Rougui (Cinnamon Bark).
(5) Danggui Yangrong Tang (Angelica Nourishing Glory Decoction): Treats post-Shazhen high fever all over the body, convulsions, and irritability due to yin deficiency and blood depletion.
Danggui, Shanzhi, Chuanxiong, Shengdi (Rehmannia Root), Maidong (Ophiopogon Tuber), Gancao, Zhuye (Bamboo Leaf), Dengxincao.
Add Dahuang for constipation.
(6) Huanglian Anshen Tang (Coptis Calming Spirit Decoction): Treats post-Shazhen whole-body high fever and convulsions.
Huanglian, Danggui, Longdancao, Quanxie (Scorpion, de-toxicated), Changpu (Acorus Rhizome), Fushen (Poria with Hostwood).
(7) Maru Yin (White Horse Milk Drink): Treats Zouma Gangrene (Zouma Ya Gan).
Use milk squeezed from a white horse to drink.
(8) Qingwei Tang (Clear Stomach Decoction): Treats post-Shazhen Gan syndrome with foul-smelling rotting gums, bleeding, swollen cheeks, and cyanotic-black discoloration around the mouth.
Shengma (Cimicifuga Rhizome), Shengdi, Huanglian, Danggui, Danpi.
(9) Wen Ge San (Clam Powder): External use. Treats post-Shazhen Gan syndrome; wash sores with rice water before application.
Xionghuang, Kufan (Alum), Cantui (Silkworm Molt), Zhihui (Paper Ash).
Use double the amount of Wenge (Clam Shell), ground into fine powder.
(10) Post-Shazhen Dysentery Formula (Self-made): Treats post-Shazhen dysentery with slight abdominal pain and tenesmus.
Danggui Tan (Charred Angelica Root), Dan Qin Tan (Charred Light Scutellaria Root), Jinyinhua (Honeysuckle Flower), Baishao (White Peony Root), Yadanzi (Brucea Fruit).
Add Chunpo or Chuanlian酌情ly for heavy dampness; add Binglang (Betel Nut) or Dahuang酌情ly for tenesmus.
(11) Sanhuang Tang (Three Yellows Decoction): Treats post-Shazhen bloody and purulent dysentery with excess patterns.
Chao Chuanlian (Stir-fried Coptis), Chao Huangqin (Stir-fried Scutellaria), Zheng Dahuang (Steamed Rhubarb).
(12) Xianglian Wan (Costus and Coptis Pill): Treats post-Shazhen bloody and purulent dysentery, serving as a harmonizing agent.
One liang of Huanglian, stir-fried with five qian of Wuyu (Evodia Fruit), remove Wuyu, take three qian of Muxiang (Aucklandia Root), and form pills.
(13) Post-Shazhen Dunke Formula (Self-made): Treats sudden paroxysmal coughing after Shazhen, continuous until choking on food/drink, lasting long without cure.
Xuanfuhua (wrapped), Zhi Juhong (Roasted Tangerine Red Peel), Zhi Kuandong (Roasted Coltsfoot Flower), Beishashen (Northern Glehnia Root), Laifuzi (Radish Seed), Dan Qin.
Honey-processed Sangpiao (Mulberry Bark), Renshen, Maidong, Beimu, Pipaye, etc., may be added according to syndrome.
(14) Post-Shazhen Ear Pain Formula (Self-made): Treats post-Shazhen ear pain with internal suppuration.
Chaihu (Bupleurum Root), Shengdi, Chishao (Red Peony Root), Niubangzi, Danggui, Lianqiao, Zhizi, Huafen (Trichosanthes Root), Fangfeng (Saposhnikovia Root), Chuanxiong, Gancao, Qingpi (Green Tangerine Peel).
Decoct in clear water and drink. Externally, grind Yanzhi (Vermilion), Kufan, Bingpian (Borneol), Ercha (Catechu) into powder, insufflate into the ear, and wipe clean pus with a cotton swab.
(15) Ningfei Tang (Lung-Calming Decoction): Treats post-Shazhen cough, clearing Lung heat.
Huangqin, Sangye (Mulberry Leaf), Beimu, Zhimu, Xingren, Huafen, Tiandong (Asparagus Tuber), Shashen, Pipaye.
(16) Maidong Qingfei Tang (Ophiopogon Clearing Lung Decoction): Treats post-Shazhen Lung deficiency Dunke.
Maidong, Renshen, Gancao, Chishao, Jiegeng, Chenpi, Binglang, Chiling (Red Poria).
Note: Chishao in the formula can be changed to Baishao; if cough is severe, Jiegeng may be omitted and replaced with Xuanfuhua; add Lianqiao for slight fever and thirst.
(17) Siwu Tang (Four Substance Decoction): Treats post-Shazhen blood deficiency and blood heat. See Chapter 3, Section 5 for the formula.
Add Maidong and Xijiao (Rhinoceros Horn - *note: substitute with Buffalo Horn in modern practice*) for thirst; add Gualou Shuang (Trichosanthes Frost) for cough; add Beimu and Chenpi for phlegm. Avoid Renshen, Baizhu, and Banxia.
(18) Siling San (Four Porias Powder): Treats heat shifting to Large Intestine, causing new-onset hot diarrhea.
Fuling, Zhuling, Zexie, Cangzhu, Zhi Gancao (Honey-fried Licorice).
Another version contains Chenpi instead of Cangzhu and Gancao. For chronic diarrhea injuring the Spleen, add Muxiang, Sharen (Amomum Fruit), Hezi (Chebulic Myrobalan), and Roudoukou (Nutmeg).
(19) Post-Shazhen Ling Qiao Obstruction Formula (Self-made): Treats post-Shazhen obstruction of spiritual orifices, stiff tongue, or deafness.
Gan Changpu (Dried Acorus Rhizome), Chan Yi (Cicada Slough), Lianqiao Xin (Gardenia Stamen), Sangzhi (Mulberry Twig), Bai Jiangcan (White Silkworm), Zhuye Xin (Bamboo Leaf Heart).
Other herbs such as Quanxie, Chuanshanjia (Pangolin Scales), Dansheng (Arisaema with Bile), Mengshi (Fluorite), Longdancao, Shexiang (Musk), Longnao (Camphor), Zhusha (Cinnabar) may be added discretionarily.