32.汗下已通仍不解, 皆因不彻已传经, 内热烦渴甘露饮, 甚用白虎
解毒清, 有表热烦柴葛解, 表实大热三黄宁, 里热尿赤凉天水, 胃实
不便大柴承.
【注】服双解散, 汗下已通而仍不解者, 皆因汗之不彻, 或已传经治
之不及也. 若表已解而里有微热烦渴者, 用桂苓甘露饮, 以和太阳之
里.若内热太甚, 大热, 大烦, 大渴者, 用白虎汤和黄连解毒汤, 以
清阳明之里. 若表未解又传阳明, 身热而烦, 用柴葛解肌汤, 以解两
阳之邪. 若表实无汗, 大热而烦, 用三黄石膏汤以清表里之热. 若里
有热, 尿赤而涩者, 用凉膈散合天水散以清利之. 若胃实潮热不大便
有微表者, 用大柴胡汤下之, 无表者三承气汤下之. 桂苓甘露饮, 白
虎汤, 大柴胡汤, 三承气汤, 已详伤寒要诀. 六一散, 凉膈散, 详在
『杂病要诀』.
防风通圣散
33.防风通圣治风热, 郁在三焦表里中, 气血不宣经络壅, 栀翘芩薄
草归芎, 硝黄芍术膏滑石麻黄桔梗共防荆, 痢减硝黄呕姜半, 自汗麻
去桂枝增.
【注】此方治一切风火之邪, 郁于三焦表里经络, 气血不得宣通. 初
感发热头痛, 肤疹传经, 斑黄抽搐, 烦渴不眠, 便秘尿涩, 皆可服之
,功效甚奇, 用之自知其妙也.
柴葛解肌汤
34.四时合病在三阳, 柴葛解肌柴葛羌, 白芷桔芩膏芍草, 痢减石膏
呕半姜.
【注】此方陶华所制, 以代葛根汤. 凡四时太阳, 阳明, 少阳合病轻
证,均宜以此汤增减治之. 增减者, 谓如无太阳证者, 减羌活, 无少
阳证者, 减柴胡也. 即柴胡, 葛根, 羌活, 白芷, 桔梗, 赤芍, 石膏
,黄芩, 甘草也. 下痢减石膏, 以避里虚也. 呕加半夏, 生姜, 以降
里逆也.
黄连解毒汤 栀子金花汤 三黄石膏汤
35.阳毒热极疹斑呕, 烦渴呻吟谵语狂, 下后便软热不已, 连芩栀柏
解毒汤, 里实便硬当攻下, 栀子金花加大黄, 表实膏麻葱豆豉, 下痢
除膏入葛良.
【注】阳毒热极等证, 或下后便软, 壮热不已, 宜黄连解毒汤, 即黄
连,黄芩, 黄柏, 栀子也. 若里实便硬当攻下者, 宜加大黄, 名栀子
金花汤. 若表实无汗, 当发汗者, 宜加石膏, 麻黄, 淡豆豉, 葱白,
名三黄石膏汤. 下痢者, 减石膏加葛根, 避里不实也.
消毒犀角饮
36.消毒犀角表疹斑, 毒壅咽喉肿痛难, 犀角牛蒡荆防草, 热盛加薄
翘芩连.
【注】消毒犀角饮, 即消毒饮之防风, 荆芥, 牛蒡子, 甘草, 加犀角
也.热盛加连翘, 薄荷, 黄芩, 黄连也.
消斑青黛饮
37.消斑青黛消斑毒, 参虎柴犀栀地元, 黄连热实减参去, 苦酒加入
大黄煎.
【注】消斑青黛饮, 即青黛. 参虎, 谓人参白虎汤, 即人参, 石膏,
知母, 甘草, 柴胡, 犀角, 山栀, 生地, 元参, 黄连, 用苦酒与水煎
也.热甚便实者, 减去人参加大黄可也.
普济消毒饮
38.普齐大头天行病, 无里邪热客高巅, 芩连薄翘柴升桔, 蚕草陈勃
蒡蓝元.
【注】普济消毒饮, 治天行传染, 大头瘟疫, 无里可下者, 是其邪热
客于高巅. 即黄芩, 黄连, 薄荷, 连翘, 柴胡, 升麻, 桔梗, 僵蚕,
甘草, 陈皮, 马勃, 牛蒡子, 板蓝根, 元参也.
连翘败毒散
39.连翘败毒散发颐, 高肿焮红痛可除, 花粉连翘柴胡蒡, 荆防升草
桔羌独, 红花苏木芎归尾, 肿面还加芷漏芦, 肿坚皂刺穿山甲, 便燥
应添大黄疏.
【注】连翘败毒散, 治时毒发颐, 高肿焮红疼痛之阳证也. 即连翘,
天花粉, 柴胡, 牛蒡子, 荆芥, 防风, 升麻, 甘草, 桔梗, 羌活, 独
活,红花, 苏木, 川芎, 归尾. 两颐连面皆肿, 加白芷漏芦. 肿坚不
消,加皂刺, 穿山甲. 大便燥结, 加酒炒大黄.
都气汤 橘皮竹茹汤
40.呃逆肾虚都气汤, 六味肉桂五味方, 橘皮竹茹虚热主, 橘竹参草
枣生姜.
【注】都气汤, 即六味地黄汤加肉桂、五味子也. 橘皮竹茹汤, 即橘
红,竹茹, 人参, 甘草, 大枣, 生姜也.
葳蕤汤
41.风温浮盛葳蕤汤, 羌麻葛芷青木香, 芎草石膏葳蕤杏, 里实热甚
入硝黄.
【注】风温初起, 六脉浮盛, 表实壮热汗少者, 宜葳蕤汤, 以发表风
邪也. 即羌活, 麻黄, 葛根, 白芷, 青木香, 川芎, 甘草, 石膏, 葳
蕤,杏仁也. 里实热甚多汗者, 加芒硝, 大黄, 以攻里热也.
桂枝白虎汤
42.风温虚热汗出多, 难任葳蕤可奈何, 须是鼾睡而燥渴, 方宜桂枝
虎参合.
【注】风温初起脉浮有力, 汗少壮热, 宜与葳蕤汤. 若脉虚身热汗多
,难用葳蕤汤者, 合与桂枝白虎加人参汤. 如不鼾睡, 口中和而不燥
不渴, 身热汗多脉浮盛者, 乃亡阳之证, 非风温也, 即桂枝白虎加人
参汤亦不可用也.
泻心导赤各半汤
43.越经无证如醉热, 脉和导赤各半汤, 芩连栀子神参麦, 知滑犀草
枣灯姜.
【注】越经, 病名也. 无证, 谓无表里证也. 无表里证, 脉和而身热
不解, 形如醉人者, 是越经证也. 宜泻心导赤各半汤治之, 即黄连,
黄芩, 栀子, 茯神, 人参, 麦冬, 知母, 滑石, 犀角, 甘草, 灯心,
生姜, 大枣也.
大羌活汤
44.两感伤寒病二经, 大羌活汤草川芎, 二防二术二活细, 生地芩连
知母同.
【注】两感, 伤寒病名也. 二经, 谓一日太阳少阴, 二日阳明太阴,
三日少阳厥阴同病也. 张洁古制大羌活汤治之, 即甘草, 川芎, 防风
,防己, 苍术, 白术, 羌活, 独活, 细辛, 生地, 黄芩, 黄连, 知母
也. 详在『伤寒要诀』.
还阳散 退阴散 黑奴丸
45.阴毒还阳硫黄末, 退阴炮乌干姜均. 阳毒黑奴小麦疸, 芩麻硝黄
釜灶尘.
【注】还阳散, 即石硫黄末, 每服二钱, 新汲水调下. 良久寒热汗不
出,再服之, 汗出愈. 退阴散, 即炮变色川乌, 微炒干姜, 等分为末
,每服一钱, 盐汤滚数沸服, 四肢不温, 连服三次即温. 热服若吐,
冷服亦可. 黑奴丸, 即小麦成黑疸者, 名曰小麦奴, 黄芩, 麻黄, 芒
硝,大黄, 釜底煤灶突烟梁上尘也. 为末, 蜜丸, 重四钱, 新汲水下
.服后若渴欲饮冷水者, 令恣意饮之, 须臾自当寒振汗出, 腹响微痢
而解也. 若不渴者, 恐是阴极似阳, 服之反为害耳.
九味羌活汤
46.九味羌活即冲和, 四时不正气为□. 洁古制此代麻桂, 羌防苍细
芷芎合, 生地早芩喘加杏, 无汗加麻有桂多, 胸满去地加枳桔, 烦渴
知膏热自瘥.
【注】此汤即冲和汤. 张洁古制此以代麻黄, 桂枝二汤. 即羌活, 防
风,苍术, 细辛, 白芷, 川芎, 生地, 甘草, 黄芩也. 喘加杏仁. 无
汗加麻黄. 有汗加桂枝. 胸膈满闷, 去生地加枳壳, 桔梗, 快膈气也
.烦渴引饮加知母, 石膏, 热自瘥也.
十神汤
47十神外感寒气病, 功在温经利气殊, 升葛芎麻甘草芍, 姜葱香附
芷陈苏.
【注】此汤即升麻, 葛根, 川芎, 麻黄, 甘草, 芍药, 香附, 白芷,
陈皮, 苏叶, 生姜, 葱白也, 能外发寒邪, 内舒郁气, 故曰寒气病.
较之他剂, 有温经利气之功殊也.
人参败毒散 荆防败毒散 仓廪散
48.人参败毒虚感冒, 发散时毒疹痢良, 参苓枳桔芎草共, 柴前薄荷
与独羌, 时毒减参加翘蒡, 血风时疹入荆防, 表热噤痢加仓米, 温热
芩连实硝黄.
【注】人参败毒散, 治气虚感冒时气之病. 即枳壳, 桔梗, 川芎, 茯
苓,人参, 甘草, 柴胡, 前胡, 薄荷, 独活, 羌活也. 时毒, 谓受四
时不正之气, 或肿两腮两颐, 或咽喉肿痛, 根据本方减人参加牛蒡, 连
翘治之. 时疹, 谓初病即有之疹. 血风, 谓遍身骚痒之疹. 俱根据本方
减人参, 加荆芥, 防风治之, 名荆防败毒散. 表热无汗, 噤口痢疾,
根据本方加仓米治之, 名仓廪散. 温病, 热病热甚, 俱加黄连, 黄芩.
胃实便硬, 俱加芒硝, 大黄也.
五积散
49.内伤生冷外感寒, 五积平胃半苓攒, 麻桂枳桔归芎芍, 姜芷加附
逐阴寒, 腹痛呕逆吴萸入, 有汗除麻桂枝添, 虚加参术除枳桔, 妇人
经痛艾醋煎.
【注】五积散, 即苍术, 陈皮, 厚朴, 甘草, 半夏, 茯苓, 麻黄, 官
桂,枳壳, 桔梗, 当归, 川芎, 白芍, 干姜, 白芷也. 表重用桂枝.
里重用官桂. 阴寒肢冷加附子. 腹痛呕逆加吴茱萸. 有汗除去麻黄加
桂枝. 气虚加人参, 白术, 除去枳桔. 妇人经痛加艾叶, 醋煎服之.
升麻葛根汤
50.升葛芍草表阳明, 下痢斑疹两收功, 麻黄太阳无汗入, 柴芩同病
少阳经.
【注】升麻, 葛根, 白芍, 甘草, 即升麻葛根汤也. 阳明表邪不解,
或数下痢, 及斑疹不透者, 均宜主之. 若兼太阳无汗之表证, 入麻黄
.若兼少阳口苦耳聋, 寒热往来, 半表里之证, 加柴胡, 黄芩也.
二圣救苦丹
51.初起时疫温热病, 救苦汗吐下俱全, 热实百发而百中, 大黄皂角
水为丸.
【注】此丹即大黄四两, 皂角二两为末, 水为丸也. 每服三钱, 无根
水下. 弱者, 老者, 幼者, 量减服之. 此药施治于初起时疫, 传染伤
寒,温病热病, 热盛形气俱实者, 百发百中. 服后或汗, 或吐, 或下
,三法俱全, 其病立解.
温胆汤
52.伤寒病后液津干, 虚烦呕渴不成眠, 乃是竹叶石膏证, 胆经饮热
此方先, 口苦呕涎烦惊悸, 半苓橘草枳竹煎, 气虚加参渴去半, 再加
麦粉热芩连.
【注】伤寒病后燥渴虚烦, 乃竹叶石膏汤证, 非温胆汤证, 详在伤寒
要诀. 若少阳胆经饮热, 则口苦、呕烦、惊悸, 是温胆汤证也, 即半
夏,茯苓, 橘皮, 甘草, 枳实, 竹茹也. 形气俱虚, 或因汗, 吐, 下
后及气虚者, 均加人参. 渴去半夏加麦冬, 花粉, 以生津也. 有热加
黄芩, 黄连, 以清热也.
医宗金鉴 三十九卷《杂病心法要诀》
32. 发汗和攻下之后，病邪仍未解除，都是因为汗法不彻底或病情已经传入他经。若内热烦躁口渴，可用桂苓甘露饮；若症状严重，大热、大烦、大渴，则用白虎汤合黄连解毒汤清热解毒。若有表证且发热烦躁，用柴葛解肌汤解表清里；若表实无汗、大热烦躁，用三黄石膏汤清热宁神；若里有热、小便赤涩，用凉膈散合天水散清热利湿；若胃家实、大便不通且有潮热，有轻微表证的用大柴胡汤攻下，无表证的用三承气汤攻下。桂苓甘露饮、白虎汤、大柴胡汤、三承气汤已在《伤寒要诀》中详细说明。六一散、凉膈散详见于《杂病要诀》。
防风通圣散
33. 防风通圣散治疗风热之邪，郁结在三焦表里之间，导致气血不畅、经络壅滞。方由栀子、连翘、黄芩、薄荷、甘草、当归、川芎组成，加上芒硝、大黄、芍药、白术、石膏、滑石、麻黄、桔梗、防风、荆芥。若患痢疾则减去芒硝和大黄，呕吐者加生姜、半夏；自汗者去掉麻黄，增加桂枝。
【注】此方治疗一切风火之邪，郁结于三焦表里经络，致使气血不能宣通。初感风寒出现发热头痛，或皮疹传经，斑黄抽搐，烦躁口渴失眠，便秘尿涩，皆可服用，功效神奇，使用自知其妙。
柴葛解肌汤
34. 四时合病涉及太阳、阳明、少阳三经，用柴葛解肌汤，药物包括柴胡、葛根、羌活、白芷、桔梗、黄芩、石膏、芍药、甘草。若患痢疾则减去石膏，呕吐者加半夏、生姜。
【注】此方由陶华制定，用以替代葛根汤。凡是四时太阳、阳明、少阳合病的轻证，都适宜以此汤加减治疗。所谓增减，是指如果没有太阳证，就减去羌活；没有少阳证，就减去柴胡。即柴胡、葛根、羌活、白芷、桔梗、赤芍、石膏、黄芩、甘草。下痢者减石膏，以避免损伤里虚；呕吐者加半夏、生姜，以降逆止呕。
黄连解毒汤、栀子金花汤、三黄石膏汤
35. 阳毒热极导致疹斑呕吐，烦躁口渴、呻吟谵语狂乱，攻下后大便虽软但热势不退，用黄连解毒汤（黄连、黄芩、栀子、黄柏）。若里实大便硬结应当攻下，则在黄连解毒汤基础上加大黄，名为栀子金花汤。若表实无汗应当发汗，则加石膏、麻黄、淡豆豉、葱白，名为三黄石膏汤。若患痢疾，则减去石膏加入葛根，以避免损伤里气。
【注】阳毒热极等证候，或者攻下后大便变软而壮热不退，适宜用黄连解毒汤，即黄连、黄芩、黄柏、栀子。若里实大便硬结应当攻下的，适宜加大黄，名为栀子金花汤。若表实无汗，应当发汗的，适宜加石膏、麻黄、淡豆豉、葱白，名为三黄石膏汤。患痢疾的，减去石膏加入葛根，以避免里气不实。
消毒犀角饮
36. 消毒犀角饮治疗表证疹斑，毒邪壅盛导致咽喉肿痛难忍。方由犀角、牛蒡子、荆芥、防风、甘草组成。若热盛，加薄荷、连翘、黄芩、黄连。
【注】消毒犀角饮，即在消毒饮（防风、荆芥、牛蒡子、甘草）的基础上加入犀角。若热盛，再加连翘、薄荷、黄芩、黄连。
消斑青黛饮
37. 消斑青黛饮用于消除斑毒。方由人参、白虎汤（石膏、知母、甘草）、柴胡、犀角、山栀、生地、元参、黄连组成。若热甚便实，减去人参，加入苦酒（醋）和大黄煎服。
【注】消斑青黛饮，即青黛、人参、白虎汤（人参、石膏、知母、甘草）、柴胡、犀角、山栀、生地、元参、黄连，用苦酒和水煎煮。若热甚大便干结，可减去人参加入大黄。
普济消毒饮
38. 普济消毒饮治疗大头天行病（大头瘟），无里实邪热客居头部高巅。方由黄芩、黄连、薄荷、连翘、柴胡、升麻、桔梗、僵蚕、甘草、陈皮、马勃、牛蒡子、板蓝根、元参组成。
【注】普济消毒饮，治疗天行传染的大头瘟疫，无里实可下的，是其邪热客居头部高巅。即黄芩、黄连、薄荷、连翘、柴胡、升麻、桔梗、僵蚕、甘草、陈皮、马勃、牛蒡子、板蓝根、元参。
连翘败毒散
39. 连翘败毒散治疗发颐（腮腺炎），高肿焮红疼痛可除。方由天花粉、连翘、柴胡、牛蒡子、荆芥、防风、升麻、甘草、桔梗、羌活、独活、红花、苏木、川芎、归尾组成。若面颊肿胀，加白芷、漏芦；肿块坚硬，加皂刺、穿山甲；大便燥结，应添加大黄以疏通。
【注】连翘败毒散，治疗时毒发颐，高肿焮红疼痛的阳证。即连翘、天花粉、柴胡、牛蒡子、荆芥、防风、升麻、甘草、桔梗、羌活、独活、红花、苏木、川芎、归尾。两腮连面部皆肿，加白芷、漏芦。肿块坚硬不消，加皂刺、穿山甲。大便燥结，加酒炒大黄。
都气汤、橘皮竹茹汤
40. 呃逆因肾虚者用都气汤，由六味地黄丸加肉桂、五味子组成。橘皮竹茹汤主治虚热呃逆，由橘皮、竹茹、人参、甘草、大枣、生姜组成。
【注】都气汤，即六味地黄汤加肉桂、五味子。橘皮竹茹汤，即橘红、竹茹、人参、甘草、大枣、生姜。
葳蕤汤
41. 风温邪气浮盛用葳蕤汤，方由羌活、麻黄、葛根、白芷、青木香、川芎、甘草、石膏、葳蕤、杏仁组成。若里实热甚多汗，加入芒硝、大黄。
【注】风温初起，六脉浮盛，表实壮热汗少者，适宜葳蕤汤，以发表风邪。即羌活、麻黄、葛根、白芷、青木香、川芎、甘草、石膏、葳蕤、杏仁。若里实热甚多汗者，加芒硝、大黄，以攻里热。
桂枝白虎汤
42. 风温虚热汗出多，难以承受葳蕤汤者，须见鼾睡、口燥渴，才适宜桂枝白虎加人参汤。
【注】风温初起脉浮有力，汗少壮热，适宜给予葳蕤汤。若脉虚身热汗多，难以用葳蕤汤者，合用桂枝白虎加人参汤。如不鼾睡，口中平和而不燥不渴，身热汗多脉浮盛者，是亡阳之证，非风温也，即使桂枝白虎加人参汤也不可使用。
泻心导赤各半汤
43. 越经证无表里证，如醉酒状发热，脉象平和，用导赤各半汤。方由黄芩、黄连、栀子、茯神、人参、麦冬、知母、滑石、犀角、甘草、灯心、生姜、大枣组成。
【注】越经，病名也。无证，谓无表里证也。无表里证，脉象平和而身热不解，形如醉人者，是越经证也。适宜泻心导赤各半汤治疗，即黄连、黄芩、栀子、茯神、人参、麦冬、知母、滑石、犀角、甘草、灯心、生姜、大枣。
大羌活汤
44. 两感伤寒病涉及二经，用大羌活汤，方由甘草、川芎、防风、防己、苍术、白术、羌活、独活、细辛、生地、黄芩、黄连、知母组成。
【注】两感，伤寒病名也。二经，谓一日太阳少阴，二日阳明太阴，三日少阳厥阴同病也。张洁古制大羌活汤治之，即甘草、川芎、防风、防己、苍术、白术、羌活、独活、细辛、生地、黄芩、黄连、知母。详见于《伤寒要诀》。
还阳散、退阴散、黑奴丸
45. 阴毒用还阳散，即硫黄末；退阴散用炮附子、干姜均分。阳毒用黑奴丸，由小麦奴、黄芩、麻黄、芒硝、大黄、釜底煤、灶突烟、梁上尘组成。
【注】还阳散，即石硫黄末，每服二钱，新汲水调下。良久寒热汗不出，再服之，汗出愈。退阴散，即炮变色川乌、微炒干姜，等分为末，每服一钱，盐汤滚数沸服，四肢不温，连服三次即温。热服若吐，冷服亦可。黑奴丸，即小麦成黑疸者，名曰小麦奴，黄芩、麻黄、芒硝、大黄、釜底煤、灶突烟、梁上尘。为末，蜜丸，重四钱，新汲水下。服后若渴欲饮冷水者，令恣意饮之，须臾自当寒振汗出，腹响微痢而解也。若不渴者，恐是阴极似阳，服之反为害耳。
九味羌活汤
46. 九味羌活汤即冲和汤，治疗四时不正之气。张洁古制此以代麻黄、桂枝二汤。方由羌活、防风、苍术、细辛、白芷、川芎、生地、甘草、黄芩组成。喘加杏仁，无汗加麻黄，有汗加桂枝，胸满去生地加枳壳、桔梗，烦渴加知母、石膏，热自瘥。
【注】此汤即冲和汤。张洁古制此以代麻黄、桂枝二汤。即羌活、防风、苍术、细辛、白芷、川芎、生地、甘草、黄芩。喘加杏仁。无汗加麻黄。有汗加桂枝。胸膈满闷，去生地加枳壳、桔梗，快膈气也。烦渴引饮加知母、石膏，热自瘥也。
十神汤
47. 十神汤治疗外感寒气病，功在温经利气。方由升麻、葛根、川芎、麻黄、甘草、芍药、香附、白芷、陈皮、苏叶、生姜、葱白组成。
【注】此汤即升麻、葛根、川芎、麻黄、甘草、芍药、香附、白芷、陈皮、苏叶、生姜、葱白，能外发寒邪，内舒郁气，故曰寒气病。较之他剂，有温经利气之功殊也。
人参败毒散、荆防败毒散、仓廪散
48. 人参败毒散治疗气虚感冒，发散时毒疹痢良。方由人参、茯苓、枳壳、桔梗、川芎、甘草、柴胡、前胡、薄荷、独活、羌活组成。时毒减人参加连翘、牛蒡子；血风时疹入荆芥、防风，名荆防败毒散；表热噤口痢加仓米，名仓廪散；温热加黄芩、黄连；胃实便硬加芒硝、大黄。
【注】人参败毒散，治气虚感冒时气之病。即枳壳、桔梗、川芎、茯苓、人参、甘草、柴胡、前胡、薄荷、独活、羌活。时毒，谓受四时不正之气，或肿两腮两颐，或咽喉肿痛，根据本方减人参加牛蒡、连翘治之。时疹，谓初病即有之疹。血风，谓遍身骚痒之疹。俱根据本方减人参，加荆芥、防风治之，名荆防败毒散。表热无汗，噤口痢疾，根据本方加仓米治之，名仓廪散。温病，热病热甚，俱加黄连、黄芩。胃实便硬，俱加芒硝、大黄也。
五积散
49. 内伤生冷外感寒，用五积散平胃散合二陈汤等，方由苍术、陈皮、厚朴、甘草、半夏、茯苓、麻黄、官桂、枳壳、桔梗、当归、川芎、白芍、干姜、白芷组成。腹痛呕逆加吴茱萸，有汗除麻黄加桂枝，虚加人参、白术除枳桔，妇人经痛加艾叶醋煎。
【注】五积散，即苍术、陈皮、厚朴、甘草、半夏、茯苓、麻黄、官桂、枳壳、桔梗、当归、川芎、白芍、干姜、白芷。表重用桂枝。里重用官桂。阴寒肢冷加附子。腹痛呕逆加吴茱萸。有汗除去麻黄加桂枝。气虚加人参、白术，除去枳壳、桔梗。妇人经痛加艾叶，醋煎服之。
升麻葛根汤
50. 升麻葛根汤治疗阳明表证，对下痢、斑疹不透均有疗效。若兼太阳无汗加麻黄，兼少阳半表里证加柴胡、黄芩。
【注】升麻、葛根、白芍、甘草，即升麻葛根汤。阳明表邪不解，或数下痢，及斑疹不透者，均宜主之。若兼太阳无汗之表证，入麻黄。若兼少阳口苦耳聋，寒热往来，半表里之证，加柴胡、黄芩也。
二圣救苦丹
51. 初起时疫温热病，救苦丹汗吐下三法俱全。方由大黄、皂角水泛为丸。
【注】此丹即大黄四两，皂角二两为末，水为丸也。每服三钱，无根水下。弱者、老者、幼者，量减服之。此药施治于初起时疫，传染伤寒、温病热病，热盛形气俱实者，百发百中。服后或汗，或吐，或下，三法俱全，其病立解。
温胆汤
52. 伤寒病后液津干，虚烦呕渴不成眠，乃是竹叶石膏汤证，而非温胆汤证。若少阳胆经饮热，口苦呕涎烦惊悸，用温胆汤。方由半夏、茯苓、橘皮、甘草、枳实、竹茹组成。气虚加人参，渴去半夏加麦冬、花粉，再加麦粉、热甚加黄芩、黄连。
【注】伤寒病后燥渴虚烦，乃竹叶石膏汤证，非温胆汤证，详在伤寒要诀。若少阳胆经饮热，则口苦、呕烦、惊悸，是温胆汤证也，即半夏、茯苓、橘皮、甘草、枳实、竹茹。形气俱虚，或因汗、吐、下后及气虚者，均加人参。渴去半夏加麦冬、花粉，以生津也。有热加黄芩、黄连，以清热也。
32. After sweating and purging therapies, if the pathogenic factor remains unresolved, it is due to incomplete sweating or the disease having transmitted to other meridians. If there is internal heat, irritability, and thirst, Guiling Ganlu Yin (Cassia Seed and Poria Decoction) can be used; if symptoms are severe with high fever, extreme irritability, and intense thirst, Baihu Tang (White Tiger Decoction) combined with Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) should be used to clear heat and resolve toxicity. If there is exterior heat with irritability, Chaige Jieji Tang (Bupleurum and Kudzu Decoction for Relieving Muscles) should be used to release the exterior and clear the interior. If there is exterior excess with no sweat, high fever, and irritability, Sanhuang Shigao Tang (Three Yellows and Gypsum Decoction) should be used to clear heat and calm the spirit. If there is interior heat with red and scanty urine, Liangge San (Cooling the Diaphragm Powder) combined with Tianshui San (Heavenly Water Powder) should be used to clear heat and promote urination. If there is stomach excess with constipation and tidal fever, Da Chaihu Tang (Major Bupleurum Decoction) should be used for purging if there is a slight exterior syndrome, while the Three Chengqi Decoctions (San Chengqi Tangs) should be used if there is no exterior syndrome. Guiling Ganlu Yin, Baihu Tang, Da Chaihu Tang, and the Three Chengqi Decoctions have been detailed in *Shanghan Yaojue* (Essentials of Cold Damage). Liuyi San (Six-to-One Powder) and Liangge San are detailed in *Zabing Yaojue* (Essentials of Miscellaneous Diseases).
Fangfeng Tongsheng San
33. Fangfeng Tongsheng San (Saposhnikovia and Scutellaria Universal Rescue Powder) treats wind-heat pathogens constrained within the San Jiao (Triple Burner), affecting both the interior and exterior, leading to stagnation of Qi and Blood and obstruction of the collaterals. The formula consists of Zhizi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), plus Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Shigao (Gypsi Fibrosus), Huashi (Talcum), Mahuang (Ephedrae Herba), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), and Jingjie (Schizonepetae Spica). For dysentery, reduce Mangxiao and Dahuang; for vomiting, add Shengjiang (Zingiberis Rhizoma Recens) and Banxia (Pinelliae Rhizoma); for spontaneous sweating, remove Mahuang and add Guizhi (Cinnamomi Ramulus).
[Note] This formula treats all wind-fire pathogens constrained in the San Jiao, interior, exterior, and collaterals, preventing the free flow of Qi and Blood. It is suitable for initial colds with fever and headache, rashes transmitting through meridians, yellow spots, convulsions, irritability, thirst, insomnia, constipation, and difficult urination. Its efficacy is remarkable.
Chaige Jieji Tang
34. For simultaneous involvement of the Taiyang, Yangming, and Shaoyang meridians in any season, use Chaige Jieji Tang (Bupleurum and Kudzu Decoction for Relieving Muscles), containing Chaihu (Bupleuri Radix), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix), Shigao (Gypsi Fibrosus), Shaoyao (Paeoniae Radix Alba), and Gancao (Glycyrrhizae Radix et Rhizoma). Reduce Shigao for dysentery; add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens) for vomiting.
[Note] This formula was formulated by Tao Hua to replace Gegen Tang (Kudzu Decoction). It is suitable for mild cases of simultaneous involvement of the Taiyang, Yangming, and Shaoyang meridians in any season. Modifications include removing Qianghuo if there are no Taiyang symptoms, and removing Chaihu if there are no Shaoyang symptoms. The base ingredients are Chaihu, Gegen, Qianghuo, Baizhi, Jiegeng, Chi Shao (Paeoniae Radix Rubra), Shigao, Huangqin, and Gancao. Shigao is reduced for dysentery to avoid damaging interior deficiency. Banxia and Shengjiang are added for vomiting to direct rebellious Qi downward.
Huanglian Jiedu Tang, Zhizi Jinhua Tang, Sanhuang Shigao Tang
35. For extreme Yang toxicity causing rashes, spots, and vomiting, accompanied by irritability, thirst, groaning, delirium, and mania, or persistent high fever after purging despite soft stools, use Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity), consisting of Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), and Huangbai (Phellodendri Cortex). If there is interior excess with hard stools requiring purging, add Dahuang (Rhei Radix et Rhizoma) to create Zhizi Jinhua Tang (Gardenia Golden Flower Decoction). If there is exterior excess with no sweat requiring diaphoresis, add Shigao (Gypsi Fibrosus), Mahuang (Ephedrae Herba), Danshichidou (Sojae Semen Praeparatum), and Congbai (Allii Fistulosi Bulbus) to create Sanhuang Shigao Tang (Three Yellows and Gypsum Decoction). For dysentery, remove Shigao and add Gegen (Puerariae Lobatae Radix) to protect the interior.
[Note] For conditions such as extreme Yang toxicity, or persistent high fever with soft stools after purging, Huanglian Jiedu Tang is appropriate, comprising Huanglian, Huangqin, Huangbai, and Zhizi. For interior excess with hard stools requiring purging, adding Dahuang creates Zhizi Jinhua Tang. For exterior excess with no sweat requiring diaphoresis, adding Shigao, Mahuang, Danshichidou, and Congbai creates Sanhuang Shigao Tang. For dysentery, removing Shigao and adding Gegen avoids damaging interior Qi.
Xiaodu Xijiao Yin
36. Xiaodu Xijiao Yin (Detoxifying and Rhino Horn Decoction) treats exterior rashes and spots caused by toxic pathogens obstructing the throat, leading to severe swelling and pain. It consists of Xijiao (Rhinocerotis Cornu), Niubangzi (Arctii Fructus), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma). For excessive heat, add Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), and Huanglian (Coptidis Rhizoma).
[Note] Xiaodu Xijiao Yin is Xiaodu Yin (containing Fangfeng, Jingjie, Niubangzi, Gancao) with the addition of Xijiao. For excessive heat, add Lianqiao, Bohe, Huangqin, and Huanglian.
Xiaoban Qingdai Yin
37. Xiaoban Qingdai Yin (Indigo Decoction for Eliminating Spots) eliminates spot toxins. It consists of Renshen (Ginseng Radix et Rhizoma), Baibu Tang (White Tiger Decoction: Shigao, Zhimu, Gancao), Chaihu (Bupleuri Radix), Xijiao (Rhinocerotis Cornu), Shanzhi (Gardeniae Fructus), Shengdi (Rehmanniae Radix), Yuanshen (Scrophulariae Radix), and Huanglian (Coptidis Rhizoma). For severe heat and constipation, remove Renshen and add Kujiu (Vinegar) and Dahuang (Rhei Radix et Rhizoma) for decoction.
[Note] Xiaoban Qingdai Yin contains Qingdai (Indigo Naturalis), Renshen, Baibu Tang (Renshen, Shigao, Zhimu, Gancao), Chaihu, Xijiao, Shanzhi, Shengdi, Yuanshen, and Huanglian, decocted with vinegar and water. For severe heat and solid stools, Renshen may be removed and Dahuang added.
Puji Xiaodu Yin
38. Puji Xiaodu Yin (Universal Relief Detoxifying Decoction) treats "Big Head Plague" (Touwei Wen), where no interior excess exists, and heat pathogens reside in the upper head. It consists of Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), Jiangcan (Bombyx Batryticatus), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Mabo (Calami Flos), Niubangzi (Arctii Fructus), Banlangen (Isatidis Radix), and Yuanshen (Scrophulariae Radix).
[Note] Puji Xiaodu Yin treats contagious Big Head Plague where there is no interior excess to purge, indicating heat pathogens residing in the upper head. Ingredients include Huangqin, Huanglian, Bohe, Lianqiao, Chaihu, Shengma, Jiegeng, Jiangcan, Gancao, Chenpi, Mabo, Niubangzi, Banlangen, and Yuanshen.
Lianqiao Baidu San
39. Lianqiao Baidu San (Forsythia Detoxifying Powder) treats parotitis (Fayi) with high swelling, redness, and pain. It consists of Tianhuafen (Trichosanthis Radix), Lianqiao (Forsythiae Fructus), Chaihu (Bupleuri Radix), Niubangzi (Arctii Fructus), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Honghua (Carthami Flos), Sumu (Pterocarpi Santalinus Lignum), Chuanxiong (Chuanxiong Rhizoma), and Guiwei (Angelicae Sinensis Radix). For facial swelling, add Baizhi (Angelicae Dahuricae Radix) and Loulu (Radix Leuzeae). For hard swelling, add Zaoci (Gleditsiae Spina) and Chuanshanjia (Manis Squama). For dry stool, add Dahuang (Rhei Radix et Rhizoma).
[Note] Lianqiao Baidu San treats Yang syndromes of parotitis with high swelling, redness, and pain. Ingredients include Lianqiao, Tianhuafen, Chaihu, Niubangzi, Jingjie, Fangfeng, Shengma, Gancao, Jiegeng, Qianghuo, Duhuo, Honghua, Sumu, Chuanxiong, and Guiwei. Add Baizhi and Loulu if both cheeks and face are swollen. Add Zaoci and Chuanshanjia if swelling is hard and persistent. Add wine-fried Dahuang for dry stool.
Duqi Tang, Jupi Zhuru Tang
40. For hiccups due to Kidney deficiency, use Duqi Tang (Kidney Tonifying Decoction), which is Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) plus Rougui (Cinnamomi Cortex) and Wuweizi (Schisandrae Fructus). Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction) treats deficiency-heat hiccups, consisting of Jupi (Citri Reticulatae Pericarpium), Zhuru (Bambusae Caulis in Taeniam), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Dazao (Jujubae Fructus), and Shengjiang (Zingiberis Rhizoma Recens).
[Note] Duqi Tang is Liuwei Dihuang Tang plus Rougui and Wuweizi. Jupi Zhuru Tang consists of Juhong (Pericarpium Citri Reticulatae Viride), Zhuru, Renshen, Gancao, Dazao, and Shengjiang.
Weirui Tang
41. For floating and abundant Wind-Warmth pathogens, use Weirui Tang (Polygonatum Decoction), containing Qianghuo (Notopterygii Rhizoma et Radix), Mahuang (Ephedrae Herba), Gegen (Puerariae Lobatae Radix), Baizhi (Angelicae Dahuricae Radix), Qingmuxiang (Aucklandiae Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsi Fibrosus), Weirui (Polygonati Odorati Rhizoma), and Xingren (Armeniacae Semen Amarum). For interior excess with severe heat and profuse sweating, add Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma).
[Note] At the onset of Wind-Warmth with floating and forceful pulses, exterior excess, high fever, and little sweat, Weirui Tang is appropriate to release exterior Wind pathogens. Ingredients include Qianghuo, Mahuang, Gegen, Baizhi, Qingmuxiang, Chuanxiong, Gancao, Shigao, Weirui, and Xingren. For interior excess with severe heat and profuse sweating, add Mangxiao and Dahuang to purge interior heat.
Guizhi Baihu Tang
42. For Wind-Warmth with deficiency-heat and profuse sweating, making Weirui Tang unsuitable, if snoring, dry mouth, and thirst are present, Guizhi Baihu Jia Renshen Tang (Cinnamon Twig and White Tiger Decoction with Ginseng) is indicated.
[Note] At the onset of Wind-Warmth with floating, forceful pulses, little sweat, and high fever, Weirui Tang is appropriate. If pulses are deficient, body is hot, and sweating is profuse, making Weirui Tang unsuitable, combine with Guizhi Baihu Jia Renshen Tang. If there is no snoring, the mouth is neutral without dryness or thirst, body is hot with profuse sweating and floating, forceful pulses, this is a Yang collapse syndrome, not Wind-Warmth, and even Guizhi Baihu Jia Renshen Tang should not be used.
Xiexin Daochi Geban Tang
43. For Yuejing Syndrome (Transmitted Meridian Syndrome) without exterior or interior signs, presenting with fever resembling drunkenness and harmonious pulses, use Daochi Geban Tang (Half-and-Half Decoction for Guiding Fire Outward), containing Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Fushen (Poria cum Pararhaptdo), Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Radix), Zhimu (Anemarrhenae Rhizoma), Huashi (Talcum), Xijiao (Rhinocerotis Cornu), Gancao (Glycyrrhizae Radix et Rhizoma), Xincaogen (Junci Medulla), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus).
[Note] Yuejing is a disease name. "No signs" refers to the absence of exterior or interior syndromes. Without exterior or interior signs, harmonious pulses, unresolved fever, and a appearance resembling drunkenness indicate Yuejing Syndrome. Xiexin Daochi Geban Tang is appropriate, comprising Huanglian, Huangqin, Zhizi, Fushen, Renshen, Maidong, Zhimu, Huashi, Xijiao, Gancao, Xincaogen, Shengjiang, and Dazao.
Da Qianghuo Tang
44. For Lianggan Cold Damage (Simultaneous Transmission to Two Meridians) involving two meridians, use Da Qianghuo Tang (Major Saposhnikovia Decoction), containing Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Fangji (Stephaniae Tetrandrae Radix), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Shengdi (Rehmanniae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Zhimu (Anemarrhenae Rhizoma).
[Note] Lianggan is a Cold Damage disease name. "Two meridians" refers to simultaneous involvement of Taiyang and Shaoyin on day one, Yangming and Taiyin on day two, and Shaoyang and Jueyin on day three. Zhang Jiegu formulated Da Qianghuo Tang to treat this, comprising Gancao, Chuanxiong, Fangfeng, Fangji, Cangzhu, Baizhu, Qianghuo, Duhuo, Xixin, Shengdi, Huangqin, Huanglian, and Zhimu. See *Shanghan Yaojue*.
Huan Yang San, Tui Yin San, Hei Nu Wan
45. For Yin toxicity, use Huan Yang San (Restore Yang Powder), which is sulfur powder. For Tui Yin San (Push Away Yin Powder), use processed Aconite and dried ginger in equal parts. For Yang toxicity, use Hei Nu Wan (Black Slave Pill), composed of wheat slaves, Huangqin (Scutellariae Radix), Mahuang (Ephedrae Herba), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), stove soot, chimney soot, and dust from beams.
[Note] Huan Yang San is stone sulfur powder, taken with fresh water. If chills, fever, and lack of sweat persist, take again until sweat appears. Tui Yin San is processed Chuanwu (Aconiti Lateralis Radix Preparata) and stir-fried Ganjiang (Zingiberis Rhizoma) in equal parts, taken with salt water. For cold limbs, take three times consecutively to restore warmth. Hei Nu Wan uses "wheat slaves" (blackened wheat), Huangqin, Mahuang, Mangxiao, Dahuang, stove soot, chimney soot, and beam dust. Formed into honey pills, taken with fresh water. If thirsty for cold water after taking, drink freely; chills, sweating, abdominal rumbling, and mild diarrhea will follow, resolving the illness. If not thirsty, it may be extreme Yin mimicking Yang, and taking this pill would be harmful.
Jiuwei Qianghuo Tang
46. Jiuwei Qianghuo Tang (Nine-Ingredient Saposhnikovia Decoction) is also known as Chonghe Tang (Harmony Decoction), treating irregular Qi of the four seasons. Zhang Jiegu formulated this to replace Mahuang Tang and Guizhi Tang. It contains Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma), Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Huangqin (Scutellariae Radix). Add Xingren (Armeniacae Semen Amarum) for asthma, Mahuang (Ephedrae Herba) for no sweat, Guizhi (Cinnamomi Ramulus) for sweating, remove Shengdi and add Zhike (Aurantii Fructus) and Jiegeng (Platycodonis Radix) for chest fullness, and add Zhimu (Anemarrhenae Rhizoma) and Shigao (Gypsi Fibrosus) for irritability and thirst.
[Note] This is Chonghe Tang. Zhang Jiegu formulated it to replace Mahuang Tang and Guizhi Tang. Ingredients: Qianghuo, Fangfeng, Cangzhu, Xixin, Baizhi, Chuanxiong, Shengdi, Gancao, Huangqin. Add Xingren for asthma. Add Mahuang for no sweat. Add Guizhi for sweating. Remove Shengdi and add Zhike and Jiegeng for chest oppression to move Qi. Add Zhimu and Shigao for irritability and thirst to resolve heat.
Shishen Tang
47. Shishen Tang (Ten-God Decoction) treats exterior cold damage, warming meridians and promoting Qi flow. It contains Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Chuanxiong (Chuanxiong Rhizoma), Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Shaoyao (Paeoniae Radix), Xiangfu (Cyperi Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium), Ziye (Perillae Folium), Shengjiang (Zingiberis Rhizoma Recens), and Congbai (Allii Fistulosi Bulbus).
[Note] This decoction contains Shengma, Gegen, Chuanxiong, Mahuang, Gancao, Shaoyao, Xiangfu, Baizhi, Chenpi, Ziye, Shengjiang, and Congbai. It releases exterior cold pathogens and soothes interior Qi stagnation, hence treating cold damage. Compared to other formulas, it has superior effects in warming meridians and promoting Qi flow.
Renshen Baidu San, Jingfang Baidu San, Canglin San
48. Renshen Baidu San (Ginseng Detoxifying Powder) treats Qi deficiency with seasonal epidemic colds, effectively dispersing seasonal toxins, rashes, and dysentery. It contains Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Bohe (Menthae Haplocalycis Herba), Duhuo (Angelicae Pubescentis Radix), and Qianghuo (Notopterygii Rhizoma et Radix). For seasonal toxins, remove Renshen and add Niubangzi (Arctii Fructus) and Lianqiao (Forsythiae Fructus). For blood wind rashes, add Jingjie (Schizonepetae Spica) and Fangfeng (Saposhnikoviae Radix), named Jingfang Baidu San. For exterior heat with no sweat and locked-mouth dysentery, add Cumi (Oryzae Fructus Germinatus), named Canglin San. For warm diseases with severe heat, add Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix). For stomach excess with hard stool, add Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma).
[Note] Renshen Baidu San treats Qi deficiency with seasonal epidemics. Ingredients: Zhike, Jiegeng, Chuanxiong, Fuling, Renshen, Gancao, Chaihu, Qianhu, Bohe, Duhuo, Qianghuo. Seasonal toxins refer to irregular Qi causing mumps or sore throat; modify by removing Renshen and adding Niubangzi and Lianqiao. Time rashes refer to rashes appearing at onset. Blood wind refers to itchy rashes over the body; modify by removing Renshen and adding Jingjie and Fangfeng, named Jingfang Baidu San. Exterior heat with no sweat and locked-mouth dysentery: add Cumi, named Canglin San. Warm diseases with severe heat: add Huanglian and Huangqin. Stomach excess with hard stool: add Mangxiao and Dahuang.
Wuji San
49. For internal injury from raw/cold food and external cold contraction, use Wuji San (Five Accumulations Powder), combining Pingwei San (Calm the Stomach Powder) and Erchen Tang (Two-Aged Decoction). It contains Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Fuling (Poria), Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Ganjiang (Zingiberis Rhizoma), and Baizhi (Angelicae Dahuricae Radix). For abdominal pain and vomiting, add Wuzhuyu (Evodiae Fructus). For sweating, remove Mahuang and add Guizhi. For deficiency, add Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma), remove Zhike and Jiegeng. For menstrual pain in women, add Aiye (Artemisiae Argyi Folium) and decoct with vinegar.
[Note] Wuji San contains Cangzhu, Chenpi, Houpo, Gancao, Banxia, Fuling, Mahuang, Guizhi, Zhike, Jiegeng, Danggui, Chuanxiong, Baishao, Ganjiang, and Baizhi. Use Guizhi heavily for exterior, Guizhi (official cinnamon) heavily for interior. Add Fuzi (Aconiti Lateralis Radix Preparata) for Yin cold and cold limbs. Add Wuzhuyu for abdominal pain and vomiting. Remove Mahuang and add Guizhi for sweating. Add Renshen and Baizhu, remove Zhike and Jiegeng for Qi deficiency. Add Aiye and vinegar for menstrual pain.
Shengma Gegen Tang
50. Shengma Gegen Tang (Cimicifuga and Kudzu Decoction) treats Yangming exterior syndrome, effective for dysentery and non-emerging rashes/spots. Add Mahuang (Ephedrae Herba) for concurrent Taiyang no-sweat exterior syndrome. Add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix) for concurrent Shaoyang half-exterior/half-interior syndrome.
[Note] Shengma, Gegen, Baishao, and Gancao form Shengma Gegen Tang. It is indicated for unresolved Yangming exterior pathogens, frequent dysentery, and non-emerging rashes/spots. Add Mahuang for concurrent Taiyang no-sweat exterior signs. Add Chaihu and Huangqin for concurrent Shaoyang bitter taste, deafness, alternating chills and fever, representing half-exterior/half-interior syndrome.
Ersheng Jiuku Dan
51. For early-stage seasonal epidemics and warm diseases, Jiuku Dan (Two-Sage Rescue Bitter Pill) employs sweating, vomiting, and purging methods simultaneously. It consists of Dahuang (Rhei Radix et Rhizoma) and Zaojiao (Gleditsiae Sinensis Fructus) formed into pills with water.
[Note] This pill is made from 4 liang of Dahuang and 2 liang of Zaojiao, powdered and formed into pills with water. Take 3 qian with rain water. Reduce dose for weak, elderly, or young patients. It is highly effective for early-stage seasonal epidemics, contagious cold damage, and warm diseases with excess heat and strong constitution. After ingestion, sweating, vomiting, or purging occurs, resolving the illness immediately.
Wendan Tang
52. Post-Cold Damage fluid depletion causing deficiency irritability, vomiting, thirst, and insomnia is a Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) syndrome, not Wendan Tang. However, for Shaoyang Gallbladder channel fluid-heat causing bitter taste, vomiting, irritability, palpitations, and fright, use Wendan Tang (Warm Gallbladder Decoction). It contains Banxia (Pinelliae Rhizoma), Fuling (Poria), Jupi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Zhuru (Bambusae Caulis in Taeniam). Add Renshen (Ginseng Radix et Rhizoma) for Qi deficiency. Remove Banxia and add Maidong (Ophiopogonis Radix) and Huafen (Trichosanthis Radix) for thirst. Add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for heat.
[Note] Post-Cold Damage dryness, thirst, and deficiency irritability belong to Zhu Ye Shi Gao Tang syndrome, detailed in *Shanghan Yaojue*. Shaoyang Gallbladder fluid-heat causing bitter taste, vomiting, irritability, palpitations, and fright indicates Wendan Tang syndrome, comprising Banxia, Fuling, Jupi, Gancao, Zhishi, and Zhuru. Add Renshen for Qi deficiency or post-sweating/vomiting/purging states. Remove Banxia and add Maidong and Huafen for thirst to generate fluids. Add Huangqin and Huanglian for heat to clear it.