（似外感阳证）
头痛大作。四肢疰闷。气高而喘。身热而烦。上气。鼻息不调。四肢困倦不收。无气以动无气以
言。或烦躁闷乱。心烦不安。或渴不止。病久者。邪气在血脉中有湿。故不渴。如病渴是心火炎上
克肺金。故渴。或表虚不任风寒。目不欲开。恶食。口不知味。右手气口脉大。大于左手人迎三倍
。其气口脉急大而数。时一代而涩。涩是肺之本脉。代是无气不相接。乃脾胃不足之脉。大是洪大
。洪大而数。乃心脉刑肺。急是弦急。乃肝木挟心火克肺金也。其右关脾脉。比五脉独大而数。数
中时显一代。此不甚劳役。是饮食不节。寒温失所则无。右关胃脉损弱。隐而不见。惟内显脾脉如
此也。治用补中益气汤。
黄 （半钱。病甚者一钱） 人参 橘皮
当归身 白术（各三分） 炙甘草（五分） 升麻
柴胡（各二分）
上八味锉。都作一服。水二盏。煎至一盏。去渣。温服。早饭后。临病斟酌轻重加减。
（似外感阴证）
腹胀。胃脘当心痛。四肢两胁膈咽不通。或涎唾。或清涕。或多溺。足下痛。不能任身履地。
骨乏无力。喜睡。两丸多冷。阴阴作痛。或妄见鬼状。梦亡人。腰背胛眼腰脊皆痛。不渴不泻。脉
盛大以涩。名曰寒中。治用神圣复气汤、白术附子汤、草豆蔻丸。
【神圣复气汤】
柴胡（一钱） 本（八分） 防风（半钱） 羌活（一钱）
人参（半钱） 干姜（炮。钱三分） 甘草（八分） 升麻（七分）
半夏（七分。汤泡七次） 白葵花（五朵。去心细剪） 当归身（六分。酒洗）
郁李仁（五分。另研泥） 黑附子（炮制。去皮脐。三分）
上件锉。用水五盏。同煎至二盏。入
黄 （一钱） 橘红（五分） 草豆蔻仁（面裹烧熟去皮。一钱）
上入在内。再煎至一盏。再入下项药。
黄柏（五分。酒浸） 黄连（酒浸） 枳壳 生地黄（酒洗。各三分）
以上四味。预一日另用新水浸。又次入
华细辛根（二分） 川芎（细末。三分） 蔓荆子（三分）
预一日用新水半大盏。分作二处浸。此三味。并黄柏等前正药。作一大盏。不去渣。入此浸药。
再上火煎。至一大盏。去渣。稍热服。空心。又能治咬颊、咬唇、咬舌、舌根强硬等证如神。忌肉
汤及食肉。使不助经络中火邪也。大抵肾与膀胱经中有寒。元气不足者。皆宜服之。于月生月满时。
隔三五日一服。如病急不拘时分。
【白术附子汤】
白术 附子 苍术 陈皮
浓朴 半夏 茯苓 泽泻（各一两）
猪苓（半两） 肉桂（四钱）
上十味锉。每服五钱。水一盏。生姜三片。煎至半盏。食前温服。量虚实加减。
【草豆蔻丸】治胃脘当心而痛。
草豆蔻（四钱。面裹煨熟） 生甘草（三分） 半夏（一钱）
大麦 (一钱半） 益智 陈皮 吴茱萸（汤泡去苦）
僵蚕 黄 （各八分） 桃仁（七分） 青皮
当归身（各六分） 曲末（四分） 姜黄（四分） 人参（八分）
熟甘草（六分） 泽泻（一分） 柴胡（四分。详胁下痛多少加之）
上十八味。除桃仁另研如泥外。为极细末。同研。汤浸蒸饼为丸如桐子大。每服二十丸。熟汤
送下。旋斟酌多少服之。
（类似外感阳证）
头痛剧烈。四肢沉重困闷。呼吸急促而喘息。身体发热且心烦意乱。气逆上冲。鼻息不调。四肢疲倦无力，难以收持。气息微弱，既无力活动，也无力言语。或者烦躁不安、神志昏乱。心中烦闷不宁。或者口渴不止。若病程较长，邪气在血脉中伴有湿气，所以不渴。如果生病时出现口渴，这是心火炎上克制肺金所致，因此口渴。或者表虚不能耐受风寒刺激。眼睛不想睁开。厌恶进食。口不知味。右手寸口脉大，比左手人迎脉大三倍。其寸口脉急大而数，时而出现代脉且涩。涩是肺的本脉。代脉表示元气不足，脉气不相接续，这是脾胃不足的脉象。大是指洪大。洪大而数，是心脉克制肺金的征象。急是指弦急，是肝木挟带心火克制肺金的表现。右关部的脾脉，比其他五部脉独大而数，数脉中时常显现一代脉。这并非严重的劳役损伤，而是由于饮食不节制，寒温失调所致。右关胃脉损弱，隐约不见，只有内显的脾脉呈现上述情况。治疗使用补中益气汤。
黄芪（半钱，病重者一钱） 人参 橘皮
当归身 白术（各三分） 炙甘草（五分） 升麻
柴胡（各二分）
以上八味药切碎，混合为一剂。加水二盏，煎煮至一盏，去渣滓。温服。早饭后服用。根据病情轻重斟酌加减。
（类似外感阴证）
腹部胀满。胃脘部当心处疼痛。四肢、两胁、膈部及咽喉不通畅。或者流涎唾。或者流清鼻涕。或者小便频多。足下疼痛，无法支撑身体站立行走。骨骼酸乏无力。喜欢睡觉。两侧睾丸发冷，隐隐作痛。或者幻觉见到鬼怪状貌。梦见已故之人。腰背、肩胛、眼眶、腰部、脊柱皆痛。不渴不泻。脉象盛大而涩，名为寒中。治疗使用神圣复气汤、白术附子汤、草豆蔻丸。
【神圣复气汤】
柴胡（一钱） 藁本（八分） 防风（半钱） 羌活（一钱）
人参（半钱） 干姜（炮制，三分） 甘草（八分） 升麻（七分）
半夏（七分，开水泡七次） 白葵花（五朵，去心细剪） 当归身（六分，酒洗）
郁李仁（五分，另研成泥） 黑附子（炮制，去皮脐，三分）
以上药材切碎，用水五盏，同煎至二盏。加入
黄芪（一钱） 橘红（五分） 草豆蔻仁（面粉包裹烧熟去皮，一钱）
再次放入锅内，继续煎煮至一盏。再放入以下药物：
黄柏（五分，酒浸） 黄连（酒浸） 枳壳 生地黄（酒洗，各三分）
以上四味药，预先一天用新水浸泡。第二天再放入
华细辛根（二分） 川芎（细末，三分） 蔓荆子（三分）
预先一天用新水半大盏，分成两处浸泡。这三味药，连同黄柏等前面的主药，共作一大盏水量，不去渣滓，加入这些浸泡过的药水。
再次上火煎煮，至一大盏。去渣滓。稍热时服用。空腹服用。又能治疗咬颊、咬唇、咬舌、舌根强硬等症状，效果如神。忌食肉汤及肉类食物，以免助长经络中的火邪。大抵肾与膀胱经中有寒，元气不足者，都适宜服用。在月亮初生或月圆时，每隔三五日服用一次。如果病情紧急，不拘泥于时间。
【白术附子汤】
白术 附子 苍术 陈皮
厚朴 半夏 茯苓 泽泻（各一两）
猪苓（半两） 肉桂（四钱）
以上十味药切碎。每服五钱。加水一盏，生姜三片，煎煮至半盏。饭前温服。根据虚实情况加减用量。
【草豆蔻丸】治疗胃脘部当心处疼痛。
草豆蔻（四钱，面粉包裹煨熟） 生甘草（三分） 半夏（一钱）
大麦（一钱半） 益智仁 陈皮 吴茱萸（开水泡去苦味）
僵蚕 黄芪（各八分） 桃仁（七分） 青皮
当归身（各六分） 神曲末（四分） 姜黄（四分） 人参（八分）
熟甘草（六分） 泽泻（一分） 柴胡（四分，根据胁下疼痛程度酌情增加）
以上十八味药，除桃仁另研成泥外，其余研为极细末，混合研磨。用汤浸蒸饼制作成梧桐子大小的丸药。每服二十丸，用温水送下。随时斟酌多少服用。
(Similar to Exterior Excess Yang Syndrome)
Severe headache. Heaviness and oppression in the four limbs. Rapid breathing with panting. Feverish body accompanied by irritability. Qi rebelling upward. Irregular nasal respiration. Four limbs are fatigued and weak, unable to support themselves. Weakness of Qi, lacking the energy to move or speak. Alternatively, restlessness, confusion, and mental agitation. Inner vexation and unease. Or unquenchable thirst. In prolonged illness, if pathogenic factors reside in the blood vessels with dampness, there is no thirst. If thirst occurs during the illness, it is due to Heart Fire flaring upward and overcoming Lung Metal, hence the thirst. Alternatively, exterior deficiency failing to withstand wind-cold. Eyes unwilling to open. Aversion to food. Loss of taste in the mouth. The Cun Kou pulse on the right hand is large, three times larger than the Ren Ying pulse on the left hand. The Cun Kou pulse is urgent, large, rapid, occasionally presenting a Dai (intermittent) pulse and Se (choppy) quality. Se is the native pulse of the Lung. Dai indicates insufficient Qi and lack of continuity in pulse qi; this is the pulse of Spleen and Stomach insufficiency. Large refers to Hong (surging). Surging and rapid indicates Heart pulse overcoming Lung. Urgent refers to Xian (wiry), indicating Liver Wood accompanying Heart Fire to overcome Lung Metal. The Pi (Spleen) pulse at the Right Guan position is uniquely large and rapid compared to the other five positions, with a Dai pulse occasionally appearing within the rapid rhythm. This is not due to severe overexertion, but rather irregular diet and improper regulation of cold and warmth. The Wei (Stomach) pulse at the Right Guan position is damaged and weak, faintly visible or invisible, while only the internal manifestation of the Pi (Spleen) pulse shows such characteristics. Treatment utilizes Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction).
Huangqi (Astragali Radix, half qian; one qian for severe cases) Renshen (Ginseng Radix et Rhizoma) Jupi (Citri Reticulatae Pericarpium)
Dangguishen (Angelicae Sinensis Radix, inner part) Baizhu (Atractylodis Macrocephalae Rhizoma, each three fen) Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, five fen) Shengma (Cimicifugae Rhizoma)
Chaihu (Bupleuri Radix, each two fen)
The above eight herbs are coarsely crushed, combined as one dose. Add two zhan of water, decoct until one zhan remains. Strain off the dregs. Take warm. Administer after breakfast. Adjust dosages according to the severity of the condition.
(Similar to Exterior Deficient Yin Syndrome)
Abdominal distension. Pain in the epigastrium corresponding to the heart region. Obstruction in the four limbs, hypochondrium, diaphragm, throat, and pharynx. Salivation or clear nasal discharge. Frequent urination. Pain in the soles of the feet, inability to bear weight and walk. Bone fatigue and weakness. Preference for sleep. Coldness in both testicles with dull pain. Hallucinations of ghostly appearances. Dreams of deceased persons. Pain throughout the waist, back, scapulae, eyes, loins, and spine. No thirst, no diarrhea. Pulse is large, vigorous, and choppy. This is named Han Zhong (Cold Center). Treatment utilizes Shen Sheng Fu Qi Tang (Divine Holy Decoction to Restore Qi), Baizhu Fuzi Tang (Atractylodes and Aconite Decoction), and Caodoukou Wan (Cardamom Pill).
[Shen Sheng Fu Qi Tang]
Chaihu (Bupleuri Radix, one qian) Gaoben (Ligustici Wallichii Rhizoma et Radix, eight fen) Fangfeng (Saposhnikoviae Radix, half qian) Qianghuo (Notopterygii Rhizoma et Radix, one qian)
Renshen (Ginseng Radix et Rhizoma, half qian) Ganjiang (Zingiberis Rhizoma, processed, three fen) Gancao (Glycyrrhizae Radix et Rhizoma, eight fen) Shengma (Cimicifugae Rhizoma, seven fen)
Banxia (Pinelliae Rhizoma, seven fen, soaked in boiling water seven times) Bai Kuihua (White Chrysanthemi Flos, five flowers, remove heart and cut finely) Dangguishen (Angelicae Sinensis Radix, inner part, six fen, washed with wine)
Yuliren (Prunus Armeniacae Semen, five fen, ground separately into paste) Hei Fuzi (Aconiti Lateralis Radix Preparata, black, processed, skin and root removed, three fen)
The above ingredients are coarsely crushed. Use five zhan of water, decoct together until two zhan remain. Add
Huangqi (Astragali Radix, one qian) Juhong (Citri Reticulatae Pericarpium Rubrum, five fen) Caodoukouren (Alpiniae Katsumadai Semen, roasted in flour, skin removed, one qian)
Return to the pot, decoct again until one zhan remains. Then add the following:
Huangbai (Phellodendri Cortex, five fen, soaked in wine) Huanglian (Coptidis Rhizoma, soaked in wine) Zhike (Aurantii Fructus Immaturus) Shengdihuang (Rehmanniae Radix, six fen, washed with wine)
The above four herbs are pre-soaked in fresh water for one day. On the next day, add
Xixin (Asari Radix et Rhizoma, two fen) Chuanxiong (Ligusticum Chuanxiong Rhizoma, fine powder, three fen) Manjingzi (Viticis Semen, three fen)
These three herbs are pre-soaked in half a large zhan of fresh water, divided into two portions. These three herbs, along with Huangbai and the previous main herbs, constitute one large zhan of liquid. Do not strain. Add these soaked liquids.
Decoct again over fire until one large zhan remains. Strain off dregs. Take slightly warm. Take on an empty stomach. It is also effective for treating biting of cheeks, lips, tongue, and tongue base stiffness. Avoid meat soups and meat consumption to prevent aiding fire pathogens in the meridians. Generally, those with cold in the Kidney and Bladder meridians and insufficient Yuan Qi should take this. During the waxing and full moon phases, take every three to five days. If the condition is urgent, do not restrict timing.
[Baizhu Fuzi Tang]
Baizhu (Atractylodis Macrocephalae Rhizoma) Fuzi (Aconiti Lateralis Radix Preparata) Cangzhu (Atractylodis Rhizoma) Chenpi (Citri Reticulatae Pericarpium)
Houpo (Magnoliae Officinalis Cortex) Banxia (Pinelliae Rhizoma) Fuling (Poria) Zexie (Alismatis Rhizoma, each one liang)
Zhuling (Polyporus, half liang) Rougui (Cinnamomi Cortex, four qian)
The above ten herbs are coarsely crushed. Each dose uses five qian. Add one zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until half a zhan remains. Take warm before meals. Adjust dosage according to deficiency or excess.
[Caodoukou Wan] Treats pain in the epigastrium corresponding to the heart.
Caodoukou (Alpiniae Katsumadai Semen, four qian, roasted in flour until cooked) Sheng Gancao (Glycyrrhizae Radix et Rhizoma, three fen) Banxia (Pinelliae Rhizoma, one qian)
Damai (Hordei Fructus Germinatus, one and a half qian) Yizhi (Alpiniae Oxyphyllae Fructus) Chenpi (Citri Reticulatae Pericarpium) Wuzhuyu (Evodiae Fructus, soaked in boiling water to remove bitterness)
Jiangcan (Bombyx Batryticatus) Huangqi (Astragali Radix, each eight fen) Taoren (Persicae Semen, seven fen) Qingpi (Citri Reticulatae Pericarpium Viride)
Dangguishen (Angelicae Sinensis Radix, inner part, each six fen) Qumo (Medicated Leaven Powder, four fen) Jianghuang (Curcumae Longae Rhizoma, four fen) Renshen (Ginseng Radix et Rhizoma, eight fen)
Shu Gancao (Prepared Glycyrrhizae Radix et Rhizoma, six fen) Zexie (Alismatis Rhizoma, one fen) Chaihu (Bupleuri Radix, four qian, increase according to the degree of hypochondriac pain)
The above eighteen herbs, except Taoren which is ground separately into paste, are all ground into extremely fine powder and mixed. Make pills using steamed dough soaked in water, sized like paulownia seeds. Take twenty pills per dose, swallowed with warm water. Adjust the amount taken as needed.