世俗有夹食夹气夹惊夹痰。而亦加以伤寒之名者。夫既曰食气痰惊。则
宜从四者以治。又何复云伤寒为也。或者曰。因有是四者而复感寒。故云
夹也。何以见之。如脉实而胀满者。食也。应发热而亦有恶寒者。如脉沉而
不快者。气也。不应发热而亦有发热者。如脉弦而作呕者。惊也。不应寒热
而亦有寒热往来者。脉滑而喘逆者痰也。不应寒热而亦有寒热大作者。
以其兼寒也。故谓之夹也亦宜。殊不知因乎食者。消其食而寒自止。因乎
气者。下其气而热自退。因乎惊者。温其胆而寒热自已。因乎痰者。化其痰
而寒热顿除。初不必沾沾于伤寒。而亦将解其表而后治之也耶。如养葵
先生有云。凡杂症有发热者。皆有头疼项强目痛鼻干胁痛口苦等症。何
必拘为伤寒局伤寒方以治之也。夫见是诸症。尚有不因伤寒者。况不见
诸症。而欲强附以伤寒。则诚不可解者也。
浓朴汤 治因食。
浓朴（姜制） 枳壳（麸焙） 广皮（各一钱） 山楂（二钱） 卜子（一钱焙研）
甘草（三分炙） 柴胡（七分） 葛根（一钱）
加熟砂仁末七分。姜一片。水煎。
顺气饮 治因气。
木香（五分） 乌药 陈皮 枳壳（炒） 茯苓（各一钱）
甘草（三分炙） 柴胡（五分） 桔梗（一钱） 香附（一钱便制）
加熟砂仁末一钱。姜一片。水煎。
温胆汤 治因惊。
半夏 枳实 竹茹 茯苓（各一钱） 甘草（三分炙） 广皮（一钱） 钩藤钩（二钱）
加枣一枚。姜一片。水煎。
二陈汤 治因痰。
苏子（一钱半焙研） 半夏 茯苓 陈皮 杜仲（各一钱盐水炒）
甘草（三分炙） 前胡 桔梗（各一钱） 杏仁（一钱汤泡去皮尖）
加姜一片。水煎。如有火。加栝蒌霜。
世俗间有夹食、夹气、夹惊、夹痰的说法，并且也冠以“伤寒”之名。既然已经称为食、气、痰、惊，就应当针对这四种病因进行治疗，又何必再提及伤寒呢？或许有人会说：因为有了这四种病证之后，又感受了寒邪，所以称之为“夹”。怎么证明这一点呢？比如脉象实大而腹部胀满的，是食积；本应发热却也有恶寒表现的，（看似）像伤寒；脉象沉滞而不流畅的，是气滞；本不应发热却也有发热表现的，（看似）像伤寒；脉象弦细且伴有呕吐的，是惊恐；本不应出现寒热往来却也有寒热往来的，（看似）像伤寒；脉象滑利且伴有气喘逆上的，是痰饮；本不应出现严重的寒热表现却也有剧烈寒热的，是因为兼夹了寒邪。所以说称之为“夹”也是适宜的。
殊不知，如果是因食积引起的，消除食积而寒热自然停止；如果是因气滞引起的，顺降气机而热势自然消退；如果是因惊恐引起的，温养胆腑而寒热自然痊愈；如果是因痰饮引起的，化解痰浊而寒热顿时消除。起初不必执着于伤寒，难道还要先解表然后再治疗吗？如养葵先生曾说：“凡是杂症中有发热的，都伴有头痛、项强、目痛、鼻干、胁痛、口苦等症状，何必拘泥于认为是伤寒，用伤寒方来治疗呢？”见到这些症状，尚且有不是由伤寒引起的，何况没有见到这些症状，却想要强行附会为伤寒，这就实在令人无法理解了。
浓朴汤：治疗因食积引起的病症。
浓朴（姜制）、枳壳（麸炒焙）、广皮（各一钱）、山楂（二钱）、卜子（莱菔子，一钱焙后研碎）、甘草（三分炙）、柴胡（七分）、葛根（一钱）。
加熟砂仁末七分，生姜一片，水煎服。
顺气饮：治疗因气滞引起的病症。
木香（五分）、乌药、陈皮、枳壳（炒）、茯苓（各一钱）、甘草（三分炙）、柴胡（五分）、桔梗（一钱）、香附（一钱，便制）。
加熟砂仁末一钱，生姜一片，水煎服。
温胆汤：治疗因惊恐引起的病症。
半夏、枳实、竹茹、茯苓（各一钱）、甘草（三分炙）、广皮（一钱）、钩藤钩（二钱）。
加大枣一枚，生姜一片，水煎服。
二陈汤：治疗因痰饮引起的病症。
苏子（一钱半，焙后研碎）、半夏、茯苓、陈皮、杜仲（各一钱，盐水炒）、甘草（三分炙）、前胡、桔梗（各一钱）、杏仁（一钱，汤泡去皮尖）。
加生姜一片，水煎服。如果有火邪，加栝蒌霜。
In popular practice, there are conditions described as "mixed food retention," "mixed qi stagnation," "mixed fright," and "mixed phlegm," which are also labeled under the name of *Shanghan* (Cold Damage). Since they are already termed food, qi, phlegm, and fright, treatment should be directed at these four categories. Why is it necessary to mention *Shanghan*? One might argue that because one has these four conditions and subsequently contracts cold, it is called "mixed." How can this be verified? For instance, a solid pulse with abdominal distension indicates food retention; fever accompanied by aversion to cold suggests a presentation resembling *Shanghan*; a deep and sluggish pulse indicates qi stagnation; fever without the typical indication suggests a presentation resembling *Shanghan*; a wiry pulse with vomiting indicates fright; chills and fever alternating without the typical pattern suggest a presentation resembling *Shanghan*; a slippery pulse with wheezing and counterflow qi indicates phlegm; severe chills and fever without the typical pattern indicate the presence of mixed cold. Therefore, calling it "mixed" is appropriate.
However, it is unknown that if the cause is food retention, resolving the food will stop the chills and fever naturally; if the cause is qi stagnation, descending the qi will make the heat recede naturally; if the cause is fright, warming the Gallbladder will resolve the chills and fever naturally; if the cause is phlegm, transforming the phlegm will eliminate the chills and fever instantly. Initially, there is no need to cling to the concept of *Shanghan*, nor is it necessary to first release the exterior before treating the root. As Mr. Yangkui stated: "For miscellaneous diseases presenting with fever, symptoms such as headache, stiffness of the neck, eye pain, dry nose, hypochondriac pain, and bitter taste in the mouth often occur. Why insist on diagnosing it as *Shanghan* and treating it with *Shanghan* formulas?" Seeing these symptoms, there are cases not caused by *Shanghan*. How much more so when these symptoms are absent, yet one forces an attachment to *Shanghan*? This is truly incomprehensible.
Nongpo Tang (Magnolia Bark Decoction): Treats conditions due to food retention.
Houpo (Magnoliae Officinalis Cortex, processed with ginger), Zhike (Aurantii Fructus Immaturus, roasted with bran), Guangpi (Citri Reticulatae Pericarpium) (each 1 qian); Shanzha (Crataegi Fructus, 2 qian); Bobo (Raphani Semen, 1 qian, roasted and ground); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Chaihu (Bupleuri Radix, 7 fen); Gegen (Puerariae Radix, 1 qian).
Add 7 fen of prepared Amomi Fructus Rotundus powder and one slice of fresh Ginger. Decoct in water and take orally.
Shunqi Yin (Qi-Regulating Decoction): Treats conditions due to qi stagnation.
Muxiang (Aucklandiae Radix, 5 fen); Wuyao (Linderae Radix); Chenpi (Citri Reticulatae Pericarpium); Zhike (Aurantii Fructus Immaturus, stir-fried); Fuling (Poria) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Chaihu (Bupleuri Radix, 5 fen); Jiegeng (Platycodonis Radix, 1 qian); Xiangfu (Cyperi Rhizoma, 1 qian, processed with urine).
Add 1 qian of prepared Amomi Fructus Rotundus powder and one slice of fresh Ginger. Decoct in water and take orally.
Wendan Tang (Warming the Gallbladder Decoction): Treats conditions due to fright.
Banxia (Pinelliae Rhizoma); Zhishi (Aurantii Fructus Immaturus, unripe); Zhuru (Bambusae Caulis in Taeniae); Fuling (Poria) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Guangpi (Citri Reticulatae Pericarpium, 1 qian); Goutenggou (Uncariae Ramulus cum Uncis, 2 qian).
Add one Jujube and one slice of fresh Ginger. Decoct in water and take orally.
Erchen Tang (Two-Aged Decoction): Treats conditions due to phlegm.
Suzi (Perillae Fructus, 1.5 qian, roasted and ground); Banxia (Pinelliae Rhizoma); Fuling (Poria); Chenpi (Citri Reticulatae Pericarpium); Duzhong (Eucommiae Cortex, each 1 qian, stir-fried with salt water); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Qianhu (Peucedani Radix); Jiegeng (Platycodonis Radix) (each 1 qian); Xingren (Armeniacae Semen Amarum, 1 qian, soaked in hot water, skin and tips removed).
Add one slice of fresh Ginger. Decoct in water and take orally. If there is fire, add Gualoushuang (Trichosanthis Fructus Frost).