（方二首）
治伤寒敕涩，恶寒发热，体疼者方。
附子 乌头（各四两） 人参 茯苓 半夏（各五两） 朱砂（一两）
上六味末之，蜜丸，以真丹为色，先食服，如大豆二丸，生姜汤下，日三，须臾进热粥
二升许，重覆出汗止。若不得汗，汗少不解复服如前法。若得汗足应解而不解者，当服桂枝
汤。此药多毒，热者令饮水，寒者温饮解之。治疟先发服二丸。（《要略》用细辛不用人参
治伤寒五六日以上不解，热在胸中，口噤不能言，惟欲饮水，为坏伤寒。医
所不能治成为死人，精魂已竭，心下才温，以杖发其口开灌药咽中，药得下即愈。麦奴丸一
曰黑奴丸，二曰水解丸。
釜底墨 灶突墨 梁上尘 麦奴 黄芩 大黄 芒硝（各一两） 麻黄（二两）
上八味末之，蜜丸，如弹子大，以新汲水五合研一丸破渍置水中，当药消尽服之，病者
渴欲饮水，极意不问升数，欲止复强饮，能多饮为善，不欲饮水当强饮。服药须臾当寒，寒
竟
（例一首 方二首）
例曰∶大法春宜吐，凡服吐药，中病便止，不必尽剂也。
病如桂枝证，头不痛项不强，而脉寸口浮，胸中硬满，气上冲咽喉不得息者，此以内有
久
病胸上诸寒，胸中郁郁而痛不能食，欲得使人按之，反有涎出，下利日十余行，而其人
脉
少阴病，饮食入口即吐，心中愠愠然欲吐，复不能吐者，宜吐之，宿食在上脘宜吐之。
病手足逆冷脉乍结者，客气在胸中，心下满而烦，饥不能食者，以病在胸中，宜吐之。
【两首方剂】
治疗伤寒脉象紧涩，恶寒发热，身体疼痛的方剂。
附子、乌头（各四两）、人参、茯苓、半夏（各五两）、朱砂（一两）。
以上六味药研成细末，用蜂蜜制成丸药，以真丹砂为外衣颜色，饭前服用，每次如大豆大小的两丸，用生姜汤送服，每日三次。服药后不久喝热粥约二升，加盖衣被使出汗，汗出即止。如果不出汗，或汗少病未解，再按前面的方法服用。如果汗出充足但病仍未解，应当服用桂枝汤（调和营卫、解肌发表之剂）。此药毒性较大，体质偏热者令其饮水，体质偏寒者用温饮解毒。治疗疟疾在发作前服用两丸。（《金匮要略》中用细辛而不用人参）
治疗伤寒五六日以上病邪不解，热邪郁结在胸中，牙关紧闭不能说话，只想喝水，这属于“坏伤寒”（因误治或失治导致病情恶化复杂的伤寒变证）。医生无法治愈会导致死亡，此时精气魂魄已竭，只有心下部位尚有余温，可用木杖撬开患者口腔灌药入咽喉，药物咽下即可痊愈。麦奴丸，又称黑奴丸，又称水解丸。
釜底墨（锅底灰）、灶突墨（烟囱内积灰）、梁上尘、麦奴（小麦穗上的黑色菌丝体）、黄芩、大黄、芒硝（各一两）、麻黄（二两）。
以上八味药研成细末，用蜂蜜制成丸药，大小如弹子。用刚打来的冷水五合（容量单位），将一丸药捣碎浸泡在水中，待药完全溶解后服用。病人想喝水时，尽情让他喝，不要限制数量；想停止时也强行让他喝，能多喝为好，不想喝水也要强行喂饮。服药后不久会感到寒冷，寒冷过后……
【一则医案 两首方剂】
医案说：大原则是春季适宜使用吐法。凡是服用催吐药，达到治疗效果就停止，不必用完全部药剂。
病症类似桂枝汤证（表现为发热、恶风、汗出等表虚证），但头部不痛、项部不强硬，而寸口脉浮，胸中坚硬胀满，气向上冲撞咽喉导致呼吸不畅，这是因为体内有久病的胸膈寒邪，胸中郁闷疼痛不能进食，想要让人按压胸部，反而流出涎液，腹泻每天十多次，且患者脉象符合少阴病特征。
少阴病（心肾阳虚或阴虚火旺之重证），饮食入口即吐，心中烦闷欲吐又吐不出来，适宜使用吐法。宿食停滞在上脘（胃的上部），适宜使用吐法。
病症手足逆冷，脉搏突然结代（缓而中止），这是客气（外邪）停留在胸中，心下胀满且烦躁，饥饿却不能进食，因为病位在胸中，适宜使用吐法。
[Two Prescriptions]
Prescription for treating Taiyang cold damage (Shanghan) with tight and choppy pulse, aversion to cold, fever, and body ache.
Fuzi (Prepared Aconite Root), Wutou (Aconitum Carmichaelii Root) (each 4 liang), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Banxia (Pinelliae Tuber) (each 5 liang), Zhusha (Cinnabar) (1 liang).
Grind the above six herbs into fine powder, mix with honey to make pills, coat with genuine cinnabar for color. Take before meals, two pills the size of a soybean each time, washed down with ginger decoction. Take three times a day. Shortly after taking the medicine, drink about two sheng of hot porridge, cover with blankets until sweating occurs, then stop covering. If no sweat occurs, or if sweat is scanty and the disease persists, administer again as previously directed. If sufficient sweat occurs but the disease does not resolve, Guizhi Tang (Cinnamon Twig Decoction) should be taken. This medicine is highly toxic; for those with heat constitution, instruct them to drink water; for those with cold constitution, use warm liquid to detoxify. For treating malaria, take two pills before the onset of symptoms. (In *Jin Gui Yao Lue*, Xixin is used instead of Renshen.)
For cold damage persisting for five to six days or more without resolution, with heat stagnating in the chest, trismus (lockjaw) preventing speech, and only desiring to drink water, this is termed "Huai Shanghan" (damaged cold damage due to mismanagement). If physicians cannot treat it, death ensues when essence and spirit are exhausted, yet warmth remains only at the epigastrium. Use a stick to pry open the mouth and pour medicine down the throat; if the medicine is swallowed, the patient will recover. Mainu Wan (Wheat Slave Pill), also known as Heiniu Wan (Black Slave Pill) or Shuijie Wan (Water Resolution Pill).
Fudi Mo (Pot Bottom Ink/Soot), Zaotu Mo (Stove Chimney Soot), Liangshang Chen (Dust from Beams), Mainu (Black mildew on wheat spikes), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas) (each 1 liang), Mahuang (Ephedrae Herba) (2 liang).
Grind the above eight herbs into fine powder, mix with honey to make pills the size of a bullet. Take one pill, crush it in 5 ge of fresh well-water, let it dissolve completely, and drink the solution. When the patient desires water, allow them to drink freely without limiting the quantity; even if they wish to stop, force them to drink. More drinking is better. If they do not desire water, force-feed them. Shortly after taking the medicine, the patient will feel cold. After the cold sensation passes...
[One Case Record, Two Prescriptions]
The case record states: The general principle is that spring is suitable for using emetic therapy. Whenever administering emetics, stop once the desired effect is achieved; there is no need to consume the entire dose.
If the symptoms resemble Guizhi Tang syndrome (characterized by fever, wind aversion, and sweating) but without headache or neck stiffness, while the Cun-kou pulse is floating, the chest feels hard and full, and qi rushes upward to the throat causing dyspnea, this is due to chronic cold pathogens in the upper chest. There is stifling pain in the chest, inability to eat, a desire for someone to press the area, excessive salivation, and diarrhea occurring more than ten times a day, with the patient's pulse indicating Shaoyin disease (Lesser Yin disease).
In Shaoyin disease, food is vomited immediately upon entering the mouth, accompanied by a feeling of oppression and nausea in the heart region without actual vomiting. Emetic therapy is appropriate. Retained food in the upper jiao (upper burner/stomach) requires emetic therapy.
If the limbs are cold and the pulse is intermittently knotted (slow with irregular pauses), this indicates pathogenic qi lodged in the chest. There is fullness and irritability in the epigastrium, hunger but inability to eat. Since the pathology is located in the chest, emetic therapy is appropriate.