药中之宝五苓散， 专治伤寒有大功。
阳证见时须去桂， 阴加附子水煎浓。
狂言乱语辰砂末， 头目疼痛入川芎。
咳嗽多加五味子， 心气不定麦门冬。
胃中呕逆人参妙， 痰多半夏喜相逢。
定喘马兜零最好， 苍术去湿腹中空。
小便涩闭加瞿麦， 黄芩能使大便通。
腹中气块三棱术， 青皮能退热如烘。
麻黄用根除盗汗， 下部赤肿使椒红。
饮水烦渴加干葛， 鼻衄乌药却为功。
眼中黄色茵陈炒， 劳复桔梗有神功。
目赤令添赤芍药， 茵陈退肿又相逢。
眼中若赤石膏末， 陈皮止渴又参同。
急医水气甜葶苈， 伏暑灯心浸水中。
二十四证真妙诀， 专心尽救效无穷。
时毒治验∶泰和二年，先师以进纳盐济源税，时四月，民多疫疠，初觉增寒体重，次传
头面肿盛，目不能开，上喘，咽喉不利，舌干口燥，俗云大头天行，亲戚不相访问，如染之，
多不能救。张县丞侄亦得此病，至五六日，医以承气加蓝根下之，稍缓，翌日其病如故，下
之又缓，终莫能愈，渐至危笃。或曰∶李明之存心于医，可请治之。遂命诊视，具说其由，
先师曰∶夫身半已上，天之气也，身半已下，地之气也。此邪热客于心肺之间，上攻头目而
为肿盛，以承气下之，泻胃中之实热，是诛罚无过，殊不知适其所至焉。故遂处方，用黄芩
黄连，味苦寒，泻心肺间热，以为君，橘红味平，玄参苦寒，生甘草甘寒，泻火补气，以为
臣，连翘鼠粘子薄荷叶苦辛平，板蓝根味苦寒，马勃白僵蚕味苦平，散肿消毒定喘，以为佐，
升麻柴胡苦平，行少阳阳明二经不得伸，桔梗味辛温，为舟楫，不令下行，共为细末，半用
汤调，时时服之，半用蜜为丸，噙化之，服尽良愈。因叹曰∶往者不可追，来者犹可及。凡
他所有病者，皆方书以贴之，全活甚众，时人皆曰∶此方天人所制，
黄芩 黄连（各半两） 人参（三钱） 橘红 玄参 生甘草 柴胡 桔梗（各二钱） 连
翘鼠粘子 板蓝根 马勃（各一钱） 白僵蚕（炒） 升麻（各七分）
上件为细末，服饵如前法，或加防风薄荷当归身， 咀如麻豆大，每服秤五钱，水二
盏
肿势甚者，宜砭刺之。
五苓散是药物中的瑰宝，专门治疗伤寒病有巨大的功效。
如果是阳证出现时，必须去掉桂枝；如果是阴证，则加入附子，用水浓煎。
如果出现胡言乱语的症状，加入辰砂末；如果头目疼痛，加入川芎。
咳嗽多加五味子，心气不安定加麦门冬。
胃中呕吐逆气用人参效果最好，痰多则半夏与之相宜。
平喘以马兜铃为最佳，苍术能祛除湿邪，使腹部空虚（指消除胀满）。
小便涩滞闭塞加瞿麦，黄芩能使大便通畅。
腹中有气块用三棱和莪术，青皮能退热如烘烤般迅速。
麻黄用根可以去除盗汗，下部红肿用花椒红（花椒皮）有效。
饮水后烦渴加干葛（葛根），鼻衄（流鼻血）用乌药却能有功。
眼中发黄将茵陈炒用，劳复（劳累后复发）用桔梗有神效。
眼睛发红令添赤芍药，茵陈退肿又与赤芍药相逢。
眼中若赤痛用石膏末，陈皮止渴又与石膏同用。
急治水气病用甜葶苈，伏暑症用灯心草浸泡在水中。
这二十四种证候真是妙诀，专心救治疗效无穷无尽。
时毒治疗验案：泰和二年，我的老师担任进纳盐济源税的职务，当时是四月，百姓中流行疫病，起初感觉怕冷且身体沉重，随后传染导致头面部肿胀严重，眼睛无法睁开，向上气喘，咽喉不利，舌干口燥，俗称“大头天行”（大头瘟），亲戚不敢互相探访，一旦染上，大多不能救治。张县丞的侄子也得此病，到了五六天，医生用承气汤加板蓝根攻下，症状稍缓解，第二天病情依旧，再次攻下后稍缓，但最终未能痊愈，逐渐变得危重。有人说：“李明之用心于医学，可以请他治疗。”于是让他诊视，详细说明了病因。老师说：“身体上半部是天之气，下半部是地之气。这是邪热客居在心肺之间，向上攻冲头目而导致肿胀严重。如果用承气汤攻下，是泻除胃中的实热，这是惩罚了没有过错的部位，殊不知应该针对邪气所在之处进行治疗。”因此随即开处方，使用黄芩、黄连，味苦寒，泻除心肺间的热，作为君药；橘红色平，玄参苦寒，生甘草甘寒，泻火补气，作为臣药；连翘、鼠粘子（牛蒡子）、薄荷叶苦辛平，板蓝根苦寒，马勃、白僵蚕苦平，散肿消毒定喘，作为佐药；升麻、柴胡苦平，疏通少阳、阳明二经郁结不得伸展的气机，桔梗味辛温，作为舟楫之药，防止药力下行。共同研成细末，一半用药汤调服，时时服用；一半用蜜做成丸剂，含化服用，服完即痊愈。于是感叹道：“过去的事不可追回，未来的事还可以赶上。”凡是其他患有此病的人，都用这个方子贴敷治疗，保全活了很多性命，当时的人都称这个方子是上天和人类共同制定的。
黄芩、黄连（各半两），人参（三钱），橘红、玄参、生甘草、柴胡、桔梗（各二钱），连翘、鼠粘子、板蓝根、马勃（各一钱），白僵蚕（炒制），升麻（各七分）。
以上药材制成细末，服用方法同上，或者加上防风、薄荷、当归身，切碎如麻豆大小，每次称取五钱，加水两盏。
肿胀严重的，适宜用砭石刺破排脓。
Wuling San (Five-Ling Powder) is the treasure among medicines, specifically treating Taiyang Cold Damage (Taiyang Shanghan) with great efficacy.
When Yang syndromes present, Guizhi Tang (Cinnamon Twig Decoction)'s key herb, Cinnamomi Ramulus (Guizhi), must be removed; when Yin syndromes present, Aconiti Lateralis Radix Praeparata (Fuzi) is added, and decocted thickly with water.
For delirious speech, add Cinnabar powder (Chensha Mo); for headache and eye pain, add Ligusticum Chuanxiong Rhizome (Chuanxiong).
For increased coughing, add Schisandrae Fructus (Wuweizi); for unsettled Heart Qi (Xinqi Buding), add Ophiopogonis Radix (Mendong).
For vomiting and reflux in the Stomach (Weizhong ouni), Ginseng Radix et Rhizoma (Renshen) is excellent; for abundant phlegm, Pinelliae Rhizoma (Banxia) meets it favorably.
For calming asthma, Aristolochiae Fructus (Madouling) is best; Atractylodis Rhizoma (Cangzhu) removes dampness, emptying the abdomen (resolving distension).
For astringent and obstructed urination, add Diantherae Herba (Qumai); Scutellariae Radix (Huangqin) can facilitate bowel movement.
For qi masses in the abdomen, use Bupleuri Radix (Sanleng) and Zedoary Rhizome (Ezhu); Citri Reticulatae Pericarpium (Qingpi) can dissipate heat as quickly as roasting.
Using the roots of Ephedrae Herba (Mahuang Yegen) eliminates night sweats; for redness and swelling in the lower body, Zanthoxyli Pericarpium (Shanjiaohong) is effective.
For thirst after drinking water, add Puerariae Lobatae Radix (Gange); for epistaxis (Bini), Arisaematis Rhizoma preparatum (Wuyao) proves efficacious.
For yellow eyes, stir-fried Coptidis Rhizoma (Yinchen) is used; for relapse due to overexertion (Laofu), Platycodonis Radix (Jiegeng) shows miraculous effects.
For red eyes, add Paeoniae Radix Rubra (Chishao); Coptidis Rhizoma (Yinchen) reduces swelling and pairs with Chishao.
If the eyes are red and painful, use Gypsum Fibrosum powder (Shigao Mo); Citri Reticulatae Pericarpium (Chenpi) stops thirst and works in concert with Shigao.
To urgently treat water retention, use Semen Lepidii et Descurainiae (Tingli); for latent summerheat, use Junci Medulla (Dengxin) soaked in water.
These twenty-four patterns are truly wonderful principles; devoted treatment yields boundless efficacy.
Case Report on Seasonal Toxins: In the second year of Taihe, my master served as the tax collector for salt tribute in Yuanji. It was April, and an epidemic was prevalent among the people. Initially, patients felt chills and heaviness in the body, which then progressed to severe swelling of the head and face, inability to open the eyes, upward panting, throat obstruction, dry tongue, and dry mouth. This was commonly known as "Big Head Epidemic" (Datou Tianxing). Relatives avoided visiting each other, and once infected, most could not be saved. The nephew of Magistrate Zhang also contracted this disease. By the fifth or sixth day, physicians used Chengqi Tang (Major Order of the Qi Decoction) plus Isatidis Radix (Banlangen) to purge, resulting in slight relief. The next day, the condition remained unchanged; upon purging again, there was slight relief, but ultimately it did not cure, and the patient gradually became critical. Someone said, "Li Mingzhi is dedicated to medicine; you should invite him to treat." So, he was summoned to examine the patient and explained the pathology. My master said, "The upper half of the body corresponds to the Qi of Heaven, and the lower half to the Qi of Earth. Here, pathogenic heat lodges between the Heart and Lung, attacking upwards to cause severe swelling of the head and eyes. Using Chengqi Tang to purge clears excess heat from the Stomach, which is punishing the innocent (unaffected areas), ignoring the actual location of the pathogen." Therefore, he prescribed the following: Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma), bitter and cold, to clear heat from the Heart and Lung, serving as the Sovereign (Jun) herbs; Juhong (Citri Reticulatae Pericarpium), neutral in flavor; Xuanshen (Scrophulariae Radix), bitter and cold; Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), sweet and cold, to clear fire and tonify Qi, serving as the Minister (Chen) herbs; Lianqiao (Forsythiae Fructum), Niubangzi (Arctii Fructus), Boheye (Menthae Haplocalycis Folium), bitter, pungent, and neutral; Banlangen (Isatidis Radix), bitter and cold; Mabo (Fly Agaric? No, Pleurotus eryngii var. ferulae / Lycopodium? Actually *Ma Bo* refers to *Lycoperdon* or similar, WHO term: *Lycoperdon* or *Pleurotus*? Standard is *Lycoperdon* or *Calvatia*. Let's use *Lycoperdon Sporangium* or simply *Ma Bo*). Bai Jiangcan (Bombyx Batryticatus), bitter and neutral, to dissipate swelling, detoxify, and calm asthma, serving as the Assistant (Zuo) herbs; Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), bitter and neutral, to unblock the Shaoyang and Yangming meridians where Qi cannot extend freely; Jiegeng (Platycodonis Radix), acrid and warm, acting as a boat and oar to prevent downward transmission. All were ground into fine powder. Half was mixed with water and taken frequently; half was made into honey pills for sucking. After finishing the course, the patient recovered completely. He sighed, saying, "What is past cannot be retrieved, but what is future can still be achieved." For all other patients with this disease, he applied this formula, saving many lives. People at the time said this formula was created by heaven and humanity.
Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian) (each 0.5 liang), Ginseng Radix et Rhizoma (Renshen) (3 qian), Citri Reticulatae Pericarpium (Juhong), Scrophulariae Radix (Xuanshen), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao), Bupleuri Radix (Chaihu), Platycodonis Radix (Jiegeng) (each 2 qian), Forsythiae Fructum (Lianqiao), Arctii Fructus (Niubangzi), Isatidis Radix (Banlangen), Lycoperdon Sporangium (Mabo) (each 1 qian), Bombyx Batryticatus (Bai Jiangcan) (stir-fried), Cimicifugae Rhizoma (Shengma) (each 7 fen).
Grind the above ingredients into a fine powder. Administer as previously described. Alternatively, add Saposhnikoviae Radix (Fangfeng), Menthae Haplocalycis Folium (Bohe), and Angelicae Sinensis Radix (Danggui Shen). Cut into pieces the size of hemp seeds. Each dose weighs 5 qian, decocted with two cups of water.
For severe swelling, scarification (Bianci) is appropriate.