古人贴灸疮不用膏药。要得脓水出多而疾除。资生云。春用柳絮。夏用竹膜。秋用新绵。冬用兔腹下白细
毛。或猫腹细毛。今人多以膏药贴之。日两三易。欲其速愈。此非治疾之本意也。但今贴膏药。意在避风。亦
取其便。惟久久贴之可也。
十全大补汤（治诸虚百损。荣卫不和。形体羸瘦。面色痿黄。脚膝酸疼。腰脊倦痛。头眩耳重。
口苦舌干。骨热内烦。心忪多汗。饮食进退。寒热往来。喘嗽吐衄。遗精失血。妇人崩漏。经候不调。凡病
后不爽。及忧虑伤动血气。此药平补有效。）
白茯苓 白术（土炒） 肉桂（去粗皮） 川芎 当归身 人参 黄 （蜜制） 白芍 熟地黄 甘草（炙各等分）
上锉剂。水二钟。生姜三片。辉枣一枚。煎至八分。去滓温服。不拘时候。
接经曰。气主 之。血主濡之。故用人参、白术、黄 、茯苓、甘草甘温之品以补气。气盛则能充实于肌肉
矣。用当归、川芎、芍药、地黄、肉桂味浓之品以补血。血生则能润泽其枯矣。
七宣丸（治风气结聚。宿食不消。兼砂石皮毛在腹中。及积年腰脚疼痛。冷如冰石。香港脚冲
心。烦愤闷乱。头旋暗倒。肩背重痛。心腹胀闷。胸膈闭塞。风毒肿气。连及头面。大便或秘。小便时涩。脾胃
气痞。不能饮食。香港脚转筋。掣痛挛急。心神恍惚。睡卧不安等疾。）
锦纹大黄（面裹煨十五两） 甘草（炙四两） 柴胡（去苗洗） 诃黎勒皮 枳实（焙） 木香（各五两） 桃仁
（泡去皮尖焙干六两）
上为细末。炼蜜为丸。如梧桐子大。每服二三十丸。食远临卧米饮送下。渐增至四五十丸。取宣利为度。
觉病势退愈则止服。不问男女老少。并宜服之。量虚实增减。
神功丸（治三焦气壅。心腹痞闷。六腑风热。大便不通。腰腿疼痛。肩背重痛。头昏
面热。口苦咽干。心胸烦燥。睡卧不安。及治香港脚。并素有风人大便结燥。）
火麻仁（另捣如膏） 人参（去芦各二两） 锦纹大黄（面裹煨） 订黎勒（取干皮各四两）
上为细末。另入麻仁膏擦匀。加炼蜜为丸。如梧桐子大。每服二三十丸。滚白汤或温酒米饮皆可送下。
食远临卧时服。如大便不通。可倍丸数。以通利为度。
小柴胡汤（治伤寒温热病。身热恶风。颈项强急。胸满胁痛。呕哕烦渴。寒热往来。身面皆黄。小便不利。
大便秘涩。或过经未解。或潮热不除。及瘥后劳复。发热疼痛。妇人伤风头痛烦热。经血适断。寒热如疟。
发作有时。及产后伤风。并宜服之。）
柴胡（去芦半斤） 人参（去芦） 甘草（炙） 黄芩（各三两） 半夏（汤泡七次焙干二两五钱）
上锉剂。或为粗末。每服三五钱。水二钟。生姜三片。枣一枚。去核同煎七分。去滓温服。不拘时候小儿分
作二服。量其大小多寡。
按邪在表则恶寒。邪在里则发热。邪在半表半里则恶寒且热。故令寒热往来。少阳之脉。行于两胁。故
令胁痛。其经属于胆。胆汁上溢。故口苦。胆者肝之腑。在五行为木。有垂枝之象。故脉弦。柴胡性辛温。辛
者金之味。故用之以平木。温者春之气。故用之以入少阳。黄芩质枯而味苦。枯则能浮。苦则降。君以柴
胡。则入少阳。矣然邪之伤人。常乘其虚。用人参、甘草者。欲中气不虚。邪不得复传入里耳。是以中气不
虚之人。虽有柴胡证。而人参在可去也。邪初入表里。气逆而烦呕。故用半夏之辛。以除呕逆。邪半在表。
则荣卫争。故用姜枣之辛甘。以和荣卫。
二陈汤（治痰饮为患。或呕吐恶食。或头眩心悸。或中脘不快。或发热恶寒。或因食生冷。脾胃不和。）
半夏（汤泡洗七次姜汁炒） 广陈皮（汤泡去白各一钱半） 甘草（炙七分） 白茯苓（一钱）
上锉剂。水二钟。生姜三片。乌梅一个。同煎至六分。去滓。不拘时温服。
按水谷入胃。无非湿也。脾土旺则能运化水谷。上归于肺。下达膀胱。无湿气之可留也。惟夫脾弱不能
制湿。则积而为痰饮。半夏之辛能燥湿。茯苓之淡能渗湿。甘草之甘能健脾。陈皮之辛能利气。脾健则
足以制湿。气利则积饮能行。东南之人。多有湿饮之痰。故丹溪恒主之。其曰加升提之剂者。亦清气升
而浊气自降之谓。
按此汤乃治一身之痰都管之要药也。欲下行加引下药。黄柏、木通、防己之类。欲上行加引上药。升麻、
柴胡、防风之类。又曰、二陈加升降之药。能使大便润而小便长。
温白丸（治心腹积聚。久症癖块。大如杯碗。黄胆宿食。朝起呕吐。肢满上气。时时腹胀。心下坚
结。上乘抢心。傍攻两胁。十种水病。八种痞塞。翻胃吐逆。饮食噎塞。五种淋疾。九种心痛。积年食不消化。
或疟痰连年不瘥。及疗一切诸风。身体顽痹。不知痛痒。或半身不遂。或眉发堕落。及疗七十二种风。三十六种
遁尸疰忤及癫痫。或妇人诸疾。断绪不生。带下淋沥。五邪烦心。忧愁思虑。意思不乐。饮食无味。月水不调。
及腹中一切诸疾。有似怀孕。连年屡月。羸瘦困惫。或歌或哭。如有所使。俱服此药。无不除愈。）
川乌头（泡去皮脐二两五钱） 紫菀（去苗土叶） 柴胡（去芦头） 石菖蒲 浓朴（去皮姜制） 桔梗
皂角（去皮子炒） 吴茱萸（用汤洗炒） 干姜（炮） 黄连 人参 白茯苓 肉桂（去粗皮） 巴豆（去心皮膜出油
炒另研） 蜀花椒（去目及闭口者微炒去汗各五钱）
上为细末。另入巴豆拌匀。炼蜜为丸。如梧桐子大。每服三丸。姜汤送下。食后临卧服。渐加至五丸七丸。
通利则止。再缩减回服。
川芎茶调散（治男妇小儿。诸风上攻。头目昏重。偏正头风疼痛。鼻塞声重。伤风壮热。肢体烦
疼。肌肉蠕动。膈热痰盛。妇人血风攻注。太阳穴疼。但是感风气。悉皆治之。）
苏薄荷（去梗取叶不见火八两） 防风（三两） 白芷 川羌活 甘草（炙各二两） 细辛（去芦八钱）
川芎 荆芥穗（各四两）
上为细末。每服二钱。食后茶清调下。或姜葱煎服亦可。一方加菊花、僵蚕、蝉蜕。名曰菊花茶调散。常
服清头目。
四物汤（能调益荣卫。滋养气血。治冲任虚损。月水不调。脐腹 痛。崩中漏下。血瘕块硬。
发歇疼痛。妊娠宿冷。将息失宜。胎动不安。血下不止。及产后乘虚风寒内搏。恶露不下。结生瘕聚。
少腹坚痛。时作寒热。）
当归身（去须酒浸微炒） 白芍药（酒洗） 川芎（酒洗） 干熟地（酒蒸各等分）
上锉剂。白水二钟。煎至八分。去滓温服。
按是方治血分之圣药也。用当归引血归肝经。川芎引血归肺经。芍药引血归脾经。地黄引血归肾经。
惟心生血。肝纳血。脾统血。肺行血。肾藏血。男子化而为精。女子化而为月水。血有形之物。属乎阴。故名
曰四物汤。
经云。气血人身之二仪也。天地之道。阳常有余。阴常不足。人与天地相似。故阴血难盛而易亏。是方也。
当归、芍药、地黄。味浓者也。味浓为阴中之阴。故能生血。川芎味薄而气清。为阴中之阳。故能行血中之
气。然草木无情。何以便能生血。所以谓其生血者。以当归、芍药、地黄。能养五脏之阴。川芎能调荣卫中
之气。五脏和而血自生耳。若曰四物便能生血。则未也。师云、血不足者。以此方调之则可。若上下失血
太多。气息机微之际。则四物禁勿与之。所以然者。四物皆阴。阴者天地闭塞之令。非所以生万物者也。
故曰禁勿与之。
凉膈散（治男妇小儿。脏腑积热。烦燥多渴。面热头昏。唇焦咽燥。舌肿喉闭。目赤疼痛。鼻衄颔颊结硬。
口舌生疮。痰实不利。涕唾稠粘。睡卧不宁。谵语狂妄。肠胃燥涩。便溺秘结。凡一切风壅等症。并
宜治之。）
黄芩（酒炒） 栀仁（炒黑） 苏薄荷（各三两） 连翘（四两） 大黄（酒炒） 甘草（炙） 元明粉（各二两）
上为粗末。每服四钱。白水二钟。煎至八分。去滓。食远热服。
按是方黄芩、栀子。味苦而气凉。故泻火于中。连翘、薄荷。味薄而气薄。故清热于上。大黄、芒硝。咸寒而味
浓。故诸实皆泻。用甘草者。取其性缓而恋膈也。不作汤液而作散者。取其泥膈而成功于上也。
三黄丸（治三焦积热上攻。眼目赤肿。小便赤涩。大便结燥。五腑俱热。肠风痔漏等症。并皆治之。）
川黄连 黄芩 黄柏（俱用酒润炒各等分）
上为细末。炼蜜为丸。如梧桐子大。每服三钱。空心白滚汤送下。忌煎炒椒姜辛辣等热物。
按少火之火。无物不生。壮火之火。无物不耗。经曰壮火食气是也。故少火宜升。壮火宜降。今以三物降
其三焦之壮火。则气得其生。血得其养。而三焦皆受益矣。黄芩苦而枯。故清热于上。黄连苦而实。故泻
火于中。黄柏苦而润。故泻火于下。虽然。火有虚实。是丸但可以治实火。若虚者用之。则火反盛。谓降多
亡阴也。丹溪曰。虚火宜补。则虚实之辨。若天渊矣。明者当求之证焉。
一名三补丸。三补云何。以黄连、黄芩、黄柏三黄。能泻三焦之火。火泻则阴生。故曰三补。
按是方乃泻中之补。非补中之补也。若真以为补。是向痴人说梦也。程岩泉曰。人皆知补之为补。而不
知泻之为补。知泻之为泻。而不知补之为泻。真知言哉。
四季三黄泻心丸（治男妇三焦积热。上焦有热攻冲。眼目赤肿。头项疼痛。口舌生疮。中焦有热。
心膈烦燥。不美饮食。下焦有热。小便赤涩。大便秘结。五脏俱热。即生痈疖疮痍。及治五般痔疾。
粪门肿或下鲜血。小儿积热。亦宜服之。）
大黄（酒浸九蒸晒春秋三夏一冬五两） 黄连（酒炒春四夏五秋三冬一两） 黄芩（酒炒春四夏秋六冬二两）
上为细末。炼蜜为丸。或用水叠为丸亦可。如梧桐子大。每服二三钱。滚白汤送下。
按味之苦者皆能降火。黄芩味苦而质枯。黄连味苦而气燥。大黄苦寒而味浓。质枯则上浮。故能泻火
于膈。气燥则就火。故能泻火于心。味浓则喜降。故能荡邪攻实。此天地亲上亲下之道。水流湿。火就燥
之义也。
青州白丸子（治男妇半身不遂。手足顽麻。口眼 斜。痰涎壅塞。及一切风。他药所不能疗者。
小儿惊风。大人头风。洗头风。妇人血风。并宜服之。）
天南星（生三两） 白附子（二两） 半夏（以水浸洗过白大者用七两） 川乌头（去皮脐五钱各生用）
上为细末。以生绢袋盛。用井华水摆。未出者更以手揉令出。如有滓。更研。再入绢袋。摆净为度。放瓷盆
中。日晒夜露。至晓弃水。别用井华水搅。又晒至来日早。再换新水搅。如此春五日。夏三日。秋七日。冬十
日。去水晒干后如玉片。碎研。以糯米粉煎粥清为丸。如绿豆大。初服五丸。服至十五丸。生姜汤送下。不
计时候。如瘫痪风。以温酒下二十丸。日进三服。至三日后。当有汗。便能舒展。服经三五日渐愈。如痰壅
膈上。欲用吐法。研末。每服三钱。用齑汁调服。吐痰为度。
大承气汤（治阳明胃经积热攻目。其脉沉实。睛珠疼痛。眩运。红肿生翳。累发累治。久服寒凉之剂太
过。以致寒裹火邪。结热未除。实于腹内。秘结不通。治宜泻满。通大便。下实热可也。）
锦纹大黄（酒洗炒） 芒硝（各三钱） 浓朴（去皮炙） 枳实（炙各二钱）
上为剂。水四钟。先煮浓朴、枳实。至二钟。入大黄煎二三沸。入硝煎温服。取利为度。如未利。再投一服。
按经云。燥淫所胜。以苦下之。大黄之苦寒。以泻实热。枳实之苦辛温。攻肠胃壅滞。润燥除热。又曰。燥淫
于内。治以苦温。浓朴之苦辛温。破腹中结燥。又曰。热淫所胜。治以咸寒。芒硝之咸。以攻蕴热之坚痞。
白通汤（治少阴肾水客寒自利。宜通阳气。温中散寒。故用葱白通气。助干姜附子。温中散寒可也。）
葱白（四茎） 干姜（二钱） 附子（制过三钱）
水二钟煎服。本方加人尿猪胆汁。苦寒。使热药不为寒气所格。乃内经所谓甚者从治之法是也。
十枣汤（治伤寒邪热。内蓄伏饮。以致头疼。心下痞满。引胁下痛。干呕气。治宜下热逐饮为当。经云
辛以散之。故用芫花之辛以散饮。苦以泄之。故用甘遂大戟之苦以泄水。大枣之甘以益脾土。）
芫花（钱半） 甘遂（四分） 大戟（一钱） 大枣（六枚）
共为一剂。白水二钟。先煎大枣至八分。入前三味同煎。或共为细末。每服一钱。羸人减半。若下少。病不
除者。明日更服。得快下。利后糜粥自养。
导痰汤（治风痰涌盛者）
半夏（制二钱） 广陈皮（去白） 枳实（去穣） 赤茯苓 甘草（炙） 胆南星（各一钱）
上锉剂。白水二钟。生姜三片。煎至八分。去滓温服。
按风痰者。湿土生痰。痰生热。热生风也。半夏、陈皮、茯苓、甘草。前之二陈汤耳。加南星以治风痰。入枳实
去痰如倒壁。
保命集当归汤（治翳。补益瞳仁。）
当归身 黄芩 赤芍药（各一钱半） 柴胡 川黄连（各一钱） 甘草（六分） 熟地黄（二钱）
上锉剂。白水二钟。煎至八分。去滓温服。
古人治疗灸疮时不使用膏药。目的是让脓水流出较多，从而迅速痊愈。《资生经》记载：春季用柳絮，夏季用竹膜，秋季用新绵，冬季用兔腹下的白细毛，或者猫腹部的细毛。现在的人多用膏药贴敷，每天更换两三次，希望它快速愈合。这不符合治疗的根本意图。但现在使用膏药，意在避免受风，也图方便，只要长时间贴着就可以了。
十全大补汤（治疗各种虚损、营卫不和、形体消瘦、面色萎黄、脚膝酸痛、腰脊倦怠疼痛、头晕耳鸣沉重、口苦舌干、骨蒸内烦、心悸多汗、饮食增减不定、寒热往来、喘咳吐血、遗精失血、妇女崩漏、月经不调，以及病后不适，以及忧虑损伤气血，此药平补有效。）
白茯苓、白术（土炒）、肉桂（去粗皮）、川芎、当归身、人参、黄芪（蜜制）、白芍、熟地黄、甘草（炙，各等分）
以上药材切碎成剂，加水二钟，生姜三片，大枣一枚，煎至八分，去渣温服，不限时候。
接经说：气主煦之，血主濡之。所以用人参、白术、黄芪、茯苓、甘草这些甘温的药物来补气。气盛就能充实肌肉。用当归、川芎、芍药、地黄、肉桂这些味道浓厚的药物来补血。血生就能润泽干枯的身体。
七宣丸（治疗风气结聚、宿食不消，兼有砂石皮毛在腹中，以及多年腰脚疼痛，冷如冰石，香港脚冲心，烦闷昏乱，头晕眼花跌倒，肩背重痛，心腹胀闷，胸膈闭塞，风毒肿气，连及头面，大便或秘结，小便时涩，脾胃气痞，不能饮食，香港脚转筋，掣痛挛急，心神恍惚，睡卧不安等疾病。）
锦纹大黄（面裹煨十五两）、甘草（炙四两）、柴胡（去苗洗）、诃黎勒皮、枳实（焙）、木香（各五两）、桃仁（泡去皮尖焙干六两）
以上研为细末，炼蜜为丸，如梧桐子大小。每次服用二三十丸，饭后和临睡前用米饮送下，逐渐增加至四五十丸，以通畅泻下为度。感觉病势退去痊愈就停止服药，不问男女老少，都适宜服用，根据虚实情况增减剂量。
神功丸（治疗三焦气壅，心腹痞闷，六腑风热，大便不通，腰腿疼痛，肩背重痛，头昏面热，口苦咽干，心胸烦躁，睡卧不安，以及治疗香港脚，并素有风人大便结燥。）
火麻仁（另捣如膏）、人参（去芦各二两）、锦纹大黄（面裹煨）、诃黎勒（取干皮各四两）
以上研为细末，另外加入麻仁膏擦匀，加炼蜜为丸，如梧桐子大小。每次服用二三十丸，滚开的白水或温酒米饮皆可送下。饭后和临睡前服用。如果大便不通，可以加倍丸数，以通利为度。
小柴胡汤（治疗伤寒温热病，身热恶风，颈项强急，胸满胁痛，呕哕烦渴，寒热往来，身面皆黄，小便不利，大便秘涩，或者过经未解，或者潮热不除，以及病后劳复，发热疼痛，妇人伤风头痛烦热，经血刚断，寒热如疟，发作有时，以及产后伤风，都适宜服用。）
柴胡（去芦半斤）、人参（去芦）、甘草（炙）、黄芩（各三两）、半夏（汤泡七次焙干二两五钱）
以上切碎成剂，或者做成粗末。每次服用三五钱，加水二钟，生姜三片，去核的大枣一枚，同煎至七分，去渣温服，不限时候。小儿分作两次服用，根据大小多少调整。
按：邪气在表则恶寒，邪气在里则发热，邪气在半表半里则既恶寒又发热，所以出现寒热往来。少阳经脉行于两胁，所以出现胁痛。其经属于胆，胆汁上溢，所以口苦。胆是肝的腑，在五行中属木，有垂枝的形状，所以脉象弦。柴胡性味辛温，辛是金的味道，所以用它来平抑木气；温是春的气，所以用它来入少阳经。黄芩质地枯而味苦，枯则能浮，苦则降。以柴胡为君药，则入少阳经。然而邪气伤人，常乘人体虚弱之时，用人参、甘草，是想让中气不虚，邪气就不能再传入里。所以中气不虚的人，虽然有柴胡证，人参也可以去掉。邪气初入表里，气逆而烦呕，所以用半夏的辛味，来消除呕逆。邪气一半在表，则营卫相争，所以用姜枣的辛甘，来调和营卫。
二陈汤（治疗痰饮为患，或者呕吐恶食，或者头眩心悸，或者中脘不快，或者发热恶寒，或因吃生冷，脾胃不和。）
半夏（汤泡洗七次姜汁炒）、广陈皮（汤泡去白各一钱半）、甘草（炙七分）、白茯苓（一钱）
以上切碎成剂，加水二钟，生姜三片，乌梅一个，同煎至六分，去渣，不限时间温服。
按：水谷进入胃中，无非是湿。脾土旺盛就能运化水谷，上归于肺，下达膀胱，就没有湿气可留了。只有脾弱不能制约湿气，则积聚成为痰饮。半夏的辛味能燥湿，茯苓的淡味能渗湿，甘草的甘味能健脾，陈皮的辛味能利气。脾健就能足以制湿，气利则积饮能行。东南地区的人，多有湿饮之痰，所以丹溪经常主张使用此方。他说加升提的药物，也是指清气上升而浊气自然下降的意思。
按：此汤是治疗一身之痰的要药。想要下行加引下药，如黄柏、木通、防己之类。想要上行加引上药，如升麻、柴胡、防风之类。又说，二陈汤加升降的药物，能使大便润而小便长。
温白丸（治疗心腹积聚，久症癖块，大如杯碗，黄疸宿食，早晨起来呕吐，肢体胀满上气，时时腹胀，心下坚结，上乘抢心，傍攻两胁，十种水病，八种痞塞，翻胃吐逆，饮食噎塞，五种淋疾，九种心痛，积年食不消化，或者疟疾痰连年不愈，以及治疗一切诸风，身体顽痹，不知痛痒，或者半身不遂，或者眉发堕落，以及治疗七十二种风，三十六种遁尸疰忤及癫痫，或者妇人诸疾，断绪不生，带下淋沥，五邪烦心，忧愁思虑，意思不乐，饮食无味，月经不调，以及腹中一切诸疾，有似怀孕，连年屡月，羸瘦困惫，或者歌或者哭，如有所使，都服用此药，无不除愈。）
川乌头（泡去皮脐二两五钱）、紫菀（去苗土叶）、柴胡（去芦头）、石菖蒲、浓朴（去皮姜制）、桔梗、皂角（去皮子炒）、吴茱萸（用汤洗炒）、干姜（炮）、黄连、人参、白茯苓、肉桂（去粗皮）、巴豆（去心皮膜出油炒另研）、蜀花椒（去目及闭口者微炒去汗各五钱）
以上研为细末，另外加入巴豆拌匀，炼蜜为丸，如梧桐子大小。每次服用三丸，姜汤送下，饭后临睡前服用，逐渐增加到五丸七丸，通畅泻下就停止，再缩减回原剂量服用。
川芎茶调散（治疗男妇小儿，诸风上攻，头目昏重，偏正头风疼痛，鼻塞声重，伤风壮热，肢体烦疼，肌肉蠕动，膈热痰盛，妇人血风攻注，太阳穴疼，凡是感受风气，都治疗。）
苏薄荷（去梗取叶不见火八两）、防风（三两）、白芷、川羌活、甘草（炙各二两）、细辛（去芦八钱）、川芎、荆芥穗（各四两）
以上研为细末。每次服用二钱，饭后用茶清调下，或者姜葱煎服也可以。一方加菊花、僵蚕、蝉蜕，名叫菊花茶调散，常服清头目。
四物汤（能调益荣卫，滋养气血，治疗冲任虚损，月经不调，脐腹疼痛，崩中漏下，血瘕块硬，发歇疼痛，妊娠宿冷，将息失宜，胎动不安，血下不止，以及产后乘虚风寒内搏，恶露不下，结生瘕聚，少腹坚痛，时作寒热。）
当归身（去须酒浸微炒）、白芍药（酒洗）、川芎（酒洗）、干熟地（酒蒸各等分）
以上切碎成剂，白水二钟，煎至八分，去渣温服。
按：此方是治疗血分的圣药。用当归引血归肝经，川芎引血归肺经，芍药引血归脾经，地黄引血归肾经。只有心生血，肝纳血，脾统血，肺行血，肾藏血。男子化为精，女子化为月经。血是有形的物质，属于阴，所以名叫四物汤。
经书说：气血是人身的二仪。天地的道理，阳常有余，阴常不足。人与天地相似，所以阴血难盛而易亏。此方中，当归、芍药、地黄，味道浓厚。味道浓厚是阴中之阴，所以能生血。川芎味道薄而气清，为阴中之阳，所以能行血中之气。然而草木无情，怎么能便生血？所以说它能生血，是因为当归、芍药、地黄，能养五脏之阴，川芎能调营卫之气。五脏和而血自生罢了。如果说四物便能生血，那是不对的。老师说，血不足的人，用此方调理是可以的。如果上下失血太多，气息微弱之际，则禁止给予四物汤。之所以这样，是因为四物都是阴药，阴是天地闭塞的命令，不是用来生万物的。所以说禁止给予。
凉膈散（治疗男妇小儿，脏腑积热，烦躁多渴，面热头昏，唇焦咽燥，舌肿喉闭，目赤疼痛，鼻衄颔颊结硬，口舌生疮，痰实不利，涕唾稠粘，睡卧不宁，谵语狂妄，肠胃燥涩，便溺秘结，凡一切风壅等症，都适宜治疗。）
黄芩（酒炒）、栀仁（炒黑）、苏薄荷（各三两）、连翘（四两）、大黄（酒炒）、甘草（炙）、元明粉（各二两）
以上做成粗末。每次服用四钱，白水二钟，煎至八分，去渣，饭后热服。
按：此方中黄芩、栀子，味苦而气凉，所以泻火于中。连翘、薄荷，味薄而气薄，所以清热于上。大黄、芒硝，咸寒而味浓，所以诸实皆泻。用甘草，是取其性缓而恋膈。不作汤液而作散剂，是取其泥膈而成功于上。
三黄丸（治疗三焦积热上攻，眼目赤肿，小便赤涩，大便结燥，五腑俱热，肠风痔漏等症，都治疗。）
川黄连、黄芩、黄柏（俱用酒润炒各等分）
以上研为细末，炼蜜为丸，如梧桐子大小。每次服用三钱，空腹白滚汤送下。忌煎炒椒姜辛辣等热物。
按：少火之火，无物不生；壮火之火，无物不耗。经书说壮火食气。所以少火宜升，壮火宜降。现在用这三物降低三焦的壮火，则气得以生，血得以养，而三焦都受益了。黄芩苦而枯，所以清热于上；黄连苦而实，所以泻火于中；黄柏苦而润，所以泻火于下。虽然如此，火有虚实，此丸只能治疗实火。如果是虚火使用，则火反而旺盛，说是降多亡阴。丹溪说，虚火宜补，那么虚实之辨，如同天渊。高明的人应当从证候上求索。
又名三补丸。为什么说三补？因为黄连、黄芩、黄柏三黄，能泻三焦之火，火泻则阴生，所以叫三补。
按：此方是泻中之补，不是补中之补。如果真以为它是补药，那是向痴人说梦。程岩泉说：人皆知补之为补，而不知泻之为补；知泻之为泻，而不知补之为泻。真是知言啊。
四季三黄泻心丸（治疗男妇三焦积热，上焦有热攻冲，眼目赤肿，头项疼痛，口舌生疮，中焦有热，心膈烦躁，不爱饮食，下焦有热，小便赤涩，大便秘结，五脏俱热，即生痈疖疮痍，以及治疗五般痔疾，肛门肿或下鲜血，小儿积热，也适宜服用。）
大黄（酒浸九蒸晒春秋三夏一冬五两）、黄连（酒炒春四夏五秋三冬一两）、黄芩（酒炒春四夏秋六冬二两）
以上研为细末，炼蜜为丸，或者用水叠为丸也可以。如梧桐子大小。每次服用二三钱，滚白汤送下。
按：味道苦的都能降火。黄芩味苦而质枯，黄连味苦而气燥，大黄苦寒而味浓。质枯则上浮，所以能泻火于膈；气燥则就火，所以能泻火于心；味浓则喜降，所以能荡邪攻实。这是天地亲上亲下的道理，水流湿，火就燥的含义。
青州白丸子（治疗男妇半身不遂，手足顽麻，口眼歪斜，痰涎壅塞，以及一切风，他药所不能疗者，小儿惊风，大人头风，洗头风，妇人血风，都适宜服用。）
天南星（生三两）、白附子（二两）、半夏（以水浸洗过白大者用七两）、川乌头（去皮脐五钱各生用）
以上研为细末，用生绢袋盛装，用井华水摆动，未出的再用手工揉搓令其出来。如果有渣滓，再研磨，再次放入绢袋，摆动干净为止。放入瓷盆中，日晒夜露，到早晨倒掉水，另用井华水搅拌，又晒到第二天早晨，再换新水搅拌。像这样春天五日，夏天三日，秋天七日，冬天十日。去水晒干后如玉片，碎研，用糯米粉煎粥清为丸，如绿豆大小。初服五丸，服至十五丸，生姜汤送下，不限时候。如果是瘫痪风，用温酒送下二十丸，每天进三服，三天后，应当出汗，便能舒展。服用经过三五日渐愈。如果痰壅膈上，想用吐法，研末，每次服用三钱，用齑汁调服，以吐出痰为度。
大承气汤（治疗阳明胃经积热攻目，其脉沉实，睛珠疼痛，眩晕，红肿生翳，累发累治，久服寒凉之剂太过，以致寒裹火邪，结热未除，实于腹内，秘结不通，治疗宜泻满，通大便，下实热即可。）
锦纹大黄（酒洗炒）、芒硝（各三钱）、浓朴（去皮炙）、枳实（炙各二钱）
以上做成剂，水四钟，先煮浓朴、枳实，至二钟，入大黄煎两三沸，入硝煎温服，以通利为度。如果没有通利，再投一服。
按：经书说，燥淫所胜，以苦下之。大黄之苦寒，以泻实热。枳实之苦辛温，攻肠胃壅滞，润燥除热。又说，燥淫于内，治以苦温。浓朴之苦辛温，破腹中结燥。又说，热淫所胜，治以咸寒。芒硝之咸，以攻蕴热之坚痞。
白通汤（治疗少阴肾水客寒自利，宜通阳气，温中散寒，所以用葱白通气，助干姜附子，温中散寒即可。）
葱白（四茎）、干姜（二钱）、附子（制过三钱）
水二钟煎服。本方加人尿猪胆汁，苦寒，使热药不为寒气所格拒，乃内经所谓甚者从治的方法。
十枣汤（治疗伤寒邪热，内蓄伏饮，以致头疼，心下痞满，引胁下痛，干呕气，治疗宜下热逐饮为当。经书说辛以散之，所以用芫花之辛以散饮；苦以泄之，所以用甘遂大戟之苦以泄水；大枣之甘以益脾土。）
芫花（钱半）、甘遂（四分）、大戟（一钱）、大枣（六枚）
共为一剂，白水二钟，先煎大枣至八分，入前三味同煎，或者共为细末，每次服用一钱，瘦人减半。如果下得少，病不除者，明天再服，得快下，利后糜粥自养。
导痰汤（治疗风痰涌盛者）
半夏（制二钱）、广陈皮（去白）、枳实（去穣）、赤茯苓、甘草（炙）、胆南星（各一钱）
以上切碎成剂，白水二钟，生姜三片，煎至八分，去渣温服。
按：风痰，是湿土生痰，痰生热，热生风。半夏、陈皮、茯苓、甘草，就是前面的二陈汤。加南星以治风痰，入枳实去痰如倒壁。
保命集当归汤（治疗翳，补益瞳仁。）
当归身、黄芩、赤芍药（各一钱半）、柴胡、川黄连（各一钱）、甘草（六分）、熟地黄（二钱）
以上切碎成剂，白水二钟，煎至八分，去渣温服。
Ancient people did not use plasters for treating moxibustion sores. The aim was to allow a profuse discharge of pus and water, thereby ensuring rapid recovery. *Zisheng Jing* records: in spring, use willow catkins; in summer, use bamboo membrane; in autumn, use new cotton wadding; in winter, use fine white hair from under the rabbit's belly, or fine hair from the cat's belly. Nowadays, people mostly use plasters, changing them two or three times a day, desiring quick healing. This does not align with the fundamental intent of treatment. However, the current use of plasters aims to avoid wind and offers convenience; it is acceptable to keep them applied for a long time.
Shiquan Dabu Decoction (Treats various deficiencies and damages, disharmony of Ying and Wei, emaciated body, sallow complexion, soreness and pain in feet and knees, fatigue and pain in waist and spine, dizziness and heavy ears, bitter taste in mouth and dry tongue, bone-steaming internal vexation, palpitations and excessive sweating, irregular appetite, alternating chills and fever, wheezing cough with hematemesis, seminal emission and blood loss, uterine bleeding and leukorrhea, irregular menstruation, discomfort after illness, and qi-blood damage due to worry and anxiety. This formula is effective for gentle tonification.)
Bai Fuling (Poria), Baizhu (Atractylodis Rhizoma stir-fried with soil), Rougui (Cinnamomi Cortex peeled), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dangguishen (Angelicae Sinensis Radix stem), Renshen (Ginseng Radix), Huangqi (Astragali Radix honey-processed), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata), Gancao (Licorice Root stir-fried with honey, equal parts).
Crush these into pieces. Add two zhong of water, three slices of fresh ginger, and one jujube. Decoct until eight-tenths remain, remove the dregs, and take warm at any time.
*Jiejing* states: Qi provides warmth, and Blood provides nourishment. Therefore, Ren Shen, Bai Zhu, Huang Qi, Fu Ling, and Gan Cao, which are sweet and warm, are used to tonify Qi. When Qi is abundant, it can fill the muscles. Dang Gui, Chuan Xiong, Shao Yao, Di Huang, and Rou Gui, which have rich flavors, are used to nourish Blood. When Blood is generated, it can moisten dryness.
Qixuan Pill (Treats accumulation of wind-qi, retention of undigested food, presence of sand, stones, fur, or feathers in the abdomen, chronic pain in waist and legs feeling cold as ice, beriberi attacking the heart, irritability and confusion, dizziness and fainting, heavy pain in shoulders and back, abdominal distension and fullness, chest oppression, wind-toxin swelling affecting head and face, constipation or difficult urination, spleen-stomach qi stagnation, inability to eat, beriberi with muscle cramps and spasms, mental restlessness, and insomnia.)
Jinwen Dahuang (Rheum Palmatum wrapped in flour and baked, 15 liang), Gancao (stir-fried with honey, 4 liang), Chaihu (Bupleuri Radix, stems removed and washed), Helilepi (Terminalia Chebula Pericarpium), Zhishi (Immature Bitter Orange Fruit baked), Muxiang (Aucklandiae Radix, each 5 liang), Taoren (Persicae Semen soaked, skin and tips removed, dried by baking, 6 liang).
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 20-30 pills per dose, swallowed with rice water after meals and before bed. Gradually increase to 40-50 pills, stopping when bowel movement becomes loose. Stop taking when symptoms resolve. Suitable for men, women, old, and young. Adjust dosage based on deficiency or excess.
Shengong Pill (Treats qi obstruction in San Jiao, epigastric fullness, wind-heat in six fu organs, constipation, pain in waist and legs, heavy pain in shoulders and back, dizziness and facial heat, bitter taste and dry throat, chest vexation, insomnia, beriberi, and constipation in patients with chronic wind conditions.)
Huomaren (Hemp Seed pounded into paste separately), Renshen (Ginseng Radix, rhizome removed, 2 liang each), Jinwen Dahuang (Rheum Palmatum wrapped in flour and baked), Helile (Terminalia Chebula Pericarpium dried, 4 liang each).
Grind into fine powder, mix evenly with hemp seed paste, add refined honey to form pills the size of paulownia seeds. Take 20-30 pills per dose, swallowed with boiling water or warm wine/rice water. Take after meals and before bed. If constipated, double the number of pills until bowel movement is unobstructed.
Xiao Chaihu Tang (Treats Shanghan and warm diseases with fever and aversion to wind, stiffness of neck and occiput, chest fullness and hypochondriac pain, vomiting and thirst, alternating chills and fever, jaundice of body and face, difficult urination, constipation, unresolved disease after passing through meridians, lingering tidal fever, relapse after recovery with fever and pain, wind-cold headache and fever in women after menstruation stops, malaria-like chills and fever occurring at specific times, and postpartum wind-cold.)
Chaihu (Bupleuri Radix, rhizome removed, 8 qian), Renshen (Ginseng Radix, rhizome removed), Gancao (Licorice Root stir-fried with honey), Huangqin (Scutellariae Radix, each 3 liang), Banxia (Pinelliae Rhizoma soaked in hot water seven times and dried, 2.5 liang).
Crush into pieces or coarse powder. Take 3-5 qian per dose, add two zhong of water, three slices of fresh ginger, and one pitted jujube. Decoct until seven-tenths remain, remove dregs, and take warm at any time. For children, divide into two doses according to age and size.
Commentary: Pathogens on the exterior cause aversion to cold; pathogens on the interior cause fever; pathogens in the half-exterior/half-interior cause both, leading to alternating chills and fever. The Shaoyang meridian runs along the hypochondrium, causing hypochondriac pain. It belongs to the Gallbladder; bile reflux causes bitter taste. The Gallbladder is the paired organ of the Liver, associated with Wood in Five Elements, resembling hanging branches, hence the wiry pulse. Chai Hu is acrid and warm; acrid corresponds to Metal, thus pacifying Wood; warm corresponds to Spring, thus entering Shaoyang. Huang Qin is withered and bitter; withered floats, bitter descends. With Chai Hu as sovereign, it enters Shaoyang. Pathogens attack weakness; Ren Shen and Gan Cao strengthen Middle Qi to prevent pathogen transmission inward. Thus, if Middle Qi is strong, Ren Shen may be omitted even with Chai Hu syndrome. For early exterior-interior invasion with rebellious Qi causing vomiting, Ban Xia's acridity resolves vomiting. For pathogens half-on-the-exterior causing Ying-Wei conflict, Ginger and Jujube harmonize Ying and Wei.
Erchen Tang (Treats phlegm-fluid retention causing vomiting and anorexia, dizziness and palpitations, epigastric discomfort, fever and aversion to cold, or spleen-stomach disharmony due to raw/cold food.)
Banxia (Pinelliae Rhizoma soaked in hot water seven times, stir-fried with ginger juice), Guang Chenpi (Citri Reticulatae Pericarpium soaked in hot water, white pith removed, 1.5 qian each), Gancao (Licorice Root stir-fried with honey, 7 fen), Bai Fuling (Poria, 1 qian).
Crush into pieces. Add two zhong of water, three slices of fresh ginger, and one dark plum. Decoct until six-tenths remain, remove dregs, and take warm at any time.
Commentary: Food and water enter the stomach, creating dampness. Strong Spleen Earth transforms fluids, sending them up to the Lung and down to the Bladder, leaving no dampness. Weak Spleen fails to control dampness, accumulating into phlegm-fluid. Ban Xia's acridity dries dampness; Fu Ling's blandness leaches dampness; Gan Cao's sweetness strengthens Spleen; Chen Pi's acridity moves Qi. A strong Spleen controls dampness; moving Qi allows fluid retention to pass. People in the Southeast often have damp-phlegm, so Danxi frequently prescribed this. Adding lifting agents refers to raising clear Qi so turbid Qi naturally descends.
This decoction is a key medicine for phlegm throughout the body. To direct downward, add guiding herbs like Huang Bo, Mu Tong, or Fang Ji. To direct upward, add Sheng Ma, Chai Hu, or Fang Feng. Adding ascending/descending agents to Erchen Tang moistens bowels and increases urination.
Wenbai Wan (Treats abdominal accumulations, long-standing masses the size of bowls, jaundice and retained food, morning vomiting, limb fullness and rising Qi, frequent abdominal distension, hard knots below the heart, pressure on the heart, pain attacking flanks, ten types of edema, eight types of obstruction, regurgitation and vomiting, food dysphagia, five types of strangury, nine types of heart pain, chronic indigestion, persistent malaria/phlegm, all wind diseases causing numbness and loss of sensation, hemiplegia, loss of eyebrows/hair, seventy-two types of wind, thirty-six types of hidden corpse/wandering pestilence, epilepsy, women's disorders including infertility, leukorrhea, five evils causing vexation, sorrow/thought leading to unhappiness, loss of taste, irregular menstruation, and abdominal disorders mimicking pregnancy, wasting away over months/years, singing/crying involuntarily. All these respond to this pill.)
Chuan Wutou (Sichuan Aconite Root soaked, skin and navel removed, 2.5 liang), Ziwan (Adenophorae Radix), Chaihu (Bupleuri Radix), Shichangpu (Acori Tatarinowii Rhizoma), Houpo (Magnoliae Officinalis Cortex peeled and ginger-processed), Jiegeng (Platycodonis Radix), Zaojiao (Gleditsiae Fructus peeled and seeds removed, stir-fried), Wuzhuyu (Evodiae Fructus washed in hot water and stir-fried), Ganjiang (Dried Ginger roasted), Huanglian (Coptidis Rhizoma), Renshen (Ginseng Radix), Bai Fuling (Poria), Rougui (Cinnamomi Cortex peeled), Badou (Crotonis Fructus de-oiled and ground separately), Shu Huajiao (Sichuan Pepper slightly stir-fried, eyes and closed-mouth ones removed, 5 qian each).
Grind into fine powder, mix evenly with Badou, add refined honey to form pills the size of paulownia seeds. Take 3 pills per dose, swallowed with ginger water after meals and before bed. Gradually increase to 5-7 pills, stopping when bowel movement is loose. Reduce dosage again.
Chuanxiong Chatiao San (Treats men, women, and children with wind attacking upwards, heavy dizziness, migraine or frontal headache, nasal congestion with heavy voice, wind-cold with high fever, limb pain, muscle twitching, diaphragmatic heat with phlegm, women's blood-wind attacking Taiyang acupoints, and all wind-related ailments.)
Subohetie (Mentha Haplocalycis Herba, stems removed, leaves only, not exposed to fire, 8 liang), Fangfeng (Saposhnikoviae Radix, 3 liang), Baizhi (Angelicae Dahuricae Radix), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root stir-fried with honey, 2 liang each), Xixin (Asari Radix et Rhizoma, rhizome removed, 8 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jingjie Sui (Schizonepetae Spica, 4 liang each).
Grind into fine powder. Take 2 qian per dose, mixed with tea water after meals. Alternatively, decoct with ginger and scallion. One variation adds Ju Hua, Jiang Can, and Chan Tui, named Juliao Chatiao San, for clearing head and eyes with regular use.
Siwu Tang (Regulates Ying and Wei, nourishes Qi and Blood, treats Chong and Ren deficiency, irregular menstruation, umbilical/abdominal pain, metrorrhagia, blood masses with hardness, intermittent pain, cold in pregnancy, improper care causing fetal unrest, continuous bleeding, postpartum wind-cold invasion causing lochia retention, mass formation, lower abdominal hard pain, and alternating chills/fever.)
Dangguishen (Angelicae Sinensis Radix stem, roots removed, wine-soaked and lightly stir-fried), Baishaoyao (Paeoniae Radix Alba, wine-washed), Chuanxiong (Ligustici Chuanxiong Rhizoma, wine-washed), Ganshudihuang (Rehmanniae Radix Praeparata, wine-steamed, equal parts).
Crush into pieces. Add two zhong of plain water, decoct until eight-tenths remain, remove dregs, and take warm.
Commentary: This is the sacred formula for treating Blood disorders. Dang Gui guides Blood to the Liver Meridian; Chuan Xiong guides Blood to the Lung Meridian; Shao Yao guides Blood to the Spleen Meridian; Di Huang guides Blood to the Kidney Meridian. Heart generates Blood, Liver stores Blood, Spleen controls Blood, Lungs distribute Blood, Kidneys store Essence/Blood. Men transform it into Essence; women transform it into menstruation. Blood is tangible and Yin, hence "Four Substances."
Classics state: Qi and Blood are the two polarities of the body. Heaven and Earth have excess Yang and deficient Yin. Humans mirror this; Yin-Blood is hard to build and easy to lose. Dang Gui, Shao Yao, and Di Huang are rich-flavored (Yin within Yin), generating Blood. Chuan Xiong is thin-flavored and clear-qi (Yang within Yin), moving Qi in Blood. Plants are inert; they generate Blood by nourishing Yin of the Five Zang and regulating Ying-Wei Qi. Harmony of Zang leads to Blood generation. Saying Siwu alone generates Blood is incorrect. Teachers say it regulates Blood deficiency. However, in cases of massive hemorrhage and weak Qi, Siwu is contraindicated because it is purely Yin (closing/nature of winter), unsuitable for generating life.
Liangge San (Treats accumulated heat in organs causing irritability, thirst, facial heat, dizziness, dry lips/throat, swollen tongue, throat closure, red/painful eyes, nosebleeds, hard jaw/cheek, mouth/tongue ulcers, phlegm obstruction, thick sputum, restless sleep, delirium, dry intestines, constipation, and all wind-heat syndromes.)
Huangqin (Scutellariae Radix wine-fried), Zhiren (Gardeniae Fructus stir-fried black), Subohetie (Mentha Haplocalycis Herba, 3 liang each), Lianqiao (Forsythiae Fructus, 4 liang), Dahuang (Rhei Radix et Rhizoma wine-fried), Gancao (Licorice Root stir-fried with honey), Yuanmingfen (Mirabilite, 2 liang each).
Make coarse powder. Take 4 qian per dose, two zhong of water, decoct until eight-tenths remain, remove dregs, and take hot after meals.
Commentary: Huang Qin and Zhi Zi are bitter and cool, clearing heat in the middle. Lian Qiao and Bo He are thin in flavor and Qi, clearing heat above. Da Huang and Mang Xiao are salty, cold, and rich, purging all excesses. Gan Cao is used for its mild nature to linger in the diaphragm. Powder form is chosen over decoction to stay in the upper burner and act quickly.
Sanhuang Wan (Treats accumulated heat in San Jiao attacking upwards, red/swollen eyes, red/difficult urination, constipation, heat in five fu organs, intestinal wind, and hemorrhoids.)
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbo (Phellodendri Cortex, all wine-moistened and stir-fried, equal parts).
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 3 qian per dose, swallowed with plain warm water on an empty stomach. Avoid fried/spicy foods like pepper and ginger.
Commentary: Mild Fire generates; Excessive Fire consumes. Classics say "Excessive Fire consumes Qi." Mild Fire should ascend; Excessive Fire should descend. These three herbs reduce Excessive Fire in San Jiao, allowing Qi to generate and Blood to nourish. Huang Qin is bitter/withered, clearing heat above; Huang Lian is bitter/solid, purging fire in the middle; Huang Bo is bitter/moist, purging fire below. Fire has deficiency/excess; this pill treats Excess Fire only. Using it for Deficient Fire worsens heat by damaging Yin. Danxi says Deficient Fire needs tonification. The distinction is vast. Experts must diagnose based on symptoms.
Also called Sanbu Wan (Three Tonics). Why? Because the three yellows purge San Jiao fire; purging fire generates Yin, hence "Tonification."
This is "tonification through purging," not "tonification within tonification." Cheng Yanquan said: People know tonification as tonification but don't know purging as tonification; they know purging as purging but don't know tonification as purging. True wisdom.
Siji Sanhuang Xiexin Wan (Treats San Jiao accumulated heat in men and women. Upper Jiao heat attacks eyes/head causing redness/swelling/pain and mouth ulcers. Middle Jiao heat causes chest vexation and poor appetite. Lower Jiao heat causes red/difficult urination and constipation. Heat in five Zang causes abscesses/sores. Also treats five types of hemorrhoids with anal swelling/bleeding, and pediatric accumulated heat.)
Dahuang (Rhei Radix et Rhizoma wine-soaked, steamed nine times, sun-dried; Spring/Autumn 3 liang, Summer 1 liang, Winter 5 liang), Huanglian (Coptidis Rhizoma wine-fried; Spring 4 liang, Summer 5 liang, Autumn 3 liang, Winter 1 liang), Huangqin (Scutellariae Radix wine-fried; Spring 4 liang, Summer/Autumn 6 liang, Winter 2 liang).
Grind into fine powder, mix with refined honey or water to form pills the size of paulownia seeds. Take 2-3 qian per dose, swallowed with boiling water.
Commentary: Bitter flavors descend fire. Huang Qin is bitter/withered (floats), clearing heat in the diaphragm. Huang Lian is bitter/dry (approaches fire), clearing heat in the Heart. Da Huang is bitter/cold/rich (descends), purging evil and excess. This follows the principle of heaven/earth favoring their own kind: water flows to wetness, fire approaches dryness.
Qingzhou Baiwanzi (Treats hemiplegia, limb numbness, deviation of mouth/eyes, phlegm-saliva obstruction, all wind diseases unresponsive to other drugs, pediatric convulsions, adult wind-head, scalp wind, and women's blood-wind.)
Tiannanxing (Arisaematis Rhizoma raw, 3 liang), Baifuzi (Typhonii Rhizoma, 2 liang), Banxia (Pinelliae Rhizoma soaked in water, large white ones, 7 liang), Chuan Wutou (Sichuan Aconite Root peeled/navel removed, 5 qian, all raw).
Grind into fine powder, place in raw silk bag. Swirl well water (first drawn from well) against the bag. Rub manually to extract juice. If residue remains, grind again and repeat until clean. Place in porcelain basin, sun-dry by day, dew-expose by night. Discard water at dawn, stir with fresh well water, sun-dry again. Repeat: Spring 5 days, Summer 3 days, Autumn 7 days, Winter 10 days. Dry until jade-like, grind finely. Mix with glutinous rice porridge liquid to form pills the size of mung beans. Start with 5 pills, increase to 15, swallowed with ginger water at any time. For paralysis, take 20 pills with warm wine, three times daily. After three days, sweating should occur, allowing movement. Recovery takes 3-5 days. For phlegm obstructing diaphragm requiring emesis, take 3 qian of powder mixed with vinegar juice until phlegm is vomited.
Da Chengqi Tang (Treats Yangming Stomach meridian accumulated heat attacking eyes, deep/solid pulse, eye pain, dizziness, redness/swelling/neovascularization, recurrent treatments, excessive cold medicine causing cold-encased fire, internal heat retention, abdominal fullness, constipation. Treatment requires purging fullness, unblocking bowels, and draining excess heat.)
Jinwen Dahuang (Rhei Radix et Rhizoma wine-washed/stir-fried), Mangxiao (Mirabilite, 3 qian each), Houpo (Magnoliae Officinalis Cortex peeled/stir-fried), Zhishi (Immature Bitter Orange Fruit stir-fried, 2 qian each).
Make pieces. Add four zhong of water. First decoct Hou Po and Zhi Shi until two zhong remain. Add Da Huang, boil 2-3 boils. Add Mang Xiao, decoct and take warm. Stop when bowel movement occurs. If no effect, administer another dose.
Commentary: Classics say: When dryness prevails, use bitter to purge. Da Huang's bitter-cold purges excess heat. Zhi Shi's bitter-acrid-warm attacks GI stagnation, moistens dryness, clears heat. Classics also say: Internal dryness treated with bitter-warm. Hou Po's bitter-acrid-warm breaks abdominal dryness. Classics say: Heat prevailing treated with salty-cold. Mang Xiao's saltiness attacks hardened heat masses.
Baitong Tang (Treats Shaoyin Kidney Water invaded by cold causing spontaneous diarrhea. Needs to unblock Yang Qi, warm middle, scatter cold. Scallion White unblocks Qi, assisting Gan Jiang and Fu Zi to warm middle and scatter cold.)
Congbai (Scallion White, 4 stalks), Ganjiang (Dried Ginger, 2 qian), Fuzi (Aconiti Lateralis Radix Praeparata processed, 3 qian).
Decoct in two zhong of water. Adding human urine and pig gallbladder (bitter-cold) prevents cold from rejecting the hot medicine, following the Nei Jing principle of "treating severe conditions by following the pathology."
Shizao Tang (Treats Shanghan pathogenic heat with internal retained fluid causing headache, epigastric fullness, hypochondriac pain pulling, dry heaving. Treatment requires draining heat and expelling fluid. Classics: Acrid disperses, so Yuan Hua disperses fluid. Bitter drains, so Gan Sui and Da Ji drain water. Sweet tonifies, so Da Zao benefits Spleen Earth.)
Yuanhua (Genkwa Flos, 1.5 qian), Gansui (Kansui Radix, 4 fen), Daji (Euphorbiae Pekinensis Radix, 1 qian), Dazao (Jujubae Fructus, 6 pieces).
Combine as one dose. Add two zhong of water. First decoct Da Zao until eight-tenths remain. Add the other three and decoct together. Or make fine powder, take 1 qian per dose (half for frail persons). If evacuation is insufficient and disease persists, take again next day. Achieve brisk evacuation, then nourish with millet gruel.
Daotan Tang (Treats surging wind-phlegm.)
Banxia (Pinelliae Rhizoma processed, 2 qian), Guang Chenpi (Citri Reticulatae Pericarpium peeled, 1 qian), Zhishi (Immature Bitter Orange Fruit pulp removed, 1 qian), Chi Fuling (Poria with pink wood, 1 qian), Gancao (Licorice Root stir-fried with honey, 1 qian), Dantanxing (Arisaematis Rhizoma with bile, 1 qian).
Crush into pieces. Add two zhong of plain water, three slices of fresh ginger. Decoct until eight-tenths remain, remove dregs, and take warm.
Commentary: Wind-phlegm arises from Spleen Earth dampness generating phlegm, phlegm generating heat, heat generating wind. Ban Xia, Chen Pi, Fu Ling, Gan Cao constitute Erchen Tang. Adding Nan Xing treats wind-phlegm; adding Zhi Shi removes phlegm like overturning a wall.
Baomingji Danggui Tang (Treats cornea opacity, nourishes pupil.)
Dangguishen (Angelicae Sinensis Radix stem), Huangqin (Scutellariae Radix), Chishaoyao (Paeoniae Radix Rubra, 1.5 qian each), Chaihu (Bupleuri Radix), Chuan Huanglian (Coptidis Rhizoma, 1 qian each), Gancao (Licorice Root stir-fried with honey, 6 fen), Shudihuang (Rehmanniae Radix Praeparata, 2 qian).
Crush into pieces. Add two zhong of plain water, decoct until eight-tenths remain, remove dregs, and take warm.