治胸膈胃脘逆气难解，疼痛，呕哕胀满，痰饮，隔噎，诸药不效者，惟此最妙。
丁香 白豆蔻仁（或砂仁亦可） 等分为末，清汤调下七分甚者一钱，日数服不拘。若
寒气作
（凡病兼虚者，补而和之。兼滞者，行而和之。兼寒者，温而和之。兼热者，凉而和之。
和
为
热
仁
如天冬苁蓉牛膝当归柴胡童便之属是也。表邪未解忌收敛，如五味枣仁地榆文蛤之属是也。
气滞者忌塞闭，如黄 白术山药甘草之属是也。凡邪火在上者，不宜升。火得升而愈炽矣。
沉寒在下者，不宜降，阴被降而愈亡矣。诸动者不宜再动，如火动者忌温暖，血动者忌辛香，
汗动者忌疏散，神动者忌耗伤。凡性味之不静者，皆所当慎。其于刚暴更甚者，则又在不言
可知也。诸静者不宜再静，如沉微细弱者，脉之静也。神昏气怯者，证之静也。肌体清寒者
，表之静也。口腹畏寒者，里之静也。凡性味之阴柔者，皆所当慎。其于沉寒更甚者，又在
不言可知也。夫阳主动，以动济动，火上添油也，不焦烂乎。阴主静，以静益静，雪上加霜
也，不寂灭乎。凡前所论，论其略尔，而书不尽言，言不尽意，能因类而广之，斯知和之为
义矣。）
（仲景） 治伤寒中风。少阳证，往来寒热。（寒为阴，热为阳。里为阴，表为阳。邪
客于半表半里，阴出与阳争，阴胜则寒。阳入与阴争，阳胜则热。又曰∶太阳行身之后，
膀胱寒水，为表，阳明行身之前，属胃燥金，为表之里。邪在于中，近后膀胱寒水则寒，
前阳明燥金则热也。寒热有定时者为疟，无定时者为往来寒热。以热在表而浅，邪恶正，
恶寒。寒已复热，此邪未并于表里，故寒热微而无定时也。）胸胁痞满，心烦喜呕。（半表
里，属足少阳胆，脉行于两胁。手少阳三焦之脉，络心包。风邪干之，心气不得宣畅，故
满，或攻胸胁，故又痞而痛也。邪在表，则不烦不呕，在里则烦呕。表方传里，故心烦喜呕
也。）默默不欲食。（邪在表则呻吟不安，在里则烦而闷乱，邪自表而方传里，故默默静也。
经曰∶阳入之阴则静。邪在表则能食，入里则不能食。今在表里之间，故但不欲食，未至于
不能食也。）或胁下痛，或腹中痛，或渴或利。（里虚协热。）或咳或悸，小便不利。（里有停
饮。）耳聋口苦。（少阳胆脉络于耳，胆气上溢，故口苦。）脉弦。（肝与胆皆属木，故脉弦。
）或汗后余热不解，及春月时嗽。疟发寒热。妇人伤寒，热入血室。（血室，冲脉也，男女
皆
适
在
也
调
后
阳
所
程
证
阳脉亦似阴也。经曰，伤寒中风有柴胡证，但见一证便是。不必悉具，又曰∶伤寒五六日，
发热而呕，医以他药下之，柴胡证仍在者，复与柴胡汤，必蒸蒸而振，发热汗出而愈。或湿
热在半表半里而发黄者，仍与小柴胡汤，虽杂证不能外也。）
柴胡（半斤） 黄芩 人参 甘草 生姜（三两） 半夏（半升） 大枣（十二枚劈） 水
一斗二升
汗吐下三
纷纭而
和非和
敷布表
全藉
以其
各煎
呕逆，加生姜以散逆，陈皮以理气。烦而不呕，去半夏人参，加栝蒌以荡郁热。渴者，
去半
姜，
也。
加
阳草
（胁为
心下故
痛加川
胆为清净之腑，无出无入，其经在半表半里，不可汗吐下，法宜和解。（仲景曰∶少阳
中风
则伤
少阳
乃
达
则不热。阴凑于阳则发寒，用黄芩降阴气，使不上入阳中，则不寒，又曰∶柴胡黄芩之苦寒
以退热，半夏生姜之辛温以退寒，人参大枣甘草之甘温以助正气。）半夏辛温，能健脾和胃，
以散逆气而止呕。人参甘草，以补正气而和中，使邪不得复传人里为佐。邪在半表半里，则
营卫争，（表属卫，里属营。）故用姜枣辛甘，以和营卫为使也。（陶节庵曰∶本经证心下饱
闷，未经下者，非结胸也，乃表邪传至胸中。未入于脏，尚为在表，只须小柴胡加枳桔。不
效，就以本方对小陷胸加枳桔，一服豁然，其效如神。李时珍曰∶少阳证虽在半表半里，而
胸膈痞满，实兼心肺上焦之邪。心烦喜呕，默默不欲食，又兼脾胃中焦之证，故用黄芩以治
手足少阳相火，黄芩亦少阳药也。喻嘉言曰∶伤寒分表里中三治，表里之邪俱盛，则从中而
和之，于人参甘草半夏生姜大枣，助脾之中。但带柴胡一味透表，黄芩一味透里。饮入胃中
，听胃气之升者，带柴胡出表。胃气之降者，带黄芩入里，一和而表里之邪尽解。未尽者加
工治之，不相杆格矣。徐忠可曰∶小柴胡汤为邪传少阳，恰在半表半里，和解之主方，又能
散诸经血凝气聚。故凡邪之表里混杂者，俱借之以提出少阳，俾循经而散。以柴甘生姜为定
药，余则加减随证尔。吴绶曰∶小柴胡为半表半里之剂，太阳经之表热，阳明之标热，皆不
能解也。若夫阳气虚寒，面赤发热，脉沉足冷者，服之立见危殆。及内有虚寒，大便不实，
妇
以
尔。
虚
去半夏，加花粉，名柴胡去半夏加栝蒌根汤。（金匮）治往来寒热而渴，及劳疟。（喻嘉
言曰
柴胡
阳邪
全本
退于
润燥
以治
六日
者，
内，
桂枝
加干
或但
微甚
以卫
伏于
既无
汤，
可以
芩连
恶寒
偏旁
恶寒
大陷
夫支
去而
景）
此
汗
谓
而使道绝。使道绝则君主孤危，所以心惊而神乱也。烦与严语，本属胃，此则兼心。小便不
利，本属津液内竭，此则兼小肠火燔。一身尽重，不可转侧者，又神明内乱，治节不行，百
骸无主之明征也。夫邪方在表里，其患已及神明，于此而补天浴日，宁复寻常表里所办。故
用人参茯苓之补，以益心虚。铅丹之重，以镇心惊。龙骨牡蛎之涩，以为载神之舟楫。一方
而批 导 ，全收安内攘外之功。后人不察，谓是总三阳而和之之法，岂其然哉。按伤寒虽
云传足不传手，其实原无界限。此证手少阴心主为邪所逼，神明内乱，因致谵语无伦，较他
证谵语之属胃实者，相去悬绝。若复以治足经之法治之，必无幸矣。方中药止九味，用入心
药五种，不以为复。且用重涩药三种，不以为猛。盖都城震动，势必悉力入援，非孤注可图
侥幸也。至于痰饮抟膈，最为剥床者，但用半夏一味。表邪内袭，首发难端者，但从太少之
例，用桂枝柴胡二味。阳邪入阴，最宜急驱者，但用大黄一味，是则治伤寒吃紧之处，咸落
第二义。只从治心诸药之后，一案共结其局，此等手眼，岂凡近可识耶。）去柴胡黄芩，加
浓
与
由脾胃气虚，津液抟结，阴气内动，壅而为满也。故以益胃和脾，降气涤饮为治也。）除半
夏，加当归白芍大黄，名柴胡饮子。（子和）治肌热，蒸热，积热，汗后余热，脉洪实弦数，
（表为肌热，里为蒸热，壅为积热。）亦治疟疾。（喻嘉言曰∶于和法中，略施攻补，深中肯
綮。）加桔梗名柴胡桔梗汤，治春嗽。合平胃散，名柴平汤，治湿疟，身痛，身重。加青黛
姜汁和丸，名清镇丸。（洁古）治呕吐脉弦，头痛及热嗽。本方一分，加四物二分，名柴胡
四
胡
【神香散】治疗胸膈和胃脘部逆气难以化解，伴有疼痛、呕吐呃逆、胀满、痰饮、噎膈等症状，且服用其他药物无效的患者，此方最为奇妙。
丁香、白豆蔻仁（也可以用砂仁），两者等分研为细末，用清汤调服七分（约2克），病情严重的服一钱（约3克），每日服用次数不限。若是寒气引起的病症……
（凡是疾病兼有虚证的，采用补益的方法来调和；兼有滞涩的，采用行气的方法来调和；兼有寒邪的，采用温中的方法来调和；兼有热邪的，采用清凉的方法来调和。
所谓“和”，是指……
如天冬、肉苁蓉、牛膝、当归、柴胡、童便等属于此类。
如果表邪未解，忌讳使用收敛药，如五味子、酸枣仁、地榆、文蛤等属于此类。
如果有气滞，忌讳使用壅塞闭阻的药，如黄柏、白术、山药、甘草等属于此类。
凡是邪火在上焦的，不宜使用升提药，因为火性升腾会使得火势更加炽盛。
凡是沉寒在下焦的，不宜使用降下药，因为阴气被降下会导致阳气更加消亡。
凡是处于动状态的病证不宜再使其动荡，如火动者忌讳温暖药，血动者忌讳辛香药，汗出过多者忌讳疏散药，神志不安者忌讳耗伤正气的药。
凡是药性气味不宁静的，都应当谨慎使用。对于性质刚烈暴戾更严重的，更是无需多言即可知道其禁忌。
凡是处于静状态的病证不宜再使其静止，如脉象沉微细弱，这是脉象的静；神志昏沉、气息怯弱，这是证候的静；肌体清冷畏寒，这是表证的静；口腹畏寒，这是里证的静。
凡是药性气味阴柔的，都应当谨慎使用。对于沉寒更严重的，更是无需多言即可知道其禁忌。
阳气主静（注：此处原文逻辑似有误或特指某种语境，通常阳主动，但依原文翻译），以动助动，如同火上浇油，难道不会烧焦腐烂吗？
阴主静，以静益静，如同雪上加霜，难道不会导致寂灭吗？
以上所论述的，只是大概原理，而书本不能完全表达言语，言语不能完全表达意旨，能够根据类别加以推广，这就知道了“和”的含义了。）
【小柴胡汤】（张仲景）治疗伤寒中风。少阳证，表现为往来寒热。（寒属阴，热属阳。里属阴，表属阳。邪气客居在半表半里之间，阴气外出与阳气相争，阴胜则恶寒；阳气内入与阴气相争，阳胜则发热。又说：太阳经行于身之后，膀胱寒水，主表；阳明经行于身之前，属胃燥金，主表之里。邪气在于中间，靠近后侧膀胱寒水则恶寒，靠近前侧阳明燥金则发热。寒热发作有定时的是疟疾，无定时的是往来寒热。因为热在表而浅，邪气与正气相争，故恶寒。寒战过后又发热，这是因为邪气尚未并入表或里，所以寒热轻微且无定时。）胸胁部痞塞满闷，心烦喜呕。（半表半里，归属于足少阳胆经，经脉行于两胁。手少阳三焦经的脉络络于心包。风邪侵犯，心气不得宣畅，所以感到满闷，有时攻冲胸胁，所以又痞塞而痛。邪气在表，则不烦不呕；在里，则烦呕。表证正在向里传变，所以心烦喜呕。）神情沉默，不欲饮食。（邪气在表则呻吟不安，在里则烦闷扰乱，邪气从表刚刚传入里，所以神情沉默安静。经说：阳气进入阴分则静。邪气在表则能进食，进入里则不能进食。现在邪气在表里之间，所以只是不想吃东西，还未至于完全不能吃。）或者胁下疼痛，或者腹中疼痛，或者口渴，或者腹泻。（里虚兼有协热。）或者咳嗽，或者心悸，小便不利。（里有停饮。）耳聋，口苦。（少阳胆经脉络连接耳朵，胆气上溢，所以口苦。）脉弦。（肝与胆皆属木，所以脉弦。）或者发汗后余热不解，以及春季时的咳嗽。疟疾发作寒热。妇人患伤寒，热邪陷入血室。（血室，即冲脉，男女皆有。）……（此处原文片段混乱，略去部分重复及乱码内容，主要保留核心医理）……伤寒中风有柴胡证，只要见到一个柴胡证候即可，不必所有症状都具备。又说：伤寒五六日，发热而呕，医生用其他药物攻下，柴胡证仍在的，再次给予小柴胡汤，必然会出现蒸蒸而振的战栗反应，随后发热汗出而痊愈。或者有湿热在半表半里导致发黄的，仍然给予小柴胡汤，即使是杂病也不能例外。）
柴胡（八两） 黄芩 人参 甘草 生姜（三两） 半夏（半升） 大枣（十二枚，掰开） 用水一斗二升煎煮……
若出现呕吐逆气，加生姜以散逆气，陈皮以理气。心烦但不呕吐，去掉半夏、人参，加栝蒌以清除郁热。口渴者，去掉半夏，加……（原文此处断裂，结合后文推测为天花粉/栝楼根）。
（胁肋为……心下故……痛加川……）
胆是清净之腑，无出无入，其经脉位于半表半里，不可使用汗、吐、下法，治法适宜和解。（张仲景说：少阳中风……）
少阳……
达……
则不热。阴气凑合于阳气则发寒，用黄芩降阴气，使其不向上进入阳分，则不寒。又说：柴胡、黄芩的苦寒之性用来退热，半夏、生姜的辛温之性用来退寒，人参、大枣、甘草的甘温之性用来扶助正气。）半夏辛温，能健脾和胃，以散逆气而止呕。人参、甘草，用来补益正气而调和其中，使邪气不再传入里作为佐药。邪气在半表半里，则营卫相争，（表属卫，里属营。）所以用姜、枣的辛甘之性，来调和营卫作为使药。（陶节庵说：本经证见心下饱闷，未经攻下的，不是结胸，乃是表邪传至胸中。未入于脏，尚且在表，只需小柴胡汤加枳壳、桔梗。无效时，就用本方对小陷胸汤加枳壳、桔梗，一服豁然开朗，其效如神。李时珍说：少阳证虽然在半表半里，但胸膈痞满，实则兼有心肺上焦之邪。心烦喜呕，默默不欲食，又兼有脾胃中焦之证，所以用黄芩来治疗手足少阳相火，黄芩也是少阳经的药。喻嘉言说：伤寒分为表、里、中三治，表里之邪俱盛，则从中焦来调和它，用人参、甘草、半夏、生姜、大枣来助脾中之气。只带柴胡一味透达表邪，黄芩一味透达里邪。药饮入胃中，听凭胃气上升者，带着柴胡出表；胃气下降者，带着黄芩入里，一经调和，表里之邪全部解除。未尽的再加工治疗，就不会相互抵触了。徐忠可说：小柴胡汤是邪气传入少阳，恰好在半表半里，是和解的主方，又能消散各经的血凝气聚。所以凡是邪气表里混杂的，都借它提出到少阳，使其循经而散。以柴胡、甘草、生姜为定药，其余则随证加减。吴绶说：小柴胡汤是半表半里的剂型，太阳经的表热，阳明的标热，都不能解除。如果是阳气虚寒，面赤发热，脉沉足冷的，服用它会立即出现危殆。以及内有虚寒，大便不成形的……）
去半夏，加花粉，名为柴胡去半夏加栝楼根汤。（《金匮要略》）治疗往来寒热而口渴，以及劳疟。（喻嘉言说……）
柴胡……
阳邪……
全本……
退于……
润燥……
以治……
六日……
者……
内……
桂枝……
加干……
或但……
微甚……
以卫……
伏于……
既无……
汤……
可以……
芩连……
恶寒……
偏旁……
恶寒……
大陷……
夫支……
去而……
景……
此……
汗……
谓……
而使道绝。使道绝则君主孤危，所以心惊而神乱也。烦与谵语，本属胃，此则兼心。小便不利，本属津液内竭，此则兼小肠火燔。一身尽重，不可转侧者，又神明内乱，治节不行，百骸无主之明征也。夫邪方在表里，其患已及神明，于此而补天浴日，宁复寻常表里所办。故用人参、茯苓之补，以益心虚。铅丹之重，以镇心惊。龙骨、牡蛎之涩，以为载神之舟楫。一方而……全收安内攘外之功。后人不察，谓是总三阳而和之之法，岂其然哉。按伤寒虽云传足不传手，其实原无界限。此证手少阴心主为邪所逼，神明内乱，因致谵语无伦，较他证谵语之属胃实者，相去悬绝。若复以治足经之法治之，必无幸矣。方中药止九味，用入心药五种，不以为复。且用重涩药三种，不以为猛。盖都城震动，势必悉力入援，非孤注可图侥幸也。至于痰饮抟膈，最为剥床者，但用半夏一味。表邪内袭，首发难端者，但从太少之例，用桂枝、柴胡二味。阳邪入阴，最宜急驱者，但用大黄一味，是则治伤寒吃紧之处，咸落第二义。只从治心诸药之后，一案共结其局，此等手眼，岂凡近可识耶。）
去柴胡、黄芩，加浓……（原文此处断裂，结合后文推测可能涉及其他加减方，但原文缺失关键信息，仅翻译可见部分）
由脾胃气虚，津液抟结，阴气内动，壅而为满也。故以益胃和脾，降气涤饮为治也。）除半夏，加当归、白芍、大黄，名为柴胡饮子。（张子和）治疗肌热、蒸热、积热、汗后余热，脉洪实弦数，（表为肌热，里为蒸热，壅为积热。）也治疗疟疾。（喻嘉言说：于和法中，略施攻补，深中肯綮。）加桔梗名为柴胡桔梗汤，治疗春季咳嗽。合平胃散，名为柴平汤，治疗湿疟，身体疼痛，身体沉重。加青黛、姜汁和丸，名为清镇丸。（洁古）治疗呕吐脉弦，头痛及热嗽。本方一分，加四物二分，名为柴胡四……（原文在此处截断）
[Shenxiang San] Treats counterflow qi in the chest, diaphragm, and epigastrium that is difficult to resolve, accompanied by pain, vomiting, hiccups, distension and fullness, phlegm-fluid retention, dysphagia (obstruction of swallowing), and cases where other medicines have failed. This formula is most effective.
Dingxiang (Clove), Baidoukou Ren (Cardamom Seed Kernel) [or Sharen (Amomum Fruit) may be used instead], ground into powder in equal parts. Take 7 fen (approx. 2g) mixed with clear water for mild cases, or 1 qian (approx. 3g) for severe cases. The number of daily doses is unrestricted. If caused by cold qi...
(For diseases complicated by deficiency, harmonize by tonifying; complicated by stagnation, harmonize by promoting movement; complicated by cold, harmonize by warming; complicated by heat, harmonize by cooling.
The term "harmonizing" refers to...
Such as Tiandong (Asparagus Tuber), Rongrong (Cistanche Stem), Niuxi (Achyranthes Root), Danggui (Angelica Sinensis), Chaihu (Bupleurum Root), Tongbian (Human Urine), etc., belong to this category.
If exterior pathogenic factors are unresolved, astringent herbs are contraindicated, such as Wuweizi (Schisandra Berry), Zaoren (Ziziphus Seed), Diyu (Sanguisorba Root), Wen Ge (Arca Shell), etc.
In cases of Qi stagnation, obstructive herbs are contraindicated, such as Huangbo (Phellodendron Bark), Baizhu (Atractylodes Rhizome), Shanyao (Dioscorea Rhizome), Gancao (Licorice Root), etc.
Where pathogenic fire is located in the upper jiao, lifting herbs should not be used, as fire rises and will become more blazing.
Where deep cold is located in the lower jiao, descending herbs should not be used, as Yin being descended leads to further depletion.
Conditions characterized by hyperactivity should not be agitated further: for Fire hyperactivity, warm herbs are contraindicated; for Blood hyperactivity, acrid-aromatic herbs are contraindicated; for sweating hyperactivity, dispersing herbs are contraindicated; for Spirit hyperactivity, herbs that consume and damage are contraindicated.
Herbs with unstable natures and flavors must be used with caution. For those with even more violent and aggressive properties, their contraindications are self-evident.
Conditions characterized by stillness should not be made more static: such as a pulse that is deep, faint, fine, and weak, which is the stillness of the pulse; mental confusion and timid Qi, which is the stillness of the syndrome; cold and clear body tissues, which is the stillness of the exterior; cold sensitivity of the mouth and abdomen, which is the stillness of the interior.
Herbs with Yin and soft natures and flavors must be used with caution. For those with even deeper cold, their contraindications are self-evident.
Yang governs activity; using activity to aid activity is like adding oil to a fire, leading to burning and rotting.
Yin governs stillness; using stillness to add to stillness is like adding frost to snow, leading to寂灭 (extinction).
The above discussions cover only the general principles. Books cannot fully express words, and words cannot fully express meaning. By extending these categories, one can understand the true meaning of "Harmonizing".)
[Xiaochaihu Tang] (Zhang Zhongjing) treats Taiyang-Shaoyang combined patterns from Cold Damage and Wind Strike. Shaoyang syndrome, characterized by alternating chills and fever. (Chills belong to Yin, Fever belongs to Yang. Interior belongs to Yin, Exterior belongs to Yang. Pathogens lodge in the half-exterior, half-interior region. When Yin emerges to contend with Yang, Yin predominance causes chills. When Yang enters to contend with Yin, Yang predominance causes fever. Furthermore: The Taiyang channel runs along the posterior body, associated with Bladder Cold Water, governing the exterior. The Yangming channel runs along the anterior body, associated with Stomach Dry Metal, governing the interior of the exterior. Pathogens in the middle region, near the posterior Bladder Cold Water, cause chills; near the anterior Yangming Dry Metal, cause fever. Malaria has fixed timing for chills and fever; alternating chills and fever have no fixed timing. Because the heat is superficial in the exterior, pathogens contend with healthy Qi, causing chills. After chills, fever returns because the pathogen has not yet merged into the exterior or interior, hence the chills and fever are mild and untimed.) Chest and hypochondriac stuffiness and fullness, irritability, and frequent desire to vomit. (Half-exterior/half-interior belongs to the Foot-Shaoyang Gallbladder channel, which runs through the hypochondrium. The Hand-Shaoyang Sanjiao channel connects to the Pericardium. Wind pathogens invade, preventing Heart Qi from circulating freely, causing fullness, sometimes attacking the chest and hypochondrium, causing stuffiness and pain. Pathogens in the exterior do not cause irritability or vomiting; in the interior, they do. As the exterior pattern transmits to the interior, irritability and desire to vomit occur.) Silent demeanor and lack of appetite. (Pathogens in the exterior cause groaning and restlessness; in the interior, irritability and mental turmoil. As pathogens transmit from exterior to interior, the patient becomes silent and quiet. The Classics state: When Yang enters Yin, there is stillness. Pathogens in the exterior allow eating; in the interior, eating is impossible. Now, between exterior and interior, there is merely a lack of desire to eat, not complete inability to eat.) Alternatively, pain under the ribs, abdominal pain, thirst, or diarrhea. (Interior deficiency with協熱 [collateral heat]). Alternatively, cough, palpitations, or difficulty urinating. (Fluid retention in the interior). Deafness and bitter taste in the mouth. (Shaoyang Gallbladder channel connects to the ears; Gallbladder Qi overflows upward, causing bitterness). Wiry pulse. (Liver and Gallbladder both belong to Wood, hence the wiry pulse.) Alternatively, residual heat remaining after sweating, springtime coughs, malaria with chills and fever, or women with Cold Damage where heat enters the Blood Chamber. (Blood Chamber refers to the Chong Mai, present in both men and women)... (Text fragmentary) ...If there is a Chaihu pattern in Cold Damage or Wind Strike, observing one symptom suffices; it is not necessary for all symptoms to be present. Also stated: In the fifth or sixth day of Cold Damage, with fever and vomiting, if the physician purges with other medicines and the Chaihu pattern persists, administering Xiaochaihu Tang again will likely result in shivering and trembling, followed by fever, sweating, and recovery. Even in cases of damp-heat in the half-exterior/half-interior causing jaundice, Xiaochaihu Tang may still be used; this applies even to miscellaneous diseases.)
Chaihu (8 liang), Huangqin (Scutellaria Root), Renshen (Ginseng Root), Gancao (Licorice Root), Shengjiang (Fresh Ginger, 3 liang), Banxia (Pinellia Tuber, half sheng), Dazao (Jujube Fruit, 12 pieces, split). Decoct in 1 dou 2 sheng of water...
If vomiting and counterflow occur, add Shengjiang to disperse counterflow and Chenpi (Tangerine Peel) to regulate Qi. If irritability without vomiting occurs, remove Banxia and Renshen, add Gualou (Trichosanthes Fruit) to clear stagnant heat. If thirsty, remove Banxia, add... (text breaks, implies Tianhuafen/Trichosanthes Root).
(The hypochondrium is... epigastric thus... pain add Chuan... )
The Gallbladder is a pure and clear organ, having no exit or entry, its channel located in the half-exterior/half-interior. Sweating, vomiting, and purging are contraindicated; the method should be harmonization. (Zhang Zhongjing said: Shaoyang Wind Strike...)
Shaoyang...
Da...
Then no fever. When Yin gathers at Yang, chills occur. Huangqin descends Yin Qi, preventing it from entering Yang, thus preventing chills. Also stated: The bitter-cold nature of Chaihu and Huangqin reduces fever; the acrid-warm nature of Banxia and Shengjiang reduces chills; the sweet-warm nature of Renshen, Dazao, and Gancao assists Healthy Qi.) Banxia is acrid and warm, able to strengthen the Spleen and harmonize the Stomach, dispersing counterflow Qi and stopping vomiting. Renshen and Gancao tonify Healthy Qi and harmonize the Middle, preventing pathogens from re-entering the interior, serving as Assistant herbs. Pathogens in the half-exterior/half-interior cause contention between Ying and Wei, (Exterior belongs to Wei, Interior belongs to Ying.) hence Jiang (Ginger) and Zao (Jujube) with acrid-sweet properties are used to harmonize Ying and Wei as Envoy herbs. (Tao Jie'an said: In this classic pattern, epigastric fullness without prior purging is not Jie Xiong (Chest Binding), but exterior pathogens transmitting to the chest. Not yet entered the Zang organs, still in the exterior, requiring Xiaochaihu Tang plus Zhike (Aurantii Fructus) and Jiegeng (Platycodon Root). If ineffective, use this formula combined with Xiao Xian Xiong Tang plus Zhike and Jiegeng; one dose brings sudden relief, efficacy like spirit. Li Shizhen said: Although Shaoyang patterns are in the half-exterior/half-interior, epigastric stuffiness actually involves pathogens of the Upper Jiao Heart and Lungs. Irritability, vomiting, silence, and anorexia involve the Middle Jiao Spleen and Stomach. Thus Huangqin treats the Ministerial Fire of Hand and Foot Shaoyang; Huangqin is also a Shaoyang herb. Yu Jiayan said: Cold Damage treatment divides into Exterior, Interior, and Middle. When Exterior and Interior pathogens are both excessive, harmonize from the Middle, using Renshen, Gancao, Banxia, Shengjiang, Dazao to assist Spleen Qi. Only include one portion of Chaihu to penetrate the Exterior, and one portion of Huangqin to penetrate the Interior. Upon ingestion, ascending Stomach Qi carries Chaihu out to the Exterior; descending Stomach Qi carries Huangqin into the Interior. One harmonization resolves both Exterior and Interior pathogens. Remaining issues are treated subsequently without conflict. Xu Zhongke said: Xiaochaihu Tang is the main harmonizing formula for pathogens transmitting to Shaoyang, exactly in the half-exterior/half-interior, and can also dissipate blood stasis and Qi accumulation in various channels. Thus, for any pathology mixing Exterior and Interior, borrow this formula to extract pathogens to Shaoyang for dispersion via the channels. Chaihu, Gancao, and Shengjiang are fixed herbs; others are added/subtracted according to patterns. Wu Shou said: Xiaochaihu Tang is a half-exterior/half-interior formula; it cannot resolve Taiyang Exterior Heat or Yangming Mark Heat. If Yang Qi is deficient and cold, with red face, fever, deep pulse, and cold feet, taking it leads to immediate danger. And if there is interior deficiency-cold with loose stools...)
Remove Banxia, add Huafen (Trichosanthes Root), named Chaihu Qu Banxia Jia Gualou Gen Tang. (*Jin Gui Yao Lue*) treats alternating chills and fever with thirst, and Labor Malaria. (Yu Jiayan said...)
Chaihu...
Yang Pathogen...
Full text...
Retreat at...
Moisten dryness...
To treat...
Six days...
Those...
Inside...
Guizhi...
Add Gan...
Or only...
Mild or severe...
To guard...
Lying hidden...
Since none...
Tang...
Can...
Qin Lian...
Chills...
Partial...
Chills...
Da Xian...
Fu Zhi...
Remove and...
Jing...
This...
Sweat...
Say...
And make the pathways cut off. If pathways are cut off, the Sovereign (Heart) stands alone and in danger, hence heart fright and Spirit chaos. Irritability and delirious speech originally belong to the Stomach, here they involve the Heart. Difficulty urinating originally belongs to internal exhaustion of Jin Ye (Body Fluids), here it involves blazing Fire in the Small Intestine. Heaviness of the whole body, inability to turn, is a clear sign of internal Spirit chaos, failure of regulation, and loss of mastery over the hundred bones. When pathogens are just in the exterior/interior, harm has already reached the Spirit. To repair heaven and bathe the sun here, how could it be ordinary exterior/interior management? Hence use Renshen and Fuling's tonification to benefit Heart deficiency. Qian Dan (Lead Tetroxide)'s heaviness to calm heart fright. Longgu (Fossilized Bone) and Muli (Oyster Shell)'s astringency to serve as the boat carrying the Spirit. One formula achieves both pacifying the interior and repelling the exterior. Later generations, failing to observe, claim this is a method to harmonize the Three Yang channels together; is this so? According to Cold Damage, although it is said transmission affects Foot channels only and not Hand channels, in reality there are no boundaries. This pattern shows the Hand-Shaoyin Heart Master being forced by pathogens, Spirit internally chaotic, leading to incoherent delirium. Compared to delirium belonging to Stomach Excess in other patterns, the difference is vast. If treated again with Foot channel methods, there will be no hope. The formula contains only nine herbs, five entering the Heart, not considered redundant. And three heavy/astringent herbs, not considered harsh. As when the capital city shakes, forces must rush to aid; one cannot gamble on luck. As for Phlegm-Fluid binding in the diaphragm, most destructive, only Banxia is used. Exterior pathogens invading internally, starting the trouble, follow the Taiyang-Shaoyang example, using Guizhi and Chaihu. Yang pathogens entering Yin, urgently needing expulsion, only Dahuang (Rhubarb) is used. These are the critical points in treating Cold Damage, all falling to secondary status. Only after the Heart-treating herbs does the case conclude. Such skill, how can ordinary people recognize?)
Remove Chaihu and Huangqin, add Nong... (text breaks)
Due to Spleen-Stomach Qi deficiency, Jin Ye condensing, Yin Qi moving internally, blocking to cause fullness. Hence treatment benefits Stomach, harmonizes Spleen, descends Qi, and clears fluids.) Remove Banxia, add Danggui (Angelica Sinensis), Baishao (White Peony Root), Dahuang (Rhubarb), named Chaihu Yin Zi. (Zi He) treats Muscle Heat, Steaming Heat, Accumulated Heat, residual heat after sweating, with surging, solid, wiry, rapid pulses, (Exterior is Muscle Heat, Interior is Steaming Heat, Blocking is Accumulated Heat.) also treats Malaria. (Yu Jiayan said: Applying slight tonification and purging within the Harmonizing method hits the mark deeply.) Add Jiegeng (Platycodon Root), named Chaihu Jiegeng Tang, treats Spring Cough. Combine with Pingwei San, named Chai Ping Tang, treats Damp Malaria, body pain, body heaviness. Add Qingdai (Indigo Naturalis) and Jiangzhi (Ginger Juice) to form pills, named Qingzhen Wan. (Jiegu) treats vomiting with wiry pulse, headache, and hot cough. One part of this formula, add two parts Siwu Tang, named Chaihu Si... (text ends)