（附论）
夫伤寒五日。少阴受病。少阴者。肾之经也。其脉贯于肾。络于肺。故得病五日。口燥
舌干
或口中和而恶寒。此是少阴肾受病也。少阴病。口燥舌干者。急下之。宜大承气汤。若不渴
不口燥舌干。而脉沉者。急温之。宜四逆汤。太阴、厥阴。皆不恶寒。只有少阴有恶寒之
证。不可不知也。少阴病得之二三日。口中和。其背恶寒者。宜着灸。并服四逆汤也。大抵
伤寒阳明证。宜下。少阴证。宜温之。仲景于少阴证。口燥咽干。即云即下之。盖少阴主肾
。系舌本。伤寒热气入于脏。流于少阴之经。肾汁干。咽路焦。故口燥咽干而渴。须宜急下
之。非若阳明证。宜下而故可缓也。虽然。阳明亦有一证。发热汗出多。急下之。阳明属
胃。汗多。则胃汁干。亦须急下也。
方
柴胡汤（出圣惠方）治伤寒五日。舌干而渴。烦热不解。大小肠皆涩。
柴胡（一两去苗） 犀角屑（一两） 赤芍药（三分） 黄芩（一两） 栀子仁（十四
枚） 川大
黄（
煎至
六
猪苓散（出圣惠方）治伤寒五日。头痛目眩。大渴饮水。口干。小便不利。
憎寒壮热。腿膝
猪苓（一两去黑皮） 赤茯苓（一两） 白术（半两） 桂心（半两） 泽泻（半两）。
上为细
散。每
麦门冬散（出圣惠方）治伤寒五日。口热舌干。头痛。脚胫酸疼。四肢壮热
。
麦门冬（一两去心） 子芩（三分） 葛根（一两） 前胡（三两去芦头） 知母（三
分） 玄参
（半
升麻（半两）
上为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
柴胡桂枝汤（出圣惠方）治伤寒五日。发热恶寒。肢节疼痛。微呕吐。心下
痞结。外证未解
柴胡（二两去苗） 桂枝（一两） 黄芩（一两） 人参（一两去芦头） 甘草（一两
炙微赤锉）
半
每服
四
川大黄散（出圣惠方）治伤寒五日。烦热未退。大小便涩。
川大黄（一两锉碎微炒） 黄芩（一两） 赤芍药（一两） 知母（一两） 川升麻（一
两） 鳖
甲（
硝（一两）
上为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。以大小
便稍利为度。
抵圣丸（出圣惠方）治伤寒五日。不能言语。热在胸中者。
犀角屑（半两） 麻黄（半两去根节） 川大黄（一两锉碎微炒） 川朴硝（一两） 黄
芩（半
两）
杵。丸
如弹
未汗
治伤寒五日。热毒瓦斯在脏。令人心腹烦躁壅闷。不得眠卧者。宜服此方。
川大黄（一两锉碎微炒） 杏仁（三分汤浸去皮尖双仁麸炒黄） 犀角屑（三分） 枳
壳（去
瓤三
中盏。
入
前胡散（出圣惠方）治伤寒五日。心腹壅滞。烦热不退。
前胡（一两半去芦头） 杏仁（三分汤浸去皮尖双仁麸炒微黄） 川大黄（一两淬） 黄
芩
（一两）
一片。
煎至六
槟榔散（出圣惠方）治伤寒五日。少阴受病。口舌干燥。烦渴欲饮水。心膈
不利。大肠秘涩
槟榔（一两） 牵牛子（一两微炒） 川大黄（半两锉碎微炒） 青橘皮（半两汤浸去
白瓤焙）
上
如
白术散（出圣惠方）治少阴病。服槟榔散。下之后。宜服和气白术散。
白术（半两） 人参（半两去芦头） 枳壳（半两去白瓤麸炒微黄） 白茯苓（半两） 浓
朴
（半两
两） 白
芍药（
盏。入
葱
升麻散（出圣惠方）治伤寒五日。但通体热。面如桃花。皮肤干燥无润泽。
口干渴。此名阳
川升麻（一两） 黄连（一两去须） 川大黄（一两锉碎微炒） 地骨皮（一两） 黄
芩（一
两）
六
分。去
石膏散（出圣惠方）治伤寒五日。头疼。口舌干燥。烦渴欲饮水。
石膏（一两） 黄芩（半两） 甘草（一分炙微赤锉） 川大黄（半两锉碎微炒） 葛
根（半两
锉）
温服
黄芩汤 治伤寒五日。口干。头痛。大便涩。
黄芩（去黑心） 山栀子仁 大黄（各一两锉醋炒） 陈橘皮（汤浸去白瓤焙一分） 朴
硝
（二两）
治伤寒五日。吐利后。身热不去。烦而腹满。起卧不安。宜服此药。（出圣惠方）
栀子仁（一两） 浓朴（二两去粗皮涂生姜汁炙令香熟） 枳壳（二两麸炒微黄去瓤） 上
为
散。
加减小柴胡汤 治伤寒五六日。寒热往来。或微喘咳嗽。
柴胡（二两去苗） 黄芩（去黑心） 半夏（汤浸去滑） 甘草（炙各三分） 干姜（半
两炒）
五味
去滓
栀子散（出圣惠方）治伤寒五日。头痛壮热。四肢烦疼。不能饮食。呕逆不
定。
栀子仁（三分） 黄连（三分去须） 黄柏（三分锉） 川大黄（三分锉碎微炒） 芦
根（一两
锉）
计时候
三黄承气汤（出圣惠方）治伤寒五日。口热舌干。头痛。脚胫酸疼。
栀子仁（一两） 黄芩（一两） 川大黄（一两锉碎微炒） 川芒硝（一两） 陈橘皮
（一两汤
浸去
治伤寒五六日以上者。（出肘后方）
上用竹青竹沥。少煎令减。数饮之。以衣浓覆取汗。即愈。
麦奴丸 治伤寒五日。热在胸中。不能言语者。
柴胡加桂汤（出鲍氏方）治伤寒四五日。身热恶风。颈项强。胁下满。手足
温。口苦而渴。
柴胡（三两一钱） 半夏（四钱一分） 甘草（三钱一分） 芍药 黄芩 人参 官桂
（各半
钱）
三黄熟艾汤（出活人书）治伤寒四五日。而大便下热痢。作白通汤药。多不
得止。宜服此汤
黄芩 黄连 黄柏（各三分） 熟艾（半鸡子大一块） 上锉如麻豆大。水二大盏。煎
取七
分
治伤寒四日五日六日不得汗。头痛壮热。浑身不知痛疼处。睡卧不安。心神烦躁
。脉气洪大紧急。大便秘涩不得通。宜服此百解散。凡人患伤寒。忽热病。经数日饮食
不进。大便秘涩不通。医者多以其饮食不进。胃气虚弱。不肯疏转。致令倾损性命。
此缘热毒之气。蒸郁脏腑。伤损正气。所以不能食。凡患伤寒之人。经及五六日。未
曾得汗。头痛壮热。心神烦躁。浑身骨节。四肢八节。俱痛。大便热秘不通者。虽饮
食不得。亦当疏转。形不病。气即自然平安。饮食增进。凡下疏药。先当审五脏脉气
。观何脏得病。然后下药取之。即万无一失。但三部之中。一部偏大紧者。是即其脏得
病也。若脉候未精。只吃此百解散。永无差误。缘此方。皆治五脏之病也。若是狂言
妄语。急吃后面药。转下便安。效。（出护命方）
前胡（去毛） 柴胡（去毛） 知母 贝母 牡丹皮（去心） 桔梗 羌活 独活 荆
芥穗
黄芩
参
秦
食后临卧。去滓。热服。留滓。再煎服。若大便不通。忽狂言妄语。即煎此药取汁。用调后
面
半夏（半两） 芎 大黄（各一分） 牵牛（二两） 硝石（十铢） 上研硝石。并
杵罗众
药。合
后临卧
转后。
加味二陈汤（出活人书）治三五日之内。发热发寒。干呕。饮水即吐。粥食
入口即吐。
陈皮（二钱） 茯苓（三钱） 半夏（三钱炮洗） 甘草（三钱） 枳实（二钱） 竹
茹（三钱）
上
以尽
治伤寒热病。经四五日。热毒上冲心胸。噎塞满闷。浑身壮热。头痛不止。大便不
通。胸中
黄芩 麻黄（去根） 柴胡（去毛） 桔梗 羌活 连翘子 玄参 木香 具母（各一
分）
牡丹
末）
上为
片。
芎术散（出卫生家宝方）治解截四时伤寒。或以病四五日。表里未分者。亦
可服。\x
川芎 甘草（微炮） 升麻 香附子 白芷 羌活 苍术 人参 当归 白芍药（各等
分）
上
脉缓。头轻为效。
（附论）
伤寒病到了第五天，少阴经受邪。少阴经是肾的经脉。它的脉气贯通肾脏，联络肺部。所以患病五天，出现口燥、舌干的症状；或者口中感觉正常而恶寒，这是少阴肾受病的表现。少阴病，若出现口燥舌干，应当急用下法治疗，适宜使用大承气汤。如果不口渴、不口燥舌干，且脉象沉伏，应当急用温法治疗，适宜使用四逆汤。太阴病和厥阴病都没有恶寒的症状，只有少阴病有恶寒的表现，这一点不可不知道。少阴病发病两三天，口中感觉平和，但背部怕冷，适宜施灸，并服用四逆汤。大抵而言，伤寒阳明证适宜用下法，少阴证适宜用温法。张仲景在论述少阴证时，若见口燥咽干，就说应当急下之。这是因为少阴主司肾脏，系连舌根。伤寒热气侵入脏腑，流注于少阴经脉，导致肾液枯竭，咽喉焦灼，所以出现口燥咽干而渴。必须急用下法，不像阳明证那样可以稍缓。虽然如此，阳明证也有一种情况，发热汗出多，需要急下。因为阳明属胃，汗出过多，则胃中津液枯竭，也必须急下。
方剂
柴胡汤（出自《圣惠方》），治疗伤寒五日，舌干而渴，烦热不解，大小肠皆涩滞不通。
柴胡（一两，去苗） 犀角屑（一两） 赤芍药（三分） 黄芩（一两） 栀子仁（十四枚） 川大黄（适量，煎至六分汁）
猪苓散（出自《圣惠方》），治疗伤寒五日，头痛目眩，大渴饮水，口干，小便不利，憎寒壮热，腿膝疼痛。
猪苓（一两，去黑皮） 赤茯苓（一两） 白术（半两） 桂心（半两） 泽泻（半两）。
以上研为细散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
麦门冬散（出自《圣惠方》），治疗伤寒五日，口热舌干，头痛，脚胫酸疼，四肢壮热。
麦门冬（一两，去心） 子芩（三分） 葛根（一两） 前胡（三两，去芦头） 知母（三分） 玄参（半两） 升麻（半两）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
柴胡桂枝汤（出自《圣惠方》），治疗伤寒五日，发热恶寒，肢节疼痛，微呕吐，心下痞结，外证未解。
柴胡（二两，去苗） 桂枝（一两） 黄芩（一两） 人参（一两，去芦头） 甘草（一两，炙微赤，锉） 川大黄（半两）。
每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
川大黄散（出自《圣惠方》），治疗伤寒五日，烦热未退，大小便涩滞不通。
川大黄（一两，锉碎，微炒） 黄芩（一两） 赤芍药（一两） 知母（一两） 川升麻（一两） 鳖甲（一两，醋炙） 硝石（一两）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。以大小便稍通利为度。
抵圣丸（出自《圣惠方》），治疗伤寒五日，不能言语，热在胸中的症状。
犀角屑（半两） 麻黄（半两，去根节） 川大黄（一两，锉碎，微炒） 川朴硝（一两） 黄芩（半两）。
以上捣杵，制成丸药，如弹子大小。每次服用一丸，水化开，不拘时候温服。若未出汗，加衣取汗。
治伤寒五日，热毒瓦斯在脏，令人心腹烦躁壅闷，不得眠卧者，适宜服用此方。
川大黄（一两，锉碎，微炒） 杏仁（三分，汤浸去皮尖双仁，麸炒黄） 犀角屑（三分） 枳壳（半两，去瓤，麸炒微黄）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
前胡散（出自《圣惠方》），治疗伤寒五日，心腹壅滞，烦热不退。
前胡（一两半，去芦头） 杏仁（三分，汤浸去皮尖双仁，麸炒微黄） 川大黄（一两，淬） 黄芩（一两）。
以上研为散。每次服用四钱，用水一中盏，入生姜一片，煎至六分，去渣滓，不拘时候，温服。
槟榔散（出自《圣惠方》），治疗伤寒五日，少阴受病，口舌干燥，烦渴欲饮水，心膈不利，大肠秘涩。
槟榔（一两） 牵牛子（一两，微炒） 川大黄（半两，锉碎，微炒） 青橘皮（半两，汤浸去白瓤焙）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
白术散（出自《圣惠方》），治疗少阴病，服用槟榔散攻下之后，适宜服用和气白术散。
白术（半两） 人参（半两，去芦头） 枳壳（半两，去白瓤，麸炒微黄） 白茯苓（半两） 浓朴（半两，姜汁炙） 甘草（半两，炙微赤） 白芍药（半两）。
以上研为散。每次服用四钱，用水一中盏，入葱白三寸，煎至六分，去渣滓，不拘时候，温服。
升麻散（出自《圣惠方》），治疗伤寒五日，但通体热，面如桃花，皮肤干燥无润泽，口干渴，此名阳毒。
川升麻（一两） 黄连（一两，去须） 川大黄（一两，锉碎，微炒） 地骨皮（一两） 黄芩（一两）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
石膏散（出自《圣惠方》），治疗伤寒五日，头疼，口舌干燥，烦渴欲饮水。
石膏（一两） 黄芩（半两） 甘草（一分，炙微赤，锉） 川大黄（半两，锉碎，微炒） 葛根（半两，锉）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
黄芩汤，治疗伤寒五日，口干，头痛，大便涩滞。
黄芩（去黑心） 山栀子仁 大黄（各一两，锉，醋炒） 陈橘皮（汤浸去白瓤焙一分） 朴硝（二两）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
治伤寒五日，吐利后，身热不去，烦而腹满，起卧不安，适宜服用此药。（出自《圣惠方》）
栀子仁（一两） 浓朴（二两，去粗皮涂生姜汁炙令香熟） 枳壳（二两，麸炒微黄，去瓤）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
加减小柴胡汤，治疗伤寒五六日，寒热往来，或微喘咳嗽。
柴胡（二两，去苗） 黄芩（去黑心） 半夏（汤浸去滑） 甘草（炙，各三分） 干姜（半两，炒） 五味子（半两）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，大枣一枚擘破，煎至六分，去渣滓，不拘时候，温服。
栀子散（出自《圣惠方》），治疗伤寒五日，头痛壮热，四肢烦疼，不能饮食，呕逆不定。
栀子仁（三分） 黄连（三分，去须） 黄柏（三分，锉） 川大黄（三分，锉碎，微炒） 芦根（一两，锉）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
三黄承气汤（出自《圣惠方》），治疗伤寒五日，口热舌干，头痛，脚胫酸疼。
栀子仁（一两） 黄芩（一两） 川大黄（一两，锉碎，微炒） 川芒硝（一两） 陈橘皮（一两，汤浸去白瓤）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
治伤寒五六日以上者。（出自《肘后方》）
以上用竹青竹沥，稍微煎煮令其减少，多次饮用，用厚衣覆盖取汗，即愈。
麦奴丸，治疗伤寒五日，热在胸中，不能言语者。
柴胡加桂汤（出自《鲍氏方》），治疗伤寒四五日，身热恶风，颈项强，胁下满，手足温，口苦而渴。
柴胡（三两一钱） 半夏（四钱一分） 甘草（三钱一分） 芍药 黄芩 人参 官桂（各半钱）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
三黄熟艾汤（出自《活人书》），治疗伤寒四五日，而大便下热痢，作白通汤药，多不得止，适宜服用此汤。
黄芩 黄连 黄柏（各三分） 熟艾（半鸡子大一块）。
以上锉如麻豆大。用水二大盏，煎取七分，去渣滓，不拘时候，温服。
治伤寒四日五日六日不得汗，头痛壮热，浑身不知痛疼处，睡卧不安，心神烦躁，脉气洪大紧急，大便秘涩不得通，适宜服用此百解散。凡人患伤寒，忽热病，经数日饮食不进，大便秘涩不通，医者多以其饮食不进，胃气虚弱，不肯疏转，致令倾损性命。此缘热毒之气，蒸郁脏腑，伤损正气，所以不能食。凡患伤寒之人，经及五六日，未曾得汗，头痛壮热，心神烦躁，浑身骨节，四肢八节，俱痛，大便热秘不通者，虽饮食不得，亦当疏转。形不病，气即自然平安，饮食增进。凡下疏药，先当审五脏脉气，观何脏得病，然后下药取之，即万无一失。但三部之中，一部偏大紧者，是即其脏得病也。若脉候未精，只吃此百解散，永无差误。缘此方，皆治五脏之病也。若是狂言妄语，急吃后面药，转下便安，效。（出自《护命方》）
前胡（去毛） 柴胡（去毛） 知母 贝母 牡丹皮（去心） 桔梗 羌活 独活 荆芥穗 黄芩 人参 秦艽。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，热服。留渣滓，再煎服。若大便不通，忽狂言妄语，即煎此药取汁，用调后面药。
后面药：
半夏（半两） 芎藭 大黄（各一分） 牵牛（二两） 硝石（十铢）。
以上研硝石，并杵罗众药，合匀。每次服用二钱，水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，临卧服。
转后：
加味二陈汤（出自《活人书》），治疗三五日之内，发热发寒，干呕，饮水即吐，粥食入口即吐。
陈皮（二钱） 茯苓（三钱） 半夏（三钱，炮洗） 甘草（三钱） 枳实（二钱） 竹茹（三钱）。
以上研为散。每次服用四钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
治伤寒热病，经四五日，热毒上冲心胸，噎塞满闷，浑身壮热，头痛不止，大便不通，胸中烦闷。
黄芩 麻黄（去根） 柴胡（去毛） 桔梗 羌活 连翘子 玄参 木香 具母（各一分） 牡丹皮（一分）。
以上研为末。每次服用二钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。
芎术散（出自《卫生家宝方》），治疗解截四时伤寒，或以病四五日，表里未分者，亦可服。
川芎 甘草（微炮） 升麻 香附子 白芷 羌活 苍术 人参 当归 白芍药（各等分）。
以上研为散。每次服用二钱，用水一中盏，入生姜半分，煎至六分，去渣滓，不拘时候，温服。脉缓，头轻为效。
(Attached Discussion)
On the fifth day of cold damage (Shanghan), the Shaoyin meridian is affected. The Shaoyin meridian belongs to the Kidney. Its pulse penetrates the Kidney and connects with the Lung. Therefore, after five days of illness, symptoms such as dry mouth and dry tongue may appear; or if the mouth feels normal but there is aversion to cold, this indicates that the Shaoyin Kidney is affected. In Shaoyin disease, if dry mouth and dry tongue occur, urgent purgation should be applied, and Dachengqi Tang (Great Order the Qi Decoction) is suitable. If there is no thirst, no dry mouth or tongue, and the pulse is deep, urgent warming should be applied, and Sini Tang (Frigid Extremities Decoction) is suitable. Both Taiyin disease and Jueyin disease do not present with aversion to cold; only Shaoyin disease presents with aversion to cold. This must not be overlooked. In Shaoyin disease, occurring two or three days after onset, if the mouth feels peaceful but the back feels cold, moxibustion should be applied, and Sini Tang (Frigid Extremities Decoction) should be taken. Generally speaking, Yangming syndrome in cold damage is suitable for purgation, while Shaoyin syndrome is suitable for warming. Zhang Zhongjing, when discussing Shaoyin syndrome, stated that if dry mouth and dry throat occur, urgent purgation should be used. This is because Shaoyin governs the Kidney and connects to the root of the tongue. When heat from cold damage enters the zang organs and flows into the Shaoyin meridian, kidney fluids dry up, and the throat becomes scorched, leading to dry mouth, dry throat, and thirst. Urgent purgation is necessary, unlike Yangming syndrome where purgation can be delayed. Although so, there is one case in Yangming syndrome: fever with profuse sweating requires urgent purgation. Because Yangming belongs to the Stomach, excessive sweating depletes stomach fluids, requiring urgent purgation.
Formulas
Chaihu Tang (Bupleurum Decoction) (from *Shenghui Fang*), treating cold damage on the fifth day with dry tongue and thirst, unresolved irritability and heat, and stagnation in both large and small intestines.
Chai Hu (Radix Bupleuri, 1 liang, remove seedlings) Xi Jiao (Cornu Rhinocerotis, 1 liang) Chi Shao Yao (Radix Paeoniae Rubra, 3 fen) Huang Qin (Radix Scutellariae, 1 liang) Zhi Zi Ren (Semen Gossypii Herbacei, 14 pieces) Chuan Da Huang (Radix et Rhizoma Rhei, appropriate amount, decocted to yield 6 fen juice).
Zhuling San (Polyporus Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with headache and dizziness, severe thirst for drinking water, dry mouth, difficult urination, aversion to cold with high fever, and pain in legs and knees.
Zhu Ling (Poria, 1 liang, remove black skin) Chi Fu Ling (Poria cum Radix Pini, 1 liang) Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Ze Xie (Rhizoma Alismatis, 0.5 liang).
Grind the above into fine powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Maimen Dong San (Ophiopogon Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with hot mouth and dry tongue, headache, soreness and pain in calves, and intense heat in limbs.
Mai Men Dong (Herba Ophiopogonis, 1 liang, remove heart) Zi Qin (Radix Scutellariae, 3 fen) Ge Gen (Radix Puerariae, 1 liang) Qian Hu (Radix Peucedani, 3 liang, remove rhizome head) Zhi Mu (Rhizoma Anemarrhenae, 3 fen) Xuan Shen (Radix Scrophulariae, 0.5 liang) Sheng Ma (Rhizoma Cimicifugae, 0.5 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction) (from *Shenghui Fang*), treating cold damage on the fifth day with fever and aversion to cold, pain in joints, slight vomiting, epigastric fullness and obstruction, and unresolved exterior syndrome.
Chai Hu (Radix Bupleuri, 2 liang, remove seedlings) Gui Zhi (Ramulus Cinnamomi, 1 liang) Huang Qin (Radix Scutellariae, 1 liang) Ren Shen (Radix Ginseng, 1 liang, remove rhizome head) Gan Cao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly red, crushed) Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang).
Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Chuan Da Huang San (Rhubarb Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with unresolved irritability and heat, and difficult urination and defecation.
Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly fried) Huang Qin (Radix Scutellariae, 1 liang) Chi Shao Yao (Radix Paeoniae Rubra, 1 liang) Zhi Mu (Rhizoma Anemarrhenae, 1 liang) Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang) Bie Jia (Carapax et Plastrum Testudinis, 1 liang, vinegar-fried) Xiao Shi (Natrii Sulfas, 1 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time. Stop when urination and defecation become slightly smooth.
Disheng Wan (Miracle-Sage Pill) (from *Shenghui Fang*), treating cold damage on the fifth day with inability to speak due to heat in the chest.
Xi Jiao (Cornu Rhinocerotis, 0.5 liang) Ma Huang (Herba Ephedrae, 0.5 liang, remove roots and nodes) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly fried) Chuan Po Xiao (Natrii Sulfas Praparatus, 1 liang) Huang Qin (Radix Scutellariae, 0.5 liang).
Pound and mix, form pills like bullet size. Take one pill per dose, dissolve in water, take warm at any time. If no sweat, cover with clothes to induce sweat.
Treating cold damage on the fifth day where heat-toxin qi resides in the zang organs, causing irritability, abdominal distension and oppression, and insomnia. This formula is suitable.
Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly fried) Xing Ren (Semen Armeniacae Amarum, 3 fen, soaked in water, remove skin and tips, double-kernel, bran-fried yellow) Xi Jiao (Cornu Rhinocerotis, 3 fen) Zhi Ke (Fructus Aurantii, 0.5 liang, remove pulp, bran-fried slightly yellow).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Qian Hu San (Peucedanum Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with abdominal stagnation and unresolved irritability and heat.
Qian Hu (Radix Peucedani, 1.5 liang, remove rhizome head) Xing Ren (Semen Armeniacae Amarum, 3 fen, soaked in water, remove skin and tips, double-kernel, bran-fried slightly yellow) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, quenched) Huang Qin (Radix Scutellariae, 1 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add one slice of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Bing Lang San (Areca Seed Powder) (from *Shenghui Fang*), treating cold damage on the fifth day where Shaoyin is affected, with dry mouth and tongue, irritability and thirst for water, discomfort in chest and diaphragm, and constipation in large intestine.
Bing Lang (Semen Arecae, 1 liang) Qian Niu Zi (Semen Pharbitidis, 1 liang, lightly fried) Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, crushed, lightly fried) Qing Ju Pi (Pericarpium Citri Reticulatae Viride, 0.5 liang, soaked in water, remove white pith, baked).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Bai Zhu San (Atractylodes Macrocephala Powder) (from *Shenghui Fang*), treating Shaoyin disease, suitable to take Heqi Bai Zhu San (Harmonizing Qi Atractylodes Macrocephala Powder) after taking Bing Lang San for purgation.
Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang) Ren Shen (Radix Ginseng, 0.5 liang, remove rhizome head) Zhi Ke (Fructus Aurantii, 0.5 liang, remove white pith, bran-fried slightly yellow) Bai Fu Ling (Poria, 0.5 liang) Nong Po (Cortex Magnoliae Officinalis, 0.5 liang, ginger-juice fried) Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried slightly red) Bai Shao Yao (Radix Paeoniae Alba, 0.5 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 3 cun of scallion white, decoct to 6 fen, remove dregs, take warm at any time.
Sheng Ma San (Cimicifuga Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with whole-body heat, face like peach blossom, dry and lusterless skin, dry mouth and thirst. This is named Yang Du (Yang Toxin).
Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang) Huang Lian (Rhizoma Coptidis, 1 liang, remove whiskers) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly fried) Di Gu Pi (Cortex Lycii, 1 liang) Huang Qin (Radix Scutellariae, 1 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Shi Gao San (Gypsum Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with headache, dry mouth and tongue, irritability and thirst for water.
Shi Gao (Gypsum Fibrosum, 1 liang) Huang Qin (Radix Scutellariae, 0.5 liang) Gan Cao (Radix Glycyrrhizae, 1 fen, honey-fried slightly red, crushed) Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, crushed, lightly fried) Ge Gen (Radix Puerariae, 0.5 liang, crushed).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Huang Qin Tang (Scutellaria Decoction), treating cold damage on the fifth day with dry mouth, headache, and difficult defecation.
Huang Qin (Radix Scutellariae, remove black heart) Shan Zhi Zi Ren (Semen Gossypii Herbacei) Da Huang (Radix et Rhizoma Rhei) (each 1 liang, crushed, vinegar-fried) Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, remove white pith, baked, 1 fen) Po Xiao (Natrii Sulfas, 2 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Treating cold damage on the fifth day, after vomiting and diarrhea, with persistent body heat, irritability, abdominal fullness, and restlessness. This medicine is suitable. (from *Shenghui Fang*)
Zhi Zi Ren (Semen Gossypii Herbacei, 1 liang) Nong Po (Cortex Magnoliae Officinalis, 2 liang, remove coarse bark, coat with ginger juice, fry until fragrant and cooked) Zhi Ke (Fructus Aurantii, 2 liang, bran-fried slightly yellow, remove pulp).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Jiajian Xiaochaihu Tang (Modified Minor Bupleurum Decoction), treating cold damage on the fifth or sixth day with alternating chills and fever, or slight wheezing and cough.
Chai Hu (Radix Bupleuri, 2 liang, remove seedlings) Huang Qin (Radix Scutellariae, remove black heart) Ban Xia (Rhizoma Pinelliae, soaked in water to remove slipperiness) Gan Cao (Radix Glycyrrhizae, honey-fried, each 3 fen) Gan Jiang (Rhizoma Zingiberis Recens, 0.5 liang, fried) Wu Wei Zi (Fructus Schisandrae, 0.5 liang).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger and one date split open, decoct to 6 fen, remove dregs, take warm at any time.
Zhi Zi San (Gardenia Powder) (from *Shenghui Fang*), treating cold damage on the fifth day with headache and high fever, painful limbs, inability to eat, and irregular vomiting.
Zhi Zi Ren (Semen Gossypii Herbacei, 3 fen) Huang Lian (Rhizoma Coptidis, 3 fen, remove whiskers) Huang Bo (Cortex Phellodendri, 3 fen, crushed) Chuan Da Huang (Radix et Rhizoma Rhei, 3 fen, crushed, lightly fried) Lu Gen (Rhizoma Imperatae, 1 liang, crushed).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Sanhuang Chengqi Tang (Three Yellows Order the Qi Decoction) (from *Shenghui Fang*), treating cold damage on the fifth day with hot mouth and dry tongue, headache, and soreness and pain in calves.
Zhi Zi Ren (Semen Gossypii Herbacei, 1 liang) Huang Qin (Radix Scutellariae, 1 liang) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly fried) Chuan Mang Xiao (Natrii Sulfas, 1 liang) Chen Ju Pi (Pericarpium Citri Reticulatae, 1 liang, soaked in water, remove white pith).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Treating cold damage after five or six days. (from *Zhouhou Fang*)
Use bamboo green and bamboo sap, boil slightly to reduce, drink frequently, cover thickly with clothes to induce sweat, then recover.
Mail Nu Wan (Mail Nu Pill), treating cold damage on the fifth day with heat in the chest and inability to speak.
Chaihu Jia Gui Tang (Bupleurum plus Cinnamon Twig Decoction) (from *Bao Shi Fang*), treating cold damage on the fourth or fifth day with body heat and aversion to wind, stiff neck, fullness under hypochondrium, warm hands and feet, bitter taste in mouth and thirst.
Chai Hu (Radix Bupleuri, 3 liang 1 qian) Ban Xia (Rhizoma Pinelliae, 4 qian 1 fen) Gan Cao (Radix Glycyrrhizae, 3 qian 1 fen) Shao Yao (Radix Paeoniae) Huang Qin (Radix Scutellariae) Ren Shen (Radix Ginseng) Guan Gui (Cortex Cinnamomi Cassiae) (each half qian).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Sanhuang Shuai Ai Tang (Three Yellows and Cooked Mugwort Decoction) (from *Ren Shu*), treating cold damage on the fourth or fifth day with hot dysentery in stool. Baotong Tang (White Connecting Decoction) often fails to stop it; this decoction is suitable.
Huang Qin (Radix Scutellariae) Huang Lian (Rhizoma Coptidis) Huang Bo (Cortex Phellodendri) (each 3 fen) Shuai Ai (Folium Artemisiae Argyi, prepared, piece size of half an egg).
Crush to hemp-seed size. Use 2 da zhan of water, decoct to 7 fen, remove dregs, take warm at any time.
Treating cold damage on the fourth, fifth, or sixth day without sweat, with headache and high fever, unknown pain location in the body, restless sleep, irritability, surging and tight pulse, and difficult constipation. Baijie San (Hundred Release Powder) is suitable. For ordinary people suffering from cold damage, sudden febrile disease, several days of no appetite, and difficult constipation, doctors often attribute the lack of appetite to weak stomach qi and refuse to use purgatives, leading to fatal consequences. This is because heat-toxin qi steams and stifles the zang organs, damaging righteous qi, hence the inability to eat. For those suffering from cold damage, after four to five days without sweat, with headache, high fever, irritability, pain in all bones and joints, and difficult hot constipation, even if they cannot eat, purgation should still be used. If the physical form is not severely ill, qi will naturally become safe, and appetite will increase. When using purgatives, first examine the pulse qi of the five zang organs to see which organ is diseased, then apply the medicine accordingly to ensure safety. If among the three positions (cun, guan, chi), one position is particularly large and tight, that organ is diseased. If pulse diagnosis is not precise, simply taking Baijie San will never cause error, as this formula treats diseases of the five zang organs. If there is delirious speech, urgently take the following medicine; purgation will bring relief. Effective. (from *Hu Ming Fang*)
Qian Hu (Radix Peucedani, remove hair) Chai Hu (Radix Bupleuri, remove hair) Zhi Mu (Rhizoma Anemarrhenae) Bei Mu (Bulbus Fritillariae Cirrhosae) Mu Dan Pi (Cortex Moutan, remove heart) Jie Geng (Radix Platycodi) Qiang Huo (Rhizoma et Radix Notopterygii) Du Huo (Radix Angelicae Pubescentis) Jing Jie Sui (Herba Schizonepetae) Huang Qin (Radix Scutellariae) Ren Shen (Radix Ginseng) Qin Jiao (Radix Gentianae Macrophyllae).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take hot at any time. Keep dregs, decoct again. If constipation occurs with sudden delirious speech, decoct this medicine to extract juice, and use it to mix with the following medicine.
Following Medicine:
Ban Xia (Rhizoma Pinelliae, 0.5 liang) Xiong (Rhizoma Chuanxiong) Da Huang (Radix et Rhizoma Rhei) (each 1 fen) Qian Niu (Semen Pharbitidis, 2 liang) Xiao Shi (Natrii Sulfas, 10 zhu).
Grind Xiao Shi, and pound/sieve all other medicines together. Mix well. Take 2 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take before bed.
Afterward:
Jiawei Erchen Tang (Modified Two-Chen Decoction) (from *Ren Shu*), treating within three to five days with fever and chills, dry retching, vomiting immediately after drinking water, and vomiting immediately after eating porridge.
Chen Pi (Pericarpium Citri Reticulatae, 2 qian) Fu Ling (Poria, 3 qian) Ban Xia (Rhizoma Pinelliae, 3 qian, processed and washed) Gan Cao (Radix Glycyrrhizae, 3 qian) Zhi Shi (Fructus Aurantii Immaturus, 2 qian) Zhu Ru (Caulis Bambusae in Taeniam, 3 qian).
Grind the above into powder. Take 4 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Treating febrile disease from cold damage, after four or five days, with heat-toxin rushing up to chest and heart, choking and fullness, whole-body high fever, unceasing headache, difficult defecation, and chest oppression.
Huang Qin (Radix Scutellariae) Ma Huang (Herba Ephedrae, remove roots) Chai Hu (Radix Bupleuri, remove hair) Jie Geng (Radix Platycodi) Qiang Huo (Rhizoma et Radix Notopterygii) Lian Qiao Zi (Fructus Forsythiae) Xuan Shen (Radix Scrophulariae) Mu Xiang (Radix Aucklandiae) Ju Mu (Bulbus Fritillariae Cirrhosae) (each 1 fen) Mu Dan Pi (Cortex Moutan, 1 fen).
Grind the above into powder. Take 2 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time.
Xiong Zhu San (Chuanxiong and Atractylodes Powder) (from *Weisheng Jiabao Fang*), treating seasonal cold damage, or when illness lasts four or five days with unclear interior/exterior differentiation, this can also be taken.
Chuan Xiong (Rhizoma Chuanxiong) Gan Cao (Radix Glycyrrhizae, lightly fried) Sheng Ma (Rhizoma Cimicifugae) Xiang Fu Zi (Rhizoma Cyperi) Bai Zhi (Radix Angelicae Dahuricae) Qiang Huo (Rhizoma et Radix Notopterygii) Cang Zhu (Rhizoma Atractylodis Lanceae) Ren Shen (Radix Ginseng) Dang Gui (Radix Angelicae Sinensis) Bai Shao Yao (Radix Paeoniae Alba) (equal parts).
Grind the above into powder. Take 2 qian per dose, with 1 zhong zhan of water, add 0.5 fen of fresh ginger, decoct to 6 fen, remove dregs, take warm at any time. Effect is indicated by slow pulse and light head.