夫风寒暑湿饮食劳倦。皆能为病。是为五邪。冬伤于寒。春必病温。春伤于风。夏必飧
泄。夏伤于暑。秋必 疟。秋伤于湿。冬必咳嗽。是乃四时之气。然五邪所中虽不同。本皆
外邪。大率同类。惟冬时严寒。其毒厉尤甚。人或中之。病在冬时。则名正伤寒。若邪毒藏
于肌肤。至春时乘温而发者。为温病。若留连日久。至夏之时。乘盛暑而发。为暑病。所谓
先夏至日为病温。后夏至日为病暑是也。其病传之次。先客于太阳。其病令人头项痛。腰脊
强。其脉尺寸皆浮。太阳不已。传于阳明。其病体热。目疼鼻干。不得卧。其脉尺寸皆长。
阳明不已。传于少阳。其病胸胁痛而耳聋其脉尺寸皆弦。少阳不已。太阴受之。其病腹满体
重。其脉尺寸俱微。太阴不已。少阴受之。其病口燥舌干而渴。或背微恶寒。其脉尺寸俱沉。
少阴不已。厥阴受之。其病烦满舌卷囊缩。其脉尺寸俱缓。病之所传不过三阳三阴而已。其
未满三日者。邪在阳经。未入于里。其病在表。宜汗之而愈。若经四日者。邪入阴经。其病
在里。宜下之而愈。特其大略尔。盖有一日而传至数经者。亦有数日而尚在太阳者。阳病虽
宜发汗。阳明之病反宜下之。阴病虽宜下之。少阴之病或宜温之。由人之禀受虚盛。其传有
迟速。又不传经者。当审其脉证。凡此六经受病。五邪脉证各不同。伤风者必恶风。其脉浮
缓。伤寒者必恶寒。其脉浮紧。以至伤暑脉虚。伤湿脉濡。人迎紧盛为伤寒。气口急盛为伤
食。诊得五邪。知其本也。诊得六经。知其标也。有病虽在表而不可汗者。或在里而不可下
者。或若汗之太多。则津液燥竭。遂至亡阳。下之太早。则邪气动膈。乃成结胸。清浊相干。
则变为霍乱。热毒内瘀。则变为瘀血。又或为发黄者。湿热相蒸也。或为发斑者。阳毒太盛
也。阳盛之人。得之于热。乃为阳毒。阴盛之人。得之于寒。乃为阴毒。虫动则为狐惑。坏
病之甚则为百合。若劳复阴阳易之类。虽瘥后犹宜节慎。变态多端。不可备举。当以类求之。
皆以适当为良。惟两感之病。表里皆受邪。为难治。其他或阴证似阳。阳证似阴。或阴盛格
阳。阳盛格阴者。在诊病者以意详之。
夫人生天地之间。以气血籍其真。是故天无一岁不寒暑。人无一日不忧苦。故有伤寒天
行瘟疫之病焉。盖冬令为杀厉之气。君子善摄生者。当严寒之时。行住坐卧。护身周密。故
不犯寒毒。彼奔驰荷重之人。皆辛苦之徒耳。当阳闭藏而反扰动之。则郁发腠理结脏腑。津
液强耗。为寒所搏。则腠理不密。寒毒与营卫相浑。当是之时。壮者气行则已。怯者则着而
成病矣。不即病者。寒气藏于肌肤之间。春则病温。夏则病热。此皆一气使然也。古之治法。
一日在皮。当摩膏而火灸之。二日在肤。根据法解肌而发散之。汗出则愈。三日在肌。亦发汗
愈。四日在胸。宜吐之。五日在腹。六日在胃。宜下之。此华佗之治法也。若按三阴三阳之
法。传变无出仲景之论。盖治伤寒有伤寒之法。治杂病有杂病之方。岂能异其传者同其治。
调理伤寒当按定法也。
初得病者。头旋恶心振寒。此即素问所谓因于寒。欲如运枢起居如惊。神气乃浮者是也。
此
新伤寒。如仲景明六经受病传变者。乃素问所谓热病也。若病作无次第。初得病表里不明。
或先热而渴。不恶寒。此即江南谓之黄病。北方谓之汗病。或长幼遽相染着。又是天行时气
。新伤寒轻剂散之。如葱白散。和解散。皆可用。如六经传变者。当如仲景法。有表证者。
麻黄汤桂枝汤。有寒证互见者各半汤。见里证者。小承气汤。十枣汤。入里深者。大承气汤
。半表半里。小柴胡汤。见痞及结胸者。泻心汤。小陷胸汤。皆可用。腹满者理中丸。此过
太阴者也。传少阴便见厥逆。脉浮细。即当投四逆辈。若见厥阴证。当随证用药不可造次。
此大纲仲景法。如河间发表。则用防风通圣散。双解散。入腑三乙承气汤。大柴胡汤。结胸
痞满。大陷胸汤辈。入阴便是附子四逆汤。半表半里。和解多用凉膈益元散。伤暑亦根据仲景
用白虎汤。多是桂苓甘露饮。益元散。备见直指方。子和法。发表麻黄汤。青龙汤。和解凉
膈散。下剂大承气汤。三乙承气汤。吐剂瓜蒂散。温病天行。多用凉膈散。寻常发表。用通
圣散。逐去水肿必须禹功散。舟车丸。如常水肿用之极验。
方
人参轻骨散 解利伤寒头痛壮热。项背拘急。骨节烦疼。憎寒恶风。肢体困倦。大
便不调。小便赤涩。呕逆烦渴。伤风头痛。体热鼻塞。声重咳嗽。山岚瘴气。潮热往
来。及五劳七伤。心腹痞满。冷气奔冲。攻注刺痛。又治妇人血气撮痛。经候不调。
贝母(去心) 白茯苓(焙) 半夏(煮各一两) 枳壳(去瓤炒二两半) 苍术(泔
浸一宿六
两) 人参 白术(焙) 白芷(不见火) 陈皮(去白) 秦艽(去芦) 赤芍药(各二
两) 川芎
当归(去芦焙) 肉桂(去粗皮) 干姜(炮各一两半) 柴胡(去芦) 麻黄(去根节各
三两) 桔
梗(去芦) 甘草(炙各四两) 浓朴(姜制四两) 上细末。每服三钱。水一盏。姜三片。
同煎
至
葱白散 解四时伤寒头痛壮热。项背拘急。骨节烦疼。憎寒恶风。肢体困倦。大便
不调。小便赤涩。呕逆烦渴。不思饮食。及伤风头痛体热。鼻塞声重。咳嗽痰涎。山岚
瘴气。时行疫
川芎 苍术(米泔浸) 白术(各二两) 甘草(炙) 石膏( ) 干葛(焙各一两)
麻黄
(去根节三两) 上细末。每服三(二)钱。水一盏。姜三片。葱白二寸。煎至七分。热服。
不
拘时
神仙百解散(一名神仙截伤寒四季加减百解散)治伤寒。无问阴阳二证。其间
所用药味。各随经络治病。如伤寒在表。未传入经。发热恶寒。腰痛。连进二服。汗出
而愈。若已传经络。胸满短气。肢体烦疼。目睛微痛。耳聋。口燥咽干。或渴不渴。手
足自温。或肢厥自利。或不自利。小便反快。服之则调中顺气。祛逐寒邪。如头面感
寒。风伤腠理。头痛项强。发热憎寒。鼻流清涕。咳嗽涎痰。及治风湿相搏。骨节烦
疼。肢体沉重。洒淅恶风。时自汗出。此药大能调顺三焦。解表救里。温润肺经。正四
时之气。升降阴阳。进美饮食。不问伤风伤寒中暑中 。骨蒸头疼。气逆胸满。失饥吐
逆。眩晕恶心。及已经汗后不解。下之不当。吐之不中。此药清而不凉。温而不壅。无
问老人虚人。丈夫妇人。孕妇小儿。并宜服之。如连进二服无不取效。春常服免瘟疫之
疾。不中暑 之病。秋服之即无疟痢。冬服之不感寒毒。真神仙卫生妙药也。功效不可
尽述。
山茵陈(一两) 柴胡(去芦) 前胡 人参 羌活 独活 甘草 苍术(米泔浸锉炒)
藿
香(去梗) 白术 半夏(姜汁制各一两) 干葛 白芍药 升麻 防风(去芦) 本(去
芦)
立春以后不加减。立夏以后。一料加
柴胡(一分) 赤茯苓 当归(各一两)
立秋以后。减柴胡一分。不用当归、茯苓。只加
干姜(炮) 肉桂〔去粗皮各一两(分)〕 麻黄(去节半两)
立冬以后。并无加减。一方无当归。有黄芩去芦半两
上为细末。每服三钱。水一盏半。姜三片。枣三枚。煎至一盏。热服。不计时候。并进
二服。如要表散。加葱白三寸。淡豆豉三十粒。同煎服。以衣被盖覆汗出而愈。一方无山茵
陈、前胡。
八解散(出和剂方)治四时伤寒。头疼壮热。伤风多汗。及疗劳伤过度。骨节
酸疼。饮食无味。四肢疼倦。行步喘乏。面色萎黄。怠惰少力。咳嗽寒热。羸弱自汗。
胸膈不快。呕逆恶心。
人参(去芦) 茯苓 甘草(炙) 陈皮(去白) 白术 藿香(去土各一两) 浓朴
(去粗皮
锉生姜自然汁浸一宿炒紫色二两) 半夏(汤洗七次一两) 上为细末。每服二钱。水一盏。
生姜三片。枣子一枚。葱白三寸。同煎至七分。温服。不拘时候。
白术散(出危氏方)治伤寒气脉不和。憎寒壮热。鼻塞脑闷。涕唾稠粘。痰嗽
壅滞。或冒涉风湿。憎寒发热。骨节疼痛。或中暑呕吐眩晕。及大病后将理失宜。食复
劳复。病证如初。又治五劳七伤。气虚头眩。精神恍惚。睡卧不宁。肢体倦怠。潮热盗
汗。脾胃虚损。面色萎黄。饮食不美。口吐酸水。脏腑滑泄。腹内虚鸣。反胃吐逆。心
腹绞痛。久疟久痢。及膈气咽塞。上气喘促。坐卧不安。或饮食所伤。胸膈痞闷。腹胁
膨胀。妇人胎前产后。血气不和。霍乱吐泻。气厥不省人事。常服辟四时不正之气。及
山岚瘴疫。神效不可具述。
山药 桔梗 茯苓(去皮) 甘草 白芷 陈皮(去白) 青皮(去白) 香附子〔各
三钱
(两)〕 白术(四两) 干姜〔炮三(二)两〕 上为细末。每服二钱。水一盏。姜三片。
枣一
枚。木瓜干一片。紫苏叶三片。煎七分。食前服。若吐泻。入白梅煎。喘入桑白皮、杏仁煎。
伤寒再复。入薄荷。膈气。入木通三寸。麝香少许。中暑呕逆。入香薷。产前产后。气血不
和。入荆芥煎。霍乱。入藿香煎。气厥。入盐汤调下。一方无陈皮。嗽入粟壳、乌梅煎。
藿香正气散(出德生堂)治伤寒头疼。憎寒壮热。上喘咳嗽。五劳七伤。八般
风痰。五般膈气。心腹冷痛。反胃呕恶。吐泻霍乱。脏腑虚鸣。山岚瘴疟。遍身虚肿。
妇人产前产后。血
大腹皮 白芷 紫苏 茯苓(去皮各一两) 半夏曲 白术 陈皮(去白) 浓朴(去
粗皮
姜汁炙) 苦梗(各二两) 藿香(去土三两) 甘草(炙二两半) 上为细末。每服二钱。
水一
盏。姜三片。枣三枚。同煎至七分。热服。如欲出汗。衣被盖。如再汗不出。加葱白二根。
煎服。冷嗽喘满。每服加人参一钱。盐梅一个。杏仁七粒去皮尖。北五味子十粒。就吞青州
白丸三五十粒。效。气促气壅。加人参一钱。沉香五(半)钱。心腹痛。加木香半钱。玄胡
索
七粒切焙。呕恶甚。加生姜三片。木瓜二片。痰呕。加乌梅一个。寒湿腰痛。心腹膨满。加
生姜三片。木瓜二片。苍术切炒。枳壳煨去瓤。各半钱。槟榔半个切片。一方治忧郁血气流
注。遍体刺痛。紧满。加木香一钱。缩砂五粒。名增减顺气木香丸。
荆芥散(出和剂方)治伤寒头疼。鼻塞流涕。声重咽干。胸膈满闷。头痛如
破。
天南星(浸洗生姜自然汁煮软切焙干) 草乌头(炮去皮脐) 荆芥穗(各半两) 石
膏(研
一两) 上为细末。每服二钱。陈茶末一钱。生姜自然汁半呷。薄荷三叶。水二盏。同煎八
分。通口服。
赤散(出千金方)治伤寒头痛项强。身热。腰脊痛。往来有时。
干姜 防风 沙参 细辛 白术 人参 蜀椒 茯苓 麻黄 黄芩 代赭 桔梗 吴茱
萸(各一两) 附子(二两) 上治下筛。先食。酒服一钱匕。日三。
铁精汤(出千金方)治三阴三阳厥逆寒食。胸胁胀满。不能言。气满。胸中
急。肩息。四肢
黄铁(三十斤以流水八斗扬二三千遍) 炭(五十斤烧铁令赤投冷水中又以烧七遍如此
澄
清取汁二斗煮药) 半夏 麦门冬(各一升) 白薇 黄芩 甘草 芍药(各四两) 人参
(三
两) 石膏(五两) 生姜(二两) 大枣〔三(二)十枚〕 上 咀。纳前汁中。煮取六
升。服
一升。
百解散(出百一选方)治伤寒头痛。肢体沉重。恶寒发热。痰逆咳嗽。困倦少
力。及偏正头
防风(去芦三两半) 麻黄(去芦根三两半) 白芷 白芍药(各二两) 川乌(半两
炮去皮
尖) 甘草 菊(去枝叶) 荆芥穗 干姜(各三两) 上为细末。每服二钱。葱茶或蜡茶
点服。
不拘
正气散(出和剂方)治伤寒阴证。憎寒恶风。正气逐冷。胸膈噎塞。胁肋膨
胀。心下坚痞满
甘草(炒七钱) 陈皮 藿香叶 白术(各一两) 浓朴 半夏(同浓朴各三两为末生
姜四
两研烂同为饼子微炒) 上为细末。每服二钱。姜三片。枣一枚。水一盏。煎至七分。食前
热服。又治久患疟疾。膈气心痛。日三服。常服宽中。辟除瘟疫。
辰砂五苓散(出和剂方)治伤寒表里未解。头痛发热。心胸郁闷。唇口干焦。
神思昏沉。狂
辰砂(研) 白术(去芦) 木猪苓(去黑皮) 泽泻(洗锉) 赤茯苓(去皮各十二
两) 肉桂
(去粗皮八两) 上为细末。每服二钱。沸汤点服。不拘时。如中暑作渴。小便赤涩。新汲
水
调
杏子汤(出危氏方)治阳明伤风。能食。口苦咽干。腹满微喘。发热恶风。自
汗。嗜卧身重
杏仁(去皮尖) 半夏(汤洗去滑) 五味子(各二钱半) 芍药 桂心 细辛 干姜
(炮)
大黄(蒸) 甘草(各三钱炙) 茯苓(四钱) 上 咀。每服四钱。水一盏半。煎至七分。
去滓。
食
风寒暑湿以及饮食不节、劳倦过度,都能导致疾病,这被称为“五邪”。冬天感受寒邪,春天必然发生温病;春天感受风邪,夏天必然发生完谷不化的泄泻(飧泄);夏天感受暑邪,秋天必然发生疟疾;秋天感受湿邪,冬天必然发生咳嗽。这是四季气候变化的规律。然而,虽然五邪侵袭的途径不同,但本质上都是外邪,大体属于同类。只有冬季的严寒,其毒烈程度尤为严重。人如果中了这种邪气,在冬季发病,就称为“正伤寒”。如果邪毒潜伏在肌肤之间,到了春天趁着温热之气而发作,就称为温病;如果邪气停留时间较长,到了夏天趁着盛暑之气而发作,就称为暑病。这就是所谓“夏至日之前发病的叫温病,夏至日之后发病的叫暑病”。
疾病的传变次序是:邪气首先侵犯太阳经,病症表现为头痛、项强、腰脊僵硬,脉象寸关尺三部都浮。太阳经的病如果不愈,就会传入阳明经,病症表现为身体发热、眼睛疼痛、鼻子干燥、无法安卧,脉象寸关尺三部都长。阳明经的病如果不愈,就会传入少阳经,病症表现为胸胁疼痛、耳聋,脉象寸关尺三部都弦。少阳经的病如果不愈,太阴经受之,病症表现为腹部胀满、身体沉重,脉象寸关尺三部都微。太阴经的病如果不愈,少阴经受之,病症表现为口燥、舌干而渴,或者背部微微恶寒,脉象寸关尺三部都沉。少阴经的病如果不愈,厥阴经受之,病症表现为心烦腹满、舌头卷缩、阴囊收缩,脉象寸关尺三部都缓。疾病的传变不过是在三阳经和三阴经之间而已。病程未满三天的,邪气还在阳经,没有进入体内,病位在表,应当用发汗法治疗即可痊愈。如果过了四天,邪气进入阴经,病位在里,应当用攻下法治疗即可痊愈。这只是大概的情况。实际上,有的人一天之内就传变到好几经,也有的人过了几天还停留在太阳经。阳经的病虽然适宜发汗,但阳明经的病反而适宜攻下;阴经的病虽然适宜攻下,但少阴经的病或许适宜温补。这是因为人的体质有虚实的差异,邪气的传变有快慢之分。还有不传经的情况,应当仔细审察脉象和证候。凡是这六经受邪,五邪的脉象和证候各不相同。伤风的必定恶风,脉象浮缓;伤寒的必定恶寒,脉象浮紧;至于伤暑脉象虚,伤湿脉象濡软。人迎脉紧盛为伤寒,气口脉急盛为伤食。诊察出五邪,就知道病的根本;诊察出六经,就知道病的标象。有的病虽然在表却不可发汗,有的在里却不可攻下。如果发汗太多,就会导致津液枯竭,进而亡阳;如果攻下太早,就会导致邪气扰动膈部,形成结胸;清浊之气相互干扰,就会变成霍乱;热毒内郁,就会变成瘀血;又或者是发黄,这是湿热熏蒸所致;又或者是发斑,这是阳毒太盛所致。阳气旺盛的人,感受热邪,就成为阳毒;阴气旺盛的人,感受寒邪,就成为阴毒。虫动则成为狐惑病;病情恶化严重则成为百合病。如果是劳复、阴阳易之类,即使病愈后也应当节制谨慎。病情变化多端,不能一一列举,应当按类别寻求治疗方法,都以恰当为宜。只有两感病(表里同时受邪),因为表里都受到邪气侵袭,所以难以治疗。其他如阴证似阳、阳证似阴,或者阴盛格阳、阳盛格阴的情况,需要医生根据具体情况仔细辨别。
人生于天地之间,依靠气血来维持生命真气。因此,天没有一年不经历寒暑交替,人没有一天不经历忧苦。所以会有伤寒、天行(流行性传染病)、瘟疫等疾病。冬季是肃杀凛冽之气,善于养生的人,在严寒之时,无论行走、站立、坐着还是躺着,都要周密地保护身体,所以不触犯寒毒。那些奔波劳累、负重干活的人,都是辛苦之人。当阳气应该闭藏的时候,他们反而扰动它,导致阳气郁结在腠理,凝结在脏腑,津液被强行耗损。被寒气搏击,腠理就不紧密,寒毒与营卫之气混杂在一起。在这个时候,身体强壮的人,正气运行就能自愈;身体虚弱的人,邪气就会附着并导致生病。没有立即发病的,寒气潜伏在肌肤之间,春天就发为温病,夏天就发为热病。这都是由一气所使然。古代的治法:第一天邪气在皮,应当涂抹药膏并火灸;第二天邪气在肤,按照方法解肌发散,出汗就好了;第三天邪气在肌,也是发汗治愈;第四天邪气在胸,应当用吐法;第五天邪气在腹,第六天邪气在胃,应当用下法。这是华佗的治法。如果按照三阴三阳的方法来诊治,传变的理论没有超出张仲景的论述。可以说,治疗伤寒有治疗伤寒的方法,治疗杂病有治疗杂病的方剂,怎么能把传变不同的病用同样的方法治疗呢?调理伤寒应当按照固定的法则。
刚得病时,头晕、恶心、怕冷发抖,这就是《素问》所说的“因于寒,欲如运枢,起居如惊,神气乃浮”的意思。这就是新发的伤寒。像张仲景明确论述六经受病传变的,就是《素问》所说的热病。如果发病没有次序,刚得病时表里症状不明确,或者先发热口渴,不怕冷,这就是江南称为黄病,北方称为汗病的情况。或者老少之间迅速互相传染,又是天行时气。对于新发伤寒轻症,可以用散剂发散,如葱白散、和解散,都可以使用。如果出现六经传变的情况,应当遵循张仲景的方法:有表证的,用麻黄汤、桂枝汤;有寒证兼见的,用各半汤;见到里证的,用小承气汤、十枣汤;邪气入里深的,用大承气汤;在半表半里的,用小柴胡汤;见到痞证及结胸的,用泻心汤、小陷胸汤,都可以使用。腹部胀满的,用理中丸,这是邪气已过太阴经。传到少阴经出现四肢厥冷,脉象浮细,就应当投用四逆汤之类的方剂。如果见到厥阴经证候,应当随证用药,不可草率。这是张仲景法的大纲。如刘河间发表,则用防风通圣散、双解散;入腑用三乙承气汤、大柴胡汤;结胸痞满,用大陷胸汤之类;入阴经就用附子四逆汤;在半表半里,和解多用凉膈散、益元散。伤暑也根据张仲景的方法用白虎汤,多用桂苓甘露饮、益元散,详见《直指方》。张子和的治法:发表用麻黄汤、青龙汤;和解用凉膈散;下剂用大承气汤、三乙承气汤;吐剂用瓜蒂散。温病、天行时气,多用凉膈散。寻常发表,用通圣散。逐去水肿必须用禹功散、舟车丸,如常用水肿用这些方剂极有效验。
人参轻骨散:解除和治疗伤寒引起的头痛、壮热、项背拘急、骨节烦疼、憎寒恶风、肢体困倦、大便不调、小便赤涩、呕逆烦渴。也治疗伤风头痛、身体发热、鼻塞、声音重浊咳嗽、山岚瘴气、潮热往来,以及五劳七伤、心腹痞满、冷气奔冲、攻注刺痛。又治疗妇人血气撮痛、月经不调。
药材:贝母(去心)、白茯苓(焙)、半夏(煮,各一两)、枳壳(去瓤炒,二两半)、苍术(泔水浸一宿,六两)、人参、白术(焙)、白芷(不见火)、陈皮(去白)、秦艽(去芦)、赤芍药(各二两)、川芎、当归(去芦焙)、肉桂(去粗皮)、干姜(炮,各一两半)、柴胡(去芦)、麻黄(去根节,各三两)、桔梗(去芦)、甘草(炙,各四两)、浓朴(姜制,四两)。
用法:以上研成细末。每次服用三钱,用水一盏,生姜三片,同煎至适量,热服。
葱白散:解除四时伤寒引起的头痛、壮热、项背拘急、骨节烦疼、憎寒恶风、肢体困倦、大便不调、小便赤涩、呕逆烦渴、不思饮食。也治疗伤风头痛、身体发热、鼻塞声重、咳嗽痰涎、山岚瘴气、时行疫病。
药材:川芎、苍术(米泔水浸)、白术(各二两)、甘草(炙)、石膏()、干葛(焙,各一两)、麻黄(去根节,三两)。
用法:以上研成细末。每次服用二或三钱,用水一盏,生姜三片,葱白二寸,煎至七分,热服,不拘时候。
神仙百解散(又名神仙截伤寒四季加减百解散):治疗伤寒。不问阴阳二证,其中所用的药味,各自随着经络治病。如伤寒在表,未传入经,发热恶寒,腰痛,连服两剂,出汗即愈。如果已传经络,胸满短气,肢体烦疼,眼睛微痛,耳聋,口燥咽干,或渴或不渴,手足自温,或四肢厥冷自利,或不自利,小便反快,服用此药则能调中顺气,祛除寒邪。如头面感受寒邪,风伤腠理,头痛项强,发热憎寒,鼻流清涕,咳嗽涎痰,以及治疗风湿相搏,骨节烦疼,肢体沉重,洒淅恶风,时常自汗出。此药大能调顺三焦,解表救里,温润肺经,调和四时之气,升降阴阳,增进饮食。不问伤风、伤寒、中暑、中湿、骨蒸头疼、气逆胸满、失饥吐逆、眩晕恶心,以及已经发汗后不解、攻下不当、催吐不中的情况。此药清而不凉,温而不壅。不问老人、虚人、丈夫、妇人、孕妇、小儿,都适宜服用。如连服两剂,无不取效。春天常服可免瘟疫之疾,不中暑湿之病;秋天服用即无疟疾痢疾;冬天服用不感寒毒。真是神仙卫生妙药。功效不可尽述。
药材:山茵陈(一两)、柴胡(去芦)、前胡、人参、羌活、独活、甘草、苍术(米泔水浸锉炒)、藿香(去梗)、白术、半夏(姜汁制,各一两)、干葛、白芍药、升麻、防风(去芦)、本(去芦)。
加减法:立春以后不加减。立夏以后,一料加柴胡(一分)、赤茯苓、当归(各一两)。立秋以后,减柴胡一分,不用当归、茯苓,只加干姜(炮)、肉桂(去粗皮,各一两/分)、麻黄(去节,半两)。立冬以后,并无加减。一方无当归,有黄芩(去芦,半两)。
用法:以上研成细末。每次服用三钱,用水一盏半,生姜三片,大枣三枚,煎至一盏,热服,不计时候,并进两服。如果要表散,加葱白三寸、淡豆豉三十粒,同煎服,以衣被盖覆出汗即愈。一方无山茵陈、前胡。
八解散(出自《和剂局方》):治疗四时伤寒,头疼壮热,伤风多汗,以及治疗劳伤过度,骨节酸疼,饮食无味,四肢疼倦,行步喘乏,面色萎黄,怠惰少力,咳嗽寒热,羸弱自汗,胸膈不快,呕逆恶心。
药材:人参(去芦)、茯苓、甘草(炙)、陈皮(去白)、白术、藿香(去土,各一两)、浓朴(去粗皮,锉,生姜自然汁浸一宿炒紫色,二两)、半夏(汤洗七次,一两)。
用法:以上研成细末。每次服用二钱,用水一盏,生姜三片,大枣一枚,葱白三寸,同煎至七分,温服,不拘时候。
白术散(出自《危氏方》):治疗伤寒气脉不和,憎寒壮热,鼻塞脑闷,涕唾稠粘,痰嗽壅滞。或者冒涉风湿,憎寒发热,骨节疼痛。或者中暑呕吐眩晕。以及大病后将理失宜,食复、劳复,病证如初。又治疗五劳七伤,气虚头眩,精神恍惚,睡卧不宁,肢体倦怠,潮热盗汗,脾胃虚损,面色萎黄,饮食不美,口吐酸水,脏腑滑泄,腹内虚鸣,反胃吐逆,心腹绞痛,久疟久痢,以及膈气咽塞,上气喘促,坐卧不安。或者饮食所伤,胸膈痞闷,腹胁膨胀。妇人胎前产后,血气不和,霍乱吐泻,气厥不省人事。常服辟除四时不正之气,以及山岚瘴疫,神效不可具述。
药材:山药、桔梗、茯苓(去皮)、甘草、白芷、陈皮(去白)、青皮(去白)、香附子(各三钱/两)、白术(四两)、干姜(炮,三/二两)。
用法:以上研成细末。每次服用二钱,用水一盏,生姜三片,大枣一枚,木瓜干一片,紫苏叶三片,煎七分,食前服。若吐泻,入白梅煎;喘,入桑白皮、杏仁煎;伤寒再复,入薄荷;膈气,入木通三寸、麝香少许;中暑呕逆,入香薷;产前产后,气血不和,入荆芥煎;霍乱,入藿香煎;气厥,入盐汤调下。一方无陈皮。嗽,入粟壳、乌梅煎。
藿香正气散(出自德生堂):治疗伤寒头疼,憎寒壮热,上喘咳嗽,五劳七伤,八般风痰,五般膈气,心腹冷痛,反胃呕恶,吐泻霍乱,脏腑虚鸣,山岚瘴疟,遍身虚肿,妇人产前产后,血气...(原文此处截断,推测为血气不和等症)。
药材:大腹皮、白芷、紫苏、茯苓(去皮,各一两)、半夏曲、白术、陈皮(去白)、浓朴(去粗皮,姜汁炙)、苦梗(各二两)、藿香(去土,三两)、甘草(炙,二两半)。
用法:以上研成细末。每次服用二钱,用水一盏,生姜三片,大枣三枚,同煎至七分,热服。如欲出汗,用衣被盖。如再汗不出,加葱白二根,煎服。冷嗽喘满,每服加人参一钱、盐梅一个、杏仁七粒(去皮尖)、北五味子十粒,就吞青州白丸三五十粒,效。气促气壅,加人参一钱、沉香五/半钱。心腹痛,加木香半钱、玄胡索七粒(切焙)。呕恶甚,加生姜三片、木瓜二片。痰呕,加乌梅一个。寒湿腰痛,心腹膨满,加生姜三片、木瓜二片、苍术切炒、枳壳煨去瓤,各半钱、槟榔半个切片。一方治忧郁血气流注,遍体刺痛,紧满,加木香一钱、缩砂五粒,名增减顺气木香丸。
荆芥散(出自《和剂局方》):治疗伤寒头疼,鼻塞流涕,声重咽干,胸膈满闷,头痛如破。
药材:天南星(浸洗,生姜自然汁煮软切焙干)、草乌头(炮去皮脐)、荆芥穗(各半两)、石膏(研,一两)。
用法:以上研成细末。每次服用二钱,陈茶末一钱,生姜自然汁半呷,薄荷三叶,水二盏,同煎八分,通口服。
赤散(出自《千金方》):治疗伤寒头痛项强,身热,腰脊痛,往来有时。
药材:干姜、防风、沙参、细辛、白术、人参、蜀椒、茯苓、麻黄、黄芩、代赭、桔梗、吴茱萸(各一两)、附子(二两)。
用法:以上捣碎过筛。饭前,酒服一钱匕,每日三次。
铁精汤(出自《千金方》):治疗三阴三阳厥逆寒食,胸胁胀满,不能言,气满,胸中急,肩息,四肢...(原文此处截断,推测为四肢厥冷等症)。
药材:黄铁(三十斤,以流水八斗扬二三千遍)、炭(五十斤,烧铁令赤投冷水中,又以烧七遍,如此澄清取汁二斗煮药)、半夏、麦门冬(各一升)、白薇、黄芩、甘草、芍药(各四两)、人参(三两)、石膏(五两)、生姜(二两)、大枣(三/二十枚)。
用法:以上切碎,纳入前面的铁汁中,煮取六升,服一升。
百解散(出自《百一选方》):治疗伤寒头痛,肢体沉重,恶寒发热,痰逆咳嗽,困倦少力,以及偏正头...(原文此处截断,推测为偏正头痛)。
药材:防风(去芦,三两半)、麻黄(去芦根,三两半)、白芷、白芍药(各二两)、川乌(半两,炮去皮尖)、甘草、菊(去枝叶)、荆芥穗、干姜(各三两)。
用法:以上研成细末。每次服用二钱,葱茶或蜡茶点服,不拘时候。
正气散(出自《和剂局方》):治疗伤寒阴证,憎寒恶风,正气逐冷,胸膈噎塞,胁肋膨胀,心下坚痞满...(原文此处截断,推测为心下坚痞满闷等症)。
药材:甘草(炒,七钱)、陈皮、藿香叶、白术(各一两)、浓朴、半夏(同浓朴各三两为末,生姜四两研烂同为饼子微炒)。
用法:以上研成细末。每次服用二钱,生姜三片,大枣一枚,水一盏,煎至七分,食前热服。又治疗久患疟疾,膈气心痛,日三服。常服宽中,辟除瘟疫。
辰砂五苓散(出自《和剂局方》):治疗伤寒表里未解,头痛发热,心胸郁闷,唇口干焦,神思昏沉,狂...(原文此处截断,推测为狂躁等症)。
药材:辰砂(研)、白术(去芦)、木猪苓(去黑皮)、泽泻(洗锉)、赤茯苓(去皮,各十二两)、肉桂(去粗皮,八两)。
用法:以上研成细末。每次服用二钱,沸汤点服,不拘时。如中暑作渴,小便赤涩,新汲水调服。
杏子汤(出自《危氏方》):治疗阳明伤风,能食,口苦咽干,腹满微喘,发热恶风,自汗,嗜卧身重...(原文此处截断,推测为嗜卧身重等症)。
药材:杏仁(去皮尖)、半夏(汤洗去滑)、五味子(各二钱半)、芍药、桂心、细辛、干姜(炮)、大黄(蒸)、甘草(各三钱,炙)、茯苓(四钱)。
用法:以上切碎。每次服用四钱,用水一盏半,煎至七分,去滓,食...(原文此处截断,推测为食后或食前服)。
Wind, cold, summer-heat, dampness, as well as improper diet and overexertion can all cause diseases; these are referred to as the "Five Pathogens" (Wu Xie). If one is injured by cold in winter, one will inevitably suffer from warm disease (Wen Bing) in spring. If one is injured by wind in spring, one will inevitably suffer from undigested food diarrhea (Sun Xie) in summer. If one is injured by summer-heat in summer, one will inevitably suffer from malaria in autumn. If one is injured by dampness in autumn, one will inevitably suffer from cough in winter. This follows the pattern of the four seasons' Qi. Although the five pathogens invade through different pathways, they are essentially all external pathogens and generally belong to the same category. However, the severe cold of winter has a particularly virulent toxicity. If a person contracts this pathogen and falls ill during winter, it is named "Zheng Shang Han" (True Cold Damage). If the pathogenic toxin lies latent in the skin and muscles, and erupts in spring taking advantage of the warming Qi, it is called Warm Disease. If the pathogen lingers for a long time and erupts in summer taking advantage of the intense summer heat, it is called Summer-Heat Disease. This is what is meant by "disease occurring before the Summer Solstice is Warm Disease, and disease occurring after the Summer Solstice is Summer-Heat Disease."
The sequence of disease transmission is as follows: The pathogen first attacks the Taiyang (Greater Yang) meridian, causing symptoms of headache, stiffness of the neck and back, and rigidity of the waist and spine, with a floating pulse at the cun, guan, and chi positions on both wrists. If the Taiyang disease does not resolve, it transmits to the Yangming (Yang Brightness) meridian, causing symptoms of body heat, eye pain, nasal dryness, and inability to sleep, with a long pulse at the cun, guan, and chi positions. If the Yangming disease does not resolve, it transmits to the Shaoyang (Lesser Yang) meridian, causing symptoms of chest and hypochondriac pain and deafness, with a wiry pulse at the cun, guan, and chi positions. If the Shaoyang disease does not resolve, it affects the Taiyin (Greater Yin) meridian, causing symptoms of abdominal fullness and heavy body, with a faint pulse at the cun, guan, and chi positions. If the Taiyin disease does not resolve, it affects the Shaoyin (Lesser Yin) meridian, causing symptoms of dry mouth, dry tongue, and thirst, or slight aversion to cold on the back, with a deep pulse at the cun, guan, and chi positions. If the Shaoyin disease does not resolve, it affects the Jueyin (Terminal Yin) meridian, causing symptoms of vexation and fullness, curled tongue, and retracted testicles, with a slow pulse at the cun, guan, and chi positions. The transmission of disease occurs only among the three Yang meridians and the three Yin meridians. If the illness has lasted less than three days, the pathogen is still in the Yang meridians, has not entered the interior, and the disease is in the exterior; it should be treated with sweating methods to achieve recovery. If four days have passed, the pathogen has entered the Yin meridians, the disease is in the interior, and it should be treated with purgative methods to achieve recovery. This is merely a general rule. In reality, some people transmit to several meridians within one day, while others remain in the Taiyang meridian for several days. Although Yang meridian diseases are generally suitable for sweating, Yangming meridian diseases are rather suitable for purgation; although Yin meridian diseases are generally suitable for purgation, Shaoyin meridian diseases may be suitable for warming tonification. This is due to differences in individual constitution (deficiency or excess), which affect the speed of transmission. There are also cases where transmission does not occur; in such cases, one must carefully examine the pulse and symptoms. For diseases affecting these six meridians, the pulse and symptoms of the five pathogens differ. Wind injury invariably causes aversion to wind, with a floating and relaxed pulse. Cold injury invariably causes aversion to cold, with a floating and tight pulse. As for summer-heat injury, the pulse is deficient; dampness injury, the pulse is soggy. A tight and full Renying (carotid) pulse indicates cold injury; a rapid and full Qikou (radial) pulse indicates food injury. Diagnosing the five pathogens reveals the root; diagnosing the six meridians reveals the branch. Some diseases are in the exterior but cannot be sweated; some are in the interior but cannot be purged. Excessive sweating leads to exhaustion of body fluids and subsequent loss of Yang. Premature purgation agitates the pathogen in the diaphragm, forming Chest Binding (Jie Xiong). Interference between clear and turbid Qi transforms into Cholera (Huo Luan). Internal stagnation of heat toxins transforms into Blood Stasis. Yellowing results from steaming damp-heat. Spots manifest from excessive Yang toxicity. Individuals with abundant Yang contracting heat develop Yang Toxicity; individuals with abundant Yin contracting cold develop Yin Toxicity. Worm activity leads to Huo Huo disease. Severe deterioration of the condition leads to Bai He disease. Conditions like relapse from exertion or sexual transmission require caution even after recovery. Pathological changes are manifold and cannot be exhaustively listed; one must seek treatment by category, aiming for appropriateness. Only "Liang Gan" diseases (where exterior and interior are simultaneously affected) are difficult to treat because both levels are invaded. Other conditions, such as Yin syndrome resembling Yang, Yang syndrome resembling Yin, Yin excess repelling Yang, or Yang excess repelling Yin, require careful differentiation by the physician.
Humans live between heaven and earth, relying on Qi and blood to sustain their true essence. Therefore, heaven experiences no year without cold and heat alternations, and humans experience no day without worry and suffering. Thus, there are diseases such as Shang Han, Tian Xing (epidemic spread), and Wen Yi (plague). Winter is the season of killing and harsh Qi. Those who are good at preserving health must protect themselves meticulously whether walking, standing, sitting, or lying down during severe cold, so as not to offend cold toxins. Those who rush about carrying heavy loads are laborers. When Yang Qi should be stored and hidden, they instead disturb it, causing congestion in the Cou Li (pores/skin layers) and condensation in the Zang-Fu organs, forcibly consuming body fluids. Battled by cold, the Cou Li become insecure, and cold toxins mix with Ying and Wei Qi. At this time, the strong recover as their Qi circulates; the weak succumb and fall ill. Those who do not fall ill immediately harbor cold qi in the skin and muscles, developing warm disease in spring and heat disease in summer. This is all caused by the movement of one Qi. Ancient treatment methods state: On the first day, when the pathogen is in the skin, apply ointment and moxibustion. On the second day, when in the flesh, release the muscle layer according to method to disperse; sweating leads to recovery. On the third day, when in the muscle, sweating also leads to recovery. On the fourth day, when in the chest, use emesis. On the fifth day, when in the abdomen, and sixth day, when in the stomach, use purgation. This is Hua Tuo's treatment method. Regarding the method of San Yin and San Yang, theories on transmission do not exceed those of Zhang Zhongjing. Treating Shang Han requires Shang Han methods; treating miscellaneous diseases requires miscellaneous disease formulas. How can different transmissions be treated identically? Regulating Shang Han must follow fixed laws.
At the onset of illness, dizziness, nausea, and chills indicate what Su Wen calls "due to cold, desire like moving pivot,起居 like surprise, Shen Qi floats." This is new-onset Shang Han. What Zhang Zhongjing clearly describes regarding the transmission of the six meridians is what Su Wen calls Re Bing (Heat Disease). If the onset lacks order, with unclear exterior/interior signs initially, or presenting first with fever and thirst without aversion to cold, this is what Jiangnan calls Huang Bing and the North calls Han Bing. If it spreads rapidly among young and old, it is Tian Xing Shi Qi (epidemic seasonal Qi). For mild new-onset Shang Han, dispersing agents like Cong Bai San (Scallion White Powder) and He Jie San (Harmonizing Powder) can be used. For six-meridian transmission, follow Zhang Zhongjing's method: For exterior patterns, use Ma Huang Tang (Ephedra Decoction) or Gui Zhi Tang (Cinnamon Twig Decoction); for mixed cold patterns, use Ge Ban Tang (Half-Half Decoction); for interior patterns, use Xiao Cheng Qi Tang (Minor Order the Qi Decoction) or Shi Zao Tang (Ten Jujube Decoction); for deep interior penetration, use Da Cheng Qi Tang (Major Order the Qi Decoction); for half-exterior/half-interior, use Xiao Chai Hu Tang (Minor Bupleurum Decoction); for Pi (glomus) and Jie Xiong (chest binding), use Xie Xin Tang (Drain the Epigastrium Decoction) or Xiao Xian Xiong Tang (Minor Sinking into the Chest Decoction). For abdominal fullness, use Li Zhong Wan (Regulate the Center Pill), indicating passage beyond the Taiyin meridian. Transmission to Shaoyin presenting with cold limbs and floating/fine pulse requires Si Ni Tang-type formulas. For Jueyin patterns, medicate according to symptoms without haste. This outlines Zhang Zhongjing's principles. Liu Hejian's exterior-releasing methods use Fang Feng Tong Sheng San (Saposhnikovia Unblocking the Supreme Powder) and Shuang Jie San (Double Resolution Powder); entering the Fu organs uses San Yi Cheng Qi Tang and Da Chai Hu Tang; for chest binding and pi-fullness, use Da Xian Xiong Tang types; entering Yin uses Fu Zi Si Ni Tang; for half-exterior/half-interior harmonization, use Liang Ge San (Cool the Diaphragm Powder) and Yi Yuan San. For summer-heat, following Zhang Zhongjing, use Bai Hu Tang (White Tiger Decoction), often Gui Ling Gan Lu Yin (Cassia and Poria Sweet Dew Drink) or Yi Yuan San, as detailed in Zhi Zhi Fang. Hezi's methods: Exterior release uses Ma Huang Tang and Qing Long Tang; harmonization uses Liang Ge San; purgation uses Da Cheng Qi Tang and San Yi Cheng Qi Tang; emesis uses Gua Di San. For warm disease and epidemics, Liang Ge San is often used. For routine exterior release, use Tong Sheng San. To drain edema, Yu Gong San and Zhou Che Wan are essential, highly effective for common edema.
Ren Shen Qing Gu San (Ginseng Light Bone Powder): Resolves and treats Shang Han with headache, high fever, neck/back stiffness, bone/joint pain, aversion to cold/wind, limb fatigue, irregular bowel movements, dark/scanty urine, vomiting, irritability, and thirst. Also treats wind-injury headache, body heat, nasal congestion, heavy voice/cough, mountain miasma, tidal fever/chills, five consumptions/seven injuries, epigastric fullness, cold Qi rushing, stabbing pain, women's blood-Qi cramping pain, and irregular menstruation.
Herbs: Bei Mu (Fritillaria Bulb, heart removed), Bai Fu Ling (Poria, roasted), Ban Xia (Pinellia, boiled, 1 liang each), Zhi Ke (Aurantii Fructus, pith removed, stir-fried, 2.5 liang), Cang Zhu (Atractylodis Rhizoma, soaked in rice water overnight, 6 liang), Ren Shen (Ginseng), Bai Zhu (Atractylodis Macrocephalae Rhizoma, roasted), Bai Zhi (Angelicae Dahuricae Radix, avoid fire), Chen Pi (Citri Reticulatae Pericarpium, white pith removed), Qin Jiao (Gentianae Macrophyllae Radix, radix removed), Chi Shao Yao (Red Peony Root, 2 liang each), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, radix removed, roasted), Rou Gui (Cinnamomi Cortex, rough bark removed), Gan Jiang (Zingiberis Rhizoma, processed, 1.5 liang each), Chai Hu (Bupleuri Radix, radix removed), Ma Huang (Ephedrae Herba, roots and joints removed, 3 liang each), Jie Geng (Platycodonis Radix, radix removed), Gan Cao (Licorice Root, honey-fried, 4 liang each), Hou Po (Magnoliae Officinalis Cortex, ginger-processed, 4 liang).
Usage: Grind into fine powder. Take 3 qian per dose, with 1 cup of water and 3 slices of ginger, decoct until appropriate, take hot.
Cong Bai San (Scallion White Powder): Resolves four-season Shang Han with headache, high fever, neck/back stiffness, bone/joint pain, aversion to cold/wind, limb fatigue, irregular bowel movements, dark/scanty urine, vomiting, irritability/thirst, poor appetite. Also treats wind-injury headache, body heat, nasal congestion/heavy voice, cough/phlegm, mountain miasma, and epidemic diseases.
Herbs: Chuan Xiong, Cang Zhu (soaked in rice water), Bai Zhu (2 liang each), Gan Cao (honey-fried), Shi Gao (Gypsum Fibrosum), Gan Ge (Puerariae Lobatae Radix, roasted, 1 liang each), Ma Huang (roots and joints removed, 3 liang).
Usage: Grind into fine powder. Take 2 or 3 qian per dose, with 1 cup of water, 3 slices of ginger, and 2 cun of scallion white, decoct to 70%, take hot, anytime.
Shen Xian Bai Jie San (Immortal Hundred-Resolution Powder, aka Immortal Cuts Shang Han Four-Season Modified Hundred-Resolution Powder): Treats Shang Han. Regardless of Yin/Yin syndromes, herbs are selected according to meridians. For exterior Shang Han not yet transmitted, with fever/chills and lower back pain, take two doses consecutively; sweating leads to recovery. If transmitted to meridians, with chest fullness, shortness of breath, limb pain, slight eye pain, deafness, dry mouth/throat, thirst or no thirst, warm hands/feet, or cold limbs with spontaneous diarrhea/no diarrhea, fast urination, this formula regulates the middle, smooths Qi, expels cold. For head/face cold invasion, wind injuring Cou Li, headache/stiff neck, fever/chills, runny nose, cough/phlegm, and rheumatic bi with bone/joint pain, heaviness, aversion to wind, spontaneous sweat, this formula harmonizes San Jiao, releases exterior/rescues interior, moistens Lung, balances four seasons, ascends/descends Yin/Yang, improves appetite. Effective for wind/cold/summer-heat/dampness injury, bone-steaming headache, rebellious Qi/chest fullness, hunger-induced vomiting, vertigo/nausea, post-sweating unresolved, improper purgation/emesis. Clear but not cold, warm but not stagnant. Suitable for elderly, weak, men, women, pregnant, children. Two doses ensure efficacy. Spring use prevents plague/summer-heat; autumn use prevents malaria/dysentery; winter use prevents cold toxins. An immortal health medicine. Efficacy unenumerated.
Herbs: Shan Yin Chen (Artemisiae Scopariae Herba, 1 liang), Chai Hu (radix removed), Qian Hu (Peucedani Radix), Ren Shen, Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Gan Cao, Cang Zhu (rice water soaked, cut, stir-fried), Huo Xiang (Pogostemonis Herba, stems removed), Bai Zhu, Ban Xia (ginger juice processed, 1 liang each), Gan Ge, Bai Shao Yao, Sheng Ma (Cimicifugae Rhizoma), Fang Feng (radix removed), Ben Luo (Ligustici Wallichii Rhizoma).
Modifications: After Start of Spring, no change. After Start of Summer, add Chai Hu (1 fen), Chi Fu Ling (Red Poria), Dang Gui (1 liang each). After Start of Autumn, reduce Chai Hu by 1 fen, remove Dang Gui/Fu Ling, add Gan Jiang (processed), Rou Gui (rough bark removed, 1 liang/point each), Ma Huang (joints removed, 0.5 liang). After Start of Winter, no change. One variation removes Dang Gui, adds Huang Qin (radix removed, 0.5 liang).
Usage: Grind into fine powder. Take 3 qian per dose, with 1.5 cups of water, 3 slices of ginger, 3 dates, decoct to 1 cup, take hot, anytime, advance two doses. For exterior release, add 3 cun scallion white and 30 grains of Dan Dou Chi, decoct together, cover with blankets to sweat. One variation lacks Shan Yin Chen/Qian Hu.
Ba Jie San (Eight-Resolution Powder, from He Ji Ju Fang): Treats four-season Shang Han, headache/high fever, wind-injury with excessive sweating, and overexertion leading to bone/joint soreness, tasteless food, limb pain/fatigue, panting while walking, sallow complexion, lethargy/lack of strength, cough/chills-fever, emaciation/spontaneous sweat, chest/diaphragm discomfort, vomiting/nausea.
Herbs: Ren Shen (radix removed), Fu Ling, Gan Cao (honey-fried), Chen Pi (white pith removed), Bai Zhu, Huo Xiang (earth removed, 1 liang each), Hou Po (rough bark removed, cut, soaked overnight in fresh ginger juice, stir-fried purple, 2 liang), Ban Xia (boiled washed seven times, 1 liang).
Usage: Grind into fine powder. Take 2 qian per dose, with 1 cup of water, 3 slices of ginger, 1 date, 3 cun scallion white, decoct to 70%, take warm, anytime.
Bai Zhu San (Atractylodes Macrocephala Powder, from Wei Shi Fang): Treats Shang Han with disharmony of Qi/pulse, aversion to cold/high fever, nasal congestion/head pressure, thick sputum, phlegm-cough obstruction. Or exposure to wind-damp, aversion to cold/fever, bone/joint pain. Or summer-heat vomiting/vertigo. Or improper care after major illness leading to relapse from food/exertion with original symptoms. Also treats five consumptions/seven injuries, Qi deficiency dizziness, mental confusion, restless sleep, limb fatigue, tidal fever/night sweats, Spleen/Stomach deficiency, sallow complexion, poor appetite, acid regurgitation, loose stools, abdominal borborygmus, reverse vomiting, cardiac/abdominal colic, chronic malaria/dysentery, Qi blockage in throat, asthma, restlessness. Or food injury causing chest/diaphragm stuffiness, abdominal/flank distension. Women pre/post-partum blood-Qi disharmony, cholera vomiting/diarrhea, Qi syncope unconsciousness. Regular use wards off abnormal four-season Qi and mountain miasma/plague, miraculous efficacy.
Herbs: Shan Yao (Dioscoreae Rhizoma), Jie Geng, Fu Ling (peel removed), Gan Cao, Bai Zhi, Chen Pi (white pith removed), Qing Pi (white pith removed), Xiang Fu (Cyperi Rhizoma, 3 qian/liang each), Bai Zhu (4 liang), Gan Jiang (processed, 2-3 liang).
Usage: Grind into fine powder. Take 2 qian per dose, with 1 cup of water, 3 slices of ginger, 1 date, 1 slice dried Quince, 3 Perilla leaves, decoct to 70%, take before meals. For vomiting/diarrhea, add White Plum; for asthma, add Sang Bai Pi and Xing Ren; for Shang Han relapse, add Bo He; for Qi blockage, add Mu Tong (3 cun) and She Xiang; for summer-heat vomiting, add Xiang Ru; for pre/post-partum blood-Qi disharmony, add Jing Jie; for cholera, add Huo Xiang; for Qi syncope, take with salt water. One variation lacks Chen Pi. For cough, add Su Ke and Wu Mei.
Huo Xiang Zheng Qi San (Agastache Rectifying Qi Powder, from De Sheng Tang): Treats Shang Han headache, aversion to cold/high fever, upper asthma/cough, five consumptions/seven injuries, eight types of wind-phlegm, five types of Qi blockage, cold cardiac/abdominal pain, reverse vomiting/nausea, vomiting/diarrhea/cholera, visceral borborygmus, mountain miasma/malaria, generalized edema, women pre/post-partum blood-Qi... [text cuts off].
Herbs: Da Fu Pi (Arecae Pericarpium), Bai Zhi, Zi Su, Fu Ling (peel removed, 1 liang each), Ban Xia Qu (Pinellia Fermented), Bai Zhu, Chen Pi (white pith removed), Hou Po (rough bark removed, ginger juice roasted), Ku Jie Geng (Platycodonis Radix, 2 liang each), Huo Xiang (earth removed, 3 liang), Gan Cao (honey-fried, 2.5 liang).
Usage: Grind into fine powder. Take 2 qian per dose, with 1 cup of water, 3 slices of ginger, 3 dates, decoct to 70%, take hot. To induce sweat, cover with blankets. If no sweat, add 2 scallion whites, decoct and take. For cold cough/asthma/fullness, add 1 qian Ren Shen, 1 Salt Plum, 7 Almonds (skin/kernel removed), 10 Northern Schisandra, swallow with 30-50 Qingzhou White Pills, effective. For asthma/chest oppression, add 1 qian Ren Shen, 0.5 qian Chen Xiang. For cardiac/abdominal pain, add 0.5 qian Mu Xiang, 7 roasted Cut Chuanxiong. For severe vomiting/nausea, add 3 slices Ginger, 2 slices Quince. For phlegm-vomiting, add 1 Wu Mei. For cold-damp lower back pain/cardiac/abdominal distension, add 3 slices Ginger, 2 slices Quince, stir-fried Cang Zhu, baked Zhi Ke (pith removed), 0.5 qian each, 0.5 Betel Nut slice. One variation for melancholy blood-Qi flow-stabbing pain/tightness adds 1 qian Mu Xiang, 5 Sha Ren, named Zeng Jian Shun Qi Mu Xiang Wan.
Jing Jie San (Schizonepeta Powder, from He Ji Ju Fang): Treats Shang Han headache, nasal congestion/runny nose, heavy voice/dry throat, chest/diaphragm fullness, headache as if breaking.
Herbs: Tian Nan Xing (soaked washed, boiled in fresh ginger juice until soft, cut, roasted dry), Cao Wu Tou (processed, peel/navel removed), Jing Jie Sui (Schizonepeta Spike, 0.5 liang each), Shi Gao (ground, 1 liang).
Usage: Grind into fine powder. Take 2 qian per dose, with 1 qian aged tea powder, half sip fresh ginger juice, 3 mint leaves, 2 cups water, decoct to 80%, drink thoroughly.
Chi San (Red Powder, from Qian Jin Fang): Treats Shang Han headache/stiff neck, body heat, lower back/spine pain, alternating episodes.
Herbs: Gan Jiang, Fang Feng, Sha Shen, Xi Xin, Bai Zhu, Ren Shen, Shu Jiao, Fu Ling, Ma Huang, Huang Qin, Dai Zhe, Jie Geng, Wu Zhu Yu (1 liang each), Fu Zi (2 liang).
Usage: Crush and sieve. Before meals, take 1 qian bi with wine, three times daily.
Tie Jing Tang (Iron Essence Soup, from Qian Jin Fang): Treats San Yin/San Yang syncope with cold food, chest/hypochondriac distension, inability to speak, Qi fullness, chest urgency, shoulder breathing, limbs... [text cuts off].
Herbs: Huang Tie (Yellow Iron, 30 jin, washed 2000-3000 times in flowing water), Tan (Charcoal, 50 jin, heat iron red, plunge in cold water, repeat heating seven times, clarify to get 2 cups juice for decoction), Ban Xia, Mai Men Dong (Ophiopogonis Tuber, 1 sheng each), Bai Wei, Huang Qin, Gan Cao, Shao Yao (4 liang each), Ren Shen (3 liang), Shi Gao (5 liang), Sheng Jiang (2 liang), Da Zao (20-30 dates).
Usage: Chop, add to iron juice, decoct to 6 sheng, take 1 sheng.
Bai Jie San (Hundred-Resolution Powder, from Bai Yi Xuan Fang): Treats Shang Han headache, limb heaviness, aversion to cold/fever, phlegm-rebellious cough, fatigue/weakness, and偏正 headache... [text cuts off].
Herbs: Fang Feng (radix removed, 3.5 liang), Ma Huang (radix/root removed, 3.5 liang), Bai Zhi, Bai Shao Yao (2 liang each), Chuan Wu (0.5 liang, processed, peel/navel removed), Gan Cao, Ju Hua (Chrysanthemi Flos, branches/leaves removed), Jing Jie Sui, Gan Jiang (3 liang each).
Usage: Grind into fine powder. Take 2 qian per dose, taken with Scallion Tea or Wax Tea, anytime.
Zheng Qi San (Upright Qi Powder, from He Ji Ju Fang): Treats Shang Han Yin syndrome, aversion to cold/wind, upright Qi expelling cold, chest/diaphragm blockage, flank distension, subcardiac hardness/fullness... [text cuts off].
Herbs: Gan Cao (stir-fried, 7 qian), Chen Pi, Huo Xiang Ye (Agastache Leaf), Bai Zhu (1 liang each), Hou Po, Ban Xia (mixed with Hou Po, ground to powder, mixed with 4 liang fresh ginger paste, formed into cakes, lightly stir-fried).
Usage: Grind into fine powder. Take 2 qian per dose, with 3 slices ginger, 1 date, 1 cup water, decoct to 70%, take hot before meals. Also treats chronic malaria, Qi blockage/cardiac pain, three times daily. Regular use widens the middle, wards off plague.
Chen Sha Wu Ling San (Cinnabar Five-Ling Powder, from He Ji Ju Fang): Treats Shang Han with unresolved exterior/interior, headache/fever, chest depression, dry/scorched lips, mental dullness, mania... [text cuts off].
Herbs: Chen Sha (Cinnabar, ground), Bai Zhu (radix removed), Mu Zhu Ling (Polyporus, black skin removed), Ze Xie (Alisma Rhizome, washed/cut), Chi Fu Ling (Red Poria, peel removed, 12 liang each), Rou Gui (Cinnamon Bark, rough bark removed, 8 liang).
Usage: Grind into fine powder. Take 2 qian per dose, point with boiling water, anytime. For summer-heat thirst, dark/scanty urine, take with fresh well water.
Xing Zi Tang (Apricot Seed Soup, from Wei Shi Fang): Treats Yangming wind-injury, ability to eat, bitter taste/dry throat, abdominal fullness/mild asthma, fever/aversion to wind, spontaneous sweat, lethemy/body heaviness... [text cuts off].
Herbs: Xing Ren (Apricot Seed, skin/kernel removed), Ban Xia (boiled washed to remove slipperiness), Wu Wei Zi (Schisandra Fruit, 2.5 qian each), Shao Yao, Gui Xin (Cinnamon Heart), Xi Xin, Gan Jiang (processed), Da Huang (steamed), Gan Cao (honey-fried, 3 qian each), Fu Ling (4 qian).
Usage: Chop. Take 4 qian per dose, with 1.5 cups water, decoct to 70%, strain, take... [text cuts off].