（半两） 加桂枝（五钱） 细辛（半两如多减半汗不止则加） 上为末。生姜一块。枣三
枚。同
煎。
经云。有汗不得服麻黄。无汗不得服桂枝。若瘥则其变不可胜言。故立此法。使不
瘥犯三阳禁忌。解表神方。
羌活（一两半治太阳肢节痛君主之药也然非无为主也却乱反正之主也故大无不通小无不
入关节痛非此不治） 防风（一两半治一身尽痛卒伍卑下之职一听君命将令而行随所使所引
而
至） 苍术（一两半别有雄壮上行之气能除湿下安太阴使邪气不内传之于足太阴脾） 细辛
（五
钱治足少阴肾苦头痛） 川芎（一两治厥阴头痛在脑） 白芷（一两治阳明头痛在额） 生
地黄
（一两治少阴心热在内） 黄芩（一两治太阴肺热在胸） 甘草（一两能缓里急调和诸药故
有国
老之称） 以上九味。虽为一方。然亦不可执。执中无权。犹执一也。当视其经络前后左右
之不同。从其多少大小轻重之不一。增损用之。其效如神。
咀。水煎服。若急汗。热服。以羹投之。若缓汗。温服。而不用汤投之也。
脉浮而不解者。先急后缓。脉沉而不解者。先缓后急。九味羌活汤。不独解利。治杂病
有神。中风行经者。加附子。中风秘涩者。加大黄。中风并三者。合而成痹等证。各随十二
经。上下内外。寒热温凉。四时六气。加减补泻用之。炼蜜作丸。亦可加生地黄各半。治两
感伤寒如神。用豆淋酒煎。治破伤风。
太阳经伤寒传里。胸中有热。胃有邪气。传阳明本也。腹中痛。欲呕者。热在内
也。宜黄连汤。
甘草 黄连 干姜 人参（各七钱半） 大枣〔三（一）枚〕 上锉细。每服五钱。水煎服。
发热恶寒。自汗。脉缓。发热恶风。无汗。脉缓。此二证。易老原用桂枝二麻黄一
汤。后亦改用九味羌活汤。无论有汗无汗。悉宜服之。
易老解利法。九味羌活汤。
治伤寒唇紧
用鳖甲及头烧灰。作末敷之。
治伤寒大热心闷
用槐子烧灰存性。为末。酒服方寸匕。
治汗不出拘挛腰脚。并耳聋。
用荆三棱米醋浸。夏月浸四日。冬月浸六日。杵为末。醋汤调下三钱。
治汗后弥乱者。
用败扇烧为末。和粉粉身上。
发汗法（出活人书）
凡发汗欲令手足俱周。 然一时许为佳。不欲如水淋漓。服汤中病即已。不必尽剂。
然
若病证仍在者。三日内可二三汗之。令腰脚周遍为度。
一法。无药处。可用两手指相交。紧叩脑后风府穴。向前礼百余拜。汗出自解（出
神效方）
（羌活）半两，加桂枝五钱，细辛半两（如果出汗不止则增加用量）。将上述药物研成粉末。取生姜一块，大枣三枚，一同煎煮。
经典医籍记载：有汗者不得服用麻黄，无汗者不得服用桂枝。如果违背这一原则导致病情恶化，其变证不可胜数。因此确立此法，以避免误犯三阳经的禁忌。这是解除表邪的神效方剂。
羌活一两半，是治疗太阳经肢节疼痛的主药，也是统领全局的关键药物，具有通达内外、消除紊乱的作用，故曰“大无不通，小无不入”，关节疼痛非此药不能治愈；防风一两半，治疗全身疼痛，地位如同副将，听从主将命令行动，随引经药到达病所；苍术一两半，具有雄壮上行的气机，能祛除湿邪，安定太阴脾经，防止邪气内传至足太阴脾经；细辛五钱，治疗足少阴肾经引起的头痛；川芎一两，治疗厥阴肝经引起的脑部头痛；白芷一两，治疗阳明胃经引起的前额头痛；生地黄一两，治疗少阴心经内部的热证；黄芩一两，治疗太阴肺经胸部的热证；甘草一两，能缓解里急后重，调和诸药，因此被称为“国老”。以上九味药，虽然组成一方，但也不可固执不变。固执于中道而不知权变，等同于固执一端。应当根据经络前后左右的不同，以及病情的轻重、大小、多少不一，进行增减调整使用，疗效如神。
将药物捣碎，用水煎服。如果需要发汗迅速，则热服，并喝热粥或热汤以助药力；如果需要发汗缓和，则温服，不喝热汤助汗。
脉象浮而不解的，先采用急汗法，后转为缓汗法；脉象沉而不解的，先采用缓汗法，后转为急汗法。九味羌活汤不仅善于解表，治疗杂病也有神奇效果。中风邪气入络者，加附子；中风便秘涩滞者，加大黄；中风兼见痹证等症者，可根据十二经脉，结合上下内外、寒热温凉及四时六气的变化，进行加减补泻使用。也可炼蜜制成丸剂，还可加入生地黄各半量，治疗两感伤寒效果如神。用豆淋酒煎服，可治疗破伤风。
太阳经伤寒传入体内，胸中有热，胃中有邪气，这是传入阳明经的本证。表现为腹中痛，想呕吐，这是热邪在内。适宜使用黄连汤。
甘草、黄连、干姜、人参（各七钱半），大枣三枚。将药物切碎，每次服用五钱，用水煎服。
发热恶寒，自汗，脉缓；发热恶风，无汗，脉缓。这两种证候，易水老人（张元素）原方使用桂枝汤与麻黄汤二比一的比例合方（桂枝二麻黄一汤），后来也改用九味羌活汤。无论有汗无汗，都适宜服用。
治疗伤寒嘴唇紧缩：
使用鳖甲及其头部烧成灰，研成粉末敷贴患处。
治疗伤寒高热烦闷：
使用槐子烧灰存性，研成粉末，用酒送服一方寸匕。
治疗汗不出、拘挛、腰脚疼痛，并伴有耳聋：
使用荆三棱用米醋浸泡，夏季浸泡四天，冬季浸泡六天，捣成粉末，用醋汤调下三钱。
治疗发汗后神志昏乱者：
使用破旧的扇子烧成粉末，混合米粉扑在身上。
发汗法（出自《类证活人书》）
凡是发汗，要使手足周身均匀出汗，持续约一顿饭的时间为佳，不要像水流淋漓那样大汗出。服药后病愈即可停止，不必喝完所有药剂。
然而如果病证仍在，三天内可以发两三次汗，以腰脚周身出汗为度。
另一种方法：在没有药物的情况下，可以用两手手指交叉，用力叩击脑后风府穴，向前行礼百余次，汗出后病自然解除（出自《神效方》）。
(Notopterygii Rhizoma et Radix, Qianghuo) Banliang (approx. 15g), add Cinnamomi Ramulus (Guizhi) Wuxian (approx. 15g), Asari Radix et Rhizoma (Xixin) Banliang (approx. 15g; increase dosage if sweating persists). The above are ground into powder. Take one piece of Zingiberis Recens Rhizoma (Shengjiang) and three Jujubae Fructus (Zao), decoct together.
The Classics state: Those with sweating should not take Ephedrae Herba (Mahuang); those without sweating should not take Cinnamomi Ramulus (Guizhi). If this rule is violated and the condition worsens, the complications are countless. Therefore, this method is established to avoid violating the contraindications of the Three Yang meridians. This is a divine formula for resolving the exterior.
Notopterygii Rhizoma et Radix (Qianghuo) Liangban (approx. 37.5g): It is the sovereign drug for treating limb and joint pain in the Taiyang meridian, serving as the master that restores order from chaos. Thus, it penetrates deeply and broadly; joint pain cannot be cured without it. Saposhnikoviae Radix (Fangfeng) Liangban (approx. 37.5g): Treats generalized body pain; its role is like a subordinate officer, obeying the sovereign's command and acting according to guidance, reaching wherever directed. Atractylodis Rhizoma (Cangzhu) Liangban (approx. 37.5g): Possesses a vigorous ascending qi that can dispel dampness and stabilize the Taiyin meridian, preventing pathogenic factors from transmitting internally to the Foot-Taiyin Spleen. Asari Radix et Rhizoma (Xixin) Wuqian (approx. 15g): Treats headache caused by Kidney deficiency or cold in the Foot-Shaoyin meridian. Chuanxiong Rhizoma (Chuanxiong) Liang (approx. 30g): Treats headache in the brain caused by the Jueyin meridian. Angelicae Dahuricae Radix (Baizhi) Liang (approx. 30g): Treats frontal headache caused by the Yangming meridian. Rehmanniae Radix (Shengdihuang) Liang (approx. 30g): Treats internal heat in the Shaoyin Heart. Scutellariae Radix (Huangqin) Liang (approx. 30g): Treats chest heat in the Taiyin Lung. Glycyrrhizae Radix et Rhizoma (Gancao) Liang (approx. 30g): Can relieve internal urgency and harmonize all herbs, hence known as the "State Elder." Although these nine ingredients form one prescription, they should not be applied rigidly. Rigidity without flexibility is equivalent to stubbornness. One must observe the differences in the meridians (front, back, left, right) and adjust the dosage based on the severity, magnitude, and weight of the condition. The efficacy will be miraculous.
Crush the herbs and decoct with water for oral administration. For rapid diaphoresis, take hot and consume warm broth/congee to assist; for mild diaphoresis, take warm without consuming broth to induce sweat.
If the pulse is floating but the condition does not resolve, start with rapid diaphoresis and switch to mild later. If the pulse is deep but the condition does not resolve, start with mild diaphoresis and switch to rapid later. Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) is not only effective for resolving the exterior but also has miraculous effects in treating miscellaneous diseases. For wind-stroke with pathogens traveling through the collaterals, add Aconiti Lateralis Radix Praeparata (Fuzi). For wind-stroke with constipation and dryness, add Rhei Radix et Rhizoma (Dahuang). For wind-stroke complicated by Bi-syndrome (painful obstruction), etc., adjust according to the Twelve Meridians, upper/lower, interior/exterior, cold/heat, warmth/cold, and the Six Qi of the four seasons, using addition, subtraction, tonification, and purgation methods. It can also be made into pills with refined honey. Adding equal parts of Rehmanniae Radix (Shengdihuang) makes it highly effective for Lianggan Shanghan (Double-Yang Cold Damage). Decoct with Doulin Jiu (Bean-leaven Wine) to treat Po Shuang Feng (Traumatic Tetanus).
When Taiyang Shanghan transmits inward, there is heat in the chest and pathogenic qi in the stomach; this is the transmission to the Yangming organ system. Symptoms include abdominal pain and desire to vomit, indicating heat inside. Huanglian Tang (Coptis Decoction) is appropriate.
Glycyrrhizae Radix et Rhizoma (Gancao), Coptidis Rhizoma (Huanglian), Zingiberis Rhizoma (Ganjiang), Ginseng Radix et Rhizoma (Renshen) (each 7.5 qian approx. 28g), Jujubae Fructus (Dazao) 3 pieces. Cut finely. Take 5 qian per dose, decoct with water and drink.
For fever with aversion to cold, spontaneous sweating, and a slow pulse; or fever with aversion to wind, no sweating, and a slow pulse: These two syndromes were originally treated by Yi Shui Lao Ren (Zhang Yuansu) using Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig Decoction to One Part Ephedra Decoction), but later changed to Jiwei Qianghuo Tang. It is suitable for use regardless of whether there is sweating or not.
Yi Shui Lao Ren's method for resolving exterior pathogens is Jiwei Qianghuo Tang.
To treat Shanghan causing tight lips:
Burn Biejiia (Testudinis Carapax et Plastrum) and its head to ash, grind into powder, and apply externally.
To treat Shanghan with high fever and mental restlessness:
Burn Huaimiao (Sophorae Semen) to ash while retaining its nature, grind into powder, and take with wine using a Fangcunbi (approx. 5-10g measure).
To treat inability to sweat, spasms, waist and leg pain, and deafness:
Soak Sanleng (Sparganii Rhizoma) in Rice Vinegar. Soak for four days in summer, six days in winter. Grind into powder, mix with vinegar soup, and take 3 qian.
To treat confusion after sweating:
Burn an old fan to powder, mix with rice flour, and dust on the body.
Diaphoretic Method (from *Lei Zheng Huo Ren Shu* / *Classified Examples of the Living Book*)
Generally, diaphoresis should be uniform over the hands and feet, lasting about the time of a meal. It should not be profuse like dripping water. Stop medication once the disease is resolved; do not necessarily finish the entire dose.
However, if symptoms persist, within three days, diaphoresis may be induced two or three times, until sweat covers the waist and legs uniformly.
Another method: In the absence of medicine, cross fingers and firmly tap the Fengfu (GV16) acupoint at the back of the neck. Bow forward more than a hundred times. Sweat will appear, and the illness will resolve spontaneously (from *Shen Xiao Fang* / *Divine Efficacy Prescriptions*).