夫伤寒坏病者。为三阴三阳俱受病讫。毒瓦斯未散。留于脏腑。令致病候多变。故曰坏伤
寒也。本太阳病不解。转入少阳。胁下牢满。干呕不能食。往来寒热。其脉沉紧宜小柴胡汤。
寸口脉洪大数而滑。洪大营气盛。滑数卫气实。荣盛则郁怫。可与出汗。卫实即大便牢难。
三焦闭塞。津液不通。荣卫相搏。心烦发热。两目如火。鼻干面赤。舌燥齿黄。大渴。故过
伤寒太阳病。三日已发汗。若吐若下若汗。证仍不解者。多变为坏病。又太阳病。转入
少阳。已吐下发汗。少阳证罢。此为坏病。知犯何逆。以法治之。此皆由伤寒病在诸经络
。发汗吐下而病证不除。又感异气。气有寒暑燥湿风不同。病变随。故谓之坏病。又有伤寒
过经。再受热邪。留蓄脏腑。病候多变者。及伤寒解后。虚羸少气。余证未除者。皆谓之坏
病
方
麦门冬散（出圣惠方）治伤寒坏病。身体沉重无力。昏昏如醉。头痛烦闷。
麦门冬（三分去心） 百合（三分） 麻黄（三分去根节） 葛根（半两锉） 柴胡（一
两去苗） 桔梗（半两去芦头） 木通
（三分锉） 甘草（半两炙微赤锉） 羚羊角（半两） 石膏（二两） 赤
为散。每
服五
钱。以水一大盏。入生
姜半分。煎至五分。去滓。不计时候。
升麻散（出圣惠方）治坏伤寒。经数日未解。潮热作时。烦躁面赤。。
川升麻（三分） 鳖甲（三分涂醋炙令黄去裙 ） 前胡（半两去芦头） 乌梅肉（半
两） 枳
分） 黄芩（三分） 甘草（半两炙微赤锉） 葛根（三分锉）
上为散。每服五钱。以水一大盏。煎至五分。去滓。入生地黄汁一合。更煎一两沸。不计时
候。分为二服。
又方（出圣惠方）
栀子仁（三分） 川升麻（三分） 黄芩（一两） 石膏（一两） 干姜（半两炮裂锉）
上为
每服五钱。水一大盏。煎
至五分。去滓。入生地黄汁一合。更煎一两沸。不计时候。分
前胡散（出圣惠方）治伤寒后已经十余日。潮热不退。身体沉重。昏昏如醉。
前胡（一两去芦头） 百合（一两） 麻黄（三分去根节） 葛根（一两锉） 麦门冬
（半两去
石膏（一两） 上为散。
每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计
又方（出圣惠方）
柴胡（一两去苗） 防风（三分去芦头） 黄芩（一两） 葛根（一两锉） 甘草（半
两炙微赤
为散。每服五钱。水一大盏。煎至五分。去滓。不计时候。温
鳖甲散 治坏伤寒。经十日以来未解。热在胸膈。烦闷不止。
鳖甲（涂醋炙令黄去裙 ） 柴胡（去苗） 川升麻（以上各一两） 乌梅肉（一两圣
济作半
屑黄芩（以上各一两） 甘草（半两炙微赤锉） 上为散。每服
分。
去
滓。入生地黄汁半合。更
煎一两沸。不计时候。分温二服。
匀
。食后温服。名鳖甲汤。
犀角散（出圣惠方）治坏伤寒。日数多后。烦热不退。颊赤口干。
犀角屑（一两） 柴胡（三分去苗） 吴蓝（三分） 大青（一两） 川升麻（一两） 乌
梅肉
（半两炙微赤锉） 上为散。每服五钱。水一大盏。入竹叶三七片。
时
候
。温服。
麦奴丸（出圣惠方）治坏伤寒。热在胸中。口不能语。
麦奴（半两） 灶下黄土（半两） 灶突中墨（半两） 梁上尘（半两） 麻黄（一两
去根节）
黄（半两锉微炒） 黄芩
（半两） 川朴硝（一两） 上为末。炼蜜和丸如弹子大。每服以新
极饮
水。
不欲水。但强饮之。须
臾必寒。寒已当有汗出。便愈。
宣毒麝香丸（出圣惠方）治坏伤寒。心下结硬。腹满气急。大便不利。体变如
桃枝色。热结
麝香（一分细研） 猪苓（一分去黑皮） 川芒硝（一两） 柴胡（半两去芦） 芫花
（一分醋
干） 川大黄（一两锉微
炒） 栀子仁（半两） 上为末。入麝香同研令匀。炼蜜和丸如梧
良
久必利。未利再服。
知母麻黄汤（出永类钤方）治伤寒坏病瘥后。或十数日。或半月二十日。终不
热颊赤。或似疟。皆由发汗不尽。余毒在心包络间所致。
知母（炒一两半） 麻黄（去根节煎掠去沫） 甘草（炙锉） 芍药 黄芩（去黑心各
半两）
桂（去粗皮半两盛暑中可减半） 上锉如麻豆大。每服五钱。水一盏半。煎至五分。去滓。
温
半日内。可相次三服。
温服。取汗再服。若心烦不眠。欲饮水者。当稍与之。令胃中和
升麻汤 治伤寒坏病。经数日未瘥。诸药不能除。
升麻 鳖甲（醋炙去裙 ） 枳壳（去瓤麸炒） 犀角（镑） 葛根 黄芩（去黑心） 甘
草
锉） 前胡（去芦头） 乌头
（炮裂去皮脐各半两） 上锉如麻豆大。每服五钱。水一盏半。
二
合。搅匀。食后温服。
麝香丸 治伤寒坏病。冷热相搏。心下结。胸满气急。大便不利。体变黄青黑如桃
枝色。四肢逆冷。热结在内者。不可服汤饮。
麝香（研） 猪苓（去黑皮） 朴硝（研） 荛花（炒） 芫花（醋炒各一分） 大黄（锉
炒） 商
研为末。炼蜜和捣三五百杵。丸如绿豆大。每服十丸。食前。温
黑奴丸 治伤寒坏病。头与骨肉俱痛。狂言妄语。医所不疗者。
麻黄（去根节） 黄芩（去黑心各二两） 甘草（炙锉） 灶突墨 芒硝（各一两） 豉
（一合
三五百杵。丸如桐子大。每服一丸。新汲水研下。不拘时候。
大效丸 治伤寒坏病。
乌头 附子（二味去皮脐为末用醋一升煎尽好酒一升再煎成膏后入诸药） 乌蛇（酒浸
去
炙） 细辛（去苗叶） 浓
朴（去粗皮姜汁炙） 人参 赤茯苓（去黑皮） 桂（去粗皮） 干
（研） 草
豆
蔻（去皮） 硼砂 胡桐泪
槟榔（锉） 腻粉 不灰木（各一
捣。
丸如
梧桐子大。每服十丸。
如
麦门冬汤 治伤寒坏病经久不瘥。潮热不退。身体沉重。昏愦烦闷。
麦门冬（去心焙） 赤茯苓（去黑皮各一两） 鳖甲（去裙 醋炙一两） 甘草（炙锉
半两）
上粗捣筛。每服三钱七分。水一盏。乌梅一个。小麦五十粒。同煎至七分。去滓。温服。不
拘时候。
前胡汤 治伤寒坏病。潮热颊赤。口干烦躁。神思昏塞。经久不瘥。
前胡（去芦头二两） 柴胡（去苗） 常山 人参 葛根（锉各一两） 甘草（炙锉三
分） 上
粗捣筛。每服三钱。水一大盏。乌梅一个。槌碎。生姜三片。煎至七分。去滓。温服。不拘
时候。
治伤寒八九日不瘥。名为败伤寒。诸药不能消者。方名鳖甲散。
鳖甲（炙） 蜀升麻 前胡 乌梅 枳实（炙） 犀角屑 黄芩（各一两） 甘草（一
两炙）
生地黄（八合） 上切。以水八升。煮取三升。分五服。频频服。若不解。更服。若头面赤。
去黄芩。用干葛四两。无地黄。用豉一升。煮取三升。分三服。忌芜荑。
治坏证伤寒病。十余日之后。过经已下已汗而未愈者。
庐州郭医。名羽。云渠义父李。助教大名府。善方脉。尝合以治四五人。皆安。其方得
于天台一僧。用药甚异。或谓其效在兜取。殊不可晓。
红娘子（二七个去头翅足细研） 大枣（两枚剥取肉） 上同研匀烂。丸如理中丸大。
每服
一丸。以白水煎服。先头目。次遍身。觉微微有汗。然后服小建中汤。加黄 。病瘥即止。
郭医但能记此说。未尝敢用。大可不录。以俟名医用之。
回生散 治伤寒失下。或成坏证。谵言妄语。发黄发斑。大便不通。小便如血。有
燥粪蓄血
甘遂（生用） 黑牵牛（生取末秤） 郁李仁（去皮） 槟榔（生用） 大黄（生用） 大
戟（六
味各等分） 上件为细末。每服一钱。入轻粉一字。以蜜水少许。用柳枝调匀服之。更量虚
实加减。不拘时候。
所谓伤寒坏病，是指三阴三阳各经受邪之后，毒气未散，滞留于脏腑，导致病症变化多端，因此称为“坏伤寒”。
原本太阳病未解，转入少阳经，出现胁下硬满、干呕不能进食、寒热往来等症状，脉象沉紧，适宜使用小柴胡汤。若寸口脉洪大、数而滑，洪大表示营气盛，滑数表示卫气实。营气盛则郁结不通，可用发汗法；卫气实则导致大便干结难解。此时三焦闭塞，津液不通，营卫相互搏结，出现心烦发热、双眼如火烧、鼻干面赤、舌燥齿黄、极度口渴等症状。
所以，对于过经的伤寒太阳病，若在发病三天后已经发汗，或者经过催吐、攻下、发汗等治疗，但证候仍未解除的，大多会转变为坏病。另外，太阳病转入少阳经，如果已经经过催吐、攻下、发汗治疗，少阳证已消失，这属于坏病。需要查明犯了什么误治错误，然后按照相应的法则进行治疗。这些都是因为伤寒病在经络中，经过发汗、催吐、攻下治疗后病证未除，又感受了不同的外邪（如寒、暑、燥、湿、风等不同性质的邪气），病变随之改变，所以称为坏病。还有伤寒过了传经周期，再次受热邪侵袭，热邪留滞蓄积在脏腑，病症变化多端的，以及伤寒症状解除后，身体虚弱消瘦、气息短少，其余证候尚未清除的，都称为坏病。
麦门冬散（出自《圣惠方》）：治疗伤寒坏病。症状为身体沉重无力，头昏脑涨如同醉酒，头痛烦闷。
药材：麦门冬（三分，去心）、百合（三分）、麻黄（三分，去根节）、葛根（半两，锉碎）、柴胡（一两，去苗）、桔梗（半两，去芦头）、木通（三分，锉碎）、甘草（半两，炙至微红并锉碎）、羚羊角（半两）、石膏（二两）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，放入生姜半分，煎煮至五分水量，滤去药渣。不限时候温服。
升麻散（出自《圣惠方》）：治疗坏伤寒。病程数日未解，定时发热（潮热）发作时，烦躁面红。
药材：川升麻（三分）、鳖甲（三分，涂醋炙至黄色，去裙边）、前胡（半两，去芦头）、乌梅肉（半两）、枳壳（半两，麸炒去瓤）、黄芩（三分）、甘草（半两，炙至微红并锉碎）、葛根（三分，锉碎）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，煎煮至五分水量，滤去药渣，加入生地黄汁一合，再煮沸一两分钟。不限时候，分两次温服。
又一方（出自《圣惠方》）：
药材：栀子仁（三分）、川升麻（三分）、黄芩（一两）、石膏（一两）、干姜（半两，炮裂并锉碎）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，煎煮至五分水量，滤去药渣，加入生地黄汁一合，再煮沸一两分钟。不限时候，分两次温服。
前胡散（出自《圣惠方》）：治疗伤寒后已过十余日，潮热不退，身体沉重，头昏脑涨如同醉酒。
药材：前胡（一两，去芦头）、百合（一两）、麻黄（三分，去根节）、葛根（一两，锉碎）、麦门冬（半两，去心）、石膏（一两）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，放入生姜半分，煎煮至五分水量，滤去药渣。不限时候温服。
又一方（出自《圣惠方》）：
药材：柴胡（一两，去苗）、防风（三分，去芦头）、黄芩（一两）、葛根（一两，锉碎）、甘草（半两，炙至微红并锉碎）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，煎煮至五分水量，滤去药渣。不限时候，温服。
鳖甲散：治疗坏伤寒。病程十日以上未解，热邪在胸膈，烦闷不止。
药材：鳖甲（涂醋炙至黄色，去裙边）、柴胡（去苗）、川升麻（以上各一两）、乌梅肉（一两，《圣济总录》作半两）、白鲜皮（一两，锉碎）、黄芩（以上各一两）、甘草（半两，炙至微红并锉碎）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，煎煮至五分水量，滤去药渣，加入生地黄汁半合，再煮沸一两分钟。不限时候，分两次温服。食后温服，名为鳖甲汤。
犀角散（出自《圣惠方》）：治疗坏伤寒。病程日久，烦热不退，脸颊红赤，口干。
药材：犀角屑（一两）、柴胡（三分，去苗）、吴蓝（三分）、大青（一两）、川升麻（一两）、乌梅肉（半两，炙至微红并锉碎）。
制法与用法：将上述药材研为散剂。每次服用五钱，加水一大盏，放入竹叶三十片，煎煮至五分水量，滤去药渣。不限时候，温服。
麦奴丸（出自《圣惠方》）：治疗坏伤寒。热邪在胸中，口不能言语。
药材：麦奴（半两）、灶下黄土（半两）、灶突中墨（半两）、梁上尘（半两）、麻黄（一两，去根节）、黄芪（半两，锉碎微炒）、黄芩（半两）、川朴硝（一两）。
制法与用法：将上述药材研为细末，用炼蜜调和制成如弹子大小的丸剂。每次服用一丸，用新汲凉水送服。如果不愿喝水，强行饮水也可，片刻后必觉寒冷，冷过后应当出汗，出汗即愈。
宣毒麝香丸（出自《圣惠方》）：治疗坏伤寒。心下痞结坚硬，腹部胀满，呼吸急促，大便不通，身体颜色变为像桃枝一样的颜色，热邪结聚。
药材：麝香（一分，细研）、猪苓（一分，去黑皮）、川芒硝（一两）、柴胡（半两，去芦）、芫花（一分，醋浸晒干）、川大黄（一两，锉碎微炒）、栀子仁（半两）。
制法与用法：将上述药材（除麝香外）研为细末，加入麝香同研均匀，用炼蜜调和制成梧桐子大小的丸剂。每次服用十丸，食前温开水送服。服药后不久必定腹泻，若未腹泻可再服。
知母麻黄汤（出自《永类钤方》）：治疗伤寒坏病痊愈后，或十数日，或半月二十日，始终低热不退，脸颊红赤，或类似疟疾症状。这都是因为发汗不彻底，余毒留在心包络所致。
药材：知母（炒一两半）、麻黄（去根节，煎煮掠去浮沫）、甘草（炙锉）、芍药、黄芩（去黑心，各半两）、桂枝（去粗皮，半两，盛夏季节可减半）。
制法与用法：将上述药材锉如麻豆大小。每次服用五钱，加水一盏半，煎煮至五分水量，滤去药渣。半日内，可依次服用三次。温服，取汗后再服。若心烦失眠，想喝水，可适当给予，使胃气中和。
升麻汤：治疗伤寒坏病。病程数日未愈，各种药物不能消除病邪。
药材：升麻、鳖甲（醋炙去裙边）、枳壳（去瓤麸炒）、犀角（镑片）、葛根、黄芩（去黑心）、甘草（炙锉）、前胡（去芦头）、乌头（炮裂去皮脐，各半两）。
制法与用法：将上述药材锉如麻豆大小。每次服用五钱，加水一盏半，煎煮至七分水量，滤去药渣，加入酒二合，搅匀。食后温服。
麝香丸：治疗伤寒坏病。冷热相搏结，心下痞结，胸满气急，大便不通，身体颜色变为黄青黑如桃枝色，四肢逆冷，热邪结聚在内者。不可服用汤饮。
药材：麝香（研）、猪苓（去黑皮）、朴硝（研）、荛花（炒）、芫花（醋炒，各一分）、大黄（锉炒）、商陆（炒）。
制法与用法：将上述药材研为细末，用炼蜜调和捣三五百杵，制成绿豆大小的丸剂。每次服用十丸，食前温开水送服。
黑奴丸：治疗伤寒坏病。头部与骨肉俱痛，胡言乱语，医生无法治疗者。
药材：麻黄（去根节）、黄芩（去黑心，各二两）、甘草（炙锉）、灶突墨、芒硝（各一两）、豆豉（一合）。
制法与用法：将上述药材研为细末，用炼蜜调和捣三五百杵，制成桐子大小的丸剂。每次服用一丸，用新汲凉水研化送服。不限时候。
大效丸：治疗伤寒坏病。
药材：乌头、附子（这两味去皮脐研为末，用醋一升煎尽，好酒一升再煎成膏，后入诸药）、乌蛇（酒浸去骨，炙）、细辛（去苗叶）、浓朴（去粗皮姜汁炙）、人参、赤茯苓（去黑皮）、桂枝（去粗皮）、干姜（研）、草豆蔻（去皮）、硼砂、胡桐泪、槟榔（锉）、腻粉、不灰木（各适量）。
制法与用法：将上述药材研为细末，用前面制成的膏调和，制成梧桐子大小的丸剂。每次服用十丸，温水送服。
麦门冬汤：治疗伤寒坏病经久不愈，潮热不退，身体沉重，昏愦烦闷。
药材：麦门冬（去心焙）、赤茯苓（去黑皮，各一两）、鳖甲（去裙边，醋炙一两）、甘草（炙锉，半两）。
制法与用法：将上述药材粗捣筛。每次服用三钱七分，加水一盏，放入乌梅一个、小麦五十粒，同煎至七分水量，滤去药渣。温服，不限时候。
前胡汤：治疗伤寒坏病，潮热脸颊红赤，口干烦躁，神思昏塞，经久不愈。
药材：前胡（去芦头二两）、柴胡（去苗）、常山、人参、葛根（锉，各一两）、甘草（炙锉，三分）。
制法与用法：将上述药材粗捣筛。每次服用三钱，加水一大盏，放入乌梅一个（捶碎）、生姜三片，煎至七分水量，滤去药渣。温服，不限时候。
治疗伤寒八九日不愈，名为败伤寒，各种药物不能消除者。方名鳖甲散。
药材：鳖甲（炙）、蜀升麻、前胡、乌梅、枳实（炙）、犀角屑、黄芩（各一两）、甘草（一两，炙）、生地黄（八合）。
制法与用法：将上述药材切碎，用水八升，煮取三升，分五次服用，频频服用。若不解，再服。若头面红赤，去掉黄芩，用干葛四两；若无地黄，用豆豉一升。煮取三升，分三次服用。忌食芜荑。
治疗坏证伤寒病。十余日之后，过经已下已汗而未愈者。
庐州郭医，名叫羽，说他的义父李助教在大名府，擅长方脉，曾配制此方治疗四五人，都痊愈了。此方得自天台的一位僧人，用药很奇特。有人说其疗效在于兜铃（可能指某种引经药或特定炮制），实在难以理解。
药材：红娘子（二十七个，去头翅足，细研）、大枣（两枚，剥取肉）。
制法与用法：将上述药材同研匀烂，制成如理中丸大小的丸剂。每次服用一丸，用白水煎服。先从头目开始见效，接着遍身，感觉微微有汗，然后服用小建中汤，加黄芪。病愈即止。
郭医只记得这个说法，未曾敢使用。大可不必记录，留给名医使用吧。
回生散：治疗伤寒失于攻下，或形成坏证。谵言妄语，发黄发斑，大便不通，小便如血，有燥粪蓄血。
药材：甘遂（生用）、黑牵牛（生取末秤量）、郁李仁（去皮）、槟榔（生用）、大黄（生用）、大戟（六味各等分）。
制法与用法：将上述药材研为细末。每次服用一钱，加入轻粉一字，用少许蜜水，柳枝调匀服用。更根据虚实情况加减剂量。不限时候。
Huai Shanghan (Damaged Cold Damage) refers to the condition where, after the pathogenic factors have affected all three Yin and three Yang meridians, the toxic qi has not dissipated but remains stagnant in the Zang-Fu organs, causing the symptoms to vary frequently. Hence it is called "Damaged Cold Damage."
If the original Taiyang disease does not resolve and transfers to the Shaoyang meridian, presenting with hardness and fullness below the costal region, dry retching, inability to eat, alternating chills and fever, and a deep-tight pulse, Xiao Chaihu Tang (Minor Bupleurum Decoction) is appropriate. If the Cun Kou (radial artery at the wrist) pulse is surging, rapid, and slippery, a surging pulse indicates abundant Ying Qi (Nutritive Qi), while a slippery-rapid pulse indicates robust Wei Qi (Defensive Qi). Abundant Ying Qi leads to stagnation and constraint; sweating can be induced. Robust Wei Qi leads to hard and difficult defecation, closure of the San Jiao (Triple Burner), blockage of body fluids, and interaction between Ying and Wei Qi, resulting in mental restlessness, fever, eyes burning like fire, dry nose, red face, dry tongue, yellow teeth, and extreme thirst. Therefore, for Taiyang disease that has passed its transmission cycle, if sweating was performed three days after onset, or if emesis, purgation, or sweating methods were used but the syndrome remained unresolved, it often transforms into Huai Bing (Damaged Disease). Furthermore, if Taiyang disease transfers to Shaoyang, and after emesis, purgation, and sweating, the Shaoyang syndrome has ceased, this is also considered Huai Bing. One must determine what error (Ni) was made and treat according to the law. These cases arise because the Cold Damage pathogen was in the meridians, and after sweating, emesis, and purgation, the symptoms did not clear, followed by infection with different heterogenous pathogens (such as cold, heat, dryness, dampness, wind). The pathology changes accordingly, hence termed Huai Bing. Additionally, if Cold Damage passes the transmission cycle and is re-infected by heat pathogens, which remain accumulated in the Zang-Fu organs causing variable symptoms, or if after the resolution of Cold Damage, the patient remains weak and emaciated with shortness of breath and residual symptoms, these are all called Huai Bing.
Mendong San (Ophiopogon Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Symptoms include heavy and weak body, drowsiness resembling drunkenness, headache, and irritability.
Ingredients: Ophiopogonis Radix (Mendong, 3 fen, heart removed), Lilii Bulbus (Baihe, 3 fen), Ephedrae Herba (Mahuang, 3 fen, roots and joints removed), Puerariae Radix (Gegen, 0.5 liang, sliced), Bupleuri Radix (Chaihu, 1 liang, sprouts removed), Platycodonis Radix (Jiegeng, 0.5 liang, radix removed), Akebiae Caulis (Mutong, 3 fen, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced), Cornu Saigae Tataricae (Lingyangjiao, 0.5 liang), Gypsum Fibrosum (Shigao, 2 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 5 qian per dose. Add 1 da zhen (large cup) of water and 0.5 fen of fresh ginger. Decoct until 0.5 fen remains. Strain. Take at any time.
Shengma San (Cimicifugae Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. After several days without resolution, tidal fever occurs with irritability and red face.
Ingredients: Cimicifugae Rhizoma (Shengma, 3 fen), Testudinis Carapax et Plastrum (Biejia, 3 fen, vinegar-fried until yellow, skirt removed), Peucedani Radix (Qianhu, 0.5 liang, radix removed), Pruni Semen (Wumei Rou, 0.5 liang), Aurantii Fructus Immaturus (Zhishi, 0.5 liang, bran-fried, pith removed), Scutellariae Radix (Huangqin, 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced), Puerariae Radix (Gegen, 3 fen, sliced).
Preparation and Administration: Grind the above ingredients into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 1 he of juice from Rehmanniae Radix Recens (Shengdihuang). Boil for one or two boils. Take at any time, divided into two doses.
Another Prescription [from *Sheng Hui Fang*]:
Ingredients: Gardeniae Fructus (Zhizi Ren, 3 fen), Cimicifugae Rhizoma (Shengma, 3 fen), Scutellariae Radix (Huangqin, 1 liang), Gypsum Fibrosum (Shigao, 1 liang), Zingiberis Rhizoma Exsiccatum (Ganjiang, 0.5 liang, roasted, cracked, and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 1 he of juice from Rehmanniae Radix Recens. Boil for one or two boils. Take at any time, divided into two doses.
Qianhu San (Peucedani Powder) [from *Sheng Hui Fang*]: Treats post-Cold Damage where more than ten days have passed, tidal fever persists, body feels heavy, and there is drowsiness resembling drunkenness.
Ingredients: Peucedani Radix (Qianhu, 1 liang, radix removed), Lilii Bulbus (Baihe, 1 liang), Ephedrae Herba (Mahuang, 3 fen, roots and joints removed), Puerariae Radix (Gegen, 1 liang, sliced), Ophiopogonis Radix (Mendong, 0.5 liang, heart removed), Gypsum Fibrosum (Shigao, 1 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water and 0.5 fen of fresh ginger. Decoct until 0.5 fen remains. Strain. Take at any time.
Another Prescription [from *Sheng Hui Fang*]:
Ingredients: Bupleuri Radix (Chaihu, 1 liang, sprouts removed), Saposhnikoviae Radix (Fangfeng, 3 fen, radix removed), Scutellariae Radix (Huangqin, 1 liang), Puerariae Radix (Gegen, 1 liang, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Take warm at any time.
Biejia San (Turtle Shell Powder): Treats Huai Shanghan. After ten days or more without resolution, heat is in the chest and diaphragm, with incessant irritability.
Ingredients: Testudinis Carapax et Plastrum (Biejia, vinegar-fried until yellow, skirt removed), Bupleuri Radix (Chaihu, sprouts removed), Cimicifugae Rhizoma (Shengma, 1 liang each), Pruni Semen (Wumei Rou, 1 liang; *Sheng Ji Zong Lu* says 0.5 liang), Scutellariae Radix (Huangqin, 1 liang, sliced), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water. Decoct until 0.5 fen remains. Strain. Add 0.5 he of juice from Rehmanniae Radix Recens. Boil for one or two boils. Take warm, divided into two doses, at any time. Taken warm after meals, it is named Biejia Tang (Turtle Shell Decoction).
Xijiao San (Rhinoceros Horn Powder) [from *Sheng Hui Fang*]: Treats Huai Shanghan. After many days,烦热 (irritating heat) persists, cheeks are red, and mouth is dry.
Ingredients: Cornu Rinocerontis (Xijiao, 1 liang, shaved), Bupleuri Radix (Chaihu, 3 fen, sprouts removed), Isatidis Folium (Wulan, 3 fen), Polygoni Tinctorii Folium (Daqing, 1 liang), Cimicifugae Rhizoma (Shengma, 1 liang), Pruni Semen (Wumei Rou, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 da zhen of water and 30 leaves of Bambusa Leaves (Zhuye). Decoct until 0.5 fen remains. Strain. Take warm at any time.
Mainu Wan (Wheat Parasite Pill) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Heat is in the chest, inability to speak.
Ingredients: Mainu (Mainu, 0.5 liang), Cineris Focus (Zaoxia Huangtu, 0.5 liang), Cineris Focus (Zaotu Zhongmo, 0.5 liang), Cineri Trabs (Liangshangchen, 0.5 liang), Ephedrae Herba (Mahuang, 1 liang, roots and joints removed), Astragali Radix (Huangqi, 0.5 liang, sliced and lightly fried), Scutellariae Radix (Huangqin, 0.5 liang), Natrii Sulfas (Puxiao, 1 liang).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose with new well water. If not thirsty, force drinking. Soon, coldness will be felt. After the coldness, sweating should occur, and recovery follows.
Xuandu Shexiang Wan (Toxin-Releasing Musk Pill) [from *Sheng Hui Fang*]: Treats Huai Shanghan. Hardness and fullness below the heart, abdominal distension and urgency, difficulty in defecation, body color changes like peach branches, heat accumulation inside.
Ingredients: Moschus (Shexiang, 1 fen, finely ground), Polyporus (Zuling, 1 fen, black skin removed), Natrii Sulfas (Mangxiao, 1 liang), Bupleuri Radix (Chaihu, 0.5 liang, radix removed), Genkwa Flos (Yuanhua, 1 fen, vinegar-soaked and dried), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, 1 liang, sliced and lightly fried), Gardeniae Fructus (Zhizi Ren, 0.5 liang).
Preparation and Administration: Grind into powder. Mix with musk evenly. Mix with refined honey to form pills the size of Sophora seeds. Take 10 pills per dose with warm water. Defecation will occur after a long time; if not, take again.
Zhimu Mahuang Tang (Anemarrhena and Ephedra Decoction) [from *Yong Lei Qian Fang*]: Treats post-recovery Huai Shanghan. After 10+ days or 15-20 days, low-grade heat persists, cheeks are red, or symptoms resemble malaria. All caused by incomplete sweating, leaving residual toxins in the Pericardium Collateral.
Ingredients: Anemarrhenae Rhizoma (Zhimu, 1.5 liang, stir-fried), Ephedrae Herba (Mahuang, roots and joints removed, boiled and scum removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Paeoniae Radix Alba (Shaoyao), Scutellariae Radix (Huangqin, 0.5 liang each, black heart removed), Cinnamomi Ramulus (Guizhi, 0.5 liang, coarse bark removed; reduce by half in midsummer).
Preparation and Administration: Slice like hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water. Decoct until 0.5 fen remains. Strain. Within half a day, take three doses successively. Take warm to induce sweating, then take again. If restless and unable to sleep, or desiring water, give appropriately to harmonize the Stomach.
Shengma Tang (Cimicifuga Decoction): Treats Huai Shanghan. After several days without recovery, other medicines cannot eliminate the pathogen.
Ingredients: Cimicifugae Rhizoma (Shengma), Testudinis Carapax et Plastrum (Biejia, vinegar-fried, skirt removed), Aurantii Fructus Immaturus (Zhike, pith removed, bran-fried), Cornu Rinocerontis (Xijiao, shaved), Puerariae Radix (Gegen), Scutellariae Radix (Huangqin, black heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Peucedani Radix (Qianhu, radix removed), Aconiti Lateralis Radix Praeparata (Wutou, roasted, skin and bud removed, 0.5 liang each).
Preparation and Administration: Slice like hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water. Decoct until 0.7 fen remains. Strain. Take warm after meals.
Shexiang Wan (Musk Pill): Treats Huai Shanghan. Cold and heat battling, hardness below the heart, chest fullness and urgency, difficulty in defecation, body color turns yellow-green-black like peach branches, cold limbs, heat accumulation inside. Do not take liquid medicine.
Ingredients: Moschus (Shexiang, ground), Polyporus (Zuling, black skin removed), Natrii Sulfas (Puxiao, ground), Euphorbiae Pekinensis Radix (Raohua, fried), Genkwa Flos (Yuanhua, vinegar-fried, 1 fen each), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, sliced and fried), Phytolaccae Radix (Shanglu, ground).
Preparation and Administration: Grind into powder. Mix with refined honey and pound 300-500 times. Form pills the size of mung beans. Take 10 pills per dose before meals with warm water.
Heinu Wan (Black Slave Pill): Treats Huai Shanghan. Pain in head and bones/flesh, delirious speech, unresponsive to doctors.
Ingredients: Ephedrae Herba (Mahuang, roots and joints removed), Scutellariae Radix (Huangqin, 2 liang each, black heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced), Cineris Focus (Zaotu Mo), Natrii Sulfas (Mangxiao, 1 liang each), Phaseoli Cocti (Chi Dou, 1 he).
Preparation and Administration: Grind into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take one pill per dose, crushed in new well water. Take at any time.
Da Xiao Wan (Great Effect Pill): Treats Huai Shanghan.
Ingredients: Aconiti Radix (Wutou), Aconiti Lateralis Radix Praeparata (Fuzi) (Remove skin and bud, grind to powder. Boil 1 sheng of vinegar until dry, add 1 sheng of good wine, boil into paste, then add other herbs), Elapris (Wushe, wine-soaked, remove bone, fry), Asari Radix et Rhizoma (Xixin, remove sprouts and leaves), Magnoliae Officinalis Cortex (Houpo, remove coarse bark, ginger juice-fried), Ginseng Radix (Renshen), Polypori Cum Pini Wood (Chifuling, black skin removed), Cinnamomi Ramulus (Guizhi, coarse bark removed), Zingiberis Rhizoma Exsiccatum (Ganjiang, ground), Cardamomi Fructus (Caodoukou, peel removed), Borax (Pengsha), Larix Resina (Hutonglei), Arecae Semen (Binglang, sliced), Calomelas (Nifen), Non-inflammable Wood (Buhui Mu) (Each appropriate amount).
Preparation and Administration: Grind and mix. Form pills the size of Sophora seeds. Take 10 pills per dose.
Mendong Tang (Ophiopogon Decoction): Treats Huai Shanghan persisting for a long time. Tidal fever persists, body heavy, drowsy and irritable.
Ingredients: Ophiopogonis Radix (Mendong, heart removed, baked), Polypori Cum Pini Wood (Chifuling, black skin removed, 1 liang each), Testudinis Carapax et Plastrum (Biejia, skirt removed, vinegar-fried, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve. Take 3.7 qian per dose. Add 1 zhan of water, one Wumei (Prunus mume), and 50 Xiaomai (Triticum aestivum grains). Decoct until 0.7 fen remains. Strain. Take warm at any time.
Qianhu Tang (Peucedani Decoction): Treats Huai Shanghan. Tidal fever, red cheeks, dry mouth, irritability, mental cloudiness, persisting for a long time.
Ingredients: Peucedani Radix (Qianhu, 2 liang, radix removed), Bupleuri Radix (Chaihu, sprouts removed), Dichroae Radix (Changshan), Ginseng Radix (Renshen), Puerariae Radix (Gegen, sliced, 1 liang each), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and sliced, 3 fen).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose. Add 1 da zhen of water, one Wumei (crushed), and three slices of fresh ginger. Decoct until 0.7 fen remains. Strain. Take warm at any time.
Treating Cold Damage not resolving after 8-9 days, named Bai Shanghan (Defeated Cold Damage). When various medicines cannot eliminate it, the formula is named Biejia San.
Ingredients: Testudinis Carapax et Plastrum (Biejia, fried), Shu Shengma (Shushengma), Peucedani Radix (Qianhu), Prunus mume (Wumei), Aurantii Fructus Immaturus (Zhishi, fried), Cornu Rinocerontis (Xijiao xie), Scutellariae Radix (Huangqin, 1 liang each), Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, honey-fried), Rehmanniae Radix Recens (Shengdihuang, 8 he).
Preparation and Administration: Cut into pieces. Add 8 sheng of water, boil to obtain 3 sheng. Divide into five doses, take frequently. If not resolved, take more. If head and face are red, remove Huangqin and use Gegen (4 liang); if no Shengdihuang, use Chi Dou (1 sheng). Boil to obtain 3 sheng, divide into three doses. Avoid Chromolaenae Herba (Wuyi).
Treating Huai Zheng Shanghan. After more than ten days, having passed the cycle, undergone purgation and sweating, yet not healed.
Guo Yi from Luzhou, named Yu, said his adoptive father Li, an Assistant Instructor from Daming Prefecture, was skilled in formulas and pulse diagnosis. He prepared this to treat four or five people, all recovered. The formula was obtained from a monk from Tiantai; the medication is very unusual. Some say its efficacy lies in Lou Gua (Trichosanthes Fruit), which is hard to understand.
Ingredients: Lyttae Carapax (Hongniangzi, 27 individuals, remove head, wings, feet, finely grind), Ziziphi Jujubae Fructus (Dazao, 2 fruits, peel and take flesh).
Preparation and Administration: Grind together until smooth and mushy. Form pills the size of Lizhong Wan. Take one pill per dose, decoct in white water. Sweat starts from head and eyes, then spreads over the body. Once slight sweating is felt, then take Xiaojianzhong Tang (Minor Construct the Middle Decoction) with added Huangqi (Astragalus). Stop when recovered.
Doctor Guo only remembers this saying and never dared to use it. It is best not to record it, leaving it for famous physicians to use.
Huisheng San (Revival Powder): Treats Cold Damage where purgation was missed, or it became Huai Zheng. Delirious speech, yellowing, macules, constipation, urine like blood, dry feces and blood stasis accumulation.
Ingredients: Kansui Radix (Gansui, raw), Black Qian Niu Zi (Heiqianniuzi, raw, taken as powder and weighed), Prunus Avium Seed (Yuliren, peel removed), Arecae Semen (Binglang, raw), Rheum Palmatum et Tanguticum Radix et Rhizoma (Dahuang, raw), Euphorbiae Humifusa Radix (Daji) (Six ingredients in equal parts).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose. Add 1 zi of Qingfen (Calomel). Mix with a little honey water. Stir evenly with a willow branch and take. Adjust dosage based on deficiency or excess. Take at any time.