一柴胡饮 一为水数，从寒散也。凡感四时不正之气，或为发热，或为寒热，或因劳因
怒，或妇人热入血室，或产后经后因冒风寒，以致寒热如疟等证，但外有邪而内兼火者，须
从凉散，宜此主之。
柴胡（二、三钱） 黄芩（一钱半） 芍药（二钱） 生地（一钱半） 陈皮（一钱半） 甘草（八分）
水一钟半，煎七、八分，温服。如内热甚者，加连翘一、二钱随宜；如外邪甚者，加防
风一钱佐之；如邪结在胸而痞满者，去生地，加枳实一、二钱；如热在阳明而兼渴者，加天
花粉或葛根一、二钱；热甚者，加知母、石膏亦可。
二柴胡饮 二为火数，从温散也。凡遇四时外感，或其人元气充实，脏气素平无火，或
时逢寒胜之令，本无内热等证者，皆不宜妄用凉药，以致寒滞不散，则为害非浅，宜此主之。
陈皮（一钱半） 半夏（二钱） 细辛（一、二钱） 浓朴（一钱半） 生姜（三、五、七片） 柴胡（一钱半，
或二、三钱） 甘草（八分）
水一钟半，煎七、八分，温服。如邪盛者，可加羌活、白芷、防风、紫苏之属，择而用
之；如头痛不止者，加川芎一、二钱；如多湿者，加苍术；如阴寒气胜，必加麻黄一、二钱
，或兼桂枝，不必疑也。
三柴胡饮 三为木数，从肝经血分也。凡人素禀阴分不足，或肝经血少，而偶感风寒者
，或感邪不深，可兼补而散者，或病后产后感冒，有不得不从解散，而血气虚弱不能外达者，宜此主之。
柴胡（二、三钱） 芍药（一钱半） 炙甘草（一钱） 陈皮（一钱） 生姜（三、五片） 当归（二钱。溏泄
者，易以熟地）
水一钟半，煎七、八分，温服。如微寒咳呕者，加半夏一、二钱。
四柴胡饮 四为金数，从气分也。凡人元气不足，或忍饥劳倦，而外感风寒，或六脉紧
数微细，正不胜邪等证，必须培助元气，兼之解散，庶可保全，宜此主之。若但知散邪，不
顾根本，未有不元气先败者，察之，慎之！
柴胡（一、二、三钱） 炙甘草（一钱） 生姜（三、五、七片） 当归（二、三钱，泻者少用） 人参
（二、三钱或五、七钱，酌而用之）
水二钟，煎七、八分，温服。如胸膈滞闷者，加陈皮一钱。
五柴胡饮 五为土数，从脾胃也。脾土为五脏之本，凡中气不足而外邪有不散者，非此
不可。此与四柴胡饮相表里，但四柴胡饮止调气分，此则兼培血气以逐寒邪，尤切于时用者
也，神效不可尽述。凡伤寒疟疾痘疮，皆所宜用。
柴胡（一、二、三钱） 当归（二、三钱） 熟地（三、五钱） 白术（二、三钱） 芍药（钱半，炒用）
炙甘草（一钱） 陈皮（酌用，或不必用）
水一钟半，煎七分，食远热服。寒胜无火者，减芍药，加生姜三、五、七片，或炮干姜
一、二钱，或再加桂枝一、二钱则更妙；脾滞者，减白术；气虚者，加人参随宜；腰痛者，
加杜仲；头痛者，加川芎；劳倦伤脾阳虚者，加升麻一钱。
正柴胡饮 凡外感风寒，发热恶寒，头疼身痛， 疟初起等证，凡血气平和，宜从
平散者，此方主之。
柴胡（一、二、三钱） 防风（一钱） 陈皮（一钱半） 芍药（二钱） 甘草（一钱） 生姜（三、五片）
水一钟半，煎七、八分，热服。如头痛者，加川芎一钱；如热而兼渴者，加葛根一、二
钱；如呕恶者，加半夏一钱五分；如湿胜者，加苍术一钱；如胸腹有微滞者，加浓朴一钱；
如寒气胜而邪不易解者，加麻黄一、二、三钱，去浮沫服之，或苏叶亦可。
麻桂饮 治伤寒瘟疫阴暑疟疾，凡阴寒气胜而邪有不能散者，非此不可。无论诸经四季
，凡有是证，即宜是药，勿谓夏月不可用也。不必浓盖，但取津津微汗透彻为度。此实麻黄
桂枝二汤之变方，而其神效则大有超出二方者，不可不为细察。
官桂（一、二钱） 当归（三、四钱） 炙甘草（一钱） 陈皮（随宜用，或不用亦可） 麻黄（二、三
钱）
水一钟半，加生姜五、七片或十片，煎八分，去浮沫，不拘时服。若阴气不足者，加熟
地黄三、五钱；若三阳并病者，加柴胡二、三钱；若元气大虚，阴邪难解者，当以大温中饮
更迭为用。
大温中饮 凡患阳虚伤寒，及一切四时劳倦寒疫阴暑之气，身虽炽热，时犹畏寒，即在
夏月，亦欲衣披覆盖，或喜热汤，或兼呕恶泄泻，但六脉无力，肩背怯寒，邪气不能外达等
证，此元阳大虚，正不胜邪之候。若非峻补托散，则寒邪日深，必致不救，温中自可散寒，
即此方也。服后畏寒悉除，觉有躁热，乃阳回作汗佳兆，不可疑之畏之。此外，凡以素禀薄
弱之辈，或感阴邪时疫，发热困倦，虽未见如前阴证，而热邪未甚者，但于初感时，即速用
此饮，连进二、三服，无不随药随愈，真神剂也。此方宜与理阴煎、麻桂饮相参用。
熟地（三、五、七钱） 冬白术（三、五钱） 当归（三、五钱，如泄泻者，不宜用，或以山药代
之） 人参（二、三钱，甚者一两，或不用亦可） 炙甘草（一钱） 柴胡（二、三、四钱） 麻黄（一、
二、三钱） 肉桂（一、二钱） 干姜（炒熟，一、二钱，或用煨生姜三、五、七片亦可）
水二钟，煎七分，去浮沫，温服，或略盖取微汗。如气虚，加黄 二、三钱；如寒甚阳
虚者，加制附子一、二钱；头痛，加川芎或白芷、细辛；阳虚气陷，加升麻；如肚腹泄泻，
宜少减柴胡，加防风、细辛亦可。尝见伤寒之治，惟仲景能知温散，如麻黄、桂枝等汤是也
；亦知补气而散，如小柴胡之属是也。至若阳根于阴，汗化于液，从补血而散，而云腾致雨
之妙，则仲景犹所未及，故予制此方，乃邪从营解第一义也，其功难悉，所当深察。
柴陈煎 治伤风兼寒，咳嗽发热，痞满多痰等证。
柴胡（二、三钱） 陈皮（一钱半） 半夏（二钱） 茯苓（二钱） 甘草（一钱） 生姜（三、五、七片）
水一钟半，煎七分，食远温服。如寒胜者，加细辛七、八分；如风胜气滞者，加苏叶一
钱五分；如冬月寒甚者，加麻黄一钱五分；气逆多嗽者，加杏仁一钱；痞满气滞者，加白芥子五、七分。
柴芩煎 治伤寒表邪未解，外内俱热，泻痢烦渴喜冷，气壮脉滑数者，宜此主之。及疟
痢并行，内热去血，兼表邪发黄等证。
柴胡（二、三钱） 黄芩 栀子 泽泻 木通（各二钱） 枳壳（一钱五分）
水二钟，煎八分，温服。如疟痢并行，鲜血纯血者，加芍药二钱，甘草一钱；如湿胜气
陷者，加防风一钱。
柴苓饮 治风湿发黄，发热身痛，脉紧，表里俱病，小水不利，中寒泄泻等证。
柴胡（二、三钱） 猪苓 茯苓 泽泻（各二钱） 白术（二、三钱） 肉桂（一、二、三钱）
水一钟半，煎服。如寒邪胜者，加生姜三、五片；如汗出热不退者，加芍药一、二钱。
柴胡白虎煎 治阳明温热，表邪不解等证。
柴胡（二钱） 石膏（三钱） 黄芩（二钱） 麦冬（二钱） 细甘草（七分）
水一钟半，加竹叶二十片，煎服。
归葛饮 治阳明温暑时证，大热大渴，津液枯涸，阴虚不能作汗等证。
当归（三、五钱） 干葛（二、三钱）
水二钟，煎一钟，以冷水浸凉，徐徐服之，得汗即解。
柴葛煎 方在因阵十八。
治瘟毒表里俱热。
秘传走马通圣散 治伤寒阴邪初感等证。此方宜用于仓卒之时，其有质强而寒甚者俱可用。
麻黄 炙甘草（各一两） 雄黄（二钱）
上为细末。每服一钱，热酒下，即汗。或加川芎二钱。
秘传白犀丹 发散外感瘟疫痈毒等证。
白犀角 麻黄（去节） 山茨菇 玄明粉 血竭 甘草（各一钱） 雄黄（八分）
上共为末，用老姜汁拌丸，如枣核大，外以红枣去核，将药填入枣内，用薄纸裹十五层
，入砂锅内炒令烟尽为度，取出去枣肉，每药一钱，入冰片一分，麝香半分，研极细，瓷罐
收贮。用时以角簪蘸麻油粘药点眼大角。轻者只点眼角，重者仍用些须吹鼻，男先左，女先
右，吹点皆同。如病甚者，先吹鼻，后点眼。点后蜷足坐起，用被齐项暖盖半炷香时
，自当汗出邪解。如汗不得出，或汗不下达至腰者不治。
又一制法，将前药用姜汁拌作二丸，以乌金纸两层包定，外捣红枣肉如泥，包药外约半
指浓，晒干，入砂锅内，再覆以砂盆，用盐泥固缝，但留一小孔以候烟色，乃上下加炭火，
先文后武，待五色烟尽，取出去枣肉，每 过药一钱，止加冰片二分，不用麝香。忌生冷、
面食、鱼腥、七情。
上药，凡伤寒瘟疫，及小儿痘毒壅闭，痈毒，吼喘，及阴毒冷气攻心，或妇人吹乳，或
眼目肿痛，鼻壅闭塞，并皆治之。
归柴饮 治营虚不能作汗，及真阴不足，外感寒邪难解者，此神方也。如大便多溏者，
以冬术代当归亦佳。
当归（一两） 柴胡（五钱） 炙甘草（八分）
水一钟半，煎服。或加生姜三、五片。或加陈皮一钱。或加人参。
一柴胡饮：一为水之成数，象征从寒凉角度发散。凡是感受四时不正之气，出现发热，或寒热往来，或因劳累、因愤怒引发，或是妇女热邪陷入血室，或是产后、经期之后冒受风寒，导致像疟疾一样的寒热症状等证候，只要外有邪气而内兼有火（热），必须采用凉散的方法，适宜用此方主治。
柴胡（二至三钱） 黄芩（一钱半） 芍药（二钱） 生地（一钱半） 陈皮（一钱半） 甘草（八分）
用水一钟半，煎煮至七、八分满，温服。如果体内热邪严重，酌情加连翘一至二钱；如果外部邪气严重，加防风一钱辅助；如果邪气结聚在胸部导致痞闷胀满，去掉生地，加枳实一至二钱；如果热邪在阳明经且伴有口渴，加天花粉或葛根一至二钱；热邪严重者，加知母、石膏也可以。
二柴胡饮：二为火之成数，象征从温散角度发散。凡是遇到四时外感病，或者患者元气充实，脏腑之气素来平和无火，或者恰逢寒气盛行的时令，本来没有内热等证候的，都不宜妄用凉药，以免导致寒邪凝滞不散，那样造成的危害就不浅了，适宜用此方主治。
陈皮（一钱半） 半夏（二钱） 细辛（一至二钱） 浓朴（一钱半） 生姜（三、五、七片） 柴胡（一钱半，或二、三钱） 甘草（八分）
用水一钟半，煎煮至七、八分满，温服。如果邪气盛，可加羌活、白芷、防风、紫苏之类，选择使用；如果头痛不止，加川芎一至二钱；如果湿气重，加苍术；如果阴寒气盛，必须加麻黄一至二钱，或者兼用桂枝，不必犹豫。
三柴胡饮：三为木之成数，象征从肝经血分调理。凡是人体素禀阴分不足，或者肝经血少，偶尔感受风寒的，或者感受邪气不深，可以兼顾补益和发散的，或者病后、产后感冒，不得不从解散治疗，但血气虚弱不能外达的，适宜用此方主治。
柴胡（二至三钱） 芍药（一钱半） 炙甘草（一钱） 陈皮（一钱） 生姜（三、五片） 当归（二钱。大便溏泄者，改用熟地）
用水一钟半，煎煮至七、八分满，温服。如果有轻微恶寒咳嗽呕吐，加半夏一至二钱。
四柴胡饮：四为金之成数，象征从气分调理。凡是人体元气不足，或者忍饥受累，而外感风寒，或者六脉紧数微细，正气不胜邪气等证候，必须培补扶助元气，兼以解散邪气，才可以保全生命，适宜用此方主治。如果只知道发散邪气，不顾及根本，没有不先败坏元气的，观察时要谨慎！
柴胡（一至三钱） 炙甘草（一钱） 生姜（三、五、七片） 当归（二、三钱，腹泻者少用） 人参（二、三钱或五、七钱，酌情使用）
用水二钟，煎煮至七、八分满，温服。如果胸膈滞闷，加陈皮一钱。
五柴胡饮：五为土之成数，象征从脾胃调理。脾土是五脏的根本，凡是中气不足而外邪不能散去的，非此方不可。此方与四柴胡饮互为表里，但四柴胡饮只调理气分，此方则兼培补血气以驱逐寒邪，尤其切合时宜，神效难以尽述。凡是伤寒、疟疾、痘疮，都适宜使用。
柴胡（一至三钱） 当归（二至三钱） 熟地（三至五钱） 白术（二至三钱） 芍药（钱半，炒用） 炙甘草（一钱） 陈皮（酌情使用，或不必用）
用水一钟半，煎煮七分，饭后稍远时热服。寒气盛而无火的，减少芍药，加生姜三、五、七片，或者炮干姜一至二钱，或者再加桂枝一至二钱则更好；脾滞者，减少白术；气虚者，加人参酌情使用；腰痛者，加杜仲；头痛者，加川芎；劳倦损伤脾阳导致阳虚者，加升麻一钱。
正柴胡饮：凡是外感风寒，出现发热恶寒、头疼身痛、疟疾初起等证候，凡是血气平和，适宜从平散角度治疗的，此方主治。
柴胡（一至三钱） 防风（一钱） 陈皮（一钱半） 芍药（二钱） 甘草（一钱） 生姜（三、五片）
用水一钟半，煎煮至七、八分满，热服。如果头痛，加川芎一钱；如果发热兼口渴，加葛根一至二钱；如果呕吐恶心，加半夏一钱五分；如果湿气胜，加苍术一钱；如果胸腹有轻微滞塞，加浓朴一钱；如果寒气胜而邪气不易解除，加麻黄一至三钱，去浮沫服用，或者苏叶也可以。
麻桂饮：治疗伤寒、瘟疫、阴暑、疟疾，凡是阴寒气盛而邪气不能散去的，非此方不可。无论哪一经、哪个季节，只要有这些证候，就适宜用这个药，不要说夏季不可用。不需要厚盖被子，只要取微微出汗透彻作为限度即可。这实际上是麻黄汤和桂枝汤两个方的变方，但其神效大大超出这两个方子，不可不仔细考察。
官桂（一至二钱） 当归（三至四钱） 炙甘草（一钱） 陈皮（酌情使用，或不用也可） 麻黄（二至三钱）
用水一钟半，加生姜五、七片或十片，煎煮至八分，去浮沫，不拘时候服用。如果阴气不足，加熟地黄三至五钱；如果三阳并病，加柴胡二至三钱；如果元气大虚，阴邪难解，应当与大温中饮交替使用。
大温中饮：凡是患阳虚伤寒，以及一切四时劳倦、寒疫、阴暑之气，身体虽然炽热，时常仍然畏寒，即使在夏季，也想要穿衣覆盖，或者喜欢热汤，或者兼有呕吐恶心泄泻，只要六脉无力，肩背怯寒，邪气不能外达等证候，这是元阳大虚，正气不胜邪气的表现。如果不是峻猛补益并托毒发散，那么寒邪会日益深入，必定导致无法救治，温中自可散寒，就是这个方子。服药后畏寒全部消除，感觉有躁热，这是阳气回复准备出汗的好兆头，不可怀疑畏惧。此外，凡是素体薄弱的人，或者感受阴邪时疫，发热困倦，虽然没有见到前述的阴证，但热邪不严重的，只要在初感时，立即使用此饮，连续服用两、三服，没有不随药而愈的，真是神剂。此方适宜与理阴煎、麻桂饮参合使用。
熟地（三、五、七钱） 冬白术（三至五钱） 当归（三至五钱，如泄泻者，不宜用，或用山药代替） 人参（二至三钱，甚者一两，或不用也可） 炙甘草（一钱） 柴胡（二、三、四钱） 麻黄（一至三钱） 肉桂（一至二钱） 干姜（炒熟，一至二钱，或用煨生姜三、五、七片也可）
用水二钟，煎煮七分，去浮沫，温服，或者稍微盖被子取微汗。如果气虚，加黄芪二至三钱；如果寒甚阳虚者，加制附子一至二钱；头痛，加川芎或白芷、细辛；阳虚气陷，加升麻；如果肚腹泄泻，宜少减柴胡，加防风、细辛也可以。曾见治疗伤寒，只有张仲景懂得温散，如麻黄、桂枝等汤是也；也懂得补气而散，如小柴胡汤之类是也。至于若阳气根于阴，汗液化于津液，从补血而散，达到云腾致雨的妙处，则是张仲景尚未涉及的，所以我制定此方，乃是邪气从营分解除的第一要义，其功效难以详尽陈述，应当深入考察。
柴胡（二至三钱） 陈皮（一钱半） 半夏（二钱） 茯苓（二钱） 甘草（一钱） 生姜（三、五、七片）
用水一钟半，煎煮七分，饭后稍远时温服。如果寒邪胜，加细辛七、八分；如果风邪胜气滞者，加苏叶一钱五分；如果冬季寒邪甚，加麻黄一钱五分；气逆多咳嗽者，加杏仁一钱；痞闷胀满气滞者，加白芥子五、七分。
柴芩煎：治疗伤寒表邪未解，外内俱热，泻痢烦渴喜冷，气壮脉滑数者，适宜用此方主治。以及疟疾痢疾并行，内热去血，兼表邪发黄等证候。
柴胡（二至三钱） 黄芩 栀子 泽泻 木通（各二钱） 枳壳（一钱五分）
用水二钟，煎煮八分，温服。如果疟痢并行，鲜血纯血者，加芍药二钱，甘草一钱；如果湿胜气陷者，加防风一钱。
柴苓饮：治疗风湿发黄，发热身痛，脉紧，表里俱病，小便不利，中寒泄泻等证候。
柴胡（二至三钱） 猪苓 茯苓 泽泻（各二钱） 白术（二至三钱） 肉桂（一至三钱）
用水一钟半，煎服。如果寒邪胜，加生姜三、五片；如果汗出热不退，加芍药一至二钱。
柴胡（二钱） 石膏（三钱） 黄芩（二钱） 麦冬（二钱） 细甘草（七分）
用水一钟半，加竹叶二十片，煎服。
归葛饮：治疗阳明温暑时证，大热大渴，津液枯涸，阴虚不能作汗等证候。
当归（三至五钱） 干葛（二至三钱）
用水二钟，煎煮至一钟，用冷水浸凉，徐徐服用，得汗即解。
秘传走马通圣散：治疗伤寒阴邪初感等证候。此方适宜用于仓促之时，体质强盛而寒邪甚的都可用。
麻黄 炙甘草（各一两） 雄黄（二钱）
以上研为细末。每次服用一钱，用热酒送下，即出汗。或者加川芎二钱。
白犀角 麻黄（去节） 山茨菇 玄明粉 血竭 甘草（各一钱） 雄黄（八分）
以上共研为末，用老姜汁拌丸，如枣核大小，外面用红枣去核，将药填入枣内，用薄纸包裹十五层，放入砂锅内炒至烟尽为止，取出除去枣肉，每药一钱，加入冰片一分，麝香半分，研极细，瓷罐收贮。用时用角簪蘸麻油粘药点眼大眼角。轻者只点眼角，重者仍用少许吹鼻，男先左，女先右，吹点方法相同。如果病重者，先吹鼻，后点眼。点后蜷足坐起，用被子齐项暖盖半炷香时间，自然出汗邪解。如果汗不得出，或者汗不下达至腰部的不治。
另一种制法，将前药用姜汁拌作二丸，用乌金纸两层包定，外面捣红枣肉如泥，包药外约半指厚，晒干，放入砂锅内，再覆以砂盆，用盐泥固缝，只留一小孔以观察烟色，然后上下加炭火，先文火后武火，待五色烟尽，取出除去枣肉，每过药一钱，只加冰片二分，不用麝香。忌生冷、面食、鱼腥、七情。
上述药物，凡是伤寒瘟疫，以及小儿痘毒壅闭，痈毒，吼喘，以及阴毒冷气攻心，或者妇人吹乳，或者眼目肿痛，鼻壅闭塞，都治疗。
Yi Chaihu Yin (First Bupleurum Decoction): One is the number of Water, symbolizing dispersal from a cold perspective. It is indicated for cases where one contracts the irregular qi of the four seasons, presenting with fever, or alternating chills and fever, or triggered by fatigue or anger, or in women where heat enters the Blood Chamber, or after childbirth or during menstruation when exposed to wind-cold, resulting in symptoms such as chills and fever resembling malaria. As long as there is external pathogenic factor combined with internal fire (heat), it must be dispersed using a cooling method; this formula is suitable.
Chai Hu (Bupleuri Radix) (2-3 qian), Huang Qin (Scutellariae Radix) (1.5 qian), Shao Yao (Paeoniae Radix Alba) (2 qian), Sheng Di Huang (Rehmanniae Radix) (1.5 qian), Chen Pi (Citri Reticulatae Pericarpium) (1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 fen).
Use 1.5 zhong of water, decoct until 7-8 parts remain, take warm. If internal heat is severe, add Lian Qiao (Forsythiae Fructus) 1-2 qian as appropriate; if external pathogen is severe, add Fang Feng (Saposhnikoviae Radix) 1 qian to assist; if pathogen knots in the chest causing fullness and obstruction, remove Sheng Di Huang, add Zhi Shi (Aurantii Fructus Immaturus) 1-2 qian; if heat is in the Yangming channel accompanied by thirst, add Tian Hua Fen (Trichosanthis Radix) or Ge Gen (Puerariae Lobatae Radix) 1-2 qian; if heat is severe, adding Zhi Mu (Anemarrhenae Rhizoma) and Shi Gao (Gypsum Fibrosum) is also acceptable.
Er Chaihu Yin (Second Bupleurum Decoction): Two is the number of Fire, symbolizing dispersal from a warm perspective. It is indicated for seasonal exterior contractions, or when the patient's Yuan Qi (Primal Qi) is substantial, the Zang-Fu Qi is naturally balanced without fire, or when encountering a season dominated by cold, originally lacking internal heat symptoms. In such cases, cooling medicines should not be used recklessly to avoid stagnation of cold, which would cause significant harm; this formula is suitable.
Chen Pi (Citri Reticulatae Pericarpium) (1.5 qian), Ban Xia (Pinelliae Rhizoma) (2 qian), Xi Xin (Asari Radix et Rhizoma) (1-2 qian), Hou Po (Magnoliae Officinalis Cortex) (1.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3, 5, or 7 slices), Chai Hu (Bupleuri Radix) (1.5 qian, or 2-3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 fen).
Use 1.5 zhong of water, decoct until 7-8 parts remain, take warm. If pathogen is strong, Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Zi Su Ye (Perillae Folium) may be added selectively; if headache persists, add Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1-2 qian; if dampness is prevalent, add Cang Zhu (Atractylodis Rhizoma); if Yin cold is dominant, Ma Huang (Ephedrae Herba) 1-2 qian must be added, or combined with Gui Zhi (Cinnamomi Ramulus), without hesitation.
San Chaihu Yin (Third Bupleurum Decoction): Three is the number of Wood, relating to the Liver channel and Blood level. It is indicated for individuals with inherent deficiency of Yin aspect, or scanty Liver blood, who occasionally contract wind-cold; or those with shallow pathogen invasion where tonification and dispersal can be combined; or post-illness/post-partum colds where dispersal is necessary but Qi and Blood are too weak to reach the exterior; this formula is suitable.
Chai Hu (Bupleuri Radix) (2-3 qian), Shao Yao (Paeoniae Radix Alba) (1.5 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3-5 slices), Dang Gui (Angelicae Sinensis Radix) (2 qian. For loose stools, substitute with Shu Di Huang (Prepared Rehmanniae Radix)).
Use 1.5 zhong of water, decoct until 7-8 parts remain, take warm. If there is slight chills, cough, and vomiting, add Ban Xia (Pinelliae Rhizoma) 1-2 qian.
Si Chaihu Yin (Fourth Bupleurum Decoction): Four is the number of Metal, relating to the Qi level. It is indicated for individuals with insufficient Yuan Qi (Primal Qi), or those who endured hunger and fatigue while contracting wind-cold, or those presenting with tight, rapid, fine pulse indicating Zheng Qi (Upright Qi) cannot overcome the pathogen. It is essential to tonify and support Yuan Qi (Primal Qi) while dispersing the pathogen to preserve life; this formula is suitable. If one only knows how to disperse pathogens without caring for the root, Yuan Qi (Primal Qi) will fail first; observe carefully and be cautious!
Chai Hu (Bupleuri Radix) (1-3 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3, 5, or 7 slices), Dang Gui (Angelicae Sinensis Radix) (2-3 qian, use less if diarrhea), Ren Shen (Ginseng Radix) (2-3 qian or 5-7 qian, use as appropriate).
Use 2 zhong of water, decoct until 7-8 parts remain, take warm. If there is chest and diaphragm stagnation and stuffiness, add Chen Pi (Citri Reticulatae Pericarpium) 1 qian.
Wu Chaihu Yin (Fifth Bupleurum Decoction): Five is the number of Earth, relating to the Spleen and Stomach. The Spleen Earth is the foundation of the five Zang organs. For cases where Middle Qi (Central Qi) is insufficient and external pathogens cannot be dispersed, this formula is indispensable. This formula has an interior-exterior relationship with Si Chaihu Yin (Fourth Bupleurum Decoction); whereas the latter only regulates the Qi level, this one simultaneously tonifies Qi and Blood to expel cold pathogens, making it particularly timely and effective. Its miraculous effects are beyond description. It is suitable for Shanghan (Cold Damage), Malaria, and smallpox/varioloid eruptions.
Chai Hu (Bupleuri Radix) (1-3 qian), Dang Gui (Angelicae Sinensis Radix) (2-3 qian), Shu Di Huang (Prepared Rehmanniae Radix) (3-5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2-3 qian), Shao Yao (Paeoniae Radix Alba) (0.5 qian, stir-fried), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (use as appropriate, or omit).
Use 1.5 zhong of water, decoct until 7 parts remain, take hot well after meals. If cold is dominant without fire, reduce Shao Yao (Paeoniae Radix Alba), add Sheng Jiang (Zingiberis Rhizoma Recens) 3, 5, or 7 slices, or Pao Gan Jiang (Prepared Zingiberis Rhizoma) 1-2 qian, or further add Gui Zhi (Cinnamomi Ramulus) 1-2 qian for better effect; for Spleen stagnation, reduce Bai Zhu (Atractylodis Macrocephalae Rhizoma); for Qi deficiency, add Ren Shen (Ginseng Radix) as appropriate; for lower back pain, add Du Zhong (Eucommiae Cortex); for headache, add Chuan Xiong (Ligustici Chuanxiong Rhizoma); for fatigue damaging Spleen Yang leading to Yang deficiency, add Sheng Ma (Cimicifugae Rhizoma) 1 qian.
Zheng Chaihu Yin (Regular Bupleurum Decoction): Indicated for exterior contraction of wind-cold presenting with fever, aversion to cold, headache, body ache, early-stage malaria, etc., where Qi and Blood are balanced and gentle dispersal is suitable; this formula governs.
Chai Hu (Bupleuri Radix) (1-3 qian), Fang Feng (Saposhnikoviae Radix) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (1.5 qian), Shao Yao (Paeoniae Radix Alba) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3-5 slices).
Use 1.5 zhong of water, decoct until 7-8 parts remain, take hot. If headache, add Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian; if fever with thirst, add Ge Gen (Puerariae Lobatae Radix) 1-2 qian; if vomiting/nausea, add Ban Xia (Pinelliae Rhizoma) 1.5 qian; if dampness is dominant, add Cang Zhu (Atractylodis Rhizoma) 1 qian; if slight stagnation in chest/abdomen, add Hou Po (Magnoliae Officinalis Cortex) 1 qian; if cold is dominant and pathogen is hard to resolve, add Ma Huang (Ephedrae Herba) 1-3 qian, skim foam before taking, or Zi Su Ye (Perillae Folium) is also acceptable.
Ma Gui Yin (Ephedra and Cinnamon Decoction): Treats Shanghan (Cold Damage), Plague, Yin-Shu (Yin Summerheat), Malaria, where Yin cold is dominant and pathogens cannot be dispersed; this formula is indispensable. Regardless of the meridian or season, if these symptoms exist, this medicine is suitable; do not say it cannot be used in summer. Do not cover heavily; aim for thorough, slight sweating. This is actually a variation of the combination of Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction), but its efficacy greatly exceeds the two original formulas; it requires careful examination.
Gui Xin (Cinnamomi Cortex) (1-2 qian), Dang Gui (Angelicae Sinensis Radix) (3-4 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (use as appropriate, or omit), Ma Huang (Ephedrae Herba) (2-3 qian).
Use 1.5 zhong of water, add Sheng Jiang (Zingiberis Rhizoma Recens) 5, 7, or 10 slices, decoct until 8 parts remain, skim foam, take at any time. If Yin Qi is insufficient, add Shu Di Huang (Prepared Rehmanniae Radix) 3-5 qian; if Shaoyang, Yangming, Taiyang diseases occur together, add Chai Hu (Bupleuri Radix) 2-3 qian; if Yuan Qi (Primal Qi) is severely deficient and Yin pathogen is hard to resolve, Da Wen Zhong Yin (Major Warming the Middle Decoction) should be used alternately.
Da Wen Zhong Yin (Major Warming the Middle Decoction): Indicated for Yang-deficient Shanghan (Cold Damage), and all conditions caused by seasonal fatigue, cold epidemic, or Yin-Shu (Yin Summerheat). Although the body feels intensely hot, there is still aversion to cold; even in summer, the patient desires clothing/coverings, prefers hot drinks, or has accompanying vomiting, nausea, or diarrhea. With powerless pulses, aversion to cold in shoulders/back, and inability of pathogen to reach the exterior, this indicates severe deficiency of Primal Yang (Original Yang) where Zheng Qi (Upright Qi) cannot overcome the pathogen. Without vigorous tonification and expulsion/dispersal, the cold pathogen will deepen daily, leading to untreatable conditions. Warming the middle naturally disperses cold; this is that formula. After taking, if aversion to cold disappears and restlessness/heat is felt, this is a good omen of Yang returning and sweating impending; do not doubt or fear it. Furthermore, for individuals with inherent weakness who contract Yin pathogen or seasonal plague, presenting with fever and fatigue, even without the aforementioned Yin signs, if heat is not severe, using this decoction immediately upon initial contraction, taken continuously for 2-3 doses, results in recovery with each dose; it is truly a divine agent. This formula is suitable for reference with Li Yin Jian (Tonifying Yin Decoction) and Ma Gui Yin (Ephedra and Cinnamon Decoction).
Shu Di Huang (Prepared Rehmanniae Radix) (3, 5, or 7 qian), Dong Bai Zhu (Winter Atractylodis Macrocephalae Rhizoma) (3-5 qian), Dang Gui (Angelicae Sinensis Radix) (3-5 qian, avoid if diarrhea, or replace with Shan Yao (Dioscoreae Rhizoma)), Ren Shen (Ginseng Radix) (2-3 qian, up to 1 liang in severe cases, or omit), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Chai Hu (Bupleuri Radix) (2, 3, or 4 qian), Ma Huang (Ephedrae Herba) (1-3 qian), Rou Gui (Cinnamomi Cortex) (1-2 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried, 1-2 qian, or Wei Sheng Jiang (Stewed Fresh Ginger) 3, 5, or 7 slices).
Use 2 zhong of water, decoct until 7 parts remain, skim foam, take warm, or slightly cover to induce slight sweat. If Qi deficiency, add Huang Qi (Astragali Radix) 2-3 qian; if severe cold and Yang deficiency, add Zhi Fu Zi (Prepared Aconiti Lateralis Radix Preparata) 1-2 qian; for headache, add Chuan Xiong (Ligustici Chuanxiong Rhizoma) or Bai Zhi (Angelicae Dahuricae Radix), Xi Xin (Asari Radix et Rhizoma); for Yang deficiency with Qi sinking, add Sheng Ma (Cimicifugae Rhizoma); for abdominal diarrhea, reduce Chai Hu (Bupleuri Radix) slightly, add Fang Feng (Saposhnikoviae Radix) and Xi Xin (Asari Radix et Rhizoma). I have observed that in treating Shanghan (Cold Damage), only Zhang Zhongjing understood warming and dispersing, such as Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction); he also understood tonifying Qi while dispersing, such as Xiao Chai Hu Tang (Minor Bupleurum Decoction). However, regarding the principle that Yang roots in Yin, sweat transforms from fluids, and dispersing through tonifying Blood achieves the wonder of clouds rising to bring rain, Zhang Zhongjing had not yet reached this. Therefore, I formulated this prescription, which represents the primary principle of resolving pathogens from the Ying (Nutritive) level. Its merits are hard to fully describe and deserve deep investigation.
Chai Chen Jian (Bupleurum and Citrus Decoction): Treats wind-cold injury with cough, fever, oppression/fullness, and excessive phlegm.
Chai Hu (Bupleuri Radix) (2-3 qian), Chen Pi (Citri Reticulatae Pericarpium) (1.5 qian), Ban Xia (Pinelliae Rhizoma) (2 qian), Fu Ling (Poria) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3, 5, or 7 slices).
Use 1.5 zhong of water, decoct until 7 parts remain, take warm well after meals. If cold is dominant, add Xi Xin (Asari Radix et Rhizoma) 7-8 fen; if wind is dominant with Qi stagnation, add Zi Su Ye (Perillae Folium) 1.5 qian; if winter cold is severe, add Ma Huang (Ephedrae Herba) 1.5 qian; if Qi rebellion causes frequent cough, add Xing Ren (Armeniacae Semen Amarum) 1 qian; if oppression/fullness with Qi stagnation, add Bai Jie Zi (Sinapis Semen) 5-7 fen.
Chai Qin Jian (Bupleurum and Scutellaria Decoction): Treats Shanghan (Cold Damage) where exterior pathogen is unresolved, presenting with internal and external heat, dysentery/diarrhea with irritability, thirst preferring cold, robust Qi, slippery-rapid pulse; this formula is suitable. Also for simultaneous malaria and dysentery, internal heat with blood loss, or jaundice due to combined exterior pathogen.
Chai Hu (Bupleuri Radix) (2-3 qian), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus), Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis) (each 2 qian), Zhi Ke (Aurantii Fructus) (1.5 qian).
Use 2 zhong of water, decoct until 8 parts remain, take warm. If malaria and dysentery occur together with pure fresh blood, add Shao Yao (Paeoniae Radix Alba) 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian; if dampness is dominant with Qi sinking, add Fang Feng (Saposhnikoviae Radix) 1 qian.
Chai Ling Yin (Bupleurum and Polyporus Decoction): Treats wind-damp jaundice, fever, body ache, tight pulse, simultaneous exterior-interior disease, difficult urination, cold-induced diarrhea.
Chai Hu (Bupleuri Radix) (2-3 qian), Zhu Ling (Polyporus), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma) (each 2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2-3 qian), Rou Gui (Cinnamomi Cortex) (1-3 qian).
Use 1.5 zhong of water, decoct and take. If cold pathogen is dominant, add Sheng Jiang (Zingiberis Rhizoma Recens) 3-5 slices; if sweating occurs but fever persists, add Shao Yao (Paeoniae Radix Alba) 1-2 qian.
Chai Hu Bai Hu Jian (Bupleurum and White Tiger Decoction): Treats Yangming warm-heat, unresolved exterior pathogen.
Chai Hu (Bupleuri Radix) (2 qian), Shi Gao (Gypsum Fibrosum) (3 qian), Huang Qin (Scutellariae Radix) (2 qian), Mai Dong (Ophiopogonis Radix) (2 qian), Xi Gan Cao (Fine Glycyrrhizae Radix et Rhizoma) (7 fen).
Use 1.5 zhong of water, add Zhu Ye (Bambusae Folium) 20 leaves, decoct and take.
Gui Ge Yin (Angelica and Kudzu Decoction): Treats Yangming warm-summerheat seasonal patterns, high fever, extreme thirst, exhaustion of Jin-Ye (Body Fluids), Yin deficiency unable to produce sweat.
Dang Gui (Angelicae Sinensis Radix) (3-5 qian), Gan Ge (Kudzu Root) (2-3 qian).
Use 2 zhong of water, decoct until 1 zhong remains, cool with cold water, take slowly; resolution occurs with sweating.
Chai Ge Jian (Bupleurum and Kudzu Decoction): See Formula 18 in "Yin Zheng" (Patterns of Etiology).
Treats epidemic toxin with simultaneous interior-exterior heat.
Mi Chuan Zou Ma Tong Sheng San (Secretly Transmitted Running Horse Universal Holy Powder): Treats initial contraction of Yin pathogen in Shanghan (Cold Damage). Suitable for emergencies; applicable for those with strong constitution and severe cold.
Ma Huang (Ephedrae Herba), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 1 liang), Xiong Huang (Realgar) (2 qian).
Grind into fine powder. Take 1 qian per dose with hot wine to induce sweating. Can add Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 qian.
Mi Chuan Bai Xi Dan (Secretly Transmitted White Rhinoceros Horn Pill): Disperses exterior contracted plague and carbuncle-toxin.
Bai Xi Jiao (Rhinocerotis Cornu - *Note: Use substitutes like Buffalo Horn in modern practice*), Ma Huang (Ephedrae Herba) (de-jointed), Shan Ci Ru (Iris Tectorii Bulbus), Xuan Ming Fen (Mirabilite), Xue Jie (Dragon's Blood), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), Xiong Huang (Realgar) (8 fen).
Grind all into powder, mix with old ginger juice to form pills the size of a jujube pit. Place pill inside a pitted red jujube, wrap in 15 layers of thin paper, fry in a clay pot until smoke ceases. Remove flesh, take 1 qian of medicine, add Bing Pian (Borneol) 1 fen, She Xiang (Moschus) 0.5 fen, grind extremely fine, store in porcelain jar. Apply to outer corner of eye using horn stick dipped in sesame oil. Mild cases: apply to eye corner only. Severe cases: insufflate into nose (left for men, right for women). For severe illness, insufflate nose first, then apply to eyes. After application, sit curled up, cover neck and shoulders with blanket for half an incense stick's time; sweat will emerge and pathogen resolve. If no sweat or sweat does not reach waist, condition is untreatable.
Alternative preparation: Mix previous ingredients with ginger juice to make two pills, wrap in two layers of black gold paper, surround with mashed red jujube pulp about half finger-thick, dry, place in clay pot, cover with another clay pot, seal seams with salt mud, leave a small hole to monitor smoke color. Add charcoal fire above and below, start with gentle fire then strong fire, until five-colored smoke ceases. Remove flesh, take 1 qian of processed medicine, add only Bing Pian (Borneol) 2 fen, omit She Xiang (Moschus). Avoid raw/cold food, wheat products, fish/fowl, and emotional disturbances.
The above medicines treat Shanghan (Cold Damage), plague, pediatric smallpox/toxin blockage, carbuncles, wheezing, Yin-toxic cold qi attacking the heart, breast abscess in women, eye swelling/pain, nasal congestion/blockage.
Gui Chai Yin (Angelica and Bupleurum Decoction): Treats Ying (Nutritive) deficiency unable to produce sweat, and True Yin deficiency with difficult-to-resolve exterior cold pathogen; this is a divine formula. For frequent loose stools, replacing Dang Gui (Angelicae Sinensis Radix) with Dong Bai Zhu (Winter Atractylodis Macrocephalae Rhizoma) is also good.
Dang Gui (Angelicae Sinensis Radix) (1 liang), Chai Hu (Bupleuri Radix) (5 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (8 fen).
Use 1.5 zhong of water, decoct and take. Can add Sheng Jiang (Zingiberis Rhizoma Recens) 3-5 slices, or Chen Pi (Citri Reticulatae Pericarpium) 1 qian, or Ren Shen (Ginseng Radix).