风为百病之长，中于面，则下阳明，甚则入脾；中于项，则下太阳，甚则入肾；中于侧，则下少阳，甚则入肝；病变不一，慎毋失焉。
风病，头痛，多汗，恶风，腋下痛，不可转侧，脉浮弦而数，此风邪干肝也，小柴胡汤主之；若流于腑，则困苦，呕逆，腹胀，善太息，柴胡枳实芍药甘草汤主之。
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 半夏半升（洗） 甘草三两（炙） 生姜三两（切） 大枣十二枚（劈）
右七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
右四味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
风病，胸中痛，胁支满，膺背肩胛间痛，嗌干，善噫，咽肿，喉痹，脉浮洪而数，此风邪乘心也，黄连黄芩麦冬桔梗甘草汤主之。
风病，四肢懈惰，体重，不能胜衣，胁下痛引肩背，脉浮而弦涩，此风邪乘脾也，桂枝去桂加茯苓白术汤主之；若流于腑，则腹满而胀，不嗜食，枳实厚朴白术甘草汤主之。
芍药三两 甘草二两（炙） 茯苓三两 白术三两 生姜三两（切） 大枣十二枚（劈）
枳实四枚（炙） 厚朴二两（炙去皮） 白术三两 甘草一两（炙）
风病，咳而喘息有音，甚则唾血，嗌干，肩背痛，脉浮弦而数，此风邪乘肺也，桔梗甘草枳实芍药汤主之；若流于大肠，则大便燥结，或下血，桔梗甘草枳实芍药加地黄牡丹汤主之。
桔梗三两 甘草二两 枳实四枚 芍药三两 地黄三两 牡丹皮二两
风病，面目浮肿，脊痛不能正立，隐曲不利，甚则骨痿，脉沉而弦，此风邪乘肾也，柴胡桂枝汤主之。
桂枝一两半 芍药一两半 甘草一两（炙） 柴胡四两 半夏二合半 人参一两半 黄芩一两半 生姜一两半 大枣六枚（劈）
寒病脉证并治第十二
寒之为病，肾先受之，其客于五脏之间，脉引而痛；若客于八虚之室，则恶血住留，积久不去，变而成著，可不慎欤!
寒病，骨痛，阴痹，腹胀，腰痛，大便难，肩背颈项引痛，脉沉而迟，此寒邪干肾也，桂枝加葛根汤主之；其著也则两腘痛，甘草干姜茯苓白术汤主之。
桂枝三两（去皮） 芍药三两甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 葛根四两
右六味，先以水七升，煮葛根去上沫，纳诸药，煮取三升，去滓，温服一升，日三服，不须啜粥，余如桂枝将息及禁忌法。
寒病，两胁中痛，寒中行善掣节，逆则头痛，耳聋，脉弦而沉迟，此寒邪乘肝也，小柴胡汤主之；其著也，则两腋急痛，不能转侧，柴胡黄芩芍药半夏甘草汤主之。
寒病，胸胁支满，膺背肩胛间痛，甚则喜悲，时发眩，仆而不知人，此寒邪乘心也，通脉四逆汤主之；其著也，则肘外痛，臂不能伸，甘草泻心汤主之。
甘草四两（炙） 黄芩三两 干姜三两 半夏半升（洗） 人参三两 黄连一两 大枣十二枚（劈）
右七味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
寒病，腹满肠鸣，食不化，飧泄，甚则足痿不收，脉迟而涩，此寒邪乘脾也，理中汤主之；其著也，则髀枢强痛，不能屈伸，枳实白术茯苓甘草汤主之。
理中汤方
寒病，喘，咳，少气，不能报息，口唾涎沫，耳聋，嗌干，此寒邪乘肺也，脉沉而迟者，甘草干姜汤主之；其著也，则肘内痛，转侧不便，枳实橘皮桔梗半夏生姜甘草汤主之。
枳实四枚 橘皮二两 桔梗三两 半夏半升（洗） 生姜三两（切） 甘草二两（炙）
太阳病，或已发热，或未发热，必恶寒，体痛，呕逆，脉阴阳俱紧者，名曰伤寒。
伤寒一日，太阳受之，脉若静者为不传；颇欲吐，若躁烦，脉数急者，此为传也。
太阳病，发热而渴，不恶寒者，为温病。若发汗已，身灼热者，名曰风温。风温为病，脉阴阳俱浮，自汗出，身重，多眠睡，鼻息必鼾，语言难出。若被下者，小便不利，直视，失溲；若被火者，微发黄色，剧则如惊痫，时瘛疭；若火熏之，一逆尚引日，再逆促命期。
病有发热恶寒者，发于阳也；无热恶寒者，发于阴也。发于阳者七日愈，发于阴者六日愈，以阳数七，阴数六故也。
太阳病，头痛至七日以上自愈者，以行其经尽故也。若欲作再经者，针足阳明，使经不传则愈。
太阳病欲解时，从巳至未上。
病人身大热，反欲得衣者，热在皮肤，寒在骨髓也。
病人身大寒，反不欲近衣者，寒在皮肤，热在骨髓也。
太阳中风，阳浮而阴弱。阳浮者热自发，阴弱者汗自出。啬啬恶寒，淅淅恶风，翕翕发热，鼻鸣干呕者，桂枝汤主之。
桂枝汤方
桂枝三两（去皮） 芍药三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈）
右五味，（口父）咀。以水七升，微火煮取三升，去滓，适寒温，服一升。服已须臾，啜热稀粥一升余，以助药力，温覆令一时许，遍身漐漐，微似有汗者益佳，不可令如水流漓，病必不除。若一服汗出病差，停后服，不必尽剂；若不汗，更服依前法；又不汗，后服小促其间，半日许，令三服尽；若病重者，一日一夜服，周时观之。服一剂尽，病证犹在者，更作服；若汗不出，乃服至二三剂。禁生冷、粘滑、肉面、五辛、酒酪、臭恶等物。
葛根四两 芍药二两 桂枝二两（去皮） 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈）
右六味，先以水一斗，煮葛根减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，覆取微似汗，不须啜粥，余如桂枝法将息及禁忌。
太阳病，下之后，其气上冲者，可与桂枝汤。方用前法。若不上冲者，不可与之。
太阳病三日，已发汗，若吐，若下，若温针，仍不解者，此为坏病，桂枝不可与也。观其脉证，知犯何逆，随证治之。
桂枝汤本为解肌，若其人脉浮紧，发热，汗不出者，不可与也。常须识此，勿令误也。若酒客病，亦不可与桂枝汤，得之必呕，以酒客不喜甘故也。
凡服桂枝汤吐者，其后必吐脓血也。
太阳病，发汗，遂漏不止，其人恶风，小便难，四肢微急，难以屈伸者，桂枝加附子汤主之。
桂枝三两（去皮） 芍药三两 甘草二两（炙）生姜三两 大枣十二枚（劈） 附子一枚（炮去皮破八片）
右六味，以水七升，煮取三升，去滓，温服一升，日三服。将息如桂枝汤法。
右四味，以水七升，煮取三升，去滓，温服一升，日三服。将息如桂枝汤法。
桂枝三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 附子一枚（炮去皮破八片）
右五味，以水七升，煮取三升，去滓，温服一升，日三服，将息如桂枝汤法。
太阳病，得之八九日，如疟状，发热恶寒，热多寒少，其人不呕，清便欲自可，一日二三度发，脉微缓者，为欲愈也。脉微而恶寒，此阴阳俱虚，不可更发汗、更吐下也。面色反有热色者，未欲解也，以其不能得小汗出，身必痒，宜桂枝麻黄各半汤。
桂枝麻黄各半汤方（麻黄汤见后卷）
即桂枝汤三合，麻黄汤三合，并为六合，顿服之，将息如桂枝汤法。
太阳病，初服桂枝汤，反烦不解者，先刺风府、风池，却与桂枝汤。
太阳病，服桂枝汤后，大汗出，脉洪大者，与白虎汤；若形如疟，一日再发者，宜桂枝二麻黄一汤。
白虎汤方
即桂枝汤二升，麻黄汤一升，合为三升，每服一升，日三服，将息如桂枝汤法。
太阳病，服桂枝汤后，大汗出，大烦渴，脉洪大者，白虎加人参汤主之。
太阳病，发热恶寒，热多寒少，脉微弱者，此无阳也，不可发汗，脉浮大者，宜桂枝二越婢一汤方。
桂枝十八铢（去皮） 芍药 麻黄 甘草各十八铢（炙） 大枣四枚（劈）生姜一两二铢（切） 石膏二十四铢（碎，绵裹）
右七味，以水六升，煮麻黄，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
太阳病，服桂枝汤，或下之，仍头项强痛，翕翕发热，无汗，心下满，微痛，小便不利者，桂枝去桂加茯苓白术汤主之。
芍药三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 茯苓三两 白术三两
伤寒，脉浮，自汗出，小便数，心烦，微恶寒，脚挛急，反与桂枝汤欲攻其表，此误也。得之便厥，咽中干，烦燥，吐逆者，作甘草干姜汤与之，以复其阳。若厥愈，足温者，更作芍药甘草汤与之，其脚即伸。若胃气不和，谵语者，少与调胃承气汤。若重发汗，复加烧针者，四逆汤主之。
右三味，以水三升，煮二物，取一升，去滓，纳芒硝，更上火一两沸，顿服之。
四逆汤方：
人参二两 甘草二两（炙）干姜一两半 附子一枚（炮去皮破八片）
右四味，以水三升，煮取一升二合，去滓，分温再服，强人可大附子一枚，干姜三两。
问曰：太阳病，其证备，按桂枝法治之而增剧，厥逆，咽中干，烦躁，吐逆，谵语，其故何也？师曰：此阳旦证，不可攻也，寸口脉浮，浮则风，亦为虚，风则生热，虚则挛急。误攻其表煮取三升，去滓，温服一升，日三服汗出亡阳，汗多则液枯，液枯则筋挛，阳明内结则烦躁谵语，用甘草干姜以复其阳，芍药甘草以救液，调胃承气以止其谵语，此坏病之治必随脉证也。
阳旦证，发热不潮，汗出，咽干，昏睡不安，夜半反静者，宜地黄半夏牡蛎酸枣仁汤主之；若口渴，烦躁，小便赤，谵语者，竹叶石膏黄芩泽泻半夏甘草汤主之。
风是各种疾病的先导，侵袭面部，则邪气下行至阳明经，严重时传入脾脏；侵袭项部，则邪气下行至太阳经，严重时传入肾脏；侵袭身体侧面，则邪气下行至少阳经，严重时传入肝脏；病变情况不一，务必谨慎对待，不要疏忽。
风病，出现头痛、多汗、怕风、腋下疼痛、身体不能转侧、脉象浮弦而数，这是风邪侵犯肝脏的表现，用小柴胡汤主治；如果风邪流注于腑，则病情困苦，出现呕吐逆气、腹胀、喜欢叹气，用柴胡枳实芍药甘草汤主治。
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 半夏半升（洗净） 甘草三两（炙烤） 生姜三两（切片） 大枣十二枚（劈开）
以上七味药，用水一斗二升，煮取六升药液，去掉药渣，再次煎煮取三升药液，每次温服一升，每天服用三次。
以上四味药，用水一斗，煮取六升药液，去掉药渣，再次煎煮取三升药液，每次温服一升，每天服用三次。
风病，胸中疼痛，胁肋支撑胀满，胸部、背部及肩胛间疼痛，咽喉干燥，容易嗳气，咽喉肿痛，喉痹，脉象浮洪而数，这是风邪乘袭心脏的表现，用黄连黄芩麦冬桔梗甘草汤主治。
黄连一两半 黄芩三两 麦门冬二两 桔梗三两 甘草二两（炙烤）
以上五味药，用水六升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
风病，四肢懈怠无力，身体沉重，连衣服的重量都承受不了，胁下疼痛牵引至肩背，脉象浮而弦涩，这是风邪乘袭脾脏的表现，用桂枝去桂加茯苓白术汤主治；如果风邪流注于腑，则腹部胀满，食欲不振，用枳实厚朴白术甘草汤主治。
芍药三两 甘草二两（炙烤） 茯苓三两 白术三两 生姜三两（切片） 大枣十二枚（劈开）
以上六味药，用水八升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
枳实四枚（炙烤） 厚朴二两（炙烤去皮） 白术三两 甘草一两（炙烤）
以上四味药，用水六升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
风病，咳嗽且喘息有声，严重时咳唾带血，咽喉干燥，肩背痛，脉象浮弦而数，这是风邪乘袭肺脏的表现，用桔梗甘草枳实芍药汤主治；如果风邪流注于大肠，则大便燥结，或者便血，用桔梗甘草枳实芍药加地黄牡丹汤主治。
以上四味药，用水六升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
桔梗三两 甘草二两 枳实四枚 芍药三两 地黄三两 牡丹皮二两
以上六味药，用水六升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
风病，面目浮肿，脊痛不能直立，大小便不利，严重时骨痿，脉象沉而弦，这是风邪乘袭肾脏的表现，用柴胡桂枝汤主治。
桂枝一两半 芍药一两半 甘草一两（炙烤） 柴胡四两 半夏二合半 人参一两半 黄芩一两半 生姜一两半 大枣六枚（劈开）
以上九味药，用水七升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
寒病脉证并治第十二
寒邪致病，肾脏首先受邪，寒邪客居在五脏之间，引起经脉牵引疼痛；如果寒邪客居在“八虚”部位，则恶血停留，积聚日久不去，变化而成顽固性疾病，能不谨慎吗！
寒病，骨头疼痛，阴痹（寒邪阻滞经络引起的痹证），腹胀，腰痛，大便困难，肩背颈项牵引疼痛，脉象沉而迟，这是寒邪侵犯肾脏的表现，用桂枝加葛根汤主治；如果寒邪留着不去，则两侧腘窝疼痛，用甘草干姜茯苓白术汤主治。
桂枝三两（去皮） 芍药三两 甘草二两（炙烤） 生姜三两（切片） 大枣十二枚（劈开） 葛根四两
以上六味药，先用水七升，煮葛根去掉上面的泡沫，加入其他药物，煮取三升药液，去掉药渣，温服一升，每天服用三次，不需要喝热粥助汗，其余调养方法和禁忌同桂枝汤法。
以上四味药，用水五升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
寒病，两胁中间疼痛，寒气中行导致关节牵掣疼痛，气逆则头痛、耳聋，脉象弦而沉迟，这是寒邪乘袭肝脏的表现，用小柴胡汤主治；如果寒邪留着不去，则两侧腋窝急痛，身体不能转侧，用柴胡黄芩芍药半夏甘草汤主治。
寒病，胸胁支撑胀满，胸部、背部及肩胛间疼痛，严重时喜欢悲伤，时常头晕，跌倒不知人事，这是寒邪乘袭心脏的表现，用通脉四逆汤主治；如果寒邪留着不去，则肘外侧疼痛，手臂不能伸展，用甘草泻心汤主治。
甘草二两（炙烤） 附子大者一枚（生用，破开） 干姜三两 人参二两
以上四味药，用水三升，煮取一升二合药液，去掉药渣，分两次温服。
甘草四两（炙烤） 黄芩三两 干姜三两 半夏半升（洗净） 人参三两 黄连一两 大枣十二枚（劈开）
以上七味药，用水一斗，煮取六升药液，去掉药渣，再次煎煮取三升药液，温服一升，每天服用三次。
寒病，腹部胀满，肠鸣，食物不消化，完谷不化的泄泻，严重时足部痿软无力不能收持，脉象迟而涩，这是寒邪乘袭脾脏的表现，用理中汤主治；如果寒邪留着不去，则大腿根部枢机处强痛，不能屈伸，用枳实白术茯苓甘草汤主治。
理中汤方
寒病，气喘，咳嗽，气短，呼吸急促张口抬肩，口吐涎沫，耳聋，咽喉干燥，这是寒邪乘袭肺脏的表现，脉象沉而迟的，用甘草干姜汤主治；如果寒邪留着不去，则肘内侧疼痛，转侧不便，用枳实橘皮桔梗半夏生姜甘草汤主治。
以上两味药，用水三升，煮取一升五合药液，去掉药渣，分两次温服。
枳实四枚 橘皮二两 桔梗三两 半夏半升（洗净） 生姜三两（切片） 甘草二两（炙烤）
以上六味药，用水八升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
太阳病，有的已经发热，有的尚未发热，一定怕冷，身体疼痛，呕吐逆气，脉象寸关尺三部都紧的，称为伤寒。
伤寒第一天，太阳经受邪，如果脉象平静，说明病邪没有传变；如果很想呕吐，或者烦躁不安，脉象数而急的，这是病邪传变了。
伤寒二三天，没有出现阳明病和少阳病的症状，这是病邪没有传变。
太阳病，发热而且口渴，不怕冷的，称为温病。如果发汗后，身体灼热的，称为风温。风温这种病，脉象寸关尺都浮，自汗出，身体沉重，嗜睡，鼻息必然鼾声大作，语言难以发出。如果被误用攻下法，则小便不利，两眼直视，大小便失禁；如果被误用火疗，轻则面色微黄，重则像惊痫一样，时而抽搐；如果用火熏法，一次误治还能拖延时日，再次误治就会危及生命。
疾病有发热恶寒的，是发于阳经；无发热只恶寒的，是发于阴经。发于阳经的七天痊愈，发于阴经的六天痊愈，这是因为阳数七、阴数六的缘故。
太阳病，头痛到七天以上自愈的，是因为病邪在经脉中运行完毕的缘故。如果想要传入下一经（再经），针刺足阳明经穴位，使病邪不传变就能痊愈。
太阳病想要缓解的时间，是从巳时到未时这段时间。
病人身体大热，反而想穿衣服的，是热在体表，寒在体内深层。
病人身体大寒，反而不想靠近衣服的，是寒在体表，热在体内深层。
太阳中风证，脉象阳浮而阴弱。阳浮表示热气自然散发，阴弱表示汗水自然流出。怕冷畏缩，怕风吹，微微发热，鼻鸣干呕的，用桂枝汤主治。
桂枝汤方
桂枝三两（去皮） 芍药三两 甘草二两（炙烤） 生姜三两（切片） 大枣十二枚（劈开）
以上五味药，切碎。用水七升，用小火煮取三升药液，去掉药渣，适合作为寒温，服用一升。服完后不久，喝热稀粥一升多，以助药力，覆盖衣被约一顿饭工夫，全身微微持续出汗的最好，不要让汗水像水流一样淋漓，否则病必不除。如果服一次药汗出病愈，停服后面的药，不必喝完所有药剂；如果没有出汗，按前面的方法再服；如果还不汗出，缩短服药间隔，半天左右，让三次药服完；如果病重，一天一夜服药，观察二十四小时。服完一剂药，病症仍在的，再制作服用；如果不出汗，就服用到二三剂。禁止食用生冷、粘滑、肉类、面食、五辛、酒酪、臭恶等食物。
太阳病，头痛，发热，出汗，怕风，用桂枝汤主治。（方剂见前文）
葛根四两 芍药二两 桂枝二两（去皮） 甘草二两（炙烤） 生姜三两（切片） 大枣十二枚（劈开）
以上六味药，先用水一斗，煮葛根减少二升水，去掉上面的泡沫，加入其他药物，煮取三升药液，去掉药渣，温服一升，覆盖衣被取微微似汗的效果，不需要喝热粥，其余调养方法和禁忌同桂枝汤法。
太阳病，误用攻下法后，气机上冲的，可以给予桂枝汤。方剂用法同前。如果不气机上冲的，不可给予。
太阳病三天，已经发汗，或者用了吐法、下法、温针，仍然不解的，这是坏病，不可再用桂枝汤。要观察病人的脉象和症状，知道犯了什么错误，根据证候进行治疗。
桂枝汤本来是解肌表的，如果病人脉象浮紧，发热，无汗的，不可给予。必须牢记这一点，不要弄错。如果是饮酒之人患病，也不可给予桂枝汤，喝了必定呕吐，因为饮酒之人不喜欢甘味药的原因。
凡是服用桂枝汤后呕吐的，其后必定会吐脓血。
太阳病，发汗后，汗漏不止，病人怕风，小便困难，四肢轻微拘急，难以屈伸的，用桂枝加附子汤主治。
桂枝三两（去皮） 芍药三两 甘草二两（炙烤） 生姜三两 大枣十二枚（劈开） 附子一枚（炮制，去皮，破成八片）
以上六味药，用水七升，煮取三升药液，去掉药渣，温服一升，每天服用三次。调养方法同桂枝汤法。
太阳病，误用攻下法后，脉象促，胸中满闷的，用桂枝去芍药汤主治。
以上四味药，用水七升，煮取三升药液，去掉药渣，温服一升，每天服用三次。调养方法同桂枝汤法。
太阳病，误用攻下法后，病人怕冷的，用桂枝去芍药加附子汤主治。
桂枝三两 甘草二两（炙烤） 生姜三两（切片） 大枣十二枚（劈开） 附子一枚（炮制，去皮，破成八片）
以上五味药，用水七升，煮取三升药液，去掉药渣，温服一升，每天服用三次，调养方法同桂枝汤法。
太阳病，得病八九日，像疟疾一样，发热恶寒，热多寒少，病人不呕吐，大小便基本正常，一天发作两三次，脉象微缓的，是快要痊愈了。脉象微而怕冷的，这是阴阳俱虚，不可再发汗、再吐下。面色反现红热的，是病未解除，因为不能得到微小汗出，身体必然瘙痒，适宜用桂枝麻黄各半汤。
桂枝麻黄各半汤方（麻黄汤见后卷）
即取桂枝汤三合，麻黄汤三合，合并为六合，一次性服用，调养方法同桂枝汤法。
太阳病，初服桂枝汤，反而烦闷不解的，先针刺风府、风池穴，然后再给予桂枝汤。
太阳病，服桂枝汤后，大汗出，脉象洪大的，给予白虎汤；如果像疟疾一样，一天发作两次的，适宜用桂枝二麻黄一汤。
白虎汤方
知母六两 石膏一斤碎（棉布包裹） 甘草二两（炙烤） 粳米六合
以上四味药，用水一斗，煮米熟汤成，去掉药渣，温服一升，每天服用三次。
即取桂枝汤二升，麻黄汤一升，合为三升，每次服用一升，每天服用三次，调养方法同桂枝汤法。
太阳病，服桂枝汤后，大汗出，大烦渴，脉象洪大的，用白虎加人参汤主治。
太阳病，发热恶寒，热多寒少，脉象微弱的，这是无阳（阳气虚衰），不可发汗，脉象浮大的，适宜用桂枝二越婢一汤方。
桂枝十八铢（去皮） 芍药 麻黄 甘草各十八铢（炙烤） 大枣四枚（劈开） 生姜一两二铢（切片） 石膏二十四铢（碎，棉布包裹）
以上七味药，用水六升，煮麻黄，去掉上面的泡沫，加入其他药物，煮取三升药液，去掉药渣，温服一升，每天服用三次。
太阳病，服桂枝汤，或者用了攻下法，仍然头项强痛，微微发热，无汗，心下满，微痛，小便不利的，用桂枝去桂加茯苓白术汤主治。
芍药三两 甘草二两（炙烤） 生姜三两（切片） 大枣十二枚（劈开） 茯苓三两 白术三两
以上六味药，用水八升，煮取三升药液，去掉药渣，温服一升，每天服用三次。
伤寒，脉象浮，自汗出，小便频数，心烦，轻微怕冷，脚部拘挛急迫，反而给予桂枝汤想要攻表，这是误治。得了这个误治后出现四肢厥冷，咽中干燥，烦躁，呕吐逆气的，制作甘草干姜汤给予它，以恢复其阳气。如果厥冷好了，脚变暖的，再制作芍药甘草汤给予它，脚就能伸直。如果胃气不和，说胡话的，少量给予调胃承气汤。如果再发汗，又加上烧针的，用四逆汤主治。
以上两味药，用水三升，煮取一升五合药液，去掉药渣，分两次温服。
以上两味药，用水三升，煮取一升五合药液，去掉药渣，分两次温服。
以上三味药，用水三升，煮前两种药，取一升药液，去掉药渣，加入芒硝，再上火煮一两沸，一次性服用。
四逆汤方：
人参二两 甘草二两（炙烤） 干姜一两半 附子一枚（炮制，去皮，破成八片）
以上四味药，用水三升，煮取一升二合药液，去掉药渣，分两次温服，体壮者可加大附子一枚，干姜三两。
问曰：太阳病，证候具备，按照桂枝法治之却加重，出现四肢厥逆，咽中干燥，烦躁，呕吐逆气，说胡话，这是什么缘故？老师说：这是阳旦证，不可攻下。寸口脉浮，浮则主风，也主虚，风则生热，虚则筋脉拘挛。误攻其表，汗出亡阳，汗多则津液枯竭，津液枯竭则筋脉拘挛，阳明内结则烦躁说胡话，用甘草干姜以恢复其阳气，用芍药甘草以救津液，用调胃承气汤以止其谵语，这是坏病的治疗必须随脉证变化的道理。
阳旦证，发热不潮热，出汗，咽干，昏睡不安，半夜反而安静的，宜用地黄半夏牡蛎酸枣仁汤主治；如果口渴，烦躁，小便赤，说胡话的，用竹叶石膏黄芩泽泻半夏甘草汤主治。
Wind is the leader of all diseases. When it strikes the face, the pathogen descends to the Yangming channel; if severe, it enters the Spleen. When it strikes the nape, the pathogen descends to the Taiyang channel; if severe, it enters the Kidney. When it strikes the side, the pathogen descends to the Shaoyang channel; if severe, it enters the Liver. The pathological changes are diverse; one must be cautious and not neglect this.
In wind disease, presenting with headache, excessive sweating, aversion to wind, pain in the axilla, inability to turn the body, and a floating, wiry, and rapid pulse, this indicates Wind Pathogen invading the Liver. It should be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pathogen flows into the Fu organs, causing distress, vomiting and regurgitation, abdominal distension, and frequent sighing, it should be treated with Chai Hu Zhi Shi Shao Yao Gan Cao Tang (Bupleurum, Immature Bitter Orange, Peony, and Licorice Decoction).
Xiao Chai Hu Tang Formula
Chai Hu (Radix Bupleuri) half jin, Huang Qin (Radix Scutellariae) three liang, Ren Shen (Radix Ginseng) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Gan Cao (Radix Glycyrrhizae) three liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).
The above seven ingredients are boiled in one dou and two sheng of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.
Chai Hu Zhi Shi Shao Yao Gan Cao Tang Formula
Chai Hu (Radix Bupleuri) eight liang, Shao Yao (Radix Paeoniae Alba) three liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces (roasted), Gan Cao (Radix Glycyrrhizae) three liang (roasted).
The above four ingredients are boiled in one dou of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.
In wind disease, presenting with chest pain, fullness and distension in the hypochondrium, pain in the chest, back, and between the shoulder blades, dry throat, frequent belching, swollen throat, throat obstruction, and a floating, surging, and rapid pulse, this indicates Wind Pathogen assaulting the Heart. It should be treated with Huang Lian Huang Qin Mai Dong Jie Geng Gan Cao Tang (Coptis, Scutellaria, Ophiopogon, Platycodon, and Licorice Decoction).
Huang Lian Huang Qin Mai Dong Jie Geng Gan Cao Tang Formula
Huang Lian (Rhizoma Coptidis) one and a half liang, Huang Qin (Radix Scutellariae) three liang, Mai Men Dong (Tuber Ophiopogonis) two liang, Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted).
The above five ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
In wind disease, presenting with flaccidity and weakness of the four limbs, heavy body, inability to bear the weight of clothes, pain in the hypochondrium radiating to the shoulder and back, and a floating, wiry, and choppy pulse, this indicates Wind Pathogen assaulting the Spleen. It should be treated with Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Guizhi Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction). If the pathogen flows into the Fu organs, causing abdominal fullness and distension and loss of appetite, it should be treated with Zhi Shi Hou Po Bai Zhu Gan Cao Tang (Immature Bitter Orange, Magnolia Bark, Atractylodes Macrocephala, and Licorice Decoction).
Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang Formula
Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Fu Ling (Sclerotium Poriae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).
The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
Zhi Shi Hou Po Bai Zhu Gan Cao Tang Formula
Zhi Shi (Fructus Aurantii Immaturus) four pieces (roasted), Hou Po (Cortex Magnoliae Officinalis) two liang (roasted, bark removed), Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted).
The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
In wind disease, presenting with cough and wheezing with sound, expectoration of blood when severe, dry throat, shoulder and back pain, and a floating, wiry, and rapid pulse, this indicates Wind Pathogen assaulting the Lung. It should be treated with Jie Geng Gan Cao Zhi Shi Shao Yao Tang (Platycodon, Licorice, Immature Bitter Orange, and Peony Decoction). If the pathogen flows into the Large Intestine, causing dry and hard stools or bloody stools, it should be treated with Jie Geng Gan Cao Zhi Shi Shao Yao Jia Di Huang Mu Dan Tang (Platycodon, Licorice, Immature Bitter Orange, and Peony Decoction plus Rehmannia and Moutan Bark).
Jie Geng Gan Cao Zhi Shi Shao Yao Tang Formula
Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces, Shao Yao (Radix Paeoniae Alba) three liang.
The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
Jie Geng Gan Cao Zhi Shi Shao Yao Jia Di Huang Mu Dan Tang Formula
Jie Geng (Radix Platycodi) three liang, Gan Cao (Radix Glycyrrhizae) two liang, Zhi Shi (Fructus Aurantii Immaturus) four pieces, Shao Yao (Radix Paeoniae Alba) three liang, Di Huang (Radix Rehmanniae) three liang, Mu Dan Pi (Cortex Moutan) two liang.
The above six ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
In wind disease, presenting with edema of the face and eyes, back pain preventing standing upright, difficulty in urination and defecation, bone atrophy when severe, and a deep, wiry pulse, this indicates Wind Pathogen assaulting the Kidney. It should be treated with Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Twig Decoction).
Chai Hu Gui Zhi Tang Formula
Gui Zhi (Ramulus Cinnamomi) one and a half liang, Shao Yao (Radix Paeoniae Alba) one and a half liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted), Chai Hu (Radix Bupleuri) four liang, Ban Xia (Rhizoma Pinelliae) two he and a half, Ren Shen (Radix Ginseng) one and a half liang, Huang Qin (Radix Scutellariae) one and a half liang, Sheng Jiang (Rhizoma Zingiberis Recens) one and a half liang, Da Zao (Fructus Jujubae) six pieces (split).
The above nine ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
Chapter 12: Treatment of Cold Disease Pulse and Symptoms
When cold pathogen causes disease, the Kidney is affected first. If it lodges among the Five Zang Organs, it causes pulling pain along the meridians. If it lodges in the "Eight Emptinesses" (axillae, groins, etc.), evil blood stagnates. Accumulating over time without resolving, it transforms into stubborn disease. Can one not be cautious?
In cold disease, presenting with bone pain, Yin Bi (bi-syndrome caused by cold pathogen obstructing meridians), abdominal distension, lower back pain, difficult defecation, pulling pain in the shoulder, back, neck, and nape, and a deep, slow pulse, this indicates Cold Pathogen invading the Kidney. It should be treated with Gui Zhi Jia Ge Gen Tang (Guizhi Decoction plus Kudzu Root). If the pathogen lingers, causing pain in both popliteal fossae, it should be treated with Gan Cao Gan Jiang Fu Ling Bai Zhu Tang (Licorice, Dried Ginger, Poria, and Atractylodes Macrocephala Decoction).
Gui Zhi Jia Ge Gen Tang Formula
Gui Zhi (Ramulus Cinnamomi) three liang (bark removed), Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Ge Gen (Radix Puerariae Lobatae) four liang.
The above six ingredients are first boiled in seven sheng of water. Boil the Ge Gen until the foam on top disappears, then add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm, three times a day. There is no need to drink hot porridge afterwards. The rest of the nursing care and contraindications follow the Guizhi method.
Gan Cao Gan Jiang Fu Ling Bai Zhu Tang Formula
Gan Cao (Radix Glycyrrhizae) two liang (roasted), Bai Zhu (Rhizoma Atractylodis Macrocephalae) two liang, Gan Jiang (Rhizoma Zingiberis) four liang, Fu Ling (Sclerotium Poriae) four liang.
The above four ingredients are boiled in five sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
In cold disease, presenting with pain in the middle of both hypochondria, cold qi moving inward causing joint pulling pain, headache and deafness when qi rebels, and a wiry, deep, and slow pulse, this indicates Cold Pathogen assaulting the Liver. It should be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pathogen lingers, causing acute pain in both axillae and inability to turn the body, it should be treated with Chai Hu Huang Qin Shao Yao Ban Xia Gan Cao Tang (Bupleurum, Scutellaria, Peony, Pinellia, and Licorice Decoction).
Xiao Chai Hu Tang (See Wind Injury section)
Chai Hu Huang Qin Shao Yao Ban Xia Gan Cao Tang Formula
Chai Hu (Radix Bupleuri) four liang, Huang Qin (Radix Scutellariae) three liang, Shao Yao (Radix Paeoniae Alba) two liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Ban Xia (Rhizoma Pinelliae) two liang.
The above five ingredients are boiled in five sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.
In cold disease, presenting with fullness and distension in the chest and hypochondrium, pain in the chest, back, and between the shoulder blades, frequent sorrowfulness when severe, occasional vertigo, and fainting with loss of consciousness, this indicates Cold Pathogen assaulting the Heart. It should be treated with Tong Mai Si Ni Tang (Decoction to Restore the Pulse and Four Reversals). If the pathogen lingers, causing pain on the outer elbow and inability to extend the arm, it should be treated with Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Epigastrium).
Tong Mai Si Ni Tang Formula
Gan Cao (Radix Glycyrrhizae) two liang (roasted), Fu Zi (Radix Aconiti Lateralis Preparata) one large piece (raw, broken), Gan Jiang (Rhizoma Zingiberis) three liang, Ren Shen (Radix Ginseng) two liang.
The above four ingredients are boiled in three sheng of water, reduced to one sheng and two he. Remove the dregs. Divide into two warm doses.
Gan Cao Xie Xin Tang Formula
Gan Cao (Radix Glycyrrhizae) four liang (roasted), Huang Qin (Radix Scutellariae) three liang, Gan Jiang (Rhizoma Zingiberis) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Ren Shen (Radix Ginseng) three liang, Huang Lian (Rhizoma Coptidis) one liang, Da Zao (Fructus Jujubae) twelve pieces (split).
The above seven ingredients are boiled in one dou of water, reduced to six sheng. Remove the dregs, then boil again to obtain three sheng. Take one sheng warm, three times a day.
In cold disease, presenting with abdominal fullness, borborygmus, undigested food in stool, diarrhea with undigested food, foot atrophy and inability to hold the leg when severe, and a slow, choppy pulse, this indicates Cold Pathogen assaulting the Spleen. It should be treated with Li Zhong Tang (Regulate the Middle Decoction). If the pathogen lingers, causing stiffness and pain in the hip joint and inability to flex or extend, it should be treated with Zhi Shi Bai Zhu Fu Ling Gan Cao Tang (Immature Bitter Orange, Atractylodes Macrocephala, Poria, and Licorice Decoction).
Li Zhong Tang Formula
Ren Shen (Radix Ginseng) three liang, Gan Jiang (Rhizoma Zingiberis) three liang, Gan Cao (Radix Glycyrrhizae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang.
The above four ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.
Zhi Shi Bai Zhu Fu Ling Gan Cao Tang Formula
Zhi Shi (Fructus Aurantii Immaturus) four pieces, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang, Fu Ling (Sclerotium Poriae) three liang, Gan Cao (Radix Glycyrrhizae) one liang (roasted).
The above four ingredients are boiled in six sheng of water, reduced to three sheng. Remove the dregs. Divide into three warm doses.
In cold disease, presenting with asthma, cough, shortness of breath, inability to complete inhalation, salivation, deafness, and dry throat, this indicates Cold Pathogen assaulting the Lung. If the pulse is deep and slow, it should be treated with Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction). If the pathogen lingers, causing pain in the inner elbow and difficulty turning, it should be treated with Zhi Shi Ju Pi Jie Geng Ban Xia Sheng Jiang Gan Cao Tang (Immature Bitter Orange, Tangerine Peel, Platycodon, Pinellia, Ginger, and Licorice Decoction).
Gan Cao Gan Jiang Tang Formula
Gan Cao (Radix Glycyrrhizae) four liang (roasted), Gan Jiang (Rhizoma Zingiberis) two liang (pao-processed).
The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.
Zhi Shi Ju Pi Jie Geng Ban Xia Sheng Jiang Gan Cao Tang Formula
Zhi Shi (Fructus Aurantii Immaturus) four pieces, Ju Pi (Pericarpium Citri Reticulatae) two liang, Jie Geng (Radix Platycodi) three liang, Ban Xia (Rhizoma Pinelliae) half sheng (washed), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Gan Cao (Radix Glycyrrhizae) two liang (roasted).
The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
Treatise on Cold Damage and Miscellaneous Diseases, Volume Six
Differentiation of Taiyang Disease Pulse, Symptoms, and Treatment - Upper
The characteristic of Taiyang disease is a floating pulse, stiffness and pain in the head and nape, and aversion to cold.
Taiyang disease, presenting with fever, sweating, aversion to wind, and a moderate pulse, is named Wind Strike (Zhong Feng).
Taiyang disease, whether fever has already appeared or not, always includes aversion to cold, body pain, vomiting and regurgitation, and a tight pulse in all positions (Yin and Yang), is named Cold Damage (Shang Han).
On the first day of Cold Damage, the Taiyang channel is affected. If the pulse remains quiet, the disease has not transmitted. If there is a strong desire to vomit, or restlessness, and the pulse is rapid and urgent, this indicates transmission.
On the second or third day of Cold Damage, if Yangming and Shaoyang symptoms do not appear, this indicates no transmission.
Taiyang disease, presenting with fever and thirst but no aversion to cold, is Warm Disease (Wen Bing). If after sweating, the body becomes burning hot, it is named Wind-Warmth (Feng Wen). In Wind-Warmth disease, the pulse is floating in all positions, there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring in nasal breathing, and difficulty speaking. If purgatives are wrongly used, there will be difficulty in urination, staring gaze, and incontinence. If fire therapy is wrongly used, the complexion may turn slightly yellow; in severe cases, it resembles convulsive epilepsy with intermittent spasms. If smoke fumigation is used, one error may prolong the illness, but a second error will hasten death.
Diseases with fever and aversion to cold originate from Yang. Diseases without fever but with aversion to cold originate from Yin. Those originating from Yang heal in seven days; those originating from Yin heal in six days, because Yang corresponds to the number seven and Yin to the number six.
In Taiyang disease, if headache persists for more than seven days and heals spontaneously, it is because the pathogen has completed its course through the channel. If it is about to transmit to the next channel, acupuncture at the Foot-Yangming channel can prevent transmission and cure the disease.
The time when Taiyang disease tends to resolve is from Si hour to Wei hour.
For patients with wind disease, if the exterior syndrome is resolved but the patient still feels unwell, they will heal in twelve days.
If a patient has high body heat but desires to wear clothes, the heat is in the skin/surface, and the cold is in the bone/marrow (deep interior).
If a patient has low body temperature but does not desire to cover up, the cold is in the skin/surface, and the heat is in the bone/marrow (deep interior).
In Taiyang Wind Strike, the pulse is floating on the surface (Yang) and weak on the inside (Yin). Floating Yang indicates spontaneous heat generation; weak Yin indicates spontaneous sweating. With shivering aversion to cold, chilliness from wind, mild fever, nasal congestion (ming), and dry vomiting, Gui Zhi Tang (Cinnamon Twig Decoction) should be administered.
Gui Zhi Tang Formula
Gui Zhi (Ramulus Cinnamomi) three liang (bark removed), Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).
The above five ingredients are crushed. Boil in seven sheng of water over low heat to obtain three sheng. Remove the dregs. Take one sheng at a comfortable temperature. Shortly after taking, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with blankets for about an hour until a slight, continuous sweat appears over the whole body. This is best. Do not allow profuse sweating like flowing water, or the disease will not be eliminated. If sweating occurs after the first dose and the disease improves, stop subsequent doses; there is no need to finish the entire decoction. If no sweating occurs, administer again according to the previous method. If still no sweating, shorten the interval between doses, finishing three doses within half a day. For severe cases, administer day and night, observing for twenty-four hours. If symptoms persist after finishing one dose, prepare another. If no sweating occurs, continue to two or three doses. Contraindicated foods include raw/cold, sticky/smooth, meat, wheat products, five pungent spices, dairy/wine, and foul-smelling items.
Taiyang disease, presenting with headache, fever, sweating, and aversion to wind, is treated with Gui Zhi Tang (Cinnamon Twig Decoction). (Formula seen previously).
Taiyang disease, presenting with stiffness and discomfort in the nape and back, as well as sweating and aversion to wind, is treated with Gui Zhi Jia Ge Gen Tang (Guizhi Decoction plus Kudzu Root).
Gui Zhi Jia Ge Gen Tang Formula
Ge Gen (Radix Puerariae Lobatae) four liang, Shao Yao (Radix Paeoniae Alba) two liang, Gui Zhi (Ramulus Cinnamomi) two liang (bark removed), Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split).
The above six ingredients are first boiled in one dou of water. Boil the Ge Gen until the volume reduces by two sheng, removing the foam on top. Add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm. Cover to induce a slight sweat. No hot porridge is needed. Nursing care and contraindications follow the Guizhi method.
After Taiyang disease is incorrectly treated with purgation, if the Qi rushes upward, Gui Zhi Tang (Cinnamon Twig Decoction) may be given using the previous method. If the Qi does not rush upward, do not give it.
If Taiyang disease has lasted three days, and after sweating, emesis, purgation, or warm needle therapy, the condition remains unresolved, this is a "Bad Disease" (Huai Bing). Gui Zhi Tang should not be given. Observe the pulse and symptoms, determine what error was made, and treat according to the current syndrome.
Gui Zhi Tang (Cinnamon Twig Decoction) is originally for releasing the muscle layer. If the patient has a floating-tight pulse, fever, and no sweating, it must not be given. Keep this in mind to avoid errors. Patients who consume alcohol regularly should also not receive Gui Zhi Tang, as it will likely cause vomiting due to their dislike of sweet substances.
For patients with a chronic history of asthma, adding Hou Po (Magnolia Bark) and Xing Ren (Apricot Seed) to Gui Zhi Tang is beneficial.
Anyone who vomits after taking Gui Zhi Tang will subsequently vomit pus and blood.
After Taiyang disease is treated with sweating, if sweating continues uncontrollably, the patient feels aversion to wind, has difficulty urinating, slight stiffness in the four limbs making flexion and extension difficult, Gui Zhi Jia Fu Zi Tang (Guizhi Decoction plus Prepared Aconite Root) should be administered.
Gui Zhi Jia Fu Zi Tang Formula
Gui Zhi (Ramulus Cinnamomi) three liang (bark removed), Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang, Da Zao (Fructus Jujubae) twelve pieces (split), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).
The above six ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.
After Taiyang disease is incorrectly treated with purgation, if the pulse is hurried (Cu) and there is chest fullness, Gui Zhi Qu Shao Yao Tang (Guizhi Decoction without Peony) should be administered.
Gui Zhi Qu Shao Yao Tang Formula (i.e., Gui Zhi Tang minus Shao Yao)
The above four ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.
After Taiyang disease is incorrectly treated with purgation, if the patient feels aversion to cold, Gui Zhi Qu Shao Yao Jia Fu Zi Tang (Guizhi Decoction without Peony plus Prepared Aconite Root) should be administered.
Gui Zhi Qu Shao Yao Jia Fu Zi Tang Formula
Gui Zhi (Ramulus Cinnamomi) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).
The above five ingredients are boiled in seven sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day. Nursing care follows the Gui Zhi Tang method.
After Taiyang disease has lasted eight or nine days, presenting like malaria with fever and aversion to cold, more heat than cold, no vomiting, normal bowel and bladder function, occurring two or three times a day, and a slightly slow pulse, recovery is imminent. If the pulse is slightly weak with aversion to cold, this indicates deficiency of both Yin and Yang; do not use sweating, emesis, or purgation. If the face shows redness, the disease has not resolved because a slight sweat could not be achieved, leading to body itching. Gui Zhi Ma Huang Ge Ban Tang (Half-Half Decoction of Guizhi and Mahuang) is suitable.
Gui Zhi Ma Huang Ge Ban Tang Formula (Mahuang Tang seen in later volumes)
Mix three he of Gui Zhi Tang and three he of Ma Huang Tang to make six he. Take all at once. Nursing care follows the Gui Zhi Tang method.
In Taiyang disease, if after initially taking Gui Zhi Tang, vexation worsens and does not resolve, first puncture Fengfu (GV16) and Fengchi (GB20), then administer Gui Zhi Tang (Cinnamon Twig Decoction).
After Taiyang disease takes Gui Zhi Tang, if profuse sweating occurs and the pulse becomes surging (Hong Da), administer Bai Hu Tang (White Tiger Decoction). If the presentation resembles malaria, occurring twice a day, Gui Zhi Er Ma Huang Yi Tang (Two Parts Guizhi and One Part Mahuang Decoction) is suitable.
Bai Hu Tang Formula
Zhi Mu (Rhizoma Anemarrhenae) six liang, Shi Gao (Gypsum Fibrosum) one jin (crushed, wrapped in cotton), Gan Cao (Radix Glycyrrhizae) two liang (roasted), Jing Mi (Oryza Sativa Germen) six he.
The above four ingredients are boiled in one dou of water. Cook until the rice is ripe and the decoction is ready. Remove the dregs. Take one sheng warm, three times a day.
Gui Zhi Er Ma Huang Yi Tang Formula
Mix two sheng of Gui Zhi Tang and one sheng of Ma Huang Tang to make three sheng. Take one sheng per dose, three times a day. Nursing care follows the Gui Zhi Tang method.
After Taiyang disease takes Gui Zhi Tang, if profuse sweating occurs, followed by severe vexation and thirst, and a surging pulse, Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) should be administered.
Bai Hu Jia Ren Shen Tang Formula
Add Ren Shen (Radix Ginseng) three liang to Bai Hu Tang.
In Taiyang disease, presenting with fever and aversion to cold, more heat than cold, and a weak pulse, this indicates absence of Yang (Yang deficiency); do not use sweating. If the pulse is floating and large, Gui Zhi Er Yue Bi Yi Tang (Two Parts Guizhi and One Part Yuebi Decoction) is suitable.
Gui Zhi Er Yue Bi Yi Tang Formula
Gui Zhi (Ramulus Cinnamomi) eighteen zhu (bark removed), Shao Yao (Radix Paeoniae Alba), Ma Huang (Herba Ephedrae), Gan Cao (Radix Glycyrrhizae) each eighteen zhu (roasted), Da Zao (Fructus Jujubae) four pieces (split), Sheng Jiang (Rhizoma Zingiberis Recens) one liang and two zhu (sliced), Shi Gao (Gypsum Fibrosum) twenty-four zhu (crushed, wrapped in cotton).
The above seven ingredients are boiled in six sheng of water. Boil the Ma Huang, remove the foam, then add the other herbs. Boil to obtain three sheng. Remove the dregs. Take one sheng warm, three times a day.
After Taiyang disease takes Gui Zhi Tang, or after purgation, if there is still stiffness and pain in the head and nape, mild fever, no sweating, fullness under the heart, slight pain, and difficulty urinating, Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Guizhi Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) should be administered.
Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang Formula
Shao Yao (Radix Paeoniae Alba) three liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Sheng Jiang (Rhizoma Zingiberis Recens) three liang (sliced), Da Zao (Fructus Jujubae) twelve pieces (split), Fu Ling (Sclerotium Poriae) three liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) three liang.
The above six ingredients are boiled in eight sheng of water, reduced to three sheng. Remove the dregs. Take one sheng warm, three times a day.
In Cold Damage, presenting with a floating pulse, spontaneous sweating, frequent urination, irritability, slight aversion to cold, and cramping in the feet, administering Gui Zhi Tang to attack the exterior is an error. This leads to cold extremities, dry throat, irritability, and vomiting. Prepare Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction) to restore Yang. Once the cold extremities resolve and feet warm up, prepare Shao Yao Gan Cao Tang (Peony and Licorice Decoction) to extend the legs. If stomach Qi is disharmonious causing delirium, administer Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction) in small amounts. If further sweating and moxibustion/needle burning were wrongly applied, Si Ni Tang (Four Reversals Decoction) should be administered.
Gan Cao Gan Jiang Tang Formula
Gan Cao (Radix Glycyrrhizae) four liang (roasted), Gan Jiang (Rhizoma Zingiberis) two liang (pao-processed).
The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.
Shao Yao Gan Cao Tang Formula
Shao Yao (Radix Paeoniae Alba) four liang, Gan Cao (Radix Glycyrrhizae) four liang (roasted).
The above two ingredients are boiled in three sheng of water, reduced to one sheng and five he. Remove the dregs. Divide into two warm doses.
Tiao Wei Cheng Qi Tang Formula
Gan Cao (Radix Glycyrrhizae) one liang (roasted), Mang Xiao (Natrii Sulfas) half jin, Da Huang (Radix et Rhizoma Rhei) four liang (wine-washed).
The above three ingredients are boiled in three sheng of water. Boil the first two ingredients to obtain one sheng. Remove the dregs, add Mang Xiao, boil for one or two boils, and take all at once.
Si Ni Tang Formula
Ren Shen (Radix Ginseng) two liang, Gan Cao (Radix Glycyrrhizae) two liang (roasted), Gan Jiang (Rhizoma Zingiberis) one and a half liang, Fu Zi (Radix Aconiti Lateralis Preparata) one piece (prepared, bark removed, broken into eight pieces).
The above four ingredients are boiled in three sheng of water, reduced to one sheng and two he. Remove the dregs. Divide into two warm doses. Strong individuals may use one large Fu Zi and three liang of Gan Jiang.
Question: In Taiyang disease, with complete symptoms, why does the condition worsen with Gui Zhi treatment, leading to cold extremities, dry throat, irritability, vomiting, and delirium? Master says: This is Yang Dan Syndrome, which cannot be attacked. The Cun position pulse is floating; floating indicates Wind and Deficiency. Wind generates heat, and deficiency causes cramping. Wrongly attacking the exterior causes sweating and loss of Yang. Excessive sweating depletes fluids, fluid depletion causes tendon cramping, Yangming internal binding causes irritability and delirium. Use Gan Cao Gan Jiang Tang to restore Yang, Shao Yao Gan Cao Tang to save fluids, and Tiao Wei Cheng Qi Tang to stop delirium. This illustrates that treating Bad Disease requires following the pulse and symptoms.
Yang Dan Syndrome, presenting with fever without tidal fever, sweating, dry throat, restless sleep, and calmness at midnight, should be treated with Di Huang Ban Xia Mu Li Suan Zao Ren Tang (Rehmannia, Pinellia, Oyster Shell, and Sour Jujube Seed Decoction). If there is thirst, irritability, red urine, and delirium, Zhu Ye Shi Gao Huang Qin Ze Xie Ban Xia Gan Cao Tang (Bamboo Leaf, Gypsum, Scutellaria, Alisma, Pinellia, and Licorice Decoction) should be administered.
Di Huang Ban Xia Mu Li Suan Zao Ren Tang Formula