分，引毒外透，此内化外解，浊降清升之法。治一得一，治十得十，以视升提发表而加剧者，何不俯取刍荛之一得乎？
雄按∶观此说则初起不必用剪爪牙之法也。又秦皇士治斑，用升麻、黄连、生地、丹皮、甘草、木通，名升麻清胃
汤。
轻清凉血，亦是透化斑疹之妙法。误食荤腥者，加山楂、砂仁。
乾隆甲申，余客中州，先君偶染时疫，为群医所误，抱恨终天。曷其有极。思于此证，必有以活人者，公之于世，
亦以稍释余怀。因读《本草》，言石膏性寒，大清胃热。味淡气薄，能解肌热。体沉性降，能泄实热。恍然大悟，非石膏
不足以治热疫，遇有其证，辄投之，无不得心应手。三十年来，颇堪自信，活人所不治者，笔难罄述。然一人之治人有
限，因人以及人无穷。因着为《疫疹一得》，公之于世，使天下有病斯疫者，起死回生，咸登寿域，余心庶稍安焉！桐城
余霖漫识。
吴种芝曰∶甲寅夏，久无雨，暑气盛行，人多疾病，病则必死。医家齐束手不治，师愚辄予以石膏黄连等剂，无不
立效，其得之则生，不得则死者，不可更仆数。而余门下奎氏兄弟，一存一夭，尤属明征。然存活日多而谤者日益众，
谓师愚非石膏不立剂，是诬人。甚至以谤师愚之故，并谓石膏为断不可用，岂不更诬药哉！诬人既已不可，诬药而愚者
信焉。妄者传焉，虽遇热证凶危，仍以柴葛当之。不效则投以丹、芩。又不效则投以人参、桂、附。
雄按∶粗工伎俩，
大率如此。至于一误再误，死而后已。医者犹诩诩得意曰∶非我也。命也！是以谤师愚之故，而累及无辜，置人之生死
于弗顾也。岂不大可叹哉！
庄制亭曰∶此方分两太重，临证时不妨量裁一二味，或减轻分两，如石膏由三五钱以至二三两皆可取效。汪按∶石
膏体重若止用三五钱似嫌太少。
雄按∶余君治祁某案后云∶此方医家不敢用，病家不敢服，甚至药肆不敢卖。有此三不敢，疫证之死于误者，不知
凡几。纪文达公于癸丑年曾目击师愚之法，活人无算，而谓其石膏有一剂，用至八两，一人服至四斤，因而疑为司天运
气所值，未可执为通例。余氏书中，亦罗列运气之说，然则甲子、甲申、戊子、丙午、癸丑、甲寅等年，岁运并不同，
何以案中治法皆同乎？此司天在泉之不可泥，但察其时之旱潦，见证之宜否为可凭也。道光中归安江笔花治一时疫发斑，
用石膏至十四斤而斑始透，盖深得师愚之法者。而王予中太史《白田集》有《石膏辨》云∶目击受石膏之害者甚多，深
以缪仲淳、袁体庵为不可法，贤者，尚尔。无怪乎庸耳俗目之谤师愚也。夫停食不消，因而致死者多矣。岂可归罪于五
谷，以为神农后稷作俑，而令天下人辟谷耶？况物性之中和，莫如谷矣。而霍乱痧胀，一口米汤下咽，即难救治。盖一
病有一病之宜忌，用得其宜，硝、黄可称补剂；苟犯其忌，参、术不异砒 。故不可舍病之虚实寒热而不论，徒执药性
之纯驳，以分良毒也。补偏救弊，随时而中，贵于医者之识病耳！先议病，后议药，中病即是良药。汪按∶凡药能治病
者。误用即能杀人。参术与硝黄无异也。贵于中病而已。乃世人无病者偏好服药。及有病又不议病而议药。医者欲其道
之行。借以谋生相率阿世取容偶有特立之士力排众论别出心裁。如师愚者且群目为怪物矣。欲求医学之昌明何可得乎。
此数语乃医者之良箴。处方之轨范。吾愿世之医人。取而三复之。然读书以明理，明理以致用。苟食而不化，则粗庸偏
谬，贻害无穷，非独石膏为然矣。 绅先生，博览之余，往往涉猎岐黄家言，或笔之于书，或参赞亲友之病，世人因信
其知儒，遂并信其知医，孰知纸上谈兵，误人不浅，吕晚村是其尤者也。安得如徐洄溪者，一一而砭之哉！汪按∶洄溪
有涉猎医书误人论。言皆切中。可以垂戒。而医贯砭一书尤极有功于医学。无如世之庸耳俗目。推尊晚村者终不肯信也。
可叹。
锡类散
象牙屑（焙） 珍珠（各三分） 飞青黛（六分） 梅花冰片（三厘） 壁钱（俗名喜儿窠，二十个，用泥壁上者，
木板上者勿用） 西牛黄 人指甲（男病用女，女病用男，分别合配，各五厘）
研；极细粉，密装瓷瓶内，勿使泄气。专治烂喉时证，及乳蛾、牙疳、口舌腐烂。凡属外淫为患，诸药不效者，吹
入患处濒死可活。
雄按∶此方尤鹤年附载于《金匮翼》云∶张瑞符传此救人而得子，故余名之曰“锡类散”。功效甚着，不能殚述。
朱砂安神丸
透明朱砂（另研） 黄连（各五分） 生地（三钱） 当归 甘草（各二钱）为细末，酒泡蒸饼丸，如麻子大，即
以朱砂为衣。每服三十丸，卧时津液咽下。
叶仲坚曰∶经云∶神气舍心，精神毕具。又云∶心者，生之本，神之舍也。且心为君主之官，主不明则精气乱，神
太劳则魂魄散，所以寤寐不安，淫邪发梦。轻则惊悸怔忡，重则痴妄癫狂。朱砂具光明之体，赤色通心，重能镇怯，寒
能胜热，甘以生津，抑阴火之浮游，以养上焦之元气，为安神之第一品。心苦热，配黄连之苦寒泻心热也。更佐甘草之
甘以泻之。心主血，用当归之甘温归心血也，更佐地黄之寒以补之。心血足则肝得所藏而魂自安，心热解、则肺得其职
而形自正也。
集灵膏
人参 枸杞子（各一斤） 天冬 麦冬 生地 熟地（各二十八两） 淮牛膝（酒蒸，四两）
甜水砂锅熬膏，将成，加炼白蜜六两，滚数沸收之，白汤或酒调服。
雄按∶先大父云∶此方始见于《广笔记》，云出内府。又载于《治法汇》而无牛膝，方后注∶血虚，加当归四两。脾
弱，加白术四两或半斤。且云治一切气血两虚，身弱咳嗽者，罔不获效。凡少年但觉气弱倦怠，津液少，虚火上炎，急
宜服之。后惟魏玉横善用此方，《续名医类案》内极着其功效，实即人参固本加味也。或又加仙灵脾。余谓峻滋肝肾之阴，
无出此方之右者。若兼带下遗精者，宜去牛膝，加黄柏。大便易滑者，亦去牛膝，重加生薏仁。《理虚元鉴》治劳嗽，用
本方去人参、牛膝，加元参、甘桔。
麦冬汤
麦冬（一两，炙） 甘草（二两） 鲜竹叶（十五瓣） 北枣肉（两枚）
为细末。每服五钱，粳米汤盏半，煎至一盏，温服。不能服者，绵渍点口中，如加人参更妙。
雄按∶此海藏方也。即《金匮》麦门冬汤去半夏，加竹叶。治房劳复之气欲绝者，服之大效。然《外台》于此证，
主一味竹皮汤，以竹皮坚韧，能固气液之脱，而清虚火，方中似不可缺。又枸杞子纯甘多液，能补精神气血之耗伤。凡
气喘吸促，根蒂欲漓者，可加入两许，殊胜人参、熟地也。即不因房劳而气液两亏，不能受重剂峻补者，余亦用此法接
续其一线之生机，每多获效。推而广之，可以养心营，可以润肺燥，汪按∶嗽证肺虽虚而尚有邪者，麦冬究宜慎用。可
以缓肝急，可以补脾阴，其用多矣，宜易其名曰“小复脉汤”。
（关于前文提到的）分利之法，引导毒邪向外透发，这是内化外解、浊气下降清气上升的治疗方法。治疗一个痊愈一个，治疗十个痊愈十个，与那些使用升提发表法反而使病情加重的情况相比，为何不采纳这平民百姓的一得之见呢？
王士雄按语：看了这种说法，那么疾病初起时就不必采用剪除爪牙（指截断病势或攻伐太过）的方法了。另外，秦皇士治疗斑疹，使用升麻、黄连、生地、丹皮、甘草、木通，命名为升麻清胃汤。此方轻清凉血，也是透发化解斑疹的妙法。如果误食荤腥食物者，加入山楂、砂仁。
乾隆甲申年，我客居中州，先父偶然感染时行疫病，被众医生误治，抱恨终身。痛苦何时才有尽头！思考对此证，一定有能救活人的方法，公开于世，也为了稍微缓解我的愧疚之情。于是阅读《本草》，书中说石膏性寒，能大清胃热；味淡气薄，能解除肌表之热；体沉性降，能泄实热。恍然大悟，非石膏不足以治疗热疫，遇到有此证候者，就投用石膏，无不得心应手。三十年来，颇为自信，救活那些原本不治的人，笔墨难以详尽叙述。然而一个人救治人的力量有限，由一人推广到众人则无穷无尽。因此著成《疫疹一得》，公开于世，使天下患有此疫病的人，起死回生，都进入长寿的境界，我的心才能稍微安宁！桐城余霖漫记。
吴种芝说：甲寅年夏天，长久不下雨，暑气盛行，人多生病，生病则必死。医家们都束手无策，师愚（余霖字）却给予石膏、黄连等药剂，无不立即见效，得到此药则生，得不到则死的，数不胜数。而我门下的奎氏兄弟，一个存活一个夭折，更是明显的证据。然而存活的人越多，诽谤的人日益增多，说师愚不用石膏就不能开方，这是诬蔑人。甚至因为诽谤师愚的缘故，连带说石膏是绝对不可用的，这难道不是更诬蔑药物吗！诬蔑人已经不可以，诬蔑药物而愚蠢的人相信它，狂妄的人传播它，即使遇到热证凶险危急的情况，仍然用柴胡、葛根来应对。无效则投用丹皮、黄芩。再无效则投用人参、桂枝、附子。
王士雄按语：粗劣医生的伎俩，大体如此。直到一误再误，死了才停止。医生还洋洋得意地说：“这不是我的错，是命！”因此因为诽谤师愚的缘故，连累无辜，置人的生死于不顾，难道不令人叹息吗！
庄制亭说：这个方子的分量太重，临证时不妨斟酌裁减一两味药，或者减轻分量，如石膏从三五钱到二三两都可以取效。汪按语：石膏体重，如果只用三五钱似乎嫌太少。
王士雄按语：余君在治疗祁某案后说：这个方子医生不敢用，病人不敢服，甚至药店不敢卖。有此“三不敢”，疫病死于误治的，不知有多少。纪文达公在癸丑年曾亲眼目睹师愚的方法，救活的人无数，却说他的石膏有一剂用到八两，一个人服用至四斤，因而怀疑是司天运气所值，不可执为通例。余氏书中，也罗列运气之说，那么甲子、甲申、戊子、丙午、癸丑、甲寅等年，岁运并不同，为什么案中的治法都相同呢？这说明司天在泉的理论不可拘泥，只要观察当时的旱涝情况，见证是否适宜即可作为依据。道光年间归安江笔花治疗一时行疫病发斑，用石膏至十四斤而斑疹始透，大概是深得师愚之法的人。而王予中太史《白田集》中有《石膏辨》说：亲眼目睹受石膏害的人很多，深深认为缪仲淳、袁体庵的做法不可效法，贤者尚且如此，难怪庸俗之辈诽谤师愚。停食不消，因而致死的多了，岂可归罪于五谷，认为是神农、后稷开了头，而让天下人辟谷呢？况且物性的中和，没有比得上谷物的了。而霍乱痧胀，一口米汤下咽，即难救治。盖一种病有一种病的宜忌，用得适宜，硝石、大黄可称为补剂；如果犯了禁忌，人参、白术无异于砒霜。所以不可舍弃病的虚实寒热而不论，只执着于药性的纯驳，来区分良毒。补偏救弊，随时而中，贵在医生的识病能力罢了！先议病，后议药，中病即是良药。汪按语：凡药能治病，误用即能杀人。人参、白术与硝石、大黄无异，贵在中病而已。然而世人无病时偏好服药，及有病又不议病而议药。医生想其道术推行，借以谋生，相率阿世取容，偶有特立之士力排众论别出心裁，像师愚这样的人却被群目为怪物。想求医学昌明怎么可能呢？这几句话是医生的良箴，处方的轨范。我希望世上的医生，拿来反复诵读。然而读书是为了明理，明理是为了致用。如果食而不化，则粗庸偏谬，贻害无穷，不仅仅是石膏这样。绅先生，博览之余，往往涉猎岐黄家的言论，有的笔之于书，有的参与亲友疾病的诊治，世人因相信他懂儒学，遂并相信他懂医术，谁知道纸上谈兵，误人不浅，吕晚村就是其中的典型。怎能有像徐洄溪那样的人，一一加以针砭呢！汪按语：洄溪有涉猎医书误人论，言皆切中要害，可以垂戒。而《医贯砭》一书尤其极有功于医学，无奈世上的庸俗之辈，推崇晚村的人始终不肯相信，可叹。
锡类散
象牙屑（焙干） 珍珠（各三分） 飞青黛（六分） 梅花冰片（三厘） 壁钱（俗名喜儿窠，二十个，用长在泥壁上的，木板上的不要用） 西牛黄 人指甲（男病用女指甲，女病用男指甲，分别合配，各五厘）
研成极细粉，密装瓷瓶内，勿使泄气。专治烂喉时证，以及乳蛾、牙疳、口舌腐烂。凡是属于外淫为患，诸药不效者，吹入患处，濒死可活。
王士雄按语：此方尤鹤年附载于《金匮翼》中说：张瑞符传授此方救人而得子，所以我命名为“锡类散”。功效显著，不能详尽叙述。
朱砂安神丸
透明朱砂（另研） 黄连（各五分） 生地（三钱） 当归 甘草（各二钱）为细末，酒泡蒸饼丸，如麻子大，即以朱砂为衣。每服三十丸，卧时津液咽下。
叶仲坚说：经云：神气舍心，精神毕具。又云：心者，生之本，神之舍也。且心为君主之官，主不明则精气乱，神太劳则魂魄散，所以寤寐不安，淫邪发梦。轻则惊悸怔忡，重则痴妄癫狂。朱砂具光明之体，赤色通心，重能镇怯，寒能胜热，甘以生津，抑阴火之浮游，以养上焦之元气，为安神之第一品。心苦热，配黄连之苦寒泻心热也。更佐甘草之甘以泻之。心主血，用当归之甘温归心血也，更佐地黄之寒以补之。心血足则肝得所藏而魂自安，心热解、则肺得其职而形自正也。
集灵膏
人参 枸杞子（各一斤） 天冬 麦冬 生地 熟地（各二十八两） 淮牛膝（酒蒸，四两）
甜水砂锅熬膏，将成，加炼白蜜六两，滚数沸收之，白汤或酒调服。
王士雄按语：先祖父说：此方始见于《广笔记》，云出内府。又载于《治法汇》而无牛膝，方后注：血虚，加当归四两。脾弱，加白术四两或半斤。且云治一切气血两虚，身弱咳嗽者，罔不获效。凡少年但觉气弱倦怠，津液少，虚火上炎，急宜服之。后惟魏玉横善用此方，《续名医类案》内极着其功效，实即人参固本加味也。或又加仙灵脾。我认为峻滋肝肾之阴，无出此方之右者。若兼带下遗精者，宜去牛膝，加黄柏。大便易滑者，亦去牛膝，重加生薏仁。《理虚元鉴》治劳嗽，用本方去人参、牛膝，加元参、甘桔。
麦冬汤
麦冬（一两，炙） 甘草（二两） 鲜竹叶（十五瓣） 北枣肉（两枚）
为细末。每服五钱，粳米汤盏半，煎至一盏，温服。不能服者，绵渍点口中，如加人参更妙。
王士雄按语：此海藏方也。即《金匮》麦门冬汤去半夏，加竹叶。治房劳复之气欲绝者，服之大效。然《外台》于此证，主一味竹皮汤，以竹皮坚韧，能固气液之脱，而清虚火，方中似不可缺。又枸杞子纯甘多液，能补精神气血之耗伤。凡气喘吸促，根蒂欲漓者，可加入两许，殊胜人参、熟地也。即不因房劳而气液两亏，不能受重剂峻补者，余亦用此法接续其一线之生机，每多获效。推而广之，可以养心营，可以润肺燥，汪按语：嗽证肺虽虚而尚有邪者，麦冬究宜慎用。可以缓肝急，可以补脾阴，其用多矣，宜易其名曰“小复脉汤”。
(Regarding the method mentioned previously of) separating fluids to guide toxic pathogens outward for resolution, this is a treatment method of internal transformation and external release, with turbid qi descending and clear qi ascending. Treating one case results in one cure, treating ten cases results in ten cures; compared to those using lifting and releasing methods which exacerbate the condition, why not adopt this insight from common people?
Wang Shixiong's Note: Observing this theory, it is unnecessary to use the method of "cutting claws and teeth" (metaphor for aggressive intervention or cutting off the disease's root too early) at the onset. Additionally, Qin Huangshi treated macules/rashes using Shengma (Cimicifugae Rhizoma), Huanglian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix), Danpi (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), and Mutong (Akebiae Caulis), naming it Shengma Qingwei Tang (Cinnamon Twig Clearing Stomach Decoction). This formula is light, cool, and clears blood heat, also being a wonderful method for resolving macules and rashes. For those who mistakenly consumed meat or fish, add Shanzha (Crataegi Fructus) and Sharen (Amomi Fructus Rotundus).
In the Jiashen year of the Qianlong reign, I was staying in Zhongzhou. My father accidentally contracted an epidemic pathogen and was misdiagnosed by many physicians, leaving him with lifelong regret. When will this suffering end? Reflecting on this syndrome, there must be a way to save lives. I wish to publish it to the world to alleviate my guilt. Upon reading *Bencao* (Compendium of Materia Medica), it stated that Shigao (Gypsum Fibrosum) is cold in nature and greatly clears stomach heat; its taste is bland and aroma thin, capable of relieving muscular heat; its substance is heavy and nature descending, capable of draining excess heat. I had a sudden enlightenment: only Gypsum Fibrosum is sufficient to treat febrile epidemics. Whenever I encountered such syndromes, I administered it, achieving desired results without fail. For thirty years, I have been confident in this approach, saving countless patients who were deemed untreatable; the details are beyond what pen and ink can describe. However, the power of one person to save others is limited, whereas extending this knowledge to all is infinite. Therefore, I wrote *Yizhen Yide* (One Gain from Epidemic Rashes) and published it to the world, so that all suffering from this epidemic may rise from death to life and attain longevity, allowing my heart to find some peace. Written casually by Yu Lin from Tongcheng.
Wu Zhongzhi said: In the summer of the Jiyin year, there was no rain for a long time, and summer heat prevailed. Many people fell ill, and illness meant certain death. Physicians were all helpless. Shi Yu (Yu Lin's courtesy name) prescribed formulas containing Gypsum Fibrosum and Coptidis Rhizoma, all of which took immediate effect. Those who received it lived, and those who did not died, in numbers too great to count. Among my disciples, the brothers of the Kui family, one survived while the other died prematurely, which is particularly clear evidence. Yet, as the number of survivors increased, so did the slander against Shi Yu. They claimed he could not prescribe without Gypsum Fibrosum, which is a slander against the person. Even worse, due to slandering Shi Yu, they claimed Gypsum Fibrosum should absolutely never be used, which is a slander against the herb. Slandering a person is unacceptable; believing the slander against the herb leads the foolish to believe it and the reckless to spread it. Even when encountering critical heat syndromes, they still use Chaihu (Bupleuri Radix) and Gegen (Puerariae Lobatae Radix). If ineffective, they administer Mudanpi (Moutan Cortex) and Huangqin (Scutellariae Radix). If still ineffective, they administer Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus), and Fuzi (Aconiti Lateralis Radix Praeparata).
Wang Shixiong's Note: The skills of crude physicians are generally like this. They continue to make mistakes until death occurs. The physician then proudly claims, "It is not my fault; it is fate!" Thus, due to slandering Shi Yu, innocent people are implicated, and their lives and deaths are disregarded. Is this not truly lamentable!
Zhu Zhitng said: The dosages in this formula are too heavy. In clinical practice, one may酌情 (discretionarily) reduce one or two herbs or lower the dosages. For example, Gypsum Fibrosum can range from 3-5 qian to 2-3 liang and still be effective. Wang's Note: Gypsum Fibrosum is heavy in weight; using only 3-5 qian seems too little.
Wang Shixiong's Note: After treating Case Qi, Mr. Yu stated: Doctors dare not use this formula, patients dare not take it, and even pharmacies dare not sell it. With these "three fears," countless epidemic cases die due to misdiagnosis. Lord Ji Wenda witnessed Shi Yu's methods personally in the Guichou year, saving countless lives, yet claimed that his use of Gypsum Fibrosum reached eight liang in one dose and four jin for one person, suspecting it was due to specific celestial influences (Si Tian Yun Qi) and not a general rule. Mr. Yu's book also lists theories of celestial influences. Then, how come the treatment methods in cases from different years (Jiazi, Jiashen, Wuzi, Bingwu, Guichou, Jiayin) with different annual movements are identical? This proves that Si Tian (Heavenly Stem) and Zai Quan (Earthly Branch) theories cannot be rigidly applied. One should rely on observing droughts and floods of the time and whether the symptoms match the treatment. In the Daoguang era, Jiang Bihua from Gui'an treated an epidemic with macules, using up to fourteen jin of Gypsum Fibrosum before the macules emerged, deeply mastering Shi Yu's method. However, Wang Yuzhong, Grand Secretary, in his *Baitian Ji*, wrote *Shigao Bian* (Discussion on Gypsum Fibrosum), stating he witnessed many harmed by Gypsum Fibrosum and deeply believed Miao Zhongchun and Yuan Ti'an should not be imitated. Even sages act thus; no wonder vulgar ears and eyes slander Shi Yu. There are many deaths caused by food stagnation; how can we blame grain, claiming Shennong and Houji started this trend, and tell everyone to fast? Moreover, among substances, none is more neutral than grain. Yet in Huoluan (Cholera-like disorder) and Shazhang (Sha distension), swallowing a mouthful of rice soup makes rescue difficult. Each disease has its own indications and contraindications. Used appropriately, Xiaoshi (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) can be considered tonics; if contraindicated, Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) are no different from arsenic. Therefore, one must not ignore the deficiency/excess and cold/heat of the disease, nor solely judge based on the purity or impurity of drug properties to distinguish good from toxic. Correcting biases and saving disasters requires timing and precision, relying on the physician's ability to identify the disease. Discuss the disease first, then the medicine; hitting the target makes it good medicine. Wang's Note: Any medicine can cure disease but kill if misused. Renshen and Baizhu are no different from Xiaoshi and Dahuang; the key lies in hitting the target. Yet people without disease prefer taking medicine, and when sick, they discuss medicine rather than the disease. Physicians want their methods accepted to make a living, conforming to worldly trends. Occasionally, independent scholars reject popular opinions and innovate, like Shi Yu, yet are viewed as monsters by the crowd. How can medical prosperity be achieved? These words are excellent advice for physicians and standards for prescribing. I hope physicians of the world will read them repeatedly. However, reading is to understand principles, and understanding principles is to apply them. If one digests nothing, errors and prejudices will cause endless harm, not just regarding Gypsum Fibrosum. Gentleman Shen, after extensive reading, often dabbles in Traditional Chinese Medicine literature, writing books or advising relatives/friends on illnesses. People, trusting his Confucian knowledge, trust his medical knowledge too. Who knows that discussing war on paper causes deep harm; Lü Wancun is a prime example. Where can we find someone like Xu Huixi to critique them one by one! Wang's Note: Huixi wrote about the dangers of dabbling in medical books, hitting the mark, serving as a warning. His book *Yiguan Bian* (Critique of Medical Canon) is particularly beneficial to medicine. Unfortunately, vulgar people who revere Wancun refuse to believe it. Lamentable.
Xile San (Tin-Type Powder)
Xiangya Xie (Tussock Bone Chips, roasted) - 3 fen
Zhenzhu (Pearl, ground separately) - 3 fen
Fei Qingdai (Fly Azurite) - 6 fen
Meihua Bingpian (Plum Blossom Borneol) - 3 li
Bi Qian (Spider Web Nest, commonly called Xi'er Ke, 20 pieces, from mud walls only, not wooden boards) - 20 pieces
Xi Niuhuang (Western Calculus Bovis)
Ren Zhijia (Human Nails, female nails for male patients, male nails for female patients, matched accordingly) - 5 li each
Grind into extremely fine powder, seal tightly in porcelain bottles to prevent leakage. Specifically treats rotting throat epidemic syndromes, Ru'e (Swallow Throat/Angina), Ya Gan (Gum Gangrene), and oral/tongue ulceration. For any pathology caused by external evil where other medicines fail, insufflate into the affected area; even near-death cases can survive.
Wang Shixiong's Note: This formula was appended by You Heyan in *Jingui Yi* (Wings of the Golden Cabinet), stating Zhang Ruifu transmitted this formula, saved a life, and gained a son, hence I named it "Xile San". Its efficacy is remarkable and cannot be fully described.
Zhusha Anshen Wan (Cinnabar Calming Spirit Pill)
Touming Zhusha (Transparent Cinnabaris, ground separately) - 5 fen
Huanglian (Coptidis Rhizoma) - 5 fen
Shengdi (Rehmanniae Radix) - 3 qian
Danggui (Angelicae Sinensis Radix) - 2 qian
Gancao (Glycyrrhizae Radix et Rhizoma) - 2 qian
Grind into fine powder. Soak in wine, steam with steamed wheat cake pills, size of hemp seeds. Coat with Cinnabar. Take 30 pills per dose, swallow with saliva before sleep.
Ye Zhongjian said: The Classics state: "Spirit resides in the Heart, spirit and mind are complete." Also: "The Heart is the root of life and the residence of spirit." The Heart is the official of the sovereign; if its governance is unclear, essence and qi become chaotic. If spirit is overworked, soul and魂魄 (hunpo) scatter, causing restless sleep and strange dreams. Mild cases present with palpitations and anxiety; severe cases manifest as dementia, delirium, or mania. Cinnabar possesses a luminous nature, red color connects to the Heart, heaviness calms fear, coldness overcomes heat, sweetness generates fluids, suppresses floating yin fire, and nourishes upper jiao primordial qi, making it the premier herb for calming the spirit. The Heart dislikes heat; paired with the bitter-cold Huanglian to drain heart heat. Assisted by sweet Gancao to drain heat. The Heart governs blood; Danggui's sweet-warm nature returns blood to the heart, assisted by cold Dihuang (Rehmanniae Radix Preparata) to tonify. When heart blood is sufficient, the Liver stores hun and the soul rests; when heart heat resolves, the Lung performs its function and the form becomes correct.
Jiling Gao (Collecting Spirit Paste)
Renshen (Ginseng Radix) - 1 jin
Gouqizi (Lycii Fructus) - 1 jin
Tiantong (Asparagi Radix) - 28 liang
Maidong (Ophiopogonis Radix) - 28 liang
Shengdi (Rehmanniae Radix) - 28 liang
Shudi (Rehmanniae Radix Preparata) - 28 liang
Huai Niuxi (Achyranthis Bidentatae Radix, steamed in wine) - 4 liang
Simmer in a clay pot with sweet water to make paste. Near completion, add 6 liang of refined white honey, boil briefly to finish. Take mixed with plain water or wine.
Wang Shixiong's Note: My grandfather said: This formula first appeared in *Guang Biji* (Notes from Broad Records), said to originate from the Imperial Palace. It is also recorded in *Zhifa Hui* (Compilation of Treatment Methods) without Niuxi. The postscript notes: For blood deficiency, add Danggui 4 liang. For weak spleen, add Baizhu 4 liang or half a jin. It states it treats all cases of dual deficiency of qi and blood, weakness, and cough, with universal efficacy. For youths feeling weak, fatigued, low in fluids, with deficient fire flaming upward, it should be taken urgently. Later, Wei Yuheng excelled in using this formula; *Xu Mingyi Leian* (Continued Cases of Famous Physicians) highlights its efficacy extensively. It is essentially Ren Shen Gu Ben Tang (Ginseng Root-Securing Decoction) with modifications. Sometimes Xianlingpi (Epimedii Folium) is added. I consider this formula unsurpassed for severely nourishing liver and kidney yin. For those with leukorrhea or spermatorrhea, remove Niuxi and add Huangbai (Phellodendri Cortex). For those prone to loose stools, remove Niuxi and heavily add Sheng Yiren (Coicis Semen). *Lixu Yuanjian* (Original Mirror for Consumptive Diseases) treats consumptive cough using this formula minus Renshen and Niuxi, adding Xuanshen (Scrophulariae Radix) and Ganjie (Licorice and Platycodon).
Maidong Tang (Ophiopogon Decoction)
Maidong (Ophiopogonis Radix, processed) - 1 liang
Gancao (Glycyrrhizae Radix et Rhizoma) - 2 liang
Xian Zhuye (Fresh Bamboo Leaf) - 15 leaves
Beizao Rou (Northern Jujube Flesh) - 2 pieces
Grind into fine powder. Take 5 qian per dose. Decoct in half a cup of Jingmi (Oryza Sativa Germ) soup until reduced to one cup. Take warm. If unable to swallow, soak in cotton and apply to the mouth. Adding Renshen is even better.
Wang Shixiong's Note: This is a formula from Hai Zang (Zhang Congzheng). It is *Jinkui*'s Maidongmen Decoction minus Banxia (Pinelliae Rhizoma), plus Zhuye (Bamboo Leaf). It treats exhaustion of qi due to sexual fatigue, showing great efficacy. However, *Waitai* (External Mirror) advocates a single-herb formula of Zhupi (Bamboo Skin) for this condition, as bamboo skin is tough, capable of securing qi and fluid loss, and clearing deficient heat; it seems indispensable in the formula. Additionally, Gouqizi is purely sweet and juicy, replenishing consumption of spirit, qi, and blood. For those with panting, rapid breathing, and failing roots, adding approximately 1 liang is superior to Renshen and Shudi. Even for those not suffering from sexual fatigue but having dual deficiency of qi and fluids, unable to tolerate strong tonics, I use this method to sustain their faint vitality, often achieving success. Extending this, it can nourish heart ying (nutritive level), moisten lung dryness, Wang's Note: For cough syndromes where the lung is deficient but pathogens remain, Maidong should be used cautiously. It can soften liver urgency and tonify spleen yin. Its uses are numerous; it should be renamed "Small Fu Mai Tang" (Minor Pulse-Restoring Decoction).