上一味，以水和服方寸匕，小便利，阴头肿即愈。
此一卷。载杂方。大率仲景证多而药少。使皆如仲景调理既正。变异不生。则麻黄
桂枝青龙用之而有余。以后世望圣人难矣。仲景药方缺者甚多。至如阴毒伤寒、时行温
疫、温毒、发斑之类。全无方书。今采外台千金圣惠金匮玉函补而完之。凡百有余道。
以证合方。以方合病。虽非仲景笔削。然皆古名方也。譬犹周易参同。华严合论。步骤
驰骋。不外乎圣人之意。又况俗学久矣。一旦革之。悉用古法。即阳春白雪。复生谤毁
。适足以杜绝治法。今拨归经络。裁减汤剂。参以杂方。庶几庸人易晓。日就月将。辛
甘发散。酸苦涌泄之术行。即俗方不革而自寝矣。此余所以载杂方之意也。又况五积散
、败毒散、升麻汤、葳蕤汤之类。纵治不对病。用之或瘥。亦无所害。载之卷末。以俟采择。
（升麻汤）（一） 治伤寒中风头痛。憎寒壮热。支体痛。发热畏寒。鼻干不得睡。
兼治小儿大人疮疹已发未发。皆可服。兼治寒暄不时。人多疾疫。乍暖脱着。及暴热之
次。忽变阴寒。身体疼痛。头重如石者。
升麻 白芍药 甘草（炙） 干葛（各等分）
上锉如麻豆大。每服五钱。以水一盏半。煎至八分。去滓温服。若大段寒即热服。
若热即温服。疮疹亦准此。服药已。身凉止药。小儿量度多少服。如老儿吃。去芍药。
加柴胡一两。人参半两。雪白芍药一分。
（防风白术牡蛎汤）（二） 治发汗多。头眩汗出。筋惕肉 。
防风（独茎者去芦头） 牡蛎粉（炒黄） 白术（各等分）
上捣罗为细末。每服二钱。以酒调下。米饮亦得。日进二三服。汗止。便服小建中汤。
（李根汤）（三） 治气上冲。正在心端。
半夏（汤洗半两） 当归（一分） 芍药（一分） 茯苓（一分） 桂枝
（一两） 黄芩（一分） 甘草（炙一分） 甘李根白皮（二合）
上锉如麻豆大。每服抄五钱匕。生姜四片。水一盏半。煎至八分。去滓温服。
（大橘皮汤）（四） 动气在下。不可发汗。发汗则无汗。心中大烦。骨节疼痛。目
晕恶寒。食则反吐。谷不得入。先服大橘皮汤。吐止后。服小建中汤。
橘皮（一两半去白） 甘草（炙半两） 人参（一分） 竹茹（半升）
上锉如麻豆大。每服五钱。生姜四片。枣子一枚。以水二钟。煎取一盏。去滓分二服。
（橘皮竹茹汤）（五） 治哕逆。
橘皮（二两） 竹茹（一升） 甘草（二两炙） 人参（半两） 半夏（一两汤洗）
上锉如麻豆大。每服五钱。生姜六片。枣子一枚。以水二大盏。煎至一盏。去滓温
服。日进三服。
（生姜橘皮汤）（四） 治干呕哕。若手足厥冷者。
橘皮（四两） 生姜（半斤）
上锉如麻豆大。水七盏。煎至三盏。去滓温服一盏。
（阴旦汤）（六） 治伤寒肢节疼痛。内寒。外热。虚烦。
芍药（二两） 甘草（二两炙） 干姜（三两炮） 黄芩（三两） 桂（四两）
上锉如麻豆大。每服抄五钱。枣二枚。水一盏半。煎至八分。去滓温服。日三夜二。
（阴毒甘草汤）（七） 治伤寒初得病一二日。便结。成阴毒。或服药六七日以上。
至十日。变成阴毒。身重背强。腹中绞痛。咽喉不利。毒瓦斯攻心。心下坚强。短气不得
息。呕逆唇青。面黑。四肢厥冷。其脉沉细而疾。仲景云。此阴毒之候。身如被杖。喉咽
痛。五六日可治。至七日不可治。
甘草（炙） 升麻 当归（各二分） 雄黄（一分） 桂枝（去皮二分） 鳖甲（
一两半醋炙秤） 蜀椒（一分。出汗闭口者及子去之）
上锉如麻豆大。每服抄五钱匕。水一盏半。煎至八分。去滓服。如人行五里顷。更
进一服。温覆取汗。毒当从汗出。汗出即愈。若未汗再作。
（白术散）（八） 治阴毒伤寒。心间烦躁。四肢逆冷。
白术（一两） 细辛（一两） 附子（一两炮去皮脐用） 桔梗（一两去芦
头） 干姜（半两炮裂锉） 川乌头（一两炮裂去皮脐）
上件药。捣为细末。每服二钱。以水一中盏。煎至六分。不计时候。稍热和滓顿服。
（附子散）（九） 治阴毒伤寒。唇青面黑。身背强四肢冷。
附子（三分炮裂去皮） 桂心（半两） 当归（半两锉微炒） 干姜（一分炮裂锉） 半夏（一分汤洗七次去滑） 白
术（半两）
上件捣筛为细散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。热服。衣覆取汗。如人行十里未汗再服。
（正阳散）（十） 治阴毒伤寒。面青。张口出气。心下硬。身不热。只额上有汗。
烦渴不止。舌黑多睡。四肢俱冷。
甘草（一分炙微赤锉） 附子（一两炮裂去皮脐） 麝香（一钱研细入） 干姜
（一分炮裂锉） 皂荚（一挺去皮涂酥炙令黄色去子）
上件捣罗为细末。每服二钱。以水一中盏。煎至五分。不计时候。和滓热服。
（肉桂散）（十一） 治伤寒服冷药过度。心腹胀满。四肢逆冷。昏沉不识人。变为阴毒。
肉桂（三分去皴皮） 赤芍药（一两） 陈橘皮（一两） 前胡（一两去芦头
）附子（一两炮裂去皮脐） 当归（一两） 白术（三分） 高良姜（三分锉
）人参（一两去芦头） 吴茱萸（半两汤浸） 浓朴（三分去皮姜汁炙令香热
）木香（三分）
上件捣为粗末。每服四钱。以水一中盏。入枣子三枚。煎至六分。去滓。不计时候
。稍热频服。
（回阳丹）（十二） 治阴毒伤寒。面青手足逆冷。心腹气胀。脉候沉细。宜此治之。
硫黄（半两细研入） 木香（半两） 荜澄茄（半两） 附子（半两炮裂去
皮脐） 干姜（一分炮裂锉） 干蝎（半两） 吴茱萸（半两。浸七遍焙干微炒）
上件药捣罗为细末。酒煮面糊为丸。如梧桐子大。每服不计时候。以生姜汤下三十
丸。频服二服。复以热酒一盏投之。以浓衣盖取汗。
（返阴丹）（十三）治阴毒伤寒。心神烦躁。头痛四肢逆冷。
硫黄（五两） 太阴玄精石（二两另研） 硝石（二两另研用） 附子（炮裂
去皮脐） 干姜（炮裂锉） 桂心（以上各半两）
上件药用生铁铫。先铺玄精末一半。次铺硝石末一半。中间下硫黄末。又着硝石盖
硫黄。都以玄精盖上讫。用小盏合著。以三斤炭火。烧令得所。勿令烟出多。急取瓦盆合
着地面。四向着灰。盖勿令烟出。直候冷。取出细研如面。后三味捣罗为末。与前药同研
令匀。用软饭和丸。如梧桐子大。每服十五丸至二十丸。煎艾汤下。频服汗出为度。病
重则三十丸。此方甚验。喘促与吐逆者入口便住。又服此方药三五服。服之不退。便于
脐下一寸灸之。须是大段。日夜不住手灸。不限多少壮数。灸之。仍艾炷勿令小。小则
不得力。若其人手足冷。小腹硬。即须更于脐下两边各一寸。各安一道三处脐下灸。仍
与当归四逆汤。并返阴丹。亦须频服。内外通透。方得解退。若迟慢即便死矣。又若是
阴症。加以小便不通。及阴囊缩入。小腹绞痛欲死者。更于脐下二寸石门穴。大段急灸
之。仍须与返阴丹。当归四逆加吴茱萸生姜汤。慎勿与寻常利小便药也。寻常利小便多
是冷滑药。此是阴毒。气在小腹所致也。世有医者。见小便不通。便用炒盐及裹热药于脐
下便熨。欲望小便通。缘阴气在小腹之间。致被热物熨着。无处出得。即便奔上冲心。
往往有死者。
（天雄散）（十四） 治阴毒伤寒。身重背强。腹中 痛。咽喉不利。毒瓦斯攻心。心
下坚强。短气呕逆。唇青面黑。四肢厥冷。其脉沉细而疾。
天雄（一两炮裂去皮脐） 麻黄（半两去根节） 当归（半两切微炒）
白术（半两） 肉桂（一两去粗皮） 半夏（半两汤泡洗七次去滑）
陈橘皮（三分汤浸去白瓤炒） 干姜（三分炮） 川椒（一分去目及闭口者微炒
去汁） 浓朴（一两去粗皮涂生姜汁炙令香熟）
上件药捣为粗末。每服五钱。以水一大盏。入生姜半分。枣子三枚。煎至五分。去
滓。不计时候。稍热服。如人行十里。未汗再服。
（续添）正元散 退阴散（出百问方）
（正元散）治伤寒。如觉风寒吹着四肢。头目百骨节疼痛。急煎此药服。如人行五里
再服。或连进三服。出汗立瘥。若患阴毒伤寒。入退阴散半钱。同煎。或伤冷伤食。头
昏气满。及心腹诸疾。服之无有不取效者。
麻黄（去节秤） 陈皮 大黄（生用） 甘草（炙） 干姜（炮用） 肉
桂（去皮） 芍药 附子（炮去皮用） 茱萸（汤洗焙炒） 半夏（洗。各等分）
上麻黄加一半。茱萸减一半。同为末。每服一大钱。水一盏。生姜三片。枣一枚。
煎至七分。热服。如出汗。以衣被盖覆。切须候汗干。去衣被。如是阴毒。不可用麻黄。
免更出汗。
（退阴散）治阴毒伤寒。手足逆冷。脉沉细。头痛腰重。连进三服。小小伤冷。每
服一字。入正元散内同煎。入盐一捻。阴毒伤寒咳逆。煎一服细细热呷便止。
川乌 干姜（各等分）
上为粗末。炒令转色。放冷。再捣为细末。每服一钱。水一盏。盐一捻。煎半盏。
去滓温服。
（葱熨法）（十五） 治气虚阳脱。体冷无脉。气息欲绝。不省人。及伤寒阴厥。百
药不效。葱以索缠如绳许大。切去根及叶。唯存白。长二寸许。如大饼 。先以火 一
面。令通热。又匆令灼人。乃以热处搭病患脐连脐下。其上以熨斗满贮火熨之。令葱饼
中热气郁郁入肌肉中。须预作三四饼。一饼坏。不可熨。又易一饼。良久病患当渐醒。
手足温。有汗即瘥。更服四逆汤辈。温其内。昔曾有患伤寒冥冥不知人。四体坚冷如
石。药不可入。用此遂瘥。
（葶苈苦酒汤）（十六） 治伤寒七八日内热不解。
苦酒（米醋是也一升半） 生艾汁（半升。无生艾煮热艾汁或用艾根捣取汁用。） 葶苈（熬杵膏一合）
上煎取七合作三服。
（阳毒升麻汤）（十七） 治伤寒一二日便成阳毒。或服药吐下之后。变成阳毒。腰
背痛。烦闷不安。面赤狂言。或走。或见鬼。或下利。脉浮大数。面赤。斑斑如锦纹。
喉咽痛。下脓血。五日可治。七日不可治也。
升麻（二分） 犀角屑（一分） 射干（一分） 黄芩（一分） 人参（一分） 甘草（一分）
上锉如麻豆大。以水三升。煎取一升半。去滓饮一汤盏。食顷再服。温覆。手足
出汗。汗出则解。不解。重作。
（大黄散）（十八） 治阳毒伤寒未解。热结在内。恍惚如狂者。
川大黄（一两半切） 桂心（三分） 甘草（一两炙微赤） 川芒硝（二两
）木通（一两切） 大腹皮（一两切） 桃仁（二十一枚汤浸去皮尖双仁麸炒令微黄）
上件捣为粗末。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。以通利为度。
（栀子仁汤）（十九） 治阳毒伤寒。壮热百节疼痛。
栀子仁（一两） 柴胡（一两半去苗） 川升麻（二两） 黄芩（二两）
赤芍药（一两） 大青（一两） 石膏（二两） 知母（一两） 甘草（半两
炙赤锉） 杏仁（二两。汤浸去皮尖。双仁者麸炒微黄）
上件捣为粗末。每服抄四钱。以水一中盏。入生姜半分。豉一百粒。煎至六分去滓。
不计时候。温服。
（黑奴丸）（二十） 时行热病。六七日未得汗。脉洪大。或数。面赤目瞪。身体大热。
烦躁狂言欲走。大渴甚。又五六日以上不解。热在胸中。口噤不能言。为坏伤寒。医所不
治为死。或人精魂已竭。心下才暖。发开其口。灌药下咽即活。兼治阳春及发斑。
大黄（二两） 釜底煤（研入） 黄芩 芒硝 灶突墨（研入） 梁上尘 小麦
奴（各一两） 麻黄（去节泡一二沸焙干秤三两）
上件捣罗为细末。炼蜜为九。如弹子大。以新汲水研下一丸。渴者但与冷水尽足饮
之。须臾当寒。寒竟汗出便瘥。若日移五尺不汗。根据前法服一丸。瘥即止。须微利。小
麦奴乃小麦未熟时。丛中不成麦。捻之成黑勃是也。无此亦得。此药须是病患大渴倍常
。燥盛渴者。乃可与之。不渴若与之。反为祸耳。
（五积散）（二十一） 治阴经伤冷。脾胃不和。及感寒邪。
枳壳（五两麸炒令色黄熟） 官桂（去皮二两） 浓朴（三两去皮净） 人参（二两） 吴白芷（四两洗净焙干） 白
茯苓（三两） 芍药（三两洗净） 当归（三两洗） 麻黄（去节三两） 半夏（三两汤洗七遍） 川芎（二两） 陈
橘皮（八两洗不去穣） 甘草（二两半） 干姜（三两） 苍术（二十四两。新者净洗焙干） 桔梗（十二两。紧实白
者洗净焙干）
上件除枳壳肉桂外。其余并一处生捣为粗末。分作六分。于大镬内用文武火炒。令
黄熟。不得焦。用纸摊于板床。候冷。入前件枳壳官桂末一处和匀。入瓷合盛。每服二
钱。水一盏。生姜三片。同煎至七分。去滓服。伤寒入葱白一茎。豆豉七粒。同煎连服
上一味药，用水调和服用方寸匕大小的剂量，如果小便通畅，阴头肿胀就会痊愈。
这一卷收录了各种杂方。大体上张仲景的证候多而用药少。如果都能像张仲景那样调理得当，就不会产生变异，那么使用麻黄汤、桂枝汤、青龙汤等方剂就会绰绰有余。要求后世医生达到圣人的水平是困难的。张仲景的药方缺失很多，至于像阴毒伤寒、时行温疫、温毒、发斑这类疾病，完全没有方书记载。现在采集《外台秘要》、《千金方》、《太平圣惠方》、《金匮玉函经》中的内容来补充完善它。共有一百多个方子，以证候配合方剂，以方剂对应病证。虽然这不是经过张仲景删定的，但都是古代的名方。这就像《周易参同契》和《华严经合论》一样，虽然步骤驰骋不同，但不超出圣人的本意。况且世俗之学已经很久了，一旦革除，全部使用古法，就像是阳春白雪（高雅的艺术），反而会产生诽谤和诋毁。这足以断绝治疗方法。现在将其归入经络体系，裁减汤剂的复杂程度，参考杂方，希望普通人容易理解，日积月累，辛甘发散、酸苦涌泄的方法就能推行，那么俗方不废除也会自然消退。这就是我收录杂方的用意。况且像五积散、败毒散、升麻汤、葳蕤汤之类的方子，即使治疗不对症，使用也许能好转，也没有害处。将它们列在卷末，以供选择采用。
（升麻汤）（一） 治疗伤寒中风引起的头痛，憎寒壮热（怕冷且高热），肢体疼痛，发热畏寒，鼻干无法入睡。兼治小儿和大人疮疹已发出或未发出的情况，都可以服用。兼治气候冷暖不时，人们多患疾疫，忽暖忽冷脱衣穿衣不当，以及暴热之后突然变为阴寒，身体疼痛，头部沉重如石的情况。
升麻、白芍药、甘草（炙）、干葛（各等分）。
以上药材锉成麻豆大小。每次服用五钱，用水一盏半，煎至八分，去渣温服。如果寒气很重就热服，如果热气重就温服。疮疹也照此办理。服药后身体凉爽就停药。小儿根据年龄多少酌情服用。如果是老年人吃，去掉芍药，加柴胡一两，人参半两，雪白芍药一分。
（防风白术牡蛎汤）（二） 治疗发汗过多，头晕出汗，筋脉跳动，肌肉瞤动。
防风（独茎的去掉芦头）、牡蛎粉（炒黄）、白术（各等分）。
以上捣碎过筛为细末。每次服用二钱，用酒调下，米饮也可以。每天进二三服。汗止后，接着服用小建中汤。
（李根汤）（三） 治疗气向上冲，顶在心口部位。
半夏（汤洗半两）、当归（一分）、芍药（一分）、茯苓（一分）、桂枝（一两）、黄芩（一分）、甘草（炙一分）、甘李根白皮（二合）。
以上锉成麻豆大小。每次取五钱匕，生姜四片，水一盏半，煎至八分，去渣温服。
（大橘皮汤）（四） 动气在下焦，不可发汗。发汗则无汗，心中非常烦躁，骨节疼痛，眼晕恶寒，进食则呕吐，食物无法进入。先服用大橘皮汤，吐止后，再服用小建中汤。
橘皮（一两半去白）、甘草（炙半两）、人参（一分）、竹茹（半升）。
以上锉成麻豆大小。每次服用五钱，生姜四片，枣子一枚，用水二钟，煎取一盏，去渣分两次服用。
（橘皮竹茹汤）（五） 治疗呃逆。
橘皮（二两）、竹茹（一升）、甘草（二两炙）、人参（半两）、半夏（一两汤洗）。
以上锉成麻豆大小。每次服用五钱，生姜六片，枣子一枚，用水两大盏，煎至一盏，去渣温服。每天进三服。
（生姜橘皮汤）（四） 治疗干呕哕，如果手足厥冷的。
橘皮（四两）、生姜（半斤）。
以上锉成麻豆大小，水七盏，煎至三盏，去渣温服一盏。
（阴旦汤）（六） 治疗伤寒肢节疼痛，内寒，外热，虚烦。
芍药（二两）、甘草（二两炙）、干姜（三两炮）、黄芩（三两）、桂（四两）。
以上锉成麻豆大小。每次取五钱，枣二枚，水一盏半，煎至八分，去渣温服。白天三次，夜间两次。
（阴毒甘草汤）（七） 治疗伤寒初得病一二日，大便结硬，形成阴毒。或者服药六七日以上，到十日，变成阴毒。身体沉重，背部僵硬，腹中绞痛，咽喉不利，毒瓦斯攻心，心下坚硬，短气呼吸困难，呕吐逆气，嘴唇青紫，面色发黑，四肢厥冷。其脉沉细而快。张仲景说：这是阴毒的证候，身体像被棍棒打过一样痛，喉咽痛。五六天还可以治，到七天就不能治了。
甘草（炙）、升麻、当归（各二分）、雄黄（一分）、桂枝（去皮二分）、鳖甲（一两半醋炙秤）、蜀椒（一分，出汗闭口的及子去掉）。
以上锉成麻豆大小。每次取五钱匕，水一盏半，煎至八分，去渣服用。大约人行走五里的时间，再进一服。温覆取汗，毒邪应当从汗排出。汗出即愈。如果没有出汗，再制作服用。
（白术散）（八） 治疗阴毒伤寒，心间烦躁，四肢逆冷。
白术（一两）、细辛（一两）、附子（一两炮去皮脐用）、桔梗（一两去芦头）、干姜（半两炮裂锉）、川乌头（一两炮裂去皮脐）。
以上药材，捣为细末。每次服用二钱，用水一中盏，煎至六分，不计时候，稍热和着药渣顿服。
（附子散）（九） 治疗阴毒伤寒，嘴唇青紫，面色发黑，身背僵硬，四肢冷。
附子（三分炮裂去皮）、桂心（半两）、当归（半两锉微炒）、干姜（一分炮裂锉）、半夏（一分汤洗七次去滑）、白术（半两）。
以上捣筛为细散。每次服用三钱，用水一中盏，入生姜半分，煎至六分，去渣，不计时候，热服。盖衣取汗。大约人行走十里未出汗再服。
（正阳散）（十） 治疗阴毒伤寒，面色青，张口出气，心下硬，身体不热，只有额头有汗，烦渴不止，舌黑多睡，四肢俱冷。
甘草（一分炙微赤锉）、附子（一两炮裂去皮脐）、麝香（一钱研细入）、干姜（一分炮裂锉）、皂荚（一挺去皮涂酥炙令黄色去子）。
以上捣罗为细末。每次服用二钱，用水一中盏，煎至五分，不计时候，和着药渣热服。
（肉桂散）（十一） 治疗伤寒服用冷药过度，心腹胀满，四肢逆冷，昏沉不识人，变为阴毒。
肉桂（三分去皴皮）、赤芍药（一两）、陈橘皮（一两）、前胡（一两去芦头）、附子（一两炮裂去皮脐）、当归（一两）、白术（三分）、高良姜（三分锉）、人参（一两去芦头）、吴茱萸（半两汤浸）、浓朴（三分去皮姜汁炙令香热）、木香（三分）。
以上捣为粗末。每次服用四钱，用水一中盏，入枣子三枚，煎至六分，去渣，不计时候，稍热频服。
（回阳丹）（十二） 治疗阴毒伤寒，面色青，手足逆冷，心腹气胀，脉候沉细。宜用此方治疗。
硫黄（半两细研入）、木香（半两）、荜澄茄（半两）、附子（半两炮裂去皮脐）、干姜（一分炮裂锉）、干蝎（半两）、吴茱萸（半两，浸七遍焙干微炒）。
以上药材捣罗为细末，酒煮面糊为丸，如梧桐子大。每次不计时候，用生姜汤送下三十丸，频服两服，再用热酒一盏投服，用厚衣服覆盖取汗。
（返阴丹）（十三） 治疗阴毒伤寒，心神烦躁，头痛四肢逆冷。
硫黄（五两）、太阴玄精石（二两另研）、硝石（二两另研用）、附子（炮裂去皮脐）、干姜（炮裂锉）、桂心（以上各半两）。
以上药材用生铁铫，先铺玄精末一半，次铺硝石末一半，中间下硫黄末，又着硝石盖硫黄，都以玄精盖上讫，用小盏合着，以三斤炭火，烧令得所，勿令烟出多，急取瓦盆合着地面，四向着灰，盖勿令烟出，直候冷，取出细研如面。后三味捣罗为末，与前药同研令匀。用软饭和丸，如梧桐子大。每次服用十五丸至二十丸，煎艾汤送下，频服汗出为度。病重则三十丸。此方很灵验，喘促与吐逆者入口便止。又服此方药三五服，服之不退，便于脐下一寸灸之。必须是大段艾灸，日夜不住手灸，不限多少壮数。灸的时候，艾炷不要太小，小则不得力。如果其人手足冷，小腹硬，就须更于脐下两边各一寸，各安一道三处脐下灸。仍与当归四逆汤，并返阴丹，亦须频服。内外通透，方得解退。如果迟慢即便死矣。又若是阴症，加以小便不通，及阴囊缩入，小腹绞痛欲死者，更于脐下二寸石门穴，大段急灸之。仍须与返阴丹，当归四逆加吴茱萸生姜汤。慎勿与寻常利小便药也。寻常利小便多是冷滑药，此是阴毒，气在小腹所致也。世有医者，见小便不通，便用炒盐及裹热药于脐下便熨，欲望小便通，缘阴气在小腹之间，致被热物熨着，无处出得，即便奔上冲心，往往有死者。
（天雄散）（十四） 治疗阴毒伤寒，身重背强，腹中痛，咽喉不利，毒瓦斯攻心，心下坚强，短气呕逆，唇青面黑，四肢厥冷。其脉沉细而疾。
天雄（一两炮裂去皮脐）、麻黄（半两去根节）、当归（半两切微炒）、白术（半两）、肉桂（一两去粗皮）、半夏（半两汤泡洗七次去滑）、陈橘皮（三分汤浸去白瓤炒）、干姜（三分炮）、川椒（一分去目及闭口者微炒去汁）、浓朴（一两去粗皮涂生姜汁炙令香熟）。
以上药材捣为粗末。每次服用五钱，用水一大盏，入生姜半分，枣子三枚，煎至五分，去渣，不计时候，稍热服。大约人行走十里，未出汗再服。
（续添）正元散 退阴散（出百问方）
（正元散）治疗伤寒。如果觉得风寒吹着四肢，头目百骨节疼痛，急煎此药服用。大约人行走五里再服。或连进三服，出汗立即痊愈。如果患阴毒伤寒，加入退阴散半钱，同煎。或者伤冷伤食，头昏气满，及心腹诸疾，服用没有不取效的。
麻黄（去节秤）、陈皮、大黄（生用）、甘草（炙）、干姜（炮用）、肉桂（去皮）、芍药、附子（炮去皮用）、茱萸（汤洗焙炒）、半夏（洗，各等分）。
以上麻黄加一半，茱萸减一半，同为末。每次服用一大钱，水一盏，生姜三片，枣一枚，煎至七分，热服。如果出汗，以衣被盖覆，切须候汗干，去衣被。如是阴毒，不可用麻黄，免更出汗。
（退阴散）治疗阴毒伤寒，手足逆冷，脉沉细，头痛腰重，连进三服。小小伤冷，每服一字，入正元散内同煎，入盐一捻。阴毒伤寒咳逆，煎一服细细热呷便止。
川乌、干姜（各等分）。
以上为粗末，炒令转色，放冷，再捣为细末。每次服用一钱，水一盏，盐一捻，煎半盏，去渣温服。
（葱熨法）（十五） 治疗气虚阳脱，体冷无脉，气息欲绝，不省人事。及伤寒阴厥，百药不效。用葱以绳索缠如绳许大，切去根及叶，唯存白，长二寸许，做成大饼状。先用火一面，令通热，又匆令灼人，乃以热处搭病患脐连脐下，其上以熨斗满贮火熨之，令葱饼中热气郁郁入肌肉中。须预作三四饼，一饼坏，不可熨，又易一饼。良久病患当渐醒，手足温，有汗即痊愈。更服四逆汤辈，温其内。昔曾有患伤寒冥冥不知人，四体坚冷如石，药不可入，用此遂瘥。
（葶苈苦酒汤）（十六） 治疗伤寒七八日内热不解。
苦酒（米醋是也一升半）、生艾汁（半升，无生艾煮热艾汁或用艾根捣取汁用）、葶苈（熬杵膏一合）。
以上煎取七合作三服。
（阳毒升麻汤）（十七） 治疗伤寒一二日便成阳毒。或者服药吐下之后，变成阳毒。腰背痛，烦闷不安，面赤狂言，或走，或见鬼，或下利，脉浮大数，面赤，斑斑如锦纹，喉咽痛，下脓血。五日可治，七日不可治也。
升麻（二分）、犀角屑（一分）、射干（一分）、黄芩（一分）、人参（一分）、甘草（一分）。
以上锉成麻豆大小，以水三升，煎取一升半，去渣饮一汤盏，食顷再服。温覆，手足出汗，汗出则解。不解，重作。
（大黄散）（十八） 治疗阳毒伤寒未解，热结在内，恍惚如狂者。
川大黄（一两半切）、桂心（三分）、甘草（一两炙微赤）、川芒硝（二两）、木通（一两切）、大腹皮（一两切）、桃仁（二十一枚汤浸去皮尖双仁麸炒令微黄）。
以上药材捣为粗末。每次服用四钱，用水一中盏，煎至六分，去渣，不计时候，温服。以通利为度。
（栀子仁汤）（十九） 治疗阳毒伤寒，壮热百节疼痛。
栀子仁（一两）、柴胡（一两半去苗）、川升麻（二两）、黄芩（二两）、赤芍药（一两）、大青（一两）、石膏（二两）、知母（一两）、甘草（半两炙赤锉）、杏仁（二两，汤浸去皮尖，双仁者麸炒微黄）。
以上药材捣为粗末。每次取四钱，用水一中盏，入生姜半分，豉一百粒，煎至六分去渣，不计时候，温服。
（黑奴丸）（二十） 时行热病，六七日未得汗，脉洪大，或数，面赤目瞪，身体大热，烦躁狂言欲走，大渴甚。又五六日以上不解，热在胸中，口噤不能言，为坏伤寒，医所不治为死。或者人精魂已竭，心下才暖，发开其口，灌药下咽即活。兼治阳春及发斑。
大黄（二两）、釜底煤（研入）、黄芩、芒硝、灶突墨（研入）、梁上尘、小麦奴（各一两）、麻黄（去节泡一二沸焙干秤三两）。
以上药材捣罗为细末，炼蜜为丸，如弹子大，以新汲水研下一丸，渴者但与冷水尽足饮之。须臾当寒，寒竟汗出便瘥。若日移五尺不汗，根据前法服一丸，瘥即止。须微利。小麦奴乃小麦未熟时，丛中不成麦，捻之成黑勃是也。无此亦得。此药须是病患大渴倍常，燥盛渴者，乃可与之。不渴若与之，反为祸耳。
（五积散）（二十一） 治疗阴经伤冷，脾胃不和，及感寒邪。
枳壳（五两麸炒令色黄熟）、官桂（去皮二两）、浓朴（三两去皮净）、人参（二两）、吴白芷（四两洗净焙干）、白茯苓（三两）、芍药（三两洗净）、当归（三两洗）、麻黄（去节三两）、半夏（三两汤洗七遍）、川芎（二两）、陈橘皮（八两洗不去穣）、甘草（二两半）、干姜（三两）、苍术（二十四两，新者净洗焙干）、桔梗（十二两，紧实白者洗净焙干）。
以上药材除枳壳肉桂外，其余并一处生捣为粗末，分作六分，于大镬内用文武火炒，令黄熟，不得焦，用纸摊于板床，候冷，入前件枳壳官桂末一处和匀，入瓷合盛。每次服用二钱，水一盏，生姜三片，同煎至七分，去渣服。伤寒入葱白一茎，豆豉七粒，同煎连服。
The above single ingredient is mixed with water and taken in a dose of one fangcun bi (a square-inch measure). If urination becomes smooth, the swelling of the glans penis will heal.
This volume contains miscellaneous prescriptions. Generally speaking, Zhang Zhongjing's cases are numerous while his medications are few. If everyone could be regulated as correctly as Zhang Zhongjing, without variations arising, then the use of Mahuang Tang (Ephedra Decoction), Guizhi Tang (Cinnamon Twig Decoction), and Qinglong Tang (Azure Dragon Decoction) would be more than sufficient. It is difficult to expect later generations to attain the level of the Sage. Many of Zhang Zhongjing's prescriptions are missing. As for conditions such as Yin Du Shanghan (Yin Toxin Cold Damage), Shixing Wenyi (Seasonal Warm Epidemic), Wendu (Warm Toxin), and Faban (Eruption of Spots), there are no complete prescription books. Now, I have collected contents from *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold), *Qianjin Fang* (Prescriptions Worth a Thousand Gold), *Taiping Shenghui Fang* (Holy Grace Prescriptions of the Taiping Era), and *Jingui Yufan Jing* (Golden Cabinet Jade Box Classic) to supplement and complete them. There are over a hundred formulas in total. Cases are matched with formulas, and formulas are matched with diseases. Although these were not edited by Zhang Zhongjing, they are all ancient famous prescriptions. This is like the *Zhouyi Cantong Qi* or the *Huayan Helun*; although the steps and galloping may differ, they do not exceed the intent of the Sages. Moreover, secular learning has been prevalent for a long time; if it is suddenly abolished and all ancient methods are used, it would be like "Yangchun Baixue" (Spring Snow - a metaphor for high-brow art that few can appreciate), leading only to slander and destruction. This would effectively cut off treatment methods. Now, by categorizing them according to meridians, simplifying decoctions, and incorporating miscellaneous prescriptions, it is hoped that ordinary people can easily understand them. Through daily accumulation, the techniques of acrid-sweet dispersing and sour-bitter vomiting/purging will be implemented, and secular prescriptions will naturally fade away even without being abolished. This is my reason for including miscellaneous prescriptions. Furthermore, for prescriptions such as Wuji San (Five Accumulations Powder), Baidu San (Defeat Toxin Powder), Shengma Tang (Cimicifuga Decoction), and Weirui Tang (Polygonatum Decoction), even if they do not perfectly match the disease, their use may bring improvement and cause no harm. They are listed at the end of this volume for selection.
(Shengma Tang) (1) Treats headache caused by Shanghan Zhongfeng (Cold Damage and Wind Strike), aversion to cold with high fever, limb pain, fever with aversion to cold, dry nose preventing sleep. It also treats childhood and adult chuangzhen (smallpox/chickenpox/rash) whether erupted or not erupting; it can be taken in both cases. It also treats irregular climate changes where many people suffer from epidemics, sudden temperature fluctuations due to improper dressing, and sudden shifts from intense heat to yin-cold after extreme heat, causing body pain and a heavy head feeling like a stone.
Shengma (Cimicifugae Rhizoma), Baishao Yao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Gange (Puerariae Radix) in equal proportions.
Crush the herbs to the size of hemp seeds. Take 5 qian per dose. Add 1.5 sheng of water, boil to 0.8 sheng, remove dregs, and take warm. If the cold is severe, take hot; if heat is severe, take warm. The same applies to rashes. Stop medication when the body cools down. Children should take doses adjusted for age. For elderly patients, remove Baishao Yao, add Chaihu (Bupleuri Radix) 1 liang, Renshen (Ginseng Radix) 0.5 liang, and Xuebai Shaoyao (White Paeonia Root) 1 fen.
(Fangfeng Baizhu Muli Tang) (2) Treats excessive sweating leading to dizziness, sweating, twitching of sinews, and muscle fasciculation.
Fangfeng (Saposhnikoviae Radix, remove rhizome from single-stemmed ones), Muli Fen (Ostreae Concha powder, stir-fried until yellow), Baizhu (Atractylodis Macrocephalae Rhizoma) in equal proportions.
Grind into a fine powder. Take 2 qian per dose, mixed with wine or rice infusion. Take 2-3 times a day. Once sweating stops, subsequently take Xiao Jianzhong Tang (Minor Construct the Middle Decoction).
(Ligen Tang) (3) Treats qi rushing upward, pressing directly at the heart region.
Banxia (Pinelliae Rhizoma, washed with hot water, 0.5 liang), Danggui (Angelicae Sinensis Radix, 1 fen), Shaoyao (Paeoniae Radix, 1 fen), Fuling (Poria, 1 fen), Guizhi (Cinnamomi Ramulus, 1 liang), Huangqin (Scutellariae Radix, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen), Ganli Gen Bapi (Cortex Pruni Spinosae Albus, 2 he).
Crush to the size of hemp seeds. Take 5 qian bi per dose, with 4 slices of Shengjiang (Zingiberis Rhizoma Recens), 1.5 sheng of water, boil to 0.8 sheng, remove dregs, and take warm.
(Da Jupi Tang) (4) When there is moving qi in the lower jiao, sweating therapy is contraindicated. Sweating will result in anhidrosis, severe mental restlessness, bone and joint pain, vertigo with aversion to cold, vomiting upon eating, and inability to retain food. First take Da Jupi Tang (Large Citrus Peel Decoction). After vomiting stops, take Xiao Jianzhong Tang.
Jupi (Citri Reticulatae Pericarpium, 1.5 liang, remove white pith), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang), Renshen (Ginseng Radix, 1 fen), Zhuru (Bambusae Caulis in Taeniam, 0.5 sheng).
Crush to the size of hemp seeds. Take 5 qian per dose, with 4 slices of Shengjiang, 1 jujube, 2 zhong of water, boil to 1 sheng, remove dregs, and divide into two doses.
(Jupi Zhuru Tang) (5) Treats hiccups (yue ni).
Jupi (Citri Reticulatae Pericarpium, 2 liang), Zhuru (Bambusae Caulis in Taeniam, 1 sheng), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Renshen (Ginseng Radix, 0.5 liang), Banxia (Pinelliae Rhizoma, 1 liang, washed with hot water).
Crush to the size of hemp seeds. Take 5 qian per dose, with 6 slices of Shengjiang, 1 jujube, 2 large sheng of water, boil to 1 sheng, remove dregs, and take warm. Take 3 times a day.
[Note: Numbered (4) again in text, likely a typo for (7)] (Shengjiang Jupi Tang) Treats dry retching and hiccups, especially when hands and feet are cold.
Jupi (Citri Reticulatae Pericarpium, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 0.5 jin).
Crush to the size of hemp seeds. Use 7 sheng of water, boil to 3 sheng, remove dregs, and take 1 sheng warm.
(Yin Dan Tang) (6) Treats Shanghan with joint pain, internal cold, external heat, and empty vexation.
Shaoyao (Paeoniae Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Ganjiang (Zingiberis Rhizoma, roasted, 3 liang), Huangqin (Scutellariae Radix, 3 liang), Gui (Cinnamomi Cortex/Ramulus, 4 liang).
Crush to the size of hemp seeds. Take 5 qian per dose, with 2 jujubes, 1.5 sheng of water, boil to 0.8 sheng, remove dregs, and take warm. Take 3 times during the day and 2 times at night.
(Yin Du Gancao Tang) (7) Treats Shanghan developing into Yin Du (Yin Toxin) within 1-2 days of onset, characterized by constipation. Or, after taking medicine for 6-7 days up to 10 days, it transforms into Yin Du. Symptoms include heavy body, stiff back, colicky abdominal pain, difficulty in the throat, toxic vapors attacking the heart, hardness below the heart, shortness of breath, vomiting, cyanotic lips, black face, and cold limbs. The pulse is deep, fine, and rapid. Zhang Zhongjing said: This is the presentation of Yin Du. The body feels as if beaten with a stick, with throat pain. It is treatable within 5-6 days, but untreatable after 7 days.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix) in equal parts (2 fen each), Xionghuang (Realgar, 1 fen), Guizhi (Cinnamomi Ramulus, peeled, 2 fen), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, 1.5 liang), Shujiao (Zanthoxyli Pericarpium, 1 fen, discard those with closed pores and seeds).
Crush to the size of hemp seeds. Take 5 qian bi per dose, 1.5 sheng of water, boil to 0.8 sheng, remove dregs, and take. After the time it takes a person to walk five li, take another dose. Cover warmly to induce sweating. The toxin should exit via sweat. Healing occurs when sweat appears. If no sweat, prepare another dose.
(Baizhu San) (8) Treats Yin Du Shanghan with irritability in the chest and cold extremities.
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Xixin (Asari Radix et Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed, 1 liang), Jiegeng (Platycodonis Radix, 1 liang, remove rhizome), Ganjiang (Zingiberis Rhizoma, roasted, cracked, crushed, 0.5 liang), Chuan Wutou (Aconiti Radix, roasted, cracked, peeled, umbilicus removed, 1 liang).
Grind all ingredients into a fine powder. Take 2 qian per dose, 1 zhong of water, boil to 0.6 sheng. Take at any time, slightly warm, drinking the dregs together in one go.
(Fuzi San) (9) Treats Yin Du Shanghan with cyanotic lips, black face, stiff back, and cold limbs.
Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, 3 fen), Guixin (Cinnamomi Cortex, 0.5 liang), Danggui (Angelicae Sinensis Radix, sliced and lightly fried, 0.5 liang), Ganjiang (Zingiberis Rhizoma, roasted, cracked, crushed, 1 fen), Banxia (Pinelliae Rhizoma, washed 7 times with hot water to remove slipperiness, 1 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang).
Grind into a fine powder. Take 3 qian per dose, 1 zhong of water, add 0.5 fen of Shengjiang, boil to 0.6 sheng, remove dregs, and take hot at any time. Cover with clothes to induce sweat. If no sweat after walking ten li, take another dose.
(Zheng Yang San) (10) Treats Yin Du Shanghan with blue face, gasping with open mouth, hardness below the heart, no body heat except for sweat on the forehead, incessant thirst and vexation, black tongue, excessive sleepiness, and cold limbs.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, slightly red, crushed, 1 fen), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed, 1 liang), Shexiang (Musk, 1 qian, ground fine and added), Ganjiang (Zingiberis Rhizoma, roasted, cracked, crushed, 1 fen), Zaojia (Gleditsiae Fructus, 1 pod, peel, coat with butter, roast until yellow, remove seeds).
Grind into a fine powder. Take 2 qian per dose, 1 zhong of water, boil to 0.5 sheng. Take at any time, hot, with dregs.
(Rou Gui San) (11) Treats Shanghan caused by excessive intake of cold medicines, resulting in abdominal distension, cold extremities, coma, and transformation into Yin Du.
Rougui (Cinnamomi Cortex, remove rough bark, 3 fen), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Chen Jupi (Citri Reticulatae Pericarpium, aged, 1 liang), Qianhu (Peucedani Radix, 1 liang, remove rhizome), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 3 fen, crushed), Renshen (Ginseng Radix, 1 liang, remove rhizome), Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked in hot water), Houpo (Magnoliae Officinalis Cortex, 3 fen, peel, stir-fry with ginger juice until fragrant and hot), Muxiang (Aucklandiae Radix, 3 fen).
Grind into coarse powder. Take 4 qian per dose, 1 zhong of water, add 3 jujubes, boil to 0.6 sheng, remove dregs, and take frequently, slightly warm, at any time.
(Hui Yang Dan) (12) Treats Yin Du Shanghan with blue face, cold extremities, abdominal distension, and deep, fine pulse.
Liuhuang (Sulfur, 0.5 liang, finely ground and added), Muxiang (Aucklandiae Radix, 0.5 liang), Bidengqie (Picrasmae Fructus, 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed, 0.5 liang), Ganjiang (Zingiberis Rhizoma, roasted, cracked, crushed, 1 fen), Ganxie (Scorpio, 0.5 liang), Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked 7 times, dried, lightly fried).
Grind into fine powder. Make pills using wheat paste boiled in wine, sized like paulownia seeds. Take 30 pills at any time with ginger soup. Take frequently, two doses, followed by a cup of hot wine. Cover with thick clothing to induce sweat.
(Fan Yin Dan) (13) Treats Yin Du Shanghan with mental restlessness, headache, and cold extremities.
Liuhuang (Sulfur, 5 liang), Taiyin Xuanjing Shi (Calcitum Nigrum, 2 liang, ground separately), Xiaoshi (Natrii Nitras, 2 liang, ground separately), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed), Ganjiang (Zingiberis Rhizoma, roasted, cracked, crushed), Guixin (Cinnamomi Cortex) - the above three in equal parts (0.5 liang each).
Use a raw iron pot. Spread half of the Xuanjing powder at the bottom, then half of the Xiaoshi powder, place Liuhuang powder in the middle, cover with remaining Xiaoshi powder, and seal with remaining Xuanjing powder. Cover with a small cup, burn with 3 jin of charcoal fire until properly processed, ensuring little smoke escapes. Quickly place a clay basin upside down on the ground, surround with ash, and cover to prevent smoke escape. Wait until cool, then grind finely into flour-like powder. Grind the other three ingredients into powder and mix uniformly with the previous mixture. Form pills with soft rice, sized like paulownia seeds. Take 15-20 pills per dose with mugwort decoction. Take frequently until sweat appears. For severe cases, take 30 pills. This formula is very effective; it stops panting and vomiting immediately upon ingestion. If symptoms persist after 3-5 doses, moxa one cun below the umbilicus. Moxa heavily, continuously day and night, regardless of the number of cones. Do not make cones too small, or they will lack efficacy. If hands and feet are cold and lower abdomen is hard, moxa three spots: one directly below the umbilicus and one on each side, one cun lateral to the midline below the umbilicus. Also administer Danggui Sini Tang (Angelica Decoction for Extremity Cold) and Fan Yin Dan frequently. Internal and external penetration is required for resolution. Delay leads to death. If Yin syndrome presents with urinary retention, retracted testicles, and severe lower abdominal colic, urgently moxa the Shimen (CV5) point, two cun below the umbilicus. Continue administering Fan Yin Dan and Danggui Sini Tang plus Wuzhuyu and Shengjiang Decoction. Do NOT use common diuretics. Common diuretics are often cold and slippery, which worsens this Yin Toxin condition caused by qi stagnation in the lower abdomen. Some physicians, seeing urinary retention, apply hot salt or heated packs to the lower abdomen hoping to promote urination. Since yin qi is trapped in the lower abdomen, applying heat causes it to rush upward to the heart, often resulting in death.
(Tianxiong San) (14) Treats Yin Du Shanghan with heavy body, stiff back, abdominal pain, throat obstruction, toxic vapors attacking the heart, hardness below the heart, shortness of breath, vomiting, cyanotic lips, black face, cold limbs, and deep, fine, rapid pulse.
Tianxiong (Aconiti Radix Lateralis Preparata? Note: Tianxiong is Aconiti Radix, usually referring to the main root or specific preparation, here specified as roasted, peeled, umbilicus removed, 1 liang), Mahuang (Ephedrae Herba, 0.5 liang, remove roots and joints), Danggui (Angelicae Sinensis Radix, sliced and lightly fried, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Rougui (Cinnamomi Cortex, 1 liang, remove rough bark), Banxia (Pinelliae Rhizoma, 0.5 liang, soaked and washed 7 times), Chen Jupi (Citri Reticulatae Pericarpium, 3 fen, soaked in hot water, remove white pith, stir-fried), Ganjiang (Zingiberis Rhizoma, 3 fen, roasted), Chuanjiao (Zanthoxyli Pericarpium, 1 fen, remove eyes and closed pods, lightly fried, remove juice), Houpo (Magnoliae Officinalis Cortex, 1 liang, peel, stir-fry with ginger juice until fragrant and cooked).
Grind into coarse powder. Take 5 qian per dose, 1 large sheng of water, add 0.5 fen of Shengjiang, 3 jujubes, boil to 0.5 sheng, remove dregs, and take slightly warm at any time. If no sweat after walking ten li, take another dose.
(Supplement) Zheng Yuan San, Tui Yin San (from Baiwen Fang)
(Zheng Yuan San) Treats Shanghan. If one feels wind-cold affecting the limbs, causing pain in the head, eyes, and bones/joints, decoct and take this medicine urgently. Take again after walking five li, or take three consecutive doses. Sweating leads to immediate recovery. For Yin Du Shanghan, add 0.5 qian of Tui Yin San and decoct together. It is also effective for cold/food injury causing dizziness, qi fullness, and various heart/abdominal disorders.
Mahuang (Ephedrae Herba, remove joints, weighed), Chenpi (Citri Reticulatae Pericarpium), Dahuang (Rhei Radix et Rhizoma, raw), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ganjiang (Zingiberis Rhizoma, roasted), Rougui (Cinnamomi Cortex, peeled), Shaoyao (Paeoniae Radix), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, umbilicus removed), Zhuyu (Evodiae Fructus, washed, dried, fried), Banxia (Pinelliae Rhizoma, washed) - all in equal proportions.
Increase Mahuang by half, decrease Zhuyu by half. Grind together into powder. Take 1 da qian per dose, 1 sheng of water, 3 slices of Shengjiang, 1 jujube, boil to 0.7 sheng, take hot. If sweating occurs, cover with blankets/clothes. Wait until sweat dries before removing covers. For Yin Du, do NOT use Mahuang to avoid excessive sweating.
(Tui Yin San) Treats Yin Du Shanghan with cold extremities, deep/fine pulse, headache, and heavy waist. Take three consecutive doses. For minor cold injury, take 1 zi dose mixed with Zheng Yuan San and decoct together, adding a pinch of salt. For Yin Du Shanghan with coughing/reversal of qi, decoct one dose, sip slowly while hot to stop symptoms.
Chuanwu (Aconiti Radix), Ganjiang (Zingiberis Rhizoma) - equal proportions.
Grind into coarse powder, stir-fry until color changes, cool, then grind into fine powder. Take 1 qian per dose, 1 sheng of water, a pinch of salt, boil to 0.5 sheng, remove dregs, and take warm.
(Cong Yi Fa) (15) Treats qi deficiency and yang collapse, cold body, absent pulse, impending respiratory failure, unconsciousness. Also for Shanghan Yin Jue (Yin Cold Reversal) unresponsive to drugs. Bind green onions (Cong Bai) into a rope-like bundle, cut off roots and leaves, keeping only the white part, about 2 cun long, forming a cake shape. Heat one side of the cake over fire until thoroughly hot but not burning. Place the hot side on the patient's navel extending downwards. Use a moxa iron filled with hot coals to press/hear the onion cake, driving the heat deeply into the muscles. Prepare 3-4 cakes; replace when one is damaged. After some time, the patient should gradually awaken, limbs warm, and sweating indicates recovery. Subsequently administer Sini Tang (Frigid Extremities Decoction) group to warm the interior. Historically, a patient with Shanghan was unconscious, limbs hard and cold as stone, unable to take oral medicine. This method cured him.
(Tingli Kujiu Tang) (16) Treats Shanghan with unresolved heat after 7-8 days.
Kujiu (Vinegar, 1.5 sheng), Sheng Ai Zhi (Fresh Mugwort Juice, 0.5 sheng; if unavailable, use boiled mugwort juice or juice pressed from mugwort roots), Tingli (Descurainiae Semen seu Lepidii Semen, roasted, pounded into paste, 1 he).
Boil to obtain 0.7 sheng, divide into 3 doses.
(Yang Du Shengma Tang) (17) Treats Shanghan transforming into Yang Du (Yang Toxin) within 1-2 days, or after vomiting/purging treatments. Symptoms include back pain, restlessness, red face, delirious speech, running away, hallucinations, diarrhea, floating/large/rapid pulse, red face, rash like brocade patterns, throat pain, and purulent bloody stools. Treatable within 5 days, untreatable after 7 days.
Shengma (Cimicifugae Rhizoma, 2 fen), Xijiao Xie (Rhinocerotis Cornu, shaved, 1 fen), Sheye (Belamcandae Rhizoma, 1 fen), Huangqin (Scutellariae Radix, 1 fen), Renshen (Ginseng Radix, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen).
Crush to hemp seed size. Use 3 sheng of water, boil to 1.5 sheng, remove dregs. Drink one tang bowl, repeat after a meal interval. Cover warmly. Sweat from hands and feet indicates resolution. If unresolved, prepare another dose.
(Dahuang San) (18) Treats unresolved Yang Du Shanghan with internal heat accumulation, delirium resembling mania.
Chuan Dahuang (Rhei Radix et Rhizoma, 1.5 liang, sliced), Guixin (Cinnamomi Cortex, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, slightly red, 1 liang), Chuan Mangxiao (Natrii Sulfas, 2 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Dafupi (Arecae Pericarpium, 1 liang, sliced), Tao Ren (Persicae Semen, 21 pieces, soaked in hot water, remove skin/tip, double-kernel, bran-roasted until slightly yellow).
Grind into coarse powder. Take 4 qian per dose, 1 zhong of water, boil to 0.6 sheng, remove dregs, and take warm at any time. Continue until bowel movement is achieved.
(Zhizi Ren Tang) (19) Treats Yang Du Shanghan with high fever and pain in all joints.
Zhizi Ren (Gardeniae Semen, 1 liang), Chaihu (Bupleuri Radix, 1.5 liang, remove sprouts), Chuan Shengma (Cimicifugae Rhizoma, 2 liang), Huangqin (Scutellariae Radix, 2 liang), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Daqing (Isatidis Folium, 1 liang), Shigao (Gypsum Fibrosum, 2 liang), Zhimu (Anemarrhenae Rhizoma, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, red, crushed, 0.5 liang), Xing Ren (Pruni Semen, 2 liang, soaked in hot water, remove skin/tip, bran-roasted double-kernels until slightly yellow).
Grind into coarse powder. Take 4 qian per dose, 1 zhong of water, add 0.5 fen of Shengjiang, 100 grains of Chi Dou (Fermented Soybean), boil to 0.6 sheng, remove dregs, and take warm at any time.
(Hei Nu Wan) (20) Treats epidemic febrile disease where no sweat occurs after 6-7 days, pulse is flooding or rapid, face is red, eyes staring, body very hot, restlessness, delirious speech, desire to run, extreme thirst. If unresolved after 5-6 days, heat is in the chest, jaw locked unable to speak. This is "Bad Shanghan" (Ruined Cold Damage), considered fatal by doctors. However, if the spirit is exhausted but the epigastrium is still warm, opening the mouth and pouring medicine in can revive the patient. Also treats Spring Fever and Eruption of Spots.
Dahuang (Rhei Radix et Rhizoma, 2 liang), Fudi Mei (Pot Ash/Coal dust from stove bottom, ground and added), Huangqin (Scutellariae Radix), Mangxiao (Natrii Sulfas), Zaotu Mo (Soot from chimney, ground and added), Liangshang Chen (Dust from beams), Xiaomai Nu (Wheat Sprout/Immature Wheat Grain, 1 liang each), Mahuang (Ephedrae Herba, 3 liang, remove joints, soak in hot water for 1-2 boils, dry, weigh).
Grind into fine powder. Form pills with refined honey, size of a bullet. Dissolve one pill in fresh well water and administer. For thirsty patients, allow free drinking of cold water. Soon, chills will occur, followed by sweating and recovery. If no sweat after the sun moves five chi (approx. 1 hour), administer one pill again according to previous method. Stop when recovered. Mild diarrhea is expected. Xiaomai Nu refers to immature wheat grains found in clusters that fail to mature, turning black when rubbed. If unavailable, it is acceptable. This medicine is only suitable for patients with extreme, doubled thirst and severe dryness. Do not give if not thirsty, as it will cause disaster.
(Wuji San) (21) Treats cold injury to Yin meridians, spleen/stomach disharmony, and cold pathogen invasion.
Zhiqiao (Aurantii Fructus, bran-roasted until yellow/cooked, 5 liang), Guanzi Gui (Cinnamomi Cortex, peeled, 2 liang), Houpo (Magnoliae Officinalis Cortex, peeled, clean, 3 liang), Renshen (Ginseng Radix, 2 liang), Wu Baizhi (Ligustici Chuanxiong Rhizoma? Note: Text says Wu Baizhi, likely Angelica Dahurica or similar, washed, dried, 4 liang), Baifuling (Poria, 3 liang), Shaoyao (Paeoniae Radix, washed, 3 liang), Danggui (Angelicae Sinensis Radix, washed, 3 liang), Mahuang (Ephedrae Herba, remove joints, 3 liang), Banxia (Pinelliae Rhizoma, washed 7 times with hot water, 3 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 liang), Chen Jupi (Citri Reticulatae Pericarpium, washed, do not remove pith, 8 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2.5 liang), Ganjiang (Zingiberis Rhizoma, 3 liang), Cangzhu (Atractylodis Rhizoma, 24 liang, new, clean, dried), Jiegeng (Platycodonis Radix, 12 liang, tight, white, clean, dried).
Except for Zhiqiao and Guanzi Gui, grind all ingredients raw into coarse powder. Divide into six portions. Stir-fry in a large wok with medium-low heat until yellow/cooked, avoiding burning. Spread on a wooden board with paper, cool. Mix with the pre-ground Zhiqiao and Guanzi Gui powders. Store in porcelain jars. Take 2 qian per dose, 1 sheng of water, 3 slices of Shengjiang, boil to 0.7 sheng, remove dregs, and take. For Shanghan, add 1 stalk of Congbai (Allii Fistulosi Bulbus) and 7 grains of Douchi (Fermented Soybean), decoct together and take consecutively.