。四肢觉冷。至晚心躁困倦。即入盐少许同煎。或者阴经伤寒。手足逆冷。或睡里虚惊
。及虚汗不止。脉细疾。面青呕逆。更宜入附子同煎。加减多少。并在临时。
（霹雳散）（二十二） 治阴盛隔阳。烦躁不饮水。
附子一枚及半两者。炮熟取出。用冷灰焙之。去皮脐为粗末。真腊茶一大钱。细研同和。分作二服。每服用水一盏。
煎六分。临熟入蜜半匙。放温冷服之。须臾躁止得睡。汗出即瘥。
（火焰散）（二十三） 治伤寒恶候。
舶上硫黄 黑附子（去皮生用） 新腊茶（以上各一两为细末）
上先用好酒一升调药。分大新碗五口中。于火上摊荡令干。合于瓦上。每一碗下烧熟艾一拳大。以瓦 起。无令火
着。直至烟尽。冷即刮取。却细研。入瓷合盛。每服二钱。酒一盏。共煎七分。有火焰起。勿讶。伤寒阴毒者。四肢冷。
脉沉细。或吐或泻。五心躁烦。胸中结硬。或转早伏阳在内。汤水不得下。或无脉。先吃一服。如吐却更进一服。后心
中热。其病已瘥。下至脏腑中表未解者。浑身壮热。脉气洪大。便宜用发表药。或表解者。更不发热。便得眠睡。浑身
有汗。方可用调气汤散。如服此药二服不应。不可治也。
（丹砂丸）（二十四） 治伤寒阴阳二毒相伏。危恶形证。
舶上硫黄 水银 太阴石 太阳石 玄精石（以上各一两研） 硝石（半两）
上件药为末。先用无油铫子。以文武火炒。下诸药末。令匀。如灰色。研如粉面。
生姜自然汁浸蒸饼为丸。如绿豆大。每服五丸。龙脑牛黄生姜蜜水下。压躁也。若阳毒
。枣汤下。阴毒荏汤下。不得于屋底炒。
四肢感觉寒冷。到了晚上心中烦躁、困倦。此时加入少许盐一同煎煮。或者是阴经受寒邪侵袭，手足逆冷。或者在睡梦中因虚而惊悸。以及虚汗不止。脉象细数。面色青紫，呕吐气逆。这时更适宜加入附子一同煎煮。加减的剂量多少，都在根据当时情况灵活掌握。
（霹雳散）（第二十二方）治疗阴气盛极格拒阳气，出现烦躁但不想喝水的症状。
附子一枚半两，炮制成熟后取出，用冷灰焙干，去掉皮和脐，研成粗末。真腊茶一大钱，细细研磨后与附子末混合均匀。分作两次服用。每次用水一盏，煎至六分满。临熟时加入半匙蜂蜜，放温凉后服用。不久之后烦躁停止并能入睡，出汗后病即痊愈。
（火焰散）（第二十三方）治疗伤寒中的恶候。
舶上硫黄、黑附子（去皮，生用）、新腊茶（以上各一两，研为细末）。
先用好酒一升调和药粉，分成五只大新碗盛装。在火上摊荡使酒液蒸发至干。将碗扣在瓦片上。每只碗下烧一团拳头大小的熟艾绒，用瓦片盖住，不要让火直接烧着碗。直到烟尽，冷却后刮取药粉，再细细研磨，装入瓷盒中保存。每次服用二钱，加酒一盏，共同煎至七分满。会有火焰升起，不要惊讶。如果是伤寒阴毒证，表现为四肢冰冷，脉象沉细，或者呕吐或腹泻，五心烦热躁动，胸中痞结硬满。或者是伏阳内陷，汤水无法咽下，或者无脉。先服一剂，如果呕吐则再进一服。随后心中感到热，说明病已痊愈。如果病邪深入脏腑，表证未解，全身壮热，脉象洪大，应当立即使用发表药。如果表证已解，不再发热，能够安睡，全身有汗，才可以使用调气汤散。如果服用此药两剂无效，则不可治了。
（丹砂丸）（第二十四方）治疗伤寒阴阳二毒相互潜伏，呈现危重恶劣的证候。
舶上硫黄、水银、太阴石、太阳石、玄精石（以上各一两，研碎）、硝石（半两）。
上述药物研为粉末。先用无油的铫子，用文武火炒，投入诸药末，使其均匀，呈灰色。研磨如粉面状。
用生姜自然汁浸泡蒸饼制成丸药，如绿豆大小。每次服用五丸，用龙脑、牛黄、生姜、蜜水送服，以压制躁动。如果是阳毒证，用枣汤送服；如果是阴毒证，用荏汤送服。不得在阴暗潮湿处炒制。
The four limbs feel cold. By evening, there is mental restlessness and fatigue. At this time, add a small amount of salt and decoct together. This may be Cold Damage (Shanghan) affecting the Yin meridians, with cold reversal in the hands and feet. Or there may be fright from deficiency during sleep, and continuous sweating from deficiency. The pulse is fine and rapid, the complexion is bluish, and there is vomiting with counterflow qi. In such cases, it is more appropriate to add Fuzi (Aconiti Lateralis Radix Praeparata) for simultaneous decoction. The dosage adjustments depend on the specific situation at hand.
(Pili San) (Formula 22) Treats excessive Yin qi blocking Yang qi, characterized by irritability without desire to drink water.
One and a half taels of Pao Shu Fuzi (Prepared Aconite), taken out after being thoroughly processed, baked in cold ash until dry, with skin and umbilicus removed, then ground into coarse powder. One large qian of Zhen La Cha (True Lapsang Souchong Tea), finely ground and mixed evenly with the Fuzi powder. Divide into two doses. For each dose, use one zhan of water, decoct until six-tenths remains. Just before completion, add half a spoonful of honey. Allow to cool to warm temperature and take. Shortly thereafter, irritability ceases, sleep is achieved, and upon sweating, the disease resolves.
(Huoyan San) (Formula 23) Treats severe adverse conditions in Cold Damage.
Bo Shang Liu Huang (Imported Sulphur), Hei Fuzi (Black Aconite, peeled and used raw), Xin La Cha (New Year's Wax Tea) (each one tael, ground into fine powder).
First, mix the medicine with one sheng of good wine, dividing it into five large new bowls. Place on fire and swirl until the liquid evaporates to dryness. Cover with tiles. Under each bowl, burn a fist-sized piece of cooked Ai Ye (Artemisiae Argyi Folium). Cover with tile, ensuring no direct flame touches the bowl. Continue until smoke dissipates. Scrape off the residue when cooled, grind finely again, and store in a porcelain container. Take two qian per dose, with one zhan of wine, decocting together until seven-tenths remains. Flames may rise; do not be alarmed. For Yin Du (Yin Toxin) Cold Damage, symptoms include cold limbs, deep and fine pulse, vomiting or diarrhea, heat and irritability in the five centers (palms, soles, and chest), and hardness/knotting in the chest. Or if Fu Yang (Hidden Yang) turns inward, preventing swallowing of soup or water, or absence of pulse. Take one dose first. If vomiting occurs, administer another dose. Subsequently, warmth in the heart indicates recovery. If pathogens have penetrated to the zang-fu organs while the exterior syndrome remains unresolved, presenting with high fever and surging-large pulse, immediately use exterior-releasing medicines. If the exterior is resolved, fever subsides, sleep is obtained, and general sweating occurs, then Tiao Qi Tang San can be used. If two doses of this medicine yield no effect, the condition is considered untreatable.
(Dansha Wan) (Formula 24) Treats critical and malignant manifestations where Yin and Yang Er Du (Two Poisons) of Cold Damage are mutually latent.
Bo Shang Liu Huang (Imported Sulphur), Shui Yin (Mercury), Tai Yin Shi (Taiyin Stone), Tai Yang Shi (Taiyang Stone), Xuan Jing Shi (Xuanjing Stone) (each one tael, ground), Xiao Shi (Niter/Saltpeter) (half tael).
Grind all ingredients into powder. Use an oil-free dingzi (small cauldron), apply moderate heat, add the powders, and stir until uniform and grayish. Grind until fine as flour.
Soak Zheng Bing (Steamed Bread Dough) in fresh Ginger Juice to form pills, sized like mung beans. Take five pills per dose, administered with Long Nao (Borneol), Niu Huang (Calculus Bovis), Ginger juice, and Honey Water to suppress irritability. For Yang Du (Yang Toxin), administer with Jujube Decoction. For Yin Du (Yin Toxin), administer with Ren Tang (Perilla Leaf Decoction). Do not process in damp or dark places.