冬月伤寒，身热一日即发谵语，人以为邪传阳明也，谁知其人素有阳明胃火，
风入太阳而胃火即沸然不静乎。治之法，若兼治阳明以泻胃热，治亦无瘥；然而太
阳之邪正炽，不专治太阳则卫之邪不能散，营之邪不能解；先去退阳明之火，未必
不引邪而入阳明，反助其腾烧之祸也。不若单治太阳，使太阳之邪不能深入，而阳
明之火不治而自散耳。方用平阳汤∶
桂枝（三分） 麻黄（一钱） 甘草（一钱） 青蒿（三钱） 天花粉（一钱） 水煎服。一剂
而身热退，谵语亦止矣。
此方少用桂枝而多用麻黄者，以寒轻而热重也。用青蒿为君者，青蒿退热而又
能散邪，且又能入膀胱而走于胃，既解膀胱之邪，而又解胃中之火，不特不引邪以
入阳明，而兼且散邪以出阳明也。方中又加天花粉者，以谵语必带痰气，天花粉善
消膈中之痰，而复无增热之虑，入于青蒿、桂枝、麻黄之内，通上达下，消痰而即
消邪也。痰邪两消，又何谵语乎。所以一剂而奏功耳。
此症亦可用争先汤∶
桂枝（五分） 麻黄（五分） 石膏（一钱） 麦冬（五钱） 茯苓（五钱） 半夏（八分） 水煎服。
冬月伤寒，身热二日即有如疟之状，人以为证传少阳也，谁知其人少阳之间原
有寒邪，一遇伤寒，随因之而并见乎。世见此等之症，以小柴胡汤投之亦能奏功，
然终非治法也。法当重治阳明，而兼治少阳为是。盖阳明之火邪未散，虽见少阳之
症，其邪仍留阳明也。邪留阳明，身发寒热而谵语发狂之病，未必不因之而起。惟
重治阳明，则胃中之火自解，使邪不走少阳，而少阳原存之寒邪孤立无党，何能复
煽阳明之焰？自然阳明火息，而少阳之邪亦解也。方用破邪汤∶
石膏（三钱） 柴胡（一钱） 半夏（一钱） 茯苓（三钱） 甘草（一钱） 麦冬（一两） 玄参（三钱） 陈
皮（一钱）
水煎服。一剂而身热解，如疟之症亦痊。
此方用石膏、玄参以治阳明之火，用麦冬以滋肺中之燥。盖肺燥即不能制肝
胆之过旺也，且肺燥必取给于胃，则胃土益加干枯，其火愈炽矣。今多用麦冬，使
肺金得润，不必有藉于胃土，则肺气得养，自能制肝、胆之木，而少阳之邪，何敢
附和胃火以作祟乎。况柴胡原足以舒少阳之气，而茯苓、甘草、半夏、陈皮之类，
更能调和于阳明、少阳之间，邪无党援，安得而不破哉。
此症用八公和阳汤亦神。
石膏（一钱） 柴胡（二钱） 茯苓（三钱） 白术（二钱） 甘草（一钱） 炒栀子（一钱） 青皮（三分）
天花粉（一钱） 水煎服。
冬月伤寒，身热三日，腹满自利，人以为阳传于阴矣，而孰知不然。夫阴症腹
满自利，而阳症未闻无之也。不辨其是阳非阴，而概用治太阴之法，鲜有不死亡者
矣。然阴与阳何以辨之？夫太阴之自利，乃寒极而痛也；少阳之自利，乃热极而痛
也。痛同而症实各异。此痛必须手按之，按而愈痛是阳症也；若太阴阴症，按之而
不痛矣。故治阳症之法，仍须和解少阳之邪，而不可误治太阴也。方用加减柴胡汤治之。
柴胡（一钱） 白芍（五钱） 茯神（二钱） 甘草（一钱） 栀子（二钱） 陈皮（一钱） 当归（三钱）
枳壳（五分） 大黄（五分） 水煎服。一剂而腹满除，二剂而自利止矣，不必三剂也。
此方和解之中，仍寓微攻之意；分消之内，少兼轻补之思，所以火邪易散，而
正气又不伤也。若以大承气下之，未免过于推荡；若以大柴胡下之，未免重于分消，
所以又定加减柴胡汤，以治少阳腹满之自利耳。
此症亦可用和攻散∶
柴胡 栀子 丹皮（各二钱） 白芍（五钱） 茯苓（三钱） 甘草 陈皮 大黄（各一钱） 水煎服。
冬月伤寒，身热四日，畏寒不已，人以为太阴转少阴矣，谁知仍是太阴也。夫
太阴脾土也，少阴肾水也，似不相同，然而脾土乃湿土也，土中带湿，则土中原有
水象，故脾寒即土寒，而土寒即水寒也。所以不必邪传入肾，而早有畏寒之症矣。
治法不必治肾，专治脾而寒症自消。方用理中汤加减治之。
白术（一两） 人参（三钱） 茯苓（三钱） 肉桂（一钱） 附子（一钱） 水煎服。一剂而恶寒自解，
而身热亦解矣。
夫方中用桂、附似乎仍治少阴之肾，然而以参、术为君，仍是治脾而非治肾也。
虽然脾、肾原可同治，参、术虽治脾而亦能入肾；况得桂、附则无经不达，安在独
留于脾乎。然则治脾而仍是治肾，此方之所以神耳。
此症用加味桂附汤亦效。
白术（一两） 肉桂 干姜（各一钱） 附子 甘草（各五分） 水煎服。
冬月伤寒，身热五日，人即发厥，人以为寒邪已入厥阴也，谁知是肾水干燥，
不能润肝之故乎。夫发厥本是厥阴之症，邪未入厥阴，何以先为发厥？盖肝血燥极，
必取给于肾水，而肾水又枯，肝来顾母而肾受风邪，子见母之 ，自然有不共戴天
之恨，故不必邪入厥阴，而先为发厥，母病而子亦病也。治法无庸治肝，但治肾而
厥症自定，母安而子亦安也。方用子母两快汤∶
熟地（五钱） 麦冬（五钱） 当归（二钱） 山茱萸（三钱） 茯苓（二钱） 芡实（二钱）
山药（二钱） 玄参（五钱） 水煎服。一剂而厥定，再剂而身热亦愈也。
此方纯用补肾之味，惟当归滋肝之血也。治肾而治肝在其中，何必再用白芍以
平肝气耶。且此症又不可用白芍也，以白芍虽平肝气，可以定热厥于须臾，然而白
芍定厥未免过于酸收。与补水之药同用于无邪之日，易于生精；与补水之药同用于
有邪之顷，亦易于遏火。不若单用补肾之味，使水足以制火，而又无火留之害，为
更胜也。故子母两快汤所以不用芍药，而单用当归者，以当归之性动，不比芍药之
酸收耳。且当归善助熟地、山萸以生水，生水以滋肝，即补肾以制肝也。
冬月伤寒，身热六日，而汗不解，仍有太阳之症，人以为邪返于太阳也，谁知
是邪欲返于太阳而不能返乎。夫邪既不能返于太阳，当无太阳之症矣，治法宜不治
太阳也；然而不治太阳，而邪转有变迁之祸。盖邪既不能复返于太阳，窥太阳之门
而欲入者，亦势之所必至也。用太阳之药，引邪而归于太阳，而太阳曾已传过，邪
走原路而邪反易散矣。方用桂枝汤，少以散之，一剂而邪尽化也。倘多用桂枝汤则
焦头烂额，曷胜其祛除乎。此又用药之机权也。
此症用解邪汤亦佳。
桂枝（三分） 茯苓（五钱） 当归（三钱） 生地（五钱） 白术（三钱） 陈皮（三分）
甘草（一钱） 麦冬（五钱） 水煎服。
冬月伤寒，至七日而热犹未解，谵语不休，人以为证复传阳明也，谁知是邪欲
走阳明而阳明不受乎。天阳明已经前邪，见邪则拒，似乎邪之难入矣。然而切肤之
痛，前已备经，故一见邪再入太阳，惟恐邪之重入阳明也。所以震邻之恐先即呼号
而谵语生，非从前邪实而作谵语者可比。治法不必专治阳明，以截阳明之路，惟散
太阳之邪，而邪已尽散，断不复入阳明也。方用桂枝汤。一剂而谵语自止，又何必
用石膏汤以重伤胃气哉。
此症用和营汤亦神。
麻黄（三分） 茯苓（三钱） 当归（三钱） 玄参（五钱） 甘草（一钱） 麦冬（五钱） 竹叶（三十片）
半夏（五分） 水煎服。
冬月伤寒，至八日而潮热未已，人以为邪再传少阳矣，谁知是邪在阳明，欲出
而未出乎。夫阳明之府，多气多血之府也。气血既多，藏邪亦正不少。痰在胃
膈，原能自发潮热，不必假借少阳之经也。况邪又将出，而窥伺少阳，乃少阳前受
阳明之贻害，坚壁以拒，未免寒心，故现潮热之症，其实尚未入于少阳也。治法正
不须治少阳之邪，而单解阳明之热，阳明热解而少阳之邪自散矣。方用解胃汤∶
青蒿（五钱） 茯苓（二钱） 甘草（五分） 麦冬（五钱） 玄参（三钱） 竹叶（五十片） 水煎服。一剂
而胃热清矣，再剂而潮热退矣，不必三剂也。
此方息阳明之焰，而又能解少阳之氛，一方而两治。倘徒解少阳之氛，而阳明
愈炽矣；倘徒息阳明之焰，而少阳又燥矣。两阳有偏胜之虞，则二府必有独干之叹，
自然轻变为重，邪传正无已时。今一方两治，仍是单治阳明，而少阳治法已包于中，
所以能收全功也。
此症用发越汤亦妙。
葛根（三钱） 茯苓（五钱） 甘草（五分） 麦冬（三钱） 玄参（一两） 生地（三钱） 柴胡（五分） 水
煎服。
冬月伤寒，至九日而泻利不已，人以为邪入太阴，阳又变阴之症，谁知是阳欲
辞阴之病乎。夫变阴与辞阴何以辨之？变阴者，阳传入于阴也；辞阴者，阳传出于
阴也。入于阴则自利，岂出于阴而反自利乎。不知阴阳不相按时，多为泻利不已。
但入阴之自利，其腹必痛；出阴之自利，其腹不痛也。倘至九日而泻利不已，其腹
不痛者，正离阴之自利也。切戒不可用太阴止利之药，一用止利之药，而邪转入阴，
必成危证矣。法宜仍治少阳，而解其表里之邪，则自利自止，而寒热之邪亦散也。
方用小柴胡汤加减用之。
柴胡（一钱） 茯苓（三钱） 甘草 黄芩（各一钱） 陈皮（五分） 水煎服。一剂即止利，而寒
热顿解矣。
此方专解半表半里之邪，而又能分消水湿之气，既不入阴而复善出阳，故取效独捷耳。
此症用合阴汤亦效。
柴胡（八分） 茯苓（五钱） 甘草（五分） 天花粉（一钱） 枳壳（三分） 神曲（五分） 白芍（三钱） 水
煎服。
冬月伤寒，至十日，恶寒呕吐，人以为邪再传少阴矣，谁知是邪不欲入少阴乎。
夫邪既不欲入少阴，何以恶寒呕吐？不知伤寒传经，而再入于太阴，其中州之气，
前经刻削，则脾气已虚，脾气既虚，而脾必耗肾中之火气，而肾又曾经邪犯，在肾
亦自顾不遑。母贫而子不忍盗母之财，故邪入于脾，而脾甘自受。先行恶寒呕吐，
不待传入少阴，而始见此等证候也。治法单治太阴脾土，而呕吐可止。然而单治脾
而不治肾，则肾火不生脾土，而恶寒终不能愈，寒既不除，而呕吐仍暂止而不能久
止也。方用脾肾两温汤∶
人参（三钱） 白术（五钱） 肉桂（一钱） 巴戟天（三钱） 丁香（三分） 肉豆蔻（一枚） 芡实（三钱）
山药（三钱） 水煎服。一剂而恶寒止，二剂而呕吐尽除也。
此方用参、术以健脾，用巴戟天、芡实、山药以补肾，而又用肉桂、丁香以辟除寒气。旺肾火
以生脾土，则土气自温，母旺而子不贫，亦母温而子不寒也。
此症用加味参术附姜汤亦神。
人参（五钱） 白术（五钱） 肉豆蔻（一枚） 附子（三分） 干姜（一钱） 水煎服。
冬月伤寒，身热十一日，而热反更盛，发厥不宁，一日而三、四见，人以为邪再传厥阴也，
谁知是邪不能传肝乎。夫少阴寒水也，邪在少阴，未入厥阴，何以发厥而见热症？然而此厥乃似
热而非热也。内寒之甚，逼阳外见而发厥，故不待传入厥阴之经而先发厥耳。症见此等证候，本
是死证，而用药得宜，未必至死。仲景夫子未尝立方者，非无方也，以灸法神奇，示人以艾火灸少
阴者，正教人不必治厥阴也。虽然灸少阴者固易回春，而阳药又安在不可以起死。方用回生至神
汤∶
人参（三两） 肉桂（三钱） 白术（二两） 生姜汁（一合） 葱（十条，捣汁） 同水煎服。
一剂而厥定，再剂而身热解矣。
此虽在用参、术之多，第不佐之姜、葱二汁，则不能宣发于外，而邪伏于肾中
而不得出也。惟参、术得姜、葱之助，导之出外，不必走肝，而厥反自安矣，此治
法之巧者。
此症亦可用加味人地汤殊验。
熟地（二两） 人参（一两） 白术（一两） 附子（一钱） 生姜汁（一合） 水煎调服。
冬月伤寒，身热十二日，而热仍不退，不见发厥，人以为伤寒至厥阴，不发厥
而病将退矣，谁知伤寒虚极，欲厥而不可得乎。夫热深者厥亦深，不厥似乎热之不
深矣。然而热深而发厥者，元气足以鼓之也；热深而不能发厥者，元气不足以充之
也。传经至十二日，病已入肝，而厥不应者，非热之不深，乃元气之甚困也，乌可因不
厥，而即疑其厥阴之不热乎。治法补其肝气，而辅之以解热之品，则厥阴不燥，而
木气大舒，邪不能留，非惟热解而见厥，抑亦邪散而消厥也。方用消厥散∶
白芍（五钱） 当归（五钱） 丹皮（三钱） 生地（二钱） 甘草（一钱） 人参（一钱） 炒黑
荆芥（三钱） 炒栀子（一钱） 天花粉（二钱） 水煎服。一剂而厥乃发，再剂而厥反定矣。
此方补肝凉血以治传经之伤寒。世无其胆。然而肝燥而内热，因虚而厥伏也，
非滋其肝中之血，则热深者何能外见乎。故必补其虚，而发厥随可乘其厥而散热也。
人亦可闻吾言，而放胆治之矣。
此症用增减逍遥散大效。
冬季感受寒邪，身体发热仅一天就出现说胡话的症状。人们认为这是病邪传入了阳明经，殊不知患者平素就有阳明胃火旺盛的情况，风邪侵入太阳经后，导致胃火立刻沸腾躁动不安。治疗的方法，如果同时治疗阳明经以泻除胃热，病情也不会痊愈；然而此时太阳经的邪气正盛，如果不专门治疗太阳经，卫分的邪气就不能消散，营分的邪气也不能解除；若先退去阳明的火热，未必不会引邪深入进入阳明经，反而助长其火势蔓延的危害。不如单独治疗太阳经，使太阳经的邪气不能深入体内，而阳明的火热不治疗也会自然消散。方剂用平阳汤：桂枝（三分）、麻黄（一钱）、甘草（一钱）、青蒿（三钱）、天花粉（一钱），水煎服。服用一剂后，身体发热消退，说胡话也停止了。
此方中少用桂枝而多用麻黄，是因为寒邪轻而热邪重。使用青蒿作为主药，是因为青蒿既能退热又能散邪，而且能入膀胱经并走向胃经，既解除了膀胱经的邪气，又解除了胃中的火热，不仅不会引邪进入阳明经，反而能兼带散邪使其从阳明经排出。方中加入天花粉，是因为说胡话必然带有痰气，天花粉善于消除膈膜中的痰浊，且没有增加热势的顾虑，配合青蒿、桂枝、麻黄使用，通上达下，消除痰浊的同时也就消除了邪气。痰和邪气两相消除，哪里还会有说胡话呢？所以一剂药就能见效。
这种病症也可以用争先汤：桂枝（五分）、麻黄（五分）、石膏（一钱）、麦冬（五钱）、茯苓（五钱）、半夏（八分），水煎服。
冬季感受寒邪，身体发热两天就出现像疟疾一样的症状，人们认为这是病证传入了少阳经，殊不知患者少阳经原本就有寒邪，一旦遇到伤寒，随即因之而共同显现于世。世人见到这样的病症，用小柴胡汤投治也能奏效，但这终究不是正确的治法。正确的方法应当重点治疗阳明经，同时兼治少阳经才是对的。因为阳明经的火邪尚未消散，虽然出现了少阳经的症状，但邪气仍然停留在阳明经。邪气留在阳明经，身体出现忽冷忽热以及说胡话发狂的疾病，未必不是由此引起。只有重点治疗阳明经，胃中的火热自然解除，使邪气不往少阳经走，而少阳经原本存在的寒邪孤立无援，怎么能再煽动阳明经的火势呢？自然阳明经的火熄灭了，少阳经的邪气也就解除了。方剂用破邪汤：石膏（三钱）、柴胡（一钱）、半夏（一钱）、茯苓（三钱）、甘草（一钱）、麦冬（一两）、玄参（三钱）、陈皮（一钱），水煎服。服用一剂后身体发热解除，像疟疾一样的症状也痊愈了。
此方使用石膏、玄参来治疗阳明经的火邪，使用麦冬来滋润肺中的燥气。因为肺燥就不能制约肝胆的过旺之气，而且肺燥必然向胃索取津液，那么胃土就会更加干枯，其火势也就更加炽盛了。现在多用麦冬，使肺金得到滋润，不必依赖胃土，那么肺气得到滋养，自然能制约肝、胆的木气，而少阳经的邪气，怎么敢附和胃火来作祟呢？况且柴胡本来足以疏解少阳经的气机，而茯苓、甘草、半夏、陈皮等药，更能调和在阳明、少阳之间，邪气没有党羽援助，怎么能不破败呢？
这种病症用八公和阳汤也很神奇。石膏（一钱）、柴胡（二钱）、茯苓（三钱）、白术（二钱）、甘草（一钱）、炒栀子（一钱）、青皮（三分）、天花粉（一钱），水煎服。
冬季感受寒邪，身体发热三天，腹部胀满且自发性腹泻，人们认为是阳气传入阴经了，但谁知道并非如此。阴证会有腹部胀满和自发性腹泻，但阳证也未尝没有这种情况。不辨别它是阳证还是阴证，而一概使用治疗太阴经的方法，很少有不死亡的。然而阴证与阳证如何辨别呢？太阴经的自发性腹泻，是寒极所致且伴有疼痛；少阳经的自发性腹泻，是热极所致且伴有疼痛。疼痛相同但症状其实各异。这种疼痛必须用手按压，按压后疼痛加剧的是阳证；如果是太阴经的阴证，按压时就不痛了。所以治疗阳证的方法，仍然需要和解少阳经的邪气，而不可误治太阴经。方剂用加减柴胡汤治疗。柴胡（一钱）、白芍（五钱）、茯神（二钱）、甘草（一钱）、栀子（二钱）、陈皮（一钱）、当归（三钱）、枳壳（五分）、大黄（五分），水煎服。服用一剂后腹部胀满消除，服用两剂后自发性腹泻停止，不需要服用第三剂。
此方在和解之中，仍蕴含轻微攻下的意思；在分消之中，稍微兼有轻补的思路，所以火邪容易消散，而正气又不受损伤。如果用大承气汤攻下，未免过于推荡猛烈；如果用大柴胡汤攻下，未免重于分消，所以又制定加减柴胡汤，用来治疗少阳经引起的腹部胀满伴自发性腹泻。
这种病症也可以用和攻散：柴胡、栀子、丹皮（各二钱）、白芍（五钱）、茯苓（三钱）、甘草、陈皮、大黄（各一钱），水煎服。
冬季感受寒邪，身体发热四天，畏寒症状持续不止，人们认为是太阴经转为了少阴经，但谁知仍然是太阴经的问题。太阴经属脾土，少阴经属肾水，似乎不相同，然而脾土是湿土，土中带湿，则土中原有水象，所以脾寒就是土寒，而土寒就是水寒。所以不必等到邪气传入肾脏，就已经有了畏寒的症状。治疗方法不必治疗肾脏，专门治疗脾脏而寒症自然消除。方剂用理中汤加减治疗。白术（一两）、人参（三钱）、茯苓（三钱）、肉桂（一钱）、附子（一钱），水煎服。服用一剂后恶寒自然解除，身体发热也随之解除。
方中使用肉桂、附子似乎仍在治疗少阴经的肾脏，然而以人参、白术为主药，仍然是治疗脾脏而非治疗肾脏。虽然脾、肾原本可以同治，人参、白术虽治脾也能入肾；况且得到肉桂、附子则无处不到，怎么会只停留在脾脏呢？然而治疗脾脏却仍是治疗肾脏，这就是此方神奇的原因。
这种病症用加味桂附汤也有效。白术（一两）、肉桂、干姜（各一钱）、附子、甘草（各五分），水煎服。
冬季感受寒邪，身体发热五天，人就发生四肢厥冷，人们认为是寒邪已经进入了厥阴经，但谁知是肾水干燥，不能滋润肝脏的缘故。发生四肢厥冷本是厥阴经的症状，邪气未入厥阴经，为什么先发厥冷？因为肝血极度干燥，必然向肾水索取滋润，而肾水又枯竭，肝脏来顾念母脏而肾脏受风邪侵袭，子女见到母亲的困境，自然有不共戴天之恨，所以不必邪气进入厥阴经，就先发生四肢厥冷，母亲生病儿子也跟着生病。治疗方法无需治疗肝脏，只要治疗肾脏而厥冷症状自然安定，母亲安宁儿子也安宁。方剂用子母两快汤：熟地黄（五钱）、麦冬（五钱）、当归（二钱）、山茱萸（三钱）、茯苓（二钱）、芡实（二钱）、山药（二钱）、玄参（五钱），水煎服。服用一剂后厥冷安定，再服用一剂后身体发热也痊愈了。
此方纯用补肾的药物，只有当归是滋润肝脏血液的。治疗肾脏而治疗肝脏包含在其中，何必再用白芍来平抑肝气呢？而且此症也不可用白芍，因为白芍虽然能平抑肝气，可以在短时间内定住热厥，然而白芍定住厥冷未免过于酸涩收敛。在没有邪气的时候与补水药同用，容易产生精微物质；在有邪气的时候与补水药同用，也容易遏制火热。不如单用补肾的药物，使水足以制约火，而又没有留火为害的弊端，更为优越。所以子母两快汤不用芍药而单用当归，是因为当归的性质主动，不像芍药那样酸涩收敛。而且当归善于辅助熟地黄、山茱萸来生肾水，生肾水以滋润肝脏，也就是通过补肾来制约肝脏。
冬季感受寒邪，身体发热六天，出汗但不能解除病邪，仍有太阳经的症状，人们认为是邪气返回到了太阳经，但谁知是邪气想要返回太阳经却不能返回。邪气既然不能返回太阳经，按理应该没有太阳经的症状了，治疗方法适宜不治疗太阳经；然而如果不治疗太阳经，邪气转而会有变迁的危害。盖因邪气既然不能重新返回太阳经，窥视太阳经的门想要进入，也是情势所必然发生的。使用太阳经的药物，引导邪气回归到太阳经，而太阳经曾经已经传过，邪气走原来的路而邪气反而容易消散。方剂用桂枝汤，少量使用以发散邪气，一剂后邪气全部化解。如果多用桂枝汤则会导致焦头烂额，怎能承受得起祛除邪气的后果呢？这又是用药的机变权宜之处。
这种病症用解邪汤也很好。桂枝（三分）、茯苓（五钱）、当归（三钱）、生地黄（五钱）、白术（三钱）、陈皮（三分）、甘草（一钱）、麦冬（五钱），水煎服。
冬季感受寒邪，到了第七天热度仍未解除，说胡话不停，人们认为是病证又传回了阳明经，但谁知是邪气想要走向阳明经而阳明经不接受。阳明经已经被之前的邪气占据，见到邪气就拒绝，似乎邪气难以进入了。然而切肤之痛，之前已经经历过，所以一见邪气再次进入太阳经，惟恐邪气重重地进入阳明经。所以邻居家着火的恐惧先引发呼号而产生说胡话，这与从前邪气实盛而说胡话的可比。治疗方法不必专门治疗阳明经，以截断阳明经的路径，只需散发太阳经的邪气，而邪气已经完全消散，绝不会再次进入阳明经。方剂用桂枝汤。服用一剂后说胡话自然停止，又何必用石膏汤来重伤胃气呢？
这种病症用和营汤也很神奇。麻黄（三分）、茯苓（三钱）、当归（三钱）、玄参（五钱）、甘草（一钱）、麦冬（五钱）、竹叶（三十片）、半夏（五分），水煎服。
冬季感受寒邪，到了第八天潮热仍未停止，人们认为是邪气再次传入了少阳经，但谁知是邪气在阳明经，想要出来却还没出来。阳明经是多气多血的腑。气血既然多，藏匿邪气也正不少。痰在胃膈，原本就能自发产生潮热，不必借助少阳经。况且邪气将要出来，而窥伺少阳经，乃是少阳经先前受到阳明经的贻害，坚守壁垒以拒绝，未免令人心寒，所以现出潮热的症状，其实邪气尚未进入少阳经。治疗方法正不需要治疗少阳经的邪气，而单独解除阳明经的热邪，阳明经热邪解除而少阳经的邪气自然消散。方剂用解胃汤：青蒿（五钱）、茯苓（二钱）、甘草（五分）、麦冬（五钱）、玄参（三钱）、竹叶（五十片），水煎服。服用一剂后胃热清除了，再服用一剂后潮热退去了，不需要服用第三剂。
此方平息阳明经的火势，而又能解除少阳经的氛围，一方药而两处治疗。如果只解除少阳经的氛围，而阳明经的火势会更炽盛；如果只平息阳明经的火势，而少阳经又会干燥。两阳有偏胜的担忧，则两腑必有独自干枯的叹息，自然轻症变为重症，邪气传变没有止境。如今一方两治，仍是单治阳明经，而少阳经的治疗方法已包含在其中，所以能收全功。
这种病症用发越汤也很奇妙。葛根（三钱）、茯苓（五钱）、甘草（五分）、麦冬（三钱）、玄参（一两）、生地黄（三钱）、柴胡（五分），水煎服。
冬季感受寒邪，到了第九天腹泻不停，人们认为是邪气进入太阴经，阳气又转变为阴证的病症，但谁知是阳气想要脱离阴证的病况。转变阴证与脱离阴证如何辨别？转变阴证，是阳气传入阴经；脱离阴证，是阳气传出阴经。进入阴经则自发性腹泻，难道传出阴经反而自发性腹泻吗？不知道阴阳不相按时，多为腹泻不停。但进入阴经的自发性腹泻，腹部必定疼痛；传出阴经的自发性腹泻，腹部不疼痛。如果到了第九天腹泻不停，腹部不疼痛的，正是离开阴经的自发性腹泻。切记不可用太阴经止泻的药物，一旦使用止泻药物，而邪气转入阴经，必成危重证候。方法适宜仍治疗少阳经，而解除其表里之邪，则自发性腹泻自然停止，而寒热之邪也消散。方剂用小柴胡汤加减使用。柴胡（一钱）、茯苓（三钱）、甘草、黄芩（各一钱）、陈皮（五分），水煎服。服用一剂即停止腹泻，而寒热顿时解除了。
此方专门解除半表半里之邪，而又能分消水湿之气，既不入阴经又善于出阳经，所以取效特别快捷。
这种病症用合阴汤也有效。柴胡（八分）、茯苓（五钱）、甘草（五分）、天花粉（一钱）、枳壳（三分）、神曲（五分）、白芍（三钱），水煎服。
冬季感受寒邪，到了第十天，恶寒呕吐，人们认为是邪气再次传入了少阴经，但谁知是邪气不想进入少阴经。邪气既然不想进入少阴经，为什么会有恶寒呕吐？不知道伤寒传经，而再次进入太阴经，其中的中焦之气，之前已被刻削，则脾气已虚，脾气既已虚弱，而脾必消耗肾中的火气，而肾又曾经被邪气侵犯，在肾也是自顾不暇。母亲贫穷而儿子不忍心偷盗母亲的财物，所以邪气进入脾脏，而脾脏甘愿自我承受。先行出现恶寒呕吐，不待传入少阴经，才开始见此等证候。治疗方法单治太阴脾土，而呕吐可止。然而单治脾而不治肾，则肾火不生脾土，而恶寒最终不能痊愈，寒邪既不除去，而呕吐仍暂时停止而不能长久停止。方剂用脾肾两温汤：人参（三钱）、白术（五钱）、肉桂（一钱）、巴戟天（三钱）、丁香（三分）、肉豆蔻（一枚）、芡实（三钱）、山药（三钱），水煎服。服用一剂后恶寒停止，服用两剂后呕吐完全消除。
此方用人参、白术来健脾，用巴戟天、芡实、山药来补肾，而又用肉桂、丁香来辟除寒气。旺盛肾火以生脾土，则土气自然温暖，母脏旺盛而子脏不贫乏，也是母脏温暖而子脏不寒冷。
这种病症用加味参术附姜汤也很神奇。人参（五钱）、白术（五钱）、肉豆蔻（一枚）、附子（三分）、干姜（一钱），水煎服。
冬季感受寒邪，身体发热十一日，而热度反而更盛，发生四肢厥冷且不安宁，一天出现三四次，人们认为是邪气再次传入了厥阴经，但谁知是邪气不能传入肝脏。少阴经属寒水，邪气在少阴经，未入厥阴经，为什么发厥冷而见热症？然而此厥冷乃是似热而非热。内寒非常严重，逼迫阳气外现而发厥冷，所以不待传入厥阴经就先发厥冷。症状见此等证候，本是死证，而用药得当，未必致死。张仲景夫子未曾立方，并非没有方子，而是以灸法神奇，教导人们用艾火灸少阴经，正是教人不必治疗厥阴经。虽然灸少阴经固然容易回春，而阳药又怎么不可以起死回生。方剂用回生至神汤：人参（三两）、肉桂（三钱）、白术（二两）、生姜汁（一合）、葱（十条，捣汁），同水煎服。服用一剂后厥冷安定，服用两剂后身体发热解除了。
这里虽然是用大量的人参、白术，但如果不用生姜、葱白两种汁液佐助，则不能宣发于外，而邪气伏藏在肾脏中不得出。只有人参、白术得到生姜、葱白的帮助，引导邪气外出，不必走肝脏，而厥冷反而自然安定，这是治疗方法的巧妙之处。
这种病症也可以用加味人地汤殊验。熟地黄（二两）、人参（一两）、白术（一两）、附子（一钱）、生姜汁（一合），水煎调服。
冬季感受寒邪，身体发热十二日，而热度仍不退，不见发厥冷，人们认为是伤寒到了厥阴经，不发厥冷而病将退了，但谁知伤寒虚损到了极点，想发厥冷却不可能。热邪深重者厥冷也深重，不发厥冷似乎热邪不深重了。然而热邪深重而发厥冷的，是元气足以鼓动它；热邪深重而不能发厥冷的，是元气不足以充盛它。传经到了十二日，病已入肝，而不应发厥冷的，不是热邪不深重，而是元气非常困顿，岂可因为不发厥冷，就怀疑厥阴经不热呢？治疗方法补益肝气，而辅之以解热的药物，则厥阴经不干燥，而木气大舒，邪气不能停留，不仅是热邪解除而见厥冷，也是邪气消散而消除厥冷。方剂用消厥散：白芍（五钱）、当归（五钱）、丹皮（三钱）、生地黄（二钱）、甘草（一钱）、人参（一钱）、炒黑荆芥（三钱）、炒栀子（一钱）、天花粉（二钱），水煎服。服用一剂后厥冷才发作，服用两剂后厥冷反而安定了。
此方补肝凉血以治疗传经的伤寒。世上没有这种胆识。然而肝燥而内热，因虚损而厥冷潜伏，如果不滋润肝中的血液，那么热邪深重的怎么能外现呢？所以必须补其虚损，而发厥冷随即可以乘着厥冷而散热。人们也可以听我的话，而放胆治疗了。
这种病症用增减逍遥散大效。
In winter, contracting cold pathogen (Han Xie), the body develops fever for only one day before delirium (saying nonsense) appears. People assume this is the pathogen transmitting to the Yangming channel (Yangming meridian syndrome). Little do they know that the patient has a pre-existing excess of stomach fire in the Yangming stage. When wind enters the Taiyang channel (Taiyang meridian syndrome), the stomach fire boils up and becomes restless. If treatment attempts to address both by purging stomach heat from the Yangming stage, the condition will not improve. However, since the Taiyang pathogen is currently vigorous, failing to specifically treat the Taiyang stage means the Wei-level (Defensive level) pathogen cannot be dispersed, nor can the Ying-level (Nutritive level) pathogen be resolved. Removing Yangming fire first might inadvertently draw the pathogen deeper into the Yangming stage, exacerbating the burning disaster. It is better to treat only the Taiyang stage, preventing the Taiyang pathogen from penetrating deeply, allowing the Yangming fire to dissipate spontaneously without direct treatment. The formula used is Pingyang Tang (Calm Yang Decoction): Guizhi (Cinnamon Twig, 3 fen), Mahuang (Ephedra, 1 qian), Gancao (Licorice Root, 1 qian), Qinghao (Sweet Wormwood, 3 qian), Tianhuafen (Trichosanthes Root, 1 qian). Decoct in water and take orally. After one dose, the fever subsides, and delirium ceases.
This formula uses less Guizhi and more Mahuang because the cold is light while the heat is heavy. Qinghao is used as the sovereign drug because it clears heat and disperses pathogens, entering the Bladder channel and moving towards the Stomach. It resolves the pathogen in the Bladder and the fire in the Stomach, not only avoiding drawing the pathogen into the Yangming stage but also helping to disperse pathogens out of the Yangming stage. Tianhuafen is added because delirium is often accompanied by phlegm; Tianhuafen effectively eliminates phlegm in the diaphragm without increasing heat. Combined with Qinghao, Guizhi, and Mahuang, it works from top to bottom, eliminating phlegm and thus eliminating the pathogen. With both phlegm and pathogen cleared, why would delirium persist? Hence, efficacy is achieved in one dose.
This condition can also be treated with Zhengxian Tang (Seize the Initiative Decoction): Guizhi (Cinnamon Twig, 5 fen), Mahuang (Ephedra, 5 fen), Shigao (Gypsum, 1 qian), Maidong (Ophiopogon Tuber, 5 qian), Fuling (Poria, 5 qian), Banxia (Pinellia Rhizome, 8 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for two days, presenting symptoms resembling malaria. People assume this indicates transmission to the Shaoyang channel (Shaoyang meridian syndrome). In fact, there was originally cold pathogen in the Shaoyang region, which manifests concurrently upon contracting cold. While Xiaochaihu Tang (Minor Bupleurum Decoction) may show some effect, it is not the correct method. The proper approach is to heavily treat the Yangming stage while simultaneously treating the Shaoyang stage. Since the fire-pathogen in the Yangming stage has not dissipated, even if Shaoyang symptoms appear, the pathogen remains in the Yangming stage. Pathogens lingering in Yangming can cause alternating chills and fever, delirium, and mania. By heavily treating Yangming, stomach fire resolves, preventing the pathogen from moving to Shaoyang. The original cold pathogen in Shaoyang, left isolated and unsupported, cannot reignite Yangming fire. Naturally, Yangming fire extinguishes, and Shaoyang pathogen resolves. The formula used is Puoxie Tang (Break Evil Decoction): Shigao (Gypsum, 3 qian), Chaihu (Bupleurum Root, 1 qian), Banxia (Pinellia Rhizome, 1 qain), Fuling (Poria, 3 qian), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 1 liang), Xuanshen (Scrophularia Root, 3 qian), Chenpi (Aged Tangerine Peel, 1 qian). Decoct in water and take orally. After one dose, fever resolves, and malaria-like symptoms heal.
This formula uses Shigao and Xuanshen to treat Yangming fire, and Maidong to moisten lung dryness. Lung dryness fails to control excessive Liver-Gallbladder activity. Moreover, dry lungs draw fluids from the Stomach, drying Stomach earth further and intensifying fire. Using ample Maidong moistens Lung metal, reducing reliance on Stomach earth. Nourished Lung qi naturally controls Liver and Gallbladder wood, preventing Shaoyang pathogen from colluding with stomach fire. Chaihu soothes Shaoyang qi, while Fuling, Gancao, Banxia, and Chenpi harmonize between Yangming and Shaoyang. Without support, the pathogen collapses.
This condition is also well-treated with Bagong Heyang Tang (Eight Gentlemen Harmonizing Yang Decoction): Shigao (Gypsum, 1 qian), Chaihu (Bupleurum Root, 2 qian), Fuling (Poria, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 2 qian), Gancao (Licorice Root, 1 qian), Chao Zhizi (Fried Gardenia Fruit, 1 qian), Qingpi (Green Tangerine Peel, 3 fen), Tianhuafen (Trichosanthes Root, 1 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for three days, accompanied by abdominal fullness and spontaneous diarrhea. People assume yang has transmitted to yin. However, yin syndromes feature abdominal fullness and diarrhea, but so do yang syndromes. Failing to distinguish between yin and yang and indiscriminately using methods for Taiyin syndrome often leads to death. How to distinguish? Taiyin spontaneous diarrhea involves extreme cold and pain; Shaoyang spontaneous diarrhea involves extreme heat and pain. Although pain is similar, the nature differs. Pressing the abdomen: increased pain indicates a yang syndrome; no pain indicates a Taiyin yin syndrome. Therefore, treating yang syndromes requires harmonizing Shaoyang pathogen, not mistreating Taiyin. The formula used is Jiajian Chaihu Tang (Modified Minor Bupleurum Decoction): Chaihu (Bupleurum Root, 1 qian), Baishao (White Peony Root, 5 qian), Fushen (Poria with Hostwood, 2 qian), Gancao (Licorice Root, 1 qian), Zhizi (Gardenia Fruit, 2 qian), Chenpi (Aged Tangerine Peel, 1 qian), Danggui (Angelica Sinensis Root, 3 qian), Zhiqiao (Bitter Orange Fruit, 5 fen), Dahuang (Rhubarb Root, 5 fen). Decoct in water and take orally. Abdominal fullness resolves after one dose; spontaneous diarrhea stops after two doses.
This formula combines harmonization with mild purgation and light tonification within separation strategies, dispersing fire-pathogen while preserving healthy qi. Da Chengqi Tang (Major Order the Yellow Decoction) is too harsh; Da Chaihu Tang (Major Bupleurum Decoction) is too focused on separation. Thus, Jiajian Chaihu Tang is designed for Shaoyang abdominal fullness with spontaneous diarrhea.
This condition can also use Hegong San (Harmonize and Attack Powder): Chaihu (Bupleurum Root), Zhizi (Gardenia Fruit), Danpi (Moutan Cortex, 2 qian each), Baishao (White Peony Root, 5 qian), Fuling (Poria, 3 qian), Gancao (Licorice Root), Chenpi (Aged Tangerine Peel), Dahuang (Rhubarb Root, 1 qian each). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for four days with persistent aversion to cold. People assume Taiyin has transformed into Shaoyin. However, it remains Taiyin. Taiyin belongs to Spleen Earth; Shaoyin belongs to Kidney Water. They seem different, but Spleen Earth is damp earth. Damp earth contains water imagery; thus, Spleen cold is Earth cold, and Earth cold is Water cold. Aversion to cold appears before pathogen transmits to the Kidney. Treatment should focus solely on the Spleen, resolving cold spontaneously. The formula used is Lizhong Tang (Regulate the Middle Decoction) modified: Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Renshen (Ginseng Root, 3 qian), Fuling (Poria, 3 qian), Rougui (Cinnamon Bark, 1 qian), Fuzi (Prepared Aconite Root, 1 qian). Decoct in water and take orally. Aversion to cold and fever resolve after one dose.
Using Rougui and Fuzi seems to treat Shaoyin Kidney, but with Renshen and Baizhu as sovereigns, it treats the Spleen. Although Spleen and Kidney can be treated together, and Renshen/Baizhu enter the Kidney, Rougui and Fuzi penetrate all channels. Treating the Spleen effectively treats the Kidney, making this formula miraculous.
This condition is also effectively treated with Jiawei Guifu Tang (Added Cinnamon and Aconite Decoction): Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger, 1 qian each), Fuzi (Prepared Aconite Root), Gancao (Licorice Root, 5 fen each). Decoct in water and take orally.
In winter, contracting cold pathogen, the body develops fever for five days, followed by limb coldness (Jue). People assume cold pathogen has entered Jueyin. In reality, it is due to dryness of Kidney Water failing to nourish the Liver. Limb coldness is typically a Jueyin symptom, but here it occurs before pathogen entry because Liver blood is extremely dry, drawing from depleted Kidney Water. The Liver seeks its Mother (Kidney); the Kidney, invaded by wind, suffers. This mother-son distress causes limb coldness without Jueyin pathogen entry. Treatment should focus on the Kidney, stabilizing the Liver. The formula used is Zimu Liangkuai Tang (Mother and Son Both Comfortable Decoction): Shudi (Prepared Rehmannia Root, 5 qian), Maidong (Ophiopogon Tuber, 5 qian), Danggui (Angelica Sinensis Root, 2 qian), Shanzhuyu (Cornus Fruit, 3 qian), Fuling (Poria, 2 qian), Qianshi (Euryale Seed, 2 qian), Shanyao (Dioscorea Rhizome, 2 qian), Xuanshen (Scrophularia Root, 5 qian). Decoct in water and take orally. Limb coldness stabilizes after one dose; fever resolves after two doses.
This formula purely tonifies the Kidney, with Danggui nourishing Liver blood. Treating the Kidney inherently treats the Liver, negating the need for Baishao (White Peony Root) to calm Liver qi. Baishao is contraindicated here because its sour astringency, while stopping heat-induced limb coldness quickly, may trap fire when combined with hydrating herbs during active pathogen presence. Danggui, being mobile rather than astringent, assists Shudi and Shanzhuyu in generating Water to nourish the Liver, thereby controlling the Liver via Kidney tonification.
In winter, contracting cold pathogen, the body develops fever for six days. Sweating does not resolve the pathogen, and Taiyang symptoms persist. People assume pathogen has returned to Taiyang. Actually, the pathogen wants to return to Taiyang but cannot. If untreated, the pathogen may mutate. Since it cannot fully return, it peeks at the Taiyang gate. Using Taiyang herbs guides the pathogen back along its previous route, facilitating dispersion. The formula used is Guizhi Tang (Cinnamon Twig Decoction) in small amounts to disperse. One dose resolves all pathogen. Excessive use causes severe damage. This illustrates medical flexibility.
This condition is also well-treated with Jiexie Tang (Dispel Evil Decoction): Guizhi (Cinnamon Twig, 3 fen), Fuling (Poria, 5 qian), Danggui (Angelica Sinensis Root, 3 qian), Shengdi (Rehmannia Root, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 3 qian), Chenpi (Aged Tangerine Peel, 3 fen), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 5 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the seventh day, fever persists, and delirium continues. People assume transmission back to Yangming. Actually, the pathogen seeks Yangming but is rejected. Having been previously invaded, Yangming resists new intrusion. Fear of re-invasion triggers delirium, distinct from previous excess-type delirium. Treatment should not block Yangming but disperse Taiyang pathogen. Once Taiyang pathogen is gone, it won't re-enter Yangming. The formula used is Guizhi Tang (Cinnamon Twig Decoction). Delirium stops after one dose. Avoid Shigao Tang (Gypsum Decoction) to prevent damaging Stomach qi.
This condition is also miraculously treated with Heying Tang (Harmonize Ying Decoction): Mahuang (Ephedra, 3 fen), Fuling (Poria, 3 qian), Danggui (Angelica Sinensis Root, 3 qian), Xuanshen (Scrophularia Root, 5 qian), Gancao (Licorice Root, 1 qian), Maidong (Ophiopogon Tuber, 5 qian), Zhuye (Bamboo Leaf, 30 pieces), Banxia (Pinellia Rhizome, 5 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, by the eighth day, tidal fever persists. People assume transmission to Shaoyang. Actually, the pathogen is in Yangming, attempting to exit but stuck. Yangming is a fu-organ rich in qi and blood, harboring significant pathogens like phlegm in the stomach/diaphragm, causing tidal fever independently of Shaoyang. The pathogen eyes Shaoyang, but Shaoyang, having suffered from Yangming previously, resists. Thus, tidal fever appears, but the pathogen hasn't entered Shaoyang. Treatment should clear Yangming heat alone; Shaoyang pathogen will dissipate. The formula used is Jiewei Tang (Clear Stomach Decoction): Qinghao (Sweet Wormwood, 5 qian), Fuling (Poria, 2 qian), Gancao (Licorice Root, 5 fen), Maidong (Ophiopogon Tuber, 5 qian), Xuanshen (Scrophularia Root, 3 qian), Zhuye (Bamboo Leaf, 50 pieces). Decoct in water and take orally. Stomach heat clears after one dose; tidal fever subsides after two doses.
This formula extinguishes Yangming fire and resolves Shaoyang atmosphere, treating both. Treating only Shaoyang intensifies Yangming fire; treating only Yangming dries Shaoyang. Balancing both prevents severity escalation. Single-focus on Yangming implicitly treats Shaoyang, ensuring complete success.
This condition is also effectively treated with Fayue Tang (Ventilate and Rise Decoction): Gegen (Kudzu Root, 3 qian), Fuling (Poria, 5 qian), Gancao (Licorice Root, 5 fen), Maidong (Ophiopogon Tuber, 3 qian), Xuanshen (Scrophularia Root, 1 liang), Shengdi (Rehmannia Root, 3 qian), Chaihu (Bupleurum Root, 5 fen). Decoct in water and take orally.
In winter, contracting cold pathogen, by the ninth day, diarrhea persists. People assume transmission to Taiyin, transforming yang to yin. Actually, it is yang departing yin. Transforming to yin involves transmission into yin (causing diarrhea); departing yin involves transmission out of yin. Yin-transmission diarrhea involves abdominal pain; yin-departure diarrhea does not. Persistent diarrhea without pain on day nine indicates departure from yin. Do not use Taiyin antidiarrheals, as this traps pathogen in yin, causing critical conditions. Treat Shaoyang to resolve exterior-interior pathogen; diarrhea and chills/fever will cease. The formula used is Xiaochaihu Tang (Minor Bupleurum Decoction) modified: Chaihu (Bupleurum Root, 1 qian), Fuling (Poria, 3 qian), Gancao (Licorice Root), Huangqin (Scutellaria Root, 1 qian each), Chenpi (Aged Tangerine Peel, 5 fen). Decoct in water and take orally. Diarrhea stops after one dose; chills/fever resolve.
This formula resolves half-exterior/half-interior pathogen and separates dampness, exiting yang efficiently.
This condition is also effectively treated with Heyin Tang (Unite Yin Decoction): Chaihu (Bupleurum Root, 8 fen), Fuling (Poria, 5 qian), Gancao (Licorice Root, 5 fen), Tianhuafen (Trichosanthes Root, 1 qian), Zhiqiao (Bitter Orange Fruit, 3 fen), Shenqu (Medicated Leaven, 5 fen), Baishao (White Peony Root, 3 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the tenth day, aversion to cold and vomiting occur. People assume transmission to Shaoyin. Actually, the pathogen refuses to enter Shaoyin. Why aversion to cold and vomiting? Transmission to Taiyin depletes Middle Jiao qi, weakening Spleen qi. Weak Spleen consumes Kidney fire. The Kidney, previously invaded, is vulnerable. The "son" (Spleen) bears the burden to protect the "mother" (Kidney). Thus, symptoms appear in Taiyin before reaching Shaoyin. Treat Taiyin Spleen to stop vomiting. However, treating Spleen alone without Kidney fails to generate Spleen earth with Kidney fire, leaving aversion to cold unresolved and vomiting temporary. The formula used is Shirui Liangwen Tang (Warm Spleen and Kidney Decoction): Renshen (Ginseng Root, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Rougui (Cinnamon Bark, 1 qian), Bajitian (Morinda Root, 3 qian), Dingxiang (Clove, 3 fen), Roudoukou (Nutmeg, 1 piece), Qianshi (Euryale Seed, 3 qian), Shanyao (Dioscorea Rhizome, 3 qian). Decoct in water and take orally. Aversion to cold stops after one dose; vomiting ceases after two doses.
This formula tonifies Spleen with Renshen/Baizhu, tonifies Kidney with Bajitian/Qianshi/Shanyao, and expels cold with Rougui/Dingxiang. Strengthening Kidney fire generates Spleen earth, warming both mother and son.
This condition is also miraculously treated with Jiawei Renshen Zhu Fu Jiang Tang (Added Ginseng, Atractylodes, Aconite, and Ginger Decoction): Renshen (Ginseng Root, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Roudoukou (Nutmeg, 1 piece), Fuzi (Prepared Aconite Root, 3 fen), Ganjiang (Dried Ginger, 1 qian). Decoct in water and take orally.
In winter, contracting cold pathogen, by the eleventh day, fever intensifies, with frequent limb coldness (three to four times daily). People assume transmission to Jueyin. Actually, pathogen cannot transmit to Liver. Shaoyin is Cold Water; pathogen in Shaoyin without Jueyin entry causes limb coldness and heat signs. This coldness is apparent heat but true internal cold forcing yang outward. Death is likely, but proper medication saves. Zhang Zhongjing prescribed moxibustion for Shaoyin, teaching against treating Jueyin directly. Yang herbs can also revive life. The formula used is Huisheng Zhishen Tang (Revive Life Supreme Divine Decoction): Renshen (Ginseng Root, 3 liang), Rougui (Cinnamon Bark, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 2 liang), Shengjiangzhi (Fresh Ginger Juice, 1 he), Congbai (Scallion White, 10 stalks, juiced). Decoct in water and take together. Limb coldness stabilizes after one dose; fever resolves after two doses.
Large doses of Renshen/Baizhu require Ginger/Scallion juice to vent externally, drawing pathogen from Kidney. Guided outward by these juices, limb coldness resolves without involving Liver. This demonstrates clever treatment.
This condition is also effectively treated with Jiawei Rendi Tang (Added Ginseng and Rehmannia Decoction): Shudi (Prepared Rehmannia Root, 2 liang), Renshen (Ginseng Root, 1 liang), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Fuzi (Prepared Aconite Root, 1 qian), Shengjiangzhi (Fresh Ginger Juice, 1 he). Decoct in water and mix.
In winter, contracting cold pathogen, by the twelfth day, fever persists without limb coldness. People assume arrival at Jueyin implies recovery. Actually, extreme deficiency prevents limb coldness despite deep heat. Deep heat usually causes deep coldness driven by sufficient yuan qi. Here, yuan qi is too exhausted to drive coldness. Disease enters Liver by day twelve; absence of coldness indicates exhaustion, not lack of heat. Treatment should tonify Liver qi and assist with heat-clearing herbs. This moistens Jueyin, relaxes Wood qi, prevents pathogen retention, resolves fever, and induces/resolves coldness. The formula used is Xiaojue San (Dispel Coldness Powder): Baishao (White Peony Root, 5 qian), Danggui (Angelica Sinensis Root, 5 qian), Danpi (Moutan Cortex, 3 qian), Shengdi (Rehmannia Root, 2 qian), Gancao (Licorice Root, 1 qian), Renshen (Ginseng Root, 1 qian), Chao Hei Jingjie (Fried Black Schizonepeta Spike, 3 qian), Chao Zhizi (Fried Gardenia Fruit, 1 qian), Tianhuafen (Trichosanthes Root, 2 qian). Decoct in water and take orally. Limb coldness appears after one dose; stabilizes after two doses.
This formula tonifies Liver and cools blood to treat transmitted cold. Liver dryness and internal heat cause latent coldness due to deficiency. Nourishing Liver blood allows deep heat to surface. Tonifying deficiency enables riding the induced coldness to dissipate heat. Physicians should dare to treat boldly based on this insight.
This condition is also highly effective with Zengjian Xiaoyao San (Modified Free and Easy Wanderer Powder).