玳瑁郁金汤 清宣包络痰火法 俞氏经验方
生玳瑁（一钱研碎） 生山栀（三钱） 细木通（一钱） 淡竹沥（两瓢冲） 广郁金（二钱生打） 青连
翘（二钱带心） 粉丹皮（二钱） 生姜汁（两滴冲） 鲜石菖蒲汁（两小匙冲） 紫金片（三分开水烊冲）
先用野菰根二两。鲜卷心竹叶四十支。灯心两小帚（约重五六分）用水六碗。煎成四碗。取清汤分作二次煎药。
【秀按】邪热内陷包络。郁蒸津液而为痰。迷漫心孔。即堵其神明出入之窍。其人即妄言妄见。疑鬼疑神。
神识昏蒙。咯痰不爽。俗名痰蒙。故以介类通灵之玳瑁。幽香通窍之郁金为君。一则泄热解毒之功。同于犀
角。一则达郁凉心之力。灵于黄连。臣以带心翘之辛凉。直达包络以通窍。丹皮之辛窜。善清络热以散火。引
以山栀、木通。使上焦之郁火。屈曲下行。从下焦小便而泄。佐以姜、沥、石菖满汁。辛润流利。善涤络痰。
使以紫金片芳香开窍。助全方诸药透灵。妙在野菰根功同芦笋。而凉利之功。捷于芦根。配入竹叶、灯心、轻
清透络。使内陷包络之邪热。及迷漫心孔之痰火。一举而整肃之。此为开窍透络。涤痰清火之良方。服一剂或
二剂后。如神识狂乱不安。胸闷气急。壮热烦渴。此内陷包络之邪热。欲达而不能遽达也。急用三汁宁络饮。
徐徐灌下令尽。良久渐觉寒战。继即睡熟。汗出津津而神清。若二时许不应。须再作一服。历试辄效。
附方三汁宁络饮 开窍透络兼解火毒法 秀山经验方
白颈活地龙（四条。水洗净。入砂盆内研如水泥。滤取清汁。更用龙脑、西黄、辰砂各一分研匀。） 生姜汁（半小匙） 鲜薄荷汁（二小匙）用井水半杯。调三汁及脑、黄、辰
砂三味。
【秀按】此方芳香开窍。辛润活络。灵验异常。如嫌西黄价昂。用九制胆星八分代之亦验。
犀地清络饮 清宣包络瘀热法 俞氏经验方
犀角汁（四匙冲） 粉丹皮（二钱） 青连翘（钱半带心） 淡竹沥（二瓢和匀） 鲜生地（八钱） 生赤
芍（钱半） 原桃仁（九粒去皮） 生姜汁（二滴同冲）
先用鲜茅根一两。灯心（五分。煎汤代水） 鲜石菖浦汁（两匙冲）
【秀按】热陷包络神昏。非痰迷心窍。即瘀塞心孔。必用轻清灵通之品。始能开窍而透络。故以千金犀角地
黄汤。凉通络瘀为君。臣以带心翘透包络以清心。桃仁行心经以活血。但络瘀者必有粘涎。故又佐姜、沥、菖
蒲三汁。辛润以涤痰涎。而石菖蒲更有开心孔之功。妙在使茅根交春透发。善能凉血以清热。灯心质轻味淡。
更能清心以降火。此为轻清透络。通瘀泄热之良方。如服后二三时许不应。急于次煎中调入牛黄膏。以奏速效。
犀羚三汁饮 清宣包络痰瘀法 俞氏经验方
犀角尖（一钱） 带心翘（二钱） 东白薇（三钱） 皂角刺（三分） 羚角片（钱半） 广郁金（三
钱杵） 天竺黄（三钱，老式） 粉丹皮（钱半） 淡竹沥（两瓢） 鲜石蒲汁（两匙） 生藕汁（二瓢，
三汁和匀同冲）
先用犀羚二角。鲜茅根五十支（去衣）灯心五分。活水芦笋一两。煎汤代水。临服调入至宝丹四丸。和匀化下。
【秀按】邪陷包络。挟痰瘀互结清窍。症必痉厥并发。终日昏睡不醒。或错语呻吟。或独语如见鬼。目白多
现红丝。舌虽纯红。兼罩粘涎。最为危急之重证。故以犀、羚、凉血熄风。至宝芳香开窍为君。臣以带心翘宣
包络之气郁。郁、丹、通包络之血郁。白薇专治血厥。竺黄善开痰厥。尤必佐角刺、三汁轻宣辛窜。直达病所
以消痰瘀。使以芦笋、茅根、灯心、轻清透络。庶几痰活瘀散。而包络复其横通四布之常矣。此为开窍透络。
豁痰通瘀之第一良方。但病势危笃至此。亦十中救一而已。
【廉勘】至宝丹不应。《局方》紫雪及新定牛黄清心丸。或吴氏安宫牛黄丸等。亦可随时应急。录方于后。以备
临证时酌用。
局方至宝丹 摘录吴氏《温病条辨》方
犀角 朱砂 玳瑁 琥珀（以上各一两） 牛黄 麝香（以上各五钱）
以安息香一两重汤炖化。和诸药为丸。计一百丸。蜡护。
【廉勘】原方尚有雄黄一两。龙脑三钱半。金银箔各五十张。研细为衣。许氏《本事方》中。又加人参、制南
星、天竺黄、三味。
此方荟萃各种灵异。皆能补心体。通心用。除邪秽。解热结。徐洄溪云。安神定魂必备之方。真神丹也。
局方紫雪 吴氏从《本事方》去黄金加一“丹”字
滑石 石膏 寒水石 元参 升麻（以上各一斤） 灵磁石 朴硝 焰硝（以上各二斤） 犀角 羚
角青木香 沉香（以上各五两） 公丁香（一两） 炙甘草（半斤） 辰砂（三钱） 麝香（一两二钱）
【廉勘】《和剂局方》尚有黄金一百两。徐洄溪以金箔一万页代之。原方火硝四斤。朴硝十斤。徐氏谓二硝太
多。只有十分之一。方氏喉科。原方去二硝。加西瓜硝八钱。梅冰三钱。专治咽痛喉风。重 痰核。舌疔紫泡
等症。最妙。
此方辟秽开窍。泻火散结。徐洄溪云。邪火毒火。穿经入脏。无药可治。此能消解。其效如神。
新定牛黄清心丸 摘录王氏《温热经纬方》
西黄 雄黄 川连 子芩 山栀 广郁金 辰砂 犀角（各一两） 珍珠粉（五钱） 梅冰 麝香（
各二钱五分）
上研末。树胶水丸。每重一钱。金箔为衣。蜡匮。去蜡用。
此方即万氏牛黄丸。加犀、朱、冰、麝、雄黄等五味。治热陷心包。昏狂谵妄。较万方力大。重症用此。轻症
仍用万方。
安宫牛黄丸 摘录吴氏《温病条辨》方
西牛黄 犀角 广郁金 川连 生山栀 雄黄 黄芩 金箔 朱砂（以上各一两） 梅冰 麝香（
各二钱五分） 真珠粉（五钱）
上研细匀。树胶水丸。每丸重一钱。金箔为衣蜡护。脉虚者。人参汤下。脉实者。银花薄荷汤下。每服一丸。
大人病重体实者。日再服。甚至日三服。小儿服半丸。不知。再服半丸。
【廉勘】此方芳香化秽浊而利诸窍。咸寒保肾水而安心体。苦寒通火腑而泻心用。专治热陷包络。神昏谵
语。兼治飞尸猝厥。五痫中恶。及大人小儿痉厥之因于热者。多效。吴鞠通先生谓安宫牛黄丸最凉。紫雪次
之。至宝又次之。主治略同。而各有所长。临用对证斟酌可也。
【荣斋按】以上四方的主要作用，据我不成熟的体会；至宝丹清血解毒，安心定神第一。紫雪丹宜于斑疹伤
寒，大便溏薄者不宜用，因有攻泻药──朴硝在内。牛黄清心丸功能镇静神经之外，又有强心作用。安宫牛黄
丸镇静神经，兼有清热之功。这都是丹方大药，用得其当，功效立见。
连翘栀豉汤 清宣心包气机法 俞氏经验方
青连翘（二钱） 淡香豉（三钱炒香） 生枳壳（八分） 苦桔梗（八分） 焦山栀（三钱）
辛夷净仁（三分拌捣） 广郁金（三钱） 广橘络（一钱） 白蔻末（四分，分作二次冲）
【秀按】凡外邪初陷于心胸之间。正心包络之部分也。若一切感症。汗吐下后。轻则虚烦不眠。重即心中懊
。反复颠倒。心窝苦闷。或心下结痛。卧起不安。舌上苔滑者。皆心包气郁之见证。故以清芬轻宣。心包气
分主药之连翘。及善清虚烦之山栀、豆豉为君。臣以夷仁拌捣郁金。专开心包气郁。佐以轻剂枳桔。宣畅心包
气闷。以达归于肺。使以橘络疏包络之气。蔻末开心包之郁。此为清宣包络。疏畅气机之良方。
五汁一枝煎 清润心包血液法 俞氏经验方
鲜生地汁（四大瓢） 鲜茅根汁（两大瓢） 鲜生藕汁（两大瓢） 鲜淡竹沥（两大瓢） 鲜生姜
汁（两滴） 紫苏旁枝（二钱切寸）
上先将紫苏旁枝煎十余沸。取清汤盛盖碗中。和入五汁。重汤炖温服。
【秀按】心包邪热。开透整肃后。血液必枯。往往血虚生烦。愦愦无奈。心中不舒。间吐粘涎。呻吟错语。
故以鲜地、茅根、藕汁三味。清润心包血液为君。臣以姜、沥二汁。辛润流利。以涤络痰。妙在佐紫苏旁枝。
轻清宣络。以复其旁通四本之常。此为清润心包。濡血增液之良方。
增减黄连泻心汤 清泄包络心经实火法 俞氏经验 从仲景方加减
小川连（八分） 青子芩（钱半） 飞滑石（六钱） 淡竹沥（两瓢） 小枳实（钱半） 仙半
夏（钱半） 生苡仁（五钱） 生姜汁（两滴同冲）
先用冬瓜子一两。丝通草二钱。灯心五分。煎汤代水。鲜石菖蒲叶（钱半搓熟生冲。）
【秀按】肺胃痰火湿热。内壅心经包络。每致神昏谵语。心烦懊 。惟舌苔黄腻。与舌绛神昏。由于心血虚
燥者不同。故以连、芩、枳、半、苦辛通降。以除痰火为君。臣以滑、苡、瓜、通、凉淡泄湿。佐以姜、沥二
汁辛润涤痰。妙在使以菖蒲、灯心、芳淡利窍。通神明以降心火。此为泻心通络。蠲痰泄湿之良方。
导赤清心汤 清降包络心经虚热法 俞氏经验 从导赤泻心汤加减
鲜生地（六钱） 辰茯神（二钱） 细木通（五分） 原麦冬（一钱辰砂染） 粉丹皮（二钱）
益元散（三钱包煎） 淡竹叶（钱半） 莲子心（三十支冲） 辰砂染灯心（二十支） 莹白童便（一杯冲）
【秀按】热陷心经。内蒸包络。舌赤神昏。小便短涩赤热。必使其热从小便而泄者。以心与小肠相表里也。
但舌赤无苔。又无痰火。其为血虚热盛可知。故以鲜地凉心血以泻心火。丹皮清络血以泄络热为君。然必使其
热有去路。而包络心经之热乃能清降。故又臣以茯神、益元、木通、竹叶。引其热从小便而泄。佐以麦冬、灯
芯均用朱染者。一滋胃液以清养心阴。一通小便以直清神识。妙在使以童便莲心咸苦达下。交济心肾以速降其
热。是以小便清通者。包络心经之热。悉从下降。神气即清矣。此为清降虚热。导火下行之良方。服后二三时
许。神识仍昏者。调入西黄一分。以清神气。尤良。
清肝达郁汤 清疏肝郁法 俞氏经验方从加味逍遥散加减
焦山栀（三钱） 生白芍（钱半） 归须（一钱） 川柴胡（四分） 粉丹皮（二钱） 清炙草（
六分） 广橘白（一钱） 苏薄荷（四分冲） 滁菊花（钱半） 鲜青橘叶（五片剪碎）
【秀按】肝喜畅遂条达。达则无病。俗所谓肝气病者。皆先由肝郁不伸也。郁于胸胁。则胸满胁痛。郁于肠
间。则腹满而痛。甚则欲泄不得泄。即泄亦不畅。故以丹溪逍遥散法。疏肝达郁为君。然气郁者多从热化。丹
溪所谓气有余便是火也。故又以栀、丹、滁菊清泄肝火为臣。佐以青橘叶清芬疏气。以助柴、薄之达郁。此为
清肝泄火。疏郁宣气之良方。暴怒气盛者。加制香附三钱、醋炒青皮八分。暂为平气以伐肝。肠鸣飧泄者。加
乌梅炭三分、白僵蚕钱半。升达肠气以泄肝。疝气肿痛者。加小茴香二分、炒橘核三钱。炒香荔枝核钱半。疏
泄肝气以止痛。因于湿热食滞。腹中痛甚者。加《局方》越鞠丸三钱。疏畅六郁以定疼。
【廉勘】逍遥散法。养血疏肝。在妇科中尤为繁用。如此方去栀丹。加制香附二钱。苏丹参三钱。调气活
血。费伯雄推为调经之总方。经迟因于血气虚寒者。加鹿角胶三分（蛤粉拌炒松）。瑶桂心三分。以暖肝温经。
因于血络凝滞者。加真新绛钱半。旋复花三钱（包煎）。光桃仁九粒。以活络调经。经早因于血热者。加鲜生
地四钱。丹皮二钱。霜桑叶二钱。以凉血清经。因于血热液亏者。加生地四钱。生玉竹三钱。辰砂染麦冬二
钱。以养血增液。使血液充足而经自调。经闭因于络瘀者。加大黄 虫丸三钱（或吞服或绢包同煎）。轻者但
用益母膏五钱（冲）。消瘀以通经闭。因于血枯者。加杞菊六味丸四钱（绢包煎）。陈阿胶钱半。原方柴胡用
鳖血拌炒。去薄荷易玫瑰花二朵（冲）。惟妇女情欲不遂。左脉弦出寸口。经闭或经痛经乱者。加制香附二
钱。泽兰三钱。鲜生地五钱。广郁金三钱（杵）。以和肝理脾。清心开郁。或崩或漏。因恚怒伤肝而气盛者。
加制香附三钱。醋炒青皮一钱。伐其气以平之。血热者。加鲜生地五钱。焦山栀三钱。鲜茅根四十支。凉其血
以清之。子宫痛极。手足不能伸舒。因于湿火下注者。加龙胆草八分。青子芩二钱。清麟丸三钱（包煎）。急
泻湿火以整肃之。外用细生地三钱。当归二钱。生白芍钱半。川芎一钱。明乳香一钱。同捣成饼。纳入阴中以
止痛。阴痒因于湿热生虫者。加龙胆草一钱。川楝子钱半。蛇床子钱半（盐水炒）。以杀其虫而止痒。外用桃
仁光杏仁各九粒。同雄精二分。研成膏蘸雄鸡肝中。纳入阴中。虫入鸡肝中。引其虫以外出。阴痒即止。阴疮
溃烂出水者。防有梅毒。加土茯苓四钱。炒黑丑二钱。杜牛膝五钱。生川柏八分。以清解梅毒。外用子宫棉塞
入阴中。多用硼酸水洗涤子宫。以清其毒火。血风疮症。遍身起 如丹毒状。或痒或痛。搔之成疮者。多由
于风湿血燥。加鲜生地五钱。小川连八分。以凉血润燥。清疏风湿。
增减旋复代赭汤 清降肝逆法 俞氏经验 从仲景方加减
玳瑁郁金汤 清宣包络痰火法 俞氏经验方
生玳瑁（一钱研碎） 生山栀（三钱） 细木通（一钱） 淡竹沥（两瓢冲） 广郁金（二钱生打） 青连翘（二钱带心） 粉丹皮（二钱） 生姜汁（两滴冲） 鲜石菖蒲汁（两小匙冲） 紫金片（三分开水烊冲）
先用野菰根二两。鲜卷心竹叶四十支。灯心两小帚（约重五六分）用水六碗。煎成四碗。取清汤分作二次煎药。
【秀按】邪热内陷包络。郁蒸津液而为痰。迷漫心孔。即堵其神明出入之窍。其人即妄言妄见。疑鬼疑神。神识昏蒙。咯痰不爽。俗名痰蒙。故以介类通灵之玳瑁。幽香通窍之郁金为君。一则泄热解毒之功。同于犀角。一则达郁凉心之力。灵于黄连。臣以带心翘之辛凉。直达包络以通窍。丹皮之辛窜。善清络热以散火。引以山栀、木通。使上焦之郁火。屈曲下行。从下焦小便而泄。佐以姜、沥、石菖满汁。辛润流利。善涤络痰。使以紫金片芳香开窍。助全方诸药透灵。妙在野菰根功同芦笋。而凉利之功。捷于芦根。配入竹叶、灯心。轻清透络。使内陷包络之邪热。及迷漫心孔之痰火。一举而整肃之。此为开窍透络。涤痰清火之良方。服一剂或二剂后。如神识狂乱不安。胸闷气急。壮热烦渴。此内陷包络之邪热。欲达而不能遽达也。急用三汁宁络饮。徐徐灌下令尽。良久渐觉寒战。继即睡熟。汗出津津而神清。若二时许不应。须再作一服。历试辄效。
附方三汁宁络饮 开窍透络兼解火毒法 秀山经验方
白颈活地龙（四条。水洗净。入砂盆内研如水泥。滤取清汁。更用龙脑、西黄、辰砂各一分研匀。） 生姜汁（半小匙） 鲜薄荷汁（二小匙）用井水半杯。调三汁及脑、黄、辰砂三味。
【秀按】此方芳香开窍。辛润活络。灵验异常。如嫌西黄价昂。用九制胆星八分代之亦验。
犀地清络饮 清宣包络瘀热法 俞氏经验方
犀角汁（四匙冲） 粉丹皮（二钱） 青连翘（钱半带心） 淡竹沥（二瓢和匀） 鲜生地（八钱） 生赤芍（钱半） 原桃仁（九粒去皮） 生姜汁（二滴同冲）
先用鲜茅根一两。灯心（五分。煎汤代水） 鲜石菖浦汁（两匙冲）
【秀按】热陷包络神昏。非痰迷心窍。即瘀塞心孔。必用轻清灵通之品。始能开窍而透络。故以千金犀角地黄汤。凉通络瘀为君。臣以带心翘透包络以清心。桃仁行心经以活血。但络瘀者必有粘涎。故又佐姜、沥、菖蒲三汁。辛润以涤痰涎。而石菖蒲更有开心孔之功。妙在使茅根交春透发。善能凉血以清热。灯心质轻味淡。更能清心以降火。此为轻清透络。通瘀泄热之良方。如服后二三时许不应。急于次煎中调入牛黄膏。以奏速效。
犀羚三汁饮 清宣包络痰瘀法 俞氏经验方
犀角尖（一钱） 带心翘（二钱） 东白薇（三钱） 皂角刺（三分） 羚角片（钱半） 广郁金（三钱杵） 天竺黄（三钱，老式） 粉丹皮（钱半） 淡竹沥（两瓢） 鲜石蒲汁（两匙） 生藕汁（二瓢，三汁和匀同冲）
先用犀羚二角。鲜茅根五十支（去衣）灯心五分。活水芦笋一两。煎汤代水。临服调入至宝丹四丸。和匀化下。
【秀按】邪陷包络。挟痰瘀互结清窍。症必痉厥并发。终日昏睡不醒。或错语呻吟。或独语如见鬼。目白多现红丝。舌虽纯红。兼罩粘涎。最为危急之重证。故以犀、羚、凉血熄风。至宝芳香开窍为君。臣以带心翘宣包络之气郁。郁、丹、通包络之血郁。白薇专治血厥。竺黄善开痰厥。尤必佐角刺、三汁轻宣辛窜。直达病所以消痰瘀。使以芦笋、茅根、灯心、轻清透络。庶几痰活瘀散。而包络复其横通四布之常矣。此为开窍透络。豁痰通瘀之第一良方。但病势危笃至此。亦十中救一而已。
【廉勘】至宝丹不应。《局方》紫雪及新定牛黄清心丸。或吴氏安宫牛黄丸等。亦可随时应急。录方于后。以备临证时酌用。
局方至宝丹 摘录吴氏《温病条辨》方
犀角 朱砂 玳瑁 琥珀（以上各一两） 牛黄 麝香（以上各五钱）
以安息香一两重汤炖化。和诸药为丸。计一百丸。蜡护。
【廉勘】原方尚有雄黄一两。龙脑三钱半。金银箔各五十张。研细为衣。许氏《本事方》中。又加人参、制南星、天竺黄、三味。
此方荟萃各种灵异。皆能补心体。通心用。除邪秽。解热结。徐洄溪云。安神定魂必备之方。真神丹也。
局方紫雪 吴氏从《本事方》去黄金加一“丹”字
滑石 石膏 寒水石 元参 升麻（以上各一斤） 灵磁石 朴硝 焰硝（以上各二斤） 犀角 羚角青木香 沉香（以上各五两） 公丁香（一两） 炙甘草（半斤） 辰砂（三钱） 麝香（一两二钱）
【廉勘】《和剂局方》尚有黄金一百两。徐洄溪以金箔一万页代之。原方火硝四斤。朴硝十斤。徐氏谓二硝太多。只有十分之一。方氏喉科。原方去二硝。加西瓜硝八钱。梅冰三钱。专治咽痛喉风。重痰核。舌疔紫泡等症。最妙。
此方辟秽开窍。泻火散结。徐洄溪云。邪火毒火。穿经入脏。无药可治。此能消解。其效如神。
新定牛黄清心丸 摘录王氏《温热经纬方》
西黄 雄黄 川连 子芩 山栀 广郁金 辰砂 犀角（各一两） 珍珠粉（五钱） 梅冰 麝香（各二钱五分）
上研末。树胶水丸。每重一钱。金箔为衣。蜡匮。去蜡用。
此方即万氏牛黄丸。加犀、朱、冰、麝、雄黄等五味。治热陷心包。昏狂谵妄。较万方力大。重症用此。轻症仍用万方。
安宫牛黄丸 摘录吴氏《温病条辨》方
西牛黄 犀角 广郁金 川连 生山栀 雄黄 黄芩 金箔 朱砂（以上各一两） 梅冰 麝香（各二钱五分） 真珠粉（五钱）
上研细匀。树胶水丸。每丸重一钱。金箔为衣蜡护。脉虚者。人参汤下。脉实者。银花薄荷汤下。每服一丸。大人病重体实者。日再服。甚至日三服。小儿服半丸。不知。再服半丸。
【廉勘】此方芳香化秽浊而利诸窍。咸寒保肾水而安心体。苦寒通火腑而泻心用。专治热陷包络。神昏谵语。兼治飞尸猝厥。五痫中恶。及大人小儿痉厥之因于热者。多效。吴鞠通先生谓安宫牛黄丸最凉。紫雪次之。至宝又次之。主治略同。而各有所长。临用对证斟酌可也。
【荣斋按】以上四方的主要作用，据我不成熟的体会；至宝丹清血解毒，安心定神第一。紫雪丹宜于斑疹伤寒，大便溏薄者不宜用，因有攻泻药──朴硝在内。牛黄清心丸功能镇静神经之外，又有强心作用。安宫牛黄丸镇静神经，兼有清热之功。这都是丹方大药，用得其当，功效立见。
连翘栀豉汤 清宣心包气机法 俞氏经验方
青连翘（二钱） 淡香豉（三钱炒香） 生枳壳（八分） 苦桔梗（八分） 焦山栀（三钱）
辛夷净仁（三分拌捣） 广郁金（三钱） 广橘络（一钱） 白蔻末（四分，分作二次冲）
【秀按】凡外邪初陷于心胸之间。正心包络之部分也。若一切感症。汗吐下后。轻则虚烦不眠。重即心中懊憹。反复颠倒。心窝苦闷。或心下结痛。卧起不安。舌上苔滑者。皆心包气郁之见证。故以清芬轻宣。心包气分主药之连翘。及善清虚烦之山栀、豆豉为君。臣以夷仁拌捣郁金。专开心包气郁。佐以轻剂枳桔。宣畅心包气闷。以达归于肺。使以橘络疏包络之气。蔻末开心包之郁。此为清宣包络。疏畅气机之良方。
五汁一枝煎 清润心包血液法 俞氏经验方
鲜生地汁（四大瓢） 鲜茅根汁（两大瓢） 鲜生藕汁（两大瓢） 鲜淡竹沥（两大瓢） 鲜生姜汁（两滴） 紫苏旁枝（二钱切寸）
上先将紫苏旁枝煎十余沸。取清汤盛盖碗中。和入五汁。重汤炖温服。
【秀按】心包邪热。开透整肃后。血液必枯。往往血虚生烦。愦愦无奈。心中不舒。间吐粘涎。呻吟错语。故以鲜地、茅根、藕汁三味。清润心包血液为君。臣以姜、沥二汁。辛润流利。以涤络痰。妙在佐紫苏旁枝。轻清宣络。以复其旁通四本之常。此为清润心包。濡血增液之良方。
增减黄连泻心汤 清泄包络心经实火法 俞氏经验 从仲景方加减
小川连（八分） 青子芩（钱半） 飞滑石（六钱） 淡竹沥（两瓢） 小枳实（钱半） 仙半夏（钱半） 生苡仁（五钱） 生姜汁（两滴同冲）
先用冬瓜子一两。丝通草二钱。灯心五分。煎汤代水。鲜石菖蒲叶（钱半搓熟生冲。）
【秀按】肺胃痰火湿热。内壅心经包络。每致神昏谵语。心烦懊憹。惟舌苔黄腻。与舌绛神昏。由于心血虚燥者不同。故以连、芩、枳、半、苦辛通降。以除痰火为君。臣以滑、苡、瓜、通、凉淡泄湿。佐以姜、沥二汁辛润涤痰。妙在使以菖蒲、灯心、芳淡利窍。通神明以降心火。此为泻心通络。蠲痰泄湿之良方。
导赤清心汤 清降包络心经虚热法 俞氏经验 从导赤泻心汤加减
鲜生地（六钱） 辰茯神（二钱） 细木通（五分） 原麦冬（一钱辰砂染） 粉丹皮（二钱）
益元散（三钱包煎） 淡竹叶（钱半） 莲子心（三十支冲） 辰砂染灯心（二十支） 莹白童便（一杯冲）
【秀按】热陷心经。内蒸包络。舌赤神昏。小便短涩赤热。必使其热从小便而泄者。以心与小肠相表里也。但舌赤无苔。又无痰火。其为血虚热盛可知。故以鲜地凉心血以泻心火。丹皮清络血以泄络热为君。然必使其热有去路。而包络心经之热乃能清降。故又臣以茯神、益元、木通、竹叶。引其热从小便而泄。佐以麦冬、灯芯均用朱染者。一滋胃液以清养心阴。一通小便以直清神识。妙在使以童便莲心咸苦达下。交济心肾以速降其热。是以小便清通者。包络心经之热。悉从下降。神气即清矣。此为清降虚热。导火下行之良方。服后二三时许。神识仍昏者。调入西黄一分。以清神气。尤良。
清肝达郁汤 清疏肝郁法 俞氏经验方从加味逍遥散加减
焦山栀（三钱） 生白芍（钱半） 归须（一钱） 川柴胡（四分） 粉丹皮（二钱） 清炙草（六分） 广橘白（一钱） 苏薄荷（四分冲） 滁菊花（钱半） 鲜青橘叶（五片剪碎）
【秀按】肝喜畅遂条达。达则无病。俗所谓肝气病者。皆先由肝郁不伸也。郁于胸胁。则胸满胁痛。郁于肠间。则腹满而痛。甚则欲泄不得泄。即泄亦不畅。故以丹溪逍遥散法。疏肝达郁为君。然气郁者多从热化。丹溪所谓气有余便是火也。故又以栀、丹、滁菊清泄肝火为臣。佐以青橘叶清芬疏气。以助柴、薄之达郁。此为清肝泄火。疏郁宣气之良方。暴怒气盛者。加制香附三钱、醋炒青皮八分。暂为平气以伐肝。肠鸣飧泄者。加乌梅炭三分、白僵蚕钱半。升达肠气以泄肝。疝气肿痛者。加小茴香二分、炒橘核三钱。炒香荔枝核钱半。疏泄肝气以止痛。因于湿热食滞。腹中痛甚者。加《局方》越鞠丸三钱。疏畅六郁以定疼。
【廉勘】逍遥散法。养血疏肝。在妇科中尤为繁用。如此方去栀丹。加制香附二钱。苏丹参三钱。调气活血。费伯雄推为调经之总方。经迟因于血气虚寒者。加鹿角胶三分（蛤粉拌炒松）。瑶桂心三分。以暖肝温经。因于血络凝滞者。加真新绛钱半。旋复花三钱（包煎）。光桃仁九粒。以活络调经。经早因于血热者。加鲜生地四钱。丹皮二钱。霜桑叶二钱。以凉血清经。因于血热液亏者。加生地四钱。生玉竹三钱。辰砂染麦冬二钱。以养血增液。使血液充足而经自调。经闭因于络瘀者。加大黄䗪虫丸三钱（或吞服或绢包同煎）。轻者但用益母膏五钱（冲）。消瘀以通经闭。因于血枯者。加杞菊六味丸四钱（绢包煎）。陈阿胶钱半。原方柴胡用鳖血拌炒。去薄荷易玫瑰花二朵（冲）。惟妇女情欲不遂。左脉弦出寸口。经闭或经痛经乱者。加制香附二钱。泽兰三钱。鲜生地五钱。广郁金三钱（杵）。以和肝理脾。清心开郁。或崩或漏。因恚怒伤肝而气盛者。加制香附三钱。醋炒青皮一钱。伐其气以平之。血热者。加鲜生地五钱。焦山栀三钱。鲜茅根四十支。凉其血以清之。子宫痛极。手足不能伸舒。因于湿火下注者。加龙胆草八分。青子芩二钱。清麟丸三钱（包煎）。急泻湿火以整肃之。外用细生地三钱。当归二钱。生白芍钱半。川芎一钱。明乳香一钱。同捣成饼。纳入阴中以止痛。阴痒因于湿热生虫者。加龙胆草一钱。川楝子钱半。蛇床子钱半（盐水炒）。以杀其虫而止痒。外用桃仁光杏仁各九粒。同雄精二分。研成膏蘸雄鸡肝中。纳入阴中。虫入鸡肝中。引其虫以外出。阴痒即止。阴疮溃烂出水者。防有梅毒。加土茯苓四钱。炒黑丑二钱。杜牛膝五钱。生川柏八分。以清解梅毒。外用子宫棉塞入阴中。多用硼酸水洗涤子宫。以清其毒火。血风疮症。遍身起㾦如丹毒状。或痒或痛。搔之成疮者。多由于风湿血燥。加鲜生地五钱。小川连八分。以凉血润燥。清疏风湿。
增减旋复代赭汤 清降肝逆法 俞氏经验 从仲景方加减
Dai Mao Yu Jin Tang (Tortoise Shell and Curcuma Decoction) – Method of Clearing and Disseminating Phlegm-Fire in the Pericardium. An empirical formula by Mr. Yu.
Raw Dai Mao (Tortoise Shell, Qielonggu, 1 qian, crushed) Sheng Shan Zhi (Gardenia Fruit, Zhizi, 3 qian) Xi Mu Tong (Akebia Stem, Mutong, 1 qian) Dan Zhu Li (Bamboo Sap, Zhuli, 2 ladles, mixed in) Guang Yu Jin (Curcuma Rhizome, Yujin, 2 qian, freshly pounded) Qing Lian Qiao (Forsythia Fruit, Lianqiao, 2 qian, with heart) Fen Dan Pi (Moutan Cortex, Mudanpi, 2 qian) Sheng Jiang Zhi (Fresh Ginger Juice, 2 drops, mixed in) Xian Shi Chang Pu Zhi (Fresh Acorus Rhizome Juice, Shichangpu, 2 small spoons, mixed in) Zi Jin Pian (Zijin Tablets, 3 fen, dissolved in boiling water and mixed in).
First, decoct Ye Gu Gen (Wild Asparagus Root, 2 liang), Xian Juan Xin Zhu Ye (Fresh Heart-shaped Bamboo Leaves, 40 branches), and Deng Xin (Juncus Effusus, 2 small brooms, approx. 5-6 fen) in 6 bowls of water. Boil down to 4 bowls. Take the clear decoction and divide it into two portions for decocting the herbs.
[Commentary by Xiu:] When pathogenic heat sinks inward into the Pericardium (Pericardium Meridian of Hand-Jueyin, a defensive layer surrounding the heart), it condenses body fluids into phlegm. This phlegm mists over the orifices of the mind, blocking the passages through which the spirit enters and exits. The patient will speak and see hallucinations, suspect ghosts and spirits. Consciousness becomes cloudy and confused, expectoration is difficult. Commonly known as "Phlegm Obscuring," therefore, we use Dai Mao (Tortoise Shell), a shellfish that possesses spiritual penetration, and Yu Jin (Curcuma Rhizome), with its subtle fragrance opening the orifices, as the Sovereign (primary) herbs. One provides heat-clearing and detoxifying effects similar to Xi Jiao (Rhinoceros Horn); the other has the power to resolve stagnation and cool the heart, more effective than Huang Lian (Coptis Rhizome). We employ Lian Qiao (Forsythia Fruit) with the heart as the Minister (assistant) herb; its acrid-cool nature reaches the Pericardium directly to open the orifices. Dan Pi (Moutan Cortex) is acrid and penetrating, excellent at clearing collateral heat and dispersing fire. We guide the action with Shan Zhi (Gardenia Fruit) and Mu Tong (Akebia Stem), causing the stagnant fire of the Upper Jiao to descend曲折ly through the Lower Jiao and be excreted via urination. We assist with Jiang Zhi (Ginger Juice), Zhu Li (Bamboo Sap), and Shi Chang Pu Zhi (Acorus Juice); their acrid-moist properties facilitate flow and are excellent at washing away collateral phlegm. We direct the formula with Zi Jin Pian (Zijin Tablets), whose aromatic nature opens the orifices, assisting all other herbs in penetrating the spiritual realm. The subtlety lies in Ye Gu Gen (Wild Asparagus Root), which shares the function of Lu Gen (Reed Rhizome) but acts faster in cooling and promoting fluid flow. Paired with Zhu Ye (Bamboo Leaves) and Deng Xin (Juncus Effusus), which are light, clear, and penetrate collaterals, this formula thoroughly clears the pathogenic heat sinking into the Pericardium and the phlegm-fire misting the mind's orifices in one stroke. This is an excellent formula for opening orifices, penetrating collaterals, washing away phlegm, and clearing fire. After taking one or two doses, if consciousness becomes manic and restless, chest fullness and shortness of breath occur, accompanied by high fever, irritability, and thirst, this indicates that the pathogenic heat sinking into the Pericardium desires to emerge but cannot do so abruptly. Urgently use San Zhi Ning Luo Yin (Three Juices Calming Collateral Decoction), administer slowly until finished. After a while, chills will gradually appear, followed by deep sleep, profuse sweating, and clarity of spirit. If there is no response after two hours, prepare another dose. Repeated trials have proven effective.
Attached Formula: San Zhi Ning Luo Yin (Three Juices Calming Collateral Decoction) – Method of Opening Orifices, Penetrating Collaterals, and Resolving Fire-Toxicity. An empirical formula by Xiushan.
Bai Jing Huo Di Long (White-jointed Live Earthworm, Dilong, 4 pieces, washed clean, ground in a clay mortar like cement, filtered for clear juice. Additionally, use Long Nao (Borneol), Xi Huang (Calculus Bovis, Niuhuang), and Chen Sha (Cinnabar), each 1 fen, ground evenly.) Sheng Jiang Zhi (Fresh Ginger Juice, half a small spoon) Xian Bo He Zhi (Fresh Mint Juice, 2 small spoons). Use half a cup of well water to mix the three juices and the three substances: Borneol, Calculus Bovis, and Cinnabar.
[Commentary by Xiu:] This formula uses aromatic herbs to open orifices and acrid-moist herbs to invigorate collaterals, with extraordinary efficacy. If Calculus Bovis (Niuhuang) is considered too expensive, using Jiu Zhi Dan Xing (Nine-Processed Areca-derived Phlegm-resolving Herb, Danshen/Danxing) 8 fen as a substitute is also effective.
Xi Di Qing Luo Yin (Rhino-Horn and Rehmannia Clearing Collateral Decoction) – Method of Clearing and Disseminating Stagnant-Heat in the Pericardium. An empirical formula by Mr. Yu.
Xi Jiao Zhi (Rhinoceros Horn Juice, Xijiao, 4 spoons, mixed in) Fen Dan Pi (Moutan Cortex, Mudanpi, 2 qian) Qing Lian Qiao (Forsythia Fruit, Lianqiao, 1.5 qian, with heart) Dan Zhu Li (Bamboo Sap, Zhuli, 2 ladles, mixed evenly) Xian Sheng Di (Fresh Rehmannia Root, Shengdihuang, 8 qian) Sheng Chi Shao (Fresh Red Peony Root, Chishao, 1.5 qian) Yuan Tao Ren (Original Peach Kernel, Taoren, 9 grains, peeled) Sheng Jiang Zhi (Fresh Ginger Juice, 2 drops, mixed together).
First, decoct Xian Mao Gen (Fresh Imperata Rhizome, Maogen, 1 liang) and Deng Xin (Juncus Effusus, 5 fen, decocted as water substitute) and Xian Shi Chang Pu Zhi (Fresh Acorus Rhizome Juice, Shichangpu, 2 spoons, mixed in).
[Commentary by Xiu:] When heat sinks into the Pericardium causing unconsciousness, it is either phlegm confusing the heart orifices or blood stasis blocking the heart's cavity. Only light, clear, and spiritually penetrating substances can open the orifices and penetrate the collaterals. Therefore, we use Qianjin Xi Jiao Di Huang Tang (Qianjin Decoction of Rhino-horn and Rehmannia) as the Sovereign herb to cool and unblock collateral stasis. We employ Lian Qiao (Forsythia Fruit) with the heart as the Minister herb to penetrate the Pericardium and clear the heart. Taoren (Peach Kernel) moves the Heart Meridian to invigorate blood. However, collateral stasis must involve sticky saliva/phlegm, so we assist with Jiang Zhi (Ginger Juice), Zhu Li (Bamboo Sap), and Shi Chang Pu Zhi (Acorus Juice); their acrid-moist properties wash away phlegm-saliva. Shi Chang Pu (Acorus Rhizome) further has the power to open the heart's cavity. The subtlety lies in Mao Gen (Imperata Rhizome), which penetrates and emerges in spring, excellently cooling blood to clear heat. Deng Xin (Juncus Effusus) is light in quality and bland in taste, further clearing the heart to descend fire. This is an excellent formula for lightly clearing and penetrating collaterals, unblocking stasis, and draining heat. If there is no response after two or three hours, urgently add Niu Huang Gao (Calculus Bovis Paste) to the secondary decoction to achieve rapid effect.
Xi Ling San Zhi Yin (Rhino-Horn and Antelope Horn Three Juices Drink) – Method of Clearing and Disseminating Phlegm-Stasis in the Pericardium. An empirical formula by Mr. Yu.
Xi Jiao Jian (Tip of Rhino-horn, Xijiao, 1 qian) Dai Xin Qiao (Lianqiao with heart, 2 qian) Dong Bai Wei (Eastern White Peony Root, Baiwei, 3 qian) Zao Jiao Ci (Gleditsia Spine, Zaocixu, 3 fen) Ling Jiao Pian (Antelope Horn Slices, Lingyangjiao, 1.5 qian) Guang Yu Jin (Curcuma Rhizome, Yujin, 3 qian, pounded) Tian Zhu Huang (Bambusa Textile Tuber, Tianzhuhuang, 3 qian, traditional style) Fen Dan Pi (Moutan Cortex, Mudanpi, 1.5 qian) Dan Zhu Li (Bamboo Sap, Zhuli, 2 ladles) Xian Shi Pu Zhi (Fresh Acorus Juice, Shichangpu, 2 spoons) Sheng Ou Zhi (Fresh Lotus Root Juice, 2 ladles, mixed with the three juices and taken together).
First, decoct Xi Ling Er Jiao (Rhino-horn and Antelope Horn), Xian Mao Gen (Fresh Imperata Rhizome, 50 branches, peeled), Deng Xin (Juncus Effusus, 5 fen), and Huo Shui Lu Sun (Living Water Reed Shoots, Lususun, 1 liang) to make a decoction as water substitute. Before administration, mix in Zhi Bao Dan (Treasure of the Cabinet Pills, 4 pills), blend evenly, and dissolve to take.
[Commentary by Xiu:] When pathogens sink into the Pericardium, mixing phlegm and stasis to obstruct the clear orifices, symptoms must include spasms and convulsions occurring simultaneously. The patient sleeps deeply all day without waking, or speaks incorrectly and groans, or speaks alone as if seeing ghosts. The whites of the eyes show many red threads. Although the tongue is purely red, it is coated with sticky saliva. This is a critical severe syndrome. Therefore, we use Xi (Rhino-horn) and Ling (Antelope-horn) to cool blood and extinguish wind, and Zhi Bao Dan (Treasure of the Cabinet Pills) with aromatic properties to open orifices as the Sovereign herbs. We employ Dai Xin Qiao (Lianqiao with heart) as the Minister herb to disseminate Qi stagnation in the Pericardium. Yu Jin (Curcuma) and Dan Pi (Moutan) address Blood stagnation in the Pericardium. Bai Wei (White Peony Root) specifically treats Blood Syncope. Tian Zhu Huang (Bambusa Textile Tuber) excels at opening Phlegm Syncope. Crucially, we assist with Zao Jiao Ci (Gleditsia Spine) and the three juices, which are light, clear, acrid, and penetrating, reaching the disease site directly to eliminate phlegm and stasis. We direct with Lu Sun (Reed Shoots), Mao Gen (Imperata Rhizome), and Deng Xin (Juncus Effusus), which are light, clear, and penetrate collaterals. Thus, phlegm becomes active and stasis scatters, allowing the Pericardium to restore its normal state of horizontal connection and widespread distribution. This is the premier excellent formula for opening orifices, penetrating collaterals, resolving phlegm, and unblocking stasis. However, when the disease is this critical, only one in ten patients may be saved.
[Commentary by Lian:] If Zhi Bao Dan (Treasure of the Cabinet Pills) is ineffective, Zi Xue (Purple Snow) from the Bureau Formulary, Xin Ding Niu Huang Qing Xin Wan (Newly Regulated Calculus Bovis Clearing Heart Pills), or Wu’s Angong Niu Huang Wan (Angong Calculus Bovis Pills) can also be used for emergency situations. The formulas are recorded below for reference during clinical practice.
Ju Fang Zhi Bao Dan (Bureau Formulary Treasure of the Cabinet Pills) – Excerpted from Wu’s *Wen Bing Tiao Bian* (Systematic Differentiation of Warm Diseases).
Xi Jiao (Rhinoceros Horn) Zhu Sha (Cinnabar) Dai Mao (Tortoise Shell) Hu Po (Amber) (Each above 1 liang) Niu Huang (Calculus Bovis) She Xiang (Musk) (Each above 5 qian).
Dissolve An Xi Xiang (Benzoin Resin, 1 liang) in hot water bath, mix with other herbs to form pills, totaling 100 pills. Wax coating.
[Commentary by Lian:] The original formula also contains Xiong Huang (Realgar, 1 liang), Long Nao (Borneol, 3.5 qian), and Gold/Silver Leaf (50 sheets each), ground finely for coating. Xu’s *Ben Shi Fang* adds Ren Shen (Ginseng), Zhi Nan Xing (Processed Arisaema), and Tian Zhu Huang (Bambusa Textile Tuber).
This formula gathers various spiritual substances, all capable of supplementing the Heart substance, facilitating Heart function, removing pathogenic filth, and resolving heat knots. Xu Huixi said: "An essential formula for calming the spirit and stabilizing the soul, truly a divine pill."
Ju Fang Zi Xue (Bureau Formulary Purple Snow) – Wu added "Dan" to the name, removing gold from *Ben Shi Fang*.
Hua Shi (Talcum Powder) Shi Gao (Gypsum Fibrosum) Han Shui Shi (Calcitum) Xuan Shen (Scrophularia Root) Sheng Ma (Cimicifuga Rhizome) (Each above 1 jin) Ling Ci Shi (Magnetite) Po Xiao (Mirabilite) Yan Xiao (Saltpeter) (Each above 2 jin) Xi Jiao (Rhinoceros Horn) Ling Jiao (Antelope Horn) Qing Mu Xiang (Aquilaria Wood) Chen Xiang (Agarwood) (Each above 5 liang) Gong Ding Xiang (Clove, 1 liang) Zhi Gan Cao (Prepared Licorice Root, 0.5 jin) Chen Sha (Cinnabar, 3 qian) She Xiang (Musk, 1.2 liang).
[Commentary by Lian:] The *He Ji Ju Fang* also contains 100 liang of Gold. Xu Huixi replaced it with 10,000 sheets of Gold Leaf. The original formula had 4 jin of Fire Saltpeter and 10 jin of Mirabilite. Xu stated that two saltpeters are too much, reducing them to one-tenth. Fang’s Throat Department removed the two saltpeters from the original formula, adding Xi Gua Xiao (Watermelon Saltpeter, 8 qian) and Mei Bing (Plum Ice/Borneol, 3 qian), specifically treating sore throat, throat wind, heavy phlegm nodules, purple blisters on the tongue, etc. Most excellent.
This formula dispels filth, opens orifices, drains fire, and dissipates nodules. Xu Huixi said: "When pathogenic fire and toxic fire penetrate meridians and enter viscera, with no medicine to treat it, this can resolve them. Its efficacy is miraculous."
Xin Ding Niu Huang Qing Xin Wan (Newly Regulated Calculus Bovis Clearing Heart Pills) – Excerpted from Wang’s *Wen Re Jing Wei Fang*.
Xi Huang (Calculus Bovis, Niuhuang) Xiong Huang (Realgar) Chuan Lian (Coptis Rhizome, Huanglian) Zi Qin (Scutellaria Root, Huangqin) Shan Zhi (Gardenia Fruit, Zhizi) Guang Yu Jin (Curcuma Rhizome, Yujin) Chen Sha (Cinnabar) Xi Jiao (Rhinoceros Horn) (Each 1 liang) Zhen Zhu Fen (Pearl Powder, 5 qian) Mei Bing (Borneol) She Xiang (Musk) (Each 2.5 qian).
Grind into powder. Make pills with locust bean gum paste. Each weighs 1 qian. Coat with gold leaf. Wax seal. Remove wax before use.
This formula is based on Wan’s Niu Huang Wan, adding Xi (Rhino-horn), Zhu (Cinnabar), Bing (Borneol), She (Musk), and Xiong Huang (Realgar). It treats heat sinking into the Pericardium, unconsciousness, mania, and delirium. It is stronger than Wan’s formula. Use this for severe cases; use Wan’s formula for mild cases.
Angong Niu Huang Wan (Angong Calculus Bovis Pills) – Excerpted from Wu’s *Wen Bing Tiao Bian* (Systematic Differentiation of Warm Diseases).
Xi Niu Huang (Western Calculus Bovis) Xi Jiao (Rhinoceros Horn) Guang Yu Jin (Curcuma Rhizome, Yujin) Chuan Lian (Coptis Rhizome, Huanglian) Sheng Shan Zhi (Gardenia Fruit, Zhizi) Xiong Huang (Realgar) Huang Qin (Scutellaria Root) Jin Bo (Gold Leaf) Zhu Sha (Cinnabar) (Each above 1 liang) Mei Bing (Borneol) She Xiang (Musk) (Each 2.5 qian) Zhen Zhu Fen (Pearl Powder, 5 qian).
Grind finely and evenly. Make pills with locust bean gum paste. Each pill weighs 1 qian. Coat with gold leaf and wax seal. For deficient pulse, take with Ginseng Decoction. For excess pulse, take with Honeysuckle and Mint Decoction. Take one pill per dose. For adults with severe illness and strong constitution, take twice daily, even three times daily. Children take half a pill. If no effect, take another half pill.
[Commentary by Lian:] This formula uses aromatic herbs to transform turbidity and benefit the orifices. Salty-cold herbs protect Kidney Water and calm the Heart substance. Bitter-cold herbs unblock the Fire Fu-organs and drain Heart function. It specifically treats heat sinking into the Pericardium, unconsciousness, and delirium. It also treats sudden syncope due to flying corpses, five types of epilepsy, and malignant qi, as well as spasms and convulsions in adults and children caused by heat. It is highly effective. Mr. Wu Jutong stated that Angong Niu Huang Wan is the coolest, Zi Xue (Purple Snow) is second, and Zhi Bao Dan (Treasure of the Cabinet Pills) is third. Their indications are slightly similar, but each has its strengths. Choose according to the syndrome during use.
[Commentary by Rongzhai:] Based on my immature understanding, the main functions of the above four formulas are: Zhi Bao Dan (Treasure of the Cabinet Pills) is first for clearing blood, detoxifying, calming the mind, and stabilizing the spirit. Zi Xue Dan (Purple Snow Pill) is suitable for maculopapular typhoid; it should not be used for loose stools because it contains Po Xiao (Mirabilite), a purgative. Niu Huang Qing Xin Wan (Calculus Bovis Clearing Heart Pill) has the function of sedating nerves and also strengthens the heart. Angong Niu Huang Wan sedates nerves and also clears heat. These are major medicinal pills; when used appropriately, their efficacy is immediate.
Lian Qiao Zhi Chi Tang (Forsythia and Fermented Soybean Clearing Decoction) – Method of Clearing and Disseminating Pericardium Qi Mechanism. An empirical formula by Mr. Yu.
Qing Lian Qiao (Forsythia Fruit, Lianqiao, 2 qian) Dan Xiang Chi (Light Fragrant Fermented Soybean, Douchi, 3 qian, stir-fried until fragrant) Sheng Zhi Ke (Immature Bitter Orange Peel, Zhike, 8 fen) Ku Jie Geng (Bitter Platycodon Root, Jiegeng, 8 fen) Jiao Shan Zhi (Charred Gardenia Fruit, Zhizi, 3 qian).
Xin Yi Jing Ren (Magnolia Flower Bud Kernel, Xinyiren, 3 fen, mixed and pounded) Guang Yu Jin (Curcuma Rhizome, Yujin, 3 qian) Guang Ju Luo (Tangerine Pith, Juluo, 1 qian) Bai Kou Mo (White Cardamom Powder, Baokoufen, 4 fen, divided into two doses for mixing in).
[Commentary by Xiu:] Whenever external pathogens initially sink between the chest and abdomen, this corresponds to the Pericardium region. In all infectious diseases, after sweating, vomiting, or purging, mild cases present with empty irritability and insomnia; severe cases present with internal restlessness, tossing and turning, bitter oppression in the epigastrium, or knot-like pain below the heart, restlessness in lying and rising. Those with slippery coating on the tongue are all manifestations of Pericardium Qi stagnation. Therefore, we use Lian Qiao (Forsythia Fruit), the primary herb for clearing and lightly disseminating Pericardium Qi branch, and Shan Zhi (Gardenia Fruit) and Dou Chi (Fermented Soybean), which excel at clearing empty irritability, as the Sovereign herbs. We employ Xin Yi Ren (Magnolia Kernel) mixed and pounded with Yu Jin (Curcuma) as the Minister herb, specifically opening Pericardium Qi stagnation. We assist with light agents Zhi Ke (Immature Bitter Orange Peel) and Jie Geng (Platycodon Root) to dissebrate Pericardium Qi oppression, directing it back to the Lung. We direct with Ju Luo (Tangerine Pith) to disperse Pericardium Qi and Baokou Mo (White Cardamom Powder) to open Pericardium depression. This is an excellent formula for clearing and disseminating the Pericardium and smoothing Qi mechanism.
Wu Zhi Yi Zhi Jian (Five Juices and One Branch Decoction) – Method of Clearing and Moistening Pericardium Blood. An empirical formula by Mr. Yu.
Xian Sheng Di Zhi (Fresh Rehmannia Root Juice, Shengdihuang, 4 large ladles) Xian Mao Gen Zhi (Fresh Imperata Rhizome Juice, Maogen, 2 large ladles) Xian Sheng Ou Zhi (Fresh Lotus Root Juice, 2 large ladles) Xian Dan Zhu Li (Fresh Bamboo Sap, Zhuli, 2 large ladles) Xian Sheng Jiang Zhi (Fresh Ginger Juice, 2 drops) Zi Su Pang Zhi (Perilla Side Branches, Zisuzhizhi, 2 qian, cut into inches).
First, decoct Zi Su Pang Zhi (Perilla Side Branches) for more than ten boils. Take the clear decoction and store in a covered bowl. Mix in the five juices. Simmer in a double boiler and take warm.
[Commentary by Xiu:] After Pericardium pathogenic heat is cleared and penetrated, blood must become deficient. Often, blood deficiency generates irritability, overwhelming helplessness, discomfort in the heart, occasional expectoration of sticky saliva, groaning, and incorrect speech. Therefore, we use Xian Di (Fresh Rehmannia), Mao Gen (Imperata Rhizome), and Ou Zhi (Lotus Root Juice) as the Sovereign herbs to clear and moisten Pericardium blood. We employ Jiang Zhi (Ginger Juice) and Zhu Li (Bamboo Sap) as Minister herbs; their acrid-moist properties facilitate flow to wash away collateral phlegm. The subtlety lies in assisting with Zi Su Pang Zhi (Perilla Side Branches), which is light, clear, and dissebrates collaterals, restoring their normal state of lateral connection. This is an excellent formula for clearing and moistening the Pericardium, nourishing blood, and increasing fluids.
Zeng Jian Huang Lian Xie Xin Tang (Modified Coptis Draining Heart Decoction) – Method of Clearing and Draining Excess Fire of the Pericardium and Heart Meridian. An empirical formula by Mr. Yu, modified from Zhongjing’s formula.
Xiao Chuan Lian (Small Coptis Rhizome, Huanglian, 8 fen) Qing Zi Qin (Green Scutellaria Root, Huangqin, 1.5 qian) Fei Hua Shi (Flying Talcum Powder, Huashi, 6 qian) Dan Zhu Li (Bamboo Sap, Zhuli, 2 ladles) Xiao Zhi Shi (Immature Bitter Orange Fruit, Zhishi, 1.5 qian) Xian Ban Xia (Fresh Pinellia Tuber, Banxia, 1.5 qian) Sheng Yi Ren (Fresh Coix Seed, Yiyiren, 5 qian) Sheng Jiang Zhi (Fresh Ginger Juice, 2 drops, mixed together).
First, decoct Dong Gua Zi (Winter Melon Seed, 1 liang), Si Tong Cao (Strawberry Vine Stem, 2 qian), and Deng Xin (Juncus Effusus, 5 fen) to make a decoction as water substitute. Add Xian Shi Chang Pu Ye (Fresh Acorus Leaf, 1.5 qian, rubbed熟 and mixed raw).
[Commentary by Xiu:] Lung and Stomach phlegm-fire and damp-heat internally obstructing the Heart Meridian and Pericardium often lead to unconsciousness, delirium, and mental restlessness. The tongue coating is yellow and greasy, differing from the crimson tongue with unconsciousness due to Heart blood deficiency and dryness. Therefore, we use Lian (Coptis), Qin (Scutellaria), Zhi (Immature Bitter Orange), and Ban Xia (Pinellia); their bitter-acrid descending nature removes phlegm-fire as the Sovereign herbs. We employ Hua (Talcum), Yi (Coix), Gua (Winter Melon Seed), and Tong (Strawberry Vine Stem); their cool-bland nature drains dampness as Minister herbs. We assist with Jiang Zhi (Ginger Juice) and Zhu Li (Bamboo Sap), acrid-moist to wash away phlegm. The subtlety lies in directing with Chang Pu (Acorus) and Deng Xin (Juncus Effusus), aromatic and bland to benefit orifices, unblock the spirit, and descend Heart fire. This is an excellent formula for draining the Heart, unblocking collaterals, eliminating phlegm, and draining dampness.
Dao Chi Qing Xin Tang (Guide Outward Redness Clearing Heart Decoction) – Method of Clearing and Descending Deficient Heat of the Pericardium and Heart Meridian. An empirical formula by Mr. Yu, modified from Dao Chi Xie Xin Tang.
Xian Sheng Di (Fresh Rehmannia Root, Shengdihuang, 6 qian) Chen Fu Shen (Cinnabar-infused Poria Spirit, Fushen, 2 qian) Xi Mu Tong (Akebia Stem, Mutong, 5 fen) Yuan Mai Dong (Original Ophiopogon Tuber, Maidong, 1 qian, dyed with Cinnabar) Fen Dan Pi (Moutan Cortex, Mudanpi, 2 qian).
Yi Yuan San (Benefit Origin Powder, 3 qian, wrapped and decocted) Dan Zhu Ye (Light Bamboo Leaf, 1.5 qian) Lian Zi Xin (Lotus Plumule, 30 branches, mixed in) Chen Sha Ran Deng Xin (Cinnabar-dyed Juncus Effusus, 20 branches) Ying Bai Tong Bian (Clear White Child’s Urine, 1 cup, mixed in).
[Commentary by Xiu:] When heat sinks into the Heart Meridian and internally steams the Pericardium, the tongue is crimson, consciousness is clouded, and urine is scant, astringent, red, and hot. The heat must be allowed to exit via urination because the Heart and Small Intestine are exterior-interior related. However, a crimson tongue without coating and without phlegm-fire indicates blood deficiency with excessive heat. Therefore, we use Xian Di (Fresh Rehmannia) to cool Heart blood and drain Heart fire, and Dan Pi (Moutan Cortex) to clear collateral blood and drain collateral heat as the Sovereign herbs. However, the heat must have an exit route for the heat in the Pericardium and Heart Meridian to be clearly descended. Thus, we employ Fu Shen (Poria Spirit), Yi Yuan San (Benefit Origin Powder), Mu Tong (Akebia Stem), and Zhu Ye (Bamboo Leaf) as Minister herbs to guide the heat out via urination. We assist with Mai Dong (Ophiopogon Tuber) and Deng Xin (Juncus Effusus), both dyed with Cinnabar; one nourishes Stomach fluids to clear-nourish Heart Yin, the other unblocks urination to directly clear consciousness. The subtlety lies in directing with Tong Bian (Child’s Urine) and Lian Xin (Lotus Plumule), salty-bitter reaching downward, interacting to balance Heart and Kidney to rapidly descend heat. Thus, when urine is clear and flowing, the heat in the Pericardium and Heart Meridian descends completely, and the spirit becomes clear. This is an excellent formula for clearing-descending deficient heat and guiding fire downward. If consciousness remains clouded after two or three hours, mix in 1 fen of Xi Huang (Calculus Bovis) to clear the spirit, which is particularly good.
Qing Gan Da Yu Tang (Clear Liver Reach Stagnation Decoction) – Method of Clearing and Dispersing Liver Stagnation. An empirical formula by Mr. Yu, modified from Jia Wei Xiao Yao San.
Jiao Shan Zhi (Charred Gardenia Fruit, Zhizi, 3 qian) Sheng Bai Shao (Fresh White Peony Root, Baishao, 1.5 qian) Gui Xu (Angelica Sinensis Rootlets, Guixu, 1 qian) Chuan Chai Hu (Szechwan Lovage Rhizome, Chaihu, 4 fen) Fen Dan Pi (Moutan Cortex, Mudanpi, 2 qian) Qing Zhi Gan Cao (Light Roasted Licorice Root, Gancao, 6 fen) Guang Ju Bai (Tangerine Albedo, Jubai, 1 qian) Su Bo He (Perilla Mint, Bohe, 4 fen, mixed in) Chu Ju Hua (Chuzhou Chrysanthemum, Juhua, 1.5 qian) Xian Qing Ju Ye (Fresh Green Tangerine Leaf, 5 leaves, shredded).
[Commentary by Xiu:] The Liver prefers smooth and free flow; when free, there is no disease. The commonly referred "Liver Qi Disease" all begins with Liver stagnation failing to extend. Stagnating in the chest and hypochondrium causes chest fullness and hypochondriac pain. Stagnating in the intestines causes abdominal fullness and pain. Severe cases desire defecation but cannot, or if they do, it is not smooth. Therefore, we use Danxi’s Xiao Yao San method to soothe the Liver and reach stagnation as the Sovereign herb. However, Qi stagnation often transforms into heat. Danxi said: "Excess Qi is Fire." Therefore, we employ Zhi (Gardenia), Dan (Moutan), and Chu Ju (Chrysanthemum) as Minister herbs to clear and drain Liver fire. We assist with Qing Ju Ye (Green Tangerine Leaf), aromatic and dispersing, to assist Chai Hu (Szechwan Lovage) and Bo He (Mint) in reaching stagnation. This is an excellent formula for clearing Liver fire, draining heat, dispersing stagnation, and disseminating Qi. For those with violent anger and excessive Qi, add Zhi Xiang Fu (Processed Cyperi Rhizome, 3 qian) and Cu Chao Qing Pi (Vinegar-fried Immature Bitter Orange Peel, 8 fen) temporarily to calm Qi and subdue the Liver. For borborygmus and undigested food diarrhea, add Wu Mei Tan (Charred Mume Fruit, 3 fen) and Bai Jiang Can (White Silkworm, 1.5 qian) to ascend-intestine Qi and vent the Liver. For hernia swelling and pain, add Xiao Hui Xiang (Small Fennel, 2 fen), Chao Ju He (Fried Tangerine Seed, 3 qian), and Chao Xiang Li Zhi He (Fragrant Fried Lychee Seed, 1.5 qian) to disperse Liver Qi and relieve pain. For severe abdominal pain due to damp-heat and food stagnation, add Ju Fang Yue Ju Wan (Bureau Formulary Yueju Pill, 3 qian) to smooth six depressions and stop pain.
[Commentary by Lian:] The Xiao Yao San method nourishes blood and soothes the Liver, especially frequently used in gynecology. For example, removing Zhi (Gardenia) and Dan (Moutan) from this formula, adding Zhi Xiang Fu (Processed Cyperi Rhizome, 2 qian) and Su Dan Shen (Salvia Miltiorrhiza, 3 qian) to regulate Qi and invigorate blood, Fei Boxiong recommends as the general formula for regulating menstruation. For delayed menstruation due to blood-Qi deficiency-cold, add Lu Jiao Jiao (Deer Antler Glue, 3 fen, mixed with clam powder and fried loose) and Yao Gui Xin (Cinnamon Bark Heart, 3 fen) to warm the Liver and meridians. For blood collateral stagnation, add Zhen Xin Jiang (True New Crimson Silk, 1.5 qian), Xuan Fu Hua (Inula Flower, 3 qian, wrapped), and Guang Tao Ren (Smooth Peach Kernel, 9 grains) to invigorate collaterals and regulate menstruation. For early menstruation due to blood-heat, add Xian Sheng Di (Fresh Rehmannia, 4 qian), Dan Pi (Moutan Cortex, 2 qian), and Shuang Sang Ye (Frost Mulberry Leaf, 2 qian) to cool blood and clear meridians. For blood-heat with fluid deficiency, add Sheng Di (Rehmannia, 4 qian), Sheng Yu Zhu (Fresh Polygonatum Odoratum, 3 qian), and Chen Sha Ran Mai Dong (Cinnabar-dyed Ophiopogon, 2 qian) to nourish blood and increase fluids, ensuring sufficient blood for natural regulation. For amenorrhea due to collateral stasis, add Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill, 3 qian, swallowed or wrapped in silk and decocted). For mild cases, simply use Yi Mu Gao (Motherwort Paste, 5 qian, mixed in) to eliminate stasis and unblock amenorrhea. For blood depletion, add Qi Ju Liu Wei Wan (Lycium, Chrysanthemum, and Six-Ingredient Pill, 4 qian, wrapped in silk and decocted) and Chen E Jiao (Old Donkey-hide Gelatin, 1.5 qian). In the original formula, Chai Hu (Szechwan Lovage) is stir-fried with Turtle Blood, remove Bo He (Mint), replace with 2 Rose Flowers (mixed in). Only for women with unfulfilled emotional desires, wiry pulse extending beyond the Cun position, amenorrhea or irregular menstruation, add Zhi Xiang Fu (Processed Cyperi Rhizome, 2 qian), Ze Lan (Lycopus Herb, 3 qian), Xian Sheng Di (Fresh Rehmannia, 5 qian), and Guang Yu Jin (Curcuma Rhizome, 3 qian, pounded) to harmonize Liver and regulate Spleen, clear Heart and open stagnation. For metrorrhagia or leukorrhea due to anger injuring the Liver with excessive Qi, add Zhi Xiang Fu (Processed Cyperi Rhizome, 3 qian) and Cu Chao Qing Pi (Vinegar-fried Immature Bitter Orange Peel, 1 qian) to subdue Qi and calm it. For blood-heat, add Xian Sheng Di (Fresh Rehmannia, 5 qian), Jiao Shan Zhi (Charred Gardenia, 3 qian), and Xian Mao Gen (Fresh Imperata Rhizome, 40 branches) to cool blood and clear it. For extreme uterine pain with inability to extend limbs due to damp-fire pouring downward, add Long Dan Cao (Gentiana Root, 8 fen), Qing Zi Qin (Green Scutellaria, 2 qian), and Qing Lin Wan (Qinglin Pill, 3 qian, wrapped) to urgently drain damp-fire and restore order. Externally, mix Xi Sheng Di (Fine Fresh Rehmannia, 3 qian), Dang Gui (Angelica Sinensis, 2 qian), Sheng Bai Shao (Fresh White Peony, 1.5 qian), Chuan Xiong (Szechwan Lovage, 1 qian), and Ming Ru Xiang (Transparent Frankincense, 1 qian), pound into a cake, insert into vagina to relieve pain. For vaginal itching due to damp-heat generating parasites, add Long Dan Cao (Gentiana Root, 1 qian), Chuan Lian Zi (Szechwan Chinaberry Fruit, 1.5 qian), and She Chuang Zi (Cnidium Fruit, 1.5 qian, salt-water fried) to kill parasites and stop itching. Externally, grind Tao Ren (Peach Kernel) and Guang Xing Ren (Smooth Apricot Kernel, 9 grains each) with Xiong Jing (Realgar Essence, 2 fen) into a paste, dip in rooster liver, insert into vagina. Parasites enter the liver, drawn out externally, stopping itching. For vaginal ulcers oozing fluid, suspect syphilis. Add Tu Fu Ling (Smilax Glabra Rhizome, 4 qian), Chao Hei Chou (Fried Black Morning Glory Seed, 2 qian), Du Niu Xi (Dog Achyranthes Root, 5 qian), and Sheng Chuan Bai (Fresh Coptis Rhizome, 8 fen) to clear and resolve syphilis. Externally, use utine cotton plug inserted into vagina, wash uterus frequently with boric acid water to clear toxic fire. For blood-wind sores, eruptions all over body resembling erysipelas, itchy or painful, becoming sores upon scratching, mostly due to wind-dampness and blood dryness, add Xian Sheng Di (Fresh Rehmannia, 5 qian) and Xiao Chuan Lian (Small Coptis, 8 fen) to cool blood, moisten dryness, clear-disperse wind-dampness.
Zeng Jian Xuan Fu Dai Zhe Tang (Modified Inula and Hematite Decoction) – Method of Clearing and Descending Liver Rebellion. An empirical formula by Mr. Yu, modified from Zhongjing’s formula.