瘟疫之病,近代诸家,多与温病同论,以其声称之同,与病形之似也。然而瘟疫者,天
地之
得理,则未必致死,亦必不传染多人,故其方法,宜应别论。且也岁运有太过不及之殊,天
时有恒雨恒 之异。是以疫疠之行,亦有表里寒温热湿之分,其可以一概论哉。约而言之,
计有三门。若其表里俱病,而盛于表者,则用东垣普济消毒之法。若其病不在表,又不在里
,而独行中道者,则用吴又可达原饮之法。若其表热既盛,里证复急,治表治里,救疗不及
者,则用陶尚文三黄石膏汤之法。此瘟疫入手法门也。亦有邪气独盛于表,而里无热症者,
则活人败毒散之治也。亦有寒湿独行,而病在肌皮胸膈者,则东坡圣散子之证也。合前三法
,共为五法。以余所见,则未有不兼里者;而有寒湿而无蓄热,亦十中未得其一二也。然而
,法不可不备,惟用之者得其当耳。因并录五方于下,以见瘟疫之端如此,其病稍久,或六
七日,或十余日,热深不解者,则同伤寒、温热治之。
普济消毒饮子(东垣)
黄芩(酒制,炒) 黄连(酒炒,各五分) 人参(三钱) 陈皮 元参(各二钱) 甘
连翘 板蓝根 马勃 牛蒡子(各一钱) 僵蚕 升麻(各一钱) 柴胡(五分)
泰和二年四月,民多疫疠。初觉憎寒壮热体重,次传头面肿盛,目不能开,上喘,咽喉不利
,口燥舌干,俗云大头伤寒。诸药杂治终莫愈,渐至危笃。东垣曰∶身半以上,天之气也,
邪热客于心肺之间,上攻头目而为肿耳。须用芩、连等药,共为细末,半用汤调,时时稍热
服之;半用蜜丸噙化,服尽良愈,活者甚众。如大便硬,加酒蒸大黄一钱或二钱以利之;肿
势甚者,以砭针刺之,或加防风、川芎、薄荷、当归各五钱,水煎,时时服之。
达原饮
槟榔(二钱) 草果(五分) 浓朴(一钱) 芍药(一钱) 甘草(五分) 黄芩(一钱)
上七味,以水二蛊,煎八分服。
吴又可曰∶疫疠之邪,由口鼻而入,舍于伏脊之内,去表不远,附胃亦近,乃表里之分
即《内经》疟论所谓横连膜原是也。感之浅者,或俟有触而发;感之深者,中而即病。其始
阳格于内,营卫营运之机,阻遏于表,遂觉凛凛恶寒,甚则四肢厥逆,至阳气困郁而通,厥
回而中外皆热,昏昧不爽,壮热自汗。此时邪伏膜原,纵使有汗,热不得解。必俟伏邪已溃
,表气潜行于内,精气自内达表,表里相通,振栗大汗,邪方外出,此名战汗,脉静身凉而
愈也。若伏邪未尽,必复发热,其热有久有浅,因所感之轻重,与元气之盛衰也。要皆始先
恶寒,即而发热,至于发出,方显变症。其症或从外解,或从内陷,外解则易,内陷则险。
更有先后表里不同,有先表后里者;有先里后表者;有但表而不复里者;有但里而不复表者
;有表而里再表者,有里而表再里者;有表里分传者;有表多于里者;有里多于表者,此为
九传。从外解者,或发斑,或战汗、自汗。从内陷者,胸膈痞闷,心下胀满,腹痛,燥
便闭,热结旁流,协热下利,或呕吐恶心,谵语舌黄,及黑苔芒刺等症,因症用治。脉不浮
不沉而数,昼夜皆热,日晡益甚,头疼身痛,不可用辛热药汗之,又不可下,宜用达原饮以
透膜原之邪为当也。若见各经,加入引各经药,不可执滞。感之轻者,舌苔亦薄,脉亦不甚
数,如此者,必从汗解。如不能得汗,邪气盘错于膜原,表里不相通达,未可强汗,衣被逼
汗,汤火劫汗也。感之重者,舌上苔如粉腻,药后反从内陷,舌根先黄,渐至中央,此邪渐
入胃也,前方加大黄下之。若脉长洪而数,汗多大渴,此邪气适离膜原,欲表未表,白虎
证也。如舌上纯黄色,兼见里症,此邪已入胃,乃承气汤证也。有两三日即离膜原者,有半
月十日不传者,有初得之四五日,厌厌聂聂至五六日,陡然势张者。凡元气胜者,毒易传化
。元气薄者,邪不易化,即不易传,不传则邪不去,淹留日久,愈沉愈伏,时师误认怯症,
因进参 ,愈壅愈固,不死不休矣。
三黄石膏汤 治瘟疫大热无汗,发狂不识人。
石膏(三钱) 黄芩 黄连 黄柏(各一钱五分) 豆豉(半合) 麻黄(一钱) 栀
上作一服,水二盏,煎至一盏三分,连进三五剂而愈。
按∶疫邪充斥内外,为头痛身热,为烦渴闷乱,发狂不识人,欲表之则里已急,欲里之
则表不退。此方清里解外,合为一方,譬之大军压境,孤城四面受围,虽欲不溃,不可得矣。或
《千金》雪煎,或《古今录验》麦奴丸并佳。稍轻者,大青消毒汤。
又时病表里大热欲死方
大黄 寒水石 芒硝 石膏 升麻 麻黄 葛根 紫葛(各等分)
上为末,方寸匕,水服,日二。
圣散子(东坡) 治一切山岚瘴气、时行瘟疫、伤寒风湿等疾,有非常之功。如李
待诏所
不可胜记。苏东坡勒石以广其传,圣散子之功益着。徽州郑尚书在金陵,用此治伤寒,活人
甚众。故知其大能散寒湿,驱除瘴疟,实有超凡之效也。
苍术(制) 防风 浓朴(姜制) 猪苓 泽泻(煨各二两) 白芷 川芎 赤芍
藿香 柴胡(各半两) 麻黄 升麻 羌活 独活 枳壳 细辛
吴茱萸(泡) 本 茯苓(各七钱) 石菖蒲 草豆蔻 良姜 炙甘草(各二两
上为粗末,每服三钱,水二蛊,枣一枚,煎八分,稍热服。
活人败毒散
羌活 独活 前胡 柴胡 枳壳 白茯苓 桔梗 人参(各一两) 川芎(
上为细末,每服二钱,水二盏,入生姜二片,煎至七分温服,或沸汤点亦得。
瘟疫这一类疾病,近代各家医家多将其与温病放在一起讨论,因为它们的名称相同,且病症表现相似。然而,瘟疫是天地之气运行失常所致,如果顺应其理进行治疗,未必会导致死亡,也一定不会传染给很多人,所以治疗瘟疫的方法应当单独论述。况且每年的岁运有太过和不及的区别,天时也有常雨和干旱的不同。因此,疫疠之气的流行,也有在表、在里、寒证、热证、湿证等不同分类,怎么可以一概而论呢?概括来说,大概分为三门。如果病邪在表里都有涉及,但主要侧重于表证的,就采用李东垣普济消毒饮子的方法。如果病邪不在表,也不在里,而是独自在半表半里的“中道”(膜原)为患的,就采用吴又可达原饮的方法。如果表热已经炽盛,里证又十分急迫,单纯治表或治里都无法及时救治的,就采用陶尚文三黄石膏汤的方法。这是治疗瘟疫入门的三种法门。此外,如果有邪气独盛于表,而里没有热症的,就用《伤寒百问》中的败毒散来治疗。如果有寒湿独行,病位在肌肤胸膈的,就是苏东坡圣散子所主治的证候。加上前面的三种方法,总共为五种方法。根据我个人的观察,瘟疫很少有完全不兼及里证的;而有寒湿却没有蓄积热邪的情况,十个人中也找不到一两个。然而,治疗方法不能不准备齐全,只是使用者要运用得当罢了。因此一并记录这五个方剂在下面,以展示瘟疫治疗的开端如此。如果病情稍久,经过六七天或十余天,热邪深重不解的,就按照治疗伤寒、温热病的方法来治疗。
普济消毒饮子(李东垣创制)
黄芩(酒制,炒) 黄连(酒炒,各五分) 人参(三钱) 陈皮 玄参(各二钱) 甘草 连翘 板蓝根 马勃 牛蒡子(各一钱) 僵蚕 升麻(各一钱) 柴胡(五分)
泰和二年四月,百姓多患疫疠。起初感觉憎恶寒冷、壮热、身体沉重,随后头面部肿胀严重,眼睛无法睁开,向上喘息,咽喉不利,口燥舌干,俗称“大头伤寒”。各种药物混合治疗最终都没有痊愈,逐渐发展到危重地步。李东垣说:人体上半身,属于天的清气所在,邪热客居在心肺之间,向上攻冲头目而导致肿胀。必须使用黄芩、黄连等药,共同研成细末,一半用水煎汤调服,时时少量温热服用;一半用蜂蜜制成丸药含化,服完即可痊愈,救活的人很多。如果大便干硬,加入酒蒸大黄一钱或二钱以通利大便;如果肿胀严重的,用砭石针刺放血,或者加防风、川芎、薄荷、当归各五钱,水煎,时时服用。
达原饮
槟榔(二钱) 草果(五分) 厚朴(一钱) 芍药(一钱) 甘草(五分) 黄芩(一钱)
以上七味药,用水两盅,煎至八分满时服用。
吴又可说:疫疠的病邪,从口鼻进入,潜伏在伏脊之内,距离体表不远,依附胃腑也很近,这就是表里之间的分界,也就是《内经·疟论》所说的“横连膜原”。感受病邪较浅的,或许等到有触动时才发病;感受病邪较深的,感邪后立即发病。其初期阳气被格拒于内,营卫运行的机制在体表受到阻遏,于是觉得凛凛恶寒,甚至四肢厥冷逆乱,直到阳气困郁而通达,厥逆回阳后,内外都发热,神志昏昧不清,壮热自汗。此时邪气潜伏在膜原,即使有汗,热邪也不能解除。必须等到潜伏的邪气溃散,表气潜行于内,精气由内达表,表里相通,出现振栗大汗,邪气才向外排出,这叫作“战汗”,脉象平静、身体凉爽而痊愈。如果潜伏的邪气没有除尽,必定再次发热,热的程度有深有浅,取决于感受病邪的轻重以及元气的盛衰。总之都是先恶寒,继而发热,到了发作出来,才显现出变症。这些症状有的从外部解除,有的向内部陷入,从外解则容易,从内陷则危险。更有先后表里不同的情况,有先表后里的;有先里后表的;有只在表而不复入里的;有只在里而不复出表的;有表证之后又出现表证的,有里证之后又出现表证的;有表里同时传变的;有表证多于里证的;有里证多于表证的,这称为“九传”。从外部解除的,或者发斑疹,或者战汗、自汗。从内部陷入的,胸膈痞闷,心下胀满,腹痛,大便干燥闭结,热结旁流,协热下利,或者呕吐恶心,谵语舌苔黄,以及黑苔芒刺等症状,根据症状进行治疗。脉象不浮不沉而数,昼夜都发热,傍晚更加严重,头疼身痛,不可用辛热药发汗,也不可攻下,适宜用达原饮来透达膜原的邪气最为恰当。如果见到各经的症状,加入引导药入各经的药物,不可拘泥固执。感受病邪轻的,舌苔也薄,脉象也不甚数,这样的病,必定通过汗法解除。如果不能出汗,邪气盘踞在膜原,表里不相通达,不可强行发汗,那种衣服包裹逼汗、汤火劫汗的方法是错误的。感受病邪重的,舌上苔如粉腻,服药后反而向内部陷入,舌根先变黄,逐渐蔓延至中央,这是邪气逐渐进入胃腑的表现,前方加大黄攻下。如果脉象长洪而数,汗多大渴,这是邪气刚刚离开膜原,想要外达却尚未完全外达,属于白虎汤证。如果舌上纯黄色,兼见里证,这是邪气已经进入胃腑,属于承气汤证。有的两三天就离开膜原,有的半个月十天都不传变,有的初得病四五天,萎靡不振到五六天,突然势头猖獗。凡是元气旺盛的,毒邪容易传变化解。元气虚薄的,邪气不易化解,即不易传变,不传变则邪气不去,滞留日久,越沉越伏,当时的医生误认为是怯症(虚劳),因而进用人参、黄芪等补药,导致邪气更加壅滞坚固,不死不休。
三黄石膏汤 治疗瘟疫大热无汗,发狂不识人。
石膏(三钱) 黄芩 黄连 黄柏(各一钱五分) 豆豉(半合) 麻黄(一钱) 栀子
以上为一服量,用水两盏,煎至一盏三分,连续服用三五剂即可痊愈。
按语:疫邪充斥内外,表现为头痛身热,烦渴闷乱,发狂不识人,想要解表则里证已急,想要清里则表证不退。此方清里解外,合为一方,好比大军压境,孤城四面受围,虽然想不溃败,也不可能了。或者用《千金方》的雪煎,或者《古今录验》的麦奴丸也很好。病情稍轻的,用大青消毒汤。
另外有时病表里大热欲死方
大黄 寒水石 芒硝 石膏 升麻 麻黄 葛根 紫葛(各等分)
以上研为细末,每次服用一方寸匕,用水送服,每日两次。
圣散子(苏东坡) 治疗一切山岚瘴气、时行瘟疫、伤寒风湿等疾病,有非凡的功效。像李待诏所记载的,多得不可胜数。苏东坡刻石以广泛流传,圣散子的功效更加显著。徽州郑尚书在金陵,用此方治疗伤寒,救活很多人。所以知道它大能散寒湿,驱除瘴疟,确实有超凡的效果。
苍术(制) 防风 厚朴(姜制) 猪苓 泽泻(煨,各二两) 白芷 川芎 赤芍 藿香 柴胡(各半两) 麻黄 升麻 羌活 独活 枳壳 细辛 吴茱萸(泡) 本 茯苓(各七钱) 石菖蒲 草豆蔻 良姜 炙甘草(各二两)
以上研为粗末,每次服用三钱,用水两盅,大枣一枚,煎至八分,稍热服用。
活人败毒散
羌活 独活 前胡 柴胡 枳壳 白茯苓 桔梗 人参(各一两) 川芎(二钱)
以上研为细末,每次服用二钱,用水两盏,放入生姜两片,煎至七分温服,或者用沸水冲泡也可以。
The disease of plague (Yiwen), in recent times, has been discussed by various experts together with warm diseases (Wenbing), due to the similarity in their names and clinical manifestations. However, plague is caused by the abnormal operation of heaven and earth qi. If treated according to its principles, it may not necessarily lead to death, nor will it necessarily infect many people; therefore, the treatment methods for plague should be discussed separately. Furthermore, there are differences in the annual yun (climate cycles) being excessive or deficient, and variations in weather between constant rain and drought. Thus, the spread of epidemic pestilence also presents distinctions in exterior, interior, cold, heat, and dampness patterns. How can they be generalized? In summary, it can be roughly divided into three categories. If the pathogen affects both exterior and interior but predominates in the exterior, Li Dongyuan's Puji Xiaodu Yin (General Relief and Toxin-Resolving Decoction) method should be used. If the pathogen is neither in the exterior nor in the interior, but resides independently in the "middle pathway" (membrane source/moyuan), Wu Youke's Dayuan Yin (Reach the Source Decoction) method should be used. If exterior heat is already vigorous and interior symptoms are urgent, such that treating only the exterior or only the interior cannot provide timely rescue, Tao Shangwen's Sanhuang Shigao Tang (Three Yellows and Gypsum Decoction) method should be used. These constitute the introductory gateways for treating plague. Additionally, if pathogens prevail exclusively in the exterior without interior heat symptoms, the Baidu San (Defeat Toxin Powder) from *Baiwen Bingzhun* should be used. If cold-dampness acts alone, with pathology located in the skin, muscles, chest, and diaphragm, this corresponds to the syndrome treated by Su Dongpo's Shengsanzi (Holy Dispersion Substances). Combined with the previous three methods, there are five methods in total. Based on my observations, plague rarely occurs without involving the interior; cases presenting with cold-dampness but without accumulated heat account for less than one or two out of ten. Nevertheless, treatment methods must be prepared comprehensively, relying on the practitioner's appropriate application. Therefore, the following five formulas are recorded to illustrate the beginning of plague treatment. If the condition persists for a longer duration, such as six or seven days, or more than ten days, with deep-seated heat that does not resolve, it should be treated according to the methods for Cold Damage (Shanghan) and Warm Diseases.
Puji Xiaodu Yinzi (by Li Dongyuan)
Huangqin (Scutellariae Radix, wine-processed, stir-fried) [5 fen]
Huanglian (Coptidis Rhizoma, wine-stir-fried) [5 fen]
Renshen (Ginseng Radix et Rhizoma) [3 qian]
Chenpi (Citri Reticulatae Pericarpium)
Xuanshen (Scrophulariae Radix) [2 qian]
Gancao (Glycyrrhizae Radix et Rhizoma)
Lianqiao (Forsythiae Fructus)
Banlangen (Isatidis Radix)
Mabo (Belamcandae Stamen)
Niubangzi (Arctii Fructus) [1 qian]
Jiangcan (Bombyx Batryticatus)
Shengma (Cimicifugae Rhizoma) [1 qian]
Chaihu (Bupleuri Radix) [5 fen]
In the fourth month of the Taihe era, many people suffered from epidemics. Initially, patients felt aversion to cold, high fever, and body heaviness. Subsequently, severe swelling occurred on the head and face, eyes could not open, upper airway wheezing developed, throat discomfort, dry mouth, and dry tongue appeared. This was commonly known as "Big Head Cold Damage." Various mixed treatments failed to cure it, leading to critical conditions. Li Dongyuan stated: The upper half of the body belongs to the clear qi of heaven. When evil heat lodges between the Heart and Lungs and attacks upward to the head and eyes, swelling results. It is necessary to use Huangqin and Huanglian, among other herbs, ground into fine powder. Half should be taken as a decoction, administered frequently in small amounts while slightly warm; the other half should be made into honey pills for sucking. Upon completion of the course, recovery occurs, saving many lives. If stool is hard, add Jiu Zheng Dahuang (Rhei Radix et Rhizoma steamed with wine) 1–2 qian to promote bowel movement. For severe swelling, use bian stone (stone needle) acupuncture to bleed, or add Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bohe (Menthae Haplocalycis Herba), and Danggui (Angelicae Sinensis Radix), each 5 qian, decocted in water and taken frequently.
Dayuan Yin
Binglang (Arecae Semen) [2 qian]
Caoguo (Tsaoko Fructus) [5 fen]
Houpo (Magnoliae Officinalis Cortex) [1 qian]
Shaoyao (Paeoniae Radix Alba) [1 qian]
Gancao (Glycyrrhizae Radix et Rhizoma) [5 fen]
Huangqin (Scutellariae Radix) [1 qian]
These seven ingredients are decocted in two cups of water until reduced to eight-tenths volume, then taken.
Wu Youke stated: The pathogenic factors of epidemic pestilence enter through the mouth and nose, lodging in the area behind the spine. This location is close to the exterior and near the Stomach, representing the boundary between exterior and interior, which corresponds to the "horizontal connection to the membrane source" mentioned in the *Neijing*'s discussion on malaria. Those infected lightly may develop symptoms only upon stimulation; those infected deeply fall ill immediately. Initially, yang qi is blocked internally, and the circulation mechanism of Ying and Wei (nutritive and defensive qi) is obstructed at the exterior, causing shivering chills, even to the point of cold extremities. Once the constrained yang qi unblocks, the cold extremities reverse to warmth, resulting in internal and external heat, mental confusion, high fever, and spontaneous sweating. At this stage, when pathogens lie dormant in the membrane source, even if sweating occurs, the heat cannot resolve. One must wait for the latent pathogens to dissipate, for exterior qi to penetrate inward, and for essence-qi to reach the exterior from within, establishing communication between interior and exterior. This leads to shaking chills followed by profuse sweating, allowing pathogens to exit outward. This is called "Zhanhan" (battle sweat); when the pulse becomes calm and the body cools, recovery ensues. If latent pathogens remain, fever will recur. The depth and duration of fever depend on the severity of infection and the strength of yuan qi (original qi). Generally, it begins with chills, followed by fever, and changes manifest upon eruption. Symptoms may resolve from the exterior or sink into the interior. Resolution from the exterior is easier; sinking into the interior is dangerous. There are various sequences of exterior-interior transmission: exterior first then interior; interior first then exterior; exterior only without returning to interior; interior only without returning to exterior; exterior followed by repeated exterior; interior followed by repeated exterior; simultaneous exterior-interior transmission; exterior predominant over interior; interior predominant over exterior. These are termed the "Nine Transmissions." Resolution from the exterior may present as macules or battle sweat/spontaneous sweating. Sinking into the interior presents as chest and diaphragm fullness, epigastric distension, abdominal pain, dry constipation, heat-binding with peripheral flow, diarrhea with heat, vomiting, nausea, delirium, yellow tongue coating, black coating with prickles, etc. Treatment depends on symptoms. The pulse is neither floating nor sinking but rapid; fever persists day and night, worsening in the late afternoon; headache and body ache occur.辛热 (acrid-warm) herbs for sweating are contraindicated, as are purgatives. Dayuan Yin is appropriate to penetrate the membrane source pathogens. If symptoms of specific meridians appear, add guiding herbs for those meridians; do not be rigid. Light infections show thin tongue coating and non-rapid pulse; these must resolve via sweating. If sweating fails, pathogens are entrenched in the membrane source, preventing exterior-interior communication. Forced sweating via clothing wrapping or fire/water coercion is erroneous. Heavy infections show pinkish-greasy tongue coating; after medication, pathogens may sink inward, starting with yellow root of tongue spreading to center, indicating entry into the Stomach. Add Dahuang to purge. If pulse is long, flooding, and rapid, with profuse sweat and extreme thirst, pathogens have just left the membrane source, attempting to reach the exterior but not yet fully there; this is Baihu Tang (White Tiger Decoction) pattern. If tongue is purely yellow with interior signs, pathogens have entered the Stomach; this is Chengqi Tang (Order the Qi Decoction) pattern. Some leave the membrane source in two to three days; some do not transmit for half a month or ten days; some linger weakly for four to five days, then suddenly surge on the fifth or sixth day. Strong yuan qi facilitates toxin transformation and transmission. Weak yuan qi hinders transformation and transmission; stagnant pathogens deepen and hide. Contemporary doctors mistakenly diagnose this as deficiency syndromes and administer Renshen (Ginseng) and Huangqi (Astragali Radix), causing further stagnation and consolidation, leading to death.
Sanhuang Shigao Tang treats plague with high fever, anhidrosis, mania, and inability to recognize people.
Shigao (Gypsi Fibrosus) [3 qian]
Huangqin (Scutellariae Radix) [1.5 qian]
Huanglian (Coptidis Rhizoma) [1.5 qian]
Huangbai (Phellodendri Cortex) [1.5 qian]
Douchi (Sojae Preparata) [half he]
Mahuang (Ephedrae Herba) [1 qian]
Zhizi (Gardeniae Fructus)
Take as one dose, decoct in two cups of water until one cup and three-tenths remain. Administer continuously for three to five doses until cured.
Note: Epidemic pathogens fill the interior and exterior, causing headache, body heat, irritability, thirst, restlessness, mania, and disorientation. Attempting to release the exterior aggravates the interior urgency; clearing the interior fails to resolve the exterior. This formula clears the interior and releases the exterior simultaneously, like an army besieging a lone city from all sides; collapse is inevitable. Alternatively, Xuejian (Snow Decoction) from *Qianjin Fang* or Mainu Wan (Wheat Slave Pill) from *Gujin Luyan* are also excellent. For milder cases, Daqing Xiaodu Tang (Great Blue Toxin-Resolving Decoction) is suitable.
Another Formula for Severe Exterior-Interior Heat in Seasonal Diseases
Dahuang (Rhei Radix et Rhizoma)
Han Shuishishi (Halloysitum Rubrum)
Mangxiao (Natrii Sulfas)
Shigao (Gypsi Fibrosus)
Shengma (Cimicifugae Rhizoma)
Mahuang (Ephedrae Herba)
Gegen (Puerariae Lobatae Radix)
Zige (Pseudostellariae Radix) (Equal parts)
Grind into fine powder. Take one fang cun bi (square-inch scoop) with water, twice daily.
Shengsanzi (by Su Dongpo) treats all mountain miasma, seasonal epidemics, cold damage, wind-dampness, etc., with extraordinary efficacy. Records by Li Daizhao are numerous. Su Dongpo carved stones to disseminate it, enhancing its fame. Chancellor Zheng of Huizhou used it in Jinling to treat cold damage, saving many. It effectively disperses cold-dampness and eliminates malarial miasma.
Cangzhu (Atractylodis Rhizoma, processed)
Fangfeng (Saposhnikoviae Radix)
Houpo (Magnoliae Officinalis Cortex, ginger-processed)
Zhuling (Polyporus)
Zexie (Alismatis Rhizoma, baked) [2 liang each]
Baizhi (Angelicae Dahuricae Radix)
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Chishao (Paeoniae Radix Rubra)
Huoxiang (Agastaches Herba)
Chaihu (Bupleuri Radix) [0.5 liang each]
Mahuang (Ephedrae Herba)
Shengma (Cimicifugae Rhizoma)
Qianghuo (Notopterygii Rhizoma et Radix)
Duhuo (Angelicae Pubescentis Radix)
Zhike (Aurantii Fructus Immaturus)
Xixin (Asari Radix et Rhizoma)
Wuzhuyu (Evodiae Fructus, soaked)
Ben (Ligustici Wallichii Rhizoma et Radix)
Fuling (Poria) [7 qian each]
Shichangpu (Acori Tatarinowii Rhizoma)
Caodoukou (Amomi Fructus Rotundus)
Liangjiang (Alpiniae Officinarum Rhizoma)
Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [2 liang each]
Grind into coarse powder. Take 3 qian per dose, decoct in two cups of water with one jujube until eight-tenths remain. Take slightly warm.
Baidu San (Defeat Toxin Powder)
Qianghuo (Notopterygii Rhizoma et Radix)
Duhuo (Angelicae Pubescentis Radix)
Qianhu (Peucedani Radix)
Chaihu (Bupleuri Radix)
Zhike (Aurantii Fructus Immaturus)
Baifuling (Poria)
Jiegeng (Platycodonis Radix)
Renshen (Ginseng Radix et Rhizoma) [1 liang each]
Chuanxiong (Ligustici Chuanxiong Rhizoma) [2 qian]
Grind into fine powder. Take 2 qian per dose, decoct in two cups of water with two slices of fresh ginger until seven-tenths remain. Take warm, or brew with boiling water.