玉枢丹∶治瘴气、蛊毒，解恶药，服砒、毒菌、河豚、死牛马肉、狐狸、鼠、蟒之毒，
蛇、犬、恶虫所伤，一切痈疽、发背、疮疹、赤肿诸瘤，不服水土，随手取应。山慈菇（俗
名金灯笼，叶似韭，花似灯笼，色白，上有黑点，结子三棱，二月苗、三月花、四月枯。于
苗时记地，秋、冬挖得之，上有毛裹，此味不真则不效。去皮，焙）二两，文蛤（即五倍子，
捶破洗、焙干）三两，红芽大戟（去芦焙干）两半，千金子（即续随子，去壳研去油取霜）
两，
分为四
薄荷汤
用凉水
岚瘴
急中风、癫、鬼胎、鬼气，用无灰酒下；缢、溺心头暖者，惊死、鬼迷未隔宿者，并井
水磨灌。蛇、犬、蜈蚣伤，冷水磨涂。新久诸疟，当日桃、柳枝煎汤磨下。小儿急、慢惊岗
、五疳、二痢，蜜水、薄荷叶同磨下，牙关紧急磨涂并服。牙痛，含少许吞下。汤火伤，东
流水磨涂。跌打伤损，炒松节，无灰酒下。头疼、太阳痛，酒磨烂涂纸贴太阳穴。诸痫、口
斜、唇眼掣及夜睡多涎、言语謇涩，卒中风、口噤筋挛、肢节肿痛，并用酒磨下。
牛黄八宝丹∶治痧发斑、发狂、浑身赤紫、痧后毒疡，随消。元参（瓦焙）、明雄黄各
五
各三钱
末，外将拣净
绞滤，青桑柴
调服（牛黄、
仙方脑麝丸∶治岚瘴，解茶、痰、酒、渴，除伏暑，退心热，止喉疼，开目雾及赤白痢
一切火症，神效。黄药子、白药子各三两，天花粉二两，川连两（用心择过，碾末，筛细，
止用头末），广木香三钱，沉香三钱，麝香五分，片脑三分，猪胆调，蒸为丸，每丸一分。
，同好茶一撮，盐梅一个擂碎，井华水调下。心热头疼，目雾，噙化三五丸，赤痢用茅根汁
擂七丸，白痢用茶、梅擂服。痧胀，面赤身热，喘急昏迷者，服下即苏。
郁金丸∶随常痧症腹痛者，一服见功，且治九种心疼。五灵脂（醋炒）两，延胡索八钱，
砂仁（炒）、生明矾各五钱，木香（不见火）、真郁金（勿用姜黄代）、雄黄为衣各三钱，神
曲糊
炼石丹∶痧胀通用。千年石（即陈锻石，水飞）两，松根石（即真琥珀）三钱，水骨石
（即
钱
硫矾丸∶硫黄、明矾各四两（同人罐，用豆腐浆煮一日夜，去腐渣，再慢火熬至干燥，
连罐埋地三尺，三日取出成紫金色，下一层有泥渣不用），茯苓、山药各三两（二味同蒸，
晒
三两，
杏仁（去
枣肉丸绿豆大，。每清晨盐汤下钱半，临卧白汤下一钱。
有人病痧十年，发则叫喊晕死，或用醋炭熏鼻，或盐汤探吐，并用华佗危病方略得解，
醒后服此丸全愈除根。予屡行多效，真神方也。
附华佗危病方∶吴茱萸、木瓜、食盐各五钱（同炒焦），砂罐水三碗煮百沸，随病患冷
热
润下丸∶治大肠燥实，二便秘结，痧毒壅盛者。大黄（酒制）四两，黑丑（炒、头末）
二两
治臌香圆丸∶或水、或食、或气俱治。萝卜子（炒）六两，陈香圆四两，醋制香附三两，
广皮（去白）、荆三棱（醋炒）、蓬莪术（醋炒）、泽泻、茯苓各二两，山楂（去核）、青皮（去
瓤）
大羌活汤∶《经》云∶两感者死不治。一日太阳与少阴俱病，头痛发热恶寒，口干烦懑
而渴。太阳者府也，自背俞而入，人所共知。少阴者脏也，自鼻息而入，人所不知也。鼻气
通于天，故寒邪无形之气从鼻而入。肾为水，水流湿，故肾受之。又云∶天之邪气感则害人
五脏，以是知内外两感，脏腑俱病，欲表之则有里，欲下之则有表，表里既不能一治，故死
矣。然所禀有虚实，所感有浅深，虚而感之深必死，实而感之浅，犹或可治。羌活、独活、
防风、防己、黄芩、黄连、苍术、白术、细辛、炙草各等分，知母、川芎、生地倍之。俱片
，每服两半，煎一大盏热饮之，不解再服。
此解利两感神方也。若痧症与此仿佛，亦以是方加减而选用之。
加减圣效散∶治伤寒时疫、风湿、阴阳两感，表里未辨，或外热内寒，或外寒内热，肢
节拘急，头项腰脊疼痛，发热恶寒，呕逆喘咳，鼻塞声重及食饮生冷，伤在胃脘，胸膈饱懑
，肠胁胀痛，心下痞结，手足逆冷，肠鸣泄泻，不谷不消，小溲不利等症。东坡莅杭多疫，
设剂活众，原名圣散子，今有痧症相类疗之悉效。卜子（炒）、砂仁（炒、研）、槟榔、陈皮、
延胡各八钱，浓朴、防风、苍术、 本、藿香叶、柴胡、独活、石菖蒲、泽泻、枳壳、细辛
各五钱，草豆蔻（去壳）十个，共粗末。每五钱、水盏半煎一盏，去滓温服，不计时候，取
遍
如圣散∶治当心而痛，遍身骨节牵痛，或呕吐恶心，不时发作者，兼治疝气劳根，此方
可补痧胀所不逮。枳壳（面炒）三两，小茴（微炒）三钱，盐砖（铲上烧红）三分，为细末。
每服
失笑散∶治血迷心窍，不知人事，妇人产后，心腹绞痛及腹中瘀积血作痛者，男妇惯发
痧胀，服此永不再犯。灵脂（去砂，炒）、蒲黄（炒）等分，为末。每一二钱，温酒调下。
普济消毒饮∶太和间疫疠，初憎寒壮热体重，次传头面肿盛，目合喉喘，舌干口燥，俗
云大头伤寒，诸药莫治，东垣云∶身半以上，天之气也，邪热客于心肺，上攻头面而为肿耳
，制方活众，刻石以传（《医方集解》此方微有不同）。黄芩、黄连（各酒炒）五钱，牛蒡、
大
八分
用蜜丸
祛瘴辟瘟丹∶治时疫痧瘴，老幼男妇皆同者。浓朴、苍术、羌活、防风、陈皮、枳实、
香附、牛蒡子各钱，槟榔、白芷各八分，藿香、川芎各五分，细辛四分，甘草三分，姜、葱
煎服。
无汗加苏叶、薄荷。口渴花粉、葛根。身重汗出防己、石膏。温疟柴胡、半夏。遍身疙
瘩肿痛蓝叶、大黄、僵蚕。肌肉发红黑紫斑元参、大青、连翘。大便秘结大黄。先中热又中
暑加白虎、香薷。头痛川芎。风温身体灼热芩、连、栀子。咳嗽涕唾、头目昏眩荆芥、金沸
草（金沸草即旋复花）。
白虎汤∶治温病身热自汗口干、脉来洪大。霍乱、伤暑、发痧神妙。石膏（煨）五钱，
知
病在阳明肌肉，则巨阳之表邪已解，故外不恶寒，又无头痛身疼之症，但自汗而发热也
。《经》曰∶热淫所胜，佐以苦甘，以知母、甘草解其热，盖热则伤气，用粳米、甘草之甘
以益其气，且治不眠烦躁也。烦者肺、躁者肾也。以石膏为君，佐知母之苦以清肾之源，因
石膏体坚而重坠，知母沉寒而走下，故用米、草之甘以缓之，使不速达于下焦也。白虎金神
，司秋者也，暑火至秋而衰，且知母苦寒，又能保太阴肺金之气，故名白虎，以为三阳经一
解表药耳。虽是三阳解表药，切记有汗当施，无汗当戒，盖无汗者，必须柴、葛、升麻以解
表邪，不可见其身热，误用白虎，以郁遏其热，使不能外越也。
汾尝验温病久而无汗，有必兼白虎乃解者。温疟宜桂枝白虎，《医方集解》明言之矣。
至于柴葛升麻亦自各有所宜，《伤寒论注》等书自悉。
记异症方案一条∶靖江刘姓，年四旬，遇疫遭数丧自外归，母病旋卒，遂成惊悸，不寐
，略睡去即叫跳，其心如荡如撞，服天王补心丹之类半月不效，予用奇方制就琥珀丸，三服
遂定（每服三分三厘，共钱）。又变怪症，饮食如故，忽然目翻涎流，喊如羊，其头侧过左
肩
症
载
但面色不正，另立丸方调理而痊。真琥珀（同灯芯研）四钱，辰砂（研细，取猪心血和，仍
放
白矾各三钱煮透心极熟，晒干用八钱），胆星六钱，石菖蒲、炙草各五钱，枣仁二两，远志
肉、白茯神、橘红、归身、柏子仁、山药、麦冬各两，煮枣肉丸梧子大，金箔为衣。每服三
十丸，临卧圆眼、灯心汤下。此丸兼治怔忡、健忘、惊悸、癫痫等症。
加味活命饮∶一切痧后留滞热毒，发为痈肿、发背、疔、疽。穿山甲（土炒）、银花、
大
乳
毒在背加角刺钱半，在腹加白芷，在胸加蒌仁二钱，在头面手足加银花五钱。水入大瓦
瓶封口煎，温服。侧睡。忌铁器、酸味诸毒物（一方无军、地、荷，好酒煎，大溃勿服）。
六一散∶降火利窍解烦渴（无湿者多服，反耗津液，加渴），水飞滑石六两，粉草末两。
夏月凉水调饮。加朱砂名益元散，治小儿身热咳嗽，微带惊风，灯心汤调服，屡效。
又法∶凡痧属肝经者多，肝附于背，第七骨节间，遇犯痧者，先循其七节骨缝中将大指
甲重掐入，候内骨节响方止，以盐涂之。如不响，即将盐重擦，必便透入，遂能止疼。
玉枢丹：治疗瘴气、蛊毒，解除各种毒药，服用砒霜、毒蘑菇、河豚、死牛马肉、狐狸、老鼠、蟒蛇的毒性，以及被蛇、狗、恶虫咬伤，一切痈疽、发背、疮疹、红肿等各种肿瘤，不服水土引起的不适，都能随手见效。山慈菇（俗称金灯笼，叶子像韭菜，花像灯笼，颜色白色，上面有黑点，结出的果实呈三棱形，二月长苗、三月开花、四月枯萎。在长苗时标记地点，秋冬季节挖取，外面包裹着毛，如果这味药不真则无效。去皮，焙干）二两，文蛤（即五倍子，捶破洗净、焙干）三两，红芽大戟（去掉芦头焙干）一两半，千金子（即续随子，去掉外壳研磨去油取霜）一两，分为四份。
用薄荷汤送服；用于岚瘴（南方山林间的湿热疫气）、急中风、癫痫、鬼胎、鬼气，用无灰酒送下；用于上吊、溺水但心头尚暖者，惊死、鬼迷未过一夜者，并用井水磨汁灌服。被蛇、狗、蜈蚣咬伤，用冷水磨涂。新久各类疟疾，当日用桃枝、柳枝煎汤磨下。小儿急惊风、慢惊风、五疳、两种痢疾，用蜜水、薄荷叶同磨下，牙关紧闭者磨涂并内服。牙痛，含少许吞下。汤火烫伤，用东流水磨涂。跌打损伤，炒松节，无灰酒送下。头痛、太阳穴痛，酒磨烂涂纸贴于太阳穴。各类癫痫、口眼歪斜、唇眼抽搐及夜间睡眠多涎、言语不清，突然中风、牙关紧闭筋脉挛缩、肢体关节肿痛，都用酒磨下。
牛黄八宝丹：治疗痧症发斑、发狂、浑身赤紫、痧后毒疡，随之消散。元参（瓦上焙干）、明雄黄各五钱，共研为末，另外将拣选干净的[药物]绞滤，青桑柴[灰]调服（牛黄、[其他药物]）。
仙方脑麝丸：治疗岚瘴，解除茶积、痰饮、酒醉、口渴，清除伏暑，退除心热，止住喉痛，开目雾及赤白痢疾，一切火症，神效。黄药子、白药子各三两，天花粉二两，川黄连一两（用心挑选过，碾成末，筛细，只取头道细末），广木香三钱，沉香三钱，麝香五分，片脑（冰片）三分，猪胆汁调和，蒸制成丸，每丸一分重。与好茶一撮、盐梅一个擂碎，井华水调下。心热头疼，目雾，噙化三五丸，赤痢用茅根汁擂七丸，白痢用茶、梅擂服。痧胀，面赤身热，喘急昏迷者，服下即苏醒。
郁金丸：随常痧症腹痛者，一服见效，且治疗九种心痛。五灵脂（醋炒）一两，延胡索八钱，砂仁（炒）、生明矾各五钱，木香（不见火）、真郁金（不要用姜黄代替）、雄黄为衣各三钱，神曲糊[为丸]。
炼石丹：痧胀通用。千年石（即陈锻石，水飞法处理）一两，松根石（即真琥珀）三钱，水骨石（即[某石]）[缺字]。
硫矾丸：硫黄、明矾各四两（放入人罐中，用豆腐浆煮一天一夜，去掉腐渣，再慢火熬至干燥，连罐埋入地下三尺，三天取出成为紫金色，下一层有泥渣不用），茯苓、山药各三两（这两味药同蒸，晒[干]）。
枣肉丸绿豆大。每清晨盐汤送下半钱，临睡前白开水送一钱。有人患痧症十年，发作时叫喊晕死，或用醋炭熏鼻，或盐汤探吐，都用华佗危病方略得缓解，醒后服此丸全愈除根。我屡次使用多有效验，真是神方啊。
附华佗危病方：吴茱萸、木瓜、食盐各五钱（同炒焦），砂罐加水三碗煮一百沸，随病患冷热[情况调整]。
润下丸：治疗大肠燥实，二便秘结，痧毒壅盛者。大黄（酒制）四两，黑丑（炒、头末）二两。
治臌香圆丸：或水、或食、或气都治疗。萝卜子（炒）六两，陈香圆四两，醋制香附三两，广皮（去白）、荆三棱（醋炒）、蓬莪术（醋炒）、泽泻、茯苓各二两，山楂（去核）、青皮（去瓤）[等分]。
大羌活汤：《内经》说：两感病者死不治。第一天太阳经与少阴经同时发病，头痛发热恶寒，口干烦闷而渴。太阳经是腑，从背部俞穴进入，人所共知。少阴经是脏，从鼻息进入，人所不知。鼻气通于天，所以寒邪无形之气从鼻而入。肾属水，水流湿，所以肾受之。又说：天之邪气感则害人体五脏，由此可知内外两感，脏腑俱病，想解表则有里证，想攻下则有表证，表里既然不能同时治疗，所以致死。然而禀赋有虚实，感受有浅深，虚而感之深必死，实而感之浅，或许还可治。羌活、独活、防风、防己、黄芩、黄连、苍术、白术、细辛、炙甘草各等分，知母、川芎、生地加倍。都切成片，每服一两半，煎一大盏热饮，不解再服。
加减圣效散：治疗伤寒时疫、风湿、阴阳两感，表里未辨，或外热内寒，或外寒内热，肢节拘急，头项腰脊疼痛，发热恶寒，呕逆喘咳，鼻塞声重及食饮生冷，伤在胃脘，胸膈饱闷，肠胁胀痛，心下痞结，手足逆冷，肠鸣泄泻，不消化食物，小便不利等症状。东坡在杭州任职时多疫，设药剂救活众人，原名圣散子，现在有痧症类似疗之悉效。卜子（炒）、砂仁（炒、研）、槟榔、陈皮、延胡索各八钱，浓朴、防风、苍术、藁本、藿香叶、柴胡、独活、石菖蒲、泽泻、枳壳、细辛各五钱，草豆蔻（去壳）十个，共为粗末。每五钱，水一盏半煎至一盏，去滓温服，不计时候，取遍[身微汗]。
如圣散：治疗当心而痛，遍身骨节牵痛，或呕吐恶心，不时发作者，兼治疝气劳根，此方可补痧胀所不及之处。枳壳（面炒）三两，小茴香（微炒）三钱，盐砖（铲上烧红）三分，为细末。每服[若干]。
失笑散：治疗血迷心窍，不知人事，妇人产后，心腹绞痛及腹中瘀积血作痛者，男妇惯发痧胀，服此永不再犯。五灵脂（去砂，炒）、蒲黄（炒）等分，为末。每一二钱，温酒调下。
普济消毒饮：太和年间发生疫病，初起憎寒壮热体重，次传头面肿盛，目合喉喘，舌干口燥，俗云大头伤寒，诸药莫治，东垣说：身半以上，天之气也，邪热客于心肺，上攻头面而为肿耳，制方救活众人，刻石以传（《医方集解》此方略有不同）。黄芩、黄连（各酒炒）五钱，牛蒡子、[连翘等]各[若干]，[共为末]，用蜜丸[服]。
祛瘴辟瘟丹：治疗时疫痧瘴，老幼男妇皆同者。浓朴、苍术、羌活、防风、陈皮、枳实、香附、牛蒡子各一钱，槟榔、白芷各八分，藿香、川芎各五分，细辛四分，甘草三分，姜、葱煎服。
无汗加苏叶、薄荷。口渴加花粉、葛根。身重汗出加防己、石膏。温疟加柴胡、半夏。遍身疙瘩肿痛加蓝叶、大黄、僵蚕。肌肉发红黑紫斑加元参、大青、连翘。大便秘结加大黄。先中热又中暑加白虎汤、香薷。头痛加川芎。风温身体灼热加黄芩、黄连、栀子。咳嗽涕唾、头目昏眩加荆芥、金沸草（金沸草即旋复花）。
白虎汤：治疗温病身热自汗口干、脉来洪大。霍乱、伤暑、发痧神妙。石膏（煨）五钱，知母[三钱]。
病在阳明肌肉，则巨阳之表邪已解，故外不恶寒，又无头痛身疼之症，但自汗而发热也。《内经》说：热淫所胜，佐以苦甘，用知母、甘草解其热，盖热则伤气，用粳米、甘草之甘以益其气，且治不眠烦躁也。烦者肺、躁者肾也。以石膏为君，佐知母之苦以清肾之源，因石膏体坚而重坠，知母沉寒而走下，故用米、草之甘以缓之，使不速达于下焦也。白虎为金神，司秋者也，暑火至秋而衰，且知母苦寒，又能保太阴肺金之气，故名白虎，以为三阳经一解表药耳。虽是三阳解表药，切记有汗当施，无汗当戒，盖无汗者，必须柴胡、葛根、升麻以解表邪，不可见其身热，误用白虎，以郁遏其热，使不能外越也。
我曾验证温病久而无汗，有必兼白虎乃解者。温疟宜桂枝白虎汤，《医方集解》明言之矣。至于柴胡、葛根、升麻亦自各有所宜，《伤寒论注》等书自悉。
记异症方案一条：靖江刘姓，年四十岁，遇疫遭数丧自外归，母亲病旋卒，遂成惊悸，不寐，略睡去即叫跳，其心如荡如撞，服天王补心丹之类半月不效，我用奇方制就琥珀丸，三服遂定（每服三分三厘，共一钱）。又变怪症，饮食如故，忽然目翻涎流，喊如羊，其头侧过左肩[...症状描述...]。
但面色不正，另立丸方调理而痊。真琥珀（同灯芯研）四钱，辰砂（研细，取猪心血和，仍放[罐中]），白矾各三钱煮透心极熟，晒干用八钱），胆星六钱，石菖蒲、炙甘草各五钱，枣仁二两，远志肉、白茯神、橘红、当归身、柏子仁、山药、麦冬各一两，煮枣肉丸梧子大，金箔为衣。每服三十丸，临卧桂圆、灯心汤下。此丸兼治怔忡、健忘、惊悸、癫痫等症。
加味活命饮：一切痧后留滞热毒，发为痈肿、发背、疔、疽。穿山甲（土炒）、银花、[皂角刺等]，乳[香]。
毒在背加角刺钱半，在腹加白芷，在胸加瓜蒌仁二钱，在头面手足加银花五钱。水入大瓦瓶封口煎，温服。侧睡。忌铁器、酸味诸毒物（一方无军[军], 地[地黄]、荷[荷花/荷叶]，好酒煎，大溃勿服）。
六一散：降火利窍解烦渴（无湿者多服，反耗津液，加渴），水飞滑石六两，粉甘草末一两。夏月凉水调饮。加朱砂名益元散，治疗小儿身热咳嗽，微带惊风，灯心汤调服，屡效。
又法：凡痧属肝经者多，肝附于背，第七骨节间，遇犯痧者，先循其七节骨缝中将大拇指甲重掐入，候内骨节响方止，以盐涂之。如不响，即将盐重擦，必便透入，遂能止疼。
Yushu Dan (Jade Pivot Pill): Treats miasma (Zhang Qi, 瘴气), gu poison (Gu Du, 蛊毒), and resolves various toxic drugs. It antidotes poisoning from arsenic (Pi, 砒), poisonous mushrooms, pufferfish, dead cattle/horse meat, foxes, rats, pythons, as well as injuries from snakes, dogs, and harmful insects. It treats all carbuncles (Yong Ju, 痈疽), back abscesses (Fa Bei, 发背), sores/rashes (Chuang Zhen, 疮疹), red swellings, and various tumors. It also addresses discomfort from acclimatization issues (Bu Fu Shui Tu, 不服水土), taking effect immediately.
*Ingredients*: Shan Cigu (Mountain Garlic Bulb, *Fritillaria cirrhosa*) [commonly known as Jin Deng Long, leaves like leeks, flowers like lanterns, white with black spots, three-angled fruit; sprouts in Feb, flowers in Mar, withers in Apr; mark location at sprouting, dig in Autumn/Winter; covered with hairs; authenticity is crucial for efficacy; peel and dry-roast] 2 liang; Wen Ge (Clam Shell, actually Wubeizi/Gallnut, *Rhus chinensis*) [crushed, washed, dried] 3 liang; Hong Ya Daji (Red-root Spurge Root, *Euphorbia pekinensis*) [remove rhizome, dry-roast] 1.5 liang; Qianjinzi (Thousand Gold Seed, i.e., Xuisui Zi/Croton Seed, *Croton tiglium*) [shell removed, ground, oil expressed to leave the powder/residue] 1 liang. Divide into four doses.
*Administration*: Take with Bohe Tang (Mint Decoction). For Lan Zhang (Mountain Miasma, 岚瘴), acute stroke (Ji Zhong Feng, 急中风), epilepsy (Dian, 癫), ghost fetus (Gui Tai, 鬼胎), or ghost qi (Gui Qi, 鬼气), take with wine free of ash impurities (Wu Hui Jiu, 无灰酒). For hanging or drowning victims whose heart remains warm, or those who died of fright/spirit possession within one night, grind with well water (Jing Shui, 井水) and administer. For snake/dog/centipede bites, grind with cold water and apply externally. For new or chronic malaria, grind with decoction of peach and willow branches made on the same day. For pediatric acute/slow convulsions (Ji/Man Jing Feng, 急/慢惊风), five types of childhood malnutrition (Wu Gan, 五疳), and two types of dysentery (Er Li, 二痢), grind with honey water and mint leaves; for trismus (Ya Guan Jin Ji, 牙关紧急), apply externally and ingest. For toothache, hold a small amount in mouth and swallow. For scalds/burns, grind with flowing water from the east and apply. For traumatic injuries, use dry-roasted pine nodes taken with ash-free wine. For headache/Sun acupoint pain, grind with wine, apply to paper, and paste on Sun acupoint (Tai Yang, 太阳). For various epilepsies, facial deviation, lip/eye twitching, excessive salivation during sleep, slurred speech, sudden stroke with locked jaw/tendon contraction, and swollen/painful joints, grind with wine and take.
Niuhuang Babao Dan (Ox Gallstone Eight-Treasure Pill): Treats sha syndrome (Sha Zheng, 痧症) with macules, mania, whole-body crimson/purple discoloration, and post-sha toxic ulcers, causing them to dissipate.
*Ingredients*: Xuanshen (Scrophularia Root, *Scrophulariae Radix*) [dry-roast on tile], Ming Xionghuang (Real Realgar, *Realgar*) each 5 qian. Grind to powder. [Note: Text seems fragmented here regarding preparation method involving filtering and mulberry branch ash].
Xianfang Nao She Wan (Immortal Formula Brain & Musk Pill): Treats mountain miasma, resolves tea stagnation, phlegm, alcohol intoxication, thirst, clears latent summerheat, reduces heart heat, stops throat pain, clears eye mistiness, and treats bloody/non-bloody dysentery. Highly effective for all fire syndromes.
*Ingredients*: Huang Yaozi (Yellow Medicinal Bulb, *Dioscorea bulbifera*), Bai Yaozi (White Medicinal Bulb, *Dioscorea bulbifera* var.) each 3 liang; Tianhuafen (Trichosanthes Root, *Trichosanthis Radix*) 2 liang; Chuan Lian (Coptis Rhizome, *Coptidis Rhizoma*) 1 liang [carefully selected, ground, sifted fine, using only the finest powder]; Guang Muxiang (Costus Root, *Aucklandiae Radix*) 3 qian; Chenxiang (Agarwood, *Aquilariae Lignum Resinatum*) 3 qian; Shexiang (Musk, *Moschus*) 5 fen; Pian Nao (Borneol, *Borneolum Syntheticum*) 3 fen. Mix with pig bile (Zhu Dan, 猪胆), steam into pills, each pill weighing 1 fen.
*Administration*: Take with a pinch of good tea and one salt plum (Yan Mei, 盐梅) crushed together, mixed with well water (Jing Hua Shui, 井华水). For heart heat/headache/eye mistiness, dissolve 3-5 pills in mouth. For bloody dysentery, crush 7 pills with sedge root juice (Maogen Zhi, 茅根汁); for non-bloody dysentery, crush with tea and plum. For sha distension with red face, body heat, panting/coma, ingestion leads to immediate recovery.
Yujin Wan (Curcuma Pill): Effective for common sha syndrome abdominal pain after one dose; also treats nine types of heart pain.
*Ingredients*: Wulingzhi (Trogopterus Dung, *Trogopterori Faeces*) [stir-fry with vinegar] 1 liang; Yanhusuo (Corydalis Rhizome, *Corydzidis Rhizoma*) 8 qian; Sharen (Amomum Fruit, *Amomi Fructus*) [stir-fry], Sheng Mingfan (Raw Alum, *Alumen*) each 5 qian; Muxiang (Costus Root, *Aucklandiae Radix*) [do not overheat], True Yujin (Curcuma Tuber, *Curcumae Radix* - do not substitute with Jianghuang/Turmeric), Xionghuang (Realgar, *Realgar* as coating) each 3 qian. Bind with Shenqu (Medicated Leaven, *Massa Medicata Fermentata*) paste.
Lianshi Dan (Refined Stone Pill): General formula for sha distension.
*Ingredients*: Qiannian Shi (Millennium Stone, i.e., aged Cuprum Sulfate Vitriol, *Vitriolum*) [water levigation] 1 liang; Songgen Shi (Pine Root Stone, i.e., true Amber, *Electrum*) 3 qian; Shuigu Shi [Text incomplete].
Liufan Wan (Sulfur-Alum Pill):
*Ingredients*: Liu Huang (Sulfur, *Sulfur*), Ming Fan (Alum, *Alumen*) each 4 liang [cook in human-shaped jar with tofu brine for one day/night, remove dregs, slow-cook until dry, bury jar 3 chi underground for 3 days to become purple-gold; discard bottom layer with mud residue]; Fuling (Poria, *Poria*), Shanyao (Dioscorea Rhizome, *Dioscoreae Rhizoma*) each 3 liang [steam together, dry].
Zaorou Wan (Date Meat Pill): Form pills size of mung bean. Take half qian with salt water in morning, 1 qian with plain water before bed. Case: A patient suffered from sha syndrome for 10 years, screaming and fainting upon attack. Tried vinegar charcoal fumigation or salt water induced vomiting, or Hua Tuo's critical illness methods for slight relief. After waking, this pill cured him completely. I have used it frequently with great effect; truly a divine formula.
Appendix: Hua Tuo's Critical Illness Formula: Wu Zhu Yu (Evodia Fruit, *Evodiae Fructus*), Mugua (Chaenomeles Fruit, *Chaenomelis Fructus*), Shiyan (Rock Salt, *Sal Rubrum*) each 5 qian [stir-fry until scorched]. Simmer in clay pot with 3 bowls of water for 100 boils. Adjust temperature according to patient's condition.
Runxia Wan (Moistening Downward Pill): Treats large intestine dryness/excess, constipation of both bowels/bladder, and severe sha toxin congestion.
*Ingredients*: Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) [wine processed] 4 liang; Heiqiu (Black Morning Glory Seed, *Ipomoeae Nil Semen*) [stir-fry, finest powder] 2 liang.
Zhigu Xiangyuan Wan (Distension-Resolving Citron Pill): Treats edema, food stagnation, or qi stagnation.
*Ingredients*: Luobozhi (Radish Seed, *Raphani Semen*) [stir-fry] 6 liang; Chen Xiangyuan (Aged Citron, *Citri Reticulatae Fructus*) 4 liang; Cu Zhi Xiangfu (Cyperi Rhizome, *Cyperi Rhizoma*) [vinegar processed] 3 liang; Guangpi (Tangerine Peel, *Citri Reticulatae Pericarpium*) [remove white pith], Sanleng (Sparganium Tuber, *Sparganii Rhizoma*) [vinegar processed], Ezhu (Curcuma Rhizome, *Curcumae Longae Rhizoma*) [vinegar processed], Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Fuling (Poria, *Poria*) each 2 liang; Shanzha (Hawthorn Fruit, *Crataegi Fructus*) [pitted], Qingpi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*) [remove pith] [equal parts implied].
Da Qianghuo Tang (Great Notopterygium Decoction): The Classic states: "Two-channel infection" (Liang Gan, 两感) is fatal. On day one, Taiyang and Shaoyin channels are affected simultaneously: headache, fever, aversion to cold, dry mouth, irritability, and thirst. Taiyang is a Fu organ, entering via back Shu points, known to all. Shaoyin is a Zang organ, entering via nasal respiration, unknown to many. Nasal qi connects to Heaven, so formless cold evil enters via nose. Kidney belongs to Water; water flows to dampness, thus Kidney receives it. Also: Heavenly evil qi harms the five Zang organs. Thus, internal-external dual infection affects both Fu and Zang. Wanting to release exterior creates interior conflict; wanting to purge interior creates exterior conflict. Since exterior and interior cannot be treated simultaneously, death ensues. However, constitution varies (deficient/excess) and pathogen depth varies. Deep invasion in deficiency is fatal; shallow invasion in excess may be treatable.
*Ingredients*: Qianghuo (Notopterygium Rhizome, *Notopterygii Rhizoma et Radix*), Duhuo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*), Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*), Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*), Huangqin (Scutellaria Root, *Scutellariae Radix*), Huanglian (Coptis Rhizome, *Coptidis Rhizoma*), Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Xixin (Asarum Root, *Asari Radix et Rhizoma*), Zhigancao (Prepared Licorice Root, *Glycyrrhizae Radix et Rhizoma Preparata*) equal parts; Zhimu (Anemarrhena Rhizome, *Anemarrhenae Rhizoma*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Shengdi (Rehmannia Root, *Rehmanniae Radix*) doubled. Slice all. Take 1.5 liang per dose, decoct in one large cup, drink hot. Repeat if no improvement.
This is a divine formula for resolving two-channel infections. If sha syndrome resembles this, modify and select accordingly.
Jiajian Shengxiao San (Modified Holy Efficacy Powder): Treats cold damage, seasonal epidemics, wind-dampness, yin-yang dual infection, unresolved exterior-interior, external heat/internal cold, or external cold/internal heat. Symptoms: limb/joint stiffness, head/neck/back pain, fever/aversion to cold, vomiting/wheezing/cough, nasal congestion/heavy voice, injury from raw/cold food damaging stomach epigastrium, chest/diaphragm fullness, intestinal/flank distension/pain, epigastric blockage, cold extremities, borborygmus/diarrhea, indigestion, difficult urination, etc. Dongpo used this in Hangzhou during epidemics, originally named Sheng San Zi. Now effective for similar sha syndromes.
*Ingredients*: Bu Zi [Text unclear, possibly Buzhong or similar] [stir-fry], Sharen [stir-fry, grind], Binglang (Areca Seed, *Arecae Semen*), Chenpi (Tangerine Peel, *Citri Reticulatae Pericarpium*), Yanhu [Yanhusuo] each 8 qian; Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*), Fangfeng, Cangzhu, Gaoben (Ligusticum Sinense Rhizome, *Ligustici Sinensis Rhizoma*), Huoxiangye (Patchouli Leaf, *Pogostemonis Folium*), Chaihu (Bupleurum Root, *Bupleuri Radix*), Duhuo, Shichangpu (Acorus Rhizome, *Acori Tatarinowii Rhizoma*), Zexie, Zhiqiao (Bitter Orange Fruit, *Aurantii Fructus*), Xixin each 5 qian; Caodoukou (Cardamom Fruit, *Cardamomi Fructus*) [shelled] 10 pieces. Coarse powder. Take 5 qian, decoct in 1.5 cups water to 1 cup, strain, take warm, any time, aiming for mild sweating.
Rusheng San (Like-Sage Powder): Treats pain in the epigastrium, pulling pain in all bone joints, vomiting/nausea, intermittent attacks. Also treats hernia and chronic labor roots; supplements where sha distension fails.
*Ingredients*: Zhiqiao [flour stir-fry] 3 liang, Xiaohui [lightly stir-fry] 3 qian, Yanzhuan (Salt Brick) [red-hot on shovel] 3 fen. Grind to fine powder. Take [dose unspecified].
Shixiao San (Laugh-Out-of-Pain Powder): Treats blood confusing heart orifices, loss of consciousness, postpartum women's heart/abdominal colic, and abdominal stasis blood pain. For men/women prone to sha distension, prevents recurrence.
*Ingredients*: Lingzhi [Wulingzhi, remove sand, stir-fry], Puhuang (Lygodium Spore, *Lygodii Spora*) equal parts. Grind to powder. Take 1-2 qian, mix with warm wine.
Puji Xiaodu Yin (Universal Benefit Detoxification Decoction): Used during Taihe era epidemic. Initial symptoms: aversion to cold, high fever, heavy body; progressing to severe head/face swelling, closed eyes, throat wheezing, dry tongue/mouth. Commonly called "Big Head Cold Damage," unresponsive to other drugs. Dongyuan stated: Upper half is Heaven's qi; evil heat lodges in Heart/Lung, attacking head/face causing swelling. Created formula to save lives, carved on stone.
*Ingredients*: Huangqin, Huanglian (each wine-stir-fried) 5 qian; Niubangzi (Arctium Fruit, *Arctii Fructus*), [Qianjinhua/Lianqiao implied] ... [Text fragmented]. Honey pills.
Quzhang Biwen Dan (Miasma-Dispelling Plague-Averting Pill): Treats seasonal epidemic sha-miasma, same for old/young/male/female.
*Ingredients*: Houpo, Cangzhu, Qianghuo, Fangfeng, Chenpi, Zhishi (Bitter Orange Fruit, *Aurantii Fructus*), Xiangfu, Niubangzi each 1 qian; Binglang, Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*) each 8 fen; Huoxiang, Chuanxiong each 5 fen; Xixin 4 fen; Gancao (Licorice Root, *Glycyrrhizae Radix*) 3 fen. Decoct with Ginger, Scallion.
*Modifications*: No sweat add Ziyeh (Perilla Leaf, *Perillae Folium*), Bohe (Mint, *Menthae Haplocalycis Herba*). Thirst add Huafen (Trichosanthes Root, *Trichosanthis Radix*), Gegen (Kudzu Root, *Puerariae Lobatae Radix*). Heavy body/sweat add Fangji, Shigao (Gypsum Fibrosum, *Gypsum*). Warm malaria add Chaihu, Banxia (Pinellia Tuber, *Pinelliae Rhizoma*). General bumps/swelling add Lanye (Isatis Leaf, *Isatidis Folium*), Dahuang, Jiangcan (Bombyx Batryticatus, *Bombyx Batryticatus*). Red/black/purple skin spots add Xuanshen, Daqing (Isatis Root, *Isatidis Radix*), Lianqiao (Forsythia Fruit, *Forsythiae Fructus*). Constipation add Dahuang. Heatstroke + Summerheat add Baihu Tang, Xiangru (Elsholtzia Herb, *Elsholtziae Herba*). Headache add Chuanxiong. Wind-warmth burning body add Huangqin, Huanglian, Zhizi (Gardenia Fruit, *Gardeniae Fructus*). Cough/phlegm/dizziness add Jingjie (Schizonepeta Spike, *Schizonepetae Spica*), Jinfeicao (Golden Whorl Grass, *Inulae Flos*).
Baihu Tang (White Tiger Decoction): Treats warm disease with body heat, spontaneous sweating, dry mouth, surging pulse. Divine for cholera, summerheat injury, sha syndrome.
*Ingredients*: Shigao (Gypsum Fibrosum, *Gypsum*) [roasted] 5 qian, Zhimu [3 qian implied].
Pathology: Disease in Yangming muscle layer means Taiyang exterior evil is resolved; hence no aversion to cold, no headache/body ache, only spontaneous sweating and fever. Classic says: When heat prevails, assist with bitter-sweet. Zhimu and Gancao resolve heat. Heat damages Qi; Rice and Gancao's sweetness tonifies Qi and treats insomnia/irritability. Irritability relates to Lung; restlessness to Kidney. Shigao is Sovereign; Zhimu's bitterness clears Kidney source. Shigao is heavy/sinking; Zhimu is cold/sinking. Rice/Gancao's sweetness moderates them to prevent rapid descent to Lower Jiao. White Tiger is Metal Deity, governing Autumn; summer heat declines in Autumn. Zhimu's bitter-cold protects Taiyin Lung Metal Qi. Hence named White Tiger, acting as an exterior-releasing herb for Three Yang channels. Note: Use only with sweating; contraindicated without sweating. Without sweating, must use Chaihu, Gegen, Shengma to release exterior. Do not mistake body heat for indication to use Baihu, which would trap heat preventing outward release.
I have verified warm diseases with prolonged lack of sweating sometimes require Baihu to resolve. Warm malaria suits Guizhi Baihu Tang, as stated in *Yifang Jijie*. Chaihu, Gegen, Shengma have their own indications, detailed in *Shanghan Lun Zhu*.
Record of Anomaly Case: Liu from Jingjiang, 40 years old, returned from outside after epidemics and multiple funerals. Mother died suddenly. Developed palpitations, insomnia, jumping/shouting upon slight sleep, heart feeling like swinging/hitting. Took Tianwang Buxin Dan for half month with no effect. I used a unique formula: Hupo Wan (Amber Pill). Three doses settled it (3.3 liang per dose, total 1 qian). Later developed strange symptom: normal diet, but sudden eye rolling, drooling, bleating like a sheep, head turning past left shoulder... [Text fragmented]. Complexion abnormal, prescribed another pill regimen for recovery and cure.
*Ingredients*: Zhen Hupo (True Amber, *Electrum*) [grind with lampwick] 4 qian; Chensha (Cinnabar, *Cinnabaris*) [fine powder, mix with pig heart blood], Baifan (Alum, *Alumen*) each 3 qian [boil thoroughly until cooked through, dry, use 8 qian]; Dansing (Calculus Bovis, *Bovis Calculus*) 6 qian; Shichangpu, Zhigancao each 5 qian; Zaoren (Zizyphus Seed, *Ziziphi Spinosae Semen*) 2 liang; Yuanzhi (Polygala Root, *Polygalae Radix*), Baifushen (Poria with Hostwood, *Poria cum Mycelium*), Juhong (Tangerine Albedo, *Citri Reticulatae Pericarpium*), Guishen (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Baiziren (Biota Seed, *Platycladi Semen*), Shanyao, Maidong (Ophiopogon Tuber, *Ophiopogonis Tuberus*) each 1 liang. Bind with boiled date meat, pills size of wutong seeds. Coat with Jinbo (Gold Foil, *Folium Aureum*). Take 30 pills before bed with longan and lampwick water. Treats palpitations, amnesia, fright palpitations, epilepsy.
Jiawei Huoming Yin (Modified Life-Preserving Decoction): Treats residual heat-toxin after sha syndrome causing carbuncles, back abscesses, ding sores, ju sores.
*Ingredients*: Chuanshanjia (Pangolin Scale, *Manis Squama*) [earth stir-fry], Yinhua (Honeysuckle Flower, *Lonicerae Japonicae Flos), [Zaocys/Zaojiaoci implied], Ru [Frankincense, *Olibanum*].
*Modifications*: Back add Zaocis spine 1.5 qian; Abdomen add Baizhi 1 qian; Chest add Gualouren 2 qian; Head/face/extremities add Yinhua 5 qian. Decoct in large clay bottle, sealed. Drink warm. Sleep on side. Avoid iron, sour foods, toxins. (Alternative: omit Jun/Di/Huo, decoct with good wine; do not use for severe ulceration).
Liuyi San (Six-to-One Powder): Descends fire, benefits orifices, resolves irritability/thirst. (Note: Excessive use in non-damp cases consumes fluids, increasing thirst).
*Ingredients*: Shihua (Talcum, *Talcum*) [water levigation] 6 liang, Fencao (Licorice Powder, *Glycyrrhizae Radix*) 1 liang. Mix with cool water in summer. Add Zhusha (Cinnabar, *Cinnabaris*) -> Yi Yuan San. Treats pediatric fever/cough with slight convulsions, take with lampwick water, highly effective.
Another Method: Most sha syndromes belong to Liver channel. Liver attaches to back, between 7th vertebral joint. For sha attack, press firmly with thumbnail into the gap of the 7th dorsal vertebra until inner joint clicks/stops. Apply salt. If no click, rub vigorously with salt until penetration occurs, stopping pain.