处方：白术18克、党参20克、黄芪35克、桂枝13克、当归15克、川芎12克、巴天10克、益智仁9克、石菖蒲9克、远志6克、沉香粉3克、杭菊花10克、广木香6克、甘草7克、大枣十二枚、生姜三片。施药五剂，每日一剂，分三次服完。
方义：用白术、党参、甘草以补充右侧阴经的脾肺之气。用黄芪、桂枝以补充足太阳经的外卫阳气。用当归、川芎以协助左侧阴经运行使血液上升。用菖蒲、远志、沉香为反佐药而正化左侧的阳经之气下达。用巴天、益智仁温补培肾以制约小便频多。用杭菊、广木香清脑醒神。以甘草、生姜、大枣调和诸药。
68年12月28日复诊：经服完上药三剂后，其“女鬼”的影形消失。五剂药服完，患者的饮食增加、小便减少、精神好转。复察阴、阳脉象，左、右的脉波增加了博力，但还呈现如以上的左、右、阴、阳不平形状。主症已去从缓调治，改用“归脾丸药”调整月余、则病人恢复健康。
体会：从古到今的医案中，发现奇奇怪怪病证甚多。由于人体的阴阳变化非常复杂，所以人患奇异现象的病疾亦多。由于出现的现象各人有所不同，医者应根据病因与病证、并结合“四诊”表现来决定其治疗。
凡是医治属情志之内伤疾患、必须以喜、怒、优、思、悲、恐、惊七情为辩证论治依据。例如此病、去迷信于鬼神的作法是无济于事的。由于人患疾病，多是体内阴阳运行失常而形成的，在医治上、可以从明、阳之道的机理来纠正而使之达到平衡。
此病例因悲哀伤中所形成阴气盛阳气衰而致病，阴气者犹如黑夜和阴雨的天气，阳气者犹如白日和晴朗的天气。故用补充阳气的药物使“阳光朗照”、则黑夜及阴霾现象便即消失。
运用祖国医学理论治病，重在通辨宇宙的阴、阳造化之理及人体之内的阴、阳造化之机。经云：“谨熟阴阳，无与众谋”即指此义。
二十四、对历代名方之分析
根据“十二经脉”阴、阳、正、负的道理、结合临床实践经验，贫道简要的分析了历代十九个名方的主治病证、药物作用以及对调整患者体内三阴三阳、左、右、正负运动的功能。
(1)四君子汤《兰台轨范方》：治面色痿白。言语轻微。四肢无力。脉来虚弱者。若内伤虚热。或饮食难化。须加炮姜。人参、白术、茯苓、甘草各二钱。加姜枣。水煎服。徐灵胎曰；“此补脾之主方。”
“君子汤”主治四肢无力、消化不良。贫道认为此方的药物作用主要是补助右侧足太阴脾经的正运功能。属脾土衰弱不足以生肺金而致气虚者宜之。
方中白术为健胃之要药，其性味苦、甘、温，苦能燥湿，温能补牌；甘草性甘、平，甘人脾；人参性味甘、微苦、微温，入脾达肺，大补元气；茯苓性味甘淡，渗湿健脾。
此方四药皆有甘味。甘味能入脾，故为补脾之主方。四药合起来其药性“甘温和平”，故名之曰“四君子”。大有补脾、益肺、健胃的效果。
(2)理中丸及汤《兰台轨范伤寒方》：治霍乱头痛发热。身疼痛。寒多不用水者。理中汤。若大病瘥后喜唾。久不了了。胃上有寒者。用理中丸。人参、炙甘草、白术、干姜各三两。以上四味揭筛为末。蜜丸如鸡子黄大。以沸汤数合和一丸研碎。温服之。日三服。夜二服。腹中未热。益至三四九。然不及汤。汤法以四物依两数切。用水八升。煮取三升。去滓。温服一升。日三服。徐灵胎日：“四逆乃温下焦中焦之法，理中为温上焦中焦之法，各有部位也。
理中丸及汤主治脾胃虚寒、寒霍乱腹疼呕吐或久患虚寒腹痛、大便溏等证。贫道认为其药物作用主要是温中散寒，具有正运右侧脾经的功能。
理中丸适宜于长期患慢性脾胃虚寒证；理中汤药物发挥迅速，适宜患急性脾胃虚寒证。人参、甘草、白术为补脾健胃的良药，佐大热大辛的干姜以温中散寒，因脾土气虚导致功能反溃而腹痛腹泻者，宜服此方以升举中宫脾土，故名“理中丸”。
(3)四物汤《兰台轨范局方》：治一切血热血虚血燥诸证。当归：熟地各三钱、川芎一线五分、白芍二钱酒炒。以上四味。水煎服。徐灵胎曰：“此血病之主方。”
“四物汤”主治人体左侧的肝经血虚、心血不足，或妇女的月经不调、经期腹痛等症。贫道认为此方的药物作用，具有补助左侧足厥阴肝经的正运动功能。
方中熟地性味甘温以滋补养血；当归性味辛甘合白芍归经入肝，既可补肝养血，又可行血活血；川穹其气芳香辛温，即能辛散温通血液中的凝滞，为血中之气药。
此方四药配伍，共合成补血养肝，使肝木的血液旺盛则生心血亦旺。故“四物汤”是调治一切血病的主方。
(4)佛手散《普济本事方》：治产后血虚头痛。胎动下血。催生神效。当归三钱、川芎一钱五分为散。微煎分一至二次服完。
“佛手散”主治产后血虚头痛、胎动下血，催生神效。贫道认为此方长于补血行血，使血液运行上升，具有正运左侧肝经的功能。
1．由于妇人产后失血，易导致血液循环不足而头痛。其川芎善于上行治头痛，当归长于补血行血，故此方治产后血虚头痛。
2．因动作过度以动胎，或由血虚不足以养胎，而不足之血易于由下方子宫大出血流出可能导致坠胎。故用当归，川芎补血并升血，使下行之血转化上升，则下血可止而胎动可安。
3．妇人十月怀胎，血液供养胎儿。如血虚不足易导致难产，皆血少涩滞之故。所以用此方补血行血，以增强血液循环流行，使涩滞转变滑腻其胎儿能得到滑腻即可出生，故催生神效。
但是，当归与川芎组合其性辛温，温能通辛易散并易上行。故左脉口之寸部脉浮脉滑、脉大者忌用。
(5)小柴胡汤《兰台轨范伤寒方》：治少阳中风。往来寒热。胸胁苦满。心烦喜呕。腹痛心悸。头汗出。舌上苔白。及妇人热入血室等症。柴胡半斤、黄芩、人参、甘草各三两、半下半升洗、生姜三两切、大枣十二枚擘，以上七味。水一斗二升。煮取六升。去滓。再煎取三升。温服一升。日三服。若胸中烦而不呕。去半下人参。加栝萎实一枚。若渴者。去半下。加人参。合前成四两半。栝萎根四两。若腹中痛者。去黄芩。加芍药三两。若胁下痞鞭。去大枣。加牡蛎四两。若心下悸。小便不利者。去黄芩。加茯苓四两。若不渴。外有微热者。去人参。加桂枝三两。温覆取微汗愈。若者。去人参大枣生姜。加五味子半升。干姜二两。徐灵胎曰：“此方加减法、须细稔。”
“小柴胡汤”主治寒热往来、晕眩目苦、心烦喜呕。胸满胁痛等证。贫道认为此方的药物作用主要是疏理中焦，有协助左肝右牌；正运上升与下降胆胃二经正运的作用。
方中柴胡药量最重为君药，其性味李凉以疏理左侧的肝经之气；人参、甘草、大枣为臣药，三药性味甘温以人右侧补牌益气，可促进中焦左肝右碑正运能量上升；半下、生姜、黄羊三药为反佐，以助胆经、胃经的正运机能而降逆止呕吐。
本方乃旋转人体左、右阴经上升，并使左右阳经下达，使半表半里之邪随着阴阳旋转的运动中而自行消失，放日“和解法”。唯有深明人体阴阳旋转之机，才能立出阴阳旋转之方，故后世称仲景为“医中之圣”。
(6)逍遥散《兰台轨范局方》：治肝家血虚火旺。头痛目眩。颊赤日苦。倦怠烦渴。抑郁不乐。两胁作痛。寒热。小腹重坠。妇人经水不调。脉弦大而虚。芍药酒沙，当归、白术炒、获警、炙甘草、柴胡各二钱。本方加丹皮，板子。即加味逍遥散。加拨姜三片薄荷叶少许煎服。徐灵胎日：“此疏达肝脾之方。”
“逍遥散”主治中焦郁结、胁下胀满、头痛目眩等症。金道认为此方的药物作用主要是疏达左肝右脾，使左右阴经正运上达畅通以解除中焦的郁结。
方中柴胡、当归以疏左侧肝经，以白芍柔轩，三药协同养血疏肝。白术、甘草以补充右侧的牌经，佐获冬以渗中湿。生姜味辛、薄荷辛凉轻扬，既能温中又可疏肝。共合成为流肝健脾，使左右中焦畅通无阻，其肝脾的郁结自愈。
郁之为病，为情志蕴结于中而不发，故易于伤肝。但情志常郁必有苦思而不能自控，故思多又伤脾。此方为疏肝达碑之方。故善于治郁。
(7)麻黄汤《兰台轨范伤寒方》：治太阳中寒。头身俱痛。发热无汗。恶风而喘。麻黄三两去节、桂枝二两去皮、甘草一两炙、杏仁七十个汤泡去皮尖。以上四味。以水九升。先煮麻黄减二升。去上沫。内诸药。煮取二升半。去滓温服八合。覆取微似汗。不须啜粥。余如桂枝法将息。
“麻黄汤”主治伤寒脉浮紧表实无汗证。贫道认为此方的药物作用，主要是升举足太阳经透发表皮的闭塞，因足太阳经为寒邪束表，导致肌表郁闭不和。用黄麻桂技之辛温药以开发周身的毛孔；用甘草以和中；用杏仁之苦温药为反佐以下降而利导气机；即有旋转阴阳的运动作用。故仲景医圣的立方，药物组成虽少，但用阴阳两性药物恰当配合，以调整人体的阴阳升降功能，故其疗效十分显著。
麻黄汤方治足太阳经伤寒、头身疼痛、表实无汗、恶风而喘、阴阳动脉皆现浮紧者宜之。
(8)桂枝汤《兰台轨范伤寒方》：治太阳中风。头痛发热。汗出恶风。桂枝三两去皮。芍药三两。甘草二两炙。生姜三两。大枣十二枚擘。以上五味咀。以水七升。微火煮取三升。去滓。适寒温服一升。服已须臾。啜热稀粥一升余。以助药力。温覆令一时许。通身絷絷。微似有汗者益佳。不可令如水流漓。病必不除。若一服汗出病差。停后服。不必尽剂。若不汗。更服依前法。又不汗。后服当小促其间。半日许令三服尽。若病重者。一日一夜服。周时观之。服一剂尽。病证犹在者。更作服。若汗不出者。乃服至二三剂。禁生冷粘滑肉面五辛酒酷臭恶等物。徐灵胎曰：“此服外感风寒之药，服法俱当如此。”
“桂枝汤”主治太阳中风、脉浮缓、头痛发热、汗出恶风等证。贫道认为此方用白芍入阴经反运内敛阴血以调营；并协助桂校由足太阳经反运上升而卫外；生姜、大枣、炙甘草益脾胃以和中。共同起着调和营卫、解肌发表、扶正以祛邪。
(9)葛根汤《兰台轨范伤寒方》：治太阳病项背强。无汗恶风者。又治太阳阳明合病。自下利者。葛根四两。麻黄三两去节。枝枝二两去皮。芍药二两切。甘草二两炙。生姜三两切。大枣十二格率。以上六味收咀。以水一斗。先煮麻黄葛根减二升。去沫。内诸药。煮取三升。去滓。’。温服一升。覆取微似汗。不须吸粥。余如桂技法将息及禁忌。”)“葛根场”主治太阳阳明合病、无汗恶风证。贫道认为此方的药物作用主要是速发足太阳经皮股为寒邪闭塞，并兼风寒之邪已传入足阳明胃经。因还有太阳经病症，故还当用挂枝汤药品；因表实无汗，故采用麻黄以发散驱除太阳经表邪，因拥入足阳明经故采用葛根以散发胃经的表邪。足三阳经患病虽皆主外表，但足太阳经为表中之表，而足阳明胃经为表中之里。经云：“太阳为开，阳明为阎，少限为枢”。故风寒病邪传六经是有层次递进而由表入里。
综合(伤寒论)中麻黄、桂枝、葛根场三方，皆因有外邪在表。故以上三方的药作用，都是从阳经发挥其反运动功能以祛除外邪。
(10)四逆汤《兰台轨范伤寒方》：治脉沉体痛。温湿欲吐。下利情谷。手足厥冷。内寒外热。脉微欲绝等症。甘草二两炙干姜一两半附子一枚生用去皮破八片。以上三味政咀。以水三升。煮取一升二合。去滓。分温再服。强人可用大附子一枚。干姜三两。徐灵胎日：“四逆汤不可轻用，一症不具，即当细审，必诸症皆全，方可决用无疑。”
“四逆场”主治脉沉体痛、温温欲吐、下利情谷、手足厥冷、内筹外热、脉微欲绝等症。贫道认为此方的药物作用，主要是温暖足少阴肾脏和足大阴脾脏而发挥正运动功能。因三阴经受气于五脏，三阳经受气于四末。人体内的五脏乃生命能量之发源处，故五脏为本。而六腑却是在手足四肢禀受五脏所输送出来的能量，故六腑为标。如果病人产生手足厥冷、下利清谷、脉沉、脉微、脉迟等症，就证明足少阻肾脏的命门之火即将熄灭，故急当用“四逆场”回下焦之阳，以固生命之根本。
按中医处治一切疾病的规则：皆当先治表证；后治里证。若见下利清谷，四肢厥冷、脉微欲绝等症，便知人体的生命能量——本源机能将绝，故病人虽有外表病症，而此时此际急当舍表救里，使先天之本足少明肾脏得到阳回而脉波增强时，证明生气以足即再来治理表证。
(11)真武汤《兰台轨范伤寒方》：治太阳汗出不解。仍发热。心悸头眩。身照动。振振欲僻地者。又治少阳至四五日。小便不利。四肢沉重疼痛。自下痢。此为有水气。获警。芍药。生姜各三两切。白术二两。附于一枚炮去皮破八片。上五味。以水八升。煮取三升。去滓。温眼七合。日三服。若放者加五味子半升。细辛、干姜各一两。若小便利者去获等。若下利者去芍药。加干美二两。若呕者去附子。加生姜。足前成半斤。徐灵服曰：“此治水逆之正方。”
处方：白术18克、党参20克、黄芪35克、桂枝13克、当归15克、川芎12克、巴戟天10克、益智仁9克、石菖蒲9克、远志6克、沉香粉3克、杭菊花10克、广木香6克、甘草7克、大枣十二枚、生姜三片。服用五剂，每日一剂，分三次服完。
方义：用白术、党参、甘草来补充右侧阴经中脾脏和肺脏之气。用黄芪、桂枝来补充足太阳膀胱经的外卫阳气。用当归、川芎来协助左侧阴经运行，使血液上升。用石菖蒲、远志、沉香作为反佐药，以引导左侧阳经之气下行。用巴戟天、益智仁温补肾脏以制约小便频多。用杭菊花、广木香清脑醒神。用甘草、生姜、大枣调和诸药。
68年12月28日复诊：在服完上述药物三剂后，患者幻觉中的“女鬼”影像消失。五剂药服完后，患者的饮食增加、小便减少、精神好转。再次诊察阴、阳脉象，左、右的脉波增加了搏力，但仍呈现如上所述的左、右、阴、阳不平衡的状态。主症已去，从缓调治，改用“归脾丸”调整月余，病人便恢复健康。
体会：从古到今的医案中，发现奇奇怪怪的病证甚多。由于人体的阴阳变化非常复杂，所以人患奇异现象的疾病也很多。由于出现的现象各人有所不同，医者应根据病因与病证、并结合“四诊”表现来决定其治疗。
凡是医治属情志之内伤疾患，必须以喜、怒、忧、思、悲、恐、惊七情为辨证论治依据。例如此病，去除迷信于鬼神的作法是无济于事的。由于人患疾病，多是体内阴阳运行失常而形成的，在医治上，可以从明、阳之道的机理来纠正而使之达到平衡。
此病例因悲哀伤中所形成阴气盛阳气衰而致病，阴气者犹如黑夜和阴雨的天气，阳气者犹如白日和晴朗的天气。故用补充阳气的药物使“阳光朗照”，则黑夜及阴霾现象便即消失。
运用祖国医学理论治病，重在通辨宇宙的阴、阳造化之理及人体之内的阴、阳造化之机。经云：“谨熟阴阳，无与众谋”即指此义。
二十四、对历代名方之分析
根据“十二经脉”阴、阳、正、负的道理、结合临床实践经验，贫道简要的分析了历代十九个名方的主治病证、药物作用以及对调整患者体内三阴三阳、左、右、正负运动的功能。
(1) 四君子汤《兰台轨范方》：治面色萎白。言语轻微。四肢无力。脉来虚弱者。若内伤虚热。或饮食难化。须加炮姜。人参、白术、茯苓、甘草各二钱。加姜枣。水煎服。徐灵胎曰；“此补脾之主方。”
“四君子汤”主治四肢无力、消化不良。贫道认为此方的药物作用主要是补助右侧足太阴脾经的正运功能。属脾土衰弱不足以生肺金而致气虚者宜之。
方中白术为健胃之要药，其性味苦、甘、温，苦能燥湿，温能补脾；甘草性甘、平，甘入脾；人参性味甘、微苦、微温，入脾达肺，大补元气；茯苓性味甘淡，渗湿健脾。
此方四药皆有甘味。甘味能入脾，故为补脾之主方。四药合起来其药性“甘温和平”，故名之曰“四君子”。大有补脾、益肺、健胃的效果。
(2) 理中丸及汤《兰台轨范伤寒方》：治霍乱头痛发热。身疼痛。寒多不用水者。理中汤。若大病瘥后喜唾。久不了了。胃上有寒者。用理中丸。人参、炙甘草、白术、干姜各三两。以上四味揭筛为末。蜜丸如鸡子黄大。以沸汤数合和一丸研碎。温服之。日三服。夜二服。腹中未热。益至三四九。然不及汤。汤法以四物依两数切。用水八升。煮取三升。去滓。温服一升。日三服。徐灵胎日：“四逆乃温下焦中焦之法，理中为温上焦中焦之法，各有部位也。
理中丸及汤主治脾胃虚寒、寒霍乱腹疼呕吐或久患虚寒腹痛、大便溏等证。贫道认为其药物作用主要是温中散寒，具有正运右侧脾经的功能。
理中丸适宜于长期患慢性脾胃虚寒证；理中汤药物发挥迅速，适宜患急性脾胃虚寒证。人参、甘草、白术为补脾健胃的良药，佐大热大辛的干姜以温中散寒，因脾土气虚导致功能反溃而腹痛腹泻者，宜服此方以升举中宫脾土，故名“理中丸”。
(3) 四物汤《兰台轨范局方》：治一切血热血虚血燥诸证。当归：熟地各三钱、川芎一线五分、白芍二钱酒炒。以上四味。水煎服。徐灵胎曰：“此血病之主方。”
“四物汤”主治人体左侧的肝经血虚、心血不足，或妇女的月经不调、经期腹痛等症。贫道认为此方的药物作用，具有补助左侧足厥阴肝经的正运动功能。
方中熟地性味甘温以滋补养血；当归性味辛甘合白芍归经入肝，既可补肝养血，又可行血活血；川穹其气芳香辛温，即能辛散温通血液中的凝滞，为血中之气药。
此方四药配伍，共合成补血养肝，使肝木的血液旺盛则生心血亦旺。故“四物汤”是调治一切血病的主方。
(4) 佛手散《普济本事方》：治产后血虚头痛。胎动下血。催生神效。当归三钱、川芎一钱五分为散。微煎分一至二次服完。
“佛手散”主治产后血虚头痛、胎动下血，催生神效。贫道认为此方长于补血行血，使血液运行上升，具有正运左侧肝经的功能。
1．由于妇人产后失血，易导致血液循环不足而头痛。其川芎善于上行治头痛，当归长于补血行血，故此方治产后血虚头痛。
2．因动作过度以动胎，或由血虚不足以养胎，而不足之血易于由下方子宫大出血流出可能导致坠胎。故用当归，川芎补血并升血，使下行之血转化上升，则下血可止而胎动可安。
3．妇人十月怀胎，血液供养胎儿。如血虚不足易导致难产，皆血少涩滞之故。所以用此方补血行血，以增强血液循环流行，使涩滞转变滑腻其胎儿能得到滑腻即可出生，故催生神效。
但是，当归与川芎组合其性辛温，温能通辛易散并易上行。故左脉口之寸部脉浮脉滑、脉大者忌用。
(5) 小柴胡汤《兰台轨范伤寒方》：治少阳中风。往来寒热。胸胁苦满。心烦喜呕。腹痛心悸。头汗出。舌上苔白。及妇人热入血室等症。柴胡半斤、黄芩、人参、甘草各三两、半夏半升洗、生姜三两切、大枣十二枚擘，以上七味。水一斗二升。煮取六升。去滓。再煎取三升。温服一升。日三服。若胸中烦而不呕。去半夏人参。加栝萎实一枚。若渴者。去半夏。加人参。合前成四两半。栝萎根四两。若腹中痛者。去黄芩。加芍药三两。若胁下痞鞭。去大枣。加牡蛎四两。若心下悸。小便不利者。去黄芩。加茯苓四两。若不渴。外有微热者。去人参。加桂枝三两。温覆取微汗愈。若者。去人参大枣生姜。加五味子半升。干姜二两。徐灵胎曰：“此方加减法、须细稔。”
“小柴胡汤”主治寒热往来、晕眩目苦、心烦喜呕。胸满胁痛等证。贫道认为此方的药物作用主要是疏理中焦，有协助左肝右脾；正运上升与下降胆胃二经正运的作用。
方中柴胡药量最重为君药，其性味苦凉以疏理左侧的肝经之气；人参、甘草、大枣为臣药，三药性味甘温以入右侧补脾益气，可促进中焦左肝右脾正运能量上升；半夏、生姜、黄芩三药为反佐，以助胆经、胃经的正运机能而降逆止呕吐。
本方乃旋转人体左、右阴经上升，并使左右阳经下达，使半表半里之邪随着阴阳旋转的运动中而自行消失，故曰“和解法”。唯有深明人体阴阳旋转之机，才能立出阴阳旋转之方，故后世称仲景为“医中之圣”。
(6) 逍遥散《兰台轨范局方》：治肝家血虚火旺。头痛目眩。颊赤口苦。倦怠烦渴。抑郁不乐。两胁作痛。寒热。小腹重坠。妇人经水不调。脉弦大而虚。芍药酒炒，当归、白术炒、茯苓、炙甘草、柴胡各二钱。本方加丹皮，栀子。即加味逍遥散。加煨姜三片薄荷叶少许煎服。徐灵胎日：“此疏达肝脾之方。”
“逍遥散”主治中焦郁结、胁下胀满、头痛目眩等症。贫道认为此方的药物作用主要是疏达左肝右脾，使左右阴经正运上达畅通以解除中焦的郁结。
方中柴胡、当归以疏左侧肝经，以白芍柔肝，三药协同养血疏肝。白术、甘草以补充右侧的脾经，佐茯苓以渗中湿。生姜味辛、薄荷辛凉轻扬，既能温中又可疏肝。共合成为疏肝健脾，使左右中焦畅通无阻，其肝脾的郁结自愈。
郁之为病，为情志蕴结于中而不发，故易于伤肝。但情志常郁必有苦思而不能自控，故思多又伤脾。此方为疏肝达脾之方。故善于治郁。
(7) 麻黄汤《兰台轨范伤寒方》：治太阳中寒。头身俱痛。发热无汗。恶风而喘。麻黄三两去节、桂枝二两去皮、甘草一两炙、杏仁七十个汤泡去皮尖。以上四味。以水九升。先煮麻黄减二升。去上沫。内诸药。煮取二升半。去滓温服八合。覆取微似汗。不须啜粥。余如桂枝法将息。
“麻黄汤”主治伤寒脉浮紧表实无汗证。贫道认为此方的药物作用，主要是升举足太阳经透发表皮的闭塞，因足太阳经为寒邪束表，导致肌表郁闭不和。用麻黄桂枝之辛温药以开发周身的毛孔；用甘草以和中；用杏仁之苦温药为反佐以下降而利导气机；即有旋转阴阳的运动作用。故仲景医圣的立方，药物组成虽少，但用阴阳两性药物恰当配合，以调整人体的阴阳升降功能，故其疗效十分显著。
麻黄汤方治足太阳经伤寒、头身疼痛、表实无汗、恶风而喘、阴阳动脉皆现浮紧者宜之。
(8) 桂枝汤《兰台轨范伤寒方》：治太阳中风。头痛发热。汗出恶风。桂枝三两去皮。芍药三两。甘草二两炙。生姜三两。大枣十二枚擘。以上五味咀。以水七升。微火煮取三升。去滓。适寒温服一升。服已须臾。啜热稀粥一升余。以助药力。温覆令一时许。通身絷絷。微似有汗者益佳。不可令如水流漓。病必不除。若一服汗出病差。停后服。不必尽剂。若不汗。更服依前法。又不汗。后服当小促其间。半日许令三服尽。若病重者。一日一夜服。周时观之。服一剂尽。病证犹在者。更作服。若汗不出者。乃服至二三剂。禁生冷粘滑肉面五辛酒酷臭恶等物。徐灵胎曰：“此服外感风寒之药，服法俱当如此。”
“桂枝汤”主治太阳中风、脉浮缓、头痛发热、汗出恶风等证。贫道认为此方用白芍入阴经反运内敛阴血以调营；并协助桂枝由足太阳经反运上升而卫外；生姜、大枣、炙甘草益脾胃以和中。共同起着调和营卫、解肌发表、扶正以祛邪。
(9) 葛根汤《兰台轨范伤寒方》：治太阳病项背强。无汗恶风者。又治太阳阳明合病。自下利者。葛根四两。麻黄三两去节。桂枝二两去皮。芍药二两切。甘草二两炙。生姜三两切。大枣十二枚擘。以上六味收咀。以水一斗。先煮麻黄葛根减二升。去沫。内诸药。煮取三升。去滓。’。温服一升。覆取微似汗。不须吸粥。余如桂技法将息及禁忌。)“葛根汤”主治太阳阳明合病、无汗恶风证。贫道认为此方的药物作用主要是速发足太阳经皮股为寒邪闭塞，并兼风寒之邪已传入足阳明胃经。因还有太阳经病症，故还当用桂枝汤药品；因表实无汗，故采用麻黄以发散驱除太阳经表邪，因拥入足阳明经故采用葛根以散发胃经的表邪。足三阳经患病虽皆主外表，但足太阳经为表中之表，而足阳明胃经为表中之里。经云：“太阳为开，阳明为阖，少阳为枢”。故风寒病邪传六经是有层次递进而由表入里。
综合(伤寒论)中麻黄、桂枝、葛根汤三方，皆因有外邪在表。故以上三方的药作用，都是从阳经发挥其反运动功能以祛除外邪。
(10) 四逆汤《兰台轨范伤寒方》：治脉沉体痛。温湿欲吐。下利清谷。手足厥冷。内寒外热。脉微欲绝等症。甘草二两炙干姜一两半附子一枚生用去皮破八片。以上三味政咀。以水三升。煮取一升二合。去滓。分温再服。强人可用大附子一枚。干姜三两。徐灵胎日：“四逆汤不可轻用，一症不具，即当细审，必诸症皆全，方可决用无疑。”
“四逆汤”主治脉沉体痛、温温欲吐、下利清谷、手足厥冷、内寒外热、脉微欲绝等症。贫道认为此方的药物作用，主要是温暖足少阴肾脏和足太阴脾脏而发挥正运动功能。因三阴经受气于五脏，三阳经受气于四末。人体内的五脏乃生命能量之发源处，故五脏为本。而六腑却是在手足四肢禀受五脏所输送出来的能量，故六腑为标。如果病人产生手足厥冷、下利清谷、脉沉、脉微、脉迟等症，就证明足少阴肾脏的命门之火即将熄灭，故急当用“四逆汤”回下焦之阳，以固生命之根本。
按中医处治一切疾病的规则：皆当先治表证；后治里证。若见下利清谷，四肢厥冷、脉微欲绝等症，便知人体的生命能量——本源机能将绝，故病人虽有外表病症，而此时此际急当舍表救里，使先天之本足少阴肾脏得到阳回而脉波增强时，证明生气以足即再来治理表证。
(11) 真武汤《兰台轨范伤寒方》：治太阳汗出不解。仍发热。心悸头眩。身瞤动。振振欲僻地者。又治少阳至四五日。小便不利。四肢沉重疼痛。自下痢。此为有水气。茯苓。芍药。生姜各三两切。白术二两。附子一枚炮去皮破八片。上五味。以水八升。煮取三升。去滓。温服七合。日三服。若咳者加五味子半升。细辛、干姜各一两。若小便利者去茯苓等。若下利者去芍药。加干姜二两。若呕者去附子。加生姜。足前成半斤。徐灵服曰：“此治水逆之正方。”
Prescription: Baizhu (Atractylodis Rhizoma, 白术) 18g, Dangshen (Codonopsis Radix, 党参) 20g, Huangqi (Astragali Radix, 黄芪) 35g, Guizhi (Cinnamomi Ramulus, 桂枝) 13g, Danggui (Angelicae Sinensis Radix, 当归) 15g, Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎) 12g, Bajiitian (Morinda Officinalis Radix, 巴戟天) 10g, Yizhiren (Alpiniae Oxyphyllae Semen, 益智仁) 9g, Shichangpu (Acori Tatarinowii Rhizoma, 石菖蒲) 9g, Yuanzhi (Polygalae Radix, 远志) 6g, Chenxiang Powder (Aquilariae Lignum Resinatum, 沉香粉) 3g, Hangjuhua (Chrysanthemi Flos, 杭菊花) 10g, Guangmuxiang (Costi Rhizoma, 广木香) 6g, Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) 7g, Dazao (Ziziphi Jujubae Fructus, 大枣) 12 pieces, Shengjiang (Zingiberis Rhizoma Recens, 生姜) 3 slices. Take five doses, one dose per day, divided into three servings.
Rationale of the Formula: Baizhu, Dangshen, and Gancao are used to supplement the Qi of the Spleen and Lung in the right Yin meridians. Huangqi and Guizhi are used to supplement the defensive Yang Qi of the Foot-Taiyang Bladder Meridian. Danggui and Chuanxiong assist the circulation of the left Yin meridians to raise blood. Shichangpu, Yuanzhi, and Chenxiang serve as counter-agents to guide the Qi of the left Yang meridians downward. Bajiitian and Yizhiren warm and tonify the Kidney to restrain frequent urination. Hangjuhua and Guangmuxiang clear the brain and awaken the spirit. Gancao, Shengjiang, and Dazao harmonize the various herbs.
Follow-up on December 28, 1968: After taking three doses of the above medicine, the hallucinated image of the "female ghost" disappeared. After completing the five doses, the patient's appetite increased, urination decreased, and mental state improved. Re-examination of the Yin and Yang pulses showed increased pulse force in both left and right positions, but the imbalance among left, right, Yin, and Yang persisted as described previously. Since the main symptoms had subsided, treatment was adjusted gradually. The patient took Guipi Wan (Spleen-Restoring Pill) for over a month and subsequently recovered health.
Reflections: In medical cases from ancient times to the present, many strange and unusual syndromes have been observed. Because the changes of Yin and Yang in the human body are extremely complex, people often suffer from diseases with bizarre phenomena. Since the manifestations vary from person to person, physicians should determine the treatment based on the etiology and syndrome, combined with the findings of the "Four Diagnostic Methods."
In treating internal injuries caused by emotional factors, the Seven Emotions—Joy, Anger, Worry, Thought, Grief, Fear, and Shock—must be used as the basis for differentiation and treatment. For example, in this case, relying on superstition regarding ghosts and gods is useless. Diseases are mostly formed by the dysfunction of Yin and Yang circulation within the body. Therefore, treatment can correct these imbalances by understanding the mechanisms of Yin and Yang, thereby restoring equilibrium.
This case resulted from excessive grief injuring the interior, leading to an excess of Yin Qi and deficiency of Yang Qi. Yin Qi is like night or rainy weather, while Yang Qi is like daytime or clear weather. Thus, using herbs that tonify Yang Qi allows the "sunlight to shine brightly," causing the darkness and haze to disappear.
Applying Traditional Chinese Medicine theory to treat diseases emphasizes understanding the principles of cosmic Yin and Yang creation and the mechanism of Yin and Yang transformation within the human body. The Classic states: "Carefully master Yin and Yang, do not consult with the multitude," which refers to this meaning.
Twenty-Four: Analysis of Famous Formulas Through the Ages
Based on the principles of Yin, Yang, Positive, and Negative in the "Twelve Meridians," combined with clinical experience, I briefly analyzed the indications, herb actions, and functions of nineteen famous formulas from past dynasties in adjusting the movements of San-Yin and San-Yang, Left, Right, Positive, and Negative within the patient's body.
(1) Sijunzi Tang (Four Gentlemen Decoction) [Lantai Guidfan Fang]: Treats sallow complexion, weak voice, weakness in the four limbs, and a weak pulse. If there is internal injury with deficient heat or difficulty digesting food, Paojiang (Prepared Zingiberis Rhizoma, 炮姜) must be added. Renshen (Panacis Ginseng Radix, 人参), Baizhu, Fuling (Poria, 茯苓), and Gancao each 2 qian. Add Jiang (Ginger, 姜) and Zao (Jujube, 枣). Decoct in water and take orally. Xu Lingtai said: "This is the main formula for tonifying the Spleen."
"Sijunzi Tang" treats weakness in the four limbs and indigestion. I believe the primary action of this formula is to support the normal transport function of the right Foot-Taiyin Spleen Meridian. It is suitable for those with Qi deficiency due to Spleen Earth failing to generate Lung Metal.
Baizhu is a key herb for strengthening the stomach; its nature is bitter, sweet, and warm. Bitterness dries dampness, and warmth tonifies the Spleen. Gancao is sweet and neutral; sweetness enters the Spleen. Renshen is sweet, slightly bitter, and slightly warm; it enters the Spleen and reaches the Lung, greatly tonifying Yuan Qi. Fuling is sweet and bland; it leaches out dampness and strengthens the Spleen.
All four herbs in this formula possess a sweet flavor. Sweetness enters the Spleen, making this the main formula for tonifying the Spleen. Together, their properties are "sweet, warm, and peaceful," hence the name "Four Gentlemen." It has significant effects on tonifying the Spleen, benefiting the Lung, and strengthening the Stomach.
(2) Lizhong Wan (Regulate the Middle Pill) and Tang (Decoction) [Lantai Guidfan Shanghan Fang]: Treats cholera with headache, fever, body pain, and aversion to cold/water. Lizhong Tang. If after a severe illness, the patient frequently salivates and cannot recover for a long time due to Cold in the Stomach, use Lizhong Wan. Renshen, Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 炙甘草), Baizhu, and Ganjiang (Zingiberis Rhizoma, 干姜) each 3 liang. Sieve the above four ingredients into powder. Make pills the size of a chicken egg yolk with honey. Crush one pill and mix with a few ounces of boiling water. Take warm. Three doses daily, two at night. If the abdomen does not feel warm, increase to three or four doses. However, the decoction is superior. To prepare the decoction, cut the four ingredients according to weight. Use eight sheng of water, boil to obtain three sheng, remove dregs, and take one sheng warm, three times daily. Xu Lingtai said: "Sini Tang warms the Lower and Middle Jiao; Lizhong warms the Upper and Middle Jiao; they target different areas."
Lizhong Wan and Tang treat Spleen-Stomach Deficient-Cold, Cold Cholera with abdominal pain and vomiting, or chronic Deficient-Cold abdominal pain and loose stools. I believe its primary action is warming the Middle and dispersing Cold, functioning to regulate the right Spleen Meridian.
Lizhong Wan is suitable for chronic Spleen-Stomach Deficient-Cold; Lizhong Tang acts quickly and is suitable for acute Spleen-Stomach Deficient-Cold. Renshen, Gancao, and Baizhu are excellent herbs for tonifying the Spleen and strengthening the Stomach, assisted by the hot and pungent Ganjiang to warm the Middle and disperse Cold. For those with abdominal pain and diarrhea due to Spleen Qi deficiency and functional collapse, this formula lifts the central Spleen Earth, hence named "Regulate the Middle Pill."
(3) Siwu Tang (Four Substance Decoction) [Lantai Guidfan Ju Fang]: Treats all syndromes of Blood Heat, Blood Deficiency, and Blood Dryness. Danggui and Shudi (Rehmanniae Radix Praeparata, 熟地) each 3 qian; Chuanxiong 1.5 qian; Baishao (Paeoniae Radix Alba, 白芍) 2 qian, stir-fried with wine. Decoct the above four ingredients in water and take orally. Xu Lingtai said: "This is the main formula for Blood diseases."
"Siwu Tang" treats Liver Meridian Blood Deficiency and Heart Blood Deficiency on the left side of the body, or irregular menstruation and dysmenorrhea in women. I believe the primary action of this formula is to support the normal movement function of the left Foot-Jueyin Liver Meridian.
Shudi is sweet and warm, nourishing and tonifying Blood. Danggui is pungent and sweet; combined with Baishao entering the Liver channel, it tonifies Liver Blood and promotes Blood circulation. Chuanxiong has an aromatic, pungent, and warm nature; it disperses and unblocks Blood stasis, acting as the Qi herb within Blood herbs.
The combination of these four herbs collectively tonifies Blood and nourishes the Liver. When Liver Wood Blood is abundant, Heart Blood also thrives. Thus, "Siwu Tang" is the main formula for regulating all Blood diseases.
(4) Foshou San (Buddha's Hand Powder) [Puji Ben Shi Fang]: Treats postpartum Blood Deficiency headache, fetal restlessness with bleeding, and is effective for inducing labor. Danggui 3 qian, Chuanxiong 1.5 qian, made into powder. Lightly decoct and take in one or two doses.
"Foshou San" treats postpartum Blood Deficiency headache, fetal restlessness with bleeding, and is effective for inducing labor. I believe this formula excels at tonifying Blood and promoting circulation, raising Blood flow, and regulating the left Liver Meridian.
1. Postpartum blood loss easily leads to insufficient blood circulation and headache. Chuanxiong ascends to treat headaches, and Danggui tonifies and moves Blood; thus, this formula treats postpartum Blood Deficiency headache.
2. Excessive movement may disturb the fetus, or insufficient Blood may fail to nourish the fetus, leading to heavy bleeding from the uterus and potential miscarriage. Danggui and Chuanxiong tonify and raise Blood, transforming descending Blood upward, stopping bleeding and calming fetal restlessness.
3. During ten months of pregnancy, Blood nourishes the fetus. Blood Deficiency can lead to difficult labor due to scanty and stagnant Blood. This formula tonifies and moves Blood, enhancing circulation, transforming stagnation into smoothness, allowing the fetus to be born easily, hence its efficacy in inducing labor.
However, the combination of Danggui and Chuanxiong is pungent and warm. Warmth promotes circulation and dispersion, tending to ascend. Therefore, it is contraindicated for those with floating, slippery, or large pulses at the Cun position of the left wrist.
(5) Xiaochaihu Tang (Minor Bupleurum Decoction) [Lantai Guidfan Shanghan Fang]: Treats Shaoyang Wind-Strike, alternating chills and fever, fullness and distress in the chest and hypochondrium, irritability with nausea, abdominal pain, palpitations, sweating on the head, white tongue coating, and Heat entering the Blood Chamber in women. Chaihu (Bupleuri Radix, 柴胡) 8 liang, Huangqin (Scutellariae Radix, 黄芩), Renshen, Gancao each 3 liang, Banxia (Pinelliae Rhizoma, 半夏) half sheng washed, Shengjiang 3 liang sliced, Dazao 12 pieces split. Decoct the above seven ingredients in 12 dou of water to obtain 6 sheng, remove dregs, decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily. If vexation in the chest without nausea, remove Banxia and Renshen, add one Gua Lou Shi (Trichosanthis Fructus, 栝楼实). If thirsty, remove Banxia, add Renshen (total 4.5 liang) and Gualou Gen (Trichosanthis Radix, 栝楼根) 4 liang. If abdominal pain, remove Huangqin, add Baishao 3 liang. If subcostal hardness, remove Dazao, add Muli (Ostrea Concha, 牡蛎) 4 liang. If palpitations and difficult urination, remove Huangqin, add Fuling 4 liang. If no thirst with slight external heat, remove Renshen, add Guizhi 3 liang. Cover warmly to induce slight sweat. If coughing, remove Renshen, Dazao, Shengjiang, add Wuweizi (Schisandrae Fructus, 五味子) half sheng and Ganjiang 2 liang. Xu Lingtai said: "The modifications of this formula require careful study."
"Xiaochaihu Tang" treats alternating chills and fever, dizziness, bitter taste, irritability with nausea, chest fullness, and hypochondriac pain. I believe its primary action is regulating the Middle Jiao, assisting the Left Liver and Right Spleen, and regulating the ascending/descending functions of the Gallbladder and Stomach meridians.
Chaihu is the chief herb in the heaviest dosage; its bitter-cool nature regulates the Qi of the left Liver Meridian. Renshen, Gancao, and Dazao are minister herbs; their sweet-warm nature tonifies Qi in the right Spleen, promoting the rise of energy in the Middle Jiao. Banxia, Shengjiang, and Huangqin are assistant/counter-agents, aiding the Gallbladder and Stomach meridians to descend and stop vomiting.
This formula rotates the ascent of Left/Right Yin meridians and descent of Left/Right Yang meridians, causing pathogens in the Half-Interior/Half-Exterior to vanish through Yin-Yang rotation. Hence, it is called the "Harmonizing Method." Only by deeply understanding the mechanism of Yin-Yang rotation can one create such formulas, which is why Zhang Zhongjing is revered as the "Sage of Medicine."
(6) Xiaoyao San (Free and Easy Wanderer Powder) [Lantai Guidfan Ju Fang]: Treats Liver Blood Deficiency with Fire Hyperactivity, headache, dizziness, red cheeks, bitter mouth, fatigue, thirst, depression, hypochondriac pain, alternating chills, lower abdominal heaviness, irregular menstruation, and wiry-large-deficient pulse. Baishao stir-fried with wine, Danggui, Baizhu stir-fried, Fuling, Zhigancao, Chaihu each 2 qian. Adding Mudanpi (Moutan Cortex, 牡丹皮) and Zhizi (Gardeniae Fructus, 栀子) makes Jiawei Xiaoyao San (Modified Free and Wanderer Powder). Add roasted ginger slices and mint leaves when decocting. Xu Lingtai said: "This is a formula to soothe and reach the Liver and Spleen."
"Xiaoyao San" treats Middle Jiao stagnation, hypochondriac distension, headache, and dizziness. I believe its primary action is soothing the Left Liver and Right Spleen, ensuring the smooth ascent of Left/Right Yin meridians to resolve Middle Jiao stagnation.
Chaihu and Danggui soothe the left Liver Meridian; Baishao softens the Liver. These three nourish Blood and soothe the Liver. Baizhu and Gancao tonify the right Spleen Meridian; Fuling leaches dampness. Shengjiang is pungent; Bohe (Menthae Haplocalycis Herba, 薄荷) is pungent-cool and light. They warm the Middle and soothe the Liver. Together, they soothe the Liver and strengthen the Spleen, clearing the Middle Jiao and resolving Liver-Spleen stagnation.
Stagnation disease involves emotions knotting internally without expression, easily injuring the Liver. Chronic emotional stagnation often involves excessive thinking, which injures the Spleen. This formula soothes the Liver and reaches the Spleen, making it effective for treating stagnation.
(7) Mahuang Tang (Ephedra Decoction) [Lantai Guidfan Shanghan Fang]: Treats Taiyang Cold Strike, headache and body pain, fever without sweat, aversion to wind with wheezing. Mahuang (Ephedrae Herba, 麻黄) 3 liang de-stemmed, Guizhi 2 liang de-barked, Gancao 1 liang honey-fried, Xingren (Armeniacae Semen Amarum, 杏仁) 70 seeds soaked in boiling water, peeled, tips removed. Decoct the above four ingredients in 9 sheng of water. First boil Mahuang to reduce by 2 sheng, remove foam. Add other herbs, boil to obtain 2.5 sheng, remove dregs, take 0.8 sheng warm. Cover to induce slight sweat. No need to drink porridge. Rest as with Guizhi Tang.
"Mahuang Tang" treats Exterior Excess Cold with floating-tight pulse and no sweat. I believe its primary action is lifting the Foot-Taiyang Meridian to penetrate and open the skin surface. Since the Foot-Taiyang is bound by Cold pathogens, causing muscle-surface closure, Mahuang and Guizhi (pungent-warm) open pores. Gancao harmonizes the Middle. Xingren (bitter-warm) acts as a counter-agent to descend and guide Qi, rotating Yin and Yang. Although simple, the appropriate combination of Yin-Yang herbs adjusts ascending/descending functions, yielding significant effects.
Mahuang Tang is suitable for Foot-Taiyang Cold Strike, headache/body pain, exterior excess with no sweat, aversion to wind with wheezing, and floating-tight pulses in both Yin and Yang arteries.
(8) Guizhi Tang (Cinnamon Twig Decoction) [Lantai Guidfan Shanghan Fang]: Treats Taiyang Wind Strike, headache, fever, sweating, aversion to wind. Guizhi 3 liang de-barked, Baishao 3 liang, Gancao 2 liang honey-fried, Shengjiang 3 liang, Dazao 12 pieces split. Chew the above five ingredients. Decoct in 7 sheng of water over low heat to obtain 3 sheng, remove dregs. Take 1 sheng warm. Immediately after, drink over 1 sheng of hot thin porridge to boost efficacy. Cover warmly for about an hour until the whole body sweats slightly. Do not let sweat pour like water, or the disease will not be cured. If one dose cures, stop subsequent doses. If no sweat, repeat. If still no sweat, shorten intervals to finish three doses in half a day. For severe cases, take day and night. If symptoms persist after one dose, make another. If no sweat, take up to 2-3 doses. Avoid cold, raw, sticky, greasy, meat, five pungents, alcohol, and foul-smelling foods. Xu Lingtai said: "When taking herbs for external Wind-Cold, administration must be as follows."
"Guizhi Tang" treats Taiyang Wind Strike, floating-slow pulse, headache, fever, sweating, aversion to wind. I believe this formula uses Baishao to enter Yin meridians and gather Yin Blood to regulate Ying; assists Guizhi to ascend via Foot-Taiyang to defend the exterior. Shengjiang, Dazao, and Zhigancao benefit the Spleen and Stomach to harmonize the Middle. Together, they harmonize Ying and Wei, release the muscle layer, support Zheng Qi to expel Evil.
(9) Gegen Tang (Kudzu Decoction) [Lantai Guidfan Shanghan Fang]: Treats Taiyang Disease with stiffness in neck/back, no sweat, aversion to wind. Also treats Taiyang-Yangming Combined Disease with spontaneous diarrhea. Gegen (Puerariae Lobatae Radix, 葛根) 4 liang, Mahuang 3 liang de-stemmed, Guizhi 2 liang de-barked, Baishao 2 liang sliced, Gancao 2 liang honey-fried, Shengjiang 3 liang sliced, Dazao 12 pieces split. Decoct the above six ingredients in 1 dou of water. First boil Mahuang and Gegen to reduce by 2 sheng, remove foam. Add other herbs, boil to obtain 3 sheng, remove dregs. Take 1 sheng warm. Cover to induce slight sweat. No need to drink porridge. Rest and taboos as with Guizhi Tang.
"Gegen Tang" treats Taiyang-Yangming Combined Disease with no sweat and aversion to wind. I believe its primary action rapidly opens the Foot-Taiyang skin/muscle blocked by Cold, addressing Wind-Cold entering the Foot-Yangming Stomach Meridian. Since Taiyang symptoms remain, Guizhi Tang herbs are used. Due to exterior excess with no sweat, Mahuang disperses Taiyang exterior pathogens. Due to involvement of Foot-Yangming, Gegen disperses Stomach Meridian exterior pathogens. All Foot-Yang meridians govern the exterior, but Foot-Taiyang is the outermost, while Foot-Yangming is inner relative to the exterior. The Classic states: "Taiyang is Opening, Yangming is Closing, Shaoyang is Pivot." Thus, Wind-Cold transmission through Six Meridians proceeds hierarchically from exterior to interior.
Comparing Mahuang, Guizhi, and Gegen Tangs in the Shanghan Lun, all address exterior pathogens. Their actions exert reverse movement functions via Yang meridians to expel exterior evils.
(10) Sini Tang (Four Counteraction Decoction) [Lantai Guidfan Shanghan Fang]: Treats deep pulse, body pain, mild nausea, diarrhea with undigested food, cold extremities, internal Cold with external Heat, faint pulse nearing extinction. Zhigancao 2 liang, Ganjiang 1.5 liang, Fuzi (Aconiti Lateralis Radix Praeparata, 附子) one piece raw, peeled, broken into eight slices. Decoct the above three ingredients in 3 sheng of water to obtain 1.2 sheng, remove dregs, divide into two warm doses. Strong individuals may use a large Fuzi and 3 liang Ganjiang. Xu Lingtai said: "Sini Tang should not be used lightly. If symptoms are incomplete, examine carefully. Only use if all symptoms are present."
"Sini Tang" treats deep pulse, body pain, nausea, diarrhea with undigested food, cold extremities, internal Cold/external Heat, faint pulse. I believe its primary action warms the Foot-Shaoyin Kidney and Foot-Taiyin Spleen, exerting positive movement functions. Three Yin meridians receive Qi from the Five Zang organs; Three Yang meridians receive Qi from the four extremities. The Five Zang are the source of life energy (Root), while the Six Fu organs are branches receiving energy from the Zang. Cold extremities, diarrhea with undigested food, deep/faint/slow pulses indicate the Mingmen Fire of the Foot-Shaoyin Kidney is about to extinguish. Urgently use "Sini Tang" to return Yang to the Lower Jiao and secure the root of life.
TCM rule: Treat Exterior first, then Interior. However, if seeing diarrhea with undigested food, cold extremities, faint pulse, life energy is failing. Even with exterior symptoms, urgently abandon Exterior to save Interior. When the Foot-Shaoyin Kidney recovers Yang and pulse strengthens, indicating sufficient Sheng Qi, then treat the Exterior.
(11) Zhenwu Tang (True Warrior Decoction) [Lantai Guidfan Shanghan Fang]: Treats Taiyang sweating without resolution, persistent fever, palpitations, dizziness, tremors, feeling of falling. Also treats Shaoyang days 4-5, difficult urination, heavy/painful limbs, spontaneous diarrhea, indicating Water Qi. Fuling, Baishao, Shengjiang each 3 liang sliced, Baizhu 2 liang, Fuzi one piece prepared, peeled, broken into eight slices. Decoct the above five ingredients in 8 sheng of water to obtain 3 sheng, remove dregs. Take 0.7 sheng warm, three times daily. If coughing, add Wuweizi half sheng, Xixin (Asari Radix et Rhizoma, 细辛), Ganjiang each 1 liang. If urination is free, remove Fuling etc. If diarrhea, remove Baishao, add Ganjiang 2 liang. If vomiting, remove Fuzi, add Shengjiang (total 0.5 jin). Xu Lingtai said: "This is the correct formula for treating Water Counterflow."