一用发汗药，先煎麻黄一二沸，后入余药同煎。
一用止汗药，先煎桂枝一二沸，后入余药同煎。
一用和解药，先煎柴胡一二沸，后入余药同煎。
一用下药，先煎滚水，入枳实一二沸，后入余药同煎。
一用温药，先煎干姜一二沸，后入余药同煎。
一用行血药，先煎桃仁一二沸，后入余药同煎。
一用利水药，先煎猪苓一二沸，后入余药同煎。
一用止泻药，先煎炒白术一二沸，后入余药同煎。
一用消渴药，先煎天花粉一二沸，后入余药同煎。
一用止痛药，先煎白芍药一二沸，后入余药同煎。
一用发黄药，先煎茵陈一二沸，后入余药同煎。
一用发斑药，先煎青黛一二沸，后入余药同煎。
一用发狂药，先煎石膏一二沸，后入余药同煎。
一用呕吐药，先煎半夏一二沸，后入余药同煎。
一用劳力感寒药，先煎黄 一二沸，后入余药同煎。
一用感冒伤寒药，先煎羌活一二沸，后入余药同煎。
一用暑证药，先煎香薷一二沸，后入余药同煎。
一用风病药，先煎防风一二沸，后入余药同煎。
一用腹如雷鸣药，先煎煨生姜一二沸，后入余药同煎。
一用湿证药，先煎苍术一二沸，后入余药同煎。
升麻发表汤（即麻黄汤，自有加减法。） 治冬月正伤寒，头痛发热，恶寒脊强，脉浮紧，
无汗，为表证。此足太阳膀胱经受邪，当发汗。以头如斧劈，身如火炽者，宜用此汤。
麻黄 桂枝 甘草 杏仁 升麻 川芎 防风 白芷 羌活
本经发热恶寒，头痛，无汗而喘者，本方加干葛，去升麻。本经发热恶寒，身
体痛者，本方加苍术、芍药，去杏仁。本经恶寒发热，身痒面赤者，以其不得小汗出故也，本方去
白芷、杏仁，加柴胡、芍药。本经头痛，发热恶寒，胸中饱闷者，本方加枳壳、桔梗。本经感寒深
重，服汤不作汗者，宜再服，至二三剂而汗不出者，死。本经汗后不解者，宜再服，量证轻重，用
麻黄、升麻，分多寡为当。
水二钟，姜三片，葱白二茎，槌法，加江西豆豉一撮煎之。热服，取汗如神，宜浓被覆首。凡
中病即止，不得多服，多则反加别病矣。
疏邪实表汤（即桂枝汤，自有加减法。） 治冬月正伤风，头痛发热，恶寒脊强，脉浮缓，
自汗，为表证。此足太阳膀胱经受邪，当实表散邪。无汗者，不可服。
桂枝 赤芍药 甘草 防风 川芎 羌活 白术
如汗不止，加黄 ；喘，加柴胡、杏仁；胸中饱闷，加枳壳、桔梗。
水二钟，姜三片，枣二枚，槌法，加胶饴二匙煎之。温服。
羌活冲和汤（以代桂枝、麻黄、青龙、各半等汤。此太阳经之神药也。） 治春、夏、秋非
时感冒暴寒，头痛发热，恶寒脊强，无汗，脉浮紧。此足太阳膀胱经受邪，是表证，宜发散，不与
冬时正伤寒同治法。此汤非独治三时暴寒，春可治温，夏可治热，秋可治湿，
治杂证亦有神也。秘之，不与庸俗知此奇妙耳。本方自有加减法，备开于后。
羌活（一钱半） 防风（一钱） 苍术（一钱半） 黄芩（一钱） 川芎（一钱） 白芷（一
钱） 甘草（一钱） 生地黄（二钱） 细辛（五分，不可多）
如胸中饱闷，加枳壳、桔梗，去生地黄。夏月，本方加石膏、知母，名神术汤。如服此汤后不
作汗，本方加苏叶。喘而恶寒身热，本方加杏仁、生地黄。汗后不解，宜再服。汗下兼行，加大黄，
釜底抽薪之法。其春、夏、秋感冒非时伤风，亦有头痛，恶寒身热，脉浮缓，自汗，宜实表，本方
去苍术，加白术。汗不止，加黄 ，即加减冲和汤。再不止，以小柴胡加桂枝、芍药一钱，如神。
水二钟，姜三片，枣二枚，煎至一钟，槌法，加葱白捣汁五匙，入药再煎一二沸。如发汗，用
热服；止汗，用温服。
柴葛解肌汤（即葛根汤，本汤自有加减法。） 治足阳明胃经受证，目疼鼻干，不眠，头
疼眼眶痛，脉来微洪。宜解肌，属阳明经病。其正阳明腑病，别有治法。
柴胡 干葛 甘草 黄芩 芍药 羌活 白芷 桔梗
本经无汗，恶寒甚者，去黄芩，加麻黄。冬月宜加，春宜少，夏秋去之，加苏
叶。本经有汗而渴者，治法开在如神白虎汤下。
水二钟，姜三片，枣二枚，槌法，加石膏末一钱，煎之热服。
柴胡双解饮（即小柴胡汤，本方自有加减法。） 治足少阳胆经受证，耳聋胁痛，寒热，呕
而口苦，脉来弦数。属半表半里，宜和解。此经胆无出入，有三禁，不可汗、下、吐也，只有小柴
胡一汤，随病加减，再无别汤。
柴胡 黄芩 半夏 甘草 人参 陈皮 芍药
本经证，小便不利者，加茯苓。本经呕者，入姜汁、竹茹。胁痛，加青皮。痰多，加栝蒌仁、
贝母。寒热似疟者，加桂枝。渴者，加天花粉、知母。齿燥无津液，加石膏。嗽者，加五味、金沸
草。坏证，加鳖甲。本经证，心下饱闷，未经下者，非结胸，乃表邪传至胸中，未入乎腑，证虽满闷，
尚为在表，只消小柴胡加枳、桔。未效，就以本方对小陷胸加枳、桔，一服豁然，其妙如神。秘之，
不与俗人言之耳。虚烦类伤寒证，本方加竹叶、炒粳米。本经与阳明合病，本方加葛根、芍药，如
拾芥。妇人热入血室，加当归、红花。男子热入血室，加生地黄。老妇人伤寒，无表证，其热胜者，
本方加大黄；甚者，加芒硝。
水二钟，姜一片，枣二枚，槌法，入生艾汁三匙，煎之温服。
桂枝大黄汤（即桂枝汤内加大黄，本方自有加减法。） 治足太阴脾经受证，腹满而痛，咽
干而渴，手足温，脉来沉而有力。此因邪热从阳经传入阴经也。
桂枝 赤芍药 甘草 大黄 枳实 柴胡
本经腹满，不恶寒而喘者，加大腹皮，去甘草。
水二钟，姜一片，枣二枚，煎之，临服槌法，入槟榔磨水二匙，热服。
加味理中饮（即理中汤，本方自有加减法。） 治足太阴脾经受证，自利不渴，手足温，
身无热，脉来沉而无力。此属脏寒。
干姜 白术 人参 甘草 肉桂 陈皮 茯苓
厥阴消渴，气上冲心，饥不欲食，食即吐蛔，腹痛，大便实者，本方加大黄、蜜少许利之。本
经腹濡满，时减者，根据本方去甘草。本经呕吐者，入半夏、姜汁。本经蜷卧沉重，利不止，少加附
子。利后身体痛者，急温之，加附子。自利腹痛者，入木香磨姜汁，调服和之。
水二钟，姜一片，枣二枚，煎之。临服槌法，入炒陈壁土一匙调服，取土气以
助胃气。
茵陈将军汤（即茵陈汤，本方自有加减法。） 治足太阴脾经，腹满，身目发黄，小水不
利，大便实，发渴，或头汗至颈而还，脉来沉重者，宜用。
大黄 茵陈 山栀 甘草 浓朴 黄芩 枳实
大便自调者，去大黄、浓朴，加大腹皮利小便，清为效。
水二钟，姜一片，槌法。加灯心一握，煎之热服。
导赤散（即五苓散，本方自有加减法。） 治小水不利，小腹满，或下焦蓄热，或引饮过
多，或小水短赤而渴，脉沉数者，以利小便为先。惟汗后亡津液，与阳明汗多者，则以利小便为戒。
茯苓 猪苓 泽泻 桂枝 白术 甘草 滑石 山栀
中湿身目黄者，加茵陈。水结胸证，加木通、灯心。如小水不利而见头汗出者，乃阳脱也。得
病起无热，但谵语，烦躁不安，精采不与人相当，此汤治之。
水二钟，姜一片，灯心二十茎，槌法。入盐二字调服。
六乙顺气汤（以代大承气、小承气、调胃承气、大柴胡、三乙承气汤、大陷胸等汤之神药
也，举世无人知此奇妙耳。秘
之，莫与俗人言。本方自有加减法备开。） 此汤治伤寒热邪传里，大便结实，口燥咽干，怕热谵语，
揭衣狂妄，扬手掷足，斑黄阳厥，潮热自汗，胸腹满硬，绕脐疼痛等证，悉皆治之，效不尽述。
大黄 枳实 黄芩 浓朴 甘草 柴胡 芒硝 芍药
潮热自汗，谵语发渴，扬手掷足，揭去衣被，狂妄斑黄，大便实者，俱属正阳明胃腑病，根据本
方。口燥咽干，大便实者，属少阴，根据本方。下利纯清，心下硬痛而渴者，属少阴，根据本方。怕热
发渴，谵妄，手足乍冷乍温，大便实者，阳厥证，属厥阴，根据本方。舌卷囊缩者，难治，须急下之。
谵语发渴，大便实，绕脐硬痛者，有燥屎，根据本方。热病目不明，谓神水已竭，不能照物，病已笃
矣，惟宜急下，根据本方。目中不了了，即目不明也。转屎气者，谓下泄也，有燥屎焉，当下之，根据
本方。如更衣者，止后服，不必尽剂。不更衣者，宜再少与。大便通者，愈。结胸证，心下硬痛，
手不可近，燥渴谵语，大便实者，根据本方去甘草，加甘遂、桔梗。
凡伤寒过经，及老弱并血气两虚之人，或妇人产后有下证，或有下后不解，或有表证尚未除而
里证又急，不得不下者，用此汤去芒硝下之，则吉。盖恐转药硝性燥急，故有此戒。大凡伤寒邪热
传里结实，须看热气浅深用药。今之庸医与俗医，不分当急下，可少与，宜微和胃气之论，一概用
大黄、芒硝，乱投汤剂下之，因兹枉死者，多矣。余谓伤寒之邪，传来非一，治之则殊耳。病有三
焦俱伤者，则痞、满、燥、实、坚全俱，宜大承气汤，浓朴苦温以去痞，枳实苦寒以泄满，芒硝咸寒
以润燥软坚，大黄苦寒以泄实去热，病斯愈矣。邪在中焦，则有燥、实、坚三证，故用调胃承气汤，
以甘草和中，芒硝润燥，大黄泄实，不用枳、朴，恐伤上焦虚无氤氲之元气，调胃之名自此然矣。
上焦受伤，则痞而实，用小承气汤，枳实、浓朴之能除痞，大黄之泄实，去芒硝，不伤下焦血分之
真阴，谓不伐其根本也。若夫大柴胡汤，则有表证尚未除而里证又急，不得不下者，只得以此汤通
表里而缓治之。犹有老弱及血气两虚之人，亦宜用此。故经云，转药孰紧？有芒硝者，紧也。大承
气最紧，小承气次之，调胃承气又次之，大柴胡又次之。其大柴胡加大黄，小柴胡加芒硝，方为转
药，盖为病轻者设也。仲景又云，荡涤
伤寒热积，皆用汤液，切禁丸药，不可不知也。
上，先将水二钟，滚三沸后入药，煎至八分，槌法，临时服入铁锈水三匙调服立效，取铁性沉
重之义，最能坠热开结，有神。此千金不传之秘，若非吾之子孙承继，焉肯泄露玄机，故戒耳。
如神白虎汤（即白虎汤，本方自有加减法。） 治身热，渴而有汗不解，或经汗过渴不解，
脉来微洪，宜用。
石膏 知母 甘草 人参 山栀 麦门冬 五味子
心烦者，加竹茹一团。如大渴心烦，背恶寒者，根据本方去山栀，加天花粉。无渴，不可服此药，
为大忌。
水二钟，枣一枚，姜一片，槌法，加淡竹叶十片，煎之热服。
三黄石膏汤 此汤治阳毒发斑，身黄如涂朱，眼珠如火，狂叫欲走，六脉洪大，燥渴欲死，
鼻干面赤，齿黄。过经不解，已成坏证，表里皆热，欲发其汗，病热不退，又复下之，大便遂频，
小便不利。亦有错治温证而成此证者，又八九日，已经汗下后脉洪数，身壮热，拘急沉重，欲治其
内，由表未解，欲发其表，则里证
又急，趑趄不能措手，待毙而已。殊不知热在三焦，闭塞经络，津液荣卫不通，遂成此证。又治汗
下后三焦生热，脉洪，谵语不休，昼夜喘息，鼻时加衄，身目俱黄，狂叫欲走者，通用此汤治之，
有神，人所不识。
石膏（一两半） 黄芩 黄连 黄柏（各七钱） 山栀（三十个） 麻黄（五分） 香豉（二
合）
水二钟，姜三片，枣一枚，槌法。入细茶一撮，煎之热服。
三黄巨胜汤 此汤治阳毒发斑。狂乱妄言，大渴叫喊，目赤，脉数，大便燥实不通，上气
喘急，舌卷囊缩难治者，权以此汤劫之，三黄石膏汤内去麻黄、豆豉，加大黄、芒硝是也。
水二钟，姜一片，枣二枚，煎之，槌法。临服入泥浆清水二匙，调服即安。
冲和灵宝饮 治两感伤寒。起于头痛，恶寒发热，口燥舌干，以阳先受病多者，以此汤探
之，中病即愈。
羌活 防风 川芎 生地黄 细辛 黄芩 柴胡 甘草 干葛 白芷 石膏
水二钟，煨生姜三片，枣二枚，槌法。入黑豆一撮，煎之温服，取微汗为愈。
如不愈，表证多而甚急者，方可用麻黄、葛根，为解表。如里证多而甚急者，先以调胃承气，
为攻里是也。
如以阴经自中病，发热下利，身疼痛，脉沉细无力，不渴，蜷卧昏重者，又当先救里，温之，
回阳救急汤。是分表里寒热而治，此其权变大法也欤。古云，两感虽为死证，犹有可救之理，及用
药先后，寒热之剂。若发表攻里一误，则枉死者，多矣。良可痛哉！深可惜哉！予将不传之妙，秘
验之方，尽吐露，非惟救人有功，亦且阴骘匪轻。谨之慎之，毋怠毋忽。
桃仁承气对子（即桃仁承气汤，本方自有加减法。） 治热邪传里，热蓄膀胱，其人如狂，
小水自利，大便黑，小腹满痛，身目黄，谵语燥渴，为蓄血证，脉沉有力，宜此汤，下尽黑物则愈。
未服前而血自下者，为欲愈，不宜服。
使用发汗药时，先煎煮麻黄一两次沸腾，然后加入其余药物共同煎煮。
使用止汗药时，先煎煮桂枝一两次沸腾，然后加入其余药物共同煎煮。
使用和解药时，先煎煮柴胡一两次沸腾，然后加入其余药物共同煎煮。
使用泻下药时，先煮沸水，放入枳实煎煮一两次沸腾，然后加入其余药物共同煎煮。
使用温里药时，先煎煮干姜一两次沸腾，然后加入其余药物共同煎煮。
使用活血药时，先煎煮桃仁一两次沸腾，然后加入其余药物共同煎煮。
使用利水药时，先煎煮猪苓一两次沸腾，然后加入其余药物共同煎煮。
使用止泻药时，先煎煮炒白术一两次沸腾，然后加入其余药物共同煎煮。
使用治疗消渴病的药时，先煎煮天花粉一两次沸腾，然后加入其余药物共同煎煮。
使用止痛药时，先煎煮白芍药一两次沸腾，然后加入其余药物共同煎煮。
使用治疗发黄证的药时，先煎煮茵陈一两次沸腾，然后加入其余药物共同煎煮。
使用治疗发斑证的药时，先煎煮青黛一两次沸腾，然后加入其余药物共同煎煮。
使用治疗发狂证的药时，先煎煮石膏一两次沸腾，然后加入其余药物共同煎煮。
使用治疗呕吐的药时，先煎煮半夏一两次沸腾，然后加入其余药物共同煎煮。
使用治疗劳力感寒证的药时，先煎煮黄芪一两次沸腾，然后加入其余药物共同煎煮。
使用治疗感冒伤寒的药时，先煎煮羌活一两次沸腾，然后加入其余药物共同煎煮。
使用治疗暑证药的药时，先煎煮香薷一两次沸腾，然后加入其余药物共同煎煮。
使用治疗风病药的药时，先煎煮防风一两次沸腾，然后加入其余药物共同煎煮。
使用治疗腹中雷鸣样声响药的药时，先煎煮煨生姜一两次沸腾，然后加入其余药物共同煎煮。
使用治疗湿证药的药时，先煎煮苍术一两次沸腾，然后加入其余药物共同煎煮。
升麻发表汤（即麻黄汤，自有加减法。） 治疗冬季正伤寒，头痛发热，恶寒脊背强直，脉浮紧，无汗，属于表证。这是足太阳膀胱经受邪，应当发汗。如果头如斧劈痛，身如火炽热者，适宜用此汤。
麻黄 桂枝 甘草 杏仁 升麻 川芎 防风 白芷 羌活
如果是本经发热恶寒，头痛，无汗而喘的，本方加干葛，去升麻。本经发热恶寒，身体痛的，本方加苍术、芍药，去杏仁。本经恶寒发热，身痒面赤的，是因为不能小汗出，本方去白芷、杏仁，加柴胡、芍药。本经头痛，发热恶寒，胸中饱闷的，本方加枳壳、桔梗。本经感寒深重，服汤后不作汗的，宜再服，至二三剂仍不出汗的，预后不良（死）。本经汗后病不解的，宜再服，根据证候轻重，调整麻黄、升麻的用量多少为宜。
用水二钟，姜三片，葱白二茎，按槌法，加江西豆豉一撮煎煮。热服，取汗效果如神，宜用厚被覆盖头部。凡中病即止，不得多服，多服则反而增加其他疾病。
疏邪实表汤（即桂枝汤，自有加减法。） 治疗冬季正伤风，头痛发热，恶寒脊背强直，脉浮缓，自汗，属于表证。这是足太阳膀胱经受邪，应当实表散邪。无汗者，不可服用。
桂枝 赤芍药 甘草 防风 川芎 羌活 白术
如果汗不止，加黄芪；喘，加柴胡、杏仁；胸中饱闷，加枳壳、桔梗。
用水二钟，姜三片，枣二枚，按槌法，加胶饴二匙煎煮。温服。
羌活冲和汤（以代替桂枝、麻黄、青龙、各半等汤。这是太阳经的神药。） 治疗春、夏、秋非时感冒暴寒，头痛发热，恶寒脊背强直，无汗，脉浮紧。这是足太阳膀胱经受邪，是表证，宜发散，不与冬季正伤寒同治法。此汤不仅治疗三时暴寒，春可治温，夏可治热，秋可治湿，治疗杂证也有神效。秘而不宣，是不让庸俗之人知道此奇妙之处。本方自有加减法，备列于后。
羌活（一钱半） 防风（一钱） 苍术（一钱半） 黄芩（一钱） 川芎（一钱） 白芷（一钱） 甘草（一钱） 生地黄（二钱） 细辛（五分，不可多）
如果胸中饱闷，加枳壳、桔梗，去生地黄。夏月，本方加石膏、知母，名神术汤。如果服此汤后不作汗，本方加苏叶。喘而恶寒身热，本方加杏仁、生地黄。汗后病不解，宜再服。汗下兼行，加大黄，这是釜底抽薪之法。其春、夏、秋感冒非时伤风，也有头痛，恶寒身热，脉浮缓，自汗，宜实表，本方去苍术，加白术。汗不止，加黄芪，即加减冲和汤。再不止，用小柴胡加桂枝、芍药一钱，效果如神。
用水二钟，姜三片，枣二枚，煎至一钟，按槌法，加葱白捣汁五匙，入药再煎一二沸。如果要发汗，用热服；如果要止汗，用温服。
柴葛解肌汤（即葛根汤，本汤自有加减法。） 治疗足阳明胃经受证，目疼鼻干，不眠，头疼眼眶痛，脉来微洪。宜解肌，属阳明经病。其正阳明腑病，别有治法。
柴胡 干葛 甘草 黄芩 芍药 羌活 白芷 桔梗
本经无汗，恶寒甚重的，去黄芩，加麻黄。冬月宜加，春宜少，夏秋去之，加苏叶。本经有汗而渴的，治法开在如神白虎汤下。
用水二钟，姜三片，枣二枚，按槌法，加石膏末一钱，煎之热服。
柴胡双解饮（即小柴胡汤，本方自有加减法。） 治疗足少阳胆经受证，耳聋胁痛，寒热，呕而口苦，脉来弦数。属半表半里，宜和解。此经胆无出入，有三禁，不可汗、下、吐也，只有小柴胡一汤，随病加减，再无别汤。
柴胡 黄芩 半夏 甘草 人参 陈皮 芍药
本经证，小便不利的，加茯苓。本经呕的，入姜汁、竹茹。胁痛，加青皮。痰多的，加栝蒌仁、贝母。寒热似疟的，加桂枝。渴的，加天花粉、知母。齿燥无津液的，加石膏。嗽的，加五味子、金沸草。坏证的，加鳖甲。本经证，心下饱闷，未经攻下的，不是结胸，乃是表邪传至胸中，未入乎腑，证虽满闷，尚为在表，只消小柴胡加枳壳、桔梗。未效，就以本方对小陷胸加枳壳、桔梗，一服豁然开朗，其妙如神。秘而不宣，是不与俗人言之。虚烦类伤寒证，本方加竹叶、炒粳米。本经与阳明合病，本方加葛根、芍药，易如反掌。妇人热入血室，加当归、红花。男子热入血室，加生地黄。老妇人伤寒，无表证，其热胜的，本方加大黄；甚重的，加芒硝。
用水二钟，姜一片，枣二枚，按槌法，入生艾汁三匙，煎之温服。
桂枝大黄汤（即桂枝汤内加大黄，本方自有加减法。） 治疗足太阴脾经受证，腹满而痛，咽干而渴，手足温，脉来沉而有力。这是因为邪热从阳经传入阴经。
桂枝 赤芍药 甘草 大黄 枳实 柴胡
本经腹满，不恶寒而喘的，加大腹皮，去甘草。
用水二钟，姜一片，枣二枚，煎之，临服按槌法，入槟榔磨水二匙，热服。
加味理中饮（即理中汤，本方自有加减法。） 治疗足太阴脾经受证，自利不渴，手足温，身无热，脉来沉而无力。这属于脏寒。
干姜 白术 人参 甘草 肉桂 陈皮 茯苓
厥阴消渴，气上冲心，饥不欲食，食即吐蛔，腹痛，大便实的，本方加大黄、蜜少许利之。本经腹濡满，时减的，根据本方去甘草。本经呕吐的，入半夏、姜汁。本经蜷卧沉重，利不止的，少加附子。利后身体痛的，急温之，加附子。自利腹痛的，入木香磨姜汁，调服和之。
用水二钟，姜一片，枣二枚，煎之。临服按槌法，入炒陈壁土一匙调服，取土气以助胃气。
茵陈将军汤（即茵陈汤，本方自有加减法。） 治疗足太阴脾经，腹满，身目发黄，小水不利，大便实，发渴，或头汗至颈而还，脉来沉重的，宜用。
大黄 茵陈 山栀 甘草 浓朴 黄芩 枳实
大便自调的，去大黄、浓朴，加大腹皮利小便，清利为效。
用水二钟，姜一片，按槌法。加灯心一握，煎之热服。
导赤散（即五苓散，本方自有加减法。） 治疗小水不利，小腹满，或下焦蓄热，或引饮过多，或小水短赤而渴，脉沉数的，以利小便为先。惟汗后亡津液，与阳明汗多的，则以利小便为戒。
茯苓 猪苓 泽泻 桂枝 白术 甘草 滑石 山栀
中湿身目黄的，加茵陈。水结胸证，加木通、灯心。如果小水不利而见头汗出的，乃阳脱也。得病起无热，但谵语，烦躁不安，精采不与人相当，此汤治之。
用水二钟，姜一片，灯心二十茎，按槌法。入盐二字调服。
六乙顺气汤（以代替大承气、小承气、调胃承气、大柴胡、三乙承气汤、大陷胸等汤的神药也，举世无人知此奇妙耳。秘而不宣，莫与俗人言。本方自有加减法备开。） 此汤治疗伤寒热邪传里，大便结实，口燥咽干，怕热谵语，揭衣狂妄，扬手掷足，斑黄阳厥，潮热自汗，胸腹满硬，绕脐疼痛等证，悉皆治之，效不尽述。
大黄 枳实 黄芩 浓朴 甘草 柴胡 芒硝 芍药
潮热自汗，谵语发渴，扬手掷足，揭去衣被，狂妄斑黄，大便实的，俱属正阳明胃腑病，根据本方。口燥咽干，大便实的，属少阴，根据本方。下利纯清，心下硬痛而渴的，属少阴，根据本方。怕热发渴，谵妄，手足乍冷乍温，大便实的，阳厥证，属厥阴，根据本方。舌卷囊缩的，难治，须急下之。谵语发渴，大便实，绕脐硬痛的，有燥屎，根据本方。热病目不明，谓神水已竭，不能照物，病已笃矣，惟宜急下，根据本方。目中不了了，即目不明也。转屎气的，谓下泄也，有燥屎焉，当下之，根据本方。如更衣的，止后服，不必尽剂。不更衣的，宜再少与。大便通的，愈。结胸证，心下硬痛，手不可近，燥渴谵语，大便实的，根据本方去甘草，加甘遂、桔梗。
凡伤寒过经，及老弱并血气两虚之人，或妇人产后有下证，或有下后不解，或有表证尚未除而里证又急，不得不下者的，用此汤去芒硝下之，则吉。盖恐转药硝性燥急，故有此戒。大凡伤寒邪热传里结实，须看热气浅深用药。今之庸医与俗医，不分当急下，可少与，宜微和胃气之论，一概用大黄、芒硝，乱投汤剂下之，因兹枉死者，多矣。余谓伤寒之邪，传来非一，治之则殊耳。病有三焦俱伤的，则痞、满、燥、实、坚全俱，宜大承气汤，浓朴苦温以去痞，枳实苦寒以泄满，芒硝咸寒以润燥软坚，大黄苦寒以泄实去热，病斯愈矣。邪在中焦，则有燥、实、坚三证，故用调胃承气汤，以甘草和中，芒硝润燥，大黄泄实，不用枳、朴，恐伤上焦虚无氤氲之元气，调胃之名自此然矣。上焦受伤，则痞而实，用小承气汤，枳实、浓朴之能除痞，大黄之泄实，去芒硝，不伤下焦血分之真阴，谓不伐其根本也。若夫大柴胡汤，则有表证尚未除而里证又急，不得不下者的，只得以此汤通表里而缓治之。犹有老弱及血气两虚之人，亦宜用此。故经云，转药孰紧？有芒硝者，紧也。大承气最紧，小承气次之，调胃承气又次之，大柴胡又次之。其大柴胡加大黄，小柴胡加芒硝，方为转药，盖为病轻者设也。仲景又云，荡涤伤寒热积，皆用汤液，切禁丸药，不可不知也。
上，先将水二钟，滚三沸后入药，煎至八分，按槌法，临时服入铁锈水三匙调服立效，取铁性沉重之义，最能坠热开结，有神。此千金不传之秘，若非吾之子孙承继，焉肯泄露玄机，故戒耳。
如神白虎汤（即白虎汤，本方自有加减法。） 治疗身热，渴而有汗不解，或经汗过渴不解，脉来微洪，宜用。
石膏 知母 甘草 人参 山栀 麦门冬 五味子
心烦的，加竹茹一团。如大渴心烦，背恶寒的，根据本方去山栀，加天花粉。无渴的，不可服此药，为大忌。
用水二钟，枣一枚，姜一片，按槌法，加淡竹叶十片，煎之热服。
三黄石膏汤 此汤治疗阳毒发斑，身黄如涂朱，眼珠如火，狂叫欲走，六脉洪大，燥渴欲死，鼻干面赤，齿黄。过经不解，已成坏证，表里皆热，欲发其汗，病热不退，又复下之，大便遂频，小便不利。亦有错治温证而成此证的，又八九日，已经汗下后脉洪数，身壮热，拘急沉重，欲治其内，由表未解，欲发其表，则里证又急，趑趄不能措手，待毙而已。殊不知热在三焦，闭塞经络，津液荣卫不通，遂成此证。又治汗下后三焦生热，脉洪，谵语不休，昼夜喘息，鼻时加衄，身目俱黄，狂叫欲走的，通用此汤治之，有神，人所不识。
石膏（一两半） 黄芩 黄连 黄柏（各七钱） 山栀（三十个） 麻黄（五分） 香豉（二合）
用水二钟，姜三片，枣一枚，按槌法。入细茶一撮，煎之热服。
三黄巨胜汤 此汤治疗阳毒发斑。狂乱妄言，大渴叫喊，目赤，脉数，大便燥实不通，上气喘急，舌卷囊缩难治的，权以此汤劫之，三黄石膏汤内去麻黄、豆豉，加大黄、芒硝是也。
用水二钟，姜一片，枣二枚，煎之，按槌法。临服入泥浆清水二匙，调服即安。
冲和灵宝饮 治疗两感伤寒。起于头痛，恶寒发热，口燥舌干，以阳先受病多者的，以此汤探之，中病即愈。
羌活 防风 川芎 生地黄 细辛 黄芩 柴胡 甘草 干葛 白芷 石膏
用水二钟，煨生姜三片，枣二枚，按槌法。入黑豆一撮，煎之温服，取微汗为愈。
如果不愈，表证多而甚急的，方可用麻黄、葛根，为解表。如果里证多而甚急的，先以调胃承气，为攻里是也。
如果以阴经自中病，发热下利，身疼痛，脉沉细无力，不渴，蜷卧昏重的，又当先救里，温之，回阳救急汤。是分表里寒热而治，此其权变大法也欤。古云，两感虽为死证，犹有可救之理，及用药先后，寒热之剂。若发表攻里一误，则枉死者，多矣。良可痛哉！深可惜哉！予将不传之妙，秘验之方，尽吐露，非惟救人有功，亦且阴骘匪轻。谨之慎之，毋怠毋忽。
桃仁承气对子（即桃仁承气汤，本方自有加减法。） 治疗热邪传里，热蓄膀胱，其人如狂，小水自利，大便黑，小腹满痛，身目黄，谵语燥渴，为蓄血证，脉沉有力，宜此汤，下尽黑物则愈。
未服前而血自下的，为欲愈，不宜服。
[Decoction Method]
When using diaphoretic herbs (herbs that induce sweating), first boil Mahuang (Ephedrae Herba) for one or two boils, then add the remaining herbs and decoct together.
When using antidiaphoretic herbs (herbs that stop sweating), first boil Guizhi (Cinnamomi Ramulus) for one or two boils, then add the remaining herbs and decoct together.
When using harmonizing herbs (herbs that harmonize the interior and exterior), first boil Chaihu (Bupleuri Radix) for one or two boils, then add the remaining herbs and decoct together.
When using purgative herbs (herbs that purge accumulation), first boil water until rolling, add Zhishi (Aurantii Fructus Immaturus) for one or two boils, then add the remaining herbs and decoct together.
When using warming herbs (herbs that warm the interior), first boil Ganjiang (Zingiberis Rhizoma) for one or two boils, then add the remaining herbs and decoct together.
When using blood-invigorating herbs (herbs that promote blood circulation), first boil Taoren (Persicae Semen) for one or two boils, then add the remaining herbs and decoct together.
When using diuretic herbs (herbs that promote urination), first boil Zhuling (Polyporus) for one or two boils, then add the remaining herbs and decoct together.
When using antidiarrheal herbs, first boil Chao Baizhu (Fried Atractylodis Macrocephalae Rhizoma) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Xiao Ke (wasting-thirst syndrome), first boil Tianhuafen (Trichosanthis Radix) for one or two boils, then add the remaining herbs and decoct together.
When using analgesic herbs, first boil Baishao (Paeoniae Radix Alba) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Jaundice (yellowing of skin and eyes), first boil Yinchen (Artemisiae Scopariae Herba) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Macules (skin eruptions), first boil Qingdai (Indigo Naturalis) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Mania (madness), first boil Shigao (Gypsum Fibrosum) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Vomiting, first boil Banxia (Pinelliae Rhizoma) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Cold contracted due to labor, first boil Huangqi (Astragali Radix) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Common Cold and Shang Han (Cold Damage), first boil Qianghuo (Notopterygii Rhizoma et Radix) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Summerheat Syndrome, first boil Xiangru (Elsholtziae Herba) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Wind Disease, first boil Fangfeng (Saposhnikoviae Radix) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Borborygmus (rumbling in the abdomen), first boil Wei Shengjiang (Roasted Fresh Ginger) for one or two boils, then add the remaining herbs and decoct together.
When using herbs for treating Dampness Syndrome, first boil Cangzhu (Atractylodis Rhizoma) for one or two boils, then add the remaining herbs and decoct together.
Shengma Fabiao Tang (Cimicifugae Exterior-Dispersing Decoction) (i.e., Mahuang Tang, with its own modifications.) Treats Zheng Shang Han (typical Cold Damage) contracted in winter, presenting with headache, fever, aversion to cold, stiffness of the spine, floating-tight pulse, and anhidrosis (absence of sweating), indicating a Exterior Syndrome. This is pathogenic invasion of the Foot-Taiyang Bladder Meridian; diaphoresis should be induced. It is suitable for patients whose head feels as if split by an axe and body feels as if burning with fire.
Herbs: Mahuang (Ephedrae Herba), Guizhi (Cinnamoli Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum), Shengma (Cimicifugae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix).
For this meridian's pathology, if there is fever, aversion to cold, headache, anhidrosis, and wheezing, add Gegen (Puerariae Lobatae Radix) and remove Shengma. If there is fever, aversion to cold, and body pain, add Cangzhu (Atractylodis Rhizoma) and Shaoyao (Paeoniae Radix), and remove Xingren. If there is aversion to cold, fever, itchy skin, and flushed face, it is because slight sweating has not occurred; remove Baizhi and Xingren, and add Chaihu (Bupleuri Radix) and Shaoyao. If there is headache, fever, aversion to cold, and chest fullness/stuffiness, add Zhike (Aurantii Fructus) and Jiegeng (Platycodonis Radix). If the cold pathogen is deep and severe, and no sweat occurs after taking the decoction, administer again. If no sweat occurs after two or three doses, the prognosis is poor (death). If the disease persists after sweating, administer again, adjusting the proportions of Mahuang and Shengma according to the severity of the condition.
Decoction method: Use two zhong of water, three slices of ginger, and two stalks of scallion white. Apply the "chui" method (crushing/grinding). Add a pinch of Jiangxi Douchi (Fermented Soybean) and decoct. Take hot to induce sweating, which is highly effective. Cover the head with a thick blanket after ingestion. Stop when the disease is cured; do not overdose, as excessive use may cause other ailments.
Shuxie Shibiao Tang (Pathogen-Expelling and Surface-Strengthening Decoction) (i.e., Guizhi Tang, with its own modifications.) Treats Zheng Shang Feng (typical wind strike) contracted in winter, presenting with headache, fever, aversion to cold, stiffness of the spine, floating-slow pulse, and spontaneous sweating, indicating an Exterior Syndrome. This is pathogenic invasion of the Foot-Taiyang Bladder Meridian; the surface should be strengthened to scatter pathogens. It is contraindicated for those without sweat.
Herbs: Guizhi (Cinnamoli Ramulus), Chishaoyao (Red Paeonia Root), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baizhu (Atractylodis Macrocephalae Rhizoma).
If sweating does not stop, add Huangqi (Astragali Radix); if wheezing, add Chaihu and Xingren; if chest fullness/stuffiness, add Zhike and Jiegeng.
Decoction method: Use two zhong of water, three slices of ginger, and two jujubes. Apply the "chui" method. Add two spoonfuls of Jiaoyi (Maltose) and decoct. Take warm.
Qianghuo Chonghe Tang (Notopterygi Harmonizing Decoction) (Used to replace Guizhi Tang, Mahuang Tang, Da Qinglong Tang, Xiao Qinglong Tang, Guizhi Mahuang Ge Ban Tang, etc. This is a divine medicine for the Taiyang Meridian.) Treats sudden cold contraction during spring, summer, or autumn out of season, presenting with headache, fever, aversion to cold, stiffness of the spine, anhidrosis, and floating-tight pulse. This is pathogenic invasion of the Foot-Taiyang Bladder Meridian, an Exterior Syndrome, requiring dispersal. The treatment differs from typical Winter Shang Han. This decoction treats not only sudden cold in these seasons but also Warm diseases in spring, Heat diseases in summer, and Damp diseases in autumn, and is effective for miscellaneous conditions. It is kept secret to prevent vulgar people from knowing its wonders. Modifications are listed below.
Herbs: Qianghuo (1.5 qian), Fangfeng (1 qian), Cangzhu (1.5 qian), Huangqin (Scutellariae Radix) (1 qian), Chuanxiong (1 qian), Baizhi (1 qian), Gancao (1 qian), Shengdihuang (Rehmanniae Radix) (2 qian), Xixin (Asari Radix et Rhizoma) (0.5 qian, do not exceed).
If chest fullness/stuffiness, add Zhike and Jiegeng, remove Shengdihuang. In summer, add Shigao and Zhimu (Anemarrhenae Rhizoma) to this formula, named Shenzhu Tang. If no sweat occurs after taking this decoction, add Suye (Perillae Folium). If wheezing with aversion to cold and fever, add Xingren and Shengdihuang. If the disease persists after sweating, take again. For simultaneous sweating and purging, add Dahuang (Rhei Radix et Rhizoma), a method akin to removing firewood from under the cauldron. For non-seasonal wind strike in spring, summer, or autumn, if there is headache, aversion to cold, fever, floating-slow pulse, and spontaneous sweating, strengthen the surface: remove Cangzhu and add Baizhu. If sweating does not stop, add Huangqi, i.e., Modified Chonghe Tang. If still not stopping, use Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Guizhi and Shaoyao (1 qian each), effect like magic.
Decoction method: Use two zhong of water, three slices of ginger, and two jujubes. Decoct to one zhong. Apply the "chui" method. Add five spoonfuls of juice crushed from scallion white, return to the decoction and boil for one or two boils. For inducing sweat, take hot; for stopping sweat, take warm.
Chaige Jiexi Tang (Bupleurum and Kudzu Muscle-Releasing Decoction) (i.e., Gegen Tang, with its own modifications.) Treats Foot-Yangming Stomach Meridian pathology, presenting with eye pain, dry nose, insomnia, headache, orbital pain, and slightly flooding pulse. Muscle-releasing is indicated; this belongs to Yangming Meridian disease. Positive Yangming Fu organ disease has separate treatments.
Herbs: Chaihu (Bupleuri Radix), Gan Ge (Kudzu Root), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix).
If anhidrosis and severe aversion to cold in this meridian, remove Huangqin and add Mahuang. Suitable for winter, reduce for spring, remove for summer/autumn, add Suye. If sweating and thirst in this meridian, see treatment under Rushen Baihu Tang.
Decoction method: Use two zhong of water, three slices of ginger, and two jujubes. Apply the "chui" method. Add one qian of Shigao powder, decoct, and take hot.
Chaihu Shuangjie Yin (Bupleurum Dual-Solving Drink) (i.e., Xiao Chaihu Tang, with its own modifications.) Treats Foot-Shaoyang Gallbladder Meridian pathology, presenting with deafness, hypochondriac pain, alternating chills and fever, vomiting with bitter taste, and wiry-rapid pulse. This belongs to Half-Exterior Half-Interior; harmonization is indicated. This meridian (Gallbladder) has no entry/exit dynamics, has three prohibitions (no sweating, purging, or vomiting), and only Xiao Chaihu Tang is used, modified according to the disease, with no other decoctions.
Herbs: Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Shaoyao (Paeoniae Radix).
If difficulty in urination in this meridian, add Fuling (Poria). If vomiting in this meridian, add Jiangzhi (Ginger Juice) and Zhuru (Bambusae Caulis in Taenia). If hypochondriac pain, add Qingpi (Tangerine Peel). If much phlegm, add Gualouren (Trichosanthis Semen) and Beimu (Fritillariae Bulbus). If chills and fever resembling malaria, add Guizhi. If thirsty, add Tianhuafen and Zhimu. If teeth are dry with no saliva, add Shigao. If coughing, add Wuweizi (Schisandrae Fructus) and Feicao (Boehmeriae Folium - *Note: Text says Jinfeicao, likely Fuzhuchen/Jinfeicao*). If complicated syndrome, add Biejia (Testudinis Carapax et Plastrum). If subcostal fullness/stuffiness in this meridian without prior purging, it is not Jie Xiong (Chest Binding), but exterior pathogen transmitted to the chest, not yet entering the Fu organs. Though full/stuffy, it remains in the exterior; simply use Xiao Chaihu Tang plus Zhike and Jiegeng. If ineffective, use this formula combined with Xiao Xian Xiong Tang plus Zhike and Jiegeng; one dose brings relief, miraculous. Secret, not told to vulgar people. For deficiency irritability resembling Shang Han, add Zhuye (Phyllostachys Folium) and Chao Jingmi (Fried Rice). When this meridian combines with Yangming, add Gegen and Shaoyao, easy as picking up grass. For women with heat entering the Blood Chamber, add Danggui (Angelicae Sinensis Radix) and Honghua (Carthami Flos). For men with heat entering the Blood Chamber, add Shengdihuang. For elderly women with Shang Han, no exterior syndrome, heat prevailing, add Dahuang; if severe, add Mangxiao (Natrii Sulfas).
Decoction method: Use two zhong of water, one slice of ginger, and two jujubes. Apply the "chui" method. Add three spoonfuls of fresh Aiye juice (Mugwort Leaf Juice), decoct, and take warm.
Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) (i.e., Guizhi Tang plus Dahuang, with its own modifications.) Treats Foot-Taiyin Spleen Meridian pathology, presenting with abdominal fullness and pain, dry throat with thirst, warm hands and feet, and sinking-forceful pulse. This is due to pathogenic heat transmitting from Yang meridians to Yin meridians.
Herbs: Guizhi (Cinnamoli Ramulus), Chishaoyao (Red Paeonia Root), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix).
If abdominal fullness without aversion to cold but with wheezing in this meridian, add Dafupi (Arecae Pericarpium) and remove Gancao.
Decoction method: Use two zhong of water, one slice of ginger, and two jujubes. Decoct. Before taking, apply the "chui" method, add two spoonfuls of Binglang (Betel Nut) infused water, and take hot.
Jiawei Lizhong Yin (Modified Regulate the Middle Drink) (i.e., Lizhong Tang, with its own modifications.) Treats Foot-Taiyin Spleen Meridian pathology, presenting with spontaneous diarrhea without thirst, warm hands and feet, no body heat, and sinking-weak pulse. This belongs to Zang Cold.
Herbs: Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Rougui (Cinnamomi Cortex), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria).
For Jueyin wasting-thirst, Qi rushing up to the heart, hunger without desire to eat, vomiting worms immediately after eating, abdominal pain, and solid stool, add Dahuang and a little honey to relieve. If soft fullness in the abdomen that occasionally relieves in this meridian, follow this formula and remove Gancao. If vomiting in this meridian, add Banxia and Jiangzhi. If curling up, heavy, and unceasing diarrhea, add a little Fuzi (Aconiti Lateralis Radix Praeparata). If body pain after diarrhea, urgently warm with Fuzi. If spontaneous diarrhea with abdominal pain, add Muxiang (Aucklandiae Radix) ground with ginger juice, mix and take to harmonize.
Decoction method: Use two zhong of water, one slice of ginger, and two jujubes. Decoct. Before taking, apply the "chui" method, add one spoonful of Chao Chen Bitu (Fired Old Wall Earth) mixed in, to borrow earth qi to assist stomach qi.
Yinchen Jiangjun Tang (Artemisia General Decoction) (i.e., Yinchentang, with its own modifications.) Treats Foot-Taiyin Spleen Meridian pathology, presenting with abdominal fullness, yellowing of body and eyes, difficulty in urination, solid stool, thirst, or sweating only on the head down to the neck, and heavy pulse.
Herbs: Dahuang (Rhei Radix et Rhizoma), Yinchen (Artemisiae Scopariae Herba), Shanzhi (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Nongpu (Magnoliae Officinalis Cortex), Huangqin (Scutellariae Radix), Zhishi (Aurantii Fructus Immaturus).
If stool is normal, remove Dahuang and Nongpu, add Dafupi to promote urination, clearing heat is effective.
Decoction method: Use two zhong of water, one slice of ginger. Apply the "chui" method. Add a handful of Dengxin (Junci Medulla), decoct, and take hot.
Dao Chi San (Guide Out Redness Powder) (Note: Text describes Wuling San + Huashi/Shanzhi, with its own modifications.) Treats difficulty in urination, lower abdominal fullness, or lower Jiao heat accumulation, or excessive drinking leading to short red urine with thirst, and sinking-rapid pulse. Promoting urination is primary. However, for those who lost fluids after sweating, or Yangming patients with excessive sweating, promoting urination is contraindicated.
Herbs: Fuling (Poria), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Guizhi (Cinnamoli Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Huashi (Talcum), Shanzhi (Gardeniae Fructus).
If dampness causes yellowing of body and eyes, add Yinchen. If Shui Jie Xiong (Water Binding in Chest) syndrome, add Mutong (Akebiae Caulis) and Dengxin. If difficulty in urination with head sweating, this is Yang collapse. If onset without fever but with delirium, restlessness, and spirit lacking vitality, this decoction treats it.
Decoction method: Use two zhong of water, one slice of ginger, twenty stems of Dengxin. Apply the "chui" method. Mix with two characters weight of salt before taking.
Liuyi Shunqi Tang (Six-Yi Qi-Smooth Decoction) (A divine medicine replacing Dachengqi Tang, Xiaochengqi Tang, Tiaoweichengqi Tang, Daxiehu Tang, Sanyichengqi Tang, Daxianxiong Tang, etc., unknown to the world. Kept secret, not told to vulgar people. Modifications listed.) This decoction treats Shang Han where heat pathogen transmits inward, resulting in solid stool, dry mouth/throat, fear of heat, delirium, throwing off clothes, maniacal behavior, macules/yellowing, Yang reversal, tidal fever, spontaneous sweating, chest/abdominal fullness/hardness, periumbilical pain, etc. All are treated, effects not fully described.
Herbs: Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Huangqin (Scutellariae Radix), Nongpu (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chaihu (Bupleuri Radix), Mangxiao (Natrii Sulfas), Shaoyao (Paeoniae Radix).
Tidal fever, spontaneous sweating, delirium with thirst, throwing limbs, throwing off clothes, maniacal macules/yellowing, solid stool: all belong to positive Yangming Stomach Fu disease, follow this formula. Dry mouth/throat, solid stool: belongs to Shaoyin, follow this formula. Diarrhea of pure clear water, hard/painful epigastrium with thirst: belongs to Shaoyin, follow this formula. Fear of heat, thirst, delirium, alternating cold/warm hands/feet, solid stool: Yang Reversal syndrome, belongs to Jueyin, follow this formula. Tongue curling and testicular retraction: difficult to treat, must purge urgently. Delirium with thirst, solid stool, periumbilical hard/painful: dry feces present, purge following this formula. Heat disease with unclear vision (divine water exhausted, cannot see objects): disease is critical, must purge urgently, follow this formula. "Muming liao liao" means unclear vision. "Zhuan shiqi" means defecation with dry feces, must purge following this formula. If bowel movement occurs, stop subsequent doses, do not finish the decoction. If no bowel movement, give small amounts again. If stool passes, cure. If Jie Xiong syndrome, hard/painful epigastrium, touch unbearable, dry/thirsty/delirious, solid stool: follow this formula, remove Gancao, add Gansui (Kansui Radix) and Jiegeng.
For Shang Han passing through meridians, old/weak, Qi/Blood deficient, postpartum women with purgative indications, or unresolved after purging, or exterior unresolved with urgent interior needing purging, use this decoction minus Mangxiao to purge, auspicious. Fear is that Mangxiao's nature is drying and urgent, hence this warning. Generally, for Shang Han heat transmitting inward and solidifying, observe depth of heat to prescribe. Modern mediocre doctors indiscriminately use Dahuang and Mangxiao without distinguishing urgent purging, small dosage, or mild stomach harmonizing, causing many wrongful deaths. I say Shang Han pathogens transmit differently, so treatments differ. If all three Jiaos are injured, Pi (stagnation), Man (fullness), Zao (dryness), Shi (solidity), Jian (hardness) all exist, use Dachengqi Tang: Nongpu (bitter-warm) removes stagnation, Zhishi (bitter-cold) drains fullness, Mangxiao (salty-cold) moistens dryness and softens hardness, Dahuang (bitter-cold) drains solidity and clears heat, then cure. Pathogen in Middle Jiao presents Zao, Shi, Jian, thus use Tiaoweichengqi Tang: Gancao harmonizes middle, Mangxiao moistens dryness, Dahuang drains solidity, no Zhishi/Nongpu to avoid injuring Upper Jiao primordial Qi, hence "Stomach-Harmonizing". Upper Jiao injury presents Pi and Shi, use Xiaochengqi Tang: Zhishi/Nongpu remove Pi, Dahuang drains Shi, remove Mangxiao to avoid injuring Lower Jiao Blood/Yin essence, called not uprooting the foundation. Daxiehu Tang is for when exterior is unresolved but interior is urgent, needing purging; use this to connect exterior/interior and treat gently. Also suitable for old/weak and Qi/Blood deficient. Scripture says: Which turning drug is tighter? Those with Mangxiao are tighter. Dachengqi is tightest, Xiaochengqi next, Tiaoweichengqi next, Daxiehu next. Daxiehu plus Dahuang, Xiaochaihu plus Mangxiao are turning drugs, set for mild diseases. Zhongjing also says: To cleanse Shang Han heat accumulation, use decoctions, strictly prohibit pills, know this well.
Decoction method: Use two zhong of water, boil three times before adding herbs, decoct to eight parts. Apply "chui" method. Before taking, mix with three spoonfuls of Iron Rust Water (Tiexiu Shui) for immediate effect, utilizing iron's heavy nature to descend heat and open knots, miraculous. This is a priceless secret; unless inherited by my descendants, how could I reveal such mysteries? Hence the warning.
Rushen Baihu Tang (God-Like White Tiger Decoction) (i.e., Baihu Tang, with its own modifications.) Treats body heat, thirst with sweating that doesn't resolve, or thirst persisting after sweating, with slightly flooding pulse.
Herbs: Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Shanzhi (Gardeniae Fructus), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus).
If vexation, add a ball of Zhuru (Bambusae Caulis in Taenia). If extreme thirst/vexation with back aversion to cold, follow this formula, remove Shanzhi, add Tianhuafen. If no thirst, do not take this medicine, it is a major taboo.
Decoction method: Use two zhong of water, one jujube, one slice of ginger. Apply "chui" method. Add ten leaves of Dan Zhuye (Light Bamboo Leaf), decoct, and take hot.
Sanhuang Shigao Tang (Three-Yellow Gypsum Decoction) This decoction treats Yang Du (Yang Toxin) with macules, body yellow like vermilion, eyes like fire, screaming and wanting to run, six pulses flooding-large, extreme dry thirst, dry nose, flushed face, yellow teeth. After passing meridians unresolved, becoming complicated syndrome, interior/exterior both hot, attempting sweating fails to reduce heat, purging follows causing frequent stool and difficulty urinating. Also treats mismanaged Warm diseases resulting in this syndrome, or after 8-9 days of sweating/purging with flooding-rapid pulse, high fever, stiffness/heaviness, wanting to treat interior but exterior unresolved, wanting to release exterior but interior urgent, hesitating to act, awaiting death. Unknowingly, heat in three Jiaos blocks collaterals, fluids/Wei-Qi do not circulate, forming this syndrome. Also treats heat in three Jiaos after sweating/purging, flooding pulse, incessant delirium, day/night panting, occasional nasal bleeding, whole body/eye yellowing, screaming wanting to run; generally use this decoction, miraculous, unrecognized by people.
Herbs: Shigao (1.5 liang), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex) (each 7 qian), Shanzhi (30 fruits), Mahuang (Ephedrae Herba) (0.5 fen), Xiangchi (Fermented Soybean) (2 he).
Decoction method: Use two zhong of water, three slices of ginger, one jujube. Apply "chui" method. Add a pinch of fine tea, decoct, and take hot.
Sanhuang Jusheng Tang (Three-Yellow Sesame Decoction) This decoction treats Yang Du with macules. Maniacal confusion, wild speech, extreme thirst/shouting, red eyes, rapid pulse, dry solid unpassable stool, upper Qi wheezing, tongue curling/testicular retraction (difficult to treat); temporarily use this decoction to seize the pathogen. Remove Mahuang and Douchi from Sanhuang Shigao Tang, add Dahuang and Mangxiao.
Decoction method: Use two zhong of water, one slice of ginger, two jujubes. Decoct, apply "chui" method. Before taking, mix with two spoonfuls of clear mud water, take to settle.
Chonghe Lingbao Yin (Harmonizing Spirit Treasure Drink) Treats Liang Gan Shang Han (Simultaneous Exterior-Interior Cold Damage). Starts with headache, aversion to cold/fever, dry mouth/tongue. Since Yang receives pathogen more, use this decoction to probe; stops when cured.
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Gan Ge (Puerariae Lobatae Radix), Baizhi (Angelicae Dahuricae Radix), Shigao (Gypsum Fibrosum).
Decoction method: Use two zhong of water, three slices of roasted ginger, two jujubes. Apply "chui" method. Add a pinch of Heidou (Black Soybean), decoct, take warm, aim for slight sweat to cure.
If uncured, if exterior symptoms are predominant and urgent, only then use Mahuang and Gegen for exterior release. If interior symptoms are predominant and urgent, first use Tiaoweichengqi Tang for interior attack.
If Yin Meridian self-contracted disease, fever with diarrhea, body pain, sinking-thin-weak pulse, no thirst, curling up/heavy drowsiness, first save the interior, warm with Huiyang Jiujitang (Return Yang Rescue Crisis Decoction). This distinguishes exterior/interior and cold/heat for treatment, a flexible major principle. Ancient saying: Liang Gan though deadly, still has rescue logic, regarding order of medication and cold/hot agents. If exterior release and interior attack are mistaken once, many die wrongly. Truly painful! Deeply regrettable! I reveal these unfathomable wonders and secret tested formulas, not only to merit saving lives, but also for hidden virtue. Be cautious, do not neglect.
Taoren Chengqi Duizi (Peach Kernel Chengqi Pair) (i.e., Taoren Chengqi Tang, with its own modifications.) Treats heat pathogen transmitting inward, heat accumulating in Bladder, patient like mad, free urination, black stool, lower abdominal fullness/pain, body/eye yellowing, delirium/dry thirst, constituting Blood Accumulation Syndrome, sinking-forceful pulse, suitable for this decoction. Cure when black matter is passed completely.
If blood passes spontaneously before taking medicine, it indicates impending cure, do not take.