治一切感冒方。
苍术（炒） 荆芥（各二两） 甘草（一两） 麻黄（一两半）
上四味。 咀。每服一两。水二钟。生姜三片。葱白一茎。同煎七分。去滓。微热服。以被盖覆。取汗为度。
琥按上方。乃仲景麻黄汤之变方也。麻黄汤专入太阳而治风寒。此汤兼入太阴而治风寒与湿。学人当随证用之。
又按河间此方。伤寒准绳中载之。余曾细阅宣明病机直格等书。无所谓清解散者。想准绳必有所本而载之也。其天水散
方。伤寒直格心要中两见之。今录于后。
（直格名益元散。一名太白散。心要名六一散。合防风通圣。名双解散。）
滑石（六两白腻好者） 甘草（一两）
上为细末。每服三钱。蜜多许。温水调下。暑月。冷水亦可。解利伤寒。发汗。每服水一盏。葱白五寸。
豆豉五十粒。煮取汁七分。调。并三四服。以效为度。加薄荷尤妙。
琥按上方。乃阳明经解肌药也。与太阳病毫不相涉。惟合上清解散。能治太阳经风寒邪热。郁甚于表。汗不出而
烦躁者。与仲景大青龙汤。实相仿也。方名清解。必二方交合。始称其名耳。
又治伤风。表虚自汗。头项强痛。肢节烦疼。鼻鸣干呕。恶风。手足温脉浮缓者。此仲景桂枝汤证也。当以通解散。
或天水散解之。或表虚。或表实。但口干烦渴者。悉宜双解散汗之。
治疗一切感冒的方剂。
以上四味药。切碎。每次服用一两。加水两钟。生姜三片。葱白一根。一同煎煮至七分量。滤去药渣。趁微热服用。服药后用被子覆盖身体。以出汗为限度。
王琥按：上述方剂，是张仲景麻黄汤的变方。麻黄汤专门入太阳经（足太阳膀胱经，主一身之表）而治疗风寒。此方兼入太阴经（足太阴脾经，主湿）而治疗风寒与湿邪。学者应当根据证候随宜使用。
又按：河间刘完素此方，《伤寒准绳》中有记载。我曾仔细查阅《宣明病机直格》等书，没有所谓“清解散”的名称。想来《准绳》必定有所本才收录它。其“天水散”方，在《伤寒直格心要》中出现两次。现记录在后面。
（《直格》中名为益元散。又名太白散。《心要》中名为六一散。合防风通圣散，名为双解散。）
以上研为细末。每次服用三钱。用较多的蜂蜜，温水调服。暑天月份，用冷水也可以。用于解利伤寒、发汗时，每次用水一盏，葱白五寸。豆豉五十粒。煮取汁液七分。调匀服用。共服三四次，以见效为限度。加入薄荷尤其妙。
王琥按：上述方剂，是阳明经（足阳明胃经，主肌肉）解肌的药物。与太阳病毫不相干。只有与上面的清解散配合，才能治疗太阳经风寒邪热，郁结严重于体表，不出汗而烦躁的情况。这与张仲景的大青龙汤，确实相似。方名“清解”，一定是这两个方剂合并使用，才配得上这个名字。
又治疗伤风，表虚自汗，头项强痛，肢节烦疼，鼻鸣干呕，恶风，手足温脉浮缓者。这是张仲景桂枝汤的证候。应当用通解散。或者用天水散来解除。或者无论是表虚还是表实，只要口干烦渴的，都适宜用双解散发汗治疗。
A prescription for treating all types of common colds.
Cangzhu (Rhizoma Atractylodis Macrocephalae, stir-fried) Jingjie (Herba Schizonepetae), each 2 liang; Gancao (Radix Glycyrrhizae Uralensis) 1 liang; Mahuang (Herba Ephedrae) 1.5 liang.
The above four ingredients. Coarsely crush. For each dose, take 1 liang. Add 2 zhong of water, 3 slices of Shengjiang (Rhizoma Zingiberis Recens), and 1 stalk of Congbai (Sclerium Allii Cepae). Decoct together until the volume reduces to seven-tenths. Strain off the dregs. Take while slightly warm. Cover with a blanket to induce sweating as the goal.
Wang Hu notes: The above prescription is a modified form of Zhang Zhongjing's Mahuang Tang (Ephedra Decoction). Mahuang Tang specifically enters the Taiyang channel (Taiyang meridian syndrome, governing the exterior of the body) to treat Wind-Cold. This prescription additionally enters the Taiyin channel (Taiyin meridian syndrome, governing dampness) to treat Wind-Cold combined with Dampness. Practitioners should apply it according to the specific pattern.
Furthermore, Liu Hejian's prescription is recorded in *Shanghan Zhunsheng* (Standard Mirror of Cold Damage). I have carefully consulted books such as *Xuanming Bingji Zhige* and others, but there is no mention of "Qingjie San" (Clearing and Releasing Powder). It is likely that *Zhunsheng* had a source from which it was recorded. The "Tiansan San" (Heavenly Water Powder) appears twice in *Shanghan Zhige Xin Yao* (Essentials of the Direct Rule of Cold Damage). It is recorded below.
(Note: In *Zhige*, it is named Yiyuan San (Benefiting Origin Powder), also known as Taibai San. In *Xin Yao*, it is named Liuyi San (Six-to-One Powder). Combined with Fangfeng Tongsheng San (Wind-Dispersing and Unblocking Sage Powder), it is named Shuangjie San (Double Releasing Powder).)
Huashi (Talcum, 6 liang, preferably white and fine); Gancao (Radix Glycyrrhizae Uralensis) 1 liang.
Grind into a fine powder. Each dose is 3 qian. Mix with a generous amount of honey and take with warm water. During summer months, cold water may also be used. To resolve and release Cold Damage and induce sweating: use 1 zhan of water, 5 cun of Congbai (Sclerium Allii Cepae), and 50 grains of Douchi (Fermented Soybean). Boil to obtain seven-tenths of the juice. Mix with the powder. Take 3 to 4 doses, stopping when effective. Adding Bohe (Herba Menthae) is especially excellent.
Wang Hu notes: The above prescription is a muscle-releasing agent for the Yangming channel (Yangming meridian syndrome, governing muscles). It has no relation to Taiyang disease. Only when combined with the aforementioned Qingjie San can it treat Wind-Cold pathogenic heat in the Taiyang channel that is severely constrained at the exterior, resulting in anhidrosis and irritability. This is indeed similar to Zhang Zhongjing's Daqinglong Tang (Major Blue-Green Dragon Decoction). The name "Qingjie" implies that both prescriptions must be combined to justify the title.
It also treats Shangfeng (Wind Injury) with exterior deficiency, spontaneous sweating, stiffness and pain in the head and nape, painful distension in the joints, nasal congestion with dry vomiting, aversion to wind, warm hands and feet, and a floating and moderate pulse. This is the pattern for Zhang Zhongjing's Guizhi Tang (Cinnamon Twig Decoction). One should use Tongjie San or resolve it with Tiansan San. Whether the exterior is deficient or excess, if there is dry mouth and thirst, Shuangjie San (Double Releasing Powder) should be used to induce sweating.