水气 大病瘥后从腰以下有水气者牡蛎泽泻散主之（成 大病瘥后脾胃气虚不能制约肾水归于隧道故水溢下焦腰以下为肿也金匮要略曰腰以下肿当利小便与牡蛎泽泻散利小便而散水也）
牡蛎泽泻散方
牡蛎（熬） 泽泻 栝蒌根 蜀漆（洗去脚） 葶苈（熬） 商陆根（熬） 海藻（洗去咸以上各等分）上七味异
捣下筛为散更入臼中治之白饮和服方寸匕小便利止后服日三（咸味涌泄牡蛎泽泻海藻之咸以泄水气内经曰湿淫于内平以
苦佐以酸辛以苦泄之蜀漆葶苈栝蒌商陆之酸辛与苦以导肿湿）
喜唾
大病瘥后喜唾久不了了者胃上有寒当以丸药温之宜理中丸（成 汗后阳气不足胃中虚寒不纳津液故喜唾不了
了与理中丸以温其胃加益智仁更佳）
千金方瘥后口干喜唾或咽痛用大枣十枚乌梅三个共捣细入炼蜜丸如枣核大含口中徐徐咽下或咽痛不愈者以山豆根
凉水浸含咽苦汁亦佳
欲吐
伤寒解后虚羸少气气逆欲吐者竹叶石膏汤主之（成 伤寒解后津液不足而虚羸余热未尽热则伤气故少气气逆
欲吐与竹叶石膏汤调胃散热）
竹叶石膏汤方
竹叶（二把） 石膏（一斤） 半夏（半斤洗） 人参（三两） 甘草（二两） 粳米（半升） 麦门冬（一升去
心）上七味以水一斗煮取六升去滓纳粳米煮米熟汤成去米温服一升日三服（辛甘发散而除热竹叶石膏甘草之甘辛以发散
余热甘缓脾而益气麦门冬人参粳米之甘以补不足辛者散也气逆者欲其散半夏之辛以散逆气）
日暮微烦
病患脉已解而日暮微烦以病新瘥人强与谷脾胃气尚弱不能消谷故令微烦损谷则愈（阳明主于申酉戌宿食
在胃故日暮微烦当小下之以损宿谷但用栀子豉汤痞硬如枳实）以前俱出仲景书以后续增
补遗
惊悸
茯神散 治伤寒后虚羸心气乏力弱惊悸多忘
茯神 黄 菖蒲（各一两） 白芍药 人参（各半两） 远志（去骨七钱半）上 咀每服五钱水一中盏入枣三枚
煎至六分去滓温服
龙齿丸 治伤寒后伏热在心心虚惊悸
龙齿 人参 生干地黄 茯神（各一两） 远志（去骨） 铁粉（细研各半两） 黄连（去须） 马牙硝（细研）
防风（各七钱半） 麝香（细研五分） 麦门冬（去心焙一两半）上为细末都研令匀炼蜜和丸如梧子大每服二十丸竹叶
金银汤下不拘时服
温胆汤 治伤寒瘥后调理
半夏（汤泡） 茯苓（去皮） 陈皮（去白） 枳实（炒各二钱） 竹茹（一钱） 甘草（半钱）上作一服水二钟
生姜三片煎至一钟不拘时服
加味温胆汤 治瘥后心胆虚怯触事易惊梦寐不安气郁生涎涎与气搏变生诸证或短气困乏或复自汗四肢浮肿饮食无味心虚烦闷坐卧不安
枳实（麸炒） 半夏（汤泡） 白茯苓（去皮） 橘红 人参（各一钱半） 竹茹 香附 麦门冬（去心） 柴胡
桔梗（各一钱） 甘草（半钱）上作一服水二钟生姜三片红枣二枚煎至一钟不拘时服
烦热
柴胡汤 治伤寒后夹劳五心烦热背膊疼痛手足无力不能饮食
柴胡 赤茯苓 鳖甲（去裙 醋浸炙） 黄 （各一两） 秦艽 地骨皮 黄芩（去黑心） 枳壳（去瓤麸炒） 葛
根（各半两） 甘草（炙） 人参（各七钱半）上 咀每服四钱水一盏半煎至七分不拘时温服
虚汗
鳖甲散 治伤寒后虚羸盗汗不止四肢无力向晚增寒
鳖甲（去裙 醋炙黄） 附子（炮拆去皮脐） 甘草（炙） 肉苁蓉（酒浸去皮炙干） 人参 黄 熟地黄 桃
仁（去皮尖双仁麸炒） 枳壳（去瓤麸炒） 杜仲（炙黄）五味子 柴胡 牛膝（各七钱半） 牡蛎（ ） 苍术（炒
各一两）
上 咀每服五钱水一大盏生姜半分枣三枚煎至五分不拘时温服
治伤寒后虚羸日夜汗出不止心燥口干咽喉不利
黄雌鸡（一只肠肚净去理如常法） 牡蛎（ 粉） 麻黄根（各二两） 肉苁蓉（一两酒浸一宿刮去鳞甲切）上先
将鸡麻黄根以水七大盏煮取汁三大盏去鸡麻黄根后下肉苁蓉牡蛎煎取一盏半去滓分三服空心午前夜后临卧时服
治大病瘥后多虚汗
龙骨 牡蛎（ 粉） 麻黄节（各等分）上为末以粉身
喘嗽
紫菀散 治伤寒后肺痿劳嗽唾脓血腥臭连连不止渐将羸瘦
紫菀（洗去苗土） 天门冬 贝母（煨微黄各一两） 生干地黄 桔梗（各一两半） 百合 知母（各七钱半）上
咀每服四钱水一钟半煎六分去滓温服无时
梦泄
牡蛎散 治伤寒后虚损心多怔悸夜梦泄精
牡蛎（ 粉） 桂心 鹿茸（酥炙） 白芍药 龙骨（各一钱） 甘草（炙半两）上 咀每服五钱水一大盏生姜一
钱枣三枚煎至五分去滓食前温服
羚羊角丸 治伤寒夜梦精泄不禁身体枯燥瘦瘠骨立者
羚羊角屑 犀角屑 石龙芮 韭子（炒） 龙骨 朱砂（细研水飞） 鹿茸（酒浸炙） 泽泻（各一两半） 桂心
木香（各一两）上为细末炼蜜和捣五七百杵丸如梧桐子大每服三十丸食前用温酒下
失音
二沥汤 治伤寒失音不语
竹沥 荆沥 梨汁（各三合）上搅令匀以绵滤过分温四服空心日晚各一服
呕哕
人参汤 治伤寒后虚羸少力呕哕气逆
人参 白茯苓（去皮） 半夏（汤洗七次炒） 陈皮（去白） 白术（各半两） 麦门冬（去心焙） 黄 （各一
两） 甘草（炙二钱半）上 咀每服五钱盐水一盏半生姜三片枣二枚擘破同煎至八分去滓食前温服
下利
诃黎勒丸 治伤寒后脓血利下部疼痛
诃黎勒（去核炮） 人参（各一两） 白茯苓（去皮） 当归（焙） 木香 白芷（各七钱半） 牡丹皮（半两）
上捣罗为末炼蜜和捣三五百杵丸如梧桐子大每服三十丸食前米饮下日再服
黄连丸 治伤寒热病后热毒下利脓血
黄连（炒七钱半） 乌梅肉（炒二两）上为细末炼蜜入少蜡和捣五六百杵丸如梧桐子大每服二十丸加至三十丸空心
米饮下
诃黎勒饮 治伤寒后气不和自利无度
诃黎勒（四枚二生二煨去核） 草豆蔻（四枚二生二煨去皮）上 咀每服二钱匕浆水一盏煎至六分去滓空心温服
燥肠丸 治伤寒汗下后大小便自利腹中痛者
附子（一枚炮） 干姜（一两） 龙骨 吴茱萸 诃黎勒（去核） 御米壳（各半两）上为细末酒糊为丸如梧桐子
大每服三十丸温水下利止勿服
腰痛
伤寒发汗吐下后体虚元脏积冷气刺腰痛转动艰难
原蚕蛾（半斤） 糯米（半升）上二味同炒令米色焦然后捣罗为末每用半两以米醋调如稀糊入铫子内煎搅令稠乘热
摊于蜡纸上贴痛处以帛缠缚冷即易之
杜仲酒 治伤寒后体虚元脏挟风冷腰膝疼痛行履不得
杜仲（去粗皮炙二两） 独活（半两） 附子（炮裂去皮脐） 牛膝（各一两） 仙灵脾（七钱半）上细锉用生绢
袋盛以酒五升浸密封头经七日后间每日取三二合温服日三服未瘥再浸服
不得眠
栀子乌梅汤 治伤寒瘥后不得眠
栀子 黄芩（各二钱） 柴胡（三钱） 甘草（一钱） 乌梅（三个去核）上作一服水二钟生姜三片竹叶十四片豆
豉三十粒煎至一钟不拘时服
发豌豆疮
千金方治豌豆疮 只以黄连一味酒炒水煎服之外以赤小豆为末入真青黛以鸡子清和涂疮上其效如神
遗毒
凡伤寒汗出不彻邪热结耳后一寸二三分或耳下俱肿硬者名曰发颐此为遗热成毒之所致也宜速消散则可若缓
则成脓又为害也
连翘败毒散 治发颐初肿服此消之
羌活（中） 独活（中） 连翘（上） 荆芥（中） 防风（中） 柴胡（中） 升麻（下） 桔梗（中） 甘草
（下） 川芎（中） 牛蒡子（新瓦上炒研碎） 当归尾（酒洗中） 红花（酒洗下） 苏木（下） 天花粉（中）上
用水一钟好酒一钟同煎一钟去滓徐徐温服如未消加穿山甲蛤粉（炒一钱）肿至面者加香白芷（一钱）漏芦（五分）如大
便燥实者加酒浸大黄（一钱半）壮者倍用之凡内有热或寒热交作者倍用柴胡加酒洗黄芩（一钱）酒炒黄连（一钱）
消毒救苦散 消肿散毒用米醋调涂敷四围留头如干即又敷
大黄（三钱） 黄芩 黄连 黄柏 芙蓉叶 大蓟根 白芨 白蔹 天南星 半夏 红花 檀花 当归尾 赤小豆
白芷（各一钱半） 朴硝 雄黄（另研末各一钱）一方用见肿消草生白芨白蔹土大黄生大蓟根野苎麻根共捣成饼入朴硝
一钱和匀贴肿上留头勿贴如干即换之若更加生慈菇金线重楼根尤妙
内托消毒散 治发颐有脓不可消者已破未破服之
人参（中） 黄 （上） 防风（中） 白芷（中） 川芎（中） 当归（中） 桔梗（中） 连翘（中） 升麻
（中） 柴胡（中） 金银花（中） 甘草节（中）上用水一钟好酒一钟同煎一钟去滓徐徐温服疮破者以元武膏贴之四
围赤肿不退者仍以前药涂之兼服蜡矾丸最妙
昏冒
凡伤寒汗出愈后渐觉昏昏不醒如鬼祟之状或错语呻吟者此因汗出未尽邪热伏于心胞所致也活人书用知母麻
黄汤以汗之但虑病后血气俱虚岂可与发汗若脉弱人虚者只宜十味温胆汤加黄连主之若有寒热潮热日晡发热者以小柴胡
汤随证增损主之
伤寒瘥后虚弱治例
当归六黄汤 治伤寒新瘥后虚热盗汗不止
当归身（酒洗一钱五分） 黄柏（炒） 黄芩（炒各七分） 黄连（炒五分） 黄 （盐水炙二钱） 生地黄（酒
洗） 熟地黄（酒蒸各一钱）上作一服水二钟煎至八分食远温服之
加味黄 建中汤 治阳虚无热恶寒盗汗无力下虚者
黄 白芍药（各二钱） 当归（一钱半） 人参 白术 麻黄根 牡蛎粉（各一钱） 官桂（五分） 饴糖（一
匙） 大枣（二枚）上煎法同前
滋阴补肾丸 治病后阴虚精血不足四肢少力心神不宁夜梦遗精或虚热盗汗饮食进少不为肌肉身体羸弱面色青黄
而无血色宜服此丸滋肾水制虚火大有益也
熟地黄（酒蒸） 生地黄（酒浸） 白术（各二两） 人参 麦门冬（去心） 五味子 当归（酒浸） 白芍药（酒
炒） 川芎 黄 （盐水炙） 山药 蛤粉（另研极细）茯神（去皮木） 砂仁（各一两） 知母（炒一两半） 黄柏
（炒二两）上十六味共为细末炼蜜和成于石臼内杵千余下丸如梧桐子大每服五十丸空心淡盐汤下
加味补阴丸 治证同前
黄柏（盐酒拌炒四两） 熟地黄 知母（盐酒拌炒） 败龟板（醋炙各二两） 虎胫骨 锁阳（醋炙） 白芍药（酒
炒） 当归（酒浸） 川牛膝（酒洗） 杜仲（醋炙去丝） 砂仁（以上各一两）若冬月天寒加干姜炮五钱上为细末炼
蜜入猪脊髓五条共捣和成石臼内杵千余下丸如梧桐子大每服五大丸空心淡盐酒或盐汤下
朱砂安神丸 治病后心神不安夜卧不宁或乱梦不得眠
朱砂（另研水飞二钱用一半为衣） 黄连（炒） 生地黄（酒洗焙干各一钱半） 当归身（洒浸一钱） 甘草（炙
半钱）上为细末汤浸蒸饼糊为丸如绿豆大朱砂为衣阴干每服三十丸以口中津液咽下或灯心汤下
加味枳术丸 治病后胃弱食少服此进饮食强胃气
枳实（炒） 神曲（炒） 大麦 （炒） 棠球子 陈皮（各一两） 人参 白术（各二两）上为末荷叶烧饭和丸
如梧桐子大每服七八十丸白汤下如夏有热加姜炒黄连（七钱）如冬月天寒加砂仁（一两）如气郁不舒畅加香附（一两）
如痰多加橘红（一两）去陈皮更加半夏曲（一两）
六君子汤 治伤寒汗下之后将见平复宜服此调理助脾进食辟邪气大妙
人参 白术 黄 白茯苓 山药 甘草（各等分）上 咀每服四钱水一盏半生姜三片枣一枚同煎至七分去滓温服
养脾汤 治伤寒后脾胃虚弱不思饮食
茯苓 干姜（炮各一两） 白术（二两） 丁香 人参 甘草（各半两）上如法合一处捣罗为末每服三钱水一盏煎
至六分温服日三不拘时候
健脾散 治伤寒后脾胃虚弱不欲饮食纵食不能消化
诃黎勒皮 白术 麦 （炒令微黄） 人参（各一两） 干姜（炮七钱半） 神曲（炒） 甘草（炙） 枳壳（麸
炒） 大腹皮（各半两）上 咀每服四钱水一中盏入生姜半分煎至六分去滓不拘时稍热服
水气
大病初愈后，腰部以下出现水肿的，用牡蛎泽泻散主治。（成无己注：大病初愈后，脾胃之气虚弱，不能制约肾水，导致肾水回归正常通道受阻，从而泛滥于下焦，引起腰部以下浮肿。《金匮要略》说：“腰部以下浮肿应当通利小便。”牡蛎泽泻散能通利小便而消散水气。）
牡蛎泽泻散方
牡蛎（熬制） 泽泻 栝蒌根 蜀漆（洗涤去除脚部泥沙） 葶苈子（熬制） 商陆根（熬制） 海藻（洗涤去除咸味，以上各药分量相等）
上七味药分别捣碎过筛成为散剂，再放入臼中研磨均匀。每次服用一方寸匕的药量，用白米汤送服。服药后若小便通畅，水肿消退即停止后续服药。每日服用三次。（按：咸味具有涌泄作用，牡蛎、泽泻、海藻的咸味可以泄下水气。《内经》说：“湿气盛行于体内，用平性的药物为主，辅以酸、辛味的药物，用苦味来泄湿。”蜀漆、葶苈子、栝蒌根、商陆的酸、辛与苦味可以引导消除肿胀湿气。）
喜唾
大病初愈后，经常流口水且长时间不能痊愈的，是胃上有寒邪，应当用丸药温补胃气，适宜使用理中丸。（成无己注：发汗后阳气不足，胃中虚寒，不能收纳津液，所以喜欢流口水且久不愈。给予理中丸以温暖胃气，加入益智仁效果更好。）
《千金方》记载：大病初愈后口干、喜欢流口水或咽喉疼痛的，用大枣十枚、乌梅三个，共同捣细，加入炼蜜制成如枣核大小的丸药，含在口中慢慢咽下。如果咽喉疼痛不愈的，用山豆根凉水浸泡含服，咽下苦汁也很好。
欲吐
伤寒病解除后，身体虚弱消瘦、气短、气逆想呕吐的，用竹叶石膏汤主治。（成无己注：伤寒解除后，津液不足导致身体虚弱消瘦，余热未尽。热邪伤气，所以气短；气机上逆所以想呕吐。给予竹叶石膏汤调理胃气、散热。）
竹叶石膏汤方
竹叶（两把） 石膏（一斤） 半夏（半斤，洗净） 人参（三两） 甘草（二两） 粳米（半升） 麦门冬（一升，去心）
上七味药用水一斗，煮取六升，去掉药渣，加入粳米，煮至米熟汤成，去掉米粒。每次温服一升，每日服用三次。（按：辛甘发散以除热。竹叶、石膏、甘草的甘辛之性可以发散余热；甘缓可以健脾益气。麦门冬、人参、粳米的甘味可以补益不足。辛味主散，气逆者希望其散，半夏的辛味可以散降逆气。）
日暮微烦
患者脉象已经平和，但在傍晚时分感到轻微烦躁，是因为病刚痊愈，强行进食，脾胃之气尚弱，不能消化食物，所以导致轻微烦躁。减少饮食即可痊愈。（阳明经主申、酉、戌时，宿食在胃，所以傍晚轻微烦躁。应当轻微攻下以消除宿谷，但此处只用栀子豉汤，若有痞硬感则加枳实。）以上均出自张仲景之书，以下为续增内容。
补遗
惊悸
茯神散：治疗伤寒后身体虚弱、心气乏力、惊悸健忘。
茯神 黄芪 石菖蒲（各一两） 白芍药 人参（各半两） 远志（去骨七钱半）
上药切碎，每次服用五钱，加水一中盏，放入三枚大枣，煎至六分，去渣温服。
龙齿丸：治疗伤寒后伏热在心，心虚惊悸。
龙齿 人参 生干地黄 茯神（各一两） 远志（去骨） 铁粉（细研各半两） 黄连（去须） 马牙硝（细研） 防风（各七钱半） 麝香（细研五分） 麦门冬（去心焙一两半）
上药为细末，混合均匀，用炼蜜和丸如梧桐子大。每次服用二十丸，用竹叶金银汤送下，不限时间。
温胆汤：治疗伤寒初愈后的调理。
半夏（汤泡） 茯苓（去皮） 陈皮（去白） 枳实（炒各二钱） 竹茹（一钱） 甘草（半钱）
上药作一服，加水二钟，生姜三片，煎至一钟，不限时间服用。
加味温胆汤：治疗初愈后心胆虚怯，遇事易惊，睡眠不安，气郁生涎，涎与气搏结变生诸证，或气短困乏，或自汗，四肢浮肿，饮食无味，心虚烦闷，坐卧不安。
枳实（麸炒） 半夏（汤泡） 白茯苓（去皮） 橘红 人参（各一钱半） 竹茹 香附 麦门冬（去心） 柴胡 桔梗（各一钱） 甘草（半钱）
上药作一服，加水二钟，生姜三片，红枣二枚，煎至一钟，不限时间服用。
烦热
柴胡汤：治疗伤寒后夹劳，五心烦热，背膊疼痛，手足无力，不能饮食。
柴胡 赤茯苓 鳖甲（去裙边，醋浸炙） 黄芪 秦艽 地骨皮 黄芩（去黑心） 枳壳（去瓤麸炒） 葛根（各半两） 甘草（炙） 人参（各七钱半）
上药切碎，每次服用四钱，加水一盏半，煎至七分，不限时间温服。
虚汗
鳖甲散：治疗伤寒后身体虚弱，盗汗不止，四肢无力，傍晚加重怕冷。
鳖甲（去裙边，醋炙黄） 附子（炮裂去皮脐） 甘草（炙） 肉苁蓉（酒浸去皮炙干） 人参 黄芪 熟地黄 桃仁（去皮尖双仁麸炒） 枳壳（去瓤麸炒） 杜仲（炙黄） 五味子 柴胡 牛膝（各七钱半） 牡蛎（煅粉） 苍术（炒各一两）
上药切碎，每次服用五钱，加水一大盏，生姜半分，大枣三枚，煎至五分，不限时间温服。
治疗伤寒后身体虚弱，日夜汗出不止，心中燥热，口干，咽喉不利。
黄雌鸡（一只，肠肚清理干净，按常法处理） 牡蛎（煅粉） 麻黄根（各二两） 肉苁蓉（一两，酒浸一夜，刮去鳞甲切）
先将鸡和麻黄根用水七大盏，煮取汁三大盏，去掉鸡和麻黄根，后下肉苁蓉和牡蛎，煎取一盏半，去渣分三次服用。空腹、午前、夜后临卧时服用。
治疗大病初愈后多虚汗。
龙骨 牡蛎（煅粉） 麻黄节（各等分）
上药为末，用粉末扑身。
喘嗽
紫菀散：治疗伤寒后肺痿，劳嗽，吐脓血腥臭，连绵不止，逐渐消瘦。
紫菀（洗去苗土） 天门冬 贝母（煨微黄各一两） 生干地黄 桔梗（各一两半） 百合 知母（各七钱半）
上药切碎，每次服用四钱，加水一钟半，煎六分，去渣随时温服。
梦泄
牡蛎散：治疗伤寒后虚损，心中多怔悸，夜间梦遗精。
牡蛎（煅粉） 桂心 鹿茸（酥炙） 白芍药 龙骨（各一钱） 甘草（炙半两）
上药切碎，每次服用五钱，加水一大盏，生姜一钱，大枣三枚，煎至五分，去渣饭前温服。
羚羊角丸：治疗伤寒夜间梦遗不禁，身体枯燥瘦瘠，骨立者。
羚羊角屑 犀角屑 石龙芮 韭子（炒） 龙骨 朱砂（细研水飞） 鹿茸（酒浸炙） 泽泻（各一两半） 桂心 木香（各一两）
上药为细末，炼蜜和捣五七百杵，丸如梧桐子大。每次服用三十丸，饭前用温酒送下。
失音
二沥汤：治疗伤寒失音不语。
竹沥 荆沥 梨汁（各三合）
上药搅匀，用绵布过滤，分四次温服。空腹、日晚各一服。
呕哕
人参汤：治疗伤寒后身体虚弱，少力，呕哕气逆。
人参 白茯苓（去皮） 半夏（汤洗七次炒） 陈皮（去白） 白术（各半两） 麦门冬（去心焙） 黄芪（各一两） 甘草（炙二钱半）
上药切碎，每次服用五钱，加盐水一盏半，生姜三片，大枣二枚掰破，同煎至八分，去渣饭前温服。
下利
诃黎勒丸：治疗伤寒后脓血痢，下部疼痛。
诃黎勒（去核炮） 人参（各一两） 白茯苓（去皮） 当归（焙） 木香 白芷（各七钱半） 牡丹皮（半两）
上药捣罗为末，炼蜜和捣三五百杵，丸如梧桐子大。每次服用三十丸，饭前米饮送下，每日两次。
黄连丸：治疗伤寒热病后热毒下利脓血。
黄连（炒七钱半） 乌梅肉（炒二两）
上药为细末，炼蜜入少许蜡，和捣五六百杵，丸如梧桐子大。每次服用二十丸，加至三十丸，空腹米饮送下。
诃黎勒饮：治疗伤寒后气不和，自利无度。
诃黎勒（四枚，二生二煨去核） 草豆蔻（四枚，二生二煨去皮）
上药切碎，每次服用二钱匕，浆水一盏，煎至六分，去渣空腹温服。
燥肠丸：治疗伤寒汗下后大小便自利，腹中痛者。
附子（一枚炮） 干姜（一两） 龙骨 吴茱萸 诃黎勒（去核） 御米壳（各半两）
上药为细末，酒糊为丸如梧桐子大。每次服用三十丸，温水送下。利止勿服。
腰痛
伤寒发汗吐下后，体虚元脏积冷气刺腰痛，转动艰难。
原蚕蛾（半斤） 糯米（半升）
上二味同炒令米色焦，然后捣罗为末。每次用半两，以米醋调如稀糊，入铫子内煎搅令稠，乘热摊于蜡纸上贴痛处，以帛缠缚，冷即换之。
杜仲酒：治疗伤寒后体虚元脏挟风冷，腰膝疼痛，行履不得。
杜仲（去粗皮炙二两） 独活（半两） 附子（炮裂去皮脐） 牛膝（各一两） 仙灵脾（七钱半）
上药细锉，用生绢袋盛，以酒五升浸，密封头，经七日后，间每日取三二合温服，日三服。未愈再浸服。
不得眠
栀子乌梅汤：治疗伤寒初愈后不得眠。
栀子 黄芩（各二钱） 柴胡（三钱） 甘草（一钱） 乌梅（三个去核）
上药作一服，加水二钟，生姜三片，竹叶十四片，豆豉三十粒，煎至一钟，不限时间服用。
发豌豆疮
《千金方》治豌豆疮：只以黄连一味，酒炒水煎服。外以赤小豆为末，入真青黛，以鸡子清和涂疮上，其效如神。
遗毒
凡伤寒汗出不彻，邪热结耳后一寸二三分或耳下俱肿硬者，名曰发颐。此为遗热成毒所致。宜速消散则可，若缓则成脓，又为害也。
连翘败毒散：治疗发颐初肿，服此消之。
羌活（中） 独活（中） 连翘（上） 荆芥（中） 防风（中） 柴胡（中） 升麻（下） 桔梗（中） 甘草（下） 川芎（中） 牛蒡子（新瓦上炒研碎） 当归尾（酒洗中） 红花（酒洗下） 苏木（下） 天花粉（中）
上用水一钟，好酒一钟，同煎一钟，去渣徐徐温服。如未消加穿山甲蛤粉（炒一钱）。肿至面者加香白芷（一钱），漏芦（五分）。如大便燥实者加酒浸大黄（一钱半），壮者倍用之。凡内有热或寒热交作者倍用柴胡，加酒洗黄芩（一钱），酒炒黄连（一钱）。
消毒救苦散：消肿散毒，用米醋调涂敷四围，留头。如干即又敷。
大黄（三钱） 黄芩 黄连 黄柏 芙蓉叶 大蓟根 白芨 白蔹 天南星 半夏 红花 檀花 当归尾 赤小豆 白芷（各一钱半） 朴硝 雄黄（另研末各一钱）
一方用见肿消草、生白芨、白蔹、土大黄、生大蓟根、野苎麻根共捣成饼，入朴硝一钱和匀贴肿上，留头勿贴，如干即换之。若更加生慈菇、金线重楼根尤妙。
内托消毒散：治疗发颐有脓不可消者，已破未破服之。
人参（中） 黄芪（上） 防风（中） 白芷（中） 川芎（中） 当归（中） 桔梗（中） 连翘（中） 升麻（中） 柴胡（中） 金银花（中） 甘草节（中）
上用水一钟，好酒一钟，同煎一钟，去渣徐徐温服。疮破者以元武膏贴之。四围赤肿不退者仍以前药涂之，兼服蜡矾丸最妙。
昏冒
凡伤寒汗出愈后，渐觉昏昏不醒，如鬼祟之状，或错语呻吟者，此因汗出未尽，邪热伏于心胞所致也。《活人书》用知母麻黄汤以汗之，但虑病后血气俱虚，岂可与发汗？若脉弱人虚者，只宜十味温胆汤加黄连主之。若有寒热潮热，日晡发热者，以小柴胡汤随证增损主之。
伤寒初愈后虚弱治例
当归六黄汤：治疗伤寒新初愈后虚热盗汗不止。
当归身（酒洗一钱五分） 黄柏（炒） 黄芩（炒各七分） 黄连（炒五分） 黄芪（盐水炙二钱） 生地黄（酒洗） 熟地黄（酒蒸各一钱）
上作一服，加水二钟，煎至八分，食远温服之。
加味黄芪建中汤：治疗阳虚无热恶寒，盗汗无力，下虚者。
黄芪 白芍药（各二钱） 当归（一钱半） 人参 白术 麻黄根 牡蛎粉（各一钱） 官桂（五分） 饴糖（一匙） 大枣（二枚）
上煎法同前。
滋阴补肾丸：治疗病后阴虚精血不足，四肢少力，心神不宁，夜梦遗精，或虚热盗汗，饮食进少不为肌肉，身体羸弱，面色青黄而无血色，宜服此丸滋肾水制虚火，大有益也。
熟地黄（酒蒸） 生地黄（酒浸） 白术（各二两） 人参 麦门冬（去心） 五味子 当归（酒浸） 白芍药（酒炒） 川芎 黄芪（盐水炙） 山药 蛤粉（另研极细） 茯神（去皮木） 砂仁（各一两） 知母（炒一两半） 黄柏（炒二两）
上十六味共为细末，炼蜜和成于石臼内杵千余下，丸如梧桐子大。每次服用五十丸，空腹淡盐汤下。
加味补阴丸：治疗证同前。
黄柏（盐酒拌炒四两） 熟地黄 知母（盐酒拌炒） 败龟板（醋炙各二两） 虎胫骨 锁阳（醋炙） 白芍药（酒炒） 当归（酒浸） 川牛膝（酒洗） 杜仲（醋炙去丝） 砂仁（以上各一两）
若冬月天寒加干姜炮五钱。上为细末，炼蜜入猪脊髓五条共捣和，成石臼内杵千余下，丸如梧桐子大。每次服用五大丸，空腹淡盐酒或盐汤下。
朱砂安神丸：治疗病后心神不安，夜卧不宁，或乱梦不得眠。
朱砂（另研水飞二钱，用一半为衣） 黄连（炒） 生地黄（酒洗焙干各一钱半） 当归身（洒浸一钱） 甘草（炙半钱）
上为细末，汤浸蒸饼糊为丸如绿豆大，朱砂为衣，阴干。每次服用三十丸，以口中津液咽下，或灯心汤下。
加味枳术丸：治疗病后胃弱食少，服此进饮食强胃气。
枳实（炒） 神曲（炒） 大麦 （炒） 棠球子 陈皮（各一两） 人参 白术（各二两）
上为末，荷叶烧饭和丸如梧桐子大。每次服用七八十丸，白汤下。如夏有热加姜炒黄连（七钱）。如冬月天寒加砂仁（一两）。如气郁不舒畅加香附（一两）。如痰多加橘红（一两），去陈皮更加半夏曲（一两）。
六君子汤：治疗伤寒汗下之后将见平复，宜服此调理助脾进食，辟邪气，大妙。
人参 白术 黄芪 白茯苓 山药 甘草（各等分）
上切碎，每次服用四钱，加水一盏半，生姜三片，枣一枚，同煎至七分，去渣温服。
养脾汤：治疗伤寒后脾胃虚弱，不思饮食。
茯苓 干姜（炮各一两） 白术（二两） 丁香 人参 甘草（各半两）
上如法合一处捣罗为末，每次服用三钱，加水一盏，煎至六分，温服，日三，不拘时候。
健脾散：治疗伤寒后脾胃虚弱，不欲饮食，纵食不能消化。
诃黎勒皮 白术 麦 （炒令微黄） 人参（各一两） 干姜（炮七钱半） 神曲（炒） 甘草（炙） 枳壳（麸炒） 大腹皮（各半两）
上切碎，每次服用四钱，加水一中盏，入生姜半分，煎至六分，去渣不拘时稍热服。
Water Qi (Edema)
After a major illness has resolved, if there is water qi (edema) below the waist, Muli Zexie San (Oyster Shell and Alisma Powder) should be used. (Cheng Wuji notes: After a major illness resolves, the Spleen-Stomach Qi is deficient and cannot control Kidney Water, causing it to overflow into the Lower Jiao, resulting in edema below the waist. The *Jin Gui Yao Lue* states: "For edema below the waist, promote urination." Muli Zexie San promotes urination to dissipate water qi.)
Formula for Muli Zexie San (Oyster Shell and Alisma Powder)
Muli (Oyster Shell, calcined) Zexie (Alisma Rhizome) Gualougen (Trichosanthes Root) Shuqi (Patrinia Herb, washed to remove sediment) Tinglizi (Descurainia Seed, calcined) Shanglugen (Phytolacca Root, calcined) Haizao (Sargassum Thallus, washed to remove saltiness; all ingredients in equal parts)
The above seven herbs are separately pounded and sifted into a powder, then further ground in a mortar. Take one cubic inch (fangcun bi) of the powder mixed with white rice decoction. Stop subsequent doses once urination becomes smooth and edema subsides. Take three times daily. (Note: Salty flavors induce vomiting and purging. The salty nature of Muli, Zexie, and Haizao drains water qi. The *Nei Jing* states: "When dampness abounds internally, treat with neutral flavors, assist with sour and pungent flavors, and drain dampness with bitter flavors." The sour, pungent, and bitter properties of Shuqi, Tinglizi, Gualougen, and Shanglugen guide out swelling and dampness.)
Excessive Saliva
After a major illness resolves, if there is excessive salivation that persists for a long time without resolving, it indicates Cold in the Stomach. Pill medicine should be used to warm it; Lizhong Wan (Regulate the Middle Pill) is suitable. (Cheng Wuji notes: After sweating, Yang Qi is insufficient, leading to deficiency-Cold in the Stomach which fails to transform fluids, causing persistent salivation. Lizhong Warms the Stomach; adding Yizhiren is even better.)
The *Qianjin Fang* records: For post-illness dry mouth, excessive salivation, or sore throat, use ten large dates and three dark plums, pound finely, mix with refined honey, and form pills the size of a date pit. Hold in the mouth and swallow slowly. If the sore throat persists, soak Dougen (Toosendan Fruit) in cool water, hold in the mouth, and swallow the bitter juice; this is also effective.
Desire to Vomit
After Shaoyang disease resolves, if the patient is emaciated, short of breath, and experiences rebellious Qi with a desire to vomit, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) should be used. (Cheng Wuji notes: After Shaoyang disease resolves, fluid deficiency leads to emaciation, and residual heat remains. Heat injures Qi, causing shortness of breath; rebellious Qi causes the desire to vomit. Zhuye Shigao Tang regulates the Stomach and clears heat.)
Formula for Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Zhuye (Bamboo Leaves, two handfuls) Shigao (Gypsum Fibrosum, one jin) Banxia (Pinellia Tuber, half a jin, washed) Renshen (Ginseng Radix et Rhizoma, three liang) Gancao (Licorice Root, two liang) Jingsmi (Rice, half sheng) Maimendong (Ophiopogon Tuber, one sheng, heart removed)
The above seven herbs are boiled in ten dou of water until six sheng remain. Strain, add Jingsmi, and boil until the rice is cooked and the soup is ready. Remove the rice. Take one sheng warm each time, three times daily. (Note: Pungent and sweet flavors disperse and clear heat. The sweet and pungent nature of Zhuye, Shigao, and Gancao disperses residual heat; sweet flavors soothe the Spleen and tonify Qi. The sweet nature of Maimendong, Renshen, and Jingsmi supplements deficiencies. Pungent flavors disperse; Banxia's pungency disperses rebellious Qi.)
Slight Irritation at Dusk
If the patient's pulse has normalized but they feel slight irritation at dusk, it is because the illness has just resolved, and forced eating overwhelms the still-weak Spleen-Stomach Qi, which cannot digest the food, causing slight irritation. Reducing food intake will lead to recovery. (The Yangming channel governs the Shen, You, and Xu hours. Food stagnation in the Stomach causes slight irritation at dusk. Mild purgation should be used to reduce stagnant food, but here only Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is used; if epigastric fullness and hardness occur, add Zhishi.) The above are all from Zhang Zhongjing's works; the following are additions.
Supplementary Records
Palpitations and Fright
Fushen San (Poria and Spirit Calming Powder): Treats post-Shaoyang weakness, deficient Heart Qi, palpitations, and forgetfulness.
Fushen (Poria with Hostwood) Huangqi (Astragalus Root) Shichangpu (Acorus Rhizome) [each one liang] Baishao (White Peony Root) Renshen (Ginseng Radix et Rhizoma) [each half liang] Yuanzhi (Polygalae Radix, woody core removed, seven qian half)
Chop the herbs. Take five qian per dose, add one zhong of water and three dates, decoct until six fen remain, strain, and take warm.
Longchi Wan (Dragon Tooth Pill): Treats latent heat in the Heart after Shaoyang disease, causing Heart deficiency, palpitations, and fright.
Longchi (Dragon Tooth) Renshen (Ginseng Radix et Rhizoma) Shengdihuang (Rehmannia Root) Fushen (Poria with Hostwood) [each one liang] Yuanzhi (Polygalae Radix, woody core removed) Tiefen (Iron Powder) [half liang each, finely ground] Huanglian (Coptis Rhizome, mustache removed) Mayaxiao (Mirabilite) [finely ground] Fangfeng (Saposhnikovia Root) [each seven qian half] Shexiang (Musk) [five fen, finely ground] Maimendong (Ophiopogon Tuber, heart removed, dried, one liang half)
Pound into fine powder, mix evenly, bind with refined honey, and form pills the size of sophora seeds. Take twenty pills each time, washed down with Zhuye Yinjin Tang (Bamboo Leaf and Silver Flower Decoction), at any time.
Wendan Tang (Warm the Gallbladder Decoction): Treats conditioning after Shaoyang resolution.
Banxia (Pinellia Tuber, soaked in hot water) Fuling (Poria, peeled) Chenpi (Aged Tangerine Peel, pith removed) Zhishi (Immature Bitter Orange, stir-fried) [each two qian] Zhuru (Bamboo Shavings) [one qian] Gancao (Licorice Root, roasted) [half qian]
Take as one dose, add two zhongs of water and three slices of fresh ginger, decoct until one zhong remains, take at any time.
Modified Wendan Tang: Treats post-resolution Heart and Gallbladder deficiency-cowardice, easily frightened by events, restless sleep, Qi stagnation generating phlegm-fluids, which clash with Qi to produce various syndromes. Symptoms include shortness of breath, fatigue, spontaneous sweating, edema of limbs, loss of taste, Heart deficiency with irritability, restlessness.
Zhishi (Immature Bitter Orange, bran-fried) Banxia (Pinellia Tuber, soaked in hot water) Bai Fuling (Poria, peeled) Juhong (Red Tangerine Peel) Renshen (Ginseng Radix et Rhizoma) [each one qian half] Zhuru (Bamboo Shavings) Xiangfu (Cyperus Rhizome) Maimendong (Ophiopogon Tuber, heart removed) Chaihu (Bupleurum Root) Jiegeng (Platycodon Root) [each one qian] Gancao (Licorice Root, roasted) [half qian]
Take as one dose, add two zhongs of water, three slices of fresh ginger, and two red dates, decoct until one zhong remains, take at any time.
Irritating Heat
Chaihu Tang (Bupleurum Decoction): Treats post-Shaoyang exhaustion syndrome with five-palm heat, pain in the back and shoulders, weakness in hands and feet, and anorexia.
Chaihu (Bupleurum Root) Chi Fuling (Red Poria) Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-soaked and roasted) Huangqi (Astragalus Root) Qinjiao (Gentiana Macrophylla Root) Digupi (Lycium Bark) Huangqin (Scutellaria Root, black heart removed) Zhike (Immature Bitter Orange, pulp removed, bran-fried) Gegen (Pueraria Root) [each half liang] Gancao (Licorice Root, roasted) Renshen (Ginseng Radix et Rhizoma) [each seven qian half]
Chop the herbs. Take four qian per dose, add one and a half zhongs of water, decoct until seven fen remain, take warm at any time.
Deficient Sweating
Biejia San (Turtle Shell Powder): Treats post-Shaoyang weakness, continuous night sweats, limb weakness, and worsening chills in the evening.
Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-roasted until yellow) Fuzi (Aconite Lateral Root, processed, cracked, peel and navel removed) Gancao (Licorice Root, roasted) Roucongrong (Cynomorium Herba, wine-soaked, peeled, roasted and dried) Renshen (Ginseng Radix et Rhizoma) Huangqi (Astragalus Root) Shudihuang (Prepared Rehmannia Root) Taoren (Peach Kernel, peel and tip removed, twin-kernel bran-fried) Zhike (Immature Bitter Orange, pulp removed, bran-fried) Duzhong (Eucommia Bark, roasted until yellow) Wuweizi (Schisandra Berry) Chaihu (Bupleurum Root) Niuxi (Achyranthes Root) [each seven qian half] Muli (Oyster Shell, calcined powder) Cangzhu (Atractylodes Rhizome, fried) [each one liang]
Chop the herbs. Take five qian per dose, add one large zhong of water, half a qian of fresh ginger, and three dates, decoct until five fen remain, take warm at any time.
Treats post-Shaoyang weakness with day and night continuous sweating, internal dryness, dry mouth, and throat discomfort.
Yellow Hen (one whole, intestines and viscera cleaned) Muli (Oyster Shell, calcined powder) Mahuanggen (Ephedra Root) [each two liang] Roucongrong (Cynomorium Herba, one liang, wine-soaked overnight, scales scraped off, sliced)
First, boil the hen and Mahuanggen in seven large zhongs of water until three large zhongs of liquid remain. Remove the hen and Mahuanggen. Add Roucongrong and Muli, decoct until one and a half zhongs remain. Strain and divide into three doses. Take on an empty stomach, before noon, and before bed.
Treats excessive deficient sweating after a major illness resolves.
Longgu (Fossilized Bone) Muli (Oyster Shell, calcined powder) Mahuangjie (Ephedra Joint) [equal parts]
Pound into powder and apply to the body.
Wheezing and Cough
Ziwan San (Asther Sinensis Powder): Treats post-Shaoyang Lung萎 (Flaccidity), chronic cough, expectoration of bloody pus with foul odor, continuous expectoration, and gradual emaciation.
Ziwan (Asther Sinensis Root, washed to remove stems and soil) Tianmendong (Asparagus Tuber) Beimu (Fritillaria Bulb, baked until slightly yellow) [each one liang] Sheng Dihuang (Raw Rehmannia Root) Jiegeng (Platycodon Root) [each one liang half] Baihe (Lily Bulb) Zhimu (Anemarrhena Rhizome) [each seven qian half]
Chop the herbs. Take four qian per dose, add one and a half zhongs of water, decoct until six fen remain, strain, and take warm at any time.
Nocturnal Emission
Muli San (Oyster Shell Powder): Treats post-Shaoyang deficiency, frequent palpitations, and nocturnal seminal emission.
Muli (Oyster Shell, calcined powder) Guixin (Cinnamon Twig) Lurong (Deer Antler, roasted with butter) Baishao (White Peony Root) Longgu (Fossilized Bone) [each one qian] Gancao (Licorice Root, roasted, half liang)
Chop the herbs. Take five qian per dose, add one large zhong of water, one qian of fresh ginger, and three dates, decoct until five fen remain, strain, and take warm before meals.
Lingyangjiao Wan (Antelope Horn Pill): Treats post-Shaoyang nocturnal seminal emission with involuntary leakage, dry and emaciated body, and skeletal appearance.
Lingyangjiaoxie (Antelope Horn Shavings) Xijiaoxie (Rhino Horn Shavings) Shilongru (Verbenaceae Herb) Jiuzi (Allii Tuberosi Semen, fried) Longgu (Fossilized Bone) Zhusha (Cinnabar, finely ground and levigated) Lurong (Deer Antler, wine-soaked and roasted) Zexie (Alisma Rhizome) [each one liang half] Guixin (Cinnamon Twig) Muxiang (Aucklandiae Radix) [each one liang]
Pound into fine powder, bind with refined honey, and pound 500-700 times. Form pills the size of sophora seeds. Take thirty pills each time before meals, washed down with warm wine.
Loss of Voice
Erli Tang (Two Sap Decoction): Treats post-Shaoyang aphonia.
Zhuli (Bamboo Sap) Jingli (Schizonepeta Sap) Lizhi (Pear Juice) [each three he]
Mix evenly, filter through cotton cloth, divide into four warm doses. Take one dose on an empty stomach and one in the evening.
Vomiting and Hiccups
Renshen Tang (Ginseng Decoction): Treats post-Shaoyang weakness, lack of strength, vomiting, hiccups, and rebellious Qi.
Renshen (Ginseng Radix et Rhizoma) Bai Fuling (Poria, peeled) Banxia (Pinellia Tuber, washed seven times in hot water and fried) Chenpi (Aged Tangerine Peel, pith removed) Baizhu (Atractylodes Macrocephala Rhizome) [each half liang] Maimendong (Ophiopogon Tuber, heart removed and dried) Huangqi (Astragalus Root) [each one liang] Gancao (Licorice Root, roasted, two qian half)
Chop the herbs. Take five qian per dose, add one and a half zhongs of salt water, three slices of fresh ginger, and two broken dates, decoct until eight fen remain, strain, and take warm before meals.
Diarrhea
Helile Wan (Terminalia Pill): Treats post-Shaoyang dysentery with pus and blood, and lower body pain.
Helile (Terminalia Chebula Fruit, pitted and processed) Renshen (Ginseng Radix et Rhizoma) [each one liang] Bai Fuling (Poria, peeled) Danggui (Angelica Sinensis Root, baked) Muxiang (Aucklandiae Radix) Baizhi (Angelica Dahurica Root) [each seven qian half] Mudanpi (Moutan Cortex, half liang)
Pound and sieve into powder, bind with refined honey, and pound 300-500 times. Form pills the size of sophora seeds. Take thirty pills each time before meals, washed down with rice drink, twice daily.
Huanglian Wan (Coptis Pill): Treats post-Shaoyang febrile disease diarrhea with pus and blood due to heat toxicity.
Huanglian (Coptis Rhizome, fried, seven qian half) Wumeirou (Dark Plum Flesh, fried, two liang)
Pound into fine powder, bind with refined honey and a little beeswax, and pound 500-600 times. Form pills the size of sophora seeds. Take twenty pills initially, up to thirty pills, on an empty stomach washed down with rice drink.
Helile Yin (Terminalia Drink): Treats post-Shaoyang Qi disharmony with uncontrolled diarrhea.
Helile (Terminalia Chebula Fruit, four fruits, two raw and two roasted, pitted) Caodoukou (Cardamom Fructus, four fruits, two raw and two roasted, peeled)
Chop the herbs. Take two qian bi per dose, add one zhong of Jiangshui (fermented grain water), decoct until six fen remain, strain, and take warm on an empty stomach.
Zaochang Wan (Dry Intestine Pill): Treats post-Shaoyang sweating and purgation leading to spontaneous defecation and urination, abdominal pain.
Fuzi (Aconite Lateral Root, one processed) Ganjiang (Dried Ginger, one liang) Longgu (Fossilized Bone) Wuzhuyu (Evodia Fruit) Helile (Terminalia Chebula Fruit, pitted) Yumiqiao (Papaver Pericarpium) [each half liang]
Pound into fine powder, bind with wine paste to form pills the size of sophora seeds. Take thirty pills each time washed down with warm water. Stop taking when diarrhea ceases.
Lower Back Pain
Post-Shaoyang sweating, vomiting, and purgation leading to body weakness, accumulation of cold Qi in the Yuan Zang (Primary Viscera), stabbing lower back pain, and difficulty turning.
Yuancan'e (Silkworm Moth) Nuomi (Glutinous Rice) [half jin and half sheng respectively]
Stir-fry the two together until the rice turns scorched, then pound and sieve into powder. Use half a liang each time, mix with rice vinegar to a thin paste, boil in a pot until thick, spread hot on wax paper, apply to the painful area, wrap with cloth, and change when cool.
Duzhong Wine: Treats post-Shaoyang body weakness, Wind-Cold in the Yuan Zang, lower back and knee pain, inability to walk.
Duzhong (Eucommia Bark, coarse peel removed, roasted, two liang) Duhuo (Angelica Pubescens Root) Fuzi (Aconite Lateral Root, processed, cracked, peel and navel removed) Niuxi (Achyranthes Root) [each one liang] Xianlingpi (Epimedium Herba, seven qian half)
Finely chop, place in a raw silk bag, soak in five sheng of wine, seal tightly. After seven days, take two to three he of warm wine intermittently, three times daily. Repeat soaking if not cured.
Insomnia
Zhizi Wumei Tang (Gardenia and Dark Plum Decoction): Treats post-Shaoyang insomnia.
Zhizi (Gardenia Fruit) Huangqin (Scutellaria Root) [each two qian] Chaihu (Bupleurum Root, three qian) Gancao (Licorice Root, one qian) Wumei (Dark Plum, three fruits, pitted)
Take as one dose, add two zhongs of water, three slices of fresh ginger, fourteen bamboo leaves, and thirty fermented soybeans, decoct until one zhong remains, take at any time.
Smallpox (Pea Pox)
The *Qianjin Fang* treats smallpox: Boil Huanglian (Coptis Rhizome) alone in wine and water for oral administration. Externally, pound Xiaochidou (Adzuki Bean) into powder, mix with real Qingdai (Indigo Naturalis), and apply with egg white to the sores; the effect is miraculous.
Residual Toxins
If Shaoyang sweating is incomplete, and pathogenic heat accumulates one cun two fen three li behind the ear or causes swelling and hardness under the ear, it is called Fayi (Parotitis). This is caused by residual heat becoming toxic. It should be dissipated quickly; if delayed, it will suppurate and cause further harm.
Lianqiao Baidu San (Forsythia Detoxifying Powder): Treats initial swelling of Fayi; take this to dissipate it.
Qianghuo (Notopterygium Root) Duhuo (Angelica Pubescens Root) [medium grade] Lianqiao (Forsythia Fruit, upper grade) Jingjie (Schizonepeta Spike) Fangfeng (Saposhnikovia Root) Chaihu (Bupleurum Root) [medium grade] Shengma (Cimicifuga Rhizome, lower grade) Jiegeng (Platycodon Root) [medium grade] Gancao (Licorice Root, lower grade) Chuanxiong (Ligusticum Rhizome) [medium grade] Niubangzi (Arctium Seed, fried on new tile and crushed) Dangguiwei (Angelica Sinensis Root Tail, wine-washed, medium grade) Honghua (Carthamus Flower, wine-washed, lower grade) Sumu (Sappan Wood, lower grade) Tianhuafen (Trichosanthes Root) [medium grade]
Add one zhong of water and one zhong of good wine, decoct until one zhong remains, strain, and take warm slowly. If not dissipated, add Chanshunjia Hemafen (Pangolin Scale and Clam Shell Powder, fried, one qian). If swelling extends to the face, add XiangBaizhi (Angelica Dahurica Root, one qian) and Loulu (Euphorbia Root, five fen). If stool is dry and solid, add Jiuhuanglian (Wine-soaked Rhubarb, one qian half); double the dose for robust patients. If there is internal heat or alternating chills and fever, double Chaihu, add Jiuhuangqin (Wine-washed Scutellaria Root, one qian) and Jiuhuanglian (Wine-fried Coptis Rhizome, one qian).
Xiaodu Jiuku San (Detoxification and Salvation Powder): Reduces swelling and dissipates toxins. Mix with rice vinegar and apply around the swelling, leaving the head open. Reapply if dry.
Dahuang (Rhubarb Root, three qian) Huangqin (Scutellaria Root) Huanglian (Coptis Rhizome) Huangbai (Phellodendron Bark) Furongye (Hibiscus Leaf) Dajigen (Great Thistle Root) Baiji (Bletilla Rhizome) Bailian (Pardanthopsis Rhizome) Tiannanxing (Arisaema Rhizome) Banxia (Pinellia Tuber) Honghua (Carthamus Flower) Tanhua (Prunus Flower) Dangguiwei (Angelica Sinensis Root Tail) Xiaochidou (Adzuki Bean) Baizhi (Angelica Dahurica Root) [each one qian half] Puxiao (Mirabilite) Xionghuang (Realgar, separately ground, one qian each)
Another formula uses Jianshaocao (Herba Solani Lycopersici), raw Baiji, raw Bailian, Tudahuang (Polygonum Multiflorum Root), raw Dajigen, and Ye Zhuma Gen (Boehmeria Root), pound into a cake, add one qian Puxiao, mix evenly, apply to swelling leaving the head open, change if dry. Adding raw Cigu (Colocasia Corm) and Jinxi Chonglou (Paris Polyphylla Rhizome) is especially excellent.
Neituo Xiaodu San (Internal Support and Detoxification Powder): Treats Fayi with suppuration that cannot be dissipated; take whether ruptured or not.
Renshen (Ginseng Radix et Rhizoma, medium grade) Huangqi (Astragalus Root, upper grade) Fangfeng (Saposhnikovia Root, medium grade) Baizhi (Angelica Dahurica Root, medium grade) Chuanxiong (Ligusticum Rhizome, medium grade) Danggui (Angelica Sinensis Root, medium grade) Jiegeng (Platycodon Root, medium grade) Lianqiao (Forsythia Fruit, medium grade) Shengma (Cimicifuga Rhizome, medium grade) Chaihu (Bupleurum Root, medium grade) Jinyinhua (Lonicera Flower, medium grade) Gancaojie (Licorice Joint, medium grade)
Add one zhong of water and one zhong of good wine, decoct until one zhong remains, strain, and take warm slowly. For ruptured sores, apply Yuanwu Gao (Black Tortoise Ointment). If surrounding redness and swelling persist, apply the previous medicine externally and simultaneously take Lafan Wan (Beeswax and Alum Pill), which is best.
Dizziness and Confusion
After Shaoyang sweating resolves, if the patient gradually feels dizzy and unconscious, as if possessed, or speaks incorrectly and groans, this is due to incomplete sweating and pathogenic heat lurking in the Xinbao (Pericardium). The *Liuren Shu* uses Zhima Tang (Anemarrhena and Ephedra Decoction) to induce sweating, but considering the post-illness deficiency of Blood and Qi, sweating is contraindicated. If the pulse is weak and the person is deficient, only Shiwei Wendan Tang (Ten-Ingredient Warm the Gallbladder Decoction) added with Huanglian is appropriate. If there is alternating chills and fever, or afternoon tidal fever, Xiao Chaihu Tang (Minor Bupleurum Decoction) modified according to symptoms is appropriate.
Treatment Examples for Post-Shaoyang Weakness
Danggui Liuhuang Tang (Angelica and Six Huang Decoction): Treats post-Shaoyang new resolution with deficiency-heat and continuous night sweats.
Dangguishen (Angelica Sinensis Root Body, wine-washed, one qian five fen) Huangbai (Phellodendron Bark, fried) Huangqin (Scutellaria Root, fried) [each seven fen] Huanglian (Coptis Rhizome, fried, five fen) Huangqi (Astragalus Root, salt-water roasted, two qian) Shengdihuang (Raw Rehmannia Root, wine-washed) Shudihuang (Prepared Rehmannia Root, wine-steamed) [each one qian]
Take as one dose, add two zhongs of water, decoct until eight fen remain, take warm far from meals.
Modified Huangqi Jianzhong Tang (Astragalus and Middle-Building Decoction): Treats Yang deficiency without heat, aversion to cold, night sweats, weakness, and lower deficiency.
Huangqi (Astragalus Root) Baishao (White Peony Root) [each two qian] Danggui (Angelica Sinensis Root, one qian half) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodes Macrocephala Rhizoma) Mahuanggen (Ephedra Root) Muli Fen (Oyster Shell Powder) [each one qian] Guanzi (Cinnamon Twig, five fen) Yitang (Maltose, one spoon) Dazao (Jujube, two fruits)
Decoction method same as above.
Ziyin Bushen Wan (Nourish Yin and Tonify Kidney Pill): Treats post-illness Yin deficiency with insufficient Essence and Blood, limb weakness, restless mind, nocturnal emission, deficiency-heat night sweats, poor appetite, failure to build muscle, emaciation, and sallow complexion without luster. This pill nourishes Kidney Water and controls deficiency-fire, providing great benefit.
Shudihuang (Prepared Rehmannia Root, wine-steamed) Shengdihuang (Raw Rehmannia Root, wine-soaked) Baizhu (Atractylodes Macrocephala Rhizome) [each two liang] Renshen (Ginseng Radix et Rhizoma) Maimendong (Ophiopogon Tuber, heart removed) Wuweizi (Schisandra Berry) Danggui (Angelica Sinensis Root, wine-soaked) Baishao (White Peony Root, wine-fried) Chuanxiong (Ligusticum Rhizome) Huangqi (Astragalus Root, salt-water roasted) Shanyao (Dioscorea Rhizome) Haf Fen (Clam Shell Powder, separately ground extremely fine) Fushen (Poria with Hostwood, wood removed) Sharen (Amomum Fruit) [each one liang] Zhimu (Anemarrhena Rhizome, fried, one liang half) Huangbai (Phellodendron Bark, fried, two liang)
Pound the sixteen herbs into fine powder, bind with refined honey, pound over a thousand times in a stone mortar, form pills the size of sophora seeds. Take fifty pills each time on an empty stomach washed down with light salt water.
Modified Buyin Wan (Tonify Yin Pill): Treats the same syndromes as above.
Huangbai (Phellodendron Bark, salt-wine stir-fried, four liang) Shudihuang (Prepared Rehmannia Root) Zhimu (Anemarrhena Rhizome, salt-wine stir-fried) Baiguiban (Tortoise Carapace, vinegar-roasted) [each two liang] Hu Jinggu (Tiger Tibia Bone) Suoyang (Cynomorium Herba, vinegar-roasted) Baishao (White Peony Root, wine-fried) Danggui (Angelica Sinensis Root, wine-soaked) Chuan Niuxi (Achyranthes Bidentata Root, wine-washed) Duzhong (Eucommia Bark, vinegar-roasted, fibers removed) Sharen (Amomum Fruit) [each one liang]
If winter weather is cold, add Pao Ganjiang (Processed Dried Ginger, five qian). Pound into fine powder, bind with refined honey and five pig spinal cords, pound over a thousand times in a stone mortar, form pills the size of sophora seeds. Take five large pills each time on an empty stomach washed down with light salt wine or salt water.
Zhusha Anshen Wan (Cinnabar Calming Mind Pill): Treats post-illness Heart-mind unrest, restless sleep, chaotic dreams, and insomnia.
Zhusha (Cinnabar, separately ground and levigated, two qian, use half as coating) Huanglian (Coptis Rhizome, fried) Shengdihuang (Raw Rehmannia Root, wine-washed and dried) [each one qian half] Dangguishen (Angelica Sinensis Root Body, wine-soaked, one qian) Gancao (Licorice Root, roasted, half qian)
Pound into fine powder, make pills the size of mung beans using steamed bread paste soaked in decoction, coat with Zhusha, dry in shade. Take thirty pills each time, swallowed with saliva or washed down with Centipeda Decoction.
Modified Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill): Treats post-illness weak Stomach and poor appetite; takes this to advance diet and strengthen Stomach Qi.
Zhishi (Immature Bitter Orange, fried) Shenqu (Medicated Leaven, fried) Damai (Barley, fried) Tangqiuzi (Crataegus Fruit) Chenpi (Aged Tangerine Peel) [each one liang] Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodes Macrocephala Rhizome) [each two liang]
Pound into powder, bind with lotus leaf-baked rice into pills the size of sophora seeds. Take seventy to eighty pills each time washed down with plain water. If summer heat exists, add Jiangchao Huanglian (Ginger-fried Coptis Rhizome, seven qian). If winter cold exists, add Sharen (Amomum Fruit, one liang). If Qi stagnation causes discomfort, add Xiangfu (Cyperus Rhizome, one liang). If phlegm is abundant, add Juhong (Red Tangerine Peel, one liang), remove Chenpi, and add Banxia Qu (Pinellia Medicated Leaven, one liang).
Liujunzi Tang (Six Gentlemen Decoction): Treats post-Shaoyang sweating and purgation approaching recovery; take this to condition, assist the Spleen, promote eating, and expel pathogenic Qi. Excellent.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodes Macrocephala Rhizoma) Huangqi (Astragalus Root) Bai Fuling (Poria) Shanyao (Dioscorea Rhizoma) Gancao (Licorice Root) [equal parts]
Chop the herbs. Take four qian per dose, add one and a half zhongs of water, three slices of fresh ginger, and one jujube, decoct until seven fen remain, strain, and take warm.
Yangpi Tang (Spleen-Nourishing Decoction): Treats post-Shaoyang Spleen-Stomach weakness and anorexia.
Fuling (Poria) Ganjiang (Dried Ginger, processed) [each one liang] Baizhu (Atractylodes Macrocephala Rhizome, two liang) Dingxiang (Caryophylli Flos) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Root) [each half liang]
Mix and pound/sieve according to standard method. Take three qian per dose, add one zhong of water, decoct until six fen remain, take warm, three times daily, at any time.
Jianpi San (Spleen-Strengthening Powder): Treats post-Shaoyang Spleen-Stomach weakness, lack of appetite, and inability to digest food even if eaten.
Helilepi (Terminalia Chebula Fruit Peel) Baizhu (Atractylodes Macrocephala Rhizoma) Mai (Barley, fried until slightly yellow) Renshen (Ginseng Radix et Rhizoma) [each one liang] Ganjiang (Dried Ginger, processed, seven qian half) Shenqu (Medicated Leaven, fried) Gancao (Licorice Root, roasted) Zhike (Immature Bitter Orange, bran-fried) Dafupi (Arecae Pericarpium) [each half liang]
Chop the herbs. Take four qian per dose, add one zhong of water and half a qian of fresh ginger, decoct until six fen remain, strain, and take slightly warm at any time.