宜实大，忌沉细。渐缓则渐愈，渐数则渐甚。若数而弦紧，及见牢革促代诸脉，难治。
葛根汤（方见《伤寒》）
小续命汤（方见《时方》）
风引汤（方见《金匮》）
桂枝加栝蒌汤（方见《金匮》）
原方加栝蒌，分两倍于桂芍。
六物附子汤
治寒厥。
附子 肉桂 防己（各二钱） 炙草（一钱） 白术 茯苓（各一钱五分）
水煎服。
六味汤（方见《时方》）
白虎汤（方见《伤寒》）
麦门冬汤（方见《金匮》）
白薇汤（《本事》）
人平居无疾苦，忽如死人，气过血远，阴阳复通，移时方寤，名曰血厥，妇人多有之。
白薇 当归（各二钱） 人参 甘草（炙，各五分）
水二杯，煎一杯，温服。
蒲黄汤
治薄厥。
蒲黄（一两） 清酒（十六盏热沃之）
温服。
八物顺气汤
治气厥。
白芷 台乌药 青皮 陈皮（各一钱） 人参（七分） 茯苓 白术（各一钱五分） 炙草（七分）
水煎服。
地黄饮子（方见《时方》）
平胃散（方见《时方》）
玉女煎（见头痛）
瓜蒂散 大小承气汤 调胃承气汤（俱见《伤寒》）
附子粳米汤（方见《金匮》）
三才汤（见咳嗽）
凉膈散（方见《时方》） 或加胆南星、石菖蒲，见中见。
舒筋保肝散
治左瘫右痪，筋脉拘挛，身体不遂，脚腿少力，干湿香港脚，及湿滞经络，久不能去，宣导诸气。
木瓜（五两） 萆 五灵脂 牛膝（酒浸） 续断 白僵蚕（炒） 松节 芍药 乌药 天麻
威灵仙 黄 当归 防风 虎骨（酒炒，各一两）
上用无灰酒一斗，浸上药二七日，紧封扎，日足，取药焙干，捣为细末。每服二钱，
用浸药酒调下，酒尽，用米汤调下。
喻嘉言曰∶此治风湿搏结于筋脉之间，凝滞不散，阻遏正气不得通行之方。
滚痰丸（方见《时方》）
治一切实痰异症，孕妇忌服。
生铁落饮（方见《三字经》）
治狂妄不避亲疏。
定志丸（《千金》）
治言语失伦，常常喜笑发狂。
人参 茯苓（各三两） 石菖蒲 远志（甘草汤泡，去骨，一两）
上四味为末、蜜丸梧子大，饮服七十丸，亦可作汤服。血虚加当归、有痰加半夏、橘皮、甘草、生姜。
五痫丸
治五痫。
朱砂 真珠（各二钱） 水银 雄黄（各五分） 黑铅（一两五钱，用水银 ，结成砂）
研末，蜜炼丸，如麻子大。小儿每服三、四丸，大人加倍。煎金银花、薄荷汤送下。
紫河车丸
癫痫多由母腹中受惊，积久失调，一触而发，遂成此症。此先天受病，故用河车丸，以
人乳送下，取同气相求之义。时贤加当归、人参各二两，朱砂五钱，此方如龙骨、龟版、石
菖蒲，皆可加入。
紫河车（一具，用米泔洗去血，生捣） 禾米蒸熟，晒干研末，为丸梧子大。空心每服五十
丸，人乳送下。
当归龙荟丸（方见《时方》）
治肝经实火，大便秘结，小便涩滞，或胸膈疼痛，阴囊肿胀。凡属肝经实火，皆宜用之
。（叶天士云∶动怒惊触，致五志阳越，莫制狂乱，不避亲疏，非苦降之药，未能清爽其神识也
。）
丹矾丸（张石顽）
治五痫甚效。
黄丹（一两） 白矾（二两）
银罐中 通红，为末。入腊茶一两，不落水猪心血为丸，绿豆大，朱砂为衣。每服三十
丸，茶清送下，久服其涎自便出。服一月后，更以安神药调之。
甘麦大枣汤（叶天士加减方）
治厥发丑寅，阳明少阳之阳震动。
生地 天冬 阿胶 鸡子黄 生龙骨 小麦
水煎服。本方原只小麦、大枣、甘草三味，治妇人脏躁，悲哀欲哭。
叶天士方
治惊恐，阳升风动，宿痫遂发，吐痰呕逆，不言，络脉失利也。
羚羊角 石菖蒲 胆星 远志 连翘 钩藤 天麻 橘红 水煎服。
小半夏汤加白糯米
叶天士云∶冲脉乃阳明所属，阳明虚则失阖，厥气上犯莫遏。《内经》治肝不应，当
取阳明，制其侮也。暂用通补入府，取乎府以通为补之义。
叶天士药膏方
案云∶尝治顾某阴络空隙，内风掀然鼓动而为厥。余用咸味入阴和阳，介类有情之潜伏
，颇见小效。但病根在下深远，汤剂轻浮，焉能填隙，改汤为膏，取药力味重以填实之，亦
止厥一法。
鲜鳖甲 龟版 猪脊髓、羊骨髓 生地 天冬 阿胶 淡菜 黄柏 熬膏，早服七钱，午服四钱。
乌梅丸（方见《伤寒》）
统治厥阴诸症，厥热相间，及蛔厥久利。
柯韵伯曰∶六经惟厥阴难治，其本阴而标热，其体风木，其用相火。《内经》云∶必
伏其所主，而先其所因。或收或散，或逆或从，随所利而行之，调其中气，使之和平，是治
厥阴法也。仲景立方，皆以辛甘、甘凉为君，不用酸收之品，而此方用之者，以厥阴主肝木耳
。《洪范》曰∶木曰曲直，曲直作酸。《内经》曰∶木主酸，酸入肝，君乌梅之大酸，是
伏其所主也。配黄连泻心以除痞，佐黄柏滋肾以除渴，先其所因也。肾者肝之母，用椒、附
以温肾，则火有所归，而肝得所养，是固本也。肝欲散，用细辛、干姜之辛散，以遂其
所欲也。肝藏血，用桂枝、当归之温润，所以引其归经也。寒热杂用，则气味不和，故佐以
人参调其中气，以苦酒浸乌梅，同气相求，蒸之米下，资其谷气，加蜜为和，少与而渐加之，
缓以治其本也。仲景此方，本为厥阴诸症之法，叔和编于吐蛔条下，令人不知有厥阴之主方
，观其用药，与诸症符合，岂止吐蛔一症耶。
脉象应当充实盛大，忌讳沉细。脉象逐渐缓和则病情逐渐好转，脉象逐渐急促则病情逐渐加重。如果脉数且弦紧，以及出现牢、革、促、代等脉象，则难以治疗。
葛根汤（方剂见《伤寒论》）
小续命汤（方剂见《时方妙用》）
风引汤（方剂见《金匮要略》）
桂枝加栝蒌汤（方剂见《金匮要略》）
原方中栝蒌的用量分为桂枝和白芍的两倍。
六物附子汤
治疗寒厥。
附子 肉桂 防己（各二钱） 炙甘草（一钱） 白术 茯苓（各一钱五分）
用水煎服。
六味汤（方剂见《时方妙用》）
白虎汤（方剂见《伤寒论》）
麦门冬汤（方剂见《金匮要略》）
白薇汤（方剂见《济生方》/《本事方》）
人平时没有疾病痛苦，忽然像死人一样，气行过而血行远，阴阳重新贯通，过了一会儿才苏醒，名叫血厥，妇女多有此病。
白薇 当归（各二钱） 人参 甘草（炙，各五分）
水两杯，煎取一杯，温服。
八物顺气汤
治疗气厥。
白芷 台乌药 青皮 陈皮（各一钱） 人参（七分） 茯苓 白术（各一钱五分） 炙甘草（七分）
用水煎服。
地黄饮子（方剂见《时方妙用》）
平胃散（方剂见《时方妙用》）
玉女煎（见头痛章节）
瓜蒂散 大小承气汤 调胃承气汤（均见《伤寒论》）
附子粳米汤（方剂见《金匮要略》）
三才汤（见咳嗽章节）
凉膈散（方剂见《时方妙用》） 或者加入胆南星、石菖蒲，见于中风证。
舒筋保肝散
治疗左瘫右痪，筋脉拘挛，身体不能随意运动，脚腿无力，干湿香港脚（脚气），以及湿滞经络，久久不能去除，宣导诸气。
木瓜（五两） 萆薢 五灵脂 牛膝（酒浸） 续断 白僵蚕（炒） 松节 芍药 乌药 天麻
威灵仙 黄芪 当归 防风 虎骨（酒炒，各一两）
以上药物用无灰酒一斗，浸泡上述药物二十七天，紧紧密封扎好，日期到了，取出药物焙干，捣成细末。每次服用二钱，
用浸泡药物的酒调服，酒喝完，用米汤调服。
喻嘉言说：这是治疗风湿搏结在筋脉之间，凝滞不散，阻遏正气不得通行的方剂。
滚痰丸（方剂见《时方妙用》）
治疗一切实痰引起的怪异病症，孕妇忌服。
生铁落饮（方剂见《三字经》/《医学三字经》）
治疗狂妄不避亲疏。
定志丸（方剂见《千金方》）
治疗言语失伦，常常喜笑发狂。
人参 茯苓（各三两） 石菖蒲 远志（甘草汤泡，去骨，一两）
以上四味药研为末，蜜丸如梧子大，饮水送服七十丸，也可以作汤剂服用。血虚加当归，有痰加半夏、橘皮、甘草、生姜。
五痫丸
治疗五痫。
朱砂 真珠（各二钱） 水银 雄黄（各五分） 黑铅（一两五钱，用水银合炼，结成砂）
研为末，蜂蜜炼制为丸，如麻子大。小儿每次服用三、四丸，成人加倍。煎金银花、薄荷汤送下。
紫河车丸
癫痫多由母腹中受惊，积久失调，一触而发，遂成此症。这是先天受病，所以用河车丸，以人乳送下，取同气相求的意义。当代贤人加当归、人参各二两，朱砂五钱，此方如龙骨、龟版、石菖蒲，都可以加入。
紫河车（一具，用米泔水洗去血，生捣） 禾米蒸熟，晒干研末，为丸如梧子大。空心每次服用五十丸，人乳送下。
当归龙荟丸（方剂见《时方妙用》）
治疗肝经实火，大便秘结，小便涩滞，或胸膈疼痛，阴囊肿胀。凡是属于肝经实火，都适宜使用。（叶天士说：动怒惊触，导致五志阳越，无法控制狂乱，不避亲疏，非苦降之药，不能清爽其神识也。）
丹矾丸（张石顽）
治疗五痫非常有效。
黄丹（一两） 白矾（二两）
银罐中烧至通红，研为末。入腊茶一两，不加水的猪心血为丸，绿豆大，朱砂为衣。每次服用三十丸，茶清送下，久服其涎自便出。服药一月后，再以安神药调理。
甘麦大枣汤（叶天士加减方）
治疗厥发作于丑寅时，阳明少阳之阳震动。
生地 天冬 阿胶 鸡子黄 生龙骨 小麦
用水煎服。本方原本只有小麦、大枣、甘草三味药，治疗妇人脏躁，悲哀欲哭。
叶天士方
治疗惊恐，阳升风动，宿痫遂发，吐痰呕逆，不言，络脉失利也。
羚羊角 石菖蒲 胆星 远志 连翘 钩藤 天麻 橘红 用水煎服。
小半夏汤加白糯米
叶天士说：冲脉乃阳明所属，阳明虚则失阖，厥气上犯莫遏。《内经》治肝不应，当取阳明，制其侮也。暂用通补入府，取乎府以通为补之义。
叶天士药膏方
医案记载：曾经治疗顾某阴络空隙，内风掀然鼓动而为厥。我用咸味入阴和阳，介类有情之潜伏，颇见小效。但病根在下深远，汤剂轻浮，焉能填隙，改汤为膏，取药力味重以填实之，也是止厥的一法。
鲜鳖甲 龟版 猪脊髓、羊骨髓 生地 天冬 阿胶 淡菜 黄柏 熬膏，早服七钱，午服四钱。
乌梅丸（方剂见《伤寒论》）
统治厥阴诸症，厥热相间，及蛔厥久利。
柯韵伯说：六经惟厥阴难治，其本阴而标热，其体风木，其用相火。《内经》云：必伏其所主，而先其所因。或收或散，或逆或从，随所利而行之，调其中气，使之和平，是治厥阴法也。仲景立方，皆以辛甘、甘凉为君，不用酸收之品，而此方用之者，以厥阴主肝耳。《洪范》曰：木曰曲直，曲直作酸。《内经》曰：木主酸，酸入肝，君乌梅之大酸，是伏其所主也。配黄连泻心以除痞，佐黄柏滋肾以除渴，先其所因也。肾者肝之母，用椒、附以温肾，则火有所归，而肝得所养，是固本也。肝欲散，用细辛、干姜之辛散，以遂其所欲也。肝藏血，用桂枝、当归之温润，所以引其归经也。寒热杂用，则气味不和，故佐以人参调其中气，以苦酒浸乌梅，同气相求，蒸之米下，资其谷气，加蜜为和，少与而渐加之，缓以治其本也。仲景此方，本为厥阴诸症之法，叔和编于吐蛔条下，令人不知有厥阴之主方，观其用药，与诸症符合，岂止吐蛔一症耶。
The pulse should be full and large; a deep and fine pulse is contraindicated. If the pulse gradually becomes slower, the condition gradually improves; if it gradually becomes faster, the condition gradually worsens. If the pulse is rapid and wiry-tight, or if firm (Lao), leathery (Ge), hurried (Cu), or intermittent (Dai) pulses appear, the condition is difficult to treat.
Gegen Tang (Cinnamon Twig and Pueraria Decoction) (Formula seen in *Shanghan Lun*)
Xiao Xuming Tang (Small Continuation of Life Decoction) (Formula seen in *Shi Fang Miao Yong*)
Fengyin Tang (Wind-Driving Decoction) (Formula seen in *Jingui Yaolue*)
Guizhi Jia Gualou Tang (Cinnamon Twig Decoction plus Trichosanthes Fruit) (Formula seen in *Jingui Yaolue*)
In the original formula, the dosage of Gualou (Trichosanthes Fruit) is double that of Guizhi (Cinnamon Twig) and Baishao (White Peony Root).
Li Wu Fuzi Tang (Six-Material Aconite Decoction)
Treats Han Jue (Cold Reversal Syndrome).
Fuzi (Processed Aconite Lateralis Radix), Rougui (Cinnamon Bark), Fangji (Stephaniae Tetrandrae Radix) (each 2 qian), Zhigancao (Honey-fried Licorice Root) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 1.5 qian).
Decoct in water and take warm.
Liu Wei Tang (Six-Ingredient Decoction) (Formula seen in *Shi Fang Miao Yong*)
Baitu Tang (White Tiger Decoction) (Formula seen in *Shanghan Lun*)
Maimendong Tang (Ophiopogon Decoction) (Formula seen in *Jingui Yaolue*)
Baiwei Tang (Cynanchum Atratum Decoction) (Formula seen in *Ben Shi Fang*)
When a person is normally free from disease and pain, but suddenly appears like a dead person, with Qi flowing excessively and Blood retreating far away, and Yin and Yang reconnecting, waking up only after some time, this is called Xue Jue (Blood Reversal Syndrome). This is common in women.
Baiwei (Cynanchum Atratum Radix), Danggui (Angelica Sinensis Radix) (each 2 qian), Renshen (Ginseng Radix et Rhizoma), Zhigancao (Honey-fried Licorice Root) (each 0.5 qian).
Decoct two cups of water to obtain one cup, take warm.
Puhuang Tang (Lygodii Spora Decoction)
Treats Bo Jue (Thin Reversal Syndrome).
Puhuang (Lygodii Spora) (1 liang), Qingjiu (Clear Wine) (16 zhan, pour hot over the herb).
Take warm.
Ba Wu Shunqi Tang (Eight-Material Qi-Smooth Decoction)
Treats Qi Jue (Qi Reversal Syndrome).
Baizhi (Angelica Dahurica Radix), Tai Wuyao (Linderae Radix), Qingpi (Unripe Tangerine Peel), Chenpi (Aged Tangerine Peel) (each 1 qian), Renshen (Ginseng Radix et Rhizoma) (0.7 qian), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1.5 qian), Zhigancao (Honey-fried Licorice Root) (0.7 qian).
Decoct in water and take.
Dihuang Yinzi (Rehmannia Infusion) (Formula seen in *Shi Fang Miao Yong*)
Pingwei San (Peaceful Stomach Powder) (Formula seen in *Shi Fang Miao Yong*)
Yunu Jian (Jade Maiden Decoction) (See Headache section)
Gouti San (Melon Seed Powder), Da Chengqi Tang (Major Order the Qi Decoction), Xiao Chengqi Tang (Minor Order the Qi Decoction), Tiaowei Chengqi Tang (Regulate the Stomach Order the Qi Decoction) (All seen in *Shanghan Lun*)
Fuzi Jingmi Tang (Aconite and Rice Decoction) (Formula seen in *Jingui Yaolue*)
Santai Tang (Three-Talent Decoction) (See Cough section)
Liangge San (Cool the Diaphragm Powder) (Formula seen in *Shi Fang Miao Yong*). Or add Dantanxing (Arisaema cum Bile) and Shichangpu (Acori Tatarinowii Rhizoma), seen in Stroke syndromes.
Shujin Bao Gan San (Sinew-Nourishing Liver-Protecting Powder)
Treats Left Paralysis and Right Hemiplegia, sinew and vessel spasm, inability to move the body freely, weakness in legs and feet, Dry and Wet Hongjiao (Foot Qi/Jock Itch), and dampness stagnating in collaterals for a long time, promoting the circulation of Qi.
Mugua (Chaenomeles Fruit) (5 liang), Bibo (Dioscoreae Hypoglaucae Rhizoma), Wulingzhi (Trogopterori Faeces), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine), Xuduan (Dipsaci Radix), Baijiangcan (Bombyx Batryticatus) (stir-fried), Songjie (Pinus Massoniana Node), Shaoyao (Paeoniae Radix), Wuyao (Litseae Fructus), Tianma (Gastrodiae Rhizoma), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma - *Note: Text says Weilingxian but context implies Saposhnikoviae Radix usually, however sticking to text name*), Huangqi (Astragali Radix), Danggui (Angelica Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Hugu (Tiger Bone) (wine-fried, each 1 liang).
Soak the above herbs in one dou of non-ash wine for twenty-seven days, seal tightly. When the time is up, take out the herbs, bake dry, and grind into fine powder. Take 2 qian each time, mixed with the soaking wine. When the wine is finished, mix with rice gruel.
Yu Jiayan said: This is a formula for treating Wind-Dampness knotting between sinews and vessels, stagnating without dispersing, obstructing Zheng Qi (Upright Qi) from circulating freely.
Tansuan Wan (Rolling Phlegm Pill) (Formula seen in *Shi Fang Miao Yong*)
Treats all kinds of abnormal symptoms caused by excess Phlegm. Contraindicated in pregnancy.
Shengtieluo Yin (Living Iron Drop Drink) (Formula seen in *Yi Xue San Zi Jing*)
Treats mania and madness where the patient does not distinguish between relatives and strangers.
Dingzhi Wan (Calming Spirit Pill) (Formula seen in *Qian Jin Fang*)
Treats disordered speech, frequent laughter, and manic episodes.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 3 liang), Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix) (soaked in Licorice decoction, remove woody core, 1 liang).
Grind the above four ingredients into powder, make pills with honey the size of guava seeds. Take 70 pills with water. Can also be used as a decoction. For Blood deficiency, add Danggui (Angelica Sinensis Radix); for Phlegm, add Banxia (Pinelliae Rhizoma), Juapi (Citri Reticulatae Pericarpium), Zhigancao (Honey-fried Licorice Root), and Shengjiang (Zingiberis Rhizoma Recens).
Wu Xian Wan (Five Epilepsy Pill)
Treats Wu Xian (Five Types of Epilepsy).
Zhusha (Cinnabar), Zhenzhu (Pearl) (each 2 qian), Shuiyin (Mercury), Xionghuang (Realgar) (each 0.5 qian), Heiqian (Black Lead) (1.5 liang, smelted with Mercury to form cinnabar-like granules).
Grind into powder, refine with honey to make pills the size of hemp seeds. Children take 3-4 pills per dose, adults double the dose. Take with decoction of Jinyinhua (Lonicerae Japonicae Flos) and Bohe (Menthae Haplocalycis Herba).
Ziheche Wan (Placenta Humanus Pill)
Epilepsy often results from fright received in the womb, accumulating over time until imbalance triggers an attack. This is a congenital disease, so Ziheche (Human Placenta) Wan is used, taken with human milk, following the principle of "same Qi seeking each other." Contemporary experts add Danggui (Angelica Sinensis Radix) and Renshen (Ginseng Radix et Rhizoma) each 2 liang, and Zhusha (Cinnabar) 0.5 liang. Longgu (Fossilized Bones), Guiban (Testudinis Carapax et Plastrum), and Shichangpu (Acori Tatarinowii Rhizoma) can also be added.
Ziheche (Human Placenta) (one piece, washed with rice water to remove blood, raw and pounded), Hemǐ (Rice) steamed cooked, dried and ground into powder, made into pills the size of guava seeds. Take 50 pills on an empty stomach, delivered with human milk.
Danggui Longhui Wan (Angelica and Gardenia Pill) (Formula seen in *Shi Fang Miao Yong*)
Treats Excess Fire in the Liver Meridian, constipation, dysuria, chest and diaphragm pain, or scrotal swelling. Suitable for all cases of Excess Fire in the Liver Meridian. (Ye Tianshi said: Anger and shock cause the Yang of the Five Zang emotions to rise uncontrollably, leading to madness and lack of discrimination. Only bitter-cold descending medicines can clear the Shen Spirit.)
Danfan Wan (Lead and Alum Pill) (Zhang Shiweng)
Very effective for treating Wu Xian (Five Types of Epilepsy).
Huangdan (Red Lead), Baifan (Alumen) (2 liang).
Heat in a silver jar until red hot, grind into powder. Add 1 liang of winter tea. Form pills using pig heart blood (without water), size of mung beans, coat with Zhusha (Cinnabar). Take 30 pills per dose with tea liquor. Long-term use will cause phlegm to discharge naturally. After one month of use, regulate with calming medicines.
Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction) (Modified by Ye Tianshi)
Treats Jue attacks occurring during Chou and Yin hours, with Yang vibration of the Yangming and Shaoyang meridians.
Shengdi (Rehmanniae Radix), Tiandong (Ophiopogonis Radix), Ejiao (Donkey-hide Gelatin), Jizihuang (Chicken Egg Yolk), Shenglonggu (Fossilized Bones), Xiaomai (Tritici Fructus).
Decoct in water and take. The original formula contained only Xiaomai (Tritici Fructus), Dazao (Zizyphi Fructus), and Gancao (Licorice Root), treating Zang Zao (Visceral Agitation) in women, characterized by sorrow and desire to cry.
Ye Tianshi Formula
Treats fright and terror, rising Yang and moving Wind, triggering latent epilepsy, vomiting phlegm, silence, and failure of collateral circulation.
Lingyangjiao (Saigae Tataricae Cornu), Shichangpu (Acori Tatarinowii Rhizoma), Danning (Arisaema cum Bile), Yuanzhi (Polygalae Radix), Lianqiao (Forsythiae Fructus), Gouteng (Uncariae Ramulus cum Uncis), Tianma (Gastrodiae Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum). Decoct in water and take.
Xiao Banxia Tang plus Baibamimi (Minor Pinellia Decoction plus White Glutinous Rice)
Ye Tianshi said: The Chong Mai (Penetrating Vessel) belongs to Yangming. When Yangming is deficient, closure fails, and Jue Qi (Reversal Qi) rises uncontrollably. *Neijing* states: If treating the Liver is ineffective, treat Yangming to restrain its encroachment. Temporarily use unblocking and tonifying methods entering the Fu organs, utilizing the principle that "unblocking is tonification" for Fu organs.
Ye Tianshi Paste Prescription
Case record: I once treated Mr. Gu for internal Wind stirring violently due to voids in the Yin collaterals, causing Jue. I used salty substances entering Yin to harmonize Yang, and heavy/shell substances to anchor, achieving slight effect. However, the root of the disease is deep below; decoctions are light and floating, unable to fill the voids. Changing decoction to paste allows heavier medicinal power to fill and solidify. This is another method to stop Jue.
Xianbiejia (Fresh Trionycis Carapax), Guiban (Testudinis Carapax et Plastrum), Zhujingsui (Porcine Medulla Spinalis), Yangjingsui (Ovis/Medis Medulla Spinalis), Shengdi (Rehmanniae Radix), Tiandong (Ophiopogonis Radix), Ejiao (Donkey-hide Gelatin), Dancai (Mytilus Edulis), Huangbai (Phellodendri Cortex). Simmer into paste. Take 7 qian in the morning, 4 qian at noon.
Wumei Wan (Mume Pill) (Formula seen in *Shanghan Lun*)
Comprehensively treats various Jueyin syndromes, alternating cold and heat, and long-standing diarrhea due to ascariasis Jue.
Ke Yunbo said: Among the Six Meridians, Jueyin is the most difficult to treat. Its root is Yin, its branch is Heat; its nature is Wind-Wood, its function is Ministerial Fire. *Neijing* says: "One must subdue what dominates, and first address the cause." Whether gathering or dispersing, opposing or following, act according to what is beneficial, regulate the Middle Qi, and bring it to peace. This is the method for treating Jueyin. Zhang Zhongjing's formulas generally use Acrid-Sweet and Sweet-Cool as sovereign drugs, avoiding Sour-Astringent agents. However, this formula uses them because Jueyin governs the Liver. *Hongfan* says: "Wood is flexible and straight; flexibility and straightness produce Sour." *Neijing* says: "Wood governs Sour; Sour enters the Liver." Using Wumei (Mume Fructus) as the sovereign drug for its great Sourness subdues what dominates. Paired with Huanglian (Coptidis Rhizoma) to drain Heart Fire and remove stuffiness, assisted by Huangbai (Phellodendri Cortex) to nourish Kidney Yin and relieve thirst, addressing the cause first. The Kidney is the Mother of the Liver; using Huajiao (Zanthoxyli Pericarpium) and Fuzi (Aconiti Lateralis Radix Praeparata) to warm the Kidney allows Fire to have a return path, nourishing the Liver, thus consolidating the root. The Liver desires dispersion; using Xixin (Asari Radix) and Ganjiang (Zingiberis Rhizoma) for their Acrid dispersion fulfills its desire. The Liver stores Blood; using Guizhi (Cinnamomi Ramulus) and Danggui (Angelicae Sinensis Radix) for their Warmth and Moisture guides them back to their meridian. Because Cold and Hot are mixed, flavors and Qi do not harmonize, so Renshen (Ginseng Radix et Rhizoma) is added to regulate Middle Qi. Soaking Wumei in Kujiu (Bitter Vinegar) follows the principle of "same Qi seeking each other." Steaming under rice provides Grain Qi. Adding Honey harmonizes. Give small amounts and gradually increase, treating the root slowly. Zhang Zhongjing's formula was originally the method for Jueyin syndromes. Sun Simiao compiled it under the条目 of vomiting roundworms, making people unaware of the primary formula for Jueyin. Observing its medication matches various syndromes; how could it be limited to just vomiting roundworms?