治寒温外感诸证，大病瘥后不能自复，寒热往来，虚汗淋漓；或但热不寒，汗出而热解，须
臾又热又汗，目睛上窜，势危欲脱；或喘逆，或怔忡，或气虚不足以息，诸证若见一端，即
宜急服。
萸肉（去净核,二两） 生龙骨（捣细,一两） 生牡蛎（捣细,一两） 生杭芍（六钱） 野台参（四钱） 甘草（二钱,
蜜炙）
萸肉救脱之功，较参、术、 更胜。盖萸肉之性，不独补肝也，凡人身之阴阳气血将散者，皆能敛之。故救脱之药，
当
以萸肉为第一。而《神农本草经》载于中品，不与参、术、 并列者，窃忆古书竹简韦编，易于错简，此或错简之误欤！
凡人元气之脱，皆脱在肝。故人虚极者，其肝风必先动，肝风动，即元气欲脱之兆也。又肝与胆脏腑相根据，胆为少
阳，
有病主寒热往来；肝为厥阴，虚极亦为寒热往来，为有寒热，故多出汗。萸肉既能敛汗，又善补肝，是以肝虚极而元气
将脱者服之最效。愚初试出此药之能力，以为一己之创见，及详观《神农本草经》山茱萸原主寒热，其所主之寒热，即
肝经虚极之寒热往来也。特从前涉猎观之，忽不加察，且益叹《神农本草经》之精当，实非后世本草所能及也。又《神
农本草经》谓山茱萸能逐寒湿痹，是以本方可用以治心腹疼痛。曲直汤用以治肢体疼痛，以其味酸能敛。补络补管汤，
用之以治咳血吐血。再合以此方重用之，最善救脱敛汗。则山茱萸功用之妙，真令人不可思议矣。
一人，年二十余，于孟冬得伤寒证，调治十余日，表里皆解。忽遍身发热，顿饭
顷，汗出淋漓，热顿解，须臾又热又汗。若是两昼夜，势近垂危，仓猝迎愚延医。及至，见
汗出浑身如洗，目上窜不露黑睛，左脉微细模糊，按之即无，此肝胆虚极，而元气欲脱也，
盖肝胆虚者，其病象为寒热往来，此证之忽热忽汗，亦即寒热往来之意。急用净萸肉二两煎
服，热与汗均愈其半，遂为拟此方，服两剂而病若失。
赵叟，年六十三岁，于仲冬得伤寒证，痰喘甚剧。其脉浮而弱，不任循按，问其平素，言有劳病，冬日恒发喘嗽。
再三
筹思，强治以小青龙汤去麻黄，加杏仁、生石膏，为其脉弱，俾预购补药数种备用。服药后喘稍愈，再诊其脉微弱益甚，
遂急用净萸肉一两，生龙骨、生牡蛎各六钱，野台参四钱，生杭芍三钱为方，皆所素购也。煎汤甫成，此时病患呼吸俱
微，自觉气息不续，急将药饮下，气息遂能接续。
李××，年五旬，偶相值，求为诊脉，言前月有病服药已愈，近觉身体清爽，未知脉象何如？诊之，其脉尺部无根，
寸
部摇摇有将脱之势，因其自谓病愈，若遽悚以危语，彼必不信，姑以脉象平和答之。遂秘谓其侄曰∶“令叔之脉甚危险，
当服补敛之药，以防元气之暴脱。”其侄向彼述之，果不相信后二日，忽遣人迎愚，言其骤然眩晕不起，求为延医。既至，
见其周身颤动，头上汗出，言语错乱，自言心怔忡不能支持，其脉上盛下虚之象较前益甚，急投以净萸肉两半，生龙骨、
生牡蛎、野台参、生赭石各五钱，一剂即愈。继将萸肉改用一两，加生山药八钱，连服数剂，脉亦复常。按∶此方赭石
之分量，宜稍重于台参。
附录∶
湖北天门县崔××来函∶
张港朱××之儿媳，产后角弓反张，汗出如珠，六脉散乱无根，有将脱之象，迎为延医。急用净萸肉二两，俾煎汤
服之，
一剂即愈。
治疗外感寒热疾病的各种证候，大病初愈后身体无法自行恢复，出现忽冷忽热、虚汗淋漓的症状；或者只发热不怕冷，出汗后热退，但片刻后又发热出汗，眼球上翻，病情危急似有脱失之象；或者气喘逆乱，或者心悸不安，或者气虚导致呼吸短促。这些症状只要见到其中一种，就应当立即服用此方。
山茱萸（去净核，二两） 生龙骨（捣碎成细末，一两） 生牡蛎（捣碎成细末，一两） 生杭芍（六钱） 野台参（四钱） 甘草（二钱，用蜂蜜炙烤）
山茱萸挽救虚脱的功效，比人参、白术更强。因为山茱萸的药性，不仅补肝，凡是人体阴阳气血即将散失的，都能收敛住。所以挽救虚脱的药物，应当以山茱萸为第一。而《神农本草经》将其列在中品，不与人参、白术并列，我私下猜测古书竹简上的韦编容易错乱，这或许是错简造成的错误吧！
凡人的元气脱失，都是在肝脏发生。所以人极度虚弱时，肝风必定先动，肝风一动，就是元气将要脱失的征兆。又因为肝与胆脏腑相互关联，胆属少阳，有病时主要表现是忽冷忽热；肝属厥阴，极度虚弱时也会表现为忽冷忽热，因为有寒热往来，所以多出汗。山茱萸既能收敛止汗，又善于补肝，所以对于肝极度虚弱而元气将脱的人服用最为有效。我初次发现这种药的能力，以为是自己独到的见解，后来详细查阅《神农本草经》，发现山茱萸原本主治寒热，它所说的寒热，就是肝经极度虚弱的寒热往来。只是以前粗略浏览，没有仔细考察，更加感叹《神农本草经》的精当，确实不是后世的本草著作所能比及的。另外，《神农本草经》说山茱萸能驱逐寒湿痹症，所以本方可以用来治疗心腹疼痛。曲直汤用来治疗肢体疼痛，是因为它的酸味能收敛。补络补管汤，用它来治疗咳血吐血。再结合这个方子重用山茱萸，最擅长挽救虚脱、收敛止汗。那么山茱萸功用的奇妙，真让人不可思议。
有一位患者，二十多岁，在初冬得了伤寒证，调理治疗十多天后，表里症状都解除了。忽然全身发热，一顿饭的功夫，大汗淋漓，热势顿时解除，但片刻后又发热出汗。这样持续了两天两夜，病情接近垂危，仓促间请我去诊治。到了那里，看见他浑身出汗像水洗一样，眼球上翻露出白眼仁，左脉微细模糊，按下去就没有了，这是肝胆极度虚弱，而元气将要脱失的表现。大概肝胆虚弱的人，其病象表现为寒热往来，这个病例的忽热忽汗，也就是寒热往来的意思。急忙使用净山茱萸二两煎服，热势和汗出都减轻了一半，于是为他拟定此方，服用两剂后病就好了。
赵老先生，六十三岁，在仲冬得了伤寒证，痰喘非常剧烈。他的脉象浮而弱，承受不住细致的按压，询问他平素的情况，说有劳损性疾病，冬天经常发作喘嗽。经过再三思考，勉强用小青龙汤去掉麻黄，加入杏仁、生石膏，因为他脉弱，让他预先购买几种补药备用。服药后喘稍有好转，再次诊脉，脉象微弱得更加厉害，于是急忙使用净山茱萸一两，生龙骨、生牡蛎各六钱，野台参四钱，生杭芍三钱组成方剂，这些都是他平时购买的药材。汤药刚煎好，此时病人呼吸都很微弱，自觉气息接续不上，急忙将药喝下，气息随即能够接续。
李某某，五十岁左右，偶然相遇，请求我为他诊脉，说上个月生病服药已经好了，最近觉得身体清爽，不知道脉象如何？诊察后，他的尺部脉无根，寸部脉摇摇欲坠有将脱之势，因为他自己说病已痊愈，如果突然用危险的话吓唬他，他一定不信，姑且以脉象平和回答他。随后秘密对他的侄子说：“你叔叔的脉象很危险，应当服用补益收敛的药物，以防元气暴脱。”他的侄子告诉了他，果然不相信。过了两天，忽然派人来请我，说他突然眩晕不能起床，请求延医诊治。到了那里，看见他周身颤动，头上出汗，言语错乱，自述心慌心悸不能支持，他的脉象上盛下虚的情况比以前更严重，急忙投以净山茱萸一两半，生龙骨、生牡蛎、野台参、生赭石各五钱，一剂就痊愈了。接着将山茱萸改为一两，加入生山药八钱，连续服用几剂，脉象也恢复正常。按语：此方中赭石的剂量，应该稍微重于台参。
附录：
湖北天门县崔某某来信：
张港朱某某的儿媳，产后出现角弓反张，出汗如珠，六脉散乱无根，有将脱的征象，迎请我去诊治。急忙使用净山茱萸二两，让煎汤服用，一剂就痊愈了。
Treat various syndromes of external contraction of cold and warm diseases, inability to recover spontaneously after severe illness has subsided, alternating chills and fever, profuse sweating due to deficiency; or only fever without chills, heat resolving after sweating but recurring with sweating shortly thereafter, eyes rolling upward, critical condition resembling collapse; or panting and counterflow, palpitations, or insufficient qi leading to shortness of breath. If any one of these syndromes appears, this formula should be taken urgently.
Cornus officinalis Fruit (Shan Zhu Yu) (pitted, 2 liang), Raw Dragon Bone (Long Gu) (crushed into fine powder, 1 liang), Raw Oyster Shell (Mu Li) (crushed into fine powder, 1 liang), Raw Shaoyao (Bai Shao) (6 qian), Wild Taishen (Tai Shen) (4 qian), Licorice Root (Gan Cao) (2 qian, honey-fried).
The efficacy of Cornus officinalis Fruit in rescuing collapse is superior to that of Ginseng Radix et Rhizoma (Ren Shen) and Atractylodis Macrocephalae Rhizoma (Bai Zhu). This is because the nature of Cornus officinalis Fruit not only tonifies the Liver but also can astringe the yin and yang, qi and blood of the human body when they are about to scatter. Therefore, for drugs rescuing collapse, Cornus officinalis Fruit should be ranked first. The *Shennong Bencao Jing* lists it in the middle grade, not alongside Ren Shen and Bai Zhu. I suspect that ancient bamboo slips bound with leather cords were prone to dislocation, and this might be an error caused by misplaced slips!
Collapse of primordial qi in humans always occurs in the Liver. Thus, when a person is extremely deficient, Liver wind must move first; once Liver wind moves, it is a sign that primordial qi is about to collapse. Furthermore, the Liver and Gallbladder are internally-externally related. The Gallbladder belongs to Shaoyang, and disease here primarily manifests as alternating chills and fever; the Liver belongs to Jueyin, and extreme deficiency also manifests as alternating chills and fever. Because there are alternating chills and fever, there is often profuse sweating. Cornus officinalis Fruit can both astringe sweat and tonify the Liver, so it is most effective for those with extreme Liver deficiency and impending collapse of primordial qi. When I first discovered the capability of this herb, I thought it was my own unique insight. Later, upon detailed examination of the *Shennong Bencao Jing*, I found that Cornus officinalis Fruit originally treated "chills and fever." The chills and fever it treats refer precisely to the alternating chills and fever of extreme deficiency in the Liver meridian. Previously, I had skimmed over it without careful observation, which made me sigh even more at the precision of the *Shennong Bencao Jing*, which truly surpasses later materia medica works. Additionally, the *Shennong Bencao Jing* states that Cornus officinalis Fruit can expel cold-damp bi syndrome, so this formula can be used to treat epigastric and abdominal pain. Quzhi Tang uses it to treat limb pain because its sour taste can astringe. Buluo Buguan Tang uses it to treat hemoptysis and hematemesis. Combined with this formula using a heavy dose, it is best at rescuing collapse and astringing sweat. The subtlety of the functions of Cornus officinalis Fruit is truly inconceivable.
A patient, in his early twenties, contracted a Taiyang cold damage syndrome in early winter. After treatment for over ten days, exterior and interior symptoms resolved. Suddenly, he developed generalized fever. Within the time it takes to eat a meal, he sweated profusely, and the heat instantly resolved, but shortly thereafter, fever and sweating recurred. This persisted for two days and nights, approaching a critical state. He was hurriedly summoned to seek medical attention. Upon arrival, I saw his whole body soaked in sweat, eyes rolled up showing the whites, and the left pulse was faint, thin, and indistinct, disappearing upon pressure. This indicated extreme deficiency of the Liver and Gallbladder and impending collapse of primordial qi. Generally, patients with Liver and Gallbladder deficiency manifest alternating chills and fever; the sudden heat and sweating in this case also signify alternating chills and fever. I urgently prescribed 2 liang of pure Cornus officinalis Fruit decocted and administered. Both the fever and sweating reduced by half. I then formulated this prescription for him. After taking two doses, the illness disappeared as if it had never been.
Old Man Zhao, aged sixty-three, contracted a Taiyang cold damage syndrome in mid-winter with severe phlegm-panting. His pulse was floating and weak, unable to withstand detailed palpation. Inquiry revealed he suffered from chronic consumption disease, with frequent panting and coughing in winter. After careful deliberation, I cautiously treated him with Xiao Qing Long Tang removing Ephedra Herb (Ma Huang), adding Apricot Seed (Xing Ren) and Raw Gypsum (Shi Gao). Given his weak pulse, I advised him to purchase several types of tonic herbs in advance for backup. After taking the medicine, his panting improved slightly. On re-examination, his pulse became even weaker and fainter. I urgently prescribed: Pure Cornus officinalis Fruit 1 liang, Raw Dragon Bone and Raw Oyster Shell each 6 qian, Wild Taishen 4 qian, Raw Shaoyao 3 qian. These were all herbs he had previously purchased. As soon as the decoction was ready, the patient's breathing was very faint, and he felt his qi could not continue. He drank the medicine urgently, and his breathing immediately resumed continuity.
Mr. Li XX, around fifty years old, met me by chance and requested a pulse diagnosis. He said he had fallen ill last month and recovered after medication. Recently feeling refreshed, he wondered how his pulse looked. Upon diagnosis, his Chi position pulse lacked root, and the Cun position pulse was unstable, showing signs of impending collapse. Since he claimed to have recovered, frightening him with dire words would likely cause disbelief. I temporarily replied that his pulse appeared peaceful. Secretly, I told his nephew: "Your uncle's pulse is very dangerous. He should take tonifying and astringent medicines to prevent sudden collapse of primordial qi." His nephew relayed this, but he did not believe it. Two days later, he suddenly sent someone to summon me, stating he had experienced sudden vertigo and could not get up. Upon arrival, I saw his whole body trembling, sweating on his head, and confused speech. He complained of severe palpitations and inability to cope. His pulse showed upper excess and lower deficiency, worse than before. I urgently administered: Pure Cornus officinalis Fruit 1.5 liang, Raw Dragon Bone, Raw Oyster Shell, Wild Taishen, and Raw Hematite (Zhe Shi) each 5 qian. One dose resulted in recovery. Subsequently, I changed the Cornus officinalis Fruit dosage to 1 liang, added Raw Dioscorea Rhizome (Shan Yao) 8 qian, and continued for several doses until his pulse returned to normal. Note: In this formula, the dosage of Zhe Shi should be slightly heavier than that of Tai Shen.
Appendix:
Letter from Cui XX of Tianmen County, Hubei Province:
The daughter-in-law of Mr. Zhu XX in Zhanggang suffered from opisthotonos postpartum, sweating like pearls, with scattered and rootless six pulses, showing signs of impending collapse. She was summoned for medical attention. I urgently prescribed 2 liang of pure Cornus officinalis Fruit to be decocted and taken. One dose resulted in complete recovery.