治伤寒温病，阳明大热已退，其人或素虚或在老年，至此益形怯弱，或喘，或嗽，或痰涎壅盛，气息似甚不足者。
生怀山药（两半） 甘蔗自然汁（一两） 酸石榴自然汁（六钱） 生鸡子黄（四个）
先将山药煎取清汤一大碗，再将余三味调入碗中，分三次温饮下，约两点钟服一次。若药已凉，再服时须
将药碗置开水中温之。然不可过热，恐鸡子黄熟，服之即无效。
一周姓叟，年近七旬，素有劳疾，且又有鸦片嗜好，于季秋患温病，阳明府热炽盛，脉象数而不实，喘而
兼嗽，吐痰稠粘。投以白虎加人参汤，以生山药代粳米，一剂，大热已退，而喘嗽仍不愈，且气息微弱，似不
接续。其家属惶恐，以为难愈。且言如此光景，似难再进药。愚曰∶勿须用药，寻常服食之物即可治愈矣。为
开此方，病家视之，果系寻常食物，知虽不对证，亦无妨碍。遂如法服之，二剂全愈。
治寒温结胸，其证胸膈痰饮，与外感之邪互相凝结，上塞咽喉，下滞胃口，呼吸不利，满闷短气，饮水不
能下行，或转吐出。兼治疫证结胸。
蒌仁（二两，新炒者捣） 生赭石（二两，研细） 苏子（六钱，炒捣） 芒硝（四钱，冲服）
用水四盅，煎取清汁两盅，先温服一盅。结开，大便通行，停后服。若其胸中结犹未开，过两点钟，再温
服一盅。若胸中之结已开，而大便犹未通下，且不觉转矢气者，仍可温服半盅。
伤寒下早成结胸，至温病未经下者，亦可成结胸。至疫病自口鼻传入，遇素有痰饮者，其疹疠之气，与上
焦痰饮，互相胶漆，
亦成结胸。《伤寒论》陷胸汤、丸三方，皆可随证之轻重高下借用。特是大陷胸汤、丸中皆有甘遂，世俗医者，
恒望而生畏。至小陷胸汤，性虽平和，又有吴又可瘟疫忌用黄连之说存于胸中，遂亦不肯轻用。及遇此等证，
而漫用开痰、破气、利湿之品，若橘红、莱菔、苍术、白芥、茯苓、浓朴诸药，汇集成方，以为较陷胸诸汤、
丸稳，而且病家服之，以为药性和平，坦然无疑。不知破其气而气愈下陷，利其湿而痰愈稠粘。如此用药，真
令人长太息者也。愚不得已，将治结胸诸成方变通汇萃之，于大陷胸汤中取用芒硝，于小陷胸汤中取用蒌实，
又于治心下痞硬之旋复代赭石汤中取用赭石，而复加苏子以为下行之向导，可以代大陷胸汤、丸。少服之，亦
可代小陷胸汤。非欲与《伤寒论》诸方争胜也，亦略以便流俗之用云尔。
一媪，年六十余。当孟夏晨饭之际，忽闻乡邻有斗者，出视之，见强者凌弱太甚，心甚不平；又兼饭后有
汗受风，遂得温证。表里俱热，胃口杜塞，腹中疼痛，饮水须臾仍吐出。七八日间，大便不通。其脉细数，按
之略实。自言心中燥渴，饮水又不能受，从前服药止吐，其药亦皆吐出。若果能令饮水不吐，病犹可望愈。愚
曰∶易耳。为开此汤，加生石膏二两、野台参五钱，煎汤一大碗，分三次温饮下。晚间服药，翌晨大便得通而
愈。当大便未通时，曾俾用山萸肉（去净核）二两煎汤，以备下后心中怔忡及虚脱，及大便通后，微觉怔忡，
服之即安。
一室女得温病。两三日间，痰涎郁塞，胸膈满闷异常，频频咳吐，粘若胶漆，且有喘促之意，饮水停滞胃
口，间或吐出，其脉浮滑。问之微觉头疼，知其表证犹未罢也。遂师河间双解散之意，于荡胸汤中加连翘、蝉
蜕各三钱。服后微汗，大便得通而愈。
治疗伤寒或温病，阳明经的大热已经消退，患者如果原本体质虚弱或是老年人，此时显得更加怯弱无力，或者出现气喘，或者咳嗽，或者痰涎壅盛，气息似乎非常不足的情况。
生怀山药（七十五克） 甘蔗自然汁（三十克） 酸石榴自然汁（十八克） 生鸡蛋黄（四个）
先将山药煎煮取一大碗清汤，再将其余三味药液调入碗中，分三次温服，大约每两小时服用一次。如果药液变凉，再次服用时须将药碗置于开水中温热。但是不可过热，恐怕鸡蛋黄煮熟，服用后即无效。
一位周姓老人，年龄近七十岁，素有劳损性疾病，且有吸食鸦片的嗜好，在深秋时节患温病，阳明腑热炽盛，脉象数而无力，气喘兼有咳嗽，吐出的痰稠厚粘腻。投用白虎加人参汤，以生山药代替粳米，服用一剂后，大热已退，但气喘咳嗽仍未痊愈，且气息微弱，似乎不能接续。家属惶恐，认为难以治愈。并且说如此情形，似乎难以再进药。我说：不必用药，寻常的食物即可治愈。为此开具此方，病家查看，果然是寻常食物，知道即使不对证，也没有妨碍。于是照法服用，两剂后完全痊愈。
治疗寒温邪气结胸，其证候为胸膈间的痰饮与外感邪气互相凝结，上塞咽喉，下滞胃口，呼吸不利，满闷短气，饮水不能下行，或者转而出吐。兼治疫病引起的结胸。
瓜蒌仁（六十克，新炒后捣碎） 生赭石（六十克，研细） 苏子（十八克，炒后捣碎） 芒硝（十二克，冲服）
用水四碗，煎取清汁两碗，先温服一碗。结胸解开，大便通畅后，停止后续服用。如果胸中的结聚仍未解开，过两小时后，再温服一碗。如果胸中的结聚已开，但大便仍未通下，且不觉排气者，仍可温服半碗。
伤寒因过早攻下而成结胸，至温病未经攻下的，也可形成结胸。至于疫病从口鼻传入，遇到素有痰饮的人，疫疠之气与上焦痰饮，互相胶结，也形成结胸。《伤寒论》中的陷胸汤、丸三方，皆可随证候的轻重高低借用。只是大陷胸汤、丸中都有甘遂，世俗医者，常常望而生畏。至于小陷胸汤，性虽平和，又有吴又可瘟疫忌用黄连的说法存于心中，于是也不肯轻用。等到遇到此类证候，而随意使用开痰、破气、利湿的药物，如橘红、莱菔子、苍术、白芥子、茯苓、厚朴等药，汇集成方，以为比陷胸诸汤、丸稳妥，而且病家服用，以为药性和平，坦然无疑。不知道破气则气愈下陷，利湿则痰愈稠粘。如此用药，真令人长叹。我不得已，将治疗结胸的各种成方变通汇集，在大陷胸汤中取用芒硝，在小陷胸汤中取用瓜蒌实，又在治疗心下痞硬的旋复代赭石汤中取用赭石，并再加苏子作为下行的向导，可以替代大陷胸汤、丸。少量服用，也可以替代小陷胸汤。并非想要与《伤寒论》诸方争胜，也只是略微方便世俗之用罢了。
一位老妇人，年龄六十多岁。在初夏早晨吃饭时，忽然听到乡邻中有争斗者，出去观看，见强者欺凌弱者太过分，心中很不平；又兼饭后出汗受风，于是得了温证。表里俱热，胃口堵塞，腹中疼痛，饮水片刻仍吐出。七八天间，大便不通。其脉细数，按之略实。自述心中燥渴，饮水又不能承受，从前服药止吐，那些药也都吐出来了。如果真能令饮水不吐，病还有希望痊愈。我说：容易。为此开具此汤，加生石膏六十克、野台参十五克，煎汤一大碗，分三次温服。晚间服药，次日清晨大便得通而痊愈。当大便未通时，曾让用山茱萸（去净核）六十克煎汤，以备攻下后心中怔忡及虚脱，及大便通后，微觉怔忡，服用即安。
一位年轻女子得温病。两三天间，痰涎郁塞，胸膈满闷异常，频频咳吐，粘若胶漆，且有喘促之意，饮水停滞胃口，间或吐出，其脉浮滑。问之微觉头疼，知其表证尚未解除。于是效法刘河间双解散的意思，在荡胸汤中加入连翘、蝉蜕各九克。服用后微汗，大便得通而痊愈。
Treatment for Shanghan (Cold Damage) or Wenyang (Warm Diseases), where the severe heat of the Yangming stage has subsided. If the patient was originally deficient or is elderly, they appear increasingly timid and weak at this stage, presenting with either panting (asthma/dyspnea), coughing, excessive phlegm-saliva accumulation, and breath that seems severely insufficient.
Raw Huai Yam (Shan Yao) (75g)
Natural juice of Sugarcane (30g)
Natural juice of Sour Pomegranate (18g)
Raw Egg Yolk (4 pieces)
First, decoct the Shan Yao to obtain a large bowl of clear soup. Then, mix the remaining three ingredients into the bowl. Take warm orally in three doses, approximately every two hours. If the medicine has cooled, before taking it again, warm the bowl by placing it in boiling water. However, do not overheat, lest the egg yolk coagulate, rendering the administration ineffective.
An elderly Mr. Zhou, nearly seventy years old, suffered from chronic consumption diseases and had an opium habit. In late autumn, he contracted a Warm Disease. The heat in the Yangming Fu organs was intense, his pulse was rapid but empty, he presented with panting accompanied by coughing, and expectorated thick, sticky phlegm. He was prescribed Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction), substituting raw Shan Yao for Jing Mi (Rice). After one dose, the severe heat subsided, but the panting and coughing persisted, and his breath became weak and intermittent. His family was alarmed, believing recovery would be difficult. They stated that under such circumstances, it seemed difficult to administer further medication. I said: There is no need for medicinal herbs; ordinary food items can cure this. I prescribed this formula. The family viewed it and saw it consisted of common foods, knowing that even if it did not strictly match the syndrome, it would cause no harm. They followed the method, and after two doses, he was completely cured.
Treatment for Cold-Warmness Jie Xiong (Chest Binding/Knotting Syndrome), where phlegm-fluids in the chest and diaphragm condense with external pathogenic factors. This blocks the throat upwards and stagnates at the stomach entrance downwards, causing difficulty in breathing, fullness, oppression, shortness of breath, inability to swallow water downwards, or vomiting it back up. It also treats Jie Xiong caused by Epidemic Diseases.
Gua Lou Ren (Trichosanthes Seed) (60g, freshly stir-fried and crushed)
Raw Dai Zhe Shi (Hematite) (60g, finely ground)
Su Zi (Perilla Fruit) (18g, stir-fried and crushed)
Mang Xiao (Mirabilite/Sodium Sulfate) (12g, dissolved and taken with liquid)
Use four bowls of water, decoct to obtain two bowls of clear juice. First, take one bowl warm. Once the binding opens and bowel movements resume, stop subsequent doses. If the chest binding remains unresolved, after two hours, take another bowl warm. If the chest binding has opened but bowels have not yet moved, and there is no sensation of passing gas, half a bowl may still be taken warm.
Shanghan resulting from premature purgation can lead to Jie Xiong. Even Wenyang that has not undergone purgation can form Jie Xiong. Furthermore, when Epidemic Diseases enter via the mouth and nose, in patients with pre-existing phlegm-fluids, the epidemic qi adheres to the upper jiao phlegm-fluids, also forming Jie Xiong. The three formulas of Xian Xiong Tang and Wan (Lowering the Chest Decoction/Pill) in the *Shanghan Lun* can be borrowed according to the severity and location of the syndrome. However, Da Xian Xiong Tang and Wan contain Gan Sui (Kansui Root), which worldly physicians often fear. Although Xiao Xian Xiong Tang is mild, the belief held by Wu Keyi that Huang Lian (Coptis Rhizome) is contraindicated in plague persists in their minds, so they are reluctant to use it lightly. When encountering such syndromes, they casually use phlegm-resolving, qi-breaking, and damp-draining herbs such as Ju Hong (Tangerine Peel), Lai Fu Zi (Radish Seed), Cang Zhu (Atractylodes Rhizome), Bai Jie Zi (Mustard Seed), Fu Ling (Poria), and Hou Po (Magnolia Bark), compiling them into a formula, believing it to be safer than the Xian Xiong formulas. Patients feel reassured by the mild nature of these medicines. Unaware that breaking qi causes further sinking of qi, and draining dampness makes phlegm thicker and stickier. Such medication truly causes deep sighs. Reluctantly, I have modified and compiled existing formulas for treating Jie Xiong: taking Mang Xiao from Da Xian Xiong Tang, Gua Lou Shi (Trichosanthes Fruit) from Xiao Xian Xiong Tang, and Dai Zhe Shi from Xuan Fu Dai Zhe Shi Tang (used for epigastric hardness), adding Su Zi as a guide for downward movement. This can substitute Da Xian Xiong Tang/Wan. A small dose can substitute Xiao Xian Xiong Tang. This is not to compete with the formulas in the *Shanghan Lun*, but merely to facilitate usage for the common people.
An elderly woman, over sixty years old. During breakfast in early summer, she suddenly heard neighbors fighting. Going out to watch, she saw the strong bullying the weak excessively, feeling indignant. Additionally, having sweated after meals and been exposed to wind, she contracted a Warm Syndrome. Exterior and interior were both hot, the stomach entrance was blocked, abdominal pain occurred, and water drunk was vomited back shortly after. For seven to eight days, bowels did not move. Her pulse was fine and rapid, feeling slightly solid upon pressure. She reported dry thirst in the heart/chest, inability to tolerate drinking water, and previous anti-emetic medications were all vomited out. If only drinking water could be kept down, recovery might be hoped for. I said: It is easy. I prescribed this Decoction, adding Sheng Shi Gao (Raw Gypsum) (60g) and Ye Tai Shen (Wild Ginseng) (15g). Decocted in a large bowl of water, taken warm in three doses. Medication taken in the evening; by the next morning, bowels moved, and she was cured. While bowels were unopened, I instructed using Shan Yu Rou (Cornus Fruit) (60g, seeds removed) decocted in water, prepared for potential palpitations or collapse after purgation. After bowels opened, slight palpitations occurred, and taking the Shan Yu Rou decoction brought immediate relief.
A young unmarried woman contracted a Warm Disease. Within two to three days, phlegm-saliva accumulated and blocked, causing extreme fullness and oppression in the chest and diaphragm. She frequently coughed and expectorated phlegm thick as glue or lacquer, with signs of panting. Water stagnated at the stomach entrance and was occasionally vomited. Her pulse was floating and slippery. Upon inquiry, she felt slight headache, indicating the exterior syndrome had not yet resolved. Thus, following the intent of Liu Hejian's Shuang Jie San (Double Release Powder), I added Chai Qiao (Forsythia) and Chan Tui (Cicada Slough), each 9g, to Dang Xiong Tang. After administration, slight sweating occurred, bowels moved, and she was cured.