风热壅盛, 表里三焦皆实者, 此方主之.
防风 川芎 当归 芍药 大黄 薄荷 麻黄 连翘 芒硝各半两
石膏 黄芩 桔梗各一两 滑石三两 甘草三两 荆芥 白术 栀子
各二钱半 生姜三片 每服三钱.
【集注】吴琨曰: 防风, 麻黄解表药也, 风热之在皮肤者, 得之由汗
而泄. 荆芥, 薄荷清上药也, 风热之在颠顶者, 得之由鼻而泄. 大黄
,芒硝通利药也, 风热之在肠胃者, 得之由后而泄. 滑石, 栀子水道
药也, 风热之在决渎者, 得之由溺而泄. 风淫于膈, 肺胃受邪, 石膏
,桔梗清肺胃也. 而连翘, 黄芩, 又所以祛诸经之游火. 风之为患,
肝木主之, 川芎, 归, 芍, 和肝血也. 而甘草, 白术, 所以和胃气而
健脾. 刘守真长于治火, 此方之旨详且悉哉! 亦治失下发斑, 三焦火
实.全方除硝, 黄名双解散, 解表有防风, 麻黄, 薄荷, 荆芥, 川芎
,解里有石膏, 滑石, 黄芩, 栀子, 连翘, 复有当归, 芍药以和血,
桔梗, 白术, 甘草以调气, 营卫皆和, 表里俱畅, 故曰双解. 本方名
曰通圣, 极言其用之妙耳.
风热邪气壅盛，导致表证、里证及上、中、下三焦均呈现实证的患者，此方主治。
防风、川芎、当归、芍药、大黄、薄荷、麻黄、连翘、芒硝各半两；石膏、黄芩、桔梗各一两；滑石三两；甘草三两；荆芥、白术、栀子各二钱半；生姜三片。每次服用三钱。
【集注】吴琨说：防风、麻黄是解表药，停留在皮肤的风热邪气，借助它们通过发汗而排出。荆芥、薄荷是清利上焦的药，停留在头顶的风热邪气，借助它们通过鼻窍而排出。大黄、芒硝是通导泻下的药，停留在肠胃的风热邪气，借助它们通过大便而排出。滑石、栀子是水液代谢通路药物，停留在决渎（三焦水道）的风热邪气，借助它们通过小便而排出。风邪淫溢于膈部，肺和胃受到邪气侵袭，石膏、桔梗用于清泄肺胃。而连翘、黄芩，则是用来祛除各条经络中游走的火邪。风邪为患，由肝木所主，川芎、当归、芍药用于调和肝血。而甘草、白术，则用于调和胃气并健脾。刘守真擅长治疗火邪，这个方剂的宗旨详尽且周密啊！也适用于头发脱落伴发斑疹、三焦火邪亢盛的病症。全方去掉芒硝和大黄后名为双解散，解表方面有防风、麻黄、薄荷、荆芥、川芎；清里有石膏、滑石、黄芩、栀子、连翘；又用当归、芍药来调和血液，桔梗、白术、甘草来调理气机，营气和卫气都调和，表证和里证都通畅，所以称为“双解”。本方命名为“通圣”，是极力形容其功效的精妙之处。
又名冲和汤，是四季发散治疗的通用方剂。羌活、防风、川芎、白芷、细辛、苍术、黄芩、甘草、生地黄，加生姜三片、葱白三根，用水煎煮后服用。
When wind-heat pathogenic factors are congested and excessive, resulting in excess patterns affecting the exterior, interior, and all three Jiaos (San Jiao), this formula is indicated.
Fangfeng Radix Saposhnikoviae, Chuanxiong Rhizoma Ligustri Chuanxiong, Danggui Radix Angelicae Sinensis, Shaoyao Radix Paeoniae Alba, Dahuang Radix et Rhizoma Rhei, Bohe Herba Menthae Haplocalycis, Mahuang Herba Ephedrae, Lianqiao Fructus Forsythiae, Mangxiao Natrii Sulfas each half tael; Shigypsum Fibrosum, Huangqin Radix Scutellariae, Jiegeng Radix Platycodonis each one tael; Huashi Talcum three taels; Gancao Radix et Rhizoma Glycyrrhizae three taels; Jingjie Herba Schizonepetae, Baizhu Rhizoma Atractylodis Macrocephalae, Zhizi Fructus Gardeniae each two qian and a half; Shengjiang Rhizoma Zingiberis Recens three slices. Take three qian per dose.
[Collected Annotations] Wu Kun stated: Fangfeng and Mahuang are exterior-releasing herbs; wind-heat residing in the skin and muscles is discharged through sweating when aided by them. Jingjie and Bohe are herbs that clear the upper burner; wind-heat residing at the vertex is discharged through the nasal orifices when aided by them. Dahuang and Mangxiao are purgative herbs; wind-heat residing in the intestines and stomach is discharged through defecation when aided by them. Huashi and Zhizi are herbs regulating water passages; wind-heat residing in the Jue Du (San Jiao waterways) is discharged through urination when aided by them. When wind pathogen overflows into the diaphragm, invading the Lung and Stomach, Shigypsum and Jiegeng are used to clear the Lung and Stomach. Meanwhile, Lianqiao and Huangqin are employed to dispel wandering fire from various meridians. Since liver wood governs wind-related disorders, Chuanxiong, Danggui, and Shaoyao are used to harmonize liver blood. Gancao and Baizhu are used to harmonize stomach qi and strengthen the spleen. Liu Shouzhen was skilled in treating fire pathogens; the principle of this formula is indeed detailed and comprehensive! It also treats alopecia accompanied by macules/rashes and excess fire in the three Jiaos. If Mangxia and Dahuang are removed from the complete formula, it is named Shuangjie San (Double-Release Powder). For releasing the exterior, it contains Fangfeng, Mahuang, Bohe, Jingjie, and Chuanxiong; for clearing the interior, it contains Shigypsum, Huashi, Huangqin, Zhizi, and Lianqiao; additionally, Danggui and Shaoyao harmonize the blood, while Jiegeng, Baizhu, and Gancao regulate qi. With both Ying (Nutritive) and Wei (Defensive) qi harmonized, and both exterior and interior unobstructed, it is called "Double-Release." The name "Tongsheng" implies the profound efficacy of its use.
Also known as Chonghe Tang (Harmonizing Decoction), it is a general formula for dispersing pathogens across all four seasons. Qianghuo Rhizoma et Radix Notopterygii, Fangfeng Radix Saposhnikoviae, Chuanxiong Rhizoma Ligustri Chuanxiong, Baizhi Radix Angelicae Dahuricae, Xixin Herba Asari, Cangzhu Rhizoma Atractylodis, Huangqin Radix Scutellariae, Gancao Radix et Rhizoma Glycyrrhizae, Shengdi Rehmanniae Radix Preparata, add Shengjiang Rhizoma Zingiberis Recens three slices and Congbai Bulbus Allii Cepae three stalks; decoct with water and take orally.