论曰伤寒病虽有三阴三阳,然在阳则太阳病多,在阴则少阴病多,以二经为表里故也,
至于阳明太阴病颇稀少,而少阳厥阴病又少也,然究观古人治阳明则多下,于少阴则多温,
盖阳明者胃也,胃受病,则不恶寒反恶热, 汗出,大便秘,谵语潮热,须下之乃愈,若
乃气弱本虚人,国中病,腠理寒邪气,更不经三阳,而便见少阴证,盖少阴者肾也,肾受病,
则身冷恶寒,四肢厥逆,脉微细,心烦但欲寐,或自利而渴,须温之乃愈,虽然三阴病,大
约可温,而古人特于少阴详言之者,则少阴病尤宜温故也。
治伤寒少阴病,得之一二日,口中和,其背恶寒者,当灸之。附子汤方
附子(炮裂去皮脐二枚) 人参(一两) 白术(四两) 芍药 白茯苓(去黑皮各三
两)
上五味,锉如麻豆大,每服五钱匕,以水一盏半,煎取七分,去滓温服日三。
治伤寒少阴病脉沉者,急温之。宜四逆汤方
甘草(炙二两) 干姜(炮一两半) 附子(一枚生用去皮脐)
上三味,各锉如麻豆大,每服五钱匕,以水一盏半,煎取七分,去滓温服,强人可倍加
姜附。
治伤寒少阴病,下利清谷,里寒外热,手足厥冷,脉微欲绝,身反不恶寒,其人面色赤,
或
甘草(炙二两) 附子(大者一枚生用去脐皮) 干姜(三两)
上三味,各锉如麻豆大,每服五钱匕,以水一盏半,煎至七分,去滓温服,其脉即出者
愈,面色赤者,加葱九茎,腹中痛者,去葱加芍药二两,呕者加生姜二两,咽痛者,去芍药,
加
治伤寒手足厥冷,脉细欲绝,其人内有久寒者。宜当归四逆加吴茱萸生姜汤方
当归(切焙) 芍药 桂(去粗皮) 细辛(去苗叶各三两) 吴茱萸(汤洗焙干炒) 甘
草
(炙) 木通(各二两)
上七味,锉如麻豆大,每服五钱匕,以水一盏,酒一盏,入生姜半分切,大枣三枚劈破,
煎取一半,去滓温服。
治伤寒头疼壮热,恐成阴毒。附子饮方
附子(炮裂去皮脐) 白术(各半两) 桔梗 细辛(去苗叶各一两)
上四味,锉如麻豆,每服五钱匕,用水一盏半,煎至七分,去滓空心温服,衣盖取汗,
或得吐即瘥,如未吐汗再服。
治厥阴伤寒,脉弦长者生,沉细不足者死。宜通关饮方
附子(炮裂去皮脐一两) 干姜(炮) 羌活(去芦头) 桔梗 甘草(炙锉) 五加
皮(各半
两) 桂(去粗皮三分)黄 (炙锉一分) 防风(去叉一分半)
上九味,锉如麻豆,每服五钱匕,水一盏半,煎至七分去滓,食前温服日二。
治伤寒阴盛身寒,脉候沉细,头痛体疼。桂心汤方
桂(去粗皮) 麻黄(去根节) 甘草(炙) 人参(各半两) 白术 杏仁(汤浸去
皮尖双仁
炒黄) 附子(炮裂去皮脐各三分)
上七味, 咀如麻豆大,每服五钱匕,用水一盏半,入生姜半分拍碎,同煎取七分,去
滓温服。
治伤寒阴盛,手足厥冷,体寒脉微。回阳汤方
延胡索(炒) 半夏(切生姜汁炒黄) 甘遂(醋炒干各一两) 陈橘皮(汤浸去白焙)
附子
(炮裂去皮脐) 桂(去粗皮) 麻黄(去根节汤煮去沫焙各半两) 槟榔(一枚) 天南
星(一枚
炮)
上九味,锉如麻豆,每服二钱匕,酒八分,煎至七分,去滓温服,服后炊顷,患人头面
浑身觉热时,便与衣服盖覆,令汗出。
治伤寒面青心下坚硬,开口出气,身体不热,头面多汗,四肢厥冷。温白丸方
半夏(汤浸去滑切焙) 白附子(炮) 硫黄(研各一两)
上三味,捣研为末,用粳米饭,捣和为丸,如梧桐子大,每服二十丸,温酒下,吐逆炒
生姜盐酒下,或艾醋汤下,阴毒并吃三五服,不计时候。
治伤寒伏阴气胸膈妨闷,吐逆不定,手足厥冷,白术饮方
白术(炒) 附子(炮裂去皮脐) 高良姜(炮) 桂(去粗皮) 人参 干姜(炮各
一两) 藿
香(去梗一分)
上七味,锉如麻豆,每服三钱匕,水一盏,同煎至七分,不计时候去滓温服。
治伤寒四肢厥冷,其脉沉细。益智汤方
益智(去皮) 乌头(炮裂去皮脐各一两) 青橘皮(汤浸去白焙各三分) 麻黄(去
根节)
干姜(炮各半两)
上五味,锉如麻豆,每服三钱匕,水一盏,入生姜三片,盐半钱,煎至六分去滓,不计
时候稍热服。
治伤寒阴证,脉候沉细。正元汤方
麻黄(去根节) 陈橘皮(去白焙) 大黄(生锉) 甘草(炙锉) 干姜(炮) 桂
(去粗皮)
芍药 附子(炮裂去皮脐) 吴茱萸(汤洗十遍焙) 半夏(汤洗七遍焙各半两)
上一十味,锉如麻豆,每服二钱匕,水一盏,入生姜三片,枣二枚,煎至七分,去滓热
呷,以衣被盖覆取汗,未汗如人行五里再服,或连吃三服,汗出立瘥。
治伤寒手足逆冷,脉息沉细,头疼腰重,退阴汤方
乌头(炮裂去皮脐) 干姜(炮各半两)
上二味,粗捣,炒令转色,放冷再捣筛,每服一钱匕,水一盏,盐一捻,煎至半盏,去
滓温服。
治伤寒浑身手足厥冷,面青唇口无色,心中寒栗。吴茱萸散方
吴茱萸(汤洗焙炒) 硫黄(研) 桂(去粗皮) 附子(炮裂去皮脐) 芎 (各一
分)
上五味,捣罗为散,煎艾叶汤调下三钱匕,阴盛者,兼灸气海数十壮。
治伤寒阴盛隔阳,身冷烦躁,脉细沉紧。黑龙散方
附子(一枚及半两者烧存性用冷灰焙去火毒)
上一味,捣极细,入腊茶一钱匕和匀,分作二服,每服用水一盏,蜜半匙,同煎至六分,
放冷服,须臾躁止得睡,汗出为效。
治伤寒阴盛,手足多冷,脉沉细,助阳消阴。返阴丸方
硫黄 硝石 阳起石 太阴玄精石 白矾 石膏(各半两碎)
上六味,研为末,同入铫子内,熬成汁为度,放冷细研,用水浸炊饼为丸,如梧桐子大,
煎艾汤下十五丸。
治阴盛伤寒,身体疼痛。青白散方
石膏(半斤为末) 干姜(炮) 乌头(椎碎) 草乌头(椎碎各一两以上四味先用铁
器盛石
膏烧通赤次入三味用碗合定不透气候冷同众药捣研) 麻黄(去根节) 藿香(去梗各一两)
皂荚灰 自然铜(烧通赤醋淬七遍各半两)
上八味,捣研为细散,每服一钱匕,空心食前,温酒调下,如 气伤寒,艾茶煎汤调下。
治伤寒四肢厥冷,脉微自汗,心胸痞满。返阴散方
阳起石 石膏 寒水石(三味同烧令赤出火毒细研入诸药) 附子(炮裂去皮脐) 干
姜
(炮) 甘草(炙锉各一两) 硫黄(研半两)
上七味,捣研为散,每服二钱匕,生姜汁温水调下,阴毒并服之。
治伤寒憎寒壮热,头痛膈闷,四肢疼倦。附子汤方
附子(炮裂去皮脐半两) 白茯苓(去黑皮) 人参 细辛(去苗叶) 柴胡(去苗) 陈
橘皮
(去白焙各一两) 甘草(炙锉) 浓朴(去粗皮生姜汁炙) 莎草根(去须) 黄 (炙
锉) 赤芍
药
上一十一味,锉如麻豆,每服二钱匕,水一盏,入生姜五片,枣二枚劈,同煎至六分,
去滓温服,不拘时。
治伤寒表里未解,营卫气逆,手足厥冷,上喘阴证,或霍乱吐泻非时腹胀,及年高营卫
虚弱,脏腑不和,膀胱紧急,腰 痹疼,及妇人产后劳冷等疾,均气汤方
白术(米泔浸细锉焙干微炒) 天台乌药(细锉微炒各二两) 人参 青橘皮(去白炒)
甘
草(炙锉) 白芷(各一两) 白茯苓(去黑皮半两)
上七味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣二枚,同煎至七分,去滓温服,
如吐逆,入藿香少许。
治伤寒阴盛,四物桂枝汤方
桂(去粗皮) 麻黄(去根节各三分) 附子(炮裂去皮脐一两) 干姜(炮一分)
上四味, 咀,如麻豆大,每服五钱匕,用水一盏半,入生姜半分切,枣三枚劈破,同
煎至八分,去滓不拘时候温服。
治伤寒服冷药过多,心腹胀满,脚膝厥冷,昏闷不知人。桂心汤方
桂(去粗皮) 浓朴(去粗皮生姜汁炙各三分) 芍药(一两) 干姜(炮) 槟榔(锉
各半两)
上五味,粗捣筛,每用五钱匕,水一盏半,煎取八分,去滓入童子小便一合,搅匀空腹
分温二服。
治伤寒四肢厥泠。蒸熨方
吴茱萸(汤洗焙干三升)
上一味,用温酒浸令通湿,以生绢袋二个盛,蒸令极热,取茱萸袋子,更互熨四肢前后
心,及手足心,候气通彻即止。
又用药熨,气通畅后。宜服此方
人参(一两) 生姜(煨切二两)
上二味,各细锉,用水一盏半,煎至八分,去滓分温二服,如食顷再服。
论述说:伤寒病虽然分为三阴和三阳六经,但在阳经中太阳病较多,在阴经中少阴病较多,这是因为这两条经脉互为表里的缘故。至于阳明病和太阴病则相当稀少,而少阳病和厥阴病又更少了。然而仔细考察古人的治疗方法,治疗阳明病多用攻下法,治疗少阴病多用温补法。因为阳明经对应的是胃,胃受邪气侵袭,就会出现不怕冷反而怕热、出汗、大便秘结、说胡话、定时发热的症状,必须用攻下法才能痊愈。如果是体质虚弱的人,体内正气不足,腠理疏松,寒邪不经过三阳经的传变,直接侵犯少阴经而出现少阴病的证候。因为少阴经对应的是肾,肾受邪气侵袭,就会出现身体寒冷、怕冷、四肢冰冷、脉搏微弱细小、心烦只想睡觉,或者腹泻且口渴的症状,必须用温补法才能痊愈。虽然三阴病大体上都可以用温法治疗,但古人特别详细地论述少阴病的原因,是因为少阴病尤其适宜用温法治疗。
治疗伤寒少阴病,发病一两天后,口中感觉平和(无燥热),背部怕冷的,应当采用艾灸治疗。附子汤方:
炮制裂开并去掉皮和脐的附子(两枚)、人参(一两)、白术(四两)、芍药、去黑皮的白茯苓(各三两)。
以上五味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,煎取七分药液,去掉药渣,温服,每日三次。
治疗伤寒少阴病,脉象沉迟的,应当紧急温补。宜用四逆汤方:
炙甘草(二两)、干姜(炮制一两半)、生附子(一枚,去皮和脐)。
以上三味药,各锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,煎取七分药液,去掉药渣,温服。体质强壮的人可以增加姜和附子的用量一倍。
治疗伤寒少阴病,出现下利清谷(腹泻排出未消化的食物),内寒外热,手脚冰冷,脉搏微弱几乎摸不到,身体反而不怕冷,病人面色发红,或者……(原文此处似有缺漏,依上下文及方义推断为“面赤”或相关症状,但严格按原文翻译)……
炙甘草(二两)、大附子一枚(生用,去脐和皮)、干姜(三两)。
以上三味药,各锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,煎至七分药液,去掉药渣,温服。如果脉搏恢复出现则痊愈。如果面色发红,加葱九根;如果腹中痛,去葱加芍药二两;如果呕吐,加生姜二两;如果咽痛,去芍药,加……(原文此处截断,通常加桔梗等,但依原文只译出已有部分)
治疗伤寒导致的手脚冰冷,脉搏细弱几乎摸不到,体内有久寒的病人。宜用当归四逆加吴茱萸生姜汤方:
切焙后的当归、芍药、去粗皮的桂枝、去苗叶的细辛(各三两)、吴茱萸(汤洗后焙干炒制)、炙甘草、木通(各二两)。
以上七味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏、酒一盏,加入切碎的生姜半份、劈破的大枣三枚,煎取一半药液,去掉药渣,温服。
治疗伤寒头痛高热,恐怕形成阴毒证。附子饮方:
炮制裂开并去掉皮和脐的附子、白术(各半两)、桔梗、去苗叶的细辛(各一两)。
以上四味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,煎至七分药液,去掉药渣,空腹温服。服药后穿衣盖被取汗,或者通过呕吐即可痊愈。如果没有吐或出汗,再服用一次。
治疗厥阴伤寒,脉象弦长表示生机,脉象沉细无力表示死亡。宜用通关饮方:
炮制裂开并去掉皮和脐的附子(一两)、炮制的干姜、去芦头的羌活、桔梗、炙锉的甘草、五加皮(各半两)、去粗皮的桂枝(三分)、炙锉的黄芪(一分)、去叉的防风(一分半)。
以上九味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,煎至七分药液,去掉药渣,饭前温服,每日两次。
治疗伤寒因阴气盛导致的身寒、脉象沉细、头痛身体疼痛。桂心汤方:
去粗皮的桂枝、去根节的麻黄、炙甘草、人参(各半两)、白术、杏仁(汤浸后去皮尖双仁炒黄)、炮制裂开并去掉皮和脐的附子(各三分)。
以上七味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,加入拍碎的生姜半份,同煎取七分药液,去掉药渣,温服。
治疗伤寒因阴气盛导致的手脚冰冷、体寒脉微。回阳汤方:
炒延胡索、生姜汁炒黄的半夏、醋炒干的甘遂(各一两)、汤浸去白焙的陈橘皮、炮制裂开并去掉皮和脐的附子、去粗皮的桂枝、去根节汤煮去沫焙干的麻黄(各半两)、槟榔(一枚)、炮制天南星(一枚)。
以上九味药,锉碎得像麻子和豆子大小,每次服用二钱匕,用酒八分,煎至七分药液,去掉药渣,温服。服药后不久,当患者头面浑身感到发热时,立即用衣服覆盖,令其出汗。
治疗伤寒面色青紫、心下坚硬、张口出气、身体不热、头面多汗、四肢冰冷。温白丸方:
汤浸去滑切的半夏、炮制的白附子、研碎的硫黄(各一两)。
以上三味药,捣研成粉末,用粳米饭捣和做成丸子,如梧桐子大小,每次服用二十丸,用温酒送下。如果有呕吐逆气,用炒生姜盐酒送下;或者用艾醋汤送下。阴毒证一并服用三到五服,不限时候。
治疗伤寒伏匿的阴气导致胸膈痞闷、呕吐逆气不定、手脚冰冷。白术饮方:
炒白术、炮制裂开并去掉皮和脐的附子、炮制的高良姜、去粗皮的桂枝、人参、炮制的干姜(各一两)、去梗的藿香(一分)。
以上七味药,锉碎得像麻子和豆子大小,每次服用三钱匕,用水一盏,同煎至七分药液,不限时候,去掉药渣温服。
治疗伤寒四肢冰冷,脉象沉细。益智汤方:
去皮的益智仁、炮制裂开并去掉皮和脐的乌头(各一两)、汤浸去白焙的青橘皮(各三分)、去根节的麻黄、炮制的干姜(各半两)。
以上五味药,锉碎得像麻子和豆子大小,每次服用三钱匕,用水一盏,加入生姜三片、盐半钱,煎至六分药液,去掉药渣,不限时候稍热服用。
治疗伤寒阴证,脉象沉细。正元汤方:
去根节的麻黄、去白焙的陈橘皮、生锉的大黄、炙锉的甘草、炮制的干姜、去粗皮的桂枝、芍药、炮制裂开并去掉皮和脐的附子、汤洗十遍焙干的吴茱萸、汤洗七遍焙的半夏(各半两)。
以上十味药,锉碎得像麻子和豆子大小,每次服用二钱匕,用水一盏,加入生姜三片、大枣二枚,煎至七分药液,去掉药渣,热服小口喝,用衣被覆盖取汗。如果没有出汗,像人走五里路的时间后再服,或者连续服用三服,出汗后立即痊愈。
治疗伤寒手足逆冷,脉息沉细,头痛腰重。退阴汤方:
炮制裂开并去掉皮和脐的乌头、炮制的干姜(各半两)。
以上两味药,粗捣,炒至变色,放凉后再捣筛,每次服用一钱匕,用水一盏,盐一捻,煎至半盏药液,去掉药渣,温服。
治疗伤寒浑身手足冰冷,面色青紫嘴唇无色,心中寒冷战栗。吴茱萸散方:
汤洗焙炒的吴茱萸、研碎的硫黄、去粗皮的桂枝、炮制裂开并去掉皮和脐的附子、川芎(各一分)。
以上五味药,捣罗成散剂,用艾叶汤调下三钱匕。阴气盛者,兼灸气海穴数十壮。
治疗伤寒阴气盛格拒阳气,身体寒冷烦躁,脉象细沉紧。黑龙散方:
附子(一枚半两重的,烧存性,用冷灰焙去火毒)。
以上一味药,捣极细,加入腊茶一钱匕混合均匀,分作两次服用。每次用水一盏、蜜半匙,同煎至六分,放冷服用。片刻后烦躁停止能入睡,出汗即为有效。
治疗伤寒阴气盛,手脚多冷,脉象沉细,助阳消阴。返阴丸方:
硫黄、硝石、阳起石、太阴玄精石、白矾、石膏(各半两,捣碎)。
以上六味药,研为粉末,一同放入铫子内,熬成汁为度,放冷后细研,用水浸泡炊饼做成丸子,如梧桐子大小,用艾汤送下十五丸。
治疗阴盛伤寒,身体疼痛。青白散方:
石膏(半斤,研末)、炮制的干姜、椎碎的乌头、椎碎的草乌头(各一两。以上四味先用铁器盛放石膏烧至通红,其次放入另外三味,用碗扣住密封不漏气,待冷却后与众药一起捣研)、去根节的麻黄、去梗的藿香(各一两)、皂荚灰、自然铜(烧至通红醋淬七遍,各半两)。
以上八味药,捣研为细散,每次服用一钱匕,空腹食前,用温酒调下。如果是寒气伤寒,用艾茶煎汤调下。
治疗伤寒四肢冰冷,脉微自汗,心胸痞满。返阴散方:
阳起石、石膏、寒水石(这三味同烧令赤红去火毒细研后入诸药)、炮制裂开并去掉皮和脐的附子、炮制的干姜、炙锉的甘草(各一两)、研碎的硫黄(半两)。
以上七味药,捣研为散剂,每次服用二钱匕,用生姜汁温水调下。阴毒证一并服用。
治疗伤寒憎寒高热,头痛胸闷,四肢疼痛疲倦。附子汤方:
炮制裂开并去掉皮和脐的附子(半两)、去黑皮的白茯苓、人参、去苗叶的细辛、去苗的柴胡、去白焙的陈橘皮(各一两)、炙锉的甘草、生姜汁炙的去粗皮浓朴、去须的莎草根、炙锉的黄芪、赤芍药。
以上十一味药,锉碎得像麻子和豆子大小,每次服用二钱匕,用水一盏,加入生姜五片、劈破的大枣二枚,同煎至六分药液,去掉药渣,温服,不拘时候。
治疗伤寒表里之邪均未解除,营卫之气逆乱,手脚冰冷,上喘阴证,或者霍乱吐泻非时腹胀,以及年高营卫虚弱,脏腑不和,膀胱紧急,腰部痹痛,以及妇人产后劳冷等疾病。均气汤方:
米泔水浸细锉焙干微炒的白术、细锉微炒的天台乌药(各二两)、人参、去白炒的青橘皮、炙锉的甘草、白芷(各一两)、去黑皮的白茯苓(半两)。
以上七味药,粗捣筛,每次服用三钱匕,用水一盏,生姜三片,大枣二枚,同煎至七分药液,去掉药渣温服。如果有呕吐逆气,加入少许藿香。
治疗伤寒阴气盛。四物桂枝汤方:
去粗皮的桂枝、去根节的麻黄(各三分)、炮制裂开并去掉皮和脐的附子(一两)、炮制的干姜(一分)。
以上四味药,锉碎得像麻子和豆子大小,每次服用五钱匕,用水一盏半,加入切碎的生姜半份、劈破的大枣三枚,同煎至八分药液,去掉药渣,不拘时候温服。
治疗伤寒服用过多冷药,导致心腹胀满,脚膝冰冷,昏闷不知人事。桂心汤方:
去粗皮的桂枝、生姜汁炙的去粗皮浓朴(各三分)、芍药(一两)、炮制的干姜、锉碎的槟榔(各半两)。
以上五味药,粗捣筛,每次用五钱匕,用水一盏半,煎取八分药液,去掉药渣,加入童子小便一合,搅匀,空腹分两次温服。
治疗伤寒四肢冰冷。蒸熨方:
汤洗焙干的吴茱萸(三升)。
以上一味药,用温酒浸透湿润,用两个生绢袋盛装,蒸至极热,取出吴茱萸袋子,交替熨烫四肢前后心,以及手足心,等到气机通畅彻达即停止。
又用药熨,气通畅后。宜服此方:
人参(一两)、煨切生姜(二两)。
以上两味药,各细锉,用水一盏半,煎至八分药液,去掉药渣,分两次温服。如果过了一顿饭的时间再服。
Discussion states: Although cold damage diseases are divided into the three Yin and three Yang meridians, Taiyang disease is more common in the Yang meridians, and Shaoyin disease is more common in the Yin meridians, because these two meridians are exteriorly-interiorly related. Mingyang disease and Taoyin disease are quite rare, while Shaoyang disease and Jueyin disease are even rarer. However, a careful examination of ancient treatment methods reveals that Mingyang disease is often treated with purgation, while Shaoyin disease is often treated with warming. This is because the Mingyang meridian corresponds to the Stomach; when the Stomach is affected by pathogens, symptoms such as aversion to heat rather than cold, sweating, constipation, delirium, and tidal fever occur, which require purgation for recovery. In individuals with weak constitution and inherent deficiency, where the interstices (Couli) are loose, cold pathogens may bypass the three Yang meridians and directly invade the Shaoyin meridian, presenting Shaoyin syndrome. Since the Shaoyin meridian corresponds to the Kidney, when the Kidney is affected, symptoms include cold body, aversion to cold, cold limbs, thready and faint pulse, irritability with a desire only to sleep, or diarrhea with thirst. These conditions require warming for recovery. Although diseases of the three Yin meridians can generally be treated with warming methods, the ancients specifically detailed Shaoyin disease because it is particularly suitable for warming therapy.
For treating Shaoyin disease of cold damage, if after one or two days the mouth feels normal (without dryness or heat) and there is aversion to cold on the back, moxibustion should be applied. Formula: Fuzi Tang (Aconite Decoction).
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled, 2 pieces; Renshen (Ginseng Radix), 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 4 liang; Shaoyao (Paeoniae Radix); Baifuling (Poria), peeled, 3 liang each.
The above five herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm, three times daily.
For treating Shaoyin disease of cold damage with a deep pulse, urgent warming is required. Suitable formula: Sini Tang (Frigid Extremities Decoction).
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), 2 liang; Ganjiang (Zingiberis Rhizoma), prepared, 1.5 liang; Sheng Fuzi (Prepared Aconiti Lateralis Radix), raw, peeled, 1 piece.
The above three herbs are each chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm. For robust individuals, the dosage of Jiang (Ginger) and Fu (Aconite) may be doubled.
For treating Shaoyin disease of cold damage characterized by diarrhea with undigested food, interior cold with exterior heat, cold limbs, pulse faint and nearly imperceptible, body seemingly without aversion to cold, red facial complexion, or... [text incomplete].
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), 2 liang; Large Sheng Fuzi (Raw Prepared Aconiti Lateralis Radix), peeled, 1 piece; Ganjiang (Zingiberis Rhizoma), 3 liang.
The above three herbs are each chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm. If the pulse returns, recovery ensues. If the face is red, add 9 stems of Congbai (Allii Cepae Bulbus); if abdominal pain, remove Congbai and add Shaoyao (Paeoniae Radix), 2 liang; if vomiting, add Shengjiang (Zingiberis Rhizoma Recens), 2 liang; if sore throat, remove Shaoyao and add... [text incomplete].
For treating cold damage resulting in cold limbs, thready and nearly imperceptible pulse, and chronic cold inside the body. Suitable formula: Danggui Sini Jia Wuzhuyu Shengjiang Tang (Angelica Sinensis Decoction for Frigid Extremities plus Evodia and Fresh Ginger).
Chopped and roasted Danggui (Angelicae Sinensis Radix); Shaoyao (Paeoniae Radix); Gui (Cinnamomi Ramulus), bark removed; Xixin (Asari Radix et Rhizoma), leaves and roots removed, 3 liang each; Wuzhuyu (Evodiae Fructus), washed in hot water, dried and roasted; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma); Mutong (Akebiae Caulis), 2 liang each.
The above seven herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1 sheng of water and 1 sheng of wine, with half a portion of chopped Shengjiang (Fresh Ginger) and three cracked Dazao (Jujubae Fructus). Decoct until half remains. Strain and take warm.
For treating cold damage with headache and high fever, fearing the development of Yin Du (Yin Toxin). Formula: Fuzi Yin (Aconite Drink).
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled; Baizhu (Atractylodis Macrocephalae Rhizoma), 0.5 liang each; Jiegeng (Platycodonis Radix); Xixin (Asari Radix et Rhizoma), leaves and roots removed, 1 liang.
The above four herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm on an empty stomach. Cover with clothes to induce sweating. Recovery may occur through vomiting or sweating. If neither occurs, administer again.
For treating Jueyin cold damage, a string-taut and long pulse indicates life, while a deep and thin insufficient pulse indicates death. Suitable formula: Tongguan Yin (Pass Through Obstruction Drink).
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled, 1 liang; Prepared Ganjiang (Zingiberis Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix), rhizome removed; Jiegeng (Platycodonis Radix); Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), chopped; Wujia Pi (Acanthopanacis Cortex), 0.5 liang each; Gui (Cinnamomi Ramulus), bark removed, 3 fen; Zhi Huangqi (Prepared Astragali Radix), chopped, 1 fen; Fangfeng (Saposhnikoviae Radix), twigs removed, 1.5 fen.
The above nine herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm before meals, twice daily.
For treating cold damage caused by excess Yin leading to cold body, deep and thin pulse, headache, and body ache. Guixin Tang (Cinnamon Heart Decoction).
Gui (Cinnamomi Ramulus), bark removed; Mahuang (Ephedrae Herba), roots and joints removed; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma); Renshen (Ginseng Radix), 0.5 liang each; Baizhu (Atractylodis Macrocephalae Rhizoma); Xingren (Armeniacae Semen Amarum), soaked in water, skin and pointed kernels removed, double-kernelled, roasted yellow; Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled, 3 fen each.
The above seven herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water with half a portion of crushed Shengjiang (Fresh Ginger) until reduced to 0.7 sheng. Strain and take warm.
For treating cold damage caused by excess Yin leading to cold limbs, cold body, and faint pulse. Huiyang Tang (Return Yang Decoction).
Chao Yanhusuo (Prepared Corydalis Rhizoma); Banxia (Pinelliae Rhizoma), fried in fresh ginger juice until yellow; Gansui (Kansui Radix), vinegar-fried and dried, 1 liang each; Chenjupi (Citri Reticulatae Pericarpium), soaked in water, white pith removed, dried; Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled; Gui (Cinnamomi Ramulus), bark removed; Mahuang (Ephedrae Herba), roots and joints removed, boiled in water to remove foam, dried, 0.5 liang each; Binglang (Arecae Semen), 1 piece; Tian Nanxing (Arisaematis Rhizoma), 1 piece, prepared.
The above nine herbs are chopped like hemp seeds or beans. Each dose is 2 qianbi, decocted in 0.8 sheng of wine until reduced to 0.7 sheng. Strain and take warm. Shortly after administration, when the patient feels heat in the head, face, and whole body, cover immediately to induce sweating.
For treating cold damage with blue-green face, hardness below the heart, open-mouth breathing, non-hot body, excessive sweating on head and face, and cold limbs. Wenbai Wan (Warm White Pill).
Banxia (Pinelliae Rhizoma), soaked in water to remove slipperiness, cut and dried; Baifuzi (Typhonii Rhizoma), prepared; Liuhuang (Sulfur), ground, 1 liang each.
The above three herbs are pounded and ground into powder. Mix with glutinous rice paste to form pills the size of Sophora seeds. Take 20 pills per dose with warm wine. For vomiting and reflux, take with fried ginger, salt, and wine; or with mugwort and vinegar soup. For Yin Du (Yin Toxin), take 3-5 doses at any time.
For treating cold damage with latent Yin Qi causing chest and diaphragm fullness and oppression, irregular vomiting and reflux, and cold limbs. Baizhu Yin (Atractylodes Drink).
Chao Baizhu (Prepared Atractylodis Macrocephalae Rhizoma); Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled; Pao Gaoliangjiang (Prepared Galangal Rhizome); Gui (Cinnamomi Ramulus), bark removed; Renshen (Ginseng Radix); Pao Ganjiang (Prepared Zingiberis Rhizoma), 1 liang each; Huoxiang (Agastaches Herba), stem removed, 1 fen.
The above seven herbs are chopped like hemp seeds or beans. Each dose is 3 qianbi, decocted in 1 sheng of water until reduced to 0.7 sheng. Take warm at any time after straining.
For treating cold damage with cold limbs and deep, thin pulse. Yizhi Tang (Costus Decoction).
Yizhi (Alpiniae Oxyphyllae Fructus), peeled; Wutou (Aconiti Radix), prepared, split and peeled, 1 liang each; Qingjupi (Citri Reticulatae Pericarpium Viride), soaked in water, white pith removed, dried, 3 fen each; Mahuang (Ephedrae Herba), roots and joints removed; Pao Ganjiang (Prepared Zingiberis Rhizoma), 0.5 liang each.
The above five herbs are chopped like hemp seeds or beans. Each dose is 3 qianbi, decocted in 1 sheng of water with three slices of Shengjiang (Fresh Ginger) and half a qian of salt until reduced to 0.6 sheng. Strain and take slightly warm at any time.
For treating Yin syndrome of cold damage with deep and thin pulse. Zhengyuan Tang (Upright Origin Decoction).
Mahuang (Ephedrae Herba), roots and joints removed; Chenjupi (Citri Reticulatae Pericarpium), white pith removed, dried; Dahuang (Rhei Radix et Rhizoma), raw and chopped; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), chopped; Pao Ganjiang (Prepared Zingiberis Rhizoma); Gui (Cinnamomi Ramulus), bark removed; Shaoyao (Paeoniae Radix); Fuzi (Aconiti Lateralis Radix Praeparata), prepared, split and peeled; Wuzhuyu (Evodiae Fructus), washed ten times in water, dried; Banxia (Pinelliae Rhizoma), washed seven times in water, dried, 0.5 liang each.
The above ten herbs are chopped like hemp seeds or beans. Each dose is 2 qianbi, decocted in 1 sheng of water with three slices of Shengjiang (Fresh Ginger) and two Jujubes until reduced to 0.7 sheng. Strain and drink hot. Cover with blankets to induce sweating. If no sweat, wait the time it takes to walk five li and administer again, or take three consecutive doses. Sweating leads to immediate recovery.
For treating cold damage with reverse cold limbs, deep and thin pulse, headache, and heavy waist. Tuiyin Tang (Push Away Yin Decoction).
Wutou (Aconiti Radix), prepared, split and peeled; Pao Ganjiang (Prepared Zingiberis Rhizoma), 0.5 liang each.
The above two herbs are coarsely pounded, fried until color changes, cooled, then pounded and sifted. Each dose is 1 qianbi, decocted in 1 sheng of water with a pinch of salt until reduced to half a sheng. Strain and take warm.
For treating cold damage with cold whole body and limbs, blue-green face, colorless lips and mouth, and internal cold trembling. Wuzhuyu San (Evodia Powder).
Wuzhuyu (Evodiae Fructus), washed in hot water, dried and roasted; Liuhuang (Sulfur), ground; Gui (Cinnamomi Ramulus), bark removed; Fuzi (Aconiti Lateralis Radix Praeparata), prepared, split and peeled; Xiong (Ligustici Chuanxiong Rhizoma), 1 fen each.
The above five herbs are pounded and sieved into a powder. Take 3 qianbi mixed with Mugwort Leaf Soup. For excess Yin, additionally apply moxibustion to Qihai (CV6) dozens of moxa cones.
For treating cold damage with excess Yin repelling Yang, cold body with irritability, and fine, deep, tight pulse. Heilong San (Black Dragon Powder).
Fuzi (Aconiti Lateralis Radix Praeparata), 1.5 liang, burned to retain nature, baked in cold ash to remove fire toxicity.
The above single herb is pounded extremely fine. Mix with 1 qianbi of La Cha (Winter Tea). Divide into two doses. Each dose is decocted in 1 sheng of water and half a spoon of honey until reduced to 0.6 sheng. Take when cool. After a moment, irritability stops and sleep occurs; sweating indicates efficacy.
For treating cold damage with excess Yin, frequent cold limbs, and deep thin pulse, to assist Yang and eliminate Yin. Fanyin Wan (Return Yin Pill).
Liuhuang (Sulfur); Xiaoshi (Nitrums); Yangqishi (Yangqi Stone); Taiyin Xuanjingshi (Taiyin Black Crystal Stone); Baifan (Alumen); Shigao (Gypsum Fibrosum), 0.5 liang each, crushed.
The above six herbs are ground into powder. Place together in a small pot and boil until liquid forms. Cool, grind finely. Mix with steamed bread dough soaked in water to form pills the size of Sophora seeds. Take 15 pills with Mugwort Soup.
For treating Yin-excess cold damage with body pain. Qingbai San (Green-White Powder).
Shigao (Gypsum Fibrosum), 0.5 jin, ground; Pao Ganjiang (Prepared Zingiberis Rhizoma); Wutou (Aconiti Radix), crushed; Caowutou (Aconiti Kusnezoffii Radix), crushed, 1 liang each. [Note: The above four ingredients are first placed in an iron vessel; Shigao is burned red-hot, then the other three are added. Covered tightly with a bowl to prevent air leakage, cooled, then pounded and ground together with the following herbs]; Mahuang (Ephedrae Herba), roots and joints removed; Huoxiang (Agastaches Herba), stem removed, 1 liang each; Zaojia Hui (Sophorae Tonkinensis Spinae Cinis); Ziran Tong (Pyritum), burned red-hot and quenched in vinegar seven times, 0.5 liang each.
The above eight herbs are pounded and ground into fine powder. Take 1 qianbi on an empty stomach before meals, mixed with warm wine. For Cold Damage due to Evil Qi, mix with Mugwort Tea Soup.
For treating cold damage with cold limbs, faint pulse, spontaneous sweating, and chest/heart fullness. Fanyin San (Return Yin Powder).
Yangqishi (Yangqi Stone); Shigao (Gypsum Fibrosum); Hanshuishi (Halysitum), [these three are burned red-hot to remove fire toxicity, ground fine, then mixed with other herbs]; Fuzi (Aconiti Lateralis Radix Praeparata), prepared, split and peeled; Pao Ganjiang (Prepared Zingiberis Rhizoma); Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), chopped, 1 liang each; Liuhuang (Sulfur), ground, 0.5 liang.
The above seven herbs are pounded and ground into powder. Take 2 qianbi mixed with fresh ginger juice and warm water. Administer for Yin Du (Yin Toxin).
For treating cold damage with aversion to cold and high fever, headache, chest oppression, and painful, fatigued limbs. Fuzi Tang (Aconite Decoction).
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled, 0.5 liang; Baifuling (Poria), peeled; Renshen (Ginseng Radix); Xixin (Asari Radix et Rhizoma), leaves and roots removed; Chaihu (Bupleuri Radix), roots removed; Chenjupi (Citri Reticulatae Pericarpium), white pith removed, dried, 1 liang each; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), chopped; Nongpo (Magnoliae Officinalis Cortex), bark removed, fried in fresh ginger juice; Shawugen (Cyperi Rhizoma), roots removed; Zhi Huangqi (Prepared Astragali Radix), chopped; Chishao (Paeoniae Radix Rubra).
The above eleven herbs are chopped like hemp seeds or beans. Each dose is 2 qianbi, decocted in 1 sheng of water with five slices of Shengjiang (Fresh Ginger) and two cracked Jujubes until reduced to 0.6 sheng. Strain and take warm at any time.
For treating cold damage where exterior and interior pathogens are unresolved, Ying and Wei Qi are reversed, causing cold limbs, upper asthma Yin syndrome, or acute intestinal disorder with vomiting/diarrhea and non-timely abdominal distension, as well as elderly people with weak Ying and Wei Qi, disharmony of Zang-Fu organs, urgency of Bladder, lumbar Bi pain, and postpartum cold fatigue in women. Junqi Tang (Harmonize Qi Decoction).
Baizhu (Atractylodis Macrocephalae Rhizoma), soaked in rice wash water, finely chopped, dried, lightly fried; Tiantai Wuyao (Litseae Fructus), finely chopped, lightly fried, 2 liang each; Renshen (Ginseng Radix); Qingjupi (Citri Reticulatae Pericarpium Viride), white pith removed, fried; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), chopped; Baizhi (Angelicae Dahuricae Radix), 1 liang each; Baifuling (Poria), peeled, 0.5 liang.
The above seven herbs are coarsely pounded and sifted. Each dose is 3 qianbi, decocted in 1 sheng of water with three slices of Shengjiang (Fresh Ginger) and two Jujubes until reduced to 0.7 sheng. Strain and take warm. If vomiting occurs, add a little Huoxiang (Agastaches Herba).
For treating Yin-excess cold damage. Siwu Guizhi Tang (Four Substances Cinnamon Twig Decoction).
Gui (Cinnamomi Ramulus), bark removed; Mahuang (Ephedrae Herba), roots and joints removed, 3 fen each; Prepared Fuzi (Aconiti Lateralis Radix Praeparata), split and peeled, 1 liang; Pao Ganjiang (Prepared Zingiberis Rhizoma), 1 fen.
The above four herbs are chopped like hemp seeds or beans. Each dose is 5 qianbi, decocted in 1.5 sheng of water with half a portion of chopped Shengjiang (Fresh Ginger) and three cracked Jujubes until reduced to 0.8 sheng. Strain and take warm at any time.
For treating cold damage caused by excessive intake of cold medicines, resulting in abdominal fullness, cold feet and knees, coma, and unconsciousness. Guixin Tang (Cinnamon Heart Decoction).
Gui (Cinnamomi Ramulus), bark removed; Nongpo (Magnoliae Officinalis Cortex), bark removed, fried in fresh ginger juice, 3 fen each; Shaoyao (Paeoniae Radix), 1 liang; Pao Ganjiang (Prepared Zingiberis Rhizoma); Binglang (Arecae Semen), chopped, 0.5 liang each.
The above five herbs are coarsely pounded and sifted. Use 5 qianbi per dose, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and add one he of Tongzi Xiaonian (Child's Urine). Mix well and divide into two warm doses taken on an empty stomach.
For treating cold damage with cold limbs. Zhengyi Method (Steaming and Ironing Method).
Wuzhuyu (Evodiae Fructus), washed in hot water, dried, 3 sheng.
The above single herb is soaked in warm wine until thoroughly wet. Place in two raw silk bags. Steam until extremely hot. Take the Wuzhuyu bags and alternately steam-iron the front and back of the limbs, as well as the palms and soles. Stop when Qi circulation is thorough.
After using medicinal ironing and Qi circulation is smooth, take this formula:
Renshen (Ginseng Radix), 1 liang; Shengjiang (Zingiberis Rhizoma Recens), baked and sliced, 2 liang.
The above two herbs are finely chopped. Decoct in 1.5 sheng of water until reduced to 0.8 sheng. Strain and divide into two warm doses. Re-administer after a meal interval.