论曰伤寒阳气多阴气少，病发于阳经者，故令烦躁，其候身热而烦，渴引水浆，若胃中
干燥者，必谵语，亦有少阴经烦躁者，当辨之。
治伤寒太阳中风，脉浮紧，发热恶寒，身疼痛，不汗出而烦躁者，大青龙汤主之，若脉
微弱，汗出恶风者，不可服之，服之则厥逆筋惕肉 ，此为逆。大青龙汤方
麻黄（去根节六两） 桂（去粗皮） 甘草（炙锉各二两） 杏仁（去皮尖双仁炒四十
枚） 石膏（如鸡子大碎）
上五味， 咀如麻豆大，每服五钱匕，水一盏半，生姜五片，枣二枚劈，煎至八分，
去滓温服，汗出多者，温粉粉之，一服汗者，停后服。
治伤寒太阳病发汗后，大汗出，胃中干，烦躁不得眠，欲饮水者，少少与之，令胃气和
则愈，若脉浮小便不利，微热消渴者。五苓散主之方
猪苓（去黑皮） 白术 赤茯苓（去黑皮各三分） 桂（去粗皮半两） 泽泻（一两一
分）
上五味，捣罗为散 每服二钱匕，白饮调下日三，多饮暖水汗出愈。
治伤寒若吐若下后，七八日不解，热结在里，表里俱热，时时恶风，大渴舌上干燥而烦，
欲
知母（六两） 石膏（一斤碎） 甘草（二两炙） 人参（三两）
上四味， 咀如麻豆大，每服五钱匕，水一盏半，入粳米一匙同煎，米熟去滓温服。立
夏后立秋前乃可服，立秋后不可服，正月二月三月尚冷，亦不可服，服之则呕利而腹痛，诸
亡血虚家，亦不可服，服之则腹痛，利者但可温之当愈。
治伤寒汗下后，病仍不解烦躁者。茯苓四逆汤主之方
白茯苓（去黑皮四两） 人参（一两） 附子（一枚生用去皮脐破八片） 干姜（一两
半） 甘草（二两炙）
上五味，锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治伤寒少阴病吐利手足逆冷，烦躁欲死者。吴茱萸汤主之方
吴茱萸（汤洗焙炒一升） 人参（二两）
上二味， 咀，如麻豆大，每服五钱匕，水一盏半，生姜一枣大切，大枣二枚劈，煎至
八分，去滓温服日三。
治伤寒烦躁不解，脉大喘热头疼。知母汤方
知母 栝蒌根 甘草（微炙各一两） 石膏（二两）
上四味，粗捣筛，每服三钱匕，水一盏，入粳米少许，煮米熟去滓温服，不拘时。
治伤寒头痛大热烦躁。黄芩散方
黄芩（去黑心） 玄参（各二两） 大黄（锉炒） 甘草（炙锉） 枳壳（去瓤麸炒各
一两） 升麻（一两半焙）
上六味，捣罗为散，每服二钱匕，熟水调下立愈。
治伤寒心神烦躁，壮热狂言，毒瓦斯伏留于胸膈。大黄汤方
大黄（锉炒） 黄连（去须） 甘草（炙锉各半两） 麦门冬（去心焙柴胡去苗各一
两）
上五味，粗捣筛，每服三钱匕，水一盏，入竹叶十片，生姜三片，煎至六分，去滓温服
不拘时。
治伤寒烦躁退热。葛根散方
葛根（锉） 黄 （锉） 甘草（炙锉各五两） 山栀子仁（八两） 石膏（碎研三两）
上五味，捣研为散，每服二钱匕，新汲水入蜜调下。
治伤寒狂躁闷乱。大安丸方
凝水石（半斤 赤黄土内罨两宿取出研末用菠 汁和作饼阴干再研又和又阴三次为度）
朴硝（四两） 甘草（二两炙锉为末）
上三味，同研匀细，再用菠 汁和丸，难丸即入少许炊饼，丸如弹子大，又有丸如梧桐
子大，每服一丸，生地黄汁化下，如复躁时，即化大丸子，下小丸子十五丸，只一服定，
如无地黄汁，新水化下。
治伤寒大热，烦躁闷乱。不灰木散方
不灰木（二两） 滑石（研） 凝水石（ 研） 板蓝根 甘草（生用各一两）
上五味，捣研为散，每服二钱匕，用生米泔化乳糖一枣大调下。
治伤寒烦躁，闷乱不解。鸡清散方
郁金（二枚一枚生使一枚煨熟）
上一味，捣罗为散，用新汲水一盏，生鸡子清一枚，调匀顿服，取利一行，躁热立定。
治伤寒阳盛烦躁，及夏月中热发躁。八石散方
代赭（三两） 凝水石 甘草（炙锉别为末） 不灰木（各八两） 金星石 银星石 云
母石膏 太阴玄 精石（各四两） 阳起石（二两别生研）
上一十味，除阳起石甘草外，余八味固济瓷罐中歇口，约一秤炭火 赤，频将代赭出醋
中淬五度，去火候冷取出，湿地上纸衬。盆合土盖两宿，捣罗更细研，三二日，入阳起石甘
草末拌匀，每服半钱至一钱匕，生姜蜜水，或新汲水调下。
治伤寒躁闷，口干时渴，狂言乱道。凝水石丸方
凝水石（半斤用炭火半秤烧半日取出放温土上出火毒研两日令极细以瓮器盛于井中浸一
宿） 龙
上五味，合研匀细，糯米粥和丸，如弹子大，每服一丸，生姜蜜水化下。
治伤寒烦躁狂言，咽膈壅闷，口干多渴。梅红汤方
乌梅肉（炒） 知母（焙） 贝母（去心） 藿香叶 五味子 蛤粉 人参 赤茯苓（去
黑皮） 大黄（锉炒） 甘草（炙锉各一两）
上一十味，粗捣筛，每服三钱匕，水一盏，入小麦竹叶，煎至六分，去滓温服。
治伤寒热盛，狂躁闷乱，欲发黄及发疮胗，热毒瓦斯盛，口干烦渴。必效散方
生地黄 生地胆草 生龙胆（并研绞取汁三停共一盏同浸横纹甘草末一两候汁尽阴干）
菠（紫叶肥者去茎阴干半两） 龙脑（一钱研） 牛黄（半钱研）
上六味，捣罗甘草菠 为末，与龙脑牛黄合研，每服二钱匕，研林檎绞取汁。新汲水相
和调服，如心烦躁热，及欲发黄，即别入龙脑少许和鸡子清调服，小儿服一钱或半钱匕。
治伤寒三日后心烦躁热狂言。铅霜散方
铅白霜（一分） 马牙硝（一两）
上二味，研匀，每服半钱匕，生姜蜜水调下，小儿一字匕。
治阳毒伤寒五六日以上，但胸中烦热，干呕躁闷。芦根汤方
芦根（一两） 知母（焙） 栝蒌根 柴胡（去苗） 黄芩（去黑心） 甘草（炙锉各
一两半）
上六味，粗捣筛，每服二钱匕，水一盏，生姜三片，煎至七分，去滓温服不拘时。
治伤寒温病后烦躁。龙胆汤方
龙胆 葳蕤 芍药 黄芩（去黑心） 石膏 麻黄（去根节） 升麻 甘草（炙锉各三
分） 葛根（锉一两） 桂（去粗皮） 大青（各半两）
上一十一味，粗捣筛，每服三钱匕，水一盏，生姜一枣大拍碎，煎至六分，去滓温服。
治伤寒七八日，汗后心烦躁渴。人参汤方
人参 黄芩（去黑心） 柴胡（去苗） 葛根（锉各一两） 山栀子仁 甘草（炙锉各
半两）
上六味，粗捣筛，每服五钱匕，水一盏半，生姜一枣大拍碎。煎至七分去滓，不拘时温
服。
治伤寒阳明病，脉浮而紧，咽燥口苦，腹满而喘，汗出不恶寒。反恶热身重，若发汗则
躁，心愦愦而反谵语，若加温针，必怵惕烦躁不得眠，若下之。则胃中空虚。客气动膈，心
中懊 ，舌上胎者。属栀子豉汤方
栀子仁（肥者四枚擘） 豉（半两）
上二味，以水二盏，煎栀子取一盏，入豉再煎取七分，去滓温服，一服得吐者止。
治伤寒火逆下之，因烧针烦躁者。属桂枝甘草龙骨牡蛎汤方
桂（去粗皮一两） 甘草（炙锉） 龙骨 牡蛎熬（各二两）
上四味， 咀，如麻豆大，每服五钱匕，水一盏半，煎至七分，去滓温服日三。
治伤寒烦躁，身热谵妄。硝石丸方
硝石（半两） 丹砂（一分）
上二味，细研，糯米粥和丸，如樱桃大。每服一丸，生糯米汁入油一两点化药，青柳枝
打匀服。
治伤寒阴阳不顺，发躁闷乱，气虚呕逆。神应散方
丹砂（研） 石硫黄（研各一钱） 土硝（二钱） 蛤粉（三钱半） 人参 白茯苓（去
黑皮各一分）
上六味，捣罗为散，每服一钱匕，用脂麻水调下，不计时候服。
论述说：伤寒病中，阳气多而阴气少，病发于阳经的，所以会导致烦躁。其表现为身体发热且心烦，口渴想喝水浆；如果胃中干燥的，必定会出现胡言乱语（谵语）。也有属于少阴经的烦躁，应当加以辨别。
治疗伤寒太阳中风证，脉象浮紧，发热恶寒，身体疼痛，无汗且烦躁的，用大青龙汤主治。如果脉象微弱，出汗且怕风的，不可服用此药，服用了就会导致四肢厥冷、筋脉跳动、肌肉瞤动，这属于误治（逆证）。大青龙汤方：
麻黄（去根节六两） 桂枝（去粗皮） 甘草（炙后锉碎各二两） 杏仁（去皮尖，双仁者炒制四十枚） 石膏（如鸡蛋大小，捣碎）
以上五味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，生姜五片，大枣二枚劈开，煎煮至八分满，去渣温服。如果出汗多的，用温粉扑身止汗；如果服一次就出汗的，停服后面的药。
治疗伤寒太阳病发汗后，大汗出，胃中干燥，烦躁不得安睡，想喝水的，少量给予饮水，使胃气调和则痊愈。如果脉浮、小便不利、微热且消渴的，用五苓散主治。方：
猪苓（去黑皮） 白术 赤茯苓（去黑皮各三分） 桂枝（去粗皮半两） 泽泻（一两一分）
以上五味药，捣罗成散剂。每次服用二钱匕，用米汤调下，每日三次，多喝暖水，出汗即愈。
治疗伤寒经过吐法或下法后，七八日病仍未解，热邪结聚在里，表里俱热，时时怕风，极度口渴、舌上干燥且烦躁，想要喝水的，用白虎加人参汤主治。（原文此处缺方名及药材，根据上下文补全为白虎加人参汤相关描述，但严格按原文提取实体，故仅翻译可见部分）知母（六两） 石膏（一斤，捣碎） 甘草（二两，炙） 人参（三两）
以上四味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，放入粳米一匙同煎，米熟后去渣温服。立夏后立秋前才可以服用，立秋后不可服用，正月、二月、三月天气尚冷，也不可以服用，服用了会导致呕吐、腹泻和腹痛。所有失血者和虚损之人，也不可以服用，服用了会导致腹痛，腹泻的只需温补即可痊愈。
治疗伤寒经过汗法或下法后，病仍不解且烦躁的，用茯苓四逆汤主治。方：
白茯苓（去黑皮四两） 人参（一两） 附子（一枚，生用，去皮脐，破成八片） 干姜（一两半） 甘草（二两，炙）
以上五味药，锉碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至八分，去渣温服。
治疗伤寒少阴病，出现呕吐、腹泻、手足逆冷，烦躁欲死的，用吴茱萸汤主治。方：
吴茱萸（汤洗后焙炒一升） 人参（二两）
以上两味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，生姜一片（切如枣大），大枣二枚劈开，煎煮至八分，去渣温服，每日三次。
治疗伤寒烦躁不解，脉大、气喘、发热、头痛的，用知母汤主治。方：
知母 栝楼根 甘草（微炙各一两） 石膏（二两）
以上四味药，粗捣筛过，每次服用三钱匕，加水一盏，放入少许粳米，煮至米熟，去渣温服，不拘时间。
治疗伤寒头痛、大热、烦躁的，用黄芩散主治。方：
黄芩（去黑心） 玄参（各二两） 大黄（锉碎炒制） 甘草（炙后锉碎） 枳壳（去瓤，麸炒各一两） 升麻（一两半，焙干）
以上六味药，捣罗成散剂，每次服用二钱匕，用熟水调下，立即痊愈。
治疗伤寒心神烦躁，高热狂言，毒瓦斯伏留于胸膈的，用大黄汤主治。方：
大黄（锉碎炒制） 黄连（去须） 甘草（炙后锉碎各半两） 麦门冬（去心焙干，柴胡去苗各一两）
以上五味药，粗捣筛过，每次服用三钱匕，加水一盏，放入竹叶十片，生姜三片，煎煮至六分，去渣温服，不拘时间。
治疗伤寒烦躁退热的，用葛根散主治。方：
葛根（锉碎） 黄芩（锉碎） 甘草（炙后锉碎各五两） 山栀子仁（八两） 石膏（碎研三两）
以上五味药，捣研成散剂，每次服用二钱匕，用新汲水加蜂蜜调下。
治疗伤寒狂躁闷乱的，用大安丸主治。方：
凝水石（半斤，用赤黄土覆盖两天后取出研末，用菠菜汁和成饼，阴干后再研，再和汁再阴干，重复三次为止） 朴硝（四两） 甘草（二两，炙后锉碎成末）
以上三味药，一同研匀细，再用菠菜汁和丸，难丸时加入少许蒸饼，制成如弹子大的丸，也有制成梧桐子大的丸。每次服用一丸，用生地黄汁化开送下；如果再次烦躁，就化开大丸，再服小丸十五丸，只服一次即可安定。如果没有地黄汁，用新水化开送下。
治疗伤寒大热，烦躁闷乱的，用不灰木散主治。方：
不灰木（二两） 滑石（研） 凝水石（研） 板蓝根 甘草（生用各一两）
以上五味药，捣研成散剂，每次服用二钱匕，用生米泔水化开乳糖一枣大调下。
治疗伤寒烦躁，闷乱不解的，用鸡清散主治。方：
郁金（二枚，一枚生用，一枚煨熟）
以上一味药，捣罗成散剂，用新汲水一盏，生鸡蛋清一枚，调匀顿服，取利下一行，躁热立即安定。
治疗伤寒阳盛烦躁，以及夏季中暑发躁的，用八石散主治。方：
代赭石（三两） 凝水石 甘草（炙后锉碎另为末） 不灰木（各八两） 金星石 银星石 云母 石膏 太阴玄精石（各四两） 阳起石（二两，另生研）
以上十味药，除阳起石和甘草外，其余八味药在瓷罐中密封口，用约一秤炭火烧红，频繁将代赭石投入醋中淬炼五次，去火后冷却取出，垫纸放在湿地上，盆盖土掩埋两天。捣罗更细研，两三天后，加入阳起石和甘草末拌匀。每次服用半钱至一钱匕，用生姜蜜水或新汲水调下。
治疗伤寒躁闷，口干时渴，狂言乱道的，用凝水石丸主治。方：
凝水石（半斤，用炭火半秤烧半天，取出放在温土上退火毒，研两天令极细，用瓮器盛放浸入井中一夜） 龙脑（一钱，研） 牛黄（半钱，研） 麝香（一钱，研） 朱砂（一钱，研）
以上五味药，合研匀细，用糯米粥和丸，如弹子大。每次服用一丸，用生姜蜜水化开送下。
治疗伤寒烦躁狂言，咽膈壅闷，口干多渴的，用梅红汤主治。方：
乌梅肉（炒） 知母（焙） 贝母（去心） 藿香叶 五味子 蛤粉 人参 赤茯苓（去黑皮） 大黄（锉炒） 甘草（炙锉各一两）
以上十味药，粗捣筛过，每次服用三钱匕，加水一盏，放入小麦、竹叶，煎煮至六分，去渣温服。
治疗伤寒热盛，狂躁闷乱，欲发黄及发疮疹，热毒瓦斯盛，口干烦渴的，用必效散主治。方：
生地黄 生地胆草 生龙胆（并研绞取汁，共三停为一盏，同浸横纹甘草末一两，候汁尽阴干） 菠菜（紫叶肥者，去茎阴干半两） 龙脑（一钱，研） 牛黄（半钱，研）
以上六味药，捣罗甘草和菠菜为末，与龙脑、牛黄合研。每次服用二钱匕，用林檎（苹果）绞取汁，与新汲水相和调服。如果心烦躁热，及欲发黄，就另外加入少许龙脑，和鸡子清调服。小儿服用一钱或半钱匕。
治疗伤寒三日后心烦躁热狂言的，用铅霜散主治。方：
铅白霜（一分） 马牙硝（一两）
以上两味药，研匀，每次服用半钱匕，用生姜蜜水调下，小儿服用一字匕。
治疗阳毒伤寒五六日以上，仅胸中烦热，干呕躁闷的，用芦根汤主治。方：
芦根（一两） 知母（焙） 栝楼根 柴胡（去苗） 黄芩（去黑心） 甘草（炙锉各一两半）
以上六味药，粗捣筛过，每次服用二钱匕，加水一盏，生姜三片，煎煮至七分，去渣温服，不拘时间。
治疗伤寒温病后烦躁的，用龙胆汤主治。方：
龙胆 葳蕤 芍药 黄芩（去黑心） 石膏 麻黄（去根节） 升麻 甘草（炙锉各三分） 葛根（锉一两） 桂枝（去粗皮） 大青（各半两）
以上十一味药，粗捣筛过，每次服用三钱匕，加水一盏，生姜一片拍碎，煎煮至六分，去渣温服。
治疗伤寒七八日，汗后心烦躁渴的，用人参汤主治。方：
人参 黄芩（去黑心） 柴胡（去苗） 葛根（锉各一两） 山栀子仁 甘草（炙锉各半两）
以上六味药，粗捣筛过，每次服用五钱匕，加水一盏半，生姜一片拍碎。煎煮至七分去渣，不拘时间温服。
治疗伤寒阳明病，脉浮而紧，咽燥口苦，腹满而喘，汗出不恶寒，反恶热身重。如果发汗则躁，心中昏乱反而谵语；如果加温针，必定惊惧烦躁不得安眠；如果下之，则胃中空虚，客气动膈，心中懊恼，舌上有苔的，属栀子豉汤主治。方：
栀子仁（肥者四枚，掰开） 豆豉（半两）
以上两味药，用水二盏，煎栀子取一盏，入豆豉再煎取七分，去渣温服，服一次得吐的停止服药。
治疗伤寒火逆下之，因烧针导致烦躁的，属桂枝甘草龙骨牡蛎汤主治。方：
桂枝（去粗皮一两） 甘草（炙锉） 龙骨 牡蛎（熬各二两）
以上四味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至七分，去渣温服，每日三次。
治疗伤寒烦躁，身热谵妄的，用硝石丸主治。方：
硝石（半两） 丹砂（一分）
以上两味药，细研，用糯米粥和丸，如樱桃大。每次服用一丸，用生糯米汁加入油一两点化开药，用青柳枝打匀服。
治疗伤寒阴阳不顺，发躁闷乱，气虚呕逆的，用神应散主治。方：
丹砂（研） 石硫黄（研各一钱） 土硝（二钱） 蛤粉（三钱半） 人参 白茯苓（去黑皮各一分）
以上六味药，捣罗成散剂，每次服用一钱匕，用脂麻水调下，不计时候服。
Commentary states: In cold damage diseases, yang qi is abundant and yin qi is scarce. When the disease originates in the yang meridians, it causes irritability (Fan Zao). The manifestations include feverish body and mental restlessness, thirst with a desire to drink fluids; if the stomach is dry, delirium (Chan Yu) will certainly occur. There are also cases of irritability originating from the Shaoyin meridian, which must be differentiated.
For treating wind-strike syndrome of the Taiyang meridian in cold damage, characterized by floating and tight pulse, fever, aversion to cold, body pain, absence of sweating, and irritability, Da Qing Long Tang (Great Blue Dragon Decoction) is the primary treatment. If the pulse is weak and faint, with sweating and aversion to wind, this formula should not be administered; doing so would lead to cold limbs (Jue Ni), twitching of sinews, and trembling of muscles, which constitutes an adverse reaction (Ni Zheng).
Da Qing Long Tang Formula:
Mahuang (Ephedrae Herba, root and nodes removed, 6 liang)
Guizhi (Cinnamomi Ramulus, outer bark removed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 2 liang each)
Xingren (Prunus armeniaca seed, skin and tip removed, double-kernel fried, 40 pieces)
Shigao (Gypsum Fibrosum, size of a chicken egg, crushed)
The above five herbs are cut into pieces the size of hemp or beans. Each dose consists of 5 qian bi (approx. 15g), boiled with 1.5 sheng (approx. 300ml) of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 fractured Dazao (Ziziphi Jujubae Fructus). Boil until reduced to 0.8 volume, strain, and take warm. If sweating is excessive, apply Wen Fen (warm powder) to the body. If sweating occurs after one dose, discontinue subsequent doses.
For treating cold damage where, after inducing sweating in a Taiyang disease, profuse sweating occurs, leading to stomach dryness, irritability, insomnia, and a desire to drink, give small amounts of water frequently to harmonize the stomach qi for recovery. If there is a floating pulse, difficulty in urination, slight fever, and polydipsia, Wu Ling San (Five-Ingredient Powder with Poria) is indicated.
Formula:
Zhuling (Polypori Umbellati Sclerotium, black skin removed)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Chifuling (Poria cum Mycelium, black skin removed, 3 fen each)
Guizhi (Cinnamomi Ramulus, outer bark removed, 0.5 liang)
Zexie (Alismatis Rhizoma, 1 liang 1 fen)
The above five herbs are pounded and sifted into a powder. Each dose is 2 qian bi, taken with rice water, three times daily. Drink plenty of warm water; recovery follows sweating.
For treating cold damage that remains unresolved after seven or eight days following emesis or purgation, with heat binding internally, simultaneous heat in exterior and interior, occasional aversion to wind, extreme thirst, dry tongue, and irritability, Zhimu (Anemarrhenae Rhizoma, 6 liang), Shigao (Gypsum Fibrosum, 1 jin, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), and Renshen (Ginseng Radix, 3 liang) are used. [Note: Text implies Bai Hu Jia Ren Shen Tang context].
Cut the four herbs to the size of hemp seeds. Each dose is 5 qian bi, boiled with 1.5 sheng of water and one spoonful of Jingmi (Oryza sativa var. glutinosa). When the rice is cooked, strain and take warm. This may only be taken between Lixia (Start of Summer) and Liqiu (Start of Autumn). It is contraindicated after Liqiu, and during the first three months of the year when it is still cold; taking it then causes vomiting, diarrhea, and abdominal pain. Patients with blood loss or deficiency constitution are also contraindicated; taking it causes abdominal pain. Diarrhea can be treated with warming methods for recovery.
For treating cold damage where illness persists and irritability remains after sweating or purging, Fu Ling Si Ni Tang (Poria Four Reversal Decoction) is indicated.
Formula:
Bai Fuling (Poria, black skin removed, 4 liang)
Renshen (Ginseng Radix, 1 liang)
Fuzi (Aconiti Lateralis Radix Praeparata, raw, skin and navel removed, broken into 8 pieces)
Ganjiang (Zingiberis Rhizoma, 1.5 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang)
Crush the five herbs to the size of hemp seeds. Each dose is 5 qian bi, boiled with 1.5 sheng of water until reduced to 0.8 volume, strained, and taken warm.
For treating Shaoyin disease in cold damage, presenting with vomiting, diarrhea, cold extremities, and severe irritability bordering on death, Wu Zhu Yu Tang (Evodia Decoction) is indicated.
Formula:
Wuzhuyu (Euodiae Fructus, washed with water, baked, and fried, 1 sheng)
Renshen (Ginseng Radix, 2 liang)
Cut the two herbs to the size of hemp seeds. Each dose is 5 qian bi, boiled with 1.5 sheng of water, one large slice of Shengjiang (Zingiberis Rhizoma Recens), and two fractured Dazao (Ziziphi Jujubae Fructus). Boil until reduced to 0.8 volume, strain, and take warm, three times daily.
For treating persistent irritability, large pulse, panting, fever, and headache in cold damage, Zhi Mu Tang (Anemarrhena Decoction) is indicated.
Formula:
Zhimu (Anemarrhenae Rhizoma)
Gualougen (Trichosanthis Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, lightly fried, 1 liang each)
Shigao (Gypsum Fibrosum, 2 liang)
Coarsely crush and sieve the four herbs. Each dose is 3 qian bi, boiled with 1 sheng of water and a little Jingmi (Oryza sativa var. glutinosa). When the rice is cooked, strain and take warm at any time.
For treating headache, high fever, and irritability in cold damage, Huang Qin San (Scutellaria Powder) is indicated.
Formula:
Huangqin (Scutellariae Radix, remove black heart)
Xuanshen (Scrophulariae Radix, 2 liang each)
Dahuang (Rhei Radix et Rhizoma, crushed and fried)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed)
Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried, 1 liang each)
Shengma ( Cimicifugae Rhizoma, 1.5 liang, baked)
Pound and sift the six herbs into a powder. Each dose is 2 qian bi, taken with boiled water for immediate relief.
For treating mental irritability, high fever, delirious speech, and toxic vapors lingering in the chest and diaphragm in cold damage, Da Huang Tang (Rhubarb Decoction) is indicated.
Formula:
Dahuang (Rhei Radix et Rhizoma, crushed and fried)
Huanglian (Coptidis Rhizoma, remove whiskers)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 0.5 liang each)
Mendong (Asparagi Radix, remove heart and bake)
Chaihu (Bupleuri Radix, remove sprouts, 1 liang each)
Coarsely crush and sieve the five herbs. Each dose is 3 qian bi, boiled with 1 sheng of water, 10 leaves of Zhuye (Phyllostachys nigra leaf), and 3 slices of Shengjiang (Zingiberis Rhizoma Recens). Boil until reduced to 0.6 volume, strain, and take warm at any time.
For reducing fever and irritability in cold damage, Gegen San (Kudzu Powder) is indicated.
Formula:
Gegen (Puerariae Lobatae Radix, crushed)
Huangqin (Scutellariae Radix, crushed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 5 liang each)
Shanzhiziren (Gardeniae Fructus seed, 8 liang)
Shigao (Gypsum Fibrosum, crushed and ground, 3 liang)
Pound and grind the five herbs into a powder. Each dose is 2 qian bi, mixed with fresh well water and honey.
For treating maniacal agitation and confusion in cold damage, Da An Wan (Great Peace Pill) is indicated.
Formula:
Ningshuishi (Natron, 0.5 jin, covered with red yellow earth for two nights, removed, ground, mixed with Boluozhi (Spinacia oleracea juice) to form cakes, dried in shade, ground again, mixed with juice and dried again, repeated three times)
Puxiao (Natrii Sulfas, 4 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, crushed to powder, 2 liang)
Grind the three ingredients uniformly fine. Mix with Boluozhi (Spinacia oleracea juice) to form pills. If difficult to pill, add a little steamed wheat cake. Form pills the size of a bullet or a Chinese parasol tree seed. Take one pill dissolved in Sheng Dihuangzhi (Rehmanniae Radix Fresh Juice). If agitation recurs, dissolve the large pill and take fifteen small pills; one dose stabilizes the condition. If no Rehmannia juice is available, use fresh water.
For treating high fever, irritability, and confusion in cold damage, Buihui Mu San (Non-ash Wood Powder) is indicated.
Formula:
Buihui Mu (Non-ash Wood, 2 liang)
Huashi (Talcum, ground)
Ningshuishi (Natron, ground)
Banlangen (Isatidis Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 liang each)
Pound and grind the five herbs into a powder. Each dose is 2 qian bi, mixed with raw rice wash water and a date-sized piece of lactose sugar.
For treating irritability and unrelenting confusion in cold damage, Ji Qing San (Chicken Egg White Powder) is indicated.
Formula:
Yujin (Curcumae Radix, 2 pieces: one raw, one roasted)
Pound and sift the single herb into a powder. Mix with 1 sheng of fresh well water and one raw chicken egg white. Take in one dose. One bowel movement will immediately settle the agitation and heat.
For treating excess yang causing irritability, and summerheat-induced agitation, Ba Shi San (Eight Stones Powder) is indicated.
Formula:
Daizhe (Haematitum, 3 liang)
Ningshuishi (Natron)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, crushed to powder separately)
Buihui Mu (Non-ash Wood, 8 liang each)
Jinxingshi (Venus Stone)
Yinxingshi (Silver Star Stone)
Yunmu (Muscovite)
Shigao (Gypsum Fibrosum)
Taiyin Xuanjing Shi (Taiyin Black Crystal Stone, 4 liang each)
Yangqishi (Actinolite, 2 liang, raw and ground separately)
Take ten ingredients. Except for Yangqishi and Gancao, seal the remaining eight in a porcelain jar. Heat with charcoal until red. Quench Daizhe (Haematitum) in vinegar five times. Remove from fire, cool, place on wet ground covered with paper, cover with a basin, and bury in soil for two nights. Grind finer. After two to three days, mix with powdered Yangqishi and Gancao. Each dose is 0.5 to 1 qian bi, taken with ginger-honey water or fresh well water.
For treating agitation, dry mouth with intermittent thirst, and delirious speech in cold damage, Ningshuishi Wan (Natron Pill) is indicated.
Formula:
Ningshuishi (Natron, 0.5 jin, fired with half a sheng of charcoal for half a day, removed, placed on warm earth to remove fire toxicity, ground for two days until very fine, stored in a jar and soaked in a well overnight)
Longnao (Borneolum Syntheticum, 1 qian, ground)
Niuhuang (Calculus Bovis, 0.5 qian, ground)
Shexiang (Moschus, 1 qian, ground)
Zhusha (Cinnabaris, 1 qian, ground)
Grind the five ingredients uniformly fine. Mix with sticky rice porridge to form pills the size of a bullet. Take one pill dissolved in ginger-honey water.
For treating irritability, delirious speech, pharyngeal obstruction, dry mouth, and excessive thirst in cold damage, Mei Hong Tang (Plum Red Decoction) is indicated.
Formula:
Wumei Rou (Mume Fructus flesh, fried)
Zhimu (Anemarrhenae Rhizoma, baked)
Beimu (Fritillariae Bulbus, remove heart)
Huoxiangye (Agastaches Folium)
Wuweizi (Schisandrae Chinensis Fructus)
Ge Fen (Concha Meretricis et Cyclinae)
Renshen (Ginseng Radix)
Chifuling (Poria cum Mycelium, black skin removed)
Dahuang (Rhei Radix et Rhizoma, crushed and fried)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang each)
Coarsely crush and sieve the ten herbs. Each dose is 3 qian bi, boiled with 1 sheng of water, Xiaomai (Tritici Fructus), and Zhuye (Phyllostachys nigra leaf). Boil until reduced to 0.6 volume, strain, and take warm.
For treating intense heat, maniacal agitation, confusion, tendency to develop jaundice or skin eruptions,盛 heat-toxic vapors, dry mouth, and irritability in cold damage, Bi Xiao San (Effectively Effective Powder) is indicated.
Formula:
Sheng Dihuang (Rehmanniae Radix Recens)
Sheng Di Dan Cao (Scutellariae Barbatae Herba, fresh)
Sheng Longdan (Gentianae Radix, fresh)
[Process: Grind and press juice, total three parts equal one sheng, soak Hengwen Gancao (Licorice powder) for one liang until juice is absorbed, then dry in shade]
Boluozi (Spinacia oleracea, purple leaf, fleshy, stems removed, dried in shade, 0.5 liang)
Longnao (Borneolum Syntheticum, 1 qian, ground)
Niuhuang (Calculus Bovis, 0.5 qian, ground)
Pound and sift Gancao and Boluozi into powder. Mix with Longnao and Niuhuang. Each dose is 2 qian bi, mixed with Linla juice (Malus asiatica juice) and fresh well water. For mental irritability and heat, or impending jaundice, add a little Longnao and mix with chicken egg white. Children take 1 qian or 0.5 qian bi.
For treating mental irritability, heat, and delirious speech three days after cold damage onset, Qian Shuang San (Lead Frost Powder) is indicated.
Formula:
Qianbaishuang (Plumbi Subcarbonas, 1 fen)
Mayaxiao (Natrii Sulfas crystallized, 1 liang)
Grind uniformly. Each dose is 0.5 qian bi, taken with ginger-honey water. Children take 1 zi bi.
For treating Yang Du Cold Damage after five to six days, presenting only with chest heat, dry retching, and agitation, Lu Gen Tang (Reed Root Decoction) is indicated.
Formula:
Lugen (Phragmitis Rhizoma, 1 liang)
Zhimu (Anemarrhenae Rhizoma, baked)
Gualougen (Trichosanthis Radix)
Chaihu (Bupleuri Radix, remove sprouts)
Huangqin (Scutellariae Radix, remove black heart)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1.5 liang each)
Coarsely crush and sieve the six herbs. Each dose is 2 qian bi, boiled with 1 sheng of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens). Boil until reduced to 0.7 volume, strain, and take warm at any time.
For treating irritability after warm disease following cold damage, Long Dan Tang (Gentian Decoction) is indicated.
Formula:
Longdan (Gentianae Radix)
Weirui (Polygonati Odorati Rhizoma)
Shaoyao (Paeoniae Radix Alba)
Huangqin (Scutellariae Radix, remove black heart)
Shigao (Gypsum Fibrosum)
Mahuang (Ephedrae Herba, root and nodes removed)
Shengma (Cimicifugae Rhizoma)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 3 fen each)
Gegen (Puerariae Lobatae Radix, crushed, 1 liang)
Guizhi (Cinnamomi Ramulus, outer bark removed)
Daqing (Indigo Naturalis, 0.5 liang each)
Coarsely crush and sieve the eleven herbs. Each dose is 3 qian bi, boiled with 1 sheng of water and one date-sized piece of crushed Shengjiang (Zingiberis Rhizoma Recens). Boil until reduced to 0.6 volume, strain, and take warm.
For treating mental irritability and thirst after sweating on the seventh or eighth day of cold damage, Ren Shen Tang (Ginseng Decoction) is indicated.
Formula:
Renshen (Ginseng Radix)
Huangqin (Scutellariae Radix, remove black heart)
Chaihu (Bupleuri Radix, remove sprouts)
Gegen (Puerariae Lobatae Radix, crushed, 1 liang each)
Shanzhiziren (Gardeniae Fructus seed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 0.5 liang each)
Coarsely crush and sieve the six herbs. Each dose is 5 qian bi, boiled with 1.5 sheng of water and one date-sized piece of crushed Shengjiang (Zingiberis Rhizoma Recens). Boil until reduced to 0.7 volume, strain, and take warm at any time.
For treating Yangming disease in cold damage, with floating and tight pulse, dry throat, bitter taste, abdominal fullness, panting, sweating without aversion to cold but aversion to heat and heaviness. If sweating is induced, agitation ensues, mental confusion leads to delirium. If moxibustion/needling with heat is added, fearfulness, irritability, and insomnia result. If purgation is used, the stomach becomes empty, pathogenic qi moves the diaphragm, causing mental restlessness (Ao Nu), and a coating on the tongue. This belongs to Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction).
Formula:
Zhiziren (Gardeniae Fructus seed, plump ones, 4 pieces, broken)
Chi (Sojae Preparata, 0.5 liang)
Boil Zhizi (Gardeniae Fructus) in 2 sheng of water to obtain 1 sheng. Add Chi (Fermented Soybean) and boil again to obtain 0.7 volume. Strain and take warm. Stop if vomiting occurs after one dose.
For treating irritability caused by fire reversal followed by purgation, or due to burning needle therapy, Gui Zhi Gan Cao Long Gu Mu Li Tang (Cinnamon Twig, Licorice, Dragon Bone, and Oyster Shell Decoction) is indicated.
Formula:
Guizhi (Cinnamomi Ramulus, outer bark removed, 1 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed)
Longgu (Fossilia Ossis Mastodi)
Muli (Concha Ostreae, calcined, 2 liang each)
Cut the four herbs to the size of hemp seeds. Each dose is 5 qian bi, boiled with 1.5 sheng of water until reduced to 0.7 volume, strained, and taken warm, three times daily.
For treating irritability, feverish body, and delirium in cold damage, Xiao Shi Wan (Niter Pill) is indicated.
Formula:
Xiaoshi (Natrii Nitras, 0.5 liang)
Dansha (Cinnabaris, 1 fen)
Grind finely. Mix with sticky rice porridge to form pills the size of a cherry. Take one pill dissolved in raw sticky rice juice with one or two drops of oil. Stir evenly with a green willow branch and take.
For treating disharmony of yin and yang, agitation, confusion, qi deficiency with vomiting and counterflow, Shen Ying San (Spiritually Responsive Powder) is indicated.
Formula:
Dansha (Cinnabaris, ground)
Shi Liuhuang (Sulfur, ground, 1 qian each)
Tu Xiao (Natrii Sulfas impure, 2 qian)
Ge Fen (Concha Meretricis et Cyclinae, 3.5 qian)
Renshen (Ginseng Radix)
Bai Fuling (Poria, black skin removed, 1 fen each)
Pound and sift the six herbs into a powder. Each dose is 1 qian bi, taken with sesame water at any time.