论曰阴气独盛，阳气暴衰，阳为阴所胜，内外皆阴，故成阴毒，伤寒有初得病便成阴毒
者，有服汤药经五六日以上不瘥，变成阴毒者，以病本属阴，因服寒药过多，或腑脏内外受
寒。阴气转盛，阳气不复所致，其候四肢逆冷，脐腹筑痛，身如被击，呕吐下利，其脉沉细
而疾者是也。
治伤寒初得病一二日，便结成阴毒。或服药经旬以上，变成阴毒，身重背强，腹中绞痛，
咽喉不利，毒瓦斯攻心，心下坚强，短气不得息，呕逆，唇青面黑，四肢厥冷，其脉沉细，身
如被击。五六日可治，至七日不可治。宜阴毒甘草汤方
甘草（炙） 升麻 当归（炙各半两） 雄黄（研） 蜀椒（去目及闭口者炒出汗各一
分） 鳖
甲（一两半醋炙去裙 ） 桂（去粗皮半两）
上七味，除研外，锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓温服。
治阴毒伤寒，上气喘促。正阳汤方
附子（炮裂去皮脐一两） 桂（去粗皮三分） 干姜（炮半两）
上三味，锉如麻豆大，每服五钱匕，水一盏，煎至半盏，去滓食前温服。
治阴毒伤寒，心神烦躁，四肢厥冷。白术饮方
白术 乌头（炮裂去皮脐） 桔梗（锉炒） 附子（炮裂去皮脐） 细辛（去苗叶各一
两） 干
姜（半两炮）
上六味，锉如麻豆大，每服二钱匕，以水一盏，煎至六分，不计时候去滓热服。
治阴毒伤寒。回阳发表汤方
附子（炮裂去皮脐） 桂（去粗皮） 人参 泽泻（各半两） 半夏（汤洗七遍炒令干）
干姜
（炮） 天南星（炮） 甘草（炙各一分）
上八味，锉如麻豆大，每服三钱匕，水一盏，入生姜半分拍碎，枣二枚劈破，同煎至七
分，去滓食前温服。
治阴毒伤寒，唇青面黑，身背强，四肢冷。附子汤方
附子（炮裂去皮脐三分） 桂（去粗皮） 当归（切焙） 白术（各半两） 半夏（汤
洗七遍去
滑） 干姜（炮各一分）
上六味，锉如麻豆大，每服三钱匕，以水一盏，入生姜三片，煎至六分，去滓热服，不
拘时。
治阴毒伤寒，唇青面黑，四肢逆冷，脉沉细，体生斑点，身背强重，及心下短气呕逆。
当归汤方
当归（切焙半两） 椒（去目及合口者炒令微汗一两） 鳖甲（醋浸炙去裙 一两一分）
甘
草（炙半两） 升麻（三分）
上五味，粗捣筛，每服五钱匕，水一盏，煎至半盏，去滓食前温服。
治阴毒伤寒，目赤唇焦，头疼烦渴，面色赫赤，身恶寒。定命汤方
附子（炮裂去脐皮二两） 高良姜 白术 干姜（炮各一两）
上四味，锉如麻豆大，每服三钱匕，用水一盏，煎至五分，去滓不计时候温服。未服药
前，先饮酒使醺醺，后服药，如思食，即与酒粥吃，不得妄食他物，若小便出血，是阴毒去
矣。
治阴毒伤寒，手足厥冷，或生斑点。气壅喘闷方
附子（二枚炭火烧令黑色便取出盏子盖就地出火毒）
上一味，捣罗为细散，每服沉香摩水，煮米饮，调下二钱匕，不拘时。
治阴毒伤寒，面青，张口出气，心下硬，身不热，额上有汗，烦渴不止，舌黑多睡，四
肢逆冷。正阳饮方
附子（炮裂去皮脐一两） 皂荚（一梃去皮子涂酥炙令黄） 干姜（炮锉） 甘草（炙
锉各一
分）
上五味，除麝香外，锉如麻豆大，每服二钱匕，以水一盏，煎至五分，去滓热服，不拘
时。
治阴毒伤寒。桂附汤方
桂（去粗皮一分） 附子（去皮脐生用半两） 丁香 吴茱萸（汤淘三遍焙干炒各半分）
上四味，锉如麻豆大，每服二钱匕，水一盏，入生姜半分拍碎，同煎至七分，去滓温服。
治阴毒伤寒，面青手足逆冷，心腹气胀。回阳丹方
硫黄（研） 木香（研） 荜澄茄 附子（炮裂去皮脐） 干蝎（去土炒） 吴茱萸（汤
浸七遍
焙干微炒各半两） 干姜（一分炮）
上七味，捣罗为细末，酒煮面糊为丸，如梧桐子大，以丹砂为衣，每服三十丸，生姜汤
下，不拘时，并三服，以热酒一盏投之、取汗。
治阴毒伤寒。回阳散方
硫黄（一两） 寒水石（三分） 硝石（半两）
上三味，入砂瓶子内盛，以瓦盖瓶口，黄泥固济阴干，用炭火五斤， 令火尽，研如粉，
每服一钱匕，温水调下。
治阴毒伤寒。黑神散方
附子（三两去脐皮烧令烟尽） 麻黄（去节一两） 桂（去粗皮半两）
上三味，捣罗为细散，每服二钱匕，蜜汤调下。
治阴毒伤寒，面青手足冷，身如被击。来苏丹方
太阴玄精石 硫黄 硝石 白矾 水银各一分
上五味，同研，令水银不见星，入瓷合子内，烧通赤，粟米饭和丸，如小豆大，每服三
丸，温水下。
治阴毒伤寒，手足厥冷，脉息沉细，面目多青。正阳丹方
硫黄 硝石（各二两） 太阴玄精石（一两）
上三味，细研，入瓷瓶子内，盐泥固济阴干，炭火 赤，放冷细研为末，酒煮面糊为丸，
如梧桐子大，每服二十丸，温酒下，不计时候。
治阴毒伤寒，手足厥，身冷，脉细。四逆散方
太阴玄精石（三分末） 硫黄（一两） 不灰木 盆硝（各一分）
上四味，研为细末，在铫子内，以盏子盖，周回用湿纸闭缝，安火上，纸干为度，取出
细研，入龙脑半钱干姜末半两拌匀，每服半钱匕，冷艾汤调下，肌体暖是验，一方去不灰木，
加附子。
治阴毒伤寒，手足厥，面多青，腹中 痛。退阴汤方
乌头（炮裂去皮脐） 干姜（炮各半两）
上二味，粗捣筛，炒令转色，放冷，每服二钱匕，水一盏，盐一捻，煎至半盏，去滓温
服。
治伤寒阴毒，四肢厥冷，时有汗。还阳汤方
不灰木（一两） 延胡索（半两） 太阴玄精石（一分）
上三味，粗捣筛，每服二钱匕，水一盏，入葱白一寸，同煎至六分，去滓不计时温服。
治伤寒伏阴气，手足厥冷，肌肤不热。退阴丸方
硫黄（半斤生） 太阴玄精石（ 三两）
上二味，用柳椎细研为末，水浸炊饼和丸，如梧桐子大，每服五十丸，热艾汤下，日三。
治伤寒阴毒，四肢逆冷，面青胸膈不利，呕哕虚烦。夜光丹方
硫黄（研） 太阴玄精石（研） 硝石（研各一两） 附子（炮裂去皮脐者一两生去皮
者半两）
上四味，先将玄精硝石二味，于铁铫子中，慢火熬，候匀热，以匙于中心，隐作坑子，
纳硫黄，候熔搅匀，放冷研细，别捣罗生熟附子为细末，入研者药，合研匀，以软烂粳米饭
和丸，如梧桐子大，每服五丸，冷艾汤下。
治阴毒伤寒，面青四逆，及脐腹 痛，身体如冰，并疗一切卒暴冷气。附子回阳散方
附子（二枚炮裂去皮脐）
上一味，捣罗为细散，每服三钱匕，取生姜自然汁半盏，冷酒搅匀，共一盏调服，更以
冷清酒一盏送下，相次更进
一服，良久脐下如火，遍身和暖为度。
治伤寒阴毒，四肢厥逆，脉息微细。太阳丸方
硫黄（研） 附子（炮裂去脐皮各一两）
上二味，捣罗为末，酒煮面糊为丸，如梧桐子大，每服十丸至十五丸，煎艾盐汤下，不
计时候。
治阴毒伤寒，四肢厥冷，脉候微细，心胸痞闷。回阳煮散方
天南星（二两酒浸七日取出锉炒令黄） 附子（炮裂去皮脐一两）
上二味，捣罗为散，每服二钱匕，酒一盏半，慢火同煎至六分，温服不计时候。
治阴毒伤寒。定命丸方
硫黄（研） 吴茱萸（汤浸焙干炒捣为末） 硝石（研各一分） 巴豆（去皮心膜半分）
上四味，一处研令匀，软饭和丸，如弹子大，每服先以椒煎汤浸手良久，男左女右执一
丸，汗出即瘥。
治伤寒阴毒。吴茱萸汤方
吴茱萸（汤洗炒干一两） 白附子 天南星 柴胡（去苗） 鳖甲（去裙 醋炙） 前
胡（去
芦头） 细辛（去苗叶） 羌活（去芦头） 黄 锉 干姜（炮） 枳壳（去瓤麸炒） 陈
橘皮（汤浸
去白焙） 赤芍药 浓朴（去粗皮生姜汁炙） 白檀 五味子 桔梗（各半两） 苍术（米
泔浸一
宿去皮） 莎草根 当归（切焙） 芎 麻黄（去根节汤煮掠去沫各一两） 甘草（炙一
两半）
上二十三味，锉碎，入净锅内，慢火炒令黄，再粗捣筛，每服三钱匕，水一盏，生姜三
片，同煎至七分，去滓温服，不拘时候。
治阴阳二毒，不省人事。归魂散方
石膏（八两） 寒水石（四两） 阳起石（三两以上三味捣细研为末和入新罐内火煨一
复时
取出纸铺地上出火毒入后药） 附子（炮裂去皮脐三两） 干姜（炮） 麻黄（去节各一两）
杏
仁（二七枚去皮尖双仁炒研）
上七味，捣研令匀，瓷合盛，冷水调下二钱匕。
治伤寒阴盛，里寒脉细，手足厥冷。顺元煮散方
乌头（炮裂去皮脐二两） 附子（炮裂去皮脐） 天南星（炮裂去皮脐各一两） 木香
（半两）
上四味，捣罗为散，每服一钱匕，水一盏，煎至六分温服。此散能温里，脉迟细沉伏，
手足冷，毛发恂栗，皆伤寒里证之类，大啜三两杯，当手足温，或汗出乃愈。今世名医，多
用此散，和一切气，通利血络，人病脾疟，用紫金丸逐下，仍服此散，紫金丸用硫黄末针沙
各三钱匕，铁粉五钱匕，腻粉十五钱匕，粟饭丸，如皂荚子大，每服一丸，乳香汤下，气实
服一丸半至二丸。
治阴毒伤寒出汗。葱薤汤方
葱白 薤白 荆芥穗 竹茹（各一握） 豉（去皮半升），生姜（一分） 蜀椒（去目
并闭口
炒出汗四十九粒）
上七味， 咀，如麻豆大，每服五钱匕，酒二盏，煎十数沸去滓，又别取此药二十钱匕，
以
治阴毒伤寒，头痛眼疼，心中闷乱，身体沉重，四肢俱冷，精神恍惚，脉候沉细，欲得冷水
，饮之必危。宜服附子汤方
附子（炮裂去脐皮二枚） 桂（去粗皮半两） 当归（切焙半两） 干姜（炮裂一分） 麻
黄
（去节先煎掠去沫焙干半两）
上五味，粗捣筛，每五钱匕，以水一盏半，煎至七分，去滓空心顿服，以衣覆，如人行
五里，再一服，少顷以生姜煮热稀粥投之，身体四肢自然汗出，须臾头轻目明，妇人病加赤
芍药半两神效。
治伤寒头痛壮热，不问阴阳二毒，并宜服之。附子丸方
附子（炮裂去皮脐半两） 五味子（一两）
上二味，捣罗为末，研饭和丸，如梧桐子大，每服三十丸，茶清下，良久吐或汗即瘥。
论述说：阴气单独亢盛，阳气突然衰微，阳被阴所克制，体内体外皆呈现阴寒之象，因此形成阴毒。伤寒病中，有刚得病就形成阴毒的，也有服用汤药经过五六天以上病情未愈，转变为阴毒的。这是因为病本属于阴证，因服用寒凉药物过多，或者脏腑内外受寒，导致阴气更加旺盛，阳气无法恢复所致。其症状表现为四肢逆冷，脐腹部剧烈疼痛，身体感觉像被击打一样，呕吐腹泻，脉象沉细而快速，这就是阴毒的表现。
治疗伤寒初起一两天，就结成阴毒。或者服药超过十天，变成阴毒，身体沉重背部僵硬，腹中绞痛，咽喉不畅，毒气攻心，心下坚硬，呼吸短促不能喘息，呕吐逆气，嘴唇发青面色黑，四肢厥冷，脉象沉细，身体感觉像被击打一样。发病五天内可治，到第七天则不可治。适宜使用阴毒甘草汤方。
甘草（炙） 升麻 当归（炙，各半两） 雄黄（研碎） 蜀椒（去掉目及闭口者，炒至出汗，各一分） 鳖甲（一两半，醋炙后去掉裙边） 桂枝（去掉粗皮，半两）。
以上七味药，除了需要研碎的药材外，其余锉成如麻豆大小的颗粒。每次服用五钱匕，用水一盏半，煎煮至八分，去渣温服。
附子（炮裂，去皮脐，一两） 桂枝（去掉粗皮，三分） 干姜（炮制，半两）。
以上三味药，锉成如麻豆大小。每次服用五钱匕，用水一盏，煎煮至半盏，去渣饭前温服。
白术 乌头（炮裂，去皮脐） 桔梗（锉碎炒制） 附子（炮裂，去皮脐） 细辛（去苗叶，各一两） 干姜（炮制，半两）。
以上六味药，锉成如麻豆大小。每次服用二钱匕，用水一盏，煎煮至六分，不限时候，去渣热服。
附子（炮裂，去皮脐） 桂枝（去掉粗皮） 人参 泽泻（各半两） 半夏（汤洗七遍，炒干） 干姜（炮制） 天南星（炮制） 甘草（炙，各一分）。
以上八味药，锉成如麻豆大小。每次服用三钱匕，用水一盏，加入生姜半分拍碎，大枣二枚劈破，同煎至七分，去渣饭前温服。
治疗阴毒伤寒，嘴唇发青面色黑，身体背部僵硬，四肢冰冷。附子汤方。
附子（炮裂，去皮脐，三分） 桂枝（去掉粗皮） 当归（切后焙干） 白术（各半两） 半夏（汤洗七遍去滑腻） 干姜（炮制，各一分）。
以上六味药，锉成如麻豆大小。每次服用三钱匕，用水一盏，加入生姜三片，煎煮至六分，去渣热服，不限时间。
治疗阴毒伤寒，嘴唇发青面色黑，四肢逆冷，脉象沉细，体表出现斑点，身体背部强重，以及心下短气呕吐逆气。当归汤方。
当归（切后焙干，半两） 花椒（去掉目及合口者，炒至微出汗，一两） 鳖甲（醋浸炙后去掉裙边，一两一分） 甘草（炙，半两） 升麻（三分）。
以上五味药，粗捣筛过。每次服用五钱匕，用水一盏，煎煮至半盏，去渣饭前温服。
治疗阴毒伤寒，眼睛红赤嘴唇焦裂，头痛烦渴，面色红赤，身体恶寒。定命汤方。
附子（炮裂，去脐皮，二两） 高良姜 白术 干姜（炮制，各一两）。
以上四味药，锉成如麻豆大小。每次服用三钱匕，用水一盏，煎煮至五分，去渣不限时候温服。在服药前，先饮酒至微醺，然后服药；如果想吃东西，就给吃酒粥，不要乱吃其他食物。如果小便出血，说明阴毒已去。
附子（二枚，用炭火烧至黑色便取出，用盏子盖住放在地上以去除火毒）。
以上一味药，捣罗成细散。每次服用时，用沉香磨水，煮米饮，调服二钱匕，不限时间。
治疗阴毒伤寒，面色青，张口出气，心下硬，身体不发热，额上有汗，烦渴不止，舌黑多睡，四肢逆冷。正阳饮方。
附子（炮裂，去皮脐，一两） 皂荚（一梃，去皮子，涂酥炙令黄色） 干姜（炮制锉碎） 甘草（炙锉，各一分）。
以上五味药，除了麝香外，锉成如麻豆大小。每次服用二钱匕，用水一盏，煎煮至五分，去渣热服，不限时间。（注：原文此处虽列五味，但方名正阳饮且前文提及除麝香外，通常此方含麝香，依原文描述执行）。
桂枝（去掉粗皮，一分） 附子（去皮脐，生用，半两） 丁香 吴茱萸（汤淘三遍焙干炒，各半分）。
以上四味药，锉成如麻豆大小。每次服用二钱匕，用水一盏，加入生姜半分拍碎，同煎至七分，去渣温服。
硫黄（研碎） 木香（研碎） 荜澄茄 附子（炮裂，去皮脐） 干蝎（去土炒） 吴茱萸（汤浸七遍焙干微炒，各半两） 干姜（一分，炮制）。
以上七味药，捣罗成细末，用酒煮面糊为丸，如梧桐子大，以丹砂为衣。每次服用三十丸，生姜汤送下，不限时间，连服三剂后，再用热酒一盏送服，以取汗为度。
以上三味药，放入砂瓶内，用瓦片盖住瓶口，用黄泥密封固定并阴干。用五斤炭火煅烧，直到火尽，研成粉末。每次服用一钱匕，温水调下。
附子（三两，去脐皮烧至烟尽） 麻黄（去节，一两） 桂枝（去掉粗皮，半两）。
以上三味药，捣罗成细散。每次服用二钱匕，蜜汤调下。
以上五味药，一同研碎，使水银不见星点。放入瓷盒内，烧至通红，用粟米饭和丸，如小豆大。每次服用三丸，温水送下。
以上三味药，细研，放入瓷瓶内，用盐泥密封固定并阴干。用炭火煅烧至红，放冷后细研为末，用酒煮面糊为丸，如梧桐子大。每次服用二十丸，温酒送下，不限时间。
太阴玄精石（三分，研末） 硫黄（一两） 不灰木 盆硝（各一分）。
以上四味药，研为细末，在铫子内，用盏子盖住，周围用湿纸封闭缝隙，放在火上，直到纸干为止。取出细研，加入龙脑半钱、干姜末半两拌匀。每次服用半钱匕，冷艾汤调下，身体暖和即为有效。另一版本去掉不灰木，加附子。
以上二味药，粗捣筛过，炒至变色，放冷。每次服用二钱匕，用水一盏，盐一捻，煎煮至半盏，去渣温服。
以上三味药，粗捣筛过。每次服用二钱匕，用水一盏，加入葱白一寸，同煎至六分，去渣不限时间温服。
以上二味药，用柳椎细研为末，用水浸炊饼和丸，如梧桐子大。每次服用五十丸，热艾汤送下，每日三次。
治疗伤寒阴毒，四肢逆冷，面色青胸膈不利，呕哕虚烦。夜光丹方。
硫黄（研碎） 太阴玄精石（研碎） 硝石（研碎，各一两） 附子（炮裂去皮脐者一两，生去皮者半两）。
以上四味药，先将玄精石、硝石两味，在铁铫子中，用慢火熬，待均匀受热后，用匙子在中心挖一个小坑，放入硫黄，待熔化搅匀，放冷后研细。另外将生、熟附子捣罗成细末，加入研好的药中，混合研匀，用软烂粳米饭和丸，如梧桐子大。每次服用五丸，冷艾汤送下。
治疗阴毒伤寒，面色青四肢逆冷，以及脐腹疼痛，身体如冰，并治疗一切突发冷气。附子回阳散方。
附子（二枚，炮裂去皮脐）。
以上一味药，捣罗成细散。每次服用三钱匕，取生姜自然汁半盏，与冷酒搅匀，共一盏调服。随后再用冷清酒一盏送下，相继再进一服，良久之后脐下如火，遍身温暖为止。
以上二味药，捣罗成末，用酒煮面糊为丸，如梧桐子大。每次服用十丸至十五丸，煎艾盐汤送下，不限时间。
天南星（二两，酒浸七日取出锉碎炒令黄色） 附子（炮裂去皮脐，一两）。
以上二味药，捣罗成散。每次服用二钱匕，用酒一盏半，慢火同煎至六分，温服不限时间。
硫黄（研碎） 吴茱萸（汤浸焙干炒捣为末） 硝石（研碎，各一分） 巴豆（去皮心膜，半分）。
以上四味药，一处研匀，软饭和丸，如弹子大。每次服用前，先用花椒煎汤浸泡手良久，男左女右手持一丸，汗出即痊愈。
吴茱萸（汤洗炒干，一两） 白附子 天南星 柴胡（去苗） 鳖甲（去裙边，醋炙） 前胡（去芦头） 细辛（去苗叶） 羌活（去芦头） 黄芩（锉碎） 干姜（炮制） 枳壳（去瓤麸炒） 陈皮（汤浸去白焙） 赤芍药 厚朴（去粗皮，生姜汁炙） 白檀 五味子 桔梗（各半两） 苍术（米泔浸一夜去皮） 莎草根 当归（切焙） 川芎 麻黄（去根节，汤煮掠去沫，各一两） 甘草（炙，一两半）。
以上二十三味药，锉碎，放入干净锅内，慢火炒令黄色，再粗捣筛过。每次服用三钱匕，用水一盏，生姜三片，同煎至七分，去渣温服，不限时间。
石膏（八两） 寒水石（四两） 阳起石（三两，以上三味捣细研为末，和新罐内火煨一个时辰，取出铺纸在地上以出火毒，加入以下药物） 附子（炮裂去皮脐，三两） 干姜（炮制） 麻黄（去节，各一两） 杏仁（二七枚，去皮尖双仁炒研）。
以上七味药，捣研令匀，瓷盒盛装，冷水调下二钱匕。
乌头（炮裂去皮脐，二两） 附子（炮裂去皮脐） 天南星（炮裂去皮脐，各一两） 木香（半两）。
以上四味药，捣罗成散。每次服用一钱匕，用水一盏，煎煮至六分温服。此散能温里，脉迟细沉伏，手足冷，毛发耸立，都是伤寒里证之类，大量饮用三两杯，当手足温暖，或汗出即愈。当今名医，多用此散调和一切气，通利血络。人患脾疟，用紫金丸驱逐下行，仍服此散。紫金丸用硫黄末、针砂各三钱匕，铁粉五钱匕，腻粉十五钱匕，粟饭丸，如皂荚子大。每次服用一丸，乳香汤送下，气实者服一丸半至二丸。
葱白 薤白 荆芥穗 竹茹（各一握） 豆豉（去皮，半升），生姜（一分） 蜀椒（去掉目并闭口者，炒出汗，四十九粒）。
以上七味药，切碎如麻豆大小。每次服用五钱匕，用酒二盏，煎煮十余沸，去渣。另取此药二十钱匕，以……（原文此处中断，推测为后续用法，依现有文本翻译至此）。
治疗阴毒伤寒，头痛眼疼，心中闷乱，身体沉重，四肢俱冷，精神恍惚，脉候沉细，想要喝冷水，饮之必危。适宜服用附子汤方。
附子（炮裂去脐皮，二枚） 桂枝（去掉粗皮，半两） 当归（切焙，半两） 干姜（炮裂，一分） 麻黄（去节，先煎掠去沫焙干，半两）。
以上五味药，粗捣筛过。每次五钱匕，用水一盏半，煎煮至七分，去渣空腹顿服。用衣服覆盖，约人行走五里的时间，再服一次。稍后用生姜煮热稀粥投服，身体四肢自然汗出，须臾间头轻目明。妇人患病加赤芍药半两，神效。
以上二味药，捣罗成末，研饭和丸，如梧桐子大。每次服用三十丸，茶清送下，良久吐或汗出即痊愈。
Discussion states: When Yin pathogenic factors alone become excessive and Yang Qi suddenly declines, Yang is overcome by Yin, resulting in a state where both the interior and exterior are characterized by Yin coldness. This leads to the formation of "Yin Toxin" (Yin Du). In Shanghan (Cold Damage) disease, there are cases where Yin Toxin forms immediately upon contracting the illness, and cases where it transforms into Yin Toxin after taking herbal decoctions for five or six days without improvement. This occurs because the disease fundamentally belongs to the Yin category; excessive intake of cold-natured medicines or exposure to cold within and outside the Zang-Fu organs causes Yin to become even more dominant while Yang fails to recover. The clinical manifestations include cold extremities, severe pain in the umbilical and abdominal regions, a sensation as if the body has been beaten, vomiting, diarrhea, and a pulse that is deep, fine, and rapid. These constitute the presentation of Yin Toxin.
For treating Shanghan where Yin Toxin forms within one or two days of onset, or transforms into Yin Toxin after ten days of medication, presenting with heavy body, stiff back, colicky abdominal pain, throat obstruction, toxic qi attacking the heart, hardness below the heart, shortness of breath, retching, cyanotic lips, blackish complexion, cold extremities, deep and fine pulse, and a sensation as if beaten: If treated within five days, it is curable; if delayed until the seventh day, it is considered incurable. The appropriate formula is Yindu Gancao Tang (Yin Toxin Licorice Decoction).
Gancao (Zhi/Glazed Glycyrrhizae Radix et Rhizoma), Shengma (Cimicifugae Rhizoma), Danggui (Zhi/Prepared Angelicae Sinensis Radix), each half liang; Xionghuang (Realgar), Shujiao (Sichuan Pepper, removed eyes and closed-mouth ones, stir-fried until sweat appears), each one fen; Biejia (Softshell Turtle Shell, prepared with vinegar, skirt removed), one and a half liang; Guizhi (Cinnamon Twig, coarse bark removed), half liang.
The above seven ingredients, except those requiring grinding, are cut into pieces the size of hemp seeds. Each dose consists of five qianbi (measurements), boiled in one dan and a half of water until reduced to eight parts. Strain and take warm.
For treating Yin Toxin Shanghan with panting and急促 breathing: Zhengyang Tang (True Yang Decoction).
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), one liang; Guizhi (Cinnamon Twig, coarse bark removed), three fen; Ganjiang (Dried Ginger), half liang.
The above three ingredients are cut into pieces the size of hemp seeds. Each dose of five qianbi is boiled in one dan of water until reduced to half a dan. Strain and take warm before meals.
For treating Yin Toxin Shanghan with mental restlessness and cold extremities: Baizhu Yin (Atractylodes Macrocephala Drink).
Baizhu (Atractylodis Macrocephalae Rhizoma), Wutou (Prepared Aconiti Radix, cracked, skin and navel removed), Jiegeng (Platycodonis Radix, cut and stir-fried), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), each one liang; Ganjiang (Dried Ginger, prepared), half liang.
The above six ingredients are cut into pieces the size of hemp seeds. Each dose of two qianbi is boiled in one dan of water until reduced to six parts. Take hot, at any time, after straining.
For treating Yin Toxin Shanghan: Huiyang Fabiao Tang (Restore Yang and Release Exterior Decoction).
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), Guizhi (Cinnamon Twig, coarse bark removed), Renshen (Ginseng Radix), Zexie (Alismatis Rhizoma), each half liang; Banxia (Pinelliae Rhizoma, washed in boiling water seven times, stir-fried dry), Ganjiang (Dried Ginger, prepared), Tian Nan Xing (Arisaematis Rhizoma, prepared), Gancao (Zhi/Glazed Glycyrrhizae Radix et Rhizoma), each one fen.
The above eight ingredients are cut into pieces the size of hemp seeds. Each dose of three qianbi is boiled in one dan of water with half a fen of crushed fresh ginger and two split jujubes. Reduce to seven parts, strain, and take warm before meals.
For treating Yin Toxin Shanghan with cyanotic lips, blackish complexion, stiff back, and cold limbs: Fuzi Tang (Aconite Decoction).
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), three fen; Guizhi (Cinnamon Twig, coarse bark removed), Danggui (Angelicae Sinensis Radix, cut and baked), Baizhu (Atractylodis Macrocephalae Rhizoma), each half liang; Banxia (Pinelliae Rhizoma, washed in boiling water seven times to remove slipperiness), Ganjiang (Dried Ginger, prepared), each one fen.
The above six ingredients are cut into pieces the size of hemp seeds. Each dose of three qianbi is boiled in one dan of water with three slices of fresh ginger. Reduce to six parts, strain, and take hot, at any time.
For treating Yin Toxin Shanghan with cyanotic lips, blackish complexion, cold reverse limbs, deep fine pulse, skin spots, heavy stiff back, subcardiac shortness of breath, and retching: Danggui Tang (Angelica Decoction).
Danggui (Angelicae Sinensis Radix, cut and baked), half liang; Jiaozhuyu (Sichuan Pepper, removed eyes and closed-mouth ones, stir-fried until slightly sweating), one liang; Biejia (Softshell Turtle Shell, vinegar-soaked and roasted, skirt removed), one liang and one fen; Gancao (Zhi/Glazed Glycyrrhizae Radix et Rhizoma), half liang; Shengma (Cimicifugae Rhizoma), three fen.
The above five ingredients are coarsely crushed and sifted. Each dose of five qianbi is boiled in one dan of water until reduced to half a dan. Strain and take warm before meals.
For treating Yin Toxin Shanghan with red eyes, cracked lips, headache, irritability and thirst, flushed face, and aversion to cold: Dingming Tang (Life-Stabilizing Decoction).
Fuzi (Prepared Aconiti Lateralis Radix, skin and navel removed), two liang; Gaoliangjiang (Galangal Rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Dried Ginger, prepared), each one liang.
The above four ingredients are cut into pieces the size of hemp seeds. Each dose of three qianbi is boiled in one dan of water until reduced to five parts. Strain and take warm at any time. Before taking the medicine, drink alcohol until slightly intoxicated, then take the medicine. If hungry, consume rice porridge brewed with wine; do not eat other things arbitrarily. If blood appears in urine, it indicates the Yin Toxin is expelling.
For treating Yin Toxin Shanghan with cold hands and feet or skin spots, and Qi stagnation causing panting: Qiyong Chuanmen Fang (Qi Stagnation and Panting Formula).
Fuzi (Aconiti Lateralis Radix, two pieces, burned with charcoal until black, then removed and covered with a bowl on the ground to eliminate fire toxicity).
The above single ingredient is pounded and sieved into a fine powder. Each dose of two qianbi is taken mixed with water infused with Chenxiang (Aquilariae Lignum Resinatum) and cooked rice beverage, at any time.
For treating Yin Toxin Shanghan with blue face, open-mouth breathing, hard subcardiac region, non-febrile body, sweat on forehead, incessant irritability and thirst, black tongue, somnolence, and cold reverse limbs: Zhengyang Yin (True Yang Drink).
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), one liang; Zaojiao (Gleditsiae Fructus, one pod, skin and seeds removed, coated with butter and roasted yellow), Ganjiang (Dried Ginger, prepared and cut), Gancao (Zhi/Glazed Glycyrrhizae Radix et Rhizoma, prepared and cut), each one fen.
The above five ingredients, excluding She Xiang (Musk), are cut into pieces the size of hemp seeds. Each dose of two qianbi is boiled in one dan of water until reduced to five parts. Strain and take hot, at any time.
For treating Yin Toxin Shanghan: Gui Fu Tang (Cinnamon and Aconite Decoction).
Guizhi (Cinnamon Twig, coarse bark removed), one fen; Fuzi (Aconiti Lateralis Radix, skin and navel removed, raw use), half liang; Dingxiang (Caryophylli Flos), Wuzhuyu (Evodiae Fructus, rinsed in water three times, dried, stir-fried), each half fen.
The above four ingredients are cut into pieces the size of hemp seeds. Each dose of two qianbi is boiled in one dan of water with half a fen of crushed fresh ginger. Reduce to seven parts, strain, and take warm.
For treating Yin Toxin Shanghan with blue face, cold reverse limbs, and abdominal distension: Huiyang Dan (Restore Yang Pill).
Liuhuang (Sulfur, ground), Muxiang (Aucklandiae Radix, ground), Bidengqie (Litseae Fructus), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), Ganxie (Dry Scorpion, soil removed, stir-fried), Wuzhuyu (Evodiae Fructus, soaked in water seven times, dried, lightly stir-fried), each half liang; Ganjiang (Dried Ginger, prepared), one fen.
The above seven ingredients are pounded and sieved into a fine powder. Form pills using flour paste boiled in wine, sized like paulownia seeds, coated with Zhusha (Cinnabar). Each dose is thirty pills, taken with ginger soup, at any time. After three doses, follow with one cup of hot wine to induce sweating.
For treating Yin Toxin Shanghan: Huiyang San (Restore Yang Powder).
Liuhuang (Sulfur), one liang; Hanshuishi (Calcitum), three fen; Xiaoshi (Natrii Sulfas), half liang.
The above three ingredients are placed in a clay bottle, covered with a tile, sealed with yellow mud, and dried in the shade. Calcine with five jin of charcoal fire until the fire is exhausted. Grind into powder. Each dose of one qianbi is taken mixed with warm water.
For treating Yin Toxin Shanghan: Heishen San (Black Divine Powder).
Fuzi (Aconiti Lateralis Radix, three liang, skin and navel removed, burned until smoke ceases); Mahuang (Ephedrae Herba, nodes removed), one liang; Guizhi (Cinnamon Twig, coarse bark removed), half liang.
The above three ingredients are pounded and sieved into a fine powder. Each dose of two qianbi is taken mixed with honey water.
For treating Yin Toxin Shanghan with blue face, cold hands and feet, and body sensation as if beaten: Laishan Dan (Laishan Pill).
Taiyin Xuanjingshi (Taiyin Crystal Gypsum), Liuhuang (Sulfur), Xiaoshi (Natrii Sulfas), Baifan (Alumen), Shuiyin (Mercurius), each one fen.
The above five ingredients are ground together until Shuiyin (Mercury) disappears. Place in a porcelain box, heat until red-hot. Mix with millet rice paste to form pills the size of small beans. Each dose is three pills, taken with warm water.
For treating Yin Toxin Shanghan with cold hands and feet, deep fine pulse, and bluish face and eyes: Zhengyang Dan (True Yang Pill).
Liuhuang (Sulfur), Xiaoshi (Natrii Sulfas), each two liang; Taiyin Xuanjingshi (Taiyin Crystal Gypsum), one liang.
The above three ingredients are finely ground, placed in a porcelain bottle, sealed with salt mud, and dried in the shade. Calcine with charcoal fire until red-hot. Cool and grind into powder. Form pills using flour paste boiled in wine, sized like paulownia seeds. Each dose is twenty pills, taken with warm wine, at any time.
For treating Yin Toxin Shanghan with cold hands and feet, cold body, and fine pulse: Sini San (Reverse Cold Powder).
Taiyin Xuanjingshi (Taiyin Crystal Gypsum), three fen (ground); Liuhuang (Sulfur), one liang; Buhui Mu (Non-ash Wood), Penxiao (Potassium Nitrate), each one fen.
The above four ingredients are ground into fine powder. Place in a yinzi (small pot), cover with a bowl, seal seams with wet paper, and place on fire until the paper dries. Remove, grind finely, add Longnao (Borneolum Syntheticum), half qian, and Ganjiang (Dried Ginger) powder, half liang. Mix well. Each dose of half qianbi is taken mixed with cold mugwort water. Warmth of the body confirms efficacy. Another variant removes Buhui Mu and adds Fuzi.
For treating Yin Toxin Shanghan with cold hands and feet, bluish face, and abdominal pain: Tuiyin Tang (Retract Yin Decoction).
Wutou (Prepared Aconiti Radix, cracked, skin and navel removed), Ganjiang (Dried Ginger, prepared), each half liang.
The above two ingredients are coarsely crushed and sifted, stir-fried until color changes, and cooled. Each dose of two qianbi is boiled in one dan of water with a pinch of salt until reduced to half a dan. Strain and take warm.
For treating Shanghan Yin Toxin with cold hands and feet and occasional sweating: Huiyang Tang (Restore Yang Decoction).
Buhui Mu (Non-ash Wood), one liang; Yanhusuo (Corydalis Rhizoma), half liang; Taiyin Xuanjingshi (Taiyin Crystal Gypsum), one fen.
The above three ingredients are coarsely crushed and sifted. Each dose of two qianbi is boiled in one dan of water with one cun of scallion white. Reduce to six parts, strain, and take warm at any time.
For treating Shanghan with latent Yin Qi, cold hands and feet, and non-warm skin: Tuiyin Wan (Retract Yin Pill).
Liuhuang (Sulfur, raw), half jin; Taiyin Xuanjingshi (Taiyin Crystal Gypsum), three liang.
The above two ingredients are finely ground using a willow pestle. Mix with steamed bread dough soaked in water to form pills the size of paulownia seeds. Each dose is fifty pills, taken with hot mugwort water, three times daily.
For treating Shanghan Yin Toxin with cold reverse limbs, blue face, chest diaphragm discomfort, belching, and empty irritability: Yeguang Dan (Night Light Pill).
Liuhuang (Sulfur, ground), Taiyin Xuanjingshi (Taiyin Crystal Gypsum, ground), Xiaoshi (Natrii Sulfas, ground), each one liang; Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), one liang; Raw peeled Fuzi, half liang.
First, slowly simmer Taiyin Xuanjingshi and Xiaoshi in an iron pot. When evenly heated, make a depression in the center with a spoon, add Liuhuang (Sulfur), melt and stir until uniform. Cool and grind finely. Separately pound raw and prepared Fuzi into fine powder. Mix with the ground powder. Form pills using soft glutinous rice, sized like paulownia seeds. Each dose is five pills, taken with cold mugwort water.
For treating Yin Toxin Shanghan with blue face, cold reverse limbs, umbilical/abdominal pain, ice-cold body, and all sudden cold Qi attacks: Fuzi Huiyang San (Aconite Restore Yang Powder).
Fuzi (Aconiti Lateralis Radix, two pieces, prepared, cracked, skin and navel removed).
The above single ingredient is pounded and sieved into a fine powder. Each dose of three qianbi is mixed with half a dan of natural fresh ginger juice and cold wine to make one dan total. Take this mixture, followed by another cup of cold clear wine. Progressively take another dose. After a while, when the area below the umbilicus feels like fire and the whole body becomes warm, stop.
For treating Shanghan Yin Toxin with cold reverse limbs and faint fine pulse: Taiyang Wan (Great Yang Pill).
Liuhuang (Sulfur, ground), Fuzi (Prepared Aconiti Lateralis Radix, skin and navel removed), each one liang.
The above two ingredients are pounded into powder. Form pills using flour paste boiled in wine, sized like paulownia seeds. Each dose is ten to fifteen pills, taken with mugwort-salt water, at any time.
For treating Yin Toxin Shanghan with cold limbs, faint fine pulse, and chest/heart oppression: Huiyang Zhusan (Restore Yang Boiled Powder).
Tian Nan Xing (Arisaematis Rhizoma), two liang (soaked in wine for seven days, removed, cut, stir-fried yellow); Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), one liang.
The above two ingredients are pounded into powder. Each dose of two qianbi is boiled in one dan and a half of wine over slow heat until reduced to six parts. Take warm, at any time.
For treating Yin Toxin Shanghan: Dingming Wan (Life-Stabilizing Pill).
Liuhuang (Sulfur, ground), Wuzhuyu (Evodiae Fructus, soaked in water, dried, stir-fried, pounded to powder), Xiaoshi (Natrii Sulfas, ground), each one fen; Badou (Crotonis Fructus, skin, core, and membrane removed), half fen.
The above four ingredients are ground uniformly. Form pills using soft rice, sized like bullet shots. Before each dose, soak hands in pepper-decocted water for a long time. Men hold one pill in the left hand, women in the right hand. Recovery occurs when sweating ensues.
For treating Shanghan Yin Toxin: Wuzhuyu Tang (Evodia Decoction).
Wuzhuyu (Evodiae Fructus, washed in water, stir-fried dry), one liang; Baifuzi (Typhonii Rhizoma), Tian Nan Xing (Arisaematis Rhizoma), Chaihu (Bupleuri Radix, removed seedlings), Biejia (Softshell Turtle Shell, skirt removed, vinegar-roasted), Qianhu (Peucedani Radix, removed rhizome head), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Qianghuo (Notopterygii Rhizoma et Radix, removed rhizome head), Huang Qin (Scutellariae Radix, cut), Ganjiang (Dried Ginger, prepared), Zhike (Aurantii Fructus, pulp and bran removed, stir-fried with bran), Chenpi (Citri Reticulatae Pericarpium, washed in water, white pith removed, dried), Chi Shaoyao (Paeoniae Radix Rubra), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice), Baitan (Santalum Album), Wuweizi (Schisandrae Chinensis Fructus), Jiegeng (Platycodonis Radix), each half liang; Cangzhu (Atractylodis Rhizoma, soaked in rice wash overnight, skin removed), Sucaogen (Cyperi Rhizoma), Danggui (Angelicae Sinensis Radix, cut and baked), Xiong (Ligustici Chuanxiong Rhizoma), Mahuang (Ephedrae Herba, roots and nodes removed, boiled in water, foam skimmed off), each one liang; Gancao (Zhi/Glazed Glycyrrhizae Radix et Rhizoma), one and a half liang.
The above twenty-three ingredients are cut, placed in a clean pot, and slowly stir-fried until yellow. Coarsely crush and sift. Each dose of three qianbi is boiled in one dan of water with three slices of fresh ginger. Reduce to seven parts, strain, and take warm, at any time.
For treating Yin-Yang Dual Toxins with loss of consciousness: Guihun San (Returning Soul Powder).
Shigao (Gypsum Fibrosum), eight liang; Hanshuishi (Calcitum), four liang; Yangqishi (Actinolite), three liang. The above three are finely ground and mixed into a new jar, calcined for one fu shi (approx. 2 hours). Remove, spread on paper on the ground to eliminate fire toxicity. Add the following: Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), three liang; Ganjiang (Dried Ginger, prepared); Mahuang (Ephedrae Herba, nodes removed), each one liang; Xingren (Pruni Armeniaci Semen, seventy seeds, skin and tips removed, double-kernel, stir-fried and ground).
The above seven ingredients are pounded and ground uniformly. Store in a porcelain box. Take two qianbi mixed with cold water.
For treating Shanghan with Yin excess, interior cold, fine pulse, and cold hands and feet: Shunyuan Zhusan (Shunyuan Boiled Powder).
Wutou (Prepared Aconiti Radix, cracked, skin and navel removed), two liang; Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed); Tian Nan Xing (Arisaematis Rhizoma, cracked, skin and navel removed), each one liang; Muxiang (Aucklandiae Radix), half liang.
The above four ingredients are pounded into powder. Each dose of one qianbi is boiled in one dan of water until reduced to six parts. Take warm. This powder warms the interior. Symptoms such as slow, fine, deep, or hidden pulse, cold hands and feet, and piloerection belong to interior syndromes of Shanghan. Drinking three large cups should result in warm hands and feet or sweating, indicating recovery. Famous doctors today often use this powder to harmonize Qi and unblock collaterals. For patients with Spleen Malaria, use Zijin Wan to purge downward, while continuing this powder. Zijin Wan consists of Liuhuang (Sulfur) powder, Zhen Sha (Needle Sand), each three qianbi; Tie Fen (Iron Powder), five qianbi; Ni Fen (Calomel), fifteen qianbi. Form pills with millet rice, sized like soap pods. Each dose is one pill, taken with frankincense water. For excess Qi patterns, take one and a half to two pills.
For inducing sweating in Yin Toxin Shanghan: Congxie Tang (Scallion and Allium Hortense Decoction).
Congbai (Scallion White), Xiebai (Allii Macrostemonis Bulbus), Jingjie Sui (Perillae Folium flower spike), Zhuru (Bambusae Caulis in Taeniam), each one handful; Chi (Fermented Soybean, skin removed), half sheng; Shengjiang (Fresh Ginger), one fen; Shujiao (Sichuan Pepper, removed eyes and closed-mouth ones, stir-fried until sweat appears), forty-nine grains.
The above seven ingredients are chopped to the size of hemp seeds. Each dose of five qianbi is boiled in two dan of wine for ten boils. Strain. Additionally, take twenty qianbi of this medicine... [Text ends here].
For treating Yin Toxin Shanghan with headache, eye pain, mental confusion, heavy body, cold limbs, trance-like spirit, deep fine pulse, and desire for cold water (drinking cold water is dangerous): It is suitable to take Fuzi Tang (Aconite Decoction).
Fuzi (Prepared Aconiti Lateralis Radix, skin and navel removed), two pieces; Guizhi (Cinnamon Twig, coarse bark removed), half liang; Danggui (Angelicae Sinensis Radix, cut and baked), half liang; Ganjiang (Dried Ginger, prepared), one fen; Mahuang (Ephedrae Herba, nodes removed, pre-boiled to remove foam, baked dry), half liang.
The above five ingredients are coarsely crushed and sifted. Each dose of five qianbi is boiled in one dan and a half of water until reduced to seven parts. Strain and take on an empty stomach in one go. Cover with clothing. Wait the time it takes to walk five li, then take a second dose. Shortly after, consume hot thin rice porridge cooked with ginger. Natural sweating of the body and limbs will occur. Soon, the head will feel light and vision clear. For female patients, add Chi Shaoyao (Paeoniae Radix Rubra), half liang, for miraculous effect.
For treating Shanghan with headache and high fever, regardless of Yin or Yang dual toxins: It is suitable to take Fuzi Wan (Aconite Pill).
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed), half liang; Wuweizi (Schisandrae Chinensis Fructus), one liang.
The above two ingredients are pounded into powder, mixed with rice paste to form pills the size of paulownia seeds. Each dose is thirty pills, taken with clear tea. After a while, vomiting or sweating indicates recovery.