大麦奴（四两） 甘草 人参 芒硝 桂心（各二两） 麦门冬（半斤）
上六味，合服如上法。若服已解，脾肾犹有余热气或冷，复服人参汤。
人参 干姜 甘草 当归（各一两） 附子（一枚）
上五味，合服如上法。
白石英对附子，其治主胃通主脾肾。附子动白石英，烦热腹胀。白石英动附子，呕逆
不得食，或口噤不开，或言语难，手脚疼痛。始觉宜服此汤方。
生麦门冬（四两） 甘草 麻黄（各二两） 豉（二升）
上四味，合服如上法，不解再服大黄汤。
（若烦，加细辛五两）
大黄（三两） 豉（二升） 甘草（二两） 栀子仁（三十枚）
上合服如上法，频服得下便止，不下服尽。若热势未除，视瞻高而患渴者，复服栝蒌根
汤。
栝蒌根 大麦奴（各四两） 甘草（二两） 豉（二升） 葱白（半斤）
上五味，合服如上法，稍稍一两合服之，隐约得一升许，便可食少糜动口。若已解，胃
中有余热，复服芒硝汤。
芒硝 桂心（各二两） 李核仁（二十一枚） 白术（一两） 大枣（二十枚） 甘草 通
草
（各三
上七味，合服如上法。若腹胀，去芒硝，用人参二两
紫石英对人参，其治主心肝通主腰脚。人参动紫石英（《外台》作细辛，人参）
痛，
或惊悸不得眠卧，恍惚忘误，失性发狂，昏昏欲眠，或愦愦喜嗔，或瘥或剧，乍寒乍热，或
耳聋目暗。又防风虽不对紫石英，而能动防风（《外台》云∶防风虽不对紫石英，为药中有
人参，缘防风动人参，转相发动令人心痛烦热）。令人头项强，始觉服此方。（《外台》
黄汤。）
人参 白术（各三两） 甘草（《外台》无） 桂心（各二两） 细辛（一两） 豉（三
升）
上六味，合服如上法。若嗔盛加大黄、黄芩、栀子各三两。若忘误狂发犹未除，复服后
列第一生麦门冬汤。
大麦奴（四两） 甘草 人参 芒硝 桂心（各二两） 麦门冬（半斤）
以上六味药，按照上述方法合煎服用。如果服药后病症已解，但脾肾仍有残留的热气或寒气，再次服用人参汤。
人参 干姜 甘草 当归（各一两） 附子（一枚）
以上五味药，按照上述方法合煎服用。
白石英与附子相对，其治疗作用主要在于胃，并通达脾肾。附子会激发白石英的药性，导致烦热、腹胀。白石英会激发附子的药性，导致呕吐逆气、无法进食，或者牙关紧闭不能张开，或者言语困难，手脚疼痛。在刚开始感觉不适时适宜服用此汤方。
生麦门冬（四两） 甘草 麻黄（各二两） 豆豉（二升）
以上四味药，按照上述方法合煎服用，若未痊愈再服用大黄汤。
（如果有烦躁症状，加细辛五两）
大黄（三两） 豆豉（二升） 甘草（二两） 栀子仁（三十枚）
以上药物合煎服用，按照上述方法，频繁服用直到大便通畅即止，若未通便则服完全部药量。如果热势仍未消除，观察患者面色红赤且伴有口渴症状的，再次服用栝蒌根汤。
栝蒌根 大麦奴（各四两） 甘草（二两） 豆豉（二升） 葱白（半斤）
以上五味药，按照上述方法合煎服用，每次少量服用一两合，大约喝下一升左右，就可以吃些稀粥并活动口腔。如果病症已解，但胃中仍有残留热气，再次服用芒硝汤。
芒硝 桂心（各二两） 李核仁（二十一枚） 白术（一两） 大枣（二十枚） 甘草 通草
（各三两）
以上七味药，按照上述方法合煎服用。如果腹部胀满，去掉芒硝，加入人参二两。
紫石英与人参相对，其治疗作用主要在心肝，并通达腰脚。人参会激发紫石英的药性（《外台秘要》记载为细辛、人参），导致疼痛，或者惊悸无法睡眠，精神恍惚健忘，失去本性而发狂，昏昏欲睡，或者昏乱易怒，或者病情时好时坏，忽冷忽热，或者耳聋目暗。另外防风虽然不与紫石英相对，但能激发防风（《外台秘要》记载：防风虽然不与紫石英相对，但因为药中有的人参，由于防风激发人参的药性，相互引发导致人心痛烦热）。令人头项强直，在刚开始感觉不适时服用此方。（《外台秘要》中的黄汤。）
人参 白术（各三两） 甘草（《外台秘要》无此药） 桂心（各二两） 细辛（一两） 豆豉（三升）
以上六味药，按照上述方法合煎服用。如果怒气盛重，加大黄、黄芩、栀子各三两。如果健忘发狂的症状仍未消除，再次服用后面列出的第一个生麦门冬汤。
Da Mai Nu (Radix Hordei Nucleus, 4 liang), Gan Cao (Radix Glycyrrhizae Preparata, 2 liang), Ren Shen (Radix Ginseng, 2 liang), Mang Xiao (Natrii Sulfas, 2 liang), Gui Xin (Cortex Cinnamomi Ramulus, 2 liang), Mai Men Dong (Radix Ophiopogonis, 8 liang).
The above six ingredients are combined and decocted for oral administration according to the aforementioned method. If the symptoms resolve after ingestion but residual heat or cold remains in the Pi (Spleen) and Shen (Kidney), administer Ren Shen Tang (Ginseng Decoction) again.
Ren Shen (Radix Ginseng, 1 liang), Gan Jiang (Rhizoma Zingiberis Recens, 1 liang), Gan Cao (Radix Glycyrrhizae Preparata, 1 liang), Dang Gui (Radix Angelicae Sinensis, 1 liang), Fu Zi (Radix Aconiti Lateralis Preparata, 1 piece).
The above five ingredients are combined and decocted for oral administration according to the aforementioned method.
Bai Shi Ying (Flumen Silicatum, White Quartz) corresponds to Fu Zi (Radix Aconiti Lateralis Preparata); its therapeutic action primarily targets the Wei (Stomach) and communicates with the Pi (Spleen) and Shen (Kidney). Fu Zi activates Bai Shi Ying, leading to irritability, heat sensation, and abdominal distension. Bai Shi Ying activates Fu Zi, leading to vomiting and regurgitation, inability to eat, trismus (lockjaw), difficulty in speech, and pain in the hands and feet. This decoction is suitable for use at the initial stage when discomfort is first perceived.
Sheng Mai Men Dong (Radix Ophiopogonis, 4 liang), Gan Cao (Radix Glycyrrhizae Preparata, 2 liang), Ma Huang (Herba Ephedrae, 2 liang), Chi Dou (Fructus Sojae Preparatus, 2 sheng).
The above four ingredients are combined and decocted for oral administration according to the aforementioned method. If the condition does not resolve, administer Da Huang Tang (Rhubarb Decoction) subsequently.
(If there is irritability, add Xi Xin (Herba Asari, 5 liang).)
Da Huang (Radix et Rhizoma Rhei, 3 liang), Chi Dou (Fructus Sojae Preparatus, 2 sheng), Gan Cao (Radix Glycyrrhizae Preparata, 2 liang), Zhi Zi Ren (Semen Gardenoliae, 30 pieces).
The above ingredients are combined and decocted for oral administration according to the aforementioned method. Administer frequently until defecation occurs, then stop; if defecation has not occurred, consume the entire dose. If the heat pathogen persists and the patient exhibits a red complexion and thirst, administer Gua Lou Gen (Radix Trichosanthis) Tang subsequently.
Gua Lou Gen (Radix Trichosanthis, 4 liang), Da Mai Nu (Radix Hordei Nucleus, 4 liang), Gan Cao (Radix Glycyrrhizae Preparata, 2 liang), Chi Dou (Fructus Sojae Preparatus, 2 sheng), Cong Bai (Sclerium Allii Cepae, 8 liang).
The above five ingredients are combined and decocted for oral administration according to the aforementioned method. Take small amounts each time (approximately one liang he), drinking about one sheng, after which the patient may consume a small amount of thin porridge and move the mouth. If the condition resolves but residual heat remains in the Wei (Stomach), administer Mang Xiao Tang (Natrii Sulfas Decoction) subsequently.
Mang Xiao (Natrii Sulfas, 2 liang), Gui Xin (Cortex Cinnamomi Ramulus, 2 liang), Li He Ren (Semen Pruni Armeniacae, 21 pieces), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Da Zao (Fructus Jujubae, 20 pieces), Gan Cao (Radix Glycyrrhizae Preparata, 3 liang), Tong Cao (Medulla Tetrapanacis, 3 liang).
The above seven ingredients are combined and decocted for oral administration according to the aforementioned method. If abdominal distension is present, remove Mang Xiao (Natrii Sulfas) and add Ren Shen (Radix Ginseng, 2 liang).
Zi Shi Ying (Flumen Silicatum, Purple Quartz) corresponds to Ren Shen (Radix Ginseng); its therapeutic action primarily targets the Xin (Heart) and Gan (Liver) and communicates with the Yao (Waist) and Jiao (Legs). Ren Shen activates Zi Shi Ying (recorded as Xi Xin (Herba Asari) and Ren Shen (Radix Ginseng) in *Waitai Mi Yao*), leading to pain, palpitations, insomnia, mental confusion, forgetfulness, loss of normal temperament with manic episodes, drowsiness, irritability, fluctuating severity of illness, alternating chills and fever, deafness, and blurred vision. Furthermore, although Fang Feng (Radix Saposhnikoviae) does not correspond to Zi Shi Ying, it can activate Fang Feng (as noted in *Waitai Mi Yao*: "Although Fang Feng does not correspond to Zi Shi Ying, because the prescription contains Ren Shen, and Fang Feng activates Ren Shen, they mutually stimulate each other causing heart pain and irritability"). This leads to stiffness of the head and neck. This formula should be taken at the initial stage when discomfort is first perceived. (Referred to as Huang Tang in *Waitai Mi Yao*.)
Ren Shen (Radix Ginseng, 3 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 3 liang), Gan Cao (Radix Glycyrrhizae Preparata, absent in *Waitai Mi Yao*), Gui Xin (Cortex Cinnamomi Ramulus, 2 liang), Xi Xin (Herba Asari, 1 liang), Chi Dou (Fructus Sojae Preparatus, 3 sheng).
The above six ingredients are combined and decocted for oral administration according to the aforementioned method. If irritability is severe, add Da Huang (Radix et Rhizoma Rhei), Huang Qin (Radix Scutellariae), and Zhi Zi (Semen Gardenoliae), each 3 liang. If forgetfulness and manic episodes persist, administer the first Sheng Mai Men Dong Tang (Raw Ophiopogon Decoction) listed below subsequently.