也。因食发风动气之味，徒引动其病，而不能力开其郁，故每食即发。逍遥散乃开郁散火之剂，所以偶服得愈。
或问前症，每因食物动其内火，而何以内火动，即战栗乎？予曰∶素注云，火性就燥，内热即甚，卫外之阳，皆凑
入内，故外反鼓栗。此症因食物引动其火，至内火益炽，乃卫外之阳，以就火性之燥，皆凑入内，其重虚其外，故即战
栗。移时火伏气静，而卫阳复回，病愈如故。
一妇不月，发热嗽痰如墨，疏表转甚。脉之而尺倍数。症由经水逆上，痰血相混。因火极似水，故色黑，而治表反
剧。经云∶人有两死，而无两生。盖汗即血之液，病失血，后发其汗，血汗两伤，此即两死，无两生也。兹当四物汤加
知、柏、牛膝服四剂，经至而愈。
乙酉春，有绍兴杨石林云漕白一人，忽患腹大痛，约二日许，糖粕悉从口出，医无措剂。适有医云∶此阴阳错乱，
肾气逆上，用茯苓五钱数服而愈。后又有患者，服之亦随愈。
黄连解毒汤
黄连 黄芩 黄柏 栀子
等分水煎服。
抱龙丸
胆星（一两） 天竺黄 雄黄 辰砂（二钱） 麝香（少许）
上为末，煮甘草汁，丸弹子大，阴干。每服一丸，气喘有痰加枯矾。
八物汤
生地 当归（各三钱） 芍药（二钱） 川芎（一钱五分） 木香（五分） 槟榔 枯楝 延胡索（各一钱）
水煎。
茶调散
瓜蒂 茶叶
为末，每服二钱，齑汁调服，取吐。
舟车丸
黑牵牛（四两，炒） 大黄（一两，酒浸） 甘遂（面裹煨） 大戟（面裹煨） 芫花（醋炒） 青皮（炒） 橘
红（各一两） 木香（五分） 轻粉（一钱）
水丸。
浚川丸
黑牵牛（二两） 芒硝（一两） 郁李仁（一两五钱） 大黄（一两） 甘遂（五钱） 轻粉（五分）
水丸姜汤下。
清胃散
升麻（五分） 生地黄 丹皮 黄连 当归（各三分）
水煎服。
逍遥散（此方加熟地名黑逍遥散）
柴胡 薄荷 当归 白芍 陈皮 甘草 茯苓 白术
加姜煎。
归脾汤
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（各二钱） 黄 （炙，一钱五分） 当归 远志（各一钱） 木
香甘草（炙，五分）
姜枣煎。
四神丸
破故纸（四两，酒浸、炒） 五味子（一两，炒） 肉豆蔻（二两，面裹炒） 吴茱萸（一两，盐汤泡）
用大枣百枚，生姜八两，切片同煮。枣烂去姜，取枣肉，捣丸每服二钱，盐汤下。
四物汤（见头门）
十全大补汤（见手足门）
六君子汤（见目门）
（接上文）……因此，食用那些容易诱发风邪、扰动气机的食物，只会引动体内的病邪，而不能疏通郁结，所以每次进食就会发病。逍遥散是疏肝解郁、清散郁火的方剂，所以偶尔服用能够痊愈。
有人问：前面的病症，常常因为食物引发体内的内火，为什么内火一动，就会出现战栗的症状呢？我回答说：《素注》中说，火的性质趋向于干燥，体内热势严重时，护卫体表的阳气都会聚集到体内，所以体表反而出现鼓栗（寒战）。这个病症是因为食物引动了内火，导致内火更加炽盛，于是护卫体表的阳气为了顺应火的燥性，全部聚集到体内，造成体表极度虚弱，所以立即出现战栗。过了一会儿，火势潜伏，气机平静，卫外的阳气重新回归体表，病情就像往常一样痊愈了。
有一位妇女闭经，发热并咳出像墨汁一样的痰，使用发散表邪的方法治疗后症状反而加重。诊脉发现尺脉的跳动次数是寸关脉的好几倍。此症是由于月经逆乱上行，痰与血相互混杂。因为火极似水（五行中火极反兼水化），所以痰色发黑，而治疗时误用解表法反而使病情加剧。《内经》说：“人有两死，而无两生。”意思是汗是血的津液，如果病人已经失血，之后又发汗，就会导致血和汗都受损，这就是“两死”，即没有“两生”的道理。此时应当服用四物汤加入知母、黄柏、牛膝，连服四剂，月经来潮后病愈。
乙酉年春天，绍兴人杨石林（字云漕）突然患腹部剧烈疼痛，大约两天左右，排泄物和糟粕都从口中吐出，医生们束手无策。恰好有位医生说：这是阴阳错乱，肾气逆乱上行，使用五钱茯苓，连续服用几次就痊愈了。后来又有患者，服用此药也随即痊愈。
抱龙丸
胆南星（一两） 天竺黄 雄黄 辰砂（二钱） 麝香（少许）
以上药物研为细末，煮甘草汁，制成如弹子大小的丸药，阴干。每次服用一丸，若气喘有痰，可加入枯矾。
八物汤
生地 当归（各三钱） 芍药（二钱） 川芎（一钱五分） 木香（五分） 槟榔 枯楝 延胡索（各一钱）
水煎服。
茶调散
瓜蒂 茶叶
研为细末，每次服用二钱，用醋汁调服，以催吐。
舟车丸
黑牵牛（四两，炒） 大黄（一两，酒浸） 甘遂（面粉包裹煨） 大戟（面粉包裹煨） 芫花（醋炒） 青皮（炒） 橘红（各一两） 木香（五分） 轻粉（一钱）
制成水泛丸。
浚川丸
黑牵牛（二两） 芒硝（一两） 郁李仁（一两五钱） 大黄（一两） 甘遂（五钱） 轻粉（五分）
制成水泛丸，姜汤送服。
清胃散
升麻（五分） 生地黄 丹皮 黄连 当归（各三分）
水煎服。
逍遥散（此方加入熟地黄称为黑逍遥散）
柴胡 薄荷 当归 白芍 陈皮 甘草 茯苓 白术
加生姜煎服。
归脾汤
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（各二钱） 黄芪（炙，一钱五分） 当归 远志（各一钱） 木香 甘草（炙，五分）
加生姜、大枣煎服。
四神丸
破故纸（补骨脂，四两，酒浸、炒） 五味子（一两，炒） 肉豆蔻（二两，面粉包裹炒） 吴茱萸（一两，盐汤泡）
用大枣一百枚，生姜八两，切片同煮。待枣烂后去掉生姜，取枣肉，捣碎制成丸药，每次服用二钱，盐汤送下。
...Therefore, consuming foods that tend to induce wind pathogens and disturb qi will only trigger the underlying disease without resolving the stagnation; thus, symptoms recur with every meal. Xiaoyao San (Free and Easy Wanderer Powder) is a formula for soothing liver qi, resolving stagnation, and dispersing constrained fire, which is why occasional use leads to recovery.
A question was raised: In the aforementioned condition, internal heat is often triggered by food intake. Why does the stirring of internal heat result in chills and trembling? I replied: According to the *Su Zhu* (Commentary on the Suwen), the nature of fire tends toward dryness. When internal heat becomes severe, the defensive yang qi that protects the exterior all converges inward. Consequently, the exterior manifests as chattering teeth and shivering (gu li). This specific condition arises because food triggers internal fire, causing it to blaze intensely. The defensive yang qi, adhering to the drying nature of fire, converges entirely inward. This results in extreme deficiency at the exterior, leading immediately to chills. After a period, the fire subsides, qi calms down, and the defensive yang returns to the exterior, resulting in recovery as before.
A woman presented with amenorrhea (cessation of menstruation), fever, and coughing up black, ink-like phlegm. Treatment aimed at releasing the exterior exacerbated the condition. Pulse diagnosis revealed that the chi (cun-knee) pulse position was several times faster than the others. The pathology stems from menstrual blood regurgitating upward, mixing with phlegm. Because extreme fire mimics water (a concept where excessive heat manifests with cold/water-like signs), the color is black. Misusing exterior-releasing methods aggravated the condition. The Classic states: "There are cases of double death, but no case of double life." Sweat is the fluid of blood. If a patient has already suffered blood loss and is then subjected to sweating therapy, both blood and sweat fluids are depleted. This constitutes "double death," meaning there is no possibility of "double life" (recovery through such dual depletion). In this case, Siwu Tang (Four Substance Decoction) was administered with added Zhimu (Anemarrhena Rhizome), Huangbai (Phellodendron Bark), and Niuxi (Achyranthes Root). After four doses, menstruation resumed, and the patient recovered.
In the spring of the Yiyu year, Mr. Yang Shilin (courtesy name Yuncuo) from Shaoxing suddenly suffered from severe abdominal pain. For about two days, fecal matter and undigested food were vomited out. Physicians had no effective prescription. Fortunately, one physician diagnosed this as a disorder of yin and yang, with kidney qi rebelling upward. He prescribed five qian of Fuling (Poria) taken over several doses, resulting in a cure. Subsequent patients treated with this method also recovered promptly.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity)
Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark), Zhizi (Gardenia Fruit)
Equal parts, decocted in water and taken orally.
Baolong Wan (Embracing Dragon Pill)
Danning (Arisaema Cum Bile, 1 liang), Tianzhuhuang (Calamiform Beech Nut), Xionghuang (Realgar), Chensha (Cinnabar, 2 qian), Shexiang (Musk, a small amount)
Grind the above into powder. Boil Gancao (Licorice Root) juice to bind the powder into pills the size of a bullet. Dry in the shade. Take one pill per dose. If accompanied by asthma and phlegm, add Kufan (Alum).
Bawu Tang (Eight Substance Decoction)
Shengdi (Rehmannia Root Prepared), Danggui (Angelica Sinensis Root) [each 3 qian], Shaoyao (Peony Root, 2 qian), Chuanxiong (Ligusticum Rhizome, 1.5 qian), Muxiang (Vladimiria Root, 0.5 qian), Binglang (Areca Seed), Kulian (Withania Fruit Dried), Yanhusuo (Corydalis Rhizome) [each 1 qian]
Decoct in water and take orally.
Chatiao San (Tea Regulation Powder)
Gouti (Melon Trichosanthes Fruit), Chaye (Tea Leaves)
Grind into powder. Take 2 qian per dose, mixed with vinegar juice to induce vomiting.
Zhouche Wan (Boat Cart Pill)
Heiqianniu (Black Morning Glory Seed, 4 liang, stir-fried), Dahuang (Rhubarb Root, 1 liang, soaked in wine), Gansui (Kansui Root, baked in flour wrapper), Daji (Euphorbia Root, baked in flour wrapper), Yuanhua (Genkwa Flower, stir-fried in vinegar), Qingpi (Citrus Peel Immature, stir-fried), Juhong (Citrus Peel Aged, each 1 liang), Muxiang (Vladimiria Root, 0.5 qian), Qingfen (Calomel, 1 qian)
Form into water-pellet pills.
Xunchuan Wan (River-Dredging Pill)
Heiqianniu (Black Morning Glory Seed, 2 liang), Mangxiao (Mirabilite, 1 liang), Yuliren (Prunus Persica Seed, 1.5 liang), Dahuang (Rhubarb Root, 1 liang), Gansui (Kansui Root, 0.5 qian), Qingfen (Calomel, 0.5 fen)
Form into water-pellet pills. Take with ginger soup.
Qingwei San (Stomach-Clearing Powder)
Shengma (Cimicifuga Rhizome, 0.5 qian), Shengdi (Rehmannia Root Prepared), Danpi (Moutan Cortex), Huanglian (Coptis Rhizome), Danggui (Angelica Sinensis Root) [each 0.3 qian]
Decoct in water and take orally.
Xiaoyao San (Free and Easy Wanderer Powder)
(Adding Shudi [Prepared Rehmannia Root] creates Heixiaoyao San / Black Free and Easy Wanderer Powder)
Chaihu (Bupleurum Root), Bohe (Mint Herb), Danggui (Angelica Sinensis Root), Baishao (White Peony Root), Chenpi (Citrus Peel Aged), Gancao (Licorice Root), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome)
Decoct with fresh ginger.
Guipi Tang (Restore the Spleen Decoction)
Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, soil-stir-fried), Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed, stir-fried), Longyanrou (Longan Aril) [each 2 qian], Huangqi (Astragalus Root, honey-fried, 1.5 qian), Danggui (Angelica Sinensis Root), Yuanzhi (Polygala Root) [each 1 qian], Muxiang (Vladimiria Root), Gancao (Licorice Root, honey-fried, 0.5 qian)
Decoct with fresh ginger and jujube.
Sishen Wan (Four Spirits Pill)
Poguzhi (Psoralea Fruit, 4 liang, soaked in wine and stir-fried), Wuweizi (Schisandra Fruit, 1 liang, stir-fried), Roudoukou (Nutmeg, 2 liang, baked in flour wrapper), Wuzhuyu (Evodia Fruit, 1 liang, soaked in salt water)
Take 100 jujubes and 8 liang of fresh ginger, sliced, and boil together. Once the jujubes are soft, remove the ginger. Use the jujube flesh, mash it, and form pills. Take 2 qian per dose with salt water.
Siwu Tang (Four Substance Decoction) (See Head Section)
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) (See Hand and Foot Section)
Liujunzi Tang (Six Gentlemen Decoction) (See Eye Section)