凡阳病热不退反见阴脉凶○脉浮而滑身汗如油喘息不休水浆不入肢体不仁乍静乍喘者死
○
汗出润喘不休者肺先绝也○体如烟熏直视摇头心先绝也○唇吻反青四肢 习汗出肝先绝也○环
口黧虚汗发黄脾先绝也○三部脉紧盛大汗出热
不解者死○寸尺阴阳俱虚热不止者死○身热喘粗见阳脉而燥者死逆冷脉沉细者死
气海穴在脐下一寸五分石门穴在脐下一寸关元穴在脐下三寸以上三穴治阴厥脉微欲绝囊
缩遗尿腹痛腹满肠鸣皆效
阳陵泉二穴在膝下一寸易老曰烦满囊缩者宜灸此穴
凡脉微弦小腹痛厥阴也宜灸归来关元各数壮
凡脉沉脐腹痛少阴也宜灸中脘五七壮
麻黄汤 治足太阳经标热则合为发热又谓之拂拂而热者其热自皮肤之上如羽毛之所拂明
热在表也其脉浮数或浮紧或头疼身痛腰疼骨节痛恶风无汗而喘者以此汤汗之
麻黄（三钱） 桂枝（二钱） 甘草（一钱） 杏仁（去皮尖一钱半）
上水一盏生姜三片枣子一枚去上沫滤清乘热服之以衣被盖暖取汗 遍至手足心则止不
必再服之也如须臾汗未出者宜 热稀粥一盏以助药力汗出则止如又汗未出再煎一剂与之仍前
温覆取汗若病重者一日一夜服周时观之若表证仍在者须再作一剂煎
桂枝汤 治伤寒发热汗出而恶寒者为表虚以此汤和之不可发汗也
桂枝（二钱） 芍药（二钱） 甘草（一钱）
上水一钟生姜三片枣子一枚去滓温服
大青龙汤 治伤寒脉浮紧头痛身体痛恶寒发热不得汗出烦躁扰乱不安者以此汗之
麻黄（三钱） 桂枝（一钱） 甘草（半钱） 杏仁（七分汤泡去皮尖） 石膏（二钱） 生姜（
上水一钟煎取六分去滓通口服以衣被温覆取汗则愈
羌活冲和汤 治太阳无汗发热头痛恶寒脊强脉浮紧又治非冬时天有暴寒中人亦头痛恶寒
发热通宜此汤治之以代麻黄汤用太阳经之神药也
羌活（一钱半） 防风（一钱） 苍术（一钱半） 黄芩（一钱） 白芷（一钱） 甘草（一钱）
生地黄（一两） 细辛（五分） 川芎（一钱）
上水一钟煎六分温服
解肌汤 治瘟病天行头痛壮热春感风邪发热而渴不恶寒
葛根（一钱） 桂枝（一钱） 黄芩（半钱） 芍药 麻黄（七分） 甘草（半钱）
上水二钟枣一枚煎服以不解再取汗
败毒散 治伤风瘟疫风湿头目昏眩四肢疼痛增寒壮热项强目睛疼寻常风弦拘急
羌活 独活 前胡 柴胡 川芎 枳壳 桔梗 茯苓 人参 甘草
上各等分水一钟如常煎一服
升麻汤 治伤寒中风头痛增寒壮热四肢疼痛发热恶寒鼻中干不得卧兼治寒喧不时人多疾
疫下寒脱着及暴热之顷忽然变寒身体疼痛头重如石
升麻 甘草 葛根 芍药
上每服三四钱煎如常法服
五积散 治阴经伤冷脾胃不和感冒寒邪
肉桂 人参 川芎（各二钱） 浓朴 半夏 芍药 当归 麻黄 干姜（各五钱） 甘草（
二钱
上十六味除枳壳肉桂陈皮外其余并一处生捣为粗末用酒拌匀晒干分作六分每服三钱水一
钟姜三片煎六分温服
小柴胡汤
太阳病十日已去脉细而嗜卧外已解设胸满痛与服之伤寒五六日中风来往寒热胸胁若痛默
默悸
欲食心烦喜呕或胸膈烦而不呕或渴或腹中痛或胁下痞硬或心下悸小便不利或不渴身有微热者
此汤主之血弱气虚腠理开邪气因入与正气相搏结于胁下邪正分争往来寒热休作有时脏腑相连
其痛必下邪高痛下致使呕也此汤主之伤寒五六日身热恶风头项强胁下满手足温而渴者此汤主
之伤寒五六日头汗出微恶寒心下满不欲食大便硬脉细者为阳微结必有表复有里脉沉亦在里也
汗出为阳微假令纯阴结不得复有外证悉入在里此为半在表半在里也脉虽沉紧不得为少阴病所
以然者阴不得有汗也今头汗出故知非少阴也可与服此汤设不了了得屎而解阳明病发潮热大便
溏小便少胸膈满者与此汤服之阳明病胁下硬满不大便而呕舌上白胎者可与服之上焦得通津液
得下胃气因和 然汗出而解阳明中风脉弦浮大短气腹部满胁下及心痛久按之气不通鼻干不得
卧一身及日悉黄小便难有潮热时时哕身前后肿剌之少瘥外不解病过十日脉续浮者此汤主之以
上属阳明经太阳病不解转入少阳胁下硬满干呕不能食往来寒热尚未吐下脉沉紧者此汤主之伤
寒瘥后更发热此汤主之
柴胡（二两） 黄芩 人参 甘草（炙各二钱半） 半夏（一两炮） 大枣（六枚）
上锉散每服三钱水一盏生姜二片枣一枚煎温服
大柴胡汤
治阳明病外证身热汗出而不恶寒但恶热宜服之阳明病脉逆发热头眩小便难此欲发疸必宜
服之
阳明病胁下硬满大便秘而呕口燥者此汤主之阳明病中风其脉浮大短气心痛鼻干嗜卧不得汗一
身尽黄小便难有潮热而哕此汤主之伤寒三日少阳受病口干燥目眩宜服之少阳病胁下坚满干呕
不食往来寒热若未吐下其脉沉紧此汤主之少阳病若已吐下发汗 语者此汤主之少阳中风两耳
无所闻目赤胸中满而烦不可吐下吐下则悸而惊此汤主之少阴病恶寒时时自烦不欲浓衣此汤
主之少阴病下利清水色青者心下必痛口干燥者此汤主之伤寒六日阳脉涩阴脉弦常腹中急痛此
汤主之伤寒六日下之胸满烦惊小便不利 语一身不可转侧此汤主之伤寒发热汗出不解心不痞
硬呕吐不利此汤主之伤寒十余日热结在里往来寒热及阳明病汗出 语腹中满痛并阳明少阴合
病下利脉滑而数此汤主之伤寒六七日目中不了了睛不和无表里证大便难身微热此汤主之伤寒
七八日脉浮数病患烦热汗出解后又如疟状日晡发潮热脉滑者宜服之
小青龙汤 治停寒温疫表未解恶寒体热水伤心下干呕发热嗽喘急及生肺胀胸满鼻塞清涕咳逆
上气喘鸣迫塞仲景曰治表不解心下有水气干呕发热而嗽或渴或和或小便不利或噎或满喘者主之
麻黄（三分去节） 赤芍药（三分） 半夏（三分） 细辛 干姜 甘草（炙） 桂枝（去粗皮各三分） 五味子（五钱）
上 咀每服三钱水一盏煎七分去滓加减服
白虎汤 治伤寒脉滑而微厥表里有热三阳合病腹满身重难以转侧口中不仁面垢 语遗尿发汗
则语下之则额上生汗手足逆冷自汗出并宜服之服桂枝汤后大汗出烦渴不解脉洪大伤寒若吐
若下后七八日不解热结在里表里俱热时时恶寒大渴舌上干燥而烦饮水不止伤寒无大热口干燥
渴心烦背微恶寒渴饮水无表里证者并宜白虎汤加人参脉浮发热无汗不可服诸亡血不可服活人
书云脉厥而滑里有热白虎加人参广济云伤寒及温热病脉大洪增寒壮热烦躁欲饮水及夏月伤暑
发热恶寒身体疼重大渴不止烦躁汗出脉细小手足微冷并时疾未经转泻胃热发 兼豆 麸疮天
行后愈热不解但是一切伏热并宜服之
知母（一两半） 甘草（半两） 粳米（一合半）
上 咀白水煎加减服加人参半两名白虎加人参汤又方加石膏四两
大承气汤 治阳明病不吐而烦者宜服之阳明病脉迟虽汗出不恶寒体重腹满而喘有潮热
可
攻其里手足 汗出为大便已坚宜服之阳明病其人多汗津液外出胃中干燥大便坚者必 语宜
服之阳明病发作有时汗不解腹胀痛宜服之阳明少阴合病自利脉浮者顺滑而数者有宿食宜服之
少阴病口燥舌干宜服之少阴病脉细沉数病在里不可发汗宜服之少阴腹满不大便者宜服之
大黄（半两微炒） 浓朴（一两制） 枳实（一个麸炒） 芒硝（半两）
上为饮子白水煎临熟入芒硝再沸去滓加减服
小承气汤 治太阳病吐下后发汗而微烦小便数大便坚宜服之阳明病若汗出多而微寒为外
未解无潮热不可与之若腹满不大便可少少与之
大黄（一两微炒） 浓朴（半两制） 枳实（一个大者炙）
上 咀水一钟煎六分温服
调胃承气汤 治伤寒发汗后恶寒虚也不恶寒但热者实也当下伤寒十三日过经 语者当下
之若
自利者脉当微厥反和者此为内实当下之太阳病经十余日心下温温欲吐胸中实大便溏腹微满郁
郁微烦当下之太阳病三日发汗不解蒸蒸热者当下之
大黄（一两炒） 芒硝（九钱） 甘草（半两炙）
上 咀同法煎加减服
四逆汤 治少阴病足冷脉沉者急温之宜四逆汤若下利清谷里寒外热手足厥逆脉微欲绝身
灰不恶寒其人面赤色或腹痛或干呕或呕痛或下利不止脉不出者以此汤主之
附子（大者一个去皮脐切用四片） 甘草（炙二钱） 干姜（炮二钱）
上锉二服水二钟煎至一钟去滓温服
理中汤 太阴腹中痛或呕吐食不下或腹中痞满或自利不渴脉沉细而迟者
人参（二钱） 白术（三钱） 干姜（炮二钱） 甘草（炙一钱半）
上水一钟煎至六分去渣温服如作丸每服各一两甘草五钱末炼蜜为丸白汤化下
藿香正气散 治四时不正之气寒疫时气山岚瘴气雨湿蒸气或中寒腹痛吐利中暑冒风吐泻
中湿
身重泄泻或不伏水土脾胃不和或饮食停滞复感外寒头痛憎寒或吐逆恶心胸膈痞闷或发寒热无
汗者
藿香（上） 白术（中发汗用苍术） 浓朴（中） 陈皮（中） 半夏（中） 白茯苓（中） 白芷
（中） 桔梗（中） 大茯皮（中） 紫苏（中） 甘草
水一钟生姜三片煎至六分通口徐徐服之
凡是阳证发热不退，反而出现阴脉的，属于凶险之兆。○脉象浮而滑，身体出汗如油，喘息不止，水浆不能入口，肢体麻木不仁，时而安静时而喘促的，主死。
○汗出湿润且喘息不止的，是肺气先绝。○身体颜色如烟熏般黑，两眼直视摇头的，是心气先绝。○嘴唇和口角发青，四肢抽搐并伴有冷汗出的，是肝气先绝。○口周发黑、虚汗发黄脾气的，是脾气先绝。○寸关尺三部脉象紧盛，大汗出而热不退的，主死。○寸脉和尺脉阴阳俱虚，发热不止的，主死。○身体发热，呼吸粗重，见到阳脉且烦躁不安的，主死；四肢逆冷，脉象沉细的，主死。
气海穴位于脐下一寸五分，石门穴位于脐下一寸，关元穴位于脐下三寸。以上三个穴位治疗阴厥（阳气衰微导致的四肢逆冷）、脉微欲绝、睾丸收缩、遗尿、腹痛、腹满、肠鸣等症皆有效。
阳陵泉穴有两个，位于膝下一寸。易老（指张元素）说：烦闷胀满、睾丸收缩的，适宜灸此穴。
凡是脉象微弦，小腹痛，属于厥阴病，适宜灸归来、关元穴各数壮。
麻黄汤：治疗足太阳经标热，合而为发热，又叫做“拂拂而热”，这种热感觉像羽毛拂过皮肤表面一样，说明热在表。脉象浮数，或浮紧，或头痛、身痛、腰痛、骨节痛，恶风，无汗而喘的，用此汤发汗。
麻黄（三钱），桂枝（二钱），甘草（一钱），杏仁（去皮尖，一钱半）。
以上药物用水一盏，生姜三片，大枣一枚，煎煮后去掉上层的浮沫，滤清药汁，趁热服用。用衣被盖暖身体以取汗，直到手足心都出汗为止，不必再服。如果片刻后汗未出，适宜喝一碗热稀粥以助药力，汗出即止。如果又没出汗，再煎一剂给予，仍按前法温覆取汗。如果病情重的，一天一夜连续服药观察。如果表证仍在，须再作一剂煎服。
桂枝汤：治疗伤寒发热、汗出而恶寒，这是表虚证，用此汤调和，不可强行发汗。
桂枝（二钱），芍药（二钱），甘草（一钱）。
以上药物用水一钟，生姜三片，大枣一枚，煎煮后去掉药渣，温服。
大青龙汤：治疗伤寒脉浮紧，头痛，身体痛，恶寒发热，无汗，烦躁扰乱不安的，用此汤发汗。
麻黄（三钱），桂枝（一钱），甘草（半钱），杏仁（七分，汤泡去皮尖），石膏（二钱），生姜（适量）。
以上药物用水一钟，煎取六分，去掉药渣，通口服。用衣被温覆身体取汗则痊愈。
羌活冲和汤：治疗太阳病无汗、发热、头痛、恶寒、脊背强直、脉浮紧。又治疗非冬季时突遭暴寒侵袭人体，也出现头痛、恶寒、发热，通用此汤治疗，用以代替麻黄汤，被称为太阳经的神药。
羌活（一钱半），防风（一钱），苍术（一钱半），黄芩（一钱），白芷（一钱），甘草（一钱），生地黄（一两），细辛（五分），川芎（一钱）。
以上药物用水一钟，煎取六分，温服。
解肌汤：治疗瘟病、天行（流行性传染病）引起的头痛、壮热。春季感受风邪，发热而口渴，不恶寒的。
葛根（一钱），桂枝（一钱），黄芩（半钱），芍药，麻黄（七分），甘草（半钱）。
以上药物用水二钟，大枣一枚，煎服。如果病不解，再次取汗。
败毒散：治疗伤风、瘟疫、风湿引起的头目昏眩，四肢疼痛，增寒壮热，项背强直，眼睛疼痛，寻常风邪引起的筋脉拘急。
羌活，独活，前胡，柴胡，川芎，枳壳，桔梗，茯苓，人参，甘草。
以上药物各等分，用水一钟，如常法煎煮，服一剂。
升麻汤：治疗伤寒、中风引起的头痛，增寒壮热，四肢疼痛，发热恶寒，鼻干不得卧。兼治寒暑不时，人多疾病疫气，下寒脱着以及暴热之时忽然变寒，身体疼痛，头重如石。
升麻，甘草，葛根，芍药。
以上药物每服三四钱，如常法煎服。
五积散：治疗阴经受冷，脾胃不和，感冒寒邪。
肉桂，人参，川芎（各二钱），浓朴，半夏，芍药，当归，麻黄，干姜（各五钱），甘草（二钱）。
以上十六味药，除枳壳、肉桂、陈皮外，其余放在一起生捣为粗末，用酒拌匀晒干，分成六份。每服三钱，用水一钟，生姜三片，煎取六分，温服。
小柴胡汤：
太阳病十日已去，脉细而嗜卧，外证已解，假设胸满痛，与之服用。伤寒五六日，中风，往来寒热，胸胁苦痛，默默不欲饮食，心烦喜呕，或胸膈烦而不呕，或渴，或腹中痛，或胁下痞硬，或心下悸，小便不利，或不渴，身有微热的，此汤主治。血弱气虚，腠理开，邪气因入，与正气相搏，结于胁下，邪正分争，往来寒热，休作有时。脏腑相连，其痛必下，邪高痛下，致使呕也，此汤主治。伤寒五六日，身热恶风，头项强，胁下满，手足温而渴者，此汤主治。伤寒五六日，头汗出，微恶寒，心下满，不欲食，大便硬，脉细者为阳微结，必有表复有里，脉沉亦在里也。汗出为阳微，假令纯阴结，不得复有外证，悉入在里，此为半在表半在里也。脉虽沉紧，不得为少阴病，所以然者，阴不得有汗也。今头汗出，故知非少阴也。可与服此汤。设不了了，得屎而解。阳明病发潮热，大便溏，小便少，胸膈满者，与此汤服之。阳明病胁下硬满，不大便而呕，舌上白胎者，可与服之。上焦得通，津液得下，胃气因和，濈然汗出而解。阳明中风，脉弦浮大，短气，腹部满，胁下及心痛，久按之气不通，鼻干不得卧，一身及目悉黄，小便难，有潮热，时时哕，身前后肿，刺之少瘥，外不解，病过十日，脉续浮者，此汤主之。以上属阳明经。太阳病不解，转入少阳，胁下硬满，干呕不能食，往来寒热，尚未吐下，脉沉紧者，此汤主之。伤寒瘥后更发热，此汤主之。
柴胡（二两），黄芩，人参，甘草（炙，各二钱半），半夏（一两，炮），大枣（六枚）。
以上锉散，每服三钱，用水一盏，生姜二片，枣一枚，煎温服。
大柴胡汤：
治疗阳明病外证，身热汗出而不恶寒，但恶热，宜服之。阳明病脉逆发热，头眩，小便难，此欲发疸，必宜服之。
阳明病胁下硬满，大便秘而呕，口燥者，此汤主治。阳明病中风，其脉浮大，短气，心痛，鼻干，嗜卧，不得汗，一身尽黄，小便难，有潮热而哕，此汤主治。伤寒三日，少阳受病，口干燥，目眩，宜服之。少阳病胁下坚满，干呕，不食，往来寒热，若未吐下，其脉沉紧，此汤主治。少阳病若已吐下，发汗，谵语者，此汤主治。少阳中风，两耳无所闻，目赤，胸中满而烦，不可吐下，吐下则悸而惊，此汤主治。少阴病恶寒，时时自烦，不欲浓衣，此汤主治。少阴病下利清水，色青者，心下必痛，口干燥者，此汤主治。伤寒六日，阳脉涩，阴脉弦，常腹中急痛，此汤主治。伤寒六日下之，胸满烦惊，小便不利，谵语，一身不可转侧，此汤主治。伤寒发热，汗出不解，心下痞硬，呕吐不利，此汤主治。伤寒十余日，热结在里，往来寒热，及阳明病汗出谵语，腹中满痛，并阳明少阴合病下利，脉滑而数，此汤主治。伤寒六七日，目中不了了，睛不和，无表里证，大便难，身微热，此汤主治。伤寒七八日，脉浮数，病患烦热，汗出解，后又如疟状，日晡发潮热，脉滑者，宜服之。
小青龙汤：治疗停寒温疫，表未解，恶寒体热，水伤心下，干呕，发热，嗽喘急，及生肺胀，胸满鼻塞，清涕，咳逆上气，喘鸣迫塞。仲景曰：治表不解，心下有水气，干呕发热而嗽，或渴，或噎，或小便不利，或满喘者，主之。
麻黄（三分，去节），赤芍药（三分），半夏（三分），细辛，干姜，甘草（炙），桂枝（去粗皮，各三分），五味子（五钱）。
以上切碎，每服三钱，用水一盏，煎七分，去滓，加减服。
白虎汤：治疗伤寒脉滑而微厥，表里有热，三阳合病，腹满身重，难以转侧，口中不仁，面垢，谵语，遗尿。发汗则谵语，下之则额上生汗，手足逆冷，自汗出，并宜服之。服桂枝汤后，大汗出，烦渴不解，脉洪大。伤寒若吐若下后，七八日不解，热结在里，表里俱热，时时恶寒，大渴，舌上干燥而烦，饮水不止。伤寒无大热，口干燥渴，心烦，背微恶寒，渴饮水，无表里证者，并宜白虎汤加人参。脉浮发热，无汗，不可服。诸亡血，不可服。活人书云：脉厥而滑，里有热，白虎加人参。广济云：伤寒及温热病，脉大洪，增寒壮热，烦躁欲饮水，及夏月伤暑，发热恶寒，身体疼重，大渴不止，烦躁汗出，脉细小，手足微冷，并时疾未经转泻，胃热发斑，兼豆麸疮，天行后愈热不解，但是一切伏热，并宜服之。
知母（一两半），甘草（半两），粳米（一合半）。
以上切碎，白水煎，加减服。加人参半两，名白虎加人参汤。又方加石膏四两。
大承气汤：治疗阳明病不吐而烦者，宜服之。阳明病脉迟，虽汗出不恶寒，体重，腹满而喘，有潮热，可攻其里，手足濈然汗出，为大便已坚，宜服之。阳明病其人多汗，津液外出，胃中干燥，大便坚者，必谵语，宜服之。阳明病发作有时，汗不解，腹胀痛，宜服之。阳明少阴合病，自利，脉浮者顺，滑而数者，有宿食，宜服之。少阴病口燥舌干，宜服之。少阴病脉细沉数，病在里，不可发汗，宜服之。少阴腹满不大便者，宜服之。
大黄（半两，微炒），浓朴（一两，制），枳实（一个，麸炒），芒硝（半两）。
以上为饮子，白水煎，临熟入芒硝，再沸，去滓，加减服。
小承气汤：治疗太阳病吐下后，发汗而微烦，小便数，大便坚，宜服之。阳明病若汗出多而微寒，为外未解，无潮热，不可与之。若腹满不大便，可少少与之。
大黄（一两，微炒），浓朴（半两，制），枳实（一个大者，炙）。
以上切碎，水一钟，煎六分，温服。
调胃承气汤：治疗伤寒发汗后，恶寒，虚也；不恶寒但热者，实也，当下。伤寒十三日，过经谵语者，当下之。若自利者，脉当微厥，反和者，此为内实，当下之。太阳病经十余日，心下温温欲吐，胸中实，大便溏，腹微满，郁郁微烦，当下之。太阳病三日，发汗不解，蒸蒸热者，当下之。
大黄（一两，炒），芒硝（九钱），甘草（半两，炙）。
以上切碎，同法煎，加减服。
四逆汤：治疗少阴病足冷，脉沉者，急温之，宜四逆汤。若下利清谷，里寒外热，手足厥逆，脉微欲绝，身灰不恶寒，其人面赤色，或腹痛，或干呕，或呕痛，或下利不止，脉不出者，以此汤主治。
附子（大者一个，去皮脐，切用四片），甘草（炙，二钱），干姜（炮，二钱）。
以上锉成二服，水二钟，煎至一钟，去滓，温服。
理中汤：太阴病，腹中痛，或呕吐，食不下，或腹中痞满，或自利不渴，脉沉细而迟者。
人参（二钱），白术（三钱），干姜（炮，二钱），甘草（炙，一钱半）。
以上水一钟，煎至六分，去渣，温服。如作丸，每服各一两，甘草五钱，末炼蜜为丸，白汤化下。
藿香正气散：治疗四时不正之气，寒疫时气，山岚瘴气，雨湿蒸气，或中寒腹痛，吐利，中暑冒风，吐泻，中湿身重，泄泻，或不伏水土，脾胃不和，或饮食停滞，复感外寒，头痛憎寒，或吐逆恶心，胸膈痞闷，或发寒热无汗者。
藿香（上等），白术（中等，发汗用苍术），浓朴（中等），陈皮（中等），半夏（中等），白茯苓（中等），白芷（中等），桔梗（中等），大腹皮（中等），紫苏（中等），甘草。
水一钟，生姜三片，煎至六分，通口徐徐服之。
Whenever Yang syndrome fever does not subside but instead Yin pulse appears, it is a ominous sign. ○ If the pulse is floating and slippery, sweating is profuse like oil, panting is unceasing, food and fluids cannot be taken in, limbs are numb and insensible, alternating between stillness and panting, death ensues.
○ Sweating moistly with unceasing panting indicates the Lung Qi failing first. ○ Body color dark like smoke, eyes staring straight, head shaking indicates the Heart Qi failing first. ○ Lips and mouth corners turning blue, limbs twitching with cold sweat indicates the Liver Qi failing first. ○ Blackening around the mouth, empty sweat yellowish indicating Spleen Qi failure. ○ Pulse tight and large in all three positions (Cun, Guan, Chi), profuse sweating with heat not resolving indicates death. ○ Both Cun and Chi pulses are deficient in Yin and Yang, with continuous heat indicates death. ○ Body heat, coarse breathing, seeing Yang pulse with restlessness indicates death; cold extremities with deep and fine pulse indicates death.
Qihai (CV 6) is located 1.5 cun below the umbilicus, Shimen (CV 5) is 1 cun below the umbilicus, Guanyuan (CV 4) is 3 cun below the umbilicus. These three acupoints are effective for treating Yin Jue (Cold Reversal due to Yang deficiency) with faint pulse nearly imperceptible, retraction of the scrotum, urinary incontinence, abdominal pain, abdominal fullness, and borborygmus.
Yanglingquan (GB 34) consists of two points, located 1 cun below the knee. Yi Lao (referring to Zhang Yuansu) stated: For irritability, fullness, and retraction of the scrotum, moxibustion on this point is suitable.
Whenever the pulse is faint and wiry, with lower abdominal pain, it belongs to Jueyin disease; moxibustion on Guilai (ST 29) and Guanyuan (CV 4) for several moxa cones is suitable.
Whenever the pulse is deep, with periumbilical abdominal pain, it belongs to Shaoyin disease; moxibustion on Zhongwan (CV 12) for five to seven moxa cones is suitable.
Mahuang Tang (Ephedra Decoction): Treats Biao-heat of the Foot-Taiyang meridian, combining to cause fever, also called "feeling like feathers brushing," where the heat feels as if brushed by feathers on the surface of the skin, indicating heat in the Exterior. With floating and rapid pulse, or floating and tight pulse, headache, body pain, lower back pain, bone and joint pain, aversion to wind, anhidrosis, and panting, use this decoction to induce sweating.
Mahuang (Ephedrae Herba, 3 qian), Guizhi (Cinnamomi Ramulus, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Xingren (Armeniacae Semen Amarum, peeled and tipped, 1.5 qian).
Boil the above ingredients in one cup of water with three slices of fresh ginger and one jujube. Remove the foam on top, filter the clear liquid, and drink while hot. Cover with blankets to induce sweating until the palms and soles are sweaty; do not take further doses. If no sweat occurs after a short while, drink a bowl of hot thin porridge to assist the medicinal power; stop when sweat appears. If still no sweat, decoct another dose and administer, continuing to cover warmly to induce sweat. For severe cases, observe continuously over day and night. If exterior symptoms persist, prepare another dose.
Guizhi Tang (Cinnamon Twig Decoction): Treats Shanghan (Cold Damage) with fever, sweating, and aversion to cold, which is an Exterior Deficiency pattern. Use this decoction to harmonize; do not forcibly induce sweating.
Guizhi (Cinnamomi Ramulus, 2 qian), Shaoyao (Paeoniae Radix Alba, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Boil the above in one cup of water with three slices of fresh ginger and one jujube. Remove dregs and take warm.
Da Qinglong Tang (Major Blue Dragon Decoction): Treats Shanghan with floating-tight pulse, headache, body pain, aversion to cold and fever, anhidrosis, and restless irritability. Use this decoction to induce sweating.
Mahuang (Ephedrae Herba, 3 qian), Guizhi (Cinnamomi Ramulus, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, half qian), Xingren (Armeniacae Semen Amarum, soaked in boiling water, peeled and tipped, 7 fen), Shigao (Gypsum Fibrosum, 2 qian), Shengjiang (Zingiberis Rhizoma Recens, appropriate amount).
Boil the above in one cup of water until reduced to six parts. Remove dregs and drink through the mouth. Cover warmly with blankets to induce sweat for cure.
Qianghuo Chonghe Tang (Notopterygium Harmonizing Decoction): Treats Taiyang disease with anhidrosis, fever, headache, aversion to cold, stiff neck, and floating-tight pulse. Also treats sudden exposure to cold winds outside of winter, presenting with headache, aversion to cold, and fever. This decoction is generally suitable and serves as a substitute for Mahuang Tang, regarded as a divine herb for the Taiyang meridian.
Qianghuo (Notopterygii Rhizoma et Radix, 1.5 qian), Fangfeng (Saposhnikoviae Radix, 1 qian), Cangzhu (Atractylodis Rhizoma, 1.5 qian), Huangqin (Scutellariae Radix, 1 qian), Baizhi (Angelicae Dahuricae Radix, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shengdihuang (Rehmanniae Radix, 1 liang), Xixin (Asari Radix et Rhizoma, 5 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian).
Boil the above in one cup of water until reduced to six parts. Take warm.
Jieji Tang (Muscle-Releasing Decoction): Treats epidemic diseases and seasonal infectious diseases causing headache and high fever. In spring, contracting wind pathogen causing fever and thirst without aversion to cold.
Gegen (Puerariae Lobatae Radix, 1 qian), Guizhi (Cinnamomi Ramulus, 1 qian), Huangqin (Scutellariae Radix, half qian), Shaoyao (Paeoniae Radix Alba), Mahuang (Ephedrae Herba, 7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, half qian).
Boil the above in two cups of water with one jujube. If unresolved, induce sweating again.
Baidu San (Decoction to Defeat Pathogens): Treats wind-cold, plague, wind-dampness causing dizziness of head and eyes, limb pain, chills and high fever, stiff neck, eye pain, and common wind-induced tendon spasm.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Equal parts of the above. Boil one cup of water in the usual manner. Take one dose.
Shengma Tang (Cimicifugae Decoction): Treats Shanghan and wind-stroke causing headache, chills and high fever, limb pain, fever with aversion to cold, dry nose, inability to lie down. Also treats irregular cold and heat leading to epidemics, lower cold detachment, and sudden change from intense heat to cold causing body pain and heavy head like stone.
Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Gegen (Puerariae Lobatae Radix), Shaoyao (Paeoniae Radix Alba).
Take 3-4 qian per dose, decoct in the usual manner.
Wuji San (Five Accumulations Powder): Treats Cold damage to Yin meridians, spleen and stomach disharmony, and contraction of cold pathogen.
Rougui (Cinnamomi Cortex), Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 qian), Houpo (Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba), Ganjiang (Zingiberis Rhizoma) (each 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Of the sixteen flavors, except for Zhike (Aurantii Fructus Immaturus), Rougui (Cinnamomi Cortex), and Chenpi (Citri Reticulatae Pericarpium), grind the rest into coarse powder together. Mix with wine, sun-dry, and divide into six portions. Take 3 qian per dose with one cup of water and three slices of ginger. Decoct until reduced to six parts. Take warm.
Xiaochaihu Tang (Minor Bupleurum Decoction):
After ten days of Taiyang disease, pulse is fine and patient desires sleep; exterior symptoms have resolved. Assuming chest fullness and pain, administer this. After five to six days of Shanghan or wind-stroke, alternating chills and fever, bitter taste in mouth, dry throat, dizzy eyes, chest and hypochondriac fullness/pain, silent desire to vomit, irritability, or chest diaphragm irritation without vomiting, thirst, abdominal pain, hypochondriac hardness, epigastric palpitations, dysuria, or no thirst with slight body heat, this decoction governs. Weak blood and Qi, open pores, pathogen enters and struggles with righteous Qi, knotting in the hypochondrium. Struggle between pathogen and righteous Qi causes alternating chills and fever, occurring at intervals. Organs are connected, pain must descend; pathogen high, pain low, causing vomiting. This decoction governs. After five to six days of Shanghan, body heat, aversion to wind, stiff head and neck, hypochondriac fullness, warm hands and feet, and thirst, this decoction governs. After five to six days of Shanghan, head sweating, slight aversion to cold, epigastric fullness, lack of appetite, hard stool, fine pulse indicates Yang slight knotting; there is both exterior and interior. Deep pulse also indicates interior. Sweating indicates Yang slightness. If pure Yin knotting, there would not be exterior symptoms; all enter interior. This is half exterior, half interior. Although pulse is deep and tight, it is not Shaoyin disease because Yin cannot sweat. Now head sweats, thus knowing it is not Shaoyin. Administer this decoction. If unsettled, resolution comes with passing stool. Yangming disease with tidal fever, loose stool, scanty urine, chest/diaphragm fullness, administer this. Yangming disease with hypochondriac hardness, constipation, vomiting, white coating on tongue, administer this. Upper Jiao gets unblocked, fluids descend, Stomach Qi harmonizes, sweat emerges naturally for resolution. Yangming wind-stroke with wiry-floating-large pulse, shortness of breath, abdominal fullness, hypochondriac and heart pain, pressure doesn't relieve gas, dry nose, inability to lie down, whole body and eyes yellow, difficult urination, tidal fever, occasional hiccups, swelling front and back, acupuncture slightly relieves, exterior unresolved, disease past ten days, pulse continues floating, this decoction governs. Above belongs to Yangming meridian. Taiyang disease unresolved, transferring to Shaoyang, hypochondriac hardness, dry retching, inability to eat, alternating chills and fever, not yet purged or vomited, deep-tight pulse, this decoction governs. After recovery from Shanghan, fever returns, this decoction governs.
Chaihu (Bupleuri Radix, 2 liang), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2.5 qian), Banxia (Pinelliae Rhizoma, processed, 1 liang), Dazao (Jujubae Fructus, 6 pieces).
Crush into pieces. Take 3 qian per dose with one cup of water, two slices of fresh ginger, and one jujube. Decoct and take warm.
Da Chaihu Tang (Major Bupleurum Decoction):
Treats Yangming disease exterior symptoms: body heat, sweating, no aversion to cold, only aversion to heat. Suitable for Yangming disease with reversed pulse, fever, dizziness, difficult urination, impending jaundice.
Yangming disease with hypochondriac hardness, constipation, vomiting, dry mouth, this decoction governs. Yangming wind-stroke with floating-large pulse, shortness of breath, heart pain, dry nose, lethargy, anhidrosis, whole body yellow, difficult urination, tidal fever, hiccups, this decoction governs. Shanghan three days, Shaoyang receives pathogen, dry mouth, dizzy eyes, suitable. Shaoyang disease with hypochondriac hardness/fullness, dry retching, no appetite, alternating chills and fever, if not yet vomited/purged, deep-tight pulse, this decoction governs. Shaoyang disease if already vomited/purged/sweated, delirium, this decoction governs. Shaoyang wind-stroke, deafness, red eyes, chest fullness/irritability, cannot vomit/purge, vomiting/purging causes palpitations/fright, this decoction governs. Shaoyin disease with aversion to cold, frequent self-irritation, dislike thick clothing, this decoction governs. Shaoyin disease with diarrhea of clear green water, epigastric pain, dry mouth, this decoction governs. Shanghan six days, Yang pulse rough, Yin pulse wiry, constant acute abdominal pain, this decoction governs. Shanghan six days after purgation, chest fullness, fright, dysuria, delirium, inability to turn body, this decoction governs. Shanghan fever, sweating unresolved, epigastric hardness, vomiting, no diarrhea, this decoction governs. Shanghan ten-plus days, heat knotted in interior, alternating chills and fever, plus Yangming disease sweating with delirium, abdominal fullness/pain, combined Yangming-Shaoyin disease with diarrhea, slippery-numerous pulse, this decoction governs. Shanghan six-seven days, eyes unclear, pupils not bright, no exterior-interior signs, difficult defecation, slight body heat, this decoction governs. Shanghan seven-eight days, floating-numerous pulse, patient irritable/feverish, sweating resolves, then resembles malaria, tidal fever at dusk, slippery pulse, suitable.
Xiao Qinglong Tang (Minor Blue Dragon Decoction): Treats retained cold/warm pestilence, exterior unresolved, aversion to cold, body heat, water damaging Heart Lower Jiao, dry retching, fever, cough,急促 panting, lung distension, chest fullness, nasal congestion, clear runny nose, reverse coughing, wheezing obstruction. Jingue said: Treat exterior unresolved, fluid retention in Heart Lower Jiao, dry retching, fever, cough, or thirst, or choking, or dysuria, or fullness/panting, governs this.
Mahuang (Ephedrae Herba, 3 fen, remove joints), Chishao Yao (Paeoniae Radix Rubra, 3 fen), Banxia (Pinelliae Rhizoma, 3 fen), Xixin (Asari Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Guizhi (Cinnamomi Ramulus, remove bark, each 3 fen), Wuweizi (Schisandrae Fructus, 5 qian).
Chop coarsely. Take 3 qian per dose with one cup of water. Decoct until seven parts remain. Remove dregs. Adjust and take.
Baitu Tang (White Tiger Decoction): Treats Shanghan with slippery pulse and slight cold extremities, heat in both exterior and interior, Three Yang combined disease, abdominal fullness, body heaviness, difficulty turning, insensitivity in mouth, greasy face, delirium, enuresis. Inducing sweat causes delirium; purging causes sweat on forehead and cold extremities. Spontaneous sweating applies. After taking Guizhi Tang, profuse sweating, unresolved irritability/thirst, large pulse. Shanghan after vomiting/purging, unresolved after seven-eight days, heat knotted in interior, heat in both exterior and interior, periodic chills, great thirst, dry tongue with irritability, endless drinking. Shanghan with no great heat, dry mouth/thirst, irritability, slight back aversion to cold, thirst for water, no exterior-interior signs, all suitable for Baitu Tang plus Renshen. Floating pulse with fever and no sweat, not suitable. Blood loss patients, not suitable. Huoren Shu says: Cold pulse with slipperiness indicates interior heat, Baitu Tang plus Renshen. Guangji Shu says: Shanghan and warm-heat disease with large-slippery pulse, chills/high fever, irritability, desire to drink, summer heat stroke with fever/aversion to cold, heavy body, great thirst, irritability/sweating, small pulse, cold extremities, epidemic not yet purged, Stomach heat causing spots/rash, bean/wheat pox, post-epidemic unresolved heat, all latent heat, all suitable.
Zhimu (Anemarrhenae Rhizoma, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang), Jingsmi (Oryza Sativa, 1.5 he).
Chop coarsely. Decoct in plain water. Adjust and take. Add Renshen (Ginseng Radix et Rhizoma, half liang), named Baitu Tang plus Renshen. Another formula adds Shigao (Gypsum Fibrosum, 4 liang).
Dachengqi Tang (Major Order the Qi Decoction): Treats Yangming disease with irritability without vomiting, suitable. Yangming disease with slow pulse, sweating without aversion to cold, body weight, abdominal fullness, panting, tidal fever, interior can be attacked, hands/feet continuously sweating indicates hard stool, suitable. Yangming disease with profuse sweating, fluids exiting, dry Stomach, hard stool, likely delirium, suitable. Yangming disease with periodic sweating, unresolved, abdominal fullness/pain, suitable. Yangming-Shaoyin combined disease with spontaneous diarrhea, floating pulse is favorable, slippery-numerous indicates retained food, suitable. Shaoyin disease with dry mouth/tongue, suitable. Shaoyin disease with fine-deep-numerous pulse, disease in interior, cannot induce sweat, suitable. Shaoyin abdominal fullness with constipation, suitable.
Dahuang (Rhei Radix et Rhizoma, half liang, lightly stir-fried), Houpo (Magnoliae Officinalis Cortex, 1 liang, processed), Zhishi (Aurantii Fructus Immaturus, one, bran-fried), Mangxiao (Natrii Sulfas, half liang).
Make as infusion. Decoct in plain water. Add Mangxiao near completion, boil again. Remove dregs. Adjust and take.
Xiaochengqi Tang (Minor Order the Qi Decoction): Treats Taiyang disease after vomiting/purging, sweating, slight irritability, frequent urination, hard stool, suitable. Yangming disease with profuse sweating and slight cold indicates exterior unresolved, no tidal fever, do not give. If abdominal fullness with constipation, give sparingly.
Dahuang (Rhei Radix et Rhizoma, 1 liang, lightly stir-fried), Houpo (Magnoliae Officinalis Cortex, half liang, processed), Zhishi (Aurantii Fructus Immaturus, one large, roasted).
Chop coarsely. One cup of water, decoct to six parts. Take warm.
Tiaoweichengqi Tang (Regulate the Stomach Order the Qi Decoction): Treats Shanghan after sweating, aversion to cold indicates deficiency; no aversion to cold but heat indicates excess, should purge. Shanghan thirteen days, passed meridian, delirium, should purge. If spontaneous diarrhea, pulse should be faint/cold; if harmonious, indicates interior excess, should purge. Taiyang disease over ten days, epigastric nausea, chest fullness, loose stool, slight abdominal fullness, slight irritability, should purge. Taiyang disease three days, sweating unresolved, steaming heat, should purge.
Dahuang (Rhei Radix et Rhizoma, 1 liang, stir-fried), Mangxiao (Natrii Sulfas, 9 qian), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried).
Chop coarsely. Decoct same method. Adjust and take.
Sini Tang (Four Reversals Decoction): Treats Shaoyin disease with cold feet and deep pulse, urgent warming needed, suitable Sini Tang. If diarrhea with undigested food, interior cold exterior heat, cold extremities, faint pulse nearly imperceptible, grayish body, no aversion to cold, red face, or abdominal pain, dry retching, vomiting pain, continuous diarrhea, pulse not emerging, this decoction governs.
Fuzi (Aconiti Lateralis Radix Praeparata, one large, remove skin/navel, cut into four slices), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian), Ganjiang (Zingiberis Rhizoma, roasted, 2 qian).
Cut into two doses. Two cups of water, decoct to one cup. Remove dregs. Take warm.
Lizhong Tang (Regulate the Middle Decoction): Taiyin disease, abdominal pain, or vomiting, inability to eat, or abdominal fullness, or spontaneous diarrhea without thirst, deep-fine-slow pulse.
Renshen (Ginseng Radix et Rhizoma, 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Ganjiang (Zingiberis Rhizoma, roasted, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 qian).
One cup of water, decoct to six parts. Remove dregs. Take warm. If making pills, take 1 liang of each, 5 qian Gancao powder, refined honey pills, dissolve in white water.
Huoxiang Zhengqi San (Patchouli Regulating Qi Powder): Treats irregular Qi of four seasons, cold plague, mountain miasma, rain/humidity vapor, or cold invading abdomen causing pain/vomiting/diarrhea, heatstroke/wind invasion causing vomiting/diarrhea, dampness causing heavy body/diarrhea, intolerance to local water/soil, spleen/stomach disharmony, food stagnation re-contracting external cold, headache/chills, or retching/nausea, chest/diaphragm stuffiness, or fever/anhydrosis.
Huoxiang (Agastaches Herba, superior grade), Baizhu (Atractylodis Macrocephalae Rhizoma, medium grade; use Cangzhu for sweating), Houpo (Magnoliae Officinalis Cortex, medium grade), Chenpi (Citri Reticulatae Pericarpium, medium grade), Banxia (Pinelliae Rhizoma, medium grade), Fuling (Poria, medium grade), Baizhi (Angelicae Dahuricae Radix, medium grade), Jiegeng (Platycodonis Radix, medium grade), Dafupi (Arecae Pericarpium, medium grade), Zisu (Perillae Folium, medium grade), Gancao (Glycyrrhizae Radix et Rhizoma).
One cup of water, three slices of fresh ginger. Decoct to six parts. Drink slowly through the mouth.