治寒伤营气。脉浮发热。无汗而喘。骨节痛。
麻黄(去节。三钱) 桂枝(三钱) 甘草(炙。一钱) 杏仁(二十枚。泡。去皮尖。碎
)
上四味。水煎温服。暖覆取微汗。不须啜粥。以寒邪入伤营气。营气起于中焦。恐谷气反助
邪热也。
麻黄加术汤(金匮) 治湿家身体烦疼。日晡发热。
黄麻汤加白术四钱。 湿家身疼烦热。浑是躯壳受伤。即用麻黄汤开发肌表。不得白术健运脾
气。则湿热虽从汗泄。而水谷之气。依然复为痰湿。流薄中外矣。然术必生用。若经炒焙。但有健
脾之能。而无祛湿之力矣。
古今录验橘皮汤(金匮) 治寒邪伤肺。咳嗽吐血。
麻黄汤换肉桂加橘皮、当归、紫菀、黄芩。
麻杏甘石汤(玉函) 治发汗后。汗出而喘。无大热者。
麻黄汤去桂枝。加石膏半两。 此麻黄汤去桂。而兼越婢之意。专祛上焦湿热痰气。与苓桂术
甘汤互发。彼藉苓、术。专祛心下之支饮。此藉石膏。专祛膈上之湿热也。
麻黄杏仁薏苡甘草汤(玉函) 治风湿一身尽痛发热。日晡所剧者。
麻黄汤去桂枝。加薏苡半两。
杏子汤 治风水虚胀脉浮。发其汗即已。
麻黄汤去桂枝。(又易简杏子汤。用小青龙加人参杏子仁)
甘草麻黄汤(金匮) 亦治里水。
麻黄汤去桂枝、杏仁。方用甘草二钱。麻黄四钱。
葛根汤(玉函) 治太阳阳明合病自利。或发热无汗。喘满不食。
麻黄汤去杏仁。增桂枝一钱。加葛根四钱。芍药二钱。生姜三片。大枣三枚。 此即麻黄、桂
枝二汤合用。于中但去杏仁。增葛根。为阳明经证之专药。以其能辅麻黄。大开肌肉也。去杏仁者
。既开肌肉于外。不当复泄肺气于内也。圣人立法。一方一味。各有斟酌。非刻意研求。焉能测识其
微而为苍生司命哉。
三拗汤(局方) 治风寒伤肺而咳。误行敛肺。而壅嗽喘急。
麻黄汤去桂枝。用麻黄、(不去节。) 甘草、(生) 杏仁(连皮尖) 等分。更加桔梗
、荆芥。名加味三拗汤。
麻黄附子细辛汤(玉函) 治少阴病。脉沉发热。及水肿喘咳。
麻黄汤去桂枝、杏仁、甘草。加附子一钱。细辛半钱。
千金附子散 治中风手臂不仁。口面 僻。
麻黄附子细辛汤加干姜、桂心、人参、防风、芎 、羚羊角。为散水煎。加竹沥。日服一剂
效。
仓公当归汤 治贼风口噤。角弓反张成痉。
麻黄附子细辛汤加当归、防风独活。水酒和煎。口不开者。格口内汤。一服当苏。二服小汗
。三服大汗。
麻黄附子甘草汤(玉函 金匮名麻黄附子汤) 治少阴病脉沉发热。二三日无里证。及水肿脉
沉。
麻黄汤去桂枝、杏仁。加附子一钱。
千金大枣汤 治历节疼痛。
麻黄附子甘草汤。加黄 、姜、枣。日三服汗之。 发表重剂。莫如麻黄。温经峻药。首推附
子。表里补泻。功用天渊。仲景于少阴病脉沉发热。二味合用。单刀直破坚垒。而建补天浴日之
功。在一二日间。势难叵测。则用细辛以助其锐。二三日无里证。则用甘草以缓其治。各有权度
。金匮于水肿治例。亦用二汤。喘嗽则兼细辛以开肺气之壅。脉沉则兼甘草以缓肾气之逆。与初
起防变。二三日无里证互发。而仓公乃于麻附细辛方中。加当归、防、独以疗贼风口噤发痉。千金
复以麻附甘草汤内加黄 、姜、枣以治历节疼痛。总赖麻黄、附子。彻外彻内。迅扫其邪。杲日
当阳。何有阴霾之患乎。
麻黄升麻汤(玉函) 治冬温误行汗下。下部脉不至。咽候不利。唾脓血。
麻黄汤去杏仁。用麻黄二钱。桂枝、甘草各八分。加升麻、当归各一钱。知母、黄芩、葳蕤
各二钱。天门冬、芍药、干姜、白术、茯苓、石膏各八分。此方专主阳热陷于厥阴。经脉为邪气
所遏。故下部脉不至。而证见咽喉不利。唾脓血也。邪遏经脉。非兼麻黄、桂枝之制。不能开发
肌表以泄外热。非取白虎、越婢之法。不能清润肺胃以化里热。更以芍药甘草参黄芩汤寒因寒用
。谓之应敌。甘草干姜合肾着汤热因热用。谓之向导。以病气庞杂。不得不以逆顺兼治也。
华盖散(局方) 治肺受风寒。咳嗽声重。烦满昏眩。脉浮数。
麻黄汤去桂枝。方用麻黄、杏仁各一钱。甘草五分。加苏子、赤茯苓、橘红、桑根皮各一钱
。生姜二片。红枣一枚。
九宝汤 治经年久嗽不愈。脉浮起于外感者。
麻黄汤加紫苏、薄荷、橘红、桑白皮、大腹皮等分。生姜三片。乌梅肉半个。
麻黄连轺赤小豆汤(玉函) 治湿热发黄。
麻黄汤去桂枝减麻黄一钱。加连轺(即连翘。)二钱赤小豆一合。生梓白皮一两。生姜三片
。大枣四枚。水煎。分温三服。半日服尽。
越婢汤(金匮) 治风水恶寒。一身悉肿。脉浮不渴。续自汗出。无大热者。
麻黄汤去桂枝、杏仁倍麻黄。加石膏八钱。生姜三片。大枣五枚。水煎。温分三服。 越婢
者。发越湿土之邪气也。水湿之气。因风流播中外。两相激搏。势难分解。不得不藉麻黄祛之从
表而越。石膏清之从里而化。内经开鬼门法也。本方加术以助腠理开汗大泄。于加术方中更加附
子。以治脚痹恶风。开中寓阖。信手合辙。其大青龙、小续命、麻杏甘石汤。或加桂枝以和营。
或加参、归以鼓气。或加杏仁以泄满。总以此方为枢局也。或问表无大热。何得轻用麻黄。内无
烦渴。何得轻用石膏。盖恶寒身肿自汗。浑是湿气郁着。非风以播之。不能解散。麻黄在寒伤营
剂中。则为正治。在开痹湿门中。则为导引。石膏在白虎汤中。则为正治。在越婢、青龙、续命
方中。则为导引。不可以此碍
彼也。
越婢加术汤(金匮) 治内极热。则身体津脱。腠理开。汗大泄。厉风气。下焦脚弱。
越婢汤加白术四钱。
越婢加术附汤(金匮) 治脚痹恶风。
越婢汤加白术四钱。附子一钱。
越婢加半夏汤(金匮) 治肺胀咳而上气。
越婢汤加半夏半两。
大青龙汤(玉函) 治营卫俱伤。脉浮紧。汗不得出而烦躁。
越婢加杏仁十四枚。(去皮尖) 桂枝二钱。
文蛤汤(金匮) 治吐后渴饮不止。脉紧头痛。
越婢汤麻黄减半。盖文蛤半两。杏仁十五枚。
治疗寒邪损伤营气。脉象浮,发热,无汗且气喘,骨节疼痛。
麻黄(去节,三钱) 桂枝(三钱) 甘草(炙,一钱) 杏仁(二十枚,泡,去皮尖,捣碎)
以上四味药,用水煎煮,温服。服药后覆盖衣被以取得微汗。不需要喝热粥。因为寒邪侵入损伤营气,营气起源于中焦,恐怕谷气反而助长邪热。
麻黄加术汤(出自《金匮要略》) 治疗湿病患者身体烦痛,下午申时发热。
即麻黄汤加入白术四钱。湿病患者身体疼痛、烦热,完全是体表受伤所致。此时即用麻黄汤开发肌表,如果不用白术健运脾气,那么湿热虽然随汗液排出,但水谷之气依然会转化为痰湿,流注于内外。然而白术必须生用,如果经过炒焙,就只有健脾的功能,而没有祛湿的力量了。
古今录验橘皮汤(出自《金匮要略》) 治疗寒邪伤肺,咳嗽吐血。
将麻黄汤中的桂枝替换为肉桂,并加入橘皮、当归、紫菀、黄芩。
麻杏甘石汤(出自《玉函经》) 治疗发汗后,汗出而气喘,没有大热的情况。
将麻黄汤去掉桂枝,加入石膏半两。这是麻黄汤去掉桂枝,兼有越婢汤的意思,专门祛除上焦的湿热痰气,与苓桂术甘汤相互呼应。苓桂术甘汤借助茯苓、白术,专门祛除心下的支饮;此方借助石膏,专门祛除膈上的湿热。
麻黄杏仁薏苡甘草汤(出自《玉函经》) 治疗风湿导致全身疼痛发热,在下午申时加剧的情况。
将麻黄汤去掉桂枝,加入薏苡半两。
杏子汤 治疗风水病引起的虚胀,脉象浮,发汗后即可痊愈。
将麻黄汤去掉桂枝。(另有简易杏子汤,使用小青龙汤加人参和杏子仁)
甘草麻黄汤(出自《金匮要略》) 也治疗里水证。
将麻黄汤去掉桂枝、杏仁。方中用甘草二钱,麻黄四钱。
葛根汤(出自《玉函经》) 治疗太阳阳明合病出现的自利,或者发热无汗,气喘胸闷不想进食。
将麻黄汤去掉杏仁,增加桂枝一钱,加入葛根四钱,芍药二钱,生姜三片,大枣三枚。这就是麻黄汤和桂枝汤两方合用,中间只去掉杏仁,增加葛根,作为治疗阳明经证的专药。因为它能辅助麻黄,大力开通肌肉腠理。去掉杏仁的原因在于,既然已经在外部开通了肌肉,就不应当在内部再次宣泄肺气。圣人制定法则,一方一味药,各有斟酌考量,不是刻意钻研探求,怎么能洞察其精微之处而为百姓治病呢?
三拗汤(出自《太平惠民和剂局方》) 治疗风寒伤肺导致的咳嗽,误用敛肺药物后,导致气壅塞、咳嗽气喘急促。
将麻黄汤去掉桂枝,使用麻黄(不去节)、甘草(生用)、杏仁(连皮尖),等分。再加桔梗、荆芥,名为加味三拗汤。
麻黄附子细辛汤(出自《玉函经》) 治疗少阴病,脉沉发热,以及水肿气喘咳嗽。
将麻黄汤去掉桂枝、杏仁、甘草,加入附子一钱,细辛半钱。
千金附子散 治疗中风导致的手臂麻木不仁,口眼歪斜。
将麻黄附子细辛汤加入干姜、桂心、人参、防风、川芎、羚羊角,研为散剂,用水煎煮,加入竹沥。每天服用一剂有效。
仓公当归汤 治疗贼风引起的口噤不开,角弓反张形成痉病。
将麻黄附子细辛汤加入当归、防风、独活,用水和酒混合煎煮。口张不开的,从牙缝间灌入药汤。服用一次应当苏醒,服用两次微微出汗,服用三次大汗出。
麻黄附子甘草汤(出自《玉函经》,《金匮要略》名为麻黄附子汤) 治疗少阴病脉沉发热,发病二三天没有里证,以及水肿脉沉。
将麻黄汤去掉桂枝、杏仁,加入附子一钱。
千金大枣汤 治疗历节疼痛。
使用麻黄附子甘草汤,加入黄芪、生姜、大枣。每天三次服用以发汗。发表的重剂,没有比得上麻黄的;温经的峻药,首推附子。表里补泻的功效,相差如天地之远。张仲景在治疗少阴病脉沉发热时,将这两味药合用,单刀直入攻破坚垒,建立补天浴日的功劳。如果在发病一两天内,病情势难预测,就用细辛来助其锐气;如果在二三天内没有里证,就用甘草来缓和其治疗力度。各有权衡尺度。《金匮要略》在治疗水肿的范例中,也使用这两个方子。如果有气喘咳嗽,就兼用细辛来开宣肺气的壅塞;如果脉沉,就兼用甘草来缓和肾气的上逆。这与初起防止病变、二三天无里证的说法相互印证。而仓公则在麻黄附子细辛汤中加入当归、防风、独活来治疗贼风引起的口噤发痉;千金方又在麻黄附子甘草汤中加入黄芪、生姜、大枣来治疗历节疼痛。总之依靠麻黄、附子,彻内彻外,迅速扫除邪气,如同烈日当空,哪里还会有阴霾的祸患呢?
麻黄升麻汤(出自《玉函经》) 治疗冬温病误用发汗和攻下法,导致下部脉象摸不到,咽喉不利,唾吐脓血。
将麻黄汤去掉杏仁,使用麻黄二钱,桂枝、甘草各八分,加入升麻、当归各一钱,知母、黄芩、葳蕤各二钱,天门冬、芍药、干姜、白术、茯苓、石膏各八分。此方专门主治阳热陷入厥阴,经脉被邪气阻滞,所以下部脉象摸不到,症状表现为咽喉不利,唾吐脓血。邪气阻滞经脉,如果不兼用麻黄、桂枝的制约作用,就不能开发肌表以泄除外部热邪;如果不取法白虎汤、越婢汤的方法,就不能清润肺胃以化解内部热邪。再加上芍药甘草参黄芩汤,采用“寒因寒用”的方法,称为应对敌人;甘草干姜合肾着汤,采用“热因热用”的方法,称为引导向导。因为病气庞杂复杂,不得不以逆治和顺治相结合的方法来治疗。
华盖散(出自《太平惠民和剂局方》) 治疗肺受风寒,咳嗽声音沉重,烦闷昏眩,脉象浮数。
将麻黄汤去掉桂枝。方中用麻黄、杏仁各一钱,甘草五分,加入苏子、赤茯苓、橘红、桑根皮各一钱,生姜二片,红枣一枚。
九宝汤 治疗常年久咳不愈,脉象浮起属于外感引起的。
将麻黄汤加入紫苏、薄荷、橘红、桑白皮、大腹皮等分,生姜三片,乌梅肉半个。
麻黄连轺赤小豆汤(出自《玉函经》) 治疗湿热导致的发黄。
将麻黄汤去掉桂枝,减少麻黄一钱,加入连轺(即连翘)二钱,赤小豆一合,生梓白皮一两,生姜三片,大枣四枚。用水煎煮,分三次温服,半天内服完。
越婢汤(出自《金匮要略》) 治疗风水病,恶寒,全身浮肿,脉浮不渴,持续自汗出,没有大热的情况。
将麻黄汤去掉桂枝、杏仁,加倍麻黄用量,加入石膏八钱,生姜三片,大枣五枚。用水煎煮,分三次温服。越婢的意思是发越湿土之邪气。水湿之气,因为风邪吹播于内外,两者相互激搏,形势难以分解,不得不借助麻黄将其从体表发越出去,借助石膏从内部清化它。这是《内经》“开鬼门”的方法。本方加入白术以助腠理打开,使汗液大量排泄。在加术方中再加入附子,用来治疗脚痹恶风。开中有阖,随手合乎法度。其中的大青龙汤、小续命汤、麻杏甘石汤,有的加桂枝以调和营卫,有的加人参、当归以鼓动正气,有的加杏仁以宣泄满闷。总以此方为基础枢纽。有人问:表证没有大热,为什么轻易使用麻黄?体内没有烦渴,为什么轻易使用石膏?这是因为恶寒、身肿、自汗,完全是湿气郁结附着所致,非风邪吹播不能解散。麻黄在寒伤营气的方剂中,就是正治法;在开通痹阻湿气的门类中,就是引导法。石膏在白虎汤中,就是正治法;在越婢汤、青龙汤、续命汤中,就是引导法。不可以因为这个妨碍那个。
越婢加术汤(出自《金匮要略》) 治疗体内极热,导致身体津液耗脱,腠理开放,汗液大量排泄,感受厉风气,下焦脚弱无力。
越婢汤加入白术四钱。
越婢加术附汤(出自《金匮要略》) 治疗脚痹恶风。
越婢汤加入白术四钱,附子一钱。
越婢加半夏汤(出自《金匮要略》) 治疗肺胀,咳嗽且气逆上冲。
越婢汤加入半夏半两。
Treats cold pathogen damaging Ying Qi (Nutritive Qi). Pulse is floating, fever, no sweating with wheezing, pain in bone joints.
Ephedrae Herba (Mahuang, 麻黄) (remove nodes, 3 qian), Cinnamomi Ramulus (Guizhi, 桂枝) (3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted, 1 qian), Armeniacae Semen Amarum (Xingren, 杏仁) (20 seeds, soaked, remove skin and tips, crushed).
The above four ingredients, decoct in water, take warm. Cover with warm blankets to induce slight sweating. No need to drink hot porridge. Because the cold pathogen enters and damages Ying Qi (Nutritive Qi), which originates from the Middle Jiao (Middle Burner); there is fear that the Qi of grains might instead assist the pathogenic heat.
Mahuang Jia Zhu Tang (Cinnamon Twig Decoction plus Atractylodis Macrocephalae Rhizoma) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats patients with dampness experiencing bodily restlessness and pain, with fever in the afternoon (Shi hour).
It is Mahuang Tang (Ephedra Decoction) plus Baizhu (Atractylodis Macrocephalae Rhizoma) 4 qian. The bodily pain and restless heat in dampness patients are entirely due to injury of the body shell (exterior). At this time, use Mahuang Tang (Ephedra Decoction) to open the muscle layer and exterior. If Baizhu (Atractylodis Macrocephalae Rhizoma) is not used to strengthen and transport Spleen Qi, although damp-heat will be excreted via sweat, the Qi of water and grain will still transform into phlegm-dampness, flowing between the interior and exterior. However, Baizhu (Atractylodis Macrocephalae Rhizoma) must be used raw; if roasted or baked, it only has the function of strengthening the Spleen but lacks the power to dispel dampness.
Gujin Lu Yan Jupi Tang (Orange Peel Decoction Verified Through Ages) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats cold pathogen injuring the Lung, causing cough and hemoptysis (spitting blood).
Replace Guizhi (Cinnamomi Ramulus) in Mahuang Tang (Ephedra Decoction) with Rougui (Cinnamomi Cortex), and add Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Ziwan (Asternis Radix), Huangqin (Scutellariae Radix).
Mahuang Xinggan Shigao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats cases after sweating where there is sweating with wheezing and no significant heat.
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction), add Shigao (Gypsum Fibrosum) half liang. This is Mahuang Tang (Ephedra Decoction) without Guizhi (Cinnamomi Ramulus), incorporating the intent of Yuespi Tang (Goat Beard Decoction), specifically to dispel damp-heat and phlegm-Qi in the Upper Jiao (Upper Burner). It corresponds with Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction); the latter relies on Fuling (Poria) and Baizhu (Atractylodis Macrocephalae Rhizoma) to specifically dispel fluid retention under the heart; this formula relies on Shigao (Gypsum Fibrosum) to specifically dispel damp-heat above the diaphragm.
Mahuang Xingyi Gancao Tang (Ephedra, Apricot Kernel, Coix Seed, and Licorice Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats wind-dampness causing whole-body pain and fever, worsening in the afternoon (Shi hour).
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction), add Yiyi Ren (Coicis Semen) half liang.
Xingzi Tang (Apricot Kernel Decoction) Treats Fengshui (Wind-Water edema) causing empty distension with a floating pulse; inducing sweat cures it.
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction). (Another simple Xingzi Tang uses Xiao Qinglong Tang (Minor Green Dragon Decoction) plus Renshen (Ginseng Radix) and Xingziren (Apricot Kernel)).
Gancao Mahuang Tang (Licorice and Ephedra Decoction) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Also treats Li Shui (Interior Water).
Remove Guizhi (Cinnamomi Ramulus) and Xingren (Armeniacae Semen Amarum) from Mahuang Tang (Ephedra Decoction). The formula uses Gancao (Licorice Root) 2 qian and Mahuang (Ephedra) 4 qian.
Gegen Tang (Kudzu Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats Taiyang-Yangming combined disease presenting with spontaneous diarrhea, or fever without sweat, wheezing, chest fullness, and anorexia.
Remove Xingren (Armeniacae Semen Amarum) from Mahuang Tang (Ephedra Decoction), increase Guizhi (Cinnamomi Ramulus) by 1 qian, add Gegen (Puerariae Lobatae Radix) 4 qian, Shaoyao (Paeoniae Radix Alba) 2 qian, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Dazao (Jujubae Fructus) 3 pieces. This is the combination of Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction), removing only Xingren (Armeniacae Semen Amarum) and adding Gegen (Puerariae Lobatae Radix), serving as a specific medicine for Yangming Meridian syndromes. Because it assists Mahuang (Ephedra) to vigorously open the muscles and flesh. Xingren (Armeniacae Semen Amarum) is removed because, having opened the muscles externally, one should not again drain Lung Qi internally. The Sages' legislation, every formula and ingredient, is carefully considered. Without deliberate study, how can one discern its subtleties to serve as the life-giver for the people?
San'ao Tang (Three Un-twisted Decoction) (from *Ju Fang* / *Bureau Formulary*) Treats cough caused by Wind-Cold injuring the Lung; mistaken use of astringent Lung herbs leads to Qi stagnation, cough, and urgent wheezing.
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction). Use Mahuang (Ephedra) (do not remove nodes), Gancao (Licorice Root) (raw), Xingren (Armeniacae Semen Amarum) (with skin and tips) in equal parts. Add more Jiegeng (Platycodonis Radix) and Jingjie (Schizonepetae Spica), named Jiawei San'ao Tang (Modified Three Un-twisted Decoction).
Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats Shaoyin disease with deep pulse and fever, as well as edema, wheezing, and cough.
Remove Guizhi (Cinnamomi Ramulus), Xingren (Armeniacae Semen Amarum), and Gancao (Licorice Root) from Mahuang Tang (Ephedra Decoction), add Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian, Xixin (Asari Radix et Rhizoma) half qian.
Qianjin Fuzi San (Thousand Gold Aconite Powder) Treats stroke causing arm numbness and anesthesia, and facial paralysis (deviation of mouth and eye).
Add Ganjiang (Zingiberis Rhizoma), Guixin (Cinnamomi Cortex), Renshen (Ginseng Radix), Fangfeng (Saposhnikoviae Radix), Xiong (Ligustici Chuanxiong Rhizoma), and Lingyangjiao (Saigae Tataricae Cornu) to Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction). Grind into powder, decoct in water, add Zhuli (Bambusae Caulis in Taenia). Take one dose daily for efficacy.
Canggong Danggui Tang (Master Cang's Angelica Decoction) Treats Zefeng (Robber Wind) causing lockjaw, opisthotonos, and spasm.
Add Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), and Duhuo (Angelicae Pubescentis Radix) to Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction). Decoct with water and wine. For those whose mouths cannot open, instill the decoction through the teeth. One dose should restore consciousness; two doses cause slight sweating; three doses cause profuse sweating.
Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*, named Mahuang Fuzi Tang in *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats Shaoyin disease with deep pulse and fever, occurring after two or three days without Interior syndrome, as well as edema with deep pulse.
Remove Guizhi (Cinnamomi Ramulus) and Xingren (Armeniacae Semen Amarum) from Mahuang Tang (Ephedra Decoction), add Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian.
Qianjin Dazao Tang (Thousand Gold Jujube Decoction) Treats Lijie (Joint-striding) pain.
Use Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction), add Huangqi (Astragali Radix), Jiang (Ginger), and Zao (Jujube). Take three times daily to induce sweating. Among heavy exterior-releasing agents, none surpass Mahuang (Ephedra); among harsh meridian-warming drugs, Fuzi (Prepared Aconite Root) ranks first. The functions of exterior/interior tonification and purgation differ vastly like heaven and earth. Zhang Zhongjing, when treating Shaoyin disease with deep pulse and fever, combines these two herbs to pierce strong fortresses directly, achieving the merit of mending heaven and bathing the sun. If within one or two days, the situation is unpredictable, use Xixin (Asari Radix et Rhizoma) to aid its sharpness; if after two or three days there is no Interior syndrome, use Gancao (Licorice Root) to moderate its treatment. Each has its measure. *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet* also uses these two formulas in treating edema. With wheezing and cough, combine Xixin (Asari Radix et Rhizoma) to open Lung Qi obstruction; with deep pulse, combine Gancao (Licorice Root) to moderate rebellious Kidney Qi. This corresponds with preventing transformation at onset and the "no Interior syndrome after two or three days" principle. Meanwhile, Master Cang added Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), and Duhuo (Angelicae Pubescentis Radix) to Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) to treat Zefeng (Robber Wind) lockjaw and spasms; Qianjin Formula further added Huangqi (Astragali Radix), Jiang (Ginger), and Zao (Jujube) to Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction) to treat Lijie (Joint-striding) pain. All rely on Mahuang (Ephedra) and Fuzi (Prepared Aconite Root) to penetrate both exterior and interior, swiftly sweeping away pathogens. Like the bright sun shining high, how could there be yin mist disasters?
Mahuang Shengma Tang (Ephedra and Cyathula Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats Dongwen (Winter Warmth) mistakenly treated with sweating and purging, resulting in absent lower pulse, throat discomfort, and expectoration of pus and blood.
Remove Xingren (Armeniacae Semen Amarum) from Mahuang Tang (Ephedra Decoction). Use Mahuang (Ephedra) 2 qian, Guizhi (Cinnamomi Ramulus) and Gancao (Licorice Root) each 8 fen, add Shengma (Cyathulae Radix) and Danggui (Angelicae Sinensis Radix) each 1 qian, Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), and Weirui (Polygonati Odorati Rhizoma) each 2 qian, Tianmendong (Asparagi Radix), Shaoyao (Paeoniae Radix Alba), Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Shigao (Gypsum Fibrosum) each 8 fen. This formula specifically addresses Yang-Heat sinking into Jueyin, with meridians obstructed by pathogens, hence the absent lower pulse and symptoms of throat discomfort and expectoration of pus and blood. Pathogens obstructing meridians require the restraint of Mahuang (Ephedra) and Guizhi (Cinnamomi Ramulus) to open the muscle layer and vent external heat; it requires the methods of Baihu Tang (White Tiger Decoction) and Yuespi Tang (Goat Beard Decoction) to clear and moisten Lung and Stomach to resolve internal heat. Furthermore, Shaoyao Gancao Renshen Huangqin Tang (Peony, Licorice, Ginseng, and Scutellaria Decoction) uses "treating cold with cold" (Han Yin Han Yong), called responding to the enemy; Gancao Ganjiang He Shen Zhuo Tang (Licorice, Ginger, and Shen Zhuo Decoction) uses "treating heat with heat" (Re Yin Re Yong), called guiding the way. Because the pathogenic qi is complex, reverse and direct treatments must be combined.
Huagai San (Canopy Powder) (from *Ju Fang* / *Bureau Formulary*) Treats Lung affected by Wind-Cold, causing cough with heavy voice, restlessness, fullness, dizziness, and floating-rapid pulse.
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction). Use Mahuang (Ephedra) and Xingren (Armeniacae Semen Amarum) each 1 qian, Gancao (Licorice Root) 5 fen, add Su Zi (Perillae Fructus), Chi Fuling (Red Poria), Juhong (Citri Reticulatae Pericarpium Rubrum), Sanggenpi (Mori Cortex) each 1 qian, Shengjiang (Zingiberis Rhizoma Recens) 2 slices, Hongzao (Red Jujube) 1 piece.
Jiubao Tang (Nine Treasures Decoction) Treats chronic cough persisting for years, with floating pulse indicating external contraction.
Add Zisu (Perillae Folium), Bohe (Menthae Haplocalycis Herba), Juhong (Citri Reticulatae Pericarpium Rubrum), Sangbaipi (Mori Cortex), Dafupi (Arecae Pericarpium) in equal parts to Mahuang Tang (Ephedra Decoction). Add Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Wumei Rou (Mume Fructus Flesh) half piece.
Mahuang Lianyao Chixiaodou Tang (Ephedra, Forsythia, and Adzuki Bean Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats yellowing caused by damp-heat.
Remove Guizhi (Cinnamomi Ramulus) from Mahuang Tang (Ephedra Decoction), reduce Mahuang (Ephedra) by 1 qian, add Lianyao (Forsythiae Fructus, i.e., Lianqiao) 2 qian, Chixiaodou (Vigna Angularis Semen Rubrum) 1 he, Shengzipibai (Morus Alba White Bark) 1 liang, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Dazao (Jujubae Fructus) 4 pieces. Decoct in water, divide into three warm doses, finish within half a day.
Yuespi Tang (Goat Beard Decoction) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats Fengshui (Wind-Water) with aversion to cold, whole-body swelling, floating pulse without thirst, continuous spontaneous sweating, and no significant heat.
Remove Guizhi (Cinnamomi Ramulus) and Xingren (Armeniacae Semen Amarum) from Mahuang Tang (Ephedra Decoction), double Mahuang (Ephedra), add Shigao (Gypsum Fibrosum) 8 qian, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Dazao (Jujubae Fructus) 5 pieces. Decoct in water, divide into three warm doses. "Yuespi" means venting the pathogenic Qi of damp-earth. Water-damp Qi, disseminated internally and externally by wind, struggles mutually, making separation difficult; thus, one must rely on Mahuang (Ephedra) to vent it from the exterior, and Shigao (Gypsum Fibrosum) to clear it from the interior. This is the "Open Ghost Gate" method from the *Neijing*. Adding Baizhu (Atractylodis Macrocephalae Rhizoma) to this formula aids opening pores for profuse sweating. Adding Fuzi (Prepared Aconite Root) to the formula with Baizhu (Atractylodis Macrocephalae Rhizoma) treats foot bi (painful obstruction) and aversion to wind. Opening contains closing; it fits the pattern effortlessly. Da Qinglong Tang (Major Green Dragon Decoction), Xiao Xuming Tang (Minor Continuation of Life Decoction), and Mahxing Ganshi Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) either add Guizhi (Cinnamomi Ramulus) to harmonize Ying (Nutritive) Qi, or add Renshen (Ginseng Radix) and Danggui (Angelicae Sinensis Radix) to boost Qi, or add Xingren (Armeniacae Semen Amarum) to drain fullness. All take this formula as the pivot. One may ask: If there is no significant heat on the exterior, why lightly use Mahuang (Ephedra)? If there is no internal restlessness and thirst, why lightly use Shigao (Gypsum Fibrosum)? It is because aversion to cold, body swelling, and spontaneous sweating are all due to dampness stagnating and adhering; without wind to disperse it, it cannot be resolved. In formulas for cold damaging Ying Qi (Nutritive Qi), Mahuang (Ephedra) is the direct treatment; in categories for opening bi (obstruction) and dampness, it is the guiding agent. In Baihu Tang (White Tiger Decoction), Shigao (Gypsum Fibrosum) is the direct treatment; in Yuespi Tang (Goat Beard Decoction), Qinglong Tang (Green Dragon Decoction), and Xuming Tang (Continuation of Life Decoction), it is the guiding agent. Do not let one hinder the other.
Yuespi Jia Zhu Tang (Goat Beard Decoction plus Atractylodis Macrocephalae Rhizoma) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats extreme internal heat causing depletion of body fluids, opening of pores, profuse sweating, contracting severe wind pathogen, weakness in lower limbs.
Add Baizhu (Atractylodis Macrocephalae Rhizoma) 4 qian to Yuespi Tang (Goat Beard Decoction).
Yuespi Jia Zhu Fu Tang (Goat Beard Decoction plus Atractylodis Macrocephalae Rhizoma and Aconite) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats foot bi (painful obstruction) and aversion to wind.
Add Baizhu (Atractylodis Macrocephalae Rhizoma) 4 qian and Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian to Yuespi Tang (Goat Beard Decoction).
Yuespi Jia Banxia Tang (Goat Beard Decoction plus Pinellia) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats Lung distension with cough and rebellious Qi.
Add Banxia (Pinelliae Rhizoma) half liang to Yuespi Tang (Goat Beard Decoction).
Da Qinglong Tang (Major Green Dragon Decoction) (from *Yu Han Jing* / *Jade Chamber Classic*) Treats simultaneous injury of Ying (Nutritive) and Wei (Defensive) Qi, floating-tight pulse, inability to sweat with irritability.
Add Xingren (Armeniacae Semen Amarum) 14 seeds (remove skin and tips) and Guizhi (Cinnamomi Ramulus) 2 qian to Yuespi Tang (Goat Beard Decoction).
Wenge Tang (Clam Shell Decoction) (from *Jin Gui Yao Lue* / *Essential Prescriptions of the Golden Cabinet*) Treats incessant thirst and drinking after vomiting, tight pulse, and headache.
Reduce Mahuang (Ephedra) in Yuespi Tang (Goat Beard Decoction) by half, add Wen Ge (Meretricis Concha) half liang, Xingren (Armeniacae Semen Amarum) 15 seeds.