前人分别名色最多。其实铺张语。临症之际。反启人多岐之惑。大抵外感内伤。七情过
用。皆能致之。其症倦怠少食。或常畏寒。或常发热。或寒热往来。气色日见憔悴。肌肉日
见消瘦。即将入痨症之门。若咳嗽不已。吐血时止时来。是既成痨症。法在不治。二症另立
一门。宜参看。
凡脉。极大极小极虚。皆痨也。但渐缓。则渐渐有生意。若渐数。则渐入死门。若数而
兼紧弦。十不救一。左右关俱弦。死期不远。
昔人谓此症服寒凉之药必死。愚以为不尽然。火盛抽薪。正不可无权宜之计。火平即舍
去。亦何害哉。且寒凉之药不可久服。人人俱知也。唯滋阴降火。及不凉不温之品。最足误
人。余每遇痨病之家。未诊时。见其案上有薛氏医按景岳全书医方集解本草备要等书。曰以
麦门冬代茶。则不复与诊。知其中于药魔。定其必死也。余素不喜寒凉。姑以寒凉方之不可
弃者。首列之。
肺痿声嘶。喉痹咳血烦躁。宜
滋肾丸。（九十四）
小便癃闭者。亦宜之。
血热妄行。脉洪大。身壮热。或吐血。或衄血。宜
四生丸。（一目）
吐血便血。妇人血崩血淋。及伤寒斑黄未已而吐血者。宜
犀角地黄汤。（九十九）
骨蒸发热。日静夜剧。及妇人热入血室。胎前发热者。宜
地骨皮散。（九十五）
午后发热。盗汗不止者。宜
当归大黄汤。（六十五）
吐血衄血盈盆盈斗者。忌骤用苦寒及辛温之药。急用后方。服后熟睡。勿触其醒。则立
可重生。一夜复元。宜
独参汤。（八）
胃中湿热。身黄溺赤。口疮牙床糜烂。吐血衄血。宜
甘露饮。（八十七）
感秋燥之气。咳嗽不已。宜
泻白散。（八十六）
感秋燥之气。洒淅恶寒。寒已发热。渐至咳嗽误以参木补之。致肺中之热。无处可宣。
急奔大肠。食入。则不待运化而出食不入。而肠中之垢。亦随气奔出。泻痢不休。宜以润肺
之药兼润其肠。则源流俱清。寒热咳嗽泄利。一剂俱止。此喻嘉言得意之法也。宜
泻白散
去粳米。如黄芩阿胶杏仁。
梦遗失精。及梦与鬼交。宜封髓丹。（七十四）
午后发热。腰痛足酸。服六味丸不效者。宜大补阴丸。（二十三）
气上逆。烦热呕吐。若惊悸不眠。宜温胆汤。
加真阿胶枣仁。（九十）
气 郁之属于肺者。属于肺之燥也。诸痰喘呕之属于上者。亦属于肺之燥也。宜
清
燥救肺汤。（七十六）
以上诸方。虽曰寒凉。却能培养生气。为痨门不可少之方。亦是权宜暂用。为痨门不可
恃之方。
痨字从火。未有痨症而不发热者。世医以若寒为戒。谓滋阴一法。最为妥当。而不知此
症多是阴盛为病。滋阴是益其病也。人皆曰。阴虚则火动。吾独曰。阴盛则火动。何以言之。
心肺在上。阳之位也。胸中之阳宣布。如日月一出。爝火无光。何有发热之病。唯下焦之阴
气一盛。上干阳位。足太阴脾之湿气动而为水饮。干于手太阴肺。则咳嗽不已。足少阴肾之
寒气动而为阴血。干于手少阴心。则吐血不休。虚痨以此二症为提纲。非阴盛所致而何。且
心肺之位。如太空也。下焦之阴气上冲。阴霾密布。白昼亦如长夜。不独灯烛之火有光。
即腐草萤虫。俱能生光。岂非阴盛火动之一证乎。况人身中有龙雷之火。非诸经之火可比。
然必阴云四合。而龙雷方得遂其奔腾之势。而烈日当空。雷龙潜伏矣。以下诸方。皆退热之
良法。学人须当细玩。
一仲景法。以小建中汤为主。方中桂枝生姜。宣胸中之阳。即所以除阴火也。后人识见
不及古人。虑姜桂之热。只用温补之品。东垣云。参 甘草。为泻火之良药。又云。甘温除
大热。视古方虽低一格。犹有先民之矩 。
宣肺阳。则天气清明。地气不能蒸湿而为云。而龙雷之火不作。为退热一大法。计八方。
保元汤。（七）补中益气汤。（五）当归补血汤。（六）四君子汤。（一）六君子汤。（二）五
味异功散。（四）香砂六君子汤。（三）归脾汤。（二十一）
以上八方。皆手足太阴之药补也。退热进食除痰止血极验。唯咳嗽一症。方由饮邪方中
人参。其味甘苦属阴。其质柔润多液助湿非饮症所宜。故仲景于咳嗽症。去人参。加干姜五
味。或再加细辛三味为主。寒热燥湿之药随宜加入。其法最妙。不可不知。如肺燥肺热。人
参又为要药。
宣心阳。则离光普照。爝火无光。又为退热一大法。计十方。
附子理中汤。（一百零七）近效术附汤。（一百零六）人参养荣汤。（十二）圣愈汤。（十
八）正元丹。（二十）二加龙骨汤。（三十二）黑锡丹。（三十）术附汤。（一百零五） 附汤。
（一百零五）参附汤。（一百零五）
以上十方。皆手足少阴之药。治验同前。通有流精气扶元气补火以攻水之妙。但吐血症。
以理中汤照古法等分煎服神妙。或照仁斋直指。加木香当归亦妙。所以妙者。血得暖。则循
行经络。干姜与甘草并相之功也。或用炙草四钱。干姜炮黑二钱。三味子二钱煎服。亦妙。
引火归源。用八味丸。自薛立斋张景岳以后。皆奉为枕中之秘。其实治标之法。不可常服。
余每见久服滋阴之剂。发热日甚。后医翻前医之案。谓热药固不可用。而以地黄滋阴之品。
倍用以制其毒。则能引火归源。其热气退。投以八味地黄汤等。初服一二剂如神。再服一二
剂。不甚见效。再服三四剂。虚症大作。其热如焚。病家或疑桂附之误。而更医。或信任不
疑。而归咎于附子之制法不佳。其肉桂之产非道地。视二药如鸩。遂以滋阴者枉其归阴。所
以然之故。千古无一人悟。及余谓一一明之。盖阴气居于阳位。邪火因而窃动。忽得桂附扶
胸中之阳。则邪火自然退听而不敢动。故初服而效。至三四服而不效者。习以为常也。至五
六服而发热更甚者。桂附阳药之少。不敌地黄一派阴药之多也。或曰数方中阴药数倍于阳药
。阳药固掣肘而不尽其量。宜其不效。何以前效而后不效欤。余曰。此问正不可少。个中机
关。必须识破。然后可以得病情。凡阴药性柔而行缓。缓则相续而不绝。阳药性刚而行急
。急则迅发而无余也。胃如分金之炉。一柔缓而逡巡不进。一刚急而捷足先登。入咽之后。
但见桂附之扶阳。若忘地黄之滋阴。故初服而效。至于数服。桂附虽烈。无如前日之地黄等
药。缓行未了。又得新入之地黄以助之。势可相敌。故三四服不甚见效。乃服至五六剂而大
发者奈何。盖以每日所服之桂附。如火一发而无余。而同剂中之地黄等药。如水之渐注。
不骤之积日多。些少之桂附。安能与之为敌。宜其服之增热也。天地间两可之见。最为误事。
不可不知。
八味地黄汤。（十五）全真一气汤。（三十一）十味地黄丸。（十九）
痨症愈后。不可无调养之法。丸剂优于汤药。宜
八味地黄丸。（十四）天王补心丹。（十三）龟鹿二仙膏。（十七）还少丹。（十七）全鹿
丸。（二十五）八味地黄丸。（十五）加味虎潜丸。（二十四）
前人对于痨症（慢性消耗性疾病）的命名和分类非常多。其实这些都是夸张铺陈之语。在临证诊治时，反而会引起医生多歧路的困惑。大抵外感病和内伤病，以及七情（喜、怒、忧、思、悲、恐、惊）过度使用，都能导致此病。其症状表现为倦怠乏力、食欲不振，或者经常怕冷，或者经常发热，或者寒热往来，气色一天比一天憔悴，肌肉一天比一天消瘦。这就即将进入痨症的阶段了。如果咳嗽不止，吐血时断时续，这就是已经形成的痨症，治法上认为属于不治之症。这两种情况另立一门，适宜参看相关章节。
凡是脉象极大、极小或极虚的，都是痨症。但如果脉象逐渐缓和，则生机渐渐恢复；如果脉象逐渐变数（快），则逐渐走向死亡。如果脉数且兼有紧弦之象，十个人中救不活一个。左右关部脉都呈弦象，死期不远了。
古人说此症服用寒凉药物必死无疑。我认为并不完全如此。火势旺盛时抽取柴薪，正不可没有权宜之计。火势平息后即停止使用，又有什么害处呢？况且寒凉药物不可久服，这是人人都知道的。唯独滋阴降火，以及不凉不温的药物，最足以误导人。我每次遇到患痨病的家庭，在未诊察之前，看到他们的案头摆放着《薛氏医按》、《景岳全书》、《医方集解》、《本草备要》等书籍，说用麦门冬代茶喝，我就不再进行诊察了。知道他们被“药魔”所困，断定他们必定死亡。我向来不喜欢寒凉药物，姑且将不可抛弃的寒凉方剂首先列出。
肺痿（肺部萎弱不用）、声音嘶哑、喉痹（咽喉肿痛闭塞）、咳血、烦躁，适宜用滋肾丸。（九十四）
小便癃闭（排尿困难或不通）者，也适宜用此方。
血热妄行，脉洪大，身体壮热，或者吐血，或者衄血（鼻出血），适宜用四生丸。（一目）
吐血、便血，妇人血崩（非经期大量出血）或血淋（尿血伴疼痛），以及伤寒斑黄未愈而并发吐血者，适宜用犀角地黄汤。（九十九）
骨蒸潮热（感觉热自骨髓深处向外透发），白天安静夜晚加重，以及妇人热入血室（邪热侵入胞宫），产前发热者，适宜用地骨皮散。（九十五）
午后发热，盗汗（睡中出汗）不止者，适宜用当归大黄汤。（六十五）
吐血、衄血量多盈盆满斗者，忌讳突然使用苦寒及辛温药物。急用后方，服药后熟睡，不要惊醒他，则立刻可以重生。一夜即可复原。适宜用独参汤。（八）
胃中有湿热，身体发黄，小便赤红，口疮牙床糜烂，吐血衄血，适宜用甘露饮。（八十七）
感受秋季燥气，咳嗽不止，适宜用泻白散。（八十六）
感受秋季燥气，洒淅恶寒（战栗怕冷），寒冷过后发热，逐渐发展到咳嗽。误用人参、木香等补益药物，导致肺中的热气无处宣发，急奔大肠。进食后，不待运化就排出食物；不吃东西，肠中的垢秽也随着气机奔出，泻痢不休。适宜用润肺的药物兼润其肠，则源流俱清，寒热咳嗽泄利，一剂药即可止住。这是喻嘉言得意的治疗方法。适宜用泻白散去粳米，加黄芩、阿胶、杏仁。
梦遗失精，以及梦见与鬼交合，适宜用封髓丹。（七十四）
午后发热，腰痛足酸，服用六味丸无效者，适宜用大补阴丸。（二十三）
气机上逆，烦热呕吐，若伴有惊悸失眠，适宜用温胆汤。
加真阿胶、枣仁。（九十）
气郁归属于肺的，属于肺之燥。各种痰喘呕吐归属于上焦的，也属于肺之燥。适宜用清燥救肺汤。（七十六）
以上诸方，虽然说是寒凉药物，却能培养生气，是治疗痨症门类中不可缺少的方剂。也是权宜暂用的方法，是治疗痨症门类中不可依赖的方剂。
“痨”字从火，没有痨症不发热的。世医以“若寒”（此处疑为笔误或特定术语，结合上下文指畏寒或误用寒凉）为戒，认为滋阴一法最为妥当。却不知道此症多是阴盛为病，滋阴是增加病情。人们都说：阴虚则火动。我独自说：阴盛则火动。为什么这么说？心肺在上，是阳的位置。胸中的阳气宣布，如同太阳月亮一出，小火就没有光芒，哪里有发热的病？只有下焦的阴气一盛，上犯阳位。足太阴脾的湿气动而为水饮，干犯手太阴肺，则咳嗽不止。足少阴肾的寒气动而为阴血，干犯手少阴心，则吐血不休。虚劳痨症以此二症为提纲，不是阴盛所致又是什么呢？况且心肺的位置，如同太空。下焦的阴气上冲，阴霾密布，白昼也像长夜。不仅灯烛之火有光，就是腐草产生的萤火虫，也能发光。这难道不是阴盛火动的一个证据吗？何况人身中有龙雷之火，不能与其他经络的火相比。然而必须阴云四合，龙雷才能遂其奔腾之势；而烈日当空，雷龙潜伏了。以下诸方，都是退热的良法。学医之人应当仔细玩味。
一是张仲景的法度，以小建中汤为主。方中桂枝、生姜，宣通胸中之阳，这就是用来消除阴火的方法。后人见识不及古人，担心姜、桂的热性，只用温补的药物。李东垣说：人参、甘草，是泻火的良药。又说：甘温除大热。看待古方虽然低一格，还有先民的规矩。
宣通肺阳，则天气清明，地气不能蒸湿而为云，而龙雷之火不作。这是退热的一大法。共计八方。
保元汤。（七）补中益气汤。（五）当归补血汤。（六）四君子汤。（一）六君子汤。（二）五味异功散。（四）香砂六君子汤。（三）归脾汤。（二十一）
以上八方，都是手足太阴经的药物补益。退热、进食、除痰、止血极其灵验。唯独咳嗽一症，方子由饮邪引起，方中人参，其味甘苦属阴，其质地柔润多液，助湿，不是饮症所适宜的。所以张仲景在咳嗽症中，去掉人参，加干姜、五味子，或者再加细辛三味为主。寒热燥湿的药物随宜加入。这种方法最妙，不可不知道。如肺燥肺热，人参又是重要药物。
宣通心阳，则离火之光普照，小火无光。又是退热的一大法。共计十方。
附子理中汤。（一百零七）近效术附汤。（一百零六）人参养荣汤。（十二）圣愈汤。（十八）正元丹。（二十）二加龙骨汤。（三十二）黑锡丹。（三十）术附汤。（一百零五） 附汤。（一百零五）参附汤。（一百零五）
以上十方，都是手足少阴经的药物。治疗验证同前。通有流通精气、扶持元气、补火以攻水的妙处。但吐血症，用理中汤照古法等分煎服神妙。或者照《仁斋直指》，加木香、当归也妙。之所以妙，是因为血得暖，则循行经络，干姜与甘草并相之功也。或者用炙甘草四钱，干姜炮黑二钱，五味子二钱煎服，也妙。
引火归源，用八味丸。自从薛立斋、张景岳以后，都奉为枕中之秘。其实是治标的方法，不可常服。我每次见到长期服用滋阴药剂，发热日益严重。后医翻看前医的病历，说热药固然不可用，而以地黄等滋阴的药物，加倍使用来制约其毒，则能引火归源，使热气退去。投用八味地黄汤等，初服一二剂如神效，再服一二剂，不太见效，再服三四剂，虚症大作，其热如火烧。病家有的怀疑桂枝、附子的错误，而更换医生；有的信任不疑，而归咎于附子的制法不佳，肉桂的产地非道地。视这两味药如鸩毒，于是用滋阴的药物枉顾其归于阴。所以这样的原因，千古以来没有一个人领悟。等到我一一阐明。盖阴气居于阳位，邪火因而窃动。忽然得到桂枝、附子扶持胸中之阳，则邪火自然退听而不敢动。所以初服有效。至于三四服而不效的，习以为常了。至于五六服而发热更严重的，是因为桂枝、附子阳药的量少，不敌地黄一派阴药的量多。有人说：数方中阴药数量几倍于阳药。阳药固然掣肘而不能尽其量，应该无效，为什么以前有效而后无效呢？我说：这个问题正是不可少的。其中的机关，必须识破，然后才可以得知病情。凡阴药性质柔和而行进缓慢，缓则相续而不绝；阳药性质刚猛而行进急促，急则迅发而无余。胃如分金之炉，一柔缓而逡巡不进，一刚急而捷足先登。入咽之后，只见桂枝、附子扶持阳气，却忘了地黄滋阴。所以初服有效。至于数服，桂枝、附子虽烈，无奈前日的地黄等药，缓行未了，又得新入的地黄以助之，势可相敌。所以三四服不太见效。乃服至五六剂而大发的是为什么呢？因为每日所服的桂枝、附子，如火一发而无余；而同剂中的地黄等药，如水之渐注，不骤之积日多。些微的桂枝、附子，怎么能与之敌对？应该服用后增加热势。天地间两可的看法，最足以误事。不可不知道。
八味地黄汤。（十五）全真一气汤。（三十一）十味地黄丸。（十九）
痨症痊愈后，不可没有调养的方法。丸剂优于汤药，适宜用：
八味地黄丸。（十四）天王补心丹。（十三）龟鹿二仙膏。（十七）还少丹。（十七）全鹿丸。（二十五）八味地黄丸。（十五）加味虎潜丸。（二十四）
Predecessors provided numerous names and classifications for *Lao* (chronic consumptive disease). In reality, these are merely exaggerated descriptions. During clinical practice, they instead cause confusion among physicians regarding diagnostic approaches. Generally, external contractions, internal injuries, and the excessive use of the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright) can all lead to this condition. The symptoms manifest as fatigue and poor appetite, or frequent aversion to cold, or frequent fever, or alternating chills and fever. The complexion becomes increasingly haggard day by day, and muscles become increasingly emaciated. This indicates entry into the realm of *Lao*. If coughing persists and hemoptysis (coughing up blood) comes and goes intermittently, it is an established *Lao* syndrome. The treatment principle considers this incurable. These two conditions are categorized separately; refer to relevant sections for details.
Regarding pulse diagnosis: pulses that are extremely large, extremely small, or extremely deficient all indicate *Lao*. However, if the pulse gradually slows, vitality gradually returns; if the pulse gradually becomes rapid (*Shu*), death gradually approaches. If the pulse is rapid and accompanied by tight and wiry qualities, one in ten cannot be saved. If both left and right Guan positions exhibit a wiry pulse, death is near.
Ancients stated that taking cooling herbs for this condition leads to certain death. I believe this is not entirely true. When fire is blazing, removing the firewood is necessary, and there must be expedient measures. Once the fire subsides, ceasing their use causes no harm. Moreover, everyone knows that cooling herbs should not be taken for long periods. It is only the herbs for nourishing Yin and descending fire, as well as those that are neither cool nor warm, that most mislead people. Whenever I encounter families with *Lao* patients, before examining them, if I see books such as *Xue Shi Yi An*, *Jing Yue Quan Shu*, *Yi Fang Ji Jie*, and *Ben Cao Bei Yao* on their desks, and hear that they drink Ophiopogonis Radix (Maidong) as tea, I refuse to examine them. Knowing they are trapped by "medicine demons," I determine they will surely die. I generally dislike cooling herbs, but I list here those cooling formulas that should not be discarded.
For Lung Atrophy (*Fei Wei*), hoarseness, throat obstruction (*Hou Bi*), hemoptysis, and irritability, Zishen Wan (Nourishing Kidney Pill) is suitable.
For urinary retention (*Long Bi*), this formula is also suitable.
For reckless bleeding due to blood heat, surging pulse, high fever, hemoptysis, or epistaxis (nosebleed), Sisheng Wan (Four Generations Pill) is suitable.
For hematemesis, hematochezia, uterine bleeding (*Xue Beng*), painful urinary bleeding (*Xue Lin*) in women, and hematemesis occurring while petechiae and jaundice from Cold Damage have not yet resolved, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is suitable.
For bone-steaming tidal fever (feeling heat radiating from the deep bones), worse at night than during the day, heat entering the Blood Chamber in women, or fever during pregnancy, Digupi San (Phellodendri Bark Powder) is suitable.
For afternoon fever and continuous night sweats (*Dao Han*), Danggui Dahuang Tang (Angelica and Rhubarb Decoction) is suitable.
For massive hemoptysis or epistaxis filling basins and buckets, sudden use of bitter-cold or pungent-warm herbs is contraindicated. Immediately use the following formula. After ingestion, allow the patient to sleep deeply; do not wake them. They will recover immediately, regaining health overnight. Dushen Tang (Single Ginseng Decoction) is suitable.
For damp-heat in the Stomach, yellowing of the body, dark urine, mouth ulcers, gum erosion, hematemesis, and epistaxis, Ganlu Yin (Sweet Dew Drink) is suitable.
For cough persisting due to autumn dryness Qi, Xiebai San (Draining White Powder) is suitable.
For feeling chilly and shivering due to autumn dryness Qi, followed by fever after the chill subsides, progressing to cough: Mistakenly using tonics like Ginseng and Costus Root causes lung heat to have nowhere to vent, rushing urgently to the Large Intestine. Food enters but is expelled without digestion; even without food, intestinal waste rushes out with the Qi, causing unceasing diarrhea and dysentery. Use lung-moistening herbs combined with intestinal-moistening herbs so that both source and branches are cleared. One dose stops cold, heat, cough, and diarrhea. This is Yu Jiayan's得意 method. Use Xiebai San minus Rice, adding Scutellariae Radix, Asparagi Tuber, and Apricot Kernel.
For nocturnal emission and seminal loss, and dreams of intercourse with spirits, Fengsui Dan (Sealing Marrow Pill) is suitable.
For afternoon fever, lower back pain, and sore legs, where Liuwei Wan fails, Dabu Yin Wan (Great Nourishing Yin Pill) is suitable.
For rebellious Qi, irritability, vomiting, palpitations, and insomnia, Wendan Tang (Warm Gallbladder Decoction) is suitable.
Add Ejiao (Donkey-hide Gel) and Zao Ren (Semen Ziziphi Spinosae).
Qi stagnation belonging to the Lung is due to Lung dryness. Various phlegm, wheezing, and vomiting belonging to the Upper Jiao are also due to Lung dryness. Qingzao Jiufei Tang (Clearing Dryness and Saving the Lung Decoction) is suitable.
Although the above formulas are considered cooling, they nurture vital energy. They are indispensable yet temporary expedients for treating *Lao*.
The character *Lao* contains the radical for Fire; there is no *Lao* without fever. Physicians warn against cold/cooling, considering nourishing Yin the safest method. However, they do not realize this condition is often caused by Yin Excess, and nourishing Yin exacerbates the disease. People say: "Yin deficiency causes fire movement." I alone say: "Yin excess causes fire movement." Why? The Heart and Lung are superior, the position of Yang. When chest Yang is distributed, like the sun and moon rising, small fires lose their light. Where is the fever? Only when Yin Qi of the Lower Jiao becomes excessive, invading the Yang position. Dampness of the Foot-Taiyin Spleen moves to form fluid retention, harassing the Hand-Taiyin Lung, causing persistent cough. Cold Qi of the Foot-Shaoyin Kidney moves to form Yin blood, harassing the Hand-Shaoyin Heart, causing unceasing hemoptysis. These two symptoms are the outline of consumptive *Lao*; is this not caused by Yin excess? Furthermore, the Heart and Lung are like the vast sky. When Lower Jiao Yin Qi rushes upward, dark clouds cover everything; day looks like night. Not only candles shine, but fireflies from rotting grass also glow. Is this not evidence of Yin excess causing fire movement? Besides, the Dragon-Thunder Fire in the body differs from other meridians' fire. It requires four sides covered in Yin clouds to surge; under the scorching sun, Thunder Dragons lie dormant. The following formulas are excellent methods for reducing fever. Students must study them carefully.
First is Zhang Zhongjing's method, using Xiaojianzhong Tang (Minor Construct the Middle Decoction) as the main formula. Cinnamon Twig and Ginger in the formula disseminate chest Yang, thereby eliminating Yin fire. Later generations lacked the insight of ancients, fearing the heat of Ginger and Cinnamon, using only warm-tonic herbs. Li Dongyuan said: Ginseng and Licorice are good medicines for draining fire. He also said: Sweet-warm reduces great heat. Though viewing ancient formulas slightly lower, they still follow ancestral rules.
Dispersing Lung Yang clears heavenly Qi, preventing earthly dampness from steaming into clouds, stopping Dragon-Thunder fire. This is a major method for reducing fever. Eight formulas:
Baoyuan Tang (Protecting Origin Decoction), Buzhong Yiqi Tang (Tonifying the Middle and Augmenting Qi Decoction), Danggui Buxue Tang (Angelica Tonifying Blood Decoction), Sijunzi Tang (Four Gentlemen Decoction), Liujunzi Tang (Six Gentlemen Decoction), Wuwei Yigong San (Five Agents Extraordinary Power Powder), Xiangsha Liujunzi Tang (Aucklandia and Amomum Six Gentlemen Decoction), Guipi Tang (Restore the Spleen Decoction).
These eight formulas tonify the Foot and Hand Taiyin meridians. They are highly effective for reducing fever, improving appetite, resolving phlegm, and stopping bleeding. Except for cough caused by fluid retention, where Ginseng (sweet-bitter, Yin nature, moist) aids dampness and is unsuitable. Thus, Zhang Zhongjing removes Ginseng for cough, adding Dried Ginger and Schisandra, or adding Asarum. Adding cold/warm/dry/damp herbs as appropriate is exquisite. Note: For Lung dryness/heat, Ginseng is essential.
Dispersing Heart Yang spreads the Light of Li (Fire), extinguishing small fires. Another major method for reducing fever. Ten formulas:
Fuzi Lizhong Tang (Aconite Regulating the Middle Decoction), Jinxiao Zhufu Tang (Near-Efficiency Atractylodes and Aconite Decoction), Renshen Yangrong Tang (Ginseng Nourishing Grace Decoction), Shengyu Tang (Sage Replenishing Decoction), Zhengyuan Dan (Upright Origin Pill), Erjia Longgu Tang (Double Added Dragon Bone Decoction), Xihe Dan (Black Tin Pill), Zhufu Tang (Atractylodes and Aconite Decoction), Fuzi Tang (Aconite Decoction), Shenfu Tang (Ginseng and Aconite Decoction).
These ten formulas treat the Foot and Hand Shaoyin meridians. Verification is similar to above. They circulate essence/Qi, support primal Qi, and supplement Fire to attack Water. For hematemesis, Lizhong Tang decocted equally as per ancient methods is miraculous. Or add Aucklandia and Angelica as per *Ren Zhai Zhizhi*. The miracle lies in blood warming and circulating meridians; Dried Ginger and Licorice work together. Alternatively, use Roasted Licorice 4 qian, Charred Dried Ginger 2 qian, Schisandra 2 qian. Miraculous.
To guide fire back to its source, use Babai Wan (Eight Ingredients Pill). Since Xue Lizhai and Zhang Jingyue, it has been kept as a secret treasure. Actually, it treats symptoms, not root, and should not be taken long-term. I often see prolonged use of Yin-nourishing agents worsening fever. Later doctors review previous cases, saying hot herbs are forbidden, but doubling Rehmannia to neutralize toxicity guides fire back. Initial doses of Babadihuang Tang seem miraculous, but subsequent doses fail. After three to four doses, deficiency worsens, fever burns intensely. Families doubt Cinnamon/Aconite errors or blame processing/origin, viewing them as poison, relying wrongly on Yin-nourishing herbs. No one understood why. I clarify: Yin Qi occupying Yang position allows evil fire to steal movement. Suddenly receiving Cinnamon/Aconite to support chest Yang makes evil fire retreat. Hence initial efficacy. Failure at 3-4 doses is habituation. Worsening at 5-6 doses occurs because the small amount of Yang herbs cannot counteract the large amount of Yin herbs (Rehmannia). Yin herbs are soft/slow; Yang herbs are hard/fast. The stomach is like a furnace. Soft/slow lingers; hard/fast arrives first. Initially, only Yang support is seen, ignoring Yin nourishment. Later, lingering old Yin combines with new Yin, countering the fast-acting Yang which has already dissipated. Daily Yang intake is like fire burning out quickly; Yin intake is like water accumulating slowly. Tiny Yang cannot fight accumulated Yin, increasing heat. Dual views in the world cause error.
Babadihuang Tang (Eight Ingredients Rehmannia Decoction), Quanzhen Yiqi Tang (Complete True Single Energy Decoction), Shimai Dihuang Wan (Ten Ingredients Rehmannia Pill).
After *Lao* recovery, conditioning is essential. Pills are superior to decoctions. Suitable:
Babadihuang Wan (Eight Ingredients Rehmannia Pill), Tianwang Buxin Dan (Heavenly Emperor Nourishing Heart Pill), Guilu Erxian Gao (Turtle and Deer Two Immortals Paste), Huanshao Dan (Returning Youth Pill), Quanlu Wan (Whole Deer Pill), Jiawei Hujian Wan (Modified Tiger Knee Lock Pill).