夫诸寒收引皆属于肾。肾者少阴也。少阴者至阴也。至者为极也。少阴者冬脉所旺。居
北而属水。为寒。为归藏。为周密。寒中收引拘缩。寒之用也。其病上下所出。水澄澈清冷。
清
阳受寒血凝为瘕。太阴受寒气聚为疝。但脉急而寒之象也。急主于痛。故紧急也。又内经云。
数则为热。迟则为寒。诸阳为热。诸阴为寒。脉当迟缓。寒毒内郁。洪数为热。所养心之脉
也。寒气生清。就于湿。故下利清白。此乃肠胃寒则化物不常。热则壅涩不通。寒胜则火衰。
火衰金旺。吐痢腥秽。腥者金肺之臭也。热则喜酸。寒则水腥。只如四肢逆冷。坚痞腹满。
屈伸不便。禁固战栗。谓阴水主之。舒卷不便。诊其脉沉伏而迟。病之证也。若身凉不渴而
寒。 足而卧。恶闻人声。不欲言。皆阴证也。阴阳停则和。偏则病。如阳气暴绝。阴气独
胜。则为寒证。阴气暴绝。阳气独胜。则为热证。经云。阳盛阴虚汗之而死。阴盛阳虚下之
而死。若阳实外热。阴虚内寒。阴实内热。阳虚外寒。阳实伐其阳。当凉膈散、承气汤主之。
阴实伐其阴。当白术散、四逆汤主之。寒者严凝杀厉之气也。人以肾气为根本。惟肾则受寒。
惟寒则伤肾。肾气一虚寒邪交作。急痛拘挛。战掉强直。昏迷厥冷。口噤失音。或翕然发热。
面赤多汗。此中寒也。无汗恶寒。头疼面惨。发热拘急。手足微寒。此伤寒也。霍乱转筋。
洞泄下痢。干呕吐逆。积饮停痰。此寒邪入肠胃也。以至为咳嗽。为虚劳。为疝瘕。为香港脚。
为痔漏。为遗精。为 疟。为诸痛。寒亦主之。人惟肾气不充。疏于谨护。非特霜凝冰结之
谓寒。或者炎天暑月当风取凉。卧地受冷。使寒邪之气自皮肤而达经络。自经络而入脏腑。
如前数证皆得以恣睢四出矣。温肾 寒。如干姜、附子、川乌、天雄辈佐之。以养正灵砂。
此固药笼中物。然寒伤荣气。徒知温肾而不知温血。恐未必有十全之功。是则官桂、当归又
温血之上药也。素问曰。冬三月此谓闭藏。水冰地坼。无扰乎阳。早卧晚起必待日光。此去
寒就温之意也。不善调摄则为寒所中。大抵中寒脉必迟紧。挟风则脉浮。眩晕不仁。兼湿则
脉濡。肿满疼痛。治之之法切不可妄下妄吐。惟当温散之。否则舌卷囊缩难治。
六脉中之下得弦细而涩。按之无力。腹中时痛。心胃控睾阴阴而痛。或大便泄。鼻不闻
香臭。清浊涕不止。目中泣出。喘渴痰嗽。唾出白沫。腰沉沉苦痛。项背胸皆时作痛。目中
流火。口鼻恶寒。时头痛目眩。若振寒不止。或嗽或吐。或呕或哕。则发躁蒸蒸而热。如坐
甑中。必得去衣居寒处。或饮寒水则便过。其振寒伤至气短促。胸中满闷而痛。必有膈咽不
通欲绝之状。甚则目瞪。声闻于外。而泪涕痰涎大作。方过其发躁须臾而已。振寒复至。或
面白而不泽者。脱血也。悲愁不乐。情惨惨意悲悲。健忘或善嚏间出。此风热大损寒水。燥
金之复也。如六脉细弦而涩。按之空虚。此大寒证亦伤精气。以辛甘温甘热滑润之剂。大泻
西方北方则愈。
夫大寒在外留而补之。针所不为。灸之所宜。黄帝针经曰。大寒在外留而补之。入于中
者从合泻之。针所不为。灸之所宜。阴阳皆虚火自当之。厥而寒甚。膝廉陷下。寒过于膝下
陵三里经。陷下者火自当之。结络坚紧。火所治之。夫大寒在外留而补之。云外者天外也。
大寒者北方寒化也。中于人则言大寒在外。乃皮毛之上也。故曰寒甚则浮。是足太阳膀胱寒
气中其本经。乃方以类聚。故顶项额为之先病。治在风府穴。久留针。谓手太阳小肠内热。
当传送足太阳膀胱寒经。其经复受外来客邪。况皮毛者阳分也。大恶阴寒。经曰。寒病久留
针。则为热补者。补内热也。补阳也。令阴消铄而邪退也。留而补之者以火伐之。又解寒入
于中者。灸之所宜。云谓左右寸脉皆少。不称尺脉者言地之阴阳脉盛也。若弦紧之脉更浮于
上。按之则洪大。脉盛于下。是地下阴火亦伏藏也。况天地之阴阳。已不足于外。是上下之
阳皆伏匿矣。故曰陷下者灸之。正谓此也。故经云。厥在于足。宗气不下。脉中之血凝而留
止。非火调弗能取之。
刺有五节。黄帝问于岐伯曰。余闻刺有五节奈何。岐伯对曰。固有五。一曰振埃。二曰
发蒙。三曰去爪。四曰彻衣。五曰解惑。黄帝曰。夫子言五节余未知其意。岐论曰。振埃者。
刺
奇
蒙者天外阳邪也。阳者无形也。天外者阴病在阳。故从阳引阴。治在背 。背 腑穴是也。
若五脏病有形之证。皮肉筋骨血脉病是也。若绝于内者。故曰阴病在阳。乃从阳引阴。邪在
天外也。其法取穴在背上五脏之 。假令皮病内绝。治在天外。针灸肺 是也。假令血脉内
绝不得周流。故曰是亦阴病在阳。其穴则背之心 是也。余三脏有形病内绝。根据此皆治在脏
。黄帝针经曰。上热下寒。视其虚络而陷下于经络者。取之气下乃止。此所谓引而下之者
也。辨云。圣人以上热下寒。是谓有春夏秋冬也。当从天外阳下降入地中。乃天上群阴中火
炽而反助六阳。不能衰退。先于六阳中决血络出血。使阴气下降。虽力微而能坠六阳下行。
阴血自降故也。亦可谓老阳变阴之象也。故经云。上热下寒。视其虚脉陷下于经络者取之。
此所谓引而下之者是也。但言络脉皆是病大者。以三棱针决血去阴之热。热者手太阳小肠中
血络有火热之邪。致此老阳不肯退化为阴而下降。故先决手太阳之血热。使三阴得时之用而
降下。以行秋令奉收道下。入地中而奉藏者也。乃泻重阳在天。下不肯退化行阴道者也。
至元戊辰春。予应诏赴都。中书参政杨公正卿。年逾七十。病面颜郁赤若饮酒状。痰稠
粘。时眩晕如在风云中。一日会都堂。此证忽来。仍加目视不明。遂归。余诊之两寸脉洪大。
尺脉弦细无力。此上热下寒明矣。欲药之。寒凉为年高气弱不任。记先师所论。凡治上热。
譬犹鸟集高巅射而取之。即以三棱针于前巅眉际。疾刺二十余。出紫黑血约二合许。时觉头
目清利。诸苦皆去。自后亦不复作矣。
凡人中寒者喜欠。其人清涕出。发热色和者善嚏。凡觇病者未诊脉。望之口燥。清涕出
善嚏欠。此人中寒。其人下利以里虚故也。欲嚏不能。此人腹中痛。凡寒脉沉弦。脉双弦者
寒也。弦脉状如张弓弦。按之不移。脉数弦者当下。其寒脉双弦而迟者。心下坚。脉大而紧
者。阳中有阴可下之。若右手寸口脉弦者。即胁下拘急而痛。其人涩涩恶寒。师曰。迟者为
寒。涩为无血。寸口脉微及中紧而涩。紧即为寒。微即为虚。涩即为血不足。故知发汗而复
下之。大露宿丸主寒冷百病。
方
神圣复气汤（出济生拔粹方）治人腹气乘冬足太阳寒气。足少阴肾水之旺。
子
能令母实。手
中泣。鼻中流涕。
中流水。视物KT KT 。耳鸣耳聋。头并口鼻或恶风寒。喜日阳。夜卧不安。常觉痰
塞膈咽不通。口失味。两胁缩急而痛。牙齿动摇不能嚼物。阴汗。前阴冷。行步欹侧。
起居艰难。掌中寒风痹麻木。小便数而昼多夜频。而欠。气短喘喝。少气不足以息。卒
遗失无度。妇人白带。阴户中大痛。牵心而痛。黧黑失色。男子控睾牵心腹阴阴而痛。
面如赭色。食少。大小便不调。烦心霍乱。逆气里急。而腹皮色白。后出余气。腹不能
努。或肠鸣。膝下筋急。肩髀大痛。皆此寒水来复土
柴胡（一钱锉） 本（八分） 防风（五分锉） 羌活（一钱锉） 人参（五分） 干
姜（炮为
末一钱三分） 甘草 升麻（七分锉） 半夏（汤洗七次七分） 白葵花（五朵去心细剪） 当
归
身（六分酒洗锉） 郁李仁（五分另研泥） 黑附子（炮裂去皮脐一分） 用水五盏。同煎
至二
盏。入。黄 草豆蔻仁（面裹烧熟去皮各一钱） 橘红（五分） 入在内再煎至一盏。再
入
下项药。黄柏（酒浸三分） 黄连（酒浸三分） 枳壳（三分） 生地黄（酒洗三分） 以
上四味。
预一日另用新水浸。又以。华细辛根 川芎（细末） 蔓荆子（各三分） 上预一日用新水
半
大盏。分作二处。浸此三味并黄柏等。煎正药作一大盏。不去滓。入此浸者药。再上火煎至
一大盏。去滓。稍热服空心服。又能治啮颊啮唇啮舌。舌根强硬等证如神。忌肉汤。宜食肉
不助经络中火邪也。如无上证。妇人白带。脐下寒。男子二丸冷。牵引心痛腹中痛。手心或
寒。两尺脉弦细。按之不鼓。小便遗失或数而欠。大便多燥涩不通。或大便软。溺色或变。
气短不足以息。额寒鼻不闻香臭。鼻端红肿善嚏。多悲多愁。心神不乐。健忘多怒。寝汗憎
风。小便滑数。后有遗失。脐
或鼻流清涕。目中泪下不止。精神不爽。宜服之。不必诸证悉具。大抵肾与膀胱经中有寒。
元气不足者。并宜服之。于月生月满时隔三五日吃一服。如病急不拘时候。即宜治之。一方
有桃仁。无甘草。
除风湿羌活汤（出济生拔粹方）夫痿者。湿热乘肾肝也。当急去之。不然则
下
焦元气竭尽。而成软瘫。必腰下不能动。心烦冤而不止也。若身重减。气不短。小便如
常。及湿热之令退时。或所增之病气退者。不用五味子、泽泻、茯苓、黄柏、猪苓、知
母、苍术、白术之药。只根据本病中证候加减。常服药亦须用酒黄柏二分或三分。如更时
令。清燥之气大行。却加辛温泻之。若湿气胜。风证不退。眩晕麻木不已。
羌活（一两） 防风（去芦一钱） 柴胡（五分） 本（三分） 独活（五分） 茯
苓（二分）
泽泻〔二（一）分〕 猪苓（去皮二分） 黄 （一钱） 炙甘草（五分） 橘皮（三分） 黄
柏（三
分） 黄连（一分） 苍术（汤浸去皮秤一钱） 升麻（七分） 川芎（三分） 上 咀。
每服秤三
钱或五钱。水二盏。煎至一盏去滓。稍热服。虚实施用。如有不尽证候。根据方加减法用之
附子理中汤（出医方大成）治五脏中寒中湿。咽逆虚弱。亦治口噤。四肢强
直
。失音不语。昔有武夫申边。大雪出帐外观瞻。忽然晕倒。时林继作随行官医。灌以此
药两剂遂醒。兼治胃脘停痰。冷气刺痛。
人参 白术 干姜（炮） 熟附子（各一两） 甘草（炒五钱） 上 咀。每服三钱。
姜五片。
四五七汤 治感寒头眩恶寒。口眼 斜。耳聋。
大附子（三两炮去皮脐） 山茱萸（五两） 山药（七两） 上为末。每服二钱。酒调
服。或
养胃汤（出和剂方）治外感寒邪。内伤生冷。憎寒壮热。头目昏痛。肢体拘
急
。风寒二证俱治。先盖被。连进此令四肢微汗。未汗以薄粥助之。先有汗则勿服。亦须
温润和解。或有余热。参苏饮调之。兼治饮食伤脾发为痰疟。辟山岚瘴气。四时瘟疫。
苍术（炒） 浓朴（制） 半夏曲（各一两） 人参 茯苓 草果 藿香（各半两） 橘
红（七
钱半） 甘草（半两） 上锉为末。每服三钱。加桂半钱。姜七片。乌梅半个。水二盏。煎
至
一盏。去滓服。热盛者加干葛三分。
姜附汤（出直指方）治中寒口噤。四肢强直。失音不语。或卒然晕倒。口吐
涎
沫。状如暗风。手足厥冷。或腹烦躁。兼治阴证伤寒。大便自利而发热者。邪气未解。
表证不见。
干姜 熟附子（各二两） 上 咀。每服四钱。水一盏半。煎至七分去滓。温服。或虑
此
药太燥。即以附子理中汤相继服饵。姜附本治伤寒经下之后。又复发汗。内外俱虚。身无大
热。昼则烦躁。夜则安静。不呕不渴。六脉沉伏。并宜服此。不知脉者更须审之。兼治中脘
虚寒久积痰水。心腹疼痛。霍乱转筋。四肢厥逆。入肝加木瓜。入肺加桑白皮。入脾加白术。
入心加茯苓。随证加之。挟风加防风。兼湿多加白术。筋脉牵急加木瓜。肢节疼痛加桂心、
人参、白术各等分。一方附子汤。以生用者名白通汤。加白术倍之。甘草减半。名生附白术
汤。治中风湿昏闷恍惚。腹满身重。手足缓纵。 自汗。失音不语。便利不禁。一方有甘
草。用生姜煎服。
白术调中汤（出宣明论）治中寒痞闷急痛。寒湿相搏吐泻腹痛。上下所出水
液澄澈清冷。谷不化。小便清白不涩。身凉不渴。本末不经有见阳热证。其脉迟者是也
。此因饮食冷物过多。阴胜阳衰而为中寒也。或冷热相击。而反阳气怫郁不能宣散。怫
热内作。以成热证者。不可亦言为冷。当以脉证别之。夫湿热吐泻常见阳脉。若亡液气
虚。亦能反见诸阴脉也。当以标本明之。不可妄治。或热证误服此白术调中汤。温药亦
能开发阳气。宣通而愈。别无加害。寒热久新并宜服之可。或有口疮目疾。孕妇等吐泻
。以煨干姜。官桂不宜服。
白术 茯苓（去皮） 泽泻（各半两） 红皮（去白半两） 干姜（炮） 官桂（去皮）
缩砂仁
诸种寒邪导致的筋脉收缩牵引，都归属于肾脏。肾属于少阴经。少阴是至阴之经。所谓“至”，就是极致的意思。少阴经是冬季脉气旺盛的经脉。它位居北方，五行属水。其性质为寒，主归藏，主周密。寒邪侵入人体导致筋脉收缩牵引拘挛，这是寒邪的作用表现。其病变部位上下所排出的液体，像水一样澄澈清冷。清阳之气受寒，血液凝滞形成瘕块；太阴脾经受寒气聚集形成疝气。这都是脉象紧急而呈现寒象的表现。脉急主要主痛，所以感到疼痛紧急。另外《内经》说：脉数主热，脉迟主寒。诸阳经病多热，诸阴经病多寒。脉象应当迟缓。若寒毒内郁，脉象洪数则为热，这是心之脉所主的证候。寒气生清冷，兼夹湿邪，所以出现下利清白便。这是因为肠胃寒冷则消化功能失常，热则壅滞涩塞不通。寒胜则火衰，火衰则金旺，呕吐和下痢物腥臭秽浊。腥味是肺金的气味。热证喜欢酸味，寒证则见水腥味。就像四肢逆冷，腹部坚硬痞满，屈伸不便，身体僵硬战栗，这些都属于阴水（寒水）为主证的范畴。身体舒展卷曲不便，诊察其脉象沉伏而迟，这是病的征象。如果身体凉爽不口渴而怕冷，脚部发凉躺着，厌恶听到人声，不想说话，这些都是阴证。阴阳平衡则平和，偏盛偏衰则生病。如阳气突然衰竭，阴气独盛，就变成寒证；阴气突然衰竭，阳气独盛，就变成热证。经文说：阳盛阴虚误用发汗法会致死，阴盛阳虚误用攻下法会致死。如果是阳实外热，阴虚内寒，阴实内热，阳虚外寒。对于阳实证攻伐其阳，应当用凉膈散、承气汤主治。对于阴实证攻伐其阴，应当用白术散、四逆汤主治。寒，是严酷凝结肃杀厉烈的气。人以肾气为根本，只有肾能受寒邪，只有寒邪能伤肾。肾气一旦虚弱，寒邪交发作乱，出现急痛拘挛，战抖强直，昏迷厥冷，口噤失音，或者忽然发热，面红多汗，这是中寒证。无汗恶寒，头痛面色惨淡，发热拘急，手足微寒，这是伤寒证。霍乱转筋，洞泄下痢，干呕吐逆，积饮停痰，这是寒邪侵入肠胃所致。以至于引起咳嗽，虚劳，疝瘕，香港脚，痔漏，遗精，疟疾，各种疼痛，寒邪都能导致。人只要肾气不充盛，疏于谨慎保护，不仅仅是霜凝冰结才叫寒，有时候在炎天暑月当风取凉，卧地受冷，使寒邪之气从皮肤进入经络，从经络深入脏腑，像前面提到的那些病症都可以肆意发作了。温肾散寒，如用干姜、附子、川乌、天雄等药辅助。以养正灵砂，这确实是药箱中的常备之物。然而寒邪损伤营气，只知道温肾而不知道温血，恐怕未必有十全的功效。那么官桂、当归又是温血的良药。《素问》说：冬季三个月叫做闭藏，水结冰地开裂，不要扰动阳气，早睡晚起一定要等到太阳出来，这就是远离寒冷趋向温暖的意思。如果不善于调养摄生就会被寒邪所中。大抵中寒的脉象必定迟紧，挟风则脉浮，出现眩晕麻木，兼湿则脉濡，出现肿满疼痛。治疗的方法切不可妄用攻下或催吐，只应当温散。否则舌卷囊缩就难治了。
六脉之中，尺部得弦细而涩，按之无力，腹中时常疼痛，心胃牵引睾丸隐隐作痛，或者大便泄泻，鼻子闻不到香臭，清涕浊涕不止，眼中流泪，气喘口渴痰嗽，吐出白沫，腰部沉重苦痛，颈背胸部都时常作痛，眼中感觉流火，口鼻怕冷，时常头痛目眩，如果寒战不止，或者咳嗽或者呕吐，或者干呕或者呃逆，就会发生烦躁蒸蒸发热，像坐在蒸笼里一样，必须脱去衣服居住在寒冷的地方，或者喝冷水才能缓解。寒战伤及正气，气短促，胸中满闷而痛，一定有膈咽不通欲绝的状态，严重时眼睛瞪大，声音传于体外，而且泪涕痰涎大作，这种寒战过后才会发生烦躁，片刻而已。寒战再次到来，如果面色白而无光泽，是脱血。悲伤愁苦不乐，神情凄惨意悲悲，健忘或者经常打喷嚏，这是风热大损寒水，燥金复气的表现。如果六脉细弦而涩，按之空虚，这是大寒证也损伤精气，用辛甘温甘热滑润的药剂，大泻西方北方（指金水二脏）的邪气就能痊愈。
大寒在外停留，应当用补法，针刺不能胜任，艾灸适宜。黄帝针经说：大寒在外停留应当用补法。寒邪入于体内，从合穴泻之。针刺不能胜任，艾灸适宜。阴阳皆虚，火气自然当令。四肢厥冷且寒甚，膝下凹陷，寒邪超过膝下陵三里经，陷下的部位艾灸自然适宜。结络坚紧，艾灸适宜治疗。所谓大寒在外停留用补法，说外是指体表。大寒是北方的寒化之气。中人则说大寒在外，是在皮毛之上。所以说寒甚则脉浮，这是足太阳膀胱寒气中其本经，乃方以类聚，所以头顶项额先发病。治疗在风府穴，久留针。说是手太阳小肠内热，应当传送足太阳膀胱寒经，其经又受外来客邪。况且皮毛是阳分，最厌恶阴寒。经文说：寒病久留针，就是热补，补内热，补阳，使阴消铄而邪退。留而补之是用火攻伐它。又解释寒入于中，艾灸适宜。说左右寸脉都微弱，不称尺脉是因为言地之阴阳脉盛。如果弦紧之脉更浮于上，按之则洪大，脉盛于下，是地下阴火也伏藏。况且天地之阴阳，已经不足于外，是上下之阳都伏匿了。所以说陷下的部位灸之，正是说的这个意思。所以经文说：厥在于足，宗气不下，脉中之血凝而留止，不用火调治就不能取效。
刺有五节。黄帝问岐伯说：我听说刺有五节，是怎么回事？岐伯回答说：本来就有五种。一曰振埃，二曰发蒙，三曰去爪，四曰彻衣，五曰解惑。黄帝说：先生说的五节，我还不知道其中的意思。岐伯说：振埃，是刺除天外阳邪。阳是无形的。天外是指阴病在阳，所以从阳引阴，治疗在背部腧穴。如果是五脏病有形之证，皮肉筋骨血脉病是也。如果在内部断绝，所以说阴病在阳，邪在天外。其法取穴在背上五脏之腧。假如皮病内部断绝，治疗在天外，针灸肺腧是也。假如血脉内部断绝不得周流，所以说这也是阴病在阳，其穴则是背之心腧是也。其余三脏有形病内部断绝，根据此都治疗在脏腧。黄帝针经说：上热下寒，视其虚络而陷下于经络者，取之气下乃止。这叫引而下之。辨云：圣人说上热下寒，是指有春夏秋冬四季变化。应当从天外阳下降入地中，乃是天上群阴中火炽盛而反助六阳，不能衰退，先在六阳中决血络出血，使阴气下降，虽然力微但能坠六阳下行，阴血自降的缘故。也可以说是老阳变阴的现象。所以经文说：上热下寒，视其虚脉陷下于经络者取之，这叫引而下之。但说络脉都是病大的，用三棱针决血去阴之热。热是手太阳小肠中血络有火热之邪，导致此老阳不肯退化为阴而下降，所以先决手太阳之血热，使三阴得时之用而降下，以行秋令奉收之道，入地中而奉藏。这是泻重阳在天，下不肯退化行阴道者。
至元戊辰年春，我应诏赴京。中书参政杨公正卿，年龄超过七十岁，病见面颜郁赤像饮酒状，痰稠粘，时常眩晕像在风云中。一天在都堂聚会，此证忽来，加上目视不明，于是回家。我诊察他两寸脉洪大，尺脉弦细无力，这是上热下寒很明显了。想用药物治疗，寒凉药因年老气弱不能承受。记得先师所论，凡是治上热，譬如鸟集高巅，射而取之。就用三棱针在前巅眉际，疾刺二十余针，放出紫黑血约二合许，当时觉得头目清利，诸苦皆去，从此也不再发作了。
大凡人中寒者喜欢打哈欠，其人清涕出，发热色和者善嚏。凡观察病人未诊脉，望之口燥，清涕出，善嚏欠，此人中寒。其人下利是因为里虚故也。想打喷嚏不能打出，此人腹中痛。凡寒脉沉弦，脉双弦者是寒。弦脉状如张弓弦，按之不移。脉数弦者当下。其寒脉双弦而迟者，心下坚。脉大而紧者，阳中有阴可下之。如果右手寸口脉弦者，即胁下拘急而痛，其人涩涩恶寒。老师说：迟者为寒，涩为无血。寸口脉微及中紧而涩，紧即为寒，微即为虚，涩即为血不足。所以知道发汗后又攻下，大露宿丸主治寒冷百病。
神圣复气汤（出自济生拔粹方），治疗人腹气乘冬足太阳寒气，足少阴肾水之旺，子能令母实，手中泣，鼻中流涕，口中流水，视物模糊不清，耳鸣耳聋，头并口鼻或恶风寒，喜日阳，夜卧不安，常觉痰塞膈咽不通，口失味，两胁缩急而痛，牙齿动摇不能嚼物，阴汗，前阴冷，行步欹侧，起居艰难，掌中寒风痹麻木，小便数而昼多夜频，打哈欠，气短喘喝，少气不足以息，卒然遗失无度，妇人白带，阴户中大痛，牵心而痛，面色黧黑失色，男子控睾牵心腹阴阴而痛，面如赭色，食少，大小便不调，烦心霍乱，逆气里急，而腹皮色白，后出余气，腹不能努，或肠鸣，膝下筋急，肩髀大痛，都是此寒水来复土（肾水反侮脾土）。
柴胡（一钱锉），藁本（八分），防风（五分锉），羌活（一钱锉），人参（五分），干姜（炮为末一钱三分），甘草，升麻（七分锉），半夏（汤洗七次七分），白葵花（五朵去心细剪），当归身（六分酒洗锉），郁李仁（五分另研泥），黑附子（炮裂去皮脐一分）。用水五盏，同煎至二盏，入黄耆、草豆蔻仁（面裹烧熟去皮各一钱）、橘红（五分），入在内再煎至一盏，再入下项药：黄柏（酒浸三分）、黄连（酒浸三分）、枳壳（三分）、生地黄（酒洗三分）。以上四味，预一日另用新水浸。又以华细辛根、川芎（细末）、蔓荆子（各三分），上预一日用新水半大盏，分作二处，浸此三味并黄柏等。煎正药作一大盏，不去滓，入此浸者药，再上火煎至一大盏，去滓，稍热服空心服。又能治啮颊啮唇啮舌，舌根强硬等证如神。忌肉汤。宜食肉不助经络中火邪也。如无上证，妇人白带，脐下寒，男子二丸冷，牵引心痛腹中痛，手心或寒，两尺脉弦细，按之不鼓，小便遗失或数而欠，大便多燥涩不通，或大便软，溺色或变，气短不足以息，额寒鼻不闻香臭，鼻端红肿善嚏，多悲多愁，心神不乐，健忘多怒，寝汗憎风，小便滑数，后有遗失，脐或鼻流清涕，目中泪下不止，精神不爽，宜服之。不必诸证悉具。大抵肾与膀胱经中有寒，元气不足者，并宜服之。于月生月满时隔三五日吃一服。如病急不拘时候，即宜治之。一方有桃仁，无甘草。
除风湿羌活汤（出自济生拔粹方），夫痿者，湿热乘肾肝也。当急去之，不然则下焦元气竭尽，而成软瘫，必腰下不能动，心烦冤而不止也。若身重减，气不短，小便如常，及湿热之令退时，或所增之病气退者，不用五味子、泽泻、茯苓、黄柏、猪苓、知母、苍术、白术之药。只根据本病中证候加减。常服药亦须用酒黄柏二分或三分。如更时令，清燥之气大行，却加辛温泻之。若湿气胜，风证不退，眩晕麻木不已。
羌活（一两），防风（去芦一钱），柴胡（五分），藁本（三分），独活（五分），茯苓（二分），泽泻〔二（一）分〕，猪苓（去皮二分），黄耆（一钱），炙甘草（五分），橘皮（三分），黄柏（三分），黄连（一分），苍术（汤浸去皮秤一钱），升麻（七分），川芎（三分）。上咀。每服秤三钱或五钱，水二盏，煎至一盏去滓，稍热服。虚实施用。如有不尽证候，根据方加减法用之。
附子理中汤（出自医方大成），治五脏中寒中湿，咽逆虚弱，亦治口噤，四肢强直，失音不语。昔有武夫申边，大雪出帐外观瞻，忽然晕倒，时林继作随行官医，灌以此药两剂遂醒。兼治胃脘停痰，冷气刺痛。
人参，白术，干姜（炮），熟附子（各一两），甘草（炒五钱）。上咀。每服三钱，姜五片。
四五七汤，治感寒头眩恶寒，口眼歪斜，耳聋。
大附子（三两炮去皮脐），山茱萸（五两），山药（七两）。上为末，每服二钱，酒调服。
养胃汤（出自和剂方），治外感寒邪，内伤生冷，憎寒壮热，头目昏痛，肢体拘急，风寒二证俱治。先盖被，连进此令四肢微汗，未汗以薄粥助之。先有汗则勿服。亦须温润和解，或有余热，参苏饮调之。兼治饮食伤脾发为痰疟，辟山岚瘴气，四时瘟疫。
苍术（炒），浓朴（制），半夏曲（各一两），人参，茯苓，草果，藿香（各半两），橘红（七钱半），甘草（半两）。上锉为末，每服三钱，加桂半钱，姜七片，乌梅半个，水二盏，煎至一盏，去滓服。热盛者加干葛三分。
姜附汤（出自直指方），治中寒口噤，四肢强直，失音不语，或卒然晕倒，口吐涎沫，状如暗风，手足厥冷，或腹烦躁。兼治阴证伤寒，大便自利而发热者，邪气未解，表证不见。
干姜，熟附子（各二两）。上咀。每服四钱，水一盏半，煎至七分去滓，温服。或虑此药太燥，即以附子理中汤相继服饵。姜附本治伤寒经下之后，又复发汗，内外俱虚，身无大热，昼则烦躁，夜则安静，不呕不渴，六脉沉伏，并宜服此。不知脉者更须审之。兼治中脘虚寒久积痰水，心腹疼痛，霍乱转筋，四肢厥逆。入肝加木瓜，入肺加桑白皮，入脾加白术，入心加茯苓，随证加之。挟风加防风，兼湿多加白术，筋脉牵急加木瓜，肢节疼痛加桂心、人参、白术各等分。一方附子汤，以生用者名白通汤，加白术倍之，甘草减半，名生附白术汤，治中风湿昏闷恍惚，腹满身重，手足缓纵，自汗，失音不语，便利不禁。一方有甘草，用生姜煎服。
白术调中汤（出自宣明论），治中寒痞闷急痛，寒湿相搏吐泻腹痛，上下所出水液澄澈清冷，谷不化，小便清白不涩，身凉不渴，本末不经有见阳热证，其脉迟者是也。此因饮食冷物过多，阴胜阳衰而为中寒也。或冷热相击，而反阳气怫郁不能宣散，怫热内作，以成热证者，不可亦言为冷，当以脉证别之。夫湿热吐泻常见阳脉，若亡液气虚，亦能反见诸阴脉也。当以标本明之，不可妄治。或热证误服此白术调中汤，温药也能开发阳气，宣通而愈，别无加害。寒热久新并宜服之可。或有口疮目疾，孕妇等吐泻，以煨干姜，官桂不宜服。
白术，茯苓（去皮），泽泻（各半两），红皮（去白半两），干姜（炮），官桂（去皮），缩砂仁
All cold pathogens causing contraction and pulling of tendons belong to the Kidney. The Kidney belongs to the Shaoyin (Lesser Yin) channel. Shaoyin is the Supreme Yin. "Supreme" means extreme. The Shaoyin channel is where the pulse qi is prosperous in winter. It resides in the North and corresponds to Water. Its nature is Cold, it governs storage and return, and it governs thoroughness and secrecy. When Cold pathogen invades the body causing tendon contraction, pulling, and spasm, this is the function of Cold. The fluids discharged from above and below in its pathology are clear and cold like water. When Clear Yang is affected by Cold, blood coagulates forming masses (Jia); when the Taiyin (Spleen) channel is affected by Cold qi gathering, it forms hernias (Shan). These are all manifestations of urgent pulses indicating Cold. Urgency primarily indicates pain, hence the sensation of urgent pain. Furthermore, the *Neijing* states: frequent pulses indicate Heat, slow pulses indicate Cold. Diseases of the Yang channels are mostly Heat, diseases of the Yin channels are mostly Cold. The pulse should be slow and moderate. If Cold toxins are internally constrained, a flooding and rapid pulse indicates Heat; this is the pulse associated with the Heart. Cold Qi generates clarity and coldness, joining with Dampness, thus causing diarrhea with clear and white stools. This is because when the intestines and stomach are Cold, transformation and transportation are abnormal; when Hot, there is congestion and obstruction. When Cold prevails, Fire declines; when Fire declines, Metal prospers. Vomiting and dysentery become fishy and foul. Fishiness is the odor of Metal and Lung. Heat favors sour taste, Cold produces a fishy/watery taste. Just as cold limbs, hard and full abdomen, difficulty bending and stretching, stiffness and shivering, these are mainly governed by Yin Water (Cold Water). Difficulty in extending and curling the body, diagnosing the pulse as deep, hidden, and slow, is the sign of the disease. If the body is cool, not thirsty but afraid of cold, feet are cold while lying down, aversion to human voices, unwillingness to speak, these are all Yin syndromes. When Yin and Yang are balanced, there is harmony; when biased, there is disease. For example, if Yang Qi suddenly fails and Yin Qi alone prevails, it becomes a Cold syndrome; if Yin Qi suddenly fails and Yang Qi alone prevails, it becomes a Heat syndrome. The classics state: Excess Yang and Deficient Yin treated with sweating will lead to death; Excess Yin and Deficient Yang treated with purging will lead to death. If there is Yang Excess with external Heat and Yin Deficiency with internal Cold, or Yin Excess with internal Heat and Yang Deficiency with external Cold. For Yang Excess attacking Yang, Liang Ge San (Cool the Diaphragm Powder) and Cheng Qi Tang (Order the Qi Decoction) should be used. For Yin Excess attacking Yin, Baizhu San (Atractylodes Macrocephala Powder) and Sini Tang (Recover the Reversed Decoction) should be used. Cold is the severe, condensing, killing, and fierce energy. Humans take Kidney Qi as the root; only the Kidney can receive Cold pathogens, and only Cold pathogens can injure the Kidney. Once Kidney Qi is deficient, Cold pathogens attack alternately, causing acute pain and spasms, trembling and stiffness, coma and cold extremities, locked jaw and loss of voice, or sudden fever, red face and profuse sweating; this is Zhong Han (Mid-Cold Syndrome). No sweat, aversion to cold, headache, pale and grim face, fever with stiffness, slightly cold hands and feet; this is Shang Han (Cold Damage Syndrome). Huoluan (Colic with vomiting and diarrhea) with tendon twitching, profuse watery diarrhea, dry heaving and vomiting, retained fluid and phlegm; this is Cold pathogen entering the intestines and stomach. Leading to cough, deficiency consumption, hernias and masses, Hong Kong foot (podagra), hemorrhoids and fistulas, spermatorrhea, malaria, various pains; Cold can also cause these. Only when Kidney Qi is insufficient and protection is neglected, is it not just frost and ice that is called Cold. Sometimes in hot summer months, cooling oneself in the wind or lying on cold ground allows Cold pathogen energy to enter from the skin into the collaterals, and from the collaterals into the zang-fu organs. Thus, the aforementioned syndromes can run rampant. To warm the Kidney and dispel Cold, use Dry Ginger (Ganjiang), Aconite (Fuzi), Chuanwu, Tianxiong, etc., as assistants. Yangzheng Lingsha (Nourishing True Spirit Cinnabar) is indeed a staple in the medicine cabinet. However, when Cold damages Ying Qi (Nutritive Qi), knowing only to warm the Kidney but not to warm the Blood may not yield perfect results. Therefore, Guigui (Cinnamon Twig) and Danggui (Angelica Sinensis) are superior herbs for warming the Blood. The *Suwen* says: The three months of winter are called closure and storage. Water freezes and earth cracks; do not disturb Yang. Sleep early and rise late, waiting for sunlight. This is the meaning of avoiding Cold and seeking Warmth. Failure to regulate properly leads to being struck by Cold. Generally, the pulse of Zhong Han must be slow and tight; if accompanied by Wind, the pulse is floating, with dizziness and numbness; if combined with Dampness, the pulse is soggy, with swelling, fullness, and pain. The treatment method must absolutely not involve reckless purging or emesis; one should only use warming and dispersing methods. Otherwise, curled tongue and contracted scrotum will make it difficult to treat.
Among the six pulses, getting Xian (Wiry) and Xi (Fine) and Se (Choppy) at the lower position (Chi), pressing reveals weakness, abdominal pain occurs frequently, heart and stomach pain radiating to the testicles, or loose stools, inability to smell odors, continuous clear and turbid nasal discharge, tearing from eyes, asthma, thirst, phlegm-cough, spitting out white foam, heavy and painful lower back, occasional pain in neck, back, and chest, sensation of fire flowing in eyes, aversion to cold in mouth and nose, occasional headache and dizziness. If chills persist, or cough or vomit, or retch or hiccup, then irritability and steaming heat occur, as if sitting in a steamer. One must remove clothes and stay in a cold place, or drink cold water to relieve it. Chills injuring Zheng Qi cause shortness of breath, chest fullness and pain, with a sensation of blockage in the diaphragm and throat nearly severing. Severely, eyes stare wide, sounds are heard externally, and tears, snot, phlegm, and saliva increase greatly. After the chills pass, irritability lasts only a moment. Chills return. If the face is white and lusterless, it is blood loss. Sadness, sorrow, and unhappiness, desolate and sad mood, forgetfulness or frequent sneezing, this is Wind-Heat severely damaging Water (Kidney), and the rebound of Dry Metal (Lung). If the six pulses are fine, wiry, and choppy, empty upon pressure, this is a Great Cold syndrome also damaging Essence and Qi. Use pungent, sweet, warm, and hot, slippery and moistening agents. Greatly purge the West (Metal) and North (Water) to achieve cure.
When Great Cold remains outside, tonification is indicated; acupuncture is ineffective, moxibustion is suitable. The *Huangdi Zhenjing* says: When Great Cold remains outside, tonify it. When it enters inward, drain it from the He-Sea points. Acupuncture is ineffective, moxibustion is suitable. When both Yin and Yang are deficient, Fire naturally takes command. Limbs are cold and very cold, depression below the knees, Cold exceeds the Lingsanjili (Zusanli) point below the knee. Where there is depression, moxibustion naturally applies. Knotted collaterals are firm and tight, treated by Fire (moxibustion). Regarding "Great Cold remains outside, tonify it," "outside" refers to the exterior. Great Cold is the Cold transformation of the North. Entering humans, it is said to be outside, on the surface of the skin and hair. Thus, it is said Cold excess causes floating pulse. This is Foot-Taiyang Bladder channel Cold Qi striking its own channel. Following the principle of similar things grouping together, the vertex, nape, and forehead suffer first. Treatment is at Fengfu (GV16) point, needle retention for a long time. It refers to Hand-Taiyang Small Intestine internal Heat, which should transmit Foot-Taiyang Bladder Cold channel. This channel again receives external guest pathogens. Moreover, skin and hair are the Yang portion, greatly fearing Yin Cold. The classic says: For Cold diseases, long needle retention constitutes Heat Tonification, tonifying internal Heat, tonifying Yang, causing Yin to melt and pathogens to retreat. Retaining and tonifying uses Fire to attack it. Another explanation for Cold entering inward, moxibustion is suitable. It refers to both Left and Right Cun pulses being weak. Not mentioning Chi pulses is because it speaks of Earth's Yin and Yang pulses being prosperous. If Wiry and Tight pulses float higher, pressing reveals Flooding and Large. Pulses are prosperous below, meaning underground Yin Fire is also hidden. Moreover, Heaven and Earth Yin and Yang are already insufficient externally, so Upper and Lower Yang are all hidden. Thus, it says depressions should be moxed, precisely referring to this. So the classic says: Jue (Cold reversal) at the feet, Zong Qi does not descend, blood in the vessels coagulates and stops; without Fire regulation, it cannot be taken.
Acupuncture has five sections. Huangdi asked Qibo: I hear acupuncture has five sections, what is this? Qibo replied: Indeed there are five. First is Zhen Ai (Shaking Dust), second is Fa Meng (Opening Ignorance), third is Qu Zhua (Removing Claws), fourth is Che Yi (Removing Clothes), fifth is Huo Huo (Resolving Confusion). Huangdi said: Sir speaks of five sections, I do not yet understand their meaning. Qibo said: Zhen Ai refers to puncturing extra-heavenly Yang pathogens. Yang is formless. Extra-heavenly refers to Yin disease in Yang, so draw Yin from Yang. Treatment is at Back-Shu points. If Zang-Fu diseases have tangible signs, such as skin, flesh, sinews, bones, and blood vessel diseases. If severed internally, it is said Yin disease in Yang, pathogens are in extra-heaven. The method takes points at the Back-Shu of the five Zang. Suppose skin disease is internally severed, treatment is in extra-heaven, needling Lung Shu is correct. Suppose blood vessels are internally severed and cannot circulate, it is said this is also Yin disease in Yang, the point is Heart Shu on the back. The other three Zang tangible diseases internally severed, according to this, all treat at Zang Shu. *Huangdi Zhenjing* says: Upper Heat Lower Cold, view the deficient collaterals depressed in the meridians, take them until Qi descends then stop. This is called guiding downward. Commentary says: The Sage says Upper Heat Lower Cold, referring to Spring, Summer, Autumn, Winter. Should descend from extra-heavenly Yang into the earth. It is that among the group of Yins in heaven, Fire blazes and assists the Six Yangs, unable to decline. First, rupture blood collaterals in the Six Yangs to bleed, causing Yin Qi to descend. Although force is slight, it can drag Six Yangs downward, Yin Blood naturally descends. This can be called the image of Old Yang transforming into Yin. So the classic says: Upper Heat Lower Cold, view the deficient pulse depressed in the meridians, take it. This is called guiding downward. But saying collaterals are all major diseases, using three-edged needle to rupture blood and remove Yin Heat. Heat is in the blood collaterals of Hand-Taiyang Small Intestine having Fire-Heat pathogens, causing this Old Yang unwilling to transform into Yin and descend. So first rupture Hand-Taiyang blood heat, allowing Three Yin to use their time to descend, performing Autumn's receiving way, entering earth to store. This is draining Double Yang in heaven, unwilling to transform and perform Yin Dao below.
In the spring of Wuchen year, I responded to the imperial summons to go to the capital. Vice Director of the Secretariat, Yang Gong Qingqing, over seventy years old, suffered from facial complexion dark red as if drunk, thick sticky phlegm, occasional dizziness as if in wind and clouds. One day at the Department Hall, this syndrome suddenly came, plus unclear vision, so he returned home. I diagnosed his two Cun pulses as Flooding and Large, Chi pulses as Wiry, Fine, and powerless. This was clearly Upper Heat Lower Cold. Wanted to treat with medicine, but cold-cooling herbs were not tolerated due to age and weak Qi. Remembered former master's discussion: treating Upper Heat is like birds nesting on high peaks, shoot and take it. Used three-edged needle at anterior vertex between eyebrows, pricked rapidly twenty-plus times, released about two he of purple-black blood. At that time felt head and eyes clear and beneficial, all bitterness gone, never recurred since.
Generally, people struck by Cold like yawning, have clear nasal discharge, those with fever and harmonious color sneeze well. Observing patients before pulse diagnosis, seeing dry mouth, clear nasal discharge, good sneezing and yawning, this person is struck by Cold. Those with diarrhea are so due to interior deficiency. Wanting to sneeze but unable, this person has abdominal pain. Generally Cold pulse is Sun (Deep) and Xian (Wiry), double Xian pulse is Cold. Xian pulse shape is like a drawn bowstring, immovable upon pressure. Pulse Shu (Rapid) and Xian should be purged. Its Cold pulse double Xian and Chi (Slow), Jian (Hard) below heart. Pulse Da (Large) and Jin (Tight), Yang contains Yin, can be purged. If Right Hand Cun Kou pulse is Xian, then hypochondriac urgency and pain, person feels rough and aversion to cold. Teacher says: Chi is Cold, Se is lack of Blood. Cun Kou pulse Wei (Micro) and Zhong Jin (Medium Tight) and Se, Jin is Cold, Wei is Deficiency, Se is Blood insufficiency. Thus knowing after sweating and then purging, Daluxiu Wan (Great Dew Exposure Pill) treats hundred diseases of Cold.
Shensheng Fuqi Tang (from Jisheng Bacuifang) treats abdominal Qi taking advantage of Winter Foot-Taiyang Cold Qi, Foot-Shaoyin Kidney Water prosperity. Son makes Mother Excess. Tears from hands, runny nose, drooling, blurred vision, tinnitus and deafness, head and mouth/nose possibly aversion to Wind-Cold, preferring sun, restless sleep, often feeling phlegm blocking diaphragm/throat, loss of taste, bilateral hypochondriac contraction urgency and pain, loose teeth unable to chew, genital sweating, cold anterior yin, walking unsteadily, difficulty rising and lying, palm cold wind-bi numbness, frequent urination more by day and night, yawning, shortness of breath panting, insufficient Qi, sudden incontinence, women leukorrhea, severe pain in vaginal opening radiating to heart, blackened complexion, men testicular pain radiating to heart/abdomen, face like ochre, poor appetite, irregular bowel/bladder movements, vexation Huoluan, rebellious Qi interior urgency, pale abdominal skin, residual gas after, unable to strain abdomen, or borborygmus, knee tendon tension, shoulder/hip severe pain. All these are Cold Water returning to insult Earth (Kidney insulting Spleen).
Chaihu (1 qian cut), Gaoben (8 fen), Fangfeng (5 fen cut), Qianghuo (1 qian cut), Renshen (5 fen), Ganjiang (processed to powder 1.3 qian), Gancao, Shengma (7 fen cut), Banxia (washed seven times in decoction 7 fen), Bai Kuihua (5 flowers remove center cut fine), Dangguishen (6 fen wine washed cut), Yuliren (5 fen separately ground paste), Hei Fuzi (processed cracked peel navel 1 fen). Use five zhan water, decoct together to two zhan. Add Huangqi, Caodoukou Ren (wrapped in flour roasted ripe peel each 1 qian), Juhong (5 fen). Put inside, decoct again to one zhan. Then add next items: Huangbai (wine soaked 3 fen), Huanglian (wine soaked 3 fen), Zhike (3 fen), Shengdihuang (wine washed 3 fen). Above four flavors, soak overnight in new water. Also Huaxixin Gen, Chuanxiong (fine powder), Manjingzi (each 3 fen). Overnight use half large zhan new water, divide into two parts, soak these three and Huangbai etc. Decoct main medicine to one large zhan, do not filter dregs, add this soaked medicine, boil again on fire to one large zhan, filter dregs, take slightly warm on empty stomach. Also treats biting cheek/lip/tongue, stiff tongue root etc. miracles. Avoid meat soup. Eat meat does not assist Fire pathogens in collaterals. If no above symptoms, women leukorrhea, cold below umbilicus, men cold testicles, radiating heart/abdominal pain, palms cold, bilateral Chi pulses wiry/fine, non-pulsating upon pressure, urinary incontinence or frequent yawning, stool mostly dry/hard or soft, urine color changed, shortness of breath, cold forehead nose unable to smell, red/swollen nose tip good sneezing, much sadness/sorrow, mind unhappy, forgetful angry, night sweats fear wind, slippery frequent urination later incontinence, umbilical or nasal clear discharge, endless tears, spirit not clear, should take it. Not necessary all symptoms present. Generally Kidney and Bladder channels have Cold, Yuan Qi insufficient, all should take it. Take one dose every 3-5 days during waxing/waning moon. If disease urgent, any time, treat immediately. One formula has Tao Ren, no Gancao.
Chufengshi Qianghuo Tang (from Jisheng Bacuifang) Wei (Flaccidity) is caused by Damp-Heat invading Liver/Kidney. Must remove urgently, otherwise Lower Jiao Yuan Qi exhausted, becoming soft paralysis, lower waist unable to move, vexation unbearable. If body heaviness reduces, Qi not short, urine normal, and Damp-Heat season recedes, or increased pathogenic Qi recedes, do not use Wuweizi, Zexie, Fuling, Huangbai, Zhuling, Zhimu, Cangzhu, Baizhu. Only modify based on original disease syndrome. Regular medication must use wine-processed Huangbai 2-3 fen. If seasons change, Clear-Dry Qi prevails, add Pungent-Warm draining herbs. If Dampness wins, Wind syndrome does not retreat, dizziness/numbness continues.
Qianghuo (1 liang), Fangfeng (remove radicle 1 qian), Chaihu (5 fen), Gaoben (3 fen), Duhuo (5 fen), Fuling (2 fen), Zexie [2 (1) fen], Zhuling (peel 2 fen), Huangqi (1 qian), Zhi Gancao (5 fen), Jupi (3 fen), Huangbai (3 fen), Huanglian (1 fen), Cangzhu (water washed peel weigh 1 qian), Shengma (7 fen), Chuanxiong (3 fen). Cut up. Each dose weigh 3 qian or 5 qian, two zhan water, decoct to one zhan, filter dregs, take slightly warm. Use for Deficiency/Excess. If incomplete symptoms, use modification methods according to formula.
Fuzi Lizhong Tang (from Yifang Dacheng) treats Five Zang Zhong Han Zhong Shi (Mid-Cold Mid-Damp), rebellious throat Qi weakness, also treats locked jaw, limb stiffness, aphasia. Formerly a soldier at border, heavy snow went out tent to look, suddenly fainted. Lin Ji acting as accompanying official doctor,灌ed this medicine two doses then woke. Also treats Phlegm retention in epigastrium, Cold Qi stabbing pain.
Renshen, Baizhu, Ganjiang (processed), Shu Fuzi (each 1 liang), Gancao (stir-fried 5 qian). Cut up. Each dose 3 qian, 5 slices ginger.
Siwuwu Tang treats Cold-induced dizziness/aversion to cold, facial deviation, deafness.
Da Fuzi (3 liang processed peel navel), Shanzhuyu (5 liang), Shanyao (7 liang). Make into powder. Each dose 2 qian, mix with wine and take.
Yangwei Tang (from Heji Fang) treats External Cold invasion, Internal Cold/Raw food injury, aversion to cold strong fever, head/eye dizziness/pain, limb stiffness. Treats both Wind-Cold syndromes. Cover with quilt first, continuously take this to cause slight sweat in four limbs. If no sweat, help with thin porridge. If already sweating, do not take. Also requires mild-warm harmonizing, or if residual Heat, use Shen Su Yin to adjust. Also treats Diet injuring Spleen causing Phlegm-Malaria, repels mountain miasma, four-season plagues.
Cangzhu (stir-fried), Houpo (processed), Banxiaqu (each 1 liang), Renshen, Fuling, Caoguo, Huoxiang (each half liang), Juhong (7.5 qian), Gancao (half liang). Cut into pieces, make powder. Each dose 3 qian, add Guiban qian, 7 slices ginger, half wumei, two zhan water, decoct to one zhan, filter dregs, take. If Heat severe, add Gange 3 fen.
Jiangfu Tang (from Zhizhi Fang) treats Zhong Han locked jaw, limb stiffness, aphasia, or sudden fainting, spitting saliva, resembling silent Wind, cold extremities, or abdominal irritability. Also treats Yin Syndrome Cold Damage, spontaneous loose stool with fever, pathogen not resolved, no exterior signs.
Ganjiang, Shu Fuzi (each 2 liang). Cut up. Each dose 4 qian, 1.5 zhan water, decoct to 0.7 zhan, filter dregs, take warm. Or worry this medicine is too drying, then sequentially take Fuzi Lizhong Tang. Jiangfu originally treats Cold Damage after purging, then re-sweating, interior/exterior both deficient, body no great Heat, daytime irritability, nighttime quiet, no vomiting/thirst, six pulses deep/hidden, all should take this. Those not knowing pulse must examine carefully. Also treats Middle Jiao Deficient-Cold long-term accumulated Phlegm/Water, heart/abdominal pain, Huoluan tendon twitching, cold extremities. Enter Liver add Mugua, enter Lung add Sangbaipi, enter Spleen add Baizhu, enter Heart add Fuling, add according to syndrome. Accompanied by Wind add Fangfeng, combined with Damp add more Baizhu, tendon/spasm add Mugua, joint pain add Guixin, Renshen, Baizhu equal parts. One formula Fuzi Tang, raw used named Baitong Tang, add Baizhu double, Gancao halved, named Shengfu Baizhu Tang, treats Mid-Cold-Damp confusion/hallucination, abdominal fullness/heaviness, limb flaccidity, spontaneous sweat, aphasia, incontinence. One formula has Gancao, use fresh ginger decoct.
Baizhu Tiaozhong Tang (from Xuanming Lun) treats Mid-Cold blooming/stuffiness urgent pain, Cold-Damp combat vomiting/diarrhea abdominal pain, upper/lower discharged fluids clear/cold, undigested grain, clear white urine not astringent, body cool not thirsty, originally/end did not see Yang Heat signs, its pulse Slow is correct. This is due to eating too many cold foods, Yin prevails Yang declines becoming Mid-Cold. Or Cold/Heat strike each other, reversing Yang Qi oppression unable to disperse, oppressive Heat internally generated becoming Heat syndrome, cannot also say it is Cold, must distinguish by pulse/syndrome. Damp-Heat vomiting/diarrhea commonly see Yang pulse, if fluid loss Qi deficiency, can also reverse see all Yin pulses. Must clarify root/branch, do not treat recklessly. Or Heat syndrome mistakenly takes this Baizhu Tiaozhong Tang, warm medicines can also develop Yang Qi, disperse/communicate and heal, no other harm. Cold/Heat long/new all suitable take okay. Or have mouth ulcers eye diseases, pregnant women etc. vomiting/diarrhea, use baked Ganjiang, Guigui not suitable take.
Baizhu, Fuling (peel), Zexie (each half liang), Hongpi (remove white half liang), Ganjiang (processed), Guigui (peel), Suasharen