夫阳气独盛。阴气暴衰。阴为阳所胜。内外皆阳。故为阳毒伤寒。有初得病。便成阳毒
者。有服汤药。经五六日以上不瘥。变成阳毒者。以病本属阳。或以火劫发其汗。或因灸KT
。阳气转盛。阴气内消所致。其候面赤。发躁狂走。妄言。发斑如锦纹。咽喉疼痛。涕唾
脓血。或下利黄赤。其脉洪实滑促是也。
歌括。阳毒已深脉洪大。内外结热舌焦黑。鼻中如烟煤。宜用水渍法。
伤寒一二日。便成阳毒。或服药吐下后。变成阳毒。身重。腰背痛。烦闷不安。狂言。
或走。或见鬼。或吐血。下利赤黄。其脉浮大而数。面赤斑斑如锦纹。咽喉疼痛。唾脓血。
五六日可治。至六七日不可治。阳毒。升麻汤主之。咽痛。玄参升麻汤。甚者。或有逾垣上
屋。阳毒。脉弦洪促数。身热无汗。阳毒。升麻汤。葶苈苦酒汤。苦酒即醋。大黄汤。栀子
仁汤。黑奴丸。太乙牛黄膏。用竹叶汤调下。或研生地龙。大者三条。入生姜汁。薄荷汁。
生蜜、脑子各少许。新汲水调。灌下。可选用之。令阴气复。而大汗解矣。阳毒大热烦渴。
谵语。赤斑。衄血不止。白虎汤一服。效。阳毒已深。脉洪大。内外结热。舌卷黑。鼻中如
烟煤。用新汲水。浸湿布数重。搭于胸上。续又换新水。浸布渍冷。热势才减。已之。
本事方。灸结胸。巴豆肉七粒。黄连七寸。捣细。津唾调膏。安于脐。艾灸其上。不拘
壮数。以腹中有声为效。灸毕。即以汤蘸软帛拭之。恐成疮烂。此方与集验神功散。一同阴
阳二毒。但有微气者。皆可灸。脐间有声。即得汗解。
尚药孙用和。破结丹。治阴阳伏逆。变为结胸。五六日。大便结。攻之不及。达之不可。
以此主之。用锦辰砂、银。青礞石、北亭脂、肉豆蔻、木香、官桂、牵牛、生黑附。炮。巴
豆肉。不去油。各半两。轻粉半分。麝香半钱。金五箔。上件。将法醋半升。八味。朱砂、
附子、牵牛三味。熬成膏。次入余药。打和得所。丸如皂子大。轻粉衣。每服二丸。蜜汤调
下。
阳证如阴冷。四肢冷。脉沉。尿赤。大便稀。面红烦躁。身微热。阴证。如阳沉更微。
阴极发燥。热极发厥。物极则反也。重阳必阴。重阴必阳。寒暑之变也。四肢冷。小便赤。
大便秘。或粪色黑。眼闭。言动。脉沉而滑。谓之阳证似阴。面赤烦躁。身有微热。眼闭发
热。脉沉而微。谓之阴证似阳。欲知的定。当推原反本。察色听声。辨以六经。参以外证。
徐徐焉。据脉验之。数热。迟寒。阴阳别矣。阳之体轻。阴之体重。阴家脉重。阳家脉轻。
阳盛旦静。阴盛夜宁。阳虚暮乱。阴虚夜争。阳证似阴。白虎汤。热极生寒。则四肢逆冷。
或用承气汤。阴证似阳。四逆汤加葱白主之。阴盛则燥。下虚则面赤。里寒则身微热也。阴
盛格阳。脉细沉疾。身冷。大烦躁。嗜卧泥水之中。欲饮水。而不欲入口者是。饮水者非。
可以服霹雳散。少焰散。丹砂丸亦效。孙用和。以半两黑附子一枚。烧存性。候冷为末。入
真腊茶一大钱匕。和为二服。每服水一盏。蜜半匙。煎六分。冷服。躁止得睡。汗出。皆药
之验也。阳证。太阳、阳明、少阳。皆属阳证也。太阳者。膀胱也。发热恶寒。头痛腰疼。
而脉浮也。阳明者。胃也。不恶寒。反恶热。 汗出。大便秘。潮热。而脉长也。少阳者。
胆也。口苦咽干。胁下满。发热而呕。或往来寒热。而脉弦也。麻黄汤。大青龙汤。桂枝汤。
治太阳经伤风寒也。大柴胡汤。调胃承气汤。小承气汤。大承气汤。治阳明伤寒也。小柴胡
汤。治少阳伤寒也。其它药。皆发汗吐下后证也。若阳气独盛。阴气暴绝。即为阳毒。必发
躁狂走。妄言。面赤。咽痛。身斑斑如锦纹。或下利赤黄。脉洪实。或滑促。当以酸苦之药。
令阴气复。而大汗解矣。古人云。酸苦涌泄为阴。谓苦参、大青、葶苈、苦酒之类。能复其
阴气也。微用苦。甚兼用酸苦。折热复阴。若热极发厥。阳证似阴。学人以脉别之。
方
升麻散 治伤寒一日。便成阳毒。或服药发汗吐下之后。毒瓦斯不解。身重背强。烦
闷狂言。
川升麻 射干(各一两) 当归(锉微炒) 犀角屑 甘草(炙赤微锉各半两) 黄芩 黄
连
(去须) 地骨皮(各三分) 上捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不
计时
候
麦门冬散 治阳毒伤寒。身体疼痛。头面如火。胸心烦热而渴。小便赤黄。不得睡
卧。宜服
麦门冬(去心焙) 葛根(锉) 柴胡(去苗) 赤芍药 知母 马牙硝(各一两) 子
芩玄
参甘草(炙微赤锉各三分) 川升麻 犀角屑(各半两) 上捣罗为散。每服四钱。以水
一中
盏。煎至六分。去滓。不计时候。温服。
犀角散 治阳毒伤寒。狂言乱走。面赤斑斑。咽喉干痛。心胸烦满。四肢拘急。小
便赤黄。
犀角屑 甘草(炙微赤锉各半两) 射干 川大黄(锉碎微炒) 黄芩(各三分) 柴
胡(去
苗) 川升麻 川芒硝 麦门冬(去心焙各一两) 上捣粗罗为散。每服四钱。以水一中盏。
入淡竹叶三七片。小麦五十粒。煎至六分。去滓。不计时候。温服。
石膏散 治阳毒伤寒。壮热头痛。肢体烦重。口干心躁。
石膏(一两) 知母 柴胡(去苗) 麻黄(去根) 甘草(炙微赤锉) 黄芩 赤芍
药防风
(去芦头) 赤茯苓 川升麻 甘菊花(以上各半两) 上捣筛为散。每服四钱。以水一中
盏。
入
大黄散(出活人书)治阳毒伤寒未解。热结在内。恍惚如狂者。
川大黄(一两半锉碎微炒) 桂心(三分) 川芒硝(二两) 甘草(炙微赤锉) 木
通(锉)
大腹皮(锉各一两) 桃仁〔二十(一)枚汤浸去皮尖双仁麸炒微黄〕 上捣粗罗为散。每
服四
钱。以水一中盏。煎至六分。去滓。不计时候。温服。以通利为度。
地骨皮散(出圣惠方)治阳毒伤寒。头昏身重。咽喉唇干。腮赤。狂言欲走。
心胸胀满。呕
柴胡(一两去苗) 地骨皮 木香 麻黄(去根节) 甘草(炙微赤锉) 川升麻 栝
蒌根
人参(去芦头) 赤茯苓 木通(锉以上各半两) 上捣粗罗为散。每服四钱。以水一中盏。
煎
至六分。去滓。不计时候。温服。
柴胡散(一名栀子仁汤出活人书)治阳毒伤寒。壮热。百节疼痛。
柴胡(一两半去苗) 川升麻 黄芩 石膏 杏仁〔汤浸去皮尖双仁麸炒微黄以上各三
(二)两〕 赤芍药 大青 知母 栀子仁(各一两) 甘草(半两炙微赤锉) 上粗捣罗
为散。
每服四钱。以水一中盏。入生姜半分。豉一百粒。煎至六分。去滓。不计时候。
桂枝麻黄散(出圣惠方)治阳毒伤寒。项背汗出。急强恶风。
桂枝 麻黄(去根节) 甘草(炙微赤锉) 赤芍药 葛根(锉) 杏仁(汤浸去皮尖
双仁麸
炒微黄各一两) 上捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不
计时候。热服。衣覆取汗。如人行十里未有汗。再服。良久以葱白豉粥投之。
白虎汤(出三因方)治阳毒伤寒。服桂枝汤。大汗出后。大渴。烦躁不解。脉
洪大者。
知母 甘草(炙微赤锉各一两) 麻黄(二两捣碎) 粳米(一合) 上细锉。以水二
大盏。
煮米熟为度。去滓。不计时候。分温三服。
治阳毒伤寒。四肢壮热。心膈烦躁。呕吐不止。宜服此方。(出圣惠方)
柴胡(去苗) 黄芩 人参(去芦头) 甘草(炙微赤锉) 麦门冬(去心焙各一两) 半
夏
(半两汤浸七遍洗去滑) 上捣粗罗为散。每服四钱。水一中盏。入竹叶三七片。生姜半分。
煎至
栝蒌散(出圣惠方)治阳毒伤寒。五六日以上。俱胸中烦热。干呕。
栝蒌 柴胡(去苗) 知母 黄芩 甘草(炙微赤锉各一两半) 芦根(二两锉) 上
捣筛为
散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
甘草散(出圣惠方)治阳毒伤寒。脉洪大。心中悸壮。宜服。
甘草(炙微赤锉) 桂心 茯神 人参(去芦头) 阿胶(捣碎炒令黄燥) 麦门冬(去
心以
上各一两) 生干地黄 麻黄(去根节各二两) 上捣筛为散。每服四钱。以水一中盏。入
生
姜半分。煎至六分。去滓。不计时候。温服。
黄芩散(出圣惠方)治阳毒伤寒。气盛昏昏如醉。热躁烦渴。口苦舌干。
黄芩 川升麻 柴胡(去苗各一两) 石膏(二两) 赤芍药 麦门冬(去心) 甘草
(炙微
赤锉各半两) 上捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候
牛黄丸(出圣惠方)治阳毒伤寒。心躁烦闷。恍惚如狂。结热不散。
牛黄(细研) 天竺黄(细研) 防风(去芦头) 真珠(细研以上各半两) 龙脑 甘
草(炙
微赤锉各一两) 麝香(一钱细研) 犀角屑 羚羊角屑 朱砂(细研水飞过) 黄芩 川
升麻
(各一两) 上捣罗为末。入前研了药。更研令匀。以炼蜜和捣三二百杵。丸如梧桐子大。
每
服不
治阳毒伤寒。烦热。大便不通。
川大黄(一两锉碎微炒) 川芒硝(半两) 上捣筛。以水一大盏。煎至七分。去滓。
不计
时候。分温二服。如人行五七里。再服。当利下恶物。
治阳毒伤寒。毒瓦斯在脏。狂言妄语。欲走起者。宜服此方。
龙胆(一两去芦头) 铁粉(二两) 上件药。捣细罗为散。每服不计时候。以磨刀水。
调
下一钱。
升麻散(出活人书)治伤寒一二日。便成阳毒。或服药吐下之后。变成阳毒。
腰背痛。烦闷不安。面赤。狂言。或走见鬼。或下利。脉浮大数。面赤。斑纹如锦。咽
喉痛。出脓血。五
升麻 犀角(镑) 射干 黄芩(去黑皮) 人参 甘草(炙锉各一分) 上六味。锉
如麻豆
大。每服五钱匕。水一盏半。煎至八分。去滓。温服。食顷再服。温覆出汗。未汗再服。甚
者大承气汤。除浓朴。加木通、甘草、大腹皮、桃仁各一两。以利为效。
泻心汤(出圣济总录)治阳毒伤寒。头痛壮热。狂言妄语。似见鬼神。
石膏(一两) 芍药 葛根(锉) 黄芩(去黑心各半两) 大黄 黄连(去须各三分)
上粗
捣筛。每服五钱匕。水一盏半。生姜一枣大。拍碎。煎至八分。去滓。温服。日二。不拘时。
升麻汤(出圣济总录)治阳毒伤寒。腰背疼痛。烦闷。面赤。狂言妄走。或见
鬼。下利无常
升麻 雄黄(醋煮研各半两) 当归(切焙) 桂(去粗皮各一两) 甘草〔炙锉二(三)
分〕
鳖甲(醋炙去裙 一两) 上粗捣筛。每服五钱匕。水一盏半。煎至八分。去滓。温服。日
二。
不拘时候。
大青汤(出圣济总录)治阳毒伤寒。烦躁不解。或下利。危困。
大青(二两) 秦艽(去苗土一两) 犀角(镑) 山栀子仁 甘草(炙锉) 黄连(去
须各半
两) 上粗捣筛。每服五钱匕。水一盏半。入豉一百粒。薤白七寸。煎至八分。去滓。食前
温服。
解阳汤(出圣济总录)治阳毒伤寒。口舌干燥。
麻黄(去根节) 人参 赤茯苓(去黑皮) 桂(去粗皮各半两) 麦门冬(去心焙) 葛
根
(锉各三分) 杏仁(汤浸去皮尖双仁炒) 甘草(炙锉各一两) 上粗捣筛。每服五钱匕。
水一
盏半
五解汤(出圣济总录)治阳毒伤寒。发热烦躁。
山栀子仁 黄芩(去黑皮) 甘草(炙锉) 大黄(锉醋炒各一分) 朴硝(二钱) 上
粗捣
筛。每服五钱匕。水一盏半。煎至八分。去滓。空心温服。
犀角汤(出圣济总录)治阳毒伤寒。初得。身体大热。眼赤。小便黄。心闷头
痛。烦渴不止
犀角(镑一两) 人参(三分) 赤茯苓(去黑皮) 茵陈蒿 细辛(去苗叶) 陈橘
皮(汤浸
去白炒) 麻黄(去根节) 甘草(炙锉各半两) 上粗捣筛。每服五钱匕。水一盏半。生
姜一
枣大。拍碎。煎至八分。去滓。温服。
葛根汤(出圣济总录)治阳毒伤寒。头痛壮热未解。身体疼痛。
葛根(锉) 龙胆 大青(各三分) 桂(去粗皮) 葳蕤 芍药 黄芩(去黑心) 升
麻石
膏(碎) 麻黄(去根节) 甘草(炙锉各半两) 上粗捣筛。每服五钱匕。水一盏半。生
姜一
枣大。拍碎。煎至八分。去滓。不拘时候温服。
葛根散(出圣济总录)治阳毒伤寒。身热如火。头痛燥渴。咽喉酸痛。
葛根(锉三炒) 山栀子仁 黄芩(去黑心) 大黄(锉醋炒) 甘草(炙锉各半两) 朴
硝
(一两) 上捣罗为散。每服二钱匕。不拘时。温服。熟水调下。
秦艽汤(出圣济总录)治阳毒伤寒。心躁闷乱。烦热狂语。口干不止。
秦艽(去苗土) 黄芩(去黑心) 甘草(炙锉) 木通 枳壳(去瓤麸炒) 玄参(各
半两)
阳气单独亢盛,阴气突然衰败。阴气被阳热所克制,导致体内内外皆呈现阳热状态,因此形成阳毒伤寒。有的患者在刚患病时就发展为阳毒;有的患者经过汤药治疗,五六天后病情未愈,反而演变为阳毒。这是因为病本属阳证,或者用火法强行发汗,或者因艾灸刺激,导致阳气更加旺盛,阴气在内消耗所致。其临床表现包括:面部发红,烦躁不安甚至狂乱奔走,胡言乱语,皮肤出现如锦纹般的红斑,咽喉疼痛,鼻涕和唾液中带有脓血,或者腹泻排出黄赤色粪便。脉象表现为洪大、实、滑、促。
歌诀云:阳毒已深,脉象洪大;内外结聚热邪,舌苔焦黑;鼻孔中如烟煤熏灼。适宜采用水渍法(冷水湿敷)治疗。
伤寒一二日,便形成阳毒;或者服药后经过催吐、泻下,演变为阳毒。症状包括身体沉重,腰背疼痛,烦闷不安,胡言乱语,或者奔走,或者看见鬼怪,或者吐血,或者腹泻赤黄色粪便。脉象浮大而数。面色红赤,斑纹如锦缎花纹,咽喉疼痛,吐出脓血。病程在五六日内尚可治疗,到了六七日则难以治愈。对于阳毒,以升麻汤为主治方剂。若咽喉疼痛,用玄参升麻汤。病情严重者,可能出现翻墙爬屋等狂躁行为。若阳毒患者脉象弦、洪、促、数,身热无汗,亦用升麻汤。此外还可选用葶苈苦酒汤、大黄汤、栀子仁汤、黑奴丸、太乙牛黄膏(用竹叶汤调服),或者研磨地龙(蚯蚓),取三条大的,加入生姜汁、薄荷汁、生蜜、冰片少许,用新汲水调匀灌服。这些方法可选用,旨在使阴气恢复,从而通过大汗而解表。若阳毒患者大热、烦渴、谵语、红色斑疹、鼻出血不止,服用白虎汤一剂即可见效。若阳毒已深,脉象洪大,内外结热,舌卷缩发黑,鼻孔如烟煤状,可用新汲水浸湿多层布,敷在胸部,随后不断更换新水浸湿的布以保持冰冷,待热势稍减即停止。
《本事方》记载:灸疗结胸症,用巴豆肉七粒、黄连七寸,捣细,用唾液调成膏状,敷于脐部,在其上施灸,不限壮数,以腹中有肠鸣声为有效。灸毕,立即用温水蘸软布擦拭,以防形成疮烂。此方与集验神功散一样,对于阴阳二毒,只要有微弱气息者,皆可施灸。若脐间有声,即可得汗而解。
尚药局医官孙用和创制破结丹,治疗阴阳之气伏逆,转变为结胸症。病程五六日,大便干结,攻下不及,宣通不可,以此方主治。配方:锦辰砂、银箔、青礞石、北亭脂、肉豆蔻、木香、官桂、牵牛子、生黑附子(炮制)、巴豆肉(不去油),各半两;轻粉半分;麝香半钱;金箔五张。以上药材,取陈醋半升,将朱砂、附子、牵牛三味熬成膏状,其次加入其余药物,调和均匀,制成如皂角子大小的丸剂,外裹轻粉衣。每服二丸,用蜜汤调下。
阳证表现出类似阴证的寒象:四肢冷,脉沉,尿赤,大便稀,面红烦躁,身微热。阴证表现出类似阳证的虚象:脉沉更微,阴极则发燥,热极则发厥,物极必反也。重阳必转化为阴,重阴必转化为阳,这是寒暑变化的规律。四肢冷,小便赤,大便秘结,或粪便色黑,眼闭,言语动作迟缓,脉沉而滑,称为“阳证似阴”。面红烦躁,身有微热,眼闭发热,脉沉而微,称为“阴证似阳”。想要确切诊断,应当追溯本源,观察面色,听声音,辨别六经,参考外部症状,从容不迫地根据脉象验证。脉数主热,脉迟主寒,阴阳由此区分。阳的性质轻清,阴的性质重浊。阴病的脉象重,阳病的脉象轻。阳盛则白天安静,阴盛则夜晚安宁;阳虚则傍晚混乱,阴虚则夜间争斗。阳证似阴,用白虎汤;热极生寒,则四肢逆冷,或用承气汤。阴证似阳,用四逆汤加葱白主治。阴盛则燥,下虚则面赤,里寒则身微热。阴盛格阳,脉细沉疾,身冷,极度烦躁,想睡在泥水中,想喝水但不愿入口,这就是阴盛格阳。想喝水的不是。可以用霹雳散、少焰散、丹砂丸,也有效。孙用和用半两黑附子一枚,烧至存性,候冷研末,加入真腊茶一大钱匕,分为二服。每服用水一盏,蜜半匙,煎至六分,冷服。烦躁停止能入睡,出汗,都是药效的表现。阳证包括太阳、阳明、少阳,都属于阳证。太阳经,对应膀胱,症状为发热恶寒,头痛腰痛,脉浮。阳明经,对应胃,不恶寒,反恶热,汗出,大便秘结,潮热,脉长。少阳经,对应胆,口苦咽干,胁下胀满,发热而呕,或往来寒热,脉弦。麻黄汤、大青龙汤、桂枝汤,治疗太阳经受风寒。大柴胡汤、调胃承气汤、小承气汤、大承气汤,治疗阳明伤寒。小柴胡汤,治疗少阳伤寒。其他药物,多是发汗、催吐、泻下后的证候。如果阳气独盛,阴气突然断绝,即为阳毒,必然出现烦躁狂乱奔走,胡言乱语,面红,咽痛,身上斑纹如锦缎,或者腹泻赤黄色粪便,脉象洪实,或滑促。应当用酸苦的药物,使阴气恢复,从而通过大汗而解。古人说:酸苦涌泄为阴。指苦参、大青、葶苈、苦酒(醋)之类,能恢复其阴气。轻微的热用苦药,严重的兼用酸苦,以折热复阴。若热极发厥,阳证似阴,学者应以脉象来辨别。
方剂部分:
升麻散:治疗伤寒一日,便成阳毒,或服药发汗吐下之后,毒瓦斯不解,身体沉重背部僵硬,烦闷狂言。
川升麻、射干(各一两)、当归(锉碎微炒)、犀角屑、甘草(炙赤微锉,各半两)、黄芩、黄连(去须)、地骨皮(各三分)。上药捣筛为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候服用。
麦门冬散:治疗阳毒伤寒,身体疼痛,头面如火,胸心烦热而渴,小便赤黄,不得睡卧。宜服。
麦门冬(去心焙)、葛根(锉)、柴胡(去苗)、赤芍药、知母、马牙硝(各一两)、子芩、玄参、甘草(炙微赤锉,各三分)、川升麻、犀角屑(各半两)。上药捣罗为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候温服。
犀角散:治疗阳毒伤寒,狂言乱走,面赤斑斑,咽喉干痛,心胸烦满,四肢拘急,小便赤黄。
犀角屑、甘草(炙微赤锉,各半两)、射干、川大黄(锉碎微炒)、黄芩(各三分)、柴胡(去苗)、川升麻、川芒硝、麦门冬(去心焙,各一两)。上药捣粗罗为散。每服四钱,用水一中盏,入淡竹叶三七片、小麦五十粒,煎至六分,去渣,不计时候温服。
石膏散:治疗阳毒伤寒,壮热头痛,肢体烦重,口干心躁。
石膏(一两)、知母、柴胡(去苗)、麻黄(去根)、甘草(炙微赤锉)、黄芩、赤芍药、防风(去芦头)、赤茯苓、川升麻、甘菊花(以上各半两)。上药捣筛为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候温服。
大黄散(出自《活人书》):治疗阳毒伤寒未解,热结在内,恍惚如狂者。
川大黄(一两半,锉碎微炒)、桂心(三分)、川芒硝(二两)、甘草(炙微赤锉)、木通(锉)、大腹皮(锉,各一两)、桃仁〔二十枚,汤浸去皮尖双仁麸炒微黄〕。上药捣粗罗为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候温服。以通利为度。
地骨皮散(出自《圣惠方》):治疗阳毒伤寒,头昏身重,咽喉唇干,腮赤,狂言欲走,心胸胀满,呕吐。
柴胡(一两去苗)、地骨皮、木香、麻黄(去根节)、甘草(炙微赤锉)、川升麻、栝蒌根、人参(去芦头)、赤茯苓、木通(锉,以上各半两)。上药捣粗罗为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候温服。
柴胡散(一名栀子仁汤,出自《活人书》):治疗阳毒伤寒,壮热,百节疼痛。
柴胡(一两半去苗)、川升麻、黄芩、石膏、杏仁〔汤浸去皮尖双仁麸炒微黄,以上各三两〕、赤芍药、大青、知母、栀子仁(各一两)、甘草(半两炙微赤锉)。上药粗捣罗为散。每服四钱,用水一中盏,入生姜半分、豉一百粒,煎至六分,去渣,不计时候服用。
桂枝麻黄散(出自《圣惠方》):治疗阳毒伤寒,项背汗出,急强恶风。
桂枝、麻黄(去根节)、甘草(炙微赤锉)、赤芍药、葛根(锉)、杏仁(汤浸去皮尖双仁麸炒微黄,各一两)。上药捣筛为散。每服四钱,用水一中盏,入生姜半分,煎至六分,去渣,不计时候热服,衣覆取汗。如人行十里未有汗,再服。良久以葱白豉粥投之。
白虎汤(出自《三因方》):治疗阳毒伤寒,服桂枝汤,大汗出后,大渴,烦躁不解,脉洪大者。
知母、甘草(炙微赤锉,各一两)、麻黄(二两捣碎)、粳米(一合)。上药细锉,以水二大盏,煮米熟为度,去渣,不计时候,分温三服。
治阳毒伤寒,四肢壮热,心膈烦躁,呕吐不止。宜服此方。(出自《圣惠方》)
柴胡(去苗)、黄芩、人参(去芦头)、甘草(炙微赤锉)、麦门冬(去心焙,各一两)、半夏(半两汤浸七遍洗去滑)。上药捣粗罗为散。每服四钱,水一中盏,入竹叶三七片、生姜半分,煎至...(原文此处截断,推测为煎至六分)。
栝蒌散(出自《圣惠方》):治疗阳毒伤寒,五六日以上,俱胸中烦热,干呕。
栝蒌、柴胡(去苗)、知母、黄芩、甘草(炙微赤锉,各一两半)、芦根(二两锉)。上药捣筛为散。每服四钱,用水一中盏,入生姜半分,煎至六分,去渣,不计时候温服。
甘草散(出自《圣惠方》):治疗阳毒伤寒,脉洪大,心中悸壮。宜服。
甘草(炙微赤锉)、桂心、茯神、人参(去芦头)、阿胶(捣碎炒令黄燥)、麦门冬(去心,以上各一两)、生干地黄、麻黄(去根节,各二两)。上药捣筛为散。每服四钱,用水一中盏,入生姜半分,煎至六分,去渣,不计时候温服。
黄芩散(出自《圣惠方》):治疗阳毒伤寒,气盛昏昏如醉,热躁烦渴,口苦舌干。
黄芩、川升麻、柴胡(去苗,各一两)、石膏(二两)、赤芍药、麦门冬(去心)、甘草(炙微赤锉,各半两)。上药捣筛为散。每服四钱,用水一中盏,煎至六分,去渣,不计时候服用。
牛黄丸(出自《圣惠方》):治疗阳毒伤寒,心躁烦闷,恍惚如狂,结热不散。
牛黄(细研)、天竺黄(细研)、防风(去芦头)、真珠(细研,以上各半两)、龙脑、甘草(炙微赤锉,各一两)、麝香(一钱细研)、犀角屑、羚羊角屑、朱砂(细研水飞过)、黄芩、川升麻(各一两)。上药捣罗为末,入前研了药,更研令匀。以炼蜜和捣三二百杵,丸如梧桐子大。每服...(原文此处截断,通常为数丸)。
治阳毒伤寒,烦热,大便不通。
川大黄(一两锉碎微炒)、川芒硝(半两)。上药捣筛,以水一大盏,煎至七分,去渣,不计时候,分温二服。如人行五七里,再服。当利下恶物。
治阳毒伤寒,毒瓦斯在脏,狂言妄语,欲走起者。宜服此方。
龙胆(一两去芦头)、铁粉(二两)。上件药,捣细罗为散。每服不计时候,以磨刀水调下一钱。
升麻散(出自《活人书》):治疗伤寒一二日,便成阳毒,或服药吐下之后,变成阳毒。腰背痛,烦闷不安,面赤,狂言,或走见鬼,或下利,脉浮大数,面赤,斑纹如锦,咽喉痛,出脓血。
升麻、犀角(镑)、射干、黄芩(去黑皮)、人参、甘草(炙锉,各一分)。上六味,锉如麻豆大。每服五钱匕,水一盏半,煎至八分,去渣,温服。食顷再服。温覆出汗,未汗再服。甚者大承气汤,除浓朴,加木通、甘草、大腹皮、桃仁各一两,以利为效。
泻心汤(出自《圣济总录》):治疗阳毒伤寒,头痛壮热,狂言妄语,似见鬼神。
石膏(一两)、芍药、葛根(锉)、黄芩(去黑心,各半两)、大黄、黄连(去须,各三分)。上药粗捣筛。每服五钱匕,水一盏半,生姜一枣大拍碎,煎至八分,去渣,温服。日二,不拘时。
升麻汤(出自《圣济总录》):治疗阳毒伤寒,腰背疼痛,烦闷,面赤,狂言妄走,或见鬼,下利无常。
升麻、雄黄(醋煮研,各半两)、当归(切焙)、桂(去粗皮,各一两)、甘草〔炙锉,二分〕、鳖甲(醋炙去裙襕,一两)。上药粗捣筛。每服五钱匕,水一盏半,煎至八分,去渣,温服。日二,不拘时候。
大青汤(出自《圣济总录》):治疗阳毒伤寒,烦躁不解,或下利,危困。
大青(二两)、秦艽(去苗土,一两)、犀角(镑)、山栀子仁、甘草(炙锉)、黄连(去须,各半两)。上药粗捣筛。每服五钱匕,水一盏半,入豉一百粒、薤白七寸,煎至八分,去渣,食前温服。
解阳汤(出自《圣济总录》):治疗阳毒伤寒,口舌干燥。
麻黄(去根节)、人参、赤茯苓(去黑皮)、桂(去粗皮,各半两)、麦门冬(去心焙)、葛根(锉,各三分)、杏仁(汤浸去皮尖双仁炒)、甘草(炙锉,各一两)。上药粗捣筛。每服五钱匕,水一盏半...(原文此处截断,推测为煎至八分)。
五解汤(出自《圣济总录》):治疗阳毒伤寒,发热烦躁。
山栀子仁、黄芩(去黑皮)、甘草(炙锉)、大黄(锉醋炒,各一分)、朴硝(二钱)。上药粗捣筛。每服五钱匕,水一盏半,煎至八分,去渣,空心温服。
犀角汤(出自《圣济总录》):治疗阳毒伤寒,初得,身体大热,眼赤,小便黄,心闷头痛,烦渴不止。
犀角(镑,一两)、人参(三分)、赤茯苓(去黑皮)、茵陈蒿、细辛(去苗叶)、陈橘皮(汤浸去白炒)、麻黄(去根节)、甘草(炙锉,各半两)。上药粗捣筛。每服五钱匕,水一盏半,生姜一枣大拍碎,煎至八分,去渣,温服。
葛根汤(出自《圣济总录》):治疗阳毒伤寒,头痛壮热未解,身体疼痛。
葛根(锉)、龙胆、大青(各三分)、桂(去粗皮)、葳蕤、芍药、黄芩(去黑心)、升麻、石膏(碎)、麻黄(去根节)、甘草(炙锉,各半两)。上药粗捣筛。每服五钱匕,水一盏半,生姜一枣大拍碎,煎至八分,去渣,不拘时候温服。
葛根散(出自《圣济总录》):治疗阳毒伤寒,身热如火,头痛燥渴,咽喉酸痛。
葛根(锉三炒)、山栀子仁、黄芩(去黑心)、大黄(锉醋炒)、甘草(炙锉,各半两)、朴硝(一两)。上药捣罗为散。每服二钱匕,不拘时,温服,熟水调下。
秦艽汤(出自《圣济总录》):治疗阳毒伤寒,心躁闷乱,烦热狂语,口干不止。
秦艽(去苗土)、黄芩(去黑心)、甘草(炙锉)、木通、枳壳(去瓤麸炒)、玄参(各半两)。
Yang Qi alone becomes hyperactive, while Yin Qi suddenly declines. Yin is overcome by Yang, resulting in a state where both the interior and exterior are dominated by Yang, thus forming Yang Du (Yang Toxin) Shanghan (Cold Damage). Some patients develop Yang Du immediately upon contracting the disease; others, after taking herbal decoctions, fail to recover after five or six days and instead transform into Yang Du. This occurs because the disease fundamentally belongs to Yang patterns, or due to forced sweating via fire therapy, or stimulation from moxibustion, causing Yang Qi to become even more excessive and Yin Qi to dissipate internally. Clinical manifestations include: flushed face, restlessness, mania with running about, delirious speech, skin eruptions resembling brocade patterns, sore throat, purulent blood in nasal discharge and saliva, or diarrhea with yellow-red stools. The pulse is characterized as洪 (Surging), 实 (Full), 滑 (Slippery), and 促 (Rapid with intermittent pauses).
The verse states: When Yang Du is deep, the pulse is Surging; heat binds within and outside, the tongue coating is scorched black, and the nostrils appear soot-like. The water immersion method (cold wet compress) is suitable.
In Shanghan (Cold Damage), if Yang Du forms within one or two days, or transforms into Yang Du after emesis or purgation following medication, symptoms include heavy body, back pain, mental distress and uneasiness, delirium, running about, hallucinations of seeing ghosts, hematemesis, or diarrhea with red-yellow stool. The pulse is Floating, Large, and Rapid. The face is red with mottled eruptions like brocade, the throat hurts, and pus-blood is expectorated. It is treatable within five to six days, but difficult to cure by the sixth or seventh day. For Yang Du, Shengma Tang (Cinnamon Twig and Cimicifuga Decoction) is the primary formula. If there is a sore throat, Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction) is used. In severe cases, patients may exhibit behaviors such as climbing walls or roofs. If the pulse is Wiry, Surging, Rapid with intermittent pauses, and Rapid, accompanied by fever and absence of sweat, Shengma Tang is also indicated. Other options include Tingli Kujiu Tang (Descurainia Seed and Vinegar Decoction), Dahuang Tang (Rhubarb Decoction), Zhizi Ren Tang (Gardenia Seed Decoction), Heinu Wan (Black Slave Pill), and Taiyi Niuhuang Gao (Taiyi Calculus Bovis Ointment, taken with Zhuye Tang (Bamboo Leaf Decoction)). Alternatively, grind three large earthworms (Dilong), add ginger juice, mint juice, raw honey, and a small amount of Borneolum Syntheticum (Naozi), mix with fresh well water, and administer orally. These methods aim to restore Yin Qi, allowing resolution through profuse sweating. For Yang Du with high fever, thirst, delirium, red macules, and persistent epistaxis, one dose of Baihu Tang (White Tiger Decoction) is effective. If Yang Du is deep, with a Surging pulse, internal-external heat binding, curled black tongue, and soot-like nostrils, use fresh well water to soak multiple layers of cloth, apply to the chest, and continuously replace with cold soaked cloth until the heat subsides slightly, then stop.
*Ben Shi Fang* records: Moxibustion for Jie Xiong (Chest Binding), using seven seeds of Crotonis Fructus (Badou) and seven cun of Coptidis Rhizoma (Huanglian), ground fine, mixed with saliva into a paste, applied to the umbilicus, and moxibusted above without limiting the number of cones. Effectiveness is indicated by bowel sounds in the abdomen. After moxibustion, wipe clean with warm damp cloth to prevent ulceration. This method, along with Ji Yan Shen Gong San, can be used for Yin-Yang Er Du (Yin and Yang Toxins) provided there is faint vital energy. If sound is heard at the umbilicus, sweating will resolve the condition.
Sun Yonghe, Imperial Physician, created Po Jie Dan (Breaking Knots Pill) to treat inverted stagnation of Yin and Yang Qi transforming into Jie Xiong. After five to six days, if stool is dry and hard, making purgation ineffective and ventilation impossible, this formula is used. Ingredients: Chen Sha (Cinnabar), Silver Foil, Qing Meng Shi (Mica), Bei Ting Zhi (Litharge?), Rou Dou Kou (Nutmeg), Mu Xiang (Aucklandiae Radix), Guan Gui (Cassia Bark), Qian Niu Zi (Pharbitidis Semen), Sheng Hei Fu Zi (Raw Black Aconite Root, processed), Ba Dou Rou (Croton Seed flesh, oil not removed), each half liang; Qing Fen (Calomel), half fen; She Xiang (Moschus), half qian; Jin Bo (Gold Foil), five sheets. Take half sheng of aged vinegar, boil Chen Sha, Fu Zi, and Qian Niu Zi into a paste, then add remaining herbs, mix well, and form pills the size of soap pods, coated with Qing Fen. Take two pills per dose, washed down with honey water.
Yang patterns presenting as Yin cold: cold limbs, deep pulse, red urine, loose stool, flushed face, irritability, slight fever. Yin patterns presenting as Yang deficiency: deeper and weaker deep pulse, extreme Yin causes dryness, extreme heat causes厥 (Jue - collapse/convulsion), things reverse when they reach extremes. Extreme Yang must transform into Yin, extreme Yin into Yang; this is the variation of cold and heat. Cold limbs, red urine, constipation, or black stool, closed eyes, sluggish speech/movement, deep and Slippery pulse is called "Yang pattern resembling Yin". Flushed face, irritability, slight fever, closed eyes with fever, deep and weak pulse is called "Yin pattern resembling Yang". To confirm, trace back to the root, observe complexion, listen to voice, differentiate by Six Channels, and refer to external signs. Calmly verify via pulse. Rapid pulse indicates heat, slow pulse indicates cold; Yin and Yang are distinguished. Yang nature is light, Yin nature is heavy. Yin disease pulses are heavy, Yang disease pulses are light. Yang excess brings quietness during the day, Yin excess brings peace at night; Yang deficiency brings chaos at dusk, Yin deficiency brings struggle at night. Yang pattern resembling Yin uses Baihu Tang; extreme heat generating cold causes cold limbs, use Chengqi Tang. Yin pattern resembling Yang uses Sini Tang plus Cong Bai (Green Onion White). Yin excess causes dryness, lower deficiency causes facial flushing, interior cold causes slight fever. Yin excess repelling Yang presents with thin, deep, rapid pulse, cold body, extreme irritability, desire to lie in mud/water, desire to drink but unwillingness to swallow. Those who want to drink are different. Pili San (Thunderbolt Powder), Shaoyan San (Little Flame Powder), Dansha Wan (Cinnabar Pill) are effective. Sun Yonghe used one half-liang Hei Fu Zi (Black Aconite), roasted to retain properties, cooled and powdered, mixed with one qian of Zhen La Cha (True Lhasa Tea), divided into two doses. Each dose boiled with one sheng water and half spoon honey to six parts, taken cold. Cessation of irritability, sleep, and sweating indicate efficacy. Yang patterns include Taiyang, Yangming, Shaoyang. Taiyang corresponds to Bladder, symptoms: fever, aversion to cold, headache, back pain, Floating pulse. Yangming corresponds to Stomach, no aversion to cold, aversion to heat, sweating, constipation, tidal fever, Long pulse. Shaoyang corresponds to Gallbladder, bitter taste, dry throat, hypochondriac fullness, fever with vomiting, alternating chills and fever, Wiry pulse. Mahuang Tang (Ephedra Decoction), Da Qinglong Tang (Major Green Dragon Decoction), Guizhi Tang (Cinnamon Twig Decoction) treat Taiyang channel Wind-Cold. Da Chaihu Tang (Major Bupleurum Decoction), Tiao Wei Chengqi Tang (Regulate Stomach and Order the Qi Decoction), Xiao Chengqi Tang (Minor Order the Qi Decoction), Da Chengqi Tang (Major Order the Qi Decoction) treat Yangming Shanghan. Xiao Chaihu Tang (Minor Bupleurum Decoction) treats Shaoyang Shanghan. Other formulas address post-emetic/purgative conditions. If Yang Qi alone is excessive and Yin Qi abruptly ceases, it is Yang Du, manifesting as manic running, delirium, flushed face, sore throat, brocade-like rashes, or red-yellow diarrhea, with Surging/Full or Slippery/Rapid pulses. Use sour-bitter drugs to restore Yin and resolve via sweating. Ancients said: Sour and bitter induce vomiting and purgation, belonging to Yin. Ku Shen (Sophorae Root), Da Qing (Isatidis Folium), Ting Li (Descurainiae Semen), Ku Jiu (Vinegar) can restore Yin Qi. Mild heat uses bitter drugs; severe heat combines sour and bitter to reduce heat and restore Yin. If extreme heat causes Jue, resembling Yang pattern, differentiate by pulse.
Formulas:
Shengma San (Cimicifuga Powder): Treats Shanghan becoming Yang Du on day one, or after emesis/purgation with unresolved toxin, heavy body, stiff back, distress, delirium.
Chuan Shengma, She Gan (each 1 liang), Dang Gui (crushed, lightly fried), Xi Jiao Xie (Rhinoceros Horn powder), Gan Cao (roasted red, crushed, 0.5 liang), Huang Qin, Huang Lian (devoid of stamens), Di Gu Pi (each 3 qian). Grind and sieve into powder. Take 4 qian per dose, boil in one zhong zhan water to 6 parts, strain, take anytime.
Maimen Dong San (Ophiopogon Powder): Treats Yang Du Shanghan, body pain, head/face like fire, chest/heart distress, heat, thirst, red-yellow urine, insomnia.
Maimen Dong (devoid of heart, baked), Ge Gen (crushed), Chai Hu (devoid of seedling), Chi Shao Yao, Zhi Mu, Ma Ya Xiao (each 1 liang), Zi Qin, Xuan Shen, Gan Cao (roasted red, crushed, 3 qian), Chuan Shengma, Xi Jiao Xie (each 0.5 liang). Grind and sieve. Take 4 qian, boil in one zhong zhan water to 6 parts, strain, take warm anytime.
Xi Jiao San (Rhinoceros Horn Powder): Treats Yang Du Shanghan, delirious running, flushed mottled face, dry/sore throat, chest/heart distress, limb stiffness, red-yellow urine.
Xi Jiao Xie, Gan Cao (roasted red, crushed, 0.5 liang each), She Gan, Chuan Da Huang (crushed, lightly fried), Huang Qin (3 qian each), Chai Hu (devoid of seedling), Chuan Shengma, Chuan Mang Xiao, Maimen Dong (devoid of heart, baked, 1 liang each). Coarsely grind and sieve. Take 4 qian, boil in one zhong zhan water with 37 bamboo leaves and 50 wheat grains to 6 parts, strain, take warm anytime.
Shi Gao San (Gypsum Powder): Treats Yang Du Shanghan, high fever headache, heavy limbs, dry mouth, restless heart.
Shi Gao (1 liang), Zhi Mu, Chai Hu (devoid of seedling), Ma Huang (devoid of roots), Gan Cao (roasted red, crushed), Huang Qin, Chi Shao Yao, Fang Feng (devoid of rhizome), Chi Fu Ling, Chuan Shengma, Gan Ju Hua (above each 0.5 liang). Grind and sieve. Take 4 qian, boil in one zhong zhan water to 6 parts, strain, take warm anytime.
Da Huang San (Rhubarb Powder, from *Huoren Shu*): Treats unresolved Yang Du Shanghan, internal heat binding,恍惚 (trance-like) madness.
Chuan Da Huang (1.5 liang, crushed, lightly fried), Gui Xin (3 qian), Chuan Mang Xiao (2 liang), Gan Cao (roasted red, crushed), Mu Tong (crushed), Da Fu Pi (crushed, 1 liang each), Tao Ren [20 seeds, soaked in water, peeled, kernels double, bran-fried lightly]. Coarsely grind and sieve. Take 4 qian, boil in one zhong zhan water to 6 parts, strain, take warm anytime. Stop when bowels move.
Di Gu Pi San (from *Shenghui Fang*): Treats Yang Du Shanghan, dizziness, heavy body, dry throat/lips, red cheeks, delirious running, chest fullness, vomiting.
Chai Hu (1 liang, devoid of seedling), Di Gu Pi, Mu Xiang, Ma Huang (devoid of roots/joints), Gan Cao (roasted red, crushed), Chuan Shengma, Gua Lou Gen, Ren Shen (devoid of rhizome), Chi Fu Ling, Mu Tong (crushed, above each 0.5 liang). Coarsely grind and sieve. Take 4 qian, boil in one zhong zhan water to 6 parts, strain, take warm anytime.
Chai Hu San (aka Zhizi Ren Tang, from *Huoren Shu*): Treats Yang Du Shanghan, high fever, joint pain.
Chai Hu (1.5 liang, devoid of seedling), Chuan Shengma, Huang Qin, Shi Gao, Xing Ren [soaked, peeled, double kernel, bran-fried, above each 3 liang], Chi Shao Yao, Da Qing, Zhi Mu, Zhizi Ren (1 liang each), Gan Cao (0.5 liang, roasted red, crushed). Coarsely grind and sieve. Take 4 qian, boil in one zhong zhan water with half liang ginger and 100 fermented soybeans to 6 parts, strain, take anytime.
Guizhi Mahuang San (from *Shenghui Fang*): Treats Yang Du Shanghan, sweating on neck/back, stiffness, aversion to wind.
Guizhi, Ma Huang (devoid of roots/joints), Gan Cao (roasted red, crushed), Chi Shao Yao, Ge Gen (crushed), Xing Ren [soaked, peeled, double kernel, bran-fried, 1 liang each]. Grind and sieve. Take 4 qian, boil in one zhong zhan water with half liang ginger to 6 parts, strain, take hot anytime, cover with clothes to sweat. If no sweat after walking ten li, repeat. Later feed green onion and fermented bean porridge.
Baihu Tang (from *Sanyin Fang*): Treats Yang Du Shanghan, after Guizhi Tang caused profuse sweating, great thirst, unresolved irritability, Surging pulse.
Zhi Mu, Gan Cao (roasted red, crushed, 1 liang each), Ma Huang (2 liang, crushed), Jing Mi (1 he). Finely crush, boil in two large zhong zhan water until rice is cooked, strain, take warm in three doses anytime.
Treats Yang Du Shanghan, strong heat in four limbs, chest/heart irritability, incessant vomiting. (From *Shenghui Fang*)
Chai Hu (devoid of seedling), Huang Qin, Ren Shen (devoid of rhizome), Gan Cao (roasted red, crushed), Maimen Dong (devoid of heart, baked, 1 liang each), Ban Xia (0.5 liang, soaked in water seven times, washed to remove slipperiness). Coarsely grind and sieve. Take 4 qian, boil in one zhong zhan water with 37 bamboo leaves and half liang ginger... (text cuts off).
Gua Lou San (from *Shenghui Fang*): Treats Yang Du Shanghan after five-six days, chest heat, dry retching.
Gua Lou, Chai Hu (devoid of seedling), Zhi Mu, Huang Qin, Gan Cao (roasted red, crushed, 1.5 liang each), Lu Gen (2 liang, crushed). Grind and sieve. Take 4 qian, boil in one zhong zhan water with half liang ginger to 6 parts, strain, take warm anytime.
Gan Cao San (from *Shenghui Fang*): Treats Yang Du Shanghan, Surging pulse, palpitations.
Gan Cao (roasted red, crushed), Gui Xin, Fu Shen, Ren Shen (devoid of rhizome), E Jiao (crushed, fried yellow-dry), Maimen Dong (devoid of heart, 1 liang each), Sheng Gan Di Huang, Ma Huang (devoid of roots/joints, 2 liang each). Grind and sieve. Take 4 qian, boil in one zhong zhan water with half liang ginger to 6 parts, strain, take warm anytime.
Huang Qin San (from *Shenghui Fang*): Treats Yang Du Shanghan, drowsy like drunk, heat/restlessness/thirst, bitter taste, dry tongue.
Huang Qin, Chuan Shengma, Chai Hu (devoid of seedling, 1 liang each), Shi Gao (2 liang), Chi Shao Yao, Maimen Dong (devoid of heart), Gan Cao (roasted red, crushed, 0.5 liang each). Grind and sieve. Take 4 qian, boil in one zhong zhan water to 6 parts, strain, take anytime.
Niuhuang Wan (Calculus Bovis Pill, from *Shenghui Fang*): Treats Yang Du Shanghan, heart irritability/distress, trance-like madness, unresolving heat.
Niuhuang (fine powder), Tian Zhu Huang (fine powder), Fang Feng (devoid of rhizome), Zhen Zhu (fine powder, above each 0.5 liang), Long Nao, Gan Cao (roasted red, crushed, 1 liang each), She Xiang (1 qian, fine powder), Xi Jiao Xie, Ling Yang Jiao Xie, Zhu Sha (fine powder, water-washed), Huang Qin, Chuan Shengma (1 liang each). Grind all to powder, mix thoroughly. Bind with refined honey, pound 300-200 times, form pills size of paulownia seeds. Take... (text cuts off).
Treats Yang Du Shanghan, heat/restlessness, constipation.
Chuan Da Huang (1 liang, crushed, lightly fried), Chuan Mang Xiao (0.5 liang). Grind and sieve, boil in one large zhong zhan water to 7 parts, strain, take warm in two doses anytime. Repeat after walking 5-7 li. Expect purgation of evil matter.
Treats Yang Du Shanghan, toxin in organs, delirium, desire to run/rise.
Long Dan (1 liang, devoid of rhizome), Tie Fen (2 liang). Grind fine and sieve. Take 1 qian anytime, mixed with knife-sharpening water.
Shengma San (from *Huoren Shu*): Treats Shanghan becoming Yang Du in 1-2 days, or after emesis/purgation. Back pain, distress, flushed face, delirium, running/hallucinations, diarrhea, Floating-Large-Rapid pulse, mottled red face, sore throat, pus-blood.
Shengma, Xi Jiao (shaved), She Gan, Huang Qin (devoid of black skin), Ren Shen, Gan Cao (roasted, crushed, 1 fen each). Six ingredients, cut like hemp seeds. Take 5 qian bi, boil in 1.5 sheng water to 8 parts, strain, take warm. Repeat after eating time. Cover warmly to sweat. If no sweat, repeat. Severe cases: Da Chengqi Tang, remove Hou Po, add Mu Tong, Gan Cao, Da Fu Pi, Tao Ren (1 liang each), stop when purged.
Xie Xin Tang (Heart-Purging Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, headache/high fever, delirium, hallucinations.
Shi Gao (1 liang), Shao Yao, Ge Gen (crushed), Huang Qin (devoid of black heart, 0.5 liang each), Da Huang, Huang Lian (devoid of stamens, 3 qian each). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water with ginger (date-sized, smashed) to 8 parts, strain, take warm. Twice daily, anytime.
Shengma Tang (Cimicifuga Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, back pain, distress, flushed face, delirious running/hallucinations, irregular diarrhea.
Shengma, Xiong Huang (vinegar-boiled, ground, 0.5 liang each), Dang Gui (cut, baked), Gui (devoid of rough bark, 1 liang each), Gan Cao [roasted, crushed, 2-3 fen], Bie Jia (vinegar-roasted, devoid of skirt, 1 liang). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water to 8 parts, strain, take warm. Twice daily, anytime.
Da Qing Tang (Isatis Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, unresolved irritability, or diarrhea, critical condition.
Da Qing (2 liang), Qin Jiao (devoid of seedling/earth, 1 liang), Xi Jiao (shaved), Shan Zhi Zi Ren, Gan Cao (roasted, crushed), Huang Lian (devoid of stamens, 0.5 liang each). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water with 100 fermented soybeans and 7 cun Xie Bai to 8 parts, strain, take warm before meals.
Jie Yang Tang (Resolving Yang Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, dry mouth/tongue.
Ma Huang (devoid of roots/joints), Ren Shen, Chi Fu Ling (devoid of black skin), Gui (devoid of rough bark, 0.5 liang each), Maimen Dong (devoid of heart, baked), Ge Gen (crushed, 3 qian each), Xing Ren (soaked, peeled, double kernel, fried), Gan Cao (roasted, crushed, 1 liang each). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water... (text cuts off).
Wu Jie Tang (Five-Resolving Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, fever/irritability.
Shan Zhi Zi Ren, Huang Qin (devoid of black skin), Gan Cao (roasted, crushed), Da Huang (crushed, vinegar-fried, 1 fen each), Po Xiao (2 qian). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water to 8 parts, strain, take warm on empty stomach.
Xi Jiao Tang (Rhinoceros Horn Decoction, from *Shengji Zonglu*): Treats initial Yang Du Shanghan, high body heat, red eyes, yellow urine, chest oppression/headache, incessant thirst.
Xi Jiao (shaved, 1 liang), Ren Shen (3 qian), Chi Fu Ling (devoid of black skin), Yin Chen Hao, Xi Xin (devoid of seedling/leaf), Chen Pi (soaked, white part removed, fried), Ma Huang (devoid of roots/joints), Gan Cao (roasted, crushed, 0.5 liang each). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water with ginger (date-sized, smashed) to 8 parts, strain, take warm.
Ge Gen Tang (Pueraria Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, unresolved headache/high fever, body pain.
Ge Gen (crushed), Long Dan, Da Qing (3 qian each), Gui (devoid of rough bark), Wei Rui, Shao Yao, Huang Qin (devoid of black heart), Shengma, Shi Gao (crushed), Ma Huang (devoid of roots/joints), Gan Cao (roasted, crushed, 0.5 liang each). Coarsely grind and sieve. Take 5 qian bi, boil in 1.5 sheng water with ginger (date-sized, smashed) to 8 parts, strain, take warm anytime.
Ge Gen San (Pueraria Powder, from *Shengji Zonglu*): Treats Yang Du Shanghan, body heat like fire, headache/dry thirst, sore throat.
Ge Gen (crushed, stir-fried three times), Shan Zhi Zi Ren, Huang Qin (devoid of black heart), Da Huang (crushed, vinegar-fried), Gan Cao (roasted, crushed, 0.5 liang each), Po Xiao (1 liang). Grind and sieve. Take 2 qian bi, anytime, take warm mixed with cooked water.
Qin Jiao Tang (Qin Jiao Decoction, from *Shengji Zonglu*): Treats Yang Du Shanghan, heart irritability/confusion, heat/restlessness/delirium, incessant dry mouth.
Qin Jiao (devoid of seedling/earth), Huang Qin (devoid of black heart), Gan Cao (roasted, crushed), Mu Tong, Zhi Ke (devoid of pulp, bran-fried), Xuan Shen (0.5 liang each).