得病二三日，脉弱，无太阳柴胡证，烦躁，心下鞕，至四五日，虽能食，以小承气汤少少与，微和之，令小安。至六日与小承气汤一升。若不大便六七日，小便少者，虽不大便，但初头鞕，后必溏，未定成鞕，攻之必溏，须小便利，屎定鞕，乃可攻之，宜大承气汤。(方见前)
伤寒六七日，目中不了了，睛不和，无表里证，大便难，身微热者，此为实也，急下之，宜大承气汤。(方见前)
阳明少阳合病，必下利，其脉不负者，为顺也；负者，失也。互相克责，名为负也。脉滑而数者，有宿食也，当下之，宜大承气汤。(方见前)
病人无表里证，发热七八日，虽脉浮数者，可下之；假令已下，脉数不解，合热则消谷善饥，至六七日不大便者，有瘀血也，宜抵当汤；若脉数不解，而下利不止，必协热便脓血也。(方见前)
伤寒，发汗已，身目为黄，所以然者，以寒湿在里，不解故也，不可汗也，当于寒湿中求之。
伤寒七八日，身黄如橘子色，小便不利，腹微满者，茵陈蒿汤主之。(方见前)
麻黄二两连轺二两杏仁四十个(去皮尖)赤小豆一升大枣十二枚生梓白皮一斤(切)生姜二两(切)甘草二两(炙)
右八味，以潦水一斗，先煮麻黄再沸，去上沫，纳诸药，煮取三升，去滓，分温三服，半日服尽。
阳明病，身热，不能食，食即头眩，心胸不安，久久发黄，此名谷疸，茵陈蒿汤主之。(方见前)
阳明病，身热，发黄，心中懊（忄农），或热痛，因于酒食者，此名酒疸，栀子大黄汤主之。
猪膏发煎主之。
猪膏发煎方
黄疸，腹满，小便不利而赤，自汗出，此为表和里实，当下之，宜大黄硝石汤。
右四味，以水六升，先煮三味，取二升，去滓，纳硝，更煮取一升，顿服。
大柴胡汤方
柴胡半斤黄芩三两芍药三两半夏半升(洗)生姜五两(切)枳实四枚(炙)大枣十二枚(劈)大黄二两
右八味，以水一斗二升，煮取六升，去滓，再煎，温服二升，日三服。
黄病，小便色不变，自利，腹满而喘者，不可除热，除热必哕，哕者，小半夏汤主之。
小半夏汤方(见前)
诸黄家，但利其小便，五苓散加茵陈蒿主之；假令脉浮，当以汗解者，宜桂枝加黄芪汤。(五苓散见前加茵陈蒿十分同末)
桂枝三两芍药三两甘草二两(炙)生姜三两(切)大枣十五枚黄芪二两
小建中汤方
桂枝三两芍药六两甘草三两(炙)生姜三两(切)大枣十二枚饴糖一升
右六味，以水七升，先煮五味，取三升，去滓，纳胶饴，更上微火消解，温服一升，日三服。
黄疸病，当以十八日为期，治之十日以上瘥，反剧者，为难治。
趺阳脉微而弦，法当腹满，若不满者，必大便难，两胠疼痛，此为虚寒，当温之，宜吴茱萸汤。(方见前)
夫病人腹痛绕脐，此为阳明风冷，谷气不行，若反下之，其气必冲，若不冲者，心下则痞，当温之，宜理中汤。
理中汤方
阳明病发热，十余日，脉浮而数，腹满，饮食如故者，厚朴七物汤主之。
阳明病，腹中切痛，雷鸣，逆满，呕吐者，此虚寒也，附子粳米汤主之。
阳明病，腹中寒痛，呕不能食，有物突起，如见头足，痛不可近者，大建中汤主之。
大建中汤方
右四味，以水四升先煮三味，取二升，去滓，纳胶饴，微火煮取一升半，分温再服，如一炊顷，可饮粥二升，后更服，当一日食糜粥，温覆之。
阳明病，腹满，胁下偏痛，发微热，其脉弦紧者，当以温药下之，宜大黄附子细辛汤。
右三味，以水五升，煮取二升，去滓，分温三服，一服后，如人行四五里，再进一服。
问曰：阳明宿食何以别之?师曰：寸口脉浮而大，按之反涩，尺中亦微而涩，故知其有宿食也，大承气汤主之。(方见前)
瓜蒂散方
右二味，杵为散，以香豉七合，煮取汁，和散一钱匙，温服之，不吐稍加，得吐止后服。
伤寒杂病论卷第十
辨少阳病脉证并治
少阳中风，两耳无所闻，目赤，胸中满而烦者，不可吐、下，吐、下则悸而惊。
伤寒，脉弦细，头痛，发热者，属少阳，不可发汗，汗则讝语，烦躁，此属胃不和也，和之则愈。
本太阳病，不解，转入少阳者，胁下鞕满，干呕不能食，往来寒热，脉沉弦者，不可吐、下，与小柴胡汤。
小柴胡汤方
柴胡八两人参三两黄芩三两甘草三两(炙)半夏半升(洗)生姜三两(切)大枣十二枚(劈)
右七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
少阳病，气上逆，今胁下痛，甚则呕逆，此为胆气不降也，柴胡芍药枳实甘草汤主之。
右四味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
若以吐、下，发汗，温针，（言严）语，柴胡汤证罢者，此为坏病，知犯何逆，以法救之，柴胡汤不中与也。
三阳合病，脉浮大，上关上，但欲眠睡，目合则汗，此上焦不通故也，宜小柴胡汤。(方见前)
此：为三阴不受邪也。
少阳病欲解时，从寅至辰上。
辨太阴病脉证并治
太阴之为病，腹满而吐，食不下，自利益甚，时腹自痛，若下之必胸下结鞕。
桂枝汤方
桂枝三两芍药三两甘草二两(炙)生姜三两(切)大枣十二枚(劈)
右五味，以水七升，煮取三升，去滓，温服一升，须臾啜热粥一升，以助药力，温覆取汗，不汗再服。
自利不渴者，属太阴，以其脏有寒故也，当温之，宜服理中、四逆辈。
伤寒，脉浮而缓，手足自温者，系在太阴。太阴当发身黄，若小便自利者，不能发黄。至七八日，虽暴烦，下利日十余行。必自止，以脾家实，腐秽当去故也。
本太阳病，医反下之，因尔腹满时痛者，属太阴也，桂枝加芍药汤主之；大实痛者，桂枝加大黄汤主之。
桂枝三两芍药六两甘草二两(炙)生姜三两(切)大枣十二枚(劈)
桂枝三两大黄二两芍药六两甘草二两(炙)生姜三两(切)大枣十二枚(劈)
太阴病，脉弱，其人续自便利，设当行大黄芍药者，宜减之，以其人胃气弱，易动故也。
太阴病，大便反鞕，腹中胀满者，此脾气不转也，宜自术枳实干姜白蜜汤，若不胀满，反短气者，黄芪五物汤加干姜半夏主之。
右四味，以水六升，先煮三味，去滓，取三升，纳白蜜烊消，温服一升，日三服。
黄芪三两桂枝三两芍药三两生姜六两(切)大枣十二枚(劈)干姜三两半夏半升(洗)
太阴病，下利，口渴，脉虚而微数者，此津液伤也，宜人参自术芍药甘草汤。
太阴病，不下利、吐逆，但苦腹大而胀者，此脾气实也，厚朴四物汤主之。
太阴病，不吐、不满，但遗矢无度者，虚故也，理中加黄芪汤主之。
太阴病，欲吐不吐，下利时甚时疏，脉浮涩者，桂枝去芍药加茯苓白术汤主之。
桂枝三两甘草二两(炙)茯苓三两白术三两生姜三两(切)大枣十二枚(劈)
太阴病，吐逆，腹中冷痛，雷鸣下利，脉沉紧者，小柴胡加茯苓白术汤主之。
柴胡半斤黄芩三两人参三两半夏半升(洗)甘草三两(炙)生姜三两(切)大枣十二枚(劈)茯苓三两白术三两
右九味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
太阴病，有宿食，脉滑而实者，可下之，宜承气辈，若大便溏者，宜厚朴枳实白术甘草汤。
太阴病欲解时，从亥至丑上。
伤寒杂病论卷第十一
辨少阴病脉证并治
少阴病，欲吐不吐，心烦，但欲寐，五六日，自利而渴者，属少阴也，虚，故饮水自救；若小便色白者，少阴病形悉具；小便白者，以下焦虚寒，不能制水，故令色白也。
病人脉阴阳俱紧，反汗出者，亡阳也；此属少阴，法当咽痛，而复吐、利。
少阴病咳而下利，（言严）语者，被火劫故也，小便必难，以强责少阴汗也。
少阴病脉微，不可发汗，亡阳故也；阳已虚，尺脉弱涩者，复不可下之。
少阴病脉紧，至七八日，自下利，脉暴微，手足反温，脉紧反去者，为欲解也，虽烦，下利，必自愈。
少阴病欲解时，从子至寅上。
少阴病，吐、利，手足不逆冷，反发热者，不死。脉不至者，灸少阴七壮。
少阴病但厥，无汗，而强发之，必动其血，未知从何道而出，或从口鼻，或从耳出者，是名下厥上竭，为难治。
患病两三天，脉象虚弱，没有太阳病或少阳病的证候，出现烦躁、胃脘部硬满，到了第四五天，虽然能进食，但只少量给予小承气汤，轻微调和胃气，使病人稍感安宁。到了第六天，再给小承气汤一升。如果六七天不大便，小便量少，虽然不大便，但大便开头硬，后面一定稀溏，尚未完全形成硬结，若强行攻下必然导致腹泻，必须等到小便通畅，大便确定变硬后，才可以攻下，适宜用大承气汤。（方剂见前文）
伤寒病六七天，眼睛视物不清，眼球转动不灵活，没有表证也没有明显的里实证，大便困难，身体微热，这是里实热证，应当紧急攻下，适宜用大承气汤。（方剂见前文）
阳明病，发热且汗出多的，应当紧急攻下，适宜用大承气汤。（方剂见前文）
发汗后，病邪未解，腹部胀满疼痛的，应当紧急攻下，适宜用大承气汤。（方剂见前文）
腹部胀满持续不减，即使减轻也微不足道，应当攻下，适宜用大承气汤。（方剂见前文）
阳明病与少阳病合病，必定出现腹泻，脉象不现相克之象的为顺证；出现相克之象的为逆证，即“负”。五行互相克制称为“负”。脉象滑而数的，是有宿食停滞，应当攻下，适宜用大承气汤。（方剂见前文）
病人没有表证和里实证，发热七八天，虽然脉象浮数，可以用攻下法；假如已经攻下，脉数仍未解除，热邪结合导致消化过快容易饥饿，到了六七天不大便的，是有瘀血，适宜用抵当汤；如果脉数仍未解除，反而腹泻不止，必定是协热利导致便脓血。（方剂见前文）
伤寒病，发汗后，身体和眼睛发黄，之所以这样，是因为寒湿在体内，未能解除的缘故，不可再用发汗法，应当在治疗寒湿的方法中寻求对策。
伤寒病七八天，身体发黄像橘子色一样，小便不利，腹部微满的，用茵陈蒿汤主治。（方剂见前文）
麻黄二两连轺二两杏仁四十个（去皮尖）赤小豆一升大枣十二枚生梓白皮一斤（切碎）生姜二两（切碎）甘草二两（炙烤）
以上八味药，用雨水一斗，先煮麻黄，沸腾后去掉上面的泡沫，加入其他药物，煮取三升，去渣，分三次温服，半天内服完。
阳明病，身体发热，不能进食，吃东西就头晕，心胸不安，时间久了发黄，这名叫谷疸，用茵陈蒿汤主治。（方剂见前文）
阳明病，身体发热，发黄，心中烦闷懊恼，或者热痛，由于饮酒饮食引起的，这名叫酒疸，用栀子大黄汤主治。
以上四味药，用水六升，煮取三升，去渣，温服一升，每天服三次。
阳明病，身体发黄，津液干枯，颜色晦暗不明的，这是热邪进入血分，
用猪膏发煎主治。
猪膏发煎方
猪油半斤乱发如鸡蛋大三枚
以上两味药，混合猪油煎炸，头发融化药成，分两次服用，病邪从小便排出。
黄疸病，腹部胀满，小便不利且色赤，自汗出，这是表气和里实，应当攻下，适宜用大黄硝石汤。
以上四味药，用水六升，先煮前三味，取二升，去渣，加入芒硝，再煮取一升，一次顿服。
大柴胡汤方
柴胡半斤黄芩三两芍药三两半夏半升（洗）生姜五两（切碎）枳实四枚（炙烤）大枣十二枚（掰开）大黄二两
以上八味药，用水一斗二升，煮取六升，去渣，再煎，温服二升，每天服三次。
患黄疸病，小便颜色不变，自行腹泻，腹部胀满且喘息的，不可清热，清热必致呃逆，呃逆的，用小半夏汤主治。
小半夏汤方（见前文）
各类黄疸病患者，只要通利小便即可，用五苓散加茵陈蒿主治；假如脉浮，应当用发汗法解表的，适宜用桂枝加黄芪汤。（五苓散见前文，加茵陈蒿十分，研为细末）
桂枝三两芍药三两甘草二两（炙烤）生姜三两（切碎）大枣十五枚黄芪二两
以上六味药，用水八升，煮取三升，去渣，温服一升，每天服三次。
小建中汤方
桂枝三两芍药六两甘草三两（炙烤）生姜三两（切碎）大枣十二枚饴糖一升
以上六味药，用水七升，先煮前五味，取三升，去渣，加入胶饴，再用微火加热使其溶解，温服一升，每天服三次。
阳明病，腹部胀满，小便不利，舌体萎软黄色干燥，无法入睡的，这属于黄疸病家。
黄疸病，以十八天为病程期限，治疗十天后痊愈，反而加重的，为难治。
趺阳脉微而弦，法理上应当腹部胀满，如果不胀满的，必定大便困难，两侧胁肋部疼痛，这是虚寒证，应当温补，适宜用吴茱萸汤。（方剂见前文）
凡是病人腹痛绕脐，这是阳明风冷，谷气运行不畅，如果反而用攻下法，气机必然上冲，如果不冲逆的，心下部就会痞塞，应当温补，适宜用理中汤。
理中汤方
以上四味药，用水八升，煮取三升，去渣，温服一升，每天服三次。
阳明病发热，十多天，脉象浮而数，腹部胀满，饮食正常的，用厚朴七物汤主治。
以上七味药，用水一斗，煮取四升，去渣，温服八合，每天服三次。
阳明病，腹中剧烈疼痛，肠鸣，气逆胀满，呕吐的，这是虚寒证，用附子粳米汤主治。
以上五味药，用水八升，煮米熟透，药成去渣，温服一升，每天服三次。
阳明病，腹中寒冷疼痛，呕吐不能进食，有气块突起，像看到头足一样，疼痛剧烈不可触碰的，用大建中汤主治。
大建中汤方
以上四味药，用水四升先煮前三味，取二升，去渣，加入胶饴，用微火煮取一升半，分两次温服，大约一顿饭的时间，可以喝粥二升，之后再服药，应当一天内吃糜粥，注意保暖覆盖。
阳明病，腹部胀满，胁下偏侧疼痛，发微热，脉象弦紧的，应当用温药攻下，适宜用大黄附子细辛汤。
以上三味药，用水五升，煮取二升，去渣，分三次温服，第一次服后，约人行走四五里的时间，再服第二次。
问：如何辨别阳明宿食？师曰：寸口脉浮而大，按之反涩，尺中脉也微而涩，所以知道有宿食，用大承气汤主治。（方剂见前文）
瓜蒂散方
以上两味药，捣碎为散，用香豉七合，煮取汁，调和散剂一钱匙，温服，不吐则稍加量，吐了就停服后面的药。
伤寒杂病论卷第十
辨少阳病脉证并治
少阳中风，两耳听不见，眼睛红，胸中满闷而烦躁的，不可用吐法、下法，吐、下会导致心悸而惊恐。
伤寒病，脉象弦细，头痛，发热的，属于少阳病，不可发汗，发汗则谵语，烦躁，这属于胃气不和，调和胃气则愈。
原本太阳病，未解，转入少阳的，胁下硬满，干呕不能食，往来寒热，脉象沉弦的，不可用吐、下法，给予小柴胡汤。
小柴胡汤方
柴胡八两人参三两黄芩三两甘草三两（炙烤）半夏半升（洗）生姜三两（切碎）大枣十二枚（掰开）
以上七味药，用水一斗二升，煮取六升，去渣，再煎取三升，温服一升，每天服三次。
少阳病，气机上逆，现在胁下痛，甚至呕吐逆气，这是胆气不降，用柴胡芍药枳实甘草汤主治。
以上四味药，用水一斗，煮取六升，去渣，再煎取三升，温服一升，每天服三次。
如果用吐、下、发汗、温针等误治，导致谵语，柴胡汤证已罢的，这叫坏病，需知犯了什么逆证，依法救治，此时不宜再用柴胡汤。
三阳合病，脉象浮大，关脉尤甚，只想睡觉，闭上眼睛就出汗的，这是上焦不通的缘故，适宜用小柴胡汤。（方剂见前文）
伤寒四五天，没有大热，其人躁烦的，这是阳气离去入阴经的缘故。
伤寒三天，三阳经邪气已尽，三阴经应当受邪，其人反而能食且不呕吐的，
这是三阴经不受邪的表现。
少阳病欲解的时间，从寅时到辰时。
辨太阴病脉证并治
太阴病的表现，是腹部胀满而呕吐，饮食不下，自发性腹泻日益严重，时常腹部自痛，如果误用下法必然导致胸下结硬。
桂枝汤方
桂枝三两芍药三两甘草二两（炙烤）生姜三两（切碎）大枣十二枚（掰开）
以上五味药，用水七升，煮取三升，去渣，温服一升，一会儿喝热粥一升，以助药力，温覆取汗，不出汗再服。
自发性腹泻且不渴的，属太阴病，因为脏腑有寒的缘故，应当温补，适宜服用理中汤、四逆汤类。
伤寒病，脉象浮而缓，手足自温的，病系在太阴。太阴病应当发身黄，如果小便自利的，不会发黄。到了七八天，虽然突然烦躁，腹泻一天十几次，必定会自止，因为脾家实，腐秽之物应当排出的缘故。
原本太阳病，医生反而用下法，因此腹部胀满时痛的，属太阴病，用桂枝加芍药汤主治；大实痛的，用桂枝加大黄汤主治。
桂枝三两芍药六两甘草二两（炙烤）生姜三两（切碎）大枣十二枚（掰开）
桂枝三两大黄二两芍药六两甘草二两（炙烤）生姜三两（切碎）大枣十二枚（掰开）
以上六味药，用水七升，煮取三升，去渣，温服一升，每天服三次。
太阴病，脉弱，其人继续自便利，假设应当使用大黄、芍药的，宜减量，因为其人胃气弱，容易动泄的缘故。
太阴病，大便反而硬，腹部胀满的，这是脾气不转，适宜用白术枳实干姜白蜜汤，如果不胀满，反而短气的，用黄芪五物汤加干姜半夏主治。
以上四味药，用水六升，先煮前三味，去渣，取三升，加入白蜜熔化，温服一升，每天服三次。
黄芪三两桂枝三两芍药三两生姜六两（切碎）大枣十二枚（掰开）干姜三两半夏半升（洗）
以上七味药，用水一斗，煮取五升，去渣，再煎取三升，分三次温服。
太阴病，口渴想喝水，喝水就吐的，这是水饮在膈上，适宜用半夏茯苓汤。
以上四味药，用水四升，煮取三升，去渣，分两次温服，小便通畅，则病愈。
太阴病，腹泻，口渴，脉虚而微数的，这是津液损伤，适宜用人参白术芍药甘草汤。
以上四味药，用水五升，煮取三升，去渣，温服一升，每天服三次。
太阴病，不下利、呕吐，只是苦于腹部大而胀的，这是脾气实，用厚朴四物汤主治。
以上四味药，用水五升，煮取三升，去渣，温服一升，每天服三次。
太阴病，不吐、不满，只是遗屎无度的，是虚证，用理中加黄芪汤主治。
以上五味药，用水八升，煮取三升，去渣，温服一升，每天服三次。
太阴病，想吐吐不出，腹泻时重时轻，脉象浮涩的，用桂枝去芍药加茯苓白术汤主治。
桂枝三两甘草二两（炙烤）茯苓三两白术三两生姜三两（切碎）大枣十二枚（掰开）
以上六味药，用水八升，煮取三升，去渣，温服一升，每天服三次。
太阴病，呕吐逆气，腹中冷痛，肠鸣下利，脉象沉紧的，用小柴胡加茯苓白术汤主治。
柴胡半斤黄芩三两人参三两半夏半升（洗）甘草三两（炙烤）生姜三两（切碎）大枣十二枚（掰开）茯苓三两白术三两
以上九味药，用水一斗二升，煮取六升，去渣，再煎取三升，温服一升，每天服三次。
太阴病，有宿食，脉象滑而实的，可以攻下，适宜用承气汤类，如果大便稀溏的，适宜用厚朴枳实白术甘草汤。
以上四味药，用水六升，煮取三升，去渣，温服一升，每天服三次。
太阴病欲解的时间，从亥时到丑时。
伤寒杂病论卷第十一
辨少阴病脉证并治
少阴病，想吐吐不出，心烦，只想睡觉，五六天，自发性腹泻且口渴的，属少阴病，因虚，所以喝水自救；如果小便颜色白的，少阴病形具备；小便白，是因为下焦虚寒，不能制约水液，所以令其色白。
病人脉象阴阳俱紧，反而汗出的，是亡阳；这属少阴病，法当咽痛，并且呕吐、腹泻。
少阴病咳嗽而腹泻，谵语的，是被火劫迫汗的缘故，小便必定困难，因为强行索取少阴汗的缘故。
少阴病脉微，不可发汗，因为亡阳的缘故；阳气已虚，尺脉弱涩的，也不可用下法。
少阴病脉紧，到了七八天，自发性腹泻，脉象突然变微，手足反而温暖，脉紧反而消失的，是欲愈的表现，虽然烦躁，腹泻，必定自愈。
少阴病欲解的时间，从子时到寅时。
少阴病，呕吐、腹泻，手足不逆冷，反而发热的，不死。脉不至的，灸少阴穴七壮。
少阴病仅厥冷，无汗，而强行发汗的，必定动血，不知从哪条道而出，或从口鼻，或从耳出的，这名叫下厥上竭，为难治。
Two to three days after contracting the disease, if the pulse is weak, and there are no Taiyang or Shaoyang patterns, but rather irritability and hardness in the epigastrium, by the fourth or fifth day, even if the patient can eat, administer Xiao Cheng Qi Tang (Minor Order the Qi Decoction) in small amounts to slightly harmonize the stomach and provide slight relief. By the sixth day, administer one sheng of Xiao Cheng Qi Tang (Minor Order the Qi Decoction). If there has been no bowel movement for six or seven days, and urine output is scanty, although there is constipation, the stool may be hard at the beginning but loose at the end, indicating that firmness has not yet fully formed; forcing a purge will cause diarrhea. One must wait until urination is free and the stool is definitely hard before purging; Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
In Shanghan (Cold Damage), after six or seven days, if the eyes appear unclear and the pupils are unresponsive, without exterior or interior signs, with difficulty in defecation and slight body heat, this is an excess condition requiring urgent purgation; Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
In Yangming disease, if there is fever and profuse sweating, urgent purgation is required; Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
After sweating, if the pathogen remains unresolved and abdominal fullness and pain occur, urgent purgation is required; Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
If abdominal fullness does not decrease, or decreases insignificantly, purgation is required; Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
When Yangming and Shaoyang diseases combine, diarrhea is inevitable. If the pulse does not show the sign of "Fu" (defeat/loss due to elemental overcoming), it is a favorable progression; if it shows "Fu," it indicates loss. Mutual overcoming is called "Fu." A slippery and rapid pulse indicates retained food; purgation is required, and Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Formula see previous)
If a patient has neither exterior nor interior signs, but has had fever for seven or eight days, and although the pulse is floating and rapid, purgation may be used. If purgation has already been performed and the rapid pulse persists, combined heat may cause excessive hunger and digestion. If by the sixth or seventh day there is no bowel movement, blood stasis is present; Di Dang Tang (Blood-Thirsting Decoction) is indicated. If the rapid pulse persists and diarrhea continues uncontrollably, heat-collateral diarrhea with pus and blood will likely occur. (Formula see previous)
In Shanghan (Cold Damage), after sweating, if the body and eyes become yellow, it is because cold-dampness is trapped inside and unresolved. Sweating should not be used again; treatment should seek methods within the context of treating cold-dampness.
In Shanghan (Cold Damage), after seven or eight days, if the body is yellow like an orange peel, with difficult urination and slight abdominal fullness, Yin Chen Hao Tang (Artemisiae Scopariae Decoction) is the primary treatment. (Formula see previous)
In Shanghan (Cold Damage), if the body is yellow with fever, Zhi Zi Bai Pi Tang (Gardenia and Phellodendron Bark Decoction) is the primary treatment.
Zhi Zi Bai Pi Tang (Gardenia and Phellodendron Bark Decoction) Formula
Zhi Zi (Gardeniae Fructus) fifteen pieces (split) Gan Cao (Licorice Radix et Rhizoma) one liang (roasted) Huang Bo (Phellodendri Cortex) two liang
These three ingredients are boiled in four sheng of water to obtain one and a half sheng. Strain and take warm in two doses.
If Shanghan (Cold Damage) involves stagnant heat trapped inside, the body will surely turn yellow; Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Red Bean Decoction) is the primary treatment.
Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Red Bean Decoction) Formula
Ma Huang (Ephedrae Herba) two liang Lian Qiao (Forsythiae Fructus) two liang Xing Ren (Armeniacae Semen Amarum) forty pieces (skin and tip removed) Chi Xiao Dou (Adzuki Bean) one sheng Da Zao (Jujubae Fructus) twelve pieces Sheng Zi Bai Pi (Catalpae Cortex) one jin (cut) Sheng Jiang (Zingiberis Rhizoma Recens) two liang (cut) Gan Cao (Licorice Radix et Rhizoma) two liang (roasted)
These eight ingredients are boiled in ten dou of rainwater. First boil Ma Huang (Ephedrae Herba); when boiling, remove the foam on top. Add the other herbs and boil to obtain three sheng. Strain and take warm in three doses, finishing within half a day.
In Yangming disease, if there is body heat, inability to eat, dizziness upon eating, and chest discomfort, leading to yellowing over time, this is called Gu Dan (Grice Jaundice); Yin Chen Hao Tang (Artemisiae Scopariae Decoction) is the primary treatment. (Formula see previous)
In Yangming disease, if there is body heat, yellowing, mental restlessness (Ao Nong), or heat pain due to alcohol and diet, this is called Jiu Dan (Alcohol Jaundice); Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction) is the primary treatment.
Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction) Formula
Zhi Zi (Gardeniae Fructus) fourteen pieces Da Huang (Rhei Radix et Rhizoma) one liang Zhi Shi (Aurantii Fructus Immaturus) five pieces Chi Xiao Dou (Sojae Semen Praeparatum) one sheng
These four ingredients are boiled in six sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Yangming disease, if the body is yellow, fluids are dry, and the complexion is dark and dull, this indicates heat entering the Blood level; Zhu Gao Fa Jian (Pork Fat and Hair Decoction) is the primary treatment.
Zhu Gao Fa Jian (Pork Fat and Hair Decoction) Formula
Zhu Gao (Porcine Adiposum) half a jin Luan Fa (Human Capillus) three pieces the size of a chicken egg
Mix these two ingredients and fry in the fat until the hair dissolves and the medicine is ready. Take in two doses; the pathogen exits via urination.
For Jaundice with abdominal fullness, difficult and red urination, and spontaneous sweating, this indicates exterior harmony and interior excess; purgation is required, and Da Huang Xiao Shi Tang (Rhubarb and Nitre Decoction) is indicated.
Da Huang Xiao Shi Tang (Rhubarb and Nitre Decoction) Formula
Da Huang (Rhei Radix et Rhizoma) four liang Huang Bo (Phellodendri Cortex) four liang Mang Xiao (Natrii Sulfas) four liang Zhi Zi (Gardeniae Fructus) fifteen pieces
Boil these four ingredients in six sheng of water. First boil the first three to obtain two sheng, strain, add Mang Xiao (Natrii Sulfas), and boil to obtain one sheng. Take all at once.
For various types of Jaundice with abdominal pain and vomiting, Da Chai Hu Tang (Major Bupleurum Decoction) is indicated.
Da Chai Hu Tang (Major Bupleurum Decoction) Formula
Chai Hu (Bupleuri Radix) half a jin Huang Qin (Scutellariae Radix) three liang Shao Yao (Paeoniae Radix Alba) three liang Ban Xia (Pinelliae Rhizoma) half a sheng (washed) Sheng Jiang (Zingiberis Rhizoma Recens) five liang (cut) Zhi Shi (Aurantii Fructus Immaturus) four pieces (roasted) Da Zao (Jujubae Fructus) twelve pieces (split) Da Huang (Rhei Radix et Rhizoma) two liang
Boil these eight ingredients in twelve dou of water to obtain six sheng. Strain and decoct again to obtain three sheng. Take two sheng warm, three times daily.
For Jaundice where urine color remains unchanged, with spontaneous diarrhea, abdominal fullness, and wheezing, clearing heat is contraindicated as it will cause hiccups. For hiccups, Xiao Ban Xia Tang (Minor Pinellia Decoction) is the primary treatment. (Formula see previous)
For all Jaundice patients, promoting diuresis is key; Wu Ling San (Five-Ingredient Powder with Poria) added with Yin Chen Hao (Artemisiae Scopariae Herba) is used. If the pulse is floating, indicating a need for diaphoresis, Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction with Added Astragalus) is indicated. (Wu Ling San (Five-Ingredient Powder with Poria) see previous; add Yin Chen Hao (Artemisiae Scopariae Herba) in equal parts, powdered together.)
Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction with Added Astragalus) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Shao Yao (Paeoniae Radix Alba) three liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) fifteen pieces Huang Qi (Astragali Radix) two liang
Boil these six ingredients in eight sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
For all Jaundice cases with spontaneous urination, treat according to Xu Lao (Deficiency Consumption) methods; Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is the primary treatment.
Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Shao Yao (Paeoniae Radix Alba) six liang Gan Cao (Licorice Radix et Rhizoma) three liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces Yi Tang (Maltose) one sheng
Boil the first five ingredients in seven sheng of water to obtain three sheng. Strain, add Yi Tang (Maltose), and melt over low heat. Take one sheng warm, three times daily.
In Yangming disease, with abdominal fullness, difficult urination, a flaccid yellow dry tongue, and insomnia, this belongs to the category of Jaundice families.
Jaundice has a prognosis period of eighteen days. If cured after ten days of treatment, it is good; if aggravated, it is difficult to treat.
Generally, if the pulse is deep, there is thirst with desire to drink, and difficult urination, jaundice will likely develop later.
If the Duyang pulse is faint and wiry, abdominal fullness is expected. If there is no fullness, there will likely be difficult defecation and pain in both hypochondria. This is deficiency-cold, requiring warming; Wu Zhu Yu Tang (Evodiae Fructus Decoction) is indicated. (Formula see previous)
If a patient has periumbilical abdominal pain, this is Yangming Wind-Cold causing stagnation of Grain Qi. If purgation is wrongly applied, Qi will rush upward; if it does not rush, Epigastric Stagnation (Pi) will form. Warming is required; Li Zhong Tang (Regulate the Middle Decoction) is indicated.
Li Zhong Tang (Regulate the Middle Decoction) Formula
Ren Shen (Ginseng Radix et Rhizoma) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang Gan Cao (Licorice Radix et Rhizoma) three liang (roasted) Gan Jiang (Zingiberis Rhizoma) three liang
Boil these four ingredients in eight sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Yangming disease with fever for over ten days, floating and rapid pulse, abdominal fullness, but normal appetite, Hou Po Qi Wu Tang (Magnolia Bark Seven-Ingredient Decoction) is the primary treatment.
Hou Po Qi Wu Tang (Magnolia Bark Seven-Ingredient Decoction) Formula
Hou Po (Magnoliae Officinalis Cortex) half a jin Gan Cao (Licorice Radix et Rhizoma) three liang Da Huang (Rhei Radix et Rhizoma) three liang Zhi Shi (Aurantii Fructus Immaturus) five pieces Gui Zhi (Cinnamomi Ramulus) two liang Sheng Jiang (Zingiberis Rhizoma Recens) five liang Da Zao (Jujubae Fructus) ten pieces
Boil these seven ingredients in ten dou of water to obtain four sheng. Strain and take eight ge warm, three times daily.
In Yangming disease, if there is cutting abdominal pain, borborygmus, rebellious Qi with fullness, and vomiting, this is deficiency-cold; Fu Zi Mi Tang (Aconite and Rice Decoction) is the primary treatment.
Fu Zi Mi Tang (Aconite and Rice Decoction) Formula
Fu Zi (Aconiti Lateralis Radix Praeparata) one piece (processed) Ban Xia (Pinelliae Rhizoma) half a sheng Gan Cao (Licorice Radix et Rhizoma) one liang Da Zao (Jujubae Fructus) ten pieces Jing Mi (Oryza Sativa Var. Glutinosa) half a sheng
Boil these five ingredients in eight sheng of water until the rice is cooked. Strain and take one sheng warm, three times daily.
In Yangming disease, if there is cold abdominal pain, vomiting with inability to eat, a protruding mass resembling a head or foot, and severe pain intolerant to touch, Da Jian Zhong Tang (Major Construct the Middle Decoction) is the primary treatment.
Da Jian Zhong Tang (Major Construct the Middle Decoction) Formula
Shu Jiao (Zanthoxyli Pericarpium) two he (remove eyes and closed ones, stir-fry until sweat appears) Gan Jiang (Zingiberis Rhizoma) four liang Ren Shen (Ginseng Radix et Rhizoma) one liang Jiao Yi (Maltose) one sheng
Boil the first three ingredients in four sheng of water to obtain two sheng. Strain, add Jiao Yi (Maltose), and simmer to obtain one and a half sheng. Take warm in two doses. After about the time of one meal, drink two sheng of porridge, then take the remaining dose. The patient should consume congee for the day and keep warm.
In Yangming disease, with abdominal fullness, unilateral hypochondriac pain, slight fever, and a wiry-tight pulse, warm purgatives are required; Da Huang Fu Zi Xi Xin Tang (Rhubarb, Aconite, and Asarum Decoction) is indicated.
Da Huang Fu Zi Xi Xin Tang (Rhubarb, Aconite, and Asarum Decoction) Formula
Da Huang (Rhei Radix et Rhizoma) three liang Fu Zi (Aconiti Lateralis Radix Praeparata) three liang Xi Xin (Asari Radix et Rhizoma) two liang
Boil these three ingredients in five sheng of water to obtain two sheng. Strain and take warm in three doses. After the first dose, wait the time it takes to walk four or five li before administering the next dose.
Question: How to distinguish Yangming retained food? Master says: If the Cun Kou (Inch) pulse is floating and large, but feels rough upon pressure, and the Chi (Cubit) pulse is also faint and rough, retained food is known to exist; Da Cheng Qi Tang (Major Order the Qi Decoction) is the primary treatment. (Formula see previous)
A Cun Kou pulse that is rapid and slippery indicates retained food.
Diarrhea with lack of appetite indicates retained food.
A pulse tight like a turning rope indicates retained food.
A tight pulse with abdominal pain and aversion to wind and cold indicates retained food.
If retained food is in the Upper Wan (Upper Stomach), emesis is indicated; Gua Di San (Melon Spore Powder) is indicated.
Gua Di San (Melon Spore Powder) Formula
Gua Di (Momordicae Fructus) one fen Chi Xiao Dou (Adzuki Bean) one fen
Powder these two ingredients. Boil Xiang Chi (Perillae Folium Preparatum) seven he to extract juice. Mix with one qian chi of powder and take warm. If vomiting does not occur, increase the dose slightly. Stop subsequent doses once vomiting occurs.
Treatise on Cold Damage and Miscellaneous Diseases, Volume 10
Differentiating Shaoyang Disease Pulse, Signs, and Symptoms
Shaoyang disease is characterized by bitter taste in the mouth, dry throat, and vertigo.
Shaoyang Wind Strike, with deafness, red eyes, chest fullness, and irritability, should not be treated with emesis or purgation, as these will lead to palpitations and fright.
In Shanghan (Cold Damage), if the pulse is wiry and thin, with headache and fever, it belongs to Shaoyang. Sweating is contraindicated; sweating leads to delirium and irritability, indicating Stomach disharmony. Harmonizing will cure it.
If original Taiyang disease fails to resolve and transfers to Shaoyang, presenting with hardness and fullness in the hypochondrium, dry retching, inability to eat, alternating chills and fever, and a deep-wiry pulse, emesis and purgation are contraindicated. Xiao Chai Hu Tang (Minor Bupleurum Decoction) is administered.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) Formula
Chai Hu (Bupleuri Radix) eight liang Ren Shen (Ginseng Radix et Rhizoma) three liang Huang Qin (Scutellariae Radix) three liang Gan Cao (Licorice Radix et Rhizoma) three liang (roasted) Ban Xia (Pinelliae Rhizoma) half a sheng (washed) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split)
Boil these seven ingredients in twelve dou of water to obtain six sheng. Strain and decoct again to obtain three sheng. Take one sheng warm, three times daily.
In Shaoyang disease, with rebellious Qi, current hypochondriac pain, and severe vomiting/reversal, this is due to Gallbladder Qi failing to descend. Chai Hu Shao Yao Zhi Shi Gan Cao Tang (Bupleurum, Peony, Immature Orange, and Licorice Decoction) is the primary treatment.
Chai Hu Shao Yao Zhi Shi Gan Cao Tang (Bupleurum, Peony, Immature Orange, and Licorice Decoction) Formula
Chai Hu (Bupleuri Radix) eight liang Shao Yao (Paeoniae Radix Alba) three liang Zhi Shi (Aurantii Fructus Immaturus) four pieces (roasted) Gan Cao (Licorice Radix et Rhizoma) three liang (roasted)
Boil these four ingredients in one dou of water to obtain six sheng. Strain and decoct again to obtain three sheng. Take one sheng warm, three times daily.
If emesis, purgation, sweating, or warm needle therapy are mistakenly used, leading to delirium, and the Chai Hu pattern has ceased, this is called a Ruined Disease (Huai Bing). One must identify the error and treat accordingly; Chai Hu Tang (Bupleurum Decoction) is not suitable.
In Three-Yang Combined Disease, with a floating-large pulse at the Guan (Bar) position, somnolence, and sweating upon closing the eyes, this is due to Upper Jiao blockage. Xiao Chai Hu Tang (Minor Bupleurum Decoction) is indicated. (Formula see previous)
In Shanghan (Cold Damage), after four or five days, without significant heat, if the patient is irritable, this indicates Yang leaving and entering Yin.
In Shanghan (Cold Damage), after three days, if the Three Yang channels have exhausted their pathogenic influence and the Three Yin channels should receive the pathogen, but the patient can eat and does not vomit, this indicates the Three Yin channels are not receiving the pathogen.
In Shanghan (Cold Damage), after three days, if the Shaoyang pulse is small, the disease is about to resolve.
The time when Shaoyang disease tends to resolve is from Yin to Chen hours.
Differentiating Taiyin Disease Pulse, Signs, and Symptoms
Taiyin disease is characterized by abdominal fullness, vomiting, inability to eat, worsening spontaneous diarrhea, and occasional spontaneous abdominal pain. If purgation is used, it will certainly lead to hardness below the chest.
Taiyin Wind Strike, with painful limbs, and a pulse that is faint-yin-rough-long, indicates recovery.
In Taiyin disease, if the pulse is floating, sweating may be induced; Gui Zhi Tang (Cinnamon Twig Decoction) is indicated.
Gui Zhi Tang (Cinnamon Twig Decoction) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Shao Yao (Paeoniae Radix Alba) three liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split)
Boil these five ingredients in seven sheng of water to obtain three sheng. Strain and take one sheng warm. Shortly after, drink one sheng of hot porridge to assist the medicinal power. Cover warmly to induce sweating. If no sweat, repeat the dose.
Spontaneous diarrhea without thirst belongs to Taiyin, due to internal organ cold. Warming is required; Li Zhong Tang (Regulate the Middle Decoction) or Si Ni Tang (Counterflow Toxin Decoction) type formulas are suitable.
In Shanghan (Cold Damage), if the pulse is floating and slow, and hands and feet are naturally warm, the disease is associated with Taiyin. Taiyin disease typically causes yellowing of the body; however, if urination is spontaneous, yellowing will not occur. By seven or eight days, even if there is sudden irritability and diarrhea more than ten times a day, it will stop spontaneously because the Spleen Qi is restored and rotting filth is being expelled.
If original Taiyang disease was wrongly purged by the physician, leading to intermittent abdominal fullness and pain, it belongs to Taiyin. Gui Zhi Jia Shao Yao Tang (Cinnamon Twig Decoction with Added Peony) is the primary treatment; for severe excess pain, Gui Zhi Jia Da Huang Tang (Cinnamon Twig Decoction with Added Rhubarb) is the primary treatment.
Gui Zhi Jia Shao Yao Tang (Cinnamon Twig Decoction with Added Peony) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Shao Yao (Paeoniae Radix Alba) six liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split)
Boil these five ingredients in seven sheng of water to obtain three sheng. Strain and take warm in three doses.
Gui Zhi Jia Da Huang Tang (Cinnamon Twig Decoction with Added Rhubarb) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Da Huang (Rhei Radix et Rhizoma) two liang Shao Yao (Paeoniae Radix Alba) six liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split)
Boil these six ingredients in seven sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Taiyin disease, if the pulse is weak and the patient continues to have loose stools, if Da Huang (Rhei Radix et Rhizoma) or Shao Yao (Paeoniae Radix Alba) were indicated, their dosage should be reduced because the patient's Stomach Qi is weak and prone to moving.
In Taiyin disease, if the stool is conversely hard and the abdomen is distended, this is due to Spleen Qi failing to rotate. Bai Zhu Zhi Shi Gan Jiang Bai Mi Tang (Atractylodes, Immature Orange, Dried Ginger, and Honey Decoction) is indicated. If there is no distension but instead shortness of breath, Huang Qi Wu Wu Tang (Astragalus Five-Ingredient Decoction) added with Gan Jiang (Zingiberis Rhizoma) and Ban Xia (Pinelliae Rhizoma) is the primary treatment.
Bai Zhu Zhi Shi Gan Jiang Bai Mi Tang (Atractylodes, Immature Orange, Dried Ginger, and Honey Decoction) Formula
Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang Zhi Shi (Aurantii Fructus Immaturus) one and a half liang Gan Jiang (Zingiberis Rhizoma) one liang Bai Mi (Honey) two liang
Boil the first three ingredients in six sheng of water to obtain three sheng. Strain, add Bai Mi (Honey), melt, and take one sheng warm, three times daily.
Huang Qi Wu Wu Tang Jia Gan Jiang Ban Xia Tang (Astragalus Five-Ingredient Decoction with Added Dried Ginger and Pinellia) Formula
Huang Qi (Astragali Radix) three liang Gui Zhi (Cinnamomi Ramulus) three liang Shao Yao (Paeoniae Radix Alba) three liang Sheng Jiang (Zingiberis Rhizoma Recens) six liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split) Gan Jiang (Zingiberis Rhizoma) three liang Ban Xia (Pinelliae Rhizoma) half a sheng (washed)
Boil these seven ingredients in one dou of water to obtain five sheng. Strain and decoct again to obtain three sheng. Take warm in three doses.
In Taiyin disease, if there is thirst with desire to drink, but drinking immediately causes vomiting, this is Water-Dampness above the Diaphragm. Ban Xia Fu Ling Tang (Pinellia and Poria Decoction) is indicated.
Ban Xia Fu Ling Tang (Pinellia and Poria Decoction) Formula
Ban Xia (Pinelliae Rhizoma) one sheng Fu Ling (Poria) four liang Ze Xie (Alismatis Rhizoma) two liang Gan Jiang (Zingiberis Rhizoma) one liang
Boil these four ingredients in four sheng of water to obtain three sheng. Strain and take warm in two doses. When urination becomes free, the disease will heal.
In Taiyin disease, with diarrhea, thirst, and a deficient-slightly-rapid pulse, this indicates injury to Body Fluids. Ren Shen Bai Zhu Shao Yao Gan Cao Tang (Ginseng, Atractylodes, Peony, and Licorice Decoction) is indicated.
Ren Shen Bai Zhu Shao Yao Gan Cao Tang (Ginseng, Atractylodes, Peony, and Licorice Decoction) Formula
Ren Shen (Ginseng Radix et Rhizoma) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang Shao Yao (Paeoniae Radix Alba) three liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted)
Boil these four ingredients in five sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Taiyin disease, without diarrhea or vomiting, but suffering from abdominal enlargement and distension, this is Spleen Excess. Hou Po Si Wu Tang (Magnolia Bark Four-Ingredient Decoction) is the primary treatment.
Hou Po Si Wu Tang (Magnolia Bark Four-Ingredient Decoction) Formula
Hou Po (Magnoliae Officinalis Cortex) two liang (roasted) Zhi Shi (Aurantii Fructus Immaturus) three pieces (roasted) Ban Xia (Pinelliae Rhizoma) half a sheng (washed) Ju Pi (Citri Reticulatae Pericarpium) one liang
Boil these four ingredients in five sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Taiyin disease, without vomiting or fullness, but with uncontrolled fecal incontinence, this is Deficiency. Li Zhong Jia Huang Qi Tang (Regulate the Middle Decoction with Added Astragalus) is the primary treatment.
Li Zhong Jia Huang Qi Tang (Regulate the Middle Decoction with Added Astragalus) Formula
Ren Shen (Ginseng Radix et Rhizoma) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang Gan Jiang (Zingiberis Rhizoma) three liang Gan Cao (Licorice Radix et Rhizoma) three liang (roasted) Huang Qi (Astragali Radix) three liang
Boil these five ingredients in eight sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Taiyin disease, with desire to vomit but unable to, diarrhea varying in severity, and a floating-rough pulse, Gui Zhi Qu Shao Yao Jia Fu Ling Bai Zhu Tang (Cinnamon Twig Decoction without Peony, with Added Poria and Atractylodes) is the primary treatment.
Gui Zhi Qu Shao Yao Jia Fu Ling Bai Zhu Tang (Cinnamon Twig Decoction without Peony, with Added Poria and Atractylodes) Formula
Gui Zhi (Cinnamomi Ramulus) three liang Gan Cao (Licorice Radix et Rhizoma) two liang (roasted) Fu Ling (Poria) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split)
Boil these six ingredients in eight sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
In Taiyin disease, with vomiting/reversal, cold abdominal pain, borborygmus, diarrhea, and a deep-tight pulse, Xiao Chai Hu Jia Fu Ling Bai Zhu Tang (Minor Bupleurum Decoction with Added Poria and Atractylodes) is the primary treatment.
Xiao Chai Hu Jia Fu Ling Bai Zhu Tang (Minor Bupleurum Decoction with Added Poria and Atractylodes) Formula
Chai Hu (Bupleuri Radix) half a jin Huang Qin (Scutellariae Radix) three liang Ren Shen (Ginseng Radix et Rhizoma) three liang Ban Xia (Pinelliae Rhizoma) half a sheng (washed) Gan Cao (Licorice Radix et Rhizoma) three liang (roasted) Sheng Jiang (Zingiberis Rhizoma Recens) three liang (cut) Da Zao (Jujubae Fructus) twelve pieces (split) Fu Ling (Poria) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang
Boil these nine ingredients in twelve dou of water to obtain six sheng. Strain and decoct again to obtain three sheng. Take one sheng warm, three times daily.
In Taiyin disease, with retained food and a slippery-solid pulse, purgation is possible; Cheng Qi Tang (Order the Qi Decoction) type formulas are suitable. If the stool is loose, Hou Po Zhi Shi Bai Zhu Gan Cao Tang (Magnolia Bark, Immature Orange, Atractylodes, and Licorice Decoction) is indicated.
Hou Po Zhi Shi Bai Zhu Gan Cao Tang (Magnolia Bark, Immature Orange, Atractylodes, and Licorice Decoction) Formula
Hou Po (Magnoliae Officinalis Cortex) three liang Zhi Shi (Aurantii Fructus Immaturus) three liang Bai Zhu (Atractylodis Macrocephalae Rhizoma) two liang Gan Cao (Licorice Radix et Rhizoma) two liang
Boil these four ingredients in six sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily.
The time when Taiyin disease tends to resolve is from Hai to Chou hours.
Treatise on Cold Damage and Miscellaneous Diseases, Volume 11
Differentiating Shaoyin Disease Pulse, Signs, and Symptoms
Shaoyin disease is characterized by a faint-thin pulse and somnolence.
In Shaoyin disease, with desire to vomit but unable to, irritability, somnolence, and after five or six days, spontaneous diarrhea with thirst, it belongs to Shaoyin. Due to deficiency, the patient drinks water to self-rescue. If the urine is white, the Shaoyin pattern is complete. White urine is due to Lower Jiao deficiency-cold failing to control water, thus causing whiteness.
If a patient's Yin-Yang pulses are both tight, but there is spontaneous sweating, this is Yang Collapse. It belongs to Shaoyin, and law dictates sore throat accompanied by vomiting and diarrhea.
In Shaoyin disease, with cough and diarrhea, and delirium, this is due to Fire coercion. Urination will certainly be difficult, due to forcibly demanding Sweat from Shaoyin.
In Shaoyin disease, with a fine-deep-rapid pulse, the disease is in the Interior; sweating is contraindicated.
In Shaoyin disease, with a faint pulse, sweating is contraindicated due to Yang collapse. If Yang is already deficient and the Chi pulse is weak-rough, purgation is also contraindicated.
In Shaoyin disease, with a tight pulse, by seven or eight days, if spontaneous diarrhea occurs, the pulse suddenly becomes faint, hands and feet become warm, and the tightness disappears, this indicates impending resolution. Although there is irritability and diarrhea, it will heal itself.
In Shaoyin disease, with diarrhea, if the diarrhea stops, there is aversion to cold and curling up, but hands and feet are warm, it is treatable.
In Shaoyin disease, with aversion to cold and curling up, occasional irritability, and desire to remove clothing/blankets, it is treatable.
In Shaoyin Wind Strike, if the Yang pulse is faint and the Yin pulse is floating, recovery is indicated.
The time when Shaoyin disease tends to resolve is from Zi to Yin hours.
In Shaoyin disease, with vomiting and diarrhea, if hands and feet are not cold but rather warm, death is not imminent. If the pulse is absent, moxa seven cones on Shaoyin points.
In Shaoyin disease, after eight or nine days, if the whole body and hands/feet are hot, because heat is in the Bladder, hematochezia will occur.
In Shaoyin disease, only with cold extremities, no sweat, and forced sweating, blood will be disturbed. Unknown which pathway it exits, whether from mouth/nose or ears, this is named Lower Cold and Upper Exhaustion, and is difficult to treat.
In Shaoyin disease, with aversion to cold, curling up, diarrhea, and cold extremities, it is untreatable.
In Shaoyin disease, with vomiting, diarrhea, irritability, and cold extremities, death ensues.
In Shaoyin disease, if diarrhea stops but dizziness and occasional fainting occur, death ensues.
In Shaoyin disease, with cold extremities, aversion to cold, curling up, absent pulse, irritability, and restlessness, death ensues.
In Shaoyin disease, after six or seven days, if respiration is high/superficial, death ensues.
In Shaoyin disease, with faint-thin-deep pulse, somnolence, sweating without irritability, desire to vomit, progressing to five or six days with spontaneous diarrhea, renewed irritability, and inability to sleep, death ensues.
At the onset of Shaoyin disease, if there is contrary fever and a deep pulse, Ma Huang Fu Zi Xi Xin Tang (Ephedra, Aconite, and Asarum Decoction) is the primary treatment.
Ma Huang Fu Zi Xi Xin Tang (Ephedra, Aconite, and Asarum Decoction) Formula
Ma Huang (Ephedrae Herba) two liang Fu Zi (Aconiti Lateralis Radix Praeparata) one piece (processed, skin removed, broken into eight pieces) Xi Xin (Asari Radix et Rhizoma) two liang