右三味，以水一斗，先煮麻黄减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
少阴病，得之二三日，麻黄附子甘草汤微发汗，以二三日无里证，故微发汗也。
右三味，以水七升，先煮麻黄一二沸，去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
右五味，以水六升，先煮三物，取二升，去滓，纳胶烊尽，小冷，纳鸡子黄，搅令相得，温服七合，日三服。
少阴病，得之一二日，口中和，其背恶寒者，当灸之，附子汤主之。
附子汤方
右五味，以水八升，煮取三升，去滓，温服一升，日三服。
少阴病，身体痛，手足寒，骨节痛，脉沉者，附子汤主之。(方见前)
少阴病，脉微而弱，身痛如掣者，此荣卫不和故也，当归四逆汤主之。
当归三两芍药三两桂枝三两细辛三两木通三两甘草二两(炙)大枣二十五枚(劈)
右七味，以水八升，煮取三升，去滓，温服一升，日三服。
桃花汤方
右三味，以水七升，煮米令熟，去滓，温服七合，纳赤石脂末方寸匙，日三服，若一服愈，余勿服。
少阴病，二三日至四五日，腹痛，小便不利，下利不止，便脓血者，桃花汤主之。(方见上)
吴茱萸汤方
右四味，以水七升，煮取二升，去滓，温服七合，日三服。
猪肤汤方
猪肤一斤
右一味，以水一斗，煮取五升，去滓，加白蜜一升，白粉五合，熬香，和令相得，分温六服。(白粉即米粉)
甘草汤方
甘草二两
右一味，以水三升，煮取一升半，去滓，温服七合，日二服。
桔梗汤方
右二味，以水三升，煮取一升，去滓，温分再服。
少阴病，咽中伤，生疮，痛引喉旁，不能语言，声不出者，苦酒汤主之。
苦酒汤方
半夏十四枚(洗破如枣核)鸡子一枚(去黄纳上苦酒著鸡子壳中)
右二味，纳半夏，著苦酒中，以鸡子壳，置刀环中，安火
半夏散方
右三味，等分，各别捣筛已，合治之，白饮和服方寸匙，日三服，若不能散服者，以水一升煎七沸，纳散两方寸匙，更煎三沸，下火令小冷，少少咽之。
白通汤方
右三味，以水三升，煮取一升，去滓，分温再服。
少阴病，下利，脉微者，与白通汤；利不止，厥逆无脉，干呕烦者，白通加猪胆汁汤主之；服汤后，脉暴出者死；微续者生。
葱白四茎干姜一两附子一枚(生用去皮破八片)人尿五合猪胆汁一合
右五味，以水三升，先煮三物，取一升，去滓，纳人尿，猪胆汁，和令相得，分温再服，若无胆汁亦可用。
少阴病二三日不已，至四五日，腹痛，小便不利，四肢沉重疼痛，自下利者，此为有水气，其人或咳，或小便不利，或下利，或呕者，真武汤主之。
真武汤方
茯苓三两芍药三两白术二两生姜三两(切)附子一枚(炮去皮破八片)
右五味，以水八升，煮取三升，去滓，温服七合，日三服。若咳者，加五味子半升，细辛干姜各一两；若小便不利者，加茯苓一两；若下利者，去芍药，加干姜二两；若呕者，去附子，加生姜足前成半斤。
少阴病，下利清谷，里寒外热，手足厥逆，脉微欲绝，身反不恶寒，其人面色赤，或腹痛，或干呕，或咽痛，或利止，脉不出者，通脉四逆汤主之。
甘草二两(炙)附子大者一枚(生用去皮破八片)干姜三两人参二两
右四味，以水三升，煮取一升二合，去滓，分温再服，其脉即出者愈。面色赤者，加葱九茎；腹中痛者，去葱，加芍药二两；呕者，加生姜二两；咽痛者，去芍药，加桔梗一两；利止，脉不出者，去桔梗，加人参二两。
少阴病，四逆，其人或咳，或悸，或小便不利，或腹中痛，或泄利下重者，四逆散主之。
四逆散方
右四味，捣筛，白饮和服方寸匙，咳者去人参，加五味子，干姜各五分，并主下利；悸者，加桂枝五分；小便不利者，加茯苓五分；泄利下重者，先以水五升，煮薤白三两，取三升，去滓，以散三方寸匙纳汤中，煮取一升半，分温再服。
猪苓汤方
右五味，以水四升，先煮四物，取二升，去滓，纳胶烊尽，温服七合，日三服。
大承气汤方
右四味，以水一斗，先煮二味，取五升，去滓，纳大黄，更煮取二升，去滓，纳芒硝，更上火令一二沸，分温再服，一服得利，止后服。
少阴病，自利清水，色纯青，心下必痛，口干燥者，可下之，宜大承气汤。(方见上)
少阴病，六七日，腹胀不大便者，急下之，宜大承气汤。(方见上)
四逆汤方
甘草二两(炙)附子大者一枚(生用去皮破八片)干姜二两半人参二两
右四昧，以水三升，煮取一升二合，去滓，分温再服。
少阴病，饮食入口即吐，或心中温温欲吐，复不能吐，始得之，手足寒，脉弦迟者，此胸中实，不可下也，当吐之；若膈上有寒饮，干呕者，不可吐也，当温之，宜四逆汤。(方见上)
少阴病，下利，脉微涩，呕而汗出，必数更衣，反少者，当温其上，灸之。
辨厥阴病脉证并治
厥阴之为病，消渴，气上撞心，心中疼热，饥而不欲食，食则吐蚘，下之，利不止。
蹶阴欲解时，从丑至卯上。
伤寒始发热六日，厥反九日而利；凡厥利者，当不能食，今反能食者，恐为除中；食以素饼，不发热者，知胃气尚在，必愈；恐暴热来出而复去也。后日脉之，其热续在者，期之旦日夜半愈。所以然者，本发热六日，厥反九日，复发热三日，并前六日亦为九日，与厥相应，故期之旦日夜半愈。后三日脉之，而脉数，其热不罢者，此为热气有余，必发痈脓也。
伤寒六七门，脉迟，而反与黄芩汤彻其热，脉迟为寒，今与黄芩汤复除其热，腹中应冷，今反能食，此名除中，必死。
伤寒，先厥后发热，下利必自止，而反汗出，咽中痛者，其喉为痹；发热，无汗，而利必自止；若不止，必便脓血，便脓血者，其喉不痹。
伤寒一二日，至四五日，厥者，必发热。前热者，后必厥；厥深者，热亦深；厥微者，热亦微；厥应下之，而反发汗者，必口伤烂赤。
伤寒病，厥五日，热亦五日，设六日当复厥，不厥者自愈；厥终不过五日，以热五日，知自愈。
伤寒，脉微而厥，至七八日，肤冷，其人躁，无暂安时者，此为脏厥，非蚘厥也。蚘厥者，其人当吐蚘，今病者静，而复时烦，此为脏寒，蚘上入其膈，故烦，须臾复止，得食而呕又烦者，蚘闻食臭出，其人当自吐蚘。蚘厥者，乌梅丸主之，又主久利。
乌梅丸方
乌梅三百枚细辛六两干姜十两黄连十六两当归四两附子六两(炮去皮)蜀椒四两(出汗)桂枝六两(去皮)人参六两黄柏六两
右十味，异捣筛，合治之，以苦酒渍乌梅一宿，去核，蒸之，五斗米下，饭熟，捣成泥，和药令相得，纳臼中，与蜜，杵二千下，丸如梧桐子大，先食饮，服十丸，日三服，稍加至二十丸。
伤寒，热少，微厥，指头寒，嘿嘿不欲食，烦躁，数日小便利色白者，此热除也，欲得食，其病为愈；若厥而呕，胸胁烦满者，其后必便血。
病者手足厥冷，不结胸，小腹满，按之痛者，此冷结在膀胱关元也。
伤寒发热四日，厥反三日，复热四日，厥少热多者，其病当愈；四日至七日，热不除者，必便脓血。
伤寒厥四日，热反三日，复厥五日，其病为进，寒多热少，阳气退，故为进也。
伤寒六七日不利，便发热而利，其人汗出不止者，死。有阴无阳故也。
伤寒五六日，不结胸，腹濡，脉虚，复厥者，不可下也，此为亡血，下之则死。
白虎汤方
右四味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
伤寒，手足厥逆，脉细欲绝者，当归四逆加人参附子汤主之；若其人内有久寒者，当归四逆加吴茱萸生姜附子汤主之。
当归三两桂枝三两(去皮)芍药三两细辛三两甘草二两(炙)木通二两大枣二十五枚(劈)人参三两附子一枚(炮去皮破八片)
右九味，以水八升，煮取三升，去滓，温服一升，日三服。
吴茱萸二升生姜半斤附子一枚(炮去皮破八片)当归三两桂枝三两(去皮)芍药三两细辛三两甘草二两(炙)木通二两大枣二十五枚(劈)
右十味，以水六升，清酒六升，和煮取三升，温服一升，日三服。
大汗出，热不去，内拘急，四肢疼，复下利，厥逆，而恶寒者，四逆汤主之。
四逆汤方
右四味，以水三升，煮取一升二合，去滓，分温再服，若强
病人手足厥冷，脉乍紧者，邪结在胸中，心下满而烦，饥不能食者，病在胸中，当须吐之，宜瓜蒂散。
瓜蒂散方
右二味，各等分，异捣筛，合纳臼中，更治之，别以香豉一合，用热汤七合煮作稀糜，去滓，取汁和散一钱匙，温顿服之，不吐者，少少加，得快吐乃止，诸亡血，虚家，不可与也。
伤寒，厥而心下悸者，宜先治水，当服茯苓甘草汤，却治其厥，不尔水渍入胃，必作利也。
右四味，以水四升，煮取二升，去滓，分温三服。
伤寒六七日，大下后，寸脉沉而迟，手足厥逆，下部脉不至，咽喉不利，唾脓血，泄利不止者，为难治，人参附子汤主之；不差，复以人参干姜汤与之。
右六味，以水六升，煮取二升，去滓，纳胶烊消，温服一升，日再服。
右五味，以水二升，煮取一升，去滓，温顿服之。
伤寒，本自寒下，医复吐、下之，寒格，更逆吐、下，麻黄升麻汤主之；若食入口即吐，干姜黄芩黄连人参汤主之。
麻黄二两半(去节)升麻一两知母一两黄芩一两半桂枝二两白术一两甘草一两(炙)
右七味，以水一斗，先煮麻黄去上沫，纳诸药，煮取三升，去滓，温服一升，日三服。
右四昧，以水六升，煮取二升，去滓，分温再服。
（以上）三味药，用水一斗，先煮麻黄，水量减少二升时，去掉水面上的浮沫，加入其余药物，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
少阴病，患病两三天，出现微汗出的症状，使用麻黄附子甘草汤治疗，因为患病两三天还没有出现里证（如腹泻、呕吐等），所以采用微发汗的方法。
麻黄二两 附子一枚（炮制，去皮，破成八片） 甘草二两（炙烤）
（以上）三味药，用水七升，先煮麻黄一二沸，去掉水面上的浮沫，加入其余药物，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
少阴病，患病两三天以上，心中烦乱，无法入睡的，用黄连阿胶汤主治。
（以上）五味药，用水六升，先煮前三味药，取药液二升，滤去药渣，加入阿胶使其完全溶化，待药液稍凉后，加入鸡蛋黄，搅拌均匀，每次温服七合，每日服用三次。
少阴病，患病一两天，口中感觉正常不苦不干，背部怕冷的，应当施以艾灸，并用附子汤主治。
附子汤方
附子二枚（炮制，去皮，破成八片） 茯苓三两 人参二两 白术四两 芍药三两
（以上）五味药，用水八升，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
少阴病，身体疼痛，手脚冰凉，骨节疼痛，脉象沉的，用附子汤主治。（方剂见前文）
少阴病，脉象微弱而细弱，身体疼痛像被牵拉一样的，这是营卫不和的缘故，用当归四逆汤主治。
当归三两 芍药三两 桂枝三两 细辛三两 木通三两 甘草二两（炙烤） 大枣二十五枚（劈开）
（以上）七味药，用水八升，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
桃花汤方
赤石脂一斤（一半整块使用，一半研成粉末） 干姜一两 粳米一升
（以上）三味药，用水七升，煮米至熟烂，滤去药渣，每次温服七合，并冲服赤石脂粉末一方寸匕，每日服用三次。如果一次服药后病愈，剩下的药不要服用。
少阴病，从两三天发展到四五天，腹痛，小便不利，下利不止，大便带脓血的，用桃花汤主治。（方剂见上文）
少阴病，呕吐，下利，手脚冰冷，烦躁得快要死去的，用吴茱萸汤主治。
吴茱萸汤方
（以上）四味药，用水七升，煎煮至取药液二升，滤去药渣，每次温服七合，每日服用三次。
猪肤汤方
猪肤一斤
（以上）一味药，用水一斗，煎煮至取药液五升，滤去药渣，加入蜂蜜一升，米粉五合，熬至香气溢出，调和均匀，分六次温服。（白粉即米粉）
少阴病，两三天咽喉痛的，可以给予甘草汤；如果不痊愈，给予桔梗汤。
甘草汤方
甘草二两
（以上）一味药，用水三升，煎煮至取药液一升半，滤去药渣，每次温服七合，每日服用两次。
桔梗汤方
（以上）两味药，用水三升，煎煮至取药液一升，滤去药渣，分两次温服。
少阴病，咽喉受伤，生疮，疼痛牵引喉旁，不能说话，声音出不来的，用苦酒汤主治。
苦酒汤方
半夏十四枚（洗净，破开如枣核大小） 鸡蛋一枚（去掉蛋黄，将苦酒放入蛋壳中）
（以上）两味药，放入半夏，置于苦酒中，用鸡蛋壳盛装，放在刀环上，架在火上，煮沸三次，滤去药渣，少量含咽。如果不痊愈，再制作三剂。
半夏散方
（以上）三味药，等分量，分别捣碎过筛后，混合在一起，用白饮（米汤）调和服用一方寸匕，每日服用三次。如果不能服用散剂，用水一升煮沸七次，加入散剂两方寸匕，再煮沸三次，熄火待药液稍凉，少量咽下。
白通汤方
（以上）三味药，用水三升，煎煮至取药液一升，滤去药渣，分两次温服。
少阴病，下利，脉象微弱的，给予白通汤；如果下利不止，四肢厥冷，无脉，干呕心烦的，用白通加猪胆汁汤主治；服药后，如果脉象突然暴出的为死证；如果脉象微微续接的为生证。
葱白四茎 干姜一两 附子一枚（生用，去皮，破成八片） 人尿五合 猪胆汁一合
（以上）五味药，用水三升，先煮前三味药，取药液一升，滤去药渣，加入人尿、猪胆汁，调和均匀，分两次温服。如果没有胆汁也可以使用。
少阴病两三天未愈，发展到四五天，腹痛，小便不利，四肢沉重疼痛，自行下利的，这是有水气。其中有的人咳嗽，或者小便不利，或者下利，或者呕吐的，用真武汤主治。
真武汤方
茯苓三两 芍药三两 白术二两 生姜三两（切） 附子一枚（炮制，去皮，破成八片）
（以上）五味药，用水八升，煎煮至取药液三升，滤去药渣，每次温服七合，每日服用三次。如果咳嗽的，加五味子半升，细辛、干姜各一两；如果小便不利的，加茯苓一两；如果下利的，去掉芍药，加干姜二两；如果呕吐的，去掉附子，加生姜足量至半斤。
少阴病，下利完谷不化，里有寒外有热，手脚厥冷，脉象微弱几乎摸不到，身体反而不怕冷，病人面色发红，或者腹痛，或者干呕，或者咽喉痛，或者下利停止但脉搏摸不到的，用通脉四逆汤主治。
甘草二两（炙烤） 附子大者一枚（生用，去皮，破成八片） 干姜三两 人参二两
（以上）四味药，用水三升，煎煮至取药液一升二合，滤去药渣，分两次温服，脉象恢复的就痊愈。面色发红的，加葱九茎；腹中痛的，去掉葱，加芍药二两；呕吐的，加生姜二两；咽喉痛的，去掉芍药，加桔梗一两；下利停止但脉搏摸不到的，去掉桔梗，加人参二两。
少阴病，四肢厥冷，其中有的人咳嗽，或者心悸，或者小便不利，或者腹中痛，或者泄利伴有肛门重坠感的，用四逆散主治。
四逆散方
（以上）四味药，捣碎过筛，用白饮调和服用一方寸匕。咳嗽的去掉人参，加五味子、干姜各五分，并主治下利；心悸的，加桂枝五分；小便不利的，加茯苓五分；泄利伴有肛门重坠感的，先用水五升，煮薤白三两，取药液三升，滤去药渣，将散剂三方寸匕纳入汤中，煮取一升半，分两次温服。
少阴病，下利六七天，咳嗽且呕吐，口渴，心烦不得眠的，用猪苓汤主治。
猪苓汤方
猪苓一两（去皮） 茯苓一两（去皮） 阿胶一两 泽泻一两 滑石一两
（以上）五味药，用水四升，先煮前四味药，取药液二升，滤去药渣，加入阿胶使其完全溶化，每次温服七合，每日服用三次。
大承气汤方
枳实五枚（炙烤） 厚朴半斤（去皮，炙烤用） 大黄四两（洗） 芒硝三合
（以上）四味药，用水一斗，先煮枳实、厚朴二味，取药液五升，滤去药渣，加入大黄，再煮取药液二升，滤去药渣，加入芒硝，再上火煮沸一两次，分两次温服。如果一次服药后大便通畅，停止后续服用。
少阴病，自行排出清水，颜色纯青，心下部必定疼痛，口干燥的，可以攻下，宜用大承气汤。（方剂见上文）
少阴病，六七天，腹部胀满且不大便的，应当急下之，宜用大承气汤。（方剂见上文）
四逆汤方
甘草二两（炙烤） 附子大者一枚（生用，去皮，破成八片） 干姜二两半 人参二两
（以上）四味药，用水三升，煎煮至取药液一升二合，滤去药渣，分两次温服。
少阴病，饮食入口即吐，或者心中温热想吐又吐不出来，刚发病时，手脚寒冷，脉象弦迟的，这是胸中有实邪，不可攻下，应当催吐；如果是膈上有寒饮，干呕的，不可催吐，应当温阳，宜用四逆汤。（方剂见上文）
少阴病，下利，脉象微弱而涩，呕吐且出汗，必然频繁更衣但排便量少，应当温其上焦，施以艾灸。
辨厥阴病脉证并治
厥阴病的症状是：消渴（口渴多饮），气上撞心，心中疼热，饥饿但不想吃东西，吃了就会吐出蛔虫，如果误用攻下法，会导致下利不止。
厥阴病中风，脉象微弱而浮，是即将痊愈的表现；如果不浮，则是未愈。
厥阴病欲解之时，从丑时到卯时。
厥阴病，想要喝水的，少量给予饮水，即可痊愈。
伤寒病先出现厥冷，后来发热且下利的，下利必定自止；再次出现厥冷，下利又会发作。
伤寒开始发热六天，厥冷反而九天且下利；凡是厥冷下利的，应当不能进食，现在反而能进食的，恐怕是“除中”（胃气将绝的假象）；给吃素饼，如果不发热，说明胃气尚在，必定痊愈；担心的是暴热来去匆匆。后天诊察脉象，如果热度持续存在，预期在第二天半夜痊愈。之所以这样，是因为原本发热六天，厥冷反九天，后来又发热三天，加上之前的六天共九天，与厥冷天数相应，所以预期在第二天半夜痊愈。后天三日诊察脉象，如果脉数，热度不退的，这是因为热气有余，必定发生痈脓。
伤寒六七天，脉迟，反而给予黄芩汤清除其热，脉迟主寒，现在用黄芩汤又除其热，腹中应当寒冷，现在反而能进食，这名叫“除中”，必定死亡。
伤寒，先厥冷后发热，下利必自止，反而出汗，咽喉痛的，其喉部会痹阻不通；发热，无汗，而下利必自止；如果不止，必定大便带脓血，大便带脓血的，其喉部不会痹阻。
伤寒一两天，到四五天，出现厥冷的，必定发热。先前发热的，后来必厥冷；厥冷深的，热亦深；厥冷轻的，热亦轻；厥冷应当用攻下法，反而发汗的，必定口腔损伤红肿。
伤寒病，厥冷五天，发热也五天，假设第六天应当再次厥冷，如果不厥冷则自愈；厥冷终不超过五天，以发热五天，可知自愈。
凡是厥冷，都是阴阳之气不相顺接，导致厥冷。厥冷，就是手脚逆冷。
伤寒，脉微弱而厥冷，到了七八天，皮肤冷，病人躁动，没有片刻安宁的时候，这是脏厥，不是蛔厥。蛔厥的病人，应当吐蛔虫，现在病人安静，却又时常烦躁，这是脏寒，蛔虫上行进入膈部，所以烦躁，一会儿又停止，吃东西后呕吐又烦躁的，是蛔虫闻到食物气味而出，病人应当自吐蛔虫。蛔厥，用乌梅丸主治，也主治久利。
乌梅丸方
乌梅三百枚 细辛六两 干姜十两 黄连十六两 当归四两 附子六两（炮制，去皮） 蜀椒四两（出汗） 桂枝六两（去皮） 人参六两 黄柏六两
（以上）十味药，分别捣碎过筛，混合在一起，用醋浸泡乌梅一夜，去核，蒸熟，在五斗米下蒸饭，饭熟后，捣成泥状，与药末调和均匀，放入臼中，加入蜂蜜，杵两千下，制成梧桐子大小的丸药，饭前饮用送服十丸，每日三次，逐渐增加到二十丸。
禁止食用生冷、滑腻、腐败变质等食物。
伤寒，热势轻微，仅有轻微厥冷，手指头寒冷，沉默不想吃东西，烦躁，几天后小便通利颜色白的，这是热邪已除，想要吃东西，病就会痊愈；如果厥冷且呕吐，胸胁烦满的，其后必定便血。
病人手足厥冷，没有结胸，小腹胀满，按压疼痛的，这是冷结在膀胱关元部位。
伤寒发热四天，厥冷反而三天，又发热四天，厥少热多的，病应当痊愈；第四天到第七天，热势不退的，必定便脓血。
伤寒厥冷四天，发热反而三天，又厥冷五天，病情为进展，寒多热少，阳气衰退，所以病情进展。
伤寒六七天，脉微弱，手足厥冷，烦躁，灸厥阴经，厥冷不还复的，死。
伤寒六七天不下利，突然发热且下利，病人汗出不止的，死。有阴无阳的缘故。
伤寒五六天，没有结胸，腹部柔软，脉虚，再次厥冷的，不可攻下，这是亡血，攻下则死。
白虎汤方
知母六两 石膏一斤（打碎，用棉布包裹） 甘草二两（炙烤） 粳米六合
（以上）四味药，用水一斗，煮米熟，汤成去渣，温服一升，每日三次。
伤寒，手足厥逆，脉细欲绝的，用当归四逆加人参附子汤主治；如果病人内有久寒的，用当归四逆加吴茱萸生姜附子汤主治。
当归三两 桂枝三两（去皮） 芍药三两 细辛三两 甘草二两（炙烤） 木通二两 大枣二十五枚（劈开） 人参三两 附子一枚（炮制，去皮，破成八片）
（以上）九味药，用水八升，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
吴茱萸二升 生姜半斤 附子一枚（炮制，去皮，破成八片） 当归三两 桂枝三两（去皮） 芍药三两 细辛三两 甘草二两（炙烤） 木通二两 大枣二十五枚（劈开）
（以上）十味药，用水六升，清酒六升，混合煎煮至取药液三升，温服一升，每日服用三次。
大汗出，热不退，内部拘急，四肢疼痛，又下利，厥冷且恶寒的，用四逆汤主治。
四逆汤方
人参二两 甘草二两 干姜一两半 附子一枚（生用，去皮，破成八片）
（以上）四味药，用水三升，煎煮至取药液一升二合，滤去药渣，分两次温服。如果体强可用大附子一枚，干姜二两。
病人手足厥冷，脉象突然紧的，邪气结在胸中，心下部满闷而烦，饥饿但不能吃东西的，病在胸中，应当用吐法，宜用瓜蒂散。
瓜蒂散方
（以上）两味药，各等分，分别捣碎过筛，混合放入臼中，再研磨，另外用香豉一合，用热水七合煮成稀粥状，滤去药渣，取汁液和散剂一钱匙，温顿服。不吐的，少量增加，得快吐乃止。所有失血、虚弱的人，不可给予。
伤寒，厥冷且心下悸动的，应当先治水，当服茯苓甘草汤，然后再治其厥冷，否则水气浸渍入胃，必定造成下利。
茯苓二两 甘草一两（炙烤） 生姜三两（切） 桂枝二两（去皮）
（以上）四味药，用水四升，煎煮至取药液二升，滤去药渣，分三次温服。
伤寒六七天，大下后，寸脉沉而迟，手足厥逆，下部脉摸不到，咽喉不利，唾脓血，泄利不止的，为难治，用人参附子汤主治；不愈，再用与人参干姜汤。
人参二两 附子一枚 干姜二枚（炮制） 半夏半升 阿胶二两 柏叶三两
（以上）六味药，用水六升，煎煮至取药液二升，滤去药渣，加入阿胶使其溶化，温服一升，每日两次。
人参二两 附子一枚 干姜三两 桂枝二两（去皮） 甘草二两（炙烤）
（以上）五味药，用水二升，煎煮至取药液一升，滤去药渣，温顿服。
伤寒四五天，腹中痛，如果有气向下趋向少腹的，这是将要自行下利。
伤寒，本来就有寒性下利，医生又用吐、下法，寒邪格拒，更逆乱吐、下，用麻黄升麻汤主治；如果食物入口即吐，用干姜黄芩黄连人参汤主治。
麻黄二两半（去节） 升麻一两 知母一两 黄芩一两半 桂枝二两 白术一两 甘草一两（炙烤）
（以上）七味药，用水一斗，先煮麻黄去上沫，加入其余药物，煎煮至取药液三升，滤去药渣，每次温服一升，每日服用三次。
（以上）四味药，用水六升，煎煮至取药液二升，滤去药渣，分两次温服。
下利，手足厥冷，无脉的，艾灸后不温暖，如果脉不还，反而微喘的，死。少阴脉负于趺阳脉的，为顺。
(These) three herbs, with one dou of water, first decoct Ephedrae Herba (Mahuang, 麻黄) until the liquid reduces by two sheng, remove the foam on the surface, add the remaining herbs, decoct to obtain three sheng of liquid, filter out the dregs, take one sheng warm, three times a day.
Shaoyin disease (Disease of the Shaoyin channel), occurring two to three days after onset, presents with mild sweating; Mahuang Fuzi Gancao Tang (Cinnamon Twig and Aconite Decoction) is used to induce mild sweating. Since there are no interior syndromes (such as diarrhea or vomiting) after two to three days, mild sweating is indicated.
Mahuang Fuzi Gancao Tang Formula
Ephedrae Herba (Mahuang, 麻黄) two liang; Fuzi (Prepared Radix Aconiti Lateralis, 附子) one piece (processed, skin removed, broken into eight pieces); Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted).
(These) three herbs, with seven sheng of water, first boil Ephedrae Herba for one or two boils, remove the foam, add the other herbs, decoct to obtain three sheng of liquid, filter out the dregs, take one sheng warm, three times a day.
Shaoyin disease, occurring more than two to three days after onset, presenting with vexation in the heart and inability to sleep, is primarily treated with Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction).
Huanglian Ejiao Tang Formula
Coptidis Rhizoma (Huanglian, 黄连) four liang; Scutellariae Radix (Huangqin, 黄芩) two liang; Paeoniae Radix Alba (Baishao, 芍药) two liang; Asini Corii Colla (Ejiao, 阿胶) three liang; Ovi Gallus Album (Jizihuang, 鸡蛋黄) two pieces.
(These) five herbs, with six sheng of water, first decoct the first three herbs to obtain two sheng of liquid, filter out the dregs, add the gelatin until completely dissolved, let it cool slightly, add the egg yolk, stir well to mix, take seven ge warm, three times a day.
Shaoyin disease, occurring one to two days after onset, with a normal sensation in the mouth but aversion to cold on the back, should be treated with moxibustion, and Fuzi Tang (Aconite Decoction) is primarily indicated.
Fuzi Tang Formula
Fuzi (Prepared Radix Aconiti Lateralis, 附子) two pieces (processed, skin removed, broken into eight pieces); Poria (Fuling, 茯苓) three liang; Ginseng Radix et Rhizoma (Renshen, 人参) two liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) four liang; Paeoniae Radix Alba (Baishao, 芍药) three liang.
(These) five herbs, with eight sheng of water, decoct to obtain three sheng of liquid, filter out the dregs, take one sheng warm, three times a day.
Shaoyin disease, presenting with body pain, cold hands and feet, bone and joint pain, and a deep pulse, is primarily treated with Fuzi Tang. (Formula see above.)
Shaoyin disease, with a weak and thready pulse, and body pain as if being pulled, is due to disharmony of Ying and Wei (Nutritive and Defensive Qi); Guizhi Xini Tang (Angelica Sinensis Decoction for Reversal Cold) is primarily indicated.
Guizhi Xini Tang Formula
Danggui Radix (Danggui, 当归) three liang; Paeoniae Radix Alba (Baishao, 芍药) three liang; Cinnamomi Ramulus (Guizhi, 桂枝) three liang; Asari Radix et Rhizoma (Xixin, 细辛) three liang; Tetrapanacis Medulla (Mutong, 木通) three liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Zizyphi Fructus (Dazao, 大枣) twenty-five pieces (split).
(These) seven herbs, with eight sheng of water, decoct to obtain three sheng of liquid, filter out the dregs, take one sheng warm, three times a day.
Shaoyin disease, presenting with diarrhea and pus-blood in the stool, is primarily treated with Taohua Tang (Peach Flower Decoction).
Taohua Tang Formula
Hongshizhi (Red Halloysite, 赤石脂) one jin (half used whole, half sifted into powder); Shengjiang (Dried Ginger, 干姜) one liang; Oryza Sativa (Jingmi, 粳米) one sheng.
(These) three herbs, with seven sheng of water, cook the rice until soft, filter out the dregs, take seven ge warm, mixed with one fangcun chi (square-inch spoonful) of Hongshizhi powder, three times a day. If cured after one dose, do not take the remainder.
Shaoyin disease, progressing from two to three days to four to five days, presenting with abdominal pain, difficult urination, incessant diarrhea, and pus-blood in the stool, is primarily treated with Taohua Tang. (Formula see above.)
Shaoyin disease, presenting with diarrhea and pus-blood in the stool, can be treated by acupuncture at the Foot-Yangming channels.
Shaoyin disease, presenting with vomiting, diarrhea, cold reversal of hands and feet, and extreme irritability as if about to die, is primarily treated with Wuzhuyu Tang (Evodia Decoction).
Wuzhuyu Tang Formula
Evodiae Fructus (Wuzhuyu, 吴茱萸) one sheng; Ginseng Radix et Rhizoma (Renshen, 人参) two liang; Zingiberis Recens Rhizoma (Shengjiang, 生姜) six liang (sliced); Zizyphi Fructus (Dazao, 大枣) twelve pieces (split).
(These) four herbs, with seven sheng of water, decoct to obtain two sheng of liquid, filter out the dregs, take seven ge warm, three times a day.
Shaoyin disease, presenting with diarrhea, sore throat, chest fullness, and vexation, is primarily treated with Zhufu Tang (Pig Skin Decoction).
Zhufu Tang Formula
Porcis Cutis (Zhufu, 猪肤) one jin.
(This) single herb, with one dou of water, decoct to obtain five sheng of liquid, filter out the dregs, add one sheng of white honey, five ge of white powder (rice flour), cook until fragrant, mix well, divide into six warm doses. (White powder refers to rice flour.)
Shaoyin disease, with sore throat for two to three days, may be given Gancao Tang (Licorice Decoction); if not improved, give Jiegeng Tang (Platycodon Decoction).
Gancao Tang Formula
Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang.
(This) single herb, with three sheng of water, decoct to obtain one and a half sheng of liquid, filter out the dregs, take seven ge warm, twice a day.
Jiegeng Tang Formula
Jiegeng Radix (Jiegeng, 桔梗) one liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang.
(These) two herbs, with three sheng of water, decoct to obtain one sheng of liquid, filter out the dregs, divide into two warm doses.
Shaoyin disease, with injury to the throat, sores, pain radiating to the sides of the throat, inability to speak, and loss of voice, is primarily treated with Kujiu Tang (Bitter Wine Decoction).
Kujiu Tang Formula
Banxia (Pinelliae Tuber, 半夏) fourteen pieces (washed, broken like a jujube pit); Ovi Gallus Ovum (Jizi, 鸡蛋) one piece (remove yolk, place bitter wine in the shell).
(These) two herbs, place Banxia in the bitter wine, use the eggshell as a container, place in a knife ring over fire, boil three times, filter out the dregs, hold and swallow slowly. If not improved, prepare three more doses.
Shaoyin disease, with sore throat and a floating pulse, is primarily treated with Banxia San and Tang (Pinellia Powder and Decoction).
Banxia San Formula
Banxia (Pinelliae Tuber, 半夏) (washed); Cinnamomi Ramulus (Guizhi, 桂枝); Gancao (Prepared Radix Glycyrrhizae, 甘草) (roasted).
(These) three herbs, in equal parts, separately pounded and sifted, then mixed. Take one fangcun chi with white drink (rice gruel), three times a day. If unable to take the powder, boil one sheng of water for seven boils, add two fangcun chi of powder, boil three more times, let cool slightly, and swallow slowly.
Shaoyin disease, presenting with diarrhea, is primarily treated with Baitong Tang (White Onion Decoction).
Baitong Tang Formula
Congbai (Scallion White, 葱白) four stems; Shengjiang (Dried Ginger, 干姜) one liang; Fuzi (Raw Radix Aconiti Lateralis, 附子) one piece (raw, skin removed, broken into eight pieces).
(These) three herbs, with three sheng of water, decoct to obtain one sheng of liquid, filter out the dregs, divide into two warm doses.
Shaoyin disease, presenting with diarrhea and a faint pulse, is given Baitong Tang; if diarrhea persists, with cold reversal, absence of pulse, dry retching, and vexation, Baitong Jia Zhudanji Tang (White Onion Decoction with Pig Bile) is primarily indicated. After taking the decoction, if the pulse suddenly emerges, death ensues; if the pulse gradually returns, survival is expected.
Baitong Jia Zhudanji Tang Formula
Congbai (Scallion White, 葱白) four stems; Shengjiang (Dried Ginger, 干姜) one liang; Fuzi (Raw Radix Aconiti Lateralis, 附子) one piece (raw, skin removed, broken into eight pieces); Urina Hominis (Ren Niao, 人尿) five he; Suis Fel (Porcine Bile, 猪胆汁) one he.
(These) five herbs, with three sheng of water, first decoct the first three herbs to obtain one sheng of liquid, filter out the dregs, add human urine and porcine bile, mix well, divide into two warm doses. If bile is unavailable, it may be omitted.
Shaoyin disease persisting for two to three days, progressing to four to five days, presenting with abdominal pain, difficult urination, heavy and painful limbs, and spontaneous diarrhea, indicates accumulation of fluid-dampness. Among these patients, some may have cough, or difficult urination, or diarrhea, or vomiting; Zhenwu Tang (True Warrior Decoction) is primarily indicated.
Zhenwu Tang Formula
Poria (Fuling, 茯苓) three liang; Paeoniae Radix Alba (Baishao, 芍药) three liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) two liang; Zingiberis Recens Rhizoma (Shengjiang, 生姜) three liang (sliced); Fuzi (Prepared Radix Aconiti Lateralis, 附子) one piece (processed, skin removed, broken into eight pieces).
(These) five herbs, with eight sheng of water, decoct to obtain three sheng of liquid, filter out the dregs, take seven ge warm, three times a day. If coughing, add Schisandrae Fructus (Wuweizi, 五味子) half sheng, Asari Radix et Rhizoma (Xixin, 细辛) and Shengjiang (Dried Ginger, 干姜) one liang each; if difficult urination, add Poria (Fuling, 茯苓) one liang; if diarrhea, remove Paeoniae Radix Alba (Baishao, 芍药), add Shengjiang (Dried Ginger, 干姜) two liang; if vomiting, remove Fuzi (Aconite, 附子), add Zingiberis Recens Rhizoma (Shengjiang, 生姜) sufficient to make half a jin.
Shaoyin disease, presenting with undigested food in diarrhea, interior cold with exterior heat, cold reversal of hands and feet, faint pulse nearly imperceptible, body paradoxically not averse to cold, flushed complexion, or abdominal pain, or dry retching, or sore throat, or cessation of diarrhea with absent pulse, is primarily treated with Tongmai Sini Tang (Pulse-Returning Four Reversals Decoction).
Tongmai Sini Tang Formula
Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Fuzi (Raw Radix Aconiti Lateralis, 附子) one large piece (raw, skin removed, broken into eight pieces); Shengjiang (Dried Ginger, 干姜) three liang; Ginseng Radix et Rhizoma (Renshen, 人参) two liang.
(These) four herbs, with three sheng of water, decoct to obtain one and two he of liquid, filter out the dregs, divide into two warm doses. Recovery occurs when the pulse returns. For flushed complexion, add nine stems of Congbai (Scallion White, 葱白); for abdominal pain, remove Congbai, add Paeoniae Radix Alba (Baishao, 芍药) two liang; for vomiting, add Zingiberis Recens Rhizoma (Shengjiang, 生姜) two liang; for sore throat, remove Paeoniae Radix Alba (Baishao, 芍药), add Jiegeng Radix (Jiegeng, 桔梗) one liang; for cessation of diarrhea with absent pulse, remove Jiegeng Radix (Jiegeng, 桔梗), add Ginseng Radix et Rhizoma (Renshen, 人参) two liang.
Shaoyin disease, presenting with cold reversal of limbs, among which some have cough, or palpitations, or difficult urination, or abdominal pain, or diarrhea with heaviness in the rectum, is primarily treated with Sini San (Four Reversals Powder).
Sini San Formula
Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Fuzi (Radix Aconiti Lateralis, 附子) one large piece; Shengjiang (Dried Ginger, 干姜) one and a half liang; Ginseng Radix et Rhizoma (Renshen, 人参) two liang.
(These) four herbs, pounded and sifted, taken with white drink (rice gruel) one fangcun chi. For cough, remove Ginseng Radix et Rhizoma (Renshen, 人参), add Schisandrae Fructus (Wuweizi, 五味子) and Shengjiang (Dried Ginger, 干姜) five fen each, also treating diarrhea; for palpitations, add Cinnamomi Ramulus (Guizhi, 桂枝) five fen; for difficult urination, add Poria (Fuling, 茯苓) five fen; for diarrhea with heaviness in the rectum, first boil Xiebai (Allii Macrostemonis Bulbus, 薤白) three liang in five sheng of water to obtain three sheng of liquid, filter out dregs, add three fangcun chi of powder to the soup, boil to obtain one and a half sheng, divide into two warm doses.
Shaoyin disease, presenting with diarrhea for six to seven days, cough and vomiting, thirst, vexation, and insomnia, is primarily treated with Zhuling Tang (Polyporus Decoction).
Zhuling Tang Formula
Polyporus (Zhuling, 猪苓) one liang (skin removed); Poria (Fuling, 茯苓) one liang (skin removed); Asini Corii Colla (Ejiao, 阿胶) one liang; Alismatis Rhizoma (Zexie, 泽泻) one liang; Talcum (Huashi, 滑石) one liang.
(These) five herbs, with four sheng of water, first decoct the first four herbs to obtain two sheng of liquid, filter out the dregs, add gelatin until dissolved, take seven ge warm, three times a day.
Shaoyin disease, occurring two to three days after onset, with dry mouth and throat, requires urgent purgation; Dachengqi Tang (Major Order the Qi Decoction) is appropriate.
Dachengqi Tang Formula
Stellariae Fructus (Zhishi, 枳实) five pieces (roasted); Magnoliae Officinalis Cortex (Houpo, 厚朴) half a jin (skin removed, roasted); Rhei Radix et Rhizoma (Dahuang, 大黄) four liang (washed); Natrii Sulfas (Mangxiao, 芒硝) three he.
(These) four herbs, with one dou of water, first decoct Stellariae Fructus (Zhishi, 枳实) and Magnoliae Officinalis Cortex (Houpo, 厚朴) to obtain five sheng of liquid, filter out dregs, add Rhei Radix et Rhizoma (Dahuang, 大黄), boil to obtain two sheng, filter out dregs, add Natrii Sulfas (Mangxiao, 芒硝), boil one or two more times, divide into two warm doses. If bowel movement occurs after one dose, stop subsequent doses.
Shaoyin disease, with spontaneous passage of clear green water, severe epigastric pain, and dry mouth/throat, can be purged; Dachengqi Tang (Major Order the Qi Decoction) is appropriate. (Formula see above.)
Shaoyin disease, persisting for six to seven days, with abdominal distension and constipation, requires urgent purgation; Dachengqi Tang (Major Order the Qi Decoction) is appropriate. (Formula see above.)
Shaoyin disease, with a deep pulse, requires urgent warming; Sini Tang (Four Reversals Decoction) is appropriate.
Sini Tang Formula
Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Fuzi (Raw Radix Aconiti Lateralis, 附子) one large piece (raw, skin removed, broken into eight pieces); Shengjiang (Dried Ginger, 干姜) two and a half liang; Ginseng Radix et Rhizoma (Renshen, 人参) two liang.
(These) four herbs, with three sheng of water, decoct to obtain one and two he of liquid, filter out dregs, divide into two warm doses.
Shaoyin disease, with immediate vomiting upon eating, or a warm sensation in the heart with urge to vomit but inability to do so, initial cold hands and feet, and string-taut slow pulse, indicates excess in the chest; purgation is contraindicated, emesis is indicated. If there is cold-fluid retention in the diaphragm with dry retching, emesis is contraindicated, warming is indicated; Sini Tang (Four Reversals Decoction) is appropriate. (Formula see above.)
Shaoyin disease, with diarrhea, faint and choppy pulse, vomiting and sweating, frequent defecation but small volume, should be treated by warming the upper part with moxibustion.
Differentiation of Jueyin Disease Pulse and Syndromes
The Jueyin disease syndrome includes: excessive thirst (Xiaoke), qi rushing up to the heart, burning pain in the heart, hunger without desire to eat, vomiting of roundworms upon eating, and if purged, diarrhea will not cease.
In Jueyin wind-strike, a faint and floating pulse indicates impending recovery; non-floating indicates not yet recovered.
The time for resolution of Jueyin disease is from Chou hour to Mao hour.
In Jueyin disease, if the patient desires water, give small amounts to drink, and they will recover.
For all cases of cold reversal (Nijue), purgation is contraindicated; this applies equally to those with deficiency constitutions.
In Shanghan (Cold Damage), if cold reversal precedes fever and diarrhea, the diarrhea will cease spontaneously; if cold reversal recurs, diarrhea will recur.
In Shanghan, initial fever for six days, followed by cold reversal for nine days with diarrhea; generally, those with cold reversal and diarrhea cannot eat. If they can eat now, it may be "Chu Zhong" (removal of middle qi, a false sign of stomach qi exhaustion). Feed them plain cake; if no fever ensues, stomach qi remains, and recovery is certain. Fear is that sudden heat comes and goes quickly. On the third day, if the pulse shows continued heat, recovery is expected at midnight of the next day. This is because originally fever was six days, cold reversal nine days, plus three more days of fever totals nine days, matching the cold reversal days, hence recovery at midnight. On the third day thereafter, if the pulse is rapid and heat persists, this indicates excess heat, likely leading to carbuncle and pus.
In Shanghan, six to seven days, with a slow pulse, if mistakenly given Huangqin Tang (Scutellaria Decoction) to clear heat, since slow pulse indicates cold, using Huangqin Tang again removes heat, leaving the abdomen cold. If the patient can eat now, this is named "Chu Zhong," and death is certain.
In Shanghan, if cold reversal precedes fever, diarrhea ceases spontaneously. If sweating occurs instead, with sore throat, the throat becomes bi (obstructed). If fever occurs without sweating, diarrhea ceases spontaneously; if it does not cease, pus-blood in stool will occur, and the throat will not become obstructed.
In Shanghan, from one to two days to four to five days, if cold reversal occurs, fever must follow. Previous fever leads to subsequent cold reversal; deeper cold reversal implies deeper heat; milder cold reversal implies milder heat. Cold reversal should be treated with purgation; if mistakenly treated with sweating, oral lesions and redness will occur.
In Shanghan disease, if cold reversal lasts five days and fever five days, assuming cold reversal would return on the sixth day, if it does not, the disease heals itself. Cold reversal does not exceed five days; with five days of fever, self-healing is known.
Generally, cold reversal (Jue) occurs when Yin and Yang qi fail to connect smoothly. Cold reversal manifests as cold hands and feet.
In Shanghan, with faint pulse and cold reversal, progressing to seven or eight days, with cold skin, restlessness without respite, this is Zang Jue (Visceral Cold Reversal), not Tui Jue (Roundworm Cold Reversal). In Tui Jue, the patient vomits roundworms. Now the patient is quiet but occasionally vexed, indicating visceral cold causing roundworms to ascend to the diaphragm, causing vexation, which stops shortly. Vomiting and vexation after eating indicate roundworms responding to food odor, and the patient will vomit roundworms. Tui Jue is primarily treated with Wumei Wan (Mume Pill), which also treats chronic diarrhea.
Wumei Wan Formula
Mume Fructus (Wumei, 乌梅) three hundred pieces; Asari Radix et Rhizoma (Xixin, 细辛) six liang; Shengjiang (Dried Ginger, 干姜) ten liang; Coptidis Rhizoma (Huanglian, 黄连) sixteen liang; Angelicae Sinensis Radix (Danggui, 当归) four liang; Fuzi (Processed Radix Aconiti Lateralis, 附子) six liang (processed, skin removed); Sichuan Pepper (Shujiao, 蜀椒) four liang (sweated); Cinnamomi Ramulus (Guizhi, 桂枝) six liang (skin removed); Ginseng Radix et Rhizoma (Renshen, 人参) six liang; Phellodendri Cortex (Huangbai, 黄柏) six liang.
(These) ten herbs, separately pounded and sifted, mixed together. Soak Mume Fructus (Wumei, 乌梅) in vinegar overnight, remove pits, steam over five dou of rice. When rice is cooked, pound into paste, mix with herbs, place in mortar with honey, pound two thousand times, form pills the size of paulownia seeds. Take ten pills before meals with drink, three times a day, gradually increase to twenty pills.
Avoid raw, cold, slippery, and foul-smelling foods.
In Shanghan, with slight heat and mild cold reversal, cold fingertips, silence, lack of appetite, and vexation, if after several days urination is clear and white, heat has cleared, appetite returns, and the disease heals. If cold reversal with vomiting and chest/hypochondriac fullness/vexation occurs, blood in stool will follow later.
If the patient has cold hands and feet, no chest binding, lower abdominal fullness, and tenderness on pressure, this is cold binding at the Bladder Guan Yuan point.
In Shanghan, fever for four days, cold reversal for three days, then fever for four days; less cold reversal and more heat indicates healing. From fourth to seventh day, if heat persists, pus-blood in stool will occur.
In Shanghan, cold reversal for four days, fever for three days, then cold reversal for five days; the disease progresses, with more cold and less heat, indicating decline of Yang qi.
In Shanghan, six to seven days, with faint pulse, cold hands and feet, and vexation, moxa Jueyin; if cold reversal does not resolve, death ensues.
In Shanghan, with fever, diarrhea, cold reversal, and restlessness preventing lying down, death ensues.
In Shanghan, with fever, severe diarrhea, and unceasing cold reversal, death ensues.
In Shanghan, six to seven days without diarrhea, sudden fever with diarrhea, and unceasing sweating, death ensues. This is due to Yin without Yang.
In Shanghan, five to six days, no chest binding, soft abdomen, deficient pulse, and recurrent cold reversal, purgation is contraindicated; this is blood loss, and purgation leads to death.
In Shanghan, with fever and cold reversal, progressing to seven days with diarrhea, is difficult to treat.
In Shanghan, with rapid pulse and cold hands and feet, moxibustion is contraindicated.
In Shanghan, with slippery pulse and cold reversal, interior heat is present; Baihu Tang (White Tiger Decoction) is primarily indicated.
Baihu Tang Formula
Anemarrhenae Rhizoma (Zhimu, 知母) six liang; Gypsum Fibrosum (Shigao, 石膏) one jin (crushed, wrapped in cotton); Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Oryza Sativa (Jingmi, 粳米) six he.
(These) four herbs, with one dou of water, cook until rice is soft, strain, take one sheng warm, three times a day.
In Shanghan, with cold reversal of hands and feet and thready pulse nearly absent, Danggui Sini Jia Renshen Fuzi Tang (Angelica Decoction for Reversal Cold with Added Ginseng and Aconite) is primarily indicated; if there is long-standing interior cold, Danggui Sini Jia Wuzhuyu Shengjiang Fuzi Tang (Angelica Decoction for Reversal Cold with Added Evodia, Ginger, and Aconite) is primarily indicated.
Danggui Sini Jia Renshen Fuzi Tang Formula
Angelicae Sinensis Radix (Danggui, 当归) three liang; Cinnamomi Ramulus (Guizhi, 桂枝) three liang (skin removed); Paeoniae Radix Alba (Baishao, 芍药) three liang; Asari Radix et Rhizoma (Xixin, 细辛) three liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Tetrapanacis Medulla (Mutong, 木通) two liang; Zizyphi Fructus (Dazao, 大枣) twenty-five pieces (split); Ginseng Radix et Rhizoma (Renshen, 人参) three liang; Fuzi (Processed Radix Aconiti Lateralis, 附子) one piece (processed, skin removed, broken into eight pieces).
(These) nine herbs, with eight sheng of water, decoct to obtain three sheng of liquid, filter out dregs, take one sheng warm, three times a day.
Danggui Sini Jia Wuzhuyu Shengjiang Fuzi Tang Formula
Evodiae Fructus (Wuzhuyu, 吴茱萸) two sheng; Zingiberis Recens Rhizoma (Shengjiang, 生姜) half a jin; Fuzi (Processed Radix Aconiti Lateralis, 附子) one piece (processed, skin removed, broken into eight pieces); Angelicae Sinensis Radix (Danggui, 当归) three liang; Cinnamomi Ramulus (Guizhi, 桂枝) three liang (skin removed); Paeoniae Radix Alba (Baishao, 芍药) three liang; Asari Radix et Rhizoma (Xixin, 细辛) three liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted); Tetrapanacis Medulla (Mutong, 木通) two liang; Zizyphi Fructus (Dazao, 大枣) twenty-five pieces (split).
(These) ten herbs, with six sheng of water and six sheng of clear wine, decoct to obtain three sheng of liquid, take one sheng warm, three times a day.
With profuse sweating, persistent heat, internal tension, limb pain, accompanied by diarrhea, cold reversal, and aversion to cold, Sini Tang (Four Reversals Decoction) is primarily indicated.
Sini Tang Formula
Ginseng Radix et Rhizoma (Renshen, 人参) two liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang; Shengjiang (Dried Ginger, 干姜) one and a half liang; Fuzi (Raw Radix Aconiti Lateralis, 附子) one piece (raw, skin removed, broken into eight pieces).
(These) four herbs, with three sheng of water, decoct to obtain one and two he of liquid, filter out dregs, divide into two warm doses. For strong constitutions, use one large Fuzi (Aconite, 附子) and two liang of Shengjiang (Dried Ginger, 干姜).
With profuse sweating, or profuse diarrhea with cold reversal, Sini Tang (Four Reversals Decoction) is primarily indicated. (Formula see above.)
If the patient has cold hands and feet and a suddenly tight pulse, pathogenic factor is bound in the chest, with epigastric fullness and vexation, hunger but inability to eat, the disease is in the chest, and emesis is required; Genti San (Melon Seed Powder) is appropriate.
Genti San Formula
Gentis Fructus (Genti, 瓜蒂); Adzuki Bean (Chixiaodou, 赤小豆).
(These) two herbs, in equal parts, separately pounded and sifted, mixed in mortar. Separately, cook one he of Black Soybean Paste (Xiangchi, 香豉) with seven he of hot water into a thin porridge, filter, take juice, mix with one qian chi of powder, take warm in one dose. If no vomiting, increase slightly until vomiting occurs, then stop. Contraindicated in blood loss and deficiency constitutions.
In Shanghan, with cold reversal and epigastric palpitations, water retention should be treated first with Fuling Gancao Tang (Poria and Licorice Decoction), then treat the cold reversal. Otherwise, water will soak into the stomach, causing diarrhea.
Fuling Gancao Tang Formula
Poria (Fuling, 茯苓) two liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) one liang (roasted); Zingiberis Recens Rhizoma (Shengjiang, 生姜) three liang (sliced); Cinnamomi Ramulus (Guizhi, 桂枝) two liang (skin removed).
(These) four herbs, with four sheng of water, decoct to obtain two sheng of liquid, filter out dregs, divide into three warm doses.
In Shanghan, six to seven days, after severe purgation, with cun pulse deep and slow, cold reversal of hands and feet, absence of pulses in the lower body, throat obstruction, spitting of pus-blood, and incessant diarrhea, is difficult to treat; Renshen Fuzi Tang (Ginseng and Aconite Decoction) is primarily indicated. If not improved, give Renshen Ganjiang Tang (Ginseng and Dried Ginger Decoction).
Renshen Fuzi Tang Formula
Ginseng Radix et Rhizoma (Renshen, 人参) two liang; Fuzi (Radix Aconiti Lateralis, 附子) one piece; Shengjiang (Dried Ginger, 干姜) two pieces (processed); Banxia (Pinelliae Tuber, 半夏) half sheng; Asini Corii Colla (Ejiao, 阿胶) two liang; Biye (Cacumen Platycladi, 柏叶) three liang.
(These) six herbs, with six sheng of water, decoct to obtain two sheng of liquid, filter out dregs, add gelatin until dissolved, take one sheng warm, twice a day.
Renshen Ganjiang Tang Formula
Ginseng Radix et Rhizoma (Renshen, 人参) two liang; Fuzi (Radix Aconiti Lateralis, 附子) one piece; Shengjiang (Dried Ginger, 干姜) three liang; Cinnamomi Ramulus (Guizhi, 桂枝) two liang (skin removed); Gancao (Prepared Radix Glycyrrhizae, 甘草) two liang (roasted).
(These) five herbs, with two sheng of water, decoct to obtain one sheng of liquid, filter out dregs, take warm in one dose.
In Shanghan, four to five days, with abdominal pain, if gas moves downward toward the lower abdomen, diarrhea is imminent.
In Shanghan, originally having cold-type diarrhea, if the doctor mistakenly uses emesis and purgation, cold rejection causes further reverse vomiting and diarrhea; Mahuang Shengma Tang (Ephedra and Cimicifuga Decoction) is primarily indicated. If food is vomited immediately upon entry, Ganjiang Huangqin Huanglian Renshen Tang (Dried Ginger, Scutellaria, Coptis, and Ginseng Decoction) is primarily indicated.
Mahuang Shengma Tang Formula
Ephedrae Herba (Mahuang, 麻黄) two and a half liang (nodes removed); Cimicifugae Rhizoma (Shengma, 升麻) one liang; Anemarrhenae Rhizoma (Zhimu, 知母) one liang; Scutellariae Radix (Huangqin, 黄芩) one and a half liang; Cinnamomi Ramulus (Guizhi, 桂枝) two liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) one liang; Gancao (Prepared Radix Glycyrrhizae, 甘草) one liang (roasted).
(These) seven herbs, with one dou of water, first decoct Ephedrae Herba (Mahuang, 麻黄) to remove foam, add other herbs, decoct to obtain three sheng of liquid, filter out dregs, take one sheng warm, three times a day.
Ganjiang Huangqin Huanglian Renshen Tang Formula
Shengjiang (Dried Ginger, 干姜) three liang; Scutellariae Radix (Huangqin, 黄芩) three liang; Coptidis Rhizoma (Huanglian, 黄连) three liang; Ginseng Radix et Rhizoma (Renshen, 人参) three liang.
(These) four herbs, with six sheng of water, decoct to obtain two sheng of liquid, filter out dregs, divide into two warm doses.
In diarrhea, with slight heat and thirst, and weak pulse, spontaneous recovery is expected.
In diarrhea, with rapid pulse, slight heat, and sweating, recovery is expected; with tight pulse, unresolved.
In diarrhea, with cold hands and feet and absent pulse, if moxibustion does not warm and pulse does not return, but slight panting occurs, death ensues. If the Shaoyin pulse is weaker than the Dubo pulse, it is favorable.
In diarrhea, with cun pulse floating and rapid, and chi pulse choppy, pus-blood in stool is certain; Bo Ye Ejiao Tang (Biye and Gelatin Decoction) is primarily indicated.
Bo Ye Ejiao Tang Formula
Biye (Cacumen Platycladi, 柏叶) three liang; Asini Corii Colla (Ejiao, 阿胶) two liang; Shengjiang (Dried Ginger, 干姜) two liang (processed); Mudan Pi (Cortex Moutan, 牡丹皮) three liang.