右五味，以水三升，先煮四味，取一升，去滓，纳猪胆汁搅匀，分温再服。
吐、利后，汗出，脉平，小烦者，以新虚不胜谷气故也。
辨痉阴阳易差后病脉证并治
病者身热足寒，颈项强急，恶寒，时头热，面赤目赤，独头动摇，卒口噤，背反张者，痉病也。若发其汗，寒湿相得，其表益虚，则恶寒甚，发其汗已，其脉如蛇，暴脉长大者，为欲解；其脉如故，及伏弦者，为未解。
夫痉脉，按之紧如弦，直上下行。
痉病，有灸疮者，难治。
太阳病，其证备，身体强儿儿然，脉反沉迟，此为痉，括蒌桂枝汤主之。
括萎根三两桂枝三两(去皮)甘草二两(炙)芍药三两生姜二两(切)大枣十二枚(劈)
右六味，以水七升，微火煮取三升，去滓，适寒温服一升，日三服。
太阳病，无汗，而小便反少，气上冲胸，口噤不得语，欲作刚痉者，葛根汤主之。
葛根汤方
葛根四两麻黄三两(去节)桂枝二两甘草二两(炙)芍药二两生姜三两(切)大枣十二枚(劈)
右七味，以水一斗，先煮麻黄葛根减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，覆取微似汗，不汗再进一升，得汗停后服。
痉病，手足厥冷，发热间作，唇青目陷，脉沉弦者，风邪入厥阴也，桂枝加附子当归细辛人参干姜汤主之。
桂枝三两芍药三两甘草二两(炙)当归四两细辛一两附子一枚(炮)人参二两干姜一两半生姜三两(切)大枣十二枚(劈)
右十味，以水一斗二升，煮取四升，去滓，温服一升，日三服，夜一服。
痉病，本属太阳，若发热，汗出，脉弦而实者，转属阳明也，宜承气辈与之。
大承气汤方
右四味，以水一斗，先煮枳实、厚朴取五升，去滓，纳大黄，煮取二升，去滓，纳芒硝，更上微火一两沸，分温再服，得一服下者，止后服。
伤寒阴阳易之为病，其人身体重，少气，少腹里急，或引阴中拘挛，热上冲胸，头重不欲举，眼中生花，膝胫拘急者，烧裩散主之。
烧裩散方
右剪取妇人中裩，近隐处，烧灰，以水和服方寸匙，日三服，小便即利，阴头微肿则愈，妇人病取男子裩裆烧，和服如法。
大病差后，劳复者，枳实栀子豉汤主之；若有宿食者，加大黄如博棋子大五六枚。
枳实三枚(炙)栀子十四枚(劈)香豉一升(棉襄)
右三味，以清浆水七升，空煮取四升，纳枳实、栀子煮取二升，纳香豉更煮五六沸，去滓，温分再服，覆令微似汗。
伤寒差已后，更发热者，小柴胡汤主之；脉浮者，以汗解之；脉沉实者，以下解之。
小柴胡汤方
柴胡八两黄芩三两人参三两甘草三两(炙)半夏半升生姜三两(切)大枣十二枚(劈)
右七味，以水一斗二升，煮取六升，去滓，更煎取三升，温服一升，日三服。
大病差后，从腰以下有水气者，牡蛎泽泻散主之。
牡蛎泽泻括蒌根蜀漆(洗去腥)葶历(熬)商陆根(熬)海藻(洗去腥)
右七味等分，异捣，下筛为散，更入臼中治之，白饮和服方寸匙，日三服，小便利止后服。
大病差后，喜唾，久不了了，胸上有寒也，当以丸药温之，宜理中丸。(方见霍乱)
竹叶二把石膏一斤半夏半升(洗)人参三两麦门冬一升甘草二两(炙)粳米半升
右七味，以水一斗，先煮六味，取六升，去滓，纳粳米，煮米熟，汤成去米，温服一升，日三服。
大病已解，而日暮微烦者，以病新差，人强与谷，脾胃之气尚弱，不能消谷，故令微烦，损谷则愈。
伤寒杂病论卷第十三
辨百合狐惑阴阳毒病脉证并治
百合病者，百脉一宗，悉致其病也，意欲食，复不能食，常默默，欲卧不能卧，欲行不能行，饮食或有美时，或有不欲闻食臭时，如寒无寒，如热无热，口苦，小便赤，诸药不能治，得药则剧吐利，如有神灵者，身形如和，其脉微数，每溺时头痛者，六十日乃愈。若溺时头不痛，淅淅然者，四十日愈。若溺时快然，但头眩者，二十日愈。其证或未病而预见，或病四五日始见，或病至二十日，或一月后见者；各随其证，依法治之。
百合七枚知母三两
右二味，先以水洗百合，渍一宿，当白沫出，去其水，另以泉水二升，煮取一升，去滓，别以泉水二升，煮知母取一升，去滓，后合煎取一升五合，分温再服。
百合七枚滑石三两代赭石如弹丸大(碎棉裹)
右三味，以水先洗，煮百合如前法，别以泉水二升，煮二味，取一升，去滓，合和，重煎，取一升五合，分温再服。
百合七枚鸡子黄一枚
右二味，先洗煮百合如前法，去滓，纳鸡子黄，搅匀，顿服之。
百合七枚地黄汁一升
右二昧，先洗煮百合如上法，去滓，纳地黄汁，煎取一升五合，分温再服，中病勿更服，大便当如漆。
百合病，一月不解，变成渴者，百合洗方主之；不差，括蒌牡蛎散主之。
百合洗方
百合一升
右一味，以水一斗，渍之一宿，以洗身，洗已，食煮饼，勿以盐豉也。
右二味，捣为散，白饮和服方寸匙，日三服。
百合一两(炙)滑石二两
右二味，为散，饮服方寸匙，日三服，当微利，热除则止后服。
百合病，见于阴者，以阳法救之；见于阳者，以阴法救之；见阳攻阴，复发其汗，此为逆，见阴攻阳，乃复下之，此亦为逆。
狐惑之为病，状如伤寒，默默欲眠，目不得闭，卧起不安。蚀于喉为惑，蚀于阴为狐，不欲饮食，恶闻食臭，其面目乍赤，乍黑，乍白，蚀于上部则声嗄，甘草泻心汤主之；蚀于下部则咽干，苦参汤洗之；蚀于肛者，雄黄薰之。
甘草四两(炙)黄芩三两干姜三两半夏升半黄连一两大枣十二枚(劈)
右六味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
苦参汤方
苦参一斤
右一味，以水一斗，煮取七升，去滓，薰洗，日三次。
雄黄散方
雄黄一两
右一味，为末，筒瓦二枚合之，纳药于中，以火烧烟，向肛薰之。
病者脉数，无热微烦，默默但欲卧，汗出，初得之三四日，目赤如鸠眼，七八日，目四眥黑，若能食者，脓已成也，赤豆当归散主之。
右二味，杵为散，浆水服方寸匙，日三服。
阳毒之为病，面赤斑斑如锦纹，咽喉痛，唾脓血，五日可治，七日不可治，升麻鳖甲汤主之。
升麻二两蜀椒一两(去汁)雄黄五钱(研)当归一两甘草二两鳖甲一片(炙)
右六味，以水四升，煮取一升，顿服之，不差，再服，取汗。
阴毒之为病，面目青，身痛如被杖，咽喉痛，五日可治；七日不可治；升麻鳖甲汤去雄黄蜀椒主之。
右四味，以水二升，煮取一升，去滓，顿服之，不差，再服。
辨疟病脉证并治
师曰：疟病其脉弦数者，热多寒少；其脉弦迟者，寒多热少。脉弦而小紧者，可下之；弦迟者，可温之，弦紧者，可汗之，针之，灸之；浮大者，可吐之；弦数者，风发也，当于少阳中求之。
问曰：疟病以月一发者，当以十五日愈，甚者当月尽解，如其不差，当云何?师曰：此结为症瘕，必有疟母，急治之，宜鳖甲煎丸。
鳖甲煎丸方
右七味，各等分，捣筛，炼蜜为丸，如梧桐子大，每服七丸，日三服，清酒下，不能饮者，白饮亦可。
师曰：阴气孤绝，阳气独发，则热而少气烦悗，手足热而欲呕，此名疸疟，白虎加桂枝人参汤主之。
右六昧，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
疟病，其脉如平，身无寒，但热，骨节疼烦，时作呕，此名温疟，宜白虎加桂枝汤。
疟病，多寒，或但寒不热者，此名牡疟，蜀漆散主之，柴胡桂姜汤亦主之。
蜀漆散方
右三味，杵为散，未发前以浆水和服半钱匙。
柴胡半斤桂枝三两干姜二两括萎根四两黄芩三两甘草二两(炙)牡蛎二两(熬)
右七味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服，初服微烦，再服，汗出便愈。
问曰：血痹之病，从何得之?师曰：夫尊荣之人，骨弱，肌肤盛，重因疲劳，汗出，卧不时动摇，加被微风，遂得之。但以脉寸口微涩，关上小紧，宜针引阳气，令脉和，紧去则愈。
血痹，阴阳俱微，或寸口关上微，尺中小紧，外证身体不仁，如风痹状，黄芪桂枝五物汤主之。
右五味，以水六升，煮取二升，温服七合，日三服。
男子脉虚沉弦，无寒热，短气，里急，小便不利，面色白，时目瞑兼衄，少腹满，此为劳使之然。
劳之为病，其脉浮大，手足烦，春夏剧，秋冬差，阴寒精自出，酸削不能行。
男子脉浮弱涩，为无子，精气清冷。
失精家，少阴脉弦急，阴头寒，目眩，发落，脉极虚芤迟者，为清谷亡血失精；脉得诸芤动微紧者，男子则失精，女子则梦交，桂枝龙骨牡蛎汤主之。天雄散亦主之。
桂枝三两芍药三两甘草二两(炙)生姜三两大枣十二枚龙骨三两牡蛎三两
右七味，以水七升，煮取三升，去滓，分温三服。
天雄散方
右四味，杵为散，酒服半钱匙，日三服，不知稍增，以知为度。
人年五六十，其脉大者，病痹，挟背行；若肠鸣，马刀挟瘿者，皆为劳得之也。其脉小沉迟者，病脱气，疾行则喘渴；手足逆寒者，亦劳之为病也。
虚劳里急，悸衄，腹中痛，梦失精，四肢酸疼，手足烦热，咽干口燥者，小建中汤主之。
小建中汤方
右六味，以水七升，煮取三升，去滓，纳胶饴，更上微火消解，温服一升，日三服。
即前方小建中加黄芪一两半。气短，胸满者，加生姜一两；腹满者，去大枣，加茯苓一两半；大便秘结者，去大枣，加枳实一两半；肺气虚损者，加半夏三两。
肾气丸方
地黄八两薯蓣四两山茱萸四两泽泻三两牡丹皮三两茯苓三两桂枝一两附子一枚(炮)
右八味，捣筛，炼蜜和丸，如梧桐子大，酒下十五丸，渐加至二十五丸，日再服，不能饮者，白饮下之。
酸枣仁汤方
右五味，以水八升，煮酸枣仁，得六升，纳诸药，煮取三升，去滓，温服一升，日三服。
五劳虚极，赢瘦腹满，不能饮食，食伤，忧伤，饮伤，房室伤，饥伤，劳伤，经络荣卫气伤，内有干血，肌肤甲错，两目黯黑，缓中补虚，大黄（庶/虫）虫丸主之。
大黄（庶/虫）虫丸方
大黄十两黄芩二两甘草三两桃仁一升杏仁一升芍药四两地黄十两干漆一两虻虫一升水蛭百枚蛴螬一升（庶/虫）虫半升
右十二昧，末之，炼蜜和丸，如小豆大，酒饮服五丸，日三服。
女劳，膀胱急，少腹满，身尽黄，额上黑，足下热，其腹胀如水状，大便溏而黑，胸满者，难治，硝石矾石散主之。
右二味，为散，大麦粥汁和服方寸匙，日三服，大便黑，小便黄，是其候也。
伤寒杂病论卷第十四
辨咳嗽水饮黄汗历节病脉证并治
以上五味药，用三升水，先煎煮前四味药，取一升药液，滤去药渣，加入猪胆汁搅拌均匀，分两次温服。
在呕吐、腹泻之后，出现汗出，脉象平和，仅有轻微烦闷的，是因为身体刚刚虚弱，不能承受食物的运化所致。
太阳病，发热，脉象沉而细的，称为日痉（注：原文如此，通常指痉病的一种），属于难治之症。
患风病的人，误用攻下法会导致痉病；如果又再次发汗，必然导致肢体拘急挛缩。
患者身体发热但足部寒冷，颈项强直紧急，恶寒，有时头部发热，面部和眼睛发红，只有头部动摇，突然牙关紧闭，角弓反张的，这是痉病。如果对此误用发汗法，寒湿相合，表气更虚，则恶寒加重；发汗后，如果脉象像蛇行一样蜿蜒不定，突然变得长大有力的，是病情将要解除的征兆；如果脉象如旧，或伏而弦硬的，是病情未解。
痉病的脉象，按之紧硬如弦，笔直上下通行。
患有痉病且有灸疮的，难以治疗。
太阳病，症状具备，身体强直僵硬，脉象反而沉迟，这是痉病，用括蒌桂枝汤主治。
括蒌根三两 桂枝三两（去皮） 甘草二两（炙） 芍药三两 生姜二两（切） 大枣十二枚（劈开）
以上六味药，用七升水，小火煮取三升，滤去药渣，待温度适宜时服用一升，每日三次。
太阳病，无汗，小便反而少，气上冲胸部，牙关紧闭不能说话，将要发作刚痉的，用葛根汤主治。
葛根汤方
葛根四两 麻黄三两（去节） 桂枝二两 甘草二两（炙） 芍药二两 生姜三两（切） 大枣十二枚（劈开）
以上七味药，用一斗水，先煮麻黄和葛根，减少二升水，撇去上面的浮沫，加入其他药物，煮取三升，滤去药渣，温服一升，服药后覆盖衣被使身体微微出汗，若无汗再服一升，得汗后停止后续服用。
痉病，手足厥冷，发热间歇发作，嘴唇青紫，眼窝凹陷，脉象沉弦的，是风邪侵入厥阴经，用桂枝加附子当归细辛人参干姜汤主治。
桂枝三两 芍药三两 甘草二两（炙） 当归四两 细辛一两 附子一枚（炮制） 人参二两 干姜一两半 生姜三两（切） 大枣十二枚（劈开）
以上十味药，用一斗二升水，煮取四升，滤去药渣，温服一升，每日三次，夜间一次。
痉病，本属太阳经，如果出现发热、汗出、脉弦而实的症状，则转属阳明经，适宜用承气汤类方剂治疗。
痉病，胸满，牙关紧闭，睡觉时背部不能着席，脚部痉挛拘急，必定咬紧牙齿的，宜用大承气汤。
大承气汤方
大黄四两（酒洗） 厚朴半斤（去皮） 枳实五枚（炙） 芒硝三合
以上四味药，用一斗水，先煮枳实和厚朴，取五升药液，滤去药渣，加入大黄，煮取二升，滤去药渣，加入芒硝，再上火微沸一二滚，分两次温服，如果第一次服药后大便通下，就停止后续服用。
伤寒阴阳易病，表现为身体沉重，气短，小腹部拘急疼痛，或者牵引阴中拘挛，热气上冲胸部，头重不想抬起，眼中视物如花乱舞，膝胫部拘急的，用烧裩散主治。
烧裩散方
剪取妇女的中衣，靠近隐处部分，烧成灰，用水调和，每次服一方寸匕，每日三次，小便通畅，阴头轻微肿胀即愈。如果是男子患病，取男子的裤裆烧灰，按同样方法服用。
大病初愈后因劳累而复发的，用枳实栀子豉汤主治；如果有宿食停滞的，加大黄如博棋子大小的五六枚。
枳实三枚（炙） 栀子十四枚（劈开） 香豉一升（棉布包裹）
以上三味药，用清浆水七升，先空煮取四升，加入枳实、栀子煮取二升，加入香豉再煮五六沸，滤去药渣，温服分两次，服药后覆盖衣被使身体微微出汗。
伤寒病愈后，再次发热的，用小柴胡汤主治；脉浮的，用发汗法解表；脉沉实的，用攻下法通便。
小柴胡汤方
柴胡八两 黄芩三两人参三两 甘草三两（炙） 半夏半升 生姜三两（切） 大枣十二枚（劈开）
以上七味药，用一斗二升水，煮取六升，滤去药渣，再浓缩煎取三升，温服一升，每日三次。
大病初愈后，腰部以下有水气停留的，用牡蛎泽泻散主治。
牡蛎 泽泻 括蒌根 蜀漆（洗去腥味） 葶苈（炒制） 商陆根（炒制） 海藻（洗去腥味）
以上七味药等分，分别捣碎过筛为散，再放入臼中研磨均匀，用米汤调服一方寸匕，每日三次，小便通利后停止服用。
大病初愈后，喜欢吐唾沫，长久不好，这是胸上有寒邪，应当用丸药温补，宜用理中丸。（方剂见霍乱篇）
伤寒病解后，身体虚弱消瘦，气短，气逆想呕吐的，用竹叶石膏汤主治。
竹叶二把 石膏一斤 半夏半升（洗） 人参三两 麦门冬一升 甘草二两（炙） 粳米半升
以上七味药，用一斗水，先煮前六味，取六升药液，滤去药渣，加入粳米，煮至米熟，汤成后去掉米，温服一升，每日三次。
大病已解，但在傍晚时分轻微烦闷的，是因为病刚痊愈，人强行进食，脾胃之气尚弱，不能消化食物，所以导致轻微烦闷，减少饮食即可痊愈。
伤寒杂病论卷第十三
百合病，是由于百脉同宗，全部受到病变影响，想要吃东西，却又吃不下，常常沉默不语，想睡却睡不着，想走却走不动，饮食有时觉得美味，有时又不想闻到食物的气味，感觉像冷又不冷，像热又不热，口苦，小便赤红，各种药物都不能治愈，吃药则剧烈呕吐腹泻，好像有神灵作祟一样，身体外形看似正常，脉象微数。每次小便时头痛的，六十天可愈。如果小便时头不痛，只是感到淅淅怕冷的，四十天可愈。如果小便时畅快，只是头晕的，二十天可愈。这种病症，有的还没发病就预先见到，有的发病四五日后才见到，有的发病二十日后，或一个月后才见到；各随其证，依法治疗。
百合七枚 知母三两
以上两味药，先用水洗百合，浸泡一夜，当出现白沫时，倒掉水，另用泉水二升，煮取一升，滤去药渣；另外用泉水二升，煮知母取一升，滤去药渣；然后将两者混合再煎取一升五合，分两次温服。
百合七枚 滑石三两 代赭石如弹丸大小（碎后用棉布包裹）
以上三味药，先用水洗净，按前述方法煮百合，另外用泉水二升，煮另外两味药，取一升，滤去药渣，混合在一起，重新煎煮，取一升五合，分两次温服。
百合七枚 鸡蛋黄一枚
以上两味药，先洗煮百合按前述方法，滤去药渣，加入鸡蛋黄，搅拌均匀，一次性服下。
百合病，没有经过发汗、催吐、攻下，病情如初的，用百合地黄汤主治。
百合七枚 地黄汁一升
以上两味药，先洗煮百合如上法，滤去药渣，加入地黄汁，煎取一升五合，分两次温服，病愈后不要继续服用，大便应当像漆一样黑。
百合病，一个月不愈，变成口渴的，用百合洗方主治；如果不愈，用括蒌牡蛎散主治。
百合洗方
百合一升
以上一味药，用一斗水，浸泡一夜，用来洗浴身体，洗完后，吃煮好的面条，不要用盐豆豉调味。
以上两味药，捣碎为散，用米汤调服一方寸匕，每日三次。
百合一两（炙） 滑石二两
以上两味药，研为散，用开水送服一方寸匕，每日三次，应当轻微腹泻，热除后停止服用。
百合病，见于阴证的，用阳法救治；见于阳证的，用阴法救治；见阳证而攻阴，又再次发汗，这是逆治；见阴证而攻阳，又再次攻下，这也是逆治。
狐惑病，症状像伤寒，沉默想睡，眼睛闭不住，坐卧不安。腐蚀咽喉称为惑，腐蚀阴部称为狐，不想饮食，厌恶闻到食物气味，面目颜色忽红忽黑忽白。腐蚀在上部的声音嘶哑，用甘草泻心汤主治；腐蚀在下部的咽干，用苦参汤清洗；腐蚀在肛门的，用雄黄熏蒸。
甘草四两（炙） 黄芩三两 干姜三两 半夏半升 黄连一两 大枣十二枚（劈开）
以上六味药，用一斗水，煮取六升，滤去药渣，再浓缩煎取三升，温服一升，每日三次。
苦参汤方
苦参一斤
以上一味药，用一斗水，煮取七升，滤去药渣，熏洗，每日三次。
雄黄散方
雄黄一两
以上一味药，研为末，用两片筒瓦合拢，将药放在中间，点燃产生烟雾，对着肛门熏蒸。
患者脉数，无发热但轻微烦闷，沉默只想睡觉，出汗，初得病三四日，眼睛红得像斑鸠的眼睛，七八日后，眼角变黑，如果能吃饭的，说明脓已形成，用赤豆当归散主治。
以上两味药，捣碎为散，用浆水送服一方寸匕，每日三次。
阳毒病，面色红赤斑斑如锦纹，咽喉痛，吐脓血，五日可治，七日不可治，用升麻鳖甲汤主治。
升麻二两 蜀椒一两（去汗） 雄黄五钱（研细） 当归一两 甘草二两 鳖甲一片（炙）
以上六味药，用四升水，煮取一升，一次性服下，不愈再服，取汗。
阴毒病，面目青紫，身体疼痛像被棍棒打过，咽喉痛，五日可治；七日不可治；用升麻鳖甲汤去掉雄黄、蜀椒主治。
以上四味药，用二升水，煮取一升，滤去药渣，一次性服下，不愈再服。
辨疟病脉证并治
老师说：疟病的脉象弦数的，热多寒少；脉象弦迟的，寒多热少。脉象弦而小紧的，可用攻下法；弦迟的，可用温法；弦紧的，可用发汗法、针刺、艾灸；脉象浮大的，可用吐法；脉象弦数的，属于风邪引发的发热，应当在少阳经中寻求治疗方法。
问：疟病每月发作一次的，应当在十五天内痊愈，严重的应当在当月结束前解除，如果还不愈，该怎么办？老师说：这是结聚成为症瘕，必有疟母，必须紧急治疗，宜用鳖甲煎丸。
鳖甲煎丸方
以上七味药，各等分，捣碎过筛，炼蜜为丸，如梧桐子大小，每次服七丸，每日三次，用清酒送下，不能饮酒的，用米汤也可。
老师说：阴气孤绝，阳气独发，则发热且气短烦闷，手足发热且想呕吐，这名叫疸疟，用白虎加桂枝人参汤主治。
知母六两 石膏一斤 甘草二两（炙） 粳米二合 桂枝三两 人参三两
以上六味药，用一斗水，煮米熟，汤成后去滓，温服一升，每日三次。
疟病，脉象如常人，身体不寒，只发热，骨节疼痛烦扰，时常呕吐，这名叫温疟，宜用白虎加桂枝汤。
疟病，恶寒多，或者只寒不热的，这名叫牡疟，用蜀漆散主治，柴胡桂姜汤也主治。
蜀漆散方
以上三味药，捣碎为散，在未发作前用浆水调和服半钱匙。
柴胡半斤 桂枝三两 干姜二两 括蒌根四两 黄芩三两 甘草二两（炙） 牡蛎二两（炒）
以上七味药，用一斗水，煮取六升，滤去药渣，再浓缩煎取三升，温服一升，每日三次，初服轻微烦闷，再服后出汗即愈。
问：血痹病，是怎么得的？老师说：那些养尊处优的人，骨骼柔弱，肌肉丰盛，再加上疲劳出汗，睡觉时不时翻身摇动，加上遭受微风侵袭，于是得了此病。只要脉象寸口微涩，关上小紧，适宜用针刺引导阳气，使脉象调和，紧象消失则痊愈。
血痹，阴阳脉俱微，或者寸口关上微，尺中小紧，外证身体麻木不仁，像风痹的样子，用黄芪桂枝五物汤主治。
以上五味药，用六升水，煮取二升，温服七合，每日三次。
男子脉虚沉弦，无寒热，短气，腹中拘急，小便不利，面色白，时常眼花兼鼻出血，小腹胀满，这是劳损导致的。
劳损的病，脉象浮大，手足烦热，春夏季节加重，秋冬季节减轻，阴寒精液自出，肌肉酸痛消瘦不能行走。
男子脉浮弱涩，是无子的征象，精气清冷。
经常失精的人，少阴脉弦急，阴头寒冷，头晕目眩，脱发，脉极虚芤迟的，是清谷、亡血、失精；脉象出现诸芤动微紧的，男子则失精，女子则梦交，用桂枝龙骨牡蛎汤主治。天雄散也主治。
桂枝三两 芍药三两 甘草二两（炙） 生姜三两 大枣十二枚 龙骨三两 牡蛎三两
以上七味药，用七升水，煮取三升，滤去药渣，分三次温服。
天雄散方
以上四味药，捣碎为散，用酒送服半钱匙，每日三次，无效稍增加剂量，以见效为度。
男子平素健康，脉象虚弱细微的，容易盗汗。
人到了五六十岁，脉象大的，患痹病，疼痛沿背部行走；如果肠鸣，马刀挟瘿的，都是劳损导致的。脉象小沉迟的，患脱气病，快跑则气喘口渴；手足逆冷的，也是劳损导致的病。
虚劳里急，心悸鼻衄，腹中痛，梦中失精，四肢酸痛，手足烦热，咽干口燥的，用小建中汤主治。
小建中汤方
桂枝三两 芍药六两 甘草三两（炙） 生姜三两 大枣十二枚 饴糖一升
以上六味药，用七升水，煮取三升，滤去药渣，加入胶饴，再上火微火溶化，温服一升，每日三次。
即前方小建中汤加黄芪一两半。气短、胸满的，加生姜一两；腹满的，去大枣，加茯苓一两半；大便秘结的，去大枣，加枳实一两半；肺气虚损的，加半夏三两。
肾气丸方
地黄八两 薯蓣四两 山茱萸四两 泽泻三两 牡丹皮三两 茯苓三两 桂枝一两 附子一枚（炮制）
以上八味药，捣碎过筛，炼蜜和丸，如梧桐子大小，酒送下十五丸，逐渐增加到二十五丸，每日两次，不能饮酒的，用米汤送下。
酸枣仁汤方
以上五味药，用八升水，煮酸枣仁，得六升，加入其他药物，煮取三升，滤去药渣，温服一升，每日三次。
五劳虚极，羸瘦腹满，不能饮食，因食伤、忧伤、饮伤、房室伤、饥伤、劳伤，导致经络营卫气伤，内有干血，肌肤甲错，两目黯黑的，缓中补虚，用大黄䗪虫丸主治。
大黄十两 黄芩二两 甘草三两 桃仁一升 杏仁一升 芍药四两 地黄十两 干漆一两 虻虫一升 水蛭百枚 蛴螬一升 䗪虫半升
以上十二味药，研为末，炼蜜和丸，如小豆大小，酒送服五丸，每日三次。
女劳疸，膀胱急，少腹满，全身发黄，额头黑，足下热，腹胀如水状，大便溏而黑，胸满的，难治，用硝石矾石散主治。
以上两味药，研为散，用大麦粥汁调服一方寸匕，每日三次，大便黑，小便黄，是药效显现的征候。
伤寒杂病论卷第十四
辨咳嗽水饮黄汗历节病脉证并治
The above five herbs, with three sheng of water, first decoct the first four herbs, obtain one sheng, remove the dregs, add pig bile and stir well, divide into two doses and take warm.
After vomiting and diarrhea, sweating occurs, the pulse is normal, and there is slight restlessness; this is because the body is newly deficient and cannot withstand the qi of food.
Differentiation of Pulse and Syndrome of Spasm Disease, Yin-Yang Exchange Disease, and Post-Illness Convalescence
In Taiyang disease, with fever, no sweating, and aversion to cold, if the pulse is deep and slow, it is named Gang-Jing (Rigid Spasm).
In Taiyang disease, with fever, sweating, and no aversion to cold, if the pulse is floating and rapid, it is named Rou-Jing (Soft Spasm).
In Taiyang disease, with fever and a pulse that is deep and fine, it is named Ri-Jing (Sun Spasm), which is difficult to treat.
Taiyang disease, if excessive sweating is induced, may lead to Jing (Spasm).
If a patient with Wind disease undergoes purgation, spasm may occur; if sweating is induced again, stiffness and cramping will certainly result.
Patients with sores should not undergo sweating therapy; if sweating is induced, spasm will occur.
If a patient has fever in the body but cold feet, stiffness and tension in the neck and nape, aversion to cold, occasional heat in the head, red face and eyes, only the head trembles, sudden lockjaw, and opisthotonos, this is Jing (Spasm) disease. If sweating is induced, cold and dampness combine, the exterior becomes more deficient, and aversion to cold worsens; after sweating, if the pulse moves like a snake, suddenly becoming large and long, it indicates impending resolution; if the pulse remains unchanged, or is hidden and wiry, it indicates unresolved disease.
The pulse of Jing (Spasm) disease, when pressed, feels tight and wiry, moving straight up and down.
Jing (Spasm) disease in patients with moxibustion sores is difficult to treat.
In Taiyang disease, with complete symptoms, body stiffness and rigidity, and a pulse that is unexpectedly deep and slow, this is Jing (Spasm); Gua Lou Gui Zhi Tang (Trichosanthes Root and Cinnamon Twig Decoction) is the primary formula.
Gua Lou Gui Zhi Tang Formula
Gualougen (Root of Trichosanthes Kirilowii) 3 liang, Guizhi (Cinnamon Twig) 3 liang (bark removed), Gancao (Licorice Root) 2 liang (honey-fried), Shaoyao (White Peony Root) 3 liang, Shengjiang (Fresh Ginger) 2 liang (sliced), Dazao (Jujube) 12 pieces (split).
The above six herbs, with seven sheng of water, simmer to obtain three sheng, remove dregs, take one sheng at a suitable temperature, three times a day.
In Taiyang disease, with no sweating, conversely scanty urination, Qi rushing to the chest, lockjaw preventing speech, and impending Gang-Jing (Rigid Spasm), Ge Gen Tang (Kudzu Decoction) is the primary formula.
Ge Gen Tang Formula
Gegen (Radix Puerariae Lobatae) 4 liang, Mahuang (Ephedra Herb) 3 liang (nodes removed), Guizhi (Cinnamon Twig) 2 liang, Gancao (Licorice Root) 2 liang (honey-fried), Shaoyao (White Peony Root) 2 liang, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).
The above seven herbs, with one dou of water, first decoct Mahuang and Gegen until reduced by two sheng, remove surface foam, add other herbs, decoct to obtain three sheng, remove dregs, take one sheng warm, cover to induce slight sweating; if no sweat, administer another sheng; stop subsequent doses upon sweating.
In Jing (Spasm) disease, with cold extremities, intermittent fever, blue lips, sunken eyes, and a deep wiry pulse, wind pathogen has entered the Jueyin channel; Gui Zhi Jia Fu Zi Dang Gui Xi Xin Ren Shen Gan Jiang Tang (Cinnamon Twig Decoction plus Aconite, Angelica, Asarum, Ginseng, and Dried Ginger) is the primary formula.
Gui Zhi Jia Fu Zi Dang Gui Xi Xin Ren Shen Gan Jiang Tang Formula
Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Gancao (Licorice Root) 2 liang (honey-fried), Danggui (Angelica Sinensis) 4 liang, Xixin (Asarum) 1 liang, Fuzi (Prepared Aconite Root Lateralis) 1 piece (processed), Renshen (Ginseng Root) 2 liang, Ganjiang (Dried Ginger) 1.5 liang, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).
The above ten herbs, with one dou two sheng of water, decoct to obtain four sheng, remove dregs, take one sheng warm, three times a day, once at night.
Jing (Spasm) disease originally belongs to Taiyang; if fever, sweating, and a wiry and excess pulse appear, it has transferred to Yangming; Chengqi class formulas are appropriate.
In Jing (Spasm) disease, with chest fullness, lockjaw, inability to lie flat on the back, leg cramps, and teeth grinding, Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated.
Da Cheng Qi Tang Formula
Dahuang (Rhubarb Rhizome) 4 liang (wine-washed), Houpo (Magnolia Bark) 0.5 jin (peeled), Zhishi (Immature Bitter Orange) 5 pieces (honey-fried), Mangxiao (Mirabilite) 3 he.
The above four herbs, with one dou of water, first decoct Zhishi and Houpo to obtain five sheng, remove dregs, add Dahuang, decoct to obtain two sheng, remove dregs, add Mangxiao, boil gently for one or two boils, divide into two warm doses; if bowel movement occurs after the first dose, stop subsequent doses.
Yin-Yang Exchange disease after Shanghan presents with heavy body, shortness of breath, urgency and pain in the lower abdomen, possibly drawing the yin organs into cramp, heat rushing to the chest, heavy head unwilling to lift, visual disturbances, and cramping of knees and calves; Shao Kun San (Burning Underpants Powder) is the primary formula.
Shao Kun San Formula
Cut the inner garment of a woman near the genital area, burn to ash, mix with water, take one cun chi spoonful, three times a day; when urination becomes smooth and the glans penis swells slightly, it heals. For men's illness, take the crotch of a man's undergarment, burn, and take as directed.
For relapse due to overexertion after a major illness, Zhi Shi Zhi Zi Chi Tang (Immature Bitter Orange, Gardenia, and Fermented Soybean Decoction) is the primary formula; if there is retained food, add Dahuang (Rhubarb Rhizome) in pieces the size of a chess cube, five or six pieces.
Zhi Shi Zhi Zi Chi Tang Formula
Zhishi (Immature Bitter Orange) 3 pieces (honey-fried), Zhizi (Gardenia Fruit) 14 pieces (split), Chidouchi (Fermented Soybean) 1 sheng (wrapped in cotton).
The above three herbs, with seven sheng of clear sour water, boil empty to obtain four sheng, add Zhishi and Zhizi, decoct to obtain two sheng, add Chidouchi, boil five or six more boils, remove dregs, take warm divided into two doses, cover to induce slight sweating.
After recovery from Shanghan, if fever recurs, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary formula; if the pulse is floating, resolve with sweating; if the pulse is deep and solid, resolve with purgation.
Xiao Chai Hu Tang Formula
Chaihu (Bupleurum Root) 8 liang, Huangqin (Scutellaria Root) 3 liang, Renshen (Ginseng Root) 3 liang, Gancao (Licorice Root) 3 liang (honey-fried), Banxia (Pinellia Tuber) 0.5 sheng, Shengjiang (Fresh Ginger) 3 liang (sliced), Dazao (Jujube) 12 pieces (split).
The above seven herbs, with one dou two sheng of water, decoct to obtain six sheng, remove dregs, further decoct to obtain three sheng, take one sheng warm, three times a day.
After recovery from a major illness, if there is fluid accumulation below the waist, Mu Li Ze Xie San (Oyster Shell and Alisma Powder) is the primary formula.
Mu Li Ze Xie San Formula
Muli (Oyster Shell), Zexie (Alisma Rhizome), Gualougen (Root of Trichosanthes Kirilowii), Shuqi (Patrinia Herb, washed to remove fishy odor), Tingli (Descurainia Seed, roasted), Shanglugen (Phytolacca Root, roasted), Haizao (Sargassum Thallus, washed to remove fishy odor).
The above seven herbs in equal parts, crush and sieve separately, then grind together in a mortar, mix with rice drink, take one cun chi spoonful, three times a day; stop when urination increases.
After recovery from a major illness, if there is frequent salivation lasting long, it is due to cold in the upper chest; treat with pills to warm, Li Zhong Wan (Regulate the Middle Pill) is appropriate. (Formula see Huoluan chapter).
After resolution of Shanghan, if there is deficiency emaciation, shortness of breath, and rebellious Qi wanting to vomit, Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) is the primary formula.
Zhu Ye Shi Gao Tang Formula
Zhuye (Bamboo Leaf) 2 bundles, Shigao (Gypsum Fibrosum) 1 jin, Banxia (Pinellia Tuber) 0.5 sheng (washed), Renshen (Ginseng Root) 3 liang, Maidong (Ophiopogon Tuber) 1 sheng, Gancao (Licorice Root) 2 liang (honey-fried), Jingmi (Glutinous Rice) 0.5 sheng.
The above seven herbs, with one dou of water, first decoct the first six to obtain six sheng, remove dregs, add Jingmi, cook until rice is done, remove rice, take one sheng warm, three times a day.
After major illness resolves, if there is slight restlessness at dusk, it is because the illness has just resolved, people force-feed, spleen and stomach Qi are still weak and cannot digest food, causing slight restlessness; reducing food intake leads to healing.
Shanghan Zabing Lun Volume Thirteen
Differentiation of Pulse and Syndrome of Baihe Disease, Huhuo Disease, and Yin-Yang Du Disease
Baihe (Lily) disease: The hundred vessels share one origin, all affected by the disease. Desire to eat but cannot; often silent; desire to sleep but cannot; desire to walk but cannot; diet sometimes tastes good, sometimes odors of food are repulsive; feels cold but not actually cold, feels hot but not actually hot; bitter taste in mouth, red urine; various medicines fail; taking medicine causes severe vomiting and diarrhea; seems possessed by spirits; body shape appears normal; pulse is slightly rapid. If headache occurs during urination, it heals in sixty days. If no headache during urination but feeling chilly, it heals in forty days. If urination is comfortable but with dizziness, it heals in twenty days. Symptoms may appear before illness onset, or 4-5 days after, or 20 days after, or after a month; treat according to symptoms.
Baihe disease appearing after sweating: Baihe Zhi Mu Tang (Lily and Anemarrhena Decoction) is the primary formula.
Baihe Zhi Mu Tang Formula
Baihe (Lily Bulb) 7 pieces, Zhimu (Anemarrhena Rhizome) 3 liang.
Wash Baihe, soak overnight until white foam appears, discard water. Decoct in two sheng of spring water to obtain one sheng, remove dregs. Decoct Zhimu separately in two sheng of spring water to obtain one sheng, remove dregs. Combine and decoct to obtain 1.5 sheng, divide into two warm doses.
Baihe disease appearing after purgation: Baihe Hua Shi Dai Zhe Tang (Lily, Talcum, and Hematite Decoction) is the primary formula.
Baihe Hua Shi Dai Zhe Tang Formula
Baihe (Lily Bulb) 7 pieces, Huashi (Talcum) 3 liang, Daizheshi (Hematite) size of a bullet (crushed, wrapped in cotton).
Wash herbs, decoct Baihe as before. Decoct other two herbs separately in two sheng of spring water to obtain one sheng, remove dregs. Combine and re-decoct to obtain 1.5 sheng, divide into two warm doses.
Baihe disease appearing after vomiting: Baihe Ji Zi Huang Tang (Lily and Egg Yolk Decoction) is the primary formula.
Baihe Ji Zi Huang Tang Formula
Baihe (Lily Bulb) 7 pieces, Jizihuang (Egg Yolk) 1 piece.
Decoct Baihe as before, remove dregs, add Jizihuang, stir well, take in one dose.
Baihe disease without sweating, vomiting, or purgation, condition unchanged: Baihe Di Huang Tang (Lily and Rehmannia Decoction) is the primary formula.
Baihe Di Huang Tang Formula
Baihe (Lily Bulb) 7 pieces, Dihuangzhi (Rehmannia Juice) 1 sheng.
Decoct Baihe as before, remove dregs, add Dihuangzhi, decoct to obtain 1.5 sheng, divide into two warm doses; stop if cured; stool will be black like lacquer.
Baihe disease unresolved for one month, developing thirst: Baihe Xi Fang (Lily Wash Prescription) is primary; if ineffective, Gualou Muli San (Trichosanthes Root and Oyster Shell Powder) is primary.
Baihe Xi Fang
Baihe (Lily Bulb) 1 sheng.
Soak in one dou of water overnight, use to wash body; after washing, eat boiled noodles, do not use salt or fermented soybean.
Gualou Muli San Formula
Gualougen (Root of Trichosanthes Kirilowii), Muli (Oyster Shell, roasted) in equal parts.
Crush into powder, mix with rice drink, take one cun chi spoonful, three times a day.
Baihe disease developing fever: Baihe Hua Shi San (Lily and Talcum Powder) is primary.
Baihe Hua Shi San Formula
Baihe (Lily Bulb, honey-fried) 1 liang, Huashi (Talcum) 2 liang.
Grind into powder, take one cun chi spoonful with water, three times a day; slight diarrhea expected; stop when heat clears.
Baihe disease manifesting as Yin syndrome: rescue with Yang method; manifesting as Yang syndrome: rescue with Yin method. Attacking Yin when Yang signs appear, then inducing sweating, is contrary treatment. Attacking Yang when Yin signs appear, then purging, is also contrary treatment.
Huhuo disease resembles Shanghan: silent, sleepy, eyes unable to close, restless lying and rising. Erosion in throat is Huhuo; erosion in yin is Hu. No desire to eat, aversion to food odor, face color changes between red, black, and white. Erosion in upper part causes hoarseness, treated with Gancao Xi Xin Tang (Licorice Decoction for Clearing Heart Heat). Erosion in lower part causes dry throat, washed with Kushen Tang (Sophora Decoction). Erosion in anus: fumigate with Xionghuang (Realgar).
Gancao Xi Xin Tang Formula
Gancao (Licorice Root, honey-fried) 4 liang, Huangqin (Scutellaria Root) 3 liang, Ganjiang (Dried Ginger) 3 liang, Banxia (Pinellia Tuber) 0.5 sheng, Huanglian (Coptis Rhizome) 1 liang, Dazao (Jujube) 12 pieces (split).
Decoct in one dou water to obtain six sheng, remove dregs, re-decoct to obtain three sheng, take one sheng warm, three times a day.
Kushen Tang Formula
Kushen (Sophora Root) 1 jin.
Decoct in one dou water to obtain seven sheng, remove dregs, fumigate and wash, three times a day.
Xionghuang San Formula
Xionghuang (Realgar) 1 liang.
Grind to powder, place between two tile halves, burn to produce smoke, fumigate anus.
Patient with rapid pulse, no fever but slight restlessness, silent desire to sleep, sweating. Days 3-4: eyes red like turtledove eyes. Day 7-8: inner canthi turn black. If able to eat, pus has formed; Chidou Danggui San (Red Bean and Angelica Powder) is primary.
Chidou Danggui San Formula
Chixiaodou (Adzuki Bean) 3 sheng (soaked until sprouting, dried), Danggui (Angelica Sinensis) 10 liang.
Grind to powder, take one cun chi spoonful with sour water, three times a day.
Yang Du (Yang Toxin) disease: face red with mottled patterns like brocade, sore throat, spitting pus and blood. Treatable within five days, untreatable after seven. Shengma Biejia Tang ( Cimicifuga and Turtle Shell Decoction) is primary.
Shengma Biejia Tang Formula
Shengma (Cimicifuga Rhizome) 2 liang, Shujiao (Sichuan Pepper, remove juice) 1 liang, Xionghuang (Realgar, powdered) 5 qian, Danggui (Angelica Sinensis) 1 liang, Gancao (Licorice Root) 2 liang, Biejia (Turtle Shell, honey-fried) 1 piece.
Decoct in four sheng water to obtain one sheng, take in one dose; if ineffective, take again to induce sweating.
Yin Du (Yin Toxin) disease: face and eyes blue, body pain like beaten, sore throat. Treatable within five days, untreatable after seven. Shengma Biejia Tang minus Xionghuang and Shujiao is primary.
Shengma Biejia Tang Minus Xionghuang and Shujiao Formula
Shengma (Cimicifuga Rhizome) 2 liang, Danggui (Angelica Sinensis) 1 liang, Gancao (Licorice Root) 2 liang, Biejia (Turtle Shell) 1 piece.
Decoct in two sheng water to obtain one sheng, remove dregs, take in one dose; if ineffective, take again.
Differentiation of Pulse and Syndrome of Malaria
Master says: In malaria, wiry and rapid pulse indicates more heat than cold; wiry and slow pulse indicates more cold than heat. Wiry and small-tight pulse: purgation possible. Wiry-slow: warming possible. Wiry-tight: sweating, acupuncture, or moxibustion possible. Floating-large: vomiting possible. Wiry-rapid: wind-induced fever, seek treatment in Shaoyang.
Question: Malaria occurring once a month should heal in 15 days, severely within the month. If not healed, what then? Master says: This forms a mass,必有疟母 (malaria mother), treat urgently with Biejia Jian Wan (Turtle Shell Building-Up Pill).
Biejia Jian Wan Formula
Biejia (Turtle Shell), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Dahuang (Rhubarb Rhizome), Mudanpi (Tree Peony Bark), Machong (Leech/Mosquito larva - text implies insect), Ejiao (Donkey-hide Gelatin).
Equal parts, crush and sieve, honey-pill, size of wutong seed, take 7 pills, three times a day, with clear wine; if unable to drink wine, rice drink is acceptable.
Master says: When Yin qi is isolated and Yang qi alone flares, fever, shortness of breath, restlessness, hot hands and feet, and desire to vomit occur; this is Dan Nue (Jaundice Malaria), treated with Baihu Jia Guizhi Renshen Tang (White Tiger Plus Cinnamon Twig and Ginseng Decoction).
Baihu Jia Guizhi Renshen Tang Formula
Zhimu (Anemarrhena Rhizome) 6 liang, Shigao (Gypsum Fibrosum) 1 jin, Gancao (Licorice Root, honey-fried) 2 liang, Jingmi (Glutinous Rice) 2 he, Guizhi (Cinnamon Twig) 3 liang, Renshen (Ginseng Root) 3 liang.
Decoct in one dou water until rice is cooked, remove dregs, take one sheng warm, three times a day.
Malaria with normal pulse, no chills but only fever, joint pain and irritability, occasional vomiting; this is Wen Nue (Warm Malaria), Baihu Jia Guizhi Tang (White Tiger Plus Cinnamon Twig Decoction) is appropriate.
Baihu Jia Guizhi Tang Formula (Same as above minus Renshen)
Malaria with much cold, or only cold without heat; this is Mu Nue (Oyster Malaria), Shuqi San (Patrinia Powder) is primary; Chaihu Gui Jiang Tang (Bupleurum, Cinnamon, and Ginger Decoction) is also primary.
Shuqi San Formula
Shuqi (Patrinia Herb, washed to remove fishy odor), Yunmu (Mica, burned for two nights), Longgu (Fossilized Bone) in equal parts.
Grind to powder, take half a coin spoonful mixed with sour water before attack.
Chaihu Gui Jiang Tang Formula
Chaihu (Bupleurum Root) 0.5 jin, Guizhi (Cinnamon Twig) 3 liang, Ganjiang (Dried Ginger) 2 liang, Gualougen (Root of Trichosanthes Kirilowii) 4 liang, Huangqin (Scutellaria Root) 3 liang, Gancao (Licorice Root, honey-fried) 2 liang, Muli (Oyster Shell, roasted) 2 liang.
Decoct in one dou water to obtain six sheng, remove dregs, re-decoct to obtain three sheng, take one sheng warm, three times a day; initial dose may cause slight restlessness, second dose induces sweating and cure.
Differentiation of Pulse and Syndrome of Blood Bi and Deficiency Consumption
Question: How is Blood Bi obtained? Master says: Those of noble status have weak bones and abundant flesh; combined with fatigue, sweating, restless sleeping, and exposure to slight wind, they contract it. Pulse at Cun Kou is slightly choppy, Guan is slightly tight; needle to guide Yang Qi, harmonize pulse, cure when tightness disappears.
Blood Bi, Yin and Yang pulses both micro, or Cun/Guan micro, Chi slightly tight; external symptom is body numbness like Feng Bi; Huangqi Guizhi Wuwu Tang (Astragalus, Cinnamon Twig, and Five-Ingredient Decoction) is primary.
Huangqi Guizhi Wuwu Tang Formula
Huangqi (Astragalus Root) 3 liang, Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Shengjiang (Fresh Ginger) 6 liang, Dazao (Jujube) 12 pieces.
Decoct in six sheng water to obtain two sheng, take 0.7 sheng warm, three times a day.
In healthy men, large pulse indicates Lao (Consumption); extremely deficient pulse also indicates Lao.
Men with pale complexion suffer from thirst and blood loss; sudden panting and palpitations; floating pulse indicates interior deficiency.
Men with deficient, deep, and wiry pulse, no chills/fever, shortness of breath, interior urgency, dysuria, pale face, occasional vertigo and epistaxis, lower abdominal fullness; this is caused by Lao.
Lao disease: pulse floating and large,手足烦 (restless hands and feet), worse in Spring/Summer, better in Autumn/Winter, spontaneous emission of essence due to Yin cold, sore muscles unable to walk.
Men with floating, weak, and choppy pulse are infertile; essence is cold and clear.
Those prone to seminal emission: Shaoyin pulse wiry and urgent, cold glans, vertigo, hair loss; extremely deficient, hollow, and slow pulse indicates clear stool, blood loss, seminal emission; hollow, moving, micro, and tight pulse indicates seminal emission in men, dream intercourse in women; Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction) is primary. Tianxiong San (Aconite Powder) is also primary.
Guizhi Longgu Muli Tang Formula
Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 3 liang, Gancao (Licorice Root, honey-fried) 2 liang, Shengjiang (Fresh Ginger) 3 liang, Dazao (Jujube) 12 pieces, Longgu (Fossilized Bone) 3 liang, Muli (Oyster Shell) 3 liang.
Decoct in seven sheng water to obtain three sheng, remove dregs, divide into three warm doses.
Tianxiong San Formula
Tianxiong (Processed Aconite Lateralis) 3 liang, Baizhu (Atractylodes Macrocephala Rhizome) 8 liang, Guizhi (Cinnamon Twig) 6 liang, Longgu (Fossilized Bone) 3 liang.
Grind to powder, take half a coin spoonful with wine, three times a day; increase slightly if ineffective, stop when effective.
Healthy men with weak, fine, and subtle pulses tend to have nocturnal sweating.
People aged 50-60 with large pulses have Bi disease, pain traveling along the back; if borborygmus, or "horse knife" and "goiter" lymphadenopathy, these are all due to Lao. Small, deep, and slow pulses indicate Tu Qi (Qi Depletion), panting and thirst upon walking fast; cold extremities are also Lao diseases.
Deficiency consumption with interior urgency, palpitations, epistaxis, abdominal pain, dream seminal emission, limb soreness, hot hands and feet, dry throat and mouth: Xiao Jianzhong Tang (Minor Construct the Middle Decoction) is primary.
Xiao Jianzhong Tang Formula
Guizhi (Cinnamon Twig) 3 liang, Shaoyao (White Peony Root) 6 liang, Gancao (Licorice Root, honey-fried) 3 liang, Shengjiang (Fresh Ginger) 3 liang, Dazao (Jujube) 12 pieces, Yitang (Maltose) 1 sheng.
Decoct in seven sheng water to obtain three sheng, remove dregs, add Yitang, dissolve over low fire, take one sheng warm, three times a day.
Deficiency consumption with interior urgency and general insufficiency: Huangqi Jianzhong Tang (Astragalus Build-the-Middle Decoction) is primary.
Huangqi Jianzhong Tang Formula
Same as Xiao Jianzhong Tang plus Huangqi (Astragalus Root) 1.5 liang. For shortness of breath and chest fullness, add Shengjiang 1 liang. For abdominal fullness, remove Dazao, add Fuling (Poria) 1.5 liang. For constipation, remove Dazao, add Zhishi (Immature Bitter Orange) 1.5 liang. For Lung Qi deficiency, add Banxia (Pinellia Tuber) 3 liang.
Deficiency consumption with lower back pain, lower abdominal urgency, and dysuria: Shenqi Wan (Kidney Qi Pill) is primary.
Shenqi Wan Formula
Dihuang (Rehmannia Root) 8 liang, Shuyu (Dioscorea Rhizome) 4 liang, Shanzhuyu (Cornus Fruit) 4 liang, Zexie (Alisma Rhizome) 3 liang, Mudanpi (Tree Peony Bark) 3 liang, Fuling (Poria) 3 liang, Guizhi (Cinnamon Twig) 1 liang, Fuzi (Prepared Aconite Root Lateralis) 1 piece (processed).
Crush and sieve, mix with honey into pills, size of wutong seed, take 15 pills with wine, gradually increase to 25 pills, twice a day; if unable to drink wine, use rice drink.
Deficiency consumption with deficiency restlessness and insomnia: Suanzaoren Tang (Sour Jujube Seed Decoction) is primary.
Suanzaoren Tang Formula
Suanzaoren (Sour Jujube Seed) 2 sheng, Gancao (Licorice Root) 1 liang, Zhimu (Anemarrhena Rhizome) 2 liang, Fuling (Poria) 2 liang, Xiongchu (Szechuan Lovage Rhizome) 1 liang.
Decoct Suanzaoren in eight sheng water to obtain six sheng, add other herbs, decoct to obtain three sheng, remove dregs, take one sheng warm, three times a day.
Five labors leading to extreme deficiency, emaciation, abdominal fullness, inability to eat, due to dietary injury, emotional injury, fluid injury, sexual injury, hunger injury, labor injury, damaging meridians, Ying, Wei, and Qi, with internal dry blood, skin resembling armor scales, dark eyes: soothe middle and tonify deficiency, Dahuang Zhechong Wan (Rhubarb and Ground Beetle Pill) is primary.
Dahuang Zhechong Wan Formula
Dahuang (Rhubarb Rhizome) 10 liang, Huangqin (Scutellaria Root) 2 liang, Gancao (Licorice Root) 3 liang, Taoren (Peach Seed) 1 sheng, Xingren (Apricot Seed) 1 sheng, Shaoyao (White Peony Root) 4 liang, Dihuang (Rehmannia Root) 10 liang, Ganqi (Dry Lacquer) 1 liang, Mengchong (Blue Bottle Fly Larva) 1 sheng, Shuizhi (Leech) 100 pieces, Qicao (Ground Beetle Larva) 1 sheng, Zhechong (Ground Beetle) 0.5 sheng.
Grind to powder, mix with honey into pills, size of adzuki bean, take 5 pills with wine, three times a day.
Nv Lao (Female Labor Jaundice): bladder urgency, lower abdominal fullness, whole body yellow, black forehead, hot soles, abdominal distension like water, loose black stool, chest fullness: difficult to treat, Xiaoshi Fanshi San (Saltpeter and Alum Powder) is primary.
Xiaoshi Fanshi San Formula
Xiaoshi (Saltpeter, roasted yellow), Fanshi (Alum, burned) in equal parts.
Grind to powder, take one cun chi spoonful mixed with barley porridge juice, three times a day; black stool and yellow urine indicate efficacy.
Shanghan Zabing Lun Volume Fourteen
Differentiation of Pulse and Syndrome of Cough, Fluid Retention, Yellow Sweat, and Li Jie Disease