禹余粮四两 人参三两 附子二枚 五味子三合 茯苓三两 干姜三两
右六味，蜜为丸，如梧子大，每服二十丸。
伤寒，未发汗，而复下之，此为逆也；若先发汗，治不为逆。本先下之，而反汗之为逆；若先下之，治不为逆。
伤寒医下之，续得下利清谷不止，身疼痛者，急当救里；后身疼痛，清便自调者，急当救表。救里宜四逆汤；救表宜桂枝汤。（方见上卷）
太阳病，先下而不愈，因复发汗，以此表里俱虚，其人因致冒，冒家汗自出愈，所以然者，表和故也，里未和然后复下之。
太阳病未解，脉阴阳俱微者，必先振栗汗出而解。但阳脉微者，先汗出而解；若阴脉实者，下之而解。若欲下之，宜调胃承气汤。（方见上卷）
太阳病，发热汗出者，此为荣弱卫强，故使汗出，欲救邪风者，宜桂枝汤。（方见上卷）
伤寒五六日，中风，往来寒热，胸胁苦满，嘿嘿不欲饮食，心烦喜呕，或胸中烦而不呕，或渴，或腹中痛，或胁下痞鞕，或心下悸，小便不利，或不渴，身有微热，或咳者，与小柴胡汤主之。
小柴胡汤方
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） 大枣十三枚（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。若胸中烦而不呕者，去半夏、人参，加栝蒌实一枚。若渴，去半夏，加人参合前成四两半，栝蒌根四两。若腹中痛者，去黄芩，加芍药三两。若胁下痞鞕，去大枣，加牡蛎四两。若心下悸，小便不利者，去黄芩，加茯苓四两。若不渴，外有微热者，去人参，加桂枝三两，温覆取微汗愈。若咳者，去人参、大枣，加五味子半升，去生姜，加干姜二两。
血弱气尽，腠理开，邪气因入，与正气相搏，结于胁下，正邪纷争，往来寒热，休作有时，嘿嘿不欲饮食。脏腑相连，其痛必下，邪高痛下，故使呕也。小柴胡汤主之。服柴胡汤已，渴者，属阳明也，以法治之。（方见上）
太阳病六七日，脉迟浮弱，恶风寒，手足温，医二三下之，不能食，胁下满痛，面目及身黄，颈项强，小便难者，与柴胡汤。后必下重，本渴而饮水呕者，柴胡不中与也。食谷者哕。
伤寒四五日，身热恶风，颈项强，胁下满，手足温而渴者，小柴胡汤主之。（方见上）
伤寒，阳脉涩，阴脉弦，法当腹中急痛，先与小建中汤；不差者，与小柴胡汤。（方见上）
小建中汤方
桂枝三两 芍药六两 甘草二两 生姜三两（切） 大枣十二枚（劈） 胶饴一升
右六味，以水七升，先煮五味取三升，去滓内饴更上微火消解，温服一升，日三服。呕家不可用，以甜故也。
伤寒与中风，有柴胡证，但见一证便是，不必悉具。凡柴胡汤病证而误下之，若柴胡证不罢者，复与柴胡汤，必蒸蒸而振，却复发热汗出而解。
太阳病，过经十余日，反二三下之，后四五日，柴胡证仍在者，先与小柴胡汤。呕不止，心下急，郁郁微烦者，为未解也，与大柴胡汤下之则愈。
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/font>
右八味，以水一斗二升，煮取六升，去滓，再煎，温服一升，日三服。
伤寒十三日不解，胸胁满而呕，日晡所发潮热，已而微利。此本柴胡证，下之以不得利，今反利者，知医以丸药下之，非其治也。潮热者实也，宜先服小柴胡汤以解外，后以柴胡加芒消汤主之。
柴胡加芒消汤方
柴胡二两十六铢 黄芩一两 人参一两 甘草一两（炙） 生姜一两（切） 芒硝二两 大枣四枚 半夏二十铢
右八味，以水四升，煮取二升，去滓，纳芒硝，更煮微沸，分温再服，不解更作。
伤寒十三日，过经，谵语者，以有热也，当以汤下之。若小便利者，大便当鞕，而反下利，知医以丸药下之，非其治也。若自下利者，脉当微厥，今反和者，此为内实也，调胃承气汤主之。（方见上）。
太阳病不解，热结膀胱，其人如狂，血自下，下者愈。其外不解者，尚未可攻，当先解外。外解已，但少腹急结者，乃可攻之，宜桃仁承气汤。
桃仁五十个（去皮尖） 大黄四两 桂枝二两 甘草二两（炙） 芒硝二两
右五味，以水七升，煮四味，取二升，去滓，纳芒硝，更上火微沸。下火，先食温服五合，日三服，当微利。
伤寒八九日，下之，胸满烦惊，小便不利，谵语，一身尽重，不可转侧，柴胡加龙骨牡蛎汤主之。
柴胡四两 龙骨一两半 黄芩一两半 生姜一两半 人参一两半 桂枝一两半（去皮） 茯苓一两半 半夏二合半 大黄二两 牡蛎一两半 大枣六枚（劈） 铅丹一两半
右十二味，以水八升，煮取四升，纳大黄切如棋子，更煮一二沸，去滓，温服一升，日三服，夜一服。
伤寒，腹满，谵语，寸口脉浮而紧，关上弦者，此肝乘脾也，名曰纵，刺期门。
伤寒发热，啬啬恶寒，大渴欲饮水，其腹必满，自汗出，小便不寸口脉浮而涩，关上弦急者，此肝乘肺也，名曰横，刺期门。
太阳病二日，烦躁，反熨其背，而大汗出，火热入胃，胃中水竭，躁烦，必发谵语，十余日，振栗、自下利者，此为欲解也。若其汗从腰以下不得汗，欲小便不得，反呕，欲失溲，足下恶风，大便鞕，小便当数，而反不数又不多，大便已，头卓然而痛，其人足心必热，谷气下流故也。
太阳病中风，以火劫发汗，邪风被火热，血气流溢，失其常度，两阳相熏灼，其身发黄。阳盛则欲衄，阴虚小便难，阴阳俱虚竭，身体则枯燥。但头汗出，剂颈而还，腹满微喘，口干咽烂，或不大便，久则谵语，甚者至哕，手足躁扰，捻衣摸床，小便利者，其人可治。宜人参地黄龙骨牡蛎茯苓汤
右五味，以水一斗，煮取三升，分温三服。
伤寒脉浮，医以火迫劫之，亡阳，必惊狂，起卧不安者，桂枝去芍药加牡蛎龙骨救逆汤主之。
桂枝三两 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈） 牡蛎五两（熬）龙骨四两
右六味，以水一斗二升，煮取三升，去滓，温服一升，日三服。
形似伤寒，其脉不弦紧而弱。弱者必渴，被火必谵语。弱而发热、脉浮者，解之当汗出愈。
太阳病，以火熏之，不得汗，其人必躁，到经不解，必清血，名为火邪。
脉浮热甚，反以火灸之，此为实。实以虚治，因火而动，必咽燥唾血。
微数之脉，慎不可灸，因火为邪，则为烦逆，追虚逐实，血散脉中，火气虽微，内攻有力，焦骨伤筋，血难复也。
脉浮，宜以汗解，用火灸之，邪无从出，因火而盛，病从腰以下必重而痹，名火逆也。欲自解者，必当先烦，乃有汗而解。何以知之？脉浮故也。
烧针令其汗，针处被寒，核起而赤者，必发奔豚。气从少腹上冲心者，灸其核上各一壮，与桂枝加桂汤。
桂枝五两 芍药三两 生姜三两（切） 甘草二两（炙） 大枣十二枚（劈）
右五味，以水七升，煮取三升，去滓，温服一升，日三服。
右四味，以水五升，煮取三升，去滓，温服一升，日三服。甚者加人参三两。
太阳病，当恶寒发热，今自汗出，反不恶寒发热，关上脉细数者，以医吐之过也。一二日吐之者，腹中饥，口不能食；三四日吐之者，不喜糜粥，欲食冷食，朝食暮吐，此为小逆；若不恶寒，又不欲近衣者，此为内烦；皆医吐之所致也。
病人脉数，数为热，当消谷，今引食而反吐者，此以发汗令阳气微，隔气虚，脉乃数也。数为客热，故不能消谷，以胃中虚冷故吐也。
太阳病，过经十余日，心中温温欲吐，胸中痛，大便反溏，腹微满，郁郁微烦。先其时，自极吐下者，与调胃承气汤。若不尔者，不可与之。若但欲呕，胸中痛，微溏者，此非柴胡证，所以然者，以呕故知极吐下也。（调胃承气汤方见上卷）
太阳病六七日，表证仍在，脉微而沉，反不结胸，其人发狂者，以热在下焦，少腹当鞕满，小便自利者，下血乃愈，所以然者，以太阳随经，瘀热在里故也。抵当汤主之。
抵当汤方
水蛭三十个（熬） 虻虫三十个（去翅足熬） 桃仁二十个（去皮尖）大黄三两（酒洗）
右四味，以水五升，煮取三升，去滓，温服一升，不下更服。
太阳病，身黄脉沉结，少腹鞕，小便不利者，为无血也；小便自利，其人如狂者，血证谛也，抵当汤主之。（方见前）
伤寒有热，少腹满，应小便不利；今反利者，为有血也，当下之，可不余药，宜抵当丸。
抵当丸方
水蛭二十个（熬） 虻虫二十个（去翅足熬） 桃仁二十五个（去皮尖） 大黄三两（酒洗）
右四味，捣分为四丸，以水一升，煮一丸，取七合服之，晬时，当下血；若不下者，更服。
太阳病，小便利者，以饮水多，必心下悸。小便少者，必苦里急也。
问曰：病有脏结，有结胸，其状何如？师曰：寸脉浮，关脉小细沉紧者，名曰脏结也。按之痛，寸脉浮，关脉沉，名曰结胸也。
何谓脏结？师曰：脏结者，五脏各具，寒热攸分，宜求血分，虽有气结，皆血为之。假令肝脏结，则两胁痛而呕，脉沉弦而结者，宜吴茱萸汤。若发热不呕者，此为实，脉当沉弦而急，桂枝当归牡丹皮桃仁枳实汤主之。
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。
桂枝三两（去皮） 当归二两 牡丹皮三两 桃仁二十枚（去皮尖） 枳实二两
右五味，以水八升，煮取三升，去滓，温服一升，日三服。
心脏结，则心中痛，或在心下郁郁不乐，脉大而涩，连翘阿胶半夏赤小豆汤主之。若心中热痛而烦，脉大而弦急者，此为实也，黄连阿胶半夏桃仁茯苓汤主之。
右四味，以水四升，先煮三物，取二升，去滓，纳胶烊消，温服七合，日三服。
黄连三两 阿胶二两 半夏半升（洗） 桃仁二十枚（去皮尖） 茯苓三两
右五味，以水五升，先煮四味，取二升，去滓，纳胶烊消，温服一升，日再服。
肺脏结，胸中闭塞，喘，咳，善悲，脉短而涩，百合贝母茯苓桔梗汤主之。若咳而唾血，胸中痛，此为实，葶苈括萎桔梗牡丹汤主之。
右四味，以水七升，煮取三升，去滓，温服一升，日三服。
右四味，以水六升，煮取三升，去滓，温服一升，日三服。
脾脏结，腹中满痛，按之如覆杯，甚则腹大而坚，脉沉而紧，白术枳实桃仁干姜汤主之。若腹中胀痛，不可按，大便初溏后鞕，转失（疑为矢）气者，此为实，大黄厚朴枳实半夏甘草汤主之。
右四味，以水五升，煮取二升，去滓，分温再服。
右五味，以水六升，煮取三升，去滓，温服一升，日三服。
肾脏结，少腹鞕，隐隐痛，按之如有核，小便乍清乍浊，脉沉细而结，宜茯苓桂枝甘草大枣汤。若小腹急痛，小便赤数者，此为实，宜桂枝茯苓枳实芍药甘草汤。
右四味，以甘澜水一斗，先煮茯苓减二升，纳诸药，煮取三
升，去滓，温服一升，日三服。
右五味，以水六升，煮取三升，去滓，温服一升，日三服。
脏结，无阳证，不往来寒热，其人反静，舌上苔滑者，不可攻也；饮食如故，时时下利，舌上白苔滑者，为难治。
何谓结胸?师曰：病发于阳而反下之，热入于里，因作结胸。病发于阴，而早下之，因作痞。所以成结胸者，误下故也。
大陷胸丸方
禹余粮四两，人参三两，附子二枚，五味子三合，茯苓三两，干姜三两。
以上六味药，用蜂蜜制成丸剂，大小如梧桐子，每次服用二十丸。
病人体内有寒邪，若再次发汗，会导致胃中寒冷，必然出现呕吐逆气。
患伤寒病，尚未发汗，反而使用泻下法，这是治疗错误；如果先发汗，治疗就不算错误。本应先使用泻下法，却反其道而行之使用发汗法，这是错误；如果先使用泻下法，治疗就不算错误。
患伤寒病，医生误用泻下法，随后出现腹泻且排出未消化的食物不止，身体疼痛的，应当紧急救治里证；之后身体疼痛，但大小便正常的，应当紧急救治表证。救治里证适宜用四逆汤（Sini Decoction）；救治表证适宜用桂枝汤（Guizhi Tang）。（方剂见上卷）
太阳病（Taiyang Disease，指外感病初期，邪在肌表的病证），先用泻下法而未愈，因此又发汗，导致表和里都虚弱，病人因此出现头昏目眩（冒，指头重如裹，视物模糊的症状）。这种头昏目眩的病人，若能自然出汗，就会痊愈。之所以这样，是因为表气已和调，只有里气未和调，然后才再次使用泻下法。
太阳病未解除，脉象寸关尺三部都微弱的，必定先出现战栗，然后出汗而病解。仅阳脉（浮取脉）微弱的，先出汗而病解；若阴脉（沉取脉）实大的，用泻下法而病解。若想用泻下法，适宜用调胃承气汤（Tiaowei Chengqi Decoction）。（方剂见上卷）
太阳病，发热、出汗的，这是因为营气（Ying Qi，行于脉中，具有营养作用的气）虚弱而卫气（Wei Qi，行于脉外，具有防御作用的气）强盛，所以导致出汗。想要救治邪风之邪，适宜用桂枝汤。（方剂见上卷）
患伤寒或中风五六日，出现往来寒热（恶寒与发热交替出现），胸胁部苦闷胀满，神情默默不欲饮食，心烦喜呕，或者胸中烦闷但不呕吐，或者口渴，或者腹中疼痛，或者胁下痞硬，或者心下悸动，小便不利，或者不渴，身体有轻微发热，或者咳嗽的，用小柴胡汤（Xiao Chaihu Tang）主治。
小柴胡汤方
柴胡半斤，黄芩三两，人参三两，半夏半升（洗净），甘草三两（炙烤），生姜三两（切片），大枣十三枚（劈开）。
以上七味药，用水一斗二升，煮取六升，去渣滓，再煎煮，取三升，温服一升，每日三次。若胸中烦闷但不呕吐的，去掉半夏、人参，加栝蒌实一枚。若口渴的，去掉半夏，加人参使总量达到四两半，加栝蒌根四两。若腹中疼痛的，去掉黄芩，加芍药三两。若胁下痞硬的，去掉大枣，加牡蛎四两。若心下悸动、小便不利的，去掉黄芩，加茯苓四两。若不渴、体表有轻微发热的，去掉人参，加桂枝三两，覆盖衣被取微汗即愈。若咳嗽的，去掉人参、大枣，加五味子半升，去掉生姜，加干姜二两。
血气虚弱，腠理（皮肤纹理及汗孔）开放，邪气乘虚而入，与正气相搏结，郁结于胁下，正邪纷争，出现往来寒热，发作有时，神情默默不欲饮食。脏腑相连，疼痛必向下走，邪气在高处（胸胁），疼痛在低处（腹部），所以导致呕吐。用小柴胡汤主治。服用柴胡汤后，出现口渴的，属于阳明病（Yangming Disease，指胃肠燥热亢盛的病证），按法治之。（方剂见上卷）
太阳病六七日，脉象迟而浮弱，恶风寒，手足温暖，医生多次使用泻下法，导致不能进食，胁下满痛，面目及全身发黄，颈项强直，小便困难的，给予柴胡汤。之后必然出现肛门坠重感。原本口渴但因饮水而呕吐的，柴胡汤不适用。能进食但打嗝的，也不适用。
伤寒四五日，身体发热恶风，颈项强直，胁下满闷，手足温暖而口渴的，用小柴胡汤主治。（方剂见上卷）
伤寒，阳脉涩滞，阴脉弦紧，按照法则应当腹中急痛，先给予小建中汤（Xiao Jianzhong Tang）；若不愈的，给予小柴胡汤。（方剂见上卷）
小建中汤方
桂枝三两，芍药六两，甘草二两，生姜三两（切片），大枣十二枚（劈开），胶饴一升。
以上六味药，用水七升，先煮前五味，取三升，去渣滓，加入胶饴，再用小火加热使其溶解，温服一升，每日三次。呕吐患者不可使用，因为甜味会助呕。
伤寒与中风，若有柴胡证（Xiao Chaihu Syndrome，指少阳病的主要证候群），只要见到其中一个症状即可确诊，不必所有症状都具备。凡是柴胡汤病证而误用泻下法的，若柴胡证未罢的，再次给予柴胡汤，必定会出现蒸蒸然发热并伴有战栗，随后发热出汗而病解。
伤寒二三日，心中悸动而烦乱的，用小建中汤主治。（方剂见上卷）
太阳病，病程超过十余日，医生反而多次使用泻下法，之后四五日，柴胡证仍在的，先给予小柴胡汤。若呕吐不止，心下急迫，郁郁微烦的，说明病未解除，给予大柴胡汤（Da Chaihu Tang）泻下则愈。
大柴胡汤方
柴胡半斤，黄芩三两，芍药三两，半夏半升（洗净），生姜五两（切片），枳实四枚（炙烤），大枣十二枚（劈开），大黄二两。
以上八味药，用水一斗二升，煮取六升，去渣滓，再煎煮，温服一升，每日三次。
伤寒十三日未解，胸胁满闷而呕吐，傍晚时分发生潮热（日晡所发潮热，指下午3-5点定时发热），随后轻微腹泻。这本是柴胡证，用泻下法不应导致腹泻，现在反而腹泻的，可知医生使用了丸药进行泻下，这不是正确的治法。潮热说明里有实热，适宜先服用小柴胡汤以解外邪，随后用柴胡加芒硝汤（Chaihu Jia Mangxiao Tang）主治。
柴胡二两十六铢，黄芩一两，人参一两，甘草一两（炙烤），生姜一两（切片），芒硝二两，大枣四枚，半夏二十铢。
以上八味药，用水四升，煮取二升，去渣滓，纳入芒硝，再煮沸片刻，分两次温服，若未愈再制作服用。
伤寒十三日，病程已过经，出现谵语（神志不清，胡言乱语）的，是因为有热，应当用汤药泻下。若小便利的，大便应当坚硬，而反而腹泻的，可知医生使用了丸药泻下，这不是正确的治法。若是自行腹泻的，脉象应当微弱厥冷，现在反而平和的，这是里有实热，用调胃承气汤主治。（方剂见上卷）。
太阳病未解除，热邪结聚于膀胱，病人出现如狂状态（神志恍惚，似狂非狂），若瘀血自下，病可愈。若表证未解除的，尚不可攻逐瘀血，应当先解表。表证解除后，仅少腹急结（少腹拘急胀痛）的，才可攻逐瘀血，适宜用桃仁承气汤（Taoren Chengqi Tang）。
桃仁五十个（去皮尖），大黄四两，桂枝二两，甘草二两（炙烤），芒硝二两。
以上五味药，用水七升，煮前四味，取二升，去渣滓，纳入芒硝，再上火微沸。停火后，饭前温服五合，每日三次，应当轻微腹泻。
伤寒八九日，误用泻下法，出现胸满、烦躁惊悸、小便不利、谵语、全身沉重、不能转侧的，用柴胡加龙骨牡蛎汤（Chaihu Jia Longgu Muli Tang）主治。
柴胡四两，龙骨一两半，黄芩一两半，生姜一两半，人参一两半，桂枝一两半（去皮），茯苓一两半，半夏二合半，大黄二两，牡蛎一两半，大枣六枚（劈开），铅丹一两半。
以上十二味药，用水八升，煮取四升，纳入切好的大黄，再煮一二沸，去渣滓，温服一升，每日三次，夜间一次。
伤寒，腹部胀满，谵语，寸口脉浮而紧，关上脉弦的，这是肝木乘脾土，名为“纵”，针刺期门穴。
伤寒发热，啬啬恶寒（形容恶寒明显），大渴欲饮水，腹部必然胀满，自汗出，小便不利，寸口脉浮而涩，关上脉弦急的，这是肝木乘肺金，名为“横”，针刺期门穴。
太阳病第二天，烦躁，医生反而熨烫其背部，导致大汗出，火热之邪入胃，胃中津液枯竭，躁扰烦乱，必然发生谵语。十余日后，若出现战栗、自行腹泻的，这是病欲解的表现。若汗出仅从腰部以下不得出，想小便却尿不出，反而呕吐，想失禁，足下恶风，大便坚硬，小便应当频数，而反而不频数且不多，大便通畅后，头部突然疼痛，其人足心必然发热，这是谷气下行所致。
太阳病中风，用火劫法发汗，邪风被火热逼迫，气血流溢失常，两阳（风邪与火热）相互熏灼，身体发黄。阳气盛则欲鼻衄，阴虚则小便难，阴阳俱虚竭，身体则枯燥。仅头部出汗，齐颈而还，腹部胀满微喘，口干咽烂，或者不大便，久则谵语，严重者至呃逆，手足躁扰，捻衣摸床（无意识抓摸衣物和床沿），若小便利的，其人可治。适宜用人参地黄龙骨牡蛎茯苓汤（Renshen Dihuang Longgu Muli Fuling Tang）。
以上五味药，用水一斗，煮取三升，分三次温服。
伤寒脉浮，医生用火迫法劫汗，导致亡阳（阳气暴脱），必然惊狂，起卧不安的，用桂枝去芍药加牡蛎龙骨救逆汤（Guizhi Qu Shaoyao Jia Muli Longgu Jiuni Tang）主治。
桂枝三两，甘草二两（炙烤），生姜三两（切片），大枣十二枚（劈开），牡蛎五两（熬制），龙骨四两。
以上六味药，用水一斗二升，煮取三升，去渣滓，温服一升，每日三次。
外形像伤寒，但其脉不弦紧而弱。脉弱的必然口渴，被火劫法治疗后必然谵语。脉弱而发热、脉浮的，应当用汗法解表，出汗即愈。
太阳病，用火熏法，不得汗出，其人必然烦躁，到病程期满仍未解，必然便血，这称为火邪。
脉浮热甚，反而用火灸法，这是实证。以虚证治法对待实证，因火邪而动血，必然咽喉干燥、唾血。
脉微数的，千万不可灸，因火为邪，会导致烦逆，追虚逐实，血液散乱于脉中，火气虽微，内攻有力，会焦骨伤筋，血液难以恢复。
脉浮，应当用汗法解表，用火灸法，邪气无从出路，因火而邪盛，病从腰部以下必然沉重而痹阻，这称为火逆。想要自愈的，必然先出现烦躁，然后有汗而解。何以知道？因为脉浮的缘故。
烧针令其出汗，针处受寒，红肿如核且发红的，必然引发奔豚（Ben Tun，一种气从少腹上冲心胸的病症）。气从少腹上冲心者，在红肿处各灸一壮，并给予桂枝加桂汤（Guizhi Jia Gui Tang）。
桂枝五两，芍药三两，生姜三两（切片），甘草二两（炙烤），大枣十二枚（劈开）。
以上五味药，用水七升，煮取三升，去渣滓，温服一升，每日三次。
火逆证，误用泻下法，因烧针而烦躁的，用桂枝甘草龙骨牡蛎汤（Guizhi Gancao Longgu Muli Tang）主治。
以上四味药，用水五升，煮取三升，去渣滓，温服一升，每日三次。严重者加人参三两。
太阳病，应当恶寒发热，现在自汗出，反而不恶寒发热，关上脉细数的，是医生误用吐法造成的过错。一二日吐之的，腹中饥饿，口不能食；三四日吐之的，不喜欢喝粥，想吃冷食，早晨吃晚上吐，这称为小逆；若不恶寒，又不想穿衣的，这是内烦；都是医生误用吐法所致。
病人脉数，数为热，应当消谷善饥，现在进食反而呕吐的，这是因为发汗导致阳气微弱，膈间气虚，脉才表现为数。数是客热（假热），所以不能消化食物，因为胃中虚冷所以呕吐。
太阳病，病程超过十余日，心中泛泛欲吐，胸中痛，大便反而溏薄，腹部微满，郁郁微烦。在此之前，若病人曾剧烈吐下过的，给予调胃承气汤。若不是这样，不可给予。若只是欲呕，胸中痛，大便微溏的，这不是柴胡证，之所以这样，因为呕吐故知曾剧烈吐下过。（调胃承气汤方见上卷）
太阳病六七日，表证仍在，脉微而沉，反而不结胸，其人发狂的，是因为热在下焦，少腹应当坚硬满闷，小便自利的，下血乃愈，之所以这样，是因为太阳随经，瘀热在里的缘故。抵当汤（Didang Tang）主治。
抵当汤方
水蛭三十个（熬制），虻虫三十个（去翅足，熬制），桃仁二十个（去皮尖），大黄三两（酒洗）。
以上四味药，用水五升，煮取三升，去渣滓，温服一升，若不下更服。
太阳病，身黄脉沉结，少腹硬，小便不利的，为无瘀血；小便自利，其人如狂的，是血证的确凿证据，抵当汤主治。（方剂见前）
伤寒有热，少腹满，应当小便不利；现在反而利的，是有瘀血，当下之，可不余药，适宜用抵当丸（Didang Wan）。
抵当丸方
水蛭二十个（熬制），虻虫二十个（去翅足，熬制），桃仁二十五个（去皮尖），大黄三两（酒洗）。
以上四味药，捣碎分为四丸，用水一升，煮一丸，取七合服之，一昼夜后，应当下血；若不下者，再服。
太阳病，小便利的，因为饮水多，必然心下悸动。小便少的，必然苦于里急（腹部拘急不适）。
问曰：病有脏结，有结胸，其状何如？师曰：寸脉浮，关脉小细沉紧的，名为脏结。按压疼痛，寸脉浮，关脉沉的，名为结胸。
什么是脏结？师曰：脏结者，五脏各自结聚，寒热各有区分，宜求之于血分，虽有气结，皆由血所致。假令肝脏结，则两胁痛而呕，脉沉弦而结的，适宜吴茱萸汤（Wuzhuyu Tang）。若发热不呕的，此为实证，脉当沉弦而急，桂枝当归牡丹皮桃仁枳实汤（Guizhi Danggui Mudanpi Taoren Zhishi Tang）主治。
吴茱萸汤方
以上四味药，用水七升，煮取二升，去渣滓，温服七合，每日三次。
桂枝三两（去皮），当归二两，牡丹皮三两，桃仁二十枚（去皮尖），枳实二两。
以上五味药，用水八升，煮取三升，去渣滓，温服一升，每日三次。
心脏结，则心中痛，或在心下郁郁不乐，脉大而涩，连翘阿胶半夏赤小豆汤（Lianqiao Ejiao Banxia Chixiaodou Tang）主治。若心中热痛而烦，脉大而弦急的，此为实证，黄连阿胶半夏桃仁茯苓汤（Huanglian Ejiao Banxia Taoren Fuling Tang）主治。
以上四味药，用水四升，先煮前三味，取二升，去渣滓，纳入阿胶烊化消溶，温服七合，每日三次。
黄连三两，阿胶二两，半夏半升（洗净），桃仁二十枚（去皮尖），茯苓三两。
以上五味药，用水五升，先煮前四味，取二升，去渣滓，纳入阿胶烊化消溶，温服一升，每日两次。
肺脏结，胸中闭塞，喘，咳，善悲，脉短而涩，百合贝母茯苓桔梗汤（Baihe Beimu Fuling Jiegeng Tang）主治。若咳而唾血，胸中痛，此为实证，葶苈括萎桔梗牡丹汤（Tingli Kua Wei Jiegeng Mudan Tang）主治。
以上四味药，用水七升，煮取三升，去渣滓，温服一升，每日三次。
葶苈三两(熬制)，括萎实大者一枚(捣碎)，桔梗三两，牡丹皮二两。
以上四味药，用水六升，煮取三升，去渣滓，温服一升，每日三次。
脾脏结，腹中满痛，按之如覆杯，甚则腹大而坚，脉沉而紧，白术枳实桃仁干姜汤（Baizhu Zhishi Taoren Ganjiang Tang）主治。若腹中胀痛，不可按压，大便初溏后硬，转矢气（放屁）的，此为实证，大黄厚朴枳实半夏甘草汤（Dahuang Houpo Zhishi Banxia Gancao Tang）主治。
以上四味药，用水五升，煮取二升，去渣滓，分两次温服。
以上五味药，用水六升，煮取三升，去渣滓，温服一升，每日三次。
肾脏结，少腹硬，隐隐痛，按之如有核，小便乍清乍浊，脉沉细而结，适宜茯苓桂枝甘草大枣汤（Fuling Guizhi Gancao Dazao Tang）。若小腹急痛，小便赤数的，此为实证，适宜桂枝茯苓枳实芍药甘草汤（Guizhi Fuling Zhishi Shaoyao Gancao Tang）。
以上四味药，用甘澜水一斗，先煮茯苓减二升，纳诸药，煮取三升，去渣滓，温服一升，每日三次。
桂枝三两(去皮)，茯苓二两，枳实二两，芍药三两，甘草一两(炙烤)。
以上五味药，用水六升，煮取三升，去渣滓，温服一升，每日三次。
脏结，无阳证，不往来寒热，其人反静，舌上苔滑的，不可攻也；饮食如故，时时下利，舌上白苔滑的，为难治。
什么是结胸？师曰：病发于阳而反下之，热入于里，因作结胸。病发于阴，而早下之，因作痞。所以成结胸者，误下故也。
结胸病，头项强直，如柔痉状的，下之则和，适宜大陷胸丸（Da Xianxiong Wan）。
大陷胸丸方
Yu Yuliang (Mineral Hematite) 4 liang, Renshen (Ginseng Root) 3 liang, Fuzi (Prepared Aconite Lateralis Radix) 2 pieces, Wuweizi (Schisandra Fruit) 3 he, Fuling (Poria) 3 liang, Ganjiang (Dried Ginger Rhizome) 3 liang.
The above six herbs are processed with honey to form pills, the size of mulberry seeds. Each dose consists of 20 pills.
If a patient has internal cold and sweating is induced again, the stomach will become cold, inevitably leading to vomiting and regurgitation.
In Shanghan (Cold Damage), if purgation is used before sweating, this is an error; if sweating is induced first, the treatment is not erroneous. If purgation should have been used first but sweating was induced instead, this is an error; if purgation is used first, the treatment is not erroneous.
In Shanghan, if a physician mistakenly uses purgation, followed by persistent diarrhea with undigested food and body pain, the interior syndrome should be urgently rescued; subsequently, if body pain persists but bowel and bladder functions are normal, the exterior syndrome should be urgently rescued. To rescue the interior, Sini Tang (Four Reversal Decoction) is suitable; to rescue the exterior, Guizhi Tang (Cinnamon Twig Decoction) is suitable. (Formula see upper volume)
In Taiyang Disease, if purgation is used first without resolution, and then sweating is induced, both the exterior and interior become deficient. Consequently, the patient experiences Mao (dizziness or clouding of consciousness). Such patients recover when they sweat spontaneously. This occurs because the exterior harmonizes; only after the interior is unharmonized should purgation be reconsidered.
If Taiyang Disease is unresolved and the pulse is faint in all positions (Yin and Yang pulses), the patient will first experience chills and tremors, followed by sweating and resolution. If only the Yang pulse (superficial) is faint, sweating leads to resolution; if the Yin pulse (deep) is excess, purgation leads to resolution. If purgation is desired, Tiaowei Chengqi Tang (Stomach-Regulating Downward-Pouring Decoction) is suitable. (Formula see upper volume)
In Taiyang Disease, fever with sweating indicates Ying Qi (Nutritive Qi) deficiency and Wei Qi (Defensive Qi) excess, causing sweating. To address pathogenic wind, Guizhi Tang (Cinnamon Twig Decoction) is suitable. (Formula see upper volume)
In Shanghan or Zhongfeng (Wind Strike) for five to six days, symptoms include alternating chills and fever, fullness and distress in the chest and hypochondrium, silent desire not to eat, irritability, and frequent vomiting. Alternatively, there may be chest distress without vomiting, thirst, abdominal pain, hardness below the ribs, palpitations, difficulty urinating, no thirst with slight external heat, or cough. Xiao Chaihu Tang (Minor Bupleurum Decoction) is the primary formula.
Xiao Chaihu Tang Formula
Chaihu (Bupleurum Root) half jin, Huangqin (Scutellaria Root) 3 liang, Renshen (Ginseng Root) 3 liang, Banxia (Pinellia Tuber) half sheng (washed), Gancao (Licorice Root) 3 liang (roasted), Shengjiang (Fresh Ginger Rhizome) 3 liang (sliced), Dazao (Jujube Fruit) 13 pieces (split).
The above seven herbs are boiled in 12 sheng of water to obtain 6 sheng. Strain, then boil again to obtain 3 sheng. Take 1 sheng warm, three times daily. If there is chest distress without vomiting, remove Banxia and Renshen, add one Gualou Shi (Trichosanthes Fruit). If thirsty, remove Banxia, increase Renshen to total 4.5 liang, and add 4 liang of Gualou Gen (Trichosanthes Root). If abdominal pain, remove Huangqin, add 3 liang of Shaoyao (Peony Root). If hardness below the ribs, remove Dazao, add 4 liang of Muli (Oyster Shell). If palpitations and difficulty urinating, remove Huangqin, add 4 liang of Fuling (Poria). If no thirst with slight external heat, remove Renshen, add 3 liang of Guizhi (Cinnamon Twig), cover with blankets to induce slight sweating for recovery. If coughing, remove Renshen and Dazao, add half sheng of Wuweizi (Schisandra Fruit), remove Shengjiang, add 2 liang of Ganjiang (Dried Ginger Rhizome).
When blood and qi are depleted, pores open, and pathogens enter, battling righteous qi, knotting at the hypochondrium, Zheng and Xie struggle, causing alternating chills and fever at intervals, silence, and loss of appetite. Zang organs are connected; pain radiates downward. Pathogens are high (chest/hypochondrium), pain is low (abdomen), causing vomiting. Xiao Chaihu Tang is indicated. After taking Chaihu formulas, if thirst develops, it belongs to Yangming Disease; treat accordingly. (Formula see upper volume)
In Taiyang Disease for six to seven days, with a slow, floating, weak pulse, aversion to wind and cold, and warm hands and feet, if physicians purge multiple times, leading to inability to eat, hypochondriac fullness and pain, jaundice of face and body, stiff neck, and difficult urination, give Chaihu Tang. Later, rectal heaviness will occur. If originally thirsty but vomiting upon drinking water, Chaihu Tang is contraindicated. If able to eat but belching occurs, it is also contraindicated.
In Shanghan for four to five days, with body heat, aversion to wind, stiff neck, hypochondriac fullness, warm hands and feet, and thirst, Xiao Chaihu Tang is indicated. (Formula see upper volume)
In Shanghan, if the Yang pulse is choppy and the Yin pulse is wiry, acute abdominal pain is expected according to principle. First give Xiao Jianzhong Tang (Minor Construct the Middle Decoction); if ineffective, give Xiao Chaihu Tang. (Formula see upper volume)
Xiao Jianzhong Tang Formula
Guizhi (Cinnamon Twig) 3 liang, Shaoyao (Peony Root) 6 liang, Gancao (Licorice Root) 2 liang, Shengjiang (Fresh Ginger Rhizome) 3 liang (sliced), Dazao (Jujube Fruit) 12 pieces (split), Jiaoyi (Maltose) 1 sheng.
The above six herbs are boiled in 7 sheng of water. Boil the first five herbs to obtain 3 sheng, strain, add Jiaoyi, and melt over low heat. Take 1 sheng warm, three times daily. Vomiting patients should not use this due to its sweetness.
In Shanghan and Zhongfeng, if Chaihu Syndrome (Bupleurum Syndrome) is present, observing one symptom is sufficient for diagnosis; not all need to be present. If Chaihu Syndrome is mistakenly purged, and the syndrome persists, administering Chaihu Tang again will cause steaming fever and trembling, followed by fever, sweating, and resolution.
In Shanghan for two to three days, with palpitations and irritability, Xiao Jianzhong Tang is indicated. (Formula see upper volume)
In Taiyang Disease, after more than ten days, if physicians mistakenly purge multiple times, and after four to five days Chaihu Syndrome persists, first give Xiao Chaihu Tang. If vomiting continues, epigastric urgency, and mild depression/irritability persist, the disease is unresolved; give Da Chaihu Tang (Major Bupleurum Decoction) to purge for cure.
Da Chaihu Tang Formula
Chaihu (Bupleurum Root) half jin, Huangqin (Scutellaria Root) 3 liang, Shaoyao (Peony Root) 3 liang, Banxia (Pinellia Tuber) half sheng (washed), Shengjiang (Fresh Ginger Rhizome) 5 liang (sliced), Zhishi (Immature Bitter Orange) 4 pieces (roasted), Dazao (Jujube Fruit) 12 pieces (split), Dahuang (Rhubarb Root) 2 liang.
The above eight herbs are boiled in 12 sheng of water to obtain 6 sheng. Strain, boil again, take 1 sheng warm, three times daily.
In Shanghan unresolved for thirteen days, with chest/hypochondriac fullness and vomiting, afternoon tidal fever, followed by mild diarrhea: this is originally Chaihu Syndrome. Purging should not cause diarrhea; the current diarrhea indicates the physician used pill-based purgatives, which is incorrect. Tidal fever indicates interior excess. First administer Xiao Chaihu Tang to resolve the exterior, then treat with Chaihu Jia Mangxiao Tang (Bupleurum Plus Niter Decoction).
Chaihu Jia Mangxiao Tang Formula
Chaihu (Bupleurum Root) 2 liang 16 zhu, Huangqin (Scutellaria Root) 1 liang, Renshen (Ginseng Root) 1 liang, Gancao (Licorice Root) 1 liang (roasted), Shengjiang (Fresh Ginger Rhizome) 1 liang (sliced), Mangxiao (Natrii Sulfas) 2 liang, Dazao (Jujube Fruit) 4 pieces, Banxia (Pinellia Tuber) 20 zhu.
The above eight herbs are boiled in 4 sheng of water to obtain 2 sheng. Strain, add Mangxiao, boil briefly, divide into two warm doses. If unresolved, prepare another dose.
In Shanghan for thirteen days, having passed the meridian stage, with delirium due to heat, purgation with decoction is indicated. If urination is free, stool should be hard; if diarrhea occurs instead, it indicates the physician used pill purgatives incorrectly. If spontaneous diarrhea occurs, the pulse should be faint and cold; if the pulse is harmonious, it indicates interior excess. Tiaowei Chengqi Tang is indicated. (Formula see upper volume).
If Taiyang Disease is unresolved, heat knots in the Bladder, causing mania-like behavior. If blood passes spontaneously, the patient recovers. If exterior symptoms persist, attack cannot be attempted; resolve the exterior first. Once the exterior is resolved, if only lower abdominal urgency and binding remain, blood stasis can be attacked using Taoren Chengqi Decoction (Peach Kernel Downward-Pouring Decoction).
Taoren Chengqi Tang Formula
Taoren (Peach Seed) 50 pieces (skin and tip removed), Dahuang (Rhubarb Root) 4 liang, Guizhi (Cinnamon Twig) 2 liang, Gancao (Licorice Root) 2 liang (roasted), Mangxiao (Natrii Sulfas) 2 liang.
The above five herbs are boiled in 7 sheng of water. Boil the first four to obtain 2 sheng, strain, add Mangxiao, boil briefly. Stop fire. Take 5 he warm before meals, three times daily. Mild diarrhea is expected.
In Shanghan for eight to nine days, after mistaken purgation, presenting with chest fullness, irritability, fright, difficulty urinating, delirium, whole-body heaviness, and inability to turn, Chaihu Jia Longgu Muli Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction) is indicated.
Chaihu Jia Longgu Muli Tang Formula
Chaihu (Bupleurum Root) 4 liang, Longgu (Fossilized Mammal Bones) 1.5 liang, Huangqin (Scutellaria Root) 1.5 liang, Shengjiang (Fresh Ginger Rhizome) 1.5 liang, Renshen (Ginseng Root) 1.5 liang, Guizhi (Cinnamon Twig) 1.5 liang (bark removed), Fuling (Poria) 1.5 liang, Banxia (Pinellia Tuber) 2.5 he, Dahuang (Rhubarb Root) 2 liang, Muli (Oyster Shell) 1.5 liang, Dazao (Jujube Fruit) 6 pieces (split), Qiandan (Lead Oxide) 1.5 liang.
The above twelve herbs are boiled in 8 sheng of water to obtain 4 sheng. Add chopped Dahuang, boil for one or two boils, strain. Take 1 sheng warm, three times daily, once at night.
In Shanghan, with abdominal fullness, delirium, floating-tight pulse at Cun, and wiry pulse at Guan, this is Liver Wood overacting on Spleen Earth, named "Zong" (Vertical). Puncture Qimen acupoint.
In Shanghan with fever, severe aversion to cold, extreme thirst for water, inevitable abdominal fullness, spontaneous sweating, and difficulty urinating, with floating-choppy pulse at Cun and wiry-tense pulse at Guan, this is Liver Wood overacting on Lung Metal, named "Heng" (Horizontal). Puncture Qimen acupoint.
On the second day of Taiyang Disease, with irritability, if the back is moxa-warmed causing profuse sweating, fire-heat enters the Stomach, depleting fluids, causing agitation and delirium. After ten-plus days, if chills and spontaneous diarrhea occur, this indicates impending resolution. If sweating is limited to below the waist, inability to urinate, vomiting, urge to lose urine, aversion to cold at soles, hard stool, yet infrequent urination, after defecation, sudden head pain occurs, and soles become hot; this is due to Grain Qi flowing downward.
In Taiyang Zhongfeng, if fire coercion is used to induce sweating, pathogenic wind combined with fire causes blood and qi to overflow abnormally. Two Yangs (wind and fire) scorch the body, causing jaundice. Excess Yang leads to epistaxis; Yin deficiency leads to difficult urination. If both Yin and Yang are exhausted, the body becomes dry. Only head sweating up to the neck, abdominal fullness, slight wheezing, dry mouth/throat, constipation, delirium, severe cases of hiccups, restlessness, picking at clothes/bed, indicate severity. If urination is free, the patient is treatable. Ren Shen Di Huang Long Gu Mu Li Fu Ling Tang (Ginseng, Rehmannia, Dragon Bone, Oyster Shell, Poria Decoction) is indicated.
Ren Shen Di Huang Long Gu Mu Li Fu Ling Tang Formula
Renshen (Ginseng Root) 3 liang, Dihuang (Rehmannia Root) half jin, Longgu (Fossilized Mammal Bones) 3 liang, Muli (Oyster Shell) 4 liang, Fuling (Poria) 4 liang.
The above five herbs are boiled in 10 sheng of water to obtain 3 sheng. Divide into three warm doses.
In Shanghan with floating pulse, if fire coercion is used causing Yang collapse, resulting in fright, mania, and restlessness, Guizhi Qu Shaoyao Jia Muli Longgu Jiuni Tang (Cinnamon Twig Decoction Removing Peony Plus Oyster Shell and Dragon Bone for Rescue from Emergency) is indicated.
Guizhi Qu Shaoyao Jia Muli Longgu Jiuni Tang Formula
Guizhi (Cinnamon Twig) 3 liang, Gancao (Licorice Root) 2 liang (roasted), Shengjiang (Fresh Ginger Rhizome) 3 liang (sliced), Dazao (Jujube Fruit) 12 pieces (split), Muli (Oyster Shell) 5 liang (calcined), Longgu (Fossilized Mammal Bones) 4 liang.
The above six herbs are boiled in 12 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Resembling Shanghan, but pulse is weak rather than wiry-tight. Weak pulse implies thirst; fire treatment leads to delirium. Weak pulse with fever and floating pulse indicates resolution via sweating.
In Taiyang Disease, if fire fumigation fails to induce sweating, the patient becomes irritable. If unresolved by the cycle, hematochezia occurs, termed Fire Pathogen.
With floating pulse and intense heat, if moxibustion is applied, this is an Excess condition. Treating Excess as Deficiency, fire moves blood, causing dry throat and bloody sputum.
With faint-rapid pulse, moxibustion must be avoided. Fire becomes pathogenic, causing irritability and rebellion, chasing deficiency and pursuing excess, scattering blood in vessels. Though fire energy is slight, its internal attack is powerful, scorching bones and injuring sinews, making blood restoration difficult.
With floating pulse, sweating is indicated. Using moxibustion traps pathogen, exacerbating it. Disease manifests as heaviness and bi-syndrome below the waist, termed Fire Reversal. Spontaneous resolution requires initial irritability followed by sweating. This is known because the pulse is floating.
If needle-cauterization induces sweating, and the needle site catches cold, forming red nodules, Ben Tun (Running Piglet) will develop. If Qi rushes from lower abdomen to heart, apply one moxa cone on each nodule, and administer Guizhi Jia Gui Tang (Cinnamon Twig Decoction Plus Cinnamon Twig).
Guizhi Jia Gui Tang Formula
Guizhi (Cinnamon Twig) 5 liang, Shaoyao (Peony Root) 3 liang, Shengjiang (Fresh Ginger Rhizome) 3 liang (sliced), Gancao (Licorice Root) 2 liang (roasted), Dazao (Jujube Fruit) 12 pieces (split).
The above five herbs are boiled in 7 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
For Fire Reversal, if purgation is mistakenly used, and irritability follows cauterization, Guizhi Gancao Longgu Muli Tang (Cinnamon Twig and Licorice Plus Dragon Bone and Oyster Shell Decoction) is indicated.
Guizhi Gancao Longgu Muli Tang Formula
Guizhi (Cinnamon Twig) 1 liang, Gancao (Licorice Root) 2 liang (roasted), Longgu (Fossilized Mammal Bones) 2 liang, Muli (Oyster Shell) 2 liang (calcined).
The above four herbs are boiled in 5 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily. In severe cases, add 3 liang of Renshen.
In Taiyang Shanghan, adding warm needles causes fright.
In Taiyang Disease, aversion to cold and fever are expected. If spontaneous sweating occurs without aversion to cold/fever, and the Guan pulse is fine-rapid, this is iatrogenic error from emesis. Emesis on day 1-2 causes hunger but inability to eat; on day 3-4, dislike of congee, desire for cold food, morning eating/evening vomiting, termed Minor Reversal. No aversion to cold and desire to discard clothing indicates Internal Irritation; all caused by improper emesis.
If patient pulse is rapid indicating heat, digestion should be enhanced. If eating causes vomiting, it is due to sweating depleting Yang, causing Diaphragm Qi deficiency, making pulse appear rapid. Rapid pulse here is Guest Heat, unable to digest food due to Cold-Stomach deficiency causing vomiting.
In Taiyang Disease, after ten-plus days, with nausea, chest pain, loose stool, mild abdominal fullness, and mild depression/irritability: if the patient previously underwent extreme emesis/purgation, give Tiaowei Chengqi Tang. Otherwise, do not give. If only nausea, chest pain, and loose stool exist, this is not Chaihu Syndrome, as vomiting indicates prior extreme emesis/purgation. (Tiaowei Chengqi Tang formula see upper volume)
In Taiyang Disease for six to seven days, if exterior signs persist, pulse is faint-deep, no Chest Binding, but mania occurs, heat is in Lower Jiao. Lower abdomen should be hard/full. If urination is free, bleeding resolves the issue. This is because Taiyang follows the meridian, and Blood-Heat knots internally. Didang Tang is indicated.
Didang Tang Formula
Shuizhi (Leech) 30 pieces (calcined), Mengchong (Blue Bottle Fly Larva) 30 pieces (wings/legs removed, calcined), Taoren (Peach Seed) 20 pieces (skin/tip removed), Dahuang (Rhubarb Root) 3 liang (wine-washed).
The above four herbs are boiled in 5 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm. If no evacuation, take more.
In Taiyang Disease, with jaundice, deep-knotted pulse, hard lower abdomen, and difficulty urinating, there is no blood stasis. If urination is free and patient is mania-like, blood stasis is confirmed. Didang Tang is indicated. (Formula see previous)
In Shanghan with heat and lower abdominal fullness, urination should be difficult. If urination is free, blood stasis exists. Purge without residual medicine; Didang Wan is suitable.
Didang Wan Formula
Shuizhi (Leech) 20 pieces (calcined), Mengchong (Blue Bottle Fly Larva) 20 pieces (wings/legs removed, calcined), Taoren (Peach Seed) 25 pieces (skin/tip removed), Dahuang (Rhubarb Root) 3 liang (wine-washed).
The above four herbs are crushed into four pills. Boil one pill in 1 sheng of water to obtain 7 he. Take. Within 24 hours, blood should pass. If not, take more.
In Taiyang Disease, if urination is free due to excessive water intake, palpitations occur below the heart. If urination is scarce, interior urgency/distress occurs.
Shanghan Zabing Lun Volume 8
Differentiating Pulse, Signs, and Treatment of Taiyang Disease - Part 2
Question: What are Zang Jie (Zang Knotting) and Jie Xiong (Chest Binding)? Master says: Floating pulse at Cun, small-fine-deep-tight pulse at Guan is Zang Jie. Pain on pressure, floating pulse at Cun, sinking pulse at Guan is Jie Xiong.
What is Zang Jie? Master says: Zang Jie involves knotting in the Five Zang organs, distinguishing cold and heat. Seek in the Blood aspect. Although Qi knots exist, they are caused by Blood. For example, Liver Knotting causes bilateral hypochondriac pain and vomiting, with deep-wiry-knotted pulse. Wuzhuyu Tang is suitable. If fever without vomiting, it is Excess, with deep-wiry-tense pulse. Guizhi Danggui Mudanpi Taoren Zhishi Tang is indicated.
Wuzhuyu Tang Formula
Wuzhuyu (Evodia Fruit) 1 sheng, Renshen (Ginseng Root) 3 liang, Shengjiang (Fresh Ginger Rhizome) 6 liang, Dazao (Jujube Fruit) 12 pieces (split).
The above four herbs are boiled in 7 sheng of water to obtain 2 sheng. Strain. Take 7 he warm, three times daily.
Guizhi Danggui Mudanpi Taoren Zhishi Tang Formula
Guizhi (Cinnamon Twig) 3 liang (bark removed), Danggui (Angelica Sinensis Root) 2 liang, Mudanpi (Tree Peony Bark) 3 liang, Taoren (Peach Seed) 20 pieces (skin/tip removed), Zhishi (Immature Bitter Orange) 2 liang.
The above five herbs are boiled in 8 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Heart Knotting causes heart pain or oppression/unhappiness below the heart, with large-choppy pulse. Lianqiao Ejiao Banxia Chixiaodou Tang is indicated. If heart heat-pain with irritability, large-wiry-tense pulse, it is Excess. Huanglian Ejiao Banxia Taoren Fuling Tang is indicated.
Lianqiao Ejiao Banxia Chixiaodou Tang Formula
Lianqiao (Forsythia Fruit) 2 liang, Ejiao (Donkey-hide Gelatin) 1.5 liang, Banxia (Pinellia Tuber) half sheng (washed), Chixiaodou (Adzuki Bean) 3 liang.
The above four herbs are boiled in 4 sheng of water. Boil first three to obtain 2 sheng, strain, add Ejiao to melt. Take 7 he warm, three times daily.
Huanglian Ejiao Banxia Taoren Fuling Tang
Huanglian (Coptis Rhizome) 3 liang, Ejiao (Donkey-hide Gelatin) 2 liang, Banxia (Pinellia Tuber) half sheng (washed), Taoren (Peach Seed) 20 pieces (skin/tip removed), Fuling (Poria) 3 liang.
The above five herbs are boiled in 5 sheng of water. Boil first four to obtain 2 sheng, strain, add Ejiao to melt. Take 1 sheng warm, twice daily.
Lung Knotting causes chest obstruction, wheezing, cough, sadness, with short-choppy pulse. Baihe Beimu Fuling Jiegeng Tang is indicated. If coughing with bloody sputum and chest pain, it is Excess. Tingli Kua Wei Jiegeng Mudan Tang is indicated.
Baihe Beimu Fuling Jiegeng Tang Formula
Baihe (Lily Bulb) 7 pieces (washed, foam removed), Beimu (Fritillaria Bulb) 3 liang, Fuling (Poria) 3 liang, Jiegeng (Platycodon Root) 2 liang.
The above four herbs are boiled in 7 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Tingli Kua Wei Jiegeng Mudan Tang Formula
Tingli (Perilla Seed) 3 liang (calcined), Kua Wei (Trichosanthes Fruit) 1 large piece (crushed), Jiegeng (Platycodon Root) 3 liang, Mudanpi (Tree Peony Bark) 2 liang.
The above four herbs are boiled in 6 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Spleen Knotting causes abdominal fullness/pain, feeling like an inverted cup on pressure, possibly large/firm abdomen, with deep-tight pulse. Baizhu Zhishi Taoren Ganjiang Tang is indicated. If distending pain, tenderness, initial loose then hard stool, passing gas, it is Excess. Dahuang Houpo Zhishi Banxia Gancao Tang is indicated.
Baizhu Zhishi Taoren Ganjiang Tang Formula
Baizhu (Atractylodes Macrocephala Rhizome) 2 liang, Zhishi (Immature Bitter Orange) 2 liang, Taoren (Peach Seed) 27 pieces (skin/tip removed), Ganjiang (Dried Ginger Rhizome) 1 liang.
The above four herbs are boiled in 5 sheng of water to obtain 2 sheng. Strain, divide into two warm doses.
Dahuang Houpo Zhishi Banxia Gancao Tang Formula
Dahuang (Rhubarb Root) 3 liang, Houpo (Magnolia Bark) 3 liang, Zhishi (Immature Bitter Orange) 3 liang, Banxia (Pinellia Tuber) 1 sheng, Gancao (Licorice Root) 1 liang (roasted).
The above five herbs are boiled in 6 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Kidney Knotting causes hard lower abdomen, dull pain, nodular sensation on pressure, intermittent clear/cloudy urine, with deep-fine-knotted pulse. Fuling Guizhi Gancao Dazao Tang is suitable. If lower abdominal urgent pain, red-frequent urination, it is Excess. Guizhi Fuling Zhishi Shaoyao Gancao Tang is suitable.
Fuling Guizhi Gancao Dazao Tang Formula
Fuling (Poria) half jin, Guizhi (Cinnamon Twig) 4 liang, Gancao (Licorice Root) 2 liang (roasted), Dazao (Jujube Fruit) 15 pieces (split).
The above four herbs are boiled in 10 sheng of Ganlan Water (Agitated Water). Boil Fuling first, reducing by 2 sheng, add other herbs, boil to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Guizhi Fuling Zhishi Shaoyao Gancao Tang Formula
Guizhi (Cinnamon Twig) 3 liang (bark removed), Fuling (Poria) 2 liang, Zhishi (Immature Bitter Orange) 2 liang, Shaoyao (Peony Root) 3 liang, Gancao (Licorice Root) 1 liang (roasted).
The above five herbs are boiled in 6 sheng of water to obtain 3 sheng. Strain. Take 1 sheng warm, three times daily.
Zang Jie without Yang signs, no alternating chills/fever, patient is quiet, slippery tongue coating: do not purge. Normal diet with frequent diarrhea, white slippery tongue coating: difficult to treat.
What is Jie Xiong? Master says: Disease starting in Yang, mistakenly purged, heat enters interior, causing Jie Xiong. Disease starting in Yin, early purging, causes Pi (Fullness). Jie Xiong results from mistaken purging.
In Jie Xiong Disease, with stiff neck resembling Rou Jing (Soft Spasm), purging harmonizes. Da Xianxiong Wan is suitable.
Da Xianxiong Wan Formula