肺受风寒鼻作壅，咳嗽头痛声气重，夹气发热汗有无，甚者浑身骨节痛。加味香苏饮可
劫，
之，
活，
参苏饮（详咳嗽） 香苏散（见伤寒）
余论
伤风为病似轻，人多有犯之者，精神壮健亦能自愈，然病根终藏身内，不如早散之为是。
霜降节后春分前，冒寒即病曰伤寒，春变温兮夏变暑，六经之证须分看。头项痛兮腰脊
强，
安。
缓，
堪，
风，
功。
加白
术，
阳明鼻干燥，头疼及眼眶，恶寒兼不寐，身热用何方，柴葛解肌好，黄芩白芷羌，桔梗
甘草
身热而渴自汗出，阳明症候微洪脉，如神白虎石膏先，参连知味陈粳粒，麦冬栀草共天
花，
柴胡双解饮，专治少阳经，夏草芩参葛，陈皮芍茯苓，先同姜枣煮，百合再前成，随症
还加
太阴腹痛咽无泽，手足漫暖脉沉实，热邪本是太阳传，桂枝大黄汤可觅，柴朴枳实芍药
甘，
太阴腹痛便溺赤，燥渴谵语脉有力，温热发黄熟治之，茵陈将军汤枳实，山栀甘草朴黄
芩，
热结膀胱旋不利，须用五苓加味治，泽猪茯术桂枝甘，瞿滑栀仁灯草济，黄者茵陈渴天
花，
伤寒热邪传于里，少阴厥阴证见矣，心腹坚满绕脐痛，烦躁咽干并谵语，或发斑黄与狂
乱，
阳毒热深脉洪大，三黄石膏汤最快，芩连栀柏豉麻黄，姜枣芽茶煎服泰。去麻豉加实硝
黄，
桃仁承气，对子桂枝，枳实硝黄，柴胡青草，芍相当，枣二姜三同放，捶入一钱苏木，
能除
伤寒热甚虽不死，两感伤寒漫料理，一日太阳少阴病，腹痛口干烦饮水，二日阳明合太
阴，
人，
佐，
入，甘草连膏知母在，大便实者要将军，煎用水姜并枣子，服时加入醋调匀。鼻衄不止芩连
汤，
康。
燥欲漱水水不下，淤血发狂诚可怕，加味犀角大地黄，玄参实桔当连化，丹皮赤芍放红
花，
瘥后昏沉身热渴，错语失神劳复发，柴胡百合草知母，芍共参与芩鳖甲，生地捣汁加一
匙，
寒邪直入阴经血，并无头痛与身热，初起止则怕风寒，倦卧腹痛浑身厥，吐利不渴脉沉
迟，
回阳急救汤，桂附茯干姜，参术陈甘味，真寒服此良，水调姜汁煮，更可入澄浆。
阴盛格阳时发躁，脉来沉伏如何疗，回阳返本附参苓，麦冬五味童男溺，桂心国老射炮
姜，调蜜二匙冷服妙。
汗下肉润并筋惕，卫虚亡阳脉有力，温经益元汤止之，黄 姜附归参术，芍药甘草生地
黄，枣姜粳米同煎啜。
痉症有药如圣饮，羌防参术甘柴引，枳壳芍药白芷芎，有汗无汗须详审。有汗去壳加桂
枝，无汗增麻将术损，口噤切牙加大黄，手足挛搐当归本，原知此症胸有痰，姜汁竹沥功有
敏。
三月时候得寒疫，头疼身热脉有力，恶寒体痛口渴者，此名晚发宜消息。六神汤内药七
味，麻草芩苍膏泽细，表证姜葱豉豆煎，里证槟榔磨入剂，头痛甚者加川芎，身体痛时羌活
济，若然大渴加天花，随症损益难拘泥。
加味理中汤药，专攻夹食伤寒，头疼身热不恶寒，气口紧盛脉见青白，砂仁朴实，橘红
草果，苍甘水姜，莱菔子同煎，霍乱亦宜此散。
少阴证似太阳，脉息沉迟可预防，身热恶寒头不痛，急投麻附细甘汤，芍药参连同作剂，
五味七粒捶煎汤。
伤寒胁痛胸满狭，心悸嗽痰脉沉滑，二陈汤沸实桑柴，贝母苓猪桂枝发，杏仁数粒临加
服，再煮一服乘热呷。
神效安神益智，消除瘥后虚烦心悸，微热未能安，乏力四肢沉倦，六七日来，昏 别无
刑克相干，脉俱沉，服果何然，必有将来正汗人，茯柴门地远竹茹，知味当甘，仍将姜汁炒
黄连，热服更无余患。
狂言烦躁身无热，精采与常人各别，勿将寒药作狂医，此是如狂证亲切，治之惟有桂枝
汤，枝柏甘□□膀胱，泽泻灯心二十数，加姜煎服人安康。女劳复有阴阳易，其症大热并错
语，小腹绞痛人昏沉，足不能移头不举，眼中生花百节解，热气冲胸难料理。男人阴肿刺小
便，妇人腰痛并里急，病患新瘥与之交，无病患病为之易。
女劳复因劳太早，逍遥汤可涓其疾，犀角地茯参韭知，连草竹青柴滑石，姜三枣二水二
钟，烧取 裆钱半入。
伤寒下利纯清水，心痛热渴并谵语，肠胃燥尿结于中，非是内寒而泻起，自饮汤药大便
溏，可笑庸医呼漏底，结实利者黄龙汤，参柴枳实朴硝黄，国老芩归急煎取，铁锈水调乘热
尝。
劳力内伤血气，因而外感风寒，头痛身热腿中酸，微渴憎寒自汗，其脉浮而无力，须知
发表为难，调荣养卫病方痊。参术芍归可选，柴草羌防辛地，陈 葱白须连，还投姜枣一同
煎，随症自增减。
循衣摸床，谵语昏沉， 手冒心，肝风肺火。两相因，致使撮空牵引，汤号清金散火，
芩连橘草归参移，将芍药种柴门，姜枣金银煎饮。若或内兼痰症，姜炒半夏宜寻，大便燥热
语无伦，一着将军妙甚。
恶寒脊强头疼热，再三发表汗不泄，无阳之证医不知，孟浪取汗用火劫，再造饮子羌活
参，桂防术附甘辛勤，佐以芎 炒白芍，枣姜煎入童便匀，夏月必须去附子，石膏知母宜相
亲。
内伤血郁肝与脾，热渴谵语神昏迷，身不恶寒头不痛，勿将寒药误投医，病多夹血如见
祟，
泥。
七情内伤痰气郁，痰若盛时心窍塞，挟痰有时见鬼神，气喘沫涎口中出，加味导痰汤可
涓，二陈枳术并芩连，星术栝蒌水姜煮，竹沥姜汁收功全。
伤寒热邪传于心，心火炎上逼肺金，神昏如醉不能语，或时独语二三声。心下不痞腹不
满，目赤唇焦何可禁，二便如常无所苦，身体又无寒热侵，汤水与之即咽下，不与则亦不思
寻，须知此是越经证，泻心导赤汤宜斟，芩连栀草门冬茯，知母滑石犀人参，灯心姜枣共煎
饮，生姜捣汁三匙侵。
伤寒汗下太过，元阳虚极无根，脉来虚数语无伦，热渴面生赤晕。此号戴阳恶证，益元
汤治如神，麦冬芍附草苓参，知母童便连饮，煎用枣姜活水，葱头捣汁调匀。
伤寒六经正病
太阳则头痛身热脊强，阳明则目痛鼻干不眠，少阳耳聋胁痛寒热，呕而口为之苦，太阴
腹满自利，尺寸沉而津不到咽，少阴舌干苦燥，厥阴烦满囊缩。
伤寒脉诀
伤寒把足六经详，浮洪紧涩中太阳，传变名状应须记，少阳弦紧阳明长，太阴入理沉迟
脉，
太阳无汗，麻黄为最，太阳有汗，桂枝可先。小柴胡为少阳之要药，大柴胡行阳明之闭
坚，
伤寒一日二日，宜发表而散，三日四日，宜和解而痊，五六日，方可议下，七八日不愈，
又复再传。
三阳七十二证总诀
羌独前柴梗壳芩，升荷芍草葛芎苓，还加苍术水煎服，三阳七十二证宁。
三阴七十二证总诀
芎归芍附桂麻黄，青陈夏朴草芩苍，枳壳桔梗姜共枣，三阴七十二证康。
三阳三阴总法治
凡值伤寒不问表里，用败毒散，五积散，各一剂。春三月加香苏散，夏三月加五苓散，
秋三月加金沸草散，冬三月加十神汤，或小柴胡汤。上根据时将所加药和杂，每服三钱重，水
一盏半，姜三片，枣二枚，煎八分，去渣热服。不拘时服。此方得之明医，斟酌三阴三阳证
候，以便救人。总治时行伤寒，不问阴阳轻重，老少男女孕妇，一同治之。
归一同治之（有汗者不用）。
白芷一两 生甘草五钱 姜三片 葱白三根 枣二枚 豉五十粒。水二碗煎服取汗，不
汗再
如煎
又治伤寒二毒及时行瘟疫等症。
用苍术一斤（净洗焙干） 甘草四两（生用）。二件捣，罗为末，每服二钱，以热葱汤
投之，出
治伤寒七方
发热恶寒身体痛，脉浮无汗怎生医，十神五积香苏散，有汗伤风用桂枝。
四五日来口舌干，发热身痛卧不安，先服人参败毒散，小柴胡汤在后番。
七八日来热在内，口渴心烦腹胀汇，小便赤少大便难，大柴胡汤好通利。
发热口干大便泄，小便赤少心烦结，小柴胡汤兼五苓，加上黄连真一绝。
汗下之后病不解，依然热渴如见怪，解毒汤兼小柴胡，诸般热病皆无碍。
伤寒病后复如初，半夏枳实橘红呵，参粳麦柴酸枣草，竹茹姜枣功效多。
病后虚乏最堪忧，此症如何得可疗，四物汤加桂 草，姜枣煎来可免忧。
上诀俱李君宾经验授余者，余集古方注于下，以见立方之有本云。
十神汤治两感及时行瘟疫无汗者。
紫苏 香附 陈皮 甘草 干葛 赤芍 升麻 白芷 川芎 麻黄各五分
姜葱煎服。
香苏散治四时感寒头痛发热。
香附 紫苏各二钱 陈皮一钱 甘草五分姜葱煎服取汗。头痛甚者加芎、芷，无汗加麻
黄。
人参败毒散
治头痛壮热鼻塞声重，及风痰咳嗽四时瘟疫诸般疮毒。
人参 桔梗 甘草 川芎 茯苓 枳壳 前胡 柴胡 羌活 独活各等分每服一两，生
姜薄荷煎服。嗽加半夏，口干加黄芩，热毒加连、芩、栀、柏，风热加荆、防
黄连，疮毒去参加金银花、连翘。
瓜蒂散
治夹食伤寒痰塞胸膈宜吐者。甜瓜蒂、赤小豆各一钱。分二服，淡豆豉煎汤下，以
度。吐去膈痰，宿食而安。
五积散（见中寒） 正气散（见霍乱） 金沸草散（见嗽） 小柴胡汤（详热）又四时
感冒单方 生葱白连须五根，捣烂滚酒冲服。
附∶治瘟疫。左脉大于右脉，缓而盛，按之无力，众人病一般者。
二圣救苦丸 大黄四两（酒蒸） 牙皂二两
上为末，面丸如绿豆大，每服四十丸，绿豆汤下，大汗为效无忧散
余论
有汗非伤寒，身有痛处便非伤寒，春分后冬至前，悉非伤寒，盖伤暑、香港脚、时行瘟疫
等，类伤寒者极多，最宜详辨，不可遽用麻黄汤，所关非小，故又抬出之。
四季感冒方 苍术（米泔水浸过）三钱 甘草三分 姜五大片 连须葱五根 春夏加荆
芥穗一
肺受风寒侵袭，导致鼻窍壅塞不通，出现咳嗽、头痛、声音沉闷气息沉重的症状；若兼夹气机郁滞而发热，出汗情况不定；病情严重者，全身骨节疼痛。此时可用加味香苏饮来迅速祛除病邪。此外还有参苏饮（详见咳嗽篇）、香苏散（见伤寒篇）。
我的论述：伤风这种病看似轻微，但很多人都会患上。即使精神壮健的人也可能自愈，然而病根终究潜伏在体内，不如尽早发散治疗为好。
霜降节气之后到春分之前，如果冒受寒邪立即发病，称为伤寒；到了春季，寒邪转化为温病；到了夏季，则转化为暑病。六经的证候需要分别看待。头项部疼痛，腰脊僵硬不舒。
阳明经证表现为鼻干燥，头痛及眼眶痛，恶寒且失眠，身体发热，该用什么方剂呢？柴葛解肌汤效果很好，方中含有黄芩、白芷、羌活、桔梗、甘草等药。
若身体发热且口渴，自然出汗，这是阳明症的征候，脉象微洪大。首选如神白虎汤，方中有人参、黄连、知母、陈皮、粳米、麦冬、栀子、甘草、天花粉等。或者使用柴胡双解饮，专门治疗少阳经病症，方中有夏枯草、黄芩、人参、葛根、陈皮、芍药、茯苓，先与生姜、大枣同煮，最后加入百合煎成。根据症状还可以适当加减。
太阴病表现为腹痛，咽喉干燥无津液，手足微微温暖，脉象沉实。热邪原本是从太阳经传入的，可用桂枝大黄汤治疗，方中有柴胡、厚朴、枳实、芍药、甘草。若太阴病腹痛，大小便色赤，燥渴谵语，脉象有力，温热发黄需熟治，可用茵陈将军汤，方中有枳实、山栀、甘草、厚朴、黄芩。
热邪结聚膀胱，小便不利，必须用五苓散加味治疗，方中有泽泻、猪苓、茯苓、白术、桂枝、甘草，再辅以瞿麦、滑石、栀子仁、灯心草以济助疗效。若黄疸明显加茵陈，口渴加天花粉。
伤寒热邪传入体内，少阴和厥阴的证候就显现了。心腹坚硬胀满，绕脐疼痛，烦躁不安，咽干并说胡话，或者出现发斑、发黄、狂乱等症状。
阳毒热邪深重，脉象洪大，三黄石膏汤见效最快，方中有黄芩、黄连、栀子、黄柏、豆豉、麻黄，用生姜、大枣、茶芽煎服效果佳。若去掉麻黄和豆豉，加入芒硝和大黄，即为桃仁承气汤，对应桂枝汤的变方，含有枳实、芒硝、大黄、柴胡、青草、芍药、当归，加上二枚大枣和三片生姜一同放入，捣碎后加入一钱苏木，能去除……（原文此处有缺漏或断句不清，依文意推测为祛瘀功效）。
伤寒热势虽盛但不致死，若是两感伤寒则难以处理。第一天是太阳和少阴合病，腹痛口干烦躁想喝水；第二天是阳明和太阴合病……（原文此处有缺漏）。佐使药方面，加入甘草、黄连、膏方、知母，大便结实者要用大黄（将军），煎煮时用水、姜、枣，服用时加入醋调匀。若鼻出血不止，用芩连汤。
燥欲漱水但水不下咽，瘀血发狂确实可怕，可用加味犀角地黄汤，方中有玄参、枳实、桔梗、当归、黄连、化裁丹皮、赤芍、红花。
病愈后昏沉，身体发热口渴，错语失神，劳累后复发，可用柴胡百合汤，方中有甘草、知母、芍药、人参、黄芩、鳖甲，生地捣汁加一匙。
寒邪直接侵入阴经血脉，并没有头痛和身热的症状，初起时只是怕风寒，疲倦卧床，腹痛，全身四肢厥冷，呕吐腹泻且不渴，脉象沉迟，可用回阳急救汤，方中有桂枝、附子、茯苓、干姜、人参、白术、陈皮、甘草，真寒证服用此方良效，用水调姜汁煮，还可加入澄浆（米泔水）。
阴盛格阳，时常发作躁动，脉象沉伏，如何治疗？用回阳返本汤，方中有附子、人参、茯苓、麦冬、五味子、童男童尿、桂心、国老（甘草）、射干、炮姜，调蜂蜜两匙冷服妙。
汗法、下法过度导致肌肉跳动、筋惕肉瞤，卫气虚亡阳，脉象有力，用温经益元汤制止，方中有黄芪、干姜、附子、当归、人参、白术、芍药、甘草、生地黄，与大枣、生姜、粳米同煎饮用。
痉症有药如圣饮，方中有羌活、防风、人参、白术、甘草、柴胡为引，枳壳、芍药、白芷、川芎。有汗无汗须详细审察。有汗去掉枳壳加桂枝，无汗增加麻黄减少白术，口噤咬牙加大黄，手足挛搐加当归、藁本。原本知道此症胸中有痰，姜汁、竹沥功效敏锐。
三月时候得寒疫，头疼身热脉象有力，恶寒体痛口渴者，此名晚发，宜仔细斟酌。六神汤内有七味药，麻黄、甘草、黄芩、苍术、石膏、泽泻、细辛。表证用生姜、葱白、豆豉、大豆煎服，里证磨入槟榔剂，头痛甚者加川芎，身体痛时加羌活济助，若然大渴加天花粉，随症损益不可拘泥。
加味理中汤药，专攻夹食伤寒，头疼身热不恶寒，气口紧盛脉见青白，砂仁、厚朴、枳实、橘红、草果、苍术、甘草，用水、生姜、莱菔子同煎，霍乱也适宜此散。
少阴证似太阳，脉息沉迟可预防，身热恶寒头不痛，急投麻黄附子细辛甘草汤，芍药、人参、黄连同作药剂，五味子七粒捶碎煎汤。
伤寒胁痛胸满狭小，心悸咳嗽痰多脉沉滑，二陈汤沸实桑柴，贝母、茯苓、猪苓、桂枝发散，杏仁数粒临加服，再煮一服乘热呷。
神效安神益智，消除病后虚烦心悸，微热未能安，乏力四肢沉倦，六七日来，昏沉别无刑克相干，脉俱沉，服果何然，必有将来正汗人，茯神、柴胡、门冬、地黄、远志、竹茹，知母、五味、当归、甘草，仍将姜汁炒黄连，热服更无余患。
狂言烦躁身无热，精采与常人各别，勿将寒药作狂医，此是如狂证亲切，治之惟有桂枝汤，桂枝、柏子仁、甘草……膀胱，泽泻、灯心二十数，加姜煎服人安康。女劳复有阴阳易，其症大热并错语，小腹绞痛人昏沉，足不能移头不举，眼中生花百节解，热气冲胸难料理。男人阴肿刺小便，妇人腰痛并里急，病患新瘥与之交，无病患病为之易。
女劳复因劳太早，逍遥汤可涓其疾，犀角、地黄、茯苓、人参、韭菜、知母、黄连、甘草、竹青、柴胡、滑石，姜三枣二水二钟，烧取裤裆钱半入。
伤寒下利纯清水，心痛热渴并谵语，肠胃燥尿结于中，非是内寒而泻起，自饮汤药大便溏，可笑庸医呼漏底，结实利者黄龙汤，人参、柴胡、枳实、厚朴、芒硝、大黄，国老、黄芩、当归急煎取，铁锈水调乘热尝。
劳力内伤血气，因而外感风寒，头痛身热腿中酸，微渴憎寒自汗，其脉浮而无力，须知发表为难，调荣养卫病方痊。人参、白术、芍药、当归可选，柴胡、甘草、羌活、防风、辛夷、地黄，陈皮、葱白须连，还投姜枣一同煎，随症自增减。
循衣摸床，谵语昏沉，手冒心，肝风肺火。两相因，致使撮空牵引，汤号清金散火，黄芩、黄连、橘红、甘草、当归、人参、移山根，将芍药、种柴、门冬、姜枣、金银花煎饮。若或内兼痰症，姜炒半夏宜寻，大便燥热语无伦，一着将军妙甚。
恶寒脊强头疼热，再三发表汗不泄，无阳之证医不知，孟浪取汗用火劫，再造饮子羌活、人参，桂枝、防风、白术、附子、甘草、辛勤（疑为辛夷或其他药），佐以川芎、炒白芍，枣姜煎入童便匀，夏月必须去附子，石膏、知母宜相亲。
内伤血郁肝与脾，热渴谵语神昏迷，身不恶寒头不痛，勿将寒药误投医，病多夹血如见祟……（原文此处有缺漏）。
七情内伤痰气郁，痰若盛时心窍塞，挟痰有时见鬼神，气喘沫涎口中出，加味导痰汤可涓，二陈汤、枳实、白术并黄芩、黄连，星（天南星）、白术、栝蒌、水姜煮，竹沥、姜汁收功全。
伤寒热邪传于心，心火炎上逼肺金，神昏如醉不能语，或时独语二三声。心下不痞腹不满，目赤唇焦何可禁，二便如常无所苦，身体又无寒热侵，汤水与之即咽下，不与则亦不思寻，须知此是越经证，泻心导赤汤宜斟，黄芩、黄连、栀子、甘草、门冬、茯苓，知母、滑石、犀角、人参，灯心、姜枣共煎饮，生姜捣汁三匙侵。
伤寒汗下太过，元阳虚极无根，脉来虚数语无伦，热渴面生赤晕。此号戴阳恶证，益元汤治如神，麦冬、芍药、附子、甘草、茯苓、人参，知母、童便连饮，煎用枣姜活水，葱头捣汁调匀。
伤寒六经正病：太阳则头痛身热脊强，阳明则目痛鼻干不眠，少阳耳聋胁痛寒热，呕而口为之苦，太阴腹满自利，尺寸沉而津不到咽，少阴舌干苦燥，厥阴烦满囊缩。
伤寒脉诀：伤寒把足六经详，浮洪紧涩中太阳，传变名状应须记，少阳弦紧阳明长，太阴入理沉迟脉……（原文此处有缺漏）。
太阳无汗，麻黄为最，太阳有汗，桂枝可先。小柴胡为少阳之要药，大柴胡行阳明之闭坚……（原文此处有缺漏）。
伤寒一日二日，宜发表而散，三日四日，宜和解而痊，五六日，方可议下，七八日不愈，又复再传。
三阳七十二证总诀：羌活、独活、前胡、柴胡、桔梗、枳壳、黄芩，升麻、荷叶、芍药、甘草、葛根、川芎、茯苓，还加苍术水煎服，三阳七十二证宁。
三阴七十二证总诀：川芎、当归、芍药、附子、桂枝、麻黄，青皮、陈皮、半夏、厚朴、甘草、黄芩、苍术，枳壳、桔梗、姜共枣，三阴七十二证康。
三阳三阴总法治：凡值伤寒不问表里，用败毒散，五积散，各一剂。春三月加香苏散，夏三月加五苓散，秋三月加金沸草散，冬三月加十神汤，或小柴胡汤。上根据时将所加药和杂，每服三钱重，水一盏半，姜三片，枣二枚，煎八分，去渣热服。不拘时服。此方得之明医，斟酌三阴三阳证候，以便救人。总治时行伤寒，不问阴阳轻重，老少男女孕妇，一同治之。归一同治之（有汗者不用）。
白芷一两 生甘草五钱 姜三片 葱白三根 枣二枚 豉五十粒。水二碗煎服取汗，不汗再……（原文此处有缺漏）。如煎……（原文此处有缺漏）。
用苍术一斤（净洗焙干） 甘草四两（生用）。二件捣，罗为末，每服二钱，以热葱汤投之，出……（原文此处有缺漏）。
治伤寒七方：发热恶寒身体痛，脉浮无汗怎生医，十神五积香苏散，有汗伤风用桂枝。四五日来口舌干，发热身痛卧不安，先服人参败毒散，小柴胡汤在后番。七八日来热在内，口渴心烦腹胀汇，小便赤少大便难，大柴胡汤好通利。发热口干大便泄，小便赤少心烦结，小柴胡汤兼五苓，加上黄连真一绝。汗下之后病不解，依然热渴如见怪，解毒汤兼小柴胡，诸般热病皆无碍。伤寒病后复如初，半夏枳实橘红呵，参粳麦柴酸枣草，竹茹姜枣功效多。病后虚乏最堪忧，此症如何得可疗，四物汤加桂枝甘草，姜枣煎来可免忧。
十神汤治两感及时行瘟疫无汗者。紫苏、香附、陈皮、甘草、干葛、赤芍、升麻、白芷、川芎、麻黄各五分，姜葱煎服。
香苏散治四时感寒头痛发热。香附、紫苏各二钱，陈皮一钱，甘草五分，姜葱煎服取汗。头痛甚者加芎、芷，无汗加麻黄。
人参败毒散：治头痛壮热鼻塞声重，及风痰咳嗽四时瘟疫诸般疮毒。人参、桔梗、甘草、川芎、茯苓、枳壳、前胡、柴胡、羌活、独活各等分，每服一两，生姜薄荷煎服。嗽加半夏，口干加黄芩，热毒加连、芩、栀、柏，风热加荆、防、黄连，疮毒去参加金银花、连翘。
瓜蒂散：治夹食伤寒痰塞胸膈宜吐者。甜瓜蒂、赤小豆各一钱。分二服，淡豆豉煎汤下，以度。吐去膈痰，宿食而安。
五积散（见中寒） 正气散（见霍乱） 金沸草散（见嗽） 小柴胡汤（详热）又四时感冒单方 生葱白连须五根，捣烂滚酒冲服。
二圣救苦丸：大黄四两（酒蒸），牙皂二两。上为末，面丸如绿豆大，每服四十丸，绿豆汤下，大汗为效无忧散。
余论：有汗非伤寒，身有痛处便非伤寒，春分后冬至前，悉非伤寒，盖伤暑、香港脚、时行瘟疫等，类伤寒者极多，最宜详辨，不可遽用麻黄汤，所关非小，故又抬出之。
The lungs are invaded by wind-cold, causing nasal congestion, coughing, headache, and heavy voice and breath. If accompanied by qi stagnation and fever, sweating may or may not occur; in severe cases, there is pain throughout the bone and joints. Jiawei Xiangsu Yin (Modified Fragrant Su Decoction) can be used to rapidly eliminate the pathogen. Additionally, there are Shenru Yin (see Cough section) and Xiangsu San (see Cold Damage section).
My discussion: Wind-cold illness seems mild, yet many people suffer from it. Even those with robust spirit may recover spontaneously, but the root of the disease remains hidden within the body. It is better to disperse it early.
From the Frost Descent solar term until the Spring Equinox, contracting cold and falling ill immediately is called Cold Damage (Shanghan). In spring, it transforms into Warm Disease; in summer, it transforms into Summerheat. The syndromes of the Six Meridians must be distinguished separately. Head and neck pain, stiffness and rigidity of the waist and spine.
Yangming meridian syndrome presents as dry nose, headache, orbital pain, aversion to cold, insomnia, and fever. What formula should be used? Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Resolve the Muscle Layer) is effective, containing Huang Qin (Scutellaria Root), Bai Zhi (Angelica Dahurica), Qiang Huo (Notopterygium Rhizome), Jie Geng (Platycodon Root), and Gan Cao (Licorice Root).
If there is fever, thirst, and spontaneous sweating, this is a Yangming syndrome with a slightly surging pulse. Renshen Baihu Tang (Ginseng White Tiger Decoction) is the first choice, containing Ren Shen (Ginseng), Huang Lian (Coptis Rhizome), Zhi Mu (Anemarrhena Rhizome), Chen Pi (Tangerine Peel), Jing Mi (Rice), Mai Dong (Ophiopogon Tuber), Zhi Zi (Gardenia Fruit), Gan Cao (Licorice Root), and Tian Hua Fen (Trichosanthes Root). Alternatively, Chaihu Shuangjie Yin (Bupleurum Dual-Resolution Decoction) is specifically for Shaoyang meridian disorders, containing Xia Ku Cao (Prunella Spike), Huang Qin (Scutellaria Root), Ren Shen (Ginseng), Ge Gen (Kudzu Root), Chen Pi (Tangerine Peel), Shao Yao (Peony Root), Fu Ling (Poria), boiled first with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube), then Bai He (Lily Bulb) is added. Adjustments can be made according to symptoms.
Taiyin syndrome presents as abdominal pain, dry throat without saliva, slightly warm hands and feet, and a deep, solid pulse. The heat pathogen originally transmitted from the Taiyang meridian can be treated with Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction), containing Chai Hu (Bupleurum Root), Hou Po (Magnolia Bark), Zhi Shi (Immature Bitter Orange), Shao Yao (Peony Root), and Gan Cao (Licorice Root). If Taiyin syndrome involves abdominal pain, red urine and stool, dryness and thirst, delirium, and a forceful pulse, and yellowing due to warm-heat requires thorough treatment, Yinchén Jiangjun Tang (Artemisia Capillaris General Decoction) can be used, containing Zhi Shi (Immature Bitter Orange), Shan Zhi Zi (Gardenia Fruit), Gan Cao (Licorice Root), Hou Po (Magnolia Bark), and Huang Qin (Scutellaria Root).
Heat binding in the Bladder causes difficult urination; Wuling San (Five-Ingredient Powder with Poria) modified should be used, containing Ze Xie (Alisma Rhizome), Zhu Ling (Polyporus), Fu Ling (Poria), Bai Zhu (Atractylodes Rhizome), Gui Zhi (Cinnamon Twig), and Gan Cao (Licorice Root), assisted by Qu Mai (Dianthus Herb), Hua Shi (Talcum), Zhi Zi Ren (Gardenia Seed), and Deng Xin Cao (Juncus Effusus). If jaundice is prominent, add Yin Chen Hao (Artemisia Capillaris); if thirsty, add Tian Hua Fen (Trichosanthes Root).
When Cold Damage heat transmits inward, Shaoyin and Jueyin syndromes appear. Hardness and fullness of the heart and abdomen, periumbilical pain, irritability, dry throat, and delirium, or eruption of macules, jaundice, and mania.
Yangdu (Yang Toxin) with deep heat and a surging pulse is best treated quickly with Sanhuang Shigao Tang (Three-Yellow and Gypsum Decoction), containing Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Zhi Zi (Gardenia Fruit), Huang Bo (Phellodendron Bark), Chi Dou Chi (Prepared Soybean), and Ma Huang (Ephedra Stem), decocted with Sheng Jiang (Fresh Ginger), Da Zao (Jujube), and Cha Ya (Tea Bud). Removing Ma Huang and Chi Dou Shi and adding Mang Xiao (Mirabilite) and Da Huang (Rhubarb Root) creates Tao Ren Chengqi Tang (Peach Kernel Draining-the-Epigastric Decoction), corresponding to a variation of Guizhi Tang, containing Zhi Shi (Immature Bitter Orange), Mang Xiao (Mirabilite), Da Huang (Rhubarb Root), Chai Hu (Bupleurum Root), Qing Cao (likely referring to a specific herb contextually), Shao Yao (Peony Root), Dang Gui (Angelica Sinensis), two Da Zao (Jujubes), three slices of Sheng Jiang (Fresh Ginger), crushed with one qian of Su Mu (Sappan Wood), which can remove... (text missing/unclear).
Although Cold Damage heat is intense, it is not fatal; however, Lianggan Shanghan (Dual-Infection Cold Damage) is difficult to manage. On the first day, Taiyang and Shaoyin diseases present with abdominal pain, dry mouth, irritability, and desire to drink water. On the second day, Yangming and Taiyin combine... (text missing). Adjuvant herbs include Gan Cao (Licorice Root), Huang Lian (Coptis Rhizome), paste, Zhi Mu (Anemarrhena Rhizome); if stool is hard, use Jiang Jun (Rhubarb). Decoct with water, ginger, and jujube; mix with vinegar when taking. For persistent epistaxis, use Qinlian Tang (Scutellaria and Coptis Decoction).
Dryness desiring to rinse the mouth but unable to swallow indicates terrifying blood stasis mania; Jiawei Xijiao Dihuang Tang (Modified Rhinoceros Horn and Rehmannia Decoction) is used, containing Xuan Shen (Scrophularia Root), Zhi Shi (Immature Bitter Orange), Jie Geng (Platycodon Root), Dang Gui (Angelica Sinensis), Huang Lian (Coptis Rhizome), Dan Pi (Moutan Cortex), Chi Shao (Red Peony Root), and Hong Hua (Safflower).
After recovery, lethargy, fever, thirst, confused speech, loss of spirit, and relapse upon exertion can be treated with Chaihu Baihe Tang (Bupleurum and Lily Decoction), containing Gan Cao (Licorice Root), Zhi Mu (Anemarrhena Rhizome), Shao Yao (Peony Root), Ren Shen (Ginseng), Huang Qin (Scutellaria Root), Bie Jia (Turtle Shell), and one spoonful of Sheng Di Huang (Rehmannia Root) juice.
Cold pathogen directly entering the Yin meridians and blood vessels presents without headache or fever, only aversion to cold wind, fatigue, lying down, abdominal pain, and cold limbs, vomiting, diarrhea, no thirst, and a deep, slow pulse. Huiyang Jijiu Tang (Restoring Yang Emergency Rescue Decoction) is used, containing Gui Zhi (Cinnamon Twig), Fu Zi (Aconite Root), Fu Ling (Poria), Gan Jiang (Dried Ginger), Ren Shen (Ginseng), Bai Zhu (Atractylodes Rhizome), Chen Pi (Tangerine Peel), and Gan Cao (Licorice Root). For true cold, this is excellent; decoct with water and ginger juice, optionally adding rice wash water.
Yin excess repelling Yang causes occasional restlessness with a deep, hidden pulse. Huiyang Fanben Tang (Restoring Yang Returning to Origin Decoction) is used, containing Fu Zi (Aconite Root), Ren Shen (Ginseng), Fu Ling (Poria), Mai Dong (Ophiopogon Tuber), Wu Wei Zi (Schisandra Berry), Tong Nan Niao (Urine of Healthy Boy), Gui Xin (Cinnamon Heart), Guo Lao (Licorice Root), She Gan (Belamcanda Rhizome), and Pao Jiang (Processed Ginger), taken cold with honey.
Excessive sweating and purging leading to muscle twitching and deficiency of Wei Qi and Yang with a forceful pulse is stopped by Wenjing Yiyuan Tang (Warming Meridians and Enriching Origin Decoction), containing Huang Qi (Astragalus Root), Gan Jiang (Dried Ginger), Fu Zi (Aconite Root), Dang Gui (Angelica Sinensis), Ren Shen (Ginseng), Bai Zhu (Atractylodes Rhizome), Shao Yao (Peony Root), Gan Cao (Licorice Root), and Sheng Di Huang (Rehmannia Root), decocted with dates, ginger, and rice.
For Spasm Syndrome, Rusheng Yin (Decoction Like the Sage) contains Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), Ren Shen (Ginseng), Bai Zhu (Atractylodes Rhizome), Gan Cao (Licorice Root), and Chai Hu (Bupleurum Root) as guides, along with Zhi Ke (Bitter Orange), Shao Yao (Peony Root), Bai Zhi (Angelica Dahurica), and Xiong Diao (Ligusticum Chuanxiong). Assess sweating carefully. If sweating, remove Zhi Ke and add Gui Zhi (Cinnamon Twig); if no sweating, increase Ma Huang (Ephedra) and decrease Bai Zhu (Atractylodes). For locked jaw, add Da Huang (Rhubarb); for limb spasms, add Dang Gui (Angelica Sinensis) and Gao Ben (Ligusticum Wallichii). This syndrome involves phlegm in the chest; Jiang Zhi (Ginger Juice) and Zhu Li (Bamboo Sap) are effective.
In March, contracting Cold Epidemic presents with headache, fever, forceful pulse, aversion to cold, body pain, and thirst, named Late-Onset. Liushen Tang (Six-God Decoction) contains seven herbs: Ma Huang (Ephedra), Gan Cao (Licorice), Huang Qin (Scutellaria), Cang Zhu (Atractylodes Lancea), Shi Gao (Gypsum), Ze Xie (Alisma), and Xi Xin (Asarum). For exterior syndrome, decoct with Sheng Jiang (Fresh Ginger), Cong Bai (Green Onion White), Dou Chi (Prepared Soybean), and Da Dou (Soybean); for interior syndrome, add Bing Lang (Areca Seed). Add Chuan Xiong (Ligusticum Chuanxiong) for severe headache, Qiang Huo (Notopterygium Rhizome) for body pain, and Tian Hua Fen (Trichosanthes Root) for extreme thirst; adjust according to symptoms.
Jiawei Lizhong Tang (Modified Regulate the Middle Decoction) targets Cold Damage with food retention, presenting with headache, fever, no aversion to cold, and tight, prominent Qi Kou pulse. It contains Sha Ren (Amomum Fruit), Shi Pu (Costus Root), Zhi Shi (Immature Bitter Orange), Ju Hong (Tangerine Pith), Cao Guo (Black Cardamom), Cang Zhu (Atractylodes Lancea), and Gan Cao (Licorice Root), decocted with water, ginger, and Lai Fu Zi (Radish Seed); also suitable for Cholera-Restless Disorder.
Shaoyin syndrome resembling Taiyang has a deep, slow pulse; prevent it. Fever, aversion to cold, no headache; urgently administer Mafu Xigan Tang (Ephedra, Aconite, Asarum, Licorice Decoction), with Shao Yao (Peony Root), Ren Shen (Ginseng), Huang Lian (Coptis Rhizome), and seven Wu Wei Zi (Schisandra Berries) crushed and decocted.
Cold Damage with hypochondriac pain, chest fullness, palpitations, cough with phlegm, and deep, slippery pulse is treated with Erchen Tang (Two-Aged Decoction) boiled with Shi Lu (Reed Juice), Sang Bai Pi (Mulberry Root Bark), and Chai Hu (Bupleurum Root), plus Bei Mu (Fritillaria Bulb), Fu Ling (Poria), Zhu Ling (Polyporus), Gui Zhi (Cinnamon Twig), and several Xing Ren (Apricot Seed) taken hot.
Shenxiao Anshen Yizhi (Divine Effect Calming Spirit and Wisdom) eliminates post-recovery irritability and palpitations, slight fever preventing peace, fatigue, heaviness in limbs, lethargy after six-seven days, with deep pulses. It contains Fu Shen (Poria with Hostwood), Chai Hu (Bupleurum Root), Men Dong (Ophiopogon Tuber), Di Huang (Rehmannia Root), Yuan Zhi (Polygala Root), Zhu Ru (Bamboo Shavings), Zhi Mu (Anemarrhena Rhizome), Wu Wei Zi (Schisandra Berry), Dang Gui (Angelica Sinensis), Gan Cao (Licorice Root), and Huang Lian (Coptis Rhizome) stir-fried with ginger juice, taken hot.
Manic speech, irritability, no fever, distinct spirit compared to normal people; do not treat as mania with cold herbs. This is "Like-Mania" syndrome, treated with Guizhi Tang (Cinnamon Twig Decoction), Gui Zhi (Cinnamon Twig), Bai Zi Ren (Biota Seed), Gan Cao (Licorice Root)... Bladder, Ze Xie (Alisma), Deng Xin Cao (Juncus Effusus). Add ginger and take for health. Nu Laofu (Female Labor Relapse) and Yin Yang Yi (Yin-Yang Exchange) present with high fever, confusion, lower abdominal cramping, lethargy, inability to move legs or lift head, visual disturbances, joint loosening, and rising heat in chest. Men have swollen genitals and painful urination; women have lower back pain and tenesmus. Occurs after recent recovery from illness through intercourse.
Nu Laofu due to early exertion is treated with Xiaoyao Tang (Free and Easy Wanderer Decoction) to drain the disease, containing Xi Jiao (Rhinoceros Horn - substitute with Buffalo Horn), Di Huang (Rehmannia Root), Fu Ling (Poria), Ren Shen (Ginseng), Jiu Cai (Chinese Chive), Zhi Mu (Anemarrhena Rhizome), Huang Lian (Coptis Rhizome), Gan Cao (Licorice Root), Zhu Qing (Bamboo Leaf), Chai Hu (Bupleurum Root), Hua Shi (Talcum), three slices of ginger, two dates, two cups of water, and half a qian of burned Ku Dan (Underpants Ash).
Cold Damage with pure clear water diarrhea, heart pain, fever, thirst, and delirium indicates dry intestines and bladder binding, not internal cold diarrhea. Self-medication leads to loose stools; quack doctors call this "Leaky Bottom." For solidified diarrhea, Huanglong Tang (Yellow Dragon Decoction) is used, containing Ren Shen (Ginseng), Chai Hu (Bupleurum Root), Zhi Shi (Immature Bitter Orange), Hou Po (Magnolia Bark), Mang Xiao (Mirabilite), Da Huang (Rhubarb Root), Guo Lao (Licorice Root), Huang Qin (Scutellaria Root), and Dang Gui (Angelica Sinensis), decocted quickly and taken hot with rust water.
Labor injury damaging Qi and Blood, followed by external contraction of wind-cold, presents with headache, fever, leg soreness, slight thirst, aversion to cold, spontaneous sweating, floating and weak pulse. Releasing the exterior is difficult; harmonizing Ying and Wei is required. Ren Shen (Ginseng), Bai Zhu (Atractylodes Rhizome), Shao Yao (Peony Root), Dang Gui (Angelica Sinensis), Chai Hu (Bupleurum Root), Gan Cao (Licorice Root), Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), Xin Yi (Magnolia Flower), Di Huang (Rehmannia Root), Chen Pi (Tangerine Peel), Cong Bai (Green Onion White) are decocted with ginger and dates; adjust according to symptoms.
Clutching clothes, delirium, lethargy, hand covering heart, Liver Wind and Lung Fire interact, causing grasping at empty air. Qingjin Sanhuo Tang (Clear Metal and Dispel Fire Decoction) contains Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Ju Hong (Tangerine Pith), Gan Cao (Licorice Root), Dang Gui (Angelica Sinensis), Ren Shen (Ginseng), Yi Shan Gen (Root of Dioscorea Hypoglauca), Shao Yao (Peony Root), Chai Hu (Bupleurum Root), Men Dong (Ophiopogon Tuber), Jiang Zao (Ginger and Date), Jin Yin Hua (Honeysuckle). If internal phlegm exists, Ban Xia (Pinellia Tuber) fried with ginger is sought; for dry hot stool and incoherent speech, Jiang Jun (Rhubarb) is excellent.
Aversion to cold, stiff spine, headache, fever; repeated exterior release fails to sweat. Ignorance of Yang deficiency leads to reckless sweating using fire therapy. Zaizao Yinzi (Decoction for Reconstruction) contains Qiang Huo (Notopterygium Rhizome), Ren Shen (Ginseng), Gui Zhi (Cinnamon Twig), Fang Feng (Saposhnikovia Root), Bai Zhu (Atractylodes Rhizome), Fu Zi (Aconite Root), Gan Cao (Licorice Root), Xin Yi (Magnolia Flower), Chuan Xiong (Ligusticum Chuanxiong), Chao Bai Shao (Stir-fried White Peony Root), dates, ginger, and Tong Bian (Child's Urine). Remove Fu Zi in summer; add Shi Gao (Gypsum) and Zhi Mu (Anemarrhena Rhizome).
Internal injury with blood stasis in Liver and Spleen presents with fever, thirst, delirium, coma, no aversion to cold, no headache. Do not mistakenly use cold herbs; the disease often involves blood like possessing spirits... (text missing).
Seven emotions internal injury with phlegm-Qi stagnation blocks the Heart orifice when phlegm is abundant. Hallucinations, asthma, foam, and saliva appear. Jiawei Daotan Tang (Modified Phlegm-Draining Decoction) drains it, containing Erchen Tang (Two-Aged Decoction), Zhi Shi (Immature Bitter Orange), Bai Zhu (Atractylodes Rhizome), Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Tian Nan Xing (Arisaema Rhizome), Bai Zhu (Atractylodes Rhizome), Gua Lou (Trichosanthes Fruit), water, and ginger, finished with Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice).
Cold Damage heat transmits to the Heart; Heart Fire flares up suppressing Lung Metal. Coma like drunkenness, inability to speak, or solitary muttering. No epigastric fullness or abdominal distension, red eyes, scorched lips, normal urination and defecation, no body chills or fever. Drinks water willingly; refuses otherwise. This is Yuejing Zheng (Cross-Meridian Syndrome); Xiexin Daochi Tang (Drain Heart and Guide Out Redness Decoction) is appropriate, containing Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Zhi Zi (Gardenia Fruit), Gan Cao (Licorice Root), Men Dong (Ophiopogon Tuber), Fu Ling (Poria), Zhi Mu (Anemarrhena Rhizome), Hua Shi (Talcum), Xi Jiao (Rhinoceros Horn), Ren Shen (Ginseng), Deng Xin Cao (Juncus Effusus), Jiang Zao (Ginger and Date), and three spoons of fresh ginger juice.
Excessive sweating and purging in Cold Damage exhausts Primordial Yang, leaving it rootless. Pulse is deficient, rapid, and incoherent speech occurs with fever, thirst, and red flush on cheeks. This is Daiyang Evil Syndrome (Floating Yang), treated miraculously by Yiyuan Tang (Enriching Origin Decoction), containing Mai Dong (Ophiopogon Tuber), Shao Yao (Peony Root), Fu Zi (Aconite Root), Gan Cao (Licorice Root), Fu Ling (Poria), Ren Shen (Ginseng), Zhi Mu (Anemarrhena Rhizome), and Tong Bian (Child's Urine), decocted with dates, ginger, living water, and scallion head juice.
Correct Syndromes of Six Meridians in Cold Damage: Taiyang presents with headache, fever, stiff spine; Yangming with eye pain, dry nose, insomnia; Shaoyang with deafness, hypochondriac pain, alternating chills and fever, bitter taste; Taiyin with abdominal fullness and spontaneous diarrhea, deep pulse at Cun and Chi with fluids failing to reach the throat; Shaoyin with dry tongue and bitter dryness; Jueyin with irritability, fullness, and testicular retraction.
Cold Damage Pulse Mantra: Examine the Six Meridians thoroughly. Floating, surging, tight, and choppy belong to Taiyang. Remember transmission patterns. Shaoyang is string-tight; Yangming is long. Taiyin enters the interior with deep-slow pulse... (text missing).
Taiyang without sweating: Ma Huang (Ephedra) is best. Taiyang with sweating: Gui Zhi (Cinnamon Twig) comes first. Xiao Chaihu Tang (Minor Bupleurum Decoction) is the key herb for Shaoyang; Da Chaihu Tang (Major Bupleurum Decoction) resolves Yangming obstruction... (text missing).
Day 1-2 of Cold Damage: Release exterior and scatter. Day 3-4: Harmonize and resolve. Day 5-6: Consider purging. Day 7-8 if unresolved, transmission recurs.
General Mantra for 72 Syndromes of Three Yangs: Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens), Qian Hu (Peucedanum Root), Chai Hu (Bupleurum Root), Jie Geng (Platycodon Root), Zhi Ke (Bitter Orange), Huang Qin (Scutellaria Root), Sheng Ma (Cimicifuga Rhizome), He Ye (Lotus Leaf), Shao Yao (Peony Root), Gan Cao (Licorice Root), Ge Gen (Kudzu Root), Xiong Diao (Ligusticum Chuanxiong), Fu Ling (Poria), plus Cang Zhu (Atractylodes Lancea) decocted in water calms the 72 syndromes of Three Yangs.
General Mantra for 72 Syndromes of Three Yins: Xiong Diao (Ligusticum Chuanxiong), Dang Gui (Angelica Sinensis), Shao Yao (Peony Root), Fu Zi (Aconite Root), Gui Zhi (Cinnamon Twig), Ma Huang (Ephedra), Qing Pi (Green Tangerine Peel), Chen Pi (Tangerine Peel), Ban Xia (Pinellia Tuber), Hou Po (Magnolia Bark), Gan Cao (Licorice Root), Huang Qin (Scutellaria Root), Cang Zhu (Atractylodes Lancea), Zhi Ke (Bitter Orange), Jie Geng (Platycodon Root), Jiang (Ginger), and Zao (Date) bring health to the 72 syndromes of Three Yins.
General Treatment Method for Three Yangs and Three Yins: For Cold Damage regardless of exterior/interior, use Baidu San (Deficiency-Toxin Powder) and Wuji San (Five-Accumulations Powder), one dose each. Spring: add Xiangsu San (Fragrant Su Powder). Summer: add Wuling San (Five-Ingredient Powder with Poria). Autumn: add Jin Fei Cao San (Boiling Grass Powder). Winter: add Shishen Tang (Ten-God Decoction) or Xiao Chaihu Tang (Minor Bupleurum Decoction). Mix added herbs with main formula, take 3 qian, decoct with 1.5 cups water, 3 slices ginger, 2 dates, reduce to 0.8 cup, strain, and take hot. Any time. This formula was obtained from a wise doctor, considering Three Yin/Yang syndromes to save lives. Treats epidemic Cold Damage regardless of Yin/Yang severity, age, gender, or pregnancy. Gui (Angelica Sinensis) included for common treatment (omit if sweating).
Bai Zhi (Angelica Dahurica) 1 liang, Sheng Gan Cao (Raw Licorice Root) 5 qian, 3 slices Sheng Jiang (Fresh Ginger), 3 Cong Bai (Green Onion Whites), 2 Da Zao (Jujubes), 50 Dou Chi (Prepared Soybeans). Decoct with 2 bowls water to induce sweating; if no sweat, repeat... (text missing). As decocted... (text missing).
Also treats Cold Damage dual-toxins and epidemic plagues.
Use Cang Zhu (Atractylodes Lancea) 1 jin (cleaned, dried), Gan Cao (Licorice Root) 4 liang (raw). Pound and sieve into powder, take 2 qian with hot green onion soup to induce... (text missing).
Seven Formulas for Treating Cold Damage: Fever, aversion to cold, body pain, floating pulse, no sweating: Shishen Tang (Ten-God Decoction), Wuji San (Five-Accumulations Powder), Xiangsu San (Fragrant Su Powder). Sweating wind-cold: Gui Zhi Tang (Cinnamon Twig Decoction). Days 4-5: dry mouth/tongue, fever, body pain, restless sleep: First take Renshen Baibu San (Ginseng Deficiency-Toxin Powder), then Xiao Chaihu Tang (Minor Bupleurum Decoction). Days 7-8: heat inside, thirst, irritability, abdominal fullness, scanty red urine, difficult stool: Da Chaihu Tang (Major Bupleurum Decoction) promotes drainage. Fever, dry mouth, diarrhea, scanty red urine, irritability: Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Wuling San (Five-Ingredient Powder with Poria), plus Huang Lian (Coptis Rhizome) is superb. After sweating/purging, illness persists with fever/thirst: Jiedu Tang (Detoxification Decoction) combined with Xiao Chaihu Tang (Minor Bupleurum Decoction) handles various febrile diseases. Post-Cold Damage relapse: Ban Xia (Pinellia Tuber), Zhi Shi (Immature Bitter Orange), Ju Hong (Tangerine Pith), Ren Shen (Ginseng), Jing Mi (Rice), Mai Dong (Ophiopogon Tuber), Chai Hu (Bupleurum Root), Suan Zao Ren (Ziziphus Seed), Gan Cao (Licorice Root), Zhu Ru (Bamboo Shavings), Jiang Zao (Ginger and Date) are effective. Post-illness deficiency is worrying: Siwu Tang (Four-Substance Decoction) plus Gui Zhi (Cinnamon Twig) and Gan Cao (Licorice Root), decocted with ginger and dates, avoids worry.
These mantras were experienced teachings from Li Junbin. I collected ancient formulas below to show the origin of prescription formulation.
Shishen Tang (Ten-God Decoction) treats Dual-Infection and epidemic plague without sweating. Zi Su (Perilla Leaf), Xiang Fu (Cyperus Rhizome), Chen Pi (Tangerine Peel), Gan Cao (Licorice Root), Gan Ge (Kudzu Root), Chi Shao (Red Peony Root), Sheng Ma (Cimicifuga Rhizome), Bai Zhi (Angelica Dahurica), Chuan Xiong (Ligusticum Chuanxiong), Ma Huang (Ephedra Stem) each 5 fen. Decoct with ginger and green onion.
Xiangsu San (Fragrant Su Powder) treats four-season cold contraction with headache and fever. Xiang Fu (Cyperus Rhizome), Zi Su (Perilla Leaf) each 2 qian; Chen Pi (Tangerine Peel) 1 qian; Gan Cao (Licorice Root) 5 fen. Decoct with ginger and green onion to induce sweating. Severe headache: add Xiong Diao (Ligusticum Chuanxiong) and Bai Zhi (Angelica Dahurica). No sweating: add Ma Huang (Ephedra Stem).
Renshen Baibu San (Ginseng Deficiency-Toxin Powder): Treats headache, high fever, nasal congestion, heavy voice, wind-phlegm cough, four-season plague, and various sores. Ren Shen (Ginseng), Jie Geng (Platycodon Root), Gan Cao (Licorice Root), Chuan Xiong (Ligusticum Chuanxiong), Fu Ling (Poria), Zhi Ke (Bitter Orange), Qian Hu (Peucedanum Root), Chai Hu (Bupleurum Root), Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens) equal parts. Take 1 liang, decoct with fresh ginger and mint. Cough: add Ban Xia (Pinellia Tuber). Dry mouth: add Huang Qin (Scutellaria Root). Heat toxin: add Lian (Coptis), Qin (Scutellaria), Zhi (Gardenia), Bo (Phellodendron). Wind-heat: add Jing (Schizonepeta), Fang (Saposhnikovia), Huang Lian (Coptis Rhizome). Sores: add Jin Yin Hua (Honeysuckle) and Lian Qiao (Forsythia Fruit).
Gua Di San (Melon Tip Powder): Treats Cold Damage with food retention and phlegm blocking chest/diaphragm requiring emesis. Tian Gua Di (Sweet Melon Tip), Chi Xiao Dou (Red Bean) each 1 qian. Divide into two doses, take with Dan Dou Chi (Prepared Soybean) decoction. Emesis removes diaphragmatic phlegm and retained food, bringing peace.
Wuji San (Five-Accumulations Powder) (see Internal Cold), Zhengqi San (Righteous Qi Powder) (see Cholera-Restless Disorder), Jin Fei Cao San (Boiling Grass Powder) (see Cough), Xiao Chaihu Tang (Minor Bupleurum Decoction) (see Fever). Also Four-Season Cold Contraction Single Formula: Raw Cong Bai (Green Onion White) with roots, five stalks, pounded and taken with boiling wine.
Appendix: Treating Plague. Left pulse larger than right, slow and vigorous, weak upon pressure, everyone sick similarly.
Ersheng Jiuku Wan (Two-Sage Rescue-Bitter Pill): Da Huang (Rhubarb Root) 4 liang (wine-steamed), Ya Zao (Gleditsia Spine) 2 liang. Pound into powder, form pills with flour like mung beans. Take 40 pills with mung bean soup; profuse sweating indicates efficacy. Wuyou San (No-Worry Powder)... (text missing).
My Discussion: Sweating indicates not Cold Damage; body pain indicates not Cold Damage. From Spring Equinox to Winter Solstice, none are Cold Damage. Summerheat, Hongjiaojiao (Charley Horse/Gout), and epidemic plagues resemble Cold Damage greatly; careful differentiation is essential. Do not hastily use Ma Huang Tang (Ephedra Decoction); the stakes are high, hence this clarification.
Four-Season Cold Contraction Formula: Cang Zhu (Atractylodes Lancea) soaked in rice water 3 qian, Gan Cao (Licorice Root) 3 fen, 5 large slices Sheng Jiang (Fresh Ginger), 5 Cong Bai (Green Onion Whites) with roots. Spring/Summer: add Jing Jie Sui (Schizonepeta Tail)... (text missing).