（温疫同法。暑温伏暑附）
湿热上焦未清。因中阳素虚。或误用攻下。以致神识如蒙。舌滑脉缓者。里虚内陷也。人参泻心汤主之（按湿证亦
舌滑脉濡缓不可以此定为虚象。必须细加审辨。实系因虚邪陷者方可用此方。若辨认未真。万勿轻用。）
人参泻心汤
人参（一钱） 干姜（一钱） 黄连（八分） 黄芩（一钱） 枳实（五分） 生白芍（一钱）
水煎服。
温热受自口鼻。由募原直走中道。不饥不食机窍不灵者。三香汤主之。
三香汤
栝蒌皮（二钱） 桔梗（二钱） 黑山栀（一钱五分） 枳壳（一钱五分） 郁金（一钱五分） 香
豆豉（一钱五分） 降香末（一钱八分）
水煎服。
吸受秽湿。三焦分布。热蒸头胀身痛呕逆。舌苔白渴不多饮。小便不通。神识昏迷者。表里经络脏腑。俱为湿热所
困也。先服牛黄丸。继服茯苓皮汤。
牛黄丸（见前）
茯苓皮汤
茯苓皮（三钱） 生苡仁（三钱） 猪苓（二钱） 大腹皮（二钱） 白通草（二钱） 淡竹叶（一
钱五分）
水煎服。
阳明湿温。气壅为哕者。湿热阻遏胃气也。新制橘茹汤主之。
新制橘茹汤
橘皮（三钱） 竹茹（三钱） 柿蒂（七个） 姜汁（三茶匙冲）
水煎温服 有痰火者加竹沥栝蒌霜 有瘀血者加桃仁
三焦湿郁。脘连腹胀。大便不爽者。升降失司。表里俱病也。一加正气散主之。湿郁三焦。舌白脘闷身痛便溏。脉
象模糊者。经络着湿也。二加正气散主之。秽湿着里。舌黄脘闷。气机不宣者。湿将化热也。三加正气散主之。秽湿着
里。舌白滑。脉右缓者。湿阻气分也。四加正气散主之。秽湿着里。脘闷便泄者。脾胃俱伤也。五加正气散主之。（末
二
条证属寒湿。因同用正气散。故列于此。）
一加正气散
藿香梗（二钱） 浓朴（二钱） 杏仁（二钱） 茯苓皮（一钱） 广皮（二钱） 神曲（一钱
五分） 麦芽（一钱五分） 茵陈（二钱） 大腹皮（一钱）
二加正气散
藿香梗（三钱） 广皮（二钱） 浓朴（二钱） 茯苓皮（三钱） 木防己（三钱） 大豆黄
卷（二钱） 川通草（一钱五分） 苡仁（三钱）
三加正气散
藿香（三钱连梗叶） 茯苓（三钱） 浓朴（二钱） 广皮（一钱五分） 杏仁（三钱） 滑
石（五钱）
四加正气散
藿香梗（三钱） 浓朴（二钱） 茯苓（三钱） 广皮（一钱五分） 草果（一钱） 山楂（五
钱炒） 神曲（二钱）
五加正气散
藿香梗（二钱） 广皮（一钱五分） 茯苓（三钱） 浓朴（二钱） 大腹皮（一钱五分） 谷
芽（一钱） 苍术（二钱）
以上俱水五杯煎二杯分二次服（今人以藿香正气一方。统治四时感冒而时令病情各有不同。未免互有妨碍。如此变
通方丝丝入扣。为学人开无限法门。宜细玩之。）
脉缓身痛。舌苔淡黄而滑。渴不多饮。或竟不渴。汗出热解。继而复热者。内外合邪。脾胃经络。兼困于湿也。黄
芩滑石汤主之。
黄芩滑石汤
黄芩（一钱五分） 滑石（一钱五分） 茯苓（一钱五分） 大腹皮（一钱） 白蔻仁（一钱）
通草（五分） 猪苓（一钱五分）
水煎服。
阳明湿温。呕而不渴者。湿多热少也。小半夏加茯苓汤主之。呕甚而痞者。热邪内陷与停饮相搏也。一加半夏泻
心
汤主之。
小半夏加茯苓汤
半夏（三钱） 茯苓（三钱） 生姜（二钱）
水煎服。
一加半夏泻心汤
半夏（三钱） 黄连（一钱） 黄芩（一钱五分） 枳实（一钱五分） 生姜（一钱五分）
水煎服。 虚者加人参大枣。
湿温大便闭中脘微拒按而不硬。舌苔黄浓。脉象沉数者。无形湿热。与有形渣滓相搏也。酒军丸缓化之。（此证若
用
大剂攻下。必下利稀水。变为坏证。）
酒军丸
酒煮大黄（四两） 为末水泛丸。如绿豆大。每服一二钱。渐加至三钱。白开水送下。病重者每料加元明粉（一两）
脉洪滑面赤身热头晕。不恶寒。但恶热。舌上黄滑苔。渴欲凉饮。饮不解渴。得水则呕。按之胸下痛。小便短。大
便闭者。暑温转入阳明。水结在胸也。加味小陷胸汤主之。
加味小陷胸汤
黄连（一钱） 栝蒌（一钱五分） 枳实（一钱） 半夏（二钱）
急流水煎服。
阳明暑温。脉滑数。不食不饥不便。浊痰凝聚。心下痞者。湿热互结。阻滞中焦气分也。二加半夏泻心汤主之。
二加半夏泻心汤
半夏（三钱） 黄连（七分） 黄芩（一钱） 枳实（七分） 杏仁（一钱）
水煎服。 虚者加人参（七分） 大枣（一个）
阳明暑温。口燥咽干。渴欲饮水。面目俱赤。舌燥黄。脉沉实者。湿气已化。结热独存也。小承气汤主之。
小承气汤
暑温蔓延三焦。舌滑微黄者。邪在气分也。三石汤主之。邪气久留。舌绛苔少者。热搏血分也。加味清宫汤主之。
神识不清者。热闭内窍也。先服紫雪丹。再服清宫汤。（照原方不加减。）
三石汤
飞滑石（一钱五分） 生石膏（二钱五分） 寒水石（一钱五分） 杏仁（一钱五分） 竹茹（一钱
炒） 银花（一钱五分，花露更妙） 金汁（半酒杯冲） 白通草（一钱）
水煎服。
加味清宫汤
即于清宫汤内加知母（三钱） 银花（二钱） 竹沥（五茶匙冲）
暑温伏暑。三焦均受。舌灰白。胸痞闷。潮热呕恶。烦渴自利。汗出溺短者。湿热交混。气分闭结也。杏仁滑石汤
主之。
杏仁滑石汤
杏仁（二钱） 滑石（二钱） 黄芩（一钱五分） 橘红（一钱） 黄连（六分） 郁金（一钱
五分） 通草（八分） 浓朴（一钱五分） 半夏（二钱）
水煎服。
湿热之邪在上焦尚未清除，由于患者中焦阳气素来虚弱，或者误用了攻下药物，导致神志昏蒙如被物覆盖，舌苔滑润，脉象缓弱，这是里气虚损、邪气内陷的表现。应当用人参泻心汤主治。（按语：湿证也常出现舌滑、脉濡缓的现象，不能据此就定为虚象。必须仔细审辨，确系因正气虚弱导致邪气内陷者，方可使用此方。如果辨认不真切，千万不要轻易使用。）
人参泻心汤
人参（一钱） 干姜（一钱） 黄连（八分） 黄芩（一钱） 枳实（五分） 生白芍（一钱）
用水煎服。
温热病邪从口鼻吸入，由募原直接走向中道，出现不想进食、没有饥饿感、机窍失灵的症状，应当用三香汤主治。
三香汤
栝蒌皮（二钱） 桔梗（二钱） 黑山栀（一钱五分） 枳壳（一钱五分） 郁金（一钱五分） 香豆豉（一钱五分） 降香末（一钱八分）
用水煎服。
吸入秽浊湿气，弥漫分布于三焦，热势蒸腾导致头胀、身体疼痛、呕吐逆气，舌苔白腻，口渴但不想多喝水，小便不通畅，神志昏迷，这是表里、经络、脏腑都被湿热所困阻。先服用牛黄丸，继而又服用茯苓皮汤。
牛黄丸（见前文）
茯苓皮汤
茯苓皮（三钱） 生苡仁（三钱） 猪苓（二钱） 大腹皮（二钱） 白通草（二钱） 淡竹叶（一钱五分）
用水煎服。
阳明经湿温病，因气机壅滞而发生呃逆（哕），这是湿热阻遏了胃气。应当用新制橘茹汤主治。
新制橘茹汤
橘皮（三钱） 竹茹（三钱） 柿蒂（七个） 姜汁（三茶匙冲服）
用水煎温服。如果有痰火者，加竹沥、栝蒌霜；如果有瘀血者，加桃仁。
三焦湿气郁结，脘腹部连带腹胀，大便不畅，这是升降功能失调，表里都受病。用一加正气散主治。湿气郁结于三焦，舌苔白，脘部闷塞，身体疼痛，大便溏稀，脉象模糊不清的，是湿气着留于经络，用二加正气散主治。秽浊湿气着留于里，舌苔黄，脘部闷塞，气机不宣通的，是湿气即将化热，用三加正气散主治。秽浊湿气着留于里，舌苔白滑，右脉缓的，是湿气阻滞在气分，用四加正气散主治。秽浊湿气着留于里，脘部闷塞，大便泄泻的，是脾胃都受伤，用五加正气散主治。（最后两条证候属于寒湿，因为同用正气散加减，所以列在这里。）
一加正气散
藿香梗（二钱） 浓朴（二钱） 杏仁（二钱） 茯苓皮（一钱） 广皮（二钱） 神曲（一钱五分） 麦芽（一钱五分） 茵陈（二钱） 大腹皮（一钱）
二加正气散
藿香梗（三钱） 广皮（二钱） 浓朴（二钱） 茯苓皮（三钱） 木防己（三钱） 大豆黄卷（二钱） 川通草（一钱五分） 苡仁（三钱）
三加正气散
藿香（三钱连梗叶） 茯苓（三钱） 浓朴（二钱） 广皮（一钱五分） 杏仁（三钱） 滑石（五钱）
四加正气散
藿香梗（三钱） 浓朴（二钱） 茯苓（三钱） 广皮（一钱五分） 草果（一钱） 山楂（五钱炒） 神曲（二钱）
五加正气散
藿香梗（二钱） 广皮（一钱五分） 茯苓（三钱） 浓朴（二钱） 大腹皮（一钱五分） 谷芽（一钱） 苍术（二钱）
以上方剂均用水五杯煎至两杯，分两次服用。（现在的人用藿香正气一方，统管四季感冒，但时令病情各有不同，未免互相妨碍。如此变通的方剂丝丝入扣，为学习者打开了无限法门，应该细细玩味它。）
脉象缓，身体疼痛，舌苔淡黄而滑，口渴但不想多喝水，或者竟然不渴，出汗后热退，随后又发热，这是内外合邪，脾胃和经络同时被湿气困阻。用黄芩滑石汤主治。
黄芩滑石汤
黄芩（一钱五分） 滑石（一钱五分） 茯苓（一钱五分） 大腹皮（一钱） 白蔻仁（一钱） 通草（五分） 猪苓（一钱五分）
用水煎服。
阳明湿温病，呕吐但不口渴，这是湿多热少。用小半夏加茯苓汤主治。呕吐严重且伴有痞满感的，是热邪内陷与停饮相互搏结。用一加半夏泻心汤主治。
小半夏加茯苓汤
半夏（三钱） 茯苓（三钱） 生姜（二钱）
用水煎服。
一加半夏泻心汤
半夏（三钱） 黄连（一钱） 黄芩（一钱五分） 枳实（一钱五分） 生姜（一钱五分）
用水煎服。体虚者加人参、大枣。
湿温病大便闭塞，中脘部轻微拒按但并不坚硬，舌苔黄厚，脉象沉数，这是无形的湿热与有形的糟粕相搏结。用酒军丸缓慢化解。（此证如果使用大剂量攻下药物，必然导致下利稀水，变成坏证。）
酒军丸
酒煮大黄（四两） 研为细末，用水泛丸，如绿豆大小。每次服用一二钱，逐渐增加至三钱，用白开水送下。病重者每料药中加入元明粉（一两）。
脉象洪滑，面色红赤，身体发热，头晕，不恶寒，只恶热，舌上黄滑苔，渴望喝凉饮，但喝了不能解渴，得水则呕吐，按压胸下疼痛，小便短少，大便闭塞，这是暑温转入阳明经，水饮结聚在胸膈。用加味小陷胸汤主治。
加味小陷胸汤
黄连（一钱） 栝蒌（一钱五分） 枳实（一钱） 半夏（二钱）
用急流水煎服。
阳明暑温病，脉象滑数，不吃也不饿，大便不通，浊痰凝聚，心下部痞满，这是湿热互结，阻滞中焦气分。用二加半夏泻心汤主治。
二加半夏泻心汤
半夏（三钱） 黄连（七分） 黄芩（一钱） 枳实（七分） 杏仁（一钱）
用水煎服。体虚者加人参（七分）、大枣（一个）。
阳明暑温病，口燥咽干，渴望饮水，面目都红赤，舌燥黄，脉象沉实，这是湿气已经化去，只有结热独存。用小承气汤主治。
暑温蔓延三焦，舌苔滑微黄的，是邪气在气分。用三石汤主治。邪气久留，舌质绛红、苔少的，是热邪搏结在血分。用加味清宫汤主治。神志不清的，是热邪闭阻内窍。先服用紫雪丹，再服用清宫汤。（按照原方不加减。）
三石汤
飞滑石（一钱五分） 生石膏（二钱五分） 寒水石（一钱五分） 杏仁（一钱五分） 竹茹（一钱炒） 银花（一钱五分，用花露更佳） 金汁（半酒杯冲服） 白通草（一钱）
用水煎服。
加味清宫汤
即在清宫汤内加入知母（三钱）、银花（二钱）、竹沥（五茶匙冲服）。
暑温伏暑，三焦均受邪，舌苔灰白，胸膈痞闷，潮热，呕吐恶心，烦躁口渴，自利（腹泻），汗出，小便短少，这是湿热交混，气分闭结。用杏仁滑石汤主治。
杏仁滑石汤
杏仁（二钱） 滑石（二钱） 黄芩（一钱五分） 橘红（一钱） 黄连（六分） 郁金（一钱五分） 通草（八分） 浓朴（一钱五分） 半夏（二钱）
用水煎服。
(The treatment principles for warm epidemics are the same. Summerheat-warmth and latent summerheat can also be handled by referring to this method.)
When damp-heat in the Upper Jiao has not yet cleared, due to the patient's inherent deficiency of Middle Jiao Yang, or due to the mistaken use of purgatives, resulting in a sensation of mental clouding as if covered by an object, a slippery tongue coating, and a slow pulse, this indicates interior deficiency with pathogenic invasion inward. Ren Shen Xie Xin Tang (Ginseng Heart-Draining Decoction) should be primarily administered. (Note: Dampness patterns often present with a slippery tongue coating and a soggy-slow pulse; one cannot definitively diagnose deficiency based solely on these signs. Careful differentiation is required. This formula should only be used when it is confirmed that the pathogen has invaded inward due to deficiency. If the differentiation is not precise, do not use it lightly.)
Ren Shen Xie Xin Tang (Ginseng Heart-Draining Decoction)
Ren Shen (Panax Ginseng Radix et Rhizoma, 1 qian) Gan Jiang (Zingiberis Rhizoma Recens, 1 qian) Huang Lian (Coptidis Rhizoma, 8 fen) Huang Qin (Scutellariae Radix, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 5 fen) Sheng Bai Shao (Paeoniae Radix Alba, 1 qian)
Decoct in water and take orally.
Warm-heat pathogens enter via the mouth and nose, moving directly from the Mu Yuan (Pericardium Origin) to the Middle Dao. When symptoms include lack of appetite, absence of hunger, and dysfunction of sensory orifices, San Xiang Tang (Three Fragrances Decoction) should be primarily administered.
San Xiang Tang (Three Fragrances Decoction)
Gua Lou Pi (Trichosanthis Pericarpium, 2 qian) Jie Geng (Platycodonis Radix, 2 qian) Hei Shan Zhi (Gardeniae Fructus Praeparatus, 1.5 qian) Zhi Ke (Aurantii Fructus, 1.5 qian) Yu Jin (Curcumae Radix, 1.5 qian) Xiang Dou Chi (Sojae Semen Praeparatum, 1.5 qian) Jiang Xiang Mo (Aquilariae Lignum Resinatum Pulvis, 1.8 qian)
Decoct in water and take orally.
Inhaling turbid dampness causes it to distribute throughout the Three Jiao. Heat steaming leads to head distension, body pain, vomiting, and regurgitation. With a white greasy tongue coating, thirst but little desire to drink, urinary obstruction, and coma, it indicates that the exterior, interior, meridians, collaterals, zang-fu organs, and bowels are all constrained by damp-heat. First administer Niu Huang Wan (Calculus Bovis Pill), followed by Fu Ling Pi Tang (Poria Peel Decoction).
Niu Huang Wan (Calculus Bovis Pill) (See previous text)
Fu Ling Pi Tang (Poria Peel Decoction)
Fu Ling Pi (Poria Cocos Cortex, 3 qian) Sheng Yi Yi Ren (Coicis Semen, 3 qian) Zhu Ling (Polyporus Umbellatus, 2 qian) Da Fu Pi (Arecae Pericarpium, 2 qian) Bai Tong Cao (Tetrapanacis Medulla, 2 qian) Dan Zhu Ye (Lophatheri Herba, 1.5 qian)
Decoct in water and take orally.
In Yangming damp-warmth, hiccups caused by qi stagnation indicate damp-heat obstructing Stomach Qi. Xin Zhi Ju Ru Tang (Newly Formulated Tangerine Peel and Bamboo Shavings Decoction) should be primarily administered.
Xin Zhi Ju Ru Tang (Newly Formulated Tangerine Peel and Bamboo Shavings Decoction)
Ju Pi (Citri Reticulatae Pericarpium, 3 qian) Zhu Ru (Bambusae Caulis in Taeniam, 3 qian) Shi Di (Diospyri Fructus Calyx, 7 pieces) Jiang Zhi (Zingiberis Rhizoma Recens Sucus, 3 tea spoons, dissolved)
Decoct in water, take warm. Add Zhu Li (Bambusae Caulis in Taeniam Succus) and Gua Lou Shuang (Trichosanthis Fructus Pulvis) if there is phlegm-fire; add Tao Ren (Persicae Semen) if there is blood stasis.
Dampness stagnation in the Three Jiao, with epigastric distension extending to abdominal fullness and unsatisfactory bowel movements, indicates failure of ascending and descending functions, affecting both exterior and interior. Yi Jia Zheng Qi San (First Addition to Rectify Qi Powder) should be primarily administered. If dampness stagnates in the Three Jiao, presenting with a white tongue coating, epigastric stuffiness, body pain, loose stools, and a vague pulse, indicating dampness adhering to the meridians, Er Jia Zheng Qi San (Second Addition to Rectify Qi Powder) should be primarily administered. If turbid dampness adheres internally, presenting with a yellow tongue coating, epigastric stuffiness, and unventilated qi mechanism, indicating dampness about to transform into heat, San Jia Zheng Qi San (Third Addition to Rectify Qi Powder) should be primarily administered. If turbid dampness adheres internally, presenting with a white slippery tongue coating and a slow right-side pulse, indicating dampness blocking the Qi level, Si Jia Zheng Qi San (Fourth Addition to Rectify Qi Powder) should be primarily administered. If turbid dampness adheres internally, presenting with epigastric stuffiness and diarrhea, indicating injury to both Spleen and Stomach, Wu Jia Zheng Qi San (Fifth Addition to Rectify Qi Powder) should be primarily administered. (The last two conditions belong to cold-dampness; they are listed here because they utilize variations of Zheng Qi San.)
Yi Jia Zheng Qi San (First Addition to Rectify Qi Powder)
Huo Xiang Geng (Agastaches Rhizoma et Herba Caudex, 2 qian) Hou Po (Magnoliae Officinalis Cortex, 2 qian) Xing Ren (Armeniacae Semen Amarum, 2 qian) Fu Ling Pi (Poria Cocos Cortex, 1 qian) Guang Pi (Citri Reticulatae Pericarpium, 2 qian) Shen Qu (Massa Medicata Fermentata, 1.5 qian) Mai Ya (Hordei Fructus Germinatus, 1.5 qian) Yin Chen (Artemisiae Scopariae Herba, 2 qian) Da Fu Pi (Arecae Pericarpium, 1 qian)
Er Jia Zheng Qi San (Second Addition to Rectify Qi Powder)
Huo Xiang Geng (Agastaches Rhizoma et Herba Caudex, 3 qian) Guang Pi (Citri Reticulatae Pericarpium, 2 qian) Hou Po (Magnoliae Officinalis Cortex, 2 qian) Fu Ling Pi (Poria Cocos Cortex, 3 qian) Mu Fang Ji (Stephaniae Tetrandrae Radix, 3 qian) Da Dou Huang Juan (Sojae Semen Viride Germinatum, 2 qian) Chuan Tong Cao (Tetrapanacis Medulla, 1.5 qian) Yi Ren (Coicis Semen, 3 qian)
San Jia Zheng Qi San (Third Addition to Rectify Qi Powder)
Huo Xiang (Agastaches Rhizoma et Herba cum Caudice et Folio, 3 qian) Fu Ling (Poria Cocos, 3 qian) Hou Po (Magnoliae Officinalis Cortex, 2 qian) Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian) Xing Ren (Armeniacae Semen Amarum, 3 qian) Shi Gao (Gypsum Fibrosum, 5 qian) [Note: Text says Hua Shi (Talcum), corrected to match ingredient list context usually associated with damp-heat clearing, but strictly translating text: Hua Shi (Talcum, 5 qian)] -> Correction: Text lists "Hua Shi" (Talcum) in San Jia Zheng Qi San? No, text lists "Hua Shi" in San Jia Zheng Qi San line: "Hua Shi (Wu Qian)". Wait, looking at source text: "San Jia Zheng Qi San ... Hua Shi (Wu Qian)". Yes.
Hua Shi (Talcum, 5 qian)
Si Jia Zheng Qi San (Fourth Addition to Rectify Qi Powder)
Huo Xiang Geng (Agastaches Rhizoma et Herba Caudex, 3 qian) Hou Po (Magnoliae Officinalis Cortex, 2 qian) Fu Ling (Poria Cocos, 3 qian) Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian) Cao Guo (Tsao-ko Fruit, 1 qian) Shan Zha (Crataegi Fructus, 5 qian stir-fried) Shen Qu (Massa Medicata Fermentata, 2 qian)
Wu Jia Zheng Qi San (Fifth Addition to Rectify Qi Powder)
Huo Xiang Geng (Agastaches Rhizoma et Herba Caudex, 2 qian) Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian) Fu Ling (Poria Cocos, 3 qian) Hou Po (Magnoliae Officinalis Cortex, 2 qian) Da Fu Pi (Arecae Pericarpium, 1.5 qian) Gu Ya (Oryzae Fructus Germinatus, 1 qian) Cang Zhu (Atractylodis Rhizoma, 2 qian)
All above formulas: Decoct in five cups of water until two cups remain, divide into two doses. (Modern practitioners use Huo Xiang Zheng Qi San to uniformly treat colds in all seasons, but seasonal pathogenic factors differ, causing mutual interference. Such modified formulas fit precisely, opening infinite methods for students; they should be studied carefully.)
A slow pulse, body pain, pale yellow and slippery tongue coating, thirst with little desire to drink, or no thirst at all, fever resolving after sweating but recurring subsequently, indicates combined exterior-interior pathogens, with both Spleen/Stomach and meridians constrained by dampness. Huang Qin Hua Shi Tang (Scutellaria and Talcum Decoction) should be primarily administered.
Huang Qin Hua Shi Tang (Scutellaria and Talcum Decoction)
Huang Qin (Scutellariae Radix, 1.5 qian) Hua Shi (Talcum, 1.5 qian) Fu Ling (Poria Cocos, 1.5 qian) Da Fu Pi (Arecae Pericarpium, 1 qian) Bai Kou Ren (Amomi Fructus Rotundus Seed, 1 qian) Tong Cao (Tetrapanacis Medulla, 0.5 qian) Zhu Ling (Polyporus Umbellatus, 1.5 qian)
Decoct in water and take orally.
Yangming damp-warmth with vomiting but no thirst indicates more dampness than heat. Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia plus Poria Decoction) should be primarily administered. Severe vomiting with palpable fullness indicates heat invading inward and clashing with retained fluids. Yi Jia Ban Xia Xie Xin Tang (First Addition to Pinellia Heart-Draining Decoction) should be primarily administered.
Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia plus Poria Decoction)
Ban Xia (Pinelliae Rhizoma Praeparatum, 3 qian) Fu Ling (Poria Cocos, 3 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 2 qian)
Decoct in water and take orally.
Yi Jia Ban Xia Xie Xin Tang (First Addition to Pinellia Heart-Draining Decoction)
Ban Xia (Pinelliae Rhizoma Praeparatum, 3 qian) Huang Lian (Coptidis Rhizoma, 1 qian) Huang Qin (Scutellariae Radix, 1.5 qian) Zhi Shi (Aurantii Fructus Immaturus, 1.5 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 1.5 qian)
Decoct in water and take orally. For deficiency cases, add Ren Shen (Panax Ginseng Radix et Rhizoma) and Da Zao (Jujubae Fructus).
Damp-warmth with constipation, slight tenderness upon pressure in the middle epigastrium but hardness absent, thick yellow tongue coating, and deep-rapid pulse indicates formless damp-heat clashing with有形 (form) fecal matter. Jiu Jun Wan (Alcohol-Boiled Major Root Pill) should be used to slowly resolve it. (If strong purgatives are used for this condition, it will inevitably lead to watery diarrhea and become a complicated disease.)
Jiu Jun Wan (Alcohol-Boiled Major Root Pill)
Jiu Zhu Da Huang (Rhei Radix et Rhizoma boiled in wine, 4 liang) Grind into powder, make pills with water, size of mung beans. Take 1-2 qian per dose, gradually increasing to 3 qian, taken with plain boiled water. For severe cases, add Yuan Ming Fen (Mirabilite, 1 liang) per batch.
A surging-slippery pulse, red face, body fever, dizziness, aversion to heat but not cold, yellow-slippery tongue coating, craving cold drinks but unable to quench thirst, vomiting upon drinking, chest hypochondriac pain upon pressure, short urine, and constipation indicate summerheat-warmth transitioning to Yangming, with water accumulation in the chest. Jia Wei Xiao Xian Xiong Tang (Modified Minor Chest-Harshening Decoction) should be primarily administered.
Jia Wei Xiao Xian Xiong Tang (Modified Minor Chest-Harshening Decoction)
Huang Lian (Coptidis Rhizoma, 1 qian) Gua Lou (Trichosanthis Fructus, 1.5 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian) Ban Xia (Pinelliae Rhizoma Praeparatum, 2 qian)
Decoct in rapidly flowing water and take orally.
Yangming summerheat-warmth with slippery-rapid pulse, no eating, no hunger, no bowel movement, condensation of turbid phlegm, and epigastric fullness indicates damp-heat interlocking and blocking the Qi level of the Middle Jiao. Er Jia Ban Xia Xie Xin Tang (Second Addition to Pinellia Heart-Draining Decoction) should be primarily administered.
Er Jia Ban Xia Xie Xin Tang (Second Addition to Pinellia Heart-Draining Decoction)
Ban Xia (Pinelliae Rhizoma Praeparatum, 3 qian) Huang Lian (Coptidis Rhizoma, 0.7 qian) Huang Qin (Scutellariae Radix, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 0.7 qian) Xing Ren (Armeniacae Semen Amarum, 1 qian)
Decoct in water and take orally. For deficiency cases, add Ren Shen (Panax Ginseng Radix et Rhizoma, 0.7 qian) and Da Zao (Jujubae Fructus, 1 piece).
Yangming summerheat-warmth with dry mouth and throat, desire to drink water, red face and eyes, dry yellow tongue, and deep-solid pulse indicates dampness has transformed, leaving only consolidated heat. Xiao Cheng Qi Tang (Minor Order the Qi Decoction) should be primarily administered.
Xiao Cheng Qi Tang (Minor Order the Qi Decoction)
Summerheat-warmness spreading through the Three Jiao with a slippery, slightly yellow tongue coating indicates the pathogen is at the Qi level. San Shi Tang (Three Stones Decoction) should be primarily administered. If the pathogen remains for a long time, presenting with crimson tongue and scant coating, it indicates heat clashing with the Blood level. Jia Wei Qing Gong Tang (Modified Palace-Clearing Decoction) should be primarily administered. For unclear consciousness, indicating heat closing the internal orifices, first administer Zi Xue Dan (Purple Snow Pill), then administer Qing Gong Tang (Palace-Clearing Decoction). (Follow the original formula without modifications.)
San Shi Tang (Three Stones Decoction)
Fei Hua Shi (Talcum, 1.5 qian) Sheng Shi Gao (Gypsum Fibrosum, 2.5 qian) Han Shui Shi (Halloysit Rubrum, 1.5 qian) Xing Ren (Armeniacae Semen Amarum, 1.5 qian) Zhu Ru (Bambusae Caulis in Taeniam, 1 qian stir-fried) Yin Hua (Lonicerae Japonicae Flos, 1.5 qian, flower dew is better) Jin Zhi (Human Excrement Juice, half wine cup, dissolved) Bai Tong Cao (Tetrapanacis Medulla, 1 qian)
Decoct in water and take orally.
Jia Wei Qing Gong Tang (Modified Palace-Clearing Decoction)
Take Qing Gong Tang (Palace-Clearing Decoction) and add Zhi Mu (Anemarrhenae Rhizoma, 3 qian), Yin Hua (Lonicerae Japonicae Flos, 2 qian), and Zhu Li (Bambusae Caulis in Taeniam Succus, 5 tea spoons, dissolved).
Summerheat-warmth and latent summerheat affecting the Three Jiao equally, presenting with grey-white tongue coating, chest stuffiness, tidal fever, nausea/vomiting, irritability/thirst, spontaneous diarrhea, sweating, and short urine, indicates damp-heat mixing and Qi level closure. Xing Ren Hua Shi Tang (Apricot Seed and Talcum Decoction) should be primarily administered.
Xing Ren Hua Shi Tang (Apricot Seed and Talcum Decoction)
Xing Ren (Armeniacae Semen Amarum, 2 qian) Hua Shi (Talcum, 2 qian) Huang Qin (Scutellariae Radix, 1.5 qian) Ju Hong (Citri Reticulatae Pericarpium Rubrum, 1 qian) Huang Lian (Coptidis Rhizoma, 0.6 qian) Yu Jin (Curcumae Radix, 1.5 qian) Tong Cao (Tetrapanacis Medulla, 0.8 qian) Hou Po (Magnoliae Officinalis Cortex, 1.5 qian) Ban Xia (Pinelliae Rhizoma Praeparatum, 2 qian)
Decoct in water and take orally.