三十六、暑邪深入少阴消渴者，连梅汤主之，入厥阴麻痹者，连梅汤主之；心热烦躁神迷甚者；
先与紫雪丹，再与连梅汤。
肾主五液而恶燥，暑先入心，助心火独亢于上，肾液不供，故消渴也。再心与肾均为少阴，主
火，暑为火邪，以火从火，二火相搏，水难为济，不消渴得乎！以黄连泻壮火，使不烁津，以乌梅之酸
以生津，合黄连酸苦为阴；以色黑沉降之阿胶救肾水，麦冬、生地合乌梅酸甘化阴，庶消渴可止也。
肝主筋而受液于肾，热邪伤阴，筋经无所秉受，故麻痹也。再包络与肝均为厥阴，主风木。暑先入
心，包络代受，风火相搏，不麻痹得乎！以黄连泻克水之火，以乌梅得木气之先，补肝之正，阿胶增
液而熄肝风，冬、地补水以柔木，庶麻痹可止也。心热烦躁神迷甚，先与紫雪丹者，开暑邪之出路，
俾梅、连有入路也。
连梅汤方（酸甘化阴酸苦泄热法）
云连（二钱） 乌梅（去核，三钱） 麦冬（连心，三钱） 生地（三钱） 阿胶（二钱）
水五杯，煮取二杯，分二次服。脉虚大而芤者，加人参。
三十七、暑邪深入厥阴，舌灰，消渴，心下板实，呕恶吐蛔，寒热，下利血水，甚至声音不出，
上下格拒者，椒梅汤主之。
此土败木乘，正虚邪炽，最危之候，故以酸苦泄热，辅正驱邪立法，据理制方，冀其转关耳。
椒梅汤方（酸苦复辛甘法，即仲景乌梅丸法也，方义已见中焦篇）
黄连（二钱） 黄芩（二钱） 干姜（二钱） 白芍（生，三钱） 川椒（炒黑，三钱） 乌梅（去核
，三钱） 人参（二钱） 枳实（一钱五分） 半夏（二钱）
水八杯，煮取三杯，分三次服。
三十八、暑邪误治，胃口伤残，延及中下，气塞填胸，燥乱口渴，邪结内踞，清浊交混者，来
复丹主之。
此正气误伤于药，邪气得以窃据于中，固结而不可解，攻补难施之危证，勉立旋转清浊一法耳。
来复丹方（酸温法）
太阴元精石（一两） 舶上硫黄（一两） 硝石（一两，同硫黄为末，微火炒结砂子大） 桔红（二钱）
青皮（去白，二钱） 五灵脂（二钱，澄去砂，炒令烟尽）
〔方论〕晋三王氏云∶《易》言一阳来复于下，在人则为少阳生气所出之脏。病上盛下虚，则阳气
去，生气竭，此丹能复阳于下，故曰来复。元精石乃盐卤至阴之精，硫黄乃纯阳石火之精，寒热相
配，阴阳互济，有扶危拯逆之功，硝石化硫为水，亦可佐元、硫以降逆；灵脂引经入肝最速，能引石性
内走厥阴，外达少阳，以交阴阳之枢纽；使以桔红、青皮者，纳气必先利气，用以为肝胆之向导也。
三十九、暑邪久热，寝不安，食不甘，神识不清，阴液元气两伤者，三才汤主之。
凡热病久入下焦，消烁真阴，必以复阴为主。其或元气亦伤，又必兼护其阳。三才汤两复阴阳，
而偏于复阴为多者也。温热、温疫未传，邪退八、九之际，亦有用处。暑温未传，亦有用复脉、三甲、
黄连阿胶等汤之处。彼此互参，勿得偏执。盖暑温不列于诸温之内，而另立一门者，以后夏至为病
暑，湿气大动，不兼湿不得名暑温，仍归温热门矣。既兼湿，则受病之初，自不得与诸温同法，若病至
未传，湿邪已化，惟余热伤之际，其大略多与诸温同法；其不同者，前后数条，已另立法矣。
三才汤方（甘凉法）
人参（三钱） 天冬（二钱） 干地黄（五钱）
水五杯，浓煎两杯，分二次温服。欲复阴者，加麦冬、五味子。欲复阳者，加茯苓、炙甘草。
四十、蓄血，热入血室，与温热同法。
四十一、伏暑、湿温胁痛，或咳，或不咳，无寒，但潮热，或竟寒热如疟状，不可误认柴胡证，香
附旋复花汤主之；久不解者，间用控涎丹。
按伏暑、湿温，积留支饮，悬于胁下，而成胁痛之证甚多，即《金匮》水在肝而用十枣之证。彼因
里水久积，非峻败不可；此因时令之邪，与里水新搏，其根不固，不必用十枣之太峻，只以香附、旋
复，善通肝络而逐胁下之饮，苏子，杏仁，降肺气而化饮，所谓建金以平木；广皮、半夏消痰饮之正，茯
苓、薏仁，开太阳而阖阳明，所谓治水者必实土，中
流涨者开支河之法也。用之得当，不过三、五日自愈。其或前医不识病因，不合治法，致使水无出
路，久居胁下，恐成悬饮内痛之证，为患非轻，虽不必用十枣之峻，然不能出其范围，故改用陈无择之控涎丹，
缓攻其饮。
香附旋复花汤方（苦辛淡合芳香开络法）
生香附（三钱） 旋复花（绢包，三钱） 苏子霜（三钱） 广皮（二钱） 半夏（五钱） 茯苓块（三
钱） 薏仁（五钱）
水八杯，煮取三杯，分三次温服。腹满者，加浓朴。痛甚者，加降香末。
控涎丹方（苦寒从治法）
痰饮，阴病也。以苦寒治阴病，所谓求其属以衰之是也。按肾经以脏而言，属水，其味咸，其气
寒；以经而言，属少阴，主火，其味苦，其气化燥热。肾主水，故苦寒为水之属，不独咸寒为水之属也，
盖真阳藏之于肾，故肾与心并称少阴，而并主火也，知此理则知用苦寒咸寒之法矣。泻火之有余
用苦寒，寒能制火，苦从火化，正治之中，亦有从治；泻水之太过，亦用苦寒，寒从水气，苦从火味，
从治之中，亦有正治，所谓水火各造其偏之极，皆相似也。苦咸寒治火之有余，水之不足为正治，亦
有治水之有余、火之不足者，如介属芒硝并能行水，水行则火复，乃从治也。
甘遂（去心制） 大戟（去皮制） 白芥子
上等分为细末，神曲糊为丸，梧子大，每服九丸，姜汤下，壮者加之，羸者减之，以知为度。
第三十六条：暑邪深入少阴经，出现消渴症状的，用连梅汤主治；若侵入厥阴经出现肢体麻痹的，也用连梅汤主治；如果心热烦躁、神志昏迷严重的，先服用紫雪丹，然后再服用连梅汤。
肾主管五液且厌恶燥热，暑邪首先侵犯心脏，助长心火在上部独亢，导致肾中津液无法上承供应，所以出现消渴。再者，心和肾都属于少阴经，主司火，暑邪属于火邪，以火应火，两股火气相互搏结，肾水难以制约，难道不会发生消渴吗！用黄连泻除壮盛之火，使其不灼伤津液，用乌梅的酸味来生津，配合黄连形成酸苦化阴之效；用色黑沉降的阿胶来救补肾水，麦冬、生地黄配合乌梅形成酸甘化阴之效，这样消渴才可以停止。
肝主管筋脉并接受肾液的滋养，热邪损伤阴液，筋脉失去所依赖的营养，所以出现麻痹。再者，心包络与肝都属于厥阴经，主司风木之气。暑邪首先侵犯心脏，由心包络代为承受，风火相互搏结，难道不会发生麻痹吗！用黄连泻除克制肾水的心火，用乌梅得木气之先机，补益肝之正气，阿胶增加津液以平息肝风，麦冬、生地黄补水以柔润肝木，这样麻痹才可以停止。心热烦躁、神志昏迷严重，先用紫雪丹的原因，是打开暑邪外出的出路，使得连梅汤能够进入体内发挥作用。
连梅汤方（酸甘化阴、酸苦泄热法）
云连（二钱） 乌梅（去核，三钱） 麦冬（带心，三钱） 生地黄（三钱） 阿胶（二钱）
用水五杯，煮取两杯药汁，分两次服用。脉象虚大且芤的，加入人参。
第三十七条：暑邪深入厥阴经，舌苔灰暗，消渴，胃脘部痞硬结实，呕吐恶心甚至吐出蛔虫，寒热往来，下利血水，甚至声音发不出，上下格拒不通的，用椒梅汤主治。
这是脾土败坏、肝木乘袭，正气虚弱而邪气炽盛，是最危险的证候，所以采用酸苦泄热、扶助正气驱除邪气的治法，根据医理制定方剂，希望病情能出现转机。
椒梅汤方（酸苦复辛甘法，即张仲景乌梅丸法，方义已见中焦篇）
黄连（二钱） 黄芩（二钱） 干姜（二钱） 白芍（生用，三钱） 川椒（炒黑，三钱） 乌梅（去核，三钱） 人参（二钱） 枳实（一钱五分） 半夏（二钱）
用水八杯，煮取三杯药汁，分三次服用。
第三十八条：暑邪被误治，损伤胃口，病势延及中焦和下焦，气机壅塞填塞胸膈，燥乱口渴，邪气结聚内踞，清浊之气交混的，用来复丹主治。
这是正气被药物误伤，邪气得以窃据于中焦，固结而无法解开，攻邪和补正都难以施行的危重证候，勉强创立旋转清浊的一法罢了。
来复丹方（酸温法）
太阴元精石（一两） 舶上硫黄（一两） 硝石（一两，同硫黄研为细末，微火炒结成砂子大小） 桔红（二钱） 青皮（去白，二钱） 五灵脂（二钱，澄清去砂，炒至烟尽）
〔方论〕晋三王氏说：《易经》讲一阳来复于下，在人体则是少阳生气所出之脏。病机上盛下虚，则阳气离去，生气枯竭，此丹能在下部恢复阳气，所以叫来复。元精石是盐卤至阴的精粹，硫黄是纯阳石火的精粹，寒热相配，阴阳互济，有扶危拯逆的功效，硝石化硫黄为水，也可辅助元精石、硫黄以降逆；五灵脂引经入肝最快，能引导石性内走厥阴，外达少阳，作为交合阴阳的枢纽；使用桔红、青皮作为使药，是因为纳气必须先利气，用它们作为肝胆的向导。
第三十九条：暑邪久热不退，睡眠不安，饮食无味，神识不清，阴液和元气都受损的，用三才汤主治。
凡是热病日久传入下焦，消烁真阴，必须以恢复阴液为主。如果元气也受损，又必须兼顾保护阳气。三才汤同时恢复阴阳，但侧重于恢复阴液。温热病、温疫病尚未传变，邪气消退八九成之际，也有用处。暑温病尚未传变，也有使用复脉汤、三甲散、黄连阿胶汤等的情况。彼此互相参考，不要偏执一端。因为暑温不列于各种温病之内，而是另立一门，是因为夏至后发病为暑，湿气大动，不兼夹湿邪就不能称为暑温，仍归入温热门了。既然兼夹湿邪，那么在受病的初期，自然不能与其他温病用同样的方法，如果病未传变，湿邪已经化去，只有余热伤阴之际，其大致方法与诸温相同；不同的地方，在前面的几条中已经另外立法了。
三才汤方（甘凉法）
人参（三钱） 天冬（二钱） 干地黄（五钱）
用水五杯，浓煎成两杯，分两次温服。想要恢复阴液的，加麦冬、五味子。想要恢复阳气的，加茯苓、炙甘草。
第四十一条：伏暑、湿温引起的胁痛，或者咳嗽，或者不咳嗽，无恶寒，只有潮热，或者竟然像疟疾一样的寒热往来，不可误认为是柴胡证，用香附旋复花汤主治；久不痊愈的，间歇使用控涎丹。
按语：伏暑、湿温，积留支饮，悬挂于胁下，从而形成胁痛证的很多，这就是《金匮要略》中水在肝而用十枣汤治疗的证候。那些是因为里水久积，非峻猛攻下不可；这是因为时令邪气，与里水新近搏结，根基不固，不必用十枣汤那样太峻猛的药，只用香附、旋复花，善于疏通肝络而驱逐胁下的饮邪，苏子、杏仁，降肺气而化解饮邪，这就是所谓的“建金以平木”；广皮、半夏消除痰饮的正治，茯苓、薏仁，开通太阳经而闭合阳明经，这就是所谓治水者必须实土，中流涨水时开支河的方法。使用得当，不过三五天自愈。如果前医不认识病因，不合治法，致使水饮没有出路，长久居住在胁下，恐怕形成悬饮内痛的证候，为患不小，虽然不必用十枣汤的峻猛，然而不能超出这个范围，所以改用陈无择的控涎丹，缓攻其饮邪。
香附旋复花汤方（苦辛淡合芳香开络法）
生香附（三钱） 旋复花（绢布包裹，三钱） 苏子霜（三钱） 广皮（二钱） 半夏（五钱） 茯苓块（三钱） 薏仁（五钱）
用水八杯，煮取三杯药汁，分三次温服。腹部胀满的，加厚朴。疼痛剧烈的，加降香末。
控涎丹方（苦寒从治法）
痰饮，属于阴病。用苦寒药治疗阴病，就是所说的“求其属以衰之”。按肾经从脏腑而言，属水，其味咸，其气寒；从经脉而言，属少阴，主火，其味苦，其气化燥热。肾主水，所以苦寒属于水的范畴，不只是咸寒属于水的范畴，因为真阳藏于肾，所以肾与心并称为少阴，而并主火。懂得这个道理就知道使用苦寒、咸寒的方法了。泻火之有余用苦寒，寒能制火，苦从火化，在正治之中，也有从治；泻水之太过，也用苦寒，寒从水气，苦从火味，在从治之中，也有正治，所谓水火各自达到偏颇的极点，都是相似的。苦咸寒治疗火之有余、水之不足为正治，也有治疗水之有余、火之不足的，如介类药、芒硝都能行水，水行则火复，这是从治。
甘遂（去心炮制） 大戟（去皮炮制） 白芥子
上等分为细末，神曲糊制成丸，梧桐子大小，每次服用九丸，姜汤送下，体质强壮者加量，体弱者减量，以见效为度。
Article 36: When the summerheat pathogen penetrates deeply into the Shaoyin channel and manifests as excessive thirst (xiaoke), Lianmei Tang (Coptis and Mume Decoction) is indicated. If it invades the Jueyin channel and manifests as paralysis, Lianmei Tang is also indicated. In cases of severe heart heat with irritability and profound mental confusion, Zixue Dan (Purple Snow Pill) should be administered first, followed by Lianmei Tang.
The Kidney governs the five fluids and detests dryness. Summerheat enters the Heart first, exacerbating the solitary hyperactivity of Heart Fire above, preventing Kidney fluids from ascending to nourish, thus causing excessive thirst. Furthermore, both the Heart and Kidney belong to the Shaoyin channel and govern Fire. Since summerheat is a Fire pathogen, Fire interacting with Fire creates a struggle where Water cannot provide relief; hence, excessive thirst occurs. Coptis Rhizoma (Huanglian) clears vigorous Fire to prevent it from scorching body fluids. Mume Fructus (Wumei) generates fluids via its sour taste. Combined, Sour and Bitter transform into Yin. Donkey-hide Gelatin (Ejiao), being black and heavy-settling, rescues Kidney Water. Ophiopogon Tuber (Maidong) and Rehmannia Root (Shengdihuang) combined with Mume Fructus use Sour and Sweet to transform into Yin, thereby stopping excessive thirst.
The Liver governs the sinews and receives fluid nourishment from the Kidney. Heat pathogens damage Yin, leaving the sinew channels without sustenance, resulting in paralysis. Additionally, the Pericardium and Liver both belong to the Jueyin channel and govern Wind-Wood. Summerheat enters the Heart first, and the Pericardium bears the impact on behalf of the Heart. Wind and Fire struggle against each other, leading to paralysis. Coptis Rhizoma (Huanglian) clears the Fire that overacts on Water. Mume Fructus (Wumei) captures the Qi of Wood early, supplementing the Liver's upright Qi. Donkey-hide Gelatin (Ejiao) increases fluids to extinguish Liver Wind. Ophiopogon Tuber (Maidong) and Rehmannia Root (Shengdihuang) nourish Water to soften Wood, thereby stopping paralysis. For severe heart heat, irritability, and mental confusion, Zixue Dan is used first to open an exit for the summerheat pathogen, allowing Lianmei Tang to enter effectively.
Lianmei Tang Formula (Sour-Sweet Transforming Yin, Sour-Bitter Draining Heat Method)
Coptis Rhizoma (Yunlian) - 2 qian
Mume Fructus (Wumei), pitted - 3 qian
Ophiopogon Tuber (Maidong), with heart - 3 qian
Rehmannia Root (Shengdihuang) - 3 qian
Donkey-hide Gelatin (Ejiao) - 2 qian
Boil five cups of water until reduced to two cups. Divide into two doses. If the pulse is deficient, large, and hollow (kou), add Ginseng Radix et Rhizoma (Renshen).
Article 37: When the summerheat pathogen penetrates deeply into the Jueyin channel, presenting with gray tongue coating, excessive thirst, epigastric fullness and hardness, vomiting or nausea with expulsion of roundworms, alternating chills and fever, bloody diarrhea, inability to speak, and upper-lower obstruction, Jiaomei Tang (Zanthoxylum and Mume Decoction) is indicated.
This represents the failure of Earth (Spleen/Stomach) and the overacting of Wood (Liver/Gallbladder), with deficiency of righteous Qi and excess of pathogenic factors. It is a critical condition. Therefore, the method of Sour-Bitter draining heat and supporting righteous Qi to expel pathogens is adopted. The formula is constructed based on theory, hoping for a turning point in the disease.
Jiaomei Tang Formula (Sour-Bitter Restoring Pungent-Sweet Method, i.e., Zhang Zhongjing's Wumei Wan Method; see Middle Jiao Chapter for rationale)
Coptis Rhizoma (Huanglian) - 2 qian
Scutellaria Root (Huangqin) - 2 qian
Dried Ginger (Ganjiang) - 2 qian
White Peony Root (Baishao), raw - 3 qian
Zanthoxylum Pericarpium (Chuanjiao), stir-fried until black - 3 qian
Mume Fructus (Wumei), pitted - 3 qian
Ginseng Radix et Rhizoma (Renshen) - 2 qian
Immature Bitter Orange (Zhishi) - 1.5 qian
Pinellia Tuber (Banxia) - 2 qian
Boil eight cups of water until reduced to three cups. Divide into three doses.
Article 38: If summerheat is treated incorrectly, damaging the Stomach, extending to the Middle and Lower Jiao, causing Qi blockage filling the chest, restlessness, thirst, pathogenic accumulation internally, and mixing of Clear and Turbid Qi, Laifu Dan (Restoration Pill) is indicated.
This is a critical condition where Righteous Qi is mistakenly injured by medication, allowing Pathogenic Factors to occupy the Middle Jiao firmly, making it difficult to resolve. Both attacking pathogens and tonifying deficiency are challenging. This formula attempts to rotate the Clear and Turbid Qi.
Laifu Dan Formula (Sour-Warm Method)
Taiyuan Yuanjing Stone (Yuanshi) - 1 liang
Bo Shang Sulfur (Shuhuang) - 1 liang
Niter (Xiaoshaoshi) - 1 liang (ground together with sulfur, stir-fried over low heat until granular)
Tangerine Peel (Juhong) - 2 qian
Green Tangerine Peel (Qingpi), white pith removed - 2 qian
Trogopterus Feces (Wulingzhi), clarified and sand removed, stir-fried until smoke ceases - 2 qian
[Formula Commentary] Wang Yingxiong (Jinsan) stated: The *I Ching* speaks of "One Yang returning below," which in humans corresponds to the organ where Shaoyang Sheng Qi originates. In conditions of excess above and deficiency below, Yang Qi departs and Sheng Qi exhausts. This pill restores Yang at the bottom, hence named "Laifu" (Returning to Rebirth). Yuanjing Stone is the essence of salt brine, extreme Yin. Sulfur is the essence of pure Yang stone fire. Cold and Heat paired, Yin and Yang mutually assisting, they have the merit of rescuing critical conditions. Niter transforms sulfur into water, assisting Yuanjing Stone and Sulfur in descending rebellious Qi. Trogopterus Feces enters the Liver channel rapidly, guiding the stone properties inward to Jueyin and outward to Shaoyang, serving as the pivot for interacting Yin and Yang. Tangerine Peel and Green Tangerine Peel are used as envoys because gathering Qi requires moving Qi first; they act as guides for the Liver and Gallbladder.
Article 39: When summerheat causes prolonged fever, restless sleep, lack of taste in food, unclear consciousness, and injury to both Yin fluids and Yuan Qi, Santang Tang (Three Powers Decoction) is indicated.
For long-standing heat diseases penetrating the Lower Jiao, which consume True Yin, restoring Yin must be the primary focus. If Yuan Qi is also injured, protecting Yang must be concurrent. Santang Tang restores both Yin and Yang, but leans more towards restoring Yin. It is also useful when warm-heat or warm-epidemic pathogens have not yet transmitted, and the pathogen has receded by 80-90%. For summerheat-warmth that has not transmitted, formulas such as Fumai Tang, Sanjia San, and Huanglian Ejiao Tang may also be used. Compare these mutually; do not adhere rigidly to one view. Summerheat-warmth is not listed among other warm diseases but stands alone because diseases occurring after the Summer Solstice are termed "Shu" (Summerheat). With significant dampness movement, if it does not combine with Dampness, it cannot be named Summerheat-Warmth, and would remain in the Warm-Heat category. Since it combines with Dampness, the initial stage cannot follow the same methods as other warm diseases. However, if the disease has not transmitted and the Dampness has transformed, during the phase of residual heat injuring Yin, the general approach is similar to other warm diseases. The differences were established in previous articles.
Santang Tang Formula (Sweet-Cool Method)
Ginseng Radix et Rhizoma (Renshen) - 3 qian
Asparagus Tuber (Tiandong) - 2 qian
Prepared Rehmannia Root (Ganedihuang) - 5 qian
Boil five cups of water, decoct strongly to two cups. Divide into two warm doses. To restore Yin, add Ophiopogon Tuber (Maidong) and Schisandra Berry (Wuweizi). To restore Yang, add Poria (Fuling) and Honey-fried Licorice Root (Zhigancao).
Article 40: Blood stasis (Xuxue) and Heat entering the Blood Chamber (Xueshi) are treated using the same methods as warm-heat diseases.
Article 41: For hypochondriac pain caused by latent summerheat or damp-warmth, with or without cough, without chills but with tidal fever, or even chills and fever resembling malaria, do not mistake this for a Chaihu pattern. Xiangfu Xuanfuhua Tang (Cyperus and Inula Flower Decoction) is indicated. If unresolved for a long time, Kongyan Dan (Phlegm-Fluid Expelling Pill) may be used intermittently.
Note: Latent summerheat and damp-warmth often retain branch-fluids hanging under the hypochondrium, causing hypochondriac pain. This resembles the *Jin Gui Yao Lue* case of "Water in the Liver" treated with Shizao Tang. That condition involves long-standing internal water accumulation requiring harsh purgation. This condition involves seasonal pathogens newly combining with internal water, with unstable roots, so harsh drugs like Shizao Tang are unnecessary. Instead, Cyperus Rhizome (Xiangfu) and Inula Flower (Xuanfuhua) unblock Liver collaterals and drive out fluid under the hypochondrium. Perilla Seed (Suzi) and Apricot Seed (Xingren) descend Lung Qi to transform fluid ("Establish Metal to calm Wood"). Tangerine Peel (Guangpi) and Pinellia Tuber (Banxia) eliminate phlegm-fluid directly. Poria (Fuling) and Coix Seed (Yiren) open the Taiyang and close the Yangming ("To treat water, one must solidify Earth"; opening side channels when the main stream floods). Used correctly, self-healing occurs within 3-5 days. If previous physicians misidentified the cause and treatment, allowing fluid to stagnate in the hypochondrium, it may become "Xuan Yin" (hanging fluid) causing internal pain. Although harsh Shizao Tang is not needed, Kongyan Dan by Chen Wuyue is used to gently purge the fluid.
Xiangfu Xuanfuhua Tang Formula (Bitter-Pungent-Diffuse Combining with Aromatic Unblocking Collaterals Method)
Raw Cyperus Rhizome (Xiangfu) - 3 qian
Inula Flower (Xuanfuhua), wrapped in silk - 3 qian
Perilla Seed Paste (Suzishuang) - 3 qian
Tangerine Peel (Guangpi) - 2 qian
Pinellia Tuber (Banxia) - 5 qian
Poria Block (Fulingkuai) - 3 qian
Coix Seed (Yiren) - 5 qian
Boil eight cups of water until reduced to three cups. Divide into three warm doses. For abdominal fullness, add Magnolia Bark (Houpo). For severe pain, add Powdered Costus Root (Jiangxiang).
Kongyan Dan Formula (Bitter-Cold Following Treatment Method)
Phlegm-fluid is a Yin disease. Treating Yin disease with Bitter-Cold herbs follows the principle of "seeking the root to reduce it." Regarding the Kidney Channel: from the Zang perspective, it belongs to Water, tastes Salty, and is Cold in nature. From the Jing (Channel) perspective, it belongs to Shaoyin, governs Fire, tastes Bitter, and transforms into Dry-Heat. The Kidney governs Water, so Bitter-Cold belongs to Water, not just Salty-Cold. True Yang resides in the Kidney; thus, Kidney and Heart are both called Shaoyin and govern Fire. Understanding this explains the use of Bitter-Cold and Salty-Cold methods. To drain excess Fire, Bitter-Cold is used; Cold controls Fire, Bitter transforms from Fire. Within direct treatment, there is following treatment. To drain excess Water, Bitter-Cold is also used; Cold follows Water Qi, Bitter follows Fire Taste. Within following treatment, there is direct treatment. When Water and Fire reach extremes of deviation, they appear similar. Using Bitter-Salty-Cold for excess Fire and insufficient Water is direct treatment. For excess Water and insufficient Fire, such as shell medicines or Mirabilite (Mangxiao) moving Water, where moving Water restores Fire, this is following treatment.
Kansui Root (Gansui), heart removed and processed -
Bighead Knawel Root (Daji), skin removed and processed -
Mustard Seed (Baijiezi)
Grind equal parts into fine powder. Make pills with Qu paste, size of wutong seeds. Take 9 pills per dose with Ginger Decoction. Increase dose for strong constitutions, decrease for weak ones. Stop when effective.