桃仁（三两） 苏子霜（二两） 五灵脂（二两） 降真香（二两） 干漆（二两） 当归尾（四两） 没药（
二两） 白芍（四两） 杏仁（三两） 香附米（二两） 吴茱萸（二两） 元胡索（二两） 水蛭（二两）
阿魏（二两） 小茴香炭（三两） 川芎（二两） 乳香（二两） 良姜（二两） 艾炭（二两） 益母膏（
八两） 熟地黄（四两） 鳖甲胶（一斤） 大黄（八两，共为细末，以高米醋一斤半，熬浓，晒干为末，再
加醋熬，如是三次，晒干，末之）
共为细末，以鳖甲、益母、大黄三胶和匀，再加炼蜜为丸，重一钱五分，蜡皮封护。同时温开水
和，空心服；瘀甚之证，黄酒下。
一、治 结不散不痛。
一、治 发痛甚。
一、治血痹。
一、治妇女干血痨证之属实者。
一、治疟母左胁痛而寒热者。
一、治妇女经前作痛，古谓之痛经者。
一、治妇女将欲行经而寒热者。
一、治妇女将欲行经，误食生冷腹痛者。
一、治妇女经闭。
一、治妇女经来紫黑，甚至成块者。
一、治腰痛之因于跌扑死血者。
一、治产后瘀血，少腹痛，拒按者。
一、治跌扑昏晕欲死者。
一、治金疮棒疮之有瘀滞者。
八、燥气久伏下焦，不与血搏，老年八脉空虚，不可与化 回生丹，复亨丹主之。
金性沉着，久而不散，自非温通络脉不可。既不与血搏成坚硬之块，发时痛胀有形，痛止无
形，自不得伤无过之营血，而用化 矣。复亨大义，谓剥极而复，复则能亨也。其方以温养温燥兼
用，盖温燥之方，可暂不可久，况久病虽曰阳虚，阴亦不能独足，至老年八脉空虚，更当预护其阴。故
以石硫黄补下焦真阳，而不伤阴之品为君，佐以鹿茸、枸杞、人参、茯苓、苁蓉补正，而但以归、茴、椒、
桂、丁香、萆 ，通冲任与肝肾之邪也。按解产难中，已有通补奇经丸方，此方可以不录。但彼方专
以通补八脉为主，此则温养温燥合法，且与上条为对待之方，故并载之。按《难经》∶任之为病，男子为
七疝，女子为瘕聚。七疝者，朱丹溪谓∶寒疝、水疝、筋疝、血疝、气疝、狐疝、 疝，为七疝。《袖珍》
谓∶一厥、二盘、三寒、四 、五附、六脉、七气为七疝。瘕者血病，即妇人之疝也。后世谓∶蛇瘕、脂
瘕、青瘕、黄瘕、燥瘕、狐瘕、血瘕、鳖瘕，为八瘕。盖任为天癸生气，故多有形之积。大抵有形之实
证宜前方，无形之虚证宜此方也。
按燥金遗病，如疟疝之类，多见下焦篇寒湿湿温门中。再载在方书，应收入燥门者尚多，以限于
篇幅，不及备录，已示门径，学人隅反可也。
复亨丹方（苦温甘辛法）
倭硫黄（十分，按倭硫黄者，石硫黄也，水土硫黄断不可用） 鹿茸（酒炙，八分） 枸杞子（六分）
人参（四分） 云茯苓（八分） 淡苁蓉（八分） 安南桂（四分） 全当归（酒浸，六分） 小茴香（六
分，酒浸，与当归同炒黑） 川椒炭（三分） 萆 （六分） 炙龟板（四分）
益母膏和为丸，小梧桐子大。每服二钱，日再服；冬日渐加至三钱，开水下。
按前人燥不为病之说，非将寒燥混入一门，即混入湿门矣。盖以燥为寒之始，与寒相似，故混入
寒门。又以阳明之上，燥气治之，中见太阴而阳明从中，以中气为化，故又易混入湿门也。但学医
之士，必须眉目清楚，复《内经》之旧，而后中有定见，方不越乎规矩也。
霹雳散方
主治中燥吐泻腹痛，甚则四肢厥逆，转筋，腿痛、肢麻，起卧不安，烦躁不宁，甚则六脉全无，阴
毒发斑，疝瘕等证，并一切凝寒痼冷积聚。寒轻者，不可多服；寒重者，不可少服，以愈为度。非实在
纯受湿燥寒三气阴邪者，不可服。
桂枝（六两） 公丁香（四两） 草果（二两） 川椒（炒，五两） 小茴香（炒，四两） 薤白
（四两） 良姜（三两） 吴茱萸（四两） 五灵脂（二两） 降香（五两） 乌药（三两） 干姜（三两）
石菖蒲（二两） 防己（三两） 槟榔（二两） 荜澄茄（五两） 附子（三两） 细辛（二两） 青木香（四
两） 薏仁（五两） 雄黄（五钱）
上药共为细末，开水和服。大人每服三钱，病重者五钱；小人减半。再病重者，连服数次，以
痛止厥回，或泻止筋不转为度。
〔方论〕按《内经》有五疫之称，五行偏胜之极。皆可致疫。虽疠气之至，多见火证，而燥金寒湿之
疫，亦复时有。盖风火暑三者为阳邪，与秽浊异气相参，则为温疠，湿燥寒三者为阴邪，与秽浊异气
相参，则为寒疠。现下见证，多有肢麻转筋，手足厥逆，吐泻腹痛，胁肋疼痛，甚至反恶热而大渴思
凉者。经谓雾伤于上，湿伤于下。此证乃燥金寒湿之气（经谓阳明之上，中见太阴；又谓阳明从中
治也），直犯筋经，由大络别络，内伤三阴脏真，所以转筋入腹即死也。既吐且泻者，阴阳逆乱也。诸
痛者，燥金湿土之气所搏也。其渴思凉饮者，少阴篇谓自利而渴者，属少阴虚，故饮水求救也。其头
面赤者，阴邪上逼，阳不能降，所谓戴阳也。其周身恶热喜凉者，阴邪盘踞于内，阳气无附欲散也。阴
病反见阳证，所谓水极似火，其受阴邪尤重也。诸阳证毕现，然必当脐痛甚拒按者，方为阳中见纯
阴，乃为真阴之证，此处断不可误。故立方会萃温三阴经刚燥苦热之品，急温脏真，保住阳气。又重
用芳香，急驱秽浊。一面由脏真而别络大络，外出筋经经络以达皮毛；一面由脏络腑络以通六腑，外
达九窍。俾秽浊阴邪，一齐立解。大抵皆扶阳抑阴，所谓离照当空群阴退避也。再此证自唐宋以后，
医者皆不识系燥气所干，凡见前证，俗名曰痧。近时竟有着痧证书者，捉风捕影，杂乱无章，害人不
浅。即以痧论，未有不干天地之气，而漫然成痧者。究竟所感何气，不能确切指出，故立方毫无准
的。其误皆在前人谓燥不为病，又有燥气化火之说。瑭亦为其所误，故初刻书时，再三疑虑，辨难见
于杂说篇中，而正文只有化气之火证，无胜气之寒证。其燥不为病之误，误在《阴阳应象大论》篇中，
脱秋伤于燥一条；长夏伤于湿，又错秋伤于湿，以为竟无燥证矣。不知《天元纪》，《气交变》，《五运
行》，《五常政》，《六微旨》诸篇，平列六气，燥气之为病，与诸气同，何尝燥不为病哉！经云∶风为百病
之长。按风属木，主仁。《大易》曰∶元者善之长也，得生生之机，开生化之源，尚且为病多端，况金为
杀厉之气。欧阳氏曰；商者伤也，主义主收，主刑主杀。其伤人也，最速而暴，竟有不终日而死者。瑭
目击神伤，故再三致意云。
桃仁（三两） 苏子霜（二两） 五灵脂（二两） 降真香（二两） 干漆（二两） 当归尾（四两） 没药（二两） 白芍（四两） 杏仁（三两） 香附米（二两） 吴茱萸（二两） 元胡索（二两） 水蛭（二两） 阿魏（二两） 小茴香炭（三两） 川芎（二两） 乳香（二两） 良姜（二两） 艾炭（二两） 益母膏（八两） 熟地黄（四两） 鳖甲胶（一斤） 大黄（八两，共研为细末，用高梁米醋一斤半，熬至浓稠，晒干研成粉末，再加醋熬制，如此重复三次，晒干，最后研磨成粉）
将上述药物共研为细末，用鳖甲胶、益母膏、大黄三种胶类调和均匀，再加入炼蜜制成丸药，每丸重一钱五分，用蜡皮密封保护。平时用温开水送服，空腹服用；瘀血严重的病证，用黄酒送服。
主治：气结不散但不疼痛。
主治：痈疽发作时疼痛剧烈。
主治：血痹。
主治：妇女干血痨证属于实证者。
主治：疟母（疟疾日久形成的胁下肿块），左胁疼痛且伴有寒热往来者。
主治：妇女经前腹痛，古人称之为痛经者。
主治：妇女即将行经时出现寒热症状者。
主治：妇女即将行经，因误食生冷食物导致腹痛者。
主治：妇女经闭。
主治：妇女月经来潮颜色紫黑，甚至结成块状者。
主治：因跌打损伤死血导致的腰痛。
主治：产后瘀血，少腹疼痛，拒按者。
主治：跌打损伤导致昏晕欲死者。
主治：金疮（刀箭创伤）、棒疮等有瘀滞者。
八、燥气久伏于下焦，不与血搏结，老年人八脉空虚，不可使用化癥回生丹，应以复亨丹为主治方剂。
金的性质沉着，久留不散，如果不是温通络脉的方法不能解决。既然燥气不与血搏结成坚硬的肿块，发作时疼痛胀满且有形，停止时无形，自然不得伤害无过错的营血，而使用化瘀之法。复亨丹的大义，是指剥极必复，复则能亨通。其方剂以温养和温燥兼用，大概温燥的方剂，可以暂时使用不可长久使用，何况久病虽然说是阳虚，阴也不能单独充足，到了老年人八脉空虚，更应当预先护持其阴。所以用石硫黄补下焦真阳，而以不伤阴的药物作为君药，佐以鹿茸、枸杞、人参、茯苓、肉苁蓉补益正气，而仅用当归、小茴香、花椒、桂枝、丁香、萆薢，来疏通冲任与肝肾之邪。按《解产难》中，已有通补奇经丸方剂，此方可以不收录。但是那个方剂专门以通补八脉为主，此方则是温养温燥合法，且与上一条形成对待的方剂，所以一并记载。按《难经》所说：任脉为病，男子患七疝，女子患瘕聚。所谓七疝，朱丹溪认为：寒疝、水疝、筋疝、血疝、气疝、狐疝、㿗疝，称为七疝。《袖珍方》说：一厥、二盘、三寒、四㿗、五附、六脉、七气为七疝。瘕是血病，即妇人的疝病。后世称：蛇瘕、脂瘕、青瘕、黄瘕、燥瘕、狐瘕、血瘕、鳖瘕，称为八瘕。大概任脉是天癸生气之源，所以多有有形的积聚。大抵有形的实证宜用前方，无形的虚证宜用此方。
按燥金遗留的疾病，如疟疝之类，多可见于下焦篇寒湿湿温门中。再记载在方书中，应收入燥门的还有很多，限于篇幅，来不及全部记录，已示出门径，学习者可举一反三。
复亨丹方（苦温甘辛法）
倭硫黄（十分，按倭硫黄即石硫黄，水土硫黄绝对不可用） 鹿茸（酒炙，八分） 枸杞子（六分） 人参（四分） 云茯苓（八分） 淡苁蓉（八分） 安南桂（四分） 全当归（酒浸，六分） 小茴香（六分，酒浸，与当归同炒黑） 川椒炭（三分） 萆薢（六分） 炙龟板（四分）
用益母膏和药制成丸药，大小如梧桐子。每次服用二钱，每日两次；冬季逐渐加至三钱，开水送服。
按前人认为燥不为病的说法，不是将寒燥混入一门，就是混入湿门了。大概因为燥是寒的开始，与寒相似，所以混入寒门。又因为阳明之上，燥气治之，中见太阴而阳明从中，以中气为化，所以又容易混入湿门。但是学医的人，必须眉目清楚，恢复《内经》的旧貌，然后心中才有定见，才不会越乎规矩。
霹雳散方
主治中燥吐泻腹痛，甚则四肢厥逆，转筋，腿痛、肢麻，起卧不安，烦躁不宁，甚则六脉全无，阴毒发斑，疝瘕等证，以及一切凝寒痼冷积聚。寒轻者，不可多服；寒重者，不可少服，以痊愈为度。如果不是实在纯受湿燥寒三气阴邪者，不可服用。
桂枝（六两） 公丁香（四两） 草果（二两） 川椒（炒，五两） 小茴香（炒，四两） 薤白（四两） 良姜（三两） 吴茱萸（四两） 五灵脂（二两） 降香（五两） 乌药（三两） 干姜（三两） 石菖蒲（二两） 防己（三两） 槟榔（二两） 荜澄茄（五两） 附子（三两） 细辛（二两） 青木香（四两） 薏仁（五两） 雄黄（五钱）
以上药物共研为细末，开水和服。成人每次服用三钱，病重者五钱；儿童减半。如果病重者，连服数次，以疼痛停止、厥逆回复，或腹泻停止、筋脉不再抽搐为度。
〔方论〕按《内经》有五疫之称，五行偏胜之极，皆可致疫。虽然疠气到来，多见火证，但燥金寒湿之疫，也时常有。大概风火暑三者为阳邪，与秽浊异气相参，则为温疠；湿燥寒三者为阴邪，与秽浊异气相参，则为寒疠。现在见到的证候，多有肢麻转筋，手足厥逆，吐泻腹痛，胁肋疼痛，甚至反而恶热而大渴思凉者。经文说雾伤于上，湿伤于下。此证乃是燥金寒湿之气（经文说阳明之上，中见太阴；又说阳明从中治也），直犯筋经，由大络别络，内伤三阴脏真，所以转筋入腹即死。既吐且泻，是阴阳逆乱。各种疼痛，是燥金湿土之气所搏结。其渴思凉饮者，少阴篇说自利而渴者，属少阴虚，故饮水求救。其头面赤者，阴邪上逼，阳不能降，所谓戴阳。其周身恶热喜凉者，阴邪盘踞于内，阳气无附欲散也。阴病反见阳证，所谓水极似火，其受阴邪尤重。诸阳证毕现，然必当脐痛甚拒按者，方为阳中见纯阴，乃为真阴之证，此处断不可误。所以立方会萃温三阴经刚燥苦热之品，急温脏真，保住阳气。又重用芳香，急驱秽浊。一面由脏真而别络大络，外出筋经经络以达皮毛；一面由脏络腑络以通六腑，外达九窍。使秽浊阴邪，一齐立解。大抵皆扶阳抑阴，所谓离照当空群阴退避也。再者此证自唐宋以后，医者皆不识系燥气所干，凡见前证，俗名曰痧。近时竟有着痧证书者，捉风捕影，杂乱无章，害人非浅。即以痧论，未有不干天地之气，而漫然成痧者。究竟所感何气，不能确切指出，故立方毫无准的。其误皆在前人谓燥不为病，又有燥气化火之说。瑭亦为其所误，故初刻书时，再三疑虑，辨难见于杂说篇中，而正文只有化气之火证，无胜气之寒证。其燥不为病之误，误在《阴阳应象大论》篇中，脱秋伤于燥一条；长夏伤于湿，又错秋伤于湿，以为竟无燥证矣。不知《天元纪》，《气交变》，《五运行》，《五常政》，《六微旨》诸篇，平列六气，燥气之为病，与诸气同，何尝燥不为病哉！经文说：风为百病之长。按风属木，主仁。《大易》说：元者善之长也，得生生之机，开生化之源，尚且为病多端，况金为杀厉之气。欧阳氏说：商者伤也，主义主收，主刑主杀。其伤人也，最速而暴，竟有不终日而死者。瑭目击神伤，故再三致意云。
Peach Kernel (San Liang) [3 liang] Perilla Seed Frost (Er Liang) [2 liang] Trogopterus Dung (Wulingzhi, 五灵脂) (Er Liang) [2 liang] Lignum Dalbergiae Odoriferae (Jiangzhenxiang, 降真香) (Er Liang) [2 liang] Dried Resin of Melia Toosendan (Ganqi, 干漆) (Er Liang) [2 liang] Cauda Angelicae Sinensis (Dangguiwei, 当归尾) (Si Liang) [4 liang] Myrrh (Moyao, 没药) (Er Liang) [2 liang] Radix Paeoniae Alba (Baishao, 白芍) (Si Liang) [4 liang] Apricot Seed (Xingren, 杏仁) (San Liang) [3 liang] Rhizoma Cyperi (Xiangfumie, 香附米) (Er Liang) [2 liang] Fructus Evodiae (Wuzhuyu, 吴茱萸) (Er Liang) [2 liang] Rhizoma Corydalis (Yuanhusuo, 元胡索) (Er Liang) [2 liang] Leech (Shuizhi, 水蛭) (Er Liang) [2 liang] Ferula (Awei, 阿魏) (Er Liang) [2 liang] Charred Fructus Foeniculi (Xiaohuixiangtan, 小茴香炭) (San Liang) [3 liang] Rhizoma Chuanxiong (Chuanxiong, 川芎) (Er Liang) [2 liang] Olibanum (Ruxiang, 乳香) (Er Liang) [2 liang] Rhizoma Alpiniae Officinarum (Liangjiang, 良姜) (Er Liang) [2 liang] Charred Folium Artemisiae Argyi (Aitan, 艾炭) (Er Liang) [2 liang] Extract of Motherwort (Yimucao Gao, 益母膏) (Ba Liang) [8 liang] Prepared Rehmannia Root (Shudihuang, 熟地黄) (Si Liang) [4 liang] Colla Testudinis et Cornu Cervi (Biejiajiao, 鳖甲胶) (Yi Jin) [1 jin] Rhubarb (Dahuang, 大黄) (Ba Liang, grind together into fine powder, boil with one and a half jin of sorghum vinegar until thick, dry and grind into powder, add vinegar again and boil, repeat this process three times, dry and grind into powder).
Grind the above medicines into a fine powder. Mix evenly with the gels from Biejia (Colla Testudinis), Yimucao Gao (Extract of Motherwort), and Dahuang (Rhubarb). Add refined honey to form pills, each weighing one qian five fen (approx. 5-6 grams). Seal with wax skin for protection. Take with warm water on an empty stomach; for severe blood stasis syndromes, take with yellow wine.
Indications:
1. Treats Qi stagnation without pain.
2. Treats severe pain during the onset of carbuncles and sores.
3. Treats Blood Bi syndrome (Blood Stasis Obstruction).
4. Treats Dry Blood Consumption in women belonging to excess syndromes.
5. Treats Malaria Mass (splenomegaly due to chronic malaria) with left hypochondriac pain and alternating chills and fever.
6. Treats premenstrual abdominal pain, historically known as Dysmenorrhea.
7. Treats women experiencing chills and fever just before menstruation.
8. Treats women experiencing abdominal pain due to consuming raw or cold foods just before menstruation.
9. Treats Amenorrhea in women.
10. Treats menstrual blood that is purple-black, even forming clots.
11. Treats lower back pain caused by traumatic blood stasis.
12. Treats postpartum blood stasis with lower abdominal pain and tenderness upon pressure.
13. Treats fainting and near-death states due to trauma.
14. Treats traumatic injuries (knife wounds, club wounds) with blood stasis obstruction.
8. When Dryness pathogen lingers in the Lower Jiao without binding with blood, and in elderly patients with emptiness of the Eight Extraordinary Vessels, Huazheng Huisheng Dan should not be used; instead, Fuheng Dan should be the primary treatment.
The nature of Metal is heavy and settling; if it lingers long without dispersing, only warming and unblocking the collaterals can resolve it. Since it does not bind with blood to form hard masses, presenting with painful distension and visible signs during attacks but no signs when pain subsides, it must not injure the healthy Ying (Nutrient) Blood. Therefore, methods to transform stasis are inappropriate. The principle of Fuheng Dan lies in "extreme peeling leads to return, and return leads to prosperity." Its formula combines warming nourishment with warming drying. Generally, warming-drying formulas are suitable for short-term use, not long-term. Moreover, although chronic illness often involves Yang deficiency, Yin cannot be sufficient alone. In elderly patients with emptiness of the Eight Extraordinary Vessels, protecting Yin is crucial. Thus, Shi Liuhuang (Stalagmite Sulfur) is used to tonify the True Yang of the Lower Jiao, serving as the Sovereign herb, paired with herbs that do not injure Yin. Assistant herbs include Lurong (Deer Antler), Gouqizi (Goji Berry), Renshen (Ginseng), Fuling (Poria), and Rongrong (Cistanche) to tonify upright Qi. Only Danggui (Angelica Sinensis), Huixiang (Fennel), Jiaojiao (Sichuan Pepper), Guizhi (Cinnamon Twig), Dingxiang (Clove), and Bibai (Dioscorea Hypoglauca) are used to unblock pathogenic factors in the Chong and Ren vessels and the Liver and Kidney. According to *Jie Chan Nan*, there is already a formula called Tongbu Qijing Wan for unblocking and tonifying the Extraordinary Vessels, so this formula need not be recorded. However, that formula focuses primarily on unblocking and tonifying the Eight Extraordinary Vessels, whereas this formula combines warming nourishment and warming drying, acting as a counterpart to the previous clause, so it is included here. According to *Nan Jing*: Disease of the Ren vessel causes Seven Hernias in men and Zha Ju (masses) in women. Zhu Danxi defined the Seven Hernias as: Cold Hernia, Water Hernia, Sinew Hernia, Blood Hernia, Qi Hernia, Fox Hernia, and Scrotal Hernia. *Xiu Zhen Fang* defines them as: Jue, Pan, Han, Scrotal, Fu, Pulse, and Qi. Zha refers to blood disease, i.e., hernias in women. Later generations defined Eight Zha as: Snake Zha, Fat Zha, Green Zha, Yellow Zha, Dry Zha, Fox Zha, Blood Zha, and Turtle Zha. Since the Ren vessel is the source of Tian Gui (reproductive essence), it often harbors有形 (formative) accumulations. Generally, formative excess syndromes suit the former formula, while formless deficiency syndromes suit this formula.
Regarding diseases left by Dryness Metal, such as Malaria Hernia, they are mostly found in the Cold-Damp and Damp-Warm sections of the Lower Jiao chapter. Many more should be included in the Dryness section of medical texts, but due to space limitations, they cannot all be recorded. The path has been shown; students should infer the rest.
**Fuheng Dan Formula (Bitter-Warm, Sweet-Pungent Method)**
Wo Liuhuang (Stalagmite Sulfur) (Ten parts; note: Wo Liuhuang refers to Stalagmite Sulfur; sulfur from soil and water must absolutely not be used)
Lurong (Deer Antler) (Eight parts, prepared with wine)
Gouqizi (Goji Berry) (Six parts)
Renshen (Ginseng) (Four parts)
Yun Fuling (Poria) (Eight parts)
Dan Congrong (Cistanche) (Eight parts)
Annangui (Annam Cinnamon) (Four parts)
Quan Danggui (Angelica Sinensis) (Six parts, soaked in wine)
Xiaohuixiang (Fennel) (Six parts, soaked in wine, stir-fried black with Danggui)
Chuanjiaotan (Charred Sichuan Pepper) (Three parts)
Bixie (Dioscorea Hypoglauca) (Six parts)
Zhi Guiban (Prepared Tortoise Shell) (Four parts)
Mix with Yimucao Gao (Extract of Motherwort) to form pills, size of small paulownia seeds. Take two qian per dose, twice daily; gradually increase to three qian in winter, taken with boiled water.
Previous scholars claimed that Dryness does not cause disease, either mixing Cold-Dryness into one category or mixing it into Dampness. This is because Dryness is the beginning of Cold and resembles Cold, leading to its inclusion in the Cold category. Also, since Dryness governs the upper aspect of the Yangming channel, which internally connects to Taiyin, and Yangming transforms via its middle Qi, it is easily confused with Dampness. However, medical practitioners must have clear distinctions and restore the original teachings of *Nei Jing* to maintain correct judgment and adhere to principles.
**Pili San Formula**
Main indications: Middle Dryness causing vomiting, diarrhea, and abdominal pain; severely, cold limbs, muscle twitching/cramps, leg pain, limb numbness, restlessness, irritability, absence of pulse in all six positions, Yin toxicity with macules, hernias, and Zha Ju, as well as all types of congealed cold and stubborn cold accumulations. For mild cold, do not take excessively; for severe cold, do not take insufficiently; stop when cured. Do not take unless the patient has truly received pure Yin pathogens of Dampness, Dryness, and Cold.
Guizhi (Cinnamon Twig) (Liu Liang) [6 liang]
Gong Dingxiang (Clove) (Si Liang) [4 liang]
Caoguo (Black Cardamom) (Er Liang) [2 liang]
Chuanjiao (Sichuan Pepper) (Stir-fried, Wu Liang) [5 liang]
Xiaohuixiang (Fennel) (Stir-fried, Si Liang) [4 liang]
Xiebai (Macrostemon Bulb) (Si Liang) [4 liang]
Liangjiang (Alpinia Officinarum Rhizome) (San Liang) [3 liang]
Wuzhuyu (Evodia Fruit) (Si Liang) [4 liang]
Wulingzhi (Trogopterus Dung) (Er Liang) [2 liang]
Jiangxiang (Dalbergia Odorifera Lignum) (Wu Liang) [5 liang]
Wuyao (Lindera Root) (San Liang) [3 liang]
Ganjiang (Dried Ginger) (San Liang) [3 liang]
Shichangpu (Acorus Rhizome) (Er Liang) [2 liang]
Fangji (Stephania Root) (San Liang) [3 liang]
Binglang (Areca Seed) (Er Liang) [2 liang]
Bidengqie (Long Pepper Fruit) (Wu Liang) [5 liang]
Fuzi (Aconite Lateralis Radix Praeparata) (San Liang) [3 liang]
Xixin (Asarum) (Er Liang) [2 liang]
Qingmuxiang (Vitalroot Rhizome) (Si Liang) [4 liang]
Yiren (Coix Seed) (Wu Liang) [5 liang]
Xionghuang (Realgar) (Wu Qian) [5 qian]
Grind all medicines into a fine powder. Take with boiled water. Adults: 3 qian per dose; severe cases: 5 qian. Children: half dose. For severe cases, take multiple times consecutively until pain stops, cold reverses, or diarrhea stops and cramps cease.
[Formula Commentary] According to *Nei Jing*, there are Five Plagues. Extreme imbalance of the Five Elements can all lead to plague. Although epidemic qi often presents with Fire symptoms, epidemics of Dryness-Metal, Cold, and Dampness also occur frequently. Wind, Fire, and Summer-Heat are Yang pathogens; mixed with turbid foul qi, they become Warm Plague. Dampness, Dryness, and Cold are Yin pathogens; mixed with turbid foul qi, they become Cold Plague. Current symptoms often include limb numbness and cramping, cold extremities, vomiting, diarrhea, abdominal pain, hypochondriac pain, and even aversion to heat with excessive thirst for cool drinks. The classic states: Mist injures the upper; Dampness injures the lower. This syndrome is caused by Dryness-Metal, Cold, and Dampness qi (The classic states: Yangming's upper aspect is governed by Dryness, internally connecting to Taiyin; Yangming transforms via middle Qi). It directly attacks the sinew channels, entering through major and divergent collaterals, damaging the Zhen (True) organs of the Three Yin channels internally. Hence, cramping spreading to the abdomen leads to death. Vomiting and diarrhea indicate reversal and chaos of Yin and Yang. Various pains result from the struggle between Dryness-Metal and Damp-Earth qi. Thirst for cool drinks indicates Shaoyin deficiency (as stated in the Shaoyin chapter: self-diarrhea with thirst belongs to Shaoyin deficiency, seeking water to save itself). Redness of the head and face indicates Yin pathogens forcing Yang upward, preventing Yang from descending, known as Dai Yang (Floating Yang). Aversion to heat and preference for coolness throughout the body indicates Yin pathogens entrenched internally, with Yang having no attachment and wanting to scatter. Yin disease presenting with Yang symptoms is known as "Water extreme resembling Fire," indicating particularly heavy Yin pathogen invasion. Although all Yang symptoms appear, severe pain at the navel with tenderness and refusal to press indicates Pure Yin within Yang, representing a True Yin syndrome. This point must not be mistaken. Therefore, the formula gathers pungent, dry, bitter, and hot herbs of the Three Yin channels to urgently warm the organ Zhen and protect Yang. Heavy use of aromatic herbs urgently drives out turbidity. One path goes from organ Zhen through divergent and major collaterals, exiting through sinew channels and meridians to reach the skin and hair; another path goes from organ collaterals to fu collaterals, unblocking the Six Fu organs and reaching the nine orifices externally. Thus, turbid Yin pathogens are resolved immediately. Essentially, this supports Yang and suppresses Yin, like the sun shining in the sky causing all Yin to retreat. Furthermore, after the Tang and Song dynasties, physicians failed to recognize this as caused by Dryness qi. Any case with these symptoms was commonly called "Sha" (plague/toxin). Recently, some have written certificates for "Sha," grasping at shadows, chaotic and disorganized, harming people deeply. Even discussing Sha, none arises without interacting with Heaven and Earth qi. The specific qi affected cannot be precisely identified, hence the formulas lack accuracy. The error lies in previous scholars claiming Dryness does not cause disease and that Dryness transforms into Fire. Tang was also misled by this, so in the first edition, he expressed doubts, debating in the Miscellaneous Sayings chapter, while the main text only contained Fire syndromes of transformed Qi, lacking Cold syndromes of overcoming Qi. The error of "Dryness does not cause disease" stems from a missing line in the *Yin Yang Ying Xiang Da Lun* chapter: "Autumn injury by Dryness"; "Late Summer injury by Dampness" was mistakenly written as "Autumn injury by Dampness," leading to the belief that there were no Dryness syndromes. Ignoring chapters like *Tian Yuan Ji*, *Qi Jiao Bian*, *Wu Yun Xing*, *Wu Chang Zheng*, and *Liu Wei Zhi*, which list the Six Qi equally, shows that Dryness pathology is the same as other Qi. How could Dryness not cause disease! The classic says: Wind is the chief of a hundred diseases. Wind belongs to Wood, governing Benevolence. The *Great Yi* says: Yuan is the chief of goodness, possessing the mechanism of life generation, opening the source of transformation and generation. Even so, it causes many diseases; how much more so for Metal, which is the Qi of killing and severity? Ouyang said: Shang means injury, governing Righteousness, Gathering, Punishment, and Killing. Its injury to humans is fastest and most violent, sometimes causing death within a day. Tang witnessed this with heartbreak, thus emphasizing it repeatedly.