一 邪热既盛。而真阳复虚之候。欲下之而恐亡阳。欲不下而邪热复炽。法宜附子泻心汤。寒热并用。斯为有制之
兵。
附子泻心汤
大黄（四钱，酒炒） 黄连（六分） 本制附片（三钱） 僵虫（二钱，姜汁炒）
桔梗（二钱） 银花（二钱） 黄芩（一钱五分） 生姜（三片） 水煎服。
一 热证尚轻。误服大黄黄连而病愈加者。宜转服人参败毒散加升麻。（恐邪陷下而不得出。或因药伤胃。
则必用术附。）寒证尚轻误服姜附而见燥证者。用黄土汤、豆粉散解之。再察何证。斟酌用方。若系虚寒。
误服芒硝大黄者。其证与实热相似。舌或黄而黑。唇或红而干。但润而不燥。非附桂理阴煎镇阴煎不治。
人参败毒散 见上。
黄土汤 取三尺深黄土泉水煎服。
豆粉散 绿豆一杯。研末泡服。
附桂理阴煎 镇阴煎（俱见上）
白喉为肺之本色。肺主表。病起先由肺入。治之者既服表药以宣发之。复吹片麝以窜散之。而肺气愈伤。故
病后补虚之法。不可不讲也。且肺止太阴一经也。如热证由阳明胃火盛者。治必泻以苦寒。而不免伤夫阳。
寒证由少阴命火衰者。
治必扶以辛燥。而不免伤夫阴。各经之为病皆然。当视其所伤。从而补之。但人之体气各殊。有偏于阳而阴不足
者。宜补阴以兼清。而辛躁之类不可用。有偏于阴而阳不足者。宜补阳以兼温。而清润之品非所宜。又
有阴阳俱不足者宜平补之。而辛燥清润不可偏。故用药既察其病源。又审其本体。方不犯虚虚之戒。迨至病者邪气既
去。元气又复。而医始可告无罪焉。胪列诸方于下。
加减四阴煎（热证）
条参（五钱） 淮药（六钱，炒） 僵虫（二钱，姜汁炒） 云神（三钱） 生地黄（三钱
）白芍（一钱五分） 麦冬（一钱五分，去心） 银花（一钱） 陈皮（一钱） 粉草（一钱） 水煎服。
加减固金汤
条参（六钱） 淮药（八钱，炒） 麦冬（一钱五分，去心） 茯苓（三钱）
百合（三钱） 苡仁（四钱，炒） 浙贝（二钱，去心。姜汁炒） 粉草（一钱） 红枣（三粒） 水煎服。
六味地黄汤
熟地（五钱） 淮药（八钱，炒） 僵虫（一钱五分，姜汁炒） 云苓（三钱） 丹皮（一钱，去骨） 泽泄
（一钱，盐水炒） 麦冬（一钱，去心） 炙草（一钱） 泡圆（三粒） 水煎服。
归芍六君汤（寒证）
党参（五钱） 白术（三钱） 白芍（三钱） 云神（三钱） 法夏（二钱） 当归（一钱五分） 僵虫（一
钱五分，姜汁炒） 陈皮（一钱） 银花（一钱） 炙草（一钱） 煨姜（三片） 水煎服。
加减益气汤
黄 （三钱） 白术（三钱） 僵虫（一钱五分，姜汁炒）
银花（一钱五分） 党参（五钱） 当归（一钱） 陈皮（一钱） 炙草（一钱） 煨姜（三片） 水煎服。
加减右归饮
熟地（五钱） 淮药（六钱，炒） 本制附片（三钱） 杜仲（一钱，盐水炒）
枸杞（一钱） 炙草（一钱） 肉桂（五分，去皮蒸兑） 泡圆（三粒） 水煎服。或加参术。
一、邪热已经亢盛，而真阳又复现虚弱的证候。想要用泻下法，却担心导致亡阳；不想用泻下法，又怕邪热重新炽盛。治疗方法适宜使用附子泻心汤。寒凉药与温热药并用，这才是有节制的军队（指用药有度，不偏激）。
附子泻心汤
大黄（四钱，酒炒） 黄连（六分） 本制附片（三钱） 僵蚕（二钱，姜汁炒）
桔梗（二钱） 金银花（二钱） 黄芩（一钱五分） 生姜（三片） 水煎服。
一、热证尚且轻微，误服大黄、黄连后病情反而加重的，适宜改服人参败毒散并加入升麻。（担心邪气陷入下部而不能透出，或者因为药物损伤胃气，则必须使用白术、附子。）寒证尚且轻微，误服干姜、附子后出现燥证的，用黄土汤、豆粉散来解除。再观察是何种证候，斟酌选用方剂。如果是虚寒证，误服芒硝、大黄的，其症状与实热相似，舌苔可能发黄或发黑，嘴唇可能发红或干燥，但湿润而不燥裂，非附桂理阴煎和镇阴煎不能治愈。
人参败毒散 见上文。
黄土汤 取三尺深的黄土，用泉水煎服。
豆粉散 绿豆一杯，研成粉末，泡水服用。
附桂理阴煎 镇阴煎（均见上文）
白喉是肺的本色表现。肺主表，疾病起初由肺侵入。治疗者既然服用了解表药以宣发肺气，又吹入片麝香以窜散邪气，导致肺气更加受伤。所以病后补虚的方法，不可不讲求。况且肺只有太阴这一条经脉。如果热证是由阳明胃火旺盛引起的，治疗必须用苦寒药泻火，这难免会损伤阳气。寒证是由少阴命门之火衰微引起的，治疗必须用辛燥药扶助，这难免会损伤阴液。各经生病都是如此，应当视其所伤之处，从而进行补益。但是人的体质元气各不相同，有偏于阳盛而阴不足的，适宜补阴兼清余热，而辛燥类药物不可使用；有偏于阴盛而阳不足的，适宜补阳兼温里，而清凉滋润的药物不适合；又有阴阳都不足的，适宜平和地补益，而辛燥和清润之品不可偏废。所以用药既要考察病源，又要审视患者本体，才不会犯“虚虚”（使虚者更虚）的禁忌。等到患者邪气去除，元气恢复，医生才可以说是没有过错。罗列各方如下：
加减四阴煎（用于热证）
党参（五钱） 山药（六钱，炒） 僵蚕（二钱，姜汁炒） 茯苓（三钱） 生地黄（三钱） 白芍（一钱五分） 麦冬（一钱五分，去心） 金银花（一钱） 陈皮（一钱） 甘草（一钱） 水煎服。
加减固金汤
党参（六钱） 山药（八钱，炒） 麦冬（一钱五分，去心） 茯苓（三钱）
百合（三钱） 薏苡仁（四钱，炒） 浙贝母（二钱，去心，姜汁炒） 甘草（一钱） 红枣（三粒） 水煎服。
六味地黄汤
熟地黄（五钱） 山药（八钱，炒） 僵蚕（一钱五分，姜汁炒） 茯苓（三钱） 牡丹皮（一钱，去骨） 泽泻（一钱，盐水炒） 麦冬（一钱，去心） 炙甘草（一钱） 桂圆肉（三粒） 水煎服。
归芍六君汤（用于寒证）
党参（五钱） 白术（三钱） 白芍（三钱） 茯苓（三钱） 法半夏（二钱） 当归（一钱五分） 僵蚕（一钱五分，姜汁炒） 陈皮（一钱） 金银花（一钱） 炙甘草（一钱） 煨姜（三片） 水煎服。
加减益气汤
黄芪（三钱） 白术（三钱） 僵蚕（一钱五分，姜汁炒）
金银花（一钱五分） 党参（五钱） 当归（一钱） 陈皮（一钱） 炙甘草（一钱） 煨姜（三片） 水煎服。
加减右归饮
熟地黄（五钱） 山药（六钱，炒） 本制附片（三钱） 杜仲（一钱，盐水炒）
枸杞子（一钱） 炙甘草（一钱） 肉桂（五分，去皮蒸后兑入） 桂圆肉（三粒） 水煎服。也可以加入人参、白术。
1. When pathogenic heat is excessive and true Yang is simultaneously deficient, one may fear that purgation will lead to the collapse of Yang, yet failing to purge allows pathogenic heat to flare up again. The appropriate method is to use Fuzi Xie Xin Tang (Aconite Decoction to Drain the Epigastrium). The concurrent use of cold and hot herbs constitutes a disciplined army (indicating balanced and controlled medication).
Fuzi Xie Xin Tang (Aconite Decoction to Drain the Epigastrium)
Rhubarb Root (Da Huang, Radix et Rhizoma Rhei) (4 qian, stir-fried with wine)
Coptis Rhizome (Huang Lian, Rhizoma Coptidis) (6 fen)
Prepared Aconite Rootlet (Ben Zhi Fu Pian, Radix Aconiti Lateralis Preparata) (3 qian)
Bombyx Batryticatus (Jiang Chong, Bombyx Batryticatus) (2 qian, stir-fried with ginger juice)
Platycodon Root (Jie Geng, Radix Platycodi) (2 qian)
Honeysuckle Flower (Yin Hua, Flos Lonicerae Japonicae) (2 qian)
Scutellaria Root (Huang Qin, Radix Scutellariae) (1.5 qian)
Fresh Ginger (Sheng Jiang, Rhizoma Zingiberis Recens) (3 slices)
Decoct in water and take orally.
1. If the heat syndrome is mild but worsens after the mistaken administration of Da Huang and Huang Lian, it is advisable to switch to Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogens) with added Sheng Ma (Cimicifugae Rhizoma). (This is to prevent the pathogen from sinking downward and becoming trapped, or because the medicine has damaged the Stomach Qi, in which case Zhu Fu [Atractylodis Rhizoma and Aconitum] must be used.) If the cold syndrome is mild but dryness symptoms appear after the mistaken administration of Jiang (Zingiberis Rhizoma) and Fu (Aconiti Radix), treat with Huang Tu Tang (Yellow Earth Decoction) and Dou Fen San (Bean Flour Powder) to resolve it. Subsequently, observe the specific syndrome and select the formula accordingly. If it is a deficiency-cold syndrome and Mang Xiao (Natrii Sulfas) and Da Huang were mistakenly administered, the presentation resembles excess-heat: the tongue coating may be yellow or black, and the lips may be red or dry, yet moist rather than parched. Such cases require Zhi Yin Jian (Sedate Yin Decoction) combined with Fu Gui Li Yin Jian (Aconite and Cinnamon Decoction to Restore Yin) for cure.
Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogens) See above.
Huang Tu Tang (Yellow Earth Decoction) Take yellow earth from three chi deep, decoct in spring water, and take orally.
Dou Fen San (Bean Flour Powder) One cup of Mung Bean (Lu Dou, Semen Phaseoli Radiati), grind into powder, mix with water, and take orally.
Fu Gui Li Yin Jian (Aconite and Cinnamon Decoction to Restore Yin) Zhi Yin Jian (Sedate Yin Decoction) (Both see above)
Bai Hou (White Throat Diphtheria) reflects the true color of the Lung. The Lung governs the exterior, so the disease initially enters via the Lung. Since the practitioner has already administered exterior-releasing herbs to ventilate the Lung Qi, and applied powdered Musk (She Xiang) to scatter pathogens, the Lung Qi becomes further injured. Therefore, methods for tonifying deficiency after recovery must be thoroughly studied. Moreover, the Lung meridian is solely the Taiyin channel. If heat syndromes arise from excessive Stomach Fire in the Yangming, treatment requires bitter-cold purgation, which inevitably damages Yang. If cold syndromes arise from deficient Mingmen Fire in the Shaoyin, treatment requires acrid-warm support, which inevitably damages Yin. This applies to diseases of all meridians; one must assess the site of injury and tonify accordingly. However, individuals vary in their constitutional Qi. Some are Yang-predominant with Yin insufficiency; they should be treated by tonifying Yin while clearing residual heat, avoiding acrid-warm herbs. Others are Yin-predominant with Yang insufficiency; they should be treated by tonifying Yang while warming, avoiding cooling-moistening herbs. Some have both Yin and Yang insufficiency; they require gentle, balanced tonification, avoiding bias toward either acrid-warm or cooling-moistening herbs. Thus, when prescribing, one must examine both the source of the disease and the patient's constitution to avoid the contraindication of "tonifying deficiency" (making the deficient more deficient). Only when the pathogen is eliminated and Yuan Qi restored can the physician claim no fault. The following formulas are listed:
Jia Jian Si Yin Jian (Modified Four Yin Decoction) (For heat syndromes)
Codonopsis Root (Tiao Shen, Radix Codonopsis Pilosulae) (5 qian)
Chinese Yam Rhizome (Huai Yao, Rhizoma Dioscoreae) (6 qian, stir-fried)
Bombyx Batryticatus (Jiang Chong, Bombyx Batryticatus) (2 qian, stir-fried with ginger juice)
Poria (Yun Shen, Sclerotium Poriae) (3 qian)
Rehmannia Root (Sheng Di Huang, Radix Rehmanniae Preparata) (3 qian)
White Peony Root (Bai Shao, Radix Paeoniae Alba) (1.5 qian)
Ophiopogon Tuber (Mai Dong, Radix Ophiopogonis) (1.5 qian, heart removed)
Honeysuckle Flower (Yin Hua, Flos Lonicerae Japonicae) (1 qian)
Tangerine Peel (Chen Pi, Pericarpium Citri Reticulatae) (1 qian)
Licorice Root (Fen Cao, Radix Glycyrrhizae Preparata) (1 qian)
Decoct in water and take orally.
Jia Jian Gu Jin Tang (Modified Solidify Metal Decoction)
Codonopsis Root (Tiao Shen, Radix Codonopsis Pilosulae) (6 qian)
Chinese Yam Rhizome (Huai Yao, Rhizoma Dioscoreae) (8 qian, stir-fried)
Ophiopogon Tuber (Mai Dong, Radix Ophiopogonis) (1.5 qian, heart removed)
Poria (Fu Ling, Sclerotium Poriae) (3 qian)
Lily Bulb (Bai He, Bulbus Lilii) (3 qian)
Coix Seed (Yi Ren, Semen Coicis) (4 qian, stir-fried)
Zhejiang Fritillary Bulb (Zhe Bei Mu, Bulbus Fritillariae Thunbergii) (2 qian, heart removed, stir-fried with ginger juice)
Licorice Root (Fen Cao, Radix Glycyrrhizae Preparata) (1 qian)
Red Jujube (Hong Zao, Fructus Jujubae) (3 pieces)
Decoct in water and take orally.
Liu Wei Di Huang Tang (Six-Ingredient Rehmannia Pill Decoction)
Prepared Rehmannia Root (Shu Di, Radix Rehmanniae Preparata) (5 qian)
Chinese Yam Rhizome (Huai Yao, Rhizoma Dioscoreae) (8 qian, stir-fried)
Bombyx Batryticatus (Jiang Chong, Bombyx Batryticatus) (1.5 qian, stir-fried with ginger juice)
Poria (Yun Ling, Sclerotium Poriae) (3 qian)
Moutan Bark (Dan Pi, Cortex Moutan) (1 qian, woody core removed)
Alisma Rhizome (Ze Xie, Rhizoma Alismatis) (1 qian, stir-fried with salt water)
Ophiopogon Tuber (Mai Dong, Radix Ophiopogonis) (1 qian, heart removed)
Roasted Licorice Root (Zhi Cao, Radix Glycyrrhizae Preparata) (1 qian)
Longan Aril (Pao Yuan, Arillus Longan) (3 pieces)
Decoct in water and take orally.
Gui Shao Liu Jun Tang (Return and White Peony Six-Gentlemen Decoction) (For cold syndromes)
Codonopsis Root (Dang Shen, Radix Codonopsis Pilosulae) (5 qian)
Atractylodes Macrocephala Rhizome (Bai Zhu, Rhizoma Atractylodis Macrocephalae) (3 qian)
White Peony Root (Bai Shao, Radix Paeoniae Alba) (3 qian)
Poria (Yun Shen, Sclerotium Poriae) (3 qian)
Processed Pinellia Tuber (Fa Xia, Rhizoma Pinelliae Preparatum) (2 qian)
Angelica Sinensis Root (Dang Gui, Radix Angelicae Sinensis) (1.5 qian)
Bombyx Batryticatus (Jiang Chong, Bombyx Batryticatus) (1.5 qian, stir-fried with ginger juice)
Tangerine Peel (Chen Pi, Pericarpium Citri Reticulatae) (1 qian)
Honeysuckle Flower (Yin Hua, Flos Lonicerae Japonicae) (1 qian)
Roasted Licorice Root (Zhi Cao, Radix Glycyrrhizae Preparata) (1 qian)
Baked Ginger (Wei Jiang, Rhizoma Zingiberis Recens) (3 slices)
Decoct in water and take orally.
Jia Jian Yi Qi Tang (Modified Tonify Qi Decoction)
Astragalus Root (Huang Qi, Radix Astragali) (3 qian)
Atractylodes Macrocephala Rhizome (Bai Zhu, Rhizoma Atractylodis Macrocephalae) (3 qian)
Bombyx Batryticatus (Jiang Chong, Bombyx Batryticatus) (1.5 qian, stir-fried with ginger juice)
Honeysuckle Flower (Yin Hua, Flos Lonicerae Japonicae) (1.5 qian)
Codonopsis Root (Dang Shen, Radix Codonopsis Pilosulae) (5 qian)
Angelica Sinensis Root (Dang Gui, Radix Angelicae Sinensis) (1 qian)
Tangerine Peel (Chen Pi, Pericarpium Citri Reticulatae) (1 qian)
Roasted Licorice Root (Zhi Cao, Radix Glycyrrhizae Preparata) (1 qian)
Baked Ginger (Wei Jiang, Rhizoma Zingiberis Recens) (3 slices)
Decoct in water and take orally.
Jia Jian You Gui Yin (Modified Right-Restoring Decoction)
Prepared Rehmannia Root (Shu Di, Radix Rehmanniae Preparata) (5 qian)
Chinese Yam Rhizome (Huai Yao, Rhizoma Dioscoreae) (6 qian, stir-fried)
Prepared Aconite Rootlet (Ben Zhi Fu Pian, Radix Aconiti Lateralis Preparata) (3 qian)
Eucommia Bark (Du Zhong, Cortex Eucommiae) (1 qian, stir-fried with salt water)
Goji Berry (Gou Qi, Fructus Lycii) (1 qian)
Roasted Licorice Root (Zhi Cao, Radix Glycyrrhizae Preparata) (1 qian)
Cinnamon Bark (Rou Gui, Cortex Cinnamomi) (0.5 fen, skin removed, steamed and added to the decoction)
Longan Aril (Pao Yuan, Arillus Longan) (3 pieces)
Decoct in water and take orally. Alternatively, add Ginseng and Atractylodes.