伤寒病发汗后表不解，干咳呕逆，夜不得卧，遵古人小青龙法。
杏仁 桂枝 干姜 白芍 米仁 石膏 五味 甘草
下焦阴阳素虚，雪地奔走，寒从口鼻而入，肺受邪则上逆而喘，阳受伤则 汗出。由
中邪入，表散无益；宣其肺逆，喘缓可救。
桂枝 干姜 杏仁 白芍 五味 茯苓
烦劳遇冷，营卫交窒，虚人夹邪，只宜轻剂疏解。
桂枝 炙草 杏仁 白芍 大枣 茯苓
呕恶腹痛，舌干不喜饮，脉左弱右大。劳倦中寒，脘中格拒，皆是太阴见证。古人有生
料、熟料五积散，因爰其意，候裁。
杏仁 草果仁 半夏 浓朴 广皮 煨姜
冷气吸入，即是寒中太阴。与霍乱互参，正气散、冷香引饮，辟秽苏阳即效。而脾胃阳
气未为全复，议用治中汤数剂，夜厘清虚为妙。
人参 生益智仁 砂仁 煨姜 广皮 茯苓皮 木瓜
暴冷从口鼻入，直犯太阴，上呕下利腹痛，为中寒阴症，脉细涩欲绝，急急温暖中下之
人参 淡干姜 生芍 焦术 淡附子 茯苓
因脘中痞闷，去术之缓中，再加桂枝以理阳。
人参 桂枝 干姜 附子 茯苓 白芍
又 人参 白芍 附子 茯苓 甘草
高年水亏，温邪深入阴分，热在里，外象反冷，热伤阴则小溲欲痛，皆冬温本病。仲景
以存阴为章旨，奈何医药以桂枝，附子辛热，再劫干津液，是何意见？
生地 阿胶 炙甘草 麦冬 炒麻仁 生白芍
温邪水亏热入，脉细数，口渴舌绛，不知饥饿，皮肤干涸甲错。热劫津液，务以存阴为
先，不当以苦寒反令化热。
复脉汤。
舌干不喜饮，腹鸣下利，皆阴液不肯上注，亦属枯槁之象。仲景于邪少虚多，每以复脉
汤升其津液。
复脉汤去桂枝、麻仁，冲入青蔗浆一杯。
肾虚温邪内入，形神消烁，无寐废食，临晚寒热，得汗而解，议用复脉汤去姜加芍。
脉左搏右细，颧赤气喘。咋夜大便后，汗泄，竟夕不安。冬温伏热，阴衰阳冒之象，最
生地炭 炒麦冬 蔗汁 炙甘草 生白芍
肾虚温邪内入，热迫液伤，舌白，不知饥，不欲食。宗仲景邪少虚多例，以甘药用复脉
炙甘草 麦冬肉 桂枝 人参 大麻仁 生地
冬温水亏，上焦热炽。
生地六味汤去萸肉，加生白芍、鸡子黄、小麦。
温邪暮热，由乎阴虚阳浮。热解无汗，不欲饮水，岂是阳经为病？冬令失藏，法从肾肝
阿胶 生地炭 炙黑甘草 小麦 生白芍 炒松麦冬
容色消夺，脉形渐细，不知饥，不欲纳，扪之不热，而自云热，并不渴饮，间有寒栗之
状，此营卫不振，当治中焦。
人参 炮干姜 益智仁 茯苓 木瓜 生白芍
着右卧称甚气闷，阳明气未全降，宜补土降逆。
人参 白旋复花 生白芍 茯苓 代赭石 南枣肉
脉左动是阴虚。温邪深入，但大苦直降，恐化燥劫津阴。议以甘咸寒之属。
鲜生地 竹叶心 生甘草 元参心 麦门冬
气喘痰鸣，鼻窍焦黑。温邪上受，肾真下竭，阴不接阳，神识日迷，皆是衰脱之象。据
右脉散大无绪，黄昏面色戴阳，少阴虽绝，当宗河间法，复入清上，滋其化源。
熟地炭 淡苁蓉 白茯神 牛膝炭 天门冬 石菖蒲
温邪十四日，舌绛渴饮，面带油亮，此水亏热入营分，最防昏厥。当清其血中之邪，以
鲜生地 知母 生白芍 竹叶心 麦冬 丹皮
冬温，气热深入少阴，舌赤心黄，潮热不渴。大旨当存阴为要，勿令昏愦。
鲜生地 知母 生白芍 竹叶心 麦冬 丹皮
冬温，脉数舌赤，口渴暮甚，水亏热侵阴分。
杏仁 赤芍 花粉 黑栀 桔梗 连翘 广皮
温邪入肺，上唇高肿。初起病在气分，治以苦辛寒轻剂，不得犯中下二焦。
薄荷 连翘 杏仁 牛蒡 黑栀皮 生石膏
温邪上受，肺气脾塞，周身皮肤大痛，汗大泄，坐不得卧，渴欲饮水，干呕不已。从前
温邪皆从热化，议以营卫邪郁例，用仲景越婢汤法。
杏仁 桂枝木 茯苓 炒半夏 生石膏
寸搏，咳逆，骨痛暮热。温邪入肺，营卫不和，议清气中之热，佐以通营。
桂枝白虎汤。
冬温热入，烁及筋骨，非风寒袭筋骨痛宜汗之比。生津清热，温邪自解。
桂枝木 知母 杏仁 花粉 滑石 甘草
冬温伏邪，先厥后热，热深从里而发，汗出烦躁，当救胃汁。
竹叶心 乌梅肉 川石斛 麦门冬 生甘草 生谷芽。
藏真下虚，阳挟上冒，胃少纳，不饥，齿根实肿，巅顶麻痹。素多郁遏，骤难温补，况
今冬温，正少藏热易入，姑拟轻剂咸苦，软结升降。俾厥阴、阳明稍和，另商损益调理。
黄芩 川石斛 栝蒌皮 牡蛎 木瓜 山楂
阴虚体质，复加劳力奔走，致阳气亦伤。舌边赤，中心黄，咽干腹膨。热在里，脉气结
聚，胃失司降，当进解郁清燥。
杏仁 炒黄竹茹 栝蒌仁 紫菀 金石斛 广皮白
过暖气泄，失冬藏之用。此病后烦倦，痰嗽带血，高年上实下虚，即如冬温客气。无辛
散之理，甘凉润剂，与胃无损为宜。
桑叶 杏仁 黑栀 玉竹 白沙参 象贝
冬温为病，乃正气不能固藏，热气自里而发。齿板舌干唇燥，目渐红，面油亮，语言不
呼吸似喘。邪伏少阴，病发三焦皆受。仲景谓∶发热而渴者为温病，明示后人，寒外郁则不
渴，热内发斯必渴耳。治法以清热存阴，勿令邪气焚劫津液，致螈 痉厥、神昏谵狂诸患。
故仲景复伸治疗，若非一逆尚引日，再逆促命期，且忌汗下、忌温针，可考。九日不解，议
清膈上之热。
竹叶 杏仁 花粉 淡黄芩 连翘 橘红 滑石 郁金汁
伤寒病发汗后，表证仍未解除，出现干咳、呕吐气逆，夜间无法安卧，遵循古人的小青龙汤法。
杏仁 桂枝 干姜 白芍 薏苡仁 石膏 五味子 甘草
下焦阴阳素来虚弱，在雪地中奔走，寒气从口鼻侵入，肺受邪气则上逆而喘，阳气受损则出汗。病邪由中焦传入，单纯解表无效；宣通肺气之逆，喘息缓解方可救急。
桂枝 干姜 杏仁 白芍 五味子 茯苓
烦劳后遇冷，营卫之气交结阻滞，体虚之人夹杂外邪，只宜用轻剂疏解。
桂枝 炙甘草 杏仁 白芍 大枣 茯苓
呕吐恶心、腹痛，舌干但不想喝水，脉象左侧弱右侧大。因劳倦感受寒邪，胃脘部格拒不通，都是太阴病的见证。古人有用生料和熟料制作的五积散，因此借鉴其意，候您裁夺。
杏仁 草果仁 半夏 厚朴 陈皮 煨姜
冷气吸入，即是寒邪直中太阴。可与霍乱互参，正气散、冷香饮子，辟秽苏阳即有效。但脾胃阳气尚未完全恢复，建议服用治中汤数剂，夜间澄清虚损为妙。
人参 生益智仁 砂仁 煨姜 陈皮 茯苓皮 木瓜
暴冷从口鼻进入，直犯太阴，上吐下泻腹痛，属于中寒阴症，脉象细涩欲绝，急需温暖中下焦。
人参 淡干姜 生白芍 炒白术 淡附子 茯苓
因为胃脘部痞闷，去掉白术的缓中之性，再加桂枝以调理阳气。
人参 桂枝 干姜 附子 茯苓 白芍
高龄者肾水亏虚，温邪深入阴分，热在体内，外表反而发冷，热伤阴液则小便欲痛，这都是冬温的本病。张仲景以保存阴液为章旨，奈何医药使用桂枝、附子等辛热之品，再次劫耗津液，这是什么意见？
生地 阿胶 炙甘草 麦冬 炒火麻仁 生白芍
温邪导致水亏热入，脉象细数，口渴舌绛，不知饥饿，皮肤干枯甲错。热邪劫耗津液，务必以保存阴液为先，不应当用苦寒药反而令其化热。
复脉汤。
舌干不想喝水，腹鸣下利，都是阴液不肯上注，也属于枯槁之象。张仲景对于邪少虚多的情况，常用复脉汤升提津液。
复脉汤去掉桂枝、火麻仁，冲入青蔗汁一杯。
肾虚温邪内入，形体神气消烁，失眠废食，傍晚寒热，得汗而解，建议用复脉汤去掉生姜加白芍。
（此处原文未列具体药味，仅述方义）
脉象左侧搏动有力右侧细，颧骨发红气喘。昨夜大便后，汗泄，整夜不安。冬温伏热，阴衰阳冒之象，最需警惕。
生地炭 炒麦冬 蔗汁 炙甘草 生白芍
肾虚温邪内入，热迫液伤，舌苔白，不知饥，不欲食。遵循张仲景邪少虚多的先例，用甘味药配合复脉汤。
炙甘草 麦冬肉 桂枝 人参 大麻仁 生地
冬温水亏，上焦热炽盛。
六味地黄汤去掉山茱萸，加生白芍、鸡蛋黄、小麦。
温邪傍晚发热，由于阴虚阳浮。热解无汗，不想饮水，难道是阳经为病？冬季失于闭藏，治法从肝肾论治。
阿胶 生地炭 炙黑甘草 小麦 生白芍 炒松麦冬
面色憔悴，脉形逐渐变细，不知饥，不欲进食，摸之不热，而自己说热，并不渴饮，间有寒战之状，这是营卫不振，当治疗中焦。
人参 炮干姜 益智仁 茯苓 木瓜 生白芍
右侧卧位时气闷加重，阳明之气未完全下降，宜补土降逆。
人参 白旋复花 生白芍 茯苓 代赭石 南枣肉
脉象左侧跳动是阴虚。温邪深入，如果只用大苦直降之药，恐怕会化燥劫耗津阴。建议用甘咸寒的药物。
鲜生地 竹叶心 生甘草 元参心 麦门冬
气喘痰鸣，鼻窍焦黑。温邪从上受入，肾真元下竭，阴不能接续阳，神识日渐迷糊，都是衰脱之象。根据右脉散大无绪，黄昏面色戴阳，少阴虽绝，应当遵循河间法，重新清上焦，滋生化源。
熟地炭 淡肉苁蓉 白茯神 牛膝炭 天门冬 石菖蒲
温邪十四日，舌绛渴饮，面带油亮，这是水亏热入营分，最防昏厥。当清血中之邪，以...
鲜生地 知母 生白芍 竹叶心 麦冬 丹皮
冬温，气热深入少阴，舌赤心黄，潮热不渴。大旨应当以存阴为要，勿令昏愦。
鲜生地 知母 生白芍 竹叶心 麦冬 丹皮
冬温，脉数舌赤，口渴暮甚，水亏热侵阴分。
杏仁 赤芍 花粉 黑栀 桔梗 连翘 广皮
温邪入肺，上唇高肿。初起病在气分，治以苦辛寒轻剂，不得犯中下二焦。
薄荷 连翘 杏仁 牛蒡 黑栀皮 生石膏
温邪上受，肺气脾塞，周身皮肤大痛，汗大泄，坐不得卧，渴欲饮水，干呕不已。从前温邪皆从热化，建议以营卫邪郁为例，用张仲景越婢汤法。
杏仁 桂枝木 茯苓 炒半夏 生石膏
寸脉搏动，咳逆，骨痛暮热。温邪入肺，营卫不和，建议清气中之热，佐以通营。
桂枝白虎汤。
冬温热入，灼伤筋骨，不是风寒袭击筋骨痛宜用汗法相比。生津清热，温邪自解。
桂枝木 知母 杏仁 花粉 滑石 甘草
冬温伏邪，先厥后热，热深从里而发，汗出烦躁，当救胃汁。
竹叶心 乌梅肉 川石斛 麦门冬 生甘草 生谷芽。
脏真下虚，阳挟上冒，胃纳少，不饥，齿根实肿，巅顶麻痹。素多郁遏，骤难温补，况且今冬温，正是少藏热易入之时，姑且拟定轻剂咸苦，软坚散结升降。使厥阴、阳明稍和，另商损益调理。
黄芩 川石斛 栝蒌皮 牡蛎 木瓜 山楂
阴虚体质，再加劳力奔走，致阳气亦伤。舌边赤，中心黄，咽干腹膨。热在里，脉气结聚，胃失司降，当进解郁清燥。
杏仁 炒黄竹茹 栝蒌仁 紫菀 金石斛 广皮白
过暖气泄，失冬藏之用。此病后烦倦，痰嗽带血，高年上实下虚，即如冬温客气。无辛散之理，甘凉润剂，与胃无损为宜。
桑叶 杏仁 黑栀 玉竹 白沙参 象贝
冬温为病，乃正气不能固藏，热气自里而发。齿板舌干唇燥，目渐红，面油亮，语言不利，呼吸似喘。邪伏少阴，病发三焦皆受。张仲景谓：发热而渴者为温病，明示后人，寒外郁则不渴，热内发斯必渴耳。治法以清热存阴，勿令邪气焚劫津液，致抽搐、痉厥、神昏谵狂诸患。故仲景复伸治疗，若非一逆尚引日，再逆促命期，且忌汗下、忌温针，可考。九日不解，议清膈上之热。
竹叶 杏仁 花粉 淡黄芩 连翘 橘红 滑石 郁金汁
After sweating for Taiyang cold damage disease, the exterior syndrome remains unresolved, accompanied by dry cough, vomiting and rebellious qi, and inability to sleep at night. Following the ancient method of Xiao Qing Long Tang (Minor Blue Dragon Decoction).
Xing Ren (Apricot Seed), Gui Zhi (Cinnamon Twig), Gan Jiang (Dried Ginger), Bai Shao (White Peony Root), Yi Yi Ren (Coix Seed), Shi Gao (Gypsum Fibrosum), Wu Wei Zi (Schisandra Fruit), Gan Cao (Licorice Root)
The lower jiao's yin and yang have been deficient since early days. Running in snow allows cold to enter through the mouth and nose. When the Lung is affected by pathogenic factors, it rebels upward causing asthma; when Yang is injured, sweat occurs. Since the pathogen entered from the middle jiao, dispersing the exterior is of no benefit; ventilating the rebellious Qi of the Lung can relieve asthma and save the patient.
Gui Zhi (Cinnamon Twig), Gan Jiang (Dried Ginger), Xing Ren (Apricot Seed), Bai Shao (White Peony Root), Wu Wei Zi (Schisandra Fruit), Fu Ling (Poria)
After fatigue encountering cold, Ying (Nutritive) and Wei (Defensive) Qi become obstructed. For a deficient person with mixed pathogens, only light agents for dispersion are suitable.
Gui Zhi (Cinnamon Twig), Zhi Gan Cao (Honey-fried Licorice Root), Xing Ren (Apricot Seed), Bai Shao (White Peony Root), Da Zao (Jujube), Fu Ling (Poria)
Vomiting, nausea, abdominal pain, dry tongue without desire to drink, pulse weak on the left and large on the right. Cold contracted during fatigue and overwork, with rejection in the epigastrium, are all manifestations of Taiyin disease. The ancients used Wu Ji San (Five Accumulations Powder) made from raw or cooked ingredients; therefore, borrowing its intent, awaiting your discretion.
Xing Ren (Apricot Seed), Cao Guo Ren (Tsaoko Cardamom Seed), Ban Xia (Pinellia Tuber), Hou Po (Magnolia Bark), Guang Pi (Tangerine Peel), Wei Jiang (Baked Ginger)
Inhaling cold air constitutes Cold striking the Taiyin directly. This can be cross-referenced with Huoluan (Cholera-like disorder). Zhengqi San (Upright Qi Powder) and Lengxiang Yinzi (Cold Fragrance Drink) effectively dispel filth and restore Yang. However, Spleen and Stomach Yang Qi has not fully recovered; it is proposed to use Zhizhong Tang (Regulate the Middle Decoction) for several doses, clarifying deficiency at night is excellent.
Ren Shen (Ginseng Root), Sheng Yi Zhi Ren (Raw Yizhi Seed), Sha Ren (Amomum Fruit), Wei Jiang (Baked Ginger), Guang Pi (Tangerine Peel), Fu Ling Pi (Poria Peel), Mu Gua (Chaenomeles Fruit)
Sudden cold enters via mouth and nose, directly attacking Taiyin, causing upper vomiting and lower diarrhea with abdominal pain. This is a Zhonghan (Middle Cold) Yin syndrome. The pulse is fine, choppy, and nearly imperceptible; urgently warming the middle and lower jiao is required.
Ren Shen (Ginseng Root), Dan Gan Jiang (Mild Dried Ginger), Sheng Bai Shao (Raw White Peony Root), Jiao Zhu (Charred Atractylodes Macrocephala Rhizome), Dan Fu Zi (Prepared Aconite Lateral Root), Fu Ling (Poria)
Due to fullness and stuffiness in the epigastrium, remove Zhu (Atractylodes) for its moderating effect, and add Gui Zhi (Cinnamon Twig) to regulate Yang.
Ren Shen (Ginseng Root), Gui Zhi (Cinnamon Twig), Gan Jiang (Dried Ginger), Fu Zi (Aconite Lateral Root), Fu Ling (Poria), Bai Shao (White Peony Root)
Another consultation: Ren Shen (Ginseng Root), Bai Shao (White Peony Root), Fu Zi (Aconite Lateral Root), Fu Ling (Poria), Gan Cao (Licorice Root)
In advanced age, Kidney Water is deficient. Warm pathogens penetrate deeply into the Yin aspect. Heat resides internally while the exterior appears cold. Heat injuring Yin causes painful urination; these are all characteristics of Dongwen (Winter Warmth). Zhang Zhongjing emphasized preserving Yin as the main principle. Why do medicines use Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Lateral Root), pungent and hot, to further deplete fluids? What is the reasoning?
Sheng Di (Rehmannia Root), E Jiao (Donkey-hide Gelatin), Zhi Gan Cao (Honey-fried Licorice Root), Mai Dong (Ophiopogon Tuber), Chao Ma Ren (Fired Hemp Seed), Sheng Bai Shao (Raw White Peony Root)
Warm pathogens cause water deficiency and heat invasion. Pulse is fine and rapid, thirst, crimson tongue, lack of hunger, dry and cracked skin. Heat depletes body fluids; preserving Yin must be prioritized. Bitter-cold herbs should not be used as they may transform into heat.
Mai Wei Di Huang Wan / Fu Mai Tang (Decoction to Restore the Pulse).
Dry tongue without desire to drink, borborygmus, and diarrhea indicate that Yin fluids refuse to ascend, also presenting as withering. Zhang Zhongjing often used Fu Mai Tang (Decoction to Restore the Pulse) to raise fluids in cases of little pathogen and much deficiency.
Fu Mai Tang (Decoction to Restore the Pulse) minus Gui Zhi (Cinnamon Twig) and Ma Ren (Hemp Seed), mixed with one cup of fresh sugarcane juice.
Kidney deficiency with internal penetration of warm pathogens leads to emaciation of form and spirit, insomnia, anorexia, evening chills and fever, resolving with sweat. It is proposed to use Fu Mai Tang (Decoction to Restore the Pulse) minus Sheng Jiang (Fresh Ginger) plus Bai Shao (White Peony Root).
Pulse beats strongly on the left and is fine on the right; malar flush and asthma. After defecation last night, sweating occurred, leading to restlessness all night. Winter warmth latent heat presents as Yin decline and Yang floating. Most critical attention is needed.
Sheng Di Tan (Charred Rehmannia Root), Chao Mai Dong (Fired Ophiopogon Tuber), Zhe Zhi (Sugarcane Juice), Zhi Gan Cao (Honey-fried Licorice Root), Sheng Bai Shao (Raw White Peony Root)
Kidney deficiency with internal penetration of warm pathogens, heat forcing fluid injury. Tongue coating white, no hunger, no desire to eat. Following Zhang Zhongjing's example of little pathogen and much deficiency, using sweet substances with Fu Mai Tang (Decoction to Restore the Pulse).
Zhi Gan Cao (Honey-fried Licorice Root), Mai Dong Rou (Ophiopogon Flesh), Gui Zhi (Cinnamon Twig), Ren Shen (Ginseng Root), Da Ma Ren (Large Hemp Seed), Sheng Di (Rehmannia Root)
Winter warmth with water deficiency, excessive heat in the Upper Jiao.
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) minus Yu Rou (Cornus Fruit), adding Sheng Bai Shao (Raw White Peony Root), Ji Zi Huang (Egg Yolk), Xiao Mai (Wheat).
Evening fever from warm pathogens results from Yin deficiency and Yang floating. Fever resolves without sweat, no desire to drink water; is this a Yang meridian disease? Winter loss of storage capacity dictates treatment from Liver and Kidney perspectives.
E Jiao (Donkey-hide Gelatin), Sheng Di Tan (Charred Rehmannia Root), Zhi Hei Gan Cao (Honey-fried Black Licorice Root), Xiao Mai (Wheat), Sheng Bai Shao (Raw White Peony Root), Chao Song Mai Dong (Fired Pine Ophiopogon Tuber)
Complexion fades, pulse becomes gradually fine, no hunger, no desire to eat, touch reveals no heat though patient claims heat, no thirst, occasional chills. This indicates weak Ying (Nutritive) and Wei (Defensive) Qi; treat the Middle Jiao.
Ren Shen (Ginseng Root), Pao Gan Jiang (Roasted Dried Ginger), Yi Zhi Ren (Yizhi Seed), Fu Ling (Poria), Mu Gua (Chaenomeles Fruit), Sheng Bai Shao (Raw White Peony Root)
Right-side lying worsens chest oppression; Yangming Qi has not fully descended. Tonify Earth and direct rebellion downward is appropriate.
Ren Shen (Ginseng Root), Bai Xuan Fu Hua (White Inula Flower), Sheng Bai Shao (Raw White Peony Root), Fu Ling (Poria), Dai Zhe Shi (Haematitum), Nan Zao Rou (Jujube Flesh)
Left-sided pulsation indicates Yin deficiency. With deep penetration of warm pathogens, using purely bitter and descending herbs risks drying and depleting Yin fluids. Propose using sweet, salty, and cold substances.
Xian Sheng Di (Fresh Rehmannia Root), Zhu Ye Xin (Bamboo Leaf Heart), Sheng Gan Cao (Raw Licorice Root), Yuan Shen Xin (Scrophularia Root Heart), Mai Men Dong (Ophiopogon Tuber)
Asthma with phlegm rattle, nostrils blackened. Warm pathogens enter from above, Kidney Essence depletes below. Yin cannot connect with Yang, consciousness becomes increasingly confused; these are signs of collapse. Given the scattered and disorganized right pulse, malar flush at dusk, although Shaoyin is exhausted, follow He Jian's method: clear the Upper Jiao again and nourish the source of transformation.
Shu Di Tan (Charred Prepared Rehmannia Root), Dan Cong Rong (Cistanche Stem), Bai Fu Shen (Poria with Hostwood), Niu Xi Tan (Charred Achyranthes Root), Tian Men Dong (Asparagus Tuber), Shi Chang Pu (Acorus Rhizome)
After fourteen days of warm pathogens, tongue is crimson with thirst, face oily. This indicates water deficiency and heat entering the Ying (Nutritive) level; coma and syncope must be guarded against. Clear pathogens in the blood.
Xian Sheng Di (Fresh Rehmannia Root), Zhi Mu (Anemarrhena Rhizome), Sheng Bai Shao (Raw White Peony Root), Zhu Ye Xin (Bamboo Leaf Heart), Mai Dong (Ophiopogon Tuber), Dan Pi (Moutan Cortex)
Winter warmth, Qi-heat penetrates deeply into Shaoyin. Tongue red, heart yellow, tidal fever without thirst. The main principle is to preserve Yin, preventing confusion.
Xian Sheng Di (Fresh Rehmannia Root), Zhi Mu (Anemarrhena Rhizome), Sheng Bai Shao (Raw White Peony Root), Zhu Ye Xin (Bamboo Leaf Heart), Mai Dong (Ophiopogon Tuber), Dan Pi (Moutan Cortex)
Winter warmth, rapid pulse, red tongue, thirst worse in evening, water deficiency with heat invading Yin aspects.
Xing Ren (Apricot Seed), Chi Shao (Red Peony Root), Hua Fen (Trichosanthes Root), Hei Zhi (Black Gardenia Fruit), Jie Geng (Platycodon Root), Lian Qiao (Forsythia Fruit), Guang Pi (Tangerine Peel)
Warm pathogens enter the Lung, upper lip swells. Initially, disease is in the Qi level; treat with light bitter-pungent-cold agents. Do not affect the Middle and Lower Jiao.
Bo He (Mint Herb), Lian Qiao (Forsythia Fruit), Xing Ren (Apricot Seed), Niu Bang (Arctium Fruit), Hei Zhi Pi (Black Gardenia Peel), Sheng Shi Gao (Raw Gypsum Fibrosum)
Warm pathogens enter from above, Lung Qi and Spleen obstruction cause severe whole-body skin pain, profuse sweating, inability to sit or lie down, thirst with desire to drink, incessant dry retching. Previously, warm pathogens transformed into heat. Following the example of Ying-Wei pathogen stagnation, use Zhang Zhongjing's Yue Bi Tang (Yue Bi Decoction) method.
Xing Ren (Apricot Seed), Gui Zhi Mu (Cinnamon Twig Wood), Fu Ling (Poria), Chao Ban Xia (Fired Pinellia Tuber), Sheng Shi Gao (Raw Gypsum Fibrosum)
Cun (Inch) position pulses, rebellious cough, bone pain worse in evening. Warm pathogens enter Lung, Ying-Wei disharmony. Clear heat from Qi level, assist in unblocking Ying level.
Gui Zhi Bai Hu Tang (Cinnamon Twig and White Tiger Decoction)
Winter warmth heat penetrates, scorching sinews and bones. This differs from wind-cold attacking sinews/bones which requires sweating. Generate fluids and clear heat; warm pathogens will resolve spontaneously.
Gui Zhi Mu (Cinnamon Twig Wood), Zhi Mu (Anemarrhena Rhizome), Xing Ren (Apricot Seed), Hua Fen (Trichosanthes Root), Hua Shi (Talcum), Gan Cao (Licorice Root)
Winter warmth latent pathogen, first cold extremities then fever. Deep heat emerges from interior, sweating with irritability. Rescue Stomach fluids.
Zhu Ye Xin (Bamboo Leaf Heart), Wu Mei Rou (Mume Fruit Flesh), Chuan Shi Hu (Dendrobium Stem), Mai Men Dong (Ophiopogon Tuber), Sheng Gan Cao (Raw Licorice Root), Sheng Gu Ya (Raw Sprouted Grain).
Visceral Truth is deficient below, Yang floats upward with rebellion. Stomach intake is low, no hunger, swollen gum roots, numbness at vertex. Prone to depression, sudden warm tonification is difficult. Moreover, winter warmth is a time when storage is weak and heat easily enters. Tentatively prescribe light salty-bitter agents to soften knots and regulate ascending/descending. Allow Jueyin and Yangming to harmonize slightly, discuss adjustments later.
Huang Qin (Scutellaria Root), Chuan Shi Hu (Dendrobium Stem), Gua Lou Pi (Trichosanthes Peel), Mu Li (Oyster Shell), Mu Gua (Chaenomeles Fruit), Shan Zha (Hawthorn Fruit)
Yin-deficient constitution, compounded by labor and running, injures Yang. Red tongue edges, yellow center, dry throat, distended abdomen. Heat inside, pulse Qi knotted, Stomach fails to descend. Advance with resolving depression and clearing dryness.
Xing Ren (Apricot Seed), Chao Huang Zhu Ru (Fired Bamboo Shavings), Gua Lou Ren (Trichosanthes Seed), Zi Wan (Aster Root), Jin Shi Hu (Dendrobium Stem), Guang Pi Bai (Tangerine Peel White)
Excessive belching releases Qi, losing the function of Winter storage. Post-illness fatigue, cough with blood, advanced age with excess above and deficiency below, similar to winter warmth external pathogen. No rationale for pungent dispersion. Sweet-cool moistening agents are suitable to avoid harming the Stomach.
Sang Ye (Mulberry Leaf), Xing Ren (Apricot Seed), Hei Zhi (Black Gardenia Fruit), Yu Zhu (Polygonatum Rhizome), Bai Sha Shen (Glehnia Root), Xiang Bei (Fritillaria Thunbergii Bulb)
Winter warmth disease arises because righteous Qi cannot secure storage, heat erupts from within. Dry gums, tongue, lips, reddening eyes, oily face, slurred speech, breathing resembling asthma. Pathogen lies hidden in Shaoyin, disease manifests affecting all three Jiao. Zhang Zhongjing stated: "Fever with thirst is Warm Disease," clearly instructing later generations: exterior cold constraint causes no thirst, internal heat eruption必然 causes thirst. Treatment method focuses on clearing heat and preserving Yin, preventing pathogens from burning and depleting fluids, leading to convulsions, spasm, syncope, delirium, etc. Thus Zhang Zhongjing reiterated treatment principles: if one mistake prolongs the illness, two mistakes hasten death. Sweating and purging are contraindicated, as are warm needle therapies. If unresolved after nine days, propose clearing heat above the diaphragm.
Zhu Ye (Bamboo Leaf), Xing Ren (Apricot Seed), Hua Fen (Trichosanthes Root), Dan Huang Qin (Mild Scutellaria Root), Lian Qiao (Forsythia Fruit), Ju Hong (Tangerine Red Peel), Hua Shi (Talcum), Yu Jin Zhi (Curcuma Juice)