雷公真君曰∶伤寒两感，隔经相传，每每杀人。如第一日宜在太阳，第二日宜在阳明，第
三日宜在少阳，第四日宜在太阴，第五日宜在少阴，第六日宜在厥阴，此顺经传也。今第一日太阳即
传阳明，第二日阳明即传少阳，第三日少阳即传太阴，第四日太阴即传少阴，第五日少阴即传厥阴，
此过经传也。更有第一日太阳即传少阳，第二日阳明即传太阴。第三日少阳即传少阴，第四日太阴即
传厥阴，此隔经传也。第一日太阳即传少阴，第二日阳明即传太阴，第三日少阳即传厥阴，此两
感传也，顺传者，原有生机，至七日而病自愈过传者，有生有死矣。隔传者，死多于生矣。两感而传者，
三日水浆不入，不知人即死。虽仲景张公立门原有治法、然亦止可救其不死者、而不能将死者而重生
之也。我今悯世人之枉死，特传二方，一救过经传之伤寒，一救隔经传之伤寒。过经传方，名救过起死
汤。麻黄一钱，柴胡一钱，浓朴一钱。石膏五钱，知母一钱，青蒿五钱，半夏一钱，黄芩一钱，茯
苓五钱，炒栀子五分，当归三钱，水煎服。一剂即生。盖过经之传，必然变症纷纭，断非初起之一二
日也。所以方中不用桂枝以散太阳之邪，止用麻黄以散其表。伤寒至三四日，内热必甚，故以石膏、知
母为君，以泻阳明之火邪。阳明火─退，而厥阴之木不舒，则木以生火，邪退者复聚，故又用青蒿、柴
胡、栀子以凉散之，木不自焚，而各经之邪不攻自
散。况又有茯苓之重用，健脾行湿，引火下行，尽从膀胱而出之乎。且黄芩以清肺，浓朴以逐
秽，半夏以清痰，又用之咸宜，五脏无非生气矣。所以不必问其日数，但见有过经之传者，即以此方
投之，无不庆更生也。
隔经传方，名救隔起死汤。人参五钱，石膏五钱，知母一钱，青蒿一两，柴胡二钱，白芍三
钱，半夏一钱，炒栀子三钱，甘草一钱，水煎服。隔经之传，必至三日而症乃明，虽已过阳明，而余
火未散，故少阴之火助其焰，少阳之火失其权，若不仍用石膏、知母，则阳明之火势不退，而少阴之
火势不息也，故必须用此二味为主。然徒用二味，而太阴脾土不急为救援，则火极凌亢，何以存其生
气，故又用人参以助生气。但生气既存，而厥阴受邪，则木气干燥，势必克太阴之脾土，仅存之生气，
又安能保乎。故又用柴、芍、栀、蒿，以凉散其木中之邪。木之邪散，则木气得养，自然不去克土，
而太阴之气生。太阴土有生气，贝阳明之火必消归无有矣，又何至焚烧，自灭其少阴之脏哉。况方中
半夏清痰，甘草和中，又用之无不宜乎。起死为生，实非虚语。故一见有隔经之传，即以此方投之，
必能转败为功也。或疑青蒿用之太多，不知青蒿不独泻肝木之火，尤能泻阳明之焰，且性静而不动，
更能补阴。火旺之时。补阴重药又不敢用，惟青蒿借其攻中能补，同人参兼用，实能生阴阳之气于
无何有之乡。若但用人参，止生阳气，而不能生阴气矣。阴生则阳火无权，制伏之道，实非世
人所能测也。
其两感传者，近岐天师已传四方，可以救死，予不必再传。远公固请奇方以救世。我于第三日
少阳与厥阴两感，水浆不入，不知人者，再传一方，以佐天师之未逮。方名救脏汤。人参一两，麦冬
三两，当归一两，天花粉三钱，元参二
两，白芍二两，荆芥二钱，水煎服。余方多当归者，助肝胆以生血也。多加麦冬者、救肺气之
绝，以制肝胆之木，使火不旺而血易生，而后胃气有养，脏腑可救其坏也。与天师方，大同
小异，各有妙用。伤寒发狂，至登高而歌，弃衣而走，见水而入，骂詈呼号，不避亲疏者，去生远
矣。仲景以竹叶石膏汤救之，妙矣。盖阳明之火，其势最烈，一发而不可救，非用大剂白虎汤，
何能止其燎原之势。而世人畏首畏尾，往往用之而特小其剂，是犹杯水救车薪之焰也，故用石膏必须
至三四两，或半斤，一剂煎服，火势始能少退，狂亦可少止也，然石膏性猛，虽善退火，未免损伤
胃气，必须与人参兼用为妙。我今传一方，用白虎汤之半，而另加药味，方名祛热生胃汤。石膏三两，
知母三钱，人参五钱，元参三两，茯苓一两，麦冬三两，车前子五钱，水煎服、此方石膏、知母以
泻胃火、人参以生胃气，元参去浮游之焰，麦冬生肺中之阴，茯苓、车前引火下行于膀胱，从小便而
出，且火盛者，口必渴，口渴必多饮水，吾用此二味以分湿，则水流而火自随水而散矣。方中泻火又
不伤气，似胜于白虎汤。一剂而狂定，二剂而口渴减半，三剂而口渴止，火亦息，正不必用四剂
也。凡有火热而发狂，或汗如雨下，口渴舌燥。或如芒刺者，以此方投之立救，断不至于死也。
伤寒发斑，死症也。然而斑亦有不同，有遍身发斑者，有止心窝内发斑者。遍身发斑，症似重而
反轻，心窝发斑，症似轻而转重。盖遍身发斑，内热已尽发于外；心窝发斑，热存于心中而不得
出，必须用化斑之药，以解其热毒之在中也。我有一方最神，名起斑汤。升麻二钱，当归一两，元参
三两，荆芥三钱，黄连三钱，天花粉五钱，甘草一钱，茯神
三钱，水煎服。火毒结于内，必须尽情发出，然内无血以养心，则心中更热，火毒益炽，而不能外
越也。故用当归、元参以滋心中之血，用黄连以凉心中之火，天花粉以消心中之痰。然而无开关
之散，则火藏于内而不得泄，故又用升麻、荆芥以发之，甘草、茯神以和之，自然引火出外而不
内蓄矣。火既外越，斑亦渐消，又何至于丧命哉∶
伤寒太阳症，结胸症具，烦躁者主死。言不可下，即下而亦死也。夫结胸而加烦躁，此胃气之
将绝也。胃气欲绝，津液何生，津液既无，心何所养，故结胸而又烦躁，所以症或不可治也。虽然津液
之竭非五脏之自绝，亦因结胸之故耳。是必攻其中坚。使结胸症愈而津液自生，死症可望重苏也。
我今传一奇方，名化结汤。天花粉五钱，枳壳一钱，陈皮五分，麦芽三钱，天门冬三钱，桑白皮
三钱，神曲三钱，水煎服。一剂即结胸开，而津液自生也。此方用天花粉以代瓜蒌，不至陷胸之过
猛。然而天花粉即瓜蒌之根也，最善陷胸，而无性猛之忧。枳壳消食宽中；麦芽与桑白皮同用，而
化导更速；神曲，陈皮调胃，实有神功；天门冬善生津液，佐天花粉有水乳之合，世人未知也。天花
粉得天门冬，化痰化食，殊有不可测识之效。所以既结者能开，必死者可活。若以大陷胸汤荡涤之于
已汗已下之后，鲜不速其死矣。
伤寒有脏结之症，载在太阳经中，其实脏结非太阳经病也，然则仲景载在太阳经者何故。正辨太阳经
有似脏结之一症，不可用攻，故载之以辨明也。脏结之症，小腹之内与两脐之旁，相连牵痛，以至前阴之
筋亦痛，重者有筋青而死者，此乃阴邪而结于阴地也。原无表证，如何可作表治，必须攻里为得。我
有一方，专补其阴中之虚，而少佐之祛寒之味，则阴邪自散，而死症可生，方名散结救脏汤。人参
一两，白
术五钱，甘草一钱，附子一钱，当归一两，肉桂五分，水煎服。白术利腰脐之气，人参救元阳之
绝，当归活周身之血，血活而腰脐之气更利也，甘草和中以定痛，附、桂散寒以祛邪、脏中既温，结
者自解矣。用攻于补之内，祛寒于补之中，其奏功为独异耳。
伤寒阳明症中，有直视谵语喘满者死，而下利者亦死之文。此必症犯直视谵语，而又喘满下
利，一齐同见也。苟有一症未兼，尚不宜死。倘三症皆见，明是死证矣。虽然直视谵语之生，多是胃
火之盛，自焚其心，而肾水不能来济，于是火愈盛而无制。喘满者，火炎而气欲上脱也∶下利者，火
降而气欲下脱也。此犹欲脱未脱之危症，苟治之得法，犹可望生。吾有奇方，名曰援脱散。石膏五
钱，人参一两，麦冬一两，白芍一两，竹茹三钱∶水煎服。此方用人参以救脱，肜石膏以平火，用麦冬
以平喘，白芍以止利，用竹茹以清心，自然气不绝而可救也。
伤寒坏症，乃已汗、已吐、已下，而身仍热如火，此不解之症也。其时自然各死症纷见矣，我用何法
以生之乎。夫已汗而不解者，乃不宜汗而汗之；已吐而不解者，乃不宜吐而吐之；已下而不解者，乃不宜
下而下之也。于不宜汗而救其失汗，于不宜吐而救其失吐，于不宜下而救其失下，固是生之之法，然而终
无一定之法也。我今特传奇方，于三者之失而统救之，名救坏汤。人参五钱，茯苓五钱，柴胡一钱，
白芍一两、元参五钱，麦冬五钱，白芥子二钱，当归五钱，陈皮五分，水煎服。此方妙在全不去救失吐、
失汗、失下之症，反用参、苓、归、芍大补之剂，少加柴胡以和解之，自能退火而生胃气。倘鉴其失吐
而重吐之，失汗而重汗之，失下而重下之，孱弱之驱，何能胜如是之摧残哉，必死而已矣。
故必用吾方，而后死者可生也。
伤寒少阴症，恶寒身蜷而下利，手足逆冷，不治之病也。盖阴盛无阳，腹中无非寒气，阳已将
绝，而又下利不止，则阳随利而出，不死何待。虽然阳气将绝，终非已绝也。急用补阳气之药，挽回
于无何有之乡，则将绝者不绝。方用人参二两，附子二钱，甘草二钱，干姜二钱，白术一两。茯苓
五钱，水煎服。方名救逆止利汤。一剂而逆回，二剂而利止，三剂全愈矣。此方用人参、附子，回元
阳于顷刻，以追其散失，祛其阴寒之气，用白术，茯苓以分消水湿，而仍固其元阳；用甘草、干姜调
和腹中，而使之内热，则外寒不祛而自散，又何有余邪之伏莽哉。自然寒者不寒，而蜷者不蜷；
逆者不逆，而利者不利也。寒蜷逆利之尽去，安得而不生乎。
伤寒少阴症，吐利兼作，又加烦闷，手足四逆者，死病也。上吐下泻，且兼烦躁，则阴阳扰乱，拂
抑而无生气可知。况加手足四肢之逆冷，是脾胃之气又将绝也，自是死症无疑。然而治之于早、未尝不
可救。如一见此等症，急以人参二两，白术二两，肉桂二钱，丁香二钱灌之，尚可救耳。方名止逆
奠安汤。人参救元阳之绝，原有奇功；白术救脾胃之崩，实有至效；丁香止呕，肉桂温中又能止泻。
救中土之危亡，奠上下之变乱。转生机于顷刻，杜死祸于须臾，舍此方又何有别方哉。
伤寒少阴症，下利虽止，而头眩昏晕，亦是死症。盖阳虽回而阴已绝，下多亡阴，竟至阴绝，原
无救法。虽然阴阳之道、未尝不两相根而两相生也，今因阴绝而诸阳之上聚于
头者，纷然乱动，所以眩冒，阳欲脱而未脱。夫阳既未绝，补其阳而阳气生，阳生则阴之绝者可以
重续，阴生于阳之中也。方用参桂汤∶人参二两，肉桂二钱，煎服可救。人参返阳气于无何有之
乡，是止能返阳气也，如何阴绝者亦能回之？不知人参虽属阳而中存阴气，阳居其八，阴居其二，
阳既回矣，阴气亦从之而渐返，肉桂虽是纯阳之品，而性走肝肾，仍是补阴之圣药，故用之而
成功也。
伤寒少阴症，四逆，恶寒身蜷，脉不至，不烦而躁，本是死症，而吾以为可救者何？全在脉不至，
不烦而躁也。夫病至四肢之逆，其阴阳之将绝可知；脉之不至，未必非寒极而伏也，不然阳绝则心
宜烦矣，而何以不烦。但嫌其不烦而躁，则阳未绝而将绝，为可畏耳。阳既欲绝，则阴亦随之而
绝矣。故一补其阳，阳回而阴亦回矣。阴阳之道，有一线未绝，俱为可救。譬如得余火之星星。引之可
以焚林，况真阴真阳非有形之水火也，乃先天之气耳，一得接续，便有生机。故一见此等之症，急以
生生汤救之。可以重生。方用人参三两，附子三钱，炒枣仁五钱，水煎服。此方得人参以回其阴
阳，得附子以祛其寒逆，加枣仁以安心，则心定而躁可去，躁定而脉自出矣。死中求生，其在斯
方乎。
伤寒少阴病，六七日息高者死。息高见于六七日之间，明是少阴之症，而非太阳之症也。息高与
气喘大殊，太阳之症乃气喘，气喘本于邪盛；少阴之症乃息高，息高本于气虚。而息高与气喘，终何以
辨之？气喘者，鼻息粗大；息高者，鼻息微小耳。此乃下元之真气，欲绝而未绝，牵连气海之间，
故上行而作气急之状，能上而不能下也，最危最急之候。方用止息汤∶人参三两，熟地三两，牛
膝三钱，麦冬二两，破故纸三钱，胡桃仁一个，干姜五分，水煎服。此方大补关元
气海，复引火之下行，绝不去祛寒逐邪，庶几气可回，而息高者可平也。倘疑是太阳喘症，而妄
用桂枝汤，杀人于顷刻矣。故必用止息汤救之，十人中亦可望生五六人。然必须多服久服始得，
苟或服一剂而辄止，亦未能收功者，又不可不知。
伤寒少阴病，脉微沉细，但欲卧，汗出，不烦，自欲呕吐，至五六日自利，复烦躁，不能卧
寐者，死症也。伤寒而脉微沉细，明是阴症，况欲卧而不欲动乎。汗已出矣，内无阳症可知。心中
不烦，时欲呕吐，此阳邪已散，而阴邪作崇，急以祛寒为是。乃失此不温，至五六日而下利，是上
雷公真君说：伤寒两感证，以及隔经相传的病情，常常导致死亡。比如第一天病邪应该在太阳经，第二天在阳明经，第三天在少阳经，第四天在太阴经，第五天在少阴经，第六天在厥阴经，这是顺着经络传变。现在第一天太阳经的病邪就传到阳明经，第二天阳明经的病邪就传到少阳经，第三天少阳经的病邪就传到太阴经，第四天太阴经的病邪就传到少阴经，第五天少阴经的病邪就传到厥阴经，这叫过经传变。更有甚者，第一天太阳经的病邪就传到少阳经，第二天阳明经的病邪就传到太阴经，第三天少阳经的病邪就传到少阴经，第四天太阴经的病邪就传到厥阴经，这叫隔经传变。第一天太阳经的病邪就传到少阴经，第二天阳明经的病邪就传到太阴经，第三天少阳经的病邪就传到厥阴经，这叫两感传变。顺经传变的，原本还有生机，到了第七天病自然会好；过经传变的，有生的也有死的；隔经传变的，死的多于活的；两感传变的，如果三天内水浆不进、神志昏迷，就会死亡。虽然张仲景先生设立的门径中原本有治法，但也只能救治那些不会死的病人，而不能让将死之人复活。我如今怜悯世人枉死，特意传授两个方子，一个救治过经传变的伤寒，一个救治隔经传变的伤寒。救治过经传变的方子，名叫救过起死汤。麻黄一钱，柴胡一钱，厚朴一钱，石膏五钱，知母一钱，青蒿五钱，半夏一钱，黄芩一钱，茯苓五钱，炒栀子五分，当归三钱，用水煎服。服用一剂就能起死回生。因为过经传变的伤寒，必然症状纷繁复杂，肯定不是初起的一两天了。所以方中不用桂枝来疏散太阳经的邪气，只用麻黄来发散表邪。伤寒到了三四天，内热一定很盛，所以用石膏、知母作为主药，以清泻阳明经的火邪。阳明经的火气一退，厥阴经的木气就不会郁结不舒，那么木气就不会助长火势，邪气消退后也不会重新聚集，所以又用青蒿、柴胡、栀子来清凉散邪，使木气不自我焚烧，各条经络的邪气不攻自散。况且又有重用茯苓，健脾祛湿，引火下行，全部从膀胱排出。而且黄芩清肺，厚朴祛除秽浊，半夏清除痰饮，这些都用得非常适宜，五脏都充满了生气。所以不必问发病的天数，只要见到有过经传变的情况，就用这个方子投药，没有不能庆幸重生的。
救治隔经传变的方子，名叫救隔起死汤。人参五钱，石膏五钱，知母一钱，青蒿一两，柴胡二钱，白芍三钱，半夏一钱，炒栀子三钱，甘草一钱，用水煎服。隔经传变的伤寒，必须到第三天症状才明朗，虽然已经过了阳明经的阶段，但余热未散，所以少阴经的火气助长了火势，少阳经的火气失去了制约，如果不继续使用石膏、知母，那么阳明经的火势不退，少阴经的火势也不息，所以必须用这两味药作为主药。然而如果只用这两味药，而太阴脾土不及时救援，那么火气极盛凌亢，怎么能保存生气呢？所以又用人参来辅助生气。但是生气既然存在，而厥阴经受邪，那么木气就会干燥，势必会克制太阴脾土，仅存的生气，又怎么能保住呢？所以又用柴胡、白芍、栀子、青蒿，来清凉散除木中的邪气。木中的邪气散去，木气得到滋养，自然不去克制脾土，太阴经的气机就能生发。太阴脾土有了生气，那么阳明经的火气必然会消亡归于无有，又何至于焚烧自己，灭掉少阴脏气呢？况且方中半夏清痰，甘草调和脾胃，使用它们无不适宜。起死回生，确实不是虚言。所以一见到有隔经传变的情况，就用这个方子投药，一定能转败为胜。有人怀疑青蒿用得太多，不知道青蒿不仅能清泻肝木之火，更能清泻阳明经的火焰，而且性质安静而不躁动，更能补益阴液。火旺的时候，其他补阴的重药不敢用，只有青蒿借其攻邪中能补益的特性，同人参一起使用，实在能在虚无之中生出阴阳之气。如果只用人参，只能生阳气，而不能生阴气。阴气生了，阳火就没有权势，制伏的方法，实在不是世人所能测度的。
至于两感传变的，近处岐天师已经传授了四个方子，可以救治死亡，我不必再传授。远方的人坚决请求奇方来救治世人。我在第三日少阳与厥阴两感，水浆不进、神志昏迷的情况下，再传授一个方子，以补充岐天师方子的不足。方名救脏汤。人参一两，麦冬三两，当归一两，天花粉三钱，玄参二两，白芍二两，荆芥二钱，用水煎服。我的方子多用当归，是为了辅助肝胆生血。多加麦冬，是为了挽救肺气之绝，以制约肝胆的木气，使火不旺盛而血液容易生成，然后胃气得到滋养，脏腑可以挽救其败坏。这与岐天师的方子大同小异，各有妙用。伤寒发狂，以至于登高唱歌，脱衣奔跑，见水就跳进去，骂人呼叫，不顾亲疏远近的，离生还已经很远了。张仲景用竹叶石膏汤来救治，非常巧妙。因为阳明经的火气，气势最猛烈，一旦发作就无法挽救，不用大剂量的白虎汤，怎么能止住这燎原之势？然而世人畏首畏尾，往往用药剂量特别小，这就像用一杯水去救一车柴火的燃烧一样，所以用石膏必须用到三四两，甚至半斤，一剂煎服，火势才能稍微减退，发狂也可以稍微停止。但是石膏药性猛烈，虽然善于退火，未免会损伤胃气，必须与人参一起使用才妙。我现在传授一个方子，用白虎汤的一半剂量，另外加药味，方名祛热生胃汤。石膏三两，知母三钱，人参五钱，玄参三两，茯苓一两，麦冬三两，车前子五钱，用水煎服。这个方子中石膏、知母用来清泻胃火，人参用来生养胃气，玄去除浮游之火焰，麦冬生润肺中之阴，茯苓、车前子引火下行进入膀胱，从小便排出。而且火盛的人，口一定渴，口渴一定多喝水，我用这两味药来分利湿气，那么水流走而火自然随着水散去了。方中泻火又不伤正气，似乎胜过白虎汤。一剂发狂定住，二剂口渴减半，三剂口渴停止，火也熄灭，正不必用到四剂。凡是因火热而发狂，或者汗如雨下，口渴舌燥像有芒刺一样的，用这个方子投药立刻急救，断然不至于死亡。
伤寒发斑，是死症。然而发斑也有不同，有遍身发斑的，有心窝内发斑的。遍身发斑，症状看似严重反而较轻，心窝发斑，症状看似轻微反而转重。因为遍身发斑，内热已经完全发泄于外；心窝发斑，热毒存留于心胸内部而不能发出，必须用化斑的药物，来解除其中的热毒。我有一个最神奇的方子，名叫起斑汤。升麻二钱，当归一两，玄参三两，荆芥三钱，黄连三钱，天花粉五钱，甘草一钱，茯神三钱，用水煎服。火毒结聚在内，必须尽情发出，然而体内如果没有血液来养心，心中会更热，火毒更加炽盛，而不能向外透发。所以用当归、玄参来滋润心中的血液，用黄连来凉心中之火，天花粉来消除心中的痰饮。然而如果没有开窍发散的药，火就藏在里面而不能泄出，所以又用升麻、荆芥来发散它，甘草、茯神来调和它，自然引火外出而不内蓄积。火既向外透发，斑疹也会逐渐消退，又何至于丧命呢？
伤寒太阳经病症，结胸证具备，伴有烦躁的，主死。意思是不可用下法，即使用了下法也是死。结胸加上烦躁，这是胃气将要断绝的表现。胃气欲绝，津液从哪里产生？津液既然没有了，心脏靠什么来滋养？所以结胸而又烦躁，因此症状或许不可治疗。虽然津液的枯竭并非五脏自行断绝，也是因为结胸的缘故。这必须攻逐其中的坚结，使结胸证痊愈而津液自然产生，死症有望复苏。我现在传授一个奇方，名叫化结汤。天花粉五钱，枳壳一钱，陈皮五分，麦芽三钱，天门冬三钱，桑白皮三钱，神曲三钱，用水煎服。一剂就能使结胸打开，津液自然产生。这个方子用天花粉代替瓜蒌，不至于陷胸的作用过于猛烈。然而天花粉就是瓜蒌的根，最善于陷胸，而没有药性猛烈的担忧。枳壳消食宽中；麦芽与桑白皮同用，化导更快；神曲、陈皮调理脾胃，确有神奇功效；天门冬善于生津液，佐助天花粉有水乳交融的配合，世人不知道这一点。天花粉得天门冬相助，化痰化食，殊有不可预测的效果。所以已经结聚的能开通，必死的可活。如果用大陷胸汤在已经发汗、已经攻下之后荡涤，很少有不加速死亡的。
伤寒有脏结的症状，记载在太阳经中，其实脏结不是太阳经的病，那么张仲景为什么记载在太阳经呢？正是为了辨别太阳经中有类似脏结的一个症状，不可用攻下法，所以记载下来以辨明。脏结的症状，小腹之内与两侧肚脐旁边，相连牵引疼痛，以至于前阴的筋脉也痛，严重的有筋脉发青而死亡的，这是阴邪结聚在阴位。原本没有表证，怎么能按表证治疗？必须攻里才对。我有一个方子，专门补益阴中的虚损，稍加祛寒的药味，那么阴邪自然消散，死症可生，方名散结救脏汤。人参一两，白术五钱，甘草一钱，附子一钱，当归一两，肉桂五分，用水煎服。白术利腰脐之气，人参挽救元阳之绝，当归活血周身，血活了腰脐之气更利，甘草调和脾胃以止痛，附子、肉桂散寒以祛邪，脏中既然温暖，结聚的自然解开了。在补益中用攻法，在补益中祛寒，其奏效独特。
伤寒阳明经病症中，有直视谵语、喘满的会死，而下利的也会死的条文。这一定是症状同时出现直视谵语，并且喘满下利，一齐显现。如果有一个症状没有兼见，尚且不宜判定为死症。倘若三个症状都见到，明显是死证了。虽然直视谵语的生机，多是胃火旺盛，自焚其心，而肾水不能来济助，于是火更盛而无制约。喘满，是火炎上而气欲上脱；下利，是火降下而气欲下脱。这还是欲脱未脱的危重症，如果治疗得法，还可以希望生存。我有奇方，名叫援脱散。石膏五钱，人参一两，麦冬一两，白芍一两，竹茹三钱，用水煎服。这个方子用人参来救脱，用石膏来平火，用麦冬来平喘，白芍来止利，用竹茹来清心，自然气不绝而可救。
伤寒坏症，是已经发汗、已经催吐、已经攻下，而身体仍然热如火，这是不解的病症。此时自然各种死症纷纷出现了，我用什么方法来救活他呢？已经发汗而不解的，是不该发汗而发了汗；已经催吐而不解的，是不该催吐而催了吐；已经攻下而不解的，是不该攻下而攻了下。对于不该发汗而补救其误汗，对于不该催吐而补救其误吐，对于不该攻下而补救其误下，固然是救活的方法，然而终究没有固定的方法。我现在特意传授奇方，对这三者的失误统一救治，名叫救坏汤。人参五钱，茯苓五钱，柴胡一钱，白芍一两，玄参五钱，麦冬五钱，白芥子二钱，当归五钱，陈皮五分，用水煎服。这个方子妙在全不去救治误吐、误汗、误下的症状，反而用人参、茯苓、当归、白芍大补，稍加柴胡来和解，自然能退火而生胃气。如果鉴于是误吐而再次催吐，误汗而再次发汗，误下而再次攻下，虚弱的身躯，怎么能承受这样的摧残呢？必定死亡而已。所以必须用我的方子，而后死者可生。
伤寒少阴病症，恶寒身体蜷缩而下利，手足逆冷，是不治之病。因为阴盛无阳，腹中无非寒气，阳气即将断绝，而又下利不止，那么阳气随利而出，不死还等什么。虽然阳气将绝，终非已经断绝。急用补阳气的药，在虚无之中挽回，那么将绝的就不绝。方用人参二两，附子二钱，甘草二钱，干姜二钱，白术一两，茯苓五钱，用水煎服。方名救逆止利汤。一剂手足回暖，二剂下利停止，三剂全愈。这个方子用人参、附子，顷刻间挽回元阳，以追回散失的阳气，祛除阴寒之气，用白术、茯苓来分消水湿，从而稳固元阳；用甘草、干姜调和腹中，使内部发热，那么外部寒邪不祛而自散，又何有余邪潜伏呢？自然寒冷者不冷，蜷缩者不蜷；逆冷者不逆，下利者不利。寒蜷逆利完全去除，怎么能不活呢？
伤寒少阴病症，吐利并作，又加烦闷，手足四肢逆冷的，是死病。上吐下泻，且兼烦躁，则阴阳扰乱，压抑而无生气可知。何况加上手足四肢逆冷，这是脾胃之气又将断绝，自然是死症无疑。然而如果在早期治疗，未尝不可以救。如一见这种症状，急用人参二两，白术二两，肉桂二钱，丁香二钱灌服，还可以救活。方名止逆奠安汤。人参挽救元阳之绝，原有奇功；白术挽救脾胃之崩，实有至效；丁香止呕，肉桂温中又能止泻。救治中土的危亡，安定上下之变乱。转生机于顷刻，杜绝死祸于须臾，除了这个方子又有什么别的方子呢？
伤寒少阴病症，下利虽然停止，但头眩昏晕，也是死症。因为阳气虽回而阴已绝，下利多亡阴，竟至阴绝，原本无救法。虽然阴阳之道，未尝不是相互根本、相互滋生。现在因为阴绝，诸阳之气汇聚于头部，纷然乱动，所以眩晕冒昧，阳气欲脱而未脱。既然阳气未绝，补其阳而阳气生，阳生则阴之绝者可以重新接续，阴生于阳之中。方用参桂汤：人参二两，肉桂二钱，煎服可救。人参把阳气返还于虚无之中，只是能返阳气，怎么阴绝者也能挽回？不知道人参虽属阳而中存阴气，阳占八分，阴占二分，阳既回来了，阴气也从之而渐渐返回，肉桂虽是纯阳之品，而性走肝肾，仍是补阴的圣药，所以用它而成功。
伤寒少阴病症，四肢逆冷，恶寒身体蜷缩，脉不至，不烦而躁，本是死症，而我认为是可救的，为什么呢？全在于脉不至，不烦而躁。病到四肢逆冷，其阴阳将绝可知；脉不至，未必不是寒极而伏藏，不然阳绝则心应该烦了，为什么却不烦？只嫌其不烦而躁，则阳未绝而将绝，令人畏惧。阳气既欲绝，阴也随之而绝。所以一补其阳，阳回而阴也回。阴阳之道，有一线未绝，俱为可救。譬如得到余火的星星，引导它可以烧毁森林，何况真阴真阳不是有形的水火，乃是先天之气，一旦得以接续，便有生机。所以一见这种症状，急用生生汤救治，可以重生。方用人参三两，附子三钱，炒枣仁五钱，用水煎服。这个方子得人参来回其阴阳，得附子来祛其寒逆，加枣仁来安心，则心定而躁可去，躁定而脉自出。死中求生，大概就在这方子吧？
伤寒少阴病，六七天呼吸抬肩高出的会死。息高见于六七天之间，明显是少阴病症，而非太阳病症。息高与气喘大不相同，太阳病症乃气喘，气喘本于邪盛；少阴病症乃息高，息高本于气虚。而息高与气喘，最终如何辨别？气喘，鼻息粗大；息高，鼻息微小。这是下元的真气，欲绝而未绝，牵连气海之间，所以上行而作气急之状，能上而不能下，是最危最急的征候。方用止息汤：人参三两，熟地三两，牛膝三钱，麦冬二两，破故纸三钱，胡桃仁一个，干姜五分，用水煎服。这个方子大补关元气海，复引火之下行，绝不去祛寒逐邪，庶几气可回，而息高者可平。如果怀疑是太阳气喘症，而妄用桂枝汤，杀人于顷刻。所以必须用止息汤救治，十人中也可望生五六人。然而必须多服久服才行，如果服一剂就停止，也不能收效，又不可不知道。
伤寒少阴病，脉微沉细，只想睡觉，出汗，不烦，自己想呕吐，到了五六天自利，又烦躁，不能卧寐的，是死症。伤寒而脉微沉细，明显是阴症，何况想睡而不想动。汗已出了，内无阳症可知。心中不烦，时欲呕吐，此阳邪已散，而阴邪作祟，急以祛寒为是。乃失此不温，至五六日而下利，是上
Master Leigong said: In the case of "Liang Gan" (simultaneous contraction of two meridians in cold damage), and when the pathogen transmits across meridians, death often occurs. For instance, on the first day, the pathogen should be in the Taiyang meridian; on the second day, in the Yangming meridian; on the third day, in the Shaoyang meridian; on the fourth day, in the Taiyin meridian; on the fifth day, in the Shaoyin meridian; and on the sixth day, in the Jueyin meridian. This is called sequential transmission along the meridians. However, if on the first day the Taiyang pathogen immediately transmits to the Yangming meridian, on the second day the Yangming pathogen transmits to the Shaoyang meridian, on the third day the Shaoyang pathogen transmits to the Taiyin meridian, on the fourth day the Taiyin pathogen transmits to the Shaoyin meridian, and on the fifth day the Shaoyin pathogen transmits to the Jueyin meridian, this is called "Guo Jing Chuan" (transmission beyond the proper sequence). Even more severely, if on the first day the Taiyang pathogen transmits to the Shaoyang meridian, on the second day the Yangming pathogen transmits to the Taiyin meridian, on the third day the Shaoyang pathogen transmits to the Shaoyin meridian, and on the fourth day the Taiyin pathogen transmits to the Jueyin meridian, this is called "Ge Jing Chuan" (transmission skipping meridians). If on the first day the Taiyang pathogen transmits to the Shaoyin meridian, on the second day the Yangming pathogen transmits to the Taiyin meridian, and on the third day the Shaoyang pathogen transmits to the Jueyin meridian, this is called "Liang Gan Chuan" (transmission in Liang Gan syndrome). Sequential transmission originally retains vitality, and the illness will heal spontaneously by the seventh day. Transmission beyond the sequence has both survival and mortality rates. Skipping-meridian transmission has more deaths than survivals. In Liang Gan transmission, if the patient cannot take food or fluids for three days and loses consciousness, death ensues. Although Zhang Zhongjing established treatment methods in his classic works, these can only save those who are not destined to die, but cannot resurrect the dying. Out of pity for people dying in vain, I specially transmit two formulas: one to treat Cold Damage with transmission beyond the sequence, and one to treat Cold Damage with skipping-meridian transmission. The formula for transmission beyond the sequence is named Jiuguo Qisi Tang (Rescue from Sequence-Beyond Revival Decoction). Ephedrae Herba (Mahuang) 1 qian, Bupleuri Radix (Chaihu) 1 qian, Magnoliae Officinalis Cortex (Houpo) 1 qian, Gypsum Fibrosum (Shigao) 5 qian, Anemarrhenae Rhizoma (Zhimu) 1 qian, Artemisiae Annuae Herba (Qinghao) 5 qian, Pinelliae Tuber (Banxia) 1 qian, Scutellariae Radix (Huangqin) 1 qian, Poria (Fuling) 5 qian, Gardeniae Fructus (Chao Zhizi) 5 fen, Angelicae Sinensis Radix (Danggui) 3 qian. Decoct in water and take orally. One dose brings life back. Because transmission beyond the sequence inevitably leads to complex symptoms, it is certainly not in the initial one or two days. Therefore, Cinnamon Twig Decoction ingredients like Guizhi are not used to disperse Taiyang pathogens; instead, only Mahuang is used to disperse exterior pathogens. By the third or fourth day of Cold Damage, internal heat must be severe, so Shigao and Zhimu are used as sovereign drugs to purge Fire-Evil in the Yangming meridian. Once Yangming fire recedes, Jueyin Wood Qi will not stagnate, preventing Wood from generating Fire and stopping pathogens from re-aggregating after receding. Thus, Qinghao, Chaihu, and Zhizi are added to cool and disperse, ensuring Wood does not self-combust and pathogens in all meridians dissipate spontaneously. Moreover, heavy use of Fuling strengthens the Spleen, moves dampness, and guides Fire downward to exit via the Bladder. Huangqin clears the Lungs, Houpo expels turbidity, and Banxia clears phlegm; all are appropriately used, filling the five Zang organs with vital Qi. Therefore, one need not ask about the number of days; simply seeing signs of transmission beyond the sequence, administer this formula, and recovery is assured.
The formula for skipping-meridian transmission is named Jiuge Qisi Tang (Rescue from Skipping-Meridian Revival Decoction). Ginseng Radix et Rhizoma (Renshen) 5 qian, Gypsum Fibrosum (Shigao) 5 qian, Anemarrhenae Rhizoma (Zhimu) 1 qian, Artemisiae Annuae Herba (Qinghao) 1 liang, Bupleuri Radix (Chaihu) 2 qian, Paeoniae Radix Alba (Baishao) 3 qian, Pinelliae Tuber (Banxia) 1 qian, Gardeniae Fructus (Chao Zhizi) 3 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian. Decoct in water and take orally. Skipping-meridian transmission becomes clear only by the third day. Although past the Yangming stage, residual fire remains, causing Shaoyin Fire to fuel the flames and Shaoyang Fire to lose control. Without continuing to use Shigao and Zhimu, Yangming fire will not recede and Shaoyin fire will not cease; thus, these two must be primary. However, using only them without rescuing the Taiyin Spleen Earth allows extreme Fire to overwhelm, destroying vital Qi. Hence, Renshen is added to assist vital Qi. But if vital Qi exists while Jueyin is invaded, Wood Qi dries up and attacks Taiyin Spleen Earth, endangering the remaining vital Qi. Therefore, Chaihu, Baishao, Zhizi, and Qinghao are used to cool and disperse Wood pathogens. Once Wood pathogens disperse, Wood Qi is nourished and stops attacking Earth, allowing Taiyin Qi to generate. With Taiyin Earth having vital Qi, Yangming Fire must vanish, preventing it from burning out the Shaoyin organ. Additionally, Banxia clears phlegm and Gancao harmonizes the Middle Jiao, making their use appropriate. Reviving the dead is no empty talk. Upon seeing skipping-meridian transmission, administer this formula to turn defeat into victory. Some doubt the large dose of Qinghao, not knowing it clears Liver Wood fire and Yangming flames, acts calmly without agitation, and tonifies Yin. When Fire is rampant, other heavy Yin-tonics are avoided; Qinghao, combining attack with tonification alongside Renshen, generates Yin and Yang Qi from nothing. Using only Renshen generates Yang Qi but not Yin Qi. When Yin generates, Yang Fire loses power; this method of restraint is beyond worldly understanding.
For Liang Gan transmission, Master Qi has already transmitted four formulas that can save lives, so I need not repeat them. Due to persistent requests from distant scholars for miraculous formulas to save the world, regarding Liang Gan of Shaoyang and Jueyin on the third day where patients cannot take fluids and lose consciousness, I transmit one more formula to supplement Master Qi’s work. Named Zang Tang (Organ Rescue Decoction): Ginseng Radix et Rhizoma (Renshen) 1 liang, Ophiopogonis Tuber (Maidong) 3 liang, Angelicae Sinensis Radix (Danggui) 1 liang, Trichosanthis Radix (Tianhuafen) 3 qian, Scrophulariae Radix (Yuanshen) 2 liang, Paeoniae Radix Alba (Baishao) 2 liang, Schizonepetae Spica (Jingjie) 2 qian. Decoct in water and take orally. My formula uses more Danggui to aid Liver and Gallbladder in generating Blood. More Maidong is used to rescue Lung Qi extinction, restraining Liver-Gallbladder Wood so Fire does not rage and Blood generates easily, nourishing Stomach Qi and saving failing organs. This differs slightly from Master Qi’s formula but shares similar wonders. In Cold Damage mania, such as climbing high singing, running naked, jumping into water, cursing loudly regardless of kinship, survival is distant. Zhang Zhongjing used Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) effectively because Yangming Fire is most fierce; once unleashed, it is uncontrollable without a large dose of Baihu Tang (White Tiger Decoction). Yet people hesitate, using small doses, akin to saving a cartload of burning wood with a cup of water. Shigao must be used in doses of 3-4 liang or even half a jin per dose to reduce Fire and calm mania. Since Shigao is harsh and damages Stomach Qi, it must be combined with Renshen. I transmit a new formula, Reheat Shengwei Tang (Expel Heat Generate Stomach Qi Decoction), using half the dose of Baihu Tang plus other herbs: Gypsum Fibrosum (Shigao) 3 liang, Anemarrhenae Rhizoma (Zhimu) 3 qian, Ginseng Radix et Rhizoma (Renshen) 5 qian, Scrophulariae Radix (Yuanshen) 3 liang, Poria (Fuling) 1 liang, Ophiopogonis Tuber (Maidong) 3 liang, Plantaginis Semen (Cheqianzi) 5 qian. Decoct in water and take orally. Shigao and Zhimu purge Stomach Fire; Renshen generates Stomach Qi; Yuanshen removes floating flame; Maidong generates Lung Yin; Fuling and Cheqianzi guide Fire down to the Bladder for urination. Since Fire excess causes thirst and excessive drinking, these herbs separate dampness, dispersing Fire with water flow. This formula purges Fire without damaging Qi, surpassing Baihu Tang. Mania settles in one dose, thirst halves in two, ceases in three, and Fire extinguishes. No need for four doses. For any mania due to Fire, sweating profusely, dry tongue with prickly sensation, this formula saves instantly, preventing death.
Cold Damage macules (ban) indicate a critical condition, but types vary. Whole-body macules seem severe but are lighter; epigastric macules seem mild but become severe. Whole-body macules mean internal heat has fully expressed externally; epigastric macules mean heat remains trapped internally. Macule-resolving herbs are needed to clear internal heat-toxin. I have a miraculous formula, Qiban Tang (Revive Macules Decoction): Cimicifugae Rhizoma (Shengma) 2 qian, Angelicae Sinensis Radix (Danggui) 1 liang, Scrophulariae Radix (Yuanshen) 3 liang, Schizonepetae Spica (Jingjie) 3 qian, Coptidis Rhizoma (Huanglian) 3 qian, Trichosanthis Radix (Tianhuafen) 5 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Poria Cum Radix (Fushen) 3 qian. Decoct in water and take orally. Internal heat-toxin must be fully expelled, but without Blood nourishing the Heart, internal heat intensifies, trapping toxin. Danggui and Yuanshen nourish Heart Blood; Huanglian cools Heart Fire; Tianhuafen eliminates Heart phlegm. Without opening agents, Fire stays trapped; Shengma and Jingjie disperse it; Gancao and Fushen harmonize, guiding Fire outward. As Fire exits, macules fade, saving life.
In Cold Damage Taiyang syndrome, if Jie Xiong (Chest Binding) is present with irritability, death is indicated. Downward purgation is contraindicated; even if used, death results. Chest binding with irritability signals impending Stomach Qi extinction. Without Stomach Qi, Jin Ye (Body Fluids) cannot generate; without fluids, the Heart lacks nourishment. Thus, chest binding with irritability is often untreatable. However, fluid depletion stems from chest binding, not spontaneous Zang failure. One must attack the central hardness to resolve chest binding, allowing fluids to regenerate and hope for revival. I transmit Huajie Tang (Resolve Binding Decoction): Trichosanthis Radix (Tianhuafen) 5 qian, Aurantii Fructus (Zhike) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 5 fen, Maltyum (Maiya) 3 qian, Asparagi Tuber (Tianmendong) 3 qian, Mori Cortex (Sangbaipi) 3 qian, Massae Fermentatae Medicatae (Shenqu) 3 qian. Decoct in water and take orally. One dose opens the binding, generating fluids. Tianhuafen replaces Gualou to avoid overly harsh chest-binding action, yet effectively resolves binding without being too harsh. Zhike aids digestion and expands the middle; Maiya and Sangbaipi accelerate transformation; Shenqu and Chenpi regulate the Stomach with miraculous effect; Tianmendong generates fluids, synergizing with Tianhuafen. This combination transforms phlegm and food unpredictably, opening blockages and saving lives. Using Daxiexiong Tang after sweating or purging would hasten death.
Cold Damage Zang Jie (Organ Knotting) is recorded in the Taiyang chapter, though it is not a Taiyang disease. Zhang Zhongjing included it to distinguish Taiyang symptoms resembling Zang Jie, which must not be treated with purgatives. Zang Jie presents as pain connecting the lower abdomen to both sides of the umbilicus, extending to the genital tendons, sometimes with cyanotic tendons leading to death. This is Yin Evil knotting in Yin regions. There are no exterior symptoms, so exterior treatment is wrong; interior attack is required. I have a formula, Sanjie Jiuzang Tang (Disperse Knot Rescue Organ Decoction): Ginseng Radix et Rhizoma (Renshen) 1 liang, Atractylodis Macrocephalae Rhizoma (Baizhu) 5 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Aconiti Lateralis Radix Praeparata (Fuzi) 1 qian, Angelicae Sinensis Radix (Danggui) 1 liang, Cinnamomi Cortex (Rougui) 5 fen. Decoct in water and take orally. Baizhu benefits Waist-Umbilicus Qi; Renshen saves Yuan Yang (Primordial Yang); Danggui activates whole-body Blood, further benefiting Waist-Umbilicus Qi; Gancao harmonizes the Middle to stop pain; Fuzi and Rougui dispel Cold to expel Evil. Warming the Organs resolves knots. Attacking within tonification and dispelling Cold within tonification yields unique success.
In Cold Damage Yangming syndrome, simultaneous staring, delirious speech, panting/fullness, and diarrhea indicate death. If only some symptoms appear, death is not certain. All three together signify a fatal prognosis. Staring and delirium stem from excessive Stomach Fire burning the Heart, unassisted by Kidney Water, causing unrestrained Fire. Panting indicates Fire flaring upward with Qi attempting to escape upwards; diarrhea indicates Fire sinking with Qi attempting to escape downwards. These are critical states of impending collapse. With proper treatment, survival is possible. I have a miraculous formula, Yuantuo San (Support Collapse Powder): Gypsum Fibrosum (Shigao) 5 qian, Ginseng Radix et Rhizoma (Renshen) 1 liang, Ophiopogonis Tuber (Maidong) 1 liang, Paeoniae Radix Alba (Baishao) 1 liang, Bamboo Shavings (Zhuru) 3 qian. Decoct in water and take orally. Renshen rescues collapse; Shigao calms Fire; Maidong calms panting; Baishao stops diarrhea; Zhuru clears the Heart. Qi remains intact and recoverable.
Cold Damage "Huai Zheng" (Ruined Syndrome) occurs when fever persists like fire despite prior sweating, vomiting, or purging, indicating unresolved pathology. Various death signs may appear. How to save? Unresolved after sweating means inappropriate sweating was performed; unresolved after vomiting means inappropriate vomiting; unresolved after purging means inappropriate purging. Remedying these errors is a method, but not fixed. I transmit Jiuhuai Tang (Rescue Ruined Syndrome Decoction): Ginseng Radix et Rhizoma (Renshen) 5 qian, Poria (Fuling) 5 qian, Bupleuri Radix (Chaihu) 1 qian, Paeoniae Radix Alba (Baishao) 1 liang, Scrophulariae Radix (Yuanshen) 5 qian, Ophiopogonis Tuber (Maidong) 5 qian, White Mustard Seed (Baijiezi) 2 qian, Angelicae Sinensis Radix (Danggui) 5 qian, Citri Reticulatae Pericarpium (Chenpi) 5 fen. Decoct in water and take orally. This formula cleverly avoids treating specific errors of sweating, vomiting, or purging. Instead, it heavily tonifies with Renshen, Fuling, Danggui, and Baishao, adding Chaihu to harmonize, naturally reducing Fire and generating Stomach Qi. Repeating errors on a weakened body ensures death. Only my formula can revive the dying.
Cold Damage Shaoyin syndrome with aversion to cold, curled posture, diarrhea, and cold extremities is incurable. Yin excess without Yang means abdominal Cold; Yang is nearly extinct, and continuous diarrhea drains Yang further. Death seems inevitable. However, near-extinction is not total extinction. Urgent Yang-tonifying herbs can restore life. Formula: Ginseng Radix et Rhizoma (Renshen) 2 liang, Aconiti Lateralis Radix Praeparata (Fuzi) 2 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 2 qian, Zingiberis Rhizoma (Ganjiang) 2 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 1 liang, Poria (Fuling) 5 qian. Decoct in water and take orally. Named Niuzhi Lizhi Tang (Reverse Cold Stop Diarrhea Decoction). Extremities warm in one dose; diarrhea stops in two; full recovery in three. Renshen and Fuzi rapidly restore Yuan Yang, chasing scattered Yang and dispelling Yin Cold. Baizhu and Fuling drain dampness while securing Yuan Yang. Ganjiang and Ganjiang harmonize the abdomen, creating internal heat so external Cold dissipates spontaneously, leaving no residual pathogens. Cold, curling, reversal, and diarrhea all cease, ensuring life.
Cold Damage Shaoyin syndrome with vomiting, diarrhea, restlessness, and cold extremities is fatal. Upper vomiting and lower diarrhea with irritability indicate chaotic Yin-Yang and suppressed vitality. Cold extremities signal impending Spleen-Stomach Qi extinction. It is undoubtedly fatal. However, early treatment may save. Administer Ginseng Radix et Rhizoma (Renshen) 2 liang, Atractylodis Macrocephalae Rhizoma (Baizhu) 2 liang, Cinnamomi Cortex (Rougui) 2 qian, Eugeniae Flos (Dingxiang) 2 qian immediately. Named Zhini Dian’an Tang (Stop Reverse Stabilize Peace Decoction). Renshen saves Yuan Yang; Baizhu saves Spleen-Stomach collapse; Dingxiang stops vomiting; Rougui warms the Middle and stops diarrhea. Saving the Central Earth and stabilizing upper-lower chaos turns life around instantly. No other formula compares.
Cold Damage Shaoyin syndrome where diarrhea stops but dizziness and vertigo occur is also fatal. Yang returns but Yin is extinct; excessive diarrhea depleted Yin to extinction, seemingly incurable. However, Yin and Yang root each other and generate each other. Yin extinction causes Yang Qi to gather chaotically at the head, causing dizziness. Yang is欲脱 (about to escape) but not yet escaped. Tonify Yang to generate Yang; as Yang generates, Yin can reconnect since Yin is born from Yang. Formula: Shengsheng Tang (Generate Life Decoction): Ginseng Radix et Rhizoma (Renshen) 2 liang, Cinnamomi Cortex (Rougui) 2 qian. Decoct and take. Renshen returns Yang Qi from nothing. Though Yang-dominant, it contains Yin (80% Yang, 20% Yin). Returning Yang gradually returns Yin. Rougui, though pure Yang, enters Liver-Kidney and is a supreme Yin-tonic. Success follows.
Cold Damage Shaoyin syndrome with cold extremities, aversion to cold, curled posture, absent pulse, no irritability but restlessness is usually fatal, but I consider it salvageable due to the absent pulse and lack of irritability. Cold extremities indicate impending Yin-Yang extinction. Absent pulse may be due to extreme Cold hiding the pulse; otherwise, Yang extinction would cause irritability. Lack of irritability suggests Yang is not yet extinct but nearing it, which is fearful. Yang extinction drags Yin with it. Tonify Yang; returning Yang returns Yin. Any trace of life allows salvation. Like sparks from dying embers igniting a forest, True Yin and True Yang are Pre-heaven Qi, not visible fire/water. Once connected, life returns. Use Shengsheng Tang urgently: Ginseng Radix et Rhizoma (Renshen) 3 liang, Aconiti Lateralis Radix Praeparata (Fuzi) 3 qian, Ziziphi Spinosae Semen (Chao Zaoren) 5 qian. Decoct and take. Renshen restores Yin-Yang; Fuzi dispels Cold-reversal; Zaoren calms the Heart. Calm heart stops restlessness; stable pulse emerges. This formula seeks life from death.
Cold Damage Shaoyin disease, breathing elevated (Xi Gao) on the sixth or seventh day indicates death. Xi Gao appearing then is Shaoyin, not Taiyang. Xi Gao differs significantly from Asthma (Qi Chuan). Taiyang asthma stems from pathogen excess; Shaoyin Xi Gao stems from Qi deficiency. Asthma features coarse nasal breathing; Xi Gao features faint nasal breathing. This is Pre-natal Qi at the Lower Origin nearing extinction, connected to the Qi Sea, rising to cause急促 (rapid) breathing, able to go up but not down. It is extremely critical. Formula: Zhixi Tang (Stop Breathing Decoction): Ginseng Radix et Rhizoma (Renshen) 3 liang, Rehmanniae Radix Preparata (Shudi) 3 liang, Achyranthis Bidentatae Radix (Niuxi) 3 qian, Ophiopogonis Tuber (Maidong) 2 liang, Psoraleae Fructus (Poguzhi) 3 qian, Juglandis Semen (Hutaoren) 1 piece, Zingiberis Rhizoma (Ganjiang) 5 fen. Decoct and take. This formula greatly tonifies Guan Yuan and Qi Sea, guiding Fire downward, avoiding Cold-dispelling herbs to allow Qi return and normalize breathing. Mistaking this for Taiyang asthma and using Guizhi Tang kills instantly. Zhixi Tang offers 50-60% survival. Long-term administration is crucial; stopping after one dose fails.
Cold Damage Shaoyin disease with faint, deep, fine pulse, desire to sleep, sweating, no irritability, spontaneous urge to vomit, progressing to diarrhea on day 5-6, followed by irritability and insomnia, is fatal. Faint/deep/fine pulse indicates Yin syndrome; desire to sleep confirms it. Sweating indicates no internal Yang syndrome. No irritability and vomiting suggest Yang pathogen has dispersed, leaving Yin pathogen to wreak havoc. Warming is urgent. Neglecting this leads to diarrhea by day 5-6, indicating...