论伤寒调理 论中暑调治 论中风调治 论中湿调治 论火症调治 论燥症善后
天师曰∶终治者，病已愈而为善后之计，故曰终治。如伤寒愈后，作何调治；中暑之后，作何汤饮∶
中风之后，作何将息是也。伤寒邪已尽退，正气自虚，理宜补正，但胃强脾弱，多食补剂，恐能食而不能
受。法当用补胃之药少，而补脾之药多，尤不宜补脾之药多，而补肾之药少。盖肾能生土，而土自能生
金，金旺则木有所畏，不至来克脾土，然则补肾正所以补脾也。方用熟地一两，麦冬三钱，五味子五分，
白芍三钱，肉桂三分，白术三钱，薏仁三钱，白芥子一钱，水煎服。（〔批〕脾肾至资汤。）此方专补肾脾
二经，不去通补各脏，而各脏无不治之也。
中暑伤气，而调治之法不可以治气为先，当以补血为主。盖阳伤则阴血亦耗也。方用当归一两，白
芍三钱，川芎一钱，熟地一两，五味子一钱，麦冬三钱，水煎服。此方即四物汤也，妙在全是阴经之药，又
加之麦冬、五味以养肺金。金既
旺，可以制木之克脾，则四物生肝而安于无事之福也。
中风之后，亦气之虚也。此等病断宜补气，不可补血。盖血滞而后中风，不可再补血以增添气滞
也。方用人参三钱。茯苓三钱，薏仁三钱，半夏一钱，神曲五分，白术五钱，甘草一钱，肉桂一钱，陈皮
五分，水煎服。（〔批〕气血两补丹。）此方妙补胃气，以生肺金之气，补命门以生脾土之阴，又
何畏风木之旺哉。此三方皆善后至妙者，可以为终治之法。
张公曰∶妙极矣。予又何言，予当一一补之。中湿之后，水已泻尽，法当健脾。然而不可徒健脾也，
当补命门之火以生脾土。方用白术五钱，茯苓三钱，肉桂三分，白芍三钱，薏仁五钱，白芥子一钱，水煎
服。此方专补肾经之火，而又不十分大热，则脾气得温，自然能去湿气而生胃气也。
火症既已散尽余火，势必气息奄奄，不能坐立。若一味泻火，则胃气必伤，而骨髓耗尽，水何日重
生。方用熟地一两，元参五钱，麦冬一两，牛膝一钱，白芍三钱，水煎服。（〔批〕济水汤。）此方妙在润
肺金以生肾水，兼去平肝。三脏既安，则胃气自然得生，又何必再泻其余火哉。
燥病既除，善后之计，惟大补肾水，水足则肺金有养。方用六味汤，加麦冬、五味子治之可也。
华君曰∶予亦未传，无可谈。
论伤寒的调理，论中暑的调治，论中风的调治，论中湿的调治，论火症的调治，论燥症的善后。
天师说：所谓“终治”，是指疾病已经痊愈，为了做好后续调养而制定的治疗计划，所以称为终治。比如伤寒病愈后，如何进行调理；中暑之后，喝什么汤药；中风之后，如何休养，就是这类情况。
伤寒的病邪已经完全退去，正气自然虚弱，按理应当补益正气。但是患者往往胃气强盛而脾气虚弱，如果大量服用补剂，恐怕虽然能吃却难以消化吸收。治疗方法应当少用补胃的药，多用补脾的药，尤其不应该出现补脾药多而补肾药少的情况。因为肾能生助脾土（五行中肾属水，脾属土，此处指通过滋补肾阴以涵养脾土，或指命门火暖脾土，结合方义多为滋肾健脾），脾土自能生助肺金，肺金旺盛则能制约肝木，使肝木不至于过度克制脾土。既然如此，那么补肾正是为了补脾。方剂使用熟地黄一两，麦冬三钱，五味子五分，白芍三钱，肉桂三分，白术三钱，薏苡仁三钱，白芥子一钱，加水煎服。（批注：脾肾至资汤。）这个方子专门补益肾和脾两条经络，不刻意去通补各个脏腑，但各个脏腑没有不被治好的。
中暑损伤了气，但调治的方法不能以治气为先，应当以补血为主。因为阳气受损，阴血也会随之耗伤。方剂使用当归一两，白芍三钱，川芎一钱，熟地黄一两，五味子一钱，麦冬三钱，加水煎服。这个方子就是四物汤（Siwu Tang, Four Substance Decoction），妙处在于全是阴经的药物，又加上麦冬、五味子来养肺金。肺金既然旺盛，就可以制约肝木对脾土的克制，那么四物汤滋养肝脏而使其安宁无事。
中风之后，也是气的虚损。这类病断然应当补气，不可以补血。因为血液瘀滞而后导致中风，不能再补血来增添气机的滞涩。方剂使用人参三钱，茯苓三钱，薏苡仁三钱，半夏一钱，神曲五分，白术五钱，甘草一钱，肉桂一钱，陈皮五分，加水煎服。（批注：气血两补丹。）这个方子妙在补益胃气，从而生发肺金之气，补益命门之火以生发脾土之阴，还怕什么风木（肝木）的旺盛呢？这三个方子都是善后治疗的妙法，可以作为终治的方法。
张公说：太精妙了。我还有什么可说的，我应当一一补充说明。中湿之后，湿气已经通过泻下排尽，方法应当健脾。然而不能仅仅健脾，应当补益命门之火来生助脾土。方剂使用白术五钱，茯苓三钱，肉桂三分，白芍三钱，薏苡仁五钱，白芥子一钱，加水煎服。这个方子专门补益肾经之火，而且不会过于大热，这样脾气得到温煦，自然能够去除湿气并生发胃气。
火症既然已经将余火散尽，势必气息微弱，无法坐立。如果一味地泻火，就会损伤胃气，耗尽骨髓，阴液何日才能重新生成。方剂使用熟地黄一两，玄参五钱，麦冬一两，牛膝一钱，白芍三钱，加水煎服。（批注：济水汤。）这个方子妙在滋润肺金以生助肾水，同时兼有平抑肝木的作用。肝、肺、肾三脏既已安宁，胃气自然得以生发，又何必再泻除其余火呢？
燥病既然已经消除，善后的计策，只有大补肾水，肾水充足则肺金得到滋养。方剂使用六味地黄丸（Liuwei Dihuang Wan, Six-Ingredient Rehmannia Pill），加入麦冬、五味子来治疗即可。
华君说：我也没有传授过这些，没什么可谈的。
On the Regulation of Shanghan (Cold Damage), On the Treatment of Summerheat, On the Regulation of Zhongfeng (Wind Stroke), On the Regulation of Zhongshi (Dampness Strike), On the Regulation of Huozheng (Fire Syndrome), and on the Aftercare of Zaozheng (Dryness Syndrome).
The Heavenly Master said: "Zhongzhi" (Final Treatment) refers to the planning for aftercare once the disease has been cured; hence it is called Final Treatment. For example, how to regulate after Shanghan (Cold Damage) has healed; what decoctions to drink after Summerheat; and how to recuperate after Zhongfeng (Wind Stroke)—these are the cases in point.
When the pathogenic factors of Shanghan (Cold Damage) have completely receded, the healthy Qi naturally becomes deficient, and it is appropriate to tonify the healthy Qi. However, patients often exhibit strong Stomach Qi but weak Spleen Qi; if they consume large amounts of tonifying agents, they may be able to eat but unable to digest or absorb them. The method should employ fewer herbs that tonify the Stomach and more herbs that tonify the Spleen. It is especially inadvisable to use many Spleen-tonifying herbs while using few Kidney-tonifying herbs. This is because the Kidney can generate Earth (Spleen), and Earth can naturally generate Metal (Lung). When Metal is prosperous, Wood (Liver) will be restrained and will not excessively control Earth (Spleen). Therefore, tonifying the Kidney is precisely a way to tonify the Spleen. The prescription uses Shudi (Rehmanniae Radix Preparata) 1 liang, Maimai Dong (Ophiopogonis Radix) 3 qian, Wuweizi (Schisandrae Fructus) 5 fen, Baishao (Paeoniae Radix Alba) 3 qian, Rougui (Cinnamomi Cortex) 3 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Yiren (Coicis Semen) 3 qian, and Baijiezi (Sinapis Semen) 1 qian. Decoct with water and take orally. (Commentary: Pi Shen Zhi Zi Tang [Spleen-Kidney Supreme Tonification Decoction].) This prescription specifically tonifies the Kidney and Spleen meridians; without deliberately targeting every organ for tonification, all organs are effectively treated.
Summerheat injures Qi, but its treatment should not prioritize regulating Qi; instead, it should focus on nourishing Blood. This is because when Yang is injured, Yin-Blood is also consumed. The prescription uses Danggui (Angelicae Sinensis Radix) 1 liang, Baishao (Paeoniae Radix Alba) 3 qian, Chuanxiong (Chuanxiong Rhizoma) 1 qian, Shudi (Rehmanniae Radix Preparata) 1 liang, Wuweizi (Schisandrae Fructus) 1 qian, and Maimai Dong (Ophiopogonis Radix) 3 qian. Decoct with water and take orally. This prescription is essentially Siwu Tang (Four Substance Decoction). Its brilliance lies in consisting entirely of Yin-meridian herbs, supplemented by Maimai Dong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) to nourish Lung-Metal. Since Lung-Metal is now prosperous, it can restrain Liver-Wood from controlling Spleen-Earth. Thus, Siwu Tang (Four Substance Decoction) nourishes the Liver, allowing it to remain tranquil and untroubled.
After Zhongfeng (Wind Stroke), there is also a deficiency of Qi. Such conditions strictly require tonifying Qi and must not involve tonifying Blood. This is because Zhongfeng (Wind Stroke) occurs after Blood stasis; adding more Blood tonics would exacerbate Qi stagnation. The prescription uses Renshen (Ginseng Radix) 3 qian, Fuling (Poria) 3 qian, Yiren (Coicis Semen) 3 qian, Banxia (Pinelliae Rhizoma) 1 qian, Shenqu (Massa Medicata Fermentata) 5 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Rougui (Cinnamomi Cortex) 1 qian, and Chenpi (Citri Reticulatae Pericarpium) 5 fen. Decoct with water and take orally. (Commentary: Qi Xue Liang Bu Dan [Qi and Blood Dual Tonification Pill].) This prescription excels at tonifying Stomach-Qi to generate Lung-Metal-Qi, and tonifying Mingmen (Gate of Life) fire to generate Spleen-Earth-Yin. With this, why fear the prosperity of Wind-Wood (Liver-Wood)? These three prescriptions are excellent methods for aftercare and can serve as principles for Final Treatment.
Master Zhang said: "This is exquisitely brilliant. What more can I say? I shall supplement each point." After Zhongshi (Dampness Strike), if dampness has been purged, the method should focus on strengthening the Spleen. However, one cannot merely strengthen the Spleen; one must tonify the fire of Mingmen (Gate of Life) to generate Spleen-Earth. The prescription uses Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Fuling (Poria) 3 qian, Rougui (Cinnamomi Cortex) 3 fen, Baishao (Paeoniae Radix Alba) 3 qian, Yiren (Coicis Semen) 5 qian, and Baijiezi (Sinapis Semen) 1 qian. Decoct with water and take orally. This prescription specifically tonifies the fire of the Kidney meridian without being excessively hot. Consequently, Spleen-Qi receives warmth, naturally dispelling dampness and generating Stomach-Qi.
Once the Fire Syndrome has dissipated its residual heat, the patient's breath will likely become faint, rendering them unable to sit or stand. If one一味ly (solely) clears heat, Stomach-Qi will be damaged, and the marrow exhausted; when will the Water (Kidney-Yin) regenerate? The prescription uses Shudi (Rehmanniae Radix Preparata) 1 liang, Xuanshen (Scrophulariae Radix) 5 qian, Maimai Dong (Ophiopogonis Radix) 1 liang, Niuxi (Achyranthis Bidentatae Radix) 1 qian, and Baishao (Paeoniae Radix Alba) 3 qian. Decoct with water and take orally. (Commentary: Ji Shui Tang [Water-Nourishing Decoction].) This prescription is ingenious in moistening Lung-Metal to generate Kidney-Water, while simultaneously calming the Liver. Once these three Zang organs are tranquil, Stomach-Qi will naturally regenerate. Why bother clearing residual heat further?
For Dryness Syndrome, once the pathogen is eliminated, the aftercare strategy lies solely in vigorously tonifying Kidney-Water. When Kidney-Water is sufficient, Lung-Metal will be nourished. The prescription uses Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), supplemented with Maimai Dong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus), can be used for treatment.
Master Hua said: "I have not transmitted these methods either, so there is nothing to discuss."