托里消毒散加减法 初肿头痛发热，邪在表也，加川芎、羌活。若外邪在表，而元
气实者，暂用人参败毒散。头痛恶寒表虚也，去金银花、连翘，加参 。体倦头痛或眩晕，
中气虚也，去三味加柴胡、升麻。如不应，暂用补中益气汤，加蔓荆子。日晡头痛或眩晕，
阴血虚也，去三味加熟地黄。如不应，佐以六味丸。梦泄遗精，头晕头痛，或痰喘气促，
肾虚不能纳气也，去三味并川芎，佐以六味丸。如不应，大虚寒也，用八味丸。
托里消毒散加减法 面目赤色，烦热作渴，脉大而虚，血脱发躁也，去三味加黄 、
当归，如不应，暂用当归补血汤。身热恶衣，欲投于水，脉沉微细，气脱发躁也，去三味
加肉桂、附子。如不应，暂用附子理中汤。
托里消毒散加减法 善思体痛，无寐盗汗，脾血虚也，去三味加茯苓、远志、酸枣
仁、圆眼肉。如不应，暂用归脾汤。寝寐而汗出，肾气虚也，去三味加五味子煎送六味
丸。饮食而汗出，胃气虚也，去三味加参 、归术、五味子。如不应，暂用六君子汤。睡
觉饱而出盗汗，宿食也，去三味加参、术、半夏。如不应，暂用六君子汤。
托里消毒散加减法 胸满多痰，脾气虚也，去三味加桔梗、半夏。如不应，暂用六
君子汤，加桔梗、枳壳。晡热多痰，脾血虚也，去三味加归地、参术。如不应，暂用六
君子汤加芎归、熟地。咳嗽唾痰，肾亏津液泛上也，去三味加山茱萸、山药、熟地。如
不应，佐以六味丸。
托里消毒散的加减应用方法：初起出现肿胀、头痛、发热，这是邪气在体表的表现，应加入川芎、羌活。如果外邪在体表，而元气充实的人，暂时使用人参败毒散。头痛且怕冷，属于表虚证，去掉金银花、连翘，加入人参。身体疲倦、头痛或眩晕，属于中气虚弱，去掉“三味”（指原方中的白芷、桔梗等，此处依上下文通常指代特定几味药，原文未明示具体哪三味，但根据后文“去三味”的重复出现，结合语境推测为原方中非核心补益或针对此症不宜的药物，此处保留“三味”不译以忠实原文，或理解为原方中某些清热发散之品），加入柴胡、升麻。如果症状没有改善，暂时使用补中益气汤，加入蔓荆子。下午申时（日晡）头痛或眩晕，属于阴血虚弱，去掉“三味”，加入熟地黄。如果症状没有改善，配合使用六味丸。梦中遗精、头晕头痛，或者痰多气喘、呼吸急促，属于肾虚不能纳气，去掉“三味”以及川芎，配合使用六味丸。如果症状没有改善，说明是大虚寒证，使用八味丸。
托里消毒散的加减应用方法：面目发红，烦躁发热、口渴，脉象大而无力，属于血虚导致阳气外越而躁动，去掉“三味”，加入黄芩（注：原文“黄 ”缺字，结合当归及补血汤语境，通常指黄芪或黄芩，但在血虚发躁语境下，当归补血汤重用黄芪，故此处疑为黄芪，但原文仅一字，暂译为“黄[某]”或根据WHO标准若确认为黄芪则译Huangqi，鉴于原文残缺，此处按常见医理推断为黄芪，若严格按字面则为“黄...”。考虑到“去三味加黄__、当归”，且后文提到“当归补血汤”，该方由黄芪、当归组成，故此处“黄”极大概率为“黄芪”。为了严谨，译文标注为黄芪）、当归。如果症状没有改善，暂时使用当归补血汤。身体发热、讨厌穿衣，想要投入水中降温，脉象沉微细弱，属于气虚导致阳气外越而躁动，去掉“三味”，加入肉桂、附子。如果症状没有改善，暂时使用附子理中汤。
托里消毒散的加减应用方法：思虑过多导致身体疼痛、失眠、盗汗，属于脾血虚弱，去掉“三味”，加入茯苓、远志、酸枣仁、桂圆肉。如果症状没有改善，暂时使用归脾汤。睡觉时出汗，属于肾气虚弱，去掉“三味”，加入五味子煎汤送服六味丸。饮食时出汗，属于胃气虚弱，去掉“三味”，加入人参、白术、五味子。如果症状没有改善，暂时使用六君子汤。吃饱饭后睡觉出盗汗，属于宿食停滞，去掉“三味”，加入人参、白术、半夏。如果症状没有改善，暂时使用六君子汤。
托里消毒散的加减应用方法：胸膈满闷、痰多，属于脾气虚弱，去掉“三味”，加入桔梗、半夏。如果症状没有改善，暂时使用六君子汤，加入桔梗、枳壳。下午申时发热、痰多，属于脾血虚弱，去掉“三味”，加入当归、熟地黄、人参、白术。如果症状没有改善，暂时使用六君子汤，加入川芎、当归、熟地黄。咳嗽、咳痰，属于肾亏导致津液上泛，去掉“三味”，加入山茱萸、山药、熟地黄。如果症状没有改善，配合使用六味丸。
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
If swelling appears initially accompanied by headache and fever, it indicates pathogenic factors in the exterior. Add Chuanxiong Rhizome (Chuanxiong Radix) and Notopterygii Rhizoma et Radix (Qianghuo). If external pathogens are in the exterior but the primordial Qi is substantial, temporarily use Renshen Baidu San (Ginseng Detoxification Powder). Headache with aversion to cold indicates deficiency of the exterior; remove Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), and add Renshen (Ginseng Radix et Rhizoma). Fatigue, headache, or dizziness indicates deficiency of Middle Qi; remove "three ingredients" (referring to specific herbs in the original formula context, here kept as 'three ingredients' for fidelity, likely referring to dispersing/clearing herbs not suitable for deficiency), add Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma). If there is no response, temporarily use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Jingjie (Schizonepetae Herba) or Manjingzi (Vittatiae Fructus - note: text says Manjingzi, so Vitex Fruit). Afternoon headache or dizziness indicates deficiency of Yin-blood; remove "three ingredients", add Shudihuang (Rehmanniae Radix Preparata). If there is no response, assist with Liuwei Wan (Six-Ingredient Pill with Rehmannia). Nocturnal emission, dizziness, headache, or phlegm-wheezing with shortness of breath indicates Kidney deficiency failing to grasp Qi; remove "three ingredients" and Chuanxiong, assist with Liuwei Wan. If there is no response, it indicates severe deficiency-cold; use Bawei Wan (Eight-Ingredient Pill with Rehmannia).
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Redness of the face and eyes, irritability, heat, thirst, and a pulse that is large but empty indicate blood deficiency leading to floating Yang and restlessness; remove "three ingredients", add Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix). If there is no response, temporarily use Danggui Buxue Tang (Danggui Tonifies Blood Decoction). Body heat, aversion to wearing clothes, desire to throw oneself into water, and a pulse that is deep, minute, and fine indicate Qi deficiency leading to floating Yang and restlessness; remove "three ingredients", add Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Preparata). If there is no response, temporarily use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction).
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Excessive thinking causing body pain, insomnia, and night sweats indicate Spleen-blood deficiency; remove "three ingredients", add Fuling (Poria), Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), and Yuanyanrou (Longan Aril). If there is no response, temporarily use Guipi Tang (Restore the Spleen Decoction). Sweating during sleep indicates Kidney-Qi deficiency; remove "three ingredients", add Wuweizi (Schisandrae Fructus) decocted to take with Liuwei Wan. Sweating during eating indicates Stomach-Qi deficiency; remove "three ingredients", add Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), and Wuweizi. If there is no response, temporarily use Liujunzi Tang (Six-Gentlemen Decoction). Night sweats after sleeping full and then waking indicate retained food; remove "three ingredients", add Renshen, Baizhu, and Banxia (Pinelliae Rhizoma). If there is no response, temporarily use Liujunzi Tang.
**Modifications of Tuoli Xiaodu San (Supporting the Interior and Disinfecting Decoction)**
Chest fullness and excessive phlegm indicate Spleen-Qi deficiency; remove "three ingredients", add Jiegeng (Platycodonis Radix) and Banxia. If there is no response, temporarily use Liujunzi Tang with Jiegeng and Zhike (Aurantii Fructus). Afternoon heat and excessive phlegm indicate Spleen-blood deficiency; remove "three ingredients", add Danggui, Shudihuang, Renshen, and Baizhu. If there is no response, temporarily use Liujunzi Tang with Chuanxiong, Danggui, and Shudihuang. Cough with expectoration of phlegm indicates Kidney deficiency causing fluids to flood upward; remove "three ingredients", add Shanzhuyu (Corni Fructus), Shanyao (Dioscoreae Rhizoma), and Shudihuang. If there is no response, assist with Liuwei Wan.