治伤寒八九日，下之，胸满烦惊，小便不利， 语，一身尽重，不能转
柴胡（四两） 黄芩 人参 甘草 生姜 茯苓 铅丹 龙骨 牡蛎（各一两半） 大
黄（二两）
黄只煮一二沸
阳之表证，则不
柴胡加龙骨牡蛎（汤），茯苓铅丹大黄继。胸满（下后邪陷胸中）烦惊（热邪扰乱神明）
语多，
坠痰镇惊是主
茯苓以利小便
里，而复外扰
灵胎《伤寒论
治伤寒五六日，已发汗而复下之，胸胁满微结，小便不利，渴而不呕，但
寒热，心烦者；并治疟疾寒多微有热，或但寒不热，服一剂便效。
柴胡（半斤） 桂枝 黄芩（各三两） 干姜 牡蛎 甘草（各二两） 花粉（四两） 水
一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。初服微烦，复服汗出便愈。
柴胡桂枝干姜汤，花粉芩甘牡蛎藏。邪在三阳阳气结，从枢转出易通阳。（揭出三阳经
药以
太阳余邪，干姜开阳明痞结之气，使以花粉佐牡蛎，入阴分升津液，以救三阳之热，重用柴、
芩
少，（甘
加花粉。）疟发寒多微有热，（风、寒、湿痹于肌表，阳气郁伏于营血之中，故疟发寒多，或
但寒无热
阴∶用柴胡和少阳之阳，即用黄芩和里；用桂枝和太阳之阳，即用牡蛎和里；用干姜和阳明
之阳，即用花粉和里；使以甘草，调和阴阳，和之得其当，故一剂便效。喻嘉言《医门法律》
曰∶“
着之
其
治疗伤寒病程已过八九日，经过误用泻下法治疗后，出现胸部胀满、烦躁惊悸、小便不通畅、胡言乱语、全身沉重、身体不能随意转动的症状。
柴胡（四两） 黄芩 人参 甘草 生姜 茯苓 铅丹 龙骨 牡蛎（各一两半） 大黄（二两）
[煎服法：]大黄仅煮一两次沸腾即可。
[方解：]针对阳经表证未解的情况……
柴胡加龙骨牡蛎汤，由茯苓、铅丹、大黄接续组成。胸满（指泻下后邪气内陷于胸中）、烦惊（指热邪扰乱心神），胡言乱语较多，本方主要起到坠痰镇惊的作用，茯苓用于利小便。
治疗伤寒病程已过五六日，已经发汗却又再次误用泻下法，出现胸胁部胀满且轻微结滞、小便不通畅、口渴但不呕吐、只感到恶寒发热、心烦的症状；同时也治疗疟疾中寒多微有热，或者只有寒没有热的情况，服用一剂药就会见效。
柴胡（半斤） 桂枝 黄芩（各三两） 干姜 牡蛎 甘草（各二两） 花粉（四两）
[煎服法：]用水一斗二升，煮取六升，滤去药渣，再煎取三升，每次温服一升，每日服用三次。初次服药后微微感到心烦，再次服药后出汗即愈。
柴胡桂枝干姜汤，由花粉、黄芩、甘草、牡蛎组成。邪气在三阳经导致阳气结滞，从枢机转出容易通阳。（此方揭示了涉及三阳经的药物配伍）太阳经的余留邪气，由干姜开通阳明经痞结之气，以花粉辅助牡蛎，进入阴分提升津液，以救治三阳经的热邪，重用柴胡、黄芩……
[方解：]疟疾发作时寒多微有热，（因风、寒、湿邪痹阻于肌表，阳气郁伏在营血之中，所以疟疾发作时寒多，或者只有寒没有热）。
[机理：]用柴胡调和少阳之阳，即用黄芩调和里；用桂枝调和太阳之阳，即用牡蛎调和里；用干姜调和阳明之阳，即用花粉调和里；以甘草为使药，调和阴阳，调和得当，所以一剂药就见效。喻嘉言在《医门法律》中说：“……”
Treats cases where Shāng Hàn (Cold Damage) has persisted for eight or nine days, and after being incorrectly treated with purgatives, the patient presents with chest fullness, irritability, and palpitations, difficulty in urination, delirious speech, heaviness of the entire body, and inability to turn over.
Chai Hu (Cinnamon Twig Decoction's Chief Herb / Bupleuri Radix) (4 liang), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix), Gan Cao (Licorice Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Fu Ling (Poria), Qian Dan (Lead Monoxide), Long Gu (Fossilized Bones), Mu Li (Ostreae Concha) (each 1.5 liang), Da Huang (Rhei Radix et Rhizoma) (2 liang).
[Preparation:] Da Huang is boiled only for one or two boils.
[Explanation:] Regarding the exterior syndrome of the Yang meridians...
Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction) includes Fu Ling, Qian Dan, and Da Huang. Chest fullness (refers to pathogenic factors sinking into the chest after purgation), irritability and palpitations (refers to heat pathogens disturbing the mind), and frequent delirious speech; the main action of this formula is to settle phlegm and calm fright, while Fu Ling promotes diuresis.
Treats cases where Shāng Hàn has persisted for five or six days, where sweating was already induced but then incorrectly followed by purgation, resulting in fullness and slight binding in the chest and hypochondrium, difficulty in urination, thirst without vomiting, aversion to cold alternating with fever, and irritability; it also treats malaria characterized by predominant chills with slight fever, or chills without fever. One dose yields immediate effect.
Chai Hu (8 liang), Gui Zhi (Cinnamomi Ramulus), Huang Qin (Scutellariae Radix) (each 3 liang), Gan Jiang (Zingiberis Rhizoma), Mu Li (Ostreae Concha), Gan Cao (Licorice Radix) (each 2 liang), Hua Fen (Trichosanthis Radix) (4 liang).
[Preparation:] Use 12 sheng of water, decoct to obtain 6 sheng, remove dregs, and decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily. After the first dose, slight irritability may occur; after subsequent doses, sweating ensues and recovery follows.
Chai Hu Gui Zhi Gan Jiang Tang (Bupleurum, Cinnamon Twig, and Dried Ginger Decoction) contains Hua Fen, Huang Qin, Gan Cao, and Mu Li. Pathogens in the Three Yang meridians cause Qi stagnation; transforming from the pivot facilitates the unblocking of Yang. (This reveals the medication involving the Three Yang meridians). Residual pathogens of the Tai Yang (Greater Yang) meridian are addressed by Gan Jiang opening the stagnation of Qi in the Yang Ming (Yang Brightness) meridian; Hua Fen assists Mu Li to enter the Yin aspect, raise fluids, and rescue the heat of the Three Yang meridians. Heavy use of Chai Hu and Huang Qin...
[Explanation:] In malaria attacks with predominant chills and slight fever, (Wind, Cold, and Dampness obstruct the muscle surface, causing Yang Qi to be depressed within Ying and Blood, hence predominant chills or chills without fever during attacks).
[Mechanism:] Chai Hu harmonizes the Yang of Shao Yang (Lesser Yang), using Huang Qin to harmonize the interior; Gui Zhi harmonizes the Yang of Tai Yang, using Mu Li to harmonize the interior; Gan Jiang harmonizes the Yang of Yang Ming, using Hua Fen to harmonize the interior; Gan Cao serves as the envoy to harmonize Yin and Yang. When harmony is achieved appropriately, one dose yields effect. Yu Jiayan stated in *Yi Men Fa Lü* (Legal Principles of Medicine): "..."