羌活，痧忌发表太过，若头痛或因寒起，更兼痧症，欲引太阳经，用半分至二分。川芎
，上行头目，头角骨痛者必需。下通血海，肝脏不荣者当用。用一分至三分止，多则恐提痧
气。藿香，痧症作吐，取其正气以治秽触，然必痧毒无阻，乃可俟冷冻饮料之。沉香、檀香、丁
香，痧始发忌用，若痧后心腹疼痛不休，胸胁胀闷，寒凝气滞，得此可舒，用一分至三分。
生地，凉血，血热者可用，血瘀者非宜。当归，头身尾各有所宜，用须斟酌（归尾不妨）。
黄
用
润
车
下
不
服
姜黄∶理血中之气，破血下气，性烈于郁金，血虚者勿用（片子者入手臂，金七，石一
，丝二、三，土二、三、六，革八）。
槟榔∶破滞散邪，消食行痰，坠诸气至于下极，气虚下陷者勿用（金七、八，石六，丝
三，竹七，匏五，土一）。
白蒺藜∶散肝风，泻肺气，破血消症，通乳坠胎（去刺、酒蒸用。石四，丝三、四、六
，竹五，匏四、六，革一）。
降香∶辟邪恶，疗创伤，止血定痛，消肿生肌（金七，石二、四、五，丝四，竹五）。
丹皮∶泻阴胞中火，治无汗骨蒸（地骨治有汗骨蒸，金六，竹二，土四，革二）。
蒲黄∶性滑，行血消瘀，通经脉，利小便，无瘀勿服（炒黑性涩，止一切血。丝六、七
，土三、四）。
白豆蔻∶利三焦，暖脾胃，散滞气，消酒积。若火升作呕，因热腹痛，气虚诸症，咸宜
禁之（金八，石一，丝一）。
旋复花∶软坚下气、行痰水、通血脉，肺与大肠药，虚者勿多服，冷利大肠宜戒（绢包
扎煎，金一，土六）。
栝蒌∶降痰治嗽，荡热涤垢，清咽利肠，胃虚脾泻者忌（金一加石七歌，竹八）。
大腹皮∶下气行水，治痞胀，稍涉虚者勿用（酒洗，再黑大豆汁洗，晒，灰火煨。金一
加竹四）。
威灵仙∶善走十二经络，治诸风痰积、浮肿闭结，大走真气，耗血（忌茶面。金一）。
羌活：治疗痧症时忌讳发汗太过。如果头痛是因为受寒引起，并且兼有痧症，想要引导药力进入太阳经，用量用半分到二分。川芎：药性上行至头目，头角骨痛的人必须使用。药性下行通入血海，肝脏气血不荣的人应当使用。用量用一分到三分即可，多了恐怕会提引痧气上逆。藿香：治疗痧症引起的呕吐，取其正气来对抗秽浊之气，但必须确保痧毒没有阻滞，才可以等待冷饮服用。沉香、檀香、丁香：痧症刚开始发作时忌讳使用，如果痧症之后心腹疼痛不止，胸胁胀闷，因寒凝导致气机阻滞，得到这些药物可以舒缓，用量用一分到三分。
生地：凉血，血热的人可以使用，血瘀的人不适合。当归：归头、归身、归尾各有所宜，使用时需要斟酌（归尾不妨碍使用）。姜黄：调理血中的气，破血下气，药性比郁金猛烈，血虚的人不要使用（用于手臂的片子，配伍比例：金石类七份，丝类二至三份，土类二至三份，革类八份）。槟榔：破除滞气散除邪气，消食行痰，使诸气下降至极处，气虚下陷的人不要使用（配伍比例：金石类七至八份，石类六份，丝类三份，竹类七份，匏类五份，土类一份）。白蒺藜：疏散肝风，泻肺气，破血消除症块，通乳坠胎（去刺后用酒蒸制。配伍比例：石类四份，丝类三至四、六份，竹类五份，匏类四、六份，革类一份）。降香：辟除邪恶之气，治疗创伤，止血定痛，消肿生肌（配伍比例：金石类七份，石类二、四、五份，丝类四份，竹类五份）。丹皮：泻阴分胞宫中的火，治疗无汗的骨蒸劳热（地骨皮治疗有汗的骨蒸劳热，配伍比例：金石类六份，竹类二份，土类四份，革类二份）。蒲黄：药性滑利，行血消瘀，通经脉，利小便，没有瘀血不要服用（炒黑后药性涩，能止各种出血。配伍比例：丝类六、七份，土类三、四份）。白豆蔻：通利三焦，温暖脾胃，散滞气，消酒积。如果是火升作呕，因热导致的腹痛，气虚的各种症状，都应当禁止使用（配伍比例：金石类八份，石类一份，丝类一份）。旋复花：软化坚积下气，行痰水，通血脉，是肺与大肠的药，虚证的人不要多服，冷利大肠的情况应当戒忌（用绢布包裹煎煮，配伍比例：金石类一份，土类六份）。栝蒌：降痰止咳，荡涤热垢，清咽利肠，胃虚脾泻的人忌用（配伍比例：金石类一份加石类七份的歌诀，竹类八份）。大腹皮：下气行水，治疗痞满胀气，稍微涉及虚证的不要使用（用酒洗，再用黑大豆汁洗，晒干，灰火煨制。配伍比例：金石类一份加竹类四份）。威灵仙：善于行走于十二经络，治疗各种风痰积、浮肿闭结，但走窜真气，耗伤血液（忌喝茶和面食。配伍比例：金石类一份）。
Qianghuo (Notopterygii Rhizoma et Radix): In the treatment of sha disease (sand disease/toxin), excessive diaphoresis is contraindicated. If headache arises from cold and is accompanied by sha symptoms, to guide the action into the Taiyang channel (Taiyang meridian syndrome), use 0.5 to 2 fen. Chuanxiong (Chuanxiong Rhizoma): Ascends to the head and eyes; essential for pain in the temples and skull bones. Descends to nourish the Blood Sea (Xuehai); indicated when the Liver lacks nourishment. Use 1 to 3 fen only; excessive dosage may draw sha qi upward. Huoxiang (Agastetis Herba): Used for vomiting caused by sha disease, utilizing its righteous qi to treat turbid pathogenic factors. However, it can only be taken with cold drinks if sha toxin obstruction is absent. Chenxiang (Aquilariae Lignum Resinatum), Tanxiang (Santal Albi Lignum), Dingxiang (Caryophylli Flos): Contraindicated at the onset of sha disease. If after sha disease there is unceasing pain in the heart and abdomen, distension and stuffiness in the chest and hypochondrium, and stagnation of qi due to cold, these herbs can provide relief. Use 1 to 3 fen.
Shengdi (Rehmanniae Radix): Cools blood; suitable for blood heat, but not appropriate for blood stasis. Danggui (Angelicae Sinensis Radix): The root head, body, and tail each have specific indications; dosage requires careful consideration (the tail is acceptable). Jianghuang (Curcumae Longae Rhizoma): Regulates qi within blood, breaks blood and descends qi; its nature is more acrid than Yujin (Curcumae Phaeocaulis Rhizoma); do not use in cases of blood deficiency. (For arm-related issues, use sliced pieces; formula composition: Metals/Minerals 7 parts, Silks 2-3 parts, Earths 2-3 parts, Leathers 8 parts). Binglang (Arecae Semen): Breaks stagnation and disperses pathogens, eliminates food retention and moves phlegm, drives all qi down to the lowest extreme; do not use in cases of qi deficiency with sinking. (Formula composition: Metals/Minerals 7-8 parts, Stones 6 parts, Silks 3 parts, Bamboos 7 parts, Gourds 5 parts, Earths 1 part). Baijili (Tribuli Fructus): Disperses liver wind, drains lung qi, breaks blood and eliminates masses, promotes lactation and induces abortion (remove spines and steam with wine before use. Formula composition: Stones 4 parts, Silks 3-4, 6 parts, Bamboos 5 parts, Gourds 4-6 parts, Leathers 1 part). Xiang (Xiangmu Cao/Lignum Aquilariae Resinatum - Note: Text says Jiangxiang which is Dalbergia Odorifera, often translated as Rosewood or Red Sandalwood relative context, here specifically Jiangxiang): Expels evil influences, treats trauma, stops bleeding and relieves pain, reduces swelling and generates flesh. (Formula composition: Metals/Minerals 7 parts, Stones 2-4-5 parts, Silks 4 parts, Bamboos 5 parts). Danpi (Moutan Cortex): Drains fire from the Yin and uterus, treats bone-steaming fever without sweat (Digupi [Bark of Ground Tree] treats bone-steaming fever with sweat; Formula composition: Metals/Minerals 6 parts, Bamboos 2 parts, Earths 4 parts, Leathers 2 parts). Puhuang (Typhae Pollen): Nature is slippery, moves blood and resolves stasis, unblocks meridians, promotes urination; do not take if there is no stasis (Charred black, it becomes astringent and stops all types of bleeding. Formula composition: Silks 6-7 parts, Earths 3-4 parts). Baudoukou (Amomi Fructus Rotundus): Benefits the Sanjiao (Triple Burner), warms the spleen and stomach, disperses stagnant qi, eliminates alcohol accumulation. Contraindicated in cases of rising fire causing vomiting, abdominal pain due to heat, and various conditions of qi deficiency. (Formula composition: Metals/Minerals 8 parts, Stones 1 part, Silks 1 part). Xuanfuhua (Inulae Flos): Softens hardness, descends qi, moves phlegm and water, unblocks blood vessels; herb for Lung and Large Intestine; do not take excessively in deficiency patterns; caution against causing loose stools due to cold. (Wrap in silk fabric before decocting. Formula composition: Metals/Minerals 1 part, Earths 6 parts). Gualou (Trichosanthis Fructus): Descends phlegm and treats cough, clears heat and washes away filth, clears throat and benefits intestines; contraindicated in stomach deficiency and spleen diarrhea. (Formula composition: Metals/Minerals 1 part plus Stones 7 parts per rhyme, Bamboos 8 parts). Dafupi (Arecae Pericarpium): Descends qi and moves water, treats fullness and distension; do not use if there is any deficiency. (Wash with wine, then wash with black soybean juice, sun-dry, and roast in ash fire. Formula composition: Metals/Minerals 1 part plus Bamboos 4 parts). Weilingxian (Syneilesis Rhizoma / Clematidis Radix et Rhizoma - Note: Traditional Weilingxian is Clematis, text implies strong movement): Good at traversing the twelve meridians, treats various wind-phlegm accumulations, edema, and constipation; strongly depletes true qi and consumes blood. (Contraindicated with tea and wheat products. Formula composition: Metals/Minerals 1 part).