第二十四章．治温病方
Chapter 24. herbs for Wen Disease (seasonal disease)
1．清解汤
1. Qingjie Tang
治温病初得，头疼，周身骨节酸疼，肌肤壮热，背微恶寒无汗，脉浮滑者。
This formula is used for the early stage of Wen disease. The
person feels headache, sour and pain in whole body joints,
hot/fever in muscles, mild chilly on back without sweat. The
pulse is floating and slippery.
薄荷叶（四钱）
蝉蜕（三钱，去足土）
生石膏（六钱，捣细）
甘草（一钱五分）
Bohe leaves (peppermint) 12 gram, Chantui 9 gram (remove
feet and soil), Shigao (gypsum) 18 gram (grind), Gancao
(licorice root) 4.5
gram.
《伤寒论》曰：“太阳病，发热而渴，不恶寒者，为温病。若发汗已，身灼热者，名曰风温。风温为病，脉阴阳俱浮，自汗出，身重，多眠睡，息必鼾，言语难出。”此仲景论温病之提纲也。乃提纲详矣，而后未明言治温病之方。及反复详细观之，乃知《伤寒论》中，原有治温病方，且亦明言治温病方，特涉猎观之不知耳。
It is said in
the book
《Shang Han Lun》: “When the disease is in the
Taiyang stage, the person feels hot and thirsty, no chilly,
the disease belongs to the Wen disease. After a sweat
therapy, he felt burning hot, his Wen disease is further
more to the Wind Wen disease. For the Wind Wen disease, the
person has sweat, heavy body; likes to lie down for sleep,
and has snooze during the sleep, and has difficulty in
speak. His pulse is floating from the Chun to the Chi
position.” This is the principle in the diagnosis of Wen
disease by Master Zhang Zhongjing. The parameter for the
diagnosis is very in detail, but he did not indicate clearly
in separate chapters for the way for the treatment. If we
check and study the Shang Han Lun carefully in detail, we
can find that there are formulas in the Shang Han Lun for
the treatment of the Wen disease, and he has already said
that it is used for the treatment of the Wen disease. It is
only because the readers did not pay much attention to them.
六十一节云：“发汗后，不可更行桂枝汤。汗出而喘，无大热者，可与麻黄、杏仁、甘草、石膏汤主之。”夫此证既汗后不解，必是用辛热之药，发不恶寒证之汗，即温病提纲中，所谓若发汗已也（提纲中所谓若发汗，是用辛热之药强发温病之汗）。其汗出而喘，无大热者，即温病提纲中，所谓若发汗已，身灼热及后所谓自汗出、多眠睡、息必鼾也。睡而息鼾，醒则喘矣。此证既用辛热之药，误发于前，仲景恐医者见其自汗，再误认为桂枝汤证，故特戒之曰：不可更行桂枝汤，而宜治以麻杏甘石汤。此节与温病提纲遥遥相应，合读之则了如指掌。然麻杏甘石汤，诚为治温病初得之的方矣。而愚于发表药中不用麻黄，而用薄荷、蝉蜕者，曾于葛根黄芩黄连汤解后详论之，兹不再赘。
For example, in the chapter 61, he said: “After sweat due to
the use of sweating therapy, the Guizhi Tang should not be
used again. If the person has sweat then asthma, has no
strong hot, use Mahuang, Xingren, Gancao and Shigao for the
treatment.” For this condition, if the symptoms are not
solved after sweat therapy, it must be to use the spicy and
hot herbs to create sweat in a non-cold condition. It
belongs to the “after sweat therapy” in the diagnosis
principle for the Wen disease. (in the principle, the so
called “if after the sweat”, means to use the spicy-hot
herbs to create sweat in a Wen disease). That the sweat and
asthma without strong hot in the Wen disease diagnosis means
the same as “after sweat therapy, , the person has sweat,
heavy body; likes to lie down for sleep, and has snooze
during the sleep, and has difficulty in speak. When wake up,
he will have asthma” For
this condition, the spicy-hot herbs has been mis-used, the
Master worries that doctors may mis-regard the later sweat
as the Guizhi Tang condition, so emphasized: don’t use the
Guizhi Tang again, but use Maxingshigan Tang. This paragraph
corresponds with the principle of the Wen disease chapter.
Read the paragraphs together would be clear for their inner
relationship. The herbal formula of Maxingshigan Tang is
realy the formula for the early stage of the Wen disease. In
my formula here, the meaning of the removal of Mahuang, but
use Bohe and Chantui, has been discussed in the Gegen
Huanglian Huangqin Tang (see later). No detailed discussion
here.
今者论温病之书甚伙，而郑卫红紫，适足乱真。愚本《内经》、仲景，间附以管见，知温病大纲，当分为三端。今逐端详论，胪列于下，庶分途施治，不至错误。
In current time, there are many books discussing the Wen
disease. The truth and the misleadings are all mixed
together and some books seem more famous than others.
Following the book
《Nei Jing》and
《Shang
Han Lun》, together with my own
understanding and experience, I believe that, there are
three major meaning for the Wen disease. Here we discuss it
in detail for proper diagnosis and proper treatment.
一为春温。其证因冬月薄受外感，不至即病。所受之邪，伏于膜原之间，阻塞脉络，不能宣通，暗生内热。迨至春日阳生，内蕴之热，原有萌动之机，而复薄受外感，与之相触，则陡然而发，表里俱热，《内经》所谓“冬伤于寒，春必病温”者是也，宜治以拙拟凉解汤。热甚者，治以拙拟寒解汤。有汗者，宜仲景葛根黄连黄芩汤，或拙拟和解汤，加生石膏。
One of the Wen diseases is the Spring Wen disease. It is due
to the mild Wind-Cold attack in winter. The out-coming Xie
Qi did not cause disease at that time, but hidden in between
the muscle fribro membranes, to block the blood vessels, so
to cause inside silent Hot. Upon the spring time, the Yang
Qi starts to come up, the inside hidden Hot, originally
having pushing nature, now trigerred by and mixed with the
mild Wind-Cold Xie Qi attack in the spring, erupts suddenly,
so as to make the body Hot/fever in the inside and outside
of the body. This is what has been said in the book《Nei
Jing》that
“if the body is attacked by Cold in the winter, the person
will have Wen disease in next spring”. Such case should be
treated by Liangjie Tang. If the Hot is very severe, use
Hanjie Tang. If there is sweat, use the Master’s formula
Gegen Huanglian Huangqin Tang, or use my Hejie Tang with
addition of Shigao.
若至发于暑月，又名为暑温，其热尤甚。初得即有脉洪长，渴嗜凉水者，宜投以大剂白虎汤，或拙拟仙露汤。
If the Wen disease occurs in the summer, it is called Summer
Wen. In this case, the Hot/fever is more severe. The pulse
is waving and long in the early stage of the disease. If the
person craves for cold water to drink, use large amount of
Baihu Tang, or use my Xianlu Tang.
一为风温。犹是外感之风寒也，其时令已温，外感之气已转而为温，故不名曰伤寒、伤风，而名风温，即《伤寒论》中所谓风温之为病者是也。然其证有得之春初者，有得之春暮者，有得之夏秋者，当随时序之寒热，参以脉象，而分别治之。若当春初秋末，时令在寒温之间，初得时虽不恶寒，脉但浮而无热象者，宜用拙拟清解汤，加麻黄一二钱，或用仲景大青龙汤。若当暑热之日，其脉象浮而且洪者，用拙拟凉解汤，或寒解汤。若有汗者，用拙拟和解汤，或酌加生石膏。
Another kind of the Wen diseases is the Wind Wen disease.
The clinic condition is similar to the Wind-Cold Shanghan
disease. At the time of the disease, the season has changed
to warm weather, and the invading Xie Qi has changed to
warm, so it is not called Cold-invasion, nor Wind-invasion
Shanghan disease, but the Wind Wen disease. It is the same
as the disease caused by Wind and Hot, as indicated in the《Shang Han Lun》.
It can happen in the later spring, or between the summer and
the autumn. For the treatment, pay attention to the cold or
hot of the season/weather at the time, as well as the pulse,
to treat the condition accordingly. If it happens in the
early spring or later autumn, the season is between the cold
and hot, the person has no chilly in the beginning; the
pulse is only floating; the person has no hot symptoms, use
my Qingjie Tang, with addition of herb Muhuang 3 to 6 gram,
or use the Master’s Da Qinglong Tang. If it happens in the
very hot summer time, the pulse is floating and waving, use
my Jiangjie Tang, or Hanjie Tang. If the person has sweat,
use my Hejie Tang, with addition of Shigao.
一为湿温。其证多得之溽暑。阴雨连旬，湿气随呼吸之气，传入上焦，窒塞胸中大气。因致营卫之气不相贯通，其肌表有似外感拘束，而非外感也。其舌苔白而滑腻，微带灰色。当用解肌利便之药，俾湿气由汗与小便而出，如拙拟宣解汤是也。仲景之猪苓汤，去阿胶，加连翘亦可用。至湿热蓄久，阳明府实，有治以白虎汤，加苍术者，其方亦佳。而愚则用白虎汤，以滑石易知母，又或不用粳米，而以生薏米代之。
Additional form
of the Wen disease is the Wetness Wen disease. It occurs in
hot and humidity weather. It is continuous raining weather.
The Wetness/humidity Qi is inhaled through the breath, goes
to the Upper Jiao of the body, blocks the Big Qi in the
chest, so as to prevent the connection between the Ying-Qi
and the Wei-Qi of the body, and cause the body surface
feeling as being sealed or being tied. The tongue covering
is white and slippery and oily, with slight grey in color.
In such case, the muscle-releasing, and urine-promoting
herbs should be used, to expel the Wetness Qi out of the
body through the sweat and urine, such as my Xuanjie Tang.
The Master’s Zhuling Tang, with removal of Ajiao, the
addition of Lianqiao, can also be used. If the Wetness-Hot
condition lasts for a long time, the person has the Yangming
sthenic condition, use Baihu Tang. The addition of Cangzhu
in it would make it work better. However, when I use this
Baihu Tang, I use the Huashi to replace the Zhimu, and/or
use the Yiyiren to replace the Genmi.
至于“冬不藏精，春必病温”，《内经》虽有明文，其证即寓于风温、春温之中。盖内虚之人，易受外感，而阴虚蕴热之人，尤易受温病。故无论风温、春温之兼阴虚者，当其发表、清解、降下之时，皆宜佐以滋阴之品，若生山药、生地黄、玄参、阿胶、生鸡子黄之类均可酌用，或宜兼用补气之品，若白虎汤之加人参，竹叶石膏汤之用人参，诚以人参与凉润之药并用，不但补气，实大能滋阴也。
For the “if the person do not keep and save his valuable sex
liquid, he would have the Wen disease in spring”, though
indicated clearly in the book
《Nei
Jing》, the symptoms of such Wen
disease are included in the Wind Wen disease and the Spring
Wen disease. The weak person is easy to get the common cold
(Wind-Cold invasion condition). The person with the Yin
deficiency is easy to get the Wen disease. For this reason,
no matter it is the Wind Wen disease or the Spring Wen
disease, if the person is with the Yin deficiency, among the
surface-expelling herbs, Fire-clearing herbs, and the
Falling herbs, use Yin-nourishing herbs too, such as
Shangyao, Shengdi, Xushen, Ajiao and Jizihuang (egg yolk),
etc. or use Qi-nourishing herbs, such as addition of Renshen
in the Baihu Tang, or the Renshen in the Zhuye ShiGao Tang.
When the Renshen is used with the cooling herbs, it works
not only to nourish the Qi, but also the Yin portion of the
body.
上所论温病，乃别其大纲及其初得治法。至其证之详悉，与治法之随证变通，皆备于后之方案中。至于疫病，乃天地之疠气，流行传染，与温病迥异。
The discussion about the Wen disease above, is only a
outline for its diagnosis and treatment. When meet a
patient, the treatment should still be modified according to
the person’s specific condition, as will be discussed in
later of this chapter. For the Yi disease, it is caused by
Xie Qi in the nature. It is infectious disease, different
from the Wen disease.
方中薄荷叶，宜用其嫩绿者。至其梗，宜用于理气药中，若以之发汗，则力减半矣。若其色不绿而苍，则其力尤减。若果嫩绿之叶，方中用三钱即可。薄荷气味近于冰片，最善透窍。其力内至脏腑筋骨，外至腠理皮毛，皆能透达，故能治温病中之筋骨作疼者。若谓其气质清轻，但能发皮肤之汗，则浅之乎视薄荷矣。
In the formula, the Bohe leaves (peppermint) should be the
fresh, young leaves. Its stem, should be used in Qi-harmonizing
formula. If use it for sweat therapy, its ability reduces
half. If its color is gray, not green, the healing power is
even less. If use the fresh and green leaves, 9 gram is
sufficient. Bohe is similar to the Bingpian (borneol) in its
odor. It is good as penetrating. Its power can reach the
organ and tendons inside, and skin and hair outside layer of
the body, so it is good to solve the pain in the tendons and
bones in the Wen disease. If you think that its odor is
light and floating, it can only create sweat in the skin,
you look down its ability.
蝉蜕去足者，去其前之两大足也。此足甚刚硬，有开破之力。若用之退目翳消疮疡，带此足更佳。若用之发汗，则宜去之，盖不欲其于发表中，寓开破之力也。蝉蜕性微凉、味淡，原非辛散之品，而能发汗者，因其以皮达皮也。此乃发汗中之妙药，有身弱不任发表者，用之最佳。且温病恒有兼瘾疹者，蝉蜕尤善托瘾疹外出也。
That to remove the feet of Chantui (cicada slough) means to
remove its front big feet. The front feet are hard as steal,
with breaking ability. If use it for the treatment of eye
cateract or sovle ulcer, the Chantui with the front feet is
better. If use it for sweat, it is better to remove it,
since it is not good to have breaking function in the
surface-expelling herbs. Chantui is mild cooling and weak in
taste. It originally is not a sweat herb. Use it here for
sweat, is due to its “treat the shell layer disease by the
shell”. It is a smart herb in the sweat formula. It is
especially good to be used in person who is weak in body
condition and could not endure a strong sweating therapy.
When it is used in the Wen disease with hidden skin rash, it
is especially good to bring the skin rash out for healing.
石膏性微寒，《神农本草经》原有明文。虽系石药，实为平和之品。且其质甚重，六钱不过一大撮耳。其凉力，不过与知母三钱等。而其清火之力则倍之，因其凉而能散也。尝观后世治温之方，至阳明府实之时，始敢用石膏五六钱，岂能知石膏者哉！然必须生用方妥，
锻者用至一两，即足偾事。又此方所主之证，或兼背微恶寒，乃热郁于中，不能外达之征，非真恶寒也。白虎汤证中，亦恒有如此者，用石膏透达其热，则不恶寒矣。
The Shigao is mild cold in herbal nature. It has been
clearly indicated in the《Shennong
Bencao Jing》.
Though it is a stone material, it is actually functioning
calm. For its heavy in weight, 18 gram is only a small hand
amount. Its cooling power is about equal to 9 gram of Zhimu.
However, its Fire-clearing ability is doubled, for it can
cool and disperse. If we look at the formulas from later
doctors, upon the Yangming stage with the sthenic condition,
they started to use the Shigao 15 to 18 gram. How can we
believe that they know the ability of the Shigao! The Shigao,
however, should be used in original, non-processed form.
With the processed Shigao, 30 gram of it might cause danger
to the life. In addition, this formula is used for the
condition, in which the person has mild chilly feeling on
the back. It is the accumulation and sealing of Fire inside,
which cannot be distributed or dispersed to the outside, not
a real chilly condition. In the Baihu Tang condition, this
is a quite common phenomenon. In this case, the use of
Shigao can disperse the accumulated, the fold Fire out, to
solve the chilly feeling.
或问：外感中于太阳则恶寒，中于阳明则不恶寒而发热。时至春、夏，气候温热，故外感之来，不与寒水相感召，而与燥金相感召，直从身前阳明经络袭入，而为温病。后世论温病者，多是此说。而《伤寒论》温病提纲，冠之以太阳病者何也？答曰：温病初得，亦多在太阳，特其转阳明甚速耳。
It might ask:
in the common cold, when the Xie Qi attacks the Taiyang
portion of the body, the person feels chilly. If the Xie Qi
penetrates into the Yangming stage/portion, the person will
have no chilly but Hot. In the spring and summer season, the
weather is hot, so, the when the outside Xie Qi attacks, it
will not vibrate with the Cold-Water meridian (Taiyang
portion) on the back, but vibrate with the Dryness Metal
(the Yangming portion of the body), and penetrate deep in
the Yangming meridian on the front of the body, so to cause
the Wen disease. This is the later time doctor to explain
the Wen disease. But in the outline of the Wen disease in
the
《Shan Han Lun》,
why it still calls the early stage of the Wen disease the
Taiyang stage? Answer: in the early stage of the Wen
disease, the Xie Qi is also in the Taiyang stage, only that
it penetrate very soon into the Yangming.
曾治一人，年二十余。当仲夏夜寝，因夜凉，盖单衾冻醒，发懒，仍如此睡去。须臾又冻醒，晨起微觉恶寒。至巳时已觉表里大热，兼喘促，脉洪长而浮。投以清解汤，方中生石膏，改用两半，又加牛蒡子（炒捣）三钱，服后得汗而愈。由斯观之，其初非中于太阳乎，然不专在太阳也。人之所以觉凉者，由于衣衾之薄。其气候究非寒凉，故其中于人不专在太阳，而兼在阳明。且当其时，人多蕴内热，是以转阳明甚速也，然此所论者风温耳。若至冬受春发，或夏发之温，恒有与太阳无涉者。故《伤寒论》温病提纲中，特别之曰：风温之为病，明其异于“冬伤于寒，春必病温”之温病也。又杏仁与牛蒡子，皆能降肺定喘，而杏仁性温、牛蒡子性凉，伤寒喘证，皆用杏仁，而温病不宜用温药，故以牛蒡子代之。
A man, 20 years of old, in a summer night, for cold night,
covered thin covering. He waked up due to cold, but due to
lazy, he did not cover more. Soon he was waked up again. In
the morning, he felt mild chilly. Upon the noon, he felt
very hot inside and outside of the body. He felt asthma and
short of breath. His pulse was waving, long the floating. He
was given the Qingjie Tang, with the change of the Shigao to
45 gram, and with addition of Niubangzi (fry, grind) 9 gram.
After drinking of the herbal tea, he got sweat and the
condition was cured. From this case, it is known that the
Xie Qi in the very beginning, is in the Taiyang stage, but
not stick there. The reason that the person felt cold is
that he had thin covering. The weather however is not cold,
so the Xie Qi, when attacks the body, does not focus or
stick to the Taiyang, but also in the Yangming. Also at that
time, the body is usually with more warm inside, so that the
Xie Qi moves into the inside Yangming sooner. However, what
we are talking about here is for the Wind Wen disease. If
the disease happens in the winter but shows up in the
spring, or shows up in the summer, they usually has nothing
to do with the Taiyang stage. So, in the book
《Shang
Han Lun》,
it is specially indicated: the Wind Wen is clearly different
from the Spring Wen. In addition, the Xingren and Niubangzi
both can reducing the Lung Qi to solve asthma, but the
Xingren is warm and the Niubangzi is cold. For the asthma in
the Shanghan disease, use the Xingren, but in the Wen
disease, use the Niubangzi, since in the warm herbs are not
used in the Wen disease.
附录：
Appendix:
直隶盐山孙××来函：
Letter from Mr. Song, Sanshan city, Zhili province:
一九二五年春，一人来津学木工。因身体单薄，又兼天热，得温病，请为诊视。脉浮数而滑，舌苔白浓，时时昏睡。为开清解汤，生石膏用一两，为其脉数，又加玄参五钱，一剂病愈。
In the spring of year 1925, a man came to the Tianjing city
to learn carpenter. Due to thin in the body condition and to
the hot weather, he got Wen disease and came for help. His
pulse was frequent and slippery. His tongue covering is
white and thick. He fell sleep from time to time. I gave him
the Qingjie Tang, in which the Shigao was 30 gram. For his
frequent pulse, added was the Xuanshen 15 gram. One dose
solved his disease.
斯年仲春，俞××之三位女儿皆出瘟疹。生为诊视，皆投以清解汤，加连翘、生地、滑石而愈。同时之患此证者，势多危险。惟生投以此方，皆能随手奏效。
A spring in a
year, Mr. Yu had all of his three daughter had Wen disease
with skin rashes. I went to him for visit. They all were
given the Qingjie Tang, with addition of Lianquiao, Shengdi
and Huashi, and all are cured. At that time, people suffered
the same condition were very risk in life. Only with this
formula I used, they got cured.
2．凉解汤
2. Liangjie Tang (Liang here means
cooling down; Jie means to solve and to cure)
治温病，表里俱觉发热，脉洪而兼浮者。
This formula is used in Wen disease. The person feels hot
inside the body and on the body surface. The pulse is big
and floating.
薄荷叶（三钱）
蝉蜕（二钱，去足土）
生石膏（一两，捣细）
甘草（一钱五分）
Bohe leaves (peppermint) 9 gram, Chuantui 6 gram (remove the
feet and soil), Shigao 30 gram (grind), and Gancao 4.5 gram.
春温之证，多有一发而表里俱热者，至暑温尤甚，已详论之于前矣。而风温证，两三日间，亦多见有此脉、证者。此汤皆能治之，得汗即愈。
For the Spring-Wen disease, usually the person would have
the hot inside and outside of the body very soon. It is even
more like this in Summer Wen disease. This has been
discussed before. For the Wind Wen disease, however, the
person would have such condition within two to three days.
The Liangjie Tang can solve all of such condition, after the
sweat created by the formula.
西人治外感，习用阿斯匹林法。用阿斯匹林一瓦，和乳糖（可代以白蔗糖）服之，得汗即愈。愚屡次试之，其发汗之力甚猛，外感可汗解者，用之发汗可愈。若此凉解汤，与前清解汤，皆可以此药代之，以其凉而能散也。若后之寒解汤，即不可以此药代之，盖其发汗之力有余，而清热之力，仍有不足也。
For the western
medicine, they commonly use Aspirin for the common cold.
Take one tablet of Aspirin with sugar, the person gets cured
after sweat. I tried it quite often too. Its ability to
create sweat is very strong. If the common cold can be cured
with the sweat therapy, use to create sweat and the disease
can be cured. The Liangjie Tang and the previous Qingjie
Tang, both can be replaced by the Aspirin, for its cooling
nature, which can disperse the Hot in the body. However, it
should not be used in the later Hanjie Tang, for the poor
ability of the Aspirin to clear the Fire.
3．寒解汤
3. Hanjie Tang (Han here means cold,
freeze; Jie means to solve, to clear.)
治周身壮热，心中热而且渴，舌上苔白欲黄，其脉洪滑。或头犹觉疼，周身犹有拘束之意者。
This formula is used for the condition, in which the person
feels very hot and fever in the body. The person feels Hot
and thirsty. His tongue is white and thick and tends to be
yellow in color. The pulse is waving and slippery. He feels
headache, and the whole body feels as tied to tightness.
生石膏（一两，捣细）
知母（八钱）
连翘（一钱五分）
蝉蜕（一钱五分，去足土）
Shigao 30 gram (grind), Zhimu 24 gram, Liangqiao 4.5 gram,
Chantui 4.5 gram (remove feet and soil).
或问：此汤为发表之剂，而重用石膏、知母，微用连翘、蝉蜕，何以能得汗？答曰，用此方者，特恐其诊脉不真，审证不确耳。果如方下所注脉证，服之复杯可汗，勿庸虑此方之不效也。盖脉洪滑而渴，阳明府热已实，原是白虎汤证。特因头或微疼，外表犹似拘束，是犹有一分太阳流连未去。故方中重用石膏、知母以清胃府之热；而复少用连翘、蝉蜕之善达表者，引胃中化而欲散之热，仍还太阳作汗而解。斯乃调剂阴阳，听其自汗，非强发其汗也。况石膏性凉（《神农本草经》谓其微寒即凉也）味微辛，有实热者，单服之即能汗乎.
It might be asked: this formula is a expelling formula. It
uses large amount of Shigao and Zhimu, but less Lianqiao and
Chantui, how it can create sweat? Answer: to use this
formula, it is very important that the condition and the
pulse must follow the indication of the formula. It is
indeed yes, the sweat can be created very soon, no worry
that it will not work. When the pulse is waving and
slippery, the person feels thirst, the Yangming sthenic Fire
is true, which is originally the indication for the Baihu
Tang. Only because the person still has slight headache and
the body surface feels some tightness, as there is some
amount of Xie Qi remaining in the Taiyang stage/portion. For
this reason, in the formula here, use large amount of Shigao
and Zhimu to clear the Stomach Fire, but use little amount
of Lianqiao and Chantui, for their ability to reach the body
surface, to bring the Fire in the stomach to the Taiyang
layer to develop into sweat. This is actually a formula to
harmony the Yin and Yang, to create sweat, not means to push
the body to create sweat. In addition, the Shigao is cold in
herbal nature, and its taste is mild spicy. The Shigao alone
can create the sweat in the sthenic Fire condition.
曾治一少年，孟夏长途劳役，得温病，医治半月不效。后愚诊视，其两目清白，竟无所见，两手循衣摸床，乱动不休，
讖语不省人事。其大便从前滑泻，此时虽不滑泻，每日仍溏便一两次。脉浮数，右寸之浮尤甚，两尺按之即无。因此证目清白无见者，肾阴将竭也。手循衣摸床者，肝风已动也。病势之危，已至极点。幸喜脉浮，为病还太阳。右寸浮尤甚，为将汗之势。其所以将汗而不汗者，人身之有汗，如天地之有雨。天地阴阳和而后雨，人身亦阴阳和而后汗。此证尺脉甚弱，阳升而阴不能应，汗何由作？当用大润之剂，峻补真阴，济阴以应其阳，必能自汗。遂用熟地、玄参、阿胶、枸杞之类，约重六七两，煎汤一大碗，徐徐温饮下，一日连进二剂，即日大汗而愈。审是，则发汗原无定法。当视其阴阳所虚之处，而调补之，或因其病机而利导之，皆能出汗，非必发汗之药始能汗也。
A youth, due to
long time labor work, got the Wen disease. He visited doctor
for half month without improvement. When I saw him, his eye
was white and could not see anything, had hands scattering
to touch stuff; his body moves randomly; chattering
randomly. He had diarrhea and slippery bowel movement. At
this movement, he though had no slippery diarrhea, but still
had diarrhea one to two times a day. His pulse was floating
and frequent. It was more floating on the righ Chun
position, but the pulse could be felt on both Chi position.
Since his eyes could no see anything, it indicated that his
Kidney Yin is to exhaust. Randomly touching and reaching
things by hands suggests that the Liver Wind started. His
condition has developed into very dangerous stage. It was
still lucky that, the pulse was still floating, suggesting
that the disease is still in the Taiyang stage. The strong
floating pulse on the right Chun position indicated that the
sweat was coming. The reason that he was to sweat but had no
sweat is that, for the sweat in the body is as the raining
in the nature between the sky and the ground. In the nature,
when the Yin and the Yang is in harmony, there will be the
rain. In the body, when the body Yin and body Yang is in
harmony, there will be the sweat. In his condition, the
pulse in the Chi Position was very weak, so the Yang had
raised but there was no response from the Yin, so how can a
sweat be developed? What is needed is to use herbs to
heavily supply more Yin. To nourish the Yin is so to let the
Yin to respond to the raised Yang, and so to create sweat.
For this consideration, in the herbal formula gave to him,
it contained Shoudi, Xuanshen, Ajiao, and Goujizi, all of
which weighted 180 to 210 grams. It was cooked as a big
bowl. He was asked to drink the tea gradually and slowly. He
drank two such doses for the same day. The next day, he got
heavy sweat and the condition was solved. You see, there is
actually no fixed principle for how to create sweat. It is
needed to pay attention to see if there is the deficiency in
the Yin and/or the Yang portion of the body; if yes, supply
the Yin and/or the Yang. Or, check the mechanism
contributing to the sweat, see which step(s) needs
correction and to correct it. All the ways could create
sweat healing. No need to only depend on the sweat-creating
herbs to create the sweat.
按：寒温之证，原忌用粘腻滋阴、甘寒清火，以其能留邪也。而用以为发汗之助，则转能逐邪外出，是药在人用耳。
Comments: For the Shanhan disease and the Wen disease, it is
basically inhibited to use the sticky, oily herbs to nourish
the Yin, or the sweet-cooling herbs to clear the Fire, since
they may keep the Xie Qi in the body. Now, they are used to
help to create sweat, so as to expel the Xie Qi out. The
function of the herbs really depends on how you use them.
一人，年四十余。为风寒所束不得汗，胸中烦热，又兼喘促。医者治以苏子降气汤，兼散风清火之品，数剂病益进。诊其脉，洪滑而浮，投以寒解汤，须臾上半身即出汗。又须臾，觉药力下行，至下焦及腿亦皆出汗，病若失。
A man, 40 years of old, due to the Wind-Cold attack and to
seal the body surface, felt no sweat, agitated hot in the
chest with asthma and short of breath. Doctors gave him
Souzi Jiangqi Tang, with additional Wind-dispersing and
Fire-clearing herbs. After several doses, the condition was
worse. His pulse was waving, slippery and floating. He was
given the Hanjie Tang. Very soon he felt sweat on the upper
body. Very soon again, he felt the healing power moved down
to the Lower Jiao and the leg, to have sweat there too. The
disease was cured right away.
一人，年三十许。得温证，延医治不效，迁延十余日。愚诊视之，脉虽洪而有力，仍兼浮象。问其头疼乎？曰：然！渴欲饮凉水乎？曰：有时亦饮凉水，然不至燥渴耳。知其为日虽多，而阳明之热，犹未甚实，太阳之表，犹未尽罢也。投以寒解汤，须臾汗出而愈。
A man, 30 years of old, had the Wen disease. He visited
doctors, but none of them could help him. When I saw him,
his pulse was waving and strong, with little floating
feeling. Asked if he had headache, he said yes. Wish to
drink cold water? Answered yes, sometimes drank cold water,
but not too thirsty. It was considered that, though the
disease had last for a long time, the Yangming Hot had not
become sthenic yet. The Taiyang surface Xie Q had not either
been disappeared yet. He was given the Hanjie Tang. Very
soon he got sweat and the condition was cured.
一人，年三十余。于冬令感冒风寒，周身恶寒无汗，胸间烦躁。原是大青龙汤证，医者投以麻黄汤。服后汗无分毫，而烦躁益甚，几至疯狂。诊其脉，洪滑异常，两寸皆浮，而右寸尤甚。投以寒解汤，复杯之顷，汗出如洗而愈。审是则寒解汤不但宜于温病，伤寒现此脉者，投之亦必效也。
A man, 30 years of old, got the Wind-Cold common cold in
winter. He felt chilly and no sweat. He felt agitated and
annoyed in the chest. It was originally the condition for Da
Qinglong Tang, but the doctor used Mahuang Tang. After drink
of the herbal tea, the person felt much more agitated and
annoyed to mad. His pulse was very big waving and slippery.
The pulses on the two Chun positions are floating,
especially on the right side. He was given the Hanjie Tang.
Very soon, he got heavy sweat and the condition was solved.
Clearly, the Hanjie Tang is not only suit for the Wen
disease, it is also suit for the Shanghan disease with such
pulses.
一叟，年七旬。素有劳疾，薄受外感，即发喘逆，投以小青龙汤，去麻黄，加杏仁、生石膏辄愈。上元节后，因外感甚重，旧病复发，五六日间，热入阳明之府。脉象弦长浮数，按之有力，而无洪滑之象（此外感兼内伤之脉）。投以寒解汤，加潞参三钱，一剂汗出而喘愈。再诊其脉，余热犹炽，继投以白虎加人参以山药代粳米汤一大剂，分三次温饮下，尽剂而愈。
A old man, 70 years of old, usually had exhausting
condition. With little attack of Wind-Cold, he would have
asthma. His condition was solved by giving the herbal
formula of Xiao
Qinglong Tang, with removal of Mahuang, but addition of
Xingren and Shigao. One year, after Lantern festival, due to
a heavy Wind-Cold attack again, his old disease recurred.
Within five to six days, his condition turned into the
Yangming stage. His pulse was string, long, floating and
frequent and strong when feel on it, but no waving or
slippery feeling (this is the pulse indicating the common
cold with the inside damage too). He was given the Hanjie
Tang, with addition of Dangshen 9 gram. One dose created
sweat for him and the asthma stopped. His pulse then still
showed the sign for Hot. He was then given the Baihu Jia
Renshen Tang, with the Shangyao to replace the Genmi. The
herbal tea was drunk three separated time. After finish the
drinking, the condition was solved.
一妊妇，伤寒两、三日。脉洪滑异常，精神昏愦，间作讖语，舌苔白而甚浓。为开寒解汤方，有一医者在座，问方中之意何居？愚曰：欲汗解耳。曰：此方能汗解乎？愚曰：此方遇此证，服之自能出汗，若泛作汗解之药服之，不能汗也。饮下须臾，汗出而愈。
A pregnant woman had Shanghan disease for two to three days.
Her pulse was very waving and slippery. Her spirit was
smearing and cloudy, with random chattering from time to
time. Her tongue covering was thick and white in color. She
was given the Hanjie Tang. There was another doctor on spot.
He asked the meaning of the herbal formula. I said: to
create sweat. He asked: would this formula create sweat to
solve the condition? I said: if this formula is used to such
condition, it will create sweat to cure. If use it as
regular sweat-creating formula, it may not work. After the
lady drank the herbal tea, very soon she got sweat and the
condition was cured.
一妇人，年二十余，得温病。咽喉作疼，舌强直，几不能言，心中热而且渴，频频饮水，脉竟沉细异常，肌肤亦不发热。遂舍脉从证，投以寒解汤，得微汗，病稍见愈。明晨又复如故，舌之强直更甚。知药原对证，而力微不能胜病也。遂仍投以寒解汤，将石膏加倍，煎汤两盅，分二次温饮下，又得微汗，病遂愈。
A lady, 20 years of old, had Wen disease. She felt pain in
the throat, and her tongue moved not smoothly, almost hard
to talk. She felt hot in heart and thirsty, so she drank
water again and again. Her pulse was very deep and thin. The
body muscle didn’t feel hot. So, the pulse was neglected,
but followed the body conditions and gave her the Hanjie
Tang. After drink of the herbal tea, she got slight sweat,
the condition was slightly improved. The next morning, the
condition recurred the same as before, and the tongue was
much harder to move. It was known that, the herbal formula
was correct, but the power of the healing was not strong
enough. So, it was still used the Hanjie Tang, with the
amount of Shigao doubled. The herbal tea was drunk in two
times. She got slight sweat again. The condition was cured.
按：伤寒脉若沉细，多系阴证。温病脉若沉细，则多系阳证。盖温病多受于冬，至春而发，其病机自内向外。有时病机郁而不能外达，其脉或即现沉细之象，误认为凉，必至误事。又此证，寒解汤既对证见愈矣，而明晨，舌之强直更甚，乃将方中生石膏倍作二两，分两次前后服下，其病即愈。由是观之，凡治寒温之热者，皆宜煎一大剂，分数次服下，效古人一剂三服之法也。
Comments: if the Shanhan disease is with deep and thin
pulse, the condition is usually a Yin condition. If the Wen
disease is with the deep and thin condition, it is usually a
Yang condition. The Wen disease is usually got in the winter
and shows up in spring. Its development is from the inside
to the outside. Some times, the disease is fold in inside
and not develop to the outside, the pulse will be as deep
and thin. If this condition is mis-diagnosed as a cold
condition, it will cause wrong healing result. For the case
here, the initial use of the Hanjie Tang is correct and
condition was to cure. In the next morning, the tongue was
harder, so the Shigao was doubled amount, the herbal tea was
drunk by separated twice, and the condition was cured. This
means: in the treatment of Shanghan disease or a Wen
disease, the herbal tea should be drunk several times, mimic
the ancient way of one-dose for three times; not all in
once.
门人高××曾治一媪，年近七旬。于春初得伤寒证，三四日间，烦热异常。又兼白痢，昼夜滞下无度，其脉洪滑兼浮。高××投以寒解汤，加生杭芍三钱，一剂微汗而热解，痢亦遂愈。
My student, Mr. Gao treated a woman, who was 70 years of
old. She had the Shanghan disease in an early spring. Within
three to four days, she felt very annoying hot. She had also
white diarrhea. The bowel movement was many times and her
pulse was waving, slippery and floating. Mr. Gao gave her
the Hanjie Tang, with additional of Baishao 9 gram. One dose
solved the Hot, and the diarrhea was also cured.
又：吴又可曰：“里证下后，脉浮而微数，身微热，神思或不爽。此邪热浮于肌表，里无壅滞也。虽无汗，宜白虎汤，邪可从汗而解。若下后，脉空虚而数，按之豁然如无者，宜白虎加人参汤，复杯则汗解。”
Dr. Wu Youke
said: “for the inside condition after bowel-cleansing
therapy, the pulse was mild frequent and the body was milk
hot, the mind might be somewhat cloudy. This is a condition,
in which the Xie Hot floats in the muscle and body surface,
there is no stagnation inside the body. Though no sweat, the
herbal formula of Baihu Tang should be used, so that the Xie
can be released through the sweat. If, after the
bowel-cleaning therapy, the pulse was hollow, weak and
frequent, and it is difficult to feel when pressed harder,
the herbal formula of Baihu Jia Renshen Tang should be used.
The condition would be solved very soon with the sweat
created.”
按：白虎汤与白虎加人参汤，皆非解表之药，而用之得当，虽在下后，犹可须臾得汗，况在未下之前乎。不但此也，即承气汤，亦可为汗解之药，亦视乎用之何如耳。
Comments: The formula of Baihu Tang or the Baihu Jia Renshen
Tang is not a surface-expelling formula. But, if used in a
correct way, even if it is used after a bowel-cleansing
therapy, it can create a sweat within short time, not to
speak of its use before the bowel-cleansing therapy. Not
only for this formula, even the Chengqi Tang, can also work
as a sweating therapy formula, depending on how it is used.
又洪吉人曰：“余尝治热病八、九日，用柴葛解之、芩连清之、硝黄下之，俱不得汗。昏愦扰乱，撮空摸床，危在顷刻。以大剂地黄汤（必系减去桂附者），重加人参、麦冬进之。不一时，通身大汗淋漓，恶证悉退，神思顿清。”
Again, Mr. Hong Jiren said: “I treated a perso with the Wen
disease for eight to nine days. I used Chaige Tang to expel;
the Huangqin and Huanglian to clear the fire; the Mangxiao
and Dahuang to clear the Xie from the stool, none had
worked. The person lost his consciousness already. He had
random touch and massage stuff. The condition was very
dangerous. I then used large dose of Dihuang Tang (it must
have removed the Gizhi and Fuzi from it), with addition of
Renshen and Maidong. No far away, the person had sweat all
of the body, and the dangerous condition was calm down and
returned the consciousness.
按：此条与愚用补阴之药发汗相似，所异者，又加人参以助其气分也。上所论者皆发汗之理，果能汇通参观，发汗之理，无余蕴矣。
Comments: This case is similar to my use of Yin-nourishing
formula to create sweat. The difference is that it added
Renshen to nourish the Qi portion of the body. The
discussions above all are for the mechanism to create sweat.
If the readers can understand it, there should have no more
worry any longer.
附录：
Appendix:
直隶盐山李××来函：
Letter from Mr.
Li, Yanshan city, Zhili province:
天津××，得温病，先服他医清解之药数剂无效。弟诊其脉象，沉浮皆有力，表里壮热无汗。投以寒解汤原方，遍身得汗而愈。山斯知方中重用生石膏、知母以清热，少加连翘、蝉蜕以引热透表外出，制方之妙远胜于银翘散、桑菊饮诸方矣。且由此知石膏生用诚为妙药。从治愈此证之后，凡遇寒温实热诸证，莫不遵书中方论，重用生石膏治之。其热实脉虚者，亦莫不遵书中方论，用白虎加人参汤，或用白虎加人参以生山药代粳米汤，皆能随手奏效。
Letter from Mr. Li, Tianjing city, had the Wen disease. He
tried the herbs from other doctors but no improvement. I
felt his pulse. It was strong when pressed slight or harder.
He felt hot on the body surface and inside. He was given
Hanjie Tang and got sweat whole of the body and the
condition was cured. So, I realized that, in the formula, to
use large amount of Shigao, Zhimu to clear the Fire, but use
little amount of Lianqiao and Chantui to bring the Hot to
the body surface, works marvelous than formula as Yinqiao
San and Sangju Yin, and so on. From this case, it is also
known that the non-processed Shigao is really a good herb
ingredient. After success in this case, later, whenever I
met the Shanhan or Wen disease in a sthenic condition, I
never not followed this formula to use large amount of
Shigao. Also, if the condition is sthenic in the Hot, but
asthenic in the pulse, I always used the Baihu Jia Renshen
Tang, or use the Baihu Jia Renshen Tang, with the Shanyao to
replace the Genmi Tang. It always works well.
直隶盐山孙××来函：
Letter from Mr. Song, Yanshan city, Zhili province:
斯年初冬，适郭姓之女得伤寒证，三四日间阳明热势甚剧，面赤气粗，六脉洪数，时作谵语。为开寒解汤，因胸中觉闷，加栝蒌仁一两，一剂病愈。
In a winter of
a year, the daughter of Mrs. Guo had Shanghan disease. She
had very hot condition within three to four days of the
disease. She had red face and strong breath. Her all pulses
were waving and frequent, with random chattering from time
to time. She was given the Hanjie Tang. For her feeling of
fullness in the chest, herb Gualuren 30 gram was added. One
dose solved her problem.
4．石膏阿斯匹林汤
4. Shigao Aspirin Tang
治同前证。
This formula is used to treat the same condition as above
Hanjie Tang.
生石膏（二两，轧细）
阿斯匹林（一瓦）
Shigao 60 gram (grind), Aspirin one tablet.
上药二味，先用白蔗糖冲水，送服阿斯匹林。再将石膏煎汤一大碗，待周身正出汗时，乘热将石膏汤饮下三分之二，以助阿斯匹林发表之力。迨至汗出之后，过两三点钟，犹觉有余热者，可仍将所余石膏汤温饮下。若药服完，热犹未尽者，可但用生石膏煎汤，或少加粳米煎汤，徐徐温饮之，以热全退净为度，不用再服阿斯匹林也。
First, drink the Aspirin with white sugar water for swallow.
Cook the Shigao to collect one big bowl of herbal tea. When
the body has sweat, drink the Shigao tea two third, to help
the function of the Aspirin for sweat. After the sweat stops
for two to three hours, and when the person still feel
little hot in the body, drink the remaining Shigao tea over.
If the person still feels some hot, cook another dose of the
Shigao as tea, or with addition of little Genmi in it. Drink
the tea gradually and slowly until the hot disappears
completely. No need to take more Aspirin.
又：此汤不但可以代寒解汤，并可以代凉解汤。若以代凉解汤时，石膏宜减半。
In addition: this herbal formula can not only replace the
Hanjie Tang, but also the Liangjie Tang. In the later case,
reduce the Shigao to half amount.
附录：
Appendix:
江苏平台王××来函：
Letter from Mr. Wang, Pingtai city,
Jiangsu
province:
小儿××，秋夏之交，陡起大热，失常神呆，闭目不食。家慈见而骇甚。吾因胸有成竹定见，遂曰：“此无忧。”即用书中石膏阿斯匹林汤，照原方服法，服后即神清热退。第二日午际又热，遂放胆再用原方，因其痰多而咳，为加清半夏、牛蒡子，服之全愈。
My small son,
in a time in the later summer and early autumn, had sudden
big hot. He lost spirit, closed eyes and hard to feed him.
My parents feared a lot. I, for knowing what it might be,
said: “No worry”. I used the Shigao Aspirin Tang in your
book, following the original requirement for the use. After
drink the tea, my son restored his mind and the fever
disappeared. On the noon the next day, he felt hot again. I
so dared to use the same formula again. For his cough and
heavy phlegm, I added herb Banxia and Niubangzi to the
formula. After drink of the second formula, all conditions
were solved.
5．和解汤
5. Hejie Tang
治温病表里俱热，时有汗出，舌苔白，脉浮滑者。
This formula is used for the hotness and fever in both body
surface and inside organs. He person has sweat from time to
time. The tongue covering is white, and the pulse is
floating and slippery.
连翘（五钱）
蝉蜕（二钱，去足土）
生石膏（六钱，捣细）
生杭芍（五钱）
甘草（一钱）
Lianqiao 15 gram, Chantui 6 gram (remove feet and soil),
Shigao 18 gram (grind), Baishao 15 gram, and Gancao 3 gram.
若脉浮滑，而兼有洪象者，生石膏当用一两。
If the pulse is
floating and slippery, with waving feeling, the Shigao
should be added to 30 gram.
6．宣解汤
6. Xuanjie Tang (Xuan here means to
disperse, to expel in Chinese; Jie means to solve.)
治感冒久在太阳，致热蓄膀胱，小便赤涩。或因小便秘，而大便滑泻。兼治湿温初得，憎寒壮热，舌苔灰色滑腻者。
This formula is used for the stick of Xie Qi in the Taiyang
stage/portion, so that the Hot is accumulated in the urine
bladder. The urine is red and rough. Or, due to the reduce
in the urine, the stool is slippery and diarrhea. The
formula also solve the early stage of Wetness Wen disease,
in which the person felt chilly and strong hotness, with
tongue covering as grey, slippery and oily.
滑石（一两）
甘草（二钱）
连翘（三钱）
蝉蜕（三钱，去足土）
生杭芍（四钱）
若滑泻者，甘草须加倍。
Huashi 30 gram, Gancao 6 gram, Lianqiao 9 gram, Chantui 9
gram (remove feet and soil), Baishao 12 gram. If the person
has slippery stool, double the amount of Gancao.
一叟，年六十五，得风温证。六七日间，周身悉肿，肾囊肿大似西瓜，屡次服药无效。旬日之外，求为诊视。脉洪滑微浮，心中热渴，小便涩热，痰涎上泛，微兼喘息，舌苔白浓。投以此汤，加生石膏一两，周身微汗，小便通利，肿消其半，犹觉热渴。遂将方中生石膏加倍，服后又得微汗，肿遂尽消，诸病皆愈。
A man, 65 years
of old, had Wind Wen disease. Within six to seven days, he
had swelling all over the body. His kidney was big as a
water melon. He tried several herbal therapy but failed.
After tens of day, he came to me for medical help. His pulse
was waving, slippery and slight floating. He felt hot in
heart and thirsty. His urine was rough and hot. He had lots
of phlegm, with slight asthma. His tongue covering was white
and thick. He was given this formula, with addition of
Shigao as 30 gram. After drinking of the herbal tea, he got
mild sweat all over the body, with urine smooth and the
swelling was reduced to half, but he still felt hot and
thirsty. So the Shigao was doubled. He got mild sweat again,
and swelling disappeared and the other symptoms all
disappeared completely.
按：此乃风温之热，由太阳经入于膀胱之府，阻塞水道，而阳明胃府亦将实也。由是观之，彼谓温病入手经、不入足经者，何其谬哉！
Comments: this
is a Wind Wen disease. Its Hot has past from the Taiyang
meridian to the urine bladder organ, to block the water
tract, as well as the Yangming Stomach condition is to be
sthenic. From this case, it can be seen that, to say that
the Wen disease goes to the hand meridian, not to the feet
meridian, is how wrong!
7．滋阴宣解汤
7. Ziyin Xuanjie Tang (here, Ziyi means
to nourish the Yin portion of the body).
治温病，太阳未解，渐入阳明。其人胃阴素亏，阳明府证未实，已燥渴多饮，饮水过多，不能运化，遂成滑泻，而燥渴益甚。或喘，或自汗，或小便秘。温疹中多有类此证者，尤属危险之候，用此汤亦宜。
This formula is
used for Wen disease. The Xie Qi in the Taiyang stage has
not been solved, and it moves into the Yangming stage
gradually. The person usually has Stomach Yin deficiency and
the Yangming condition has not became sthenic yet. He feels
dryness and thirsty, drinks a lot of water. Due to the large
amount of water drinking, which can not be metabolized, so
cause slippery diarrhea, which again makes the thirsty
worse. The person may have cough, or sweat, or short of
urination. Such condition is more among the Wen Zhen disease
(Zhen here means skin rash condition). It belongs to a
dangerous condition, which needs this formula.
其方即宣解汤加生山药一两，甘草改用三钱。
This formula is the same as the previous Xuanjie Tang, but
with addition of Shanyao 30 gram, and Gancao as 9 gram.
此乃胃府与膀胱同热，又兼虚热之证也。滑石性近石膏，能清胃府之热，淡渗利窍，能清膀胱之热，同甘草生天一之水，又能清阴虚之热，一药而三善备，故以之为君。而重用山药之大滋真阴，大固元气者，以为之佐使。且山药生用，则汁浆稠粘，同甘草之甘缓者，能逗留滑石于胃中，使之由胃输脾，由脾达肺，水精四布。
This is a condition, in which the Stomach and the urine
bladder both have Hotness, as well as asthenic Fire. The
herb Huashi is similar to the Shigao in herba nature. It can
clear the Stomach Fire, to open the body openings, and to
clear the urine bladder fire too. When used with the Gancao,
it can create water, to clear the Yin deficient Fire. One
herb has three function, so it is the king ingredient in the
formula. The large amount of Shanyao is to nourish the True
Yin, to seal the Yuan Qi, so used as a helper. In addition,
when the Shanyao is used as non-processed form, its juice is
sticky, together with the sweet-buffering nature from the
Gancao, can hold the Huashi in the stomach, make the Huashi
from the stomach to the spleen, from spleen to the lung, to
distribute water all over the body.
循三焦而下通膀胱，则烦热除，小便利，而滑泻止矣。又兼用连翘、蝉蜕之善达表者，以解未罢之太阳，使膀胱蓄热，不为外感所束，则热更易于消散。且蝉之性，饮而不食，有小便无大便，故其蜕，又能利小便，而止大便也。愚自临证以来，遇此等证，不知凡几。医者率多束手，而投以此汤，无不愈者。若用于温疹兼此证者，尤为妥善，以连翘、蝉蜕，实又表散温疹之妙药也。
When the water goes into the urine bladder through the
three Jiao, the annoying Hot is solved, the urine is smooth,
and the slippery stool stops. With the use of Lianqiao and
Chantui, which are good at expelling Xie Qi to the body
surface, can solve the remaining Xie Qi in the Taiyang
stage, to make the accumulated Fire in the bladder not tied
by the invading Xie Qi, so as to make the inside Hotness
easier to disperse. In addition, for the Chan, the cicada,
it only drinks but not eats. It has urine but no stool. So,
its shell (the Chantui) can make the urine smooth and to
stop stool. After I come into the health area, I have met
numerous such cases. Doctors usually feel hard to solve such
clinic challenge. When use this formula, no case was not
solved. It is even more suit in the treatment of the Wen
Zhen disease with such urine-stool condition. In this later
case, the additional benefit for the Lianqiao and Chantui is
that they are also good choice to expel the Xie Qi and to
solve the skin rashes.
一媪，年近七旬，素患漫肿。为调治月余，肿虽就愈，而身体未复。忽于季春得温病，上焦烦热，病家自剖鲜地骨皮，煮汁饮之稍愈，又饮数次，遂滑泻不止，而烦热益甚。其脉浮滑而数，重诊无力。病家因病者年高，又素有疾病，加以上焦烦热，下焦滑泻，惴惴惟恐不愈，而愚毅然以为可治。投以滋阴宣解汤，一剂泻止，烦热亦觉轻。继用拙拟白虎加人参以山药代粳米汤，煎汁一大碗，一次只温饮一大口，防其再滑泻也。尽剂而愈。
A woman, 70 years of old, had swelling all over the body. I
have tried treatment for her for little bit more than one
month. The swelling was over, but the body condition was not
completely covered. In a spring, she suddenly had Wen
disease. She felt annoying Hot. The family prepared fresh
herb Digupi tea and let her to drink, the slippery diarrhea
became endless, and annoying hot was worse. Her pulse was
floating, slippery and frequent. It felt weak when pressed
harder. The family thought that her condition would have no
way to help, for her old age, long time of disease, annoying
hot in the Upper Jiao and endless diarrhea. However I
insisted it might be helped. She was given the Ziyin Xuanjie
Tang. One dose stopped her diarrhea and the annoying Hot was
also reduced. Later, the Baihu Jia Renshen Tang, with
Shanyao to replace the Genmi was used. She was asked to
drink the herbal tea gradually and slowly to prevent
diarrhea. Upon finish the herbal tea, the condition was
solved.
一室女，感冒风热，遍身瘾疹，烦渴滑泻，又兼喘促。其脉浮数无力。愚踌躇再四，亦投以滋阴宣解汤，两剂诸病皆愈。
A young girl, not married, had Wind-Hot invasion common
cold. She had silent skin rashes all over the body. She felt
annoyed thirsty and slippery diarrhea, with asthma. Her
pulse was floating, frequent but weak. I have considered for
a long time for her condition and finally decided to use the
Ziyin Xuanjie Tang. Two doses solved the problem.
按：服滋阴宣解汤，皆不能出大汗，且不宜出大汗，为其阴分虚也。间有不出汗者，病亦可愈。
Comments: when
use the Ziyin Xuanjie Tang, the person can not have big
sweat, and should have no big sweat either, for the Yin
portion is not sufficient. Sometimes, the patient may cure
without any sweat.
8．滋阴清燥汤
8. Ziyin Qingzao Tang.
治同前证。外表已解，其人或不滑泻，或兼喘息，或兼咳嗽，频吐痰涎，确有外感实热，而脉象甚虚数者。
This formula treats the same condition as previous Ziyin
Xuanjie Tang. The surface Xie Qi has been solved, the person
may have no diarrhea, my have asthma, or have cough and spit
phlegm. The condition indeed belongs to the sthenic Fire,
and the pulse is asthenic frequent.
若前证，服滋阴宣解汤后，犹有余热者，亦可继服此汤。
For the Ziyin Xuanjie Tang condition, after use the Ziyin
Xuanjie Tang, the person still has remaining Hotness, use
this Ziyin Qingzao Tang formula.
其方即滋阴宣解汤，去连翘、蝉蜕。
This formula is the same as the Ziyin Xuanjie Tang in
gradients, but with removal of Lianqiao and Chantui.
一妇人，受妊五月，偶得伤寒。三四日间，胎忽滑下。上焦燥渴，喘而且呻，痰涎壅盛，频频咳吐。延医服药，病未去，而转添滑泻，昼夜十余次。医者辞不治，且谓危在旦夕。其家人惶恐，迎愚诊视。其脉似洪滑，重诊指下豁然，两尺尤甚。本拟治以滋阴清燥汤，为小产才四五日，不敢遽用寒凉。遂先用生山药二两、酸石榴一个，连皮捣烂，同煎汁一大碗，分三次温饮下。滑泻见愈，他病如故。再诊其脉，洪滑之力较实，因思此证虽虚，确有外感实热，若不先解其实热，他病何以得愈？时届晚三点钟，病患自言，每日此时潮热，又言精神困倦已极，昼夜苦不得睡。遂于斯日，复投以滋阴清燥汤。方中生山药重用两半，煎汁一大碗，徐徐温饮下，一次只饮药一口，诚以产后，脉象又虚，不欲寒凉侵下焦也。斯夜遂得安睡，渴与滑泻皆愈，喘与咳亦愈其半。又将山药、滑石各减五钱，加龙骨、牡蛎各八钱，一剂而愈。
A woman had pregnant for five months. She occasionally had
Shanghan disease. Within three to four months, she had
abortion. She felt annoying thirsty in the Upper Jiao, had
asthma and long moaning and groaning. The phlegm was a lot
with frequent spit. She visited doctors for help, no
improvement and had additional slippery diarrhea, ten times
a day. The previous doctor refused to continue the treatment
and said that the patient was in very dangerous condition.
The family felt very scared and asked me to have a look. Her
pulse seemed waving and slippery, but felt very weak upon
harder press, especially on the two Chi positions. From
beginning, I decided to use Ziyin Qingzao Tang, but
considering that she had had abortion for only four to five
days, I dared no to use Cold herbs. So, I used first of all
the Shanyao 60 gram, sour Shiliu ( pomegranate) one, which
was chop and grinded into mud. The two were cooked and one
big bowl herbal tea was collected. The patient was asked to
drink the tea with tree separate times. The slippery
diarrhea stopped. Then her pulse became waving, slippery and
sthenic. I thought that, this condition was asthenic, but
indeed was with out-invading sthenic condition too. Without
removal other invading Xie Qi, how could other condition be
solved? At that time, it was 3 pm. The patient said that,
once at this time of the day, she would feel hot, and very
tired, but hard to fall into sleep day or night. So, the
next day, the Ziyin Qingzao Tang was used, in which the
Shanyao was used 45 gram. The herbal tea was drunk slowly
and gradually, one mouth each time, for the reason that, she
was in after abortion, the body was weak, and it was not
desired to let the herbs go down the uterus. At that time,
she had a good sleep, the thirsty and diarrhea stopped, and
the asthma and cough reduced to half too. So, in the
following formula, the Shanyao and Huashi were reduced half,
with addition of Longgu 24 gram, and Muli 24 gram. One dose
solved the condition remained.
一室女，伤寒过两旬矣，而瘦弱支离，精神昏愦，过午发热，咳而且喘，医者辞不治。诊其脉，数至七至，微弱欲无。因思此证，若系久病至此，不可为矣。然究系暴虚之证，生机之根柢当无损。勉强投以滋阴清燥汤，将滑石减半，又加玄参、熟地黄各一两，野台参五钱，煎汤一大碗，徐徐温饮下。饮完煎滓重饮，俾药力昼夜相继。两日之间，连服三剂，滑石渐减至二钱，其病竟愈。
One girl, not married, had Shanghan disease for twenty days
about. She was very slim, with cloudy mind. She felt hot in
the afternoon, had cough and asthma. Doctors refused to
treat her. Her pulse was frequent to seven times per breath
circle, and it was very weak so as hard to feel. I
considered that, if her condition was due to long time
disease suffering, it might be hard really to help her.
However, this is a sudden disease, the life root should have
not been damaged yet. So, She was given the Ziyin Qingzao
tang anyway, with reduction of the Huashi half, and with
addition of Xuanshen and Shoudi 30 gram, each and with wild
Taishen 15 gram. She was asked to drink the herbal tea
gradually and slowly. After finish the drink, the herbal
residue was re-cooked to collected the second tea and to let
her to drink it again the same way. Within two days, she
drank three doses. The Huashi was reduced to 6 gram. Then
her condition was really cured.
按：此证始终不去滑石者，恐当伤寒之余，仍有余邪未净。又恐补药留邪，故用滑石引之下行，使有出路也。又凡煎药若大剂，必需多煎汤数杯，徐徐服之。救险证宜如此，而救险证之阴分亏损者，尤宜如此也。
Comments: in this case, the Huashi was not removed
completely, for the consideration that, at the end of the
Shanghan disease, the Xie Qi might remain in some extent.
Also for fearing that a nourishing herb might keep the Xie
Qi in the body,
the Huashi was used to direct the herb healing effect down,
to create an opening to the Xie Qi in the lower part of the
body. Also, whenever the herbs are a lot, it must be cooked
for more cups and drink it gradually. This is true in the
life saving therapy, especially if the condition is with Yin
deficiency.
汲××之母，年近七旬。身体羸弱，谷食不能消化，惟饮牛乳，或间饮米汤少许，已二年卧床，不能起坐矣。于戊午季秋，受温病。时愚初至奉天，自锦州邀愚诊视。脉甚细数，按之微觉有力。发热咳嗽，吐痰稠粘，精神昏愦，气息奄奄。投以滋阴清燥汤，减滑石之半，加玄参五钱，一剂病愈强半。又煎渣取清汤一茶盅，调入生鸡子黄一枚，服之全愈。
The mother of Mr. Ji was 70 years of old. She was very slim
and thin in the body condition. She had poor digestion
function, hard to digest grain food, so she could only drink
cow’s milk, or little rice soup from time to time. She had
lied on the bed for two years and even hard to sit up. In an
autumn, she had Wen disease. At that time, I was in the
Fengtian city. The family came from Jingzhou city to me for
help. When I saw her, her pulse was thin and frequent. It
felt slight strong when pressed harder. She had hot and
cough, spit stick phlegm, had cloudy mind, and very weak
breath. She was given the Ziyin Qingzao Tang, with the use
of only half amount of Huashi, and with addition of Xuanshen
15 gram. One dose reduced the disease to half level. The
herbal residue was re-cooked again to have second herbal
tea, which was drunk with addition of one egg yolk. After
drink, the whole condition was solved.
奉天一孺子年四岁，得温病，邪犹在表，医者不知为之清解，遽投以苦寒之剂，服后滑泻，四五日不止。上焦燥热，闭目而喘，精神昏愦。延为延医，病虽危险，其脉尚有根柢，知可挽回。俾用滋阴清燥汤原方，煎汁一大茶杯，为其幼小，俾徐徐温饮下，尽剂而愈。然下久亡阴，余有虚热，继用生山药、玄参各一两以清之，两剂热尽除。大抵医者遇此等证，清其燥热，则滑泻愈甚，补其滑泻，其燥热亦必愈甚。惟此方，用山药以止滑泻，而山药实能滋阴退热，滑石以清燥热，而滑石实能利水止泻，二药之功用，相得益彰。又佐以芍药之滋阴血、利小便，甘草之燮阴阳、和中宫，亦为清热止泻之要品。汇集成方，所以效验异常。愚用此方，救人多矣，即势至垂危，投之亦能奏效。
A child, lived in Fengtian city, was 4 years of old. He had
Wen disease with the Xie Qi still remained in the body
surface. The doctor did not know to use light-expelling
herbs, but used bitter-cold herbs. After drink of the herbal
tea, the child got slippery diarrhea which did not stop
after four to five days. He felt annoying Hot in the Upper
Jiao, closed eyes and had asthma, had cloudy mind. When I
saw him, I thought that, the condition was indeed very
dangerous, but the pulse was still with root, so it was
known that there was chance to save him. He was given the
Ziyin Qingjie Tang, which was cooked for one big tea cup.
For the child was very young, he was given to drink slowly.
The condition was much improved. Due to long time loss of
the Yin portion of the body, he had remaining asthenic Fire.
In the following herbal formula, herb Shanyao 30 gram,
Xuanshen 30 gram was used. Tow doses solved the asthenic
Fire. Usually, when doctor meet such condition, to clear the
Dryness-Hotness, the slippery diarrhea would be worse; to
nourish the slippery diarrhea, the Dryness-Hotness would be
worse. Only with this formula here, Shanyao can stop the
slippery diarrhea, and can also nourish the Yin and to clear
the Hot; The Huashi can clear the Dryness-Hotness, to
promote smooth urine and to stop diarrhea. The combination
of these two can help each other in such condition. The
Shaoyao can nourish the Yin blood, to promote urine. The
Gancao is to harmony the Yin and Yang, to harmony the Middle
Part of the body. It is also a main ingredient to clear fire
and to stop diarrhea. All come together, makes the formula
work very well. I have used this formula saved a lot of
patients, even if their condition was very dangerous.
奉天刘××，年二十五六，于季冬得伤寒，经医者误治，大便滑泻无度，而上焦烦热，精神昏愦，时作谵语，脉象洪数，重按无力。遂重用生山药两半、滑石一两、生杭芍六钱、甘草三钱，一剂泻止。上焦烦热不退，仍作谵语，爰用玄参、沙参诸凉润之药清之，仍复滑泻，再投以前方一剂泻又止，而上焦之烦热益甚，精神亦益昏愦，毫无知觉。此时其家人毕至，皆以为不可复治。诊其脉虽不实，仍有根柢，至数虽数，不过六至，知犹可治，遂慨切谓其家人曰：“果信服余药，此病尚可为也”，其家人似领悟。为疏方，用大剂白虎加人参汤，更以生山药一两代粳米，大生地一两代知母，煎汤一大碗，嘱其药须热饮，一次止饮一口，限以六句钟内服完，尽剂而愈。
Mr. Liu, in Fengtian city, was 25 or 26 years of old. He got
Shanghan disease in a winter. After treatment, he had
endless slippery diarrhea. He felt annoying and agitating
hot in the Upper Jiao, had cloudy mind, random chattering
from time to time. His pulse was waving and frequent, but
not strong when pressed hard. In the formula give to him,
wee Shanyao 45 gram, Huashi 30 gram, Baishao 18 gram, and
Gancao 9 gram. One dose solved the diarrhea. His Upper Jiao
hotness, and random chattering remained. So, Xuanshen and
Shashen were used to clear the Hotness. Then the diarrhea
recurred. Use the previous formula again, the diarrhea
stopped again, but the Hotness became worse and the mind was
much more cloudy and loss consciousness. At the time, the
whole family came together, all of which believed there was
no way to help. When I felt his pulse, his pulse was though
not sthenic, but still with root. The pulse was though
frequent, but not exceeded six times per breath circle. So,
I predicted that his condition might have chance to save. I
told the family: “if you believe the herbs might work, there
would have chance to save.” The family seems understand
some. The herbs used was the Baihu Jia Renshen Tang, with
Shanyao 30 gram to replace Genmi, Shengdi 30 gram to replace
Zhimu. The herbal tea was asked to drink with warm, one
mouth once. It was requested to finish the drink within six
hours. After finish the drink, the condition was solved.
津市钱姓小儿四岁，灼热滑泻，重用滋阴清燥汤治愈。
A child, with family name of Qian, was 4 years of old. He
had burning hot and slippery diarrhea. He was saved by use
of Ziyin Qingzao Tang.
附录：
Appendix:
奉天铁岭杨××来函：
Letter from Mr. Yang, Tieling city, Fengtian province:
治李姓妇人膨胀证。先经他医用苍术、槟榔、浓朴、枳实、香附、紫蔻之类辛燥开破，初服觉轻，七八剂后病转增剧，烦渴泄泻。又更他医，投以紫朴琥珀丸，烦渴益甚，一日夜泄泻十五六次，再诊时，医者辞不治。又延医数人，皆诿为不治。后乃一息奄奄，舁至床上两次，待时而已。其姻家有知生者强生往视。其脉如水上浮麻，不分至数，按之即无，惟两尺犹似有根，言语不真，仿佛可辨，自言心中大渴，少饮水即疼不可忍，盖不食者已三日矣。先投以滋阴清燥汤，为脉象虚甚，且气息有将脱之意，又加野台参、净萸肉，一剂，诸病皆愈，可以进食。遂俾用一味薯蓣粥，送服生鸡内金细末及西药百布圣，取其既可作药，又可作饭也。又即前方加减，日服一剂，旬日全愈。
I treated a patient, Mrs. Li, with bloating condition. She
had been treated by other doctors by using Cangzhu, Binglang,
Houpo, Zhishi, Xiangfu and Zikou, etc, such
spicy-dryness-break herbs. In
the beginning, it worked somehow. After seven to
eight doses, the condition became worse. The lady felt
annoying and agitating thirst, and slippery diarrhea. She
was changed to other doctor. She was given the Zipu Hubo
Wan. The annoying thirsty was worse and the diarrhea was 15
to 16 times a day. Upon the send visit, that doctor also
refused to treat her any longer. The family tried further
more doctors, none accept the invitation to treat her. She
later became almost to die. She was left on the bed to wait
to die. Her relatives knew me and pushed me to have a look.
Her pulse was as floating grass over the water, hard to
count. It could not be felt when pressed harder, but seems
there was root on the two Chi positions. Her speak was not
clear, but still could identify the talk. She said she felt
very thirsty in the heart, but little bit drink could make
her very much pain. She did not eat anything for three days.
She was given Ziyin Qingzao Tang. For her pulse was very
weak, and there was a tendency to escape, added wild Taishen
and Shanyurou. One dose solved the condition and she could
eat. Then, she was given the single Shanyao formula, with
herb Jineijin powder and western medicine Baibushen (?), for
its advantage as both medication and food. Together with the
previous formula with some modification, one day one dose to
drink. After ten days, the condition was completely cured.
9．滋阴固下汤
9. Ziyin Guxia Tang (Ziyin means to
nourish the Yin, in Chinese; Guxia means to hold or to fix,
or to seal the Lower Jiao of the body).
治前证服药后，外感之火已消，而渴与泻仍未全愈。或因服开破之药伤其气分，致滑泻不止。其人或兼喘逆，或兼咳嗽，或自汗，或心中怔忡者，皆宜急服此汤。
If the person drunk the previous herbs, the invading Xie
Fire has been cleared, but the person still feels thirsty
and remains some diarrhea. Or, due to take of breaking herbs
so as damaged the Qi portion of the body, the person has
endless slippery diarrhea. Or, the person has asthma, or has
cough, or has sweat, or has palpitation, all need to drink
this formula.
生山药（两半）
怀熟地（两半）
野台参（八钱）
滑石（五钱）
生杭芍（五钱）
甘草（二钱）酸石榴（一个，连皮捣烂）
Shanyao 45 gram, Shoudi 45 gram, wild Taishen 24 gram,
Huashi 15 gram, Baishao 15 gram, Gancao 6 gram, sour Shiliu
(pomegranate) one (break with the peel).
上药七味，用水五盅，先煎酸石榴十余沸，去滓再入诸药，煎汤两盅，分二次温饮下。若无酸石榴，可用牡蛎（
研）一两代之。汗多者，加山萸肉（去净核）六钱。
Cook the sour Shiliu first for ten boiling, remove the
residue, add the remaining herbal ingredients in and
continue the cook. The collected herbal tea was separated
into two parts. Drink the tea two times. If there was no
sour Shiliu, use Muli 30 gram. If the sweat is heavy, add
Shanyurou (remove kernel), 18 gram.
寒温诸证，最忌误用破气之药。若心下或胸胁疼痛，加乳香、没药、楝子、丹参诸药，腹疼者加芍药，皆可止疼。若因表不解，束其郁热作疼者，解表清热，其疼自止。若误服槟榔、青皮、郁金、枳壳诸破气之品，损其胸中大气，则风寒乘虚内陷，变成结胸者多矣。即使传经已深，而肠胃未至大实，可降下者，则开破与寒凉并用，亦易使大便滑泻，致变证百出。愚屡见此等医者误人，心甚恻怛。故与服破气药而结胸者，制荡胸汤以救其误。服破气药而滑泻者，制此汤以救其误。究之，误之轻者可救，误之重者实难挽回于垂危之际也。
In the
treatment of the Shanghan and Wen disease, it is forbidden
to use Qi-breaking herbs. If there is pain in the upper or
side of abdomen, add Ruxiang, Moyao, Chuanlianzi, or Danshen
in the formula. If there is pain in the abdomen, add Shaoyao.
All can stop the pain. If due to the Xie Qi in the body
surface not expelled, which fold the body to cause stagnated
Fire to cause the pain, surface-expelling and Fire-clearing
therapy will solve the pain naturally. If the Binglang,
Qingpi, and Yujin were mis-used, so as to damage the Big Qi
in the Chest, the Wind-Cold will invade the body to cause
Jie Xiong condition. Even if the Xie Qi has penetrated deep
into the Yangming or Taiyin stage, but the condition is not
sthenic yet, the use of Qi-breaking herbs and the Cold herbs
together would cause slippery diarrhea and much more
problems. I have seen such wrong conditions many times and
feel very sorry for the current healthcare society. So, if
the Qi-breaking herbs cause the Jiexiong condition, I set up
the Dang Xiong Tang to save the mistake; if it causes
slippery diarrhea, use the formula here, the Ziyin Guxia
Tang to solve the mistake (diarrhea). However, if the
mistake is not so severe, it is possible to correct it, but
if it is too big mistake, and the person is really in
dangerous condition, it would hard to correct it.
10．犹龙汤
10 Youlong Tang
治胸中素蕴实热，又受外感。内热为外感所束，不能发泄。时觉烦躁，或喘、或胸胁疼，其脉洪滑而长者。
This formula is used for person, who has accumulated Fire in
the chest before, but now attacked by out-coming Xie Qi. The
inside Fire was sealed or folded by the invading Xie Qi,
cannot be released. The person feels annoyed and agitated
from time to time, he may have asthma, or chest pain and his
pulse is waving and slippery and long.
连翘（一两）
生石膏（六钱，捣细）
蝉蜕（二钱，去足土）
牛蒡子（二钱，炒捣）
Lianqiao 30 gram, Shigao 18 gram (grind), Chantui 6 gram
(remove feet and soil), Niubangzi 6 gram (fry and grind).
喘者，倍牛蒡子。胸中疼者加丹参、没药各三钱。胁下疼者，加柴胡、川楝子各三钱。
For asthma, double the amount of Niubangzi; for chest pain,
add Danshen 9 gram, and Moyao 9 gram, for pain in the side
of abdomen, add Chaihu 9 gram, and Chuanlianzi 9 gram.
此方所主之证，即《伤寒论》大青龙汤所主之证也。然大青龙汤宜于伤寒，此则宜于温病。至伤寒之病，其胸中烦躁过甚者，亦可用之以代大青龙，故曰犹龙也。
一妇，年三十余。胸疼连胁，心中发热。服开胸、理气、清火之药不效。后愚诊视，其脉浮洪而长。知其上焦先有郁热，又为风寒所束，则风寒与郁热相搏而作疼也。治以此汤，加没药、川楝子各四钱，一剂得汗而愈。
The disease condition suits for this formula is the same as
the Da Qinglong Tang condition in the book《Shang Han Lun》.
However, the Da Qinglong Tang is used for Shanghan disease,
and the Youlong Tang here is used for Wen disease. For
Shanghan disease, if the annoying and agitating feeling is
too strong in the chest, this formula can also be used, so
it is called Youlong Tang (You here means “similar as”; the
Long means the Da Qinglong Tang.)
一叟，年过七旬。素有劳病。因冬令伤寒，劳病复发，喘而且咳，两三日间，痰涎壅盛，上焦烦热。诊其脉，洪长浮数。投以此汤，加玄参、潞参各四钱，一剂汗出而愈。
A man, 70 years of old, has a long history of chronic
disease. In a winter, due to attack by Shanghan disease, his
chronic disease recurred. He has asthma and cough. Within
two to three days, he had a lot of phlegm, and felt very
annoying Hot in the Upper Jiao. His pulse was floating and
frequent. He was treated with the Youlong Tang, with
addition of Xuanshen 12 gram, and Dangshen 12 gram. One dose
created sweat to him and his condition was solved.
门人刘××，曾治一人，年四十。外感痰喘甚剧。四五日间，脉象洪滑，舌苔白而微黄。刘××投以此汤，方中石膏用一两，连翘用三钱。一剂周身得汗，外感之热已退，而喘未全愈。再诊其脉，平和如常，微嫌无力。遂用拙拟从龙汤，去苏子，加潞参三钱，一剂全愈。
My student, Mr.
Liu, treated a man, 40 years of old. Due to invading Xie Qi,
he had asthma and lots of phlegm. Within four to five days,
his pulse was waving and slippery, and his tongue covering
was white and slight yellow in color. Mr. Liu gave him the
Youlong Tang, with Shigao 30 gram, Lianqiao 9 gram. One dose
created sweat in the body and the invading hotness reduced,
bu the asthma was not completely solved. His pulse then was
calm as normal, with slight weak. So he used Conglong Tang,
with removal of Souzi, but with addition of Dangshen 9 gram.
After drink of the herbal tea, the asthma stopped.
愚闻之喜曰：外感痰喘，小青龙汤所主之证也。拙拟犹龙汤，原以代大青龙汤，今并可代小青龙汤，此愚之不及料也。将方中药味轻重，略为加减，即能另建奇功，以斯知方之运用在人，慧心者自能变通也。
When I heard this news, I was happy:
the asthma due to Xie Qi invasion is mostly treated
with Xiao Qinglong Tang. My Youlong Tang is originally to
replace the Da Qinglong Tang, now it can also replace the
Xiao Qinglong Tang. This is beyond my expect. With
modification of the amount of herbal ingredients, it worked
so fantastic. Apparently, the merit of an herbal formula
depends on the people who use it and how to use it. Smart
people know how to adjust it in actual clinic situation.
按：连翘原非发汗之药，即诸家本草，亦未有谓其能发汗者。惟其人蕴有内热，用至一两必然出汗，且其发汗之力缓而长。为其力之缓也，不至为汪洋之大汗，为其力之长也，晚睡时服之，可使通夜微觉解肌。且能舒肝气之郁，泻肺气之实，若但目为疮家要药，犹未识连翘者也。用连翘发汗，必色青者方有力。盖此物嫩则青，老则黄。凡物之嫩者，多具生发之气，故凡发汗所用之连翘，必须青连翘。
Comments: the
herb Lianqiao is originally not a sweat-creating herb. In
the various herbal books, there is no any indication that it
can create sweat. Only if the person has inside hot, and if
it is used up to 30 gram, the person will have sweat. Its
sweating power is long and calm. For its calm sweating, not
to be as a big ocean of sweat; for its long effect, drink it
before go to bed, the person can have mild sweat all over
the night to loss muscle. It can also work to release the
Liver stagnated Qi, to reduce the sthenic Lung Qi. If only
know that it is a main herb for cure of skin rash and ulcer,
it means you do not understand it yet. When use the Lianqiao
for sweat, it must be the green-blue one. The young lianqiao
is green and the old one is yellow. When a plant is in
young, it bears growing power. So the Lianqiao for sweat,
must be the green one.
