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Shang Han Lun · Treatise on Cold Damage
14. Yinyangyi and Relapse after Recovery or Exertion · Pulses, Signs and Treatment
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392. Cold-damage yinyangyi illness has bodily heaviness, scant qi, internal urgency in the lower abdomen that may draw into genital contraction, heat surging into the chest, a heavy head that the person does not wish to lift, visual flower-like disturbances, and contracted knees and shins. Shaokun San governs. The historical category yinyangyi is retained.
Shaokun San formula:
Take the portion of a woman's inner trousers nearest the private parts and burn it to ash.
Take one fangcunbi of this single ingredient with water, three times daily. Free urination and slight swelling at the tip of the genitals indicate recovery. If a woman is ill, the text directs burning a man's trousers and taking the ash instead. This is the historical recipe as supplied.
393. For relapse from exertion after recovery from a major illness, Zhishi Zhizi Chi Tang governs.
Zhishi Zhizi Chi Tang formula:
Zhishi, three fruits, roasted; Zhizi, fourteen fruits, split; Xiangchi fermented soybeans, one sheng, wrapped in cloth.
For these three ingredients, first boil seven sheng of clear jiangshui alone until four sheng remain. Add Zhishi and Zhizi and boil until three sheng remain. Add the fermented soybeans, boil five or six more times and remove the dregs. Divide and take warm in two doses. Then bring about the slightest appearance of sweat. If retained food is present, add five or six pieces of Dahuang, each the size of a board-game counter; taking this brings recovery.
394. For renewed fever after recovery from cold damage, Xiao Chaihu Tang governs. With a floating pulse, resolve by sweating; with a deep, replete pulse, resolve by purging.
395. After recovery from a major illness, water qi below the waist is governed by Muli Zexie San.
Muli Zexie San formula:
Muli, heated; Zexie; Shuqi, washed in warm water to remove the fishy odor; Tinglizi, heated; Shanglu root, heated; Haizao, washed to remove saltiness; Gualougen—all in equal parts.
Pound these seven ingredients separately and sift into powder, then work them again in a mortar. Take one fangcunbi mixed with plain rice drink, three times daily. Once urination becomes free, stop the remaining doses.
396. After recovery from a major illness, frequent spitting and prolonged incomplete recovery indicate cold above in the chest. Warm with pill medicine; Lizhong Wan is appropriate.
397. After cold damage resolves, deficiency, emaciation, scant qi, qi counterflow and an urge to vomit are governed by Zhuye Shigao Tang.
Zhuye Shigao Tang formula:
Zhuye, two handfuls; Shigao, one jin; Banxia, half a jin, washed; Maimendong, one sheng, core removed; Renshen, two liang; Gancao, two liang, roasted; Jingmi rice, half a sheng.
For these seven ingredients, use one dou of water and boil until six sheng remain. Remove the dregs, add Jingmi rice and boil until the rice is cooked and the decoction complete. Remove the rice and take one sheng warm, three times daily. The supplied Banxia amount is half a jin.
398. If the patient's pulse has already resolved but slight agitation occurs toward evening, recovery is recent and someone has forced food on them. Spleen and Stomach qi are still weak and cannot digest grain, causing the slight agitation. Reducing food brings recovery.
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