伤寒十三日不解，胸胁满而呕，日晡所发潮热，已而微利，此本柴胡症，下之以不得利；今反利者，知医以丸药下之，此非其治也。潮热者，实也，先宜服小柴胡汤以解外，后以柴胡加芒硝汤主之。
柴胡加芒硝汤方
柴胡 二两十六铢
黄芩 一两
人参 一两
甘草 一两，炙
生姜 一两，切
半夏 二十铢，本云五枚，洗
大枣 四枚，擘
芒硝 二两
上八味，以水四升，煮取二升，去滓，内芒硝，更煎微沸，分温再服，不解更作。
Febrile disease caused by Cold, the syndrome lasts thirteen days. The patient vomits and is nauseous and feels oppressed in the chest. He is having a tide-fever at about three to five in the afternoon p.m. and diarrhea. This is a Decoction of Radix Bupleuri syndrome, which should not have diarrhea if Decoction of Greater Radix Bupleuri has been adopted. The patient must have been given drastic pills, which is a mistake. Tide-fever indicates an excessive syndrome. First Decoction of Lesser Radix Bupleuri should be given to dispel the Exterior syndrome. Then Decoction of Radix Bupleuri adding Natrii Sulfas should be adopted as the main curative.
Decoction of Radix Bupleuri adding Natrii Sulfas
(Chaihu Jia Mangxiao Tang):
Radix Bupleuri 2 liang 16 zhu
Radix Scutellariae 1 liang
Radix Ginseng 1 liang
Radix Glycyrrhizae Praeparata 1 liang
Rhizoma Zingiberis Recens 1 liang
Rhizoma Pinelliae 20 zhu (oг 5 pcs.)
Fructus Ziziphi Jujubae 4 pcs.
Natrii Sulfas 2 liang
Stew the above drugs in four sheng of water till two sheng are left. Filter the decoction and put Natrii Sulfas into it and stew it till it boils. Serve the decoction in two doses. Another dose should be given if the syndrome is not gone.
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