张 伏气热蕴三焦。心凛热发。烦渴。遍体赤 。夜躁不寐。两脉数搏。（三焦伏热）
羚羊角 犀角 连翘心 玄参心 鲜生地 金银花 花粉 石菖蒲
又 寒热。必有形象攻触。及于胃脘之下。口渴。喜饮暖汤。 已发现。病不肯退。此邪气久伏厥
阴之界矣。
桂枝 川连 黄芩 花粉 牡蛎 枳实
严 湿温杂受。身发斑疹。饮水渴不解。夜烦不成寐。病中强食。反助邪威。议用凉膈疏斑方法。（湿温）
连翘 薄荷 杏仁 郁金 枳实汁 炒牛蒡 山栀 石膏
又 舌边赤。昏谵。早轻夜重。斑疹隐约。是温湿已入血络。夫心主血。邪干膻中。渐至结闭。为昏
痉之危。苦味沉寒。竟入中焦。消导辛温。徒劫胃汁。皆温邪大禁。议清疏血分轻剂以透斑。更
参入芳香逐秽。以开内窍。近代喻嘉言申明戒律。宜遵也。
犀角 玄参 连翘 银花 石菖蒲
先煎至六分。后和入雪白金汁一杯。临服研入周少川牛黄丸一丸。
江 温邪发疹。湿热内蕴。便闭不通。先开上焦。
杏仁 苏子 栝蒌皮 紫菀 山栀
某 风温发痧。（风温）
薄荷 连翘 杏仁 牛蒡子 桔梗 桑皮 甘草 山栀
某 风温发疹。
薄荷 赤芍 连翘 牛蒡子 桔梗 桑皮 甘草 山栀
费 暴寒骤加。伏热更炽。邪郁则气血壅遏。痧疹不肯外达。痰气交阻。神迷喘促。渐入心胞络
中。有内闭外脱之忧。热注下迫。自利粘腻不爽。法当开其结闭。消毒解其膻中之壅。必得神
清。方保无变。（热邪入胞络）
连翘心 飞滑石 石菖蒲 炒金银花 射干 通草
煎化牛黄丸一丸。
朱（十二） 痧后痰多。咳嗽气急。（湿热郁肺）
芦根（一两） 杏仁（一钱半） 桔梗（一钱） 飞滑石（一钱半） 桑皮（八分） 通草（一钱）
某 痧后伏火未清。内热身痛。（痧后阴伤）
玉竹 白沙参 地骨皮 川斛 麦冬 生甘草
某 痧后热不止。阴伤。
生白芍 炙甘草 生扁豆 炒麦冬 川斛 谷芽
章 凉风外袭。伏热内蒸。秋金主令。内应乎肺。喘咳身热。始而昼热。继而暮热。自气分渐及血
分。龈肉紫而肌垒发疹。辛寒清散为是。（外寒内热）
薄荷 连翘 石膏 淡竹叶 杏仁 桑皮 苡仁
吴 病在暴冷而发。肌表头面不透。是外蕴为寒。内伏为热。肺病主卫。卫气分两解为是。
麻黄 石膏 牛蒡子 枳壳汁 杏仁 射干 桔梗 生甘草
尹 环口燥裂而痛。头面身半以上。发出瘾疹赤纹。乃阳明血热。久蕴成毒。瘦人偏热。颇有是
症。何谓医人不识。（阳明血热） 犀角地黄汤。
江 温邪自利。瘾疹。（温邪内陷）
黄芩 连翘 牛蒡子 桔梗 香豉 薄荷 杏仁 橘红 通草
李（二七） 发瘰热肿。独现正面。每遇九十月大发。五六月渐愈。七八年来如是。因思夏令。阳气宣越。
营卫流行无间。秋冬气凛外薄。气血凝滞。此湿热漫无发泄。乃少阳木火之郁。及阳明蕴蒸
之湿。故上焦尤甚耳。法以辛凉。佐以苦寒。俾阳分郁热得疏。庶几发作势缓。（胆火胃湿郁蒸）
夏枯草 鲜菊叶 苦丁茶 鲜荷叶边 羚羊角 黑栀皮 郁金 苡仁
唐（四五） 麻木忽高肿发瘰。必有风湿袭入皮膜。乃躯壳病。昔人每以宣行通剂。（风湿）
片姜黄 羚羊角 川桂枝 抚芎 半夏 白芥子
某（十九） 风块瘙痒。咳嗽腹痛。邪着表里。当用双和。
牛蒡子 杏仁 连翘 桔梗 桑枝 象贝母
煎药送通圣丸。
者。有触目之色。而无碍手之质。即稠如锦纹稀如蚊迹之象也。或布于胸腹。或见于四
肢。总以鲜红起发者为吉。色紫成片者为重。色黑者为凶。色青者为不治。盖有诸内而
形诸外。可决其脏腑之安危。邪正之胜负也。殆伤寒瘟疫诸症。失于宣解。邪蕴于胃腑。而
走入营中。每有是患耳。考方书之治。其法不一。大抵由失表而致者。当求之汗。失下而致
者。必取乎攻。火甚清之。毒甚化之。营气不足者。助其虚而和之。托之。至于阴 一说。见象
甚微。若必指定些些之 点为阴。犹恐不能无误。想前人此例。无非觉后人勿执见 为
实热之义也。吾故曰。必参之脉象及兼证方妥。痧者疹之通称。有头粒而如粟象。瘾者。即
疹之属。肿而易痒。须知出要周匀。没宜徐缓。不外乎太阴阳明之患。故缪氏专以肺胃论
治为精也。若先生之法。本乎四气。随其时令之胜复。酌以辛凉辛胜。及甘寒苦寒咸寒淡
渗等法而治之。凡吾幼科诸友。于此尤当究心焉。（邵新甫）
张姓患者：伏匿之热邪蕴结于三焦。心经感受热邪而发热，烦躁口渴，全身皮肤出现红色斑点，夜间躁动不安无法入睡，双侧脉搏跳动急促。（此为三焦伏热证）
处方：羚羊角、犀角、连翘心、玄参心、鲜生地、金银花、天花粉、石菖蒲。
又诊：寒热往来，必有形之邪气攻冲触碰，病位及于胃脘下方，口渴，喜欢饮用热汤。病情已经显现，但病势不肯消退，这是邪气久伏于厥阴经的边界所致。
处方：桂枝、黄连、黄芩、天花粉、牡蛎、枳实。
严姓患者：湿温之邪夹杂受病，身体发出斑疹，饮水后口渴仍不能缓解，夜间烦躁无法入睡。患病期间强行进食，反而助长邪气之势。议用凉膈散加减以透发斑疹的方法治疗。（此为湿温证）
处方：连翘、薄荷、杏仁、郁金、枳实汁、炒牛蒡子、山栀、石膏。
又诊：舌边发红，神志昏沉胡言乱语，早晨症状轻，晚上加重，斑疹隐约可见。这是温湿之邪已侵入血络。心主血脉，邪气干扰膻中部位，逐渐导致结闭，有发展为神昏惊厥的危险。苦味沉降寒凉的药物，直接入中焦；消导辛温的药物，只会徒然劫夺胃中津液，这些都是温邪的大忌。议用清疏血分的轻剂来透发斑疹，更参入芳香逐秽的药物，以开通体内窍道。近代喻嘉言明确申明的戒律，应当遵守。
处方：犀角、玄参、连翘、银花、石菖蒲。
先煎至六分药量，后兑入雪白金汁一杯，临服用时研入周少川牛黄丸一丸。
江姓患者：温邪发疹，湿热内蕴，大便闭塞不通。先宜开通上焦肺气。
处方：杏仁、苏子、栝蒌皮、紫菀、山栀。
某患者：风温引发痧疹。（此为风温证）
处方：薄荷、连翘、杏仁、牛蒡子、桔梗、桑白皮、甘草、山栀。
某患者：风温引发疹子。
处方：薄荷、赤芍、连翘、牛蒡子、桔梗、桑白皮、甘草、山栀。
费姓患者：暴寒突然侵袭，伏热更加炽盛。邪气郁结则气血壅遏，痧疹不肯向外透达。痰气交阻，神志昏迷，气喘急促，逐渐深入心包络中，有内闭外脱的忧虑。热邪下注迫急，自利粘腻不爽。治法应当开通其结闭，消毒解其膻中之壅滞，必须等到神志清醒，才能保全无变证。（此为热邪入心包络证）
处方：连翘心、飞滑石、石菖蒲、炒金银花、射干、通草。
煎好后化开牛黄丸一丸服用。
朱姓（十二岁）：痧疹之后痰多，咳嗽气急。（此为湿热郁肺证）
处方：芦根（一两）、杏仁（一钱半）、桔梗（一钱）、飞滑石（一钱半）、桑白皮（八分）、通草（一钱）。
某患者：痧疹之后伏火未清，内热身痛。（此为痧后阴伤证）
处方：玉竹、南沙参、地骨皮、川石斛、麦冬、生甘草。
某患者：痧疹之后热势不止，阴液受伤。
处方：生白芍、炙甘草、生扁豆、炒麦冬、川石斛、谷芽。
章姓患者：凉风外袭，伏热内蒸。秋季燥金当令，内应于肺。出现喘咳身热，起初是白天发热，继而变成傍晚发热，病邪由气分逐渐波及血分。牙龈肉色紫，肌肉间发出疹子。治宜用辛寒清散之法。（此为外寒内热证）
处方：薄荷、连翘、石膏、淡竹叶、杏仁、桑白皮、薏苡仁。
吴姓患者：病在暴冷之时发作，肌表头面不透发，这是外蕴为寒，内伏为热。肺主卫气，治宜卫气与气分两解。
处方：麻黄、石膏、牛蒡子、枳壳汁、杏仁、射干、桔梗、生甘草。
尹姓患者：口唇周围干燥破裂且疼痛，头面及身体上半部发出瘾疹赤纹，这是阳明血热，久蕴成毒。瘦人偏于多热，颇有此类病症，为何医生不认识呢？（此为阳明血热证）
处方：犀角地黄汤。
江姓患者：温邪导致自利，伴有瘾疹。（此为温邪内陷证）
处方：黄芩、连翘、牛蒡子、桔梗、香豉、薄荷、杏仁、橘红、通草。
李姓（二十七岁）：发生瘰疬热肿，独现于面部正面。每逢九十月大发，五六月逐渐痊愈，七八年来都是如此。我想夏季阳气宣越，营卫运行无间；秋冬寒气凛冽外薄，气血凝滞。这是湿热漫无发泄，乃少阳木火之郁结，以及阳明蕴蒸之湿气，所以上焦尤为严重。治法以辛凉为主，佐以苦寒，使阳分郁热得以疏泄，发作之势或许能减缓。（此为胆火胃湿郁蒸证）
处方：夏枯草、鲜菊叶、苦丁茶、鲜荷叶边、羚羊角、黑栀皮、郁金、薏苡仁。
唐姓（四十五六岁）：麻木忽高肿并发瘰疬，必有风湿袭入皮膜，属于躯壳之病，古人常用宣行通利之剂治疗。（此为风湿证）
处方：片姜黄、羚羊角、川桂枝、抚芎、半夏、白芥子。
某患者（十九岁）：风团瘙痒，咳嗽腹痛，邪气附着于表里之间，当用双和之法治疗。
处方：牛蒡子、杏仁、连翘、桔梗、桑枝、象贝母。
煎药送服防风通圣丸。
痧疹的表现，有触目之色，而无碍手之质，即稠密如锦纹、稀疏如蚊迹之象。或分布于胸腹，或见于四肢，总以鲜红起发者为吉兆，色紫成片者为重症，色黑者为凶兆，色青者属不治之症。盖因有诸内必形诸外，可据此判断脏腑之安危，邪正之胜负。这大概是伤寒瘟疫诸症，失于宣散解表，邪气蕴结于胃腑，而走入营分，常有此患。考证方书的治疗，方法不一，大抵由失于发汗表解而致的，应当求之于汗法；失于攻下而致的，必取乎攻下法。火甚则清之，毒甚则化之，营气不足者，助其虚而调和之，托举之。至于“阴疹”一说，见象甚微，若必指定些许之点为阴疹，恐怕不能无误。想前人立此例，无非是警示后人不要将某些现象固执地视为实热之义。所以我常说，必须参合脉象及兼证才稳妥。痧是疹的通称，有头粒且如粟米之象；瘾即疹之属，肿胀而易痒。须知出要周匀，没宜徐缓，不外乎太阴、阳明二经的病患，所以缪氏专门以肺胃论治最为精当。若先生的治法，本乎四气，随其时令之胜复，酌以辛凉、辛温、甘寒、苦寒、咸寒、淡渗等法而治之。凡我儿科诸位朋友，对此尤其应当用心研究焉。（邵新甫按语）
Patient Zhang: Hidden heat pathogens accumulate in the Sanjiao (Triple Burner). Heat from the Heart channel causes fever, irritability, and thirst. Red macules appear all over the body. Restlessness at night with insomnia. Both pulses are rapid and forceful. (Hidden heat in the Sanjiao)
Prescription: Antelope Horn (Lingyang Jiao), Rhinoceros Horn (Xijiao - *Note: Use substitutes in modern practice*), Calyx of Forsythia (Lianqiao Xin), Heart of Scrophularia (Xuanshen Xin), Fresh Rehmannia Root (Xian Shengdi), Honeysuckle Flower (Jinyinhua), Trichosanthes Root (Huafen), Acorus Tatarinowii Rhizome (Shichangpu).
Second visit: Alternating chills and fever. There must be tangible pathogenic factors attacking and touching, affecting the area below the epigastrium. Thirst, preferring warm drinks. The disease has manifested but refuses to recede. This indicates the pathogen has been hidden for a long time at the boundary of the Jueyin Liver Channel.
Prescription: Cinnamon Twig (Guizhi), Coptis Rhizome (Chuanlian), Scutellaria Root (Huangqin), Trichosanthes Root (Huafen), Oyster Shell (Muli), Immature Bitter Orange (Zhishi).
Patient Yan: Damp-warmth pathogens are contracted mixedly. Macules and rashes appear on the body. Drinking water does not relieve thirst. Nighttime irritability prevents sleep. Forced eating during illness only aids the pathogenic vigor. It is proposed to use the method of Liangge Decoction (Cool the Diaphragm) modified to vent the macules. (Damp-warmth)
Prescription: Calyx of Forsythia (Lianqiao), Mint (Bohe), Apricot Seed (Xingren), Curcuma Zedoaria Tuber (Yujin), Juice of Immature Bitter Orange (Zhishi Zhi), Stir-fried Arctium Fruit (Chao Niubang), Gardenia Fruit (Shanzhi), Gypsum (Shigao).
Second visit: The edges of the tongue are red. Confusion and delirious speech. Symptoms are lighter in the morning and heavier at night. Macules and rashes are faint. This indicates that warm-dampness has entered the blood collaterals. The Heart governs blood. Pathogens interfere with the Danzhong (Chest/Pericardium region), gradually leading to blockage, creating a critical danger of coma and convulsions. Bitter, sinking, and cold medicines entering the Middle Jiao directly; acrid-warm digestive medicines merely deplete stomach fluids. These are major contraindications for warm pathogens. It is proposed to use light agents clearing and dispersing the Blood level to vent the macules, further incorporating aromatic substances to expel turbidity and open the internal orifices. Yu Jiayan of recent times clearly stated these prohibitions, which should be followed.
Prescription: Rhinoceros Horn (Xijiao), Scrophularia Root (Xuanshen), Calyx of Forsythia (Lianqiao), Honeysuckle Flower (Yinhua), Acorus Tatarinowii Rhizome (Shichangpu).
Decoct first until reduced to 6 fen. Then mix in one cup of Snow White Platinum Juice (Xuebai Jinzhi). Before administration, grind in one pill of Zhou Shaochuan's Calculus Bovis (Niuhuang Wan).
Patient Jiang: Warm pathogens cause rash eruption. Damp-heat accumulates internally. Stool is closed and unpassable. First, open the Upper Jiao.
Prescription: Apricot Seed (Xingren), Perilla Seed (Suzi), Pepo of Trichosanthes (Gualou Pi), Aster Root (Ziwan), Gardenia Fruit (Shanzhi).
Certain Patient: Wind-warmth causes Sha-rash. (Wind-warmth)
Prescription: Mint (Bohe), Calyx of Forsythia (Lianqiao), Apricot Seed (Xingren), Arctium Fruit (Niubangzi), Platycodon Root (Jiegeng), Mulberry Bark (Sangpi), Licorice Root (Gancao), Gardenia Fruit (Shanzhi).
Certain Patient: Wind-warmth causes rash eruption.
Prescription: Mint (Bohe), Red Peony Root (Chishao), Calyx of Forsythia (Lianqiao), Arctium Fruit (Niubangzi), Platycodon Root (Jiegeng), Mulberry Bark (Sangpi), Licorice Root (Gancao), Gardenia Fruit (Shanzhi).
Patient Fei: Violent cold suddenly adds to the condition, hidden heat becomes more intense. Pathogen stagnation causes Qi and Blood obstruction. Sha-rash refuses to reach the exterior. Phlegm and Qi obstruct each other. Spirit is confused, panting and short of breath. Gradually entering the Pericardium Collateral. There is worry of internal closure and external collapse. Heat pours downward, causing spontaneous diarrhea that is sticky and unsatisfactory. The method should be to open the blockage, detoxify, and resolve the congestion in the Danzhong. Only when the spirit clears can changes be prevented. (Heat pathogen entering Pericardium Collateral)
Prescription: Calyx of Forsythia (Lianqiao Xin), Calcined Talcum (Fei Huashi), Acorus Tatarinowii Rhizome (Shichangpu), Stir-fried Honeysuckle Flower (Chao Jinyinhua), Belamcanda Rhizome (Shegan), Tongcao Stem.
Decoct and dissolve one pill of Calculus Bovis (Niuhuang Wan).
Zhu (12 years old): After Sha-rash, much phlegm, coughing, and rapid breathing. (Damp-heat stagnating in Lungs)
Prescription: Reed Rhizome (Lugen, 1 liang), Apricot Seed (Xingren, 1 qian 5 fen), Platycodon Root (Jiegeng, 1 qian), Calcined Talcum (Fei Huashi, 1 qian 5 fen), Mulberry Bark (Sangpi, 8 fen), Tongcao Stem (Tongcao, 1 qian).
Certain Patient: After Sha-rash, hidden fire is not cleared. Internal heat and body pain. (Yin injury after Sha-rash)
Prescription: Polygonatum Reticulatum Rhizome (Yuzhu), Naring Radix (Baisha Shen), Moutan Cortex (Digupi), Dendrobium Stem (Chuanhu), Ophiopogon Tuber (Maidong), Raw Licorice Root (Sheng Gancao).
Certain Patient: After Sha-rash, heat persists. Yin injury.
Prescription: Raw White Peony Root (Sheng Baishao), Honey-fried Licorice Root (Zhi Gancao), Raw Coix Seed (Sheng Biandou), Stir-fried Ophiopogon Tuber (Chao Maidong), Dendrobium Stem (Chuanhu), Rice Sprout (Guya).
Patient Zhang: Cool wind attacks externally, hidden heat steams internally. Autumn Metal rules, corresponding internally to the Lung. Panting, coughing, and body heat. Initially daytime heat, subsequently evening heat. From the Qi level gradually involving the Blood level. Gingival flesh turns purple, and rashes erupt from the muscles. Acrid-cold clearing and dispersing is appropriate. (External cold, internal heat)
Prescription: Mint (Bohe), Calyx of Forsythia (Lianqiao), Gypsum (Shigao), Light Bamboo Leaf (Dan Zhuye), Apricot Seed (Xingren), Mulberry Bark (Sangpi), Coix Seed (Yiren).
Patient Wu: Disease erupted during violent cold. Skin surface and head/face did not transmit. This is external accumulation of cold and internal hidden heat. Lung diseases govern Wei-Qi. Resolving both the Wei-Qi and Qi levels is appropriate.
Prescription: Ephedra Herb (Mahuang), Gypsum (Shigao), Arctium Fruit (Niubangzi), Juice of Tangerine Peel (Zhike Zhi), Apricot Seed (Xingren), Belamcanda Rhizome (Shegan), Platycodon Root (Jiegeng), Raw Licorice Root (Sheng Gancao).
Patient Yin: Dry cracking and pain around the mouth. Urticaria-like red patterns appear on the head, face, and upper half of the body. This is Yangming Blood-Heat, accumulating into toxin over time. Thin people tend toward heat and often have this symptom. Why do physicians fail to recognize it? (Yangming Blood-Heat)
Prescription: Xijiao Dihuang Tang (Rhino-Horn and Rehmannia Decoction).
Patient Jiang: Warm pathogens cause spontaneous diarrhea, accompanied by urticaria. (Warm pathogens sinking inward)
Prescription: Scutellaria Root (Huangqin), Calyx of Forsythia (Lianqiao), Arctium Fruit (Niubangzi), Platycodon Root (Jiegeng), Fermented Soybean (Xiangchi), Mint (Bohe), Apricot Seed (Xingren), Tangerine Peel (Juhong), Tongcao Stem.
Li (27 years old): Eruptive scrofula and hot swelling, appearing only on the front of the face. Severe outbreaks occur every September-October, improving gradually in May-June. This has persisted for seven or eight years. I reason that in summer, Yang Qi spreads freely, Ying and Wei circulate without interruption. In autumn and winter, cold air presses externally, causing Qi and Blood stagnation. This is damp-heat having no outlet for release, resulting from the stagnation of Shaoyang Wood-Fire and the steaming dampness of Yangming. Thus, the Upper Jiao is particularly affected. The method is acrid-cool, assisted by bitter-cold, so that stagnant heat in the Yang level can be dispersed, hopefully slowing the outbreak. (Gallbladder Fire and Stomach Dampness Stagnation)
Prescription: Prunella Spike (Xiakucao), Fresh Chrysanthemum Leaf (Xian Juye), Kudingcha Leaf, Edge of Fresh Lotus Leaf (Xian Heyebian), Antelope Horn (Lingyang Jiao), Black Gardenia Peel (Hei Zhipi), Curcuma Zedoaria Tuber (Yujin), Coix Seed (Yiren).
Tang (45-46 years old): Numbness, sudden high swelling, and eruptive scrofula. Must be wind-dampness invading the skin membranes. This is a disease of the body shell. Ancients often used promoting and unblocking agents. (Wind-dampness)
Prescription: Turmeric Tuber (Pian Jianghuang), Antelope Horn (Lingyang Jiao), Cinnamon Twig (Chuan Guizhi), Ligusticum Chuanxiong Rhizome (Fuxiong), Pinellia Tuber (Banxia), White Mustard Seed (Baijiezi).
Certain Patient (19 years old): Wind wheals with itching, coughing, and abdominal pain. Pathogens adhere to the exterior and interior. Double harmonization should be used.
Prescription: Arctium Fruit (Niubangzi), Apricot Seed (Xingren), Calyx of Forsythia (Lianqiao), Platycodon Root (Jiegeng), Mulberry Branch (Sangzhi), Fritillaria Bulb (Xiang Beimu).
Decoct medicine and swallow with Fangfeng Tongsheng Wan.
Sha-rash presents visible colors but no texture under touch. Dense like brocade patterns, sparse like mosquito bites. Distributed on the chest and abdomen, or seen on the four limbs. Generally, bright red eruption is auspicious. Purple patches indicate severe condition. Black color indicates ominous prognosis. Cyan color indicates untreatable condition. What is inside manifests outside, allowing judgment of organ safety and victory/defeat of pathogenic vs. healthy Qi. This likely occurs when Shanghan (Cold Damage) and plague symptoms fail to be resolved via dispersion, pathogens accumulate in the Stomach Fu, and enter the Ying (Nutrient) level. Examining medical texts, treatment methods vary. Generally, those caused by failure to sweat should seek diaphoresis; those caused by failure to purge should seek purgation. If fire is excessive, clear it; if toxin is excessive, transform it. If Ying Qi is deficient, assist deficiency and harmonize, or support and lift. Regarding "Yin Rash," the signs are very subtle. If one insists on pointing out tiny spots as Yin Rash, errors may occur. I suspect predecessors established this example merely to awaken later generations not to rigidly view certain phenomena as excess heat. Therefore, I say: one must consult pulse conditions and accompanying symptoms to be safe. "Sha" is a general term for rash, having granules like millet seeds. "Yin" is a type of rash, swollen and itchy. One must know that eruption should be even, and subsidence should be slow. It does not exceed disorders of the Taiyin and Yangming channels. Thus, Miu's approach of treating specifically via Lung and Stomach is refined. If Mr.'s method is based on the Four Qi, following seasonal dominance and recovery, using acrid-cool, acrid-warm, sweet-cold, bitter-cold, salty-cold, and bland-leaching methods for treatment. All my pediatric friends should study this especially carefully. (Annotation by Shao Xinpu)