春温经旬不解，神昏狂妄，舌绎焦黑，紫斑或
黑，烦躁难禁，此热陷血瘀。宜用犀角地黄汤加紫
草，元参、连翘、广郁金、鲜菖蒲、紫雪丹等味，凉
血化斑也。
热传阳明不解，必致入血，热与血瘀，非清凉可退。必
藉犀角，生地、元参、连翘之凉血，又佐赤芍，丹皮、桃
仁、紫草之破血，郁金、菖蒲之宣窍，紫雪、竹叶之清心，
务得神滑舌润，斑转红活，方有生机。然斑色紫黑，胃热已
极，若见烦躁，则内闭外脱之势已成，其危可立而待也，虽
欲逆挽天机，恐亦聊尽人工而已。
春温热不解，少腹硬痛，小便自利，大便黑色，
昏谵狂妄，此蓄血也。宜用犀角、生地、桃仁、丹
皮、赤芍、归尾，灵脂、柴胡、黄芩等昧，甚者加大
黄、鳖虫，破瘀逐邪也。
上条热陷血瘀，此条热与血结。仲景云：小便自利，大
便黑色，昼则明了，夜则谵语，此蓄血症也。热既入血，非
破不解。故仿犀角地黄汤加归尾、桃仁、灵脂、鳖虫、大黄
破血逐邪，俾瘀血破而邪热透，则狂妄之形字息也。按仲景
论蓄血，有太阳不解，而由腑及血，用桃仁承气汤; 有阳明
不解，而由气及血，用犀角地黄汤(1);甚者俱用抵当汤逐
之。今温邪蓄血，必从阳明入血者居多，故用犀角地黄汤清
之。陶氏用小柴胡汤加归尾、出楂、桃仁、丹皮，以有寒热
往来涉及少阳者，且热既入血，非升泄不能解也。
春温病经过十天以上仍未解除，出现神志昏迷、胡言乱语，舌苔焦黑或出现紫色及黑色斑点，烦躁不安难以忍受，这是热邪陷入血分导致血瘀的证候。适宜使用犀角地黄汤加入紫草、玄参、连翘、广郁金、鲜石菖蒲、紫雪丹等药物，以凉血化斑。
热邪传入阳明经未能解除，必然深入血分，热邪与瘀血互结，非清凉之法所能退热。必须借助犀角、生地黄、玄参、连翘的凉血作用，又配合赤芍、牡丹皮、桃仁、紫草的破血功效，以及郁金、石菖蒲的开窍宣通作用，紫雪、竹叶的清心除烦作用，务必达到神志清醒、舌面湿润、斑点转为红润鲜活的状态，方有生机。然而若斑点颜色紫黑，说明胃热已至极点，如果见到烦躁症状，则内闭外脱的危势已经形成，危险立等可待，虽然想要逆转天机，恐怕也只是徒劳地尽人事罢了。
春温热邪不解，少腹部坚硬疼痛，小便自利（通畅），大便呈黑色，神志昏乱、胡言乱语、狂妄躁动，这是蓄血证。适宜使用犀角、生地黄、桃仁、牡丹皮、赤芍、当归尾、五灵脂、柴胡、黄芩等药物，病情严重的加大黄、䗪虫，以破瘀逐邪。
上一条论述的是热陷血瘀，这一条论述的是热与血结。张仲景说：小便自利，大便黑色，白天神志清楚，夜晚胡言乱语，这是蓄血症。热邪既然进入血分，非破血之法不能解散。因此仿照犀角地黄汤加入当归尾、桃仁、五灵脂、䗪虫、大黄来破血逐邪，使瘀血破除而邪热透发，那么狂妄的神志异常现象就会停止。按张仲景论述蓄血证，有太阳病未解，由腑传变至血分，使用桃仁承气汤；有阳明病未解，由气分传变至血分，使用犀角地黄汤；严重的都使用抵当汤来攻逐。如今温邪导致的蓄血，大多是从阳明经进入血分的，所以使用犀角地黄汤来清解。陶华（陶节庵）使用小柴胡汤加入当归尾、山楂、桃仁、牡丹皮，是因为如果有寒热往来涉及少阳经的情况，且热邪既已入血，非升散泄热之法不能解散。
If Spring-Warmth (Chunwen) persists for over ten days without resolution, manifesting as coma, delirious speech, a scorched black tongue coating, purple or black macules, and unbearable restlessness, this indicates Heat sinking into the Blood level causing Blood stasis. It is appropriate to use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) added with Zicao (Arnebiae Radix seu Lithospermi Radix), Yuan Shen (Scrophulariae Radix), Lian Qiao (Forsythiae Fructus), Guang Yujin (Curcumae Radix), Xian Changpu (Acori Tatarinowii Rhizoma), and Zixue Dan (Purple Snow Pill), to cool the Blood and resolve macules.
When Heat transmits to the Yangming level and fails to resolve, it inevitably enters the Blood level. When Heat and Blood stasis intertwine, they cannot be cleared by simple cooling methods alone. One must rely on the blood-cooling properties of Xijiao (Rhinocerotis Cornu), Sheng Di Huang (Rehmanniae Radix), Yuan Shen (Scrophulariae Radix), and Lian Qiao (Forsythiae Fructus); assist with the blood-breaking actions of Chi Shao (Paeoniae Radix Rubra), Mu Dan Pi (Moutan Cortex), Tao Ren (Persicae Semen), and Zicao (Arnebiae Radix seu Lithospermi Radix); employ Yu Jin (Curcumae Radix) and Changpu (Acori Tatarinowii Rhizoma) to open the orifices; and use Zixue Dan (Purple Snow Pill) and Zhu Ye (Bambusae Folium) to clear the Heart. Only when the spirit becomes clear, the tongue moist, and the macules turn red and vibrant, is there hope for survival. However, if the macules are purple-black, Stomach Heat has reached its extreme. If restlessness appears, the pattern of internal closure and external collapse has already formed, and danger awaits immediately. Although one may attempt to reverse this heavenly mechanism, it is likely merely a futile effort of human intervention.
If Spring-Warmth Heat fails to resolve, accompanied by hardness and pain in the lower abdomen, free urination, black stools, coma, delirious speech, and狂妄 (wild behavior), this is Blood Accumulation (Xuexue). It is appropriate to use Xijiao (Rhinocerotis Cornu), Sheng Di Huang (Rehmanniae Radix), Tao Ren (Persicae Semen), Mu Dan Pi (Moutan Cortex), Chi Shao (Paeoniae Radix Rubra), Gui Wei (Angelicae Sinensis Radix Caulis), Ling Zhi (Trogopterori Faeces), Chai Hu (Bupleuri Radix), and Huang Qin (Scutellariae Radix). In severe cases, add Da Huang (Rhei Radix et Rhizoma) and Die Chong (Eupolyphaga Seu Steleophaga), to break stasis and expel pathogens.
The previous paragraph discussed Heat sinking into Blood causing stasis; this paragraph discusses Heat binding with Blood. Zhang Zhongjing stated: "Free urination, black stools, clarity during the day, and delirium at night" constitute the Blood Accumulation syndrome. Once Heat enters the Blood level, it cannot be resolved without breaking the Blood. Therefore, imitating Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction), we add Gui Wei (Angelicae Sinensis Radix Caulis), Tao Ren (Persicae Semen), Ling Zhi (Trogopterori Faeces), Die Chong (Eupolyphaga Seu Steleophaga), and Da Huang (Rhei Radix et Rhizoma) to break Blood and expel pathogens. This allows the broken stasis to dissipate and the pathogenic Heat to emerge, thereby stopping the manifestations of delirium and wild behavior. Regarding Zhang Zhongjing's discussion on Blood Accumulation: there is the case where Taiyang disease fails to resolve, transmitting from the Fu organ to the Blood level, treated with Tao Ren Cheng Qi Tang (Peach Kernel and Magnolia Bark Decoction); there is the case where Yangming disease fails to resolve, transmitting from the Qi level to the Blood level, treated with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction); and severe cases are all treated with Didang Tang (Definite Attack Decoction) to purge. Currently, Warm Pathogen-induced Blood Accumulation mostly enters the Blood level via Yangming; thus, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is used to clear it. Tao Hua (Tao Jie'an) used Xiaochaihu Tang (Minor Bupleurum Decoction) added with Gui Wei (Angelicae Sinensis Radix Caulis), Chu Zha (Crataegi Fructus), Tao Ren (Persicae Semen), and Mu Dan Pi (Moutan Cortex), applicable when there is alternating chills and fever involving the Shaoyang level, and because once Heat enters the Blood, it requires ascending and dispersing methods to resolve.