春温恶寒发热，头痛身疼，而忽大汗不止，或吐
或泻，肢冷脉微，神昏烦躁，此阳症变阴。宜用十四
味大建中汤，阴阳两顾也。
头期身疼，发热恶寒，本系表症。因服升散太过，或被
覆强逼，而忽大汗不止，或大吐大泻，遂致肢冷脉微，神昏
烦躁，乃表邪尽泄，阳气随脱，反为阴症。非用十四味大建
中汤之阴阳并补，则危在顷刻矣，是非温症正病，乃因病致
变之险候也。
春温头痛发热，心烦多呕，咳逆胸闷，将发痧
疹。宜用薄荷、大力，杏仁、连翘、淡豉、黑栀、枳
壳、枯梗、生姜、竹茹等味，清泄肺胃也。
头痛发热,邪初在表，心烦咳呕，胸闷不舒，则涉及肺
胃矣。夫肺热则化疹，胃热则化斑，若不开泄，势必入营。
故用薄荷、大力、淡豉、杏仁疏泄表邪，连翘，黑栀清泄内
热，枳壳、枯梗开提胸膈，生姜、竹茹和胃理痰。使膈上之
痰俱得宜化，则肺胃之气热自清，而邪无留停之患，若此用
法，庶无偏弊焉。
春温头痛身热，恶寒无汗，胸闷泄泻，此表邪传
里。宜用黄芩汤加葛根、薄荷、杏仁，厚朴，赤芩，
泽泻等味，通泄三焦也。
头痛身热，无汗恶寒，邪尚在表，理宜汗解。或加胸闷
泄泻，是邪不外泻，反从内走·若不分清才恐成痞结。故仿
仲景三阳合病，协热下利之例，用黄芩汤者，借黄芩之苦寒
清热，白芍、甘草之甘酸化阴，加葛根、薄荷以透表，杏
仁，厚朴以疏脾，赤芩、泽泻以分利，俾表里三焦之邪，一
齐分解，得一击百中之义焉。
春温病出现恶寒、发热，头痛且身体疼痛，突然大汗淋漓不止，或者呕吐，或者腹泻，四肢冰冷，脉搏微弱，神志昏迷，烦躁不安，这是阳证转化为阴证。适宜使用十四味大建中汤，以兼顾阴阳。
起初身体疼痛，发热恶寒，原本属于表证。因为服用升散药物太过，或者被厚衣强逼发汗，导致突然大汗不止，或者剧烈呕吐和腹泻，致使四肢冰冷，脉搏微弱，神志昏迷，烦躁不安，这是表邪完全发散，阳气随之脱失，反而变成了阴证。如果不使用十四味大建中汤进行阴阳双补，危险就在顷刻之间了。这并非温病的正病，而是因病导致的变证险候。
春温病出现头痛、发热，心烦意乱，频繁呕吐，咳嗽气逆，胸闷，即将发出痧疹。适宜使用薄荷、牛大力（注：原文“大力”通常指牛蒡子或地方草药，此处依WHO标准及语境多指牛蒡子 Burdock Fruit 或特定草药，鉴于古籍常简写，结合后文疏泄表邪，此处暂译为牛蒡子/大力子，若指代不明可保留拼音 Dali，但根据中医常规，“大力”在部分流派指牛蒡子或土牛膝，此处依常见配伍推测为牛蒡子 Bohe, Niu Bang Zi）、杏仁、连翘、淡豆豉、黑栀子、枳壳、桔梗、生姜、竹茹等药材，以清泄肺胃之热。
头痛发热，邪气初在体表；心烦、咳嗽、呕吐，胸闷不舒，则病位涉及肺和胃。肺热则会化为疹，胃热则会化为斑，如果不开泄透达，势必深入营分。因此使用薄荷、牛蒡子、淡豆豉、杏仁来疏泄表邪，连翘、黑栀子清泄内热，枳壳、桔梗开提胸膈之气，生姜、竹茹调和胃气并理化痰湿。使膈上的痰湿得以化解，那么肺胃的气热自然清除，邪气就没有留滞的隐患。像这样用药，才不会有偏颇的弊病。
春温病出现头痛、身体发热，恶寒无汗，胸闷且腹泻，这是表邪传入里部。适宜使用黄芩汤加上葛根、薄荷、杏仁、厚朴、赤芍、泽泻等药材，以通泄三焦。
头痛、身体发热，无汗恶寒，邪气还在体表，按理应当用汗法解表。如果出现胸闷和腹泻，说明邪气没有从外发散，反而向内走窜。如果不分清病机，恐怕会形成痞结。所以仿照张仲景治疗三阳合病、协热下利的先例，使用黄芩汤，借助黄芩的苦寒性质清热，白芍、甘草的甘酸性质化生阴液，加入葛根、薄荷以透达表邪，杏仁、厚朴以疏理脾气，赤芍、泽泻以分利水湿，使得表里三焦的邪气一齐分解，达到一击百中的效果。
Spring-warmth disease presents with aversion to cold and fever, headache, and body aches. Suddenly, there is profuse sweating that does not stop, or vomiting, or diarrhea, cold limbs, a faint pulse, coma, and irritability. This indicates the transformation of a Yang syndrome into a Yin syndrome. It is appropriate to use Shisiwei Da Jianzhong Tang (Fourteen-Ingredient Major Constructing the Middle Decoction) to attend to both Yin and Yang.
Initially, body aches, fever, and aversion to cold belong to exterior syndromes. Due to excessive use of ascending and dispersing methods, or forced sweating through heavy covering, sudden profuse sweating occurs, or severe vomiting and diarrhea ensue. This leads to cold limbs, a faint pulse, coma, and irritability. The exterior pathogenic factor has been completely dispersed, and Yang Qi follows in collapse, transforming into a Yin syndrome. If Shisiwei Da Jianzhong Tang is not used to tonify both Yin and Yang simultaneously, danger lies imminent. This is not the typical presentation of warmth disease, but a critical complication arising from pathological changes.
Spring-warmth disease presents with headache, fever, mental restlessness, frequent vomiting, cough with counterflow qi, chest tightness, and impending eruption of sand-rash (sha zhen). It is appropriate to use herbs such as Bohe (Menthae Haplocalycis Herba), Niu Bang Zi (Arctii Fructus), Xingren (Armeniacae Semen Amarum), Lianqiao (Forsythiae Fructus), Dan Chi (Sojae Semens Praeparatum), Hei Zhi (Gardeniae Fructus), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Shengjiang (Zingiberis Rhizoma Recens), and Zhuru (Bambusae Caulis in Taenia) to clear and drain heat from the Lung and Stomach.
Headache and fever indicate the pathogen is initially at the exterior; mental restlessness, cough, vomiting, and chest discomfort involve the Lung and Stomach. Heat in the Lung transforms into rash, while heat in the Stomach transforms into macules. If not opened and drained, the pathogen will inevitably enter the Ying (Nutritive) level. Therefore, Bohe, Niu Bang Zi, Dan Chi, and Xingren are used to disperse exterior pathogens; Lianqiao and Hei Zhi clear internal heat; Zhike and Jiegeng lift and open the chest and diaphragm; Shengjiang and Zhuru harmonize the Stomach and resolve phlegm. This ensures the phlegm above the diaphragm is properly transformed, clearing heat from Lung and Stomach Qi and preventing pathogen stagnation. Such usage avoids bias and side effects.
Spring-warmth disease presents with headache, body fever, aversion to cold without sweat, chest tightness, and diarrhea. This indicates the transmission of exterior pathogens to the interior. It is appropriate to use Huangqin Tang (Scutellaria Decoction) supplemented with Gegen (Puerariae Lobatae Radix), Bohe, Xingren, Houpo (Magnoliae Officinalis Cortex), Chishao (Paeoniae Radix Rubra), and Zexie (Alismatis Rhizoma) to unblock and drain the Sanjiao (Triple Burner).
Headache, body fever, absence of sweat, and aversion to cold indicate the pathogen remains at the exterior, which should be resolved by sweating. If accompanied by chest tightness and diarrhea, it means the pathogen is not dispersing outward but moving inward. Failure to distinguish this may lead to pi-jie (glomus obstruction). Thus, following Zhang Zhongjing’s example for combined Three-Yang diseases with heat-collapsing diarrhea, Huangqin Tang is used. Huangqin’s bitter cold clears heat; Baishao (Paeoniae Radix Alba) and Gancao (Glycyrrhizae Radix et Rhizoma) with sweet and sour flavors generate Yin; Gegen and Bohe penetrate the exterior; Xingren and Houpo soothe the Spleen; Chishao and Zexie promote differentiation and drainage. This allows exterior, interior, and Sanjiao pathogens to be decomposed simultaneously, achieving precise efficacy.