〔燥证提纲〕 风生燥热病多端,火烁真阴最不安,咳喘因伤秋气得,各方治法要参观。
桑杏汤
(证附) 燥伤肺气病初成,右脉旋惊数大呈,桑杏沙参兼豉贝,栀梨皮入热全清。
桑菊饮
(证附) 咳嗽如因燥气伤,治宜荷杏菊翘桑,苇根桔梗兼甘草,内热驱除是妙方。
沙参麦冬汤
(证附) 咳嗽原因燥热侵,治宜桑叶合沙参,麦甘扁豆天花粉,玉竹能滋肺胃阴。
翘荷汤
(证附) 燥能化火力难支,清窍旋惊不利时,宜用翘甘兼桔梗,薄荷绿豆黑栀皮。
清燥救肺汤
(证附) 肺病适当喘呕时,更兼气郁用何医,参胶桑杏枇杷叶,膏麦麻仁甘草施。
〔温疫提纲〕 天时不正疫旋生,邪气伤人温病成,传遍六经终是热,外宜凉解内宜清。
〔太阳经〕
防风汤
(证附 方见温证即防风解温汤) 温疫初经入太阳,热多头痛项偏强,防风汤用原能治,表里双清是妙方。
白虎加元麦汤
(证附) 太阳经罢辨分明,烦热居然燥渴生,粳母膏甘元麦用,腹中郁火霎时清。
人参白虎加元麦汤
(证附 人参白虎汤见温证) 温疫太阳经罢时,气虚烦渴用何医,人参白虎煎汤妙,元麦加来取效奇。
〔阳明经〕
葛根汤
(证附) 阳明病自太阳传,目痛鼻干热不眠,汤用葛根真入妙,元参姜草石膏全。
葛根芍药汤
(证附) 病兼泄利入阳明,膏芍元参瘀热清,提散葛根为妙品,再兼甘草补脾精。
葛根半夏汤
(证附) 病入阳明呕吐生,元膏葛芍热全清,夏姜降逆甘培土,表里兼医立法精。
三承气加芍药地黄证
便秘腹疼脉象沉,病传胃腑热难禁,攻邪宜用三承气,芍地加来可益阴。
调胃承气加芍药地黄汤
攻坚荡秽用硝黄,甘草和中佐更良,芍地滋阴加入妙,驱除邪热气无伤。
小承气加芍药地黄汤
大黄荡热效神奇,枳朴攻坚辅佐宜,芍地再加真妙品,便坚微结总能医。
大承气加芍药地黄汤
(方见温证)
〔少阳经〕
小柴胡去人参加芍药栝蒌根证
温疫传经入少阳,咽干口苦渴思浆,耳聋目眩兼胸痛,寒热往来辨要详。
小柴胡去人参加芍药栝蒌根汤
柴胡解表拒邪侵,泄热通经姜合芩,补用枣甘攻用夏,再加蒌芍助真阴。
大柴胡加元参地黄证
呕兼吐逆病堪虞,心下痞生未可驱,表里实邪终未解,双清须用大柴胡。
大柴胡加元参地黄汤
芍夏柴芩合枳黄,和中大枣共生姜,再加元地将阴助,表里兼攻是妙方。
〔太阴经〕
防风地黄汤
(证附) 疫入太阴病发时,嗌干腹满治休迟,防风生地丹皮用,枣芍姜甘喜共施。
〔少阴经〕
防风天冬汤
(证附) 疫入少阴温病成,舌干口燥总非轻,姜防丹草兼花粉,元地天冬热并清。
〔厥阴经〕
防风当归汤
(证附) 厥阴烦满发斑时,清散兼施病可医,丹地姜防归芍用,和中甘草更相宜。
〔温疫水停〕
猪苓汤
(证附 方见伤寒) 水停胃腑不消融,腹胁旋惊胀满攻,便闭心烦兼口渴,猪苓汤用有奇功。
〔温疫头肿〕
普济消毒饮去升麻柴胡芩连证
咽喉疼痛力难胜,面赤耳聋内热蒸,颊肿更兼前后肿,大头瘟证世人称。
普济消毒饮去升麻柴胡芩连方
芥穗连翘共板蓝,牛蒡马勃合僵蚕,薄荷须并银花入,再用元参与桔甘。
【燥证提纲】风邪引发燥热,病症繁多;火邪灼伤真阴,最为不安;咳嗽气喘因秋令燥气受损所致,各种治疗方法需参考借鉴。
桑杏汤
(证候附注)燥邪损伤肺气,病初形成,右侧脉搏突然呈现数而大的特征,使用桑叶、杏仁、沙参、豆豉、贝母,加上栀子、梨皮,可使热邪完全清除。
桑菊饮
(证候附注)咳嗽若因燥气损伤引起,治疗宜用荷叶、杏仁、菊花、连翘、桑叶,配合苇根、桔梗和甘草,这是驱除内热的妙方。
沙参麦冬汤
(证候附注)咳嗽原因是燥热侵袭,治疗宜用桑叶配合沙参,加上麦冬、甘草、扁豆、天花粉,玉竹能滋养肺胃之阴。
翘荷汤
(证候附注)燥邪化火,火势难支,清窍突然感到不利时,宜用连翘、甘草配合桔梗,加上薄荷、绿豆和黑栀子皮。
清燥救肺汤
(证候附注)肺病正值喘息呕吐之时,更兼气机郁滞,该用什么方法医治?用人参、阿胶、桑叶、杏仁、枇杷叶、麦冬、麻仁、甘草施治。
【温疫提纲】天时不正,疫病随即产生,邪气伤人导致温病形成,传遍六经终归是热证,外治宜凉解,内治宜清热。
〔太阳经〕
防风汤
(证候附注 方剂见温证即防风解温汤)温疫初起传入太阳经,热多伴有头痛项背强直,防风汤原本就能治疗,表里双清是妙方。
白虎加元麦汤
(证候附注)太阳经病罢后辨别分明,烦热竟然导致燥渴产生,使用粳米、知母、石膏、甘草、玄参、麦冬,腹中郁火霎时清除。
人参白虎加元麦汤
(证候附注 人参白虎汤见温证)温疫太阳经病罢之时,气虚烦渴该用什么医治?人参白虎煎汤妙用,加入玄参、麦冬取得奇效。
〔阳明经〕
葛根汤
(证候附注)阳明病从太阳经传来,目痛鼻干发热不眠,汤剂用葛根真正入妙,加上玄参、生姜、甘草、石膏齐全。
葛根芍药汤
(证候附注)病兼泄利传入阳明,石膏、芍药、玄参清除瘀热,升散葛根为妙品,再兼甘草补益脾精。
葛根半夏汤
(证候附注)病入阳明发生呕吐,玄参、石膏、葛根、芍药使热邪完全清除,半夏、生姜降逆,甘草培土,表里兼医,立法精密。
三承气加芍药地黄证
便秘腹痛脉象沉,病传胃腑热势难禁,攻邪宜用三承气汤,加入芍药、地黄可益阴。
调胃承气加芍药地黄汤
攻坚荡秽用硝石、大黄,甘草和中佐助更好,加入芍药、地黄滋阴妙用,驱除邪热气而不伤正。
小承气加芍药地黄汤
大黄荡热效果神奇,枳实、厚朴攻坚辅佐适宜,再加芍药、地黄真是妙品,大便坚硬微结总能医治。
大承气加芍药地黄汤
(方剂见温证)
〔少阳经〕
小柴胡去人参加芍药栝蒌根证
温疫传经传入少阳,咽干口苦想喝浆水,耳聋目眩兼胸痛,寒热往来辨别要详细。
小柴胡去人参加芍药栝蒌根汤
柴胡解表拒绝邪气入侵,泄热通经配合生姜、黄芩,补益用大枣、甘草,攻邪用半夏,再加上瓜蒌根、芍药帮助真阴。
大柴胡加元参地黄证
呕吐兼吐逆病情堪忧,心下痞塞尚未可驱除,表里实邪终究未解,双清须用大柴胡汤。
大柴胡加元参地黄汤
芍药、半夏、柴胡、黄芩配合枳实、大黄,和中大枣共配生姜,再加入玄参、地黄辅助阴液,表里兼攻是妙方。
〔太阴经〕
防风地黄汤
(证候附注)疫病传入太阴发病时,咽喉干燥腹部胀满治疗勿迟,防风、生地、丹皮使用,大枣、芍药、生姜、甘草喜欢共同施用。
〔少阴经〕
防风天冬汤
(证候附注)疫病传入少阴温病形成,舌干口燥总非轻症,生姜、防风、丹皮、甘草配合花粉,玄参、地骨皮、天冬热并清除。(注:原文“元地”通常指玄参与地黄,此处结合语境及常见配伍,保留原意翻译,但根据WHO术语习惯,若指代明确则译出。原文为“元地天冬”,故译为玄参、地黄、天冬)。修正:原文“元地天冬”,译为玄参、地黄、天冬。
〔厥阴经〕
防风当归汤
(证候附注)厥阴烦躁胀满发斑时,清散兼施病情可医,丹皮、地黄、生姜、防风、当归、芍药使用,和中甘草更加适宜。
〔温疫水停〕
猪苓汤
(证候附注 方剂见伤寒)水湿停滞胃腑不能消融,腹部胁部突然胀满攻撑,大便闭塞心烦兼口渴,猪苓汤使用有奇功。
〔温疫头肿〕
普济消毒饮去升麻柴胡芩连证
咽喉疼痛力量难以承受,面赤耳聋内热蒸腾,脸颊肿胀更兼前后肿胀,大头瘟证世人称为此名。
[Outline of Dryness Syndrome] Wind generates dryness and heat, leading to numerous diseases; Fire scorches True Yin, causing the greatest discomfort; Cough and asthma result from damage by autumn dryness Qi; various treatment methods should be consulted.
Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction)
(Attached Syndrome Description) When dryness damages Lung Qi at the onset of illness, the right pulse suddenly appears rapid and large. Using Sang Ye (Folium Mori), Xing Ren (Semen Armeniacae Amarum), Sha Shen (Radix Glehniae), Chi Shao (not specified in text, likely just Shao or part of formula context, but text says "Shi Bei" - Dou Chi and Bei Mu), Dou Chi (Fructus Sojae Preparatus), Bei Mu (Bulbus Fritillariae Cirrhosae), combined with Zhi Zi (Fructus Gardeniae) and Li Pi (Pericarpium Pyri), clears all heat.
Sang Ju Yin (Mulberry Leaf and Chrysanthemum Drink)
(Attached Syndrome Description) If cough is caused by damage from dryness Qi, treatment should use He Ye (Folium Nelumbinis), Xing Ren (Semen Armeniacae Amarum), Ju Hua (Flos Chrysanthemumi), Lian Qiao (Fructus Forsythiae), Sang Ye (Folium Mori), along with Wei Gen (Rhizoma Imperatae), Jie Geng (Radix Platycodonis), and Gan Cao (Radix Glycyrrhizae). This is an excellent prescription for dispelling internal heat.
Sha Shen Mai Dong Tang (Glehnia and Ophiopogon Decoction)
(Attached Syndrome Description) The cause of cough is invasion by dryness-heat. Treatment should use Sang Ye (Folium Mori) combined with Sha Shen (Radix Glehniae), Mai Dong (Radix Ophiopogonis), Gan Cao (Radix Glycyrrhizae), Bian Dou (Semen Dolichoris), Tian Hua Fen (Radix Trichosanthis), and Yu Zhu (Rhizoma Polygonati Odorati) to nourish the Yin of the Lung and Stomach.
Qiao He Tang (Forsythia and Lotus Calyx Decoction)
(Attached Syndrome Description) When dryness transforms into fire, making it hard to withstand, and the clear orifices suddenly feel obstructed, one should use Qiao (Lian Qiao, Fructus Forsythiae), Gan Cao (Radix Glycyrrhizae), and Jie Geng (Radix Platycodonis), combined with Bo He (Herba Menthae), Lu Dou (Semen Phaseoli), and Hei Zhi Zi Pi (Cortex Fructus Gardeniae Nigricantis).
Qing Zao Jiu Fei Tang (Clear Dryness and Rescue the Lung Decoction)
(Attached Syndrome Description) When lung disease presents with wheezing and vomiting, compounded by Qi stagnation, what medical method should be used? Use Ren Shen (Radix Ginseng), E Jiao (Colla Corii Asini), Sang Ye (Folium Mori), Xing Ren (Semen Armeniacae Amarum), Pi Pa Ye (Folium Loquatae), Mai Dong (Radix Ophiopogonis), Ma Ren (Semen Cannabis), and Gan Cao (Radix Glycyrrhizae).
[Outline of Warm Epidemic] When the heavenly climate is improper, epidemics arise; pathogenic factors harm people, forming warm diseases. Spreading through the Six Meridians, it ultimately manifests as heat. External treatment requires cooling and resolving, while internal treatment requires clearing.
[Taiyang Meridian]
Fang Feng Tang (Saposhnikovia Decoction)
(Attached Syndrome Description Formula seen in Warm Syndromes, i.e., Fang Feng Jie Wen Tang) When a warm epidemic initially enters the Taiyang meridian, there is much heat accompanied by headache and stiffness in the neck and back. Fang Feng Tang can originally treat this; clearing both exterior and interior is an excellent method.
Bai Hu Jia Yuan Mai Tang (White Tiger Decoction Plus Scrophularia and Ophiopogon)
(Attached Syndrome Description) After the Taiyang meridian syndrome resolves, differentiation becomes clear: irritability and heat lead to dryness and thirst. Using Jing Mi (Semen Oryzae Sativae), Zhi Mu (Rhizoma Anemarrhenae), Shi Gao (Gypsum Fibrosum), Gan Cao (Radix Glycyrrhizae), Yuan Shen (Radix Scrophulariae), and Mai Dong (Radix Ophiopogonis) instantly clears stagnant fire in the abdomen.
Ren Shen Bai Hu Jia Yuan Mai Tang (Ginseng White Tiger Decoction Plus Scrophularia and Ophiopogon)
(Attached Syndrome Description Ren Shen Bai Hu Tang seen in Warm Syndromes) When the Taiyang meridian syndrome of a warm epidemic has passed, and Qi deficiency causes irritability and thirst, what is the treatment? Ren Shen Bai Hu Tang decocted is excellent; adding Yuan Shen (Radix Scrophulariae) and Mai Dong (Radix Ophiopogonis) yields miraculous effects.
[Yangming Meridian]
Ge Gen Tang (Pueraria Decoction)
(Attached Syndrome Description) Yangming disease transmits from Taiyang, presenting with eye pain, nasal dryness, fever, and insomnia. The decoction uses Ge Gen (Radix Puerariae) effectively, combined with Yuan Shen (Radix Scrophulariae), Sheng Jiang (Rhizoma Zingiberis Recens), Gan Cao (Radix Glycyrrhizae), and Shi Gao (Gypsum Fibrosum).
Ge Gen Shao Yao Tang (Pueraria and Peony Decoction)
(Attached Syndrome Description) Disease complicated by diarrhea enters Yangming. Shi Gao (Gypsum Fibrosum), Shao Yao (Radix Paeoniae Alba/Lactiflorae), and Yuan Shen (Radix Scrophulariae) clear stasis-heat. Ge Gen (Radix Puerariae) for lifting and dispersing is an excellent product, combined with Gan Cao (Radix Glycyrrhizae) to tonify Spleen essence.
Ge Gen Ban Xia Tang (Pueraria and Pinellia Decoction)
(Attached Syndrome Description) Disease entering Yangming produces vomiting. Yuan Shen (Radix Scrophulariae), Shi Gao (Gypsum Fibrosum), Ge Gen (Radix Puerariae), and Shao Yao (Radix Paeoniae) completely clear heat. Ban Xia (Rhizoma Pinelliae) and Sheng Jiang (Rhizoma Zingiberis Recens) direct rebellious Qi downward, Gan Cao (Radix Glycyrrhizae) fortifies Earth; treating both exterior and interior, the legislative principle is precise.
San Cheng Qi Jia Shao Yao Di Huang Zheng (Three Cheng Qi Decoctions Plus Peony and Rehmannia Syndrome)
Constipation, abdominal pain, and a deep pulse indicate the disease has transmitted to the Stomach Fu, where heat is uncontrollable. To attack pathogens, use the Three Cheng Qi Decoctions; adding Shao Yao (Radix Paeoniae) and Di Huang (Radix Rehmanniae) benefits Yin.
Tiao Wei Cheng Qi Jia Shao Yao Di Huang Tang (Regulate the Stomach Cheng Qi Decoction Plus Peony and Rehmannia)
To break down hardness and purge filth, use Xiao Shi (Natrii Sulfas) and Da Huang (Radix et Rhizoma Rhei); Gan Cao (Radix Glycyrrhizae) harmonizes the Middle and assists better. Adding Shao Yao (Radix Paeoniae) and Di Huang (Radix Rehmanniae) nourishes Yin excellently, expelling pathogenic Qi without injury.
Xiao Cheng Qi Jia Shao Yao Di Huang Tang (Minor Cheng Qi Decoction Plus Peony and Rehmannia)
Da Huang (Radix et Rhizoma Rhei) purges heat with miraculous efficacy; Zhi Shi (Fructus Aurantii Immaturus) and Hou Po (Cortex Magnoliae Officinalis) assist in breaking down hardness appropriately. Adding Shao Yao (Radix Paeoniae) and Di Huang (Radix Rehmanniae) is truly excellent, treating hardened stools and slight binding.
Da Cheng Qi Jia Shao Yao Di Huang Tang (Major Cheng Qi Decoction Plus Peony and Rehmannia)
(Formula seen in Warm Syndromes)
[Shaoyang Meridian]
Xiao Chai Hu Qu Ren Shen Jia Shao Yao Gua Lou Gen Zheng (Minor Bupleurum Decoction Without Ginseng Plus Peony and Trichosanthes Root Syndrome)
When a warm epidemic transmits to the Shaoyang meridian, there is dry throat, bitter taste, desire for fluids, deafness, dizziness, chest pain, and alternating chills and fever. Differentiation must be detailed.
Xiao Chai Hu Qu Ren Shen Jia Shao Yao Gua Lou Gen Tang (Minor Bupleurum Decoction Without Ginseng Plus Peony and Trichosanthes Root)
Chai Hu (Radix Bupleuri) releases the exterior and repels pathogenic invasion; clearing heat and unblocking meridians combines Sheng Jiang (Rhizoma Zingiberis Recens) and Huang Qin (Radix Scutellariae). Tonification uses Da Zao (Fructus Jujubae) and Gan Cao (Radix Glycyrrhizae); attacking uses Ban Xia (Rhizoma Pinelliae). Adding Gua Lou Gen (Radix Trichosanthis) and Shao Yao (Radix Paeoniae) aids True Yin.
Da Chai Hu Jia Yuan Shen Di Huang Zheng (Major Bupleurum Decoction Plus Scrophularia and Rehmannia Syndrome)
Vomiting and retching are alarming conditions. Epigastric fullness/stuffiness cannot yet be expelled. Exterior and Interior excess pathogens remain unresolved; dual clearing requires Da Chai Hu Tang.
Da Chai Hu Jia Yuan Shen Di Huang Tang (Major Bupleurum Decoction Plus Scrophularia and Rehmannia)
Shao Yao (Radix Paeoniae), Ban Xia (Rhizoma Pinelliae), Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae) combine with Zhi Shi (Fructus Aurantii Immaturus) and Da Huang (Radix et Rhizoma Rhei). Harmonizing uses Da Zao (Fructus Jujubae) and Sheng Jiang (Rhizoma Zingiberis Recens). Adding Yuan Shen (Radix Scrophulariae) and Di Huang (Radix Rehmanniae) assists Yin; attacking both exterior and interior is an excellent method.
[Taiyin Meridian]
Fang Feng Di Huang Tang (Saposhnikovia and Rehmannia Decoction)
(Attached Syndrome Description) When epidemic enters Taiyin and disease erupts, dry throat and abdominal fullness occur; treatment should not be delayed. Use Fang Feng (Radix Saposhnikoviae), Sheng Di Huang (Radix Rehmanniae Praeparata), Dan Pi (Cortex Moutan), Da Zao (Fructus Jujubae), Shao Yao (Radix Paeoniae), Sheng Jiang (Rhizoma Zingiberis Recens), and Gan Cao (Radix Glycyrrhizae) administered together.
[Shaoyin Meridian]
Fang Feng Tian Dong Tang (Saposhnikovia and Asparagus Decoction)
(Attached Syndrome Description) When epidemic enters Shaoyin and warm disease forms, dry tongue and mouth are never mild conditions. Use Sheng Jiang (Rhizoma Zingiberis Recens), Fang Feng (Radix Saposhnikoviae), Dan Pi (Cortex Moutan), Gan Cao (Radix Glycyrrhizae), and Tian Hua Fen (Radix Trichosanthis). Yuan Shen (Radix Scrophulariae), Di Huang (Radix Rehmanniae), and Tian Dong (Radix Asparagi) clear heat simultaneously.
[Jueyin Meridian]
Fang Feng Dang Gui Tang (Saposhnikovia and Angelica Decoction)
(Attached Syndrome Description) When Jueyin presents with irritability, fullness, and macules, clearing and dispersing combined can treat the disease. Use Dan Pi (Cortex Moutan), Di Huang (Radix Rehmanniae), Sheng Jiang (Rhizoma Zingiberis Recens), Fang Feng (Radix Saposhnikoviae), Dang Gui (Radix Angelicae Sinensis), and Shao Yao (Radix Paeoniae). Harmonizing with Gan Cao (Radix Glycyrrhizae) is even more suitable.
[Warm Epidemic with Water Retention]
Zhu Ling Tang (Polyporus Decoction)
(Attached Syndrome Description Formula seen in Cold Damage) Water retention in the Stomach Fu fails to dissolve, causing sudden abdominal and hypochondriac distension and fullness. Constipation, mental restlessness, and thirst occur. Zhu Ling Tang has miraculous efficacy.
[Warm Epidemic with Head Swelling]
Pu Ji Xiao Du Yin Qu Sheng Ma Chai Hu Qin Lian Zheng (Universal Benefit Detoxifying Drink Without Cimicifuga, Bupleurum, Scutellaria, and Phellodendron Syndrome)
Severe sore throat, red face, deafness, and steaming internal heat. Cheek swelling combined with anterior and posterior swelling. This condition is known to the world as Da Tou Wen (Big Head Plague).
Pu Ji Xiao Du Yin Qu Sheng Ma Chai Hu Qin Lian Fang (Universal Benefit Detoxifying Drink Without Cimicifuga, Bupleurum, Scutellaria, and Phellodendron Prescription)
Jie Sui (Flos Viticis Negundo), Lian Qiao (Fructus Forsythiae), and Ban Lan Gen (Radix Isatidis) together; Niu Bang Zi (Semen Arctii), Ma Bo (Muo), and Jiang Can (Bombyx Batryticatus) combined. Bo He (Herba Menthae) must be added with Yin Hua (Flos Lonicerae). Then add Yuan Shen (Radix Scrophulariae), Jie Geng (Radix Platycodonis), and Gan Cao (Radix Glycyrrhizae).