〔《活》〕夏至前发热恶寒，头疼身体痛，其脉浮紧者，温病也。春月伤寒，谓之温病。冬伤于寒，轻者
夏至以前发为温病，盖因春温暖之气而发也。治温病与冬月伤寒、夏月热病不同，盖热轻故也，升麻解肌汤最
良。热多者，小柴胡汤主之。不渴，外有微热者，小柴胡加桂枝。嗽者，小柴胡加五味子。烦躁发渴，脉实，
大便秘涩者，大柴胡汤微利之，虚烦，用竹叶汤次第服之。
仲景谓温病壮热不恶寒，《活人》谓温病发热恶寒，各不同，当以仲景为正。
升麻解肌汤 治伤寒温病天行头痛壮热。
葛根（一两） 黄芩 芍药（各半两） 甘草（炙） 桂心（各一分） 麻黄（三分，去节，汤泡）
上 咀，每服五钱，水一盏半，枣子一枚，煮八分，日三服。三四日不解，脉浮者，宜重服取汗。脉沉实
者，宜下之。
〔云〕伤寒汗下不愈而过经，其证尚在而不除者，亦温病也。经曰∶温病之脉，行在诸经，不知何经之动，
随其经所在而取之。如太阳症汗下后过经不愈，诊得尺寸俱浮者，太阳温病也。如身热目疼，汗下后过经不愈，
诊得尺寸脉俱长者，阳明温病也。如胸胁痛，汗下后过经不愈，诊得尺寸脉俱弦者，少阳温病也。如腹满嗌干，
诊得尺寸脉俱沉细，过经不愈者，太阴温病也。如口燥舌干而渴，诊得尺寸俱沉，过经不愈者，少阴温病也。
如烦满囊缩，诊得尺寸俱微缓，过经不愈者，厥阴温病也。是故随其经而取之，随其症而治之。如发斑乃温毒也。
《活人书》记载：夏至之前出现发热、恶寒，头痛且身体疼痛，脉象浮紧的，属于温病。春季感受寒邪所致的伤寒，被称为温病。冬季被寒邪所伤，病情较轻者，在夏至之前发作成为温病，这是因为受到春季温暖气候的影响而引发的。治疗温病与冬季的伤寒、夏季的热病不同，因为温病的热势较轻，所以升麻解肌汤是最好的方剂。如果热势较重，以小柴胡汤为主治方。如果不口渴，体表有轻微发热的，用小柴胡汤加桂枝。伴有咳嗽的，用小柴胡汤加五味子。出现烦躁、口渴，脉象实大，大便秘结不通的，用大柴胡汤轻微通下；如果是虚烦，则依次服用竹叶汤。
张仲景认为温病表现为高热且不恶寒，《活人书》则认为温病表现为发热且恶寒，两者各不相同，应当以张仲景的说法为准。
升麻解肌汤：治疗伤寒、温病及时行疫病引起的头痛和高热。
葛根（一两） 黄芩 芍药（各半两） 甘草（炙） 桂心（各一分） 麻黄（三分，去节，热水浸泡）
以上药材切碎，每次服用五钱，加水一盏半，大枣一枚，煮至八分满，每日服用三次。如果三四天病证未解，脉象仍浮的，适宜再次服药以取汗。脉象沉实的，适宜使用攻下法。
云岐子说：伤寒经过发汗或攻下治疗后仍未痊愈，且病邪已传入他经，但症状仍在未消除的，也属于温病。医经说：温病的脉象变化行于各条经络，不知道是哪条经络受邪，就根据该经络所在的位置进行诊治。例如太阳病经过发汗或攻下后，病邪传变而未愈，诊察发现寸关尺三部脉都浮的，是太阳温病。例如身体发热、眼睛疼痛，经过发汗或攻下后病邪传变而未愈，诊察发现寸关尺三部脉都长的，是阳明温病。例如胸胁部疼痛，经过发汗或攻下后病邪传变而未愈，诊察发现寸关尺三部脉都弦的，是少阳温病。例如腹部胀满、咽喉干燥，诊察发现寸关尺三部脉都沉细，且病邪传变未愈的，是太阴温病。例如口燥舌干而口渴，诊察发现寸关尺三部脉都沉，且病邪传变未愈的，是少阴温病。例如心烦腹胀、阴囊收缩，诊察发现寸关尺三部脉都微缓，且病邪传变未愈的，是厥阴温病。因此要跟随经络的变化来选取穴位或药物，跟随症状的表现来实施治疗。如果出现发斑疹，这属于温毒。
According to the *Huoren Shu* (Book of Living People): Fever accompanied by aversion to cold, headache, and body ache with a floating and tight pulse occurring before the Summer Solstice constitutes **Wenbing** (Warm Disease). **Shanghan** (Cold Damage) contracted in spring is referred to as **Wenbing**. If one was injured by cold in winter, and the condition is mild, it manifests as **Wenbing** before the Summer Solstice; this occurs due to the influence of the warm qi of spring. The treatment of **Wenbing** differs from **Shanghan** in winter and **Rebing** (Heat Disease) in summer, because the heat intensity is lighter. **Shengma Jieji Tang** (Ephedra and Cimicifuga Decoction for Relieving Muscle Layer) is the most effective formula. If the heat is more severe, **Xiaochaihu Tang** (Minor Bupleurum Decoction) is the primary prescription. If there is no thirst but slight external fever, use **Xiaochaihu Tang** added with **Guizhi** (Cinnamon Twig). If coughing is present, use **Xiaochaihu Tang** added with **Wuweizi** (Schisandra Berry). If there is irritability, thirst, a solid pulse, and constipation, use **Dachaihu Tang** (Major Bupleurum Decoction) to mildly purge the bowels; if there is empty irritability, administer **Zhuye Tang** (Bamboo Leaf Decoction) sequentially.
Zhang Zhongjing stated that **Wenbing** presents with high fever and no aversion to cold, whereas the *Huoren Shu* states that **Wenbing** presents with fever and aversion to cold. Since they differ, Zhang Zhongjing’s view should be considered correct.
**Shengma Jieji Tang**: Treats headache and high fever caused by **Shanghan**, **Wenbing**, and epidemic diseases.
**Gegen** (Puerariae Radix, 1 liang), **Huangqin** (Scutellariae Radix), **Shaoyao** (Paeoniae Radix, each 0.5 liang), **Gancao** (Glycyrrhizae Radix et Rhizoma, honey-fried), **Guixin** (Cinnamomi Ramulus, each 1 fen), **Mahuang** (Ephedrae Herba, 3 fen, nodes removed, soaked in hot water).
Crush the herbs. Take 5 qian per dose, add 1.5 zhan of water and one jujube, boil until reduced to 0.8 zhan. Administer three times daily. If after three or four days the disease persists and the pulse remains floating, re-administer the medicine to induce sweating. If the pulse is deep and solid, purgation is indicated.
Yun Qizi said: When **Shanghan** does not resolve after sweating or purgation, and the pathogen has passed through the meridians (**Guojing**) yet symptoms persist, this is also classified as **Wenbing**. The classics state: The pulse of **Wenbing** moves through the various meridians; without knowing which meridian is affected, treat according to the location of the meridian involved. For example, if **Taiyang** syndrome persists after sweating/purgation and the pulse at both cun and chi positions is floating, it is **Taiyang Wenbing**. If there is body heat and eye pain persisting after sweating/purgation, and the pulse at both cun and chi positions is long, it is **Yangming Wenbing**. If there is hypochondriac pain persisting after sweating/purgation, and the pulse at both cun and chi positions is wiry, it is **Shaoyang Wenbing**. If there is abdominal fullness and dry throat persisting after sweating/purgation, and the pulse at both cun and chi positions is deep and fine, it is **Taiyin Wenbing**. If there is dry mouth and tongue with thirst persisting after sweating/purgation, and the pulse at both cun and chi positions is deep, it is **Shaoyin Wenbing**. If there is irritability, fullness, and retraction of the genitals persisting after sweating/purgation, and the pulse at both cun and chi positions is faint and slow, it is **Jueyin Wenbing**. Therefore, select treatments based on the meridian and manage symptoms accordingly. If macules appear, this is termed **Wendu** (Warm Toxin).