疹发缘何呕吐逆，火邪扰胃使之然，竹茹石膏为主治，和中清热吐能安。
[注]
麻疹呕吐者，由于火邪内迫，胃气冲逆也，
须以竹茹石膏汤和中清热，其吐自止。
(竹茹石膏汤)
半夏姜制 赤苓 陈皮 竹茹 生甘草 石膏煆 引用生姜，水煎服。
(方歌)
竹茹石膏汤治吐，半夏姜制配茯苓，陈皮竹茹生甘草，石膏火煆共合成。
%
毒热移入大肠经，传化失常泻泄成，初起升葛汤加味，已发黄连解毒清。
[注]
麻疹泻泄，乃毒热移入肠胃，使传化失常也，治者切不可用温热诸剂，
疹初作泻者，以升麻葛根汤，加赤苓，猪苓，泽泻，主之，
疹已出作泻者，以黄连解毒汤，加赤苓，木通，主之。
(升麻葛根汤)方见痘门发热证治
(黄连解毒汤)方见痘门结痂落痂证治。
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夹疹之痢最难当，毒热凝结移大肠，腹痛下痢赤白色，悉用清热导滞良。
[注]
麻疹作痢，谓之夹疹痢，因毒热未解，移于大肠所致也，
有腹痛欲解，或赤或白，与赤白相兼者，
悉用清热导滞汤主之，不可轻投涩剂。
(清热导滞汤) 山查 厚朴姜炒 生甘草 枳壳麸炒 槟榔 当归 白芍酒炒
条芩酒炒 连翘去心 牛蒡子炒研 青皮炙 黄连吴茱萸炒
引用生姜，水煎服。
(方歌)
痢用清热导滞汤，山查朴草壳槟榔，归芍条芩翘牛蒡，青皮黄连引生姜。
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为什么出疹时会发生呕吐和气逆？这是因为火邪扰乱了胃气，导致这种情况。治疗应以竹茹和石膏为主药，通过调和胃气、清除热邪，使呕吐得以平息。
[注]
麻疹患者出现呕吐，是由于火邪内迫，导致胃气冲逆所致。必须使用竹茹石膏汤来调和胃气并清除热邪，呕吐自然就会停止。
（竹茹石膏汤）
半夏（姜制）、赤茯苓、陈皮、竹茹、生甘草、石膏（煅），引用生姜，水煎服。
（方歌）
竹茹石膏汤治疗呕吐，配伍姜制的半夏和茯苓，加上陈皮、竹茹和生甘草，以及火煅的石膏共同组成。
毒热移入大肠经，导致传化功能失常，从而形成泄泻。初起时可用升麻葛根汤加味治疗；如果已经发黄，则用黄连解毒汤清热。
[注]
麻疹引起的泄泻，是毒热移入肠胃，导致传化功能失常的结果。治疗者切不可使用温热性质的方剂。
疹子刚发出就出现腹泻的，以升麻葛根汤为基础，加入赤茯苓、猪苓、泽泻来主治；
疹子已经发出后才出现腹泻的，以黄连解毒汤为基础，加入赤茯苓、木通来主治。
（升麻葛根汤）方见痘门发热证治
（黄连解毒汤）方见痘门结痂落痂证治。
夹带疹子的痢疾最难对付，这是毒热凝结并移于大肠所致。症状包括腹痛和下痢赤白脓血，全部使用清热导滞汤治疗效果好。
[注]
麻疹并发痢疾，称为“夹疹痢”，是因为毒热未解，移于大肠所导致的。
症状有腹痛想排便，大便或红或白，或者红白相兼。
全部使用清热导滞汤主治，不可轻易投用收敛止涩的药物。
（清热导滞汤）山楂、厚朴（姜炒）、生甘草、枳壳（麸炒）、槟榔、当归、白芍（酒炒）、黄芩（酒炒）、连翘（去心）、牛蒡子（炒研）、青皮（炙）、黄连（吴茱萸炒）。
引用生姜，水煎服。
（方歌）
痢疾使用清热导滞汤，包含山楂、厚朴、甘草、枳壳、槟榔，当归、白芍、黄芩、连翘、牛蒡子，青皮、黄连，以生姜为引。
Why does vomiting and counterflow occur during the eruption of rashes? This is caused by fire pathogen disturbing the stomach, leading to this condition. The treatment should focus on Zhu Ru (Bamboo Shavings) and Shi Gao (Gypsum Fibrosum) as main herbs, harmonizing the middle jiao and clearing heat to settle the vomiting.
[Note]
Vomiting in measles patients is due to internal pressure from fire pathogen causing rebellious stomach qi. One must use Zhu Ru Shi Gao Tang (Bamboo Shavings and Gypsum Decoction) to harmonize the middle jiao and clear heat, after which the vomiting will cease naturally.
(Zhu Ru Shi Gao Tang)
Ban Xia (Pinelliae Rhizoma, processed with ginger), Chi Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ru (Bambusae Caulis in Taeniam), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Gao (Gypsum Fibrosum, calcined). Add fresh Ginger (Sheng Jiang) as a guide, decoct in water and take orally.
(Verse for Prescription)
Zhu Ru Shi Gao Tang treats vomiting, paired with ginger-processed Ban Xia and Fu Ling, Chen Pi, Zhu Ru, and Sheng Gan Cao, combined with calcined Shi Gao.
Toxic heat transferring into the Large Intestine meridian causes abnormal transmission and transformation, resulting in diarrhea. In the early stage, Sheng Ma Ge Gen Tang (Ephemerum and Pueraria Decoction) with modifications can be used; if yellowing has already occurred, Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) should be used to clear heat.
[Note]
Diarrhea associated with measles results from toxic heat transferring into the intestines and stomach, disrupting normal transmission and transformation. Practitioners must absolutely avoid using warm or hot formulas.
For diarrhea occurring when the rash first appears, treat with Sheng Ma Ge Gen Tang added with Chi Ling (Poria), Zhu Ling (Polyporus), and Ze Xie (Alismatis Rhizoma).
For diarrhea occurring after the rash has fully erupted, treat with Huang Lian Jie Du Tang added with Chi Ling (Poria) and Mu Tong (Akebiae Caulis).
(Sheng Ma Ge Gen Tang) See "Fever Syndrome Treatment" in the Smallpox section.
(Huang Lian Jie Du Tang) See "Crusting and Scab Falling Syndrome Treatment" in the Smallpox section.
Dysentery accompanying measles is the most difficult to manage. This is caused by toxic heat condensing and transferring to the Large Intestine. Symptoms include abdominal pain and dysentery with red and white discharge. All such cases are best treated with Qing Re Dao Zhi Tang (Heat-Clearing and Stagnation-Expelling Decoction).
[Note]
Measles complicated by dysentery is called "Jia Zhen Li" (Measles-Accompanied Dysentery). It is caused by unresolved toxic heat transferring to the Large Intestine.
Symptoms include abdominal pain with an urge to defecate, where the stool may be red, white, or mixed red and white.
All these cases should be treated with Qing Re Dao Zhi Tang. Do not lightly administer astringent agents.
(Qing Re Dao Zhi Tang) Shan Zha (Crataegi Fructus), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Qiao (Aurantii Fructus, bran-fried), Bing Lang (Arecae Semen), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba, wine-fried), Tiao Qin (Scutellariae Radix, wine-fried), Lian Qiao (Forsythiae Fructus, heart removed), Niu Bang Zi (Arctii Fructus, stir-fried and crushed), Qing Pi (Citri Reticulatae Pericarpium Viride, roasted), Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus).
Add fresh Ginger (Sheng Jiang) as a guide, decoct in water and take orally.
(Verse for Prescription)
For dysentery, use Qing Re Dao Zhi Tang, containing Shan Zha, Hou Po, Gan Cao, Zhi Qiao, and Bing Lang; Dang Gui, Bai Shao, Tiao Qin, Lian Qiao, and Niu Bang Zi; Qing Pi and Huang Lian, guided by fresh Ginger.