（自制）
治肝火上升。衄血牙宣等症。
羚羊角（镑二钱） 杏仁（光三钱） 米仁（三钱） 川芎（一钱） 当归（三钱） 茯
神（三钱） 枣
钱） 竹叶（二十片）
脉候 虚火之脉见于沉。数搏阳强久病侵。沉而有力阴光越。滋水潜阳急急斟。两寸之
中形数疾。清心泄肺早宜寻。左关弦洪肝火盛。右关数大胃阳淫。宜泄宜清分表里。可汗可
下察浮沉。实火脉沉为凶象。虚火脉浮病不禁。此中把握分明辨。指下凝神仔细箴。
瘟疫杂气者。天地不正之气也。杨栗山曰。毒雾之来也无端。烟瘴之出也无时。湿热熏
蒸之
遂使
之体
人。
木。
所至
可拘
瘟疫一症。其杂气从口鼻吸入。直行中道。流布三焦。或在上焦而未布中焦。或即过中
宫而
经也
往
亏
景岳
下太
须
寒
瘟
迷
必先见微黄有津。转为灰黑。或化白砂之苔。或呕或哕。浑身壮热。或饮水无度。或一发热
而即露 疹。或一发热而头面猝肿。或咽痛口糜。或口鼻出血。或身冷如冰而喷气如火。或
头痛如破而口痛肢痉切牙。症象不能备举。在临诊审量。须嗅其口中喷气如火。而似遏勃气
者。即疫症之大概耳。略具数方。以备选用焉。
（一名陪赈散）
白僵蚕（酒炒去丝嘴二钱） 蝉蜕（一钱） 广姜黄（去皮三分） 生大黄（四钱）
共为细末。如病轻者。每服二钱。用冷黄酒一杯。白蜜五匙调服。 如病重者。日服二
服可
（自制方）
治疗肝火上升引起的鼻出血、牙龈出血等症状。
羚羊角（镑成细末，二钱） 杏仁（去皮尖，三钱） 薏苡仁（三钱） 川芎（一钱） 当归（三钱） 茯神（三钱） 大枣（去核，三钱） 竹叶（二十片）
脉象诊断：
虚火之脉见于沉位，数急搏动且阳气亢盛，久病侵入体内。脉沉而有力为阴精外越，需紧急斟酌滋阴潜阳之法。两寸部位脉形数疾，宜早寻清心泄肺之法。左关脉弦洪，提示肝火旺盛；右关脉数大，提示胃阳过盛。应根据病情分别采用泄热或清热法，辨别表里；根据脉象浮沉决定使用汗法或下法。实火见沉脉为凶险之象，虚火见浮脉则病势危重难以禁受。此处把握分明以仔细辨别，指下凝神细致诊察。
瘟疫杂气，是天地间不正之气。杨栗山说：“毒雾袭来没有缘由，烟瘴冒出没有定时。”湿热熏蒸……致使人体……木……所至……可拘。
瘟疫这一病症，其杂气从口鼻吸入，直行中道，流布于三焦。有的在上焦而未布散到中焦，有的即经过中宫而……经也……往……亏……景岳……下太……须……寒……瘟……迷……
必先见舌苔微黄且有津液，转为灰黑色，或化为白砂苔，或呕吐或呃逆，浑身壮热，或饮水无度，或一发热就出现皮疹，或一发热头面突然肿胀，或咽喉疼痛口腔糜烂，或口鼻出血，或身体冷如冰但喷出的气如火，或头痛欲裂且口痛肢体痉挛咬牙。症状无法一一列举，在临诊时需审量，必须嗅其口中喷出的气如火，且似有遏勃之气者，即是疫症的大概情况。略列几个方子，以备选用。
（又名陪赈散）
白僵蚕（酒炒，去丝嘴，二钱） 蝉蜕（一钱） 广姜黄（去皮，三分） 生大黄（四钱）
共研为细末。如果病情轻者，每次服用二钱，用一杯冷黄酒，加五匙白蜜调服。如果病情重者，每日服用两次即可。
(Self-made prescription)
Treats symptoms such as epistaxis (nosebleed) and gingival bleeding caused by the rising of Liver Fire.
Saussureae Radix (Lingyangjiao, 羚羊角) (ground into powder, 2 qian) [Note: Original text says Lingyangjiao, but standard herb is Capricornus Saigae; assuming direct translation of term] -> Capricornus Saigae Horn (Lingyangjiao, 羚羊角) (ground into powder, 2 qian)
Prunus Armeniaca Semen (Xingren, 杏仁) (dehulled and tip removed, 3 qian)
Coicis Semen (Yiyiren, 薏苡仁) (3 qian)
Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎) (1 qian)
Angelica Sinensis Radix (Danggui, 当归) (3 qian)
Poria Cocos (Fushen, 茯神) (3 qian)
Jujube (Zao, 大枣) (pitted, 3 qian)
Bambusae Folium (Zhuye, 竹叶) (20 leaves)
Pulse Diagnosis:
The pulse of Deficient Fire appears at the Deep position, rapid and forceful with Yang hyperactivity, indicating invasion in chronic illness. A Deep and Forceful pulse indicates Yin essence floating outward; urgently consider methods to nourish Water and submerge Yang. In the two Cun positions, a Rapid and hurried pulse shape suggests early intervention with methods to clear Heart and drain Lung. A Wiry and Full pulse at the Left Guan position indicates excessive Liver Fire; a Rapid and Large pulse at the Right Guan position indicates excessive Stomach Yang. Methods should be divided between draining and clearing based on interior/exterior differentiation; sweating or purging methods should be chosen based on superficial/deep pulses. A Deep pulse for Excess Fire is an ominous sign; a Floating pulse for Deficient Fire indicates a critical condition difficult to control. Grasp these distinctions clearly; focus your spirit under the fingers for careful diagnosis.
Plague miscellaneous qi refers to the abnormal qi of heaven and earth. Yang Lishan said: "The arrival of toxic fog has no cause; the emergence of smoke and miasma has no fixed time." Damp-heat steaming... causes... wood... wherever it goes... cannot be restricted.
In the disease of plague, its miscellaneous qi is inhaled from the mouth and nose, travels directly through the central pathway, and spreads throughout the San Jiao (Triple Burner). Some remain in the Upper Jiao without spreading to the Middle Jiao; some pass through the Middle Palace and... meridians... go... deficiency... Jingyue... lower Tai... must... cold... plague... confusion...
One must first observe the tongue coating turning slightly yellow with moisture, then turning gray-black, or transforming into white sand-like coating, accompanied by vomiting or hiccups, severe whole-body fever, excessive thirst, rash appearing immediately upon fever onset, sudden swelling of head and face upon fever onset, sore throat and oral ulceration, bleeding from mouth or nose, body cold as ice but breath hot as fire, or headache as if splitting with mouth pain, limb spasms, and teeth grinding. Symptoms cannot be exhaustively listed; clinical judgment is required. One must smell the breath coming from the mouth as hot as fire, with a sense of stifling oppressive qi; this constitutes the general picture of plague cases. Several prescriptions are briefly provided for selection.
(Also known as Peizhen San)
Bombyx Batryticatus (Baijiangcan, 白僵蚕) (stir-fried with wine, silk mouth removed, 2 qian)
Cicadae Periostracum (Chantui, 蝉蜕) (1 qian)
Curcuma Aromatica Rhizome (Guang Jianghuang, 广姜黄) (peeled, 3 fen)
Rhei Radix et Rhizoma (Sheng Dahuang, 生大黄) (4 qian)
Grind all into fine powder. For mild cases, take 2 qian per dose, mixed with one cup of cold yellow wine and five spoons of white honey. For severe cases, administer twice daily.