琥珀 珍珠粉 铁粉 天花粉 朱砂 寒水石 牙硝 大黄（酒浸） 生甘草
各等分为末，每用薄荷汤调下三钱。
男、妇、小儿五脏积热，心胸闷乱，口干舌燥，精神恍惚，癫狂等证，此方主之。
明可以安神，琥珀、珍珠皆明物也，故用之以安神魄；重可以去怯，铁粉、朱砂皆重物
也，故用之以定惊狂；寒可以去热，硝、黄、水石，皆寒物也，故用之以除积热；热之盛者
必渴，天花粉可以生津；火之炽者必急，生甘草所以缓急。
实火可泻，宜用芩、连、栀、柏；虚火可补，宜用人参、黄 、白术、甘草，所谓温能
除大热也。或者误用芩、连、栀、柏以治虚火，则火益炽。何以然哉？四件皆降下之品，降
多则亡阴，阴亡则不足以济火，故令火益炽。
诸证无火者，宜于四件斟酌之。
壮火固不可有，少火亦不可无，所谓天非此火不足以生万物，人非此火不足以有生。故
凡诸证寒凉太过，几于无阳者，宜审择而用之。昔人以附子一物为太阳丹，以天雄、附子、
川乌为三建汤，以硫黄为金液丹，皆所以养其真阳，壮其真火，而存此身之生气耳。
明变之士，幸教我哉。
叙曰∶无热不斑，无湿不疹，此二言者，斑疹之大观也。其致疾之由，则有风、寒、暑
、湿之殊；辨证之法，则有表、里、虚、实之异。此在人之自悟，非可以纸上尽也。
琥珀、珍珠粉、铁粉、天花粉、朱砂、寒水石、牙硝、大黄（用酒浸泡）、生甘草，各取等份研成细末。每次服用三钱，用薄荷汤调服。
此方主治男、女、小儿五脏积热，心胸闷乱，口干舌燥，精神恍惚，癫狂等症状。
“明”可以安神，琥珀和珍珠都是具有光泽的矿物/生物制品，所以用来安定神魄；“重”可以去怯，铁粉和朱砂都是沉重的药物，所以用来镇定惊狂；“寒”可以去热，牙硝、大黄、寒水石都是寒性药物，所以用来清除积热；火热炽盛必然口渴，天花粉可以生津止渴；火势猛烈必然急迫，生甘草用来缓解急迫。
实火可以泻下，适宜使用黄芩、黄连、栀子、黄柏；虚火可以补益，适宜使用人参、黄芪、白术、甘草，这就是所谓的“甘温除大热”。如果错误地使用黄芩、黄连、栀子、黄柏来治疗虚火，那么火势会更加炽盛。为什么会这样呢？因为这四味药都是沉降下行的药物，下行过多会耗伤阴液，阴液耗竭则不足以制约火势，所以导致火势更加炽盛。
对于没有火邪的各种证候，应当斟酌使用上述四味药。
壮火（亢盛的阳气）固然不应该存在，少火（正常的生理之火）也不应该没有，所谓上天没有这种火就不足以生长万物，人没有这种火就不足以维持生命。所以凡是各种证候因过度使用寒凉药物，几乎导致阳气衰微的情况，应当审慎选择并谨慎使用（指慎用寒凉或考虑温补）。古人将附子一味药称为太阳丹，将天雄、附子、川乌合用称为三建汤，将硫黄称为金液丹，这些都是为了养护真阳，壮大真火，以保存身体的生气罢了。
精通变化之理的医者，希望得到您的指教。
序言说：没有热就不会出现斑疹，没有湿就不会出现疹子，这两句话概括了斑疹的主要特征。其致病的原因，有风、寒、暑、湿的不同；辨证的方法，有表、里、虚、实的差异。这在于医者自身的领悟，不是可以在纸上完全讲尽的。
Amber, Pearl Powder (Zhenzhu Fen), Iron Powder (Tiefen), Trichosanthes Root Powder (Tianhuafen), Cinnabar (Zhusha), Arctostaphylos Hypothermic Stone (Hanshuishi), Niter (Yanxiao), Rhubarb (Dahuang) soaked in wine, and Raw Licorice Root (Sheng Gancao) are each taken in equal parts and ground into fine powder. For each dose, take three qian, mixed with Mint Decoction (Bohe Tang).
This formula is the primary treatment for accumulated heat in the five zang organs of men, women, and children, characterized by chest oppression and mental confusion, dry mouth and tongue, spiritual trance, epilepsy, mania, and other syndromes.
"Clarity" can calm the spirit; Amber and Pearl are both substances possessing clarity/luster, thus they are used to stabilize the Shen Po (Spiritual Soul); "Heaviness" can dispel timidity; Iron Powder and Cinnabar are both heavy substances, thus they are used to settle fright and mania; "Coldness" can eliminate heat; Niter, Rhubarb, and Hanshuishi are all cold-natured substances, thus they are used to remove accumulated heat; when heat is excessive, thirst inevitably occurs, and Trichosanthes Root can generate fluids; when fire is blazing, urgency inevitably arises, and Raw Licorice Root serves to relieve urgency.
Excess Fire (Shi Huo) can be purged, suitable for using Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Gardenia Fruit (Zhizi), and Phellodendron Bark (Huangbai); Deficiency Fire (Xu Huo) can be tonified, suitable for using Ginseng Radix (Renshen), Astragalus Root (Huangqi), Atractylodes Macrocephala Rhizome (Baizhu), and Licorice Root (Gancao), which is referred to as "Warming can eliminate great heat." If one mistakenly uses Scutellaria, Coptis, Gardenia, and Phellodendron to treat Deficiency Fire, the fire will become even more blazing. Why is this? Because these four herbs are all descending agents; excessive descent leads to the loss of Yin fluids. When Yin is depleted, it is insufficient to control the Fire, thus causing the Fire to become even more blazing.
For various syndromes without Fire, one should exercise discretion regarding the use of these four herbs.
Blazing Fire (Zhuang Huo) certainly should not exist, but Mild Fire (Shao Huo) also cannot be absent. As stated, Heaven cannot generate all things without this Fire, and humans cannot sustain life without this Fire. Therefore, in cases where various syndromes have been excessively treated with cold-cooling methods, nearly resulting in a lack of Yang, one must carefully select and apply treatments. In the past, Ancients called a single herb preparation of Aconite Lateralis Radix Preparata (Fuzi) "Taiyang Dan"; they combined Tianxiong, Fuzi, and Sichuan Aconite Root (Chuanwu) to form "Sanjian Tang"; and they called Sulfur "Jinye Dan." All these were used to nourish True Yang, strengthen True Fire, and preserve the vital energy of the body.
Scholars versed in change, I hope for your instruction.
Preface states: Without Heat, there are no macules (Ban); without Dampness, there are no papules (Zhen). These two statements summarize the general characteristics of macules and papules. The causes of disease vary among Wind, Cold, Summerheat, and Dampness; the methods of syndrome differentiation differ between Exterior, Interior, Deficiency, and Excess. This lies in the individual's own comprehension and cannot be fully exhausted on paper.