一春三月内有人头痛发热恶寒身痛拘急口渴者乃是冬受之邪至春发为温病宜先发表药
十神
一发表后热不退头疼口渴者宜用 清热解肌汤 升麻葛根汤
一时行瘟疫壮热恶风头疼身痛鼻塞咽痛咳唾稠粘宜用 柴胡升麻汤
一温病四五日不解发热恶寒口苦干呕胁痛者宜用 小柴胡汤
一表未解里症未全烦躁怫热内结不得眠而口渴者宜用 凉膈散
一夏三月内有人壮热头疼身痛口渴者名曰热病先宜发表用 人参败毒散 九味羌活汤
一发表后身热不恶寒头疼者宜用 柴胡石膏汤
一烦热作渴头痛自汗饮水者宜用 竹叶石膏汤 人参白虎汤
一发热口渴大便泻者宜用 柴苓汤
一发热头汗退场门燥咽干大便闭者宜用 大柴胡汤 三乙承气汤
一热病烦渴发热昏沉谵语下利者宜用 黄连解毒汤 近效方
一温热病汗后烦渴饮水宜天水散润之小便不通宜五苓散泄之大便秘结宜大承气汤下之
更有外症宜凉膈散 通圣散随症用之此皆近效方也
方见寒门 治同下
治春温发热头痛
川芎 紫苏 枳壳 干葛 桔梗 柴胡 茯苓 半夏 甘草 陈皮
姜三片枣一枚煎服
方见前 治同上
第一段:在春季三个月内,如果有人出现头痛、发热、恶寒、身体疼痛、拘急(肌肉痉挛或僵硬)和口渴的症状,这是因为冬季感受的邪气到了春天发作而形成的温病。应当先使用发表药(解表药)。
第二段:十神汤(此处指代一类具有多种功效的方剂组合或特定古方,原文未列具体组成,仅列名)。
第三段:如果在发表治疗后,热势不退,仍然头痛、口渴,应当使用清热解肌汤或升麻葛根汤。
第四段:如果遇到时行瘟疫(流行性传染病),出现高热、怕风、头痛、身体疼痛、鼻塞、咽喉疼痛、咳嗽且痰液稠厚粘稠的情况,应当使用柴胡升麻汤。
第五段:如果温病经过四五日仍未解除,出现发热、恶寒、口苦、干呕、胁肋疼痛的症状,应当使用小柴胡汤。
第六段:如果表证尚未解除,里证也未完全形成,但出现烦躁、郁热内结、无法入睡且口渴的情况,应当使用凉膈散。
第七段:在夏季三个月内,如果有人出现高热、头痛、身体疼痛、口渴的症状,这被称为热病。应当先使用发表药,用人参败毒散或九味羌活汤。
第八段:如果在发表治疗后,身体发热但不怕冷,只有头痛,应当使用柴胡石膏汤。
第九段:如果出现烦热、作渴、头痛、自汗(不因活动而自然出汗)、想喝水的症状,应当使用竹叶石膏汤或人参白虎汤。
第十段:如果出现发热、口渴、大便泄泻的症状,应当使用柴苓汤。
第十一段:如果出现发热、头部出汗、肛门干燥、咽喉干燥、大便秘结的症状,应当使用大柴胡汤或三乙承气汤。
第十二段:如果热病出现烦躁、口渴、发热、神志昏沉、说胡话(谵语)、下利(腹泻)的症状,应当使用黄连解毒汤或近效方。
第十三段:对于温热病,发汗后出现烦躁、口渴、想喝水的情况,适宜用天水散来滋润;如果小便不通畅,适宜用五苓散来通利小便;如果大便秘结,适宜用大承气汤来攻下通便。此外,如果有外在症状,适宜根据病情选用凉膈散或通圣散。这些都是近效方的应用。
第十四段:上述方剂见“寒门”章节,治疗方法与下文相同。
第十五段:治疗春季温病引起的发热、头痛。
药材:川芎、紫苏、枳壳、干葛(即葛根)、桔梗、柴胡、茯苓、半夏、甘草、陈皮。
用法:生姜三片,大枣一枚,煎服。
第十六段:治疗温病引起的头痛、高热。
药材:葛根、黄芩、芍药、甘草。
用法:大枣一枚,煎服。
第十七段:上述方剂见前文,治疗方法同上。
第十八段:治疗时行瘟疫。
药材:升麻、干葛(即葛根)、芍药、甘草、柴胡、黄芩、玄参、桔梗、川芎、白芷。
用法:生姜三片,煎服。
Paragraph 1: During the three months of spring, if a person presents with headache, fever, aversion to cold, body pain, stiffness (muscle spasm or rigidity), and thirst, it is due to pathogenic factors contracted in winter manifesting as warm disease (Wen Bing) in spring. One should first administer exterior-releasing medicines (exterior-resolving agents).
Paragraph 2: Shishen Tang (Ten-God Decoction; here referring to a class of formulas or specific ancient prescription mentioned by name without composition listed).
Paragraph 3: If after administering exterior-releasing medicine the fever persists, accompanied by headache and thirst, Qingre Jieji Tang (Clear Heat and Release Muscle Decoction) or Shengma Gegen Tang (Cimicifugae and Puerariae Decoction) should be used.
Paragraph 4: In cases of epidemic pestilence (Shi Xing Wen Yi - seasonal infectious diseases), presenting with high fever, aversion to wind, headache, body pain, nasal congestion, sore throat, cough with thick and sticky sputum, Chaihu Shengma Tang (Bupleuri and Cimicifugae Decoction) should be used.
Paragraph 5: If warm disease remains unresolved after four or five days, presenting with fever, aversion to cold, bitter taste in the mouth, dry retching, and hypochondriac pain, Xiaochaihu Tang (Minor Bupleuri Decoction) should be used.
Paragraph 6: If the exterior syndrome has not yet resolved, and the interior syndrome is not fully formed, but there is irritability, constraint of heat within, insomnia, and thirst, Liangge San (Cool the Diaphragm Powder) should be used.
Paragraph 7: During the three months of summer, if a person presents with high fever, headache, body pain, and thirst, this is termed heat disease (Re Bing). One should first use exterior-releasing medicines, such as Renshen Baidu San (Ginseng Detoxification Powder) or Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction).
Paragraph 8: If after administering exterior-releasing medicine the body is hot but there is no aversion to cold, only headache, Chaihu Shigao Tang (Bupleuri and Gypsum Decoction) should be used.
Paragraph 9: If there is vexatious heat, thirst, headache, spontaneous sweating (sweating without exertion), and desire for water, Zhuye Shigao Tang (Phyllostachys Bamboo Leaf and Gypsum Decoction) or Renshen Baihu Tang (Ginseng White Tiger Decoction) should be used.
Paragraph 10: If there is fever, thirst, and loose stools, Chai Ling Tang (Bupleuri and Poria Decoction) should be used.
Paragraph 11: If there is fever, sweating on the head, dry anus, dry throat, and constipation, Da Chaihu Tang (Major Bupleuri Decoction) or San Yi Chengqi Tang (Three-Yi Reaching the Intestines Decoction) should be used.
Paragraph 12: If heat disease presents with irritability, thirst, fever, mental confusion, delirium (Zhen Yu), and diarrhea, Huanglian Jiedu Tang (Coptis Detoxification Decoction) or Jin Xiao Fang (Near-Efficacy Prescription) should be used.
Paragraph 13: For warm-heat disease, if after sweating there is vexation, thirst, and desire for water, Tianshui San (Heavenly Water Powder) should be used to moisten; if urination is obstructed, Wuling San (Five-Poria Powder) should be used to promote urination; if stool is constipated, Dachengqi Tang (Major Reaching the Intestines Decoction) should be used to purge. Additionally, if there are external symptoms, Liangge San (Cool the Diaphragm Powder) or Tongsheng San (Unimpeded Generation Powder) should be selected according to the condition. These are all applications of Jin Xiao Fang (Near-Efficacy Prescriptions).
Paragraph 14: The above prescriptions are found in the "Cold Gate" section; the treatment method is the same as below.
Paragraph 15: Treating fever and headache caused by spring warm disease.
Herbs: Chuanxiong Rhizoma (Chuanxiong), Perilla Folium (Zisu), Aurantii Fructus Immaturus (Zhike), Puerariae Radix (Gange/Jiegeng context implies Ge Gen), Platycodonis Radix (Jiegeng), Bupleuri Radix (Chaihu), Poria (Fuling), Pinelliae Rhizoma Preparatum (Banxia), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi).
Usage: Three slices of Zingiberis Rhizoma Recens (Shengjiang), one date (Zao), decoct and take.
Paragraph 16: Treating headache and high fever caused by warm disease.
Herbs: Puerariae Radix (Gegen), Scutellariae Radix (Huangqin), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao).
Usage: One date (Zao), decoct and take.
Paragraph 17: The above prescription is seen in the previous text; the treatment is the same as above.
Paragraph 18: Treating epidemic pestilence.
Herbs: Cimicifugae Rhizoma (Shengma), Puerariae Radix (Gegen), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Scrophulariae Radix (Xuanshen), Platycodonis Radix (Jiegeng), Chuanxiong Rhizoma (Chuanxiong), Angelicae Dahuricae Radix (Baizhi).
Usage: Three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct and take.