【三黄丸】治三焦热。
黄连 黄芩 大黄（各等分）
上为末。炼蜜丸如桐子大。每服三十丸。熟水吞下。
【黄连解毒汤】治大热甚烦。错语不得眠。
黄连（七钱半） 黄柏 栀子（各半两） 黄芩（一两）
上四味锉散。每服五钱。水一盏半。煎至一盏。去滓。热服。未知。再服。○海藏加防风、连
翘。为金花丸。治风热。加柴胡。治小儿潮热。与四物相合为各半汤。治妇人潮热。
甲寅岁四月初。予随斡耳朵行至界河里住。丑 兀闽病五七日。发狂乱弃衣而走。呼叫不避亲
疏。手执 乳。与人饮之。时人皆言风魔了。巫师祷之不愈而反剧。上闻。命予治之。脉得六至。
数日不得大便。渴饮 乳。予思之。北地高寒。腠理致密。少有病伤寒者。然北地此时乍寒乍热。
因此触冒寒邪。失于解利。因转属阳明证。胃实谵语。又食羊肉以助其热。两热相合。是谓重阳则
狂。阳胜宜下。急以大承气汤一两半。加黄连二钱。水煎服之。是夜下利数行燥屎二十余块。得汗
而解。翌日再往视之。身凉脉静。众人皆喜曰。罗谦甫医可风魔的也。由此见用。伤寒非杂病之比
。六经不同。传变各异。诊之而疑。不知病源。立相侮嫉。呜
呼。嗜利贪名。耻于学问。此病何日而愈耶。
两省参议官常德甫至元申戌三月间。赴大都。路感伤寒证。勉强至真定。馆于常参谋家。迁延
数日。病不瘥。总府李经历并马录事来求治。予往视之。诊得两手六脉沉数。外证却身凉。四肢
厥逆。发斑微紫。见于皮肤。唇及齿龈破裂无色。咽干声嗄。默默欲眠。目不能闭。精神郁冒。反
侧不安。此证乃热深厥亦深。变成狐惑。其证最急。询之从者。乃曰。自内丘县感冒头痛。身体拘
急。发热恶寒。医以百解散发之。汗出浃背。殊不解。每经郡邑。治法一同。发汗极多。遂至如
此。予详其说。兼以平昔膏粱积热于内。已燥津液。又兼发汗过多。津液重竭因转属阳明。故大
便难也。急以大承气下之。得更衣。再用黄连解毒汤。病减大半。复与黄连犀角汤。数日而安。自
此德甫交情愈浓也。
【三黄丸】治疗三焦热证。
黄连、黄芩、大黄（各等分）
将上述药物研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸，用温开水送服。
【黄连解毒汤】治疗大热且极度烦躁，胡言乱语，无法入睡。
黄连（七钱半）、黄柏、栀子（各半两）、黄芩（一两）
将以上四味药切碎成散剂。每次服用五钱，加水一盏半，煎煮至一盏，滤去药渣，趁热服用。若未见效，可再次服用。○海藏（张元素的学生李东垣的别号或相关医家，此处指代某位医家观点）加入防风、连翘，称为金花丸，治疗风热；加入柴胡，治疗小儿潮热；与四物汤合用称为各半汤，治疗妇人潮热。
甲寅年四月初，我跟随斡耳朵行至界河时停留住宿。丑兀闽患病五到七天，出现发狂混乱，脱掉衣服奔跑，呼叫时不避亲疏，手里拿着乳汁给别人喝。当时人们都说他得了风魔病（精神失常），巫师祈祷也不见好转反而病情加重。上级得知后，命令我治疗。诊得脉象六至（一息六至，属数脉），多日不大便，口渴想喝乳汁。我思考道：北方高地寒冷，腠理致密，少有患伤寒的人。然而此时北方乍寒乍热，因此触冒寒邪，未能及时解表透邪，因而转属阳明证。胃实导致谵语，又吃了羊肉助长内热，两热相合，这就叫“重阳则狂”（阳气过盛导致狂症）。阳胜宜用下法，急忙用大承气汤一两半，加黄连二钱，水煎服。当晚腹泻数次，排出二十多块燥屎，出汗后病愈。第二天再去探望，身体凉爽，脉搏平静，众人都高兴地说：“罗谦甫医生真能治风魔病啊。”由此被重用。由此可见，伤寒病不同于杂病，六经传变不同，变化各异。诊断时若有疑惑，不知病源，就会立刻遭到嫉妒和诽谤。唉！那些贪图名利、以学问为耻的人，这种病何时才能痊愈呢？
两省参议官常德甫在至元申戌三月间，前往大都。途中感染伤寒证，勉强走到真定，住在常参谋家。拖延数日，病未好转。总管府的李经历和马录事来求治。我去诊治，诊得两手六脉沉数，外证却表现为身体凉爽，四肢厥冷，皮肤出现微紫色的斑疹，嘴唇和牙龈破裂无血色，咽喉干燥声音嘶哑，沉默想睡但眼睛不能闭合，精神抑郁昏蒙，翻来覆去不安稳。此证乃是热深厥亦深（体内热邪越深，四肢厥冷越严重），演变成狐惑病（一种以口腔、生殖器溃疡及眼部症状为特征的疾病，此处指湿热毒邪内蕴所致的神志异常），病情最危急。询问随从，回答说：“从内丘县开始感冒头痛，身体拘急，发热恶寒。医生用百解散发汗，汗出湿透背部，但病仍未解。每经过一个郡县，治疗方法都一样，发汗极多，于是到了这种地步。”我详细分析他的说法，加上他平时膏粱厚味积热于内，已经耗伤津液，又兼发汗过多，津液再次枯竭，因而转属阳明证，所以大便困难。急忙用大承气汤攻下，更换衣物后，再用黄连解毒汤，病势减轻大半。随后给予黄连犀角汤，数日后安定。从此德甫与我交情更加深厚。
[Sanhuang Wan (Three-Yellow Pill)] Treats heat in the Sanjiao (Triple Burner).
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Rhei Radix et Rhizoma (Dahuang) (equal parts).
Grind the above into powder. Make pills with refined honey, size of Cerasi Fructus (Wutongzi). Take 30 pills each time, swallow with warm water.
[Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity)] Treats severe heat with extreme restlessness, delirious speech, and insomnia.
Coptidis Rhizoma (Huanglian) (7 qian 1/2), Phellodendri Cortex (Huangbai), Gardeniae Fructus (Zhizi) (each 0.5 liang), Scutellariae Radix (Huangqin) (1 liang).
Finely chop the four herbs into a coarse powder. Take 5 qian per dose, add 1.5 sheng of water, decoct to 1 sheng, remove dregs, and take hot. If not effective, take again. ○ Haicang added Saposhnikoviae Radix (Fangfeng) and Forsythiae Fructus (Lianqiao), named Jinhua Wan (Golden Flower Pill), for wind-heat; added Bupleuri Radix (Chaihu), for tidal fever in children; combined with Siwu Tang (Four-Substance Decoction) as Banban Tang (Half-Half Decoction), for tidal fever in women.
In the early days of the fourth month of the Jiayin year, I followed Wo'erduo to stay at Jiehe River. Chou Wumin fell ill for five to seven days, became manic and chaotic, stripped off his clothes and ran, shouting without distinguishing between relatives and strangers, holding milk and offering it to others. People at the time said he had "wind madness" (mental disorder). The shaman's prayers did not cure him but made it worse. The superior heard of this and ordered me to treat him. The pulse was six beats per respiration (rapid pulse), no bowel movement for several days, thirst craving milk. I reasoned: The northern lands are high and cold, with dense interstices (couli), so few people suffer from Shanghan (Cold Damage). However, at this time in the north, it is alternately cold and hot. Thus, he caught cold pathogens, failed to resolve them properly, and the condition transferred to the Yangming syndrome. Stomach excess led to delirium, and eating mutton aggravated the heat. The combination of two heats is called "excess yang leads to mania." When yang is excessive, purgation is indicated. I urgently prescribed Dachengqi Tang (Major Order the Qi Decoction) 1.5 liang, plus Coptidis Rhizoma (Huanglian) 2 qian, decocted in water and administered. That night, he had several bowel movements, passing more than twenty pieces of dry feces, and recovered after sweating. The next day, I visited again; his body was cool, pulse calm. Everyone rejoiced, saying, "Physician Luo Qianfu can indeed cure wind madness!" From this, he was heavily utilized. This shows that Shanghan differs from miscellaneous diseases; the Six Channels have different transmission patterns and variations. If one doubts during diagnosis and does not know the source of the disease, one will immediately face jealousy and slander. Alas! Those who covet profit and fame, and are ashamed of learning, when will such illnesses be cured?
Can Deifu, Counselor of Two Provinces, traveled to Dadu in March of the Shenxu year of Zhiyuan. He contracted Shanghan on the way, barely reaching Zhending, and stayed at Counselor Chang's residence. After several days of delay, the illness did not improve. Li Jingli and Ma Lushi of the General Office came to seek treatment. I went to examine him. The pulse in both hands was deep and rapid. Externally, however, his body was cool, limbs were cold (Jue), faint purple macules appeared on the skin, lips and gums were cracked and colorless, throat was dry, voice hoarse, he was silent and wanted to sleep but could not close his eyes, spirit was depressed and confused, tossing and turning uneasily. This syndrome is "the deeper the heat, the deeper the cold extremities," evolving into Huhuo syndrome (a condition characterized by internal heat-toxin causing mental confusion and mucosal lesions), which is most critical. Asking the attendants, they replied: "He started with headache, stiff body, fever, and aversion to cold after catching a cold in Neiqiu County. The doctor used Baijie San (Hundred-Resolution Powder) to induce sweating. Sweat soaked his back, yet the illness did not resolve. At every commandery we passed, the treatment was the same, inducing excessive sweating, leading to this state." I analyzed his account carefully. Additionally, he usually had accumulated heat from rich food inside, which had already dried up his fluids. Combined with excessive sweating, fluids were depleted again, transferring to the Yangming syndrome, hence the difficulty in defecation. I urgently used Dachengqi Tang to purge. After changing clothes, I administered Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) again, and the illness reduced by more than half. Then I gave Huanglian Xijiao Tang (Coptis and Rhinoceros Horn Decoction), and he stabilized after several days. From then on, Deifu's friendship with me grew stronger.