朱某疫疠秽邪。从口鼻吸受。分布三焦。弥漫神识。不是风寒客邪。亦非停
滞里症。故发散消导。即犯劫津之戒。与伤寒六经。大不相同。今喉痛丹疹。舌如
朱。神躁暮昏。上受秽邪。逆走膻中。当清血络以防结闭。然必大用解毒。以驱其
秽。必九日外不致昏愦。冀其邪去正复。
犀角 连翘 生地 玄参 菖薄 郁金 银花 金汁
暴寒骤加。伏热更炽。邪郁则气血壅遏。痧疹不肯外达。痰气交阻。神迷喘
促。渐入心胞络中。有内闭外脱之忧。热注下迫。自利粘腻不爽。法当开其结闭。
消毒解其膻中之壅。必得神清。方保无变。
连翘心 飞滑石 石菖蒲 炒金银花 射干 通草 煎化牛黄丸
舌边赤。昏谵。早轻夜重。斑疹隐现。是温湿已入血络。夫心主血。邪干膻中。
渐至结闭为昏痉之危。苦味沉寒。竟入中焦。消导辛温。徒劫胃汁。皆温邪大禁。
议清疏血分。轻剂以透斑。更参入芳香。逐秽以开内窍。近代喻嘉言申明。戒律宜遵也。
犀角 玄参 连翘 银花 石菖蒲 金汁 牛黄丸
发瘰热肿。独现正面。每遇九十月大发。五六月渐愈。七八年如是。因思夏
令阳气宣越。营卫流行无间。秋令气凛外薄。气血凝滞。此湿热漫无发泄。乃少
阳木火之郁。及阳明蕴蒸之湿。故上焦尤甚耳。法以辛凉。佐以苦寒。俾阳分郁
热得疏。庶几发作势缓。
夏枯草 鲜菊叶 苦丁茶 鲜荷叶边 羚羊角 黑桅皮 郁金 苡仁
患者朱某感染了疫疠秽邪（瘟疫中的污浊邪气）。邪气从口鼻吸入，分布在三焦（上、中、下三焦），弥漫并蒙蔽神识（精神意识）。这并非风寒外感之邪，也不是体内停滞的里实证。因此，若使用发散表邪或消食导滞的方法，就会触犯劫夺津液的禁忌。这与伤寒病的六经辨证体系大不相同。目前患者咽喉疼痛，出现丹疹（红色斑丘疹），舌头颜色如朱砂般红赤，神志烦躁，傍晚时分出现昏沉。这是上受秽邪，逆乱走窜至膻中（心包所在部位）。应当清解血络以防邪气结闭。然而必须大剂量使用解毒药物，以驱除秽浊之气。预计九日之后不会陷入深度昏迷，希望邪气去除后正气得以恢复。
突发寒邪骤加，导致伏热更加炽盛。邪气郁结则气血壅塞遏阻，痧疹不能向外透发。痰气相互交阻，导致神志迷蒙、气喘急促。病情逐渐深入心包络，有内闭外脱（内部邪气闭塞，外部正气虚脱）的危险。热邪下注迫急，导致自发性腹泻，排泄物粘腻不爽。治法应当开通结闭，消毒解其膻中部位的壅滞。必须等到神志清醒，才能保全不发生变证。
舌边红赤，神志昏乱谵语，早晨症状轻，晚上加重，斑疹隐约显现。这是温湿邪气已侵入血络。因为心主血，邪气干扰膻中，逐渐导致结闭，出现昏厥和痉厥的危险。苦味沉降寒凉的药物直接入中焦，辛温的消导药只会徒然劫夺胃中津液，这些都是治疗温邪的大忌。建议清疏血分，用轻剂来透发斑疹。更应参入芳香类药物，驱逐秽浊以开通内部窍道。近代医家喻嘉言明确申明的戒律，应当遵守。
颈部淋巴结肿大发热肿胀，仅出现在面部正面。每年九月十月发作严重，五六月逐渐痊愈，持续七八年如此。想到夏季阳气宣散越出，营卫运行无间；秋季气候凛冽外薄，气血凝滞。这种湿热漫无发泄，是少阳木火之气的郁结，以及阳明蕴蒸的湿气所致，所以上焦尤为严重。治法以辛凉为主，佐以苦寒，使阳分的郁热得以疏解，这样发作的势头或许能减缓。
Patient Zhu contracted epidemic pestilence turbid pathogens (turbid pathogens within epidemics). The pathogens were inhaled through the mouth and nose, distributed throughout the Sanjiao (Triple Burner), and diffused to cloud the Shen (Spirit/Mental Consciousness). This is not an external pathogen of Wind-Cold, nor is it a retention syndrome in the interior. Therefore, using methods to disperse the exterior or promote digestion would violate the prohibition against depleting Body Fluids. It differs significantly from the Six Meridian differentiation of Cold Damage diseases. Currently, the patient has sore throat, Dan Zhen (erythematous papules), a tongue red like cinnabar, restlessness of spirit, and evening drowsiness. This indicates that upper-accepted turbid pathogens have reversed course and moved into the Shanzhong (Pericardium region). One should clear the Blood collaterals to prevent obstruction and closure. However, large doses of detoxifying herbs must be used to drive out the turbidity. It is hoped that after nine days, deep coma will be avoided, anticipating that once the pathogen is expelled, the Healthy Qi will recover.
Shuixi (Rhinoceros Horn), Lianqiao (Forsythia Fruit), Shengdi (Rehmannia Root), Xuanshen (Scrophularia Root), Shichangpu (Acorus Rhizome) with Bohe (Mint), Yujin (Curcuma Tuber), Yinhua (Honeysuckle Flower), Jinzhi (Human Feces Decoction).
Sudden cold attacks exacerbate latent heat, making it more intense. Pathogen stagnation causes Qi and Blood congestion and obstruction, preventing Sha Zhen (scarlet rash) from reaching the exterior. Phlegm and Qi obstruct each other, leading to mental confusion, panting, and shortness of breath. The condition gradually enters the Pericardium Collateral, raising the concern of internal closure and external collapse. Heat pouring downward forces spontaneous diarrhea with sticky, unsmooth discharge. The treatment method should open the obstruction and detoxify to relieve the congestion in the Shanzhong. Only when the spirit becomes clear can one ensure no further complications.
Lianqiao Xin (Forsythia Heart), Fei Huashi (Prepared Talcum Powder), Shichangpu (Acorus Rhizome), Chao Jinyinhua (Stir-fried Honeysuckle Flower), Shegan (Belamcanda Rhizome), Tongcao (Tetrapanax Pith), decocted with Niuhuang Wan (Calculus Bovis Pill).
The edges of the tongue are red; there is mental confusion and delirious speech, with symptoms lighter in the morning and heavier at night. Maculae and rashes appear intermittently. This indicates that Warm-Damp pathogens have entered the Blood collaterals. Since the Heart governs Blood, and pathogens interfere with the Shanzhong, gradual obstruction leads to the danger of coma and convulsions. Bitter, sinking, and cold herbs entering the Middle Jiao directly, and pungent-warm digestive herbs merely depleting Stomach fluids, are all major taboos in treating Warm pathogens. It is proposed to clear and diffuse the Blood level, using light agents to vent the maculae. Aromatic herbs should be added to expel turbidity and open the internal orifices. The prohibitions clearly stated by the modern physician Yu Jiayan should be observed.
Shuixi (Rhinoceros Horn), Xuanshen (Scrophularia Root), Lianqiao (Forsythia Fruit), Yinhua (Honeysuckle Flower), Shichangpu (Acorus Rhizome), Jinzhi (Human Feces Decoction), Niuhuang Wan (Calculus Bovis Pill).
Neck lymph nodes swell with heat, appearing only on the front of the face. It worsens significantly in September and October, and improves in May and June, persisting for seven or eight years. Considering that in summer, Yang Qi disperses and spreads, allowing Ying (Nutritive) and Wei (Defensive) Qi to flow without interruption; whereas in autumn, the climate becomes cold and thin, causing Qi and Blood to stagnate. This damp-heat, lacking release, results from the stagnation of Shaoyang Wood-Fire and the steaming dampness of Yangming. Thus, the Upper Jiao is particularly severe. The treatment method uses pungent-cool herbs as the mainstay, assisted by bitter-cold herbs, so that the stagnant heat in the Yang level can be dispersed, hopefully slowing the intensity of the episodes.
Xiakucao (Prunella Spike), Xian Juye (Fresh Chrysanthemum Leaf), Kudingcha (Kuding Tea), Xian Heyebian (Fresh Lotus Leaf Margin), Lingyangjiao (Antelope Horn), Hei Zhupi (Black Gardenia Bark), Yujin (Curcuma Tuber), Yiren (Coix Seed).