上九味捣筛，蜜和为丸，初得时气三日内，平旦饮服，每服一丸，丸如梧子大，如人行
十里久，或吐、或利、或汗。如不吐及不利、不汗，更服一丸，五里久，不吐利汗，则以热
饮投之。老小以意量减。黄病、痰 、时气、伤寒、 疟、小儿惊热欲发痫，服之无不瘥者
，疗瘴特神验。有人患赤白痢者，服之亦瘥。春初有宿热，依上法服之，取吐利，当年不忧
热病。忌苋菜、芦笋、野猪肉、生葱、生菜。（出第二卷中，《千金》同）
张文仲疗天行，若已五六日不解，头痛壮热，四肢烦疼，不得饮食。大黄汤方。
大黄（半两） 黄连（半两去毛） 黄柏（半两） 栀子（半两擘）
上四味，切，以水八升，煮取六七沸，纳豉一升，葱白七茎，煮取三升，分三服。此许
推然方，神良。又疗伤寒已五六日，头痛壮热，四肢烦疼，取汗并宜老小。忌猪肉、冷水。
（《短剧》、《备急》同）
又支太医桃叶汤熏身法
水一石，煮桃叶，取七斗，以荐席自围，衣被盖上，安桃汤于床箦下，取热自熏，停少
时当雨汗。汗遍去汤，待歇速粉之，并灸大椎则愈。
又廪丘蒸法
经云，连发汗，汗不出者死，可蒸之，如中风法。后以问张苗，苗云，曾有人疲极汗出
，卧单簟中冷，但苦寒蜷，四日凡八过发汗，汗不出，苗烧地排叶蒸之，则得大汗，被中敷
粉极燥便瘥。后用此法发汗得出疗之。（《备急方》同）
又疗天行热毒垂死。破棺千金汤方。
苦参（一两）
上一味 咀，以酒二升半，旧方用苦酒煮取半升，去滓，并服，当吐如烊胶便愈，神验
。（《肘后》同，《延年》治天行四五日，结胸满痛，壮热身痛。出第二卷中）
《延年秘录》疗天行，头痛壮热一二日。水解散方。
麻黄（四两去节） 大黄（三两） 黄芩（三两） 桂心（二两） 甘草（二两炙） 芍
药（二两）
上六味，捣筛为散，患者以生熟汤浴讫，以暖水和服方寸匕。覆取汗，或利则便瘥。丁
强人服二方寸匕。忌海藻、生葱、菘菜、生菜。（《古今录验》同，《千金》无黄芩、芍药）
又栀子汤 主天行一二日，头痛壮热，心中热者方。
栀子（三两） 黄芩（三两） 豉（一升熬，绵裹） 葱白（切一升） 石膏（四两碎，
绵裹） 干葛（四两切）
上六味，切，以水七升，煮取二升六合，去滓，分温三服，如人行八九里，再服。忌面、
酒、生冷等物。
又解肌汤 主天行病二三日，头痛壮热者方。
干葛（四两） 麻黄（三两去节） 芍药（二两） 黄芩（二两） 甘草（一两炙） 大
枣（十二
枚擘） 桂心（一两）
上七味，切，以水八升，煮取二升半，去滓，分三服，得汗愈。忌海藻、菘菜、生葱等。
（蒋孝璋处）
又疗欲似天行四五日，热歇后，时来时往，恶寒微热，不能食者。知母汤方。
知母（二两） 枳实（三两炙） 栀子仁（三两） 豉（一升熬，别裹）
上四味，切，以水六升，煮取二升半，去滓，分温三服，如人行八里一服。忌蒜、面。
又疗天行五日，头痛壮热，食则呕者。竹茹饮方。
竹茹（二两） 生姜（三两） 黄芩（二两） 栀子仁（二两）
上四味，切，以水五升，煮取一升六合，去滓，分温三服。忌蒜、热面等五日。
又疗天行五六日，头痛，骨节疼痛，腰痛兼痢。黄芩汤方。
黄芩（三两） 栀子仁（三两） 芍药（三两） 豉（一升绵裹）
上四味，水六升，煮取二升半，去滓，分三服。忌物依前。
又柴胡汤 天行五六日壮热，骨烦疼，兼两胁，连心肋下，气胀急硬，痛不能食，恐变
发黄者方。
柴胡（三两） 枳实（三两炙） 栝蒌（三两） 黄芩（三两） 栀子仁（三两） 茵
陈（三两）
龙胆（二两） 大黄（三两切）
上八味，切，以水九升，煮取二升七合，去滓，分温三服。忌热面、蒜。（并出第九卷
中）
又竹茹饮 主痢后得天行病，头痛三四日，食即呕吐者方。
竹茹（二两） 橘皮（二两） 生姜（四两） 人参（二两） 芦根（切一升） 粳米
（一合）
上六味，切，以水六升，煮取二升五合，去滓。分温五六服，中间任食。忌热面、生冷
。（张文仲处）
又疗天行热病七八日成黄，面目身体悉黄，心满喘气粗气急者。茵陈丸方。
茵陈（三两） 大黄（五两） 栀子仁（二两） 黄芩（二两） 鳖甲（二两炙） 常
山（二两）
芒硝（二两） 巴豆（一两去皮、心，熬） 升麻（二两） 豉（三合熬）
上十味捣筛，以蜜和为丸，如梧子大。患者饮服三丸，以得吐利则瘥。忌苋菜、生葱、
生菜、野猪肉、芦笋。（出第十卷中）
《救急》疗天行热气头痛，骨肉酸疼，壮热等疾，若初病一日在毛发，二日在皮肤，三
日在肌肉，必未得取利，旦宜进豉尿汤方。
豉（一升） 葱白（切一升） 小便（三升童子者为佳）
上三味，先熬豉及葱白，令相得，则投小便，煮取一升，澄清，及热顿服，或汗或利，
但瘥则得。如未歇，依前更进一剂，频用有效。
又如不除，进柴胡汤方。
麻黄（二两陈者，去节） 柴胡（三两） 黄芩（三两） 甘草（二两炙） 干葛（二
两） 石膏
（五两碎，绵裹） 葱白根（切一升勿令有青处，青即热，白即冷。一作桑根皮） 豉（七
合绵
裹，
上八味，切，以水九升，宿渍药，明旦先煮麻黄令沸，掠去上沫，然后并诸药煮取一升
七合，分三服，服别相去三食顷，良久覆取汗，汗出以粉拭之。恶寒多，加桂心一两。忌海
藻、菘菜等。
又疗天行病不即瘥，经四五日，渴引饮，心上急强，手不得近，又不得眠，慌乱，此则
是黄，不必得待刺黄始服药，凡是心强气急，不得眠卧，服此汤吐即瘥。瓜蒂散方。
瓜蒂（仅量一合熬令似黄，勿令焦） 小豆（一合小弱量通按∶小弱量者，量人之强弱
而
增减也）
上二味，捣筛为散，凡有病如前候，及天行病得四五日不歇，皆宜服此方，以浆饮五合
，和散一钱匕，服之二，食久必吐，不吐更与半钱匕服，吐毕即瘥。中男以上，量意斟酌服
之。
又天行病若大困，患人舌燥如锯，极渴不能服药者。宜服干粪汤，一名破棺汤，解大热
方。
陈久干人粪（一大升）
上一味，以沸汤一大升，沃此粪一食久，澄清，沥取一升，顿服。如渴不止者，又依
前法更服。此宜灸，从心厌骨向下一寸半，名巨阙，取患人中指节为寸，灸三十壮。若无心
厌骨，则以中指节前量，横括心上，至歧骨上，两头筑着骨，当横量下，以前一寸当中直下
，则是巨阙也。（士弱氏曰∶同身寸以心鸠尾下至脐折算）
《必效》疗天行一二日者方。
麻黄（一大两去节）
上一味，以水四升，煮去沫，取二升，去滓，则着米一匙及豉为稀粥，取强一升，先作
生熟汤浴，淋头百余碗，然后服前粥，则浓覆取汗，于夜最佳。
又疗天行病经七日以上，热势弥固，大便涩秘，心腹痞满，食饮不下，精神昏乱恍惚，
狂言浪语，脉沉细，众状之中，一无可救。宜决计服此鳖甲汤方。
鳖甲（二两炙） 细辛（二两） 桂心（二两） 白术（二两） 生姜（四两） 吴茱
萸（一两）
白藓皮（二两） 附子（一两半炮） 枳实（二两炙） 茵陈（二两） 大黄（三两切）
上十一味，切，以水八升，煮取二升六合，去滓，分三服，服别相去如人行五里进一服
。忌生葱、生菜、苋菜、猪肉、桃、李、雀肉等。
又疗天行十日以上，腹微满，谵语，或汗出而不恶寒，体重短气，腹满而喘，不大便，
绕脐痛，大便乍难乍易，或见鬼者。大承气汤方。
大黄（四两） 浓朴（半斤炙） 陈枳实（五枚炙） 芒硝（三合）
上四味，切，先以水一斗，煮二味取五升，去滓，纳大黄，复煮取二升，去滓，纳芒硝
，煎令三两沸，适寒温，分再服，得下者止，不下更服之。（并出第三卷中，此张仲景《伤
寒论》方）
《古今录验》八毒大黄丸 疗天行病三四日，身热目赤，四肢不举，产乳后伤寒，舌黄
白，狂言妄语；亦疗温病已后，飞尸遁尸，心腹痛，膈上下不通，癖饮积聚，痈肿苦痛，温
中摩痛上诸毒病方。
藜芦（二分炙） 大黄（三分） 朱砂（五分） 蜀椒（四分） 雄黄（四分研） 巴
豆（四分去
皮，熬） 桂心（四分）
上七味，捣筛，蜜和为丸，如麻子大。饮服三丸，当下，不瘥更服。合时勿令妇人、鸡
、犬见之。忌生葱、野猪肉、芦笋、狸肉、生血物。
又牵马丸 疗天行病四五日，下部生疮，医所不能疗者方。
附子（一枚炮） 藜芦（一两炙） 桂心（一两） 巴豆（一两去心、皮，熬）
上四味，捣筛，研巴豆如膏，和散蜜丸，如梧桐子。空腹服二丸。热在膈上不下，饮半
升热饮，投，吐之后下，下部疮自瘥，神良。病家尝牵马买药，因名牵马丸，老小半之，以
意消息之。忌野猪肉、生葱、狸肉、芦笋等物。
又疗若六七日热盛心烦，狂言见鬼者方。
绞人粪汁，饮数合，服良。（出第三卷中）
《近效》疗天行三日外，若忽觉心上妨满坚硬，脚手心热，则变为黄，不疗杀人。秦艽
汤方。
秦艽（一两） 紫草（一两） 白藓皮（一两） 黄芩（一两） 栀子（一两）
上五味，切，以水一大升半，牛乳一大升，煮取七合，分为二服，老小以意量之，一剂
不愈，更吃一剂，试有效。
将上述九味药捣碎过筛，用蜂蜜调和制成丸剂。在刚感染时气病三天内，于清晨空腹服用，每次服一丸，丸药大小如梧桐子。服药后约行走十里路的时间，会出现呕吐、腹泻或出汗的症状。如果既没有呕吐也没有腹泻和出汗，再服一丸，约行走五里路的时间，若仍无吐、泻、汗出，则用热饮送服。老人和儿童根据情况酌情减量。黄疸病、痰饮、时气病、伤寒、疟疾、小儿惊热欲发癫痫者，服用此药无不痊愈的，治疗瘴气特别神验有效。有人患赤白痢疾，服用此药也痊愈了。初春有宿热者，依照上述方法服用，取吐利之效，当年就不会担忧热病。忌食苋菜、芦笋、野猪肉、生葱、生菜。（出自第二卷中，《千金方》相同）
张文仲治疗天行病，如果已经五六天病情未解，出现头痛、高热、四肢烦痛、无法进食的症状。大黄汤方。
大黄（半两） 黄连（半两，去毛） 黄柏（半两） 栀子（半两，掰开）
以上四味药，切碎，用水八升，煮至六七沸，加入豆豉一升、葱白七茎，煮取三升，分三次服用。这是许推然的方子，非常神良。又用于治疗伤寒已五六天，头痛壮热，四肢烦痛，取汗法同样适用于老幼。忌食猪肉、冷水。（《短剧方》、《备急方》相同）
又，支太医桃叶汤熏身法
用水一石，煮桃叶，取汁七斗，用席子围住身体，盖上衣被，将桃叶汤放在床席下，利用热气自熏，停一会儿应当如雨般出汗。汗遍全身后去掉汤药，待休息后迅速扑粉，并灸大椎穴即可痊愈。
又，廪丘蒸法
经书说，连续发汗而汗不出者会死，可以用蒸法，如同中风的治疗方法。后来问张苗，张苗说，曾有人极度疲劳出汗，躺在竹席上受凉，只感到寒冷蜷缩，四天共发了八次汗，但汗不出，张苗烧地铺叶进行蒸疗，结果大汗淋漓，在被褥中敷粉极干燥便痊愈了。后用此法发汗得出疗效。（《备急方》相同）
又，治疗天行热毒垂危。破棺千金汤方。
苦参（一两）
以上一味药，切碎，用酒二升半，旧方用苦酒（醋）煮取半升，去渣，一次性服下，当吐出像溶化的胶状物即愈，神验。（与《肘后备急方》相同，《延年方》治天行病四五日，结胸满痛，壮热身痛。出自第二卷中）
《延年秘录》治疗天行病，头痛壮热一二日。水解散方。
麻黄（四两，去节） 大黄（三两） 黄芩（三两） 桂心（二两） 甘草（二两，炙） 芍药（二两）
以上六味药，捣碎过筛为散剂，患者用生水和熟水洗澡后，用温水调服一方寸匕的药散。盖被取汗，或者腹泻则病愈。身体强壮的人服两方寸匕。忌海藻、生葱、菘菜（白菜）、生菜。（《古今录验方》相同，《千金方》无黄芩、芍药）
又，栀子汤 主治天行病一二日，头痛壮热，心中烦热者方。
栀子（三两） 黄芩（三两） 豆豉（一升，熬，用绵布包裹） 葱白（切一升） 石膏（四两，碎，用绵布包裹） 干葛（四两，切）
以上六味药，切碎，用水七升，煮取二升六合，去渣，分温三次服用，约行走八九里路的时间，再服一次。忌面食、酒、生冷等物。
又，解肌汤 主治天行病二三日，头痛壮热者方。
干葛（四两） 麻黄（三两，去节） 芍药（二两） 黄芩（二两） 甘草（一两，炙） 大枣（十二枚，掰开） 桂心（一两）
以上七味药，切碎，用水八升，煮取二升半，去渣，分三次服用，得汗即愈。忌海藻、菘菜、生葱等。（蒋孝璋处提供）
又，治疗似天行病四五日，热退后，时来时往，恶寒微热，不能进食者。知母汤方。
知母（二两） 枳实（三两，炙） 栀子仁（三两） 豆豉（一升，熬，另包）
以上四味药，切碎，用水六升，煮取二升半，去渣，分温三次服用，约行走八里路服一次。忌蒜、面。
又，治疗天行病五日，头痛壮热，进食则呕吐者。竹茹饮方。
竹茹（二两） 生姜（三两） 黄芩（二两） 栀子仁（二两）
以上四味药，切碎，用水五升，煮取一升六合，去渣，分温三次服用。忌蒜、热面等五日。
又，治疗天行病五六日，头痛，骨节疼痛，腰痛兼腹泻者。黄芩汤方。
黄芩（三两） 栀子仁（三两） 芍药（三两） 豆豉（一升，绵布包裹）
以上四味药，用水六升，煮取二升半，去渣，分三次服用。忌食同前。
又，柴胡汤 治疗天行病五六日壮热，骨节烦疼，兼两胁连心肋下，气胀急硬，痛不能食，恐变为发黄者方。
柴胡（三两） 枳实（三两，炙） 栝蒌（三两） 黄芩（三两） 栀子仁（三两） 茵陈（三两）
龙胆（二两） 大黄（三两，切）
以上八味药，切碎，用水九升，煮取二升七合，去渣，分温三次服用。忌热面、蒜。（均出自第九卷中）
又，竹茹饮 主治痢疾后得天行病，头痛三四日，进食即呕吐者方。
竹茹（二两） 橘皮（二两） 生姜（四两） 人参（二两） 芦根（切一升） 粳米（一合）
以上六味药，切碎，用水六升，煮取二升五合，去渣。分温五六次服用，中间可随意进食。忌热面、生冷。（张文仲处提供）
又，治疗天行热病七八日成黄疸，面目身体悉黄，心满喘气粗气急者。茵陈丸方。
茵陈（三两） 大黄（五两） 栀子仁（二两） 黄芩（二两） 鳖甲（二两，炙） 常山（二两）
芒硝（二两） 巴豆（一两，去皮、心，熬） 升麻（二两） 豆豉（三合，熬）
以上十味药捣碎过筛，用蜂蜜调和制成丸剂，大小如梧桐子。患者饮水送服三丸，以得吐利则痊愈。忌苋菜、生葱、生菜、野猪肉、芦笋。（出自第十卷中）
《救急方》治疗天行热气头痛，骨肉酸疼，壮热等疾，若初病一日在毛发，二日在皮肤，三日在肌肉，必未得取利，早晨宜进服豉尿汤方。
豆豉（一升） 葱白（切一升） 小便（三升，童子者为佳）
以上三味药，先熬豆豉及葱白，令其相融，则投入小便，煮取一升，澄清，趁热顿服，或汗出或腹泻，只要病愈即可。如果未止，依前法再进一剂，频用有效。
又如病不除，进服柴胡汤方。
麻黄（二两，陈者，去节） 柴胡（三两） 黄芩（三两） 甘草（二两，炙） 干葛（二两） 石膏（五两，碎，绵布包裹） 葱白根（切一升，勿令有青处，青则热，白则冷。一作桑根皮） 豆豉（七合，绵布包裹）
以上八味药，切碎，用水九升，隔夜浸泡药物，次日早晨先煮麻黄令沸，撇去上浮泡沫，然后加入诸药煮取一升七合，分三次服用，每次间隔约吃一顿饭的时间，良久盖被取汗，汗出后用粉擦拭。恶寒多者，加桂心一两。忌海藻、菘菜等。
又，治疗天行病不及时痊愈，经过四五日，口渴引饮，心上急强，手不得近，又不得眠，慌乱，这即是黄疸，不必等到刺血疗法才开始服药，凡是心强气急，不得眠卧，服此汤吐后即愈。瓜蒂散方。
瓜蒂（仅量一合，熬令似黄色，勿令焦） 小豆（一合，小弱量：通按∶小弱量者，量人之强弱而增减也）
以上二味药，捣碎过筛为散剂，凡有病如前述症状，及天行病得四五日不歇，皆宜服此方，用浆水五合，和散一钱匕，服两次，食久必吐，不吐再给半钱匕服用，吐毕即愈。男童以上，酌情斟酌服用。
又，天行病若极度困倦，患者舌燥如锯，极渴不能服药者。宜服干粪汤，一名破棺汤，解大热方。
陈久干人粪（一大升）
以上一味药，用沸汤一大升，浇灌此粪一顿饭的时间，澄清，沥取一升，顿服。如果口渴不止者，又依前法再服。此症宜灸，从心厌骨向下一寸半，名巨阙穴，取患人中指节为寸，灸三十壮。若无心厌骨，则以中指节前量，横括心上，至歧骨上，两头筑着骨，当横量下，以前一寸当中直下，则是巨阙穴。（士弱氏曰∶同身寸以心鸠尾下至脐折算）
《必效方》治疗天行病一二日者方。
麻黄（一大两，去节）
以上一味药，用水四升，煮去沫，取二升，去渣，则着米一匙及豆豉煮为稀粥，取浓汁一升，先作生熟汤浴，淋头百余碗，然后服前粥，则浓覆取汗，于夜最佳。
又，治疗天行病经七日以上，热势弥固，大便涩秘，心腹痞满，食饮不下，精神昏乱恍惚，狂言浪语，脉沉细，众状之中，一无可救。宜决计服此鳖甲汤方。
鳖甲（二两，炙） 细辛（二两） 桂心（二两） 白术（二两） 生姜（四两） 吴茱萸（一两）
白藓皮（二两） 附子（一两半，炮） 枳实（二两，炙） 茵陈（二两） 大黄（三两，切）
以上十一味药，切碎，用水八升，煮取二升六合，去渣，分三次服用，每次间隔约行走五里路进服一次。忌生葱、生菜、苋菜、猪肉、桃、李、雀肉等。
又，治疗天行十日以上，腹微满，谵语，或汗出而不恶寒，体重短气，腹满而喘，不大便，绕脐痛，大便乍难乍易，或见鬼者。大承气汤方。
大黄（四两） 浓朴（半斤，炙） 陈枳实（五枚，炙） 芒硝（三合）
以上四味药，切碎，先用水一斗，煮二味取五升，去渣，纳大黄，复煮取二升，去渣，纳芒硝，煎令三两沸，适寒温，分两次服用，得下者止，不下更服之。（均出自第三卷中，此张仲景《伤寒论》方）
《古今录验方》八毒大黄丸 治疗天行病三四日，身热目赤，四肢不举，产乳后伤寒，舌黄白，狂言妄语；亦疗温病已后，飞尸遁尸，心腹痛，膈上下不通，癖饮积聚，痈肿苦痛，温中摩痛上诸毒病方。
藜芦（二分，炙） 大黄（三分） 朱砂（五分） 蜀椒（四分） 雄黄（四分，研） 巴豆（四分，去皮，熬） 桂心（四分）
以上七味药，捣碎过筛，蜜和为丸，如麻子大。饮水送服三丸，当下，不愈更服。合药时勿令妇人、鸡、犬见之。忌生葱、野猪肉、芦笋、狸肉、生血物。
又，牵马丸 治疗天行病四五日，下部生疮，医所不能疗者方。
附子（一枚，炮） 藜芦（一两，炙） 桂心（一两） 巴豆（一两，去心、皮，熬）
以上四味药，捣碎过筛，研巴豆如膏，和散蜜丸，如梧桐子。空腹服二丸。热在膈上不下，饮半升热饮，投，吐之后下，下部疮自愈，神良。病家尝牵马买药，因名牵马丸，老小减半，以意消息之。忌野猪肉、生葱、狸肉、芦笋等物。
又，治疗若六七日热盛心烦，狂言见鬼者方。
绞人粪汁，饮数合，服良。（出自第三卷中）
《近效方》治疗天行病三日外，若忽觉心上妨满坚硬，脚手心热，则变为黄疸，不疗杀人。秦艽汤方。
秦艽（一两） 紫草（一两） 白藓皮（一两） 黄芩（一两） 栀子（一两）
以上五味药，切碎，用水一大升半，牛乳一大升，煮取七合，分为二服，老小酌情量之，一剂不愈，再吃一剂，试有效。
Crush the above nine medicinal materials, sift them, and mix with honey to form pills. Within three days of initially contracting the *Shi Qi* disease (seasonal epidemic disease), take one pill on an empty stomach at dawn. The pill should be the size of a *Wu Tong* seed (seed of the Chinese parasol tree). After walking for the distance covered in ten *Li* (approximately 5 kilometers), the patient may experience vomiting, diarrhea, or sweating. If there is no vomiting, diarrhea, or sweating, administer another pill. After walking five *Li*, if still no symptoms occur, administer with hot water. Dosage for the elderly and children should be adjusted according to their condition. This formula cures jaundice, *Tan Yin* (phlegm-fluid retention), *Shi Qi* disease, *Shang Han* (cold damage), malaria, pediatric convulsive fever, and impending epilepsy without exception; it is particularly effective for treating miasma. It also cured a case of dysentery (red and white discharge). In early spring, for those with retained heat, taking this formula as directed to induce vomiting and diarrhea prevents summerheat diseases for the rest of the year. Avoid eating amaranth, reed shoots, wild boar meat, raw green onions, and raw vegetables. (From Volume II, identical to *Qian Jin Fang*)
Zhang Wenzhong treats *Tian Xing* disease (epidemic disease). If the condition persists after five or six days, presenting with headache, high fever, painful limbs, and inability to eat, use Da Huang Tang (Rhubarb Decoction).
Da Huang (Rhei Radix et Rhizoma) (0.5 liang) Huang Lian (Coptidis Rhizoma) (0.5 liang, remove hairs) Huang Bo (Phellodendri Cortex) (0.5 liang) Zhi Zi (Gardeniae Fructus) (0.5 liang, split)
Chop the above four ingredients. Add eight sheng (approx. 1.6 liters) of water, boil until bubbling seven or six times, add one sheng of Chi Xiao Dou (Fermented Soybean) and seven stalks of Cong Bai (Scallion White), boil to obtain three sheng. Divide into three doses. This is Xu Tuiran's formula, which is highly effective. It is also used for *Shang Han* persisting for five or six days with headache, high fever, and limb pain, inducing sweating; suitable for all ages. Avoid pork and cold water. (Identical to *Duan Ju Fang* and *Bei Ji Fang*)
Also, Physician Zhi's Peach Leaf Soup Fumigation Method:
Use one dan (approx. 120 liters) of water to boil peach leaves, obtaining seven dou (approx. 70 liters) of liquid. Surround the body with mats, cover with clothing and blankets, place the peach leaf soup under the bed mat, and fumigate oneself with the heat. After a short time, profuse sweating should occur like rain. Once sweating is complete, remove the soup, wait for recovery, and quickly apply powder. Moxibustion on Dazhui (GV14) will lead to cure.
Also, Linqiu Steaming Method:
The classics state that death occurs if sweating is attempted repeatedly without success; steaming should be used instead, similar to the method for wind-stroke. Zhang Miao stated that he once treated someone who was exhausted from sweating, lay on a bamboo mat feeling cold and curled up, had attempted sweating eight times over four days without success. Zhang Miao heated the ground, laid leaves, and steamed the patient, resulting in profuse sweating. Applying powder in the bedding until dry led to recovery. This method is effective for inducing sweat. (Identical to *Bei Ji Fang*)
Also, Po Guan Qian Jin Tang (Break-the-Coffin Thousand-Gold Decoction) for critical *Tian Xing* heat-toxin.
Ku Shen (Sophorae Flavescentis Radix) (1 liang)
Chop the single ingredient. Add two and a half sheng of wine (ancient texts specify vinegar/bitter wine); boil to obtain half a sheng. Strain and take all at once. Recovery is indicated by vomiting material resembling melted glue. Highly effective. (Identical to *Zhou Hou Bei Ji Fang*; *Yan Nian Fang* treats *Tian Xing* day 4-5 with chest fullness/pain, high fever, and body pain. From Volume II)
*Yan Nian Mi Lu* treats *Tian Xing* with headache and high fever for one or two days. Shui Jie San (Water-Resolving Powder):
Ma Huang (Ephedrae Herba) (4 liang, remove joints) Da Huang (Rhei Radix et Rhizoma) (3 liang) Huang Qin (Scutellariae Radix) (3 liang) Gui Xin (Cinnamomi Ramulus) (2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 liang, honey-fried) Shao Yao (Paeoniae Radix) (2 liang)
Crush and sift the above six ingredients into powder. After the patient bathes with mixed hot and cold water, take one cun-bi (square-inch measure) of powder mixed with warm water. Cover to induce sweating or diarrhea for recovery. Robust individuals take two cun-bi. Avoid seaweed, raw green onions, song cai (Chinese cabbage), and raw vegetables. (Identical to *Gu Jin Lu Yan Fang*; *Qian Jin Fang* lacks Huang Qin and Shao Yao)
Also, Zhi Zi Tang (Gardenia Decoction) for *Tian Xing* day 1-2 with headache, high fever, and internal heat.
Zhi Zi (Gardeniae Fructus) (3 liang) Huang Qin (Scutellariae Radix) (3 liang) Chi Xiao Dou (Fermented Soybean) (1 sheng, roasted, wrapped in silk) Cong Bai (Scallion White) (1 sheng, chopped) Shi Gao (Gypsum Fibrosum) (4 liang, crushed, wrapped in silk) Gan Ge (Puerariae Lobatae Radix) (4 liang, chopped)
Chop the above six ingredients. Add seven sheng of water, boil to obtain two and six-tenths sheng. Strain. Take warm in three doses. Administer the next dose after walking approximately eight to nine *Li*. Avoid noodles, alcohol, and raw/cold foods.
Also, Jie Ji Tang (Muscle-Releasing Decoction) for *Tian Xing* day 2-3 with headache and high fever.
Gan Ge (Puerariae Lobatae Radix) (4 liang) Ma Huang (Ephedrae Herba) (3 liang, remove joints) Shao Yao (Paeoniae Radix) (2 liang) Huang Qin (Scutellariae Radix) (2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang, honey-fried) Da Zao (Jujubae Fructus) (12 pieces, split) Gui Xin (Cinnamomi Ramulus) (1 liang)
Chop the above seven ingredients. Add eight sheng of water, boil to obtain two and a half sheng. Strain. Divide into three doses. Cure upon sweating. Avoid seaweed, Chinese cabbage, and raw green onions. (Provided by Jiang Xiaozhang)
Also, Zhi Mu Tang (Anemarrhenae Decoction) for suspected *Tian Xing* day 4-5, where fever subsides but returns intermittently, with aversion to cold, slight fever, and anorexia.
Zhi Mu (Anemarrhenae Rhizoma) (2 liang) Zhi Shi (Aurantii Fructus Immaturus) (3 liang, honey-fried) Zhi Zi Ren (Gardeniae Semen) (3 liang) Chi Xiao Dou (Fermented Soybean) (1 sheng, roasted, separately wrapped)
Chop the above four ingredients. Add six sheng of water, boil to obtain two and a half sheng. Strain. Take warm in three doses, one dose every eight *Li* of walking. Avoid garlic and noodles.
Also, Zhu Ru Yin (Bamboo Shavings Drink) for *Tian Xing* day 5 with headache, high fever, and vomiting upon eating.
Zhu Ru (Bambusae Caulis in Taeniam) (2 liang) Sheng Jiang (Zingiberis Rhizoma Recens) (3 liang) Huang Qin (Scutellariae Radix) (2 liang) Zhi Zi Ren (Gardeniae Semen) (2 liang)
Chop the above four ingredients. Add five sheng of water, boil to obtain one and six-tenths sheng. Strain. Take warm in three doses. Avoid garlic and hot noodles for five days.
Also, Huang Qin Tang (Scutellaria Decoction) for *Tian Xing* day 5-6 with headache, bone/joint pain, lower back pain, and accompanying diarrhea.
Huang Qin (Scutellariae Radix) (3 liang) Zhi Zi Ren (Gardeniae Semen) (3 liang) Shao Yao (Paeoniae Radix) (3 liang) Chi Xiao Dou (Fermented Soybean) (1 sheng, wrapped in silk)
Add six sheng of water to the above four ingredients, boil to obtain two and a half sheng. Strain. Divide into three doses. Dietary restrictions as before.
Also, Chai Hu Tang (Bupleuri Decoction) for *Tian Xing* day 5-6 with high fever, bone/joint irritability and pain, distension and hardness in both hypochondria radiating to the heart and costal region, abdominal urgency, pain preventing eating, and fear of developing jaundice.
Chai Hu (Bupleuri Radix) (3 liang) Zhi Shi (Aurantii Fructus Immaturus) (3 liang, honey-fried) Gua Lou (Trichosanthis Fructus) (3 liang) Huang Qin (Scutellariae Radix) (3 liang) Zhi Zi Ren (Gardeniae Semen) (3 liang) Yin Chen (Artemisiae Scopariae Herba) (3 liang) Long Dan (Gentianae Radix) (2 liang) Da Huang (Rhei Radix et Rhizoma) (3 liang, chopped)
Chop the above eight ingredients. Add nine sheng of water, boil to obtain two and seven-tenths sheng. Strain. Take warm in three doses. Avoid hot noodles and garlic. (All from Volume IX)
Also, Zhu Ru Yin (Bamboo Shavings Drink) for *Tian Xing* following dysentery, with headache for 3-4 days and vomiting upon eating.
Zhu Ru (Bambusae Caulis in Taeniam) (2 liang) Ju Pi (Citri Reticulatae Pericarpium) (2 liang) Sheng Jiang (Zingiberis Rhizoma Recens) (4 liang) Ren Shen (Ginseng Radix et Rhizoma) (2 liang) Lu Gen (Phragmitis Rhizoma) (1 sheng, chopped) Jing Mi (Oryza Sativa Glutinosa) (1 he)
Chop the above six ingredients. Add six sheng of water, boil to obtain two and five-tenths sheng. Strain. Take warm in five or six doses. Food can be taken freely between doses. Avoid hot noodles and raw/cold foods. (Provided by Zhang Wenzhong)
Also, Yin Chen Wan (Artemisia Pill) for *Tian Xing* heat disease progressing to jaundice after 7-8 days, with yellowing of face/body, chest fullness, wheezing, and rapid breathing.
Yin Chen (Artemisiae Scopariae Herba) (3 liang) Da Huang (Rhei Radix et Rhizoma) (5 liang) Zhi Zi Ren (Gardeniae Semen) (2 liang) Huang Qin (Scutellariae Radix) (2 liang) Bie Jia (Testudinis Carapax et Plastrum) (2 liang, honey-fried) Chang Shan (Dichroae Radix) (2 liang) Mang Xiao (Natrii Sulfas) (2 liang) Ba Dou (Crotonis Fructus) (1 liang, skin and heart removed, roasted) Sheng Ma (Cimicifugae Rhizoma) (2 liang) Chi Xiao Dou (Fermented Soybean) (3 he, roasted)
Crush and sift the above ten ingredients. Mix with honey to form pills the size of *Wu Tong* seeds. Take three pills with water. Recovery is indicated by vomiting and diarrhea. Avoid amaranth, raw green onions, raw vegetables, wild boar meat, and reed shoots. (From Volume X)
*Jiu Ji Fang* treats *Tian Xing* heat qi causing headache, sore bones/muscles, and high fever. If the pathogen is in hair/skin on day 1, skin on day 2, and muscle on day 3, and purgation has not yet been achieved, take Chi Niao Tang (Soybean and Urine Decoction) in the morning.
Chi Xiao Dou (Fermented Soybean) (1 sheng) Cong Bai (Scallion White) (1 sheng, chopped) Xiao Bian (Human Urine) (3 sheng, urine from a young boy is best)
Roast the soybeans and scallions first until blended, then add the urine. Boil to obtain one sheng. Clarify and drink hot in one dose. Recovery via sweating or diarrhea is expected. If symptoms persist, repeat the dose; frequent use is effective.
If unresolved, proceed to Chai Hu Tang (Bupleuri Decoction):
Ma Huang (Ephedrae Herba) (2 liang, aged, remove joints) Chai Hu (Bupleuri Radix) (3 liang) Huang Qin (Scutellariae Radix) (3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 liang, honey-fried) Gan Ge (Puerariae Lobatae Radix) (2 liang) Shi Gao (Gypsum Fibrosum) (5 liang, crushed, wrapped in silk) Cong Bai Gen (Scallion Root Base) (1 sheng, chopped, avoid green parts which are heating, use white which is cooling; alternatively Sang Bai Pi/Morus Cortex) Chi Xiao Dou (Fermented Soybean) (7 he, wrapped in silk)
Chop the above eight ingredients. Soak in nine sheng of water overnight. Next morning, boil Ma Huang first until boiling, skim off foam, then add remaining herbs. Boil to obtain one and seven-tenths sheng. Divide into three doses, spaced by the time it takes to eat three meals. Cover to induce sweating; wipe sweat with powder. For severe aversion to cold, add Gui Xin (Cinnamomi Ramulus) 1 liang. Avoid seaweed and Chinese cabbage.
Also, for *Tian Xing* not resolving after 4-5 days, with thirst, upper chest tightness/pain (unbearable to touch), insomnia, and agitation, indicating jaundice. Do not wait for bloodletting; take this decoction immediately for chest tightness, rapid breathing, and insomnia. Vomiting leads to cure. Gua Di San (Momordica Powder):
Gua Di (Momordicae Fructus) (measure approx. 1 he, roast until yellowish, do not burn) Xiao Dou (Vigna Angularis) (1 he; "Xiao Ruo Liang" means adjust dosage based on patient's strength/weakness)
Crush and sift into powder. For patients with the aforementioned symptoms or *Tian Xing* persisting 4-5 days, mix one qian-bi (tael-bi measure) of powder with five he of grain wash water. Take twice. Vomiting should occur after some time; if not, give half a qian-bi more. Recovery follows vomiting. Adjust dosage for boys upwards based on judgment.
Also, for extreme exhaustion in *Tian Xing* with tongue dry as saw, extreme thirst, and inability to swallow medicine, take Gan Fen Tang (Dry Feces Decoction), also known as Po Guan Tang (Break-the-Coffin Decoction), for clearing intense heat.
Chen Jiu Gan Ren Fen (Aged Dry Human Feces) (1 da sheng)
Pour one da sheng of boiling water over the feces. Let stand for the duration of a meal. Clarify and extract one sheng. Drink in one dose. If thirst persists, repeat. Moxibustion is recommended: locate Ju Que (CV14), 1.5 cun below the xinyan bone. Measure using the patient's middle finger joint as one cun. Moxa 30 zhuang. If xinyan bone is absent, measure horizontally across the heart from the tip of the middle finger to the bifurcation of the sternum; mark the midpoint and go straight down one cun to find Ju Que. (Shi Ruoshi notes: "Same-body cun" is calculated from jiuwei to umbilicus).
*Bi Xiao Fang* treats *Tian Xing* day 1-2.
Ma Huang (Ephedrae Herba) (1 da liang, remove joints)
Boil in four sheng of water, skim foam, reduce to two sheng, strain. Add one spoonful of rice and fermented soybeans to make a thin porridge. Extract one sheng of strong liquid. First, bathe in mixed hot/cold water, pouring over the head over a hundred bowls. Then drink the porridge. Cover thickly to induce sweating. Best administered at night.
Also, for *Tian Xing* persisting over seven days with entrenched heat, constipation, epigastric/abdominal fullness, inability to eat/drink, mental confusion, delirium, fine/deep pulse, and no hope of rescue, decisively take Bie Jia Tang (Softshell Turtle Decoction).
Bie Jia (Testudinis Carapax et Plastrum) (2 liang, honey-fried) Xi Xin (Asari Radix et Rhizoma) (2 liang) Gui Xin (Cinnamomi Ramulus) (2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2 liang) Sheng Jiang (Zingiberis Rhizoma Recens) (4 liang) Wu Zhu Yu (Evodiae Fructus) (1 liang) Bai Xian Pi (Dictamni Cortex) (2 liang) Fu Zi (Aconiti Lateralis Radix Praeparata) (1.5 liang, processed) Zhi Shi (Aurantii Fructus Immaturus) (2 liang, honey-fried) Yin Chen (Artemisiae Scopariae Herba) (2 liang) Da Huang (Rhei Radix et Rhizoma) (3 liang, chopped)
Chop the above eleven ingredients. Add eight sheng of water, boil to obtain two and six-tenths sheng. Strain. Divide into three doses, spaced by the time it takes to walk five *Li*. Avoid raw green onions, raw vegetables, amaranth, pork, peaches, plums, and sparrow meat.
Also, for *Tian Xing* persisting over ten days with mild abdominal fullness, delirium, sweating without aversion to cold, heavy body, shortness of breath, abdominal distension with wheezing, constipation, periumbilical pain, alternating difficulty/ease of defecation, or visual hallucinations, take Da Cheng Qi Tang (Great Order the Qi Decoction).
Da Huang (Rhei Radix et Rhizoma) (4 liang) Hou Po (Magnoliae Officinalis Cortex) (0.5 jin, honey-fried) Zhi Shi (Aurantii Fructus Immaturus) (5 pieces, honey-fried) Mang Xiao (Natrii Sulfas) (3 he)
Chop the first two ingredients. Boil in one dou (approx. 10 liters) of water to obtain five sheng. Strain. Add Da Huang, boil to obtain two sheng. Strain. Add Mang Xiao, boil for three boils. Take warm when temperature is suitable, divided into two doses. Stop if bowel movement occurs; continue if not. (From Volume III, this is Zhang Zhongjing's *Shang Han Lun* formula)
*Gu Jin Lu Yan Fang* Ba Du Da Huang Wan (Eight-Toxin Rhubarb Pill) treats *Tian Xing* day 3-4 with body heat, red eyes, immobility of limbs, postpartum *Shang Han*, yellow-white coating on tongue, and delirium. Also treats post-warm disease, fei shi/dun shi (flying/hidden corpses - parasitic/pathogenic entities), heart/abdominal pain, blockage above and below diaphragm, phlegm-fluid accumulation, masses, abscesses, and pain.
Li Lu (Veratri Viridis Rhizoma) (2 fen, roasted) Da Huang (Rhei Radix et Rhizoma) (3 fen) Zhu Sha (Cinnabaris) (5 fen) Shu Jiao (Zanthoxyli Pericarpium) (4 fen) Xiong Huang (Realgar) (4 fen, ground) Ba Dou (Crotonis Fructus) (4 fen, skin removed, roasted) Gui Xin (Cinnamomi Ramulus) (4 fen)
Crush and sift. Mix with honey to form pills the size of sesame seeds. Take three pills with water. Purging should occur; repeat if ineffective. During preparation, do not let women, chickens, or dogs see it. Avoid raw green onions, wild boar meat, reed shoots, civet meat, and raw blood products.
Also, Qian Ma Wan (Horse-Leading Pill) for *Tian Xing* day 4-5 with sores in the lower body unresponsive to other treatments.
Fu Zi (Aconiti Lateralis Radix Praeparata) (1 piece, processed) Li Lu (Veratri Viridis Rhizoma) (1 liang, roasted) Gui Xin (Cinnamomi Ramulus) (1 liang) Ba Dou (Crotonis Fructus) (1 liang, heart and skin removed, roasted)
Crush and sift. Grind Ba Dou into a paste. Mix with powder and honey to form pills the size of *Wu Tong* seeds. Take two pills on an empty stomach. If heat is stuck above the diaphragm, drink half a sheng of hot water to induce vomiting, then the medication will descend, curing the lower sores. Highly effective. Named "Horse-Leading" because patients once led horses to buy medicine. Elderly and children take half the dose. Adjust as needed. Avoid wild boar meat, raw green onions, civet meat, and reed shoots.
Also, for heat excess and irritability with delirium/hallucinations after 6-7 days:
Squeeze human feces juice, drink several he. Effective. (From Volume III)
*Jin Xiao Fang* treats *Tian Xing* after three days. If sudden chest fullness/hardness and heat in palms/soles occur, leading to jaundice (fatal if untreated), use Qin Jiao Tang (Gentiana Macrophylla Decoction).
Qin Jiao (Gentianae Macrophyllae Radix) (1 liang) Zi Cao (Arnebiae Radix seu Rubrae) (1 liang) Bai Xian Pi (Dictamni Cortex) (1 liang) Huang Qin (Scutellariae Radix) (1 liang) Zhi Zi (Gardeniae Fructus) (1 liang)
Chop the above five ingredients. Add one and a half sheng of water and one sheng of cow's milk. Boil to obtain seven he. Divide into two doses. Adjust for age/strength. If one dose fails, take another. Proven effective.