（此方兼疗伤寒，为题云天行，所以入天行部）
许仁则云，此病方家呼为伤寒，有二种，有阴有阳，阴伤寒者反于阳是也。阳伤寒状
，表里相应，心热则口干苦，肝热则眼赤晕，脾热则谷道稍涩，肾热则耳热赤，肺热则鼻干
渴，胃热则呕逆，大肠热则大便秘涩，小肠热则小便赤少，皮肤热则脉洪数，身体热。反此
者，乃阴伤寒。夫伤寒者，则为寒所伤也，寒生阴，阴主杀，凡人阴阳调则无病。气既为寒
所伤，便致斯疾也。
又论阴阳伤寒者，则毒瓦斯伤阴阳气也。人身中有阴阳之气，阴阳者则寒热也，本以阴为
毒所伤，则不能流行，阳热独王，故天行多热者也。以病于诸病之中，最难为疗。阴阳二病
，阴尤可忧耳，时闻有此病而多仓卒死者不少，或由诊候不能精审，方药未达指归，饮食乖
宜，寒温失节，故致尔，自心不全甄别，他医难得精妙，与其疗也，宁可任之。但能滋味适
寒温，将理中间冷暖，守过七日，此最为得计。其中事须服药，不可徒然者，唯多日大便不
通，暂须一转泄耳，病经一二日，觉身体壮热头痛，骨肉酸楚，背脊强，口鼻干，手足微冷
，小便黄赤，此是其候，若如是，宜先合煮桃柳等三物汤浴之方。
桃枝（细切五斗） 柳叶（细切五斗） 酢浆水（一斗）
上药先以水一石，煮桃柳枝叶二物，取七斗汁，去滓，纳醋浆水搅，带热以浴，浴讫拭
身体令干，以粉摩之，勿触风，则于密处刺头眼后两边，及舌下，血断以盐末厌刺处，则入
被卧。
又后服解肌干葛等五物饮，微覆取汗，如病根轻者，因此或歇方。
葛根（切五合） 葱白（切一升） 生姜（切一合） 豉心（一升绵裹） 粳米（二合
研碎）
上药切，以水五升，煮取豉心以上四味，取三升半汁，去滓，纳粳米屑，煮令米烂。带
热顿啜候尽，微覆取汗。无所忌。
又依前浴等法，不觉歇，宜更作鸡子汤重泄之方。
新壳产鸡子五枚
上各破头，泻置一盏中，别加一鸡子水，以箸搅令极浑，别用水一升，煮极沸，则投鸡
子于汤中微搅，才似熟则泻置碗中，纳少酱清，似变腥气。带热啜令尽，覆使汗出。
又依前鸡子汤出汗，汗泄当歇，如不觉退，合栀子等六味散以下之方。
栀子（三十枚擘） 干葛（五两） 茵陈（二两） 蜀升麻（三两） 大黄（五两） 芒
硝（五两）
上药切，合捣为散。以饮服三方寸匕。服之须臾，当觉转则利也。如经一两食顷不利，
且以热饮投，又不利，即斯须臾服一方寸匕，还以饮投，得利为度。后适寒温将息，更不须
服此也。
又依前栀子等六味散取利，复不觉退，加呕逆食不下，口鼻喉舌干燥。宜合生芦根八味
饮子，细细服之方。
生芦根（切一升） 生麦门冬（二升去心） 生姜（五两） 人参（二两） 知母（二
两） 乌梅
（十颗） 白蜜（一合） 竹沥（三合）
上药切，以水八升，煮取三升，去滓，纳蜜沥等搅令调。细细饮，不限遍数冷暖，亦不
限食前后服。此饮子，虽不能顿除热病，然于诸候，不觉有加体气，安稳心腹不冷意。又欲
得此饮，任重合，但依前服之。如热势不退，心腹妨满，饮食渐少，心上痞结，则不可重服
之。
又依前生芦根等八味饮子，饮之诸状不歇，渐不下食，心腹结硬，不得手近，有时触着
痛不可忍，既是热病，体气合热，骨肉疼痛，脉合洪数，口合苦爽，食合呕逆，体气反凉，
脉反沉细，饭食反下，反不知痛恼，大小便秘塞，心上如石，痛不可近，视唇急鼻张，手眼
寻绎，狂言妄语，此由热极，将息酷冷，饮食寝寐，唯冷是求，热结在心，无因通泄，如有
此者，十不救二三，更不可以常途守之，当须作成败计耳。此非半夏等十味汤，无奈之何，
其中有诸状与此无别，但加身体黄，眼白睛色如黄柏，此是急黄，如有，亦不可守常法，还
宜合后汤救之方。
半夏（五两熊州者，汤洗去滑，汁尽疑熊宇） 干姜（三两） 吴茱萸（二两） 桂心
（一两） 白术（三两） 细辛（三两） 柴胡（三两） 牡丹皮（三两） 大黄（五两） 芒
硝（二两）
上药切，以水一斗，煮取三升，去滓，纳芒硝，搅令消尽，分温三服，每服如人行十里
久。若服一服利后，须伺候将息，勿更进汤药，但研好粟米作汁饮，细细与之。如觉利伤多
，可以酢饭止，稠酢浆粥亦得。忌羊肉、饧、生葱、生菜、桃、李、雀肉、胡荽等。
又依前成败计，服半夏等十味汤后，虽得毒热势退，利尚不休，体力渐弱。宜合人参等
五味散细细服之方。
人参（五两） 生犀角（末二两） 乌梅肉（三两熬） 生姜屑（三两） 黄连（三两
去毛，无
，亦可以龙骨四两代之）
上药捣筛为散。以饮服一方寸匕，日三服，稍加至二匕。忌猪肉、冷水等。（吴升同）
许仁则说，这种病在医家口中称为伤寒，分为两种：有阴伤寒和阳伤寒，所谓阴伤寒，就是与阳伤寒相反的情况。阳伤寒的症状，表里相互呼应：心热则口干口苦，肝热则眼睛红赤且视物模糊，脾热则肛门稍感涩滞，肾热则耳朵发热发红，肺热则鼻干口渴，胃热则呕吐逆气，大肠热则大便秘结涩滞，小肠热则小便短少色赤，皮肤热则脉搏洪大而数，身体发热。与之相反的情况，就是阴伤寒。所谓伤寒，就是被寒邪所伤。寒邪产生阴气，阴主杀伐，凡人阴阳调和就不会生病。人体之气既然被寒邪所伤，便导致这种疾病。
又论述阴阳伤寒，是因为毒瓦斯伤害了人体的阴阳之气。人身中有阴阳二气，阴阳对应着寒热。如果本原的阴气被毒邪所伤，就不能正常流通，导致阳热独盛，所以天行病多表现为热证。在众多疾病中，这种病最难治疗。阴阳两种病中，阴伤寒尤其令人担忧。时常听说有此病而突然死亡的人不少，有的因为诊断候脉不够精细审慎，方药未能达到治疗目的，饮食不合适宜，寒温调节失节，才导致这样的后果。自己如果不能全面辨别，其他医生也难以做到精妙，与其勉强治疗，宁可顺其自然。只要能在滋味上适应寒温，在护理中注意冷暖，坚守度过七日，这是最得计策。其中必须服药、不能听之任只的情况，只有那些多日大便不通，暂时需要通泄一下的。患病经过一两天，感觉身体壮热头痛，骨肉酸痛楚痛，背脊僵硬，口鼻干燥，手足微冷，小便黄赤，这是其征候。如果是这样，应当先合煮桃柳等三物汤来洗浴。
以上药物先用一石水，煮桃枝和柳叶两样东西，取得七斗汁液，去掉渣滓，加入醋浆水搅拌，趁热用来洗浴。浴毕擦干身体，用粉按摩，不要接触风，然后在隐蔽处刺头眼后方两边，以及舌下，出血后用盐末涂抹按压刺处，然后进入被子中卧睡。
之后服用解肌干葛等五物饮，轻微覆盖取汗，如果病根轻浅，因此可能痊愈。
葛根（切五合） 葱白（切一升） 生姜（切一合） 豉心（一升绵裹） 粳米（二合研碎）
以上药物切碎，用五升水，煮取豉心以上四味，得到三升半汁液，去掉渣滓，加入粳米屑，煮至米烂。趁热一次性喝下，等待汗出，轻微覆盖即可。没有禁忌。
又像前面洗浴等方法一样，如果不觉得痊愈，应当再做鸡子汤重新泄下。
新壳产的鸡蛋五个
以上各打破头部，倒入一盏中，另外加一个鸡蛋的水，用筷子搅拌使其极浑浊，另外用水一升，煮至极沸，则将鸡蛋投入汤中微微搅拌，刚似熟时倒置碗中，加入少许酱清，气味变得像变腥的样子。趁热喝尽，覆盖使出汗。
又像前面鸡子汤出汗后，汗泄应当痊愈，如不觉得减退，应当合栀子等六味散以下泄。
栀子（三十枚掰开） 干葛（五两） 茵陈（二两） 蜀升麻（三两） 大黄（五两） 芒硝（五两）
以上药物切碎，合捣为散剂。用饮送服三方寸匕。服用不久，应当感觉转动则腹泻。如果经过一顿饭的时间还不利，暂且用热饮投服，再不利用，就过一会儿再服一方寸匕，仍用饮送服，以得利为度。之后适应寒温调养，不再需要服用此药。
又像前面栀子等六味散取利后，复不觉得减退，加上呕吐逆气、食不下、口鼻喉舌干燥。应当合生芦根八味饮子，细细服用。
生芦根（切一升） 生麦门冬（二升去心） 生姜（五两） 人参（二两） 知母（二两） 乌梅（十颗） 白蜜（一合） 竹沥（三合）
以上药物切碎，用八升水，煮取三升，去掉渣滓，加入蜜、沥等搅拌令调匀。细细饮用，不限遍数冷暖，也不限进食前后服用。此饮子，虽然不能立刻除尽热病，然而对于各种征候，不觉得增加体气，安稳心腹不冷意。又想获得此饮，任意合配，只要依照前面方法服用。如果热势不退，心腹痞满，饮食渐少，心上痞结，则不可再次服用。
又像前面生芦根等八味饮子，饮用后诸状不歇，渐渐不下食，心腹结硬，不得手近，有时触着痛不可忍。既然是热病，体气合热，骨肉疼痛，脉象合洪数，口合苦爽，食合呕逆，体气反凉，脉反沉细，饭食反下，反不知痛恼，大小便秘塞，心上如石，痛不可近，视唇急鼻张，手眼寻绎，狂言妄语，这是由于热极，将息酷冷，饮食寝寐，唯冷是求，热结在心，无因通泄。如有这种情况，十人救不回二三人，更不可以常途守之，当须作成败计耳。此非半夏等十味汤，无奈之何。其中有诸状与此无别，但加身体黄，眼白睛色如黄柏，这是急黄，如有，亦不可守常法，还宜合后汤救之方。
半夏（五两熊州者，汤洗去滑，汁尽疑熊宇） 干姜（三两） 吴茱萸（二两） 桂心（一两） 白术（三两） 细辛（三两） 柴胡（三两） 牡丹皮（三两） 大黄（五两） 芒硝（二两）
以上药物切碎，用一斗水，煮取三升，去掉渣滓，纳入芒硝，搅拌令消尽，分温三服，每服间隔如人行十里久的时间。如果服一服利后，须伺候将息，勿更进汤药，但研好粟米作汁饮，细细与之。如觉利伤多，可以用酢饭止，稠酢浆粥亦得。忌羊肉、饧、生葱、生菜、桃、李、雀肉、胡荽等。
又像前面成败计，服半夏等十味汤后，虽得毒热势退，利尚不休，体力渐弱。应当合人参等五味散细细服用。
人参（五两） 生犀角（末二两） 乌梅肉（三两熬） 生姜屑（三两） 黄连（三两去毛，无，亦可以龙骨四两代之）
以上药物捣筛为散。用饮服一方寸匕，日三服，稍加至二匕。忌猪肉、冷水等。（吴升同）
(This prescription also treats Shanghan [Cold Damage], and is titled "Tianxing" [Epidemic Disease], thus it is included in the Tianxing section.)
Xu Renze said: This disease is called Shanghan [Cold Damage] by physicians, and there are two types: Yin Shanghan and Yang Shanghan. Yin Shanghan is the opposite of Yang Shanghan. The symptoms of Yang Shanghan show correspondence between exterior and interior: Heart heat causes dry mouth and bitter taste; Liver heat causes red eyes and blurred vision; Spleen heat causes slight astringency in the anus; Kidney heat causes hot and red ears; Lung heat causes dry nose and thirst; Stomach heat causes vomiting and rebellious Qi; Large Intestine heat causes constipation and astringency; Small Intestine heat causes scanty and red urine; Skin heat causes a flooding and rapid pulse and body fever. The reverse of these conditions constitutes Yin Shanghan. Shanghan refers to injury by cold pathogen. Cold generates Yin, and Yin governs killing/destruction. When a person's Yin and Yang are harmonious, they are free from disease. Once the Qi is injured by cold, this illness arises.
Furthermore, regarding Yin and Yang Shanghan, it is because toxic vapors injure the Yin and Yang Qi of the body. The human body contains Yin and Yang Qi; Yin and Yang correspond to cold and heat. If the primordial Yin is injured by toxins, it cannot circulate freely, causing Yang-heat to reign supreme alone; therefore, Tianxing diseases often manifest as heat syndromes. Among various diseases, this one is the most difficult to treat. Between the Yin and Yang diseases, Yin Shanghan is particularly worrying. It is often heard that many people die suddenly from this disease. This may be due to imprecise diagnosis and pulse-taking, prescriptions failing to hit the therapeutic target, improper diet, or loss of regulation in cold and warmth. Thus, if one cannot distinguish thoroughly oneself, other doctors will find it hard to be exquisite. Rather than treating it forcibly, it is better to let nature take its course. As long as one adapts flavors to cold and warmth, and manages temperature during care, enduring for seven days, this is the best strategy. However, among cases where medication is necessary and cannot be ignored, only those who have not had a bowel movement for many days and temporarily need purgation fall into this category. After one or two days of illness, feeling strong body fever, headache, soreness and pain in bones and muscles, stiffness in the back and spine, dry mouth and nose, slightly cold hands and feet, and yellow-red urine—these are the signs. In such cases, one should first prepare and boil the Peach and Willow Three-Ingredient Decoction [Taoliu Sanwu Tang] for bathing.
Peach Branch (finely cut, five dou) Willow Leaf (finely cut, five dou) Vinegar Fermented Water (one dou)
Take the above herbs, first boil the peach branches and willow leaves in one shi of water, extract seven dou of juice, remove the dregs, add vinegar fermented water, stir, and use while warm for bathing. After bathing, wipe the body dry, massage with powder, avoid wind exposure, then prick the sides behind the head and eyes in private areas, and under the tongue until blood flows. Apply salt powder to the pricked sites to suppress bleeding, then enter the quilt and lie down.
Subsequently, take the Muscle-Releasing Kudzu Five-Ingredient Drink [Jieji Gan Ge Wuwu Yin]. Cover slightly to induce sweating. If the root of the disease is mild, recovery may occur through this method.
Kudzu Root (cut, five he) Scallion White (cut, one sheng) Fresh Ginger (cut, one he) Fermented Soybean Core (one sheng, wrapped in silk) Japonica Rice (two he, ground)
Cut the above herbs. Boil the four ingredients above the fermented soybean core in five sheng of water until three and a half sheng of liquid remains. Remove dregs, add rice flour, and cook until the rice is soft. Drink while warm in one go, wait for sweat to appear, and cover slightly. No dietary restrictions apply.
If, following the previous bathing methods, recovery is not felt, prepare the Egg Soup [Jizi Tang] again to purge.
Five fresh eggs from hens that have just laid
Break the top of each egg, pour into a cup. Add the water from one additional egg. Stir vigorously with chopsticks until very turbid. Separately, boil one sheng of water until boiling, then drop the eggs into the soup, stirring slightly. When just cooked, pour into a bowl, add a little clear sauce until it smells slightly fishy/spoiled. Drink while warm until finished, cover to induce sweating.
If, after sweating from the previous Egg Soup, the condition does not subside, prepare the Gardenia Six-Ingredient Powder [Zhizi Liuweisan] to purge.
Gardenia Fruit (thirty seeds, split) Dried Kudzu Root (five liang) Artemisia Capillaris (two liang) Shu Cimicifuga (three liang) Rhubarb (five liang) Mirabilite (five liang)
Cut and pound the above herbs into a powder. Take three square-cun spoons with drink. Shortly after ingestion, one should feel abdominal movement and diarrhea. If no effect after one meal time, administer hot drink first. If still no effect, take another square-cun spoon shortly thereafter with drink. Continue until purgation occurs. Afterwards, adjust to cold/warmth and rest; no further need for this medicine.
If, after purgation with the previous Gardenia Six-Ingredient Powder, the condition still does not recede, accompanied by vomiting, inability to eat, and dryness of the mouth, nose, throat, and tongue, prepare the Raw Reed Eight-Ingredient Drink [Sheng Lugeng Bawei Yin] and take it slowly.
Raw Reed Rhizome (cut, one sheng) Raw Ophiopogon Tuber (two sheng, heart removed) Fresh Ginger (five liang) Ginseng (two liang) Anemarrhena Rhizome (two liang) Smoked Plum (ten pieces) White Honey (one he) Bamboo Sap (three he)
Cut the above herbs. Boil in eight sheng of water until three sheng remain. Remove dregs, add honey and bamboo sap, and stir well. Drink slowly, regardless of frequency, temperature, or relation to meals. Although this drink cannot instantly eliminate heat pathogens, it prevents worsening of the constitution across various symptoms, stabilizing the heart and abdomen without cold sensations. To obtain this drink, any combination is acceptable as long as taken as previously directed. If heat persists, chest/abdominal fullness increases, food intake decreases, and epigastric palpitation forms, do not take it again.
If, after drinking the previous Raw Reed Eight-Ingredient Drink, symptoms persist, appetite gradually disappears, abdomen becomes hard and knotted, painful to touch, sometimes unbearable upon contact—since this is a heat disease, the body qi should be hot, bones and muscles painful, pulse flooding and rapid, mouth bitter and crisp, food leads to vomiting, yet body qi feels cold, pulse becomes deep and fine, food passes down but pain is not felt, stool and urine are blocked, epigastrium feels like stone, intolerable pain, lips tight, nostrils flaring, hands and eyes restless, delirious speech—this is due to extreme heat. Resting in extreme cold, seeking only cold in diet and sleep, heat knots in the heart with no outlet for discharge. If such cases arise, fewer than two out of ten can be saved. One cannot rely on routine methods; one must consider it a critical situation. Only the Pinellia Ten-Ingredient Decoction [Banxia Shiwei Tang] can address this. If symptoms are similar but include yellowing of the body and sclera yellow like Phellodendron bark, this is Acute Yellow [Ji Huang]. Such cases also require abandoning routine methods and using the subsequent rescue decoction.
Pinellia Tuber (five liang, from Xiong Prefecture, boiled to remove slipperiness, juice drained, possibly referring to Xiong character) Dried Ginger (three liang) Evodia Fruit (two liang) Cinnamon Bark (one liang) Atractylodes Macrocephala Rhizome (three liang) Asarum Root (three liang) Bupleurum Root (three liang) Moutan Cortex (three liang) Rhubarb (five liang) Mirabilite (two liang)
Cut the above herbs. Boil in one dou of water until three sheng remain. Remove dregs, add Mirabilite, stir until dissolved. Divide into three warm doses. Each dose separated by the time it takes to walk ten li. If purgation occurs after one dose, monitor and rest; do not take more decoction. Instead, grind fine millet to make juice and drink slowly. If purgation is excessive, stop with sour rice or thick sour porridge. Avoid mutton, malt sugar, raw scallions, raw vegetables, peaches, plums, sparrow meat, and coriander.
Following the critical assessment, after taking the Pinellia Ten-Ingredient Decoction, although toxic heat subsides and purgation continues, physical strength gradually weakens. Prepare the Ginseng Five-Ingredient Powder [Renshen Wuweis San] and take it slowly.
Ginseng (five liang) Fresh Rhinoceros Horn (powdered, two liang) Smoked Plum Flesh (three liang, roasted) Fresh Ginger Scrapings (three liang) Coptis Rhizome (three liang, hairs removed; if unavailable, substitute with four liang of Dragon Bone)
Pound and sieve the above herbs into powder. Take one square-cun spoon with drink, three times daily, gradually increasing to two spoons. Avoid pork and cold water. (Wu Sheng agrees.)