夫伤寒四五日。脉沉。喘满。沉为在里。而反发汗之。津液越出。大便为难。表虚里实
。久
此
身
治伤寒邪热在胃。谵语错乱。宜服犀角散方。
犀角屑 川升麻 柴胡（去苗） 葛根（锉） 川芒硝（以上各一两） 甘草（半两炙
微赤锉）
蓝叶（半两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒谵语。头疼壮热。百骨节疼痛。宜服柴胡散方。
柴胡（去苗） 赤芍药 知母 栀子仁〔以上各二（一）两〕 川升麻 黄芩 大青 杏
仁
（汤浸
（三分锉
碎微炒
上件药。捣粗罗为散。每服四钱。以水一中盏。入豉五十粒。煎至六分。去滓。不计时
候温服。
治伤寒邪热在胃。谵言妄语。身体壮热。宜服大青散方。
大青（三分） 远志（三分去心） 川升麻（一两半） 柴胡（一两去苗） 黄芩（一
两） 犀角
屑（三分） 人参（三分去芦头） 甘草（半两炙微赤锉） 芦根（半两锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒热毒逼心。谵语见鬼神不安。宜服汉防己散方。
汉防己（半两） 桂心（三分） 防风（三分去芦头） 甘草（半两炙微赤锉） 生地
黄（二斤
研绞取汁）
上件药。捣罗为末。入地黄汁中。更入水一大盏。调令匀。入银器中盛。于甑中蒸半日
取出。每服三合。以温水下之。不计时候服之。
又方。
犀角屑（一两） 黄连（半两） 茯神（苓）（三分） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每日服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒。心膈热毒。烦闷。谵语失度。宜服生干地黄散方。
生干地黄（二两） 玄参（一两半） 赤茯苓（一两） 麦门冬（一两去心） 川升麻
（一两）
甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒经五六日。未经发汗。大便结涩。谵言妄语。烦躁不安。宜服此方。
前胡（一两去芦头） 葛根（一两锉） 川大黄（二两锉碎微炒）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以利为
度。
治伤寒热毒在里。谵言妄语。体热心躁。宜服葛根散方。
葛根（一两锉） 黄芩（一两） 川大黄（一两锉碎微炒） 柴胡（一两去苗） 甘草
（半两炙
微赤锉） 犀角屑（一两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以通利
为度。
治伤寒。心脏虚热。谵语恍惚不定。宜服赤茯苓散方。
赤茯苓（一两半） 牡蛎（一两烧为粉） 龙骨（一两半） 黄芩（一两）
上件药。捣筛为散。先以水二大盏。入羊心一枚。煮令熟。去羊心。次入药五钱。生姜
半分。同煎至七分。去滓。不计时候。放温分为二服。
治伤寒阳明病谵语。有潮热。不能食者。必有燥粪在肠胃。若能食者。但耳聋。
宜服大
川大黄〔二（一）两锉碎微炒〕 川芒硝（一两半） 枳实（三分麸炒微黄） 浓朴（一
两去
粗皮涂生姜汁炙令香熟）
上件药。捣罗为散。每服四钱。以水一中盏。煎至六分。去滓。温服。如人行五里再服
。以利为度。
治伤寒得汗后。心狂谵语欲走。宜服铅霜散方。
铅霜（细研） 马牙硝 人参（去芦头） 郁金 茯神（以上各半两） 甘草（一分炙
微赤锉）
上件药。捣细罗为散。每服。不计时候。煎麦门冬温水调下二钱。
治伤寒发狂谵语。大便不通。心腹胀满欲走。宜服郁金散方。
郁金（三分） 川大黄（一两半锉碎微炒） 栀子仁（三分） 柴胡（半两去苗） 甘
草（一分
炙微赤锉） 犀角屑〔半两（三分）〕
上件药。捣细罗为散。每服。煎葱豉汤下二钱。如人行十里再服。大便通利为度。
治伤寒伏热在心脾。谵语。其状如痴人。宜服朱砂散方。
朱砂（半两细研） 太阴玄精（半两细锉） 犀角屑（一两） 铅霜（半两细研） 紫
石英（三
分细研水飞过） 人参（一两去芦头） 赤茯苓（一两） 防风（一两去芦头） 诃黎勒皮
（三分）
上件药。捣细罗为散。入上件四味。同研令匀。每服。不计时候。以葱汤调下二钱。
治伤寒发热。面目赤黄。烦躁欲走。如见鬼神。谵语不禁。宜服黄药散方。\x
黄药 川大黄（锉碎微炒） 栀子仁 人参（去芦头） 槟榔 郁金 甘草（炙微赤锉）
龙
胆（去芦头） 犀角屑（以上各半两） 川朴硝（一两） 紫菀（一两洗去苗土）
上件药。捣细罗为散。每服。不计时候。以鸡子清调下二钱。蜜水调下亦得。
伤寒病经过四五日，脉象沉伏，出现气喘且胸满。脉沉表示病邪在里，此时若错误地使用发汗法，会导致津液外泄，大便因而干结难解，形成表虚里实的证候。
治疗伤寒邪热蕴结于胃腑，导致神志不清、胡言乱语错乱的病症，适宜服用犀角散方。
药材：犀角屑、川升麻、柴胡（去苗）、葛根（锉碎）、川芒硝（以上各一两）；甘草（半两，炙至微赤并锉碎）；蓝叶（半两）。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不拘时候温服。
治疗伤寒引起的谵语、头痛、高热、全身骨节疼痛的病症，适宜服用柴胡散方。
药材：柴胡（去苗）、赤芍药、知母、栀子仁（以上各二两）；川升麻、黄芩、大青、杏仁（汤浸去皮尖及双仁，麸炒微黄）。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，加入豆豉五十粒，煎煮至六分，滤去药渣，不拘时候温服。
治疗伤寒邪热蕴结于胃腑，导致胡言乱语、身体高热的病症，适宜服用大青散方。
药材：大青（三分）、远志（三分，去心）、川升麻（一两半）、柴胡（一两，去苗）、黄芩（一两）、犀角屑（三分）、人参（三分，去芦头）、甘草（半两，炙至微赤并锉碎）、芦根（半两，锉碎）。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至五分，滤去药渣，不拘时候温服。
治疗伤寒热毒逼迫心脏，导致谵语、幻觉见鬼神、心神不安的病症，适宜服用汉防己散方。
药材：汉防己（半两）、桂心（三分）、防风（三分，去芦头）、甘草（半两，炙至微赤并锉碎）、生地黄（二斤，研烂绞取汁液）。
制法与用法：将前四味药物捣罗成细末，混入生地黄汁中，再加入水一大盏，调匀。放入银器中，置于蒸笼内蒸半天后取出。每次服用三合，用温水送下，不拘时候服用。
又一方：
药材：犀角屑（一两）、黄连（半两）、茯神（三分）、甘草（半两，炙至微赤并锉碎）。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每日服用五钱，用水一大盏，煎煮至五分，滤去药渣，不拘时候温服。
治疗伤寒所致的心膈部热毒，出现烦闷、谵语失控的病症，适宜服用生干地黄散方。
药材：生干地黄（二两）、玄参（一两半）、赤茯苓（一两）、麦门冬（一两，去心）、川升麻（一两）、甘草（半两，炙至微赤并锉碎）。
制法与用法：将上述药物捣碎并过筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分，滤去药渣，不拘时候温服。
治疗伤寒经过五六日，未经发汗治疗，大便干结涩滞，出现胡言乱语、烦躁不安的病症，适宜服用此方。
药材：前胡（一两，去芦头）、葛根（一两，锉碎）、川大黄（二两，锉碎并微炒）。
制法与用法：将上述药物捣碎并过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不拘时候温服。以大便通利为度。
治疗伤寒热毒蕴结在体内，出现胡言乱语、身体发热、心中烦躁的病症，适宜服用葛根散方。
药材：葛根（一两，锉碎）、黄芩（一两）、川大黄（一两，锉碎并微炒）、柴胡（一两，去苗）、甘草（半两，炙至微赤并锉碎）、犀角屑（一两）。
制法与用法：将上述药物捣碎并过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不拘时候温服。以大便通利为度。
治疗伤寒心脏虚热，出现谵语、神志恍惚不定的病症，适宜服用赤茯苓散方。
药材：赤茯苓（一两半）、牡蛎（一两，烧制成粉）、龙骨（一两半）、黄芩（一两）。
制法与用法：将上述药物捣碎并过筛制成散剂。先用水两大盏，加入一枚羊心，煮至熟透，捞出羊心。然后加入药末五钱、生姜半分，同煎至七分，滤去药渣，不拘时候，放温后分为两次服用。
治疗伤寒阳明病出现的谵语，伴有潮热、不能进食的症状者，说明肠胃中必有燥屎。若能进食者，则仅有耳聋症状。适宜服用此方（注：原文此处方名缺失，依内容推断为大承气汤类方）。
药材：川大黄（一两，锉碎并微炒）、川芒硝（一两半）、枳实（三分，麸炒至微黄）、浓朴（一两，去粗皮，涂生姜汁炙至香熟）。
制法与用法：将上述药物捣罗成细末。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，温服。如人行走五里的时间后再服一次。以大便通利为度。
治疗伤寒出汗后，出现心狂、谵语、欲奔跑的病症，适宜服用铅霜散方。
药材：铅霜（细研）、马牙硝、人参（去芦头）、郁金、茯神（以上各半两）、甘草（一分，炙至微赤并锉碎）。
制法与用法：将上述药物捣细并过细筛制成散剂。每次服用，不拘时候，用麦门冬煎成的温水调服二钱。
治疗伤寒发狂、谵语、大便不通、心腹胀满、欲奔跑的病症，适宜服用郁金散方。
药材：郁金（三分）、川大黄（一两半，锉碎并微炒）、栀子仁（三分）、柴胡（半两，去苗）、甘草（一分，炙至微赤并锉碎）、犀角屑（半两或三分）。
制法与用法：将上述药物捣细并过细筛制成散剂。每次服用，用葱豉汤调服二钱。如人行走十里的时间后再服一次。以大便通利为度。
治疗伤寒伏热在心脾，出现谵语，状如痴呆的病症，适宜服用朱砂散方。
药材：朱砂（半两，细研）、太阴玄精（半两，细锉）、犀角屑（一两）、铅霜（半两，细研）、紫石英（三分，细研并经水飞处理）、人参（一两，去芦头）、赤茯苓（一两）、防风（一两，去芦头）、诃黎勒皮（三分）。
制法与用法：将上述药物捣细并过细筛制成散剂，将前四种矿物/矿石类药物同研均匀。每次服用，不拘时候，用葱汤调服二钱。
治疗伤寒发热，面目红黄，烦躁欲奔跑，如见鬼神，谵语无法自制的病症，适宜服用黄药散方。
药材：黄药、川大黄（锉碎并微炒）、栀子仁、人参（去芦头）、槟榔、郁金、甘草（炙至微赤并锉碎）、龙胆（去芦头）、犀角屑（以上各半两）、川朴硝（一两）、紫菀（一两，洗去苗土）。
制法与用法：将上述药物捣细并过细筛制成散剂。每次服用，不拘时候，用鸡蛋清调服二钱，或用蜜水调服亦可。
In the course of a Shanghan (Cold Damage) disease, after four or five days, if the pulse is deep and accompanied by wheezing and chest fullness, it indicates that the pathogen is in the interior. If sweating methods are erroneously applied at this stage, body fluids will be excessively lost, leading to difficult defecation and resulting in a syndrome of exterior deficiency and interior excess.
For Shanghan where pathogenic heat accumulates in the Stomach, causing delirium and confused speech, the Xijiao San (Rhino Horn Powder) formula is indicated.
Ingredients: Rhinocerotis Cornu (Xijiao), Cimicifugae Rhizoma (Chushengma), Bupleuri Radix (Chaihu), Puerariae Radix (Gegen), Natrii Sulfas (Mangxiao) — each 1 liang; Glycyrrhizae Radix et Rhizoma (Gancao), roasted until slightly reddish-brown and cut — 0.5 liang; Isatidis Folium (Lanye) — 0.5 liang.
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm, without restriction on timing.
For Shanghan presenting with delirium, headache, high fever, and pain in all bone joints, the Chaihu San (Bupleurum Powder) formula is indicated.
Ingredients: Bupleuri Radix (Chaihu), Paeoniae Radix Rubra (Chishaoyao), Anemarrhenae Rhizoma (Zhimu), Gardeniae Fructus (Zhizi), Cimicifugae Rhizoma (Chushengma), Scutellariae Radix (Huangqin), Isatidis Folium (Daqing), Armeniacae Semen Amarum (Xingren).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian, decocted with one zhong of water and 50 grains of Fabae Semen Preparatum (Douchi) until reduced to 6 fen. Strain and take warm, without restriction on timing.
For Shanghan where pathogenic heat accumulates in the Stomach, causing nonsensical speech and high fever, the Daqing San (Isatis Leaf Powder) formula is indicated.
Ingredients: Isatidis Folium (Daqing), Polygala Radix (Yuanzhi), Cimicifugae Rhizoma (Chushengma), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Rhinocerotis Cornu (Xijiao), Ginseng Radix (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Phragmitis Rhizoma (Lugen).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian, decocted with one zhong of water until reduced to 5 fen. Strain and take warm, without restriction on timing.
For Shanghan where heat-toxin presses upon the Heart, causing delirium, hallucinations of seeing spirits, and mental unrest, the Hanfangji San (Stephania Tetrandra Powder) formula is indicated.
Ingredients: Stephaniae Tetrandrae Radix (Hanfangji), Cinnamomi Cortex (Guixin), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix Recens (Shengdihuang).
Preparation and Administration: The first four herbs are ground into fine powder and mixed with the juice extracted from fresh Rehmannia root. Add one zhong of water, mix well, place in a silver vessel, and steam for half a day. Each dose is 3 he, taken with warm water, without restriction on timing.
Another prescription:
Ingredients: Rhinocerotis Cornu (Xijiao), Coptidis Rhizoma (Huanglian), Poria Cum Ramo et Ligno (Fushen), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Take 5 qian daily, decocted with one zhong of water until reduced to 5 fen. Strain and take warm, without restriction on timing.
For Shanghan involving heat-toxin in the Heart and Diaphragm, causing restlessness, delirium, and loss of verbal control, the Sheng Gan Dihuang San (Dried Fresh Rehmannia Powder) formula is indicated.
Ingredients: Dried Fresh Rehmanniae Radix (Sheng Gan Dihuang), Scrophulariae Radix (Xuanshen), Poria Cum Ramo Rubro (Chifuling), Ophiopogonis Tuber (Mendong), Cimicifugae Rhizoma (Chushengma), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation and Administration: The above ingredients are sifted into a powder. Each dose consists of 5 qian, decocted with one zhong of water until reduced to 5 fen. Strain and take warm, without restriction on timing.
For Shanghan lasting five or six days without prior sweating treatment, presenting with constipation, nonsensical speech, and irritability, this formula is indicated.
Ingredients: Peucedani Radix (Qianhu), Puerariae Radix (Gegen), Rheii Radix et Rhizoma (Dahuang).
Preparation and Administration: The above ingredients are sifted into a powder. Each dose consists of 4 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm, without restriction on timing. Continue until bowel movement is unobstructed.
For Shanghan where heat-toxin is trapped in the interior, causing nonsensical speech, body heat, and mental agitation, the Gegen San (Kudzu Root Powder) formula is indicated.
Ingredients: Puerariae Radix (Gegen), Scutellariae Radix (Huangqin), Rheii Radix et Rhizoma (Dahuang), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao), Rhinocerotis Cornu (Xijiao).
Preparation and Administration: The above ingredients are sifted into a powder. Each dose consists of 4 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm, without restriction on timing. Continue until bowel movement is unobstructed.
For Shanghan involving deficient-heat in the Heart, causing delirium and vague mental state, the Chifuling San (Red Poria Powder) formula is indicated.
Ingredients: Poria Cum Ramo Rubro (Chifuling), Ostrea Concha (Muli), Longgu, Scutellariae Radix (Huangqin).
Preparation and Administration: The above ingredients are sifted into a powder. First, boil one sheep heart in two large bowls of water until cooked, remove the heart. Then add 5 qian of the herbal powder and half a slice of Zingiberis Rhizoma (Shengjiang), decoct until reduced to 7 fen. Strain, let cool to warm, and divide into two doses, taken without restriction on timing.
For Yangming Shanghan presenting with delirium, tidal fever, and inability to eat, there must be dry feces in the intestines and stomach. If the patient can eat, there may only be deafness. This formula is indicated.
Ingredients: Rheii Radix et Rhizoma (Dahuang), Natrii Sulfas (Mangxiao), Aurantii Fructus Immaturus (Zhishi), Magnoliae Officinalis Cortex (Houpo).
Preparation and Administration: The above ingredients are ground into powder. Each dose consists of 4 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Repeat the dose after the time it takes to walk five li. Continue until bowel movement is unobstructed.
After sweating in Shanghan, if the patient exhibits mania, delirium, and a desire to run away, the Qianshuang San (Lead Frost Powder) formula is indicated.
Ingredients: Qianshuang, Mayaxiao, Ginseng Radix (Renshen), Curcumae Radix (Yujin), Poria Cum Ramo et Ligno (Fushen), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation and Administration: The above ingredients are finely ground and sieved. Each dose is 2 qian, taken with warm water prepared from Ophiopogonis Tuber (Mendong), without restriction on timing.
For Shanghan presenting with mania, delirium, constipation, abdominal distension, and a desire to run away, the Yujin San (Curcuma Powder) formula is indicated.
Ingredients: Curcumae Radix (Yujin), Rheii Radix et Rhizoma (Dahuang), Gardeniae Fructus (Zhizi), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao), Rhinocerotis Cornu (Xijiao).
Preparation and Administration: The above ingredients are finely ground and sieved. Each dose is 2 qian, taken with decoction of Allii Fistulosi Bulbus (Cong) and Sojae Seminis Preparatum (Chidouchi). Repeat after the time it takes to walk ten li. Continue until bowel movement is unobstructed.
For Shanghan where latent heat resides in the Heart and Spleen, causing delirium resembling dementia, the Zhusha San (Cinnabar Powder) formula is indicated.
Ingredients: Cinnabaris (Zhusha), Taiyin Xuanjing, Rhinocerotis Cornu (Xijiao), Qianshuang, Purpurite (Ziyingshi), Ginseng Radix (Renshen), Poria Cum Ramo Rubro (Chifuling), Saposhnikoviae Radix (Fangfeng), Terminaliae Chebulae Pericarpium (Helilepi).
Preparation and Administration: The above ingredients are finely ground and sieved, mixing the first four mineral/herbal components evenly. Each dose is 2 qian, taken with scallion decoction, without restriction on timing.
For Shanghan presenting with fever, red and yellow face, irritability, desire to run away, hallucinations of seeing spirits, and uncontrollable delirium, the Huangyao San (Yellow Herb Powder) formula is indicated.
Ingredients: Huangyao, Rheii Radix et Rhizoma (Dahuang), Gardeniae Fructus (Zhizi), Ginseng Radix (Renshen), Arecae Semen (Binglang), Curcumae Radix (Yujin), Glycyrrhizae Radix et Rhizoma (Gancao), Gentianae Radix (Longdan), Rhinocerotis Cornu (Xijiao), Natrii Sulfas (Puxiao), Asteris Radix (Ziwan).
Preparation and Administration: The above ingredients are finely ground and sieved. Each dose is 2 qian, taken with egg white, or alternatively with honey-water, without restriction on timing.