夫热病三日。诸阳传病讫。病犹在表。未入于脏。故胸胁热而耳聋。可发汗而愈也。
治热病三日。未得汗。壮热烦闷。欲得饮水。宜服葛根散方。
葛根(一两锉) 川大黄(一两锉碎微炒) 黄芩(一两) 麻黄(二两去根节) 桂
心(一两)
赤芍药(一两) 甘草(半两炙微赤锉) 柴胡(一两去苗) 栀子仁(半两)
上件药。捣粗罗为散。每服四钱。用水一中盏。入生姜半分。煎至五分。去滓。不计时
候。稍热服。令有汗为度。
治热病三日。发汗未解。头痛口干。心胸烦闷。宜服大黄散方。
川大黄(一两锉碎微炒) 柴胡(一两) 秦艽(一两半去苗) 石膏(二两) 麻黄
(一两去
根节) 甘草(半两炙微赤锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时
候。稍热频服。汗出为度。
治热病三日。头痛口苦。寒热往来。宜服柴胡饮子方。
柴胡(一两半去苗) 木通(一两半锉) 赤芍药(一两半) 豉(一合) 石膏〔二
(三)两半
捣〕 甘草(半两炙微赤锉)
上件药。都细锉和匀。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。
治热病三日。头疼壮热。宜服麻黄散方。
麻黄〔二(一)两去根节〕 知母(一两) 赤芍药(一两半) 葛根(一两) 黄芩
(半两)
甘草
石膏
(二两)
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候。稍热服。衣盖取汗。
治热病三日。表犹未解。壮热。头目四肢不利。宜服发汗桂心散方。
桂心(半两) 柴胡(一两去苗) 甘草(一分炙微赤锉) 葛根(一两锉) 赤茯苓
(半两)
泽泻(半两) 赤芍药(半两) 麻黄(一两去根节)
上件药。捣粗罗为散。每服五钱。以水一中盏。入薄荷二七叶。煎至六分。去滓。不计
时候。稍热服。衣盖取汗。未汗再服。
治热病三日。解毒瓦斯。苦参散方。
苦参(一两锉) 黄芩(二两) 甘草(半两炙微赤锉)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至六分。去滓。入生地黄汁一合。搅
令匀。不计时候。分温二服。
治热病三日。经发汗。热退后。尚寒热往来。不能饮食。宜服知母散方。
知母(一两) 枳实(一两半麸炒微黄) 栀子仁(一两半)
上件药。捣筛为散。每服五钱。以水一大盏。入豉少许。煎至五分。去滓。不计时候。
温服。
热病发展到第三天,诸阳经的病邪已经传遍,但病邪仍在体表,尚未深入脏腑。因此出现胸胁部发热和耳聋的症状,可以通过发汗的方法治愈。
治疗热病第三天,尚未出汗,高热烦躁闷乱,想要饮水,适宜服用葛根散方。
葛根(一两,锉碎) 川大黄(一两,锉碎后微炒) 黄芩(一两) 麻黄(二两,去除根和节) 桂心(一两)
赤芍药(一两) 甘草(半两,炙烤至微红并锉碎) 柴胡(一两,去除苗头) 栀子仁(半两)
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不限时间,稍温热服用,以出汗为度。
治疗热病第三天,发汗后病未解除,头痛口干,心胸烦闷,适宜服用大黄散方。
川大黄(一两,锉碎后微炒) 柴胡(一两) 秦艽(一两半,去除苗头) 石膏(二两) 麻黄(一两,去除根和节) 甘草(半两,炙烤至微红并锉碎)
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不限时间,稍温热频繁服用,以出汗为度。
治疗热病第三天,头痛口苦,寒热往来(忽冷忽热),适宜服用柴胡饮子方。
柴胡(一两半,去除苗头) 木通(一两半,锉碎) 赤芍药(一两半) 豉(一合) 石膏(二两半,捣碎) 甘草(半两,炙烤至微红并锉碎)
以上药物,全部细锉并混合均匀。每次服用半两,用水一大盏,煎煮至剩余五分药液,滤去药渣。不限时间,温服。
治疗热病第三天,头疼高热,适宜服用麻黄散方。
麻黄(二两,去除根和节) 知母(一两) 赤芍药(一两半) 葛根(一两) 黄芩(半两) 甘草 石膏(二两)
以上药物,捣碎过粗罗筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不限时间,稍温热服用,盖衣被取汗。
治疗热病第三天,表证仍未解除,高热,头目四肢不利(活动不便),适宜服用发汗桂心散方。
桂心(半两) 柴胡(一两,去除苗头) 甘草(一分,炙烤至微红并锉碎) 葛根(一两,锉碎) 赤茯苓(半两) 泽泻(半两) 赤芍药(半两) 麻黄(一两,去除根和节)
以上药物,捣碎过粗罗筛成散剂。每次服用五钱,用水一中盏,加入薄荷十四片叶子,煎煮至剩余六分药液,滤去药渣。不限时间,稍温热服用,盖衣被取汗。若未出汗,再服用一次。
治疗热病第三天,解毒瓦斯(毒热之气),使用苦参散方。
苦参(一两,锉碎) 黄芩(二两) 甘草(半两,炙烤至微红并锉碎)
以上药物,捣碎过粗罗筛成散剂。每次服用五钱,用水一大盏,煎煮至剩余六分药液,滤去药渣,加入生地黄汁一合,搅拌均匀。不限时间,分两次温服。
治疗热病第三天,经过发汗治疗后,热退之后,仍然寒热往来,不能饮食,适宜服用知母散方。
知母(一两) 枳实(一两半,麸炒至微黄) 栀子仁(一两半)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,加入少许豉,煎煮至剩余五分药液,滤去药渣。不限时间,温服。
On the third day of febrile disease, after the pathogenic factors have circulated through all the Yang meridians, the disease remains in the exterior and has not yet entered the Zang organs. Consequently, there is heat in the chest and hypochondrium accompanied by deafness; it can be cured by inducing sweating.
For febrile disease on the third day, where sweating has not occurred, with high fever, restlessness, and a desire to drink water, Ge Gen San (Kudzu Powder) is appropriate.
Ge Gen (Puerariae Radix, 1 liang, crushed) Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, crushed and slightly stir-fried) Huang Qin (Scutellariae Radix, 1 liang) Ma Huang (Ephedrae Herba, 2 liang, roots and nodes removed) Gui Xin (Cinnamomi Cortex, 1 liang)
Chi Shao Yao (Paeoniae Radix Rubra, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed) Chai Hu (Bupleuri Radix, 1 liang, radix removed) Zhi Zi Ren (Gardeniae Fructus, half liang)
The above ingredients are coarsely ground into powder. Each dose consists of 4 qian, decocted with one zhong zhan of water and half a fen jiang sheng (fresh ginger), reduced to five fen. Strain the dregs. Take warm at any time, aiming for sweating as the endpoint.
For febrile disease on the third day, where sweating failed to resolve the condition, presenting with headache, dry mouth, and chest/epigastric restlessness, Da Huang San (Rhubarb Powder) is appropriate.
Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, crushed and slightly stir-fried) Chai Hu (Bupleuri Radix, 1 liang) Qin Jiao (Gentianae Macrophyllae Radix, 1.5 liang, radix removed) Shi Gao (Gypsum Fibrosum, 2 liang) Ma Huang (Ephedrae Herba, 1 liang, roots and nodes removed) Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed)
The above ingredients are coarsely ground into powder. Each dose consists of 4 qian, decocted with one zhong zhan of water and half a fen jiang sheng (fresh ginger), reduced to five fen. Strain the dregs. Take frequently while warm at any time, aiming for sweating as the endpoint.
For febrile disease on the third day, presenting with headache, bitter taste in the mouth, and alternating chills and fever, Chai Hu Yin Zi (Bupleuri Decoction) is appropriate.
Chai Hu (Bupleuri Radix, 1.5 liang, radix removed) Mu Tong (Akebiae Caulis, 1.5 liang, crushed) Chi Shao Yao (Paeoniae Radix Rubra, 1.5 liang) Chi Dou (Sojae Semen Praeparatum, 1 he) Shi Gao (Gypsum Fibrosum, 2.5 liang, crushed) Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed)
The above ingredients are finely cut and mixed evenly. Each dose consists of half liang, decocted with one da zhan of water, reduced to five fen. Strain the dregs. Take warm at any time.
For febrile disease on the third day, presenting with headache and high fever, Ma Huang San (Ephedra Powder) is appropriate.
Ma Huang (Ephedrae Herba, 2 liang, roots and nodes removed) Zhi Mu (Anemarrhenae Rhizoma, 1 liang) Chi Shao Yao (Paeoniae Radix Rubra, 1.5 liang) Ge Gen (Puerariae Radix, 1 liang) Huang Qin (Scutellariae Radix, half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma) Shi Gao (Gypsum Fibrosum, 2 liang)
The above ingredients are coarsely ground into powder. Each dose consists of 5 qian, decocted with one da zhan of water and half a fen jiang sheng (fresh ginger), reduced to five fen. Strain the dregs. Take warm at any time, cover with clothing to induce sweating.
For febrile disease on the third day, where the exterior syndrome remains unresolved, with high fever and stiffness/impairment of the head, eyes, and limbs, Fa Han Gui Xin San (Sweating Cinnamon Twig Powder) is appropriate.
Gui Xin (Cinnamomi Cortex, half liang) Chai Hu (Bupleuri Radix, 1 liang, radix removed) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and crushed) Ge Gen (Puerariae Radix, 1 liang, crushed) Chi Fu Ling (Poria cum Risu Rubrum, half liang) Ze Xie (Alismatis Rhizoma, half liang) Chi Shao Yao (Paeoniae Radix Rubra, half liang) Ma Huang (Ephedrae Herba, 1 liang, roots and nodes removed)
The above ingredients are coarsely ground into powder. Each dose consists of 5 qian, decocted with one zhong zhan of water and fourteen leaves of Bo He (Menthae Haplocalycis Herba), reduced to six fen. Strain the dregs. Take warm at any time, cover with clothing to induce sweating. If sweating does not occur, take again.
For febrile disease on the third day, to detoxify toxic heat qi, Ku Shen San (Sophora Root Powder) is used.
Ku Shen (Sophorae Flavescentis Radix, 1 liang, crushed) Huang Qin (Scutellariae Radix, 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed)
The above ingredients are coarsely ground into powder. Each dose consists of 5 qian, decocted with one da zhan of water, reduced to six fen. Strain the dregs, add one he of Sheng Di Huang Zhi (Rehmanniae Radix juice), mix well. Take divided into two warm doses at any time.
For febrile disease on the third day, after sweating treatment, when the fever subsides but alternating chills and fever persist and appetite is lost, Zhi Mu San (Anemarrhena Powder) is appropriate.
Zhi Mu (Anemarrhenae Rhizoma, 1 liang) Zhi Shi (Aurantii Fructus Immaturus, 1.5 liang, bran-fried until slightly yellow) Zhi Zi Ren (Gardeniae Fructus, 1.5 liang)
The above ingredients are ground and sifted into powder. Each dose consists of 5 qian, decocted with one da zhan of water and a small amount of Chi Dou (Sojae Semen Praeparatum), reduced to five fen. Strain the dregs. Take warm at any time.