暴风客热忽然猖，睥胀头疼泪似汤，寒热往来多鼻塞，目中沙涩痛难当。
此症非天行赤热，尔我感染，并寒热似疟，病发则目痛，以及肿胀如杯，久积退迟之比
也。乃素养不清，燥急劳苦，客感风热，卒然而发也。有肿胀，乃风热夹攻，火在血分之故
治亦易退。宜服∶
局方洗心散 热胜者服。治风壅壮热，头目昏痛，肩背拘急，肢节烦疼，热气上冲
口苦唇焦，咽喉肿痛，痰涎壅滞，涕唾稠粘，心神烦燥，眼涩睛疼，及寒壅不调，鼻塞声
重，咽干多渴，五心烦热，小便赤涩，大便秘涩。并宜服之。
荆芥穗 甘草 当归 大黄（煨） 赤芍药 麻黄（各六钱） 白术（五钱）
上为末。每服二、三钱，生姜薄荷汤煎服。
以白术合大黄入心，故名洗心，而从以麻黄、荆芥，亦是表里药。
洗肝散 风热俱胜者服，治风毒上攻，暴作目赤，肿痛难开，瘾涩，眵泪交流。
薄荷叶 当归 羌活 甘草（炙） 山栀仁（炒） 防风 大黄 川芎
上等分为末。每服二、三钱，食远沸汤调下。
羌活胜风汤（风胜者服，见卷二）
风火炎炎炽六阳，面浮脑肿泪如汤，羞明赤涩头疼痛，晓夜无宁不可当。
此症目赤痛，而头面浮肿，皮内燥赤也，状若大头伤寒，夏月多有此患，有湿热、风热
湿热多泪而皮烂。
风热多胀痛而憎寒，若失治则血滞于内。虽得肿消，而目必有变病矣。宜服∶
普济消毒饮 罗谦甫云∶先师监济源税时，四月，民多疫疾，初觉憎寒体重，次传头面
肿盛，目不能开，上喘，咽喉不利，舌干口燥，俗云大头天行，亲戚不相访问，染之多不救
先师曰∶夫身半以上，天之气也；身半以下，地之气也。此邪热客于心肺之间，上攻头目
而为肿盛。
黄连 黄芩（各五钱） 白僵蚕（炒，一钱） 鼠粘子 连翘 橘红 板蓝根 黑玄参 柴胡
桔梗 甘草梢（生用） 马屁勃 升麻（各二钱） 人参（三钱）
上为末。半用沸汤调，时时服之，半用炼蜜为丸，噙化之。
上方以黄芩、黄连味苦寒，泻心肺间热为君；橘红味苦平，玄参、柴胡苦寒，解利诸毒
生甘草甘寒泻火；人参甘温补气为臣；连翘、鼠粘子味辛平，板蓝根味苦寒，马屁勃、白
僵蚕、升麻味苦平微寒，行少阳、阳明，二经气不得伸；桔梗味苦辛温，为舟楫，不令下行
或加防风、苏薄荷、川芎、当归身， 咀，如麻豆大。每服五钱，水二钟，煎至一
钟，去滓温热，食后时时服之。如大便硬，加酒制大黄一钱，或二钱以利之；肿势甚者，宜
砭刺之。
愚按∶时行疫疾，虽由热毒所染，其气实之人，下之可愈，气虚者概下之，鲜不危者。
故东垣先生制为此方，以救气虚者，其惠溥矣。
住痛解毒丸
硼砂（五钱） 没药（五分） 川芎 荆芥穗 朴硝 白芷 石膏 家菊花（各一钱） 麝香
上为细末，米糊为丸，如桐子大。每服钱半，不拘时，温汤送下。
暴风客热突然发作，眼睑肿胀，头痛，流泪如汤。伴有寒热往来、鼻塞等症状，眼中沙涩感强烈，疼痛难忍。
此症并非天行赤眼（传染性红眼病）那种互相感染的情况，也不像寒热似疟疾那样，发病时眼睛疼痛且肿胀如杯状，消退缓慢的情况。这是由于平时体内素有湿热不清，加之急躁劳累，外感风热邪气，突然发作所致。出现肿胀，是因为风热夹攻，火热在血分中的缘故。治疗也容易消退。适宜服用：
局方洗心散 适用于热邪偏盛者。主治风邪壅滞引起的壮热，头目昏痛，肩背拘急，肢节烦疼，热气上冲，口苦唇焦，咽喉肿痛，痰涎壅滞，鼻涕唾液稠粘，心神烦躁，眼涩睛疼，以及寒热不调，鼻塞声重，咽干多渴，五心烦热，小便赤涩，大便秘结不通。以上症状均适宜服用此药。
药材组成：荆芥穗、甘草、当归、大黄（煨制）、赤芍药、麻黄（各六钱），白术（五钱）。
将上述药物研为细末。每次服用二至三钱，用生姜和薄荷煎汤送服。
因为白术合大黄入心经，所以名为“洗心”，辅以麻黄、荆芥，也是表里双解的药物。
洗肝散 适用于风热俱盛者。主治风毒上攻，突然发生眼睛发红，肿痛难以睁开，眼内异物感涩，眼屎泪水交流。
药材组成：薄荷叶、当归、羌活、甘草（炙制）、山栀仁（炒制）、防风、大黄、川芎。
将上述药物等分为末。每次服用二至三钱，饭后不久用沸水调服。
羌活胜风汤 （适用于风邪偏盛者，详见卷二）
风火炽盛，侵犯六阳经，面部浮肿，脑部肿胀，流泪如汤，怕光，眼睛发红涩痛，头痛剧烈，日夜不得安宁，痛苦难当。
此症表现为眼睛红痛，头面浮肿，皮肤内部燥热发红。症状类似大头伤寒，夏季多有此患。若属湿热，则多泪且皮肤溃烂；若属风热，则多胀痛且恶寒。如果失治，会导致血液停滞于体内。即使肿胀消退，眼睛也必然产生变证。适宜服用：
普济消毒饮 罗谦甫说：先师在监管济源税务时，四月间，百姓多患瘟疫疾病。起初感觉恶寒身体沉重，随后传染到头面部严重肿胀，眼睛无法睁开，向上气喘，咽喉不利，舌干口燥，俗称“大头天行”。亲戚不敢互相探访，染病的人大多无法救治。
先师说：人身半以上，是天之气；人身半以下，是地之气。这是邪热客居在心肺之间，向上攻冲头目而导致严重肿胀。
药材组成：黄连、黄芩（各五钱），白僵蚕（炒制，一钱），鼠粘子（牛蒡子）、连翘、橘红、板蓝根、黑玄参、柴胡、桔梗、甘草梢（生用）、马屁勃（苍耳草）、升麻（各二钱），人参（三钱）。
将上述药物研为细末。一半用沸水调服，时时服用；另一半用炼蜜制成丸药，含化服用。
上方中，黄芩、黄连味苦寒，泻心肺间的热邪作为君药；橘红味苦平，玄参、柴胡味苦寒，解除各种毒邪；生甘草味甘寒泻火；人参味甘温补气作为臣药；连翘、鼠粘子味辛平，板蓝根味苦寒，马屁勃、白僵蚕、升麻味苦平微寒，疏通少阳、阳明两经郁滞的气机；桔梗味苦辛温，作为舟楫之药，防止药力下行。
或者加入防风、苏薄荷、川芎、当归身，切碎如麻豆大小。每次服用五钱，用水二钟，煎至一钟，去渣温热后，饭后时时服用。如果大便干燥，加酒制大黄一钱或二钱以通利大便；如果肿胀严重，适宜用砭石刺破放血。
愚按：时行疫病，虽然是由热毒感染引起，但体质实的人，使用下法可以痊愈；对于气虚的人，一概使用下法，很少有不危险的。所以东垣先生制定此方，以救助气虚的患者，其恩惠广大了。
住痛解毒丸
药材组成：硼砂（五钱）、没药（五分）、川芎、荆芥穗、朴硝、白芷、石膏、家菊花（各一钱）、麝香。
将上述药物研为细末，用米糊制作成丸药，如梧桐子大小。每次服用钱半，不拘时间，用温水送服。
Bao Feng Ke Re (Violent Wind and Guest Heat) suddenly flares up, with eyelid swelling, headache, and tears flowing like soup. There are alternating chills and fever, nasal congestion, severe sandiness in the eyes, and unbearable pain.
This condition is not Tian Xing Chi Re (Epidemic Red Eye), which involves mutual infection, nor is it a condition resembling malaria where eye pain and cup-like swelling occur at onset and recede slowly over time. It arises because of internal accumulation of damp-heat that has not been cleared, combined with irritability, fatigue, and labor, leading to an external contraction of wind-heat pathogenic factors, resulting in sudden onset. The presence of swelling is due to wind-heat attacking together, with fire residing in the blood level. Treatment is relatively easy to resolve. It is suitable to take:
Ju Fang Xi Xin San (Official Formula Washing Heart Powder). Indicated for cases where heat pathogen predominates. It treats wind obstruction causing high fever, dizziness and pain in the head and eyes, stiffness and tension in the shoulders and back, vexatious pain in the limbs and joints, rising heat qi, bitter taste in the mouth, dry and cracked lips, sore and swollen throat, accumulation of phlegm and saliva, thick and sticky sputum and nasal discharge, mental restlessness, dry and painful eyes, as well as imbalance of cold and heat, nasal congestion with heavy voice, dry throat with excessive thirst, five-palm heat, red and scanty urination, and constipation with difficult defecation. All these symptoms are suitable for this formula.
Ingredients: Jing Jie Sui (Schizonepetae Spica), Gan Cao (Licorice Root), Dang Gui (Angelicae Sinensis Radix), Da Huang (Rhubarb Root), Chi Shao Yao (Red Peony Root), Ma Huang (Ephedrae Herba) (each 6 qian); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (5 qian).
Grind the above ingredients into powder. Take 2–3 qian each time, decocted with ginger and mint water.
Because Bai Zhu combined with Da Huang enters the Heart meridian, it is named "Washing Heart"; assisted by Ma Huang and Jing Jie, it acts as a formula addressing both exterior and interior.
Xi Gan San (Liver Washing Powder). Indicated for cases where both wind and heat pathogen predominate. It treats wind-toxin attacking upward, causing sudden redness of the eyes, severe swelling and pain making it difficult to open the eyes, itching and grittiness, and profuse discharge and tears.
Ingredients: Bo He Ye (Menthae Haplocalycis Folium), Dang Gui (Angelicae Sinensis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Licorice Root, prepared), Shan Zhi Ren (Gardeniae Semen), Fang Feng (Saposhnikoviae Radix), Da Huang (Rhubarb Root), Chuan Xiong (Ligusticum Chuanxiong Rhizoma).
Grind the above ingredients equally into powder. Take 2–3 qian each time, mixed with boiling water shortly after meals.
Qiang Huo Sheng Feng Tang (Notopterygium Victory-over-Wind Decoction) (Indicated for cases where wind pathogen predominates; see Volume 2).
Wind and fire blaze fiercely, invading the Six Yang meridians. The face swells, the brain feels swollen, tears flow like soup. There is photophobia, redness and grittiness in the eyes, headache, and no relief day or night, making the suffering unbearable.
This condition presents with red and painful eyes, swelling of the head and face, and dry, red skin internally. The presentation resembles Da Tou Shang Han (Big Head Cold). It occurs frequently in summer. If caused by damp-heat, there is excessive tearing and skin erosion. If caused by wind-heat, there is distending pain and aversion to cold. If untreated, blood stasis will occur internally. Even if the swelling subsides, eye complications will inevitably arise. It is suitable to take:
Pu Ji Xiao Du Yin (Universal Benefit Detoxification Decoction). Luo Qianfu said: When my master supervised the tax collection in Jiyuan, in April, many people suffered from epidemic diseases. Initially, they felt aversion to cold and heaviness in the body, which then progressed to severe swelling of the head and face, inability to open the eyes, upper respiratory distress, throat dysfunction, dry tongue, and dry mouth. Commonly known as "Big Head Epidemic," relatives avoided visiting each other, and most infected individuals did not survive.
My master said: The upper half of the body corresponds to the Qi of Heaven; the lower half corresponds to the Qi of Earth. This pathogenic heat resides between the Heart and Lungs, attacking upward to the head and eyes, causing severe swelling.
Ingredients: Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix) (each 5 qian), Bai Jiang Can (Bombyx Batryticatus) (stir-fried, 1 qian), Niu Bang Zi (Arctii Fructus), Lian Qiao (Forsythiae Fructus), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Ban Lan Gen (Isatidis Radix), Xuan Shen (Scrophulariae Radix), Chai Hu (Bupleuri Radix), Jie Geng (Platycodonis Radix), Gan Cao Shao (Licorice Root tip, raw), Pi Po Bo (Ageratum Conyzoides Herb), Sheng Ma ( Cimicifugae Rhizoma) (each 2 qian), Ren Shen (Ginseng Radix et Rhizoma) (3 qian).
Grind the above ingredients into powder. Half is taken mixed with boiling water, consumed frequently; the other half is made into pills with refined honey for sucking.
In the above formula, Huang Qin and Huang Lian are bitter and cold, clearing heat from the Heart and Lungs, serving as the Sovereign drugs; Ju Hong is bitter and neutral; Xuan Shen and Chai Hu are bitter and cold, resolving various toxins; Raw Gan Gan Cao is sweet and cold, clearing fire; Ren Shen is sweet and warm, tonifying Qi, serving as the Minister drugs; Lian Qiao and Niu Bang Zi are acrid and neutral; Ban Lan Gen is bitter and cold; Pi Po Bo, Bai Jiang Can, and Sheng Ma are bitter, neutral, and slightly cold, unblocking the Qi stagnation in the Shaoyang and Yangming meridians; Jie Geng is bitter, acrid, and warm, acting as a boat and oar to prevent downward movement of the medicine.
Alternatively, add Fang Feng (Saposhnikoviae Radix), Su Bo He (Menthae Haplocalycis Folium var. pterocarpa), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix radix portion), chopped like hemp seeds. Take 5 qian each time, with two zhong of water, decocted to one zhong. Strain and drink warm, taking frequently after meals. If stool is hard, add Jiu Zhi Da Huang (Wine-processed Rhubarb Root) 1–2 qian to promote bowel movement; if swelling is severe, it is appropriate to use Bian Ci (stone puncture/bloodletting).
Commentary: Epidemic diseases, although caused by heat-toxin infection, can be cured by purgation in patients with excess constitution. However, applying purgation indiscriminately to patients with Qi deficiency rarely fails to cause danger. Therefore, Mr. Dongyuan formulated this prescription to save those with Qi deficiency, showing great benevolence.
Zhu Tong Jie Du Wan (Pain-Relieving Detoxification Pill)
Ingredients: Peng Sha (Borax), Mo Yao (Myrrha), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Jing Jie Sui (Schizonepetae Spica), Pu Xiao (Natrii Sulfas), Bai Zhi (Angelicae Dahuricae Radix), Shi Gao (Gypsum Fibrosum), Jia Ju Hua (Chrysanthemi Flos) (each 1 qian), She Xiang (Moschus).
Grind the above ingredients into fine powder, bind with rice paste to make pills the size of paulownia seeds. Take 1.5 qian each time, at any time, swallowed with warm water.