（烦喘躁渴附）
《活人书》犀角地黄汤 治伤寒及温病应发汗而不发汗，内有瘀血者；及鼻衄、吐血不尽，内有
余瘀血，面黄大便黑者。此方主消化瘀血，兼治疮疹出得太盛，以此方解之。
犀角（屑，一两，如无以升麻代之） 生地黄（半斤） 芍药（三分） 牡丹（去心，一两）
上锉如麻豆大。每服五钱匕，水一盏半，煮取一盏。有热如狂者，加黄芩二两；其人脉大来迟，腹不满自
言满者，为无热，不用黄芩。
《疹痘论》甘草散方 若疮未出及虽出燥渴者，宜服。
上用大甘草，不以多少，炙过，为细末。每服一钱或二钱，水一盏，煎至六分，去滓。不计时候，呷之。
以少解利热毒即住。若疮出迟，当服紫草饮子（方见疮疹初出门，与《圣惠》同。）大人当针两腕砚子骨间，
男左女右取之。或灸一壮，亦助发出。疹痘毒瓦斯已发，不必用之。
《疹痘论》疮疹若烦喘甚者，即用麻黄汤主之方
麻黄 杏仁 桑白皮 甘草（炙。各一分）
上件为锉散。每药一两，用水七合，煎至四分放温服。若脉数有热未退，入竹沥一半代水煎。或咽喉痛并嗽，
入麝香少许。
《圣惠》治小儿疹痘出后，即须爱护面目，勿令沾染。欲用胡荽酒喷时，先用此方涂面上，然后方可喷四肢，大
人、婴孩有此疾，悉宜用黄柏膏方。
黄柏（一两） 绿豆（一两半） 甘草（四两，生用）
上件药捣，罗为末。再研令细，后以生麻油调如薄膏。从耳前、眼、唇并浓涂，日三五遍。上涂面后，可
用胡荽酒喷也。早用此方涂于面上，令不生疹痘也。如用此方涂迟，纵出疹痘亦少。诸家方爱护面目者，皆
以此方治疗。分两用法皆同，惟《疹痘论》一料用绿豆粉三两半。
《庄氏家传》小儿患疮疹，令不入眼方。
上用白芥子为末，水调，敷脚心。
《王氏手集》∶小儿疹痘初发，便令煎油渫 子之类，令儿看之。每哺儿切忌酱醋五味，马、牛、鸡、鹅、
野味等物。止令食淡熟猪肉，淡粥饭、饼饵之类。不能久食淡，入少盐无害。又于浸晨人未起时，抱儿于井上，
令自投绿豆七粒于井中，云使儿斑疮不入眼。又小儿疮疹，若食熟鸡鸭等卵，未有不损眼目者。虽疮疹已可，
尚宜数月勿食。
《活人书》中的犀角地黄汤，用于治疗伤寒及温病中应当发汗却未发汗，导致体内有瘀血的情况；以及鼻出血、吐血不尽，体内仍有残留瘀血，面色发黄、大便发黑的病症。此方主要功效是消化体内的瘀血，同时兼治疮疹发出过于旺盛的情况，用此方来化解。
犀角（锉成屑，一两，如果没有可用升麻代替） 生地黄（半斤） 芍药（三分） 牡丹皮（去掉心，一两）
以上药物切碎如麻豆大小。每次服用五钱匕，用水一盏半，煮取一盏药液。如果患者出现发热如狂的症状，加入黄芩二两；如果患者脉象虽然大但来势迟缓，腹部并不胀满却自述胀满的，属于无热证，不使用黄芩。
《疹痘论》中的甘草散方：如果疮疹尚未发出，或者虽然发出但伴有燥渴症状的，适宜服用此方。
以上使用大甘草，用量不限，经过炙烤后，研磨成细末。每次服用一钱或二钱，用水一盏，煎至六分，滤去药渣。不分时候，慢慢饮用。只要稍微能缓解热毒即可停止服用。如果疮疹发出迟缓，应当服用紫草饮子（方剂见“疮疹初出门”章节，与《圣惠方》相同）。成年人应当针刺两手腕部尺骨和桡骨茎突之间的凹陷处（即腕骨间），男性取左手，女性取右手。或者艾灸一壮，也有助于疮疹发出。如果疹痘毒气已经发散，则不必使用这种方法。
《疹痘论》关于疮疹如果出现严重烦闷喘息的情况，立即使用麻黄汤作为主方：
以上药物切碎成散剂。每用药一两，用水七合，煎至四分，放温后服用。如果脉象数且发热未退，加入一半量的竹沥代替水来煎煮。如果出现咽喉痛并伴有咳嗽，加入少许麝香。
《圣惠方》治疗小儿疹痘发出后，必须爱护面部，不要让患处沾染污物。想要用胡荽酒喷洒时，先用此方涂抹在面部，然后才可以喷洒四肢。大人、婴儿患有此疾，都适宜使用黄柏膏方。
以上药物捣碎，过筛成为粉末。再次研磨使其细腻，然后用生麻油调制成稀薄的膏状。从耳前、眼睛、嘴唇等处浓涂，每天三到五次。在面部涂好药后，可以使用胡荽酒喷洒了。早点用此方涂抹在面部，可以防止生出疹痘。如果使用此方涂抹得晚，即使长出疹痘也会较少。各家关于爱护面目的方子，大多以此方进行治疗。分量用法基本相同，只有《疹痘论》中的一料方使用绿豆粉三两半。
《庄氏家传》治疗小儿患疮疹，防止进入眼睛的方子。
以上使用白芥子研成粉末，用水调和，敷在脚心。
《王氏手集》记载：小儿疹痘刚发出时，就应让患儿观看煎煮的油渫子之类的事物（注：此处原文可能有误或指特定习俗，按字面翻译为观看相关事物），每顿饭时孩子切忌食用酱醋五味，马、牛、鸡、鹅、野味等食物。只允许吃清淡的熟猪肉、淡粥饭、饼饵之类的食物。如果不能长期吃清淡饮食，加入少量盐也无妨。又在清晨众人未起床时，抱着孩子到井边，让孩子自己投入七粒绿豆到井中，据说可以使孩子的斑疮不进入眼睛。另外，小儿患疮疹期间，如果吃了熟鸡鸭等蛋类，没有不损伤眼目的。即使疮疹已经痊愈，也宜数月内不要食用。
(Attached: Restlessness, Panting, Agitation, and Thirst)
**Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)** from *Huoren Shu* (Book of Living People) is indicated for Shanghan (Cold Damage) and Wenbing (Warm Diseases) where sweating should have been induced but was not, resulting in internal blood stasis; as well as for cases of incomplete epistaxis or hematemesis with residual internal blood stasis, presenting with a sallow complexion and black stools. This formula primarily resolves internal blood stasis and also treats excessive eruption of chuangzhen (infectious exanthems), using this formula to resolve the condition.
Rhino horn (crushed into powder, 1 liang; if unavailable, use Shengma/Cimicifugae Rhizoma as a substitute)
Shengdihuang (Rehmanniae Radix Recens, 0.5 jin)
Shaoyao (Paeoniae Radix, 3 fen)
Mudanpi (Moutan Cortex, heart removed, 1 liang)
Chop the herbs to the size of hemp seeds. For each dose, take 5 qianbi, add 1.5 zhan of water, and boil down to 1 zhan. If the patient exhibits fever and delirium resembling mania, add Huangqin (Scutellariae Radix) 2 liang. If the pulse is large but slow upon arrival, and the abdomen feels full though it is not distended, this indicates absence of heat; do not use Huangqin.
**Gancao San (Licorice Powder)** from *Zhen Dou Lun* (Treatise on Rash and Smallpox): Indicated when chuangzhen has not yet erupted, or has erupted but is accompanied by dryness and thirst.
Use large Gancao (Glycyrrhizae Radix et Rhizoma), quantity unspecified, roasted until golden, then ground into a fine powder. Take 1 qian or 2 qian per dose, add 1 zhan of water, decoct until reduced to 6 fen, filter out the dregs. Drink slowly at any time. Stop once slight relief of heat toxicity is achieved. If the eruption is delayed, Zicao Yinzi (Arnebiae Decoction) should be taken (see formula under "Early Stage of Chuangzhen," identical to *Shenghui Fang*). Adults should be needled at the interosseous space between the styloid processes of the radius and ulna in both wrists, taking the left side for males and the right side for females. Alternatively, moxibustion of one cone can also assist in the eruption. If the toxic qi of the rash/smallpox has already dispersed, these methods are unnecessary.
**Mahuang Tang (Ephedra Decoction)** from *Zhen Dou Lun*: For chuangzhen accompanied by severe restlessness and panting.
Mahuang (Ephedrae Herba)
Xingren (Armeniacae Semen Amarum)
Sangbaipi (Mori Cortex)
Gancao (Glycyrrhizae Radix et Rhizoma, roasted. Each 1 fen)
Grind the above ingredients into a coarse powder. For every 1 liang of medicine, add 7 he of water, decoct until reduced to 4 fen, allow to cool to warm temperature, and administer. If the pulse is rapid and heat has not subsided, add half the amount of Zhuli (Bambusae Sap) in place of water for decoction. If there is sore throat and cough, add a small amount of Shexiang (Moschus).
**Huangbai Gao (Phellodendron Ointment)** from *Shenghui Fang*: After pediatric chuangzhen erupts, care must be taken to protect the face and prevent contamination. Before spraying Huisu Jiu (Coriander Wine), apply this ointment to the face first, then spray the limbs. This applies to adults and infants suffering from this disease.
Huangbai (Phellodendri Cortex, 1 liang)
Lvdou (Vigna radiata, 1.5 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, raw, 4 liang)
Pound the above herbs, sieve into powder, and grind again until fine. Mix with raw Sesame oil (Mazhi) to form a thin paste. Apply thickly to the area before the ears, eyes, and lips, three to five times daily. After applying the ointment to the face, Huisu Jiu may be sprayed. Applying this early prevents the eruption of chuangzhen. Late application reduces the severity even if eruption occurs. Most formulas for facial protection utilize this base method. Dosages and usage are generally consistent, except *Zhen Dou Lun* specifies 3.5 liang of Lvdou Fen (Vigna radiata powder) per batch.
**White Mustard Seed Application** from *Zhuang Shi Jia Chuan*: To prevent chuangzhen from affecting the eyes in children.
Grind Baijiezì (Sinapis Semen) into powder, mix with water, and apply to the soles of the feet.
**Wang Shi Shou Ji**: When pediatric chuangzhen first appears, let the child view boiled oils or similar substances. At each meal, strictly avoid soy sauce, vinegar, and the five pungent flavors, as well as meat from horses, cattle, chickens, geese, and game. Allow only bland cooked pork, plain congee, rice, and cakes. If the child cannot tolerate a bland diet long-term, adding a little salt is harmless. Additionally, before dawn while others are asleep, carry the child to a well and have them drop seven mung beans into the well, believing this prevents facial scarring. Furthermore, if a child with chuangzhen consumes eggs from cooked chickens or ducks, eye damage is inevitable. Even after recovery, such foods should be avoided for several months.