治肺痨有热，不能服补气之剂者。（肺虚挟火，或咳嗽发热，阴虚已甚。再服补阳
则火益亢，而阴愈亏。故有虽病虚劳，不能服温补药者。）知母 贝母 等分。炒为
火旺烁金，肺痨热，能受温补者易治，不能受温补者难治。故又设此法以滋阴，用贝母
化痰
治发斑咽痛。（发斑者，阳明胃热也。咽痛者，太阴肺火也。）
元参 升麻 甘草（等分。）
升麻能入阳明，升阳解毒。元参能入太阴，清金制火。甘草甘平，能散能和，故可利咽
散斑
除元参，加犀角射干黄芩人参，名阳毒升麻汤。治阳毒发斑，头项背痛，狂躁骂詈，咽
肿吐
（节庵） 治伤寒热邪传里，里实表虚，阳毒发斑。（血热不散，蒸于皮肤则为斑
如锦纹。紫黑者，热极而胃烂也，多死。此或因阳证，误投热药。或因下早，表热乘虚
或因下迟，热留胃中，皆发斑。有阴证发斑者，元气大虚，寒伏于下，逼其无根失守
上独熏肺，传于皮肤，淡红而稀少也。宜大建中汤，误投寒剂则殆矣。）
青黛 黄连 犀角 石膏 知母 元参 栀子 生地黄 柴胡 人参 甘草 加姜枣
煎。入
发斑虽由胃热，亦诸经之火有以助之。青黛黄连，以清肝火。栀子元参，以清心肺之火。
知
肌
乘
（无择） 治鼻渊。（鼻流浊涕不止，名鼻渊。乃风热烁脑，而液外渗也。经曰∶脑渗
为涕。又曰∶胆移热于脑，则辛 鼻渊。即山根，辛 ，酸痛也。原病式曰∶如以火烁金，
热极则反化为水。肝热甚则出泣，心热甚则出汗，脾热甚则出涎，肺热甚则出涕，肾热甚则
出唾。皆火热盛极，消烁以致之也。）
白芷（一两） 薄荷 辛夷（各五钱） 苍耳子（炒二钱半）为末，食前葱茶汤调下二
钱。
凡头面之疾，皆由清阳不升，浊阴逆上所致。白芷主手足阳明，上行头面，通窍表汗，
除湿
达皮
脑液
治疗肺痨伴有热象，且无法服用补气药物者。（这是肺虚兼有火邪，或者咳嗽发热，阴虚程度非常严重。如果再服用补阳的药物，则火气更加亢盛，而阴液更加亏损。因此，虽然有虚劳之病，但不能服用温补药的情况。）知母、贝母，各取等分。炒制后研为细末。
因为火旺灼伤肺金（肺属金），导致肺痨发热。能够耐受温补治疗的比较容易治愈，不能耐受温补治疗的则难以治愈。所以又设立此法以滋阴，使用贝母来化痰。
治疗发斑和咽喉疼痛。（发斑，是阳明胃经有热所致。咽喉疼痛，是太阴肺经有火所致。）玄参、升麻、甘草，各取等分。
升麻能入阳明经，提升阳气并解毒。玄参能入太阴经，清润肺金并制约火邪。甘草味甘性平，既能发散又能调和，所以可以利咽并消散斑疹。
去掉玄参，加入犀角、射干、黄芩、人参，名为“阳毒升麻汤”。治疗阳毒引起的发斑，以及头项背痛、狂躁骂人、咽喉肿痛等症状。
（节庵）治疗伤寒热邪传入体内，里实表虚，阳毒发斑。（血热无法消散，蒸腾于皮肤则形成斑疹，如锦纹般美丽。颜色紫黑的，说明热极而导致胃烂，大多死亡。这可能是因为阳证误用了热药。也可能是因为攻下过早，表热乘虚而入。或者是攻下过迟，热邪留存在胃中，都会导致发斑。也有阴证发斑的情况，那是元气大虚，寒邪伏于下部，逼迫无根失守的阳气上浮，独自熏蒸肺部，传至皮肤，表现为淡红色且稀少。应当使用大建中汤，如果误用寒凉药剂就会危险了。）青黛、黄连、犀角、石膏、知母、玄参、栀子、生地黄、柴胡、人参、甘草，加生姜、大枣煎服。
发斑虽然由胃热引起，但也因为有其他经络的火邪相助。青黛、黄连，用来清肝火。栀子、玄参，用来清心肺之火。
（无择）治疗鼻渊。（鼻流浊涕不止，称为鼻渊。这是由于风热灼烧脑部，导致津液外渗。医经说：脑中的液体渗漏成为鼻涕。又说：胆的热邪移注于脑，则出现鼻塞、嗅觉失灵及酸痛。原病式说：就像火灼烧金属，热极则反化为水。肝热甚则流泪，心热甚则出汗，脾热甚则流涎，肺热甚则流涕，肾热甚则吐唾。都是因为火热盛极，消烁津液所导致的。）白芷（一两）、薄荷、辛夷（各五钱）、苍耳子（炒二钱半），研为细末，饭前用葱白茶汤调服二钱。
Treats pulmonary tuberculosis (pulmonary consumption) with heat signs, in patients who cannot tolerate qi-tonifying agents. (This indicates lung deficiency accompanied by fire pathogen, or cough with fever, where yin deficiency is severe. Administering yang-tonifying drugs would further exacerbate the fire and deplete yin further. Thus, although there is a deficiency-consumption disease, warm-tonifying medicines are contraindicated.) Anemarrhenae Rhizoma (Zhimu) and Fritillariae Bulbus (Beimu), taken in equal parts. Stir-fried and ground into fine powder.
Because excessive fire scorches Lung Metal (the Lung belongs to Metal), causing pulmonary tuberculosis with heat. Cases that can tolerate warm-tonifying treatment are easier to cure; those that cannot tolerate them are difficult to treat. Therefore, this method is established to nourish yin, using Fritillariae Bulbus (Beimu) to resolve phlegm.
Treats macules (skin eruptions) and sore throat. (Macules result from heat in the Yangming Stomach channel. Sore throat results from fire in the Taiyin Lung channel.) Scrophulariae Radix (Xuanshen), Cimicifugae Rhizoma (Shengma), and Glycyrrhizae Radix et Rhizoma (Gancao), taken in equal parts.
Cimicifugae Rhizoma (Shengma) enters the Yangming channel, raises yang and resolves toxicity. Scrophulariae Radix (Xuanshen) enters the Taiyin channel, clears Lung Metal and restrains fire. Glycyrrhizae Radix et Rhizoma (Gancao) is sweet and neutral, capable of dispersing and harmonizing, thus it can benefit the throat and dissipate macules.
Remove Scrophulariae Radix (Xuanshen), add Rhinocerotis Cornu (Xijiao), Belamcandae Radix (Shegan), Scutellariae Radix (Huangqin), and Ginseng Radix (Renshen). This formula is named Yangdu Shengma Decoction. It treats macules caused by Yang-toxin, along with pain in the head, neck, and back, mania, cursing, and swollen throat.
(Jie'an) Treats typhoid fever where heat pathogen has transmitted inward, resulting in interior excess and exterior deficiency, with Yang-toxin macules. (Blood-heat failing to disperse steams onto the skin, forming macules resembling brocade patterns. Purple-black macules indicate extreme heat leading to stomach rot, often fatal. This may be due to misapplying hot medicines for Yang-patterns, or purging too early allowing exterior heat to enter via deficiency, or purging too late leaving heat in the stomach. All these cause macules. There are also Yin-pattern macules: when Yuan-qi is severely deficient, cold hides below, forcing rootless and unanchored yang to float upward, scorching the Lung alone, and transmitting to the skin, appearing as pale red and sparse macules. Da Jianzhong Decoction should be used; misusing cold agents would be dangerous.) Baphicacanthi Cuspidis Folium et Radix (Qingdai), Coptidis Rhizoma (Huanglian), Rhinocerotis Cornu (Xijiao), Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu), Scrophulariae Radix (Xuanshen), Gardeniae Fructus (Zhizi), Rehmanniae Radix Preparata (Shengdihuang), Bupleuri Radix (Chaihu), Ginseng Radix (Renshen), and Glycyrrhizae Radix et Rhizoma (Gancao), decocted with Zingiberis Recens Rhizoma (Shengjiang) and Jujubae Fructus (Dazao).
Although macules originate from Stomach heat, they are also assisted by fire from other channels. Baphicacanthi Cuspidis Folium et Radix (Qingdai) and Coptidis Rhizoma (Huanglian) clear Liver fire. Gardeniae Fructus (Zhizi) and Scrophulariae Radix (Xuanshen) clear Heart and Lung fire.
(Wuze) Treats Biyuan (chronic rhinitis/sinusitis). (Continuous flow of turbid nasal discharge is called Biyuan. It is caused by wind-heat scorching the brain, causing fluids to leak outward. The Classics state: fluid leakage from the brain becomes nasal discharge. Also: Gallbladder heat transferring to the brain causes nasal congestion, anosmia, and pain. Yuanbing Shi states: just as fire scorches metal, extreme heat transforms into water. Excessive Liver heat causes tearing, excessive Heart heat causes sweating, excessive Spleen heat causes salivation, excessive Lung heat causes nasal discharge, excessive Kidney heat causes spitting saliva. All are caused by extreme heat consuming fluids.) Angelicae Dahuricae Radix (Baizhi, 1 liang), Menthae Haplocalycis Herba (Bohe), and Xanthii Fructus Coriaceus (Xinyi, each 5 qian), and Xanthii Fructus (Caierzi, stir-fried, 2.5 qian), ground into powder. Take 2 qian before meals, mixed with Congbai (scallion white) tea water.
All diseases of the head and face are caused by the failure of Clear Yang to ascend and the counter-flow of Turbid Yin. Baizhi primarily acts on the Hand and Foot Yangming channels, ascending to the head and face, opening orifices, inducing sweating, removing dampness, and reaching the skin.