夫伤寒发斑。阳盛故也。其病在表。或未经发汗。或已经发汗。或吐下后。邪热不除。
毒瓦斯内盛。因表虚。热毒乘虚出于皮肤。发为斑疹。如锦纹。若色赤。及发在五日内者。可
治。若色黑。过七日乃发。难治。甚则喉舌身体皆成疮也。
歌云。温毒成斑肌肉焦。石膏一剂毒须消。若还黑毒乘虚出。疹豆斑疮别有条。
大抵发斑。不可用表药。盖表虚里实。若发其汗。重令开泄。胸斑烂也。咽痛。玄参升
麻汤。斑出。大青四物汤。又名阿胶大青汤也。又猪胆鸡子汤。近用升麻葛根汤。最良。下
部生疮。下利。呕吐青汁。睛赤。口疮者。黄连橘皮汤。斑疮豌豆。用黄连一物。煮浓汁服。
大好青黛。大如枣。服之。又青木香。煮汤汁服。疮出烦疼者。五物木香汤。犀角大青汤。
芒硝、猪胆涂疮法。证治论。化斑汤乃白虎加人参汤别名也。孙兆用紫雪。有下证者。调胃
承气汤。
又云。温毒浑身似锦纹。发斑瘾疹呕吐频。或时咳逆心烦闷。冬感于寒发在春。
温毒用黑膏方。呕青汁者。葛根橘皮汤。
夫热病在表。已发汗未解。或吐下后。热毒瓦斯不散。烦躁谬语。此为表虚里实。热燥于
外。故身体发斑如锦纹。凡发斑不可用发表药。令疮开泄。更增斑烂。表虚故也。
又歌曰。血如温毒黑膏良。热病重阳别有汤。里实表虚因发出。若还发汗愈增疮。
病证属阳。误投温药。或当汗不汗。或当下不下。或当汗下未解。阳热内然。蒸泔外迫。
热毒入胃。被致发斑。盖热必伤血。血热不散。里实表虚。由是热气乘虚。出于皮肤。轻则
如疹子。重则如锦纹。是治斑家。谨勿发汗。汗之重令开泄。斑又加多也。凡斑略见一二。
须早图治。日迟稍延。独阳绝阴。则不可救药其发黑斑者。热剧胃烂无及矣。然而斑纹方萌
与蚊迹类焉。又不可误用药也。发斑多见于胸腹。蚊迹多在手足之间。关前阳脉洪大。病患
昏溃。先红后赤者。斑也。阳脉不洪。病患自静。先红后黄。蚊也。发斑属阳。阳毒具。而
阴脉形或大极。自利。或怫郁气短。而躁粪久不得通。卢扁复生。莫能施其巧。温毒发斑。
冬月胃寒。至春间阳盛。则发病。凡吐下而表未解。毒未消也。黑膏主之。肌肉斑烂。咳而
心闷。下利。呕吐清汁。郑声。口疮。宜黄连橘皮汤。葛根橘皮汤。热病发斑。时气发斑。
大青四物汤。猪胆鸡子汤。阳毒。曰重阳。发斑有本条。咽痛者。玄参升麻汤。发斑通用升
麻葛根汤。败毒散。犀角地黄汤。热多者。玄参升麻汤。加生姜、乌梅。又黄连一物汤。青
木香一物汤。可择用。有下证。少与调胃承气汤。孙兆用紫雪一剂。证治论。用白虎加人参
汤。发斑汤一剂。须以紫草、川芎为佐。血热内结者。与小柴胡汤。发斑小点稀疏。色常鲜
细者。易治。或如锦纹瘾起。并塌者。难治者。初发色红。渐次微点。良久点又转其面色肌
肉黧黑者。断不可救。初发便如黑痣亦然。赤斑五死一生。黑斑十死。凡内外热炽。汗下不
解。烦闷咳呕。足冷耳聋。便是发斑之证。
方
漏芦散（出圣惠方） 治伤寒斑出。瘾疹如锦纹而咳嗽。心神烦闷。呕吐不止。
漏芦 陈橘皮（汤浸去白瓤焙） 前胡（去芦头） 麻黄（去根节） 黄芩 杏仁（汤
浸去皮
尖双仁麸炒微黄各一两） 上为散。每服四钱。以水一中盏。煎至六分。去滓。不拘时。温
服
黄芩汤（出圣惠方）治伤寒脏腑壅毒。不得宣疏。肌肤发斑。
黄芩 大青 川升麻 石膏（以上各一两） 栀子仁（半两） 川朴硝（二两） 上为
散。每
服五钱。以水一大盏半。入豆豉。葱白二茎。生姜半分。煎至五分。去滓。不拘时候。温服。
稍
又方（出圣惠方）
犀角屑（一两） 川大黄（二两锉碎微炒） 栀子仁（半两） 蓝叶（一两） 川升麻
（一两）
甘草（半两炙微赤锉） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不拘时。温服。
黄芩散（出圣惠方）治伤寒十日内未得汗。表里有热。发斑。狂言欲走。眼目
俱黄。心中烦
黄芩 大青 川升麻 川大黄（锉碎微炒各一两） 甘草（半两炙微赤锉） 茵陈（一
两）
川朴硝（一两） 栀子仁（半两） 黄连（半两去须） 上为散。每服五钱。以水一大盏。
入竹叶
三七片。煎至五分。去滓。不计时候。温服。以利为度。
大青散（出圣惠方）治伤寒身面发斑。
大青（一两半） 川升麻（二两） 甘草（二两炙微赤锉） 上为散。每服五钱。以水
一大盏。
入豆豉小半合。煎至五分。去滓。温服。不计时候。
治伤寒斑疮欲出。脉洪大。心燥热。但令患人溺于纸上。如金色是也。宜服名猪胆
鸡子汤（出圣惠方）
猪汁（一合） 酽醋（一合） 鸡子（一枚打破去黄） 上相和。煎三两沸。放温。顿
服。强
人尽服。羸人六七沸服。汗出愈。
升麻散（出圣惠方）治伤寒热毒不解。欲变成斑。解毒。
川升麻 栀子仁 大青 黄芩 甘草（炙微赤锉各一两） 石膏（二两） 上为散。每
服五
钱。以水一大盏。入生地黄汁半合。煎至六分。去滓。不计时候。温服。
犀角散（出圣惠方）治伤寒赤斑不止。
犀角屑 麻黄（去根节） 栀子仁 黄连（去须） 地骨皮 甘草（炙微赤锉） 马牙
硝郁
金（以上各一两） 石膏（二两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不
计时
候
治伤寒黑斑出不止。宜服。
川升麻（一两） 黄芩（一两半） 川大黄（一两锉碎微炒） 犀角屑（一两半） 川
芒硝（一
两）
天竺黄散 治伤寒发斑疮。已出。心脏尚有余热不除。发斑烦躁。
天竺黄（研） 川升麻 子芩 茯神 犀角屑 赤芍药 人参（去芦头） 铅霜（研以
上各
半两） 麦门冬（去心焙干一两） 甘草（炙微赤锉半两） 栀子仁（一两） 黄连（一分
去须）
上为散。入研了药。令匀。每服不计时候。煎竹叶汤下一钱。
黄连散 治伤寒斑毒不解。
黄连（一两去须） 犀角屑（半两） 石膏（二两） 栀子仁（一两） 甘草（半两炙
微赤锉）
上为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
阿胶汤 治伤寒一二日。及十余日。发黄胆。斑出。皆主之。（一名大青四物汤）
大青（四两） 甘草（半两炙微赤锉） 黄明胶（半两杵碎炒令黄燥亦用阿胶） 豉（五
两）
上细锉。和匀每服半两。以水一中盏。煎至六分。去滓。不拘时候。
又方
大黄（三两） 甘草（二两） 杏仁（三十粒） 芒硝（五合） 麻黄（二两） 黄芩
（一两） 巴
豆（三十粒） 上熬。捣蜜和丸如大豆。服三丸。当利毒。利不止。以米饮止之。家人视病
者。
亦可先服取利。则不相染易也。此丸亦可预合置。
犀角汤 治伤寒热毒内盛。身发赤斑。
犀角（镑） 麻黄（去根节） 石膏（各一两） 山栀子仁（一两半） 黄连（去须三
分） 上捣
筛。每服五钱。水一盏半。煎至一盏。去滓。温服。
山栀子汤 治伤寒发斑。心躁烦乱。
山栀子仁（三分） 大青 升麻（各一两） 阿胶（炒令燥半两） 上捣筛。每服五钱。
用水
一盏半。入豉百粒。同煎至一盏。去滓。
麻黄葛根汤 治伤寒发斑。状如锦纹。呕逆。烦闷。
麻黄（去根节） 葛根（锉） 知母（焙） 陈橘皮（汤浸去白焙） 黄芩（去黑心各
一两） 杏
仁（汤浸去皮尖双仁炒） 甘草（炙各半两） 上捣筛。每服五钱。水一盏半。去滓。温服。
犀角散 治伤寒毒瓦斯外攻。皮肤发斑。燥热。
犀角（镑） 黄芩（去黑心） 大青 马牙硝（别研） 黄连（去须） 麦门冬（去心
焙各一两）
山栀子仁 牛黄（别研） 赤茯苓（去黑皮） 天竺黄（别研） 甘草（炙各半两） 麝香
（别研一
钱） 上捣研为散。每服三钱匕。煎竹叶汤调下。
石膏汤 治伤寒黑斑。
石膏（一两半） 麻黄（去根节） 桂（去粗皮一两半） 葛根（一两） 黄连 故鞋
（一只去
土细锉） 蜀椒（去目并闭口炒出汗一分） 上捣筛。每服五钱。水一盏。煎至一盏。去滓。
温服。衣覆取汗。
知母汤 治伤寒毒瓦斯滋盛。蒸于肌肤。发为赤斑。通身大热痛。精神昏乱。
知母（焙） 牵牛子（炒） 山栀子仁 大黄（锉炒） 黄芩（去黑心） 牡丹（去心）
麻黄
（去根节各一两） 荆芥穗 硝石 虎杖 射干 羌活（去芦头） 杏仁（各一分） 连翘
（半两）
半夏（一钱以生姜二钱同捣捻作饼子曝干） 上粗捣筛。每服五钱匕。水一盏半。煎至一盏。
去滓。温服。
黄芩汤 治伤寒发斑。烦躁。除胃内瘀热。
黄芩（去黑心一两） 山栀子仁 甘草（炙一两） 马牙硝（半两） 上捣筛。每服三
钱匕。
水一盏。煎至七分。去滓。温服。不计时候。
黄连散 治伤寒发斑。
黄连（去须一两） 槟榔（锉半两） 甘草（炙半两） 上捣罗为散。每服二钱。入蜜
少许。
如点汤。放温服。不计时候。
玄参升麻汤 治伤寒失下。不当下之。热毒在胃。发斑如锦纹。甚则烦躁谵语。兼
治喉闭肿
升麻 玄参 甘草（炙各半两） 上锉为散。每服五钱。水一盏半。煎至七分。去滓。
温
服。温毒亦能发。
化斑汤 治斑毒。
人参 石膏（各半两） 葳蕤 知母 甘草〔各一两（分）〕 上锉散。每服五钱匕。
水
一盏半。入糯米一合。煎八分。取米熟为度。去滓。温服。
香豉汤 治腑脏暴气斑点。
香豉（一升熬绵裹） 葱须（切一两） 石膏（八两碎裹） 栀子仁（三两擘） 生姜
（六两）
大青（二两） 升麻（三两） 芒硝（三两） 上切。以水六升。煮七味。取二升五合。去
滓。然
后
麻黄解肌汤 一二日便服之。
麻黄 甘草 升麻 芍药 石膏（各一两） 贝齿（三枚） 杏仁（三十枚） 上末之。
以水
三升。煮取一升。顿服。取汗出。即愈。便食豉粥补虚。即宜也。
又方
麻黄（二两） 黄芩 桂（各一两） 生姜（三两） 上以水六升。煮取二升。分为四
服。
葛根解肌汤 亦可服。
葛根（四两） 芍药（二两） 麻黄 大青 甘草 黄芩 石膏 桂（各一两） 大枣
（四枚）
上以水五升。煮取二升。去滓。分为三服。微取汗。
升麻汤 治大人小儿伤风寒。瘟疫。头痛发热。腹疼。斑疮已发未发。并可服。
升麻 干葛 甘草 芍药（各等分） 上 咀。每服秤五钱重。水二盏。煎七分。去滓。
热服。小儿量与。一法加紫草茸煎。
鼠粘子散 治伤寒斑疮。毒瓦斯盛。脉洪。大便秘涩。咽膈不利。或致疼痛。语声不
出。
鼠粘子（炒） 丹参 升麻 甘草（炙） 干薄荷叶 上等分。每服三钱。水二盏半。
煎至
七分。去滓。不计时候服。凡似感风热。而咽疼声重类疹证。正宜服之。
煮萍饮 治斑疮甚者。
青萍 紫萍（各一握净洗） 上煮羹。吃三服。
神仙紫雪
黄金（十两） 寒水石 石膏（各四两八钱） 犀角 羚羊角（各一两） 玄参（一两
六钱）
沉香 木香 丁香（各半两） 甘草（八钱） 升麻（六钱） 上以水五升。煮黄金至三升。
去金。
入
入盆中。更须研朱砂、麝香各三钱。急搅令匀。候凝成雪也。每服一钱匕。细细咽之。
伤寒发斑，是由于阳气过盛所致。病邪在表，可能尚未发汗，或者已经发汗，又或者在吐、下法治疗后，邪热仍未清除。毒气内盛，因体表虚弱，热毒乘虚侵入皮肤，形成斑疹，状如锦纹。如果颜色发红，且在五日内发出，尚可治疗；如果颜色发黑，超过七日才发出，则难以治疗。严重时，咽喉、舌头和身体都会溃烂成疮。
歌诀说：温毒导致发斑，肌肉焦枯，服用一剂石膏即可消除毒邪。如果是黑毒乘虚而出，对于疹豆斑疮则有其他的治法。
大抵而言，发斑不可使用解表药。因为此时表虚里实，若强行发汗，会使腠理更加开泄，导致胸腹部斑烂。伴有咽痛者，用玄参升麻汤；斑已发出者，用大青四物汤（又名阿胶大青汤）。又可用猪胆鸡子汤。近来常用升麻葛根汤，效果最好。下部生疮、腹泻、呕吐青色汁液、眼睛红赤、口舌生疮者，用黄连橘皮汤。对于斑疮如豌豆大小者，单用黄连一味，煮浓汁服用，疗效极佳。也可服用大青黛，大小如枣，吞服。或用青木香煮汤汁服用。疮出后感到烦痛者，用五物木香汤或犀角大青汤。也可用芒硝、猪胆汁外涂疮处。《证治论》记载，化斑汤即是白虎加人参汤的别名。孙兆使用紫雪。有腑实证的，用调胃承气汤。
又说：温毒浑身出现如锦纹般的斑疹，并发瘾疹，频繁呕吐。有时咳嗽气逆，心烦闷乱。这是冬季感受寒邪，至春季发作。
热病在表，发汗后未解，或在吐、下法后，热毒之气不散，出现烦躁、胡言乱语，这是表虚里实，热燥于外，所以身体发斑如锦纹。凡是发斑，不可用发表药，以免使疮口开泄，加重斑烂，这是因为表虚的缘故。
又歌诀说：血分受温毒侵袭，黑膏方良效；热病重阳另有汤剂。因里实表虚而发斑，若再发汗只会增加疮疡。
病证属阳，误投温药，或者该发汗而未发汗，该攻下而未攻下，或者汗下后病未解，阳热在内燃烧，蒸迫向外，热毒入胃，导致发斑。盖因热必伤血，血热不散，里实表虚，热气乘虚出于皮肤。轻则如疹子，重则如锦纹。治疗发斑，切记不可发汗，发汗会再次开泄腠理，使斑疹更多。凡斑疹刚见一二点，须尽早治疗，拖延日久，会导致独阳绝阴，则不可救药。发黑斑者，热势剧烈，胃烂无及矣。然而斑纹初起与蚊迹相似，又不可误用药。发斑多见于胸腹，蚊迹多在手足之间。关前阳脉洪大，病人昏沉溃乱，先红后赤的是斑。阳脉不洪，病人安静，先红后黄的是蚊迹。发斑属阳，阳毒具备，若阴脉形大至极，自利，或气短郁结而躁动，大便久不通，即使卢扁复生，也无能为力。温毒发斑，冬季胃寒，至春季阳气盛则发病。凡吐下后表证未解，毒邪未消，用黑膏主治。肌肉斑烂，咳嗽心闷，腹泻，呕吐清汁，郑声（语言重复低微），口疮者，宜用黄连橘皮汤、葛根橘皮汤。热病发斑、时气发斑，用大青四物汤、猪胆鸡子汤。阳毒，称为重阳，发斑有本条论述，咽痛者，用玄参升麻汤。发斑通用升麻葛根汤、败毒散、犀角地黄汤。热多者，用玄参升麻汤，加生姜、乌梅。又可用黄连一物汤、青木香一物汤，可择用。有腑实证者，少量给予调胃承气汤。孙兆用紫雪一剂。《证治论》用白虎加人参汤、发斑汤一剂，须以紫草、川芎为佐药。血热内结者，与小柴胡汤。发斑小点稀疏，颜色鲜细者，易治。如锦纹般瘾起，并塌陷者，难治。初发色红，渐次微点，良久斑点转黑，面色肌肉黧黑者，断不可救。初发便如黑痣亦然。赤斑五死一生，黑斑十死。凡内外热炽，汗下不解，烦闷咳呕，足冷耳聋，便是发斑之证。
方剂：
漏芦散（出自《圣惠方》）：治疗伤寒发斑，瘾疹如锦纹且咳嗽，心神烦闷，呕吐不止。
药材：漏芦、陈橘皮（汤浸去白瓤焙干）、前胡（去芦头）、麻黄（去根节）、黄芩、杏仁（汤浸去皮尖双仁麸炒微黄各一两）。
制法用法：上药研为散。每服四钱，加水一中盏，煎至六分，去渣。不拘时候，温服。
黄芩汤（出自《圣惠方》）：治疗伤寒脏腑壅滞毒邪，不得宣通疏泄，肌肤发斑。
药材：黄芩、大青、川升麻、石膏（以上各一两）、栀子仁（半两）、川朴硝（二两）。
制法用法：上药研为散。每服五钱，加水一大盏半，入豆豉、葱白二茎、生姜半分，煎至五分，去渣。不拘时候，温服。
又方（出自《圣惠方》）：
药材：犀角屑（一两）、川大黄（二两锉碎微炒）、栀子仁（半两）、蓝叶（一两）、川升麻（一两）、甘草（半两炙微赤锉）。
制法用法：上药研为散。每服五钱，加水一大盏，煎至五分，去渣。不拘时候，温服。
黄芩散（出自《圣惠方》）：治疗伤寒十日内未得汗，表里有热，发斑，狂言欲走，眼目俱黄，心中烦闷。
药材：黄芩、大青、川升麻、川大黄（锉碎微炒各一两）、甘草（半两炙微赤锉）、茵陈（一两）、川朴硝（一两）、栀子仁（半两）、黄连（半两去须）。
制法用法：上药研为散。每服五钱，加水一大盏，入竹叶三七片，煎至五分，去渣。不计时候，温服，以利为度。
大青散（出自《圣惠方》）：治疗伤寒身面发斑。
药材：大青（一两半）、川升麻（二两）、甘草（二两炙微赤锉）。
制法用法：上药研为散。每服五钱，加水一大盏，入豆豉小半合，煎至五分，去渣，温服。不计时候。
治伤寒斑疮欲出，脉洪大，心燥热，但令患人溺于纸上，如金色是也。宜服名猪胆鸡子汤（出自《圣惠方》）。
药材：猪汁（一合）、酽醋（一合）、鸡子（一枚打破去黄）。
制法用法：上相和，煎三两沸，放温，顿服。强人尽服，羸人六七沸服。汗出愈。
升麻散（出自《圣惠方》）：治疗伤寒热毒不解，欲变成斑，解毒。
药材：川升麻、栀子仁、大青、黄芩、甘草（炙微赤锉各一两）、石膏（二两）。
制法用法：上药研为散。每服五钱，加水一大盏，入生地黄汁半合，煎至六分，去渣。不计时候，温服。
犀角散（出自《圣惠方》）：治疗伤寒赤斑不止。
药材：犀角屑、麻黄（去根节）、栀子仁、黄连（去须）、地骨皮、甘草（炙微赤锉）、马牙硝郁金（以上各一两）、石膏（二两）。
制法用法：上药研为散。每服五钱，加水一大盏，煎至五分，去渣。不计时候。
治伤寒黑斑出不止，宜服。
药材：川升麻（一两）、黄芩（一两半）、川大黄（一两锉碎微炒）、犀角屑（一两半）、川芒硝（一两）。
天竺黄散 治伤寒发斑疮。已出，心脏尚有余热不除，发斑烦躁。
药材：天竺黄（研）、川升麻、子芩、茯神、犀角屑、赤芍药、人参（去芦头）、铅霜（研以上各半两）、麦门冬（去心焙干一两）、甘草（炙微赤锉半两）、栀子仁（一两）、黄连（一分去须）。
制法用法：上药研为散，入研了药，令匀。每服不计时候，煎竹叶汤下一钱。
黄连散 治伤寒斑毒不解。
药材：黄连（一两去须）、犀角屑（半两）、石膏（二两）、栀子仁（一两）、甘草（半两炙微赤锉）。
制法用法：上药研为散。每服四钱，加水一中盏，煎至六分，去渣。不计时候，温服。
阿胶汤 治伤寒一二日，及十余日，发黄胆，斑出，皆主之。（一名大青四物汤）
药材：大青（四两）、甘草（半两炙微赤锉）、黄明胶（半两杵碎炒令黄燥亦用阿胶）、豉（五两）。
制法用法：上细锉，和匀每服半两，加水一中盏，煎至六分，去渣。不拘时候。
又方
药材：大黄（三两）、甘草（二两）、杏仁（三十粒）、芒硝（五合）、麻黄（二两）、黄芩（一两）、巴豆（三十粒）。
制法用法：上熬，捣蜜和丸如大豆。服三丸，当利毒。利不止，以米饮止之。家人视病者，亦可先服取利，则不相染易也。此丸亦可预合置。
犀角汤 治伤寒热毒内盛，身发赤斑。
药材：犀角（镑）、麻黄（去根节）、石膏（各一两）、山栀子仁（一两半）、黄连（去须三分）。
制法用法：上捣筛。每服五钱，水一盏半，煎至一盏，去渣，温服。
山栀子汤 治伤寒发斑，心躁烦乱。
药材：山栀子仁（三分）、大青、升麻（各一两）、阿胶（炒令燥半两）。
制法用法：上捣筛。每服五钱，用水一盏半，入豉百粒，同煎至一盏，去渣。
麻黄葛根汤 治伤寒发斑，状如锦纹，呕逆，烦闷。
药材：麻黄（去根节）、葛根（锉）、知母（焙）、陈橘皮（汤浸去白焙）、黄芩（去黑心各一两）、杏仁（汤浸去皮尖双仁炒）、甘草（炙各半两）。
制法用法：上捣筛。每服五钱，水一盏半，去渣，温服。
犀角散 治伤寒毒瓦斯外攻，皮肤发斑，燥热。
药材：犀角（镑）、黄芩（去黑心）、大青、马牙硝（别研）、黄连（去须）、麦门冬（去心焙各一两）、山栀子仁、牛黄（别研）、赤茯苓（去黑皮）、天竺黄（别研）、甘草（炙各半两）、麝香（别研一钱）。
制法用法：上捣研为散。每服三钱匕，煎竹叶汤调下。
石膏汤 治伤寒黑斑。
药材：石膏（一两半）、麻黄（去根节）、桂（去粗皮一两半）、葛根（一两）、黄连、故鞋（一只去土细锉）、蜀椒（去目并闭口炒出汗一分）。
制法用法：上捣筛。每服五钱，水一盏，煎至一盏，去渣，温服，衣覆取汗。
知母汤 治伤寒毒瓦斯滋盛，蒸于肌肤，发为赤斑，通身大热痛，精神昏乱。
药材：知母（焙）、牵牛子（炒）、山栀子仁、大黄（锉炒）、黄芩（去黑心）、牡丹（去心）、麻黄（去根节各一两）、荆芥穗、硝石、虎杖、射干、羌活（去芦头）、杏仁（各一分）、连翘（半两）、半夏（一钱以生姜二钱同捣捻作饼子曝干）。
制法用法：上粗捣筛。每服五钱匕，水一盏半，煎至一盏，去渣，温服。
黄芩汤 治伤寒发斑，烦躁，除胃内瘀热。
药材：黄芩（去黑心一两）、山栀子仁、甘草（炙一两）、马牙硝（半两）。
制法用法：上捣筛。每服三钱匕，水一盏，煎至七分，去渣，温服。不计时候。
黄连散 治伤寒发斑。
药材：黄连（去须一两）、槟榔（锉半两）、甘草（炙半两）。
制法用法：上捣罗为散。每服二钱，入蜜少许，如点汤，放温服。不计时候。
玄参升麻汤 治伤寒失下，不当下之，热毒在胃，发斑如锦纹，甚则烦躁谵语，兼治喉闭肿。
药材：升麻、玄参、甘草（炙各半两）。
制法用法：上锉为散。每服五钱，水一盏半，煎至七分，去渣，温服。温毒亦能发。
化斑汤 治斑毒。
药材：人参、石膏（各半两）、葳蕤、知母、甘草〔各一两（分）〕。
制法用法：上锉散。每服五钱匕，水一盏半，入糯米一合，煎八分，取米熟为度，去渣，温服。
香豉汤 治腑脏暴气斑点。
药材：香豉（一升熬绵裹）、葱须（切一两）、石膏（八两碎裹）、栀子仁（三两擘）、生姜（六两）、大青（二两）、升麻（三两）、芒硝（三两）。
制法用法：上切。以水六升，煮七味，取二升五合，去渣。
麻黄解肌汤 一二日便服之。
药材：麻黄、甘草、升麻、芍药、石膏（各一两）、贝齿（三枚）、杏仁（三十枚）。
制法用法：上末之。以水三升，煮取一升，顿服，取汗出，即愈。便食豉粥补虚，即宜也。
又方
药材：麻黄（二两）、黄芩、桂（各一两）、生姜（三两）。
制法用法：上以水六升，煮取二升，分为四服。
葛根解肌汤 亦可服。
药材：葛根（四两）、芍药（二两）、麻黄、大青、甘草、黄芩、石膏、桂（各一两）、大枣（四枚）。
制法用法：上以水五升，煮取二升，去渣，分为三服，微取汗。
升麻汤 治大人小儿伤风寒，瘟疫，头痛发热，腹疼，斑疮已发未发，并可服。
药材：升麻、干葛、甘草、芍药（各等分）。
制法用法：上咀。每服秤五钱重，水二盏，煎七分，去渣，热服。小儿量与。一法加紫草茸煎。
鼠粘子散 治伤寒斑疮，毒瓦斯盛，脉洪，大便秘涩，咽膈不利，或致疼痛，语声不出。
药材：鼠粘子（炒）、丹参、升麻、甘草（炙）、干薄荷叶。上等分。每服三钱，水二盏半，煎至七分，去渣，不计时候服。凡似感风热，而咽疼声重类疹证，正宜服之。
煮萍饮 治斑疮甚者。
药材：青萍、紫萍（各一握净洗）。
制法用法：上煮羹，吃三服。
神仙紫雪
药材：黄金（十两）、寒水石、石膏（各四两八钱）、犀角、羚羊角（各一两）、玄参（一两六钱）、沉香、木香、丁香（各半两）、甘草（八钱）、升麻（六钱）。
制法用法：上以水五升，煮黄金至三升，去金，入盆中。更须研朱砂、麝香各三钱，急搅令匀，候凝成雪也。每服一钱匕，细细咽之。
Erythema (macules and papules) in cold damage is caused by excessive Yang qi. The pathogen is at the exterior level. It may be that sweating has not yet been induced, or it has already been induced, or after emesis and purgation, the evil heat has not been eliminated. The toxic gas accumulates internally. Due to deficiency of the exterior, the heat-toxin takes advantage of the deficiency to emerge into the skin, manifesting as erythema and rashes, resembling brocade patterns. If the color is red and appears within five days, it is treatable. If the color is black and appears after seven days, it is difficult to treat. In severe cases, ulcers form on the throat, tongue, and body.
The verse states: Warm toxin causing erythema scorches the muscles; one dose of Shigao (Gypsum Fibrosum) eliminates the toxin. If black toxin emerges due to deficiency, there are other specific treatments for rashes, bean-like eruptions, and sores.
Generally speaking, erythema should not be treated with exterior-releasing herbs. This is because the exterior is deficient while the interior is excess. Forcing sweating would further open the pores, leading to ulceration of the chest and abdomen. For those with sore throat, Xuanshen Shengma Tang (Scrophulariae Radix and Cimicifugae Rhizoma Decoction) is used. For those where the rash has already emerged, Daqing Siwu Tang (Prunellae Spica, Lithospermi Radix, Bupleuri Radix, and Rehmanniae Radix Decoction), also known as Ejiao Daqing Tang, is used. Zhudan Jizi Tang (Pig Gallbladder and Chicken Egg Decoction) can also be used. Recently, Shengma Gegen Tang (Cimicifugae Rhizoma and Puerariae Radix Decoction) is most commonly used and yields excellent results. For sores in the lower body, diarrhea, vomiting of green fluid, red eyes, and mouth ulcers, Huanglian Jupi Tang (Coptidis Rhizoma and Citri Reticulatae Pericarpium Decoction) is indicated. For pea-sized eruptions, a decoction of Huanglian (Coptidis Rhizoma) alone, boiled thick, is taken orally with great effect. Dadingdai (Indigo Naturalis), sized like a date, can be swallowed. Alternatively, Qingmuxiang (Aucklandiae Radix) decoction can be taken. For pain and irritability upon eruption, Wuwu Muxiang Tang (Five-Ingredient Aucklandia Decoction) or Xijiao Daqing Tang (Rhinoceros Horn and Prunella Spica Decoction) is used. Mangxiao (Mirabilite) and pig gallbladder juice can be applied topically to the sores. According to *Zhengzhi Lun*, Huaban Tang (Macule-Eliminating Decoction) is another name for Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng). Sun Zhao uses Zixue (Purple Snow). For patients with fu-organ excess syndrome, Tiaowei Chengqi Tang (Regulating the Stomach and Restoring Order Decoction) is used.
It is also said: Warm toxin causes the whole body to resemble brocade patterns, with erythema and urticaria accompanied by frequent vomiting. Sometimes there is cough, counterflow of qi, irritability, and stifling sensation. This occurs when cold is contracted in winter but manifests in spring.
For warm toxin-induced erythema, Heigao (Black Plaster) is used. For vomiting of green fluid, Gegen Jupi Tang (Puerariae Radix and Citri Reticulatae Pericarpium Decoction) is indicated.
When heat disease is at the exterior and remains unresolved after sweating, or after emesis and purgation, the heat-toxin does not dissipate, leading to irritability and delirious speech. This indicates exterior deficiency and interior excess, with heat and dryness pressing outward, causing the body to develop erythema resembling brocade patterns. In all cases of erythema, exterior-releasing herbs must not be used, as they will cause the sores to open and worsen the ulceration due to exterior deficiency.
Another verse states: When blood is affected by warm toxin, Heigao is effective; for heat disease with double Yang, there is a separate decoction. Erythema arises from interior excess and exterior deficiency; inducing sweating will only increase the sores.
The syndrome belongs to Yang. Misapplication of warming herbs, or failure to induce sweating when indicated, or failure to purge when indicated, or persistence of the disease after sweating and purging, leads to internal burning of Yang heat, steaming and forcing outward. Heat-toxin enters the stomach, causing erythema. Heat inevitably injures the blood; if blood heat does not dissipate, resulting in interior excess and exterior deficiency, the heat qi takes advantage of the deficiency to emerge into the skin. Mildly, it resembles rashes; severely, it resembles brocade patterns. Those treating erythema must strictly avoid sweating, as sweating reopens the pores and increases the number of macules. Whenever one or two spots appear, treatment must be sought early. Delay allows the condition to progress until isolated Yang fails and Yin is exhausted, making it incurable. Black erythema indicates extreme heat and gastric rot, which is beyond remedy. However, early erythema resembles mosquito bites, so medication must not be misapplied. Erythema mostly appears on the chest and abdomen, while mosquito marks appear on the hands and feet. A surging and large Yang pulse at the cun position, combined with confusion and disorientation, turning from red to crimson initially, indicates erythema. A non-surging Yang pulse, quiet patient, turning from red to yellow initially, indicates mosquito marks. Erythema belongs to Yang and Yang toxicity. If the Yin pulse is excessively large, with spontaneous diarrhea, or oppression and shortness of breath with restlessness and prolonged constipation, even Lu Bian reborn could not apply his skill. Warm toxin erythema occurs when stomach cold in winter transforms into Yang excess in spring, triggering the disease. After emesis and purgation, if the exterior is not resolved and the toxin is not cleared, Heigao is the primary treatment. For muscle ulceration, cough, chest stuffiness, diarrhea, vomiting of clear fluid, muttering (Zhengsheng), and mouth ulcers, Huanglian Jupi Tang or Gegen Jupi Tang is suitable. For heat disease erythema and epidemic erythema, Daqing Siwu Tang or Zhudan Jizi Tang is used. For Yang toxicity, termed Double Yang, with erythema and sore throat, Xuanshen Shengma Tang is used. Shengma Gegen Tang, Baidu San (Toxin-Resolving Powder), and Xijiao Dihuang Tang (Rhinoceros Horn and Rehmanniae Decoction) are generally used for erythema. For greater heat, Xuanshen Shengma Tang is used with added Shengjiang (Fresh Ginger) and Wumei (Mume Fruit). Huanglian Yiwu Tang (Single-Ingredient Coptidis Decoction) or Qingmuxiang Yiwu Tang (Single-Ingredient Aucklandia Decoction) can be selected. For fu-organ excess, a small amount of Tiaowei Chengqi Tang is given. Sun Zhao uses one dose of Zixue. *Zhengzhi Lun* recommends Baihu Jia Renshen Tang or Faban Tang (Erythema-Decoction) with Zicao (Arnebiae Radix et Rhizoma) and Chuanxiong (Ligustici Chuanxiong Rhizoma) as assistants. For internal binding of blood heat, Xiao Chaihu Tang (Minor Bupleurum Decoction) is used. Small, sparse spots with fresh, fine color are easy to treat. Brocade-like eruptions that collapse are difficult to treat. Initial red color fading to tiny spots, followed by darkening of the face and muscles to black, is incurable. Initial appearance resembling black moles is also incurable. Red erythema has a mortality rate of five deaths to one survival; black erythema has ten deaths. Internal and external blazing heat, unresolved by sweating or purging, accompanied by irritability, cough, vomiting, cold feet, and deafness, constitutes the syndrome of erythema.
Formulas:
Loulu San (Loulu Powder, from *Shenghui Fang*): Treats erythema in cold damage, urticaria resembling brocade patterns with cough, mental restlessness, and incessant vomiting.
Ingredients: Loulu (Radix Euphorbiae Humifusae), Chenjupi (Dried Tangerine Peel, soaked in water, white pith removed, dried), Qianhu (Peucedani Radix, radix tip removed), Mahuang (Ephedrae Herba, roots and joints removed), Huangqin (Scutellariae Radix), Xingren (Armeniacae Semen Amarum, soaked in water, peel and pointed ends removed, split kernels, bran-fried until slightly yellow, each 1 liang).
Preparation and Administration: Grind into powder. Take 4 qian per dose, boil in one zhong zhan (approx. 200ml) of water until reduced to six fen (approx. 120ml). Strain. Take warm at any time.
Huangqin Tang (Huangqin Decoction, from *Shenghui Fang*): Treats cold damage with organ congestion and toxicity, inability to vent and diffuse, resulting in skin erythema.
Ingredients: Huangqin (1 liang), Daqing (Prunellae Spica, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Shigao (Gypsum Fibrosum, 1 liang), Zhizi Ren (Gardeniae Fructus, half liang), Chuan Puxiao (Natrii Sulfas, 2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one and a half da zhan (approx. 300ml) of water with Douchi (Fermented Soybean), two stalks of Congbai (Allii Fistulosi Bulbus), and half fen of Shengjiang (Fresh Ginger) until reduced to five fen (approx. 100ml). Strain. Take warm at any time.
Another Formula (from *Shenghui Fang*):
Ingredients: Xijiao Xie (Rhinoceros Horn Shavings, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, crushed and slightly fried), Zhizi Ren (half liang), Lanye (Isatidis Folium, 1 liang), Chuan Shengma (1 liang), Gancao (Licorice Root, half liang, honey-fried until slightly red and crushed).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one da zhan of water until reduced to five fen. Strain. Take warm at any time.
Huangqin San (Huangqin Powder, from *Shenghui Fang*): Treats cold damage within ten days without sweating, heat in both interior and exterior, erythema, delirium with running away, yellow eyes, and mental restlessness.
Ingredients: Huangqin (1 liang), Daqing (1 liang), Chuan Shengma (1 liang), Chuan Dahuang (crushed and slightly fried, 1 liang), Gancao (honey-fried until slightly red and crushed, half liang), Yichen (Capillaris Herba, 1 liang), Chuan Puxiao (1 liang), Zhizi Ren (half liang), Huanglian (Coptidis Rhizoma, half liang, whiskers removed).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one da zhan of water with thirty-seven slices of Zhuye (Bambusae Folium) until reduced to five fen. Strain. Take warm at any time, stopping when bowel movement occurs.
Daqing San (Daqing Powder, from *Shenghui Fang*): Treats erythema on the body and face in cold damage.
Ingredients: Daqing (Prunellae Spica, 1.5 liang), Chuan Shengma (2 liang), Gancao (honey-fried until slightly red and crushed, 2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one da zhan of water with a small half he of Douchi until reduced to five fen. Strain. Take warm at any time.
For cold damage where erythema is about to emerge, with surging pulse, heart dryness and heat, and urine staining paper golden-yellow, take Zhudan Jizi Tang (from *Shenghui Fang*).
Ingredients: Zhu Zhi (Pig Juice, one he), Yan Cu (Strong Vinegar, one he), Ji Zi (Chicken Egg, one, broken and yolk removed).
Preparation and Administration: Mix and boil three times to boiling point. Let cool to warm. Take in one dose. Strong individuals take the full dose; weak individuals take after six or seven boils. Recovery follows sweating.
Shengma San (Shengma Powder, from *Shenghui Fang*): Treats unresolved heat-toxin in cold damage, preventing transformation into erythema, detoxifying.
Ingredients: Chuan Shengma, Zhizi Ren, Daqing, Huangqin, Gancao (honey-fried until slightly red and crushed, each 1 liang), Shigao (2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one da zhan of water with half he of Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) until reduced to six fen. Strain. Take warm at any time.
Xijiao San (Xijiao Powder, from *Shenghui Fang*): Treats persistent red erythema in cold damage.
Ingredients: Xijiao Xie, Mahuang (roots and joints removed), Zhizi Ren, Huanglian (whiskers removed), Digupi (Lycii Cortex), Gancao (honey-fried until slightly red and crushed), Mayaxiao (Mirabilite) and Yujin (Curcumae Radix, each 1 liang), Shigao (2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, boil in one da zhan of water until reduced to five fen. Strain. Take warm at any time.
For unceasing black erythema in cold damage, take this formula:
Ingredients: Chuan Shengma (1 liang), Huangqin (1.5 liang), Chuan Dahuang (1 liang, crushed and slightly fried), Xijiao Xie (1.5 liang), Chuan Mangxiao (Natrii Sulfas, 1 liang).
Tianzhuhuang San (Calami Polyporus Powder): Treats cold damage erythema. After emergence, residual heat in the heart remains, causing irritability.
Ingredients: Tianzhuhuang (Calamus Polyporus, ground), Chuan Shengma, Ziqin (Scutellariae Radix), Fushen (Poria with Hostwood), Xijiao Xie, Chi Shaoyao (Red Peony Root), Renshen (Ginseng Radix, radix tip removed), Qianshuang (Plumbum Subacetatum, ground, each half liang), Maimendong (Ophiopogonis Radix, core removed and dried, 1 liang), Gancao (honey-fried until slightly red and crushed, half liang), Zhizi Ren (1 liang), Huanglian (one fen, whiskers removed).
Preparation and Administration: Grind into powder, mix thoroughly with the ground ingredients. Take one qian per dose at any time, administered with Zhuye Tang (Bamboo Leaf Decoction).
Huanglian San (Huanglian Powder): Treats unresolved toxic erythema in cold damage.
Ingredients: Huanglian (1 liang, whiskers removed), Xijiao Xie (half liang), Shigao (2 liang), Zhizi Ren (1 liang), Gancao (honey-fried until slightly red and crushed, half liang).
Preparation and Administration: Grind into powder. Take 4 qian per dose, boil in one zhong zhan of water until reduced to six fen. Strain. Take warm at any time.
Ejiao Tang (Ejiao Decoction): Treats jaundice and erythema occurring one to two days or ten-plus days after cold damage. Also known as Daqing Siwu Tang.
Ingredients: Daqing (4 liang), Gancao (honey-fried until slightly red and crushed, half liang), Huangming Jiao (Yellow Clear Gelatin, half liang, pounded and fried until yellow and dry; Ejiao can be used alternatively), Douchi (5 liang).
Preparation and Administration: Finely chop and mix evenly. Take half liang per dose, boil in one zhong zhan of water until reduced to six fen. Strain. Take at any time.
Another Formula:
Ingredients: Dahuang (3 liang), Gancao (2 liang), Xingren (30 seeds), Mangxiao (5 he), Mahuang (2 liang), Huangqin (1 liang), Badou (Crotonis Fructus, 30 seeds).
Preparation and Administration: Process, pound, and mix with honey to make pills the size of soybeans. Take three pills. Purging of toxin should occur. If purging continues, stop with rice water. Family members caring for the patient may take these pills first to induce purging, preventing transmission. These pills can be prepared in advance.
Xijiao Tang (Xijiao Decoction): Treats internal excess of heat-toxin in cold damage, causing red erythema on the body.
Ingredients: Xijiao (sliced), Mahuang (roots and joints removed), Shigao (each 1 liang), Shanzhizi Ren (Gardeniae Fructus, 1.5 liang), Huanglian (whiskers removed, three fen).
Preparation and Administration: Pound and sieve. Take 5 qian per dose, boil in one and a half zhan of water until reduced to one zhan. Strain. Take warm.
Shanzhizi Tang (Shanzhizi Decoction): Treats cold damage erythema with heart irritability and confusion.
Ingredients: Shanzhizi Ren (three fen), Daqing, Shengma (each 1 liang), Ejiao (fried until dry, half liang).
Preparation and Administration: Pound and sieve. Take 5 qian per dose, boil in one and a half zhan of water with one hundred Douchi until reduced to one zhan. Strain.
Mahuang Gegen Tang (Ephedra and Pueraria Decoction): Treats cold damage erythema resembling brocade patterns, with counterflow vomiting and mental stifling.
Ingredients: Mahuang (roots and joints removed), Gegen (Puerariae Radix, crushed), Zhimu (Anemarrhenae Rhizoma, baked), Chenjipi (soaked in water, white pith removed, dried), Huangqin (core removed, each 1 liang), Xingren (soaked in water, peel and pointed ends removed, split kernels, fried), Gancao (honey-fried, each half liang).
Preparation and Administration: Pound and sieve. Take 5 qian per dose, boil in one and a half zhan of water. Strain. Take warm.
Xijiao San (Xijiao Powder): Treats external attack of toxic gas in cold damage, causing skin erythema and dryness-heat.
Ingredients: Xijiao (sliced), Huangqin (core removed), Daqing, Mayaxiao (separately ground), Huanglian (whiskers removed), Maimendong (core removed and baked, each 1 liang), Shanzhizi Ren, Niuhuang (Bovis Calculus, separately ground), Chi Fuling (Polyporus with Red Skin, core removed), Tianzhuhuang (separately ground), Gancao (honey-fried, each half liang), Shexiang (Moschus, separately ground, one qian).
Preparation and Administration: Pound and grind into powder. Take three qian bi per dose, administer with Zhuye Tang (Bamboo Leaf Decoction).
Shigao Tang (Shigao Decoction): Treats cold damage black erythema.
Ingredients: Shigao (1.5 liang), Mahuang (roots and joints removed), Gui (Cinnamomi Ramulus, bark removed, 1.5 liang), Gegen (1 liang), Huanglian, Gu Xie (Old Shoe, one piece, soil removed and finely chopped), Shujiao (Zanthoxyli Pericarpium, eyes and closed mouths removed, fried to release oil, one fen).
Preparation and Administration: Pound and sieve. Take 5 qian per dose, boil in one zhan of water until reduced to one zhan. Strain. Take warm, cover with clothing to induce sweating.
Zhimu Tang (Zhimu Decoction): Treats proliferation of toxic gas in cold damage, steaming into the skin, causing red erythema, generalized high fever and pain, and mental confusion.
Ingredients: Zhimu (baked), Qianniuzi (Pharbitidis Semen, fried), Shanzhizi Ren, Dahuang (crushed and fried), Huangqin (core removed), Mudan (Moutan Cortex, core removed), Mahuang (roots and joints removed, each 1 liang), Jingjie Sui (Schizonepetae Spica), Xiaoshi (Natrii Nitras), Huzhang (Polygoni Cuspidati Rhizoma et Radix), Shegan (Belamcandae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix, radix tip removed), Xingren (each one fen), Lianqiao (Forsythiae Fructus, half liang), Banxia (Pinelliae Rhizoma, one qian, pounded together with two qian of Shengjiang into cakes and sun-dried).
Preparation and Administration: Coarsely pound and sieve. Take five qian bi per dose, boil in one and a half zhan of water until reduced to one zhan. Strain. Take warm.
Huangqin Tang (Huangqin Decoction): Treats cold damage erythema with irritability, eliminating stagnant heat in the stomach.
Ingredients: Huangqin (core removed, 1 liang), Shanzhizi Ren, Gancao (honey-fried, 1 liang), Mayaxiao (half liang).
Preparation and Administration: Pound and sieve. Take three qian bi per dose, boil in one zhan of water until reduced to seven fen. Strain. Take warm at any time.
Huanglian San (Huanglian Powder): Treats cold damage erythema.
Ingredients: Huanglian (whiskers removed, 1 liang), Binglang (Arecae Semen, crushed, half liang), Gancao (honey-fried, half liang).
Preparation and Administration: Sieve into powder. Take two qian per dose, add a little honey, prepare like tea, let cool to warm, and take at any time.
Xuanshen Shengma Tang (Scrophulariae and Cimicifuga Decoction): Treats missed opportunity for purgation in cold damage where purgation was not indicated, heat-toxin in the stomach causing erythema resembling brocade patterns, severe irritability and delirium, and also treats throat closure and swelling.
Ingredients: Shengma, Xuanshen (Scrophulariae Radix), Gancao (honey-fried, each half liang).
Preparation and Administration: Chop into pieces. Take 5 qian per dose, boil in one and a half zhan of water until reduced to seven fen. Strain. Take warm. Warm toxin can also cause this.
Huaban Tang (Macule-Eliminating Decoction): Treats toxic erythema.
Ingredients: Renshen (Ginseng Radix), Shigao (Gypsum Fibrosum, each half liang), Weirui (Polygonati Odorati Rhizoma), Zhimu (Anemarrhenae Rhizoma), Gancao (Licorice Root, each 1 liang).
Preparation and Administration: Chop into pieces. Take five qian bi per dose, boil in one and a half zhan of water with one he of Nuomi (Glutinous Rice) until eight fen remains and rice is cooked. Strain. Take warm.
Xiangchi Tang (Fermented Soybean Decoction): Treats sudden qi stagnation in organs causing macules.
Ingredients: Xiangchi (Fermented Soybean, one sheng, fried and wrapped in silk), Congxu (Green Onion Roots, cut, one liang), Shigao (Gypsum Fibrosum, eight liang, crushed and wrapped), Zhizi Ren (Gardeniae Fructus, three liang, torn), Shengjiang (Fresh Ginger, six liang), Daqing (Prunellae Spica, two liang), Shengma (Cimicifugae Rhizoma, three liang), Mangxiao (Natrii Sulfas, three liang).
Preparation and Administration: Cut. Boil the seven ingredients in six sheng of water until two sheng five he remain. Strain.
Mahuang Jieji Tang (Ephedra Muscle-Releasing Decoction): Take within one to two days.
Ingredients: Mahuang, Gancao, Shengma, Shaoyao (Paeoniae Radix), Shigao (each 1 liang), Beichi (Concha Meretricis et Cydoniae, three pieces), Xingren (Armeniacae Semen Amarum, thirty pieces).
Preparation and Administration: Pound into powder. Boil in three sheng of water until one sheng remains. Take in one dose to induce sweating and cure. Eat Douzhou (Fermented Soybean Porridge) afterwards to tonify deficiency.
Another Formula:
Ingredients: Mahuang (2 liang), Huangqin, Gui (Cinnamomi Ramulus, each 1 liang), Shengjiang (Fresh Ginger, 3 liang).
Preparation and Administration: Boil in six sheng of water until two sheng remain. Divide into four doses.
Gegen Jieji Tang (Pueraria Muscle-Releasing Decoction): Can also be taken.
Ingredients: Gegen (4 liang), Shaoyao (2 liang), Mahuang, Daqing, Gancao, Huangqin, Shigao, Gui (Cinnamomi Ramulus, each 1 liang), Dazao (Jujubae Fructus, four pieces).
Preparation and Administration: Boil in five sheng of water until two sheng remain. Strain. Divide into three doses. Induce slight sweating.
Shengma Tang (Cimicifuga Decoction): Treats adults and children with wind-cold injury, plague, headache, fever, abdominal pain, and erythema whether emerged or not.
Ingredients: Shengma, Gange (Dried Puerariae Radix), Gancao, Shaoyao (equal parts).
Preparation and Administration: Chop. Weigh five qian per dose, boil in two zhan of water until seven fen remains. Strain. Take hot. Adjust dosage for children. One method adds Zicaorong (Arnebiae Radix et Rhizoma) and boils.
Niuzi San (Arctii Seed Powder): Treats cold damage erythema with abundant toxic gas, surging pulse, hard and dry constipation, pharyngeal obstruction, pain, and loss of voice.
Ingredients: Niuzi (Arctii Fructus, fried), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shengma, Gancao (honey-fried), Gan Bohe Ye (Dry Menthae Haplocalycis Folium). Equal parts. Take 3 qian per dose, boil in two and a half zhan of water until seven fen remains. Strain. Take at any time. Suitable for conditions resembling wind-heat with sore throat and heavy voice similar to rashes.
Zhu Ping Yin (Boiled Duckweed Drink): Treats severe erythema.
Ingredients: Qingping (Lemna Minoris Herba), Ziping (Lemna Minoris Herba, each one handful, washed clean).
Preparation and Administration: Boil into soup. Take three doses.
Shenxian Zixue (Immortal Purple Snow):
Ingredients: Huangjin (Gold, 10 liang), Hanshuishi (Aqua Calcitae, 4 liang 8 qian), Shigao (Gypsum Fibrosum, 4 liang 8 qian), Xijiao (Rhinoceros Cornu, 1 liang), Lingyangjiao (Saigae Tataricae Cornu, 1 liang), Xuanshen (Scrophulariae Radix, 1 liang 6 qian), Chenxiang (Aquilariae Lignum Resinatum, half liang), Muxiang (Aucklandiae Radix, half liang), Dingxiang (Caryophylli Flos, half liang), Gancao (Licorice Root, 8 qian), Shengma (Cimicifugae Rhizoma, 6 qian).
Preparation and Administration: Boil Gold in five sheng of water until three sheng remain. Remove gold. Place in basin. Further grind Zhusha (Cinnabaris, three qian) and Shexiang (Moschus, three qian). Stir quickly until uniform. Wait until it solidifies like snow. Take one qian bi per dose, swallow slowly.