汗吐下条例通行。故曰。明知顺逆。正治从治。不外阴阳表里。条例通行固也。然其毒疠之
气。蕴畜于中。亦随其温凉。权其轻重而利导之。庶毒有所泄。则易为力也。病源云。挟毒
疠之气壮热烦。毒发为心腹胀满。若不治。春感清邪在肝。升麻葛根汤。解肌汤。夏感寒邪
在心。调中汤。射干汤。半夏桂枝甘草汤。秋感热邪在肺。白虎加苍术汤。发黄瘅。茵陈调
五苓散。冬感温邪在肾。亦名冬温。葳蕤汤。土无正形因火而名。当随经取之。此大概然耳。
寒证者圣散子、萤火丸、神明散。可选用。圣散子内用香附、豆蔻、良姜。只可施之寒湿。
毋惑于通用之说。
凡温病可针刺五十九穴。又身之穴六百五十有五。其三十六穴灸之有害。七十九穴刺之
为灾。
（附论）
夫时气一日太阳受病。太阳为三阳之首。而主于头项。故得病一日。头项腰脊皆痛也。
方
解肌散（出圣惠方）治时气一日。头痛壮热。四肢烦疼。
麻黄（一两去根节） 川升麻（一两） 赤芍药（一两） 石膏（一两） 贝齿（三枚）
甘草
（半两炙微赤锉） 杏仁（一两汤浸去皮尖双仁麸炒微黄） 上捣粗罗为散。每服五钱。以
水一
大盏。入生姜半分。枣三枚。煎至五分。去滓。不计时候。热服。衣覆取汗。便食豉粥补虚。
桂枝散（出圣惠方）治时气一日。头痛壮热。骨节疼痛。
桂枝（三分） 黄芩（三分） 麻黄（去根节三分） 石膏（一两） 上为散。每服五
钱。以水
一大盏。入生姜半分。枣三枚。煎至六分。去滓。不计时候。热服。衣覆取汗。
解表石膏散（出圣惠方）治时气一日。头项腰脊痛。恶寒。
石膏（二两） 豉（二合） 麻黄（一两去根节） 葛根（二两锉） 白术（二两） 桂
心（一两） 白芷（一两） 芎 （一两） 当归（微炒锉一两） 上为散。每服五钱。以
水一大盏。入生姜半
分。枣三枚。煎至五分。去滓。不计时候。热服。衣覆取汗。
葛根散（出圣惠方）治时气一日。壮热。心神烦躁。头痛。四肢不利。
葛根（一两锉） 赤芍药（一两） 麻黄（去根节一两） 黄芩（一两） 石膏（一两）
大青
（五钱） 甘草（五钱炙微赤锉） 上为散。每服五钱。以水一大盏。入生姜半分。枣三枚。
煎
至五分。去滓。不计时候。热服。衣覆取汗。
治时气一日。头痛壮热方。（出圣惠方）
取生葛根净洗。捣取汁一大盏。内豉一合。煎至六分。去豉。不计时候。分为二服。有
汗即瘥。未得汗。即再服。若心中热。加栀子仁十枚。内葛根汁中同煎。去滓服之。
治时气一日。初觉便宜发汗方。（出圣惠方）
用麻黄二两去根节。以水三大盏。煮麻黄去沫。取汁一盏半。去滓。后入米一匙。豉汁
二合。煮为稀粥。不计时候。顿服。衣覆取汗。
汗法、吐法、下法等治疗条例应当通行运用。所以说，必须明辨病证的顺逆，正治与从治之法，都不外乎阴阳、表里辨证。虽然条例通行是基本原则，然而毒疠之气蕴积于体内，也应根据其温凉性质，权衡病情轻重而进行疏导，使毒素得以排泄，这样治疗就容易见效了。《病源》记载：挟带毒疠之气，出现壮热烦渴，毒邪发作导致心腹胀满。若不治疗，春季感受清邪在肝，用升麻葛根汤、解肌汤；夏季感受寒邪在心，用调中汤、射干汤、半夏桂枝甘草汤；秋季感受热邪在肺，用白虎加苍术汤，若发黄疸，用茵陈调五苓散；冬季感受温邪在肾，也称为冬温，用葳蕤汤。土没有固定的形态，因火而得名，应当随经络选取穴位治疗。这只是一般情况罢了。属于寒证的，可选用圣散子、萤火丸、神明散。圣散子内含有香附、豆蔻、良姜，只适用于寒湿证，不要迷惑于通用的说法。
凡是温病都可以针刺五十九穴。另外全身有六百零五个穴位，其中三十六个穴位灸治会有害处，七十九个穴位刺治会造成灾祸。
（附论）
时气病第一天，太阳经受邪。太阳经是三阳经之首，主要主管头项部位，所以得病第一天，会出现头项、腰脊疼痛的症状。
解肌散（出自《圣惠方》），治疗时气病第一天，头痛壮热，四肢烦疼。
药材：麻黄（一两，去根节）、川升麻（一两）、赤芍药（一两）、石膏（一两）、贝齿（三枚）、甘草（半两，炙至微红并锉碎）、杏仁（一两，汤浸去皮尖及双仁，麸炒至微黄）。
制法与用法：将上述药材捣碎粗罗成散剂。每次服用五钱，用水一大盏，加入生姜半分、大枣三枚，煎煮至剩余五分水量，去渣滓。不限时候，趁热服用，覆盖衣被取汗。随后食用豉粥以补虚损。
桂枝散（出自《圣惠方》），治疗时气病第一天，头痛壮热，骨节疼痛。
药材：桂枝（三分）、黄芩（三分）、麻黄（去根节三分）、石膏（一两）。
制法与用法：将上述药材制成散剂。每次服用五钱，用水一大盏，加入生姜半分、大枣三枚，煎煮至剩余六分水量，去渣滓。不限时候，趁热服用，覆盖衣被取汗。
解表石膏散（出自《圣惠方》），治疗时气病第一天，头项腰脊痛，恶寒。
药材：石膏（二两）、豉（二合）、麻黄（一两，去根节）、葛根（二两，锉碎）、白术（二两）、桂心（一两）、白芷（一两）、川芎（一两）、当归（微炒锉碎一两）。
制法与用法：将上述药材制成散剂。每次服用五钱，用水一大盏，加入生姜半分、大枣三枚，煎煮至剩余五分水量，去渣滓。不限时候，趁热服用，覆盖衣被取汗。
葛根散（出自《圣惠方》），治疗时气病第一天，壮热，心神烦躁，头痛，四肢不利。
药材：葛根（一两，锉碎）、赤芍药（一两）、麻黄（去根节一两）、黄芩（一两）、石膏（一两）、大青（五钱）、甘草（五钱，炙至微红并锉碎）。
制法与用法：将上述药材制成散剂。每次服用五钱，用水一大盏，加入生姜半分、大枣三枚，煎煮至剩余五分水量，去渣滓。不限时候，趁热服用，覆盖衣被取汗。
治疗时气病第一天，头痛壮热的方子。（出自《圣惠方》）
取新鲜葛根洗净，捣汁取一大盏，加入豉一合，煎煮至剩余六分水量，去掉豉。不限时候，分为两次服用。若有汗出则病愈；若未得汗，再服用一次。如果心中烦热，加栀子仁十枚，与葛根汁同煎，去渣后服用。
治疗时气病第一天，初觉症状适宜发汗的方子。（出自《圣惠方》）
用麻黄二两，去根节。用水三大盏，煮麻黄去沫，取汁一盏半，去渣滓。之后加入米一匙、豉汁二合，煮成稀粥。不限时候，一次性顿服，覆盖衣被取汗。
The principles of sweating, vomiting, and purging therapies should be applied universally. Therefore, it is said that one must clearly understand the favorable and unfavorable courses of disease; both direct treatment (Zhengzhi) and contrary treatment (Congzhi) do not go beyond the differentiation of Yin-Yang and Exterior-Interior. Although these principles are generally applicable, when toxic pestilential qi accumulates within, it must also be guided and drained according to its warmth or coolness nature, weighing the severity of the condition, so that toxins can be excreted, making treatment easier. The *Bingyuan* states: Carrying toxic pestilential qi, there is high fever and restlessness; toxin eruption causes abdominal distension and fullness. If untreated: in Spring, contracting clear pathogenic factors affecting the Liver, use Shengma Gegen Tang (Cimicifugae Rhizoma and Puerariae Radix Decoction), Jiemo Tang (Muscle-Releasing Decoction); in Summer, contracting cold pathogenic factors affecting the Heart, use Tiaozhong Tang (Middle-Regulating Decoction), Shegan Tang (Belamcandae Rhizoma Decoction), Banxia Guizhi Gancao Tang (Pinelliae, Cinnamon Twig, and Licorice Decoction); in Autumn, contracting heat pathogenic factors affecting the Lung, use Baihu Jia Cangzhu Tang (White Tiger plus Atractylodis Macrocephalae Decoction); if jaundice develops, use Yinchens Tiaowuling San (Artemisiae Scopariae Regulating Wuling Powder); in Winter, contracting warm pathogenic factors affecting the Kidney, also known as Dongwen (Winter Warmth), use Weirui Tang (Anemarrhenae Decoction). Earth has no fixed form but is named due to Fire; acupoints should be selected according to the affected meridian. This is merely a general overview. For Cold syndromes, Shengsanzi (Holy Mixture Pill), Yinghuowan (Firefly Pill), and Shenmingsan (Divine Clarity Powder) may be selectively used. Shengsanzi contains Xiangfu (Cyperi Rhizoma), Doukou (Amomi Fructus Rotundus), and Liangjiang (Alpiniae Officinarum Rhizoma); it is only suitable for Cold-Dampness patterns. Do not be confused by claims of universal applicability.
For all Warm Disease cases, acupuncture at fifty-nine specific points is permissible. Additionally, among the six hundred and five acupoints on the body, thirty-six are harmful if moxa-burned, and seventy-nine are disastrous if needled.
(Attached Discussion)
When Time-Qi disease affects the body on the first day, the Taiyang Meridian (Greater Yang) is involved. Taiyang is the head of the three Yang meridians and governs the head and neck. Therefore, on the first day of illness, pain occurs in the head, neck, waist, and spine.
Jiemo San (Muscle-Releasing Powder, from *Shenghui Fang*) treats Time-Qi disease on the first day, characterized by headache, high fever, and painful restlessness in the four limbs.
Ingredients: Mahuang (Ephedrae Herba, 1 liang, root nodes removed), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Shigao (Gypsum Fibrosum, 1 liang), Beichi (Concha Arcae, 3 pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and crushed), Xingren (Pruni Semen, 1 liang, soaked in water, skin and tips removed, double-kernel wheat-bran fried until slightly yellow).
Preparation and Administration: Coarsely grind the ingredients into powder. Take 5 qian per dose. Add 1 large zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.5 zhan. Strain. Administer hot at any time. Cover with clothing to induce sweating. Afterwards, consume black soybean porridge to replenish deficiency.
Guizhi San (Cinnamon Twig Powder, from *Shenghui Fang*) treats Time-Qi disease on the first day, characterized by headache, high fever, and bone-joint pain.
Ingredients: Guizhi (Cinnamomi Ramulus, 3 fen), Huangqin (Scutellariae Radix, 3 fen), Mahuang (Ephedrae Herba, root nodes removed, 3 fen), Shigao (Gypsum Fibrosum, 1 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 large zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 zhan. Strain. Administer hot at any time. Cover with clothing to induce sweating.
Jiebiao Shigao San (Exterior-Resolving Gypsum Powder, from *Shenghui Fang*) treats Time-Qi disease on the first day, characterized by pain in the head, neck, waist, and spine, and aversion to cold.
Ingredients: Shigao (Gypsum Fibrosum, 2 liang), Chi (Black Soybean Fermented, 2 he), Mahuang (Ephedrae Herba, root nodes removed, 1 liang), Gegen (Puerariae Radix, 2 liang, crushed), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Guixin (Cinnamomi Cortex, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, slightly fried, crushed, 1 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 large zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.5 zhan. Strain. Administer hot at any time. Cover with clothing to induce sweating.
Gegen San (Puerariae Radix Powder, from *Shenghui Fang*) treats Time-Qi disease on the first day, characterized by high fever, mental restlessness, headache, and dysfunction of the four limbs.
Ingredients: Gegen (Puerariae Radix, 1 liang, crushed), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Mahuang (Ephedrae Herba, root nodes removed, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Shigao (Gypsum Fibrosum, 1 liang), Daqing (Indigo Naturalis, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian, honey-fried until slightly red and crushed).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add 1 large zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.5 zhan. Strain. Administer hot at any time. Cover with clothing to induce sweating.
Formula for treating Time-Qi disease on the first day with headache and high fever. (From *Shenghui Fang*)
Take fresh Gegen (Puerariae Radix), wash cleanly, crush, and extract juice (1 large zhan). Add Chi (Black Soybean Fermented, 1 he). Decoct until reduced to 0.6 zhan. Remove the fermented soybeans. Divide into two doses, taken at any time. If sweating occurs, the disease resolves. If no sweat, take again. If there is heat in the heart/chest, add Zhizi Ren (Gardeniae Semen, 10 pieces) and decoct together with the Gegen juice. Strain and administer.
Formula for inducing sweating in early-stage Time-Qi disease on the first day. (From *Shenghui Fang*)
Use Mahuang (Ephedrae Herba, 2 liang, root nodes removed). Add 3 large zhan of water. Boil Mahuang to remove foam, then collect 1.5 zhan of juice. Strain. Add 1 spoon of rice and 2 he of Chi (Black Soybean Fermented) juice. Cook into a thin porridge. Take in one dose at any time. Cover with clothing to induce sweating.