（附论）
夫时气病。七日法当小愈。所以然者。阴阳诸经传病终故也。今病不除者。欲为再经病
也。再经病。谓经络重受病也。
方
羚羊角散（出圣惠方）治时气七日。心神恍惚。烦燥壮热。不得眠卧。
羚羊角屑（五钱） 旋复花（五钱） 枳壳（麸炒微黄去瓤五钱） 前胡（去芦头五钱）
川升
麻（五钱） 玄参（五钱） 赤芍药（半两） 黄芩（半两） 地骨皮（半两） 茯神（三
分） 麦门冬
（半两去心焙） 甘草（五钱炙微赤锉） 上为散。每服三钱。以水一中盏。煎至六分。去
滓。
不计时候。温服。
麦门冬散（出圣惠方）治时气七日。有热结在内。虽得汗不解。腹满烦躁。
谵语。宜服。
麦门冬（三两去心） 川升麻（一两） 地骨皮（一两） 川大黄（锉碎微焙一两） 黄
芩（一
两） 前胡（去芦头一两） 赤茯苓（一两） 陈橘皮（汤浸去白瓤焙一两） 枳壳（麸炒
微黄去瓤
一两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
大黄散（出圣惠方）治时气七日。往来寒热。胸胁逆满。大肠秘塞。
川大黄（锉碎微炒一两） 甘草（炙微赤锉一两） 川芒硝（一两） 桂心（一两） 桃
仁（汤
浸去皮尖双仁麸微炒一两） 麻黄（去根节一两） 上为散。每服四钱。以水一中盏。入生
姜
半分。煎至六分。去滓。不计时候。温服。以利为度。
羚羊角散（出圣惠方）治时气七日。心神烦热。胸膈不利。目赤。不得睡
卧。
羚羊角屑（一两） 黄芩（一两） 栀子仁（一两） 黄连（去须一两） 川升麻（一
两） 枳壳
（一两麸炒微黄去瓤） 上为末。炼蜜和丸如梧桐子大。每服不计时候。以竹叶汤下二十丸。
生地黄汤 治天行七日至二七日。脏腑阴阳毒瓦斯。天行病欲歇未歇。或因食饮劳复
。心下胀满烦热。
生地黄（切一升） 黄芩（二两） 芒硝（二两） 麻黄（二两） 桂心（二两） 甘
草（二两炙）
竹叶（切洗） 香豉（绵裹） 薄荷（各一升） 尖鼠屎（三七枚） 干葛（一两） 石膏
（八两碎绵
裹） 上切。以水九升。煮取三升。去滓。下芒硝。分三服。忌芜荑、海藻、菘菜、生葱等。
菖蒲饮子 治伤寒时气瘟疫。及山岚瘴疠。不问阴阳二证。七日内外皆可服。病
在上则吐。在表则汗。在下则泄。其病则解。往年荆湖制府。合此药散施。
石菖蒲（去毛） 川芎 甘草 本 干葛 木猪苓 北柴胡 桑白皮（各等分） 上
为
散。每服五钱。水一大盏。加连须葱头三个。煎至七分。如人行五里久。再煎服。
鳖甲汤 治天行病。经七日以上。热势弥固。大便涩秘。心腹痞满。食饮不下。
精神昏乱恍惚。狂言浪语。脉沉细。众状之证。一无可救。
鳖甲（二两炙） 细辛（二两） 桂心（二两） 白术（二两） 吴茱萸（二两） 白
藓皮（二两）
枳实（二两炙） 茵陈（二两） 生姜（四两） 附子（一两半焙） 大黄（一两） 上切。
以水七
升。煮取二升六合。去滓。分三服。如人行五里进一服。忌生葱、生菜、苋菜、猪肉、桃、
李、雀肉等。
（附论）
时气病，到了第七天应当轻微好转。之所以这样，是因为阴阳各经的病邪传变已经终结的缘故。现在病邪没有消除的，是想发展为再经病。所谓再经病，是指经络再次受到病邪侵袭。
方剂
羚羊角散（出自《圣惠方》），治疗时气病第七天，心神恍惚不定，烦躁且高热，无法安睡躺卧。
羚羊角屑（五钱）、旋覆花（五钱）、枳壳（麸炒至微黄，去瓤，五钱）、前胡（去芦头，五钱）、川升麻（五钱）、玄参（五钱）、赤芍药（半两）、黄芩（半两）、地骨皮（半两）、茯神（三分）、麦门冬（半两，去心，焙干）、甘草（五钱，炙至微红，锉碎）。以上药物研为散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
麦门冬散（出自《圣惠方》），治疗时气病第七天，体内有热结聚，虽然出汗但病不解，腹部胀满烦躁，说胡话。适宜服用此方。
麦门冬（三两，去心）、川升麻（一两）、地骨皮（一两）、川大黄（锉碎，微焙，一两）、黄芩（一两）、前胡（去芦头，一两）、赤茯苓（一两）、陈橘皮（汤浸，去白瓤，焙，一两）、枳壳（麸炒至微黄，去瓤，一两）。以上药物研为散剂。每次服用五钱，用水一大盏，煎煮至五分，滤去药渣。不分时候，温服。
大黄散（出自《圣惠方》），治疗时气病第七天，忽冷忽热，胸胁部气逆胀满，大肠便秘不通。
川大黄（锉碎，微炒，一两）、甘草（炙至微红，锉碎，一两）、川芒硝（一两）、桂心（一两）、桃仁（汤浸，去皮尖及双仁，麸微炒，一两）、麻黄（去根节，一两）。以上药物研为散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。以大便通利为度。
羚羊角散（出自《圣惠方》），治疗时气病第七天，心神烦热，胸膈部气机不畅，眼睛发红，无法入睡躺卧。
羚羊角屑（一两）、黄芩（一两）、栀子仁（一两）、黄连（去须，一两）、川升麻（一两）、枳壳（一两，麸炒至微黄，去瓤）。以上药物研为细末，用炼蜜调和制成梧桐子大小的丸剂。每次服用不分时候，用竹叶汤送服二十丸。
生地黄汤，治疗天行病（流行性传染病）从第七天到第二个七天期间，脏腑阴阳毒邪之气，天行病欲停未停之时，或者因为饮食、劳累导致病情复发，心下（胃脘部）胀满烦热。
生地黄（切块，一升）、黄芩（二两）、芒硝（二两）、麻黄（二两）、桂心（二两）、甘草（二两，炙）、竹叶（切，洗净）、香豉（绵裹）、薄荷（各一升）、尖鼠屎（三七枚）、干葛（一两）、石膏（八两，捣碎，绵裹）。以上药物切碎，用水九升，煮取三升，滤去药渣，加入芒硝，分三次服用。忌食芜荑、海藻、菘菜、生葱等。
菖蒲饮子，治疗伤寒、时气、瘟疫，以及山岚瘴疠之气，不论阴证还是阳证，七日内外皆可服用。病位在上则通过呕吐排出，在表则通过发汗解除，在下则通过腹泻排出，病邪随之而解。往年荆湖制府曾配制此药散施发放。
石菖蒲（去毛）、川芎、甘草、本（藁本）、干葛、木猪苓、北柴胡、桑白皮（各等分）。以上药物研为散剂。每次服用五钱，水一大盏，加连须葱头三个，煎煮至七分。如人行走五里路的时间内，再次煎煮服用。
鳖甲汤，治疗天行病，经过七天以上，热势更加坚固，大便涩滞秘结，心腹痞塞胀满，饮食难以下咽，精神昏乱恍惚，狂言乱语，脉象沉细，各种症状出现，已无可救药。
鳖甲（二两，炙）、细辛（二两）、桂心（二两）、白术（二两）、吴茱萸（二两）、白藓皮（二两）、枳实（二两，炙）、茵陈（二两）、生姜（四两）、附子（一两半，焙）、大黄（一两）。以上药物切碎，用水七升，煮取二升六合，滤去药渣，分三次服用。如人行走五里路进服一次。忌食生葱、生菜、苋菜、猪肉、桃、李、雀肉等。
(Attached Discussion)
In Shiqi disease (Seasonal Qi Disease), by the seventh day, it should naturally show slight improvement. The reason for this is that the transmission of pathogens through the Yin and Yang meridians has reached its conclusion. If the pathogen is not eliminated now, it indicates a progression to a "Re-meridian" disease. A Re-meridian disease refers to the meridians receiving pathological influence again.
Prescriptions
Lingyangjiao San (Antelope Horn Powder) [Source: *Shenghui Fang*]
Indications: Shiqi disease on the seventh day, characterized by mental confusion, restlessness with high fever, and inability to sleep or lie down.
Ingredients: Lingyangjiao Xie (Antelope Horn Shavings, 5 qian), Xuanfuhua (Inula Flower, 5 qian), Zhike (Bitter Orange Peel, bran-fried until slightly yellow, pith removed, 5 qian), Qianhu (Peucedani Radix, radix tip removed, 5 qian), Chuan Shengma (Cimicifugae Rhizoma, 5 qian), Xuanshen (Scrophulariae Radix, 5 qian), Chi Shaoyao (Red Peony Root, 0.5 liang), Huangqin (Scutellariae Radix, 0.5 liang), Digupi (Lycii Cortex, 0.5 liang), Fushen (Poria with Hostwood, 3 fen), Maimendong (Ophiopogonis Radix, 0.5 liang, heart removed, baked), Gancao (Licorice Root, 5 qian, honey-fried until slightly red, chopped).
Preparation and Administration: Grind all ingredients into a powder. Take 3 qian per dose. Add one zhong zhan (approx. 200ml) of water, decoct until reduced to 6 fen. Strain. Take warm at any time.
Maimendong San (Ophiopogon Powder) [Source: *Shenghui Fang*]
Indications: Shiqi disease on the seventh day, with internal heat accumulation. Although sweating occurs, the condition does not resolve; accompanied by abdominal fullness, irritability, and delirium. Suitable for use.
Ingredients: Maimendong (Ophiopogonis Radix, 3 liang, heart removed), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Digupi (Lycii Cortex, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, chopped and slightly baked, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Qianhu (Peucedani Radix, radix tip removed, 1 liang), Chi Fuling (Red Poria, 1 liang), Chen Jupi (Aged Tangerine Peel, soaked in water, white pith removed, baked, 1 liang), Zhike (Bitter Orange Peel, bran-fried until slightly yellow, pith removed, 1 liang).
Preparation and Administration: Grind all ingredients into a powder. Take 5 qian per dose. Add one da zhan (approx. 300ml) of water, decoct until reduced to 5 fen. Strain. Take warm at any time.
Dahuang San (Rhubarb Powder) [Source: *Shenghui Fang*]
Indications: Shiqi disease on the seventh day, alternating chills and fever, rebellious qi causing chest and hypochondriac fullness, and constipation of the large intestine.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, chopped and slightly fried, 1 liang), Gancao (Licorice Root, honey-fried until slightly red, chopped, 1 liang), Chuan Mangxiao (Natrii Sulfas, 1 liang), Guixin (Cinnamomi Ramulus/Cortex, 1 liang), Taoren (Pruni Semen, soaked in water, skin and tips removed, double-kernel avoided, lightly fried with bran, 1 liang), Mahuang (Ephedrae Herba, roots and joints removed, 1 liang).
Preparation and Administration: Grind all ingredients into a powder. Take 4 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger (Shengjiang), decoct until reduced to 6 fen. Strain. Take warm at any time. Stop when bowel movement becomes loose/unobstructed.
Lingyangjiao San (Antelope Horn Powder) [Source: *Shenghui Fang*]
Indications: Shiqi disease on the seventh day, mental irritability and heat, discomfort in the chest and diaphragm, red eyes, and inability to sleep.
Ingredients: Lingyangjiao Xie (Antelope Horn Shavings, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Zhizi Ren (Gardeniae Fructus Seed, 1 liang), Huanglian (Coptidis Rhizoma, whiskers removed, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Zhike (Bitter Orange Peel, 1 liang, bran-fried until slightly yellow, pith removed).
Preparation and Administration: Grind into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills at any time, washed down with Zhu Ye Tang (Bamboo Leaf Decoction).
Shengdihuang Tang (Rehmannia Decoction)
Indications: Tianxing Bing (Epidemic Disease) from the 7th day to the second week, involving toxic influences of Yin and Yang in the Zang-Fu organs. When the epidemic disease is about to cease but has not yet done so, or when relapse occurs due to diet or overexertion, leading to epigastric fullness and irritability/heat.
Ingredients: Shengdihuang (Rehmanniae Radix, sliced, 1 sheng), Huangqin (Scutellariae Radix, 2 liang), Mangxiao (Natrii Sulfas, 2 liang), Mahuang (Ephedrae Herba, 2 liang), Guixin (Cinnamomi Ramulus/Cortex, 2 liang), Gancao (Licorice Root, 2 liang, honey-fried), Zhu Ye (Bamboo Leaves, sliced and washed), Xiangchi (Fermented Soybean, wrapped in silk), Bohe (Menthae Haplocalycis Herba, each 1 sheng), Jian Shushi (Mus Spica Acuta, 37 pieces), Gange (Puerariae Radix, 1 liang), Shigao (Gypsum Fibrosum, 8 liang, crushed and wrapped in silk).
Preparation and Administration: Slice all ingredients. Decoct in 9 sheng of water until 3 sheng remain. Strain. Add Mangxiao. Divide into three doses. Dietary restrictions: Avoid Wu Yi (Chrysanthemi Indici Fructus), Haizao (Sargassum), Songcai (Chinese Cabbage), raw scallions, etc.
Changpu Yinzi (Acorus Drink)
Indications: Shanghan (Cold Damage), Shiqi, Plague (Wenyi), and Mountain Miasma (Zhangli). Applicable to both Yin and Yang patterns within or outside seven days. Pathogens located above are expelled via vomiting; those on the exterior via sweating; those below via purgation. The disease resolves accordingly. Historically, the Jinghu Military Governor's Office prepared this powder for public distribution.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma, hair removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Licorice Root), Bencao/Luoben (Ligustici Sinensis Rhizoma), Gange (Puerariae Radix), Mumuzhuling (Polyporus), Beichaihu (Bupleuri Radix), Sangbaipi (Mori Cortex, equal parts).
Preparation and Administration: Grind into powder. Take 5 qian per dose. Add one da zhan of water and three green onion heads with roots. Decoct until 7 fen remains. After the time it takes a person to walk five li, decoct again and take.
Biejia Tang (Softshell Turtle Decoction)
Indications: Tianxing Bing (Epidemic Disease) persisting beyond seven days, with entrenched heat, difficult and constipated stool, epigastric and abdominal stuffiness/fullness, inability to eat or drink, mental confusion and恍惚 (absent-mindedness), wild talk, deep and thin pulse. Various symptoms appear, indicating a critical state where rescue is difficult.
Ingredients: Biejia (Trionycis Carapax, 2 liang, honey-fried), Xixin (Asari Radix et Rhizoma, 2 liang), Guixin (Cinnamomi Ramulus/Cortex, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Wuzhuyu (Evodiae Fructus, 2 liang), Baixianpi (Dictamni Cortex, 2 liang), Zhishi (Aurantii Fructus Immaturus, 2 liang, honey-fried), Yichen (Artemisiae Scopariae Herba, 2 liang), Shengjiang (Fresh Ginger, 4 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1.5 liang, baked), Dahuang (Rhei Radix et Rhizoma, 1 liang).
Preparation and Administration: Cut all ingredients. Decoct in 7 sheng of water until 2 sheng and 6 he remain. Strain. Divide into three doses. Administer one dose every time a person walks five li. Dietary restrictions: Avoid raw scallions, raw vegetables, amaranth, pork, peaches, plums, sparrow meat, etc.