(附论)
夫热病三日。诸阳传病讫。病犹在表。未入于脏。故胸胁痛耳聋。可发汗而愈也。
方
葛根散(出圣惠方)治热病三日。未得汗。壮热烦恼。欲得饮水。宜服。
葛根(锉) 川大黄(锉碎微炒) 黄芩 桂心 赤芍药 柴胡(去苗各一两) 麻黄
(二两
去根节) 栀子仁 甘草(炙微赤锉各半两) 上为粗散。每服四钱。以水一中盏。入生姜
半
分。煎至五分。去滓。不计时候。稍热服。令有汗为度。
大黄散(出圣惠方)治热病三日。发汗未解。头痛口干。心胸烦闷。宜服。
川大黄(锉碎微炒) 柴胡(去苗) 麻黄(去根节各一两) 秦艽(一两半去苗) 石
膏(二
两) 甘草(半两炙微赤锉) 上为粗散。每服四钱。以水一中盏。入生姜半分。去滓。不
计
时候。稍热频服。汗出为度。
柴胡饮子(出圣惠方)治热病三日。头痛口苦。寒热往来。宜服。
柴胡(去苗) 木通(锉) 赤芍药(各一两半) 石膏(二两半捣) 甘草(半两炙
微赤锉)
上为细锉。和匀。每服半两。用水一大盏。煎至五分。去滓。不计时候。温服。
麻黄散(出圣惠方)治热病三日。头疼壮热。宜服。
麻黄(去根节) 知母 葛根(各一两) 赤芍药(一两半) 黄芩(炙微赤锉) 白
药子 栀
子仁 细辛 柴胡(去苗各半两) 石膏(二两) 上为粗散。每服五钱。以水一大盏。入
生姜
半分。煎至五分。去滓。不计时候。稍热服。衣盖取汗。
发汗桂心散(出圣惠方)治热病三日。表犹未解。壮热。头目四肢不利。宜
服
。
桂心 赤茯苓 泽泻 赤芍药(各半两) 柴胡(去苗) 葛根(锉) 麻黄(去根节
各一两)
甘草(一分炙微赤锉) 上为粗散。每服五钱。以水一中盏。入薄荷二七叶。煎至六分。去
滓。
不计时候。稍热服。衣盖取汗。未汗再服。
苦参散(出圣惠方)治热病三日。解毒瓦斯。
苦参(一两锉) 黄芩(二两) 甘草(半两炙微赤锉) 上为粗散。每服五钱。以水
一大盏。
煎至六分。去滓。入生地黄汁一合。搅令匀。不计时候。分温二服。
知母散(出圣惠方)治热病三日。经发汗热退后。尚寒热往来。不能饮食。
宜服。
知母(一两) 枳实(麸炒微黄) 栀子仁(各一两半) 上为散。每服五钱。用水一
大盏。
入豉少许。煎至五分。去滓。不计时候。温服。
(附论)
热病经过三天,诸阳经的病邪传变完毕。病邪仍然停留在体表,没有进入脏腑。所以出现胸胁疼痛、耳聋的症状。可以通过发汗的方法使疾病痊愈。
方剂
葛根散(出自《圣惠方》),治疗热病第三天。尚未出汗,高热烦躁,想要喝水。适宜服用。
葛根(切碎)一两,川大黄(切碎微炒)一两,黄芩一两,桂心一两,赤芍药一两,柴胡(去苗)一两,麻黄(二两,去根节),栀子仁一两,甘草(炙至微红切碎)半两。以上药物捣成粗散。每次服用四钱,用水一中盏,加入生姜半分,煎煮至五分水量,滤去药渣。不限时候,稍热时服用,以微微出汗为度。
大黄散(出自《圣惠方》),治疗热病第三天,发汗后病邪未解,头痛口干,心胸烦闷。适宜服用。
川大黄(切碎微炒)一两,柴胡(去苗)一两,麻黄(去根节)一两,秦艽(一两半,去苗),石膏(二两),甘草(半两,炙至微红切碎)。以上药物捣成粗散。每次服用四钱,用水一中盏,加入生姜半分,滤去药渣。不限时候,稍热时频繁服用,以出汗为度。
柴胡饮子(出自《圣惠方》),治疗热病第三天,头痛口苦,寒热往来。适宜服用。
柴胡(去苗)一两半,木通(切碎)一两半,赤芍药一两半,石膏(二两半,捣碎),甘草(半两,炙至微红切碎)。以上药物切成细锉,混合均匀。每次服用半两,用水一大盏,煎煮至五分水量,滤去药渣。不限时候,温服。
麻黄散(出自《圣惠方》),治疗热病第三天,头疼高热。适宜服用。
麻黄(去根节)一两,知母一两,葛根一两,赤芍药一两半,黄芩(炙至微红切碎)一两半,白药子一两半,栀子仁一两半,细辛半两,柴胡(去苗)半两,石膏二两。以上药物捣成粗散。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分水量,滤去药渣。不限时候,稍热时服用,盖衣被取汗。
发汗桂心散(出自《圣惠方》),治疗热病第三天,表证仍未解除,高热,头目四肢不利。适宜服用。
桂心半两,赤茯苓半两,泽泻半两,赤芍药半两,柴胡(去苗)一两,葛根(切碎)一两,麻黄(去根节)一两,甘草(一分,炙至微红切碎)。以上药物捣成粗散。每次服用五钱,用水一中盏,加入薄荷十四片叶子,煎煮至六分水量,滤去药渣。不限时候,稍热时服用,盖衣被取汗。若未出汗,再服用一次。
苦参散(出自《圣惠方》),治疗热病第三天,解毒瓦斯。
苦参(一两,切碎)一两,黄芩二两,甘草(半两,炙至微红切碎)半两。以上药物捣成粗散。每次服用五钱,用水一大盏,煎煮至六分水量,滤去药渣,加入生地黄汁一合,搅拌均匀。不限时候,分两次温服。
知母散(出自《圣惠方》),治疗热病第三天,经过发汗热退之后,仍然寒热往来,不能饮食。适宜服用。
知母一两,枳实(麸炒至微黄)一两半,栀子仁一两半。以上药物制成散剂。每次服用五钱,用水一大盏,加入少许豆豉,煎煮至五分水量,滤去药渣。不限时候,温服。
(Attached Discussion)
After three days of febrile disease, the pathogenic factors in all Yang meridians have completed their transmission. The pathogen remains at the exterior level and has not entered the Zang-Fu organs. Consequently, symptoms such as hypochondriac pain and deafness occur. The disease can be cured by inducing sweating (Diaphoresis).
Prescriptions
Gegen San (Kudzu Root Powder) (from *Shenghui Fang*): Treats febrile disease on the third day. Indicated for cases without sweating, with high fever, restlessness, and thirst. It is suitable to take this prescription.
Puerariae Lobatae Radix (Gegen, Kudzu Root) [1 liang, chopped], Rheum Palmatum et Tanguticum Radix et Rhizoma (Chuan Dahuang, Rhubarb) [1 liang, chopped and lightly stir-fried], Scutellariae Radix (Huangqin, Skullcap Root) [1 liang], Cinnamomi Cortex (Guixin, Cinnamon Bark) [1 liang], Paeoniae Radix Rubra (Chishao, Red Peony Root) [1 liang], Bupleuri Radix (Chaihu, Bupleurum Root) [1 liang, radix removed], Ephedrae Herba (Mahuang, Ephedra Stem) [2 liang, root nodes removed], Gardeniae Fructus (Zhizi, Gardenia Fruit) [1 liang], Glycyrrhizae Radix et Rhizoma (Gancao, Licorice Root) [0.5 liang, honey-fried until slightly red and chopped]. The above ingredients are processed into a coarse powder. Each dose consists of 4 qian. Boil with one zhong zhan of water, adding 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.5 zhan. Strain off the dregs. Take at any time, while slightly warm. The goal is to achieve mild sweating.
Dahuang San (Rhubarb Powder) (from *Shenghui Fang*): Treats febrile disease on the third day where sweating has failed to resolve the condition, accompanied by headache, dry mouth, chest and heart irritability. It is suitable to take this prescription.
Rheum Palmatum et Tanguticum Radix et Rhizoma (Chuan Dahuang, Rhubarb) [1 liang, chopped and lightly stir-fried], Bupleuri Radix (Chaihu, Bupleurum Root) [1 liang, radix removed], Ephedrae Herba (Mahuang, Ephedra Stem) [1 liang, root nodes removed], Gentianae Macrophyllae Radix (Qinjiao, Greater Gentian Root) [1.5 liang, radix removed], Gypsum Fibrosum (Shigao, Gypsum) [2 liang], Glycyrrhizae Radix et Rhizoma (Gancao, Licorice Root) [0.5 liang, honey-fried until slightly red and chopped]. The above ingredients are processed into a coarse powder. Each dose consists of 4 qian. Boil with one zhong zhan of water, adding 0.5 fen of fresh ginger. Strain off the dregs. Take frequently while slightly warm at any time. The goal is to induce sweating.
Chaihu Yinzi (Bupleurum Decoction) (from *Shenghui Fang*): Treats febrile disease on the third day, characterized by headache, bitter taste in the mouth, and alternating chills and fever. It is suitable to take this prescription.
Bupleuri Radix (Chaihu, Bupleurum Root) [1.5 liang, radix removed], Akebiae Caulis (Mutong, Akebia Stem) [1.5 liang, chopped], Paeoniae Radix Rubra (Chishao, Red Peony Root) [1.5 liang], Gypsum Fibrosum (Shigao, Gypsum) [2.5 liang, crushed], Glycyrrhizae Radix et Rhizoma (Gancao, Licorice Root) [0.5 liang, honey-fried until slightly red and chopped]. The above ingredients are finely chopped and mixed evenly. Each dose consists of 0.5 liang. Boil with one da zhan of water until the volume reduces to 0.5 zhan. Strain off the dregs. Take warm at any time.
Mahuang San (Ephedra Powder) (from *Shenghui Fang*): Treats febrile disease on the third day, characterized by headache and high fever. It is suitable to take this prescription.
Ephedrae Herba (Mahuang, Ephedra Stem) [1 liang, root nodes removed], Anemarrhenae Rhizoma (Zhimu, Zenner's Snoutbean Rhizome) [1 liang], Puerariae Lobatae Radix (Gegen, Kudzu Root) [1 liang], Paeoniae Radix Rubra (Chishao, Red Peony Root) [1.5 liang], Scutellariae Radix (Huangqin, Skullcap Root) [1.5 liang, honey-fried until slightly red and chopped], Arsenical Orpiment (Biaoyaozi, White Drug Seed - *Note: Traditional toxic mineral/herb*) [1.5 liang], Gardeniae Fructus (Zhizi, Gardenia Fruit) [1.5 liang], Asari Radix et Rhizoma (Xixin, Asiatic Sweetflag Rhizome) [0.5 liang], Bupleuri Radix (Chaihu, Bupleurum Root) [0.5 liang, radix removed], Gypsum Fibrosum (Shigao, Gypsum) [2 liang]. The above ingredients are processed into a coarse powder. Each dose consists of 5 qian. Boil with one da zhan of water, adding 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.5 zhan. Strain off the dregs. Take while slightly warm at any time. Cover with clothing to induce sweating.
Fahan Guixin San (Sweating Cinnamon Bark Powder) (from *Shenghui Fang*): Treats febrile disease on the third day where the exterior syndrome has not yet resolved, presenting with high fever and stiffness/numbness of the head, eyes, and four limbs. It is suitable to take this prescription.
Cinnamomi Cortex (Guixin, Cinnamon Bark) [0.5 liang], Poria Cum Radix (Chi Fuling, Red Poria with Branches) [0.5 liang], Alismatis Rhizoma (Zexie, Water Plantain Rhizome) [0.5 liang], Paeoniae Radix Rubra (Chishao, Red Peony Root) [0.5 liang], Bupleuri Radix (Chaihu, Bupleurum Root) [1 liang, radix removed], Puerariae Lobatae Radix (Gegen, Kudzu Root) [1 liang, chopped], Ephedrae Herba (Mahuang, Ephedra Stem) [1 liang, root nodes removed], Glycyrrhizae Radix et Rhizoma (Gancao, Licorice Root) [1 fen, honey-fried until slightly red and chopped]. The above ingredients are processed into a coarse powder. Each dose consists of 5 qian. Boil with one zhong zhan of water, adding fourteen leaves of Mentha Haplocalyx (Bohe, Mint). Decoct until the volume reduces to 0.6 zhan. Strain off the dregs. Take while slightly warm at any time. Cover with clothing to induce sweating. If sweating does not occur, administer another dose.
Kushen San (Sophora Root Powder) (from *Shenghui Fang*): Treats febrile disease on the third day, detoxifying pathogenic heat/toxins.
Sophorae Flavescentis Radix (Kushen, Sophora Root) [1 liang, chopped], Scutellariae Radix (Huangqin, Skullcap Root) [2 liang], Glycyrrhizae Radix et Rhizoma (Gancao, Licorice Root) [0.5 liang, honey-fried until slightly red and chopped]. The above ingredients are processed into a coarse powder. Each dose consists of 5 qian. Boil with one da zhan of water until the volume reduces to 0.6 zhan. Strain off the dregs, add 1 he of juice from Rehmanniae Radix Preparata (Sheng Dihuang, Fresh Prepared Rehmannia Root), and mix well. Take in two divided doses, warm, at any time.
Zhimu San (Anemarrhena Powder) (from *Shenghui Fang*): Treats febrile disease on the third day, after sweating has reduced the fever, but alternating chills and fever persist, and appetite is lost. It is suitable to take this prescription.
Anemarrhenae Rhizoma (Zhimu, Zenner's Snoutbean Rhizome) [1 liang], Aurantii Fructus Immaturus (Zhishi, Immature Bitter Orange) [1.5 liang, bran-fried until slightly yellow], Gardeniae Fructus (Zhizi, Gardenia Fruit) [1.5 liang]. The above ingredients are processed into a powder. Each dose consists of 5 qian. Boil with one da zhan of water, adding a small amount of Fabae Semen Preparatum (Chi, Fermented Soybean). Decoct until the volume reduces to 0.5 zhan. Strain off the dregs. Take warm at any time.