（温疫同法。暑温伏暑附）
湿温初起。头痛恶寒。身重疼痛。面色淡黄。舌白不渴。胸闷不饥。午后身热。脉弦细而濡者。邪在上焦气分也。
三仁汤主之。（按湿温病。发表则神昏。攻下则洞泄。滋阴则湿愈重。只能以辛开淡渗徐徐疗治。勿求急功。以湿邪柔
腻。
势虽缓而难速愈也。）
三仁汤
杏仁（二钱五分） 飞滑石（三钱） 白通草（一钱） 白蔻仁（一钱） 竹叶（一钱） 浓朴（一
钱） 生苡仁（三钱） 半夏（二钱五分） 甘澜水煎服。苔黄有热者蔻仁易蔻皮。邪在经络一身牵痛者加防己（一钱
五分桂枝水炒） 秦艽（二钱酒炒）
湿温恶寒足冷。服温散药。其寒更甚者。阳为湿郁不能外达下行也。通阳利窍汤主之。
通阳利窍汤
芦根（五钱） 白通草（五钱）
水煎。乘热服之。即津津得汗而解。湿温神昏谵语。舌苔黄腻者。湿热盘踞气分内蒙包络也。杏仁，芥子汤主之。
杏仁芥子汤
杏仁（三钱） 白芥子（一钱五分） 木通（一钱五分姜水炒） 黄连（八分盐水炒） 连翘（二钱） 栀子（一
钱五分） 滑石（三钱） 芦根（一钱五分） 竹叶（一钱） 茯苓（三钱）半夏（二钱）
水煎服。
湿温神昏谵语舌赤无苔者。邪传心包。化燥伤阴内窍将闭也。金蒲汤主之（最忌阴寒柔腻之品。）
金蒲汤
犀角（一钱五分） 郁金（一钱五分） 连翘（三钱） 银花（三钱） 鲜石斛（三钱） 鲜菖蒲（三
钱） 鲜生地（二钱） 鲜竹叶（一钱五分） 芦根汁（三钱冲） 竹沥（二钱冲） 生姜汁（一滴冲）
水煎服。
湿温误表以致神昏四肢厥逆者。邪陷心包。循经入络也。加减清宫汤煎送至宝丹。或紫雪丹。
加减清宫汤
犀角（一钱） 连翘心（三钱） 元参心（二钱） 竹叶心（二钱） 银花（二钱） 赤小豆皮
（三钱）
至宝丹（见前） 紫雪丹
湿证初起。神志模糊。不能言语。舌苔白腻者。寒湿相搏。内蒙清窍也。杏仁桔梗汤主之。（此条以舌苔白腻。断
为
寒湿。可与前三条参观。故附于此。）
杏仁桔梗汤
杏仁（三钱） 桔梗（二钱） 细辛（三分） 白芥子（一钱） 茯苓（三钱） 泽泻（一钱五分） 通草（一钱）
水煎服。
温疫盛行之时。陡然得病。憎寒壮热。头痛身痛。若不可支。午后益甚。舌苔白腻如积粉。板贴不松。脉象极数。
或沉伏者。疫毒由人传染。自口鼻入踞募原也。达原饮主之。（体弱者。先以银翘散透解如不效。再用达原饮。）
达原饮
浓朴（一钱） 草果（五分） 知母（一钱） 白芍（一钱） 黄芩（一钱） 甘草（五分） 槟
榔（二钱）
水二杯煎八分。午后服。（如服后烦燥者。欲作战汗也。得汗则解。）
湿温喉阻咽痛者。邪闭肺气也。银翘马勃散主之。
银翘马勃散
连翘（三钱） 牛蒡子（二钱） 银花（一钱五分） 射干（一钱） 马勃（一钱）
水煎服。 咽喉不痛但觉阻甚者加滑石（二钱） 桔梗（一钱五分） 苇根（一钱五分）
太阴湿温痹郁而哕者。（俗名呃忒）上焦清阳气郁也。宣痹汤主之。
宣痹汤
枇杷叶（二钱） 郁金（一钱五分） 射干（一钱） 白通草（一钱） 香豉（一钱五分）
水煎服。
太阴湿温喘促者。湿热蒸痰阻滞气分也。加味千金苇茎汤主之。（寒饮不在此例）
加味千金苇茎汤
苇茎（二钱五分） 苡仁（二钱五分） 桃仁（一钱） 冬瓜仁（一钱） 杏仁（一钱五分）
滑石（一钱五分）
水煎服。
暑温初起头。痛身热。面赤心烦。口渴汗出。右脉洪大者。暑伤上焦手太阴气分也。加味天水散主之。如右脉洪数
有力。口渴甚。汗大出而喘者。金被火刑也。白虎汤主之。脉洪大而芤者。气虚也。白虎加人参汤主之。身重者。湿也。
白虎加苍术汤主之。（苍术燥烈。阴虚人禁用。当以淡渗之品代之。）
加味天水散
杏仁（二钱） 竹叶（一钱） 连翘（二钱） 鲜苇根（三钱） 银花（三钱） 滑石（三钱）
鲜荷叶（一角） 鲜扁豆花（三钱） 甘草（五分）
水煎服。
微恶寒者加薄荷叶（一钱） 恶心呕吐加藿香（一钱） 姜炒川连（五分）
白虎汤（见前） 白虎加人参汤（见前）
白虎加苍术汤
即于白虎汤内加苍术（一钱）
手太阴暑温。右脉洪大。头痛身热。面赤心烦口渴。凛凛畏寒。而汗不出者。暑为寒束也。新加香薷饮主之。（服
后
微得汗。即勿再服。恐香薷重伤其表也。）
新加香薷饮
香薷（一钱） 银花（一钱五分） 鲜扁豆花（一钱五分） 浓朴（一钱） 连翘（一钱）
水煎服。不汗再作服。
暑温四肢倦怠。精神减少。身热气高。心烦溺黄。口渴自汗脉虚者。王氏益气汤主之。暑邪已净气虚倦怠。口渴汗
多。脉散大欲脱者。生脉散主之。（如暑邪未净。万不可用生脉散。用之必喘满难治。）
王氏益气汤（王孟英因东垣清暑益气汤。无清暑之实。故立此方。）
西洋参（三钱） 石斛（三钱） 麦冬（二钱） 竹叶（二钱） 荷梗（一钱） 知母（二钱） 甘草（八分） 西
瓜翠衣（三钱） 粳米（三钱）
水煎服。 热甚者酌加炒山栀。
生脉散
人参（一钱五分） 麦冬（一钱不去心） 五味子（五分）
水煎服。
暑温余邪未清。但头微胀。目不了了者。清络饮主之。
清络饮
鲜银花（二钱） 鲜荷叶边（二钱） 西瓜翠衣（二钱） 丝瓜皮（二钱） 鲜扁豆花（一枝） 鲜
竹叶心（二钱）
水煎服。凡暑伤肺经气分之轻证。皆可用之。手太阴暑温。咳而无痰。声清亮者。热伤肺络也。一加清络饮主之。
一加清络饮
即于清络饮原方内加甘草（一钱） 桔梗（二钱） 甜杏仁（二钱） 麦冬（三钱）
暑温发寒热。舌白不渴吐血者。表里气血俱病也。名曰暑瘵。二加清络饮主之。
二加清络饮
即于清络饮原方内加滑石（三钱） 苡仁（三钱） 甜杏仁（三钱） 两太阴暑温。咳嗽声重痰多不甚渴。或渴不
多饮者。暑温而兼停饮也。加味小半夏加茯苓汤主之。
加味小半夏加茯苓汤
半夏（二钱五分） 茯苓（二钱） 浓朴（一钱） 生姜（一钱五分） 杏仁（一钱）
甘澜水煎温服
脉虚夜寐不安。烦渴面赤。时有谵语。目常开不闭。或喜闭不开者。暑入手厥阴心包也。清营汤主之。（如舌苔滑
白。乃湿重也。当按湿温法治之。）
手厥阴暑温。身热不恶寒。神昏时时谵语者。牛黄丸主之。紫雪丹亦主之。
小儿暑温。身热卒然痉厥者。名曰暑痫。清营汤主之。（热初入营。肝风内动。手足螈 者。加钩藤丹皮羚羊角。）
亦可少与紫雪丹。大人暑痫治法亦同。
清营汤
犀角（一钱五分） 生地（二钱五分） 元参（一钱五分） 麦冬（一钱五分） 丹参（一钱） 竹
叶心（一钱） 银花（一钱五分） 黄连（一钱二分） 连翘（一钱连心用）
水煎服。
牛黄丸 紫雪丹（见前）
长夏受暑。过夏而发。头痛微恶寒。面赤烦渴。舌白脉濡而数者。无论秋冬皆为太阴伏暑。加减银翘散主之。
银翘散（见前）
舌白口渴无汗。照原方去牛蒡子元参加杏仁泥（二钱） 飞滑石（三钱） 胸闷加郁金（一钱五分） 香豉（一
钱
五分） 呕而痰多者加半夏（二钱） 茯苓（二钱） 小便短加苡仁（二钱五分） 通草（一钱五分）
舌赤口渴无汗。照原方加生地（二钱） 丹皮（一钱五分） 赤芍（一钱五分） 麦冬（二钱）
舌白口渴有汗或大汗不止。照原方去牛蒡子元参芥穗加杏仁（二钱） 生石膏（三钱） 黄芩（一钱五分）
太阴伏暑。舌白汗多。口渴甚脉洪大者。仍用白虎汤。脉虚大而芤者。仍用人参白虎汤。舌赤口渴汗多者加减生脉
散主之。
白虎汤 人参白虎汤（见前）
加减生脉散
沙参（一钱五分） 麦冬（一钱五分） 五味子（五分） 丹皮（一钱） 细生地（一钱五分）
水煎服。
湿温病初起时，出现头痛、怕冷、身体沉重疼痛、面色淡黄、舌苔白且不口渴、胸闷不想吃东西、下午发热、脉象弦细而濡软，这是邪气在上焦气分。
用三仁汤主治。（按：治疗湿温病，如果用发汗解表的方法会导致神志昏迷，如果用攻下泻下的方法会导致腹泻不止，如果用滋阴润燥的方法会使湿气更重。只能采用辛香开窍、淡味渗湿的方法慢慢治疗，不要追求快速见效，因为湿邪性质柔腻，虽然病情进展缓慢但很难迅速痊愈。）
三仁汤
杏仁（二钱五分） 飞滑石（三钱） 白通草（一钱） 白蔻仁（一钱） 竹叶（一钱） 浓朴（一钱） 生苡仁（三钱） 半夏（二钱五分） 用甘澜水煎服。如果舌苔发黄且有热象，将白蔻仁改为白蔻皮；如果邪气在经络导致全身牵拉疼痛，加防己（一钱五分，用桂枝水炒制）、秦艽（二钱，用酒炒制）。
湿温病出现怕冷、脚冷的症状，服用温散药物后，怕冷反而加重，这是因为阳气被湿气郁遏，不能向外通达和向下运行。
用通阳利窍汤主治。
通阳利窍汤
芦根（五钱） 白通草（五钱）
用水煎煮，趁热服用。随即会微微出汗而病愈。
湿温病出现神志昏迷、胡言乱语，舌苔黄腻的，是湿热盘踞在气分，向内蒙蔽心包络。
用杏仁芥子汤主治。
杏仁芥子汤
杏仁（三钱） 白芥子（一钱五分） 木通（一钱五分，用姜水炒制） 黄连（八分，用盐水炒制） 连翘（二钱） 栀子（一钱五分） 滑石（三钱） 芦根（一钱五分） 竹叶（一钱） 茯苓（三钱） 半夏（二钱）
用水煎服。
湿温病出现神志昏迷、胡言乱语，舌质红赤没有舌苔的，是邪气传入心包，化燥伤阴，内窍即将闭塞。
用金蒲汤主治（最忌讳使用阴寒柔腻的药物）。
金蒲汤
犀角（一钱五分） 郁金（一钱五分） 连翘（三钱） 银花（三钱） 鲜石斛（三钱） 鲜菖蒲（三钱） 鲜生地（二钱） 鲜竹叶（一钱五分） 芦根汁（三钱，冲服） 竹沥（二钱，冲服） 生姜汁（一滴，冲服）
用水煎服。
湿温病误用发汗解表药导致神志昏迷、四肢厥冷的，是邪气陷入心包，顺着经络进入络脉。
用加减清宫汤煎送服至宝丹，或者紫雪丹。
加减清宫汤
犀角（一钱） 连翘心（三钱） 元参心（二钱） 竹叶心（二钱） 银花（二钱） 赤小豆皮（三钱）
至宝丹（见前文） 紫雪丹
湿证初起，神志模糊，不能说话，舌苔白腻的，是寒湿相互搏结，向内蒙蔽清窍。
用杏仁桔梗汤主治。（这一条根据舌苔白腻判断为寒湿，可以与前三条对照参考，所以附在这里。）
杏仁桔梗汤
杏仁（三钱） 桔梗（二钱） 细辛（三分） 白芥子（一钱） 茯苓（三钱） 泽泻（一钱五分） 通草（一钱）
用水煎服。
在温疫盛行的时候，突然患病，憎恨寒冷且高热，头痛身痛，痛苦得难以支撑，午后更加严重，舌苔白腻像积粉一样，紧贴舌面不松动，脉象极快，或者沉伏的，是疫毒通过人传人，从口鼻进入并占据募原。
用达原饮主治。（体质虚弱的人，先用银翘散透解，如果不效，再用达原饮。）
达原饮
浓朴（一钱） 草果（五分） 知母（一钱） 白芍（一钱） 黄芩（一钱） 甘草（五分） 槟榔（二钱）
用水两杯煎至八分，午后服用。（如果服药后烦躁，是想发生战汗的先兆，得到汗出则病解。）
湿温病出现咽喉阻塞、咽痛的，是邪气闭阻肺气。
用银翘马勃散主治。
银翘马勃散
连翘（三钱） 牛蒡子（二钱） 银花（一钱五分） 射干（一钱） 马勃（一钱）
用水煎服。如果咽喉不痛但感觉阻塞严重的，加滑石（二钱）、桔梗（一钱五分）、苇根（一钱五分）。
太阴湿温导致痹郁而呃逆的。（俗名打嗝），是上焦清阳之气郁滞。
用宣痹汤主治。
宣痹汤
枇杷叶（二钱） 郁金（一钱五分） 射干（一钱） 白通草（一钱） 香豉（一钱五分）
用水煎服。
太阴湿温出现喘促的，是湿热蒸腾痰浊阻滞气分。
用加味千金苇茎汤主治。（寒饮证不在此例）
加味千金苇茎汤
苇茎（二钱五分） 苡仁（二钱五分） 桃仁（一钱） 冬瓜仁（一钱） 杏仁（一钱五分） 滑石（一钱五分）
用水煎服。
暑温初起，头痛、身热、面红、心烦、口渴、出汗，右脉洪大的，是暑邪伤害上焦手太阴肺经气分。
用加味天水散主治。如果右脉洪数有力，口渴严重，大汗出且气喘的，是金（肺）被火（暑热）克制。
用白虎汤主治。如果脉象洪大而芤的，是气虚。
用白虎加人参汤主治。如果身体沉重的，是有湿邪。
用白虎加苍术汤主治。（苍术燥烈，阴虚之人禁用，应当用淡渗的药物代替。）
加味天水散
杏仁（二钱） 竹叶（一钱） 连翘（二钱） 鲜苇根（三钱） 银花（三钱） 滑石（三钱） 鲜荷叶（一角） 鲜扁豆花（三钱） 甘草（五分）
用水煎服。
如果有轻微怕冷的，加薄荷叶（一钱）；如果有恶心呕吐的，加藿香（一钱）、姜炒川连（五分）。
白虎汤（见前文） 白虎加人参汤（见前文）
白虎加苍术汤
即在白虎汤中加入苍术（一钱）。
手太阴暑温，右脉洪大，头痛身热，面红心烦口渴，凛凛怕冷，但是不出汗的，是暑邪被寒邪束缚。
用新加香薷饮主治。（服药后微微出汗，就不要再服，恐怕香薷过度损伤体表阳气。）
新加香薷饮
香薷（一钱） 银花（一钱五分） 鲜扁豆花（一钱五分） 浓朴（一钱） 连翘（一钱）
用水煎服。如果没有出汗，再服用。
暑温导致四肢倦怠、精神减少、身热气高、心烦尿黄、口渴自汗、脉虚弱的，用王氏益气汤主治。如果暑邪已净，气虚倦怠，口渴汗多，脉散大欲脱的，用生脉散主治。（如果暑邪未净，千万不可用生脉散，用了必然导致喘满难治。）
王氏益气汤（王孟英认为李东垣的清暑益气汤没有清暑的实际功效，所以创立此方。）
西洋参（三钱） 石斛（三钱） 麦冬（二钱） 竹叶（二钱） 荷梗（一钱） 知母（二钱） 甘草（八分） 西瓜翠衣（三钱） 粳米（三钱）
用水煎服。热势重的酌情加炒山栀。
生脉散
人参（一钱五分） 麦冬（一钱，不去心） 五味子（五分）
用水煎服。
清络饮
鲜银花（二钱） 鲜荷叶边（二钱） 西瓜翠衣（二钱） 丝瓜皮（二钱） 鲜扁豆花（一枝） 鲜竹叶心（二钱）
用水煎服。凡是暑邪伤害肺经气分的轻证，都可以使用。手太阴暑温，咳嗽但没有痰，声音清脆响亮的，是热邪伤害肺络。
用一加清络饮主治。
一加清络饮
即在清络饮原方基础上加甘草（一钱）、桔梗（二钱）、甜杏仁（二钱）、麦冬（三钱）。
暑温出现寒热往来，舌白不渴、吐血的，是表里气血都受病。名叫暑瘵。
用二加清络饮主治。
二加清络饮
即在清络饮原方基础上加滑石（三钱）、苡仁（三钱）、甜杏仁（三钱）。
两太阴暑温，咳嗽声重痰多不太渴，或者渴但不想多喝水的，是暑温兼有停饮。
用加味小半夏加茯苓汤主治。
加味小半夏加茯苓汤
半夏（二钱五分） 茯苓（二钱） 浓朴（一钱） 生姜（一钱五分） 杏仁（一钱）
用甘澜水煎煮温服。
脉虚夜间睡眠不安，烦渴面红，时有胡言乱语，眼睛常睁开不闭，或者喜欢闭上不开的，是暑邪入手厥阴心包经。
用清营汤主治。（如果舌苔滑白，是湿气重，应当按照湿温法治疗。）
手厥阴暑温，身热不怕冷，神志昏迷时时胡言乱语的，用牛黄丸主治。紫雪丹也可主治。
小儿暑温，身热突然发生痉厥的，名叫暑痫。用清营汤主治。（热邪初入营分，肝风内动，手足抽搐的，加钩藤、丹皮、羚羊角。）
也可以少量给予紫雪丹。大人暑痫的治疗方法也相同。
清营汤
犀角（一钱五分） 生地（二钱五分） 元参（一钱五分） 麦冬（一钱五分） 丹参（一钱） 竹叶心（一钱） 银花（一钱五分） 黄连（一钱二分） 连翘（一钱，连心用）
用水煎服。
长夏感受暑邪，过了夏天才发作，头痛轻微怕冷，面红烦渴，舌白脉濡而数的，无论秋冬季节都称为太阴伏暑。
用加减银翘散主治。
银翘散（见前文）
如果舌白口渴无汗，照原方去掉牛蒡子、元参，加入杏仁泥（二钱）、飞滑石（三钱）；胸闷加郁金（一钱五分）、香豉（一钱五分）；呕吐且痰多的加半夏（二钱）、茯苓（二钱）；小便短少加苡仁（二钱五分）、通草（一钱五分）。
如果舌赤口渴无汗，照原方加入生地（二钱）、丹皮（一钱五分）、赤芍（一钱五分）、麦冬（二钱）。
如果舌白口渴有汗或大汗不止，照原方去掉牛蒡子、元参、芥穗，加入杏仁（二钱）、生石膏（三钱）、黄芩（一钱五分）。
太阴伏暑，舌白汗多，口渴严重脉洪大的，仍用白虎汤。脉虚大而芤的，仍用人参白虎汤。舌赤口渴汗多的，用加减生脉散主治。
白虎汤 人参白虎汤（见前文）
加减生脉散
沙参（一钱五分） 麦冬（一钱五分） 五味子（五分） 丹皮（一钱） 细生地（一钱五分）
用水煎服。
(For warm epidemics, the same method applies. Summer-heat and latent summer-heat also follow this principle.)
At the initial stage of damp-warmth (Shiwen), symptoms include headache, aversion to cold, heaviness and pain in the body, a pale yellow complexion, white tongue coating without thirst, chest stuffiness and lack of appetite, afternoon fever, and a wiry, fine, and soggy pulse. This indicates pathogenic factors located in the Qi aspect of the Upper Jiao (Upper Burner).
Sanren Tang (Three Kernel Decoction) is the primary formula. (Note: In treating damp-warmth, releasing the exterior through sweating leads to coma; purging with downward-draining methods leads to severe diarrhea; nourishing Yin makes the dampness heavier. One can only treat it slowly with acrid-opening and bland-leaching methods, seeking no quick results, because damp pathogens are soft and greasy. Although the progression is slow, it is difficult to cure quickly.)
Sanren Tang (Three Kernel Decoction)
Xingren (Apricot Seed, 2.5 qian) Feihuas Hi (Pumiced Talcum, 3 qian) Baotongcao (White Akebia Stem, 1 qian) Baokouren (White Cardamom Seed, 1 qian) Zhuye (Bamboo Leaf, 1 qian) Nongpo (Magnolia Bark, 1 qian) Shengyiren (Coix Seed, 3 qian) Banxia (Pinellia Rhizome, 2.5 qian) Decoct with Ganlan Water (Gently Boiling Water). If the tongue coating is yellow indicating heat, replace Baokouren with Baokoupi (Cardamom Peel). If pathogens are in the meridians causing whole-body pulling pain, add Fangji (Stephania Root, 1.5 qian, stir-fried with Guizhi water) and Qinjiao (Gentiana Macrophylla Root, 2 qian, wine-fried).
In damp-warmth, if there is aversion to cold and cold feet, and after taking warming and dispersing herbs, the cold worsens, it is because Yang Qi is constrained by dampness and cannot reach the exterior or descend.
Tongyang Liqiao Tang (Decoction to Unblock Yang and Benefit Orifices) is the primary formula.
Tongyang Liqiao Tang (Decoction to Unblock Yang and Benefit Orifices)
Lugen (Reed Rhizome, 5 qian) Baotongcao (White Akebia Stem, 5 qian)
Decoct in water and take while hot. Sweating will ensue, and the disease will resolve.
In damp-warmth, if there is mental confusion and delirious speech with a yellow and greasy tongue coating, it indicates damp-heat stagnating in the Qi aspect and internally obscuring the Pericardium Collateral.
Xingren Jiezi Tang (Almond and White Mustard Seed Decoction) is the primary formula.
Xingren Jiezi Tang (Almond and White Mustard Seed Decoction)
Xingren (Apricot Seed, 3 qian) Baijiezi (White Mustard Seed, 1.5 qian) Mutong (Akebia Stem, 1.5 qian, stir-fried with ginger water) Huanglian (Coptis Rhizome, 8 fen, salt-water fried) Lianqiao (Forsythia Fruit, 2 qian) Zhizi (Gardenia Fruit, 1.5 qian) Huashi (Talcum, 3 qian) Lugen (Reed Rhizome, 1.5 qian) Zhuye (Bamboo Leaf, 1 qian) Fuling (Poria, 3 qian) Banxia (Pinellia Rhizome, 2 qian)
Decoct in water and take.
In damp-warmth, if there is mental confusion, delirious speech, a red tongue body without coating, it indicates pathogens have transmitted to the Pericardium, transforming into dryness and injuring Yin, with internal orifices about to close.
Jinpu Tang (Gold and Calamus Decoction) is the primary formula (Most taboo: yin-cold and soft-greasy substances).
Jinpu Tang (Gold and Calamus Decoction)
Xijiao (Rhinoceros Horn, 1.5 qian) [Note: Substitute with Niujiao or other legal alternatives in modern practice] Yujin (Curcuma Tuber, 1.5 qian) Lianqiao (Forsythia Fruit, 3 qian) Yinhua (Honeysuckle Flower, 3 qian) Xianshihu (Fresh Dendrobium Stem, 3 qian) Xianchangpu (Fresh Acorus Rhizome, 3 qian) Xianshengdi (Fresh Rehmannia Root, 2 qian) Xianzhuye (Fresh Bamboo Leaf, 1.5 qian) Lugenzhi (Juice of Reed Rhizome, 3 qian, mixed in) Zhuli (Bamboo Sap, 2 qian, mixed in) Shengjiangzhi (Ginger Juice, 1 drop, mixed in)
Decoct in water and take.
If damp-warmth is mistakenly treated with exterior-releasing methods leading to mental confusion and cold limbs, it indicates pathogens sinking into the Pericardium and entering the collaterals along the meridians.
Jiajian Qinggong Tang (Modified Palace-Clearing Decoction) is decocted to deliver Zhibao Dan (Treasure of the Precious Box Pill) or Zixue Dan (Purple Snow Pill).
Jiajian Qinggong Tang (Modified Palace-Clearing Decoction)
Xijiao (Rhinoceros Horn, 1 qian) Lianqiaoxin (Heart of Forsythia Fruit, 3 qian) Yuanxencxin (Heart of Scrophularia Root, 2 qian) Zhuyexin (Heart of Bamboo Leaf, 2 qian) Yinhua (Honeysuckle Flower, 2 qian) Chixiaodoupi (Skin of Adzuki Bean, 3 qian)
Zhibao Dan (See previous text) Zixue Dan (Purple Snow Pill)
At the initial stage of damp syndrome, if there is blurred consciousness, inability to speak, and a white greasy tongue coating, it indicates cold-damp binding and internally obscuring the clear orifices.
Xingren Jiegeng Tang (Almond and Platycodon Decoction) is the primary formula. (This clause identifies cold-damp based on the white greasy tongue coating; compare with the previous three clauses, hence attached here.)
Xingren Jiegeng Tang (Almond and Platycodon Decoction)
Xingren (Apricot Seed, 3 qian) Jiegeng (Platycodon Root, 2 qian) Xixin (Asarum Root, 3 fen) Baijiezi (White Mustard Seed, 1 qian) Fuling (Poria, 3 qian) Zexie (Alisma Rhizome, 1.5 qian) Tongcao (Tetrapanax Pith, 1 qian)
Decoct in water and take.
During the prevalence of warm epidemics, sudden onset of aversion to cold and high fever, headache and body pain so severe as to be unbearable, worsening in the afternoon, white tongue coating like accumulated powder tightly adhering, and an extremely rapid or deep-hidden pulse, indicates epidemic toxins transmitted from person to person, entering via mouth and nose and occupying the Mu Yuan (Moyuan/Root of Abdomen).
Dayuan Yin (Decoction to Reach the Origin) is the primary formula. (For weak constitutions, first use Yinqiao San (Honeysuckle and Forsythia Powder) for release; if ineffective, then use Dayuan Yin.)
Dayuan Yin (Decoction to Reach the Origin)
Nongpo (Magnolia Bark, 1 qian) Caoguo (Black Cardamom Fruit, 5 fen) Zhimu (Anemarrhena Rhizome, 1 qian) Baishao (White Peony Root, 1 qian) Huangqin (Scutellaria Root, 1 qian) Gancao (Licorice Root, 5 fen) Binglang (Areca Nut, 2 qian)
Decoct two cups of water to eight parts, take in the afternoon. (If irritability occurs after taking, it indicates impending battle-sweat; resolution comes with sweating.)
In damp-warmth, if there is throat obstruction and sore throat, it indicates pathogenic closure of Lung Qi.
Yinqiao Mabo San (Honeysuckle, Forsythia and Moella Powder) is the primary formula.
Yinqiao Mabo San (Honeysuckle, Forsythia and Moella Powder)
Lianqiao (Forsythia Fruit, 3 qian) Niubangzi (Arctium Fruit, 2 qian) Yinhua (Honeysuckle Flower, 1.5 qian) Shegan (Belamcanda Rhizome, 1 qian) Mabo (Moella Spore, 1 qian)
Decoct in water and take. If the throat is not painful but obstruction is severe, add Huashi (Talcum, 2 qian), Jiegeng (Platycodon Root, 1.5 qian), and Weigen (Reed Root, 1.5 qian).
In Taiyin damp-warmth, if bi-stagnation leads to hiccups (commonly known as hiccup), it is due to stagnation of clear Yang Qi in the Upper Jiao.
Xuanbi Tang (Decoction to Disperse Bi) is the primary formula.
Xuanbi Tang (Decoction to Disperse Bi)
Pipaye (Loquat Leaf, 2 qian) Yujin (Curcuma Tuber, 1.5 qian) Shegan (Belamcanda Rhizome, 1 qian) Baotongcao (White Akebia Stem, 1 qian) Xiangchi (Fermented Soybean, 1.5 qian)
Decoct in water and take.
In Taiyin damp-warmth, if there is panting and shortness of breath, it is due to damp-heat steaming phlegm obstructing the Qi aspect.
Jiawei Qianjin Weijing Tang (Modified Thousand-Gold Reed Shoot Decoction) is the primary formula. (Cold-fluid retention is not included in this category.)
Jiawei Qianjin Weijing Tang (Modified Thousand-Gold Reed Shoot Decoction)
Weijing (Reed Shoot, 2.5 qian) Yiren (Coix Seed, 2.5 qian) Tao Ren (Peach Seed, 1 qian) Dongguaren (Winter Melon Seed, 1 qian) Xingren (Apricot Seed, 1.5 qian) Huashi (Talcum, 1.5 qian)
Decoct in water and take.
At the initial stage of summer-heat, with headache, fever, red face, vexation, thirst, sweating, and a surging right pulse, it indicates summer-heat injuring the Qi aspect of the Hand-Taiyin Lung Meridian.
Jiawei Tianshui San (Modified Heavenly Water Powder) is the primary formula. If the right pulse is surging, rapid, forceful, with severe thirst, profuse sweating, and panting, it indicates Metal (Lung) being punished by Fire (Summer-heat).
Baitu Tang (White Tiger Decoction) is the primary formula. If the pulse is surging and hollow (Kou), it indicates Qi deficiency.
Baitu Jia Renshen Tang (White Tiger Decoction with Ginseng) is the primary formula. If the body feels heavy, it indicates dampness.
Baitu Jia Cangzhu Tang (White Tiger Decoction with Atractylodes) is the primary formula. (Cangzhu is drying and harsh; contraindicated in Yin deficiency. Replace with bland-leaching substances.)
Jiawei Tianshui San (Modified Heavenly Water Powder)
Xingren (Apricot Seed, 2 qian) Zhuye (Bamboo Leaf, 1 qian) Lianqiao (Forsythia Fruit, 2 qian) Xianweigen (Fresh Reed Root, 3 qian) Yinhua (Honeysuckle Flower, 3 qian) Huashi (Talcum, 3 qian) Xianheyeh (Fresh Lotus Leaf, 1 corner) Xianbiandouhua (Fresh Hyacinth Bean Flower, 3 qian) Gancao (Licorice Root, 5 fen)
Decoct in water and take.
Add Boheye (Mint Leaf, 1 qian) for slight aversion to cold. Add Huoxiang (Patchouli Herb, 1 qian) and Jiangchao Chuanlian (Ginger-fried Coptis, 5 fen) for nausea and vomiting.
Baitu Tang (White Tiger Decoction) (See previous text) Baitu Jia Renshen Tang (White Tiger Decoction with Ginseng) (See previous text)
Baitu Jia Cangzhu Tang (White Tiger Decoction with Atractylodes)
Add Cangzhu (Atractylodes Rhizome, 1 qian) to Baitu Tang.
In Hand-Taiyin summer-heat, with a surging right pulse, headache, fever, red face, vexation, thirst, shivering aversion to cold, but no sweating, it indicates summer-heat constrained by cold.
Xinjia Xiangru Yin (Newly Added Elsholtzia Decoction) is the primary formula. (After taking, if slight sweating occurs, stop administration to avoid excessive damage to the exterior by Xiangru.)
Xinjia Xiangru Yin (Newly Added Elsholtzia Decoction)
Xiangru (Elsholtzia Herb, 1 qian) Yinhua (Honeysuckle Flower, 1.5 qian) Xianbiandouhua (Fresh Hyacinth Bean Flower, 1.5 qian) Nongpo (Magnolia Bark, 1 qian) Lianqiao (Forsythia Fruit, 1 qian)
Decoct in water and take. If no sweat, administer again.
In summer-heat, with four-limb fatigue, reduced spirit, high body temperature, vexation, yellow urine, thirst, spontaneous sweating, and a deficient pulse, Wangshi Yiqi Tang (Wang's Qi-Nourishing Decoction) is the primary formula. If summer-heat pathogens are cleared but Qi deficiency causes fatigue, severe thirst, profuse sweating, and a scattered, large, nearly collapsing pulse, Shengmai San (Generate the Pulse Powder) is the primary formula. (If summer-heat pathogens remain, absolutely do not use Shengmai San; doing so will lead to difficult-to-treat panting and fullness.)
Wangshi Yiqi Tang (Wang's Qi-Nourishing Decoction) (Wang Mengying established this formula because Li Dongyuan's Qingshu Yiqi Tang lacked actual clearing-summer-heat efficacy.)
Xiyangshen (American Ginseng, 3 qian) Shihu (Dendrobium Stem, 3 qian) Maidong (Ophiopogon Tuber, 2 qian) Zhuye (Bamboo Leaf, 2 qian) Hegeng (Lotus Peduncle, 1 qian) Zhimu (Anemarrhena Rhizome, 2 qian) Gancao (Licorice Root, 8 fen) Xiguacuiyi (Watermelon Rind Green Skin, 3 qian) Jingmi (Rice Grain, 3 qian)
Decoct in water and take. Add Chao Shanzhi (Stir-fried Gardenia, appropriate amount) for severe heat.
Shengmai San (Generate the Pulse Powder)
Renshen (Ginseng, 1.5 qian) Maidong (Ophiopogon Tuber, 1 qian, heart not removed) Wuweizi (Schisandra Berry, 5 fen)
Decoct in water and take.
If residual summer-heat pathogens remain unclear, with only slight head distension and blurred vision, Qingluo Yin (Clear Collateral Decoction) is the primary formula.
Qingluo Yin (Clear Collateral Decoction)
Xian Yinhua (Fresh Honeysuckle Flower, 2 qian) Xian heyebian (Fresh Lotus Leaf Edge, 2 qian) Xiguacuiyi (Watermelon Rind Green Skin, 2 qian) Siguapi (Luffa Peel, 2 qian) Xian biandouhua (Fresh Hyacinth Bean Flower, 1 branch) Xian zhuyexin (Fresh Bamboo Leaf Heart, 2 qian)
Decoct in water and take. It can be used for all mild cases of summer-heat injuring the Qi aspect of the Lung Meridian. In Hand-Taiyin summer-heat, if there is cough without sputum and a clear, bright voice, it indicates heat injuring Lung collaterals.
Yijia Qingluo Yin (One-Added Clear Collateral Decoction) is the primary formula.
Yijia Qingluo Yin (One-Added Clear Collateral Decoction)
Add Gancao (Licorice Root, 1 qian), Jiegeng (Platycodon Root, 2 qian), Tian Xingren (Sweet Apricot Seed, 2 qian), and Maidong (Ophiopogon Tuber, 3 qian) to the original Qingluo Yin formula.
In summer-heat, if there is alternating chills and fever, white tongue coating without thirst, and hematemesis, it indicates both interior and exterior, Qi and Blood are affected. This is named Shuzhai (Summer-heat Consumption).
Erjia Qingluo Yin (Two-Added Clear Collateral Decoction) is the primary formula.
Erjia Qingluo Yin (Two-Added Clear Collateral Decoction)
Add Huashi (Talcum, 3 qian), Yiren (Coix Seed, 3 qian), and Tian Xingren (Sweet Apricot Seed, 3 qian) to the original Qingluo Yin formula.
In bilateral Taiyin summer-heat, if there is heavy cough, much sputum, little thirst, or thirst but little desire to drink, it indicates summer-heat combined with retained fluids.
Jiawei Xiaobanxia Jia Fuling Tang (Modified Minor Pinellia plus Poria Decoction) is the primary formula.
Jiawei Xiaobanxia Jia Fuling Tang (Modified Minor Pinellia plus Poria Decoction)
Banxia (Pinellia Rhizome, 2.5 qian) Fuling (Poria, 2 qian) Nongpo (Magnolia Bark, 1 qian) Shengjiang (Fresh Ginger, 1.5 qian) Xingren (Apricot Seed, 1 qian)
Decoct with Ganlan Water and take warm.
If the pulse is deficient, sleep is restless at night, there is vexation and thirst, red face, occasional delirious speech, eyes often open and not closing, or preferring to stay closed, it indicates summer-heat entering the Hand-Jueyin Pericardium Meridian.
Qingying Tang (Clear Nutrient Decoction) is the primary formula. (If the tongue coating is slippery and white, dampness is heavy; treat according to damp-warmth methods.)
In Hand-Jueyin summer-heat, with fever, no aversion to cold, mental confusion, and occasional delirious speech, Niuhuang Wan (Calculus Bovis Pill) is the primary formula. Zixue Dan (Purple Snow Pill) is also applicable.
In pediatric summer-heat, if there is sudden fever followed by spasms and convulsions, it is named Shuxian (Summer-heat Epilepsy). Qingying Tang (Clear Nutrient Decoction) is the primary formula. (If heat has just entered the Ying level and Liver wind stirs internally causing twitching of hands and feet, add Gouteng (Uncaria Ramulus), Danpi (Moutan Cortex), and Lingyangjiao (Antelope Horn).)
Small amounts of Zixue Dan may also be given. The treatment for adult summer-heat epilepsy is the same.
Qingying Tang (Clear Nutrient Decoction)
Xijiao (Rhinoceros Horn, 1.5 qian) [Substitute recommended] Shengdi (Rehmannia Root, 2.5 qian) Yuan Shen (Scrophularia Root, 1.5 qian) Maidong (Ophiopogon Tuber, 1.5 qian) Danshen (Salvia Root, 1 qian) Zhuyexin (Bamboo Leaf Heart, 1 qian) Yinhua (Honeysuckle Flower, 1.5 qian) Huanglian (Coptis Rhizome, 1.2 qian) Lianqiao (Forsythia Fruit, 1 qian, use with heart)
Decoct in water and take.
Niuhuang Wan (Calculus Bovis Pill) Zixue Dan (Purple Snow Pill) (See previous text)
Contracting summer-heat in late summer, manifesting after summer passes, with headache, slight aversion to cold, red face, vexation, thirst, white tongue coating, and soggy-rapid pulse, regardless of autumn or winter season, is called Taiyin Fushe (Latent Summer-heat of Taiyin).
Jiajian Yinqiao San (Modified Honeysuckle and Forsythia Powder) is the primary formula.
Yinqiao San (Honeysuckle and Forsythia Powder) (See previous text)
If tongue is white, thirsty, no sweat: remove Niubangzi and Yuanshen from original formula; add Xingrenni (Apricot Seed Paste, 2 qian) and Feihuashi (Pumiced Talcum, 3 qian). For chest stuffiness, add Yujin (1.5 qian) and Xiangchi (1.5 qian). For vomiting with much sputum, add Banxia (2 qian) and Fuling (2 qian). For short urination, add Yiren (2.5 qian) and Tongcao (1.5 qian).
If tongue is red, thirsty, no sweat: add to original formula Shengdi (2 qian), Danpi (1.5 qian), Chishao (Red Peony Root, 1.5 qian), and Maidong (2 qian).
If tongue is white, thirsty, with sweat or profuse unceasing sweat: remove Niubangzi, Yuanshen, and Jiesui from original formula; add Xingren (2 qian), Sheng Shigao (Raw Gypsum, 3 qian), and Huangqin (1.5 qian).
For Taiyin Fushe, if tongue is white, sweating is profuse, thirst is severe, and pulse is surging, still use Baitu Tang (White Tiger Decoction). If pulse is deficient, large, and hollow, still use Renshen Baitu Tang (Ginseng White Tiger Decoction). If tongue is red, thirsty, and sweating is profuse, Jiawei Shengmai San (Modified Generate the Pulse Powder) is the primary formula.
Baitu Tang (White Tiger Decoction) Renshen Baitu Tang (Ginseng White Tiger Decoction) (See previous text)
Jiawei Shengmai San (Modified Generate the Pulse Powder)
Shashen (Glehnia Root, 1.5 qian) Maidong (Ophiopogon Tuber, 1.5 qian) Wuweizi (Schisandra Berry, 5 fen) Danpi (Moutan Cortex, 1 qian) Xi Shengdi (Fine Rehmannia Root, 1.5 qian)
Decoct in water and take.