发热时壮热腮红,以此方主之∶
升麻 干葛 前胡 川芎 枳壳 桔梗 复花 陈皮 木通
发热时面青神慢,以此方主之∶
苏叶 桔梗 前胡 陈皮 复花 红花 葱头
发热时气喘烦躁,二便不和以此方主之∶
防风 荆芥 前胡 葛根 升麻 大力 蝉蜕 薄荷 枳壳 复花 木通 竹叶
发热时迟延不出,皮肤干燥,身热喷嚏,毒瓦斯抑郁,以此方主之∶
麻黄 干葛 柴胡 蝉蜕 天麻 大力 复花 薄荷 木通 川芎 陈皮 红花 加笋尖
喘加钩藤,感寒加升麻、葛根,惊石菖蒲、小草,无汗加麻黄、桂枝,疹出不快加薄荷、力子,痰多
加大麻、胆星,额不出加荷鼻、笋尖,谵语加石菖蒲,四肢不出加桂枝,食积加枳实、莲心,头面不出加升
麻或用老酒煎热洗,即起。
面赤加柳芽,通身不起加大力,发斑加荷鼻,目直视加天麻、胆星,吐甚加姜汁,色不红润加丹参,
伤暑加青蒿,六经火加连翘,时遇暑热加连翘、木通,郁火相煽加连翘,时遇寒冷加麻
黄、桂枝,时遇温加薄荷、竹叶,痰结在皮里膜外发不出者,加竹沥、姜汁。凡疹发热昏迷,不知人事者单
用竹沥、姜汁少许,汗之则疹自现矣。疹后下痢不止者,用猪苓、泽泻、茯苓、滑
石、甘草、黄连,或滞下后重加黄芩、归尾、赤芍、枳壳、木通、六一散。
疹后气喘,连声咳嗽不绝者,用栝蒌仁、桔梗、桑皮、苏子。渴加麦冬、枳壳,或用清肺饮。知母、
贝母、桔梗、大力、杏仁、天冬、麦冬、甘草、石膏、兜铃。
疹后壮热不退者,发为惊搐烦躁,精神不宁,此脾有热也,宜用四物汤,山栀、竹叶、灯草、生地、
白芍、赤芍;或用安神丸,黄连、当归、胆草、蝉蜕、茯苓、菖蒲,上为末,蒸饼汁加
猪血、朱砂为衣,灯芯汤送下。
疹后虚烦不得眠者,用竹叶石膏汤去人参,麦冬、甘草、石膏、法夏、竹叶、糯米百粒。
疹出三日不收者,宜加清里药,则退而疹自消。
疹后浑身壮热未至瘦弱,但每烦躁不宁,此毒在心肝二经,以当归养血汤主之。
当归、川芎、生地、甘草、麦冬、山栀、竹叶。大便秘加大黄。
疹后牙疳臭烂,时时出血,呼吸气息,名为走马疳,以文蛤散主之。
文蛤五分,雄黄五分,五倍子二钱,枯矾五分,蚕蜕包纸
灰一钱。上共为末,米泔水洗过,一日搽三次,以平为度。
疹后四十九日内,或热除而毒未除,肺虚咳嗽,以沙合散主之。
麦冬、冬花、知母、橘红、百部、百合、阿胶、钩藤、北沙参,加榧子肉、枇杷叶。
发热时出现高热、两腮发红,用此方为主治:
升麻、干葛(葛根)、前胡、川芎、枳壳、桔梗、复花(红花)、陈皮、木通。
发热时面色发青、精神萎靡,用此方为主治:
苏叶、桔梗、前胡、陈皮、复花(红花)、红花、葱头。
发热时气喘烦躁,大小便不通畅,用此方为主治:
防风、荆芥、前胡、葛根、升麻、大力(牛蒡子)、蝉蜕、薄荷、枳壳、复花(红花)、木通、竹叶。
发热时疹子延迟不出,皮肤干燥,身体发热伴打喷嚏,毒气郁结在内,用此方为主治:
麻黄、干葛(葛根)、柴胡、蝉蜕、天麻、大力(牛蒡子)、复花(红花)、薄荷、木通、川芎、陈皮、红花,加笋尖。
若伴有喘息,加钩藤;受寒加升麻、葛根;惊悸加石菖蒲、小草;无汗加麻黄、桂枝;疹子出不快加薄荷、力子(牛蒡子);痰多加大麻(火麻仁)、胆星(天南星);额头不出加荷鼻(荷叶蒂)、笋尖;说胡话加石菖蒲;四肢不出加桂枝;食积加枳实、莲心;头面部不出加升麻,或用老酒煎热后清洗,疹子即可发出。
面色赤红加柳芽;全身不起加大力(牛蒡子);发斑加荷鼻(荷叶蒂);两眼直视加天麻、胆星(天南星);呕吐严重加姜汁;颜色不红润加丹参;伤暑加青蒿;六经火旺加连翘;时常遇到暑热加连翘、木通;郁火相煽动加连翘;时常遇到寒冷加麻黄、桂枝;时常遇到温热气候加薄荷、竹叶;痰结在皮里膜外导致疹子发不出者,加竹沥、姜汁。凡是出疹发热昏迷、人事不知的,单用少许竹沥和姜汁,使其出汗则疹子自然显现。
出疹后下痢不止的,用猪苓、泽泻、茯苓、滑石、甘草、黄连,或者如果伴有滞下后重感,加黄芩、归尾(当归尾)、赤芍、枳壳、木通、六一散。
出疹后气喘,连续咳嗽不停的,用栝蒌仁、桔梗、桑白皮、苏子。口渴加麦冬、枳壳,或者使用清肺饮:知母、贝母、桔梗、大力(牛蒡子)、杏仁、天冬、麦冬、甘草、石膏、兜铃(紫菀)。
出疹后高热不退,引发惊厥抽搐烦躁,精神不安宁,这是脾脏有热,适宜用四物汤,加山栀(栀子)、竹叶、灯草(灯芯草)、生地(生地黄)、白芍、赤芍;或者使用安神丸:黄连、当归、胆草(龙胆草)、蝉蜕、茯苓、菖蒲(石菖蒲),以上药物研为细末,用蒸饼汁调和,加入猪血、朱砂作为包衣,用灯芯草汤送服。
出疹后虚烦不得睡眠的,用竹叶石膏汤去掉人参,保留麦冬、甘草、石膏、法夏(法半夏)、竹叶、糯米一百粒。
出疹三天后不能收敛的,适宜加入清里药,则热退而疹子自消。
出疹后浑身高热但未至消瘦虚弱,只是经常烦躁不安,这是毒邪在心肝二经,以当归养血汤为主治。
当归、川芎、生地(生地黄)、甘草、麦冬、山栀(栀子)、竹叶。大便秘结加大黄。
出疹后牙疳臭烂,时时出血,呼吸气息恶臭,名为走马疳,以文蛤散为主治。
文蛤五分,雄黄五分,五倍子二钱,枯矾五分,蚕蜕包纸灰一钱。以上共同研为细末,用米泔水清洗患处,每天涂抹三次,以病情平复为度。
出疹后四十九天内,或者热象已除但毒邪未除,肺虚咳嗽,以沙合散为主治。
麦冬、冬花(款冬花)、知母、橘红、百部、百合、阿胶、钩藤、北沙参,加榧子肉、枇杷叶。
When fever presents with high heat and red cheeks, this formula is the primary treatment:
Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Fuhua (Carthami Flos), Chenpi (Citri Reticulatae Pericarpium), Mutong (Akebiae Caulis).
When fever presents with a cyan face and sluggish spirit, this formula is the primary treatment:
Suye (Perillae Folium), Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix), Chenpi (Citri Reticulatae Pericarpium), Fuhua (Carthami Flos), Honghua (Carthami Flos), Congtou (Allii Fistulosi Bulbus).
When fever presents with panting, irritability, and irregular urination and defecation, this formula is the primary treatment:
Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Qianhu (Peucedani Radix), Gegen (Puerariae Radix), Shengma (Cimicifugae Rhizoma), Dali (Arctii Fructus), Chantui (Cicadae Periostracum), Bohe (Menthae Haplocalycis Herba), Zhike (Aurantii Fructus), Fuhua (Carthami Flos), Mutong (Akebiae Caulis), Zhuye (Bambusae Folium).
When fever presents with delayed eruption, dry skin, body heat with sneezing, and depressed toxic qi, this formula is the primary treatment:
Mahuang (Ephedrae Herba), Gange (Puerariae Radix), Chaihu (Bupleuri Radix), Chantui (Cicadae Periostracum), Tianma (Gastrodiae Rhizoma), Dali (Arctii Fructus), Fuhua (Carthami Flos), Bohe (Menthae Haplocalycis Herba), Mutong (Akebiae Caulis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Honghua (Carthami Flos), plus Sunjian (Bamboo Shoot Tip).
If accompanied by panting, add Gouteng (Uncariae Ramulus cum Uncis); if affected by cold, add Shengma (Cimicifugae Rhizoma) and Gegen (Puerariae Radix); if startled, add Shichangpu (Acori Tatarinowii Rhizoma) and Xiaocao (Prunellae Spica); if no sweat, add Mahuang (Ephedrae Herba) and Guizhi (Cinnamomi Ramulus); if rash erupts slowly, add Bohe (Menthae Haplocalycis Herba) and Lizhi (Arctii Fructus); if excessive phlegm, add Dama (Hemp Seed) and Dansheng (Arisaematis Cum Bile); if not appearing on the forehead, add Henobi (Nelumbinis Petiolus) and Sunjian (Bamboo Shoot Tip); if delirious speech, add Shichangpu (Acori Tatarinowii Rhizoma); if not appearing on limbs, add Guizhi (Cinnamomi Ramulus); if food stagnation, add Zhishi (Aurantii Fructus Immaturus) and Lianxin (Nelumbinis Plumula); if not appearing on head and face, add Shengma (Cimicifugae Rhizoma), or wash with hot old wine decoction to induce eruption.
If face is red, add Liuya (Salix Bud); if whole body does not erupt, add Dali (Arctii Fructus); if macules appear, add Henobi (Nelumbinis Petiolus); if eyes stare straight, add Tianma (Gastrodiae Rhizoma) and Dansheng (Arisaematis Cum Bile); if severe vomiting, add Jiangzhi (Zingiberis Rhizoma Recens Juice); if color is not ruddy, add Danshen (Salviae Miltiorrhizae Radix et Rhizoma); if summerheat injury, add Qinghao (Artemisiae Annuae Herba); if fire in six meridians, add Lianqiao (Forsythiae Fructus); if frequently encountering summerheat, add Lianqiao (Forsythiae Fructus) and Mutong (Akebiae Caulis); if constrained fire agitates, add Lianqiao (Forsythiae Fructus); if frequently encountering cold, add Mahuang (Ephedrae Herba) and Guizhi (Cinnamomi Ramulus); if frequently encountering warmth, add Bohe (Menthae Haplocalycis Herba) and Zhuye (Bambusae Folium); if phlegm knots in the interstices preventing eruption, add Zhuli (Bambusae Spongia Preparata) and Jiangzhi (Zingiberis Rhizoma Recens Juice). For cases of rash fever with coma and loss of consciousness, use a small amount of Zhuli (Bambusae Spongia Preparata) and Jiangzhi (Zingiberis Rhizoma Recens Juice) alone; inducing sweating will cause the rash to appear naturally.
For persistent diarrhea after rash, use Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Fuling (Poria), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Huanglian (Coptidis Rhizoma). If accompanied by tenesmus, add Huangqin (Scutellariae Radix), Guiwei (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Zhike (Aurantii Fructus), Mutong (Akebiae Caulis), Liuyisan (Six-to-One Powder).
For panting and continuous coughing after rash, use Gualouren (Trichosanthis Semen), Jiegeng (Platycodonis Radix), Sangbai (Mori Cortex), Suzi (Perillae Fructus). If thirsty, add Maidong (Ophiopogonis Radix) and Zhike (Aurantii Fructus), or use Qingfei Yin (Clear Lung Decoction): Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Jiegeng (Platycodonis Radix), Dali (Arctii Fructus), Xingren (Armeniacae Semen Amarum), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Doulou (Asteris Radix).
For unrelenting high heat after rash leading to convulsions, irritability, and restlessness, indicating spleen heat, use Siwu Tang (Four Substances Decoction) with Zhizi (Gardeniae Fructus), Zhuye (Bambusae Folium), Dengcao (Junci Medulla), Shengdi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Chishao (Paeoniae Radix Rubra); or use Anshen Wan (Calming Spirit Pill): Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Dancao (Gentianae Radix), Chantui (Cicadae Periostracum), Fuling (Poria), Changpu (Acori Tatarinowii Rhizoma), powdered, mixed with steamed cake juice, coated with pig blood and Cinnabar, taken with Jundai Tang (Lumbar Juncus Decoction).
For deficiency heat and insomnia after rash, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) without Renshen (Ginseng Radix), retaining Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Faxia (Pinelliae Rhizoma Preparatum), Zhuye (Bambusae Folium), and 100 grains of Nuomi (Oryza Sativa Glutinosa).
If rash does not resolve after three days, add interior-clearing herbs to reduce heat and eliminate rash.
For whole-body high heat without emaciation but frequent restlessness after rash, indicating toxicity in the heart and liver meridians, use Danggui Yangxue Tang (Dong Quai Blood-Nourishing Decoction): Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma), Maidong (Ophiopogonis Radix), Zhizi (Gardeniae Fructus), Zhuye (Bambusae Folium). If constipated, add Dahuang (Rhei Radix et Rhizoma).
For foul-smelling, rotting gums with bleeding and bad breath after rash, known as Zouma Gan (Running Horse Gangrene), use Wenge San (Clam Shell Powder): Wenge (Concha Meretricis), Xionghuang (Realgar), Wubeizi (Galla Chinensis), Kufan (Alumen Exsiccatum), Cantui Baozhihui (Ash of Silkworm Cocoon Wrapped in Paper). Powder all together, wash lesion with rice water, apply three times daily until healed.
Within forty-nine days after rash, if heat is gone but toxin remains, causing lung deficiency cough, use Shahe San (Sand Combination Powder): Maidong (Ophiopogonis Radix), Donghua (Farfarae Flos), Zhimu (Anemarrhenae Rhizoma), Juhong (Citri Reticulatae Pericarpium), Baibu (Stemonae Radix), Baihe (Lilii Bulbus), Ejiao (Colla Corii Asini), Gouteng (Uncariae Ramulus cum Uncis), Beishashen (Glehniae Radix), plus Feizi Rou (Persicae Semen) and Pipaye (Eriobotryae Folium).