《评琴书屋医略》
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提要
《医略》三卷，番禺潘兰坪著。外感内伤已备其要，潘氏因儿侄辈从师羊城，恐功课之暇，风寒不慎，饮食不节，因订外感、春温、暑湿、泻、痢、疟、七症方与之，服后多效，爰增为三十三症，以利家者利世。说理通达，立方平稳，既无伏邪之患，亦无伤元之变。得此一篇不难，按病拣方，可免庸医药误，其功溥矣。细观全书，简明赅备，不偏不倚，而感冒分四时论治，春温不从叶法，尤有心得。
自 叙
儿侄辈从师羊城，余虑其功课之余，风寒不慎，饮食不节，因订外感、春温、暑、湿、泻、痢、疟七症方与之，庶免临渴而掘井。后据云服之多效，即馆友亦有遵此法而除病者。余闻其验，遂翻阅自著旧方，皆从平稳立法，既无伏邪之患，亦无伤元之变，始则欲便子侄，继则思并益同人，因复增入头、心、腰、腹、胁、脚，耳、牙、疝气、痿壁诸痛，小便、大便、衄、吐诸血，又消渴、呕吐、噎膈、反胃、霍乱、黄疸、淋浊、癃闭、遗精、咳嗽诸症。大抵少年辈，起居饮食不谨所致者，共成三十三症，此外症治虽尚多遗略，但此中数症，实人生所易患，且又每见时医误治，而世人受其害者不少，是以不必求其全，而思撮其要，拟付梓人，公诸同好，俾不知医者，亦得自为调理，不致为庸医所误。凡初起轻恙按法服之，谅易就痊。至若久恙、重恙，又不敢谓能尽奏效也。
番禺潘名熊兰坪氏自序于西村之评琴书屋
《医略》目录卷一外感春温(附冬温)暑症(附案一)湿症泄泻痢症(附时行 传染)疟症(附案二) 卷二消渴呕吐(附噎膈 反胃)疸症(附案二)头痛(附偏正头风)腹痛(附疝气 霍乱 案一)心痛(附案一)胁痛腰痛脚痛(附痿躄)耳痛(附耳鸣 耳聋)牙痛 卷三淋症(附浊症 癃闭 案二)遗精大便血小便血衄血(齿衄鼻衄同治)吐血(附案四)咳嗽(附案一)附(寄冯友人脾胃论 古方 诗 题赠)
凡 例
一是书专为不知医者备，临时急用，因加圈点，以便或忙中检阅证治，仅从粗浅立论，方药亦从平稳立法。
一书中列证，祗就少年辈饮食起居不慎，七情六气易伤，拟方商治，故妇科、小儿科与高年久恙诸证治，一概不参入。
一方下列应加药味中有列至八九味之多者，非谓必须尽数加入，倘于所见症有相合，不过加入两三味耳。盖方内药味，或宜于因症加减，不必尽照原方与分钱之数也。
一凡医家订方选药，必须先求无过，然后再求有功。况此《医略》为未涉医者，巾箱便用，选药尤宜谨慎，是以方立祗取平淡，不尚神奇。但因症加药处，又不得不选入大辛热大苦寒之品，以防剧恙，倘看书者，能小心因症酌加，谅亦调剂得当也。
评琴书屋主人谨识
序
医之道微矣，四难未审，二反遽施，毫厘之差，滋曼弥甚。自张仲景垂范，援证立方，本论阐于伤寒，杂治编于金匮，晰奇胲于针鼻，转愈，死于麦芒。千祀以还，咸资准的。然而传经中络，受病固殊，辛热苦寒，施剂尤剧。偶遇嚏鼽，讵假乌头作帝，才逢痃痞，即推蝭母为君，斧伐或致伤元，升提因之耗液，欲登仁寿，厥道无由，此吾友潘君兰坪所以有《医略》之作也。原夫风寒异中，汤别桂麻，表里殊攻，治归经脉，而浊从鼻入息，祗透于膜原，寒以阳舒气，或蒸为内热。毫毛所中，讵由关膈之经，洒淅为淫，末入支兰之藏。君乃别伤为感，异热于寒，取冲淡以养和，杂芳香而逐秽，列柴胡于八阵，方嗤景岳之粗，厘暑热于三焦，全守河间之法。复以湿蒸痞起，痢重泻溏，辨呕吐之实虚，审制消于水火，不贪污下，微判清温，则以外感温热立法，而湿疟、泻痢，消渴、呕吐诸证附焉。自是以还，不胫而走，执简问明堂之诀，叩门求禁要之方。君复删掇《外台》，折衷诊籍，以为户枢不转则痛扰诸官，主藏失调则血凌百脉。不分部次，何殊隔幕之觇未酌盈虚，卒有溃川之变。况复郁蒸成疾，癃闭为灾，州都无气化之官，水府窒司冥之令。轩辕失驭，浊黄溢于龙门；金火相刑，虚白伤其虎穴。爰分痛血，逮夫浊淋，辨燥湿于疽遗，别风邪于咳喘。集方七十七首，列证三十三门，不须五诊之能，悉合六微之旨，洵可家藏笥箧，人免禄氛矣。或者谓扁鹊善医，随俗为变，邯郸贵妇为带下医，雒阳重老为耳目痹医，咸阳爱小为小儿医。君于诸条来遑举例，不知邪淫客感，病多中于少年。春蚕秋揫，易招于诊气。治惟先乎腠理，患靡入于膏盲。若夫权乡称考，庋阁娱珍，颐养当慎于重茵，权与讵资乎百草。婴童周醉亦传百问之篇；妇女专科，别立奇经之部。无求泛滥，庶便巾箱。至于调和六凿，消息三停，仲氏战毫，长兄治色，占无妄之有喜，以不药为中医，此视人之调剂，尤属君之宏愿也。悉以杀青甫竟，问道于盲，爰以他言，弁诸卷首。学惭好问，敢污李杲之书；世有史迁，待续仓公之传。
同治四年四月同里李光廷序
附诗并各题赠
儿侄辈遵余所著《医略》试之颇效因有学医之志作诗晓之
小道仍难哉(儿侄曾言业儒之难)，谁能信无过，书亦充栋梁，讵易万卷破。无恒不可作，良庸分动怠，医良能济人，医庸必贾祸。证不疑似分，药味彼此妥，误用同操刀，敢信无因果。知之惟最佳，业之未必可，学也禄在中，医岂富而哿作歌晓尔曹，儒术斯慰我。
陈古樵明府(璞)云：作者精于医而戒其子不为医，此真实本领，绝大见识，慈悲心事，其语不徒，训子可与世上一切学医者读之。
荷花生日日适《医略》著成偶得数韵遣兴
荷香袭书书芬清，仰屋而著初告成，文字有缘遂余欲，豕鱼无讹命儿录。老来文物倍关情，颠连疾苦为之矜，寿纵百年终有尽，吾没何术裨主灵。偶然有得著《医略》，酌古准今述不作，将期拯厄亦扶元，分递水村与山郭。家家养得无病身，（白+白/本）（白+白/本）共作太平民，对花沉吟讽不倦，彼苍何时慰吾愿。
蒋湘渔上舍(灏)云：仁者之心，仁者之言，愿与众生佛前焚香赞诵。
黄铭石广文(德华)云：本平素之净修，垂普渡之宝筏，如诵长阿含经，使彼诸天增益五福，直合佛手仙心，并传不朽。
张韫玉明经(仕辉)云：先生工诗，诗言其志，先生明医，医会其意。锦囊青囊，不忍自秘，总勒成书，(先生另续刻评琴书屋吟草二卷故云)举以问世，得公之诗，将见愈愚，传公之医，犹能醒眯。
崔寿如茂才(廷森)云；兰坪先生禅理深邃，时于吟咏见性真，所著《医略》一书，不异金绳宝筏，以之拯救众生，是能具大法力者。
弟尧臣明府(亮功)云：兰坪大兄《医略》一书，证辨而方良，慈航普渡，其禅而医乎复读诸作，一片慈悲心事，情见乎词，大菩萨心肠，善知识法施，如是如是。评琴书屋医略 卷一
外 感 症
即伤风症。稍贪风凉，最易感受，见症头痛鼻塞，或发热咳嗽，因时用药，治法较妥，今即春夏秋冬，订方列左。
春日外感
经云：春伤于风。又云：春伤于温，谓春日受风，其气已温，须防夹入春温一症，温邪忌汗故也。春主升，夏主泄，即外感亦忌大发汗(春温症见下。倘口干舌燥，壮热烦冤，便是春温的症，当从下篇春温法治)
北杏仁一钱半 紫苏梗一钱半 嫩竹叶四钱鲜取剪碎煎 建神曲一钱半 细甘草八分 栀子壳一钱半
加葱白四钱，淡豆豉三钱，同煎，头痛加连翘、钩藤。有痰而渴，加鲜竹茹、瓜蒌(皮仁任用)。不渴加半夏、芥子。咳加桔梗、杷叶。食滞加莱菔子、麦芽。曾食肥腻加山查。实热加芩连(栀壳改用栀仁)。夜热加丹皮、地骨。倘气虚中寒者，独用葱豉汤加党参四五钱，生姜四五片，煎服。便合其黄芪、神曲，亦可酌加。若气血两虚而见微寒微热者，用参归桂枝汤加陈皮煎(方即桂枝汤加人参当归)。
夏日外感
夏伤于湿，当佐以去湿；夏易感暑，当佐以清暑。
北杏仁二三钱 川滑石三四钱 青蒿梗二三钱 建中曲一二钱 甘草梢七八分 冬瓜皮四五钱
加鲜莲叶三四钱葱一二条为引。
湿盛再加苍术，或茵陈苓皮，小便黄短加栀子、木通。另有见症加药与气虚中寒者当看前春日外感所列。
秋日外感
秋伤于燥，辛温药宜少用。
发热而咳加土桑白皮三四钱，地骨皮三四钱。燥渴加麦冬、知母或鲜活水芦根生、粉葛肉(二物代茶亦佳)。兼受秋暑气加滑石、冬瓜皮，或乘露，或鲜嫩竹叶。另有见症，当加药，与气虚中寒者，仍看前春日外感所列。
冬日外感
冬伤于寒，且秋主收，冬主藏，用药辛散些不妨，但冬温症，非所宜耳(冬温症见下春温症注)。南方风伤卫者多，寒伤营者少，如确伤寒自有仲景师伤寒证治，可考不复赘。
加生姜二三片葱一二条为引。
春 温 症
(冬温同论症治)
冬伤于寒，春必病温，盖寒邪久伏，已经化热，且入春感于少阳，大旨以清凉为主，故古人用黄芩汤，清心凉膈散，诚以苦寒坚阴为正治。此症初起壮热烦冤，口干舌燥，必然并见。最忌辛温散药，劫伤津液，与寻常外感治法不同。若外邪先受，引动在里伏热，必先用微辛凉以解新邪，如葱豉汤最为捷径，表分肃清，然后进苦寒以清里热。此法时医不讲，动用柴葛羌防发汗伤津，以至谵语神昏(元神寄养于津液之中，若津液伤，则神失所养而昏)，幻症百出，终归莫救，诚堪浩叹。冬应寒而反热，亦有是症，其名冬温。见症同治法同均忌汗。
白芍二钱 连翘一钱半 栀子椙 北杏仁-钱半 黄芩一钱半 甘草八分
加鲜竹叶三钱，剪碎同煎。
渴加麦冬、莲子心、鲜梨皮、鲜芦根、花粉等。胃热加知母、石膏、粳米。若舌干恶饮为热伏心营(喉燥舌干喜饮水者，热在气分；喉燥舌干恶饮水者，热在血分)，加犀角、生地、银花、麦冬、天冬(去芩芍杏栀用竹心代竹叶)，夜热加地骨、丹皮、青蒿、生地(去栀芩)。又兼风者，名风温(其症兼见汗出咳嗽)，加入薄荷梗、牛蒡子之属。兼湿者名湿温，加入鲜芦根、川滑石之流。倘此外更有兼症，宜参考叶氏书治之。
暑 症
未夏至为病温，已夏至为病暑，发热而心烦为暑热的症，前人有伤暑、中暑之分，因有阴暑阳暑之辨。伤阴暑者，其脉虚，症见发热恶寒，手足微厥，腠理开则洒洒然寒，闭则蒸蒸热闷，治有三物十物香薷饮、清暑益气汤等法。中阳暑者，其脉洪大或洪而弱，症见大发热烦渴，自汗面垢，体倦气息喘促，日晡病减，治有六一散、白虎汤加人参加竹叶、麦冬等法(阳暑大忌香薷温散，叶氏亦有小用而佐以黄连者)。至若种种传变，前贤各有精义可参，兹不重悉。秋后更有暑热伏气之病，《临症指南》邵新甫引述颇详，当参考之。兹拟方仅为阳暑症，轻者立法商治(若阴暑症当用前所列阴暑三方加减主治，拟方不合，用若汗频泄者为暑伤元气，当用清暑益气汤加减治之，倘已成暑疟下，疟症论之已悉，可参考)。
川滑石四钱 绵茵陈一钱半 青蒿梗三钱甘草梢八分 细木通一钱半 北杏仁椙BR> 加鲜莲叶三钱 鲜丝瓜叶三钱，并剪碎，同煎。
气分有实热酌加石膏、知母或栀子芩连。心热烦渴加麦冬、莲子心或鲜竹心、鲜芦根(去木通、茵陈，若烦渴甚用西瓜汁、淡水梨汁代茶，亦佳)。如舌绛赤，暑已入心营，加犀角、麦冬、生地、银花、连翘、元参，少佐菖蒲三四分(去杏仁、青蒿、木通、茵陈)，其鲜嫩竹叶、西瓜翠衣、冬瓜皮、绿豆皮，暑热皆堪酌用。如无汗，即阳暑亦不妨少佐香薷六七分，叶氏谓香薷佐丝瓜叶能祛暑中之风。暑风外袭，肺胃气阻，即阳暑，亦有无汗者，凡暑日发热兼咳嗽者，名暑风，不须风药过散，即本方少佐香薷或参入桑白、杷叶、桔梗、薄荷梗便合。
附案(暑邪变疟)
《评琴书屋医略》
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提要
《医略》共三卷，由番禺人潘兰坪撰写。书中对外感病和内伤病的要点已准备齐全。潘氏因为他的儿子和侄子们在广州拜师求学，担心他们在课业之余，不慎感受风寒，饮食没有节制，因此制定了外感、春温、暑湿、泄泻、痢疾、疟疾这七种病症的方子给他们服用，服药后大多有效，于是又增加到三十三种病症，以利于家人并造福世人。书中说理通达，处方平稳，既没有伏邪潜伏的隐患，也没有损伤元气的变故。得到这一本书并不难，按照病症挑选方剂，可以避免被庸医误诊误治，其功德广大啊。细看全书，简明完备，不偏不倚，而且对感冒按四季分别论治，治疗春温不遵循叶天士的方法，尤其有独到的心得。
自 序
儿子和侄子们去广州拜师，我担心他们在课业之余，不慎感受风寒，饮食没有节制，因此制定了外感、春温、暑、湿、泄泻、痢疾、疟疾这七种病症的方子给他们，希望避免临渴掘井（临时才想办法）的窘迫。后来听说他们服用后大多有效，就连一起住宿的朋友也有遵照此法而治愈疾病的。我听到这些验证，于是翻阅自己以前写的旧方，发现都是从平稳的角度立法，既没有伏邪潜伏的隐患，也没有损伤元气的变故。起初只是想方便子孙侄子，后来又想借此利益同道中人，于是又增加了头、心、腰、腹、胁、脚，耳、牙、疝气、痿躄（肢体萎废不能行走）等各种疼痛，小便、大便、鼻出血、吐血等各种出血，以及消渴、呕吐、噎膈（吞咽困难）、反胃、霍乱、黄疸、淋浊、癃闭（排尿困难或尿闭）、遗精、咳嗽等各种病症。大抵是年轻人起居饮食不谨慎所致，共成三十三种病症。此外虽然还有很多病症的治疗遗漏了，但这其中的几种病症，确实是人生容易患上的，而且经常看到时下的医生误治，导致世人受害不少，所以不必追求全备，而是想着摘录要点，打算刻印出版，公开给同好之人，让不懂医术的人也能自行调理，不至于被庸医误诊。凡是初起轻微的病症，按照方法服用，想来容易痊愈。至于久病、重病，又不敢说能完全奏效。
番禺潘名熊兰坪氏在西村评琴书屋自序
《医略》目录
卷一：外感、春温（附冬温）、暑症（附案一）、湿症、泄泻、痢症（附时行传染）、疟症（附案二）
卷二：消渴、呕吐（附噎膈、反胃）、疸症（附案二）、头痛（附偏正头风）、腹痛（附疝气、霍乱、案一）、心痛（附案一）、胁痛、腰痛、脚痛（附痿躄）、耳痛（附耳鸣、耳聋）、牙痛
卷三：淋症（附浊症、癃闭、案二）、遗精、大便血、小便血、衄血（齿衄、鼻衄同治）、吐血（附案四）、咳嗽（附案一）
附：寄冯友人脾胃论、古方、诗题赠
凡例
一是这本书专为不懂医术的人准备，用于临时急用，因此加了圈点，以便在忙碌中检阅证治，仅从粗浅的角度立论，方药也从平稳的角度立法。
一是书中列出的病症，只针对年轻人因饮食起居不慎，七情六气容易受伤的情况，拟定方子商量治疗，所以妇科、儿科以及老年人久病等诸证治，一概不收录。
一方下列应加的药味中有列出多达八九味的，并非谓必须全部加入，如果与你所见的症状有相合之处，不过加入两三味罢了。因为方内的药味，或许适合因症状加减，不必完全照搬原方和分钱的数量。
一是凡医生订方选药，必须先求无过错，然后再求有功绩。况且这本《医略》是为未涉足医学的人，放在书箱里便于使用，选药尤其应该谨慎，所以处方只取平淡，不崇尚神奇。但因为因症加药的地方，又不得不选入大辛热、大苦寒的药物，以防重症，如果看书的人，能小心根据症状酌情添加，想来也能调剂得当。
评琴书屋主人谨识
序
医学之道微茫难明，四难未审，二反遽施，毫厘之差，谬误弥甚。自从张仲景树立典范，依据症状确立方剂，《伤寒论》阐发于伤寒，《金匮要略》编纂于杂治，在针鼻间辨析奇经，转愈生死于麦芒之间。千年来，大家都以此为准则。然而传经中络，受病固然不同，辛热苦寒，施药尤为剧烈。偶尔遇到打喷嚏、流鼻涕，岂可假借乌头作为君药；才遇到积聚痞块，就推举蝭母为君药，斧伐可能损伤元气，升提因此耗伤津液，想要达到仁寿的境界，其道无由，这就是我的朋友潘君兰坪所以创作《医略》的原因。原来风寒异中，汤剂有别桂枝汤和麻黄汤，表里攻治不同，治疗归于经脉，而浊气从鼻吸入气息，只透达于膜原，寒气以阳气舒展气机，或者蒸腾为内热。毫毛所中，岂由关膈之经，洒淅为淫邪，末入支兰之脏。你于是将别伤称为感，将异热与寒区分，取冲淡以养和平，杂芳香以驱逐秽浊，列柴胡于八阵之中，方嗤笑景岳的粗疏，厘清暑热于三焦，全守河间的法度。又以湿蒸痞起，痢重泻溏，辨别呕吐的实虚，审视制消于水火，不贪污下，微判清温，则以外感温热立法，而湿疟、泻痢、消渴、呕吐诸证附焉。从此以后，不胫而走，拿着简册询问明堂的秘诀，叩门求取禁要的方子。你又删减《外台秘要》，折衷诊籍，认为户枢不转则痛扰诸官，主藏失调则血凌百脉。不分部次，何殊隔幕之觇未酌盈虚，卒有溃川之变。况且郁蒸成疾，癃闭为灾，州都无气化之官，水府窒司冥之令。轩辕失驭，浊黄溢于龙门；金火相刑，虚白伤其虎穴。于是分痛血，逮夫浊淋，辨燥湿于疽遗，别风邪于咳喘。集方七十七首，列证三十三门，不须五诊之能，悉合六微之旨，确实可以家藏笥箧，人免禄氛矣。或许有人说扁鹊善于医，随俗为变，邯郸贵妇为带下医，洛阳重老为耳目痹医，咸阳爱小为小儿医。你在各条来遑举例，不知邪淫客感，病多中于少年。春蚕秋揫，易招于诊气。治惟先乎腠理，患靡入于膏盲。若夫权乡称考，庋阁娱珍，颐养当慎于重茵，权与讵资乎百草。婴童周醉亦传百问之篇；妇女专科，别立奇经之部。无求泛滥，庶便巾箱。至于调和六凿，消息三停，仲氏战毫，长兄治色，占无妄之有喜，以不药为中医，此视人之调剂，尤属君之宏愿也。悉以杀青甫竟，问道于盲，爰以他言，弁诸卷首。学惭好问，敢污李杲之书；世有史迁，待续仓公之传。
同治四年四月同里李光廷序
附诗并各题赠
儿侄辈遵余所著《医略》试之颇效因有学医之志作诗晓之
小道仍难哉(儿侄曾言业儒之难)，谁能信无过，书亦充栋梁，讵易万卷破。无恒不可作，良庸分动怠，医良能济人，医庸必贾祸。证不疑似分，药味彼此妥，误用同操刀，敢信无因果。知之惟最佳，业之未必可，学也禄在中，医岂富而哿作歌晓尔曹，儒术斯慰我。
陈古樵明府(璞)云：作者精于医而戒其子不为医，此真实本领，绝大见识，慈悲心事，其语不徒，训子可与世上一切学医者读之。
荷花生日日适《医略》著成偶得数韵遣兴
荷香袭书书芬清，仰屋而著初告成，文字有缘遂余欲，豕鱼无讹命儿录。老来文物倍关情，颠连疾苦为之矜，寿纵百年终有尽，吾没何术裨主灵。偶然有得著《医略》，酌古准今述不作，将期拯厄亦扶元，分递水村与山郭。家家养得无病身，（白+白/本）（白+白/本）共作太平民，对花沉吟讽不倦，彼苍何时慰吾愿。
蒋湘渔上舍(灏)云：仁者之心，仁者之言，愿与众生佛前焚香赞诵。
黄铭石广文(德华)云：本平素之净修，垂普渡之宝筏，如诵长阿含经，使彼诸天增益五福，直合佛手仙心，并传不朽。
张韫玉明经(仕辉)云：先生工诗，诗言其志，先生明医，医会其意。锦囊青囊，不忍自秘，总勒成书，(先生另续刻评琴书屋吟草二卷故云)举以问世，得公之诗，将见愈愚，传公之医，犹能醒眯。
崔寿如茂才(廷森)云；兰坪先生禅理深邃，时于吟咏见性真，所著《医略》一书，不异金绳宝筏，以之拯救众生，是能具大法力者。
弟尧臣明府(亮功)云：兰坪大兄《医略》一书，证辨而方良，慈航普渡，其禅而医乎复读诸作，一片慈悲心事，情见乎词，大菩萨心肠，善知识法施，如是如是。评琴书屋医略 卷一
外感症
即伤风症。稍微贪图风凉，最容易感受，见到症状头痛鼻塞，或者发热咳嗽，因时用药，治法较妥当，现在即春夏秋冬，订方列左。
春日外感
经云：春伤于风。又云：春伤于温，谓春日受风，其气已温，须防夹入春温一症，温邪忌汗故也。春主升，夏主泄，即外感亦忌大发汗(春温症见下。倘口干舌燥，壮热烦冤，便是春温的症，当从下篇春温法治)
北杏仁一钱半 紫苏梗一钱半 嫩竹叶四钱鲜取剪碎煎 建神曲一钱半 细甘草八分 栀子壳一钱半
加葱白四钱，淡豆豉三钱，同煎，头痛加连翘、钩藤。有痰而渴，加鲜竹茹、瓜蒌(皮仁任用)。不渴加半夏、芥子。咳加桔梗、杷叶。食滞加莱菔子、麦芽。曾食肥腻加山查。实热加芩连(栀壳改用栀仁)。夜热加丹皮、地骨。倘气虚中寒者，独用葱豉汤加党参四五钱，生姜四五片，煎服。便合其黄芪、神曲，亦可酌加。若气血两虚而见微寒微热者，用参归桂枝汤加陈皮煎(方即桂枝汤加人参当归)。
夏日外感
夏伤于湿，当佐以去湿；夏易感暑，当佐以清暑。
北杏仁二三钱 川滑石三四钱 青蒿梗二三钱 建中曲一二钱 甘草梢七八分 冬瓜皮四五钱
加鲜莲叶三四钱葱一二条为引。
湿盛再加苍术，或茵陈苓皮，小便黄短加栀子、木通。另有见症加药与气虚中寒者当看前春日外感所列。
秋日外感
秋伤于燥，辛温药宜少用。
发热而咳加土桑白皮三四钱，地骨皮三四钱。燥渴加麦冬、知母或鲜活水芦根生、粉葛肉(二物代茶亦佳)。兼受秋暑气加滑石、冬瓜皮，或乘露，或鲜嫩竹叶。另有见症，当加药，与气虚中寒者，仍看前春日外感所列。
冬日外感
冬伤于寒，且秋主收，冬主藏，用药辛散些不妨，但冬温症，非所宜耳(冬温症见下春温症注)。南方风伤卫者多，寒伤营者少，如确伤寒自有仲景师伤寒证治，可考不复赘。
加生姜二三片葱一二条为引。
(冬温同论症治)
冬伤于寒，春必病温，盖寒邪久伏，已经化热，且入春感于少阳，大旨以清凉为主，故古人用黄芩汤，清心凉膈散，诚以苦寒坚阴为正治。此症初起壮热烦冤，口干舌燥，必然并见。最忌辛温散药，劫伤津液，与寻常外感治法不同。若外邪先受，引动在里伏热，必先用微辛凉以解新邪，如葱豉汤最为捷径，表分肃清，然后进苦寒以清里热。此法时医不讲，动用柴葛羌防发汗伤津，以至谵语神昏(元神寄养于津液之中，若津液伤，则神失所养而昏)，幻症百出，终归莫救，诚堪浩叹。冬应寒而反热，亦有是症，其名冬温。见症同治法同均忌汗。
白芍二钱 连翘一钱半 栀子椙北杏仁-钱半 黄芩一钱半 甘草八分
加鲜竹叶三钱，剪碎同煎。
渴加麦冬、莲子心、鲜梨皮、鲜芦根、花粉等。胃热加知母、石膏、粳米。若舌干恶饮为热伏心营(喉燥舌干喜饮水者，热在气分；喉燥舌干恶饮水者，热在血分)，加犀角、生地、银花、麦冬、天冬(去芩芍杏栀用竹心代竹叶)，夜热加地骨、丹皮、青蒿、生地(去栀芩)。又兼风者，名风温(其症兼见汗出咳嗽)，加入薄荷梗、牛蒡子之属。兼湿者名湿温，加入鲜芦根、川滑石之流。倘此外更有兼症，宜参考叶氏书治之。
未夏至为病温，已夏至为病暑，发热而心烦为暑热的症，前人有伤暑、中暑之分，因有阴暑阳暑之辨。伤阴暑者，其脉虚，症见发热恶寒，手足微厥，腠理开则洒洒然寒，闭则蒸蒸热闷，治有三物十物香薷饮、清暑益气汤等法。中阳暑者，其脉洪大或洪而弱，症见大发热烦渴，自汗面垢，体倦气息喘促，日晡病减，治有六一散、白虎汤加人参加竹叶、麦冬等法(阳暑大忌香薷温散，叶氏亦有小用而佐以黄连者)。至若种种传变，前贤各有精义可参，兹不重悉。秋后更有暑热伏气之病，《临症指南》邵新甫引述颇详，当参考之。兹拟方仅为阳暑症，轻者立法商治(若阴暑症当用前所列阴暑三方加减主治，拟方不合，用若汗频泄者为暑伤元气，当用清暑益气汤加减治之，倘已成暑疟下，疟症论之已悉，可参考)。
川滑石四钱 绵茵陈一钱半 青蒿梗三钱甘草梢八分 细木通一钱半 北杏仁椙BR> 加鲜莲叶三钱 鲜丝瓜叶三钱，并剪碎，同煎。
气分有实热酌加石膏、知母或栀子芩连。心热烦渴加麦冬、莲子心或鲜竹心、鲜芦根(去木通、茵陈，若烦渴甚用西瓜汁、淡水梨汁代茶，亦佳)。如舌绛赤，暑已入心营，加犀角、麦冬、生地、银花、连翘、元参，少佐菖蒲三四分(去杏仁、青蒿、木通、茵陈)，其鲜嫩竹叶、西瓜翠衣、冬瓜皮、绿豆皮，暑热皆堪酌用。如无汗，即阳暑亦不妨少佐香薷六七分，叶氏谓香薷佐丝瓜叶能祛暑中之风。暑风外袭，肺胃气阻，即阳暑，亦有无汗者，凡暑日发热兼咳嗽者，名暑风，不须风药过散，即本方少佐香薷或参入桑白、杷叶、桔梗、薄荷梗便合。
附案(暑邪变疟)
Pingqin Shuwu Yilue (Medical Strategies of the Pingqin Study)
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Abstract
Yilue (Medical Strategies), consisting of three volumes, was authored by Pan Lanping from Panyu. The essentials of exogenous and endogenous diseases are comprehensively covered. Because Pan's sons and nephews studied under a master in Guangzhou, he feared that during their leisure time from studies, they might carelessly contract wind-cold or fail to regulate their diet. Therefore, he formulated prescriptions for seven conditions: exogenous disease, spring-warmth, summer-dampness, diarrhea, dysentery, and malaria. After taking these, most showed efficacy. He subsequently expanded this to thirty-three conditions to benefit his family and the world. The reasoning is clear and accessible, and the prescriptions are stable and balanced, avoiding the risk of latent pathogens and changes that damage vital energy (Yuan Qi). With this book, it is not difficult to select prescriptions according to symptoms, thereby avoiding misdiagnosis and mistreatment by incompetent physicians; its merit is profound. A careful reading of the entire book reveals it to be concise yet comprehensive, unbiased, and particularly insightful in treating colds according to the four seasons, with unique insights into treating spring-warmth that differ from Ye Tianshi's methods.
Preface by the Author
My sons and nephews went to Guangzhou to study. I worried that after their lessons, they might carelessly contract wind-cold or fail to regulate their diet. Thus, I prepared prescriptions for seven conditions—exogenous disease, spring-warmth, summer-heat, dampness, diarrhea, dysentery, and malaria—for them, hoping to avoid the predicament of digging a well only when thirsty. Later, they reported that these were mostly effective, and even their fellow students cured their illnesses by following this method. Hearing of these results, I reviewed my old prescriptions, which were all formulated on the principle of stability, avoiding both latent pathogens and damage to vital energy. Initially, I intended this only for my descendants, but later thought to benefit my peers as well. I added treatments for pain in the head, heart, waist, abdomen, hypochondrium, and feet; ear, tooth, hernia, and flaccidity syndromes; bleeding from urine, feces, nose, and vomiting; and conditions such as wasting-thirst, vomiting, dysphagia, regurgitation, cholera, jaundice, strangury, urinary retention, spermatorrhea, and cough. These largely result from young people's careless living and eating habits, totaling thirty-three conditions. Although many other conditions are omitted, these are common in life, and I often see contemporary physicians mistreating patients, causing much harm. Thus, I do not seek completeness but aim to extract the essentials, intending to publish this for enthusiasts, allowing those unfamiliar with medicine to self-regulate and avoid being misled by incompetent doctors. For mild initial illnesses, following the methods should lead to recovery. However, for chronic or severe illnesses, I dare not claim complete efficacy.
Pan Mingxiong Lanping, Preface at Pingqin Study, Xicun
Table of Contents
Volume 1: Exogenous Disease, Spring-Warmth (including Winter-Warmth), Summer-Heat Syndrome (Case 1), Dampness Syndrome, Diarrhea, Dysentery (including Epidemic Contagion), Malaria (Case 2)
Volume 2: Wasting-Thirst, Vomiting (including Dysphagia, Regurgitation), Jaundice (Case 2), Headache (including Migraine and Fixed Headache), Abdominal Pain (including Hernia, Cholera, Case 1), Heart Pain (Case 1), Hypochondriac Pain, Lower Back Pain, Foot Pain (including Flaccidity), Ear Pain (including Tinnitus, Deafness), Toothache
Volume 3: Strangury (including Turbid Urine, Urinary Retention, Case 2), Spermatorrhea, Hematochezia, Hematuria, Epistaxis (Gingival and Nasal Bleeding treated together), Hematemesis (Case 4), Cough (Case 1)
Appendix: Treatise on Spleen and Stomach sent to Friend Feng, Ancient Prescriptions, Poems and Inscriptions
General Rules
This book is prepared specifically for those unfamiliar with medicine for emergency use. Circles and dots are added for easy reference during busy times. The theory is kept simple, and prescriptions are based on gentle principles.
The conditions listed address young people suffering from improper diet and lifestyle, and vulnerability to emotional disturbances and climatic factors. Gynecology, pediatrics, and chronic conditions of the elderly are excluded.
Some prescriptions list up to eight or nine additional herbs. This does not mean all must be used; only two or three matching the specific symptoms should be added. Herbs may need modification based on symptoms, rather than strictly adhering to the original prescription's dosage.
Physicians should first ensure no harm before seeking efficacy. Since this book is for laypeople ("box readers"), herb selection must be cautious. Prescriptions favor mild ingredients over potent ones. However, for severe conditions requiring specific additions, strongly acrid-hot or bitter-cold herbs may be necessary. Readers should add these carefully according to symptoms to ensure proper balance.
Pan Lanping, Pingqin Study Master
Preface by Li Guangting
The Way of Medicine is subtle. If the "Four Difficulties" are not examined and "Two Reversals" are applied hastily, a slight error leads to great deviation. Since Zhang Zhongjing set the example, using symptoms to formulate prescriptions, expounding on Cold Damage in *Shanghan Lun* and miscellaneous treatments in *Jingui Yaolue*, distinguishing extraordinary vessels through acupuncture, turning death into life like a wheat awn. For millennia, all have relied on this standard. However, transmission through meridians and collaterals varies, and the application of acrid-hot and bitter-cold agents is drastic. Occasionally encountering sneezing or runny nose, one should not arbitrarily use Aconite (*Fuzi*) as the sovereign herb; encountering masses or stagnation, one should not push Tribulus (*Baijiuling*) as the sovereign. Axe-like伐 may damage vital energy, and lifting/purging may consume fluids. To attain benevolence and longevity, there is no way without proper understanding. This is why my friend Pan Lanping wrote *Yilue*. Originally, wind and cold invade differently; decoctions distinguish between Guizhi Tang (Cinnamon Twig Decoction) and Mahuang Tang (Ephedra Decoction). Exterior and interior attacks differ, treatment returns to meridians. Turbidity enters via the nose and breath, penetrating only to the Membrane Source. Cold expands qi with yang, or steams into internal heat. Invasion of hair follicles does not necessarily pass through Guan-Ge meridians; chills and shivers are pathogenic influences, not entering deep viscera. You distinguished "injury" from "contracting," separating heat from cold, using bland flavors to nourish harmony, mixing aromatic herbs to drive away turbidity. Placing Bupleurum (*Chaihu*) in the Eight Arrays, you criticized Jingyue's coarseness; clarifying summer-heat in the Triple Burner, you fully upheld Hejian's methods. Again, with damp-steaming causing stagnation, heavy dysentery and loose stools, you distinguished excess and deficiency in vomiting, assessed control of wasting-thirst in water and fire, avoided greedy purgatives, subtly distinguished clear and warm, establishing laws for exogenous warm-heat, attaching damp-malaria, diarrhea-dysentery, wasting-thirst, and vomiting. From then on, it spread rapidly. Holding bamboo slips, asking for secrets of the Bright Hall; knocking on doors, seeking forbidden prescriptions. You also edited *Waitai Miyao*, reconciled medical records, believing that if the door pivot does not turn, pain disturbs organs; if main storage fails, blood overwhelms hundred vessels. Without classification, how is it different from peering through a curtain without measuring fullness and emptiness, suddenly facing the disaster of bursting rivers? Moreover, depression and steaming cause illness, urinary retention brings disaster. The State Capital lacks qi transformation officials, the Water House obstructs dark commands. Xuanyuan loses control, turbid yellow overflows Longmen; Metal and Fire punish each other, void white damages the Tiger Cave. Thus, distinguishing pain and blood, reaching turbid strangury, distinguishing dryness and dampness in ulcers, separating wind pathogens in cough and asthma. Collecting seventy-seven prescriptions, listing thirty-three categories of conditions, requiring no ability of five examinations, fully conforming to the essence of six subtleties. Truly suitable for home storage, saving people from poverty and plague. Some say Bian Que was skilled in medicine, changing with customs: in Handan, valuing women, he became a gynecologist; in Luoyang, respecting elders, he became an eye and ear physician; in Xianyang, loving children, he became a pediatrician. You did not cite examples for various conditions, not knowing that evil pathogens and guest contractions often strike young people. Spring silkworms and autumn harvest easily attract diagnostic qi. Treatment should prioritize interstices, preventing illness from entering marrow. If weighing villages and calling oneself a考, storing treasures in cabinets, nurturing should be cautious on thick cushions; how can authority rely on hundred herbs? Infant drunkenness also transmits the chapter of Hundred Questions; women's specialized departments establish separate chapters on extraordinary vessels. Seeking no excess, making it convenient for box readers. As for harmonizing six openings, regulating three stops, Zhongshi wields the brush, elder brother treats complexion, divining unexpected joy, regarding non-medication as superior medicine, this view of human regulation is especially your grand wish. Having just finished writing, asking the blind for the Way, adding other words to the front of the volume. Ashamed of loving questions, daring to defile Li Gao's book; the world has Sima Qian, continuing Cang Gong's biography.
April, 4th Year of Tongzhi, Preface by Li Guangting, Fellow Townsman
Appendix: Poems and Inscriptions
Poem for Nephews Who Tried *Yilue* with Good Effect and Developed Ambition to Study Medicine
The small path is still difficult (Nephews once said studying Confucianism is hard), who can believe in no fault? Books also serve as pillars, how easy is it to break ten thousand scrolls? Without perseverance, nothing can be done; good and mediocre are separated by movement and laziness. A good doctor saves people; a mediocre doctor invites disaster. Symptoms must be clearly distinguished; herb compatibility must be appropriate. Misuse is like wielding a knife blindly; how can one trust in cause and effect? Knowing is best, practicing may not be feasible. Learning brings salary; how can medicine make one rich? Singing songs to inform you, Confucian arts comfort me.
Chen Guqiao (Pu) says: The author is skilled in medicine but warns his son against becoming a doctor. This is true skill, great insight, and compassionate intent. His words are not empty. Educating sons can be read by all learning medicine in the world.
On the Day of the Lotus Birthday, Just as *Yilue* Was Completed, Obtaining a Few Rhymes to Express Mood
Lotus fragrance assaults the book, the book's scent is pure. Looking up at the roof, writing is just completed. Text has affinity, fulfilling my desire; pigs and fish (errors) are not mistaken, ordering children to record. In old age, cultural artifacts concern feelings more; suffering and hardship evoke pity. Even if lifespan reaches a hundred years, it will end. What method can I use to help the master's spirit? Accidentally gaining something, writing *Yilue*,酌古准今 (weighing ancient and modern), narrating without creating. Expecting to save from distress and support vital energy, distributing to water villages and mountain suburbs. Every family raising a disease-free body, living together as peaceful people. Chanting poems while contemplating flowers tirelessly, when will Heaven comfort my wishes?
Jiang Xiangyu (Hao) says: The heart of a benevolent person, the words of a benevolent person. I wish to burn incense and praise before the Buddha with all sentient beings.
Huang Mingshi (Dehua) says: Based on daily pure cultivation, hanging the precious raft for universal salvation. Like chanting the Dirgha Agama, increasing five blessings for heavenly beings. Directly combining Buddha's hand and immortal heart, passing down immortality.
Zhang Yunyu (Shihui) says: The gentleman excels in poetry, poetry expresses his will; the gentleman understands medicine, medicine grasps its meaning. Brocade bags and green bags (medical texts), unwilling to keep secret, compiling into books. (The gentleman separately continued printing two volumes of Pingqin Shuwu Yincao, hence the saying) Presenting to the world, obtaining your poetry will cure foolishness, transmitting your medicine will still awaken the blind.
Cui Shouru (Tingsen) says: Mr. Lanping's Zen principles are profound, often seeing true nature in chanting. His written *Yilue* is no different from golden ropes and precious rafts, using it to save sentient beings, possessing great magical power.
Brother Yaochen (Lianggong) says: Brother Lanping's *Yilue*, symptom differentiation is precise and prescriptions are excellent. Compassionate boat for universal salvation, is it Zen or medicine? Rereading various works, a piece of compassionate heart, emotion seen in words, great Bodhisattva heart, good knowledge Dharma giving. So it is, so it is. Pingqin Shuwu Yilue Volume 1
Exogenous Disease
Also known as Wind-Cold Injury. Slightly craving cool wind makes one most susceptible. Symptoms include headache, nasal congestion, fever, or cough. Medication should be adjusted according to the season for better treatment. Now, prescriptions for spring, summer, autumn, and winter are listed below.
Spring Exogenous Disease
The Classics say: Spring injury by wind. Also: Spring injury by warmth. Meaning wind received in spring days, where the qi is already warm, must guard against mixing into Spring-Warmth syndrome, because warm pathogens forbid sweating. Spring governs rising, Summer governs draining. Even exogenous diseases forbid heavy sweating (See Spring-Warmth below. If mouth and tongue are dry, with high fever and vexation, this is the definite sign of Spring-Warmth, treat according to the Spring-Warmth method below).
Northern Apricot Kernel (Beixingren) 1.5 qian
Perilla Stem (Zisugeng) 1.5 qian
Tender Bamboo Leaves (Nanzhuye) 4 qian (Fresh, cut and decocted)
Jian Shenqu (Jianshenqu) 1.5 qian
Fine Licorice Root (Xigancao) 0.8 fen
Gardenia Husk (Zhiziqiao) 1.5 qian
Add Scallion White (Congbai) 4 qian, Fermented Soybean (Dandouchi) 3 qian, decoct together. For headache, add Forsythia (Lianqiao) and Uncaria (Gouteng). For phlegm with thirst, add fresh Bamboo Shavings (Zhuru) and Trichosanthes Fruit (Gualou) (skin or kernel as needed). For no thirst, add Pinellia (Banxia) and Mustard Seed (Jiezi). For cough, add Platycodon (Jiegeng) and Loquat Leaf (Paye). For food stagnation, add Radish Seed (Laifuzi) and Malt (Maiya). If fatty/rich food was eaten, add Hawthorn (Shanzha). For excess heat, add Scutellaria (Huangqin) and Coptis (Huanglian) (replace husk with kernel). For night fever, add Moutan Bark (Danpi) and Groundcherry Root (Diguxin). If qi-deficient with middle-cold, use Congchi Tang alone plus Codonopsis (Dangshen) 4-5 qian, Ginger (Shengjiang) 4-5 slices, decoct and take. Combining Astragalus (Huangqi) and Shenqu is also optional. If both qi and blood are deficient showing slight chills and fever, use Shen-Gui Guizhi Tang with Tangerine Peel (Chenpi) decocted (Formula is Guizhi Tang plus Ginseng and Angelica).
Summer Exogenous Disease
Summer injury by dampness, should assist with damp-draining; Summer easily contracts summer-heat, should assist with clearing summer-heat.
Northern Apricot Kernel (Beixingren) 2-3 qian
Sichuan Talcum (Chuanhuashi) 3-4 qian
Artemisia Stem (Qinghao geng) 2-3 qian
Jianzhong Qu (Jianzhongqu) 1-2 qian
Licorice Tip (Gancaoshao) 0.7-0.8 fen
Winter Melon Peel (Dongguapi) 4-5 qian
Add Fresh Lotus Leaf (Xianlianye) 3-4 qian, Scallion (Cong) 1-2 stalks as guides.
If dampness is excessive, add Atractylodes (Cangzhu) or Coix Seed & Poria Peel (Yinchen Lingpi). For yellow short urine, add Gardenia (Zhizi) and Wood Betony (Mutong). For other symptoms, add herbs as shown in Spring Exogenous Disease above. For qi-deficient middle-cold, refer to Spring Exogenous Disease.
Autumn Exogenous Disease
Autumn injury by dryness, acrid-warm herbs should be used sparingly.
Northern Apricot Kernel (Beixingren) 2-3 qian
Shenqu (Shenqu) 1-2 qian
Loquat Leaf (Paye) 2-3 qian
Pear Skin (Lipi) 3-4 qian
Licorice (Gancao) 0.7-0.8 fen
Add Fresh Lotus Leaf (Xianlianye) 3 qian, Fresh Perilla Leaf (Xian Zi Su Ye) 1 qian as guides.
For fever with cough, add Mulberry Root Bark (Tusangbaipi) 3-4 qian, Groundcherry Root (Digupi) 3-4 qian. For dry thirst, add Ophiopogon (Maidong), Anemarrhena (Zhimu), or fresh Reed Rhizome (Sheng Lugen), Kudzu Root (Fenge Rou) (these two as tea are also good). If contracting autumn summer-heat, add Talcum (Huashi), Winter Melon Peel (Dongguapi), or Dew-covered, tender Bamboo Leaves (Zhu Ye). For other symptoms, add herbs as needed. For qi-deficient middle-cold, refer to Spring Exogenous Disease.
Winter Exogenous Disease
Winter injury by cold. Autumn governs gathering, Winter governs storing. Using acrid-dispersing herbs is acceptable, but Winter-Warmth syndrome is not suitable (See Winter-Warmth note under Spring-Warmth). In the South, wind injuring Wei is common, cold injuring Ying is rare. If definitely Cold Damage, follow Zhongjing's Cold Damage diagnosis and treatment, no need to repeat.
Northern Apricot Kernel (Beixingren) 2-3 qian
Shenqu (Shenqu) 2-3 qian
Perilla Leaf (Suye) 2-3 qian
Saposhnikovia (Fangfeng) 1-2 qian
Licorice (Gancao) 0.7-0.8 fen
Add Ginger (Shengjiang) 2-3 slices, Scallion (Cong) 1-2 stalks as guides.
For other symptoms, add herbs as needed. For qi-deficient middle-cold, refer to Spring Exogenous Disease.
Spring-Warmth Syndrome
(Winter-Warmth discussed similarly in symptoms and treatment)
Winter injury by cold, spring must suffer warmth. Because cold pathogens lie latent for long, transforming into heat, and upon entering spring, contracted by Shaoyang. The general principle is cooling. Thus ancients used Huangqin Tang and Qingxin Liangge San, truly because bitter-cold solidifies yin as the correct treatment. This syndrome initially shows high fever, vexation, dry mouth, and dry tongue, inevitably appearing together. Most forbids acrid-warm dispersing drugs that rob and injure fluids, differing from ordinary exogenous treatment. If external pathogens are first contracted, triggering latent heat inside, must first use slightly acrid-cool to resolve new pathogens, such as Congchi Tang being the shortest path. Once exterior is cleared, then advance bitter-cold to clear interior heat. Contemporary physicians do not discuss this method, using Chai Ge Qiang Fang to sweat and injure fluids, leading to delirium and coma (Original Spirit resides in fluids; if fluids injured, spirit loses nourishment and becomes confused), hallucinations emerge, ultimately incurable, truly sigh-worthy. Winter should be cold but turns hot, also having this syndrome, named Winter-Warmth. Symptoms same, treatment same, both forbid sweating.
White Peony Root (Baishao) 2 qian
Forsythia (Lianqiao) 1.5 qian
Gardenia (Zhizi) [Text corrupted]
Northern Apricot Kernel (Beixingren) 1.5 qian
Scutellaria Root (Huangqin) 1.5 qian
Licorice (Gancao) 0.8 fen
Add Fresh Bamboo Leaves (Xian Zhuye) 3 qian, cut and decoct together.
For thirst, add Ophiopogon (Maidong), Lotus Plumule (Lianzixin), Fresh Pear Skin (Xian Lipi), Fresh Reed Rhizome (Xian Lugen), Trichosanthes Root (Huafen), etc. For stomach heat, add Anemarrhena (Zhimu), Gypsum (Shigao), Rice (Jingmi). If tongue is dry and dislikes drinking, heat lies in Heart Ying (Throat dry, tongue dry, likes drinking = Heat in Qi level; Throat dry, tongue dry, dislikes drinking = Heat in Blood level). Add Rhinoceros Horn (Xijiao - substitute with Water Buffalo Horn), Rehmannia (Shengdi), Honeysuckle (Yinhua), Ophiopogon (Maidong), Asparagus (Tiandong) (Remove Huangqin, Baishao, Beixingren, Zhizi, use Bamboo Heart instead of Bamboo Leaf). For night fever, add Groundcherry Root (Diguxin), Moutan Bark (Danpi), Artemisia (Qinghao), Rehmannia (Shengdi) (Remove Zhizi, Huangqin). If additionally affected by wind, named Wind-Warmth (symptoms include sweating and cough), add Mint Stem (Bohe geng), Budling Seed (Niubangzi). If additionally affected by dampness, named Damp-Warmth, add Fresh Reed Rhizome (Xian Lugen), Sichuan Talcum (Chuan Huashi). If other accompanying symptoms exist, refer to Ye Tianshi's books for treatment.
Summer-Heat Syndrome
Before Summer Solstice is Warmth disease, after Summer Solstice is Summer-Heat disease. Fever with heart vexation is Summer-Heat definite sign. Ancients distinguished Injury by Summer-Heat and Midst of Summer-Heat, due to distinction between Yin Summer-Heat and Yang Summer-Heat. Injury by Yin Summer-Heat: pulse is empty, symptoms show fever and aversion to cold, slight coldness of hands and feet, pores open causing chilliness, closed causing steaming heat and oppression. Treatment includes Sanwu Shi Wu Xiangru Yin, Qingshu Yiqi Tang, etc. Midst of Yang Summer-Heat: pulse is surging-large or surging-weak, symptoms show high fever, vexation, thirst, spontaneous sweating, dirty face, body fatigue, panting, disease reduces at dusk. Treatment includes Liu Yi San, Baihu Tang plus Ginseng, Bamboo Leaf, Ophiopogon, etc. (Yang Summer-Heat greatly forbids Xiangru warm dispersal; Ye Tianshi also used small amounts assisted by Coptis). Regarding various transmissions, former sages have refined meanings to refer to, not repeated here. After autumn, there is Summer-Heat latent qi disease, *Lin Zheng Zhi Nan* cited by Shao Xinpu is quite detailed, should refer to it. Here, the prescribed formula is only for Yang Summer-Heat, light cases formulated for discussion (If Yin Summer-Heat, use the three Yin Summer-Heat formulas listed above with modifications; if prescription does not fit, if sweating frequently occurs, it is Summer-Heat injuring Yuan Qi, use Qingshu Yiqi Tang modified. If it becomes Summer-Malaria, Malaria section explains fully, refer to it).
Sichuan Talcum (Chuan Huashi) 4 qian
Cushion Flower Herb (Mian Yichen) 1.5 qian
Artemisia Stem (Qinghao geng) 3 qian
Licorice Tip (Gancaoshao) 0.8 fen
Wood Betony (Ximutong) 1.5 qian
Northern Apricot Kernel (Beixingren) [Text corrupted]
Add Fresh Lotus Leaf (Xian Lianye) 3 qian, Fresh Luffa Leaf (Xian Siguye) 3 qian, cut and decoct together.
For excess heat in Qi level, optionally add Gypsum (Shigao), Anemarrhena (Zhimu), or Gardenia, Scutellaria, Coptis. For heart heat with vexation/thirst, add Ophiopogon (Maidong), Lotus Plumule (Lianzixin), or Fresh Bamboo Heart (Xian Zhuxin), Fresh Reed Rhizome (Xian Lugen) (Remove Mutong, Yichen; if vexation/thirst severe, use Watermelon Juice, Fresh Pear Juice as tea, also good). If tongue is crimson, Summer-Heat has entered Heart Ying, add Rhinoceros Horn (Xijiao), Ophiopogon (Maidong), Rehmannia (Shengdi), Honeysuckle (Yinhua), Forsythia (Lianqiao), Scrophularia (Yuanshen), assist with Acorus (Changpu) 0.3-0.4 fen (Remove Beixingren, Qinghao, Mutong, Yichen). Tender Bamboo Leaves, Watermelon Rind (Xigua Cuiyi), Winter Melon Peel (Dongguapi), Mung Bean Skin (Lvdoupi) are all suitable for Summer-Heat. If no sweating, even Yang Summer-Heat may assist with Xiangru 0.6-0.7 fen. Ye Tianshi said Xiangru assisted by Luffa Leaf can dispel wind in Summer-Heat. Summer-Wind attacking externally, Lung-Stomach qi obstruction, even Yang Summer-Heat may have no sweating. Any summer day fever with cough is named Summer-Wind, do not need wind-dispersing drugs too scattered, just this formula assist with Xiangru or add Mulberry Root Bark (Sangbai), Loquat Leaf (Paye), Platycodon (Jiegeng), Mint Stem (Bohe geng) fits.
Appendix Case (Summer-Heat Pathogen Transforming into Malaria)