伤寒伤风与伤食。惊风等候诸潮热。久而不去亦非宜。麻疹因而乘间出。
手足微冷。恶寒无汗。面色青惨而不舒。左额有青纹者。伤寒之热也。手足微温。发热有汗。
面赤而光者。伤风之热也。并宜用惺惺散除人参、白术发散之。目胞肿或右颊有青筋。发热而头
额肚腹之处最甚。或兼呕吐腹疼者。伤食之热也。以备急丸下之。面色青红。额上中心有纹。手
掌心有汗。时作惊惕。手络脉微动而发热者。此惊热也。以泻青丸、牛黄清心丸主之。身热而倍
能食。唇红颊赤。大小便闭。胁下有汗者。此风热也。以宣风散主之。以上诸热。久而不去。内外感
发。则所蕴痘麻之毒。亦能乘间而出矣。
惺惺散 治风热咽喉不利。脾不和。三焦胆经渴。小便不利。
人参 桔梗 白苓 白术 栝蒌根 甘草(各一钱) 细辛(三分) 薄荷叶(五分) 防
风川芎(各一钱) 水煎温服。
备急丸
木香(二钱五分) 大黄 牵牛(各五分)为末。神曲糊合丸。绿豆大。食前用楂肉煎汤。下五、七丸。
泻青丸
羌活 大黄(炒) 川芎 当归 防风 龙胆草 栀仁 为末。蜜丸。鸡头米大。淡竹叶煎汤。加沙糖调下一丸。
牛黄清心丸 治发热甚。心烦不宁。
生黄连(五钱) 川郁金(二钱) 黄芩 栀仁(各三钱) 牛黄(二钱五分) 辰砂(一钱五分
)为末。用冬雪水调面粉糊丸。黍米大。灯心汤下七丸。
宣风散 大热利其小便而不愈者。以此下之。
槟榔(二个) 陈皮 甘草(各五钱) 生丑牛(二两) 炒丑牛(二两) 为末。二、三岁孩
儿用五分。四岁孩子用一钱。食前蜜汤调下。易老加防风。本方有青皮。
伤寒、伤风与伤食,以及惊风等证候引起的潮热,如果长期不愈也是不适宜的。麻疹会因此趁机发作而出。
手足微微发冷,怕冷且无汗,面色青暗惨白而不舒展,左额角有青色纹路出现的,这是伤寒引起的发热。
手足微微温热,发热且有汗,面色红赤而有光泽的,这是伤风引起的发热。这两种情况都适宜使用惺惺散(Starry Starry Powder),但需去除其中的人参和白术,以增强发散作用。
眼睑肿胀或右脸颊有青色筋络显现,发热且在头、额、肚腹部位最为严重,或者兼有呕吐、腹痛症状的,这是伤食引起的发热。这种情况适宜用备急丸(Emergency Pill)来攻下。
面色青中透红,额头中心有纹路,手心出汗,时常出现惊惧警惕的表现,手背脉络微微跳动并伴有发热的,这是惊热。这种情况适宜以泻青丸(Xieqing Pill)和牛黄清心丸(Niuhuang Qingxin Pill)为主治方。
身体发热且食欲倍增,嘴唇红、两颊赤红,大小便闭塞,胁下有汗出的,这是风热。这种情况适宜以宣风散(Xuanfeng San)为主治方。以上各种热证,如果长期不愈,导致内外邪气交感激发,那么体内蕴藏的痘毒麻毒,也能趁机发作而出。
惺惺散:治疗风热导致的咽喉不利,脾脏不和,三焦与胆经口渴,小便不通利。
配方:人参、桔梗、茯苓(原文作白苓)、白术、栝蒌根、甘草(各一钱),细辛(三分),薄荷叶(五分),防风、川芎(各一钱)。用水煎煮,温服。
备急丸:
配方:木香(二钱五分),大黄、牵牛子(各五分)。研为细末,用神曲糊制作成丸药,大小如绿豆。饭前用山楂肉煎汤,送服五至七丸。
泻青丸:
配方:羌活、大黄(炒制)、川芎、当归、防风、龙胆草、栀子仁。研为细末,用蜂蜜制成丸药,大小如鸡头米。用淡竹叶煎汤,加入砂糖调匀后送服一丸。
牛黄清心丸:治疗高热严重,心烦意乱不得安宁。
配方:生黄连(五钱),川郁金(二钱),黄芩、栀子仁(各三钱),牛黄(二钱五分),辰砂(一钱五分)。研为细末,用冬雪水调和面粉糊制成丸药,大小如黍米。用灯心草煎汤送服七丸。
宣风散:对于大热症,通过利小便治疗而无效的,用此方进行攻下。
配方:槟榔(两个),陈皮、甘草(各五钱),生牵牛子(二两),炒牵牛子(二两)。研为细末。二至三岁的幼儿用五分,四岁儿童用一钱。饭前用蜜汤调匀后送服。李东垣(易老)在此方基础上加用了防风。本方中含有青皮。
Shanghan (Cold Damage), Shangfeng (Wind Strike), and Shangshi (Food Injury), as well as tidal fevers caused by conditions such as Jingfeng (Convulsive Disorder), if they persist for a long time, are also inadvisable. Measles may therefore erupt opportunistically.
If the hands and feet are slightly cold, accompanied by aversion to cold and absence of sweating, with a cyanotic, gloomy facial complexion that appears constrained, and blue streaks on the left forehead, this is heat due to Shanghan (Cold Damage).
If the hands and feet are slightly warm, accompanied by fever and sweating, with a red and lustrous facial complexion, this is heat due to Shangfeng (Wind Strike). Both conditions are suitable for treatment with Xingxing San (Starry Starry Powder), but Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) should be omitted to enhance the dispersing action.
If the eyelids are swollen or there are blue veins on the right cheek, with fever being most severe in the head, forehead, abdomen, and belly, or accompanied by vomiting and abdominal pain, this is heat due to Shangshi (Food Injury). This condition is suitable for purgation using Beiji Wan (Emergency Pill).
If the facial complexion is cyanotic mixed with red, with lines on the center of the forehead, sweating on the palms, frequent signs of fright and vigilance, slight trembling of the hand collaterals, and fever, this is heat due to Jing (Fright). This condition is primarily treated with Xieqing Wan (Drain Blue Pill) and Niuhuang Qingxin Wan (Calvescent Calculus Clear Heart Pill).
If the body is hot, appetite is significantly increased, lips are red, cheeks are flushed, urination and defecation are obstructed, and there is sweating under the ribs, this is Wind-Heat. This condition is primarily treated with Xuanfeng San (Disperse Wind Powder). If any of the above types of heat persist for a long time, causing internal and external pathogenic factors to interact and trigger, then the toxic pathogens of smallpox and measles stored within can also erupt opportunistically.
Xingxing San: Treats throat discomfort due to Wind-Heat, Spleen disharmony, thirst in the Sanjiao (Triple Burner) and Gallbladder meridians, and difficult urination.
Ingredients: Ren Shen (Panax Ginseng Radix et Rhizoma), Jie Geng (Platycodonis Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gua Lou Gen (Trichosanthis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian); Xi Xin (Asari Radix et Rhizoma) (3 fen); Bo He Ye (Menthae Haplocalycis Folium) (5 fen); Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 qian). Decoct in water and take warm.
Beiji Wan:
Ingredients: Mu Xiang (Aucklandiae Radix) (2.5 qian); Da Huang (Rhei Radix et Rhizoma), Qian Niu (Pharbitidis Semen) (each 5 fen). Grind into powder, mix with dough made from Shen Qu (Medicated Leaven) to form pills, size of mung beans. Before meals, administer 5–7 pills with decoction of Shan Zha (Crataegi Fructus) meat.
Xieqing Wan:
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix), Da Huang (Rhei Radix et Rhizoma, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), Long Dan Cao (Gentianae Radix), Zhi Zi Ren (Gardeniae Semen). Grind into powder, make into honey pills, size of Euryale Seed. Take one pill with decoction of Dan Zhu Ye (Lophatheri Herba) sweetened with sugar.
Niuhuang Qingxin Wan: Treats severe fever, mental restlessness, and irritability.
Ingredients: Sheng Huang Lian (Coptidis Rhizoma, raw) (5 qian); Chuan Yu Jin (Curcumae Radix) (2 qian); Huang Qin (Scutellariae Radix), Zhi Zi Ren (Gardeniae Semen) (each 3 qian); Niu Huang (Bovis Calculus) (2.5 qian); Chen Sha (Cinnabaris) (1.5 qian). Grind into powder, mix with flour paste using winter snow water to form pills, size of millet seeds. Take seven pills with decoction of Deng Xin Cao (Junci Medullia).
Xuanfeng San: For cases of high fever where promoting diuresis fails to resolve the condition, use this formula for purgation.
Ingredients: Bing Lang (Arecae Semen) (2 pieces); Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 5 qian); Sheng Chou Niu (Pharbitidis Semen, raw) (2 liang); Chao Chou Niu (Pharbitidis Semen, stir-fried) (2 liang). Grind into powder. For children aged two to three years, use 5 fen; for four-year-old children, use 1 qian. Before meals, take with honey water. Li Dongyuan (Yi Lao) added Fang Feng (Saposhnikoviae Radix) to this formula. The original formula contains Qing Pi (Citri Reticulatae Pericarpium Viride).