凡遇冬温大不祥。民多疫疠发疮疡。如逢麻疹相传染。可用汤丸预解良。
麻毒从来解在初。出尽毒解忧可无。腹中胀痛邪犹伏。喘促昏沉命必殂。
春温夏暑。秋凉冬寒。此四时之正气也。若冬应寒而反温。乃阳气暴泄。火令早行。人感之
者。至于来春。必发痈疮。未出痘疹者。必感之而出。然疹虽胎毒。未有不由天行时令而发者。故
一时传染相似。远近大小皆发。为父兄者。但见境里痘麻正行。宜先以消毒保婴丹、代天宣化丸、
以预解之。可使毒彻而不为已甚。此虽先贤活人之婆心。而要知麻疹之证。只怕一时不能得出。
若得出尽。则毒便解到底。治麻者于初热未出之时。宜以宣毒发表汤去升麻、桔梗、甘草。或葛
根解肌汤（二方俱见第五条）去赤芍、甘草。葛根疏邪汤（见三十三条）去骨皮。防风败毒散（见
第五条）去石膏、知母、淡竹叶、桔梗、甘草。加前胡、葛根等味。随用而发之。但得麻出则毒解。而
始终无虞矣。如用一剂。而麻仍不出。又再进一服。外以酒煎胡荽喷被盖之。切要空露头面。或以
苎麻蘸胡荽酒遍身戛之。令其毛孔疏开。麻方得出也。切勿泥岁气条。照时令寒暄。而用辛热寒
凉之剂。助其炎威。阻其发机。致成坏证。如三四次发之不出。又用臭椿树根皮、煎汤熏洗。倘仍
不出。加之腹作胀满。气上喘促。昏眩闷乱。烦躁不宁。谵语妄言者。必死无疑矣。有云、当归、紫
草茸、红花、牛蒡子之类。服之即现。断不济事。
朱曰 桔梗、甘草为仲景之桔甘汤。桔梗开提肺气。甘草生用能清热解毒。谢君以甘桔
同为舟楫之剂。诸药有此一味。不能下沉。虽出自石顽之说。究非神农本旨。我
辈于当用时。仍可放胆用之。毋为其所囿也。
消毒保婴丹
缠豆藤（不拘黄豆、绿豆。根上缠绕细红丝藤。于八月内生气之日。采取阴干听用。一两五钱）
大黑豆（三十粒） 赤小豆（七十粒） 牛蒡子（炒） 辰砂（水飞过） 生地黄 山楂肉（各一两）
荆芥穗 防风 独活 当归 黄连 桔梗 生甘草（各五钱）
老丝瓜（隔年经霜者两个。要连藤带蒂。五寸烧灰。） 升麻 赤芍（各七钱五分）
为细末。以沙糖合丸。如李核大。浓煎甘草汤化下。
凡修合此丸。宜春分、秋分。或正月十五、七月十五、十月十五等日。洒扫静室。焚香。至诚修
合。勿令僧尼、道士、妇女、有孝服人及六畜见之。合毕。于日出时。焚香、叩齿。东向吸气一口。吹
于丸药之上。向太阳觉咒曰。神仙真药。体合自然。婴儿吞服。天地齐年。吾今奉太上老君急急如
律令。（一口气默念七遍）〔此段修合方法，未可信，留存文献。一九五七年三月〕
代天宣化丸（即韩氏医通所载五瘟丹。）
甘草（甲己年化土。以此味为君）。 黄芩（乙庚年化金。以此味为君） 黄柏（丙辛年化水。以
此味为君） 栀仁（丁壬年化木。以此味为君。） 黄连（戊癸年化火。以此味为君） 连翘（为佐）
山豆根（为佐） 如逢甲子、己巳年。则以甘草为君。黄芩、黄柏、栀仁、黄连、为臣。连翘、豆根、
牛蒡、为佐。乙庚等年。俱仿此。君药一两。臣药用五钱。佐药用二钱五分。共为细末。于冬至日。
以雪水煎升麻汁。拌面粉搅糊合丸。用辰砂为衣。以淡竹叶煎汤化下。
凡是遇到冬季气候反常温暖，这是极大的不祥之兆。百姓中容易爆发疫病，出现疮疡肿毒。如果碰上具有传染性的麻疹，可以使用汤剂或丸药进行预先解毒防治，效果良好。
麻疹的毒邪通常在初期就要解除。如果疹子能全部透发出来，体内的毒邪就能彻底清除，忧患也就消除了。如果腹部胀满疼痛，说明邪气仍然潜伏在内；如果出现气喘急促、神志昏沉，生命必然终结。
春季温暖、夏季暑热、秋季凉爽、冬季寒冷，这是四季的正常气候规律。如果冬天本该寒冷却反而温暖，这是因为阳气突然泄露，火令提前到来。人感受了这种不正之气，到了来年春天，必定会引发痈疮。还没有出痘疹的人，一定会因为感染而发病。然而，麻疹虽然源于胎毒，但没有不是由于天时流行气候的影响而发作的。所以，在同一时期内，大家感染的症状相似，无论远近、年龄大小都会发病。作为父亲和兄长，只要看到邻里间正在流行痘症或麻疹，就应当先用“消毒保婴丹”或“代天宣化丸”来预先解毒。这样可以使毒邪透彻排出而不致过于严重。这虽然是先贤救人的慈悲之心，但必须明白麻疹这一病症，只怕的是短时间内不能透发出来。如果能全部透发出来，那么毒邪就会彻底解除。治疗麻疹的人在初起发热、疹子尚未出来的时候，适宜使用“宣毒发表汤”，去掉升麻、桔梗、甘草；或者使用“葛根解肌汤”（这两个方剂都见第五条），去掉赤芍、甘草；或者使用“葛根疏邪汤”（见三十三条），去掉地骨皮；或者使用“防风败毒散”（见第五条），去掉石膏、知母、淡竹叶、桔梗、甘草，加入前胡、葛根等药物。根据情况随证用药以促使疹子发出。只要能让麻疹透发出来，毒邪就会解除，整个过程就没有危险了。如果使用了一剂药，麻疹仍然没有出来，可以再服一剂。同时外用酒煎胡荽（香菜）喷洒在被子上并盖在身上。切记要让头面部露在外面，或者用苎麻蘸取胡荽酒遍身擦拭身体，使其毛孔疏通张开，麻疹才能透发出来。千万不要拘泥于岁气条文，按照时令的寒暖，随意使用辛热或寒凉的药剂，助长病邪的炎威，阻碍疹毒的发泄机制，导致变成坏证。如果经过三四次催发仍然出不来，又出现腹部胀满，气逆气喘，头晕目眩，心中烦闷混乱，烦躁不安，说胡话乱言语的情况，那必定死亡无疑。有人说，服用当归、紫草茸、红花、牛蒡子之类的药物，疹子就会立刻显现，这完全是断言无效的。
朱氏评论说：桔梗、甘草是张仲景的桔梗甘草汤。桔梗能开提肺气，生用的甘草能清热解毒。谢玉琼认为甘桔同用如同舟楫之剂（引导药力上行），其他药物有了这一味，就不能下沉。这虽然出自赵献可（石顽）的说法，但终究不符合《神农本草经》的本意。我们在应当使用的时候，仍然可以大胆使用，不要被他的说法所局限。
【方剂】消毒保婴丹
缠豆藤（不拘黄豆、绿豆，根上缠绕细红丝藤，在八月内生气之日，采取后阴干备用，一两五钱）
大黑豆（三十粒） 赤小豆（七十粒） 牛蒡子（炒制） 辰砂（水飞处理） 生地黄 山楂肉（各一两）
荆芥穗 防风 独活 当归 黄连 桔梗 生甘草（各五钱）
老丝瓜（隔年经霜的两个，要连藤带蒂，烧成灰，五寸） 升麻 赤芍（各七钱五分）
以上药物研成细末，用沙糖调和制成丸药，如李子核大小。用浓煎的甘草汤送服。
凡是配制此丸药，宜选择春分、秋分，或正月十五、七月十五、十月十五等日子。打扫安静的房间，焚香，诚心诚意地配制。不要让僧尼、道士、妇女、穿孝服的人以及六畜看见。配制完毕后，在日出时，焚香、叩齿，面向东方吸气一口，吹在丸药之上，对着太阳念咒语说：“神仙真药，体合自然，婴儿吞服，天地齐年。吾今奉太上老君急急如律令。”（一口气默念七遍）[注：此段配制方法不可信，仅作为文献留存。一九五七年三月]
【方剂】代天宣化丸（即韩氏医通所载的五瘟丹。）
甘草（甲己年化土，以此味为君药）。 黄芩（乙庚年化金，以此味为君药） 黄柏（丙辛年化水，以此味为君药） 栀仁（丁壬年化木，以此味为君药。） 黄连（戊癸年化火，以此味为君药） 连翘（作为佐药）
山豆根（作为佐药） 如果遇到甲子、己巳年，则以甘草为君药，黄芩、黄柏、栀仁、黄连为臣药，连翘、豆根、牛蒡为佐药。乙庚等年份，都仿照这个原则。君药一两，臣药用五钱，佐药用二钱五分。共同研成细末，在冬至日，用雪水煎煮升麻汁，拌面粉搅成糊状合制丸药，用辰砂做外衣，用淡竹叶煎汤送服。
Whenever there is an abnormal warmth in winter, it is a sign of great misfortune. The people are prone to epidemics and sores/ulcers. If measles, which is contagious, occurs, decoctions or pills can be used for preemptive detoxification with good results.
The toxic pathogen of measles should always be resolved in the early stage. Once the rash is fully erupted, the toxin is cleared, and worries can be dispelled. If there is abdominal distension and pain, it indicates that the evil pathogen is still latent; if there is panting, shortness of breath, and lethargy/coma, death is inevitable.
Spring warmth, summer heat, autumn coolness, and winter cold are the normal qi of the four seasons. If winter should be cold but instead becomes warm, it is due to the sudden leakage of yang qi and the premature arrival of the fire command. Those who contract this will inevitably develop carbuncles and sores by the following spring. Those who have not yet developed smallpox or measles will certainly manifest them upon infection. Although measles stem from fetal toxins, none erupt without being triggered by seasonal epidemic influences. Therefore, within a specific time frame, infections are similar, affecting everyone regardless of distance or age. Fathers and elders, seeing that smallpox or measles are circulating in their vicinity, should first use *Xiaodu Baoying Dan* (Detoxifying Infant-Protecting Pill) or *Daitian Xuanhua Wan* (Heaven-Replacing Transformation Pill) for preemptive resolution. This allows the toxin to be thoroughly expelled without becoming excessive. Although this reflects the compassionate heart of past sages to save lives, one must understand that in measles cases, the primary concern is the failure to erupt within a timely manner. If fully erupted, the toxin is completely resolved. When treating measles, during the initial fever before eruption, one should use *Xuandu Fabiao Tang* (Toxin-Releasing and Exterior-Resolving Decoction), removing Shengma (Rhizoma Cimicifugae), Jiegeng (Radix Platycodonis), and Gancao (Radix Glycyrrhizae); or use *Gegen Jiemo Tang* (Pueraria Muscle-Relieving Decoction) (see Article 5), removing Chishao (Radix Paeoniae Rubra) and Gancao; or use *Gegen Shuxie Tang* (Pueraria Pathogen-Dispersing Decoction) (see Article 33), removing Gupi (Cortex Lycii); or use *Fangfeng Baidu San* (Saposhnikovia Toxin-Clearing Powder) (see Article 5), removing Shigao (Gypsum Fibrosum), Zhimu (Radix Anemarrhenae), Danyezhu (Herba Phyllostachidis Nigrae), Jiegeng, and Gancao, adding Qianhu (Radix Peucedani) and Gegen (Radix Puerariae), etc., according to the syndrome to promote eruption. As long as the measles erupt, the toxin resolves, and there will be no danger throughout the process. If one dose fails to produce the rash, administer another dose. Externally, spray boiled Huixi (Coriandrum sativum) wine onto bedding and cover the patient. Crucially, keep the head and face uncovered. Alternatively, dip Ramie (Boehmeria nivea) in Huixi wine and rub it over the entire body to open the pores, allowing the measles to emerge. Do not rigidly adhere to annual climate rules or seasonal temperature variations to prescribe acrid-warm or cold-cooling agents, which would exacerbate the inflammatory nature and obstruct the eruption mechanism, leading to complicated syndromes. If after three or four attempts the rash still does not appear, accompanied by abdominal fullness, panting, dizziness, mental confusion, restlessness, and delirious speech, death is certain. Some claim that taking Danggui (Radix Angelicae Sinensis), Zicaorong (Radix Arnebiae/Lithospermi), Honghua (Flos Carthami), and Niubangzi (Fructus Arctii) will make the rash appear immediately; this is absolutely ineffective.
Zhu commented: Jiegeng and Gancao constitute Zhang Zhongjing's Jiegeng Gancao Tang. Jiegeng lifts and opens lung qi, while raw Gancao clears heat and detoxifies. Xie Yuqiong regarded Gan and Jie together as a "vessel and oar" agent (guiding herbs upward), stating that other herbs cannot sink with this ingredient. Although this stems from Zhao Xikan's (Shiweng) theory, it ultimately contradicts the original intent of the *Shennong Bencao Jing*. We may still boldly use them when indicated, without being constrained by such views.
**Formula: Xiaodu Baoying Dan (Detoxifying Infant-Protecting Pill)**
Chandouteng (Stems of beans wrapped around fine red silk vines, harvested on auspicious days in the eighth lunar month, dried in shade, 1 liang 5 qian). Note: Does not distinguish between soybeans or mung beans.
Daheidou (Large black soybeans, 30 grains)
Chixiaodou (Adzuki beans, 70 grains)
Niubangzi (Arctii Fructus, stir-fried)
Chensha (Cinnabar, water-purified)
Shengdihuang (Rehmanniae Radix Recens)
Shanzharou (Pericarpium Crataegi, 1 liang each)
Jingjiesui (Schizonepetae Spica)
Fangfeng (Saposhnikoviae Radix)
Duhuo (Angelicae Pubescentis Radix)
Danggui (Angelicae Sinensis Radix)
Huanglian (Coptidis Rhizoma)
Jiegeng (Platycodonis Radix)
Shenggancao (Raw Glycyrrhizae Radix, 5 qian each)
Laosigua (Old loofah, aged through frost, two pieces including vine and stem, burned to ash, 5 cun)
Shengma (Cimicifugae Rhizoma)
Chishao (Paeoniae Radix Rubra, 7 qian 5 fen each)
Grind into fine powder. Mix with rock sugar to form pills the size of a plum pit. Take with strong decoction of Gancao.
When preparing this pill, choose the Spring Equinox, Autumn Equinox, or the 15th day of the 1st, 7th, or 10th lunar months. Clean a quiet room, burn incense, and prepare with sincere devotion. Do not allow monks, nuns, Taoist priests, women, mourners in mourning clothes, or livestock to see the process. After preparation, at sunrise, burn incense, click teeth, face east, inhale once, blow onto the pills, and recite the mantra towards the sun: "Divine true medicine, harmonizing with nature; infants swallowing it, sharing years with heaven and earth. I now invoke the Supreme Lord Laojun, swiftly as law commands." (Recite silently seven times in one breath.) [Note: This preparation method is not credible and is retained only as a document. March 1957.]
**Formula: Daitian Xuanhua Wan (Heaven-Replacing Transformation Pill)**
(This is the Wuwen Dan recorded in Han Shi Yi Tong.)
Gancao (Licorice Root): In years ending in Jia or Ji (Earth element), Gancao is the Sovereign herb.
Huangqin (Scutellariae Radix): In years ending in Yi or Geng (Metal element), Huangqin is the Sovereign herb.
Huangbai (Phellodendri Cortex): In years ending in Bing or Xin (Water element), Huangbai is the Sovereign herb.
Zhiren (Gardeniae Semen): In years ending in Ding or Ren (Wood element), Zhiren is the Sovereign herb.
Huanglian (Coptidis Rhizoma): In years ending in Wu or Gui (Fire element), Huanglian is the Sovereign herb.
Lianqiao (Forsythiae Fructus): Assistant herb.
Shandougen (Sophorae Tonkinensis Radix): Assistant herb.
In Jiazi or Jisi years, Gancao is Sovereign; Huangqin, Huangbai, Zhiren, and Huanglian are Ministers; Lianqiao, Dougen, and Niubang are Assistants. For Yi-Geng and other years, follow this pattern. Sovereign herb: 1 liang; Minister herbs: 5 qian; Assistant herbs: 2 qian 5 fen. Grind into fine powder. On the Winter Solstice, boil Shengma in snow water to extract juice, mix with flour paste to form pills, coat with Cinnabar, and take with decoction of Danyezhu.