治热盛狂语欲死。
生鸡子（七枚） 芒硝（一两）
井萃水一大升。同搅千遍。去沫。顿服快利为度。
琥按上汤。乃治手足阳明燥热之剂。
（琥）又按温病。狂热饮水发斑之证最多。愚故集以上诸方特治之。
活人书四十三问。夏至以前发热恶寒。头疼。身体痛。其脉浮紧。答曰。此名温病也。春月伤寒。谓之温病冬伤于
寒。轻者。夏至以前发为温病。盖因春温暖之气而发也。（云云）
琥按仲景言温病不恶寒而渴。上条云。温病恶寒。不言渴。脉又浮紧。此直是春月伤寒。何得云冬伤于寒。至春
始发为温病邪。其言不顺。故于下四十五问。又出风温一条。而用葳蕤知母干葛栝蒌根等汤。且云。风温不可发汗也。
殊不知仲景当日言风温者。即太阳温病。发汗已身灼热者。名曰风温。此实一病而偶分两条。奉议不解书旨。分为二病。
其误多矣。
治风温加渴甚者。
石膏（一两） 栝蒌根（三分） 人参 防风 甘草（炙各半两） 葛根（一两半生用干者只三钱）
上锉如麻豆大每服。钞五钱匕。用水一盏半。煮至一中盏。去滓。温服。一方。加知母。
琥按上方。乃治阳明病温。气分热渴药也。
保命集云。温病。冬伤于寒所得也。至春变为温病。伤寒。汗下不愈而过经。其证尚在而不除者。亦温病也。（云云。）
琥按内经云。冬伤于寒。春必病温。又云。精者。身之本也。藏于精者。春不病温。故东垣云。房室劳伤。辛苦
之人。阳气泄于外。肾水亏于内。当春之月。时强木长。无以滋生化之源。故为温病耳。今云岐子云。伤寒汗下不愈。
过经而其证不除者。亦为温病。愚以仲景六经中。自有过经不愈之证。与温病毫不相涉何得扭合作温病邪。噫。是又大
失仲景之旨矣。
或问阳明病温极多。其初起兼太阳病者有之。故以上等方。皆二经药也。敢问少阳之经。亦有病温证乎。余答云。
有之。然亦必阳明病居多。而少阳为杂见之证。如准绳中用柴胡升麻汤是也。今采其方。附录于后。
Treats conditions of excessive heat, delirious speech, and critical illness.
Sheng Jizi (Raw Chicken Egg) (7 eggs) Mangxiao (Natrii Sulfas) (1 liang)
Use one sheng of well water. Stir the mixture together for a thousand times. Remove the foam. Take in one dose; stop when bowel movement is unobstructed.
Wang Hu notes: The above decoction is a formula treating dryness-heat of the Hand-Yangming and Foot-Yangming meridians.
(Wang Hu) further notes: In warm diseases, symptoms such as high fever, mania, drinking water, and macules are most common. Therefore, I have specifically collected the aforementioned formulas to treat these conditions.
Question 43 in *Huoren Shu* (The Book That Saves Lives): Fever, aversion to cold, headache, body pain, with a floating and tight pulse occurring before the Summer Solstice. The answer states: This is called Warm Disease (*Wenbing*). Cold damage contracted in spring is called Warm Disease; cold contracted in winter, if mild, manifests as Warm Disease before the Summer Solstice. This is due to the warming qi of spring triggering it. (etc.)
Wang Hu notes: Zhang Zhongjing stated that Warm Disease presents without aversion to cold but with thirst. The previous clause mentioned Warm Disease with aversion to cold but did not mention thirst, and the pulse was floating and tight. This is merely Cold Damage contracted in spring. How can it be said that cold contracted in winter manifests as Warm Disease only in spring? This statement is illogical. Therefore, in Question 45 below, another entry on Wind-Warmth (*Fengwen*) is presented, using decoctions containing Yuwei (*Polygonatum odorati Rhizoma*), Zimu (*Anemarrhenae Rhizoma*), Gange (*Puerariae Radix*), and Gualougen (*Trichosanthis Radix*). It also states: Wind-Warmth should not be treated with sweating methods. Little does he know that what Zhang Zhongjing referred to as Wind-Warmth at that time was actually Taiyang Warm Disease. When sweating has been applied and the body becomes burning hot, it is named Wind-Warmth. This is essentially the same disease arbitrarily divided into two clauses. Fengyi (referring to Zhu Gong, author of *Huoren Shu*) failed to understand the intent of the text, dividing them into two diseases, which is a significant error.
For Wind-Warmth accompanied by severe thirst.
Shigao (Gypsum Fibrosum) (1 liang) Gualougen (Trichosanthis Radix) (3 fen) Renshen (*Panacis Ginseng Radix et Rhizoma*) Fangfeng (*Saposhnikoviae Radix*) Gancao (Licorice Root, honey-fried, each 0.5 liang) Gegen (*Puerariae Radix*) (1.5 liang, fresh; if dried, use only 3 qian)
Crush the herbs to the size of hemp seeds. For each dose, take five qianbi (a small measuring spoon). Use one zhan and a half of water, boil down to one zhan. Strain and remove the dregs. Take warm. Another method adds Zimu (*Anemarrhenae Rhizoma*).
Wang Hu notes: The above formula treats Yangming Warm Disease, targeting heat in the Qi level causing thirst.
*Baoming Ji* (Collection for Preserving Life) states: Warm Disease results from cold contracted in winter, transforming into Warm Disease in spring. If Cold Damage persists after sweating and purging therapies fail and exceeds the transmission cycle, with symptoms remaining unresolved, it is also considered Warm Disease. (etc.)
Wang Hu notes: *Neijing* (The Inner Canon) states: "Cold contracted in winter leads to Warm Disease in spring." It also says: "Essence is the root of the body. Those who conserve essence will not suffer from Warm Disease in spring." Thus, Li Dongyuan stated: Sexual exhaustion and hard labor cause yang qi to leak externally and kidney water to deplete internally. In the spring months, when wood qi is strong and growing, there is insufficient nourishment for the source of transformation and generation, leading to Warm Disease. Now, Qizi (referring to Liu Wansu or related commentators) claims that Cold Damage persisting after sweating/purging and exceeding the transmission cycle is also Warm Disease. I believe that within Zhang Zhongjing's Six Meridians, there are naturally cases of persistence beyond the transmission cycle unrelated to Warm Disease. How can they be forcibly merged into Warm Disease? Alas, this greatly deviates from Zhang Zhongjing's intent.
A question arises: Yangming Warm Disease is very common, and some present initially with concurrent Taiyang symptoms. Thus, the aforementioned formulas involve both meridians. May I ask if Shaoyang meridian also has Warm Disease presentations? My answer is: Yes. However, Yangming involvement is predominant, while Shaoyang presents as mixed symptoms. For example, Chaihu Shengma Tang (*Bupleuri and Ligustici Decoction*) used in *Zhunsheng* (Standard Guidelines) is an instance. I now collect this formula and append it below.