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In Spring-Warmth disease with excessive sweating, aversion to cold is absent while aversion to heat prevails; there is thirst, restlessness, and oppression in the chest. The tongue coating is yellow, and the pulse is flooding (Hong). This indicates that the pathogenic factor has transmitted to the Qi level of the Yangming channel. It is appropriate to use a large dose of Baihu Tang (White Tiger Decoction) to directly clear the heat of the Yangming.

If fever is accompanied by slight aversion to cold, eye pain, forehead pain, and inability to lie down, this belongs to a disease of the Yangming channel. It is appropriate to use Gegen Tang (Puerariae Radix Decoction) to resolve the muscle layer with acrid-cool properties. If there is no aversion to cold but rather aversion to heat, along with thirst, yellow tongue coating, and a flooding pulse, this belongs to heat in the Qi level of the Yangming. It is appropriate to use a large dose of Baihu Tang (White Tiger Decoction) to clear stomach heat with acrid-cold properties. However, if there is no sweat and the tongue coating is pale yellow, it should not be used. If the tip and edges of the tongue are black with cracks, accompanied by coma, delirious speech, irritability, fever, and a rapid pulse, this belongs to heat in the Blood level of the Yangming. In this case, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is appropriate to cool the blood and vent the pathogen. If the tongue coating is scorched black but shows an old yellow coating, this belongs to Fu-organ heat in the Yangming. Liangge San (Cooling the Diaphragm Powder) should be used to purge. In summary, all these are Yangming syndromes, but they differ as diseases of the channel, Fu-organ, Blood, or Qi. Treatment must be administered according to the specific syndrome without any confusion. How can one not be cautious regarding human life and destiny?

In Spring-Warmth disease, with no aversion to cold but rather aversion to heat, irritability, coma, yellow macules, delirium, and mania, and a tongue coating that is yellow and scorched black, accompanied by restless movements such as throwing hands and feet, climbing walls, and roofs, this belongs to Fu-organ heat in the Yangming. It is appropriate to use a large dose of Baihu Tang (White Tiger Decoction) added with Xijiao (Rhinoceros Horn), Lianqiao (Forsythiae Fructus), Yuan Shen (Scrophulariae Radix), Ren Zhong Huang (Homo Feces Praeparata), and Zhu Ye (Phyllostachys Folium). If there is constipation and frequent passing of flatus, add Da Huang (Rhei Radix et Rhizoma) and Yuan Ming Fen (Mirabilite) to gently purge and clear heat.

The previous paragraph described heat in the Qi level of the Yangming, where only Baihu Tang (White Tiger Decoction) is suitable to clear the Qi level. This paragraph describes coma, delirium, constipation, a scorched yellow tongue, yellow macules, and mania, indicating heat accumulation in the Stomach Fu-organ, which cannot be resolved by cooling alone. Therefore, a large dose of Baihu Tang (White Tiger Decoction) combined with Xijiao (Rhinoceros Horn), Ren Zhong Huang (Homo Feces Praeparata), Yuan Shen (Scrophulariae Radix), and Lianqiao (Forsythiae Fructus) is used to clear both the Qi and Blood levels simultaneously, while Da Huang (Rhei Radix et Rhizoma) and Yuan Ming Fen (Mirabilite) are added to gently drive out stagnation. Once the Large Intestine is unblocked, the pathogenic heat will be instantly resolved, and mania will subside. Zhang Zhongjing stated: "When there is constipation and passing of flatus, there are dry feces, and the abdomen must be hard and painful. If the abdomen is hard and painful but accompanied by diarrhea of watery stool, this is 'heat binding with peripheral flow,' and purging is still appropriate." Do not hesitate due to existing diarrhea; physicians must examine carefully.