〔《灵》〕荣之生病也，寒热少气，血上下行。（寿夭刚柔篇）
〔仲〕云∶妇人中风七八日，续得寒热，发作有时，经水适断，此为热入血室，其血必结，故使如疟状，
发作有时，小柴胡汤主之。（方见伤寒。）
〔海〕小柴胡加减法∶如寒热往来，经水不调，去半夏，加秦艽、芍药、当归、知母、地骨皮、牡丹皮、
川芎、白术、茯苓。如小柴胡汤与四物汤各半，名调经汤。无孕呕者，加半夏。无汗者，加柴胡。恶寒者，加
桂。有汗者。加地骨皮。嗽者，加紫菀。通经者，加京三棱、广术。劳者，加鳖甲。
〔罗〕完颜小将军病寒热间作，腕后有斑三五点，鼻中微血出，两手脉沉涩，胸膈四肢，按之殊
无大热，此内伤寒也。问之，向者卧殿角伤风，又渴饮冰酪水，此外感者轻，内伤者重，外从内病，俱为阴也，
故先斑后衄，显内阴症，寒热间作，脾亦有之，非徒少阳之寒热也，与调中汤数服而愈。
调中汤
白茯苓 干姜 白术 甘草（各等分）
上锉如麻豆大。每服五钱，水一盏半煎。
经云∶风气盛于皮肤之间，内不得通，外不得泄。风者善行而数变，腠理开则洒然寒，闭则热而闷。其寒
也则衰饮食，其热也则消肌肉，故使人 栗而不能食，名曰寒热。（风入皮肤为寒热。全文见风门。 栗一作失
味。）因于露风。乃生寒热。（全文见五脏）风盛为寒热。（全文见诊。）
〔河〕解风汤 治中风寒热，头目昏眩，肢体疼痛，手足麻痹，上膈壅沸。
人参 川芎 独活 甘草 麻黄（去节，汤洗，焙。各一两） 细辛（半两）
上为末，每服三钱，水一盏，生姜五片，薄荷叶少许，同煎至八分，不计时候。
防风汤 治中风寒热。
防风 甘草 黄芩 桂枝 当归 白茯（各一两） 秦艽 干葛（各一两半） 杏仁（五十枚）
上为散，水酒姜枣煎服。
〔《脉》〕大肠有宿食，寒栗发热，有时如疟。（轻则消导，重则下之。热食承气之类，寒食见 丸
之类，并宿食门求之。）
上积聚而寒热，以积聚法治之。
〔云〕地骨皮散 治血中风气，体虚发渴，寒热。
柴胡 地骨皮 桑白皮 枳壳 前胡 黄 （各七钱半） 白茯苓 五加皮 人参 甘草 桂心
芍药（白条。各半两）
上 咀，每服三钱，生姜三片，水煎。
柴胡散 治寒热体瘦，肢节疼痛，口干心烦。
柴胡 黄 赤茯苓 白术（各二两） 人参 地骨皮 枳壳（制） 桔梗 桑白皮 赤芍药 生地黄（
各七钱半） 麦门冬（三两） 甘草（半两）
上 咀，每服四钱，姜五片，水煎。
〔《本事》〕有一师尼，患恶风体倦，乍寒乍热，面赤心烦，或时自汗。是时疫气大行，医见其寒热，作伤寒治
之，大小柴胡杂进，数日病剧。予诊视之，三部无寒邪脉，但厥阴弦长而上鱼际，宜服抑阴等药，予制此
地黄丸
生地黄（三两） 柴胡 秦艽 黄芩（各半两） 赤芍药（一两）
上细末，炼蜜丸，桐子大。每服三十丸，乌梅汤吞下，不拘时候，日三服。昔宋褚澄疗师尼寡妇别制方，
盖有为也。此二种寡居独阴无阳，欲心萌而多不遂，是以阴阳交争，乍寒乍热，全类温疟，久则为劳。尝读
《史记·仓公传》戟济北王侍人韩女病腰背痛寒热，众医皆以为寒热也。仓公曰∶病得之欲男子，不可得也。
何以知其然？诊其脉，肝脉弦出寸口，是以知之。盖男子以精为主，妇人以血为主，男子精盛则思室，妇人
血盛则怀胎，夫肝摄血故也。厥阴弦出寸口，又上鱼际，则阴血盛可知。褚澄之言，信有为矣。
上地黄丸，虽曰抑阴，实补阴泻阳之剂也。
〔丹〕赵孺人夜间发寒后便热，丑寅时退，起来口渴，食少无味，谷不化，腹痛而泄，倦怠。或遇事则热
燥，赤眼气壅，又不耐风寒，亦恶热。
白术（二钱） 芍药（炒，一钱） 陈皮（一钱） 黄芩（半钱） 炒柏（三钱） 炙甘草（二分）
炒芩（三分） 牡丹（三分） 木通（三分） 人参（半钱） 归身（二钱） 缩砂（三分）
煎下保和丸、实肠丸各三十丸。
吕十四孺人怒气后，寒热咳嗽，食少淋泄。
缩砂（三分） 甘草（三分） 人参（半钱） 白术（一钱半） 连翘（一钱） 陈皮（一钱）
茯苓（一钱） 姜二片，同煎。
润肺散治嗽。（方见咳。） 大柴胡汤治结热在里，往来寒热。（方见伤寒。）
有宿食者，以宿食法治之。
脏腑寒热有四∶一曰肺。经云∶脉之至也。喘而虚，名曰肺痹寒热，得之醉而使内也。又曰∶肺脉微急，
为肺寒热是也。二曰脾。经云∶脾脉小甚，为寒热是也。三曰太阳。经云∶三阳为病，发寒热是也。四曰阳维。
《难经》云∶阳维为病，苦寒热是也。
运气 寒热有二∶
一曰火热攻肺。经云∶少阴司天，热气下临，肺气上从，喘呕寒热。又云∶少阳司天，火气下临，肺气上
从，寒热 肿。又云∶少阴司天，热淫所胜，寒热皮肤痛。又云∶岁木不及，燥乃大行，复则病寒热疮疡，治
以寒剂是也。
二曰寒热相错。经云∶阳明司天之政，天气急，地气明，民病寒热发暴。三之气，燥热交合，民病寒热。
又云∶阳明司天，燥气下临，肝气上从，民病寒热如疟。又云∶少阴司天之政，四之气，寒热互至，民病寒热。
治视寒热多少，其制是也。
〔子和〕武阳仇天祥之子，病发寒热，诸医作骨蒸劳治之，半年病甚。戴人往视之，诊其手脉尺寸皆朝于
关，关脉独大。戴人曰∶肺痈也。问其乳媪会有痛处。乳媪曰∶无。戴人令儿去衣，举其两手，观其两胁下，
右胁稍高。戴人以手侧按之，儿移身避之，按其左胁则不避。戴人曰∶此肺部有痈，已吐脓矣。
〔《素》〕灸寒热之法，先灸项大椎，以年为壮数。（王汪云∶如患人之年数。）次灸撅骨，以年为壮数。（
尾穹谓之橛骨。）视背 陷者灸之。（膏肓等 ，陷者为筋骨之间陷中也。王注∶背胛骨际有陷处也。）举
臂肩上陷者灸之，（肩 穴也。）两季胁之间灸之。（京门穴也。）外踝上绝骨之端灸之。（阳辅穴也。）
足小指次指间灸之。（侠溪穴也。） 下陷脉灸之。（承筋穴也。）外踝后灸之。（昆仑穴也。）缺盆
骨上切之坚动如筋者灸之。（当随其所有而灸之。）膺中陷骨间灸之。（天突穴也，未详是否。）掌束骨下灸之。
（阳池穴也，未详是否。）脐下关元三寸灸之，毛际动脉灸之。（气冲穴也。）膝下三寸分间灸之。（三里穴也。）
足阳明跗上动脉灸之。（冲阳穴也。）巅上一灸之。（百会穴也。）凡当灸二十九处，灸之不已者，必视其经之过
于阳者，数刺其俞而药之。（按项大椎至巅上一灸之二十九处也。以上出骨空论）
〔《灵》〕皮寒热者，不可附席，毛发焦，鼻槁腊，不得汗，取三阳之络以补手太阴。肌寒热者，肌痛，毛
发焦而唇槁腊，不得汗，取三阳于下，以去其血者，补足太阴以出其汗。骨寒热者，病无所安，汗注不休，齿
未槁，取其少阴于阴股之络，齿已槁，死不治。骨厥亦然。（寒热病篇 无汗而寒热者属表，可治。寒热汗出不
休，骨寒热者已入骨髓，故难治也。）
邪在肺，则病皮肤寒热，上气喘，汗出，咳动肩背。取之膺中外 ，背三节五脏之傍，以手疾按之，快然
乃刺之，取之缺盆中以越之。（五邪篇）小腹满大，身时寒热，小便不利，取足厥阴。（全文见小肠满。）经云∶络病者善
太息，口苦，下痢，寒热。取阳陵泉。（全文见刺法。）
〔《素》〕病风且寒且热，汗出，一日数过，先刺诸分理络脉。汗出，且寒且热，三日一刺，百日而已。
经云∶凡刺寒热，皆多血络，必间日而一取之，血尽乃止，乃调其虚实。
〔《甲》〕寒热，五处及天柱、风池、腰 、长强、大杼、中膂、内俞、上 、 交、上脘、关元、天牖、
天容、合谷、阴 、关冲、中渚、阳池、消烁、少泽、前谷、腕骨、阳谷、少海、然谷、至阴、昆仑主之。身
寒热，阴都主之。寒热，刺脑户。风寒热，腋门主之。心如悬，阴厥脚 后廉急不可前却，癃癖便脓血，足跗
上痛，舌卷不能言，善笑，心下痞，四肢倦，溺青赤白黄黑，青取井，赤取荥，黄取输，白取经，黑取合。血
痔泄，后重，腹痛如癃状，卧仆必有所扶持，及失气，涎出，鼻孔中痛，腹中常鸣，骨寒热无所安，汗出不休，
复溜主之。骨寒热，溲难，肾 主之。
肺寒热，呼吸不得卧，上气呕沫，喘气相追逐，胸满，胁膺急，息难，振栗，脉鼓，气鬲，胸中有热，支
满不嗜食，汗不出，腰脊痛，肺俞主之。咳而呕，鬲寒，食不下，寒热，皮肉肤痛，少气不得卧，胸满支两胁，
鬲上兢兢，胁痛，腹 ，胃脘暴痛，上气，肩背寒痛，汗不出，喉痹，腹中痛，积聚，默默然嗜卧，怠惰不欲
动，身常湿湿，（一作“温”。）心痛无可摇者，鬲俞主之。咳而胁满急不得息，不得反侧，腋胁下与脐相引，筋急而
痛，反折，目上视眩，耳中 然，肩项痛，惊狂衄，少腹满，目KT KT 生白翳，咳引胸痛，筋寒热，唾血短气，
鼻酸，肝俞主之。寒热食多，身羸瘦，两胁引痛，心下贲痛，心如悬，下引脐，少腹急痛，热面急，（一作“黑”。）
目KT KT ，久喘咳少气，溺浊赤，肾俞主之。寒热咳呕沫，掌中热，虚则肩背寒栗，少气不足以息，寒厥交两手
而瞀，口沫出，实则肩背热痛，汗出，暴四肢肿，身湿摇，时寒热，饥则烦，饱则善，面色变，（一作“痈”）。口
噤不开，恶风泣出，列缺主之。寒热，胸背急，喉痹，咳上气喘，掌中热，数欠伸，汗出善忘，四肢厥逆，善
笑，溺白，列缺主之。胸中膨膨然，甚则交两手而瞀，暴痹喘逆，刺经渠及天府，此谓之大 。肺系急，胸中
痛，恶寒，胸满悒悒然，善呕胆汁，胸中热，喘逆气，气相追逐，多浊唾，不得息，肩背风，汗出，面腹肿，
鬲中食噎不下，喉痹肩息，肺胀，皮肤骨痛，寒热烦满，中府主之。寒热，目KT KT ，善咳喘逆，通谷主之。烦
心咳，寒热善哕，劳宫主之。寒热，唇口干，身热喘息，目急痛，善惊，三间主之。（一本云∶寒热，心背引痛
，胸中不
得息，咳唾血涎，烦中善饥，食不下，咳逆，汗不出，如疟状，目泪出，悲伤，心 主之。）
寒热善呕，商丘主之。呕厥寒，时有微热，胁下支满，喉痛嗌干，膝外廉痛，淫泺胫酸，腋下肿，马刀 ，
肩肿吻伤痛，太冲主之。
寒热，头痛，喘喝，目不能视，神庭主之。其目泣出头不痛者，听会取之。寒热，头痛如破，目痛如脱，
喘逆烦满，呕吐流汗，头维主之。寒热，胸满，头痛，四肢不举，腋下肿，上气，胸中有声，喉中鸣，天池主
之。寒热，头痛，水沟主之。寒热，善怖，头重足寒，不欲食，脚挛，京骨主之。下部寒热，病汗不出，体重，
逆气，头眩痛，飞阳主之。肩背痛，寒热，瘰 绕颈，有大气，暴聋，气蒙瞀，耳目不开，头颔痛，泪出目，
鼻衄不得息，不知香臭，风眩喉痹，天牖主之。寒热，酸痛，四肢不举，腋下肿，马刀挟瘿，髀膝胫骨淫泺，
酸痹不仁，阳辅主之。寒热，颈瘰 ，咳，呼吸，灸手三里，左取右，右取左。寒热，颈瘰 ，大迎主之。
寒热瘰 ，胸中满，有大气，缺盆中满痛者死。外溃不死，肩引项不举，缺盆中痛，汗不出，喉痹，咳嗽血，
缺盆主之。寒热，颈瘰 ，肩痛不可举，臂 主之。寒热，颈瘰 ，耳鸣无闻，痛引缺盆，肩中热痛，手臂
不举，肩贞主之。
寒热瘰 ，目不明，咳上气，唾血，肩中 主之。
寒热，颈腋下肿，申脉主之。寒热，颈颔肿，后 主之。胸中满，耳前痛，齿热痛，目赤痛，颈肿，寒热，
渴饮辄汗出，不饮则皮干热烦，曲池主之。
振寒，小指不用，寒热，汗不出，头痛，喉痹，舌急卷，小指之间热，口中热，烦心，心痛，臂内廉痛，
聋咳，螈 ，口干，头痛不可顾，少泽主之。振寒寒热，肩 肘臂头痛不可顾，烦满，身热恶寒，目赤痛，
烂生翳膜，暴痛，鼽衄，耳聋，臂重痛，肘挛痂疥，脑满引 ，泣出而惊，颈项强，身寒，头不可顾，后 主之。
振寒寒热，颈项肿，实则肘挛，头眩痛狂易，虚则生疣，小者痂疥，支正主之。寒热凄厥，鼓颔，承浆主
之。
肩痛引项，寒热，缺盆主之。身热，汗不出，胸中热满，天 主之。寒热，肩肿引胛中肩臂酸痛， 主
之。臂厥，肩膺胸满痛，目中白翳，眼青转筋，掌中热，乍寒乍热，缺盆中相引痛，数咳喘不得息，臂内廉痛，
上鬲，饮已烦满，太渊主之。
寒热，腹 ，央央然不得息，京门主之。善啮颊，齿唇热，汗不出，口中热痛，冲阳主之，胃脘痛，时寒
热，皆主之。
寒热篡反出，承山主之。寒热篡后出，螈 ，脚 酸重，战栗不能久立，脚急肿痛，趺筋足挛，少腹痛引
喉嗌，大便难，承筋主之。寒热胫肿，丘墟主之。寒热，痹胫不收，阳交主之。跟厥膝急，腰脊痛引腹篡，阴
[Lingshu] When Ying (Nutrient) Qi becomes diseased, it manifests as alternating chills and fever, shortness of breath, and blood moving up and down in the body. (From *Shou Yao Gang Rou* Chapter)
[Zhang Zhongjing] states: If a woman suffers from Wind-Cold for seven or eight days and subsequently develops alternating chills and fever that occur at regular intervals, coinciding with the sudden cessation of her menses, this is Heat entering the Blood Chamber. The blood must be congealed, causing symptoms resembling malaria with regular paroxysms. Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary treatment. (Formula see *Shanghan Lun*.)
[Li Dongyuan] Modifications of Xiao Chai Hu Tang: For alternating chills and fever with irregular menstruation, remove Ban Xia (Pinellia Tuber), and add Qin Jiao (Gentiana Macrophylla Root), Shao Yao (Peony Root), Dang Gui (Angelica Sinensis Root), Zhi Mu (Anemarrhena Rhizome), Di Gu Pi (Cortex Lycii), Mu Dan Pi (Cortex Moutan), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Bai Zhu (Atractylodes Macrocephala Rhizome), and Fu Ling (Poria). If Xiao Chai Hu Tang and Si Wu Tang (Four Substances Decoction) are combined in equal parts, it is named Tiao Jing Tang (Regulate Menstruation Decoction). If there is no pregnancy but vomiting occurs, add Ban Xia. If there is no sweating, add Chai Hu (Bupleurum Root). If there is aversion to cold, add Gui Zhi (Cinnamon Twig). If there is sweating, add Di Gu Pi. If there is coughing, add Zi Wan (Aster Root). To unblock menstruation, add Jing San Leng (Sparganium Rhizome) and Guang Zhu (Curcuma Rhizome). For consumptive disease, add Bie Jia (Carapax Trionycis).
[Luo Tianyi] General Wanyan suffered from intermittent chills and fever. There were three to five macules on his wrists, and slight epistaxis. His pulses in both hands were deep and choppy. Pressing on his chest, diaphragm, and limbs revealed no significant heat. This was internal Cold injuring the Spleen/Stomach. Inquiry revealed he had previously caught a chill in a palace corner and drank iced cheese water when thirsty. The external contraction was mild, while the internal injury was severe; the external pathogen followed the internal pathology, both being Yin patterns. Hence, macules appeared first, followed by epistaxis, revealing an internal Yin syndrome. Intermittent chills and fever can also arise from the Spleen, not solely from Shaoyang. He was cured after taking several doses of Diao Zhong Tang (Regulate the Middle Decoction).
Diao Zhong Tang
Bai Fu Ling (Poria), Gan Jiang (Dried Ginger), Bai Zhu (Atractylodes Macrocephala Rhizome), Gan Cao (Licorice Root) (equal parts)
Crush these into pieces the size of hemp seeds. Take 5 qian per dose, decocted in 1.5 cups of water.
The Classics state: When Wind Qi is abundant between the skin and hair, it cannot circulate internally nor vent externally. Wind moves swiftly and changes frequently; when pores open, one feels chilly; when closed, one feels hot and stifled. Excess Cold leads to decreased appetite; excess Heat consumes muscle mass, causing shivering and inability to eat, termed "Chills and Fever." (Wind entering the skin causes chills and fever. Full text in *Feng Men*. "Li" may be read as "Shi Wei".) Exposure to wind generates chills and fever. (Full text in *Wu Zang*.) Excessive Wind causes chills and fever. (Full text in *Zhen Fa*.)
[He/Jin School Representative] Jie Feng Tang treats chills and fever due to Wind-Cold invasion, accompanied by dizziness, limb pain, numbness, and upper jiao stagnation with boiling sensation.
Ren Shen (Ginseng Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Du Huo (Angelica Pubescens Root), Gan Cao (Licorice Root), Ma Huang (Ephedra Herb - remove joints, wash with boiling water, dry), Xi Xin (Asarum Root) (half liang)
Grind into powder. Take 3 qian per dose, decocted in 1 cup of water with 5 slices of fresh ginger and a few mint leaves, until reduced to 0.8 cup. Take at any time.
Fang Feng Tang treats chills and fever due to Wind invasion.
Fang Feng (Saposhnikovia Root), Gan Cao (Licorice Root), Huang Qin (Scutellaria Root), Gui Zhi (Cinnamon Twig), Dang Gui (Angelica Sinensis Root), Bai Fu Ling (Poria) (each 1 liang), Qin Jiao (Gentiana Macrophylla Root), Gan Ge (Pueraria Root) (each 1.5 liang), Xing Ren (Apricot Seed) (50 seeds)
Grind into a powder. Decoct with water, wine, ginger, and jujube, and take orally.
[Mai Jing] Food retention in the Large Intestine causes chills, fever, and paroxysmal symptoms resembling malaria. (Mild cases use digestion-promoting methods; severe cases use purgative methods. For heat-food retention, use Cheng Qi Tang formulas; for cold-food retention, use pill formulas. See *Su Shi Men*.)
Abdominal accumulation causing chills and fever should be treated according to the method for treating accumulations.
[Yun Qizi] Di Gu Pi San treats Wind in the Blood, weakness with thirst, and chills/fever.
Chai Hu (Bupleurum Root), Di Gu Pi (Cortex Lycii), Sang Bai Pi (Morus Root Bark), Zhi Ke (Immature Bitter Orange), Qian Hu (Peucedani Radix), Huang Qin (Scutellaria Root) (each 7.5 qian), Bai Fu Ling (Poria), Wu Jia Pi (Eucommia Bark), Ren Shen (Ginseng Root), Gan Cao (Licorice Root), Gui Xin (Cinnamon Wood), Shao Yao (Peony Root - white strip variety) (each half liang)
Cut into small pieces. Take 3 qian per dose with 3 slices of ginger, decocted in water.
Chai Hu San treats chills/fever with emaciation, joint pain, dry mouth, and irritability.
Chai Hu (Bupleurum Root), Huang Qin (Scutellaria Root), Chi Fu Ling (Red Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 2 liang), Ren Shen (Ginseng Root), Di Gu Pi (Cortex Lycii), Zhi Ke (Immature Bitter Orange - processed), Jie Geng (Platycodon Root), Sang Bai Pi (Morus Root Bark), Chi Shao Yao (Red Peony Root), Sheng Di Huang (Rehmannia Root) (each 7.5 qian), Mai Men Dong (Ophiopogon Tuber) (3 liang), Gan Cao (Licorice Root) (half liang)
Cut into small pieces. Take 4 qian per dose with 5 slices of ginger, decocted in water.
[Ji Sheng Fang] A nun suffered from aversion to wind, fatigue, alternating chills and fever, red face, irritability, and occasional spontaneous sweating. During an epidemic, physicians treated her chills/fever as Shang Han (Cold Damage), administering mixed Da and Xiao Chai Hu Tangs, which worsened her condition over several days. I examined her; the three pulse positions showed no exterior cold signs, only a Jueyin pulse that was wiry, long, and extended beyond the radial styloid process. She required Yin-suppressing herbs. I prepared this Di Huang Wan (Rehmannia Pill).
Sheng Di Huang (Rehmannia Root) (3 liang), Chai Hu (Bupleurum Root), Qin Jiao (Gentiana Macrophylla Root), Huang Qin (Scutellaria Root) (each half liang), Chi Shao Yao (Red Peony Root) (1 liang)
Grind into fine powder, mix with refined honey, and form pills the size of tung tree seeds. Take 30 pills per dose with sour plum soup, at any time, three times daily. In Song Dynasty, Chu Cheng prescribed special formulas for nuns and widows, likely because these women lived in isolation (Yin without Yang), had suppressed desires, leading to Yin-Yang conflict, alternating chills/fever resembling Wen Re (Warm Heat/Malaria), eventually becoming Lao (Consumption). Reading *Shiji: Cang Gong Zhuan*, Lady Han, attendant to King Jibei, suffered back pain and chills/fever. Physicians diagnosed it as generic chills/fever. Cang Gong said: The illness resulted from desiring a man but being unable to obtain one. How did he know? He palpated her Liver pulse emerging wiry above the Cun position. Men prioritize Jing (Essence); women prioritize Blood. When male Jing is abundant, sexual desire arises; when female Blood is abundant, conception occurs, governed by the Liver's storage of Blood. A Jueyin pulse wiry and extending above Cun to Yuji indicates abundant Yin Blood. Chu Cheng's words are indeed valid.
Although called Yin-Suppressing Di Huang Wan, this formula actually tonifies Yin and drains Yang.
[Zhu Danxi] Lady Zhao experienced chills followed by fever at night, subsiding during Chou and Yin hours. Upon waking, she felt thirsty, had poor appetite, undigested food in stool, abdominal pain, diarrhea, and fatigue. Stress triggered heat and irritability, red eyes, qi stagnation, aversion to wind/cold, and aversion to heat.
Bai Zhu (Atractylodes Macrocephala Rhizome) (2 qian), Shao Yao (Peony Root - stir-fried) (1 qian), Chen Pi (Tangerine Peel) (1 qian), Huang Qin (Scutellaria Root) (half qian), Chao Bai (Stir-fried Phellodendron Bark) (3 qian), Zhi Gan Cao (Honey-fried Licorice Root) (2 fen), Chao Qin (Stir-fried Scutellaria Root) (3 fen), Mu Dan (Moutan Cortex) (3 fen), Mu Tong (Akebia Stem) (3 fen), Ren Shen (Ginseng Root) (half qian), Gui Shen (Angelica Sinensis Root tip) (2 qian), Suo Sha (Amomum Fruit) (3 fen)
Decoct and take with Bao He Wan (Preserve Harmony Pill) and Shi Chang Wan (Solidify Intestine Pill), 30 pills each.
Lady Lu (No. 14) developed chills/fever, cough, poor appetite, and dysuria/diarrhea after anger.
Suo Sha (Amomum Fruit) (3 fen), Gan Cao (Licorice Root) (3 fen), Ren Shen (Ginseng Root) (half qian), Bai Zhu (Atractylodes Macrocephala Rhizome) (1.5 qian), Lian Qiao (Forsythia Fruit) (1 qian), Chen Pi (Tangerine Peel) (1 qian), Fu Ling (Poria) (1 qian), 2 slices of ginger, decoct together.
Run Fei San (Moisten Lung Powder) treats cough. (See *Ke* section.) Da Chai Hu Tang (Major Bupleurum Decoction) treats interior binding-heat with alternating chills/fever. (See *Shanghan Lun*.)
For food retention, treat according to the method for food retention.
There are four types of Zang-Fu chills/fever:
1. Lung: The Classics state: Pulse comes rapid and weak, named Lung Bi chills/fever, caused by intercourse after drunkenness. Also: Lung pulse slightly urgent indicates Lung chills/fever.
2. Spleen: The Classics state: Spleen pulse very small indicates chills/fever.
3. Taiyang: The Classics state: Disease of the Three Yang channels presents with chills/fever.
4. Yang Wei Vessel: *Nan Jing* states: Disease of Yang Wei vessel involves suffering from chills/fever.
In Yun Qi (Five Movements and Six Qi) theory, there are two types of chills/fever:
1. Fire-Heat attacking Lung: The Classics state: When Shao Yin governs the year, Heat Qi descends, Lung Qi responds upward, causing panting, vomiting, and chills/fever. Also: When Shao Yang governs, Fire Qi descends, Lung Qi responds upward, causing chills/fever and swelling. Also: When Shao Yin governs, excessive Heat causes skin pain with chills/fever. Also: When Wood Qi is deficient, Dryness prevails, and the compensatory reaction causes chills/fever and sores, treated with cold agents.
2. Mixed Chills and Heat: The Classics state: When Yang Ming governs, weather is urgent, earth qi is bright, people suffer sudden chills/fever. In the third period, Dryness and Heat combine, causing chills/fever. Also: When Yang Ming governs, Dryness descends, Liver Qi responds upward, causing malaria-like chills/fever. Also: When Shao Yin governs, in the fourth period, Cold and Heat alternate, causing chills/fever. Treatment depends on the proportion of Cold and Heat.
[He Bing De/Zi He] Son of Qiu Tianxiang from Wuyang suffered chills/fever. Physicians treated him as Gu Zheng Lao (Bone Steaming Consumption) for half a year, worsening his condition. Dai Ren examined him; the Cun and Chi pulses directed towards Guan, and Guan pulse alone was large. Dai Ren said: This is Lung Abscess. Asked the wet nurse if there was pain; she said no. Dai Ren asked the child to remove clothes and raise arms, observing the hypochondrium; the right side was slightly higher. Pressing laterally, the child moved away to avoid pressure; pressing the left side caused no avoidance. Dai Ren said: There is an abscess in the Lung, already suppurating.
[Suwen] Methods for moxibustion in chills/fever: First, moxa Dachui (GV14) at the nape, using the patient's age as the number of cones. Next, moxa Juegu (coccyx), using age as cone count. Moxa any depressions on the back (e.g., Gaohuang points, indicating depression between bones/muscles). Moxa depressions in the shoulder when raising the arm (Jianyu LI15). Moxa between the costal margins (Jingmen GB25). Moxa the end of Juegu above the lateral malleolus (Yangfu GB38). Moxa between the 1st and 2nd toes (Xiaxi GB43). Moxa depressed vessels below (Chengjin BL56). Moxa behind the lateral malleolus (Kunlun BL60). Moxa hard, tendon-like pulsations above Clavicle (Quepen LI12) as indicated. Moxa depressions in the chest between bones (Tiantu CV22, uncertain). Moxa below the bone bundle at the palm (Yangchi TE4, uncertain). Moxa 3 cun below umbilicus (Guanyuan CV4) and arterial pulse at pubic hairline (Qichong ST30). Moxa 3 cun below knee in the gap (Zusanli ST36). Moxa arterial pulse on foot Yangming dorsum (Chongyang ST42). Moxa top of head (Baihui GV20). Total 29 sites. If ineffective, observe meridians passing through Yang aspects, puncture Shu points repeatedly, and medicate. (From *Gu Kong Lun*)
[Lingshu] Skin chills/fever: Cannot lie on mat, hair scorched, nose dry/cracked, no sweat. Treat by taking Luo-connecting vessels of Three Yang to tonify Hand Taiyin. Muscle chills/fever: Muscle pain, hair scorched, lips dry/cracked, no sweat. Treat by taking lower Three Yang points, bleeding to remove stasis, and tonifying Foot Taiyin to induce sweat. Bone chills/fever: Restlessness, continuous sweating, teeth not yet dry. Treat by taking Luo-collaterals of Foot Shaoyin in thigh. If teeth are dry, it is fatal. Bone Jue is similar. (No sweat/chills/fever is exterior, treatable. Continuous sweat/bone chills/fever has entered marrow, difficult to treat.)
Pathogen in Lung causes skin chills/fever, asthma, sweating, cough pulling shoulders/back. Treat by taking Yingwai Zhongshu, and Back Shu points beside the 5th thoracic vertebra. Press quickly until comfortable, then needle. Also needle Quepen (LI12) to disperse pathogen. (From *Wu Xie Pian*) Lower abdomen full/large, intermittent chills/fever, difficult urination. Treat by taking Foot Jueyin. (Full text in *Xiao Chang Man*.) Classics state: Collateral diseases cause sighing, bitter taste, dysentery, chills/fever. Treat by taking Yanglingquan (GB34). (Full text in *Ci Fa*.)
[Suwen] Wind disease with chills/fever and sweating, occurring multiple times daily. First puncture collateral vessels in muscle spaces. If sweating with chills/fever, puncture every three days, cure in 100 days.
Classics state: For acupuncture treating chills/fever, puncture many blood collaterals, every other day, until blood stops, then regulate deficiency/excess.
[Jia Yi Jing] Chills/fever: Wuchu, Tianzhu, Fengchi, Yaoyaoshu, Changqiang, Dazhu, Zhonglv, Neishu, Shangliao, Jiaoxin, Shangwan, Guanyuan, Tianyou, Tianrong, Hegu, Yinxi, Guanchong, Zhongzhu, Yangchi, Xiaoluo, Shaoze, Qiangu, Wanggu, Yanggu, Shaohai, RanGu, Zhiyin, Kunlun govern it. Body chills/fever: Yindu governs it. Chills/fever: Needle Naohu. Wind-Chill-Chills/Fever: Yexin governs it. Heart hanging like suspended, Yin Jue with tightness at posterior leg, strangury/hernia with pus/blood in stool, dorsum foot pain, tongue curled unable to speak, laughter, epigastric fullness, limb fatigue, urine colors green/red/white/yellow/black (Green-Jing, Red-Ying, Yellow-Shu, White-Jing, He-He). Blood hemorrhoid/diarrhea, tenesmus, abdominal pain like strangury, needing support to rise/pass gas, salivation, nasal pain, borborygmus, bone chills/fever restlessness, continuous sweating: Fuliu KI7 governs it. Bone chills/fever, difficult urination: Shenshu BL23 governs it.
Lung chills/fever: Dyspnea unable to lie, asthma/vomiting foam, chasing breath, chest fullness, hypochondriac/chest tightness, difficult breathing, shivering, pulsating pulse, Qi obstruction, chest heat, subcostal fullness, loss of appetite, no sweat, back/spine pain: Feishu BL13 governs it. Cough with vomiting, diaphragm cold, inability to eat, chills/fever, skin/muscle pain, shortness of breath unable to lie, chest fullness pulling hypochondria, diaphragm trembling, hypochondriac pain, abdominal pain, sudden stomach pain, asthma, shoulder/back cold pain, no sweat, throat obstruction, abdominal pain, accumulation, lethargy, laziness, damp skin, heart pain unable to move, diaphragm Shu: Geshu BL17 governs it. Cough with hypochondriac fullness/tightness, inability to breathe/turn, axillary/hypochondriac pain pulling to umbilicus, tendon tightness/pain, opisthotonos, upward gaze/dizziness, tinnitus, shoulder/neck pain, fright/manic epistaxis, lower abdomen full, leukoma, cough pulling chest pain, tendon chills/fever, hemoptysis/shortness of breath, nasal sourness: Ganshu BL18 governs it. Chills/fever with polyphagia, emaciation, hypochondriac pulling pain, epigastric distension pain, heart hanging, pulling to umbilicus, lower abdomen acute pain, hot face (or black), leukoma, chronic asthma/shortness of breath, turbid red urine: Shenshu BL23 governs it. Chills/fever with cough/vomiting foam, palm heat, deficiency causing shoulder/back cold/shivering, shortness of breath, Yin Jue with crossed hands/blurred vision, salivation, excess causing shoulder/back heat/pain, sweating, sudden limb swelling, damp shaking, intermittent chills/fever, irritability when hungry, comfort when full, facial color change (or carbuncle), locked jaw, aversion to wind/tearing: Lieque LU7 governs it. Chills/fever, chest/back tightness, throat obstruction, cough/asthma, palm heat, frequent yawning, sweating, forgetfulness, limb reversal, laughter, white urine: Lieque LU7 governs it. Chest distension, crossing hands/blurred vision, sudden bi-asthma, needle Jingqu LU8 and Tianfu LU6, called Da Xia. Lung system tight, chest pain, aversion to cold, chest fullness/suffocation, vomiting bile, chest heat, asthma/chasing Qi, profuse turbid saliva, dyspnea, shoulder/back wind, sweating, face/abdominal swelling, esophageal blockage, throat obstruction with shoulder breathing, lung distension, skin/bone pain, chills/fever/irritation/fullness: Zhongfu LU1 governs it. Chills/fever, leukoma, cough/asthma: Tonggu BL65 governs it. Irritable heart cough, chills/fever with hiccups: Laogong PC8 governs it. Chills/fever, dry lips/mouth, body heat/asthma, eye pain, fright: Sanjian LI3 governs it. (Another version: Chills/fever, heart/back pulling pain, chest dyspnea, coughing blood/saliva, irritability/hunger, inability to eat, reverse cough, no sweat, malaria-like, tearing, sadness: Xinshu BL15 governs it.)
Chills/fever with frequent vomiting: Shangqiu SP5 governs it. Vomiting/Jue cold, slight heat, hypochondriac fullness, throat pain/dryness, lateral knee pain, sore legs, axillary swelling, scrofula/goiter, shoulder/jaw pain: Taichong LR3 governs it.
Chills/fever, headache, asthmatic drinking, blindness: Shenting GV24 governs it. If eyes tear but head doesn't hurt, Tinghui GB2 governs it. Chills/fever, splitting headache, eye pain like falling out, asthma/irritation/fullness, vomiting/sweating: Touwei ST8 governs it. Chills/fever, chest fullness, headache, limb paralysis, axillary swelling, asthma, chest sounds, throat humming: Tianchi PC1 governs it. Chills/fever, headache: Shuigou GV26 governs it. Chills/fever, fear, heavy head/cold feet, anorexia, leg cramp: Jinggu BL64 governs it. Lower body chills/fever, no sweat, heavy body, rebellious Qi, dizziness/headache: Feiyang BL58 governs it. Shoulder/back pain, chills/fever, scrofula around neck, large Qi, sudden deafness, mental clouding, ear/eye dysfunction, head/jaw pain, tearing, epistaxis/dyspnea, anosmia, wind-dizziness/throat obstruction: Tianyou TE16 governs it. Chills/fever, soreness, limb paralysis, axillary swelling, scrofula/goiter, thigh/knee/leg soreness/numbness: Yangfu GB38 governs it. Chills/fever, neck scrofula, cough, respiration: Moxa Shousanli LI10, left for right, right for left. Chills/fever, neck scrofula: Daying LI17 governs it.
Chills/fever scrofula, chest fullness, large Qi, death if Quepen full/painful. External ulceration survives. Shoulder pulling neck immobility, Quepen pain, no sweat, throat obstruction, coughing blood: Quepen LI12 governs it. Chills/fever, neck scrofula, shoulder pain immobility: Arm Nao governs it. Chills/fever, neck scrofula, tinnitus/deafness, pain pulling Quepen, shoulder heat/pain, arm immobility: Jianzhen SI9 governs it.
Chills/fever scrofula, poor vision, cough/asthma, hemoptysis: Jianzhongshu BL11 governs it.
Chills/fever, neck/axillary swelling: Shenmai BL62 governs it. Chills/fever, neck/jaw swelling: Houxi SI3 governs it. Chest fullness, preauricular pain, tooth pain, red eyes, neck swelling, chills/fever, sweating when drinking, dry/hot skin when not drinking: Quchi LI11 governs it.
Shivering, little finger non-use, chills/fever, no sweat, headache, throat obstruction, tongue curling, heat between little fingers, oral heat, irritability, heart pain, inner arm pain, deafness/cough, convulsions, dry mouth, headache unable to look back: Shaoze SI1 governs it. Shivering/chills/fever, shoulder/elbow/arm/head pain unable to look back, irritation/fullness, body heat/aversion to cold, red eyes, membrane growth, sudden pain, rhinitis/epistaxis, deafness, arm heaviness/pain, elbow contracture/scabies, head fullness pulling jaw, tearing/fright, stiff neck/body cold, head immobility: Houxi SI3 governs it.
Shivering/chills/fever, neck swelling, excess elbow contracture/dizziness/manic change, deficiency warts/small scabies: Zhizheng SI7 governs it. Chills/fever with chattering chin: Chengjiang CV24 governs it.
Shoulder pain pulling neck, chills/fever: Quepen LI12 governs it. Body heat, no sweat, chest heat/fullness: Tianchuang SI16 governs it. Chills/fever, shoulder swelling pulling scapula/shoulder-arm soreness: Jianjing GB21 governs it. Arm Jue, shoulder/chest fullness/pain, leukoma, blue eyes/tendon spasm, palm heat, alternating chills/fever, Quepen pulling pain, frequent cough/asthma/dyspnea, inner arm pain, upper diaphragm, fullness after drinking: Taiyuan LU9 governs it.
Chills/fever, abdominal pain, distress/dyspnea: Jingmen GB25 governs it. Cheek biting, tooth/lip heat, no sweat, oral heat/pain, stomach ache, intermittent chills/fever: Chongyang ST42 governs it.
Chills/fever with anus protrusion: Chengshan BL57 governs it. Chills/fever with post-anal protrusion, convulsions, leg soreness/heaviness, shivering unable to stand long, leg acute swelling/pain, foot tendon cramp, lower abdomen pain pulling throat, difficult defecation: Chengjin BL56 governs it. Chills/fever with calf swelling: Qiuxu GB40 governs it. Chills/fever, bi-calf flaccidity: Yangjiao GB35 governs it. Heel Jue, knee stiffness, back/spine pain pulling abdomen/anus, Yin...