射干汤 治初秋豪雨冷，及天行暴寒，其热喜伏于内，咳嗽曲折不可得气息，喉哑失声，干嗽无唾，喉中如梗。
射干（一两） 半夏（二两半） 杏仁（两半，去皮尖，炒） 生姜（炮，二两） 甘草 紫菀（各一两）
橘皮 肉桂 枳实（炙。各二两） 当归 独活 麻黄（以上各一两）
上 咀，每服五钱，水一盏半，煎至八分，去渣温服。
〔海〕阳症发斑有四∶有温毒发斑，有热病发斑，有时气发斑，有伤寒发斑。（以上四斑《活人》有治法见后。）
斑斑如锦纹，或发之四末，或发之面部，或发之胸背，色红赤者，胃热也，紫黑者，胃烂也，一则下早，
一则下晚，乃外感热病而发也，宜用玄参升麻汤、白虎等药。（王朝奉云∶赤斑出，五死一生，黑斑出，十死一生，
皆用白虎人参汤、阿胶大青龙汤，兼与紫雪散，大妙。可下者，调胃承气汤。）
〔《活》〕温毒发斑者，初春病患肌肉发斑，瘾疹如锦纹，或咳，心闷，但呕者是也。冬时触冒寒毒，至
春始发，初病在表，或已汗吐下，而表证未罢，毒瓦斯未散，以此发斑，宜用黑膏主之。又有冬月温暖，人感乖
戾之气，冬未即病，至春或被积寒所折，毒瓦斯不得泄，至天气暄暖，温毒始发，则肌肉斑疹如锦纹，而咳，心
闷，但呕有清汁，宜用葛根橘皮汤主之。
黑膏方 疗温毒发斑。
生地（半斤，切碎） 好豉（一升）
上二味，猪肤二斤，合一处煎，令三分减一，绞去渣，用雄黄、麝香如豆大为末，同药再煎服之。其毒便
从皮中出者则愈。忌芜荑。
葛根橘皮汤 疗冬温未即病，至春被积寒所折，不得发，至夏得热，其寒解，冬温始发，肌中斑烂瘾疹如锦纹，
而咳，心闷，但呕吐有清汁，宜服此汤即止。
葛根 橘皮 杏仁（去皮，麸炒） 知母 黄芩 麻黄（去节，汤泡） 甘草（炙。各半两）
上 咀，每服五钱，水一盏半，煎至一盏，去渣温服。
热病发 ，与时气发 并同。夫病患或未发汗，或已经发汗，而热毒不散，表虚里实，热毒乘虚出于皮肤，
所以发 疮瘾疹如锦绞，俗名谓之麸疮，《素问》谓之疹。大抵发 ，不可用表药，盖表虚里实，若发其汗，
重令开泄，更增 烂也，宜用玄参升麻汤、大青四物汤、猪胆鸡子汤选用之。
玄参升麻汤 治伤寒发汗吐下后，毒瓦斯不能散，表虚里实，发热于外，故身发 如锦纹，甚则烦躁谵语。兼治
喉闭肿痛。
玄参 升麻 甘草（炙。各半两）
上 咀，每服五钱、水一盏半，煎至八分，去渣热服。
大青四物汤 治伤寒热病十日以上，发汗及吐利后，热不除，身上斑出。
大青（一两） 阿胶 甘草（各一钱半） 豆豉（二合）
上 咀，每服五钱，水一盏半，煎至一盏，旋入胶再煎，令溶服。
猪胆鸡子汤 治五六日斑出。
猪胆（三合） 鸡子（一枚） 苦酒（三合）
上三味，合煎三沸，强人尽服，瘦人煎六七沸服之。
阳毒升麻汤治 出面。（方见阳毒。）
〔海〕消毒饮子 治 。
黍粘子（六钱） 荆芥 防风（各二钱） 甘草（一钱）
上 咀，水煎服。
阴症发 ，出胸背又出手足，亦稀少而微红者，若作热症，投之凉药，大误矣。此无根失守之火聚于胸中，
上独熏肺，传于皮肤而为斑点，但如蚊蚋蚤虱咬形状，而非锦纹也，宜调中温胃，加茴香、芍药，以大建中、
阴毒升麻鳖甲汤之类，其斑自退，可谓治本而不治标也。（海藏云∶阳明发斑亦有红点如斑出于皮毛之间者，宜
白虎、泻心等药，当审之。）
大建中汤（方见治恶寒门。）阴毒升麻鳖甲汤治阴斑。（方见阴毒。）
侯国华病伤寒四五日，身微斑，渴欲饮，诊之沉弦欲绝，厥阴脉也。服温药数日不已，又以姜、附等药，
觉阳微回脉生，因渴私饮水一杯，脉复退，又见头不举，目不开，问之则犯阳易。若只与烧 散，则寒
而不济矣。遂更用吴茱萸汤一大服，调烧 散连进二服，出大汗两昼夜而愈。
〔丹〕发 似伤寒者，痰热之病发于外，汗以散之，下之非理。
Shegan Decoction (Throatwort Decoction): Treats the coldness of heavy rain in early autumn, and sudden cold from epidemic pathogens, causing heat to hide within the interior. Symptoms include coughing with difficulty in breathing, hoarseness or loss of voice, dry cough without phlegm, and a sensation of obstruction in the throat as if blocked by an object.
Ingredients: Shegan (Radix Belamcandae, 1 liang), Banxia (Rhizoma Pinelliae Praeparatum, 2.5 liang), Xingren (Semen Armeniacae Amarum, 1.5 liang, skin and tips removed, stir-fried), Shengjiang (Rhizoma Zingiberis Recens, prepared, 2 liang), Gancao (Radix Glycyrrhizae Preparata, 1 liang), Ziwan (Herba Asteris Tatarici, 1 liang), Jupi (Pericarpium Citri Reticulatae, 2 liang), Rougui (Cortex Cinnamomi, 2 liang), Zhishi (Fructus Aurantii Immaturus, roasted, 2 liang), Danggui (Radix Angelicae Sinensis, 1 liang), Duhuo (Radix Angelicae Pubescentis, 1 liang), Mahuang (Herba Ephedrae, 1 liang).
Preparation and Administration: Cut the herbs into small pieces. Take 5 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.8 sheng, remove the dregs, and take warm.
[Hai Zang] Yang-pattern eruption (Ban) has four types: Wen Du eruption (Warm Toxin Eruption), Re Bing eruption (Heat Disease Eruption), Shi Qi eruption (Seasonal Qi Eruption), and Shang Han eruption (Cold Damage Eruption). (The treatment methods for these four eruptions are recorded in *Liu Ren Shu*, see below.)
Eruptions resembling brocade patterns may appear on the extremities, face, chest, or back. Red and bright eruptions indicate Stomach Heat; purple-black eruptions indicate Stomach Rot (gangrene of the stomach). These result from purging too early or too late, arising from external contracted heat diseases. Suitable formulas include Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction) and Baihu Tang (White Tiger Decoction). (Wang Chaofeng stated: Red eruptions imply five deaths for one survival; black eruptions imply ten deaths for one survival. Both should be treated with Baihu Renshen Tang (White Tiger and Ginseng Decoction), Ejiao Da Qinglong Tang (Donkey-Hide Gelatin and Large Ephedra Decoction), combined with Zixue San (Purple Snow Powder), which is highly effective. If purgation is indicated, use Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction).)
[*Liu Ren Shu*] Wen Du eruption refers to patients in early spring developing eruptions on the muscles, urticaria-like brocade patterns, accompanied by cough, chest oppression, and vomiting only clear fluid. This occurs because cold toxin was contracted in winter but manifested in spring. Initially, the pathogen is in the exterior. Even after sweating, vomiting, or purging, if the exterior syndrome persists and the toxin remains unresolved, eruptions occur. The primary treatment is Hei Gao (Black Plaster). Additionally, if the winter was unusually warm and people contracted aberrant qi, illness did not manifest immediately in winter. In spring, accumulated cold suppressed the pathogen, preventing its release. When weather warmed, Wen Du erupted, causing muscle eruptions like brocade patterns, cough, chest oppression, and vomiting of clear juice. The primary treatment is Gegen Jupi Tang (Kudzu and Tangerine Peel Decoction).
Hei Gao Formula (Black Plaster): Treats Wen Du eruption.
Ingredients: Shengdi (Radix Rehmanniae Preparata, half jin, chopped), Hao Chi (Fermented Soybean, one sheng).
Preparation and Administration: Combine the above two ingredients with 2 jin of pig skin (Zhu Fu). Decoct until the liquid reduces by one-third. Strain out the dregs. Add realgar (Xionghuang) and musk (Shexiang) ground into fine powder (size of beans). Decoct again and administer. Recovery occurs when toxins exit through the skin. Avoid eating Elaeagnus fruit (Wuyi).
Gegen Jupi Tang (Kudzu and Tangerine Peel Decoction): Treats Winter Warmth disease that did not manifest in winter, was suppressed by accumulated cold in spring, and finally erupted in summer when heat resolved the cold. Symptoms include rotting eruptions and urticaria like brocade patterns on the skin, cough, chest oppression, and vomiting of clear juice. Taking this decoction will stop the symptoms.
Ingredients: Gegen (Radix Puerariae Lobatae), Jupi (Pericarpium Citri Reticulatae), Xingren (Semen Armeniacae Amarum, skin removed, bran-stir-fried), Zhimu (Rhizoma Anemarrhenae), Huangqin (Radix Scutellariae), Mahuang (Herba Ephedrae, joints removed, soaked in boiling water), Gancao (Radix Glycyrrhizae Preparata, roasted, each 0.5 liang).
Preparation and Administration: Cut herbs. Take 5 qian per dose, add 1.5 sheng of water, decoct to 1 sheng, strain, and take warm.
Re Bing eruption (Heat Disease Eruption) and Shi Qi eruption (Seasonal Qi Eruption) share the same principles. Whether the patient has not yet sweated or has already sweated, if heat toxin remains unresolved, leading to exterior deficiency and interior excess, heat toxin exploits the deficiency to emerge through the skin. This causes sores, urticaria, and eruptions resembling brocade, commonly known as "bran sores," referred to as Zhen (Rash) in *Su Wen*. Generally, for eruptions, exterior-releasing drugs should not be used. Because the exterior is deficient and interior is excess, inducing sweat further opens the pores and increases rotting. Suitable choices include Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction), Daqing Siwu Tang (Isatis Four Substances Decoction), and Zhudan Jizi Tang (Pig Gallbladder and Chicken Egg Decoction).
Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction): Treats cases where, after sweating, vomiting, or purging for Cold Damage, the toxin cannot dissipate. Exterior deficiency and interior excess cause fever externally, resulting in body eruptions like brocade patterns. Severe cases involve irritability and delirious speech. It also treats throat closure with swelling and pain.
Ingredients: Xuanshen (Radix Scrophulariae), Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae Preparata, roasted, each 0.5 liang).
Preparation and Administration: Cut herbs. Take 5 qian per dose, add 1.5 sheng of water, decoct to 0.8 sheng, strain, and take hot.
Daqing Siwu Tang (Isatis Four Substances Decoction): Treats Cold Damage Heat Disease lasting more than ten days, where heat persists after sweating, vomiting, and purging, causing eruptions on the body.
Ingredients: Daqing (Folium Isatidis, 1 liang), Ejiao (Colla Corii Asini, 1.5 qian), Gancao (Radix Glycyrrhizae Preparata, 1.5 qian), Douchi (Fermented Soybean, 2 he).
Preparation and Administration: Cut herbs. Take 5 qian per dose, add 1.5 sheng of water, decoct to 1 sheng. Then add Ejiao and decoct again until dissolved, then administer.
Zhudan Jizi Tang (Pig Gallbladder and Chicken Egg Decoction): Treats eruptions appearing on the fifth or sixth day.
Ingredients: Zhu Dan (Bile Suilla, 3 he), Ji Zi (Ovum Gallus Domesticum, 1 piece), Ku Jiu (Vinegar, 3 he).
Preparation and Administration: Combine the three ingredients and boil for three boils. Strong individuals take it all at once; weak individuals boil for six or seven boils before taking.
Yangdu Shengma Tang (Cimicifuga Decoction for Yang Toxin): Treats Yang Toxin manifesting on the face. (Formula see entry for Yang Du.)
[Hai Zang] Xiaodu Yinzi (Disinfecting Drink): Treats eruptions.
Ingredients: Shuniuzi (Fructus Arctii, 6 qian), Jingjie (Herba Schizonepetae), Fangfeng (Radix Saposhnikoviae, each 2 qian), Gancao (Radix Glycyrrhizae, 1 qian).
Preparation and Administration: Cut herbs, decoct in water, and take.
Yin-pattern eruption appears on the chest, back, hands, and feet. It is sparse, faintly red, and should not be mistaken for a heat pattern. Administering cooling drugs would be a major error. This is fire lacking root and losing its post-heaven foundation, gathering in the chest, steaming upward to the Lungs, and transmitting to the skin to form spots resembling mosquito or flea bites, rather than brocade patterns. Treatment should regulate the middle and warm the Stomach, adding Huixiang (Foeniculum Fructus) and Shaoyao (Radix Paeoniae Alba), using formulas such as Dajianzhong Tang (Greatly Build the Middle Decoction) or Yindu Shengma Biejia Tang (Yin Toxin Cimicifuga and Turtle Shell Decoction). The eruptions will recede naturally. This addresses the root rather than the branch. (Hai Zang noted: Yangming eruptions can also present as red spots between hair follicles, suitable for Baihu Tang or Xiexin Tang, requiring careful differentiation.)
Dajianzhong Tang (Greatly Build the Middle Decoction) (See entry for Chills). Yindu Shengma Biejia Tang (Yin Toxin Cimicifuga and Turtle Shell Decoction): Treats Yin eruptions. (Formula see entry for Yin Du.)
Hou Guohua suffered from Cold Damage for four or five days, presenting with slight eruptions, thirst, and desire to drink. Pulse was deep, wiry, and nearly absent, indicating Jueyin pulse. After several days of warming medicines without improvement, Ginger and Aconite were added. Yang energy slightly recovered, and pulse returned. However, due to thirst, he privately drank a cup of water, causing the pulse to retreat again. He presented with inability to lift his head or open his eyes. Inquiry revealed he had committed sexual intercourse (Fan Yang Yi). Using only Shao Kun San (Burnt Underwear Powder) would be too cold and fail to support Yang. Therefore, Wuzhuyu Tang (Evodia Decoction) was administered in a large dose, followed by two doses of Shao Kun San mixed in. Profuse sweating occurred over two days and nights, leading to recovery.
[Danjxi] Eruptions resembling Cold Damage are caused by Phlegm-Heat manifesting externally. They should be dispersed via sweating; purging is inappropriate.