瘟热内外皆实,喜饮水、入水者,取新汲井花水一大缸,使病患坐其水中,复以大杓盛
水自顶沃之,水热则病减矣。病患喜饮冷,亦听其大啜,毋得阻也。行此法者,《易》义曰∶
水
葳蕤(二钱半) 麻黄 白薇 青木香 羌活 杏仁 川芎 甘草(各五分) 石膏 甘
菊
花(各一钱五分)
风温憎寒壮热,头疼身痛,口渴面肿者,此方主之。
寒毒藏于肌肤,至春变为温病。温热未除,更遇于风,病为风温,表有邪,故寒热;里
有邪,故口渴。风之伤人也,头先受之,故头疼;风盛则气壅,故面肿。风温壅盛,甘能
发之,故用葳蕤、甘草;辛能散之,故用羌活、麻黄;清能平之,故用川芎、甘菊;寒能胜
之,故用石膏、白薇;佐以杏仁,取其利气;而青木香者,清热下气之物也。
石膏(一斤) 知母(六两) 苍术 甘草(各二两) 粳米(六合)
共分四服。
湿温憎寒壮热,口渴,一身尽痛,脉沉细者,此方主之。
温毒藏于肌肤,更遇于湿,名曰湿温。湿为阴邪,故憎寒;温为阳邪,故壮热;温热入
里,故口渴;湿流百节,故一身尽痛;湿为阴,故脉沉细。石膏、知母、甘草、粳米,白虎
汤也,所以解温热;加苍术者,取其辛燥能治湿也,白虎考见伤寒门。
When epidemic heat pathogens are excess in both the interior and exterior, and the patient desires drinking water or contact with cold water, take a large vat of freshly drawn well water. Have the patient sit in the water, then use a large ladle to pour water over the top of their head. When the water becomes warm, the illness will subside. If the patient desires cold drinks, allow them to drink freely without obstruction. Regarding the application of this method, the principle of the *Yijing* (Book of Changes) states: Water
Weirui (Radix Polygonati Odorati, 2.5 qian), Mahuang (Herba Ephedrae), Baiwei (Radix Cynanchi Atrati), Qingmuxiang (Aucklandiae Radix), Qianghuo (Rhizoma Notopterygii), Xingren (Semen Armeniacae Amarum), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae Uralensis, each 0.5 qian), Shigao (Gypsum Fibrosum), Ganjuhua (Flos Chrysanthemi Indici, each 1.5 qian).
For Wind-Warmth disease presenting with aversion to cold and high fever, headache, body pain, thirst, and facial swelling, this formula is indicated.
Cold toxins hide in the skin and muscles, transforming into Warmth diseases in spring. When warmth pathogens remain unresolved and are further exposed to wind, the condition is termed Wind-Warmth. Pathogens on the exterior cause alternating chills and fever; pathogens in the interior cause thirst. Wind pathogens attack the body, affecting the head first, hence headache; excessive wind causes qi stagnation, hence facial swelling. For the excess of Wind-Warmth, sweet herbs disperse it, hence Weirui and Gancao; pungent herbs scatter it, hence Qianghuo and Mahuang; clearing herbs calm it, hence Chuanxiong and Ganjuhua; cold herbs overcome it, hence Shigao and Baiwei. Xingren is added as an assistant for its qi-moving properties; Qingmuxiang is a substance that clears heat and directs qi downward.
Shigao (Gypsum Fibrosum, 1 jin), Zhimu (Rhizoma Anemarrhenae, 6 liang), Cangzhu (Rhizoma Atractylodis Chinensis), Gancao (Radix Glycyrrhizae Uralensis, each 2 liang), Jingmi (Semen Oryzae Sativum, 6 he).
Divide into four doses.
For Damp-Warmth disease presenting with aversion to cold and high fever, thirst, whole-body pain, and a deep, fine pulse, this formula is indicated.
Warmth toxins hide in the skin and muscles, combined with dampness, named Damp-Warmth. Dampness is a yin pathogen, causing aversion to cold; warmth is a yang pathogen, causing high fever; warmth entering the interior causes thirst; dampness flowing through all joints causes whole-body pain; dampness being yin results in a deep, fine pulse. Shigao, Zhimu, Gancao, and Jingmi constitute Baitu Tang (White Tiger Decoction), used to resolve warmth pathogens; Cangzhu is added for its pungent dryness to treat dampness. See the Treatise on Cold Damage section for Baitu Tang.