肺属金，轻清上浮，切忌辛热香燥。盖人参补肺，防其肺热还伤肺；黄 补中，防
其助痰而气喘。当归辛热助火，反欲党邪而为恶；生地补肾，肾为肺子。经曰∶实则泄
其子，是肾宜泻不宜补，防风无汗干燥，须当表虚之堪忧。他如干姜、附子、白术、丁
香、砂仁、肉桂、细辛、藿香、蔻仁、乌药、草蔻、良姜、茱萸、荜茇、香附、麝香等药，
皆以辛香，切宜禁用。又忌食物如椒姜糖醋鱼鳖虾蟹猪犬牛羊马肉，并一切炙 之物，非
特助邪为恶，恐天行时气必然重出，要忌四十九日外，有鸡子不可食，恐其坏目，食糖
恐犯牙疳。独有归、芎，可于血虚色白者权宜酌用。又有忌用大黄而用栝蒌何也，盖疹
发于肺，肺主气，经曰∶气有余便是火，肺与大肠相表里，肺移热于大肠故秘结，用栝
蒌仁以润肺，佐枳壳以宽肠，则秘自通矣。若大黄号曰将军，有斩将搴旗之功，恐其太过，
致使心血两虚，则脾燥肺气嚣张，风火益猛矣。
一疹当出之时，被风寒所折，以致色白如肌肤，毛窍耸起如粟子者，宜疏散。用
干葛（二钱） 木通（二钱） 川芎（八分） 红花（四钱） 陈皮（一钱） 羌活（一钱） 防风（二
钱） 前胡（二钱） 桔梗（二钱） 荆芥（一钱） 薄荷（一钱） 大力（四钱） 蝉衣（八分）
倘色白如肤，但见粒头高肿者，此表虚所致，用
生地（二钱） 川芎（五分） 红花（三钱） 归身（二
钱） 大力（四钱） 葛根（一钱） 山栀（一钱） 桔梗（二钱） 木通（一钱） 麦冬（三钱）
一疹因风寒所折，皮肤干燥，毛窍不通，身热喷嚏，以致不能透发者，宜疏托，用
羌活（一钱） 防风（二钱） 葛根（二钱） 苏叶（二钱） 大力（四钱） 蝉衣（一钱） 前胡（一钱）
荆芥（一钱） 橘红（一钱） 桔梗（二钱） 木通（一钱） 升麻（二钱）
加大黄、葱白。
一疹因风寒所折，见暖则和活，不暖则枯燥者，宜凉解。
干葛（二钱） 薄荷（八分） 荆芥（二钱） 桔梗（二钱） 前胡（二钱） 通草（八分）
防风（二钱） 枳壳（二钱） 橘红（八分）
一疹因毒瓦斯抑郁于内，热极不能透出，根窠浑成一片，以致色带红紫者，急以清解为主，佐以升发，用
干葛（二钱） 荆芥（一钱） 薄荷（一钱） 蝉蜕（八分） 大力（五分） 石膏（一两） 桔梗（二钱）
升麻（一钱） 山栀（四钱） 前胡（二钱） 黄连（六分） 橘红（二分）
加麻黄四分。
─疹有浑身麻疹，隐于肌肤之间，欲出不透者，宜大升发。
羌活（五分） 防风（一钱） 葛根（二钱） 通草（八分） 薄荷（八分） 大力（五分） 蝉蜕（一
钱） 麻黄（八分） 升麻（一钱） 前胡（二钱） 桔梗（二钱）
热甚加石膏、大黄
一疹有胸腹腰背暖处，见粒即红，手足头面暂无者，宜清解。
升麻（一钱） 干葛（二钱） 荆芥（一钱） 薄荷（一钱） 大力（五钱） 石膏（三钱） 蝉蜕（八
分） 桔梗（二钱） 花粉（六钱） 山栀（四钱） 黄芩（三钱） 前胡（二钱） 橘红（八分） 福花（二钱）
加麻黄
一疹有色紫赤暗，粒头尖耸者，急用寒凉解毒，佐以消痰。
石膏（一两） 黄连（一钱） 桔梗（二钱） 荆芥（五分） 山栀（三钱） 干葛（一钱） 陈皮（一
钱） 枳壳（一钱） 薄荷（五钱） 前胡（二钱） 大力（五钱） 花粉（一两） 通草（八分） 紫草（八分）
加大黄。
一疹色鲜红，点子低陷不高者，其毒重甚，急宜清肺泻火。
干葛（二钱） 前胡（二钱） 石膏（一两） 蝉蜕（一钱） 大力（五钱） 薄荷（二钱） 桔梗（二
钱） 木通（一钱） 山栀（一钱） 升麻（一钱） 陈皮（一钱） 枳壳（四钱） 荆芥（二钱）
加大黄。
一疹色淡红，为风寒所折，点子低而色燥不润，宜疏散。
荆芥（二钱） 防风（二钱） 前胡（二钱） 桔梗（二钱） 大力（四钱） 川芎（八分） 红花（四分
）蝉衣（八分） 干葛（二钱） 通草（八分） 橘红（八分） 升麻（一钱）
一疹色淡红，颗粒不高，唇舌俱燥而赤，此毒火内郁，宜用寒凉，佐以疏托。
大黄（三钱） 枳壳（三钱） 山栀（四钱） 桔梗（二钱） 大力（五钱） 蝉衣（二钱） 薄荷（一钱
）木通（一钱） 生甘草（八分） 陈皮（二钱） 紫草（一钱）
一疹已出而粒顶尖焦，无论赤红，皆为热极，急宜清鲜，佐以凉血。
石膏（一两） 木通（一钱） 紫草（一钱） 桔梗（二钱） 大力（五钱） 薄荷（一钱） 陈皮（一
钱） 黄芩（六钱） 荆芥（一钱） 生甘草（六分） 大黄（三钱）
一疹已出，红肿太甚者，药用
前胡（二钱） 桔梗（二钱） 干葛（二钱） 薄荷（二
钱） 大力（五钱） 荆芥（三钱） 防风（二钱） 山栀（三钱） 木通（一钱） 生甘草（一钱）
如口渴，加石膏、花粉。便闭，加大黄、枳壳。身烦热，加黄芩、黄连、元参、陈皮。
一疹未出透，而见风早没，及误食荤腥油腻，以致毛窍闭塞，不得透表者，俱宜疏
托。暖处无点影者，谓之早没，二症用药
石膏（八钱） 麻黄（八分） 升麻（二钱） 干葛（二钱） 大力（四钱） 蝉蜕（一钱） 桔梗（二
钱） 生甘草
（一钱） 杏仁（一钱） 荆芥（二钱） 防风（二钱） 木通（一钱）
早没者加芦根，误食者加山楂、枳壳。
一疹未出而呃逆者，是胃败恶症也，悉属火毒，以升阳透发为主。
荆芥（二钱） 葛根（三钱） 羌活（二钱） 桔梗（二钱） 大力（四钱） 陈皮（二钱） 石膏（二
两） 黄连（一钱） 生甘草（一钱） 前胡（四钱） 蝉衣（二钱） 升麻（四钱） 竹茹（一钱） 薄荷（一钱）
若疹已透而呃逆者。
花粉（一两） 荆芥（二钱） 薄荷（一钱） 葛根（三钱） 羌活（二钱） 桔梗（二钱） 大力（四
钱） 陈皮（一钱） 石膏（二两） 黄连（一钱） 生甘草（一钱） 竹茹（一钱）
一疹子出透，三四日而不没者，此毒火亢盛，宜清凉解毒。
前胡（二钱） 干葛（二钱） 石膏（一两） 山栀（四钱） 连翘（三钱） 杏仁（一钱） 荆芥（二钱
）薄荷（一钱） 木通（一钱） 元参（二钱）
一疹没肌肤之上无点粒，又见红片，平而不高者，此没不尽也。药用
前胡（二钱） 桔梗（二钱） 干葛（二钱） 薄荷（一钱） 大力（四钱） 荆芥（一钱） 木通（二钱
）山栀（二钱） 蝉衣（八分） 生甘草（八分） 陈皮（一钱） 枳壳（一钱）
如内热烦渴，加黄连、石膏。
一疹色带白干燥，隐隐于皮肤之间，似没非没，必因风寒所致，而不能透表故也。急用疏托，勿加寒饵。
前胡（二钱） 桔梗（二钱） 荆芥（二钱） 薄荷（一钱） 生甘草（一钱） 干葛（一钱） 防风
（二钱） 木通（一钱） 蝉衣（八分） 大力（四钱） 陈皮（二钱） 福花（三钱）
一疹发热及正出之时，沉睡不醒，此是火抑于内，而不达于外，后必发热烦躁，变症多端。药用
前胡（二钱） 干葛（二钱） 荆芥（一钱） 薄荷（一钱） 大力子（六钱） 桔梗（二钱） 木通（
一钱） 防风（一钱） 橘红（八分） 升麻（五分）
一疹子因热火拂抑而无汗，以致皮肤干燥，唇口破裂，二便不通，沉昏腹胀，气喘痰鸣，急用寒凉，佐以升发。
石膏（一两） 紫草（二钱） 麻黄（八分） 蝉衣（八分） 大力（五钱） 干葛（二钱） 薄荷（一
钱） 前胡（二钱） 木通（一钱） 紫苏（一钱） 桔梗（二钱） 荆芥（二钱） 滑石（三钱）
加葱白三条。
一疹初发热时，因毒火内迫，以致浑身大汗，不能尽透者，宜清解。
石膏（一两） 紫苏（一钱） 干葛（二钱） 薄荷（一钱） 大力（四钱） 桔梗（二钱） 生甘草（一
钱） 丹皮（二钱） 山栀（二钱） 前胡（一钱） 荆芥（一钱）
加大黄、淡竹叶。
一疹有冒风寒，皮燥无汗不出，反有腹胀气喘者，宜疏散。
前胡（二钱） 桔梗（二钱） 干葛（二钱） 防风（一钱） 羌活（一钱） 橘红（八分） 紫苏（二
钱） 大力（四钱） 蝉衣（一钱） 荆芥（二钱） 木通（一钱） 枳壳（一钱）
或加麻黄、葱白、陈皮。
一疹症忽有汗，忽无汗，汗后肌肤仍燥，身子大热，而疹仍未透，宜清解。用
前胡（二钱） 桔梗（二钱） 干葛（一钱） 薄荷（一钱） 大力（四钱） 蝉衣（一钱） 生甘草（
一钱） 丹皮（二钱） 山栀（一钱） 木通（一钱） 石膏（一两） 紫草（一钱）
加大黄、淡竹叶。
一疹未出先，昏沉喜睡，倦梦谵语，此因热毒烦盛，不能外达故也。宜清心解毒。
干葛（一钱） 防风（一钱） 大力（四钱） 蝉衣（八分） 荆芥（二钱） 薄荷（一钱） 前胡（二
钱） 桔梗（二钱） 滑石（一钱） 木通（二钱） 陈皮（一钱） 青皮（二钱） 钩藤（二钱）
加大黄、石膏、黄连、淡竹叶。
一疹已出透，而有谵语者，用
荆芥（二钱） 薄荷（一钱） 前胡（二钱） 枳壳（一钱） 黄芩（一两） 滑石（一钱） 大力（四
钱） 木通（二钱） 陈皮（一钱） 青皮（二钱） 钩藤（二钱）
加大黄、石膏、黄连、淡竹叶。
一疹有元气素虚之人，疹已透而谵语者，用
当归（三钱） 生地（一钱） 丹参（二钱） 麦冬（三钱） 川贝（一钱） 陈皮（一钱） 连翘（三
钱） 生甘草
（八分） 山栀（三钱） 钩藤（一钱）
一疹已出透，而仍烦躁，面赤咽痛，目赤唇焦，宜清降。
黄连（一钱） 石膏（一两） 黄芩（一两） 山栀（五钱） 生甘草（一钱） 元参（三钱） 丹皮
（一钱） 大力（四钱） 陈皮（一钱） 枳壳（三钱） 杏仁（二钱） 苏子（二
钱） 知母（二钱） 蒌仁（一两）
再加大黄、淡竹叶。
一疹未出，唇红似丹，二便闭塞，喜饮冷，此热毒内蒸，宜用辛凉药。
干姜（三钱） 薄荷（一钱） 前胡（三钱） 桔梗（二钱） 大力（五钱） 荆芥（一钱） 滑石（二
钱） 石膏（一两） 生甘草（一钱） 花粉（三钱） 木通（二钱）
再加芦根、竹叶。
一疹已出而发渴者，鼻气勃勃冲人，此肺中火邪熬煎，宜清金降火。
黄连（一钱） 黄芩（一两） 石膏（二两） 知母（三钱） 花粉（二钱） 滑石（一钱） 山栀（一钱
）葛根（二钱） 薄荷（一钱） 栝蒌仁（一两） 桔梗（二钱） 生甘草（一钱） 大力（五钱） 枳壳（二钱）
一疹有二便清利，唇口淡红而渴者，此必过服寒凉，致中气虚，干渴。
当归（二钱） 生地（二钱） 麦冬（三钱） 升麻（一钱） 桔梗（一钱） 元参（一钱） 陈皮（一
钱） 生甘草（一钱）
一疹出时手足多热，忽尔冰冷，名曰厥逆，似水之象，宜用升散。
干葛（二钱） 升麻（八分） 苏叶（一钱） 防风（一钱） 大力（二钱） 桔梗（二钱） 木通（一
钱） 麻黄（八分） 前胡（二钱） 荆芥（二钱） 橘红（八分）
加葱白。如便闭，加大黄。
一疹后厥逆者，用清解。
黄芩（二两） 黄连（八分） 花粉（一两） 山栀（四钱） 前胡（二钱） 生甘草（一钱） 木通（一
钱） 陈皮（一钱） 桔梗（二钱） 贝母（二钱） 石膏（一两） 枳壳（五钱）
加大黄、蒌仁。
一疹中寒热似疟，身寒手足冷极者，宜滋阴养血发表。用
柴胡（二钱） 黄芩（一两） 当归（三钱） 川芎（八分） 陈皮（一钱） 葛根（二钱） 生甘草（八
分） 生地
（二钱） 泽泻（一钱） 茯苓（二钱） 贝母（二钱）
寒多加苏叶，热多加知母，渴甚加石膏、大黄。
一疹将出而发惊，是毒蕴于心，肺火鼎沸，以致手足搐搦，宜解表发汗。
羌活（一钱） 防风（一钱） 荆芥（二钱） 薄荷（一钱） 大力（四钱） 蝉蜕（一钱） 青皮（二
钱） 钩藤（一钱） 橘红（一钱） 前胡（一钱） 紫草（一钱） 干葛（一钱）
外加朱砂二厘。如痰多加胆星二钱。若食积加山楂、枳壳，甚者加黄连、花粉。倘
有已出而发惊搐者，此由毒火元气俱盛，宜清火解毒。用
黄连（一钱） 黄芩（五钱） 钩藤（二钱） 陈皮（一钱） 前胡（二钱） 龙胆草（一钱） 山栀（四
钱） 木通（一钱） 贝母（一钱） 枳壳（一钱） 花粉（一两） 生甘草（五分） 杏仁（一钱） 芦荟（一钱）
加莲肉心、石膏三两。又有一种惊重，元气虚，恐变慢惊风者，用
当归（二钱） 生地（二钱） 茯苓（三钱） 陈皮（一钱） 生甘草（八分） 天麻（一钱） 川贝（一
The Lung belongs to Metal in the Five Elements; its nature is light, clear, and tends to float upward. Therefore, it strictly forbids the use of acrid-warm, hot, aromatic, and drying herbs. Although Ginseng Radix et Rhizoma (Renshen) tonifies Lung Qi, one must guard against "Lung heat injuring the Lung" again. Scutellariae Radix (Huangqin) clears fire from the middle jiao, but one must prevent it from aiding phlegm and causing asthma due to mismatched indications. Angelicae Sinensis Radix (Danggui) is acrid and warm, assisting fire, and may instead support pathogenic factors, becoming repelled by the body. Rehmanniae Radix (Shengdi) tonifies Kidney Yin; since the Kidney is the "child" organ of the Lung, as stated in the Classic: "In excess conditions, drain the child." Thus, the Kidney should be drained rather than tonified in this context. Saposhnikoviae Radix (Fangfeng) is used for anhidrosis and dry skin, but one must worry about deficiency of the exterior (Wei Qi). Other herbs such as Zingiberis Rhizoma (Ganjiang), Aconiti Lateralis Radix Praeparata (Fuzi), Atractylodis Macrocephalae Rhizoma (Baizhu), Caryophylli Flos (Dingxiang), Amomi Fructus Rotundus (Sharen), Cinnamomi Cortex (Rougui), Asari Radix et Rhizoma (Xixin), Agastachis Herba (Huoxiang), Amomi Fructus (Kouren), Linderae Radix (Wuyao), Broussonetiae Folium (Caokou), Alpiniae Officinarum Rhizoma (Liangjiang), Evodiae Fructus (Zhyu), Long Pepper Fruit (Bibo), Cyperi Rhizoma (Xiangfu), and Moschus (Shexiang), all possess acrid and aromatic properties, and are strictly prohibited. Dietary taboos include Sichuan pepper, ginger, sugar, vinegar, fish, turtle, shrimp, crab, pork, dog, beef, mutton, and horse meat, as well as all roasted foods. These not only aid pathogenic factors but may also cause epidemic qi (seasonal infectious diseases) to recur severely. Taboos should be observed for 49 days or more. Eggs should not be consumed as they may damage vision, and sugar may trigger gingival gangrene (Yagan). Only Angelicae Sinensis Radix (Danggui) and Chuanxiong Rhizoma (Chuanxiong) may be used cautiously in cases of blood deficiency with pale complexion.
Why avoid Rheum Palmatum Radix et Rhizoma (Dahuang) and use Trichosanthis Fructus (Gualou)? The rash originates in the Lung, which governs Qi. The Classic states: "Excess Qi becomes Fire." The Lung and Large Intestine are interior-exteriorly related; Lung heat transferring to the Large Intestine causes constipation. Therefore, Trichosanthis Semen (Gualou Ren) is used to moisten the Lung, assisted by Aurantii Fructus (Zhike) to widen the intestines, thereby relieving constipation naturally. Dahuang is called the "General" for its powerful purgative action; using it excessively may deplete Heart Blood and Qi, leading to Spleen dryness and rampant Lung Qi, exacerbating Wind-Fire.
When a rash is about to erupt but is suppressed by Wind-Cold, resulting in a white color like normal skin and follicles raised like millet grains, dispersing treatment is indicated. Formula: Puerariae Lobatae Radix (Ge Gen) 2 qian, Akebia Caulis (Mutong) 2 qian, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Carthami Flos (Honghua) 4 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Notopterygii Rhizoma et Radix (Qianghuo) 1 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Schizonepetae Spica (Jingjie) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Bombyx Batryticatus (Chanyi) 8 fen. If the rash is white like skin but the papules are swollen at the head, indicating exterior deficiency, use: Rehmanniae Radix (Shengdi) 2 qian, Chuanxiong Rhizoma (Chuanxiong) 5 fen, Carthami Flos (Honghua) 3 qian, Angelicae Sinensis Radix (Danggui Shen) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Puerariae Lobatae Radix (Gegen) 1 qian, Gardeniae Fructus (Shanzhi) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Ophiopogonis Radix (Maidong) 3 qian.
For rashes suppressed by Wind-Cold, causing dry skin, closed pores, fever, sneezing, and failure to erupt, dispersing and supporting eruption is indicated. Formula: Notopterygii Rhizoma et Radix (Qianghuo) 1 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Perillae Folium (Suye) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Bombyx Batryticatus (Chanyi) 1 qian, Peucedani Radix (Qianhu) 1 qian, Schizonepetae Spica (Jingjie) 1 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Cimicifugae Rhizoma (Shengma) 2 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang) and Allii Fistulosi Bulbus (Congbai).
For rashes suppressed by Wind-Cold, where warmth makes them soft and active, while cold makes them dry and rough, cooling resolution is indicated. Formula: Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 8 fen, Schizonepetae Spica (Jingjie) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Peucedani Radix (Qianhu) 2 qian, Trogopterori Mass (Tongcao) 8 fen, Saposhnikoviae Radix (Fangfeng) 2 qian, Aurantii Fructus (Zhike) 2 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen.
For rashes where toxic vapors are depressed internally, heat is extreme and cannot emerge, with roots merging into one patch and color turning red-purple, urgent clearing and resolving is needed, assisted by ascending and venting. Formula: Puerariae Lobatae Radix (Gegen) 2 qian, Schizonepetae Spica (Jingjie) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Cicadae Periostracum (Chantui) 8 fen, Arctii Fructus (Niubangzi) 5 fen, Gypsum Fibrosum (Shigao) 1 liang, Platycodonis Radix (Jiegeng) 2 qian, Cimicifugae Rhizoma (Shengma) 1 qian, Gardeniae Fructus (Shanzhi) 4 qian, Peucedani Radix (Qianhu) 2 qian, Coptidis Rhizoma (Huanglian) 6 fen, Citri Reticulatae Pericarpium Rubrum (Juhong) 2 fen. Add Ephedrae Herba (Mahuang) 4 fen.
For generalized measles hidden in the skin, wanting to erupt but unable to do so, strong ascending and venting is indicated. Formula: Notopterygii Rhizoma et Radix (Qianghuo) 5 fen, Saposhnikoviae Radix (Fangfeng) 1 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Trogopterori Mass (Tongcao) 8 fen, Menthae Haplocalycis Herba (Bohe) 8 fen, Arctii Fructus (Niubangzi) 5 fen, Cicadae Periostracum (Chantui) 1 qian, Ephedrae Herba (Mahuang) 8 fen, Cimicifugae Rhizoma (Shengma) 1 qian, Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian. If heat is severe, add Gypsum Fibrosum (Shigao) and Rheum Palmatum Radix et Rhizoma (Dahuang).
For rashes appearing red on warm areas of the chest, abdomen, waist, and back, but absent on hands, feet, head, and face initially, clearing and resolving is indicated. Formula: Cimicifugae Rhizoma (Shengma) 1 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Schizonepetae Spica (Jingjie) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 5 qian, Gypsum Fibrosum (Shigao) 3 qian, Cicadae Periostracum (Chantui) 8 fen, Platycodonis Radix (Jiegeng) 2 qian, Trichosanthis Radix (Huafen) 6 qian, Gardeniae Fructus (Shanzhi) 4 qian, Scutellariae Radix (Huangqin) 3 qian, Peucedani Radix (Qianhu) 2 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen, Fu Hua 2 qian. Add Ephedrae Herba (Mahuang).
For rashes that are dark purple-red with pointed, elevated papules, urgent cold-natured detoxification and phlegm-resolving are needed. Formula: Gypsum Fibrosum (Shigao) 1 liang, Coptidis Rhizoma (Huanglian) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Schizonepetae Spica (Jingjie) 5 fen, Gardeniae Fructus (Shanzhi) 3 qian, Puerariae Lobatae Radix (Gegen) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Aurantii Fructus (Zhike) 1 qian, Menthae Haplocalycis Herba (Bohe) 5 qian, Peucedani Radix (Qianhu) 2 qian, Arctii Fructus (Niubangzi) 5 qian, Trichosanthis Radix (Huafen) 1 liang, Trogopterori Mass (Tongcao) 8 fen, Lithospermi Radix (Zicao) 8 fen. Add Rheum Palmatum Radix et Rhizoma (Dahuang).
For bright red rashes with depressed, non-elevated spots, indicating heavy toxicity, urgent Lung-clearing and Fire-draining are needed. Formula: Puerariae Lobatae Radix (Gegen) 2 qian, Peucedani Radix (Qianhu) 2 qian, Gypsum Fibrosum (Shigao) 1 liang, Cicadae Periostracum (Chantui) 1 qian, Arctii Fructus (Niubangzi) 5 qian, Menthae Haplocalycis Herba (Bohe) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Gardeniae Fructus (Shanzhi) 1 qian, Cimicifugae Rhizoma (Shengma) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Aurantii Fructus (Zhike) 4 qian, Schizonepetae Spica (Jingjie) 2 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang).
For pale red rashes suppressed by Wind-Cold, with low spots and dry, unmoistened color, dispersing is indicated. Formula: Schizonepetae Spica (Jingjie) 2 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Carthami Flos (Honghua) 4 fen, Cicadae Periostracum (Chanyi) 8 fen, Puerariae Lobatae Radix (Gegen) 2 qian, Trogopterori Mass (Tongcao) 8 fen, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen, Cimicifugae Rhizoma (Shengma) 1 qian.
For pale red rashes with non-elevated particles, dry and red lips and tongue, indicating internal depression of toxic fire, cold-natured herbs with dispersing and supporting actions are indicated. Formula: Rheum Palmatum Radix et Rhizoma (Dahuang) 3 qian, Aurantii Fructus (Zhike) 3 qian, Gardeniae Fructus (Shanzhi) 4 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 5 qian, Cicadae Periostracum (Chanyi) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Akebia Caulis (Mutong) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 8 fen, Citri Reticulatae Pericarpium (Chenpi) 2 qian, Lithospermi Radix (Zicao) 1 qian.
For erupted rashes with scorched tips, regardless of redness, indicating extreme heat, urgent clearing of freshness and cooling blood are needed. Formula: Gypsum Fibrosum (Shigao) 1 liang, Akebia Caulis (Mutong) 1 qian, Lithospermi Radix (Zicao) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 5 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Scutellariae Radix (Huangqin) 6 qian, Schizonepetae Spica (Jingjie) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 6 fen, Rheum Palmatum Radix et Rhizoma (Dahuang) 3 qian.
For severely swollen and red erupted rashes, use: Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 2 qian, Arctii Fructus (Niubangzi) 5 qian, Schizonepetae Spica (Jingjie) 3 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Gardeniae Fructus (Shanzhi) 3 qian, Akebia Caulis (Mutong) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian. If thirsty, add Gypsum Fibrosum (Shigao) and Trichosanthis Radix (Huafen). If constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang) and Aurantii Fructus (Zhike). If restless heat, add Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Scrophulariae Radix (Yuanshen), and Citri Reticulatae Pericarpium (Chenpi).
For rashes not fully erupted that disappear early upon exposure to wind, or after mistakenly consuming greasy/meaty food causing pore closure, dispersing and supporting is indicated. Absence of rash shadows in warm areas is called "early disappearance." Formula: Gypsum Fibrosum (Shigao) 8 qian, Ephedrae Herba (Mahuang) 8 fen, Cimicifugae Rhizoma (Shengma) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Cicadae Periostracum (Chantui) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Armeniacae Semen Amarum (Xingren) 1 qian, Schizonepetae Spica (Jingjie) 2 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Akebia Caulis (Mutong) 1 qian. For early disappearance, add Phragmitis Rhizoma (Lugen); for mistaken diet, add Crataegi Fructus (Shanzha) and Aurantii Fructus (Zhike).
Hiccups before rash eruption indicate stomach Qi failure and evil prognosis, attributed to fire toxin. Treatment focuses on raising Yang and venting. Formula: Schizonepetae Spica (Jingjie) 2 qian, Puerariae Lobatae Radix (Gegen) 3 qian, Notopterygii Rhizoma et Radix (Qianghuo) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Citri Reticulatae Pericarpium (Chenpi) 2 qian, Gypsum Fibrosum (Shigao) 2 liang, Coptidis Rhizoma (Huanglian) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Peucedani Radix (Qianhu) 4 qian, Cicadae Periostracum (Chanyi) 2 qian, Cimicifugae Rhizoma (Shengma) 4 qian, Bambusae Texta (Zhuru) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian. If hiccups occur after eruption: Trichosanthis Radix (Huafen) 1 liang, Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Puerariae Lobatae Radix (Gegen) 3 qian, Notopterygii Rhizoma et Radix (Qianghuo) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Gypsum Fibrosum (Shigao) 2 liang, Coptidis Rhizoma (Huanglian) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Bambusae Texta (Zhuru) 1 qian.
If rashes remain for 3-4 days without fading, indicating hyperactive toxic fire, cooling and detoxifying is indicated. Formula: Peucedani Radix (Qianhu) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Gypsum Fibrosum (Shigao) 1 liang, Gardeniae Fructus (Shanzhi) 4 qian, Forsythiae Fructus (Lianqiao) 3 qian, Armeniacae Semen Amarum (Xingren) 1 qian, Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Akebia Caulis (Mutong) 1 qian, Scrophulariae Radix (Yuanshen) 2 qian.
If rashes fade leaving flat red patches without granules, indicating incomplete resolution, use: Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Schizonepetae Spica (Jingjie) 1 qian, Akebia Caulis (Mutong) 2 qian, Gardeniae Fructus (Shanzhi) 2 qian, Cicadae Periostracum (Chanyi) 8 fen, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 8 fen, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Aurantii Fructus (Zhike) 1 qian. If internal heat and thirst, add Coptidis Rhizoma (Huanglian) and Gypsum Fibrosum (Shigao).
For white, dry rashes faintly visible in the skin, seemingly faded but not, caused by Wind-Cold preventing emergence, urgent dispersing and supporting is needed without cold herbs. Formula: Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Puerariae Lobatae Radix (Gegen) 1 qian, Saposhnikoviae Radix (Fangfeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Cicadae Periostracum (Chanyi) 8 fen, Arctii Fructus (Niubangzi) 4 qian, Citri Reticulatae Pericarpium (Chenpi) 2 qian, Fu Hua 3 qian.
During fever and eruption, if the patient sleeps deeply and does not wake, fire is suppressed internally and cannot reach the exterior, likely leading to fever, restlessness, and various complications. Formula: Peucedani Radix (Qianhu) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Schizonepetae Spica (Jingjie) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 6 qian, Platycodonis Radix (Jiegeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Saposhnikoviae Radix (Fangfeng) 1 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen, Cimicifugae Rhizoma (Shengma) 5 fen.
If excessive heat suppresses sweating, causing dry skin, cracked lips/mouth, urinary/fecal retention, coma, abdominal distension, asthma, and wheezing, urgent cold-natured herbs with ascending assistance are needed. Formula: Gypsum Fibrosum (Shigao) 1 liang, Lithospermi Radix (Zicao) 2 qian, Ephedrae Herba (Mahuang) 8 fen, Cicadae Periostracum (Chanyi) 8 fen, Arctii Fructus (Niubangzi) 5 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Peucedani Radix (Qianhu) 2 qian, Akebia Caulis (Mutong) 1 qian, Perillae Folium (Zisu) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Schizonepetae Spica (Jingjie) 2 qian, Talcum (Huashi) 3 qian. Add three stalks of Allii Fistulosi Bulbus (Congbai).
At initial fever, if internal fire pressure causes profuse sweating and incomplete eruption, clearing and resolving is indicated. Formula: Gypsum Fibrosum (Shigao) 1 liang, Perillae Folium (Zisu) 1 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Platycodonis Radix (Jiegeng) 2 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Moutan Cortex (Danpi) 2 qian, Gardeniae Fructus (Shanzhi) 2 qian, Peucedani Radix (Qianhu) 1 qian, Schizonepetae Spica (Jingjie) 1 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang) and Lophatheri Herba (Dan Zhuye).
If Wind-Cold invasion causes dry skin, anhidrosis, abdominal distension, and asthma, dispersing is indicated. Formula: Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Saposhnikoviae Radix (Fangfeng) 1 qian, Notopterygii Rhizoma et Radix (Qianghuo) 1 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen, Perillae Folium (Zisu) 2 qian, Arctii Fructus (Niubangzi) 4 qian, Cicadae Periostracum (Chanyi) 1 qian, Schizonepetae Spica (Jingjie) 2 qian, Akebia Caulis (Mutong) 1 qian, Aurantii Fructus (Zhike) 1 qian. Or add Ephedrae Herba (Mahuang), Allii Fistulosi Bulbus (Congbai), and Citri Reticulatae Pericarpium (Chenpi).
If sweating fluctuates, skin remains dry after sweating, body is very hot, and rash has not erupted, clearing and resolving is indicated. Formula: Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Puerariae Lobatae Radix (Gegen) 1 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Cicadae Periostracum (Chanyi) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Moutan Cortex (Danpi) 2 qian, Gardeniae Fructus (Shanzhi) 1 qian, Akebia Caulis (Mutong) 1 qian, Gypsum Fibrosum (Shigao) 1 liang, Lithospermi Radix (Zicao) 1 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang) and Lophatheri Herba (Dan Zhuye).
Before eruption, if there is lethargy, sleepiness, fatigue, dreams, and delirious speech due to intense heat-toxin failing to reach the exterior, clearing Heart and detoxifying is indicated. Formula: Puerariae Lobatae Radix (Gegen) 1 qian, Saposhnikoviae Radix (Fangfeng) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Cicadae Periostracum (Chanyi) 8 fen, Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Peucedani Radix (Qianhu) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Talcum (Huashi) 1 qian, Akebia Caulis (Mutong) 2 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Citri Reticulatae Viride Pericarpium (Qingpi) 2 qian, Uncaria Ramulus cum Uncis (Gouteng) 2 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang), Gypsum Fibrosum (Shigao), Coptidis Rhizoma (Huanglian), and Lophatheri Herba (Dan Zhuye).
If delirium occurs after full eruption, use: Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Peucedani Radix (Qianhu) 2 qian, Aurantii Fructus (Zhike) 1 qian, Scutellariae Radix (Huangqin) 1 liang, Talcum (Huashi) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Akebia Caulis (Mutong) 2 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Citri Reticulatae Viride Pericarpium (Qingpi) 2 qian, Uncaria Ramulus cum Uncis (Gouteng) 2 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang), Gypsum Fibrosum (Shigao), Coptidis Rhizoma (Huanglian), and Lophatheri Herba (Dan Zhuye).
For patients with inherent Qi deficiency who experience delirium after full eruption, use: Angelicae Sinensis Radix (Danggui) 3 qian, Rehmanniae Radix (Shengdi) 1 qian, Salviae Miltiorrhizae Radix (Danshen) 2 qian, Ophiopogonis Radix (Maidong) 3 qian, Fritillariae Thunbergii Bulbus (Chuanbei) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Forsythiae Fructus (Lianqiao) 3 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 8 fen, Gardeniae Fructus (Shanzhi) 3 qian, Uncaria Ramulus cum Uncis (Gouteng) 1 qian.
If restlessness, red face, sore throat, red eyes, and scorched lips persist after full eruption, descending and clearing is indicated. Formula: Coptidis Rhizoma (Huanglian) 1 qian, Gypsum Fibrosum (Shigao) 1 liang, Scutellariae Radix (Huangqin) 1 liang, Gardeniae Fructus (Shanzhi) 5 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Scrophulariae Radix (Yuanshen) 3 qian, Moutan Cortex (Danpi) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Aurantii Fructus (Zhike) 3 qian, Armeniacae Semen Amarum (Xingren) 2 qian, Perillae Fructus (Suzi) 2 qian, Anemarrhenae Rhizoma (Zhimu) 2 qian, Trichosanthis Fructus (Louren) 1 liang. Then add Rheum Palmatum Radix et Rhizoma (Dahuang) and Lophatheri Herba (Dan Zhuye).
If lips are red like cinnabar, urinary/fecal retention, and preference for cold drinks occur before eruption, indicating internal steaming heat-toxin, acrid-cool herbs are indicated. Formula: Zingiberis Rhizoma (Ganjiang) 3 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Peucedani Radix (Qianhu) 3 qian, Platycodonis Radix (Jiegeng) 2 qian, Arctii Fructus (Niubangzi) 5 qian, Schizonepetae Spica (Jingjie) 1 qian, Talcum (Huashi) 2 qian, Gypsum Fibrosum (Shigao) 1 liang, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Trichosanthis Radix (Huafen) 3 qian, Akebia Caulis (Mutong) 2 qian. Then add Phragmitis Rhizoma (Lugen) and Leaves of Bambusa (Zhuye).
If thirst and nasal breath blowing hot air occur after eruption, indicating Lung fire boiling, clearing Metal and descending Fire is indicated. Formula: Coptidis Rhizoma (Huanglian) 1 qian, Scutellariae Radix (Huangqin) 1 liang, Gypsum Fibrosum (Shigao) 2 liang, Anemarrhenae Rhizoma (Zhimu) 3 qian, Trichosanthis Radix (Huafen) 2 qian, Talcum (Huashi) 1 qian, Gardeniae Fructus (Shanzhi) 1 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Trichosanthis Fructus (Gualou Ren) 1 liang, Platycodonis Radix (Jiegeng) 2 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Arctii Fructus (Niubangzi) 5 qian, Aurantii Fructus (Zhike) 2 qian.
If urination/defecation are clear, lips are pale red and thirsty, indicating overuse of cold herbs damaging Middle Qi and causing dryness, use: Angelicae Sinensis Radix (Danggui) 2 qian, Rehmanniae Radix (Shengdi) 2 qian, Ophiopogonis Radix (Maidong) 3 qian, Cimicifugae Rhizoma (Shengma) 1 qian, Platycodonis Radix (Jiegeng) 1 qian, Scrophulariae Radix (Yuanshen) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian.
If hands and feet become suddenly cold during eruption (Jue Ni/Cold Reversal), resembling water, ascending and dispersing is indicated. Formula: Puerariae Lobatae Radix (Gegen) 2 qian, Cimicifugae Rhizoma (Shengma) 8 fen, Perillae Folium (Suye) 1 qian, Saposhnikoviae Radix (Fangfeng) 1 qian, Arctii Fructus (Niubangzi) 2 qian, Platycodonis Radix (Jiegeng) 2 qian, Akebia Caulis (Mutong) 1 qian, Ephedrae Herba (Mahuang) 8 fen, Peucedani Radix (Qianhu) 2 qian, Schizonepetae Spica (Jingjie) 2 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 8 fen. Add Allii Fistulosi Bulbus (Congbai). If constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang).
For post-rash Jue Ni, use clearing and resolving. Formula: Scutellariae Radix (Huangqin) 2 liang, Coptidis Rhizoma (Huanglian) 8 fen, Trichosanthis Radix (Huafen) 1 liang, Gardeniae Fructus (Shanzhi) 4 qian, Peucedani Radix (Qianhu) 2 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 1 qian, Akebia Caulis (Mutong) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Fritillariae Cirrhosae Bulbus (Beimu) 2 qian, Gypsum Fibrosum (Shigao) 1 liang, Aurantii Fructus (Zhike) 5 qian. Add Rheum Palmatum Radix et Rhizoma (Dahuang) and Trichosanthis Fructus (Louren).
For chills and fever resembling malaria with extreme cold limbs, nourishing Yin, tonifying Blood, and releasing the exterior is indicated. Formula: Bupleuri Radix (Chaihu) 2 qian, Scutellariae Radix (Huangqin) 1 liang, Angelicae Sinensis Radix (Danggui) 3 qian, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Puerariae Lobatae Radix (Gegen) 2 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 8 fen, Rehmanniae Radix (Shengdi) 2 qian, Alismatis Rhizoma (Zexie) 1 qian, Poria (Fuling) 2 qian, Fritillariae Cirrhosae Bulbus (Beimu) 2 qian. Add more Perillae Folium (Suye) for cold, more Anemarrhenae Rhizoma (Zhimu) for heat, and Gypsum Fibrosum (Shigao)/Rheum Palmatum Radix et Rhizoma (Dahuang) for severe thirst.
If fright occurs just before eruption, indicating toxin trapped in Heart and boiling Lung Fire causing limb spasms, releasing exterior and inducing sweating is indicated. Formula: Notopterygii Rhizoma et Radix (Qianghuo) 1 qian, Saposhnikoviae Radix (Fangfeng) 1 qian, Schizonepetae Spica (Jingjie) 2 qian, Menthae Haplocalycis Herba (Bohe) 1 qian, Arctii Fructus (Niubangzi) 4 qian, Cicadae Periostracum (Chantui) 1 qian, Citri Reticulatae Viride Pericarpium (Qingpi) 2 qian, Uncaria Ramulus cum Uncis (Gouteng) 1 qian, Citri Reticulatae Pericarpium Rubrum (Juhong) 1 qian, Peucedani Radix (Qianhu) 1 qian, Lithospermi Radix (Zicao) 1 qian, Puerariae Lobatae Radix (Gegen) 1 qian. Add Cinnabaris (Zhusha) 2 li externally. If phlegm increases, add Star Pholiota Rhizoma (Danning) 2 qian. If food stagnation, add Crataegi Fructus (Shanzha) and Aurantii Fructus (Zhike); if severe, add Coptidis Rhizoma (Huanglian) and Trichosanthis Radix (Huafen). If fright/spasms occur after eruption, indicating abundant toxin-fire and Yuan Qi, clearing fire and detoxifying is indicated. Formula: Coptidis Rhizoma (Huanglian) 1 qian, Scutellariae Radix (Huangqin) 5 qian, Uncaria Ramulus cum Uncis (Gouteng) 2 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Peucedani Radix (Qianhu) 2 qian, Gentianae Radix (Longdancao) 1 qian, Gardeniae Fructus (Shanzhi) 4 qian, Akebia Caulis (Mutong) 1 qian, Fritillariae Cirrhosae Bulbus (Beimu) 1 qian, Aurantii Fructus (Zhike) 1 qian, Trichosanthis Radix (Huafen) 1 liang, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 5 fen, Armeniacae Semen Amarum (Xingren) 1 qian, Aloe (Luhui) 1 qian. Add Lotus Plumule (Lian Rou Xin) and Gypsum Fibrosum (Shigao) 3 liang. For severe fright with deficient Yuan Qi, fearing slow-onset convulsions, use: Angelicae Sinensis Radix (Danggui) 2 qian, Rehmanniae Radix (Shengdi) 2 qian, Poria (Fuling) 3 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Sheng Gancao) 8 fen, Gastrodiae Rhizoma (Tianma) 1 qian, Fritillariae Thunbergii Bulbus (Chuanbei) 1 qian...