《病源》热毒瓦斯从脏腑中出，攻于手足，则 热赤肿疼痛也。人五脏六腑井荥输，皆出
于手足指，故此毒从内而出，攻于手足也。（出第九卷中）
《肘后》疗天行病毒热攻手足，疼痛赤肿欲脱方。
盐豉及羊肉一斤以来
上三味，以水一斗，煮肉熟，以汁看冷暖渍手足，日三度瘥。（《范汪》同）
又方
细锉黄柏五斤许，以水三斗煮渍之必效。亦治攻阴肿。
又方
作坎令深三尺，大小容两足，烧坎中令热，以酒灌坎中，着屐踞坎上，衣壅勿令气泄，
日再作之。
又方
煮羊桃叶汁渍之，加少盐尤好。（并出第二卷中）
崔氏疗天行热毒攻手足方。
猪蹄一具，去毛，锉碎，合葱白一握，切，以水一斗，煮熟去滓，纳少盐以渍之。（《
肘后》同，出第一卷中）
《病源》天行大小便不通，此由脾胃有热，发汗太过，则津液竭，津液竭则胃干燥，结
热在内，故大便不通，又汗后津液虚少，其人小肠有伏热，故小便不通。（出第九卷中）
《广济》疗天行热气，恶寒，头痛壮热，大小便涩。柴胡散方。
柴胡（八分） 茵陈（十分） 青木香（十分） 黄芩（八分） 土瓜根（十分） 白
藓皮（八分）
上九味，捣为散。平辰空肚以新汲水服五六钱匕，少时当三两行微利，利后煮葱豉稀粥
食之。热如未歇，明辰更服四钱匕，热歇停药。忌热食、猪犬肉、油腻等。
又疗天行恶寒，壮热头痛，大小便赤涩，不下食饮。柴胡汤方。
柴胡（七分） 茵陈（七分） 大黄（十二分别渍） 升麻（七分） 栀子（四枚擘） 芒
硝（四
分汤成下） 芍药（七分） 黄芩（十二分）
上八味，切，以水四升，先渍药，少时猛火煮取一升五合。分温三服，服别相去如人行
六七里吃一服，以快利为度。第二服则利，更不须服之。忌热食、炙肉、蒜、粘食。（并出
第一卷中）
《近效》主天行后两胁胀满方。
熬盐熨之。如小便涩亦用盐熨脐下，如水肿以 枝汁服愈，大效。
《集验》疗天行病腹胀满，大小便不通。滑石汤方。
滑石（十四分研） 葶苈子（一合纸上熬令紫色，捣） 大黄（二分切）
上三味，以水一大升，煎取四合，顿服。兼捣葱敷小腹，干即易之，效。（《肘后》、崔
氏同无大黄）
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), heat-toxin qi emerges from the zang-fu organs and attacks the hands and feet, resulting in heat, redness, swelling, and pain in the extremities. The Jing-Well, Ying-Spring, and Shu-Acupoints of the five zang organs and six fu organs all emerge from the tips of the fingers and toes; therefore, this toxin emerges from within and attacks the hands and feet. (From Volume 9)
*Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies) treats Tian Xing (epidemic febrile disease) viral heat attacking the hands and feet, causing pain, redness, swelling, and a sensation that the limbs are about to detach.
Salt fermented soybeans (Yan Chi) and mutton, one jin or more.
Take the above three ingredients, add ten dou of water, boil the meat until cooked, and use the broth to soak the hands and feet at a comfortable temperature, three times a day, until recovery. (Same as *Fan Wang's Formulas*)
Another prescription:
Finely cut Huang Bo (Phellodendri Cortex) to approximately five jin, boil in three dou of water, and soak. This is highly effective. It also treats swelling of the yin due to heat attack.
Another prescription:
Dig a pit three chi deep, large enough to accommodate both feet. Heat the bottom of the pit by burning, pour wine into the pit, wear wooden clogs, squat over the pit, and cover with clothing to prevent gas leakage. Perform this twice daily.
Another prescription:
Boil juice from Yang Tao leaves (likely *Prunus armeniaca* leaves) and soak the affected area. Adding a small amount of salt is even better. (All from Volume 2)
Cui Shi’s formula for treating Tian Xing heat-toxin attacking the hands and feet.
One pig trotter, hair removed, chopped finely. Combine with one handful of Cong Bai (Scallion White), chopped. Add ten dou of water, boil until cooked, remove dregs, add a little salt, and soak. (Same as *Zhou Hou Bei Ji Fang*, from Volume 1)
*Zhu Bing Yuan Hou Lun* states that Tian Xing disease causing obstruction of both urination and defecation is due to heat in the Spleen and Stomach. Excessive sweating depletes Body Fluids (Jin Ye). When Body Fluids are depleted, the Stomach becomes dry, and internal binding heat causes constipation. Furthermore, after sweating, Body Fluids are deficient, and latent heat in the Small Intestine causes urinary obstruction. (From Volume 9)
*Guang Ji Fang* treats Tian Xing heat qi, aversion to cold, headache, high fever, and difficult urination/defecation. Chai Hu San (Bupleurum Powder).
Chai Hu (Bupleuri Radix) [8 fen], Yin Chen (Artemisiae Scopariae Herba) [10 fen], Qing Mu Xiang (Aucklandiae Radix) [10 fen], Huang Qin (Scutellariae Radix) [8 fen], Tu Gua Gen (Trichosanthis Radix) [10 fen], Bai Xian Pi (Dictamni Cortex) [8 fen].
Grind the above nine herbs into a powder. On an empty stomach in the morning, take 5-6 qian bi with fresh well water. Within a short time, there should be two or three bowel movements with mild purgation. After purgation, eat a thin porridge made with Cong Bai and Yan Chi. If the fever persists, take 4 qian bi the next morning. Stop medication when the fever subsides. Avoid hot foods, pork, dog meat, and greasy foods.
Another formula for Tian Xing with aversion to cold, high fever, headache, red and difficult urination/defecation, and inability to eat or drink. Chai Hu Tang (Bupleurum Decoction).
Chai Hu (Bupleuri Radix) [7 fen], Yin Chen (Artemisiae Scopariae Herba) [7 fen], Da Huang (Rhei Radix et Rhizoma) [12 fen, soaked separately], Sheng Ma ( Cimicifugae Rhizoma) [7 fen], Zhi Zi (Gardeniae Fructus) [4 fruits, split], Mang Xiao (Natrii Sulfas) [4 fen, added when decoction is ready], Shao Yao (Paeoniae Radix Alba) [7 fen], Huang Qin (Scutellariae Radix) [12 fen].
Cut the above eight herbs, add four sheng of water, soak the herbs for a while, then boil vigorously to obtain 1.5 sheng. Divide into three warm doses. Take one dose every interval equivalent to walking six or seven li. The goal is smooth bowel movement. If the second dose results in purgation, do not take further doses. Avoid hot foods, roasted meat, garlic, and sticky foods. (All from Volume 1)
*Jin Xiao Fang* primarily treats distension and fullness in the hypochondrium after Tian Xing disease.
Apply hot salt compresses. If urination is difficult, apply salt compress below the umbilicus. For edema, drinking juice from certain branches can cure it, with great effect.
*Ji Yan Fang* treats abdominal distension and fullness, and obstruction of urination and defecation due to Tian Xing disease. Hua Shi Tang (Talcum Decoction).
Hua Shi (Talcum) [14 fen, ground], Ting Li Zi (Lepidii Semen) [one he, stir-fried on paper until purple, crushed], Da Huang (Rhei Radix et Rhizoma) [2 fen, cut].
Add one da sheng of water to the above three herbs, decoct to obtain four he, and take in one dose. Simultaneously, crush Cong Bai (Scallion White) and apply as a poultice to the lower abdomen; change when dry. Effective. (Same as *Zhou Hou Bei Ji Fang* and Cui Shi’s formula, but without Da Huang).