夫伤寒病。其人已经发汗吐下。或服药以后。而脉洪大实数。腹内胀满。小便赤黄。大
便难。或烦或渴。面色变赤。此为脏腑结热故也。
治伤寒余热不退。心神烦躁。宜服犀角散方。
犀角屑（三分） 黄芩（一两） 木通（三分锉） 川朴硝（半两） 土瓜根（一两） 龙
胆（一
两去芦头）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒余热不退。发渴烦躁。胸膈气滞。不思饮食。柴胡散方。
柴胡（去苗） 川大黄（锉碎微炒） 枳壳（麸炒微黄去瓤） 鳖甲〔去裙 涂（醋）
炙令黄〕
槟榔
角
屑（半
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒十日以上。余热不解。时发憎寒。宜服葳蕤散方。
葳蕤（一两） 柴胡（一两去苗） 羚羊角屑（三分） 石膏〔三（二）两〕 川朴硝
（三分）
甘草（
生姜汁
炙令香
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒已汗下后。余热未退。头痛口干烦躁。宜服知母散方。
知母〔二（一）两〕 甘草（半两炙微赤锉） 石膏〔三（二）两〕 栝蒌根（一两） 麦
门冬
（一两去心）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。粳米五十粒。竹叶二七片。
煎至六分。去滓。不计时候温服。
治伤寒五六日。大下之后。余热不去。心中结痛。此为欲解。宜服栀子汤方。
栀子仁（十四枚） 豉（一合）
上二味相和。分为二服。每服。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒。发汗大下之后。余热不去。心中多烦。宜服人参散方。
人参（一两去芦头） 陈橘皮（半两汤浸去白瓤焙） 麦门冬（半两去心） 栀子仁（半
两）
茯神（半两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒后。余热在心。恍惚多惊。不得眠睡。宜服茵陈散方。
茵陈（三分） 犀角屑（半两） 麦门冬（一两去心） 栀子仁（三分） 茯神（一两）
赤芍药
（三分） 生干地黄（三分） 甘草（一分炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。青竹叶二七片。煎至六分。
去滓。不计时候温服。
治伤寒后。余热不退。口干烦躁。宜服黄芩丸方。
黄芩 栀子仁 川大黄（锉碎微炒） 铁粉（以上各一两） 甘草（半两炙微赤锉）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温水下二十丸。
治伤寒后。余热在于胸中。烦渴闷乱。宜服龙胆丸方。
龙胆（一两去芦头） 青葙子（一两） 黄芩（半两） 栀子仁（半两） 苦参（半两
锉） 黄柏
（三分锉） 栝蒌根（半两） 川升麻（三分）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以温水下三十丸。
Shanghan disease. The patient has already undergone sweating, vomiting, or purgation therapies, or after taking medicine, presents with a pulse that is surging (Hong), firm, and rapid; abdominal distension and fullness; dark yellow urine; difficult defecation; intermittent irritability and thirst; and reddish complexion. This is due to heat accumulation in the Zang-Fu organs.
For treating residual heat from Shanghan that does not recede, accompanied by mental restlessness and irritability, it is appropriate to take Xijiao San (Rhino Horn Powder).
Xijiao xie (Sliced Rhinoceros Horn) [3 fen] Huangqin (Scutellaria Root) [1 liang] Mutong (Akebia Stem) [3 fen, sliced] Chuan Puxiao (Mirabilite) [0.5 liang] Tugua gen (Root of Trichosanthes Kirilowii) [1 liang] Longdan (Gentian Root) [1 liang, radix removed]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan (approx. 200-300ml) of water until reduced to 6 fen (approx. 120-180ml). Strain the dregs. Take warm at any time.
For treating residual heat from Shanghan that does not recede, causing thirst, irritability, qi stagnation in the chest and diaphragm, and loss of appetite, it is appropriate to take Chaihu San (Bupleurum Powder).
Chaihu (Bupleurum Root, remove seedlings) Chuan Dahuang (Rhubarb Root, sliced and lightly stir-fried) Zhike (Immature Bitter Orange, bran-fried until slightly yellow, pith removed) Biejia (Carapax Testudinis, remove skirt, brush with vinegar and roast until yellow) Binglang xie (Areca Seed slices) [0.5 liang]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan of water, add 0.5 fen of Shengjiang (Fresh Ginger), until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating Shanghan lasting more than ten days where residual heat has not resolved, accompanied by occasional aversion to cold, it is appropriate to take Weirui San (Polygonatum Powder).
Weirui (Polygonatum Rhizome) [1 liang] Chaihu (Bupleurum Root, remove seedlings) [1 liang] Lingyangjiao xie (Antelope Horn slices) [3 fen] Shigao (Gypsum Fibrosum) [2 liang] Chuan Puxiao (Mirabilite) [3 fen] Gancao (Licorice Root) [1 fen, roasted with Fresh Ginger juice until fragrant]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan of water, add 0.5 fen of Shengjiang (Fresh Ginger), until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating residual heat remaining after sweating and purgation in Shanghan, accompanied by headache, dry mouth, and irritability, it is appropriate to take Zhimu San (Anemarrhena Powder).
Zhimu (Anemarrhena Rhizome) [1 liang] Gancao (Licorice Root) [0.5 liang, roasted until slightly red and sliced] Shigao (Gypsum Fibrosum) [2 liang] Gualou gen (Trichosanthes Root) [1 liang] Maimendong (Ophiopogon Tuber) [1 liang, heart removed]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan of water, add 0.5 fen of Shengjiang (Fresh Ginger), 50 grains of Jingmi (Rice), and 14 leaves of Zhuye (Bamboo Leaf), until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating Shanghan on the fifth or sixth day, after severe purgation, where residual heat remains and there is painful knotting in the heart region, indicating the pathogen is about to resolve, it is appropriate to take Zhizi Tang (Gardenia Decoction).
Zhizi ren (Gardenia Seed) [14 pieces] Chi (Fermented Soybean) [1 he]
Mix the two ingredients and divide into two doses. For each dose, boil with one zhong zhan of water, add 0.5 fen of Shengjiang (Fresh Ginger), until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating Shanghan after heavy sweating and purgation, where residual heat remains and there is excessive mental vexation, it is appropriate to take Renshen San (Ginseng Powder).
Renshen (Ginseng Root) [1 liang, radix removed] Chenju pi (Tangerine Peel, soaked in water, white pith removed, dried) [0.5 liang] Maimendong (Ophiopogon Tuber) [0.5 liang, heart removed] Zhizi ren (Gardenia Seed) [0.5 liang] Fushen (Poria with Hostwood) [0.5 liang]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan of water until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating residual heat lingering in the Heart after Shanghan, causing mental confusion, frequent fright, and insomnia, it is appropriate to take Yinchén San (Artemisia Capillaris Powder).
Yinchén (Artemisiae Scopariae Herba) [3 fen] Xijiao xie (Sliced Rhinoceros Horn) [0.5 liang] Maimendong (Ophiopogon Tuber) [1 liang, heart removed] Zhizi ren (Gardenia Seed) [3 fen] Fushen (Poria with Hostwood) [1 liang] Chishaoyao (Red Peony Root) [3 fen] Shenggan Dihuang (Dried Rehmannia Root) [3 fen] Gancao (Licorice Root) [1 fen, roasted until slightly red and sliced]
The above ingredients are pounded, sifted into a powder. Each dose is 4 qian. Boil with one zhong zhan of water, add 0.5 fen of Shengjiang (Fresh Ginger) and 14 leaves of Qingzhuye (Green Bamboo Leaf), until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating residual heat that does not recede after Shanghan, accompanied by dry mouth and irritability, it is appropriate to take Huangqin Wan (Scutellaria Pill).
Huangqin (Scutellaria Root) Zhizi ren (Gardenia Seed) Chuan Dahuang (Rhubarb Root, sliced and lightly stir-fried) Tie Fen (Iron Powder) [each 1 liang] Gancao (Licorice Root) [0.5 liang, roasted until slightly red and sliced]
The above ingredients are pounded, sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills with warm water at any time.
For treating residual heat located in the chest after Shanghan, causing vexation, thirst, and mental disturbance, it is appropriate to take Longdan Wan (Gentian Pill).
Longdan (Gentian Root, remove radix) [1 liang] Qingxiangzi (Celosia Seed) [1 liang] Huangqin (Scutellaria Root) [0.5 liang] Zhizi ren (Gardenia Seed) [0.5 liang] Kushen (Sophora Root) [0.5 liang, sliced] Huangbai (Phellodendron Bark) [3 fen, sliced] Gualou gen (Trichosanthes Root) [0.5 liang] Chuan Shengma (Cimicifuga Rhizome) [3 fen]
The above ingredients are pounded, sifted into powder. Mix with refined honey, pound 300-200 times, and form pills the size of Sophora seeds. Take 30 pills with warm water at any time.