夫伤寒病证在表。或未发汗。或经发汗未解。或吐下后而热不除者。此由毒瓦斯盛故也。
毒
治伤寒。斑出瘾疹如锦纹。而咳嗽。心神烦闷。呕吐不止。宜服漏芦散方。
漏芦 陈橘皮（汤浸去白瓤焙） 前胡（去芦头） 麻黄（去根节） 黄芩 杏仁（汤
浸去皮
尖双仁麸炒微黄）（以上各一两）
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。
治伤寒脏腑壅毒。不得宣疏。肌肤发斑。宜服此方。
黄芩 大青 川升麻 石膏（以上各一两） 栀子仁（半两） 川朴硝（二两）
上件药。捣筛为散。每服五钱。以水一大盏半。入豆豉五十粒。葱白二茎。生姜半分。
煎至五分。去滓。不计时候温服。稍利为度。
又方。
犀角屑（一两） 川大黄（二两锉碎微炒） 栀子仁（半两） 蓝叶（一两） 川升麻
（一两）
甘草（半两炙微赤锉）
上件药。捣罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒十日内。未得汗。表里有热。发斑。狂言欲走。眼目俱黄。心中烦闷。大
便不利
黄芩 大青 川升麻 川大黄（锉碎微炒） 茵陈 川朴硝（以上各一两） 栀子仁（半
两）
黄连（半两去须） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。以利为度。
治伤寒。身面发斑。宜服大青散方。
大青（一两半） 川升麻（二两） 甘草（二两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入豉小半合。煎至五分。去滓。不计时候
温服。
治伤寒。斑疮欲出。脉洪大。心躁热。但令患人溺于纸上。如金色是也。宜服此方
。
猪胆汁（一合） 酽醋（一合） 鸡子（一枚打破去壳）
上件药相和。煎三两沸。放温顿（频）服。
治伤寒热毒不解。欲变成斑。解毒升麻散方。
川升麻 栀子仁 大青 黄芩 甘草（炙微赤锉）（以上各一两） 石膏（二两）
上件药。捣粗罗为散。每服五钱。以水一中盏。入生地黄汁半合。煎至六分。去滓。不
计时候温服。
治伤寒赤斑出不止。宜服犀角散方。
犀角屑 麻黄（去根节） 栀子仁 黄连（去须） 地骨皮 甘草（炙微赤锉） 马牙
硝郁
金（以上各一两） 石膏（二两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。以瘥
为度。
治伤寒黑斑出不止。宜服此方。
川升麻（一两） 黄芩（一两半） 川大黄（一两锉碎微炒） 犀角屑（一两半） 川
芒硝（一
两） 栀子仁（一两）
上件药。捣细罗为散。每服。不计时候。煎甘草汤放冷。调二钱服。以瘥为度。
治伤寒斑疮已出。心脏尚有余热。发歇烦躁。宜服天竺黄散方。
天竺黄 川升麻 子芩 茯神 犀角屑 赤芍药 人参（去芦头） 铅霜（研）（以
上各半
两） 麦门冬（一两去心焙干） 甘草（半两炙微赤锉） 栀子仁（一分） 黄连（一分去
须）
上件药。捣细罗为散。入研了药令匀。每服。不计时候。煎竹叶汤调下二钱。
治伤寒斑毒不解。宜服黄连散方。
黄连（一两去须） 犀角屑（半两） 石膏（二两） 栀子仁（一两） 甘草（半两炙
微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒一二日及十余日。发黄胆斑出。皆主之方。\x
大青（一两） 甘草（半两炙微赤锉） 黄明胶（半两杵碎炒令黄燥） 豉（二两）
上件药。细锉和匀。每服半两。以水一中盏。煎至六分。去滓。不计时候温服。
The pathogenic factors of cold damage disease are located in the exterior. It may be that sweating has not yet been induced, or that the pathogen has not been resolved after sweating, or that heat remains unremoved after emesis or purgation. This is due to the abundance of toxic qi (poisonous energy).
For treating cold damage where macules and urticaria appear like brocade patterns, accompanied by cough, mental restlessness, and incessant vomiting, it is appropriate to take Loulu San (Scrophularia Powder).
Herbs: Scrophulariae Radix (Loulu), Aged Tangerine Peel (Chen Jupi) (steeped in hot water, white pith removed, dried), Peucedani Radix (Qianhu) (radicle removed), Ephedrae Herba (Mahuang) (roots and nodes removed), Scutellariae Radix (Huangqin), Apricot Seeds (Xingren) (steeped in hot water, skin and tips removed, double kernels discarded, stir-fried with bran until slightly yellow) (each 1 liang above).
Crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhan (unit of volume) of water until reduced to six-tenths, remove the dregs, and take warm at any time.
For treating cold damage where internal organs are congested with toxic pathogens, unable to vent and disperse, resulting in skin eruptions, it is appropriate to take this prescription.
Herbs: Scutellariae Radix (Huangqin), Isatidis Folium (Daqing), Cimicifugae Rhizoma (Chuan Shengma), Gypsum Fibrosum (Shigao) (each 1 liang above), Gardeniae Fructus (Zishiren) (0.5 liang), Mirabilite (Chuan Puxiao) (2 liang).
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one and a half dazhan (large unit of volume) of water, add 50 grains of Fermented Soybean (Douchi), two stems of Scallion White (Congbai), and 0.5 fen of Fresh Ginger (Shengjiang), decoct until reduced to five-tenths, remove the dregs, and take warm at any time, stopping when slight diarrhea occurs.
Another prescription.
Herbs: Rhinocerotis Cornu (Xijiao) (1 liang), Rheum Palmatum (Chuan Dahuang) (2 liang, cut into pieces and slightly stir-fried), Gardeniae Fructus (Zishiren) (0.5 liang), Isatis Leaf (Lanye) (1 liang), Cimicifugae Rhizoma (Chuan Shengma) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, honey-fried until slightly red and cut).
Sieve the above herbs finely into a powder. Take 5 qian per dose, decoct with one dazhan of water until reduced to five-tenths, remove the dregs, and take warm at any time.
For treating cold damage within ten days where sweating has not occurred, with heat in both interior and exterior, eruption of macules, delirious speech with a desire to run, yellowing of eyes and complexion, mental restlessness, and difficult defecation.
Herbs: Scutellariae Radix (Huangqin), Isatidis Folium (Daqing), Cimicifugae Rhizoma (Chuan Shengma), Rheum Palmatum (Chuan Dahuang) (cut and slightly stir-fried), Artemisiae Scopariae Herba (Yinchen), Mirabilite (Chuan Puxiao) (each 1 liang above), Gardeniae Fructus (Zishiren) (0.5 liang), Coptidis Rhizoma (Huanglian) (0.5 liang,须 removed), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, honey-fried until slightly red and cut).
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one dazhan of water, add 37 leaves of Bamboo Leaf (Zhuye), decoct until reduced to five-tenths, remove the dregs, and take warm at any time, stopping when bowel movement is smooth.
For treating cold damage where macules erupt on the body and face, it is appropriate to take Daqing San (Isatis Powder).
Herbs: Isatidis Folium (Daqing) (1.5 liang), Cimicifugae Rhizoma (Chuan Shengma) (2 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (2 liang, honey-fried until slightly red and cut).
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one dazhan of water, add a small half-he (unit of volume) of Fermented Soybean (Douchi), decoct until reduced to five-tenths, remove the dregs, and take warm at any time.
For treating cold damage where macules are about to erupt, with a surging pulse, mental irritability and heat, if the patient urinates on paper and the urine is golden in color, it is appropriate to take this prescription.
Herbs: Porcine Bile (Zhudan Zhi) (1 he), Strong Vinegar (Yan Cu) (1 he), Chicken Egg (Jizi) (one egg, broken and shell removed).
Mix the above ingredients, boil for three boils, let cool to warm temperature, and take in one go (frequent dosing).
For treating cold damage where heat toxins are unresolved and tend to transform into macules, Jiedu Shengma San (Cimicifuga Detoxifying Powder).
Herbs: Cimicifugae Rhizoma (Chuan Shengma), Gardeniae Fructus (Zishiren), Isatidis Folium (Daqing), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried until slightly red and cut) (each 1 liang above), Gypsum Fibrosum (Shigao) (2 liang).
Coarsely sieve the above herbs into a powder. Take 5 qian per dose, decoct with one zhongzhan of water, add 0.5 he of Rehmanniae Radix Recens Juice (Sheng Dihuang Zhi), decoct until reduced to six-tenths, remove the dregs, and take warm at any time.
For treating cold damage where red macules erupt continuously, it is appropriate to take Xijiao San (Rhino Horn Powder).
Herbs: Rhinocerotis Cornu (Xijiao), Ephedrae Herba (Mahuang) (roots and nodes removed), Gardeniae Fructus (Zishiren), Coptidis Rhizoma (Huanglian) (须 removed), Cortex Lycii (Digupi), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried until slightly red and cut), Halloysit Rubrum (Mayaxiao) and Curcumae Longae Rhizoma (Yujin) (each 1 liang above), Gypsum Fibrosum (Shigao) (2 liang).
Coarsely sieve the above herbs into a powder. Take 5 qian per dose, decoct with one dazhan of water until reduced to five-tenths, remove the dregs, and take warm at any time, stopping when cured.
For treating cold damage where black macules erupt continuously, it is appropriate to take this prescription.
Herbs: Cimicifugae Rhizoma (Chuan Shengma) (1 liang), Scutellariae Radix (Huangqin) (1.5 liang), Rheum Palmatum (Chuan Dahuang) (1 liang, cut and slightly stir-fried), Rhinocerotis Cornu (Xijiao) (1.5 liang), Natrii Sulfas (Chuan Mangxiao) (1 liang), Gardeniae Fructus (Zishiren) (1 liang).
Finely sieve the above herbs into a powder. For each dose, at any time, use a decoction of Glycyrrhizae Radix et Rhizoma (Gancao) cooled down, mix with 2 qian of powder, and take, stopping when cured.
For treating cold damage where macule toxins have erupted but residual heat remains in the Heart, causing intermittent irritability, it is appropriate to take Tianzhu Huang San (Calculus Bovis Powder).
Herbs: Calculus Bovis (Tianzhu Huang), Cimicifugae Rhizoma (Chuan Shengma), Scutellariae Radix (Ziqin), Poria (Fushen), Rhinocerotis Cornu (Xijiao), Paeoniae Radix Rubra (Chishaoyao), Ginseng Radix (Renshen) (radicle removed), Plumbum Subacetatum (Qianshuang) (ground) (each 0.5 liang above), Ophiopogonis Tuber (Mendong) (1 liang, heart removed and dried), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, honey-fried until slightly red and cut), Gardeniae Fructus (Zishiren) (1 fen), Coptidis Rhizoma (Huanglian) (1 fen,须 removed).
Finely sieve the above herbs into a powder, mix evenly with the ground ingredients. For each dose, at any time, take 2 qian mixed with a decoction of Bamboo Leaf (Zhuye).
For treating cold damage where macule toxins are unresolved, it is appropriate to take Huanglian San (Coptis Powder).
Herbs: Coptidis Rhizoma (Huanglian) (1 liang,须 removed), Rhinocerotis Cornu (Xijiao) (0.5 liang), Gypsum Fibrosum (Shigao) (2 liang), Gardeniae Fructus (Zishiren) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, honey-fried until slightly red and cut).
Coarsely sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhan of water until reduced to six-tenths, remove the dregs, and take warm at any time.
For treating cold damage occurring one to two days or more than ten days later, presenting with jaundice and gall-bladder macules, this formula serves as the primary treatment.
Herbs: Isatidis Folium (Daqing) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, honey-fried until slightly red and cut), Ox Hide Glue (Huangming Jiao) (0.5 liang, pounded and stir-fried until yellow and dry), Fermented Soybean (Douchi) (2 liang).
Cut finely and mix evenly. Take 0.5 liang per dose, decoct with one zhongzhan of water until reduced to six-tenths, remove the dregs, and take warm at any time.