夫伤寒热毒不退。伏留于脏腑而不能散。即攻于表。随其王衰。而作发歇。遍身壮热。
或进或退。故谓之潮热也。诊其脉各随其五脏六腑洪数者是也。
治伤寒。发歇潮热。头痛烦渴。四肢无力。胸膈痰滞。不思饮食。宜服鳖甲散方。
鳖甲（一两半去裙 生用） 恒山（三分锉） 甘草（半两炙微赤锉） 川大黄（半两
锉碎微
炒） 地骨皮（一两） 石膏〔二（一）两半〕 麦门冬（一两去心） 知母（半两）
上件药。捣筛为散。每服三钱。以水一中盏。入小麦五十粒。煎至六分。去滓。不计时
候温服。
治伤寒潮热不退。每发。口干渴逆。饮食全少。四肢无力。宜服人参散方。
人参（一两去芦头） 半夏（半两汤洗七遍去滑） 芦根（一两锉） 麦门冬（半两去
心） 枳
实（
草（半
两炙
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。枣三枚。粳米五十粒。煎至
五分。去滓。不计时候温服。
治伤寒潮热往来。口干烦躁。头目疼痛。宜服麦门冬散方。
麦门冬（二两去心焙） 葛根（一两锉） 麻黄（三分去根节） 黄芩（三分） 川大
黄（三分
锉碎微炒） 川朴硝（三分）
上件药。捣细罗为散。不计时候。用新汲水调下一钱。
治伤寒潮热。口干头痛。四肢烦疼。宜服葛根散方。
葛根（一两锉） 黄芩（一两） 甘草（半两炙微赤锉） 石膏（一两） 柴胡（一两
去苗） 知
母（一两）
上件药。捣筛为散。每服五钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒经十日以上。潮热不解。日晡即发。壮热如火。胸满呕逆。宜服柴胡散方。
柴胡（一两去苗） 桂心（半两） 黄芩（三分） 栝蒌根（半两） 牡蛎（一分烧为
粉） 甘草
（一分炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒。潮热烦闷。体痛呕逆。宜服黄芩散方。
黄芩（三分） 柴胡（三分去苗） 人参（三分去芦头） 半夏（三分汤洗七遍去滑） 甘
草（
半两炙微赤锉） 麦门冬（一两去心）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候温服。
治伤寒。潮热不退。发歇无时。宜服秦艽散方。
秦艽（一两去苗） 鳖甲（一两去裙 涂酥炙令黄） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。豉半合。葱白二茎。煎至五
分。去滓。不计时候温服。
治伤寒数日。潮热不退。口干烦躁。或多痰逆。宜服知母散方。
知母 人参（去芦头） 柴胡 石膏 葛根（锉） 赤茯苓（以上各一两） 甘草（半
两炙微
赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒已经二七日外。潮热不退。四肢无力。昏沉如醉。恐变成百合病。宜服百
合散方
百合（一两） 葛根（一两） 麻黄（半两去根节） 麦门冬（半两去心） 黄芩（半
两） 前胡
（三分去芦头） 石膏（一两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒。心胸壅闷。潮热头痛。肢节拘急。宜服石膏散方。
石膏（一两） 前胡（三分去芦头） 柴胡（三分去苗） 甘菊花（三分） 赤茯苓（三
分） 赤
芍药
锉） 枳壳
（三
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒数日。头痛。潮热不退。或发憎寒。宜服葳蕤散方。
葳蕤（一两） 柴胡（一两去苗） 羚羊角屑（三分） 石膏〔一（二）两〕 桑根白
皮（一两
锉） 川朴硝（一两）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒。潮热头痛。四肢拘急烦疼。宜服羚羊角散方。
羚羊角屑 赤茯苓 麦门冬（去心） 葳蕤 柴胡（去苗） 栀子仁（以上各一两） 桑
根白
皮（三分锉） 石膏（二两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒。潮热不退。四肢沉重。不欲饮食。胸中溢塞。小便赤涩。宜服龙胆丸方。\x
龙胆（一两去芦头） 前胡（三分去芦头） 白藓皮（一两） 黄连（三分去须） 子
芩（半两）
栀
鳖甲
（一
上件药。捣罗为末。入麻仁同研令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计
时候。以温浆水下三十丸。
The heat-toxin of Cold Damage (Shanghan) fails to subside, lingering and stagnating within the Zang-Fu organs without dissipating. It then attacks the exterior. Following the waxing and waning of the body's righteous Qi, it manifests as alternating episodes of fever and remission. The entire body experiences high fever, which fluctuates in intensity, hence it is termed "Tidal Fever" (Chao Re). Upon pulse diagnosis, one should observe the Six Fu and Five Zang organs; a洪 (Hong - Surging) and 数 (Shu - Rapid) pulse indicates this condition.
For treating Tidal Fever caused by Cold Damage, accompanied by headache, vexation, thirst, weakness in the four limbs, phlegm-stagnation in the chest and diaphragm, and loss of appetite, the Biejia San (Turtle Shell Powder) formula is suitable.
Ingredients: Bie Jia (Carapax et Plastrum Testudinis, 1.5 liang, remove the skirt, raw use), Heng Shan (Dichroae Radix, 3 qian, sliced), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced), Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried), Di Gu Pi (Lycii Cortex, 1 liang), Shi Gao (Gypsum Fibrosum, 2.5 liang), Mai Men Dong (Ophiopogonis Radix, 1 liang, remove the heart), Zhi Mu (Anemarrhenae Rhizoma, 0.5 liang).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 50 grains of Wheat (Triticum aestivum) to one zhong of water, decoct until six parts remain. Strain and take warm at any time.
For treating persistent Tidal Fever from Cold Damage, where each episode brings dry mouth, thirst with rebellious Qi, minimal food intake, and limb weakness, the Renshen San (Ginseng Powder) formula is suitable.
Ingredients: Ren Shen (Panacis Ginseng Radix, 1 liang, remove the rhizome), Ban Xia (Pinelliae Rhizoma, 0.5 liang, wash seven times in water to remove slipperiness), Lu Gen (Phragmitis Rhizoma, 1 liang, sliced), Mai Men Dong (Ophiopogonis Radix, 0.5 liang, remove the heart), Zhi Shi (Aurantii Fructus Immaturus, dosage implied), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water, 0.5 fen of Fresh Ginger (Zingiberis Rhizoma Recens), three Jujubae Fructus (Ziziphus jujuba), and 50 grains of Oryza sativa var. japonica (Jing Mi). Decoct until five parts remain. Strain and take warm at any time.
For treating alternating Tidal Fever from Cold Damage, accompanied by dry mouth, vexation, and pain in the head and eyes, the Maidong San (Ophiopogon Powder) formula is suitable.
Ingredients: Mai Men Dong (Ophiopogonis Radix, 2 liang, remove the heart and roast), Ge Gen (Puerariae Lobatae Radix, 1 liang, sliced), Ma Huang (Ephedrae Herba, 3 qian, remove root and joints), Huang Qin (Scutellariae Radix, 3 qian), Chuan Da Huang (Rhei Radix et Rhizoma, 3 qian, sliced and lightly stir-fried), Chuan Po Xiao (Natrii Sulfas, 3 qian).
Preparation and Administration: Pound finely and sieve the above ingredients into a powder. Take 1 qian mixed with fresh well-water at any time.
For treating Tidal Fever from Cold Damage, accompanied by dry mouth, headache, and painful stiffness in the four limbs, the Gegen San (Kudzu Root Powder) formula is suitable.
Ingredients: Ge Gen (Puerariae Lobatae Radix, 1 liang, sliced), Huang Qin (Scutellariae Radix, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced), Shi Gao (Gypsum Fibrosum, 1 liang), Chai Hu (Bupleuri Radix, 1 liang, remove the crown), Zhi Mu (Anemarrhenae Rhizoma, 1 liang).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one zhong of water, decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage lasting more than ten days, where Tidal Fever does not resolve, occurring daily in the late afternoon (You period) with intense heat like fire, chest fullness, and vomiting/reversal, the Chai Hu San (Bupleurum Powder) formula is suitable.
Ingredients: Chai Hu (Bupleuri Radix, 1 liang, remove the crown), Gui Xin (Cinnamomi Ramulus, 0.5 liang), Huang Qin (Scutellariae Radix, 3 qian), Gua Lou Gen (Trichosanthis Radix, 0.5 liang), Mu Li (Ostrea Concha, 1 fen, calcined to powder), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red, sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water and 0.5 fen of Fresh Ginger. Decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage with Tidal Fever, vexation, body pain, and vomiting, the Huang Qin San (Scutellaria Powder) formula is suitable.
Ingredients: Huang Qin (Scutellariae Radix, 3 qian), Chai Hu (Bupleuri Radix, 3 qian, remove the crown), Ren Shen (Panacis Ginseng Radix, 3 qian, remove the rhizome), Ban Xia (Pinelliae Rhizoma, 3 qian, wash seven times in water to remove slipperiness), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced), Mai Men Dong (Ophiopogonis Radix, 1 liang, remove the heart).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water, 0.5 fen of Fresh Ginger, and three Jujubae Fructus. Decoct until five parts remain. Strain and take warm at any time.
For treating persistent Tidal Fever from Cold Damage with irregular onset, the Qin Jiao San (Gentiana Macrophylla Powder) formula is suitable.
Ingredients: Qin Jiao (Gentianae Macrophyllae Radix, 1 liang, remove the crown), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, remove the skirt, coat with butter and fry until yellow), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water, 0.5 fen of Fresh Ginger, half he of Fabae Preparata (Chi Dou), and two stems of Scallion White (Cong Bai). Decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage after several days, with persistent Tidal Fever, dry mouth, vexation, or excessive phlegm and rebellious Qi, the Zhi Mu San (Anemarrhena Powder) formula is suitable.
Ingredients: Zhi Mu (Anemarrhenae Rhizoma), Ren Shen (Panacis Ginseng Radix, remove rhizome), Chai Hu (Bupleuri Radix), Shi Gao (Gypsum Fibrosum), Ge Gen (Puerariae Lobatae Radix, sliced), Chi Fu Ling (Polyporus with Red Hosta Root, all 1 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water and 0.5 fen of Fresh Ginger. Decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage beyond fourteen days (two seven-day periods), with persistent Tidal Fever, limb weakness, and lethargy resembling drunkenness, fearing transformation into Bai He Bing (Lily Disease), the Bai He San (Lily Bulb Powder) formula is suitable.
Ingredients: Bai He (Lilii Bulbus, 1 liang), Ge Gen (Puerariae Lobatae Radix, 1 liang), Ma Huang (Ephedrae Herba, 0.5 liang, remove root and joints), Mai Men Dong (Ophiopogonis Radix, 0.5 liang, remove the heart), Huang Qin (Scutellariae Radix, 0.5 liang), Qian Hu (Peucedani Radix, 3 qian, remove rhizome), Shi Gao (Gypsum Fibrosum, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water and 0.5 fen of Fresh Ginger. Decoct until six parts remain. Strain and take warm at any time.
For treating Cold Damage with chest oppression, Tidal Fever, headache, and stiff/joint pain, the Shi Gao San (Gypsum Powder) formula is suitable.
Ingredients: Shi Gao (Gypsum Fibrosum, 1 liang), Qian Hu (Peucedani Radix, 3 qian, remove rhizome), Chai Hu (Bupleuri Radix, 3 qian, remove the crown), Gan Ju Hua (Chrysanthemi Flos, 3 qian), Chi Fu Ling (Polyporus with Red Hosta Root, 3 qian), Chi Shao Yao (Paeoniae Radix Rubra, dosage implied), Zhi Ke (Aurantii Fructus, dosage implied).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water and 0.5 fen of Fresh Ginger. Decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage after several days, with headache, persistent Tidal Fever, or aversion to cold, the Wei Rui San (Polygonatum Powder) formula is suitable.
Ingredients: Wei Rui (Polygonati Odorati Rhizoma, 1 liang), Chai Hu (Bupleuri Radix, 1 liang, remove the crown), Ling Yang Jiao Xie (Saigae Tataricae Cornu, 3 qian), Shi Gao (Gypsum Fibrosum, 1 liang), Sang Bai Pi (Mori Cortex, 1 liang, sliced), Chuan Po Xiao (Natrii Sulfas, 1 liang).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water. Decoct until five parts remain. Strain and take warm at any time.
For treating Cold Damage with Tidal Fever, headache, and painful stiffness in the four limbs, the Ling Yang Jiao San (Saiga Antelope Horn Powder) formula is suitable.
Ingredients: Ling Yang Jiao Xie (Saigae Tataricae Cornu), Chi Fu Ling (Polyporus with Red Hosta Root), Mai Men Dong (Ophiopogonis Radix, remove heart), Wei Rui (Polygonati Odorati Rhizoma), Chai Hu (Bupleuri Radix, remove crown), Zhi Zi Ren (Gardeniae Semen, all 1 liang each), Sang Bai Pi (Mori Cortex, 3 qian, sliced), Shi Gao (Gypsum Fibrosum, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 5 qian per dose. Add one da zhong of water. Decoct until five parts remain. Strain and take warm at any time.
For treating persistent Tidal Fever from Cold Damage, heavy limbs, loss of appetite, chest obstruction, and dark/scanty urination, the Long Dan Wan (Gentiana Pill) formula is suitable.
Ingredients: Long Dan (Gentianae Radix, 1 liang, remove rhizome), Qian Hu (Peucedani Radix, 3 qian, remove rhizome), Bai Xian Pi (Dictamni Cortex, 1 liang), Huang Lian (Coptidis Rhizoma, 3 qian, remove roots), Zi Qin (Scutellariae Radix, 0.5 liang), Zhi Zi (Gardeniae Fructus, dosage implied), Bie Jia (Carapax et Plastrum Testudinis, dosage implied).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with Hemp Seed (Hempseed) and grind evenly. Combine with refined honey, pound 200-300 times, and form pills the size of Sophora seeds. Take 30 pills at any time, washed down with warm sour rice water.