夫时气病。其人或未发汗吐下。或经服药以后。而脉洪大实数。肠胃胀满。小便赤黄。
大便难。或烦或渴。面色变赤。此为腑脏有结热故也。
治时气余热不退。发渴躁闷。宜服大黄散方。
川大黄（锉碎微炒） 栀子仁 犀角屑 麦门冬（去心） 黄连（去须）地骨皮 甘草
（炙微
赤锉） 黄芩 柴胡（去苗） 白藓皮（以上各一两）
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。温服之。
治时气余热不退。心膈时发烦躁。宜服麦门冬散方。
麦门冬（去心） 犀角屑 竹茹 黄芩 石膏 川大黄（锉碎微炒） 川朴硝 甘草（炙
微
赤锉）（以上各一两）
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。温服之。
治时气五七日。头痛。余热不解。宜服解肌散方。
葛根（一两锉） 柴胡（一两去苗） 麻黄（三分去根节） 赤芍药（半两） 黄芩（半
两） 甘
草（半两炙微赤锉） 桂心（半两） 石膏（二两）
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
。温服之。
治时气三五日。余热不解。心躁烦渴。宜服知母散方。
知母（三分） 川升麻〔二（三）分〕 钩藤（一两） 地骨皮（三分） 赤茯苓（三
分） 麦门
冬（三分去心） 石膏（一两） 甘草（一分炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候。温服之。
治时气余热不解。心烦躁渴。表实里虚。宜服犀角散方。
犀角屑（一两） 葛根（一两锉） 麻黄（一两去根节） 黄芩（三分） 甘草（半两
炙微赤锉）
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。温服之。
治时气余热不解。身体疼痛。宜服麻黄散方。
麻黄（三分去根节） 柴胡（一两去苗） 赤茯苓（三分） 地骨皮（三分） 人参（一
两去芦
头） 赤芍药（三分）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候服。
治时气余热不解。心膈壅闷。四肢烦热。宜服麦门冬散方。
麦门冬（一两半去心） 栀子仁（三分） 枳壳（三分麸炒微黄去瓤） 黄芩（三分） 川
芒硝
（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。入竹叶七片。煎至五分。去滓。不计时候
。温服之。
又方。
大青（三分锉去根） 枳壳（三分麸炒微黄去瓤） 甘草（一分炙微赤锉） 川升麻（一
两）
黄芩（三分） 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。温服之。
治时气余热不解。头重。宜服葛根散方。
葛根（一两锉） 赤芍药（一两） 黄芩〔二（一）两〕 豉（二合） 栀子仁（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。温服之。
治时气经十数日。余热不解。或时发寒热。宜服此方。
葳蕤（一两） 柴胡（一两去苗） 羚羊角屑（三分） 石膏（一两半） 黄芩（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
。温服之。
治时气余热不退。发作有时。宜服栝蒌根散方。
栝蒌根（一两） 柴胡〔一（三）分去苗〕 地骨皮（一两） 枳壳（半两麸炒微黄去
瓤） 赤
茯苓（一两） 鳖甲（一两涂醋炙令黄去裙 ）
上件药捣筛为散。每服四钱。以水一中盏。煎至五分。去滓。入生地黄汁三（半）合。
更
煎一两沸。不计时候。温服之。
治时气余热不退。发歇不定。大便秘涩。宜服大黄丸方。
川大黄（二两锉碎微炒） 柴胡（去苗） 黄芩 黄连（去须） 白藓皮 栀子仁 秦
艽（去
苗） 龙胆（去芦头） 赤芍药 大麻仁（别杵如膏以上各一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以竹叶汤。下三十丸。
以利为度。
治时气余热不退。烦躁发渴。四肢无力。不能食饮。柴胡丸方。
柴胡（去苗） 桔梗（去芦头） 子芩 赤芍药 黄 （锉） 枳壳（麸炒微黄去瓤） 鳖
甲（
涂醋炙微黄去裙 ） 人参（去芦头）（以上各一两） 甘草（半两炙微赤锉）
上件药。捣筛为散。炼蜜和丸。如梧桐子大。每服不计时候。以温水下三十丸。
又方。
上以牛蒡根捣绞取汁。每服不计时候。服一小盏。
Shi Qi Bing (Seasonal Epidemic Heat Disease), in some patients who have not yet undergone sweating, emesis, or purgation therapies, or even after taking medication, the pulse remains surging, full, firm, and rapid. Patients experience abdominal distension and fullness, dark yellow urine, difficult defecation, or symptoms of vexation and thirst, with a reddish complexion. This is caused by accumulated heat in the zang-fu organs.
For Shi Qi Bing where residual heat persists, accompanied by thirst, irritability, and stifling sensation, Da Huang San (Rhubarb Powder) is indicated.
Ingredients: Chuan Da Huang (Rhizoma Rhei Preparata, crushed and lightly stir-fried), Zhi Zi Ren (Fructus Gardeniae Preparatus), Xi Jiao Xie (Hornis Rhinocerotis Preparatus), Mai Men Dong (Tuber Ophiopogonis Preparatus, heart removed), Huang Lian (Rhizoma Coptidis Preparatus, whiskers removed), Di Gu Pi (Cortex Lycii Preparatus), Gan Cao (Radix Glycyrrhizae Preparata, honey-fried until slightly red and crushed), Huang Qin (Radix Scutellariae Preparata), Chai Hu (Radix Bupleuri Preparata, radix removed), Bai Xian Pi (Cortex Dictamni Preparatus). (Each ingredient 1 liang)
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan (approx. 200ml) of water, decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing where residual heat persists, with intermittent vexation and oppression in the chest and diaphragm, Mai Men Dong San (Ophiopogon Powder) is indicated.
Ingredients: Mai Men Dong (Tuber Ophiopogonis Preparatus, heart removed), Xi Jiao Xie (Hornis Rhinocerotis Preparatus), Zhu Ru (Caulis Bambusae in Taeniam Preparatus), Huang Qin (Radix Scutellariae Preparata), Shi Gao (Gypsum Fibrosum Preparatum), Chuan Da Huang (Rhizoma Rhei Preparata, crushed and lightly stir-fried), Chuan Po Xiao (Natrii Sulfas Preparatus), Gan Cao (Radix Glycyrrhizae Preparata, honey-fried until slightly red and crushed). (Each ingredient 1 liang)
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water, decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing occurring 5-7 days after onset, with headache and unresolved residual heat, Jie Ji San (Muscle-Releasing Powder) is indicated.
Ingredients: Ge Gen (Radix Puerariae Preparata, 1 liang, crushed), Chai Hu (Radix Bupleuri Preparata, 1 liang, radix removed), Ma Huang (Herba Ephedrae Preparata, 3 fen, roots and nodes removed), Chi Shao Yao (Radix Paeoniae Rubra Preparata, 0.5 liang), Huang Qin (Radix Scutellariae Preparata, 0.5 liang), Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed), Gui Xin (Cortex Cinnamomi Preparatus, 0.5 liang), Shi Gao (Gypsum Fibrosum Preparatum, 2 liang).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 fen of Sheng Jiang (Rhizoma Zingiberis Recens), decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing occurring 3-5 days after onset, with unresolved residual heat, mental vexation, and thirst, Zhi Mu San (Anemarrhenae Powder) is indicated.
Ingredients: Zhi Mu (Rhizoma Anemarrhenae Preparatus, 3 fen), Chuan Sheng Ma (Radix Cimicifugae Preparata, [2 or 3] fen), Gou Teng (Uncariae Ramulus cum Uncis Preparatus, 1 liang), Di Gu Pi (Cortex Lycii Preparatus, 3 fen), Chi Fu Ling (Poria Cum Radix Pini Preparata, 3 fen), Mai Men Dong (Tuber Ophiopogonis Preparatus, 3 fen, heart removed), Shi Gao (Gypsum Fibrosum Preparatum, 1 liang), Gan Cao (Radix Glycyrrhizae Preparata, 1 fen, honey-fried until slightly red and crushed).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water and 30 pian (slices) of Zhu Ye (Folium Bambusae), decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing with unresolved residual heat, mental vexation, thirst, presenting as exterior excess and interior deficiency, Xi Jiao San (Hornis Rhinocerotis Powder) is indicated.
Ingredients: Xi Jiao Xie (Hornis Rhinocerotis Preparatus, 1 liang), Ge Gen (Radix Puerariae Preparata, 1 liang, crushed), Ma Huang (Herba Ephedrae Preparata, 1 liang, roots and nodes removed), Huang Qin (Radix Scutellariae Preparata, 3 fen), Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add 1 zhong zhan (approx. 150ml) of water, decoct until 0.6 zhong zhan remains, strain, and take warm at any time.
For Shi Qi Bing with unresolved residual heat and body pain, Ma Huang San (Ephedra Powder) is indicated.
Ingredients: Ma Huang (Herba Ephedrae Preparata, 3 fen, roots and nodes removed), Chai Hu (Radix Bupleuri Preparata, 1 liang, radix removed), Chi Fu Ling (Poria Cum Radix Pini Preparata, 3 fen), Di Gu Pi (Cortex Lycii Preparatus, 3 fen), Ren Shen (Radix Ginseng Preparata, 1 liang, rhizome removed), Chi Shao Yao (Radix Paeoniae Rubra Preparata, 3 fen).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until 0.6 zhong zhan remains, strain, and take at any time.
For Shi Qi Bing with unresolved residual heat, oppression and stifling sensation in the chest and diaphragm, and vexatious heat in the four limbs, Mai Men Dong San (Ophiopogon Powder) is indicated.
Ingredients: Mai Men Dong (Tuber Ophiopogonis Preparatus, 1.5 liang, heart removed), Zhi Zi Ren (Fructus Gardeniae Preparatus, 3 fen), Zhi Ke (Fructus Aurantii Preparatus, 3 fen, bran-fried until slightly yellow and albedo removed), Huang Qin (Radix Scutellariae Preparata, 3 fen), Chuan Mang Xiao (Natrii Sulfas Preparatus, 1 liang), Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water and 7 pian of Zhu Ye (Folium Bambusae), decoct until 0.5 da zhan remains, strain, and take warm at any time.
Another prescription:
Ingredients: Da Qing (Indicae Folium Preparatum, 3 fen, crushed and roots removed), Zhi Ke (Fructus Aurantii Preparatus, 3 fen, bran-fried until slightly yellow and albedo removed), Gan Cao (Radix Glycyrrhizae Preparata, 1 fen, honey-fried until slightly red and crushed), Chuan Sheng Ma (Radix Cimicifugae Preparata, 1 liang), Huang Qin (Radix Scutellariae Preparata, 3 fen), Chuan Po Xiao (Natrii Sulfas Preparatus, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water, decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing with unresolved residual heat and heavy head, Ge Gen San (Pueraria Powder) is indicated.
Ingredients: Ge Gen (Radix Puerariae Preparata, 1 liang, crushed), Chi Shao Yao (Radix Paeoniae Rubra Preparata, 1 liang), Huang Qin (Radix Scutellariae Preparata, [2 or 1] liang), Chi (Fermented Soybean, 2 he), Zhi Zi Ren (Fructus Gardeniae Preparatus, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water, decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing lasting ten-plus days, with unresolved residual heat and intermittent chills and fever, this formula is indicated.
Ingredients: Wei Yu (Rhizoma Polygonati Odorati Preparatus, 1 liang), Chai Hu (Radix Bupleuri Preparata, 1 liang, radix removed), Ling Yang Jiao Xie (Cornu Saigae Tataricae Preparatus, 3 fen), Shi Gao (Gypsum Fibrosum Preparatum, 1.5 liang), Huang Qin (Radix Scutellariae Preparata, 1 liang), Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 fen of Sheng Jiang (Rhizoma Zingiberis Recens), decoct until 0.5 da zhan remains, strain, and take warm at any time.
For Shi Qi Bing with persistent residual heat that occurs at regular intervals, Gua Lou Gen San (Trichosanthis Radix Powder) is indicated.
Ingredients: Gua Lou Gen (Radix Trichosanthis Preparata, 1 liang), Chai Hu (Radix Bupleuri Preparata, [1 or 3] fen, radix removed), Di Gu Pi (Cortex Lycii Preparatus, 1 liang), Zhi Ke (Fructus Aurantii Preparatus, 0.5 liang, bran-fried until slightly yellow and albedo removed), Chi Fu Ling (Poria Cum Radix Pini Preparata, 1 liang), Bie Jia (Carapax et Plastrum Testudinis Preparatus, 1 liang, vinegar-fried until yellow and skirt removed).
Preparation and Administration: Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until 0.5 zhong zhan remains, strain, add 3 (or 0.5) he of Sheng Di Huang Zhi (Succus Radix Rehmanniae Recens), boil for 1-2 boils, and take warm at any time.
For Shi Qi Bing with persistent residual heat that occurs irregularly, constipation, and dry stool, Da Huang Wan (Rhubarb Pill) is indicated.
Ingredients: Chuan Da Huang (Rhizoma Rhei Preparata, 2 liang, crushed and lightly stir-fried), Chai Hu (Radix Bupleuri Preparata, radix removed), Huang Qin (Radix Scutellariae Preparata), Huang Lian (Rhizoma Coptidis Preparatus, whiskers removed), Bai Xian Pi (Cortex Dictamni Preparatus), Zhi Zi Ren (Fructus Gardeniae Preparatus), Qin Jiao (Radix Gentianae Macrophyllae Preparata, radix removed), Long Dan (Radix Gentianae Preparata, rhizome removed), Chi Shao Yao (Radix Paeoniae Rubra Preparata), Da Ma Ren (Semen Cannabis Preparatum, pounded separately into a paste, each of the above 1 liang).
Preparation and Administration: Pulverize the above ingredients. Mix with refined honey to form pills the size of wutong seeds. Take 30 pills at any time, administered with Zhu Ye Tang (Bamboo Leaf Decoction), until bowel movement is unobstructed.
For Shi Qi Bing with persistent residual heat, vexation, thirst, weakness in the four limbs, and inability to eat or drink, Chai Hu Wan (Bupleurum Pill) is indicated.
Ingredients: Chai Hu (Radix Bupleuri Preparata, radix removed), Jie Geng (Radix Platycodonis Preparata, rhizome removed), Zi Qin (Radix Scutellariae Preparata), Chi Shao Yao (Radix Paeoniae Rubra Preparata), Huang [Qin] (Radix Scutellariae Preparata, crushed), Zhi Ke (Fructus Aurantii Preparatus, bran-fried until slightly yellow and albedo removed), Bie Jia (Carapax et Plastrum Testudinis Preparatus, vinegar-fried until slightly yellow and skirt removed), Ren Shen (Radix Ginseng Preparata, rhizome removed). (Each of the above 1 liang), Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Crush and sieve the above ingredients. Mix with refined honey to form pills the size of wutong seeds. Take 30 pills at any time, administered with warm water.
Another prescription:
Crush Niubang Gen (Radix Arctii Preparata) and press to extract juice. Take one small zhan at any time.