夫热病在表。或未发汗。或已发汗吐下之后。表证未解。毒瓦斯不散。烦热而渴。得水不
能饮。表虚里实。故身体斑状如锦文也。
治心肺脏热。毒攻于皮肤。遍生赤斑。重者其色紫黑。宜服解毒香豉饮子方。
香豉（二两） 石膏（三两） 栀子仁（一两） 大青（一两） 川升麻（一两） 川
芒硝（一两）
甘草（半两生用） 川大黄（一两锉碎微炒）
上件药。细锉拌和令匀。每服半两。用水一大盏。入生姜半分。葱白七寸。煎至五分。
去滓。不计时候。温服。
治热病目赤。烦躁狂语。坐卧不得。身生赤斑。宜服犀角散方。
犀角屑（半两） 川大黄（三分锉碎微炒） 龙胆（半两去芦头） 黄芩（一两） 人
参（半两
去芦头） 甘草（半两生用） 不灰木（一两以羊粪火焙为灰细锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹叶二七片。煎至六分。去滓。不计
时候。温服。
治热病发斑。宜服茵陈散方。
茵陈（二两） 川大黄（一两锉碎微炒） 玄参（一两） 栀子仁（一分） 甘草（半
两生用）
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。
治热病发斑。解毒。宜服牛黄散方。
牛黄（半两细研） 人参（一两去芦头） 栀子仁（三分） 川升麻（半两） 甘草（三
分生用）
川大黄（一两锉碎微炒） 槟榔（半两） 木香（一分） 犀角屑（一分） 羚羊角屑（一
分）
上件药。捣细罗为散。每服。不计时候。煎竹叶汤下二钱。
治热病。温毒大疫发斑。宜服生地黄膏方。
生地黄（半斤切） 豉（一升） 雄黄（二钱细研） 麝香（二钱细研）
上件药。以猪膏一升（斤）。慢火煎地黄并豉三分。煎至二分。绞去滓。入雄黄麝香。
搅
令匀
即瘥
治热病。毒瓦斯外攻。皮肤斑出。狂乱燥热。宜服解毒犀角散方。
犀角屑（一两） 黄芩（一两） 栀子仁（半两） 大青（二两） 牛黄（半两细研） 马
牙硝（
一两
须） 麝
香（一
上件药。捣细罗为散。每服。不计时候。煎竹叶汤。调下二钱。
治热病发赤斑。心神烦躁。宜服升麻散方。
川升麻（一两） 川大黄（一两锉碎微炒） 甘草（半两生用） 犀角屑（一两） 玄
参（一两）
人参（一两去芦头）
上件药。捣细罗为散。每服。以新汲水调下二钱。日四五服。
治热病。温毒中人。斑出。赤者。五死一生。黑者。十死一生。大疫难救。并宜
服此黑
麻黄（三分去根节） 川大黄（半两锉碎微炒） 川芒硝（一两） 黄芩（一两） 伏
龙肝（一
两） 灶突中墨（一两） 梁上尘（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如弹子大。每服。不计时候。以新汲水研下
一丸。如渴。但饮水。须臾当寒。寒定便汗出即解。如未解。更服一丸。
治热病。热毒斑出。头面遍身。大青散方。
大青（二两） 阿胶（半两捣碎炒令香燥） 豉（一合）
上件药。都以水一大盏半。煎至一盏。去滓。内胶令消。不计时候。分温二服。
治热病。斑疮发头面及身。皆戴白浆方。
上取好蜜。通身摩疮上。亦以蜜煎升麻。数涂之。
又方。
上以水浓煮升麻。绵滤洗之。
治热病斑发。须臾遍身。皆戴白浆。此热毒瓦斯盛方。
右煮葵菜叶。及韭薤。啖之则止。
又方。\x
上以鲜羊血。服三二合即止。初患急服之。
When heat-pathogen is in the exterior, either sweating has not yet been induced, or after sweating, vomiting, or purging have been applied, the exterior syndrome remains unresolved. The toxic qi fails to dissipate, causing vexation, heat, and thirst; even with water available, the patient cannot drink. Due to deficiency in the exterior and excess in the interior, the body develops macules resembling brocade patterns.
To treat heat accumulating in the Heart and Lung viscera, where toxic pathogenic factors attack the skin, causing widespread red macules; in severe cases, the color becomes purple-black. It is appropriate to administer Jiedu Xiangchi Yinzi Decoction (Detoxifying Fermented Soybean Drink).
Fermented Soybean (Xiangchi) (2 liang) Gypsum (Shigao) (3 liang) Gardenia Seed (Zhizi Ren) (1 liang) Indigo Naturalis (Daqing) (1 liang) Bupleurum Root (Chuan Shengma) (1 liang) Mirabilite (Chuan Mangxiao) (1 liang)
Licorice Root (Gancao) (0.5 liang, raw use) Rhubarb (Chuan Dahuang) (1 liang, cut into pieces and lightly stir-fried)
The above herbs are finely cut, mixed evenly. Each dose consists of 0.5 liang, decocted with one large cup of water, adding 0.5 fen of fresh ginger and seven cun of scallion white. Decoct until five parts remain. Strain and discard the dregs. Take warm at any time.
To treat heat disease manifesting as red eyes, restlessness, delirious speech, inability to sit or lie comfortably, and the emergence of red macules on the body. It is appropriate to administer Xijiao San (Rhino Horn Powder).
Rhino Horn Chips (Xijiao Xie) (0.5 liang) Rhubarb (Chuan Dahuang) (3 qian, cut into pieces and lightly stir-fried) Gentian Root (Longdan) (0.5 liang, remove rhizome) Scutellaria Root (Huangqin) (1 liang) Ginseng Root (Renshen) (0.5 liang, remove rhizome) Licorice Root (Gancao) (0.5 liang, raw use) Non-ash Wood (Buhui Mu) (1 liang, baked with sheep dung fire until ash, finely cut)
The above herbs are coarsely ground and sieved to make a powder. Each dose is 3 qian, decocted with one medium cup of water, adding fourteen leaves of Bamboo Leaf (Zhuye). Decoct until six parts remain. Strain and discard the dregs. Take warm at any time.
To treat heat disease with macule eruption. It is appropriate to administer Yincheng San (Artemisia Capillaris Powder).
Artemisia Capillaris (Yincheng) (2 liang) Rhubarb (Chuan Dahuang) (1 liang, cut into pieces and lightly stir-fried) Scrophularia Root (Xuanshen) (1 liang) Gardenia Seed (Zhizi Ren) (1 fen) Licorice Root (Gancao) (0.5 liang, raw use)
The above herbs are ground and sieved to make a powder. Each dose is 4 qian, decocted with one medium cup of water until six parts remain. Strain and discard the dregs. Take warm at any time.
To treat heat disease with macule eruption, possessing detoxifying properties. It is appropriate to administer Niuhuang San (Calculus Bovis Powder).
Calculus Bovis (Niuhuang) (0.5 liang, finely ground) Ginseng Root (Renshen) (1 liang, remove rhizome) Gardenia Seed (Zhizi Ren) (3 qian) Bupleurum Root (Chuan Shengma) (0.5 liang) Licorice Root (Gancao) (3 qian, raw use)
Rhubarb (Chuan Dahuang) (1 liang, cut into pieces and lightly stir-fried) Areca Seed (Binglang) (0.5 liang) Aucklandia Root (Muxiang) (1 fen) Rhino Horn Chips (Xijiao Xie) (1 fen) Antelope Horn Chips (Lingyangjiao Xie) (1 fen)
The above herbs are finely ground through a sieve to make a powder. For each dose, at any time, take 2 qian administered with decocted Bamboo Leaf Tea.
To treat heat disease, specifically macule eruption caused by warm-toxic epidemic pathogens. It is appropriate to administer Shengdihuang Gao (Rehmannia Paste).
Rehmannia Root (Shengdihuang) (0.5 jin, sliced) Fermented Soybean (Chi) (1 sheng) Realgar (Xionghuang) (2 qian, finely ground) Musk (Shexiang) (2 qian, finely ground)
The above herbs are slow-cooked with one sheng (or jin) of lard. Decoct the Rehmannia and fermented soybean until three-tenths are evaporated, leaving two-tenths. Strain and discard the dregs. Add Realgar and Musk, stir until uniform. The illness will resolve.
To treat heat disease where toxic pathogenic factors attack externally, causing skin macules, mania, agitation, and dry heat. It is appropriate to administer Jiedu Xijiao San (Detoxifying Rhino Horn Powder).
Rhino Horn Chips (Xijiao Xie) (1 liang) Scutellaria Root (Huangqin) (1 liang) Gardenia Seed (Zhizi Ren) (0.5 liang) Indigo Naturalis (Daqing) (2 liang) Calculus Bovis (Niuhuang) (0.5 liang, finely ground) Mirabilite (Mayaxiao) (1 liang) Musk (Shexiang) (a small amount)
The above herbs are finely ground through a sieve to make a powder. For each dose, at any time, take 2 qian administered with decocted Bamboo Leaf Tea.
To treat heat disease manifesting as red macules, with vexation of the heart-mind. It is appropriate to administer Shengma San (Bupleurum Powder).
Bupleurum Root (Chuan Shengma) (1 liang) Rhubarb (Chuan Dahuang) (1 liang, cut into pieces and lightly stir-fried) Licorice Root (Gancao) (0.5 liang, raw use) Rhino Horn Chips (Xijiao Xie) (1 liang) Scrophularia Root (Xuanshen) (1 liang) Ginseng Root (Renshen) (1 liang, remove rhizome)
The above herbs are finely ground through a sieve to make a powder. For each dose, mix 2 qian with freshly drawn cold water. Take four to five times daily.
To treat heat disease where warm-toxic pathogens invade the person, resulting in macule eruption. If the macules are red, mortality is high (five die, one lives); if black, mortality is extremely high (ten die, one lives). Epidemic diseases are difficult to save. All such cases should be treated with this formula.
Black Ephedra Stem (Hei Mahuang) (3 qian, remove roots and joints) Rhubarb (Chuan Dahuang) (0.5 liang, cut into pieces and lightly stir-fried) Mirabilite (Chuan Mangxiao) (1 liang) Scutellaria Root (Huangqin) (1 liang) Dragon's Blood Resin (Fulonggan) (1 liang) Soot from Chimney Flue (Zaotu Zhong Mo) (1 liang) Dust from Roof Beams (Liangshang Chen) (1 liang)
The above herbs are ground into powder, mixed with refined honey, and pounded three to two hundred times. Form pills the size of a bullet. For each dose, at any time, grind one pill in freshly drawn cold water and ingest. If thirsty, drink only water. Soon, chills will occur; once the chills subside, sweating will ensue and the disease will resolve. If unresolved, administer another pill.
To treat heat disease where heat-toxin causes macules covering the head, face, and entire body. Use Daqing San (Indigo Naturalis Powder).
Indigo Naturalis (Daqing) (2 liang) Donkey-hide Gelatin (Ejiao) (0.5 liang, crushed and stir-fried until fragrant and dry) Fermented Soybean (Chi) (1 he)
The above herbs are decocted with one and a half large cups of water until one cup remains. Strain and add the gelatin to dissolve. Take warm in two divided doses at any time.
To treat heat disease where macular sores erupt on the head, face, and body, all containing white pus/fluid at the apex.
Apply good quality honey over the entire body onto the sores. Alternatively, decoct Bupleurum Root (Shengma) in honey and apply it multiple times to the affected area.
Another prescription:
Decoct Bupleurum Root (Shengma) strongly in water, filter through cotton cloth, and wash the affected area.
To treat heat disease macule eruption that spreads rapidly over the whole body, all containing white pus/fluid at the apex. This indicates excessive heat-toxic qi.
Right method: Decoct leaves of Malva Verticillata (Kuicaiye) and leeks/scallions (Jiu Xie), consume them to stop the condition.
Another prescription:
Consume 2-3 he of fresh sheep blood to stop the condition. Administer urgently at the onset of the illness.