夫心者火也。心主于血。阳气盛则血并于阳。热邪攻于心络。则心神烦乱。或咏或歌。
或言
狂也
治热病。伏热在心。精神恍惚。发狂。不得睡卧。宜服犀角散方。
犀角屑（半两） 茵陈（三分） 茯神（二两） 赤芍药（一两） 栀子仁（半两） 麦
门冬（一
两去心） 生干地黄（二两） 人参（一两半去芦头） 白藓皮（一两）
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。
治热病。壅热发狂。心忪惊悸。宜服人参散方。
人参（三分去芦头） 犀角屑（半两） 甘草（半两炙微赤锉） 黄芩（半两） 远志
（半两）
秦艽（半两去苗） 地骨皮（半两） 沙参（半两去芦头）
上件药。捣筛为散。每服五钱。以水一中盏。煎至五分。去滓。下竹沥一合。搅令匀。
不计时候。温服。
治热病。发汗后。热毒未尽。因有所惊。发热癫狂。宜服羚羊角散方。
羚羊角屑（半两） 犀角屑（半两） 茯神（半两） 龙齿（一两） 铁粉（一两） 黄
芩（半两）
甘草（半两炙微赤锉） 防风（半两去芦头） 地骨皮（三分） 人参（一两去芦头）
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。
治热病发狂。心热烦闷。多惊。不得卧睡。宜服茯神散方。
茯神（三分） 犀角屑（半两） 龙齿（一两） 川升麻（半两） 麦门冬（一两去心）
玄参（
半两） 甜甘根（一两锉） 黄芩（三分） 黄连（一两去须）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。下朴硝一钱。地黄汁一
合。搅令匀。不计时候。温服。
治热病。盛发黄。皮肤如金色。小便赤涩。大便不通。口干烦渴。闷乱发狂。宜
服大青
大青（半两） 黄药（半两） 川朴硝（半两） 川大黄（半两锉碎微炒） 羚羊角屑
（半两）
土瓜根（半两） 栀子仁（半两） 秦艽（半两去苗） 甘草（半两炙微赤锉）
上件药。捣细罗为散。不计时候。以冷蜜水调下二钱。以利为度。
治热病。已得汗。热不解。腹满胀痛。烦躁发狂。宜服柴胡散方。
柴胡（一两去苗） 川大黄（三分锉碎微炒） 黄芩（三分） 赤芍药（三分） 枳壳
（半两麸
炒微黄去瓤） 半夏（三分汤浸七遍去滑）
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。
治热病。毒热在脏。心神狂乱。壮热烦躁。不得睡卧。宜服朱砂丸方。
朱砂（一两细研） 太阴玄精（半两） 牛黄（半两） 紫石英（一两细研水飞过） 白
石英（
一两
不灰
木（一
上件药。都研令细。用牛胆汁和。丸如樱桃大。不计时候。以新汲水嚼下一丸。
治热病。心神恍惚。悲喜不恒。发狂欲走。宜服铁粉丸方。
铁粉（半两细研） 牛黄（半两细研） 金箔（三七片细研） 银箔（三七片细研） 麝
香（一
分细
神（半
两）
上件药。捣筛为散。同研令匀。炼蜜和捣三五百杵。丸如梧桐子大。不计时候。以薄荷
汤下二十丸。
治热病发狂。心神恍惚。宜服牛黄丸方。
牛黄（半两细研） 虎睛（一对酒浸微炙） 茯神（一两） 石膏（一两细研） 川升
麻（三分）
麦门冬（一两去心） 玄参（三分） 生干地黄（一两） 铁粉（一两细研）
上件药。捣罗为末。同研令匀。炼蜜和丸。如梧桐子大。不计时候。以荆芥汤下二十丸
治热病。心气热盛。恍惚不定。发狂。妄有所见。宜服天竹黄丸方。
天竹黄（三分） 牛黄（一分细研） 朱砂（三分细研水飞过） 麝香（一分细研） 黄
连（一
两去
齿（三分）
茯
上件药。捣罗为末。都令匀。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以荆芥汤
。或薄荷汤。嚼下十丸。
治热病。热毒攻心。胸躁闷。发狂方。\x
鸡子（二枚清） 川朴硝（半两）
上件药。相和。以新汲水一小盏。熟调顿服之。
The Heart belongs to Fire. The Heart governs Blood. When Yang Qi is excessive, Blood merges with Yang and circulates in the Yang aspect. Pathogenic Heat attacks the collaterals of the Heart, causing mental restlessness and confusion. Patients may chant or sing, or speak wildly and irrationally.
For treating febrile diseases where latent heat lingers in the Heart, leading to spiritual trance, mania, and inability to sleep, it is appropriate to take Xijiao San (Rhinoceros Horn Powder).
Ingredients: Xi Jiao Xie (Horn of Rhinoceros, processed into flakes) (ban liang), Yin Chen (Artemisiae Scopariae Herba) (san fen), Fushen (Poria with Hostwood) (liang liang), Chi Shaoyao (Radix Paeoniae Rubra) (yi liang), Zhizi Ren (Gardeniae Fructus) (ban liang), Maimendong (Ophiopogonis Radix, dehearted) (yi liang), Sheng Gan Dihuang (Rehmanniae Radix, fresh/dried) (liang liang), Renshen (Ginseng Radix et Rhizoma, de-radicle) (yi liang ban), Baixianpi (Acanthopanacis Cortex) (yi liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take five qian per dose. Add one da zhen of water and thirty-seven slices of Zhu Ye (Bambusae Folium). Decoct until only half a zhen remains. Strain the dregs. Take warm at any time.
For treating febrile diseases characterized by obstructive heat causing mania, accompanied by palpitations and fright, it is appropriate to take Renshen San (Ginseng Powder).
Ingredients: Renshen (Ginseng Radix et Rhizoma, de-radicle) (san fen), Xi Jiao Xie (Horn of Rhinoceros, processed into flakes) (ban liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and chopped) (ban liang), Huangqin (Scutellariae Radix) (ban liang), Yuanzhi (Polygalae Radix) (ban liang), Qinjiao (Gentianae Macrophyllae Radix, de-radicle) (ban liang), Digupi (Lycii Cortex) (ban liang), Shashen (Adenophorae Radix or Glehniae Radix, de-radicle) (ban liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take five qian per dose. Add one zhong zhen of water. Decoct until only half a zhen remains. Strain the dregs. Add one he of Zhuli (Bambusae Caulis in Taenia). Stir well. Take warm at any time.
For treating febrile diseases where, after sweating, pathogenic heat toxins are not fully cleared, and due to fright, fever and epilepsy-manic symptoms occur, it is appropriate to take Lingyangjiao San (Antelope Horn Powder).
Ingredients: Lingyangjiao Xie (Horn of Antelope, processed into flakes) (ban liang), Xi Jiao Xie (Horn of Rhinoceros, processed into flakes) (ban liang), Fushen (Poria with Hostwood) (ban liang), Longchi (Dent Draconis or Os Draconis) (yi liang), Tifen (Ferrum Pulveratum) (yi liang), Huangqin (Scutellariae Radix) (ban liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and chopped) (ban liang), Fangfeng (Saposhnikoviae Radix, de-radicle) (ban liang), Digupi (Lycii Cortex) (san fen), Renshen (Ginseng Radix et Rhizoma, de-radicle) (yi liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients to make a powder. Take five qian per dose. Add one da zhen of water. Decoct until only half a zhen remains. Strain the dregs. Take warm at any time.
For treating febrile disease with mania, heart-heat causing vexation and oppression, frequent fright, and insomnia, it is appropriate to take Fushen San (Poria Powder).
Ingredients: Fushen (Poria with Hostwood) (san fen), Xi Jiao Xie (Horn of Rhinoceros, processed into flakes) (ban liang), Longchi (Dent Draconis or Os Draconis) (yi liang), Chuan Shengma (Bupleuri Radix or Cimicifugae Rhizoma - specifically Chuan Shengma usually refers to Cimicifugae or Bupleuri depending on context, here likely Cimicifugae for clearing heat) (ban liang), Maimendong (Ophiopogonis Radix, dehearted) (yi liang), Xuanshen (Scrophulariae Radix) (ban liang), Tiangan Gen (Radix Glycyrrhizae or similar sweet root, often synonymous with Gancao but distinct in some texts, here likely referring to a specific sweet root) (yi liang, chopped), Huangqin (Scutellariae Radix) (san fen), Huanglian (Coptidis Rhizoma, de-fibers) (yi liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take three qian per dose. Add one zhong zhen of water. Decoct until only half a zhen remains. Strain the dregs. Add one qian of Puxiao (Natrii Sulfas) and one he of Dihuang Zhi (Jujubae Fructus juice or Rehmanniae juice). Stir well. Take warm at any time.
For treating febrile disease with severe yellowing of the complexion, skin appearing golden-yellow, dark and scanty urination, constipation, dry mouth with thirst, mental confusion and mania, it is appropriate to take Daqing San (Isatidis Root Powder).
Ingredients: Daqing (Isatidis Radix) (ban liang), Huang Yao (likely referring to a yellow herb, possibly Huangqin or similar, text says "Huang Yao") (ban liang), Chuan Puxiao (Natrii Sulfas) (ban liang), Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-fried) (ban liang), Lingyangjiao Xie (Horn of Antelope, processed into flakes) (ban liang), Tugua Gen (Trichosanthes Kirilowii Radix or similar wild melon root) (ban liang), Zhizi Ren (Gardeniae Fructus) (ban liang), Qinjiao (Gentianae Macrophyllae Radix, de-radicle) (ban liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and chopped) (ban liang).
Preparation and Administration: Finely crush and sieve the above ingredients to make a powder. Take two qian mixed with cold honey water at any time. Stop when bowel movement is relieved.
For treating febrile disease where sweat has occurred but heat persists, accompanied by abdominal fullness and pain, irritability and mania, it is appropriate to take Chaihu San (Bupleuri Powder).
Ingredients: Chaihu (Bupleuri Radix, de-radicle) (yi liang), Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-fried) (san fen), Huangqin (Scutellariae Radix) (san fen), Chi Shaoyao (Radix Paeoniae Rubra) (san fen), Zhiqiao (Aurantii Fructus, bran-roasted until slightly yellow, pith removed) (ban liang), Banxia (Pinelliae Rhizoma, soaked in water seven times to remove slipperiness) (san fen).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take five qian per dose. Add one da zhen of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens). Decoct until only half a zhen remains. Strain the dregs. Take warm at any time.
For treating febrile disease where toxic heat accumulates in the Zang organs, causing mental madness, high fever, irritability, and insomnia, it is appropriate to take Zhusha Wan (Cinnabar Pill).
Ingredients: Zhusha (Cinnabaris, finely ground) (yi liang), Taiyin Xuanjing (Natron or specific mineral salt) (ban liang), Niuhuang (Bovaris Calculus) (ban liang), Zhi Shiyuan (Pyritum, finely ground and washed with water) (yi liang), Bai Shiyuan (Quartzum Album, yi liang), Bu Huimu (Asbestus or similar fire-resistant mineral, text fragmentary) (yi liang).
Preparation and Administration: Grind all ingredients to fine powder. Mix with Niu Danzhi (Bovis Bile Juice). Form pills the size of cherries. Take one pill chewed with fresh well-water at any time.
For treating febrile disease with spiritual trance, emotional instability (crying or laughing uncontrollably), mania, and urge to run, it is appropriate take Tiefen Wan (Iron Powder Pill).
Ingredients: Tiefen (Ferrum Pulveratum, finely ground) (ban liang), Niuhuang (Bovaris Calculus, finely ground) (ban liang), Jinbo (Folium Aurum, thirty-seven pieces, finely ground), Yinbo (Folium Argentum, thirty-seven pieces, finely ground), Shexiang (Moschus, one fen, finely ground), Fushen (Poria with Hostwood, ban liang - *Note: Text fragmentary, assuming standard ingredient*).
Preparation and Administration: Crush and sieve the ingredients, grind together uniformly. Mix with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take twenty pills with Bohe Tang (Menthae Haplocalycis Herba decoction) at any time.
For treating febrile disease with mania and spiritual trance, it is appropriate to take Niuhuang Wan (Bovaris Calculus Pill).
Ingredients: Niuhuang (Bovaris Calculus, finely ground) (ban liang), Hu Jing (Tigris Oculum, wine-soaked and lightly roasted) (yi dui), Fushen (Poria with Hostwood) (yi liang), Shigao (Gypsum Fibrosum, finely ground) (yi liang), Chuan Shengma (Cimicifugae Rhizoma or Bupleuri Radix) (san fen), Maimendong (Ophiopogonis Radix, dehearted) (yi liang), Xuanshen (Scrophulariae Radix) (san fen), Sheng Gan Dihuang (Rehmanniae Radix, fresh/dried) (yi liang), Tiefen (Ferrum Pulveratum, finely ground) (yi liang).
Preparation and Administration: Crush and sieve into powder, grind uniformly. Mix with refined honey and form pills the size of Sophora seeds. Take twenty pills with Jingjie Tang (Schizonepetae Spica decoction) at any time.
For treating febrile disease with excessive Heart-Heat, spiritual trance, mania, and hallucinations, it is appropriate to take Tianzhu Huang Wan (Bambusa Massa in Lignum Pill).
Ingredients: Tianzhu Huang (Bambusa Massa in Lignum) (san fen), Niuhuang (Bovaris Calculus, one fen, finely ground), Zhusha (Cinnabaris, san fen, finely ground and water-washed), Shexiang (Moschus, one fen, finely ground), Huanglian (Coptidis Rhizoma, yi liang, de-fibers). *Note: Text fragmentary regarding other ingredients like "Chi" (Teeth/Horn) and "Fu" (Poria).*
Preparation and Administration: Crush and sieve into powder, mix uniformly. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take ten pills chewed with Jingjie Tang (Schizonepetae Spica decoction) or Bohe Tang (Menthae Haplocalycis Herba decoction) at any time.
For treating febrile disease where heat-toxin attacks the Heart, causing chest restlessness and oppression, and mania:
Ingredients: Ji Zi Qing (Egg White) (two), Chuan Puxiao (Natrii Sulfas) (ban liang).
Preparation and Administration: Mix well. Add one small zhen of fresh well-water. Stir thoroughly and take in one dose.