凡伤寒热毒内盛。多发 疮者。以病患里实表虚故也。里实。则毒瓦斯不能内消。表虚。
故乘虚发于肌内。而成疮也。其病大小形如豌豆。其色或白或赤。若头作瘭浆。载白脓者。
其毒则轻。若紫黑色作根。根在肌肉里者。其毒则重。甚则周匝遍身。五内七窍皆有也。夫
表虚里实。热毒内盛。攻于脏腑。余气流于肌肉。遂于皮肤毛孔之中。结成此疮。重者匝遍
其身。状如火疮。若根赤头白。则毒轻。若色紫黑。则毒重。其疮形如豌豆。亦名豌豆疮。
脉洪数者。是其候也。
方
黄连饮子 治伤寒毒瓦斯未散。发豌豆疮。
黄连（一两去须） 糯米（一合） 寒水石（三两） 上捣筛。以水二大盏。煎至一盏
半。去
滓。不计时候。分温服。
大青散 治伤寒壮热。头痛。发疮如豌豆遍身。
大青 栀子仁 川大黄（锉碎微炒） 犀角屑 川升麻 甘草（炙微赤锉以上各一两） 上
为散。每服五钱。以水一大盏。煎至五分。去滓。温服。不计时候。
治伤寒热毒未解。欲生豌豆疮。发热疼痛。宜服解肌出汗方。
葛根（一两锉） 石膏（二两） 麻黄（一两去根节） 黄芩（半两） 赤芍药（半两）
桂心
（半两） 甘草（半两炙微赤锉） 上捣为细散。每服不计时候。以暖酒调下二钱。并三服。
衣
盖取汗。
治伤寒病发豌豆疮。未成脓。初觉。宜服。（出圣惠方）
黄连（一两去须） 上捣碎。以水一大盏。煎至六分。去滓。不计时候。放温顿服。便
消。
不成脓也。
又方（出圣惠方）
用好蜜遍磨疮上。亦可以蜜煎升麻摩之。并数数服之。
又方（出圣惠方）
木香（半两） 上捣碎。以水一大盏。煎至六分。去滓。顿服之。
治伤寒发豌豆疮。欲出。宜服。
甘草（一两炙微赤锉） 上捣碎。以水一大盏。煎至六分。去滓。任食前后。细细服之。
以防疮出。如已出。即不服。
又方（出圣惠方）
用清油一小盏服之。即不生。
又方（出圣惠方）
用生羊血一小盏。频服。即不生。牛血亦得。
又方（出圣惠方）
牛乳（四两） 酥（一两） 上先暖乳。令微沸。即下酥。酥消尽。便空腹温温频服。
即不
生。
治伤寒病壮热头痛。发疮如豌豆遍身。
猪胆（一枚） 上以醋半小盏。合胆汁煎一沸。放温。为一服。不计时候。
治伤寒白头疮。四边赤肿。欲发豌豆疮。（出圣惠方）
麻黄（一两去根节） 川大黄（一两锉碎微炒） 上锉。和匀。每服半两。水一大盏。
煎至
五分。去滓。不计时候。温服。良久。
治伤寒发豌豆疮。未作脓方。（一名青黛一物汤出圣惠方）
用青黛一两。细研。以新汲水。不计时候。调下一钱。
石膏汤（出圣济总录）治伤寒天行。壮热头痛。发疮如豌豆。
石膏（碎二两） 柴胡（去苗） 虎杖（各一两） 知母（焙半两） 芍药（一两） 山
栀子仁
（三分） 上捣筛。每服五钱。水一盏半。煎至八分。去滓。温服。
参麻汤（出圣济总录）治伤寒热病生豌豆。并 疮。烦渴昏迷。
玄参（一两） 升麻（三分） 犀角（镑半两） 干蓝叶（一两） 甘草（炙锉三分） 上
捣筛。
每服五钱匕。水一盏半。入葱白三寸。豉一百粒。同煎至一盏。去滓。温服。日二。
二黄汤（出圣济总录）治伤寒天行热病。毒瓦斯稍盛。生豌豆并 疮。烦躁昏
迷。
大黄（锉炒半两） 黄芩（去黑心） 麦门冬（焙去心） 芍药（各一两） 甘草（炙
锉三分）
大青（半两） 上捣筛。每服五钱。水一盏半。煎至八分。去滓。温服。
治伤寒发豌豆疮。四边赤肿方。（出圣济总录）
胡荽（一握） 生地黄（一两） 上细切。捣绞取汁。空心顿服。一盏计。
升麻汤（出圣济总录）治伤寒热盛。发豌豆疮。
升麻（半两） 大黄（锉碎微炒一两） 黄连（去须） 甘草（炙锉各三两） 山栀子
仁（一两）
上捣筛。每服三钱。水一盏。煎至七分。去滓。温服。日二。
犀角汤（出圣济总录）治伤寒热毒瓦斯盛。发疮如豌豆。
犀角（镑二两） 麻黄（去根节） 黄连（去须各半两） 木香（一两） 上捣筛。每
服五钱。
水一盏半。煎至八分。去滓。温服。
大青汤（出圣济总录）治伤寒天行。壮热头痛。发疮如豌豆遍身。
大青（一两） 山栀子仁 犀角（镑各半两） 上捣筛。每服三钱。水一盏。入豉一百
粒。
煎至七分。去滓。温服。
牡丹汤（出圣济总录）治伤寒热毒。发疮如豌豆。
牡丹皮 山栀子仁 黄芩（去黑心） 大黄（锉炒） 木香 麻黄（去根节） 上等分。
锉如
麻豆大。每服三钱。水一盏。煎至七分。去滓。温服。
化毒汤（出圣济总录）治伤寒发斑豌豆疮。欲出。
甘草（微炙一两） 黄连（去须微炒一分） 上锉如麻豆大。每服五钱。水一盏半。煎
至七
分。去滓。温服。不计时候。
内消散（出圣济总录）治伤寒热病。欲生豌豆疮。毒未出。令不成。
用墨一分。以酒二合磨。令顿服之。
紫草饮（出圣济总录）治伤寒热病生 疮。烦躁迷闷。
用紫草并根。细锉二两。捣筛。每服三钱。水一盏。煎至七分。去滓。不计时候。温服。
竹叶汤 治伤寒时气。发疮如豌豆。烦闷。
苦竹叶（切） 小麦（各二两） 石膏（碎三两） 上捣筛。每服五钱。水一盏半。煎
至一盏。
去滓。温服。不计时候。
龙脑丸（出圣济总录）治伤寒时疾发豌豆疮。赤疮子未透。心烦狂躁。气喘妄
语。或见神鬼
用龙脑一钱。细研。旋滴猪心血和丸。如鸡头实大。每服一丸。紫草汤化下。少时心神
便定。得睡。疮复发透。根据常将息。遂安。
黑散子（出圣济总录）治伤寒热病。初出豌豆疮三五个。便服此。令疮不出。
用腊月猪粪。以新砂瓶子盛。瓦盖口。炭火烧令通赤。取出安地上。出火毒。入乳钵研
细。每服。空心。新汲水调一钱匕。
紫草汤（出圣济总录）治伤寒发斑疹豌豆疮。
紫草 荆芥 恶实（等分） 上捣筛。每服三钱。水一盏。煎至七分。去滓。温服。
晋中书令王 。伤寒身验方。
用桦皮。浓煮汁。冷冻饮料。主伤寒时行。热毒发疮。特良。今之豌豆疮也。
治伤寒发豌豆疮。未成脓。（出千金方）
用芒硝。以猪胆相和。涂疮上。立效。（出千金方。痂落无痕。仍用黄土抹上。良。）
木香散（出活人书）治疮。烦痛者。
青木香（一两） 薰陆香 矾石 丁香（各一两） 麝香（半两） 上 咀。以水四升。
煮取
一升半。分再服。热毒盛者。加犀角一两。无犀角。以升麻代。病轻者。去矾石。神验。
治豌豆疮。初发觉欲作脓者方。\x（出千金方）
用煮大黄五两。服之。愈。
Whenever the pathogenic heat-toxin is exuberant internally in Taiyang disease (Taiyang syndrome), sores often erupt. This is due to the patient having excess internally and deficiency externally. When there is internal excess, the toxic factors cannot be resolved internally; when there is external deficiency, the pathogens take advantage of this deficiency to emerge into the muscles and skin, resulting in sores. The lesions vary in size but resemble peas in shape, with colors ranging from white to red. If the head forms a pustule containing white pus, the toxicity is mild. If the lesion is purple-black with roots embedded deep within the muscle tissue, the toxicity is severe. In extreme cases, they may cover the entire body, affecting the five zang organs and the seven orifices. Due to external deficiency and internal excess, with exuberant heat-toxin attacking the zang-fu organs, residual pathological flow moves into the muscles, eventually forming these sores within the pores of the skin. Severe cases cover the whole body, resembling fire blisters. If the base is red and the head is white, the toxicity is mild; if the color is purple-black, the toxicity is severe. These sores resemble peas and are also called "pea sores" (variola). A surging and rapid pulse indicates this condition.
Formulas:
Huanglian Yinzi (Coptis Decoction): Treats Taiyang disease where toxic factors have not dispersed, causing pea sores.
Coptidis Rhizoma (1 liang, remove stamens), Glutinis Oryzae Semen (1 he), Hanshuishi (3 liang). Pound and sieve the above ingredients. Add two large bowls of water, decoct until one and a half bowls remain. Strain. Take warm doses at any time.
Daqing San (Isatidis Powder): Treats high fever and headache in Taiyang disease, with pea-like sores all over the body.
Baphicacanthi Cuspidis Folium et Radix, Gardeniae Fructus, Rhei Radix et Rhizoma (crushed and lightly stir-fried), Cornu Rinocerotis (shaved), Cimicifugae Rhizoma, Glycyrrhizae Radix et Rhizoma (roasted until slightly red and crushed, each 1 liang). Grind into powder. Take 5 qian per dose, decocted in one large bowl of water until reduced to one-fifth. Strain and take warm. At any time.
For Taiyang disease where heat-toxin has not resolved and pea sores are about to appear, accompanied by fever and pain, use Jieji Hanwu Fang (Muscle-Releasing Sweating Formula).
Puerariae Radix (1 liang, sliced), Gypsum Fibrosum (2 liang), Ephedrae Herba (1 liang, remove root ends), Scutellariae Radix (0.5 liang), Paeoniae Radix Rubra (0.5 liang), Cinnamomi Cortex (0.5 liang), Glycyrrhizae Radix et Rhizoma (0.5 liang, roasted until slightly red and crushed). Pound into fine powder. Take 2 qian mixed with warm wine at any time. Complete three doses. Cover with clothing to induce sweating.
For Taiyang disease with pea sores that have not yet suppurated, taken at the first sign: (From *Shenghui Fang*)
Coptidis Rhizoma (1 liang, remove stamens). Pound and crush. Decoct in one large bowl of water until reduced to six-tenths. Strain. Take warm in one dose at any time. This resolves the sores before suppuration occurs.
Another prescription (From *Shenghui Fang*):
Apply good-quality honey evenly over the sores. Alternatively, decoct honey with Cimicifugae Rhizoma and apply. Consume frequently.
Another prescription (From *Shenghui Fang*):
Aquilariae Lignum Resinatum (0.5 liang). Pound and crush. Decoct in one large bowl of water until reduced to six-tenths. Strain and take in one dose.
For Taiyang disease with pea sores about to erupt:
Glycyrrhizae Radix et Rhizoma (1 liang, roasted until slightly red and crushed). Pound and crush. Decoct in one large bowl of water until reduced to six-tenths. Strain. Take slowly before or after meals to prevent sores from appearing. Do not take if they have already erupted.
Another prescription (From *Shenghui Fang*):
Take one small bowl of refined oil. This prevents sores from forming.
Another prescription (From *Shenghui Fang*):
Take one small bowl of fresh sheep blood frequently. Cow blood is also effective.
Another prescription (From *Shenghui Fang*):
Bovis Lac (4 liang), Butter (1 liang). First warm the milk until it barely boils, then add butter. Once melted, take warm frequently on an empty stomach. This prevents sores from forming.
For Taiyang disease with high fever, headache, and pea-like sores all over the body:
Suis Vesica Bile (one piece). Mix with half a small bowl of vinegar and boil once. Let cool to warm temperature. Take as one dose. At any time.
For white-headed sores in Taiyang disease, with red swelling around the edges, indicating impending pea sores: (From *Shenghui Fang*)
Ephedrae Herba (1 liang, remove root ends), Rhei Radix et Rhizoma (1 liang, crushed and lightly stir-fried). Slice and mix evenly. Take 0.5 liang per dose, decocted in one large bowl of water until reduced to one-fifth. Strain and take warm at any time. Wait some time.
Formula for Taiyang disease with pea sores that have not yet formed pus. (Also known as Qingdai Yi Wu Tang, From *Shenghui Fang*):
Use Indigo Naturalis (1 liang), finely ground. Mix with fresh well-water and take 1 qian at any time.
Shigao Tang (Gypsum Decoction) (From *Shengji Zonglu*): Treats epidemic Taiyang disease with high fever, headache, and pea-like sores.
Gypsum Fibrosum (crushed, 2 liang), Bupleuri Radix (remove seedlings), Polygoni Cuspidati Rhizoma et Radix (each 1 liang), Anemarrhenae Rhizoma (roasted, 0.5 liang), Paeoniae Radix Alba (1 liang), Gardeniae Fructus (0.3 liang). Pound and sieve. Take 5 qian per dose, decocted in one and a half bowls of water until reduced to eight-tenths. Strain and take warm.
Canma Tang (Scrophularia and Ephedra Decoction) (From *Shengji Zonglu*): Treats pea sores and [smallpox] in febrile diseases of Taiyang origin, with irritability, thirst, and coma.
Scrophulariae Radix (1 liang), Cimicifugae Rhizoma (0.3 liang), Cornu Rinocerotis (shaved, 0.5 liang), Isatidis Folium (dry, 1 liang), Glycyrrhizae Radix et Rhizoma (roasted and crushed, 0.3 liang). Pound and sieve. Take 5 qian per dose, add three cun of Allii Fistulosi Bulbus and 100 grains of Fermented Sojae Semen (dark), decoct together in one and a half bowls of water until reduced to one bowl. Strain and take warm. Twice daily.
Erhuang Tang (Two Yellows Decoction) (From *Shengji Zonglu*): Treats epidemic febrile diseases of Taiyang origin where toxic factors are slightly intense, causing pea sores and [smallpox], with restlessness and coma.
Rhei Radix et Rhizoma (stir-fried, 0.5 liang), Scutellariae Radix (remove black heart), Ophiopogonis Tuber (roasted, remove core), Paeoniae Radix Alba (each 1 liang), Glycyrrhizae Radix et Rhizoma (roasted and crushed, 0.3 liang), Baphicacanthi Cuspidis Folium et Radix (0.5 liang). Pound and sieve. Take 5 qian per dose, decocted in one and a half bowls of water until reduced to eight-tenths. Strain and take warm.
Formula for red swelling around pea sores in Taiyang disease: (From *Shengji Zonglu*)
Coriandri Fructus (one handful), Rehmanniae Radix Recens (1 liang). Finely chop, pound, and squeeze to extract juice. Take in one bowl on an empty stomach.
Shengma Tang (Cimicifuga Decoction) (From *Shengji Zonglu*): Treats excessive heat in Taiyang disease causing pea sores.
Cimicifugae Rhizoma (0.5 liang), Rhei Radix et Rhizoma (crushed and lightly stir-fried, 1 liang), Coptidis Rhizoma (remove stamens), Glycyrrhizae Radix et Rhizoma (roasted and crushed, each 3 liang), Gardeniae Fructus (1 liang). Pound and sieve. Take 3 qian per dose, decocted in one bowl of water until reduced to seven-tenths. Strain and take warm. Twice daily.
Xijiao Tang (Rhinoceros Horn Decoction) (From *Shengji Zonglu*): Treats exuberant heat-toxin in Taiyang disease causing pea-like sores.
Cornu Rinocerotis (shaved, 2 liang), Ephedrae Herba (remove root ends), Coptidis Rhizoma (remove stamens, each 0.5 liang), Aquilariae Lignum Resinatum (1 liang). Pound and sieve. Take 5 qian per dose, decocted in one and a half bowls of water until reduced to eight-tenths. Strain and take warm.
Daqing Tang (Isatidis Decoction) (From *Shengji Zonglu*): Treats epidemic Taiyang disease with high fever, headache, and pea-like sores all over the body.
Baphicacanthi Cuspidis Folium et Radix (1 liang), Gardeniae Fructus, Cornu Rinocerotis (shaved, each 0.5 liang). Pound and sieve. Take 3 qian per dose, add 100 grains of Fermented Sojae Semen (dark) to one bowl of water, decoct until reduced to seven-tenths. Strain and take warm.
Mudan Tang (Tree Peony Decoction) (From *Shengji Zonglu*): Treats heat-toxin in Taiyang disease causing pea-like sores.
Moutan Cortex, Gardeniae Fructus, Scutellariae Radix (remove black heart), Rhei Radix et Rhizoma (crushed and stir-fried), Aquilariae Lignum Resinatum, Ephedrae Herba (remove root ends). Equal parts. Slice like hemp seeds. Take 3 qian per dose, decocted in one bowl of water until reduced to seven-tenths. Strain and take warm.
Huadu Tang (Toxin-Resolving Decoction) (From *Shengji Zonglu*): Treats macules and pea sores in Taiyang disease that are about to erupt.
Glycyrrhizae Radix et Rhizoma (lightly roasted, 1 liang), Coptidis Rhizoma (remove stamens, lightly stir-fried, 0.1 liang). Slice like hemp seeds. Take 5 qian per dose, decocted in one and a half bowls of water until reduced to seven-tenths. Strain and take warm. At any time.
Neixiaosan (Internal Dissipation Powder) (From *Shengji Zonglu*): Treats febrile diseases in Taiyang where pea sores are desired to form but toxins have not emerged, preventing their formation.
Use Ink Stick (1 fen), grind with two he of wine, and take in one dose.
Zicao Yin (Arnebia Decoction) (From *Shengji Zonglu*): Treats [smallpox] sores in febrile diseases of Taiyang origin, with restlessness and confusion.
Use Arnebiae Radix et Rhizoma including roots, finely sliced (2 liang), pounded and sieved. Take 3 qian per dose, decocted in one bowl of water until reduced to seven-tenths. Strain and take warm. At any time.
Zhuye Tang (Bamboo Leaf Decoction): Treats epidemic Qi in Taiyang disease, causing pea-like sores and oppression.
Bitter Bamboo Leaves (cut), Tritici Semen (each 2 liang), Gypsum Fibrosum (crushed, 3 liang). Pound and sieve. Take 5 qian per dose, decocted in one and a half bowls of water until reduced to one bowl. Strain and take warm. At any time.
Longnao Wan (Borneol Pills) (From *Shengji Zonglu*): Treats pea sores in epidemic diseases of Taiyang origin, where red sores have not fully erupted, accompanied by mental agitation, mania, panting, delirious speech, or hallucinations.
Use Borneolum Syntheticum (1 qian), finely ground. Mix freshly with Suis Cor Blood to form pills the size of chicken heads. Take one pill per dose, dissolved in Zicao Tang. After a short while, the mind settles, sleep ensues, and sores re-emerge and penetrate. Rest normally thereafter, and peace will return.
Heisanzi (Black Powder) (From *Shengji Zonglu*): Treats febrile diseases in Taiyang where only three or five pea sores have initially appeared. Take this immediately to prevent further eruption.
Use pig feces from the twelfth lunar month. Store in a new clay bottle, cover with tile, and burn with charcoal until red hot. Remove and place on the ground to eliminate fire toxicity. Grind finely in a mortar. Take one qian mixed with fresh well-water on an empty stomach.
Zicao Tang (Arnebia Decoction) (From *Shengji Zonglu*): Treats macules, rashes, and pea sores in Taiyang disease.
Arnebiae Radix et Rhizoma, Schizonepetae Spica, Arctii Fructus (equal parts). Pound and sieve. Take 3 qian per dose, decocted in one bowl of water until reduced to seven-tenths. Strain and take warm.
Prescription verified by Wang Shuhe, Jin Dynasty Minister of Central Records, for Taiyang disease.
Decoct Birch Bark (Betulae Placenta) thick, cool the liquid, and drink cold. It treats epidemic Taiyang disease and heat-toxin sores. It is particularly effective. This refers to modern pea sores (variola).
For pea sores in Taiyang disease that have not yet suppurated: (From *Qianjin Fang*)
Use Mirabilite, mix with Pig Gallbladder Bile, and apply to the sores. Immediate effect. (From *Qianjin Fang*: If scabs fall off without scars, apply yellow earth, which is beneficial.)
Muxiang San (Aquilaria Powder) (From *Heren Shu*): Treats sores with irritability and pain.
Blue Aquilaria Wood (1 liang), Frankincense, Alum, Clove Bud (each 1 liang), Moschus (0.5 liang). Coarsely crush. Decoct in four sheng of water until reduced to one and a half sheng. Divide into two doses. For intense heat-toxin, add 1 liang of Cornu Rinocerotis; if unavailable, substitute with Cimicifugae Rhizoma. For mild illness, remove Alum. Highly effective.
Formula for pea sores just beginning to show signs of suppuration: (From *Qianjin Fang*)
Take 5 liang of boiled Rhei Radix et Rhizoma. Cure achieved.