（附论）
夫时气病。其人或未发汗吐下。或经服药已后。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。
方
大黄散（出圣惠方）治时气余热不退。发渴躁闷。宜服。
川大黄（锉碎微炒一两） 栀子仁（一两） 犀角屑（一两） 麦门冬（去心一两） 黄
连（去
须一两） 地骨皮（一两） 甘草（炙微赤锉一两） 黄芩（一两） 柴胡（去苗一两） 白
藓皮（一
两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治时气余热不退。心膈时发烦躁。宜服。
麦门冬（去心一两） 犀角屑（一两） 竹茹（一两） 石膏（一两） 黄芩（一两） 川
大黄
（一两锉碎微炒） 川朴硝（一两） 甘草（炙微赤锉一两） 上为散。每服五钱。以水一
大盏。
煎至五分。去滓。不计时候。温服。
解肌散（出圣惠方）治时气五七日。头重。余热不解。宜服。
葛根（一两锉） 柴胡（一两去苗） 麻黄（三分去根节） 赤芍药（五钱） 黄芩（五
钱） 甘
草（五钱炙微赤锉） 桂心（五钱） 石膏（二两） 上为散。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。
知母散（出圣惠方）治时气三五日。余热不解。心躁烦渴。宜服。
知母（三分） 川升麻（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） 上为散。每服五钱。以水一大盏。入生
姜三
七片。煎至五分。去滓。不计时候。温服。
犀角散（出圣惠方）治时气余热不解。心烦躁渴。表里虚。宜服。
犀角（一两） 葛根（一两锉） 麻黄（一两去根节） 黄芩（三分） 甘草（炙微赤
锉五钱）
上为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
麻黄散（出圣惠方）治时气余热不解。身体疼痛。宜服。
赤芍药（二分） 麻黄（三分去根节） 柴胡（去苗一两） 赤茯苓（三分） 地骨皮
（三分）
人参（一两去芦头） 上为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治时气余热不解。心膈壅闷。四肢烦热。宜服。
川芒硝（一两） 麦门冬（一两去心） 栀子仁（三分） 枳壳（三分麸炒微黄） 黄
芩（三分）
甘草（五钱炙微赤锉） 上为散。每服五钱。以水一中盏。入竹叶七片。煎至五分。去滓。
不
计时候。温服。
又方（出圣惠方）
大青（三分锉去心） 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） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计
时候。
温服。
葛根散（出圣惠方）治时气余热不解。头重。宜服。
葛根（一两锉） 赤芍药（一两） 黄芩（一两） 栀子仁（一两） 豉（二合） 上
为散。每服
五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气十数日。余热不解。或时发寒热。宜服方。（出圣惠方）
葳蕤（一两） 柴胡（一两去苗） 羚羊角屑（三分） 石膏（一两五钱） 黄芩（一
两） 甘草
（五钱炙微赤锉） 上为散。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。
栝蒌根散（出圣惠方）治时气余热不退。
栝蒌根（一两） 柴胡（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（一两涂酥炙金黄色去裙 ） 上为散。每服四钱。以水一中盏。煎至五分。
去
滓。入生地黄汁半合。更煎一两沸。不计时候。温服。
大黄丸（出圣惠方）治时气余热不退。发渴不止。大便秘涩。宜服。
川大黄（三两锉碎微炒） 柴胡（去苗一两） 黄芩（一两） 黄连（去须一两） 白
藓皮（一
两） 栀子仁（一两） 秦艽（去苗一两） 龙胆（去芦头一两） 赤芍药（一两） 麻黄
（一两）
上为末。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。
柴胡丸（出圣惠方）治时气余热不退。烦躁发渴。四肢无力。不能饮食。
柴胡（去苗一两） 桔梗（去芦头一两） 子芩（一两） 赤芍药（一两） 黄 （一
两锉） 枳
壳（麸炒微黄去瓤一两） 鳖甲（涂酥炙金黄色去裙 一两） 人参（去芦头一两） 甘草
（五钱
炙微赤锉） 上为末。炼蜜和丸如梧桐子大。每服不计时候。用温水下三十丸。
治时疾内外热不解。（出本草）
以柴胡单煮服之。良。
生地黄汤 治天行二七日外。至三七日不歇。或寒或热。来去翕翕四肢羸瘦。饮
食不能。腹中虚满。热毒不安。
生地黄（汁一升） 生麦门冬（汁一升） 赤蜜（一升） 人参（二两） 白术（三两）
桂心
（一两） 甘草（二两炙） 升麻（三两） 薄荷（一升） 石膏（八两碎绵裹） 生地骨
皮（四两）
上细切。以水九升。煮诸药取二升。去滓。下地黄汁。更煎三两沸。分温五服。昼四夜一。
忌芜荑、生葱、海藻、菘菜、桃、李、雀肉等物。
鳖甲汤 治天行三七日至四七日。劳痛未歇。热毒不止。乍寒乍热。乍剧乍瘥。
发动如疟。
鳖甲（三两炙） 大青（二两） 石膏（八两碎绵裹） 牡丹皮（二两） 乌梅肉（一
两） 常山
（三两） 竹叶（切一升） 牛膝根（三两） 甘草（一两） 香豉（一升绵裹） 上切。
以水九升。
煮取三升。分三剂。温服。日三服。忌生葱、生菜、鲤鱼、海藻、菘菜、苋菜、芜荑等。一
方有生天门冬、生地黄各一升。
治时气余热不解。烦躁发渴。四肢无力。不能饮食。（出圣惠方）
用牛蒡根搏绞取汁。不计时候。服一小盏。
治天行壮热（出本草）
以陈思岌煮服之。
治天行热疾（出本草）
以石蟹熟水磨服之。
治天行寒热（出本草）
取蓝麸子。干捣为末食之。
治天行时气内外俱热（出本草）
以前胡单煮服之。
(Attached Discussion)
In Shi Qi disease (Seasonal Epidemic Disease), some patients have not yet undergone sweating, vomiting, or purging treatments, or after taking medicine, present with a pulse that is surging, full, firm, and rapid; abdominal distension and fullness in the intestines and stomach; dark yellow urine; and difficult defecation. There may be irritability or thirst, and the facial complexion turns red. This is due to accumulated heat in the fu and zang organs.
Prescriptions
Dahuang San (Cassia Root Powder) (from *Shenghui Fang*): Treats persistent residual heat in Shi Qi disease, manifesting as thirst, restlessness, and oppression. It is suitable for use.
Chuan Dahuang (Rhizoma Rhei Preparata, 1 liang, crushed and lightly stir-fried), Zhizi Ren (Fructus Gardeniae Praeparatus, 1 liang), Xijiao Xie (Cornu Rhinocerotis Preparatum, 1 liang), Maimendong (Radix Ophiopogonis Preparated, 1 liang, heart removed), Huanglian (Rhizoma Coptidis Preparated, 1 liang, whiskers removed), Digupi (Cortex Lycii Preparated, 1 liang), Gancao (Radix Glycyrrhizae Preparated, 1 liang, roasted until slightly red and crushed), Huangqin (Radix Scutellariae Preparated, 1 liang), Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Baixianpi (Cortex Dictamni Preparated, 1 liang). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Maimendong San (Ophiopogon Root Powder) (from *Shenghui Fang*): Treats persistent residual heat in Shi Qi disease, with intermittent irritability in the chest and diaphragm. It is suitable for use.
Maimendong (Radix Ophiopogonis Preparated, 1 liang, heart removed), Xijiao Xie (Cornu Rhinocerotis Preparatum, 1 liang), Zhuru (Caulis Bambusae in Taenia Preparated, 1 liang), Shigao (Gypsum Fibrosum Preparated, 1 liang), Huangqin (Radix Scutellariae Preparated, 1 liang), Chuan Dahuang (Rhizoma Rhei Preparata, 1 liang, crushed and lightly stir-fried), Chuan Puxiao (Natrii Sulfas Preparated, 1 liang), Gancao (Radix Glycyrrhizae Preparated, 1 liang, roasted until slightly red and crushed). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Jieji San (Muscle-Relieving Powder) (from *Shenghui Fang*): Treats Shi Qi disease occurring five to seven days after onset, characterized by heavy head and unresolved residual heat. It is suitable for use.
Gegen (Puerariae Radix Preparated, 1 liang, crushed), Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Mahuang (Herba Ephedrae Preparated, 3 fen, roots and joints removed), Chi Shaoyao (Radix Paeoniae Rubra Preparated, 5 qian), Huangqin (Radix Scutellariae Preparated, 5 qian), Gancao (Radix Glycyrrhizae Preparated, 5 qian, roasted until slightly red and crushed), Guixin (Cortex Cinnamomi Preparated, 5 qian), Shigao (Gypsum Fibrosum Preparated, 2 liang). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water with 0.5 part of fresh ginger until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Zhimu San (Anemarrhenae Rhizome Powder) (from *Shenghui Fang*): Treats Shi Qi disease occurring three to five days after onset, with unresolved residual heat, mental restlessness, irritability, and thirst. It is suitable for use.
Zhimu (Rhizoma Anemarrhenae Preparated, 3 fen), Chuan Shengma (Rhizoma Cimicifugae Preparated, 3 fen), Gouteng (Uncariae Ramulus cum Uncis Preparated, 1 liang), Digupi (Cortex Lycii Preparated, 3 fen), Chi Fuling (Poria Cum Pinode Preparated, 3 fen), Maimendong (Radix Ophiopogonis Preparated, 3 fen, heart removed), Shigao (Gypsum Fibrosum Preparated, 1 liang), Gancao (Radix Glycyrrhizae Preparated, 1 fen, roasted until slightly red and crushed). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water with three to seven slices of fresh ginger until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*): Treats unresolved residual heat in Shi Qi disease, with mental irritability, thirst, and deficiency in both exterior and interior. It is suitable for use.
Xijiao (Cornu Rhinocerotis Preparatum, 1 liang), Gegen (Puerariae Radix Preparated, 1 liang, crushed), Mahuang (Herba Ephedrae Preparated, 1 liang, roots and joints removed), Huangqin (Radix Scutellariae Preparated, 3 fen), Gancao (Radix Glycyrrhizae Preparated, 5 qian, roasted until slightly red and crushed). The above ingredients are processed into a powder. Each dose consists of 4 qian, decocted in one medium cup of water until reduced to 0.6 cup. Strain and discard the dregs. Take warm at any time.
Mahuang San (Ephedra Decoction Powder) (from *Shenghui Fang*): Treats unresolved residual heat in Shi Qi disease, accompanied by body pain. It is suitable for use.
Chi Shaoyao (Radix Paeoniae Rubra Preparated, 2 fen), Mahuang (Herba Ephedrae Preparated, 3 fen, roots and joints removed), Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Chi Fuling (Poria Cum Pinode Preparated, 3 fen), Digupi (Cortex Lycii Preparated, 3 fen), Renshen (Radix Ginseng Preparated, 1 liang, rhizomes removed). The above ingredients are processed into a powder. Each dose consists of 4 qian, decocted in one medium cup of water until reduced to 0.6 cup. Strain and discard the dregs. Take warm at any time.
Maimendong San (Ophiopogon Root Powder) (from *Shenghui Fang*): Treats unresolved residual heat in Shi Qi disease, with stagnation and oppression in the chest and diaphragm, and vexatious heat in the four limbs. It is suitable for use.
Chuan Mangxiao (Natrii Sulfas Preparated, 1 liang), Maimendong (Radix Ophiopogonis Preparated, 1 liang, heart removed), Zhizi Ren (Fructus Gardeniae Preparated, 3 fen), Zhiqiao (Fructus Aurantii Preparated, 3 fen, bran-roasted until slightly yellow), Huangqin (Radix Scutellariae Preparated, 3 fen), Gancao (Radix Glycyrrhizae Preparated, 5 qian, roasted until slightly red and crushed). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one medium cup of water with seven bamboo leaves until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Another Prescription (from *Shenghui Fang*)
Daqing (Indigo Naturalis Preparated, 3 fen, crushed and heart removed), Zhiqiao (Fructus Aurantii Preparated, 3 fen, bran-roasted until slightly yellow and pith removed), Gancao (Radix Glycyrrhizae Preparated, 1 fen, roasted until slightly red and crushed), Chuan Shengma (Rhizoma Cimicifugae Preparated, 1 liang), Huangqin (Radix Scutellariae Preparated, 3 fen), Chuan Puxiao (Natrii Sulfas Preparated, 1 liang). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Gegen San (Kudzu Root Powder) (from *Shenghui Fang*): Treats unresolved residual heat in Shi Qi disease, characterized by a heavy head. It is suitable for use.
Gegen (Puerariae Radix Preparated, 1 liang, crushed), Chi Shaoyao (Radix Paeoniae Rubra Preparated, 1 liang), Huangqin (Radix Scutellariae Preparated, 1 liang), Zhizi Ren (Fructus Gardeniae Preparated, 1 liang), Chi (Semen Sojae Preparatum, 2 he). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Prescription for treating Shi Qi disease lasting ten-plus days with unresolved residual heat, or intermittent chills and fever. (from *Shenghui Fang*)
Weirui (Rhizoma Polygonati Preparated, 1 liang), Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Lingyangjiao Xie (Cornu Saigae Tataricae Preparatum, 3 fen), Shigao (Gypsum Fibrosum Preparated, 1.5 liang), Huangqin (Radix Scutellariae Preparated, 1 liang), Gancao (Radix Glycyrrhizae Preparated, 5 qian, roasted until slightly red and crushed). The above ingredients are processed into a powder. Each dose consists of 5 qian, decocted in one large cup of water with 0.5 part of fresh ginger until reduced to 0.5 cup. Strain and discard the dregs. Take warm at any time.
Gualougen San (Trichosanthes Root Powder) (from *Shenghui Fang*): Treats persistent residual heat in Shi Qi disease.
Gualougen (Radix Trichosanthis Preparated, 1 liang), Chaihu (Radix Bupleuri Preparated, 3 fen, sprouts removed), Digupi (Cortex Lycii Preparated, 1 liang), Zhiqiao (Fructus Aurantii Preparated, 0.5 liang, bran-roasted until slightly yellow and pith removed), Chi Fuling (Poria Cum Pinode Preparated, 1 liang), Biejia (Carapax et Plastrum Testudinis Preparated, 1 liang, coated with butter, roasted until golden yellow, and skirt removed). The above ingredients are processed into a powder. Each dose consists of 4 qian, decocted in one medium cup of water until reduced to 0.5 cup. Strain and discard the dregs, add 0.5 he of Shengdihuang juice (Radix Rehmanniae Recens Juice), and boil for one more minute. Take warm at any time.
Dahuang Wan (Cassia Root Pill) (from *Shenghui Fang*): Treats persistent residual heat in Shi Qi disease, unceasing thirst, and constipation with dry stool. It is suitable for use.
Chuan Dahuang (Rhizoma Rhei Preparata, 3 liang, crushed and lightly stir-fried), Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Huangqin (Radix Scutellariae Preparated, 1 liang), Huanglian (Rhizoma Coptidis Preparated, 1 liang, whiskers removed), Baixianpi (Cortex Dictamni Preparated, 1 liang), Zhizi Ren (Fructus Gardeniae Preparated, 1 liang), Qinjiao (Radix Gentiana Macrophyllae Preparated, 1 liang, sprouts removed), Longdan (Radix et Rhizoma Gentianae Preparated, 1 liang, rhizomes removed), Chi Shaoyao (Radix Paeoniae Rubra Preparated, 1 liang), Mahuang (Herba Ephedrae Preparated, 1 liang). The above ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take thirty pills at any time, washed down with Zhu Ye Tang (Bamboo Leaf Decoction), until bowel movement is achieved.
Chaihu Wan (Bupleurum Pill) (from *Shenghui Fang*): Treats persistent residual heat in Shi Qi disease, with irritability, thirst, weakness in the four limbs, and inability to eat.
Chaihu (Radix Bupleuri Preparated, 1 liang, sprouts removed), Jiegeng (Radix Platycodonis Preparated, 1 liang, rhizomes removed), Ziqin (Radix Scutellariae Preparated, 1 liang), Chi Shaoyao (Radix Paeoniae Rubra Preparated, 1 liang), Huang [Qin] (Radix Scutellariae Preparated, 1 liang, crushed), Zhiqiao (Fructus Aurantii Preparated, 1 liang, bran-roasted until slightly yellow and pith removed), Biejia (Carapax et Plastrum Testudinis Preparated, 1 liang, coated with butter, roasted until golden yellow, and skirt removed), Renshen (Radix Ginseng Preparated, 1 liang, rhizomes removed), Gancao (Radix Glycyrrhizae Preparated, 5 qian, roasted until slightly red and crushed). The above ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take thirty pills at any time, washed down with warm water.
To treat internal and external heat in epidemic diseases not resolving. (from *Bencao*)
Decoct Chaihu (Radix Bupleuri Preparated) alone and take it. Effective.
Shengdihuang Tang (Rehmannia Root Decoction): Treats Tianxing disease (Epidemic Disease) from the second seven-day period onwards, continuing through the third seven-day period without cessation. Symptoms include alternating chills and fever, coming and going, with emaciated and weak four limbs, inability to eat, abdominal fullness due to deficiency, and unease caused by heat toxicity.
Shengdihuang juice (Radix Rehmanniae Recens Juice, 1 sheng), Sheng Maimendong juice (Radix Ophiopogonis Recens Juice, 1 sheng), Chi Mi (Red Honey, 1 sheng), Renshen (Radix Ginseng Preparated, 2 liang), Baizhu (Rhizoma Atractylodis Macrocephalae Preparated, 3 liang), Guixin (Cortex Cinnamomi Preparated, 1 liang), Gancao (Radix Glycyrrhizae Preparated, 2 liang, roasted), Shengma (Rhizoma Cimicifugae Preparated, 3 liang), Bohe (Herba Menthae Preparated, 1 sheng), Shigao (Gypsum Fibrosum Preparated, 8 liang, crushed and wrapped in cotton), Sheng Digupi (Cortex Lycii Preparated, 4 liang). The above ingredients are finely chopped. Decoct in nine sheng of water until two sheng remain. Strain and discard the dregs, add the Rehmannia juice, and boil for three boils. Divide into five warm doses: four during the day and one at night. Avoid Wu Yi (Meliosma Fruit), raw scallion, Seaweed, Songcai (Chinese Cabbage), peach, plum, and sparrow meat.
Biejia Tang (Turtle Shell Decoction): Treats Tianxing disease from the third to fourth seven-day periods, where labor-induced pain has not ceased, heat toxicity persists, with alternating chills and fever, fluctuating severity, resembling malaria attacks.
Biejia (Carapax et Plastrum Testudinis Preparated, 3 liang, roasted), Daqing (Indigo Naturalis Preparated, 2 liang), Shigao (Gypsum Fibrosum Preparated, 8 liang, crushed and wrapped in cotton), Mudanpi (Cortex Moutan Preparated, 2 liang), Wumei Rou (Fructus Mume Preparated, 1 liang), Changshan (Rhizoma Dichroae Preparated, 3 liang), Zhuye (Folium Bambusae Preparated, 1 sheng, sliced), Niuxigen (Radix Achyranthis Bidentatae Preparated, 3 liang), Gancao (Radix Glycyrrhizae Preparated, 1 liang), Xiangchi (Semen Sojae Preparatum, 1 sheng, wrapped in cotton). The above ingredients are chopped. Decoct in nine sheng of water until three sheng remain. Divide into three doses, take warm, three times daily. Avoid raw scallion, raw vegetables, carp, seaweed, Chinese cabbage, amaranth, and Wu Yi. Another formula includes Sheng Tianmendong (Radix Asparagi Recens) and Sheng Dihuang (Radix Rehmanniae Recens), each 1 sheng.
To treat unresolved residual heat in Shi Qi disease, with irritability, thirst, weakness in the four limbs, and inability to eat. (from *Shenghui Fang*)
Use Niu Bang Gen (Radix Arctii Preparated) pounded and squeezed to extract juice. Take one small cup at any time.
To treat high fever in Tianxing disease. (from *Bencao*)
Decoct Chen Si Ji (aged seed of Perilla) and take it.
To treat hot epidemic disease. (from *Bencao*)
Grind Shi Xie (Freshwater Crab) in cooked water and take the paste.
To treat chills and fever in Tianxing disease. (from *Bencao*)
Take Lan Fu Zi (bran of Isatis leaf), dry, pound into powder, and ingest.
To treat internal and external heat in Tianxing seasonal epidemics. (from *Bencao*)
Decoct Qian Hu (Radium Peucedani Preparated) alone and take it.