（附论）
夫时气病烦者。由阴气少。阳气多。故身热而烦躁也。其毒瓦斯在心上而烦躁者。则令人
闷而欲呕。若其人胃内有燥结而烦躁者。或则谵语。时绕脐痛。其腹胀满。皆当察其证候而
治之也。
方
竹叶汤（出圣惠方）治时气表里未解。烦躁不可忍者。
竹叶（二两） 石膏（二两） 麦门冬（半两去心） 半夏（半两汤浸七次去滑） 人
参（半两
去芦头） 甘草（一分炙微赤锉） 陈橘皮（一分汤洗去白瓤焙） 生姜（半两） 上细锉。
和匀。
每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。
犀角散（出圣惠方）治时气头目烦疼。心神躁壅。大小便不利。宜服。
犀角屑（五钱） 防风（五钱炙微赤锉） 槟榔（一两） 川升麻（一两） 秦艽（一
两去苗）
木通（一两锉） 白藓皮（一两） 甘草（半两炙微赤锉） 川麻硝（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。
大黄散（出圣惠方）治时气表里如火。烦躁欲死。宜服。
川大黄（半两锉碎微炒） 寒水石（五钱） 川升麻（五钱） 石膏（五钱） 川芒硝
（半两）
甘草（半两炙赤锉） 葛根（五钱） 上为散。每服不计时候。以新汲水调下二钱。
水解散（出圣惠方）治时气烦躁。头痛壮热。宜服。
大黄散（出圣惠方）治时气头痛壮热不解。心神烦躁。宜服。
川大黄（五钱锉碎微炒） 黄连（五钱去须） 麦门冬（一两去心） 栀子仁（五钱锉）
柴胡
（一两去苗） 甘草（半两炙微赤锉） 上为散。每服五钱。以水一大盏。入豉半合。葱白
二茎。
煎至五分。去滓。不计时候。温服。
苦参散（出圣惠方）治时气壮热不解。心神烦闷。毒瓦斯在胸膈。宜服。
苦参（一两锉） 黄芩（一两） 川升麻（二两） 上为散。每服五钱。以水一大盏。
煎至五
分。去滓。不计时候。温服。频服。当吐为效。
治时气已五六日。心神烦躁不解。（出圣惠方）
竹沥（半小盏） 新汲水（半小盏） 上相和。搅令匀。不计时候。顿服。
又方（出圣惠方）
用大地龙二条。破腹去泥。细切似小豆大。小便一中盏。煮令熟。去滓。不计时候。温
服。
又方（出圣惠方）
鸡子清（一枚） 芒硝末（一钱） 上以新汲水半盏。调服。一方用新汲水三合。调服。
竹叶汤 治烦躁而渴不止。恶寒。但热盛者。崔氏常用亦佳。不徒疗天行。凡虚
羸病。及病后胸上痰热者。服之皆妙。
黄芩（一两） 枣（十五枚擘） 甘草（一两） 半夏（一两洗） 芍药（三两） 前
胡（一两）
小麦（五合） 人参（二两） 粳米（一升） 知母（二两） 麦门冬（四合去心） 竹叶
（一把入水
煮汤用） 栝蒌（一两） 生姜（四两） 上切。以水一斗五升。煮取五升。分五服。若天
行而
虚羸久病。胸上痰热亦可服之。加黄 二两。除黄芩。减知母一两。除栝蒌。用之大效。忌
羊肉、海藻、菘菜。
救生散 治疫疠病。壮热烦躁。头痛体疼。
人参（五钱） 五味子（五钱） 白术（五钱） 麻黄（去根节三两） 桂（去粗皮二
两） 浓朴
（去粗皮姜汁炙二两） 大黄（炙锉二两） 附子（麸炒去皮尖） 甘草（炙各二两） 上
捣罗为
散。每服三钱匕。新汲水调下。后用熟水嗽口。良久吃生姜热茶一盏投。以绵被覆之。如阳
毒汗出。阴毒泻下。立瘥。
治时气表里大热欲死方。
大黄 寒水石 芒硝 石膏 升麻 麻黄 葛根 紫葛 上捣筛。水服方寸匕。
发汗麻黄汤 治天行壮热烦闷。
麻黄（五两去节） 葛根（四两） 栀子（二十枚擘） 葱（切一升） 香豉（一升绵
裹） 上
咀。以水八升。先煮麻黄、葛根二味。沸去沫。纳诸药。煎二升五合。去滓。分为三服。如
人行五十里更进一服。不利。覆取汗。后以粉粉身。忌风及诸热食。
葛根解肌汤（出肘后方）
葛根（四两） 芍药（二两） 麻黄（一两去节） 大青（一两） 甘草（一两炙） 黄
芩（一
两） 石膏（一两研） 大枣（四枚擘） 桂心（一两） 上切。以水五升。煮取二升。分
温三服。
相次服之。覆取汗瘥。忌海藻、菘菜。
治天行病心闷（出本草）
以水中细草捣烂。绞汁服之。
治时气热毒。心神烦躁。（出肘后方）
取生杼木。削去黑皮。细切。里白者一升。以水二升五合。去滓。一服八合。三服。
又方（出肘后方）
取术丸子二七枚。以水五升。 之。热去滓。食服。汗吐即愈。
又方（出肘后方）
取古钱一百五十七枚。以水一斗。煮取七升。服汁尽之。须臾复以五升水。更煮令得一
升。以水二升投中。合得三升。出钱饮汁。当吐毒出也。
又方（出肘后方）
取猪胆膏如弹子大者。温服之。日三服。三日九服。
胜金方（出肘后方）治时气疾热病。狂言心躁。
用苦参不拘多少。炒黄色为末。每服二钱。水一盏。煎至五分。温服。连煎三服者。有
汗无汗皆瘥。
治天行病心闷（出本草）
以络石草煎服。
治时气五六日。心神烦躁不解。
用竹沥半盏。新汲水半盏。和匀服之。
(Attached Discussion)
The manifestation of irritability (Fan, 烦) in seasonal warm diseases (Shiqi Bing, 时气病) is caused by a deficiency of Yin Qi (Yin Qi, 阴气) and an excess of Yang Qi (Yang Qi, 阳qi). Consequently, the body becomes hot and irritable. If the pathogenic toxic factors (Duwa, 毒瓦) reside in the Heart (Xin, 心), it causes chest oppression and a desire to vomit. If there are dry accumulations in the Stomach (Wei, 胃) leading to irritability, symptoms may include delirious speech (Chanyu, 谵语), pain surrounding the umbilicus, and abdominal fullness. All these conditions require careful examination of the syndrome patterns (Zhenghou, 证候) for treatment.
Formulas
Zhuye Tang (Bamboo Leaf Decoction) [from *Shenghui Fang*]: Treats seasonal warm diseases where exterior and interior pathogens remain unresolved, characterized by unbearable irritability.
Ingredients: Zhuye (Bamboo Leaves, 2 liang), Shigao (Gypsum Fibrosum, 2 liang), Maimendong (Ophiopogonis Radix, 0.5 liang, heart removed), Banxia (Pinelliae Rhizoma, 0.5 liang, soaked in decoction seven times to remove slipperiness), Renshen (Ginseng Radix, 0.5 liang, radix removed), Gancao (Licorice Root, 1 fen, roasted until slightly red and crushed), Chenjupi (Aged Tangerine Peel, 1 fen, washed to remove white pith and dried), Shengjiang (Fresh Ginger, 0.5 liang).
Preparation and Administration: Finely chop and mix uniformly. Take 0.5 liang per dose, add one large cup of water, boil down to 0.5 parts, strain, and take warm at any time.
Xijiao San (Rhinoceros Horn Powder) [from *Shenghui Fang*]: Treats seasonal warm diseases causing headache and eye pain with irritability, mental restlessness and obstruction, and difficulty in urination and defecation.
Ingredients: Xijiaoxie (Hornis Rhinocerotis, 5 qian), Fangfeng (Saposhnikoviae Radix, 5 qian, roasted until slightly red and crushed), Binglang (Arecae Semen, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Qinjiao (Gentianae Macrophyllae Radix, 1 liang, buds removed), Mutong (Akebiae Caulis, 1 liang, crushed), Baixianpi (Dictamni Cortex, 1 liang), Gancao (Licorice Root, 0.5 liang, roasted until slightly red and crushed), Chuan Maxiao (Natrii Sulfas, 2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, add one large cup of water and 0.5 part of fresh ginger, boil down to 0.5 parts, strain, and take warm at any time.
Dahuang San (Rhubarb Powder) [from *Shenghui Fang*]: Treats seasonal warm diseases with intense heat in both exterior and interior, causing severe irritability bordering on death.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, crushed and lightly stir-fried), Hanshuishi (Halloysitum Rubrum, 5 qian), Chuan Shengma (Cimicifugae Rhizoma, 5 qian), Shigao (Gypsum Fibrosum, 5 qian), Chuan Mangxiao (Natrii Sulfas, 0.5 liang), Gancao (Licorice Root, 0.5 liang, roasted until red and crushed), Gegen (Puerariae Lobatae Radix, 5 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose mixed with newly drawn cold water, at any time.
Shuijie San (Water-Resolving Powder) [from *Shenghui Fang*]: Treats seasonal warm diseases causing irritability, headache, and high fever.
Dahuang San (Rhubarb Powder) [from *Shenghui Fang*]: Treats seasonal warm diseases causing persistent headache and high fever with mental irritability.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 5 qian, crushed and lightly stir-fried), Huanglian (Coptidis Rhizoma, 5 qian, whiskers removed), Maimendong (Ophiopogonis Radix, 1 liang, heart removed), Zhizi Ren (Gardeniae Fructus, 5 qian, crushed), Chaihu (Bupleuri Radix, 1 liang, buds removed), Gancao (Licorice Root, 0.5 liang, roasted until slightly red and crushed).
Preparation and Administration: Grind into powder. Take 5 qian per dose, add one large cup of water, 0.5 he of fermented soybean (Chi, 豉), and two stalks of scallion white (Congbai, 葱白). Boil down to 0.5 parts, strain, and take warm at any time.
Kushen San (Sophora Root Powder) [from *Shenghui Fang*]: Treats seasonal warm diseases with persistent high fever, mental irritability and oppression, and toxic factors residing in the chest and diaphragm.
Ingredients: Kushen (Sophorae Flavescentis Radix, 1 liang, crushed), Huangqin (Scutellariae Radix, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 2 liang).
Preparation and Administration: Grind into powder. Take 5 qian per dose, add one large cup of water, boil down to 0.5 parts, strain, and take warm frequently at any time. Emetic effect indicates efficacy.
Treatment for seasonal warm disease lasting five to six days with unresolved mental irritability [from *Shenghui Fang*]:
Zhuli (Bamboo Sap, 0.5 small cup), Xinji Shui (Newly Drawn Cold Water, 0.5 small cup). Mix well and take in one dose at any time.
Another Prescription [from *Shenghui Fang*]:
Take two earthworms (Dadi Long, 大地龙), slit open, clean the mud, cut finely into pieces the size of small beans. Add one cup of urine, boil until cooked, strain, and take warm at any time.
Another Prescription [from *Shenghui Fang*]:
One egg white (Jizi Qing, 鸡子清), 1 qian of Mangxiao powder (Mangxiao Mo, 芒硝末). Mix with half a cup of newly drawn cold water and take. Another method uses three he of newly drawn cold water.
Zhuye Tang: Treats irritability with unquenchable thirst, aversion to cold, but predominant excessive heat. Frequently used by Cui Shi with good results. It is not only effective for epidemic seasonal diseases but also excellent for debilitated patients or those with phlegm-heat in the upper chest after illness.
Ingredients: Huangqin (Scutellariae Radix, 1 liang), Zao (Jujubae Fructus, 15 pieces, split), Gancao (Licorice Root, 1 liang), Banxia (Pinelliae Rhizoma, 1 liang, washed), Shaoyao (Paeoniae Radix Alba, 3 liang), Qianhu (Peucedani Radix, 1 liang), Xiaomai (Tritici Fructus, 5 he), Renshen (Ginseng Radix, 2 liang), Jingsmi (Oryza Sativa, 1 sheng), Zhimu (Anemarrhenae Rhizoma, 2 liang), Maimendong (Ophiopogonis Radix, 4 he, heart removed), Zhuye (Bamboo Leaves, 1 handful, boiled with water for decoction), Gualou (Trichosanthis Fructus, 1 liang), Shengjiang (Fresh Ginger, 4 liang).
Preparation and Administration: Chop ingredients. Add 15 sheng of water, boil down to 5 sheng, divide into five doses. For epidemic diseases with chronic debility and phlegm-heat in the upper chest, this formula can be used. Modify by adding 2 liang of Huangqin (replacing original Huangqin), reducing Zhimu by 1 liang, and removing Gualou. This modification is highly effective. Avoid mutton, seaweed, and pak choi.
Jiusheng San (Life-Saving Powder): Treats plague-like diseases with high fever, irritability, headache, and body pain.
Ingredients: Renshen (Ginseng Radix, 5 qian), Wuweizi (Schisandrae Fructus, 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Mahuang (Ephedrae Herba, 3 liang, roots and joints removed), Gui (Cinnamomi Cortex, 2 liang, coarse bark removed), Houpo (Magnoliae Officinalis Cortex, 2 liang, coarse bark removed, roasted with ginger juice), Dahuang (Rhei Radix et Rhizoma, 2 liang, roasted and crushed), Fuzi (Aconiti Lateralis Radix Praeparata, bran-roasted, skin and tips removed), Gancao (Licorice Root, 2 liang, roasted).
Preparation and Administration: Pound and sieve into powder. Take 3 qian bi per dose mixed with newly drawn cold water. Rinse mouth with warm water afterwards. After some time, drink a cup of hot tea with ginger and cover with a cotton quilt. For Yang Du (Yang Toxicity) with sweating, or Yin Du (Yin Toxicity) with diarrhea, recovery is immediate.
Formula for treating seasonal warm disease with extreme heat in exterior and interior bordering on death:
Dahuang (Rhei Radix et Rhizoma), Hanshuishi (Halloysitum Rubrum), Mangxiao (Natrii Sulfas), Shigao (Gypsum Fibrosum), Shengma (Cimicifugae Rhizoma), Mahuang (Ephedrae Herba), Gegen (Puerariae Lobatae Radix), Zi Ge (Pseudognaphalii Herba). Pound and sieve. Take one cun bi with water.
Fahan Mahuang Tang (Sweating Ephedra Decoction): Treats epidemic high fever with irritability and oppression.
Ingredients: Mahuang (Ephedrae Herba, 5 liang, joints removed), Gegen (Puerariae Lobatae Radix, 4 liang), Zhizi (Gardeniae Fructus, 20 pieces, split), Cong (Allii Fistulosi Bulbus, 1 sheng, chopped), Xiangchi (Fermented Soybean, 1 sheng, wrapped in silk).
Preparation and Administration: Chew/crush ingredients. Add 8 sheng of water. First boil Mahuang and Gegen, skim foam when boiling, then add other herbs. Boil down to 2.5 sheng, strain, and divide into three doses. Advance one dose after walking fifty li. If no bowel movement, cover to induce sweating. Apply powder to body afterwards. Avoid wind and hot foods.
Gegen Jiemo Tang (Pueraria Muscle-Relieving Decoction) [from *Zhouhou Fang*]:
Ingredients: Gegen (Puerariae Lobatae Radix, 4 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Mahuang (Ephedrae Herba, 1 liang, joints removed), Daqing (Indigo Naturalis, 1 liang), Gancao (Licorice Root, 1 liang, roasted), Huangqin (Scutellariae Radix, 1 liang), Shigao (Gypsum Fibrosum, 1 liang, ground), Dazao (Jujubae Fructus, 4 pieces, split), Guixin (Cinnamomi Ramulus, 1 liang).
Preparation and Administration: Chop ingredients. Add 5 sheng of water, boil down to 2 sheng, divide into three warm doses. Take sequentially, cover to induce sweating for recovery. Avoid seaweed and pak choi.
Treatment for epidemic disease with chest oppression [from *Bencao*]:
Crush fine aquatic grass, squeeze out juice, and take.
Treatment for seasonal warm disease heat-toxin with mental irritability [from *Zhouhou Fang*]:
Take fresh Shumu (Phoebe wood), scrape off black skin, cut finely. Use 1 sheng of the white inner part, add 2.5 sheng of water, strain. Take 0.8 he per dose, three times daily.
Another Prescription [from *Zhouhou Fang*]:
Take fourteen Awanzi (Atractylodes pills), add 5 sheng of water, boil. Strain while hot, take after meals. Sweating or vomiting leads to cure.
Another Prescription [from *Zhouhou Fang*]:
Take 157 ancient coins, add 1 dou of water, boil down to 7 sheng. Drink all the liquid. Shortly after, use 5 sheng of water to re-boil the coins to obtain 1 sheng of liquid. Add this to the previous liquid to make 3 sheng total. Remove coins and drink the liquid. Vomiting of toxins is expected.
Another Prescription [from *Zhouhou Fang*]:
Take pig bile paste the size of a bullet, take warm. Three times daily, nine doses over three days.
Shengjin Fang (Winning Gold Formula) [from *Zhouhou Fang*]: Treats epidemic febrile diseases with delirium and mental irritability.
Use Kushen (Sophorae Flavescentis Radix) in any amount, stir-fry until yellow, grind to powder. Take 2 qian per dose, add 1 cup of water, boil down to 0.5 parts, take warm. Taking three consecutive doses cures regardless of sweating.
Treatment for epidemic disease with chest oppression [from *Bencao*]:
Decoct Luoshi Cao (Trachelospermi Caulis) and take.
Treatment for seasonal warm disease lasting five to six days with unresolved mental irritability:
Mix 0.5 cup of Zhuli (Bamboo Sap) with 0.5 cup of Xinji Shui (Newly Drawn Cold Water) and take.