（附论）
夫热病四日。太阴受病。太阴者三阴之首也。三阳受病讫。传入于阴。故毒瓦斯入于胸膈。
其病咽喉干。胸腹满。故可吐而愈也。
方
苦参散（出圣惠方）治热病四日。结胸满痛。壮热。身体疼痛。宜服令吐。
苦参（锉） 常山（各半两） 上为散。以水二中盏。煎至一盏。去滓。不计时候。尽
饮之。
当吐即愈。未吐再服。
瓜蒂散（出危氏方）治热病四日。咽喉干而腹满。胸有寒痰当吐。诸亡血、
虚家。不可与服。
瓜蒂（一分） 赤小豆（一两） 上捣粗罗为散。每服二钱。以水一中盏。煎至五分。
去滓。
不计时候。温服。以吐为度。一方、用香豉半合。同煎服。一方、治内伤。为细末。温水调
一钱。以吐为度。如伤之太重。备急丸、独行丸。皆急药也。仓卒无药。糟瓜顿吃。亦一吐。
柴胡散（出圣惠方）治热病四日。壮热。四肢沉重。吃食不下。宜服。
柴胡（去苗） 葛根（锉） 川大黄（锉碎微炒） 石膏 前胡（去芦头） 鳖甲（涂
醋炙微黄
去裙 各一两） 赤芍药 黄芩（各三分） 栀子仁 甘草（炙微赤锉各半两） 川朴硝（一
分）
上粗捣罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
麻黄散（出圣惠方）治热病四日。毒瓦斯内攻。身体痛。壮热头重。烦渴不止
。宜服。
麻黄（去根节） 茵陈 栝蒌根（各一两） 桂心 细辛 柴胡（去苗） 甘草（炙微
赤锉各
半两） 川大黄（三分锉碎微炒） 上粗捣罗为散。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）治热病四日。发汗不瘥。身体壮热。心膈烦闷。不得睡
卧
。宜服。
葛根（锉） 石膏（各二两） 龙胆草（去芦头） 大青 桂心 甘草（炙微赤锉各半
两） 麻
黄（去根节） 葳蕤 赤芍药 黄芩 川升麻（各一两） 上为粗散。每服四钱。以水一大
盏。
煎至五分。去滓。不计时候。温服。
竹茹散（出圣惠方）治热病四日。头痛胸满。食即呕逆。宜服。
竹茹 陈橘皮（汤浸去白瓤焙） 葛根（锉） 人参（去芦头） 芦根（锉各一两） 枇
杷叶
（半两拭去毛炙微黄） 上为散。每服五钱。以水一大盏。入粳米一百粒。生姜半分。煎至
五
分。去滓。不计时候。温服。
人参散（出圣惠方）治热病四日。热毒解后。时来时往。恶寒微热不能食。
宜
服。
人参（去芦头） 知母 枳实（麸炒令微黄） 陈橘皮（汤浸去白瓤炒） 栀子仁 槟
榔甘
草（炙微赤锉各一两） 豉（三两微炒变色） 上为粗散。每服五钱。以水一大盏。煎至五
分。
去滓。不计时候。温服。
(Attached Discussion)
On the fourth day of febrile disease, the Taiyin meridian is affected. The Taiyin meridian is the head of the three Yin meridians. After the pathogenic factors of the three Yang meridians have been exhausted, they transmit into the Yin meridians. Consequently, toxic pathogens enter the chest and diaphragm region.
The symptoms include dryness of the throat and fullness in the chest and abdomen. Therefore, the disease can be cured by inducing vomiting.
Formulas
Kushen San (Bitterroot Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, characterized by Jie Xiong (chest binding with fullness and pain), high fever, and body aches. It is suitable for administration to induce vomiting for recovery.
Radix Sophorae Flavescentis (Kushen, 苦参) [cut], Radix Dichroae (Changshan, 常山) [each half liang]. Grind the above into a powder. Use two medium bowls of water, decoct until one bowl remains, remove the dregs. Drink it all at once, regardless of the time.
Vomiting should occur, after which the patient will recover. If vomiting does not occur, administer again.
Gua Di San (Melon Peduncle Powder), from *Wei Shi Fang*, treats febrile disease on the fourth day, with dryness of the throat and abdominal fullness, and cold phlegm in the chest requiring induction of vomiting. It is contraindicated for patients who have suffered blood loss or are constitutionally deficient.
Fructus Momordicae (Gua Di, 瓜蒂) [one fen], Semen Phaseoli Angularis Rubri (Chi Xiaodou, 赤小豆) [one liang]. Pound the above into a coarse powder. Take two qian per dose. Use one medium bowl of water, decoct until five fen remain, remove the dregs.
Take warm, regardless of the time. Induce vomiting as the limit. Another method: use Fermented Soybean (Xiang Chi, 香豉) half he, decoct together and take. Another formula: treats internal injury, grind into fine powder, mix with warm water to take one qian, inducing vomiting as the limit. If the food stagnation is too severe, Beijii Wan (Emergency Pill) or Duxing Wan (Single-Action Pill) are emergency medicines. In haste without medicine, eating pickled melon can also induce vomiting.
Chaihu San (Bupleurum Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, with high fever, heaviness in the four limbs, and inability to eat. It is suitable for administration.
Radix Bupleuri (Chaihu, 柴胡) [remove seedlings], Radix Puerariae Lobatae (Gegen, 葛根) [cut], Rhizoma et Radix Rhei (Chuan Dahuang, 川大黄) [cut small and lightly stir-fried], Gypsum Fibrosum (Shigao, 石膏), Radix Peucedani (Qianhu, 前胡) [remove rhizome], Carapax et Plastrum Testudinis (Biejia, 鳖甲) [coated with vinegar, roasted until slightly yellow, remove skirt, each one liang], Radix Paeoniae Rubra (Chishao Yao, 赤芍药), Radix Scutellariae (Huangqin, 黄芩) [each three qian], Fructus Gardeniae (Zhizi Ren, 栀子仁), Radix Glycyrrhizae Preparata (Gancao, 甘草) [roasted until slightly red and cut, each half liang], Natrii Sulfas (Chuan Pu Xiao, 川朴硝) [one fen].
Coarsely pound and sieve the above into a powder. Take five qian per dose. Use one large bowl of water, decoct until five fen remain, remove the dregs. Take warm, regardless of the time.
Mahuang San (Ephedra Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, with toxic pathogens attacking internally, body pain, high fever with heavy head, and incessant irritability and thirst. It is suitable for administration.
Herba Ephedrae (Mahuang, 麻黄) [remove roots and joints], Herba Artemisiae Scopariae (Yinchen, 茵陈), Radix Trichosanthis (Gualou Gen, 栝蒌根) [each one liang], Cinnamomi Cortex (Guixin, 桂心), Radix Asari (Xixin, 细辛), Radix Bupleuri (Chaihu, 柴胡) [remove seedlings], Radix Glycyrrhizae Preparata (Gancao, 甘草) [roasted until slightly red and cut, each half liang], Rhizoma et Radix Rhei (Chuan Dahuang, 川大黄) [three qian, cut small and lightly stir-fried]. Coarsely pound and sieve the above into a powder. Take five qian per dose. Use one large bowl of water, decoct until five fen remain, remove the dregs. Take warm, regardless of the time.
Gegen San (Pueraria Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, where sweating has failed to resolve the condition, with high fever in the body, irritability and oppression in the heart and diaphragm, and inability to sleep. It is suitable for administration.
Radix Puerariae Lobatae (Gegen, 葛根) [cut], Gypsum Fibrosum (Shigao, 石膏) [each two liang], Radix Gentianae (Longdan Cao, 龙胆草) [remove rhizome], Lapis Azuritatis (Daqing, 大青), Cinnamomi Cortex (Guixin, 桂心), Radix Glycyrrhizae Preparata (Gancao, 甘草) [roasted until slightly red and cut, each half liang], Herba Ephedrae (Mahuang, 麻黄) [remove roots and joints], Rhizoma Polygonati Odorati (Weirui, 葳蕤), Radix Paeoniae Rubra (Chishao Yao, 赤芍药), Radix Scutellariae (Huangqin, 黄芩), Radix Cimicifugae (Chuan Shengma, 川升麻) [each one liang]. Grind the above into a coarse powder. Take four qian per dose. Use one large bowl of water, decoct until five fen remain, remove the dregs. Take warm, regardless of the time.
Zhuru San (Bamboo Shavings Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, with headache and chest fullness, and vomiting immediately after eating. It is suitable for administration.
Pericarpium Bambusae in Taenia (Zhuru, 竹茹), Pericarpium Citri Reticulatae Aged (Chen Ju Pi, 陈橘皮) [soaked in boiling water, remove white pith, baked], Radix Puerariae Lobatae (Gegen, 葛根) [cut], Radix Ginseng (Renshen, 人参) [remove rhizome], Rhizoma Phragmitis (Lugen, 芦根) [cut, each one liang], Folium Eriobotryae (Pipa Ye, 枇杷叶) [half liang, wipe off hairs, roast until slightly yellow]. Grind the above into a powder. Take five qian per dose. Use one large bowl of water, add one hundred grains of Oryza Sativa Japonica Group (Jingmi, 粳米) and half a piece of Zingiberis Recens (Shengjiang, 生姜), decoct until five fen remain, remove the dregs. Take warm, regardless of the time.
Renshen San (Ginseng Powder), from *Shenghui Fang*, treats febrile disease on the fourth day, after the heat toxin has resolved, with symptoms coming and going, aversion to cold with slight fever, and inability to eat. It is suitable for administration.
Radix Ginseng (Renshen, 人参) [remove rhizome], Radix Anemarrhenae (Zhimu, 知母), Fructus Immaturus Citri Aurantii (Zhishi, 枳实) [stir-fried with bran until slightly yellow], Pericarpium Citri Reticulatae Aged (Chen Ju Pi, 陈橘皮) [soaked in boiling water, remove white pith, stir-fried], Fructus Gardeniae (Zhizi Ren, 栀子仁), Semen Arecae (Binglang, 槟榔), Radix Glycyrrhizae Preparata (Gancao, 甘草) [roasted until slightly red and cut, each one liang], Fructus Sojae Praeparatus (Chi, 豉) [three liang, lightly stir-fried until color changes]. Grind the above into a coarse powder. Take five qian per dose. Use one large bowl of water, decoct until five fen remain, remove the dregs. Take warm, regardless of the time.