（附论）
夫热病毒瓦斯攻心。则心身烦乱。阳气太盛。遂则狂言。目赤心烦。不得睡卧。精神惊悸。
言语失常。毒瓦斯不除。肠中结燥。其脉洪数者。是其候也。
夫病热盛。则弃衣而走。登高而歌。或至不食数日。逾垣上屋。所上非其素时所能也。
病反能者。皆阴阳气争。而外并于阳。四肢者诸阳之本也。阳盛则四肢实。实则能登高而歌。
热盛于身。则弃衣而走。阳盛故妄言骂詈。不避亲疏。大热遍身。狂言而妄见妄闻也。
方
大柴胡散（出圣惠方）治热病已得汗。热犹不解。腹胀烦躁。狂语不定。可
服。
柴胡（去苗） 川大黄（锉碎微炒） 黄芩 赤芍药 枳实（麸炒微黄） 人参（去芦
头） 黄
（锉各一两） 甘草（炙微赤锉） 半夏（汤浸七次去滑各半两） 上为粗散。每服五钱。
以水
一大盏。入竹茹一分。生姜半分。煎至五分。去滓。不计时候。温服。
猪苓散（出圣惠方）治热病。狂言烦渴。宜服。
猪苓（去黑皮） 麦门冬（去心焙各一两） 龙胆草（去芦头） 黄芩 白藓皮 泽泻 赤
茯
苓人参（去芦头） 甘草（炙微赤锉各三分） 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。
白藓皮散（出圣惠方）治热病。狂言不止。宜服。
白藓皮 黄芩 秦艽（去苗） 犀角屑 甘草（炙微赤锉） 麦门冬（去心） 大青 杏
仁
（汤浸去皮尖双仁麸炒微黄各半两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。
不
计时候。温服之。
龙齿散（出圣惠方）治热病。心肺热壅。狂言不安。宜服。
龙齿 人参（去芦头） 川大黄（锉碎微炒） 川芒硝（各一两） 白藓皮 川升麻 葳
蕤
秦艽（去苗各三分） 石膏（一两半） 上为散。每服五钱。水一中盏。煎至六分。去滓。
不计
时候。温服。
治热病。热毒攻心。烦躁狂言。心神不定。（出圣惠方）
生地黄汁（三合） 生姜汁（一合） 薄荷汁（一合） 白蜜（一合） 地龙（半两微
炒去土捣
细罗为末） 上以四味汁相和。入地龙末。搅令匀。不计时候。分温二服。
治热病。烦热如火。狂言妄语欲走。宜服此方。（出圣惠方）
黄芩 甘遂（煨令黄） 龙胆草（去芦头各一两） 上为细散。每服不计时候。以温水
调服
二钱。须臾。令病患饮水三两盏。服满则吐之。此方疗大热。急者甚效。
治热病五六日。壮热。狂语欲走。（出圣惠方）
鸡子（三枚取清） 川芒硝（细研） 寒水石（细研各半两） 上先以新汲水一小盏。
调芒硝
等末。次下鸡子清。搅令匀。不计时候。分为二服。
牛黄丸（出圣惠方）治热病狂言。心神惊悸。烦热喘促。宜服。
牛黄（细研） 麝香（细研各一两） 犀角屑 人参（去芦头） 茯神 胡黄连 龙胆
草（去
芦头） 木香 羚羊角屑 朱砂（细研） 地骨皮 川升麻 甘草（炙微赤锉各一两） 麦
门冬
（一两去心焙） 龙脑（一钱细研） 上为末。都研匀。炼蜜和丸。如梧桐子大。每服不计
时候。
以新汲水下十五丸。
治热病狂语。及诸黄。雪煎。（出圣惠方）
川大黄（五两锉碎微炒） 上为细散。用腊月雪水五升。煎如膏。每服不计时候。以冷
水
调半匙服之。
若已六七日热极。心下烦闷。狂言见鬼。欲起走。（出肘后方）
上用干茱萸三升。水二升。煮取一升后。去滓寒温服之。得汗便愈。此方恐不识。必可
用也。秘之。
又方（肘后方）
大蚓一升。破去土。以人溺煮令热。去滓服之。宜生绞汁。及水煎之。并善。又绞粪汁。
饮数合至三升。谓之黄龙汤。陈久者佳。
又方（肘后方）
取白犬。从背破取血用之。多多为佳。当及热以铺胸上。冷乃去之。此治垂死者活。无
白犬。诸纯色者。亦可用之。无犬。白雄鸡亦佳。
又方（肘后方）
取桐皮削去上黑者。细擘之。长断。令四寸一束。以酒五合。以水一升。煮取一升。去
滓顿服之。当吐下青黄汁数升。即瘥。
治时疾热病。狂言心躁。（出本草）
以苦参不限多少。炒黄色为末。每服二钱。水一盏。煎至八分。温服。连三服。有汗无
汗皆瘥。
(Attached Discussion)
When the pathogenic heat-toxin and noxious qi attack the Heart, it causes mental and physical restlessness. When Yang Qi is excessively hyperactive, it leads to delirious speech, red eyes, mental irritability, inability to sleep, spiritual fright and palpitations, and abnormal speech. If the toxic noxious qi is not eliminated, dryness and accumulation will form in the intestines. The pulse will be surging (Hong) and rapid (Shu); this is the clinical manifestation.
When the pathogenic heat is exuberant, patients may discard their clothes and run, climb high places and sing, or go without food for several days, climbing over walls and roofs—actions they could not perform under normal circumstances.
The ability to perform such contrary actions stems from the contention between Yin and Yang Qi, with external pathogens merging into the Yang channels. The four limbs are the root of all Yang channels; when Yang is excessive, the limbs become solid and strong, enabling one to climb and sing.
When heat is exuberant throughout the body, patients discard clothes and run; due to Yang excess, they speak wildly and curse without distinguishing kinship or strangers; widespread intense heat causes delirious speech and hallucinations (seeing and hearing things that are not there).
Formulas
Da Chai Hu San (Great Bupleurum Powder) [from *Sheng Hui Fang*]: Treats heat disease where fever persists despite sweating, accompanied by abdominal distension, irritability, and unstable delirious speech. It can be taken.
Ingredients: Chai Hu (Bupleuri Radix, remove seedlings), Chuan Da Huang (Rhei Radix et Rhizoma, chopped and slightly stir-fried), Huang Qin (Scutellariae Radix), Chi Shao Yao (Paeoniae Radix Rubra), Zhi Shi (Aurantii Fructus Immaturus, bran-fried until slightly yellow), Ren Shen (Ginseng Radix, remove rhizome), Huang Qi (Astragali Radix, chopped, each 1 liang), Gan Cao (Licorice Radix et Rhizoma, honey-fried until slightly red, chopped), Ban Xia (Pinelliae Tuber, soaked in water seven times to remove slipperiness, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 5 qian per dose. Add 1 da zhan (approx. 200ml) of water, 1 fen of Zhu Ru (Bambusa Textilis Caulis), and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct until 0.5 zhan remains. Strain. Take warm at any time.
Zhu Ling San (Polyporus Powder) [from *Sheng Hui Fang*]: Treats heat disease with delirious speech, mental irritability, and thirst. It is suitable for consumption.
Ingredients: Zhu Ling (Polypori Sclerotium, remove black skin), Mai Men Dong (Ophiopogonis Tuber, remove heart and roast, each 1 liang), Long Dan Cao (Gentianae Radix, remove rhizome), Huang Qin (Scutellariae Radix), Bai Xian Pi (Dictamni Cortex), Ze Xie (Alismatis Rhizoma), Chi Fu Ling (Poria with Red Sandalwood), Ren Shen (Ginseng Radix, remove rhizome), Gan Cao (Licorice Radix et Rhizoma, honey-fried until slightly red, chopped, each 3 qian).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until 0.5 zhan remains. Strain. Take warm at any time.
Bai Xian Pi San (Dictamni Cortex Powder) [from *Sheng Hui Fang*]: Treats heat disease with incessant delirious speech. It is suitable for consumption.
Ingredients: Bai Xian Pi (Dictamni Cortex), Huang Qin (Scutellariae Radix), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings), Xi Jiao Xie (Rhinocerotis Cornu, shaved), Gan Cao (Licorice Radix et Rhizoma, honey-fried until slightly red, chopped), Mai Men Dong (Ophiopogonis Tuber, remove heart), Da Qing (Isatidis Folium), Xing Ren (Armeniacae Semen Amarum, soaked in water, peel and remove sharp tips, double-kernel, bran-fried until slightly yellow, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until 0.5 zhan remains. Strain. Take warm at any time.
Long Chi San (Dragon's Teeth Powder) [from *Sheng Hui Fang*]: Treats heat disease with heat obstruction in the Heart and Lungs, causing delirious speech and mental unrest. It is suitable for consumption.
Ingredients: Long Chi (Dent Draconis), Ren Shen (Ginseng Radix, remove rhizome), Chuan Da Huang (Rhei Radix et Rhizoma, chopped and slightly stir-fried), Chuan Mang Xiao (Natrii Sulfas, each 1 liang), Bai Xian Pi (Dictamni Cortex), Chuan Sheng Ma (Bupleuri Radix), Wei Rui (Polygonati Odorati Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings, each 3 qian), Shi Gao (Gypsum Fibrosum, 1.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Add 1 zhong zhan (approx. 150ml) of water. Decoct until 0.6 zhan remains. Strain. Take warm at any time.
Treats heat disease where heat-toxin attacks the Heart, causing irritability, delirious speech, and unsettled mind. [from *Sheng Hui Fang*]
Ingredients: Sheng Di Huang Zhi (Rehmanniae Radix Juice, 3 he), Sheng Jiang Zhi (Zingiberis Rhizoma Recens Juice, 1 he), Bo He Zhi (Menthae Haplocalycis Herba Juice, 1 he), Bai Mi (Apis Mellifera Honey, 1 he), Di Long (Pheretima, 0.5 liang, slightly stir-fried, remove soil, grind finely through sieve).
Preparation and Administration: Mix the juices of the first four ingredients. Add the Di Long powder. Stir evenly. Take warm in two doses at any time.
Treats heat disease with intense irritability like fire, delirious speech, false words, and desire to run. This formula is suitable. [from *Sheng Hui Fang*]
Ingredients: Huang Qin (Scutellariae Radix), Gan Sui (Kansui Radix, baked until yellow), Long Dan Cao (Gentianae Radix, remove rhizome, each 1 liang).
Preparation and Administration: Grind into a fine powder. Take 2 qian at any time, mixed with warm water. Shortly after, have the patient drink 3 liang of water. Once full, induce vomiting. This formula is very effective for severe acute heat.
Treats heat disease lasting five to six days, with high fever, delirious speech, and desire to run. [from *Sheng Hui Fang*]
Ingredients: Ji Zi (Galli Ovum, take three egg whites), Chuan Mang Xiao (Natrii Sulfas, finely ground), Han Shui Shi (Hydrargyri Oxydum Rubrum, finely ground, each 0.5 liang).
Preparation and Administration: First, use 1 small zhan of fresh well-water to dissolve the Mang Xiao powder. Then add the egg white. Stir evenly. Divide into two doses, take at any time.
Niu Huang Wan (Calculus Bovis Pill) [from *Sheng Hui Fang*]: Treats heat disease with delirious speech, mental fright and palpitations, irritability, and panting. It is suitable for consumption.
Ingredients: Niu Huang (Calculus Bovis, finely ground), She Xiang (Moschus, finely ground, each 1 liang), Xi Jiao Xie (Rhinocerotis Cornu, shaved), Ren Shen (Ginseng Radix, remove rhizome), Fu Shen (Poria with Pinus Root), Hu Huang Lian (Coptidis Rhizoma alternative/Scutellariae Radix variant depending on context, here likely Coptidis Rhizoma or similar bitter cold herb, strictly "Hu Huang Lian"), Long Dan Cao (Gentianae Radix, remove rhizome), Mu Xiang (Aucklandiae Radix), Ling Yang Jiao Xie (Saigae Tataricae Cornu, shaved), Zhu Sha (Cinnabaris, finely ground), Di Gu Pi (Lycii Cortex), Chuan Sheng Ma (Bupleuri Radix), Gan Cao (Licorice Radix et Rhizoma, honey-fried until slightly red, chopped, each 1 liang), Mai Men Dong (Ophiopogonis Tuber, 1 liang, remove heart and roast), Long Nao (Borneolum Syntheticum, 1 qian, finely ground).
Preparation and Administration: Grind all ingredients into powder and mix thoroughly. Blend with refined honey to make pills the size of Sophora japonica seeds. Take 15 pills at any time, washed down with fresh well-water.
Treats heat disease with delirious speech and various types of jaundice, using Snow Decoction. [from *Sheng Hui Fang*]
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, 5 liang, chopped and slightly stir-fried).
Preparation and Administration: Grind into a fine powder. Use 5 sheng of snow water collected in the twelfth lunar month. Decoct into a paste. Take half a spoonful at any time, mixed with cold water.
If heat has persisted for six or seven days, reaching extreme intensity, with mental oppression below the epigastrium, delirious speech seeing ghosts, and desire to rise and run. [from *Zhou Hou Bei Ji Fang*]
Usage: Take 3 sheng of dried Zhu Yu (Corni Fructus). Add 2 sheng of water. Decoct to obtain 1 sheng. Strain. Take when temperature is appropriate. Sweating indicates cure. This formula is perhaps unknown but certainly effective. Keep it secret.
Another Formula [from *Zhou Hou Bei Ji Fang*]
Take 1 sheng of large earthworms. Cut open and remove soil. Boil in human urine until hot. Strain and take. It is best to squeeze out the juice raw or decoct with water. Both are good. Also, drinking fecal juice, from a few he to 3 sheng, is called "Huang Long Tang" (Yellow Dragon Decoction). Aged is better.
Another Formula [from *Zhou Hou Bei Ji Fang*]
Take a white dog. Cut open from the back to obtain blood. Use as much as possible. Apply while hot to the chest. Remove when cool. This treats near-death resuscitation. If no white dog is available, dogs of other solid colors can be used. If no dog, white rooster blood is also good.
Another Formula [from *Zhou Hou Bei Ji Fang*]
Take Tong Pi (Celtis Cortex). Scrape off the black outer layer. Tear finely. Cut into 4-cun bundles. Decoct with 5 he of wine and 1 sheng of water until 1 sheng remains. Strain and take in one dose. One should vomit several sheng of green-yellow fluid, then recover.
Treats epidemic heat disease with delirious speech and mental irritability. [from *Ben Cao*]
Usage: Take Ku Shen (Sophorae Flavescentis Radix) in unlimited quantity. Stir-fry until yellow and grind into powder. Take 2 qian per dose. Add 1 zhan of water. Decoct until 0.8 zhan remains. Take warm. Continue for three doses. Recovery occurs regardless of whether sweat is present.