（外科门亦名时毒。）
此症有阴阳，有可汗不可汗者。其症发于头上，并脑后、项、腮、颊与目，赤肿而痛，发热，
症似伤寒。治疗散见各医书，本门兹不多赘，用前刺法亦妙。
大力子丸 兼治哑瘴。
元参 连翘（去隔） 甘草 桔梗 川大黄（生熟酌用） 石膏（ ，研） 川连（酒炒） 黄
芩（酒炒） 荆芥 防风 羌活 大力子（炒，研）
为末，作丸。或姜煎服亦可。
又方 僵蚕（二两，浸） 大黄（二两）
姜汁丸弹子大。蜜水和服一丸。
又方 普济消毒饮（见《医方集解》，专治大头瘟初起。）
又方 大头瘟生疙瘩及喉闭，并将疙瘩刺出血，即愈。
其症胸高胁起，呕汁如血，宜生犀饮。
生犀饮
黄土（五钱） 犀角（二钱，镑） 苍术（泔浸，油炒） 川连 山茶（一撮）
流水煎，入金汁和服，日三夜二。虚，加人参（盐水炒）；大便结，加大黄；渴，加花粉；
表热，去苍术、黄土，加桂枝；（性热，似不宜，当酌加别解表药。）便脓血，去苍术，倍黄土，
加黄柏（使；）便滑，人中黄代金汁。
（形似杨梅。）
其症遍身紫块，忽发出霉疮者是也。用清热解毒汤下人中黄丸，并刺块出血。（霉，音枚，
物着湿变色。）
清热解毒汤
川连（酒洗） 黄芩（酒洗） 生地 白芍（酒炒） 石膏（ ，研） 知母（盐、酒炒）
人参 甘草 升麻 葛根 羌活
日三服，夜二服。姜煎。
人中黄丸
大黄（三两，尿浸） 苍术（油炒） 桔梗 滑石（各二两） 人参 川连（酒洗） 防风（各五钱）
香附（两半，姜汁浸，生用） 人中黄（二两。如无，坑垢代之。）
神曲糊为丸，清热解毒汤送。如气虚，用四君子汤送；如血虚，四物汤送；痰甚，二陈汤送；
热甚，童便送。
锦按∶二方用参，非取其补，取其鼓舞之，以祛邪也。
(Also known as "Shidu" [Time Toxin] in the Surgery category.)
This condition presents with Yin and Yang patterns; some cases are suitable for diaphoresis (sweating therapy), while others are not. The symptoms manifest as redness, swelling, and pain on the head, back of the head, neck, cheeks, jaw, and eyes, accompanied by fever. The presentation resembles Shaoyang disease (Taiyang disease). Treatment methods are scattered across various medical texts and will not be elaborated upon here. The acupuncture bleeding method mentioned earlier is also effective.
Dali Zi Wan (Arctii Fructus Pill): Also treats Yazhang (Mute Malaria/Plague characterized by aphonia).
Ingredients: Xuanshen Radix Scrophulariae (Scrophularia Root), Lianqiao Forsythiae Fructum (Forsythia Fruit) (devoid of septa), Gancao Glycyrrhizae Radix et Rhizoma (Licorice Root), Jiegeng Platycodonis Radix (Balloon Flower Root), Chuan Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (use raw or cooked as appropriate), Shigypsum Fibrosum (Gypsum Fibrosum) (crushed and ground), Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (stir-fried with wine), Huangqin Scutellariae Radix (Scutellaria Root) (stir-fried with wine), Jingjie Schizonepetae Spica (Schizonepeta Spike), Fangfeng Saposhnikoviae Radix (Saposhnikovia Root), Qianghuo Notopterygii Rhizoma et Radix (Notopterygium Rhizome), Dali Zi (Arctii Fructus) (stir-fried and ground).
Preparation: Grind into powder and make pills. Alternatively, decoct with fresh ginger and take orally.
Another prescription: Jiangcan Bombyx Batryticatus (Silkworm) (2 liang, soaked), Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (2 liang).
Preparation: Use ginger juice to coat and form pills the size of a bullet. Take one pill mixed with honey water.
Another prescription: Puji Xiaodu Yin (Puji Detoxifying Decoction) (see *Yifang JiJie*, specifically for early-stage Datouwen [Big Head Plague]).
Another prescription: For Datouwen causing facial nodules and Houbi (throat closure), puncture the nodules to release blood, which leads to recovery.
In cases where symptoms present with chest elevation and rib distension, vomiting blood-like fluid, Shengxi Yin (Raw Rhinoceros Horn Decoction) is indicated.
Shengxi Yin
Ingredients: Huangtu Raw Earth (5 qian), Xijiao Rhinocerotis Cornu (Rhinoceros Horn) (2 qian, shaved thin), Cangzu Atractylodis Rhizoma (Atractylodes Rhizome) (soaked in rice water, stir-fried with oil), Chuan Lian Coptidis Rhizoma (Coptis Rhizome), Shancha Camelliae Flos (Camellia Flower) (a pinch).
Usage: Decoct with running water, mix with Jinzhi (Human Feces Clear Liquid), and take orally. Three times during the day and twice at night. If deficiency exists, add Renshen Ginseng Radix et Rhizoma (Ginseng Root) (stir-fried with salt water); if constipation occurs, add Dahuang; if thirst is present, add Huafen Trichosanthis Radix (Trichosanthes Root); if exterior heat is prominent, remove Cangzhu and Huangtu, and add Guizhi Cinnamomi Ramulus (Cinnamon Twig); (Note: Guizhi is hot in nature and may seem inappropriate; consider adding other exterior-resolving herbs instead.) If dysentery with pus and blood occurs, remove Cangzhu, double the amount of Huangtu, and add Huangbai Phellodendri Cortex (Phellodendron Bark); if loose stools occur, replace Jinzhi with Renzhonghuang Human Medicated Soil.
(Symptoms resemble Yangmei [Bayberry].)
This condition manifests as purple patches all over the body, suddenly appearing like Meichuang (Measles-like rash). Use Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) to administer Renzhonghuang Wan (Human Medicated Soil Pill), and puncture the patches to release blood. ("Mei" sounds like "Mei," referring to discoloration due to dampness.)
Qingre Jiedu Tang
Ingredients: Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (washed with wine), Huangqin Scutellariae Radix (Scutellaria Root) (washed with wine), Shengdi Rehmanniae Radix Preparata (Prepared Rehmannia Root), Baishao Paeoniae Radix Alba (White Peony Root) (stir-fried with wine), Shigypsum Fibrosum (Gypsum Fibrosum) (crushed and ground), Zhimu Anemarrhenae Rhizoma (Anemarrhena Rhizome) (stir-fried with salt and wine), Renshen Ginseng Radix et Rhizoma (Ginseng Root), Gancao Glycyrrhizae Radix et Rhizoma (Licorice Root), Shengma Cimicifugae Rhizoma (Black Cohosh Rhizome), Gegen Puerariae Lobatae Radix (Kudzu Root), Qianghuo Notopterygii Rhizoma et Radix (Notopterygium Rhizome).
Usage: Take three times during the day and twice at night. Decoct with fresh ginger.
Renzhonghuang Wan
Ingredients: Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (3 liang, soaked in urine), Cangzhu Atractylodis Rhizoma (Atractylodes Rhizome) (stir-fried with oil), Jiegeng Platycodonis Radix (Balloon Flower Root), Huashi Talcum (Talc) (each 2 liang), Renshen Ginseng Radix et Rhizoma (Ginseng Root), Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (washed with wine), Fangfeng Saposhnikoviae Radix (Saposhnikovia Root) (each 5 qian), Xiangfu Cyperi Rhizoma (Cyperi Rhizome) (1.5 liang, soaked in ginger juice, used raw), Renzhonghuang Human Medicated Soil (2 liang. If unavailable, Kenggou [Pit Filth] can be substituted).
Preparation: Use Shenqu Mass Medicata (Medicated Leaven) paste to form pills. Take with Qingre Jiedu Tang. If Qi deficiency exists, take with Sijunzi Tang (Four Gentlemen Decoction); if Blood deficiency exists, take with Siwu Tang (Four Substance Decoction); if phlegm is severe, take with Erchen Tang (Two Aged Substances Decoction); if heat is severe, take with Tongbian (Child's Urine).
Commentary by Jin: The use of Renshen in these two prescriptions is not for tonification, but to stimulate the body's righteous Qi to expel pathogenic factors.