用升麻（二分）甘草黄芩犀角射干人参（各一两）以水三升煎取一升半去滓饮一盏
再服
以衾覆手足出汗则愈不愈再服治伤寒一二日变成阳毒或服药吐下之后变成阳毒腰背
安面赤狂言或见鬼或下痢脉浮大数面赤 如锦文咽喉痛下脓血五日可治七日不可
治在面
用玄参升麻甘草等分每服五钱水煎去滓温服治发汗吐下后毒不散表虚里实
如锦纹甚则烦燥谵语兼治咽闭肿痛元戎又云治 在身
用升麻葛根甘草黄芩石膏知母杏仁柴胡栀子等分每服五钱用水一盏生姜五片
六分温服治少阳阳明合病阳毒伤寒壮热百节疼痛
阳毒之为病面赤斑斑如锦文咽喉痛唾脓血五日可治七日不可治升麻鳖甲汤主之
升麻（二两） 当归（一两） 蜀椒（炒去汗一两） 甘草（二两） 雄黄（半两研） 鳖
甲（手
指大
上六味以水六升煮取一升顿服之老小再服取汗
按金匮要略云阴毒之为病面目青身痛如被杖咽喉痛五日可治七日不可治升麻鳖甲汤去雄
黄蜀
用鳖甲（十二分）炙乌扇（三分）烧黄芩（三分）柴胡（六分）鼠妇（三分）熬干姜（三
分）大黄
（三分）芍药（五分）桂枝（三分）葶苈（一分熬）石苇（三分）去皮浓朴（三分）牡丹（五
分去心）
麦（二分）紫葳（三分）半夏（一分）人参（一分） 虫（五分熬）阿胶（三分炙）蜂窠（四
分炙）赤
（十二分）蜣螂（六分熬）桃仁（二分）上二十三味为末锻灶下灰一斗清酒一斛五斗浸灰候
酒尽
半着鳖甲于中煮令泛燥如胶漆绞取汁内诸药煎为丸如梧子大空心服十丸日三服治久疟结为
瘕名曰疟母
按金匮要略云千金方用鳖甲十二片又有海藻三分大戟一分 虫五分无鼠妇去硝二味以鳖
甲煎
Use Shengma (Rhizoma Cimicifugae, 2 fen), Gancao (Radix Glycyrrhizae, Huangqi, Scutellariae Radix, Xijiao (Horn of Rhinoceros), Yeyan (Herba Belamcandae), Renshen (Radix Ginseng) (each 1 liang). Decoct with 3 sheng of water to obtain 1.5 sheng. Strain the dregs and drink one zhan at a time. Take again. Cover hands and feet with a quilt to induce sweating; if cured, stop; if not cured, take again. Treat Yang Du (Yang Toxin) transformed from Shanghan (Cold Damage) after one or two days, or Yang Du transformed after vomiting or purging treatments. Symptoms include stiffness of the waist and back, redness of the face, delirious speech, hallucinations of seeing ghosts, or dysentery. Pulse is floating, large, and rapid. Face is red like brocade patterns. Sore throat, expectoration of pus and blood. If treated within five days, it is curable; if after seven days, it is incurable. The disease location is in the face.
Use Xuanshen (Radix Scrophulariae), Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae) in equal parts. Take 5 qian per dose. Decoct with water, strain, and take warm. Treat cases where toxins remain unresolved after sweating, vomiting, or purging, resulting in deficiency at the exterior and excess at the interior. Symptoms manifest as patterns resembling brocade; severe cases involve irritability and delirium. Also treats throat obstruction and swelling/pain. Yuanrong further states it treats toxin located throughout the body.
Use Shengma (Rhizoma Cimicifugae), Gegen (Puerariae Lobatae Radix), Gancao (Radix Glycyrrhizae), Huangqin (Scutellariae Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Xingren (Armeniacae Semen Amarum), Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus) in equal parts. Take 5 qian per dose. Decoct with 1 zhan of water and 5 slices of fresh ginger until reduced to 0.6 portion. Take warm. Treat Shaoyang-Yangming combined disease, Yang Du (Yang Toxin) Shanghan (Cold Damage) with high fever and pain in all joints.
The disease of Yang Du (Yang Toxin) presents with facial redness, mottled spots like brocade patterns, sore throat, and expectoration of pus and blood. If treated within five days, it is curable; if after seven days, it is incurable. The main formula is Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction).
Shengma (Rhizoma Cimicifugae, 2 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Shujiao (Fructus Zanthoxyli, stir-fried to remove sweat/oil, 1 liang), Gancao (Radix Glycyrrhizae, 2 liang), Xionghuang (Realgar, half liang, ground), Biejia (Carapax et Plastrum Testudinis, size of a finger).
These six ingredients are decocted with 6 sheng of water to obtain 1 sheng. Take in one dose. Elderly and children take another dose. Cure is indicated by sweating.
According to *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet): Yin Du (Yin Toxin) presents with blue-black complexion, body pain as if beaten by a club, and sore throat. If treated within five days, it is curable; if after seven days, it is incurable. The main formula is Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction) without Xionghuang (Realgar) and Shujiao (Fructus Zanthoxyli).
Use Biejia (Carapax et Plastrum Testudinis, 12 fen), Zhi Wushan (Iris Tectorii Rhizoma, stir-baked, 3 fen), Shao Huangqin (Scutellariae Radix, burnt, 3 fen), Chaihu (Bupleuri Radix, 6 fen), Shufu (Crab's Eye, dried by frying, 3 fen), Ganjiang (Zingiberis Rhizoma, 3 fen), Dahuang (Rhei Radix et Rhizoma, 3 fen), Shaoyao (Paeoniae Radix Alba, 5 fen), Guizhi (Cinnamomi Ramulus, 3 fen), Tinglizi (Lepidii Semen, dried by frying, 1 fen), Shiwei (Pyri Folium, skin removed, 3 fen), Nongpo (Magnoliae Officinalis Cortex, 3 fen), Mudanpi (Moutan Cortex, heart removed, 5 fen), Xiaomai (Tritici Fructus, 2 fen), Ziwei (Campsis Grandiflorae Flos, 3 fen), Banxia (Pinelliae Rhizoma, 1 fen), Renshen (Panacis Ginseng Radix, 1 fen), Jiechong (Eupolyphaga Steleophaga, dried by frying, 5 fen), Ejiao (Colla Corii Asini, stir-baked, 3 fen), Fengke (Apis Nido, stir-baked, 4 fen), Chijian (Atractylodis Macrocephalae Rhizoma/Tianma, 12 fen), Qianglang (Scarabaeus, dried by frying, 6 fen), Taoren (Persicae Semen, 2 fen). These twenty-three ingredients are ground into powder. Use one dou of ash from the kitchen stove and one hu of clear wine to soak the ash. When the wine is absorbed by half, place the Biejia (Carapax et Plastrum Testudinis) inside and boil until dry and glue-like. Squeeze out the juice, add the other medicines, and decoct into pills the size of wuzi (wuze tree seeds). Take ten pills on an empty stomach, three times a day. Treat chronic malaria forming a mass (jia), named Nuomu (Malaria Mother).
According to *Jingui Yaolue*, *Qianjin Fang* uses twelve pieces of Biejia (Carapax et Plastrum Testudinis), plus Haizao (Sargassum, 3 fen), Daji (Euphorbiae Pekinensis Radix, 1 fen), Jiechong (Eupolyphaga Steleophaga, 5 fen). It does not contain Shufu (Crab's Eye) and omits Xiaokun (Natrii Sulfas). It uses Biejia Jian Wan (Turtle Shell Decoction Pills).