毒归于心者为斑疹、惊悸、痒痛、壮热、咽喉干渴、盗汗、丹瘤,皆其候也。毒归于肝者,则为闷乱、水
泡、腰痛、目疾、卵肿、干呕、手足拘挛、吐蛔、寒战、切牙者,皆其候也。毒归
于肺者,为咳嗽喘急、衄血、皮肤燥竭、肩臂痛,皆其候也。毒
归于脾者,则为吐泻、腹痛、肿胀、唇烈口燥、手足病、不欲食,此之谓也。毒归于肾者,为失音、手足逆
冷、咽中干痛、耳 、饥不欲食而多 。毒归于大肠、胃者,为泻痢脓血、肠鸣失
音、大便不通。毒归于膀胱者,为小腹满、溺血、遗尿、头额肿痛而目视。此论五脏六腑受毒之症也。
疹所最忌者寒战也,如发热之时,憎寒壮热,身体振振战动,其毒欲出不出,留于腠理之间,邪正交争,
故发振振战动也,宜服柴葛桂枝汤。
口中之臭气,勃勃冲人,是肺胃中火所致,此症多有失声,喘呕,兼吐脓血,皆其候也。药宜清金汤、泻火汤主之。
疹出遍身作痒,爬搔不宁者,此毒瓦斯火邪传于肌肤之间,不能发出,与伤寒汗不出而作痒者,同也。况
诸疮痛痒皆属心火,《经》云∶痒者,火之变也。又肝木主风,爬搔不宁者,风使然也。肝主筋而运乎爪,皆心
肝二脏之症,药宜清风化毒汤主之。荆芥、防风、升麻、羌活、大力、干葛、麻黄、桂枝。
The pathogenic toxin returning to the Heart manifests as macules and papules (banzhen), palpitations, itching and pain, high fever, dry throat with thirst, night sweats, and erysipelas-like tumors (danliu); these are all its signs. The toxin returning to the Liver manifests as mental restlessness, blisters, lower back pain, eye diseases, testicular swelling, dry retching, spasm and contracture of the hands and feet, vomiting of roundworms, chills, and teeth grinding; these are all its signs. The toxin returning to the Lung manifests as coughing, panting and urgency, epistaxis, dryness and exhaustion of the skin, and pain in the shoulders and arms; these are all its signs. The toxin returning to the Spleen manifests as vomiting and diarrhea, abdominal pain, swelling, cracked lips and dry mouth, pathological conditions of the hands and feet, and loss of appetite; this is what is meant. The toxin returning to the Kidney manifests as aphonia, cold extremities, dryness and pain in the throat, tinnitus or deafness, hunger without desire to eat, and excessive salivation. The toxin returning to the Large Intestine and Stomach manifests as dysentery with pus and blood, borborygmus with aphonia, and constipation. The toxin returning to the Bladder manifests as fullness in the lower abdomen, hematuria, urinary incontinence, swelling and pain in the forehead, and blurred vision. This discusses the symptoms of the Zang and Fu organs affected by toxins.
The most taboo symptom during exanthema is chills. If during fever there is aversion to cold accompanied by high fever, and the body trembles violently, it indicates that the toxin desires to emerge but cannot, remaining between the cou li (interstices). The pathogenic factor and righteous qi contend with each other, thus causing violent trembling. It is appropriate to administer Chai Ge Gui Zhi Tang (Bupleurum and Pueraria and Cinnamon Twig Decoction).
Foul breath rushing forcefully from the mouth is caused by fire in the Lung and Stomach. This condition often presents with aphonia, panting and vomiting, accompanied by expectoration of pus and blood; these are all its signs. Medication should primarily consist of Qing Jin Tang (Clear Metal Decoction) and Xie Huo Tang (Drain Fire Decoction).
When exanthema covers the whole body and causes itching, leading to restless scratching, this is because the toxic vapor and pathogenic fire have transmitted into the muscle layer and skin, unable to be vented out. This is similar to the itching seen in Shang Han (Cold Damage) disease when sweating does not occur. Furthermore, all sores and ulcers' pain and itching belong to Heart fire. The Classic states: "Itching is a transformation of fire." Additionally, the Liver Wood governs wind; restless scratching is caused by wind. The Liver governs the sinews and operates through the nails. These are both disorders of the Heart and Liver. Medication should primarily consist of Qing Feng Hua Du Tang (Clear Wind and Resolve Toxin Decoction). The herbal ingredients include Jing Jie (Schizonepetae Herba), Fang Feng (Saposhnikoviae Radix), Sheng Ma (Cimicifugae Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Da Li (Arctii Fructus/Ban Xia Lian - *Note: Original text says 'Da Li', likely referring to Niu Bang Zi*), Gan Ge (Puerariae Lobatae Radix), Ma Huang (Ephedrae Herba), and Gui Zhi (Cinnamomi Ramulus).