石菖蒲、木通能制谵语,小草、莲心清心而定惊,食积以神曲、麦芽、枳实而消,河柳加于回后面
赤之时,荷鼻加于太阳不起之候,四肢不到桂枝鞭芽何疑,额上不起川芎、羌活、升麻、桔梗、笋尖宜早加,
目直视者天麻、胆星、石菖蒲。若是伤暑,青蒿、香薷进;大力、蝉衣、钩藤、薄荷加干不起,郁火相扇
用连翘,痰结在于皮里膜外,昏迷发热不出者,竹沥佐以葱白,一发而出矣。
胃火盛者,则用石膏三两,不嫌其过。多汗不出,发不透
者,用麻黄一二钱,不谓其太热。四肢不到,或桂枝五六钱,不愁其已甚。肺火毒重,则用黄芩八九钱,不
见其多。大肠闭结栝蒌仁三两,尤谓其少,不泻,又加大黄五六钱。喘嗽仍用钩丁,汗多须用知母,喉痛射
干、山豆根、大力、枯草、玄参、荆芥、桔梗与甘草,八味之中最宜深。痰症天麻共胆星,更加竹沥贝母
吞。吐脓吐血,芩连山栀用,腹痛枳实效如神,骨蒸地骨又柴胡,骨节酸痛石菖蒲。钩丁、知母、贝母、
石蒲、榧子、通草与栝蒌,能开声之哑。槐花、黄芩、枳壳、川连、山栀,能治脓血之泻。又加石膏而重用,
回后发不透,而喘者仍用大力、蝉衣、钩丁、葶苈、桑皮、兜铃数味,甚则青龙汤,百发百中。尤宜慎之。
如额角两太阳多见者,本方去升麻,而头面多者为佳,荷鼻、笋尖要多加,身上起而四肢不到者,桂枝鞭芽无差。
壮热腮红升葛用,前桔陈皮复花红,
川芎枳壳并木通,荷鼻笋尖额上同。
面青神慢,葱苏饮发之∶
面青神慢葱苏红,复花陈桔前川芎,
发疹最妙莱菔子,和解散用去防风。
和解散∶
和解升葛桔荆防,覆刀蝉衣薄荷郎,
气闷烦躁难二便,枳壳木通功效彰。
淹滞不出,毛孔闭密,皮肤干燥,身热喷嚏,毒瓦斯郁内,急用升麻散发之。
升麻散∶
升麻干葛复花芎,大力薄荷红木通,
蝉衣桔梗煨天麻,前陈钩藤疹有踪。
Shichangpu (Acori Tatarinowii Rhizoma) and Mutong (Akebiae Caulis) can restrain delirium; Xiaocao (Polygoni Avicularis Herba) and Lianxin (Nelumbinis Plumula) clear the Heart and calm fright; food stagnation is resolved with Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), and Zhishi (Aurantii Fructus Immaturus); Helius (Salicis Tomentosae Ramulus) is added when the rash turns red after receding; Henabi (Nymphaeae Stamen) is added when the Taiyang area fails to erupt; for limbs where the rash does not reach, Guizhi (Cinnamomi Ramulus) and Bianya are used without doubt; for the forehead where the rash does not rise, Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), and Sunjian should be added early; for fixed gaze, Tianma (Gastrodiae Rhizoma), Danning (Arisomatis Preparata), and Shichangpu are used. If it is heatstroke, Qinghao (Artemisiae Annuae Herba) and Xiangru (Elsholtziae Herba) are advanced; Dalizi (Arctii Fructus), Chenyi (Cicadae Periostracum), Gouteng (Uncariae Ramulus cum Uncis), and Bohe (Menthae Haplocalycis Herba) are added for dry, non-erupting cases; for stagnant fire fanning each other, Lianqiao (Forsythiae Fructus) is used; for phlegm binding in the subcutaneous tissue and membranous exterior, with coma, fever, and non-erupting rash, Zhuli (Bambusae Sap) assisted by Congbai (Allii Fistulosi Bulbus) will cause an eruption.
When stomach fire is excessive, use Sanliang (3 liang) of Shigao (Gypsum Fibrosum), not fearing overdose. For profuse sweating but incomplete eruption, use Yi'erqian (1-2 qian) of Mahuang (Ephedrae Herba), not considering it too hot. For limbs where the rash does not reach, or use Wuliuqian (5-6 qian) of Guizhi, do not worry about it being too strong. For severe lung fire and toxicity, use Bajiuqian (8-9 qian) of Huangqin (Scutellariae Radix), not feeling it is too much. For large intestine constipation, use Sanliang (3 liang) of Gualouren (Trichosanthis Semen), especially not considering it insufficient; if no purgation occurs, add Wu Liuqian (5-6 qian) of Dahuang (Rhei Radix et Rhizoma). For wheezing and cough, Gouding is still used; for profuse sweat, Zhimu (Anemarrhenae Rhizoma) is necessary; for sore throat, Shegan (Belamcandae Rhizoma), Shandougen (Sophorae Tonkinensis Radix), Dalizi, Kucao, Xuanshen (Scrophulariae Radix), Jingjie (Schizonepetae Herba), Jiegeng, and Gancao (Glycyrrhizae Radix et Rhizoma) are used; among these eight flavors, deep consideration is most appropriate. For phlegm conditions, Tianma is combined with Danning, plus Zhuli and Beimu (Fritillariae Bulbus) swallowed. For vomiting pus and blood, Huangqin, Lian, and Shanzhi (Gardeniae Fructus) are used; for abdominal pain, Zhishi is effective as a god; for bone-steaming fever, Digupi (Lycei Cortex) and Chaihu (Bupleuri Radix) are used; for joint soreness and pain, Shichangpu is used. Gouding, Zhimu, Beimu, Shipu (Shichangpu), Feizi (Torreyaes Semen), Tongcao (Tetrapanacis Medulla), and Gualou can open hoarseness. Huaihua (Sophorae Flos), Huangqin, Zhike (Aurantii Fructus), Chuanlian (Coptidis Rhizoma), and Shanzhi can treat bloody dysentery. Adding Shigao and using it heavily, for post-recession incomplete eruption with wheezing, still use Dalizi, Chenyi, Gouding, Tinglizi (Descurainiae Semen et Herba), Sangpi (Mori Cortex), and Douling (Stemonae Radix); in severe cases, Qinglong Tang (Green Dragon Decoction) is used, with hundred successes out of hundred attempts. Caution is especially advised.
If the forehead corners and both Taiyang areas show many rashes, remove Shengma from this formula; having more rashes on the head and face is auspicious; Henabi and Sunjian should be increased; for rashes on the body but not reaching the limbs, Guizhi and Bianya are correct. For high fever and red cheeks, use Shengma and Gegen (Puerariae Lobatae Radix); Qianhu (Peucedani Radix), Jiegeng, Chenpi (Citri Reticulatae Pericarpium), Fuhong (Rubiae Flower? Likely specific local term), Honghua (Carthami Flos), Chuanxiong, Zhike, and Mutong; Henabi and Sunjian for the forehead. For blue complexion and slow spirit, use Congsu Yin (Green Onion and Perilla Drink) to disperse: Congsu Hong consists of Congbai, Suye, Honghua, Fuhong, Chenpi, Jiegeng, Qianhu, and Chuanxiong. For expelling rashes, Radish seed (Laifuzi) is best; Hejie San (Harmonizing Powder) is used by removing Fangfeng (Saposhnikoviae Radix). Hejie San consists of Shengma, Gegen, Jiegeng, Jingjie, Fangfeng, Fudao (likely Fuhong or similar), Chenyi, Bohe, Lang, Zhike, and Mutong, showing significant efficacy for chest oppression, irritability, and difficulty in urination and defecation. For lingering non-eruption, closed pores, dry skin, fever, sneezing, and internal depression of toxic qi, urgently use Shengma to disperse. Shengma San consists of Shengma, Gan Ge, Fuhong, Xiong, Dalizi, Bohe, Hong Mutong, Chenyi, Jiegeng, Wei Tianma, Qian, Chenpi, and Gouteng, leaving traces of the rash.