热甚作渴饶饮水。解毒生津功莫比。若还纵饮不知休。水蓄于中灾异起。
麻症原是火邪。心火内亢。肺焦胃枯。津液干涸。发热之时。未有不渴。不可以冷水与饮。只
宜以绿豆、或芝麻、或炒陈米煎汤饮之。治法宜生津解毒。以加味人参白虎汤去人参、甘草、糯
米。加连翘、牛蒡子、元参主之。若任其恣饮冷水。必生水蓄之病。如水入肺。则为喘、为咳。宜用
葶苈以泻肺中之水。如水入脾。则为肿、为胀、为白利。水入胃。则为呕、为哕。宜用猪苓、泽泻。以
泻脾胃之水。如水入心。则为惊、为悸。宜用木通、赤苓。以泻心中之水。如水入肝。则为胁痛。宜
用陈芫花以泻肝中之水。如水入肾与膀胱。则小便不利。宜用车前子、木通。以泻肾与膀胱之水。
渴而腹胀不食者。乃本虚实滞。为败症而难治也。
加味人参白虎汤
人参 知母 熟石膏 葛根 天花粉 麦冬 淡竹叶 甘草 糯米一撮为引。水煎。以米
熟为度。
麻疹收后喜无热。若逢复热毒未息。治宜和解与清凉。莫因收尽遂轻忽。
复热者。谓热已退而复作也。此候先无。必待麻收后。热退身凉。越六七日而又复热。此症非
因复感风邪而然。必因余热未清。余毒复还所致。治宜清凉和解为妙。以柴胡麦门冬散去人参、
甘草。或以生地骨皮汤去甘草主之。然麻初起喜热。惟忌麻愈之后复热。何也。盖麻发热。多至十
一、二日。少亦不下七、八日。热久元气虚矣。加之出麻之后。饮食不进。今复重热。阴阳虚耗。不
死何待。急须调治。故再热者必大补气血可也。以柴胡四物汤主之。
朱曰 已收复热。在病家未有不引以为忧者。然总不外此三因。治之得法。必无妨碍。
柴胡麦门冬散 治收后甚热。
柴胡（酒炒） 人参 元参（各五分） 龙胆草（三分） 麦冬（去心八分） 甘草 水煎服。
生地骨皮汤
地骨皮 生地黄 元参 麦冬 龙胆草 牛蒡子 连翘 黄芩（酒炒） 栀仁（炒） 赤茯苓
木通 甘草梢 灯心引。
舌有白胎。加荆芥、防风。舌有黄胎。加酒炒连翘。便闭。加枳壳、火麻仁。闭甚。再加丑牛。
柴胡四物汤 治麻后余热。
柴胡 黄芩 人参 生地黄 当归身 川芎 白芍药 知母 麦冬 淡竹叶 地骨皮
水煎服。
When the heat is severe, thirst arises, and the patient drinks copiously. At this time, no remedy can compare to those that clear toxicity and generate fluids. However, if drinking is indulged without restraint, water will accumulate in the middle jiao, giving rise to various pathological manifestations.
Measles is originally caused by fire pathogenic factors. Heart fire flares up internally, causing the lungs to become scorched and dry, the stomach to wither, and body fluids to be depleted. During fever, there is invariably thirst. Cold water should not be given for drinking; instead, it is appropriate to decoct mung beans, or sesame seeds, or fried aged rice in water for the patient to drink. The treatment method should focus on generating fluids and clearing toxicity. Use Jiawei Renshen Baihu Tang (Modified Ginseng and White Tiger Decoction), removing Renshen (Ginseng Root), Gancao (Licorice Root), and Nuomi (Glutinous Rice), and adding Lianqiao (Forsythia Fruit), Niubangzi (Arctium Fruit), and Yuanshen (Scrophularia Root) as the primary prescription. If one allows the patient to indulge in drinking cold water, it will inevitably lead to the disease of water accumulation. If water enters the Lung, it causes wheezing and coughing; Tingli (Descurainiae Semen) should be used to drain water from the Lung. If water enters the Spleen, it causes edema, distension, and white loose stools. If water enters the Stomach, it causes vomiting and hiccups; Zhuling (Polyporus) and Zexie (Alisma Rhizome) should be used to drain water from the Spleen and Stomach. If water enters the Heart, it causes fright and palpitations; Mutong (Akebia Caulis) and Chifuling (Red Poria) should be used to drain water from the Heart. If water enters the Liver, it causes hypochondriac pain; Chen Yuanhua (Old Genkwa Flower) should be used to drain water from the Liver. If water enters the Kidney and Bladder, it causes difficulty in urination; Cheqianzi (Plantago Seed) and Mutong (Akebia Caulis) should be used to drain water from the Kidney and Bladder. If the patient is thirsty but has abdominal distension and loss of appetite, this indicates deficiency in the root and excess/stagnation in the branch, constituting a critical condition that is difficult to treat.
Jiawei Renshen Baihu Tang (Modified Ginseng and White Tiger Decoction)
Renshen (Ginseng Root), Zhimu (Anemarrhenae Rhizoma), Shu Shigao (Prepared Gypsum Fibrosum), Gegen (Puerariae Lobatae Radix), Tianhuafen (Trichosanthis Radix), Maidong (Ophiopogonis Radix), Danzhuye (Lophatheri Herba), Gancao (Licorice Root), Nuomi (Glutinous Rice). Take a pinch of Nuomi as an adjuvant. Decoct in water until the rice is cooked.
After the measles rash subsides, it is favorable for the patient to have no fever. If recurrent fever occurs, it indicates that the toxin has not yet dissipated. Treatment should employ harmonizing and cooling methods. One must not neglect this simply because the rash has fully resolved.
Recurrent fever refers to the situation where fever has subsided but reappears. This symptom does not exist initially; it must wait until after the measles rash has receded, the fever breaks, and the body becomes cool. After six or seven days, the fever returns. This condition is not caused by a secondary contraction of wind pathogens, but rather by residual heat that has not been cleared and residual toxins returning. The treatment should ideally employ cooling and harmonizing methods. Use Chaihu Maimendong San (Bupleurum and Ophiopogon Powder), removing Renshen (Ginseng Root) and Gancao (Licorice Root); or use Shengdi Gupi Tang (Rehmannia and Dogwood Bark Decoction), removing Gancao (Licorice Root). However, during the initial stage of measles, warmth is preferred, whereas recurrence of fever after recovery is strictly contraindicated. Why? Because measles fever often lasts eleven or twelve days, and at least seven or eight days. Prolonged fever depletes primordial qi. Furthermore, after the eruption of the rash, food intake is poor. Now, with the return of high fever, yin and yang are severely exhausted. Death seems imminent. Urgent regulation and treatment are required. Therefore, for recurrent fever, it is necessary to greatly tonify qi and blood. Use Chaihu Siwu Tang (Bupleurum and Four Substances Decoction) as the primary prescription.
Zhu stated: Recurrent fever after recovery causes great worry for the patient's family. However, it generally stems from these three causes. With proper treatment, there will surely be no hindrance.
Chaihu Maimendong San (Bupleurum and Ophiopogon Powder) treats severe fever after the rash subsides.
Chaihu (Stir-fried with wine), Renshen (Ginseng Root), Yuanshen (Scrophularia Root) (each 5 fen), Longdancao (Gentian Root) (3 fen), Maidong (Ophiopogonis Radigo, heart removed) (8 fen), Gancao (Licorice Root). Decoct in water and take orally.
Shengdi Gupi Tang (Rehmannia and Dogwood Bark Decoction)
Digupi (Dogwood Bark), Shengdihuang (Rehmanniae Radix), Yuanshen (Scrophularia Root), Maidong (Ophiopogonis Radix), Longdancao (Gentian Root), Niubangzi (Arctium Fruit), Lianqiao (Forsythia Fruit), Huangqin (Scutellariae Radix, stir-fried with wine), Zhiren (Gardeniae Semen, fried), Chifuling (Red Poria), Mutong (Akebia Caulis), Gancaoshao (Licorice Root tip), Dengxincao (Junci Medulla) as an adjuvant.
If the tongue coating is white, add Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix). If the tongue coating is yellow, add Lianqiao (Forsythia Fruit, stir-fried with wine). If constipation occurs, add Zhike (Aurantii Fructus) and Huomaren (Cannabis Semen). If constipation is severe, add Chouniu (Pharbitidis Semen).
Chaihu Siwu Tang (Bupleurum and Four Substances Decoction) treats residual heat after measles.
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Renshen (Ginseng Root), Shengdihuang (Rehmanniae Radix), Dangguishen (Angelicae Sinensis Radix, root body), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), Danzhuye (Lophatheri Herba), Digupi (Dogwood Bark). Decoct in water and take orally.