荆防葛根汤
煨葛根（一钱半或一钱） 牛蒡子（炒研，三钱） 炒荆芥（一钱半） 炒防风（一钱半） 桔梗（
一钱） 枳壳（一
钱，面炒） 甘草（四分） 光杏仁（三钱，便溏者勿研） 象贝母（去心研，三钱） 加浮萍（三钱）
荆芥防风不炒亦可。
升麻葛根汤（痧点隐隐不透者用之）
升麻（五分） 葛根（钱半） 赤芍（钱半） 生甘草（四分） 荆芥（钱半） 牛蒡子（三钱）
蝉衣（一钱） 桔梗（一钱） 加樱桃核（三钱） 浮萍草（二钱）
藿香正气散
藿香 紫苏 制茅术 制川朴 茯苓 陈皮 甘草 桔梗 半夏曲 加葛根 牛蒡子 蝉衣 焦神曲
茅术川朴舌胎白腻湿重者可用。
原方有大腹皮白芷当酌用之。
透邪煎
归身 赤芍 荆芥 防风 升麻 干葛根 炙甘草
加牛蒡子 蝉衣
柴归饮（即前方内）
加柴胡
托里举斑汤
归身（五分，泻者勿用） 赤芍（一钱，酒炒） 升麻（五分，见点后勿用） 柴胡（五分） 加浮萍草（三钱）
原方有炙甲片（一钱） 白芷（七分） 当酌用之。
干葛牛蒡子蝉衣荆芥象贝母随证可加。
德按∶惟冬令平寒必须麻黄，轻者三分，重则六七分，（炙焦润之）若竹叶石膏桑叶杏
仁西河柳枇杷叶芦根白茅根随时加用可也。
上编曰征今（下）
征今编书后
《内经》言∶火郁发之。王安道先生解曰∶发者汗之也，升举之也。升举发汗即发散之义
也。仲圣太阳篇曰∶脉浮者，病在表，可发汗。脉浮而数者，可发汗。阳明篇曰∶脉浮无汗而
喘者，发汗则愈。又曰∶咽喉干燥者，不可发汗。咽中闭塞，不可发汗。然在近时烂喉痧证
竟有以发汗而生，以不发汗而死者。如光绪丁
丑三年吴下邗上大疫时行，患喉痧者，老幼传染。医用寒凉死亡相继，曾服麻杏荆防发汗宣
透者转危为安。若投黑膏犀角地黄顷刻告毙。可见天行疫疠当推岁气论治，未可拘一定成
法。薛一瓢先生曰∶凡大疫之年，多有难识之证。医者绝无把握，方药杂投，夭枉不少。要
得其总诀，当就三年中司天在泉，推气候之相乖者在何处，再合本年之司天在泉，求之以此
用药，虽不中不远矣。《内经》云∶必先岁气，母伐天和。此之谓欤。余辑是编不无挂一漏万，
明哲高贤匡予未逮，惠我名言，自当续付枣梨，同垂不朽，后学凌德拜识。
日本多纪栎窗先生着有《麻疹心得》《麻疹辑要方》《麻疹纂类》各一卷，求之多年未得
一见，深以为憾，兹特附载卷端，以俟他日访录续编。辛卯夏日蛰庵谨又识。
荆防葛根汤
煨葛根（一钱半或一钱） 牛蒡子（炒研，三钱） 炒荆芥（一钱半） 炒防风（一钱半） 桔梗（一钱） 枳壳（一钱，面炒） 甘草（四分） 光杏仁（三钱，便溏者勿研） 象贝母（去心研，三钱） 加浮萍（三钱）
荆芥、防风不炒亦可。
升麻葛根汤（痧点隐隐不透者用之）
升麻（五分） 葛根（钱半） 赤芍（钱半） 生甘草（四分） 荆芥（钱半） 牛蒡子（三钱）
蝉衣（一钱） 桔梗（一钱） 加樱桃核（三钱） 浮萍草（二钱）
藿香正气散
藿香 紫苏 制茅术 制川朴 茯苓 陈皮 甘草 桔梗 半夏曲 加葛根 牛蒡子 蝉衣 焦神曲
茅术、川朴舌胎白腻湿重者可用。
原方有大腹皮、白芷当酌用之。
透邪煎
归身 赤芍 荆芥 防风 升麻 干葛根 炙甘草
加牛蒡子 蝉衣
托里举斑汤
归身（五分，泻者勿用） 赤芍（一钱，酒炒） 升麻（五分，见点后勿用） 柴胡（五分） 加浮萍草（三钱）
原方有炙甲片（一钱） 白芷（七分） 当酌用之。
干葛、牛蒡子、蝉衣、荆芥、象贝母随证可加。
德按：惟冬令平寒必须麻黄，轻者三分，重则六七分，（炙焦润之）若竹叶、石膏、桑叶、杏仁、西河柳、枇杷叶、芦根、白茅根随时加用可也。
上编曰征今（下）
征今编书后
《内经》言：火郁发之。王安道先生解曰：发者汗之也，升举之也。升举发汗即发散之义也。仲圣太阳篇曰：脉浮者，病在表，可发汗。脉浮而数者，可发汗。阳明篇曰：脉浮无汗而喘者，发汗则愈。又曰：咽喉干燥者，不可发汗。咽中闭塞，不可发汗。然在近时烂喉痧证竟有以发汗而生，以不发汗而死者。如光绪丁丑三年吴下邗上大疫时行，患喉痧者，老幼传染。医用寒凉死亡相继，曾服麻杏荆防发汗宣透者转危为安。若投黑膏犀角地黄顷刻告毙。可见天行疫疠当推岁气论治，未可拘一定成法。薛一瓢先生曰：凡大疫之年，多有难识之证。医者绝无把握，方药杂投，夭枉不少。要得其总诀，当就三年中司天在泉，推气候之相乖者在何处，再合本年之司天在泉，求之以此用药，虽不中不远矣。《内经》云：必先岁气，母伐天和。此之谓欤。余辑是编不无挂一漏万，明哲高贤匡予未逮，惠我名言，自当续付枣梨，同垂不朽，后学凌德拜识。
日本多纪栎窗先生着有《麻疹心得》《麻疹辑要方》《麻疹纂类》各一卷，求之多年未得一见，深以为憾，兹特附载卷端，以俟他日访录续编。辛卯夏日蛰庵谨又识。
Jingfang Gegen Decoction (Schizonepeta and Pueraria Decoction)
Wei Gegen (Prepared Puerariae Radix, 1.5 qian or 1 qian) Niubangzi (Stir-fried and ground, 3 qian) Chao Jingjie (Stir-fried Schizonepetae Spica, 1.5 qian) Chao Fangfeng (Stir-fried Saposhnikoviae Radix, 1.5 qian) Jiegeng (Platycodonis Radix, 1 qian) Zhike (Stir-fried with flour, Aurantii Fructus Immaturus, 1 qian) Gancao (Licorice Root, 4 fen) Guang Xingren (Bitter Apricot Seed, 3 qian; do not grind if loose stools occur) Xiang Beimu (Fritillariae Thunbergii Bulbus, heart removed and ground, 3 qian) Add Fuping (Marpissae Herba, 3 qian).
Jingjie and Fangfeng may be used without stir-frying.
Shengma Gegen Decoction (Pulsatilla and Pueraria Decoction) [Use for cases where the scarlet fever rash is faint and fails to emerge]
Shengma (Cimicifugae Rhizoma, 5 fen) Gegen (Puerariae Radix, 1.5 qian) Chishao (Red Peony Root, 1.5 qian) Sheng Gancao (Raw Licorice Root, 4 fen) Jingjie (Schizonepetae Spica, 1.5 qian) Niubangzi (Arctii Fructus, 3 qian)
Chanyi (Cicadae Periostracum, 1 qian) Jiegeng (Platocodonis Radix, 1 qian) Add Yingtao He (Pruni Yedoensis Semen, 3 qian) Fuping Cao (Marpissae Herba, 2 qian).
Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi)
Huoxiang (Patchouli Herb) Zisu (Perilla Leaf) Zhi Maoyu (Processed Atractylodis Rhizoma) Zhi Chuanpu (Processed Magnoliae Officinalis Cortex) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) Gancao (Licorice Root) Jiegeng (Platycodonis Radix) Banxia Qu (Pinelliae Rhizoma Prepared with Yeast) Add Gegen (Puerariae Radix), Niubangzi (Arctii Fructus), Chanyi (Cicadae Periostracum), Jiao Shenqu (Charred Massa Medicata Fermentata).
Maoyu and Chuanpu are suitable for cases with a white, greasy tongue coating indicating heavy dampness.
The original formula contains Dafupi (Arecae Pericarpium) and Baizhi (Angelicae Dahuricae Radix), which should be used酌情 (discretionarily).
Touxie Decoction (Decoction to Dispel Pathogenic Factors)
Guishen (Angelicae Sinensis Radix) Chishao (Paeoniae Radix Rubra) Jingjie (Schizonepetae Spica) Fangfeng (Saposhnikoviae Radix) Shengma (Cimicifugae Rhizoma) Gan Gegen (Dried Puerariae Radix) Zhi Gancao (Honey-processed Licorice Root)
Add Niubangzi (Arctii Fructus) Chanyi (Cicadae Periostracum).
Chai Gui Yin (Bupleurum and Angelica Drink) [Contained within the aforementioned formula]
Add Chaihu (Bupleuri Radix).
Tuoli Juban Tang (Decoction to Support the Interior and Raise the Rash)
Guishen (Angelicae Sinensis Radix, 5 fen; do not use if diarrhea occurs) Chishao (Paeoniae Radix Rubra, 1 qian, stir-fried with wine) Shengma (Cimicifugae Rhizoma, 5 fen; do not use after the rash appears) Chaihu (Bupleuri Radix, 5 fen) Add Fuping Cao (Marpissae Herba, 3 qian).
The original formula includes Zhia Jiapian (Honey-processed Tortoise Carapace, 1 qian) and Baizhi (Angelicae Dahuricae Radix, 7 fen), which should be used discretionarily.
Gegen, Niubangzi, Chanyi, Jingjie, and Xiang Beimu may be added according to the syndrome.
Note by De: Only in winter when the cold is moderate, Mahuang (Ephedrae Herba) is essential. For mild cases, use 3 fen; for severe cases, 6-7 fen (honey-roasted until charred and moistened). If Zhu Ye (Bambusae Folium), Shigao (Gypsum Fibrosum), Sangye (Mori Folium), Xingren (Armeniacae Semen Amarum), Xihe Liu (Salix Matsudana Twig), Pipaye (Eriobotryae Folium), Lugeng (Phragmitis Rhizoma), and Baimaogen (Imperatae Rhizoma) are needed, they may be added as appropriate.
Volume I titled "Zhengjin" (Observations on Manifestations) (Part II)
Postscript to the Compilation of "Zhengjin"
The *Neijing* (Inner Canon) states: "For fire stagnation, employ dispersal." Mr. Wang Andao interpreted this as: "Dispersal means inducing sweating and lifting upward." Lifting and inducing sweat constitutes the meaning of dispersing. The Master Zhang Zhongjing's Taiyang Chapter states: "If the pulse is floating, the disease is in the exterior; sweating may be induced. If the pulse is floating and rapid, sweating may be induced." The Yangming Chapter states: "If there is a floating pulse, no sweat, and wheezing, inducing sweat will lead to recovery." It also states: "If the throat and mouth are dry, sweating must not be induced. If there is obstruction in the throat, sweating must not be induced." However, in recent times, regarding cases of Lanhou Sha (Severe Scarlet Fever with Sore Throat), some have survived due to inducing sweat, while others have died from failing to induce sweat. For instance, in the third year of Guangxu Dingchou (1877), during an epidemic in Hushang, Wu region, those suffering from Hou Sha (Scarlet Fever with Sore Throat) were contagious among both old and young. Physicians using cold-natured medicines caused continuous deaths, whereas those who administered Mahuang Xingren Jingfang (Ephedra, Apricot Seed, Schizonepeta, and Saposhnikovia) to induce sweat and vent pathogenic factors saw patients turn from critical to safe. Conversely, administering Heigao (Black Plaster) and Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) led to instant death. This demonstrates that for seasonal epidemics, treatment should be deduced based on the annual Qi (climate/energy); one cannot rigidly adhere to fixed formulas. Mr. Xue Yupiao stated: "In years of great epidemics, there are often difficult-to-identify syndromes. Physicians lack certainty, indiscriminately prescribing various formulas and herbs, resulting in many premature deaths. To grasp the general principle, one should examine the Si Tian (Heavenly Qi ruling the first half of the year) and Zai Quan (Earthly Qi ruling the second half of the year) over the past three years, deduce where the climate deviates, and combine this with the current year's Si Tian and Zai Quan. Using this method to prescribe medication, even if not perfectly accurate, will not be far off." The *Neijing* says: "One must first consider the annual Qi and not disrupt the harmony of Heaven and Humanity." Is this not what it refers to? In compiling this volume, I fear I have omitted much while mentioning little. I hope wise and virtuous scholars will correct my deficiencies and provide me with insightful advice. I shall then continue to publish further editions, aiming for immortality together. Junior scholar Ling De bows and records.
Mr. Taki Risosho of Japan authored *Mashin Shintoku*, *Mashin Jiyofang*, and *Mashin Zanrui*, each in one volume. I sought them for many years but failed to see them, deeply regretting this. Hereby, I append them at the beginning of this volume, awaiting future visits to record and compile further editions. Summer of Xinmao year, Zhe'an respectfully records again.