栝蒌根（二两）
上一味。以水五升。煮取一升。分二服。先以青淡竹沥一升。合水二升。煮好银二两。减半。去银。先与病患饮之
讫。须臾。乃服汤。小便利即瘥。栝蒌汤。银汁。须冷服。
琥按栝蒌汤苦寒清中。银汁甘寒坠下。病患热毒上攻。神气浮越者宜用之。
庞安时云。病新瘥后。气血津液虚耗。慎勿为诸劳动事。凡言语思虑劳神。梳浴澡 （音诲洗面也。）劳力。劳则生
热。而复病如初也。又新瘥后精髓枯燥。切不可为房事。犯房事劳复必死。故督邮顾子献。病瘥后。华敷嘱之。慎勿房
事。余劳尚可。女劳即死。此是女劳复。非阴阳易也。又素问曰病热而有所遗者。是新瘥后肠胃尚弱。若多食。则难消
化。而复病如初也。此是食复新瘥。强人足两月虚弱人足百日则无复病矣。
（总论）疗天行劳复头痛四肢疼。
葱白 豉（各半升）
水二升半。煎葱烂。去滓。入雄鼠矢三七枚。末之。和匀。分再服。未瘥。更作。
又疗天行劳复作热。旦至晚则腰背痛。头项强重葛根姜豉汤。
芍药 生姜（各一两半） 豉 葱白（各一合半） 葛根（二两）
咀。水三升。煎二升。下豉。煎一升半。去滓。温饮一盏。
又疗天行瘥后。劳复发热。呕吐食不下。芦根汤。
芦根（半升） 生姜（二两） 橘皮 枇杷叶（各一两）
以水三升。煮一升半。去滓。温饮一盏。心烦躁。加石膏二两。加水一升。煮二升。
琥按上三方。皆云。疗天行病。其因自巢氏病源始。病源就仲景之论。而曰伤寒。曰时气。曰热病。曰温病伤寒
者。触冒冬时之寒。乃正气病也。时气者。四时反寒反热之气也。热病者。病重于温。经云五脏皆有也。温病者。冬伤
于寒。至春所变也。四种病。皆分一日二日。至八九日。及传变之候。并与伤寒同也。四者之中。惟时气一候。病无长
少。率多相似。故外台方。以天行名之。今庞氏作总病论。列之伤寒证中。愚意云。此即四时伤寒病也。上三方皆治阳
明劳复之药。独葛根姜豉汤云。疗腰背痛。头项强重。当是太阳经病。传写时。得毋误邪。姑并采之。以备参考。
又疗病未平复。后劳动。致热气攻胸。手足拘急。搐搦如中风状。宜栝蒌竹茹汤。
栝蒌根（二两）
以上一味药。用水五升。煮取一升药液。分两次服用。先用青淡竹沥一升，加水二升，将好银二两放入其中煮沸至减半。取出银片。先让患者饮用此汁。
片刻之后。再服用栝蒌汤药液。小便通利后疾病即愈。栝蒌汤、银汁。必须冷服。
琥按：栝蒌汤性味苦寒，能清泄中焦热毒；银汁性味甘寒，具有沉降下行之效。对于患者因热毒上攻、神气浮越的病症适宜使用。
庞安时说。病初愈后。气血津液虚耗。千万不要从事各种劳累之事。凡是言语思虑劳神、梳洗沐浴（音诲，指洗面）、体力劳动等，劳作则生热。会导致病情如初发一般复发。另外，病初愈后精髓枯燥。千万不可进行房事。若犯房事导致劳复必死无疑。所以督邮顾子献，病愈后。华敷嘱咐他。谨慎不要行房事。其余的劳累尚可避免，若是女色之劳即刻致死。这是女劳复。不是阴阳易病。另外《素问》说：患热病后出现遗留症状的。是因为病初愈后肠胃尚且虚弱。如果多吃食物。则难以消化。会导致病情如初发一般复发。这是食复。新近病愈者。强壮之人需静养两个月，虚弱之人需静养百日。这样就不会再复发疾病了。
水二升半。煎煮葱至烂熟。滤去渣滓。加入雄鼠矢三七枚。研成细末。混合均匀。分两次服用。未痊愈。再制作服用。
又治疗天行病劳复产生发热。早晨到晚上则腰背痛。头项强重，用葛根姜豉汤治疗。
切碎。用水三升。煎煮至二升。加入豉。煎煮至一升半。滤去渣滓。温饮一盏。
用水三升。煮取一升半。滤去渣滓。温饮一盏。若心中烦躁。加石膏二两。加水一升。煮取二升。
琥按上述三方。都说。治疗天行病。其病因自巢元方《诸病源候论》始。《病源》依据张仲景的论述。而分为伤寒、时气、热病、温病。伤寒者。触犯冬季的寒气。是正气受病。时气者。四季反常的寒热之气。热病者。病情重于温病。经云五脏皆有此病。温病者。冬季感受寒邪。至春季所变发而成。这四种病。都分为一日、二日。至八九日。以及传变的征候。都与伤寒相同。四者之中。只有时气这一类。病人无论老少。大多症状相似。所以《外台秘要》方书。以天行命名它。现在庞安时编写《总病论》。将其列在伤寒证中。我的意见认为。这就是四时伤寒病。上述三方都是治疗阳明劳复的药物。唯独葛根姜豉汤说。治疗腰背痛、头项强重。应当是太阳经病。抄写传述时。莫非有误吗？暂且一并收录。以备参考。
Trichosanthis Radix (Liang Er)
The above single herb. Use five sheng of water. Boil to obtain one sheng of liquid. Divide into two doses. First, take one sheng of Qingdan Zhuli (Green and Pale Bamboo Sap), mix with two sheng of water, and boil two liang of fine silver until the volume is halved. Remove the silver. Allow the patient to drink this liquid first.
After a short while. then administer the Gualou Tang (Trichosanthes Decoction). When urination becomes smooth, the disease will be cured. Gualou Tang and Yin Zhi (Silver Juice) must be taken cold.
Hu notes: Gualou Tang is bitter and cold, clearing heat in the middle jiao; Yin Zhi is sweet and cold, having a descending effect. It is suitable for patients suffering from heat-toxin attacking upwards and floating spirit qi.
Pang Anshi said. After the recent recovery from illness. Qi, blood, body fluids, and essence are depleted. One must strictly avoid all laborious activities. Any mental exertion such as speaking or overthinking, physical exertion such as combing hair or bathing (hui, meaning washing face), or manual labor generates heat. This may cause the disease to recur as it was initially. Furthermore, after recent recovery, the essence and marrow are dry. Sexual intercourse must absolutely be avoided. Engaging in sexual activity causing recurrence due to fatigue (Lao Fu) leads to death. Thus, Du You Gu Zixian, after recovering from illness. Hua Fu instructed him. To be cautious and avoid sexual intercourse. Other forms of fatigue can be tolerated, but female-related fatigue (Nü Lao) leads to immediate death. This is Nü Lao Fu (recurrence due to sexual exhaustion), not Yin Yang Yi (mutual transmission of disease between sexes). Additionally, the *Su Wen* states: those who have residual symptoms after a febrile disease. This is because the stomach and intestines are still weak after recovery. If one eats too much, digestion is difficult. This causes the disease to recur as before. This is Shi Fu (recurrence due to improper diet). For recently recovered individuals. robust persons require two months of rest, while weak persons require one hundred days. Only then will there be no recurrence of disease.
(General Discussion) Treating headache and limb pain caused by Lao Fu (recurrence due to fatigue) following Tian Xing (epidemic) diseases.
Cong Bai (Scallion White) and Chi (Fermented Soybean) (each half sheng)
Use two and a half sheng of water. Boil Cong Bai until soft. Strain out the dregs. Add thirty-seven pieces of Xiong Shu Shi (Male Rat Feces). Grind into powder. Mix evenly. Divide into two doses. If not cured, prepare again.
Also treats Tian Xing disease recurrence with fever. From morning to evening, lower back pain occurs. Stiffness and heaviness in the head and neck are treated with Gegen Jiang Chi Tang (Kudzu, Ginger, and Fermented Soybean Decoction).
Shaoyao (Peony Root) and Sheng Jiang (Fresh Ginger) (each one and a half liang); Chi (Fermented Soybean) and Cong Bai (Scallion White) (each one and a half he); Gegen (Kudzu Root) (two liang)
Chop coarsely. Use three sheng of water. Boil to two sheng. Add Chi. Boil to one and a half sheng. Strain out dregs. Drink one zhan (cup) warm.
Also treats Tian Xing disease recurrence with fever, vomiting, and poor appetite after recovery. Use Lugeng Tang (Reed Rhizome Decoction).
Lugeng (Reed Rhizome) (half sheng); Sheng Jiang (Fresh Ginger) (two liang); Jupi (Tangerine Peel) and Pipaye (Loquat Leaf) (each one liang)
Use three sheng of water. Boil to one and a half sheng. Strain out dregs. Drink one zhan (cup) warm. If there is heart irritability and restlessness, add Shigao (Gypsum) two liang. Add one sheng of water. Boil to two sheng.
Hu notes regarding the above three formulas. All state they treat Tian Xing (epidemic) diseases. The origin of this etiology begins with Chao Yuanfang's *Zhu Bing Yuan Hou Lun* (Source Book of All Categories of Diseases). *Yuan Hou Lun* bases its discussion on Zhang Zhongjing's theories, categorizing them as Shang Han (Cold Damage), Shi Qi (Seasonal Miasma), Re Bing (Febrile Disease), and Wen Bing (Warm Disease). Shang Han refers to contracting winter cold, affecting the righteous Qi. Shi Qi refers to abnormal cold and heat qi of the four seasons. Re Bing is more severe than Wen Bing; the classics state all five zang organs can suffer from it. Wen Bing results from winter cold injury manifesting in spring. These four diseases share similar progression through days one to eight or nine, and transmission patterns, identical to Shang Han. Among the four, only Shi Qi shows similar symptoms regardless of age or gender. Therefore, the *Wai Tai Mi Yao* (Essential Prescriptions Worth a Thousand Gold) names it Tian Xing. Currently, Pang Anshi includes it in the Shang Han section of his *Zong Bing Lun* (General Treatise on Diseases). My opinion is that this is simply Shang Han occurring in the four seasons. The above three formulas all treat Yang Ming Lao Fu. However, Gegen Jiang Chi Tang specifically mentions treating lower back pain and stiffness/heaviness in the head and neck, which should belong to the Tai Yang channel. Was there an error during transcription? I tentatively include them here for reference.
Also treats cases where the disease has not fully resolved, and subsequent labor causes heat qi to attack the chest. Hand and foot spasms and convulsions resembling stroke occur. Use Gualou Zhuru Tang (Trichosanthes and Bambusa Sap Decoction).