治热盛狂语欲死。
生鸡子（七枚） 芒硝（一两）
井萃水一大升。同搅千遍。去沫。顿服快利为度。
琥按上汤。乃治手足阳明燥热之剂。
（琥）又按温病。狂热饮水发斑之证最多。愚故集以上诸方特治之。
活人书四十三问。夏至以前发热恶寒。头疼。身体痛。其脉浮紧。答曰。此名温病也。春月伤寒。谓之温病冬伤于
寒。轻者。夏至以前发为温病。盖因春温暖之气而发也。（云云）
琥按仲景言温病不恶寒而渴。上条云。温病恶寒。不言渴。脉又浮紧。此直是春月伤寒。何得云冬伤于寒。至春
始发为温病邪。其言不顺。故于下四十五问。又出风温一条。而用葳蕤知母干葛栝蒌根等汤。且云。风温不可发汗也。
殊不知仲景当日言风温者。即太阳温病。发汗已身灼热者。名曰风温。此实一病而偶分两条。奉议不解书旨。分为二病。
其误多矣。
治风温加渴甚者。
石膏（一两） 栝蒌根（三分） 人参 防风 甘草（炙各半两） 葛根（一两半生用干者只三钱）
上锉如麻豆大每服。钞五钱匕。用水一盏半。煮至一中盏。去滓。温服。一方。加知母。
琥按上方。乃治阳明病温。气分热渴药也。
保命集云。温病。冬伤于寒所得也。至春变为温病。伤寒。汗下不愈而过经。其证尚在而不除者。亦温病也。（云云。）
琥按内经云。冬伤于寒。春必病温。又云。精者。身之本也。藏于精者。春不病温。故东垣云。房室劳伤。辛苦
之人。阳气泄于外。肾水亏于内。当春之月。时强木长。无以滋生化之源。故为温病耳。今云岐子云。伤寒汗下不愈。
过经而其证不除者。亦为温病。愚以仲景六经中。自有过经不愈之证。与温病毫不相涉何得扭合作温病邪。噫。是又大
失仲景之旨矣。
或问阳明病温极多。其初起兼太阳病者有之。故以上等方。皆二经药也。敢问少阳之经。亦有病温证乎。余答云。
有之。然亦必阳明病居多。而少阳为杂见之证。如准绳中用柴胡升麻汤是也。今采其方。附录于后。
治疗热邪炽盛、胡言乱语、生命垂危之证。
生鸡蛋（七枚） 芒硝（一两）
用井水一大升。将药同搅千遍。撇去浮沫。一次性服用，以大便通畅为度。
王琥按：上述汤剂，是治疗手足阳明经燥热证的方剂。
（王琥）又按：温病中，高热狂躁、饮水、发斑的证候最多见。所以我特意收集以上各方来专门治疗这些病症。
《活人书》第四十三问：夏至以前出现发热、恶寒、头痛、身体疼痛，脉象浮紧。回答说：这叫做温病。春季感受伤寒，称为温病；冬季感受寒邪，轻者，在夏至以前发作成为温病。这是因为春天的温暖之气引发的缘故。（等等）
王琥按：张仲景说温病不恶寒而口渴，上文那条说温病恶寒，没有提到口渴，脉象又是浮紧，这仅仅是春季感受伤寒罢了，怎么能说是冬季感受寒邪，到春天才发作成为温病呢？这种说法不合逻辑。所以在下面的第四十五问中，又列出一条风温证，并使用葳蕤、知母、干葛、栝蒌根等汤剂。并且说：风温不可发汗。殊不知张仲景当日所说的风温，就是太阳温病，发汗后身体灼热的，叫做风温。这实际上是同一种病偶然分成了两条条文。奉议（指《活人书》作者朱肱）不理解书的旨意，将其分为两种病，错误很多。
治疗风温兼有严重口渴的。
石膏（一两） 栝蒌根（三分） 人参 防风 甘草（炙各半两） 葛根（一两半，生用；干者只用三钱）
上方锉碎如麻豆大小，每次服用五钱匕。用水一盏半，煮至一盏，去渣滓。温服。另一法，加知母。
王琥按：上方，是治疗阳明病温，气分热盛口渴的药物。
《保命集》说：温病，是冬季感受寒邪所得到的。到了春天变为温病。伤寒，经过发汗、攻下治疗后未愈且超过传经周期，其证候仍在且不消除的，也是温病。（等等。）
王琥按：《内经》说：冬季感受寒邪，春天必定发生温病。又说：精气充足，是身体的根本。精气藏固的人，春天不得温病。所以李东垣说：房事劳伤，辛苦劳作之人，阳气泄于外，肾水亏于内，在春季月份，时令强木生长，无法滋养生化之源，所以发生温病。现在岐子（指《保命集》作者刘完素或相关注家，此处指代前文观点持有者）说：伤寒发汗攻下未愈，过经而其证不除的，也作为温病。我认为张仲景六经中，自有过经未愈的证候，与温病毫不相干，怎么能强行合并作为温病呢？唉，这更是大大违背了张仲景的旨意啊。
有人问：阳明病温非常多，其初起兼有太阳病的也有，所以上述方剂，都是涉及这两经的药物。冒昧请问少阳经，也有病温的证候吗？我回答说：有的。然而也必然是阳明病居多，而少阳为夹杂出现的证候。如《准绳》中使用的柴胡升麻汤就是这样。现在采集其方剂，附录在后面。
Treats conditions of excessive heat, delirious speech, and critical illness.
Sheng Jizi (Raw Chicken Egg) (7 eggs) Mangxiao (Natrii Sulfas) (1 liang)
Use one sheng of well water. Stir the mixture together for a thousand times. Remove the foam. Take in one dose; stop when bowel movement is unobstructed.
Wang Hu notes: The above decoction is a formula treating dryness-heat of the Hand-Yangming and Foot-Yangming meridians.
(Wang Hu) further notes: In warm diseases, symptoms such as high fever, mania, drinking water, and macules are most common. Therefore, I have specifically collected the aforementioned formulas to treat these conditions.
Question 43 in *Huoren Shu* (The Book That Saves Lives): Fever, aversion to cold, headache, body pain, with a floating and tight pulse occurring before the Summer Solstice. The answer states: This is called Warm Disease (*Wenbing*). Cold damage contracted in spring is called Warm Disease; cold contracted in winter, if mild, manifests as Warm Disease before the Summer Solstice. This is due to the warming qi of spring triggering it. (etc.)
Wang Hu notes: Zhang Zhongjing stated that Warm Disease presents without aversion to cold but with thirst. The previous clause mentioned Warm Disease with aversion to cold but did not mention thirst, and the pulse was floating and tight. This is merely Cold Damage contracted in spring. How can it be said that cold contracted in winter manifests as Warm Disease only in spring? This statement is illogical. Therefore, in Question 45 below, another entry on Wind-Warmth (*Fengwen*) is presented, using decoctions containing Yuwei (*Polygonatum odorati Rhizoma*), Zimu (*Anemarrhenae Rhizoma*), Gange (*Puerariae Radix*), and Gualougen (*Trichosanthis Radix*). It also states: Wind-Warmth should not be treated with sweating methods. Little does he know that what Zhang Zhongjing referred to as Wind-Warmth at that time was actually Taiyang Warm Disease. When sweating has been applied and the body becomes burning hot, it is named Wind-Warmth. This is essentially the same disease arbitrarily divided into two clauses. Fengyi (referring to Zhu Gong, author of *Huoren Shu*) failed to understand the intent of the text, dividing them into two diseases, which is a significant error.
For Wind-Warmth accompanied by severe thirst.
Shigao (Gypsum Fibrosum) (1 liang) Gualougen (Trichosanthis Radix) (3 fen) Renshen (*Panacis Ginseng Radix et Rhizoma*) Fangfeng (*Saposhnikoviae Radix*) Gancao (Licorice Root, honey-fried, each 0.5 liang) Gegen (*Puerariae Radix*) (1.5 liang, fresh; if dried, use only 3 qian)
Crush the herbs to the size of hemp seeds. For each dose, take five qianbi (a small measuring spoon). Use one zhan and a half of water, boil down to one zhan. Strain and remove the dregs. Take warm. Another method adds Zimu (*Anemarrhenae Rhizoma*).
Wang Hu notes: The above formula treats Yangming Warm Disease, targeting heat in the Qi level causing thirst.
*Baoming Ji* (Collection for Preserving Life) states: Warm Disease results from cold contracted in winter, transforming into Warm Disease in spring. If Cold Damage persists after sweating and purging therapies fail and exceeds the transmission cycle, with symptoms remaining unresolved, it is also considered Warm Disease. (etc.)
Wang Hu notes: *Neijing* (The Inner Canon) states: "Cold contracted in winter leads to Warm Disease in spring." It also says: "Essence is the root of the body. Those who conserve essence will not suffer from Warm Disease in spring." Thus, Li Dongyuan stated: Sexual exhaustion and hard labor cause yang qi to leak externally and kidney water to deplete internally. In the spring months, when wood qi is strong and growing, there is insufficient nourishment for the source of transformation and generation, leading to Warm Disease. Now, Qizi (referring to Liu Wansu or related commentators) claims that Cold Damage persisting after sweating/purging and exceeding the transmission cycle is also Warm Disease. I believe that within Zhang Zhongjing's Six Meridians, there are naturally cases of persistence beyond the transmission cycle unrelated to Warm Disease. How can they be forcibly merged into Warm Disease? Alas, this greatly deviates from Zhang Zhongjing's intent.
A question arises: Yangming Warm Disease is very common, and some present initially with concurrent Taiyang symptoms. Thus, the aforementioned formulas involve both meridians. May I ask if Shaoyang meridian also has Warm Disease presentations? My answer is: Yes. However, Yangming involvement is predominant, while Shaoyang presents as mixed symptoms. For example, Chaihu Shengma Tang (*Bupleuri and Ligustici Decoction*) used in *Zhunsheng* (Standard Guidelines) is an instance. I now collect this formula and append it below.