论曰∶阴不足则阳偏，阳偏则发热。若热从背起，自手足渐渐周身，口舌干燥，欲饮水
而不能，此由阴气亏少，少水不能制盛火。诸阳起于四末，循行于背，阴不能敛阳，阳气
独行，所以发热，或昼发而夜宁，或夜发而至旦即消。其脉虚疾而小，芍药黄 汤主之。
芍药黄 汤
芍药（三钱） 黄 甘草（炙） 青蒿（阴干，各一两）
上为散。每服五钱，水二大盏，煎至一盏，去滓，食后温服。
若热从腹起，上循胸腋，绕颈额，初微而渐至大热，发无时，遇饥则剧，中脘不利，善
食而瘦，其色苍黄，肌肉不泽，口唇干燥，由脾气素弱，曾因他病，误服热药，入于脾，脾
热则消谷引饮，善消肌肉，其脉濡弱而疾，参橘丸主之。若嗽者，用加减法，及灸脾 百壮
参橘丸
橘皮（三两，洗） 麦门冬（去心） 人参（去芦，各一两）
上为末，炼蜜为丸，如梧桐子大。食前米饮下三十丸。若嗽，加五味子一两。
若热从腹中或从背起，渐渐蒸热，日间剧，夜渐退，或寐而汗出，小便或赤或白而浊，
甚则频数尿精，夜梦鬼交，日渐羸瘦，由思虑太过，心气耗弱，阳气流散，精神不藏，阴无
所使，治属虚劳，大建中汤主之。
大建中汤
芍药（六两） 黄 远志（去心） 当归（洗） 泽泻（各三两） 龙骨 人参 甘
草（炙，
各二两）
上为散。每服五钱，水二盏，枣二个，擘破，姜五片，同煎至一盏，去滓，食后温服。
腹中急，加饧如枣大。
若自腰以上发热，热及则汗出，出已而凉，移时如故，复加昏晕，腹中膨 ，其气上攻，
时时咳嗽，嗽引胁下牵痛，睡则惊悸，其脉弦急疾，由外寒客搏，内冷相合，寒则气收，
水液聚内化成饮。医以热药攻寒，寒闭于内，热增于上，阳气不下行，故散越于上，发而
热，散而为汗。汗多亡阳，心气内虚，故令惊惕。治属饮家，以旋复花丸主之。
旋复花丸
旋复花 桂心 枳实（麸炒） 人参（各五分） 干姜 芍药 白术（各六分） 茯苓 野狼
毒
乌头
黄（湿
纸裹
汁炙，各四
两）
上为细末，炼蜜为丸，如梧桐子大。米饮下三丸，未效，加至七丸。小儿黄米大二丸。
若热起骨间烦疼，手足时冷，早起体凉，日晚即热，背膂牵急，或骨节起凸，足胫酸弱
由阴不足，而阳陷阴中，热留骨髓，髓得热则稀，髓稀则骨中空虚，阴虚水少脂枯，故蒸
起，其脉沉细而疾。治属骨蒸，补髓丸主之。
补髓丸
生干地黄（晒干，三两） 干漆（半两，碎，炒令烟尽）
上为末，炼蜜为丸，如梧桐子大。饮下三十丸，空心临卧服。
若自胸以上至头发热，口鼻气色时如烟熏，目涩咽燥，唾如凝脂，时咳，毛竦，大便不
利，小便赤，由肺不调，邪热熏上焦，其脉疾大，先服桔梗汤。热不退者，五味子汤主之。
桔梗汤
桔梗（一两） 人参 麦门冬（去心） 甘草（炙 各半两） 小麦（一合）
上 咀。水三升，煎至一升，去滓，分三服。
五味子汤《指南方》治发热甚不退。
柴胡（去苗，洗，四两） 半夏（汤洗七遍，一两一分） 黄芩 五味子 赤茯苓（分
两原
缺）
上为散。每服五钱，水二盏，姜五片，枣二个，擘破，同煎至一盏，去滓温服。
若但热不歇，日晡尤甚，口中勃勃气出，耳无所闻，昼多昏睡，睡即浪言，喜冷，小便
赤涩，大便不通，由三阳气盛，蕴于经络，内属腑脏，或因他病而致疾，其脉短疾而数，柴
胡芒硝汤主之。
柴胡芒硝汤
柴胡（四两，洗，去苗） 黄芩 甘草（炙） 赤茯苓（各一两半） 半夏（汤洗七遍，
一两
一
上为散。每服五钱，水二盏，生姜五片，枣二个，擘破，同煎至一盏，去滓，入芒硝一
钱，搅和温服，以大便利为度。
若身大热，背微恶寒，心中烦闷，时时欲呕，渴不能饮，头昏重痛，恶见日光，遇凉稍
清，起居如故，由饮食失时，胃中无谷气，热蓄于胃中，中脘热，则三阳不下降，而上聚于
脑。又胃主阳明经，为恶热，其脉虚大而数，久则细小，谓之中暑。初即服好茶一杯立愈，
不即治之，留而在胃，别致他病，生姜竹茹汤主之。
生姜竹茹汤
竹茹（鸡子大） 人参（半两） 葛根（半两） 生姜（一钱，切）
上为散。水三盏，煎二盏，去滓，分二服，不拘时。
若间日发热，发必数欠，头痛拘倦，由肺素有热，气盛于身，厥逆上冲，中气实而不外
泄，其气五内于心，外舍于分肉之间，令人消烁脱肉，其脉弦大而数，谓之瘅疟，柴胡栝蒌
汤主之。
柴胡栝蒌汤
柴胡（去苗，洗，八钱） 芍药 人参（各二钱） 半夏（汤洗七遍，二钱半） 甘草
（炙，
二钱） 栝蒌（二钱）
上 咀。水二升，生姜十片，枣二个，擘破，同煎至一升，分三服，去滓服。 大热
去芍药、栝蒌，用黄芩三钱，即名小柴胡汤。
若身热汗出，烦满不为汗解，由太阳之经先受风邪，与热相搏，肾气厥则烦满，谓之风
厥，泽泻汤主之。
泽泻汤
泽泻（半两） 白术 防风（各二两） 石膏（研） 赤茯苓（各一两）
上为散。每服五钱，水二盏，煎至一盏，去滓温服。
若四肢发热，逢风如炙如火，由阴不胜阳，阳盛则热，起于四肢，少水不能灭盛火，而
阳独治于外，以菟丝子丸主之。
菟丝子丸
菟丝子（先于臼内杵百下，筛去杂物末） 五味子（各一两） 生干地黄（一两）
上为末，炼蜜和丸，如梧桐子大。饮下三十粒，食前服。
若发热，耳暴聋，颊肿胁痛， 不可以运，由少阳之气厥，而热留其经，宜小柴胡汤。
若口干溺赤，腹满心痛，由热留于手少阴之经，其气厥也，赤茯苓汤主之。
赤茯苓汤
赤茯苓（四两） 甘草（生，一两） 木香（半两）
上为散。每服五钱，水二盏，煎至一盏，去滓温服。
论述说：阴气不足则阳气偏亢，阳气偏亢则导致发热。如果热感从背部开始，逐渐蔓延至手足及全身，口舌干燥，想喝水却因某种原因无法下咽（或指饮水不解渴），这是由阴气亏少，犹如少量的水不能制约旺盛的火焰所致。诸阳经起于四肢末端，循行于背部，阴气不能收敛阳气，导致阳气独自运行，所以出现发热，有的白天发作夜间安宁，有的夜间发作直到天亮才消退。其脉象虚数而细小，用芍药黄芪汤主治。
芍药黄芪汤
芍药（三钱） 黄芪 甘草（炙） 青蒿（阴干，各一两）
以上药物研为散剂。每次服用五钱，加水两大盏，煎煮至一盏，去渣滓，饭后温服。
如果热感从腹部开始，向上循行至胸胁和腋下，环绕颈部和前额，起初轻微逐渐变为大热，发作没有固定时间，饥饿时症状加剧，中脘部不适，食欲旺盛但身体消瘦，面色苍黄，肌肉失去光泽，口唇干燥，这是由于脾气素来虚弱，曾因其他疾病误服热性药物，热气入脾，脾热则消化食物快且引水自救，容易消耗肌肉，其脉象濡弱而数，用参橘丸主治。如果有咳嗽症状，使用加减法，并灸脾俞穴一百壮。
参橘丸
陈皮（三两，洗） 麦门冬（去心） 人参（去芦，各一两）
以上药物研为末，用炼蜜制成梧桐子大小的丸剂。饭前用米汤送服三十丸。如果有咳嗽，加五味子一两。
如果热感从腹中或背部开始，逐渐蒸腾发热，白天剧烈，夜间逐渐减退，或者睡眠中出汗，小便颜色红赤或白色浑浊，严重时尿频甚至遗精，夜间梦见与鬼性交，日渐消瘦，这是由于思虑过度，心气耗损虚弱，阳气流散，精神不能内守，阴气无所依附，治疗属于虚劳范畴，用大建中汤主治。
大建中汤
芍药（六两） 黄芪 远志（去心） 当归（洗） 泽泻（各三两） 龙骨 人参 甘草（炙，各二两）
以上药物研为散剂。每次服用五钱，加水两盏，大枣两个掰开，生姜五片，一同煎煮至一盏，去渣滓，饭后温服。如果腹部拘急疼痛，加入如枣核大小的饴糖。
如果腰部以上发热，热极则出汗，汗出后变凉，过一会儿又恢复原状，随后加上头晕目眩，腹部胀满，气机上冲，时时咳嗽，咳嗽牵引胁下牵拉疼痛，睡觉时惊悸不安，其脉象弦急而数，这是由于外寒客邪搏击，内冷相合，寒邪使气机收敛，水液聚积体内化成饮邪。医生用热药攻伐寒邪，导致寒闭于内，热增于上，阳气不能下行，所以散越于上部，发作时发热，散逸时化为汗。汗多导致亡阳，心气内部空虚，所以令人惊惕。治疗属于饮家范畴，用旋复花丸主治。
旋复花丸
旋复花 桂心 枳实（麸炒） 人参（各五分） 干姜 芍药 白术（各六分） 茯苓 野狼毒 乌头 黄芪（湿纸包裹，取汁炙，各四两）
以上药物研为细末，用炼蜜制成梧桐子大小的丸剂。米汤送服三丸，若无效果，加至七丸。小儿用黄豆大二小的丸剂两丸。
如果热感从骨间发起，伴有烦痛，手足有时发冷，早起身体凉爽，傍晚即发热，背部脊柱牵拉拘急，或者骨节突起，小腿酸软无力，这是由阴气不足，阳气陷入阴中，热邪留滞骨髓，骨髓受热则变得稀薄，骨髓稀薄则骨骼中空虚，阴虚水少脂枯，所以产生蒸热，其脉象沉细而数。治疗属于骨蒸范畴，用补髓丸主治。
补髓丸
生干地黄（晒干，三两） 干漆（半两，捣碎，炒至烟尽）
以上药物研为末，用炼蜜制成梧桐子大小的丸剂。温水送服三十丸，空腹及睡前服用。
如果从胸部以上直至头发发热，口鼻气色时常像被烟熏一样，眼睛干涩咽喉干燥，唾液像凝固的油脂，时时咳嗽，毫毛竖起，大便不通利，小便红赤，这是由于肺脏功能不调，邪热熏蒸上焦，其脉象疾大而数，先服用桔梗汤。如果热不退，用五味子汤主治。
桔梗汤
桔梗（一两） 人参 麦门冬（去心） 甘草（炙 各半两） 小麦（一合）
以上药物切碎。加水三升，煎煮至一升，去渣滓，分三次服用。
五味子汤出自《指南方》，治疗发热严重不退。
柴胡（去苗，洗，四两） 半夏（汤洗七遍，一两一分） 黄芩 五味子 赤茯苓（分量原文缺失）
以上药物研为散剂。每次服用五钱，加水两盏，生姜五片，大枣两个掰开，一同煎煮至一盏，去渣滓温服。
如果只是发热不间歇，下午申时尤为严重，口中热气勃勃向外喷出，耳朵听不见声音，白天多昏睡，睡着就说胡话，喜冷饮，小便红赤涩痛，大便不通，这是由三阳经气盛，蕴结于经络，内连腑脏，或因其他疾病导致，其脉象短促疾速而数，用柴胡芒硝汤主治。
柴胡芒硝汤
柴胡（四两，洗，去苗） 黄芩 甘草（炙） 赤茯苓（各一两半） 半夏（汤洗七遍，一两一分）
以上药物研为散剂。每次服用五钱，加水两盏，生姜五片，大枣两个掰开，一同煎煮至一盏，去渣滓，加入芒硝一钱，搅匀温服，以大便通畅为度。
如果身体大热，背部微微恶寒，心中烦闷，时时想呕吐，口渴但不能饮水，头昏沉重疼痛，厌恶见到日光，遇到凉爽稍感清醒，起居如常，这是由于饮食失时，胃中没有谷气，热邪蓄积在胃中，中脘热盛，导致三阳之气不能下降，而上聚于头部。另外胃主阳明经，性质恶热，其脉象虚大而数，久病则变为细小，这称为中暑。初起即喝一杯好茶立刻痊愈，如果不立即治疗，热邪留在胃中，另致其他疾病，用生姜竹茹汤主治。
生姜竹茹汤
竹茹（鸡蛋大小） 人参（半两） 葛根（半两） 生姜（一钱，切片）
以上药物研为散剂。加水三盏，煎煮至两盏，去渣滓，分两次服用，不拘泥时间。
如果每隔一天发热，发作时必然多次呵欠，头痛拘挛疲倦，这是由于肺素有热，气盛于身，厥逆之气上冲，中气充实而不能向外宣泄，这股气内通于心，外舍于肌肉之间，使人消瘦脱肉，其脉象弦大而数，称为瘅疟，用柴胡栝蒌汤主治。
柴胡栝蒌汤
柴胡（去苗，洗，八钱） 芍药 人参（各二钱） 半夏（汤洗七遍，二钱半） 甘草（炙，二钱） 栝蒌（二钱）
以上药物切碎。加水二升，生姜十片，大枣两个掰开，一同煎煮至一升，分三次服用，去渣滓服。如果大热，去掉芍药、栝蒌，改用黄芩三钱，这就叫小柴胡汤。
如果身体发热出汗，烦闷不因汗出而缓解，这是由太阳经先受风邪，与热邪相互搏结，肾气厥逆则烦闷，称为风厥，用泽泻汤主治。
泽泻汤
泽泻（半两） 白术 防风（各二两） 石膏（研） 赤茯苓（各一两）
以上药物研为散剂。每次服用五钱，加水两盏，煎煮至一盏，去渣滓温服。
如果四肢发热，遇风感觉像烧烤如火，这是由阴气不能胜阳气，阳气盛则热，热起于四肢，如同少量的水不能扑灭旺盛的火焰，而阳气独治于外，用菟丝子丸主治。
菟丝子丸
菟丝子（先在臼中捣一百下，筛去杂物成末） 五味子（各一两） 生干地黄（一两）
以上药物研为末，用炼蜜调和制成梧桐子大小的丸剂。温水送服三十粒，饭前服用。
如果发热，耳朵突然耳聋，脸颊肿胀胁痛，关节活动不利，这是由少阳之气厥逆，而热邪留滞在经脉，宜用小柴胡汤。
如果口干尿赤，腹部胀满心痛，这是由热邪留滞在手少阴心经，气机厥逆，用赤茯苓汤主治。
赤茯苓汤
赤茯苓（四两） 甘草（生，一两） 木香（半两）
以上药物研为散剂。每次服用五钱，加水两盏，煎煮至一盏，去渣滓温服。
It is stated: When Yin is insufficient, Yang becomes excessive; when Yang is excessive, fever occurs. If the heat sensation starts from the back and gradually spreads to the hands, feet, and whole body, accompanied by dryness of the mouth and tongue, a desire to drink water but an inability to swallow (or thirst not relieved by drinking), this is caused by a deficiency of Yin Qi, akin to a small amount of water failing to control a raging fire. The Yang meridians originate at the extremities of the four limbs and circulate along the back. When Yin cannot restrain Yang, Yang Qi moves independently, resulting in fever. This may manifest as daytime onset with nighttime relief, or nighttime onset with resolution by dawn. The pulse is deficient, rapid, and thin. Shaoyao Huangqi Tang (Peony and Astragalus Decoction) is the primary treatment.
Shaoyao Huangqi Tang (Peony and Astragalus Decoction)
Shaoyao (Paeoniae Radix Alba, 3 qian)
Huangqi (Astragali Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, prepared)
Qinghao (Artemisiae Annuae Herba, dried in shade, each 1 liang)
The above ingredients are processed into a powder. Take 5 qian per dose, add two large bowls of water, decoct until one bowl remains, strain, and take warm after meals.
If the heat sensation originates from the abdomen, ascends along the chest and axillae, and circles the neck and forehead, starting mildly and progressing to high fever without fixed timing, worsening upon hunger, with discomfort in the Zhongwan region, hyperphagia yet emaciation, sallow-yellow complexion, lusterless muscles, and dry lips, this is due to inherent Spleen Qi weakness. Previously, due to other illnesses, hot-natured medicines were mistakenly taken, allowing heat to enter the Spleen. Spleen heat accelerates digestion and induces thirst, consuming muscle tissue. The pulse is soggy, weak, and rapid. Shanju Wan (Ginseng and Tangerine Peel Pill) is the primary treatment. For cases with cough, apply modification methods and moxibustion on Pishu (BL20) for 100 cones.
Shanju Wan (Ginseng and Tangerine Peel Pill)
Chenpi (Citri Reticulatae Pericarpium, 3 liang, washed)
Maimendong (Ophiopogonis Radix, heart removed)
Renshen (Ginseng Radix et Rhizoma, radix removed, each 1 liang)
The above ingredients are ground into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals with rice water. If cough is present, add Wubeizi (Schisandrae Fructus, 1 liang).
If heat originates from the abdomen or back, gradually rising as steaming heat, severe during the day and subsiding at night, or occurring with sweating during sleep, with urine ranging from red to white and turbid, progressing to frequent urination or spermatorrhea, nocturnal emissions involving dreams of sexual intercourse, and progressive emaciation, this is caused by excessive mental exertion depleting Heart Qi. Yang Qi scatters, Spirit fails to reside within, and Yin has no function. This falls under the category of Deficiency Labor (Xu Lao). Dajianzhong Tang (Great Construct the Middle Decoction) is the primary treatment.
Dajianzhong Tang (Great Construct the Middle Decoction)
Shaoyao (Paeoniae Radix Alba, 6 liang)
Huangqi (Astragali Radix)
Yuanzhi (Polygalae Radix, heart removed)
Danggui (Angelicae Sinensis Radix, washed)
Zexie (Alismatis Rhizoma, each 3 liang)
Longgu (Fossilia Ossis Mastodi et Ossis Parietalis)
Renshen (Ginseng Radix et Rhizoma)
Gancao (Glycyrrhizae Radix et Rhizoma, prepared, each 2 liang)
The above ingredients are processed into a powder. Take 5 qian per dose, add two bowls of water, two Jujubae Fructus (split open), five slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until one bowl remains, strain, and take warm after meals. If abdominal urgency and pain occur, add Yi Tang (Saccharum Japonicum) the size of a date pit.
If fever occurs above the waist, leading to sweating when heat peaks, followed by cooling, then returning to normal after some time, accompanied by dizziness, abdominal distension, Qi rushing upward, frequent coughing that pulls on the hypochondrium, and palpitations during sleep, the pulse is wiry, urgent, and rapid. This is caused by external Cold pathogens attacking and internal Cold combining. Cold causes Qi contraction, and fluid accumulation transforms into Phlegm-Fluid (Yin). Physicians using hot medicines to attack Cold cause Cold to be sealed internally and Heat to increase externally. Yang Qi fails to descend and scatters upward, causing fever when active and sweating when scattered. Excessive sweating leads to loss of Yang, leaving Heart Qi internally deficient, causing fright and palpitations. This belongs to the category of Fluid Retention (Yin Jia). Xuanfuhua Wan (Inula Flower Pill) is the primary treatment.
Xuanfuhua Wan (Inula Flower Pill)
Xuanfuhua (Inulae Flos)
Guixin (Cinnamomi Cortex)
Zhishi (Aurantii Fructus Immaturus, bran-fried)
Renshen (Ginseng Radix et Rhizoma, each 5 fen)
Ganjiang (Zingiberis Rhizoma)
Shaoyao (Paeoniae Radix Alba)
Baizhu (Atractylodis Macrocephalae Rhizoma, each 6 fen)
Fuling (Poria)
Yelangdu (Radix Stellerae Chamaejasmes)
Wutou (Aconiti Lateralis Radix Praeparata)
Huangqi (Astragali Radix, wrapped in wet paper, roasted with juice, each 4 liang)
The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 3 pills with rice water. If ineffective, increase to 7 pills. For children, use 2 pills the size of millet grains.
If heat originates from between the bones causing irritability and pain, with cold hands and feet, cool body in the morning and fever in the evening, stiffness and pulling in the back and spine, or protruding bone joints, and soreness and weakness in the calves, this is due to Yin insufficiency with Yang sinking into Yin. Heat remains in the marrow; heat thins the marrow, making bones hollow. Yin deficiency leads to scant fluids and withered fat, causing steaming heat. The pulse is deep, thin, and rapid. This belongs to the category of Bone-steaming Consumption (Gu Zheng). Busui Wan (Marrow-Nourishing Pill) is the primary treatment.
Busui Wan (Marrow-Nourishing Pill)
Sheng Gan Dihuang (Rehmanniae Radix Preparata, sun-dried, 3 liang)
Ganqi (Lacini Cinnamomi, half liang, crushed, stir-fried until smoke ceases)
The above ingredients are ground into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 30 pills with water, on an empty stomach and before bed.
If fever extends from the chest to the hairline, with the complexion of the mouth and nose resembling soot, dry eyes, dry throat, saliva like congealed fat, occasional coughing, piloerection, constipation, and red urine, this is due to Lung dysfunction where pathogenic heat steams the Upper Jiao. The pulse is rapid and large. First administer Jiegeng Tang (Platycodon Decoction). If fever persists, Wuweizi Tang (Schisandra Decoction) is used.
Jiegeng Tang (Platycodon Decoction)
Jiegeng (Platycodonis Radix, 1 liang)
Renshen (Ginseng Radix et Rhizoma)
Maimendong (Ophiopogonis Radix, heart removed)
Gancao (Glycyrrhizae Radix et Rhizoma, prepared, each half liang)
Xiaomai (Tritici Fructus Immaturus, 1 he)
The above ingredients are cut. Add three sheng of water, decoct to one sheng, strain, and divide into three doses.
Wuweizi Tang (Schisandra Decoction) from *Zhinan Fang* treats persistent severe fever.
Chaihu (Bupleuri Radix, stems removed, washed, 4 liang)
Banxia (Pinelliae Rhizoma, washed seven times in boiling water, 1 liang 1 fen)
Huangqin (Scutellariae Radix)
Wuweizi (Schisandrae Fructus)
Chifuling (Poria cum Rubro, original dosage missing)
The above ingredients are processed into a powder. Take 5 qian per dose, add two bowls of water, five slices of Shengjiang (Zingiberis Rhizoma Recens), two split Jujubae Fructus, decoct together until one bowl remains, strain, and take warm.
If fever is continuous without respite, worse in the late afternoon (Shi hour), with breath blowing out vigorously, deafness, daytime somnolence with delirious speech during sleep, preference for cold drinks, red and difficult urination, and constipation, this is due to excess Qi in the Three Yang meridians accumulating in the collaterals and connecting internally to the Fu organs, possibly arising from other diseases. The pulse is short, rapid, and numerous. Chaihu Mangxiao Tang (Bupleurum and Mirabilite Decoction) is the primary treatment.
Chaihu Mangxiao Tang (Bupleurum and Mirabilite Decoction)
Chaihu (Bupleuri Radix, 4 liang, washed, stems removed)
Huangqin (Scutellariae Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, prepared)
Chifuling (Poria cum Rubro, each 1.5 liang)
Banxia (Pinelliae Rhizoma, washed seven times in boiling water, 1 liang 1 fen)
The above ingredients are processed into a powder. Take 5 qian per dose, add two bowls of water, five slices of Shengjiang (Zingiberis Rhizoma Recens), two split Jujubae Fructus, decoct together until one bowl remains, strain, add 1 qian of Mangxiao (Natrii Sulfas), mix well, and take warm. Stop when bowel movement is unobstructed.
If there is high fever, slight aversion to cold on the back, mental restlessness, frequent nausea, thirst but inability to drink, heavy and painful dizziness, photophobia, slight clarity upon exposure to cool air, and normal daily activities, this is due to irregular diet causing lack of Grain Qi in the Stomach. Heat accumulates in the Stomach; Zhongwan heat prevents the descent of Three Yang Qi, which gathers in the head. The Stomach governs the Yangming Meridian, which dislikes heat. The pulse is deficient, large, and rapid, becoming thin and small over time. This is termed Summerheat (Zhongshu). Initially, drinking good tea cures it immediately. If untreated, heat remains in the Stomach, causing other diseases. Shengjiang Zhuru Tang (Fresh Ginger and Bamboo Shavings Decoction) is the primary treatment.
Shengjiang Zhuru Tang (Fresh Ginger and Bamboo Shavings Decoction)
Zhuru (Bambusae Caulis in Taenia, size of a chicken egg)
Renshen (Ginseng Radix et Rhizoma, half liang)
Gegen (Puerariae Lobatae Radix, half liang)
Shengjiang (Zingiberis Rhizoma Recens, 1 qian, sliced)
The above ingredients are processed into a powder. Add three bowls of water, decoct to two bowls, strain, and divide into two doses. Take at any time.
If fever occurs every other day, accompanied by frequent yawning, headache, stiffness, and fatigue, this is due to pre-existing Lung heat with Qi abundance in the body. Rebellious Qi rushes upward, middle Qi is full but does not vent outward. This Qi connects internally to the Heart and externally to the muscles/flesh, causing emaciation. The pulse is wiry, large, and rapid. This is called Dan Malaria (Dan Nue). Chaihu Gualou Tang (Bupleurum and Trichosanthes Decoction) is the primary treatment.
Chaihu Gualou Tang (Bupleurum and Trichosanthes Decoction)
Chaihu (Bupleuri Radix, stems removed, washed, 8 qian)
Shaoyao (Paeoniae Radix Alba)
Renshen (Ginseng Radix et Rhizoma, each 2 qian)
Banxia (Pinelliae Rhizoma, washed seven times in boiling water, 2.5 qian)
Gancao (Glycyrrhizae Radix et Rhizoma, prepared, 2 qian)
Gualou (Trichosanthis Fructus, 2 qian)
The above ingredients are cut. Add two sheng of water, ten slices of Shengjiang (Zingiberis Rhizoma Recens), two split Jujubae Fructus, decoct together until one sheng remains, divide into three doses, strain, and take. In cases of high fever, remove Shaoyao and Gualou, and use Huangqin (Scutellariae Radix, 3 qian); this is named Xiao Chaihu Tang (Minor Bupleurum Decoction).
If body heat and sweating occur, with fullness and irritability not relieved by sweating, this is because the Taiyang Meridian first received Wind pathogen, which combats with Heat. Kidney Qi rebellion causes irritability and fullness. This is termed Wind-Jue (Feng Jue). Zexie Tang (Alisma Decoction) is the primary treatment.
Zexie Tang (Alisma Decoction)
Zexie (Alismatis Rhizoma, half liang)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Fangfeng (Saposhnikoviae Radix, each 2 liang)
Shigao (Gypsum Fibrosum, ground)
Chifuling (Poria cum Rubro, each 1 liang)
The above ingredients are processed into a powder. Take 5 qian per dose, add two bowls of water, decoct until one bowl remains, strain, and take warm.
If the four limbs are hot, feeling like roasting or burning upon exposure to wind, this is due to Yin failing to overcome Yang. Yang excess causes heat originating in the limbs. Like small water failing to extinguish a great fire, Yang dominates externally. Tusizi Wan (Cuscuta Seed Pill) is the primary treatment.
Tusizi Wan (Cuscuta Seed Pill)
Tusizi (Cuscutae Semen, pounded 100 times in a mortar, sifted to remove impurities)
Wuweizi (Schisandrae Fructus, each 1 liang)
Sheng Gan Dihuang (Rehmanniae Radix Preparata, 1 liang)
The above ingredients are ground into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 30 pills with water before meals.
If fever occurs with sudden deafness, swollen cheeks, hypochondriac pain, and immobility of the joints, this is due to Shaoyang Qi rebellion with heat remaining in the meridian. Xiao Chaihu Tang (Minor Bupleurum Decoction) is appropriate.
If there is dry mouth, red urine, abdominal fullness, and heart pain, this is due to heat remaining in the Hand-Shaoyin Meridian with Qi rebellion. Chifuling Tang (Red Poria Decoction) is the primary treatment.
Chifuling Tang (Red Poria Decoction)
Chifuling (Poria cum Rubro, 4 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 liang)
Muxiang (Aucklandiae Radix, half liang)
The above ingredients are processed into a powder. Take 5 qian per dose, add two bowls of water, decoct until one bowl remains, strain, and take warm.