冬温舌黄干燥，烦躁昏谵，脉弦或伏，便闭腹
硬，转矢气者，此热结在腑。宜用鲜生地，生首乌，
鲜石斛、大黄、元明粉等味，微下存阴也。
冬温按法调治，而病不肯解，舌赤苔黄带焦，或如沉香
色，此应下之候。更兼腹硬，频转矢气，即仲景所谓转矢气
者，有燥粪也。仿调胃承气，合生地、石斛、首乌，既能祛
结，又能养阴也。
温毒初起，烦热恶寒，口渴舌赤，鼻干气燥，
咽痛脉数，此邪袭气分。宜用薄荷、连翘、羚角、
桑叶、大力、鲜石斛、沙参、杏仁、桔梗、甘草等
味，辛凉透泄也。
温毒之起，盖因先伏温邪，后再感温，两温相灼，即无
风寒感召，而其病亦能作也。然温上加温，病中添病，其热
尤炽，较之冬温更紧一层。故一起便发烦躁，微兼恶寒。夫
表里俱热，则口渴舌赤;热邪上壅，则咽痛鼻干。斯邪在气
分，宜用薄荷，大力祛风;沙参，桑叶清热;连翘，羚角化
热毒，甘草、桔梗利咽喉。慎勿辛温助热，激伤津液，反滋
传变也。
温毒汗出热甚，面红唇燥齿枯，舌赤口渴，脉
数神昏，此邪留营分。宜用鲜生地，羚角，鲜石斛、
元参、银花、桑叶、石膏、鲜菖蒲、青竹叶等味，两
清营卫也。
汗出热甚，面红齿枯，舌赤脉数，神志渐昏，乃邪欲入
营，故仿玉女煎法，两清心营肺卫，佐以解毒为要。
冬温病出现舌苔黄而干燥，烦躁不安甚至神志昏迷、胡言乱语，脉象弦或沉伏，大便闭塞、腹部硬满，频繁转放屁的，这是热邪结聚在腑脏。适宜使用鲜生地、生首乌、鲜石斛、大黄、元明粉等药物，通过轻微泻下来保存阴液。
冬温病按照常规方法调治，但病情不肯解除，舌质红赤、苔黄带焦，或者像沉香色，这是应当用下法的征候。再加上腹部硬满，频繁转放屁，就是张仲景所说的“转矢气”，说明体内有燥屎。仿照调胃承气汤的方法，配合生地、石斛、首乌，既能祛除结滞，又能滋养阴液。
温毒初起时，烦热恶寒，口渴舌质红赤，鼻腔干燥气息燥热，咽喉疼痛脉象数急，这是邪气侵袭气分。适宜使用薄荷、连翘、羚角、桑叶、牛大力（注：原文“大力”通常指牛蒡子或当地草药，此处保留原名或依语境理解为祛风清热药，为严谨起见保留“大力”或译为常用对应物，鉴于要求保留原名，此处译为“大力”）、鲜石斛、沙参、杏仁、桔梗、甘草等药物，采用辛凉透泄的方法。
温毒的发生，大概是因为先前潜伏了温邪，后来又感受了温邪，两种温热相互灼烧，即使没有风寒感召，疾病也能发作。然而温上加温，病中添病，其热势尤其炽盛，比冬温更紧迫一层。所以一发病就出现烦躁，稍微兼有恶寒。如果表里都发热，就会口渴舌赤；热邪向上壅塞，就会咽喉疼痛、鼻腔干燥。这种邪气在气分，适宜用薄荷、大力祛风；沙参、桑叶清热；连翘、羚角化解热毒；甘草、桔梗利咽喉。千万不要使用辛温药物助长热势，激伤津液，反而滋生传变。
温毒患者出汗后热势更甚，面色红赤、嘴唇干燥、牙齿枯槁，舌质红赤、口渴，脉象数急、神志昏迷，这是邪气留滞在营分。适宜使用鲜生地、羚角、鲜石斛、玄参、金银花、桑叶、石膏、鲜石菖蒲、青竹叶等药物，两清营分和卫分。
出汗后热势更甚，面色红赤、牙齿枯槁，舌质红赤、脉象数急，神志逐渐昏迷，这是邪气想要进入营分，所以仿照玉女煎的方法，两清心营和肺卫，佐以解毒作为关键。
In winter-warmth disease, if the tongue coating is yellow and dry, accompanied by restlessness, coma, and delirium, with a wiry or deep-hidden pulse, constipation, abdominal hardness, and frequent passing of flatus, this indicates heat accumulation in the fu organs. It is appropriate to use fresh Rehmanniae Radix (Shengdihuang), raw Polygoni Multiflori Caulis (Sheng Shouwu), fresh Dendrobii Caulis (Xian Shihu), Rhubarb (Dahuang), and Mirabilite (Yuanmingfen) to slightly purge the heat while preserving Yin fluids.
If winter-warmth disease does not resolve despite standard treatment, and the tongue body becomes crimson with yellow, scorched, or sedge-colored coating, this is an indication for purgation. Combined with abdominal hardness and frequent passing of flatus—which Zhang Zhongjing referred to as "passing flatus" indicating dry feces—one should imitate the Tiaowei Chengqi Decoction (Regulate the Stomach and Accomplish the Qi Decoction), combined with Rehmanniae Radix (Shengdihuang), Dendrobii Caulis (Shihu), and Polygoni Multiflori Caulis (Shouwu). This combination can both remove accumulation and nourish Yin.
At the onset of warm-toxin disease, symptoms include irritability, fever, aversion to cold, thirst, a crimson tongue, nasal dryness, dry breath, sore throat, and rapid pulse, indicating that pathogenic factors have invaded the qi level. It is appropriate to use Mint (Bohe), Forsythiae Fructum (Lianqiao), Cornu Bubali (Lingjiao), Mulbai Folium (Sangye), Niu Bang Zi (Niubangzi/Dali), fresh Dendrobii Caulis (Xian Shihu), Glehniae Radix (Shashen), Apricot Seed (Xingren), Platycodonis Radix (Jiegeng), and Licorice Root (Gancao) to release the exterior with acrid-cool properties.
The origin of warm-toxin lies in previously latent warmth pathogens followed by new exposure to warmth; the two types of warmth scorch each other, causing disease even without wind-cold induction. However, warmth added to warmth increases the severity, making it more urgent than winter-warmth. Thus, upon onset, there is irritability and slight aversion to cold. If heat exists in both the interior and exterior, thirst and a crimson tongue occur; if heat pathogens obstruct upwards, sore throat and nasal dryness result. Since the pathogen is at the qi level, one should use Mint and Niubang Zi to dispel wind; Shashen and Sangye to clear heat; Lianqiao and Lingjiao to transform toxic heat; and Gancao and Jiegeng to benefit the throat. One must strictly avoid acrid-warm herbs that aid heat and damage body fluids, which would otherwise facilitate transmission and progression.
In warm-toxin disease, if sweating leads to intensified fever, red face, dry lips, withered teeth, crimson tongue, thirst, rapid pulse, and coma, this indicates pathogenic factors remaining in the ying (nutritive) level. It is appropriate to use fresh Rehmanniae Radix (Shengdihuang), Cornu Bubali (Lingjiao), fresh Dendrobii Caulis (Xian Shihu), Scrophulariae Radix (Xuanshen), Lonicerae Japonicae Flos (Yinjinhua), Mulbai Folium (Sangye), Gypsum Fibrosum (Shigao), fresh Acori Tatarinowii Rhizoma (Xian Changpu), and young Bamboo Leaves (Qingzhuye) to simultaneously clear the ying and wei (defensive) levels.
Intensified fever after sweating, red face, withered teeth, crimson tongue, rapid pulse, and gradual loss of consciousness indicate that pathogens are about to enter the ying level. Therefore, one should imitate the Yinvu Decoction (Jade Woman Decoction) to simultaneously clear the heart ying and lung wei, assisting with detoxification as the key principle.