冬温烦热不解，口渴，舌黄尖赤，脉洪或数，此
邪传阳明气分。宜用白虎汤加杏仁、沙参，桑叶，连
翘等味，清胃透邪也。
肺邪不解，而致口渴，舌黄尖赤，脉洪或数，此邪已到
阳明气分。夫阳明者胃也，凡肺邪不解，必传于胃，然阳明
亦得气血之分。今口渴脉洪，舌苔带黄，是为气热，故用石
膏、知母，合沙参、连翘，直清阳明;甘草、粳米、甜杏、
桑叶，甘凉养津。若见舌绎或黑，烦热口渴，神昏妄笑，是
为血分。宜用犀角地黄汤凉之。当与仲景《伤寒例》中阳明
经病腑病、气分血分，逐一辨明，方可下手，否则如涉海问
津矣。
冬温烦热神昏，舌赤苔黄，口渴咳嗽，斑疹脉
数，此邪在肺胃。宜用沙参、连翘、元参、石膏、甜
杏、川贝，桑叶、大力、人中黄，牛黄丸等味，清气
透斑也。
热渐传营，神昏口渴，咳嗽斑疹，是邪在肺胃之间，非
从气分清解，则斑疹难透。夫斑为阳明热毒，疹为太阴风
热，斑疹俱见，二经受病。故用沙参、连翘、元参、石膏、
甜杏、川贝、大力、中黄清气热，兼牛黄丸芳香宜窍也。
冬温热甚，烦躁口渴，舌绎苔黄，神昏谵语，斑
疹隐约，此邪热传营。宜用羚羊角、连翘、元参、沙
参、鲜生地、鲜石斛、鲜菖蒲、广郁金、石膏、牛
黄丸、青竹叶等味，清营转气也。
热不解而烦躁口渴，舌绛苔黄，里热已甚;更兼神昏谵
妄，斑疹隐约，乃邪已入营，若再不解，必延入血。故用羚
羊角、连翘、元参、沙参、鲜生地、石斛、鲜菖蒲两清气
血，佐以牛黄丸芳香宣窍，使其从营转气，由气达表，尚可
一汗而解。凡舌苔黄白，间杂浮腻，尖虽鲜绎，神虽昏谵，
总为气热未清，不可专凉血分，恐致气分之邪无由出路，徒
增险态，设不得已，惟宜两清之可也。
冬温病出现烦热不退、口渴，舌苔黄而舌尖红赤，脉象洪大或快速，这是邪气传入阳明经的气分。适宜使用白虎汤（石膏、知母、甘草、粳米）加入杏仁、沙参、桑叶、连翘等药物，以清泄胃热并透达邪气。
若肺部的邪气未解，导致口渴、舌苔黄而舌尖红赤、脉象洪大或快速，这也是邪气已经到达阳明经的气分。所谓阳明，指的是胃。凡是肺部的邪气未解，必定会传变到胃，然而阳明经也分为气和血两个层面。如今出现口渴、脉洪大、舌苔带黄，这是气分有热，所以使用石膏、知母，配合沙参、连翘，直接清泄阳明经的热邪；甘草、粳米、甜杏仁、桑叶，用甘凉之性滋养津液。如果见到舌质绛红或有裂纹，甚至发黑，伴有烦热、口渴、神志昏迷、胡言乱语嬉笑，这就是邪入血分。适宜使用犀角地黄汤（水牛角、生地黄、芍药、牡丹皮）来凉血解毒。应当与张仲景《伤寒论》中关于阳明经病、腑病以及气分、血分的论述逐一辨析清楚，才能着手治疗，否则就像在海上航行却不知渡口在哪里一样迷茫。
冬温病出现烦热、神志昏迷，舌质红赤、舌苔黄，口渴、咳嗽，出现斑疹且脉象快速，这是邪气停留在肺和胃。适宜使用沙参、连翘、玄参、石膏、甜杏仁、川贝母、桑叶、牛蒡子、人中黄、安宫牛黄丸等药物，以清气分热并透发斑疹。
热邪逐渐传入营分，出现神志昏迷、口渴、咳嗽、斑疹，这是邪气在肺和胃之间。如果不从气分进行清解，那么斑疹就难以透发。所谓斑，是阳明经的热毒所致；疹，是太阴经的风热所致。斑和疹同时出现，说明这两条经脉都受到了病邪侵袭。因此使用沙参、连翘、玄参、石膏、甜杏仁、川贝母、牛蒡子、人中黄来清解气分热邪，兼用安宫牛黄丸芳香开窍。
冬温病热势严重，烦躁、口渴，舌质绛红、舌苔黄，神志昏迷、说胡话，斑疹隐约可见，这是邪热传入营分。适宜使用羚羊角、连翘、玄参、沙参、鲜地黄、鲜石斛、鲜石菖蒲、广郁金、石膏、安宫牛黄丸、青竹叶等药物，以清营分热并使其转出气分。
热邪不退且烦躁口渴，舌质绛红、舌苔黄，里热已经很盛；再加上神志昏迷、胡言乱语，斑疹隐约可见，这是邪气已经进入营分，如果再不解除，必定会进一步深入血分。因此使用羚羊角、连翘、玄参、沙参、鲜地黄、石斛、鲜石菖蒲两清气分和血分，佐以安宫牛黄丸芳香宣通心窍，使邪气从营分转出气分，由气分达于体表，还可以通过发汗的方式解除。凡是舌苔黄白相间，夹杂浮腻，虽然舌尖鲜红绛色，神志虽然昏迷胡言乱语，总体仍属于气分之热未清，不可专门使用凉血药物，恐怕会导致气分之邪没有出路，徒然增加病情的险恶。如果实在不得已，只适宜采用气血两清的方法。
In winter-warmth disease, if vexatious heat persists and is not resolved, accompanied by thirst, yellow tongue coating with a red tip, and a surging or rapid pulse, this indicates that the pathogenic factor has transmitted to the Qi level of the Yangming channel. It is appropriate to use Baihu Tang (White Tiger Decoction) added with Xingren (Almond), Shashen (Glehniae Radix), Sangye (Mulberry Leaf), Lianqiao (Forsythiae Fructus), etc., to clear the Stomach heat and vent the pathogen.
If the pathogen in the Lung fails to resolve, leading to thirst, yellow tongue coating with a red tip, and a surging or rapid pulse, this also signifies that the pathogen has reached the Qi level of the Yangming channel. The term "Yangming" refers to the Stomach. Whenever the pathogen in the Lung does not resolve, it must transmit to the Stomach; however, the Yangming channel is also divided into Qi and Blood levels. Currently, the presence of thirst, surging pulse, and yellowish tongue coating indicates heat in the Qi level. Therefore, Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) are used in combination with Shashen and Lianqiao to directly clear Yangming heat; Gancao (Licorice Root), Jingmi (Glutinous Rice), Tianxingren (Sweet Almond), and Sangye employ sweet and cool properties to nourish body fluids. If a crimson tongue with cracks or blackening is observed, along with vexatious heat, thirst, coma, and delirious laughter, this indicates the pathogen has entered the Blood level. It is appropriate to use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) to cool the blood. One should carefully distinguish these conditions from the discussions on Yangming meridian disease, fu-organ disease, Qi level, and Blood level in Zhang Zhongjing's *Treatise on Cold Damage* (*Shanghan Lun*), before initiating treatment; otherwise, it would be like navigating the sea without knowing the ferry crossing.
In winter-warmth disease, if there is vexatious heat, coma, crimson tongue with yellow coating, thirst, cough, macules and papules, and a rapid pulse, this indicates the pathogen is located in the Lung and Stomach. It is appropriate to use Shashen, Lianqiao, Xuanshen (Scrophulariae Radix), Shigao, Tianxingren, Chuanbeimu (Fritillariae Cirrhosae Bulbus), Sangye, Niubangzi (Arctii Fructus), Renzhonghuang (Human Manure), and Angong Niuhuang Wan (Calculus Bovis Pill for Opening the Orifices), etc., to clear Qi-level heat and vent the macules and papules.
As heat gradually transmits to the Ying (Nutrient) level, symptoms such as coma, thirst, cough, and macules/papules appear, indicating the pathogen is between the Lung and Stomach. If one does not clear and resolve from the Qi level, the macules and papules will be difficult to vent. Macules are caused by heat-toxin in the Yangming channel, while papules are caused by wind-heat in the Taiyin channel. When both macules and papules appear simultaneously, it indicates that both channels are affected. Therefore, Shashen, Lianqiao, Xuanshen, Shigao, Tianxingren, Chuanbeimu, Niubangzi, and Renzhonghuang are used to clear Qi-level heat, combined with Angong Niuhuang Wan to open the orifices with aromatic properties.
In winter-warmth disease, if the heat is severe, accompanied by restlessness, thirst, crimson tongue with yellow coating, coma, delirium, and faintly visible macules/papules, this indicates the pathogenic heat has transmitted to the Ying level. It is appropriate to use Lingyangjiao (Saiga Tataricae Cornu), Lianqiao, Xuanshen, Shashen, Xian Shengdi (Fresh Rehmanniae Radix), Xian Shihu (Fresh Dendrobii Caulis), Xian Changpu (Fresh Acori Tatarinowii Rhizoma), Guang Yujin (Curcumae Radix), Shigao, Angong Niuhuang Wan, and Qingzhuyez (Bamboo Leaves), etc., to clear the Ying level and transform the pathogen back to the Qi level.
If the heat does not subside and is accompanied by restlessness and thirst, with a crimson tongue and yellow coating indicating severe internal heat; further compounded by coma and delirium, and faintly visible macules/papules, this shows the pathogen has entered the Ying level. If not resolved promptly, it will inevitably extend into the Blood level. Therefore, Lingyangjiao, Lianqiao, Xuanshen, Shashen, Xian Shengdi, Shihu, and Xian Changpu are used to simultaneously clear the Qi and Blood levels, assisted by Angong Niuhuang Wan to aromatically ventilate the orifices, allowing the pathogen to transform from the Ying level to the Qi level, and from the Qi level to reach the exterior, where it can potentially be resolved through sweating. Generally, if the tongue coating is yellow and white mixed with floating greasiness, and although the tip is fresh crimson and the patient is comatose and delirious, it is still fundamentally due to uncleared Qi-level heat. One must not exclusively use blood-cooling herbs, lest the Qi-level pathogen lose its exit route, merely increasing the severity of the condition. In unavoidable cases, only simultaneous clearing of Qi and Blood is suitable.