《伤寒论》中原有温病，浑同于六经分篇之中，均名之为伤寒，未尝明指为温病也。况温病之原因各
殊，或为风温，或为湿温，或为伏气成温，或为温热，受病之因既不同，治法即宜随证各异。有谓温病入手经
不入足经者，有谓当分上中下三焦施治者，皆非确当之论，斟酌再四，惟仍按《伤寒论》六经分治乃为近是。
太阳经
有未觉感冒，身体忽然酸软，懒于动作，头不疼，肌肤不热，似稍畏风，舌似无苔而色白，脉象微浮，
至数如常者，此乃受风甚轻，是以受时不觉也，宜用轻清辛凉之剂发之。
【处方】薄荷叶三钱，连翘三钱，大葱白三寸。
上药三味，共煎汤七、八沸，取清汤一大盅温服下，周身得汗即愈。
薄荷之成分，含有薄荷脑，辛凉芬芳，最善透窍，内而脏腑，外而皮毛，凡有风邪匿藏，皆能逐之外出，
惟其性凉，故于感受温风者最宜。惟煮汤服之，宜取其轻清之气，不宜过煎
（过煎即不能发汗），是以以之煎汤，只宜七八沸。若与难煎之药同煎，后入可也。连翘为轻清宣散之品，
其发汗之力不及薄荷，然与薄荷同用，能使薄荷发汗之力悠长（曾治一少年受感冒，俾单用连翘一两，煮两汤服之，
终宵微汗不竭，病遂愈，其发汗之力和缓兼悠长可知）。葱之形中空，其味微辣微甘，原微具发表之性，以旋
转于营卫之间，故最能助发表之药以调和营卫也。
有受风较重，不但酸软懒动，且觉头疼，周身骨节皆疼，肌肤热，不畏风，心中亦微觉发热，脉象浮数似
有力，舌苔白浓，宜于前方中去葱白，加天花粉八钱以清热，加菊花二钱以治头疼，惟煎汤时薄荷宜后入。
有其人预有伏气化热，潜伏未动，后因薄受外感之触动，其伏气陡然勃发，一时表里俱热，其
舌苔白浓，中心似干，脉象浮而有洪象，此其病虽连阳明而仍可由太阳汗解也。
【处方】生石膏一两捣细，天花粉一两，薄荷叶钱半，连翘钱半。
上药四味，煎汤一大盅，温服得汗即愈，薄荷叶煎时宜后入。
或问∶此方重用石膏、花粉，少用薄荷、连翘，以为发表之剂，特恐石膏、花粉监制薄荷、连翘太过，服
后不能作汗耳。答曰∶此方虽为发表之剂，实乃调剂阴阳，听其自汗，而非强发其汗也。盖此证原为伏
气化热，偶为外感触动，遂欲达于表而外出，而重用凉药与之化合，犹如水沃冶红之铁，其蓬勃四达之热
气原难遏抑。而复少用薄荷、连翘，为之解其外表之阻隔，则腹中所化之热气，自夺门而出作汗而解矣。且
此等汗，原不可设法为之息止，虽如水流漓而断无亡阴、亡阳之虞，亦断无汗后不解之虞。此方原与拙拟寒
解汤相似。二方任用其一，果能证脉无误，服后复杯之顷，即可全身得汗。间有畏石膏之凉，将其药先服一半
者，服后亦可得汗，后再服其所余，则分毫无汗矣。因其热已化
汗而出，所余之热无多也。即此之前后分服，或出汗或不出汗，
可不深悟此药发汗之理乎？况石膏原具有发表之力也。
有其人身体酸懒，且甚觉沉重，头重懒抬，足重懒举，或周身肌肤重按移时，微似有痕，或小便不利，其
舌苔白而发腻，微带灰色，其脉浮而濡，至数如常者，此湿温也。其人或久居潮湿之地，脏腑为湿气所侵，或
值阴雨连旬，空气之中含水分过度，或因饮食不慎，伤其脾胃，湿郁中焦，又复感受风邪，遂成斯证，
宜用药外解其表，内利其湿则病愈矣。
【处方】薄荷叶三钱，连翘三钱，小苍术三钱，黄芩三钱，木通二钱。
上药五味，先将后四味水煎十余沸，再入薄荷煎七、八沸，取清汤一大盅，温服之。若小便不利者，于
用药之外，用鲜白茅根六两，去皮切碎，水煎四、五沸，取其清汤以之当茶，渴则饮之。
若其人肌肤发热，心中亦微觉热者，宜去苍术加滑石八钱。
有温病初得作喘者，其肌肤不恶寒而发热，心中亦微觉发热，脉象浮而长者，此乃肺中先有痰火，又
为风邪所袭也。宜用《伤寒论》麻杏甘石汤，而更定其分量之轻重。
【更定麻杏甘石汤方】生石膏一两捣细，麻黄一钱，杏仁二钱去皮，甘草钱半。
上四味，共煎汤一大盅（不先煎麻黄吹去浮沫者，因所用只一钱，而又重用生石膏以监制之也）温服。
若服后过点半钟，汗不出者，宜服西药阿斯匹林一瓦。若不
出汗，仍宜再服，以服至出汗为度。盖风邪由皮毛而入，仍使之由皮毛而出也。
有温病旬日不解，其舌苔仍白，脉仍浮者，此邪入太阳之府也，其小便必发黄。宜于发表清热药中，
加清膀胱之药，此分解法也。今拟二方于下，以便用者相热之轻重而自斟酌用之。
【处方】滑石一两，连翘三钱，蝉蜕去土足三钱，地肤子三
钱，甘草二钱。
上药五味，共煎一大盅，温服。
【又方】生石膏捣细一两，滑石八钱，连翘三钱，蝉蜕去土足三钱，地肤子三钱，甘草二钱。
上药六味，共煎汤一大盅，温服。
有温病至七、八日，六经已周，其脉忽然浮起，至数不数，且有大意者，宜用辛凉之剂助之达表而汗解。
【处方】玄参一两，寸麦冬带心五钱，连翘二钱，菊花二钱，蝉蜕去土足二钱。
上药五味，共煎汤一大盅，温服。用玄参者，恐温病日久伤阴分也。
有温病多日，六经已周，脉象浮数而细，关前之浮尤甚，其头目昏沉，恒作 语，四肢且有扰动不安
之意，此乃外感重还太阳欲作汗也。其所欲汗而不汗者，因阴分太亏，不能上济以应阳也。此证若因脉浮而
强发其汗，必凶危立见，宜用大滋真阴之品，连服数剂，俾脉之数者渐缓，脉之细者渐大，迨阴气充长，
能上升以应其阳，则汗自出矣。
【处方】生地黄一两，生怀山药一两，玄参一两，大甘枸杞一两，生净萸肉六钱，柏子仁六钱，生
枣仁六钱捣碎，甘草三钱。
上药八味，水煎一大碗，候五分钟，调入生鸡子黄二枚，徐徐温饮之，饮完一剂再煎一剂，使昼夜药
力相继不断，三剂之后，当能自汗。若至其时，汗仍不出者，其脉不似从前之数细，可仍煎此药送服西药阿
斯匹林一瓦，其汗即出矣。
或问∶山萸肉原具酸敛之性，先生所定来复汤尝重用之以治汗出不止，此方原欲病者服之易于出汗，何方
中亦用之乎？答曰∶此中理甚精微，当详细言之。萸肉为养肝熄风之要药，此证四肢
之骚扰不安，其肝风固已动也，此方中用萸肉之本意也。若虑用
之有妨于出汗，是犹未知萸肉之性。盖萸肉之味至酸，原得木气最全，是以酸敛之中，大具条畅之性，
《神农本草经》谓其逐寒湿痹是明征也。为其味酸敛也，故遇元气不能固摄者，用之原可止汗；为其性条
畅也，遇肝虚不能疏泄者，用之又善出汗。如此以用萸肉，是皆得之临证实验之余，非但凭诸理想而云然也。
若果服药数剂后，其脉渐有起色，四肢不复扰动，即去萸肉亦无妨，其开始服药时，萸肉则断不能去也。
有未病之先，心中常常发热，后为外感触发，则其热益甚，五心烦躁，头目昏沉，其舌苔白浓，且
生芒刺，其口中似有辣味，其脉浮数有力者，此伏气化热已入心包，而又为外感束其外表，则内蕴之热益甚，
是以舌有芒刺且觉发辣也。宜用凉润清散之剂，内清外解，遍体得透汗则愈矣。
【处方】鲜地黄一两，玄参一两，天花粉一两，知母五钱，寸麦冬带心五钱，西药阿斯匹林两瓦。
上药先煎前五味，取清汤两大盅，先温服一大盅，送服阿斯匹林一瓦。若服一次后汗未出，热亦未消者，
可再温服一盅，送服阿斯匹林一瓦。若汗已出热未尽消者，药汤可如前服法，阿斯匹林宜斟酌少服。
《伤寒论》中原本就有温病，但将其混杂在六经分篇之中，都称之为伤寒，并没有明确指出这是温病。况且温病的病因各不相同，有的是风温，有的是湿温，有的是伏气化温，有的是温热。既然受病的起因不同，治疗方法就应当根据证候的不同而有所区别。有人说温病只侵犯手经而不侵犯足经，有人说应当按照上、中、下三焦来施治，这些都不是确切恰当的理论。经过反复斟酌，我认为仍然按照《伤寒论》的六经分治方法才比较接近正确。
太阳经证
有的人没有感觉到感冒，身体突然感到酸软，懒得活动，头不疼，皮肤不热，似乎稍微怕风，舌苔似乎没有且颜色白，脉象微微浮起，至数（脉搏跳动频率）正常。这是因为感受的风邪非常轻微，所以在受邪时没有感觉。适宜使用轻清辛凉的药剂来发散表邪。
【处方】薄荷叶三钱，连翘三钱，大葱白三寸。
以上三味药，共同煎煮汤剂七八沸，取清澈的药汤一大盅，温服。周身出汗即痊愈。
薄荷的成分中含有薄荷脑，气味辛凉芬芳，最善于透达孔窍，无论是体内的脏腑还是体外的皮毛，凡是有风邪隐匿藏留的地方，都能将其驱逐外出。因为它的性质是凉的，所以最适合感受温风的人。但是煎汤服用时，应该取其轻清之气，不宜过度煎煮（过度煎煮就不能发汗），所以用它煎汤，只宜煎七八沸。如果与难以煎煮的药物一起煎煮，可以后放入。连翘是轻清宣散的药物，其发汗的力量不及薄荷，但如果与薄荷同用，能使薄荷的发汗力量持久（曾经治疗一个少年患感冒，让他单用一两连翘，煮两次汤服用，整夜微汗不止，病就好了，可以看出其发汗之力缓和且持久）。葱的形状中空，味道微辣微甘，原本略微具有发表的性质，因为它能在营卫之间旋转运行，所以最能辅助发表的药物来调和营卫。
有的人感受的风邪较重，不仅酸软懒动，而且觉得头疼，全身骨节都疼，皮肤发热，不怕风，心中也略微觉得发热，脉象浮数似乎有力，舌苔白且厚腻。适宜在前方的基础上去掉葱白，加入天花粉八钱以清热，加入菊花二钱以治疗头疼，但是在煎汤时薄荷宜后放入。
有的人体内预先有伏气化热潜伏未动，后来因为轻微的外感触动，伏气陡然爆发，一时之间表里俱热，舌苔白且厚腻，中心部位似乎干燥，脉象浮而有洪大的象。这个病虽然涉及阳明经，但仍然可以通过太阳经的发汗法来解除。
【处方】生石膏一两（捣细），天花粉一两，薄荷叶一钱半，连翘一钱半。
以上四味药，煎汤一大盅，温服，出汗即痊愈，薄荷叶煎煮时宜后放入。
有人问：这个方子重用石膏、花粉，少用薄荷、连翘，作为发表的药剂，特别担心石膏、花粉压制薄荷、连翘太过，导致服药后不能出汗。回答说：这个方子虽然是发表的药剂，实际上是调节阴阳，听任其自然出汗，而不是强行发汗。因为这个证候原本是伏气化热，偶然被外感触动，于是想要通达体表而外出，重用凉药与之化合，就像用水浇淋烧红的铁块，那蓬勃四达的热气原本难以遏制。再加上少量使用薄荷、连翘，来解除外表的阻隔，那么腹中所化的热气，自然就会破门而出，通过出汗而解除了。而且这种汗，原本不需要设法去制止它，即使像水流漓一样大汗淋漓，也绝对没有亡阴、亡阳的担忧，也绝对没有汗后病不解的担忧。这个方子原本与我拟定的寒解汤相似。两个方子任选其一，只要证候和脉诊无误，服药后片刻之间，即可全身出汗。间或有害怕石膏之凉性，先服用一半药物的人，服药后也可以出汗，之后再服用剩余的部分，则分毫也不会再出汗了。因为热已经化为汗排出，剩下的热就不多了。从这前后分服的情况来看，有的出汗有的不出汗，难道不能深刻领悟此药发汗的道理吗？况且石膏原本就具有发表的力量。
有的人身体酸懒，而且觉得很沉重，头重得懒得抬，脚重得懒得举，或者全身肌肤重按时过一会儿，微微留有痕迹，或者小便不利，舌苔白且发腻，微微带灰色，脉象浮而濡软，至数正常。这是湿温病。这种人或许久居潮湿之地，脏腑被湿气侵袭，或者正值阴雨连绵十多天，空气中含有过多的水分，或者因为饮食不慎，损伤脾胃，湿气郁结在中焦，又再次感受风邪，于是形成这种证候。适宜用药在外解除表邪，在内利湿，病就能痊愈。
【处方】薄荷叶三钱，连翘三钱，小苍术三钱，黄芩三钱，木通二钱。
以上五味药，先将后四味药水煎十余沸，再放入薄荷煎七、八沸，取清澈的药汤一大盅，温服。如果小便不利，在使用药物的同时，用鲜白茅根六两，去皮切碎，水煎四、五沸，取清澈的药汤当作茶喝，口渴时就饮用。
如果这个人肌肤发热，心中也略微觉得热，适宜去掉苍术，加入滑石八钱。
有温病初起出现气喘的，其肌肤不怕冷而发热，心中也略微觉得发热，脉象浮而长。这是肺中先有痰火，又被风邪侵袭所致。适宜使用《伤寒论》中的麻杏甘石汤，并重新确定其剂量的轻重。
【更定麻杏甘石汤方】生石膏一两（捣细），麻黄一钱，杏仁二钱（去皮），甘草一钱半。
以上四味药，共同煎汤一大盅（不先煎麻黄吹去浮沫的原因，是因为所用麻黄只有一钱，而又重用生石膏来制约它）温服。
如果服药后超过半小时，汗不出，适宜服用西药阿斯匹林一瓦。如果不出汗，仍应继续服用，以服用到出汗为度。因为风邪由皮毛进入，仍应使其由皮毛排出。
有温病十天以上未解，舌苔仍然白，脉仍然浮的，这是邪气传入太阳之腑（膀胱），小便必然发黄。适宜在发表清热的药物中，加入清利膀胱的药物，这是分解病邪的方法。现在拟定两个方子在下面，以便使用者根据热的轻重自行斟酌使用。
【处方】滑石一两，连翘三钱，蝉蜕（去土足）三钱，地肤子三钱，甘草二钱。
以上五味药，共同煎一大盅，温服。
【又方】生石膏（捣细）一两，滑石八钱，连翘三钱，蝉蜕（去土足）三钱，地肤子三钱，甘草二钱。
以上六味药，共同煎汤一大盅，温服。
有温病到了七八天，六经已遍，脉象忽然浮起，至数不快，而且显得宏大，适宜用辛凉的药剂帮助其通达体表而通过出汗解除。
【处方】玄参一两，寸麦冬（带心）五钱，连翘二钱，菊花二钱，蝉蜕（去土足）二钱。
以上五味药，共同煎汤一大盅，温服。使用玄参的原因，是担心温病日久损伤阴分。
有温病多日，六经已遍，脉象浮数而细，关前部位的浮象尤其明显，头目昏沉，经常说胡话，四肢且有扰动不安的意思。这是外感邪气重返太阳经，准备作汗。之所以想出汗却出不了汗，是因为阴分太亏，不能上行济助以响应阳气。这个证候如果因为脉浮而强行发汗，必定凶险危急立刻显现。适宜使用大滋真阴的药物，连续服用几剂，使脉数的逐渐减缓，脉细的逐渐变大，等到阴气充盛生长，能上升以响应阳气，汗自然就会出来。
【处方】生地黄一两，生怀山药一两，玄参一两，大甘枸杞一两，生净山萸肉六钱，柏子仁六钱，生枣仁六钱（捣碎），甘草三钱。
以上八味药，水煎一大碗，等候五分钟，调入生鸡蛋黄两个，慢慢温饮。喝完一剂再煎一剂，使昼夜药力相继不断，三剂之后，应当能自汗。如果到了那个时间，汗仍不出，脉象不像从前那样数细，可以仍煎此药送服西药阿斯匹林一瓦，汗就会出来了。
有人问：山萸肉原本具有酸敛的性质，先生所拟定的来复汤曾重用其治疗汗出不止，这个方子原本想让病人服药后容易出汗，为什么方中也使用它呢？回答说：其中的道理非常精微，应当详细说说。山萸肉是养肝熄风的重要药物，这个证候四肢的骚扰不安，肝风确实已经动了，这是本方中使用山萸肉的本意。如果担心使用它会妨碍出汗，那是还不懂得山萸肉的性质。盖山萸肉的味道极酸，原本得到木气最全，所以在酸敛之中，极具条畅的特性，《神农本草经》说它能逐除寒湿痹痛，就是明显的证据。因为它的味道酸敛，所以遇到元气不能固摄的情况，用它原本可以止汗；因为它的性质条畅，所以遇到肝虚不能疏泄的情况，用它又善于发汗。这样使用山萸肉，都是来自于临床实验的经验，不是仅凭理想推测而言的。如果果然服药几剂后，脉象逐渐有好转，四肢不再扰动，即使去掉山萸肉也无妨，但在开始服药时，山萸肉则是绝对不能去掉的。
有在没生病之前，心中常常发热，后来被外感触发，则热更加严重，五心（两手心、两脚心及心口）烦躁，头目昏沉，舌苔白且厚腻，并且生出芒刺，口中似乎有辣味，脉象浮数有力。这是伏气化热已经入于心包，而又被外感束缚住外表，导致内蕴的热更加严重，所以舌上有芒刺且觉得发辣。适宜用凉润清散的药剂，内清外解，遍体透出汗则痊愈。
【处方】鲜地黄一两，玄参一两，天花粉一两，知母五钱，寸麦冬（带心）五钱，西药阿斯匹林两瓦。
以上药物先煎前五味，取清澈的药汤两大盅，先温服一大盅，送服阿斯匹林一瓦。如果服一次后汗未出，热也未消，可以再温服一盅，送服阿斯匹林一瓦。如果汗已出但热未尽消，药汤可按前述方法服用，阿斯匹林宜酌情少服。
In the *Shanghan Lun* (Treatise on Cold Damage), warm diseases (Wenbing, febrile diseases caused by warm pathogens) originally existed, but they were mixed into the chapters dividing the six meridians and all named as cold damage, without explicitly pointing them out as warm diseases. Moreover, the causes of warm diseases vary; some are wind-warmth (Fengwen), some are damp-warmth (Shiwen), some arise from latent qi transforming into warmth (Fuqi Chengwen), and some are simply heat-warmth (Wenre). Since the causes of contracting the disease differ, the treatment methods should vary according to the specific manifestations. Some claim that warm diseases only affect the hand meridians and not the foot meridians; others claim that treatment should be divided according to the upper, middle, and lower Jiao (Sanjiao). Neither is a precise or appropriate theory. After careful deliberation, I believe that adhering to the six-meridian differentiation and treatment of the *Shanghan Lun* is the most accurate approach.
**Taiyang Meridian Manifestations**
There are cases where a person does not feel a cold has occurred, yet suddenly feels bodily soreness and weakness, lacks desire to move, has no headache, skin is not hot, seems slightly sensitive to wind, the tongue appears coating-less with a white color, and the pulse is slightly floating with a normal rate. This indicates a very mild contraction of wind pathogen, hence no sensation at the time of infection. It is suitable to use a light, clear, acrid-cool preparation to disperse it.
[Prescription] Bohe Ye (Menthae Haplocalyx Herba) 3 qian, Lianqiao (Forsythiae Fructus) 3 qian, Da Cong Bai (Allii Fistulosi Bulbus) 3 cun.
The above three herbs are decocted together for seven or eight boils. Take one large cup of the clear liquid and take it warm. Recovery occurs when sweating ensues throughout the body.
Bohe Ye contains menthol; its nature is acrid, cool, and fragrant, excelling at penetrating orifices. Whether inside the zang-fu organs or outside in the skin and hair pores, wherever wind pathogen hides, it can drive it out. Because its nature is cool, it is most suitable for those who have contracted warm wind. However, when decocting for oral administration, one should extract its light and clear qi, avoiding excessive boiling (excessive boiling prevents sweating). Therefore, when using it for decoction, seven or eight boils suffice. If decocted with herbs that are difficult to extract, add it later. Lianqiao is a light, clear, and dispersing herb; its diaphoretic power is less than that of Bohe Ye, but when used together, it prolongs the diaphoretic effect of Bohe Ye (I once treated a youth with a cold, prescribing single-use Lianqiao 1 liang, decocted twice. He sweated mildly throughout the night until the illness resolved, demonstrating its mild yet prolonged diaphoretic action). The shape of Cong (Scallion) is hollow; its taste is slightly acrid and sweet. It inherently possesses slight exterior-releasing properties. By rotating between Ying (Nutrient) and Wei (Defensive) levels, it best assists exterior-releasing herbs in harmonizing Ying and Wei.
In cases where the wind pathogen is heavier, besides soreness and reluctance to move, there is headache, pain in all joints of the body, hot skin, no aversion to wind, slight internal heat sensation, a floating and rapid pulse seemingly forceful, and a thick white tongue coating. It is appropriate to remove Da Cong Bai from the previous prescription, add Tianhuafen (Trichosanthis Radix) 8 qian to clear heat, and add Juhua (Chrysanthemi Flos) 2 qian to treat the headache. Bohe Ye should be added late during decoction.
In individuals with pre-existing latent qi transforming into heat (latent and inactive), triggered by a slight external contraction, the latent qi suddenly erupts, causing simultaneous interior and exterior heat. The tongue coating is thick and white, dry in the center, and the pulse is floating with a surging quality. Although this pathology involves the Yangming meridian, it can still be resolved through diaphoresis via the Taiyang pathway.
[Prescription] Sheng Shigao (Gypsum Fibrosum) 1 liang (pounded fine), Tianhuafen 1 liang, Bohe Ye 1.5 qian, Lianqiao 1.5 qian.
Decoct the four herbs in one large cup of water. Take warm. Recovery occurs upon sweating. Add Bohe Ye late during decoction.
Question: This prescription heavily uses Shigao and Tianhuafen while using little Bohe Ye and Lianqiao as an exterior-releasing agent. Is there not a fear that Shigao and Tianhuafen will overly suppress Bohe Ye and Lianqiao, preventing sweating?
Answer: Although this is an exterior-releasing prescription, it essentially regulates Yin and Yang, allowing natural sweating rather than forcing it. This syndrome originates from latent qi transforming into heat, occasionally triggered by external pathogens, seeking to reach the exterior and exit. Using heavy cooling herbs combines with this heat like water poured on red-hot iron; the vigorous heat is hard to suppress. Adding small amounts of Bohe Ye and Lianqiao resolves the exterior obstruction, allowing the transformed heat in the abdomen to burst forth and resolve through sweat. Such sweating should not be artificially stopped. Even if profuse like flowing water, there is absolutely no risk of Yin collapse or Yang collapse, nor of unresolved symptoms post-sweating. This prescription resembles my proposed Hanjie Tang. Either can be used; if the syndrome and pulse diagnosis are correct, whole-body sweating occurs within moments of ingestion. Occasionally, patients afraid of Shigao's coolness take half first. They may sweat then, but taking the remainder later yields no further sweat because the heat has already exited as sweat, leaving little residual heat. From this sequential dosing, whether sweating occurs or not, one can deeply understand the mechanism of this drug's diaphoretic action. Moreover, Shigao inherently possesses exterior-releasing power.
In cases where the body feels sore, lazy, and heavy, with a heavy head reluctant to lift and heavy legs reluctant to raise, or pressing the skin leaves a slight indentation after a moment, or urination is difficult, the tongue coating is white, greasy, slightly grayish, and the pulse is floating and soggy with a normal rate. This is Damp-Warmth (Shiwen). This may result from long-term residence in damp places invading the zang-fu with dampness, or continuous rainy weather increasing atmospheric moisture, or dietary indiscretion damaging the Spleen and Stomach, causing dampness to stagnate in the Middle Jiao, compounded by wind pathogen invasion. Treatment should release the exterior externally and promote dampness drainage internally.
[Prescription] Bohe Ye 3 qian, Lianqiao 3 qian, Xiao Cangzhu (Atractylodis Rhizoma) 3 qian, Huangqin (Scutellariae Radix) 3 qian, Mutong (Akebiae Caulis) 2 qian.
Decoct the last four herbs in water for over ten boils, then add Bohe Ye and boil for seven or eight boils. Take one large cup of the clear liquid warm. If urination is difficult, alongside medication, use fresh Baimaogen (Imperatae Rhizoma) 6 liang, peeled and chopped, decocted for four or five boils. Drink the clear liquid as tea when thirsty.
If the patient has hot skin and slight internal heat, remove Cangzhu and add Huashi (Talcum) 8 qian.
In early-stage warm disease presenting with panting, where the skin is not aversive to cold but feverish, and there is slight internal heat, with a floating and long pulse. This indicates phlegm-fire previously existing in the Lung, now attacked by wind pathogen. Use the Maxing Gan Shi Tang from *Shanghan Lun*, adjusting the dosages.
[Modified Maxing Gan Shi Tang] Sheng Shigao 1 liang (pounded fine), Mahuang (Ephedrae Herba) 1 qian, Xingren (Armeniacae Semen Amarum) 2 qian (skin removed), Gancao (Glycyrrhizae Radix et Rhizoma) 1.5 qian.
Decoct the four herbs in one large cup (Do not boil Mahuang first to skim foam, as the dose is small and Shigao controls it). Take warm.
If no sweat occurs after half an hour, administer Aspirin 1 grain. If still no sweat, continue administration until sweating occurs. Wind pathogen enters via the skin/hair pores; thus, it should exit via the same route.
If warm disease persists for ten days without resolution, with a white tongue coating and floating pulse, the pathogen has entered the Fu organ of Taiyang (Bladder), and urine must be yellow. Add bladder-clearing herbs to exterior-releasing and heat-clearing prescriptions. This is the method of separating and resolving pathogens. Two prescriptions are proposed below for users to choose based on heat severity.
[Prescription 1] Huashi 1 liang, Lianqiao 3 qian, Chantui (Cicadae Periostracum, cleaned) 3 qian, Difuzi (Kochiae Fructus) 3 qian, Gancao 2 qian.
Decoct the five herbs in one large cup. Take warm.
[Prescription 2] Sheng Shigao (pounded fine) 1 liang, Huashi 8 qian, Lianqiao 3 qian, Chantui (cleaned) 3 qian, Difuzi 3 qian, Gancao 2 qian.
Decoct the six herbs in one large cup. Take warm.
If warm disease reaches seven or eight days, having circulated through the six meridians, and the pulse suddenly becomes floating, not rapid, but appearing grand, use an acrid-cool preparation to assist its reaching the exterior and resolving through sweat.
[Prescription] Xuanshen (Scrophulariae Radix) 1 liang, Cund Maidong (Ophiopogonis Japonici Tuber, with heart) 5 qian, Lianqiao 2 qian, Juhua 2 qian, Chantui (cleaned) 2 qian.
Decoct the five herbs in one large cup. Take warm. Xuanshen is used fearing that prolonged warm disease damages the Yin aspect.
If warm disease lasts many days, circulating through the six meridians, with a floating, rapid, and thin pulse, especially floating at the Guan position anteriorly, accompanied by dizziness, frequent delirious speech, and restless limbs. This indicates external pathogen returning to Taiyang, preparing to sweat. The inability to sweat is due to severe Yin deficiency, unable to ascend to nourish and respond to Yang. Forcing sweat due to floating pulse will lead to immediate danger. Use heavy Yin-nourishing herbs for several doses. Let the rapid pulse slow and the thin pulse enlarge. When Yin Qi is abundant and ascends to respond to Yang, sweat will emerge naturally.
[Prescription] Sheng Dihuang (Rehmanniae Radix) 1 liang, Sheng Huai Shanyao (Dioscoreae Rhizoma) 1 liang, Xuanshen 1 liang, Da Gan Gouqi (Lycii Fructus) 1 liang, Sheng Jing Yurou (Corni Fructus) 6 qian, Baiziren (Biotae Semen) 6 qian, Sheng Zao Ren (Ziziphi Spinosomi Semen) 6 qian (crushed), Gancao 3 qian.
Decoct the eight herbs in one large bowl of water. Wait five minutes, then mix in two raw egg yolks. Drink slowly warm. Finish one dose, then decoct another, ensuring continuous medicinal effect day and night. After three doses, spontaneous sweating should occur. If sweat does not appear by then, and the pulse is no longer rapid and thin, decoct this medicine again to take with Aspirin 1 grain, and sweat will emerge.
Question: Shan Yurou (Corni Fructus) has astringent properties; you used it heavily in Laifu Tang to stop excessive sweating. Why use it here to facilitate sweating?
Answer: The principle is subtle. Yurou is a key herb for nourishing Liver and extinguishing wind. The restlessness of the limbs indicates Liver wind stirring, which is the intent of using Yurou here. Worrying it hinders sweating shows ignorance of its nature. Yurou is extremely sour, fully acquiring Wood Qi. Thus, within its astringency lies strong unblocking properties. *Shennong Ben Cao Jing* states it expels cold-damp bi, proving this. Due to its sour astringency, it stops sweat when Yuan Qi fails to secure; due to its unblocking nature, it promotes sweat when Liver deficiency fails to diffuse. This usage comes from clinical experience, not mere theory. If pulse improves and limbs stabilize after several doses, removing Yurou is fine, but it cannot be removed initially.
Before illness onset, if the heart often feels hot, triggered by external contraction, heat intensifies. Five-center irritability, dizziness, thick white tongue coating with prickles, spicy taste in mouth, floating rapid forceful pulse. This indicates latent qi transforming into heat entering the Pericardium, bound by external pathogen, worsening internal heat, causing tongue prickles and spiciness. Use cool, moistening, clearing, and dispersing agents to clear internally and release externally. Recovery occurs with thorough sweating.
[Prescription] Xian Di Huang (Fresh Rehmanniae Radix) 1 liang, Xuanshen 1 liang, Tianhuafen 1 liang, Zhimu (Anemarrhenae Rhizoma) 5 qian, Cund Maidong (with heart) 5 qian, Aspirin 2 grains.
Decoct the first five herbs, obtaining two large cups of clear liquid. Take one cup warm, followed by 1 grain Aspirin. If no sweat/heat reduction after one dose, take another cup warm with 1 grain Aspirin. If sweat occurs but heat remains, take the decoction as before, but reduce Aspirin dosage.