夫热病七日。三阴三阳传病讫。病法当愈。今病不除者。欲为再经病也。再经病者。谓
经络重受病也。
治热病七日。烦躁而渴。胸中痰热。宜服半夏散方。
半夏(半两汤洗七遍去滑) 赤芍药(一两) 前胡(半两去芦头) 黄芩(半两) 人
参(一
两去
茯苓(半两)
上件药。捣筛为散。每服五钱。以水一大盏。入粳米小麦各一百粒。生姜半分。煎至五
分。去滓。不计时候。温服。
治热病七日不解。寒热往来。胸胁苦满。不思饮食。心烦欲吐。宜服前胡散方。
前胡(一两去芦头) 半夏(半两汤洗七遍去滑) 黄芩(三分) 人参(三分去芦头)
赤芍
药(三分) 桂心(三分) 甘草(半两炙微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候。温服。
治热病七日。遍身疼痛。壮热不解。宜服地骨皮散方。
地骨皮(一两) 枳壳(一两麸炒微黄去瓤) 川大黄(一两锉碎微炒) 赤芍药(半
两) 柴
胡
微赤锉)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治热病七日。或寒或热。来往不定。腹中虚热。毒瓦斯不退。心神不安。宜服生地
黄煎方
生地黄汁(半升) 生麦门冬(半升) 蜜(半升) 人参(一两去芦头) 白术(一
两) 桂心
(一
菜心
(切
上件药。都锉。以水三大碗。煎至一碗。绞去滓。下蜜地黄麦门冬汁三味。同熬令稀稠
得所。放冷。不计时候。每服半合。服之取汗。
治热病七日。四肢疼痛。热毒不退。乍寒乍热。乍剧乍瘥。发动如疮。宜服鳖甲
散方。\x
鳖甲(二两涂醋炙令黄去裙 ) 天门冬(一两去心) 人参(一两去芦头) 石膏(二
两)
黄(一两锉) 乌梅肉(一两微炒) 恒山(一两) 牛膝(一两去苗) 甘草(一两炙
微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。豉五十粒。煎至五分。去
滓。不计时候。温服。
热病到了第七天。三阴经和三阳经的传变过程已经结束。按照疾病规律,此时应当痊愈。现在病邪没有消除,是因为病情进入了“再经”阶段。“再经病”,是指经络再次受到病邪侵袭。
治疗热病第七天,出现烦躁且口渴,胸中有痰热的症状,适宜服用半夏散方。
半夏(半两,用汤水清洗七遍以去除滑腻),赤芍药(一两),前胡(半两,去除芦头),黄芩(半两),人参(一两,去除芦头),茯苓(半两)。
以上药材,捣碎并过筛制成散剂。每次服用五钱,用水一大盏,加入粳米和小麦各一百粒,生姜半分,煎煮至剩余五分之一的药液,滤去药渣。不分时候,温服。
治疗热病第七天未解,出现寒热往来,胸胁部苦闷胀满,不想饮食,心烦想要呕吐的症状,适宜服用前胡散方。
前胡(一两,去除芦头),半夏(半两,用汤水清洗七遍以去除滑腻),黄芩(三分),人参(三分,去除芦头),赤芍药(三分),桂心(三分),甘草(半两,炙烤至微红后切碎)。
以上药材,捣碎并过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,大枣三枚,煎煮至剩余五分之一的药液,滤去药渣。不分时候,温服。
治疗热病第七天,全身疼痛,高热不退的症状,适宜服用地骨皮散方。
地骨皮(一两),枳壳(一两,麸炒至微黄后去除瓤),川大黄(一两,切碎并微炒),赤芍药(半两),柴胡(半两,炙烤至微红后切碎)。
以上药材,捣碎并用粗罗筛过制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分之一的药液,滤去药渣。不分时候,温服。
治疗热病第七天,或冷或热,发作时间不定,腹中虚热,毒气不退,心神不安的症状,适宜服用生地黄煎方。
生地黄汁(半升),生麦门冬(半升),蜂蜜(半升),人参(一两,去除芦头),白术(一两),桂心(一两),菜心(切碎)。
以上药材,全部切碎,用水三大碗,煎煮至剩下一碗,绞去药渣。加入蜂蜜、生地黄汁、麦门冬汁这三味,共同熬制至稀稠适度。放凉后,不分时候,每次服用半合。服药后取汗出为效。
治疗热病第七天,四肢疼痛,热毒不退,忽冷忽热,病情时轻时重,发作时如同疮疡的症状,适宜服用鳖甲散方。
鳖甲(二两,涂醋炙烤至黄色后去除裙边),天门冬(一两,去除心),人参(一两,去除芦头),石膏(二两),黄芪(一两,切碎),乌梅肉(一两,微炒),恒山(一两),牛膝(一两,去除苗),甘草(一两,炙烤至微红后切碎)。
以上药材,捣碎并过筛制成散剂。每次服用五钱,用水一大盏,加入竹叶三十多片,豆豉五十粒,煎煮至剩余五分之一的药液,滤去药渣。不分时候,温服。
When a heat disease reaches the seventh day, the transmission through the three Yin and three Yang meridians is complete. According to pathological laws, the illness should resolve at this stage. If the pathogen remains uneliminated, it indicates that the disease has entered the "second cycle" (Zai Jing Bing). A "second cycle disease" refers to the meridians receiving pathogenic invasion again.
For heat disease on the seventh day presenting with irritability, thirst, and phlegm-heat in the chest, Banxia San (Pinellia Powder) is indicated.
Banxia (Pinelliae Rhizoma, 0.5 liang, washed seven times with decoction to remove slipperiness), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Qianhu (Peucedani Radix, 0.5 liang, radix removed), Huangqin (Scutellariae Radix, 0.5 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed), Fuling (Poria, 0.5 liang).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 5 qian, boiled in one da zhan of water with 100 grains of Jingmi (Oryza Sativa var. Glutinosa Semen) and Xiaomai (Tritici Fructus), plus 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens). Decoct until one-fifth remains, filter dregs, and take warm without regard to time.
For heat disease unresolved after seven days, presenting with alternating chills and fever, fullness and discomfort in the chest and hypochondrium, anorexia, mental restlessness, and nausea, Qianhu San (Peucedani Powder) is indicated.
Qianhu (Peucedani Radix, 1 liang, radix removed), Banxia (Pinelliae Rhizoma, 0.5 liang, washed seven times with decoction to remove slipperiness), Huangqin (Scutellariae Radix, 3 fen), Renshen (Ginseng Radix et Rhizoma, 3 fen, radix removed), Chi Shaoyao (Paeoniae Radix Rubra, 3 fen), Guixin (Cinnamomi Cortex, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and chopped).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 5 qian, boiled in one da zhan of water with 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) and three Zao (Jujubae Fructus). Decoct until one-fifth remains, filter dregs, and take warm without regard to time.
For heat disease on the seventh day presenting with generalized body pain and persistent high fever, Digupi San (Cortex Lycii Powder) is indicated.
Digupi (Lycii Cortex, 1 liang), Zhike (Aurantii Fructus, 1 liang, stir-bran fried until slightly yellow and pith removed), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, chopped and lightly stir-fried), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Chaihu (Bupleuri Radix, 0.5 liang, fried until slightly red and chopped).
The above ingredients are coarsely crushed, sifted through a coarse sieve, and made into a powder. Each dose consists of 5 qian, boiled in one da zhan of water. Decoct until one-fifth remains, filter dregs, and take warm without regard to time.
For heat disease on the seventh day presenting with irregular alternation of cold and heat, deficiency-heat in the abdomen, retention of toxic qi, and mental unrest, Sheng Dihuang Jian (Fresh Rehmannia Decoction) is indicated.
Sheng Dihuang Zhi (Juice of Rehmanniae Radix Recens, 0.5 sheng), Sheng Maidong (Radix Ophiopogonis Recens, 0.5 sheng), Mi (Honey, 0.5 sheng), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Guixin (Cinnamomi Cortex, 1 liang), Caixin (Vegetable Heart, chopped).
All ingredients are chopped. Boil in three da wan of water until one da wan remains, strain to remove dregs. Add Mi (Honey), Sheng Dihuang Zhi (Juice of Rehmanniae Radix Recens), and Sheng Maidong (Radix Ophiopogonis Recens). Simmer together until the desired consistency is achieved. Allow to cool. Take 0.5 he without regard to time. The therapeutic goal is to induce sweating.
For heat disease on the seventh day presenting with limb pain, persistent heat toxicity, alternating chills and fever, fluctuating severity of symptoms, and eruptions resembling sores, Biejia San (Trionycis Carapax Powder) is indicated.
Biejia (Trionycis Carapax, 2 liang, coated with vinegar and fried until yellow, skirt removed), Tianmendong (Radix Asparagi, 1 liang, heart removed), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed), Shigao (Gypsum Fibrosum, 2 liang), Huangqi (Astragali Radix, 1 liang, chopped), Wumei Rou (Semen Pruni Mume, 1 liang, lightly stir-fried), Hengshan (Radix Dichroae, 1 liang), Niuxi (Achyranthis Bidentatae Radix, 1 liang, sprouts removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and chopped).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 5 qian, boiled in one da zhan of water with more than thirty leaves of Zhuye (Phyllostachys Bambusoides Folium) and 50 grains of Chi Dou (Sojae Semen Praeparatum). Decoct until one-fifth remains, filter dregs, and take warm without regard to time.