（附论）
夫时气六日厥阴受病。厥阴脉。循阴络于肝。故得病六日。烦躁而阴缩也。此为三阴三
阳俱受其病。毒瓦斯入于肠胃。故可下而愈也。
方
柴胡散 治时气六日。壮热。骨节疼痛。头痛目眩。心胁气胀急硬。不能饮食。
恐变为黄。
柴胡（一两去苗） 枳实（一两麸炒微黄） 栝蒌根（一两） 黄芩（一两） 栀子仁
（一两）
茵陈（一两） 白藓皮（一两） 川大黄（一两锉碎微炒） 甘草（一两炙微黄锉） 上为
散。每服
五钱。以水一大盏。煎至五分。不计时候。去滓。温服。
白藓皮散 治时气六日。热毒不退。心胸烦躁。大小肠秘涩。不得眠卧。
白藓皮（一两） 黄芩（一两） 柴胡（一两去苗） 大青（一两） 麦门冬（一两去
心） 栀子
仁（一两） 甘草（炙微赤锉一两） 羚羊角屑（半两） 川大黄（二两锉碎微炒） 上为
散。每服
五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
羚羊角散（出圣惠方）治时气六日。烦燥头痛。小便赤涩。壅热不退。
羚羊角屑（三分） 川升麻（三分） 秦艽（三分去苗） 木通（三分锉） 白藓皮（三
分） 黄
芩（三分） 槟榔（一两） 麦门冬（一两去心焙） 川大黄（一两锉碎微炒） 甘草（五
钱炙微赤
锉） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
大青散（出圣惠方）治时气六日。头痛壮热。心神烦乱。积热不散。或狂走
不定。
大青（一两） 秦艽（去苗一两） 蓝叶（三分） 川升麻（三分） 茵陈（三分） 栝
蒌根（一
两） 川芒硝（一两五钱） 栀子仁（半两） 甘草（半两炙微赤锉） 上为散。每服三钱。
以水
一中盏。煎至五分。去滓。入竹沥半合。不计时候。温服。
人参饮子（出圣惠方）治时气六日。心胸结硬。呕不下饮食。
人参（一两去芦头锉） 生姜汁（一合） 蜜（一合） 川芒硝（一分） 上以水一大
盏。先煎
人参。取汁五分。去滓。下鸡子清一枚。及芒硝、姜汁蜜。搅令匀。不计时候温服。日二服。
黄芩汤 治天行五六日。头痛。骨节疼痛。腰痛兼痢。
黄芩（三两） 栀子仁（三两） 芍药（三两） 豉（一升绵裹） 上以水六升。煮取
二升半。
去滓。分三服。忌蒜、热面等五日。
柴胡汤 治天行五六日。壮热。骨节烦疼。兼两胁连心胁下胀急硬痛。不能食。
恐变发黄者。
柴胡（三两） 枳实（三两炙） 栝蒌（三两） 黄芩（三两） 栀子仁（三两） 茵
陈（三两）
大黄（三两切） 龙胆（二两） 上切。以水九升。煮取二升七合。去滓。分温三服。忌热
面、
蒜。
大黄汤（出肘后方）治天行若已五六日不解。头痛壮热。四肢烦疼。不得饮食
。
大黄（五钱） 黄连（去毛五钱） 黄柏（半两） 栀子（擘半两） 上切。以水八升。
煮取六
七沸。内豉一升。葱白七茎。煮取三升。分三服。此许推然方。神良。又疗伤寒已五六日。
头痛壮热。四肢烦痛。取汗。不宜老小。忌猪肉、冷水。
苦参汤（出肘后方）治天行热病。五六日以上。宜服。
苦参（三两） 黄芩（二两） 生地黄（八两） 上切。以水八升。煎至二升。去滓。
温服半
升。日再。忌芜荑。
黑奴丸（出危氏方）治时行热病。六七日未得汗。脉洪大或数。面赤目张。
身体大热烦燥。
狂言欲走。渴甚。又五六日以上不解。热在胃中。口噤不能言。心下尚暖。灌药下咽即
活。兼治阳毒及发斑。
麦奴（小麦未熟时丛中有不成者上有表勃刮取即麦奴也一两） 麻黄（去根节煎掠去沫
焙
干三两） 大黄（二两） 釜底煤（研） 黄芩（去黑心） 芒硝 灶突煤（研） 梁上尘
（各一两）
上为细末。炼蜜为丸如弹子大。每服一丸。新汲水研下。渴者但与冷水。尽量与饮之。须臾
当寒。寒过汗出即瘥。若日影移五尺不汗。再服一丸。瘥即止。须微利。此药须病患大渴倍
常燥盛者。乃可与之。不尔不可与。一方无黄芩。
苦参汤 治天行五日不歇。未至七日。皮肉毒热。四肢疼痛强。
（附论）
当时气病发展至第六日，邪气侵犯厥阴经。厥阴经脉，沿着阴络联系肝脏。因此患病六日后，会出现烦躁不安和阴部收缩的症状。这是三阴经和三阳经都受到邪气侵袭的表现，毒热之气进入肠胃，所以可以通过泻下的方法使疾病痊愈。
方剂
柴胡散：治疗时气病第六日，出现高热、骨节疼痛、头痛目眩、心胁部位气机胀满急迫且坚硬、无法进食的情况。担心病情演变为黄疸。
药材：柴胡（一两，去苗）、枳实（一两，麸炒至微黄）、栝蒌根（一两）、黄芩（一两）、栀子仁（一两）、茵陈（一两）、白鲜皮（一两）、川大黄（一两，锉碎后微炒）、甘草（一两，炙至微黄后锉）。以上药物制成散剂。每次服用五钱，用水一大盏，煎煮至五分水量，不限时间，滤去药渣，温服。
白鲜皮散：治疗时气病第六日，热毒不退，心胸烦躁，大小肠便秘涩滞，无法安睡。
药材：白鲜皮（一两）、黄芩（一两）、柴胡（一两，去苗）、大青（一两）、麦门冬（一两，去心）、栀子仁（一两）、甘草（炙至微赤后锉，一两）、羚羊角屑（半两）、川大黄（二两，锉碎后微炒）。以上药物制成散剂。每次服用五钱，用水一大盏，煎煮至五分水量，滤去药渣，不限时间，温服。
羚羊角散（出自《圣惠方》）：治疗时气病第六日，烦躁头痛，小便赤涩，壅盛之热不退。
药材：羚羊角屑（三分）、川升麻（三分）、秦艽（三分，去苗）、木通（三分，锉）、白鲜皮（三分）、黄芩（三分）、槟榔（一两）、麦门冬（一两，去心并焙干）、川大黄（一两，锉碎后微炒）、甘草（五钱，炙至微赤后锉）。以上药物制成散剂。每次服用五钱，用水一大盏，煎煮至五分水量，滤去药渣，不限时间，温服。
大青散（出自《圣惠方》）：治疗时气病第六日，头痛高热，心神烦乱，积热不散，或者狂躁奔走不定。
药材：大青（一两）、秦艽（去苗，一两）、蓝叶（三分）、川升麻（三分）、茵陈（三分）、栝蒌根（一两）、川芒硝（一两五钱）、栀子仁（半两）、甘草（半两，炙至微赤后锉）。以上药物制成散剂。每次服用三钱，用水一中盏，煎煮至五分水量，滤去药渣，加入竹沥半合，不限时间，温服。
人参饮子（出自《圣惠方》）：治疗时气病第六日，心胸结聚坚硬，呕吐，无法进食。
药材：人参（一两，去芦头后锉）、生姜汁（一合）、蜂蜜（一合）、川芒硝（一分）。先用水一大盏煎煮人参，取汁五分，滤去药渣，加入一枚鸡蛋清以及芒硝、姜汁、蜂蜜，搅拌均匀，不限时间温服。每日服用两次。
黄芩汤：治疗天行病（流行性热病）五六日，头痛，骨节疼痛，腰痛兼有痢疾。
药材：黄芩（三两）、栀子仁（三两）、芍药（三两）、豉（一升，用绵布包裹）。以上药物用水六升，煮取二升半，滤去药渣，分三次服用。忌食蒜、热面等五天。
柴胡汤：治疗天行病五六日，高热，骨节烦痛，兼有两胁及心下胁肋部位胀满急迫坚硬疼痛，无法进食，担心病情演变为发黄（黄疸）。
药材：柴胡（三两）、枳实（三两，炙）、栝蒌（三两）、黄芩（三两）、栀子仁（三两）、茵陈（三两）、大黄（三两，切）、龙胆（二两）。以上药物切碎，用水九升，煮取二升七合，滤去药渣，分三次温服。忌食热面、蒜。
大黄汤（出自《肘后方》）：治疗天行病如果已经五六日未解，头痛高热，四肢烦痛，无法进食。
药材：大黄（五钱）、黄连（去毛，五钱）、黄柏（半两）、栀子（掰开，半两）。以上药物切碎，用水八升，煮至六七沸，加入豉一升、葱白七茎，煮取三升，分三次服用。这是许推然的方子，疗效神奇。又治疗伤寒已五六日，头痛高热，四肢烦痛，旨在发汗。不宜用于老人和小孩。忌食猪肉、冷水。
苦参汤（出自《肘后方》）：治疗天行热病，五六日以上，适宜服用。
药材：苦参（三两）、黄芩（二两）、生地黄（八两）。以上药物切碎，用水八升，煎煮至二升，滤去药渣，温服半升，每日两次。忌食芜荑。
黑奴丸（出自《危氏方》）：治疗时行热病，六七日未能出汗，脉象洪大或数，面色红赤，眼睛张开，身体高热烦躁，胡言乱语想要奔跑，极度口渴。或者是五六日以上未解，热在胃中，牙关紧闭不能说话，心下尚暖，灌下药液咽下即可存活。兼治阳毒及发斑。
药材：麦奴（小麦未成熟时丛中不成穗者，上有表皮勃起，刮取即为麦奴，一两）、麻黄（去根节，煎煮掠去浮沫，焙干，三两）、大黄（二两）、釜底煤（研细）、黄芩（去黑心）、芒硝、灶突煤（研细）、梁上尘（各一两）。以上药物制成细末，炼蜜为丸，如弹子大小。每次服用一丸，用新汲水研磨送下。口渴者只给冷水，尽量让其饮用。须臾之间应当感到寒冷，寒战过后出汗即痊愈。如果日影移动五尺仍未出汗，再服用一丸，痊愈即停。服药后需轻微腹泻。此药必须用于病患极度口渴、平时燥热旺盛者，才可以给予。否则不可给予。另一版本无黄芩。
(Attached Discussion)
When the seasonal pathogenic factor (Shi Qi) disease progresses to the sixth day, the Jueyin meridian is affected. The Jueyin meridian follows the Yin collaterals and connects with the Liver. Therefore, after six days of illness, symptoms such as irritability and contraction of the genitalia occur. This indicates that both the Three Yin and Three Yang meridians are affected by the pathogen, and toxic heat has entered the intestines and stomach; thus, it can be cured by purgation.
Formulas
Chaihu San: Treats Shi Qi disease on the sixth day, characterized by high fever, pain in bone joints, headache, dizziness, distension, urgency, and hardness in the chest and hypochondrium, inability to eat, and fear of transformation into jaundice.
Ingredients: Chai Hu (Radix Bupleuri, 1 liang, remove seedlings), Zhi Shi (Fructus Aurantii Immaturus, 1 liang, stir-fried with bran until slightly yellow), Gua Lou Gen (Radix Trichosanthis, 1 liang), Huang Qin (Radix Scutellariae, 1 liang), Zhi Zi Ren (Semen Gardeniae, 1 liang), Yin Chen (Herba Artemisiae Scopariae, 1 liang), Bai Xian Pi (Cortex Dictamni, 1 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly stir-fried), Gan Cao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly yellow and sliced). Process the above ingredients into a powder. Take 5 qian per dose, decoct with one da zhen (approx. 200ml) of water until reduced to 5 fen (approx. 100ml). Take at any time, strain, and drink warm.
Baixian Pi San: Treats Shi Qi disease on the sixth day, where heat toxin persists, causing irritability in the chest and heart, constipation and dryness in the large and small intestines, and insomnia.
Ingredients: Bai Xian Pi (Cortex Dictamni, 1 liang), Huang Qin (Radix Scutellariae, 1 liang), Chai Hu (Radix Bupleuri, 1 liang, remove seedlings), Da Qing (Folium Isatidis, 1 liang), Mai Men Dong (Radix Ophiopogonis, 1 liang, remove heart), Zhi Zi Ren (Semen Gardeniae, 1 liang), Gan Cao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly red and sliced), Ling Yang Jiao Xi (Cornu Saigae Tataricae, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, sliced and slightly stir-fried). Process the above ingredients into a powder. Take 5 qian per dose, decoct with one da zhen of water until reduced to 5 fen. Strain and drink warm at any time.
Ling Yang Jiao San (from Sheng Hui Fang): Treats Shi Qi disease on the sixth day, characterized by irritability, headache, red and scanty urination, and persistent obstructive heat.
Ingredients: Ling Yang Jiao Xi (Cornu Saigae Tataricae, 3 fen), Chuan Sheng Ma (Rhizoma Cimicifugae, 3 fen), Qin Jiao (Radix Gentianae Macrophyllae, 3 fen, remove seedlings), Mu Tong (Caulis Akebiae, 3 fen, sliced), Bai Xian Pi (Cortex Dictamni, 3 fen), Huang Qin (Radix Scutellariae, 3 fen), Bing Lang (Areca Seed, 1 liang), Mai Men Dong (Radix Ophiopogonis, 1 liang, remove heart and roast), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly stir-fried), Gan Cao (Radix Glycyrrhizae, 5 qian, honey-fried until slightly red and sliced). Process the above ingredients into a powder. Take 5 qian per dose, decoct with one da zhen of water until reduced to 5 fen. Strain and drink warm at any time.
Da Qing San (from Sheng Hui Fang): Treats Shi Qi disease on the sixth day, characterized by headache, high fever, mental restlessness, accumulation of heat that does not dissipate, or manic wandering.
Ingredients: Da Qing (Folium Isatidis, 1 liang), Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, remove seedlings), Lan Ye (Folium Indigoferae, 3 fen), Chuan Sheng Ma (Rhizoma Cimicifugae, 3 fen), Yin Chen (Herba Artemisiae Scopariae, 3 fen), Gua Lou Gen (Radix Trichosanthis, 1 liang), Chuan Mang Xiao (Natrii Sulfas, 1.5 liang), Zhi Zi Ren (Semen Gardeniae, 0.5 liang), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and sliced). Process the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong zhen (approx. 150ml) of water until reduced to 5 fen. Strain, add Ban Zhu Li (Bamboo Sap, 0.5 he), and drink warm at any time.
Renshen Yinzi (from Sheng Hui Fang): Treats Shi Qi disease on the sixth day, characterized by hard knotting in the chest and heart, vomiting, and inability to ingest food.
Ingredients: Renshen (Radix Ginseng, 1 liang, remove rhizome and slice), Sheng Jiang Zhi (Jucius Zingiberis Recens, 1 he), Mi (Melle, 1 he), Chuan Mang Xiao (Natrii Sulfas, 1 fen). First, decoct Renshen in one da zhen of water to obtain 5 fen of juice. Strain, then add one egg white, Mang Xiao, Sheng Jiang Zhi, and Mi. Stir well and drink warm at any time. Take twice daily.
Huang Qin Tang: Treats Tian Xing (epidemic febrile disease) on the fifth or sixth day, characterized by headache, pain in bone joints, lower back pain, and dysentery.
Ingredients: Huang Qin (Radix Scutellariae, 3 liang), Zhi Zi Ren (Semen Gardeniae, 3 liang), Shao Yao (Radix Paeoniae Alba, 3 liang), Chi (Folium Sojae Preparatum, 1 sheng, wrapped in silk). Decoct in 6 sheng of water to obtain 2.5 sheng. Strain and divide into three doses. Avoid garlic and hot noodles for five days.
Chai Hu Tang: Treats Tian Xing on the fifth or sixth day, characterized by high fever, vexing pain in bone joints, distension, urgency, hardness, and pain in the bilateral hypochondrium and epigastrium, inability to eat, and fear of transformation into jaundice.
Ingredients: Chai Hu (Radix Bupleuri, 3 liang), Zhi Shi (Fructus Aurantii Immaturus, 3 liang, honey-fried), Gua Lou (Fructus Trichosanthis, 3 liang), Huang Qin (Radix Scutellariae, 3 liang), Zhi Zi Ren (Semen Gardeniae, 3 liang), Yin Chen (Herba Artemisiae Scopariae, 3 liang), Da Huang (Radix et Rhizoma Rhei, 3 liang, sliced), Long Dan (Radix Gentianae, 2 liang). Slice the ingredients, decoct in 9 sheng of water to obtain 2.7 sheng. Strain and divide into three warm doses. Avoid hot noodles and garlic.
Da Huang Tang (from Zhou Hou Fang): Treats Tian Xing if unresolved after five or six days, characterized by headache, high fever, vexing pain in the four limbs, and inability to eat.
Ingredients: Da Huang (Radix et Rhizoma Rhei, 5 qian), Huang Lian (Rhizoma Coptidis, 5 qian, remove hairs), Huang Bo (Cortex Phellodendri, 0.5 liang), Zhi Zi (Semen Gardeniae, 0.5 liang, broken). Slice the ingredients, decoct in 8 sheng of water until boiling seven or eight times. Add Chi (Folium Sojae Preparatum, 1 sheng) and Cong Bai (Bulbus Allii Cepae, 7 stalks). Decoct to obtain 3 sheng and divide into three doses. This is a formula from Xu Tuiran, which is effective. It also treats Shang Han (cold damage) unresolved after five or six days, with headache, high fever, and vexing pain in the four limbs, aiming to induce sweating. Not suitable for the elderly and children. Avoid pork and cold water.
Ku Shen Tang (from Zhou Hou Fang): Treats Tian Xing febrile disease lasting more than five or six days; suitable for consumption.
Ingredients: Ku Shen (Radix Sophorae Flavescentis, 3 liang), Huang Qin (Radix Scutellariae, 2 liang), Sheng Di Huang (Radix Rehmanniae Praeparata, 8 liang). Slice the ingredients, decoct in 8 sheng of water until reduced to 2 sheng. Strain and drink 0.5 sheng warm. Take twice daily. Avoid Yuan Yi (Walnut Kernel).
Hei Nu Wan (from Wei Shi Fang): Treats epidemic febrile disease where no sweat has occurred after six or seven days, pulse is surging or rapid, face is red, eyes are open, body is highly febrile and irritable, delirious speech, desire to run, extreme thirst. Or unresolved after five or six days, heat in the stomach, trismus preventing speech, warmth remaining in the epigastrium; administering the medicine orally will save the patient. Also treats Yang Du (yang toxicity) and macules/papules.
Ingredients: Mai Nu (Wheat Nodule, 1 liang), Ma Huang (Herba Ephedrae, 3 liang, remove root and joints, boil to remove foam, dry), Da Huang (Radix et Rhizoma Rhei, 2 liang), Fu Di Mei (Ash from Cauldron Bottom, powdered), Huang Qin (Radix Scutellariae, remove blackened center), Mang Xiao (Natrii Sulfas), Zao Tu Mei (Ash from Chimney Flue, powdered), Liang Shang Chen (Dust from Roof Beams, each 1 liang). Process into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, grind in fresh cool water and swallow. For those thirsty, give only cold water, allowing them to drink to satisfaction. Soon, chills will occur; after the chill passes and sweat appears, the disease will resolve. If no sweat occurs after the sun's shadow moves five chi, administer another pill. Stop when recovered. Mild diarrhea is expected. This medicine should only be given to patients with extreme thirst and intense internal heat. Otherwise, do not administer. Another version excludes Huang Qin.
Ku Shen Tang: Treats Tian Xing disease persisting for five days but not yet reaching seven, characterized by toxic heat in skin and flesh, and stiff, painful four limbs.