（附论）
夫热病一日。病在太阳主表。表谓皮肤也。病在皮肤之间。故头项腰脊皆痛。宜汗之则
愈也。
方
解肌散（出圣惠方）治热病一日。头痛身热。四肢烦疼。宜服。
麻黄（去根节） 川升麻 甘草（炙微赤锉） 赤芍药 柴胡（去苗） 桔梗（去芦头）
杏仁
（汤浸去皮尖双仁麸炒微黄各一两） 上为粗散。每服五钱。以水一大盏。入生姜半分。煎
至
五分。去滓。不计时候。热服。衣覆取汗。未汗再服。
石膏散（出圣惠方）治热病一日。头痛壮热。宜服。
石膏 麻黄（去根节各二两） 黄芩 桂心 赤芍药 柴胡（去苗各一两） 上为粗散。
每
服三钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候。热服。衣覆取汗。未汗再
服。
葛根散（出圣惠方）治热病。一日头痛。项强。身热如火。宜服。
葛根（锉） 赤芍药 麻黄（去根节） 石膏（各二两） 白芷 柴胡（去苗） 黄芩 桂
心
（各一两） 上为粗散。每服四钱。以水一大盏。入葱白五寸。生姜半分。煎至五分。去滓。
不计时候。热服。衣覆取汗。
柴胡散（出圣惠方）治热病。一日头痛。壮热烦闷。宜服。
柴胡（去苗） 赤芍药 葛根（各一两） 栀子仁 黄芩（各半两） 石膏（二两） 上
为散。
每服四钱。用水一大盏。葱白二茎。豉半合。煎至五分。去滓。不计时候。温服。
栀子散（出圣惠方）治热病一日。头痛壮热。心中烦闷。宜服。
栀子仁 黄芩（各三分） 石膏 葛根（锉） 柴胡（去苗） 麦门冬（去心焙各一两）
上为
粗散。每服四钱。以水一中盏。入豉五十粒。葱白二茎。煎至五分。去滓。不计时候。温服。
麻黄散（出圣惠方）治热病一日。头痛壮热。宜服。
麻黄（一两去根节） 川大黄（三分锉碎微炒） 黄芩 桂心 甘草（炙微赤锉） 赤
芍药
（各半两） 上为细散。每服不计时候。以新汲水调三钱。服后。盖衣取汗。未汗再服。
治热病一日。壮热头痛。宜服。（出圣惠方）
甘草（一两炙微赤锉） 生姜（三分切） 栝蒌（二枚大者细锉碗中盛之） 上先将甘
草生
姜。以酒一大盏半。煎至八分。去滓。热投入栝蒌碗中。绞取汁。不计时候。分温二服。衣
覆取汗。
桃柳汤浴方（出圣惠方）治热病一日。身体壮热。头痛骨肉酸楚。背脊强。
口鼻干。手足微冷。小便赤黄。宜用。
桃枝并叶（五片细锉） 柳枝并叶（五片细锉） 上以水一石。煮取一斗。去滓。带热
避风
处淋浴。浴后于密室中。刺头并眼后两边及舌下。血断。以盐末涂针处。便宜服葛豉粥。
葛豉粥方（出圣惠方）
葛根（二两锉） 葱白（五茎并须白） 豉（一合） 生姜（一两切） 上药以水三大
盏。煎至
一盏半。去滓。下粳米二合。煮作粥。承热顿服。衣盖取汗。
麻黄粥方（出圣惠方）治热病一日。宜服发汗。
麻黄（一两去根节） 豉（半合） 上药用水一大盏半。煎至一盏。去滓。下粳米半合。
煮
作稀粥。承热顿服。衣盖取汗。
麻黄散（出万金护命方）治热病疫毒病。一日两日。头痛壮热。浑身发热如火
。眼目昏眩。项背强急。诊其脉寸口浮数。总三部俱浮数。宜发汗。若洪大紧急有骨力
。即不可汗也。但热病疫毒病。不可以时日为定。只看脉气。可汗即汗。可取即取。不
可差误。凡阳毒伤寒。三日后。其用药取病。与治热病疫病只一般也。惟初间两日。
所治小有不同。但伤寒在表。须当发之。热病疫毒病。往往有不须发也。若见得不仔细
。须俟三日后。方可下疏药也。治疫毒在表发汗方。
麻黄（去根三分） 牡丹皮（去心） 桔梗 羌活 独活 细辛 荆芥穗（各一两） 上
细杵
罗为末。每服五钱。水一碗。椒五十粒。茶末半钱。煎取浓汁。用调下药末。非时。和滓吃。
浓盖衣被发大汗。一服安效。
治时行热病初得。（出本草）
以 菜捣绞汁。饮之得瘥。
（附论）
热病发病第一天，病邪位于太阳经，主管体表。体表指的是皮肤。病邪在皮肤之间，所以头、项、腰、脊背都疼痛。适宜用发汗法治疗即可痊愈。
方剂
解肌散（出自《圣惠方》），治疗热病第一天。症状为头痛、身体发热、四肢烦扰疼痛。适宜服用。
药材：麻黄（去除根和节）、川升麻、甘草（炙至微红并切碎）、赤芍药、柴胡（去除苗）、桔梗（去除芦头）、杏仁（汤浸后去皮尖、双仁、麸炒至微黄，各一两）。
制法与用法：将上述药材捣成粗散。每次服用五钱，用水一大盏，加入生姜半分，煎煮至五分量，去渣滓。不限时候，趁热服用。服药后覆盖衣被以取汗。若未出汗，再次服用。
石膏散（出自《圣惠方》），治疗热病第一天。症状为头痛、高热。适宜服用。
药材：石膏、麻黄（去除根和节，各二两）、黄芩、桂心、赤芍药、柴胡（去除苗，各一两）。
制法与用法：将上述药材捣成粗散。每次服用三钱，用水一大盏，加入生姜半分，煎煮至五分量，去渣滓。不限时候，趁热服用。服药后覆盖衣被以取汗。若未出汗，再次服用。
葛根散（出自《圣惠方》），治疗热病。第一天出现头痛、颈项强直、身体发热如火。适宜服用。
药材：葛根（切碎）、赤芍药、麻黄（去除根和节）、石膏（各二两）、白芷、柴胡（去除苗）、黄芩、桂心（各一两）。
制法与用法：将上述药材捣成粗散。每次服用四钱，用水一大盏，加入葱白五寸、生姜半分，煎煮至五分量，去渣滓。不限时候，趁热服用。服药后覆盖衣被以取汗。
柴胡散（出自《圣惠方》），治疗热病。第一天出现头痛、高热、烦闷。适宜服用。
药材：柴胡（去除苗）、赤芍药、葛根（各一两）、栀子仁、黄芩（各半两）、石膏（二两）。
制法与用法：将上述药材捣成散剂。每次服用四钱，用水一大盏，加入葱白两根、豆豉半合，煎煮至五分量，去渣滓。不限时候，温服。
栀子散（出自《圣惠方》），治疗热病第一天。症状为头痛、高热、心中烦闷。适宜服用。
药材：栀子仁、黄芩（各三分）、石膏、葛根（切碎）、柴胡（去除苗）、麦门冬（去心焙干，各一两）。
制法与用法：将上述药材捣成粗散。每次服用四钱，用水一中盏，加入豆豉五十粒、葱白两根，煎煮至五分量，去渣滓。不限时候，温服。
麻黄散（出自《圣惠方》），治疗热病第一天。症状为头痛、高热。适宜服用。
药材：麻黄（一两，去根节）、川大黄（三分，切碎微炒）、黄芩、桂心、甘草（炙至微红并切碎）、赤芍药（各半两）。
制法与用法：将上述药材捣成细散。每次不限时候，用新汲水调服三钱。服药后，盖衣被以取汗。若未出汗，再次服用。
治疗热病第一天。症状为高热、头痛。适宜服用。（出自《圣惠方》）
药材：甘草（一两，炙至微红并切碎）、生姜（三分，切片）、栝蒌（两枚大的，切碎放在碗中）。
制法与用法：先将甘草、生姜，用酒一大盏半，煎煮至八分量，去渣滓。趁热倒入装有栝蒌的碗中，绞取汁液。不限时候，分两次温服。服药后覆盖衣被以取汗。
桃柳汤浴方（出自《圣惠方》），治疗热病第一天。症状为身体高热、头痛、骨肉酸痛、背脊强直、口鼻干燥、手足微冷、小便赤黄。适宜使用。
药材：桃枝连同叶子（五片，切碎）、柳枝连同叶子（五片，切碎）。
制法与用法：用水一石，煮取一斗，去渣滓。趁热在避风处淋浴。浴后在密室中，针刺头部以及眼睛后方两侧及舌下，见血断即止，用盐末涂抹针孔处。随后适宜服用葛根豆豉粥。
葛根豆豉粥方（出自《圣惠方》）
药材：葛根（二两，切碎）、葱白（五根，带须和白色部分）、豆豉（一合）、生姜（一两，切片）。
制法与用法：将上述药材用水三大盏，煎煮至一盏半，去渣滓。加入粳米二合，煮成粥。趁热一次性服下。服药后覆盖衣被以取汗。
麻黄粥方（出自《圣惠方》），治疗热病第一天。适宜服用以发汗。
药材：麻黄（一两，去根节）、豆豉（半合）。
制法与用法：将上述药材用水一大盏半，煎煮至一盏，去渣滓。加入粳米半合，煮成稀粥。趁热一次性服下。服药后覆盖衣被以取汗。
麻黄散（出自《万金护命方》），治疗热病疫毒病。发病一天或两天。症状为头痛、高热、浑身发热如火、眼目昏眩、颈背强急。诊察其脉象，寸口脉浮数，总三部脉俱浮数。适宜发汗。如果脉象洪大紧急且有骨力，则不可发汗。只是热病疫毒病，不能以时日固定判断，只看脉气，可汗则汗，可下则下，不可出差错。凡是阳毒伤寒，三天后，其用药取效的方法，与治疗热病疫病大致相同。只有初起的两日，治疗方法小有不同。但伤寒在表，必须发散；热病疫毒病，往往有不需发散的情况。如果诊断不仔细，须等到三天后，方可使用泻下疏利药物。治疗疫毒在表发汗的方剂。
药材：麻黄（去根，三分）、牡丹皮（去心）、桔梗、羌活、独活、细辛、荆芥穗（各一两）。
制法与用法：将上述药材细细捣碎过筛为末。每次服用五钱，用水一碗，花椒五十粒、茶末半钱，煎取浓汁，用来调服下药末。不限时候，连渣滓一起喝下。严密覆盖衣被以出大汗。一服见效。
治疗时行热病初得。（出自《本草》）
用葅菜捣碎绞取汁液，饮用后可痊愈。
(Attached Discussion)
On the first day of febrile disease (Re Bing), the pathogen is located in the Taiyang (Greater Yang) channel, which governs the exterior. The exterior refers to the skin. With the pathogen between the skin layers, pain occurs in the head, neck, waist, and spine. Sweating therapy should be applied for recovery.
Formulas
Jieji San (Muscle-Releasing Powder) [From *Shenghui Fang*]
Indications: Febrile disease on the first day; headache, body heat, and vexing pain in the four limbs.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed], Cimicifugae Rhizoma (Chuan Shengma), Glycyrrhizae Radix et Rhizoma (Gancao) [roasted until slightly red and cut], Paeoniae Radix Rubra (Chishaoyao), Bupleuri Radix (Chaihu) [sprouts removed], Platycodonis Radix (Jiegeng) [radicle removed], Prunus armeniaca seed (Xingren) [soaked in water, skin and tip removed, double-kernel wheat-bran fried until slightly yellow, each 1 liang].
Preparation and Administration: Grind into a coarse powder. Take 5 qian per dose. Decoct with one large zhan of water and half a fen of fresh ginger until reduced to five fen. Strain. Take hot at any time. Cover with clothing to induce sweating. If no sweat, administer again.
Shigao San (Gypsum Powder) [From *Shenghui Fang*]
Indications: Febrile disease on the first day; headache and high fever.
Ingredients: Gypsum Fibrosum (Shigao), Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed, each 2 liang], Scutellariae Radix (Huangqin), Cinnamomi Cortex (Guixin), Paeoniae Radix Rubra (Chishaoyao), Bupleuri Radix (Chaihu) [sprouts removed, each 1 liang].
Preparation and Administration: Grind into a coarse powder. Take 3 qian per dose. Decoct with one large zhan of water and half a fen of fresh ginger until reduced to five fen. Strain. Take hot at any time. Cover with clothing to induce sweating. If no sweat, administer again.
Gegen San (Kudzu Root Powder) [From *Shenghui Fang*]
Indications: Febrile disease; on the first day, headache, stiff neck, and body heat like fire.
Ingredients: Puerariae Lobatae Radix (Gegen) [cut], Paeoniae Radix Rubra (Chishaoyao), Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed], Gypsum Fibrosum (Shigao) [each 2 liang], Angelicae Dahuricae Radix (Baizhi), Bupleuri Radix (Chaihu) [sprouts removed], Scutellariae Radix (Huangqin), Cinnamomi Cortex (Guixin) [each 1 liang].
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose. Decoct with one large zhan of water, 5 cun of scallion white, and half a fen of fresh ginger until reduced to five fen. Strain. Take hot at any time. Cover with clothing to induce sweating.
Chaihu San (Bupleurum Powder) [From *Shenghui Fang*]
Indications: Febrile disease; on the first day, headache, high fever, and vexation/stuffiness.
Ingredients: Bupleuri Radix (Chaihu) [sprouts removed], Paeoniae Radix Rubra (Chishaoyao), Puerariae Lobatae Radix (Gegen) [each 1 liang], Gardeniae Fructus (Zhizi Ren), Scutellariae Radix (Huangqin) [each ban liang], Gypsum Fibrosum (Shigao) [2 liang].
Preparation and Administration: Grind into a powder. Take 4 qian per dose. Decoct with one large zhan of water, two stems of scallion white, and half he of fermented soybean (Douchi) until reduced to five fen. Strain. Take warm at any time.
Zhizi San (Gardenia Powder) [From *Shenghui Fang*]
Indications: Febrile disease on the first day; headache, high fever, and mental vexation.
Ingredients: Gardeniae Fructus (Zhizi Ren), Scutellariae Radix (Huangqin) [each san fen], Gypsum Fibrosum (Shigao), Puerariae Lobatae Radix (Gegen) [cut], Bupleuri Radix (Chaihu) [sprouts removed], Ophiopogonis Radix (Maidong) [core removed, roasted, each 1 liang].
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose. Decoct with one medium zhan of water, 50 grains of fermented soybean (Douchi), and two stems of scallion white until reduced to five fen. Strain. Take warm at any time.
Mahuang San (Ephedra Powder) [From *Shenghui Fang*]
Indications: Febrile disease on the first day; headache and high fever.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [1 liang, roots and nodes removed], Rheum Palmatum et Tanguticum Rhizoma et Radix (Chuan Dahuang) [san fen, cut and slightly fried], Scutellariae Radix (Huangqin), Cinnamomi Cortex (Guixin), Glycyrrhizae Radix et Rhizoma (Gancao) [roasted until slightly red and cut], Paeoniae Radix Rubra (Chishaoyao) [each ban liang].
Preparation and Administration: Grind into a fine powder. Take 3 qian mixed with newly drawn cold water at any time. After ingestion, cover with clothing to induce sweating. If no sweat, administer again.
Treatment for Febrile Disease on the First Day: High Fever and Headache [From *Shenghui Fang*]
Ingredients: Glycyrrhizae Radix et Rhizoma (Gancao) [1 liang, roasted until slightly red and cut], Fresh Ginger (Shengjiang) [san fen, sliced], Trichosanthis Fructus (Gualou) [two large ones, finely cut and placed in a bowl].
Preparation and Administration: First, decoct Gancao and Shengjiang in one and a half zhan of wine until reduced to eight fen. Strain. Pour the hot liquid into the bowl containing Gualou. Squeeze out the juice. Divide into two warm doses at any time. Cover with clothing to induce sweating.
Taoliu Tang Bath Formula [From *Shenghui Fang*]
Indications: Febrile disease on the first day; high body heat, headache, soreness and pain in bones and muscles, stiff back and spine, dry mouth and nose, slightly cold hands and feet, dark yellow urine.
Ingredients: Peach Branches and Leaves (Tao Zhi Ye) [five pieces, finely cut], Willow Branches and Leaves (Liu Zhi Ye) [five pieces, finely cut].
Preparation and Administration: Decoct in one shi of water until reduced to one dou. Strain. Bathe while hot in a wind-shielded area. After bathing, in a sealed room, prick the head, both sides behind the eyes, and under the tongue until bleeding stops. Apply salt powder to the puncture sites. Subsequently, it is advisable to consume Gegen Chidou Porridge.
Gegen Chidou Porridge Formula [From *Shenghui Fang*]
Ingredients: Puerariae Lobatae Radix (Gegen) [2 liang, cut], Scallion White (Congbai) [five stems with roots and white parts], Fermented Soybean (Douchi) [one he], Fresh Ginger (Shengjiang) [1 liang, sliced].
Preparation and Administration: Decoct ingredients in three large zhan of water until reduced to one and a half zhan. Strain. Add two he of japonica rice (Jingmi). Cook into porridge. Drink all at once while hot. Cover with clothing to induce sweating.
Mahuang Porridge Formula [From *Shenghui Fang*]
Indications: Febrile disease on the first day. Suitable for inducing sweating.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [1 liang, roots and nodes removed], Fermented Soybean (Douchi) [ban he].
Preparation and Administration: Decoct in one and a half zhan of water until reduced to one zhan. Strain. Add ban he of japonica rice (Jingmi). Cook into thin porridge. Drink all at once while hot. Cover with clothing to induce sweating.
Mahuang San [From *Wanjin Huming Fang*]
Indications: Febrile epidemic toxic disease. On the first or second day: headache, high fever, whole-body heat like fire, dizziness/blurred vision, stiffness and tension of neck and back. Pulse diagnosis: Cun position floating and rapid; all three positions (Cun, Guan, Chi) floating and rapid. Sweating is indicated. If the pulse is surging, large, urgent, and has "bone strength" (firmness), sweating is contraindicated. Febrile epidemic toxic disease cannot be strictly defined by days; observe the qi of the pulse. If sweating is suitable, sweat it; if purgation is suitable, purge it. Do not err. For Yang-Du Cold Damage, after three days, the method of using medicine to resolve the disease is generally the same as treating febrile epidemic diseases. Only in the initial two days is there slight difference. Cold damage in the exterior must be released; febrile epidemic toxic disease often does not require release. If diagnosis is not careful, wait until after three days before using purgative/dispersing medicines. Formula for releasing sweating when epidemic toxin is in the exterior.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [roots removed, san fen], Moutan Cortex (Mudanpi) [core removed], Platycodonis Radix (Jiegeng), Notopterygii Rhizoma et Radix (Qianghuo), Actaeosae Radix (Duohuo), Asari Radix et Rhizoma (Xixin), Schizonepetae Spica (Jingjie Sui) [each 1 liang].
Preparation and Administration: Finely pound and sieve into powder. Take 5 qian per dose. Decoct with one bowl of water, 50 peppercorns (Huajiao), and half qian of tea powder until a strong decoction is obtained. Use this liquid to mix and take the powder. At any time, consume with the dregs. Cover tightly with blankets to induce heavy sweating. One dose brings efficacy.
Treatment for Initial Stage of Seasonal Febrile Disease [From *Bencao*]
Crush and squeeze the juice of Ju Cai (Pickled Vegetables/Greens). Ingest to achieve recovery.