（附论）
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
经络重受也。
方
半夏散（出圣惠方）治热病七日。烦躁而渴。胸中痰热。宜服。
半夏（汤洗七次去滑） 前胡（去芦头） 黄芩 麦门冬（去心焙） 栝蒌根 赤茯苓 甘
草
（炙微赤锉各半两） 赤芍药 人参（去芦头） 知母 黄 （锉各一两） 上为散。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。
前胡散（出圣惠方）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（去芦头） 半夏（汤洗七次去滑） 甘草（炙微赤锉各半两） 黄芩 人参（去
芦头）
赤芍药 桂心（各三分） 上为散。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。
地骨皮散（出圣惠方）治热病七日。遍身疼痛。壮热不解。宜服。
地骨皮 枳壳（麸炒微黄去瓤） 川大黄（锉碎微炒） 柴胡（去苗） 鳖甲（涂醋炙
令黄去
裙） 麦门冬（去心焙各一两） 赤芍药 甘草（炙微赤锉各半两） 上为粗散。每服五
钱。
以水一大盏。煎至五分。去滓。不计时候。温服。
生地黄煎（出圣惠方）治热病七日。或寒或热。来去不定。腹中虚热。毒瓦斯
不退。心神不安。宜服。
生地黄汁（半分） 生麦门冬（半升） 人参（去芦头） 白术 肉桂心 甘草（炙微
赤锉）
川升麻（各一两） 蜜（半升） 地骨皮（二两） 石膏（三两） 菜心（切半升） 上
都锉。以水
三大盏。煮至一碗。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。每服取半合服之。
鳖甲散（出圣惠方）治热病七日。四肢疼痛。热毒不退。乍寒乍热。乍剧乍
瘥
。发动如疟。宜服。
鳖甲（二两涂醋炙令黄去裙 ） 天门冬（去心） 人参（去芦头） 黄 （锉） 乌
梅肉（微
炒） 恒山 牛膝（去苗） 甘草（炙微赤锉各一两） 石膏（三两） 上为散。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。
治时行热病。发汗有功。（出本草）
浮萍草（一两四月十五者） 麻黄（去根节） 桂心 附子（炮裂去脐各一两） 上四
物捣细
筛。
每服二钱。以水一中盏。入生姜半分。煎至六分。不计时候。和滓热服。汗出乃瘥。
（附论）
热病到了第七天。三阴经和三阳经的传变过程已经结束。按照病情规律，此时应当痊愈。现在病邪没有消除，是因为想要发生再次传经的病证。所谓再经病，是指经络再次受到邪气侵袭。
方剂
半夏散（出自《圣惠方》），治疗热病第七天，出现烦躁且口渴，胸中有痰热，适宜服用。
半夏（用热水清洗七次以去除滑腻感） 前胡（去除芦头部分） 黄芩 麦门冬（去除心部并焙干） 栝蒌根 赤茯苓 甘草
（炙烤至微红并切碎，各半两） 赤芍药 人参（去除芦头部分） 知母 黄芪（切碎，各一两） 以上药物研为散剂。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，煎煮至剩余五分水量，滤去药渣。不分时候，温服。
前胡散（出自《圣惠方》），治疗热病第七天仍未解除，寒热往来，胸胁部苦闷胀满，不想饮食，心烦想吐，适宜服用。
前胡（去除芦头部分） 半夏（用热水清洗七次以去除滑腻感） 甘草（炙烤至微红并切碎，各半两） 黄芩 人参（去除芦头部分）
赤芍药 桂心（各三分） 以上药物研为散剂。每次服用五钱。用水一大盏，加入生姜半分，大枣三枚，煎煮至剩余五分水量。
滤去药渣。不分时候，温服。
地骨皮散（出自《圣惠方》），治疗热病第七天，全身疼痛，高热不退，适宜服用。
地骨皮 枳壳（麸皮炒至微黄并去除瓤部） 川大黄（切碎并微炒） 柴胡（去除苗部） 鳖甲（涂醋炙烤至黄色并去除裙边） 麦门冬（去除心部并焙干，各一两） 赤芍药 甘草（炙烤至微红并切碎，各半两） 以上制成粗散剂。每次服用五钱。
用水一大盏，煎煮至剩余五分水量，滤去药渣。不分时候，温服。
生地黄煎（出自《圣惠方》），治疗热病第七天，有时发冷有时发热，来去不定，腹中有虚热，毒气不退，心神不安，适宜服用。
生地黄汁（半分） 生麦门冬（半升） 人参（去除芦头部分） 白术 肉桂心 甘草（炙烤至微红并切碎）
川升麻（各一两） 蜂蜜（半升） 地骨皮（二两） 石膏（三两） 菜心（切碎半升） 以上药物都切碎。用水三大盏，煮至一碗水量，绞去药渣。加入蜂蜜、地黄、麦门冬汁这三味药，共同熬制，使稀稠适度。放凉后，不分时候，每次取半合服用。
鳖甲散（出自《圣惠方》），治疗热病第七天，四肢疼痛，热毒不退，忽冷忽热，病情时重时轻，发作起来像疟疾一样，适宜服用。
鳖甲（二两，涂醋炙烤至黄色并去除裙边） 天门冬（去除心部） 人参（去除芦头部分） 黄芪（切碎） 乌梅肉（微炒） 恒山 牛膝（去除苗部） 甘草（炙烤至微红并切碎，各一两） 石膏（三两） 以上药物研为散剂。每次服用五钱。
用水一大盏，加入竹叶三十七片，豆豉五十粒，煎煮至剩余五分水量，滤去药渣。不分时候，温服。
治疗时行热病，发汗有功效。（出自《本草》）
浮萍草（一两，四月十五日采集的） 麻黄（去除根和节） 桂心 附子（炮裂并去除脐部，各一两） 以上四味药捣碎过细筛。
每次服用二钱。用水一中盏，加入生姜半分，煎煮至剩余六分水量。不分时候，连渣一起热服。出汗后疾病即愈。
(Attached Discussion)
When a heat disease reaches the seventh day, the transmission through the three Yin and three Yang meridians is complete. According to the laws of pathology, the disease should resolve at this stage. If the pathogenic factor has not been eliminated now, it indicates that the disease is undergoing a second cycle of transmission (Zai Jing Bing). A "second cycle" refers to the meridians being re-infected by pathogens.
Formulas
Banxia San (Cinnamon Twig and Pinellia Powder), sourced from *Shenghui Fang*, treats heat diseases on the seventh day characterized by restlessness, thirst, and phlegm-heat in the chest. It is suitable for consumption.
Pinelliae Rhizoma Preparatum (washed seven times with hot water to remove slipperiness) Pedicularis Root (remove rhizome head) Scutellariae Radix Ophiopogonis Tuber (remove heart and roast) Trichosanthis Radix Poria Cocos (red variety) Licorice Root
(roasted until slightly red and chopped, each half liang) Paeoniae Radix Rubra Ginseng Radix (remove rhizome head) Anemarrhenae Rhizoma Astragali Radix (chopped, each one liang) The above ingredients are processed into a powder. Each dose is five qian.
Use one da zhen of water, add one hundred grains of Oryza Sativa Var. Glutinosa (Jingmi) and one hundred grains of Triticum aestivum (Xiaomai), and half ban of Zingiberis Rhizoma Recens (Shengjiang). Decoct until five fen remains. Remove the dregs. Take warm, regardless of time.
Qianhu San (Pedicularis Root Powder), sourced from *Shenghui Fang*, treats heat diseases that have not resolved after seven days, presenting with alternating chills and fever, fullness and distress in the chest and hypochondrium, loss of appetite, irritability, and nausea. It is suitable for consumption.
Pedicularis Root (remove rhizome head) Pinelliae Rhizoma Preparatum (washed seven times with hot water to remove slipperiness) Licorice Root (roasted until slightly red and chopped, each half liang) Scutellariae Radix Ginseng Radix (remove rhizome head)
Paeoniae Radix Rubra Cinnamomi Cortex (Guixin, each three fen) The above ingredients are processed into a powder. Each dose is five qian. Use one da zhen of water, add half ban of Zingiberis Rhizoma Recens (Shengjiang) and three dates (Zao). Decoct until five fen remains.
Remove the dregs. Take warm, regardless of time.
Digupi San (Ground Bark Powder), sourced from *Shenghui Fang*, treats heat diseases on the seventh day characterized by generalized body pain and persistent high fever. It is suitable for consumption.
Cortices Lycii (Digupi) Aurantii Fructus Immaturus (stir-fried with bran until slightly yellow, remove albedo) Rheomi Radix et Rhizoma (chopped and stir-fried lightly) Bupleuri Radix (remove seedlings) Testudinis Carapax et Plastrum (coated with vinegar, roasted until yellow, remove skirt-like edges) Ophiopogonis Tuber (remove heart and roast, each one liang) Paeoniae Radix Rubra Licorice Root (roasted until slightly red and chopped, each half liang) The above are made into a coarse powder. Each dose is five qian.
Use one da zhen of water. Decoct until five fen remains. Remove the dregs. Take warm, regardless of time.
Shengdihuang Jian (Fresh Rehmannia Decoction), sourced from *Shenghui Fang*, treats heat diseases on the seventh day with unpredictable alternating chills and fever, deficiency-heat in the abdomen, lingering toxic qi, and unsettled mind and spirit. It is suitable for consumption.
Rehmanniae Radix Fresh Juice (half ban) Ophiopogonis Tuber Fresh (half sheng) Ginseng Radix (remove rhizome head) Atractylodis Macrocephalae Rhizoma Cinnamomi Ramulus (Rouguixin) Licorice Root (roasted until slightly red and chopped)
Polygoni Cuspidati Rhizoma et Radix (each one liang) Mel (half sheng) Cortices Lycii (two liang) Gypsum Fibrosum (three liang) Brassica Pekinensis Heart (cut, half sheng) All ingredients are chopped. Use three da zhen of water, boil until one wan remains. Strain to remove dregs. Add Mel, Rehmanniae Radix Fresh, and Ophiopogonis Tuber Fresh juice. Simmer these three together until the consistency is appropriate. Let cool. Take half he per dose, regardless of time.
Biejia San (Turtle Shell Powder), sourced from *Shenghui Fang*, treats heat diseases on the seventh day characterized by limb pain, uneliminated heat-toxin, intermittent chills and fever, fluctuating severity, and paroxysms resembling malaria. It is suitable for consumption.
Testudinis Carapax et Plastrum (two liang, coated with vinegar, roasted until yellow, remove skirt-like edges) Asparagi Tuber (remove heart) Ginseng Radix (remove rhizome head) Astragali Radix (chopped) Pruni Mume Carnis (lightly stir-fried) Dichroae Radix Achyranthis Bidentatae Radix (remove seedlings) Licorice Root (roasted until slightly red and chopped, each one liang) Gypsum Fibrosum (three liang) The above ingredients are processed into a powder. Each dose is five qian.
Use one da zhen of water, add thirty-seven leaves of Bambusa Leaves (Zhuye) and fifty grains of Sojae Semen Praeparatum (Chi). Decoct until five fen remains. Remove the dregs. Take warm, regardless of time.
To treat epidemic heat diseases, inducing sweating is effective. (Sourced from *Bencao*)
Spirodela Herba (one liang, harvested on the 15th day of the fourth lunar month) Ephedrae Herba (remove roots and nodes) Cinnamomi Cortex (Guixin) Aconiti Lateralis Radix Preparata (cracked by processing and remove umbilicus, each one liang) The above four substances are pounded fine and sieved.
Each dose is two qian. Use one zhong zhen of water, add half ban of Zingiberis Rhizoma Recens (Shengjiang). Decoct until six fen remains. Take warm with dregs, regardless of time. Recovery occurs when sweat appears.