（附论）
夫热病五日。少阴受病。毒瓦斯入于腹胃。其病口热舌干。渴而引饮。故可下而愈也。
方
大黄散（出圣惠方）治热病五日。口苦舌干。烦热。头痛不解者。宜服。
川大黄（锉碎微炒） 石膏（各一两） 黄连（去须） 甘草（炙微赤锉） 黄柏（锉）
栀子仁
（各半两） 上为粗散。每服四钱。以水一中盏。入葱白一茎。豉五十粒。煎至五分。去滓。
不计时候。温服。
柴胡汤（出圣惠方）治热病五日。壮热。骨节烦疼。目眩。胁下胀痛。不能
饮食。欲便成黄。宜服。
柴胡（去苗） 枳实（麸炒令黄色） 知母 黄芩 栀子仁 麦门冬（去心焙） 龙胆
草（去
芦头） 川大黄（锉碎微炒） 甘草（炙微赤锉各一两） 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。
黄芩散（出圣惠方）治热病五日。头痛壮热。骨节疼痛。宜服。
黄芩 栀子仁 前胡（去芦头） 赤芍药（各一两） 甘草（半两炙微赤锉） 石膏（二
两）
上为散。每服五钱。以水一大盏。入豉小半合。煎至五分。去滓。不计时候。温服。
柴胡饮子（出圣惠方）治热病五日。已得汗。毒瓦斯不尽。犹乍寒乍热。昏昏
如醉。胁下牢满。骨节疼痛。不能下食。舌本干燥。口内生疮。宜服之。
柴胡（去苗） 麦门冬（去心） 竹叶（各二两） 川升麻 黄芩 枳壳（麸炒黄去瓤
各一两
半） 赤芍药 甘草（炙微赤锉） 栀子仁（各一两） 上细锉和匀。每服半两。以水一大
盏。
入豉五十粒。葱白一茎。煎至五分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治热病五日。头痛身疼。皮肉如火。心膈烦躁。
麦门冬（去心焙） 石膏 川朴硝（各二两） 赤芍药 黄芩 犀角屑（各一两） 栀
子仁
地骨皮 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。
茵陈散（出圣惠方）治热病五日未解。头痛壮热。眼睛疼。心腹痛。宜服。
茵陈 川大黄（锉碎微炒各半两） 栀子仁 黄芩 柴胡（去苗） 木通（锉） 川升
麻赤
芍药 栝蒌根（各一两） 上为粗散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。
温服。
（附论）
热病到了第五天，少阴经受邪。毒热之气侵入腹部和胃腑。病症表现为口中发热、舌干，口渴且想喝水。因此可以采用泻下的方法治疗，疾病即可痊愈。
方剂
大黄散（出自《圣惠方》），用于治疗热病第五天，出现口苦、舌干、烦热、头痛不止的症状者，适宜服用。
药材：川大黄（切碎并微炒）、石膏（各一两）；黄连（去须）、甘草（炙至微红并切碎）、黄柏（切碎）、栀子仁（各半两）。
制法与用法：将上述药物捣成粗散。每次服用四钱，用水一中盏，加入葱白一茎、豆豉五十粒，煎煮至剩余五分药液，滤去药渣。不限时间，温服。
柴胡汤（出自《圣惠方》），用于治疗热病第五天，出现高热、骨节烦痛、头晕目眩、胁下胀痛、不能进食，以及想要发展为黄疸的情况，适宜服用。
药材：柴胡（去苗）、枳实（麸炒至黄色）、知母、黄芩、栀子仁、麦门冬（去心焙干）、龙胆草（去芦头）、川大黄（切碎并微炒）、甘草（炙至微红并切碎，各一两）。
制法与用法：将上述药物捣成粗散。每次服用五钱，用水一大盏，煎煮至剩余五分药液，滤去药渣。不限时间，温服。
黄芩散（出自《圣惠方》），用于治疗热病第五天，出现头痛、高热、骨节疼痛的症状，适宜服用。
药材：黄芩、栀子仁、前胡（去芦头）、赤芍药（各一两）；甘草（半两，炙至微红并切碎）、石膏（二两）。
制法与用法：将上述药物研为散剂。每次服用五钱，用水一大盏，加入豆豉小半合，煎煮至剩余五分药液，滤去药渣。不限时间，温服。
柴胡饮子（出自《圣惠方》），用于治疗热病第五天，已经发汗但毒热未尽，仍然忽冷忽热，神志昏沉如同醉酒，胁下坚硬胀满，骨节疼痛，无法进食，舌根干燥，口腔内生疮疡的情况，适宜服用。
药材：柴胡（去苗）、麦门冬（去心）、竹叶（各二两）；川升麻、黄芩、枳壳（麸炒黄去瓤，各一两半）；赤芍药、甘草（炙至微红并切碎）、栀子仁（各一两）。
制法与用法：将上述药物细切并混合均匀。每次服用半两，用水一大盏，加入豆豉五十粒、葱白一茎，煎煮至剩余五分药液，滤去药渣。不限时间，温服。
麦门冬散（出自《圣惠方》），用于治疗热病第五天，出现头痛、身体疼痛，皮肤肌肉感觉如火烧，心胸膈部烦躁不安的症状。
药材：麦门冬（去心焙干）、石膏、川朴硝（各二两）；赤芍药、黄芩、犀角屑（各一两）；栀子仁、地骨皮、甘草（炙至微红并切碎，各半两）。
制法与用法：将上述药物捣成粗散。每次服用五钱，用水一大盏，煎煮至剩余五分药液，滤去药渣。不限时间，温服。
茵陈散（出自《圣惠方》），用于治疗热病第五天仍未解除，出现头痛、高热、眼睛疼痛、心腹疼痛的症状，适宜服用。
药材：茵陈、川大黄（切碎并微炒，各半两）；栀子仁、黄芩、柴胡（去苗）、木通（切碎）、川升麻、赤芍药、栝蒌根（各一两）。
制法与用法：将上述药物捣成粗散。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣。不限时间，温服。
(Attached Discussion)
On the fifth day of febrile disease, the Shaoyin channel is affected. Toxic heat enters the abdomen and stomach. The symptoms include a hot mouth, dry tongue, thirst with desire to drink. Therefore, purgation can be employed to cure the disease.
Formulas
Dahuang San (Cassia Twig Powder) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day, presenting with bitter taste in the mouth, dry tongue, irritability and heat, and persistent headache.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, prepared by crushing and slight stir-frying), Shigao (Gypsum Fibrosum) (each 1 liang); Huanglian (Rhizoma Coptidis, remove stamens), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed), Huangbai (Cortex Phellodendri, crushed), Zhizi Ren (Semen Gardeniae) (each 0.5 liang).
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose. Add 1 zhong zhan of water, 1 stem of Congbai (Bulbus Allii Fistulosi), and 50 grains of Chidou (Faber Semen Preparatum). Decoct until 0.5 portion remains. Strain. Take warm at any time.
Chaihu Tang (Bupleurum Decoction) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day, presenting with high fever, painful and vexing joints, dizziness, distending pain under the hypochondrium, inability to eat, and impending jaundice.
Ingredients: Chaihu (Radix Bupleuri, remove seedlings), Zhishi (Fructus Aurantii Immaturus, stir-fried with bran until yellow), Zhimu (Rhizoma Anemarrhenae), Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gardeniae), Maimendong (Radix Ophiopogonis, remove heart and roast), Longdancao (Radix Gentianae, remove rhizome), Chuan Dahuang (Radix et Rhizoma Rhei, crush and slight stir-fry), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed) (each 1 liang).
Preparation and Administration: Grind into a coarse powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until 0.5 portion remains. Strain. Take warm at any time.
Huangqin San (Scutellaria Powder) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day, presenting with headache, high fever, and bone and joint pain.
Ingredients: Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gardeniae), Qianhu (Radix Peucedani, remove rhizome), Chishao Yao (Radix Paeoniae Rubra) (each 1 liang); Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed) (0.5 liang), Shigao (Gypsum Fibrosum) (2 liang).
Preparation and Administration: Grind into a powder. Take 5 qian per dose. Add 1 da zhan of water and a small half he of Chidou (Faber Semen Preparatum). Decoct until 0.5 portion remains. Strain. Take warm at any time.
Chaihu Yinzi (Bupleurum Drinking Solution) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day, where sweating has occurred but toxic heat is not fully cleared, presenting with alternating chills and fever, drowsiness resembling drunkenness, firm fullness under the hypochondrium, bone and joint pain, inability to ingest food, dry root of the tongue, and sores in the mouth.
Ingredients: Chaihu (Radix Bupleuri, remove seedlings), Maimendong (Radix Ophiopogonis, remove heart), Zhuye (Folium Bambusae) (each 2 liang); Chuanshengma (Rhizoma Cimicifugae), Huangqin (Radix Scutellariae), Zhike (Pericarpium Citri Reticulatae, stir-fried with bran until yellow, remove pith) (each 1.5 liang); Chishao Yao (Radix Paeoniae Rubra), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed), Zhizi Ren (Semen Gardeniae) (each 1 liang).
Preparation and Administration: Finely chop and mix evenly. Take 0.5 liang per dose. Add 1 da zhan of water, 50 grains of Chidou (Faber Semen Preparatum), and 1 stem of Congbai (Bulbus Allii Fistulosi). Decoct until 0.5 portion remains. Strain. Take warm at any time.
Maimendong San (Ophiopogon Powder) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day, presenting with headache, body pain, skin and flesh feeling like fire, and irritability in the heart and diaphragm.
Ingredients: Maimendong (Radix Ophiopogonis, remove heart and roast), Shigao (Gypsum Fibrosum), Chuan Pu Xiao (Natrii Sulfas) (each 2 liang); Chishao Yao (Radix Paeoniae Rubra), Huangqin (Radix Scutellariae), Xijiao Xie (Cornu Rhinocerotis, sliced) (each 1 liang); Zhizi Ren (Semen Gardeniae), Digupi (Cortex Lycii), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed) (each 0.5 liang).
Preparation and Administration: Grind into a coarse powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until 0.5 portion remains. Strain. Take warm at any time.
Yinchen San (Artemisia Capillaris Powder) [from *Shenghui Fang*]: Indicated for febrile disease on the fifth day that has not resolved, presenting with headache, high fever, eye pain, and heart/abdominal pain.
Ingredients: Yichen (Herba Artemisiae Scopariae), Chuan Dahuang (Radix et Rhizoma Rhei, crush and slight stir-fry) (each 0.5 liang); Zhizi Ren (Semen Gardeniae), Huangqin (Radix Scutellariae), Chaihu (Radix Bupleuri, remove seedlings), Mutong (Caulis Akebiae, crushed), Chuanshengma (Rhizoma Cimicifugae), Chishao Yao (Radix Paeoniae Rubra), Gualou Gen (Radix Trichosanthis) (each 1 liang).
Preparation and Administration: Grind into a coarse powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until 0.6 portion remains. Strain. Take warm at any time.